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          "uid": "POCOR458",
          "title": "Active Early Management Of Central Toxic Keratopathy: A 20-Eye Imaging-Confirmed Case Series Demonstrating Accelerated Recovery",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF011",
          "title": "A Data-Integrated Strategy (Dilated Wavefront + Ms-39 + Scc + Foresight) To Restore Vision In A Post-Ctk Irregular Cornea 6 Years After Prk",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "CC02.10",
          "title": "Aberration-Driven Excimer Treatment In Severe Keratoconus Using Presbymax Reversal To Achieve Usable Vision Pre-Transplant",
          "track": "Refractive Surgery",
          "session_type": "Case Report"
        }
      ]
    },
    {
      "name": "Kamran Riaz",
      "count": 8,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 2
        },
        {
          "name": "IOLs - complications",
          "count": 1
        },
        {
          "name": "IOL power calculation",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        },
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 5
        },
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT327",
          "title": "Middle Segment Surgery: Entering The Eye Through The Pars Plana To Solve Anterior Segment Surgical Challenges, Mostly Related But Not Limited To Intraocular Lenses",
          "track": "IOLs - complications",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT613",
          "title": "Performance Of The Escrs Calculator With K And Tk Values In Steep And Flat Corneas",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR373",
          "title": "Refractive And Topographic Outcomes Of Corneal Tissue Addition Keratoplasty (Ctak)",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR515",
          "title": "Clinical Outcomes And Safety Profile Of Mitomycin Intravascular Chemoembolization (Mice) To Treat Corneal Neovascularization: 1 Year Results",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR516",
          "title": "Clinical Outcomes Of Brightmem Anterior Keratoplasty For Complex Ocular Surface Disease",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "FP14.05",
          "title": "Risk Factors For Early Versus Late Graft Dislocation After Endothelial Keratoplasty",
          "track": "Endothelial keratoplasty",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Hashem Abu Serhan",
      "count": 7,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 2
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 3
        },
        {
          "name": "Presented Poster",
          "count": 3
        },
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR315",
          "title": "Posterior Keratoconus: Theory, Evidence, And Treatment",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "FP03.09",
          "title": "Pars Plana Vitrectomy Versus Anterior Vitrectomy In Scleral-Fixated Intraocular Lenses Implantation: A Systematic Review And Meta-Analysis",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP21.03",
          "title": "Comparative Efficacy Of Sodium Bicarbonate And Hyaluronidase As Adjuvants In Peribulbar Block: A Systematic Review And Meta-Analysis",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP26.13",
          "title": "Therapeutic Potential Of Reproxalap In Inflammatory Eye Diseases: A Systematic Review And Meta-Analysis",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP05.017",
          "title": "Visual Outcomes And Comfort With Scleral Versus Rigid Gas Permeable Lenses In Advanced Keratoconus: A Systematic Review And Meta-Analysis",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP10.06",
          "title": "Quality Of Life In Myopia: Lasik Vs. Contact Lenses",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Mohammed Muhtaseb",
      "count": 7,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 4
        },
        {
          "name": "IOLs - multifocal",
          "count": 2
        },
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        },
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT377",
          "title": "Patient Reported Outcomes Following Puresee Increased Range Of Focus Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT378",
          "title": "Patient Reported Outcomes Following Vivity Increased Range Of Focus Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT497",
          "title": "Objective Visual Acuity Outcomes Following Hoya Gemetric (Xy1-G And Xy1-Gt) Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU069",
          "title": "Clinical Outcomes Of A Surgeon’S First 20 Cases Of Istent Implanted As An Adjunct To Cataract Surgery",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "FP12.04",
          "title": "Objective Visual Acuity Outcomes Of Vivity Intraocular Lens Implantation Stratified By Target Refraction",
          "track": "IOLs - EDOF",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP32.09",
          "title": "Patient Reported Outcomes Following Implantation Of The Hoya Gemetric (Xy1-G And Xy1-Gt) Multifocal Intraocular Lens",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Ahmed Samir",
      "count": 6,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 4
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        },
        {
          "name": "Free Paper",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT201",
          "title": "Evaluating The Initial Experience And Advantages Of Using Selective\nLaser Capsulotomy For Capsulorhexis Creation In Cases Of Intumescent Cataract.",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT202",
          "title": "A Novel Approach To Lens Subluxation: Capsulaser And Flanged Prolene Suture For Cionni Ring Scleral Fixation",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT203",
          "title": "A Novel Protocol For Anterior Capsule Staining In Cataract Surgery Using Selective Laser Capsulotomy",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT204",
          "title": "Integrated Capsulaser With Flanged Prolene Scleral Fixation Of Cionni Rings For Hereditary Lens Subluxation",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "FP15.15",
          "title": "Safety And Precision Of Selective Laser Capsulotomy (Capsulaser) In Pediatric Cataract Surgery",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP17.03",
          "title": "Capsulaser-Assisted Implantation Of Toric Trifocal Intraocular Lenses: A Comparative Study Of Stability And Visual Outcomes",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Orwa Nasser",
      "count": 6,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        },
        {
          "name": "Surface photoablation",
          "count": 1
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 5
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT028",
          "title": "Corneal And Refractive Properties And Correlation To Clinical Measures In Patients With Congenital Nystagmus Syndrome",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT498",
          "title": "Visual And Safety Outcomes Of Refractive Lens Exchange With Multifocal Intraocular Lens For The Treatment Of Refractive Accommodative Esotropia",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR518",
          "title": "Limbal Distress Syndrome Following Ill-Fitting Scleral Contact Lens In Keratoconus – A Case Series",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF149",
          "title": "Visual And Safety Outcomes Of Visian Toric Icl Implantation After Corneal Collagen Cross-Linking In Keratoconus",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF227",
          "title": "Outcomes Of Photorefractive Keratectomy Refractive Treatments In Patients With Infantile Nystagmus Syndrome",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP28.11",
          "title": "Comparison Of The Icare Rebound Tonometer And The Applanation Tonometry In Cohort Of 546 Eyes Of Healthy Eyes And Eyes Following Prk, Lasik, Cxl, And Pciol Surgery",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Yanfeng Zeng",
      "count": 6,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 4
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 5
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT223",
          "title": "Analysis Of Tertiary Visual Function In Femtosecond Laser-Assisted Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT224",
          "title": "Clinical Study Of Total White Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT225",
          "title": "Observation Of The Surgical Outcome Of Irregular Astigmatism Combined With Cataract Surgery (Including Surgical Video)",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT226",
          "title": "Consistency Of Four Instruments In Corneal Astigmatism Correction Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT299",
          "title": "Study On Visual Quality After Cataract Surgery In Patients With Binocular Anisometropia",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "PP18.07",
          "title": "Observation Of Visual Quality After Monocular Refractive Cataract Surgery",
          "track": "Cataract surgery practice styles",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Dr.Navaneeth Saggam",
      "count": 5,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 3
        },
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 3
        },
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT099",
          "title": "“Yellowing Of An Intraocular Lens Following Chronic Periocular Turmeric Exposure: A Rare Case Report”",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP20.04",
          "title": "Culture Vs Molecular Detection In Fungal Endophthalmitis: Evidence From A Postoperative Cluster",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP02.02",
          "title": "“Scleral Tuck And Iris Tie: A Cionni-Free Fixation In Grossly Subluxated Cataracts”",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP02.04",
          "title": "Dual Iris Fixation And Pupilloplasty For Traumatic Mydriasis With Lens\nSubluxation: 50 Cases",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP15.11",
          "title": "Evaluating The Impact Of Blue-Filtering Intraocular Lenses On Macular Oxidative Stress: A Comparative Analysis Of 8-Hydroxy-2'-Deoxyguanosine Levels In Donor Retinal Tissue",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Lional Raj Daniel Raj Ponniah",
      "count": 5,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 2
        },
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "IOLs - complications",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT029",
          "title": "Coincidental Intra-Operative Posterior Capsular Tear And Intra-Ocular Lens Damage: Lessons Learnt",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT323",
          "title": "Ortho-Phako-Logy: A Novel System For Classifying Intra-Operative Intra-Ocular Lens Damages, And Its Correlation With Proposed Management Strategies",
          "track": "IOLs - complications",
          "session_type": "ePoster"
        },
        {
          "uid": "FP18.05",
          "title": "Visual Cortex Training Using Gabor Patches Improves Vision And Contrast Sensitivity In Crosslinked Stable Keratoconus: Randomized Control Study",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP32.07",
          "title": "Visual Rehabilitation Using Gabor Patches Improves Functional Ability In Neuro-Adaptation Failures After Multifocal Implants: A Randomized Controlled Trial",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP24.02",
          "title": "Cortical Stimulation Using Gabor Patches Improves Vision & Contrast In Dissatisfied Patients With Mf-Iols: A Randomized Controlled Trial",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Luis Izquierdo Jr",
      "count": 5,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 2
        },
        {
          "name": "LASIK",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "Evaluation testing",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 2
        },
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR150",
          "title": "Structural Integrity Of Human Corneal Stroma Cryopreserved At −80 °C Using Dmem Or Optisol With Dmso Or Glycerol.",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP07.15",
          "title": "Tomographic And Biomechanical Stability After Lasik In Eyes With High Superior–Inferior Corneal Asymmetry",
          "track": "LASIK",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP22.14",
          "title": "Clinical Outcomes After Boston Type I/Lucia Keratoprosthesis Implantation: Visual Acuity And Postoperative Complications",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP15.018",
          "title": "Corneal Topography And Aberrometric Outcomes After Early Lensectomy With Retropupillary Iris-Claw Iol Implantation In Marfan Syndrome",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP26.11",
          "title": "Epithelial Thickness Mapping And Higher-Order Aberrations In Fuchs Dystrophy",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Wojciech Luboń",
      "count": 5,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 5
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR500",
          "title": "Immunopathogenesis And Regenerative Management Of Autoimmune Ocular Surface Disease",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR501",
          "title": "Autoimmune Disorders Of The Eyelid In Ocular Surface Disease: From Molecular Pathways To Precision Therapy",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR502",
          "title": "Extreme Corneal Thinning In Neurotrophic Keratopathy Associated With Lamellar Ichthyosis: Successful Conservative Management",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR503",
          "title": "Individualization Of Dry Eye Disease Management Based On Tear Film Dysfunction Profile",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP01.03",
          "title": "Low-Concentration Povidone-Iodine (≤1%) In Ophthalmology: Antimicrobial Efficacy And Ocular Surface Safety",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Adnan Abdul Majeed",
      "count": 4,
      "tracks": [
        {
          "name": "Cataract surgery practice styles",
          "count": 2
        },
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT001",
          "title": "Broken But Stable: In-The-Bag Implantation Of An Intra-Ocular Lens With A Fractured Haptic",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP20.15",
          "title": "Nepafenac 0.3% As A Steroid-Sparing Alternative To Prednisolone Acetate For Post-Phacoemulsification Inflammation: A Comparative Study",
          "track": "Cataract surgery practice styles",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP25.06",
          "title": "Global Phacoemulsification Practices And Clinical Determinants Of Day-1 Corneal Clarity: An International Surgeon Survey",
          "track": "Cataract surgery practice styles",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP09.01",
          "title": "Optimizing Capsulorhexis In Intumescent White Cataracts: A Comparative Evaluation Of Pressure-Control Techniques",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Ahmed Galal",
      "count": 4,
      "tracks": [
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 3
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT158",
          "title": "Iol Exchange Without Removing Pre-Existing Iris Implant",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU050",
          "title": "Managament Of Juvenil Glaucoma And Band-Shape Keratopathy Following Juvenile Arithritis",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU051",
          "title": "I-Stent Micro Implant As First Surgical Indication In Glaucoma Migs Surgery",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU052",
          "title": "Comparing The Results Of I-Stent Micro Implant Combined With Prostaglandin Eye Drops And Standard Trabeculectomy With Mitomycin: Method Of Choice In End Stage Glaucoma Surgery",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ali Nowrouzi",
      "count": 4,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Surface photoablation",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT078",
          "title": "Non-Diffractive Spiral Optic Iol Implantation After Refractive Lens Exchange In A Fuchs Dystrophy Patient With Angle Closure",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF229",
          "title": "Pain Control Following Transepithelial Photorefractive Keratectomy: A Randomized Controlled Trial Of Adding Preoperative Topical Prednisolone To Bromfenac.",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        },
        {
          "uid": "PP15.16",
          "title": "Visual Performance After Unilateral Implantation Of Non-Diffractive Spiral Optic Iol Implantation Intraocular Lens In Patients With Unilateral Cataract.",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP24.16",
          "title": "Visual Performance After Bilateral Implantation Of A New Diffractive Intraocular Lens In Post–Myopic Laser Patients With Bilateral Cataract.",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Claudette Abela-Formanek",
      "count": 4,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 4
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT456",
          "title": "Long Term 12 Months Visual Acuity Outcomes Of A Full Range Of Depth Of Field Iol With A Spiral Optic",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT457",
          "title": "Three-Month Outcomes Of A Novel Full Depth Of Field Intraocular Lens With Spiral Optics: A Comparison Of The Results With The Real Artificial Lens Vision System (Ralv®) System",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT519",
          "title": "Intraindividual Comparison Of Two Presbyopia-Correcting Iol Concepts And Their Combination Using The Real Artificial Lens Vision (Ralv®) System",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "FP01.04",
          "title": "Intraindividual Comparison Of Two Presbyopia-Correcting Iol Concepts And Their Combination Using The Real Artificial Lens Vision (Ralv®) System",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "David Beckers",
      "count": 4,
      "tracks": [
        {
          "name": "IOLs - toric",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT634",
          "title": "Long-Term Outcomes Of Individually Calculated Toric Intraocular Lenses: Safety, Predictability, And Visual Efficacy In A Real-World Clinical Cohort",
          "track": "IOLs - toric",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF049",
          "title": "Presbyedof: Three-Month Clinical Outcomes Of An Individualized Corneal Extended Depth-Of-Focus Technique For Presbyopia Correction",
          "track": "LASIK",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF078",
          "title": "Large Optical Zones In Klex: 12-Month Refractive, Tomographic And Optical Stability",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP25.08",
          "title": "Enhancing Fellowship Training Through Scalable Live Surgical Supervision Using Microscope-Integrated Video And Audio Feedback",
          "track": "Cataract surgery practice styles",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "David Ebeid",
      "count": 4,
      "tracks": [
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 4
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POGAU041",
          "title": "Postoperative Complications And Safety Profiles After Surgical Management Of Advanced Glaucoma: A 4-Year Retrospective Analysis",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU042",
          "title": "Three Migs Approaches, One Goal: A 2–3 Year Retrospective Comparison Of Elios, Istent, And Hydrus For Intraocular Pressure Reduction.”",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU043",
          "title": "Treatment Stability Over 3–4 Years After Migs Plus Prostaglandin Therapy Versus Ahmed Valve Implantation In Advanced To End-Stage Glaucoma",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU044",
          "title": "Predictors Of Long-Term Treatment Stability After Surgical Management Of Advanced Glaucoma: A 4-Year Retrospective Study",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "David Pablo P Pinero",
      "count": 4,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 2
        },
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT031",
          "title": "Diurnal Variations In Corneal Thickness And Keratometry In Healthy Eyes: A Sector-Based Analysis Of Lifestyle-Related Factors",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT386",
          "title": "First Clinical Outcomes Of A New Refractive Partial Range Of Field Intraocular Lens",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT511",
          "title": "Comparative Analysis Of Distance And Near Contrast Sensitivity Outcomes Obtained With One Refractive Partial And Two Diffractive Full Range Of Focus Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT512",
          "title": "Pilot Experience Evaluating A Visual Training Program For Facilitating The Neuroadaptation In Subjects Implanted With Multifocal Intraocular Lenses And An Unsuccessful Outcome",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Dror Ben Ephraim Noyman",
      "count": 4,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 2
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 3
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP10.14",
          "title": "Topical Azithromycin Versus Oral Doxycycline For Meibomian Gland Dysfunction - A Systematic Review And Meta-Analysis",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP27.02",
          "title": "Outcomes Of Laser Vision Correction With Diabetes Meletus: A Retrospective Real-World Study",
          "track": "Surface photoablation",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP27.07",
          "title": "Topical Steroids For Postoperative Haze Prevention After Photorefractive Keratectomy: A Systematic Review And Network Meta Analysis",
          "track": "Surface photoablation",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP10.11",
          "title": "Outcomes Of Laser Vision Correction With Hypothyroidism: A Retrospective Study",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Ipsita Barman",
      "count": 4,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 2
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Cataract surgery pediatric",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT139",
          "title": "Vitreous Clump In Ac Mimicking Dmd On Asoct",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT227",
          "title": "Optic Capture In Microphthalmic Eyes With Congenital Cataract",
          "track": "Cataract surgery pediatric",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR028",
          "title": "Management Of Post-Traumatic Intracorneal Cyst",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR029",
          "title": "Quadruple-Pathogen Spectrum In Rapidly Progressive Keratitis: Diagnostic And Surgical Challenges",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Jinhai Huang",
      "count": 4,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 3
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR357",
          "title": "Precision Of Corneal Aberrometric Measurements With A New Hybrid Device And Comparison With A Scheimpflug/Placido Topography In Different Grades Of Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR473",
          "title": "Multidimensional Regulatory Mechanism Of A Thermoresponsive Antioxidant Metal-Free Carbon Nanodot Hydrogel And Its Application In Restoring Ocular Surface Homeostasis",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "FP06.01",
          "title": "Quantitative Corneal Epithelial Wavefront Aberrations For Precise Detection Of Keratoconus And Forme Fruste Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP14.13",
          "title": "Impact Of Pharmacological Mydriasis On Morpho-Biomechanical Profiling And Diagnostic Stability In Keratoconus Via Combined Static And Dynamic Scheimpflug Imaging",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Jose Arrieta",
      "count": 4,
      "tracks": [
        {
          "name": "Refractive Surgery",
          "count": 3
        },
        {
          "name": "Cataract Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT011",
          "title": "Scleral Support Arrieta's Holder Implant For Iol Support In Cases Without Capsular Support. A New Iol Support Device Is Presented, Including The Posibility To Use Premium Single-Piece Monofocal And Multifocal Iols With And Without Toricity",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF028",
          "title": "Motorsports: Vision For 350 Km/H",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF029",
          "title": "Visual Characteristics In A Group Of High-Performance Athletes From Boca Juniors Futbol Club, Argentina",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF030",
          "title": "High-Performance Vision In Tennis",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Madhu Uddaraju",
      "count": 4,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 1
        },
        {
          "name": "SUSTAINABILITY",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Evaluation testing",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF240",
          "title": "Clinical Outcomes Of Prk In High Myopia (> −6.00 D): A Retrospective Analysis Of 974 Eyes",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        },
        {
          "uid": "POSUS016",
          "title": "A Mobile Phone–Based Ophthalmology Patient Application To Improve Compliance And Continuity Of Care: Early Outcomes From 1,200 Users",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "FP18.11",
          "title": "Bowman’S Layer Stromal Transplantation In Advanced Keratoconus: Five-Year Clinical Outcomes In 54 Eyes",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP29.06",
          "title": "Smart Phone Based Specular Imaging And App Based Analysis Of Corneal Endothelium",
          "track": "Evaluation testing",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Maria A. Henriquez",
      "count": 4,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 3
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF129",
          "title": "Accuracy And Predictability Of Ai-Based Postoperative Vault Simulation For Implantable Collamer Lens Sizing",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "FP06.10",
          "title": "Accuracy And Predictability Of A Virtual Postoperative Simulation Algorithm (Foresight) In Corneal Wavefront-Guided Transepithelial Prk For Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP18.08",
          "title": "Refractive Error Derived From The Corneal Epithelium And Its Relationship With The Epithelial Profile In Normal And Keratoconic Eyes",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP14.16",
          "title": "Visual, Refractive, And Corneal Densitometry Outcomes In Keratoconus Eyes With Extreme Corneal Flattening After Crosslinking.",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Mehdi Khamaily",
      "count": 4,
      "tracks": [
        {
          "name": "IOL power calculation",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        },
        {
          "name": "Surface photoablation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT602",
          "title": "Mpact Of Swept-Source Oct Biometry On Refractive Predictability In Premium Intraocular Lens Implantation",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR363",
          "title": "Biologically Assisted Corneal Cross-Linking: Beyond Biomechanics",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF136",
          "title": "Night Vision And Dysphotopsia After Evo Icl: Objective And Subjective Assessment",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF225",
          "title": "Biologically Assisted Refractive Surgery: The Role Of Dehydrated Amniotic Membrane And Locally Prepared Platelet Rich Plasma Trans-Prk/ Prk And Icl.",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Mehmet Kaan Kaya",
      "count": 4,
      "tracks": [
        {
          "name": "Evaluation testing",
          "count": 2
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "Surface photoablation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT361",
          "title": "Distinct Visual And Photic Profiles Of Three Refractive Extended Depth-Of-Focus Intraocular Lenses: Real-World Comparative Outcomes",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF224",
          "title": "Long-Term Visual Outcomes, Corneal Stability, And Haze Formation After Prk, Prk With Cross-Linking, And Transepithelial Prk With Cross-Linking In Eyes With Suspected Keratoconus",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP29.11",
          "title": "Hatvit-Caf: A Hierarchical Attention–Based Hybrid Vision Transformer For Multi-Class Ocular Disease Classification",
          "track": "Evaluation testing",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP26.05",
          "title": "Deep Learning-Based Automated Pupil Segmentation In Cataract Surgery Images Using U-Net Architecture",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Michael Mimouni",
      "count": 4,
      "tracks": [
        {
          "name": "Collagen cross linking",
          "count": 3
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR179",
          "title": "Visual And Refractive Outcomes Of The Tel-Aviv Protocol For Keratoconus – First 400 Cases",
          "track": "Collagen cross linking",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR180",
          "title": "Long-Term Visual, Refractive, And Patient-Reported Satisfaction Of The Tel-Aviv Protocol (Eprk-Cxl) For Progressive Keratoconus",
          "track": "Collagen cross linking",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR181",
          "title": "Predictors Of Treatment Success Following The Tel-Aviv Protocol For Keratoconus: A Combined Epithelial Photorefractive Keratectomy And Corneal Cross-Linking Approach",
          "track": "Collagen cross linking",
          "session_type": "ePoster"
        },
        {
          "uid": "FP22.09",
          "title": "Initial Experience With First-In-Human Bioengineered Corneal Endothelial Implantation (Pvek)",
          "track": "Endothelial keratoplasty",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "count": 4,
      "tracks": [
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        },
        {
          "name": "SUSTAINABILITY",
          "count": 1
        },
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "Cataract surgery pediatric",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POGAU010",
          "title": "Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt) For Secondary Glaucoma Following Pediatric Cataract Surgery: A 12-Month Prospective Cohort Study",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POSUS005",
          "title": "Cataract Surgery And Environmental Sustainability: Models And Strategies For A Greener High‑Volume Procedure",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "FP08.02",
          "title": "Anterior Segment Imaging Using Responsible Ai: Frameworks For Lmics",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP15.10",
          "title": "Long-Term Refractive Changes In Pediatric Pseudophakic Eyes: A Longitudinal Analysis Of Axial Elongation And Myopic Drift After Cataract Surgery",
          "track": "Cataract surgery pediatric",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Nadav Shemesh",
      "count": 4,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 2
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        },
        {
          "name": "Case Report",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR309",
          "title": "Endoart Prosthesis For Managing Refractory Corneal Edema Following Failed Penetrating Keratoplasty: A Case Series",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR310",
          "title": "Endoart Prosthesis For Managing Refractory Corneal Edema Following Failed Penetrating Keratoplasty: A Case Series",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU025",
          "title": "Risk Of Retinal Artery Occlusion In Patients With Primary Open-Angle Glaucoma: A Retrospective Cohort Study",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "CC03.08",
          "title": "Investigating The Clinical Application Of Topical Rho Kinase Inhibitors In Patients Following Descemet Membrane Endothelial Keratoplasty: A Case Series",
          "track": "Corneal Surgery",
          "session_type": "Case Report"
        }
      ]
    },
    {
      "name": "Nikhil Agrawal",
      "count": 4,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 2
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 4
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT128",
          "title": "\"Comparative Analysis Of Clinical Features And Surgical Outcomes Of Post-Traumatic Cataract In Pediatric And Adult Patients: A Prospective Study From A Tertiary Eye Care Center In India\"",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR007",
          "title": "Familial Cluster Of Fungal Keratitis: An Unusual Simultaneous Presentation In Three Members",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR008",
          "title": "“Tzanck Smear To The Rescue: Herpetic Lesion Unmasked In A Misdiagnosed Child”",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR191",
          "title": "Familial Cluster Of Fungal Keratitis: An Unusual Simultaneous Presentation In Three Members",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ruddy Aarón Ortiz Lopez",
      "count": 4,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 2
        },
        {
          "name": "IOL power calculation",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
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        {
          "name": "Free Paper",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT501",
          "title": "Comparison Of Performance Of The Spiral Iol In Highly Myopic Patients Vs Hyperopic Patients",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT617",
          "title": "Iol Performance And Accuracy Of Formulas For Iol Calculation In Post-Myopic Laser Refractive Corneal Surgery Implanted With A Spiral Iol",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP32.02",
          "title": "Defining Corneal Selection Criteria For Optimal Outcomes With A Spiral Intraocular Lens",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP01.16",
          "title": "Clinical Outcomes Of A Multicenter Study Following The Use Of Losartan For Corneal Fibrosis In A Low-Income Country.",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Yue Wu",
      "count": 4,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 2
        },
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "Collagen cross linking",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT043",
          "title": "Analysis Of The Correlation Between Optical Coherence Tomography Angiography Indices And Blood Examination Results In Myopia",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR190",
          "title": "Customized Corneal Cross‐Linking With Microneedle‐Mediated Riboflavin Delivery For Keratoconus Treatment",
          "track": "Collagen cross linking",
          "session_type": "ePoster"
        },
        {
          "uid": "FP26.14",
          "title": "A Trans-Epithelial Nanozyme Of Ultra-Small Polydopamine For Multi-Targeted Therapy Of Corneal Neovascularization",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP01.05",
          "title": "Thermoresponsive Metal-Free Carbon-Dot Hydrogel Alleviates Oxidative Stress, Inflammation, And Apoptosis In Dry Eye",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "A. John Kanellopoulos",
      "count": 3,
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        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        },
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR080",
          "title": "Ten-Year Structural Stability After Pediatric Athens Protocol Cxl For Keratoconus: Topography-Guided Minimal Apex Ablation Combined With High-Fluence Cross-Linking And Long-Term Corneal Remodeling And Visual Rehabilitation",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP12.05",
          "title": "Cornea-First Blended Toric Monofocal Targeting With Intentional Physiologic With-The-Rule Astigmatism: Binocular Summation And Biologic Tolerance To Enhance Contrast Sensitivity And Binocular Function Beyond Presbyopia-Correcting Iol Trade-Offs",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP27.10",
          "title": "Structural Normalization Of Corneal Astigmatism In Smile Pro — Bidirectional Case Analysis With Vector And Ray-Tracing Correlation",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Adir Sommer",
      "count": 3,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 2
        },
        {
          "name": "LASIK",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF237",
          "title": "The Effect Of Diurnal Fluctuations On Visual And Refractive Outcomes In Myopic Prk Surgery",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP27.04",
          "title": "Prk On Lasik Flaps Vs. Primary Prk In Myopic Eyes: A Propensity Score-Matched Comparison Of Outcomes And Safety",
          "track": "Surface photoablation",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP10.12",
          "title": "Prk Vs Lasik For Against-The-Rule Astigmatism: A Retrospective Cohort Study",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Ahmed Safie Eldeen",
      "count": 3,
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        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT098",
          "title": "Endothelial Stability After Bilateral Cataract Surgery In Corneal Guttate",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR241",
          "title": "Misdiagnosed Keratitis: From Antibiotics Failure To Steroid Response",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR544",
          "title": "Reversible Visual Loss In Rheumatoid Arthritis: Ocular Surface Optimization As A Primary Visual Rehabilitation Strategy",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ahmed Shabana",
      "count": 3,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Presbyopic laser",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR126",
          "title": "From Viral Conjunctivitis To Scleral Emphysema: A Rare Complication In An Immunocompromised Adolescent",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF099",
          "title": "Hyperopic Smile-Pro: One-Year Outcomes As Compared To Femtolasik",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF187",
          "title": "When The Cornea Outperforms The Lens: Presbyond Vs Trifocals",
          "track": "Presbyopic laser",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Aliki Panagiotis Liaska",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT067",
          "title": "Iintraocular Lens As A Glide After Posterior Capsule Rupture",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT554",
          "title": "Refractive Surprise After Cataract Surgery And Intraocular Lens Mislabelling",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "PP27.10",
          "title": "Neovascular Glaucoma Treated With Ahmed Valve Implantation And Ranibizumab",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Amr Al Amin",
      "count": 3,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR192",
          "title": "The Impact Of Topical Losartan In Improving Of Visual Outcome In Different Types Of Corneal Ulcers (Case Series)",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR318",
          "title": "Icrs…When It’S Still Promising",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF073",
          "title": "Unusual Intraoperative Complications Of Femtosmile",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ana Miguel",
      "count": 3,
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT027",
          "title": "Intra-Operative Oct During Glaucoma Surgeries",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT248",
          "title": "Iris Repair Techniques – A Literature Review And A Video Review",
          "track": "Cataract surgery practice styles",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU016",
          "title": "Complex Glaucoma And Anterior Segment Surgeries - A Video Review",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Anaya Joshi",
      "count": 3,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 2
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR077",
          "title": "Pre-Operative Oct-Guided Corneal Compression Sutures With Sf₆ Gas And Inferior Peripheral Iridectomy For Acute Corneal Hydrops In Keratoconus",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR480",
          "title": "Zero Recurrence After Sutureless Fibrin-Glue Conjunctival Limbal Autografting For Pterygium: Outcomes Of 41 Consecutive Real-World Cases",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR481",
          "title": "Nearly 2 Dioptres Of Corneal Astigmatic Reduction After Pterygium Excision With Sutureless Conjunctival Limbal Autografting",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Andre Messias",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - toric",
          "count": 1
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP05.13",
          "title": "Assessment Of Toric Iol Alignment With An Aberrometric Corneal Analyzer Using Preoperative Planning Images As Reference",
          "track": "IOLs - toric",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP02.07",
          "title": "Intravitreal Acetazolamide Implant For Pseudophakic Cystoid Macular Edema",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP12.01",
          "title": "Five-Year Refractive Stability And Visual Performance After Diffractive And Non-Diffractive Edof Iol Implantation With A Mini-Monovision Strategy",
          "track": "IOLs - EDOF",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Aniruddha Nimbhorkar",
      "count": 3,
      "tracks": [
        {
          "name": "LASIK",
          "count": 2
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT399",
          "title": "Visual Outcomes Of Asymmetric Refractive Edof Iol Implanted Using Micro Monovision Technique",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF066",
          "title": "Corneal Densitometry Post Femtosecond Laser Assisted Contoura Lasik Versus Femtosecond Laser Assisted Wavelight Plus Lasik",
          "track": "LASIK",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF067",
          "title": "Corneal Higher Order Aberrations Post Femtosecond Laser Assisted Contoura Versus Femtosecond Laser Assisted Wavelight Plus Lasik",
          "track": "LASIK",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Anum Haneef",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 2
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT165",
          "title": "New Whole Nucleus Chop Technique To Avoid Posterior Caosular Rupture In Phacoemulsification",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT166",
          "title": "Managing Post Operative Endophthalmitis Via Anterior Segment Approach",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT275",
          "title": "Managing Small Pupils Without Iris Hooks Or Any Othet Accessories With Simple Modification Of Phacoemulsification Steps",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ashmal Jameel",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - toric",
          "count": 2
        },
        {
          "name": "IOLs - complications",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT328",
          "title": "Updated Results Of A Prospective Randomized Control Trial To Measure Posterior Capsular Opacification And Visual Outcomes Following Insertion Of Two Monofocal, Aspheric, Acrylic Intraocular Lenses: Hydrophobic Rayone 800C Vs Hydrophilic Rayone 600C.",
          "track": "IOLs - complications",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT642",
          "title": "Comparison Of Vision, Spectacle Independence And Patient Satisfaction With Micro-Monovision Implantation Of Two Toric Aspheric Intraocular Lenses (Iols) In The Public Health Sector: Final Results Of A Prospective Randomised Controlled Study.",
          "track": "IOLs - toric",
          "session_type": "ePoster"
        },
        {
          "uid": "FP05.15",
          "title": "Comparison Of Rotational Stability Of Two Aspheric Toric Intraocular Lenses (Iols): Final Results Of A Randomised Controlled Study",
          "track": "IOLs - toric",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Biljana Kostovska",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT116",
          "title": "Progressive Bilateral Visual Acuity Decline After Uncomplicated Cataract\nSurgery: Neuro-Ophthalmological Presentation Of Cerebral Infarction",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POOTH021",
          "title": "Secondary Sensory Strabismus In Adults: Impact Of Macular And Neuro-Ophthalmic Integrity On Alignment After Visual Rehabilitation",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "ePoster"
        },
        {
          "uid": "FP01.07",
          "title": "Ai-Assisted Conversational Support To Facilitate Neuroadaptation After Bilateral Trifocal Intraocular Lens Implantation: A Prospective Observational Study",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Bruno Trindade",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT117",
          "title": "The True Dysfunctional Lens",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT293",
          "title": "Primary Posterior Capsulorhexis",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR311",
          "title": "Performance Of Different Syringes For Dmek Graft Deliver",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Byunghoon Chung",
      "count": 3,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 2
        },
        {
          "name": "Presbyopic laser",
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          "session_type": "ePoster"
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          "name": "IOLs - other",
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          "session_type": "ePoster"
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          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
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          "name": "Phakic IOLs",
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          "name": "Presented Poster",
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        {
          "uid": "POREF152",
          "title": "Comparative Analysis Of Postoperative Vault In Staar Icl And Biotech Icl: Long-Term Outcomes At 1, 2, And 3 Years\nIn 50 Patients",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "PP18.10",
          "title": "Bilateral Cataract Surgery In Tropical Country : Visual Outcomes And Complications",
          "track": "Cataract surgery practice styles",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Hasan Chichan",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT027",
          "title": "Photobiomodulation In Early Retinal Degenerative Disease: A Prospective Clinical Evaluation Of Functional And Structural Outcomes",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT532",
          "title": "Hyperopic Shift After Descemet Membrane Endothelial Keratoplasty (Dmek): Implications For Intraocular Lens Power Selection",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "PP06.11",
          "title": "Optimising Patient Selection For Refractive Procedures In Eyes With Corneal Pathology: An Audit Of Screening Algorithms, Surgical Decision-Making And Intraocular Lens Selection",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Hatem Ali Elsersawy",
      "count": 3,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
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      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR344",
          "title": "Risk Velocity Of An Ai-Driven Predictive Graft Score As An Early Biomarker Of Stromal Rejection After Dalk",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR345",
          "title": "Development And Validation Of A Surgical Urgency Index (Sui) For Keratoconus:\n\nAn Ai Model Predicting Failure Of Corneal Cross-Linking And Progression To Keratoplasty",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "PP20.017",
          "title": "Neuro-Symbolic Agentic Ai For Slit-Lamp Diagnosis Of Infectious Keratitis: A Comparative Validation Study",
          "track": "Cornea infectious disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Hehn Frederic",
      "count": 3,
      "tracks": [
        {
          "name": "Presbyopic laser",
          "count": 2
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT157",
          "title": "Presby-Lasik A New Standard",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF179",
          "title": "Optic By Dilution A New Way To Correct Presbyopia Without Usig A Myopic Target",
          "track": "Presbyopic laser",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF180",
          "title": "First Presby-Lasik Results Using Isovision Strategy, With No Myopic Target",
          "track": "Presbyopic laser",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Hideharu Fukasaku",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 2
        },
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
        }
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      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT040",
          "title": "Morgagnian Small Pupil Hard Nucleus Sponttaneous Rupture Cataract Surgery",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT041",
          "title": "Piggyback Iols For Extreme High Myopic Cataract Surgery",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU049",
          "title": "Choroidal Detachment Following Trabeculectomy",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Jai Kelkar",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "IOL power calculation",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT547",
          "title": "Intermediate Task Performance And Predictors Of Difficulty After Bilateral Vivity Edof Iol Implantation: A Patient Perspective.",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT600",
          "title": "Refractive Outcomes Of Toric And Non-Toric Iols In Post-Radial Keratotomy Eyes: A Comparative Study",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP03.12",
          "title": "Safety And Efficacy Of Selective Laser–Assisted Capsulotomy In White Intumescent Cataracts: An International Multicentre Study",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Johann A Kruger",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Refractive Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT489",
          "title": "The Results Of A New Spiral Intraocular Lens In Post Refractive Surgery Patients.",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR365",
          "title": "Customised Corneal Intrastromal Ring Segments In Keratoconus With A Low Energy Femtosecond Laser",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF027",
          "title": "Managing Presbyopia In A High Myope Post Phacic Implant Induced Cataract",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Juila Chan",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract surgery pediatric",
          "count": 1
        },
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT228",
          "title": "Femtosecond-Laser-Assisted Paracenteses-Only Congenital Cataract Extraction: A Novel Surgical Technique Enhancing Surgical Safety And Outcome",
          "track": "Cataract surgery pediatric",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR144",
          "title": "Incidence Of Injurious Fall In Patients Before And After Corneal Transplantation In Hong Kong: A Retrospective Cohort Study",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR442",
          "title": "Two Novel Topical Transamin Application Techniques In Achieving Ocular Surface Haemostasis",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Justo Luís Noriega Martínez",
      "count": 3,
      "tracks": [
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          "name": "IOL power calculation",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT615",
          "title": "Refractive Surprise In A Patient Who Underwent Cataract Surgery, Secondary To Changes In Corneal Biomechanics. Case Repoert",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR377",
          "title": "Corneal Hormesis At Altitude. Normal Cornea Vs Corneal Changes Vs Keratoconus.",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU018",
          "title": "Pseudoexfoliative Syndrome. Incidence",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Kavitha Lakshmi Kannappan",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Refractive Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT173",
          "title": "Endophthalmitis After Routine Phacoemulsification: A One-Year Comparative Study Of Intracameral Moxifloxacin Versus No Intracameral Prophylaxis",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF023",
          "title": "Reshaping The Cone: Topography Guided Custom Ablation Treatment For Corneal Regularisation-Two Case Reports",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP09.04",
          "title": "Comparative Analysis Of B-Hex Pupil Expander Vs. Iris Hooks In Small Pupil Cataract Surgery: Surgical Efficiency And Safety",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Laura De Luca",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 3
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT031",
          "title": "Acute Hypertensive Surge Causing Massive Subconjunctival Hemorrhage During Routine Cataract Surgery: A Video Case Report",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT032",
          "title": "Nd:Yag Laser Capsulotomy And Iol Surface Damage: Impact On Optical Quality And Retinal Light Distribution",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT033",
          "title": "The Hidden Threat To Refractive Accuracy: When Pterygium-Like Lesions Distort Biometry And Mislead Cataract Surgeons",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Lital Smadar",
      "count": 3,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 3
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR552",
          "title": "Periocular Impetigo: A Distinct Clinical Entity With Ocular Surface Involvement",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR553",
          "title": "The Association Between Instillation Of Eye Drops And Lower Eyelid Laxity: A Comparative Study",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR554",
          "title": "The Association Between Blepharitis And Lower Eyelid Ectropion In A Large Cohort Of Patients",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Lu Xiong",
      "count": 3,
      "tracks": [
        {
          "name": "Phakic IOLs",
          "count": 2
        },
        {
          "name": "LASIK",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF170",
          "title": "Postoperative Vault Changes After Implantable Collamer Lens Implantation According To Different Sizing Strategies",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF171",
          "title": "Long-Term Efficacy And Safety Of Two Posterior Chamber Phakic Intraocular Lenses For Myopia Correction:\nA Four-Year Contralateral Eye Study",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "PP10.14",
          "title": "Comparison Of Visual Outcomes Following Ray-Tracing-Guided Femtosecond Laser-Assisted In Situ Keratomileusis With Different Optical Zone Sizes",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Léonard Kollros",
      "count": 3,
      "tracks": [
        {
          "name": "Collagen cross linking",
          "count": 2
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP02.05",
          "title": "Central Toxic Keratopathy Following Epithelium-Off Corneal Cross-Linking: A Case Series From An External Tertiary Referral Center",
          "track": "Collagen cross linking",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP02.10",
          "title": "Dehydration And Rehydration Dynamics Of Porcine Corneal Allogenic Intrastromal Ring Segments Following Ultra-High-Fluence Extracorporeal Cross-Linking",
          "track": "Collagen cross linking",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP18.07",
          "title": "Effect Of Mini-Scleral Lenses On Anterior Corneal Surface Higher-Order Aberrations And Visual Function In Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Mayank Nanavaty",
      "count": 3,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 2
        },
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR517",
          "title": "Treatment Effects Of Lotilaner Ophthalmic Solution 0.25% And Tea Tree Oil For Demodex Blepharitis: A Systematic Review And Meta-Analysis",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP06.02",
          "title": "Association Between Pseudoaccommodation Measured With The Salzburg Reading Desk Versus The Reading Chart In Pseudophakic Patients",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP11.018",
          "title": "Long Term Outcomes Of Artificial Corneal Endothelial Transplant (Endoart): A Single, Tertiary Centre Cohort",
          "track": "Endothelial keratoplasty",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Merve Birge Ergün",
      "count": 3,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Collagen cross linking",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR036",
          "title": "Management Of Treatment-Resistant Fusarium Keratitis Via Intensive Intrastromal Injections, Pack-Cxl And Triple Sequential Penetrating Keratoplasty",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP10.02",
          "title": "Evaluation Of The Effect Of Subepithelial Infiltrates Following Adenoviral Keratoconjunctivitis On Corneal Biomechanics: Corvis St Analysis",
          "track": "Cornea infectious disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP16.05",
          "title": "Clinical Outcomes And Demarcation Line Depth After Accelerated Corneal Cross-Linking In Pediatric Progressive Keratoconus",
          "track": "Collagen cross linking",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Mohamed Mostafa Diab",
      "count": 3,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR147",
          "title": "Retrospective Study 7 Years For Lamellar Keratoplasty In Children In King Saudia Arabia",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF052",
          "title": "Various Refractive Surgical Treatment Modalities Children With Neurodevelopmental Diseases",
          "track": "LASIK",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF124",
          "title": "Phakic Intraocular Lens (Piol) Implantation Versus Intacs Corneal Rings To Manage Anisometropic Myopic Amblyopia In Children",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Mouna Morchid",
      "count": 3,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 2
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR227",
          "title": "Oct-As Assessment Of Amniotic Membrane Integration After Transplantation For Corneal Perforation",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR228",
          "title": "Amniotic Membrane Transplantation In Severe Infectious Keratitis: A Prospective Case Series.",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR513",
          "title": "Better Care For Vkc: Platelet-Rich Fibrin Membrane As An Innovative Therapeutic Approach",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Muhammad Hamza",
      "count": 3,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR252",
          "title": "Retained Lens Fragment Mimicking Herpes Simplex Virus Endotheliitis: A Diagnostic Challenge Resolved With Descemet Membrane Endothelial Keratoplasty",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR317",
          "title": "Extremely Advanced Bilateral Keratoconus With Central Corneal Thickness Below 100 Microns: A Rare Case Presentation",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POOTH001",
          "title": "Endothelial Pump Failure Following Refractive Iol Placement In A Post-Lasik Patient",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Nicole Quah",
      "count": 3,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 3
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR233",
          "title": "Early Real-World Outcomes Of Polyhexamethylene Biguanide (Phmb) 0.08% Monotherapy For Acanthamoeba Keratitis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR234",
          "title": "Parinaud Oculoglandular Syndrome Without Feline Trauma In A Young Boy",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR235",
          "title": "Early Real-World Outcomes Of Polyhexamethylene Biguanide (Phmb) 0.08% Monotherapy For Acanthamoeba Keratitis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Nino Kobakhidze",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT063",
          "title": "Management Of Complex Post-Myopic Lasik Eyes With Exfoliation Syndrome With Spiral Non-Diffractive Iols: A Case Study",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT366",
          "title": "Clinical Evaluation Of Rayone Emv And Emv Toric Iols In Complex Clinical Settings: A Study Of 97 Georgian Eyes",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "PP24.04",
          "title": "Optical Performance And Refractive Predictability Of An Ai-Designed Spiral Optic Vs. A Diffractive Trifocal Iol: Short-Term Comparative Outcomes In Georgian Patients",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Olesia Ziiatdinova",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Presbyopic laser",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT127",
          "title": "Nd꞉Yag Laser Anterior Capsulotomy\nFor Management Of Anterior Capsule Fibrosis꞉\nClinical Case Review\nPurpose\nTo Evaluate The Efficacy And Safety Of Nd꞉Yag Laser Anterior Capsulotomy",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF106",
          "title": "Clinical Results Of Smile Pro Using Corneal Apex And\nCyclotorsion-Guided Lenticule Centration",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF190",
          "title": "Binocular Vision Across All Distances꞉\nSix‐Month Results Of Presbyond Laser Vision Correction",
          "track": "Presbyopic laser",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Omar Alabbasi",
      "count": 3,
      "tracks": [
        {
          "name": "Refractive surgery instrumentation / evaluation devices",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Case Report",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF195",
          "title": "Early Experience With The First Three Keraklear® Non-Penetrating Artificial Cornea Implantations In Saudi Arabia",
          "track": "Refractive surgery instrumentation / evaluation devices",
          "session_type": "ePoster"
        },
        {
          "uid": "CC03.12",
          "title": "Cairs At The Edge: Melt And Endothelial-Level Placement",
          "track": "Corneal Surgery",
          "session_type": "Case Report"
        },
        {
          "uid": "PP05.15",
          "title": "Ultraviolet Laser Engraving For Thermally Neutral Preparation Of Corneal Allogenic Intrastromal Ring Segments – An Ex Vivo Proof-Of-Concept",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Pablo Larco Jr.",
      "count": 3,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR089",
          "title": "Retrocorneal Membrane After Penetrating Keratoplasty: Clinicopathologic Correlation And Long-Term Surgical Outcomes",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR223",
          "title": "Early Therapeutic Dalk For Stromal Candida Keratitis After Intracorneal Ring Segment Explantation",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR287",
          "title": "Urrets-Zavalia Syndrome After Dmek: Role Of Inferior Peripheral Iridectomy And Early Iop Control In Prevention",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Raashid Maqbool Wani",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 3
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT294",
          "title": "The Spin-And-Flip Technique: A Standardized, Low-Energy Approach To Epinucleus Management In Phacoemulsification — Outcomes In 3,500 Eyes",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT295",
          "title": "Ambidextrous Phacoemulsification: A Right-Hand–Dominant Surgeon’S Journey To Left-Hand Proficiency In Topical Cataract Surgery",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP03.13",
          "title": "Optimizing Small-Pupil Phacoemulsification: A 12-Year Single-Surgeon Evolution In 1,142 High-Risk Eyes",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Raghav Malik",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT395",
          "title": "Early Visual And Refractive Outcomes Following Bilateral Implantation Of The Spiral Galaxy Intraocular Lens: Initial Clinical Experience",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR368",
          "title": "Evaluating Topography-Guided Epithelial And Customised Ablation With Crosslinking Using A Novel Topography-\nPredictive Software For Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF060",
          "title": "Tailored Management Of Post-Lasik Epithelial Ingrowth: Comparative Outcomes Of Conservative Therapy, Flap Lift With Scraping, And Nd:Yag Laser Treatment",
          "track": "LASIK",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Raksheeth Nathan Rajagopal",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "IOL power calculation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT090",
          "title": "Abandoned To Accomplished: Aborted Phacoemulsification Completed After A Two-Month Interval",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR531",
          "title": "Curvularia Lunata Keratitis Arising Atop Cyanoacrylate Adhesive In A Patient With Sjogren-Related Corneal Melt: Successful Stabilisation And Subsequent Surface And Cataract Rehabilitation",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP03.14",
          "title": "Avoiding A Mixed Astigmatism Phenotype With Non-Toric Monofocal Intraocular Lenses In Eyes With Corneal Astigmatism: An Ambispective Comparative Study",
          "track": "IOL power calculation",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Raline solomon Amalakaran",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 2
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT241",
          "title": "Visual Outcomes Following Premium Iol Implantation Using Immersion Biometry",
          "track": "Cataract surgery practice styles",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT464",
          "title": "Panoptix Intraocular Lens Versus Symfony Intraocualar Lens",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT465",
          "title": "Visual Outcomes Of Cataract Patients Implanted Bilaterally With An Indian Trifocal Intra-Ocular Lens (Iol)",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ramin Khoramnia",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT362",
          "title": "Visual Acuity Outcomes And Patient-Reported Spectacle Independence After Refractive Lens Exchange With Implantation Of A Non-Diffractive Extended Depth-Of-Focus Intraocular Lens In Mini-Monovision",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT551",
          "title": "Evaluation Of Potential Refractive Errors For Various Intraocular Lenses In Human Capsular Models",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "FP32.10",
          "title": "Light Scattering Comparison Between Toric And Non-Toric Trifocal And Monofocal Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Shaowei Li",
      "count": 3,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 2
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR050",
          "title": "Multimodal Management Of Refractory Acanthamoeba Keratitis In A Contact Lens Wearer",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR094",
          "title": "Salvaging A Ruptured Graft In Descemet's Membrane Endothelial Keratoplasty（Dmek） Surgery By Sequential Implantation And In-Situ Apposition: A Clever Technical Modification",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP03.05",
          "title": "Clinical Efficacy Of Short-Term High-Pressure Intraocular Full-Air Tamponade (Shift) For Descemet Membrane Detachment After Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Smita Agarwal",
      "count": 3,
      "tracks": [
        {
          "name": "Lenticular intrastomal surgery",
          "count": 2
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT458",
          "title": "Rotational Stability Of A New Hydrophobic Multifocal Toric Intraocular Lens (Iol)",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF072",
          "title": "Keratorefractive Lenticule Extraction (Klex) For Moderate Hyperopia: Visual And Refractive Outcomes",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP22.04",
          "title": "Comparison Of Visual And Refractive Outcomes After Smile For Low To Moderate Myopic Astigmatism Using Visumax500 And Visumax800 Laser Platforms",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Sujay Sanjay Jaju",
      "count": 3,
      "tracks": [
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
        },
        {
          "name": "SUSTAINABILITY",
          "count": 1
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POOTH014",
          "title": "Hormonal Transitions And Cryaa Expression In Early-Onset Cataract Among Women",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "ePoster"
        },
        {
          "uid": "POSUS007",
          "title": "Social Sustainability In Cataract Care: Follow-Up Capture And Visual Outcomes By Funding Pathway",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "PP02.09",
          "title": "Posterior Capsule Rupture By Surgeon Grade After Case Difficulty Stratification In A High-Volume Setup",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Sungho Choi",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 2
        },
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT151",
          "title": "Clinical Outcomes Of Scleral Fixation Using Light Adjustable Lens For The Management Of Intraocular Lens Dislocation Or Subluxation",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "PP22.15",
          "title": "Zonal Analysis Of Corneal Irregular Astigmatism Reveals Distinct Corneal Optical Profiles After Clear And Wfo Lasik",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP24.05",
          "title": "Hydrophobic Acrylic Trifocal Iol In Post-Laser Refractive Surgery Eyes: Visual Performance, Predictability, And Patient-Reported Outcomes",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Tadas Naujokaitis",
      "count": 3,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT499",
          "title": "Evaluation Of Reading Performance After Refractive Lens Exchange Using A Paired Implantation Of Diffractive Trifocal Intraocular Lenses With Distinct Light Distribution Characteristics",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR376",
          "title": "Prediction Of Posterior Corneal Surface Parameters From Epithelial Parameters In Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "PP05.10",
          "title": "Inter-Session Repeatability Of Optical Coherence Tomography-Derived Corneal Parameters In Advanced Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Timur M. Yildirim",
      "count": 3,
      "tracks": [
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 2
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT414",
          "title": "Functional Outcomes After Implantation Of An Edof Iol With A Refractive Technology And Monofocal-Like Dysphotopsia Profile",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT454",
          "title": "Functional Outcomes After Bilateral Implantation Of A New Hydrophobic Monofocal Plus Intraocular Lens",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT455",
          "title": "Comparison Of Functional Outcomes After Bilateral Implantation Of Two Partial Range Of Field Intraocular Lenses",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Vaishal Kenia",
      "count": 3,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        },
        {
          "name": "Evaluation testing",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT021",
          "title": "Correlation Between Dysfunctional Lens Index And Pentacam Nuclear Staging In Eyes With Cataract",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "FP05.01",
          "title": "Comparison Of Digital Image Guided And Smartphone Based Toric Iol Axis Marking Systems",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP26.10",
          "title": "Lenticular Higher Order Aberrations In Different Types Of Cataract",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Valentin Jünger",
      "count": 3,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 2
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR283",
          "title": "Preliminary Results From A Non-Inferiority Trial: Novel Hypothermic Conservation Medium Xtra4 Vs. Standard Eusol-C",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR284",
          "title": "Preservation Of Stromal Corneal Tissue After Descemet Membrane Removal Using A Novel Hypothermic Storage Medium (Xtra4): A Porcine Preclinical Study",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR482",
          "title": "Reproducibility And Diagnostic Performance Of Swept-Source As-Octa In Corneal Neovascularisation",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Vera Sá Araújo",
      "count": 3,
      "tracks": [
        {
          "name": "Refractive Surgery",
          "count": 2
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR388",
          "title": "Pediatric Keratoconus: Five-Year Follow-Up Of Standalone Intrastromal Corneal Ring Segment Implantation",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF038",
          "title": "Different Outcomes After Icl Implantation With Identical Vault Profiles: A Comparative Case Observation",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF039",
          "title": "Long-Term Refractive Stability After Piggyback Implantable Collamer Lens In A Pseudophakic Eye: A Case Report",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Victor Derhartunian",
      "count": 3,
      "tracks": [
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Refractive corneal inlays",
          "count": 1
        },
        {
          "name": "Presbyopic laser",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF081",
          "title": "The Age-Depth Interaction In Lenticule Extraction: A Prospective Paired-Eye Analysis Of Interface Scattering And Micro-Aberrations",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF192",
          "title": "Initial Clinical Results Of Presbyopia Correction Using Allograft Corneal Inlays In Conjunction With Lasik",
          "track": "Refractive corneal inlays",
          "session_type": "ePoster"
        },
        {
          "uid": "FP31.11",
          "title": "Ai-Driven Predictions Vs. Clinical Reality In Multifocal Corneal Profiles For Myopic And Hyperopic Presbyopia",
          "track": "Presbyopic laser",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Vinit Tanwar",
      "count": 3,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT214",
          "title": "Anterior Capsular Fibrosis: A Potential Clinical Indicator Of Chronic Retinal Detachment In Mature Cataracts",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR130",
          "title": "Neurotrophic Keratopathy With Medicamentosa Keratoconjunctivitis In Trigeminal Trophic Syndrome : A Rare Case Report",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR158",
          "title": "Nick, Loop And Pull Technique Of Corneal Suture Removal.",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Yeo Kyoung Won",
      "count": 3,
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        {
          "name": "Evaluation testing",
          "count": 1
        },
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT318",
          "title": "Artificial Intelligence-Based Integration Of Image And Clinical Metrics To Support Cataract Surgery Decision Making",
          "track": "Evaluation testing",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT452",
          "title": "Comparison Of Clinical Outcomes Between Bilateral Implantation Of Two Enhanced Monofocal Intraocular Lenses: Isopure Serenity Iol And Tecnis Eyhance Iol",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF168",
          "title": "Clinical Outcomes And Vault Prediction Accuracy After Implantable Collamer Lens (Icl) Implantation With Anterior Chamber Predictors Of Toric Icl Rotation",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Yimeng Fan",
      "count": 3,
      "tracks": [
        {
          "name": "Refractive Surgery",
          "count": 1
        },
        {
          "name": "Refractive surgery instrumentation / evaluation devices",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POREF010",
          "title": "Unexpected Effective Power Of Toric Implantable Collamer Lens (Ticl) Leading To Postoperative Refractive Surprise: A Case Report",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP23.13",
          "title": "Arcscan Insight 100-Derived Measurements Of Ciliary Body Inner Diameter In Myopic Chinese Adults: Distribution, Determinants, And Implications For Icl Sizing",
          "track": "Refractive surgery instrumentation / evaluation devices",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP10.017",
          "title": "Ray-Tracing-Guided Lasik For Moderate-To-High Myopia: Clinical And Patient-Reported Outcomes",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Zeynep Akgün",
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
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        {
          "name": "ePoster",
          "count": 3
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT003",
          "title": "Evaluation Of Tropicamide-Induced Cycloplegia On Anterior Chamber Cells By Anterior Segment Oct",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT340",
          "title": "Comparison Of Two Edof Designs With A Monofocal Iol—Visual Performance, Contrast Sensitivity, And Central Retinal Electrical Activity",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR010",
          "title": "Tracing Acanthamoeba In A Third-Trimester Pregnant Woman With Keratitis",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Abdulfettah Suveys",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR129",
          "title": "Short-Term Corneal Endothelial Safety Of Anti-Vegf Treatment Regimens In Neovascular Age-Related Macular Degeneration: A Prospective Randomized Comparative Study",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP19.06",
          "title": "Short-Term Corneal Endothelial Safety Of Intravitreal Anti-Vegf Therapy In Diabetic Macular Edema: A Prospective Randomized Comparative Study Of Bevacizumab Versus Sequential Bevacizumab-Aflibercept Treatment",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdullah Al-Ani",
      "count": 2,
      "tracks": [
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POOTH003",
          "title": "Artificial Intelligence In Predicting Postoperative Outcomes After Anterior Segment And Ocular Adnexal Surgery: A Systematic Review",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "ePoster"
        },
        {
          "uid": "FP25.07",
          "title": "Extended Reality Simulation Reduces Posterior Capsular Rupture In Cataract Surgery: A Systematic Review And Meta-Analysis",
          "track": "Cataract surgery practice styles",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Abdullah Alfrayyan",
      "count": 2,
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT004",
          "title": "Comparison Of Corneal Thickness Map Measured By Spectral Domain Optical Coherence Tomography And Scheimpflug Tomography In Healthy Myope, Keractoconus And Forme Fruste Subjects",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POANT005",
          "title": "Repeatability Of Anterior Segment Measurements Using Anterior Segment Oct Combined With Placido Corneal Topography In Dry Eye Patients.",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Abdulmalik Omar Alsaif",
      "count": 2,
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        {
          "name": "Cataract surgery pediatric",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
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        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP15.01",
          "title": "Comparison Of Hydrophilic Versus Hydrophobic Intraocular Lenses In Pediatric Cataract Surgery: A Meta-Analysis",
          "track": "Cataract surgery pediatric",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP18.09",
          "title": "Comparison Of Anterior Capsulotomy Edge Characteristics In Manual Continuous Curvilinear Capsulorhexis And Femtosecond Laser-Assisted Capsulotomy: A Systematic Review And Meta-Analysis",
          "track": "Cataract surgery practice styles",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdulrahman MORAD Alkaff",
      "count": 2,
      "tracks": [
        {
          "name": "SUSTAINABILITY",
          "count": 1
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POSUS003",
          "title": "Development And Preliminary Validation Of A Hybrid Three-Dimension Printed Model For Glaucoma Drainage Device Surgery Training: A Prospective Simulation-Based Study",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "PP27.05",
          "title": "To Describe The Clinical And Biometric Profile Of Nanophthalmos Patients And Characterise The Spectrum Of Glaucoma Presentations, Surgical Interventions, And Visual Outcomes In A Tertiary Referral Centre.",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abhinav Loomba",
      "count": 2,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR274",
          "title": "Dfemtosecond-Assisted Dsaek: Comparison Of Graft Thickness Measured By Oct And Femtosecond Laser Settingssaek",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR289",
          "title": "Ek-Alk: A Customised Femtosecond Platform For Predictable Ultrathin Endothelial Keratoplasty Grafts – One-Year Clinical Outcomes",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Adam Muzychuk",
      "count": 2,
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        {
          "name": "IOLs - multifocal",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT480",
          "title": "Visual Performance Of A Full Visual Range, Non‑Toric Intraocular Lens Following Cataract Surgery In Routine Clinical Practice",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "FP17.09",
          "title": "Impact Of Residual Refractive Error On Visual Acuity In Eyes Implanted With A Full Visual Range Intraocular Lens",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Aditi GHOSH Dastidar",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR048",
          "title": "Ocular Surface Squamous Neoplasia Masquerading As Psuedoepitheliomatous Hyperplasia In Chronic Vernal Keratoconjunctivitis",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR449",
          "title": "The Role Of Tenonplasty In Globe Salvage And Decreasing Tectonic Corneal Transplant In Acute Ocular Chemical Injury",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Agnieszka Julia Kudasiewicz-Kardaszewska",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT064",
          "title": "Delayed Hla-B27–Associated Uveitis Following Uncomplicated Phaco-Vitrectomy: A Case Report",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP02.16",
          "title": "Adverse Events And Complications Of Ophthalmic Surgery – Risk Insight From A Single‑Centre Registry In Nowy Sącz, Poland",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Aguenaou Sarah",
      "count": 2,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR392",
          "title": "Epithelium-On Vs Epithelium-Off Corneal Cross Linking In Pediatric And Young Patients With Keratoconus : A Comparative Study Of Clinical And Topographical Outcomes ,Conducted By A Young Ophthalmology Resident",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR393",
          "title": "Customized Cross-Linking Strategies For Thin Corneas: A Risk-Stratified Approach In 145 Young North African Patients: A Study Conducted By A Young Ophtalmology Resident",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ahmadjon Nozimov",
      "count": 2,
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        {
          "name": "Cataract Surgery",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT079",
          "title": "Explantation Of A Dislocated Intraocular Lens With Simultaneous Reimplantation Using Flanged Loop Transscleral Monofixation In An Eye With High Hyperopia: A Case Report",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT080",
          "title": "Posture-Dependent Intraocular Pressure Difference As A Screening Marker Of Early Zonular Weakness In Age-Related Cataract",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ahmed Khattab",
      "count": 2,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR151",
          "title": "Evaluation Of Keratoplasty In The Pediatric Age Group",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR221",
          "title": "Guidelines For Management Of Acanthamoebic Keratitis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ahmet Melih Oncirak",
      "count": 2,
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        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT082",
          "title": "Toxic Anterior Segment Syndrome Cluster After Cataract Surgery: Pattern Recognition, Source Identification Through Chemical Residue Analysis, And Successful Outbreak Prevention",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT250",
          "title": "Safety And Efficacy Of Abbreviated Povidone-Iodine Contact Time In Cataract Surgery: A Retrospective Analysis Of 2000 Consecutive Cases",
          "track": "Cataract surgery practice styles",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Aina Quin",
      "count": 2,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR299",
          "title": "6 Years Of Experience With Descemet’S Membrane Endothelial Kerotplasty (Dmek) In A Third Level Hospital: An Epidemiological Perspective",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR300",
          "title": "Functional Results After Descemet's Membrane Endothelial Keratoplasty (Dmek) In A Real-World Practice: Six Years Of Experience",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ajla Skopljak-Salkica",
      "count": 2,
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        {
          "name": "Refractive Surgery",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF041",
          "title": "Management Of The Central Epithelial Implantation Following Femtosecond Lasik- Case Report",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP05.11",
          "title": "Beyond The Cornea: Quantitative Analysis Of Retinal Neurostructural Changes In Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Akram Fekry Elgazzar",
      "count": 2,
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        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Case Report",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "CC01.10",
          "title": "From Tilt To Toxicity: Recurrent Sulcus Iol Instability In An Aniridic Eye",
          "track": "Cataract Surgery",
          "session_type": "Case Report"
        },
        {
          "uid": "PP21.13",
          "title": "Inflammation Control Without Endothelial Cost: Evaluating Intracameral Triamcinolone In Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Akshaya Balaji",
      "count": 2,
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        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT529",
          "title": "Comparative Evaluation Of Visual Acuity And Visual Quality: Extended Macular Vision Iol Versus Monofocal Iol In Age-Related Macular Degeneration With Cataract",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR263",
          "title": "Outcomes Of Dsaek In Complex Corneal Cases: A Resident’S Perspective",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Alaa Mohamed Eldanasoury",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP17.10",
          "title": "Comparative Visual Outcomes And Patient Satisfaction With Partial Range Of Field Versus Full Range Of Field Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP22.06",
          "title": "A Comparison Of Femtosecond Assisted Lasik With Two Variants Of Keratolenticule Extraction For Correcting Of Myopia.",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Albanderi H. Alhamzah",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR016",
          "title": "Minimally Invasive Management Of Pediatric Post-Traumatic Iris Cyst: A Case Report",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP01.017",
          "title": "Thirteen-Year Review Of Microbial Keratitis–Related Endophthalmitis: Incidence, Clinical Course And Evisceration Rate",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Alejandro Cerviño",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - EDOF",
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        {
          "uid": "PP10.018",
          "title": "Visual Symptoms And Binocular Involvement In Corneal Refractive Surgery",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
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      "name": "Antonio Moreno Valladares",
      "count": 2,
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        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 2
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          "name": "Free Paper",
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      "representative_abstracts": [
        {
          "uid": "FP28.06",
          "title": "Changes In Visual Field And Peripapillary Retinal Nerve Fibre Layer Thickness After Combined Excimer Laser\nTrabeculostomy And Phacoemulsification: Five Years Of Follow-Up",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP27.01",
          "title": "Real World Data Of Iop Reduction With Combined Excimer Laser Trabeculostomy And Phacoemulsification\nAt Five Years Of Follow-Up",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Anuradha Kunapuli",
      "count": 2,
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        {
          "name": "Corneal Surgery",
          "count": 1
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        {
          "name": "Phakic IOLs",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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      "representative_abstracts": [
        {
          "uid": "POCOR085",
          "title": "Bilateral Fuchs’ Heterochromic Iridocyclitis In A Patient With Progressive Keratoconus: A Rare And Clinically Significant Association",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF139",
          "title": "Rare Case Series Of Toxic Anterior Segment Syndrome Following Phakic Iol Implantation : Describing The Spectrum Of Presentation Along With Diagnostic And Therapeutic Considerations",
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          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Aparna Namdev Nayak",
      "count": 2,
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          "name": "Corneal Surgery",
          "count": 2
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        {
          "name": "ePoster",
          "count": 2
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR109",
          "title": "Interface Hypopyon After Dsaek: Diagnostic Challenge And Successful Surgical Management",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR110",
          "title": "Progressive Corneo-Scleral Dellen With Uveal Exposure Following Pterygium Excision",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ashraf Armia",
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          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT010",
          "title": "Cataract Post Supracor Presbyopia Refractive Surgery Is A Dilemma If Not Well Evaluated",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU034",
          "title": "Saving Non Penetrating Deep Sclerectomy Glaucoma Surgery From Micro Perforation",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
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      "name": "Asma Khallouli",
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          "count": 2
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          "name": "ePoster",
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          "uid": "POANT034",
          "title": "Anterior Chamber Configuration And Intraocular Pressure Changes Assessed By Ultrasound Biomicroscopy During Hyperbaric Oxygen Therapy",
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          "session_type": "ePoster"
        },
        {
          "uid": "POANT035",
          "title": "Corneal Changes Assessed By Anterior Segment Optical Coherence Tomography During Hyperbaric Oxygen Therapy",
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          "session_type": "ePoster"
        }
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    {
      "name": "Athanasios Pappas",
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          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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        {
          "name": "Cornea infectious disease",
          "count": 1
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          "name": "ePoster",
          "count": 2
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      "representative_abstracts": [
        {
          "uid": "POANT029",
          "title": "Corneal Copper Deposits In A Breast Cancer Survivor: A 5-Year Follow-Up",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR232",
          "title": "Targeting The Feeder Vessel: A Simple Approach To Herpetic Corneal Neovascularization",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
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    {
      "name": "Avinoam Shye Shahar",
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          "name": "LASIK",
          "count": 1
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        {
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          "uid": "FP07.01",
          "title": "Comparative Outcomes And Functional Complication Grading Of Photorefractive Keratectomy Vs. Femtosecond Laser-Situ In Keratomileusis: A Propensity Score-Matched Real-World Large-Scale Retrospective Analysis",
          "track": "LASIK",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP31.09",
          "title": "Enhanced Uncorrected Distance Visual Function Of The Near Eye In Monovision Refractive Surgery: A Large-Scale Retrospective Analysis",
          "track": "Presbyopic laser",
          "session_type": "Free Paper"
        }
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    {
      "name": "Ayesha Musthafa",
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          "name": "Cataract surgery techniques and instrumentation",
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        {
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          "name": "ePoster",
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        {
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        {
          "uid": "POCAT281",
          "title": "Impact Of Phaco Tip Exposure On Corneal Endothelium And Central Corneal Thickness In Hard Cataract.",
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          "session_type": "ePoster"
        },
        {
          "uid": "FP20.10",
          "title": "Tear Metabolomics For Differentiating Bacterial, Viral And Fungal Endophthalmitis.",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
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      ]
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    {
      "name": "Ayman Ahmed Rashed",
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          "name": "Corneal Surgery",
          "count": 1
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        {
          "name": "Ocular surface disease",
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          "name": "ePoster",
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        {
          "uid": "POCOR119",
          "title": "Case Report:Corneal Ring Abscess Following Corneal Collagen Crosslinking With Riboflavin: A Treatable Tragedy?",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCOR533",
          "title": "The Role Of Ialuvit Eye Drops In Management Of Corneal Haze Following Prk Surgery And Cases Of Adenoviral Keratitis",
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          "session_type": "ePoster"
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    {
      "name": "Aymen Mabrouk",
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          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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        {
          "name": "Corneal Surgery",
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          "name": "ePoster",
          "count": 2
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          "uid": "POANT026",
          "title": "Schnyder Corneal Dystrophy Or Another Mystery? Unraveling An Atypical Case Of Progressive Corneal Crystals",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCOR096",
          "title": "Unraveling A Diagnostic Puzzle In A Patient With Rheumatoid Arthritis : Fungal Keratitis Vs Marginal Keratitis",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Bala Saraswathy",
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          "name": "Cataract Surgery",
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        {
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          "name": "ePoster",
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          "uid": "POCAT102",
          "title": "Inadvertent Corneal Tattooing- Accidental Injection Of Trypan Blue Into Corneal Stroma While Staining Anterior Lensure Capsule",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCAT205",
          "title": "Posterior Globe Collapse After Cataract Surgery Wound Microleak In High Myope",
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        }
      ]
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    {
      "name": "Baseer Khan",
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          "title": "Integrating The Light Adjustable Lens In A High-Volume Practice: Optimizing Workflow, Adjustment Strategies, And Clinical Outcomes",
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          "session_type": "ePoster"
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        {
          "uid": "POCAT549",
          "title": "Visual And Refractive Outcomes Of Glaucoma Patients Undergoing Cataract Surgery With Light Adjustable Lens Implantation",
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          "title": "Optical And Clinical Outcomes Of A New Diffractive Trifocal Intraocular Lens",
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          "session_type": "ePoster"
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        {
          "uid": "POCAT461",
          "title": "Optical And Clinical Outcomes After Bilateral Implantation Of A Diffractive Trifocal Intraocular Lens.",
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          "session_type": "ePoster"
        }
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      "count": 2,
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          "name": "LASIK",
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          "session_type": "ePoster"
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        {
          "uid": "FP02.14",
          "title": "Evaluation Of Stryphnodendron Adstringens Extract As A Chemical Corneal Crosslinking Agent: Biomechanical And Thermal Analyses In Ex Vivo Rabbit Corneas.",
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          "session_type": "Free Paper"
        }
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    {
      "name": "Betul Dumlu",
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          "name": "Surface photoablation",
          "count": 1
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          "name": "Refractive surgery instrumentation / evaluation devices",
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          "title": "Is Cycloplegia Always Necessary In Transepithelial Prk Planning? Evaluation Of The Clinical Reliability Of Habitual Eyeglass Prescription",
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          "title": "Ten-Year Comparative Clinical Outcomes Of Femtosecond Laser–Assisted In Situ Keratomileusis (Fs-Lasik) And Keratorefractive Lenticule Extraction (Klex)",
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          "session_type": "Free Paper"
        },
        {
          "uid": "PP17.08",
          "title": "Using Corneal Wavefront For Astigmatism Prediction In Cataract Surgery",
          "track": "IOLs - toric",
          "session_type": "Presented Poster"
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      "name": "Bo Yuan",
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          "name": "LASIK",
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          "uid": "FP07.03",
          "title": "Retinal Microcirculatory Responses To Suction-Induced Iop Elevation During Femtosecond Lasik: Interaction Between Flap Platform And Baseline Iop",
          "track": "LASIK",
          "session_type": "Free Paper"
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        {
          "uid": "FP07.04",
          "title": "Influence Of Angle Kappa On Postoperative Coma And Visual Quality After Ray-Tracing-Guided Fs-Lasik With Vertex-Centered Ablation",
          "track": "LASIK",
          "session_type": "Free Paper"
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      "name": "Brandon Rodriguez",
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          "name": "ePoster",
          "count": 2
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          "uid": "POCAT445",
          "title": "Addressing Refractive Uncertainty: Light Adjustable Lens Implantation In Post Lasik And Post Rk Cataract Patients",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT446",
          "title": "Is Light The Answer? A Comparison Of The Light Adjustable Lens (Rx Sight) Vs An Extended Depth Of Focus Intraocular Lens (Vivity Alcon)",
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          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Brandon Vander Zee",
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          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "Corneal Surgery",
          "count": 1
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          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT121",
          "title": "When Fluidics Fail: The Hidden Setup Error When Adopting A Novel Phacoemulsification System",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
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        {
          "uid": "POCOR025",
          "title": "Lattice-Like Band Keratopathy: Retinopathy Of Prematurity Sequalae Masquerading As Lattice Corneal Dystrophy",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Brendan Cummings",
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          "name": "Refractive corneal inlays",
          "count": 1
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          "name": "LASIK",
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          "name": "ePoster",
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          "name": "Free Paper",
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          "uid": "POREF193",
          "title": "Changes In Stromal And Corneal Thickness After Corneal Allograft Implantation For Near Vision Improvement In Emmetropic Presbyopia",
          "track": "Refractive corneal inlays",
          "session_type": "ePoster"
        },
        {
          "uid": "FP07.11",
          "title": "A Preoperative Phoropter Binocular Tolerance Test Predicts 96.9% Success In Laser Blended Vision",
          "track": "LASIK",
          "session_type": "Free Paper"
        }
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      "name": "Brooklyn Rawlyk",
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          "name": "IOLs - EDOF",
          "count": 2
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          "name": "ePoster",
          "count": 2
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          "uid": "POCAT387",
          "title": "Real-World Outcomes Of Tecnis Puresee™ Edof Iol In Mild Ectasia-Suspect Eyes: Uncorrected Distance, Intermediate And Near Acuity With Dysphotopsia Severity And Bothersomeness",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT388",
          "title": "Real-World Outcomes Of Tecnis Puresee™ Edof Iol In Post–Laser Vision Correction Eyes: Uncorrected Distance, Intermediate And Near Acuity With Dysphotopsia Severity And Bothersomeness",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Bu Ki Kim",
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          "name": "Lenticular intrastomal surgery",
          "count": 1
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          "name": "Phakic IOLs",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POREF088",
          "title": "Comparative Assessment Of Cap Geometry In Keratorefractive Lenticule Extraction Using Visumax 500 And Visumax 800 And Its Association With Clinical Outcomes",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF137",
          "title": "Toric Implantable Collamer Lens Implantation Combined With Steep Meridian Corneal Incision For Astigmatism Over Six Diopters Using A Digital-Assisted Reference Marking System",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Burak Vargeloğlu",
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "Cornea infectious disease",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT219",
          "title": "Inflammatory Disease, Preoperative Retinal Changes And Postoperative Macular Edema",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR248",
          "title": "Postoperative Herpetic Keratitis Following Cataract Surgery In A Patient With Acute Angle-Closure",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Camille Bosc",
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          "name": "IOLs - multifocal",
          "count": 1
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          "name": "Evaluation testing",
          "count": 1
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          "name": "Free Paper",
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          "name": "Presented Poster",
          "count": 1
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          "uid": "FP17.04",
          "title": "Assessment Of Pupil Size Independence For Visual Acuity Outcomes Following Implantation Of A Gaussian Diffractive Trifocal Intraocular Lens",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
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        {
          "uid": "PP26.06",
          "title": "Preoperative Binocular Visual Simulation Enables Personalized Intraocular Lens Selection Among Refractive Lens Exchange Patients",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
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      "name": "Carelys Suescum Coelho",
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        {
          "name": "SUSTAINABILITY",
          "count": 1
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          "name": "Ocular surface disease",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POSUS015",
          "title": "Dark Data In Retinal Imaging: A Cross-Sectional Audit Of Redundancy And Storage-Related Carbon Impact",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "PP23.07",
          "title": "Beyond Digital Strain: Sleep Quality And Lipid Layer Patterns On Vistalipid In Symptomatic Dry Eye",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Carlos H. Gordillo",
      "count": 2,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
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      "representative_abstracts": [
        {
          "uid": "POCOR353",
          "title": "Allogenic Intrastromal Ring Segments (Cairs) In Pediatric Keratoconus : Safety And Visual Outcomes",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "PP14.09",
          "title": "Predictability Of Double-Asymmetric Pmma Intrastromal Ring Segments In Keratoconus",
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          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Catarina Francisco",
      "count": 2,
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          "name": "Corneal Surgery",
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          "session_type": "ePoster"
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        {
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          "session_type": "Free Paper"
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        {
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    {
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          "track": "Corneal Surgery",
          "session_type": "ePoster"
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        {
          "uid": "PP20.04",
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          "session_type": "Presented Poster"
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        {
          "uid": "PP20.06",
          "title": "Changing Trend In The First Contact Management Profile Of Infective Keratitis",
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          "session_type": "ePoster"
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        {
          "uid": "PP17.12",
          "title": "Vector Analysis Comparison Of Barrett T K, Kane And Zcalc Toric Calculators In Toric Intraocular Lenses",
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          "session_type": "Presented Poster"
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    {
      "name": "Christina Grupcheva*",
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          "name": "Cataract surgery complications / management / prevention",
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        {
          "uid": "PP06.018",
          "title": "Hope For Cataract Patients With Macular Degeneration",
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          "session_type": "Presented Poster"
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    {
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          "uid": "POCAT235",
          "title": "Correction Of Aphakia Using Biometry-Based Contact Lens Calculation In Pediatric Cataract Extraction: Introducing The Aphakic Contact Lens Formula",
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          "session_type": "ePoster"
        },
        {
          "uid": "FP05.05",
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          "session_type": "Free Paper"
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      "name": "Chung Young Kim",
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          "name": "Presented Poster",
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        {
          "uid": "POCOR152",
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          "session_type": "ePoster"
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        {
          "uid": "PP08.02",
          "title": "Impact Of Corneal Edema On Astigmatic Change After Descemet Membrane Endothelial Keratoplasty",
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          "session_type": "Presented Poster"
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      "name": "Claudia Andino",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
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          "uid": "POCOR422",
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          "uid": "CC02.05",
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      "name": "Claudia Perez-Straziota",
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          "session_type": "ePoster"
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        {
          "uid": "PP24.03",
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          "session_type": "Presented Poster"
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          "name": "IOL power calculation",
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          "session_type": "ePoster"
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          "uid": "PP03.06",
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          "session_type": "Free Paper"
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        {
          "uid": "FP31.12",
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          "session_type": "Free Paper"
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      "name": "Daniel Bahir",
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          "name": "Ocular surface disease",
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          "uid": "POCOR429",
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          "uid": "FP07.10",
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        {
          "uid": "POCAT653",
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          "session_type": "ePoster"
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        },
        {
          "uid": "FP13.01",
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          "name": "Cornea infectious disease",
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          "name": "ePoster",
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          "uid": "POCOR024",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR194",
          "title": "Fungal Keratitis In Diabetic Vs Non-Diabetic Patients: A Comparative Analysis Of Clinical Outcomes",
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          "session_type": "ePoster"
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    },
    {
      "name": "Dee Stephenson",
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          "name": "IOLs - monofocal and advanced monofocal",
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          "name": "IOLs - multifocal",
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          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POCAT427",
          "title": "Clinical Outcomes Of Enhanced Monofocal Non-Toric And Toric Intraocular Lenses In Patients Following Cataract Extraction: A Retrospective Case Series",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCAT481",
          "title": "Clinical Performance And Visual Outcomes With A Full Visual Range Toric Intraocular Lens",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Deniz Kilic",
      "count": 2,
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        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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        {
          "name": "IOL power calculation",
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          "name": "ePoster",
          "count": 2
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      "representative_abstracts": [
        {
          "uid": "POCAT182",
          "title": "Low Complication Rates Of Immediate Sequential Bilateral Cataract Surgery In A Turkish Single-Center Experience",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT604",
          "title": "Agreement Between Pentacam Axl And Iolmaster Axial Length Measurements Across Axial Length Subgroups In A Routine Cataract Population",
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          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Detlev Breyer",
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          "name": "IOLs - EDOF",
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          "name": "IOLs - multifocal",
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        {
          "name": "ePoster",
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          "uid": "POCAT347",
          "title": "Clinical Outcomes And Defocus Curve Analysis Of A New Full Range Of Vision Iol",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCAT471",
          "title": "Clinical Outcomes And Defocus Curve Analysis Of A New Refractive Miol",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Dilan Colak Arici",
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          "name": "Evaluation testing",
          "count": 1
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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      "session_types": [
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          "name": "Free Paper",
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      "representative_abstracts": [
        {
          "uid": "FP29.13",
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          "track": "Evaluation testing",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP30.11",
          "title": "How Do Cairs Segment Length And Thickness Influence Optical And Keratometric Outcomes In Keratoconus?",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Doel Biswas",
      "count": 2,
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        {
          "name": "LASIK",
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POREF050",
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          "session_type": "ePoster"
        },
        {
          "uid": "PP07.04",
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          "track": "Phakic IOLs",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Dong Hyun Kim",
      "count": 2,
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        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
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        {
          "name": "IOLs - EDOF",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POOTH020",
          "title": "Heavy Metal Exposure From Multigrain Rice Intake And Cataract Risk In South Korean Adults",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "ePoster"
        },
        {
          "uid": "PP12.07",
          "title": "Estimating Range Of Vision And Pupil-Size–Related Optical Function In A Spiral Intraocular Lens",
          "track": "IOLs - EDOF",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Doğukan Yaman",
      "count": 2,
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT044",
          "title": "The Eye As A Window To The Aorta: Bilateral Iris Flocculi As A Sentinel Sign Of Familial Aortopathy",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "PP23.14",
          "title": "Peripheral Ulcerative Keratitis And Rheumatoid Arthritis: The Devastating Impact Of Medication Non-Adherence On Corneal Integrity",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Efe Koser",
      "count": 2,
      "tracks": [
        {
          "name": "Collagen cross linking",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR174",
          "title": "Long-Term Outcomes Of Repeated Corneal Collagen Cross-Linking For Progressive Keratoconus After Primary Treatment: A 5-Year Case Series",
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        {
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          "session_type": "Presented Poster"
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          "name": "SUSTAINABILITY",
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          "name": "Ocular surface disease",
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          "session_type": "ePoster"
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        {
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          "session_type": "ePoster"
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          "name": "ePoster",
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          "name": "Refractive Surgery",
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        },
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      "name": "Essam Sabah Al Rubaye",
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          "name": "Ocular surface disease",
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          "name": "IOLs - monofocal and advanced monofocal",
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          "session_type": "ePoster"
        }
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        },
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          "name": "ePoster",
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          "session_type": "ePoster"
        }
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          "name": "Corneal Surgery",
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          "name": "Keratoconus and secondary ectasia",
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          "session_type": "ePoster"
        },
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          "uid": "FP06.07",
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          "name": "Cornea infectious disease",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
          "count": 2
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          "title": "Diagnosis And Management Of Herpetic Endotheliitis: Added Value Of Anterior Segment Oct",
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          "session_type": "ePoster"
        },
        {
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          "title": "Corneal Perforation In Peripheral Ulcerative Keratitis Associated With Rheumatoid Arthritis In A Monocular Patient: Management Challenges",
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          "session_type": "ePoster"
        }
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          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
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        {
          "name": "IOLs - multifocal",
          "count": 1
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          "name": "ePoster",
          "count": 2
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          "session_type": "ePoster"
        },
        {
          "uid": "POCAT507",
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          "session_type": "ePoster"
        }
      ]
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        {
          "name": "IOLs - multifocal",
          "count": 1
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          "name": "Presented Poster",
          "count": 2
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      "representative_abstracts": [
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          "uid": "PP12.04",
          "title": "Visual Outcomes After Bilateral Tecnis Puresee Implantation In Refractive Lens Exchange Patients With Ocular Morbidities: A Multicentre Retrospective Cohort Study.",
          "track": "IOLs - EDOF",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP24.07",
          "title": "Enhancement Rates Across Full Range Of Focus Iol Platforms",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
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      "name": "Gabriele Gallo Afflitto",
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        {
          "name": "IOLs - other",
          "count": 1
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        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT537",
          "title": "Visual And Refractive Performance Of The Clareon Vivity Non-Diffractive Wavefront-Shaping Iol: A Retrospective Cohort Of 597 Eyes",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "FP16.08",
          "title": "Lens Status As A Risk Modifier For Ocular Hypertension And Glaucoma After Pars Plana Vitrectomy: A Systematic Review And Meta-Analysis",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Gaurav Pande",
      "count": 2,
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        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
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      ],
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        {
          "name": "Free Paper",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP10.05",
          "title": "Changing Trends In Antibiotic Susceptibility Patterns Of Pseudomonas Aeruginosa In Infective Keratitis: A Three-Year Retrospective Analysis",
          "track": "Cornea infectious disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP22.03",
          "title": "Long-Term Outcomes Of Therapeutic Corneal Grafts Using Artificial Intelligence Analysis At A Tertiary Eye Care Centre",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "George Moussa",
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        {
          "name": "IOL power calculation",
          "count": 2
        }
      ],
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          "name": "Free Paper",
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        {
          "name": "Presented Poster",
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      ],
      "representative_abstracts": [
        {
          "uid": "FP13.05",
          "title": "Accuracy Of The Moussa Formula, A Novel Intraocular Lens Power Calculation Formula: A Multicentre Heteroscedastic Analysis",
          "track": "IOL power calculation",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP03.03",
          "title": "The Moussa Research Suite: Validation And Demonstration Of Statistical Equivalence To The Whwk Framework",
          "track": "IOL power calculation",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Germán Roberto Bianchi",
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        {
          "name": "Phakic IOLs",
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        {
          "name": "IOLs - EDOF",
          "count": 1
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          "name": "ePoster",
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          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "POREF114",
          "title": "Four-Year Refractive Stability And Safety Of Toric Implantable Phakic Contact Lens (Ipcl) In Highly Myopic Eyes",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        },
        {
          "uid": "PP12.15",
          "title": "Long-Term Optical Stability And Patient Satisfaction Three Years After Bilateral Edof Iol Implantation",
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          "session_type": "Presented Poster"
        }
      ]
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      "name": "Ghada Mohamed Atta",
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          "name": "LASIK",
          "count": 1
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          "name": "SUSTAINABILITY",
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          "uid": "POREF048",
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          "track": "LASIK",
          "session_type": "ePoster"
        },
        {
          "uid": "PP13.018",
          "title": "Sustainable Remote Follow-Up In Refractive Surgery: Reducing Travel And Environmental Impact",
          "track": "SUSTAINABILITY",
          "session_type": "Presented Poster"
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          "name": "Ocular surface disease",
          "count": 2
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        {
          "name": "Free Paper",
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        {
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          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "FP26.07",
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          "session_type": "Free Paper"
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      ]
    },
    {
      "name": "Gloria Rezai",
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        {
          "name": "Refractive Surgery",
          "count": 1
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        {
          "name": "Ocular surface disease",
          "count": 1
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          "name": "Case Report",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "CC02.04",
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          "track": "Refractive Surgery",
          "session_type": "Case Report"
        },
        {
          "uid": "FP26.09",
          "title": "Refractive Instability Associated With Mirvetuximab Soravtansine: Implications For Cataract Surgery",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Hafize Gökben Ulutas",
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          "name": "Cornea infectious disease",
          "count": 2
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          "name": "ePoster",
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        {
          "name": "Free Paper",
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          "uid": "POCOR246",
          "title": "Clinical And Microbiological Profile Of Post-Keratoplasty Infectious Keratitis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "FP10.10",
          "title": "Evaluation Of The Efficacy Of Intrastromal Antifungal Injection In Fungal Keratitis And Prognostic Factors Affecting Treatment Response",
          "track": "Cornea infectious disease",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Hao Zhang",
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        {
          "name": "Ocular surface disease",
          "count": 1
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        {
          "name": "IOLs - multifocal",
          "count": 1
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      ],
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          "name": "Free Paper",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "FP22.06",
          "title": "Intrastromal Implantation Of Hipsc-Derived Neural Crest Cells For Corneal Stromal Regeneration And Improvement Of Established Corneal Scars In A Rabbit Model",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP32.13",
          "title": "Comparison Of Visual And Refractive Outcomes Between Hydrophilic And Hydrophobic Low-Add Segmental Refractive Multifocal Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Harry Rosen",
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          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
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        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "Free Paper",
          "count": 2
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          "uid": "FP16.01",
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          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP20.11",
          "title": "Two Years Of Dropless Cataract Surgery Cases Using A Low-Cost Subtenons Injection Of Triamcinolone Acetonide",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
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      ]
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    {
      "name": "Hibat Allah Eddaoui",
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          "name": "Cornea infectious disease",
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        {
          "name": "Ocular surface disease",
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        {
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          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP25.07",
          "title": "Bilateral Corneal Necrosis Associated With Long-Term Use Of Skin Whitening Products: A Surgical Challenge",
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          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Hidenaga Kobashi",
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          "name": "Corneal Surgery",
          "count": 1
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        {
          "name": "Cataract surgery practice styles",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "count": 1
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        {
          "uid": "POCOR082",
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          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PP18.11",
          "title": "Vision Restoration Enhances Appearance-Related Self-Care In Elderly Women After Cataract Surgery: A Prospective Questionnaire Study",
          "track": "Cataract surgery practice styles",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Himabindu Alluri",
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        {
          "name": "Endothelial keratoplasty",
          "count": 1
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        {
          "name": "Cornea infectious disease",
          "count": 1
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        {
          "uid": "POCOR255",
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          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "PP20.08",
          "title": "Lasiodiplodia Keratitis: A Case Series Of 27 Patients",
          "track": "Cornea infectious disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Hongzhe Li",
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        {
          "name": "Cataract surgery pediatric",
          "count": 1
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        {
          "name": "IOLs - other",
          "count": 1
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          "name": "Free Paper",
          "count": 2
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        {
          "uid": "FP15.11",
          "title": "Intraocular Lens Tilt And Decentration And Optical Quality After Primary Intraocular Lens Implantation In Pediatric Cataract Patients",
          "track": "Cataract surgery pediatric",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP24.10",
          "title": "Influence Of Capsular Tension Ring Implantation On Dynamic In Vivo Capsular Adhesion And Intraocular Lens Behavior In Highly Myopic Eyes",
          "track": "IOLs - other",
          "session_type": "Free Paper"
        }
      ]
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    {
      "name": "Hun Lee",
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          "name": "IOL power calculation",
          "count": 2
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT605",
          "title": "Refining Iol Power Calculations With Pmod: A Multi-Formula Analysis In High-Power Lenses",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCAT606",
          "title": "Analysis Of The Benefit Of Adding Posterior Keratometry To 4 Modern Intraocular Lens Power Formulas In Myopic Laser Vision Correction Eyes",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Hussein Almuhtaseb",
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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        {
          "name": "IOLs - multifocal",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT132",
          "title": "The Decisive Role Of Handheld Erg (Reteval) In Pre-Operative Cataract Assessment: A Grand Synthesis",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT462",
          "title": "Comparative Analysis Of Refractive And Visual Outcomes Of Premium Iol Technology By Bvi: A Retrospective Study At The View Hospital",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Hussien Ismail",
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        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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      "representative_abstracts": [
        {
          "uid": "POCAT431",
          "title": "Evaluation Of New Four Haptic Intraocular Lens (Pearlens 4H)",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCOR281",
          "title": "Descemet’S Membrane Graft Preparation; A Modified Technique.",
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          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Huynh Phuc Nguyen",
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          "name": "Cataract surgery techniques and instrumentation",
          "count": 2
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          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
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      ],
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        {
          "uid": "POCAT282",
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          "session_type": "ePoster"
        },
        {
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          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Hyeonwoo Jeon",
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        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "IOL power calculation",
          "count": 1
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          "name": "Free Paper",
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          "name": "Presented Poster",
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        {
          "uid": "FP12.06",
          "title": "Impact Of Preoperative Corneal Higher Order Aberrations On Intermediate Visual Acuity After Enhanced Monofocal Intraocular Lens Implantation",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP03.05",
          "title": "Partial Blink Rate As A Biomarker For Refractive Prediction Error After Cataract Surgery",
          "track": "IOL power calculation",
          "session_type": "Presented Poster"
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      ]
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    {
      "name": "Iatissam El Belhadji",
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
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      ],
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          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
        }
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        {
          "uid": "POCOR341",
          "title": "Contact Lens-Assisted Cross-Linking (Cacxl) In Spediatric Keratoconus With Thin Cornea Sub400",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "PP25.01",
          "title": "Ocular Surface Rehabilitation In Chronic Post-Herpetic Keratitis: Efficacy Of A Triple-Step Surgical Approach",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
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    {
      "name": "Ignacio Rodriguez-Una",
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          "name": "IOLs - EDOF",
          "count": 1
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        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT391",
          "title": "Efficacy, Safety And Predictability Of A Biaspheric Extended Depth Of Focus Intraocular Lens In Glaucoma Patients",
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          "session_type": "ePoster"
        },
        {
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          "title": "Comparative Study Of Three Different Early Surgical Approaches To Lower Intraocular Pressure In Patients With Pseudoexfoliation",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Imane Jeddou",
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          "name": "SUSTAINABILITY",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
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        {
          "uid": "POSUS008",
          "title": "Benefits Of In-House Lens Finishing In A Military Social Ophthalmology Practice : A Two-Year Observational Study",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "PP25.08",
          "title": "Beyond The Skin: Ocular Sequelae Of Toxic Epidermal Necrolysis (Lyell Syndrome): Clinical Outcomes And Management Challenges",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
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      "name": "Ioanna Gardeli",
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          "name": "Cornea infectious disease",
          "count": 2
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR208",
          "title": "Therapeutic Penetrating Keratoplasty For Progressive Aspergillus Lentulus Keratitis Resistant To Intensive Antifungal Therapy",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR209",
          "title": "Therapeutic Penetrating Keratoplasty In Advanced Polymicrobial Keratitis Caused By Acanthamoeba And Pseudomonas Aeruginosa",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Isabel Inmaculada Guedes Guedes",
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          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT044",
          "title": "Intracapsular Cataract Surgery In Modern Practice: Managing Unexpected Zonular Dehiscence",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR068",
          "title": "Corneal Perforations: Urgent Therapeutic Alternatives In The Absence Of Donor Tissue",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
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          "name": "IOLs - multifocal",
          "count": 2
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT504",
          "title": "Study Of Higher Order Aberration And Its Effect On Visual Performance In Patients Undergoing Miol Implantation",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "FP17.13",
          "title": "Study Of Real World Performance Of Different Trifocal Lens For Intermediate And Near Vision In Different Light Conditions : A Study Of Real Life Performance Of Light Utilisation For Functional Near Vision",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Isilay Kavadarli",
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        {
          "name": "Ocular surface disease",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR484",
          "title": "Dose-Dependent Telomerase Activation By Topical Cycloastragenol In The Anterior Segment",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR485",
          "title": "Ocular Pharmacokinetics And Tert Activation Of Cycloastragenol In Corneal Endothelial And Epithelial Cells",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Issac Levy",
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        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "IOL power calculation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR093",
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          "session_type": "ePoster"
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        {
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        {
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        {
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          "session_type": "Free Paper"
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          "name": "IOLs - monofocal and advanced monofocal",
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          "name": "Lenticular intrastomal surgery",
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          "name": "Surface photoablation",
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          "name": "Presbyopic laser",
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          "name": "IOLs - multifocal",
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          "name": "Endothelial keratoplasty",
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        {
          "name": "Keratoconus and secondary ectasia",
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          "name": "Phakic IOLs",
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          "name": "Refractive surgery instrumentation / evaluation devices",
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          "name": "Keratoconus and secondary ectasia",
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          "name": "Keratoconus and secondary ectasia",
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          "session_type": "Free Paper"
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      "name": "Kirupakaran Arun",
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          "name": "Free Paper",
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          "name": "Presented Poster",
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          "session_type": "Free Paper"
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          "uid": "PP11.11",
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      "name": "Kishanthan Johnson",
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          "name": "LASIK",
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        {
          "name": "ePoster",
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        {
          "name": "Free Paper",
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          "uid": "POREF058",
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          "session_type": "ePoster"
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        {
          "uid": "FP20.06",
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          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
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    },
    {
      "name": "Kjell Gunnar Gundersen",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP15.12",
          "title": "Addon Sulcus Lenses - Review Of 10 Years’ Clinical Experience",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP25.04",
          "title": "Ocular Surface Improvement After Migs Surgery",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Klemens P. Kaiser",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCAT359",
          "title": "Restoring Functional Vision In Post-Myopic Lasik Eyes: Real-World Outcomes Of A Non-Diffractive Partial-Range Of Field Intraocular Lens",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "FP22.05",
          "title": "Value Of Ray Tracing-Based Intraocular Lens Power Calculation In Combined Cataract Surgery And Descemet Membrane Endothelial Keratoplasty",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Krutika Nitin Kadam",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT245",
          "title": "“Challenges In Peribulbar Anaesthesia Among Mishri Users Undergoing Cataract Surgery”",
          "track": "Cataract surgery practice styles",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR079",
          "title": "Adult-Onset Vernal Keratoconjunctivitis With Bilateral Grade 2 Shield Ulcers: An Unusual Presentation",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Kübra Tuğçe Arabaci Tur",
      "count": 2,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP22.01",
          "title": "Long-Term Outcomes Of Pediatric Keratoplasty: A 10-Year Single-Center Experience",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP25.11",
          "title": "Corneal Topographic And Aberrometric Differences After Primary Ptergium Excision: 10-Year Comperati̇ve Outcomes",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Lars Mackenbrock",
      "count": 2,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP11.12",
          "title": "Influence Of Interface Fluid Between Recipient Cornea And Descemet Membrane Endothelial Keratoplasty Graft On The Rebubbling Rate",
          "track": "Endothelial keratoplasty",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP14.04",
          "title": "Changes In Corneal Biomechanics Following Corneal Allogenic Ring Segment Implantation",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Laura Mariñas García",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT494",
          "title": "Clinical Outcomes And Photic Disturbances With Bi-Aspheric Diffractive Trifocal Versus Non-Diffractive Phasering Edof Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "PP24.01",
          "title": "Comparative Visual Outcomes, Spectacle Independence, And Patient Satisfaction With A Diffractive Trifocal Or A Novel Non-Diffractive Presbyopia-Correcting Intraocular Lens: A Preliminary Analysis",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Laurence Cox",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT423",
          "title": "Bvi Isopure Serenity Irof: Real-World Clinical Outcomes Of A Novel Isofocal Premium Monofocal Iol",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        },
        {
          "uid": "PP07.07",
          "title": "Risk Factors For Post-Operative Intraocular Pressure Elevation Following Evo Icl Implantation",
          "track": "Phakic IOLs",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Lekha Chandel",
      "count": 2,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP08.15",
          "title": "Mitomycin Intravascular Chemoembolization For Corneal Neovascularization: A Prospective Imaging-Based Evaluation",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP25.05",
          "title": "Ocular Rosacea Keratitis Presenting With Granulomatous Keratic Precipitates: An Immune-Mediated Masquerader Of Granulomatous Anterior Uveitis",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Lena Beckers",
      "count": 2,
      "tracks": [
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Evaluation testing",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP22.07",
          "title": "Intraoperative And Postoperative Complications Of Smile Pro (Visumax 800): Early And Late\nOutcomes",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        },
        {
          "uid": "PP26.03",
          "title": "Comparative Patient Study: Lentis Quantum Vs. Acunex Quantum – Is There A Difference In Visual Performance And Subjective Quality Of Vision",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Lin Yao",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT296",
          "title": "Safety And Efficiency Of Lens Cortex Removal Assisted By Fluid Jet",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT297",
          "title": "Comparison Of Power-Free-Chop And Phaco-Chop Techniques For Moderate Nuclei",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Lina Mkhairi",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR101",
          "title": "Hydrops And Keratoglobus : A Rare And Challenging Case",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR102",
          "title": "When One Virus Is Not Enough : Hsv-1 / Cmv Coinfection In Infantile Keratitis",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Linda Marie Louise Busin",
      "count": 2,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR200",
          "title": "Five-Year Results Of Deep Anterior Lamellar Keratoplasty For Keratoconus Versus Post-Herpetic Stromal Scarring",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "FP14.01",
          "title": "Eight-Year Comparative Outcomes Of Ultrathin Dsaek And Dmek",
          "track": "Endothelial keratoplasty",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Liron Naftali Ben Haim",
      "count": 2,
      "tracks": [
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP28.09",
          "title": "Long-Term Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt) In Uveitic Glaucoma",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP04.08",
          "title": "The Effect Of Failed Gatt On The Success Of Sequential Subconjunctuval Surgery-\nA Matched Analysis",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Lola Rodriguez Carrillo",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Clinical",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR120",
          "title": "From Ectasia To Regularization: Early Outcomes Of Femtosecond Laser–Assisted Annular Keratectomy In Advanced Keratoconus",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "PPE1.09",
          "title": "Delaying Deep Anterior Lamellar Keratoplasty: Visual Rehabilitation With Cairs In Grade Iv Keratoconus.",
          "track": "Clinical",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Luciano Porto Bellini",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "IOLs - multifocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT140",
          "title": "Identification Of Cases That Presented Greater Difficulty For The Surgeon In Performing Capsulorrhexis During Cataract Surgeries With Intraocular Lens Implantation.",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT469",
          "title": "Comparison Between Topical Anesthesia Versus Peribulbar Block Regarding The Rate Of Intraoperative Complications, Postoperative Patient Satisfaction And Visual Acuity In Cataract Surgeries With Multifocal Intraocular Lens Implantation",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Lucía Ibarra",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT389",
          "title": "Visual Performance And Patient-Reported Outcomes With Inverted Meniscus Full-Range Iols (Artiols®)",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT390",
          "title": "Inverted Meniscus Artiols®: Visual Performance And Functional Classification",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "MATTEO POSARELLI",
      "count": 2,
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        {
          "name": "Lenticular intrastomal surgery",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP11.11",
          "title": "Results Of Corneal Lenticule Extraction For Advanced Refractive Correction (Clear) In Patients With Thin Corneas.",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP22.08",
          "title": "Corneal Lenticule Extraction For Advanced Refractive Correction (Clear) In Patients With High Myopia.",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Magda Beatrice Rau",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT515",
          "title": "The Presbyopia Abstract Treatment After Excimer Laser Surgery With Segment Variofocal And Segment Toric Mfiol",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT516",
          "title": "The First Optical And Functional Results After The Implantation Of Preloaded Sinusoidal Trifocal Iol",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maksim Solomatin",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT109",
          "title": "To Report A Case Of The Femtosecond-Laser Assisted Cataract Surgery To The Patient With Previously Performed Laser Eye Surgery (Lasik) And Phakic Iol Implantation",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT110",
          "title": "Femtosecond-Laser Assited Limbal Relaxed Incisions And Cataract Surgery",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Malaravan Muthusamy",
      "count": 2,
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        {
          "name": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
          "count": 1
        },
        {
          "name": "SUSTAINABILITY",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POORB001",
          "title": "Decarbonising Cataract Care: Implementation Of A Context-Specific Sustainable High-Volume Surgical Model In A Resource-Constrained Tertiary Eye Hospital In Northern Sri Lanka",
          "track": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
          "session_type": "ePoster"
        },
        {
          "uid": "POSUS013",
          "title": "Turning The Tide On Cataract Blindness: Transforming To A High-Volume Surgical Unit As A Pragmatic Approach To Minimise Cataract Surgery Waiting Times In Resource-Limited Settings.",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Malena Parmeggiani",
      "count": 2,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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        {
          "name": "LASIK",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR381",
          "title": "Manual, Non-Femto, Corneal Allogenic Intrastromal Ring Segments (Cairs) Using Glycerin-Preserved Cornea: A Prospective Case Series With A Single Donor For Multiple Patients”",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "PP10.10",
          "title": "Visual And Refractive Predictability Of Automated Ray-Tracing Lasik Using A Modified Cylinder Protocol: A Prospective Study",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Margarita Cabanás Jiménez",
      "count": 2,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR339",
          "title": "Comparative Efficacy Of Three Surgical Planning Strategies Using Intracorneal Ring Segments In Snowman Phenotype Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR340",
          "title": "210° Vs 160° Symmetric Intracorneal Ring Segments In Snowman Keratoconus: Does Arc Length Determine Visual And Optical Success?",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Margarita Safir",
      "count": 2,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR242",
          "title": "Topical Management Of Corneal Subepithelial Infiltrates:\nA Systematic Review And Network Meta-Analysis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP10.15",
          "title": "Laser Vision Correction Outcomes In Patients With Controlled Hyperthyroidism: A Retrospective Comparative Study",
          "track": "LASIK",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Maria CARMEN Blanco Rivera",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT144",
          "title": "Cataract Surgery Protocol With On-Site Anesthesiologist: 4 Years Later",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT145",
          "title": "Spanish Cataract Clinical Practice Guideline 2025 Review",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maria Clara Arbelaez",
      "count": 2,
      "tracks": [
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Surface photoablation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF074",
          "title": "3 Months Clinical Outcomes Following Lenticule Extraction Using A Femtosecond Laser Equipped With An Advanced Eye-Tracker In Cases With And Without Active Centration Compensation (Smartsight Classical Vs Smartsight Nova)",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP27.03",
          "title": "Femtotransprk: A Novel Laser Vision Correction Technique Using The Atos Femtosecond Laser With 3-Month Follow-Up",
          "track": "Surface photoablation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Maria De La Cruz Roa Reyes",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT198",
          "title": "Cataract Surgery In A Patient With Megalocornea And Corectopia: A Clinical Case Report.",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR238",
          "title": "Different Forms Of Presentation Of Infectious Amebic Keratitis.",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maria Del Pilar Lucena",
      "count": 2,
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        {
          "name": "Cataract Surgery",
          "count": 2
        }
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT034",
          "title": "When Premium Intraocular Lenses Meet Macular Pathology: Lessons Learned From An Unhappy Patient With Dry Age-Related Macular Degeneration",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT035",
          "title": "Expanding The Indications Of Enhanced Monofocal Iols In Challenging Eyes",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maria Evanthia Sotirianakou",
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        {
          "name": "Cornea infectious disease",
          "count": 1
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        {
          "name": "Keratoconus and secondary ectasia",
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        {
          "name": "ePoster",
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        {
          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "POCOR244",
          "title": "Ocular Münchausen Syndrome In A 21-Year Old Female",
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          "session_type": "ePoster"
        },
        {
          "uid": "PP14.12",
          "title": "Sex Hormone Profiles And Their Association With Corneal Tomographic And Biomechanical Parameters In Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Maria Fernanda Castillo De La Rosa",
      "count": 2,
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        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "Refractive Surgery",
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        {
          "name": "ePoster",
          "count": 2
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR441",
          "title": "Corneal Sensitivity In A Contact Vs Non-Contact Lens Population Using Brill Esthesiometer",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF005",
          "title": "Pressure-Induced Stromal Keratopathy After Smile: A Diagnostic Challenge Mimicking Diffuse Lamellar Keratitis",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maria S Romero",
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        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
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      ],
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR539",
          "title": "Diagnostic Accuracy Of The Tear Film Index Test.",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP13.09",
          "title": "A Real World Outcomes Study For Aceclidine 1.44 % Eye Drops To Manage Presbyopia",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Maria Veronica Lopez Fernandez",
      "count": 2,
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        {
          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "Refractive Surgery",
          "count": 1
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      ],
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        {
          "name": "ePoster",
          "count": 2
        }
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        {
          "uid": "POCAT069",
          "title": "Selective Absorption Filters In Athletes With Low Vision",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF031",
          "title": "Sports Selective Uv Filters Review",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maria Vitória Vicente Cardoso",
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        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR039",
          "title": "Surgical Management Of Advanced Keratoconus Using Concentric 320 Intracorneal Ring Segments: A Case Report",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR335",
          "title": "Comparative Analysis Of Epithelial Thickness Mapping After Manual Versus Femtosecond-Assisted Intrastromal Ring Implantation",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Maria Vitória Vicente Vitória Vicente Cardoso",
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR334",
          "title": "Beyond Topography: Epithelial Remodeling After 320° Intracorneal Ring Implantation In Keratoconus — Manual Versus Femtosecond Laser Techniques",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "FP30.04",
          "title": "The 320° Challenge: Tunnel Depth Predictability In Long-Arc Intracorneal Ring Segments — Manual Versus Femtosecond Laser",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Mariana Pires Garcia",
      "count": 2,
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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        {
          "name": "Refractive surgery instrumentation / evaluation devices",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCOR384",
          "title": "Clinical Profile And Outcomes Of Acute Corneal Hydrops In Keratoconus: A Descriptive Analysis",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF204",
          "title": "Clinical Evaluation Of Automated Binocular Refraction Using Eye Refract® Compared With Conventional Refraction Techniques",
          "track": "Refractive surgery instrumentation / evaluation devices",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Marianela Jimenez",
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        {
          "name": "Cataract Surgery",
          "count": 2
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Case Report",
          "count": 1
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT053",
          "title": "Extreme Regular Astigmatism: Bilateral Sequential Cataract Surgery With Zeiss At Torbi 719M Using Total Keratometry–Based Planning And Callisto Digital Alignment",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "CC01.15",
          "title": "Anterior Segment Oct–Guided Strategy For Posterior Polar Cataract In Down Syndrome: Surgical Video And Management Of Late Posterior Capsular Rupture After Iol Implantation",
          "track": "Cataract Surgery",
          "session_type": "Case Report"
        }
      ]
    },
    {
      "name": "Mariano Royo Sans",
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        {
          "name": "IOLs - multifocal",
          "count": 1
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        {
          "name": "IOLs - other",
          "count": 1
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          "name": "ePoster",
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        {
          "name": "Presented Poster",
          "count": 1
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        {
          "uid": "POCAT518",
          "title": "Objective Analysis Of Visual Quality After Bilateral Implantation Of The Rayner Rayone Galaxy Multifocal Intraocular Lens, Designed By Artificial Intelligence, With Shack-Hartmann Wavefront Sensors.",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "PP15.05",
          "title": "Accommodative Changes After Implantation Of A Foldable Iris-Fixated Phakic Intraocular Lens For The Correction Of Myopic Astigmatism.",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        }
      ]
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    {
      "name": "Marina Ramos Gonçalves",
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        {
          "name": "IOL power calculation",
          "count": 2
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
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        {
          "uid": "POCAT596",
          "title": "Impact Of Age On Anterior Segment Biometric Changes Induced By Mydriasis And Cycloplegia Assessed By Anterior Segment Oct",
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          "session_type": "ePoster"
        },
        {
          "uid": "FP13.14",
          "title": "Reduced Refractive Predictability In Non-Emmetropic Targets: Comparative Analysis Of Modern Iol Formulae In Monovision",
          "track": "IOL power calculation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Marine Dahl",
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        {
          "name": "IOLs - multifocal",
          "count": 2
        }
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        {
          "name": "ePoster",
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        {
          "name": "Free Paper",
          "count": 1
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        {
          "uid": "POCAT520",
          "title": "Longitudinal Evaluation Of Photic Phenomena After Bilateral Panoptix Trifocal Intraocular Lens Implantation",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "FP01.13",
          "title": "Comparative Analysis Of Photic Phenomena Between Monofocal And Presbyopia-Correcting Intraocular Lens Designs",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        }
      ]
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    {
      "name": "Mario Troisi",
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        {
          "name": "Ocular surface disease",
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        },
        {
          "name": "Collagen cross linking",
          "count": 1
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          "name": "Free Paper",
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          "name": "Presented Poster",
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        }
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      "representative_abstracts": [
        {
          "uid": "FP26.01",
          "title": "Ultrastructural Ocular Surface Safety Of A Novel Citrus-Derived Antiseptic Assessed By Scanning Electron Microscopy",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP16.04",
          "title": "Accelerated 10 Mw/Cm² Transepithelial Iontophoretic Corneal Cross-Linking For Pediatric Progressive Keratoconus: Up To 11-Year Results",
          "track": "Collagen cross linking",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Markus Schranz",
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        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
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        }
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      "representative_abstracts": [
        {
          "uid": "POCAT208",
          "title": "Postoperative Flange Stability Following Intrascleral Iol Fixation: A Prospective Randomized Comparison",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "FP08.07",
          "title": "Impact Of Iol Tilt And Decentration On Astigmatism And Higher-Order Aberrations In Scleral-Fixated Intraocular Lenses",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Maryam Muradova",
      "count": 2,
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        {
          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "IOLs - EDOF",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT075",
          "title": "Сataract Surgery After Penetrating Keratoplasty Due To Keratoconus With Corneal Graft Local Clouding",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT379",
          "title": "Cataract Surgery In Eyes With Stabilized Keratoconus: Making It Possible To Increase The Patient Satisfaction",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Matthew Azzopardi",
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        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
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        {
          "name": "Cornea infectious disease",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT289",
          "title": "A Masterclass For Upskilling Ophthalmology Residents In Manual Small Incision Cataract Surgery: A Flipped Classroom Educational Intervention",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR249",
          "title": "Endophthalmitis Following Artificial Endothelial Keratoplasty (Endoart®)",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Matthias Gerl",
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        {
          "name": "IOLs - complications",
          "count": 1
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        {
          "name": "IOLs - EDOF",
          "count": 1
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      ],
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
        }
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        {
          "uid": "POCAT326",
          "title": "When The First Lens Isn't The Last: Incidence, Indications, And Outcomes Of Iol Exchange: A 10-Year Retrospective Review In A German Tertiary Hospital",
          "track": "IOLs - complications",
          "session_type": "ePoster"
        },
        {
          "uid": "FP12.02",
          "title": "Aka Report 2: One Year Real-World Data Of Visual Performance, Patient Satisfaction, And Spectacle Independence With Three Presbyopia-Correcting Iols Versus Monofocal Iol: A Prospective Comparative Study",
          "track": "IOLs - EDOF",
          "session_type": "Free Paper"
        }
      ]
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    {
      "name": "Maureen Anne Naguit Reyes",
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        {
          "name": "IOLs - other",
          "count": 1
        },
        {
          "name": "Refractive surgery instrumentation / evaluation devices",
          "count": 1
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      ],
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
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        {
          "uid": "POCAT566",
          "title": "Near Reading Speed And Accuracy Using Irest 3–6 Months After Bilateral Spiral Iol Implantation",
          "track": "IOLs - other",
          "session_type": "ePoster"
        },
        {
          "uid": "FP23.11",
          "title": "Retrospective Analysis Of The Impact Of Dry Eye Disease And Its Treatment On The Tomographic Biomechanical Index Optimized For East Asian Populations (Ctbi) In Filipino Laser Vision Correction Candidates",
          "track": "Refractive surgery instrumentation / evaluation devices",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Maximilian Friedrich",
      "count": 2,
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
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        {
          "uid": "FP08.04",
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          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP10.07",
          "title": "Visual Outcomes And Safety Of Ray-Tracing-Guided Laser-Assisted In Situ Keratomileusis: A Systematic Review And Meta-Analysis",
          "track": "LASIK",
          "session_type": "Presented Poster"
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    {
      "name": "Małgorzata Łątkowska",
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        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR493",
          "title": "Ocular Manifestations Of Fabry Disease: A Case Series From A Multidisciplinary Referral Centre",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "FP08.12",
          "title": "Swept-Source Anterior Segment Oct For Detection Of Subclinical Silicone Oil Emulsification And Endothelial Deposits After Retinal Detachment Surgery",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Mehmet Icoz",
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        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
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        {
          "name": "Free Paper",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP03.04",
          "title": "Comparison Of Two Different Intraocular Lenses Used In The Modified Yamane Technique",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP18.08",
          "title": "Evaluation Of Structural And Vascular Changes In The Choroid After Uneventful Phacoemulsification Surgery",
          "track": "Cataract surgery practice styles",
          "session_type": "Presented Poster"
        }
      ]
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    {
      "name": "Mehran Masoudnaseri",
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        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP18.03",
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          "track": "Ocular surface disease",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP21.14",
          "title": "A Novel, Delicate, And Portable Multi-Purpose Electro-Automatic Microsurgical System For Capsulorehexis, Corneal Grafting, And Glaucoma Surgery: Design And Functional Evaluation",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Melania Cigales",
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        {
          "name": "Refractive Surgery",
          "count": 1
        },
        {
          "name": "Surface photoablation",
          "count": 1
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF006",
          "title": "Severe Epithelial Ingrowth Management",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF219",
          "title": "Crystalline Dystrophy Treated With Phototherapeutic Keratectomy",
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          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Merce Guarro",
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        {
          "name": "IOLs - EDOF",
          "count": 2
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT356",
          "title": "Potential Refractive Error Due To Axial Displacement Of Intraocular Lenses With Clinically Relevant Compression Diameters",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "PP12.05",
          "title": "Visual Performance Of Clareon® Vivity® And Puresee® Intraocular Lenses In Patients Undergoing Cataract Surgery",
          "track": "IOLs - EDOF",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Meryem Benkirane",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT019",
          "title": "Cystoid Macular Edema After Uncomplicated Phacoemulsification",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT141",
          "title": "Toxic Anterior Segment Syndrome: When A Routine Cataract Surgery Turns Into An Ocular Emergency",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        }
      ]
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      "name": "Michael Ostrovsky",
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          "name": "Cataract surgery techniques and instrumentation",
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        {
          "name": "Combined glaucoma / cataract surgery",
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          "session_type": "Free Paper"
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        {
          "uid": "FP04.07",
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          "session_type": "Free Paper"
        }
      ]
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    {
      "name": "Michael Rossiter-Thornton",
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          "name": "Surface photoablation",
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        {
          "name": "LASIK",
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          "session_type": "ePoster"
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        {
          "uid": "FP07.07",
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          "session_type": "Free Paper"
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      "name": "Michael Tsatsos",
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        {
          "name": "Endothelial keratoplasty",
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        {
          "name": "Cataract surgery complications / management / prevention",
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          "name": "ePoster",
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        {
          "uid": "FP03.03",
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          "session_type": "Free Paper"
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          "name": "Collagen cross linking",
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        {
          "uid": "FP02.01",
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          "name": "Cataract Surgery",
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          "name": "Cataract surgery techniques and instrumentation",
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          "session_type": "ePoster"
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        {
          "uid": "POCAT267",
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          "session_type": "ePoster"
        }
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      "name": "Milica Vasovic",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
          "count": 2
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          "uid": "POCOR530",
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        {
          "uid": "POCOR568",
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          "name": "Corneal Surgery",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
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        {
          "uid": "POCOR100",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR511",
          "title": "Restoring The Ocular Surface After Severe Alkali Burn: Two-Stage Autologous Limbal Stem Cell And Corneal Transplantation",
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          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Misone Abushaala",
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          "name": "Cataract Surgery",
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        {
          "name": "Corneal Surgery",
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          "name": "ePoster",
          "count": 2
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        {
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          "session_type": "ePoster"
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        {
          "uid": "POCOR003",
          "title": "Amniotic Membrane Transplantation In Advanced Neurotrophic Keratitis: A Case Report",
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      ]
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    {
      "name": "Moatez Billah Mekki",
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          "name": "Corneal Surgery",
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        {
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          "session_type": "ePoster"
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        {
          "uid": "FP18.09",
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          "name": "Keratoconus and secondary ectasia",
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        {
          "uid": "FP27.05",
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          "name": "Endothelial keratoplasty",
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          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
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          "session_type": "Presented Poster"
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          "uid": "PP13.04",
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    {
      "name": "Mostafa Aghi",
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          "name": "Corneal Surgery",
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        {
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        {
          "uid": "POCOR316",
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        }
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          "name": "Cataract surgery complications / management / prevention",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
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        {
          "uid": "POCAT200",
          "title": "Back Where It Belongs: The Challenge Of Adjusting A Malpositioned Ctr During Cataract Surgery",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR542",
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          "name": "ePoster",
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          "uid": "POCAT367",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
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          "session_type": "ePoster"
        }
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          "name": "Ocular surface disease",
          "count": 2
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          "name": "ePoster",
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        {
          "uid": "POCOR504",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR505",
          "title": "Ocular Bee Stings, Are They Always Clean?",
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      "name": "Nacima Benmerzouga",
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          "name": "Ocular surface disease",
          "count": 2
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          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCOR435",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR436",
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    {
      "name": "Nafsika Anastasia Voulgari",
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          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
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          "name": "Endothelial keratoplasty",
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          "name": "Presented Poster",
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          "uid": "PP04.09",
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          "uid": "PP11.10",
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          "session_type": "Presented Poster"
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          "name": "IOLs - monofocal and advanced monofocal",
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          "name": "IOLs - multifocal",
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          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT444",
          "title": "My Experience With The Enhanced Monofocal Premium Intra Ocular Lens",
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          "session_type": "ePoster"
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        {
          "uid": "POCAT517",
          "title": "My Experience With The Panoptix Toric Intraocular Lens",
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          "session_type": "ePoster"
        }
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      "name": "Naren Shetty",
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT210",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR550",
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          "session_type": "ePoster"
        }
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    {
      "name": "Neha Malik",
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "IOLs - other",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT188",
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          "session_type": "ePoster"
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        {
          "uid": "POCAT556",
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          "session_type": "ePoster"
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      "name": "Nehal Omar Elfarouk",
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          "name": "Corneal Surgery",
          "count": 1
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        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
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      "representative_abstracts": [
        {
          "uid": "POCOR053",
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          "session_type": "ePoster"
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        {
          "uid": "POREF083",
          "title": "Smooth Smile, Key Tips For Femto Smile Success.",
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          "session_type": "ePoster"
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      "name": "Nic Johannes Reus",
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          "name": "IOLs - multifocal",
          "count": 1
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        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "Free Paper",
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        {
          "uid": "FP17.07",
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          "session_type": "Free Paper"
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          "session_type": "Presented Poster"
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          "name": "IOLs - complications",
          "count": 1
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          "name": "Cataract surgery complications / management / prevention",
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          "name": "Free Paper",
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          "name": "Presented Poster",
          "count": 1
        }
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        {
          "uid": "FP24.08",
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          "session_type": "Free Paper"
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        {
          "uid": "PP02.14",
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          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Nicola Valsecchi",
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        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Collagen cross linking",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT120",
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          "session_type": "ePoster"
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        {
          "uid": "FP02.12",
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          "session_type": "Free Paper"
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      "name": "Nikolaus Mahnert",
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        {
          "name": "IOLs - EDOF",
          "count": 1
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        {
          "name": "IOLs - toric",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
        },
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          "name": "Free Paper",
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        {
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        {
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          "name": "ePoster",
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          "session_type": "ePoster"
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        {
          "uid": "POREF015",
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        }
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    {
      "name": "Qingyan Zeng",
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          "name": "SUSTAINABILITY",
          "count": 1
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "name": "ePoster",
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        {
          "name": "Free Paper",
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      "representative_abstracts": [
        {
          "uid": "POSUS018",
          "title": "Natural Course In Fellow Eyes Of Patients With Unilateral Keratoconus",
          "track": "SUSTAINABILITY",
          "session_type": "ePoster"
        },
        {
          "uid": "FP06.13",
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      ]
    },
    {
      "name": "Rafah Fairaq",
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          "name": "Phakic IOLs",
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        {
          "name": "Keratoconus and secondary ectasia",
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          "name": "ePoster",
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          "uid": "POREF127",
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          "session_type": "ePoster"
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        {
          "uid": "PP14.03",
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          "session_type": "Presented Poster"
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      "name": "Rahul Verma",
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          "name": "Cataract surgery practice styles",
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          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
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          "name": "ePoster",
          "count": 2
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        {
          "uid": "POCAT256",
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          "session_type": "ePoster"
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        {
          "uid": "POOTH037",
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          "name": "Cataract surgery practice styles",
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          "name": "ePoster",
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        {
          "uid": "POCAT252",
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          "name": "Corneal Surgery",
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          "name": "ePoster",
          "count": 2
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          "session_type": "ePoster"
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    {
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          "name": "Corneal Surgery",
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          "name": "Lenticular intrastomal surgery",
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          "name": "ePoster",
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          "uid": "POCOR035",
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        {
          "uid": "POREF079",
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          "name": "Endothelial keratoplasty",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
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      "representative_abstracts": [
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          "uid": "POCOR262",
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    {
      "name": "Rand Nasser Alazaz",
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          "name": "Corneal Surgery",
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        {
          "name": "Ocular surface disease",
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          "name": "ePoster",
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          "uid": "POCOR011",
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        {
          "uid": "POCOR414",
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      ]
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      "name": "Rasha Abbas",
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          "name": "ePoster",
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          "uid": "POANT002",
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      "name": "Raul E. Ruiz-Lozano",
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          "name": "ePoster",
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          "name": "Free Paper",
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          "uid": "POCOR541",
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          "session_type": "ePoster"
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          "uid": "FP22.15",
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      "name": "Raul H Plasencia Salini",
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          "name": "Keratoconus and secondary ectasia",
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          "name": "Refractive Surgery",
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          "name": "ePoster",
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          "name": "IOLs - EDOF",
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          "name": "Keratoconus and secondary ectasia",
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          "name": "ePoster",
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          "name": "IOLs - EDOF",
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          "name": "Surface photoablation",
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          "name": "ePoster",
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          "uid": "POCAT342",
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          "session_type": "ePoster"
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        {
          "uid": "POREF212",
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    {
      "name": "Robert Herber",
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          "name": "Collagen cross linking",
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          "name": "ANTERIOR SEGMENT IMAGING",
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          "uid": "POCOR172",
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          "uid": "FP08.05",
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      "name": "Rodrigo Ernesto Barrera Rodriguez",
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          "name": "Corneal Surgery",
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          "name": "Phakic IOLs",
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          "uid": "FP19.11",
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          "name": "Collagen cross linking",
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          "name": "Keratoconus and secondary ectasia",
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          "name": "ePoster",
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          "uid": "POCOR189",
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          "uid": "POCOR407",
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          "session_type": "ePoster"
        }
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      "name": "Rohit Ramgopal Bang",
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          "name": "Cornea infectious disease",
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        {
          "name": "Endothelial keratoplasty",
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          "name": "ePoster",
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          "uid": "POCOR198",
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          "session_type": "ePoster"
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          "uid": "POCOR264",
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          "session_type": "ePoster"
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      "name": "Rushad Shroff",
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          "name": "Lenticular intrastomal surgery",
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          "uid": "FP11.13",
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          "session_type": "Free Paper"
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        {
          "uid": "PP22.01",
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      "name": "Rustu Emre Akcan",
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          "name": "IOLs - EDOF",
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          "name": "ePoster",
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          "session_type": "ePoster"
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          "uid": "FP29.02",
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      "name": "Saad Mahmud Khan",
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          "name": "Cornea infectious disease",
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          "name": "ePoster",
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          "uid": "POCOR218",
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        {
          "uid": "POCOR219",
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      "name": "Safaa Jihad",
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          "name": "Phakic IOLs",
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          "name": "ePoster",
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          "uid": "POREF133",
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      "name": "Sahar Rhalimi",
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          "name": "Cataract Surgery",
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          "name": "Ocular surface disease",
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          "name": "ePoster",
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        {
          "uid": "POCOR535",
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          "name": "Cataract surgery practice styles",
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          "name": "ePoster",
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        {
          "name": "Free Paper",
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          "uid": "POCOR193",
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          "uid": "FP25.14",
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          "session_type": "Free Paper"
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          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
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          "name": "ePoster",
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          "uid": "POCAT569",
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        }
      ]
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      "name": "Sandro Coscarelli",
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          "name": "Corneal Surgery",
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        {
          "name": "ePoster",
          "count": 2
        }
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        {
          "uid": "POCOR046",
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          "session_type": "ePoster"
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        {
          "uid": "POCOR047",
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      ]
    },
    {
      "name": "Sanjana Vatsa",
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          "name": "Corneal Surgery",
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "POCOR140",
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          "session_type": "ePoster"
        },
        {
          "uid": "POCOR405",
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          "session_type": "ePoster"
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      ]
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    {
      "name": "Sanjib Banerjee",
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        {
          "name": "ANTERIOR SEGMENT IMAGING",
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        {
          "name": "Cataract Surgery",
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        }
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      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT008",
          "title": "Diffuse Posterior Capsule Pigmentation In Pigment Dispersion Syndrome Mimicking Posterior Subcapsular Cataract: A Diagnostic And Functional Masquerade",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT018",
          "title": "Pigment Dispersion Syndrome Masquerading As Posterior Subcapsular Cataract Causing Symptomatic Visual Disturbance",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Santaro Noguchi",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCAT380",
          "title": "Comparative Visual Performance Of A Refractive Extended Depth Of Focus And A Wavefront-Shaping Extended Depth Of Focus Intraocular Lens Using A Real Model Eye",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "PP12.017",
          "title": "Optical Performance Of Rayone Galaxy Spiral Iol Versus Clareon Vivity In A Real Model Eye: Defocus Curve, Contrast Sensitivity, And Night Glare",
          "track": "IOLs - EDOF",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Santiago Tañá-Sanz",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 1
        },
        {
          "name": "IOLs - toric",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT405",
          "title": "Preliminary Clinical Outcomes With A Non-Diffractive Full-Range Intraocular Lens For Presbyopia Correction",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT655",
          "title": "Rotational Stability Of A Monofocal Biaspheric Toric Design With Large Haptic Contact Angle: A Prospective Study",
          "track": "IOLs - toric",
          "session_type": "ePoster"
        }
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    {
      "name": "Sarmad Akkach",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        },
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
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      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "FP09.12",
          "title": "The Australian Training Experience: Posterior Capsule Tear Rates And Visual Outcomes In Consultant Vs. Registrar Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP21.06",
          "title": "Bimanual Vs. Single-Piece I/A In Cataract Surgery: A Comparison Of Posterior Capsule Tear Rates From The Australian Experience",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Savleen Kaur",
      "count": 2,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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        {
          "name": "Cataract surgery pediatric",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
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      ],
      "representative_abstracts": [
        {
          "uid": "POANT020",
          "title": "Objective Quantification Of Pediatric Lens Opalescence And Its Bearing On The Visual Outcome: An Oct-Based Study",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "PP18.01",
          "title": "Genetic Variants In Patients With Bilateral Congenital Cataracts In A Large Cohort From North India",
          "track": "Cataract surgery pediatric",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Selma Mahmah",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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        {
          "name": "IOLs - complications",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT187",
          "title": "Cataract Surgery In The Vitrectomized Eye: A Retina Surgeon's Guide To Avoiding Pitfalls\nAnd Optimizing Outcomes",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT333",
          "title": "Intraoperative Plan B:Salvage Sutured Scleral Fixation Iol For Failed Sutureless Techniques In Vitrectomized Eye",
          "track": "IOLs - complications",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Serdar Bilici",
      "count": 2,
      "tracks": [
        {
          "name": "IOL power calculation",
          "count": 1
        },
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT585",
          "title": "Does Surgical Sequencing Influence The Accuracy Of The Escrs Online Iol Calculator In Eyes Undergoing Phacoemulsification And Trabeculectomy?",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP28.08",
          "title": "Comparison Of Three-Year Outcoms Following Trabeculectomy In Primary Open-Angle And Pseudoexfoliation Glaucoma",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Seth Michel Pantanelli",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        },
        {
          "name": "IOLs - complications",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT439",
          "title": "Clinical Outcomes Of A Hydrophobic Acrylic Monofocal Intraocular Lens With Non-Constant Aberration-Correcting Design",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        },
        {
          "uid": "PP17.06",
          "title": "Optical Determinants Of Patient Dissatisfaction Following Implantation Of Presbyopia-Correcting Intraocular Lenses",
          "track": "IOLs - complications",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Seyare Bekirova",
      "count": 2,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR329",
          "title": "Results Of Toric Phakic Intraocular Lens Implantation In Patients With Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR330",
          "title": "Topography-Gueded Photorefractive Keratectomy Combined With Crosslinking In Patiens With Keratoconus (Athens Protocol)",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Shady Awwad",
      "count": 2,
      "tracks": [
        {
          "name": "Collagen cross linking",
          "count": 1
        },
        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP02.07",
          "title": "Prospective Multi-Parameter Propensity Score–Matched Analysis Of Corneal Haze Following Combined Versus Sequential Customized Transepithelial Prk With Accelerated Corneal Cross-Linking.",
          "track": "Collagen cross linking",
          "session_type": "Free Paper"
        },
        {
          "uid": "FP11.05",
          "title": "Lenticule Interface Quality After Ocular Surface Washout And Tear Homogenization Versus No Washout Before Femtosecond Laser Docking In Klex Surgery: Assessment Using Automated Image Analysis",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Shahnaz Anjum",
      "count": 2,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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        {
          "name": "Endothelial keratoplasty",
          "count": 1
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        {
          "name": "ePoster",
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        {
          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "POCOR325",
          "title": "Early Use Of Miniscleral Lens After Corneal Collagen Cross-Linking (Cxl) In Keratoconus: A Prospective\nComparative Study",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "PP11.02",
          "title": "Pars-Plana Injection Of Balanced Salt Solution For Anterior Chamber Tamponade Is An Effective Rescue\nTechnique In Eyes With Scleral Fixated Intraocular Lens Undergoing Ultra-Thin Descemet Stripping Automated\nEndothelial Keratoplasty",
          "track": "Endothelial keratoplasty",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Shail Vasavada",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
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        {
          "name": "IOLs - complications",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT451",
          "title": "Impact Of Pupil Size On Near Vision Range Of Monofocal, Monofocal Plus Iols:A Randomized Study",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        },
        {
          "uid": "FP24.03",
          "title": "Genetic Evaluation Of Patients With The Dead Bag Syndrome: Identifying Risk Factors For The Disease",
          "track": "IOLs - complications",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Shalev Fried",
      "count": 2,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        },
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR276",
          "title": "Intraoperative Optical Coherence Tomography For Identifying And Avoiding Prior Corneal Incisions During Descemet Stripping Automated Endothelial Keratoplasty",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "POGAU048",
          "title": "Early Real-World Safety And Efficacy Of Minimally Invasive Nasal Trabeculostomy (Mint™) In Patients With Open-Angle Glaucoma",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Shaz Rehan",
      "count": 2,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        },
        {
          "name": "Cataract surgery practice styles",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR301",
          "title": "Descemet Stripping Only (Dso): A Pragmatic Approach For Managing Fuchs’ Endothelial Corneal Dystrophy (Fecd)",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        },
        {
          "uid": "FP25.10",
          "title": "Understanding Non-Technical Skills (Nts) Training In Uk Ophthalmology",
          "track": "Cataract surgery practice styles",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Sherif Tolees",
      "count": 2,
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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        {
          "name": "Surface photoablation",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR400",
          "title": "3 Month Outcomes Of Corneal Allogeneic Intrastromal Ring Segments For Corneal Ectasia.",
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          "session_type": "ePoster"
        },
        {
          "uid": "POREF239",
          "title": "Central Toxic Keratopathy Following Photorefractive Keratectomy: A Case Series And Conservative Management",
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          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Shilpa Tarini",
      "count": 2,
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          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Cataract surgery pediatric",
          "count": 1
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      ],
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        {
          "name": "ePoster",
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        {
          "name": "Free Paper",
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      "representative_abstracts": [
        {
          "uid": "POCOR131",
          "title": "Allogenic Simple Limbal Epithelial Transplantation In Aniridia-Associated Keratopathy",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP15.02",
          "title": "Visual Outcomes With Use Of Contact Lenses Versus Glasses In Children With Bilateral Aphakia Secondary To Congenital Cataract",
          "track": "Cataract surgery pediatric",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Siyi Gu",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 1
        },
        {
          "name": "IOLs - complications",
          "count": 1
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      ],
      "session_types": [
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          "name": "Free Paper",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP01.11",
          "title": "Pre-Clinical Evaluation Of Glare Phenomena In Presbyopia-Correcting Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP17.02",
          "title": "Quantitative Assessment Of Straylight From Laser Pits In Explanted Intraocular Lenses",
          "track": "IOLs - complications",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Smruti Rekha Priyadarshini",
      "count": 2,
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          "name": "Ocular surface disease",
          "count": 2
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR527",
          "title": "A Retrospective Comparative Study Of Tissue Adhesive Application Versus Autologous Tenon’S Patch Graft In Corneal Perforations",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR528",
          "title": "From Impact To Outcome: Short- And Long-Term Sequelae Of Carbide Gun–Related Ocular Injuries",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Sofia Machado",
      "count": 2,
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        {
          "name": "IOLs - multifocal",
          "count": 1
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        {
          "name": "Corneal Surgery",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Case Report",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT493",
          "title": "Clinical And Visual Outcomes Of A New Diffractive Freeform Full Visual Range Intraocular Lens",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "CC03.02",
          "title": "Severe Ocular Surface Disease In A Pediatric Patient With Recessive Dystrophic Epidermolysis Bullosa: A Clinical Case",
          "track": "Corneal Surgery",
          "session_type": "Case Report"
        }
      ]
    },
    {
      "name": "Sofiya Pavliv",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT086",
          "title": "Cataract Surgery After Radial Keratotomy: Lessons From My First Case",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR116",
          "title": "Platelet-Rich Plasma Therapy In The Management Of Dry Eye Disease: Clinical Outcomes And Practical Considerations",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Sohee Jeon",
      "count": 2,
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        {
          "name": "IOLs - multifocal",
          "count": 1
        },
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT487",
          "title": "Impact Of Ocular Comorbidities On The Long-Term Proms After Multifocal Intraocular Lens Implantation",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
        },
        {
          "uid": "FP24.01",
          "title": "Comparative Analysis Of Astigmatism, Visual Outcomes, And Complications Between Canabrava And Yamane Sfiol Techniques.",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Soumya Sharma",
      "count": 2,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 1
        },
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR548",
          "title": "Decoding Ocular Surface Squamous Neoplasia: Comparative Therapeutic Outcomes Of 5-Fluorouracil And Interferon Alpha-2B With Clinical, Cytological, And As-Oct Correlation",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP08.10",
          "title": "Long-Term Outcomes Of Type 1 Keratoprosthesis In A Tertiary Care Centre",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Stefan Georgiev",
      "count": 2,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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        {
          "name": "Evaluation testing",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT013",
          "title": "Corneal Aberrations From Ss-Oct Biometry: Optical Zone Repeatability For Iol\nDesign Selection In Cataract Surgery",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        },
        {
          "uid": "PP26.09",
          "title": "Reliability Of Lenticular Biomechanics Assessment Using In Vivo Brillouin Microscopy In Eyes With Nuclear Cataract",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Stefan Pieh",
      "count": 2,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 1
        },
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF231",
          "title": "Transepithelial Photorefractive Keratectomy For Irregular Corneas With Varying Initial Conditions",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP12.09",
          "title": "Comparing Partial-Range Of Field Iols Of The Newest Generation",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Stephen Morgan",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR104",
          "title": "Epimax-Related Ocular Surface Toxicity On A Background Of Topical Steroid Withdrawal Syndrome",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "FP14.03",
          "title": "Long-Term Results Of Steroid-Induced Intraocular Pressure Elevation And Glaucoma After Descemet Membrane Endothelial Keratoplasty",
          "track": "Endothelial keratoplasty",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Stipe Vidović",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT123",
          "title": "Early-Onset Posterior Subcapsular Cataract After Short-Term Tamoxifen Therapy In A Young Patient Without Retinal Toxicity",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR570",
          "title": "Amniotic Membrane Transplantation For Anterior Segment Disease: A 10-Year Real-World Clinical Outcomes Study",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Sujata Das",
      "count": 2,
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          "name": "Cornea infectious disease",
          "count": 2
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      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR201",
          "title": "Differences In Clinical Behaviour And Outcome Of Bacterial Keratitis Based On Biofilm-Producing Ability",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR202",
          "title": "Comparison Of Culture-Negative Vs Culture-Positive Fungal Keratitis: Clinical Features And Treatment Outcomes",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Sultan Alzuhairy",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        },
        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT263",
          "title": "A Case Report On Cataract Surgery In Eyes With Bilateral Inferior Iridoschisis",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "POOTH004",
          "title": "Transpalpebral Intraocular Pressure Measured By Diaton Tonometer Before, 1 Week, And 1 Month After Transepithelial Photorefractive Keratectomy In Young Myopic Saudi Patients And Its Determinants",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Sunayana Narasimha Murthy",
      "count": 2,
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          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "name": "Evaluation testing",
          "count": 1
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          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR375",
          "title": "Optical Assessment Of Tear Film Thickness In Healthy And Keratoconic Eyes Using Scheimpflug Oct Imaging",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "FP29.12",
          "title": "Can Pre Operative Epithelial Maps & Tear Biomarkers Predict Post Operative Outcomes & Satisfaction?",
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          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Sung Min Kim",
      "count": 2,
      "tracks": [
        {
          "name": "Lenticular intrastomal surgery",
          "count": 2
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          "name": "Free Paper",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP27.13",
          "title": "Clinical Outcomes Of Q-Value Customized Lenticule Extraction Surgery In Moderate Myopia",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP22.02",
          "title": "Long-Term Clinical Comparison Of Five Klex Platforms: Visual, Refractive Outcomes, Higher-Order Aberrations, And Cap Thickness Accuracy",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Tameema Kauser",
      "count": 2,
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        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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        {
          "name": "IOLs - complications",
          "count": 1
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT180",
          "title": "Posterior Capsular Rupture Rates In Femtosecond Laser Assisted Vs Manual Cataract Surgery: Systematic Review And Meta-Analysis",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        },
        {
          "uid": "PP17.01",
          "title": "Causes Of Dissatisfaction After Presbyopia Correcting Intraocular Lenses: A Structured Clinical Framework For Evaluation And Management",
          "track": "IOLs - complications",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Tamilarasi S",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "Phakic IOLs",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT096",
          "title": "Trust But Verify: Missed Partial Haptic Unfolding Of Single Piece Intraocular Lens Causing Persistent Cystoid Macular Edema",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF155",
          "title": "Long Term Visual And Refractive Outcomes Of Cataract Surgery Following Posterior Chamber Phakic Intraocular Lens Explantation",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Tanveer Alam Khan",
      "count": 2,
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          "name": "Cornea infectious disease",
          "count": 1
        },
        {
          "name": "Refractive Surgery",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR220",
          "title": "Bilateral Immune-Mediated Keratolysis After Immunization With Sars-Cov-2 Recombinant Viral Vector Vaccine",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF025",
          "title": "A Rare Case Of Corneal Keloid Following Radial Keratotomy For Myopia",
          "track": "Refractive Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Tatiana Shilova",
      "count": 2,
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          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
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        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POGAU085",
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          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        },
        {
          "uid": "PP22.03",
          "title": "Comparative Analysis Of Outcomes Of Lenticule Extraction Using Smile Pro Under General Anesthesia",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        }
      ]
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    {
      "name": "Telma Machado",
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          "name": "Cornea infectious disease",
          "count": 1
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        {
          "name": "Cataract surgery pediatric",
          "count": 1
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          "name": "ePoster",
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        {
          "name": "Free Paper",
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        {
          "uid": "POCOR226",
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          "session_type": "ePoster"
        },
        {
          "uid": "FP15.12",
          "title": "Predictive Accuracy Of Modern Iol Formulas In Pediatric Cataract Surgery",
          "track": "Cataract surgery pediatric",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Tetiana Zhmud",
      "count": 2,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 2
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        {
          "name": "ePoster",
          "count": 1
        },
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          "name": "Presented Poster",
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        {
          "uid": "POCOR578",
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          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "PP01.04",
          "title": "Eyelash Extensions And Demodex Folliculorum: Influence On Eyelid Microenvironment And Ocular Surface Health",
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          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Thibaud Garcin",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "name": "ePoster",
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          "uid": "POCOR061",
          "title": "How Manage Fungal Sclerokeratitis Associated With Panendophthalmitis ?",
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          "session_type": "ePoster"
        },
        {
          "uid": "FP30.01",
          "title": "A 10-Year Survival Analysis Of Failure Rates After Initial Conventional, Accelerated Or Iontophoresis Cxl For Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Thomas Kohnen",
      "count": 2,
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        {
          "name": "IOLs - toric",
          "count": 1
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        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT654",
          "title": "Real World Outcomes Of A Diffractive Full-Range Of Field Iol With Smooth Transition In Patients With High Corneal Astigmatism",
          "track": "IOLs - toric",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF098",
          "title": "Visual And Biometric Outcomes After Keratorefractive Lenticule Extraction (Klex) Using A New Laser System",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Tiara Shaniaputri",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
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      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT105",
          "title": "Retain Or Explant? Strategic Removal Of Anterior Chamber Phakic Iol Prior To Vitrectomy In A Young High Myope With Cataract And Full-Thickness Macular Hole",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT571",
          "title": "Efficacy Of Light Adjustment Treatment On Refractive Accuracy Following Light Adjustable Lens Implantation: A Systematic Review And Meta-Analysis",
          "track": "IOLs - other",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Tomas Jaeschke",
      "count": 2,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "IOLs - EDOF",
          "count": 1
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT051",
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          "track": "Cataract Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT358",
          "title": "Visual Performance And Patient Satisfaction With Acunex® Vario And Variomax Intraocular Lenses, Including Mixed Implantation Strategies",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Tommaso Rossi",
      "count": 2,
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        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 2
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
        }
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      "representative_abstracts": [
        {
          "uid": "POCAT285",
          "title": "Anterior Chamber Stability During Cataract Surgery: Platforms Head-To-Head",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "ePoster"
        },
        {
          "uid": "FP21.08",
          "title": "Calorimetric Assessment And Fluid Dynamics Of Phaco Tips",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Ugo De Sanctis",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 1
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        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
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        {
          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT351",
          "title": "Phacoemulsification With Implantation Of A Small-Aperture Intraocular Lens In Eyes With Irregular Astigmatism After Radial Keratotomy",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        },
        {
          "uid": "PP11.14",
          "title": "Eyetemis Analysis Of Spherical Equivalent Prediction After Triple Dmek Using Different Measurements Of Corneal Power",
          "track": "Endothelial keratoplasty",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Umida Shavkatovna Khamraeva",
      "count": 2,
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        {
          "name": "Ocular surface disease",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR487",
          "title": "Prevalence And Clinical Characteristics Of Dry Eye Disease And Refractive Errors In Children With Down Syndrome: A Cross-Sectional Study From Uzbekistan",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR567",
          "title": "Prevalence Of Dry Eye Syndrome Among Adolescent Girls In Uzbekistan: Experience Of The Republican Eye Microsurgery Center",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Vaibhav Vishal",
      "count": 2,
      "tracks": [
        {
          "name": "IOLs - complications",
          "count": 1
        },
        {
          "name": "IOLs - other",
          "count": 1
        }
      ],
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        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP24.04",
          "title": "Impact Of Capsular Tension Ring (Ctr) Implantation On Intraocular Lens (Iol) Stability And Posterior Capsule Apposition: An Ioct And As-Oct Study",
          "track": "IOLs - complications",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP15.10",
          "title": "Comparison Of Reading And Optical Performance After Contralateral Versus Bilateral Diffractive Iol Implantation Under Different Illumination Conditions",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Vaishali Abhay A Vasavada",
      "count": 2,
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        {
          "name": "Cataract surgery pediatric",
          "count": 1
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        {
          "name": "IOL power calculation",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT240",
          "title": "Longterm Outcomes Following Primary Iol Implantation: Beyond A Decade",
          "track": "Cataract surgery pediatric",
          "session_type": "ePoster"
        },
        {
          "uid": "POCAT629",
          "title": "Effect Of Segmented Optical Axial Length On The Performance Of A New-Generation Intraocular Lens Power Calculation Formula",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Valentina Rodriguez Martini",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR064",
          "title": "Management Of Bilateral Corneal Perforation Secondary To Severe Exposure Keratopathy In A Neurologically Impaired Patient: Sequential Keratoplasty And Definitive Tarsorrhaphy",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POCOR420",
          "title": "Bilateral Corneal Perforation As A Manifestation Of Severe Vitamin B12 Deficiency In An Adolescent With Extreme Dietary Restriction",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Vanja Godjevac",
      "count": 2,
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 2
        }
      ],
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        {
          "name": "ePoster",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR352",
          "title": "Longitudinal Analysis Of Epithelial Thickness Parameters Measured By Optical Coherence Tomography In Patients With Progressive And Stable Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        },
        {
          "uid": "FP06.08",
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          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Vardhaman Prakash Kankariya",
      "count": 2,
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        {
          "name": "Lenticular intrastomal surgery",
          "count": 1
        },
        {
          "name": "Phakic IOLs",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 2
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF087",
          "title": "Circle Software For Management Of Epithelial Ingrowth After Smile",
          "track": "Lenticular intrastomal surgery",
          "session_type": "ePoster"
        },
        {
          "uid": "POREF135",
          "title": "Implantable Collamer Lens For Low To Moderate Myopia: A Retrospective Outcome Analysis Of 361 Eyes.",
          "track": "Phakic IOLs",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Walter Sekundo",
      "count": 2,
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        {
          "name": "Lenticular intrastomal surgery",
          "count": 2
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
        },
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP11.14",
          "title": "Impact Of Eye-Tracking-Assisted Centration Versus Manual Alignment Of The Treatment Zone Centration After Klex (Smile): A Prospective Randomized Double-Blinded Contralateral Eye Study",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Free Paper"
        },
        {
          "uid": "PP22.12",
          "title": "Refractive And Clinical Results Of Myopic Klex In Patients With An Inactive Atopic Dermatitis: A Cross-Sectional Study",
          "track": "Lenticular intrastomal surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Wan Haslina Halim",
      "count": 2,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        },
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Case Report",
          "count": 1
        },
        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "CC03.10",
          "title": "Complex Ocular Reconstruction For Visual Salvation With Visiongraft®",
          "track": "Corneal Surgery",
          "session_type": "Case Report"
        },
        {
          "uid": "FP06.03",
          "title": "Enhancing The Diagnostic Precision Of Subclinical Keratoconus By Combining Indices From Scheimpflug Tomography, Corneal Biomechanics, And Anterior Segment Optical Coherence Tomography",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Waseem Nasser",
      "count": 2,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 1
        },
        {
          "name": "LASIK",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
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        }
      ]
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      "name": "Aaron Bath",
      "count": 1,
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          "name": "Phakic IOLs",
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      "representative_abstracts": [
        {
          "uid": "FP19.14",
          "title": "Intraoperative Events During Posterior Chamber Phakic Intraocular Lens\nImplantation: A Systematic Review And Proposal For A Mechanism-Based\nReporting Framework",
          "track": "Phakic IOLs",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Aaron Ng",
      "count": 1,
      "tracks": [
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          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT077",
          "title": "Unique Case Of Pseudophakic Angle Closure From Capsular Tension Ring",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Aaron Perlberger",
      "count": 1,
      "tracks": [
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP01.018",
          "title": "Corneal Sensitivity Before And After Vitrectomy\nA Prospective Study",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abby Wilson",
      "count": 1,
      "tracks": [
        {
          "name": "Refractive surgery instrumentation / evaluation devices",
          "count": 1
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      ],
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        {
          "name": "Free Paper",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "FP23.07",
          "title": "Biomechanical Changes After Flap-Based Vs Lenticule-Based Refractive Procedures: Implications For Refractive Outcomes And Ectasia Risk",
          "track": "Refractive surgery instrumentation / evaluation devices",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Abdelrahman Abu Osba",
      "count": 1,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 1
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          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "PP01.10",
          "title": "Incidence And Progression Of Glaucoma Following Boston Type 1 Keratoprosthesis: A Systematic Review And Meta-Analysis",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdul-Raheem Abu Shanab",
      "count": 1,
      "tracks": [
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP01.09",
          "title": "Electronic Device Exposure And Dry Eye Symptoms Among Medical And Nonmedical Palestinian University Students: A Multicenter Cross-Sectional Study Of Associated Factors",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdulelah Binyamin",
      "count": 1,
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        {
          "name": "Cataract surgery practice styles",
          "count": 1
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          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP20.14",
          "title": "Efficacy And Safety Of Hypertonic Saline In Postoperative Corneal Edema: A Systematic Review And Meta-Analysis",
          "track": "Cataract surgery practice styles",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Abdulkadir Oduncu",
      "count": 1,
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          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP19.017",
          "title": "Pulsatile Red Reflex: A New Phenomenon In Ophthalmic Hemodynamic Imaging",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdullah Mohammed Al-Omair",
      "count": 1,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
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          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "PP08.12",
          "title": "Pediatric Penetrating Keratoplasty: A Comprehensive Systematic Review Of Indications, Outcomes, And Prognostic Factors",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdulmajeed Alhaidari",
      "count": 1,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "PP08.05",
          "title": "Descemet Stripping Endothelial Keratoplasty Versus Penetrating Keratoplasty In Patients With Fuchs Endothelial Dystrophy In A Tertiary Eye Hospital In Riyadh, Saudi Arabia",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abdulrahman Alhomoud",
      "count": 1,
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          "name": "Corneal Surgery",
          "count": 1
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          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POCOR017",
          "title": "Clinical Course Of Acanthamoeba Radial Perineuritis In Contact Lens Wearer: Case Report",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Abdus Samad Ansari",
      "count": 1,
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          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POGAU032",
          "title": "Preserflo Microshunt Implantation With And Without Adjunctive Intracameral Bevacizumab: Two-Year Outcomes From A Tertiary Glaucoma Service",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Abdülcemal Gürpınar",
      "count": 1,
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          "name": "Collagen cross linking",
          "count": 1
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          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "PP16.09",
          "title": "Outcomes Of High-Fluence (7.2 J/Cm²) Accelerated Collagen Cross-Linking In Advanced Keratoconus",
          "track": "Collagen cross linking",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Abilkaiyr Assan",
      "count": 1,
      "tracks": [
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          "name": "Cataract Surgery",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT014",
          "title": "Recurrent Descemet Membrane Detachment After Phacoemulsification Successfully Managed With Adhesive Viscoelastic Tamponade: A Case Report",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
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      "name": "Abiram Chandiramohan",
      "count": 1,
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          "name": "Combined glaucoma / cataract surgery",
          "count": 1
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          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP28.12",
          "title": "Advancing Glaucoma Care Through Virtual Reality: Comparative Performance Of Virtual Reality-Visual Field Testing And Humphrey Perimetry",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Abishek Mehra",
      "count": 1,
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR507",
          "title": "When Colours Harm Vision: Acute Ocular Injury After The Holi Festival In Raipur Central India",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Adam Ferguson",
      "count": 1,
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          "name": "Keratoconus and secondary ectasia",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR347",
          "title": "Clinical Outcomes Of Corneal Allogenic Intrastromal Ring Segments (Cairs) In Patients With Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Adel El Layeh",
      "count": 1,
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          "name": "ePoster",
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        {
          "uid": "POCAT535",
          "title": "Long Term Safety And Efficacy Of Iris Claw Versus Scleral Fixated Intraocular Lens For Management Of Ectopia Lentis",
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          "session_type": "ePoster"
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    {
      "name": "Adele Mazzoleni",
      "count": 1,
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          "count": 1
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        {
          "uid": "PP08.06",
          "title": "Refractive Outcomes Following Combined Phacoemulsification And Descemet Membrane Endothelial Keratoplasty",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Adeya Mohammed Alharami",
      "count": 1,
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          "name": "Surface photoablation",
          "count": 1
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          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POREF211",
          "title": "Clinical Outcomes Of Conventional Vs. Transepithelial Photorefractive Keratectomy: A Prospective Randomised Double-Blinded Contralateral Eye Study",
          "track": "Surface photoablation",
          "session_type": "ePoster"
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    {
      "name": "Adi Einan-Lifshitz",
      "count": 1,
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR295",
          "title": "The Influence Of Corneal Transplants On Intraocular Pressure Measurements Using Icare Home Tonometer",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
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    {
      "name": "Aditya Kelkar",
      "count": 1,
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          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP20.08",
          "title": "Ten-Year Real-World Outcomes Of Intravitreal Antibiotics Alone, Deferred Vitrectomy, And Immediate Vitrectomy For Acute Post-Cataract Endophthalmitis",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
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      "name": "Afef Maalej",
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          "uid": "POANT025",
          "title": "Cataract And Pseudoexfoliation: Objective Ubm Imaging Of The Anterior Segment In Exfoliation Syndrome And Exfoliative Glaucoma",
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    {
      "name": "Agnieszka Budnik",
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          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POCOR083",
          "title": "Scleral Patch Graft In The Treatment Of Corneal Perforation - Case Report",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
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      "name": "Agnieszka Kulig",
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          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POREF178",
          "title": "Contralateral Evaluation Of Ocular Surface Stability: Lenticule Extraction (Smartsight) Versus Flap-Based Presbyopic Correction (Femto-Lasik Presbymax)",
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          "session_type": "ePoster"
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      "representative_abstracts": [
        {
          "uid": "CC03.13",
          "title": "Bowman’S Layer Transplantation As A Therapeutic Strategy For Advanced Neurotrophic Keratopathy",
          "track": "Corneal Surgery",
          "session_type": "Case Report"
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      ]
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      "name": "Ahmad Masoomi",
      "count": 1,
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          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP23.01",
          "title": "Longitudinal Layer-Specific Revascularization Patterns Of Amniotic Membrane Transplantation Following Pterygium Surgery: An Octa Study",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
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    {
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      "count": 1,
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POCAT190",
          "title": "Audit Of The First 100 Independent Phacoemulsification Surgeries In Burkina Faso In A Resource-Constrained Setting",
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          "session_type": "ePoster"
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          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP01.06",
          "title": "Agreement And Clinical Alignment Of Osdi And Speed In A Large Dry Eye Specialty Clinic Cohort",
          "track": "Ocular surface disease",
          "session_type": "Presented Poster"
        }
      ]
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    {
      "name": "Ahmed Alnabihi",
      "count": 1,
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "PP21.06",
          "title": "Smog And Sight: An Epidemiological Evidence On The Link Between Air Pollution And Ocular Aging: A Comprehensive Systematic Review And Meta-Analysis",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
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    {
      "name": "Ahmed Assaf",
      "count": 1,
      "tracks": [
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          "name": "IOLs - monofocal and advanced monofocal",
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      "representative_abstracts": [
        {
          "uid": "PP06.16",
          "title": "Rotational Stability Of An Advanced-Optic Toric Iol Implanted Using Cohesive Ovds Versus Balanced Salt Solution: A Prospective Contralateral Study",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Presented Poster"
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      "count": 1,
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          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP04.10",
          "title": "Comparative Outcomes Of Kahook Dual Blade, Omni, And Itrack Procedures Combined With Cataract Surgery: A One-Year Retrospective Analysis",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "Free Paper"
        }
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    },
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      "name": "Ahmed Hassan Aldghaimy",
      "count": 1,
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          "name": "Combined glaucoma / cataract surgery",
          "count": 1
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          "name": "Free Paper",
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      "representative_abstracts": [
        {
          "uid": "FP28.03",
          "title": "Efficacy And Safety Of Combined Continuous-Wave And Micropulse Transscleral Cyclophotocoagulation In Resistant Glaucoma",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "Free Paper"
        }
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      "name": "Ahmed Mohammad",
      "count": 1,
      "tracks": [
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "Free Paper",
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      "representative_abstracts": [
        {
          "uid": "FP26.02",
          "title": "Comparative Efficacy And Safety Of 0.05% Cyclosporine A And 3% Diquafosol Sodium In Dry Eye Disease: A Systematic Review And Meta-Analysis With Trial Sequential Analysis",
          "track": "Ocular surface disease",
          "session_type": "Free Paper"
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    {
      "name": "Ahmed Oreaba",
      "count": 1,
      "tracks": [
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          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP14.14",
          "title": "Intraoperative Oct-Guided Pneumodescemetopexy And Corneal Compression Sutures For Extensive Acute Corneal Hydrops",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Ahmed Safieldin",
      "count": 1,
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          "name": "Cornea infectious disease",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR240",
          "title": "Treat The Vision, Not The Scar”: A Functional Non-Surgical Strategy For Visual Rehabilitation In Corneal Opacity",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ahmed Shalid",
      "count": 1,
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          "name": "Endothelial keratoplasty",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR308",
          "title": "Femtosecond Laser Assisted Descemets Stripping Endothelial Keratoplasty In An Aphakic Vitrectomized, Oil Filled Eye Using Meshwork Support: A Complex Post-Traumatic Case In A 50-Year-Old Gentleman",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ahmet Can Özdemir",
      "count": 1,
      "tracks": [
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          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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        {
          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP08.10",
          "title": "Morphological Changes Of Schlemm’S Canal In Post Penetrating Keratoplasty Glaucoma: A Comparative As-Oct Study",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Ahmet Elbay",
      "count": 1,
      "tracks": [
        {
          "name": "Collagen cross linking",
          "count": 1
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      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "PP16.07",
          "title": "Determinants Of Postoperative Pain Following Corneal Cross-Linking: A Longitudinal Mixed-Effects Analysis",
          "track": "Collagen cross linking",
          "session_type": "Presented Poster"
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          "session_type": "Free Paper"
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          "session_type": "ePoster"
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          "count": 1
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          "count": 1
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      "name": "Alexander Day*",
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    {
      "name": "Alexander Harris",
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          "name": "ePoster",
          "count": 1
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      "name": "Alexander John Kanellopoulos",
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          "session_type": "ePoster"
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          "name": "IOLs - complications",
          "count": 1
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          "session_type": "Free Paper"
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          "session_type": "ePoster"
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          "count": 1
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          "name": "ePoster",
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          "session_type": "ePoster"
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          "name": "ePoster",
          "count": 1
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          "count": 1
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          "name": "Presented Poster",
          "count": 1
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          "uid": "PP23.05",
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          "session_type": "Presented Poster"
        }
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      "name": "Ali Suha Uyanik",
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          "name": "Collagen cross linking",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR187",
          "title": "Effect Of Corneal Collagen Cross-Linking On Corneal Endothelial Cell Morphology In Keratoconus: A Prospective Controlled Study With Specular Microscopy",
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          "session_type": "ePoster"
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      "name": "Alia Al-Mousawi",
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          "name": "Corneal Surgery",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR020",
          "title": "Surgical Management Of Corneal Limbal Dermoids: A Case Series And Report Of Local Outcomes At A Tertiary Centre In The United Kingdom",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
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    {
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          "uid": "FP16.15",
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          "uid": "PP15.06",
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      "name": "Alvin Wei Jun Teo",
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          "uid": "PP23.16",
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      "name": "Amar Alwitry",
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      ]
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    {
      "name": "Amardeep Singh",
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          "count": 1
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          "uid": "POREF100",
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        }
      ]
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      "name": "Ambreen Yousaf",
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          "name": "Cataract surgery pediatric",
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          "uid": "PP18.02",
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          "count": 1
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          "count": 1
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          "uid": "POOTH022",
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          "uid": "CC02.12",
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          "name": "Phakic IOLs",
          "count": 1
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          "count": 1
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          "count": 1
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          "name": "ePoster",
          "count": 1
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          "count": 1
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          "session_type": "ePoster"
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          "count": 1
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          "name": "ePoster",
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          "uid": "POCOR421",
          "title": "A Comparison Between The Ocular Surface Of Different Concentrations Of Benzalkonium Chloride Preservative In Postoperative Topical Medications After Cataract Surgery",
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          "session_type": "ePoster"
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          "count": 1
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          "count": 1
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          "count": 1
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          "name": "ePoster",
          "count": 1
        }
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          "uid": "POCAT558",
          "title": "Scleral Fixation With Mccabe Belt Loop Technique- A Clinical Audit Of Outcomes And Stability In Complex Intraocular Lens (Iol) Rescue.",
          "track": "IOLs - other",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "An Ting Xu",
      "count": 1,
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
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          "name": "Presented Poster",
          "count": 1
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        {
          "uid": "PP02.15",
          "title": "Lens Opacity As A Predictor Of Retinal Vasculature Change Following Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
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        }
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    },
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      "name": "Ana Gornik",
      "count": 1,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "name": "ePoster",
          "count": 1
        }
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          "uid": "POCOR354",
          "title": "Bilateral Sequential Acute Corneal Hydrops Complicated With Unilateral Corneal Perforation",
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          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ana Maria Arghirescu",
      "count": 1,
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          "name": "Endothelial keratoplasty",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
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    {
      "name": "Ana Meter Kuzman",
      "count": 1,
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        {
          "name": "Endothelial keratoplasty",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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          "uid": "POCOR257",
          "title": "The Influence Of Donor Lamella Thickness On Visual Acuity In Patients Who Underwent Descemet’S Stripping Automated Endothelial Keratoplasty Procedure",
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          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Ana Popovic",
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          "name": "Corneal Surgery",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR118",
          "title": "Phototherapeutic Keratectomy In Schnyder Corneal Dystrophy: Visual Rehabilitation And Recurrence Considerations In A 44-Year-Old Patient",
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          "session_type": "ePoster"
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      ]
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    {
      "name": "Ana Señaris Señaris González",
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          "name": "Endothelial keratoplasty",
          "count": 1
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCOR277",
          "title": "Five-Year Activity And Outcomes Of Endothelial Keratoplasty At Spain Tissue Bank (2020–2024)",
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          "session_type": "ePoster"
        }
      ]
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      "count": 1,
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          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT357",
          "title": "Comparative Clinical Outcomes In Indian Eyes For Two Increased Range Of Vision (Irof) Iols And Two Full Range Of Vision (Frof) Iols",
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          "session_type": "ePoster"
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          "count": 1
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          "count": 1
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          "count": 1
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          "name": "ePoster",
          "count": 1
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          "count": 1
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          "name": "Surface photoablation",
          "count": 1
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          "count": 1
        }
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          "name": "ePoster",
          "count": 1
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCAT171",
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    {
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT186",
          "title": "Intracameral Cefuroxime Prophylaxis After Cataract Surgery: Ethical And Medico-Legal Considerations In The Presence Of Known Retinal Toxicity",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
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    {
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          "name": "IOLs - multifocal",
          "count": 1
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        {
          "name": "ePoster",
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          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
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          "name": "Presented Poster",
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          "uid": "PP13.08",
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          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Presented Poster"
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          "name": "Cataract Surgery",
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        {
          "name": "ePoster",
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          "uid": "POCAT070",
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          "name": "ePoster",
          "count": 1
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          "count": 1
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          "uid": "POCOR099",
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          "name": "Phakic IOLs",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POREF123",
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          "name": "IOL power calculation",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT579",
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          "session_type": "ePoster"
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          "track": "LASIK",
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          "title": "Clinical And Functional Outcomes Of A Non-Diffractive Edof Intraocular Lens Based On An Advanced Hydrophobic Acrylic Platform",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Emmanouil Gkogkos",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - other",
          "count": 1
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          "name": "Presented Poster",
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      "representative_abstracts": [
        {
          "uid": "PP15.02",
          "title": "Flapless Trocar-Assisted Carlevale Iol Implantation Without Conjunctival Opening",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Emrullah Simsek",
      "count": 1,
      "tracks": [
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          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP19.02",
          "title": "Anterior Segment Microvascular Metrics On Oct Angiography In Fuchs Endothelial Dystrophy: Impact Of Phaco-Dmek",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Enea Chisci",
      "count": 1,
      "tracks": [
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          "name": "IOLs - other",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP15.03",
          "title": "Trends Of Cataract Treatment In Italy: A Population Study On Estimated Demand And Allocation Between Private Sector And National Health System Over 23 Years",
          "track": "IOLs - other",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Enes Serbest",
      "count": 1,
      "tracks": [
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          "name": "IOL power calculation",
          "count": 1
        }
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT622",
          "title": "Association Between Zone-Based Scheimpflug-Placido Keratometry And Refractive Accuracy Using The Escrs Iol Calculator",
          "track": "IOL power calculation",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Enida Hoxha",
      "count": 1,
      "tracks": [
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCAT167",
          "title": "Cataract Surgery Outcomes In Nonagenarians",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Enitan Sogbesan",
      "count": 1,
      "tracks": [
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          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP13.01",
          "title": "Carbon Footprint Of Cataract Surgery Using The Atom/Zasti Tool: High-Volume Estimates And International Benchmarking",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Eran Berkowitz",
      "count": 1,
      "tracks": [
        {
          "name": "Combined glaucoma / cataract surgery",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POGAU005",
          "title": "Central Visual Field Reserve And The Risk Of Visual Acuity Loss After Contemporary Glaucoma Surgery",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Eray Atalay",
      "count": 1,
      "tracks": [
        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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      ],
      "session_types": [
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          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP05.13",
          "title": "Longitudinal Changes In Anterior And Posterior Corneal Densitometry After Standard And Accelerated Epithelium-Off Corneal Cross-Linking",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Erdi Karadağ",
      "count": 1,
      "tracks": [
        {
          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP22.11",
          "title": "Outcomes Of Secondary Scleral-Fixated Intraocular Lens Implantation And Descemet Membrane Endothelial Keratoplasty: A Comparative Analysis Of Staged Versus Combined Surgical Approaches",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Eric Ernest Gabison",
      "count": 1,
      "tracks": [
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          "name": "Presbyopic laser",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POREF181",
          "title": "Monovision Lasik For Presbyopia In Emmetropes And Hyperopes: How Far Vision Is Preserved In The Near Eye ?",
          "track": "Presbyopic laser",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Erik Mus",
      "count": 1,
      "tracks": [
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          "name": "Cataract surgery complications / management / prevention",
          "count": 1
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      "session_types": [
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          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP03.01",
          "title": "Iol Implantation In Absence Of Capsular Support, Comparison Between Two Different Techniques Of Sutureless Scleral Fixated Iol (Carlevale Vs Yamane): Visual Outcome, Complications And As-Oct Analysis",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Erik Navas-Villar",
      "count": 1,
      "tracks": [
        {
          "name": "Surface photoablation",
          "count": 1
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          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POREF228",
          "title": "Early Outcomes Of Contralateral-Eye Comparison Between Femtoprk Versus Conventional Manual Excimer Prk",
          "track": "Surface photoablation",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Erika Bonacci",
      "count": 1,
      "tracks": [
        {
          "name": "Collagen cross linking",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP02.11",
          "title": "Structural And Cellular Characterization Of Post-Cxl Extreme-Flattened Corneas: Evidence Of Keratocyte Depletion",
          "track": "Collagen cross linking",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Eriks Elksnis",
      "count": 1,
      "tracks": [
        {
          "name": "Phakic IOLs",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "PP07.05",
          "title": "Icl Outcomes Across Myopia Severity: Real-World Udva And Vault Using Correlated-Eye Modelling",
          "track": "Phakic IOLs",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Ernesto Alonso Juárez",
      "count": 1,
      "tracks": [
        {
          "name": "Phakic IOLs",
          "count": 1
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      "session_types": [
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          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP19.12",
          "title": "Horizontal Versus Vertical Sulcus-To-Sulcus Measurements: Anatomical Asymmetry And Determinants Of Postoperative Vault",
          "track": "Phakic IOLs",
          "session_type": "Free Paper"
        }
      ]
    },
    {
      "name": "Ertan Sunay",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP24.018",
          "title": "Postoperative Visual Performance With Two Models Of Trifocal Diffractive Intraocular Lenses",
          "track": "IOLs - multifocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Esin Sogutlu Sari",
      "count": 1,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
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      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
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      "representative_abstracts": [
        {
          "uid": "POCOR243",
          "title": "Contact Lens-Associated Microbial Keratitis Requiring Hospitalisation At Tertiary Referral Center: Clinical Characteristics, Microbiological Findings And Predictors Of Surgical Intervention",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Eva Fenwick",
      "count": 1,
      "tracks": [
        {
          "name": "Presbyopic laser",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP07.09",
          "title": "Impact Of Presbyond® Laser Blended Vision Surgery For Presbyopia Correction On Five Key Patient Reported Outcomes",
          "track": "Presbyopic laser",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Eva Kos",
      "count": 1,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT023",
          "title": "Corneal Healing After Penetrating Trauma-8 Months Follow-Up",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Eva Ramón",
      "count": 1,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
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      ],
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        {
          "name": "ePoster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCOR236",
          "title": "Scleral Contact Lenses As Vision-Saving Strategy After Penetrating Keratoplasty In An Aphakic Eye",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Eva Szabo",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT449",
          "title": "Fine-Tuning The Micro-Monovision Concept With An Enhanced Monofocal",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Evelyn J Qian",
      "count": 1,
      "tracks": [
        {
          "name": "Cataract surgery complications / management / prevention",
          "count": 1
        }
      ],
      "session_types": [
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          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP21.04",
          "title": "The Cataract Surgeons Of Tomorrow – How Are They Doing? An Audit Of The Last Decade Of Early Training",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Ewa Maria Spoz",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - monofocal and advanced monofocal",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP06.06",
          "title": "Visual Outcomes Following Bilateral Implantation Of Rayone Enhanced Monovision (Emv) Intraocular Lens (Iol) Using A Full-Monovision Approach.",
          "track": "IOLs - monofocal and advanced monofocal",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Fabio Vicente Zavarse Fadul",
      "count": 1,
      "tracks": [
        {
          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP09.08",
          "title": "One Technique, Different Iol Challenges: Adaptive Flanged Fixation In Zonular Insufficiency",
          "track": "Cataract surgery techniques and instrumentation",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Fadi Haddad",
      "count": 1,
      "tracks": [
        {
          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POGAU053",
          "title": "The Efficacy Of Transscleral Diode Laser Cyclophotocoagulation In Patients With Neovascular Glaucoma (Nvg) Compared To A Control Group Of Glaucoma Patients Without Nvg",
          "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Fadi Kherdaji",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - other",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT576",
          "title": "Initial Outcomes Of Light Adjustable Lens From The United Kingdom In Patients With History Of Radial Keratotomy",
          "track": "IOLs - other",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Faisal Alharbi",
      "count": 1,
      "tracks": [
        {
          "name": "Endothelial keratoplasty",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR254",
          "title": "A Study Of Factors Influencing The Outcome Of Penetrating Keratoplasty",
          "track": "Endothelial keratoplasty",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Faisal Alsaif",
      "count": 1,
      "tracks": [
        {
          "name": "Cataract Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT007",
          "title": "Intraocular Lens Opacification In A Patient\nWith Gyrate Atrophy With A Subluxated\nIntraocular Lens",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Fang Tian",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - EDOF",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT413",
          "title": "Visual Performance After Bilateral Implantation Of A Nondiffractive Extended Depth-Of-Focus Intraocular Lens Targeted For Mini-Monovision In Chinese Population",
          "track": "IOLs - EDOF",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Farah Nur Ilyana Mohd Ibrahim",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - other",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT544",
          "title": "Clinical Outcomes Of Scharioth Macula Lens Implantation In End-Stage Age-Related Macular Degeneration: A Case Series.",
          "track": "IOLs - other",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Farida Elzawahry",
      "count": 1,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR205",
          "title": "The Combined Use Of Anterior Segment Optic Coherence Tomography And In Vivo Confocal Microscopy In Monitoring Infectious Keratitis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Farida Omar Elzawahry",
      "count": 1,
      "tracks": [
        {
          "name": "Cornea infectious disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP20.11",
          "title": "Anterior Segment Optical Coherence Tomography (Asoct) Evaluation Of Cryo-\nPreserved And Vacum Dried Amniotic Membrane Used In The Management Of Persistent\nCorneal Epithelial Defects (Ped).",
          "track": "Cornea infectious disease",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Farideh Doroodgar",
      "count": 1,
      "tracks": [
        {
          "name": "Refractive Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Case Report",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "CC02.09",
          "title": "Keratopigmentation And Refractive Surgery",
          "track": "Refractive Surgery",
          "session_type": "Case Report"
        }
      ]
    },
    {
      "name": "Farzona Abdurakhimova Abdurakhimova",
      "count": 1,
      "tracks": [
        {
          "name": "ANTERIOR SEGMENT IMAGING",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POANT022",
          "title": "Staged Femtosecond Intrastromal Arcuate Keratotomy Followed By Excimer Laser Correction For High Myopia With Astigmatism In Thin Corneas",
          "track": "ANTERIOR SEGMENT IMAGING",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Fatima Cuellar",
      "count": 1,
      "tracks": [
        {
          "name": "Evaluation testing",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "Presented Poster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "PP26.02",
          "title": "Mini-Monovision Evaluation With Enhanced Monofocal Iols Using A Visual Simulatore",
          "track": "Evaluation testing",
          "session_type": "Presented Poster"
        }
      ]
    },
    {
      "name": "Fatima Shahin",
      "count": 1,
      "tracks": [
        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR127",
          "title": "Intense Pulsed Light As Adjunctive Therapy In Refractory Inflammatory Corneal Neovascularization: A Case Report",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Fatma Burcu Özdemir",
      "count": 1,
      "tracks": [
        {
          "name": "Ocular surface disease",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR520",
          "title": "Long-Term Clinical And Visual Outcomes In Ligneous Conjunctivitis: A 10-Year Retrospective Case Series",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Fatma Feyza Nur Keskin Perk",
      "count": 1,
      "tracks": [
        {
          "name": "Refractive corneal inlays",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POREF191",
          "title": "A Glp Study To Assess Safety Of An Excimer Laser-Shaped, Electron Beam-Sterilized Allogenic Corneal Inlay (Allotex Sample) In New Zealand White Rabbits",
          "track": "Refractive corneal inlays",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Fawzi Mahmoud",
      "count": 1,
      "tracks": [
        {
          "name": "IOL power calculation",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCAT607",
          "title": "Real-World Utility Of The Escrs Online Iol Calculator: Resolving Legacy Formula Discordance In Clinical Practice",
          "track": "IOL power calculation",
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          "name": "ePoster",
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          "title": "Long-Term Clinical Outcomes Of Hybrid Acrylic Refractive Continuous Transitional Focus (Ctf) Lens Implant In Cataract Surgery",
          "track": "IOLs - multifocal",
          "session_type": "ePoster"
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      "name": "Huy Le",
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          "title": "Sequential Zero-Vacuum Horizontal Chop For Cataract Surgery",
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          "name": "ePoster",
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          "uid": "FP20.03",
          "title": "Local Inflammatory Response After Phacoemulsification Complicated By Lens Material In The Retrolental Space With And Without Draining Posterior Capsulorhexis",
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    {
      "name": "Igor Skrovanek",
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    {
      "name": "Ileana Anika Azcarraga Domondon",
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          "name": "Corneal Surgery",
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          "uid": "POCOR049",
          "title": "Apparent Corneal Displacement Of A Conjunctival Naevus Associated With Pterygium Progression: A 25-Year Serial Photographic Case Report",
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          "uid": "POOTH031",
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          "uid": "POCOR556",
          "title": "Short-Term Topical Anti-Inflammatory Therapy Combined With Lubrication In Dry Eye Syndrome: A Retrospective Comparative Study",
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          "uid": "PP20.01",
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          "uid": "PP15.07",
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          "session_type": "Presented Poster"
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      "name": "Inara Haji",
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          "name": "Corneal Surgery",
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          "uid": "POCOR069",
          "title": "Adjunctive Subconjunctival Dexamethasone In Severe Traumatic Corneal Ulcer Complicated By Endophthalmitis: A Case Report",
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          "session_type": "ePoster"
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      "name": "Indu Bala",
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        {
          "uid": "POCOR196",
          "title": "Use Of Umbilical Cord Patches And Smile Lenticule For Sealing Corneal Perforations",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
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      "name": "Inès Abdesselam",
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          "name": "Combined glaucoma / cataract surgery",
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        {
          "uid": "POGAU001",
          "title": "5-Year Efficacy And Safety Of Istent® Inject Combined With Phacoemulsification In Primary Open-Angle Glaucoma",
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          "session_type": "ePoster"
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          "name": "ePoster",
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          "uid": "POCAT330",
          "title": "Postoperative Inflammatory “Cocoon” Membrane Following Phacoemulsification: A Distinct Clinical Entity",
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          "session_type": "ePoster"
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          "uid": "FP24.11",
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          "session_type": "Free Paper"
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          "name": "Cataract surgery complications / management / prevention",
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          "uid": "FP09.08",
          "title": "Prevalence And Clinical Risk Factors Of Intraoperative Floppy Iris Syndrome In Women: A Prospective Study",
          "track": "Cataract surgery complications / management / prevention",
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      "name": "Irina Bogdanova",
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          "name": "Combined glaucoma / cataract surgery",
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          "name": "ePoster",
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          "uid": "POGAU007",
          "title": "Artificial Intelligence In Detecting Normal-Tension Glaucoma",
          "track": "Combined glaucoma / cataract surgery",
          "session_type": "ePoster"
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      ]
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          "name": "Cataract surgery complications / management / prevention",
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          "name": "ePoster",
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          "uid": "POCAT170",
          "title": "Perioperative Fixed Combination Of Levofloxacin 0.5% And Ketorolac 0.5% After Phacoemulsification: A Prospective Single-Centre Cohort Study",
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          "session_type": "ePoster"
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          "name": "Cornea infectious disease",
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCOR210",
          "title": "Stromal Keratitis: An Ocular Presentation Of Tuberculosis",
          "track": "Cornea infectious disease",
          "session_type": "ePoster"
        }
      ]
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    {
      "name": "Iryna Lahorzhevska",
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          "name": "Corneal Surgery",
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCOR088",
          "title": "Endogenous Endophthalmitis Secondary To Liver Abscess: Diagnostic And Therapeutic Challenges",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
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      "name": "Isabel Mara Opinion Caparros",
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          "name": "ePoster",
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        {
          "uid": "POCAT271",
          "title": "Fluidics Stability And Endothelial Safety Across Surgical Experience Levels: A Standardized Evaluation Of The Rayner Sophi™ Phacoemulsification System (Rayner, Working Uk): A Pilot Comparative Study Of Consultant And Resident Cases",
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          "session_type": "ePoster"
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      "name": "Isabella Villarama Bondoc",
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          "name": "Presented Poster",
          "count": 1
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        {
          "uid": "PP13.16",
          "title": "The Environmental Impact Of Phacoemulsification In A Private Tertiary Hospital In Metro Manila, Philippines",
          "track": "SUSTAINABILITY",
          "session_type": "Presented Poster"
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      "name": "Isha Agarwalla",
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          "name": "Cataract surgery techniques and instrumentation",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCAT262",
          "title": "Goat Eye Wet Lab Training Model: Translating Skills To Human Cataract Surgery - A Cusum And Cost-Effectiveness Analysis",
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          "session_type": "ePoster"
        }
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      "name": "Ishna Auluck",
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        {
          "name": "Keratoconus and secondary ectasia",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "POCOR327",
          "title": "Optimising Hospital-Funded Contact Lens Provision At Frimley Park Hospital: Targeting Resources To Maximise Patient Benefit And Cost Effectiveness",
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          "session_type": "ePoster"
        }
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    {
      "name": "Ishta Sharma",
      "count": 1,
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        {
          "name": "Endothelial keratoplasty",
          "count": 1
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      ],
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          "name": "Presented Poster",
          "count": 1
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        {
          "uid": "PP11.09",
          "title": "Correlation Between Descemet's Membrane Endothelial Keratoplasty Transplant Diameter And Intra-Operative Difficulty In Unfolding, Post-Operative Rebubbling Rates, And White-To-White Measurements.",
          "track": "Endothelial keratoplasty",
          "session_type": "Presented Poster"
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      ]
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      "name": "Isilsu Ezgi Uluisik",
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        {
          "name": "Cataract surgery pediatric",
          "count": 1
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          "count": 1
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        {
          "uid": "FP15.09",
          "title": "Reoperation Incidence, Timing And Determinants After Congenital Cataract Surgery: A 10-Year Retrospective Study",
          "track": "Cataract surgery pediatric",
          "session_type": "Free Paper"
        }
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      "name": "Iskender Alkin Solmaz",
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          "name": "Endothelial keratoplasty",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "PP11.017",
          "title": "Cycloastragenol Preserves Telomere Length And Endothelial Cell Density: A Novel Approach For Early-Stage Fecd",
          "track": "Endothelial keratoplasty",
          "session_type": "Presented Poster"
        }
      ]
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    {
      "name": "Islam Zayed",
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        {
          "name": "Cataract Surgery",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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      ],
      "representative_abstracts": [
        {
          "uid": "POCAT126",
          "title": "Hydration Assisted Iol Implantation Instead Of Viscoelastic Material In Cataract Surgery",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Iulia Mihaela Ivanov",
      "count": 1,
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          "name": "Ocular surface disease",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR477",
          "title": "A Corneal Decompensation Cascade In A Functionally Monocular Eye: Multifactorial Mechanisms Leading To Penetrating Keratoplasty",
          "track": "Ocular surface disease",
          "session_type": "ePoster"
        }
      ]
    },
    {
      "name": "Iva Krolo",
      "count": 1,
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        {
          "name": "Corneal Surgery",
          "count": 1
        }
      ],
      "session_types": [
        {
          "name": "ePoster",
          "count": 1
        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR084",
          "title": "Born Compatible: A Twin-To-Twin Simple Limbal Epithelial Transplantation In Severe Chemical Injury",
          "track": "Corneal Surgery",
          "session_type": "ePoster"
        }
      ]
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          "session_type": "ePoster"
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          "uid": "POCAT332",
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          "session_type": "ePoster"
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          "uid": "FP10.11",
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          "name": "ePoster",
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          "name": "ePoster",
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          "name": "LASIK",
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          "name": "ePoster",
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      "name": "Jieun Lee",
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          "count": 1
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          "name": "ePoster",
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          "uid": "POCAT553",
          "title": "Mpc/Zn Hybrid Surface Modification Strategy To Suppress Late Cataract Side Effects Of Pdms Intraocular Lenses",
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          "session_type": "ePoster"
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          "name": "ePoster",
          "count": 1
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          "uid": "POREF210",
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          "name": "Lenticular intrastomal surgery",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POREF089",
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    {
      "name": "Jill Wen-Chun Huang",
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          "name": "IOLs - toric",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT641",
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          "session_type": "ePoster"
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      "name": "Jing Zhao",
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          "name": "Lenticular intrastomal surgery",
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          "name": "ePoster",
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          "uid": "POREF104",
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          "uid": "FP17.14",
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          "session_type": "Free Paper"
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "count": 1
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          "name": "Free Paper",
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          "uid": "FP13.15",
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          "session_type": "Free Paper"
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      "name": "Joao Marcelo Lyra",
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          "name": "IOLs - multifocal",
          "count": 1
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          "uid": "PP24.06",
          "title": "Optical Simulation Versus Photonic Bench Validation Of Through-Focus Point Spread Functions In Spiral And Enhanced Monofocal Intraocular Lenses",
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          "session_type": "Presented Poster"
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      "name": "Joao Pedro Antunes",
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          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT590",
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      "name": "Jobanpreet Dhillon",
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          "name": "Minimally Invasive Glaucoma Surgery (MIGS)",
          "count": 1
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          "uid": "FP28.14",
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          "count": 1
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          "uid": "POREF198",
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          "uid": "PP12.018",
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          "session_type": "Presented Poster"
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          "name": "Ocular surface disease",
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          "uid": "PP25.10",
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      "name": "John Kan",
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          "uid": "POCAT488",
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          "uid": "POOTH038",
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          "name": "ePoster",
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          "uid": "POCAT363",
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          "name": "ePoster",
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          "uid": "POCAT335",
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          "uid": "FP01.15",
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          "uid": "PP19.16",
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          "name": "Phakic IOLs",
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          "name": "ePoster",
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        {
          "uid": "POREF146",
          "title": "Corneal Biomechanical Remodeling Associated With Significant Hyperopic Shift After Implantable Collamer Lens Implantation In High Myopia",
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          "count": 1
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          "uid": "PP07.03",
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          "name": "IOLs - toric",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT637",
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          "session_type": "ePoster"
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          "name": "IOLs - toric",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT651",
          "title": "Clinical Evaluation Of The Performance Of A New Toric Partial Range Of Field Intraocular Lens",
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          "session_type": "ePoster"
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          "uid": "FP21.13",
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          "session_type": "Free Paper"
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          "name": "Phakic IOLs",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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          "uid": "PP07.06",
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          "session_type": "Presented Poster"
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      "name": "Joycelin Foong",
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          "name": "Combined glaucoma / cataract surgery",
          "count": 1
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          "name": "Free Paper",
          "count": 1
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        {
          "uid": "FP28.05",
          "title": "A Prospective Study On Direct Selective Laser Trabeculoplasty In Effective Intraocular Pressure Reduction In Patients With Primary Angle Closure Disease From A Tertiary Centre In Singapore",
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          "session_type": "Free Paper"
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    {
      "name": "Juan Camilo Cadavid Usuga",
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          "name": "Corneal Surgery",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCOR037",
          "title": "Atypical Acanthamoeba Keratitis In A 13-Year-Old: The Importance Of Suspecting The Unsuspected.",
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          "session_type": "ePoster"
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    {
      "name": "Juan Álvarez De Toledo",
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        {
          "name": "Evaluation testing",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCAT303",
          "title": "Comparison Of The Argos And Iolmaster 700 Ss-Oct Based Biometers In Eyes With Long Axial Length",
          "track": "Evaluation testing",
          "session_type": "ePoster"
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    {
      "name": "Julia Alvarez",
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        {
          "name": "Corneal Surgery",
          "count": 1
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      "session_types": [
        {
          "name": "ePoster",
          "count": 1
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          "session_type": "Free Paper"
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          "name": "ePoster",
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          "count": 1
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          "name": "ePoster",
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          "uid": "POCAT272",
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          "count": 1
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          "name": "ePoster",
          "count": 1
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          "uid": "POREF220",
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      "name": "Maria Laura Passaro",
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          "name": "Phakic IOLs",
          "count": 1
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          "name": "Free Paper",
          "count": 1
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      "name": "Maria Mercedes AMAYA Gutierrez",
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          "uid": "POREF112",
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          "session_type": "ePoster"
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          "session_type": "Free Paper"
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          "session_type": "ePoster"
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          "name": "Corneal Surgery",
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          "uid": "POCOR090",
          "title": "Back To The Basics: When Structure Is The Goal",
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          "session_type": "ePoster"
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          "session_type": "ePoster"
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      "name": "Marwan Ghabra",
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          "session_type": "ePoster"
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      "name": "Marwan Tahoun",
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          "name": "ePoster",
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          "uid": "POSUS006",
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          "count": 1
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      "name": "María FLORENCIA Becchetti",
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          "count": 1
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          "session_type": "Presented Poster"
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          "name": "ePoster",
          "count": 1
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          "uid": "POCAT503",
          "title": "A Novel Approach To Presbyopia Correction In Pseudophakia: Secondary Implantation Of A Multifocal Phakic Iol",
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          "session_type": "ePoster"
        }
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          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCOR364",
          "title": "Comparisons Of Objective And Subjective Refraction Measurements In Patients With Moderate And Severe Keratoconus",
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          "session_type": "ePoster"
        }
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      "name": "Mateja Jagić",
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          "name": "IOLs - other",
          "count": 1
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        {
          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCAT545",
          "title": "Balancing Optical Quality And Spectacle Independence: Clinical Outcomes Of Multifocal Versus Monofocal Iols",
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          "session_type": "ePoster"
        }
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      "name": "Matilde Buzzi",
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          "name": "Endothelial keratoplasty",
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    {
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          "uid": "FP14.09",
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    {
      "name": "Mohammed M. Abusayf",
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          "name": "ePoster",
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    {
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          "count": 1
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          "name": "ePoster",
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          "name": "ePoster",
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          "name": "ePoster",
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          "name": "ePoster",
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          "name": "ePoster",
          "count": 1
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          "uid": "POREF151",
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          "name": "ePoster",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "name": "Ocular surface disease",
          "count": 1
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          "name": "ePoster",
          "count": 1
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          "name": "Endothelial keratoplasty",
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        {
          "name": "ePoster",
          "count": 1
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      "representative_abstracts": [
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          "uid": "POCOR270",
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          "session_type": "ePoster"
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          "name": "ePoster",
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          "name": "Cataract surgery complications / management / prevention",
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          "name": "Presented Poster",
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          "uid": "PP21.10",
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          "uid": "POCAT030",
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        {
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          "title": "Automating The Detection Of Tomographic Edema In Fuchs Endothelial Corneal Dystrophy By Using Convolutional Neural Networks",
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          "session_type": "Presented Poster"
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          "title": "Impact Of Virtual Reality Simulator-Based Training In Reducing Complications In Cataract Surgery : A Comparative Analysis",
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      "name": "Sara Alomair",
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        {
          "uid": "POCAT320",
          "title": "Retropupillary Iris-Fixated Intraocular Lens Implantation: Surgical Technique, Outcomes, And Clinical Applications",
          "track": "IOLs - complications",
          "session_type": "ePoster"
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    {
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          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
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        {
          "uid": "PP13.12",
          "title": "Carbon Emissions Associated With Artificial Intelligence Use Among Ophthalmology Professionals: A Cross‑Sectional Survey Study",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Presented Poster"
        }
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          "name": "ePoster",
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      "representative_abstracts": [
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          "uid": "POCAT089",
          "title": "Successful Management Of Bilateral Secondary Glaucoma Following Cataract Surgery And 360 Scleral Buckle Using The Paul Glaucoma Implant : A Case Report",
          "track": "Cataract Surgery",
          "session_type": "ePoster"
        }
      ]
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCAT402",
          "title": "Visual Performance, Refractive Outcomes, And Patient Satisfaction After Implantation Of A Wavefront-Linking Presbyopia-Correcting Intraocular Lens",
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          "session_type": "ePoster"
        }
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    {
      "name": "Sathya Ravilla",
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          "name": "Cataract Surgery",
          "count": 1
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          "name": "ePoster",
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          "uid": "POCAT092",
          "title": "Spontaneous Rupture Of Anterior Lens Capsule In Two Siblings, A Rare Presentation Of Alport’S Syndrome.",
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        }
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          "uid": "PP04.13",
          "title": "Learning Curve For Hydrus Microstent Implantation: A Retrospective Observational Study Using Segmented Regression Analysis",
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          "session_type": "Presented Poster"
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          "title": "Artificial Intelligence In Ophthalmic Patient Education: A Comparative Analysis With Ai, Search\nEngines, And Human Expertise",
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          "count": 1
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          "title": "Stepwise Training In Sub-Tenon’S Anaesthesia During A Charity Ophthalmic Mission In Burkina Faso: Clinical Outcomes And Educational Impact For A Final-Year Uk Medical Student.",
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          "session_type": "ePoster"
        }
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          "count": 1
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          "name": "ePoster",
          "count": 1
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        {
          "uid": "POCOR445",
          "title": "Long-Term Trends In Dry Eye Disease Treatment In South Korea: A Nationwide Population-Based Analysis Using National Health Insurance Claims Data (2014–2023)",
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          "session_type": "ePoster"
        }
      ]
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    {
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          "name": "Corneal Surgery",
          "count": 1
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          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POCOR026",
          "title": "Surgical Management Of Congenital Anterior Segment Dysgenesis",
          "track": "Corneal Surgery",
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    {
      "name": "Seda Cansu Yeniğün Akbulut",
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        {
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          "session_type": "Presented Poster"
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        {
          "name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "count": 1
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      "representative_abstracts": [
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          "title": "Single-Haptic Z-Suture Scleral Fixation Of A Posterior Chamber Iol In Eyes With Partial Capsular Support: Optical Quality Comparison With Double-Haptic Fixation",
          "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
          "session_type": "Free Paper"
        }
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    },
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          "name": "Keratoconus and secondary ectasia",
          "count": 1
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          "uid": "PP14.02",
          "title": "Clinical Outcomes Of Novel House-Shaped Deep Anterior Lamellar Keratoplasty For Keratoconus",
          "track": "Keratoconus and secondary ectasia",
          "session_type": "Presented Poster"
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          "name": "Combined keratoplasty / cataract surgery",
          "count": 1
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        {
          "name": "ePoster",
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      "representative_abstracts": [
        {
          "uid": "POCOR146",
          "title": "Visual And Refractive Outcomes Of Cataract Surgery Following Corneal Transplantation",
          "track": "Combined keratoplasty / cataract surgery",
          "session_type": "ePoster"
        }
      ]
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          "count": 1
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          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP09.07",
          "title": "Combined Impact Of Age, Pseudoexfoliation, And Alpha-1 Blocker Use On Intraoperative Complications In Small-Pupil Cataract Surgery",
          "track": "Cataract surgery complications / management / prevention",
          "session_type": "Free Paper"
        }
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    },
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      "name": "Selim Ayata",
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          "name": "Refractive corneal inlays",
          "count": 1
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          "name": "Free Paper",
          "count": 1
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      "representative_abstracts": [
        {
          "uid": "FP23.04",
          "title": "Effects Of Corneal Inlay Explantation On Keratometry And Visual Outcomes: Long Term Results",
          "track": "Refractive corneal inlays",
          "session_type": "Free Paper"
        }
      ]
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      "name": "Selin Dogramaci",
      "count": 1,
      "tracks": [
        {
          "name": "IOLs - multifocal",
          "count": 1
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          "name": "Presented Poster",
          "count": 1
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          "uid": "PP24.11",
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          "count": 1
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          "uid": "POCOR433",
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          "count": 1
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          "count": 1
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          "uid": "PP04.14",
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    },
    {
      "name": "Victor Jose Caparas",
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          "uid": "POCAT478",
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          "uid": "POCAT025",
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          "uid": "POCAT220",
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          "uid": "POREF119",
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          "uid": "POCOR416",
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          "session_type": "ePoster"
        }
      ]
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          "name": "ePoster",
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      "representative_abstracts": [
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          "uid": "POCAT106",
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        }
      ]
    },
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          "count": 1
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          "name": "ePoster",
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        }
      ],
      "representative_abstracts": [
        {
          "uid": "POCOR418",
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          "session_type": "ePoster"
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      ]
    },
    {
      "name": "Wassim Ghazal",
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          "uid": "PP16.11",
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          "title": "Precision In Intraocular Lens Calculation For Chinese Cataract Patients With Prior History Of Radial Keratotomy",
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          "name": "ePoster",
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          "uid": "POREF046",
          "title": "Case Of Refractive Errors Accompanied By Ocular Trauma Corrected By Toric Implantable Collamer Lenses",
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          "name": "Free Paper",
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          "uid": "FP15.14",
          "title": "Visual Outcomes And Complications At Age 8 In Chinese Children With And Without Visual Axis Opacification Following Cataract Surgery For Congenital Cataracts Performed Between 0-2 Years Of Age",
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          "session_type": "Free Paper"
        }
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  "abstracts": [
    {
      "uid": "POANT001",
      "abstract_number": "POANT001",
      "title": "Unveiling Hidden Injuries\nUbm In Ocular Trauma",
      "authors": "Dr Rasha Abbas",
      "presenter": "Dr Rasha Abbas",
      "normalized_authors": [
        "Rasha Abbas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rasha Abbas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To demonstrate the value of ultrasound biomicroscopy (UBM) in the evaluation of anterior segment trauma and its role in guiding treatment decisions and surgical planning. Blunt or penetrating ocular injuries may cause structural damage that is not fully appreciated on routine examination, especially in the presence of media opacity. Subtle findings such as zonular dialysis, cyclodialysis clefts, angle recession, iris defects, or small retained foreign bodies may be overlooked. UBM provides high-resolution imaging that enhances diagnostic accuracy, reveals occult pathology, and assists in grading injury severity and planning appropriate intervention.",
        "Setting": "Anterior segment trauma can present with a wide spectrum of findings, ranging from mild structural changes to vision-threatening complications. Blunt or penetrating injuries may result in hyphema, iridodialysis, cyclodialysis, angle recession, zonular dialysis, traumatic cataract, lens subluxation, or retained anterior segment foreign bodies. Many of these findings may be subtle, masked by media opacity, or difficult to assess clinically.",
        "Methods": "This prospective case series included patients with blunt or penetrating anterior segment trauma after repair examined at Watany Eye Hospital and the Watany Research and Development Center . All patients underwent full ophthalmic evaluation, including visual acuity, slit-lamp examination, and intraocular pressure measurement when feasible. Ultrasound biomicroscopy was performed using a 35 MHz probe with an immersion technique to assess the cornea, angle, iris, ciliary body, lens position, zonular status, and detect foreign bodies. Surgical findings and postoperative outcomes were correlated with UBM results when applicable.",
        "Results": "UBM enabled high-resolution visualization of anterior segment structures and revealed occult pathology not detectable on slit-lamp examination or on other imaging modalities that require clear media. It accurately identified the extent of zonular damage, cyclodialysis clefts, angle recession, and hidden foreign bodies. Precise localization and measurement of anterior segment foreign bodies significantly facilitated surgical planning and safe removal.",
        "Conclusions": "Ultrasound biomicroscopy is a powerful and indispensable tool in the evaluation of anterior segment trauma. By revealing hidden injuries and clarifying structural damage, it transforms uncertainty into actionable insight, directly guiding treatment decisions and optimizing surgical planning for better patient outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ultrasound biomicroscopy is a powerful and indispensable tool in the evaluation of anterior segment trauma. By revealing hidden injuries and clarifying structural damage, it transforms uncertainty into actionable insight, directly guiding treatment decisions and optimizing surgical planning for better patient outcomes.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
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      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 2,
      "source_fields": {
        "Abstract Final Identifier": "POANT001",
        "Title": "Unveiling Hidden Injuries\nUbm In Ocular Trauma",
        "Presenting Author(s)": "Dr Rasha Abbas",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Rasha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abbas",
        "Country Name": "Egypt",
        "Purpose": "To demonstrate the value of ultrasound biomicroscopy (UBM) in the evaluation of anterior segment trauma and its role in guiding treatment decisions and surgical planning. Blunt or penetrating ocular injuries may cause structural damage that is not fully appreciated on routine examination, especially in the presence of media opacity. Subtle findings such as zonular dialysis, cyclodialysis clefts, angle recession, iris defects, or small retained foreign bodies may be overlooked. UBM provides high-resolution imaging that enhances diagnostic accuracy, reveals occult pathology, and assists in grading injury severity and planning appropriate intervention.",
        "Setting": "Anterior segment trauma can present with a wide spectrum of findings, ranging from mild structural changes to vision-threatening complications. Blunt or penetrating injuries may result in hyphema, iridodialysis, cyclodialysis, angle recession, zonular dialysis, traumatic cataract, lens subluxation, or retained anterior segment foreign bodies. Many of these findings may be subtle, masked by media opacity, or difficult to assess clinically.",
        "Methods": "This prospective case series included patients with blunt or penetrating anterior segment trauma after repair examined at Watany Eye Hospital and the Watany Research and Development Center . All patients underwent full ophthalmic evaluation, including visual acuity, slit-lamp examination, and intraocular pressure measurement when feasible. Ultrasound biomicroscopy was performed using a 35 MHz probe with an immersion technique to assess the cornea, angle, iris, ciliary body, lens position, zonular status, and detect foreign bodies. Surgical findings and postoperative outcomes were correlated with UBM results when applicable.",
        "Results": "UBM enabled high-resolution visualization of anterior segment structures and revealed occult pathology not detectable on slit-lamp examination or on other imaging modalities that require clear media. It accurately identified the extent of zonular damage, cyclodialysis clefts, angle recession, and hidden foreign bodies. Precise localization and measurement of anterior segment foreign bodies significantly facilitated surgical planning and safe removal.",
        "Conclusions": "Ultrasound biomicroscopy is a powerful and indispensable tool in the evaluation of anterior segment trauma. By revealing hidden injuries and clarifying structural damage, it transforms uncertainty into actionable insight, directly guiding treatment decisions and optimizing surgical planning for better patient outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POANT002",
      "abstract_number": "POANT002",
      "title": "Peering Into Pediatric Eyes: Ubm For Congenital Anomalies",
      "authors": "Dr Rasha Abbas",
      "presenter": "Dr Rasha Abbas",
      "normalized_authors": [
        "Rasha Abbas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rasha Abbas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the diagnostic utility of ultrasound biomicroscopy (UBM) in pediatric anterior segment congenital anomalies and to demonstrate its role in detecting, characterizing, and localizing structural abnormalities to guide clinical management and surgical planning.",
        "Setting": "Pediatric patients with congenital anterior segment anomalies present a diagnostic challenge, as subtle structural defects may be difficult to detect using routine clinical examination. Accurate imaging is essential for assessment, risk stratification, and planning appropriate interventions.",
        "Methods": "A retrospective analysis was conducted on pediatric patients evaluated over the last 25 years at Watany Eye Hospital and the Watany Research and Development Center.UBM examinations were performed using the Vumax system with 35 MHz probes. The cornea, iris, ciliary body, anterior chamber, and lens were systematically assessed. Data were collected on irideocorneal adhesions, aniridia, congenital lens anomalies, angle abnormalities, and ciliary body developmental defects. Findings were analyzed to determine UBM’s diagnostic contribution and impact on management.",
        "Results": "UBM identified a spectrum of congenital anterior segment abnormalities, including corneal defects, irideocorneal adhesions, iris coloboma, aniridia, spherophakia, anterior and posterior lenticonus, and angle dysgenesis. The technique enabled precise localization, characterization, and documentation of these anomalies, providing critical information for surgical planning and patient management.",
        "Conclusions": "UBM is an invaluable imaging tool in pediatric anterior segment congenital anomalies. It enhances diagnostic accuracy, reveals subtle or hidden structural defects, and directly informs clinical decision-making and surgical planning, improving patient care and outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UBM is an invaluable imaging tool in pediatric anterior segment congenital anomalies. It enhances diagnostic accuracy, reveals subtle or hidden structural defects, and directly informs clinical decision-making and surgical planning, improving patient care and outcomes.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 3,
      "source_fields": {
        "Abstract Final Identifier": "POANT002",
        "Title": "Peering Into Pediatric Eyes: Ubm For Congenital Anomalies",
        "Presenting Author(s)": "Dr Rasha Abbas",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Rasha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abbas",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the diagnostic utility of ultrasound biomicroscopy (UBM) in pediatric anterior segment congenital anomalies and to demonstrate its role in detecting, characterizing, and localizing structural abnormalities to guide clinical management and surgical planning.",
        "Setting": "Pediatric patients with congenital anterior segment anomalies present a diagnostic challenge, as subtle structural defects may be difficult to detect using routine clinical examination. Accurate imaging is essential for assessment, risk stratification, and planning appropriate interventions.",
        "Methods": "A retrospective analysis was conducted on pediatric patients evaluated over the last 25 years at Watany Eye Hospital and the Watany Research and Development Center.UBM examinations were performed using the Vumax system with 35 MHz probes. The cornea, iris, ciliary body, anterior chamber, and lens were systematically assessed. Data were collected on irideocorneal adhesions, aniridia, congenital lens anomalies, angle abnormalities, and ciliary body developmental defects. Findings were analyzed to determine UBM’s diagnostic contribution and impact on management.",
        "Results": "UBM identified a spectrum of congenital anterior segment abnormalities, including corneal defects, irideocorneal adhesions, iris coloboma, aniridia, spherophakia, anterior and posterior lenticonus, and angle dysgenesis. The technique enabled precise localization, characterization, and documentation of these anomalies, providing critical information for surgical planning and patient management.",
        "Conclusions": "UBM is an invaluable imaging tool in pediatric anterior segment congenital anomalies. It enhances diagnostic accuracy, reveals subtle or hidden structural defects, and directly informs clinical decision-making and surgical planning, improving patient care and outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POANT003",
      "abstract_number": "POANT003",
      "title": "Evaluation Of Tropicamide-Induced Cycloplegia On Anterior Chamber Cells By Anterior Segment Oct",
      "authors": "Dr Zeynep Akgün",
      "presenter": "Dr Zeynep Akgün",
      "normalized_authors": [
        "Zeynep Akgün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Akgün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the anterior chamber hyperreflective dot (HRD) density after cycloplegia with tropicamide using anterior segment optical coherence tomography (AS-OCT).",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Türkiye . Children aged 7 years or older who could cooperate were included. Exclusion criteria were prior eye surgery, chronic eye diseases, or any topical or systemic medication use.",
        "Methods": "Cycloplegia was induced with 1% tropicamide (two drops, 5 minutes apart). Laser flare photometry (FM-600; Kowa, Japan) and AS-OCT (Anterion; Heidelberg Engineering, Germany) were performed before and 30 minutes after the procedure. AS-OCT images were analysed in ImageJ (National Institutes of Health, Bethesda, USA). The anterior chamber area (ACA) was manually outlined (region of interest, ROI) for each scan. Artifacts were excluded with a separate ROI, and the ACA (pixels²) was calculated. HRDs were automatically detected and counted within the ACA. Density was reported as HRD per 10,000 pixels², calculated by dividing the number of HRDs by the ACA area. Results were compared with laser flare measurements.",
        "Results": "A total of 52 eyes from 26 patients were included. The mean age was 10.46±2.2 (7-16), and the female/male ratio was 16/10. The mean HRD density pre-cycloplegia was 0.45±0.76 and increased to 0.81±1.06 post-cycloplegia (p = 0.048). The mean pre- and postcycloplegia flares were 0.479 ± 0.848 ph/ms and 0.982 ± 2.577, respectively (p=0.393). No correlation was found between pre- and post-cycloplegia HRD density and flare values (p = 0.708, ρ = 0.057, p = 0.954, ρ = 0.0088, respectively).",
        "Conclusions": "AS-OCT, which is gaining attention in many anterior segment pathologies, detected a small but significant increase in cells in children after cycloplegia with tropicamide, an increase that was undetectable by laser flare."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AS-OCT, which is gaining attention in many anterior segment pathologies, detected a small but significant increase in cells in children after cycloplegia with tropicamide, an increase that was undetectable by laser flare.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 4,
      "source_fields": {
        "Abstract Final Identifier": "POANT003",
        "Title": "Evaluation Of Tropicamide-Induced Cycloplegia On Anterior Chamber Cells By Anterior Segment Oct",
        "Presenting Author(s)": "Dr Zeynep Akgün",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akgün",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the anterior chamber hyperreflective dot (HRD) density after cycloplegia with tropicamide using anterior segment optical coherence tomography (AS-OCT).",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Türkiye . Children aged 7 years or older who could cooperate were included. Exclusion criteria were prior eye surgery, chronic eye diseases, or any topical or systemic medication use.",
        "Methods": "Cycloplegia was induced with 1% tropicamide (two drops, 5 minutes apart). Laser flare photometry (FM-600; Kowa, Japan) and AS-OCT (Anterion; Heidelberg Engineering, Germany) were performed before and 30 minutes after the procedure. AS-OCT images were analysed in ImageJ (National Institutes of Health, Bethesda, USA). The anterior chamber area (ACA) was manually outlined (region of interest, ROI) for each scan. Artifacts were excluded with a separate ROI, and the ACA (pixels²) was calculated. HRDs were automatically detected and counted within the ACA. Density was reported as HRD per 10,000 pixels², calculated by dividing the number of HRDs by the ACA area. Results were compared with laser flare measurements.",
        "Results": "A total of 52 eyes from 26 patients were included. The mean age was 10.46±2.2 (7-16), and the female/male ratio was 16/10. The mean HRD density pre-cycloplegia was 0.45±0.76 and increased to 0.81±1.06 post-cycloplegia (p = 0.048). The mean pre- and postcycloplegia flares were 0.479 ± 0.848 ph/ms and 0.982 ± 2.577, respectively (p=0.393). No correlation was found between pre- and post-cycloplegia HRD density and flare values (p = 0.708, ρ = 0.057, p = 0.954, ρ = 0.0088, respectively).",
        "Conclusions": "AS-OCT, which is gaining attention in many anterior segment pathologies, detected a small but significant increase in cells in children after cycloplegia with tropicamide, an increase that was undetectable by laser flare."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POANT004",
      "abstract_number": "POANT004",
      "title": "Comparison Of Corneal Thickness Map Measured By Spectral Domain Optical Coherence Tomography And Scheimpflug Tomography In Healthy Myope, Keractoconus And Forme Fruste Subjects",
      "authors": "Dr Abdullah Alfrayyan",
      "presenter": "Dr Abdullah Alfrayyan",
      "normalized_authors": [
        "Abdullah Alfrayyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdullah Alfrayyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare corneal thickness mapping and tomographic parameters measured by spectral domain optical coherence tomography (SD-OCT, MS-39) and Scheimpflug tomography (Pentacam) in normal myopic eyes, keratoconus (KC), and forme fruste keratoconus (FFKC) subjects, and to evaluate their role in detecting early ectatic changes.",
        "Setting": "A retrospective cross-sectional study was conducted at a tertiary eye center in Saudi Arabia between 2023 and 2025.",
        "Methods": "A total of 127 eyes from 77 patients were included and categorized into three groups: normal myopia , FFKC , and KC . Participants underwent corneal imaging using Scheimpflug tomography (Pentacam) and spectral domain OCT (MS-39). Parameters analyzed included keratometry values, corneal thickness, Pentacam indices (ISV, IVA, KI, CKI, IHA, IHD), Belin/Ambrósio Enhanced Display (BAD-D) parameters, and epithelial thickness mapping. Statistical analysis was performed using ANOVA with Bonferroni post-hoc comparisons, and receiver operating characteristic analysis was used to evaluate diagnostic performance.",
        "Results": "The KC group demonstrated significantly higher keratometry values, greater astigmatism, and abnormal Pentacam indices compared with the myopia and FFKC groups (p < 0.001). Belin/Ambrósio display parameters, including front and back elevation deviations and BAD-D values, were also significantly elevated in KC eyes. In contrast, most tomographic parameters were similar between FFKC and normal myopic eyes. SD-OCT epithelial mapping revealed regional epithelial thickness variations in KC eyes and subtle differences in FFKC eyes compared with normal myopes. ROC analysis identified minimum radius of curvature (Rmin) and SD-OCT astigmatism as the most effective parameters for distinguishing FFKC from myopia.",
        "Conclusions": "Keratoconus eyes demonstrate significant abnormalities in both Scheimpflug tomography and SD-OCT parameters, while FFKC eyes show tomographic profiles largely similar to normal myopes with subtle epithelial changes. SD-OCT epithelial mapping may provide additional sensitivity for detecting early ectatic alterations. The combined use of Scheimpflug tomography and SD-OCT imaging may enhance the early detection of subclinical keratoconus, improving screening strategies for refractive surgery candidates."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoconus eyes demonstrate significant abnormalities in both Scheimpflug tomography and SD-OCT parameters, while FFKC eyes show tomographic profiles largely similar to normal myopes with subtle epithelial changes. SD-OCT epithelial mapping may provide additional sensitivity for detecting early ectatic alterations. The combined use of Scheimpflug tomography and SD-OCT imaging may enhance the early detection of…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 5,
      "source_fields": {
        "Abstract Final Identifier": "POANT004",
        "Title": "Comparison Of Corneal Thickness Map Measured By Spectral Domain Optical Coherence Tomography And Scheimpflug Tomography In Healthy Myope, Keractoconus And Forme Fruste Subjects",
        "Presenting Author(s)": "Dr Abdullah Alfrayyan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Abdullah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alfrayyan",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare corneal thickness mapping and tomographic parameters measured by spectral domain optical coherence tomography (SD-OCT, MS-39) and Scheimpflug tomography (Pentacam) in normal myopic eyes, keratoconus (KC), and forme fruste keratoconus (FFKC) subjects, and to evaluate their role in detecting early ectatic changes.",
        "Setting": "A retrospective cross-sectional study was conducted at a tertiary eye center in Saudi Arabia between 2023 and 2025.",
        "Methods": "A total of 127 eyes from 77 patients were included and categorized into three groups: normal myopia , FFKC , and KC . Participants underwent corneal imaging using Scheimpflug tomography (Pentacam) and spectral domain OCT (MS-39). Parameters analyzed included keratometry values, corneal thickness, Pentacam indices (ISV, IVA, KI, CKI, IHA, IHD), Belin/Ambrósio Enhanced Display (BAD-D) parameters, and epithelial thickness mapping. Statistical analysis was performed using ANOVA with Bonferroni post-hoc comparisons, and receiver operating characteristic analysis was used to evaluate diagnostic performance.",
        "Results": "The KC group demonstrated significantly higher keratometry values, greater astigmatism, and abnormal Pentacam indices compared with the myopia and FFKC groups (p < 0.001). Belin/Ambrósio display parameters, including front and back elevation deviations and BAD-D values, were also significantly elevated in KC eyes. In contrast, most tomographic parameters were similar between FFKC and normal myopic eyes. SD-OCT epithelial mapping revealed regional epithelial thickness variations in KC eyes and subtle differences in FFKC eyes compared with normal myopes. ROC analysis identified minimum radius of curvature (Rmin) and SD-OCT astigmatism as the most effective parameters for distinguishing FFKC from myopia.",
        "Conclusions": "Keratoconus eyes demonstrate significant abnormalities in both Scheimpflug tomography and SD-OCT parameters, while FFKC eyes show tomographic profiles largely similar to normal myopes with subtle epithelial changes. SD-OCT epithelial mapping may provide additional sensitivity for detecting early ectatic alterations. The combined use of Scheimpflug tomography and SD-OCT imaging may enhance the early detection of subclinical keratoconus, improving screening strategies for refractive surgery candidates."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POANT005",
      "abstract_number": "POANT005",
      "title": "Repeatability Of Anterior Segment Measurements Using Anterior Segment Oct Combined With Placido Corneal Topography In Dry Eye Patients.",
      "authors": "Dr Abdullah Alfrayyan",
      "presenter": "Dr Abdullah Alfrayyan",
      "normalized_authors": [
        "Abdullah Alfrayyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdullah Alfrayyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the repeatability of anterior segment parameters using the MS-39 in patients with dry eye disease.",
        "Setting": "Tertiary care center, Dhahran Eye Specialized Hospital",
        "Methods": "Prospective cross-sectional study on 52 eyes with repeated MS-39 scans; analyzed using coefficient of repeatability, coefficient of variation, intraclass correlation, and the repeated-measure analysis of variance.",
        "Results": "Excellent repeatability in most parameters (intraclass correlation >0.98, coefficient of variation <15%), except corneal astigmatism (coefficient of variation ~52%). Repeatability declined with worsening Ocular Surface Disease Index and Tear Break-Up Time.",
        "Conclusions": "MS-39 demonstrates high repeatability in dry eye disease except for astigmatism, where tear instability introduces variability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MS-39 demonstrates high repeatability in dry eye disease except for astigmatism, where tear instability introduces variability.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 6,
      "source_fields": {
        "Abstract Final Identifier": "POANT005",
        "Title": "Repeatability Of Anterior Segment Measurements Using Anterior Segment Oct Combined With Placido Corneal Topography In Dry Eye Patients.",
        "Presenting Author(s)": "Dr Abdullah Alfrayyan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Abdullah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alfrayyan",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the repeatability of anterior segment parameters using the MS-39 in patients with dry eye disease.",
        "Setting": "Tertiary care center, Dhahran Eye Specialized Hospital",
        "Methods": "Prospective cross-sectional study on 52 eyes with repeated MS-39 scans; analyzed using coefficient of repeatability, coefficient of variation, intraclass correlation, and the repeated-measure analysis of variance.",
        "Results": "Excellent repeatability in most parameters (intraclass correlation >0.98, coefficient of variation <15%), except corneal astigmatism (coefficient of variation ~52%). Repeatability declined with worsening Ocular Surface Disease Index and Tear Break-Up Time.",
        "Conclusions": "MS-39 demonstrates high repeatability in dry eye disease except for astigmatism, where tear instability introduces variability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 98
    },
    {
      "uid": "POANT006",
      "abstract_number": "POANT006",
      "title": "Cortical Constellations: Anterior Segment Optical Coherence Tomography Characterization Of Cerulean Cataract In A Young Filipino Adult",
      "authors": "Dr Louise Patricia May COQUILLA Angos",
      "presenter": "Dr Louise Patricia May COQUILLA Angos",
      "normalized_authors": [
        "Louise Patricia May COQUILLA Angos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Louise Patricia May COQUILLA Angos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To report a case of progressive cerulean cataract in a young adult with long-standing bilateral visual impairment, and to describe its clinical presentation and anterior segment optical coherence tomography (AS-OCT) structural features.",
        "Setting": "Department of Ophthalmology at the Southern Philippines Medical Center in Davao City",
        "Methods": "This is a descriptive case report of a 22-year-old Young Filipino male with bilateral progressive visual impairment clinically diagnosed as cerulean cataract. Comprehensive ophthalmologic evaluation was performed, including best-corrected visual acuity, slit-lamp examination, and anterior segment optical coherence tomography (AS-OCT) imaging. Structural characteristics of the lens, including cortical reflectivity patterns, capsular integrity, and nuclear appearance were analyzed. The patient subsequently underwent phacoemulsification with intraocular lens implantation in one eye. Postoperative clinical outcomes were documented.",
        "Results": "Slit-lamp examination showed bilateral circumferential whitish-to-bluish punctate cortical opacities with clear intervening lens fibers and a central stellate Y-sutural configuration. AS-OCT revealed multiple well-defined hyperreflective foci within the cortical layers and a corresponding deep cortical hyperreflective band. The nucleus appeared relatively homogeneous and hyporeflective, with intact anterior and posterior capsules and no capsular plaque. The patient underwent uneventful phacoemulsification with intraocular lens implantation. Postoperatively, visual acuity improved with a stable anterior segment and well-centered intraocular lens.",
        "Conclusions": "Cerulean cataract may present with progressive visual impairment beginning in childhood and ultimately require surgical intervention in early adulthood. Recognition of its characteristic clinical features, complemented by anterior segment OCT findings, facilitates accurate diagnosis, appropriate counseling, and timely management with adequate surgical planning. Phacoemulsification remains a safe and effective treatment option with favorable visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cerulean cataract may present with progressive visual impairment beginning in childhood and ultimately require surgical intervention in early adulthood. Recognition of its characteristic clinical features, complemented by anterior segment OCT findings, facilitates accurate diagnosis, appropriate counseling, and timely management with adequate surgical planning. Phacoemulsification remains a safe and effective…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 7,
      "source_fields": {
        "Abstract Final Identifier": "POANT006",
        "Title": "Cortical Constellations: Anterior Segment Optical Coherence Tomography Characterization Of Cerulean Cataract In A Young Filipino Adult",
        "Presenting Author(s)": "Dr Louise Patricia May COQUILLA Angos",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Louise Patricia May",
        "Submitter Middle Name": "COQUILLA",
        "Submitter Last Name": "Angos",
        "Country Name": "Philippines",
        "Purpose": "To report a case of progressive cerulean cataract in a young adult with long-standing bilateral visual impairment, and to describe its clinical presentation and anterior segment optical coherence tomography (AS-OCT) structural features.",
        "Setting": "Department of Ophthalmology at the Southern Philippines Medical Center in Davao City",
        "Methods": "This is a descriptive case report of a 22-year-old Young Filipino male with bilateral progressive visual impairment clinically diagnosed as cerulean cataract. Comprehensive ophthalmologic evaluation was performed, including best-corrected visual acuity, slit-lamp examination, and anterior segment optical coherence tomography (AS-OCT) imaging. Structural characteristics of the lens, including cortical reflectivity patterns, capsular integrity, and nuclear appearance were analyzed. The patient subsequently underwent phacoemulsification with intraocular lens implantation in one eye. Postoperative clinical outcomes were documented.",
        "Results": "Slit-lamp examination showed bilateral circumferential whitish-to-bluish punctate cortical opacities with clear intervening lens fibers and a central stellate Y-sutural configuration. AS-OCT revealed multiple well-defined hyperreflective foci within the cortical layers and a corresponding deep cortical hyperreflective band. The nucleus appeared relatively homogeneous and hyporeflective, with intact anterior and posterior capsules and no capsular plaque. The patient underwent uneventful phacoemulsification with intraocular lens implantation. Postoperatively, visual acuity improved with a stable anterior segment and well-centered intraocular lens.",
        "Conclusions": "Cerulean cataract may present with progressive visual impairment beginning in childhood and ultimately require surgical intervention in early adulthood. Recognition of its characteristic clinical features, complemented by anterior segment OCT findings, facilitates accurate diagnosis, appropriate counseling, and timely management with adequate surgical planning. Phacoemulsification remains a safe and effective treatment option with favorable visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POANT007",
      "abstract_number": "POANT007",
      "title": "Repeatability And Inter-Device Agreement Of Four Corneal Tomography Platforms In Healthy Eyes",
      "authors": "Dr Tatiana Andrea Arevalo-Barboza",
      "presenter": "Dr Tatiana Andrea Arevalo-Barboza",
      "normalized_authors": [
        "Tatiana Andrea Arevalo-Barboza"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tatiana Andrea Arevalo Barboza",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To quantify intra-device repeatability and inter-device agreement of corneal astigmatism magnitude and axis, and steep keratometry (K2), across four corneal tomography platforms in healthy eyes.",
        "Setting": "Research Department, Oftalmosalud Institute of Eyes, Lima, Perú.",
        "Methods": "Prospective, cross-sectional reliability and inter-device agreement study. A single examiner acquired three consecutive scans per eye in randomized device order using a rotating Scheimpflug camera (Pentacam HR), a Placido–Scheimpflug hybrid (Sirius), a dual rotating Scheimpflug–Placido system (Galilei G4), and a spectral-domain AS-OCT with Placido topography (MS-39). Primary outcomes were corneal astigmatism magnitude (D) and axis (°). Repeatability was summarized with within-subject SD (Sw) and repeatability coefficient (RC=2.77×Sw). Inter-device agreement used ICC and pairwise differences; Bland–Altman was applied to scalar parameters.",
        "Results": "Ninety-six eyes of 48 healthy participants (mean age 32.23±6.10 years; 64.6% female) were included. Intra-device repeatability for astigmatism magnitude was Sw 0.127–0.277 D and RC 0.353–0.768 D. Between devices, differences in astigmatism magnitude showed RC 0.456–0.732 D, whereas axis differences were larger (K2-axis RC 10.786–18.942°). Anterior K2 showed high repeatability (RC 0.312–0.540 D) and excellent inter-device reproducibility (ICC 0.995, 95% CI 0.979–0.998). Inter-device ICC for anterior astigmatism magnitude was 0.992, while axis ICCs were lower (K1 0.918, K2 0.912; all p<0.001)..",
        "Conclusions": "In healthy eyes, corneal astigmatism magnitude and steep keratometry are highly repeatable within devices and reproducible across platforms, whereas axis orientation shows larger between-device variability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In healthy eyes, corneal astigmatism magnitude and steep keratometry are highly repeatable within devices and reproducible across platforms, whereas axis orientation shows larger between-device variability.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 8,
      "source_fields": {
        "Abstract Final Identifier": "POANT007",
        "Title": "Repeatability And Inter-Device Agreement Of Four Corneal Tomography Platforms In Healthy Eyes",
        "Presenting Author(s)": "Dr Tatiana Andrea Arevalo-Barboza",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Tatiana",
        "Submitter Middle Name": "Andrea",
        "Submitter Last Name": "Arevalo Barboza",
        "Country Name": "Peru",
        "Purpose": "To quantify intra-device repeatability and inter-device agreement of corneal astigmatism magnitude and axis, and steep keratometry (K2), across four corneal tomography platforms in healthy eyes.",
        "Setting": "Research Department, Oftalmosalud Institute of Eyes, Lima, Perú.",
        "Methods": "Prospective, cross-sectional reliability and inter-device agreement study. A single examiner acquired three consecutive scans per eye in randomized device order using a rotating Scheimpflug camera (Pentacam HR), a Placido–Scheimpflug hybrid (Sirius), a dual rotating Scheimpflug–Placido system (Galilei G4), and a spectral-domain AS-OCT with Placido topography (MS-39). Primary outcomes were corneal astigmatism magnitude (D) and axis (°). Repeatability was summarized with within-subject SD (Sw) and repeatability coefficient (RC=2.77×Sw). Inter-device agreement used ICC and pairwise differences; Bland–Altman was applied to scalar parameters.",
        "Results": "Ninety-six eyes of 48 healthy participants (mean age 32.23±6.10 years; 64.6% female) were included. Intra-device repeatability for astigmatism magnitude was Sw 0.127–0.277 D and RC 0.353–0.768 D. Between devices, differences in astigmatism magnitude showed RC 0.456–0.732 D, whereas axis differences were larger (K2-axis RC 10.786–18.942°). Anterior K2 showed high repeatability (RC 0.312–0.540 D) and excellent inter-device reproducibility (ICC 0.995, 95% CI 0.979–0.998). Inter-device ICC for anterior astigmatism magnitude was 0.992, while axis ICCs were lower (K1 0.918, K2 0.912; all p<0.001)..",
        "Conclusions": "In healthy eyes, corneal astigmatism magnitude and steep keratometry are highly repeatable within devices and reproducible across platforms, whereas axis orientation shows larger between-device variability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POANT008",
      "abstract_number": "POANT008",
      "title": "Diffuse Posterior Capsule Pigmentation In Pigment Dispersion Syndrome Mimicking Posterior Subcapsular Cataract: A Diagnostic And Functional Masquerade",
      "authors": "Dr Sanjib Banerjee",
      "presenter": "Dr Sanjib Banerjee",
      "normalized_authors": [
        "Sanjib Banerjee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanjib Banerjee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe diffuse posterior capsule pigmentation in Pigment Dispersion Syndrome mimicking posterior subcapsular cataract and producing significant visual symptoms despite normal intraocular pressure.",
        "Setting": "Tertiary eye care center, India.",
        "Methods": "A 42-year-old male presented with progressive dimness of vision, glare, and night driving difficulty in the left eye. Detailed clinical evaluation included visual acuity assessment, slit-lamp examination, Goldmann applanation tonometry, gonioscopy, and optic nerve evaluation.",
        "Results": "Uncorrected visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with correction. Slit-lamp examination showed Krukenberg spindle in both eyes. The left eye demonstrated Zentmayer ring, Scheie line, and extensive diffuse pigment deposition over the posterior capsule involving the visual axis, clinically simulating posterior subcapsular cataract. Gonioscopy revealed dense trabecular meshwork pigmentation, more marked in the left eye. Intraocular pressure remained normal in both eyes. Optic nerve examination was normal. Visual symptoms correlated with central posterior capsule pigment deposition.",
        "Conclusions": "Diffuse posterior capsule pigmentation in Pigment Dispersion Syndrome can mimic posterior subcapsular cataract both structurally and functionally. Recognition of this diagnostic masquerade is essential to avoid misdiagnosis and unnecessary surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Diffuse posterior capsule pigmentation in Pigment Dispersion Syndrome can mimic posterior subcapsular cataract both structurally and functionally. Recognition of this diagnostic masquerade is essential to avoid misdiagnosis and unnecessary surgical intervention.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 9,
      "source_fields": {
        "Abstract Final Identifier": "POANT008",
        "Title": "Diffuse Posterior Capsule Pigmentation In Pigment Dispersion Syndrome Mimicking Posterior Subcapsular Cataract: A Diagnostic And Functional Masquerade",
        "Presenting Author(s)": "Dr Sanjib Banerjee",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Sanjib",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Banerjee",
        "Country Name": "India",
        "Purpose": "To describe diffuse posterior capsule pigmentation in Pigment Dispersion Syndrome mimicking posterior subcapsular cataract and producing significant visual symptoms despite normal intraocular pressure.",
        "Setting": "Tertiary eye care center, India.",
        "Methods": "A 42-year-old male presented with progressive dimness of vision, glare, and night driving difficulty in the left eye. Detailed clinical evaluation included visual acuity assessment, slit-lamp examination, Goldmann applanation tonometry, gonioscopy, and optic nerve evaluation.",
        "Results": "Uncorrected visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with correction. Slit-lamp examination showed Krukenberg spindle in both eyes. The left eye demonstrated Zentmayer ring, Scheie line, and extensive diffuse pigment deposition over the posterior capsule involving the visual axis, clinically simulating posterior subcapsular cataract. Gonioscopy revealed dense trabecular meshwork pigmentation, more marked in the left eye. Intraocular pressure remained normal in both eyes. Optic nerve examination was normal. Visual symptoms correlated with central posterior capsule pigment deposition.",
        "Conclusions": "Diffuse posterior capsule pigmentation in Pigment Dispersion Syndrome can mimic posterior subcapsular cataract both structurally and functionally. Recognition of this diagnostic masquerade is essential to avoid misdiagnosis and unnecessary surgical intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 184
    },
    {
      "uid": "POANT009",
      "abstract_number": "POANT009",
      "title": "Evaluati̇on The Change Of Corneal Parameters By Scheimpflug Imaging In Parkinson's Disease After Deep Brain Stimulation While The Device Is “Stimulation On” Mode",
      "authors": "Dr Ebru Comert Hamzaoğlu",
      "presenter": "Dr Ebru Comert Hamzaoğlu",
      "normalized_authors": [
        "Ebru Comert Hamzaoğlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ebru Comert Hamzaoğlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Parkinson's disease (PD) is a long-term disease caused by the progressive degeneration of dopaminergic neurons in substantia nigra. The ocular and oculomotor findings are quite common in patients with parkinsonism.Today, the most modern and feasible treatment option for idiopatic PD, is targeting specific nuclei for neuromodulation, also known as deep brain stimulation (DBS), in which an implantable ‘neuropacemaker’ of high‐frequency electric current through electrodes permanently implanted into distinct nodes of the basal ganglia's (BG) motor circuitries. The purpose of this study was to investigate the change of corneal parameters by Scheimpflug imaging at 4 month follow- up of DBS, while the device is “ stimulation on ” mode.",
        "Setting": "This retrospective study was conducted at the Ophthalmology Department of Mersin City Training and Research Hospital, Turkey. Datas of patients who had DBS for PD between January 2025 and December 2025, were extracted from electronic medical records in accordance with predefined criteria. The study protocol was approved by the Ethics Committee of Mersin University.",
        "Methods": "A total of 28 patients who underwent DBS surgery for advanced PD with preoperative and postoperative 4th month pachmetry and keratometry datas (K1, K2, Kmax),measured using a Scheimpflug camera (Pentacam HR; Oculus GmbH, Wetzlar, Germany), were included the study.At the 4 month follow-up, all patients had their devices in the “stimulation on” mode for at least three months.We accepted the right eye’s datas of all patients for the statistical analysis. The exclusion criterias for the study were corneal pathology, dense media opacities, history of uveitis, glaucoma, ocular trauma and intraocular surgery. Moreover, a history of systemic disease, such as hypertension or diabetes mellitus also resulted in patients being excluded from the study.",
        "Results": "Preoperative and 4-month postoperative measurements were analyzed using the paired samples t-test. The mean K1 value was 42.29 ± 1.21 preoperatively and 42.26 ± 1.18 at 4 month follow-up (p = 0.620), while the mean K2 values were 43.17 ± 1.23 and 43.18 ± 1.24, respectively (p = 0.849). The mean Kmax changed from 44.13 ± 1.23 to 44.02 ± 1.32 (p = 0.130), the mean central corneal thickness decreased from 545.08 ± 46.36 to 540.31 ± 44.14 (p = 0.258) and the mean K changed from 42.61 ± 1.26 to 42.76 ± 1.21 (p = 0.251), postoperatively. No statistically significant differences were observed between preoperative and 4-month postoperative measurements for any of the evaluated parameters (all p > 0.05).",
        "Conclusions": "Deep brain stimulation allows the implanted pulse generator to be switched on or off, potentially affecting blink rate and ocular surface stability. Parkinson’s disease is associated with reduced spontaneous blinking and altered ocular surface homeostasis, raising the possibility that stimulation settings could influence corneal parameters. In this study, keratometric values did not differ between the “on” and “off” states, indicating that active DBS does not compromise corneal parameters used for clinical purposes such as intraocular lens calculation. Long-term follow-up is warranted to determine whether chronic stimulation may exert subtle effects on corneal morphology over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Deep brain stimulation allows the implanted pulse generator to be switched on or off, potentially affecting blink rate and ocular surface stability. Parkinson’s disease is associated with reduced spontaneous blinking and altered ocular surface homeostasis, raising the possibility that stimulation settings could influence corneal parameters. In this study, keratometric values did not differ between the “on” and…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 10,
      "source_fields": {
        "Abstract Final Identifier": "POANT009",
        "Title": "Evaluati̇on The Change Of Corneal Parameters By Scheimpflug Imaging In Parkinson's Disease After Deep Brain Stimulation While The Device Is “Stimulation On” Mode",
        "Presenting Author(s)": "Dr Ebru Comert Hamzaoğlu",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ebru",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Comert Hamzaoğlu",
        "Country Name": "Türkiye",
        "Purpose": "Parkinson's disease (PD) is a long-term disease caused by the progressive degeneration of dopaminergic neurons in substantia nigra. The ocular and oculomotor findings are quite common in patients with parkinsonism.Today, the most modern and feasible treatment option for idiopatic PD, is targeting specific nuclei for neuromodulation, also known as deep brain stimulation (DBS), in which an implantable ‘neuropacemaker’ of high‐frequency electric current through electrodes permanently implanted into distinct nodes of the basal ganglia's (BG) motor circuitries. The purpose of this study was to investigate the change of corneal parameters by Scheimpflug imaging at 4 month follow- up of DBS, while the device is “ stimulation on ” mode.",
        "Setting": "This retrospective study was conducted at the Ophthalmology Department of Mersin City Training and Research Hospital, Turkey. Datas of patients who had DBS for PD between January 2025 and December 2025, were extracted from electronic medical records in accordance with predefined criteria. The study protocol was approved by the Ethics Committee of Mersin University.",
        "Methods": "A total of 28 patients who underwent DBS surgery for advanced PD with preoperative and postoperative 4th month pachmetry and keratometry datas (K1, K2, Kmax),measured using a Scheimpflug camera (Pentacam HR; Oculus GmbH, Wetzlar, Germany), were included the study.At the 4 month follow-up, all patients had their devices in the “stimulation on” mode for at least three months.We accepted the right eye’s datas of all patients for the statistical analysis. The exclusion criterias for the study were corneal pathology, dense media opacities, history of uveitis, glaucoma, ocular trauma and intraocular surgery. Moreover, a history of systemic disease, such as hypertension or diabetes mellitus also resulted in patients being excluded from the study.",
        "Results": "Preoperative and 4-month postoperative measurements were analyzed using the paired samples t-test. The mean K1 value was 42.29 ± 1.21 preoperatively and 42.26 ± 1.18 at 4 month follow-up (p = 0.620), while the mean K2 values were 43.17 ± 1.23 and 43.18 ± 1.24, respectively (p = 0.849). The mean Kmax changed from 44.13 ± 1.23 to 44.02 ± 1.32 (p = 0.130), the mean central corneal thickness decreased from 545.08 ± 46.36 to 540.31 ± 44.14 (p = 0.258) and the mean K changed from 42.61 ± 1.26 to 42.76 ± 1.21 (p = 0.251), postoperatively. No statistically significant differences were observed between preoperative and 4-month postoperative measurements for any of the evaluated parameters (all p > 0.05).",
        "Conclusions": "Deep brain stimulation allows the implanted pulse generator to be switched on or off, potentially affecting blink rate and ocular surface stability. Parkinson’s disease is associated with reduced spontaneous blinking and altered ocular surface homeostasis, raising the possibility that stimulation settings could influence corneal parameters. In this study, keratometric values did not differ between the “on” and “off” states, indicating that active DBS does not compromise corneal parameters used for clinical purposes such as intraocular lens calculation. Long-term follow-up is warranted to determine whether chronic stimulation may exert subtle effects on corneal morphology over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 502
    },
    {
      "uid": "POANT010",
      "abstract_number": "POANT010",
      "title": "Cornea And Anterior Chamber Angle Evaluation Using Anterior Segment Optical Coherence Tomography In Pediatric Patients With Wilson Disease",
      "authors": "Prof. Dina Elfayoumi",
      "presenter": "Prof. Dina Elfayoumi",
      "normalized_authors": [
        "Dina Elfayoumi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dina Elfayoumi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the anterior segment optical coherence tomography (AS-OCT) as an objective tool in Kayser-Fleischer (KF) ring detection and compare its results to those obtatained ftom slit lamp biomicroscopic examination in pediatric patients at the early stages of Wilson Disease (WD). In addition to the imaging of the anterior chamber angle (ACA) to assess the risk of developing glaucoma in children with WD.",
        "Setting": "Patients were recruited from the pediatric hospital at Cairo University according to the Wilson diagnosis scoring system (Leipzig score), followed by the Cairo University Pediatric Hospital, “Hepatology Department”.\n\nThe patients were enrolled in the study during their outpatient clinic visits",
        "Methods": "Forty patients diagnosed with WD according to the Leipzig score were enrolled in this study. Detailed medical history was taken, and a complete ophthalmic examination was performed in each participant, consisting of visual acuity testing, slit lamp examination to look for a KF ring in either eye, IOP measurement, and a dilated fundus examination.\n\nBilateral AS-OCT using the Optovue-RTVue Spectral domain OCT (RTVue XR Avanti) (Optovue, California, USA) device and an add-on lens of the corneal adaptor module (CAM-L mode: 6.0–2.0mm) was done to assess the cornea for the existence of copper deposits at the level of Descemet membrane and the presence of copper in the angle of the anterior chamber.",
        "Results": "Forty children diagnosed with WD aged from 7-17.5 years (mean of 13.1 years) were examined. The presence of KF ring was evaluated using both AS-OCT and slit-lamp examination. KF ring was detected using AS-OCT as hyperreflectivity seen at the level of the Descemet's membrane only in 14 patients (35%) with a negative Slit lamp examination, while in 7 patients (17.5%) KF ring was positive in both AS-OCT and Slit lamp. In 65% of the cases, both the AS-OCT and slit-lamp examinations were negative. Fifty-six percent of the recently diagnosed (less than 6 months) showed positive AS-OCT KF ring, while the slit-lamp couldn’t detect any. AS-OCT imaging of the angle showed an open ACA with no copper deposits detected at this stage of the disease.",
        "Conclusions": "The sensitivity of AS-OCT in detecting the KF ring was higher than the slit lamp biomicroscopic examination, especially in recently diagnosed patients. AS-OCT can detect KF rings in the very early stages of Wilsons Disease, so that diagnosis and treatment accuracy can be evaluated effectively. Hence, it's recommended to be done early, even if slit-lamp examination was negative."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The sensitivity of AS-OCT in detecting the KF ring was higher than the slit lamp biomicroscopic examination, especially in recently diagnosed patients. AS-OCT can detect KF rings in the very early stages of Wilsons Disease, so that diagnosis and treatment accuracy can be evaluated effectively. Hence, it's recommended to be done early, even if slit-lamp examination was negative.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 11,
      "source_fields": {
        "Abstract Final Identifier": "POANT010",
        "Title": "Cornea And Anterior Chamber Angle Evaluation Using Anterior Segment Optical Coherence Tomography In Pediatric Patients With Wilson Disease",
        "Presenting Author(s)": "Prof. Dina Elfayoumi",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Dina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elfayoumi",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the anterior segment optical coherence tomography (AS-OCT) as an objective tool in Kayser-Fleischer (KF) ring detection and compare its results to those obtatained ftom slit lamp biomicroscopic examination in pediatric patients at the early stages of Wilson Disease (WD). In addition to the imaging of the anterior chamber angle (ACA) to assess the risk of developing glaucoma in children with WD.",
        "Setting": "Patients were recruited from the pediatric hospital at Cairo University according to the Wilson diagnosis scoring system (Leipzig score), followed by the Cairo University Pediatric Hospital, “Hepatology Department”.\n\nThe patients were enrolled in the study during their outpatient clinic visits",
        "Methods": "Forty patients diagnosed with WD according to the Leipzig score were enrolled in this study. Detailed medical history was taken, and a complete ophthalmic examination was performed in each participant, consisting of visual acuity testing, slit lamp examination to look for a KF ring in either eye, IOP measurement, and a dilated fundus examination.\n\nBilateral AS-OCT using the Optovue-RTVue Spectral domain OCT (RTVue XR Avanti) (Optovue, California, USA) device and an add-on lens of the corneal adaptor module (CAM-L mode: 6.0–2.0mm) was done to assess the cornea for the existence of copper deposits at the level of Descemet membrane and the presence of copper in the angle of the anterior chamber.",
        "Results": "Forty children diagnosed with WD aged from 7-17.5 years (mean of 13.1 years) were examined. The presence of KF ring was evaluated using both AS-OCT and slit-lamp examination. KF ring was detected using AS-OCT as hyperreflectivity seen at the level of the Descemet's membrane only in 14 patients (35%) with a negative Slit lamp examination, while in 7 patients (17.5%) KF ring was positive in both AS-OCT and Slit lamp. In 65% of the cases, both the AS-OCT and slit-lamp examinations were negative. Fifty-six percent of the recently diagnosed (less than 6 months) showed positive AS-OCT KF ring, while the slit-lamp couldn’t detect any. AS-OCT imaging of the angle showed an open ACA with no copper deposits detected at this stage of the disease.",
        "Conclusions": "The sensitivity of AS-OCT in detecting the KF ring was higher than the slit lamp biomicroscopic examination, especially in recently diagnosed patients. AS-OCT can detect KF rings in the very early stages of Wilsons Disease, so that diagnosis and treatment accuracy can be evaluated effectively. Hence, it's recommended to be done early, even if slit-lamp examination was negative."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "POANT011",
      "abstract_number": "POANT011",
      "title": "Corneal Epithelial Thickness Mapping In Different Refractive Groups Using Anterior Segment Optical Coherence Tomography",
      "authors": "Dr Nihat Eratilgan",
      "presenter": "Dr Nihat Eratilgan",
      "normalized_authors": [
        "Nihat Eratilgan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nihat Eratilgan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the relationship between refractive error and corneal epithelial thickness distribution in healthy eyes using anterior segment optical coherence tomography (AS-OCT).",
        "Setting": "Department of Ophthalmology, Ege University, Izmir, Turkiye.",
        "Methods": "This cross-sectional study included 64 eyes of 32 participants with no ocular pathology, no contact lens or topical medication use. BCVA was 20/20. Refractive status was expressed as spherical equivalent (SE) and categorized into three groups (Group 1: +1.00 to −0.50 D, n=34; Group 2: −0.51 to −2.00 D, n=18; Group 3: ≤ −2.00 D, n=12). Corneal epithelial thickness was measured using the Anterion (Heidelberg Engineering, Heidelberg, Germany) AS-OCT system. Parameters included mean (mET), maximum (maxET), minimum (minET) epithelial thickness, inferior–superior difference (ISD), maximum–minimum difference (MMD), and epithelial thickness in concentric rings (0–2, 2–4, 4–6, 6–7 mm). Measurements were compared among groups.",
        "Results": "The mean age of the 32 participants (16 males, 16 females) was 31.6±9.7 years. Mean mET was 49.5±2.9 µm, 48.4±2.5 µm, and 48.6±3.2 µm (p=0.346); mean maxET was 55.8±3.8 µm, 54.4±2.8 µm, and 54.3±3.1 µm (p=0.264); and mean minET was 42.9±3.1 µm, 42.3±2.4 µm, and 42.1±3.4 µm (p=0.633) in Groups 1, 2, and 3, respectively, with no significant differences. ISD was 1.3±2.0 µm, 0.7±1.8 µm, and 1.4±1.1 µm (p=0.519), and MMD was 12.9±3.2 µm, 12.1±2.5 µm, and 12.2±2.0 µm (p=0.690) in Groups 1, 2, and 3, respectively, showing no significant intergroup differences. Analysis of epithelial thickness in concentric rings also demonstrated no significant intergroup differences in any zone (0–2 mm: p=0.224; 2–4 mm: p=0.211; 4–6 mm: p=0.254; 6–7 mm: p=0.298).",
        "Conclusions": "Based on the present findings, corneal epithelial thickness distribution does not exhibit significant refractive status–dependent variations within the studied range in healthy eyes. Intergroup differences observed in mET, maxET, and minET, as well as within the concentric epithelial zones, were not significant. Similarly, the lack of significant differences in ISD and MMD indicates that refractive error is not associated with epithelial irregularity in the absence of organic corneal pathology. Overall, these findings indicate that refractive error does not significantly modulate epithelial thickness profiles and preserves epithelial regularity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Based on the present findings, corneal epithelial thickness distribution does not exhibit significant refractive status–dependent variations within the studied range in healthy eyes. Intergroup differences observed in mET, maxET, and minET, as well as within the concentric epithelial zones, were not significant. Similarly, the lack of significant differences in ISD and MMD indicates that refractive error is not…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 12,
      "source_fields": {
        "Abstract Final Identifier": "POANT011",
        "Title": "Corneal Epithelial Thickness Mapping In Different Refractive Groups Using Anterior Segment Optical Coherence Tomography",
        "Presenting Author(s)": "Dr Nihat Eratilgan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Nihat",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eratilgan",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the relationship between refractive error and corneal epithelial thickness distribution in healthy eyes using anterior segment optical coherence tomography (AS-OCT).",
        "Setting": "Department of Ophthalmology, Ege University, Izmir, Turkiye.",
        "Methods": "This cross-sectional study included 64 eyes of 32 participants with no ocular pathology, no contact lens or topical medication use. BCVA was 20/20. Refractive status was expressed as spherical equivalent (SE) and categorized into three groups (Group 1: +1.00 to −0.50 D, n=34; Group 2: −0.51 to −2.00 D, n=18; Group 3: ≤ −2.00 D, n=12). Corneal epithelial thickness was measured using the Anterion (Heidelberg Engineering, Heidelberg, Germany) AS-OCT system. Parameters included mean (mET), maximum (maxET), minimum (minET) epithelial thickness, inferior–superior difference (ISD), maximum–minimum difference (MMD), and epithelial thickness in concentric rings (0–2, 2–4, 4–6, 6–7 mm). Measurements were compared among groups.",
        "Results": "The mean age of the 32 participants (16 males, 16 females) was 31.6±9.7 years. Mean mET was 49.5±2.9 µm, 48.4±2.5 µm, and 48.6±3.2 µm (p=0.346); mean maxET was 55.8±3.8 µm, 54.4±2.8 µm, and 54.3±3.1 µm (p=0.264); and mean minET was 42.9±3.1 µm, 42.3±2.4 µm, and 42.1±3.4 µm (p=0.633) in Groups 1, 2, and 3, respectively, with no significant differences. ISD was 1.3±2.0 µm, 0.7±1.8 µm, and 1.4±1.1 µm (p=0.519), and MMD was 12.9±3.2 µm, 12.1±2.5 µm, and 12.2±2.0 µm (p=0.690) in Groups 1, 2, and 3, respectively, showing no significant intergroup differences. Analysis of epithelial thickness in concentric rings also demonstrated no significant intergroup differences in any zone (0–2 mm: p=0.224; 2–4 mm: p=0.211; 4–6 mm: p=0.254; 6–7 mm: p=0.298).",
        "Conclusions": "Based on the present findings, corneal epithelial thickness distribution does not exhibit significant refractive status–dependent variations within the studied range in healthy eyes. Intergroup differences observed in mET, maxET, and minET, as well as within the concentric epithelial zones, were not significant. Similarly, the lack of significant differences in ISD and MMD indicates that refractive error is not associated with epithelial irregularity in the absence of organic corneal pathology. Overall, these findings indicate that refractive error does not significantly modulate epithelial thickness profiles and preserves epithelial regularity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 423
    },
    {
      "uid": "POANT012",
      "abstract_number": "POANT012",
      "title": "Congenital Anterior Corneal Staphyloma In A 2-Year-Old Child: A Rare Unilateral Presentation",
      "authors": "Dr Panagiotis Garitsis",
      "presenter": "Dr Panagiotis Garitsis",
      "normalized_authors": [
        "Panagiotis Garitsis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Panagiotis Garitsis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To present a rare case of unilateral congenital anterior corneal staphyloma associated with posterior staphyloma and marked axial elongation in a young child, highlighting diagnostic and therapeutic challenges.",
        "Setting": "2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece",
        "Methods": "A 2-year-old female child was referred for evaluation of a congenital opacity and marked protrusion of the right cornea. Comprehensive ophthalmic examination included slit-lamp biomicroscopy, tonometry, anterior segment OCT imaging and B-Scan ultrasonography",
        "Results": "Examination of the right eye revealed an ectatic, opaque, and vascularized cornea consistent with congenital anterior corneal staphyloma. Measured CCT was 280 µm. Visualization of anterior segment structures was not possible.The IOP was 12 mmHg; however, given the extremely thin cornea the true intraocular pressure is likely underestimated. Posterior segment evaluation was not possible clinically. B-Scan ultrasonography demonstrated an axial length of 27.38 mm and revealed a posterior staphyloma, suggesting significant axial elongation.The fellow eye appeared structurally normal with a sole abnormal finding of reduced pharmacologic mydriasis. The child also demonstrated sensory nystagmus, likely related to asymmetric visual development.",
        "Conclusions": "Congenital anterior corneal staphyloma is a rare developmental anomaly that may be associated with significant axial elongation and posterior staphyloma, as demonstrated in this case. Extreme corneal thinning complicates accurate tonometry and clinical visualization of intraocular structures. Ultrasound imaging and biometry are essential for evaluation and management planning. Early recognition is important for appropriate monitoring, amblyopia management, and consideration of surgical options such as keratoplasty in selected cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Congenital anterior corneal staphyloma is a rare developmental anomaly that may be associated with significant axial elongation and posterior staphyloma, as demonstrated in this case. Extreme corneal thinning complicates accurate tonometry and clinical visualization of intraocular structures. Ultrasound imaging and biometry are essential for evaluation and management planning. Early recognition is important for…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 13,
      "source_fields": {
        "Abstract Final Identifier": "POANT012",
        "Title": "Congenital Anterior Corneal Staphyloma In A 2-Year-Old Child: A Rare Unilateral Presentation",
        "Presenting Author(s)": "Dr Panagiotis Garitsis",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Panagiotis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garitsis",
        "Country Name": "Greece",
        "Purpose": "To present a rare case of unilateral congenital anterior corneal staphyloma associated with posterior staphyloma and marked axial elongation in a young child, highlighting diagnostic and therapeutic challenges.",
        "Setting": "2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece",
        "Methods": "A 2-year-old female child was referred for evaluation of a congenital opacity and marked protrusion of the right cornea. Comprehensive ophthalmic examination included slit-lamp biomicroscopy, tonometry, anterior segment OCT imaging and B-Scan ultrasonography",
        "Results": "Examination of the right eye revealed an ectatic, opaque, and vascularized cornea consistent with congenital anterior corneal staphyloma. Measured CCT was 280 µm. Visualization of anterior segment structures was not possible.The IOP was 12 mmHg; however, given the extremely thin cornea the true intraocular pressure is likely underestimated. Posterior segment evaluation was not possible clinically. B-Scan ultrasonography demonstrated an axial length of 27.38 mm and revealed a posterior staphyloma, suggesting significant axial elongation.The fellow eye appeared structurally normal with a sole abnormal finding of reduced pharmacologic mydriasis. The child also demonstrated sensory nystagmus, likely related to asymmetric visual development.",
        "Conclusions": "Congenital anterior corneal staphyloma is a rare developmental anomaly that may be associated with significant axial elongation and posterior staphyloma, as demonstrated in this case. Extreme corneal thinning complicates accurate tonometry and clinical visualization of intraocular structures. Ultrasound imaging and biometry are essential for evaluation and management planning. Early recognition is important for appropriate monitoring, amblyopia management, and consideration of surgical options such as keratoplasty in selected cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POANT013",
      "abstract_number": "POANT013",
      "title": "Corneal Aberrations From Ss-Oct Biometry: Optical Zone Repeatability For Iol\nDesign Selection In Cataract Surgery",
      "authors": "Dr Stefan Georgiev",
      "presenter": "Dr Stefan Georgiev",
      "normalized_authors": [
        "Stefan Georgiev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stefan Georgiev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To assess the reliability of corneal optical quality parameters derived from swept-source optical coherence tomography (SS-OCT) biometry and to determine their measurement precision in the context of intraocular lens (IOL) selection for cataract surgery.",
        "Setting": "Department of Ophthalmology, Hanusch Hospital, Vienna, Austria.",
        "Methods": "Three consecutive preoperative scans acquired in cataract patients were evaluated using an SS-OCT biometer (ANTERION; Heidelberg Engineering). Corneal higher-order aberrations (HOAs) were expressed as individual signed Zernike coefficients, vector components, and root mean square (RMS) values. Measurement precision was quantified using pooled within-subject standard deviation (Sw), repeatability limits (R = 2.77 × Sw), coefficient of variation (CoV), and intraclass correlation coefficients (ICC) at 3.0-mm, 4.0-mm, and 5.0-mm optical zones.",
        "Results": "At the 4.0-mm zone, repeatability limits for anterior, posterior, and total corneal HOAs were below 0.10 µm, with ICC values ranging from 0.76 to 0.97 and CoV values below 25%. For the total cornea, RMS HOA and spherical aberration demonstrated repeatability limits of 0.07 µm and 0.03 µm, respectively. Measurement variance increased with larger optical zone diameters and reflected both pupil-dependent effects and interindividual variation.",
        "Conclusions": "SS-OCT biometry enables a repeatability quantification of corneal optical quality parameters at optical zones relevant for cataract surgery. However, because measurement uncertainty will prohibit the reliability of these parameters, repeatability limits should be factored in when interpreting them in clinical practice or for visual outcomes-based endpoints."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SS-OCT biometry enables a repeatability quantification of corneal optical quality parameters at optical zones relevant for cataract surgery. However, because measurement uncertainty will prohibit the reliability of these parameters, repeatability limits should be factored in when interpreting them in clinical practice or for visual outcomes-based endpoints.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 14,
      "source_fields": {
        "Abstract Final Identifier": "POANT013",
        "Title": "Corneal Aberrations From Ss-Oct Biometry: Optical Zone Repeatability For Iol\nDesign Selection In Cataract Surgery",
        "Presenting Author(s)": "Dr Stefan Georgiev",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Stefan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Georgiev",
        "Country Name": "Austria",
        "Purpose": "To assess the reliability of corneal optical quality parameters derived from swept-source optical coherence tomography (SS-OCT) biometry and to determine their measurement precision in the context of intraocular lens (IOL) selection for cataract surgery.",
        "Setting": "Department of Ophthalmology, Hanusch Hospital, Vienna, Austria.",
        "Methods": "Three consecutive preoperative scans acquired in cataract patients were evaluated using an SS-OCT biometer (ANTERION; Heidelberg Engineering). Corneal higher-order aberrations (HOAs) were expressed as individual signed Zernike coefficients, vector components, and root mean square (RMS) values. Measurement precision was quantified using pooled within-subject standard deviation (Sw), repeatability limits (R = 2.77 × Sw), coefficient of variation (CoV), and intraclass correlation coefficients (ICC) at 3.0-mm, 4.0-mm, and 5.0-mm optical zones.",
        "Results": "At the 4.0-mm zone, repeatability limits for anterior, posterior, and total corneal HOAs were below 0.10 µm, with ICC values ranging from 0.76 to 0.97 and CoV values below 25%. For the total cornea, RMS HOA and spherical aberration demonstrated repeatability limits of 0.07 µm and 0.03 µm, respectively. Measurement variance increased with larger optical zone diameters and reflected both pupil-dependent effects and interindividual variation.",
        "Conclusions": "SS-OCT biometry enables a repeatability quantification of corneal optical quality parameters at optical zones relevant for cataract surgery. However, because measurement uncertainty will prohibit the reliability of these parameters, repeatability limits should be factored in when interpreting them in clinical practice or for visual outcomes-based endpoints."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POANT014",
      "abstract_number": "POANT014",
      "title": "Corneal Densitometry Maps For Diagnosis Of Common Corneal Diseases: A Multigrader Analysis",
      "authors": "Mr Elias Golschan",
      "presenter": "Mr Elias Golschan",
      "normalized_authors": [
        "Elias Golschan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elias Golschan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the diagnostic performance of corneal optical densitometry (COD) maps for discrimination of common corneal diseases in a masked multigrader setting.",
        "Setting": "Retrospective image-based diagnostic accuracy study with prospective masked reader evaluation.\n\nTertiary referral center, Department of Ophthalmology, Goethe University Frankfurt, Germany.",
        "Methods": "Five hundred corneal optical densitometry maps obtained with Scheimpflug imaging were identified retrospectively. After exclusion of 50 images used for training, 450 maps (90 healthy controls, 90 dry eye disease (DED), 90 keratoconus (KCN), 90 Fuchs endothelial corneal dystrophy (FECD), 90 epithelial basement membrane dystrophy (EBMD) were independently graded by four masked observers with different experience levels. Diagnostic accuracy was assessed using a one-versus-rest approach and expressed as sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Intergrader agreement was evaluated using Fleiss’ kappa.",
        "Results": "Overall diagnostic accuracy ranged from 68.0 % (resident) to 77.1 % (senior consultant). Intergrader agreement was substantial (κ = 0.63). Sensitivity varied across entities, ranging from 47.8 % for DED to 95.6 % for FECD, whereas specificity remained consistently high (86.7 %- 98.9 %). Diagnostic performance was highest for FECD and EBMD. Most misclassifications occurred between healthy controls and DED. Accuracy differed significantly between graders (p < 0.001), demonstrating an association between experience level and correct classification.",
        "Conclusions": "COD maps allow moderate to high diagnostic discrimination of common corneal diseases, particularly in structurally defined conditions such as FECD and EBMD. While densitometry does not replace clinical examination, it may provide incremental value as an adjunctive structural imaging tool in corneal diagnostics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "COD maps allow moderate to high diagnostic discrimination of common corneal diseases, particularly in structurally defined conditions such as FECD and EBMD. While densitometry does not replace clinical examination, it may provide incremental value as an adjunctive structural imaging tool in corneal diagnostics.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 15,
      "source_fields": {
        "Abstract Final Identifier": "POANT014",
        "Title": "Corneal Densitometry Maps For Diagnosis Of Common Corneal Diseases: A Multigrader Analysis",
        "Presenting Author(s)": "Mr Elias Golschan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Elias",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Golschan",
        "Country Name": "Germany",
        "Purpose": "To evaluate the diagnostic performance of corneal optical densitometry (COD) maps for discrimination of common corneal diseases in a masked multigrader setting.",
        "Setting": "Retrospective image-based diagnostic accuracy study with prospective masked reader evaluation.\n\nTertiary referral center, Department of Ophthalmology, Goethe University Frankfurt, Germany.",
        "Methods": "Five hundred corneal optical densitometry maps obtained with Scheimpflug imaging were identified retrospectively. After exclusion of 50 images used for training, 450 maps (90 healthy controls, 90 dry eye disease (DED), 90 keratoconus (KCN), 90 Fuchs endothelial corneal dystrophy (FECD), 90 epithelial basement membrane dystrophy (EBMD) were independently graded by four masked observers with different experience levels. Diagnostic accuracy was assessed using a one-versus-rest approach and expressed as sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Intergrader agreement was evaluated using Fleiss’ kappa.",
        "Results": "Overall diagnostic accuracy ranged from 68.0 % (resident) to 77.1 % (senior consultant). Intergrader agreement was substantial (κ = 0.63). Sensitivity varied across entities, ranging from 47.8 % for DED to 95.6 % for FECD, whereas specificity remained consistently high (86.7 %- 98.9 %). Diagnostic performance was highest for FECD and EBMD. Most misclassifications occurred between healthy controls and DED. Accuracy differed significantly between graders (p < 0.001), demonstrating an association between experience level and correct classification.",
        "Conclusions": "COD maps allow moderate to high diagnostic discrimination of common corneal diseases, particularly in structurally defined conditions such as FECD and EBMD. While densitometry does not replace clinical examination, it may provide incremental value as an adjunctive structural imaging tool in corneal diagnostics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POANT015",
      "abstract_number": "POANT015",
      "title": "Ultrasound Biomicroscopy Findings Related To Corneal Graft Rejection",
      "authors": "Dr Damariz Pamela PAMELA Guzman Zarate",
      "presenter": "Dr Damariz Pamela PAMELA Guzman Zarate",
      "normalized_authors": [
        "Damariz Pamela PAMELA Guzman Zarate"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Damariz Pamela PAMELA Guzman Zarate",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To determine anatomical factors in Ultrasound Biomicroscopy (UBM) related to corneal graft rejection in patients with corneal opacities without anterior segment visibility",
        "Setting": "National Ophthalmology Unit of Guatemala, Cornea Department",
        "Methods": "Observational clinical case study of patients who underwent penetrating corneal transplantation and had corneal graft rejection. Indication of surgery was severe corneal opacity of different etiologies without anterior segment visibility. Preoperative UBM was performed and data from 6 months of follow-up were noted. UBM data were: peripheral, central, anterior and posterior synechiae; extent of synechia and anterior chamber depht (ACD).\nThe extent of synechia were defined as broad if more than 30 grades were involved. Failure of corneal transplant was defined as irreversible loss of transparency of corneal graft. The statistical tests that were used were multivariate regression analysis and odds ratio with significance level of alfa 0.05.",
        "Results": "Thirty-five eyes who underwent preoperative UBM were noted. Mean age was 42.5 ±18.2 years, and 71% were male. Graft rejection ocurred in 57% of cases and primary indication for surgery was previous graft rejection.\n\nUBM reported mean ACD of 1.66mm (±1.05), without difference between sex groups. Peripheral Anterior Synechiae (PAS) were found in 97.1% of cases, Central Synechiae (CS) in 54.3% and Posterior Synechiae (PS) in 42.9%. The extent of PAS was broad in 68.6% of cases. In both univariate and multivariate analyses, the presence of broad PAS was significantly associated with corneal graft rejection (odds ratio [OR], 6.48; 95% confidence interval [CI], 1.32–31.83; P < .05). No association was found between CS or PS and graft rejection.",
        "Conclusions": "Ultrasound Biomicroscopy (UBM) is a valuable modality in assesing risk of corneal graft rejection in selected cases where corneal opacity is severe or conjuctival tissue precludes adequate visualization of the anterior segment. There is particularly a strong association with extensive peripheral anterior synechiae. These findings support the systematic use of anterior segment imaging modalities, such as UBM, in patients undergoing corneal transplantation who are at high risk for rejection, to better inform clinical decision-making and potentially improve outcomes. Larger prospective studies are warranted to further validate these observations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ultrasound Biomicroscopy (UBM) is a valuable modality in assesing risk of corneal graft rejection in selected cases where corneal opacity is severe or conjuctival tissue precludes adequate visualization of the anterior segment. There is particularly a strong association with extensive peripheral anterior synechiae. These findings support the systematic use of anterior segment imaging modalities, such as UBM, in…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 16,
      "source_fields": {
        "Abstract Final Identifier": "POANT015",
        "Title": "Ultrasound Biomicroscopy Findings Related To Corneal Graft Rejection",
        "Presenting Author(s)": "Dr Damariz Pamela PAMELA Guzman Zarate",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Damariz Pamela",
        "Submitter Middle Name": "PAMELA",
        "Submitter Last Name": "Guzman Zarate",
        "Country Name": "Guatemala",
        "Purpose": "To determine anatomical factors in Ultrasound Biomicroscopy (UBM) related to corneal graft rejection in patients with corneal opacities without anterior segment visibility",
        "Setting": "National Ophthalmology Unit of Guatemala, Cornea Department",
        "Methods": "Observational clinical case study of patients who underwent penetrating corneal transplantation and had corneal graft rejection. Indication of surgery was severe corneal opacity of different etiologies without anterior segment visibility. Preoperative UBM was performed and data from 6 months of follow-up were noted. UBM data were: peripheral, central, anterior and posterior synechiae; extent of synechia and anterior chamber depht (ACD).\nThe extent of synechia were defined as broad if more than 30 grades were involved. Failure of corneal transplant was defined as irreversible loss of transparency of corneal graft. The statistical tests that were used were multivariate regression analysis and odds ratio with significance level of alfa 0.05.",
        "Results": "Thirty-five eyes who underwent preoperative UBM were noted. Mean age was 42.5 ±18.2 years, and 71% were male. Graft rejection ocurred in 57% of cases and primary indication for surgery was previous graft rejection.\n\nUBM reported mean ACD of 1.66mm (±1.05), without difference between sex groups. Peripheral Anterior Synechiae (PAS) were found in 97.1% of cases, Central Synechiae (CS) in 54.3% and Posterior Synechiae (PS) in 42.9%. The extent of PAS was broad in 68.6% of cases. In both univariate and multivariate analyses, the presence of broad PAS was significantly associated with corneal graft rejection (odds ratio [OR], 6.48; 95% confidence interval [CI], 1.32–31.83; P < .05). No association was found between CS or PS and graft rejection.",
        "Conclusions": "Ultrasound Biomicroscopy (UBM) is a valuable modality in assesing risk of corneal graft rejection in selected cases where corneal opacity is severe or conjuctival tissue precludes adequate visualization of the anterior segment. There is particularly a strong association with extensive peripheral anterior synechiae. These findings support the systematic use of anterior segment imaging modalities, such as UBM, in patients undergoing corneal transplantation who are at high risk for rejection, to better inform clinical decision-making and potentially improve outcomes. Larger prospective studies are warranted to further validate these observations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POANT016",
      "abstract_number": "POANT016",
      "title": "Post-Traumatic Complex Anterior Segment Reconstruction: Nao Explantation, Secondary Nao Implantation And Pupilloplasty In An Artephakic Eye With Corneal Scar And Pupil Ectopia",
      "authors": "Dr Gevorg Baraghamyan",
      "presenter": "Dr Gevorg Baraghamyan",
      "normalized_authors": [
        "Gevorg Baraghamyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Diana Hovhannisyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "To describe the surgical management and visual rehabilitation of a post-traumatic eye presenting with artephakia, high myopia, pupil ectopia, corneal scarring, and decentered anterior chamber NAO, managed with NAO explantation, secondary NAO implantation and pupilloplasty.",
        "Setting": "Tertiary referral center for anterior segment and complex cataract surgery.",
        "Methods": "A patient with a history of blunt ocular trauma presented with decreased visual acuity, glare, monocular diplopia and cosmetic pupil distortion. Clinical examination revealed artephakia with a previously implanted NAO (non-aligned optic), significant pupil ectopia, irregular astigmatism secondary to corneal scar, and myopic refractive error. Surgical planning aimed to restore optical alignment and pupil centration.\n\nThe procedure included explantation of the existing NAO, implantation of a new NAO with improved centration and stability, and simultaneous pupilloplasty using a modified McCannel technique to reconstruct a round, centered pupil. Careful management of fibrotic adhesions and anterior segment instability was required.",
        "Results": "Postoperatively, best-corrected visual acuity improved significantly with reduction of photic phenomena and monocular diplopia. The pupil was well-centered with satisfactory cosmetic outcome. The newly implanted NAO remained stable and properly aligned. No intraoperative or early postoperative complications were observed.",
        "Conclusions": "Combined NAO exchange and pupilloplasty represents an effective strategy for visual and anatomical rehabilitation in complex post-traumatic anterior segment cases. Individualized surgical planning is essential to optimize refractive and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined NAO exchange and pupilloplasty represents an effective strategy for visual and anatomical rehabilitation in complex post-traumatic anterior segment cases. Individualized surgical planning is essential to optimize refractive and functional outcomes.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 17,
      "source_fields": {
        "Abstract Final Identifier": "POANT016",
        "Title": "Post-Traumatic Complex Anterior Segment Reconstruction: Nao Explantation, Secondary Nao Implantation And Pupilloplasty In An Artephakic Eye With Corneal Scar And Pupil Ectopia",
        "Presenting Author(s)": "Dr Gevorg Baraghamyan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Diana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hovhannisyan",
        "Country Name": "Armenia",
        "Purpose": "To describe the surgical management and visual rehabilitation of a post-traumatic eye presenting with artephakia, high myopia, pupil ectopia, corneal scarring, and decentered anterior chamber NAO, managed with NAO explantation, secondary NAO implantation and pupilloplasty.",
        "Setting": "Tertiary referral center for anterior segment and complex cataract surgery.",
        "Methods": "A patient with a history of blunt ocular trauma presented with decreased visual acuity, glare, monocular diplopia and cosmetic pupil distortion. Clinical examination revealed artephakia with a previously implanted NAO (non-aligned optic), significant pupil ectopia, irregular astigmatism secondary to corneal scar, and myopic refractive error. Surgical planning aimed to restore optical alignment and pupil centration.\n\nThe procedure included explantation of the existing NAO, implantation of a new NAO with improved centration and stability, and simultaneous pupilloplasty using a modified McCannel technique to reconstruct a round, centered pupil. Careful management of fibrotic adhesions and anterior segment instability was required.",
        "Results": "Postoperatively, best-corrected visual acuity improved significantly with reduction of photic phenomena and monocular diplopia. The pupil was well-centered with satisfactory cosmetic outcome. The newly implanted NAO remained stable and properly aligned. No intraoperative or early postoperative complications were observed.",
        "Conclusions": "Combined NAO exchange and pupilloplasty represents an effective strategy for visual and anatomical rehabilitation in complex post-traumatic anterior segment cases. Individualized surgical planning is essential to optimize refractive and functional outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POANT017",
      "abstract_number": "POANT017",
      "title": "Influence Of Long-Term Contact Lens Wear On Ocular Surface Status And Subjective Symptoms In Patients After Trans-Prk",
      "authors": "Mrs Kateryna Yuryivna Hrizhymalska",
      "presenter": "Mrs Kateryna Yuryivna Hrizhymalska",
      "normalized_authors": [
        "Kateryna Yuryivna Hrizhymalska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kateryna Yuryivna Hrizhymalska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To evaluate the impact of soft contact lens (SCL) wear history on the dynamics of objective and subjective indicators of Dry Eye Disease (DED) after transepithelial photorefractive keratectomy (Trans-PRK).",
        "Setting": "Department of Ophthalmology, Vinnytsia National Medical University , tertiary referral academic center, Ukraine.",
        "Methods": "This prospective study included 120 eyes (60 patients) with mild to moderate myopia. Patients were divided into two groups: Group 1 (n = 60) – contact lens–naïve patients; Group 2 (n = 60) – long-term SCL users (>2 years). All patients underwent vision correction using the StreamLight (Trans-PRK) technique. The Ocular Surface Disease Index (OSDI), Non-Invasive Tear Break-Up Time (NIBUT), and Schirmer test (ST) were assessed preoperatively and 2 months postoperatively. Statistical analysis included the Mann–Whitney U test, Wilcoxon signed-rank test, and Spearman’s rank correlation (ρ).",
        "Results": "At baseline, Group 2 demonstrated significantly worse ocular surface status: median OSDI was 39.6 versus 27.05 in Group 1 (p = 0.036), and NIBUT was lower (9.68 s vs. 12.33 s; p = 0.0004). Two months after Trans-PRK, tear production (ST) decreased in both groups (p < 0.05). Despite this, subjective symptoms improved significantly. Median OSDI decreased to 14.54 in Group 2 (p < 0.0001) and to 10.40 in Group 1 (p = 0.0001), with no significant intergroup difference (p = 0.61). In Group 1, a direct correlation between ST and NIBUT persisted (ρ = 0.33, p = 0.009). In Group 2, this association was lost postoperatively, while an inverse correlation emerged between ST values and subepithelial haze (ρ = −0.28, p = 0.03).",
        "Conclusions": "Long-term SCL wear is associated with reduced tear film stability and greater subjective discomfort preoperatively. Although tear production decreases after Trans-PRK, symptoms improve significantly, particularly in former SCL users. Altered tear film physiology in this group suggests the need for targeted postoperative tear film support."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Long-term SCL wear is associated with reduced tear film stability and greater subjective discomfort preoperatively. Although tear production decreases after Trans-PRK, symptoms improve significantly, particularly in former SCL users. Altered tear film physiology in this group suggests the need for targeted postoperative tear film support.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 18,
      "source_fields": {
        "Abstract Final Identifier": "POANT017",
        "Title": "Influence Of Long-Term Contact Lens Wear On Ocular Surface Status And Subjective Symptoms In Patients After Trans-Prk",
        "Presenting Author(s)": "Mrs Kateryna Yuryivna Hrizhymalska",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Kateryna",
        "Submitter Middle Name": "Yuryivna",
        "Submitter Last Name": "Hrizhymalska",
        "Country Name": "Ukraine",
        "Purpose": "To evaluate the impact of soft contact lens (SCL) wear history on the dynamics of objective and subjective indicators of Dry Eye Disease (DED) after transepithelial photorefractive keratectomy (Trans-PRK).",
        "Setting": "Department of Ophthalmology, Vinnytsia National Medical University , tertiary referral academic center, Ukraine.",
        "Methods": "This prospective study included 120 eyes (60 patients) with mild to moderate myopia. Patients were divided into two groups: Group 1 (n = 60) – contact lens–naïve patients; Group 2 (n = 60) – long-term SCL users (>2 years). All patients underwent vision correction using the StreamLight (Trans-PRK) technique. The Ocular Surface Disease Index (OSDI), Non-Invasive Tear Break-Up Time (NIBUT), and Schirmer test (ST) were assessed preoperatively and 2 months postoperatively. Statistical analysis included the Mann–Whitney U test, Wilcoxon signed-rank test, and Spearman’s rank correlation (ρ).",
        "Results": "At baseline, Group 2 demonstrated significantly worse ocular surface status: median OSDI was 39.6 versus 27.05 in Group 1 (p = 0.036), and NIBUT was lower (9.68 s vs. 12.33 s; p = 0.0004). Two months after Trans-PRK, tear production (ST) decreased in both groups (p < 0.05). Despite this, subjective symptoms improved significantly. Median OSDI decreased to 14.54 in Group 2 (p < 0.0001) and to 10.40 in Group 1 (p = 0.0001), with no significant intergroup difference (p = 0.61). In Group 1, a direct correlation between ST and NIBUT persisted (ρ = 0.33, p = 0.009). In Group 2, this association was lost postoperatively, while an inverse correlation emerged between ST values and subepithelial haze (ρ = −0.28, p = 0.03).",
        "Conclusions": "Long-term SCL wear is associated with reduced tear film stability and greater subjective discomfort preoperatively. Although tear production decreases after Trans-PRK, symptoms improve significantly, particularly in former SCL users. Altered tear film physiology in this group suggests the need for targeted postoperative tear film support."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POANT018",
      "abstract_number": "POANT018",
      "title": "Evaluation Of Corneal Biomechanical Properties In Flight Crew Using Corvis St",
      "authors": "Dr Nisa Karaaslan Kaymak",
      "presenter": "Dr Nisa Karaaslan Kaymak",
      "normalized_authors": [
        "Nisa Karaaslan Kaymak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nisa Karaaslan Kaymak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate and compare the corneal biomechanical characteristics of flight crew members (cabin and cockpit personnel) with a healthy, age-matched control group using ultra-high-speed Scheimpflug technology.",
        "Setting": "Ophthalmology Department, Medipol Mega University Hospital, Istanbul, Turkey.",
        "Methods": "This cross-sectional comparative study included 62 flight personnel (42 cabin crew, 20 cockpit crew) and 62 age- and sex-matched healthy controls. Corneal biomechanics were assessed using Corvis ST (Oculus, Wetzlar, Germany). Evaluated parameters included PAKI, CBI, BAD-D, TBI, and Kmax. Refractive status (sphere, cylinder, spherical equivalent) was recorded to control for confounding. Normality was tested with Shapiro–Wilk. Independent samples t-test or Mann–Whitney U test were applied as appropriate. Spearman correlation assessed associations between flight years and biomechanical parameters. Subgroup analysis compared cabin and cockpit crew.",
        "Results": "Flight personnel demonstrated significantly higher PAKI (p=0.001), CBI (p<0.001), and TBI (p=0.010) values compared with controls, while BAD-D showed no significant difference (p=0.411). Age, sex distribution, and refractive error were comparable between groups (all p>0.05). No significant correlation was observed between flight years and CBI (r=-0.039, p=0.762), BAD-D (r=0.131, p=0.310), or TBI (r=-0.073, p=0.574). Strong positive correlations were found among biomechanical indices (all p<0.001). No significant differences were detected between cabin and cockpit crew in any biomechanical parameter (all p>0.05).",
        "Conclusions": "Flight personnel exhibit subclinical corneal biomechanical alterations in the absence of tomographic ectasia. The lack of association with exposure duration or job type suggests that environmental factors inherent to the flight setting rather than cumulative exposure may influence corneal biomechanics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Flight personnel exhibit subclinical corneal biomechanical alterations in the absence of tomographic ectasia. The lack of association with exposure duration or job type suggests that environmental factors inherent to the flight setting rather than cumulative exposure may influence corneal biomechanics.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 19,
      "source_fields": {
        "Abstract Final Identifier": "POANT018",
        "Title": "Evaluation Of Corneal Biomechanical Properties In Flight Crew Using Corvis St",
        "Presenting Author(s)": "Dr Nisa Karaaslan Kaymak",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Nisa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karaaslan Kaymak",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate and compare the corneal biomechanical characteristics of flight crew members (cabin and cockpit personnel) with a healthy, age-matched control group using ultra-high-speed Scheimpflug technology.",
        "Setting": "Ophthalmology Department, Medipol Mega University Hospital, Istanbul, Turkey.",
        "Methods": "This cross-sectional comparative study included 62 flight personnel (42 cabin crew, 20 cockpit crew) and 62 age- and sex-matched healthy controls. Corneal biomechanics were assessed using Corvis ST (Oculus, Wetzlar, Germany). Evaluated parameters included PAKI, CBI, BAD-D, TBI, and Kmax. Refractive status (sphere, cylinder, spherical equivalent) was recorded to control for confounding. Normality was tested with Shapiro–Wilk. Independent samples t-test or Mann–Whitney U test were applied as appropriate. Spearman correlation assessed associations between flight years and biomechanical parameters. Subgroup analysis compared cabin and cockpit crew.",
        "Results": "Flight personnel demonstrated significantly higher PAKI (p=0.001), CBI (p<0.001), and TBI (p=0.010) values compared with controls, while BAD-D showed no significant difference (p=0.411). Age, sex distribution, and refractive error were comparable between groups (all p>0.05). No significant correlation was observed between flight years and CBI (r=-0.039, p=0.762), BAD-D (r=0.131, p=0.310), or TBI (r=-0.073, p=0.574). Strong positive correlations were found among biomechanical indices (all p<0.001). No significant differences were detected between cabin and cockpit crew in any biomechanical parameter (all p>0.05).",
        "Conclusions": "Flight personnel exhibit subclinical corneal biomechanical alterations in the absence of tomographic ectasia. The lack of association with exposure duration or job type suggests that environmental factors inherent to the flight setting rather than cumulative exposure may influence corneal biomechanics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POANT020",
      "abstract_number": "POANT020",
      "title": "Objective Quantification Of Pediatric Lens Opalescence And Its Bearing On The Visual Outcome: An Oct-Based Study",
      "authors": "Dr Savleen Kaur",
      "presenter": "Dr Savleen Kaur",
      "normalized_authors": [
        "Savleen Kaur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Savleen Kaur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Purpose : The study aimed to quantify the opalescence of the pediatric cataractous lens using swept-source optical coherence tomography (OCT) and study its relation to clinical parameters.",
        "Setting": "Setting : Tertiary care government teaching hospital\n\nDesign : Prospective consecutive case series",
        "Methods": "Consecutive pediatric patients aged 0-12 years presenting with cataracts were recruited over one year. Imaging of the lens was performed preoperatively on the swept source Optical Coherence Tomography system (CASSIA2 ASOCT; Tomey, Nagoya, Japan). Whole lens and nuclear densities were calculated on the captured images and correlated with the patient's clinical parameters and visual acuity.",
        "Results": "Fifty children (80 eyes) with an average age of 6.6 ± 2.73 years (Range 5 months – to 12 years) diagnosed with cataracts were successfully imaged on the OCT. A positive correlation was obtained between average lens densities and lower preoperative visual acuity of the patients (r=0.22; p=0.09), and a significant positive correlation between average nuclear densities and preoperative visual acuity of the patients (r=0.39; p=0.002). There was a very weak correlation between the lens or nuclear densities and the post-operative visual acuity (r=0.2; and 0.3; p =0.4 and 0.2).",
        "Conclusions": "The swept source ASOCT is an excellent tool for objectively and quantitatively evaluating lens opacity in children. We propose that this quantification can be used to automate algorithms for the detection and screening of pediatric cataracts. It can help to assess cataract progression in clinical and research settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The swept source ASOCT is an excellent tool for objectively and quantitatively evaluating lens opacity in children. We propose that this quantification can be used to automate algorithms for the detection and screening of pediatric cataracts. It can help to assess cataract progression in clinical and research settings.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 20,
      "source_fields": {
        "Abstract Final Identifier": "POANT020",
        "Title": "Objective Quantification Of Pediatric Lens Opalescence And Its Bearing On The Visual Outcome: An Oct-Based Study",
        "Presenting Author(s)": "Dr Savleen Kaur",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Savleen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaur",
        "Country Name": "India",
        "Purpose": "Purpose : The study aimed to quantify the opalescence of the pediatric cataractous lens using swept-source optical coherence tomography (OCT) and study its relation to clinical parameters.",
        "Setting": "Setting : Tertiary care government teaching hospital\n\nDesign : Prospective consecutive case series",
        "Methods": "Consecutive pediatric patients aged 0-12 years presenting with cataracts were recruited over one year. Imaging of the lens was performed preoperatively on the swept source Optical Coherence Tomography system (CASSIA2 ASOCT; Tomey, Nagoya, Japan). Whole lens and nuclear densities were calculated on the captured images and correlated with the patient's clinical parameters and visual acuity.",
        "Results": "Fifty children (80 eyes) with an average age of 6.6 ± 2.73 years (Range 5 months – to 12 years) diagnosed with cataracts were successfully imaged on the OCT. A positive correlation was obtained between average lens densities and lower preoperative visual acuity of the patients (r=0.22; p=0.09), and a significant positive correlation between average nuclear densities and preoperative visual acuity of the patients (r=0.39; p=0.002). There was a very weak correlation between the lens or nuclear densities and the post-operative visual acuity (r=0.2; and 0.3; p =0.4 and 0.2).",
        "Conclusions": "The swept source ASOCT is an excellent tool for objectively and quantitatively evaluating lens opacity in children. We propose that this quantification can be used to automate algorithms for the detection and screening of pediatric cataracts. It can help to assess cataract progression in clinical and research settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POANT021",
      "abstract_number": "POANT021",
      "title": "Correlation Between Dysfunctional Lens Index And Pentacam Nuclear Staging In Eyes With Cataract",
      "authors": "Dr Vaishal Kenia",
      "presenter": "Dr Vaishal Kenia",
      "normalized_authors": [
        "Vaishal Kenia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaishal Kenia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To assess the correlation between dysfunctional lens index (DLI) and pentacam nuclear staging (PNS) in eyes with cataract.",
        "Setting": "Tertiary private eye hospital, Mumbai, India",
        "Methods": "It’s a retrospective study where subjects who underwent cataract workup, including ocular biometry, higher order aberration measurement, and objective grading of cataract using pentacam were included. Subjects with nuclear sclerosis (NS) grade I-IV with and without cortical (CO) and posterior subcapsular (PSC) cataract were included. Subjects with missing data were excluded. Subjects were divided into four different groups: only NS, NS+CO, NS+PSC, and NS+CO+PSC. Pearson correlation was carried out to understand the association between DLI and PNS in different types of cataract.",
        "Results": "104 eyes were considered for analysis, where 37 eyes had NS, 21 had NS+CO, 24 had NS+PSC and 22 had NS+CO+PSC. Overall, a significant but weak negative association was noted between DLI and PNS (r=-0.28, p=0.004). In eyes with NS a significant moderate association was noted between DLI and PNS (r=-0.44, p=0.006); however, no association of DLI and PNS was noted in other groups involving either CO or PSC or both (Pearson correlation, p>0.05).",
        "Conclusions": "DLI showed a moderate negative association with PNS in eyes with only nuclear sclerosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DLI showed a moderate negative association with PNS in eyes with only nuclear sclerosis.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 21,
      "source_fields": {
        "Abstract Final Identifier": "POANT021",
        "Title": "Correlation Between Dysfunctional Lens Index And Pentacam Nuclear Staging In Eyes With Cataract",
        "Presenting Author(s)": "Dr Vaishal Kenia",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Vaishal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kenia",
        "Country Name": "India",
        "Purpose": "To assess the correlation between dysfunctional lens index (DLI) and pentacam nuclear staging (PNS) in eyes with cataract.",
        "Setting": "Tertiary private eye hospital, Mumbai, India",
        "Methods": "It’s a retrospective study where subjects who underwent cataract workup, including ocular biometry, higher order aberration measurement, and objective grading of cataract using pentacam were included. Subjects with nuclear sclerosis (NS) grade I-IV with and without cortical (CO) and posterior subcapsular (PSC) cataract were included. Subjects with missing data were excluded. Subjects were divided into four different groups: only NS, NS+CO, NS+PSC, and NS+CO+PSC. Pearson correlation was carried out to understand the association between DLI and PNS in different types of cataract.",
        "Results": "104 eyes were considered for analysis, where 37 eyes had NS, 21 had NS+CO, 24 had NS+PSC and 22 had NS+CO+PSC. Overall, a significant but weak negative association was noted between DLI and PNS (r=-0.28, p=0.004). In eyes with NS a significant moderate association was noted between DLI and PNS (r=-0.44, p=0.006); however, no association of DLI and PNS was noted in other groups involving either CO or PSC or both (Pearson correlation, p>0.05).",
        "Conclusions": "DLI showed a moderate negative association with PNS in eyes with only nuclear sclerosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 212
    },
    {
      "uid": "POANT022",
      "abstract_number": "POANT022",
      "title": "Staged Femtosecond Intrastromal Arcuate Keratotomy Followed By Excimer Laser Correction For High Myopia With Astigmatism In Thin Corneas",
      "authors": "Dr Farzona Abdurakhimova Abdurakhimova",
      "presenter": "Dr Farzona Abdurakhimova Abdurakhimova",
      "normalized_authors": [
        "Farzona Abdurakhimova Abdurakhimova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farzona Abdurakhimova Komilovna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To evaluate the safety, effectiveness, and refractive and topographic outcomes of staged femtosecond intrastromal arcuate keratotomy followed by excimer laser correction in patients with high myopia and astigmatism with thin corneas, aiming to reduce tissue ablation and improve visual outcomes.",
        "Setting": "Saif-Optima Eye Clinic, Tashkent, Uzbekistan.",
        "Methods": "This prospective study included 25 patients (39 eyes) aged 20–35 years with high myopia and corneal astigmatism and thin corneas (mean CCT 480 µm, minimum 449 µm). All patients underwent staged treatment. Stage I consisted of femtosecond intrastromal arcuate keratotomy (80–85% stromal depth) using a femtosecond laser. After 6 months, Stage II was performed to correct residual refractive error using Trans-PRK or FemtoLASIK. Visual acuity, spherical equivalent (SE), astigmatism, and corneal topographic parameters were evaluated preoperatively and postoperatively. Follow-up was up to 3 years.",
        "Results": "Mean spherical equivalent improved significantly from −5.9 D preoperatively to −0.23 D after excimer laser correction. Mean UCVA improved from 0.09 to 0.62. Mean astigmatism decreased from −4.25 D preoperatively to −1.84 D after arcuate keratotomy and further to −0.73 D after excimer correction. Refractive accuracy showed 40% of eyes within ±1.0 D, 10% within ±0.5 D, and 30% with residual cylinder ≤0.75 D. Corneal topographic stability was observed, and no cases of ectasia occurred during follow-up.",
        "Conclusions": "Staged femtosecond intrastromal arcuate keratotomy followed by excimer laser correction is a safe, effective, and tissue-preserving strategy for managing high myopia with astigmatism in thin corneas, providing stable refractive and topographic outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Staged femtosecond intrastromal arcuate keratotomy followed by excimer laser correction is a safe, effective, and tissue-preserving strategy for managing high myopia with astigmatism in thin corneas, providing stable refractive and topographic outcomes.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 22,
      "source_fields": {
        "Abstract Final Identifier": "POANT022",
        "Title": "Staged Femtosecond Intrastromal Arcuate Keratotomy Followed By Excimer Laser Correction For High Myopia With Astigmatism In Thin Corneas",
        "Presenting Author(s)": "Dr Farzona Abdurakhimova Abdurakhimova",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Farzona",
        "Submitter Middle Name": "Abdurakhimova",
        "Submitter Last Name": "Komilovna",
        "Country Name": "Uzbekistan",
        "Purpose": "To evaluate the safety, effectiveness, and refractive and topographic outcomes of staged femtosecond intrastromal arcuate keratotomy followed by excimer laser correction in patients with high myopia and astigmatism with thin corneas, aiming to reduce tissue ablation and improve visual outcomes.",
        "Setting": "Saif-Optima Eye Clinic, Tashkent, Uzbekistan.",
        "Methods": "This prospective study included 25 patients (39 eyes) aged 20–35 years with high myopia and corneal astigmatism and thin corneas (mean CCT 480 µm, minimum 449 µm). All patients underwent staged treatment. Stage I consisted of femtosecond intrastromal arcuate keratotomy (80–85% stromal depth) using a femtosecond laser. After 6 months, Stage II was performed to correct residual refractive error using Trans-PRK or FemtoLASIK. Visual acuity, spherical equivalent (SE), astigmatism, and corneal topographic parameters were evaluated preoperatively and postoperatively. Follow-up was up to 3 years.",
        "Results": "Mean spherical equivalent improved significantly from −5.9 D preoperatively to −0.23 D after excimer laser correction. Mean UCVA improved from 0.09 to 0.62. Mean astigmatism decreased from −4.25 D preoperatively to −1.84 D after arcuate keratotomy and further to −0.73 D after excimer correction. Refractive accuracy showed 40% of eyes within ±1.0 D, 10% within ±0.5 D, and 30% with residual cylinder ≤0.75 D. Corneal topographic stability was observed, and no cases of ectasia occurred during follow-up.",
        "Conclusions": "Staged femtosecond intrastromal arcuate keratotomy followed by excimer laser correction is a safe, effective, and tissue-preserving strategy for managing high myopia with astigmatism in thin corneas, providing stable refractive and topographic outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POANT023",
      "abstract_number": "POANT023",
      "title": "Corneal Healing After Penetrating Trauma-8 Months Follow-Up",
      "authors": "Dr Eva Kos",
      "presenter": "Dr Eva Kos",
      "normalized_authors": [
        "Eva Kos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eva Kos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Eye trauma is an important cause of vision impairment and blindness. It is estimated that almost 60 million cases of ocular trauma occurred worldwide in 2019 1 , with corneal injuries accounting for 6.6% of eye injuries 2 . Cornea is a unique tissue for studying wound healing due to its transparency and accessibility for monitoring and imaging. Purpose of this case is to evaluate corneal changes observed during the healing process following a penetrating corneal injury utilizing Pentacam® corneal tomography, anterior segment optical coherence tomography HRA + OCT Spectralis® and Nidek® specular microscopy.",
        "Setting": "University Eye Clinic, University Hospital “Sveti Duh”, Sveti Duh 64, Zagreb, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia",
        "Methods": "A 45-year-old male presented to the emergency department with a right eye injury caused by an unknown object. At referral, best corrected visual acuity on Snellen chart was 0,3 in the right eye and 1.0 in the left eye. Biomicroscopy revealed two parallel linear paracentral corneal lacerations, one of which was full thickness, confirmed with anterior segment OCT. An iris defect corresponding to the site of corneal injury was observed, while the lens appeared intact. Fundus examination was limited. A CT scan excluded the presence of an intraocular foreign body. Penetrating corneal injury without intraocular foreign body was diagnosed. A single cruciate 10–0 nylon suture placed to close corneal laceration was removed 6 months postoperatively.",
        "Results": "Serial evaluation of corneal tomography, specular microscopy and AS-OCT demonstrated progressive corneal remodeling following penetrating corneal injury. Prior to suture removal,keratometric values remained relatively stable with mild fluctuations, while minimal corneal thickness increased, suggesting ongoing stromal healing.Q-value showed gradual normalization from a more prolate configuration (−0.40 at 7 weeks) toward the more physiological range (−0.13 at 8 months).After suture removal,there was a mild reduction in keratometric values and a Q-value.Pachymetric parameters showed slight thinning.Endothelial cell density remained relatively preserved throughout follow-up, despite fluctuations in cell morphology and coefficient of variation.",
        "Conclusions": "Corneal tomography and specular microscopy demonstrated dynamic but overall stable structural changes during the healing process following penetrating corneal injury with final outcome depending on the severity of injury, surgical technique and postoperative management. Overall, corneal tomography and specular microscopy proved to be valuable, complementary tools for monitoring corneal changes during post-traumatic healing process."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal tomography and specular microscopy demonstrated dynamic but overall stable structural changes during the healing process following penetrating corneal injury with final outcome depending on the severity of injury, surgical technique and postoperative management. Overall, corneal tomography and specular microscopy proved to be valuable, complementary tools for monitoring corneal changes during post-traumatic…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 23,
      "source_fields": {
        "Abstract Final Identifier": "POANT023",
        "Title": "Corneal Healing After Penetrating Trauma-8 Months Follow-Up",
        "Presenting Author(s)": "Dr Eva Kos",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Eva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kos",
        "Country Name": "Croatia",
        "Purpose": "Eye trauma is an important cause of vision impairment and blindness. It is estimated that almost 60 million cases of ocular trauma occurred worldwide in 2019 1 , with corneal injuries accounting for 6.6% of eye injuries 2 . Cornea is a unique tissue for studying wound healing due to its transparency and accessibility for monitoring and imaging. Purpose of this case is to evaluate corneal changes observed during the healing process following a penetrating corneal injury utilizing Pentacam® corneal tomography, anterior segment optical coherence tomography HRA + OCT Spectralis® and Nidek® specular microscopy.",
        "Setting": "University Eye Clinic, University Hospital “Sveti Duh”, Sveti Duh 64, Zagreb, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia",
        "Methods": "A 45-year-old male presented to the emergency department with a right eye injury caused by an unknown object. At referral, best corrected visual acuity on Snellen chart was 0,3 in the right eye and 1.0 in the left eye. Biomicroscopy revealed two parallel linear paracentral corneal lacerations, one of which was full thickness, confirmed with anterior segment OCT. An iris defect corresponding to the site of corneal injury was observed, while the lens appeared intact. Fundus examination was limited. A CT scan excluded the presence of an intraocular foreign body. Penetrating corneal injury without intraocular foreign body was diagnosed. A single cruciate 10–0 nylon suture placed to close corneal laceration was removed 6 months postoperatively.",
        "Results": "Serial evaluation of corneal tomography, specular microscopy and AS-OCT demonstrated progressive corneal remodeling following penetrating corneal injury. Prior to suture removal,keratometric values remained relatively stable with mild fluctuations, while minimal corneal thickness increased, suggesting ongoing stromal healing.Q-value showed gradual normalization from a more prolate configuration (−0.40 at 7 weeks) toward the more physiological range (−0.13 at 8 months).After suture removal,there was a mild reduction in keratometric values and a Q-value.Pachymetric parameters showed slight thinning.Endothelial cell density remained relatively preserved throughout follow-up, despite fluctuations in cell morphology and coefficient of variation.",
        "Conclusions": "Corneal tomography and specular microscopy demonstrated dynamic but overall stable structural changes during the healing process following penetrating corneal injury with final outcome depending on the severity of injury, surgical technique and postoperative management. Overall, corneal tomography and specular microscopy proved to be valuable, complementary tools for monitoring corneal changes during post-traumatic healing process."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 400
    },
    {
      "uid": "POANT024",
      "abstract_number": "POANT024",
      "title": "Validation Of The New Corvis Biomechanical Index Optimised For Chinese Eyes",
      "authors": "Dr Li Lim",
      "presenter": "Dr Li Lim",
      "normalized_authors": [
        "Li Lim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Li Lim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "The aim of this study is to compare Corvis ST parameters CBI /TBI and cCBI/cTBI obtained in the same Chinese population of normal myopic young adults who underwent laser vision correction.",
        "Setting": "Retrospective single center study.",
        "Methods": "Myopic Chinese adults who underwent laser vision correction with normal preoperative Pentacam tomography and Corvis ST parameters were included. The tomographical and biomechanical parameters were analysed and CBI/TBI indices obtained with the global database and cCBI/cTBI indices obtained with the East Asian database were compared.",
        "Results": "117 right eyes of 117 Chinese myopic patients were included. Their myopia ranges from -1.25D to -11.0D(spherical equivalent). Mean age of the patients was 29.5 years. The mean CBI/cCBI indices was 0.43 and 0.21 respectively (p=0.00). The mean TBI/cTBI indices was 0.21 and 0.11 respectively (p=0.00).",
        "Conclusions": "The new cCBI and cTBI indices for Chinese patients were significantly lower than CBI and TBI indices calculated for the same population. These new indices may be more appropriate for a Chinese population in preoperative assessment for laser vision correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new cCBI and cTBI indices for Chinese patients were significantly lower than CBI and TBI indices calculated for the same population. These new indices may be more appropriate for a Chinese population in preoperative assessment for laser vision correction.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 24,
      "source_fields": {
        "Abstract Final Identifier": "POANT024",
        "Title": "Validation Of The New Corvis Biomechanical Index Optimised For Chinese Eyes",
        "Presenting Author(s)": "Dr Li Lim",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Li",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lim",
        "Country Name": "Singapore",
        "Purpose": "The aim of this study is to compare Corvis ST parameters CBI /TBI and cCBI/cTBI obtained in the same Chinese population of normal myopic young adults who underwent laser vision correction.",
        "Setting": "Retrospective single center study.",
        "Methods": "Myopic Chinese adults who underwent laser vision correction with normal preoperative Pentacam tomography and Corvis ST parameters were included. The tomographical and biomechanical parameters were analysed and CBI/TBI indices obtained with the global database and cCBI/cTBI indices obtained with the East Asian database were compared.",
        "Results": "117 right eyes of 117 Chinese myopic patients were included. Their myopia ranges from -1.25D to -11.0D(spherical equivalent). Mean age of the patients was 29.5 years. The mean CBI/cCBI indices was 0.43 and 0.21 respectively (p=0.00). The mean TBI/cTBI indices was 0.21 and 0.11 respectively (p=0.00).",
        "Conclusions": "The new cCBI and cTBI indices for Chinese patients were significantly lower than CBI and TBI indices calculated for the same population. These new indices may be more appropriate for a Chinese population in preoperative assessment for laser vision correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 183
    },
    {
      "uid": "POANT025",
      "abstract_number": "POANT025",
      "title": "Cataract And Pseudoexfoliation: Objective Ubm Imaging Of The Anterior Segment In Exfoliation Syndrome And Exfoliative Glaucoma",
      "authors": "Dr Afef Maalej",
      "presenter": "Dr Afef Maalej",
      "normalized_authors": [
        "Afef Maalej"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Afef Maalej",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "Prevalence and earlier occurrence of cataract are higher in pseudoexfoliation syndrome (PEX) ,cataract surgery in these cases is complicated. This study was conducted to evaluate anterior segmePrevalence and earlier occurrence of cataract are higher in pseudoexfoliation syndrome (PEX) ,cataract surgery in these cases is complicated. This study was conducted to evaluate anterior segment parameters by ultrasound biomicroscopy (UBM) in eyes with pseudoexfoliation syndrome.nt parameters by ultrasound biomicroscopy (UBM) in eyes with pseudoexfoliation syndrome.",
        "Setting": "Military Hospital Of Tunis, Tunisia\n\nDepartement of Ophthalmology",
        "Methods": "A case-control study was conducted from 1 March 2022 to 30 April 2023 in the ophthalmology department of the Military Hospital of Tunis. One hundred and fifty-three eyes of 83 patients were enrolled, categorized into three groups: uncomplicated PEX (51 eyes), exfoliative glaucoma (XFG, 53 eyes), and controls (49 eyes). The level of zonular damage was graded (0 to 4) by UBM, retaining the most severe value among the four meridians. Superior axial scanning was employed for angle assessment. Measured parameters included anterior chamber depth (ACD), pupillary diameter (PD), iris thickness (IT) at 750 µm posterior to the scleral spur, iris-lens contact distance (ILCD), lens vault (LV), and angle parameters (AOD500/750 and TISA500/750).",
        "Results": "Zonular involvement was significantly different among the groups, being more severe in XFG than in uncomplicated PEX and in both exfoliation groups versus controls (all p < 0.001). In the PEX group, 2% of eyes were stage 2, 51% stage 3, and 47.1% stage 4; in the XFG group 1.9% were stage 2, 15.1% stage 3 and 83% stage 4. PD in darkness was significantly reduced in XFG versus PEX (p = 0.002) and in PEX versus controls (p < 0.001). Angle parameters did not differ significantly between PEX and XFG, but differed between each exfoliation group and controls. IT was significantly increased in PEX and XFG compared with controls, and both ILCD and LV were higher in PEX and XFG versus controls. ACD was decreased in PEX compared to controls",
        "Conclusions": "UBM indicates marked zonular participation in PEX, most of all in exfoliative glaucoma, with a high rate of advanced zonular disintegration. Small pupillary diameter, iris thickness, shallow ACD, and high lens vault together with increased iris–lens contact reflect iris stiffness and anterior lens shift due to weakened zonules. Such anatomical features explain the additional technical burden and risk during cataract surgery in PEX eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UBM indicates marked zonular participation in PEX, most of all in exfoliative glaucoma, with a high rate of advanced zonular disintegration. Small pupillary diameter, iris thickness, shallow ACD, and high lens vault together with increased iris–lens contact reflect iris stiffness and anterior lens shift due to weakened zonules. Such anatomical features explain the additional technical burden and risk during…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 25,
      "source_fields": {
        "Abstract Final Identifier": "POANT025",
        "Title": "Cataract And Pseudoexfoliation: Objective Ubm Imaging Of The Anterior Segment In Exfoliation Syndrome And Exfoliative Glaucoma",
        "Presenting Author(s)": "Dr Afef Maalej",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Afef",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Maalej",
        "Country Name": "Tunisia",
        "Purpose": "Prevalence and earlier occurrence of cataract are higher in pseudoexfoliation syndrome (PEX) ,cataract surgery in these cases is complicated. This study was conducted to evaluate anterior segmePrevalence and earlier occurrence of cataract are higher in pseudoexfoliation syndrome (PEX) ,cataract surgery in these cases is complicated. This study was conducted to evaluate anterior segment parameters by ultrasound biomicroscopy (UBM) in eyes with pseudoexfoliation syndrome.nt parameters by ultrasound biomicroscopy (UBM) in eyes with pseudoexfoliation syndrome.",
        "Setting": "Military Hospital Of Tunis, Tunisia\n\nDepartement of Ophthalmology",
        "Methods": "A case-control study was conducted from 1 March 2022 to 30 April 2023 in the ophthalmology department of the Military Hospital of Tunis. One hundred and fifty-three eyes of 83 patients were enrolled, categorized into three groups: uncomplicated PEX (51 eyes), exfoliative glaucoma (XFG, 53 eyes), and controls (49 eyes). The level of zonular damage was graded (0 to 4) by UBM, retaining the most severe value among the four meridians. Superior axial scanning was employed for angle assessment. Measured parameters included anterior chamber depth (ACD), pupillary diameter (PD), iris thickness (IT) at 750 µm posterior to the scleral spur, iris-lens contact distance (ILCD), lens vault (LV), and angle parameters (AOD500/750 and TISA500/750).",
        "Results": "Zonular involvement was significantly different among the groups, being more severe in XFG than in uncomplicated PEX and in both exfoliation groups versus controls (all p < 0.001). In the PEX group, 2% of eyes were stage 2, 51% stage 3, and 47.1% stage 4; in the XFG group 1.9% were stage 2, 15.1% stage 3 and 83% stage 4. PD in darkness was significantly reduced in XFG versus PEX (p = 0.002) and in PEX versus controls (p < 0.001). Angle parameters did not differ significantly between PEX and XFG, but differed between each exfoliation group and controls. IT was significantly increased in PEX and XFG compared with controls, and both ILCD and LV were higher in PEX and XFG versus controls. ACD was decreased in PEX compared to controls",
        "Conclusions": "UBM indicates marked zonular participation in PEX, most of all in exfoliative glaucoma, with a high rate of advanced zonular disintegration. Small pupillary diameter, iris thickness, shallow ACD, and high lens vault together with increased iris–lens contact reflect iris stiffness and anterior lens shift due to weakened zonules. Such anatomical features explain the additional technical burden and risk during cataract surgery in PEX eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "POANT026",
      "abstract_number": "POANT026",
      "title": "Schnyder Corneal Dystrophy Or Another Mystery? Unraveling An Atypical Case Of Progressive Corneal Crystals",
      "authors": "Dr Aymen Mabrouk",
      "presenter": "Dr Aymen Mabrouk",
      "normalized_authors": [
        "Aymen Mabrouk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aymen Mabrouk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "We present a complex case of a 42-year-old woman with persistent photophobia and progressive corneal\nchanges who, following left pterygium left eye removal, was initially misdiagnosed with several conditions, including\nSalzmann’s nodular degeneration, before subsequent evaluations raised suspicions of Schnyder corneal dystrophy.",
        "Setting": "The patient was evaluated in a specialized ophthalmology outpatient setting with serial examinations performed\nfrom 2021 through 2025.",
        "Methods": "A comprehensive ophthalmologic evaluation was conducted, including slit-lamp examination with fluorescein\nstaining, anterior segment optical coherence tomography (AS-OCT), and detailed laboratory tests to exclude systemic\nconditions such as hypercholesterolemia and hypercysteinemia. The patient was managed conservatively with artificial\ntears and maintained on regular follow-up, with genetic testing planned for diagnostic confirmation.",
        "Results": "Initial findings in 2021 revealed bilateral mid-peripheral corneal whitening (3×2 mm) with positive fluorescein\nstaining, leading to a preliminary diagnosis of Salzmann’s nodular degeneration. Despite symptomatic improvement with\nconservative management, the corneal lesions progressed over four years to display crystalline deposits following an\narcus pattern. AS-OCT demonstrated increasing epithelial hyperreflectivity over time. Laboratory evaluations were\nunremarkable for metabolic disorders, prompting a revised diagnosis of suspected Schnyder corneal dystrophy despite\nthe absence of familial history.",
        "Conclusions": "This case highlights the diagnostic complexity in corneal dystrophies with atypical presentations.\nProgressive corneal crystalline deposition and the development of an arcus pattern, despite initial management and\nnegative systemic findings, underscore the importance of long-term monitoring and reconsideration of the diagnosis.\nPending genetic testing, the evolving clinical features support a diagnosis of Schnyder corneal dystrophy, emphasizing\nthe need for vigilance in similar cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case highlights the diagnostic complexity in corneal dystrophies with atypical presentations. Progressive corneal crystalline deposition and the development of an arcus pattern, despite initial management and negative systemic findings, underscore the importance of long-term monitoring and reconsideration of the diagnosis. Pending genetic testing, the evolving clinical features support a diagnosis of Schnyder…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 26,
      "source_fields": {
        "Abstract Final Identifier": "POANT026",
        "Title": "Schnyder Corneal Dystrophy Or Another Mystery? Unraveling An Atypical Case Of Progressive Corneal Crystals",
        "Presenting Author(s)": "Dr Aymen Mabrouk",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Aymen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mabrouk",
        "Country Name": "Tunisia",
        "Purpose": "We present a complex case of a 42-year-old woman with persistent photophobia and progressive corneal\nchanges who, following left pterygium left eye removal, was initially misdiagnosed with several conditions, including\nSalzmann’s nodular degeneration, before subsequent evaluations raised suspicions of Schnyder corneal dystrophy.",
        "Setting": "The patient was evaluated in a specialized ophthalmology outpatient setting with serial examinations performed\nfrom 2021 through 2025.",
        "Methods": "A comprehensive ophthalmologic evaluation was conducted, including slit-lamp examination with fluorescein\nstaining, anterior segment optical coherence tomography (AS-OCT), and detailed laboratory tests to exclude systemic\nconditions such as hypercholesterolemia and hypercysteinemia. The patient was managed conservatively with artificial\ntears and maintained on regular follow-up, with genetic testing planned for diagnostic confirmation.",
        "Results": "Initial findings in 2021 revealed bilateral mid-peripheral corneal whitening (3×2 mm) with positive fluorescein\nstaining, leading to a preliminary diagnosis of Salzmann’s nodular degeneration. Despite symptomatic improvement with\nconservative management, the corneal lesions progressed over four years to display crystalline deposits following an\narcus pattern. AS-OCT demonstrated increasing epithelial hyperreflectivity over time. Laboratory evaluations were\nunremarkable for metabolic disorders, prompting a revised diagnosis of suspected Schnyder corneal dystrophy despite\nthe absence of familial history.",
        "Conclusions": "This case highlights the diagnostic complexity in corneal dystrophies with atypical presentations.\nProgressive corneal crystalline deposition and the development of an arcus pattern, despite initial management and\nnegative systemic findings, underscore the importance of long-term monitoring and reconsideration of the diagnosis.\nPending genetic testing, the evolving clinical features support a diagnosis of Schnyder corneal dystrophy, emphasizing\nthe need for vigilance in similar cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POANT027",
      "abstract_number": "POANT027",
      "title": "Intra-Operative Oct During Glaucoma Surgeries",
      "authors": "Dr Ana Miguel",
      "presenter": "Dr Ana Miguel",
      "normalized_authors": [
        "Ana Miguel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Miguel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Intra-operative OCT is widely used in cornea and retinal surgeries. Nevertheless, glaucoma surgeons do not use regularly this technique. We intended to characterize the usefulness of intra-operative OCT (iOCT) during glaucoma surgeries.",
        "Setting": "We conducted a monocentric retrospective study in our glaucoma service in France.",
        "Methods": "We followed Helsinki's Tenets. We obtained videos of all glaucoma surgeries in our center during 2024, in which the iOCT was used, including deep sclerectomy, trabeculectomy, tubes, micro-invasive glaucoma surgeries (MIGS) and micro-invasive bleb surgeries (MIBS). We assessed the utility helping the surgeon performing the surgery and the anatomical detail provided by iOCT.",
        "Results": "iOCT was useful to guide the surgeon in establishing a correct trabeculodescemetic window thickness in deep sclerectomy. MIBS surgeries (including XEN, Preserflo and MIMS) were also performed with iOCT, which was useful to identify the distance of the devices to the endothelium. In MIGS surgery, intra-operative OCT allowed the identification of the trabeculotomy of GATT surgery (gonioscopy-assisted transluminal trabeculotomy), the correct intra-canalicular positioning of an Hydrus, and even the identification of the smaller iStents. Nevertheless, iOCT was not useful during the surgery itself. iOCT was less useful for identifying the trabeculostomies of ELIOS, and the microsclerostomy from MIMS (mini-invasive micro-sclerostomy).",
        "Conclusions": "iOCT brought anatomical detail in glaucoma surgeries, being useful for residents and novice surgeons, and in deep sclerectomy, tubes, XEN, and Preserflo. Nevertheless, it was time-consuming. Future multi-centered studies will be useful to ascertain its utility in different glaucoma surgeries and techniques."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "iOCT brought anatomical detail in glaucoma surgeries, being useful for residents and novice surgeons, and in deep sclerectomy, tubes, XEN, and Preserflo. Nevertheless, it was time-consuming. Future multi-centered studies will be useful to ascertain its utility in different glaucoma surgeries and techniques.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 27,
      "source_fields": {
        "Abstract Final Identifier": "POANT027",
        "Title": "Intra-Operative Oct During Glaucoma Surgeries",
        "Presenting Author(s)": "Dr Ana Miguel",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Miguel",
        "Country Name": "France",
        "Purpose": "Intra-operative OCT is widely used in cornea and retinal surgeries. Nevertheless, glaucoma surgeons do not use regularly this technique. We intended to characterize the usefulness of intra-operative OCT (iOCT) during glaucoma surgeries.",
        "Setting": "We conducted a monocentric retrospective study in our glaucoma service in France.",
        "Methods": "We followed Helsinki's Tenets. We obtained videos of all glaucoma surgeries in our center during 2024, in which the iOCT was used, including deep sclerectomy, trabeculectomy, tubes, micro-invasive glaucoma surgeries (MIGS) and micro-invasive bleb surgeries (MIBS). We assessed the utility helping the surgeon performing the surgery and the anatomical detail provided by iOCT.",
        "Results": "iOCT was useful to guide the surgeon in establishing a correct trabeculodescemetic window thickness in deep sclerectomy. MIBS surgeries (including XEN, Preserflo and MIMS) were also performed with iOCT, which was useful to identify the distance of the devices to the endothelium. In MIGS surgery, intra-operative OCT allowed the identification of the trabeculotomy of GATT surgery (gonioscopy-assisted transluminal trabeculotomy), the correct intra-canalicular positioning of an Hydrus, and even the identification of the smaller iStents. Nevertheless, iOCT was not useful during the surgery itself. iOCT was less useful for identifying the trabeculostomies of ELIOS, and the microsclerostomy from MIMS (mini-invasive micro-sclerostomy).",
        "Conclusions": "iOCT brought anatomical detail in glaucoma surgeries, being useful for residents and novice surgeons, and in deep sclerectomy, tubes, XEN, and Preserflo. Nevertheless, it was time-consuming. Future multi-centered studies will be useful to ascertain its utility in different glaucoma surgeries and techniques."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POANT028",
      "abstract_number": "POANT028",
      "title": "Corneal And Refractive Properties And Correlation To Clinical Measures In Patients With Congenital Nystagmus Syndrome",
      "authors": "Dr Orwa Nasser",
      "presenter": "Dr Orwa Nasser",
      "normalized_authors": [
        "Orwa Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Orwa Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To describe the corneal and refractive findings and explore the correlations between refractive findings to visual acuity and other clinical measures in patients with congenital nystagmus syndrome compared to healthy subjects.",
        "Setting": "Private Ophthalmology clinic",
        "Methods": "In this comparative cross-sectional observational study, a scheimpflug imaging tomography was conducted on eyes of congenital nystagmus syndrome patients and compared with those of healthy individuals (control group). 212 eyes of 126 congenital nystagmus syndrome patients and 212 eyes of 106 healthy individuals were included in the study. Corneal astigmatism prevalence, corneal astigmatic power, maximal keratometry, mean keratometry and pachymetry values were obtained and compared between the groups. Correlations between the different variables were examined.",
        "Results": "All nystagmus patients (100%) had astigmatism of at least 1 diopter compared to 11 subjects (34.375%) in the control group (P<0.001). The average astigmatic power in the patient’s group was 3.383 ± 1.135 diopters compared to 0.8281 ± 0.58.54 diopters in the control group (P<0.001). 53%, 36%, 11% of nystagmus group had hyperopic astigmatism, myopic astigmatism and astigmatism only, respectively. The maximal keratometric power in the patient’s group was 44.16 ± 2.444 diopters compared to 42.88 ± 2.052 diopters in the control group (P=0.027). Pearson correlation demonstrated a moderate-to-strong negative association between VA and corneal astigmatism grade (r = -0.658 p < 0.001).",
        "Conclusions": "All patients with congenital nystagmus syndrome have visually significant astigmatism. The higher corneal astigmatism garde the lower is the visual acuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All patients with congenital nystagmus syndrome have visually significant astigmatism. The higher corneal astigmatism garde the lower is the visual acuity.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 28,
      "source_fields": {
        "Abstract Final Identifier": "POANT028",
        "Title": "Corneal And Refractive Properties And Correlation To Clinical Measures In Patients With Congenital Nystagmus Syndrome",
        "Presenting Author(s)": "Dr Orwa Nasser",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Orwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "United States",
        "Purpose": "To describe the corneal and refractive findings and explore the correlations between refractive findings to visual acuity and other clinical measures in patients with congenital nystagmus syndrome compared to healthy subjects.",
        "Setting": "Private Ophthalmology clinic",
        "Methods": "In this comparative cross-sectional observational study, a scheimpflug imaging tomography was conducted on eyes of congenital nystagmus syndrome patients and compared with those of healthy individuals (control group). 212 eyes of 126 congenital nystagmus syndrome patients and 212 eyes of 106 healthy individuals were included in the study. Corneal astigmatism prevalence, corneal astigmatic power, maximal keratometry, mean keratometry and pachymetry values were obtained and compared between the groups. Correlations between the different variables were examined.",
        "Results": "All nystagmus patients (100%) had astigmatism of at least 1 diopter compared to 11 subjects (34.375%) in the control group (P<0.001). The average astigmatic power in the patient’s group was 3.383 ± 1.135 diopters compared to 0.8281 ± 0.58.54 diopters in the control group (P<0.001). 53%, 36%, 11% of nystagmus group had hyperopic astigmatism, myopic astigmatism and astigmatism only, respectively. The maximal keratometric power in the patient’s group was 44.16 ± 2.444 diopters compared to 42.88 ± 2.052 diopters in the control group (P=0.027). Pearson correlation demonstrated a moderate-to-strong negative association between VA and corneal astigmatism grade (r = -0.658 p < 0.001).",
        "Conclusions": "All patients with congenital nystagmus syndrome have visually significant astigmatism. The higher corneal astigmatism garde the lower is the visual acuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "POANT029",
      "abstract_number": "POANT029",
      "title": "Corneal Copper Deposits In A Breast Cancer Survivor: A 5-Year Follow-Up",
      "authors": "Dr Athanasios Pappas",
      "presenter": "Dr Athanasios Pappas",
      "normalized_authors": [
        "Athanasios Pappas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Athanasios Pappas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "This study aims to describe an extremely rare case of corneal copper deposition due to elevated IgG levels following systemic malignancy.",
        "Setting": "The study was performed at a single, tertiary-care center, the University Hospital of Larissa, Greece, involving a patient treated in the outpatient ophthalmology department.",
        "Methods": "Case report of a 49-year-old woman with a history of breast cancer treated with radiation therapy, tamoxifen, and gonadorelin, who presented in 2019 for asymptomatic “color change” in both eyes.",
        "Results": "Slit-lamp biomicroscopy disclosed central golden-brown corneal deposits at the level of Descemet’s membrane, indicative of copper accumulation. During a 5-year follow-up, deposits increased in density and extended peripherally, while visual acuity remained 20/20 bilaterally. Normal ceruloplasmin, liver function tests, and urine copper levels ruled out Wilson’s disease. Elevated IgG kappa levels suggested an underlying monoclonal gammopathy. The patient was referred for a hematologic evaluation but declined further testing.",
        "Conclusions": "Only a limited number of cases with central corneal copper deposits have been described in the literature, all of which are associated either with multiple myeloma or with monoclonal gammopathies of unknown significance. Presumably the copper binds to alternated IgG with high affinity and the accumulated copper is deposited in the central Descemet’s membrane. Recognizing this characteristic clinical appearance is essential, as it may indicate an undiagnosed hematologic disorder requiring systemic evaluation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Only a limited number of cases with central corneal copper deposits have been described in the literature, all of which are associated either with multiple myeloma or with monoclonal gammopathies of unknown significance. Presumably the copper binds to alternated IgG with high affinity and the accumulated copper is deposited in the central Descemet’s membrane. Recognizing this characteristic clinical appearance is…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 29,
      "source_fields": {
        "Abstract Final Identifier": "POANT029",
        "Title": "Corneal Copper Deposits In A Breast Cancer Survivor: A 5-Year Follow-Up",
        "Presenting Author(s)": "Dr Athanasios Pappas",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Athanasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pappas",
        "Country Name": "Greece",
        "Purpose": "This study aims to describe an extremely rare case of corneal copper deposition due to elevated IgG levels following systemic malignancy.",
        "Setting": "The study was performed at a single, tertiary-care center, the University Hospital of Larissa, Greece, involving a patient treated in the outpatient ophthalmology department.",
        "Methods": "Case report of a 49-year-old woman with a history of breast cancer treated with radiation therapy, tamoxifen, and gonadorelin, who presented in 2019 for asymptomatic “color change” in both eyes.",
        "Results": "Slit-lamp biomicroscopy disclosed central golden-brown corneal deposits at the level of Descemet’s membrane, indicative of copper accumulation. During a 5-year follow-up, deposits increased in density and extended peripherally, while visual acuity remained 20/20 bilaterally. Normal ceruloplasmin, liver function tests, and urine copper levels ruled out Wilson’s disease. Elevated IgG kappa levels suggested an underlying monoclonal gammopathy. The patient was referred for a hematologic evaluation but declined further testing.",
        "Conclusions": "Only a limited number of cases with central corneal copper deposits have been described in the literature, all of which are associated either with multiple myeloma or with monoclonal gammopathies of unknown significance. Presumably the copper binds to alternated IgG with high affinity and the accumulated copper is deposited in the central Descemet’s membrane. Recognizing this characteristic clinical appearance is essential, as it may indicate an undiagnosed hematologic disorder requiring systemic evaluation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POANT030",
      "abstract_number": "POANT030",
      "title": "Epithelial Map Guided Management Of Recurrent Corneal Erosions : A Prospective Study",
      "authors": "Dr Raj Shekhar Paul",
      "presenter": "Dr Raj Shekhar Paul",
      "normalized_authors": [
        "Raj Shekhar Paul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raj Shekhar Paul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Recurrent corneal erosions (RCEs) affect life style of patients, where there is repeated breakdown of corneal epithelium and causes pain, photophobia and blurriness of vision. The purpose of this study is to increase the predictability of knowing recurrences in RCEs and to aid in treatment like - debriding or diamond burr polishing using epithelial maps as guide for the area with loose epithelium.",
        "Setting": "This is a single centre, prospective study interventional done at a tertiary hospital in Eastern India . The study has been approved by institutional review board. Successive patients diagnosed as RCE underwent epithelial mapping and were subsequently treated to decrease their recurrences . There were 17 patients (N = 20) enrolled in this study , 10 females and 7 males over a period of 18 months . 3 out of 17 patients were bilaterally affected.",
        "Methods": "We propose a step ladder pattern of treatment for this disease, where using the epithelial maps we can identify the areas of loosening and monitor the progression and aid in cessation of future attacks. Depending upon severity and chronicity of disease, patients were treated from medical to surgical management in 4 steps . Step 1 is the conservative treatment using preservative free artificial lubricants , hypertonic saline and mild steroids in case of exaggerated inflammation . Step 2 is the debridement followed by application of bandage contact lens (BCL). Step 3 is debridement and BCL , along with topical insulin (1iu/ml) for re-epithelization . Step 4 is surgical management with diamond burr polishing and anterior stromal puncture.",
        "Results": "All patients underwent epithelial mapping (ANTERION, Heidelberg Engineering GmbH ) at presentation and during their follow ups . Interesting insights were noted in form of persistence of changes on epithelial maps for long after epithelial healing and it also guided on continuation of topical insulin till flattening on epithelial maps were noted . 17 patients were divided into 4 groups and even in the surgical group 4 , the burr polishing and anterior stromal puncture (ASP) were done over actual edematous areas noted on epithelial maps. In the subsequent followup period , all eyes reported no recurrences , shortest followup being 4 months. 3 eyes of 2 patients underwent burr polishing with ASP for their inferior corneal erosions.",
        "Conclusions": "Currently, epithelial maps have proven useful in various indications and they can be useful in diagnosing , monitoring , predicting recurrences and aiding treatment of RCEs. Strength of the study has been a novel concept of combining the treatment of RCEs using swept source OCT. This study also highlights use of topical insulin in such cases, which can act a a supplementary armamentarium for re-epithelization.Limitations being short duration of study as recurrences in RCEs have been reported to happen even after many years of recurrence free period .Till date, there is no consensus , on classification and treatment of RCEs, but with advances in diagnostic tools and better prediction , the future looks promising in treating this disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Currently, epithelial maps have proven useful in various indications and they can be useful in diagnosing , monitoring , predicting recurrences and aiding treatment of RCEs. Strength of the study has been a novel concept of combining the treatment of RCEs using swept source OCT. This study also highlights use of topical insulin in such cases, which can act a a supplementary armamentarium for…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 30,
      "source_fields": {
        "Abstract Final Identifier": "POANT030",
        "Title": "Epithelial Map Guided Management Of Recurrent Corneal Erosions : A Prospective Study",
        "Presenting Author(s)": "Dr Raj Shekhar Paul",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Raj Shekhar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Paul",
        "Country Name": "India",
        "Purpose": "Recurrent corneal erosions (RCEs) affect life style of patients, where there is repeated breakdown of corneal epithelium and causes pain, photophobia and blurriness of vision. The purpose of this study is to increase the predictability of knowing recurrences in RCEs and to aid in treatment like - debriding or diamond burr polishing using epithelial maps as guide for the area with loose epithelium.",
        "Setting": "This is a single centre, prospective study interventional done at a tertiary hospital in Eastern India . The study has been approved by institutional review board. Successive patients diagnosed as RCE underwent epithelial mapping and were subsequently treated to decrease their recurrences . There were 17 patients (N = 20) enrolled in this study , 10 females and 7 males over a period of 18 months . 3 out of 17 patients were bilaterally affected.",
        "Methods": "We propose a step ladder pattern of treatment for this disease, where using the epithelial maps we can identify the areas of loosening and monitor the progression and aid in cessation of future attacks. Depending upon severity and chronicity of disease, patients were treated from medical to surgical management in 4 steps . Step 1 is the conservative treatment using preservative free artificial lubricants , hypertonic saline and mild steroids in case of exaggerated inflammation . Step 2 is the debridement followed by application of bandage contact lens (BCL). Step 3 is debridement and BCL , along with topical insulin (1iu/ml) for re-epithelization . Step 4 is surgical management with diamond burr polishing and anterior stromal puncture.",
        "Results": "All patients underwent epithelial mapping (ANTERION, Heidelberg Engineering GmbH ) at presentation and during their follow ups . Interesting insights were noted in form of persistence of changes on epithelial maps for long after epithelial healing and it also guided on continuation of topical insulin till flattening on epithelial maps were noted . 17 patients were divided into 4 groups and even in the surgical group 4 , the burr polishing and anterior stromal puncture (ASP) were done over actual edematous areas noted on epithelial maps. In the subsequent followup period , all eyes reported no recurrences , shortest followup being 4 months. 3 eyes of 2 patients underwent burr polishing with ASP for their inferior corneal erosions.",
        "Conclusions": "Currently, epithelial maps have proven useful in various indications and they can be useful in diagnosing , monitoring , predicting recurrences and aiding treatment of RCEs. Strength of the study has been a novel concept of combining the treatment of RCEs using swept source OCT. This study also highlights use of topical insulin in such cases, which can act a a supplementary armamentarium for re-epithelization.Limitations being short duration of study as recurrences in RCEs have been reported to happen even after many years of recurrence free period .Till date, there is no consensus , on classification and treatment of RCEs, but with advances in diagnostic tools and better prediction , the future looks promising in treating this disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 472
    },
    {
      "uid": "POANT031",
      "abstract_number": "POANT031",
      "title": "Diurnal Variations In Corneal Thickness And Keratometry In Healthy Eyes: A Sector-Based Analysis Of Lifestyle-Related Factors",
      "authors": "Dr David Pablo P Pinero",
      "presenter": "Dr David Pablo P Pinero",
      "normalized_authors": [
        "David Pablo P Pinero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Pablo P Pinero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To analyze diurnal variations in corneal thickness and curvature of the anterior and posterior corneal surfaces in healthy eyes, and to investigate the correlation between these changes and lifestyle habits",
        "Setting": "Optometric Clinic. University of Alicante, Alicante, Spain",
        "Methods": "A prospective observational study was conducted including 109 eyes from 55 healthy subjects. Corneal parameters were measured at five time points over a 10-hour period (9:00 a.m. to 7:00 p.m., every 2.5 hours). Intraocular pressure, corneal thickness, volume, and keratometry were measured. Anterior and posterior keratometry were analyzed globally and by sector using 1-mm radial rings. Lifestyle habits were recorded through morning and evening questionnaires. Diurnal changes were analyzed using repeated-measures ANOVA or Friedman tests, and correlations were assessed using Spearman’s rank correlation coefficient.",
        "Results": "Significant diurnal decreases were observed in IOP, central and minimum corneal thickness, and corneal volume (p ≤ 0.031). Anterior keratometry showed statistically significant but clinically negligible changes, predominantly in the inferotemporal region, while posterior keratometry remained stable throughout the day. Sector-based analysis revealed non-uniform spatial patterns of anterior curvature change, mainly within the central 4 mm. Weak to moderate positive correlations were found between water and coffee intake, smoking status, and changes in corneal thickness and volume. No relevant correlations were observed between lifestyle factors and keratometric parameters",
        "Conclusions": "Corneal thickness and volume exhibit significant diurnal decreases in healthy eyes, whereas anterior keratometric changes are minimal and clinically irrelevant when assessed globally. Sector-based analysis reveals localized anterior corneal changes, particularly in central and inferotemporal regions. Lifestyle factors such as hydration, caffeine intake, and smoking appear to modulate corneal thickness. These findings underscore the importance of considering time of day and behavioral factors when interpreting corneal measurements in both clinical and research settings"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal thickness and volume exhibit significant diurnal decreases in healthy eyes, whereas anterior keratometric changes are minimal and clinically irrelevant when assessed globally. Sector-based analysis reveals localized anterior corneal changes, particularly in central and inferotemporal regions. Lifestyle factors such as hydration, caffeine intake, and smoking appear to modulate corneal thickness. These…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 31,
      "source_fields": {
        "Abstract Final Identifier": "POANT031",
        "Title": "Diurnal Variations In Corneal Thickness And Keratometry In Healthy Eyes: A Sector-Based Analysis Of Lifestyle-Related Factors",
        "Presenting Author(s)": "Dr David Pablo P Pinero",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "David Pablo",
        "Submitter Middle Name": "P",
        "Submitter Last Name": "Pinero",
        "Country Name": "Spain",
        "Purpose": "To analyze diurnal variations in corneal thickness and curvature of the anterior and posterior corneal surfaces in healthy eyes, and to investigate the correlation between these changes and lifestyle habits",
        "Setting": "Optometric Clinic. University of Alicante, Alicante, Spain",
        "Methods": "A prospective observational study was conducted including 109 eyes from 55 healthy subjects. Corneal parameters were measured at five time points over a 10-hour period (9:00 a.m. to 7:00 p.m., every 2.5 hours). Intraocular pressure, corneal thickness, volume, and keratometry were measured. Anterior and posterior keratometry were analyzed globally and by sector using 1-mm radial rings. Lifestyle habits were recorded through morning and evening questionnaires. Diurnal changes were analyzed using repeated-measures ANOVA or Friedman tests, and correlations were assessed using Spearman’s rank correlation coefficient.",
        "Results": "Significant diurnal decreases were observed in IOP, central and minimum corneal thickness, and corneal volume (p ≤ 0.031). Anterior keratometry showed statistically significant but clinically negligible changes, predominantly in the inferotemporal region, while posterior keratometry remained stable throughout the day. Sector-based analysis revealed non-uniform spatial patterns of anterior curvature change, mainly within the central 4 mm. Weak to moderate positive correlations were found between water and coffee intake, smoking status, and changes in corneal thickness and volume. No relevant correlations were observed between lifestyle factors and keratometric parameters",
        "Conclusions": "Corneal thickness and volume exhibit significant diurnal decreases in healthy eyes, whereas anterior keratometric changes are minimal and clinically irrelevant when assessed globally. Sector-based analysis reveals localized anterior corneal changes, particularly in central and inferotemporal regions. Lifestyle factors such as hydration, caffeine intake, and smoking appear to modulate corneal thickness. These findings underscore the importance of considering time of day and behavioral factors when interpreting corneal measurements in both clinical and research settings"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POANT032",
      "abstract_number": "POANT032",
      "title": "Evaluation And Comparison Of The Lens Diameter Of The Phakic Eye Using Cerebral Mri And Oct-Based Imaging",
      "authors": "Dr Sophia Anna Reifeltshammer",
      "presenter": "Dr Sophia Anna Reifeltshammer",
      "normalized_authors": [
        "Sophia Anna Reifeltshammer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sophia Anna Reifeltshammer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate and compare the lens diameter (LD) measurements of the phakic eye using different imaging techniques",
        "Setting": "Department of Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria\n\nDepartment of Ophthalmology and Optometry, Johannes Kepler University, Linz",
        "Methods": "This prospective, single center study included patients that underwent standard preoperative cataract surgery assessment. Preoperative measurements included optical biometry (IOLMaster700, CZM, Germany) and three different anterior segment optical coherence tomography (AS-OCT) devices (OCT1: Anterion, Heidelberg Engineering, Germany; OCT2: Casia2, Tomey, Japan; OCT3: MS-39, CSO, Italy) as well as cerebral MRI scans (cMRI; MAGNETOM Vida, Siemens Healthineers, Germany) of 60 patients. For the cMRI, LD was measured by two independent observers. For the OCT devices, the LD was extrapolated from the anterior and posterior lens curvature.",
        "Results": "A total of 240 eyes from 120 patients were included. Mean age was 69 ± 14 years, and mean axial length was 24.21 ± 2.97 mm. In the cMRI, mean measured LD was 8.64 ± 0.30 mm, while in OCT2, mean LD was 10.07 ± 0.36 mm. A preliminary analysis showed a mean difference between OCT 2 and cMRI of 1.24 ± 0.35 mm, with a significant difference between the groups (p < 0.001), as OCT2 consistently yielded higher values.\n\nA detailed analysis of the remaining OCT devices and potential determinants of the measured lens diameter will be presented at the annual meeting.",
        "Conclusions": "Preliminary data show a significant difference between the lens diameter measured in MRI and the one extrapolated from OCT. Knowledge or prediction of the lens diameter could be useful for future lens power calculations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary data show a significant difference between the lens diameter measured in MRI and the one extrapolated from OCT. Knowledge or prediction of the lens diameter could be useful for future lens power calculations.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 32,
      "source_fields": {
        "Abstract Final Identifier": "POANT032",
        "Title": "Evaluation And Comparison Of The Lens Diameter Of The Phakic Eye Using Cerebral Mri And Oct-Based Imaging",
        "Presenting Author(s)": "Dr Sophia Anna Reifeltshammer",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Sophia",
        "Submitter Middle Name": "Anna",
        "Submitter Last Name": "Reifeltshammer",
        "Country Name": "Austria",
        "Purpose": "To evaluate and compare the lens diameter (LD) measurements of the phakic eye using different imaging techniques",
        "Setting": "Department of Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria\n\nDepartment of Ophthalmology and Optometry, Johannes Kepler University, Linz",
        "Methods": "This prospective, single center study included patients that underwent standard preoperative cataract surgery assessment. Preoperative measurements included optical biometry (IOLMaster700, CZM, Germany) and three different anterior segment optical coherence tomography (AS-OCT) devices (OCT1: Anterion, Heidelberg Engineering, Germany; OCT2: Casia2, Tomey, Japan; OCT3: MS-39, CSO, Italy) as well as cerebral MRI scans (cMRI; MAGNETOM Vida, Siemens Healthineers, Germany) of 60 patients. For the cMRI, LD was measured by two independent observers. For the OCT devices, the LD was extrapolated from the anterior and posterior lens curvature.",
        "Results": "A total of 240 eyes from 120 patients were included. Mean age was 69 ± 14 years, and mean axial length was 24.21 ± 2.97 mm. In the cMRI, mean measured LD was 8.64 ± 0.30 mm, while in OCT2, mean LD was 10.07 ± 0.36 mm. A preliminary analysis showed a mean difference between OCT 2 and cMRI of 1.24 ± 0.35 mm, with a significant difference between the groups (p < 0.001), as OCT2 consistently yielded higher values.\n\nA detailed analysis of the remaining OCT devices and potential determinants of the measured lens diameter will be presented at the annual meeting.",
        "Conclusions": "Preliminary data show a significant difference between the lens diameter measured in MRI and the one extrapolated from OCT. Knowledge or prediction of the lens diameter could be useful for future lens power calculations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POANT033",
      "abstract_number": "POANT033",
      "title": "Corneal Topography Findings Among Patients With Thyroid Dysfunction",
      "authors": "Dr Amr Saeed",
      "presenter": "Dr Amr Saeed",
      "normalized_authors": [
        "Amr Saeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amr Saeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "The aim of this study was to compare and evaluate changes in corneal topography and biomechanics among patients suffering from various forms of thyroid gland dysfunction",
        "Setting": "Endocrinology Clinic at the Faculty of Medicine, Alexandria University.",
        "Methods": "topography and Scheimpflug imaging were performed using TMS (Tommey GmbH) to measure flat (K1), steep (K2), and maximum (K max) simulated keratometry readings, along with minimal corneal thickness. Additionally, serum levels of thyroid-stimulating hormone (TSH), free thyroxine (FT4), and free triiodothyronine (FT3) were measured for all participants.",
        "Results": "The study population consisted of 137 females and 63 males with a mean age of 32.4 ± 8.2 years. The mean K1 was 45.86 ± 4.69 D, the mean K2 was 47.89 ± 5.08 D, and the mean central corneal thickness (CCT) was 475 ± 0.36 µm. These results indicated thinner and steeper corneas than age-matched normative databases. However, no statistically significant correlation was found between these topographic parameters and serum TSH, FT4, or FT3 levels. While one case of iatrogenic post-LASIK ectasia was identified, no cases of true keratoconus were reported in this specific series.",
        "Conclusions": "Patients with thyroid dysfunction demonstrate significant topographic changes characterized by steeper and thinner corneas, though these did not manifest as clinical keratoconus in this study. Consequently, cautious analysis of corneal topography is critical for these patients, especially when screening for refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with thyroid dysfunction demonstrate significant topographic changes characterized by steeper and thinner corneas, though these did not manifest as clinical keratoconus in this study. Consequently, cautious analysis of corneal topography is critical for these patients, especially when screening for refractive surgery.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 33,
      "source_fields": {
        "Abstract Final Identifier": "POANT033",
        "Title": "Corneal Topography Findings Among Patients With Thyroid Dysfunction",
        "Presenting Author(s)": "Dr Amr Saeed",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Amr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saeed",
        "Country Name": "Egypt",
        "Purpose": "The aim of this study was to compare and evaluate changes in corneal topography and biomechanics among patients suffering from various forms of thyroid gland dysfunction",
        "Setting": "Endocrinology Clinic at the Faculty of Medicine, Alexandria University.",
        "Methods": "topography and Scheimpflug imaging were performed using TMS (Tommey GmbH) to measure flat (K1), steep (K2), and maximum (K max) simulated keratometry readings, along with minimal corneal thickness. Additionally, serum levels of thyroid-stimulating hormone (TSH), free thyroxine (FT4), and free triiodothyronine (FT3) were measured for all participants.",
        "Results": "The study population consisted of 137 females and 63 males with a mean age of 32.4 ± 8.2 years. The mean K1 was 45.86 ± 4.69 D, the mean K2 was 47.89 ± 5.08 D, and the mean central corneal thickness (CCT) was 475 ± 0.36 µm. These results indicated thinner and steeper corneas than age-matched normative databases. However, no statistically significant correlation was found between these topographic parameters and serum TSH, FT4, or FT3 levels. While one case of iatrogenic post-LASIK ectasia was identified, no cases of true keratoconus were reported in this specific series.",
        "Conclusions": "Patients with thyroid dysfunction demonstrate significant topographic changes characterized by steeper and thinner corneas, though these did not manifest as clinical keratoconus in this study. Consequently, cautious analysis of corneal topography is critical for these patients, especially when screening for refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POANT034",
      "abstract_number": "POANT034",
      "title": "Anterior Chamber Configuration And Intraocular Pressure Changes Assessed By Ultrasound Biomicroscopy During Hyperbaric Oxygen Therapy",
      "authors": "A/Prof. Asma Khallouli",
      "presenter": "A/Prof. Asma Khallouli",
      "normalized_authors": [
        "Asma Khallouli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rahma Saidane",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "To investigate anterior chamber configuration using ultrasound biomicroscopy (UBM) and its relationship with intraocular pressure (IOP) variations during hyperbaric oxygen therapy (HBOT).",
        "Setting": "Ophthalmology Department and Hyperbaric Medicine Unit, Military Hospital of Tunis, Tunisia.",
        "Methods": "Seventy-four patients (148 eyes) without ocular pathology underwent standardized UBM imaging during HBOT (2.5 ATA, ≥30 sessions). Parameters analyzed included lens vault, angle opening distance at 500 µm (AOD500), angle recess area (ARA500/750), and trabecular-iris space area (TISA750). IOP was measured at each visit. Assessments were performed at baseline and every 10 sessions up to 60 sessions, with a 3-month post-treatment control.",
        "Results": "UBM showed stable anterior chamber configuration throughout follow-up, with no significant changes in lens vault or angle parameters (AOD500, ARA500/750, TISA750) at any time point (all p>0.05). Conversely, IOP demonstrated a progressive and significant decrease starting from session 20 (p<0.05), reaching a maximum reduction at S60 (mean decrease ≈3 mmHg). At 3-month follow-up, IOP returned to baseline levels (p=NS), confirming the reversibility of this effect. No structural anterior segment crowding or anterior lens displacement was observed.",
        "Conclusions": "UBM imaging confirms the structural stability of the anterior chamber and lens position during HBOT, despite a transient and reversible reduction in IOP. These findings suggest that HBOT-related IOP decrease is likely functional rather than due to anatomical modifications detectable by UBM."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UBM imaging confirms the structural stability of the anterior chamber and lens position during HBOT, despite a transient and reversible reduction in IOP. These findings suggest that HBOT-related IOP decrease is likely functional rather than due to anatomical modifications detectable by UBM.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 34,
      "source_fields": {
        "Abstract Final Identifier": "POANT034",
        "Title": "Anterior Chamber Configuration And Intraocular Pressure Changes Assessed By Ultrasound Biomicroscopy During Hyperbaric Oxygen Therapy",
        "Presenting Author(s)": "A/Prof. Asma Khallouli",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Rahma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saidane",
        "Country Name": "Tunisia",
        "Purpose": "To investigate anterior chamber configuration using ultrasound biomicroscopy (UBM) and its relationship with intraocular pressure (IOP) variations during hyperbaric oxygen therapy (HBOT).",
        "Setting": "Ophthalmology Department and Hyperbaric Medicine Unit, Military Hospital of Tunis, Tunisia.",
        "Methods": "Seventy-four patients (148 eyes) without ocular pathology underwent standardized UBM imaging during HBOT (2.5 ATA, ≥30 sessions). Parameters analyzed included lens vault, angle opening distance at 500 µm (AOD500), angle recess area (ARA500/750), and trabecular-iris space area (TISA750). IOP was measured at each visit. Assessments were performed at baseline and every 10 sessions up to 60 sessions, with a 3-month post-treatment control.",
        "Results": "UBM showed stable anterior chamber configuration throughout follow-up, with no significant changes in lens vault or angle parameters (AOD500, ARA500/750, TISA750) at any time point (all p>0.05). Conversely, IOP demonstrated a progressive and significant decrease starting from session 20 (p<0.05), reaching a maximum reduction at S60 (mean decrease ≈3 mmHg). At 3-month follow-up, IOP returned to baseline levels (p=NS), confirming the reversibility of this effect. No structural anterior segment crowding or anterior lens displacement was observed.",
        "Conclusions": "UBM imaging confirms the structural stability of the anterior chamber and lens position during HBOT, despite a transient and reversible reduction in IOP. These findings suggest that HBOT-related IOP decrease is likely functional rather than due to anatomical modifications detectable by UBM."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "POANT035",
      "abstract_number": "POANT035",
      "title": "Corneal Changes Assessed By Anterior Segment Optical Coherence Tomography During Hyperbaric Oxygen Therapy",
      "authors": "A/Prof. Asma Khallouli",
      "presenter": "A/Prof. Asma Khallouli",
      "normalized_authors": [
        "Asma Khallouli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rahma Saidane",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "To evaluate corneal structural changes using Anterior Segment Optical Coherence Tomography (AS-OCT) in eyes without pre-existing ocular disease undergoing repeated Hyperbaric Oxygen Therapy (HBOT) and to compare AS-OCT pachymetry with optical biometry measurements.",
        "Setting": "Ophthalmology Department and Hyperbaric Medicine Unit, Military Hospital of Tunis, Tunisia.",
        "Methods": "Seventy-four patients (148 eyes) scheduled for ≥30 HBOT sessions (2.5 ATA, 90 minutes, 5 sessions/week) were prospectively included. Central corneal assessment relied on multimodal pachymetry measurements using optical biometry (CCTb) and AS-OCT (CCT-AS). Evaluations were performed in both eyes at baseline (S0), every 10 sessions up to 60 sessions, and 3 months after treatment cessation.",
        "Results": "Baseline mean CCT was 508±29 µm (RE) and 505±35 µm (LE). No significant variation was observed up to S20 (p=NS). From S30 onward, a mild but statistically significant corneal thinning was detected on both optical biometry and AS-OCT, reaching a maximum at S60 (mean decrease 5–8 µm; p<0.05). The reduction remained within physiological limits and was not associated with visual acuity loss. At 3-month follow-up, corneal thickness values returned to baseline with no significant difference compared to pre-treatment measurements (p=NS). AS-OCT and optical biometry showed excellent agreement and high reproducibility (ICC=0.92).",
        "Conclusions": "Anterior segment OCT demonstrates that repeated HBOT induces a mild, cumulative, and fully reversible decrease in central corneal thickness without clinically significant corneal structural damage. AS-OCT appears to be a sensitive tool for detecting subtle hyperoxia-related corneal microstructural changes during prolonged HBOT."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior segment OCT demonstrates that repeated HBOT induces a mild, cumulative, and fully reversible decrease in central corneal thickness without clinically significant corneal structural damage. AS-OCT appears to be a sensitive tool for detecting subtle hyperoxia-related corneal microstructural changes during prolonged HBOT.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 35,
      "source_fields": {
        "Abstract Final Identifier": "POANT035",
        "Title": "Corneal Changes Assessed By Anterior Segment Optical Coherence Tomography During Hyperbaric Oxygen Therapy",
        "Presenting Author(s)": "A/Prof. Asma Khallouli",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Rahma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saidane",
        "Country Name": "Tunisia",
        "Purpose": "To evaluate corneal structural changes using Anterior Segment Optical Coherence Tomography (AS-OCT) in eyes without pre-existing ocular disease undergoing repeated Hyperbaric Oxygen Therapy (HBOT) and to compare AS-OCT pachymetry with optical biometry measurements.",
        "Setting": "Ophthalmology Department and Hyperbaric Medicine Unit, Military Hospital of Tunis, Tunisia.",
        "Methods": "Seventy-four patients (148 eyes) scheduled for ≥30 HBOT sessions (2.5 ATA, 90 minutes, 5 sessions/week) were prospectively included. Central corneal assessment relied on multimodal pachymetry measurements using optical biometry (CCTb) and AS-OCT (CCT-AS). Evaluations were performed in both eyes at baseline (S0), every 10 sessions up to 60 sessions, and 3 months after treatment cessation.",
        "Results": "Baseline mean CCT was 508±29 µm (RE) and 505±35 µm (LE). No significant variation was observed up to S20 (p=NS). From S30 onward, a mild but statistically significant corneal thinning was detected on both optical biometry and AS-OCT, reaching a maximum at S60 (mean decrease 5–8 µm; p<0.05). The reduction remained within physiological limits and was not associated with visual acuity loss. At 3-month follow-up, corneal thickness values returned to baseline with no significant difference compared to pre-treatment measurements (p=NS). AS-OCT and optical biometry showed excellent agreement and high reproducibility (ICC=0.92).",
        "Conclusions": "Anterior segment OCT demonstrates that repeated HBOT induces a mild, cumulative, and fully reversible decrease in central corneal thickness without clinically significant corneal structural damage. AS-OCT appears to be a sensitive tool for detecting subtle hyperoxia-related corneal microstructural changes during prolonged HBOT."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POANT036",
      "abstract_number": "POANT036",
      "title": "Optimising Anterior Segment Slit-Lamp Imaging Through Workflow And Equipment Redesign: A Quality Improvement Project",
      "authors": "Ms Rita Mansour",
      "presenter": "Ms Rita Mansour",
      "normalized_authors": [
        "Rita Mansour"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Blanca Sanz-Magallon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Anterior segment slit-lamp imaging has emerged as a valuable tool for clinical documentation, communication, and longitudinal monitoring of anterior segment pathology, such as trauma, malignancy, corneal, eyelid , and ocular surface disease, as well as postoperative change. Despite potential benefits, its routine integration into ophthalmic workflows rema ins inconsistent and poorly characterised.\n\nIn this single-centre quality improvement project, we aim to evaluate real-world use of anterior segment slit-lamp imaging in routine practice, identify perceived clinical value and barriers to image acquisition and integration, and assess the impact of targeted workflow and equipment interventions on imaging uptake and perceived clinical utility .",
        "Setting": "A UK secondary care ophthalmology outpatient department delivering cataract, glaucoma, corneal, oculoplastic, medical retina, paediatric ophthalmology , eye casualty, general ophthalmology , orthoptic and optometry services, using electronic patient records and various ophthalmic imaging platforms. A single mounted slit-lamp imaging module was available in one clinic room, with images saved on a separate computer rather than directly into the electronic patient record.",
        "Methods": "Baseline data were collected using a clinician questionnaire assessing frequency and indications for anterior segment slit-lamp imaging, confidence in image acquisition, and perceived barriers to routine use. Quantitative data were summarised using descriptive statistics; qualitative data were thematically analysed. Existing imaging workflows, equipment accessibility, and image integration processes were reviewed. Based on these findings, targeted interventions will be introduced, including workflow redesign, optimisation of slit-lamp imaging equipment, and practical guidance on image capture and electronic storage. A second cycle of data collection is planned following implementation.",
        "Results": "Baseline data were collected with a high clinician response rate (19/20; 95%). All respondents agreed that anterior segment slit-lamp photography improves documentation, disease monitoring, communication, teaching, and patient understanding. Despite this, 85% rarely or never used the mounted camera; 53% opted for alternative devices and 26% did not take photographs at all. Although 95% knew a camera was available, 42% were unfamiliar with its use and only 16% felt confident. Key barriers include limited access to and familiarity with camera, time pressures, and lack of clear workflow for image storage and retrieval. Post-intervention data assessing changes in imaging uptake, clinician confidence, and perceived usefulness will be presented.",
        "Conclusions": "Anterior segment slit-lamp imaging remains underutilised due to modifiable workflow and equipment factors. Quality improvement approaches focusing on clinician perspectives, imaging accessibility, and integration may improve uptake and standardisation of documentation. Addressing the gap between recognised clinical value and practical implementation represents a pragmatic opportunity to enhance patient safety , continuity of care , and education in outpatient ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior segment slit-lamp imaging remains underutilised due to modifiable workflow and equipment factors. Quality improvement approaches focusing on clinician perspectives, imaging accessibility, and integration may improve uptake and standardisation of documentation. Addressing the gap between recognised clinical value and practical implementation represents a pragmatic opportunity to enhance patient safety ,…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 36,
      "source_fields": {
        "Abstract Final Identifier": "POANT036",
        "Title": "Optimising Anterior Segment Slit-Lamp Imaging Through Workflow And Equipment Redesign: A Quality Improvement Project",
        "Presenting Author(s)": "Ms Rita Mansour",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Blanca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sanz-Magallon",
        "Country Name": "United Kingdom",
        "Purpose": "Anterior segment slit-lamp imaging has emerged as a valuable tool for clinical documentation, communication, and longitudinal monitoring of anterior segment pathology, such as trauma, malignancy, corneal, eyelid , and ocular surface disease, as well as postoperative change. Despite potential benefits, its routine integration into ophthalmic workflows rema ins inconsistent and poorly characterised.\n\nIn this single-centre quality improvement project, we aim to evaluate real-world use of anterior segment slit-lamp imaging in routine practice, identify perceived clinical value and barriers to image acquisition and integration, and assess the impact of targeted workflow and equipment interventions on imaging uptake and perceived clinical utility .",
        "Setting": "A UK secondary care ophthalmology outpatient department delivering cataract, glaucoma, corneal, oculoplastic, medical retina, paediatric ophthalmology , eye casualty, general ophthalmology , orthoptic and optometry services, using electronic patient records and various ophthalmic imaging platforms. A single mounted slit-lamp imaging module was available in one clinic room, with images saved on a separate computer rather than directly into the electronic patient record.",
        "Methods": "Baseline data were collected using a clinician questionnaire assessing frequency and indications for anterior segment slit-lamp imaging, confidence in image acquisition, and perceived barriers to routine use. Quantitative data were summarised using descriptive statistics; qualitative data were thematically analysed. Existing imaging workflows, equipment accessibility, and image integration processes were reviewed. Based on these findings, targeted interventions will be introduced, including workflow redesign, optimisation of slit-lamp imaging equipment, and practical guidance on image capture and electronic storage. A second cycle of data collection is planned following implementation.",
        "Results": "Baseline data were collected with a high clinician response rate (19/20; 95%). All respondents agreed that anterior segment slit-lamp photography improves documentation, disease monitoring, communication, teaching, and patient understanding. Despite this, 85% rarely or never used the mounted camera; 53% opted for alternative devices and 26% did not take photographs at all. Although 95% knew a camera was available, 42% were unfamiliar with its use and only 16% felt confident. Key barriers include limited access to and familiarity with camera, time pressures, and lack of clear workflow for image storage and retrieval. Post-intervention data assessing changes in imaging uptake, clinician confidence, and perceived usefulness will be presented.",
        "Conclusions": "Anterior segment slit-lamp imaging remains underutilised due to modifiable workflow and equipment factors. Quality improvement approaches focusing on clinician perspectives, imaging accessibility, and integration may improve uptake and standardisation of documentation. Addressing the gap between recognised clinical value and practical implementation represents a pragmatic opportunity to enhance patient safety , continuity of care , and education in outpatient ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 410
    },
    {
      "uid": "POANT038",
      "abstract_number": "POANT038",
      "title": "Diffusion Tensor Imaging As A Predictor Of Visual Outcome In Indirect Traumatic Optic Neuropathy: A Prospective Cohort Study",
      "authors": "Dr Upasna Sinha",
      "presenter": "Dr Upasna Sinha",
      "normalized_authors": [
        "Upasna Sinha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Upasna Sinha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate diffusion tensor imaging (DTI) parameters of the optic nerve as diagnostic and prognostic indicators in patients with indirect traumatic optic neuropathy (I-TON), including those with associated head injury unable to report visual loss.",
        "Setting": "The present study intends to correlate the findings of MRI-based Diffusion Tensor Imaging, OCT and VEP to the extent of vision loss and presence of other prognostic indicators in isolated Indirect Traumatic Optic Neuropathy(I-TON) as well as in the setting of significant head injury, in order to discover signs which can help in early diagnosis of I- TON.",
        "Methods": "Patients aged 6–70 years presenting with post-traumatic vision loss without direct optic nerve injury were recruited and divided into two groups: isolated I-TON (Group 1) and patients with significant head injury unable to report visual symptoms (Group 2). All patients underwent CT to exclude direct optic nerve injury followed by MRI with DTI after neurosurgical clearance. Fractional anisotropy (FA), mean diffusivity (MD), and axial diffusivity (AD) were analyzed for both optic nerves. Optical coherence tomography (macular and RNFL) and flash visual evoked potential (VEP) were performed when feasible. Visual acuity, OCT, and VEP were reassessed at 4–6 weeks and 10–12 weeks, and correlated with DTI findings.",
        "Results": "37 patients have been screened (Group 1: n=23; Group 2: n=14), with male predominance (30/37). Mean male age was 29.9 ± 15.0 years (range 6–64). In Group 1, seven patients fulfilled inclusion criteria; six have completed baseline and follow-up assessments, and one is undergoing first follow-up. In Group 2,Ten completed baseline evaluation up to CT, with one death due to injury-related complications. MRI-DTI was performed in seven eligible participants (six from Group 1, one from Group 2). Mean FA values were reduced (right eye: 0.53 ± 0.15; left eye: 0.42 ± 0.09). MD values were 0.97 ± 0.31 and 1.16 ± 0.45 ×10⁻³ mm²/s, while AD values were 1.78 ± 0.11 and 1.72 ± 0.36 ×10⁻³ mm²/s.",
        "Conclusions": "DTI demonstrates consistent microstructural abnormalities in I-TON and shows promise as an objective diagnostic and prognostic tool, particularly in patients unable to reliably report visual loss. Ongoing recruitment will further establish its role in predicting visual outcomes and guiding early intervention"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DTI demonstrates consistent microstructural abnormalities in I-TON and shows promise as an objective diagnostic and prognostic tool, particularly in patients unable to reliably report visual loss. Ongoing recruitment will further establish its role in predicting visual outcomes and guiding early intervention",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 37,
      "source_fields": {
        "Abstract Final Identifier": "POANT038",
        "Title": "Diffusion Tensor Imaging As A Predictor Of Visual Outcome In Indirect Traumatic Optic Neuropathy: A Prospective Cohort Study",
        "Presenting Author(s)": "Dr Upasna Sinha",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Upasna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sinha",
        "Country Name": "India",
        "Purpose": "To evaluate diffusion tensor imaging (DTI) parameters of the optic nerve as diagnostic and prognostic indicators in patients with indirect traumatic optic neuropathy (I-TON), including those with associated head injury unable to report visual loss.",
        "Setting": "The present study intends to correlate the findings of MRI-based Diffusion Tensor Imaging, OCT and VEP to the extent of vision loss and presence of other prognostic indicators in isolated Indirect Traumatic Optic Neuropathy(I-TON) as well as in the setting of significant head injury, in order to discover signs which can help in early diagnosis of I- TON.",
        "Methods": "Patients aged 6–70 years presenting with post-traumatic vision loss without direct optic nerve injury were recruited and divided into two groups: isolated I-TON (Group 1) and patients with significant head injury unable to report visual symptoms (Group 2). All patients underwent CT to exclude direct optic nerve injury followed by MRI with DTI after neurosurgical clearance. Fractional anisotropy (FA), mean diffusivity (MD), and axial diffusivity (AD) were analyzed for both optic nerves. Optical coherence tomography (macular and RNFL) and flash visual evoked potential (VEP) were performed when feasible. Visual acuity, OCT, and VEP were reassessed at 4–6 weeks and 10–12 weeks, and correlated with DTI findings.",
        "Results": "37 patients have been screened (Group 1: n=23; Group 2: n=14), with male predominance (30/37). Mean male age was 29.9 ± 15.0 years (range 6–64). In Group 1, seven patients fulfilled inclusion criteria; six have completed baseline and follow-up assessments, and one is undergoing first follow-up. In Group 2,Ten completed baseline evaluation up to CT, with one death due to injury-related complications. MRI-DTI was performed in seven eligible participants (six from Group 1, one from Group 2). Mean FA values were reduced (right eye: 0.53 ± 0.15; left eye: 0.42 ± 0.09). MD values were 0.97 ± 0.31 and 1.16 ± 0.45 ×10⁻³ mm²/s, while AD values were 1.78 ± 0.11 and 1.72 ± 0.36 ×10⁻³ mm²/s.",
        "Conclusions": "DTI demonstrates consistent microstructural abnormalities in I-TON and shows promise as an objective diagnostic and prognostic tool, particularly in patients unable to reliably report visual loss. Ongoing recruitment will further establish its role in predicting visual outcomes and guiding early intervention"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POANT039",
      "abstract_number": "POANT039",
      "title": "Corneal Epithelial Thickness Remodeling Following Phacoemulsification: A Comparative Analysis Of Superior And Temporal Incision Locations",
      "authors": "Ecenur Taş",
      "presenter": "Ecenur Taş",
      "normalized_authors": [
        "Ecenur Taş"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ecenur Taş",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate longitudinal changes in corneal epithelial thickness (CET) using anterior segment optical coherence tomography (AS-OCT) following uncomplicated phacoemulsification cataract surgery, and to determine the impact of the primary corneal insicion location on postoperative epithelial remodeling.",
        "Setting": "Eskişehir Osmangazi University, Eskişehir, Türkiye.",
        "Methods": "In this prospective study, 27 eyes undergoing cataract surgery by phacoemulsification were analyzed and categorized into superior and temporal incision groups. Corneal epithelial thickness maps were obtained using spectral-domain AS-OCT at baseline (preoperative), postoperative week 1, and postoperative month 1. In the CET map, one central (2 mm), eight paracentral (2–5 mm), and eight peripheral (5–6 mm) quadrants were evaluated separately. Longitudinal changes across visits were analyzed on a sector-by-sector basis using linear mixed-effects models.",
        "Results": "In the overall analysis of 27 patients aged 40–82 years, epithelial thickness decreased across all quadrants at postoperative week 1 and returned to baseline or showed slight increases by month 1 (all p > 0.05). In the superior incision group (n=20), most sectors demonstrated week-1 thinning (p > 0.05), most pronounced in the superior 5-mm region (≈−1.13 µm), with values approaching baseline at month 1. In the temporal incision group (n=7), no uniform thinning was observed; temporal sectors showed mild thickening (≈+0.9 to +1.7 µm), whereas superior sectors localized thinning (≈−1.1 to −1.8 µm) at week 1 (all p > 0.05). By postoperative month 1, epithelial thickness had largely approached baseline values (p > 0.05).",
        "Conclusions": "Phacoemulsification was associated with transient corneal epithelial remodeling characterized by early thinning at postoperative week 1 and a return toward baseline by month 1, although changes were not statistically significant. Incision location demonstrated distinct spatial patterns, with more uniform superior thinning after superior incisions and a more heterogeneous sectoral response following temporal incisions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification was associated with transient corneal epithelial remodeling characterized by early thinning at postoperative week 1 and a return toward baseline by month 1, although changes were not statistically significant. Incision location demonstrated distinct spatial patterns, with more uniform superior thinning after superior incisions and a more heterogeneous sectoral response following temporal…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 38,
      "source_fields": {
        "Abstract Final Identifier": "POANT039",
        "Title": "Corneal Epithelial Thickness Remodeling Following Phacoemulsification: A Comparative Analysis Of Superior And Temporal Incision Locations",
        "Presenting Author(s)": "Ecenur Taş",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ecenur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Taş",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate longitudinal changes in corneal epithelial thickness (CET) using anterior segment optical coherence tomography (AS-OCT) following uncomplicated phacoemulsification cataract surgery, and to determine the impact of the primary corneal insicion location on postoperative epithelial remodeling.",
        "Setting": "Eskişehir Osmangazi University, Eskişehir, Türkiye.",
        "Methods": "In this prospective study, 27 eyes undergoing cataract surgery by phacoemulsification were analyzed and categorized into superior and temporal incision groups. Corneal epithelial thickness maps were obtained using spectral-domain AS-OCT at baseline (preoperative), postoperative week 1, and postoperative month 1. In the CET map, one central (2 mm), eight paracentral (2–5 mm), and eight peripheral (5–6 mm) quadrants were evaluated separately. Longitudinal changes across visits were analyzed on a sector-by-sector basis using linear mixed-effects models.",
        "Results": "In the overall analysis of 27 patients aged 40–82 years, epithelial thickness decreased across all quadrants at postoperative week 1 and returned to baseline or showed slight increases by month 1 (all p > 0.05). In the superior incision group (n=20), most sectors demonstrated week-1 thinning (p > 0.05), most pronounced in the superior 5-mm region (≈−1.13 µm), with values approaching baseline at month 1. In the temporal incision group (n=7), no uniform thinning was observed; temporal sectors showed mild thickening (≈+0.9 to +1.7 µm), whereas superior sectors localized thinning (≈−1.1 to −1.8 µm) at week 1 (all p > 0.05). By postoperative month 1, epithelial thickness had largely approached baseline values (p > 0.05).",
        "Conclusions": "Phacoemulsification was associated with transient corneal epithelial remodeling characterized by early thinning at postoperative week 1 and a return toward baseline by month 1, although changes were not statistically significant. Incision location demonstrated distinct spatial patterns, with more uniform superior thinning after superior incisions and a more heterogeneous sectoral response following temporal incisions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POANT040",
      "abstract_number": "POANT040",
      "title": "The Role Of Anterior Scleral Structures In The Etiopathogenesis Of Neovascular Glaucoma: A Pilot Clinical Study",
      "authors": "Dr Aysem Gul Ulukartal",
      "presenter": "Dr Aysem Gul Ulukartal",
      "normalized_authors": [
        "Aysem Gul Ulukartal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aysem Gul Ulukartal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Neovascular glaucoma (NVG) is a severe secondary glaucoma characterized by poor visual prognosis, and its etiopathogenesis has not yet been fully elucidated. The aim of this study was to evaluate anterior scleral thickness (AST) in patients with NVG and to compare AST measurements between NVG-affected eyes and fellow non-NVG eyes in order to explore potential structural biomarkers associated with disease progression.",
        "Setting": "University of Health Science Haseki Training and Research Hospital, Istanbul, Turkey",
        "Methods": "This pilot study included NVG-affected eyes and fellow non-NVG eyes of 15 patients. Anterior scleral thickness was measured using swept-source optical coherence tomography (SS-OCT) at the level of the scleral spur (AST0) and at 1 mm (AST1), 2 mm (AST2), and 3 mm (AST3) posterior to the scleral spur. Measurements were performed manually by identifying the inner and outer scleral boundaries. Demographic characteristics, best-corrected visual acuity, and intraocular pressure were also recorded. Comparisons between NVG and control eyes were performed using paired t-tests.",
        "Results": "The mean age of the patients was 69.5 ± 4.6 years; 5 patients were female and 10 were male. Mean visual acuity was 0.11 in NVG eyes and 0.47 in control eyes. Mean intraocular pressure was 27.14 mmHg in NVG eyes and 20.00 mmHg in control eyes. In the NVG group, mean AST values were 646.64 µm at AST0, 599.79 µm at AST1, 597.07 µm at AST2, and 584.14 µm at AST3. Corresponding values in control eyes were 652.00 µm, 590.43 µm, 608.50 µm, and 619.07 µm, respectively. Statistical analysis demonstrated a significant difference between NVG and control eyes only at the AST3 measurement point (p = 0.02).",
        "Conclusions": "Anterior scleral thickness in NVG eyes showed a progressive decrease with increasing distance from the limbus, with significantly thinner sclera at 3 mm posterior to the scleral spur compared with control eyes. This finding suggests that anterior scleral thinning may play a role in the etiopathogenesis of NVG and could represent a potential structural biomarker. Larger prospective studies are warranted to further clarify this association."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior scleral thickness in NVG eyes showed a progressive decrease with increasing distance from the limbus, with significantly thinner sclera at 3 mm posterior to the scleral spur compared with control eyes. This finding suggests that anterior scleral thinning may play a role in the etiopathogenesis of NVG and could represent a potential structural biomarker. Larger prospective studies are warranted to further…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 39,
      "source_fields": {
        "Abstract Final Identifier": "POANT040",
        "Title": "The Role Of Anterior Scleral Structures In The Etiopathogenesis Of Neovascular Glaucoma: A Pilot Clinical Study",
        "Presenting Author(s)": "Dr Aysem Gul Ulukartal",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Aysem Gul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ulukartal",
        "Country Name": "Türkiye",
        "Purpose": "Neovascular glaucoma (NVG) is a severe secondary glaucoma characterized by poor visual prognosis, and its etiopathogenesis has not yet been fully elucidated. The aim of this study was to evaluate anterior scleral thickness (AST) in patients with NVG and to compare AST measurements between NVG-affected eyes and fellow non-NVG eyes in order to explore potential structural biomarkers associated with disease progression.",
        "Setting": "University of Health Science Haseki Training and Research Hospital, Istanbul, Turkey",
        "Methods": "This pilot study included NVG-affected eyes and fellow non-NVG eyes of 15 patients. Anterior scleral thickness was measured using swept-source optical coherence tomography (SS-OCT) at the level of the scleral spur (AST0) and at 1 mm (AST1), 2 mm (AST2), and 3 mm (AST3) posterior to the scleral spur. Measurements were performed manually by identifying the inner and outer scleral boundaries. Demographic characteristics, best-corrected visual acuity, and intraocular pressure were also recorded. Comparisons between NVG and control eyes were performed using paired t-tests.",
        "Results": "The mean age of the patients was 69.5 ± 4.6 years; 5 patients were female and 10 were male. Mean visual acuity was 0.11 in NVG eyes and 0.47 in control eyes. Mean intraocular pressure was 27.14 mmHg in NVG eyes and 20.00 mmHg in control eyes. In the NVG group, mean AST values were 646.64 µm at AST0, 599.79 µm at AST1, 597.07 µm at AST2, and 584.14 µm at AST3. Corresponding values in control eyes were 652.00 µm, 590.43 µm, 608.50 µm, and 619.07 µm, respectively. Statistical analysis demonstrated a significant difference between NVG and control eyes only at the AST3 measurement point (p = 0.02).",
        "Conclusions": "Anterior scleral thickness in NVG eyes showed a progressive decrease with increasing distance from the limbus, with significantly thinner sclera at 3 mm posterior to the scleral spur compared with control eyes. This finding suggests that anterior scleral thinning may play a role in the etiopathogenesis of NVG and could represent a potential structural biomarker. Larger prospective studies are warranted to further clarify this association."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POANT041",
      "abstract_number": "POANT041",
      "title": "Corneal And Lens Densitometry In Children With Juvenile Idiopathic Arthritis: A Scheimpflug Based Comparative Study",
      "authors": "Dr Ecem Üstündaş Uzun",
      "presenter": "Dr Ecem Üstündaş Uzun",
      "normalized_authors": [
        "Ecem Üstündaş Uzun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ecem Üstündaş Uzun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate subclinical anterior segment alterations in children with Juvenile Idiopathic Arthritis (JIA) by quantitatively assessing corneal density (CD) and lenticular density (LD) using a Scheimpflug imaging system.",
        "Setting": "This study was conducted in Ophthalmology Department of Istanbul University, Istanbul Faculty of Medicine between December 30, 2024, and May 15, 2025.",
        "Methods": "This cross-sectional case–control study included 113 eyes of 58 children with JIA (JIA group) and 112 eyes of 56 age-matched healthy controls (control group). All participants underwent a comprehensive ophthalmologic examination and assessment of CD, LD, keratometry, central corneal thickness (CCT), anterior chamber depth (ACD), iridocorneal angle (ICA), lens thickness (LT), and white-to-white corneal diameter (WTW) using Pentacam AXL (Oculus, Wetzlar, Germany). Anterior chamber flare values were measured by the Kowa Laser FlareMeter FM-700.",
        "Results": "There were no statistically significant differences between the groups with respect to age and sex. CCT was significantly lower in JIA group (p < 0.05). Posterior CD was increased across all concentric zones in the JIA group (p < 0.001). Multivariate logistic regression analysis identified posterior CD as an independent predictor of JIA (odds ratio: 1.91; p = 0.001). Receiver operating characteristic analysis demonstrated that a posterior CD value exceeding 8.45 gray scale units discriminated JIA eyes with an area under the curve of 0.69 (p < 0.001). No significant differences were observed between groups with respect to average LD measurements (p = 0.374)",
        "Conclusions": "Increased posterior CD accompanied by reduced CCT suggests early subclinical corneal alterations in children with JIA. Quantitative assessment of CD may serve as a valuable adjunctive tool for the early detection and monitoring of ocular changes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Increased posterior CD accompanied by reduced CCT suggests early subclinical corneal alterations in children with JIA. Quantitative assessment of CD may serve as a valuable adjunctive tool for the early detection and monitoring of ocular changes.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 40,
      "source_fields": {
        "Abstract Final Identifier": "POANT041",
        "Title": "Corneal And Lens Densitometry In Children With Juvenile Idiopathic Arthritis: A Scheimpflug Based Comparative Study",
        "Presenting Author(s)": "Dr Ecem Üstündaş Uzun",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ecem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Üstündaş Uzun",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate subclinical anterior segment alterations in children with Juvenile Idiopathic Arthritis (JIA) by quantitatively assessing corneal density (CD) and lenticular density (LD) using a Scheimpflug imaging system.",
        "Setting": "This study was conducted in Ophthalmology Department of Istanbul University, Istanbul Faculty of Medicine between December 30, 2024, and May 15, 2025.",
        "Methods": "This cross-sectional case–control study included 113 eyes of 58 children with JIA (JIA group) and 112 eyes of 56 age-matched healthy controls (control group). All participants underwent a comprehensive ophthalmologic examination and assessment of CD, LD, keratometry, central corneal thickness (CCT), anterior chamber depth (ACD), iridocorneal angle (ICA), lens thickness (LT), and white-to-white corneal diameter (WTW) using Pentacam AXL (Oculus, Wetzlar, Germany). Anterior chamber flare values were measured by the Kowa Laser FlareMeter FM-700.",
        "Results": "There were no statistically significant differences between the groups with respect to age and sex. CCT was significantly lower in JIA group (p < 0.05). Posterior CD was increased across all concentric zones in the JIA group (p < 0.001). Multivariate logistic regression analysis identified posterior CD as an independent predictor of JIA (odds ratio: 1.91; p = 0.001). Receiver operating characteristic analysis demonstrated that a posterior CD value exceeding 8.45 gray scale units discriminated JIA eyes with an area under the curve of 0.69 (p < 0.001). No significant differences were observed between groups with respect to average LD measurements (p = 0.374)",
        "Conclusions": "Increased posterior CD accompanied by reduced CCT suggests early subclinical corneal alterations in children with JIA. Quantitative assessment of CD may serve as a valuable adjunctive tool for the early detection and monitoring of ocular changes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POANT042",
      "abstract_number": "POANT042",
      "title": "Quantifying Corneal Crystal Deposition Patterns In Ocular Cystinosis Using Densitometry",
      "authors": "Dr Alexander George Wallace",
      "presenter": "Dr Alexander George Wallace",
      "normalized_authors": [
        "Alexander George Wallace"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander George Wallace",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cystinosis is a genetic, multisystem metabolic disease presenting in infancy, characterised by the accumulation of cystine crystals in the corneal stroma, causing severe, persistent photophobia. Topical cysteamine remains the only treatment for reducing corneal crystals, but its administration, up to 10 times daily, poses compliance issues. Monitoring corneal crystals is therefore essential, yet currently only possible with subjective scoring systems. Corneal densitometry is an objective, well-tolerated imaging modality quantifying corneal transparency. This study evaluates the utility of corneal densitometry for measuring corneal cystinosis progression, focusing on age-related changes across different corneal regions compared to controls.",
        "Setting": "Royal Manchester Eye Hospital, United Kingdom. This is a tertiary eye hospital with a specialist cystinosis service.",
        "Methods": "This retrospective cohort-control study analysed corneal densitometry readings obtained using the Pentacam device. Densitometry values were recorded for the anterior, central, and posterior layers and for the 0-2mm (central), 2- 6mm (mid-peripheral), and 6-10mm (peripheral) zones in all cystinosis patients, as well as from age-matched controls. Statistics were performed using IBM SPSS Statistics (Version 31.0.1.0), with a significance level set at p<0.05. A linear mixed model (LMM), accounting for repeated measures, included a three-way interaction of disease status (patient or control), age, and corneal region.",
        "Results": "252 scans from 52 patients (age range: 5–48), and 146 scans from 73 controls (age range: 10-50) were included. LMM revealed that patients exhibited a significantly higher increase in corneal densitometry compared to controls (0.335 vs 0.072 GSU/year; p<0.01). A significant three-way interaction was observed (p<0.05), indicating that age-related changes in densitometry differed by anatomical zone between groups. While patients demonstrated a higher baseline densitometry in the periphery, this region did not significantly diverge further over time (p=0.7). In contrast, the most pronounced age-related divergence occurred in the anterior (p=0.01) and central 0–2mm (p=0.03) zones, whereas the posterior zone remained statistically stable (p=0.8).",
        "Conclusions": "This is the largest cohort of cystinosis adult and paediatric patients in whom corneal densitometry has been performed. Densitometry reflects established regional patterns of corneal crystal deposition in ocular cystinosis, with greater involvement of the peripheral, anterior and central cornea, with relatively sparing of the posterior region. Age- related changes in densitometry significantly differ between patients and controls in a region-specific manner, emphasising the importance of anatomical localisation when interpreting disease burden. Limited studies have evaluated corneal densitometry in cystinosis; this study offers further validation of this objective tool for monitoring ocular cystinosis progression and treatment adherence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is the largest cohort of cystinosis adult and paediatric patients in whom corneal densitometry has been performed. Densitometry reflects established regional patterns of corneal crystal deposition in ocular cystinosis, with greater involvement of the peripheral, anterior and central cornea, with relatively sparing of the posterior region. Age- related changes in densitometry significantly differ between…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 41,
      "source_fields": {
        "Abstract Final Identifier": "POANT042",
        "Title": "Quantifying Corneal Crystal Deposition Patterns In Ocular Cystinosis Using Densitometry",
        "Presenting Author(s)": "Dr Alexander George Wallace",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "George",
        "Submitter Last Name": "Wallace",
        "Country Name": "United Kingdom",
        "Purpose": "Cystinosis is a genetic, multisystem metabolic disease presenting in infancy, characterised by the accumulation of cystine crystals in the corneal stroma, causing severe, persistent photophobia. Topical cysteamine remains the only treatment for reducing corneal crystals, but its administration, up to 10 times daily, poses compliance issues. Monitoring corneal crystals is therefore essential, yet currently only possible with subjective scoring systems. Corneal densitometry is an objective, well-tolerated imaging modality quantifying corneal transparency. This study evaluates the utility of corneal densitometry for measuring corneal cystinosis progression, focusing on age-related changes across different corneal regions compared to controls.",
        "Setting": "Royal Manchester Eye Hospital, United Kingdom. This is a tertiary eye hospital with a specialist cystinosis service.",
        "Methods": "This retrospective cohort-control study analysed corneal densitometry readings obtained using the Pentacam device. Densitometry values were recorded for the anterior, central, and posterior layers and for the 0-2mm (central), 2- 6mm (mid-peripheral), and 6-10mm (peripheral) zones in all cystinosis patients, as well as from age-matched controls. Statistics were performed using IBM SPSS Statistics (Version 31.0.1.0), with a significance level set at p<0.05. A linear mixed model (LMM), accounting for repeated measures, included a three-way interaction of disease status (patient or control), age, and corneal region.",
        "Results": "252 scans from 52 patients (age range: 5–48), and 146 scans from 73 controls (age range: 10-50) were included. LMM revealed that patients exhibited a significantly higher increase in corneal densitometry compared to controls (0.335 vs 0.072 GSU/year; p<0.01). A significant three-way interaction was observed (p<0.05), indicating that age-related changes in densitometry differed by anatomical zone between groups. While patients demonstrated a higher baseline densitometry in the periphery, this region did not significantly diverge further over time (p=0.7). In contrast, the most pronounced age-related divergence occurred in the anterior (p=0.01) and central 0–2mm (p=0.03) zones, whereas the posterior zone remained statistically stable (p=0.8).",
        "Conclusions": "This is the largest cohort of cystinosis adult and paediatric patients in whom corneal densitometry has been performed. Densitometry reflects established regional patterns of corneal crystal deposition in ocular cystinosis, with greater involvement of the peripheral, anterior and central cornea, with relatively sparing of the posterior region. Age- related changes in densitometry significantly differ between patients and controls in a region-specific manner, emphasising the importance of anatomical localisation when interpreting disease burden. Limited studies have evaluated corneal densitometry in cystinosis; this study offers further validation of this objective tool for monitoring ocular cystinosis progression and treatment adherence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 419
    },
    {
      "uid": "POANT043",
      "abstract_number": "POANT043",
      "title": "Analysis Of The Correlation Between Optical Coherence Tomography Angiography Indices And Blood Examination Results In Myopia",
      "authors": "Dr Yue Wu",
      "presenter": "Dr Yue Wu",
      "normalized_authors": [
        "Yue Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yue Wu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the correlation of quantitative optical coherence tomography angiography (OCTA) indices with blood examination outcomes in patients with myopia.",
        "Setting": "This study included a cross-sectional observational design, encompassing 70 eyes from 70 patients who had undergone imaging procedures.",
        "Methods": "Swept-source optical coherence tomography (SS-OCT) was performed to quantify indices including FAAC (flow area of AngioChoroid), VDIR (vessel density of inner retina), etc. Peripheral venous blood was collected to detect five categories of indicators: complete blood count, coagulation, lipid metabolism, liver and kidney function and electrolytes, and immunology. The association between OCTA indexes and blood test results was analyzed.",
        "Results": "Analysis of OCTA indices and blood test results revealed a negative correlation (r≈-0.5) between FAAC, and both activated partial thromboplastin time (APTT ) and DD4 (D-dimer), and a positive correlation (r≈0.5) between VDIR (vessel density of inner retina) and apolipoprotein B (APOB). A positive correlation (r≈0.5) was found between SE and TC (thickness of choroid, ChT).",
        "Conclusions": "Correlations between FAAC and both APTT and DD4, and between VDIR and APOB were found in myopic patients, suggesting that these OCTA indices are more influenced by systemic factors. Additionally, in myopic patients, TC decreased with increasing myopia degree and weakly correlated with hematological indices, which is less dependent on systemic factors in the clinical evaluation of myopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Correlations between FAAC and both APTT and DD4, and between VDIR and APOB were found in myopic patients, suggesting that these OCTA indices are more influenced by systemic factors. Additionally, in myopic patients, TC decreased with increasing myopia degree and weakly correlated with hematological indices, which is less dependent on systemic factors in the clinical evaluation of myopia.",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 42,
      "source_fields": {
        "Abstract Final Identifier": "POANT043",
        "Title": "Analysis Of The Correlation Between Optical Coherence Tomography Angiography Indices And Blood Examination Results In Myopia",
        "Presenting Author(s)": "Dr Yue Wu",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Yue",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wu",
        "Country Name": "China",
        "Purpose": "To investigate the correlation of quantitative optical coherence tomography angiography (OCTA) indices with blood examination outcomes in patients with myopia.",
        "Setting": "This study included a cross-sectional observational design, encompassing 70 eyes from 70 patients who had undergone imaging procedures.",
        "Methods": "Swept-source optical coherence tomography (SS-OCT) was performed to quantify indices including FAAC (flow area of AngioChoroid), VDIR (vessel density of inner retina), etc. Peripheral venous blood was collected to detect five categories of indicators: complete blood count, coagulation, lipid metabolism, liver and kidney function and electrolytes, and immunology. The association between OCTA indexes and blood test results was analyzed.",
        "Results": "Analysis of OCTA indices and blood test results revealed a negative correlation (r≈-0.5) between FAAC, and both activated partial thromboplastin time (APTT ) and DD4 (D-dimer), and a positive correlation (r≈0.5) between VDIR (vessel density of inner retina) and apolipoprotein B (APOB). A positive correlation (r≈0.5) was found between SE and TC (thickness of choroid, ChT).",
        "Conclusions": "Correlations between FAAC and both APTT and DD4, and between VDIR and APOB were found in myopic patients, suggesting that these OCTA indices are more influenced by systemic factors. Additionally, in myopic patients, TC decreased with increasing myopia degree and weakly correlated with hematological indices, which is less dependent on systemic factors in the clinical evaluation of myopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POANT044",
      "abstract_number": "POANT044",
      "title": "The Eye As A Window To The Aorta: Bilateral Iris Flocculi As A Sentinel Sign Of Familial Aortopathy",
      "authors": "Dr Doğukan Yaman",
      "presenter": "Dr Doğukan Yaman",
      "normalized_authors": [
        "Doğukan Yaman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Doğukan Yaman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To present a case of incidentally detected bilateral iris flocculi during routine ophthalmologic examination and to underline the possible systemic implications of this rare ocular finding. Iris flocculi are congenital cyst-like lesions arising from the iris pigment epithelium at the pupillary margin. Although they are usually asymptomatic and considered benign, several reports describe an association with ACTA2 gene mutations affecting vascular smooth muscle cells and predisposing patients to familial thoracic aortic aneurysm and dissection. Recognizing these lesions may therefore be important not only for ophthalmic diagnosis but also for identifying individuals who may benefit from cardiovascular evaluation and follow-up.",
        "Setting": "The patient was evaluated in a tertiary ophthalmology clinic. Comprehensive anterior segment examination including slit-lamp biomicroscopy and anterior segment optical coherence tomography (AS-OCT) was performed. Because of the remarkable family history, cardiology and medical genetics consultations were arranged to further investigate possible cardiovascular involvement and to evaluate the risk of hereditary aortic pathology.",
        "Methods": "A 41-year-old female presented for routine ophthalmologic evaluation without ocular or systemic complaints. A comprehensive ophthalmic examination was performed including best-corrected visual acuity, slit-lamp biomicroscopy, intraocular pressure measurement, pachymetry, and dilated fundus examination. Anterior segment OCT was used to assess the lesions at the pupillary margin. A targeted systemic and family history revealed premature cardiovascular deaths in first-degree relatives (father at 38 years, sister at 26 years). The patient was referred for cardiologic evaluation including transthoracic echocardiography, and genetic counseling was recommended due to the possible association between iris flocculi and inherited aortic disease.",
        "Results": "Best corrected visual acuity was 1.0 in the right eye and 0.9 in the left eye. Intraocular pressure was 14/15 mmHg and central corneal thickness 590/600 µm. Corneas were clear and anterior chambers quiet. No cataract noted, and fundus examination showed normal optic discs and maculae bilaterally. Slit-lamp examination revealed pigmented nodular lesions along the pupillary margin consistent with iris flocculi. AS-OCT confirmed thin-walled cystic structures from the iris pigment epithelium. Transthoracic echocardiography showed preserved cardiac function (EF 60%), LVEDD 48 mm, LVESD 26 mm, IVS 10 mm, PW 10 mm, and an ascending aorta of 31 mm. Cardiology evaluation was otherwise normal; annual follow-up and genetic counseling were recommended.",
        "Conclusions": "Although iris flocculi are uncommon and usually regarded as benign findings, they may represent an important ocular marker of familial thoracic aortic aneurysm and dissection (TAAD) associated with ACTA2 gene mutations affecting vascular smooth muscle cells. Careful slit-lamp examination can reveal these subtle lesions during routine visits. When accompanied by a family history of premature cardiovascular death, systemic evaluation should be considered. Collaboration between ophthalmology, cardiology and medical genetics may allow earlier identification of patients at risk for aortic pathology and facilitate appropriate counseling and follow-up. Thus, a subtle ocular finding may help detect a potentially life-threatening systemic disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although iris flocculi are uncommon and usually regarded as benign findings, they may represent an important ocular marker of familial thoracic aortic aneurysm and dissection (TAAD) associated with ACTA2 gene mutations affecting vascular smooth muscle cells. Careful slit-lamp examination can reveal these subtle lesions during routine visits. When accompanied by a family history of premature cardiovascular death,…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 43,
      "source_fields": {
        "Abstract Final Identifier": "POANT044",
        "Title": "The Eye As A Window To The Aorta: Bilateral Iris Flocculi As A Sentinel Sign Of Familial Aortopathy",
        "Presenting Author(s)": "Dr Doğukan Yaman",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Doğukan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yaman",
        "Country Name": "Türkiye",
        "Purpose": "To present a case of incidentally detected bilateral iris flocculi during routine ophthalmologic examination and to underline the possible systemic implications of this rare ocular finding. Iris flocculi are congenital cyst-like lesions arising from the iris pigment epithelium at the pupillary margin. Although they are usually asymptomatic and considered benign, several reports describe an association with ACTA2 gene mutations affecting vascular smooth muscle cells and predisposing patients to familial thoracic aortic aneurysm and dissection. Recognizing these lesions may therefore be important not only for ophthalmic diagnosis but also for identifying individuals who may benefit from cardiovascular evaluation and follow-up.",
        "Setting": "The patient was evaluated in a tertiary ophthalmology clinic. Comprehensive anterior segment examination including slit-lamp biomicroscopy and anterior segment optical coherence tomography (AS-OCT) was performed. Because of the remarkable family history, cardiology and medical genetics consultations were arranged to further investigate possible cardiovascular involvement and to evaluate the risk of hereditary aortic pathology.",
        "Methods": "A 41-year-old female presented for routine ophthalmologic evaluation without ocular or systemic complaints. A comprehensive ophthalmic examination was performed including best-corrected visual acuity, slit-lamp biomicroscopy, intraocular pressure measurement, pachymetry, and dilated fundus examination. Anterior segment OCT was used to assess the lesions at the pupillary margin. A targeted systemic and family history revealed premature cardiovascular deaths in first-degree relatives (father at 38 years, sister at 26 years). The patient was referred for cardiologic evaluation including transthoracic echocardiography, and genetic counseling was recommended due to the possible association between iris flocculi and inherited aortic disease.",
        "Results": "Best corrected visual acuity was 1.0 in the right eye and 0.9 in the left eye. Intraocular pressure was 14/15 mmHg and central corneal thickness 590/600 µm. Corneas were clear and anterior chambers quiet. No cataract noted, and fundus examination showed normal optic discs and maculae bilaterally. Slit-lamp examination revealed pigmented nodular lesions along the pupillary margin consistent with iris flocculi. AS-OCT confirmed thin-walled cystic structures from the iris pigment epithelium. Transthoracic echocardiography showed preserved cardiac function (EF 60%), LVEDD 48 mm, LVESD 26 mm, IVS 10 mm, PW 10 mm, and an ascending aorta of 31 mm. Cardiology evaluation was otherwise normal; annual follow-up and genetic counseling were recommended.",
        "Conclusions": "Although iris flocculi are uncommon and usually regarded as benign findings, they may represent an important ocular marker of familial thoracic aortic aneurysm and dissection (TAAD) associated with ACTA2 gene mutations affecting vascular smooth muscle cells. Careful slit-lamp examination can reveal these subtle lesions during routine visits. When accompanied by a family history of premature cardiovascular death, systemic evaluation should be considered. Collaboration between ophthalmology, cardiology and medical genetics may allow earlier identification of patients at risk for aortic pathology and facilitate appropriate counseling and follow-up. Thus, a subtle ocular finding may help detect a potentially life-threatening systemic disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 459
    },
    {
      "uid": "POANT045",
      "abstract_number": "POANT045",
      "title": "Structural And Biomechanical Changes In The Anterior Segment After Uneventful Phacoemulsification",
      "authors": "Ms Doroteya Yordanova Yordanova",
      "presenter": "Ms Doroteya Yordanova Yordanova",
      "normalized_authors": [
        "Doroteya Yordanova Yordanova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Doroteya Yordanova Yordanova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bulgaria",
      "sections": {
        "Purpose": "To evaluate structural and biomechanical changes in the anterior ocular segment one month after uncomplicated cataract surgery by phacoemulsification using combined assessment with Pentacam (Scheimpflug tomography) and Corvis ST (dynamic corneal biomechanical analysis). The study examines corneal stability, ectasia-related indices, anterior chamber parameters, and biomechanical responses in the early postoperative period to assess clinical significance and potential implications for glaucoma risk and detection of subclinical ectatic changes.",
        "Setting": "The study was conducted between November 2025 and February 2026 at the University Specialized Hospital for Active Treatment of Eye Diseases - Varna. All interventions were performed using a standardized phacoemulsification technique with posterior chamber IOL implantation. The cohort included 10 patients: three with glaucoma (two with primary open-angle and one with primary angle-closure glaucoma) and seven without.",
        "Methods": "This study included patients undergoing uneventful phacoemulsification with posterior chamber IOL implantation. Anterior segment parameters assessed with Pentacam comprised anterior chamber depth (ACD), volume (ACV), angle (ACA), central corneal thickness (CCT), keratometry (K1, K2), corneal astigmatism, and the Belin/Ambrosio Enhanced Ectasia Display total deviation index (BAD-D). Corneal biomechanical parameters measured with Corvis ST included biomechanically corrected intraocular pressure (bIOP), stress–strain index (SSI), stiffness at first applanation (SP-A1), deformation amplitude (DA), and Corvis Biomechanical Index (CBI). Measurements were obtained preoperatively and one month postoperatively under standardized conditions.",
        "Results": "Pentacam analysis demonstrated significant anterior segment remodeling after surgery, with increased anterior chamber depth (1.54 mm), volume (45.0 mm³), and angle width (19.9°). Central corneal thickness changed minimally (−2 µm). Keratometric values and ectasia-related indices (BAD-D) remained stable . Corvis ST assessment showed stable corneal biomechanics. Changes in biomechanically corrected IOP (+0.34 ± 4.80 mmHg), stress–strain index (+0.06 ± 0.19), and stiffness at first applanation (−1.01 ± 22.01) were minimal. Deformation parameters (DA: −0.23 ± 0.45; integrated radius: −0.38 ± 0.75) showed no signs of biomechanical weakening. Corvis-derived CCT increased (+11.3 ± 17.3 µm). No parameters indicated increased ectasia risk.",
        "Conclusions": "Uncomplicated phacoemulsification results in significant anterior segment remodeling one month postoperatively, characterized by increased anterior chamber depth and angle width. Corneal tomographic and biomechanical parameters remain stable, indicating preserved corneal structural and functional integrity. Combined structural and biomechanical assessment provides clinically relevant information on postoperative ocular stability and supports individualized monitoring, particularly in patients with borderline corneal characteristics or elevated glaucoma risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Uncomplicated phacoemulsification results in significant anterior segment remodeling one month postoperatively, characterized by increased anterior chamber depth and angle width. Corneal tomographic and biomechanical parameters remain stable, indicating preserved corneal structural and functional integrity. Combined structural and biomechanical assessment provides clinically relevant information on postoperative…",
      "session_type": "ePoster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 44,
      "source_fields": {
        "Abstract Final Identifier": "POANT045",
        "Title": "Structural And Biomechanical Changes In The Anterior Segment After Uneventful Phacoemulsification",
        "Presenting Author(s)": "Ms Doroteya Yordanova Yordanova",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Doroteya",
        "Submitter Middle Name": "Yordanova",
        "Submitter Last Name": "Yordanova",
        "Country Name": "Bulgaria",
        "Purpose": "To evaluate structural and biomechanical changes in the anterior ocular segment one month after uncomplicated cataract surgery by phacoemulsification using combined assessment with Pentacam (Scheimpflug tomography) and Corvis ST (dynamic corneal biomechanical analysis). The study examines corneal stability, ectasia-related indices, anterior chamber parameters, and biomechanical responses in the early postoperative period to assess clinical significance and potential implications for glaucoma risk and detection of subclinical ectatic changes.",
        "Setting": "The study was conducted between November 2025 and February 2026 at the University Specialized Hospital for Active Treatment of Eye Diseases - Varna. All interventions were performed using a standardized phacoemulsification technique with posterior chamber IOL implantation. The cohort included 10 patients: three with glaucoma (two with primary open-angle and one with primary angle-closure glaucoma) and seven without.",
        "Methods": "This study included patients undergoing uneventful phacoemulsification with posterior chamber IOL implantation. Anterior segment parameters assessed with Pentacam comprised anterior chamber depth (ACD), volume (ACV), angle (ACA), central corneal thickness (CCT), keratometry (K1, K2), corneal astigmatism, and the Belin/Ambrosio Enhanced Ectasia Display total deviation index (BAD-D). Corneal biomechanical parameters measured with Corvis ST included biomechanically corrected intraocular pressure (bIOP), stress–strain index (SSI), stiffness at first applanation (SP-A1), deformation amplitude (DA), and Corvis Biomechanical Index (CBI). Measurements were obtained preoperatively and one month postoperatively under standardized conditions.",
        "Results": "Pentacam analysis demonstrated significant anterior segment remodeling after surgery, with increased anterior chamber depth (1.54 mm), volume (45.0 mm³), and angle width (19.9°). Central corneal thickness changed minimally (−2 µm). Keratometric values and ectasia-related indices (BAD-D) remained stable . Corvis ST assessment showed stable corneal biomechanics. Changes in biomechanically corrected IOP (+0.34 ± 4.80 mmHg), stress–strain index (+0.06 ± 0.19), and stiffness at first applanation (−1.01 ± 22.01) were minimal. Deformation parameters (DA: −0.23 ± 0.45; integrated radius: −0.38 ± 0.75) showed no signs of biomechanical weakening. Corvis-derived CCT increased (+11.3 ± 17.3 µm). No parameters indicated increased ectasia risk.",
        "Conclusions": "Uncomplicated phacoemulsification results in significant anterior segment remodeling one month postoperatively, characterized by increased anterior chamber depth and angle width. Corneal tomographic and biomechanical parameters remain stable, indicating preserved corneal structural and functional integrity. Combined structural and biomechanical assessment provides clinically relevant information on postoperative ocular stability and supports individualized monitoring, particularly in patients with borderline corneal characteristics or elevated glaucoma risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 383
    },
    {
      "uid": "POCAT001",
      "abstract_number": "POCAT001",
      "title": "Broken But Stable: In-The-Bag Implantation Of An Intra-Ocular Lens With A Fractured Haptic",
      "authors": "Dr Adnan Abdul Majeed",
      "presenter": "Dr Adnan Abdul Majeed",
      "normalized_authors": [
        "Adnan Abdul Majeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adnan Abdul Majeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To report a rare intraoperative complication of an intraocular lens (IOL) haptic fracture during phacoemulsification and to highlight the feasibility and stability of in-the-bag IOL implantation despite a fractured haptic.",
        "Setting": "Tertiary eye care center, Sindh Institute of Ophthalmology and Visual Sciences , SIOVS Hyderabad, Pakistan.",
        "Methods": "A patient undergoing routine phacoemulsification with posterior chamber IOL implantation developed an unexpected fracture of one haptic during lens delivery into the capsular bag. The fracture occurred near the haptic–optic junction, likely related to mechanical stress during injector-assisted implantation. After careful intraoperative assessment, the remaining haptic and optic were found to be well positioned within the capsular bag, with adequate centration and capsular support. Considering the stability of the lens–capsule complex and absence of zonular compromise, the decision was made to retain the IOL rather than explant and replace it. The lens remained centered with good capsular support at the end of surgery. Postoperatively, the patient achieved satisfactory visual recovery with stable IOL centration and no evidence of tilt, decentration, or capsular complications during follow-up.",
        "Conclusions": "A fractured IOL haptic does not always mandate immediate explantation. In carefully selected cases with intact capsular support and stable optic centration, in-the-bag retention of the IOL may be a safe and effective option. Careful intraoperative judgment and close postoperative monitoring are essential to ensure long-term stability and optimal visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A fractured IOL haptic does not always mandate immediate explantation. In carefully selected cases with intact capsular support and stable optic centration, in-the-bag retention of the IOL may be a safe and effective option. Careful intraoperative judgment and close postoperative monitoring are essential to ensure long-term stability and optimal visual outcomes.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 45,
      "source_fields": {
        "Abstract Final Identifier": "POCAT001",
        "Title": "Broken But Stable: In-The-Bag Implantation Of An Intra-Ocular Lens With A Fractured Haptic",
        "Presenting Author(s)": "Dr Adnan Abdul Majeed",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Adnan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdul Majeed",
        "Country Name": "Pakistan",
        "Purpose": "To report a rare intraoperative complication of an intraocular lens (IOL) haptic fracture during phacoemulsification and to highlight the feasibility and stability of in-the-bag IOL implantation despite a fractured haptic.",
        "Setting": "Tertiary eye care center, Sindh Institute of Ophthalmology and Visual Sciences , SIOVS Hyderabad, Pakistan.",
        "Methods": "A patient undergoing routine phacoemulsification with posterior chamber IOL implantation developed an unexpected fracture of one haptic during lens delivery into the capsular bag. The fracture occurred near the haptic–optic junction, likely related to mechanical stress during injector-assisted implantation. After careful intraoperative assessment, the remaining haptic and optic were found to be well positioned within the capsular bag, with adequate centration and capsular support. Considering the stability of the lens–capsule complex and absence of zonular compromise, the decision was made to retain the IOL rather than explant and replace it. The lens remained centered with good capsular support at the end of surgery. Postoperatively, the patient achieved satisfactory visual recovery with stable IOL centration and no evidence of tilt, decentration, or capsular complications during follow-up.",
        "Results": "",
        "Conclusions": "A fractured IOL haptic does not always mandate immediate explantation. In carefully selected cases with intact capsular support and stable optic centration, in-the-bag retention of the IOL may be a safe and effective option. Careful intraoperative judgment and close postoperative monitoring are essential to ensure long-term stability and optimal visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "POCAT002",
      "abstract_number": "POCAT002",
      "title": "A Case Of Polyautoimmunity With Overlap Syndrome: Anca-Associated Vasculitis, Rheumatoid Arthritis, And Systemic Lupus Erythematosus With Ocular And Pulmonary Involvement",
      "authors": "Dr Misone Abushaala",
      "presenter": "Dr Misone Abushaala",
      "normalized_authors": [
        "Misone Abushaala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Misone Abushaala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To higlight Autoimmune overlap syndromes which represent a diagnostic and therapeutic challenge due to their heterogeneous clinical presentations and multisystem involvement. Cases of patients fulfilling classification criteria for more than one autoimmune disease—such as RA, SLE, and ANCA-associated vasculitis—are rare but clinically significant. Early recognition and aggressive immunosuppression are essential to prevent irreversible organ damage.",
        "Setting": "The patient was managed as an outpatient case in a hospital setting with multidisciplinary care between ophthalmologist, rheumatologist and\n\npulmonologist.",
        "Methods": "We present a complex case of a 41-year-old female with a history of autoimmune manifestations, who developed multisystem involvement including vasculitic scleritis as a presenting symptoms, lung vasculitis, polyarthritis, and peripheral neuropathy. The patient was diagnosed with an overlap syndrome of rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and ANCA-associated vasculitis. She was treated with corticosteroids, methotrexate, azathioprine, and rituximab with partial improvement. Despite remission in pulmonary and ocular symptoms, enthesitis remained a challenge requiring escalation of therapy. This case highlights the diagnostic and therapeutic complexities in managing overlap syndromes with ocular and systemic vasculitis.",
        "Conclusions": "This case demonstrates the complexity of diagnosing and treating overlap autoimmune syndromes with ocular and pulmonary vasculitic manifestations. Rituximab remains a cornerstone therapy in refractory ANCA vasculitis and overlap syndromes, while persistent musculoskeletal involvement may require biologic or targeted synthetic DMARDs. Multidisciplinary collaboration is crucial for optimal management"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates the complexity of diagnosing and treating overlap autoimmune syndromes with ocular and pulmonary vasculitic manifestations. Rituximab remains a cornerstone therapy in refractory ANCA vasculitis and overlap syndromes, while persistent musculoskeletal involvement may require biologic or targeted synthetic DMARDs. Multidisciplinary collaboration is crucial for optimal management",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 46,
      "source_fields": {
        "Abstract Final Identifier": "POCAT002",
        "Title": "A Case Of Polyautoimmunity With Overlap Syndrome: Anca-Associated Vasculitis, Rheumatoid Arthritis, And Systemic Lupus Erythematosus With Ocular And Pulmonary Involvement",
        "Presenting Author(s)": "Dr Misone Abushaala",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Misone",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abushaala",
        "Country Name": "United Arab Emirates",
        "Purpose": "To higlight Autoimmune overlap syndromes which represent a diagnostic and therapeutic challenge due to their heterogeneous clinical presentations and multisystem involvement. Cases of patients fulfilling classification criteria for more than one autoimmune disease—such as RA, SLE, and ANCA-associated vasculitis—are rare but clinically significant. Early recognition and aggressive immunosuppression are essential to prevent irreversible organ damage.",
        "Setting": "The patient was managed as an outpatient case in a hospital setting with multidisciplinary care between ophthalmologist, rheumatologist and\n\npulmonologist.",
        "Methods": "We present a complex case of a 41-year-old female with a history of autoimmune manifestations, who developed multisystem involvement including vasculitic scleritis as a presenting symptoms, lung vasculitis, polyarthritis, and peripheral neuropathy. The patient was diagnosed with an overlap syndrome of rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and ANCA-associated vasculitis. She was treated with corticosteroids, methotrexate, azathioprine, and rituximab with partial improvement. Despite remission in pulmonary and ocular symptoms, enthesitis remained a challenge requiring escalation of therapy. This case highlights the diagnostic and therapeutic complexities in managing overlap syndromes with ocular and systemic vasculitis.",
        "Results": "",
        "Conclusions": "This case demonstrates the complexity of diagnosing and treating overlap autoimmune syndromes with ocular and pulmonary vasculitic manifestations. Rituximab remains a cornerstone therapy in refractory ANCA vasculitis and overlap syndromes, while persistent musculoskeletal involvement may require biologic or targeted synthetic DMARDs. Multidisciplinary collaboration is crucial for optimal management"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCAT003",
      "abstract_number": "POCAT003",
      "title": "Visual Performances Of The Hydrophobic Trifocal Lens Zeiss At Elana 841 P : A French Multicenter Study",
      "authors": "Dr Delphine Acis",
      "presenter": "Dr Delphine Acis",
      "normalized_authors": [
        "Delphine Acis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Delphine Acis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "The range of care in cataract surgery continues to expand with the arrival of the latest generations of hydrophobic trifocal implants. This study aims to evaluate the refractive and clinical outcomes in patients who received the preloaded C-loop intraocular lens, AT ELANA® 841P (Carl Zeiss Meditec AG, Jena, Germany), in the context of cataract surgery or refractive lens exchange, by analyzing the visual and refractive performance obtaines after implantation.",
        "Setting": "Between April 2025 and today, a retrospective and prospective study was conducted within the OPHTALEA Group. FIfty-one patients (n=87 eyes) received ZEISS AT ELANA 841P intraocular lenses, either during cataract surgery or refractive lens exchange. This was a multicenter, non-comparative study involving two surgeons.",
        "Methods": "The main exclusion criteria were : histoy of ocular surgery or traum, conditions affecting visual acuity or visual field (including maculopathies), psychological profile incompatible with a multifocal implant, corneal astigmatism of least 1.0D, and a kappa angle greater than 0,5. Each patient underwent a comprehensive preoperative assessment, including measurement with the ZEISS IOLMaster 700 an IOL power calculation using the Barett Universal II formula directly on the sweptsource biometer. Evaluation criteria at 1 month and 6 months included uncorrected visual acuity at various distances (far, intermediate, and near), residual astgmatism, residual spherical equivalent, and the VF14 visual quality questionnaire score. An anatomical check was also performed between Day 1 and Day 7.\n\nOne month after surgery, the mean residual spherical equivalent was +0,11 D with a mean residual astigmatism of 0,2 D, and 100% of eyes showed a spherical equivalent below 0.5 D. Mean uncorrected distance visual acuity reached most of 20/25, with significant improvement compared to the preoperative period (p < 10 -6 ). All patients reported satisfaction with postoperative visual comfort, with VF14 scores ranging from 51 to 56. The visual performance observed at 1 month was maintained at 6 months (p > 0.05).",
        "Conclusions": "The results of this study demonstrate that the ZEISS AT ELANA 841P intraocular lens provides excellent visual performances, ensuring satisfactory control of both spherical equivalent and residual astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The results of this study demonstrate that the ZEISS AT ELANA 841P intraocular lens provides excellent visual performances, ensuring satisfactory control of both spherical equivalent and residual astigmatism.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 47,
      "source_fields": {
        "Abstract Final Identifier": "POCAT003",
        "Title": "Visual Performances Of The Hydrophobic Trifocal Lens Zeiss At Elana 841 P : A French Multicenter Study",
        "Presenting Author(s)": "Dr Delphine Acis",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Delphine",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Acis",
        "Country Name": "France",
        "Purpose": "The range of care in cataract surgery continues to expand with the arrival of the latest generations of hydrophobic trifocal implants. This study aims to evaluate the refractive and clinical outcomes in patients who received the preloaded C-loop intraocular lens, AT ELANA® 841P (Carl Zeiss Meditec AG, Jena, Germany), in the context of cataract surgery or refractive lens exchange, by analyzing the visual and refractive performance obtaines after implantation.",
        "Setting": "Between April 2025 and today, a retrospective and prospective study was conducted within the OPHTALEA Group. FIfty-one patients (n=87 eyes) received ZEISS AT ELANA 841P intraocular lenses, either during cataract surgery or refractive lens exchange. This was a multicenter, non-comparative study involving two surgeons.",
        "Methods": "The main exclusion criteria were : histoy of ocular surgery or traum, conditions affecting visual acuity or visual field (including maculopathies), psychological profile incompatible with a multifocal implant, corneal astigmatism of least 1.0D, and a kappa angle greater than 0,5. Each patient underwent a comprehensive preoperative assessment, including measurement with the ZEISS IOLMaster 700 an IOL power calculation using the Barett Universal II formula directly on the sweptsource biometer. Evaluation criteria at 1 month and 6 months included uncorrected visual acuity at various distances (far, intermediate, and near), residual astgmatism, residual spherical equivalent, and the VF14 visual quality questionnaire score. An anatomical check was also performed between Day 1 and Day 7.\n\nOne month after surgery, the mean residual spherical equivalent was +0,11 D with a mean residual astigmatism of 0,2 D, and 100% of eyes showed a spherical equivalent below 0.5 D. Mean uncorrected distance visual acuity reached most of 20/25, with significant improvement compared to the preoperative period (p < 10 -6 ). All patients reported satisfaction with postoperative visual comfort, with VF14 scores ranging from 51 to 56. The visual performance observed at 1 month was maintained at 6 months (p > 0.05).",
        "Results": "",
        "Conclusions": "The results of this study demonstrate that the ZEISS AT ELANA 841P intraocular lens provides excellent visual performances, ensuring satisfactory control of both spherical equivalent and residual astigmatism."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCAT004",
      "abstract_number": "POCAT004",
      "title": "Persistent Corneal Edema After Uneventful Cataract Surgery: A Delayed Diagnosis Of Descemet Membrane Detachment",
      "authors": "Hulya Akbuga",
      "presenter": "Hulya Akbuga",
      "normalized_authors": [
        "Hulya Akbuga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hulya Akbuga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To present a case of delayed diagnosis of Descemet membrane detachment (DMD) following uneventful cataract surgery and to emphasize the importance of anterior segment optical coherence tomography (AS-OCT) in patients with persistent postoperative corneal edema.",
        "Setting": "Tertiary referral eye center specializing in anterior segment surgery.",
        "Methods": "A 72-year-old patient underwent uncomplicated phacoemulsification with posterior chamber intraocular lens implantation. On postoperative day 1, reduced visual acuity and diffuse corneal edema were observed, with normal intraocular pressure. The findings were initially attributed to transient endothelial dysfunction, and topical medical therapy was initiated.\n\nDespite treatment, corneal edema persisted without improvement. On postoperative day 7, AS-OCT was performed, revealing a planar Descemet membrane detachment involving the central cornea. An intracameral air injection (descemetopexy) was promptly performed.\n\nFollow-up AS-OCT confirmed complete reattachment of the Descemet membrane within one week, with gradual resolution of corneal edema. Best-corrected visual acuity improved significantly during follow-up.",
        "Conclusions": "Persistent corneal edema after cataract surgery should prompt evaluation for Descemet membrane detachment. Clinical examination alone may be insufficient, and early use of AS-OCT is essential for accurate diagnosis. Timely intervention with descemetopexy can lead to excellent anatomical and visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Persistent corneal edema after cataract surgery should prompt evaluation for Descemet membrane detachment. Clinical examination alone may be insufficient, and early use of AS-OCT is essential for accurate diagnosis. Timely intervention with descemetopexy can lead to excellent anatomical and visual outcomes.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 48,
      "source_fields": {
        "Abstract Final Identifier": "POCAT004",
        "Title": "Persistent Corneal Edema After Uneventful Cataract Surgery: A Delayed Diagnosis Of Descemet Membrane Detachment",
        "Presenting Author(s)": "Hulya Akbuga",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hulya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akbuga",
        "Country Name": "Türkiye",
        "Purpose": "To present a case of delayed diagnosis of Descemet membrane detachment (DMD) following uneventful cataract surgery and to emphasize the importance of anterior segment optical coherence tomography (AS-OCT) in patients with persistent postoperative corneal edema.",
        "Setting": "Tertiary referral eye center specializing in anterior segment surgery.",
        "Methods": "A 72-year-old patient underwent uncomplicated phacoemulsification with posterior chamber intraocular lens implantation. On postoperative day 1, reduced visual acuity and diffuse corneal edema were observed, with normal intraocular pressure. The findings were initially attributed to transient endothelial dysfunction, and topical medical therapy was initiated.\n\nDespite treatment, corneal edema persisted without improvement. On postoperative day 7, AS-OCT was performed, revealing a planar Descemet membrane detachment involving the central cornea. An intracameral air injection (descemetopexy) was promptly performed.\n\nFollow-up AS-OCT confirmed complete reattachment of the Descemet membrane within one week, with gradual resolution of corneal edema. Best-corrected visual acuity improved significantly during follow-up.",
        "Results": "",
        "Conclusions": "Persistent corneal edema after cataract surgery should prompt evaluation for Descemet membrane detachment. Clinical examination alone may be insufficient, and early use of AS-OCT is essential for accurate diagnosis. Timely intervention with descemetopexy can lead to excellent anatomical and visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "POCAT005",
      "abstract_number": "POCAT005",
      "title": "Acute Intraoperative Rock-Hard Eye Syndrome",
      "authors": "Dr Melisa Akgöz Koyuncuoğlu",
      "presenter": "Dr Melisa Akgöz Koyuncuoğlu",
      "normalized_authors": [
        "Melisa Akgöz Koyuncuoğlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melisa Akgöz Koyuncuoğlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report an acute intraoperative aqueous misdirection presenting as a rock-hard eye during cataract surgery and to emphasize the role of rapid lens debulking to relieve pupillary block and restore anterior chamber depth.",
        "Setting": "A tertiary ophthalmology referral centre.",
        "Methods": "A 74-year-old female with diabetes, hypertension, and a cardiac pacemaker presented with right-eye visual acuity of hand motion due to a mature cataract. Intraocular pressure was 16 mmHg bilaterally. Biometry showed an axial length of 22.38 mm, anterior chamber depth of 2.13 mm, lens thickness of 5.63 mm, central corneal thickness of 548 µm, and white-to-white corneal diameter of 11.35 mm, consistent with a relatively large lens in a crowded anterior segment. Phacoemulsification with intraocular lens implantation was planned.\n\nAt the beginning of surgery, prior to capsulorhexis, the eye became acutely rock-hard. The anterior chamber was shallow, and the iris–lens diaphragm was anteriorly displaced. Differential diagnosis was performed intraoperatively to exclude suprachoroidal hemorrhage and other causes of positive vitreous pressure. The findings were recognized as acute aqueous misdirection, and the decision was made to continue surgery rather than abort. Intracameral air injection was performed to deepen the anterior chamber and relieve the pupillary block component, followed by rapid phacoemulsification. The anterior chamber deepened promptly, and IOP normalized. Posterior capsular ondulation and lens fragments in the Berger space were observed, suggesting zonular weakness and posterior fluid misdirection. The rock-hard eye resolved without pars plana tap or vitrectomy. The anterior chamber deepened promptly, and surgery was completed uneventfully without complications.",
        "Conclusions": "This case highlights that acute intraoperative aqueous misdirection can be managed with early recognition and a straightforward anterior segment approach. In eyes with known risk factors -such as hypermetropia, shallow anterior chamber, increased lens thickness, advanced age, and female sex- a high index of suspicion is essential. When a rock-hard eye develops intraoperatively, careful differential diagnosis is required. Once the diagnosis is confirmed, air injection followed by rapid phacoemulsification may resolve the situation without more invasive posterior segment interventions. In this case, zonular weakness likely facilitated posterior diversion of aqueous into the vitreous cavity, supported by lens fragments in the Berger space."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights that acute intraoperative aqueous misdirection can be managed with early recognition and a straightforward anterior segment approach. In eyes with known risk factors -such as hypermetropia, shallow anterior chamber, increased lens thickness, advanced age, and female sex- a high index of suspicion is essential. When a rock-hard eye develops intraoperatively, careful differential diagnosis is…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 49,
      "source_fields": {
        "Abstract Final Identifier": "POCAT005",
        "Title": "Acute Intraoperative Rock-Hard Eye Syndrome",
        "Presenting Author(s)": "Dr Melisa Akgöz Koyuncuoğlu",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Melisa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akgöz Koyuncuoğlu",
        "Country Name": "Türkiye",
        "Purpose": "To report an acute intraoperative aqueous misdirection presenting as a rock-hard eye during cataract surgery and to emphasize the role of rapid lens debulking to relieve pupillary block and restore anterior chamber depth.",
        "Setting": "A tertiary ophthalmology referral centre.",
        "Methods": "A 74-year-old female with diabetes, hypertension, and a cardiac pacemaker presented with right-eye visual acuity of hand motion due to a mature cataract. Intraocular pressure was 16 mmHg bilaterally. Biometry showed an axial length of 22.38 mm, anterior chamber depth of 2.13 mm, lens thickness of 5.63 mm, central corneal thickness of 548 µm, and white-to-white corneal diameter of 11.35 mm, consistent with a relatively large lens in a crowded anterior segment. Phacoemulsification with intraocular lens implantation was planned.\n\nAt the beginning of surgery, prior to capsulorhexis, the eye became acutely rock-hard. The anterior chamber was shallow, and the iris–lens diaphragm was anteriorly displaced. Differential diagnosis was performed intraoperatively to exclude suprachoroidal hemorrhage and other causes of positive vitreous pressure. The findings were recognized as acute aqueous misdirection, and the decision was made to continue surgery rather than abort. Intracameral air injection was performed to deepen the anterior chamber and relieve the pupillary block component, followed by rapid phacoemulsification. The anterior chamber deepened promptly, and IOP normalized. Posterior capsular ondulation and lens fragments in the Berger space were observed, suggesting zonular weakness and posterior fluid misdirection. The rock-hard eye resolved without pars plana tap or vitrectomy. The anterior chamber deepened promptly, and surgery was completed uneventfully without complications.",
        "Results": "",
        "Conclusions": "This case highlights that acute intraoperative aqueous misdirection can be managed with early recognition and a straightforward anterior segment approach. In eyes with known risk factors -such as hypermetropia, shallow anterior chamber, increased lens thickness, advanced age, and female sex- a high index of suspicion is essential. When a rock-hard eye develops intraoperatively, careful differential diagnosis is required. Once the diagnosis is confirmed, air injection followed by rapid phacoemulsification may resolve the situation without more invasive posterior segment interventions. In this case, zonular weakness likely facilitated posterior diversion of aqueous into the vitreous cavity, supported by lens fragments in the Berger space."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCAT006",
      "abstract_number": "POCAT006",
      "title": "Bilateral Cerulean Cataract In A 53-Year-Old Patient With Down Syndrome: A Case Report.",
      "authors": "Dr Hiba Alami",
      "presenter": "Dr Hiba Alami",
      "normalized_authors": [
        "Hiba Alami"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hiba Alami",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To report an incidental finding of bilateral cerulean cataract in an adult patient with Down syndrome and highlight the importance of meticulous anterior segment examination in this population and the morphological, genetic, and management specificities of this rare congenital cataract subtype.",
        "Setting": "Department of Ophthalmology, Hôpital des Spécialités, Ibn Sina University Hospital, Rabat, Morocco.",
        "Methods": "A 53-year-old male patient with trisomy 21 was referred for routine follow-up of mild non-proliferative diabetic retinopathy. Assessment of best-corrected visual acuity was not possible due to limited cooperation.\n\nSlit-lamp biomicroscopy revealed bilateral, symmetrical bluish-white punctate opacities distributed in concentric lamellar patterns within the mid-peripheral lens cortex. The lesions had a characteristic “blue-dot” appearance, more visible under retroillumination, with no significant nuclear sclerosis or posterior subcapsular component. The anterior chamber was quiet and intraocular pressure was normal.\n\nThe morphological pattern was consistent with cerulean cataract, a rare congenital cortical cataract characterized by small, discrete, blue-white opacities arranged radially or concentrically. This subtype is typically inherited in an autosomal dominant pattern and has been associated with mutations in crystallin genes, particularly CRYBB2, CRYGD.\n\nCerulean cataract is generally slowly progressive and often remains visually insignificant during childhood, sometimes becoming symptomatic only in early or mid-adulthood. In this patient, the cataract was discovered incidentally, as the consultation was primarily focused on posterior segment evaluation.\n\nFundus examination, although technically challenging, confirmed stable diabetic retinopathy without macular edema. Given the absence of obvious functional impairment, a conservative approach with close follow-up was adopted.",
        "Conclusions": "Cerulean cataract is typically congenital and slowly progressive but may remain undiagnosed into adulthood, especially in patients with cognitive impairment.\n\nIndividuals with Down syndrome have a higher prevalence of ocular comorbidities, including keratoconus and cataract. This case highlights the importance of systematic and meticulous slit-lamp examination in non-cooperative patients, even when consultation is primarily directed toward posterior segment disease and the complexity of surgical decision-making in cognitively impaired adults, where visual acuity assessment and subjective symptoms may be unreliable.\n\nComprehensive ophthalmologic evaluation remains essential to optimize long-term visual outcomes in this vulnerable population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cerulean cataract is typically congenital and slowly progressive but may remain undiagnosed into adulthood, especially in patients with cognitive impairment. Individuals with Down syndrome have a higher prevalence of ocular comorbidities, including keratoconus and cataract. This case highlights the importance of systematic and meticulous slit-lamp examination in non-cooperative patients, even when consultation is…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 50,
      "source_fields": {
        "Abstract Final Identifier": "POCAT006",
        "Title": "Bilateral Cerulean Cataract In A 53-Year-Old Patient With Down Syndrome: A Case Report.",
        "Presenting Author(s)": "Dr Hiba Alami",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hiba",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alami",
        "Country Name": "Morocco",
        "Purpose": "To report an incidental finding of bilateral cerulean cataract in an adult patient with Down syndrome and highlight the importance of meticulous anterior segment examination in this population and the morphological, genetic, and management specificities of this rare congenital cataract subtype.",
        "Setting": "Department of Ophthalmology, Hôpital des Spécialités, Ibn Sina University Hospital, Rabat, Morocco.",
        "Methods": "A 53-year-old male patient with trisomy 21 was referred for routine follow-up of mild non-proliferative diabetic retinopathy. Assessment of best-corrected visual acuity was not possible due to limited cooperation.\n\nSlit-lamp biomicroscopy revealed bilateral, symmetrical bluish-white punctate opacities distributed in concentric lamellar patterns within the mid-peripheral lens cortex. The lesions had a characteristic “blue-dot” appearance, more visible under retroillumination, with no significant nuclear sclerosis or posterior subcapsular component. The anterior chamber was quiet and intraocular pressure was normal.\n\nThe morphological pattern was consistent with cerulean cataract, a rare congenital cortical cataract characterized by small, discrete, blue-white opacities arranged radially or concentrically. This subtype is typically inherited in an autosomal dominant pattern and has been associated with mutations in crystallin genes, particularly CRYBB2, CRYGD.\n\nCerulean cataract is generally slowly progressive and often remains visually insignificant during childhood, sometimes becoming symptomatic only in early or mid-adulthood. In this patient, the cataract was discovered incidentally, as the consultation was primarily focused on posterior segment evaluation.\n\nFundus examination, although technically challenging, confirmed stable diabetic retinopathy without macular edema. Given the absence of obvious functional impairment, a conservative approach with close follow-up was adopted.",
        "Results": "",
        "Conclusions": "Cerulean cataract is typically congenital and slowly progressive but may remain undiagnosed into adulthood, especially in patients with cognitive impairment.\n\nIndividuals with Down syndrome have a higher prevalence of ocular comorbidities, including keratoconus and cataract. This case highlights the importance of systematic and meticulous slit-lamp examination in non-cooperative patients, even when consultation is primarily directed toward posterior segment disease and the complexity of surgical decision-making in cognitively impaired adults, where visual acuity assessment and subjective symptoms may be unreliable.\n\nComprehensive ophthalmologic evaluation remains essential to optimize long-term visual outcomes in this vulnerable population."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCAT007",
      "abstract_number": "POCAT007",
      "title": "Intraocular Lens Opacification In A Patient\nWith Gyrate Atrophy With A Subluxated\nIntraocular Lens",
      "authors": "Dr Faisal Alsaif",
      "presenter": "Dr Faisal Alsaif",
      "normalized_authors": [
        "Faisal Alsaif"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Faisal Alsaif",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Gyrate atrophy is a rare metabolic disease that profoundly impacts the choroid and retina. This condition is recognized for its ocular comorbidities, including a predisposition to the development of posterior subcapsular cataract and compromised zonular integrity. While cataract surgery is a common intervention, it can have long-term sequelae. Intraocular lens (IOL) opacity is a known complication, with various morphological patterns documented in the ophthalmic literature. However, no specific pattern of IOL opacification has been previously reported in an individual with gyrate atrophy. This paper describes a novel and previously unreported pattern of intraocular lens (IOL) opacification in a patient with gyrate atrophy.",
        "Setting": "Cornea and anterior segment service of a tertiary referral ophthalmology center.",
        "Methods": "We present the case of a 37-year-old man with genetically confirmed gyrate atrophy who experienced a signif icant decline in vision following an initially uncomplicated cataract surgery. He later developed a late sublux ation of the IOL and subsequently formed distinctive rosette-shaped opacities on the lens implant. He under went successful surgical removal and insertion of a scleral-tucked IOL along with anterior vitrectomy. Analysis of the material on microscopy and histopathology revealed unique crystalline deposits that stained positive with von Kossa stain and showed birefringence under polarized light, consistent with calcium oxalate – a find ing not previously associated with IOL opacification.",
        "Conclusions": "To the best of our knowledge, these opacities have never been described in a patient with gyrate atrophy. This case report shows the need for regular monitoring for patients with gyrate atrophy after cataract surgery and proposes a potential pathophysiological mechanism linking this complication to gyrate atrophy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "To the best of our knowledge, these opacities have never been described in a patient with gyrate atrophy. This case report shows the need for regular monitoring for patients with gyrate atrophy after cataract surgery and proposes a potential pathophysiological mechanism linking this complication to gyrate atrophy.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 51,
      "source_fields": {
        "Abstract Final Identifier": "POCAT007",
        "Title": "Intraocular Lens Opacification In A Patient\nWith Gyrate Atrophy With A Subluxated\nIntraocular Lens",
        "Presenting Author(s)": "Dr Faisal Alsaif",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Faisal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alsaif",
        "Country Name": "Saudi Arabia",
        "Purpose": "Gyrate atrophy is a rare metabolic disease that profoundly impacts the choroid and retina. This condition is recognized for its ocular comorbidities, including a predisposition to the development of posterior subcapsular cataract and compromised zonular integrity. While cataract surgery is a common intervention, it can have long-term sequelae. Intraocular lens (IOL) opacity is a known complication, with various morphological patterns documented in the ophthalmic literature. However, no specific pattern of IOL opacification has been previously reported in an individual with gyrate atrophy. This paper describes a novel and previously unreported pattern of intraocular lens (IOL) opacification in a patient with gyrate atrophy.",
        "Setting": "Cornea and anterior segment service of a tertiary referral ophthalmology center.",
        "Methods": "We present the case of a 37-year-old man with genetically confirmed gyrate atrophy who experienced a signif icant decline in vision following an initially uncomplicated cataract surgery. He later developed a late sublux ation of the IOL and subsequently formed distinctive rosette-shaped opacities on the lens implant. He under went successful surgical removal and insertion of a scleral-tucked IOL along with anterior vitrectomy. Analysis of the material on microscopy and histopathology revealed unique crystalline deposits that stained positive with von Kossa stain and showed birefringence under polarized light, consistent with calcium oxalate – a find ing not previously associated with IOL opacification.",
        "Results": "",
        "Conclusions": "To the best of our knowledge, these opacities have never been described in a patient with gyrate atrophy. This case report shows the need for regular monitoring for patients with gyrate atrophy after cataract surgery and proposes a potential pathophysiological mechanism linking this complication to gyrate atrophy."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POCAT008",
      "abstract_number": "POCAT008",
      "title": "Retinal Pigment Epithelial Tear Following Uneventful Cataract Surgery Under Local Anesthesia.",
      "authors": "Dr Yazeed Fahad Alshahrani",
      "presenter": "Dr Yazeed Fahad Alshahrani",
      "normalized_authors": [
        "Yazeed Fahad Alshahrani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yazeed Fahad Alshahrani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report an unusual case of Retinal Pigment epithelium (RPE) tear following cataract under ophthalmic local anesthesia, in the absence of any known risk factors for RPE tear. To date, there has been no documented case of RPE tear after local anaesthesia in the literature.",
        "Setting": "Tertiary medical center, Riyadh, Saudi Arabia",
        "Methods": "A 65-year-old female presented with distortion of vision in her left eye. She is one week status post uneventful phacoemulsification under local ophthalmic anesthesia. Preoperatively, her eye exam was unremarkable except for a cataract in the left eye.\n\nOn examination, her visual acuity is 20/50 in the operated eye. Dilated fundus examination revealed a hyperpigmented retracted RPE line with an area of depigmentation consistent with bare choroid. Optical Coherence Tomography (OCT) revealed subretinal fluid and an RPE tear without evidence of fibrovascular Pigment epithelial defect (PED) or Choroidal neovascular membrane (CNVM). The patient was managed conservatively, and her visual acuity improved to 20/25, with resolution of subretinal fluid and partial healing of the RPE tear.",
        "Conclusions": "RPE tears may occur following uneventful cataract surgery under ophthalmic local anesthesia, even in the absence of known predisposing factors such as Age Macular Degeneration (AMD) or anti-vascular endothelial growth factor (Anti-VEGF) therapy. This case highlights the importance of considering RPE tears as a rare but potential complication of local ophthalmic anesthesia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "RPE tears may occur following uneventful cataract surgery under ophthalmic local anesthesia, even in the absence of known predisposing factors such as Age Macular Degeneration (AMD) or anti-vascular endothelial growth factor (Anti-VEGF) therapy. This case highlights the importance of considering RPE tears as a rare but potential complication of local ophthalmic anesthesia.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 52,
      "source_fields": {
        "Abstract Final Identifier": "POCAT008",
        "Title": "Retinal Pigment Epithelial Tear Following Uneventful Cataract Surgery Under Local Anesthesia.",
        "Presenting Author(s)": "Dr Yazeed Fahad Alshahrani",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Yazeed",
        "Submitter Middle Name": "Fahad",
        "Submitter Last Name": "Alshahrani",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report an unusual case of Retinal Pigment epithelium (RPE) tear following cataract under ophthalmic local anesthesia, in the absence of any known risk factors for RPE tear. To date, there has been no documented case of RPE tear after local anaesthesia in the literature.",
        "Setting": "Tertiary medical center, Riyadh, Saudi Arabia",
        "Methods": "A 65-year-old female presented with distortion of vision in her left eye. She is one week status post uneventful phacoemulsification under local ophthalmic anesthesia. Preoperatively, her eye exam was unremarkable except for a cataract in the left eye.\n\nOn examination, her visual acuity is 20/50 in the operated eye. Dilated fundus examination revealed a hyperpigmented retracted RPE line with an area of depigmentation consistent with bare choroid. Optical Coherence Tomography (OCT) revealed subretinal fluid and an RPE tear without evidence of fibrovascular Pigment epithelial defect (PED) or Choroidal neovascular membrane (CNVM). The patient was managed conservatively, and her visual acuity improved to 20/25, with resolution of subretinal fluid and partial healing of the RPE tear.",
        "Results": "",
        "Conclusions": "RPE tears may occur following uneventful cataract surgery under ophthalmic local anesthesia, even in the absence of known predisposing factors such as Age Macular Degeneration (AMD) or anti-vascular endothelial growth factor (Anti-VEGF) therapy. This case highlights the importance of considering RPE tears as a rare but potential complication of local ophthalmic anesthesia."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCAT009",
      "abstract_number": "POCAT009",
      "title": "Acute Angle Closure Glaucoma Despite Patent Peripheral Iridotomy: A Diagnostic And Management Challenge",
      "authors": "Mr Mohamed Awwad",
      "presenter": "Mr Mohamed Awwad",
      "normalized_authors": [
        "Mohamed Awwad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Aly",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To highlight the risk, mechanism and management of angle closure despite patent peripheral iridotomy.",
        "Setting": "Ophthalmology Outpatient Department, Barnsley Hospital NHS Foundation Trust.",
        "Methods": "A 72-year-old lady with a history of primary angle closure glaucoma in her left eye, treated 14 years prior with bilateral laser peripheral iridotomy, presented with acute onset of left ocular pain, reduced vision, headache, and nausea. Examination revealed conjunctival injection, corneal oedema, a mid-dilated pupil, a diffusely shallow anterior chamber (1.77 mm depth), and intraocular pressure (IOP) of 71 mmHg.\n\nGonioscopy confirmed a patent iridotomy but revealed 360° appositional angle closure. Anterior segment assessment and AS-OCT showed a thick crystalline lens (5.44 mm) with significant anterior vaulting and cataractous changes, consistent with a lens-driven mechanism of angle crowding rather than plateau iris configuration.\n\nInitial medical management included intravenous acetazolamide, a topical beta-blocker, an alpha-agonist, and a prostaglandin analogue, resulting in partial IOP reduction. Given the lens-induced component, the patient underwent expedited cataract extraction. Postoperatively, the anterior chamber deepened, the angle opened, and IOP normalised without further intervention.\n\nThis case highlights several important clinical considerations; a patent iridotomy does not always preclude acute angle closure. Progressive lens thickening may precipitate closure despite the elimination of pupillary block. Careful assessment is essential to distinguish between plateau iris and phacomorphic mechanisms. Finally, early lens extraction may represent definitive management.",
        "Conclusions": "Acute angle-closure glaucoma in the presence of a patent iridotomy is an important diagnostic pitfall. Failure to recognise lens-driven angle crowding can result in recurrent attacks and suboptimal long-term IOP control. Similarly , failure to recognise alternative mechanisms may delay definitive treatment. Lens-induced anterior segment crowding should be considered in patients with shallow anterior chambers and cataract, and timely cataract extraction may provide definitive anatomical correction and pressure control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Acute angle-closure glaucoma in the presence of a patent iridotomy is an important diagnostic pitfall. Failure to recognise lens-driven angle crowding can result in recurrent attacks and suboptimal long-term IOP control. Similarly , failure to recognise alternative mechanisms may delay definitive treatment. Lens-induced anterior segment crowding should be considered in patients with shallow anterior chambers and…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 53,
      "source_fields": {
        "Abstract Final Identifier": "POCAT009",
        "Title": "Acute Angle Closure Glaucoma Despite Patent Peripheral Iridotomy: A Diagnostic And Management Challenge",
        "Presenting Author(s)": "Mr Mohamed Awwad",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aly",
        "Country Name": "United Kingdom",
        "Purpose": "To highlight the risk, mechanism and management of angle closure despite patent peripheral iridotomy.",
        "Setting": "Ophthalmology Outpatient Department, Barnsley Hospital NHS Foundation Trust.",
        "Methods": "A 72-year-old lady with a history of primary angle closure glaucoma in her left eye, treated 14 years prior with bilateral laser peripheral iridotomy, presented with acute onset of left ocular pain, reduced vision, headache, and nausea. Examination revealed conjunctival injection, corneal oedema, a mid-dilated pupil, a diffusely shallow anterior chamber (1.77 mm depth), and intraocular pressure (IOP) of 71 mmHg.\n\nGonioscopy confirmed a patent iridotomy but revealed 360° appositional angle closure. Anterior segment assessment and AS-OCT showed a thick crystalline lens (5.44 mm) with significant anterior vaulting and cataractous changes, consistent with a lens-driven mechanism of angle crowding rather than plateau iris configuration.\n\nInitial medical management included intravenous acetazolamide, a topical beta-blocker, an alpha-agonist, and a prostaglandin analogue, resulting in partial IOP reduction. Given the lens-induced component, the patient underwent expedited cataract extraction. Postoperatively, the anterior chamber deepened, the angle opened, and IOP normalised without further intervention.\n\nThis case highlights several important clinical considerations; a patent iridotomy does not always preclude acute angle closure. Progressive lens thickening may precipitate closure despite the elimination of pupillary block. Careful assessment is essential to distinguish between plateau iris and phacomorphic mechanisms. Finally, early lens extraction may represent definitive management.",
        "Results": "",
        "Conclusions": "Acute angle-closure glaucoma in the presence of a patent iridotomy is an important diagnostic pitfall. Failure to recognise lens-driven angle crowding can result in recurrent attacks and suboptimal long-term IOP control. Similarly , failure to recognise alternative mechanisms may delay definitive treatment. Lens-induced anterior segment crowding should be considered in patients with shallow anterior chambers and cataract, and timely cataract extraction may provide definitive anatomical correction and pressure control."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCAT010",
      "abstract_number": "POCAT010",
      "title": "Cataract Post Supracor Presbyopia Refractive Surgery Is A Dilemma If Not Well Evaluated",
      "authors": "Dr Ashraf Armia",
      "presenter": "Dr Ashraf Armia",
      "normalized_authors": [
        "Ashraf Armia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ashraf Armia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "A case of female patient 52 years old with bilateral nucleus cataract grade 2, cortical cataract grade 2 and Supracor presbyopia corneal refractive surgery was done for 7 years. Presented to me for cataract surgery.",
        "Setting": "Watany Eye Hospitals, Cairo, Egypt",
        "Methods": "During history taking, the patient reported that since Supracor surgery, the left eye had poorer visual quality and distance vision compared to the right eye, although cataract stages were similar in both eyes. IOL options were discussed according to corneal evaluation results. Comprehensive investigations were performed, including Pentacam, epithelial mapping, biometry using IOLMaster 700 (hyperopic version), IOL calculations using ESCRS and ASCRS post-refractive hyperopic formulas, ocular surface assessment, and OCT macula.\n\nBased on the findings, trifocal IOL implantation was excluded due to differences in corneal spherical aberrations and Q values between both eyes. We therefore selected an aspheric monofocal IOL for the right eye and a spherical monofocal IOL for the left eye. A slightly more aggressive strategy was planned for the left eye to enhance near vision.\n\nPostoperatively, UCDVA was 20/20 in the right eye and 20/30 in the left eye. The left eye provided superior reading vision, while binocularly UCDVA and UCNVA reached 20/20. Postoperative iTrace showed optimal visual quality in the right eye with normal HOA and good LDI. The left eye demonstrated higher HOA and lower LDI despite acceptable visual acuity, yet the patient remained satisfied. All pre- and postoperative investigations will be presented.",
        "Conclusions": "Cataract post Supracor presbyopia refractive surgery, is one of the difficult situation because not much published about this situation, so it should be properly investigated, patient counselling situation and option for management and proper IOL selection even when it is different optical design as in our case report to reach acceptable results for the patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract post Supracor presbyopia refractive surgery, is one of the difficult situation because not much published about this situation, so it should be properly investigated, patient counselling situation and option for management and proper IOL selection even when it is different optical design as in our case report to reach acceptable results for the patient.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 54,
      "source_fields": {
        "Abstract Final Identifier": "POCAT010",
        "Title": "Cataract Post Supracor Presbyopia Refractive Surgery Is A Dilemma If Not Well Evaluated",
        "Presenting Author(s)": "Dr Ashraf Armia",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ashraf",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Armia",
        "Country Name": "Egypt",
        "Purpose": "A case of female patient 52 years old with bilateral nucleus cataract grade 2, cortical cataract grade 2 and Supracor presbyopia corneal refractive surgery was done for 7 years. Presented to me for cataract surgery.",
        "Setting": "Watany Eye Hospitals, Cairo, Egypt",
        "Methods": "During history taking, the patient reported that since Supracor surgery, the left eye had poorer visual quality and distance vision compared to the right eye, although cataract stages were similar in both eyes. IOL options were discussed according to corneal evaluation results. Comprehensive investigations were performed, including Pentacam, epithelial mapping, biometry using IOLMaster 700 (hyperopic version), IOL calculations using ESCRS and ASCRS post-refractive hyperopic formulas, ocular surface assessment, and OCT macula.\n\nBased on the findings, trifocal IOL implantation was excluded due to differences in corneal spherical aberrations and Q values between both eyes. We therefore selected an aspheric monofocal IOL for the right eye and a spherical monofocal IOL for the left eye. A slightly more aggressive strategy was planned for the left eye to enhance near vision.\n\nPostoperatively, UCDVA was 20/20 in the right eye and 20/30 in the left eye. The left eye provided superior reading vision, while binocularly UCDVA and UCNVA reached 20/20. Postoperative iTrace showed optimal visual quality in the right eye with normal HOA and good LDI. The left eye demonstrated higher HOA and lower LDI despite acceptable visual acuity, yet the patient remained satisfied. All pre- and postoperative investigations will be presented.",
        "Results": "",
        "Conclusions": "Cataract post Supracor presbyopia refractive surgery, is one of the difficult situation because not much published about this situation, so it should be properly investigated, patient counselling situation and option for management and proper IOL selection even when it is different optical design as in our case report to reach acceptable results for the patient."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT011",
      "abstract_number": "POCAT011",
      "title": "Scleral Support Arrieta's Holder Implant For Iol Support In Cases Without Capsular Support. A New Iol Support Device Is Presented, Including The Posibility To Use Premium Single-Piece Monofocal And Multifocal Iols With And Without Toricity",
      "authors": "Dr Jose Arrieta",
      "presenter": "Dr Jose Arrieta",
      "normalized_authors": [
        "Jose Arrieta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jose Arrieta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "We will demonstrate a new way to address cases of patients without support for IOL placement, and now premium monofocal and multifocal IOLs, with or without toricity, can be used. We will show the new Arrieta's Holder, the technique, and its applications.",
        "Setting": "We will demonstrate a new way to address cases of patients without support for IOL placement, and now premium monofocal and multifocal IOLs, with or without toricity, can be used. We will show the new Arrieta's Holder, the technique, and its applications.",
        "Methods": "first cases performed with this new technique",
        "Conclusions": "There is a new way to solve cases of lack of support for IOL implants with a new technique superior to current ones"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "There is a new way to solve cases of lack of support for IOL implants with a new technique superior to current ones",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 55,
      "source_fields": {
        "Abstract Final Identifier": "POCAT011",
        "Title": "Scleral Support Arrieta's Holder Implant For Iol Support In Cases Without Capsular Support. A New Iol Support Device Is Presented, Including The Posibility To Use Premium Single-Piece Monofocal And Multifocal Iols With And Without Toricity",
        "Presenting Author(s)": "Dr Jose Arrieta",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Jose",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arrieta",
        "Country Name": "Argentina",
        "Purpose": "We will demonstrate a new way to address cases of patients without support for IOL placement, and now premium monofocal and multifocal IOLs, with or without toricity, can be used. We will show the new Arrieta's Holder, the technique, and its applications.",
        "Setting": "We will demonstrate a new way to address cases of patients without support for IOL placement, and now premium monofocal and multifocal IOLs, with or without toricity, can be used. We will show the new Arrieta's Holder, the technique, and its applications.",
        "Methods": "first cases performed with this new technique",
        "Results": "",
        "Conclusions": "There is a new way to solve cases of lack of support for IOL implants with a new technique superior to current ones"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 114
    },
    {
      "uid": "POCAT012",
      "abstract_number": "POCAT012",
      "title": "A Surgical Nightmare With An Ecce-Lent Result!",
      "authors": "Dr Konstantinos Arvanitogiannis",
      "presenter": "Dr Konstantinos Arvanitogiannis",
      "normalized_authors": [
        "Konstantinos Arvanitogiannis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Konstantinos Arvanitogiannis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To present a case of a 65yo man with sclerotic, post traumatic cataract, with multiple complications during (corneal wound burn) and after surgery (suprachoroidal hemorrhage) and their proactive management.",
        "Setting": "Ophthalmology Clinic, University Hospital of Larissa, Greece",
        "Methods": "A 65-year-old man presents with monocular, post traumatic (50 years ago), brunescent cataract, with prominent zonular instability. Initially, phacoemulsification was decided, but a corneal burn was noticed at the main incision site during the creation of the groove (Cumulative Dissipated Energy was 80). In order to avert additional setbacks, it was decided to leave the eye aphakic, suture and cover the wound with conjunctiva, and defer to a staged ECCE. Unfortunately, during the patient’s follow up, a small suprachoroidal hemorrhage -that was attributed to wound leakage- was noticed, so a dilemma was posed; Whether a pars plana vitreoretinal approach -with 20G fragmatome removal of the nucleus- was more appropriate, instead of the “more open” ECCE procedure that might further complicate the suprachoroidal hemorrhage. Finally, an ECCE was performed 10 days later, with satisfying results.",
        "Conclusions": "The choice of Phaco, ECCE or a pars plana VR procedure in brunescent cataracts with zonular dehiscence such as our case, depends heavily on the surgeon’s skill and experience. While phaco is preferred for its small incisions and fast recovery, the higher energy used might cause corneal and endothelial damage, while manipulations might lead to capsule rupture or dislocation. In high risk cases such as this, the small-incision fragmatome option might offer an advantage in handling VR complications and also avoiding further suprachoroidal hemorrhage spread. “Old school” ECCE with a larger incision and its slower recovery time, might be a riskier approach, but offers corneal and endothelial protection and is safer in cases of zonular weakness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The choice of Phaco, ECCE or a pars plana VR procedure in brunescent cataracts with zonular dehiscence such as our case, depends heavily on the surgeon’s skill and experience. While phaco is preferred for its small incisions and fast recovery, the higher energy used might cause corneal and endothelial damage, while manipulations might lead to capsule rupture or dislocation. In high risk cases such as this, the…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 56,
      "source_fields": {
        "Abstract Final Identifier": "POCAT012",
        "Title": "A Surgical Nightmare With An Ecce-Lent Result!",
        "Presenting Author(s)": "Dr Konstantinos Arvanitogiannis",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Konstantinos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arvanitogiannis",
        "Country Name": "Greece",
        "Purpose": "To present a case of a 65yo man with sclerotic, post traumatic cataract, with multiple complications during (corneal wound burn) and after surgery (suprachoroidal hemorrhage) and their proactive management.",
        "Setting": "Ophthalmology Clinic, University Hospital of Larissa, Greece",
        "Methods": "A 65-year-old man presents with monocular, post traumatic (50 years ago), brunescent cataract, with prominent zonular instability. Initially, phacoemulsification was decided, but a corneal burn was noticed at the main incision site during the creation of the groove (Cumulative Dissipated Energy was 80). In order to avert additional setbacks, it was decided to leave the eye aphakic, suture and cover the wound with conjunctiva, and defer to a staged ECCE. Unfortunately, during the patient’s follow up, a small suprachoroidal hemorrhage -that was attributed to wound leakage- was noticed, so a dilemma was posed; Whether a pars plana vitreoretinal approach -with 20G fragmatome removal of the nucleus- was more appropriate, instead of the “more open” ECCE procedure that might further complicate the suprachoroidal hemorrhage. Finally, an ECCE was performed 10 days later, with satisfying results.",
        "Results": "",
        "Conclusions": "The choice of Phaco, ECCE or a pars plana VR procedure in brunescent cataracts with zonular dehiscence such as our case, depends heavily on the surgeon’s skill and experience. While phaco is preferred for its small incisions and fast recovery, the higher energy used might cause corneal and endothelial damage, while manipulations might lead to capsule rupture or dislocation. In high risk cases such as this, the small-incision fragmatome option might offer an advantage in handling VR complications and also avoiding further suprachoroidal hemorrhage spread. “Old school” ECCE with a larger incision and its slower recovery time, might be a riskier approach, but offers corneal and endothelial protection and is safer in cases of zonular weakness."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "POCAT013",
      "abstract_number": "POCAT013",
      "title": "Axenfeld Reiger Syndrome-Challenges And Triumphs",
      "authors": "A/Prof. Zia ul Mazhry",
      "presenter": "A/Prof. Zia ul Mazhry",
      "normalized_authors": [
        "Zia ul Mazhry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laiba Asif Mazhry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To highlight the clinical features, treatment decisions and challenges faced in the management of a patient with Axenfeld Reiger Syndrome.",
        "Setting": "Wapda Teaching Hospital",
        "Methods": "A 44-year-old female patient presented with complaints of progressively decreasing vision. The slit-lamp microscopic examination of the anterior segment showed polycoria, corectopia and nuclear cataract and bilateral well formed blebs. Patient had undergone bilateral trabeculectomy. Phacoemulsification in combination with intraocular lens implantation on her left eye was performed followed by the right eye.",
        "Conclusions": "Phacoemulsification in eyes with axenfeld-rieger syndrome is technically difficult because of anterior chamber and angle anomalies. Furthermore the\n\nchallenges of small eye phaco are also encountered. Our case aims to highlight these challenges."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Phacoemulsification in eyes with axenfeld-rieger syndrome is technically difficult because of anterior chamber and angle anomalies. Furthermore the challenges of small eye phaco are also encountered. Our case aims to highlight these challenges.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 57,
      "source_fields": {
        "Abstract Final Identifier": "POCAT013",
        "Title": "Axenfeld Reiger Syndrome-Challenges And Triumphs",
        "Presenting Author(s)": "A/Prof. Zia ul Mazhry",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Laiba",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Asif Mazhry",
        "Country Name": "Pakistan",
        "Purpose": "To highlight the clinical features, treatment decisions and challenges faced in the management of a patient with Axenfeld Reiger Syndrome.",
        "Setting": "Wapda Teaching Hospital",
        "Methods": "A 44-year-old female patient presented with complaints of progressively decreasing vision. The slit-lamp microscopic examination of the anterior segment showed polycoria, corectopia and nuclear cataract and bilateral well formed blebs. Patient had undergone bilateral trabeculectomy. Phacoemulsification in combination with intraocular lens implantation on her left eye was performed followed by the right eye.",
        "Results": "",
        "Conclusions": "Phacoemulsification in eyes with axenfeld-rieger syndrome is technically difficult because of anterior chamber and angle anomalies. Furthermore the\n\nchallenges of small eye phaco are also encountered. Our case aims to highlight these challenges."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 109
    },
    {
      "uid": "POCAT014",
      "abstract_number": "POCAT014",
      "title": "Recurrent Descemet Membrane Detachment After Phacoemulsification Successfully Managed With Adhesive Viscoelastic Tamponade: A Case Report",
      "authors": "Dr Abilkaiyr Assan",
      "presenter": "Dr Abilkaiyr Assan",
      "normalized_authors": [
        "Abilkaiyr Assan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abilkaiyr Assan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "Descemet membrane detachment (DMD) is a rare but potentially vision-threatening complication of cataract surgery. Extensive detachment associated with Descemet membrane rupture may lead to persistent corneal edema and poor visual recovery. We report a case of recurrent DMD after phacoemulsification successfully managed with intracameral adhesive viscoelastic tamponade.",
        "Setting": "Kazakh Eye Research Institute, Almaty, Kazakhstan.",
        "Methods": "A patient with complicated cataract and lens subluxation underwent phacoemulsification with intraocular lens implantation. Intraoperatively a localized Descemet membrane rupture with detachment occurred. On postoperative day 1 severe corneal edema with Descemet membrane folds was observed and best corrected visual acuity (BCVA) was 0.01. Anterior segment optical coherence tomography confirmed Descemet membrane detachment.\n\nInitial treatment consisted of intracameral air descemetopexy. Temporary improvement was observed; however recurrent detachment developed after air resorption. Due to persistent corneal edema and repeated recurrence, intracameral adhesive viscoelastic was injected into the anterior chamber.\n\nAS-OCT demonstrated progressive reattachment of the Descemet membrane with reduction of corneal edema. At one-month follow-up the cornea became transparent and BCVA improved to 0.8.",
        "Conclusions": "Descemet membrane rupture may significantly reduce the effectiveness of standard air descemetopexy. Intracameral adhesive viscoelastic tamponade may represent an effective alternative for achieving stable Descemet membrane reattachment in recurrent cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Descemet membrane rupture may significantly reduce the effectiveness of standard air descemetopexy. Intracameral adhesive viscoelastic tamponade may represent an effective alternative for achieving stable Descemet membrane reattachment in recurrent cases.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 58,
      "source_fields": {
        "Abstract Final Identifier": "POCAT014",
        "Title": "Recurrent Descemet Membrane Detachment After Phacoemulsification Successfully Managed With Adhesive Viscoelastic Tamponade: A Case Report",
        "Presenting Author(s)": "Dr Abilkaiyr Assan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Abilkaiyr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Assan",
        "Country Name": "Kazakhstan",
        "Purpose": "Descemet membrane detachment (DMD) is a rare but potentially vision-threatening complication of cataract surgery. Extensive detachment associated with Descemet membrane rupture may lead to persistent corneal edema and poor visual recovery. We report a case of recurrent DMD after phacoemulsification successfully managed with intracameral adhesive viscoelastic tamponade.",
        "Setting": "Kazakh Eye Research Institute, Almaty, Kazakhstan.",
        "Methods": "A patient with complicated cataract and lens subluxation underwent phacoemulsification with intraocular lens implantation. Intraoperatively a localized Descemet membrane rupture with detachment occurred. On postoperative day 1 severe corneal edema with Descemet membrane folds was observed and best corrected visual acuity (BCVA) was 0.01. Anterior segment optical coherence tomography confirmed Descemet membrane detachment.\n\nInitial treatment consisted of intracameral air descemetopexy. Temporary improvement was observed; however recurrent detachment developed after air resorption. Due to persistent corneal edema and repeated recurrence, intracameral adhesive viscoelastic was injected into the anterior chamber.\n\nAS-OCT demonstrated progressive reattachment of the Descemet membrane with reduction of corneal edema. At one-month follow-up the cornea became transparent and BCVA improved to 0.8.",
        "Results": "",
        "Conclusions": "Descemet membrane rupture may significantly reduce the effectiveness of standard air descemetopexy. Intracameral adhesive viscoelastic tamponade may represent an effective alternative for achieving stable Descemet membrane reattachment in recurrent cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 198
    },
    {
      "uid": "POCAT015",
      "abstract_number": "POCAT015",
      "title": "Managing Cataract Surgery In Axenfeld–Rieger Syndrome With Microcornea And Developmental Angle Abnormalities: Lessons From A Structurally Abnormal Anterior Segment",
      "authors": "Dr Belem MERCEDES Audelo Cruz",
      "presenter": "Dr Belem MERCEDES Audelo Cruz",
      "normalized_authors": [
        "Belem MERCEDES Audelo Cruz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Belem MERCEDES Audelo Cruz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To describe the surgical strategy and early outcomes of cataract surgery in Axenfeld–Rieger syndrome with severe anterior segment dysgenesis and to highlight key intraoperative adaptations required in developmentally abnormal anterior segments.",
        "Setting": "Tertiary referral center for complex anterior segment surgery with multidisciplinary assessment by cornea, glaucoma, strabismus, and clinical genetics services. Comprehensive evaluation included slit-lamp examination, gonioscopy, ultrasound biomicroscopy, axial biometry, and posterior segment imaging to define structural risk factors prior to staged cataract surgery.",
        "Methods": "A 58-year-old male with longstanding anterior segment dysgenesis presented with progressive bilateral visual decline. BCVA was 20/400 OU. Examination revealed bilateral microcornea (9 × 9 mm), diffuse corneal haze with epithelial edema, corectopia with broad peripheral anterior synechiae, nuclear cataracts, and markedly shallow anterior chambers.Ultrasound biomicroscopy showed anterior chamber depth of 1.54 mm, sectorial angle closure, abnormal iris insertion, and lens subluxation with zonular weakness. Axial length measured 26.4 mm OD and 27.17 mm OS, increasing IOL calculation complexity.\n\nSequential phacoemulsification was performed (left eye first, right eye one month later). Restricted chamber depth limited maneuverability and increased endothelial vulnerability. Capsulorrhexis centration required caution due to zonular laxity. Low fluidics and dispersive ophthalmic viscosurgical devices were used to minimize endothelial stress.\n\nPostoperatively, significant corneal edema, transient IOP elevation, and anterior capsular phimosis occurred, more pronounced in the first eye. Gradual recovery was achieved under intensive topical therapy. The staged approach enabled refinement of surgical strategy and safer management in this structurally complex anterior segment.",
        "Conclusions": "Cataract surgery in Axenfeld–Rieger syndrome represents a structurally high-risk procedure due to the coexistence of microcornea, shallow anterior chamber, angle dysgenesis, and zonular instability. Advanced preoperative imaging is critical to anticipate surgical constraints not evident on routine examination. Tailored intraoperative modifications may enhance safety and reduce the risk of endothelial decompensation and capsular complications in developmentally abnormal anterior segments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in Axenfeld–Rieger syndrome represents a structurally high-risk procedure due to the coexistence of microcornea, shallow anterior chamber, angle dysgenesis, and zonular instability. Advanced preoperative imaging is critical to anticipate surgical constraints not evident on routine examination. Tailored intraoperative modifications may enhance safety and reduce the risk of endothelial decompensation…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 59,
      "source_fields": {
        "Abstract Final Identifier": "POCAT015",
        "Title": "Managing Cataract Surgery In Axenfeld–Rieger Syndrome With Microcornea And Developmental Angle Abnormalities: Lessons From A Structurally Abnormal Anterior Segment",
        "Presenting Author(s)": "Dr Belem MERCEDES Audelo Cruz",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Belem",
        "Submitter Middle Name": "MERCEDES",
        "Submitter Last Name": "Audelo Cruz",
        "Country Name": "Mexico",
        "Purpose": "To describe the surgical strategy and early outcomes of cataract surgery in Axenfeld–Rieger syndrome with severe anterior segment dysgenesis and to highlight key intraoperative adaptations required in developmentally abnormal anterior segments.",
        "Setting": "Tertiary referral center for complex anterior segment surgery with multidisciplinary assessment by cornea, glaucoma, strabismus, and clinical genetics services. Comprehensive evaluation included slit-lamp examination, gonioscopy, ultrasound biomicroscopy, axial biometry, and posterior segment imaging to define structural risk factors prior to staged cataract surgery.",
        "Methods": "A 58-year-old male with longstanding anterior segment dysgenesis presented with progressive bilateral visual decline. BCVA was 20/400 OU. Examination revealed bilateral microcornea (9 × 9 mm), diffuse corneal haze with epithelial edema, corectopia with broad peripheral anterior synechiae, nuclear cataracts, and markedly shallow anterior chambers.Ultrasound biomicroscopy showed anterior chamber depth of 1.54 mm, sectorial angle closure, abnormal iris insertion, and lens subluxation with zonular weakness. Axial length measured 26.4 mm OD and 27.17 mm OS, increasing IOL calculation complexity.\n\nSequential phacoemulsification was performed (left eye first, right eye one month later). Restricted chamber depth limited maneuverability and increased endothelial vulnerability. Capsulorrhexis centration required caution due to zonular laxity. Low fluidics and dispersive ophthalmic viscosurgical devices were used to minimize endothelial stress.\n\nPostoperatively, significant corneal edema, transient IOP elevation, and anterior capsular phimosis occurred, more pronounced in the first eye. Gradual recovery was achieved under intensive topical therapy. The staged approach enabled refinement of surgical strategy and safer management in this structurally complex anterior segment.",
        "Results": "",
        "Conclusions": "Cataract surgery in Axenfeld–Rieger syndrome represents a structurally high-risk procedure due to the coexistence of microcornea, shallow anterior chamber, angle dysgenesis, and zonular instability. Advanced preoperative imaging is critical to anticipate surgical constraints not evident on routine examination. Tailored intraoperative modifications may enhance safety and reduce the risk of endothelial decompensation and capsular complications in developmentally abnormal anterior segments."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 303
    },
    {
      "uid": "POCAT016",
      "abstract_number": "POCAT016",
      "title": "Long-Term Visual Acuity Outcomes Of Extended Macular Vision Iol Implantation In Macular Scar: A Case Report",
      "authors": "Dr Federico Badala",
      "presenter": "Dr Federico Badala",
      "normalized_authors": [
        "Federico Badala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Federico Badala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Purpose: To report the long-term visual outcomes of an extended macular vision intraocular lens (IOL) in a case of macular scar and visually insignificant cataract. The study focuses on changes in corrected distance visual acuity (CDVA) and corrected near visual acuity (CNVA) over a 24-month follow-up period.",
        "Setting": "Setting/Venue: Micro Chirurgia Oculare, Milan, Italy",
        "Methods": "Report: A 75-year-old male patient with a left macular scar and a clinically nonsignificant cataract (NC1) underwent phacoemulsification with implantation of an Eyemax Mono IOL, an extended macular vision IOL designed to optimize visual performance within 10 degrees from the foveal center, in patients with macular pathology. Hypermetropia was targeted to achieve magnification with spectacles. The study focuses on changes in corrected distance visual acuity (CDVA) and corrected near visual acuity (CNVA) 24 months postoperatively. At 24 months postoperatively, the spherical equivalent was +2.25D. LogMAR CDVA improved from 0.4 to 0.15, demonstrating a two-line gain. LogMAR CNVA improved significantly from 1.36 to 0.18, corresponding to a 12-line improvement with a +3.25D near add. Intraocular pressure remained stable at 14 mmHg.",
        "Conclusions": "Conclusions: Eyemax Mono IOL implantation resulted in substantial improvements in both distance and near visual acuity in a patient with a macular scar. The gain in CNVA suggests enhanced functional vision for near tasks. These findings support the potential of extended macular vision IOLs in improving vision for patients with macular pathology. Further studies with larger cohorts are warranted to confirm these results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusions: Eyemax Mono IOL implantation resulted in substantial improvements in both distance and near visual acuity in a patient with a macular scar. The gain in CNVA suggests enhanced functional vision for near tasks. These findings support the potential of extended macular vision IOLs in improving vision for patients with macular pathology. Further studies with larger cohorts are warranted to confirm these…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 60,
      "source_fields": {
        "Abstract Final Identifier": "POCAT016",
        "Title": "Long-Term Visual Acuity Outcomes Of Extended Macular Vision Iol Implantation In Macular Scar: A Case Report",
        "Presenting Author(s)": "Dr Federico Badala",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Federico",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Badala",
        "Country Name": "Italy",
        "Purpose": "Purpose: To report the long-term visual outcomes of an extended macular vision intraocular lens (IOL) in a case of macular scar and visually insignificant cataract. The study focuses on changes in corrected distance visual acuity (CDVA) and corrected near visual acuity (CNVA) over a 24-month follow-up period.",
        "Setting": "Setting/Venue: Micro Chirurgia Oculare, Milan, Italy",
        "Methods": "Report: A 75-year-old male patient with a left macular scar and a clinically nonsignificant cataract (NC1) underwent phacoemulsification with implantation of an Eyemax Mono IOL, an extended macular vision IOL designed to optimize visual performance within 10 degrees from the foveal center, in patients with macular pathology. Hypermetropia was targeted to achieve magnification with spectacles. The study focuses on changes in corrected distance visual acuity (CDVA) and corrected near visual acuity (CNVA) 24 months postoperatively. At 24 months postoperatively, the spherical equivalent was +2.25D. LogMAR CDVA improved from 0.4 to 0.15, demonstrating a two-line gain. LogMAR CNVA improved significantly from 1.36 to 0.18, corresponding to a 12-line improvement with a +3.25D near add. Intraocular pressure remained stable at 14 mmHg.",
        "Results": "",
        "Conclusions": "Conclusions: Eyemax Mono IOL implantation resulted in substantial improvements in both distance and near visual acuity in a patient with a macular scar. The gain in CNVA suggests enhanced functional vision for near tasks. These findings support the potential of extended macular vision IOLs in improving vision for patients with macular pathology. Further studies with larger cohorts are warranted to confirm these results."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POCAT017",
      "abstract_number": "POCAT017",
      "title": "The Fine Line Between Benign And Malignant: Differential Diagnosis Of Pigmented Anterior Segment Tumors",
      "authors": "Other Samuel Hernandez Ballesteros",
      "presenter": "Other Samuel Hernandez Ballesteros",
      "normalized_authors": [
        "Other Samuel Hernandez Ballesteros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Samuel Hernandez Ballesteros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "Anterior segment melanocytic neoplasms or tumors constitute a clinical spectrum ranging from benign lesions, such as melanocytoma, to malignant neoplasms, such as melanoma. Melanocytoma accounts for 0.5% to 3% of iris tumors, while ciliary body melanoma represents approximately 10% to 15% of uveal melanomas. Despite exhibiting similar clinical features, their evolution, prognosis, and therapeutic management differ substantially.",
        "Setting": "A comparison of clinical characteristics was conducted alongside complementary diagnostic studies, specifically ultrasonography and ultrasound biomicroscopy (UBM). Both cases were confirmed via histopathological analysis and diagnostic auxiliaries, including immunohistochemical reactions.",
        "Methods": "• Case 1: A 21-year-old female presented for consultation regarding an iris nevus. Biomicroscopy identified a pigmented, nodular lesion with well-defined borders, displaying corneal endothelial contact and pigment dispersion. Upon ruling out tumor extension to adjacent structures, a total resection via iridectomy was performed for histopathological analysis.\n\n• Case 2: A 54-year-old male presented with a one-month history of decreased visual acuity in the right eye. Physical examination revealed a nodular lesion with irregular borders originating from the ciliary body, with invasion into the iris and endothelial contact. Given the suspicion of malignancy, systemic staging was performed to rule out distant metastasis, and a complete resection via iridocyclectomy was scheduled.",
        "Conclusions": "The melanocytoma presented as a pigmented nodular lesion with medium-to-high internal reflectivity on UBM and no evidence of invasion into the ciliary body or choroid. Conversely, the melanoma exhibited rapid progressive growth and sudden visual loss. UBM assessment showed medium-to-low reflectivity and invasion of adjacent structures.\n\nInitial clinical assessment of these tumors provides significant diagnostic value. Correlation between clinical, imaging, and histopathological findings is essential for the differentiation of pigmented tumors. Diagnostic precision directly impacts both the visual and systemic prognosis of the patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The melanocytoma presented as a pigmented nodular lesion with medium-to-high internal reflectivity on UBM and no evidence of invasion into the ciliary body or choroid. Conversely, the melanoma exhibited rapid progressive growth and sudden visual loss. UBM assessment showed medium-to-low reflectivity and invasion of adjacent structures. Initial clinical assessment of these tumors provides significant diagnostic…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 61,
      "source_fields": {
        "Abstract Final Identifier": "POCAT017",
        "Title": "The Fine Line Between Benign And Malignant: Differential Diagnosis Of Pigmented Anterior Segment Tumors",
        "Presenting Author(s)": "Other Samuel Hernandez Ballesteros",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Samuel",
        "Submitter Middle Name": "Hernandez",
        "Submitter Last Name": "Ballesteros",
        "Country Name": "Mexico",
        "Purpose": "Anterior segment melanocytic neoplasms or tumors constitute a clinical spectrum ranging from benign lesions, such as melanocytoma, to malignant neoplasms, such as melanoma. Melanocytoma accounts for 0.5% to 3% of iris tumors, while ciliary body melanoma represents approximately 10% to 15% of uveal melanomas. Despite exhibiting similar clinical features, their evolution, prognosis, and therapeutic management differ substantially.",
        "Setting": "A comparison of clinical characteristics was conducted alongside complementary diagnostic studies, specifically ultrasonography and ultrasound biomicroscopy (UBM). Both cases were confirmed via histopathological analysis and diagnostic auxiliaries, including immunohistochemical reactions.",
        "Methods": "• Case 1: A 21-year-old female presented for consultation regarding an iris nevus. Biomicroscopy identified a pigmented, nodular lesion with well-defined borders, displaying corneal endothelial contact and pigment dispersion. Upon ruling out tumor extension to adjacent structures, a total resection via iridectomy was performed for histopathological analysis.\n\n• Case 2: A 54-year-old male presented with a one-month history of decreased visual acuity in the right eye. Physical examination revealed a nodular lesion with irregular borders originating from the ciliary body, with invasion into the iris and endothelial contact. Given the suspicion of malignancy, systemic staging was performed to rule out distant metastasis, and a complete resection via iridocyclectomy was scheduled.",
        "Results": "",
        "Conclusions": "The melanocytoma presented as a pigmented nodular lesion with medium-to-high internal reflectivity on UBM and no evidence of invasion into the ciliary body or choroid. Conversely, the melanoma exhibited rapid progressive growth and sudden visual loss. UBM assessment showed medium-to-low reflectivity and invasion of adjacent structures.\n\nInitial clinical assessment of these tumors provides significant diagnostic value. Correlation between clinical, imaging, and histopathological findings is essential for the differentiation of pigmented tumors. Diagnostic precision directly impacts both the visual and systemic prognosis of the patient."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POCAT018",
      "abstract_number": "POCAT018",
      "title": "Pigment Dispersion Syndrome Masquerading As Posterior Subcapsular Cataract Causing Symptomatic Visual Disturbance",
      "authors": "Dr Sanjib Banerjee",
      "presenter": "Dr Sanjib Banerjee",
      "normalized_authors": [
        "Sanjib Banerjee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanjib Banerjee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report Pigment Dispersion Syndrome presenting with diffuse posterior capsule pigmentation mimicking posterior subcapsular cataract and causing visual symptoms.",
        "Setting": "Tertiary eye care center, India",
        "Methods": "Methods: A 42-year-old male presented with glare and dimness of vision in the left eye and underwent comprehensive ophthalmic examination.Results:Uncorrected visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with correction. The left eye showed Krukenberg spindle, Zentmayer ring, Scheie line, and diffuse posterior capsule pigmentation mimicking posterior subcapsular cataract. The right eye showed only Krukenberg spindle. Intraocular pressure was normal in both eyes. Gonioscopy revealed dense trabecular pigmentation. Optic discs were normal.",
        "Conclusions": "Posterior capsule pigmentation in Pigment Dispersion Syndrome may mimic posterior subcapsular cataract and cause symptomatic visual disturbance. Recognition prevents misdiagnosis and inappropriate surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Posterior capsule pigmentation in Pigment Dispersion Syndrome may mimic posterior subcapsular cataract and cause symptomatic visual disturbance. Recognition prevents misdiagnosis and inappropriate surgical intervention.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 62,
      "source_fields": {
        "Abstract Final Identifier": "POCAT018",
        "Title": "Pigment Dispersion Syndrome Masquerading As Posterior Subcapsular Cataract Causing Symptomatic Visual Disturbance",
        "Presenting Author(s)": "Dr Sanjib Banerjee",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sanjib",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Banerjee",
        "Country Name": "India",
        "Purpose": "To report Pigment Dispersion Syndrome presenting with diffuse posterior capsule pigmentation mimicking posterior subcapsular cataract and causing visual symptoms.",
        "Setting": "Tertiary eye care center, India",
        "Methods": "Methods: A 42-year-old male presented with glare and dimness of vision in the left eye and underwent comprehensive ophthalmic examination.Results:Uncorrected visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with correction. The left eye showed Krukenberg spindle, Zentmayer ring, Scheie line, and diffuse posterior capsule pigmentation mimicking posterior subcapsular cataract. The right eye showed only Krukenberg spindle. Intraocular pressure was normal in both eyes. Gonioscopy revealed dense trabecular pigmentation. Optic discs were normal.",
        "Results": "",
        "Conclusions": "Posterior capsule pigmentation in Pigment Dispersion Syndrome may mimic posterior subcapsular cataract and cause symptomatic visual disturbance. Recognition prevents misdiagnosis and inappropriate surgical intervention."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 134
    },
    {
      "uid": "POCAT019",
      "abstract_number": "POCAT019",
      "title": "Cystoid Macular Edema After Uncomplicated Phacoemulsification",
      "authors": "Dr Meryem Benkirane",
      "presenter": "Dr Meryem Benkirane",
      "normalized_authors": [
        "Meryem Benkirane"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Meryem Benkirane",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To highlight the occurrence of cystoid macular edema (CME) after uneventful phacoemulsification and to emphasize the role of early detection using optical coherence tomography (OCT) for optimal visual recovery.",
        "Setting": "A tertiary ophthalmology center, Department of Cataract and Refractive Surgery, where patients undergo standard phacoemulsification with posterior chamber intraocular lens implantation.",
        "Methods": "A 67-year-old female with senile cataract in the right eye underwent uncomplicated phacoemulsification. Medical history included well-controlled type 2 diabetes. Preoperative BCVA was 20/50. Surgery was uneventful.\n\nTwo weeks postoperatively, the patient reported blurred vision and mild photophobia. BCVA decreased to 20/80. Anterior segment examination was unremarkable; the posterior segment showed mild macular thickening. OCT confirmed CME with central retinal thickness of 380 µm. No diabetic retinopathy was detected.\n\nThe patient was treated with a combination of topical NSAIDs and corticosteroids. Follow-up at 4 and 8 weeks showed progressive reduction in macular thickness to 270 µm and BCVA improved to 20/40. Complete resolution was achieved by week 12 with full symptom recovery.",
        "Conclusions": "Conclusion\n\nCME can occur even after uncomplicated phacoemulsification, particularly in patients with systemic risk factors such as diabetes. Early detection with OCT allows prompt treatment and favorable visual outcomes.\n\nTake-Home Message : Routine postoperative OCT monitoring is essential to detect CME early, enabling timely intervention and maximizing visual recovery after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusion CME can occur even after uncomplicated phacoemulsification, particularly in patients with systemic risk factors such as diabetes. Early detection with OCT allows prompt treatment and favorable visual outcomes. Take-Home Message : Routine postoperative OCT monitoring is essential to detect CME early, enabling timely intervention and maximizing visual recovery after cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 63,
      "source_fields": {
        "Abstract Final Identifier": "POCAT019",
        "Title": "Cystoid Macular Edema After Uncomplicated Phacoemulsification",
        "Presenting Author(s)": "Dr Meryem Benkirane",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Meryem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benkirane",
        "Country Name": "Morocco",
        "Purpose": "To highlight the occurrence of cystoid macular edema (CME) after uneventful phacoemulsification and to emphasize the role of early detection using optical coherence tomography (OCT) for optimal visual recovery.",
        "Setting": "A tertiary ophthalmology center, Department of Cataract and Refractive Surgery, where patients undergo standard phacoemulsification with posterior chamber intraocular lens implantation.",
        "Methods": "A 67-year-old female with senile cataract in the right eye underwent uncomplicated phacoemulsification. Medical history included well-controlled type 2 diabetes. Preoperative BCVA was 20/50. Surgery was uneventful.\n\nTwo weeks postoperatively, the patient reported blurred vision and mild photophobia. BCVA decreased to 20/80. Anterior segment examination was unremarkable; the posterior segment showed mild macular thickening. OCT confirmed CME with central retinal thickness of 380 µm. No diabetic retinopathy was detected.\n\nThe patient was treated with a combination of topical NSAIDs and corticosteroids. Follow-up at 4 and 8 weeks showed progressive reduction in macular thickness to 270 µm and BCVA improved to 20/40. Complete resolution was achieved by week 12 with full symptom recovery.",
        "Results": "",
        "Conclusions": "Conclusion\n\nCME can occur even after uncomplicated phacoemulsification, particularly in patients with systemic risk factors such as diabetes. Early detection with OCT allows prompt treatment and favorable visual outcomes.\n\nTake-Home Message : Routine postoperative OCT monitoring is essential to detect CME early, enabling timely intervention and maximizing visual recovery after cataract surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCAT020",
      "abstract_number": "POCAT020",
      "title": "Multimodal Management Of Vitreous Traction And Cystoid Macular Edema Following Posterior Capsule Rupture – A Case Report",
      "authors": "Dr Migena Beqiri",
      "presenter": "Dr Migena Beqiri",
      "normalized_authors": [
        "Migena Beqiri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Migena Beqiri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Albania",
      "sections": {
        "Purpose": "Posterior capsule rupture is among the most significant complications of cataract surgery and may lead to vitreous prolapse, elevated intraocular pressure (IOP), and cystoid macular edema (CME). These sequelae can significantly compromise visual outcomes. Early diagnosis and timely intervention are critical to prevent permanent visual impairment.",
        "Setting": "Mother Theresa Hospital, Tirane, Albania",
        "Methods": "A 65-year-old male presented for routine evaluation one month after cataract surgery performed at another institution. Best-corrected visual acuity was limited to counting fingers. Slit-lamp examination revealed a three-piece intraocular lens implanted in the sulcus with suspected posterior capsule rupture. Anterior vitreous strands were noted adherent to the iris and extending toward the corneal endothelium. IOP was elevated at 28 mmHg. Optical coherence tomography (OCT) demonstrated cystoid macular edema.\n\nNd:YAG laser vitreolysis was performed to release anterior vitreous traction. Subsequently, three intravitreal injections of aflibercept (8 mg) were administered for management of CME.",
        "Conclusions": "At three-month follow-up, visual acuity improved from counting fingers to 4/10, with significant reduction of macular edema on OCT. Combined laser vitreolysis and anti-VEGF therapy may represent an effective strategy for managing complications secondary to posterior capsule rupture."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "At three-month follow-up, visual acuity improved from counting fingers to 4/10, with significant reduction of macular edema on OCT. Combined laser vitreolysis and anti-VEGF therapy may represent an effective strategy for managing complications secondary to posterior capsule rupture.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 64,
      "source_fields": {
        "Abstract Final Identifier": "POCAT020",
        "Title": "Multimodal Management Of Vitreous Traction And Cystoid Macular Edema Following Posterior Capsule Rupture – A Case Report",
        "Presenting Author(s)": "Dr Migena Beqiri",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Migena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beqiri",
        "Country Name": "Albania",
        "Purpose": "Posterior capsule rupture is among the most significant complications of cataract surgery and may lead to vitreous prolapse, elevated intraocular pressure (IOP), and cystoid macular edema (CME). These sequelae can significantly compromise visual outcomes. Early diagnosis and timely intervention are critical to prevent permanent visual impairment.",
        "Setting": "Mother Theresa Hospital, Tirane, Albania",
        "Methods": "A 65-year-old male presented for routine evaluation one month after cataract surgery performed at another institution. Best-corrected visual acuity was limited to counting fingers. Slit-lamp examination revealed a three-piece intraocular lens implanted in the sulcus with suspected posterior capsule rupture. Anterior vitreous strands were noted adherent to the iris and extending toward the corneal endothelium. IOP was elevated at 28 mmHg. Optical coherence tomography (OCT) demonstrated cystoid macular edema.\n\nNd:YAG laser vitreolysis was performed to release anterior vitreous traction. Subsequently, three intravitreal injections of aflibercept (8 mg) were administered for management of CME.",
        "Results": "",
        "Conclusions": "At three-month follow-up, visual acuity improved from counting fingers to 4/10, with significant reduction of macular edema on OCT. Combined laser vitreolysis and anti-VEGF therapy may represent an effective strategy for managing complications secondary to posterior capsule rupture."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 184
    },
    {
      "uid": "POCAT021",
      "abstract_number": "POCAT021",
      "title": "Low Central Corneal Thickness (<500 µm): The Misleading Nature Of Pachymetry Before Cataract Surgery",
      "authors": "Dr Furkan Biskiner",
      "presenter": "Dr Furkan Biskiner",
      "normalized_authors": [
        "Furkan Biskiner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Furkan Biskiner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To emphasize that Fuchs Endothelial Corneal Dystrophy (FECD) and visually significant subclinical edema can exist even when central corneal thickness (CCT) is measured at less than 500 µm, and to demonstrate the superior diagnostic value of Scheimpflug tomographic over biometric thickness measurements in preoperative cataract evaluation.",
        "Setting": "University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Department of Ophthalmology, Ankara, Turkiye.",
        "Methods": "An 83-year-old woman with pseudoexfoliative glaucoma, managed with latanoprost for six years, presented with reduced vision. Examination revealed bilateral corneal guttata, nuclear cataracts, and pseudoexfoliative material. Despite CCT measurements of 490 µm (OD) and 498 µm (OS)—values typically considered ''thin''—Scheimpflug tomography identified three definitive markers of subclinical edema: displacement of the thinnest point, loss of parallel isopachs, and focal posterior surface depression. Specular microscopy confirmed low endothelial cell density (908 cells/mm² OD). This case illustrates how chronic prostaglandin use and naturally thin baseline corneas can mask underlying endothelial dysfunction by keeping absolute CCT values deceptively low. After providing information of the risks of corneal decompansation, corneal edema and possibility of Descement Membrane Endothelial Keratoplasty (DMEK), an uneventful phacoemulsification and intraocular lens implantation was performed.",
        "Conclusions": "Diagnostic and surgical decisions should not rely solely on absolute CCT values. Long-term use of prostaglandin analogues is known to reduce corneal thickness, which may mask the stromal swelling characteristic of FECD and lead to an underestimation of disease severity. In patients scheduled for cataract surgery, a \"thin\" cornea does not guarantee a healthy endothelium."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Diagnostic and surgical decisions should not rely solely on absolute CCT values. Long-term use of prostaglandin analogues is known to reduce corneal thickness, which may mask the stromal swelling characteristic of FECD and lead to an underestimation of disease severity. In patients scheduled for cataract surgery, a \"thin\" cornea does not guarantee a healthy endothelium.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 65,
      "source_fields": {
        "Abstract Final Identifier": "POCAT021",
        "Title": "Low Central Corneal Thickness (<500 µm): The Misleading Nature Of Pachymetry Before Cataract Surgery",
        "Presenting Author(s)": "Dr Furkan Biskiner",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Furkan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Biskiner",
        "Country Name": "Türkiye",
        "Purpose": "To emphasize that Fuchs Endothelial Corneal Dystrophy (FECD) and visually significant subclinical edema can exist even when central corneal thickness (CCT) is measured at less than 500 µm, and to demonstrate the superior diagnostic value of Scheimpflug tomographic over biometric thickness measurements in preoperative cataract evaluation.",
        "Setting": "University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Department of Ophthalmology, Ankara, Turkiye.",
        "Methods": "An 83-year-old woman with pseudoexfoliative glaucoma, managed with latanoprost for six years, presented with reduced vision. Examination revealed bilateral corneal guttata, nuclear cataracts, and pseudoexfoliative material. Despite CCT measurements of 490 µm (OD) and 498 µm (OS)—values typically considered ''thin''—Scheimpflug tomography identified three definitive markers of subclinical edema: displacement of the thinnest point, loss of parallel isopachs, and focal posterior surface depression. Specular microscopy confirmed low endothelial cell density (908 cells/mm² OD). This case illustrates how chronic prostaglandin use and naturally thin baseline corneas can mask underlying endothelial dysfunction by keeping absolute CCT values deceptively low. After providing information of the risks of corneal decompansation, corneal edema and possibility of Descement Membrane Endothelial Keratoplasty (DMEK), an uneventful phacoemulsification and intraocular lens implantation was performed.",
        "Results": "",
        "Conclusions": "Diagnostic and surgical decisions should not rely solely on absolute CCT values. Long-term use of prostaglandin analogues is known to reduce corneal thickness, which may mask the stromal swelling characteristic of FECD and lead to an underestimation of disease severity. In patients scheduled for cataract surgery, a \"thin\" cornea does not guarantee a healthy endothelium."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT022",
      "abstract_number": "POCAT022",
      "title": "Complications And Management Of Retained Ointment In The Anterior Chamber After Cataract Surgery",
      "authors": "Mrs Elena Brotons Muñoz",
      "presenter": "Mrs Elena Brotons Muñoz",
      "normalized_authors": [
        "Elena Brotons Muñoz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elena Brotons-Muñoz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a series of four cases of retained ophthalmic dexamethasone–chloramphenicol ointment in the anterior chamber following clear corneal phacoemulsification without sutures and posterior chamber intraocular lens implantation, performed in two tertiary referral Spanish hospitals between 2023 and 2026. To analyze the clinical spectrum, which included post-phacoemulsification uveitis, ocular hypertension, and one asymptomatic case, as well as the different management strategies and their outcomes.",
        "Setting": "Retrospective descriptive case series conducted at two tertiary referral Spanish hospitals.",
        "Methods": "A total of four cases were included (two women and two men; mean age 71.8 years) who underwent clear corneal phacoemulsification with posterior chamber monofocal IOL implantation in two tertiary Spanish hospitals. Anesthesia was sub-Tenon in three cases and retrobulbar in one due to pseudoexfoliation with poor mydriasis requiring iris hooks.\n\nTwo 71-year-old patients developed ocular hypertension within 24 hours (48 and 34 mmHg, respectively), with minimal anterior chamber reaction and retained ointment observed in the anterior chamber. Delayed removal under topical anesthesia one week later was uneventful, with complete visual recovery.\n\nA 69-year-old woman presented one month postoperatively with conjunctival hyperemia, mild discomfort, and minimal Tyndall, without IOP elevation (13 mmHg), although she was receiving topical carteolol for pre-existing glaucoma. Elective surgical removal was performed without complications.\n\nA 76-year-old man required early reintervention for retained nuclear fragments following phacoemulsification performed the previous day. A small ointment remnant was detected at 24 hours at the main corneal incision. Given its small size, absence of inflammation, normal IOP (14 mmHg), and the patient’s preference to avoid further surgery, conservative management was adopted. At six months, best-corrected visual acuity was 1.0, with no inflammatory signs or detectable remnants on slit-lamp examination or gonioscopy.",
        "Conclusions": "Published clinical reports indicate that intraocular ointment may be well tolerated in some patients without immediate adverse effects. However, persistent retained ointment in the anterior chamber carries significant risks, including secondary glaucoma, uveitis, and chronic inflammation.\n\nThe decision to perform surgical removal should be individualized, taking into account persistence of the material, symptomatology, and associated complications. First postoperative day examination is essential for early detection, and regular follow-up visits allow careful monitoring of intraocular pressure, inflammation, and visual function. In the presence of toxicity signs, prompt removal is recommended."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Published clinical reports indicate that intraocular ointment may be well tolerated in some patients without immediate adverse effects. However, persistent retained ointment in the anterior chamber carries significant risks, including secondary glaucoma, uveitis, and chronic inflammation. The decision to perform surgical removal should be individualized, taking into account persistence of the material,…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 66,
      "source_fields": {
        "Abstract Final Identifier": "POCAT022",
        "Title": "Complications And Management Of Retained Ointment In The Anterior Chamber After Cataract Surgery",
        "Presenting Author(s)": "Mrs Elena Brotons Muñoz",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Elena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brotons-Muñoz",
        "Country Name": "Spain",
        "Purpose": "To describe a series of four cases of retained ophthalmic dexamethasone–chloramphenicol ointment in the anterior chamber following clear corneal phacoemulsification without sutures and posterior chamber intraocular lens implantation, performed in two tertiary referral Spanish hospitals between 2023 and 2026. To analyze the clinical spectrum, which included post-phacoemulsification uveitis, ocular hypertension, and one asymptomatic case, as well as the different management strategies and their outcomes.",
        "Setting": "Retrospective descriptive case series conducted at two tertiary referral Spanish hospitals.",
        "Methods": "A total of four cases were included (two women and two men; mean age 71.8 years) who underwent clear corneal phacoemulsification with posterior chamber monofocal IOL implantation in two tertiary Spanish hospitals. Anesthesia was sub-Tenon in three cases and retrobulbar in one due to pseudoexfoliation with poor mydriasis requiring iris hooks.\n\nTwo 71-year-old patients developed ocular hypertension within 24 hours (48 and 34 mmHg, respectively), with minimal anterior chamber reaction and retained ointment observed in the anterior chamber. Delayed removal under topical anesthesia one week later was uneventful, with complete visual recovery.\n\nA 69-year-old woman presented one month postoperatively with conjunctival hyperemia, mild discomfort, and minimal Tyndall, without IOP elevation (13 mmHg), although she was receiving topical carteolol for pre-existing glaucoma. Elective surgical removal was performed without complications.\n\nA 76-year-old man required early reintervention for retained nuclear fragments following phacoemulsification performed the previous day. A small ointment remnant was detected at 24 hours at the main corneal incision. Given its small size, absence of inflammation, normal IOP (14 mmHg), and the patient’s preference to avoid further surgery, conservative management was adopted. At six months, best-corrected visual acuity was 1.0, with no inflammatory signs or detectable remnants on slit-lamp examination or gonioscopy.",
        "Results": "",
        "Conclusions": "Published clinical reports indicate that intraocular ointment may be well tolerated in some patients without immediate adverse effects. However, persistent retained ointment in the anterior chamber carries significant risks, including secondary glaucoma, uveitis, and chronic inflammation.\n\nThe decision to perform surgical removal should be individualized, taking into account persistence of the material, symptomatology, and associated complications. First postoperative day examination is essential for early detection, and regular follow-up visits allow careful monitoring of intraocular pressure, inflammation, and visual function. In the presence of toxicity signs, prompt removal is recommended."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POCAT023",
      "abstract_number": "POCAT023",
      "title": "Soemmering Ring In Anterior Chamber 20 Years After Initial Surgery",
      "authors": "Dr Dante Luis Buonsanti",
      "presenter": "Dr Dante Luis Buonsanti",
      "normalized_authors": [
        "Dante Luis Buonsanti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dante Luis Buonsanti",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report an unusual case of a Soemmering ring dislocated into the anterior chamber 20 years after cataract surgery.",
        "Setting": "Private practice Buenos Aires Argentina.",
        "Methods": "A 60-year-old patient presented with sudden decreased vision. She had type 1 diabetes and a history of cataract surgery twenty years earlier.\n\nAt the slit lamp examination, a Soemmering ring was observed luxated into the anterior chamber through the pupil. Visual acuity was hand motion. IOP was 13 mmHg, with no corneal edema or any other anterior chamber abnormalities. Fundus examination showed no significant changes; the IOL was in place, and the Soemmering ring could also be seen. Surgery was scheduled for the following day.\n\nThe procedure was performed under topical anesthesia, using bimanual irrigation and aspiration after injection of viscoelastic into the anterior chamber. The Soemmering ring was successfully aspirated with the aspiration handpiece, without the need for additional instruments. The IOL remained in place, and the incisions were sealed.\n\nThe patient recovered her previous uncorrected visual acuity 24 hours after surgery, and no corneal edema or IOP spike was observed.",
        "Conclusions": "Today, cataract surgery is increasingly performed with a refractive purpose, and younger patients are undergoing clear lens extraction. With the advent of advanced IOL technologies, spectacle independence has become a realistic goal, and patients in their 50s and even late 40s are electing to undergo clear lens surgery. Although not very common, Soemmering rings may become a more frequent long-term finding in the future, as life expectancy increases and lens surgery is performed at younger ages.\n\nThis case represents an unusual presentation, as Soemmering rings typically remain stable within the capsular bag and only rarely migrate into the anterior chamber."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Today, cataract surgery is increasingly performed with a refractive purpose, and younger patients are undergoing clear lens extraction. With the advent of advanced IOL technologies, spectacle independence has become a realistic goal, and patients in their 50s and even late 40s are electing to undergo clear lens surgery. Although not very common, Soemmering rings may become a more frequent long-term finding in the…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 67,
      "source_fields": {
        "Abstract Final Identifier": "POCAT023",
        "Title": "Soemmering Ring In Anterior Chamber 20 Years After Initial Surgery",
        "Presenting Author(s)": "Dr Dante Luis Buonsanti",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Dante",
        "Submitter Middle Name": "Luis",
        "Submitter Last Name": "Buonsanti",
        "Country Name": "Argentina",
        "Purpose": "To report an unusual case of a Soemmering ring dislocated into the anterior chamber 20 years after cataract surgery.",
        "Setting": "Private practice Buenos Aires Argentina.",
        "Methods": "A 60-year-old patient presented with sudden decreased vision. She had type 1 diabetes and a history of cataract surgery twenty years earlier.\n\nAt the slit lamp examination, a Soemmering ring was observed luxated into the anterior chamber through the pupil. Visual acuity was hand motion. IOP was 13 mmHg, with no corneal edema or any other anterior chamber abnormalities. Fundus examination showed no significant changes; the IOL was in place, and the Soemmering ring could also be seen. Surgery was scheduled for the following day.\n\nThe procedure was performed under topical anesthesia, using bimanual irrigation and aspiration after injection of viscoelastic into the anterior chamber. The Soemmering ring was successfully aspirated with the aspiration handpiece, without the need for additional instruments. The IOL remained in place, and the incisions were sealed.\n\nThe patient recovered her previous uncorrected visual acuity 24 hours after surgery, and no corneal edema or IOP spike was observed.",
        "Results": "",
        "Conclusions": "Today, cataract surgery is increasingly performed with a refractive purpose, and younger patients are undergoing clear lens extraction. With the advent of advanced IOL technologies, spectacle independence has become a realistic goal, and patients in their 50s and even late 40s are electing to undergo clear lens surgery. Although not very common, Soemmering rings may become a more frequent long-term finding in the future, as life expectancy increases and lens surgery is performed at younger ages.\n\nThis case represents an unusual presentation, as Soemmering rings typically remain stable within the capsular bag and only rarely migrate into the anterior chamber."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT024",
      "abstract_number": "POCAT024",
      "title": "Visual And Microperimetric Outcomes After Eyemax Mono (Emv) Intraocular Lens Implantation In Eyes With Age-Related Macular Degeneration: A Case Series",
      "authors": "Dr Patrizia Busatto",
      "presenter": "Dr Patrizia Busatto",
      "normalized_authors": [
        "Patrizia Busatto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Patrizia Busatto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To describe visual and functional retinal outcomes assessed by microperimetry after implantation of the EyeMax Mono extended macular vision (EMV) intraocular lens (IOL) in eyes with age-related macular degeneration (AMD).",
        "Setting": "Single-center retrospective case series conducted at a private ophthalmology clinic in Italy.",
        "Methods": "This retrospective case reports included three patients (four eyes) with dry or exudative AMD who underwent cataract surgery with EMV IOL implantation. Pre- and postoperative assessments included corrected distance visual acuity (CDVA), near visual acuity, and microperimetry. Microperimetry was analyzed descriptively, focusing on changes in threshold sensitivity and fixation stability, with fixation stability assessed using the bivariate contour ellipse area (BCEA).\n\nFour eyes from three patients (mean age 81 years) were analyzed, including three eyes with dry AMD and one eye with exudative AMD. Preoperative distance visual acuity ranged from 2.5/10 to 4/10. Postoperatively, distance visual acuity improved in three eyes, while one eye with dry AMD showed no meaningful improvement (2/10 to 1/10). Near visual acuity improved in two eyes, remained unchanged in one eye, and worsened in one eye. On microperimetry, two eyes demonstrated increased threshold sensitivity, whereas two eyes showed reduced sensitivity at follow-up. Based on BCEA, fixation stability improved in one eye, remained stable with clustered fixation in two eyes, and remained unstable with scattered fixation in one eye with exudative AMD.",
        "Conclusions": "Implantation of the EyeMax Mono (EMV) IOL in eyes with AMD was associated with variable visual and microperimetric outcomes in this small case reports. Most eyes showed improvement in distance visual acuity, while functional retinal measures demonstrated heterogeneous changes in sensitivity and fixation stability. These findings suggest that EMV IOL implantation may provide visual benefit in selected AMD patients, although functional retinal responses are inconsistent and likely depend on underlying macular status. Larger, prospective studies are warranted to better define patient selection and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Implantation of the EyeMax Mono (EMV) IOL in eyes with AMD was associated with variable visual and microperimetric outcomes in this small case reports. Most eyes showed improvement in distance visual acuity, while functional retinal measures demonstrated heterogeneous changes in sensitivity and fixation stability. These findings suggest that EMV IOL implantation may provide visual benefit in selected AMD patients,…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 68,
      "source_fields": {
        "Abstract Final Identifier": "POCAT024",
        "Title": "Visual And Microperimetric Outcomes After Eyemax Mono (Emv) Intraocular Lens Implantation In Eyes With Age-Related Macular Degeneration: A Case Series",
        "Presenting Author(s)": "Dr Patrizia Busatto",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Patrizia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Busatto",
        "Country Name": "Italy",
        "Purpose": "To describe visual and functional retinal outcomes assessed by microperimetry after implantation of the EyeMax Mono extended macular vision (EMV) intraocular lens (IOL) in eyes with age-related macular degeneration (AMD).",
        "Setting": "Single-center retrospective case series conducted at a private ophthalmology clinic in Italy.",
        "Methods": "This retrospective case reports included three patients (four eyes) with dry or exudative AMD who underwent cataract surgery with EMV IOL implantation. Pre- and postoperative assessments included corrected distance visual acuity (CDVA), near visual acuity, and microperimetry. Microperimetry was analyzed descriptively, focusing on changes in threshold sensitivity and fixation stability, with fixation stability assessed using the bivariate contour ellipse area (BCEA).\n\nFour eyes from three patients (mean age 81 years) were analyzed, including three eyes with dry AMD and one eye with exudative AMD. Preoperative distance visual acuity ranged from 2.5/10 to 4/10. Postoperatively, distance visual acuity improved in three eyes, while one eye with dry AMD showed no meaningful improvement (2/10 to 1/10). Near visual acuity improved in two eyes, remained unchanged in one eye, and worsened in one eye. On microperimetry, two eyes demonstrated increased threshold sensitivity, whereas two eyes showed reduced sensitivity at follow-up. Based on BCEA, fixation stability improved in one eye, remained stable with clustered fixation in two eyes, and remained unstable with scattered fixation in one eye with exudative AMD.",
        "Results": "",
        "Conclusions": "Implantation of the EyeMax Mono (EMV) IOL in eyes with AMD was associated with variable visual and microperimetric outcomes in this small case reports. Most eyes showed improvement in distance visual acuity, while functional retinal measures demonstrated heterogeneous changes in sensitivity and fixation stability. These findings suggest that EMV IOL implantation may provide visual benefit in selected AMD patients, although functional retinal responses are inconsistent and likely depend on underlying macular status. Larger, prospective studies are warranted to better define patient selection and functional outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCAT025",
      "abstract_number": "POCAT025",
      "title": "Navigating The Hyperopic Trap: Iol Selection And Surgical Strategy In Stage Iv Keratoconus With Kmax > 80 D",
      "authors": "Dr Victor Jose Leido Caparas",
      "presenter": "Dr Victor Jose Leido Caparas",
      "normalized_authors": [
        "Victor Jose Leido Caparas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Jose Leido Caparas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To describe the surgical planning for a 47-year-old sole breadwinner with bilateral Stage IV keratoconus and profound visual impairment (20/400). The patient is severely intolerant of contact lenses, and best spectacle-corrected vision is limited to 20/100 OU. The objective was to restore functional vocational vision by navigating the biometric \"hyperopic trap\" inherent in extreme keratometry, prioritizing a \"Phaco-first\" approach for rapid rehabilitation and vocational stability.",
        "Setting": "The Medical City, a private tertiary medical center in Metro Manila, Philippines.",
        "Methods": "A 47-year-old male with bilateral Stage IV keratoconus (Belin ABCD Grade 4+) presented with extreme corneal steepening (K Max : 82.3 D OD, 82.7 D OS) and critical thinning (364 µm OD, 332 µm OS). Corvis ST® confirmed severe biomechanical instability (CBI: 1.00 OU). Advanced analysis revealed a Stiffness Parameter (SP-A1) of 27.2 OD and 26.0 OS, indicating extreme structural fragility. To avoid the catastrophic hyperopic surprise typical of standard vergence formulas—which predicted powers as low as -28.0 D. IOL power was calculated using specialized algorithms (Kane-KCN, Barrett True-K KCN) and Gaussian thick-lens modeling.\n\nA target of -1.50 D was selected using a non-toric spherical hydrophobic acrylic IOL (+14.0 D OD, +12.5 D OS). At one week postoperatively, uncorrected distance visual acuity (UDVA) improved to 20/80 OU, with a best spectacle-corrected vision (BSCVA) of 20/40 OU. Residual astigmatism was measured at -2.5 D cyl OD and -3.0 D cyl OS. There were no immediate postoperative adverse reactions, and topography confirmed no immediate increase in ectatic progression. A strategic decision was made to reserve Corneal Cross-linking (CXL) only if future documentation reveals active steepening.",
        "Conclusions": "In Stage IV keratoconus facing vocational displacement and contact lens intolerance, Refractive Lens Exchange provides a stable refractive foundation. Surgeons must ignore extreme K Max values and instead utilize AI-driven biometry or standardized K-substitution to prevent hyperopic surprises. Biomechanical indices (CBI 1.00, low SP-A1) underscore the risk of structural shift, justifying a staged \"Phaco-first\" approach. This optimizes visual rehabilitation, reduces the refractive burden for spectacles, and supports the patient’s urgent return to work as the primary breadwinner."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In Stage IV keratoconus facing vocational displacement and contact lens intolerance, Refractive Lens Exchange provides a stable refractive foundation. Surgeons must ignore extreme K Max values and instead utilize AI-driven biometry or standardized K-substitution to prevent hyperopic surprises. Biomechanical indices (CBI 1.00, low SP-A1) underscore the risk of structural shift, justifying a staged \"Phaco-first\"…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 69,
      "source_fields": {
        "Abstract Final Identifier": "POCAT025",
        "Title": "Navigating The Hyperopic Trap: Iol Selection And Surgical Strategy In Stage Iv Keratoconus With Kmax > 80 D",
        "Presenting Author(s)": "Dr Victor Jose Leido Caparas",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Victor Jose",
        "Submitter Middle Name": "Leido",
        "Submitter Last Name": "Caparas",
        "Country Name": "Philippines",
        "Purpose": "To describe the surgical planning for a 47-year-old sole breadwinner with bilateral Stage IV keratoconus and profound visual impairment (20/400). The patient is severely intolerant of contact lenses, and best spectacle-corrected vision is limited to 20/100 OU. The objective was to restore functional vocational vision by navigating the biometric \"hyperopic trap\" inherent in extreme keratometry, prioritizing a \"Phaco-first\" approach for rapid rehabilitation and vocational stability.",
        "Setting": "The Medical City, a private tertiary medical center in Metro Manila, Philippines.",
        "Methods": "A 47-year-old male with bilateral Stage IV keratoconus (Belin ABCD Grade 4+) presented with extreme corneal steepening (K Max : 82.3 D OD, 82.7 D OS) and critical thinning (364 µm OD, 332 µm OS). Corvis ST® confirmed severe biomechanical instability (CBI: 1.00 OU). Advanced analysis revealed a Stiffness Parameter (SP-A1) of 27.2 OD and 26.0 OS, indicating extreme structural fragility. To avoid the catastrophic hyperopic surprise typical of standard vergence formulas—which predicted powers as low as -28.0 D. IOL power was calculated using specialized algorithms (Kane-KCN, Barrett True-K KCN) and Gaussian thick-lens modeling.\n\nA target of -1.50 D was selected using a non-toric spherical hydrophobic acrylic IOL (+14.0 D OD, +12.5 D OS). At one week postoperatively, uncorrected distance visual acuity (UDVA) improved to 20/80 OU, with a best spectacle-corrected vision (BSCVA) of 20/40 OU. Residual astigmatism was measured at -2.5 D cyl OD and -3.0 D cyl OS. There were no immediate postoperative adverse reactions, and topography confirmed no immediate increase in ectatic progression. A strategic decision was made to reserve Corneal Cross-linking (CXL) only if future documentation reveals active steepening.",
        "Results": "",
        "Conclusions": "In Stage IV keratoconus facing vocational displacement and contact lens intolerance, Refractive Lens Exchange provides a stable refractive foundation. Surgeons must ignore extreme K Max values and instead utilize AI-driven biometry or standardized K-substitution to prevent hyperopic surprises. Biomechanical indices (CBI 1.00, low SP-A1) underscore the risk of structural shift, justifying a staged \"Phaco-first\" approach. This optimizes visual rehabilitation, reduces the refractive burden for spectacles, and supports the patient’s urgent return to work as the primary breadwinner."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCAT026",
      "abstract_number": "POCAT026",
      "title": "Surgical Management In A Complex Congenital Panocular Malformation With Shh Mutation",
      "authors": "Dr Ximena Lilian Chavez",
      "presenter": "Dr Ximena Lilian Chavez",
      "normalized_authors": [
        "Ximena Lilian Chavez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ximena Lilian Chavez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To present a complex case of congenital panocular malformation phenotype associated with midline anatomical abnormalities, highlighting the challenges in surgical decision-making aimed at improving visual function and quality of life.",
        "Setting": "Tertiary referral ophthalmology center in Mexico City, with multidisciplinary management involving anterior segment, strabismus, visual rehabilitation, and genetics services.",
        "Methods": "A 26-year-old male presented with lifelong low vision. Medical history included microcephaly, conductive hearing loss, and surgical repair of cleft lip and palate. A younger sister had died from holoprosencephaly. Ophthalmic history revealed congenital cataract, iris coloboma, nystagmus, and congenital esotropia.\n\nOn examination, visual acuity was 2.0 LogMAR in both eyes, improving with pinhole to 1.0 in the right eye and 0.7 in the left eye. Bilateral slit-lamp examination showed microcornea, polycoria, congenital cataract with diffuse opacity, and grade II angles (Shaffer classification) with anterior synechiae. Intraocular pressure was normal, and the posterior pole was not assessable. Ocular ultrasound demonstrated inferonasal retinal coloboma in both eyes.\n\nBilateral phacoaspiration with intraocular lens implantation was performed one month apart. At six months postoperatively, visual acuity improved to 0.8 LogMAR. The patient was referred for visual rehabilitation and genetic evaluation. Direct sequencing of the SHH gene identified the variant C.731G>C (p.Arg244Pro).",
        "Conclusions": "Congenital panocular malformations may represent part of a broader neuroembryologic developmental spectrum. Even in structurally compromised eyes, individualized surgical management combined with visual rehabilitation and multidisciplinary follow-up"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Congenital panocular malformations may represent part of a broader neuroembryologic developmental spectrum. Even in structurally compromised eyes, individualized surgical management combined with visual rehabilitation and multidisciplinary follow-up",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 70,
      "source_fields": {
        "Abstract Final Identifier": "POCAT026",
        "Title": "Surgical Management In A Complex Congenital Panocular Malformation With Shh Mutation",
        "Presenting Author(s)": "Dr Ximena Lilian Chavez",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ximena",
        "Submitter Middle Name": "Lilian",
        "Submitter Last Name": "Chavez",
        "Country Name": "Mexico",
        "Purpose": "To present a complex case of congenital panocular malformation phenotype associated with midline anatomical abnormalities, highlighting the challenges in surgical decision-making aimed at improving visual function and quality of life.",
        "Setting": "Tertiary referral ophthalmology center in Mexico City, with multidisciplinary management involving anterior segment, strabismus, visual rehabilitation, and genetics services.",
        "Methods": "A 26-year-old male presented with lifelong low vision. Medical history included microcephaly, conductive hearing loss, and surgical repair of cleft lip and palate. A younger sister had died from holoprosencephaly. Ophthalmic history revealed congenital cataract, iris coloboma, nystagmus, and congenital esotropia.\n\nOn examination, visual acuity was 2.0 LogMAR in both eyes, improving with pinhole to 1.0 in the right eye and 0.7 in the left eye. Bilateral slit-lamp examination showed microcornea, polycoria, congenital cataract with diffuse opacity, and grade II angles (Shaffer classification) with anterior synechiae. Intraocular pressure was normal, and the posterior pole was not assessable. Ocular ultrasound demonstrated inferonasal retinal coloboma in both eyes.\n\nBilateral phacoaspiration with intraocular lens implantation was performed one month apart. At six months postoperatively, visual acuity improved to 0.8 LogMAR. The patient was referred for visual rehabilitation and genetic evaluation. Direct sequencing of the SHH gene identified the variant C.731G>C (p.Arg244Pro).",
        "Results": "",
        "Conclusions": "Congenital panocular malformations may represent part of a broader neuroembryologic developmental spectrum. Even in structurally compromised eyes, individualized surgical management combined with visual rehabilitation and multidisciplinary follow-up"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POCAT027",
      "abstract_number": "POCAT027",
      "title": "Photobiomodulation In Early Retinal Degenerative Disease: A Prospective Clinical Evaluation Of Functional And Structural Outcomes",
      "authors": "Dr Hasan Chichan",
      "presenter": "Dr Hasan Chichan",
      "normalized_authors": [
        "Hasan Chichan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hasan TALIB Chichan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To assess the safety and functional impact of retinal photobiomodulation (PBM) therapy in patients with early-stage retinal degenerative disease, focusing on visual function, retinal sensitivity and patient-reported outcomes. The study aimed to evaluate whether PBM may serve as a non-invasive adjunctive therapy to support retinal cellular metabolism and function.",
        "Setting": "Prospective single-centre clinical study conducted at a tertiary ophthalmic referral centre in Germany, integrated into routine medical retina care.",
        "Methods": "Prospective interventional cohort study including 48 patients (96 eyes) diagnosed with early retinal degenerative disease (early dry age-related macular degeneration). Inclusion criteria were age 45–80 years , best-corrected visual acuity (BCVA) ≥0.2 logMAR , and stable retinal findings for ≥6 months. Patients received nine PBM sessions over 3 weeks using a low-level light therapy device delivering red to near-infrared wavelengths transocularly. Assessments were performed at baseline and 8 weeks after treatment completion and included BCVA (ETDRS), contrast sensitivity (Pelli–Robson), macular sensitivity using microperimetry, and retinal structure on OCT. Safety outcomes included adverse events and OCT-detected progression. Statistical analysis used paired t-tests or Wilcoxon signed-rank tests (p < 0.05).\n\nResults (max 750 chars) Mean BCVA remained stable (baseline 0.18 ± 0.09 logMAR vs 0.16 ± 0.10 logMAR , p = 0.08). Mean contrast sensitivity improved from 1.42 ± 0.12 to 1.55 ± 0.14 (p < 0.01). Mean macular sensitivity on microperimetry increased from 23.1 ± 2.8 dB to 25.0 ± 2.6 dB (p < 0.001). OCT analysis showed no evidence of accelerated retinal thinning or new atrophic changes. No treatment-related adverse events were observed.",
        "Conclusions": "Conclusions (max 750 chars) Retinal photobiomodulation was safe and associated with significant improvements in functional parameters, particularly contrast sensitivity and macular retinal sensitivity, while maintaining structural stability. PBM may represent a promising non-invasive adjunctive approach in early retinal degenerative disease. Larger controlled studies with longer follow-up are warranted to confirm durability and disease-modifying potential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusions (max 750 chars) Retinal photobiomodulation was safe and associated with significant improvements in functional parameters, particularly contrast sensitivity and macular retinal sensitivity, while maintaining structural stability. PBM may represent a promising non-invasive adjunctive approach in early retinal degenerative disease. Larger controlled studies with longer follow-up are warranted to confirm…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 71,
      "source_fields": {
        "Abstract Final Identifier": "POCAT027",
        "Title": "Photobiomodulation In Early Retinal Degenerative Disease: A Prospective Clinical Evaluation Of Functional And Structural Outcomes",
        "Presenting Author(s)": "Dr Hasan Chichan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hasan",
        "Submitter Middle Name": "TALIB",
        "Submitter Last Name": "Chichan",
        "Country Name": "Switzerland",
        "Purpose": "To assess the safety and functional impact of retinal photobiomodulation (PBM) therapy in patients with early-stage retinal degenerative disease, focusing on visual function, retinal sensitivity and patient-reported outcomes. The study aimed to evaluate whether PBM may serve as a non-invasive adjunctive therapy to support retinal cellular metabolism and function.",
        "Setting": "Prospective single-centre clinical study conducted at a tertiary ophthalmic referral centre in Germany, integrated into routine medical retina care.",
        "Methods": "Prospective interventional cohort study including 48 patients (96 eyes) diagnosed with early retinal degenerative disease (early dry age-related macular degeneration). Inclusion criteria were age 45–80 years , best-corrected visual acuity (BCVA) ≥0.2 logMAR , and stable retinal findings for ≥6 months. Patients received nine PBM sessions over 3 weeks using a low-level light therapy device delivering red to near-infrared wavelengths transocularly. Assessments were performed at baseline and 8 weeks after treatment completion and included BCVA (ETDRS), contrast sensitivity (Pelli–Robson), macular sensitivity using microperimetry, and retinal structure on OCT. Safety outcomes included adverse events and OCT-detected progression. Statistical analysis used paired t-tests or Wilcoxon signed-rank tests (p < 0.05).\n\nResults (max 750 chars) Mean BCVA remained stable (baseline 0.18 ± 0.09 logMAR vs 0.16 ± 0.10 logMAR , p = 0.08). Mean contrast sensitivity improved from 1.42 ± 0.12 to 1.55 ± 0.14 (p < 0.01). Mean macular sensitivity on microperimetry increased from 23.1 ± 2.8 dB to 25.0 ± 2.6 dB (p < 0.001). OCT analysis showed no evidence of accelerated retinal thinning or new atrophic changes. No treatment-related adverse events were observed.",
        "Results": "",
        "Conclusions": "Conclusions (max 750 chars) Retinal photobiomodulation was safe and associated with significant improvements in functional parameters, particularly contrast sensitivity and macular retinal sensitivity, while maintaining structural stability. PBM may represent a promising non-invasive adjunctive approach in early retinal degenerative disease. Larger controlled studies with longer follow-up are warranted to confirm durability and disease-modifying potential."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCAT028",
      "abstract_number": "POCAT028",
      "title": "Flanged Iris Pupilloplasty And Toric Iol Suture",
      "authors": "Prof. Dr Călin Petru Tătaru",
      "presenter": "Prof. Dr Călin Petru Tătaru",
      "normalized_authors": [
        "Călin Petru Tătaru"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paul Filip Curcă",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "To present novel flanged iris pupilloplasty and toric intraocular lens flanged-fixation used in solving the challenging case of a 41-year-old female patient who suffered penetrative ocular trauma resulting in extensive iris defect, traumatic cataract with damaged lens bag and hemophthalmus.",
        "Setting": "Retrospective case report.",
        "Methods": "A 41-year-old female patient was referred after suffering penetrative ocular trauma which resulted in extensive iris defect, traumatic cataract with damaged lens bag and hemophthalmus. Visual acuity at presentation was hand-motion perception. The torn iris which was displaced from the original temporal position to beyond central position was repaired using multiple 10-0 prolene sutures. Multiple flanged sutures were used to perform pupilloplasty. Each suture is U-shaped, first with an external-to-internal passage, then passage through the displaced iris tissue, then return passage interior-to-exterior aided by use of guide needle. The resultant U-shaped suture is tightened without yet flanging to return the iris tissue to anatomical position. The opacified hydrated lens was extracted using aspiration under anterior chamber infusion and anterior vitrectomy was performed. Final suture adjustments were now performed via diathermy flange. The second surgery performed 3 months later sutured a toric intraocular lens using a flanged externalized haptic technique. We recommend first placing the IOL above the eye to correctly visualize the position of the IOL haptic ends; guide markings are then placed. Postoperative evolution included partial hemophthalmus after the first surgery and two episodes of cystoid macular edema months-later; successfully resolved using medical therapy. UCVA at 6 months after the 2nd surgery was 0.8 decimal and BCVA 1.",
        "Conclusions": "Flanging both iris and toric IOL sutures is an innovative approach to resolving complicated ocular trauma. For this purpose, we recommend individual U-shaped sutures for pupilloplasty since they are individually adjustable, with final tightening at the end of the surgery. For toric IOL suture correct visualization and marking of the desired haptic positions is crucial; the flange technique is simply adapted to the new haptic positions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Flanging both iris and toric IOL sutures is an innovative approach to resolving complicated ocular trauma. For this purpose, we recommend individual U-shaped sutures for pupilloplasty since they are individually adjustable, with final tightening at the end of the surgery. For toric IOL suture correct visualization and marking of the desired haptic positions is crucial; the flange technique is simply adapted to the…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 72,
      "source_fields": {
        "Abstract Final Identifier": "POCAT028",
        "Title": "Flanged Iris Pupilloplasty And Toric Iol Suture",
        "Presenting Author(s)": "Prof. Dr Călin Petru Tătaru",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Paul Filip",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Curcă",
        "Country Name": "Romania",
        "Purpose": "To present novel flanged iris pupilloplasty and toric intraocular lens flanged-fixation used in solving the challenging case of a 41-year-old female patient who suffered penetrative ocular trauma resulting in extensive iris defect, traumatic cataract with damaged lens bag and hemophthalmus.",
        "Setting": "Retrospective case report.",
        "Methods": "A 41-year-old female patient was referred after suffering penetrative ocular trauma which resulted in extensive iris defect, traumatic cataract with damaged lens bag and hemophthalmus. Visual acuity at presentation was hand-motion perception. The torn iris which was displaced from the original temporal position to beyond central position was repaired using multiple 10-0 prolene sutures. Multiple flanged sutures were used to perform pupilloplasty. Each suture is U-shaped, first with an external-to-internal passage, then passage through the displaced iris tissue, then return passage interior-to-exterior aided by use of guide needle. The resultant U-shaped suture is tightened without yet flanging to return the iris tissue to anatomical position. The opacified hydrated lens was extracted using aspiration under anterior chamber infusion and anterior vitrectomy was performed. Final suture adjustments were now performed via diathermy flange. The second surgery performed 3 months later sutured a toric intraocular lens using a flanged externalized haptic technique. We recommend first placing the IOL above the eye to correctly visualize the position of the IOL haptic ends; guide markings are then placed. Postoperative evolution included partial hemophthalmus after the first surgery and two episodes of cystoid macular edema months-later; successfully resolved using medical therapy. UCVA at 6 months after the 2nd surgery was 0.8 decimal and BCVA 1.",
        "Results": "",
        "Conclusions": "Flanging both iris and toric IOL sutures is an innovative approach to resolving complicated ocular trauma. For this purpose, we recommend individual U-shaped sutures for pupilloplasty since they are individually adjustable, with final tightening at the end of the surgery. For toric IOL suture correct visualization and marking of the desired haptic positions is crucial; the flange technique is simply adapted to the new haptic positions."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCAT029",
      "abstract_number": "POCAT029",
      "title": "Coincidental Intra-Operative Posterior Capsular Tear And Intra-Ocular Lens Damage: Lessons Learnt",
      "authors": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "presenter": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "normalized_authors": [
        "Lional Raj Daniel Raj Ponniah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lional Raj Daniel Raj Ponniah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The purpose of this unique case report is to explain the science involved in managing simultaneous intraoperative damage to the posterior lens capsule and the implanted IOL.",
        "Setting": "A tertiary eye hospital. A surgical case report",
        "Methods": "A surgical case report.\n\nA 67-year-old male underwent an uneventful coaxial microphacoemulsification. During the I/A process, a sub-incisional PC tear occurred. After a careful anterior vitrectomy, the surgeon attempted to implant a 1-piece foldable IOL carefully into the capsular bag, taking care not to get the PC rent extended. After insertion of the IOL, surprisingly, the terminal 1/3 rd of the distal haptic was fractured and retained in the injector system. The leading haptic was dialed out of the bag into the AC to facilitate IOL dissection and explantation.\n\nAs the IOL with a partially deficient haptic seemed to center well in the AC, the surgeon re-dialed the IOL into the bag with haptics 90 degrees away from the line of PCR, to be relieved of the stressful circumstance. IOL centered well within the bag post-operatively.",
        "Conclusions": "1-piece IOLs with stable-force haptics exhibit maximal stretch at the equator of the capsular bag with an overall diameter of 11-12 mm, which is proximal to the terminal third of the haptic. Hence, IOL with a fractured (damaged) distal third of the haptic need not be explanted and remains well centered within the bag without postoperative consequences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "1-piece IOLs with stable-force haptics exhibit maximal stretch at the equator of the capsular bag with an overall diameter of 11-12 mm, which is proximal to the terminal third of the haptic. Hence, IOL with a fractured (damaged) distal third of the haptic need not be explanted and remains well centered within the bag without postoperative consequences.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 73,
      "source_fields": {
        "Abstract Final Identifier": "POCAT029",
        "Title": "Coincidental Intra-Operative Posterior Capsular Tear And Intra-Ocular Lens Damage: Lessons Learnt",
        "Presenting Author(s)": "Prof. Dr Lional Raj Daniel Raj Ponniah",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Lional Raj",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Daniel Raj Ponniah",
        "Country Name": "India",
        "Purpose": "The purpose of this unique case report is to explain the science involved in managing simultaneous intraoperative damage to the posterior lens capsule and the implanted IOL.",
        "Setting": "A tertiary eye hospital. A surgical case report",
        "Methods": "A surgical case report.\n\nA 67-year-old male underwent an uneventful coaxial microphacoemulsification. During the I/A process, a sub-incisional PC tear occurred. After a careful anterior vitrectomy, the surgeon attempted to implant a 1-piece foldable IOL carefully into the capsular bag, taking care not to get the PC rent extended. After insertion of the IOL, surprisingly, the terminal 1/3 rd of the distal haptic was fractured and retained in the injector system. The leading haptic was dialed out of the bag into the AC to facilitate IOL dissection and explantation.\n\nAs the IOL with a partially deficient haptic seemed to center well in the AC, the surgeon re-dialed the IOL into the bag with haptics 90 degrees away from the line of PCR, to be relieved of the stressful circumstance. IOL centered well within the bag post-operatively.",
        "Results": "",
        "Conclusions": "1-piece IOLs with stable-force haptics exhibit maximal stretch at the equator of the capsular bag with an overall diameter of 11-12 mm, which is proximal to the terminal third of the haptic. Hence, IOL with a fractured (damaged) distal third of the haptic need not be explanted and remains well centered within the bag without postoperative consequences."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCAT030",
      "abstract_number": "POCAT030",
      "title": "Emergent Lensectomy For Phacomorphic Angle Closure In Alport Syndrome With Anterior Lenticonus",
      "authors": "Dr Sabrina Dass",
      "presenter": "Dr Sabrina Dass",
      "normalized_authors": [
        "Sabrina Dass"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sabrina Dass",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To highlight surgical challenges and intraoperative considerations when performing cataract extraction in patients with anterior lenticonus associated with Alport syndrome.",
        "Setting": "This case was managed at Children’s Hospital of Michigan and Kresge Eye Institute, tertiary referral centers in Detroit, Michigan, USA.",
        "Methods": "An 18-year-old male with Alport syndrome and renal insufficiency presented with acute right eye pain, eyelid swelling, and headache after several months of progressive vision loss. He had been evaluated the day prior and diagnosed with a visually significant cataract. On presentation, best-corrected visual acuity was hand motion at 1 foot and intraocular pressure (IOP) was 59 mmHg. Slit-lamp examination showed diffuse microcystic corneal edema, a uniformly shallow anterior chamber, and a white cataract abutting the pupillary margin. The pupil was mid-dilated and fixed. Posterior segment view was obscured; B-scan ultrasonography was unremarkable. Gonioscopy demonstrated closed angles without visible angle structures. Despite maximal medical therapy and attempted laser peripheral iridotomy, IOP remained greater than 50 mmHg, and the patient underwent emergent lensectomy. Intraoperatively, the anterior capsule was noted to be spontaneously violated, consistent with capsular fragility associated with anterior lenticonus. Capsulorrhexis formation was avoided. The lens was removed using irrigation and aspiration, and a one-piece intraocular lens was implanted in the capsular bag with intact zonular support. Postoperative recovery was notable for delayed corneal epithelial healing. At two months, best-corrected visual acuity improved to 20/25. The fellow eye was scheduled for prophylactic lens extraction due to prior capsular fragility and risk of future angle closure.",
        "Conclusions": "Anterior lenticonus is a pathognomonic ocular manifestation of Alport syndrome caused by thinning and fragility of the anterior lens capsule. This structural weakness predisposes patients to spontaneous capsular rupture, cataract formation, and lens-induced angle closure. Cataract surgery in these patients requires careful surgical planning, including gentle capsulorhexis formation, cautious hydrodissection, and preparedness to modify lens removal techniques if capsular integrity is compromised. Early recognition and timely surgical intervention can result in excellent visual outcomes and prevent acute complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Anterior lenticonus is a pathognomonic ocular manifestation of Alport syndrome caused by thinning and fragility of the anterior lens capsule. This structural weakness predisposes patients to spontaneous capsular rupture, cataract formation, and lens-induced angle closure. Cataract surgery in these patients requires careful surgical planning, including gentle capsulorhexis formation, cautious hydrodissection, and…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 74,
      "source_fields": {
        "Abstract Final Identifier": "POCAT030",
        "Title": "Emergent Lensectomy For Phacomorphic Angle Closure In Alport Syndrome With Anterior Lenticonus",
        "Presenting Author(s)": "Dr Sabrina Dass",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sabrina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dass",
        "Country Name": "United States",
        "Purpose": "To highlight surgical challenges and intraoperative considerations when performing cataract extraction in patients with anterior lenticonus associated with Alport syndrome.",
        "Setting": "This case was managed at Children’s Hospital of Michigan and Kresge Eye Institute, tertiary referral centers in Detroit, Michigan, USA.",
        "Methods": "An 18-year-old male with Alport syndrome and renal insufficiency presented with acute right eye pain, eyelid swelling, and headache after several months of progressive vision loss. He had been evaluated the day prior and diagnosed with a visually significant cataract. On presentation, best-corrected visual acuity was hand motion at 1 foot and intraocular pressure (IOP) was 59 mmHg. Slit-lamp examination showed diffuse microcystic corneal edema, a uniformly shallow anterior chamber, and a white cataract abutting the pupillary margin. The pupil was mid-dilated and fixed. Posterior segment view was obscured; B-scan ultrasonography was unremarkable. Gonioscopy demonstrated closed angles without visible angle structures. Despite maximal medical therapy and attempted laser peripheral iridotomy, IOP remained greater than 50 mmHg, and the patient underwent emergent lensectomy. Intraoperatively, the anterior capsule was noted to be spontaneously violated, consistent with capsular fragility associated with anterior lenticonus. Capsulorrhexis formation was avoided. The lens was removed using irrigation and aspiration, and a one-piece intraocular lens was implanted in the capsular bag with intact zonular support. Postoperative recovery was notable for delayed corneal epithelial healing. At two months, best-corrected visual acuity improved to 20/25. The fellow eye was scheduled for prophylactic lens extraction due to prior capsular fragility and risk of future angle closure.",
        "Results": "",
        "Conclusions": "Anterior lenticonus is a pathognomonic ocular manifestation of Alport syndrome caused by thinning and fragility of the anterior lens capsule. This structural weakness predisposes patients to spontaneous capsular rupture, cataract formation, and lens-induced angle closure. Cataract surgery in these patients requires careful surgical planning, including gentle capsulorhexis formation, cautious hydrodissection, and preparedness to modify lens removal techniques if capsular integrity is compromised. Early recognition and timely surgical intervention can result in excellent visual outcomes and prevent acute complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POCAT031",
      "abstract_number": "POCAT031",
      "title": "Acute Hypertensive Surge Causing Massive Subconjunctival Hemorrhage During Routine Cataract Surgery: A Video Case Report",
      "authors": "Dr Laura De Luca",
      "presenter": "Dr Laura De Luca",
      "normalized_authors": [
        "Laura De Luca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura De Luca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To report a rare intraoperative complication in an otherwise healthy patient with stable, treated systemic hypertension who developed a sudden hypertensive surge during cataract surgery, resulting in massive subconjunctival hemorrhage and interruption of the procedure.",
        "Setting": "inward routine cataract surgery",
        "Methods": "A patient with no ocular comorbidities and controlled hypertension underwent standard phacoemulsification under topical anesthesia. Shortly after wound construction, an abrupt rise in systemic blood pressure occurred, leading to rapid, diffuse subconjunctival hemorrhage. The hemorrhage expanded across the bulbar conjunctiva, obscuring visibility and preventing the surgeon from safely proceeding. Surgery was suspended, and the anesthesiologist initiated immediate antihypertensive management.\n\nStabilization of systemic parameters required approximately 20 minutes. Once blood pressure normalized and the ocular surface findings were controlled, the patient was scheduled for surgery on a later date. No postoperative systemic or ocular complications occurred.",
        "Conclusions": "This case highlights an uncommon but potentially alarming hypertensive event during routine cataract surgery.\n\nEven in patients with apparently stable hypertension, intraoperative stress can trigger acute systemic surges capable of compromising ocular surgical safety. Vigilant monitoring and rapid multidisciplinary coordination are essential to ensure appropriate risk management and guide the decision to continue or suspend surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights an uncommon but potentially alarming hypertensive event during routine cataract surgery. Even in patients with apparently stable hypertension, intraoperative stress can trigger acute systemic surges capable of compromising ocular surgical safety. Vigilant monitoring and rapid multidisciplinary coordination are essential to ensure appropriate risk management and guide the decision to continue or…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 75,
      "source_fields": {
        "Abstract Final Identifier": "POCAT031",
        "Title": "Acute Hypertensive Surge Causing Massive Subconjunctival Hemorrhage During Routine Cataract Surgery: A Video Case Report",
        "Presenting Author(s)": "Dr Laura De Luca",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Luca",
        "Country Name": "Italy",
        "Purpose": "To report a rare intraoperative complication in an otherwise healthy patient with stable, treated systemic hypertension who developed a sudden hypertensive surge during cataract surgery, resulting in massive subconjunctival hemorrhage and interruption of the procedure.",
        "Setting": "inward routine cataract surgery",
        "Methods": "A patient with no ocular comorbidities and controlled hypertension underwent standard phacoemulsification under topical anesthesia. Shortly after wound construction, an abrupt rise in systemic blood pressure occurred, leading to rapid, diffuse subconjunctival hemorrhage. The hemorrhage expanded across the bulbar conjunctiva, obscuring visibility and preventing the surgeon from safely proceeding. Surgery was suspended, and the anesthesiologist initiated immediate antihypertensive management.\n\nStabilization of systemic parameters required approximately 20 minutes. Once blood pressure normalized and the ocular surface findings were controlled, the patient was scheduled for surgery on a later date. No postoperative systemic or ocular complications occurred.",
        "Results": "",
        "Conclusions": "This case highlights an uncommon but potentially alarming hypertensive event during routine cataract surgery.\n\nEven in patients with apparently stable hypertension, intraoperative stress can trigger acute systemic surges capable of compromising ocular surgical safety. Vigilant monitoring and rapid multidisciplinary coordination are essential to ensure appropriate risk management and guide the decision to continue or suspend surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 190
    },
    {
      "uid": "POCAT032",
      "abstract_number": "POCAT032",
      "title": "Nd:Yag Laser Capsulotomy And Iol Surface Damage: Impact On Optical Quality And Retinal Light Distribution",
      "authors": "Dr Laura De Luca",
      "presenter": "Dr Laura De Luca",
      "normalized_authors": [
        "Laura De Luca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura De Luca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To experimentally assess surface damage induced by Nd:YAG laser on hydrophobic acrylic intraocular lenses (IOLs) and determine its impact on optical quality.",
        "Setting": "Laboratory optical bench.",
        "Methods": "Design: Experimental, comparative study.\n\nMethods: Two hydrophobic acrylic IOL models (ZEISS CT LUCIA and Alcon AcrySof IQ) were mounted on a custom holder and exposed to standardized Nd:YAG applications (5, 10, and 15 pulses). Laser–IOL interactions were documented with a PhysioGo.Lite laser system and thermal imaging. Optical performance was evaluated through point spread function (PSF) and modulation transfer function (MTF) measurements. A retinal simulation screen visualized alterations in light distribution. Non-treated IOLs served as controls.\n\nResults: Even minimal laser exposure produced discrete pits on the IOL surface, causing deflection of transmitted light toward peripheral, non-physiological areas. PSF analysis revealed enlarged halos, peripheral spikes, and reduced central peak intensity. MTF values decreased proportionally to the extent of surface disruption. Differences between the two IOL models suggested a material- and design-dependent susceptibility to laser-induced damage",
        "Conclusions": "Conclusions: Nd:YAG laser exposure generates measurable surface alterations on hydrophobic acrylic IOLs, leading to optical degradation and atypical retinal light scatter. These data underscore the need for precise posterior capsule focusing during capsulotomy to minimize postoperative visual disturbances"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusions: Nd:YAG laser exposure generates measurable surface alterations on hydrophobic acrylic IOLs, leading to optical degradation and atypical retinal light scatter. These data underscore the need for precise posterior capsule focusing during capsulotomy to minimize postoperative visual disturbances",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 76,
      "source_fields": {
        "Abstract Final Identifier": "POCAT032",
        "Title": "Nd:Yag Laser Capsulotomy And Iol Surface Damage: Impact On Optical Quality And Retinal Light Distribution",
        "Presenting Author(s)": "Dr Laura De Luca",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Luca",
        "Country Name": "Italy",
        "Purpose": "To experimentally assess surface damage induced by Nd:YAG laser on hydrophobic acrylic intraocular lenses (IOLs) and determine its impact on optical quality.",
        "Setting": "Laboratory optical bench.",
        "Methods": "Design: Experimental, comparative study.\n\nMethods: Two hydrophobic acrylic IOL models (ZEISS CT LUCIA and Alcon AcrySof IQ) were mounted on a custom holder and exposed to standardized Nd:YAG applications (5, 10, and 15 pulses). Laser–IOL interactions were documented with a PhysioGo.Lite laser system and thermal imaging. Optical performance was evaluated through point spread function (PSF) and modulation transfer function (MTF) measurements. A retinal simulation screen visualized alterations in light distribution. Non-treated IOLs served as controls.\n\nResults: Even minimal laser exposure produced discrete pits on the IOL surface, causing deflection of transmitted light toward peripheral, non-physiological areas. PSF analysis revealed enlarged halos, peripheral spikes, and reduced central peak intensity. MTF values decreased proportionally to the extent of surface disruption. Differences between the two IOL models suggested a material- and design-dependent susceptibility to laser-induced damage",
        "Results": "",
        "Conclusions": "Conclusions: Nd:YAG laser exposure generates measurable surface alterations on hydrophobic acrylic IOLs, leading to optical degradation and atypical retinal light scatter. These data underscore the need for precise posterior capsule focusing during capsulotomy to minimize postoperative visual disturbances"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 201
    },
    {
      "uid": "POCAT033",
      "abstract_number": "POCAT033",
      "title": "The Hidden Threat To Refractive Accuracy: When Pterygium-Like Lesions Distort Biometry And Mislead Cataract Surgeons",
      "authors": "Dr Laura De Luca",
      "presenter": "Dr Laura De Luca",
      "normalized_authors": [
        "Laura De Luca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura De Luca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Accurate keratometry is crucial for refractive success in cataract surgery. Lesions mimicking pterygium, such as pseudopterygium and conjunctival intraepithelial neoplasia (CIN), may induce subtle surface irregularities that significantly distort biometry if not properly identified.\n\nTo evaluate the refractive impact of pterygium-like lesions and determine whether multimodal imaging can reveal distortions not evident on clinical examination.",
        "Setting": "Retrospective analysis of 65 eyes: 22 pterygia, 22 pseudopterygia, 21 CIN. Preoperative assessment included keratometry, tear-film evaluation, AS-OCT, and 50-MHz UBM. The primary outcome was clinically relevant keratometric distortion (0.50 D change or axis instability).",
        "Methods": "CIN showed pronounced epithelial irregularity and axis fluctuation on AS-OCT (p < 0.01), despite minimal clinical elevation. Pseudopterygia demonstrated a characteristic UBM “subepithelial gap” and unstable keratometry due to tear-film breakup.\n\nOverall, 38% of CIN and 29% of pseudopterygia produced refractive-significant distortion that could have led to postoperative refractive error if unrecognized. Multimodal imaging identified high-risk lesions with 92% accuracy.",
        "Conclusions": "Not all nasal fibrovascular lesions are true pterygia. CIN and pseudopterygium may represent hidden sources of refractive error. Incorporating AS-OCT and UBM in the cataract preoperative workup reduces refractive surprises and prevents premium IOL miscalculations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Not all nasal fibrovascular lesions are true pterygia. CIN and pseudopterygium may represent hidden sources of refractive error. Incorporating AS-OCT and UBM in the cataract preoperative workup reduces refractive surprises and prevents premium IOL miscalculations.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 77,
      "source_fields": {
        "Abstract Final Identifier": "POCAT033",
        "Title": "The Hidden Threat To Refractive Accuracy: When Pterygium-Like Lesions Distort Biometry And Mislead Cataract Surgeons",
        "Presenting Author(s)": "Dr Laura De Luca",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Luca",
        "Country Name": "Italy",
        "Purpose": "Accurate keratometry is crucial for refractive success in cataract surgery. Lesions mimicking pterygium, such as pseudopterygium and conjunctival intraepithelial neoplasia (CIN), may induce subtle surface irregularities that significantly distort biometry if not properly identified.\n\nTo evaluate the refractive impact of pterygium-like lesions and determine whether multimodal imaging can reveal distortions not evident on clinical examination.",
        "Setting": "Retrospective analysis of 65 eyes: 22 pterygia, 22 pseudopterygia, 21 CIN. Preoperative assessment included keratometry, tear-film evaluation, AS-OCT, and 50-MHz UBM. The primary outcome was clinically relevant keratometric distortion (0.50 D change or axis instability).",
        "Methods": "CIN showed pronounced epithelial irregularity and axis fluctuation on AS-OCT (p < 0.01), despite minimal clinical elevation. Pseudopterygia demonstrated a characteristic UBM “subepithelial gap” and unstable keratometry due to tear-film breakup.\n\nOverall, 38% of CIN and 29% of pseudopterygia produced refractive-significant distortion that could have led to postoperative refractive error if unrecognized. Multimodal imaging identified high-risk lesions with 92% accuracy.",
        "Results": "",
        "Conclusions": "Not all nasal fibrovascular lesions are true pterygia. CIN and pseudopterygium may represent hidden sources of refractive error. Incorporating AS-OCT and UBM in the cataract preoperative workup reduces refractive surprises and prevents premium IOL miscalculations."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "POCAT034",
      "abstract_number": "POCAT034",
      "title": "When Premium Intraocular Lenses Meet Macular Pathology: Lessons Learned From An Unhappy Patient With Dry Age-Related Macular Degeneration",
      "authors": "Dr Maria Del Pilar Lucena",
      "presenter": "Dr Maria Del Pilar Lucena",
      "normalized_authors": [
        "Maria Del Pilar Lucena"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Del Pilar Lucena",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report the refractive management and outcome of a dissatisfied patient implanted with premium intraocular lenses (IOLs) in the presence of dry age-related macular degeneration (AMD), highlighting the impact of macular pathology on visual quality and patient satisfaction.",
        "Setting": "Tertiary referral center specialized in cataract and refractive lens surgery.",
        "Methods": "A 75-year-old male judge presented with severe visual dissatisfaction following bilateral cataract surgery with premium IOL implantation. The right eye had a multifocal IOL (ZMB00 +4.00 D add) and the left eye an extended depth of focus IOL (Symfony ZXR), implanted in 2019. The patient had documented dry AMD. Best corrected visual acuity (BCVA) was 20/60 in the right eye and 20/50 in the left eye. He complained of halos, glare, reduced contrast sensitivity, and poor visual quality.\nAfter thorough refractive and retinal evaluation and patient counselling, intraocular lens exchange was indicated. The multifocal IOL was explanted using viscodissection and careful mobilization of the optic, leaving the haptics in the bag due to the fybrosis, followed by controlled removal through an enlarged corneal incision. A 3-piece-IOL was implanted in the sulcus, with optic capture in the rhexis\nPostoperatively, visual acuity improved by approximately 30%, with significant reduction of halos and glare. At three months follow-up, the patient reported high satisfaction and improved functional vision.",
        "Conclusions": "Premium IOLs should be used with caution in patients with macular pathology such as dry AMD. Even mild retinal disease can compromise visual quality and lead to dissatisfaction. In selected cases, IOL exchange to a monofocal lens is a safe and effective refractive solution that restores visual performance and patient satisfaction. Careful patient selection remains essential in refractive cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Premium IOLs should be used with caution in patients with macular pathology such as dry AMD. Even mild retinal disease can compromise visual quality and lead to dissatisfaction. In selected cases, IOL exchange to a monofocal lens is a safe and effective refractive solution that restores visual performance and patient satisfaction. Careful patient selection remains essential in refractive cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 78,
      "source_fields": {
        "Abstract Final Identifier": "POCAT034",
        "Title": "When Premium Intraocular Lenses Meet Macular Pathology: Lessons Learned From An Unhappy Patient With Dry Age-Related Macular Degeneration",
        "Presenting Author(s)": "Dr Maria Del Pilar Lucena",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Del Pilar Lucena",
        "Country Name": "Argentina",
        "Purpose": "To report the refractive management and outcome of a dissatisfied patient implanted with premium intraocular lenses (IOLs) in the presence of dry age-related macular degeneration (AMD), highlighting the impact of macular pathology on visual quality and patient satisfaction.",
        "Setting": "Tertiary referral center specialized in cataract and refractive lens surgery.",
        "Methods": "A 75-year-old male judge presented with severe visual dissatisfaction following bilateral cataract surgery with premium IOL implantation. The right eye had a multifocal IOL (ZMB00 +4.00 D add) and the left eye an extended depth of focus IOL (Symfony ZXR), implanted in 2019. The patient had documented dry AMD. Best corrected visual acuity (BCVA) was 20/60 in the right eye and 20/50 in the left eye. He complained of halos, glare, reduced contrast sensitivity, and poor visual quality.\nAfter thorough refractive and retinal evaluation and patient counselling, intraocular lens exchange was indicated. The multifocal IOL was explanted using viscodissection and careful mobilization of the optic, leaving the haptics in the bag due to the fybrosis, followed by controlled removal through an enlarged corneal incision. A 3-piece-IOL was implanted in the sulcus, with optic capture in the rhexis\nPostoperatively, visual acuity improved by approximately 30%, with significant reduction of halos and glare. At three months follow-up, the patient reported high satisfaction and improved functional vision.",
        "Results": "",
        "Conclusions": "Premium IOLs should be used with caution in patients with macular pathology such as dry AMD. Even mild retinal disease can compromise visual quality and lead to dissatisfaction. In selected cases, IOL exchange to a monofocal lens is a safe and effective refractive solution that restores visual performance and patient satisfaction. Careful patient selection remains essential in refractive cataract surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POCAT035",
      "abstract_number": "POCAT035",
      "title": "Expanding The Indications Of Enhanced Monofocal Iols In Challenging Eyes",
      "authors": "Dr Maria Del Pilar Lucena",
      "presenter": "Dr Maria Del Pilar Lucena",
      "normalized_authors": [
        "Maria Del Pilar Lucena"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Del Pilar Lucena",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report the clinical outcomes of enhanced monofocal intraocular lens implantation in cataract patients with ocular conditions traditionally considered suboptimal for premium IOLs.",
        "Setting": "Grupo Laser Visio, Rosario, Argentina",
        "Methods": "This case report describes three cataract patients with ocular comorbidities in whom implantation of the RayOne EMV IOL was selected to provide improved intermediate vision while maintaining the optical quality and contrast sensitivity of a monofocal lens.\n\nThree representative clinical scenarios are presented:\n\n•\nA patient with early glaucoma and preserved visual field, in whom multifocal lenses were avoided due to concerns about contrast sensitivity reduction.\n\n•\nA patient with early dry macular degeneration , where diffractive optics could potentially compromise visual quality.\n\n•\nA patient with advanced ocular surface disease , associated with tear film instability and fluctuating visual performance.\n\nAll patients underwent standard cataract surgery with in-the-bag IOL implantation. Preoperative assessment included optical biometry and retinal evaluation. Postoperative outcomes included uncorrected visual acuity, refractive accuracy, and patient-reported visual quality.",
        "Conclusions": "All cases achieved excellent uncorrected distance visual acuity and functional intermediate vision. None of the patients reported significant dysphotopsia or photic phenomena. Visual quality and contrast sensitivity were preserved across all cases despite the presence of ocular comorbidities.\n\nEnhanced monofocal intraocular lenses may expand the indications for premium visual outcomes in patients with mild ocular comorbidities. The EMV platform provides an extended range of functional vision while maintaining the safety and optical performance of a monofocal lens, representing a valuable option in challenging cataract cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "All cases achieved excellent uncorrected distance visual acuity and functional intermediate vision. None of the patients reported significant dysphotopsia or photic phenomena. Visual quality and contrast sensitivity were preserved across all cases despite the presence of ocular comorbidities. Enhanced monofocal intraocular lenses may expand the indications for premium visual outcomes in patients with mild ocular…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 79,
      "source_fields": {
        "Abstract Final Identifier": "POCAT035",
        "Title": "Expanding The Indications Of Enhanced Monofocal Iols In Challenging Eyes",
        "Presenting Author(s)": "Dr Maria Del Pilar Lucena",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Del Pilar Lucena",
        "Country Name": "Argentina",
        "Purpose": "To report the clinical outcomes of enhanced monofocal intraocular lens implantation in cataract patients with ocular conditions traditionally considered suboptimal for premium IOLs.",
        "Setting": "Grupo Laser Visio, Rosario, Argentina",
        "Methods": "This case report describes three cataract patients with ocular comorbidities in whom implantation of the RayOne EMV IOL was selected to provide improved intermediate vision while maintaining the optical quality and contrast sensitivity of a monofocal lens.\n\nThree representative clinical scenarios are presented:\n\n•\nA patient with early glaucoma and preserved visual field, in whom multifocal lenses were avoided due to concerns about contrast sensitivity reduction.\n\n•\nA patient with early dry macular degeneration , where diffractive optics could potentially compromise visual quality.\n\n•\nA patient with advanced ocular surface disease , associated with tear film instability and fluctuating visual performance.\n\nAll patients underwent standard cataract surgery with in-the-bag IOL implantation. Preoperative assessment included optical biometry and retinal evaluation. Postoperative outcomes included uncorrected visual acuity, refractive accuracy, and patient-reported visual quality.",
        "Results": "",
        "Conclusions": "All cases achieved excellent uncorrected distance visual acuity and functional intermediate vision. None of the patients reported significant dysphotopsia or photic phenomena. Visual quality and contrast sensitivity were preserved across all cases despite the presence of ocular comorbidities.\n\nEnhanced monofocal intraocular lenses may expand the indications for premium visual outcomes in patients with mild ocular comorbidities. The EMV platform provides an extended range of functional vision while maintaining the safety and optical performance of a monofocal lens, representing a valuable option in challenging cataract cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCAT036",
      "abstract_number": "POCAT036",
      "title": "Vortex Vein Decompression In Nanophthalmic Eyes",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "to show importance of doing vortex vein decompression surgery in nonophthalmic eyes in controlling IOP and reducing choroidal effusion which lead to reduce the risk of complications that may occur during phaco surgery in nanophthalmic eyes",
        "Setting": "The Memorial Institute for Ophthalmic Research",
        "Methods": "37 years old patient , Bil. drop of vision\nExamination showed that the patient had bilateral nanophthalmos\nBilateral axial lens 16.5 mm\n\nExamination of both eyes:\n\nVery faint cataract\n\nvery high hyperopia+18.00\n\nUCVA 1/60 , BCVA 6/60\n\nCongested episcleral vessels\n\nHigh IOP Rt 35 Lt 38 (wit out ttt )\n\nOn full antiglaucoma ttt Rt 20 and LT 25\n\nRt Crowded disc with macular thickening\n\nLt cupping with C/D ratio 0.5 with macular thickening\n\nDue to:\n\n• very high IOP\n\n• sever choroidal thickening\n\n• very faint cataract\n\nSo, I decided to do vortex vein decompression before cataract to avoid complications during surgery and control IOP\n\nsteps of surgery ( shown in video)\n\n6 months Post operative:\n\nIOP 12 mmHg ( only 1 antiglaucoma)\n\nVA 6/60 (the same)\n\nMild improvement in the choroidal thickening (2.63mm to 2.50 mm)\n\nMarked improvement in the episcleral congestion (as shown in pic.)\n\nAfter 6 months , we did the phaco in the original way",
        "Conclusions": "vortex vein decompression surgery play an important role to prevent complications in nanophthalmic eyes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "vortex vein decompression surgery play an important role to prevent complications in nanophthalmic eyes",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 80,
      "source_fields": {
        "Abstract Final Identifier": "POCAT036",
        "Title": "Vortex Vein Decompression In Nanophthalmic Eyes",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "to show importance of doing vortex vein decompression surgery in nonophthalmic eyes in controlling IOP and reducing choroidal effusion which lead to reduce the risk of complications that may occur during phaco surgery in nanophthalmic eyes",
        "Setting": "The Memorial Institute for Ophthalmic Research",
        "Methods": "37 years old patient , Bil. drop of vision\nExamination showed that the patient had bilateral nanophthalmos\nBilateral axial lens 16.5 mm\n\nExamination of both eyes:\n\nVery faint cataract\n\nvery high hyperopia+18.00\n\nUCVA 1/60 , BCVA 6/60\n\nCongested episcleral vessels\n\nHigh IOP Rt 35 Lt 38 (wit out ttt )\n\nOn full antiglaucoma ttt Rt 20 and LT 25\n\nRt Crowded disc with macular thickening\n\nLt cupping with C/D ratio 0.5 with macular thickening\n\nDue to:\n\n• very high IOP\n\n• sever choroidal thickening\n\n• very faint cataract\n\nSo, I decided to do vortex vein decompression before cataract to avoid complications during surgery and control IOP\n\nsteps of surgery ( shown in video)\n\n6 months Post operative:\n\nIOP 12 mmHg ( only 1 antiglaucoma)\n\nVA 6/60 (the same)\n\nMild improvement in the choroidal thickening (2.63mm to 2.50 mm)\n\nMarked improvement in the episcleral congestion (as shown in pic.)\n\nAfter 6 months , we did the phaco in the original way",
        "Results": "",
        "Conclusions": "vortex vein decompression surgery play an important role to prevent complications in nanophthalmic eyes"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POCAT037",
      "abstract_number": "POCAT037",
      "title": "Reducing Visual Disturbance In Keratoconus",
      "authors": "Dr Noha Fawky",
      "presenter": "Dr Noha Fawky",
      "normalized_authors": [
        "Noha Fawky"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Noha Fawky",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To highlight an alternative approach for visual rehabilitation in keratoconus patients with persistent visual disturbance despite acceptable visual acuity. The aim is to emphasize the role of pupil modulation in improving visual quality and reducing photic phenomena when conventional optical or corneal interventions are insufficient.",
        "Setting": "A tertiary referral anterior segment and cataract surgery practice managing complex keratoconus patients with persistent visual disturbance and reduced quality of vision despite optimized conventional optical and corneal management.",
        "Methods": "A patient with stable keratoconus presented with significant visual disturbance including glare and photic phenomena despite acceptable best-corrected visual acuity. Conventional management options, including optical correction, were insufficient to improve subjective visual quality. Given the predominance of symptoms related to pupil-dependent aberrations, a pupil-modulating capsular ring was implanted to reduce effective pupil size and limit peripheral light entry. Postoperatively, the patient reported marked improvement in visual quality with significant reduction of glare and photic symptoms, while maintaining stable visual acuity. No intraoperative or postoperative complications were observed.",
        "Conclusions": "Visual rehabilitation in keratoconus should address quality of vision in addition to visual acuity. Pupil modulation using a capsular ring may represent a valuable adjunctive option for selected patients with persistent glare and photic phenomena when conventional management is insufficient. Careful patient selection and surgical technique are essential to achieve stable centration and optimal visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Visual rehabilitation in keratoconus should address quality of vision in addition to visual acuity. Pupil modulation using a capsular ring may represent a valuable adjunctive option for selected patients with persistent glare and photic phenomena when conventional management is insufficient. Careful patient selection and surgical technique are essential to achieve stable centration and optimal visual outcomes.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 81,
      "source_fields": {
        "Abstract Final Identifier": "POCAT037",
        "Title": "Reducing Visual Disturbance In Keratoconus",
        "Presenting Author(s)": "Dr Noha Fawky",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Noha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fawky",
        "Country Name": "Egypt",
        "Purpose": "To highlight an alternative approach for visual rehabilitation in keratoconus patients with persistent visual disturbance despite acceptable visual acuity. The aim is to emphasize the role of pupil modulation in improving visual quality and reducing photic phenomena when conventional optical or corneal interventions are insufficient.",
        "Setting": "A tertiary referral anterior segment and cataract surgery practice managing complex keratoconus patients with persistent visual disturbance and reduced quality of vision despite optimized conventional optical and corneal management.",
        "Methods": "A patient with stable keratoconus presented with significant visual disturbance including glare and photic phenomena despite acceptable best-corrected visual acuity. Conventional management options, including optical correction, were insufficient to improve subjective visual quality. Given the predominance of symptoms related to pupil-dependent aberrations, a pupil-modulating capsular ring was implanted to reduce effective pupil size and limit peripheral light entry. Postoperatively, the patient reported marked improvement in visual quality with significant reduction of glare and photic symptoms, while maintaining stable visual acuity. No intraoperative or postoperative complications were observed.",
        "Results": "",
        "Conclusions": "Visual rehabilitation in keratoconus should address quality of vision in addition to visual acuity. Pupil modulation using a capsular ring may represent a valuable adjunctive option for selected patients with persistent glare and photic phenomena when conventional management is insufficient. Careful patient selection and surgical technique are essential to achieve stable centration and optimal visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POCAT038",
      "abstract_number": "POCAT038",
      "title": "Reposition Of Subluxated Multifocal Intraocular Lens In A Patient With Pseudoexfoliation Syndrome-Case Report",
      "authors": "Dr Anastasiya Fournier",
      "presenter": "Dr Anastasiya Fournier",
      "normalized_authors": [
        "Anastasiya Fournier"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anastasiya Fournier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To present a management strategy for subluxation of a multifocal intraocular lens (M-IOL) in a patient with pseudoexfoliation syndrome (PXF), aiming to preserve the original lens and maintain postoperative spectacle independence.",
        "Setting": "This case was managed in the ophthalmology clinic of a public hospital WIML",
        "Methods": "A 69-year-old male with unilateral visual impairment and a history of bilateral cataract surgery with multifocal intraocular lens (Zeiss AT LISA) implantation presented with inferior subluxation of a posterior chamber M-IOL associated with pseudoexfoliation syndrome. The patient wished to retain the original M-IOL and restore spectacle independence. After discussion of risks and alternatives, transscleral fixation of the subluxated IOL was planned.\n\nTwo surgical procedures were performed at a one-month interval. The first procedure consisted of repositioning the subluxated multifocal posterior chamber IOL using a 4-flanged transscleral fixation technique with 6-0 polypropylene sutures combined with mechanical anterior vitrectomy. The second procedure involved shortening of one fixation suture and further lens repositioning to improve centration and correct significant residual astigmatism (−1.75/−3.75 × 59°).\n\nAfter two surgical interventions, there is residual refractive error of −2.50 / −1.75 × 63°, which could be best corrected by the safest method in the patient’s case: laser refractive surgery. Correction of residual ametropia and adjustment of the final outcomes in pseudophakic patients using excimer laser corneal surgery is both safe and predictable. Laser refractive surgery avoids the complications associated with intraocular procedures, provides greater flexibility, and achieves satisfactory outcomes, especially involving unexpected postoperative astigmatism.",
        "Conclusions": "Implantation of multifocal IOLs in patients with pseudoexfoliation syndrome or other causes of zonulopathy remains controversial due to the risk of late subluxation. Currently available scleral fixation techniques are limited by IOL design and cannot be applied to most multifocal lenses. In this case, the material of the original M-IOL (hydrophilic acrylic with hydrophobic surface properties) was suitable for scleral fixation, prompting lens repositioning with the option of subsequent laser refractive surgery. Achieving a solution that meets patient expectations while maintaining high standards of clinical safety remains challenging."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Implantation of multifocal IOLs in patients with pseudoexfoliation syndrome or other causes of zonulopathy remains controversial due to the risk of late subluxation. Currently available scleral fixation techniques are limited by IOL design and cannot be applied to most multifocal lenses. In this case, the material of the original M-IOL (hydrophilic acrylic with hydrophobic surface properties) was suitable for…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 82,
      "source_fields": {
        "Abstract Final Identifier": "POCAT038",
        "Title": "Reposition Of Subluxated Multifocal Intraocular Lens In A Patient With Pseudoexfoliation Syndrome-Case Report",
        "Presenting Author(s)": "Dr Anastasiya Fournier",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Anastasiya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fournier",
        "Country Name": "Poland",
        "Purpose": "To present a management strategy for subluxation of a multifocal intraocular lens (M-IOL) in a patient with pseudoexfoliation syndrome (PXF), aiming to preserve the original lens and maintain postoperative spectacle independence.",
        "Setting": "This case was managed in the ophthalmology clinic of a public hospital WIML",
        "Methods": "A 69-year-old male with unilateral visual impairment and a history of bilateral cataract surgery with multifocal intraocular lens (Zeiss AT LISA) implantation presented with inferior subluxation of a posterior chamber M-IOL associated with pseudoexfoliation syndrome. The patient wished to retain the original M-IOL and restore spectacle independence. After discussion of risks and alternatives, transscleral fixation of the subluxated IOL was planned.\n\nTwo surgical procedures were performed at a one-month interval. The first procedure consisted of repositioning the subluxated multifocal posterior chamber IOL using a 4-flanged transscleral fixation technique with 6-0 polypropylene sutures combined with mechanical anterior vitrectomy. The second procedure involved shortening of one fixation suture and further lens repositioning to improve centration and correct significant residual astigmatism (−1.75/−3.75 × 59°).\n\nAfter two surgical interventions, there is residual refractive error of −2.50 / −1.75 × 63°, which could be best corrected by the safest method in the patient’s case: laser refractive surgery. Correction of residual ametropia and adjustment of the final outcomes in pseudophakic patients using excimer laser corneal surgery is both safe and predictable. Laser refractive surgery avoids the complications associated with intraocular procedures, provides greater flexibility, and achieves satisfactory outcomes, especially involving unexpected postoperative astigmatism.",
        "Results": "",
        "Conclusions": "Implantation of multifocal IOLs in patients with pseudoexfoliation syndrome or other causes of zonulopathy remains controversial due to the risk of late subluxation. Currently available scleral fixation techniques are limited by IOL design and cannot be applied to most multifocal lenses. In this case, the material of the original M-IOL (hydrophilic acrylic with hydrophobic surface properties) was suitable for scleral fixation, prompting lens repositioning with the option of subsequent laser refractive surgery. Achieving a solution that meets patient expectations while maintaining high standards of clinical safety remains challenging."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCAT039",
      "abstract_number": "POCAT039",
      "title": "First Reported Pediatric Congenital Cataract Case Managed With Early Aphakia And Secondary Dual Intraocular Lens Implantation: Monofocal Iol Combined With Supplementary Addon Technology For Reversible Multifocality",
      "authors": "Dr Rafaela Seraphim Frare",
      "presenter": "Dr Rafaela Seraphim Frare",
      "normalized_authors": [
        "Rafaela Seraphim Frare"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rafaela Seraphim Frare",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "The optimal timing and strategy for intraocular lens (IOL) implantation in congenital cataract remain debated. Evidence suggests that maintaining aphakia during infancy may reduce complications such as secondary glaucoma, visual axis opacification, and refractive unpredictability, while allowing physiological ocular growth. Preservation of capsular integrity may further enhance future surgical flexibility. We describe a staged pediatric rehabilitation strategy combining early aphakia, delayed secondary IOL implantation, and supplementary AddOn technology to enable reversible multifocality.",
        "Setting": "Female patient who underwent bilateral congenital cataract extraction at 3 months of age (2019) at a tertiary referral centre affiliated with the Benetti Institute of Ophthalmology (Itatiba, São Paulo, Brazil). Secondary dual intraocular lens implantation was performed at age 6 years (2025) at the same institution. Surgery was conducted under general anaesthesia.",
        "Methods": "A female patient underwent bilateral congenital cataract extraction at 3 months of age (2019). Posterior capsulotomy was intentionally deferred to preserve capsular integrity for long-term planning. In accordance with evidence, including the Infant Aphakia Treatment Study, the patient was maintained aphakic to minimise risks associated with primary infantile IOL implantation and to permit physiological ocular development. Structured visual rehabilitation continued until age 6.\n\nPreoperative assessment included optical biometry and comprehensive ocular evaluation. Macular OCT demonstrated preserved retinal architecture, and specular microscopy confirmed adequate endothelial cell density. Suitability for secondary and supplementary IOL implantation was established based on favourable pupil dynamics, regular corneal astigmatism, and stable capsular–zonular support.\n\nSurgical rehabilitation involved implantation of a monofocal IOL within the capsular bag, followed by placement of a supplementary AddOn multifocal IOL in the ciliary sulcus, enabling a reversible multifocal strategy. Postoperative binocular visual acuity reached 20/40 for distance and J2 for near. No neuroadaptation difficulties have been observed, and intraocular pressure remains normal. To the best of our knowledge, this represents the first reported pediatric case combining a capsular-bag monofocal IOL and a sulcus-based AddOn multifocal IOL to achieve reversible multifocality.",
        "Conclusions": "A staged rehabilitation strategy integrating early aphakia, preservation of capsular integrity, sustained visual development, and delayed dual IOL implantation may represent a flexible pathway for selected pediatric patients. Supplementary AddOn technology introduces a reversible optical component, permitting future adjustment or explantation if neuroadaptation challenges or ocular comorbidities arise while maintaining long-term optical stability. This concept may expand contemporary approaches to pediatric cataract rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A staged rehabilitation strategy integrating early aphakia, preservation of capsular integrity, sustained visual development, and delayed dual IOL implantation may represent a flexible pathway for selected pediatric patients. Supplementary AddOn technology introduces a reversible optical component, permitting future adjustment or explantation if neuroadaptation challenges or ocular comorbidities arise while…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 83,
      "source_fields": {
        "Abstract Final Identifier": "POCAT039",
        "Title": "First Reported Pediatric Congenital Cataract Case Managed With Early Aphakia And Secondary Dual Intraocular Lens Implantation: Monofocal Iol Combined With Supplementary Addon Technology For Reversible Multifocality",
        "Presenting Author(s)": "Dr Rafaela Seraphim Frare",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Rafaela",
        "Submitter Middle Name": "Seraphim",
        "Submitter Last Name": "Frare",
        "Country Name": "Brazil",
        "Purpose": "The optimal timing and strategy for intraocular lens (IOL) implantation in congenital cataract remain debated. Evidence suggests that maintaining aphakia during infancy may reduce complications such as secondary glaucoma, visual axis opacification, and refractive unpredictability, while allowing physiological ocular growth. Preservation of capsular integrity may further enhance future surgical flexibility. We describe a staged pediatric rehabilitation strategy combining early aphakia, delayed secondary IOL implantation, and supplementary AddOn technology to enable reversible multifocality.",
        "Setting": "Female patient who underwent bilateral congenital cataract extraction at 3 months of age (2019) at a tertiary referral centre affiliated with the Benetti Institute of Ophthalmology (Itatiba, São Paulo, Brazil). Secondary dual intraocular lens implantation was performed at age 6 years (2025) at the same institution. Surgery was conducted under general anaesthesia.",
        "Methods": "A female patient underwent bilateral congenital cataract extraction at 3 months of age (2019). Posterior capsulotomy was intentionally deferred to preserve capsular integrity for long-term planning. In accordance with evidence, including the Infant Aphakia Treatment Study, the patient was maintained aphakic to minimise risks associated with primary infantile IOL implantation and to permit physiological ocular development. Structured visual rehabilitation continued until age 6.\n\nPreoperative assessment included optical biometry and comprehensive ocular evaluation. Macular OCT demonstrated preserved retinal architecture, and specular microscopy confirmed adequate endothelial cell density. Suitability for secondary and supplementary IOL implantation was established based on favourable pupil dynamics, regular corneal astigmatism, and stable capsular–zonular support.\n\nSurgical rehabilitation involved implantation of a monofocal IOL within the capsular bag, followed by placement of a supplementary AddOn multifocal IOL in the ciliary sulcus, enabling a reversible multifocal strategy. Postoperative binocular visual acuity reached 20/40 for distance and J2 for near. No neuroadaptation difficulties have been observed, and intraocular pressure remains normal. To the best of our knowledge, this represents the first reported pediatric case combining a capsular-bag monofocal IOL and a sulcus-based AddOn multifocal IOL to achieve reversible multifocality.",
        "Results": "",
        "Conclusions": "A staged rehabilitation strategy integrating early aphakia, preservation of capsular integrity, sustained visual development, and delayed dual IOL implantation may represent a flexible pathway for selected pediatric patients. Supplementary AddOn technology introduces a reversible optical component, permitting future adjustment or explantation if neuroadaptation challenges or ocular comorbidities arise while maintaining long-term optical stability. This concept may expand contemporary approaches to pediatric cataract rehabilitation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POCAT040",
      "abstract_number": "POCAT040",
      "title": "Morgagnian Small Pupil Hard Nucleus Sponttaneous Rupture Cataract Surgery",
      "authors": "Dr Hideharu Fukasaku",
      "presenter": "Dr Hideharu Fukasaku",
      "normalized_authors": [
        "Hideharu Fukasaku"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hideharu Fukasaku",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "We present a case of Morgagnian cataract presenting with exceptional complexity. The patient exhibited a light-perception cataract with a hard nucleus, small pupil, floppy iris, and preoperative spontaneous partial capsular rupture complicated by glaucoma. The surgical difficulty was so high that all other hospitals declined to operate. However, driven by the patient's desire to regain even minimal vision, treatment was undertaken at Fukasaku Eye Institute.",
        "Setting": "This patient underwent phacoemulsification cataract surgery with vitrectomy performed concurrently to prepare for nuclear dislocation, as capsular rupture was anticipated. The procedure was performed by a highly experienced surgeon with over 200,000 cases of cataract and vitrectomy surgery.",
        "Methods": "Surgery for Morgagnian cataracts represents the most challenging and complication-prone cataract procedure. Preoperatively, the patient' vision was light perseption, yet with elevated intraocular pressure was 19mmHg and concomitant glaucoma, the nucleus was already dislocated. Left untreated, blindness will be inevitable soon. Consequently, an experienced surgeon proceeded with the operation, anticipating potential complications throughout. Extracting the hard, prolapsed cataract using PFC and fixing the multifocal lens to the sclera proved extremely difficult. Fortunately, vision was restored. Sharing this challenging surgical technique will likely prove valuable to many ophthalmic surgeons.\n\nThis patient's visual acuity improved from light perception to 20/50 without correction and 20/30 with correction, while intraocular pressure decreased from 19 mmHg to 13 mmHg.",
        "Conclusions": "Morgagnian cataracts often lead to blindness when treated with conventional cataract surgery, as numerous complications have already developed. However, for the patient's sake, one must not give up. By thoroughly preparing for and performing both cataract and vitreous surgery, postoperative vision can be achieved."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Morgagnian cataracts often lead to blindness when treated with conventional cataract surgery, as numerous complications have already developed. However, for the patient's sake, one must not give up. By thoroughly preparing for and performing both cataract and vitreous surgery, postoperative vision can be achieved.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 84,
      "source_fields": {
        "Abstract Final Identifier": "POCAT040",
        "Title": "Morgagnian Small Pupil Hard Nucleus Sponttaneous Rupture Cataract Surgery",
        "Presenting Author(s)": "Dr Hideharu Fukasaku",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hideharu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fukasaku",
        "Country Name": "Japan",
        "Purpose": "We present a case of Morgagnian cataract presenting with exceptional complexity. The patient exhibited a light-perception cataract with a hard nucleus, small pupil, floppy iris, and preoperative spontaneous partial capsular rupture complicated by glaucoma. The surgical difficulty was so high that all other hospitals declined to operate. However, driven by the patient's desire to regain even minimal vision, treatment was undertaken at Fukasaku Eye Institute.",
        "Setting": "This patient underwent phacoemulsification cataract surgery with vitrectomy performed concurrently to prepare for nuclear dislocation, as capsular rupture was anticipated. The procedure was performed by a highly experienced surgeon with over 200,000 cases of cataract and vitrectomy surgery.",
        "Methods": "Surgery for Morgagnian cataracts represents the most challenging and complication-prone cataract procedure. Preoperatively, the patient' vision was light perseption, yet with elevated intraocular pressure was 19mmHg and concomitant glaucoma, the nucleus was already dislocated. Left untreated, blindness will be inevitable soon. Consequently, an experienced surgeon proceeded with the operation, anticipating potential complications throughout. Extracting the hard, prolapsed cataract using PFC and fixing the multifocal lens to the sclera proved extremely difficult. Fortunately, vision was restored. Sharing this challenging surgical technique will likely prove valuable to many ophthalmic surgeons.\n\nThis patient's visual acuity improved from light perception to 20/50 without correction and 20/30 with correction, while intraocular pressure decreased from 19 mmHg to 13 mmHg.",
        "Results": "",
        "Conclusions": "Morgagnian cataracts often lead to blindness when treated with conventional cataract surgery, as numerous complications have already developed. However, for the patient's sake, one must not give up. By thoroughly preparing for and performing both cataract and vitreous surgery, postoperative vision can be achieved."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POCAT041",
      "abstract_number": "POCAT041",
      "title": "Piggyback Iols For Extreme High Myopic Cataract Surgery",
      "authors": "Dr Hideharu Fukasaku",
      "presenter": "Dr Hideharu Fukasaku",
      "normalized_authors": [
        "Hideharu Fukasaku"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hideharu Fukasaku",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "When implanting multifocal lenses into eyes with high myopia and an extremely long axial length, the lowest available power for these lenses is only +5.0D. This may leave residual myopia. Previously, LASIK was used to correct this residual myopia. However, by implanting a monofocal negative lens on top of this, good uncorrected visual acuity can be achieved. This method is examined and introduced.",
        "Setting": "All cases were operated on by a single, experienced ophthalmic surgeon at Fukasaku Eye Hospital Yokohama and Fukasaku Eye Institute Tokyo Roppongi.",
        "Methods": "A representative case is described. A 72-year-old male patient had an axial length of 30.81 mm and severe myopia of -22.5 D. He desired a multifocal lens, but calculations indicated the minimum power would be +5.0D, leaving residual myopia of -3.34D. Therefore, after removing the cataract, the capsule was polished. A multifocal lens with +5.0D power and a monofocal minus lens with -6.0D power were then implanted within the same capsule.",
        "Conclusions": "Preoperative visual acuity was 20/2000 without correction but dramatically improved to 20/20. Corrected visual acuity also improved from 20/40 to 20/16. Intraocular pressure decreased from 19 mmHg to 13 mmHg. The patient's satisfaction was extremely high, expressing delight at being able to see clearly at all distances without correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Preoperative visual acuity was 20/2000 without correction but dramatically improved to 20/20. Corrected visual acuity also improved from 20/40 to 20/16. Intraocular pressure decreased from 19 mmHg to 13 mmHg. The patient's satisfaction was extremely high, expressing delight at being able to see clearly at all distances without correction.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 85,
      "source_fields": {
        "Abstract Final Identifier": "POCAT041",
        "Title": "Piggyback Iols For Extreme High Myopic Cataract Surgery",
        "Presenting Author(s)": "Dr Hideharu Fukasaku",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hideharu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fukasaku",
        "Country Name": "Japan",
        "Purpose": "When implanting multifocal lenses into eyes with high myopia and an extremely long axial length, the lowest available power for these lenses is only +5.0D. This may leave residual myopia. Previously, LASIK was used to correct this residual myopia. However, by implanting a monofocal negative lens on top of this, good uncorrected visual acuity can be achieved. This method is examined and introduced.",
        "Setting": "All cases were operated on by a single, experienced ophthalmic surgeon at Fukasaku Eye Hospital Yokohama and Fukasaku Eye Institute Tokyo Roppongi.",
        "Methods": "A representative case is described. A 72-year-old male patient had an axial length of 30.81 mm and severe myopia of -22.5 D. He desired a multifocal lens, but calculations indicated the minimum power would be +5.0D, leaving residual myopia of -3.34D. Therefore, after removing the cataract, the capsule was polished. A multifocal lens with +5.0D power and a monofocal minus lens with -6.0D power were then implanted within the same capsule.",
        "Results": "",
        "Conclusions": "Preoperative visual acuity was 20/2000 without correction but dramatically improved to 20/20. Corrected visual acuity also improved from 20/40 to 20/16. Intraocular pressure decreased from 19 mmHg to 13 mmHg. The patient's satisfaction was extremely high, expressing delight at being able to see clearly at all distances without correction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCAT042",
      "abstract_number": "POCAT042",
      "title": "Hit Or Miss? Primary Visual Outcomes Of Using Toric Edof Intraocular Lens In Cataract Surgery Of A Patient Who Underwent Two Refractive Surgeries: Radial Keratotomy With Subsequent Photorefractive Keratectomy On Both Eyes",
      "authors": "Dr Ralph Ernesto Untalan Geronimo",
      "presenter": "Dr Ralph Ernesto Untalan Geronimo",
      "normalized_authors": [
        "Ralph Ernesto Untalan Geronimo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ralph Ernesto Untalan Geronimo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "This case report evaluated the visual outcomes of a patient who underwent phacoemulsification, implanted with toric extended depth of focus (EDOF) intraocular lens (IOL) (RayOne EMV IOL RAO200E, Rayner Intraocular Lenses Ltd., Worthing, UK) in both eyes with history of two refractive surgeries: radial keratotomy (RK) with subsequent photorefractive keratectomy (PRK).",
        "Setting": "A 66-year-old female came to the Eye Center of Medical Center Paranaque in Manila for continuation of her treatment for glaucoma in the left eye. The patient also came in complaining of decreased vision and glare on both eyes. Upon examination of the glaucoma specialist, there were RK cuts on the cornea of both eyes and bilateral cortical cataract reaching the pupil area thus this referral to refractive surgery service for management.",
        "Methods": "This is a case of a patient who had a history of RK forty-two years ago, with four RK cuts on the right and eight on the left. The patient also had PRK on both eyes twelve years ago. Prior to deciding which IOL calculator to use, corneal status was assessed using two corneal tomography machines: Oculus Pentacam (Pentacam AXL, Oculus, Germany) and Anterion (Heidelberg Engineering GmbH, Germany). For biometry, IOL Master 700 (Carl Zeiss, Meditec, Jena, Germany) was used. With two refractive surgeries done on both eyes, choosing the right IOL formula presents a challenging dilemma. Barrett True-K Toric Calculator for post-Radial Keratotomy was the option used for choosing the IOL power rather than the Barrett True-K Toric for post-Myopic LASIK. Target refraction on both eyes was plano.\n\nPrimary visual outcomes were uncorrected visual acuity (UCVA) at 4 meters, uncorrected intermediate visual acuity (UIVA) at 66 centimeters and uncorrected near visual acuity (UNVA) at 40 centimeters. One month post-cataract surgery, IOL in both eyes were noted to be on the proper axis. UCVA of the right eye was 20/15 with manifest refraction spherical equivalent (MRSE) of -1.25 diopter sphere, UIVA was 20/20 and UNVA was 20/25. However, the left eye UDVA was 20/50 with MRSE of +2.50 diopters sphere, UIVA was 20/70 and UNVA was 20/100. Even though the left eye was exhibiting progressive hyperopic shift after the surgery, bilateral UDVA and UIVA were 20/20, and bilateral UNVA was 20/32.",
        "Conclusions": "Even with the latest IOL calculators and biometry machines, post-RK IOL calculation is still challenging due to compromised corneal biomechanics, complex optical system and progressive hyperopic shift. The number of RK cuts may also be considered an important factor affecting the visual outcomes. Corneal biomechanics is more stable with 4 RK cuts thus hitting excellent target visual outcomes in contrast to the eye with 8 RK cuts. Also, refractive surgeries after RK may have contributed to less accurate IOL calculations. Therefore, with still unpredictable results, patients’ expectations should be managed with caution and possible options must be discussed to address the refractive surprise that may arise from missed target visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Even with the latest IOL calculators and biometry machines, post-RK IOL calculation is still challenging due to compromised corneal biomechanics, complex optical system and progressive hyperopic shift. The number of RK cuts may also be considered an important factor affecting the visual outcomes. Corneal biomechanics is more stable with 4 RK cuts thus hitting excellent target visual outcomes in contrast to the eye…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 86,
      "source_fields": {
        "Abstract Final Identifier": "POCAT042",
        "Title": "Hit Or Miss? Primary Visual Outcomes Of Using Toric Edof Intraocular Lens In Cataract Surgery Of A Patient Who Underwent Two Refractive Surgeries: Radial Keratotomy With Subsequent Photorefractive Keratectomy On Both Eyes",
        "Presenting Author(s)": "Dr Ralph Ernesto Untalan Geronimo",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ralph Ernesto",
        "Submitter Middle Name": "Untalan",
        "Submitter Last Name": "Geronimo",
        "Country Name": "Philippines",
        "Purpose": "This case report evaluated the visual outcomes of a patient who underwent phacoemulsification, implanted with toric extended depth of focus (EDOF) intraocular lens (IOL) (RayOne EMV IOL RAO200E, Rayner Intraocular Lenses Ltd., Worthing, UK) in both eyes with history of two refractive surgeries: radial keratotomy (RK) with subsequent photorefractive keratectomy (PRK).",
        "Setting": "A 66-year-old female came to the Eye Center of Medical Center Paranaque in Manila for continuation of her treatment for glaucoma in the left eye. The patient also came in complaining of decreased vision and glare on both eyes. Upon examination of the glaucoma specialist, there were RK cuts on the cornea of both eyes and bilateral cortical cataract reaching the pupil area thus this referral to refractive surgery service for management.",
        "Methods": "This is a case of a patient who had a history of RK forty-two years ago, with four RK cuts on the right and eight on the left. The patient also had PRK on both eyes twelve years ago. Prior to deciding which IOL calculator to use, corneal status was assessed using two corneal tomography machines: Oculus Pentacam (Pentacam AXL, Oculus, Germany) and Anterion (Heidelberg Engineering GmbH, Germany). For biometry, IOL Master 700 (Carl Zeiss, Meditec, Jena, Germany) was used. With two refractive surgeries done on both eyes, choosing the right IOL formula presents a challenging dilemma. Barrett True-K Toric Calculator for post-Radial Keratotomy was the option used for choosing the IOL power rather than the Barrett True-K Toric for post-Myopic LASIK. Target refraction on both eyes was plano.\n\nPrimary visual outcomes were uncorrected visual acuity (UCVA) at 4 meters, uncorrected intermediate visual acuity (UIVA) at 66 centimeters and uncorrected near visual acuity (UNVA) at 40 centimeters. One month post-cataract surgery, IOL in both eyes were noted to be on the proper axis. UCVA of the right eye was 20/15 with manifest refraction spherical equivalent (MRSE) of -1.25 diopter sphere, UIVA was 20/20 and UNVA was 20/25. However, the left eye UDVA was 20/50 with MRSE of +2.50 diopters sphere, UIVA was 20/70 and UNVA was 20/100. Even though the left eye was exhibiting progressive hyperopic shift after the surgery, bilateral UDVA and UIVA were 20/20, and bilateral UNVA was 20/32.",
        "Results": "",
        "Conclusions": "Even with the latest IOL calculators and biometry machines, post-RK IOL calculation is still challenging due to compromised corneal biomechanics, complex optical system and progressive hyperopic shift. The number of RK cuts may also be considered an important factor affecting the visual outcomes. Corneal biomechanics is more stable with 4 RK cuts thus hitting excellent target visual outcomes in contrast to the eye with 8 RK cuts. Also, refractive surgeries after RK may have contributed to less accurate IOL calculations. Therefore, with still unpredictable results, patients’ expectations should be managed with caution and possible options must be discussed to address the refractive surprise that may arise from missed target visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 485
    },
    {
      "uid": "POCAT043",
      "abstract_number": "POCAT043",
      "title": "Cataract Surgery In Patients With Congenital Iris Defects: Surgical Strategy And Clinical Outcomes",
      "authors": "Mr Dmitrii Gorodetskii",
      "presenter": "Mr Dmitrii Gorodetskii",
      "normalized_authors": [
        "Dmitrii Gorodetskii"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dmitrii Gorodetskii",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "Congenital defects of the iris, including iris coloboma, are rare developmental abnormalities with an estimated prevalence ranging from 1 to 7 per 100,000 individuals. Patients with such anomalies frequently develop cataract at a younger age compared to the general population. Cataract surgery in these cases presents serious technical challenges due to abnormal iris anatomy, potential zonular weakness, and altered anterior segment configuration, which may increase the risk of intraoperative complications.\n\nThe purpose of this study was to evaluate surgical approaches and clinical outcomes of cataract surgery in patients with congenital iris defects, emphasizing individualized surgical planning and the use of modern microsurgical techniques.",
        "Setting": "This study presents a series of 7 clinical cases involving patients with complicated cataract associated with congenital iris coloboma who underwent phacoemulsification with intraocular lens (IOL) implantation. All surgeries were performed at the S. Fyodorov Eye Microsurgery Federal State Institution during past 3 years.",
        "Methods": "Preoperative evaluation included a comprehensive ophthalmic examination consisting of visual acuity assessment, slit-lamp biomicroscopy, intraocular pressure measurement, optical biometry, and detailed anterior and posterior segment evaluation.\n\nParticular attention was given to the morphology and extent of the iris defect, as well as the condition of the zonular apparatus and capsular bag. Surgical planning was individualized depending on the anatomical characteristics of the anterior segment.\n\nPhacoemulsification was performed using microincisional techniques with careful capsulorhexis formation and controlled nucleus fragmentation. In selected cases, femtosecond laser-assisted cataract surgery was performed. 3 patients (42%) had pupilloplasty at the time of cataract surgery to reduce glare and to improve cosmetic outcome. In 2 cases (28%) an underwater diathermocoagulator was used during cataract surgery to correct the shape and position of the pupil. 2 patients (28%) underwent post-operative YAG-laser pupilloplasty to correct pupil position and expand the visual field.",
        "Conclusions": "Cataract surgery in patients with congenital iris abnormalities is technically challenging and requires careful preoperative assessment and individualized surgical planning. Our results demonstrate that modern phacoemulsification techniques combined with appropriate intraoperative management allow safe and effective treatment of cataract in these patients.\n\nSignificant visual rehabilitation and aesthetic resulsts can be achieved even in the presence of pronounced iris defects. These findings emphasize the importance of a tailored surgical approach and modern microsurgical technologies in managing cataract associated with congenital iris anomalies. Further studies with larger cohorts are required to optimize surgical strategies and outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in patients with congenital iris abnormalities is technically challenging and requires careful preoperative assessment and individualized surgical planning. Our results demonstrate that modern phacoemulsification techniques combined with appropriate intraoperative management allow safe and effective treatment of cataract in these patients. Significant visual rehabilitation and aesthetic resulsts…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 87,
      "source_fields": {
        "Abstract Final Identifier": "POCAT043",
        "Title": "Cataract Surgery In Patients With Congenital Iris Defects: Surgical Strategy And Clinical Outcomes",
        "Presenting Author(s)": "Mr Dmitrii Gorodetskii",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Dmitrii",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gorodetskii",
        "Country Name": "Russian Federation",
        "Purpose": "Congenital defects of the iris, including iris coloboma, are rare developmental abnormalities with an estimated prevalence ranging from 1 to 7 per 100,000 individuals. Patients with such anomalies frequently develop cataract at a younger age compared to the general population. Cataract surgery in these cases presents serious technical challenges due to abnormal iris anatomy, potential zonular weakness, and altered anterior segment configuration, which may increase the risk of intraoperative complications.\n\nThe purpose of this study was to evaluate surgical approaches and clinical outcomes of cataract surgery in patients with congenital iris defects, emphasizing individualized surgical planning and the use of modern microsurgical techniques.",
        "Setting": "This study presents a series of 7 clinical cases involving patients with complicated cataract associated with congenital iris coloboma who underwent phacoemulsification with intraocular lens (IOL) implantation. All surgeries were performed at the S. Fyodorov Eye Microsurgery Federal State Institution during past 3 years.",
        "Methods": "Preoperative evaluation included a comprehensive ophthalmic examination consisting of visual acuity assessment, slit-lamp biomicroscopy, intraocular pressure measurement, optical biometry, and detailed anterior and posterior segment evaluation.\n\nParticular attention was given to the morphology and extent of the iris defect, as well as the condition of the zonular apparatus and capsular bag. Surgical planning was individualized depending on the anatomical characteristics of the anterior segment.\n\nPhacoemulsification was performed using microincisional techniques with careful capsulorhexis formation and controlled nucleus fragmentation. In selected cases, femtosecond laser-assisted cataract surgery was performed. 3 patients (42%) had pupilloplasty at the time of cataract surgery to reduce glare and to improve cosmetic outcome. In 2 cases (28%) an underwater diathermocoagulator was used during cataract surgery to correct the shape and position of the pupil. 2 patients (28%) underwent post-operative YAG-laser pupilloplasty to correct pupil position and expand the visual field.",
        "Results": "",
        "Conclusions": "Cataract surgery in patients with congenital iris abnormalities is technically challenging and requires careful preoperative assessment and individualized surgical planning. Our results demonstrate that modern phacoemulsification techniques combined with appropriate intraoperative management allow safe and effective treatment of cataract in these patients.\n\nSignificant visual rehabilitation and aesthetic resulsts can be achieved even in the presence of pronounced iris defects. These findings emphasize the importance of a tailored surgical approach and modern microsurgical technologies in managing cataract associated with congenital iris anomalies. Further studies with larger cohorts are required to optimize surgical strategies and outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "POCAT044",
      "abstract_number": "POCAT044",
      "title": "Intracapsular Cataract Surgery In Modern Practice: Managing Unexpected Zonular Dehiscence",
      "authors": "Mrs Isabel Inmaculada Guedes Guedes",
      "presenter": "Mrs Isabel Inmaculada Guedes Guedes",
      "normalized_authors": [
        "Isabel Inmaculada Guedes Guedes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isabel Inmaculada Guedes Guedes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Although intracapsular cataract extraction (ICCE) was the standard technique in the 1970s–1980s, it has been largely replaced by phacoemulsification. However, ICCE remains indicated in cases of complete zonular loss, lens subluxation/luxation, or intraoperative complications where capsular support is absent. The aim of this report is to describe a case of unexpected total zonular dehiscence requiring ICCE and to highlight key surgical considerations that remain relevant for contemporary surgeons.",
        "Setting": "Tertiary referral ophthalmology center. Case managed in the cataract surgery unit with vitreoretinal support available when needed.",
        "Methods": "A 91-year-old female was referred for cataract surgery. Preoperative examination revealed a white cataract without clinical signs of zonular weakness. During phacoemulsification, complete zonular dehiscence was encountered, necessitating conversion to intracapsular cataract extraction in the same surgical session. The nucleus was luxated into the anterior chamber, and a 7 mm corneal incision was made to perform a complete intracapsular extraction. Anterior vitrectomy was carried out to remove prolapsed vitreous and confirm a vitreous-free anterior chamber. A retropupillary Artisan® intraocular lens was then implanted, followed by closure of the corneal wound with 10-0 nylon sutures.\n\nIntracapsular extraction successfully removed the lens nucleus and capsule without further intraoperative complications. Anterior vitrectomy ensured a clear anterior chamber free of vitreous strands. The retropupillary Artisan® intraocular lens was well-centered and stable. Postoperatively, the patient maintained anterior segment stability, with no significant inflammation or elevated intraocular pressure in the immediate follow-up period.",
        "Conclusions": "ICCE is rarely performed in the era of phacoemulsification, but it remains a valuable technique when capsular support is absent. Mastering the essentials of ICCE — controlled nucleus luxation, appropriate incision size, careful vitreous management, and secondary lens implantation — allows surgeons to safely manage unexpected zonular catastrophes and optimize outcomes in selected complex cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "ICCE is rarely performed in the era of phacoemulsification, but it remains a valuable technique when capsular support is absent. Mastering the essentials of ICCE — controlled nucleus luxation, appropriate incision size, careful vitreous management, and secondary lens implantation — allows surgeons to safely manage unexpected zonular catastrophes and optimize outcomes in selected complex cases.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 88,
      "source_fields": {
        "Abstract Final Identifier": "POCAT044",
        "Title": "Intracapsular Cataract Surgery In Modern Practice: Managing Unexpected Zonular Dehiscence",
        "Presenting Author(s)": "Mrs Isabel Inmaculada Guedes Guedes",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Isabel Inmaculada",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Guedes Guedes",
        "Country Name": "Spain",
        "Purpose": "Although intracapsular cataract extraction (ICCE) was the standard technique in the 1970s–1980s, it has been largely replaced by phacoemulsification. However, ICCE remains indicated in cases of complete zonular loss, lens subluxation/luxation, or intraoperative complications where capsular support is absent. The aim of this report is to describe a case of unexpected total zonular dehiscence requiring ICCE and to highlight key surgical considerations that remain relevant for contemporary surgeons.",
        "Setting": "Tertiary referral ophthalmology center. Case managed in the cataract surgery unit with vitreoretinal support available when needed.",
        "Methods": "A 91-year-old female was referred for cataract surgery. Preoperative examination revealed a white cataract without clinical signs of zonular weakness. During phacoemulsification, complete zonular dehiscence was encountered, necessitating conversion to intracapsular cataract extraction in the same surgical session. The nucleus was luxated into the anterior chamber, and a 7 mm corneal incision was made to perform a complete intracapsular extraction. Anterior vitrectomy was carried out to remove prolapsed vitreous and confirm a vitreous-free anterior chamber. A retropupillary Artisan® intraocular lens was then implanted, followed by closure of the corneal wound with 10-0 nylon sutures.\n\nIntracapsular extraction successfully removed the lens nucleus and capsule without further intraoperative complications. Anterior vitrectomy ensured a clear anterior chamber free of vitreous strands. The retropupillary Artisan® intraocular lens was well-centered and stable. Postoperatively, the patient maintained anterior segment stability, with no significant inflammation or elevated intraocular pressure in the immediate follow-up period.",
        "Results": "",
        "Conclusions": "ICCE is rarely performed in the era of phacoemulsification, but it remains a valuable technique when capsular support is absent. Mastering the essentials of ICCE — controlled nucleus luxation, appropriate incision size, careful vitreous management, and secondary lens implantation — allows surgeons to safely manage unexpected zonular catastrophes and optimize outcomes in selected complex cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT045",
      "abstract_number": "POCAT045",
      "title": "Preoperative Selective Laser Trabeculoplasty For Intraocular Pressure Optimization Before Cataract Surgery In Mild Primary Open-Angle Glaucoma",
      "authors": "Mrs Maria Mercedes AMAYA Gutierrez",
      "presenter": "Mrs Maria Mercedes AMAYA Gutierrez",
      "normalized_authors": [
        "Maria Mercedes AMAYA Gutierrez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Mercedes AMAYA Gutierrez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To describe the perioperative management of cataract surgery in a patient with mild primary open-angle glaucoma (POAG), highlighting preoperative intraocular pressure (IOP) optimization using selective laser trabeculoplasty (SLT) to improve surgical safety and avoid combined intraocular procedures.",
        "Setting": "Instituto da Visão, Brazil – Private ophthalmology practice specialized in glaucoma and cataract surgery.",
        "Methods": "A 76-year-old male presented with decreased visual acuity in the left eye (0,4) due to corticonuclear cataract. He had a prior diagnosis of primary open-angle glaucoma (POAG) and was using timolol irregularly. Intraocular pressure (IOP) measured 21 mmHg OS(7AM).Central corneal thickness was 525 µm. Gonioscopy demonstrated open angles to the ciliary body band (360°). Fundoscopy revealed a cup-to-disc ratio of 0.6 with superior temporal rim thinning OS. Optical coherence tomography confirmed focal superior retinal nerve fiber layer loss, and standard automated perimetry(24-2) showed a corresponding inferior nasal step, establishing structural-functional concordance consistent with mild POAG.\n\nConsidering the known risk of early postoperative IOP spikes after isolated phacoemulsification in glaucomatous eyes, preoperative IOP optimization was chosen instead of isolated cataract surgery or combined phacoemulsification with minimally invasive glaucoma surgery.\n\nA 360° SLT was performed (120 applications; energy 1,0 mJ). IOP decreased to 17 mmHg at 2 weeks and 16 mmHg at 4 weeks, when timolol was discontinued. At 6 weeks, IOP reached 15 mmHg without medication, representing a 28% reduction from baseline. Biometry was performed after pressure stabilization, and phacoemulsification was carried out at 8 weeks.\n\nCataract surgery occurred without intraoperative or postoperative IOP spikes. Postoperative IOP remained stable at 15 mmHg without medication, with no evidence of disease progression",
        "Conclusions": "Cataract surgery in patients with glaucoma requires careful perioperative IOP control. In this case, preoperative SLT achieved significant pressure reduction and allowed discontinuation of topical therapy before surgery, enabling safe phacoemulsification without pressure spikes and avoiding combined intraocular glaucoma procedures.\n\nSelective laser trabeculoplasty is a cost-effective, technically straightforward outpatient procedure with a well-established impact on IOP control in POAG. When appropriately selected, it may enhance surgical safety and reduce procedural complexity prior to cataract extraction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in patients with glaucoma requires careful perioperative IOP control. In this case, preoperative SLT achieved significant pressure reduction and allowed discontinuation of topical therapy before surgery, enabling safe phacoemulsification without pressure spikes and avoiding combined intraocular glaucoma procedures. Selective laser trabeculoplasty is a cost-effective, technically straightforward…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 89,
      "source_fields": {
        "Abstract Final Identifier": "POCAT045",
        "Title": "Preoperative Selective Laser Trabeculoplasty For Intraocular Pressure Optimization Before Cataract Surgery In Mild Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "Mrs Maria Mercedes AMAYA Gutierrez",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maria Mercedes",
        "Submitter Middle Name": "AMAYA",
        "Submitter Last Name": "Gutierrez",
        "Country Name": "Brazil",
        "Purpose": "To describe the perioperative management of cataract surgery in a patient with mild primary open-angle glaucoma (POAG), highlighting preoperative intraocular pressure (IOP) optimization using selective laser trabeculoplasty (SLT) to improve surgical safety and avoid combined intraocular procedures.",
        "Setting": "Instituto da Visão, Brazil – Private ophthalmology practice specialized in glaucoma and cataract surgery.",
        "Methods": "A 76-year-old male presented with decreased visual acuity in the left eye (0,4) due to corticonuclear cataract. He had a prior diagnosis of primary open-angle glaucoma (POAG) and was using timolol irregularly. Intraocular pressure (IOP) measured 21 mmHg OS(7AM).Central corneal thickness was 525 µm. Gonioscopy demonstrated open angles to the ciliary body band (360°). Fundoscopy revealed a cup-to-disc ratio of 0.6 with superior temporal rim thinning OS. Optical coherence tomography confirmed focal superior retinal nerve fiber layer loss, and standard automated perimetry(24-2) showed a corresponding inferior nasal step, establishing structural-functional concordance consistent with mild POAG.\n\nConsidering the known risk of early postoperative IOP spikes after isolated phacoemulsification in glaucomatous eyes, preoperative IOP optimization was chosen instead of isolated cataract surgery or combined phacoemulsification with minimally invasive glaucoma surgery.\n\nA 360° SLT was performed (120 applications; energy 1,0 mJ). IOP decreased to 17 mmHg at 2 weeks and 16 mmHg at 4 weeks, when timolol was discontinued. At 6 weeks, IOP reached 15 mmHg without medication, representing a 28% reduction from baseline. Biometry was performed after pressure stabilization, and phacoemulsification was carried out at 8 weeks.\n\nCataract surgery occurred without intraoperative or postoperative IOP spikes. Postoperative IOP remained stable at 15 mmHg without medication, with no evidence of disease progression",
        "Results": "",
        "Conclusions": "Cataract surgery in patients with glaucoma requires careful perioperative IOP control. In this case, preoperative SLT achieved significant pressure reduction and allowed discontinuation of topical therapy before surgery, enabling safe phacoemulsification without pressure spikes and avoiding combined intraocular glaucoma procedures.\n\nSelective laser trabeculoplasty is a cost-effective, technically straightforward outpatient procedure with a well-established impact on IOP control in POAG. When appropriately selected, it may enhance surgical safety and reduce procedural complexity prior to cataract extraction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "POCAT046",
      "abstract_number": "POCAT046",
      "title": "Corneal Wound Dehiscence Remote From Radial Keratotomy Scars During Phacoemulsification:\nEvidence Of Global Biomechanical Compromise In A Bilateral Case",
      "authors": "Dr Yaren Guven",
      "presenter": "Dr Yaren Guven",
      "normalized_authors": [
        "Yaren Guven"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yaren Guven",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a case of intraoperative corneal wound dehiscence at the clear corneal incision site—remote from\n\nradial keratotomy (RK) scars—during IOL cartridge insertion in phacoemulsification, 23 years after 8-\n\nincision bilateral RK. Bilateral comparison with an uneventful fellow eye operated by the same surgeon\n\nusing identical technique highlights that RK globally compromises corneal biomechanical integrity beyond\n\nthe scar sites themselves, with implications for surgical planning and risk counseling.",
        "Setting": "Tertiary care university hospital, Department of Ophthalmology, Recep Tayyip Erdogan University, Rize,Turkey.\n\nA 67-year-old male with bilateral age-related cataract presented for surgery. He had undergone bilateral 8-\n\nincision radial keratotomy (RK) 23 years previously. Preoperative slit-lamp examination revealed well-\n\nhealed RK scars in both eyes. IOL power was calculated using the Barrett True-K formula to account for\n\npost-RK corneal changes. Sequential bilateral phacoemulsification was planned.",
        "Methods": "The right eye was operated first. Standard phacoemulsification with a 2.8 mm temporal clear corneal\n\nincision, positioned away from the RK scars, was performed uneventfully. IOL was inserted via cartridge\n\ninjector system without complication and postoperative course was unremarkable.\n\nThe left eye subsequently underwent the identical surgical procedure by the same surgeon using the same\n\n2.8 mm clear corneal incision technique, again deliberately placed away from the RK scars.\n\nPhacoemulsification was completed without difficulty. However, during IOL cartridge insertion, the\n\nmechanical stress of advancing the injector through the main wound caused sudden corneal wound\n\ndehiscence at the incision site. Critically, the dehiscence originated from the clear corneal wound itself—not\n\nfrom an adjacent RK scar—suggesting that the 8-incision RK had globally compromised corneal\n\nbiomechanical integrity rather than creating only focal areas of weakness. The wound gape resulted in\n\nanterior chamber shallowing and loss of a controlled surgical environment. The IOL was successfully\n\nimplanted and three interrupted 10-0 nylon sutures were placed to restore wound integrity. The anterior\n\nchamber was reformed and confirmed watertight.\n\nPostoperative recovery of the left eye was prolonged compared to the right due to suture-induced\n\nastigmatism. Selective suture removal was performed to optimize the refractive outcome, ultimately\n\nachieving satisfactory visual acuity.",
        "Conclusions": "Despite identical surgical technique,2.8 mm incision placed away from RK scars,and the same surgeon,only\n\none eye experienced wound dehiscence during IOL cartridge insertion-underscoring the unpredictable\n\nnature of post-RK corneal vulnerability even 23 years postoperatively.Key lessons:RK weakens the\n\nentire corneal structure;positioning incisions away from scars does not eliminate dehiscence risk;8-\n\nincision RK creates greater biomechanical compromise than 4-incision patterns;surgeons should\n\nconsider smaller incisions,manual IOL insertion,or wound-assist devices to minimize mechanical stress;10-0 nylon sutures should be immediately available;patients must be counseled regarding\n\nprolonged visual recovery due to potential suture-induced astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Despite identical surgical technique,2.8 mm incision placed away from RK scars,and the same surgeon,only one eye experienced wound dehiscence during IOL cartridge insertion-underscoring the unpredictable nature of post-RK corneal vulnerability even 23 years postoperatively.Key lessons:RK weakens the entire corneal structure;positioning incisions away from scars does not eliminate dehiscence risk;8- incision RK…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 90,
      "source_fields": {
        "Abstract Final Identifier": "POCAT046",
        "Title": "Corneal Wound Dehiscence Remote From Radial Keratotomy Scars During Phacoemulsification:\nEvidence Of Global Biomechanical Compromise In A Bilateral Case",
        "Presenting Author(s)": "Dr Yaren Guven",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Yaren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Guven",
        "Country Name": "Türkiye",
        "Purpose": "To report a case of intraoperative corneal wound dehiscence at the clear corneal incision site—remote from\n\nradial keratotomy (RK) scars—during IOL cartridge insertion in phacoemulsification, 23 years after 8-\n\nincision bilateral RK. Bilateral comparison with an uneventful fellow eye operated by the same surgeon\n\nusing identical technique highlights that RK globally compromises corneal biomechanical integrity beyond\n\nthe scar sites themselves, with implications for surgical planning and risk counseling.",
        "Setting": "Tertiary care university hospital, Department of Ophthalmology, Recep Tayyip Erdogan University, Rize,Turkey.\n\nA 67-year-old male with bilateral age-related cataract presented for surgery. He had undergone bilateral 8-\n\nincision radial keratotomy (RK) 23 years previously. Preoperative slit-lamp examination revealed well-\n\nhealed RK scars in both eyes. IOL power was calculated using the Barrett True-K formula to account for\n\npost-RK corneal changes. Sequential bilateral phacoemulsification was planned.",
        "Methods": "The right eye was operated first. Standard phacoemulsification with a 2.8 mm temporal clear corneal\n\nincision, positioned away from the RK scars, was performed uneventfully. IOL was inserted via cartridge\n\ninjector system without complication and postoperative course was unremarkable.\n\nThe left eye subsequently underwent the identical surgical procedure by the same surgeon using the same\n\n2.8 mm clear corneal incision technique, again deliberately placed away from the RK scars.\n\nPhacoemulsification was completed without difficulty. However, during IOL cartridge insertion, the\n\nmechanical stress of advancing the injector through the main wound caused sudden corneal wound\n\ndehiscence at the incision site. Critically, the dehiscence originated from the clear corneal wound itself—not\n\nfrom an adjacent RK scar—suggesting that the 8-incision RK had globally compromised corneal\n\nbiomechanical integrity rather than creating only focal areas of weakness. The wound gape resulted in\n\nanterior chamber shallowing and loss of a controlled surgical environment. The IOL was successfully\n\nimplanted and three interrupted 10-0 nylon sutures were placed to restore wound integrity. The anterior\n\nchamber was reformed and confirmed watertight.\n\nPostoperative recovery of the left eye was prolonged compared to the right due to suture-induced\n\nastigmatism. Selective suture removal was performed to optimize the refractive outcome, ultimately\n\nachieving satisfactory visual acuity.",
        "Results": "",
        "Conclusions": "Despite identical surgical technique,2.8 mm incision placed away from RK scars,and the same surgeon,only\n\none eye experienced wound dehiscence during IOL cartridge insertion-underscoring the unpredictable\n\nnature of post-RK corneal vulnerability even 23 years postoperatively.Key lessons:RK weakens the\n\nentire corneal structure;positioning incisions away from scars does not eliminate dehiscence risk;8-\n\nincision RK creates greater biomechanical compromise than 4-incision patterns;surgeons should\n\nconsider smaller incisions,manual IOL insertion,or wound-assist devices to minimize mechanical stress;10-0 nylon sutures should be immediately available;patients must be counseled regarding\n\nprolonged visual recovery due to potential suture-induced astigmatism."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 444
    },
    {
      "uid": "POCAT047",
      "abstract_number": "POCAT047",
      "title": "Intermediate Uveitis As The Sentinel Sign Of Pediatric Sarcoidosis",
      "authors": "Dr Rezki Wissem Hana",
      "presenter": "Dr Rezki Wissem Hana",
      "normalized_authors": [
        "Rezki Wissem Hana"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rezki Wissem Hana",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To describe a case of bilateral intermediate uveitis revealing systemic sarcoidosis in a pediatric patient and to emphasize the importance of comprehensive etiological assessment in childhood uveitis.",
        "Setting": "Department of Ophthalmology, University Hospital Center Mustapha, Algiers, Algeria.",
        "Methods": "A 13-year-old girl presented with a one-week history of subacute bilateral visual impairment associated with floaters.A complete ophthalmologic examination,multimodal retinal imaging,laboratory investigations, and systemic evaluation were performe.Infectious and autoimmune causes were systematically excluded.\n\nResult\n\nBest-corrected visual acuity was 8/10 in both eyes. Slit-lamp examination showed no anterior segment inflammation.Fundus examination revealed bilateral vitritis with characteristic vitreous “snowballs” and peripheral retinal vasculitis.\n\nExtensive infectious screening (toxoplasmosis, herpes viruses, syphilis,Lyme disease, tuberculosis) and immunologic testing (HLA-B27, ANA, ANCA, ASCA) were negative.Serum angiotensin-converting enzyme levels were elevated,Chest imaging demonstrated bilateral hilar lymphadenopathy.\n\nBased on ocular findings, elevated ACE levels, radiologic evidence of hilar lymphadenopathy, and exclusion of alternative etiologies, presumed sarcoidosis-associated bilateral intermediate uveitis was diagnosed\n\nSystemic corticosteroid therapy was initiated(intravenous methylprednisolone pulses followed by oral prednisone taper),combined with topical corticosteroids and cycloplegia. Visual acuity improved to 10/10 bilaterally within 15 days. No ocular complications were observed at one-month follow-up.",
        "Conclusions": "Intermediate uveitis in children is uncommon and may represent the initial manifestation of systemic sarcoidosis. A structured diagnostic approach is essential to exclude infectious and autoimmune etiologies. Prompt systemic corticosteroid therapy ensures effective inflammatory control.Long-term monitoring is required to detect potential recurrences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Intermediate uveitis in children is uncommon and may represent the initial manifestation of systemic sarcoidosis. A structured diagnostic approach is essential to exclude infectious and autoimmune etiologies. Prompt systemic corticosteroid therapy ensures effective inflammatory control.Long-term monitoring is required to detect potential recurrences.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 91,
      "source_fields": {
        "Abstract Final Identifier": "POCAT047",
        "Title": "Intermediate Uveitis As The Sentinel Sign Of Pediatric Sarcoidosis",
        "Presenting Author(s)": "Dr Rezki Wissem Hana",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Rezki",
        "Submitter Middle Name": "Wissem",
        "Submitter Last Name": "Hana",
        "Country Name": "Algeria",
        "Purpose": "To describe a case of bilateral intermediate uveitis revealing systemic sarcoidosis in a pediatric patient and to emphasize the importance of comprehensive etiological assessment in childhood uveitis.",
        "Setting": "Department of Ophthalmology, University Hospital Center Mustapha, Algiers, Algeria.",
        "Methods": "A 13-year-old girl presented with a one-week history of subacute bilateral visual impairment associated with floaters.A complete ophthalmologic examination,multimodal retinal imaging,laboratory investigations, and systemic evaluation were performe.Infectious and autoimmune causes were systematically excluded.\n\nResult\n\nBest-corrected visual acuity was 8/10 in both eyes. Slit-lamp examination showed no anterior segment inflammation.Fundus examination revealed bilateral vitritis with characteristic vitreous “snowballs” and peripheral retinal vasculitis.\n\nExtensive infectious screening (toxoplasmosis, herpes viruses, syphilis,Lyme disease, tuberculosis) and immunologic testing (HLA-B27, ANA, ANCA, ASCA) were negative.Serum angiotensin-converting enzyme levels were elevated,Chest imaging demonstrated bilateral hilar lymphadenopathy.\n\nBased on ocular findings, elevated ACE levels, radiologic evidence of hilar lymphadenopathy, and exclusion of alternative etiologies, presumed sarcoidosis-associated bilateral intermediate uveitis was diagnosed\n\nSystemic corticosteroid therapy was initiated(intravenous methylprednisolone pulses followed by oral prednisone taper),combined with topical corticosteroids and cycloplegia. Visual acuity improved to 10/10 bilaterally within 15 days. No ocular complications were observed at one-month follow-up.",
        "Results": "",
        "Conclusions": "Intermediate uveitis in children is uncommon and may represent the initial manifestation of systemic sarcoidosis. A structured diagnostic approach is essential to exclude infectious and autoimmune etiologies. Prompt systemic corticosteroid therapy ensures effective inflammatory control.Long-term monitoring is required to detect potential recurrences."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCAT048",
      "abstract_number": "POCAT048",
      "title": "Multifocal Intraocular Lens Implantation After Conductive Keratoplasty Using A Four-Step Corneal Topography Screening Protocol",
      "authors": "Ms Midori Hirabayashi",
      "presenter": "Ms Midori Hirabayashi",
      "normalized_authors": [
        "Midori Hirabayashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Midori Hirabayashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Conductive keratoplasty (CK) is a non-ablative refractive procedure that was widely performed in the early 2000s for presbyopia and low hyperopia. However, long-term refractive regression and corneal irregularity after CK raise concerns regarding the suitability of multifocal intraocular lenses(IOLs) in subsequent cataract surgery. Because multifocal IOLs are sensitive to preexisting corneal aberrations, post-CK eyes are often considered poor candidates. This report describes the successful bilateral implantation of diffractive trifocal toric IOLs in a post-CK eye using a structured four-step corneal topography screening protocol.",
        "Setting": "Single-center case report conducted at The University of Osaka Hospital in Japan",
        "Methods": "A 74-year-old woman with bilateral cataracts had undergone CK (eight spots per eye) approximately 20 years earlier and laser iridotomy for narrow angles. She desired spectacle independence with priority for near vision and was not highly concerned about glare or halos.Preoperative corrected distance visual acuity was 20/40 in the right eye and 20/50 in the left eye. Manifest refraction was +0.75 D sphere with −1.00 D cylinder at 80° in the right eye and +0.75 D sphere with −0.50 D cylinder at 130° in the left eye. Corneal tomography and optical biometry were performed using swept-source anterior segment OCT and optical biometry. Candidacy for a diffractive trifocal toric IOL was assessed using a structured four-step corneal screening protocol (Goto et al, Ophthalmology 2021) evaluating higher-order aberrations (HOAs), corneal symmetry, regularity of astigmatism, and spherical aberration.HOAs were < 0.30 µm, corneal shape was symmetric without focal irregularity, astigmatism was regular and centrally located, and spherical aberration was within an acceptable range.IOL power was calculated using the Barrett Universal II formula, not the Barrett True-K formula. Surgery was uneventful, and a trifocal toric IOL was implanted in both eyes. At 3 months, corrected distance visual acuity was 20/20 in both eyes. Binocular uncorrected acuity was 20/16 at distance, 20/22 at 70 cm, and 20/25 at 40 cm. Mild halos were reported without bothersome glare, and no complications occurred.",
        "Conclusions": "This case demonstrates that satisfactory visual outcomes with diffractive trifocal toric IOLs can be achieved in eyes with prior CK when a systematic corneal topography- and tomography-based screening protocol is applied. Careful evaluation of corneal regularity, higher-order aberrations, astigmatism, and spherical aberration is essential for appropriate patient selection. Structured corneal assessment may expand the indications for multifocal IOL implantation even in post-refractive surgery eyes traditionally considered high risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates that satisfactory visual outcomes with diffractive trifocal toric IOLs can be achieved in eyes with prior CK when a systematic corneal topography- and tomography-based screening protocol is applied. Careful evaluation of corneal regularity, higher-order aberrations, astigmatism, and spherical aberration is essential for appropriate patient selection. Structured corneal assessment may expand…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 92,
      "source_fields": {
        "Abstract Final Identifier": "POCAT048",
        "Title": "Multifocal Intraocular Lens Implantation After Conductive Keratoplasty Using A Four-Step Corneal Topography Screening Protocol",
        "Presenting Author(s)": "Ms Midori Hirabayashi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Midori",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hirabayashi",
        "Country Name": "Japan",
        "Purpose": "Conductive keratoplasty (CK) is a non-ablative refractive procedure that was widely performed in the early 2000s for presbyopia and low hyperopia. However, long-term refractive regression and corneal irregularity after CK raise concerns regarding the suitability of multifocal intraocular lenses(IOLs) in subsequent cataract surgery. Because multifocal IOLs are sensitive to preexisting corneal aberrations, post-CK eyes are often considered poor candidates. This report describes the successful bilateral implantation of diffractive trifocal toric IOLs in a post-CK eye using a structured four-step corneal topography screening protocol.",
        "Setting": "Single-center case report conducted at The University of Osaka Hospital in Japan",
        "Methods": "A 74-year-old woman with bilateral cataracts had undergone CK (eight spots per eye) approximately 20 years earlier and laser iridotomy for narrow angles. She desired spectacle independence with priority for near vision and was not highly concerned about glare or halos.Preoperative corrected distance visual acuity was 20/40 in the right eye and 20/50 in the left eye. Manifest refraction was +0.75 D sphere with −1.00 D cylinder at 80° in the right eye and +0.75 D sphere with −0.50 D cylinder at 130° in the left eye. Corneal tomography and optical biometry were performed using swept-source anterior segment OCT and optical biometry. Candidacy for a diffractive trifocal toric IOL was assessed using a structured four-step corneal screening protocol (Goto et al, Ophthalmology 2021) evaluating higher-order aberrations (HOAs), corneal symmetry, regularity of astigmatism, and spherical aberration.HOAs were < 0.30 µm, corneal shape was symmetric without focal irregularity, astigmatism was regular and centrally located, and spherical aberration was within an acceptable range.IOL power was calculated using the Barrett Universal II formula, not the Barrett True-K formula. Surgery was uneventful, and a trifocal toric IOL was implanted in both eyes. At 3 months, corrected distance visual acuity was 20/20 in both eyes. Binocular uncorrected acuity was 20/16 at distance, 20/22 at 70 cm, and 20/25 at 40 cm. Mild halos were reported without bothersome glare, and no complications occurred.",
        "Results": "",
        "Conclusions": "This case demonstrates that satisfactory visual outcomes with diffractive trifocal toric IOLs can be achieved in eyes with prior CK when a systematic corneal topography- and tomography-based screening protocol is applied. Careful evaluation of corneal regularity, higher-order aberrations, astigmatism, and spherical aberration is essential for appropriate patient selection. Structured corneal assessment may expand the indications for multifocal IOL implantation even in post-refractive surgery eyes traditionally considered high risk."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 403
    },
    {
      "uid": "POCAT049",
      "abstract_number": "POCAT049",
      "title": "A First-In-Human Clinical Investigation Using The Polaris System To Conduct Robot-Assisted Cataract Surgery With Intraocular Lens Implantation",
      "authors": "Dr Jean-Pierre Hubschman",
      "presenter": "Dr Jean-Pierre Hubschman",
      "normalized_authors": [
        "Jean-Pierre Hubschman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jean-Pierre Hubschman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "This was a first-in-human clinical investigation of robot-assisted cataract surgery using the Polaris System (Horizon Surgical Systems, Inc.). The Polaris System is designed to be used by the surgeon for enhanced visualization of anterior segment structures while performing surgical procedures from corneal incision to intraocular lens implantation via surgical cockpit.",
        "Setting": "The study was conducted at a private ophthalmology clinic in El Salvador.",
        "Methods": "Adult patients with planned cataract surgery were recruited for the study. After giving written informed consent, subjects were evaluated for eligibility according to the inclusion and exclusion criteria Eligible subjects were to undergo unilateral femtosecond laser-assisted cataract surgery in the study eye. The surgeon was to use the Polaris System to visualize the anterior segment while remotely controlling the robotic arm, which held standard surgical instruments used in routine cataract surgery. Surgical procedures included incision placement, removal of the crystalline lens by phacoemulsification, and intraocular lens implantation. Ten consented eligible subjects successfully underwent unilateral cataract surgery with IOL implantation in the study eye. Subjects ranged from 52 to 71 years of age, with a mean age of 62.8 years.\n\nAll surgical procedures were successfully completed for 10 eyes using the Polaris system, with no conversions from robot-assisted to manual, and no surgical complications. One observation was noted for a subject with an anatomical challenge for surgical access, but surgery was completed uneventfully. There were no adverse events, slit lamp findings were within normal limits, and all subjects had good visual acuity outcomes (BCDVA 20/28 or better) through 1 month of postoperative follow-up.",
        "Conclusions": "The Polaris System was successfully used to complete robot-assisted cataract surgery, which resulted in no adverse events and excellent visual outcomes through 1 month postoperative."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The Polaris System was successfully used to complete robot-assisted cataract surgery, which resulted in no adverse events and excellent visual outcomes through 1 month postoperative.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 93,
      "source_fields": {
        "Abstract Final Identifier": "POCAT049",
        "Title": "A First-In-Human Clinical Investigation Using The Polaris System To Conduct Robot-Assisted Cataract Surgery With Intraocular Lens Implantation",
        "Presenting Author(s)": "Dr Jean-Pierre Hubschman",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Jean-Pierre",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hubschman",
        "Country Name": "United States",
        "Purpose": "This was a first-in-human clinical investigation of robot-assisted cataract surgery using the Polaris System (Horizon Surgical Systems, Inc.). The Polaris System is designed to be used by the surgeon for enhanced visualization of anterior segment structures while performing surgical procedures from corneal incision to intraocular lens implantation via surgical cockpit.",
        "Setting": "The study was conducted at a private ophthalmology clinic in El Salvador.",
        "Methods": "Adult patients with planned cataract surgery were recruited for the study. After giving written informed consent, subjects were evaluated for eligibility according to the inclusion and exclusion criteria Eligible subjects were to undergo unilateral femtosecond laser-assisted cataract surgery in the study eye. The surgeon was to use the Polaris System to visualize the anterior segment while remotely controlling the robotic arm, which held standard surgical instruments used in routine cataract surgery. Surgical procedures included incision placement, removal of the crystalline lens by phacoemulsification, and intraocular lens implantation. Ten consented eligible subjects successfully underwent unilateral cataract surgery with IOL implantation in the study eye. Subjects ranged from 52 to 71 years of age, with a mean age of 62.8 years.\n\nAll surgical procedures were successfully completed for 10 eyes using the Polaris system, with no conversions from robot-assisted to manual, and no surgical complications. One observation was noted for a subject with an anatomical challenge for surgical access, but surgery was completed uneventfully. There were no adverse events, slit lamp findings were within normal limits, and all subjects had good visual acuity outcomes (BCDVA 20/28 or better) through 1 month of postoperative follow-up.",
        "Results": "",
        "Conclusions": "The Polaris System was successfully used to complete robot-assisted cataract surgery, which resulted in no adverse events and excellent visual outcomes through 1 month postoperative."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCAT050",
      "abstract_number": "POCAT050",
      "title": "Title\nManagement Of Small Pupil During Phacoemulsification:\nClinical Role Of Bimanual Pupil Stretching\nCase Series",
      "authors": "Dr Xumar Gulverdi Ibragimova",
      "presenter": "Dr Xumar Gulverdi Ibragimova",
      "normalized_authors": [
        "Xumar Gulverdi Ibragimova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xumar Gulverdi Ibragimova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Azerbaijan",
      "sections": {
        "Purpose": "To evaluate pharmacological and mechanical methods of pupil expansion during phacoemulsification, with particular emphasis on the effectiveness, safety, and clinical applicability of bimanual pupil stretching (BPS).",
        "Setting": "A literature review and clinical experience analysis were performed in patients with small or poorly dilating pupils undergoing phacoemulsification. Causes included pseudoexfoliation, synechiae, glaucoma, IFIS, miotic therapy, and prior surgery. Pupil management was pharmacological or mechanical. Outcomes included pupil diameter, stability, surgical time, and postoperative appearance.",
        "Methods": "Results:\n\nPharmacological dilation alone was frequently insufficient in eyes with rigid or fibrotic pupils. Viscodilation provided temporary pupil enlargement but often resulted in unstable dilation requiring repeated application. Mechanical expansion techniques achieved more reliable and stable pupil enlargement. The largest pupil diameters (approximately 6.25–7.0 mm) were obtained using pupil expansion devices; however, these required additional surgical time, specialized instrumentation, and increased costs.\n\nBimanual pupil stretching achieved mean pupil diameters of approximately 5.5–5.9 mm, sufficient for safe phacoemulsification in most cases. BPS was among the fastest pupil expansion techniques and did not significantly prolong surgical time. When performed carefully, postoperative pupil appearance was comparable to that achieved with pupil expansion rings.",
        "Conclusions": "Conclusion:\n\nSmall pupil remains a common and clinically relevant challenge in cataract surgery. A stepwise and individualized approach to pupil management is essential. Bimanual pupil stretching is a simple, fast, cost-effective, and widely available technique that provides adequate pupil enlargement for safe phacoemulsification in selected cases without the need for additional devices."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusion: Small pupil remains a common and clinically relevant challenge in cataract surgery. A stepwise and individualized approach to pupil management is essential. Bimanual pupil stretching is a simple, fast, cost-effective, and widely available technique that provides adequate pupil enlargement for safe phacoemulsification in selected cases without the need for additional devices.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 94,
      "source_fields": {
        "Abstract Final Identifier": "POCAT050",
        "Title": "Title\nManagement Of Small Pupil During Phacoemulsification:\nClinical Role Of Bimanual Pupil Stretching\nCase Series",
        "Presenting Author(s)": "Dr Xumar Gulverdi Ibragimova",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Xumar",
        "Submitter Middle Name": "Gulverdi",
        "Submitter Last Name": "Ibragimova",
        "Country Name": "Azerbaijan",
        "Purpose": "To evaluate pharmacological and mechanical methods of pupil expansion during phacoemulsification, with particular emphasis on the effectiveness, safety, and clinical applicability of bimanual pupil stretching (BPS).",
        "Setting": "A literature review and clinical experience analysis were performed in patients with small or poorly dilating pupils undergoing phacoemulsification. Causes included pseudoexfoliation, synechiae, glaucoma, IFIS, miotic therapy, and prior surgery. Pupil management was pharmacological or mechanical. Outcomes included pupil diameter, stability, surgical time, and postoperative appearance.",
        "Methods": "Results:\n\nPharmacological dilation alone was frequently insufficient in eyes with rigid or fibrotic pupils. Viscodilation provided temporary pupil enlargement but often resulted in unstable dilation requiring repeated application. Mechanical expansion techniques achieved more reliable and stable pupil enlargement. The largest pupil diameters (approximately 6.25–7.0 mm) were obtained using pupil expansion devices; however, these required additional surgical time, specialized instrumentation, and increased costs.\n\nBimanual pupil stretching achieved mean pupil diameters of approximately 5.5–5.9 mm, sufficient for safe phacoemulsification in most cases. BPS was among the fastest pupil expansion techniques and did not significantly prolong surgical time. When performed carefully, postoperative pupil appearance was comparable to that achieved with pupil expansion rings.",
        "Results": "",
        "Conclusions": "Conclusion:\n\nSmall pupil remains a common and clinically relevant challenge in cataract surgery. A stepwise and individualized approach to pupil management is essential. Bimanual pupil stretching is a simple, fast, cost-effective, and widely available technique that provides adequate pupil enlargement for safe phacoemulsification in selected cases without the need for additional devices."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCAT051",
      "abstract_number": "POCAT051",
      "title": "Complete Anterior Capsule Explosion\" During Phacoemulsification: Peripheral-To-Central Tear Propagation With Successful Ma60ac 3-Piece Iol Bag Placement And 10/10 Visual Outcome",
      "authors": "Dr Tomas Jaeschke",
      "presenter": "Dr Tomas Jaeschke",
      "normalized_authors": [
        "Tomas Jaeschke"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tomas Jaeschke",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report an extremely rare intraoperative complication during phacoemulsification: complete anterior capsule \"explosion\" with peripheral-to-central tear propagation (reverse of typical central-to-peripheral CCC extension), leaving posterior capsule completely intact. This case demonstrates original stabilization maneuvers permitting successful 3-piece MA60AC IOL implantation directly into capsular bag despite total anterior capsule loss, avoiding sulcus placement complications. Highlights atypical capsule tear biomechanics, innovative intraoperative management, and excellent 2-month outcome (10/10 with +0.25-1.25×96), providing technique for surgeons facing this 0.1-0.2% incidence catastrophe",
        "Setting": "73-year-old female with dense cataract at Hospital Lagleyze (university teaching hospital), Buenos Aires, Argentina. Performed by surgeon-in-training accompanied by experienced instructor . Standard 2.4 mm clear corneal incision, chop technique. Available IOL: Alcon MA60AC 3-piece hydrophobic acrylic (24 D). Postoperative follow-up: 1 week, 1 month, 2 months. Video documentation available detailing stabilization maneuvers, capsule explosion discovery, and IOL placement",
        "Methods": "PREOPERATIVE ASSESSMENT\n73-year-old female presented with dense nuclear cataract OU and poor uncorrected distance visual acuity (UDVA <0.1 decimal). Slit-lamp examination revealed healthy cornea, no pseudoexfoliation, normal anterior chamber. Biometry targeted emmetropia (24 D IOL power).Clear corneal incision 2.4mm and hydrodissection uneventful. Continuous curvilinear capsulorhexis initiated without resistance. During nuclear disassembly, sudden capsulorhexis eccentricitation observed—initially interpreted as zonular dialysis by training surgeon.\n\nORIGINAL STABILIZATION MANEUVERS (instructor-guided):\n\n•\nAbundant viscoadaptive OVD injection supporting capsular equator\n\n•\nIris retractors stabilizing fornix (preventing vitreous prolapse)\n\n•\nCapsule forceps repositioning equatorial rim\n\n•\nDispersive OVD maintaining anterior chamber\n\nCRITICAL DISCOVERY (cortical cleanup): Complete anterior capsule \"explosion\"—peripheral tear propagated centrally, ejecting entire anterior capsule membrane while posterior capsule remained INTACT . MA60AC 24 D 3-piece IOL selected. Lead haptic inserted perpendicular to equatorial tear sector. Optic rotated 90°; trailing haptic positioned opposite. Perfect centering confirmed under OVD.viscoelastic aspiration.\n\nPOSTOPERATIVE OUTCOMES\nDay 1: UDVA 0.6 decimal, well-centered IOL, mild cell/flare.\n1 month: UDVA 0.7 plano, stable position.\n2 months: UDVA 10/10 (+0.25-1.25×96) , UNVA J3, quiet anterior chamber. Slit-lamp confirmed stable bag placement without tilt/pseudophakodonesis",
        "Conclusions": "Key lessons :\n\n•\nAtypical peripheral→central tear propagation in rigid dense cataracts\n\n•\nOriginal stabilization : Iris retractors+ experience manuvers + viscoadaptive OVD + capsule forceps prevent posterior extension (24-48% risk)\n\n•\nMA60AC 3-piece BAG placement optimal : Haptics perpendicular to tear ensure stability without CCC\n\n•\nTraining value : Experienced instructor (>3000 cases) + real-time guidance = 10/10 result despite complete capsule loss\n\nRare complications continue teaching . Expert supervision converts intraoperative disasters into publishable successes. Video documents unique technique. 3-piece bag IOL preferred over sulcus when posterior capsule intact (avoids 15-20% decentration risk)"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Key lessons : • Atypical peripheral→central tear propagation in rigid dense cataracts • Original stabilization : Iris retractors+ experience manuvers + viscoadaptive OVD + capsule forceps prevent posterior extension (24-48% risk) • MA60AC 3-piece BAG placement optimal : Haptics perpendicular to tear ensure stability without CCC • Training value : Experienced instructor (>3000 cases) + real-time guidance = 10/10…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 95,
      "source_fields": {
        "Abstract Final Identifier": "POCAT051",
        "Title": "Complete Anterior Capsule Explosion\" During Phacoemulsification: Peripheral-To-Central Tear Propagation With Successful Ma60ac 3-Piece Iol Bag Placement And 10/10 Visual Outcome",
        "Presenting Author(s)": "Dr Tomas Jaeschke",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Tomas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jaeschke",
        "Country Name": "Argentina",
        "Purpose": "To report an extremely rare intraoperative complication during phacoemulsification: complete anterior capsule \"explosion\" with peripheral-to-central tear propagation (reverse of typical central-to-peripheral CCC extension), leaving posterior capsule completely intact. This case demonstrates original stabilization maneuvers permitting successful 3-piece MA60AC IOL implantation directly into capsular bag despite total anterior capsule loss, avoiding sulcus placement complications. Highlights atypical capsule tear biomechanics, innovative intraoperative management, and excellent 2-month outcome (10/10 with +0.25-1.25×96), providing technique for surgeons facing this 0.1-0.2% incidence catastrophe",
        "Setting": "73-year-old female with dense cataract at Hospital Lagleyze (university teaching hospital), Buenos Aires, Argentina. Performed by surgeon-in-training accompanied by experienced instructor . Standard 2.4 mm clear corneal incision, chop technique. Available IOL: Alcon MA60AC 3-piece hydrophobic acrylic (24 D). Postoperative follow-up: 1 week, 1 month, 2 months. Video documentation available detailing stabilization maneuvers, capsule explosion discovery, and IOL placement",
        "Methods": "PREOPERATIVE ASSESSMENT\n73-year-old female presented with dense nuclear cataract OU and poor uncorrected distance visual acuity (UDVA <0.1 decimal). Slit-lamp examination revealed healthy cornea, no pseudoexfoliation, normal anterior chamber. Biometry targeted emmetropia (24 D IOL power).Clear corneal incision 2.4mm and hydrodissection uneventful. Continuous curvilinear capsulorhexis initiated without resistance. During nuclear disassembly, sudden capsulorhexis eccentricitation observed—initially interpreted as zonular dialysis by training surgeon.\n\nORIGINAL STABILIZATION MANEUVERS (instructor-guided):\n\n•\nAbundant viscoadaptive OVD injection supporting capsular equator\n\n•\nIris retractors stabilizing fornix (preventing vitreous prolapse)\n\n•\nCapsule forceps repositioning equatorial rim\n\n•\nDispersive OVD maintaining anterior chamber\n\nCRITICAL DISCOVERY (cortical cleanup): Complete anterior capsule \"explosion\"—peripheral tear propagated centrally, ejecting entire anterior capsule membrane while posterior capsule remained INTACT . MA60AC 24 D 3-piece IOL selected. Lead haptic inserted perpendicular to equatorial tear sector. Optic rotated 90°; trailing haptic positioned opposite. Perfect centering confirmed under OVD.viscoelastic aspiration.\n\nPOSTOPERATIVE OUTCOMES\nDay 1: UDVA 0.6 decimal, well-centered IOL, mild cell/flare.\n1 month: UDVA 0.7 plano, stable position.\n2 months: UDVA 10/10 (+0.25-1.25×96) , UNVA J3, quiet anterior chamber. Slit-lamp confirmed stable bag placement without tilt/pseudophakodonesis",
        "Results": "",
        "Conclusions": "Key lessons :\n\n•\nAtypical peripheral→central tear propagation in rigid dense cataracts\n\n•\nOriginal stabilization : Iris retractors+ experience manuvers + viscoadaptive OVD + capsule forceps prevent posterior extension (24-48% risk)\n\n•\nMA60AC 3-piece BAG placement optimal : Haptics perpendicular to tear ensure stability without CCC\n\n•\nTraining value : Experienced instructor (>3000 cases) + real-time guidance = 10/10 result despite complete capsule loss\n\nRare complications continue teaching . Expert supervision converts intraoperative disasters into publishable successes. Video documents unique technique. 3-piece bag IOL preferred over sulcus when posterior capsule intact (avoids 15-20% decentration risk)"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 413
    },
    {
      "uid": "POCAT052",
      "abstract_number": "POCAT052",
      "title": "Managing Challenging Pupils Using A Pupil Expansion Ring In A Post-Traumatic Eye",
      "authors": "Dr Susana PATRICIA Jarrin Aguilar",
      "presenter": "Dr Susana PATRICIA Jarrin Aguilar",
      "normalized_authors": [
        "Susana PATRICIA Jarrin Aguilar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Susana PATRICIA Jarrin Aguilar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ecuador",
      "sections": {
        "Purpose": "To highlight the usefulness of the Canabrava Ring as an effective pupil expansion device for managing challenging pupils, particularly in post-traumatic eyes with anterior synechiae and altered anterior segment anatomy.",
        "Setting": "Centro Oftalmologico de Minas Gerais",
        "Methods": "A 35-year-old male with a history of penetrating ocular trauma involving the cornea, iris, and crystalline lens presented for cataract surgery. The trauma resulted in severe pupillary distortion, extensive anterior synechiae, and a shallow anterior chamber, making pupil management a critical surgical challenge.\n\nAfter careful synechiolysis, a Canabrava Ring was implanted to achieve stable and adequate pupil dilation. The device provided excellent exposure of the surgical field and maintained pupil stability throughout all surgical steps, allowing safe cataract extraction and successful posterior chamber intraocular lens implantation. The ring remained stable intraoperatively and was easily removed at the end of the procedure. No intraoperative complications were observed.\n\nPostoperatively, the pupil remained stable with good centration. At one-year follow-up, the intraocular lens was well positioned, anterior chamber anatomy was preserved, and no late complications were noted.",
        "Conclusions": "Managing challenging pupils is a key step in complex cataract surgery, particularly in post-traumatic eyes. The Canabrava Ring proved to be a highly useful and effective device, providing excellent intraoperative stability and facilitating safe and controlled surgery with favorable long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Managing challenging pupils is a key step in complex cataract surgery, particularly in post-traumatic eyes. The Canabrava Ring proved to be a highly useful and effective device, providing excellent intraoperative stability and facilitating safe and controlled surgery with favorable long-term outcomes.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 96,
      "source_fields": {
        "Abstract Final Identifier": "POCAT052",
        "Title": "Managing Challenging Pupils Using A Pupil Expansion Ring In A Post-Traumatic Eye",
        "Presenting Author(s)": "Dr Susana PATRICIA Jarrin Aguilar",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Susana",
        "Submitter Middle Name": "PATRICIA",
        "Submitter Last Name": "Jarrin Aguilar",
        "Country Name": "Ecuador",
        "Purpose": "To highlight the usefulness of the Canabrava Ring as an effective pupil expansion device for managing challenging pupils, particularly in post-traumatic eyes with anterior synechiae and altered anterior segment anatomy.",
        "Setting": "Centro Oftalmologico de Minas Gerais",
        "Methods": "A 35-year-old male with a history of penetrating ocular trauma involving the cornea, iris, and crystalline lens presented for cataract surgery. The trauma resulted in severe pupillary distortion, extensive anterior synechiae, and a shallow anterior chamber, making pupil management a critical surgical challenge.\n\nAfter careful synechiolysis, a Canabrava Ring was implanted to achieve stable and adequate pupil dilation. The device provided excellent exposure of the surgical field and maintained pupil stability throughout all surgical steps, allowing safe cataract extraction and successful posterior chamber intraocular lens implantation. The ring remained stable intraoperatively and was easily removed at the end of the procedure. No intraoperative complications were observed.\n\nPostoperatively, the pupil remained stable with good centration. At one-year follow-up, the intraocular lens was well positioned, anterior chamber anatomy was preserved, and no late complications were noted.",
        "Results": "",
        "Conclusions": "Managing challenging pupils is a key step in complex cataract surgery, particularly in post-traumatic eyes. The Canabrava Ring proved to be a highly useful and effective device, providing excellent intraoperative stability and facilitating safe and controlled surgery with favorable long-term outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 210
    },
    {
      "uid": "POCAT053",
      "abstract_number": "POCAT053",
      "title": "Extreme Regular Astigmatism: Bilateral Sequential Cataract Surgery With Zeiss At Torbi 719M Using Total Keratometry–Based Planning And Callisto Digital Alignment",
      "authors": "Dr Marianela Jimenez",
      "presenter": "Dr Marianela Jimenez",
      "normalized_authors": [
        "Marianela Jimenez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marianela Jimenez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present bilateral cataract surgery in a patient with extreme regular corneal astigmatism treated with very high-cylinder toric IOLs (ZEISS AT TORBI 719M, up to +11.00 D), emphasizing Total Keratometry (TK)–based planning with the ZEISS toric calculator and precise intraoperative axis alignment using CALLISTO eye digital guidance.",
        "Setting": "Tertiary eye clinic. Sequential phacoemulsification with in-the-bag implantation of high-power toric IOLs, planned with ZEISS Toric Calculator using Total Keratometry and aligned with CALLISTO eye.",
        "Methods": "A 64-year-old female with bilateral cataract and extreme regular astigmatism underwent sequential phacoemulsification. Corneal tomography confirmed a regular pattern. Total Keratometry measurements used for toric planning showed OD astigmatism 8.38 D (TK1 40.79 D @12°, TK2 49.17 D @102°) and OS astigmatism 6.92 D (TK1 41.11 D @158°, TK2 48.03 D @68°). Axial length was 22.96 mm (OD) and 23.05 mm (OS). IOL power and axis were calculated with the ZEISS Toric Calculator incorporating SIA 0.12 D @180°. Surgery was uneventful. A ZEISS AT TORBI 719M +20.50 D with cylinder +11.00 D was implanted in OD and aligned at 102° (13/05/2025). In OS, a ZEISS AT TORBI 719M +20.50 D with cylinder +9.00 D was implanted and aligned at 69° (26/02/2026). Axis positioning was performed with CALLISTO eye digital guidance. Postoperatively, both toric IOLs remained well centred and stable. Final refraction was OD −0.75 D (axis 5°) and OS +0.50/−1.00×135°. Despite residual refractive error, the patient achieved uncorrected distance visual acuity of 1.0 (decimal) with stable pseudophakia in both eyes.",
        "Conclusions": "This case illustrates that even extreme regular astigmatism (≈7–8 D) can be substantially reduced with very high-cylinder toric IOLs when planning is TK-based and alignment is tightly controlled. Use of ZEISS Total Keratometry within the toric calculator and CALLISTO-guided digital axis alignment enabled implantation of an AT TORBI 719M toric range up to +11.00 D with stable centration and excellent uncorrected vision, supporting feasibility and predictability of toric correction in extreme cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case illustrates that even extreme regular astigmatism (≈7–8 D) can be substantially reduced with very high-cylinder toric IOLs when planning is TK-based and alignment is tightly controlled. Use of ZEISS Total Keratometry within the toric calculator and CALLISTO-guided digital axis alignment enabled implantation of an AT TORBI 719M toric range up to +11.00 D with stable centration and excellent uncorrected…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 97,
      "source_fields": {
        "Abstract Final Identifier": "POCAT053",
        "Title": "Extreme Regular Astigmatism: Bilateral Sequential Cataract Surgery With Zeiss At Torbi 719M Using Total Keratometry–Based Planning And Callisto Digital Alignment",
        "Presenting Author(s)": "Dr Marianela Jimenez",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Marianela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jimenez",
        "Country Name": "Spain",
        "Purpose": "To present bilateral cataract surgery in a patient with extreme regular corneal astigmatism treated with very high-cylinder toric IOLs (ZEISS AT TORBI 719M, up to +11.00 D), emphasizing Total Keratometry (TK)–based planning with the ZEISS toric calculator and precise intraoperative axis alignment using CALLISTO eye digital guidance.",
        "Setting": "Tertiary eye clinic. Sequential phacoemulsification with in-the-bag implantation of high-power toric IOLs, planned with ZEISS Toric Calculator using Total Keratometry and aligned with CALLISTO eye.",
        "Methods": "A 64-year-old female with bilateral cataract and extreme regular astigmatism underwent sequential phacoemulsification. Corneal tomography confirmed a regular pattern. Total Keratometry measurements used for toric planning showed OD astigmatism 8.38 D (TK1 40.79 D @12°, TK2 49.17 D @102°) and OS astigmatism 6.92 D (TK1 41.11 D @158°, TK2 48.03 D @68°). Axial length was 22.96 mm (OD) and 23.05 mm (OS). IOL power and axis were calculated with the ZEISS Toric Calculator incorporating SIA 0.12 D @180°. Surgery was uneventful. A ZEISS AT TORBI 719M +20.50 D with cylinder +11.00 D was implanted in OD and aligned at 102° (13/05/2025). In OS, a ZEISS AT TORBI 719M +20.50 D with cylinder +9.00 D was implanted and aligned at 69° (26/02/2026). Axis positioning was performed with CALLISTO eye digital guidance. Postoperatively, both toric IOLs remained well centred and stable. Final refraction was OD −0.75 D (axis 5°) and OS +0.50/−1.00×135°. Despite residual refractive error, the patient achieved uncorrected distance visual acuity of 1.0 (decimal) with stable pseudophakia in both eyes.",
        "Results": "",
        "Conclusions": "This case illustrates that even extreme regular astigmatism (≈7–8 D) can be substantially reduced with very high-cylinder toric IOLs when planning is TK-based and alignment is tightly controlled. Use of ZEISS Total Keratometry within the toric calculator and CALLISTO-guided digital axis alignment enabled implantation of an AT TORBI 719M toric range up to +11.00 D with stable centration and excellent uncorrected vision, supporting feasibility and predictability of toric correction in extreme cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCAT054",
      "abstract_number": "POCAT054",
      "title": "Extended Depth Of Focus Intraocular Lens Implantation In A Patient With Retinitis Pigmentosa: A Case Report And Management Of Postoperative Capsular Fibrosis",
      "authors": "Ms Shahzoda Jurakhonova",
      "presenter": "Ms Shahzoda Jurakhonova",
      "normalized_authors": [
        "Shahzoda Jurakhonova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shahzoda Jurakhonova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "This case report evaluates the feasibility and clinical outcomes of extended depth of focus (EDOF) intraocular lens (IOL) implantation in a 36-year-old male with inherited retinitis pigmentosa (RP), contrary to traditional recommendations favoring monofocal IOLs. It further describes the use of preoperative Alloplant therapy as an additional approach prior to cataract surgery in patients with RP to reduce the risk of retinal complications and discusses the surgical management of post-operative central anterior capsular fibrosis. This case aims to provide clinical insights into IOL selection in RP patients and complication management.",
        "Setting": "The case was managed at Optimed Medical Center, a tertiary ophthalmology clinic in Tashkent, Uzbekistan, equipped for advanced cataract and retinal diagnostics and surgical interventions.",
        "Methods": "A 36-year-old male with a history of inherited retinitis pigmentosa (RP) presented with a complicated mature cataract (Grade 3) in the left eye, associated with vitreoretinal traction, and an incipient cataract in the right eye. Preoperative BCVA was 1.52 LogMAR in the left eye and 1.0 LogMAR in the right eye.\n\nAlloplant injection was administered preoperatively in the left eye to reduce the risk of retinal complications, although its effect on retinal stability remains exploratory. with implantation of an EDOF IOL was performed in the left eye at the patient’s informed request, following detailed counseling regarding the limited evidence either supporting or opposing EDOF IOL use in patients with retinitis pigmentosa.\n\nPostoperatively, BCVA improved to 0.52 LogMAR within a week. However, BCVA declined to 0.8 LogMAR by the second postoperative week due to posterior capsule opacification. At three weeks, further deterioration to 1.3 LogMAR was attributed to dense central anterior capsular fibrosis.\n\nNd:YAG laser capsulotomy was avoided due to the thickness of the fibrotic tissue and the associated risk of IOL damage. Surgical excision of the fibrotic tissue was therefore performed. At five months following cataract surgery, BCVA stabilized at 0.8 LogMAR, with no recurrence of anterior capsular fibrosis. Mild structural improvements were observed on optical coherence tomography (OCT). Nd:YAG laser capsulotomy for residual posterior capsule opacification is planned for March 2026.",
        "Conclusions": "This case underscores the potential feasibility of EDOF IOL implantation in a patient with retinitis pigmentosa, demonstrating visual improvement despite the occurrence of post-operative complications.The use of Alloplant therapy was part of an individualized treatment strategy, although its role in retinal stability remains exploratory.The successful surgical management of post-operative capsular fibrosis highlights\n\nimportant clinical considerations for managing rare but vision-limiting complications. These findings suggest that, in carefully selected patients, alternative IOL options may be considered alongside standard monofocal lenses, with thorough patient counseling and realistic expectation setting. Further investigation is required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case underscores the potential feasibility of EDOF IOL implantation in a patient with retinitis pigmentosa, demonstrating visual improvement despite the occurrence of post-operative complications.The use of Alloplant therapy was part of an individualized treatment strategy, although its role in retinal stability remains exploratory.The successful surgical management of post-operative capsular fibrosis…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 98,
      "source_fields": {
        "Abstract Final Identifier": "POCAT054",
        "Title": "Extended Depth Of Focus Intraocular Lens Implantation In A Patient With Retinitis Pigmentosa: A Case Report And Management Of Postoperative Capsular Fibrosis",
        "Presenting Author(s)": "Ms Shahzoda Jurakhonova",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Shahzoda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jurakhonova",
        "Country Name": "Uzbekistan",
        "Purpose": "This case report evaluates the feasibility and clinical outcomes of extended depth of focus (EDOF) intraocular lens (IOL) implantation in a 36-year-old male with inherited retinitis pigmentosa (RP), contrary to traditional recommendations favoring monofocal IOLs. It further describes the use of preoperative Alloplant therapy as an additional approach prior to cataract surgery in patients with RP to reduce the risk of retinal complications and discusses the surgical management of post-operative central anterior capsular fibrosis. This case aims to provide clinical insights into IOL selection in RP patients and complication management.",
        "Setting": "The case was managed at Optimed Medical Center, a tertiary ophthalmology clinic in Tashkent, Uzbekistan, equipped for advanced cataract and retinal diagnostics and surgical interventions.",
        "Methods": "A 36-year-old male with a history of inherited retinitis pigmentosa (RP) presented with a complicated mature cataract (Grade 3) in the left eye, associated with vitreoretinal traction, and an incipient cataract in the right eye. Preoperative BCVA was 1.52 LogMAR in the left eye and 1.0 LogMAR in the right eye.\n\nAlloplant injection was administered preoperatively in the left eye to reduce the risk of retinal complications, although its effect on retinal stability remains exploratory. with implantation of an EDOF IOL was performed in the left eye at the patient’s informed request, following detailed counseling regarding the limited evidence either supporting or opposing EDOF IOL use in patients with retinitis pigmentosa.\n\nPostoperatively, BCVA improved to 0.52 LogMAR within a week. However, BCVA declined to 0.8 LogMAR by the second postoperative week due to posterior capsule opacification. At three weeks, further deterioration to 1.3 LogMAR was attributed to dense central anterior capsular fibrosis.\n\nNd:YAG laser capsulotomy was avoided due to the thickness of the fibrotic tissue and the associated risk of IOL damage. Surgical excision of the fibrotic tissue was therefore performed. At five months following cataract surgery, BCVA stabilized at 0.8 LogMAR, with no recurrence of anterior capsular fibrosis. Mild structural improvements were observed on optical coherence tomography (OCT). Nd:YAG laser capsulotomy for residual posterior capsule opacification is planned for March 2026.",
        "Results": "",
        "Conclusions": "This case underscores the potential feasibility of EDOF IOL implantation in a patient with retinitis pigmentosa, demonstrating visual improvement despite the occurrence of post-operative complications.The use of Alloplant therapy was part of an individualized treatment strategy, although its role in retinal stability remains exploratory.The successful surgical management of post-operative capsular fibrosis highlights\n\nimportant clinical considerations for managing rare but vision-limiting complications. These findings suggest that, in carefully selected patients, alternative IOL options may be considered alongside standard monofocal lenses, with thorough patient counseling and realistic expectation setting. Further investigation is required."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 438
    },
    {
      "uid": "POCAT055",
      "abstract_number": "POCAT055",
      "title": "Early-Onset Lens Sclerosis In A Hyperbaric Chamber Technician: A Potential Occupational Effect Of Chronic Hyperoxia",
      "authors": "Dr Sofia Justo",
      "presenter": "Dr Sofia Justo",
      "normalized_authors": [
        "Sofia Justo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofia Justo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To report a striking case of early-onset bilateral combined cerulean and nuclear sclerosis in a hyperbaric chamber technician without conventional cataract risk factors, and to explore the hypothesis that chronic occupational exposure to hyperbaric oxygen may accelerate cataractogenesis. While hyperbaric oxygen therapy is known to induce transient myopic shifts and has been associated with lens sclerosis after prolonged therapeutic exposure, its potential occupational implications remain underexplored. This report aims to raise awareness of a possible occupational risk factor for accelerated lens opacification.",
        "Setting": "Single case from a tertiary hospital hyperbaric medicine unit involving a male technician with long-term occupational exposure to near-daily hyperbaric oxygen sessions. A detailed clinical and occupational history was obtained, excluding conventional cataract risk factors. A comprehensive ophthalmological examination performed five years earlier documented a clear crystalline lens. Current assessment included slit-lamp biomicroscopy, best-corrected visual acuity, and lens opacity grading.",
        "Methods": "A 44-year-old male hyperbaric chamber technician was referred for evaluation of bilateral lens opacities detected on routine examination. He denied visual complaints, including glare, blurred vision, or refractive changes. Best-corrected visual acuity was preserved in both eyes. Intraocular pressure was 17 mmHg bilaterally, and fundus examination was unremarkable. Slit-lamp biomicroscopy revealed bilateral, symmetrical lens changes characterized by prominent cerulean cortical opacities associated with early nuclear sclerosis. No posterior subcapsular involvement was observed. The patient denied a history of diabetes mellitus, systemic or topical corticosteroid use, uveitis, ocular trauma, ionizing radiation exposure, or family history of cataract. A comprehensive ophthalmological examination performed five years earlier documented a clear crystalline lens without lenticular abnormalities. Occupational history was notable for chronic hyperoxic exposure. The patient had been working as a hyperbaric chamber technician for 18 months prior to presentation, with near-daily exposure to hyperbaric oxygen sessions as part of his professional duties. No other relevant occupational or environmental exposures were identified.",
        "Conclusions": "Lens sclerosis associated with hyperbaric oxygen exposure is uncommon and has been reported mainly in patients undergoing prolonged or high cumulative therapeutic exposure, with cataract formation remaining rare and exceptional in occupational settings. This case highlights a potential occupational cataract risk related to chronic, non-therapeutic hyperoxic exposure in a hyperbaric technician without conventional risk factors. Although causality cannot be established from a single case, these findings support the hypothesis that repeated occupational hyperoxia may contribute to accelerated lens changes. Increased awareness and ophthalmological surveillance may help detect early lens alterations and address a gap in occupational eye health."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Lens sclerosis associated with hyperbaric oxygen exposure is uncommon and has been reported mainly in patients undergoing prolonged or high cumulative therapeutic exposure, with cataract formation remaining rare and exceptional in occupational settings. This case highlights a potential occupational cataract risk related to chronic, non-therapeutic hyperoxic exposure in a hyperbaric technician without conventional…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 99,
      "source_fields": {
        "Abstract Final Identifier": "POCAT055",
        "Title": "Early-Onset Lens Sclerosis In A Hyperbaric Chamber Technician: A Potential Occupational Effect Of Chronic Hyperoxia",
        "Presenting Author(s)": "Dr Sofia Justo",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sofia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Justo",
        "Country Name": "Portugal",
        "Purpose": "To report a striking case of early-onset bilateral combined cerulean and nuclear sclerosis in a hyperbaric chamber technician without conventional cataract risk factors, and to explore the hypothesis that chronic occupational exposure to hyperbaric oxygen may accelerate cataractogenesis. While hyperbaric oxygen therapy is known to induce transient myopic shifts and has been associated with lens sclerosis after prolonged therapeutic exposure, its potential occupational implications remain underexplored. This report aims to raise awareness of a possible occupational risk factor for accelerated lens opacification.",
        "Setting": "Single case from a tertiary hospital hyperbaric medicine unit involving a male technician with long-term occupational exposure to near-daily hyperbaric oxygen sessions. A detailed clinical and occupational history was obtained, excluding conventional cataract risk factors. A comprehensive ophthalmological examination performed five years earlier documented a clear crystalline lens. Current assessment included slit-lamp biomicroscopy, best-corrected visual acuity, and lens opacity grading.",
        "Methods": "A 44-year-old male hyperbaric chamber technician was referred for evaluation of bilateral lens opacities detected on routine examination. He denied visual complaints, including glare, blurred vision, or refractive changes. Best-corrected visual acuity was preserved in both eyes. Intraocular pressure was 17 mmHg bilaterally, and fundus examination was unremarkable. Slit-lamp biomicroscopy revealed bilateral, symmetrical lens changes characterized by prominent cerulean cortical opacities associated with early nuclear sclerosis. No posterior subcapsular involvement was observed. The patient denied a history of diabetes mellitus, systemic or topical corticosteroid use, uveitis, ocular trauma, ionizing radiation exposure, or family history of cataract. A comprehensive ophthalmological examination performed five years earlier documented a clear crystalline lens without lenticular abnormalities. Occupational history was notable for chronic hyperoxic exposure. The patient had been working as a hyperbaric chamber technician for 18 months prior to presentation, with near-daily exposure to hyperbaric oxygen sessions as part of his professional duties. No other relevant occupational or environmental exposures were identified.",
        "Results": "",
        "Conclusions": "Lens sclerosis associated with hyperbaric oxygen exposure is uncommon and has been reported mainly in patients undergoing prolonged or high cumulative therapeutic exposure, with cataract formation remaining rare and exceptional in occupational settings. This case highlights a potential occupational cataract risk related to chronic, non-therapeutic hyperoxic exposure in a hyperbaric technician without conventional risk factors. Although causality cannot be established from a single case, these findings support the hypothesis that repeated occupational hyperoxia may contribute to accelerated lens changes. Increased awareness and ophthalmological surveillance may help detect early lens alterations and address a gap in occupational eye health."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 398
    },
    {
      "uid": "POCAT056",
      "abstract_number": "POCAT056",
      "title": "An Intraocular Pressure Of 98Mmhg",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "A male in his 90s with severe learning difficulties was referred to eye casualty by his GP with suspected left eye periorbital cellulitis. Care home staff reported that the patient was reluctant to open his eye and struck out at anyone who attempted examining him. POH included bilateral cataract surgery in 2022 for left eye phacomorphic glaucoma. PMH included colon cancer and he was under palliative care.",
        "Setting": ".",
        "Methods": "IOP was right 18 and left 98 mmHg. Examination revealed left-sided preseptal cellulitis, proptosis, haemorrhagic chemosis, 360 o corneal neovascularisation, corneal oedema, flat AC, inferior hyphaema, mid-dilated pupil. The IOL was densely brown-tinted. B-scan revealed a heterogeneous mass in the posterior segment.\n\nDifferentials for the mass included vitreous haemorrhage; suprachoroidal haemorrhage; choroidal melanoma; choroidal metastasis. The patient was commenced on IV broad-spectrum antibiotics, Acetazolamide and IOP-lowering drops, steroids, antibiotics, and Atropine. CT confirmed orbital cellulitis and excluded retrobulbar masses or haemorrhage.\n\nDespite resolution of the cellulitis, IOP stayed between 95 to 99.\n\nFollowing best-interest multi-disciplinary meetings, GA for interventions such as cyclodiode, retrobulbar alcohol or enucleation were deemed too hazardous; and these procedures under LA / sedation posed challenges to the patient and his eye due to his variable cognitive status and compliance. Topical treatments and high-dose oral opioids maintained his IOP at mid-50s and returned his eye to its baseline pain-free state.",
        "Conclusions": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management choices. We explore RCOphth and Public Health England guidance on eye care for adults with learning difficulties."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 100,
      "source_fields": {
        "Abstract Final Identifier": "POCAT056",
        "Title": "An Intraocular Pressure Of 98Mmhg",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "A male in his 90s with severe learning difficulties was referred to eye casualty by his GP with suspected left eye periorbital cellulitis. Care home staff reported that the patient was reluctant to open his eye and struck out at anyone who attempted examining him. POH included bilateral cataract surgery in 2022 for left eye phacomorphic glaucoma. PMH included colon cancer and he was under palliative care.",
        "Setting": ".",
        "Methods": "IOP was right 18 and left 98 mmHg. Examination revealed left-sided preseptal cellulitis, proptosis, haemorrhagic chemosis, 360 o corneal neovascularisation, corneal oedema, flat AC, inferior hyphaema, mid-dilated pupil. The IOL was densely brown-tinted. B-scan revealed a heterogeneous mass in the posterior segment.\n\nDifferentials for the mass included vitreous haemorrhage; suprachoroidal haemorrhage; choroidal melanoma; choroidal metastasis. The patient was commenced on IV broad-spectrum antibiotics, Acetazolamide and IOP-lowering drops, steroids, antibiotics, and Atropine. CT confirmed orbital cellulitis and excluded retrobulbar masses or haemorrhage.\n\nDespite resolution of the cellulitis, IOP stayed between 95 to 99.\n\nFollowing best-interest multi-disciplinary meetings, GA for interventions such as cyclodiode, retrobulbar alcohol or enucleation were deemed too hazardous; and these procedures under LA / sedation posed challenges to the patient and his eye due to his variable cognitive status and compliance. Topical treatments and high-dose oral opioids maintained his IOP at mid-50s and returned his eye to its baseline pain-free state.",
        "Results": "",
        "Conclusions": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management choices. We explore RCOphth and Public Health England guidance on eye care for adults with learning difficulties."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT057",
      "abstract_number": "POCAT057",
      "title": "Suprachoroidal Triamcinolone Acetonide For Postoperative Vitritis Following Phacoemulsification: A Case Report",
      "authors": "Dr Saira Kazmi",
      "presenter": "Dr Saira Kazmi",
      "normalized_authors": [
        "Saira Kazmi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saira Kazmi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To describe clinical outcome of a patient presented with vitritis post phacoemulsification treated with Suprachoroidal steroid (SCS), not responding to topical and systemic steroids.",
        "Setting": "District Headquarter Hospital, Sheikhupura, Pakistan.",
        "Methods": "A male patient , 65 yr old, diabetic & hypertensive, with the history of TIA ( Transient Ischemic Attack) one year ago, underwent uneventful phacoemulsification + PC-IOL. 3 days post phaco , he complained of decreased vision and red eye. On Examination, visual acuity was finger counting in left eye not improving with refraction. On slit lamp examination, mild AC flare + hazy view of retina due to cells in vitreous, B-scan showed echoes in vitreous confirming vitritis and attached retina.\n\nIntensive topical steroid with antibiotics were given but no visual improvement seen. Suprachoroidal injection triamcinolone acetonide 4mg/0.1ml given under aseptic condition with custom made 24 guage needle to ensure precise penetration in Suprachoroidal space.\n\nThere was no IOP rise on first post-op day. After 2 weeks vision improved to 6/18, no vitreous activity with clear fundus.",
        "Conclusions": "This case highlights the presentation of vitritis in a patient 3 days post uneventful surgery. Most reported cases describe post surgical cystoid macular edema, whereas in this case we dealt with post surgical vitritis not responding to topical & systemic medications. This case emphasizes the importance of considering suprachoroidal triamcinolone acetonide in patients who aren’t responding to topical medications. This technique also reduces risk of post injection raised IOP & cataract formation. Visual outcome post injection is also rewarding.\n\nSCS is efficacious & safer to use with low incidence of raised IOP post-injection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights the presentation of vitritis in a patient 3 days post uneventful surgery. Most reported cases describe post surgical cystoid macular edema, whereas in this case we dealt with post surgical vitritis not responding to topical & systemic medications. This case emphasizes the importance of considering suprachoroidal triamcinolone acetonide in patients who aren’t responding to topical medications.…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 101,
      "source_fields": {
        "Abstract Final Identifier": "POCAT057",
        "Title": "Suprachoroidal Triamcinolone Acetonide For Postoperative Vitritis Following Phacoemulsification: A Case Report",
        "Presenting Author(s)": "Dr Saira Kazmi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Saira",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kazmi",
        "Country Name": "Pakistan",
        "Purpose": "To describe clinical outcome of a patient presented with vitritis post phacoemulsification treated with Suprachoroidal steroid (SCS), not responding to topical and systemic steroids.",
        "Setting": "District Headquarter Hospital, Sheikhupura, Pakistan.",
        "Methods": "A male patient , 65 yr old, diabetic & hypertensive, with the history of TIA ( Transient Ischemic Attack) one year ago, underwent uneventful phacoemulsification + PC-IOL. 3 days post phaco , he complained of decreased vision and red eye. On Examination, visual acuity was finger counting in left eye not improving with refraction. On slit lamp examination, mild AC flare + hazy view of retina due to cells in vitreous, B-scan showed echoes in vitreous confirming vitritis and attached retina.\n\nIntensive topical steroid with antibiotics were given but no visual improvement seen. Suprachoroidal injection triamcinolone acetonide 4mg/0.1ml given under aseptic condition with custom made 24 guage needle to ensure precise penetration in Suprachoroidal space.\n\nThere was no IOP rise on first post-op day. After 2 weeks vision improved to 6/18, no vitreous activity with clear fundus.",
        "Results": "",
        "Conclusions": "This case highlights the presentation of vitritis in a patient 3 days post uneventful surgery. Most reported cases describe post surgical cystoid macular edema, whereas in this case we dealt with post surgical vitritis not responding to topical & systemic medications. This case emphasizes the importance of considering suprachoroidal triamcinolone acetonide in patients who aren’t responding to topical medications. This technique also reduces risk of post injection raised IOP & cataract formation. Visual outcome post injection is also rewarding.\n\nSCS is efficacious & safer to use with low incidence of raised IOP post-injection."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "POCAT058",
      "abstract_number": "POCAT058",
      "title": "The Stopper Knot Technique For Scleral Intraocular Lens Fixation",
      "authors": "Dr Roberta Kern Menna Barreto",
      "presenter": "Dr Roberta Kern Menna Barreto",
      "normalized_authors": [
        "Roberta Kern Menna Barreto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roberta Kern Menna Barreto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To describe transscleral fixation of a three-piece intraocular lens using Gore-Tex® (expanded polytetrafluoroethylene, ePTFE) sutures with the Stopper Knot technique.",
        "Setting": "Tertiary public referral center within the Brazilan Unified Health System (SUS) in São José do Rio Preto, São Paulo, Brazil.",
        "Methods": "A patient with a dense cataract underwent phacoemulsification complicated by posterior capsule rupture with loss of capsular support. Due to intraoperative instability, the eye was intentionally left aphaic to allow ocular stabilization and staged surgical planning.\n\nOne month later, secondary scleral fixation of a three-piece IOL was performed. After pars plana anterior vitrectomy to ensure complete anterior chamber vitreous removal, two partial-thickness scleral pockets were fashioned 180 degrees apart. Two Gore-Tex® (CV-8, ePTFE) sutures were externalized through the sclera. The first suture was tied to one haptic and gently tensioned. The second suture was then tied to the opposite haptic and tensioned to achieve optimal IOL centration and stability. Only after satisfactory centration was confirmed tha stopper knots were created at the scleral exit sites to secure fixation. The knots were buried beneath the scleral pockets to provide mechanical protection and reduce the risk of conjuntival erosion.\n\nAt one month, best-corrected visual acuity was 20/20 with manifest refraction of -0,50 -1,00 x 100º. The IOL was well centered without tilt or decentration. No hipotony, inflammation, cystoid macular edema, or suture-related complications were observed.",
        "Conclusions": "Transscleral fixation of a three-piece IOL using Gore-Tex® sutures provides secure stabilization with excellent anatomical alignment and refractive precision, even after complicated cataract surgery. Sequential haptical fixation allows controlled centration, while the high tensile strenght and resistance to biodegradation of ePTFE may enhance long-term durability compared with traditional polypropylene techniques."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Transscleral fixation of a three-piece IOL using Gore-Tex® sutures provides secure stabilization with excellent anatomical alignment and refractive precision, even after complicated cataract surgery. Sequential haptical fixation allows controlled centration, while the high tensile strenght and resistance to biodegradation of ePTFE may enhance long-term durability compared with traditional polypropylene techniques.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 102,
      "source_fields": {
        "Abstract Final Identifier": "POCAT058",
        "Title": "The Stopper Knot Technique For Scleral Intraocular Lens Fixation",
        "Presenting Author(s)": "Dr Roberta Kern Menna Barreto",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Roberta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kern Menna Barreto",
        "Country Name": "Brazil",
        "Purpose": "To describe transscleral fixation of a three-piece intraocular lens using Gore-Tex® (expanded polytetrafluoroethylene, ePTFE) sutures with the Stopper Knot technique.",
        "Setting": "Tertiary public referral center within the Brazilan Unified Health System (SUS) in São José do Rio Preto, São Paulo, Brazil.",
        "Methods": "A patient with a dense cataract underwent phacoemulsification complicated by posterior capsule rupture with loss of capsular support. Due to intraoperative instability, the eye was intentionally left aphaic to allow ocular stabilization and staged surgical planning.\n\nOne month later, secondary scleral fixation of a three-piece IOL was performed. After pars plana anterior vitrectomy to ensure complete anterior chamber vitreous removal, two partial-thickness scleral pockets were fashioned 180 degrees apart. Two Gore-Tex® (CV-8, ePTFE) sutures were externalized through the sclera. The first suture was tied to one haptic and gently tensioned. The second suture was then tied to the opposite haptic and tensioned to achieve optimal IOL centration and stability. Only after satisfactory centration was confirmed tha stopper knots were created at the scleral exit sites to secure fixation. The knots were buried beneath the scleral pockets to provide mechanical protection and reduce the risk of conjuntival erosion.\n\nAt one month, best-corrected visual acuity was 20/20 with manifest refraction of -0,50 -1,00 x 100º. The IOL was well centered without tilt or decentration. No hipotony, inflammation, cystoid macular edema, or suture-related complications were observed.",
        "Results": "",
        "Conclusions": "Transscleral fixation of a three-piece IOL using Gore-Tex® sutures provides secure stabilization with excellent anatomical alignment and refractive precision, even after complicated cataract surgery. Sequential haptical fixation allows controlled centration, while the high tensile strenght and resistance to biodegradation of ePTFE may enhance long-term durability compared with traditional polypropylene techniques."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT059",
      "abstract_number": "POCAT059",
      "title": "Endodiathermy-Assisted Pupilloplasty For Correction Of Traumatic Pupillary Irregularity",
      "authors": "Ms Ugnė Kėvalaitė",
      "presenter": "Ms Ugnė Kėvalaitė",
      "normalized_authors": [
        "Ugnė Kėvalaitė"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ugnė Kėvalaitė",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lithuania",
      "sections": {
        "Purpose": "To present a successful case demonstrating endodiathermy-assisted pupiloplasty in combined anterior and posterior segment reconstruction after long-standing ocular trauma.",
        "Setting": "Department of Ophthalmology, Hospital of Lithuanian University of Health Sciences, Kaunas Clinics",
        "Methods": "A 74-year-old man presented with poor vision in his right eye, resulting from an ocular injury sustained 50 years ago in Ukraine. His best-corrected visual acuity was limited to light perception, and he had 45-degree exotropia. Slit-lamp examination showed a clear cornea with an inferior peripheral scar near the limbus, a shallower inferior anterior chamber, iris traction toward the scar, an irregular and inferiorly decentered pupil, and a completely opacified lens with a fibrotic capsule behind the iris. Fundus reflex was absent, but B-scan ultrasonography confirmed an intact retina.\n\nOwing to extensive anterior segment abnormalities and inability to visualize the posterior segment, surgical intervention including pupiloplasty was considered, though prognosis remained uncertain. The patient underwent intracapsular cataract extraction with vitrectomy, followed by implantation of a three-piece intraocular lens via the Yamane transscleral fixation technique. Iridoplasty was performed using endodiathermy with a 10-0 polypropylene suture and the Single-Pass Four-Throw technique, facilitating pupil centralization and enlargement. Pupil centration and diameter were guided intraoperatively using a microscope-integrated measurement system.\n\nTwo months postoperatively, his BCVA improved to 20/30 with a 2.5 mm pupil and exotropia reduced to approximately 30 degrees. Postoperative diplopia was transient and resolved within two months.",
        "Conclusions": "This case demonstrates that combined anterior and posterior segment surgery can achieve substantial visual improvement even in eyes with long-standing traumatic pathology. The use of endodiathermy-assisted iridoplasty allowed effective pupil reconstruction in the presence of significant iris fibrosis and traction, providing a stable and well-cantered pupil. Visual restoration can unmask preexisting but compensated ocular misalignment, with subsequent development of strabismus and diplopia. This underscores the importance of comprehensive preoperative counselling and postoperative monitoring of binocular vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates that combined anterior and posterior segment surgery can achieve substantial visual improvement even in eyes with long-standing traumatic pathology. The use of endodiathermy-assisted iridoplasty allowed effective pupil reconstruction in the presence of significant iris fibrosis and traction, providing a stable and well-cantered pupil. Visual restoration can unmask preexisting but compensated…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 103,
      "source_fields": {
        "Abstract Final Identifier": "POCAT059",
        "Title": "Endodiathermy-Assisted Pupilloplasty For Correction Of Traumatic Pupillary Irregularity",
        "Presenting Author(s)": "Ms Ugnė Kėvalaitė",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ugnė",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kėvalaitė",
        "Country Name": "Lithuania",
        "Purpose": "To present a successful case demonstrating endodiathermy-assisted pupiloplasty in combined anterior and posterior segment reconstruction after long-standing ocular trauma.",
        "Setting": "Department of Ophthalmology, Hospital of Lithuanian University of Health Sciences, Kaunas Clinics",
        "Methods": "A 74-year-old man presented with poor vision in his right eye, resulting from an ocular injury sustained 50 years ago in Ukraine. His best-corrected visual acuity was limited to light perception, and he had 45-degree exotropia. Slit-lamp examination showed a clear cornea with an inferior peripheral scar near the limbus, a shallower inferior anterior chamber, iris traction toward the scar, an irregular and inferiorly decentered pupil, and a completely opacified lens with a fibrotic capsule behind the iris. Fundus reflex was absent, but B-scan ultrasonography confirmed an intact retina.\n\nOwing to extensive anterior segment abnormalities and inability to visualize the posterior segment, surgical intervention including pupiloplasty was considered, though prognosis remained uncertain. The patient underwent intracapsular cataract extraction with vitrectomy, followed by implantation of a three-piece intraocular lens via the Yamane transscleral fixation technique. Iridoplasty was performed using endodiathermy with a 10-0 polypropylene suture and the Single-Pass Four-Throw technique, facilitating pupil centralization and enlargement. Pupil centration and diameter were guided intraoperatively using a microscope-integrated measurement system.\n\nTwo months postoperatively, his BCVA improved to 20/30 with a 2.5 mm pupil and exotropia reduced to approximately 30 degrees. Postoperative diplopia was transient and resolved within two months.",
        "Results": "",
        "Conclusions": "This case demonstrates that combined anterior and posterior segment surgery can achieve substantial visual improvement even in eyes with long-standing traumatic pathology. The use of endodiathermy-assisted iridoplasty allowed effective pupil reconstruction in the presence of significant iris fibrosis and traction, providing a stable and well-cantered pupil. Visual restoration can unmask preexisting but compensated ocular misalignment, with subsequent development of strabismus and diplopia. This underscores the importance of comprehensive preoperative counselling and postoperative monitoring of binocular vision."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POCAT060",
      "abstract_number": "POCAT060",
      "title": "Toxic Anterior Segment Syndrome Following Cataract Surgery In An Autoimmune-Primed Patient: A Case Report And Review Of Literature",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "Toxic Anterior Segment Syndrome (TASS) is a rare but serious postoperative inflammatory reaction following anterior segment surgery, predominantly cataract extraction. We present the case of a 70-year-old woman with a persistently elevated erythrocyte sedimentation rate (ESR) and a strong family history of autoimmune disease who developed TASS after uneventful cataract surgery. This case highlights the emerging importance of systemic inflammatory predispositions in postoperative anterior segment responses and proposes strategies for risk identification and management. A comprehensive literature review further explores the intersection between autoimmune systemic disease and TASS development.",
        "Setting": "Standard cataract extraction under topical anesthesia was performed using a 2.4 mm clear corneal incision. Capsulorhexis was completed without complication.\n\nOn postoperative day one, the patient exhibited marked corneal edema involving both central and paracentral zones, with prominent fibrin formation in the anterior chamber. No signs of hypopyon or vitritis were present. The IOL was well-centered. The patient’s vision was counting fingers at one meter, and intraocular pressure measured 18 mmHg",
        "Methods": "Upon clinical diagnosis of TASS, aggressive anti-inflammatory therapy was initiated immediately. The patient was prescribed prednisolone acetate 1% eye drops to be instilled hourly while awake. Cyclopentolate 1% eye drops were administered twice daily to achieve cycloplegia, alleviating ciliary body spasm and preventing posterior synechiae. Although TASS is a sterile process, moxifloxacin 0.5% drops were maintained four times daily during the first postoperative week to guard against superimposed infection.\n\nIntraocular pressure was monitored daily and remained stable, negating the need for pressure-lowering agents. Additionally, ice packs were recommended to reduce episcleral congestion externally.\n\nGiven the systemic inflammatory background, further investigations were initiated. Repeat ESR and C-reactive protein levels were obtained, and comprehensive autoimmune serology, including ANA, rheumatoid factor (RF), and anti-CCP antibodies, were ordered.\n\nClinically, the patient demonstrated rapid improvement. By postoperative day three, corneal clarity had improved significantly, and anterior chamber fibrin reaction was reduced by approximately 50%. BCVA improved to 20/100 within three days. Prednisolone acetate frequency was gradually tapered over subsequent weeks. Cycloplegics were discontinued at the end of week two.\n\nAt 2 weeks, BCVA improved to 20/25 in the left eye with a clear cornea and stable intraocular lens positioning. IOP remained within normal limits.",
        "Conclusions": "This case report highlights that TASS is not merely a consequence of exogenous contaminants but can arise due to complex interactions between surgical interventions and systemic patient factors. In patients with autoimmune predispositions or elevated inflammatory markers, the threshold for sterile anterior segment inflammation may be significantly lowered, even under optimal surgical conditions.\n\nThe recognition that systemic inflammation can contribute to postoperative ocular complications demands a paradigm shift in preoperative assessment and intraoperative planning. Screening for autoimmune tendencies, careful selection of IOL materials, minimizing intraoperative trauma, and aggressive postoperative anti-inflammatory management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case report highlights that TASS is not merely a consequence of exogenous contaminants but can arise due to complex interactions between surgical interventions and systemic patient factors. In patients with autoimmune predispositions or elevated inflammatory markers, the threshold for sterile anterior segment inflammation may be significantly lowered, even under optimal surgical conditions. The recognition…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 104,
      "source_fields": {
        "Abstract Final Identifier": "POCAT060",
        "Title": "Toxic Anterior Segment Syndrome Following Cataract Surgery In An Autoimmune-Primed Patient: A Case Report And Review Of Literature",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "Toxic Anterior Segment Syndrome (TASS) is a rare but serious postoperative inflammatory reaction following anterior segment surgery, predominantly cataract extraction. We present the case of a 70-year-old woman with a persistently elevated erythrocyte sedimentation rate (ESR) and a strong family history of autoimmune disease who developed TASS after uneventful cataract surgery. This case highlights the emerging importance of systemic inflammatory predispositions in postoperative anterior segment responses and proposes strategies for risk identification and management. A comprehensive literature review further explores the intersection between autoimmune systemic disease and TASS development.",
        "Setting": "Standard cataract extraction under topical anesthesia was performed using a 2.4 mm clear corneal incision. Capsulorhexis was completed without complication.\n\nOn postoperative day one, the patient exhibited marked corneal edema involving both central and paracentral zones, with prominent fibrin formation in the anterior chamber. No signs of hypopyon or vitritis were present. The IOL was well-centered. The patient’s vision was counting fingers at one meter, and intraocular pressure measured 18 mmHg",
        "Methods": "Upon clinical diagnosis of TASS, aggressive anti-inflammatory therapy was initiated immediately. The patient was prescribed prednisolone acetate 1% eye drops to be instilled hourly while awake. Cyclopentolate 1% eye drops were administered twice daily to achieve cycloplegia, alleviating ciliary body spasm and preventing posterior synechiae. Although TASS is a sterile process, moxifloxacin 0.5% drops were maintained four times daily during the first postoperative week to guard against superimposed infection.\n\nIntraocular pressure was monitored daily and remained stable, negating the need for pressure-lowering agents. Additionally, ice packs were recommended to reduce episcleral congestion externally.\n\nGiven the systemic inflammatory background, further investigations were initiated. Repeat ESR and C-reactive protein levels were obtained, and comprehensive autoimmune serology, including ANA, rheumatoid factor (RF), and anti-CCP antibodies, were ordered.\n\nClinically, the patient demonstrated rapid improvement. By postoperative day three, corneal clarity had improved significantly, and anterior chamber fibrin reaction was reduced by approximately 50%. BCVA improved to 20/100 within three days. Prednisolone acetate frequency was gradually tapered over subsequent weeks. Cycloplegics were discontinued at the end of week two.\n\nAt 2 weeks, BCVA improved to 20/25 in the left eye with a clear cornea and stable intraocular lens positioning. IOP remained within normal limits.",
        "Results": "",
        "Conclusions": "This case report highlights that TASS is not merely a consequence of exogenous contaminants but can arise due to complex interactions between surgical interventions and systemic patient factors. In patients with autoimmune predispositions or elevated inflammatory markers, the threshold for sterile anterior segment inflammation may be significantly lowered, even under optimal surgical conditions.\n\nThe recognition that systemic inflammation can contribute to postoperative ocular complications demands a paradigm shift in preoperative assessment and intraoperative planning. Screening for autoimmune tendencies, careful selection of IOL materials, minimizing intraoperative trauma, and aggressive postoperative anti-inflammatory management."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 454
    },
    {
      "uid": "POCAT061",
      "abstract_number": "POCAT061",
      "title": "To Report Surgical Outcomes And Refractive Predictability Of Iris-Fixated Intraocular Lens (Iol) Implantation In Pediatric Eyes Lacking Posterior Capsular Support And Compare Outcomes With Reported Data From Scleral-Fixated Techniques.",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To report surgical outcomes and refractive predictability of iris-fixated intraocular lens (IOL) implantation in pediatric eyes lacking posterior capsular support and compare outcomes with reported data from scleral-fixated techniques.",
        "Setting": "Case series of five eyes of three pediatric patients aged 4–10 years undergoing iris-fixated IOL implantation. Indications included traumatic lens dislocation (n=2), aphakia without capsular support (n=2), and dislocated IOL (n=1). All procedures were performed under general anesthesia. Postoperative assessment included visual acuity, refractive outcome, centration, endothelial status, inflammation, and complication profile over follow-up of 6–18 months.",
        "Methods": "All eyes achieved stable IOL centration with no significant decentration or tilt. Mean postoperative spherical equivalent was within ±0.75 D of target refraction. Visual acuity improved in all cases appropriate to age and amblyopia status. No retinal detachment, significant uveitis, or persistent glaucoma occurred. Mild transient anterior segment inflammation resolved with topical corticosteroids.",
        "Conclusions": "Iris-fixated IOL implantation is a viable and predictable option in selected pediatric cases without capsular support. In this small series, refractive predictability and stability were comparable to published outcomes of scleral-fixated techniques, with potentially reduced risk of late suture erosion and haptic-related complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Iris-fixated IOL implantation is a viable and predictable option in selected pediatric cases without capsular support. In this small series, refractive predictability and stability were comparable to published outcomes of scleral-fixated techniques, with potentially reduced risk of late suture erosion and haptic-related complications.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 105,
      "source_fields": {
        "Abstract Final Identifier": "POCAT061",
        "Title": "To Report Surgical Outcomes And Refractive Predictability Of Iris-Fixated Intraocular Lens (Iol) Implantation In Pediatric Eyes Lacking Posterior Capsular Support And Compare Outcomes With Reported Data From Scleral-Fixated Techniques.",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To report surgical outcomes and refractive predictability of iris-fixated intraocular lens (IOL) implantation in pediatric eyes lacking posterior capsular support and compare outcomes with reported data from scleral-fixated techniques.",
        "Setting": "Case series of five eyes of three pediatric patients aged 4–10 years undergoing iris-fixated IOL implantation. Indications included traumatic lens dislocation (n=2), aphakia without capsular support (n=2), and dislocated IOL (n=1). All procedures were performed under general anesthesia. Postoperative assessment included visual acuity, refractive outcome, centration, endothelial status, inflammation, and complication profile over follow-up of 6–18 months.",
        "Methods": "All eyes achieved stable IOL centration with no significant decentration or tilt. Mean postoperative spherical equivalent was within ±0.75 D of target refraction. Visual acuity improved in all cases appropriate to age and amblyopia status. No retinal detachment, significant uveitis, or persistent glaucoma occurred. Mild transient anterior segment inflammation resolved with topical corticosteroids.",
        "Results": "",
        "Conclusions": "Iris-fixated IOL implantation is a viable and predictable option in selected pediatric cases without capsular support. In this small series, refractive predictability and stability were comparable to published outcomes of scleral-fixated techniques, with potentially reduced risk of late suture erosion and haptic-related complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 188
    },
    {
      "uid": "POCAT062",
      "abstract_number": "POCAT062",
      "title": "When True Meets Pseudo: Histopathologic Evidence Of Dual Exfoliation In The Lens Capsule",
      "authors": "Dr Konstantinos Kitsos-Kalyvianakis",
      "presenter": "Dr Konstantinos Kitsos-Kalyvianakis",
      "normalized_authors": [
        "Konstantinos Kitsos-Kalyvianakis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Konstantinos Kitsos-Kalyvianakis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To describe the coexistence of true exfoliation with pseudoexfoliation (PEX) syndrome in three eyes of two patients, confirmed histopathologically, and to highlight their clinical and surgical implications.",
        "Setting": "Cornea and Pathology Departments, Hôpital Ophtalmique Jules-Gonin, University of Lausanne, Switzerland.",
        "Methods": "Case 1: A 78‑year‑old male winemaker presented for cataract assessment. His history included pseudoexfoliation syndrome without glaucoma. Preoperative slit‑lamp exam revealed combined pseudoexfoliative and true exfoliative processes in both eyes. Best corrected visual acuity (BCVA) was 0.4 (−3.50/−0.50 × 101) OD and 0.8 (−1.75/−2.75 × 78) OS. Intraocular pressures were 12 mmHg OD and 15 mmHg OS. Both irides showed PEX deposits and the lenses exhibited capsular pseudoexfoliation with lamellar delamination consistent with true exfoliation. The patient reported ocular heat exposure during welding in 2010. Cataract surgery was uneventful in both eyes, and histopathology of the anterior capsule confirmed coexistence of pseudoexfoliation and true exfoliation.\n\nCase 2: A patient referred for cataract extraction reported progressive visual decline over one year. BCVA measured 1.25 (+1.25/−0.50 × 94) OD and 0.5 (−0.50/−0.75 × 96) OS, with mild myopic shift in the left eye. Intraocular pressures were normal. Slit‑lamp exam revealed PEX material on the pupillary margins and lens surface, with anterior capsule delamination and a 3+ nuclear, 1+ cortical cataract in the left eye. Patient denied previous thermal exposure. The anterior capsule excised during phacoemulsification was sent for histopathology, which again confirmed pseudoexfoliation with true exfoliation. Postoperative recovery was uneventful with good visual improvement.",
        "Conclusions": "These two cases illustrate the coexistence of true exfoliation and pseudoexfoliation in the same eye, verified histopathologically in three eyes. This rare association may occur even without significant thermal exposure. Awareness of this finding is important for surgical planning and for deepening the insight into the mechanisms of lens capsule degeneration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "These two cases illustrate the coexistence of true exfoliation and pseudoexfoliation in the same eye, verified histopathologically in three eyes. This rare association may occur even without significant thermal exposure. Awareness of this finding is important for surgical planning and for deepening the insight into the mechanisms of lens capsule degeneration.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 106,
      "source_fields": {
        "Abstract Final Identifier": "POCAT062",
        "Title": "When True Meets Pseudo: Histopathologic Evidence Of Dual Exfoliation In The Lens Capsule",
        "Presenting Author(s)": "Dr Konstantinos Kitsos-Kalyvianakis",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Konstantinos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kitsos-Kalyvianakis",
        "Country Name": "Switzerland",
        "Purpose": "To describe the coexistence of true exfoliation with pseudoexfoliation (PEX) syndrome in three eyes of two patients, confirmed histopathologically, and to highlight their clinical and surgical implications.",
        "Setting": "Cornea and Pathology Departments, Hôpital Ophtalmique Jules-Gonin, University of Lausanne, Switzerland.",
        "Methods": "Case 1: A 78‑year‑old male winemaker presented for cataract assessment. His history included pseudoexfoliation syndrome without glaucoma. Preoperative slit‑lamp exam revealed combined pseudoexfoliative and true exfoliative processes in both eyes. Best corrected visual acuity (BCVA) was 0.4 (−3.50/−0.50 × 101) OD and 0.8 (−1.75/−2.75 × 78) OS. Intraocular pressures were 12 mmHg OD and 15 mmHg OS. Both irides showed PEX deposits and the lenses exhibited capsular pseudoexfoliation with lamellar delamination consistent with true exfoliation. The patient reported ocular heat exposure during welding in 2010. Cataract surgery was uneventful in both eyes, and histopathology of the anterior capsule confirmed coexistence of pseudoexfoliation and true exfoliation.\n\nCase 2: A patient referred for cataract extraction reported progressive visual decline over one year. BCVA measured 1.25 (+1.25/−0.50 × 94) OD and 0.5 (−0.50/−0.75 × 96) OS, with mild myopic shift in the left eye. Intraocular pressures were normal. Slit‑lamp exam revealed PEX material on the pupillary margins and lens surface, with anterior capsule delamination and a 3+ nuclear, 1+ cortical cataract in the left eye. Patient denied previous thermal exposure. The anterior capsule excised during phacoemulsification was sent for histopathology, which again confirmed pseudoexfoliation with true exfoliation. Postoperative recovery was uneventful with good visual improvement.",
        "Results": "",
        "Conclusions": "These two cases illustrate the coexistence of true exfoliation and pseudoexfoliation in the same eye, verified histopathologically in three eyes. This rare association may occur even without significant thermal exposure. Awareness of this finding is important for surgical planning and for deepening the insight into the mechanisms of lens capsule degeneration."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCAT063",
      "abstract_number": "POCAT063",
      "title": "Management Of Complex Post-Myopic Lasik Eyes With Exfoliation Syndrome With Spiral Non-Diffractive Iols: A Case Study",
      "authors": "Nino Kobakhidze",
      "presenter": "Nino Kobakhidze",
      "normalized_authors": [
        "Nino Kobakhidze"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nino Kobakhidze",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Georgia",
      "sections": {
        "Purpose": "To evaluate the visual and refractive performance of the Rayner RayOne Galaxy spiral non-diffractive Full Range of Focus (FROF) intraocular lens (IOL) in a patient with multi-factorial surgical challenges: post-myopic LASIK corneal profiles and significant zonular instability secondary to Exfoliation Syndrome (XFS). The study aims to determine if this spiral optical design provides spectacle independence and maintains image quality despite altered corneal shapes and potential IOL decentration or tilt associated with XFS. Unlike diffractive lenses, the Galaxy design is theoretically more tolerant against minor tilt.",
        "Setting": "Private clinical practice.",
        "Methods": "A 60-year-old male with a ~25-year history of myopic LASIK presented with bilateral XFS-associated cataracts and a desire for complete spectacle independence. Preoperative assessment using high-resolution Scheimpflug tomography and aberrometry revealed altered corneal shapes. The RE had 0.03 microns of spherical aberration (SA) and 0.04 microns of coma. The dominant LE exhibited higher levels: 0.16 microns of SA and 0.34 microns of coma.\n\nIOL power was calculated using the Barrett True-K Toric formula for post-refractive corneas to avoid hyperopic surprise. During surgery, the RE revealed 4 clock hours of zonular dialysis; a capsular tension ring (CTR) was implanted for stabilization before inserting a non-toric RayOne Galaxy (19.5 D). The LE underwent uneventful phacoemulsification with a toric RayOne Galaxy (20.0/2.25D).\n\nOne week postoperatively, UCVA reached 1.0 (decimal) and J1 near vision bilaterally. The result remained stable by 4 weeks after surgery. Despite the post-LASIK corneal profile, the patient reported perfect night vision with a total absence of dysphotopsia. The IOL remained well-centered in the RE despite the pre-existing zonular dialysis and XFS.",
        "Conclusions": "The RayOne Galaxy’s non-diffractive spiral design successfully provided a continuous range of focus and proved highly tolerant of increased HOAs and zonular instability. Unlike traditional diffractive lenses, this spiral optic avoids adding ring-based aberrations and is more robust against minor tilt, which is critical in XFS patients where subtle decentration can occur over time. This case demonstrates that excellent refractive outcomes and patient satisfaction are achievable in \"worst-case scenario\" eyes when combining advanced formulas like the Barrett True-K with stable capsular support and a sophisticated, tilt-tolerant optical design."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The RayOne Galaxy’s non-diffractive spiral design successfully provided a continuous range of focus and proved highly tolerant of increased HOAs and zonular instability. Unlike traditional diffractive lenses, this spiral optic avoids adding ring-based aberrations and is more robust against minor tilt, which is critical in XFS patients where subtle decentration can occur over time. This case demonstrates that…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 107,
      "source_fields": {
        "Abstract Final Identifier": "POCAT063",
        "Title": "Management Of Complex Post-Myopic Lasik Eyes With Exfoliation Syndrome With Spiral Non-Diffractive Iols: A Case Study",
        "Presenting Author(s)": "Nino Kobakhidze",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Nino",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kobakhidze",
        "Country Name": "Georgia",
        "Purpose": "To evaluate the visual and refractive performance of the Rayner RayOne Galaxy spiral non-diffractive Full Range of Focus (FROF) intraocular lens (IOL) in a patient with multi-factorial surgical challenges: post-myopic LASIK corneal profiles and significant zonular instability secondary to Exfoliation Syndrome (XFS). The study aims to determine if this spiral optical design provides spectacle independence and maintains image quality despite altered corneal shapes and potential IOL decentration or tilt associated with XFS. Unlike diffractive lenses, the Galaxy design is theoretically more tolerant against minor tilt.",
        "Setting": "Private clinical practice.",
        "Methods": "A 60-year-old male with a ~25-year history of myopic LASIK presented with bilateral XFS-associated cataracts and a desire for complete spectacle independence. Preoperative assessment using high-resolution Scheimpflug tomography and aberrometry revealed altered corneal shapes. The RE had 0.03 microns of spherical aberration (SA) and 0.04 microns of coma. The dominant LE exhibited higher levels: 0.16 microns of SA and 0.34 microns of coma.\n\nIOL power was calculated using the Barrett True-K Toric formula for post-refractive corneas to avoid hyperopic surprise. During surgery, the RE revealed 4 clock hours of zonular dialysis; a capsular tension ring (CTR) was implanted for stabilization before inserting a non-toric RayOne Galaxy (19.5 D). The LE underwent uneventful phacoemulsification with a toric RayOne Galaxy (20.0/2.25D).\n\nOne week postoperatively, UCVA reached 1.0 (decimal) and J1 near vision bilaterally. The result remained stable by 4 weeks after surgery. Despite the post-LASIK corneal profile, the patient reported perfect night vision with a total absence of dysphotopsia. The IOL remained well-centered in the RE despite the pre-existing zonular dialysis and XFS.",
        "Results": "",
        "Conclusions": "The RayOne Galaxy’s non-diffractive spiral design successfully provided a continuous range of focus and proved highly tolerant of increased HOAs and zonular instability. Unlike traditional diffractive lenses, this spiral optic avoids adding ring-based aberrations and is more robust against minor tilt, which is critical in XFS patients where subtle decentration can occur over time. This case demonstrates that excellent refractive outcomes and patient satisfaction are achievable in \"worst-case scenario\" eyes when combining advanced formulas like the Barrett True-K with stable capsular support and a sophisticated, tilt-tolerant optical design."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "POCAT064",
      "abstract_number": "POCAT064",
      "title": "Delayed Hla-B27–Associated Uveitis Following Uncomplicated Phaco-Vitrectomy: A Case Report",
      "authors": "Dr Agnieszka Julia Kudasiewicz-Kardaszewska",
      "presenter": "Dr Agnieszka Julia Kudasiewicz-Kardaszewska",
      "normalized_authors": [
        "Agnieszka Julia Kudasiewicz-Kardaszewska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Agnieszka Julia Kudasiewicz-Kardaszewska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Introduction: Postoperative inflammation after phaco-vitrectomy is usually mild, occurs early, and resolves with corticosteroid therapy. Delayed or recurrent uveitis after an initially uneventful course is uncommon and should prompt evaluation for non-infectious inflammatory causes, including underlying systemic disease.\n\nThe aim of this case report was to present delayed onset of postoperative, HLA-B27 related uveitis, followig uncomplicated phaco-vitrectomy.",
        "Setting": "This case presentation comes from the data collected in Ośrodek Chirurgii Oka Prof. Zagórskiego in Nowy Sącz, where Patient was diagnosed and treated.",
        "Methods": "Case Presentation: A 71-year-old man developed severe intraocular inflammation shortly after discontinuation of postoperative corticosteroids following uncomplicated phaco-vitrectomy. The early postoperative course was unremarkable. Repeated and detailed history taking revealed previously undisclosed ankylosing spondylitis with HLA-B27 positivity and a remote episode of iritis. The inflammatory flare was attributed to immune reactivation triggered by surgical stress and steroid withdrawal. Intensive topical and systemic corticosteroid therapy was required.",
        "Conclusions": "Conclusion: This case highlights the importance of thorough and repeated medical history assessment in patients with atypical postoperative inflammation. HLA-B27–associated disease should be considered in delayed uveitis following intraocular surgery, as early recognition may influence perioperative management and reduce the risk of recurrent, vision-threatening complications"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusion: This case highlights the importance of thorough and repeated medical history assessment in patients with atypical postoperative inflammation. HLA-B27–associated disease should be considered in delayed uveitis following intraocular surgery, as early recognition may influence perioperative management and reduce the risk of recurrent, vision-threatening complications",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 108,
      "source_fields": {
        "Abstract Final Identifier": "POCAT064",
        "Title": "Delayed Hla-B27–Associated Uveitis Following Uncomplicated Phaco-Vitrectomy: A Case Report",
        "Presenting Author(s)": "Dr Agnieszka Julia Kudasiewicz-Kardaszewska",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Agnieszka",
        "Submitter Middle Name": "Julia",
        "Submitter Last Name": "Kudasiewicz-Kardaszewska",
        "Country Name": "Poland",
        "Purpose": "Introduction: Postoperative inflammation after phaco-vitrectomy is usually mild, occurs early, and resolves with corticosteroid therapy. Delayed or recurrent uveitis after an initially uneventful course is uncommon and should prompt evaluation for non-infectious inflammatory causes, including underlying systemic disease.\n\nThe aim of this case report was to present delayed onset of postoperative, HLA-B27 related uveitis, followig uncomplicated phaco-vitrectomy.",
        "Setting": "This case presentation comes from the data collected in Ośrodek Chirurgii Oka Prof. Zagórskiego in Nowy Sącz, where Patient was diagnosed and treated.",
        "Methods": "Case Presentation: A 71-year-old man developed severe intraocular inflammation shortly after discontinuation of postoperative corticosteroids following uncomplicated phaco-vitrectomy. The early postoperative course was unremarkable. Repeated and detailed history taking revealed previously undisclosed ankylosing spondylitis with HLA-B27 positivity and a remote episode of iritis. The inflammatory flare was attributed to immune reactivation triggered by surgical stress and steroid withdrawal. Intensive topical and systemic corticosteroid therapy was required.",
        "Results": "",
        "Conclusions": "Conclusion: This case highlights the importance of thorough and repeated medical history assessment in patients with atypical postoperative inflammation. HLA-B27–associated disease should be considered in delayed uveitis following intraocular surgery, as early recognition may influence perioperative management and reduce the risk of recurrent, vision-threatening complications"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 192
    },
    {
      "uid": "POCAT065",
      "abstract_number": "POCAT065",
      "title": "Refractive Surprise Due To Tilted Intraocular Lens Following Cataract Surgery",
      "authors": "Aneeta Kumar",
      "presenter": "Aneeta Kumar",
      "normalized_authors": [
        "Aneeta Kumar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aneeta Kumar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report a case of refractive surprise noted three months after uncomplicated phacoemulsification cataract surgery",
        "Setting": "This case was managed at the ophthalmology department at Central Middlesex Hospital , UK.",
        "Methods": "A 66-year-old lady presented with reduced vision in the left eye, following cataract surgery 3 months prior. Her operative notes stated that the capsulorrhexis ran out inferiorly due to patient movement and was retrieved using Little’s manoeuvre.\n\nTo improve her vision, she was referred for posterior capsulotomy. At the laser clinic, minimal posterior capsular opacification was noted. However, her visual acuity was LogMAR 0.5 unaided, improving to 0.14 pinhole. Subjective refraction was -1.25/-0.50 x 100 (spherical equivalent of -1.5D), achieving LogMAR 0.0, though the postoperative aim was emmetropia. Biometry and surgical records confirmed that the correct intraocular lens (IOL) had been inserted. Corneal topography did not indicate any significant corneal astigmatism or ectasia, and repeat biometry showed similar values to pre-surgery. Dilated examination revealed a tilted IOL, which was adherent to the iris inferiorly with no retained viscoelastic. This was confirmed with anterior segment optical coherence tomography.\n\nThe patient initially requested laser correction of the myopic outcome. However, after detection of the tilted IOL, she underwent IOL exchange. During the surgery, the inferior haptic of the single piece IOL was found in the sulcus with the anterior and posterior aspects of the capsular sac fibrosed together almost 360°. The single piece IOL was replaced with a 3-piece IOL in the ciliary sulcus. Her post-operative vision improved to LogMAR 0.2 unaided.",
        "Conclusions": "Refractive outcomes following cataract surgery are gaining increasing significance within the NHS, as patients’ expectations around spectacle independence rise. Determining the cause of refractive surprise requires a stepwise approach, including subjective refraction, a dilated examination, corneal topography and careful review of preoperative biometry, surgical records and IOL selection. In this case, laser surgical correction of the myopic outcome would not have corrected this patient’s visual symptoms, as she had poor-quality vision due to a tilted IOL. We advise delaying laser capsulotomy in the presence of a refractive surprise until the underlying cause has been established."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Refractive outcomes following cataract surgery are gaining increasing significance within the NHS, as patients’ expectations around spectacle independence rise. Determining the cause of refractive surprise requires a stepwise approach, including subjective refraction, a dilated examination, corneal topography and careful review of preoperative biometry, surgical records and IOL selection. In this case, laser…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 109,
      "source_fields": {
        "Abstract Final Identifier": "POCAT065",
        "Title": "Refractive Surprise Due To Tilted Intraocular Lens Following Cataract Surgery",
        "Presenting Author(s)": "Aneeta Kumar",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Aneeta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kumar",
        "Country Name": "United Kingdom",
        "Purpose": "To report a case of refractive surprise noted three months after uncomplicated phacoemulsification cataract surgery",
        "Setting": "This case was managed at the ophthalmology department at Central Middlesex Hospital , UK.",
        "Methods": "A 66-year-old lady presented with reduced vision in the left eye, following cataract surgery 3 months prior. Her operative notes stated that the capsulorrhexis ran out inferiorly due to patient movement and was retrieved using Little’s manoeuvre.\n\nTo improve her vision, she was referred for posterior capsulotomy. At the laser clinic, minimal posterior capsular opacification was noted. However, her visual acuity was LogMAR 0.5 unaided, improving to 0.14 pinhole. Subjective refraction was -1.25/-0.50 x 100 (spherical equivalent of -1.5D), achieving LogMAR 0.0, though the postoperative aim was emmetropia. Biometry and surgical records confirmed that the correct intraocular lens (IOL) had been inserted. Corneal topography did not indicate any significant corneal astigmatism or ectasia, and repeat biometry showed similar values to pre-surgery. Dilated examination revealed a tilted IOL, which was adherent to the iris inferiorly with no retained viscoelastic. This was confirmed with anterior segment optical coherence tomography.\n\nThe patient initially requested laser correction of the myopic outcome. However, after detection of the tilted IOL, she underwent IOL exchange. During the surgery, the inferior haptic of the single piece IOL was found in the sulcus with the anterior and posterior aspects of the capsular sac fibrosed together almost 360°. The single piece IOL was replaced with a 3-piece IOL in the ciliary sulcus. Her post-operative vision improved to LogMAR 0.2 unaided.",
        "Results": "",
        "Conclusions": "Refractive outcomes following cataract surgery are gaining increasing significance within the NHS, as patients’ expectations around spectacle independence rise. Determining the cause of refractive surprise requires a stepwise approach, including subjective refraction, a dilated examination, corneal topography and careful review of preoperative biometry, surgical records and IOL selection. In this case, laser surgical correction of the myopic outcome would not have corrected this patient’s visual symptoms, as she had poor-quality vision due to a tilted IOL. We advise delaying laser capsulotomy in the presence of a refractive surprise until the underlying cause has been established."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 351
    },
    {
      "uid": "POCAT066",
      "abstract_number": "POCAT066",
      "title": "Traumatic Iridodialysis Repair During Single-Stage Cataract Surgery",
      "authors": "Dr Pablo Larco",
      "presenter": "Dr Pablo Larco",
      "normalized_authors": [
        "Pablo Larco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carolina Larco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ecuador",
      "sections": {
        "Purpose": "To describe the successful single-stage surgical management of traumatic iridodialysis associated with a visually significant cataract using phacoemulsification, Cobbler’s technique for iris reattachment, and final pupilloplasty, highlighting a comprehensive approach for anatomical and functional restoration.",
        "Setting": "Oftalmocenter, Quito, Ecuador.",
        "Methods": "A 61-year-old male presented with a history of blunt ocular trauma caused by a high-pressure water hose. Best-corrected visual acuity was count fingers, and intraocular pressure measured 17 mmHg. Anterior segment examination revealed an iridodialysis extending from 10 to 1 o’clock, associated with a 3+ cataract, with no evidence of lens subluxation or zonular weakness. A single-stage surgical approach was performed. Cataract extraction was initiated using a Malyugin ring for pupillary expansion, dispersive viscoelastic, and a continuous curvilinear capsulorhexis, followed by cautious divide-and-conquer phacoemulsification and in-the-bag implantation of a posterior chamber intraocular lens. Iridodialysis repair was subsequently carried out using Cobbler’s technique, with 10-0 polypropylene sutures passed from the iris root to the sclera and secured over the scleral bed approximately 1 mm posterior to the blue zone with controlled tension adjustment. Final pupil reconstruction was achieved with pupilloplasty, resulting in a pupil diameter of approximately 3.5 mm and a well-centered pupil.",
        "Conclusions": "A combined single-stage approach using Cobbler’s technique for iridodialysis repair, pupilloplasty, and cataract surgery represents an effective alternative for traumatic anterior segment injuries with coexisting cataract. Careful suture adjustment allows optimal anatomical restoration, reduces photic symptoms, minimizes intraocular lens edge glare, and provides visual rehabilitation while limiting surgical time and patient morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A combined single-stage approach using Cobbler’s technique for iridodialysis repair, pupilloplasty, and cataract surgery represents an effective alternative for traumatic anterior segment injuries with coexisting cataract. Careful suture adjustment allows optimal anatomical restoration, reduces photic symptoms, minimizes intraocular lens edge glare, and provides visual rehabilitation while limiting surgical time…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 110,
      "source_fields": {
        "Abstract Final Identifier": "POCAT066",
        "Title": "Traumatic Iridodialysis Repair During Single-Stage Cataract Surgery",
        "Presenting Author(s)": "Dr Pablo Larco",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Carolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Larco",
        "Country Name": "Ecuador",
        "Purpose": "To describe the successful single-stage surgical management of traumatic iridodialysis associated with a visually significant cataract using phacoemulsification, Cobbler’s technique for iris reattachment, and final pupilloplasty, highlighting a comprehensive approach for anatomical and functional restoration.",
        "Setting": "Oftalmocenter, Quito, Ecuador.",
        "Methods": "A 61-year-old male presented with a history of blunt ocular trauma caused by a high-pressure water hose. Best-corrected visual acuity was count fingers, and intraocular pressure measured 17 mmHg. Anterior segment examination revealed an iridodialysis extending from 10 to 1 o’clock, associated with a 3+ cataract, with no evidence of lens subluxation or zonular weakness. A single-stage surgical approach was performed. Cataract extraction was initiated using a Malyugin ring for pupillary expansion, dispersive viscoelastic, and a continuous curvilinear capsulorhexis, followed by cautious divide-and-conquer phacoemulsification and in-the-bag implantation of a posterior chamber intraocular lens. Iridodialysis repair was subsequently carried out using Cobbler’s technique, with 10-0 polypropylene sutures passed from the iris root to the sclera and secured over the scleral bed approximately 1 mm posterior to the blue zone with controlled tension adjustment. Final pupil reconstruction was achieved with pupilloplasty, resulting in a pupil diameter of approximately 3.5 mm and a well-centered pupil.",
        "Results": "",
        "Conclusions": "A combined single-stage approach using Cobbler’s technique for iridodialysis repair, pupilloplasty, and cataract surgery represents an effective alternative for traumatic anterior segment injuries with coexisting cataract. Careful suture adjustment allows optimal anatomical restoration, reduces photic symptoms, minimizes intraocular lens edge glare, and provides visual rehabilitation while limiting surgical time and patient morbidity."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POCAT067",
      "abstract_number": "POCAT067",
      "title": "Iintraocular Lens As A Glide After Posterior Capsule Rupture",
      "authors": "Dr Aliki Panagiotis Liaska",
      "presenter": "Dr Aliki Panagiotis Liaska",
      "normalized_authors": [
        "Aliki Panagiotis Liaska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aliki Panagiotis Liaska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Posterior capsule rupture in the presence of nucleus fragments during phaco presents a serious cataract surgery complication. The purpose of the case report is to present a case handling this complication using intraocular lens as a glide in order to avoid dislocation of the nucleus remnants in the vitreous cavity.",
        "Setting": "Department of Ophthalmology, General Hospital of Lamia, Lam;ia, Greece",
        "Methods": "Posterior caspule rupture occured in the middle of quadrants removal phase. It appeared as a sudden clear red reflex. Immediate discontinuation of phaco was followed by the use of dispersive ocular viscoelastic device (OVD) and careful removal of the phaco handpiece. Subsequently, the nucleus fragments were moved to the anterior chamber and a 3-piece IOL was inserted (haptics in the sulcus) under the nucleus fragments. Phaco was continued using the optic of the IOL as a barrier, to prevent any fragments dislocate in the vitreous cavity and vitreous prolapse anteriorly. Cortex was removed by irrigation-aspiration after optic capture in the capsulorrexis opening. By the end of the surgery the IOL optic was positioned in the capsulorrhexis opening. Postoperatively, the patient remained in medication (topical steroid and NSAID drops) for 8 weeks. Visual acuity was 10/10.",
        "Conclusions": "Timely recognition of posterior capsule rupture and appropriate management may provide excellent postoperative outcomes and save the patient from further surgeries."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Timely recognition of posterior capsule rupture and appropriate management may provide excellent postoperative outcomes and save the patient from further surgeries.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 111,
      "source_fields": {
        "Abstract Final Identifier": "POCAT067",
        "Title": "Iintraocular Lens As A Glide After Posterior Capsule Rupture",
        "Presenting Author(s)": "Dr Aliki Panagiotis Liaska",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Aliki",
        "Submitter Middle Name": "Panagiotis",
        "Submitter Last Name": "Liaska",
        "Country Name": "Greece",
        "Purpose": "Posterior capsule rupture in the presence of nucleus fragments during phaco presents a serious cataract surgery complication. The purpose of the case report is to present a case handling this complication using intraocular lens as a glide in order to avoid dislocation of the nucleus remnants in the vitreous cavity.",
        "Setting": "Department of Ophthalmology, General Hospital of Lamia, Lam;ia, Greece",
        "Methods": "Posterior caspule rupture occured in the middle of quadrants removal phase. It appeared as a sudden clear red reflex. Immediate discontinuation of phaco was followed by the use of dispersive ocular viscoelastic device (OVD) and careful removal of the phaco handpiece. Subsequently, the nucleus fragments were moved to the anterior chamber and a 3-piece IOL was inserted (haptics in the sulcus) under the nucleus fragments. Phaco was continued using the optic of the IOL as a barrier, to prevent any fragments dislocate in the vitreous cavity and vitreous prolapse anteriorly. Cortex was removed by irrigation-aspiration after optic capture in the capsulorrexis opening. By the end of the surgery the IOL optic was positioned in the capsulorrhexis opening. Postoperatively, the patient remained in medication (topical steroid and NSAID drops) for 8 weeks. Visual acuity was 10/10.",
        "Results": "",
        "Conclusions": "Timely recognition of posterior capsule rupture and appropriate management may provide excellent postoperative outcomes and save the patient from further surgeries."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POCAT068",
      "abstract_number": "POCAT068",
      "title": "Pretty In Pictures, But Iris-Sponsible",
      "authors": "Dr Melvin Ling",
      "presenter": "Dr Melvin Ling",
      "normalized_authors": [
        "Melvin Ling"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melvin Ling",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To describe the complex management and successful visual rehabilitation of bilateral secondary glaucoma and corneal endothelial failure secondary to cosmetic BrightOcular iris implants in a young patient.",
        "Setting": "Tertiary referral glaucoma and anterior segment service, Liverpool Hospital, Sydney, Australia.",
        "Methods": "A 29‑year‑old Iranian female presented with progressive visual loss and elevated intraocular pressures (IOPs: 32 mmHg right, 36 mmHg left) following bilateral cosmetic BrightOcular anterior chamber iris implants. Humphrey visual fields revealed arcuate defects consistent with advanced mixed glaucoma. Despite maximal topical therapy and extensive counselling regarding implant removal, the patient initially declined surgery. Bilateral trabeculectomies were subsequently required, with the right eye developing refractory IOP elevation (peak 46 mmHg) despite intra‑operative needling, multiple post‑operative revisions, and eventual cyclodiode therapy, culminating in hypotony. Both eyes developed visually significant cataracts. With renewed consent, staged reconstruction included cataract extraction and exchange of BrightOcular implants for HumanOptics iris prostheses. The right eye developed corneal decompensation requiring Descemet Membrane Endothelial Keratoplasty (DMEK), achieving corneal clarity and stable IOP. The left eye underwent similar implant exchange, regaining best‑corrected vision of 6/12 on minimal therapy. No glaucoma progression occurred following exchange. Corneal oedema of the left eye is currently being monitored with the possibility of requiring endothelial keratoplasty in the future.",
        "Conclusions": "Cosmetic iris implants pose serious risks of endothelial failure and secondary glaucoma. Sequential surgical planning—including explantation, cataract surgery, endothelial keratoplasty, and medical‑grade iris prosthesis implantation—can achieve structural and functional recovery. Early recognition and multidisciplinary anterior segment care are critical to prevent irreversible vision loss."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cosmetic iris implants pose serious risks of endothelial failure and secondary glaucoma. Sequential surgical planning—including explantation, cataract surgery, endothelial keratoplasty, and medical‑grade iris prosthesis implantation—can achieve structural and functional recovery. Early recognition and multidisciplinary anterior segment care are critical to prevent irreversible vision loss.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 112,
      "source_fields": {
        "Abstract Final Identifier": "POCAT068",
        "Title": "Pretty In Pictures, But Iris-Sponsible",
        "Presenting Author(s)": "Dr Melvin Ling",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Melvin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ling",
        "Country Name": "Australia",
        "Purpose": "To describe the complex management and successful visual rehabilitation of bilateral secondary glaucoma and corneal endothelial failure secondary to cosmetic BrightOcular iris implants in a young patient.",
        "Setting": "Tertiary referral glaucoma and anterior segment service, Liverpool Hospital, Sydney, Australia.",
        "Methods": "A 29‑year‑old Iranian female presented with progressive visual loss and elevated intraocular pressures (IOPs: 32 mmHg right, 36 mmHg left) following bilateral cosmetic BrightOcular anterior chamber iris implants. Humphrey visual fields revealed arcuate defects consistent with advanced mixed glaucoma. Despite maximal topical therapy and extensive counselling regarding implant removal, the patient initially declined surgery. Bilateral trabeculectomies were subsequently required, with the right eye developing refractory IOP elevation (peak 46 mmHg) despite intra‑operative needling, multiple post‑operative revisions, and eventual cyclodiode therapy, culminating in hypotony. Both eyes developed visually significant cataracts. With renewed consent, staged reconstruction included cataract extraction and exchange of BrightOcular implants for HumanOptics iris prostheses. The right eye developed corneal decompensation requiring Descemet Membrane Endothelial Keratoplasty (DMEK), achieving corneal clarity and stable IOP. The left eye underwent similar implant exchange, regaining best‑corrected vision of 6/12 on minimal therapy. No glaucoma progression occurred following exchange. Corneal oedema of the left eye is currently being monitored with the possibility of requiring endothelial keratoplasty in the future.",
        "Results": "",
        "Conclusions": "Cosmetic iris implants pose serious risks of endothelial failure and secondary glaucoma. Sequential surgical planning—including explantation, cataract surgery, endothelial keratoplasty, and medical‑grade iris prosthesis implantation—can achieve structural and functional recovery. Early recognition and multidisciplinary anterior segment care are critical to prevent irreversible vision loss."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "POCAT069",
      "abstract_number": "POCAT069",
      "title": "Selective Absorption Filters In Athletes With Low Vision",
      "authors": "Dr Maria Veronica Lopez Fernandez",
      "presenter": "Dr Maria Veronica Lopez Fernandez",
      "normalized_authors": [
        "Maria Veronica Lopez Fernandez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Veronica Lopez Fernandez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "It is of utmost importance to assess functional vision and prescription selective absorption filters in athletes with low vision. The visual functions of these patients, who have moderate to severe vision loss, are further compromised by changes in light intensity throughout the day.",
        "Setting": "Evaluation of functional vision with studies that included general ophtalmic evaluations: visual acuity (EDTRS), visual fields (Humphrey low vision test), contrast sensitivity (Pelli Robson )tests and color vision tests (Farnsworth 15). Visual aids tested from his 6 th to his 22 years old were galileo telescopes, optical and electronica magnifiers, nono optical devices and selective UV filters.",
        "Methods": "14 years follow up of a 22-year-old patient diagnosed with ROP, bilateral congenital cataracts, and retinal detachment in the right eye and\nPseudophakia in the left eye.\nThe patient underwent visual stimulation in childhood and visual rehabilitation in adolescence, successfully completing their studies and becoming a\nParalympic athlete. Visual acuity for small objects is 20/200 with a Galileo 4x16 monocular telescope; visual acuity is 20/100.\nA selective filter trial resulted in VA 20/80, improving contrast sensitivity parameters, achieving visual stability outdoors.",
        "Conclusions": "Congenital cataract surgery in patients with ROP and subsequent visual rehabilitation and selective UV filters,\nallow not only the achievement of unimaginable goals but also the improvement of the quality of life of low vision patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Congenital cataract surgery in patients with ROP and subsequent visual rehabilitation and selective UV filters, allow not only the achievement of unimaginable goals but also the improvement of the quality of life of low vision patients.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 113,
      "source_fields": {
        "Abstract Final Identifier": "POCAT069",
        "Title": "Selective Absorption Filters In Athletes With Low Vision",
        "Presenting Author(s)": "Dr Maria Veronica Lopez Fernandez",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maria Veronica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lopez Fernandez",
        "Country Name": "Argentina",
        "Purpose": "It is of utmost importance to assess functional vision and prescription selective absorption filters in athletes with low vision. The visual functions of these patients, who have moderate to severe vision loss, are further compromised by changes in light intensity throughout the day.",
        "Setting": "Evaluation of functional vision with studies that included general ophtalmic evaluations: visual acuity (EDTRS), visual fields (Humphrey low vision test), contrast sensitivity (Pelli Robson )tests and color vision tests (Farnsworth 15). Visual aids tested from his 6 th to his 22 years old were galileo telescopes, optical and electronica magnifiers, nono optical devices and selective UV filters.",
        "Methods": "14 years follow up of a 22-year-old patient diagnosed with ROP, bilateral congenital cataracts, and retinal detachment in the right eye and\nPseudophakia in the left eye.\nThe patient underwent visual stimulation in childhood and visual rehabilitation in adolescence, successfully completing their studies and becoming a\nParalympic athlete. Visual acuity for small objects is 20/200 with a Galileo 4x16 monocular telescope; visual acuity is 20/100.\nA selective filter trial resulted in VA 20/80, improving contrast sensitivity parameters, achieving visual stability outdoors.",
        "Results": "",
        "Conclusions": "Congenital cataract surgery in patients with ROP and subsequent visual rehabilitation and selective UV filters,\nallow not only the achievement of unimaginable goals but also the improvement of the quality of life of low vision patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCAT070",
      "abstract_number": "POCAT070",
      "title": "Iatrogenic Phacomorphic Glaucoma Secondary To An Intumescent Cataract Following Nd:Yag Capsulotomy: A Case Report",
      "authors": "Barbara Magiera",
      "presenter": "Barbara Magiera",
      "normalized_authors": [
        "Barbara Magiera"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Barbara Magiera",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To report a case of a patient who developed secondary angle-closure glaucoma due to pupillary block caused by an intumescent cataract, as a complication of Nd:YAG laser capsulotomy.",
        "Setting": "The case was managed at the Department of Ophthalmology, University Clinical Center named after Prof. K. Gibiński in Katowice, Poland.",
        "Methods": "A 43-year-old woman presented to our institution with acute, painful vision loss in the right eye. The patient reported a previous Nd: YAG capsulotomy in an eye that had never undergone cataract surgery. A history of unspecified ophthalmic surgery performed many years ago in another country was reported; however, no medical records were available and the exact nature of the procedure could not be ascertained. Intraocular pressure (IOP) exceeded 80 mmHg on three consecutive measurements using Goldmann applanation and handheld rebound tonometry, and was accompanied by severe ocular pain, redness, and conjunctival hyperemia. The visual acuity in the right eye was restricted to light perception.\nSlit lamp biomicroscopy revealed corneal epithelial edema, flat anterior chamber and intumescent cataract with a ruptured anterior lens capsule. Right eye esotropia was also noted on examination.The patient underwent combined surgical management, including pars plana vitrectomy and cataract phacoemulsification, accompanied by topical and systemic corticosteroid therapy and prophylactic antibiotic treatment. Intraoperative findings revealed a previously implanted phakic intraocular lens, which was explanted, and pupillary sphincter atony, attributed to approximately 7 days of elevated intraocular pressure. The patient is currently under follow-up, with intraocular pressure well controlled, and is awaiting implantation of an intraocular lens (IOL) as the next stage of treatment.",
        "Conclusions": "This case report presents a successful treatment strategy for phacomorphic glaucoma, combining surgical management with adjunctive topical and systemic corticosteroid therapy and highlights the significant role of careful preprocedural assessment of lens status before YAG laser capsulotomy to avoid serious iatrogenic complications, including lens-induced glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case report presents a successful treatment strategy for phacomorphic glaucoma, combining surgical management with adjunctive topical and systemic corticosteroid therapy and highlights the significant role of careful preprocedural assessment of lens status before YAG laser capsulotomy to avoid serious iatrogenic complications, including lens-induced glaucoma.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 114,
      "source_fields": {
        "Abstract Final Identifier": "POCAT070",
        "Title": "Iatrogenic Phacomorphic Glaucoma Secondary To An Intumescent Cataract Following Nd:Yag Capsulotomy: A Case Report",
        "Presenting Author(s)": "Barbara Magiera",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Barbara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Magiera",
        "Country Name": "Poland",
        "Purpose": "To report a case of a patient who developed secondary angle-closure glaucoma due to pupillary block caused by an intumescent cataract, as a complication of Nd:YAG laser capsulotomy.",
        "Setting": "The case was managed at the Department of Ophthalmology, University Clinical Center named after Prof. K. Gibiński in Katowice, Poland.",
        "Methods": "A 43-year-old woman presented to our institution with acute, painful vision loss in the right eye. The patient reported a previous Nd: YAG capsulotomy in an eye that had never undergone cataract surgery. A history of unspecified ophthalmic surgery performed many years ago in another country was reported; however, no medical records were available and the exact nature of the procedure could not be ascertained. Intraocular pressure (IOP) exceeded 80 mmHg on three consecutive measurements using Goldmann applanation and handheld rebound tonometry, and was accompanied by severe ocular pain, redness, and conjunctival hyperemia. The visual acuity in the right eye was restricted to light perception.\nSlit lamp biomicroscopy revealed corneal epithelial edema, flat anterior chamber and intumescent cataract with a ruptured anterior lens capsule. Right eye esotropia was also noted on examination.The patient underwent combined surgical management, including pars plana vitrectomy and cataract phacoemulsification, accompanied by topical and systemic corticosteroid therapy and prophylactic antibiotic treatment. Intraoperative findings revealed a previously implanted phakic intraocular lens, which was explanted, and pupillary sphincter atony, attributed to approximately 7 days of elevated intraocular pressure. The patient is currently under follow-up, with intraocular pressure well controlled, and is awaiting implantation of an intraocular lens (IOL) as the next stage of treatment.",
        "Results": "",
        "Conclusions": "This case report presents a successful treatment strategy for phacomorphic glaucoma, combining surgical management with adjunctive topical and systemic corticosteroid therapy and highlights the significant role of careful preprocedural assessment of lens status before YAG laser capsulotomy to avoid serious iatrogenic complications, including lens-induced glaucoma."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCAT071",
      "abstract_number": "POCAT071",
      "title": "Rapid Bilateral Anterior Subcapsular Cataract In Vernal Keratoconjunctivitis Without Chronic Steroid Exposure: Short-Term Outcomes After Trifocal Iol Implantation",
      "authors": "A/Prof. Gayathri Mahadevan",
      "presenter": "A/Prof. Gayathri Mahadevan",
      "normalized_authors": [
        "Gayathri Mahadevan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gayathri Mahadevan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report rapid bilateral anterior subcapsular cataract in vernal keratoconjunctivitis (VKC) without prolonged corticosteroid exposure and to evaluate short-term outcomes following trifocal intraocular lens (IOL) implantation in a young patient.",
        "Setting": "An 18-year-old male with a 4–5 year history of VKC presented with progressive visual decline and glare since 6 months.The patient was compliant with anti-allergic therapy and denied long-term steroid use. The corrected distance visual acuity (CDVA) was 6/36 in the right eye (RE) and 6/18 in the left eye (LE). Slit-lamp examination revealed bilateral central anterior subcapsular opacities with quiet anterior segments and normal posterior segment.",
        "Methods": "An 18-year-old male with a 4–5 year history of VKC presented with progressive diminution of vision and glare.The patient was compliant with anti-allergic therapy and denied chronic corticosteroid use. The CDVA was 6/36 (RE) and 6/18 (LE).\n\nSlit-lamp examination showed bilateral central anterior subcapsular opacities with finger-like protrusions. The ocular surface and anterior chamber was quiet and corneas were clear. Dilated pupils measured 7 mm bilaterally.Posterior segment was unremarkable. Biometry revelaed 2.6D corneal astigmatism in left eye.\n\nSequential phacoemulsification was performed under topical anesthesia without intraoperative complications.\n\nPostoperative Outcomes\n\nAt 1 month, UCVA improved to 6/6 N6 (RE) and 6/12 N6 (LE). At 3 months, UCVA was 6/9 N6 (RE) and 6/12p N6 (LE).\n\nThe patient reported:\n\n• No glare • No halos • Comfortable near and intermediate vision • Return to full academic and computer activities\n\nNo postoperative inflammation or early complications were observed.",
        "Conclusions": "Cataract in VKC is most commonly associated with prolonged corticosteroid exposure. In this case, absence of chronic steroid use and documentation of clear lenses six months prior suggest a possible inflammation-mediated or mechanical mechanism for anterior subcapsular opacification.\n\nWith controlled ocular surface inflammation and appropriate patient selection, trifocal IOL implantation can provide satisfactory short-term functional outcomes despite large pupil size."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract in VKC is most commonly associated with prolonged corticosteroid exposure. In this case, absence of chronic steroid use and documentation of clear lenses six months prior suggest a possible inflammation-mediated or mechanical mechanism for anterior subcapsular opacification. With controlled ocular surface inflammation and appropriate patient selection, trifocal IOL implantation can provide satisfactory…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 115,
      "source_fields": {
        "Abstract Final Identifier": "POCAT071",
        "Title": "Rapid Bilateral Anterior Subcapsular Cataract In Vernal Keratoconjunctivitis Without Chronic Steroid Exposure: Short-Term Outcomes After Trifocal Iol Implantation",
        "Presenting Author(s)": "A/Prof. Gayathri Mahadevan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Gayathri",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahadevan",
        "Country Name": "India",
        "Purpose": "To report rapid bilateral anterior subcapsular cataract in vernal keratoconjunctivitis (VKC) without prolonged corticosteroid exposure and to evaluate short-term outcomes following trifocal intraocular lens (IOL) implantation in a young patient.",
        "Setting": "An 18-year-old male with a 4–5 year history of VKC presented with progressive visual decline and glare since 6 months.The patient was compliant with anti-allergic therapy and denied long-term steroid use. The corrected distance visual acuity (CDVA) was 6/36 in the right eye (RE) and 6/18 in the left eye (LE). Slit-lamp examination revealed bilateral central anterior subcapsular opacities with quiet anterior segments and normal posterior segment.",
        "Methods": "An 18-year-old male with a 4–5 year history of VKC presented with progressive diminution of vision and glare.The patient was compliant with anti-allergic therapy and denied chronic corticosteroid use. The CDVA was 6/36 (RE) and 6/18 (LE).\n\nSlit-lamp examination showed bilateral central anterior subcapsular opacities with finger-like protrusions. The ocular surface and anterior chamber was quiet and corneas were clear. Dilated pupils measured 7 mm bilaterally.Posterior segment was unremarkable. Biometry revelaed 2.6D corneal astigmatism in left eye.\n\nSequential phacoemulsification was performed under topical anesthesia without intraoperative complications.\n\nPostoperative Outcomes\n\nAt 1 month, UCVA improved to 6/6 N6 (RE) and 6/12 N6 (LE). At 3 months, UCVA was 6/9 N6 (RE) and 6/12p N6 (LE).\n\nThe patient reported:\n\n• No glare • No halos • Comfortable near and intermediate vision • Return to full academic and computer activities\n\nNo postoperative inflammation or early complications were observed.",
        "Results": "",
        "Conclusions": "Cataract in VKC is most commonly associated with prolonged corticosteroid exposure. In this case, absence of chronic steroid use and documentation of clear lenses six months prior suggest a possible inflammation-mediated or mechanical mechanism for anterior subcapsular opacification.\n\nWith controlled ocular surface inflammation and appropriate patient selection, trifocal IOL implantation can provide satisfactory short-term functional outcomes despite large pupil size."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POCAT072",
      "abstract_number": "POCAT072",
      "title": "Phacoemulsification In A Rare Bilateral Iridocorneal Endothelial Syndrome",
      "authors": "Dr Lorenz Jacob Mangahas",
      "presenter": "Dr Lorenz Jacob Mangahas",
      "normalized_authors": [
        "Lorenz Jacob Mangahas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lorenz Jacob Mangahas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To describe the surgical challenges and outcomes of cataract extraction in a patient with advanced Iridocorneal Endothelial (ICE) syndrome, emphasizing intraoperative modifications required in the presence of distorted anterior segment anatomy and compromised corneal endothelium.",
        "Setting": "Tertiary government hospital",
        "Methods": "A 65-year-old female presented with ocular pain, redness, and progressive visual loss. Visual acuity was no light perception in the right eye and hand movements in the left eye. Intraocular pressure measured 50 mmHg in the right eye and 20 mmHg in the left eye. Slit-lamp examination revealed corneal edema, iris atrophy, 360° high peripheral anterior synechiae, and total white cataracts in both eyes. Specular microscopy demonstrated endothelial pleomorphism and polymegathism, while anterior segment optical coherence tomography confirmed extensive peripheral iris adhesions. A diagnosis of bilateral ICE syndrome with advanced cataract was made. Phacoemulsification was performed on the left eye using intracameral epinephrine, viscoelastic-assisted synechialysis, and mechanical pupil stretching due to poor pupillary dilation. The procedure was completed successfully with implantation of a hydrophobic monofocal intraocular lens.",
        "Conclusions": "Cataract surgery in patients with ICE syndrome requires meticulous preoperative assessment and individualized intraoperative strategies to address poor pupillary dilation, corneal edema, and extensive synechiae. While surgery may be technically successful, postoperative visual outcomes can be limited by underlying endothelial dysfunction. Long-term surveillance for glaucoma progression and corneal decompensation is essential for optimal patient management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in patients with ICE syndrome requires meticulous preoperative assessment and individualized intraoperative strategies to address poor pupillary dilation, corneal edema, and extensive synechiae. While surgery may be technically successful, postoperative visual outcomes can be limited by underlying endothelial dysfunction. Long-term surveillance for glaucoma progression and corneal decompensation is…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 116,
      "source_fields": {
        "Abstract Final Identifier": "POCAT072",
        "Title": "Phacoemulsification In A Rare Bilateral Iridocorneal Endothelial Syndrome",
        "Presenting Author(s)": "Dr Lorenz Jacob Mangahas",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Lorenz Jacob",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mangahas",
        "Country Name": "Philippines",
        "Purpose": "To describe the surgical challenges and outcomes of cataract extraction in a patient with advanced Iridocorneal Endothelial (ICE) syndrome, emphasizing intraoperative modifications required in the presence of distorted anterior segment anatomy and compromised corneal endothelium.",
        "Setting": "Tertiary government hospital",
        "Methods": "A 65-year-old female presented with ocular pain, redness, and progressive visual loss. Visual acuity was no light perception in the right eye and hand movements in the left eye. Intraocular pressure measured 50 mmHg in the right eye and 20 mmHg in the left eye. Slit-lamp examination revealed corneal edema, iris atrophy, 360° high peripheral anterior synechiae, and total white cataracts in both eyes. Specular microscopy demonstrated endothelial pleomorphism and polymegathism, while anterior segment optical coherence tomography confirmed extensive peripheral iris adhesions. A diagnosis of bilateral ICE syndrome with advanced cataract was made. Phacoemulsification was performed on the left eye using intracameral epinephrine, viscoelastic-assisted synechialysis, and mechanical pupil stretching due to poor pupillary dilation. The procedure was completed successfully with implantation of a hydrophobic monofocal intraocular lens.",
        "Results": "",
        "Conclusions": "Cataract surgery in patients with ICE syndrome requires meticulous preoperative assessment and individualized intraoperative strategies to address poor pupillary dilation, corneal edema, and extensive synechiae. While surgery may be technically successful, postoperative visual outcomes can be limited by underlying endothelial dysfunction. Long-term surveillance for glaucoma progression and corneal decompensation is essential for optimal patient management."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCAT073",
      "abstract_number": "POCAT073",
      "title": "Delayed-Onset Herpes Simplex Keratitis Masquerading As Persistent Epithelial Defect After Uneventful Phacoemulsification In An Immunocompromised Patient",
      "authors": "Dr Selin Meydan",
      "presenter": "Dr Selin Meydan",
      "normalized_authors": [
        "Selin Meydan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Selin Meydan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a case of delayed-onset herpes simplex virus (HSV) keratitis presenting as a\npersistent, treatment-resistant corneal epithelial defect following uncomplicated phacoemulsification\nin a 65-year-old immunocompromised patient with diabetes mellitus, hypertension, and rheumatoid\narthritis. This case highlights the diagnostic challenge of atypical HSV reactivation in the setting of\npostoperative topical corticosteroid escalation, where the classic dendritic morphology was absent,\nand demonstrates the efficacy of combined oral valacyclovir and topical ganciclovir therapy in\nachieving complete corneal healing and visual recovery.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdoğan University, Faculty of Medicine,\nRize, Turkey. Tertiary referral center.",
        "Methods": "A 65-year-old patient with diabetes mellitus, hypertension, and rheumatoid\narthritis—but no prior herpetic history—underwent uneventful phacoemulsification with IOL\nimplantation for dense nuclear cataract (BCVA 20/200). Postoperative treatment included topical\nmoxifloxacin and dexamethasone/tobramycin. At day 10, the eye was quiet; the antibiotic was\nstopped and the steroid was switched to dexamethasone 0.1% monotherapy. At day 17, the patient\npresented with pain, photophobia, and decreased vision (BCVA 20/100). A 3.5 mm central epithelial\ndefect was identified; fluorescein staining showed no dendritic pattern. The patient was hospitalized\nand treated with preservative-free artificial tears, autologous serum 20%, topical moxifloxacin, and a\nbandage contact lens. After four weeks without improvement, re-evaluation revealed pseudodendritic\nchanges at the defect margins and markedly reduced corneal sensation. HSV keratitis was suspected.\nTopical steroid was discontinued; oral valacyclovir 1000 mg TID and topical ganciclovir 0.15% gel\nfive times daily were initiated. Complete re-epithelialization was achieved within three weeks. Final\nBCVA improved to 20/30 with no recurrence under prophylactic valacyclovir 500 mg daily.",
        "Conclusions": "HSV keratitis must be considered in the differential\ndiagnosis of persistent epithelial defects after cataract surgery, particularly in immunocompromised\npatients and when topical corticosteroid potency has been escalated. Concurrent steroid use may mask\nthe classic dendritic pattern, delaying diagnosis. Combined systemic and topical antiviral therapy\nachieved complete resolution in this case. Clinicians should maintain a high index of suspicion for\nherpetic reactivation in patients with autoimmune disease or diabetes when standard supportive\nwound-healing measures fail within two to three weeks postoperatively. Early antiviral intervention\nprevents progression and preserves visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "HSV keratitis must be considered in the differential diagnosis of persistent epithelial defects after cataract surgery, particularly in immunocompromised patients and when topical corticosteroid potency has been escalated. Concurrent steroid use may mask the classic dendritic pattern, delaying diagnosis. Combined systemic and topical antiviral therapy achieved complete resolution in this case. Clinicians should…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 117,
      "source_fields": {
        "Abstract Final Identifier": "POCAT073",
        "Title": "Delayed-Onset Herpes Simplex Keratitis Masquerading As Persistent Epithelial Defect After Uneventful Phacoemulsification In An Immunocompromised Patient",
        "Presenting Author(s)": "Dr Selin Meydan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Selin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Meydan",
        "Country Name": "Türkiye",
        "Purpose": "To report a case of delayed-onset herpes simplex virus (HSV) keratitis presenting as a\npersistent, treatment-resistant corneal epithelial defect following uncomplicated phacoemulsification\nin a 65-year-old immunocompromised patient with diabetes mellitus, hypertension, and rheumatoid\narthritis. This case highlights the diagnostic challenge of atypical HSV reactivation in the setting of\npostoperative topical corticosteroid escalation, where the classic dendritic morphology was absent,\nand demonstrates the efficacy of combined oral valacyclovir and topical ganciclovir therapy in\nachieving complete corneal healing and visual recovery.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdoğan University, Faculty of Medicine,\nRize, Turkey. Tertiary referral center.",
        "Methods": "A 65-year-old patient with diabetes mellitus, hypertension, and rheumatoid\narthritis—but no prior herpetic history—underwent uneventful phacoemulsification with IOL\nimplantation for dense nuclear cataract (BCVA 20/200). Postoperative treatment included topical\nmoxifloxacin and dexamethasone/tobramycin. At day 10, the eye was quiet; the antibiotic was\nstopped and the steroid was switched to dexamethasone 0.1% monotherapy. At day 17, the patient\npresented with pain, photophobia, and decreased vision (BCVA 20/100). A 3.5 mm central epithelial\ndefect was identified; fluorescein staining showed no dendritic pattern. The patient was hospitalized\nand treated with preservative-free artificial tears, autologous serum 20%, topical moxifloxacin, and a\nbandage contact lens. After four weeks without improvement, re-evaluation revealed pseudodendritic\nchanges at the defect margins and markedly reduced corneal sensation. HSV keratitis was suspected.\nTopical steroid was discontinued; oral valacyclovir 1000 mg TID and topical ganciclovir 0.15% gel\nfive times daily were initiated. Complete re-epithelialization was achieved within three weeks. Final\nBCVA improved to 20/30 with no recurrence under prophylactic valacyclovir 500 mg daily.",
        "Results": "",
        "Conclusions": "HSV keratitis must be considered in the differential\ndiagnosis of persistent epithelial defects after cataract surgery, particularly in immunocompromised\npatients and when topical corticosteroid potency has been escalated. Concurrent steroid use may mask\nthe classic dendritic pattern, delaying diagnosis. Combined systemic and topical antiviral therapy\nachieved complete resolution in this case. Clinicians should maintain a high index of suspicion for\nherpetic reactivation in patients with autoimmune disease or diabetes when standard supportive\nwound-healing measures fail within two to three weeks postoperatively. Early antiviral intervention\nprevents progression and preserves visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POCAT074",
      "abstract_number": "POCAT074",
      "title": "Out-Of-The-Box Management Of Persistent Descemet Membrane Detachment After Phacoemulsification\n\"If You Miss It , It Will Mess With You \"",
      "authors": "Mohamed Sherif Morsy",
      "presenter": "Mohamed Sherif Morsy",
      "normalized_authors": [
        "Mohamed Sherif Morsy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Sherif Morsy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To report an early postoperative Descemet membrane detachment (DMD) after routine phacoemulsification in a monocular patient and describe a successful “out-of-the-box” approach after repeated failure of standard intracameral air descemetopexy.",
        "Setting": "The case was managed at a tertiary academic ophthalmology center.",
        "Methods": "A 75-year-old hypertensive female, a monocular patient, presented with gradual painless diminution of vision in the right eye for three years. Preoperative visual acuity was hand movements with accurate projection. Examination showed a dense brown cataract with no fundus view; B-scan ultrasonography confirmed a normal posterior segment. Uneventful cataract surgery was performed.\n\nOn postoperative day 1, only the superior one-third of the cornea was clear, with moderate corneal edema elsewhere. Anterior segment OCT confirmed Descemet membrane detachment. Intracameral air injection was planned and performed but failed to reattach the membrane. A repeat attempt by a senior consultant also failed. Re-evaluation suggested persistent fluid trapped between Descemet membrane and posterior stroma (suspected entrapped aqueous) preventing tamponade. The patient was taken back to the operating room; a targeted corneal puncture was performed to access the pre-Descemet space and drain the trapped fluid, followed immediately by intracameral air injection. Descemet reattachment was achieved. At one month, the cornea was clear with improved visual acuity.",
        "Conclusions": "Early postoperative corneal edema after cataract surgery—especially in monocular patients—should prompt active exclusion of DMD using anterior segment OCT. If standard descemetopexy fails, reassess for persistent interface fluid that can prevent reattachment; drainage of trapped fluid prior to repeat air injection may be decisive. Escalation to senior input and timely re-intervention can optimize outcomes.\nAlways think outside the box. Always ask for a higher consultation. and never be sad when you make mistakes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Early postoperative corneal edema after cataract surgery—especially in monocular patients—should prompt active exclusion of DMD using anterior segment OCT. If standard descemetopexy fails, reassess for persistent interface fluid that can prevent reattachment; drainage of trapped fluid prior to repeat air injection may be decisive. Escalation to senior input and timely re-intervention can optimize outcomes. Always…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 118,
      "source_fields": {
        "Abstract Final Identifier": "POCAT074",
        "Title": "Out-Of-The-Box Management Of Persistent Descemet Membrane Detachment After Phacoemulsification\n\"If You Miss It , It Will Mess With You \"",
        "Presenting Author(s)": "Mohamed Sherif Morsy",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "Sherif",
        "Submitter Last Name": "Morsy",
        "Country Name": "Egypt",
        "Purpose": "To report an early postoperative Descemet membrane detachment (DMD) after routine phacoemulsification in a monocular patient and describe a successful “out-of-the-box” approach after repeated failure of standard intracameral air descemetopexy.",
        "Setting": "The case was managed at a tertiary academic ophthalmology center.",
        "Methods": "A 75-year-old hypertensive female, a monocular patient, presented with gradual painless diminution of vision in the right eye for three years. Preoperative visual acuity was hand movements with accurate projection. Examination showed a dense brown cataract with no fundus view; B-scan ultrasonography confirmed a normal posterior segment. Uneventful cataract surgery was performed.\n\nOn postoperative day 1, only the superior one-third of the cornea was clear, with moderate corneal edema elsewhere. Anterior segment OCT confirmed Descemet membrane detachment. Intracameral air injection was planned and performed but failed to reattach the membrane. A repeat attempt by a senior consultant also failed. Re-evaluation suggested persistent fluid trapped between Descemet membrane and posterior stroma (suspected entrapped aqueous) preventing tamponade. The patient was taken back to the operating room; a targeted corneal puncture was performed to access the pre-Descemet space and drain the trapped fluid, followed immediately by intracameral air injection. Descemet reattachment was achieved. At one month, the cornea was clear with improved visual acuity.",
        "Results": "",
        "Conclusions": "Early postoperative corneal edema after cataract surgery—especially in monocular patients—should prompt active exclusion of DMD using anterior segment OCT. If standard descemetopexy fails, reassess for persistent interface fluid that can prevent reattachment; drainage of trapped fluid prior to repeat air injection may be decisive. Escalation to senior input and timely re-intervention can optimize outcomes.\nAlways think outside the box. Always ask for a higher consultation. and never be sad when you make mistakes"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT075",
      "abstract_number": "POCAT075",
      "title": "Сataract Surgery After Penetrating Keratoplasty Due To Keratoconus With Corneal Graft Local Clouding",
      "authors": "Dr Maryam Muradova",
      "presenter": "Dr Maryam Muradova",
      "normalized_authors": [
        "Maryam Muradova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maryam Muradova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To present the clinical outcomes of using an enhance depth of focus IOL for cataract surgery in a patient after penetrating keratoplasty (PKP) with corneal graft local clouding to a previous fungal corneal ulcer.",
        "Setting": "The study was conducted on the basis of the S. Fyodorov Eye Microsurgery Federal State Institution.",
        "Methods": "A 28-year-old male was consulted with decreased vision in his left eye. In the 2020 OS history of PKP for keratoconus stage 4. In 2021, he had fungal keratitis on his left eye, which was treated successfully with medical therapy. However, the local clouding of corneal graft was formed. Visual acuity OS before surgical treatment was 0.05 sph -10.0 cyl -4.0 ax 30 = 0.1. Slit lamp examination showed clouding of the cornea graft in the racentral zone, clouding in the nuclear-cortical layers of the lens. Keratometry data showed the presence of astigmatism OS 47.12 diopters - 6°, 51.32 diopters - 96°, pachymetry: thinning in the zone of clouding OS - minimum thickness 384 µm. The IOL was calculated using three different calculators (Barrett Toric Calculator, Alcon Online Toric IOL Calculator, Kane Formula). The patient underwent cataract phacoemulsification in the left eye using a femtosecond laser with implantation of a Vivity toric lOL (Alcon). 6 months after surgery, UCVA (5 m) OS 0.5, UCVA (66 cm) 0.4, UCVA (33 cm) 0.3. Distance visual acuity (5 m) with correction cyl -0.75 ax 155 = 0.8. Subjective assessment of visual functions was carried out using the Visual Function – 14 questionnaire and amounted to 91%, which indicates the patient’s satisfaction with the result.",
        "Conclusions": "The presented results indicate sufficient predictability and effectiveness of the use of lenses with enhance depth of focus IOLs in patients with corneal pathology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The presented results indicate sufficient predictability and effectiveness of the use of lenses with enhance depth of focus IOLs in patients with corneal pathology.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 119,
      "source_fields": {
        "Abstract Final Identifier": "POCAT075",
        "Title": "Сataract Surgery After Penetrating Keratoplasty Due To Keratoconus With Corneal Graft Local Clouding",
        "Presenting Author(s)": "Dr Maryam Muradova",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maryam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muradova",
        "Country Name": "Russian Federation",
        "Purpose": "To present the clinical outcomes of using an enhance depth of focus IOL for cataract surgery in a patient after penetrating keratoplasty (PKP) with corneal graft local clouding to a previous fungal corneal ulcer.",
        "Setting": "The study was conducted on the basis of the S. Fyodorov Eye Microsurgery Federal State Institution.",
        "Methods": "A 28-year-old male was consulted with decreased vision in his left eye. In the 2020 OS history of PKP for keratoconus stage 4. In 2021, he had fungal keratitis on his left eye, which was treated successfully with medical therapy. However, the local clouding of corneal graft was formed. Visual acuity OS before surgical treatment was 0.05 sph -10.0 cyl -4.0 ax 30 = 0.1. Slit lamp examination showed clouding of the cornea graft in the racentral zone, clouding in the nuclear-cortical layers of the lens. Keratometry data showed the presence of astigmatism OS 47.12 diopters - 6°, 51.32 diopters - 96°, pachymetry: thinning in the zone of clouding OS - minimum thickness 384 µm. The IOL was calculated using three different calculators (Barrett Toric Calculator, Alcon Online Toric IOL Calculator, Kane Formula). The patient underwent cataract phacoemulsification in the left eye using a femtosecond laser with implantation of a Vivity toric lOL (Alcon). 6 months after surgery, UCVA (5 m) OS 0.5, UCVA (66 cm) 0.4, UCVA (33 cm) 0.3. Distance visual acuity (5 m) with correction cyl -0.75 ax 155 = 0.8. Subjective assessment of visual functions was carried out using the Visual Function – 14 questionnaire and amounted to 91%, which indicates the patient’s satisfaction with the result.",
        "Results": "",
        "Conclusions": "The presented results indicate sufficient predictability and effectiveness of the use of lenses with enhance depth of focus IOLs in patients with corneal pathology."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCAT076",
      "abstract_number": "POCAT076",
      "title": "Long-Term Outcomes With An Extended Macular Iol In Eyes With Age-Related Macular Degeneration: A Longitudinal Case Series",
      "authors": "Dr Tabitha Neuhann",
      "presenter": "Dr Tabitha Neuhann",
      "normalized_authors": [
        "Tabitha Neuhann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tabitha Neuhann",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To describe long-term functional and structural outcomes after implantation of the EyeMax Mono extended macular vision (EMV) intraocular lens (IOL) in eyes with age-related macular degeneration (AMD) using spectral-domain optical coherence tomography (OCT) and corrected distance visual acuity (CDVA).",
        "Setting": "Retrospective longitudinal single-center case series",
        "Methods": "Methods:\n\nThis study included eyes with dry or exudative AMD that underwent cataract surgery with the EyeMax Mono IOL. CDVA was anchored at 1 month postoperatively to establish a post-cataract functional baseline and reduce confounding from lens extraction. Spectral-domain OCT, obtained at the same visits as CDVA, was qualitatively graded for disease activity and structural biomarkers, including intraretinal fluid (IRF), subretinal fluid (SRF), pigment epithelial detachment (PED), subretinal hyperreflective material (SHRM), and the presence of atrophy or fibrosis. Eyes with at least three OCT examinations, including baseline and ≥1 visit at ≥12 months, were included. Given variable follow-up, outcomes were analyzed descriptively on a per-eye basis.\n\nResults:\n\n25 IOLs were implanted while five eyes from four patients (mean age 84 years) met the inclusion criteria, including one eye with dry AMD and four with exudative AMD. From the 1-month postoperative baseline, CDVA improved in one eye over 12 months (logMAR 0.7 to 0.4), remained stable in one eye with dry AMD over 36 months, and declined in three eyes with exudative AMD at final follow-up. Eyes with stable or improved CDVA showed relative structural stability on OCT, whereas eyes with visual decline demonstrated features consistent with ongoing disease activity or progressive atrophic or fibrotic changes. Two eyes required ongoing intravitreal therapy during follow-up",
        "Conclusions": "In this small longitudinal case series, EyeMax Mono IOL implantation was associated with stable or improved CDVA in a subset of eyes with AMD, while visual decline in others appeared primarily driven by progression of exudative disease and structural retinal damage on OCT. Larger prospective studies with standardized functional and imaging endpoints are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In this small longitudinal case series, EyeMax Mono IOL implantation was associated with stable or improved CDVA in a subset of eyes with AMD, while visual decline in others appeared primarily driven by progression of exudative disease and structural retinal damage on OCT. Larger prospective studies with standardized functional and imaging endpoints are warranted.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 120,
      "source_fields": {
        "Abstract Final Identifier": "POCAT076",
        "Title": "Long-Term Outcomes With An Extended Macular Iol In Eyes With Age-Related Macular Degeneration: A Longitudinal Case Series",
        "Presenting Author(s)": "Dr Tabitha Neuhann",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Tabitha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Neuhann",
        "Country Name": "Germany",
        "Purpose": "To describe long-term functional and structural outcomes after implantation of the EyeMax Mono extended macular vision (EMV) intraocular lens (IOL) in eyes with age-related macular degeneration (AMD) using spectral-domain optical coherence tomography (OCT) and corrected distance visual acuity (CDVA).",
        "Setting": "Retrospective longitudinal single-center case series",
        "Methods": "Methods:\n\nThis study included eyes with dry or exudative AMD that underwent cataract surgery with the EyeMax Mono IOL. CDVA was anchored at 1 month postoperatively to establish a post-cataract functional baseline and reduce confounding from lens extraction. Spectral-domain OCT, obtained at the same visits as CDVA, was qualitatively graded for disease activity and structural biomarkers, including intraretinal fluid (IRF), subretinal fluid (SRF), pigment epithelial detachment (PED), subretinal hyperreflective material (SHRM), and the presence of atrophy or fibrosis. Eyes with at least three OCT examinations, including baseline and ≥1 visit at ≥12 months, were included. Given variable follow-up, outcomes were analyzed descriptively on a per-eye basis.\n\nResults:\n\n25 IOLs were implanted while five eyes from four patients (mean age 84 years) met the inclusion criteria, including one eye with dry AMD and four with exudative AMD. From the 1-month postoperative baseline, CDVA improved in one eye over 12 months (logMAR 0.7 to 0.4), remained stable in one eye with dry AMD over 36 months, and declined in three eyes with exudative AMD at final follow-up. Eyes with stable or improved CDVA showed relative structural stability on OCT, whereas eyes with visual decline demonstrated features consistent with ongoing disease activity or progressive atrophic or fibrotic changes. Two eyes required ongoing intravitreal therapy during follow-up",
        "Results": "",
        "Conclusions": "In this small longitudinal case series, EyeMax Mono IOL implantation was associated with stable or improved CDVA in a subset of eyes with AMD, while visual decline in others appeared primarily driven by progression of exudative disease and structural retinal damage on OCT. Larger prospective studies with standardized functional and imaging endpoints are warranted."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCAT077",
      "abstract_number": "POCAT077",
      "title": "Unique Case Of Pseudophakic Angle Closure From Capsular Tension Ring",
      "authors": "Dr Aaron Ng",
      "presenter": "Dr Aaron Ng",
      "normalized_authors": [
        "Aaron Ng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aaron Ng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Present a the presentation and management of a unique case of pseudophakic angle closure glaucoma caused by an anteriorly dislocated capsular tension ring",
        "Setting": "Tertiary Eye Care Institution",
        "Methods": "82 year old chinese gentleman presenting with raised intraocular pressure in the presence of pseudophakia and secondary angle closure. While angle closure and intraocular pressures resolved after initiation of pharmacological glaucoma therapy, laser peripheral iridotomy and laser iridoplasty, he suffered recurrent angle closure attacks, all which resolved spontaneously. Ultrasound biomicroscopy revealed a plateau iris configuration with anteriorly displaced intraocular lens and capsular tension ring complex within a fibrosed capsular bag. Surgical management in the form of intraocular lens and capsular tension ring explantation, vitrectomy and sutured scleral fixation of a new intraocular lens was performed. There were no episodes of recurrent angle closure episodes after surgery.",
        "Conclusions": "Pseudophakic angle closure is a rare occurance. Ophthalmolgists should be aware of how to diagnose and pin-point the exact causative factor in such cases. One such cause is a capsular tension ring even with proper in the bag placement. This could be more common with more widespread use of capsular tension rings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Pseudophakic angle closure is a rare occurance. Ophthalmolgists should be aware of how to diagnose and pin-point the exact causative factor in such cases. One such cause is a capsular tension ring even with proper in the bag placement. This could be more common with more widespread use of capsular tension rings.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 121,
      "source_fields": {
        "Abstract Final Identifier": "POCAT077",
        "Title": "Unique Case Of Pseudophakic Angle Closure From Capsular Tension Ring",
        "Presenting Author(s)": "Dr Aaron Ng",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Aaron",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ng",
        "Country Name": "Singapore",
        "Purpose": "Present a the presentation and management of a unique case of pseudophakic angle closure glaucoma caused by an anteriorly dislocated capsular tension ring",
        "Setting": "Tertiary Eye Care Institution",
        "Methods": "82 year old chinese gentleman presenting with raised intraocular pressure in the presence of pseudophakia and secondary angle closure. While angle closure and intraocular pressures resolved after initiation of pharmacological glaucoma therapy, laser peripheral iridotomy and laser iridoplasty, he suffered recurrent angle closure attacks, all which resolved spontaneously. Ultrasound biomicroscopy revealed a plateau iris configuration with anteriorly displaced intraocular lens and capsular tension ring complex within a fibrosed capsular bag. Surgical management in the form of intraocular lens and capsular tension ring explantation, vitrectomy and sutured scleral fixation of a new intraocular lens was performed. There were no episodes of recurrent angle closure episodes after surgery.",
        "Results": "",
        "Conclusions": "Pseudophakic angle closure is a rare occurance. Ophthalmolgists should be aware of how to diagnose and pin-point the exact causative factor in such cases. One such cause is a capsular tension ring even with proper in the bag placement. This could be more common with more widespread use of capsular tension rings."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 185
    },
    {
      "uid": "POCAT078",
      "abstract_number": "POCAT078",
      "title": "Non-Diffractive Spiral Optic Iol Implantation After Refractive Lens Exchange In A Fuchs Dystrophy Patient With Angle Closure",
      "authors": "Dr Ali Nowrouzi",
      "presenter": "Dr Ali Nowrouzi",
      "normalized_authors": [
        "Ali Nowrouzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Nowrouzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate visual outcomes and patient satisfaction following bilateral implantation of a non-diffractive spiral optic intraocular lens in a patient with Fuchs dystrophy and angle closure after refractive lens exchange.",
        "Setting": "Cornea and refractive surgery department of Quironsalud Hospital, Marbella, Spain.",
        "Methods": "Methods\n\nThis is a prospective case report of a 45 years-old patient with Fuchs endothelial dystrophy and angle closure who underwent bilateral refractive lens exchange followed by implantation of a non-diffractive spiral optic intraocular lens. Intervention included standard phacoemulsification with IOL implantation. Outcome measures included uncorrected and corrected visual acuity, contrast sensitivity, patient-reported satisfaction, and quality of vision assessed at follow-up visits with VF-14 quiestionaire.\n\nResults\n\nPostoperatively, uncorrected distance visual acuity was 20/15 in both eyes, with uncorrected intermediate and near visual acuity of 20/20. The VF-14 questionnaire demonstrated high functional scores, with the patient reporting excellent quality of vision and no halos or night-vision disturbances. Overall satisfaction was maximal, and outcomes were statistically significant compared with the preoperative baseline.",
        "Conclusions": "Conclusion\n\nBilateral implantation of a non-diffractive spiral optic IOL after refractive lens exchange provided excellent visual acuity, high functional performance, and patient satisfaction in a Fuchs dystrophy patient with angle closure, supporting its safety and effectiveness in complex cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusion Bilateral implantation of a non-diffractive spiral optic IOL after refractive lens exchange provided excellent visual acuity, high functional performance, and patient satisfaction in a Fuchs dystrophy patient with angle closure, supporting its safety and effectiveness in complex cases.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 122,
      "source_fields": {
        "Abstract Final Identifier": "POCAT078",
        "Title": "Non-Diffractive Spiral Optic Iol Implantation After Refractive Lens Exchange In A Fuchs Dystrophy Patient With Angle Closure",
        "Presenting Author(s)": "Dr Ali Nowrouzi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nowrouzi",
        "Country Name": "Spain",
        "Purpose": "To evaluate visual outcomes and patient satisfaction following bilateral implantation of a non-diffractive spiral optic intraocular lens in a patient with Fuchs dystrophy and angle closure after refractive lens exchange.",
        "Setting": "Cornea and refractive surgery department of Quironsalud Hospital, Marbella, Spain.",
        "Methods": "Methods\n\nThis is a prospective case report of a 45 years-old patient with Fuchs endothelial dystrophy and angle closure who underwent bilateral refractive lens exchange followed by implantation of a non-diffractive spiral optic intraocular lens. Intervention included standard phacoemulsification with IOL implantation. Outcome measures included uncorrected and corrected visual acuity, contrast sensitivity, patient-reported satisfaction, and quality of vision assessed at follow-up visits with VF-14 quiestionaire.\n\nResults\n\nPostoperatively, uncorrected distance visual acuity was 20/15 in both eyes, with uncorrected intermediate and near visual acuity of 20/20. The VF-14 questionnaire demonstrated high functional scores, with the patient reporting excellent quality of vision and no halos or night-vision disturbances. Overall satisfaction was maximal, and outcomes were statistically significant compared with the preoperative baseline.",
        "Results": "",
        "Conclusions": "Conclusion\n\nBilateral implantation of a non-diffractive spiral optic IOL after refractive lens exchange provided excellent visual acuity, high functional performance, and patient satisfaction in a Fuchs dystrophy patient with angle closure, supporting its safety and effectiveness in complex cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 201
    },
    {
      "uid": "POCAT079",
      "abstract_number": "POCAT079",
      "title": "Explantation Of A Dislocated Intraocular Lens With Simultaneous Reimplantation Using Flanged Loop Transscleral Monofixation In An Eye With High Hyperopia: A Case Report",
      "authors": "Dr Ahmadjon Nozimov",
      "presenter": "Dr Ahmadjon Nozimov",
      "normalized_authors": [
        "Ahmadjon Nozimov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmadjon Nozimov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To report the clinical outcome and technical feasibility of simultaneous explantation of a dislocated intraocular lens (IOL) with immediate reimplantation utilizing flanged loop transscleral monofixation technique in a highly hyperopic eye following clear lens extraction.",
        "Setting": "We report a case of a 35-year-old patient with grade II dislocation of the IOL–capsular bag complex after clear lens extraction for high hyperopia. The dislocated hydrophilic IOL was explanted in fragments through a corneoscleral tunnel with preservation of fibrosed capsular remnants. A +40.0 D foldable posterior chamber IOL was reimplanted using flanged loop transscleral monofixation. Postoperative UBM confirmed stable IOL positioning, followed by Nd:YAG posterior capsulotomy.",
        "Methods": "Results:\n\nStable centration and optimal posterior chamber positioning of the reimplanted IOL were achieved and maintained throughout the follow-up period, with no clinical or radiographic evidence of recurrent dislocation. Uncorrected distance visual acuity (UDVA) demonstrated significant improvement from 0.1 (20/200) preoperatively to 0.6 (20/30) postoperatively. Best-corrected distance visual acuity (BCDVA) improved to 0.8 (20/25). Ultrasound biomicroscopy confirmed sustained long-term biomechanical stability of the transscleral IOL fixation without evidence of suture erosion, haptic displacement, or inflammatory complications.",
        "Conclusions": "Simultaneous explantation and reimplantation of a dislocated IOL using the flanged loop transscleral monofixation technique represents a safe, efficacious, and surgically practical approach in eyes with high hyperopia and compromised capsular support. This technique provides reliable IOL fixation with favorable refractive and anatomical outcomes in complex clinical scenarios characterized by extreme refractive error and insufficient zonular or capsular integrity. Further investigation with larger case series and extended follow-up is warranted to establish long-term safety and efficacy parameters."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Simultaneous explantation and reimplantation of a dislocated IOL using the flanged loop transscleral monofixation technique represents a safe, efficacious, and surgically practical approach in eyes with high hyperopia and compromised capsular support. This technique provides reliable IOL fixation with favorable refractive and anatomical outcomes in complex clinical scenarios characterized by extreme refractive…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 123,
      "source_fields": {
        "Abstract Final Identifier": "POCAT079",
        "Title": "Explantation Of A Dislocated Intraocular Lens With Simultaneous Reimplantation Using Flanged Loop Transscleral Monofixation In An Eye With High Hyperopia: A Case Report",
        "Presenting Author(s)": "Dr Ahmadjon Nozimov",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ahmadjon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nozimov",
        "Country Name": "Uzbekistan",
        "Purpose": "To report the clinical outcome and technical feasibility of simultaneous explantation of a dislocated intraocular lens (IOL) with immediate reimplantation utilizing flanged loop transscleral monofixation technique in a highly hyperopic eye following clear lens extraction.",
        "Setting": "We report a case of a 35-year-old patient with grade II dislocation of the IOL–capsular bag complex after clear lens extraction for high hyperopia. The dislocated hydrophilic IOL was explanted in fragments through a corneoscleral tunnel with preservation of fibrosed capsular remnants. A +40.0 D foldable posterior chamber IOL was reimplanted using flanged loop transscleral monofixation. Postoperative UBM confirmed stable IOL positioning, followed by Nd:YAG posterior capsulotomy.",
        "Methods": "Results:\n\nStable centration and optimal posterior chamber positioning of the reimplanted IOL were achieved and maintained throughout the follow-up period, with no clinical or radiographic evidence of recurrent dislocation. Uncorrected distance visual acuity (UDVA) demonstrated significant improvement from 0.1 (20/200) preoperatively to 0.6 (20/30) postoperatively. Best-corrected distance visual acuity (BCDVA) improved to 0.8 (20/25). Ultrasound biomicroscopy confirmed sustained long-term biomechanical stability of the transscleral IOL fixation without evidence of suture erosion, haptic displacement, or inflammatory complications.",
        "Results": "",
        "Conclusions": "Simultaneous explantation and reimplantation of a dislocated IOL using the flanged loop transscleral monofixation technique represents a safe, efficacious, and surgically practical approach in eyes with high hyperopia and compromised capsular support. This technique provides reliable IOL fixation with favorable refractive and anatomical outcomes in complex clinical scenarios characterized by extreme refractive error and insufficient zonular or capsular integrity. Further investigation with larger case series and extended follow-up is warranted to establish long-term safety and efficacy parameters."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POCAT080",
      "abstract_number": "POCAT080",
      "title": "Posture-Dependent Intraocular Pressure Difference As A Screening Marker Of Early Zonular Weakness In Age-Related Cataract",
      "authors": "Dr Ahmadjon Nozimov",
      "presenter": "Dr Ahmadjon Nozimov",
      "normalized_authors": [
        "Ahmadjon Nozimov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmadjon Nozimov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To assess whether the difference in intraocular pressure (IOP) between sitting and supine positions can identify early (grade I) capsular–zonular instability in patients with age-related cataract lacking obvious clinical signs of zonular weakness.",
        "Setting": "Patients with immature or mature age-related cataract and anterior chamber depth of 2.4–3.0 mm were included. Exclusion criteria were glaucoma, high myopia, grade II–III lens subluxation, prior ocular surgery, and systemic conditions affecting aqueous dynamics. IOP was measured with a portable non-contact pneumotonometer in the sitting position and after 5 min supine. A sitting–supine IOP difference ≥4 mmHg indicated grade I zonular weakness. Anterior segment OCT and UBM were used when indicated",
        "Methods": "In the control group, IOP increased in the supine position relative to sitting (mean difference 1.7 ± 0.8 mmHg , p <0.001), consistent with physiological expectations. In contrast, eyes classified as grade I zonular weakness showed a reversed pattern, with higher IOP in the sitting position; the mean difference reached 5.7 ± 1.2 mmHg ( p <0.001). In 48% of these eyes, the difference exceeded 6 mmHg . Imaging supported the functional marker: OCT demonstrated iris–lens diaphragm position changes in 84% , and UBM revealed zonular defects/thinning in 88% .",
        "Conclusions": "Comparative IOP measurement in sitting versus supine positions appears to be a simple, reproducible, and low-cost screening approach for detecting early zonular instability in cataract patients. This may improve preoperative risk stratification and surgical planning, particularly when conventional slit-lamp findings are equivocal."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Comparative IOP measurement in sitting versus supine positions appears to be a simple, reproducible, and low-cost screening approach for detecting early zonular instability in cataract patients. This may improve preoperative risk stratification and surgical planning, particularly when conventional slit-lamp findings are equivocal.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 124,
      "source_fields": {
        "Abstract Final Identifier": "POCAT080",
        "Title": "Posture-Dependent Intraocular Pressure Difference As A Screening Marker Of Early Zonular Weakness In Age-Related Cataract",
        "Presenting Author(s)": "Dr Ahmadjon Nozimov",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ahmadjon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nozimov",
        "Country Name": "Uzbekistan",
        "Purpose": "To assess whether the difference in intraocular pressure (IOP) between sitting and supine positions can identify early (grade I) capsular–zonular instability in patients with age-related cataract lacking obvious clinical signs of zonular weakness.",
        "Setting": "Patients with immature or mature age-related cataract and anterior chamber depth of 2.4–3.0 mm were included. Exclusion criteria were glaucoma, high myopia, grade II–III lens subluxation, prior ocular surgery, and systemic conditions affecting aqueous dynamics. IOP was measured with a portable non-contact pneumotonometer in the sitting position and after 5 min supine. A sitting–supine IOP difference ≥4 mmHg indicated grade I zonular weakness. Anterior segment OCT and UBM were used when indicated",
        "Methods": "In the control group, IOP increased in the supine position relative to sitting (mean difference 1.7 ± 0.8 mmHg , p <0.001), consistent with physiological expectations. In contrast, eyes classified as grade I zonular weakness showed a reversed pattern, with higher IOP in the sitting position; the mean difference reached 5.7 ± 1.2 mmHg ( p <0.001). In 48% of these eyes, the difference exceeded 6 mmHg . Imaging supported the functional marker: OCT demonstrated iris–lens diaphragm position changes in 84% , and UBM revealed zonular defects/thinning in 88% .",
        "Results": "",
        "Conclusions": "Comparative IOP measurement in sitting versus supine positions appears to be a simple, reproducible, and low-cost screening approach for detecting early zonular instability in cataract patients. This may improve preoperative risk stratification and surgical planning, particularly when conventional slit-lamp findings are equivocal."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT081",
      "abstract_number": "POCAT081",
      "title": "Modified Cruciate Technique In Fibrotic Posterior Capsule Opacification: Peripheral Tension Release Maneuver",
      "authors": "Aysenur OCAK",
      "presenter": "Aysenur OCAK",
      "normalized_authors": [
        "Aysenur OCAK"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aysenur Ocak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "In Nd:YAG laser capsulotomy, the cruciate pattern is often preferred due to its low energy requirement and reduced risk of floaters. However, in fibrotic posterior capsule opacification (PCO), the capsule loses elasticity, making it difficult for the flaps to fold back (flop out). Persistent central shots to achieve an opening increase the risk of intraocular lens (IOL) pitting. This case report aims to introduce a modified \"peripheral tension release\" technique that breaks capsular resistance and achieves full opening by applying shots to the peripheral legs of the cruciate pattern, without risking the central area in rigid PCO cases.",
        "Setting": "This study is a clinical case report of a single patient presenting with late-onset visual impairment after cataract surgery, diagnosed with severe fibrotic posterior capsule opacification on slit-lamp examination. The procedure was performed by a single surgeon using an Nd:YAG laser device under topical anesthesia in an outpatient clinic setting.",
        "Methods": "Nd:YAG laser capsulotomy was planned for a patient with a history of cataract surgery and decreased vision due to dense fibrotic PCO. The procedure began with a standard cruciate pattern. Although the capsule was cut crosswise with laser shots, mechanical tension was insufficient due to the fibrotic structure, and the flaps did not fold outside the visual axis. Additional central shots were avoided because they carried the risk of creating permanent pitting on the IOL. Instead, a \"peripheral tension release\" maneuver was initiated. Based on the interactive technique and capsular mechanics principles described by Zhuravlyov, strategic single shots were applied to the peripheral legs (endpoints) of the cross pattern. These shots instantly broke the resistance lines of the fibrotic capsule, ensuring rapid peripheral retraction of the flaps and creating a clear central optical opening. No pitting was observed on the IOL in the central area during or after the procedure. The expected increase in visual acuity was safely achieved. With this method, the procedure was completed with much lower total energy without switching to modified circular techniques, which are known to require high energy in the literature.",
        "Conclusions": "In rigid and fibrotic PCO cases, applying additional central shots when the standard cruciate pattern is insufficient increases the risk of IOL damage. Instead, tension release shots applied to the peripheral legs of the cruciate pattern safely break capsule resistance and provide optical clearance. This maneuver protects the IOL by avoiding the high-energy load of circular techniques and offers an effective and efficient solution."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In rigid and fibrotic PCO cases, applying additional central shots when the standard cruciate pattern is insufficient increases the risk of IOL damage. Instead, tension release shots applied to the peripheral legs of the cruciate pattern safely break capsule resistance and provide optical clearance. This maneuver protects the IOL by avoiding the high-energy load of circular techniques and offers an effective and…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 125,
      "source_fields": {
        "Abstract Final Identifier": "POCAT081",
        "Title": "Modified Cruciate Technique In Fibrotic Posterior Capsule Opacification: Peripheral Tension Release Maneuver",
        "Presenting Author(s)": "Aysenur OCAK",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Aysenur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ocak",
        "Country Name": "Türkiye",
        "Purpose": "In Nd:YAG laser capsulotomy, the cruciate pattern is often preferred due to its low energy requirement and reduced risk of floaters. However, in fibrotic posterior capsule opacification (PCO), the capsule loses elasticity, making it difficult for the flaps to fold back (flop out). Persistent central shots to achieve an opening increase the risk of intraocular lens (IOL) pitting. This case report aims to introduce a modified \"peripheral tension release\" technique that breaks capsular resistance and achieves full opening by applying shots to the peripheral legs of the cruciate pattern, without risking the central area in rigid PCO cases.",
        "Setting": "This study is a clinical case report of a single patient presenting with late-onset visual impairment after cataract surgery, diagnosed with severe fibrotic posterior capsule opacification on slit-lamp examination. The procedure was performed by a single surgeon using an Nd:YAG laser device under topical anesthesia in an outpatient clinic setting.",
        "Methods": "Nd:YAG laser capsulotomy was planned for a patient with a history of cataract surgery and decreased vision due to dense fibrotic PCO. The procedure began with a standard cruciate pattern. Although the capsule was cut crosswise with laser shots, mechanical tension was insufficient due to the fibrotic structure, and the flaps did not fold outside the visual axis. Additional central shots were avoided because they carried the risk of creating permanent pitting on the IOL. Instead, a \"peripheral tension release\" maneuver was initiated. Based on the interactive technique and capsular mechanics principles described by Zhuravlyov, strategic single shots were applied to the peripheral legs (endpoints) of the cross pattern. These shots instantly broke the resistance lines of the fibrotic capsule, ensuring rapid peripheral retraction of the flaps and creating a clear central optical opening. No pitting was observed on the IOL in the central area during or after the procedure. The expected increase in visual acuity was safely achieved. With this method, the procedure was completed with much lower total energy without switching to modified circular techniques, which are known to require high energy in the literature.",
        "Results": "",
        "Conclusions": "In rigid and fibrotic PCO cases, applying additional central shots when the standard cruciate pattern is insufficient increases the risk of IOL damage. Instead, tension release shots applied to the peripheral legs of the cruciate pattern safely break capsule resistance and provide optical clearance. This maneuver protects the IOL by avoiding the high-energy load of circular techniques and offers an effective and efficient solution."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "POCAT082",
      "abstract_number": "POCAT082",
      "title": "Toxic Anterior Segment Syndrome Cluster After Cataract Surgery: Pattern Recognition, Source Identification Through Chemical Residue Analysis, And Successful Outbreak Prevention",
      "authors": "Dr Ahmet Melih Oncirak",
      "presenter": "Dr Ahmet Melih Oncirak",
      "normalized_authors": [
        "Ahmet Melih Oncirak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Melih Oncirak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a cluster of three toxic anterior segment syndrome (TASS) cases occurring within a single operative week following uncomplicated phacoemulsification, and to demonstrate how early pattern recognition, systematic source investigation, and immediate institutional response prevented further cases. This series emphasizes the clinical decision-making process distinguishing TASS from infectious endophthalmitis in a cluster setting, identifies residual enzymatic detergent on reusable cannulas as the common causative agent through chemical residue analysis, and documents favorable visual outcomes achieved in all three cases through early aggressive topical corticosteroid therapy without intravitreal injection.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, a tertiary referral center in Rize, Turkey.",
        "Methods": "Three patients (ages 65, 71, 68; 2F/1M) developed acute anterior segment inflammation 18-36 hours after uneventful phacoemulsification with posterior chamber IOL implantation on consecutive operative days by different surgeons using shared reusable instrumentation. Case 1: A 65-year-old female presented at 18h with VA of hand motions, dense fibrin, limbus-to-limbus corneal edema, fixed pupil, and IOP 42 mmHg. B-scan showed no vitritis. Case 2: Presented at 24h with similar findings (VA counting fingers, fibrin, corneal edema, IOP 36 mmHg, no vitritis), triggering TASS cluster suspicion. Case 3: Identified at 36h with comparable presentation (VA counting fingers, fibrin, IOP 34 mmHg, no vitritis). All three shared pathognomonic features: early onset, limbus-to-limbus edema, dense fibrin without hypopyon or vitritis, and minimal lid edema. All received intensive topical prednisolone acetate 1% hourly and IOP-lowering therapy without intravitreal injection. Systematic investigation included cultures of BSS, OVD lots, and instrument swabs; all bacterial cultures were negative. Chemical residue analysis identified enzymatic detergent on reusable cannulas from a malfunctioning ultrasonic cleaner rinse cycle. Surgical lists were immediately suspended, single-use cannulas adopted, cleaning protocols revised with validated rinse verification, and staff retrained. No further TASS cases occurred.",
        "Conclusions": "All three patients achieved complete fibrin resolution within 48-72 hours. Final BCVA at 6 months was 20/25, 20/30, and 20/25 with clear corneas and quiet eyes. This cluster series demonstrates critical lessons: (1) when multiple TASS cases share temporal proximity and identical patterns, cluster investigation must be initiated immediately; (2) the TASS triad of early onset, limbus-to-limbus edema, and fibrin without vitritis reliably differentiates from endophthalmitis; (3) topical steroids without intravitreal injection achieved excellent outcomes in all cases; (4) negative cultures with positive chemical residue analysis confirm toxic etiology; (5) immediate surgical list suspension and protocol revision prevented additional cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "All three patients achieved complete fibrin resolution within 48-72 hours. Final BCVA at 6 months was 20/25, 20/30, and 20/25 with clear corneas and quiet eyes. This cluster series demonstrates critical lessons: (1) when multiple TASS cases share temporal proximity and identical patterns, cluster investigation must be initiated immediately; (2) the TASS triad of early onset, limbus-to-limbus edema, and fibrin…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 126,
      "source_fields": {
        "Abstract Final Identifier": "POCAT082",
        "Title": "Toxic Anterior Segment Syndrome Cluster After Cataract Surgery: Pattern Recognition, Source Identification Through Chemical Residue Analysis, And Successful Outbreak Prevention",
        "Presenting Author(s)": "Dr Ahmet Melih Oncirak",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "Melih",
        "Submitter Last Name": "Oncirak",
        "Country Name": "Türkiye",
        "Purpose": "To report a cluster of three toxic anterior segment syndrome (TASS) cases occurring within a single operative week following uncomplicated phacoemulsification, and to demonstrate how early pattern recognition, systematic source investigation, and immediate institutional response prevented further cases. This series emphasizes the clinical decision-making process distinguishing TASS from infectious endophthalmitis in a cluster setting, identifies residual enzymatic detergent on reusable cannulas as the common causative agent through chemical residue analysis, and documents favorable visual outcomes achieved in all three cases through early aggressive topical corticosteroid therapy without intravitreal injection.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, a tertiary referral center in Rize, Turkey.",
        "Methods": "Three patients (ages 65, 71, 68; 2F/1M) developed acute anterior segment inflammation 18-36 hours after uneventful phacoemulsification with posterior chamber IOL implantation on consecutive operative days by different surgeons using shared reusable instrumentation. Case 1: A 65-year-old female presented at 18h with VA of hand motions, dense fibrin, limbus-to-limbus corneal edema, fixed pupil, and IOP 42 mmHg. B-scan showed no vitritis. Case 2: Presented at 24h with similar findings (VA counting fingers, fibrin, corneal edema, IOP 36 mmHg, no vitritis), triggering TASS cluster suspicion. Case 3: Identified at 36h with comparable presentation (VA counting fingers, fibrin, IOP 34 mmHg, no vitritis). All three shared pathognomonic features: early onset, limbus-to-limbus edema, dense fibrin without hypopyon or vitritis, and minimal lid edema. All received intensive topical prednisolone acetate 1% hourly and IOP-lowering therapy without intravitreal injection. Systematic investigation included cultures of BSS, OVD lots, and instrument swabs; all bacterial cultures were negative. Chemical residue analysis identified enzymatic detergent on reusable cannulas from a malfunctioning ultrasonic cleaner rinse cycle. Surgical lists were immediately suspended, single-use cannulas adopted, cleaning protocols revised with validated rinse verification, and staff retrained. No further TASS cases occurred.",
        "Results": "",
        "Conclusions": "All three patients achieved complete fibrin resolution within 48-72 hours. Final BCVA at 6 months was 20/25, 20/30, and 20/25 with clear corneas and quiet eyes. This cluster series demonstrates critical lessons: (1) when multiple TASS cases share temporal proximity and identical patterns, cluster investigation must be initiated immediately; (2) the TASS triad of early onset, limbus-to-limbus edema, and fibrin without vitritis reliably differentiates from endophthalmitis; (3) topical steroids without intravitreal injection achieved excellent outcomes in all cases; (4) negative cultures with positive chemical residue analysis confirm toxic etiology; (5) immediate surgical list suspension and protocol revision prevented additional cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 400
    },
    {
      "uid": "POCAT083",
      "abstract_number": "POCAT083",
      "title": "The Short Eye Challenge: Cataract Surgery With Concurrent Angle Procedures In Primary Angle Closure Glaucoma",
      "authors": "Dr Kanchita Pandey",
      "presenter": "Dr Kanchita Pandey",
      "normalized_authors": [
        "Kanchita Pandey"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kanchita Pandey",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To highlight the role of lens extraction with high-power(+40D ) posterior chamber intraocular lens(PCIOL) implantataion in a short, highly hyperopic eye with primary angle-closure glaucoma and to evaluate postoperative visual and intraocular pressure outcomes following combined cataract surgery and Bent Ab Interno Needle Goniectomy(BANG)",
        "Setting": "This case was managed in a tertiary care ophthalmology center with dedicated cataract and glaucoma services with well equipped phacoemulsification system, biometry, AS-OCT and availability of high power intraoclar lenses(+40D).",
        "Methods": "A 55 year old patient with primary angle closure glaucoma(moderate glaucomatous field changes) presented with progressively diminished vision in the right eye. Clinical evaluation revealed Nuclear sclerosis with posterior subcapsular cataract and high axial hyperopia. Preoperative visual acuity was FC 2/60 and intraocular pressure was controlled on 2 anti-glaucoma medications.\n\nThe patient underwent \"in the bag\" phacoemulsification (Direct Chop) technique with implantation of +40D PCIOL combined with Bent angle needle goniectomy. Postoperatively the patient demonstrated signficant visual rehabilitation with best corrected visual acuity improving to 6/18(Snellens's Chart) and intraocular pressure reduced to 9mmHg without evidence of early postoperative complications. The surgical approach was tailored to manage both the visually significant cataract and underlying synechial angle clsosure mechanism.",
        "Conclusions": "This case highlights several important considerations in complicated cataract cases such as accurate biometry, IOL power calculation in high hyperopia and surgical planning using angle assessment tools (AS-OCT). Combined lens based and angle based surgical approach offers favourable anataomical and functional outcomes in complicated cataract cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights several important considerations in complicated cataract cases such as accurate biometry, IOL power calculation in high hyperopia and surgical planning using angle assessment tools (AS-OCT). Combined lens based and angle based surgical approach offers favourable anataomical and functional outcomes in complicated cataract cases.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 127,
      "source_fields": {
        "Abstract Final Identifier": "POCAT083",
        "Title": "The Short Eye Challenge: Cataract Surgery With Concurrent Angle Procedures In Primary Angle Closure Glaucoma",
        "Presenting Author(s)": "Dr Kanchita Pandey",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Kanchita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pandey",
        "Country Name": "India",
        "Purpose": "To highlight the role of lens extraction with high-power(+40D ) posterior chamber intraocular lens(PCIOL) implantataion in a short, highly hyperopic eye with primary angle-closure glaucoma and to evaluate postoperative visual and intraocular pressure outcomes following combined cataract surgery and Bent Ab Interno Needle Goniectomy(BANG)",
        "Setting": "This case was managed in a tertiary care ophthalmology center with dedicated cataract and glaucoma services with well equipped phacoemulsification system, biometry, AS-OCT and availability of high power intraoclar lenses(+40D).",
        "Methods": "A 55 year old patient with primary angle closure glaucoma(moderate glaucomatous field changes) presented with progressively diminished vision in the right eye. Clinical evaluation revealed Nuclear sclerosis with posterior subcapsular cataract and high axial hyperopia. Preoperative visual acuity was FC 2/60 and intraocular pressure was controlled on 2 anti-glaucoma medications.\n\nThe patient underwent \"in the bag\" phacoemulsification (Direct Chop) technique with implantation of +40D PCIOL combined with Bent angle needle goniectomy. Postoperatively the patient demonstrated signficant visual rehabilitation with best corrected visual acuity improving to 6/18(Snellens's Chart) and intraocular pressure reduced to 9mmHg without evidence of early postoperative complications. The surgical approach was tailored to manage both the visually significant cataract and underlying synechial angle clsosure mechanism.",
        "Results": "",
        "Conclusions": "This case highlights several important considerations in complicated cataract cases such as accurate biometry, IOL power calculation in high hyperopia and surgical planning using angle assessment tools (AS-OCT). Combined lens based and angle based surgical approach offers favourable anataomical and functional outcomes in complicated cataract cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT084",
      "abstract_number": "POCAT084",
      "title": "Visual And Refractive Outcomes Of Bilateral Toric Intraocular Lens Implantation For Cataract In A Patient With Keratoconus : A 1 Year Follow-Up Case Report",
      "authors": "Dr Payal Deepak Pandit",
      "presenter": "Dr Payal Deepak Pandit",
      "normalized_authors": [
        "Payal Deepak Pandit"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Payal Deepak Pandit",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report visual and refractive outcomes following bilateral monofocal toric intraocular lens(IOL) implantation in a patient with asymmetric keratoconus and cataract, emphasizing the role of keratoconus-specific IOL calculators and careful preoperative counseling in achieving predictable results.",
        "Setting": "Tertiary care eye hospital , North India",
        "Methods": "Cataract surgery in a patient with preexisting asymmetric keratoconus(KC) presents a challenge for achieving optimal visual outcomes. A 73-year-old female patient presented to us with painless, progressive vision loss in both eyes for several months with a long standing history of poorer vision in her left eye(LE) as compared to right eye(RE). She was diagnosed with immature cataracts in both eyes with early KC in RE and severe KC with corneal scarring in LE. Pre op refraction in RE was - 0.75 DS/-2.25DC@180 & LE was -1.25DS/-4DC@90 with BCVA RE 6/12 & LE 6/36. Corneal tomography (Anterion) revealed mild KC changes in RE and severe corneal steepening and thinning in her LE.Patient desired spectacle-free vision; however, she was thoroughly counseled about her ocular condition and possible need for glasses postoperatively. Given the corneal irregularity and ocular status,a monofocal toric IOL was preferred over an EDOF lens. IOL power calculation and astigmatism correction were planned using two keratoconus-specific online calculators- Barrett True-K toric and Kane keratoconus calculator.TECNIS monofocal toric IOLs were implanted for both eyes. Postoperative follow-up included UCVA, BCVA and refraction. Postoperatively, UCVA improved to 6/6 in the right eye and 6/24 in the left eye. BCVA was 6/6 (right) and 6/18 (left), with a residual −1.5D cylinder in the left eye. There were no intraoperative or postoperative complications, and visual acuity remained stable at 1-year follow-up.",
        "Conclusions": "Toric IOL implantation can be a safe and effective option for cataract surgery in patients with keratoconus, including severe cases. Careful preoperative planning using corneal topography and keratoconus-specific toric calculators is critical for achieving optimal refractive outcomes. This case demonstrates that significant visual improvement is possible even in eyes with irregular corneal curvature and amblyopia. Thorough preoperative counseling helped set realistic expectations regarding visual outcomes and the potential need for glasses, complementing meticulous planning to achieve predictable results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Toric IOL implantation can be a safe and effective option for cataract surgery in patients with keratoconus, including severe cases. Careful preoperative planning using corneal topography and keratoconus-specific toric calculators is critical for achieving optimal refractive outcomes. This case demonstrates that significant visual improvement is possible even in eyes with irregular corneal curvature and amblyopia.…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 128,
      "source_fields": {
        "Abstract Final Identifier": "POCAT084",
        "Title": "Visual And Refractive Outcomes Of Bilateral Toric Intraocular Lens Implantation For Cataract In A Patient With Keratoconus : A 1 Year Follow-Up Case Report",
        "Presenting Author(s)": "Dr Payal Deepak Pandit",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Payal",
        "Submitter Middle Name": "Deepak",
        "Submitter Last Name": "Pandit",
        "Country Name": "United Kingdom",
        "Purpose": "To report visual and refractive outcomes following bilateral monofocal toric intraocular lens(IOL) implantation in a patient with asymmetric keratoconus and cataract, emphasizing the role of keratoconus-specific IOL calculators and careful preoperative counseling in achieving predictable results.",
        "Setting": "Tertiary care eye hospital , North India",
        "Methods": "Cataract surgery in a patient with preexisting asymmetric keratoconus(KC) presents a challenge for achieving optimal visual outcomes. A 73-year-old female patient presented to us with painless, progressive vision loss in both eyes for several months with a long standing history of poorer vision in her left eye(LE) as compared to right eye(RE). She was diagnosed with immature cataracts in both eyes with early KC in RE and severe KC with corneal scarring in LE. Pre op refraction in RE was - 0.75 DS/-2.25DC@180 & LE was -1.25DS/-4DC@90 with BCVA RE 6/12 & LE 6/36. Corneal tomography (Anterion) revealed mild KC changes in RE and severe corneal steepening and thinning in her LE.Patient desired spectacle-free vision; however, she was thoroughly counseled about her ocular condition and possible need for glasses postoperatively. Given the corneal irregularity and ocular status,a monofocal toric IOL was preferred over an EDOF lens. IOL power calculation and astigmatism correction were planned using two keratoconus-specific online calculators- Barrett True-K toric and Kane keratoconus calculator.TECNIS monofocal toric IOLs were implanted for both eyes. Postoperative follow-up included UCVA, BCVA and refraction. Postoperatively, UCVA improved to 6/6 in the right eye and 6/24 in the left eye. BCVA was 6/6 (right) and 6/18 (left), with a residual −1.5D cylinder in the left eye. There were no intraoperative or postoperative complications, and visual acuity remained stable at 1-year follow-up.",
        "Results": "",
        "Conclusions": "Toric IOL implantation can be a safe and effective option for cataract surgery in patients with keratoconus, including severe cases. Careful preoperative planning using corneal topography and keratoconus-specific toric calculators is critical for achieving optimal refractive outcomes. This case demonstrates that significant visual improvement is possible even in eyes with irregular corneal curvature and amblyopia. Thorough preoperative counseling helped set realistic expectations regarding visual outcomes and the potential need for glasses, complementing meticulous planning to achieve predictable results."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "POCAT085",
      "abstract_number": "POCAT085",
      "title": "Corneal Ascher Rings – Rare, Bilateral Finding During Cataract Surgery",
      "authors": "Dr Anca Pantalon",
      "presenter": "Dr Anca Pantalon",
      "normalized_authors": [
        "Anca Pantalon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anca Pantalon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We report hereby an extremely rare case of corneal annular opacities, incidentally found in a patient referred for age related cataract surgery. Additional anterior segment particularities were detected in this patient.",
        "Setting": "Clinical and imaging methods were employed for a rigorous ophthalmological examination; a full systemic check-up has been included in the investigation panel, as well",
        "Methods": "Examinations revealed in a 69 year old female bilateral and symmetrical corneal ring opacities, within the full stromal thickness, with grey-whitish appearance and elipsoid shape; diameters were 4/6mm, clear central/peripheral cornea; no other corneal structural changes were identified via anterior segment optical coherence tomography (AS-OCT). Specular microscopy parameters, pachymetry, corneal topography were unremarkable. Such corneal changes could not be classified as sequellas of infectious keratitis, corneal dystrophies or degenerations. Systemic pathologies have been also excluded; existent high blood pressure (HBP) and hypercholesterolemia could not be linked to such corneal findings in our patient. Per exclusion, the corneal opacities were classified as Ascher rings. Cataract surgery was uneventful, with excellent bilateral recovery (BCVA OU=1,sc). IOL power calculation (IOL Master) reflected the axial anysometropia (21.5D in OD, respectively 15D in OS - Clareon® SY60WF,Alcon), as well as asymmetric gonioscopy findings in anterior chamber angle opening. No changes in the endothelial cells count, in both eyes had been noted at 1 year folow up visit.",
        "Conclusions": "Cataract surgery performed in the presence of Ascher corneal rings alone, does not pose additional risks during phacoemulsification or postoperative intervals. However association with anterior segment changes (narrow anterior chamber angle, axial anysometropia) might raise additional surgical concerns, though unrelated to the rare corneal findings. These associations with such anterior segment changes have not been reported in previous cases from literature."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery performed in the presence of Ascher corneal rings alone, does not pose additional risks during phacoemulsification or postoperative intervals. However association with anterior segment changes (narrow anterior chamber angle, axial anysometropia) might raise additional surgical concerns, though unrelated to the rare corneal findings. These associations with such anterior segment changes have not…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 129,
      "source_fields": {
        "Abstract Final Identifier": "POCAT085",
        "Title": "Corneal Ascher Rings – Rare, Bilateral Finding During Cataract Surgery",
        "Presenting Author(s)": "Dr Anca Pantalon",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Anca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pantalon",
        "Country Name": "United Kingdom",
        "Purpose": "We report hereby an extremely rare case of corneal annular opacities, incidentally found in a patient referred for age related cataract surgery. Additional anterior segment particularities were detected in this patient.",
        "Setting": "Clinical and imaging methods were employed for a rigorous ophthalmological examination; a full systemic check-up has been included in the investigation panel, as well",
        "Methods": "Examinations revealed in a 69 year old female bilateral and symmetrical corneal ring opacities, within the full stromal thickness, with grey-whitish appearance and elipsoid shape; diameters were 4/6mm, clear central/peripheral cornea; no other corneal structural changes were identified via anterior segment optical coherence tomography (AS-OCT). Specular microscopy parameters, pachymetry, corneal topography were unremarkable. Such corneal changes could not be classified as sequellas of infectious keratitis, corneal dystrophies or degenerations. Systemic pathologies have been also excluded; existent high blood pressure (HBP) and hypercholesterolemia could not be linked to such corneal findings in our patient. Per exclusion, the corneal opacities were classified as Ascher rings. Cataract surgery was uneventful, with excellent bilateral recovery (BCVA OU=1,sc). IOL power calculation (IOL Master) reflected the axial anysometropia (21.5D in OD, respectively 15D in OS - Clareon® SY60WF,Alcon), as well as asymmetric gonioscopy findings in anterior chamber angle opening. No changes in the endothelial cells count, in both eyes had been noted at 1 year folow up visit.",
        "Results": "",
        "Conclusions": "Cataract surgery performed in the presence of Ascher corneal rings alone, does not pose additional risks during phacoemulsification or postoperative intervals. However association with anterior segment changes (narrow anterior chamber angle, axial anysometropia) might raise additional surgical concerns, though unrelated to the rare corneal findings. These associations with such anterior segment changes have not been reported in previous cases from literature."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCAT086",
      "abstract_number": "POCAT086",
      "title": "Cataract Surgery After Radial Keratotomy: Lessons From My First Case",
      "authors": "Dr Sofiya Pavliv",
      "presenter": "Dr Sofiya Pavliv",
      "normalized_authors": [
        "Sofiya Pavliv"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofiya Pavliv",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To present the surgical challenges, IOL power calculation considerations, and early outcomes of cataract surgery in a patient with previous radial keratotomy (RK).",
        "Setting": "A case report of a patient with visually significant cataract and a history of radial keratotomy. Preoperative assessment included corneal topography, optical biometry, and use of multiple post-RK IOL calculation formulas (Barrett True-K, Haigis-L, and ASCRS calculator). Surgical modifications were applied to minimize the risk of RK wound dehiscence. Postoperative refractive and visual outcomes were analyzed.",
        "Methods": "Cataract surgery was completed without intraoperative complications. Careful incision placement between RK scars and reduced phaco parameters were essential for surgical safety. Postoperatively, the patient achieved significant improvement in best-corrected visual acuity. Mild early refractive fluctuation was observed, consistent with altered corneal biomechanics in post-RK eyes.",
        "Conclusions": "Cataract surgery in post-keratotomy eyes remains challenging due to irregular corneal curvature, unstable keratometry, and IOL power unpredictability. Thorough preoperative planning, use of dedicated post-RK formulas, and surgical caution are crucial for optimal outcomes. Even in a first case, structured preparation can lead to safe and satisfactory visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in post-keratotomy eyes remains challenging due to irregular corneal curvature, unstable keratometry, and IOL power unpredictability. Thorough preoperative planning, use of dedicated post-RK formulas, and surgical caution are crucial for optimal outcomes. Even in a first case, structured preparation can lead to safe and satisfactory visual rehabilitation.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 130,
      "source_fields": {
        "Abstract Final Identifier": "POCAT086",
        "Title": "Cataract Surgery After Radial Keratotomy: Lessons From My First Case",
        "Presenting Author(s)": "Dr Sofiya Pavliv",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sofiya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pavliv",
        "Country Name": "Ukraine",
        "Purpose": "To present the surgical challenges, IOL power calculation considerations, and early outcomes of cataract surgery in a patient with previous radial keratotomy (RK).",
        "Setting": "A case report of a patient with visually significant cataract and a history of radial keratotomy. Preoperative assessment included corneal topography, optical biometry, and use of multiple post-RK IOL calculation formulas (Barrett True-K, Haigis-L, and ASCRS calculator). Surgical modifications were applied to minimize the risk of RK wound dehiscence. Postoperative refractive and visual outcomes were analyzed.",
        "Methods": "Cataract surgery was completed without intraoperative complications. Careful incision placement between RK scars and reduced phaco parameters were essential for surgical safety. Postoperatively, the patient achieved significant improvement in best-corrected visual acuity. Mild early refractive fluctuation was observed, consistent with altered corneal biomechanics in post-RK eyes.",
        "Results": "",
        "Conclusions": "Cataract surgery in post-keratotomy eyes remains challenging due to irregular corneal curvature, unstable keratometry, and IOL power unpredictability. Thorough preoperative planning, use of dedicated post-RK formulas, and surgical caution are crucial for optimal outcomes. Even in a first case, structured preparation can lead to safe and satisfactory visual rehabilitation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 174
    },
    {
      "uid": "POCAT087",
      "abstract_number": "POCAT087",
      "title": "Case Series Of Intracameral Cefuroxime-Induced Maculopathy Following Uncomplicated Cataract Surgery",
      "authors": "Dr Phong Phan",
      "presenter": "Dr Phong Phan",
      "normalized_authors": [
        "Phong Phan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Phong Phan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Aprokam (intracameral cefuroxime) is the gold standard for prophylaxis against postoperative endophthalmitis in cataract surgery, with strong evidence for efficacy and safety. Rare cases of retinal toxicity and maculopathy have been reported. This study describes four cases of cefuroxime-induced maculopathy following uncomplicated cataract surgery, detailing clinical presentation, imaging findings, visual outcomes, and implications for postoperative monitoring.",
        "Setting": "This multicenter case series was conducted within a UK-wide independent cataract service provider (ISP) comprising of 66 hospitals. Four male patients were identified with cefuroxime-induced maculopathy across three separate sites in different regions. Cataract surgery was performed by three different surgeons using routine phacoemulsification with rountine intracameral cefuroxime administration at the end of surgery.",
        "Methods": "Four male patients aged 58–70 underwent uneventful cataract surgery with intracameral cefuroxime prophylaxis as per gold standard. Postoperative assessment included best-corrected visual acuity, intraocular pressure, slit-lamp examination, dilated fundus examination, and OCT. Patients presenting with visual disturbances were followed to document onset, severity, and resolution of macular changes, including serous retinal detachment, intraretinal fluid, and photoreceptor damage. Management was conservative, with serial observation and supportive care. All patients developed visual symptoms 1 to 3 days postoperatively, including central scotoma, blurred vision, and metamorphopsia with visual acuity ranging from CF to 0.50 (LogMAR). OCT revealed intraretinal and subretinal fluid consistent with cefuroxime-induced maculopathy. Two patients had complete resolution of visual acuity to logMAR 0.00 within one week with no intervention. The other two patients had persistent macular changes with visual acuity of 1.30 and 0.60. No anterior segment inflammation, retinal tears, or endophthalmitis occurred.",
        "Conclusions": "Cefuroxime-induced maculopathy is a rare but significant complication of cataract surgery. Correct dosing (1mg/0.1 ml), precise administration, and vigilance are critical to minimize risk. Nationwide ISP datasets enable tracking and linkage of infrequent adverse events, supporting early recognition, learning, and safety monitoring. Large-scale, structured data collection facilitates identification of uncommon phenomena, continuous quality improvement, and understanding of persistent photoreceptor damage."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cefuroxime-induced maculopathy is a rare but significant complication of cataract surgery. Correct dosing (1mg/0.1 ml), precise administration, and vigilance are critical to minimize risk. Nationwide ISP datasets enable tracking and linkage of infrequent adverse events, supporting early recognition, learning, and safety monitoring. Large-scale, structured data collection facilitates identification of uncommon…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 131,
      "source_fields": {
        "Abstract Final Identifier": "POCAT087",
        "Title": "Case Series Of Intracameral Cefuroxime-Induced Maculopathy Following Uncomplicated Cataract Surgery",
        "Presenting Author(s)": "Dr Phong Phan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Phong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Phan",
        "Country Name": "United Kingdom",
        "Purpose": "Aprokam (intracameral cefuroxime) is the gold standard for prophylaxis against postoperative endophthalmitis in cataract surgery, with strong evidence for efficacy and safety. Rare cases of retinal toxicity and maculopathy have been reported. This study describes four cases of cefuroxime-induced maculopathy following uncomplicated cataract surgery, detailing clinical presentation, imaging findings, visual outcomes, and implications for postoperative monitoring.",
        "Setting": "This multicenter case series was conducted within a UK-wide independent cataract service provider (ISP) comprising of 66 hospitals. Four male patients were identified with cefuroxime-induced maculopathy across three separate sites in different regions. Cataract surgery was performed by three different surgeons using routine phacoemulsification with rountine intracameral cefuroxime administration at the end of surgery.",
        "Methods": "Four male patients aged 58–70 underwent uneventful cataract surgery with intracameral cefuroxime prophylaxis as per gold standard. Postoperative assessment included best-corrected visual acuity, intraocular pressure, slit-lamp examination, dilated fundus examination, and OCT. Patients presenting with visual disturbances were followed to document onset, severity, and resolution of macular changes, including serous retinal detachment, intraretinal fluid, and photoreceptor damage. Management was conservative, with serial observation and supportive care. All patients developed visual symptoms 1 to 3 days postoperatively, including central scotoma, blurred vision, and metamorphopsia with visual acuity ranging from CF to 0.50 (LogMAR). OCT revealed intraretinal and subretinal fluid consistent with cefuroxime-induced maculopathy. Two patients had complete resolution of visual acuity to logMAR 0.00 within one week with no intervention. The other two patients had persistent macular changes with visual acuity of 1.30 and 0.60. No anterior segment inflammation, retinal tears, or endophthalmitis occurred.",
        "Results": "",
        "Conclusions": "Cefuroxime-induced maculopathy is a rare but significant complication of cataract surgery. Correct dosing (1mg/0.1 ml), precise administration, and vigilance are critical to minimize risk. Nationwide ISP datasets enable tracking and linkage of infrequent adverse events, supporting early recognition, learning, and safety monitoring. Large-scale, structured data collection facilitates identification of uncommon phenomena, continuous quality improvement, and understanding of persistent photoreceptor damage."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "POCAT088",
      "abstract_number": "POCAT088",
      "title": "Spherophakia, An Unusual Challenge",
      "authors": "Dr Clara Pons Talaya",
      "presenter": "Dr Clara Pons Talaya",
      "normalized_authors": [
        "Clara Pons Talaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clara Pons Talaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report a rare case of spherophakia managed by complex cataract surgery and secondary intraocular lens implantation, highlighting it as a surgical challenge where individualization is key.",
        "Setting": "Glaucoma clinic at our ophthalmology facility.",
        "Methods": "A 44-year-old woman with no prior ocular or systemic history presented with decreased vision. Best-corrected visual acuity was 20/27 OD and 20/22 OS, with narrow anterior chamber, grade I iridocorneal angle, elevated intraocular pressure OS, nuclear cataract, and spherophakia on anterior segment OCT. Right eye underwent cataract surgery with pars plana vitrectomy, revealing severe zonulopathy and capsular phacodonesis leading to intraoperative aphakia. A secondary retro-pupillary iris-fixated intraocular lens was implanted. Postoperative course was uneventful, achieving intraocular pressure stabilization, visual improvement, and clinical control.",
        "Conclusions": "Spherophakia poses significant surgical risks due to zonular instability; preoperative imaging guides individualized strategies like secondary iris-fixated lenses, optimizing outcomes in young patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Spherophakia poses significant surgical risks due to zonular instability; preoperative imaging guides individualized strategies like secondary iris-fixated lenses, optimizing outcomes in young patients.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 132,
      "source_fields": {
        "Abstract Final Identifier": "POCAT088",
        "Title": "Spherophakia, An Unusual Challenge",
        "Presenting Author(s)": "Dr Clara Pons Talaya",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Clara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pons Talaya",
        "Country Name": "Spain",
        "Purpose": "To report a rare case of spherophakia managed by complex cataract surgery and secondary intraocular lens implantation, highlighting it as a surgical challenge where individualization is key.",
        "Setting": "Glaucoma clinic at our ophthalmology facility.",
        "Methods": "A 44-year-old woman with no prior ocular or systemic history presented with decreased vision. Best-corrected visual acuity was 20/27 OD and 20/22 OS, with narrow anterior chamber, grade I iridocorneal angle, elevated intraocular pressure OS, nuclear cataract, and spherophakia on anterior segment OCT. Right eye underwent cataract surgery with pars plana vitrectomy, revealing severe zonulopathy and capsular phacodonesis leading to intraoperative aphakia. A secondary retro-pupillary iris-fixated intraocular lens was implanted. Postoperative course was uneventful, achieving intraocular pressure stabilization, visual improvement, and clinical control.",
        "Results": "",
        "Conclusions": "Spherophakia poses significant surgical risks due to zonular instability; preoperative imaging guides individualized strategies like secondary iris-fixated lenses, optimizing outcomes in young patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 141
    },
    {
      "uid": "POCAT089",
      "abstract_number": "POCAT089",
      "title": "Successful Management Of Bilateral Secondary Glaucoma Following Cataract Surgery And 360 Scleral Buckle Using The Paul Glaucoma Implant : A Case Report",
      "authors": "Ms Sarita Rai",
      "presenter": "Ms Sarita Rai",
      "normalized_authors": [
        "Sarita Rai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sarita Rai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe the surgical management and clinical outcomes of a patient presenting with refractory bilateral secondary glaucoma following cataract extraction then scleral buckle, successfully treated with sequential bilateral Paul Glaucoma Implant (PGI) surgery.",
        "Setting": "Frimley Park Hospital NHS Foundation Trust , Frimley , Surrey",
        "Methods": "A 26-year-old male surgery registrar was referred for refractory bilateral glaucoma. He had high myopia, ocular hypertension, and bilateral visually significant cataracts. At presentation, best-corrected visual acuity was 1/60 in the right eye (RE) and 6/33 in the left eye (LE), with intraocular pressures (IOP) of 29 mmHg and 32 mmHg. Topical latanoprost was initiated. After uncomplicated right phacoemulsification, he developed proliferative vitreoretinopathy with exudative retinal detachment, requiring scleral band placement.The left eye subsequently developed retinal detachment and underwent scleral band surgery followed by combined cataract extraction and pars plana vitrectomy with gas tamponade. Postoperatively, IOP became markedly unstable, peaking at 60 mmHg (RE) and 50 mmHg (LE) despite maximal topical therapy and oral acetazolamide. Bilateral cyclodiode laser was performed but failed to achieve sustained control. Sequential bilateral implantation of the Paul Glaucoma Implant in the superonasal quadrant with anterior chamber tube insertion and 6-0 Prolene ripcord resulted in IOP stabilization at 12/15 mmHg at two months and 10 mmHg bilaterally at four months and 12 mm Hg at 12 months. Medications were reduced to preservative-free Cosopt alone. No device-related complications occurred. The retina remained attached. Right cystoid macular edema developed and resolved with topical NSAIDs.",
        "Conclusions": "The Paul Glaucoma Implant is an effective surgical option for managing complex, bilateral secondary glaucoma following vitreoretinal and cataract surgery. Its small-calibre tube design effectively regulates IOP while minimising the risk of postoperative hypotony, making it a viable alternative in refractory cases where traditional filtering surgery may have a high risk of failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The Paul Glaucoma Implant is an effective surgical option for managing complex, bilateral secondary glaucoma following vitreoretinal and cataract surgery. Its small-calibre tube design effectively regulates IOP while minimising the risk of postoperative hypotony, making it a viable alternative in refractory cases where traditional filtering surgery may have a high risk of failure.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 133,
      "source_fields": {
        "Abstract Final Identifier": "POCAT089",
        "Title": "Successful Management Of Bilateral Secondary Glaucoma Following Cataract Surgery And 360 Scleral Buckle Using The Paul Glaucoma Implant : A Case Report",
        "Presenting Author(s)": "Ms Sarita Rai",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sarita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rai",
        "Country Name": "United Kingdom",
        "Purpose": "To describe the surgical management and clinical outcomes of a patient presenting with refractory bilateral secondary glaucoma following cataract extraction then scleral buckle, successfully treated with sequential bilateral Paul Glaucoma Implant (PGI) surgery.",
        "Setting": "Frimley Park Hospital NHS Foundation Trust , Frimley , Surrey",
        "Methods": "A 26-year-old male surgery registrar was referred for refractory bilateral glaucoma. He had high myopia, ocular hypertension, and bilateral visually significant cataracts. At presentation, best-corrected visual acuity was 1/60 in the right eye (RE) and 6/33 in the left eye (LE), with intraocular pressures (IOP) of 29 mmHg and 32 mmHg. Topical latanoprost was initiated. After uncomplicated right phacoemulsification, he developed proliferative vitreoretinopathy with exudative retinal detachment, requiring scleral band placement.The left eye subsequently developed retinal detachment and underwent scleral band surgery followed by combined cataract extraction and pars plana vitrectomy with gas tamponade. Postoperatively, IOP became markedly unstable, peaking at 60 mmHg (RE) and 50 mmHg (LE) despite maximal topical therapy and oral acetazolamide. Bilateral cyclodiode laser was performed but failed to achieve sustained control. Sequential bilateral implantation of the Paul Glaucoma Implant in the superonasal quadrant with anterior chamber tube insertion and 6-0 Prolene ripcord resulted in IOP stabilization at 12/15 mmHg at two months and 10 mmHg bilaterally at four months and 12 mm Hg at 12 months. Medications were reduced to preservative-free Cosopt alone. No device-related complications occurred. The retina remained attached. Right cystoid macular edema developed and resolved with topical NSAIDs.",
        "Results": "",
        "Conclusions": "The Paul Glaucoma Implant is an effective surgical option for managing complex, bilateral secondary glaucoma following vitreoretinal and cataract surgery. Its small-calibre tube design effectively regulates IOP while minimising the risk of postoperative hypotony, making it a viable alternative in refractory cases where traditional filtering surgery may have a high risk of failure."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCAT090",
      "abstract_number": "POCAT090",
      "title": "Abandoned To Accomplished: Aborted Phacoemulsification Completed After A Two-Month Interval",
      "authors": "Dr Raksheeth Nathan Rajagopal",
      "presenter": "Dr Raksheeth Nathan Rajagopal",
      "normalized_authors": [
        "Raksheeth Nathan Rajagopal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raksheeth Nathan Rajagopal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe the clinical course and outcome in a case of successful phacoemulsification and intraocular lens placement in a patient with previously aborted cataract surgery 2 months prior.",
        "Setting": "The Eye Foundation, Coimbatore, a tertiary Eye Care Centre in Southern India",
        "Methods": "A 56-year-old woman presented with diminished vision in the right eye (OD) after cataract surgery was abandoned mid-phacoemulsification at another facility 2 months prior due to cardiac instability. Slit lamp examination revealed a fibrosed rim of a continuous curvilinear capsulorrhexis, and a partially trenched nucleus in OD. She underwent successful phacoemulsification and in-the-bag IOL implantation. Postoperatively, OD was noted to have advanced glaucomatous optic disc cupping and superior macular branch vein occlusion with cystoid macular edema(CME). While intraocular pressure remained normal throughout the postoperative period, topical dorzolamide 2% was commenced. Intravitreal ranibizumab injection was administered for CME, which ultimately resolved. The best-corrected vision in OD improved to 20/25 at the last visit, 5 months after the surgery.",
        "Conclusions": "Although infrequent, abandoned cataract surgeries can be successfully managed after addressing the ocular or systemic comorbidities that necessitated the abortion of the primary surgery. However, a prolonged interval can lead to suboptimal outcomes due to vision-threatening complications such as glaucoma and CME, which may be precipitated by intraocular inflammation in the interim period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Although infrequent, abandoned cataract surgeries can be successfully managed after addressing the ocular or systemic comorbidities that necessitated the abortion of the primary surgery. However, a prolonged interval can lead to suboptimal outcomes due to vision-threatening complications such as glaucoma and CME, which may be precipitated by intraocular inflammation in the interim period.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 134,
      "source_fields": {
        "Abstract Final Identifier": "POCAT090",
        "Title": "Abandoned To Accomplished: Aborted Phacoemulsification Completed After A Two-Month Interval",
        "Presenting Author(s)": "Dr Raksheeth Nathan Rajagopal",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Raksheeth Nathan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rajagopal",
        "Country Name": "India",
        "Purpose": "To describe the clinical course and outcome in a case of successful phacoemulsification and intraocular lens placement in a patient with previously aborted cataract surgery 2 months prior.",
        "Setting": "The Eye Foundation, Coimbatore, a tertiary Eye Care Centre in Southern India",
        "Methods": "A 56-year-old woman presented with diminished vision in the right eye (OD) after cataract surgery was abandoned mid-phacoemulsification at another facility 2 months prior due to cardiac instability. Slit lamp examination revealed a fibrosed rim of a continuous curvilinear capsulorrhexis, and a partially trenched nucleus in OD. She underwent successful phacoemulsification and in-the-bag IOL implantation. Postoperatively, OD was noted to have advanced glaucomatous optic disc cupping and superior macular branch vein occlusion with cystoid macular edema(CME). While intraocular pressure remained normal throughout the postoperative period, topical dorzolamide 2% was commenced. Intravitreal ranibizumab injection was administered for CME, which ultimately resolved. The best-corrected vision in OD improved to 20/25 at the last visit, 5 months after the surgery.",
        "Results": "",
        "Conclusions": "Although infrequent, abandoned cataract surgeries can be successfully managed after addressing the ocular or systemic comorbidities that necessitated the abortion of the primary surgery. However, a prolonged interval can lead to suboptimal outcomes due to vision-threatening complications such as glaucoma and CME, which may be precipitated by intraocular inflammation in the interim period."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 212
    },
    {
      "uid": "POCAT091",
      "abstract_number": "POCAT091",
      "title": "When Trauma Clouds Vision And The Surgical Restoration Of Vision In A Paediatric Traumatic Cataract With Pre-Exiting Posterior Capsular Dehiscence- A Case Report",
      "authors": "Dr Janani Rajendran",
      "presenter": "Dr Janani Rajendran",
      "normalized_authors": [
        "Janani Rajendran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Janani Rajendran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To present a case of a 15 year old patient presenting with traumatic cataract with posterior capsular defect following blunt ocular trauma and to describe the clinical presentation, surgical approach and post-operative visual recovery",
        "Setting": "Tertiary eye care centre in Southern India",
        "Methods": "A 15-year-old child presented with decreased vision following blunt ocular trauma. Clinical examination revealed a Mature Traumatic cataract with evidence of Posterior capsular rupture and lens matter in Anterior vitreous Face.AS-OCT showed fluid pockets in Cataractous lens with Posterior capsular defect. Posterior segment evaluation was limited due to cataract and B-scan showed no significant Vitreous or retinal pathology.The Patient underwent Lens aspiration and PCIOL placement in sulcus through Limbal approach combined with pars plana removal of the lens matter in the anterior vitreous face. Pre-operative, Intra-operative and Post-operative findings will be discussed.",
        "Conclusions": "Traumatic cataract with posterior capsular rupture in paediatric patients presents unique surgical challenges. Lens aspiration and PCIOL implantation through limbal approach combined with Pars plana Vitrectomy provides effective anatomical and functional rehabilitation when carefully planned and executed. Early surgical intervention in these cases is critical in optimizing visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Traumatic cataract with posterior capsular rupture in paediatric patients presents unique surgical challenges. Lens aspiration and PCIOL implantation through limbal approach combined with Pars plana Vitrectomy provides effective anatomical and functional rehabilitation when carefully planned and executed. Early surgical intervention in these cases is critical in optimizing visual outcomes.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 135,
      "source_fields": {
        "Abstract Final Identifier": "POCAT091",
        "Title": "When Trauma Clouds Vision And The Surgical Restoration Of Vision In A Paediatric Traumatic Cataract With Pre-Exiting Posterior Capsular Dehiscence- A Case Report",
        "Presenting Author(s)": "Dr Janani Rajendran",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Janani",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rajendran",
        "Country Name": "India",
        "Purpose": "To present a case of a 15 year old patient presenting with traumatic cataract with posterior capsular defect following blunt ocular trauma and to describe the clinical presentation, surgical approach and post-operative visual recovery",
        "Setting": "Tertiary eye care centre in Southern India",
        "Methods": "A 15-year-old child presented with decreased vision following blunt ocular trauma. Clinical examination revealed a Mature Traumatic cataract with evidence of Posterior capsular rupture and lens matter in Anterior vitreous Face.AS-OCT showed fluid pockets in Cataractous lens with Posterior capsular defect. Posterior segment evaluation was limited due to cataract and B-scan showed no significant Vitreous or retinal pathology.The Patient underwent Lens aspiration and PCIOL placement in sulcus through Limbal approach combined with pars plana removal of the lens matter in the anterior vitreous face. Pre-operative, Intra-operative and Post-operative findings will be discussed.",
        "Results": "",
        "Conclusions": "Traumatic cataract with posterior capsular rupture in paediatric patients presents unique surgical challenges. Lens aspiration and PCIOL implantation through limbal approach combined with Pars plana Vitrectomy provides effective anatomical and functional rehabilitation when carefully planned and executed. Early surgical intervention in these cases is critical in optimizing visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 184
    },
    {
      "uid": "POCAT092",
      "abstract_number": "POCAT092",
      "title": "Spontaneous Rupture Of Anterior Lens Capsule In Two Siblings, A Rare Presentation Of Alport’S Syndrome.",
      "authors": "Dr Sathya Ravilla",
      "presenter": "Dr Sathya Ravilla",
      "normalized_authors": [
        "Sathya Ravilla"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sathya Ravilla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To share a unique presentation of anterior lenticonus and highlight the ophthalmologist’s role in early diagnosis of Alport’s that could help in slowing the morbidity caused by renal involvement",
        "Setting": "Aravind eye hospital, Tirupati",
        "Methods": "A 12-year-old boy presented in with vision loss in left eye. His best corrected visual acuity was 6/9 in the right eye and 6/60 in the left eye. Slit-lamp showed bilateral anterior lenticonus with rupture of the anterior lens capsule in left eye. No history of trauma. Urine exam showed RBCs; renal parameters normal; audiogram indicated early sensorineural deafness. Intra-operatively, cortex was aspirated through the pre-existing capsular opening and an acrylic IOL implanted. Post-op BCVA improved to 6/6. He was refered to a nephrologist but then lost to followup\n\nTen months later, his 12-year-old brother presented with vision loss in right eye 6/36 and with an unfortunate history of demise of the elder brother. Slit-lamp evaluation showed bilateral anterior lenticonus with rupture of the anterior lens capsule in right eye and similar surgery was performed. Both achieved good vision post-surgery. Early signs (hematuria, deafness) detected despite normal renal function was able to prompt early referal and more aggresive systemic management in the second child.",
        "Conclusions": "Ocular examination is highly specific and may enable the diagnosis of Alport Syndrome at initial consultation. The ocular presentation and the presence of early sensory neural deafness prompted early referral to the nephrologist in our patient. It is crucial that clinicians like ophthalmologist, otorhinolaryngologist, pediatrician’s attempt to establish a definitive diagnosis in people with suspected AS (Anterior Lenticonus, spontaneous ALC rupture, high altitudinal sensory neural hearing loss, persistent glomerular hematuria) and to know the risk of disease in other family members. This case report highlights ophthalmologist's role in Alport’s syndrome diagnosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Ocular examination is highly specific and may enable the diagnosis of Alport Syndrome at initial consultation. The ocular presentation and the presence of early sensory neural deafness prompted early referral to the nephrologist in our patient. It is crucial that clinicians like ophthalmologist, otorhinolaryngologist, pediatrician’s attempt to establish a definitive diagnosis in people with suspected AS (Anterior…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 136,
      "source_fields": {
        "Abstract Final Identifier": "POCAT092",
        "Title": "Spontaneous Rupture Of Anterior Lens Capsule In Two Siblings, A Rare Presentation Of Alport’S Syndrome.",
        "Presenting Author(s)": "Dr Sathya Ravilla",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sathya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ravilla",
        "Country Name": "India",
        "Purpose": "To share a unique presentation of anterior lenticonus and highlight the ophthalmologist’s role in early diagnosis of Alport’s that could help in slowing the morbidity caused by renal involvement",
        "Setting": "Aravind eye hospital, Tirupati",
        "Methods": "A 12-year-old boy presented in with vision loss in left eye. His best corrected visual acuity was 6/9 in the right eye and 6/60 in the left eye. Slit-lamp showed bilateral anterior lenticonus with rupture of the anterior lens capsule in left eye. No history of trauma. Urine exam showed RBCs; renal parameters normal; audiogram indicated early sensorineural deafness. Intra-operatively, cortex was aspirated through the pre-existing capsular opening and an acrylic IOL implanted. Post-op BCVA improved to 6/6. He was refered to a nephrologist but then lost to followup\n\nTen months later, his 12-year-old brother presented with vision loss in right eye 6/36 and with an unfortunate history of demise of the elder brother. Slit-lamp evaluation showed bilateral anterior lenticonus with rupture of the anterior lens capsule in right eye and similar surgery was performed. Both achieved good vision post-surgery. Early signs (hematuria, deafness) detected despite normal renal function was able to prompt early referal and more aggresive systemic management in the second child.",
        "Results": "",
        "Conclusions": "Ocular examination is highly specific and may enable the diagnosis of Alport Syndrome at initial consultation. The ocular presentation and the presence of early sensory neural deafness prompted early referral to the nephrologist in our patient. It is crucial that clinicians like ophthalmologist, otorhinolaryngologist, pediatrician’s attempt to establish a definitive diagnosis in people with suspected AS (Anterior Lenticonus, spontaneous ALC rupture, high altitudinal sensory neural hearing loss, persistent glomerular hematuria) and to know the risk of disease in other family members. This case report highlights ophthalmologist's role in Alport’s syndrome diagnosis."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCAT093",
      "abstract_number": "POCAT093",
      "title": "When Glasses Beat The Scalpel: Functional Vision In Pediatric Nanophthalmos",
      "authors": "Dr Sahar Rhalimi",
      "presenter": "Dr Sahar Rhalimi",
      "normalized_authors": [
        "Sahar Rhalimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sahar Rhalimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To report a case of pediatric nanophthalmos with progressive bilateral posterior subcapsular cataracts in which functional, selective refractive optimization allowed postponement of high-risk cataract surgery.",
        "Setting": "Department of Ophthalmology, 20 Août 1953 Hospital, Ibn Rochd University Hospital Center, Casablanca, Morocco.",
        "Methods": "A 10-year-old girl with a history of amblyopia was referred for progressive visual decline. She had bilateral posterior subcapsular cataracts and moderate nanophthalmos (OD 19.9 mm, OS 20.9 mm) with shallow anterior chambers. Best-corrected visual acuity had decreased to 8/20 in both eyes.\n\nSurgery in such eyes is high-risk due to short axial length and crowded anterior segments, with potential complications including uveal effusion and malignant glaucoma.\n\nComprehensive refraction revealed a new prescription of +13.5 D in the right eye and +12 D in the left eye, compared to her previous glasses (+11 D and +10 D). When we trialed the new prescription, the right eye developed diplopia, likely due to prismatic effects and sensory imbalance. Using the previous spherical values while only optimizing astigmatism (−2 / −1 D → −3 / −2.5 D) restored comfortable binocular vision.\n\nThis approach improved BCVA to 12/20 and allowed safe deferral of cataract surgery.",
        "Conclusions": "In pediatric nanophthalmos, a cataract does not automatically necessitate immediate surgical intervention. Careful functional refractive optimization can provide meaningful visual improvement and maintain binocular stability, allowing for a safe postponement of high-risk cataract extraction. Given the elevated risk of intraoperative and postoperative complications in these anatomically complex eyes, management should be individualized, with thorough risk–benefit assessment guiding the timing of surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In pediatric nanophthalmos, a cataract does not automatically necessitate immediate surgical intervention. Careful functional refractive optimization can provide meaningful visual improvement and maintain binocular stability, allowing for a safe postponement of high-risk cataract extraction. Given the elevated risk of intraoperative and postoperative complications in these anatomically complex eyes, management…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 137,
      "source_fields": {
        "Abstract Final Identifier": "POCAT093",
        "Title": "When Glasses Beat The Scalpel: Functional Vision In Pediatric Nanophthalmos",
        "Presenting Author(s)": "Dr Sahar Rhalimi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sahar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rhalimi",
        "Country Name": "Morocco",
        "Purpose": "To report a case of pediatric nanophthalmos with progressive bilateral posterior subcapsular cataracts in which functional, selective refractive optimization allowed postponement of high-risk cataract surgery.",
        "Setting": "Department of Ophthalmology, 20 Août 1953 Hospital, Ibn Rochd University Hospital Center, Casablanca, Morocco.",
        "Methods": "A 10-year-old girl with a history of amblyopia was referred for progressive visual decline. She had bilateral posterior subcapsular cataracts and moderate nanophthalmos (OD 19.9 mm, OS 20.9 mm) with shallow anterior chambers. Best-corrected visual acuity had decreased to 8/20 in both eyes.\n\nSurgery in such eyes is high-risk due to short axial length and crowded anterior segments, with potential complications including uveal effusion and malignant glaucoma.\n\nComprehensive refraction revealed a new prescription of +13.5 D in the right eye and +12 D in the left eye, compared to her previous glasses (+11 D and +10 D). When we trialed the new prescription, the right eye developed diplopia, likely due to prismatic effects and sensory imbalance. Using the previous spherical values while only optimizing astigmatism (−2 / −1 D → −3 / −2.5 D) restored comfortable binocular vision.\n\nThis approach improved BCVA to 12/20 and allowed safe deferral of cataract surgery.",
        "Results": "",
        "Conclusions": "In pediatric nanophthalmos, a cataract does not automatically necessitate immediate surgical intervention. Careful functional refractive optimization can provide meaningful visual improvement and maintain binocular stability, allowing for a safe postponement of high-risk cataract extraction. Given the elevated risk of intraoperative and postoperative complications in these anatomically complex eyes, management should be individualized, with thorough risk–benefit assessment guiding the timing of surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "POCAT094",
      "abstract_number": "POCAT094",
      "title": "Beyond Iris Absence: Associated Ocular Abnormalities In A Pediatric Case With Aniridia",
      "authors": "Dr Gerardo RAFAEL Ricardez Gonzalez",
      "presenter": "Dr Gerardo RAFAEL Ricardez Gonzalez",
      "normalized_authors": [
        "Gerardo RAFAEL Ricardez Gonzalez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gerardo Rafael Ricardez Gonzalez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "Aniridia is a complex panocular genetic disorder that affects multiple ocular structures beyond the iris. This report emphasizes the need for comprehensive ophthalmologic evaluation, as patients may present with glaucoma, limbal stem cell deficiency, cataract, foveal hypoplasia, nystagmus, and strabismus. Systemic and genetic assessment is essential due to associations with potentially life-threatening conditions such as WAGR and Gillespie syndromes, emphasizing the need for integrated multidisciplinary evaluation and treatment.",
        "Setting": "Tertiary referral academic ophthalmology center and private assistance foundation providing multidisciplinary subspecialty care, Mexico City, Mexico.",
        "Methods": "A 7 year old female presented with poor vision and abnormal eye movements since birth. Ocular history included congenital nystagmus, congenital cataract, prior examination under anesthesia in infancy, and right-eye goniotomy at 2 years of age. Best-corrected visual acuity was 20/400 in both eyes. Refraction showed mixed astigmatism in both eyes. Intraocular pressure was 10–12 mmHg by Goldmann applanation tonometry. Strabismus evaluation revealed a 40 prism diopter exotropia with low amplitude horizontal nystagmus with high latency. Slit lamp examination demonstrated apparent iris absence with residual iridic tissue on gonioscopy, 360° superficial corneal neovascularization, and posterior subcapsular cataracts involving the visual axis. Fundoscopy showed normal optic discs and absence of foveal depression, suggestive of foveal hypoplasia. Specular microscopy revealed preserved endothelial counts with increased central corneal thickness. Due to limited cooperation and nystagmus, macular and optic nerve head OCT imaging was unreliable. Cataract surgery with intraocular lens implantation (SA60AT) was performed sequentially in both eyes based on calculations obtained from swept-source OCT biometry. At 3 months postoperatively, best-corrected visual acuity improved to 20/140 in both eyes. Genetic testing identified a PAX6 mutation (11p13). The patient remains under multidisciplinary follow-up including glaucoma, cornea, strabismus, genetics, and visual rehabilitation department.",
        "Conclusions": "This case illustrates that aniridia demands a structured and proactive diagnostic approach beyond confirming iris hypoplasia. Comprehensive assessment of visual function, corneal status, lens opacity, anterior segment development, glaucoma, intraocular pressure, and foveal development is critical, together with genetic testing to identify PAX6-related alterations and associated syndromes. Long-term visual prognosis depends on early detection of complications and coordinated multidisciplinary management. Family screening and genetic counseling are fundamental to identify at-risk relatives and prevent delayed diagnosis. Lifelong surveillance is essential given the progressive nature of several associated complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case illustrates that aniridia demands a structured and proactive diagnostic approach beyond confirming iris hypoplasia. Comprehensive assessment of visual function, corneal status, lens opacity, anterior segment development, glaucoma, intraocular pressure, and foveal development is critical, together with genetic testing to identify PAX6-related alterations and associated syndromes. Long-term visual prognosis…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 138,
      "source_fields": {
        "Abstract Final Identifier": "POCAT094",
        "Title": "Beyond Iris Absence: Associated Ocular Abnormalities In A Pediatric Case With Aniridia",
        "Presenting Author(s)": "Dr Gerardo RAFAEL Ricardez Gonzalez",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Gerardo",
        "Submitter Middle Name": "Rafael",
        "Submitter Last Name": "Ricardez Gonzalez",
        "Country Name": "Mexico",
        "Purpose": "Aniridia is a complex panocular genetic disorder that affects multiple ocular structures beyond the iris. This report emphasizes the need for comprehensive ophthalmologic evaluation, as patients may present with glaucoma, limbal stem cell deficiency, cataract, foveal hypoplasia, nystagmus, and strabismus. Systemic and genetic assessment is essential due to associations with potentially life-threatening conditions such as WAGR and Gillespie syndromes, emphasizing the need for integrated multidisciplinary evaluation and treatment.",
        "Setting": "Tertiary referral academic ophthalmology center and private assistance foundation providing multidisciplinary subspecialty care, Mexico City, Mexico.",
        "Methods": "A 7 year old female presented with poor vision and abnormal eye movements since birth. Ocular history included congenital nystagmus, congenital cataract, prior examination under anesthesia in infancy, and right-eye goniotomy at 2 years of age. Best-corrected visual acuity was 20/400 in both eyes. Refraction showed mixed astigmatism in both eyes. Intraocular pressure was 10–12 mmHg by Goldmann applanation tonometry. Strabismus evaluation revealed a 40 prism diopter exotropia with low amplitude horizontal nystagmus with high latency. Slit lamp examination demonstrated apparent iris absence with residual iridic tissue on gonioscopy, 360° superficial corneal neovascularization, and posterior subcapsular cataracts involving the visual axis. Fundoscopy showed normal optic discs and absence of foveal depression, suggestive of foveal hypoplasia. Specular microscopy revealed preserved endothelial counts with increased central corneal thickness. Due to limited cooperation and nystagmus, macular and optic nerve head OCT imaging was unreliable. Cataract surgery with intraocular lens implantation (SA60AT) was performed sequentially in both eyes based on calculations obtained from swept-source OCT biometry. At 3 months postoperatively, best-corrected visual acuity improved to 20/140 in both eyes. Genetic testing identified a PAX6 mutation (11p13). The patient remains under multidisciplinary follow-up including glaucoma, cornea, strabismus, genetics, and visual rehabilitation department.",
        "Results": "",
        "Conclusions": "This case illustrates that aniridia demands a structured and proactive diagnostic approach beyond confirming iris hypoplasia. Comprehensive assessment of visual function, corneal status, lens opacity, anterior segment development, glaucoma, intraocular pressure, and foveal development is critical, together with genetic testing to identify PAX6-related alterations and associated syndromes. Long-term visual prognosis depends on early detection of complications and coordinated multidisciplinary management. Family screening and genetic counseling are fundamental to identify at-risk relatives and prevent delayed diagnosis. Lifelong surveillance is essential given the progressive nature of several associated complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "POCAT095",
      "abstract_number": "POCAT095",
      "title": "Surgical Management Of Angle-Closure Glaucoma In Laron Syndrome: A Case Report From A High-Prevalence Region",
      "authors": "Dr Carolina Abendano",
      "presenter": "Dr Carolina Abendano",
      "normalized_authors": [
        "Carolina Abendano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Graciela Ruiz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ecuador",
      "sections": {
        "Purpose": "The purpose of this case is to demonstrate the clinical and surgical management of a patient with Laron syndrome who presented with angle closure due to angle-closure glaucoma and branch retinal vein occlusion. In Loja Province (Ecuador), there is an area with a higher prevalence of this syndrome, and it is important to make these findings known to carry out evaluations, early diagnoses, and preventive treatments in this population.",
        "Setting": "We report the case of a 50-year-old female patient with Laron syndrome who presented to the clinic with headache, ocular pain, and vision loss in the left eye.",
        "Methods": "Physical examination: OD (right eye): Visual acuity 20/25; IOP: 22 mmHg; refraction: hyperopia +2 diopters. Anterior chamber: shallow; iris: areas of atrophy; gonioscopy: Grade 0 angle (Shaffer); lens: N2. OS (left eye): Visual acuity: counts fingers at 5 cm; IOP: 57 mmHg; refraction: not assessable; conjunctiva: tortuous ciliary vessels; corneal edema with fine keratic precipitates; anterior chamber: shallow; iris: mid-dilated, non-reactive pupil; gonioscopy: Grade 0 angle (Shaffer) with goniosynechiae; lens: N3.\n\nA diagnosis of acute glaucoma crisis was made.\n\n• Clinical treatment plan: IV mannitol, topical prednisolone, topical dorzolamide–timolol, oral acetazolamide, topical pilocarpine.\n\n• Fundus photography OS (left eye): Neovascularization at the level of the optic nerve; marked venous dilation; arteriolar narrowing and thrombosis of the superior temporal vein.\n\n• OCT OS: Retinal thinning, loss of ganglion cells, and retinal pigment epithelium detachment.\n\n• Ocular biometry: Hoffer Q formula = IOL 31.00 D. Anterior chamber: 1.48 mm. Lens thickness: 4.70 mm. Axial length: 19.53 mm.\n\n• Preoperative plan: Bilateral iridotomies (OU).\n\n• Surgical treatment plan: Phacoemulsification + implantation of an IQ 31.00 D intraocular lens.\n\nPostoperative outcomes (OS): visual acuity improved to 20/40. Intraocular pressure decreased to 16 mmHg. Slit-lamp examination: mild residual mydriasis and areas of iris atrophy. A marked deepening of the anterior chamber was observed following surgery.",
        "Conclusions": "This case highlights the complex clinical presentation and management of angle-closure glaucoma in a patient with Laron syndrome. In this patient, anatomical predisposition (short axial length and shallow anterior chamber) contributed to pupillary block and acute angle closure, leading to markedly elevated intraocular pressure and secondary vascular complications. Early and aggressive medical management was essential to control IOP during the acute phase. However, definitive management required a surgical approach. Cataract extraction combined with iridotomy was fundamental in deepening the anterior chamber, relieving pupilary block, reopening the angle, and achieving adequate IOP control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights the complex clinical presentation and management of angle-closure glaucoma in a patient with Laron syndrome. In this patient, anatomical predisposition (short axial length and shallow anterior chamber) contributed to pupillary block and acute angle closure, leading to markedly elevated intraocular pressure and secondary vascular complications. Early and aggressive medical management was…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 139,
      "source_fields": {
        "Abstract Final Identifier": "POCAT095",
        "Title": "Surgical Management Of Angle-Closure Glaucoma In Laron Syndrome: A Case Report From A High-Prevalence Region",
        "Presenting Author(s)": "Dr Carolina Abendano",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Graciela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ruiz",
        "Country Name": "Ecuador",
        "Purpose": "The purpose of this case is to demonstrate the clinical and surgical management of a patient with Laron syndrome who presented with angle closure due to angle-closure glaucoma and branch retinal vein occlusion. In Loja Province (Ecuador), there is an area with a higher prevalence of this syndrome, and it is important to make these findings known to carry out evaluations, early diagnoses, and preventive treatments in this population.",
        "Setting": "We report the case of a 50-year-old female patient with Laron syndrome who presented to the clinic with headache, ocular pain, and vision loss in the left eye.",
        "Methods": "Physical examination: OD (right eye): Visual acuity 20/25; IOP: 22 mmHg; refraction: hyperopia +2 diopters. Anterior chamber: shallow; iris: areas of atrophy; gonioscopy: Grade 0 angle (Shaffer); lens: N2. OS (left eye): Visual acuity: counts fingers at 5 cm; IOP: 57 mmHg; refraction: not assessable; conjunctiva: tortuous ciliary vessels; corneal edema with fine keratic precipitates; anterior chamber: shallow; iris: mid-dilated, non-reactive pupil; gonioscopy: Grade 0 angle (Shaffer) with goniosynechiae; lens: N3.\n\nA diagnosis of acute glaucoma crisis was made.\n\n• Clinical treatment plan: IV mannitol, topical prednisolone, topical dorzolamide–timolol, oral acetazolamide, topical pilocarpine.\n\n• Fundus photography OS (left eye): Neovascularization at the level of the optic nerve; marked venous dilation; arteriolar narrowing and thrombosis of the superior temporal vein.\n\n• OCT OS: Retinal thinning, loss of ganglion cells, and retinal pigment epithelium detachment.\n\n• Ocular biometry: Hoffer Q formula = IOL 31.00 D. Anterior chamber: 1.48 mm. Lens thickness: 4.70 mm. Axial length: 19.53 mm.\n\n• Preoperative plan: Bilateral iridotomies (OU).\n\n• Surgical treatment plan: Phacoemulsification + implantation of an IQ 31.00 D intraocular lens.\n\nPostoperative outcomes (OS): visual acuity improved to 20/40. Intraocular pressure decreased to 16 mmHg. Slit-lamp examination: mild residual mydriasis and areas of iris atrophy. A marked deepening of the anterior chamber was observed following surgery.",
        "Results": "",
        "Conclusions": "This case highlights the complex clinical presentation and management of angle-closure glaucoma in a patient with Laron syndrome. In this patient, anatomical predisposition (short axial length and shallow anterior chamber) contributed to pupillary block and acute angle closure, leading to markedly elevated intraocular pressure and secondary vascular complications. Early and aggressive medical management was essential to control IOP during the acute phase. However, definitive management required a surgical approach. Cataract extraction combined with iridotomy was fundamental in deepening the anterior chamber, relieving pupilary block, reopening the angle, and achieving adequate IOP control."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "POCAT096",
      "abstract_number": "POCAT096",
      "title": "Trust But Verify: Missed Partial Haptic Unfolding Of Single Piece Intraocular Lens Causing Persistent Cystoid Macular Edema",
      "authors": "Dr Tamilarasi S",
      "presenter": "Dr Tamilarasi S",
      "normalized_authors": [
        "Tamilarasi S"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tamilarasi S",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a case of chronic postoperative inflammation and cystoid macular edema (CME) secondary to partial haptic unfolding of a single-piece intraocular lens (IOL), discuss potential intraoperative mechanisms, and emphasize the importance of verifying in-the-bag IOL positioning at the end of phacoemulsification.",
        "Setting": "The Eye Foundation, Coimbatore, a tertiary eye care center in Southern India.",
        "Methods": "A 54-year-old male presented 9 months after cataract surgery in the right eye done elsewhere with persistent blurred vision. Despite repeated course of tapering topical steroids, BCVA remained 6/60. Slit-lamp examination revealed low-grade anterior chamber inflammation, pigments on a single-piece acrylic IOL, and a partially unfolded superotemporal haptic lying in the sulcus, with fused anterior and posterior capsules at that site. Macular OCT confirmed CME.\n\nLikely contributing factors for slow or partial haptic unfolding include improper IOL loading, zonular weakness, inadequate capsular bag expansion, and unstable anterior chamber during implantation, particularly with hydro implantation techniques. Chronic mechanical irritation from the malpositioned haptic caused pigment dispersion and persistent inflammation.\n\nBecause the anterior and posterior capsules had fused, IOL exchange with intravitreal dexamethasone implant (Ozurdex) was advised. If identified early, simple repositioning of the partially unfolded haptic into the capsular bag could have reduced inflammation and avoided IOL exchange. The patient was subsequently lost to follow-up.",
        "Conclusions": "Partial haptic unfolding of single-piece IOLs may go unrecognized intraoperatively, leading to chronic inflammation, pigment dispersion, and CME. Early identification, proper evaluation, and timely intervention are critical. Surgeons should verify complete in-the-bag haptic unfolding, particularly when using hydroimplantation, to prevent avoidable long-term complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Partial haptic unfolding of single-piece IOLs may go unrecognized intraoperatively, leading to chronic inflammation, pigment dispersion, and CME. Early identification, proper evaluation, and timely intervention are critical. Surgeons should verify complete in-the-bag haptic unfolding, particularly when using hydroimplantation, to prevent avoidable long-term complications.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 140,
      "source_fields": {
        "Abstract Final Identifier": "POCAT096",
        "Title": "Trust But Verify: Missed Partial Haptic Unfolding Of Single Piece Intraocular Lens Causing Persistent Cystoid Macular Edema",
        "Presenting Author(s)": "Dr Tamilarasi S",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Tamilarasi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "S",
        "Country Name": "India",
        "Purpose": "To report a case of chronic postoperative inflammation and cystoid macular edema (CME) secondary to partial haptic unfolding of a single-piece intraocular lens (IOL), discuss potential intraoperative mechanisms, and emphasize the importance of verifying in-the-bag IOL positioning at the end of phacoemulsification.",
        "Setting": "The Eye Foundation, Coimbatore, a tertiary eye care center in Southern India.",
        "Methods": "A 54-year-old male presented 9 months after cataract surgery in the right eye done elsewhere with persistent blurred vision. Despite repeated course of tapering topical steroids, BCVA remained 6/60. Slit-lamp examination revealed low-grade anterior chamber inflammation, pigments on a single-piece acrylic IOL, and a partially unfolded superotemporal haptic lying in the sulcus, with fused anterior and posterior capsules at that site. Macular OCT confirmed CME.\n\nLikely contributing factors for slow or partial haptic unfolding include improper IOL loading, zonular weakness, inadequate capsular bag expansion, and unstable anterior chamber during implantation, particularly with hydro implantation techniques. Chronic mechanical irritation from the malpositioned haptic caused pigment dispersion and persistent inflammation.\n\nBecause the anterior and posterior capsules had fused, IOL exchange with intravitreal dexamethasone implant (Ozurdex) was advised. If identified early, simple repositioning of the partially unfolded haptic into the capsular bag could have reduced inflammation and avoided IOL exchange. The patient was subsequently lost to follow-up.",
        "Results": "",
        "Conclusions": "Partial haptic unfolding of single-piece IOLs may go unrecognized intraoperatively, leading to chronic inflammation, pigment dispersion, and CME. Early identification, proper evaluation, and timely intervention are critical. Surgeons should verify complete in-the-bag haptic unfolding, particularly when using hydroimplantation, to prevent avoidable long-term complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCAT097",
      "abstract_number": "POCAT097",
      "title": "Secondary Panoptix Toric Iol Implantation For Medical Rehabilitation In A Patient With Combined Ocular Pathology: A Case Of 40-Year Aphakia, Glaucoma, And High Myopia",
      "authors": "Altynay Sadykova",
      "presenter": "Altynay Sadykova",
      "normalized_authors": [
        "Altynay Sadykova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Altynay Sadykova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate the clinical feasibility and functional outcomes of secondary PanOptix Toric IOL implantation as a method of choice for comprehensive visual rehabilitation in a complex ocular setting. The study demonstrates the effectiveness of expanding standard protocols for premium IOL implantation in patients with long-standing post-traumatic changes, concomitant glaucoma, and extreme anisometropia, where traditional approaches often fail to restore binocularity.",
        "Setting": "The study was conducted at the Kazakh Eye Research Institute (Almaty, Kazakhstan). All surgical procedures and clinical examinations were performed by a single surgical team in an inpatient hospital setting during 2025.",
        "Methods": "A 62-year-old male patient.\n\nMedical history: In 1982, at the age of 19, the patient sustained a penetrating injury to the right eye (needle trauma). In the same year, extracapsular cataract extraction (ECCE) was performed due to traumatic cataract, resulting in aphakia. In 2024, primary open-angle glaucoma (POAG) was diagnosed in both eyes.\n\nClinical diagnosis: OD — high myopia with astigmatism; corneoscleral scar; endothelial insufficiency; aphakia; secondary cataract; POAG stage II (medically controlled). OU — anisometropia. OS — low myopia; POAG stage I (medically controlled).\n\nAt presentation: Uncorrected visual acuity (UCVA) OD was 0.05; best corrected visual acuity (BCVA) with sph (+)11.25, cyl (−)4.50 axis 130° was 0.2. OS: BCVA 1.0 with sph (−)1.0.\n\nBiometry: axial length (AL) OD 27.59 mm; OS 24.92 mm.\n\nSurgical protocol: Considering the need to correct complex astigmatism and eliminate anisometropia to restore binocular vision, secondary implantation of a PanOptix Toric IOL (+11.5 D, T6) was performed in the capsular bag with simultaneous posterior capsulorhexis.\n\nResults\n\nPostoperative visual acuity in the right eye reached 0.9 for distance, 0.8 for intermediate, and 0.8 for near vision without additional correction.\n\nThe patient reported complete satisfaction with the visual outcome. Restoration of binocular comfort was achieved through compensation of anisometropia and astigmatism despite the presence of glaucomatous optic neuropathy and a 40-year history of aphakia.",
        "Conclusions": "This clinical case expands the current understanding of the boundaries of trifocal optic application. Combined ocular pathology, including compensated glaucoma and post-traumatic changes, should not be considered an absolute contraindication to premium IOL implantation.\n\nOn the contrary, the use of toric multifocal lenses in cases of pronounced anisometropia represents a pathogenetically justified approach that enables maximal functional rehabilitation, even in cases previously regarded as unsuitable for advanced refractive correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This clinical case expands the current understanding of the boundaries of trifocal optic application. Combined ocular pathology, including compensated glaucoma and post-traumatic changes, should not be considered an absolute contraindication to premium IOL implantation. On the contrary, the use of toric multifocal lenses in cases of pronounced anisometropia represents a pathogenetically justified approach that…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 141,
      "source_fields": {
        "Abstract Final Identifier": "POCAT097",
        "Title": "Secondary Panoptix Toric Iol Implantation For Medical Rehabilitation In A Patient With Combined Ocular Pathology: A Case Of 40-Year Aphakia, Glaucoma, And High Myopia",
        "Presenting Author(s)": "Altynay Sadykova",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Altynay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sadykova",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate the clinical feasibility and functional outcomes of secondary PanOptix Toric IOL implantation as a method of choice for comprehensive visual rehabilitation in a complex ocular setting. The study demonstrates the effectiveness of expanding standard protocols for premium IOL implantation in patients with long-standing post-traumatic changes, concomitant glaucoma, and extreme anisometropia, where traditional approaches often fail to restore binocularity.",
        "Setting": "The study was conducted at the Kazakh Eye Research Institute (Almaty, Kazakhstan). All surgical procedures and clinical examinations were performed by a single surgical team in an inpatient hospital setting during 2025.",
        "Methods": "A 62-year-old male patient.\n\nMedical history: In 1982, at the age of 19, the patient sustained a penetrating injury to the right eye (needle trauma). In the same year, extracapsular cataract extraction (ECCE) was performed due to traumatic cataract, resulting in aphakia. In 2024, primary open-angle glaucoma (POAG) was diagnosed in both eyes.\n\nClinical diagnosis: OD — high myopia with astigmatism; corneoscleral scar; endothelial insufficiency; aphakia; secondary cataract; POAG stage II (medically controlled). OU — anisometropia. OS — low myopia; POAG stage I (medically controlled).\n\nAt presentation: Uncorrected visual acuity (UCVA) OD was 0.05; best corrected visual acuity (BCVA) with sph (+)11.25, cyl (−)4.50 axis 130° was 0.2. OS: BCVA 1.0 with sph (−)1.0.\n\nBiometry: axial length (AL) OD 27.59 mm; OS 24.92 mm.\n\nSurgical protocol: Considering the need to correct complex astigmatism and eliminate anisometropia to restore binocular vision, secondary implantation of a PanOptix Toric IOL (+11.5 D, T6) was performed in the capsular bag with simultaneous posterior capsulorhexis.\n\nResults\n\nPostoperative visual acuity in the right eye reached 0.9 for distance, 0.8 for intermediate, and 0.8 for near vision without additional correction.\n\nThe patient reported complete satisfaction with the visual outcome. Restoration of binocular comfort was achieved through compensation of anisometropia and astigmatism despite the presence of glaucomatous optic neuropathy and a 40-year history of aphakia.",
        "Results": "",
        "Conclusions": "This clinical case expands the current understanding of the boundaries of trifocal optic application. Combined ocular pathology, including compensated glaucoma and post-traumatic changes, should not be considered an absolute contraindication to premium IOL implantation.\n\nOn the contrary, the use of toric multifocal lenses in cases of pronounced anisometropia represents a pathogenetically justified approach that enables maximal functional rehabilitation, even in cases previously regarded as unsuitable for advanced refractive correction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "POCAT098",
      "abstract_number": "POCAT098",
      "title": "Endothelial Stability After Bilateral Cataract Surgery In Corneal Guttate",
      "authors": "Dr Ahmed Safie Eldeen",
      "presenter": "Dr Ahmed Safie Eldeen",
      "normalized_authors": [
        "Ahmed Safie Eldeen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Safie Eldeen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate endothelial cell behavior following sequential cataract surgery in a patient with bilateral corneal guttata and moderate baseline endothelial counts.",
        "Setting": "Private ophthalmic practice.",
        "Methods": "A patient presented with bilateral visually significant cataract associated with corneal guttata. Preoperative slit-lamp examination revealed non-confluent central guttata without stromal edema. Specular microscopy showed endothelial cell density of 1910 cells/mm² in the right eye and 2098 cells/mm² in the left eye.\n\nBoth eyes underwent consecutive phacoemulsification using the Centurion system. Due to the compromised endothelium, a low-energy strategy was adopted utilizing a modified chip-and-flip technique to minimize ultrasound delivery and fluidic turbulence. Surgery was uneventful in both eyes.\n\nPostoperative recovery was smooth with no persistent corneal edema. Follow-up specular microscopy demonstrated endothelial cell density of 1925 cells/mm² OD and 1940 cells/mm² OS. Variation remained within expected measurement variability despite pre-existing guttata.\n\nVisual rehabilitation was achieved without need for endothelial keratoplasty.",
        "Conclusions": "Cataract surgery in corneal guttata does not necessarily mandate combined or staged endothelial keratoplasty. With adequate baseline endothelial reserve, appropriate case selection, and low-energy phacoemulsification techniques, clinically significant endothelial loss may be avoided. Surgical planning should be individualized rather than based solely on the presence of guttata."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in corneal guttata does not necessarily mandate combined or staged endothelial keratoplasty. With adequate baseline endothelial reserve, appropriate case selection, and low-energy phacoemulsification techniques, clinically significant endothelial loss may be avoided. Surgical planning should be individualized rather than based solely on the presence of guttata.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 142,
      "source_fields": {
        "Abstract Final Identifier": "POCAT098",
        "Title": "Endothelial Stability After Bilateral Cataract Surgery In Corneal Guttate",
        "Presenting Author(s)": "Dr Ahmed Safie Eldeen",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Safie Eldeen",
        "Country Name": "Egypt",
        "Purpose": "To evaluate endothelial cell behavior following sequential cataract surgery in a patient with bilateral corneal guttata and moderate baseline endothelial counts.",
        "Setting": "Private ophthalmic practice.",
        "Methods": "A patient presented with bilateral visually significant cataract associated with corneal guttata. Preoperative slit-lamp examination revealed non-confluent central guttata without stromal edema. Specular microscopy showed endothelial cell density of 1910 cells/mm² in the right eye and 2098 cells/mm² in the left eye.\n\nBoth eyes underwent consecutive phacoemulsification using the Centurion system. Due to the compromised endothelium, a low-energy strategy was adopted utilizing a modified chip-and-flip technique to minimize ultrasound delivery and fluidic turbulence. Surgery was uneventful in both eyes.\n\nPostoperative recovery was smooth with no persistent corneal edema. Follow-up specular microscopy demonstrated endothelial cell density of 1925 cells/mm² OD and 1940 cells/mm² OS. Variation remained within expected measurement variability despite pre-existing guttata.\n\nVisual rehabilitation was achieved without need for endothelial keratoplasty.",
        "Results": "",
        "Conclusions": "Cataract surgery in corneal guttata does not necessarily mandate combined or staged endothelial keratoplasty. With adequate baseline endothelial reserve, appropriate case selection, and low-energy phacoemulsification techniques, clinically significant endothelial loss may be avoided. Surgical planning should be individualized rather than based solely on the presence of guttata."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POCAT099",
      "abstract_number": "POCAT099",
      "title": "“Yellowing Of An Intraocular Lens Following Chronic Periocular Turmeric Exposure: A Rare Case Report”",
      "authors": "Dr Dr.Navaneeth Saggam",
      "presenter": "Dr Dr.Navaneeth Saggam",
      "normalized_authors": [
        "Dr.Navaneeth Saggam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.Navaneeth Saggam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a rare and unusual case of yellow discoloration of an intraocular lens (IOL) associated with long-term topical exposure to turmeric (Curcuma longa), highlighting a potential non-pharmacological cause of postoperative IOL colour change.",
        "Setting": "Detailed clinical evaluation, slit-lamp photography, and patient history were analysed in a 60+ year-old woman with pseudophakia who presented with yellowish discoloration of ocular tissues and the implanted IOL.",
        "Methods": "The patient had a 25-year history of daily periocular and facial application of turmeric as part of a traditional practice. Slit-lamp examination revealed diffuse yellow staining of periocular skin, conjunctiva, cornea, and a distinct yellow discoloration of the IOL optic. No signs of uveitis, IOL opacification, calcification, or posterior capsular opacification were noted. Visual acuity remained relatively preserved.",
        "Conclusions": "Chronic external exposure to turmeric may result in pigment deposition and discoloration of intraocular structures, including IOLs. This appears to be a benign but visually striking phenomenon with important counselling and documentation implications for cataract surgeons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Chronic external exposure to turmeric may result in pigment deposition and discoloration of intraocular structures, including IOLs. This appears to be a benign but visually striking phenomenon with important counselling and documentation implications for cataract surgeons.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 143,
      "source_fields": {
        "Abstract Final Identifier": "POCAT099",
        "Title": "“Yellowing Of An Intraocular Lens Following Chronic Periocular Turmeric Exposure: A Rare Case Report”",
        "Presenting Author(s)": "Dr Dr.Navaneeth Saggam",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Dr.Navaneeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saggam",
        "Country Name": "India",
        "Purpose": "To report a rare and unusual case of yellow discoloration of an intraocular lens (IOL) associated with long-term topical exposure to turmeric (Curcuma longa), highlighting a potential non-pharmacological cause of postoperative IOL colour change.",
        "Setting": "Detailed clinical evaluation, slit-lamp photography, and patient history were analysed in a 60+ year-old woman with pseudophakia who presented with yellowish discoloration of ocular tissues and the implanted IOL.",
        "Methods": "The patient had a 25-year history of daily periocular and facial application of turmeric as part of a traditional practice. Slit-lamp examination revealed diffuse yellow staining of periocular skin, conjunctiva, cornea, and a distinct yellow discoloration of the IOL optic. No signs of uveitis, IOL opacification, calcification, or posterior capsular opacification were noted. Visual acuity remained relatively preserved.",
        "Results": "",
        "Conclusions": "Chronic external exposure to turmeric may result in pigment deposition and discoloration of intraocular structures, including IOLs. This appears to be a benign but visually striking phenomenon with important counselling and documentation implications for cataract surgeons."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 157
    },
    {
      "uid": "POCAT100",
      "abstract_number": "POCAT100",
      "title": "Massive Subretinal Fluid Following Wound Indentation For Early Postoperative Intraocular Pressure Elevation After Cataract Surgery",
      "authors": "Dr Aras Saklamaz",
      "presenter": "Dr Aras Saklamaz",
      "normalized_authors": [
        "Aras Saklamaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aras Saklamaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a rare case of acute massive subretinal fluid development following manual wound indentation performed to manage severe early postoperative intraocular pressure elevation after cataract surgery complicated by posterior capsule rupture and anterior vitrectomy, and to highlight the potential retinal consequences of sudden intraocular pressure reduction.",
        "Setting": "This case was managed at a private, high-volume ophthalmology center in Türkiye functioning as a primary eye care and surgical facility. All major anterior and posterior segment eye surgeries are routinely performed at the center.",
        "Methods": "Post-cataract intraocular pressure (IOP) elevation is a common early postoperative finding, with pressures exceeding 30 mmHg reported in up to 70% of eyes within the first 24 hours. Most IOP spikes are related to retained ophthalmic viscoelastic devices, postoperative inflammation, or impaired trabecular outflow. While medical therapy remains first-line treatment, wound indentation or paracentesis may be required when IOP exceeds 40 mmHg and is unresponsive to medication. However, abrupt decompression may disturb choroidal hydrostatic balance and lead to serous retinal detachment. A 53-year-old man underwent phacoemulsification complicated by posterior capsule rupture, requiring limited anterior vitrectomy and sulcus implantation of a single-piece acrylic intraocular lens. On postoperative day 1, IOP was 53 mmHg measured by air-puff applanation tonometry. Gentle wound indentation reduced IOP to 15 mmHg. A few hours later, the patient reported central visual blurring. Spectral-domain optical coherence tomography revealed a large dome-shaped serous subretinal fluid involving the fovea. Intensive topical corticosteroid and nonsteroidal anti-inflammatory therapy was initiated. Follow-up OCT at 48 hours showed complete resolution of subretinal fluid, and visual acuity returned to baseline within three days. The rapid onset and resolution suggest a hydrostatic mechanism related to sudden ocular hypotony, highlighting the importance of cautious pressure reduction and OCT monitoring.",
        "Conclusions": "Early postoperative intraocular pressure elevation after cataract surgery is usually transient, but severe spikes may require intervention. Sudden IOP reduction following wound indentation can rarely lead to transient serous macular detachment due to acute hydrostatic imbalance. Gradual decompression, careful postoperative monitoring, and prompt OCT evaluation in patients with visual complaints are essential. Awareness of this potential complication allows timely diagnosis, conservative management, and favorable visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Early postoperative intraocular pressure elevation after cataract surgery is usually transient, but severe spikes may require intervention. Sudden IOP reduction following wound indentation can rarely lead to transient serous macular detachment due to acute hydrostatic imbalance. Gradual decompression, careful postoperative monitoring, and prompt OCT evaluation in patients with visual complaints are essential.…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 144,
      "source_fields": {
        "Abstract Final Identifier": "POCAT100",
        "Title": "Massive Subretinal Fluid Following Wound Indentation For Early Postoperative Intraocular Pressure Elevation After Cataract Surgery",
        "Presenting Author(s)": "Dr Aras Saklamaz",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Aras",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saklamaz",
        "Country Name": "Türkiye",
        "Purpose": "To report a rare case of acute massive subretinal fluid development following manual wound indentation performed to manage severe early postoperative intraocular pressure elevation after cataract surgery complicated by posterior capsule rupture and anterior vitrectomy, and to highlight the potential retinal consequences of sudden intraocular pressure reduction.",
        "Setting": "This case was managed at a private, high-volume ophthalmology center in Türkiye functioning as a primary eye care and surgical facility. All major anterior and posterior segment eye surgeries are routinely performed at the center.",
        "Methods": "Post-cataract intraocular pressure (IOP) elevation is a common early postoperative finding, with pressures exceeding 30 mmHg reported in up to 70% of eyes within the first 24 hours. Most IOP spikes are related to retained ophthalmic viscoelastic devices, postoperative inflammation, or impaired trabecular outflow. While medical therapy remains first-line treatment, wound indentation or paracentesis may be required when IOP exceeds 40 mmHg and is unresponsive to medication. However, abrupt decompression may disturb choroidal hydrostatic balance and lead to serous retinal detachment. A 53-year-old man underwent phacoemulsification complicated by posterior capsule rupture, requiring limited anterior vitrectomy and sulcus implantation of a single-piece acrylic intraocular lens. On postoperative day 1, IOP was 53 mmHg measured by air-puff applanation tonometry. Gentle wound indentation reduced IOP to 15 mmHg. A few hours later, the patient reported central visual blurring. Spectral-domain optical coherence tomography revealed a large dome-shaped serous subretinal fluid involving the fovea. Intensive topical corticosteroid and nonsteroidal anti-inflammatory therapy was initiated. Follow-up OCT at 48 hours showed complete resolution of subretinal fluid, and visual acuity returned to baseline within three days. The rapid onset and resolution suggest a hydrostatic mechanism related to sudden ocular hypotony, highlighting the importance of cautious pressure reduction and OCT monitoring.",
        "Results": "",
        "Conclusions": "Early postoperative intraocular pressure elevation after cataract surgery is usually transient, but severe spikes may require intervention. Sudden IOP reduction following wound indentation can rarely lead to transient serous macular detachment due to acute hydrostatic imbalance. Gradual decompression, careful postoperative monitoring, and prompt OCT evaluation in patients with visual complaints are essential. Awareness of this potential complication allows timely diagnosis, conservative management, and favorable visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "POCAT101",
      "abstract_number": "POCAT101",
      "title": "From Emergency Suturing To Gore-Tex Fixation: Timely Management Of A Penetrating Ocular Trauma",
      "authors": "Dr Antonia Carmen Sangregorio",
      "presenter": "Dr Antonia Carmen Sangregorio",
      "normalized_authors": [
        "Antonia Carmen Sangregorio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonia Carmen Sangregorio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To describe the surgical management of a penetrating ocular trauma treated with corneal wound suturing followed by pars plana vitrectomy combined with scleral-fixated intraocular lens (IOL) implantation using Gore-Tex sutures.",
        "Setting": "Retrospective analysis of a clinical case. A 27-year-old male patient presented to the ophthalmology Emergency Department with a penetrating injury to the right eye caused by a metallic foreign body, associated with iris involvement and extrusion of lenticular material.",
        "Methods": "Preoperative examination revealed: visual acuity (VA) of hand motion, ocular hypotony, a full-thickness linear corneal wound extending from 3 to 9 o’clock with iris prolapse, a flat anterior chamber, and traumatic cataract.\n\nEmergency surgery consisted of repositioning of the iris and restoration of the anterior chamber using viscoelastic, closure of the corneal wound with interrupted 10-0 nylon sutures. At the end of the procedure, the anterior chamber was restored, intraocular pressure stabilized, and the Seidel test was negative. Postoperative therapy included topical cycloplegic, corticosteroid, and antibiotic treatment.\n\nFour months later, due to capsular remnant opacification in post-traumatic aphakia and posterior capsule rupture, pars plana vitrectomy was performed with removal of capsular remnants and secondary implantation of a scleral-fixated IOL using Gore-Tex sutures. On the first postoperative day, best-corrected visual acuity (BCVA) was 3/10 with pinhole, intraocular pressure was 15 mmHg, the optic disc appeared pink with sharp margins, and the retina was attached in all quadrants.",
        "Conclusions": "Visual recovery was gradual over the following weeks. BCVA improved to 3/10 with pinhole at one month and to 5/10 at six months postoperatively. No infectious complications or wound dehiscence were observed during the follow-up period.\n\nCONCLUSIONS\nEarly corneal suturing represents the main prognostic factor for preserving anatomical integrity in penetrating ocular trauma. Subsequent management of post-traumatic aphakia with scleral-fixated IOL implantation using Gore-Tex sutures allowed satisfactory functional recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Visual recovery was gradual over the following weeks. BCVA improved to 3/10 with pinhole at one month and to 5/10 at six months postoperatively. No infectious complications or wound dehiscence were observed during the follow-up period. CONCLUSIONS Early corneal suturing represents the main prognostic factor for preserving anatomical integrity in penetrating ocular trauma. Subsequent management of post-traumatic…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 145,
      "source_fields": {
        "Abstract Final Identifier": "POCAT101",
        "Title": "From Emergency Suturing To Gore-Tex Fixation: Timely Management Of A Penetrating Ocular Trauma",
        "Presenting Author(s)": "Dr Antonia Carmen Sangregorio",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Antonia",
        "Submitter Middle Name": "Carmen",
        "Submitter Last Name": "Sangregorio",
        "Country Name": "Italy",
        "Purpose": "To describe the surgical management of a penetrating ocular trauma treated with corneal wound suturing followed by pars plana vitrectomy combined with scleral-fixated intraocular lens (IOL) implantation using Gore-Tex sutures.",
        "Setting": "Retrospective analysis of a clinical case. A 27-year-old male patient presented to the ophthalmology Emergency Department with a penetrating injury to the right eye caused by a metallic foreign body, associated with iris involvement and extrusion of lenticular material.",
        "Methods": "Preoperative examination revealed: visual acuity (VA) of hand motion, ocular hypotony, a full-thickness linear corneal wound extending from 3 to 9 o’clock with iris prolapse, a flat anterior chamber, and traumatic cataract.\n\nEmergency surgery consisted of repositioning of the iris and restoration of the anterior chamber using viscoelastic, closure of the corneal wound with interrupted 10-0 nylon sutures. At the end of the procedure, the anterior chamber was restored, intraocular pressure stabilized, and the Seidel test was negative. Postoperative therapy included topical cycloplegic, corticosteroid, and antibiotic treatment.\n\nFour months later, due to capsular remnant opacification in post-traumatic aphakia and posterior capsule rupture, pars plana vitrectomy was performed with removal of capsular remnants and secondary implantation of a scleral-fixated IOL using Gore-Tex sutures. On the first postoperative day, best-corrected visual acuity (BCVA) was 3/10 with pinhole, intraocular pressure was 15 mmHg, the optic disc appeared pink with sharp margins, and the retina was attached in all quadrants.",
        "Results": "",
        "Conclusions": "Visual recovery was gradual over the following weeks. BCVA improved to 3/10 with pinhole at one month and to 5/10 at six months postoperatively. No infectious complications or wound dehiscence were observed during the follow-up period.\n\nCONCLUSIONS\nEarly corneal suturing represents the main prognostic factor for preserving anatomical integrity in penetrating ocular trauma. Subsequent management of post-traumatic aphakia with scleral-fixated IOL implantation using Gore-Tex sutures allowed satisfactory functional recovery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POCAT102",
      "abstract_number": "POCAT102",
      "title": "Inadvertent Corneal Tattooing- Accidental Injection Of Trypan Blue Into Corneal Stroma While Staining Anterior Lensure Capsule",
      "authors": "Dr Bala Saraswathy",
      "presenter": "Dr Bala Saraswathy",
      "normalized_authors": [
        "Bala Saraswathy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bala Saraswathy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "We report the natural course of the accidental injection of trypan blue into the corneal stroma while performing a routine cataract surgery by a resident during a training session. The corneal staining resolved with conservative medical treatment over 2 weeks. This case describes the anterior segment optical coherence tomography (ASOCT) features of corneal staining. It emphasizes on the relatively benign nature of this dye and the follow-up course. This complication can be avoided by using sharp-tipped instruments, proper wound construction, and proper depth perception, which can be done by adjusting the microscope.",
        "Setting": "It was conducted in a tertiary hospital with residential surgical training centre . Trypan blue dye has been used in various intraocular surgeries and its safety profile has been well documented. Anterior segment optical coherence tomography (ASOCT) is an efficient tool providing layer-by-layer analysis of corneal pathology.We report a case of inadvertent injection of trypan blue into the cornea by a trainee while attempting to stain the anterior capsule during routine cataract surgery .",
        "Methods": "A 70-year-old female came with complaints of gradual dimness of vision for distance in her left eye since 2 years. Her best-corrected vision (BCVA) was 20/20 in her right eye and 20/200 in her left eye. Clinical examination revealed pseudophakia in the right eye and nuclear cataract with posterior subcapsular cataract in the left eye. Patient was advised to undergo left eye cataract surgery with posterior chamber intraocular lens (PCIOL) implantation.\n\nDuring surgery, there was premature entry into cornea by trainee and instead of injecting the trypan blue (0.06%) dye into the anterior chamber, there was accidental injection of dye into the corneal stroma, resulting in diffuse staining of the cornea . As the visualization of anterior segment worsened, further placement of IOL was deferred. In the immediate postoperative period, slit-lamp examination revealed diffuse stromal edema and corneal blue staining. She underwent slit-lamp photography and ASOCT for documentation .\n\nPatient was advised to use tapering dose of topical dexamethasone and hypersol 4% eye drops 4 times for 2 weeks. During her follow-up visit, in the next 2 weeks, the corneal edema completely resolved . The findings were comparable to the ASOCT . The patient underwent uneventful secondary IOL placement with residual cortex wash after 2 weeks with PCIOL implantation resulting in a good surgical outcome with postoperative uncorrected distance vision of 20/20.",
        "Conclusions": "To conclude, our case thus emphasizes that although the use of trypan blue appears to be free of undesirable effects, the surgeon should be prepared for such temporary adverse events while using trypan blue during cataract surgery. This staining can lead to both stromal edema and DMD which can be documented by AS-OCT.\n\nThis complication can be avoided by using sharp-tipped instruments, proper wound construction, proper depth perception, directing the needle or cannula toward the center of the lens during insertion, and ensuring complete insertion of the needle tip inside anterior chamber (AC) before injection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "To conclude, our case thus emphasizes that although the use of trypan blue appears to be free of undesirable effects, the surgeon should be prepared for such temporary adverse events while using trypan blue during cataract surgery. This staining can lead to both stromal edema and DMD which can be documented by AS-OCT. This complication can be avoided by using sharp-tipped instruments, proper wound construction,…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 146,
      "source_fields": {
        "Abstract Final Identifier": "POCAT102",
        "Title": "Inadvertent Corneal Tattooing- Accidental Injection Of Trypan Blue Into Corneal Stroma While Staining Anterior Lensure Capsule",
        "Presenting Author(s)": "Dr Bala Saraswathy",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Bala",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saraswathy",
        "Country Name": "India",
        "Purpose": "We report the natural course of the accidental injection of trypan blue into the corneal stroma while performing a routine cataract surgery by a resident during a training session. The corneal staining resolved with conservative medical treatment over 2 weeks. This case describes the anterior segment optical coherence tomography (ASOCT) features of corneal staining. It emphasizes on the relatively benign nature of this dye and the follow-up course. This complication can be avoided by using sharp-tipped instruments, proper wound construction, and proper depth perception, which can be done by adjusting the microscope.",
        "Setting": "It was conducted in a tertiary hospital with residential surgical training centre . Trypan blue dye has been used in various intraocular surgeries and its safety profile has been well documented. Anterior segment optical coherence tomography (ASOCT) is an efficient tool providing layer-by-layer analysis of corneal pathology.We report a case of inadvertent injection of trypan blue into the cornea by a trainee while attempting to stain the anterior capsule during routine cataract surgery .",
        "Methods": "A 70-year-old female came with complaints of gradual dimness of vision for distance in her left eye since 2 years. Her best-corrected vision (BCVA) was 20/20 in her right eye and 20/200 in her left eye. Clinical examination revealed pseudophakia in the right eye and nuclear cataract with posterior subcapsular cataract in the left eye. Patient was advised to undergo left eye cataract surgery with posterior chamber intraocular lens (PCIOL) implantation.\n\nDuring surgery, there was premature entry into cornea by trainee and instead of injecting the trypan blue (0.06%) dye into the anterior chamber, there was accidental injection of dye into the corneal stroma, resulting in diffuse staining of the cornea . As the visualization of anterior segment worsened, further placement of IOL was deferred. In the immediate postoperative period, slit-lamp examination revealed diffuse stromal edema and corneal blue staining. She underwent slit-lamp photography and ASOCT for documentation .\n\nPatient was advised to use tapering dose of topical dexamethasone and hypersol 4% eye drops 4 times for 2 weeks. During her follow-up visit, in the next 2 weeks, the corneal edema completely resolved . The findings were comparable to the ASOCT . The patient underwent uneventful secondary IOL placement with residual cortex wash after 2 weeks with PCIOL implantation resulting in a good surgical outcome with postoperative uncorrected distance vision of 20/20.",
        "Results": "",
        "Conclusions": "To conclude, our case thus emphasizes that although the use of trypan blue appears to be free of undesirable effects, the surgeon should be prepared for such temporary adverse events while using trypan blue during cataract surgery. This staining can lead to both stromal edema and DMD which can be documented by AS-OCT.\n\nThis complication can be avoided by using sharp-tipped instruments, proper wound construction, proper depth perception, directing the needle or cannula toward the center of the lens during insertion, and ensuring complete insertion of the needle tip inside anterior chamber (AC) before injection."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 482
    },
    {
      "uid": "POCAT103",
      "abstract_number": "POCAT103",
      "title": "When A Post-Operative Inflammation Hides A Cmv Uveitis",
      "authors": "Chiraz Abdelhedi",
      "presenter": "Chiraz Abdelhedi",
      "normalized_authors": [
        "Chiraz Abdelhedi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sana Sayadi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To report a case of cytomegalovirus uveitis declared one month after phacoemulsification cataract surgery in a patient without a known history of viral infection as a reminder to consider viral uveitis as a diagnosis in the presence of unusual inflammation after cataract surgery.",
        "Setting": "Ophthalmology department of the hospital of Poissy – Saint Germain en Laye (FRANCE).",
        "Methods": "A seventy-three-year-old patient presenting in the ophthalmology department with progressive vision loss. The patient has a history of diabetes mellitus, high blood pressure, anthracosic adenopathy, and ocular hypertension treated with topical beta blockers. During initial examination, the best corrected visual acuity was 20/40 in both eyes. The corneal examination revealed a mild cornea guttata. The anterior chamber was calm, with no precipitates. A grade 2 nuclear cataract was noted, and the fundus examination was normal.\n\nPhacoemulsification and implantation of a hydrophobic foldable lens were performed in both eyes. Tapered doses of topical dexamethasone 0.1% and indomethacin 0.1% were prescribed for 30 days. At 1-month follow-up, anterior chamber inflammation with mild ocular hypertension appeared in the left eye; it was initially managed with higher doses of topical dexamethasone and oral acetazolamide. During follow-ups, granulomatous precipitates with corticosteroid-dependent inflammation were observed; Vitreous was calm; and fundus examination was normal. An anterior chamber puncture was performed, and viral PCR analysis of the aqueous humor revealed a high level of cytomegalovirus DNA. The patient was treated with oral ganciclovir and topical dexamethasone resulting in a favorable outcome.",
        "Conclusions": "Postoperative inflammation may be challenging. Endophthalmitis and inflammatory rebound are the first diagnoses to consider in case of post-operative inflammation. Viral infection should be suspected in case of unusual evolution. Anterior chamber puncture and PCR analysis are essential for confirming the diagnosis. Preoperative anamnesis should be meticulous to detect any history of viral infection and to prescribe preventive treatment such as topical ganciclovir. Fundus examination is essential to rule out associated viral retinitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Postoperative inflammation may be challenging. Endophthalmitis and inflammatory rebound are the first diagnoses to consider in case of post-operative inflammation. Viral infection should be suspected in case of unusual evolution. Anterior chamber puncture and PCR analysis are essential for confirming the diagnosis. Preoperative anamnesis should be meticulous to detect any history of viral infection and to prescribe…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 147,
      "source_fields": {
        "Abstract Final Identifier": "POCAT103",
        "Title": "When A Post-Operative Inflammation Hides A Cmv Uveitis",
        "Presenting Author(s)": "Chiraz Abdelhedi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Sana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sayadi",
        "Country Name": "France",
        "Purpose": "To report a case of cytomegalovirus uveitis declared one month after phacoemulsification cataract surgery in a patient without a known history of viral infection as a reminder to consider viral uveitis as a diagnosis in the presence of unusual inflammation after cataract surgery.",
        "Setting": "Ophthalmology department of the hospital of Poissy – Saint Germain en Laye (FRANCE).",
        "Methods": "A seventy-three-year-old patient presenting in the ophthalmology department with progressive vision loss. The patient has a history of diabetes mellitus, high blood pressure, anthracosic adenopathy, and ocular hypertension treated with topical beta blockers. During initial examination, the best corrected visual acuity was 20/40 in both eyes. The corneal examination revealed a mild cornea guttata. The anterior chamber was calm, with no precipitates. A grade 2 nuclear cataract was noted, and the fundus examination was normal.\n\nPhacoemulsification and implantation of a hydrophobic foldable lens were performed in both eyes. Tapered doses of topical dexamethasone 0.1% and indomethacin 0.1% were prescribed for 30 days. At 1-month follow-up, anterior chamber inflammation with mild ocular hypertension appeared in the left eye; it was initially managed with higher doses of topical dexamethasone and oral acetazolamide. During follow-ups, granulomatous precipitates with corticosteroid-dependent inflammation were observed; Vitreous was calm; and fundus examination was normal. An anterior chamber puncture was performed, and viral PCR analysis of the aqueous humor revealed a high level of cytomegalovirus DNA. The patient was treated with oral ganciclovir and topical dexamethasone resulting in a favorable outcome.",
        "Results": "",
        "Conclusions": "Postoperative inflammation may be challenging. Endophthalmitis and inflammatory rebound are the first diagnoses to consider in case of post-operative inflammation. Viral infection should be suspected in case of unusual evolution. Anterior chamber puncture and PCR analysis are essential for confirming the diagnosis. Preoperative anamnesis should be meticulous to detect any history of viral infection and to prescribe preventive treatment such as topical ganciclovir. Fundus examination is essential to rule out associated viral retinitis."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCAT104",
      "abstract_number": "POCAT104",
      "title": "Game, Set, And Match? A Presumed Endophthalmitis Scare 14 Days After Flak And Flacs",
      "authors": "Ms Aida Hajjar Sese",
      "presenter": "Ms Aida Hajjar Sese",
      "normalized_authors": [
        "Aida Hajjar Sese"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Shahnazaryan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report a rare and severe late postoperative complication of bacterial keratitis mimicking endophthalmitis following femtosecond laser-assisted astigmatic keratotomy (FLAK) and cataract surgery (FLACS) triggered by playing tennis.",
        "Setting": "A private eye hospital",
        "Methods": "An 81-year-old male underwent uncomplicated bilateral FLACS, intrastromal FLAK (85% corneal depth, 1.0 mm from the limbus), and trifocal intraocular lens implantation. Follow-up on postoperative day 1 was unremarkable with stable wounds and minimal inflammation. On day 14, following vigorous tennis and suspected eye rubbing, the patient presented with sudden-onset pain, watering, and blurred vision in the left eye.Examination revealed an uncorrected VA of 6/12, intraocular pressure of 37mmHg, and an epithelial defect overlying the FLAK wound. A 1 mm hypopyon and dense fibrin were noted at the internal aspect of the keratotomy. Given the clinical severity, the case was managed as presumed endophthalmitis. Management included an urgent anterior chamber tap, a washout of hypopyon and fibrin and intracameral injection of Ceftazidime (2.25mg/0.1ml) and Vancomycin (1mg/0.1ml), supplemented by a subconjunctival injection of Vancomycin (2mg/0.2ml) near the AK site. Cultures were negative, though Gram stain showed significant white blood cells. Following intensive hourly Moxifloxacin and fortified Vancomycin, the infection and the inflammation resolved rapidly. Final unaided VA was 6/7.5, though total visual recovery required 6 weeks. The final clinical diagnosis was bacterial keratitis with severe reactive uveitis (\"pseudo-endophthalmitis\").",
        "Conclusions": "Intrastromal FLAK incisions, while initially sealed, remain vulnerable to mechanical disruption and infection during the early postoperative month. Physical exertion (e.g., tennis) and mechanical trauma (eye rubbing) can compromise the wound, leading to potentially sight-threatening complications, such as severe infectious keratitis mimicking endophthalmitis. Surgeons should consider stricter postoperative activity counselling for patients undergoing FLAK compared to standard FLACS."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Intrastromal FLAK incisions, while initially sealed, remain vulnerable to mechanical disruption and infection during the early postoperative month. Physical exertion (e.g., tennis) and mechanical trauma (eye rubbing) can compromise the wound, leading to potentially sight-threatening complications, such as severe infectious keratitis mimicking endophthalmitis. Surgeons should consider stricter postoperative activity…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 148,
      "source_fields": {
        "Abstract Final Identifier": "POCAT104",
        "Title": "Game, Set, And Match? A Presumed Endophthalmitis Scare 14 Days After Flak And Flacs",
        "Presenting Author(s)": "Ms Aida Hajjar Sese",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shahnazaryan",
        "Country Name": "United Kingdom",
        "Purpose": "To report a rare and severe late postoperative complication of bacterial keratitis mimicking endophthalmitis following femtosecond laser-assisted astigmatic keratotomy (FLAK) and cataract surgery (FLACS) triggered by playing tennis.",
        "Setting": "A private eye hospital",
        "Methods": "An 81-year-old male underwent uncomplicated bilateral FLACS, intrastromal FLAK (85% corneal depth, 1.0 mm from the limbus), and trifocal intraocular lens implantation. Follow-up on postoperative day 1 was unremarkable with stable wounds and minimal inflammation. On day 14, following vigorous tennis and suspected eye rubbing, the patient presented with sudden-onset pain, watering, and blurred vision in the left eye.Examination revealed an uncorrected VA of 6/12, intraocular pressure of 37mmHg, and an epithelial defect overlying the FLAK wound. A 1 mm hypopyon and dense fibrin were noted at the internal aspect of the keratotomy. Given the clinical severity, the case was managed as presumed endophthalmitis. Management included an urgent anterior chamber tap, a washout of hypopyon and fibrin and intracameral injection of Ceftazidime (2.25mg/0.1ml) and Vancomycin (1mg/0.1ml), supplemented by a subconjunctival injection of Vancomycin (2mg/0.2ml) near the AK site. Cultures were negative, though Gram stain showed significant white blood cells. Following intensive hourly Moxifloxacin and fortified Vancomycin, the infection and the inflammation resolved rapidly. Final unaided VA was 6/7.5, though total visual recovery required 6 weeks. The final clinical diagnosis was bacterial keratitis with severe reactive uveitis (\"pseudo-endophthalmitis\").",
        "Results": "",
        "Conclusions": "Intrastromal FLAK incisions, while initially sealed, remain vulnerable to mechanical disruption and infection during the early postoperative month. Physical exertion (e.g., tennis) and mechanical trauma (eye rubbing) can compromise the wound, leading to potentially sight-threatening complications, such as severe infectious keratitis mimicking endophthalmitis. Surgeons should consider stricter postoperative activity counselling for patients undergoing FLAK compared to standard FLACS."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCAT105",
      "abstract_number": "POCAT105",
      "title": "Retain Or Explant? Strategic Removal Of Anterior Chamber Phakic Iol Prior To Vitrectomy In A Young High Myope With Cataract And Full-Thickness Macular Hole",
      "authors": "Mrs Tiara Shaniaputri",
      "presenter": "Mrs Tiara Shaniaputri",
      "normalized_authors": [
        "Tiara Shaniaputri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tiara Shaniaputri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "To evaluate the surgical dilemma of retaining versus explanting an anterior chamber iris-claw phakic intraocular lens (AC pIOL) in a young highly myopic patient presenting with visually significant cataract and full-thickness macular hole (FTMH), and to describe the clinical reasoning of a sequential anterior–posterior surgical approach.",
        "Setting": "Secondary Eye Clinic",
        "Methods": "A 31-year-old highly myopic patient with bilateral AC iris-claw pIOL implantation 12 years prior to examination presented with progressive visual decline in the left eye. Uncorrected visual acuity was 0.05 (Snellen) and Best Corrected Visual Acuity (BCVA) was 0.1 (S −3.00 C −0.50×70). Slit-lamp examination revealed a well-centered AC pIOL and nuclear cataract. Endothelial cell density was borderline for age, raising concern for cumulative intraocular stress. OCT macula confirmed FTMH.\n\nTwo surgical approaches were considered: combined phaco-vitrectomy with retained pIOL or sequential anterior–posterior approach. In this case a sequential strategy was performed. The AC pIOL was explanted, followed by phacoemulsification and posterior chamber IOL implantation. Pars plana vitrectomy with internal limiting membrane peeling and gas tamponade was subsequently performed.\n\nExplantation of pIOL facilitated anterior chamber access, enhanced capsulorhexis control, and reduced endothelial manipulation during subsequent vitreoretinal surgery. Cataract removal restored media clarity, allowing precise posterior segment visualization and membrane peeling. At one month, OCT macula confirmed complete anatomical macular hole closure. Postoperative BCVA improved to 0.4. No intraoperative complications or postoperative endothelial decompensation were observed.",
        "Conclusions": "Retaining an AC pIOL during combined anterior–posterior surgery may increase surgical complexity, anterior chamber crowding, and corneal endothelial stress. In this case, sequential explantation provides safer and improves surgical visualization for posterior segment surgery in young high myopes with long-term refractive implants. Strategic surgical sequencing may optimize both anatomical and functional outcomes in complex anterior-posterior segment cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Retaining an AC pIOL during combined anterior–posterior surgery may increase surgical complexity, anterior chamber crowding, and corneal endothelial stress. In this case, sequential explantation provides safer and improves surgical visualization for posterior segment surgery in young high myopes with long-term refractive implants. Strategic surgical sequencing may optimize both anatomical and functional outcomes in…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 149,
      "source_fields": {
        "Abstract Final Identifier": "POCAT105",
        "Title": "Retain Or Explant? Strategic Removal Of Anterior Chamber Phakic Iol Prior To Vitrectomy In A Young High Myope With Cataract And Full-Thickness Macular Hole",
        "Presenting Author(s)": "Mrs Tiara Shaniaputri",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Tiara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shaniaputri",
        "Country Name": "Indonesia",
        "Purpose": "To evaluate the surgical dilemma of retaining versus explanting an anterior chamber iris-claw phakic intraocular lens (AC pIOL) in a young highly myopic patient presenting with visually significant cataract and full-thickness macular hole (FTMH), and to describe the clinical reasoning of a sequential anterior–posterior surgical approach.",
        "Setting": "Secondary Eye Clinic",
        "Methods": "A 31-year-old highly myopic patient with bilateral AC iris-claw pIOL implantation 12 years prior to examination presented with progressive visual decline in the left eye. Uncorrected visual acuity was 0.05 (Snellen) and Best Corrected Visual Acuity (BCVA) was 0.1 (S −3.00 C −0.50×70). Slit-lamp examination revealed a well-centered AC pIOL and nuclear cataract. Endothelial cell density was borderline for age, raising concern for cumulative intraocular stress. OCT macula confirmed FTMH.\n\nTwo surgical approaches were considered: combined phaco-vitrectomy with retained pIOL or sequential anterior–posterior approach. In this case a sequential strategy was performed. The AC pIOL was explanted, followed by phacoemulsification and posterior chamber IOL implantation. Pars plana vitrectomy with internal limiting membrane peeling and gas tamponade was subsequently performed.\n\nExplantation of pIOL facilitated anterior chamber access, enhanced capsulorhexis control, and reduced endothelial manipulation during subsequent vitreoretinal surgery. Cataract removal restored media clarity, allowing precise posterior segment visualization and membrane peeling. At one month, OCT macula confirmed complete anatomical macular hole closure. Postoperative BCVA improved to 0.4. No intraoperative complications or postoperative endothelial decompensation were observed.",
        "Results": "",
        "Conclusions": "Retaining an AC pIOL during combined anterior–posterior surgery may increase surgical complexity, anterior chamber crowding, and corneal endothelial stress. In this case, sequential explantation provides safer and improves surgical visualization for posterior segment surgery in young high myopes with long-term refractive implants. Strategic surgical sequencing may optimize both anatomical and functional outcomes in complex anterior-posterior segment cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCAT106",
      "abstract_number": "POCAT106",
      "title": "A Diamond-Like Crystalline Cataract: An Atypical Presentation Of Traumatic Cataract In An Occult Intraocular Foreign Body In Children – A Single Case Report.",
      "authors": "Dr Waristha Shinsirikul",
      "presenter": "Dr Waristha Shinsirikul",
      "normalized_authors": [
        "Waristha Shinsirikul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Waristha Shinsirikul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "To report an atypical diamond-like crystalline cataract in a pediatric patient with occult intraocular foreign body (IOFB). This demonstrates the unique features of a lens with a traumatic cataract, highlighting the need for further investigation.",
        "Setting": "Department of Ophthalmology, Queen Sirikit National Institute of Child Health and Rajavithi Hospital.",
        "Methods": "A 9-year-old Thai boy was referred for a complicated cataract on the right eye. He was previously diagnosed with presumed Familial Exudative Vitreoretinopathy (FEVR) treated with pars plana vitrectomy (PPV), membrane peeling, and multiple anti-vascular endothelial growth factor (anti-VEGF) injections for 1 year. After undergoing treatment, he developed an unusual cataract and was referred to our center. Birth, medical, and family histories were unremarkable. Right eye visual acuity was light projection; the left eye was 20/20. Examination of his right eye revealed an atypical, diamond-like dense cataract with posterior synechiae, obscuring the posterior pole. Due to opaque media, B-scan ultrasonography (USG) revealed a superonasal subchoroidal hyperechoic lesion with posterior acoustic shadowing, suggesting an intraocular foreign body (IOFB). A computed tomography (CT) scan confirmed a radiopaque IOFB. The diagnosis was revised to an atypical pediatric traumatic cataract secondary to an occult IOFB. He underwent lens aspiration without intraocular lens implantation, PPV, successful IOFB extraction, and silicone oil injection. During lens extraction procedure, multiple polychromatic diamond-like crystalline particles with capsular fibrosis were aspirated with liquefied lens material. This highlights the unusual presentation of a traumatic cataract associated with an occult IOFB. A repeat postoperative CT scan confirmed IOFB removal; visual acuity remained light projection.",
        "Conclusions": "This study reports an atypical presentation of a pediatric cataract with occult IOFB. Diamond-like crystalline lens particles serve as a clinical clue for an occult traumatic etiology. Even with a minute or denied trauma history, unusual lens characteristics increase the index of suspicion. Preoperative USG and CT scan can help prepare surgical planning and prevent intraoperative surprises."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This study reports an atypical presentation of a pediatric cataract with occult IOFB. Diamond-like crystalline lens particles serve as a clinical clue for an occult traumatic etiology. Even with a minute or denied trauma history, unusual lens characteristics increase the index of suspicion. Preoperative USG and CT scan can help prepare surgical planning and prevent intraoperative surprises.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 150,
      "source_fields": {
        "Abstract Final Identifier": "POCAT106",
        "Title": "A Diamond-Like Crystalline Cataract: An Atypical Presentation Of Traumatic Cataract In An Occult Intraocular Foreign Body In Children – A Single Case Report.",
        "Presenting Author(s)": "Dr Waristha Shinsirikul",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Waristha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shinsirikul",
        "Country Name": "Thailand",
        "Purpose": "To report an atypical diamond-like crystalline cataract in a pediatric patient with occult intraocular foreign body (IOFB). This demonstrates the unique features of a lens with a traumatic cataract, highlighting the need for further investigation.",
        "Setting": "Department of Ophthalmology, Queen Sirikit National Institute of Child Health and Rajavithi Hospital.",
        "Methods": "A 9-year-old Thai boy was referred for a complicated cataract on the right eye. He was previously diagnosed with presumed Familial Exudative Vitreoretinopathy (FEVR) treated with pars plana vitrectomy (PPV), membrane peeling, and multiple anti-vascular endothelial growth factor (anti-VEGF) injections for 1 year. After undergoing treatment, he developed an unusual cataract and was referred to our center. Birth, medical, and family histories were unremarkable. Right eye visual acuity was light projection; the left eye was 20/20. Examination of his right eye revealed an atypical, diamond-like dense cataract with posterior synechiae, obscuring the posterior pole. Due to opaque media, B-scan ultrasonography (USG) revealed a superonasal subchoroidal hyperechoic lesion with posterior acoustic shadowing, suggesting an intraocular foreign body (IOFB). A computed tomography (CT) scan confirmed a radiopaque IOFB. The diagnosis was revised to an atypical pediatric traumatic cataract secondary to an occult IOFB. He underwent lens aspiration without intraocular lens implantation, PPV, successful IOFB extraction, and silicone oil injection. During lens extraction procedure, multiple polychromatic diamond-like crystalline particles with capsular fibrosis were aspirated with liquefied lens material. This highlights the unusual presentation of a traumatic cataract associated with an occult IOFB. A repeat postoperative CT scan confirmed IOFB removal; visual acuity remained light projection.",
        "Results": "",
        "Conclusions": "This study reports an atypical presentation of a pediatric cataract with occult IOFB. Diamond-like crystalline lens particles serve as a clinical clue for an occult traumatic etiology. Even with a minute or denied trauma history, unusual lens characteristics increase the index of suspicion. Preoperative USG and CT scan can help prepare surgical planning and prevent intraoperative surprises."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCAT107",
      "abstract_number": "POCAT107",
      "title": "Corneal Perforation In A Compromised Ocular Surface: The Hidden Danger Of Routine Postoperative Anti-Inflammatory Therapy In Primary Open Angle Glaucoma Patient",
      "authors": "A/Prof. Sonja Jandroković",
      "presenter": "A/Prof. Sonja Jandroković",
      "normalized_authors": [
        "Sonja Jandroković"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lorena Karla Šklebar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To present a case of spontaneous corneal perforation after uncomplicated cataract surgery in a glaucoma patient with ocular surface disease (OSD), underscoring the particular vulnerability of this population and the potential additive toxicity of standard postoperative NSAID and steroid therapy on a chronically compromised ocular surface.",
        "Setting": "Department of Ophthalmology, University Hospital Centre Zagreb, Croatia",
        "Methods": "A 79-year-old woman with long-standing primary open-angle glaucoma and significant OSD underwent uneventful phacoemulsification with IOL implantation. Due to intolerance to preserved drops, she was treated with preservative-free antiglaucoma therapy. However, chronic glaucoma treatment itself had already resulted in substantial surface damage.\n\nPostoperative care included bromfenac and a combined antibiotic–steroid preparation, which are both administered routinely in postoperative care, but also known to further destabilize the tear film, especially after cataract surgery.\n\nFive days after discontinuation of therapy, she presented with severe pain and decreased vision. Slit-lamp examination revealed a spontaneous corneal perforation with edema, shallow anterior chamber and anterior IOL displacement. No trauma was reported. Toxic corneal melt on a compromised surface was suspected.\n\nAmniotic membrane transplantation initially restored anterior chamber depth. Subsequently, progressive anterior chamber flattening occurred due to aqueous misdirection, causing elevated intraocular pressure (IOP) refractory to maximal medical therapy. Therefore, a pars plana anterior vitrectomy with hyaloido-zonulectomy and peripheral iridectomy was performed, resulting in re-formation of the anterior chamber and IOP stabilization. At discharge, the eye was pain-free with residual paracentral thinning and scarring.",
        "Conclusions": "Glaucoma patients represent a high-risk group due to chronic ocular surface damage, even when treated with preservative-free therapy. Those with coexisting OSD require an individualized postoperative approach, as standard NSAID therapy may trigger severe, sight-threatening complications such as corneal melt and perforation. Secondary aqueous misdirection may further complicate the course and require surgical management. Careful preoperative assessment of the ocular surface is essential for safe tailoring of postoperative treatment after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Glaucoma patients represent a high-risk group due to chronic ocular surface damage, even when treated with preservative-free therapy. Those with coexisting OSD require an individualized postoperative approach, as standard NSAID therapy may trigger severe, sight-threatening complications such as corneal melt and perforation. Secondary aqueous misdirection may further complicate the course and require surgical…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 151,
      "source_fields": {
        "Abstract Final Identifier": "POCAT107",
        "Title": "Corneal Perforation In A Compromised Ocular Surface: The Hidden Danger Of Routine Postoperative Anti-Inflammatory Therapy In Primary Open Angle Glaucoma Patient",
        "Presenting Author(s)": "A/Prof. Sonja Jandroković",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Lorena Karla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Šklebar",
        "Country Name": "Croatia",
        "Purpose": "To present a case of spontaneous corneal perforation after uncomplicated cataract surgery in a glaucoma patient with ocular surface disease (OSD), underscoring the particular vulnerability of this population and the potential additive toxicity of standard postoperative NSAID and steroid therapy on a chronically compromised ocular surface.",
        "Setting": "Department of Ophthalmology, University Hospital Centre Zagreb, Croatia",
        "Methods": "A 79-year-old woman with long-standing primary open-angle glaucoma and significant OSD underwent uneventful phacoemulsification with IOL implantation. Due to intolerance to preserved drops, she was treated with preservative-free antiglaucoma therapy. However, chronic glaucoma treatment itself had already resulted in substantial surface damage.\n\nPostoperative care included bromfenac and a combined antibiotic–steroid preparation, which are both administered routinely in postoperative care, but also known to further destabilize the tear film, especially after cataract surgery.\n\nFive days after discontinuation of therapy, she presented with severe pain and decreased vision. Slit-lamp examination revealed a spontaneous corneal perforation with edema, shallow anterior chamber and anterior IOL displacement. No trauma was reported. Toxic corneal melt on a compromised surface was suspected.\n\nAmniotic membrane transplantation initially restored anterior chamber depth. Subsequently, progressive anterior chamber flattening occurred due to aqueous misdirection, causing elevated intraocular pressure (IOP) refractory to maximal medical therapy. Therefore, a pars plana anterior vitrectomy with hyaloido-zonulectomy and peripheral iridectomy was performed, resulting in re-formation of the anterior chamber and IOP stabilization. At discharge, the eye was pain-free with residual paracentral thinning and scarring.",
        "Results": "",
        "Conclusions": "Glaucoma patients represent a high-risk group due to chronic ocular surface damage, even when treated with preservative-free therapy. Those with coexisting OSD require an individualized postoperative approach, as standard NSAID therapy may trigger severe, sight-threatening complications such as corneal melt and perforation. Secondary aqueous misdirection may further complicate the course and require surgical management. Careful preoperative assessment of the ocular surface is essential for safe tailoring of postoperative treatment after cataract surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCAT108",
      "abstract_number": "POCAT108",
      "title": "Belt Loop Technique For Scleral Fixation",
      "authors": "Dr Igor Skrovanek",
      "presenter": "Dr Igor Skrovanek",
      "normalized_authors": [
        "Igor Skrovanek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Igor Skrovanek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate clinical outcomes in terms of best-corrected visual acuity (BCVA), IOLs centration, stability, and patient satisfaction using belt loop technique of scleral fixation of intraocular lens (IOL) with IOL dislocation in the bag, where capsule fibrosis around the haptics provides additional support for the suspension of the belt loop . T his approach was first described by the late Alan Crandall, MD . A case series is presented, in which this technique was consistently performed by the same surgeon .",
        "Setting": "Department of Ophthalmology, Tomas Bata Regional Hospital , Czech Republic",
        "Methods": "Case 1: A 73-year-old (yo) man with about a month of impaired vision in the left eye due to subluxation of the intraocular lens presented with a BCVA of 0.4 in the right eye (RE). Cataract surgery was performed 4 years ago in another department, he had a wooden injury to the left eye and then he underwent traumatic cataract surgery with intraoperative ring implantation. Case 2: A 84 yo female patient who cannot see during the day in her right eye due to complete dislocation of the intraocular lens into the vitreous space. The patient underwent cataract surgery in her right eye in 2012 with intraocular ring implantation. BCVA was 0.63. Case 3: A 76 yo man with approximately 14 days of impaired vision in the left eye due to a dislocated IOL in the left eye, denies injury. BCVA was 0.32. The left eye underwent cataract surgery in 2000 at another department, the left eye is amblyopic, and the left eye has pellucid marginal degeneration. The plan during hospitalization is a 25-gauge (25G) pars plana vitrectomy (PPV), anterior vitrectomy, explantation of the IOL intraocular lens using the twist and out technique, and finally belt loop scleral fixation of the toric IOL. All surgeries were successful and postoperative evolution was satisfactory with no observed IOL tilt or loss of IOL transparency. BCVA improved in all four cases and remained stable over time .",
        "Conclusions": "• In all cases, intraocular lens (IOL) centration was achieved by scleral fixation using our chosen belt loop technique, improving vision and subjective patient satisfaction. The belt loop technique of scleral fixation appears to be an effective and gentle method that is suitable for any type of intraocular lens (IOL) with IOL dislocation in the bag, where capsule fibrosis around the haptics provides additional support for the suspension of the belt loop. It is important that the IOL is correctly positioned in the bag. The advantage of this method is that it is minimally invasive and causes only minor disruption of the conjunctiva, but the experience and skill of the surgeon performing this technique are required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "• In all cases, intraocular lens (IOL) centration was achieved by scleral fixation using our chosen belt loop technique, improving vision and subjective patient satisfaction. The belt loop technique of scleral fixation appears to be an effective and gentle method that is suitable for any type of intraocular lens (IOL) with IOL dislocation in the bag, where capsule fibrosis around the haptics provides additional…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 152,
      "source_fields": {
        "Abstract Final Identifier": "POCAT108",
        "Title": "Belt Loop Technique For Scleral Fixation",
        "Presenting Author(s)": "Dr Igor Skrovanek",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Igor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Skrovanek",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate clinical outcomes in terms of best-corrected visual acuity (BCVA), IOLs centration, stability, and patient satisfaction using belt loop technique of scleral fixation of intraocular lens (IOL) with IOL dislocation in the bag, where capsule fibrosis around the haptics provides additional support for the suspension of the belt loop . T his approach was first described by the late Alan Crandall, MD . A case series is presented, in which this technique was consistently performed by the same surgeon .",
        "Setting": "Department of Ophthalmology, Tomas Bata Regional Hospital , Czech Republic",
        "Methods": "Case 1: A 73-year-old (yo) man with about a month of impaired vision in the left eye due to subluxation of the intraocular lens presented with a BCVA of 0.4 in the right eye (RE). Cataract surgery was performed 4 years ago in another department, he had a wooden injury to the left eye and then he underwent traumatic cataract surgery with intraoperative ring implantation. Case 2: A 84 yo female patient who cannot see during the day in her right eye due to complete dislocation of the intraocular lens into the vitreous space. The patient underwent cataract surgery in her right eye in 2012 with intraocular ring implantation. BCVA was 0.63. Case 3: A 76 yo man with approximately 14 days of impaired vision in the left eye due to a dislocated IOL in the left eye, denies injury. BCVA was 0.32. The left eye underwent cataract surgery in 2000 at another department, the left eye is amblyopic, and the left eye has pellucid marginal degeneration. The plan during hospitalization is a 25-gauge (25G) pars plana vitrectomy (PPV), anterior vitrectomy, explantation of the IOL intraocular lens using the twist and out technique, and finally belt loop scleral fixation of the toric IOL. All surgeries were successful and postoperative evolution was satisfactory with no observed IOL tilt or loss of IOL transparency. BCVA improved in all four cases and remained stable over time .",
        "Results": "",
        "Conclusions": "• In all cases, intraocular lens (IOL) centration was achieved by scleral fixation using our chosen belt loop technique, improving vision and subjective patient satisfaction. The belt loop technique of scleral fixation appears to be an effective and gentle method that is suitable for any type of intraocular lens (IOL) with IOL dislocation in the bag, where capsule fibrosis around the haptics provides additional support for the suspension of the belt loop. It is important that the IOL is correctly positioned in the bag. The advantage of this method is that it is minimally invasive and causes only minor disruption of the conjunctiva, but the experience and skill of the surgeon performing this technique are required."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 438
    },
    {
      "uid": "POCAT109",
      "abstract_number": "POCAT109",
      "title": "To Report A Case Of The Femtosecond-Laser Assisted Cataract Surgery To The Patient With Previously Performed Laser Eye Surgery (Lasik) And Phakic Iol Implantation",
      "authors": "Dr Maksim Solomatin",
      "presenter": "Dr Maksim Solomatin",
      "normalized_authors": [
        "Maksim Solomatin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maksim Solomatin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Latvia",
      "sections": {
        "Purpose": "To report a case of femtosecond laser–assisted cataract surgery in a patient with a history of LASIK and phakic intraocular lens (IOL) implantation for high myopia.",
        "Setting": "The Dr Solomatin eye center, Riga, Latvia.",
        "Methods": "A patient was referred to our clinic with complaints of progressive deterioration of visual acuity in both eyes. Twenty years earlier, the patient had undergone laser refractive surgery (LASIK) followed by phakic IOL implantation in both eyes for high myopia. The patient was also receiving topical treatment for glaucoma.\n\nPreoperative Examination\n\nVisual Acuity and Intraocular Pressure:\n\n•\nOD: BCVA 0.2 cc −1.75 D sph −1.50 D cyl × 70° = 0.4 IOP: 19 mmHg\n\n•\nOS: BCVA 0.1 cc −3.25 D sph −1.00 D cyl × 90° = 0.4 IOP: 22 mmHg\n\nGlaucomatous optic nerve damage was confirmed by visual field testing and optical coherence tomography (OCT).\n\nSlit-lamp examination revealed central anterior (precapsular) lens opacification in both eyes, possibly associated with long-standing phakic IOL implantation.\n\nIntraocular lens power calculation was performed using the ESCRS IOL Calculator, taking into account the previous refractive surgery.\nSurgical Procedure\n\nFemtosecond laser–assisted cataract surgery was performed in the right eye.\n\nCapsulorhexis and lens fragmentation were successfully performed through the phakic IOL. After corneal incisions were created, the phakic IOL was explanted. Phacoemulsification and implantation of the EDOF IOL were completed uneventfully.\nPostoperative Outcomes\n\nVisual Acuity and Intraocular Pressure:\n\nOD: BCVA 0.3+1 cc +0.50 D sph +0.75 D cyl × 130° = 0.5–0.6 IOP: 16 mmHg\n\nBest-corrected visual acuity was limited by pre-existing glaucomatous optic nerve damage.",
        "Conclusions": "Femtosecond laser–assisted cataract surgery is a safe and effective method in complex cases involving prior refractive surgery and phakic IOL implantation. This approach may reduce intraocular manipulation and enhance precision, potentially minimizing surgical risk in anatomically challenging eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Femtosecond laser–assisted cataract surgery is a safe and effective method in complex cases involving prior refractive surgery and phakic IOL implantation. This approach may reduce intraocular manipulation and enhance precision, potentially minimizing surgical risk in anatomically challenging eyes.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 153,
      "source_fields": {
        "Abstract Final Identifier": "POCAT109",
        "Title": "To Report A Case Of The Femtosecond-Laser Assisted Cataract Surgery To The Patient With Previously Performed Laser Eye Surgery (Lasik) And Phakic Iol Implantation",
        "Presenting Author(s)": "Dr Maksim Solomatin",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maksim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Solomatin",
        "Country Name": "Latvia",
        "Purpose": "To report a case of femtosecond laser–assisted cataract surgery in a patient with a history of LASIK and phakic intraocular lens (IOL) implantation for high myopia.",
        "Setting": "The Dr Solomatin eye center, Riga, Latvia.",
        "Methods": "A patient was referred to our clinic with complaints of progressive deterioration of visual acuity in both eyes. Twenty years earlier, the patient had undergone laser refractive surgery (LASIK) followed by phakic IOL implantation in both eyes for high myopia. The patient was also receiving topical treatment for glaucoma.\n\nPreoperative Examination\n\nVisual Acuity and Intraocular Pressure:\n\n•\nOD: BCVA 0.2 cc −1.75 D sph −1.50 D cyl × 70° = 0.4 IOP: 19 mmHg\n\n•\nOS: BCVA 0.1 cc −3.25 D sph −1.00 D cyl × 90° = 0.4 IOP: 22 mmHg\n\nGlaucomatous optic nerve damage was confirmed by visual field testing and optical coherence tomography (OCT).\n\nSlit-lamp examination revealed central anterior (precapsular) lens opacification in both eyes, possibly associated with long-standing phakic IOL implantation.\n\nIntraocular lens power calculation was performed using the ESCRS IOL Calculator, taking into account the previous refractive surgery.\nSurgical Procedure\n\nFemtosecond laser–assisted cataract surgery was performed in the right eye.\n\nCapsulorhexis and lens fragmentation were successfully performed through the phakic IOL. After corneal incisions were created, the phakic IOL was explanted. Phacoemulsification and implantation of the EDOF IOL were completed uneventfully.\nPostoperative Outcomes\n\nVisual Acuity and Intraocular Pressure:\n\nOD: BCVA 0.3+1 cc +0.50 D sph +0.75 D cyl × 130° = 0.5–0.6 IOP: 16 mmHg\n\nBest-corrected visual acuity was limited by pre-existing glaucomatous optic nerve damage.",
        "Results": "",
        "Conclusions": "Femtosecond laser–assisted cataract surgery is a safe and effective method in complex cases involving prior refractive surgery and phakic IOL implantation. This approach may reduce intraocular manipulation and enhance precision, potentially minimizing surgical risk in anatomically challenging eyes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCAT110",
      "abstract_number": "POCAT110",
      "title": "Femtosecond-Laser Assited Limbal Relaxed Incisions And Cataract Surgery",
      "authors": "Dr Maksim Solomatin",
      "presenter": "Dr Maksim Solomatin",
      "normalized_authors": [
        "Maksim Solomatin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maksim Solomatin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Latvia",
      "sections": {
        "Purpose": "To present a case of astigmatism correction using femtosecond laser–assisted limbal relaxing incisions (LRIs) performed simultaneously with cataract surgery.",
        "Setting": "The Dr Solomatin eye center, Riga, Latvia.",
        "Methods": "A 70-year-old male was referred to the clinic with complaints of decreased visual acuity in the left eye. Clinical examination revealed age-related cataract and corneal astigmatism of 2.50 diopters in the left eye, partially compensated by lenticular astigmatism.\n\nPreoperative Examination\n\nVisual Acuity:\n\n• OD: 0.6 cc +0.25 D sph −1.25 D cyl × 25° = 0.6\n\n• OS: 0.6 cc +0.75 D sph +0.75 D cyl × 90° = 0.7\n\nKeratometry:\n\n• OD:\nR1 44.50 D × 23°\nR2 45.50 D × 113°\nCylinder: −1.00 D × 23°\n\n• OS:\nR1 44.50 D × 179°\nR2 47.00 D × 89°\nCylinder: −2.50 D × 179°\n\nThe patient was offered implantation of a toric intraocular lens (IOL); however, he declined this option for financial reasons. As an alternative, femtosecond laser–assisted limbal relaxing incisions were proposed, and informed consent was obtained.\n\nSurgery was performed uneventfully in the left eye and included femtosecond laser–assisted LRIs followed by standard phacoemulsification and monofocal IOL implantation. The LRI parameters were calculated using a validated nomogram.\n\nPostoperative Outcomes\n\nVisual Acuity:\n\n• OD: 0.7 cc +0.25 D sph −0.75 D cyl × 15° = 0.8\n\n• OS: 0.8 cc +1.25 D cyl × 165° = 0.9–1.0\n\nKeratometry (OS):\n\n• R1 45.25 D × 2°\n\n• R2 46.00 D × 171°\n\n• Cylinder: −0.75 D × 171°\n\nPostoperatively, corneal astigmatism in the left eye was reduced from 2.50 D to 0.75 D, with corresponding improvement in visual acuity.",
        "Conclusions": "Femtosecond laser–assisted limbal relaxing incisions represent a safe and predictable method for reducing corneal astigmatism when toric IOL implantation is not feasible. Careful preoperative diagnostics, appropriate nomogram selection, and thorough patient counseling are essential to minimize refractive surprises and achieve the intended refractive outcome."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Femtosecond laser–assisted limbal relaxing incisions represent a safe and predictable method for reducing corneal astigmatism when toric IOL implantation is not feasible. Careful preoperative diagnostics, appropriate nomogram selection, and thorough patient counseling are essential to minimize refractive surprises and achieve the intended refractive outcome.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 154,
      "source_fields": {
        "Abstract Final Identifier": "POCAT110",
        "Title": "Femtosecond-Laser Assited Limbal Relaxed Incisions And Cataract Surgery",
        "Presenting Author(s)": "Dr Maksim Solomatin",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Maksim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Solomatin",
        "Country Name": "Latvia",
        "Purpose": "To present a case of astigmatism correction using femtosecond laser–assisted limbal relaxing incisions (LRIs) performed simultaneously with cataract surgery.",
        "Setting": "The Dr Solomatin eye center, Riga, Latvia.",
        "Methods": "A 70-year-old male was referred to the clinic with complaints of decreased visual acuity in the left eye. Clinical examination revealed age-related cataract and corneal astigmatism of 2.50 diopters in the left eye, partially compensated by lenticular astigmatism.\n\nPreoperative Examination\n\nVisual Acuity:\n\n• OD: 0.6 cc +0.25 D sph −1.25 D cyl × 25° = 0.6\n\n• OS: 0.6 cc +0.75 D sph +0.75 D cyl × 90° = 0.7\n\nKeratometry:\n\n• OD:\nR1 44.50 D × 23°\nR2 45.50 D × 113°\nCylinder: −1.00 D × 23°\n\n• OS:\nR1 44.50 D × 179°\nR2 47.00 D × 89°\nCylinder: −2.50 D × 179°\n\nThe patient was offered implantation of a toric intraocular lens (IOL); however, he declined this option for financial reasons. As an alternative, femtosecond laser–assisted limbal relaxing incisions were proposed, and informed consent was obtained.\n\nSurgery was performed uneventfully in the left eye and included femtosecond laser–assisted LRIs followed by standard phacoemulsification and monofocal IOL implantation. The LRI parameters were calculated using a validated nomogram.\n\nPostoperative Outcomes\n\nVisual Acuity:\n\n• OD: 0.7 cc +0.25 D sph −0.75 D cyl × 15° = 0.8\n\n• OS: 0.8 cc +1.25 D cyl × 165° = 0.9–1.0\n\nKeratometry (OS):\n\n• R1 45.25 D × 2°\n\n• R2 46.00 D × 171°\n\n• Cylinder: −0.75 D × 171°\n\nPostoperatively, corneal astigmatism in the left eye was reduced from 2.50 D to 0.75 D, with corresponding improvement in visual acuity.",
        "Results": "",
        "Conclusions": "Femtosecond laser–assisted limbal relaxing incisions represent a safe and predictable method for reducing corneal astigmatism when toric IOL implantation is not feasible. Careful preoperative diagnostics, appropriate nomogram selection, and thorough patient counseling are essential to minimize refractive surprises and achieve the intended refractive outcome."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCAT111",
      "abstract_number": "POCAT111",
      "title": "Refractory Angle Bleeding During Bent Ab Interno Needle Goniectomy: Successful Control With Targeted Diathermy In Combined Cataract And Migs Surgery",
      "authors": "Prof. Dr Ashok Vardhan Sundara Varadhan",
      "presenter": "Prof. Dr Ashok Vardhan Sundara Varadhan",
      "normalized_authors": [
        "Ashok Vardhan Sundara Varadhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ashok Vardhan Sundara Varadhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The most common intraoperative or postoperative complication following incisional or excisional goniotomy is hyphema. Bent ab interno needle goniectomy (BANG) is a cost-effective minimally invasive glaucoma surgery (MIGS) procedure practiced commonly in developing nations.\n\nThe existing literature on managing pathological bleeding in MIGS is limited. Gallardo et al reported a novel use of endocyclophotocoagulation to cauterize collector channels. Espinoza et al described successful management of recurrent hyphema after GATT with pattern scanning laser (PASCAL) photocoagulation.To the best of our knowledge, the intraoperative use of abinterno diathermic electrocautery as a haemostatic salvage technique during MIGS has not been reported.",
        "Setting": "A 59-year-old female with bilateral POAG and immature cataract underwent combined phacoemulsification with BANG in the left eye. Phacoemulsification was uneventful; however, trabecular meshwork excision over three clock hours nasally with a bent 25-gauge needle was followed by brisk, persistent angle bleeding. The hemorrhage continued despite air tamponade, intracameral adrenaline, and viscoelastic, necessitating reoperation for clearing hyphema and definitive hemostasis.",
        "Methods": "A 59-year-old diabetic and hypertensive female with bilateral moderate primary open-angle glaucoma on two anti-glaucoma medications and immature cataract underwent combined phacoemulsification with bent ab interno needle goniectomy (BANG) in the left eye. Phacoemulsification via a 2.8-mm temporal clear corneal incision was uneventful. Nasal trabecular meshwork excision over three clock hours was performed under Swan-Jacob gonioprism visualization using a bent 25-gauge needle. Although episcleral vessel blanching confirmed distal outflow patency, brisk bleeding persisted from the nasal angle despite a well-formed anterior chamber, air tamponade, adrenaline and viscoelastic use.\n\nOn postoperative day 1, vision was hand movements with hyphema occupying three-fourths of the anterior chamber and IOP of 52 mmHg. Coagulation profile blood workup was normal. Blood pressure fluctuations were stabilized. During the reoperation the Anterior chamber wash was performed; however, recurrent brisk angle bleeding occurred intraoperatively. Targeted unipolar diathermic electrocautery was applied to visible bleeder points after proper angle visualization with viscoelastic, titrating 20–40 W power until hemostasis was achieved.The following day, hyphema resolved, IOP was 11 mmHg, and by day 15, vision improved to 6/18 with IOP 13 mmHg without medications.\n\nThis case highlights diathermic electrocautery as a novel salvage technique for uncontrolled reflux bleeding during BANG/MIGS procedures.",
        "Conclusions": "Reflux bleeding from angles during trabecular meshwork (TM)-based MIGS is usually self-limiting; however, persistent hyphaema despite air, viscoelastic and IOP, blood pressure control should prompt suspicion of a focal pathological source, commonly a collector channel ostium.\n\nWhen standard measures fail, targeted ab interno unipolar diathermy offers a practical and effective salvage option. It reliably seals pinpoint bleeders and distal outflow branches, particularly in eyes with raised episcleral venous pressure, systemic hypertension or diabetic microvascular fragility.\n\nAlthough endocyclophotocoagulation and PASCAL photocoagulation have been described in literature, diathermy provides immediate, controlled intraoperative haemostasis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Reflux bleeding from angles during trabecular meshwork (TM)-based MIGS is usually self-limiting; however, persistent hyphaema despite air, viscoelastic and IOP, blood pressure control should prompt suspicion of a focal pathological source, commonly a collector channel ostium. When standard measures fail, targeted ab interno unipolar diathermy offers a practical and effective salvage option. It reliably seals…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 155,
      "source_fields": {
        "Abstract Final Identifier": "POCAT111",
        "Title": "Refractory Angle Bleeding During Bent Ab Interno Needle Goniectomy: Successful Control With Targeted Diathermy In Combined Cataract And Migs Surgery",
        "Presenting Author(s)": "Prof. Dr Ashok Vardhan Sundara Varadhan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ashok Vardhan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sundara Varadhan",
        "Country Name": "India",
        "Purpose": "The most common intraoperative or postoperative complication following incisional or excisional goniotomy is hyphema. Bent ab interno needle goniectomy (BANG) is a cost-effective minimally invasive glaucoma surgery (MIGS) procedure practiced commonly in developing nations.\n\nThe existing literature on managing pathological bleeding in MIGS is limited. Gallardo et al reported a novel use of endocyclophotocoagulation to cauterize collector channels. Espinoza et al described successful management of recurrent hyphema after GATT with pattern scanning laser (PASCAL) photocoagulation.To the best of our knowledge, the intraoperative use of abinterno diathermic electrocautery as a haemostatic salvage technique during MIGS has not been reported.",
        "Setting": "A 59-year-old female with bilateral POAG and immature cataract underwent combined phacoemulsification with BANG in the left eye. Phacoemulsification was uneventful; however, trabecular meshwork excision over three clock hours nasally with a bent 25-gauge needle was followed by brisk, persistent angle bleeding. The hemorrhage continued despite air tamponade, intracameral adrenaline, and viscoelastic, necessitating reoperation for clearing hyphema and definitive hemostasis.",
        "Methods": "A 59-year-old diabetic and hypertensive female with bilateral moderate primary open-angle glaucoma on two anti-glaucoma medications and immature cataract underwent combined phacoemulsification with bent ab interno needle goniectomy (BANG) in the left eye. Phacoemulsification via a 2.8-mm temporal clear corneal incision was uneventful. Nasal trabecular meshwork excision over three clock hours was performed under Swan-Jacob gonioprism visualization using a bent 25-gauge needle. Although episcleral vessel blanching confirmed distal outflow patency, brisk bleeding persisted from the nasal angle despite a well-formed anterior chamber, air tamponade, adrenaline and viscoelastic use.\n\nOn postoperative day 1, vision was hand movements with hyphema occupying three-fourths of the anterior chamber and IOP of 52 mmHg. Coagulation profile blood workup was normal. Blood pressure fluctuations were stabilized. During the reoperation the Anterior chamber wash was performed; however, recurrent brisk angle bleeding occurred intraoperatively. Targeted unipolar diathermic electrocautery was applied to visible bleeder points after proper angle visualization with viscoelastic, titrating 20–40 W power until hemostasis was achieved.The following day, hyphema resolved, IOP was 11 mmHg, and by day 15, vision improved to 6/18 with IOP 13 mmHg without medications.\n\nThis case highlights diathermic electrocautery as a novel salvage technique for uncontrolled reflux bleeding during BANG/MIGS procedures.",
        "Results": "",
        "Conclusions": "Reflux bleeding from angles during trabecular meshwork (TM)-based MIGS is usually self-limiting; however, persistent hyphaema despite air, viscoelastic and IOP, blood pressure control should prompt suspicion of a focal pathological source, commonly a collector channel ostium.\n\nWhen standard measures fail, targeted ab interno unipolar diathermy offers a practical and effective salvage option. It reliably seals pinpoint bleeders and distal outflow branches, particularly in eyes with raised episcleral venous pressure, systemic hypertension or diabetic microvascular fragility.\n\nAlthough endocyclophotocoagulation and PASCAL photocoagulation have been described in literature, diathermy provides immediate, controlled intraoperative haemostasis."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 455
    },
    {
      "uid": "POCAT112",
      "abstract_number": "POCAT112",
      "title": "Fibrin Membrane Formation Following Enova Advanced Edof Intraocular Lens Implantation: Conservative Management With Intensive Topical Corticosteroid Therapy",
      "authors": "Dr ABDULFETTAH SUVEYS",
      "presenter": "Dr ABDULFETTAH SUVEYS",
      "normalized_authors": [
        "ABDULFETTAH SUVEYS"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulfettah Suveys",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a rare case of early fibrin membrane formation following uncomplicated phacoemulsification with Enova Advanced extended depth of focus (EDOF) intraocular lens (IOL) implantation and to describe successful conservative management with intensive topical corticosteroid therapy, emphasizing the importance of early recognition and appropriate treatment to preserve the excellent visual outcomes expected with premium EDOF technology.",
        "Setting": "Tertiary ophthalmology department, university teaching hospital, specializing in premium cataract surgery and advanced IOL implantation techniques.",
        "Methods": "A 58-year-old female patient underwent bilateral sequential phacoemulsification with Enova Advanced EDOF IOL (VSY Biotechnology) implantation using standard microincisional cataract surgery technique. The Enova Advanced features non-diffractive Light Tailoring Technology on a 100% glistening-free hydrophobic acrylic platform. Comprehensive preoperative evaluation, detailed surgical documentation, sequential photographic documentation of fibrin membrane development and resolution, visual acuity measurements, anterior segment optical coherence tomography (AS-OCT), and systematic follow-up examinations over 6 months were performed. Conservative management protocol included intensive prednisolone acetate 1% with gradual tapering and cycloplegic therapy.On postoperative day 3, the patient presented with decreased vision (BCVA 0.2) and mild discomfort. Examination: 2+ anterior chamber cells, trace flare, and a dense fibrin membrane partially covering the pupillary area and IOL optic. Intensive topical prednisolone acetate 1% hourly and cyclopentolate 1% three times daily were started. Within 72 hours, the fibrin membrane regressed significantly with BCVA improving to 0.5. Complete fibrin resolution was achieved by postoperative week 2, with BCVA reaching 1.0. At 6-month follow-up, distance BCVA was 1.0, intermediate vision 0.8 . EDOF performance remained fully preserved with high patient satisfaction. The fellow eye, 4 weeks later, had an uneventful postoperative course.",
        "Conclusions": "Early fibrin membrane formation can occur following premium EDOF IOL implantation despite uncomplicated surgery and does not appear to be specifically related to EDOF technology but rather represents individual inflammatory predisposition. Prompt recognition and aggressive topical corticosteroid therapy can achieve complete resolution without compromising the advanced optical performance of EDOF lenses. This case demonstrates that conservative management should be the first-line approach for early postoperative fibrin membranes, reserving interventional techniques for refractory cases.Surgeons should be alert to this rare complication after premium IOL implantation and treat it aggressively to maintain optimal visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Early fibrin membrane formation can occur following premium EDOF IOL implantation despite uncomplicated surgery and does not appear to be specifically related to EDOF technology but rather represents individual inflammatory predisposition. Prompt recognition and aggressive topical corticosteroid therapy can achieve complete resolution without compromising the advanced optical performance of EDOF lenses. This case…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 156,
      "source_fields": {
        "Abstract Final Identifier": "POCAT112",
        "Title": "Fibrin Membrane Formation Following Enova Advanced Edof Intraocular Lens Implantation: Conservative Management With Intensive Topical Corticosteroid Therapy",
        "Presenting Author(s)": "Dr ABDULFETTAH SUVEYS",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Abdulfettah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suveys",
        "Country Name": "Türkiye",
        "Purpose": "To report a rare case of early fibrin membrane formation following uncomplicated phacoemulsification with Enova Advanced extended depth of focus (EDOF) intraocular lens (IOL) implantation and to describe successful conservative management with intensive topical corticosteroid therapy, emphasizing the importance of early recognition and appropriate treatment to preserve the excellent visual outcomes expected with premium EDOF technology.",
        "Setting": "Tertiary ophthalmology department, university teaching hospital, specializing in premium cataract surgery and advanced IOL implantation techniques.",
        "Methods": "A 58-year-old female patient underwent bilateral sequential phacoemulsification with Enova Advanced EDOF IOL (VSY Biotechnology) implantation using standard microincisional cataract surgery technique. The Enova Advanced features non-diffractive Light Tailoring Technology on a 100% glistening-free hydrophobic acrylic platform. Comprehensive preoperative evaluation, detailed surgical documentation, sequential photographic documentation of fibrin membrane development and resolution, visual acuity measurements, anterior segment optical coherence tomography (AS-OCT), and systematic follow-up examinations over 6 months were performed. Conservative management protocol included intensive prednisolone acetate 1% with gradual tapering and cycloplegic therapy.On postoperative day 3, the patient presented with decreased vision (BCVA 0.2) and mild discomfort. Examination: 2+ anterior chamber cells, trace flare, and a dense fibrin membrane partially covering the pupillary area and IOL optic. Intensive topical prednisolone acetate 1% hourly and cyclopentolate 1% three times daily were started. Within 72 hours, the fibrin membrane regressed significantly with BCVA improving to 0.5. Complete fibrin resolution was achieved by postoperative week 2, with BCVA reaching 1.0. At 6-month follow-up, distance BCVA was 1.0, intermediate vision 0.8 . EDOF performance remained fully preserved with high patient satisfaction. The fellow eye, 4 weeks later, had an uneventful postoperative course.",
        "Results": "",
        "Conclusions": "Early fibrin membrane formation can occur following premium EDOF IOL implantation despite uncomplicated surgery and does not appear to be specifically related to EDOF technology but rather represents individual inflammatory predisposition. Prompt recognition and aggressive topical corticosteroid therapy can achieve complete resolution without compromising the advanced optical performance of EDOF lenses. This case demonstrates that conservative management should be the first-line approach for early postoperative fibrin membranes, reserving interventional techniques for refractory cases.Surgeons should be alert to this rare complication after premium IOL implantation and treat it aggressively to maintain optimal visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POCAT113",
      "abstract_number": "POCAT113",
      "title": "Intra-Operative Posterior Capsule Laxity During Phacoemulsification And Management Strategies",
      "authors": "Dr Ting Fang Tan",
      "presenter": "Dr Ting Fang Tan",
      "normalized_authors": [
        "Ting Fang Tan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ting Fang Tan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "We describe posterior capsule (PC) laxity observed during irrigation and aspiration (I/A) in cataract surgery. Normally, zonular support together with irrigation fluid dynamics maintain the PC in an upward concave configuration during I/A, providing counter-traction to facilitate efficient cortical clean-up . In the presence of a lax PC, there is an increased risk of posterior capsular rupture (PCR). Previous studies have reported that approximately 24% of PCRs occurred during I/A. Apart from a report by Ozcura et al. describing floppy PC during phacoemulsification in eyes with angle-closure glaucoma that had received preoperative (preop) intravenous mannitol, lax PC has not been widely described.",
        "Setting": "We report a series of cases in which a lax PC was noted intraoperatively. Our objective is to highlight the importance of recognising this during cataract surgery, and discuss the management strategies to minimize the risk of PCR and optimize surgical outcomes.",
        "Methods": "A 62-year-old lady with pseudoexfoliative syndrome and significant cataract underwent cataract surgery. No lens subluxation, phacodonesis, or asymmetrical anterior chamber depth were noted clinically preop to suggest zonular weakness. Ultrasound biomicroscopy (UBM) demonstrated zonular deficiency, evidenced by rounding of the lens profile at and posterior to the lens equator . Intraop during I/A, despite the aspiration port being slightly tilted off vertical, the PC was aspirated with star-fold lines. Aspiration was stopped immediately and PCR was averted. Another 70-year-old lady with ostensibly 'normal' age-related cataract and no preop signs of weak zonules, underwent routine cataract surgery. During I/A, the PC was highly mobile and followed the cortical material towards the aspiration port, with transient star-fold lines observed despite the port facing upwards. L ow-vacuum capsular polishing was slow due to poor counter-traction. After IOL implantation, redundant PC folds were seen on intraop optical coherence tomography at the PC–IOL interface. During fellow eye surgery a week later, similar lax PC was observed. 2 straight traction lines were seen on aspiration of the inferior cortex with intraop OCT showing straightening and upward angulation of the PC . Following probe removal, the PC bowed upwards towards the corneal endothelium as the anterior chamber shallowed , necessitating gentle viscoelastic injection to restore its concave configuration prior to IOL implantation.",
        "Conclusions": "Awareness of a lax PC is essential, as it may predispose to PCR. Potential management strategies include performing preop UBM in cases with possible zonular weakness, gentle suction during I/A, and injecting viscoelastic to provide ballast for the PC. It may also be helpful to turn the irrigation and aspiration tip 90 degrees so that the stream of irrigation fluid pushes the PC backwards. Injection of a capsular tension ring to keep the PC taut is another option, although this may hinder aspiration of the cortical lens material. It is therefore important for cataract surgeons, especially ophthalmolgy residents embarking on their surgical training, to be cognizant of this entity to take necessary precautions to minimize intraop risks."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Awareness of a lax PC is essential, as it may predispose to PCR. Potential management strategies include performing preop UBM in cases with possible zonular weakness, gentle suction during I/A, and injecting viscoelastic to provide ballast for the PC. It may also be helpful to turn the irrigation and aspiration tip 90 degrees so that the stream of irrigation fluid pushes the PC backwards. Injection of a capsular…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 157,
      "source_fields": {
        "Abstract Final Identifier": "POCAT113",
        "Title": "Intra-Operative Posterior Capsule Laxity During Phacoemulsification And Management Strategies",
        "Presenting Author(s)": "Dr Ting Fang Tan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ting Fang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tan",
        "Country Name": "Singapore",
        "Purpose": "We describe posterior capsule (PC) laxity observed during irrigation and aspiration (I/A) in cataract surgery. Normally, zonular support together with irrigation fluid dynamics maintain the PC in an upward concave configuration during I/A, providing counter-traction to facilitate efficient cortical clean-up . In the presence of a lax PC, there is an increased risk of posterior capsular rupture (PCR). Previous studies have reported that approximately 24% of PCRs occurred during I/A. Apart from a report by Ozcura et al. describing floppy PC during phacoemulsification in eyes with angle-closure glaucoma that had received preoperative (preop) intravenous mannitol, lax PC has not been widely described.",
        "Setting": "We report a series of cases in which a lax PC was noted intraoperatively. Our objective is to highlight the importance of recognising this during cataract surgery, and discuss the management strategies to minimize the risk of PCR and optimize surgical outcomes.",
        "Methods": "A 62-year-old lady with pseudoexfoliative syndrome and significant cataract underwent cataract surgery. No lens subluxation, phacodonesis, or asymmetrical anterior chamber depth were noted clinically preop to suggest zonular weakness. Ultrasound biomicroscopy (UBM) demonstrated zonular deficiency, evidenced by rounding of the lens profile at and posterior to the lens equator . Intraop during I/A, despite the aspiration port being slightly tilted off vertical, the PC was aspirated with star-fold lines. Aspiration was stopped immediately and PCR was averted. Another 70-year-old lady with ostensibly 'normal' age-related cataract and no preop signs of weak zonules, underwent routine cataract surgery. During I/A, the PC was highly mobile and followed the cortical material towards the aspiration port, with transient star-fold lines observed despite the port facing upwards. L ow-vacuum capsular polishing was slow due to poor counter-traction. After IOL implantation, redundant PC folds were seen on intraop optical coherence tomography at the PC–IOL interface. During fellow eye surgery a week later, similar lax PC was observed. 2 straight traction lines were seen on aspiration of the inferior cortex with intraop OCT showing straightening and upward angulation of the PC . Following probe removal, the PC bowed upwards towards the corneal endothelium as the anterior chamber shallowed , necessitating gentle viscoelastic injection to restore its concave configuration prior to IOL implantation.",
        "Results": "",
        "Conclusions": "Awareness of a lax PC is essential, as it may predispose to PCR. Potential management strategies include performing preop UBM in cases with possible zonular weakness, gentle suction during I/A, and injecting viscoelastic to provide ballast for the PC. It may also be helpful to turn the irrigation and aspiration tip 90 degrees so that the stream of irrigation fluid pushes the PC backwards. Injection of a capsular tension ring to keep the PC taut is another option, although this may hinder aspiration of the cortical lens material. It is therefore important for cataract surgeons, especially ophthalmolgy residents embarking on their surgical training, to be cognizant of this entity to take necessary precautions to minimize intraop risks."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 479
    },
    {
      "uid": "POCAT114",
      "abstract_number": "POCAT114",
      "title": "Pupil Sculpting Via Vitreous Cutter In Pediatric Uveitis Complicated Cataract",
      "authors": "Prof. Dr Călin Petru Tătaru",
      "presenter": "Prof. Dr Călin Petru Tătaru",
      "normalized_authors": [
        "Călin Petru Tătaru"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Calin Petru Tătaru",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "Cataract and anterior synechiae formation are complications of uveitis in pediatric patients. Surgery is complex due to pupillary membrane or synechiae or weakening of the zonules. Postoperative follow-up is delicate considering the risk of reoccurring inflammation.",
        "Setting": "Retrospective case report.",
        "Methods": "An 18-year-old female patient presented with decrease of visual acuity in both eyes and previous uveitis (6 years ago); and scoliosis. BCVA measured 0.3 decimal 20/80 in the right eye (OD) and counting fingers in the left eye (OS). IOP was 15mm Hg OD, 20 mm Hg OS. The patient presented bilaterally complicated cataracts with anterior synechiae. Cataract surgery was planned first for OS and then for OD. For OS synechiolysis was performed mainly using a spatula, with use of vitreous cutter when adherences were difficult to manage. For OD spatula synechiolysis produced minimal results and as such we proceeded to refashion a functional pupil using the vitreous cutter. An upwards facing position was used to protect the anterior capsule, holding the vitreous cutter between the lens capsule and at the edge or slightly below the iris tissue plane. The inflammatory 360° membrane and a minimal amount of adjacent iris tissue were removed to sculpt a functional pupil. Afterwards we checked pupillary response by injecting mydriatic into the anterior chamber which successfully led to pupil dilation. In both eyes due to weak zonular support we elected to first implant a CTR, followed by toric IOL (OS 19.5 T5 @ 84° K1=42.86 D 84°, K2=39.83 D 174°; OD 21.0 T4 @ 99°, K1=40.33D 9°, K2=42.52 99°). Postoperative vision was 1.0 decimal (20/40) in both eyes with occurrence of Tyndall which was resolved with topical anti-inflammatory treatment. The two surgeries were separated by a 3-month interval.",
        "Conclusions": "Synechiolysis in uveitis complicated cataract can be successfully resolved by successive use of spatula plus vitreous cutter. The vitreous cutter excels at excising the inflammatory adherence deposits and minimally affects adjacent iris tissue. Once freed the pupil becomes responsive to mydriatic and surgery can proceed quasi-normally. We recommend inserting a CTR as it stabilizes the weakened lens bag, helping the toric IOL to remain on the correct axis postoperatively. Careful follow-up and inflammation management are cornerstones of postoperative care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Synechiolysis in uveitis complicated cataract can be successfully resolved by successive use of spatula plus vitreous cutter. The vitreous cutter excels at excising the inflammatory adherence deposits and minimally affects adjacent iris tissue. Once freed the pupil becomes responsive to mydriatic and surgery can proceed quasi-normally. We recommend inserting a CTR as it stabilizes the weakened lens bag, helping the…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 158,
      "source_fields": {
        "Abstract Final Identifier": "POCAT114",
        "Title": "Pupil Sculpting Via Vitreous Cutter In Pediatric Uveitis Complicated Cataract",
        "Presenting Author(s)": "Prof. Dr Călin Petru Tătaru",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Calin Petru",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tătaru",
        "Country Name": "Romania",
        "Purpose": "Cataract and anterior synechiae formation are complications of uveitis in pediatric patients. Surgery is complex due to pupillary membrane or synechiae or weakening of the zonules. Postoperative follow-up is delicate considering the risk of reoccurring inflammation.",
        "Setting": "Retrospective case report.",
        "Methods": "An 18-year-old female patient presented with decrease of visual acuity in both eyes and previous uveitis (6 years ago); and scoliosis. BCVA measured 0.3 decimal 20/80 in the right eye (OD) and counting fingers in the left eye (OS). IOP was 15mm Hg OD, 20 mm Hg OS. The patient presented bilaterally complicated cataracts with anterior synechiae. Cataract surgery was planned first for OS and then for OD. For OS synechiolysis was performed mainly using a spatula, with use of vitreous cutter when adherences were difficult to manage. For OD spatula synechiolysis produced minimal results and as such we proceeded to refashion a functional pupil using the vitreous cutter. An upwards facing position was used to protect the anterior capsule, holding the vitreous cutter between the lens capsule and at the edge or slightly below the iris tissue plane. The inflammatory 360° membrane and a minimal amount of adjacent iris tissue were removed to sculpt a functional pupil. Afterwards we checked pupillary response by injecting mydriatic into the anterior chamber which successfully led to pupil dilation. In both eyes due to weak zonular support we elected to first implant a CTR, followed by toric IOL (OS 19.5 T5 @ 84° K1=42.86 D 84°, K2=39.83 D 174°; OD 21.0 T4 @ 99°, K1=40.33D 9°, K2=42.52 99°). Postoperative vision was 1.0 decimal (20/40) in both eyes with occurrence of Tyndall which was resolved with topical anti-inflammatory treatment. The two surgeries were separated by a 3-month interval.",
        "Results": "",
        "Conclusions": "Synechiolysis in uveitis complicated cataract can be successfully resolved by successive use of spatula plus vitreous cutter. The vitreous cutter excels at excising the inflammatory adherence deposits and minimally affects adjacent iris tissue. Once freed the pupil becomes responsive to mydriatic and surgery can proceed quasi-normally. We recommend inserting a CTR as it stabilizes the weakened lens bag, helping the toric IOL to remain on the correct axis postoperatively. Careful follow-up and inflammation management are cornerstones of postoperative care."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "POCAT115",
      "abstract_number": "POCAT115",
      "title": "Managing Cataract In Extreme Nanophthalmos: Surgical And Refractive Challenges",
      "authors": "Dr Marina Torosyan",
      "presenter": "Dr Marina Torosyan",
      "normalized_authors": [
        "Marina Torosyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marina Torosyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "Accurate IOL power calculation in eyes with extremely short axial length remains a major challenge. Predictive accuracy of modern biometric formulas decreases significantly in eyes with AL <20 mm, particularly in ultra-short eyes (<16 mm), where minor errors in effective lens position can lead to large postoperative refractive deviations. This report presents cataract surgery in a 39-year-old patient with extremely axial hyperopia, highlighting the persistent unpredictability of refractive outcomes despite modern formulas and sequential second-eye adjustment.",
        "Setting": "Private ophthalmology clinic performing a high volume of phacoemulsification surgeries.",
        "Methods": "A 39-year-old male with progressive bilateral visual decline due to cataract presented with UDVA 0.09 and CDVA 0.2 in both eyes. Manifest refraction was +17.0 D OD and +17.5 D OS. Optical biometry revealed extremely short axial length ( AL 15.99 mm OD, 15.93 mm OS), consistent with nanophthalmos. Multiple modern IOL formulas converged on +50.0 D.\n\nSequential phacoemulsification was performed. In OD, a +50.0 D custom posterior chamber IOL was implanted; due to the unusually large optic and overall diameter, corneal incision enlargement and 10-0 nylon suturing were required to maintain anterior chamber integrity. Postoperative autorefraction revealed +6.0 D residual hyperopia.\n\nFor OS, IOL power was increased to +55.0 D based on the first-eye outcome. Similar surgical modifications were applied. Postoperative autorefraction showed residual hyperopia of +1.75 D. No intraoperative complications occurred, including capsular rupture, zonular dialysis, or suprachoroidal events.\n\nSurgical strategy prioritized anterior chamber stability with OVD-assisted maintenance and careful capsular bag preparation. Thorough OVD removal minimized postoperative IOP elevation. Despite formula-based power selection and second-eye adjustment, significant hyperopic surprise persisted, illustrating the inherent unpredictability of refractive outcomes in extreme short eyes.",
        "Conclusions": "Cataract surgery in extreme nanophthalmos (AL- 16 mm) can be performed safely, but postoperative refraction is often unpredictable. In our patient, multiple modern IOL formulas suggested similar lens powers, yet a significant hyperopic surprise occurred after implantation of a +50.0 D IOL, and residual hyperopia persisted even after increasing the fellow-eye IOL to +55.0 D. This case underscores the inherent limitation of IOL power prediction in very short eyes and highlights the importance of thorough preoperative counseling regarding possible residual refractive error and the need for postoperative optical correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract surgery in extreme nanophthalmos (AL- 16 mm) can be performed safely, but postoperative refraction is often unpredictable. In our patient, multiple modern IOL formulas suggested similar lens powers, yet a significant hyperopic surprise occurred after implantation of a +50.0 D IOL, and residual hyperopia persisted even after increasing the fellow-eye IOL to +55.0 D. This case underscores the inherent…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 159,
      "source_fields": {
        "Abstract Final Identifier": "POCAT115",
        "Title": "Managing Cataract In Extreme Nanophthalmos: Surgical And Refractive Challenges",
        "Presenting Author(s)": "Dr Marina Torosyan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Marina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Torosyan",
        "Country Name": "Armenia",
        "Purpose": "Accurate IOL power calculation in eyes with extremely short axial length remains a major challenge. Predictive accuracy of modern biometric formulas decreases significantly in eyes with AL <20 mm, particularly in ultra-short eyes (<16 mm), where minor errors in effective lens position can lead to large postoperative refractive deviations. This report presents cataract surgery in a 39-year-old patient with extremely axial hyperopia, highlighting the persistent unpredictability of refractive outcomes despite modern formulas and sequential second-eye adjustment.",
        "Setting": "Private ophthalmology clinic performing a high volume of phacoemulsification surgeries.",
        "Methods": "A 39-year-old male with progressive bilateral visual decline due to cataract presented with UDVA 0.09 and CDVA 0.2 in both eyes. Manifest refraction was +17.0 D OD and +17.5 D OS. Optical biometry revealed extremely short axial length ( AL 15.99 mm OD, 15.93 mm OS), consistent with nanophthalmos. Multiple modern IOL formulas converged on +50.0 D.\n\nSequential phacoemulsification was performed. In OD, a +50.0 D custom posterior chamber IOL was implanted; due to the unusually large optic and overall diameter, corneal incision enlargement and 10-0 nylon suturing were required to maintain anterior chamber integrity. Postoperative autorefraction revealed +6.0 D residual hyperopia.\n\nFor OS, IOL power was increased to +55.0 D based on the first-eye outcome. Similar surgical modifications were applied. Postoperative autorefraction showed residual hyperopia of +1.75 D. No intraoperative complications occurred, including capsular rupture, zonular dialysis, or suprachoroidal events.\n\nSurgical strategy prioritized anterior chamber stability with OVD-assisted maintenance and careful capsular bag preparation. Thorough OVD removal minimized postoperative IOP elevation. Despite formula-based power selection and second-eye adjustment, significant hyperopic surprise persisted, illustrating the inherent unpredictability of refractive outcomes in extreme short eyes.",
        "Results": "",
        "Conclusions": "Cataract surgery in extreme nanophthalmos (AL- 16 mm) can be performed safely, but postoperative refraction is often unpredictable. In our patient, multiple modern IOL formulas suggested similar lens powers, yet a significant hyperopic surprise occurred after implantation of a +50.0 D IOL, and residual hyperopia persisted even after increasing the fellow-eye IOL to +55.0 D. This case underscores the inherent limitation of IOL power prediction in very short eyes and highlights the importance of thorough preoperative counseling regarding possible residual refractive error and the need for postoperative optical correction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "POCAT116",
      "abstract_number": "POCAT116",
      "title": "Progressive Bilateral Visual Acuity Decline After Uncomplicated Cataract\nSurgery: Neuro-Ophthalmological Presentation Of Cerebral Infarction",
      "authors": "Prof. Dr Biljana Kostovska",
      "presenter": "Prof. Dr Biljana Kostovska",
      "normalized_authors": [
        "Biljana Kostovska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ema Trajkova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "North Macedonia",
      "sections": {
        "Purpose": "Cataract surgery with phacoemulsification and intraocular lens implantation represents\n\none of the most successful surgical procedures in ophthalmology, with highly\n\npredictable functional outcomes. In the absence of structural abnormalities, the\n\npossibility of a central neurological etiology must be considered.",
        "Setting": "A 51-year-old female presented for examination with decreased distance vision and was\n\ndiagnosed with bilateral early-stage cataract. Preoperative best-corrected visual acuity\n\n(BCVA) was 18/20 in both eyes. Uncomplicated bilateral phacoemulsification with\n\nimplantation of multifocal intraocular lenses was performed. In the early postoperative\n\nperiod, visual acuity of 20/20 was achieved bilaterally, with normal findings in both the\n\nanterior and posterior segments.",
        "Methods": "Two months after surgery, the patient began to report gradual visual deterioration\n\naccompanied by subjective visual field changes. Visual acuity progressively declined to\n\n8/20 bilaterally. Slit-lamp examination revealed clear corneas, well-centered intraocular\n\nlenses, and absence of posterior capsule fibrosis. Fundus examination was\n\nunremarkable. Optical coherence tomography of the macula and optic nerve showed no\n\nmorphological abnormalities. Automated perimetry demonstrated homonymous\n\nsuperior quadrantanopia.\n\nDue to the discrepancy between significant functional impairment and normal structural\n\nocular findings, urgent neuroradiological evaluation was indicated. Magnetic resonance\n\nimaging with contrast revealed post-infarction sequelae localized in the right brainstem.\n\nNeurological assessment confirmed cerebral infarction, and appropriate\n\nantihypertensive and antithrombotic therapy was initiated",
        "Conclusions": "This case highlights the need for timely neuro-ophthalmological assessment in patients\n\npresenting with unexplained visual acuity decline following anatomically successful\n\ncataract surgery. Normal OCT findings and absence of ocular pathology should raise\n\nsuspicion of a central etiology and prompt a multidisciplinary diagnostic and therapeutic\n\napproach. Subjective symptoms should be carefully evaluated and openly discussed with\n\npatients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights the need for timely neuro-ophthalmological assessment in patients presenting with unexplained visual acuity decline following anatomically successful cataract surgery. Normal OCT findings and absence of ocular pathology should raise suspicion of a central etiology and prompt a multidisciplinary diagnostic and therapeutic approach. Subjective symptoms should be carefully evaluated and openly…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 160,
      "source_fields": {
        "Abstract Final Identifier": "POCAT116",
        "Title": "Progressive Bilateral Visual Acuity Decline After Uncomplicated Cataract\nSurgery: Neuro-Ophthalmological Presentation Of Cerebral Infarction",
        "Presenting Author(s)": "Prof. Dr Biljana Kostovska",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Ema",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Trajkova",
        "Country Name": "North Macedonia",
        "Purpose": "Cataract surgery with phacoemulsification and intraocular lens implantation represents\n\none of the most successful surgical procedures in ophthalmology, with highly\n\npredictable functional outcomes. In the absence of structural abnormalities, the\n\npossibility of a central neurological etiology must be considered.",
        "Setting": "A 51-year-old female presented for examination with decreased distance vision and was\n\ndiagnosed with bilateral early-stage cataract. Preoperative best-corrected visual acuity\n\n(BCVA) was 18/20 in both eyes. Uncomplicated bilateral phacoemulsification with\n\nimplantation of multifocal intraocular lenses was performed. In the early postoperative\n\nperiod, visual acuity of 20/20 was achieved bilaterally, with normal findings in both the\n\nanterior and posterior segments.",
        "Methods": "Two months after surgery, the patient began to report gradual visual deterioration\n\naccompanied by subjective visual field changes. Visual acuity progressively declined to\n\n8/20 bilaterally. Slit-lamp examination revealed clear corneas, well-centered intraocular\n\nlenses, and absence of posterior capsule fibrosis. Fundus examination was\n\nunremarkable. Optical coherence tomography of the macula and optic nerve showed no\n\nmorphological abnormalities. Automated perimetry demonstrated homonymous\n\nsuperior quadrantanopia.\n\nDue to the discrepancy between significant functional impairment and normal structural\n\nocular findings, urgent neuroradiological evaluation was indicated. Magnetic resonance\n\nimaging with contrast revealed post-infarction sequelae localized in the right brainstem.\n\nNeurological assessment confirmed cerebral infarction, and appropriate\n\nantihypertensive and antithrombotic therapy was initiated",
        "Results": "",
        "Conclusions": "This case highlights the need for timely neuro-ophthalmological assessment in patients\n\npresenting with unexplained visual acuity decline following anatomically successful\n\ncataract surgery. Normal OCT findings and absence of ocular pathology should raise\n\nsuspicion of a central etiology and prompt a multidisciplinary diagnostic and therapeutic\n\napproach. Subjective symptoms should be carefully evaluated and openly discussed with\n\npatients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POCAT117",
      "abstract_number": "POCAT117",
      "title": "The True Dysfunctional Lens",
      "authors": "Prof. Bruno Trindade",
      "presenter": "Prof. Bruno Trindade",
      "normalized_authors": [
        "Bruno Trindade"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bruno Trindade",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To describe the diagnosis challenges and surgical management of anterior lenticonus in Alport's Syndrome.",
        "Setting": "Private practice",
        "Methods": "A 36 year-old patient refers progressive decreased visual acuity and an increased myopia in both eyes. He has been seen by multiple ophthalmologists who could not find the cause of his poor vision. On examination, despite a perfectly clear lens, it is possible to see a severely distorted and bulged anterior capsule. Anterior lenticonus caused by Alport's Syndrome was diagnosed. Clear lens extraction was performed with the implantation of a monofocal IOL. The patient had his vision fully restored with surgery. This case illustrates this rare pathology that can be challenging to diagnose. Surgical management is required and proper technique is mandatory.",
        "Conclusions": "The awareness of this condition has to be present everytime a young male patient complains of poor vision with no clear identifiable cause. The careful examination of the crystalinne lens is mandatory and an oil-droplet sign may be the only hint of this diagnosis. Clear lens extraction is the ultimate treatment and can restore vision completely for these patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The awareness of this condition has to be present everytime a young male patient complains of poor vision with no clear identifiable cause. The careful examination of the crystalinne lens is mandatory and an oil-droplet sign may be the only hint of this diagnosis. Clear lens extraction is the ultimate treatment and can restore vision completely for these patients.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 161,
      "source_fields": {
        "Abstract Final Identifier": "POCAT117",
        "Title": "The True Dysfunctional Lens",
        "Presenting Author(s)": "Prof. Bruno Trindade",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Bruno",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Trindade",
        "Country Name": "Brazil",
        "Purpose": "To describe the diagnosis challenges and surgical management of anterior lenticonus in Alport's Syndrome.",
        "Setting": "Private practice",
        "Methods": "A 36 year-old patient refers progressive decreased visual acuity and an increased myopia in both eyes. He has been seen by multiple ophthalmologists who could not find the cause of his poor vision. On examination, despite a perfectly clear lens, it is possible to see a severely distorted and bulged anterior capsule. Anterior lenticonus caused by Alport's Syndrome was diagnosed. Clear lens extraction was performed with the implantation of a monofocal IOL. The patient had his vision fully restored with surgery. This case illustrates this rare pathology that can be challenging to diagnose. Surgical management is required and proper technique is mandatory.",
        "Results": "",
        "Conclusions": "The awareness of this condition has to be present everytime a young male patient complains of poor vision with no clear identifiable cause. The careful examination of the crystalinne lens is mandatory and an oil-droplet sign may be the only hint of this diagnosis. Clear lens extraction is the ultimate treatment and can restore vision completely for these patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 177
    },
    {
      "uid": "POCAT118",
      "abstract_number": "POCAT118",
      "title": "Multidrug-Resistant Staphylococcus Hominis Endophthalmitis After Cataract Surgery: A Case Report",
      "authors": "Dr Anastasia Tsiogka",
      "presenter": "Dr Anastasia Tsiogka",
      "normalized_authors": [
        "Anastasia Tsiogka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anastasia Tsiogka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report a case of early postoperative endophthalmitis caused by multidrug-resistant Staphylococcus hominis following uncomplicated cataract surgery, and to highlight the importance of early surgical intervention and culture-guided management in achieving favorable visual outcomes.",
        "Setting": "Tertiary care ophthalmology center.",
        "Methods": "A 52-year-old man underwent uneventful phacoemulsification for posterior subcapsular cataract. On postoperative day 1, best-corrected visual acuity (BCVA) was 8/10. Mild intraocular inflammation developed gradually without classic features of acute endophthalmitis. By postoperative day 5, visual acuity declined to 1/10, with marked anterior chamber reaction and clinical suspicion of endophthalmitis.\n\nUrgent pars plana vitrectomy was performed, and intravitreal vancomycin and ceftazidime were administered empirically. Vitreous culture revealed Staphylococcus hominis resistant to most commonly used antibiotics but sensitive to gentamicin. Treatment was adjusted accordingly to include topical gentamicin and oral doxycycline, with close daily monitoring.\n\nOne month postoperatively, the patient developed cystoid macular edema, which was successfully managed with oral acetazolamide, topical corticosteroids, and bromfenac. At three months, BCVA improved to 9/10, with no permanent structural damage.",
        "Conclusions": "Postoperative endophthalmitis due to multidrug-resistant organisms may present atypically and progress rapidly. Prompt vitrectomy, microbiological diagnosis, and tailored antibiotic therapy are critical for preserving vision. Early recognition and intensive follow-up can result in excellent anatomical and functional outcomes even in challenging cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Postoperative endophthalmitis due to multidrug-resistant organisms may present atypically and progress rapidly. Prompt vitrectomy, microbiological diagnosis, and tailored antibiotic therapy are critical for preserving vision. Early recognition and intensive follow-up can result in excellent anatomical and functional outcomes even in challenging cases.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 162,
      "source_fields": {
        "Abstract Final Identifier": "POCAT118",
        "Title": "Multidrug-Resistant Staphylococcus Hominis Endophthalmitis After Cataract Surgery: A Case Report",
        "Presenting Author(s)": "Dr Anastasia Tsiogka",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Anastasia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsiogka",
        "Country Name": "Greece",
        "Purpose": "To report a case of early postoperative endophthalmitis caused by multidrug-resistant Staphylococcus hominis following uncomplicated cataract surgery, and to highlight the importance of early surgical intervention and culture-guided management in achieving favorable visual outcomes.",
        "Setting": "Tertiary care ophthalmology center.",
        "Methods": "A 52-year-old man underwent uneventful phacoemulsification for posterior subcapsular cataract. On postoperative day 1, best-corrected visual acuity (BCVA) was 8/10. Mild intraocular inflammation developed gradually without classic features of acute endophthalmitis. By postoperative day 5, visual acuity declined to 1/10, with marked anterior chamber reaction and clinical suspicion of endophthalmitis.\n\nUrgent pars plana vitrectomy was performed, and intravitreal vancomycin and ceftazidime were administered empirically. Vitreous culture revealed Staphylococcus hominis resistant to most commonly used antibiotics but sensitive to gentamicin. Treatment was adjusted accordingly to include topical gentamicin and oral doxycycline, with close daily monitoring.\n\nOne month postoperatively, the patient developed cystoid macular edema, which was successfully managed with oral acetazolamide, topical corticosteroids, and bromfenac. At three months, BCVA improved to 9/10, with no permanent structural damage.",
        "Results": "",
        "Conclusions": "Postoperative endophthalmitis due to multidrug-resistant organisms may present atypically and progress rapidly. Prompt vitrectomy, microbiological diagnosis, and tailored antibiotic therapy are critical for preserving vision. Early recognition and intensive follow-up can result in excellent anatomical and functional outcomes even in challenging cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 209
    },
    {
      "uid": "POCAT119",
      "abstract_number": "POCAT119",
      "title": "Not Every Blur Is A Cataract: Junctional Scotoma Revealing A Chiasmal Macroadenoma",
      "authors": "Dr Valenchia Valenchia",
      "presenter": "Dr Valenchia Valenchia",
      "normalized_authors": [
        "Valenchia Valenchia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Valenchia Valenchia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "To remind cataract surgeons that significant lens opacity may coexist with neuro-ophthalmic diseases and that chiasmal lesions do not always present with classic bitemporal hemianopia. This case highlights the role of visual field testing in preventing misdiagnosis and inappropriate cataract surgery.",
        "Setting": "A tertiary eye care center equipped with access to automated perimetry and neuroimaging facilities.",
        "Methods": "A 60-year-old female presented with gradually progressive blurred vision in both eyes for one year, more severe in the right eye. Best-corrected visual acuity was 1/60 in the right eye and 0.3 in the left eye. Slit-lamp examination revealed bilateral grade 3 senile cataract. However, a notable diagnostic 'red flag' was the degree of visual impairment, which appeared disproportionate to the lens opacity. This inconsistency, combined with a positive relative afferent pupillary defect on the right eye despite an unremarkable optic disc examination, raises a suspicion. Automated visual field testing was therefore performed, revealing a junctional scotoma with a central scotoma in the right eye and a superotemporal visual field defect in the left eye.\n\nContrary to the classic expectation of bitemporal hemianopia in chiasmal lesions, this atypical pattern raised suspicion of anterior chiasmal involvement. MRI of the brain demonstrated a large chiasmal macroadenoma compressing the optic chiasm. The patient was referred for neurosurgical evaluation, and cataract surgery was deferred.",
        "Conclusions": "Cataract should not be assumed as the sole cause of visual loss when clinical findings are incongruent. Chiasmal lesions do not invariably present with bitemporal hemianopia. Atypical visual field defects, including junctional scotoma, may be the initial manifestation, particularly in anterior chiasmal compression. Routine visual field assessment in selected cataract patients can prevent misdiagnosis, avoid unnecessary surgery, and facilitate the timely detection of serious neuro-ophthalmic diseases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cataract should not be assumed as the sole cause of visual loss when clinical findings are incongruent. Chiasmal lesions do not invariably present with bitemporal hemianopia. Atypical visual field defects, including junctional scotoma, may be the initial manifestation, particularly in anterior chiasmal compression. Routine visual field assessment in selected cataract patients can prevent misdiagnosis, avoid…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 163,
      "source_fields": {
        "Abstract Final Identifier": "POCAT119",
        "Title": "Not Every Blur Is A Cataract: Junctional Scotoma Revealing A Chiasmal Macroadenoma",
        "Presenting Author(s)": "Dr Valenchia Valenchia",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Valenchia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Valenchia",
        "Country Name": "Indonesia",
        "Purpose": "To remind cataract surgeons that significant lens opacity may coexist with neuro-ophthalmic diseases and that chiasmal lesions do not always present with classic bitemporal hemianopia. This case highlights the role of visual field testing in preventing misdiagnosis and inappropriate cataract surgery.",
        "Setting": "A tertiary eye care center equipped with access to automated perimetry and neuroimaging facilities.",
        "Methods": "A 60-year-old female presented with gradually progressive blurred vision in both eyes for one year, more severe in the right eye. Best-corrected visual acuity was 1/60 in the right eye and 0.3 in the left eye. Slit-lamp examination revealed bilateral grade 3 senile cataract. However, a notable diagnostic 'red flag' was the degree of visual impairment, which appeared disproportionate to the lens opacity. This inconsistency, combined with a positive relative afferent pupillary defect on the right eye despite an unremarkable optic disc examination, raises a suspicion. Automated visual field testing was therefore performed, revealing a junctional scotoma with a central scotoma in the right eye and a superotemporal visual field defect in the left eye.\n\nContrary to the classic expectation of bitemporal hemianopia in chiasmal lesions, this atypical pattern raised suspicion of anterior chiasmal involvement. MRI of the brain demonstrated a large chiasmal macroadenoma compressing the optic chiasm. The patient was referred for neurosurgical evaluation, and cataract surgery was deferred.",
        "Results": "",
        "Conclusions": "Cataract should not be assumed as the sole cause of visual loss when clinical findings are incongruent. Chiasmal lesions do not invariably present with bitemporal hemianopia. Atypical visual field defects, including junctional scotoma, may be the initial manifestation, particularly in anterior chiasmal compression. Routine visual field assessment in selected cataract patients can prevent misdiagnosis, avoid unnecessary surgery, and facilitate the timely detection of serious neuro-ophthalmic diseases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCAT120",
      "abstract_number": "POCAT120",
      "title": "Pupillary Blocks In Uveitis Glaucoma Hyphema Syndrome: A Case Report",
      "authors": "Dr Nicola Valsecchi",
      "presenter": "Dr Nicola Valsecchi",
      "normalized_authors": [
        "Nicola Valsecchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicola Valsecchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Uveitis Glaucoma Hyphema (UGH) syndrome results from chaffing between intraocular implant and anterior chamber structures, and it typically presents with anterior chamber inflammation, elevated intraocular pressure and recurrent microhyphema or hyphema. Herein, we report the case of a patient with atypical presentation: iridocorneal angle closure. The same patient developed reverse pupillary blook a few weeks later after surgery.",
        "Setting": "University of Bologna, Italy",
        "Methods": "A caucasian 77-years-old woman presented with iridocorneal angle closure due to a clot induced pupillary block. The bleeding was caused by rubbing between a late in-the-bag dislocated intraocular lens and the iris in pseudoexfoliative syndrome. The diagnosis of UGH was initially delayed by unusual presentation. She underwent intraocular lens (IOL) exchange and secondary IOL scleral fixation and subsequently developed reverse pupillary block. Both pupillary blocks were resolved by YAG-laser iridotomy.",
        "Conclusions": "This case is unique due to the occurrence of both pupillary block and subsequent reverse pupillary block in the same patient, highlighting the importance of recognizing these uncommon and atypical mechanisms in UGH syndrome."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case is unique due to the occurrence of both pupillary block and subsequent reverse pupillary block in the same patient, highlighting the importance of recognizing these uncommon and atypical mechanisms in UGH syndrome.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 164,
      "source_fields": {
        "Abstract Final Identifier": "POCAT120",
        "Title": "Pupillary Blocks In Uveitis Glaucoma Hyphema Syndrome: A Case Report",
        "Presenting Author(s)": "Dr Nicola Valsecchi",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Nicola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Valsecchi",
        "Country Name": "Italy",
        "Purpose": "Uveitis Glaucoma Hyphema (UGH) syndrome results from chaffing between intraocular implant and anterior chamber structures, and it typically presents with anterior chamber inflammation, elevated intraocular pressure and recurrent microhyphema or hyphema. Herein, we report the case of a patient with atypical presentation: iridocorneal angle closure. The same patient developed reverse pupillary blook a few weeks later after surgery.",
        "Setting": "University of Bologna, Italy",
        "Methods": "A caucasian 77-years-old woman presented with iridocorneal angle closure due to a clot induced pupillary block. The bleeding was caused by rubbing between a late in-the-bag dislocated intraocular lens and the iris in pseudoexfoliative syndrome. The diagnosis of UGH was initially delayed by unusual presentation. She underwent intraocular lens (IOL) exchange and secondary IOL scleral fixation and subsequently developed reverse pupillary block. Both pupillary blocks were resolved by YAG-laser iridotomy.",
        "Results": "",
        "Conclusions": "This case is unique due to the occurrence of both pupillary block and subsequent reverse pupillary block in the same patient, highlighting the importance of recognizing these uncommon and atypical mechanisms in UGH syndrome."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 166
    },
    {
      "uid": "POCAT121",
      "abstract_number": "POCAT121",
      "title": "When Fluidics Fail: The Hidden Setup Error When Adopting A Novel Phacoemulsification System",
      "authors": "Dr Brandon Vander Zee",
      "presenter": "Dr Brandon Vander Zee",
      "normalized_authors": [
        "Brandon Vander Zee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brandon Vander Zee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "This case is intended to educate others about how a minor error in phacoemulsification machine setup can lead to a significant complication during cataract surgery, particularly when starting cases on a novel platform. It emphasizes the importance of proper phacoemulsification machine setup and appropriate fluidic settings in maintaining anterior chamber stability and ensuring safe, efficient cataract surgery. An intraoperative video and images illustrating incorrect versus correct irrigation bag setup will be presented to highlight how this complication can be prevented. This case will also review key differences between flow-based and vacuum-based phacoemulsification systems and their impact on intraoperative chamber stability.",
        "Setting": "This patient was evaluated and treated at a university-associated tertiary care center in the United States.",
        "Methods": "A 55-year-old female presented with hand-motion vision in the left eye due to a hypermature cataract requiring phacoemulsification. While trialing a novel phacoemulsification platform, we experienced repeated complete collapse of the anterior chamber whenever the phaco tip was occluded. Despite adjusting numerous parameters on the phaco machine and confirming that all irrigation and aspiration tubing was securely connected, the anterior chamber remained unstable during the case. During cortical removal, a posterior capsule rupture occurred without vitreous loss. After manual removal of the remaining cortical material, a three-piece intraocular lens was successfully placed in the sulcus with optic capture.\n\nPostoperatively, it was discovered that the irrigation hub had not been fully seated into the irrigation bottle, resulting in inadequate irrigation inflow that could not match increasing vacuum demands, leading to poor chamber stability. Despite this complication, the patient achieved an excellent surgical outcome. This case highlights the critical importance of proper phacoemulsification machine setup and emphasizes the role of standardized equipment checks and proper preparation in preventing avoidable complications when trialing new surgical platforms.",
        "Conclusions": "This case highlights how improper phacoemulsification machine setup can lead to significant intraoperative instability and preventable complications. Careful verification of irrigation connections and familiarity with new phaco platforms are essential for maintaining chamber stability and surgical safety. Standardized preoperative equipment checks may help reduce avoidable intraoperative complications and improve outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights how improper phacoemulsification machine setup can lead to significant intraoperative instability and preventable complications. Careful verification of irrigation connections and familiarity with new phaco platforms are essential for maintaining chamber stability and surgical safety. Standardized preoperative equipment checks may help reduce avoidable intraoperative complications and improve…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 165,
      "source_fields": {
        "Abstract Final Identifier": "POCAT121",
        "Title": "When Fluidics Fail: The Hidden Setup Error When Adopting A Novel Phacoemulsification System",
        "Presenting Author(s)": "Dr Brandon Vander Zee",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Brandon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vander Zee",
        "Country Name": "United States",
        "Purpose": "This case is intended to educate others about how a minor error in phacoemulsification machine setup can lead to a significant complication during cataract surgery, particularly when starting cases on a novel platform. It emphasizes the importance of proper phacoemulsification machine setup and appropriate fluidic settings in maintaining anterior chamber stability and ensuring safe, efficient cataract surgery. An intraoperative video and images illustrating incorrect versus correct irrigation bag setup will be presented to highlight how this complication can be prevented. This case will also review key differences between flow-based and vacuum-based phacoemulsification systems and their impact on intraoperative chamber stability.",
        "Setting": "This patient was evaluated and treated at a university-associated tertiary care center in the United States.",
        "Methods": "A 55-year-old female presented with hand-motion vision in the left eye due to a hypermature cataract requiring phacoemulsification. While trialing a novel phacoemulsification platform, we experienced repeated complete collapse of the anterior chamber whenever the phaco tip was occluded. Despite adjusting numerous parameters on the phaco machine and confirming that all irrigation and aspiration tubing was securely connected, the anterior chamber remained unstable during the case. During cortical removal, a posterior capsule rupture occurred without vitreous loss. After manual removal of the remaining cortical material, a three-piece intraocular lens was successfully placed in the sulcus with optic capture.\n\nPostoperatively, it was discovered that the irrigation hub had not been fully seated into the irrigation bottle, resulting in inadequate irrigation inflow that could not match increasing vacuum demands, leading to poor chamber stability. Despite this complication, the patient achieved an excellent surgical outcome. This case highlights the critical importance of proper phacoemulsification machine setup and emphasizes the role of standardized equipment checks and proper preparation in preventing avoidable complications when trialing new surgical platforms.",
        "Results": "",
        "Conclusions": "This case highlights how improper phacoemulsification machine setup can lead to significant intraoperative instability and preventable complications. Careful verification of irrigation connections and familiarity with new phaco platforms are essential for maintaining chamber stability and surgical safety. Standardized preoperative equipment checks may help reduce avoidable intraoperative complications and improve outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCAT122",
      "abstract_number": "POCAT122",
      "title": "Late Diagnosis Of Keratoconus In A 70-Year-Old Cataract Patient Successfully Managed With High-Cylinder Toric Iol Implantation",
      "authors": "Dr Gohar Varosyan",
      "presenter": "Dr Gohar Varosyan",
      "normalized_authors": [
        "Gohar Varosyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gohar Varosyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "To report a rare case of previously undiagnosed keratoconus in a 70-year-old male referred for cataract surgery, successfully managed with implantation of a high-cylinder toric intraocular lens (IOL), achieving excellent visual outcome.",
        "Setting": "An eye care center in Gyumri, Armenia, specializing in cataract and vitreoretinal surgery.",
        "Methods": "A 70-year-old male presented with progressive blurry vision. Slit-lamp examination revealed age-related cataract. Preoperative refraction showed high irregular astigmatism. Corneal tomography demonstrated inferior steepening, asymmetric bow-tie pattern, increased posterior elevation, and thinning consistent with keratoconus. No prior diagnosis of ectatic disease had been made. Axial length was within normal range. The corneal astigmatism was regular and stable. After careful counseling, phacoemulsification with implantation of a toric IOL with 10.0 D cylinder power was performed. IOL power calculation incorporated tomography-based keratometry and posterior corneal astigmatism assessment.\n\nPostoperative uncorrected visual acuity reached 20/20. Residual refractive astigmatism was negligible, and the IOL remained rotationally stable. The patient reported high satisfaction with distance vision and no visual disturbances.",
        "Conclusions": "Keratoconus can remain undiagnosed until late adulthood and may present during cataract workup. In carefully selected cases with stable and regular astigmatism, high-cylinder toric IOL implantation can provide excellent refractive outcomes. Comprehensive corneal imaging is essential in atypical astigmatism, even in elderly patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Keratoconus can remain undiagnosed until late adulthood and may present during cataract workup. In carefully selected cases with stable and regular astigmatism, high-cylinder toric IOL implantation can provide excellent refractive outcomes. Comprehensive corneal imaging is essential in atypical astigmatism, even in elderly patients.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 166,
      "source_fields": {
        "Abstract Final Identifier": "POCAT122",
        "Title": "Late Diagnosis Of Keratoconus In A 70-Year-Old Cataract Patient Successfully Managed With High-Cylinder Toric Iol Implantation",
        "Presenting Author(s)": "Dr Gohar Varosyan",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Gohar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Varosyan",
        "Country Name": "Armenia",
        "Purpose": "To report a rare case of previously undiagnosed keratoconus in a 70-year-old male referred for cataract surgery, successfully managed with implantation of a high-cylinder toric intraocular lens (IOL), achieving excellent visual outcome.",
        "Setting": "An eye care center in Gyumri, Armenia, specializing in cataract and vitreoretinal surgery.",
        "Methods": "A 70-year-old male presented with progressive blurry vision. Slit-lamp examination revealed age-related cataract. Preoperative refraction showed high irregular astigmatism. Corneal tomography demonstrated inferior steepening, asymmetric bow-tie pattern, increased posterior elevation, and thinning consistent with keratoconus. No prior diagnosis of ectatic disease had been made. Axial length was within normal range. The corneal astigmatism was regular and stable. After careful counseling, phacoemulsification with implantation of a toric IOL with 10.0 D cylinder power was performed. IOL power calculation incorporated tomography-based keratometry and posterior corneal astigmatism assessment.\n\nPostoperative uncorrected visual acuity reached 20/20. Residual refractive astigmatism was negligible, and the IOL remained rotationally stable. The patient reported high satisfaction with distance vision and no visual disturbances.",
        "Results": "",
        "Conclusions": "Keratoconus can remain undiagnosed until late adulthood and may present during cataract workup. In carefully selected cases with stable and regular astigmatism, high-cylinder toric IOL implantation can provide excellent refractive outcomes. Comprehensive corneal imaging is essential in atypical astigmatism, even in elderly patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 204
    },
    {
      "uid": "POCAT123",
      "abstract_number": "POCAT123",
      "title": "Early-Onset Posterior Subcapsular Cataract After Short-Term Tamoxifen Therapy In A Young Patient Without Retinal Toxicity",
      "authors": "Dr Stipe Vidović",
      "presenter": "Dr Stipe Vidović",
      "normalized_authors": [
        "Stipe Vidović"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stipe Vidović",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To report a case of early-onset posterior subcapsular cataract associated with tamoxifen therapy in a young patient and to examine its clinical relevance for cataract surgery and anterior segment monitoring in the absence of retinal toxicity or other established cataract risk factors.",
        "Setting": "Department of Ophthalmology, University Hospital Center Osijek, Croatia, a tertiary referral center.",
        "Methods": "A 39-year-old woman presented with two months of progressive blurred distance vision in the right eye, without other visual complaints. Two years earlier, she had been diagnosed with HER2–positive invasive breast carcinoma and had undergone segmentectomy followed by adjuvant therapy including trastuzumab (the first 12 months after surgery) and tamoxifen (for the past 22 months). The disease remained in remission, and systemic findings were unremarkable. Best-corrected visual acuity was 0.8 in the right eye and 1.0 in the left eye. Color vision (Ishihara plates) and contrast sensitivity (Pelli-Robson chart) were normal. Ocular motility and pupils were normal, with no RAPD. Slit-lamp examination revealed posterior subcapsular punctate lens opacities in the right eye and minimal nasal posterior subcapsular changes in the left eye; the remaining anterior segment findings were unremarkable. Lens opacities were graded according to the Lens Opacities Classification System III (LOCS III): right eye NC1 NO1 C2 P2; left eye NC1 NO1 C1 P2. There was no history of diabetes, corticosteroid use, trauma, radiation exposure, other cataract risk factors, or family history of early-onset cataract. Optical coherence tomography demonstrated normal macular architecture without signs of tamoxifen-associated retinal toxicity. Given the visually significant lens opacification, phacoemulsification with posterior chamber intraocular lens implantation was advised; however, the patient deferred surgery.",
        "Conclusions": "Tamoxifen therapy may be associated with early posterior subcapsular lens opacification in young patients after relatively short exposure, even in the absence of established cataract risk factors. Although primarily recognized for crystalline retinopathy and macular changes, tamoxifen-related lens opacification may represent an underrecognized anterior segment manifestation. This case suggests that visually significant cataract may occur sooner than anticipated in patients receiving this widely used therapy. Regular anterior segment evaluation during follow-up is therefore advisable, as lens changes may influence cataract surgery planning and referral."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Tamoxifen therapy may be associated with early posterior subcapsular lens opacification in young patients after relatively short exposure, even in the absence of established cataract risk factors. Although primarily recognized for crystalline retinopathy and macular changes, tamoxifen-related lens opacification may represent an underrecognized anterior segment manifestation. This case suggests that visually…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 167,
      "source_fields": {
        "Abstract Final Identifier": "POCAT123",
        "Title": "Early-Onset Posterior Subcapsular Cataract After Short-Term Tamoxifen Therapy In A Young Patient Without Retinal Toxicity",
        "Presenting Author(s)": "Dr Stipe Vidović",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Stipe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vidović",
        "Country Name": "Croatia",
        "Purpose": "To report a case of early-onset posterior subcapsular cataract associated with tamoxifen therapy in a young patient and to examine its clinical relevance for cataract surgery and anterior segment monitoring in the absence of retinal toxicity or other established cataract risk factors.",
        "Setting": "Department of Ophthalmology, University Hospital Center Osijek, Croatia, a tertiary referral center.",
        "Methods": "A 39-year-old woman presented with two months of progressive blurred distance vision in the right eye, without other visual complaints. Two years earlier, she had been diagnosed with HER2–positive invasive breast carcinoma and had undergone segmentectomy followed by adjuvant therapy including trastuzumab (the first 12 months after surgery) and tamoxifen (for the past 22 months). The disease remained in remission, and systemic findings were unremarkable. Best-corrected visual acuity was 0.8 in the right eye and 1.0 in the left eye. Color vision (Ishihara plates) and contrast sensitivity (Pelli-Robson chart) were normal. Ocular motility and pupils were normal, with no RAPD. Slit-lamp examination revealed posterior subcapsular punctate lens opacities in the right eye and minimal nasal posterior subcapsular changes in the left eye; the remaining anterior segment findings were unremarkable. Lens opacities were graded according to the Lens Opacities Classification System III (LOCS III): right eye NC1 NO1 C2 P2; left eye NC1 NO1 C1 P2. There was no history of diabetes, corticosteroid use, trauma, radiation exposure, other cataract risk factors, or family history of early-onset cataract. Optical coherence tomography demonstrated normal macular architecture without signs of tamoxifen-associated retinal toxicity. Given the visually significant lens opacification, phacoemulsification with posterior chamber intraocular lens implantation was advised; however, the patient deferred surgery.",
        "Results": "",
        "Conclusions": "Tamoxifen therapy may be associated with early posterior subcapsular lens opacification in young patients after relatively short exposure, even in the absence of established cataract risk factors. Although primarily recognized for crystalline retinopathy and macular changes, tamoxifen-related lens opacification may represent an underrecognized anterior segment manifestation. This case suggests that visually significant cataract may occur sooner than anticipated in patients receiving this widely used therapy. Regular anterior segment evaluation during follow-up is therefore advisable, as lens changes may influence cataract surgery planning and referral."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "POCAT124",
      "abstract_number": "POCAT124",
      "title": "Posterior Dislocation Of The Lens Following Low-Energy Blunt Ocular Trauma From A Clothing Accessory",
      "authors": "Meghana Vipin",
      "presenter": "Meghana Vipin",
      "normalized_authors": [
        "Meghana Vipin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Meghana Vipin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report an unusual case of posterior dislocation of the lens following minor blunt ocular trauma from a clothing accessory, and to highlight the importance of careful anterior and posterior segment assessment, including B-scan ultrasonography, particularly in patients with a history suggestive of prior zonular compromise.",
        "Setting": "Emergency ophthalmology assessment in a secondary care hospital in the United Kingdom, with subsequent referral to vitreoretinal services.",
        "Methods": "A phakic woman in her sixties presented with acute painless visual loss in the right eye following low-energy blunt ocular trauma caused by recoil of a metal aglet on a coat hood drawstring. There was no associated fall, loss of consciousness, or high-velocity injury. She reported a history of remote blunt trauma to the same eye several years previously, with no history of ocular surgery or known connective tissue disease.\n\nOn examination, best-corrected visual acuity was markedly reduced in the affected eye, with normal findings in the fellow eye. Intraocular pressure was within normal limits. Slit-lamp examination demonstrated aphakia with vitreous prolapse into the anterior chamber and pigment dispersion, without hyphaemia, iris dialysis, or corneal injury. Fundus view was limited.\n\nB-scan ultrasonography confirmed an intact lens lying within the inferior vitreous cavity, with no evidence of retinal detachment or vitreous haemorrhage. A diagnosis of traumatic posterior dislocation of the lens was made. The patient was managed conservatively with topical corticosteroids and referred urgently for vitreoretinal assessment. Surgical intervention was planned for visual rehabilitation and prevention of secondary complications.",
        "Conclusions": "Low-energy blunt trauma from everyday clothing accessories can result in significant intraocular injury, including posterior lens dislocation, particularly in eyes with pre-existing zonular weakness. In the UK, there is no clear regulation addressing the ocular risk posed by rigid metal aglets on hood drawstrings. The use of softer materials, such as plastic, may reduce this type of injury. Greater awareness of this preventable mechanism is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Low-energy blunt trauma from everyday clothing accessories can result in significant intraocular injury, including posterior lens dislocation, particularly in eyes with pre-existing zonular weakness. In the UK, there is no clear regulation addressing the ocular risk posed by rigid metal aglets on hood drawstrings. The use of softer materials, such as plastic, may reduce this type of injury. Greater awareness of…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 168,
      "source_fields": {
        "Abstract Final Identifier": "POCAT124",
        "Title": "Posterior Dislocation Of The Lens Following Low-Energy Blunt Ocular Trauma From A Clothing Accessory",
        "Presenting Author(s)": "Meghana Vipin",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Meghana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vipin",
        "Country Name": "United Kingdom",
        "Purpose": "To report an unusual case of posterior dislocation of the lens following minor blunt ocular trauma from a clothing accessory, and to highlight the importance of careful anterior and posterior segment assessment, including B-scan ultrasonography, particularly in patients with a history suggestive of prior zonular compromise.",
        "Setting": "Emergency ophthalmology assessment in a secondary care hospital in the United Kingdom, with subsequent referral to vitreoretinal services.",
        "Methods": "A phakic woman in her sixties presented with acute painless visual loss in the right eye following low-energy blunt ocular trauma caused by recoil of a metal aglet on a coat hood drawstring. There was no associated fall, loss of consciousness, or high-velocity injury. She reported a history of remote blunt trauma to the same eye several years previously, with no history of ocular surgery or known connective tissue disease.\n\nOn examination, best-corrected visual acuity was markedly reduced in the affected eye, with normal findings in the fellow eye. Intraocular pressure was within normal limits. Slit-lamp examination demonstrated aphakia with vitreous prolapse into the anterior chamber and pigment dispersion, without hyphaemia, iris dialysis, or corneal injury. Fundus view was limited.\n\nB-scan ultrasonography confirmed an intact lens lying within the inferior vitreous cavity, with no evidence of retinal detachment or vitreous haemorrhage. A diagnosis of traumatic posterior dislocation of the lens was made. The patient was managed conservatively with topical corticosteroids and referred urgently for vitreoretinal assessment. Surgical intervention was planned for visual rehabilitation and prevention of secondary complications.",
        "Results": "",
        "Conclusions": "Low-energy blunt trauma from everyday clothing accessories can result in significant intraocular injury, including posterior lens dislocation, particularly in eyes with pre-existing zonular weakness. In the UK, there is no clear regulation addressing the ocular risk posed by rigid metal aglets on hood drawstrings. The use of softer materials, such as plastic, may reduce this type of injury. Greater awareness of this preventable mechanism is warranted."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCAT125",
      "abstract_number": "POCAT125",
      "title": "Traumatic Cataract Formation With Posterior Capsule Defects After Yag Laser\nVitreolysis For Symptomatic Floaters",
      "authors": "Dr Chien Liang Wu",
      "presenter": "Dr Chien Liang Wu",
      "normalized_authors": [
        "Chien Liang Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chien Liang Wu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To report two secondary cataract cases associated with posterior capsular defects caused by\nNd:YAG laser vitreolysis for symptomatic vitreous floaters.",
        "Setting": "Case report",
        "Methods": "Two patients underwent Nd:YAG laser vitreolysis for symptomatic floaters. Both\npatients had blurred vision in one of the treated eyes after YAG laser vitreolysis. A\nsecondary cataract with posterior capsular defects was noted using a slit-lamp\nbiomicroscope. These two patients underwent trans pars plana vitrectomy,\nphacoemulsification, intraocular lens implantation, and focal retinal\nphotocoagulation by the same surgeon. Both eyes were found to have a posterior\ncapsule rupture with lens materials in the vitreous intraoperatively. A three-piece\nacrylic intraocular lens was placed in the sulcus with optic capture in one of the\npatients. For the other patient, a single-piece acrylic intraocular lens was placed in\nthe bag. The best-corrected visual acuity was 20/25 in the six-month follow-up and\n20/20 in the one-month follow-up, respectively.",
        "Conclusions": "Traumatic cataract formation with posterior capsule defect is a potential\ncomplication of Nd:YAG laser vitreolysis for symptomatic floaters. When managing\nsuch complex cataracts, clinicians should be aware of the potential for posterior lens\ncapsule rupture during surgery and consider the necessity of performing a combined\nvitrectomy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Traumatic cataract formation with posterior capsule defect is a potential complication of Nd:YAG laser vitreolysis for symptomatic floaters. When managing such complex cataracts, clinicians should be aware of the potential for posterior lens capsule rupture during surgery and consider the necessity of performing a combined vitrectomy.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 169,
      "source_fields": {
        "Abstract Final Identifier": "POCAT125",
        "Title": "Traumatic Cataract Formation With Posterior Capsule Defects After Yag Laser\nVitreolysis For Symptomatic Floaters",
        "Presenting Author(s)": "Dr Chien Liang Wu",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Chien Liang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wu",
        "Country Name": "Taiwan",
        "Purpose": "To report two secondary cataract cases associated with posterior capsular defects caused by\nNd:YAG laser vitreolysis for symptomatic vitreous floaters.",
        "Setting": "Case report",
        "Methods": "Two patients underwent Nd:YAG laser vitreolysis for symptomatic floaters. Both\npatients had blurred vision in one of the treated eyes after YAG laser vitreolysis. A\nsecondary cataract with posterior capsular defects was noted using a slit-lamp\nbiomicroscope. These two patients underwent trans pars plana vitrectomy,\nphacoemulsification, intraocular lens implantation, and focal retinal\nphotocoagulation by the same surgeon. Both eyes were found to have a posterior\ncapsule rupture with lens materials in the vitreous intraoperatively. A three-piece\nacrylic intraocular lens was placed in the sulcus with optic capture in one of the\npatients. For the other patient, a single-piece acrylic intraocular lens was placed in\nthe bag. The best-corrected visual acuity was 20/25 in the six-month follow-up and\n20/20 in the one-month follow-up, respectively.",
        "Results": "",
        "Conclusions": "Traumatic cataract formation with posterior capsule defect is a potential\ncomplication of Nd:YAG laser vitreolysis for symptomatic floaters. When managing\nsuch complex cataracts, clinicians should be aware of the potential for posterior lens\ncapsule rupture during surgery and consider the necessity of performing a combined\nvitrectomy."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POCAT126",
      "abstract_number": "POCAT126",
      "title": "Hydration Assisted Iol Implantation Instead Of Viscoelastic Material In Cataract Surgery",
      "authors": "Islam Zayed",
      "presenter": "Islam Zayed",
      "normalized_authors": [
        "Islam Zayed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Islam Zayed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Continuous irrigation maintains a stable and well-formed anterior chamber while allowing controlled IOL delivery into the capsular bag. Avoiding viscoelastic eliminates the risk of retained OVD, which is a known cause of early postoperative intraocular pressure spikes—particularly relevant in eyes with pre-existing elevated IOP or intumescent cataracts. This technique also reduces surgical time, minimizes the need for additional aspiration, and ensures a cleaner capsular bag at the conclusion of surgery. Overall, irrigation-assisted IOL implantation can contribute to improved immediate postoperative pressure control and faster visual recovery.",
        "Setting": "Phacoemulsification was performed in linear phaco mode using a phaco-chop technique with a second instrument and chopper to mechanically fragment the cataract nucleus. Phaco power was set at 35%, with an aspiration flow rate of 35 mL/min and a vacuum level of 350 mmHg. This approach allowed effective nuclear fragmentation while maintaining good chamber stability and minimizing ultrasonic energy exposure to the corneal endothelium.",
        "Methods": "Case Presentation\n51-year-old male\nVisual acuity: counting fingers at 50 cm\nNo systemic comorbidities\nIntraocular pressure: 28 mmHg\nAnterior segment: white cataract\nPosterior segment: no detected pathology",
        "Conclusions": "Take-Home Messages\n\nWhite cataracts represent a spectrum, ranging from dense to intumescent types.\n\nProper identification of cataract type is essential for safe surgical planning.\n\nNeedle decompression and controlled capsulorrhexis reduce the risk of radial tears in intumescent cataracts.\n\nMechanical nuclear fragmentation with optimized phaco settings minimizes endothelial and thermal damage.\n\nIOL implantation under irrigation, without OVD, helps maintain chamber stability and reduces early postoperative IOP spikes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Take-Home Messages White cataracts represent a spectrum, ranging from dense to intumescent types. Proper identification of cataract type is essential for safe surgical planning. Needle decompression and controlled capsulorrhexis reduce the risk of radial tears in intumescent cataracts. Mechanical nuclear fragmentation with optimized phaco settings minimizes endothelial and thermal damage. IOL implantation under…",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 170,
      "source_fields": {
        "Abstract Final Identifier": "POCAT126",
        "Title": "Hydration Assisted Iol Implantation Instead Of Viscoelastic Material In Cataract Surgery",
        "Presenting Author(s)": "Islam Zayed",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Islam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zayed",
        "Country Name": "Egypt",
        "Purpose": "Continuous irrigation maintains a stable and well-formed anterior chamber while allowing controlled IOL delivery into the capsular bag. Avoiding viscoelastic eliminates the risk of retained OVD, which is a known cause of early postoperative intraocular pressure spikes—particularly relevant in eyes with pre-existing elevated IOP or intumescent cataracts. This technique also reduces surgical time, minimizes the need for additional aspiration, and ensures a cleaner capsular bag at the conclusion of surgery. Overall, irrigation-assisted IOL implantation can contribute to improved immediate postoperative pressure control and faster visual recovery.",
        "Setting": "Phacoemulsification was performed in linear phaco mode using a phaco-chop technique with a second instrument and chopper to mechanically fragment the cataract nucleus. Phaco power was set at 35%, with an aspiration flow rate of 35 mL/min and a vacuum level of 350 mmHg. This approach allowed effective nuclear fragmentation while maintaining good chamber stability and minimizing ultrasonic energy exposure to the corneal endothelium.",
        "Methods": "Case Presentation\n51-year-old male\nVisual acuity: counting fingers at 50 cm\nNo systemic comorbidities\nIntraocular pressure: 28 mmHg\nAnterior segment: white cataract\nPosterior segment: no detected pathology",
        "Results": "",
        "Conclusions": "Take-Home Messages\n\nWhite cataracts represent a spectrum, ranging from dense to intumescent types.\n\nProper identification of cataract type is essential for safe surgical planning.\n\nNeedle decompression and controlled capsulorrhexis reduce the risk of radial tears in intumescent cataracts.\n\nMechanical nuclear fragmentation with optimized phaco settings minimizes endothelial and thermal damage.\n\nIOL implantation under irrigation, without OVD, helps maintain chamber stability and reduces early postoperative IOP spikes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "POCAT127",
      "abstract_number": "POCAT127",
      "title": "Nd꞉Yag Laser Anterior Capsulotomy\nFor Management Of Anterior Capsule Fibrosis꞉\nClinical Case Review\nPurpose\nTo Evaluate The Efficacy And Safety Of Nd꞉Yag Laser Anterior Capsulotomy",
      "authors": "Dr Olesia Ziiatdinova",
      "presenter": "Dr Olesia Ziiatdinova",
      "normalized_authors": [
        "Olesia Ziiatdinova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Olesia Ziiatdinova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of Nd꞉YAG laser anterior capsulotomy\n\nin the management of anterior capsule fibrosis.",
        "Setting": "A retrospective review was conducted of 10 eyes implanted with monofocal or trifocal intraocular\n\nlenses that developed clinically significant anterior capsule contraction 3–6 months after uncomplicated phacoemulsification.\n\nAll patients underwent Nd꞉YAG laser anterior capsulotomy under pharmacologic mydriasis, using pulse energies of 1.3–1.5 mJ.\n\nTwo patients required a second capsulotomy session 1 month after the initial treatment to further enlarge the capsular openi",
        "Methods": "At the 1-year follow-up, all patients demonstrated stable visual outcomes with no recurrence of anterior capsular fibrosis. Both uncorrected (UCVA) and best-corrected visual acuity (BCVA) improved by 1–2 lines at 1 month post-procedure.\n\nNo intraoperative or postoperative complications were observed",
        "Conclusions": "Nd꞉YAG laser anterior capsulotomy is an effective, safe, and minimally invasive treatment\n\nfor anterior capsule fibrosis, providing sustained visual improvement\n\nand preventing further capsular contracture progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Nd꞉YAG laser anterior capsulotomy is an effective, safe, and minimally invasive treatment for anterior capsule fibrosis, providing sustained visual improvement and preventing further capsular contracture progression.",
      "session_type": "ePoster",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 171,
      "source_fields": {
        "Abstract Final Identifier": "POCAT127",
        "Title": "Nd꞉Yag Laser Anterior Capsulotomy\nFor Management Of Anterior Capsule Fibrosis꞉\nClinical Case Review\nPurpose\nTo Evaluate The Efficacy And Safety Of Nd꞉Yag Laser Anterior Capsulotomy",
        "Presenting Author(s)": "Dr Olesia Ziiatdinova",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Olesia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ziiatdinova",
        "Country Name": "China",
        "Purpose": "To evaluate the efficacy and safety of Nd꞉YAG laser anterior capsulotomy\n\nin the management of anterior capsule fibrosis.",
        "Setting": "A retrospective review was conducted of 10 eyes implanted with monofocal or trifocal intraocular\n\nlenses that developed clinically significant anterior capsule contraction 3–6 months after uncomplicated phacoemulsification.\n\nAll patients underwent Nd꞉YAG laser anterior capsulotomy under pharmacologic mydriasis, using pulse energies of 1.3–1.5 mJ.\n\nTwo patients required a second capsulotomy session 1 month after the initial treatment to further enlarge the capsular openi",
        "Methods": "At the 1-year follow-up, all patients demonstrated stable visual outcomes with no recurrence of anterior capsular fibrosis. Both uncorrected (UCVA) and best-corrected visual acuity (BCVA) improved by 1–2 lines at 1 month post-procedure.\n\nNo intraoperative or postoperative complications were observed",
        "Results": "",
        "Conclusions": "Nd꞉YAG laser anterior capsulotomy is an effective, safe, and minimally invasive treatment\n\nfor anterior capsule fibrosis, providing sustained visual improvement\n\nand preventing further capsular contracture progression."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 154
    },
    {
      "uid": "POCAT128",
      "abstract_number": "POCAT128",
      "title": "\"Comparative Analysis Of Clinical Features And Surgical Outcomes Of Post-Traumatic Cataract In Pediatric And Adult Patients: A Prospective Study From A Tertiary Eye Care Center In India\"",
      "authors": "Dr Nikhil Agrawal",
      "presenter": "Dr Nikhil Agrawal",
      "normalized_authors": [
        "Nikhil Agrawal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikhil Agrawal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "This study aims to evaluate the surgical and visual outcomes of post-traumatic cataract management, highlighting the morphological spectrum, intraoperative challenges, and IOL preferences in the Indian subcontinent",
        "Setting": "Tertiary Eye Hospital In western India",
        "Methods": "Methods:\nA prospective observational study was conducted at AIIMS Jodhpur over 18 months, enrolling 108 patients with post-traumatic cataracts—38 patients ≤18 years and 70 patients >18 years. Clinical data were recorded, including age, sex, cause and type of trauma, preoperative and postoperative best-corrected visual acuity (BCVA), intraoperative challenges, complications, and final lens status. Data were analyzed and compared between the two age groups using appropriate statistical tests.",
        "Results": "Wooden stick injuries were the most common cause across both age groups, followed by firecracker-related injuries in children. Open globe injuries were more frequent in children (63.2%) than adults (61.4%). Preoperatively, over 85% of both groups had BCVA worse than 6/60. Postoperatively, 52.6% of children and 65.7% of adults achieved BCVA ≥6/60. Intraoperative complications such as anterior capsular rupture and poor visibility due to corneal scarring were more prevalent in children. Amblyopia significantly limited visual recovery in pediatric patients.",
        "Conclusions": "Traumatic cataracts demand prompt, skillful surgical intervention and comprehensive rehabilitation. Pediatric cases present with higher complication rates and poorer visual prognosis, primarily due to amblyopia. Early detection and tailored management strategies are vital for optimizing outcomes, especially in children."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Traumatic cataracts demand prompt, skillful surgical intervention and comprehensive rehabilitation. Pediatric cases present with higher complication rates and poorer visual prognosis, primarily due to amblyopia. Early detection and tailored management strategies are vital for optimizing outcomes, especially in children.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 172,
      "source_fields": {
        "Abstract Final Identifier": "POCAT128",
        "Title": "\"Comparative Analysis Of Clinical Features And Surgical Outcomes Of Post-Traumatic Cataract In Pediatric And Adult Patients: A Prospective Study From A Tertiary Eye Care Center In India\"",
        "Presenting Author(s)": "Dr Nikhil Agrawal",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Nikhil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agrawal",
        "Country Name": "India",
        "Purpose": "This study aims to evaluate the surgical and visual outcomes of post-traumatic cataract management, highlighting the morphological spectrum, intraoperative challenges, and IOL preferences in the Indian subcontinent",
        "Setting": "Tertiary Eye Hospital In western India",
        "Methods": "Methods:\nA prospective observational study was conducted at AIIMS Jodhpur over 18 months, enrolling 108 patients with post-traumatic cataracts—38 patients ≤18 years and 70 patients >18 years. Clinical data were recorded, including age, sex, cause and type of trauma, preoperative and postoperative best-corrected visual acuity (BCVA), intraoperative challenges, complications, and final lens status. Data were analyzed and compared between the two age groups using appropriate statistical tests.",
        "Results": "Wooden stick injuries were the most common cause across both age groups, followed by firecracker-related injuries in children. Open globe injuries were more frequent in children (63.2%) than adults (61.4%). Preoperatively, over 85% of both groups had BCVA worse than 6/60. Postoperatively, 52.6% of children and 65.7% of adults achieved BCVA ≥6/60. Intraoperative complications such as anterior capsular rupture and poor visibility due to corneal scarring were more prevalent in children. Amblyopia significantly limited visual recovery in pediatric patients.",
        "Conclusions": "Traumatic cataracts demand prompt, skillful surgical intervention and comprehensive rehabilitation. Pediatric cases present with higher complication rates and poorer visual prognosis, primarily due to amblyopia. Early detection and tailored management strategies are vital for optimizing outcomes, especially in children."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCAT129",
      "abstract_number": "POCAT129",
      "title": "Transitioning From Virtual To Real; Bridging The Gap Between Simulation Training And Live Surgery.",
      "authors": "Dr Chetankumar Vilas Ahiwalay",
      "presenter": "Dr Chetankumar Vilas Ahiwalay",
      "normalized_authors": [
        "Chetankumar Vilas Ahiwalay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chetankumar Vilas Ahiwalay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Virtual reality simulation-based training offers a novel approach in cataract surgery, enabling learners to practice in a controlled environment without risking patient safety.\n\nDespite advances in simulation technology and growing acceptance, transitioning to live surgeries remains challenging due to differences between virtual and real-world conditions.\n\nThis study systematically evaluates patterns, strategies, and outcomes of simulation use in ophthalmic surgical training for MSICS across 3 leading high-volume tertiary eye care training hospitals in India. By addressing standardization gaps, the findings could guide policymakers in developing safer training protocols.",
        "Setting": "This is a multi-centre, cross-sectional observational study with a mixed-methods approach.\n\nKey research questions:\n1) Pattern of simulation integration (structured/random practice? Simulator ± wet labs? Duration? Stage introduced?)\n2) Strategies for safe transition from simulation to live surgery?\n3) Average surgeries needed for independence?\n4) Complication rate in initial 30 surgeries?",
        "Methods": "Research teams visited each of the three eye surgery training institutes to collect:\n\n• Demographics: Hospital type, number of trainees, available simulators.\n\n1) Auto-generated simulation reports on days/hours/modules practiced, competency achievement in assessments, wet lab use (+/-), and introduction stage (e.g., PGY1-3).\n\n2) Open-ended questions on strategies for safe transition from simulation to live surgery (e.g., supervised stepwise progression, competency assessments, mentorship).\n\n3) Self-reported or log-based average surgeries to independence.\n\n4) Surgical log review for complications (e.g., posterior capsule rupture, vitreous loss) in trainees' first 30 cases.",
        "Results": "1. Structured simulation-based training varied across the three institutes: from a standardized intensive 4-day curriculum to opportunistic ad hoc sessions on selected components, often supplemented by deliberate practice after live cases to reinforce skills.\n\n2. In all institutes, transition to independent live surgery followed a progressive supervised model with graded increases in responsibility and autonomy under direct faculty supervision.\n\n3. Trainees typically required an average of 20-25 supervised live cases to achieve readiness for independent practice (no mandatory attending intervention).\n\n4. Intraoperative complication rates in simulation-trained trainees appeared lower than literature rates for novices without such training.",
        "Conclusions": "Optimal preparation for live surgery is likely enhanced by comprehensive use of available simulation modalities and progression to predefined competency benchmarks on the simulator before starting live cases. This approach may accelerate skill acquisition, shorten the operating room learning curve, and support safer trainee introduction to unsupervised or semi-independent practice.\n\nThese findings highlight the value of deliberate, simulation-augmented training in surgical education. However, they stem from descriptive, multi-institutional observations without randomized controls or adjusted statistical analyses. Further prospective, controlled studies are needed to quantify simulation’s independent effect on complication reduction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Optimal preparation for live surgery is likely enhanced by comprehensive use of available simulation modalities and progression to predefined competency benchmarks on the simulator before starting live cases. This approach may accelerate skill acquisition, shorten the operating room learning curve, and support safer trainee introduction to unsupervised or semi-independent practice. These findings highlight the…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 173,
      "source_fields": {
        "Abstract Final Identifier": "POCAT129",
        "Title": "Transitioning From Virtual To Real; Bridging The Gap Between Simulation Training And Live Surgery.",
        "Presenting Author(s)": "Dr Chetankumar Vilas Ahiwalay",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Chetankumar",
        "Submitter Middle Name": "Vilas",
        "Submitter Last Name": "Ahiwalay",
        "Country Name": "India",
        "Purpose": "Virtual reality simulation-based training offers a novel approach in cataract surgery, enabling learners to practice in a controlled environment without risking patient safety.\n\nDespite advances in simulation technology and growing acceptance, transitioning to live surgeries remains challenging due to differences between virtual and real-world conditions.\n\nThis study systematically evaluates patterns, strategies, and outcomes of simulation use in ophthalmic surgical training for MSICS across 3 leading high-volume tertiary eye care training hospitals in India. By addressing standardization gaps, the findings could guide policymakers in developing safer training protocols.",
        "Setting": "This is a multi-centre, cross-sectional observational study with a mixed-methods approach.\n\nKey research questions:\n1) Pattern of simulation integration (structured/random practice? Simulator ± wet labs? Duration? Stage introduced?)\n2) Strategies for safe transition from simulation to live surgery?\n3) Average surgeries needed for independence?\n4) Complication rate in initial 30 surgeries?",
        "Methods": "Research teams visited each of the three eye surgery training institutes to collect:\n\n• Demographics: Hospital type, number of trainees, available simulators.\n\n1) Auto-generated simulation reports on days/hours/modules practiced, competency achievement in assessments, wet lab use (+/-), and introduction stage (e.g., PGY1-3).\n\n2) Open-ended questions on strategies for safe transition from simulation to live surgery (e.g., supervised stepwise progression, competency assessments, mentorship).\n\n3) Self-reported or log-based average surgeries to independence.\n\n4) Surgical log review for complications (e.g., posterior capsule rupture, vitreous loss) in trainees' first 30 cases.",
        "Results": "1. Structured simulation-based training varied across the three institutes: from a standardized intensive 4-day curriculum to opportunistic ad hoc sessions on selected components, often supplemented by deliberate practice after live cases to reinforce skills.\n\n2. In all institutes, transition to independent live surgery followed a progressive supervised model with graded increases in responsibility and autonomy under direct faculty supervision.\n\n3. Trainees typically required an average of 20-25 supervised live cases to achieve readiness for independent practice (no mandatory attending intervention).\n\n4. Intraoperative complication rates in simulation-trained trainees appeared lower than literature rates for novices without such training.",
        "Conclusions": "Optimal preparation for live surgery is likely enhanced by comprehensive use of available simulation modalities and progression to predefined competency benchmarks on the simulator before starting live cases. This approach may accelerate skill acquisition, shorten the operating room learning curve, and support safer trainee introduction to unsupervised or semi-independent practice.\n\nThese findings highlight the value of deliberate, simulation-augmented training in surgical education. However, they stem from descriptive, multi-institutional observations without randomized controls or adjusted statistical analyses. Further prospective, controlled studies are needed to quantify simulation’s independent effect on complication reduction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 415
    },
    {
      "uid": "POCAT130",
      "abstract_number": "POCAT130",
      "title": "Impact Of Phacoemulsification On Pre-Existing Vitreomacular Traction: A Prospective Study.",
      "authors": "Ms Tsilingiri Aikaterini",
      "presenter": "Ms Tsilingiri Aikaterini",
      "normalized_authors": [
        "Tsilingiri Aikaterini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tsilingiri Aikaterini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To compare the preoperative and postoperative status of vitreomacular traction (VMT) in phakic patients with pre-existing VMT undergoing phacoemulsification. The aim is to assess whether cataract surgery has an influence on the course of VMT, including persistence, spontaneous release, or progression.",
        "Setting": "Second Department of Ophthalmology, General Hospital Papageorgiou",
        "Methods": "In this prospective observational study, phakic patients with OCT-confirmed VMT scheduled for routine phacoemulsification with intraocular lens implantation are consecutively enrolled. All patients preoperatively undergo a comprehensive ophthalmic examination, including best-corrected visual acuity (BCVA), evaluation of metamorphopsia based on clinical history and Amsler tests, and imaging with spectral-domain OCT imaging.\n\nThe follow up is performed at 1 week, 1 month, and 3 months postoperatively. OCT assessment includes evaluation of posterior hyaloids adhesion at the posterior pole, the presence of VMT and measurement of the maximum length of the vitreoretinal adhesion. In addition, changes at the Amsler test and the BCVA are monitored.",
        "Results": "Postoperative OCT follow-up is performed to identify whether VMT remains stable, resolves, or progresses after cataract surgery. The timing of any anatomical changes and their correlation to baseline OCT characteristics is being evaluated in order to identify possible patterns during the early and intermediate postoperative period.",
        "Conclusions": "Phacoemulsification may modify the mechanical dynamics at the vitreomacular interface in eyes with pre-existing VMT. Systematic preoperative identification and structured postoperative OCT monitoring may improve understanding of VMT behavior after cataract surgery and contribute to informed surgical planning and patient counseling."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification may modify the mechanical dynamics at the vitreomacular interface in eyes with pre-existing VMT. Systematic preoperative identification and structured postoperative OCT monitoring may improve understanding of VMT behavior after cataract surgery and contribute to informed surgical planning and patient counseling.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 174,
      "source_fields": {
        "Abstract Final Identifier": "POCAT130",
        "Title": "Impact Of Phacoemulsification On Pre-Existing Vitreomacular Traction: A Prospective Study.",
        "Presenting Author(s)": "Ms Tsilingiri Aikaterini",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Tsilingiri",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aikaterini",
        "Country Name": "Greece",
        "Purpose": "To compare the preoperative and postoperative status of vitreomacular traction (VMT) in phakic patients with pre-existing VMT undergoing phacoemulsification. The aim is to assess whether cataract surgery has an influence on the course of VMT, including persistence, spontaneous release, or progression.",
        "Setting": "Second Department of Ophthalmology, General Hospital Papageorgiou",
        "Methods": "In this prospective observational study, phakic patients with OCT-confirmed VMT scheduled for routine phacoemulsification with intraocular lens implantation are consecutively enrolled. All patients preoperatively undergo a comprehensive ophthalmic examination, including best-corrected visual acuity (BCVA), evaluation of metamorphopsia based on clinical history and Amsler tests, and imaging with spectral-domain OCT imaging.\n\nThe follow up is performed at 1 week, 1 month, and 3 months postoperatively. OCT assessment includes evaluation of posterior hyaloids adhesion at the posterior pole, the presence of VMT and measurement of the maximum length of the vitreoretinal adhesion. In addition, changes at the Amsler test and the BCVA are monitored.",
        "Results": "Postoperative OCT follow-up is performed to identify whether VMT remains stable, resolves, or progresses after cataract surgery. The timing of any anatomical changes and their correlation to baseline OCT characteristics is being evaluated in order to identify possible patterns during the early and intermediate postoperative period.",
        "Conclusions": "Phacoemulsification may modify the mechanical dynamics at the vitreomacular interface in eyes with pre-existing VMT. Systematic preoperative identification and structured postoperative OCT monitoring may improve understanding of VMT behavior after cataract surgery and contribute to informed surgical planning and patient counseling."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POCAT131",
      "abstract_number": "POCAT131",
      "title": "Pseudoexfoliation Syndrome (Pxf) In Omani Patients Undergoing Cataract Surgery",
      "authors": "Dr Hajar Mohammed Al-Aamri",
      "presenter": "Dr Hajar Mohammed Al-Aamri",
      "normalized_authors": [
        "Hajar Mohammed Al-Aamri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hajar Mohammed Al-Aamri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Oman",
      "sections": {
        "Purpose": "OBJECTIVES:\n\nPRIMARY OBJECTIVE:\n\n• To investigate the prevalence and complications of pseudoexfoliation syndrome, among Omani patients undergoing cataract surgery presenting at Al Nahda Hospital.\n\nSECONDARY OBJECTIVE:\n\n• To describe the relation of glaucoma to pseudoexfoliation syndrome.\n\n• To find out the complications associated with PXF in patients undergoing cataract surgery.",
        "Setting": "All Omani patients aged 40 years or older, who underwent cataract surgery from the first of January 2023 till the end of June 2023 at Al-Nahda hospital (ANH)",
        "Methods": "A retrospective descriptive study",
        "Results": "• 600 eyes (578 patients) were enrolled in the study.\n\n• In this study, we found that out of 600 eyes (578 patients), 556 patients were operated in unilateral eye, and 22 patients were operated bilaterally.\n\n• Out of 578 patients, 70 patients had PXF syndrome.\n\n• The prevalence of pseudoexfoliation among 578 patients was 12.1% (95% CI = 9.56% - 15.05%).\n\n• The study found that PXF was more common among female patients 49 compared to male patients 21.",
        "Conclusions": "•This study is the first in Oman to report the prevalence of PXF in patients undergoing cataract surgery.\n•Pseudoexfoliation in undergoing cataract surgery patients in the Omani population is a common occurrence with a prevalence of 12.1%.\n•PXF syndrome poses significant challenges in cataract surgery, with increased risks of intraoperative and postoperative complications.\n•This study will help in bridging the gaps in knowledge and help in the prevention of complications associated with PXF as well as resource allocation to try to manage such patients safely."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "•This study is the first in Oman to report the prevalence of PXF in patients undergoing cataract surgery. •Pseudoexfoliation in undergoing cataract surgery patients in the Omani population is a common occurrence with a prevalence of 12.1%. •PXF syndrome poses significant challenges in cataract surgery, with increased risks of intraoperative and postoperative complications. •This study will help in bridging the gaps…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 175,
      "source_fields": {
        "Abstract Final Identifier": "POCAT131",
        "Title": "Pseudoexfoliation Syndrome (Pxf) In Omani Patients Undergoing Cataract Surgery",
        "Presenting Author(s)": "Dr Hajar Mohammed Al-Aamri",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hajar",
        "Submitter Middle Name": "Mohammed",
        "Submitter Last Name": "Al-Aamri",
        "Country Name": "Oman",
        "Purpose": "OBJECTIVES:\n\nPRIMARY OBJECTIVE:\n\n• To investigate the prevalence and complications of pseudoexfoliation syndrome, among Omani patients undergoing cataract surgery presenting at Al Nahda Hospital.\n\nSECONDARY OBJECTIVE:\n\n• To describe the relation of glaucoma to pseudoexfoliation syndrome.\n\n• To find out the complications associated with PXF in patients undergoing cataract surgery.",
        "Setting": "All Omani patients aged 40 years or older, who underwent cataract surgery from the first of January 2023 till the end of June 2023 at Al-Nahda hospital (ANH)",
        "Methods": "A retrospective descriptive study",
        "Results": "• 600 eyes (578 patients) were enrolled in the study.\n\n• In this study, we found that out of 600 eyes (578 patients), 556 patients were operated in unilateral eye, and 22 patients were operated bilaterally.\n\n• Out of 578 patients, 70 patients had PXF syndrome.\n\n• The prevalence of pseudoexfoliation among 578 patients was 12.1% (95% CI = 9.56% - 15.05%).\n\n• The study found that PXF was more common among female patients 49 compared to male patients 21.",
        "Conclusions": "•This study is the first in Oman to report the prevalence of PXF in patients undergoing cataract surgery.\n•Pseudoexfoliation in undergoing cataract surgery patients in the Omani population is a common occurrence with a prevalence of 12.1%.\n•PXF syndrome poses significant challenges in cataract surgery, with increased risks of intraoperative and postoperative complications.\n•This study will help in bridging the gaps in knowledge and help in the prevention of complications associated with PXF as well as resource allocation to try to manage such patients safely."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "POCAT132",
      "abstract_number": "POCAT132",
      "title": "The Decisive Role Of Handheld Erg (Reteval) In Pre-Operative Cataract Assessment: A Grand Synthesis",
      "authors": "Dr Hussein Almuhtaseb",
      "presenter": "Dr Hussein Almuhtaseb",
      "normalized_authors": [
        "Hussein Almuhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hussein Almuhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To evaluate the utility of handheld electroretinography (ERG) using the RETeval device in the pre-operative assessment of cataract patients, particularly in complex cases involving dense cataracts with no fundal view, and to guide intraocular lens (IOL) selection.",
        "Setting": "A tertiary referral ophthalmology center.",
        "Methods": "A retrospective review of complex cataract cases where pre-operative assessment was challenging due to dense media opacities. All patients underwent pre-operative assessment with the RETeval handheld ERG system. Flicker ERG and photopic negative response (PhNR) were recorded. The decision to proceed with surgery was correlated with the ERG findings.",
        "Results": "In cases of dense cataracts where fundal view was obscured, the RETeval ERG provided objective, quantitative data on retinal function. Normal ERG responses were predictive of good post-operative visual outcomes, reassuring both the surgeon and patient to proceed with surgery. In patients with underlying retinal pathology, such as diabetic retinopathy or inherited retinal dystrophies, the ERG helped to manage expectations and guide IOL selection, often favoring monofocal lenses. The PhNR was particularly useful in assessing ganglion cell function in patients with co-existing glaucoma. The RETeval DR score was a valuable tool for risk stratification in diabetic patients.",
        "Conclusions": "Handheld ERG is an indispensable tool in the pre-operative assessment of complex cataract cases. It provides objective functional data that can penetrate dense media opacities, predict post-operative visual outcomes, and guide IOL selection. The integration of RETeval ERG into routine clinical practice can enhance patient selection, manage expectations, and optimize surgical outcomes in cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Handheld ERG is an indispensable tool in the pre-operative assessment of complex cataract cases. It provides objective functional data that can penetrate dense media opacities, predict post-operative visual outcomes, and guide IOL selection. The integration of RETeval ERG into routine clinical practice can enhance patient selection, manage expectations, and optimize surgical outcomes in cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 176,
      "source_fields": {
        "Abstract Final Identifier": "POCAT132",
        "Title": "The Decisive Role Of Handheld Erg (Reteval) In Pre-Operative Cataract Assessment: A Grand Synthesis",
        "Presenting Author(s)": "Dr Hussein Almuhtaseb",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hussein",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Almuhtaseb",
        "Country Name": "Qatar",
        "Purpose": "To evaluate the utility of handheld electroretinography (ERG) using the RETeval device in the pre-operative assessment of cataract patients, particularly in complex cases involving dense cataracts with no fundal view, and to guide intraocular lens (IOL) selection.",
        "Setting": "A tertiary referral ophthalmology center.",
        "Methods": "A retrospective review of complex cataract cases where pre-operative assessment was challenging due to dense media opacities. All patients underwent pre-operative assessment with the RETeval handheld ERG system. Flicker ERG and photopic negative response (PhNR) were recorded. The decision to proceed with surgery was correlated with the ERG findings.",
        "Results": "In cases of dense cataracts where fundal view was obscured, the RETeval ERG provided objective, quantitative data on retinal function. Normal ERG responses were predictive of good post-operative visual outcomes, reassuring both the surgeon and patient to proceed with surgery. In patients with underlying retinal pathology, such as diabetic retinopathy or inherited retinal dystrophies, the ERG helped to manage expectations and guide IOL selection, often favoring monofocal lenses. The PhNR was particularly useful in assessing ganglion cell function in patients with co-existing glaucoma. The RETeval DR score was a valuable tool for risk stratification in diabetic patients.",
        "Conclusions": "Handheld ERG is an indispensable tool in the pre-operative assessment of complex cataract cases. It provides objective functional data that can penetrate dense media opacities, predict post-operative visual outcomes, and guide IOL selection. The integration of RETeval ERG into routine clinical practice can enhance patient selection, manage expectations, and optimize surgical outcomes in cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POCAT133",
      "abstract_number": "POCAT133",
      "title": "Anterior Segment Parameters As Predictors Of Intraoperative Management In Pseudoexfoliation Cataract Surgery: Associations With Phacoemulsification Metrics, And Complications",
      "authors": "Dr Dilara Altun",
      "presenter": "Dr Dilara Altun",
      "normalized_authors": [
        "Dilara Altun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dilara Altun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate intraoperative outcomes in pseudoexfoliation (PSX) cataract surgery and to identify preoperative corneal topography– and anterior segment–derived risk factors associated with phacoemulsification metrics, intraoperative management (capsular stabilization and pupil expansion), and intraoperative complications.",
        "Setting": "Single-center retrospective study conducted at the Department of Ophthalmology, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Türkiye.",
        "Methods": "This retrospective study included eyes with pseudoexfoliation syndrome (PSX) undergoing phacoemulsification cataract surgery. Preoperative and last follow-up assessments included optical biometry (Lenstar LS 900), corneal topography with Pentacam HR, specular microscopy, best-corrected visual acuity, autorefraction, and intraocular pressure measurement. Intraoperative phacoemulsification metrics (cumulative dissipated energy [CDE], total ultrasound time, aspiration time, total aspirated fluid volume, and total case time) were recorded. Intraoperative floppy iris syndrome (IFIS), iris ring use, capsular tension ring (CTR) implantation, and intraoperative complications were recorded from operative notes.",
        "Results": "A total of 136 PSX eyes were included (mean age:74.25±7.41 years).IFIS was observed in 51 (37.5%) cases.Iris ring and Y-hook were used in 25 (18.4%) and 17 (12.5%) cases.CTR was implanted in 19 (14.0%) cases and intraoperative complications occurred in 12 (8.8%) cases.Case time was 20.64±12.06 minutes and mean total CDE was 13.08±9.53.Mean ACD was 2.51 ± 0.44 mm.Deeper ACD was associated with greater phaco energy demand (p=0.0017) and longer ultrasound use (p=0.010).Very shallow ACD (<2.07 mm) was associated with higher CTR use (p=0.038).Although IFIS was not associated with higher CDE (p=0.094),it was significantly associated with increased iris ring use (p=0.001) and showed a trend toward higher intraoperative complications (p=0.060).",
        "Conclusions": "In our study, a deeper ACD was associated with higher CDE. This association may reflect case characteristics that increase energy demand in PSX eyes (e.g., cataract density) as well as underlying zonular weakness; in contrast, the need for a CTR, a more direct indicator of zonular instability, was more strongly associated with a very shallow ACD. In PSX cataract surgery, preoperative anterior segment morphometry may be a key predictor of intraoperative challenges."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In our study, a deeper ACD was associated with higher CDE. This association may reflect case characteristics that increase energy demand in PSX eyes (e.g., cataract density) as well as underlying zonular weakness; in contrast, the need for a CTR, a more direct indicator of zonular instability, was more strongly associated with a very shallow ACD. In PSX cataract surgery, preoperative anterior segment morphometry…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 177,
      "source_fields": {
        "Abstract Final Identifier": "POCAT133",
        "Title": "Anterior Segment Parameters As Predictors Of Intraoperative Management In Pseudoexfoliation Cataract Surgery: Associations With Phacoemulsification Metrics, And Complications",
        "Presenting Author(s)": "Dr Dilara Altun",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Dilara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Altun",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate intraoperative outcomes in pseudoexfoliation (PSX) cataract surgery and to identify preoperative corneal topography– and anterior segment–derived risk factors associated with phacoemulsification metrics, intraoperative management (capsular stabilization and pupil expansion), and intraoperative complications.",
        "Setting": "Single-center retrospective study conducted at the Department of Ophthalmology, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Türkiye.",
        "Methods": "This retrospective study included eyes with pseudoexfoliation syndrome (PSX) undergoing phacoemulsification cataract surgery. Preoperative and last follow-up assessments included optical biometry (Lenstar LS 900), corneal topography with Pentacam HR, specular microscopy, best-corrected visual acuity, autorefraction, and intraocular pressure measurement. Intraoperative phacoemulsification metrics (cumulative dissipated energy [CDE], total ultrasound time, aspiration time, total aspirated fluid volume, and total case time) were recorded. Intraoperative floppy iris syndrome (IFIS), iris ring use, capsular tension ring (CTR) implantation, and intraoperative complications were recorded from operative notes.",
        "Results": "A total of 136 PSX eyes were included (mean age:74.25±7.41 years).IFIS was observed in 51 (37.5%) cases.Iris ring and Y-hook were used in 25 (18.4%) and 17 (12.5%) cases.CTR was implanted in 19 (14.0%) cases and intraoperative complications occurred in 12 (8.8%) cases.Case time was 20.64±12.06 minutes and mean total CDE was 13.08±9.53.Mean ACD was 2.51 ± 0.44 mm.Deeper ACD was associated with greater phaco energy demand (p=0.0017) and longer ultrasound use (p=0.010).Very shallow ACD (<2.07 mm) was associated with higher CTR use (p=0.038).Although IFIS was not associated with higher CDE (p=0.094),it was significantly associated with increased iris ring use (p=0.001) and showed a trend toward higher intraoperative complications (p=0.060).",
        "Conclusions": "In our study, a deeper ACD was associated with higher CDE. This association may reflect case characteristics that increase energy demand in PSX eyes (e.g., cataract density) as well as underlying zonular weakness; in contrast, the need for a CTR, a more direct indicator of zonular instability, was more strongly associated with a very shallow ACD. In PSX cataract surgery, preoperative anterior segment morphometry may be a key predictor of intraoperative challenges."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "POCAT134",
      "abstract_number": "POCAT134",
      "title": "Cannula Detachment – An Avoidable Complication With Significant Harm And Health Economic Costs",
      "authors": "Dr Amar Alwitry",
      "presenter": "Dr Amar Alwitry",
      "normalized_authors": [
        "Amar Alwitry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amar Alwitry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cataract surgery is an inherently safe procedure. The use of Luer lock syringes is standard practice however, despite that ocular harm is still occurring due to the cannula detaching from the syringe into the eye, damaging ocular structures and resulting in visual loss or even blindness. This has been reported extensively in the literature and has been the subject of two recent safety alerts by the Royal College of Ophthalmologists in England. We assess the world literature and detail the issue, the causes, the health economic impact and the potential solutions.",
        "Setting": "Review article.",
        "Methods": "The world literature is assessed and current and future potential solutions are discussed.",
        "Results": "A recent survey facilitated by the ESCRS found that this complication happens quite frequently. Five hundred and fifty-five eye surgeons responded. 84% of respondents had experienced dislocation of the cannula during an intraocular procedure. 78% had seen episodes of harm; 50% said that the last time it occurred there was ocular damage. 38% said it occurred on average twice per year, 16% 3 times per year, and 7% stated that it occurred 4 or more times per year. In excess of $200M per year worldwide is wasted on legal fees due to this avoidable complication. There is also a cost in managing the complications with additional costs of $4,663 to treat per patient with an additional workdwide healthcare spend of $932M per year.",
        "Conclusions": "This is a significant problem and an avoidable cause of visual loss. There are significant health economic costs associated with this complication. Current solutions are inadequate and there is a need for more recognition of this issue and the development of devices to abolish this complication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is a significant problem and an avoidable cause of visual loss. There are significant health economic costs associated with this complication. Current solutions are inadequate and there is a need for more recognition of this issue and the development of devices to abolish this complication.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 178,
      "source_fields": {
        "Abstract Final Identifier": "POCAT134",
        "Title": "Cannula Detachment – An Avoidable Complication With Significant Harm And Health Economic Costs",
        "Presenting Author(s)": "Dr Amar Alwitry",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Amar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alwitry",
        "Country Name": "United Kingdom",
        "Purpose": "Cataract surgery is an inherently safe procedure. The use of Luer lock syringes is standard practice however, despite that ocular harm is still occurring due to the cannula detaching from the syringe into the eye, damaging ocular structures and resulting in visual loss or even blindness. This has been reported extensively in the literature and has been the subject of two recent safety alerts by the Royal College of Ophthalmologists in England. We assess the world literature and detail the issue, the causes, the health economic impact and the potential solutions.",
        "Setting": "Review article.",
        "Methods": "The world literature is assessed and current and future potential solutions are discussed.",
        "Results": "A recent survey facilitated by the ESCRS found that this complication happens quite frequently. Five hundred and fifty-five eye surgeons responded. 84% of respondents had experienced dislocation of the cannula during an intraocular procedure. 78% had seen episodes of harm; 50% said that the last time it occurred there was ocular damage. 38% said it occurred on average twice per year, 16% 3 times per year, and 7% stated that it occurred 4 or more times per year. In excess of $200M per year worldwide is wasted on legal fees due to this avoidable complication. There is also a cost in managing the complications with additional costs of $4,663 to treat per patient with an additional workdwide healthcare spend of $932M per year.",
        "Conclusions": "This is a significant problem and an avoidable cause of visual loss. There are significant health economic costs associated with this complication. Current solutions are inadequate and there is a need for more recognition of this issue and the development of devices to abolish this complication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT135",
      "abstract_number": "POCAT135",
      "title": "The Glass Rod Technique: A New Method For Safe Removal Of Soemmering's Ring Fragments After Iol Explantation",
      "authors": "Dr Michael Arian Amon",
      "presenter": "Dr Michael Arian Amon",
      "normalized_authors": [
        "Michael Arian Amon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Arian Amon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To describe the Glass Rod T echnique for controlled, traction-sparing removal of rigid, calcified Soemmering’s ring remnants during IOL explantation when extraction with a vitrector or forceps is ineffective and posterior migration is a concern.",
        "Setting": "Department of Ophthalmology and Optometry, St. John’s Hospital, — Vienna, Austria.\n\nSigmund Freud Medical University, — Vienna, Austria.",
        "Methods": "We included five cases of IOL explantation for late IOL subluxation/dislocation. Inclusion criteria were rigid retained So emmering’s r ing fragments after IOL removal that could not be removed with the vitrector (neither aspirated nor cut) or with forceps . The technique combines a pars plana infusion port to es tablish a posterior-to-anterior fluid current with a hollow glass extraction tube introduced through the main incision (Geuder DMEK implantation cartridge). After targeted vitrectomy of vi treolenticular a dhesions, the fluid current guides fragments into the tu be's l umen, allowing extraction.",
        "Results": "In all five cases , calcified fragments that could neither be aspirated / cut , n or extracted , were removed completely. No fragment migrated posteriorly. R emoval was traction-free, and no intraoperative complications occurred.",
        "Conclusions": "Rigid, calcified Soemmering’s ring remnants are a common and frustrating problem during IOL explantation . I ncomplete control can lead to posterior loss . Additionally, forceps maneuvers pose traction risk if adhesions are present . In this case series, the Glass Rod T echnique provided a simple, reproducible way to remove such fragments in a controlled manner using readily available instrumentation. It represents a practical bailout when the vitrector and forceps are ineffective or when posterior loss is of concern ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Rigid, calcified Soemmering’s ring remnants are a common and frustrating problem during IOL explantation . I ncomplete control can lead to posterior loss . Additionally, forceps maneuvers pose traction risk if adhesions are present . In this case series, the Glass Rod T echnique provided a simple, reproducible way to remove such fragments in a controlled manner using readily available instrumentation. It represents…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 179,
      "source_fields": {
        "Abstract Final Identifier": "POCAT135",
        "Title": "The Glass Rod Technique: A New Method For Safe Removal Of Soemmering's Ring Fragments After Iol Explantation",
        "Presenting Author(s)": "Dr Michael Arian Amon",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Michael Arian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Amon",
        "Country Name": "Austria",
        "Purpose": "To describe the Glass Rod T echnique for controlled, traction-sparing removal of rigid, calcified Soemmering’s ring remnants during IOL explantation when extraction with a vitrector or forceps is ineffective and posterior migration is a concern.",
        "Setting": "Department of Ophthalmology and Optometry, St. John’s Hospital, — Vienna, Austria.\n\nSigmund Freud Medical University, — Vienna, Austria.",
        "Methods": "We included five cases of IOL explantation for late IOL subluxation/dislocation. Inclusion criteria were rigid retained So emmering’s r ing fragments after IOL removal that could not be removed with the vitrector (neither aspirated nor cut) or with forceps . The technique combines a pars plana infusion port to es tablish a posterior-to-anterior fluid current with a hollow glass extraction tube introduced through the main incision (Geuder DMEK implantation cartridge). After targeted vitrectomy of vi treolenticular a dhesions, the fluid current guides fragments into the tu be's l umen, allowing extraction.",
        "Results": "In all five cases , calcified fragments that could neither be aspirated / cut , n or extracted , were removed completely. No fragment migrated posteriorly. R emoval was traction-free, and no intraoperative complications occurred.",
        "Conclusions": "Rigid, calcified Soemmering’s ring remnants are a common and frustrating problem during IOL explantation . I ncomplete control can lead to posterior loss . Additionally, forceps maneuvers pose traction risk if adhesions are present . In this case series, the Glass Rod T echnique provided a simple, reproducible way to remove such fragments in a controlled manner using readily available instrumentation. It represents a practical bailout when the vitrector and forceps are ineffective or when posterior loss is of concern ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCAT136",
      "abstract_number": "POCAT136",
      "title": "Effect Of Autologous Serum Eye Drops In Patients With Contact Lens-Induced Limbal Stem Cell Deficiency: Clinical And Pentacam-Based Tomographic Outcomes",
      "authors": "Dr Dohyeon An",
      "presenter": "Dr Dohyeon An",
      "normalized_authors": [
        "Dohyeon An"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dohyeon An",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate clinical and tomographic outcomes of autologous serum eye drops (ASED) in patients with contact lens–induced limbal stem cell deficiency (LSCD) using consensus-based LSCD staging and Scheimpflug-derived corneal aberration parameters.",
        "Setting": "Retrospective study based on medical records, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.",
        "Methods": "This retrospective study included 14 eyes of 11 patients with contact lens–induced LSCD treated with ASED between 2017 and 2025. Primary outcomes were changes in best-corrected visual acuity (BCVA) and LSCD stage at 3 months. LSCD stage was graded according to the global consensus classification. Secondary outcomes included Scheimpflug-derived corneal aberrations measured using the Pentacam (OCULUS, Wetzlar, Germany), including Peak-to-Valley, root mean square (RMS) total aberration, RMS high-order aberration (HOA), vertical coma, and spherical aberration. Paired tests and generalized estimating equations were used.",
        "Results": "Mean BCVA improved from 0.65 ± 0.41 to 0.51 ± 0.46 logMAR at 3 months (mean change −0.14 ± 0.22; P = 0.032). BCVA improved in 64.3% of eyes. Median LSCD stage decreased from 5.0 (IQR 5.0–6.0) to 4.0 (IQR 1.0–5.0) (P = 0.0027), with improvement in 76.9% of eyes and no progression. Scheimpflug analysis demonstrated significant longitudinal reductions in Peak-to-Valley and absolute vertical coma (P < 0.05). RMS total and RMS HOA showed decreasing trends without statistical significance.",
        "Conclusions": "Autologous serum eye drops led to significant short-term improvement in visual acuity and consensus-based LSCD stage in contact lens–induced LSCD. Objective reductions in selected corneal aberration parameters suggest that Scheimpflug-derived metrics may serve as adjunctive tools for monitoring ocular surface recovery. ASED may represent an effective non-surgical therapeutic option in this potentially reversible condition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autologous serum eye drops led to significant short-term improvement in visual acuity and consensus-based LSCD stage in contact lens–induced LSCD. Objective reductions in selected corneal aberration parameters suggest that Scheimpflug-derived metrics may serve as adjunctive tools for monitoring ocular surface recovery. ASED may represent an effective non-surgical therapeutic option in this potentially reversible…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 180,
      "source_fields": {
        "Abstract Final Identifier": "POCAT136",
        "Title": "Effect Of Autologous Serum Eye Drops In Patients With Contact Lens-Induced Limbal Stem Cell Deficiency: Clinical And Pentacam-Based Tomographic Outcomes",
        "Presenting Author(s)": "Dr Dohyeon An",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Dohyeon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "An",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate clinical and tomographic outcomes of autologous serum eye drops (ASED) in patients with contact lens–induced limbal stem cell deficiency (LSCD) using consensus-based LSCD staging and Scheimpflug-derived corneal aberration parameters.",
        "Setting": "Retrospective study based on medical records, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.",
        "Methods": "This retrospective study included 14 eyes of 11 patients with contact lens–induced LSCD treated with ASED between 2017 and 2025. Primary outcomes were changes in best-corrected visual acuity (BCVA) and LSCD stage at 3 months. LSCD stage was graded according to the global consensus classification. Secondary outcomes included Scheimpflug-derived corneal aberrations measured using the Pentacam (OCULUS, Wetzlar, Germany), including Peak-to-Valley, root mean square (RMS) total aberration, RMS high-order aberration (HOA), vertical coma, and spherical aberration. Paired tests and generalized estimating equations were used.",
        "Results": "Mean BCVA improved from 0.65 ± 0.41 to 0.51 ± 0.46 logMAR at 3 months (mean change −0.14 ± 0.22; P = 0.032). BCVA improved in 64.3% of eyes. Median LSCD stage decreased from 5.0 (IQR 5.0–6.0) to 4.0 (IQR 1.0–5.0) (P = 0.0027), with improvement in 76.9% of eyes and no progression. Scheimpflug analysis demonstrated significant longitudinal reductions in Peak-to-Valley and absolute vertical coma (P < 0.05). RMS total and RMS HOA showed decreasing trends without statistical significance.",
        "Conclusions": "Autologous serum eye drops led to significant short-term improvement in visual acuity and consensus-based LSCD stage in contact lens–induced LSCD. Objective reductions in selected corneal aberration parameters suggest that Scheimpflug-derived metrics may serve as adjunctive tools for monitoring ocular surface recovery. ASED may represent an effective non-surgical therapeutic option in this potentially reversible condition."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCAT137",
      "abstract_number": "POCAT137",
      "title": "Comparative Assessment Of The Antibacterial Activity Of Ophthalmic Antibiotics",
      "authors": "Prof. Dr Marat Talgatovich Aznabaev",
      "presenter": "Prof. Dr Marat Talgatovich Aznabaev",
      "normalized_authors": [
        "Marat Talgatovich Aznabaev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marat Talgatovich Aznabaev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To investigate the sensitivity of Staphylococcus aureus to a number of topical ophthalmic antibacterial drugs.",
        "Setting": "The profile of antibiotic resistance in microorganisms varies in different regions, and is often influenced by local practices, drug prescriptions, epidemiological conditions, and the presence of hospital-acquired strains. The use of inactive antibiotics leads to reduced therapeutic effectiveness, longer treatment periods, increased risk of severe complications, decreased patient quality of life, and economic costs. The lack of recent regional data highlights the relevance of this study.",
        "Methods": "The study included 85 strains of Staphylococcus aureus selected from the laboratory database for 2024-2026. The study included a pathogenic strain of Staphylococcus aureus isolated from patients with clinically confirmed anterior eye infection. The exclusion criteria were mixed microflora and isolates from patients who received topical antibiotic therapy. We were used the matrix-assisted laser desorption/ionization mass spectrometry for identification of microorganizms. The sensitivity of pathogenic Staphylococcus aureus strains to the most commonly used antibiotics in ophthalmology, such as levomycetin, tobramycin, netilmycin, ciprofloxacin, levofloxacin, moxifloxacin and bezifloxacin, was analyzed using the disk-diffusion method.",
        "Results": "Antibiotics of the fluoroquinolone series showed the maximum activity against Staphylococcus aureus. The highest sensitivity was observed for moxifloxacin (growth inhibition zone 36±1.2 mm), bezifloxacin (33±0.8 mm) and levofloxacin (30±1.3 mm). Among aminoglycosides, high sensitivity was determined for netilmycin (25±0.9 mm), and moderate sensitivity was determined for tobramycin (18±1.4 mm). Low antibacterial activity was demonstrated by ciprofloxacin (15±1.1 mm) and levomycetin (11±2.2 mm), which may indicate a high prevalence of resistance to these drugs among the studied strains.",
        "Conclusions": "Moxifloxacin, levofloxacin and bezifloxacin demonstrate the highest effectiveness and can be recommended for the empirical treatment of inflammatory eye diseases of staphylococcal etiology. Aminoglycosides (netilmicin, tobramycin) retain clinical significance as an alternative or a component of combined therapy. The results are consistent with the global trend of increasing resistance and emphasize the need for rational antibiotic prescription based on current regional data and continuous monitoring."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Moxifloxacin, levofloxacin and bezifloxacin demonstrate the highest effectiveness and can be recommended for the empirical treatment of inflammatory eye diseases of staphylococcal etiology. Aminoglycosides (netilmicin, tobramycin) retain clinical significance as an alternative or a component of combined therapy. The results are consistent with the global trend of increasing resistance and emphasize the need for…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 181,
      "source_fields": {
        "Abstract Final Identifier": "POCAT137",
        "Title": "Comparative Assessment Of The Antibacterial Activity Of Ophthalmic Antibiotics",
        "Presenting Author(s)": "Prof. Dr Marat Talgatovich Aznabaev",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Marat",
        "Submitter Middle Name": "Talgatovich",
        "Submitter Last Name": "Aznabaev",
        "Country Name": "Russian Federation",
        "Purpose": "To investigate the sensitivity of Staphylococcus aureus to a number of topical ophthalmic antibacterial drugs.",
        "Setting": "The profile of antibiotic resistance in microorganisms varies in different regions, and is often influenced by local practices, drug prescriptions, epidemiological conditions, and the presence of hospital-acquired strains. The use of inactive antibiotics leads to reduced therapeutic effectiveness, longer treatment periods, increased risk of severe complications, decreased patient quality of life, and economic costs. The lack of recent regional data highlights the relevance of this study.",
        "Methods": "The study included 85 strains of Staphylococcus aureus selected from the laboratory database for 2024-2026. The study included a pathogenic strain of Staphylococcus aureus isolated from patients with clinically confirmed anterior eye infection. The exclusion criteria were mixed microflora and isolates from patients who received topical antibiotic therapy. We were used the matrix-assisted laser desorption/ionization mass spectrometry for identification of microorganizms. The sensitivity of pathogenic Staphylococcus aureus strains to the most commonly used antibiotics in ophthalmology, such as levomycetin, tobramycin, netilmycin, ciprofloxacin, levofloxacin, moxifloxacin and bezifloxacin, was analyzed using the disk-diffusion method.",
        "Results": "Antibiotics of the fluoroquinolone series showed the maximum activity against Staphylococcus aureus. The highest sensitivity was observed for moxifloxacin (growth inhibition zone 36±1.2 mm), bezifloxacin (33±0.8 mm) and levofloxacin (30±1.3 mm). Among aminoglycosides, high sensitivity was determined for netilmycin (25±0.9 mm), and moderate sensitivity was determined for tobramycin (18±1.4 mm). Low antibacterial activity was demonstrated by ciprofloxacin (15±1.1 mm) and levomycetin (11±2.2 mm), which may indicate a high prevalence of resistance to these drugs among the studied strains.",
        "Conclusions": "Moxifloxacin, levofloxacin and bezifloxacin demonstrate the highest effectiveness and can be recommended for the empirical treatment of inflammatory eye diseases of staphylococcal etiology. Aminoglycosides (netilmicin, tobramycin) retain clinical significance as an alternative or a component of combined therapy. The results are consistent with the global trend of increasing resistance and emphasize the need for rational antibiotic prescription based on current regional data and continuous monitoring."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCAT138",
      "abstract_number": "POCAT138",
      "title": "Ophthalmology During 1800S In Europe And Greece, Cataract, Plastics, Strabismus And Injuries With The Contribution Of Famous European And Greek Ophthalmologists, Challenge And Knowledge",
      "authors": "Dr Georgios N Balanikas",
      "presenter": "Dr Georgios N Balanikas",
      "normalized_authors": [
        "Georgios N Balanikas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Georgios N BALANIKAS",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "The present work constitutes a unique collection: a trilingual manual of Ophthalmology with part of the collective work ‘Handbuch Der Gesamten Augenhniheilkunde’ published in 1899 by Alfred von Gaefe, Theodor Saemisch, bound with the supplements of the Greek authors, G. Kostomiris, the French original manuscripts and publications of A. & K. Gavriilidou as well as indirectly of the Greek physicians (through Hirschberg) from antiquity and the Roman era to Byzantium.",
        "Setting": "The facts were took place in Europe and Greece of 19th century and this work was conceived and created in A' Ophthalmologic Clinic of Ahepa University Hospital",
        "Methods": "The main tool for this study are the collected stories of this book that unfolds the knowledge of pathology and surgery of the eye up to that time. The presentation of this valuable manual confirms the perception that exists that Greek Ophthalmology followed and participated in the evolution of our science from the beginning of its great progress.\n\nThe study of this combined collection reveals the knowledge of pathology and surgery of the eye up to that time. From the pages of these works, we observe the inspiration of the great physicians who were pioneers in study, conception and application of the new surgical procedures in cataract surgery and the other techniques for different ophthalmic conditions.",
        "Results": "The first part consists of the Graefe-Saemisch manual: HANDBUCH DER GESAMTEN AUGENHEILKUNDE with texts by many leading ophthalmologists of the 19th century (30) with handwritten and printed inserts in Greek and French by A. Gabrielides and follows a section by J. Hirschberg with also handwritten notes. This is followed by a rich part of the first printed manual of Surgery and Ophthalmology (1540) by Georg Bartisch ‘Ophthalmodouleia’ with 3 wonderful woodcuts of ophthalmological, cranial and other operations. Finally, a manual of Ophthalmology and Otology of the Ancients, by Georgios Kostomiris (1887) is incorporated.",
        "Conclusions": "Ophthalmology at the end of the 19th century had a rapid development that laid the foundations for modern medical practice. The Greek authors of the manual transferred the knowledge and experience they acquired in the well-known scientific centers of Europe (Paris, London, Vienna, Prague, Berlin) to our country with enthusiasm and optimism for the future of Ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ophthalmology at the end of the 19th century had a rapid development that laid the foundations for modern medical practice. The Greek authors of the manual transferred the knowledge and experience they acquired in the well-known scientific centers of Europe (Paris, London, Vienna, Prague, Berlin) to our country with enthusiasm and optimism for the future of Ophthalmology.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 182,
      "source_fields": {
        "Abstract Final Identifier": "POCAT138",
        "Title": "Ophthalmology During 1800S In Europe And Greece, Cataract, Plastics, Strabismus And Injuries With The Contribution Of Famous European And Greek Ophthalmologists, Challenge And Knowledge",
        "Presenting Author(s)": "Dr Georgios N Balanikas",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Georgios",
        "Submitter Middle Name": "N",
        "Submitter Last Name": "BALANIKAS",
        "Country Name": "Greece",
        "Purpose": "The present work constitutes a unique collection: a trilingual manual of Ophthalmology with part of the collective work ‘Handbuch Der Gesamten Augenhniheilkunde’ published in 1899 by Alfred von Gaefe, Theodor Saemisch, bound with the supplements of the Greek authors, G. Kostomiris, the French original manuscripts and publications of A. & K. Gavriilidou as well as indirectly of the Greek physicians (through Hirschberg) from antiquity and the Roman era to Byzantium.",
        "Setting": "The facts were took place in Europe and Greece of 19th century and this work was conceived and created in A' Ophthalmologic Clinic of Ahepa University Hospital",
        "Methods": "The main tool for this study are the collected stories of this book that unfolds the knowledge of pathology and surgery of the eye up to that time. The presentation of this valuable manual confirms the perception that exists that Greek Ophthalmology followed and participated in the evolution of our science from the beginning of its great progress.\n\nThe study of this combined collection reveals the knowledge of pathology and surgery of the eye up to that time. From the pages of these works, we observe the inspiration of the great physicians who were pioneers in study, conception and application of the new surgical procedures in cataract surgery and the other techniques for different ophthalmic conditions.",
        "Results": "The first part consists of the Graefe-Saemisch manual: HANDBUCH DER GESAMTEN AUGENHEILKUNDE with texts by many leading ophthalmologists of the 19th century (30) with handwritten and printed inserts in Greek and French by A. Gabrielides and follows a section by J. Hirschberg with also handwritten notes. This is followed by a rich part of the first printed manual of Surgery and Ophthalmology (1540) by Georg Bartisch ‘Ophthalmodouleia’ with 3 wonderful woodcuts of ophthalmological, cranial and other operations. Finally, a manual of Ophthalmology and Otology of the Ancients, by Georgios Kostomiris (1887) is incorporated.",
        "Conclusions": "Ophthalmology at the end of the 19th century had a rapid development that laid the foundations for modern medical practice. The Greek authors of the manual transferred the knowledge and experience they acquired in the well-known scientific centers of Europe (Paris, London, Vienna, Prague, Berlin) to our country with enthusiasm and optimism for the future of Ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "POCAT139",
      "abstract_number": "POCAT139",
      "title": "Vitreous Clump In Ac Mimicking Dmd On Asoct",
      "authors": "Dr Ipsita Barman",
      "presenter": "Dr Ipsita Barman",
      "normalized_authors": [
        "Ipsita Barman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ipsita Barman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To show how the viteous clump in anterior chamber over the intraocular lens can mimic descemet membrane detachment on anterior segment OCT.",
        "Setting": "Tertiary eye care centre in North India",
        "Methods": "A meticulous examination on slit lamp can diagnose the a lot of pathologies including ac reaction, vitreous in anterior chamber. Presence of vitreous in anterior chamber can present as tag or clump. In our case, vitreous clump in ac with iris pigments can present as air bubble. So, to look for diagnostic purpose, an ASOCT was done, which mimicked descemet membrane detachment in anterior chamber.",
        "Results": "This is an interesting case showing an unusual finding in anterior chamber due to complicated surgery.",
        "Conclusions": "Diagnostic use of ASOCT can help us diagnose many cases but can falsely mimic DMD in case of vitreous clump in AC."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Diagnostic use of ASOCT can help us diagnose many cases but can falsely mimic DMD in case of vitreous clump in AC.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 183,
      "source_fields": {
        "Abstract Final Identifier": "POCAT139",
        "Title": "Vitreous Clump In Ac Mimicking Dmd On Asoct",
        "Presenting Author(s)": "Dr Ipsita Barman",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ipsita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barman",
        "Country Name": "India",
        "Purpose": "To show how the viteous clump in anterior chamber over the intraocular lens can mimic descemet membrane detachment on anterior segment OCT.",
        "Setting": "Tertiary eye care centre in North India",
        "Methods": "A meticulous examination on slit lamp can diagnose the a lot of pathologies including ac reaction, vitreous in anterior chamber. Presence of vitreous in anterior chamber can present as tag or clump. In our case, vitreous clump in ac with iris pigments can present as air bubble. So, to look for diagnostic purpose, an ASOCT was done, which mimicked descemet membrane detachment in anterior chamber.",
        "Results": "This is an interesting case showing an unusual finding in anterior chamber due to complicated surgery.",
        "Conclusions": "Diagnostic use of ASOCT can help us diagnose many cases but can falsely mimic DMD in case of vitreous clump in AC."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 132
    },
    {
      "uid": "POCAT140",
      "abstract_number": "POCAT140",
      "title": "Identification Of Cases That Presented Greater Difficulty For The Surgeon In Performing Capsulorrhexis During Cataract Surgeries With Intraocular Lens Implantation.",
      "authors": "Prof. Dr Luciano Porto Bellini",
      "presenter": "Prof. Dr Luciano Porto Bellini",
      "normalized_authors": [
        "Luciano Porto Bellini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luciano Porto Bellini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To identify the cases that presented greater difficulty for the surgeon in performing capsulorrhexis (CCC) during cataract surgeries with intraocular lens implantation.",
        "Setting": "The CCC is a critical step during modern cataract surgery and some cases may impose greater difficulty to the surgeon during CCC, increasing the risks of complications during the surgery. This is a retrospective study, evaluating medical records of 12,459 cataract surgeries performed between 2005 and 2025 in an ophthalmological medical center in Brazil.",
        "Methods": "Through a retrospective study, evaluating medical records of 12,459 cataract surgeries performed between 2005 and 2025, the cases that presented greater difficulty for the surgeon in performing CCC during cataract surgeries with intraocular lens implantation were identified. A scale of 0 to 10 was used to assess difficulty during CCC and a score above 8 was considered as very difficult.",
        "Results": "The cases that offered the greatest difficulty for the surgeon during CCC, with a difficulty score above 8, were (in number of surgeries): intraoperative floppy iris syndrome (IFIS) with small pupil (102 surgeries), intumescent white cataracts (93), corneal opacities (54), traumatic cataracts (18), Parkinson's disease with head movement (9), Alport syndrome with anterior lenticonus (4), Marfan syndrome with lens subluxation (4), aniridia (2), microspherophakia (2) and keratoglobus (1).",
        "Conclusions": "In this study, the 3 most frequent causes of difficulty during CCC were IFIS with small pupil, intumescent white cataracts and corneal opacities, followed by several other less frequent causes. Recognizing these causes of greater difficulty during CCC is relevant so that the surgeon can be adequately prepared for surgery, in order to reduce surgical risks."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this study, the 3 most frequent causes of difficulty during CCC were IFIS with small pupil, intumescent white cataracts and corneal opacities, followed by several other less frequent causes. Recognizing these causes of greater difficulty during CCC is relevant so that the surgeon can be adequately prepared for surgery, in order to reduce surgical risks.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 184,
      "source_fields": {
        "Abstract Final Identifier": "POCAT140",
        "Title": "Identification Of Cases That Presented Greater Difficulty For The Surgeon In Performing Capsulorrhexis During Cataract Surgeries With Intraocular Lens Implantation.",
        "Presenting Author(s)": "Prof. Dr Luciano Porto Bellini",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Luciano",
        "Submitter Middle Name": "Porto",
        "Submitter Last Name": "Bellini",
        "Country Name": "Brazil",
        "Purpose": "To identify the cases that presented greater difficulty for the surgeon in performing capsulorrhexis (CCC) during cataract surgeries with intraocular lens implantation.",
        "Setting": "The CCC is a critical step during modern cataract surgery and some cases may impose greater difficulty to the surgeon during CCC, increasing the risks of complications during the surgery. This is a retrospective study, evaluating medical records of 12,459 cataract surgeries performed between 2005 and 2025 in an ophthalmological medical center in Brazil.",
        "Methods": "Through a retrospective study, evaluating medical records of 12,459 cataract surgeries performed between 2005 and 2025, the cases that presented greater difficulty for the surgeon in performing CCC during cataract surgeries with intraocular lens implantation were identified. A scale of 0 to 10 was used to assess difficulty during CCC and a score above 8 was considered as very difficult.",
        "Results": "The cases that offered the greatest difficulty for the surgeon during CCC, with a difficulty score above 8, were (in number of surgeries): intraoperative floppy iris syndrome (IFIS) with small pupil (102 surgeries), intumescent white cataracts (93), corneal opacities (54), traumatic cataracts (18), Parkinson's disease with head movement (9), Alport syndrome with anterior lenticonus (4), Marfan syndrome with lens subluxation (4), aniridia (2), microspherophakia (2) and keratoglobus (1).",
        "Conclusions": "In this study, the 3 most frequent causes of difficulty during CCC were IFIS with small pupil, intumescent white cataracts and corneal opacities, followed by several other less frequent causes. Recognizing these causes of greater difficulty during CCC is relevant so that the surgeon can be adequately prepared for surgery, in order to reduce surgical risks."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "POCAT141",
      "abstract_number": "POCAT141",
      "title": "Toxic Anterior Segment Syndrome: When A Routine Cataract Surgery Turns Into An Ocular Emergency",
      "authors": "Dr Meryem Benkirane",
      "presenter": "Dr Meryem Benkirane",
      "normalized_authors": [
        "Meryem Benkirane"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Meryem Benkirane",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Toxic Anterior Segment Syndrome (TASS) is an acute, sterile inflammation of the anterior segment occurring after intraocular surgery, most frequently cataract extraction. Unlike infectious endophthalmitis, TASS is triggered by toxic substances rather than pathogens. If not recognized and managed promptly, it can lead to permanent visual impairment. Early differentiation from infection is crucial for appropriate therapy and prognosis.",
        "Setting": "A patient underwent uncomplicated phacoemulsification with intraocular lens implantation. On postoperative day 1, she presented with:\n\n• Decreased visual acuity\n\n• Photophobia\n\n• Painless red eye\n\nSlit-lamp examination revealed:\n\n• Marked corneal edema\n\n• Intense anterior chamber inflammation with cells and flare\n\n• Moderate hypotony\n\n• Absence of significant pain\n\n• Clear vitreous, no purulent hypopyon\n\nThese findings suggested a sterile process rather than infectious endophthalmitis.",
        "Methods": "A comprehensive clinical evaluation was performed including:\n\n• Slit-lamp biomicroscopy\n\n• Anterior segment OCT\n\n• Vitreous assessment\n\nPerioperative protocols were reviewed to identify possible sources of toxicity:\n\n• Irrigation solutions (composition, dilution, storage)\n\n• Sterile instrument cleaning and sterilization\n\n• Viscoelastic and anesthetic agents\n\n• Medication preparation and handling\n\nSuspect solutions were cultured, sterilization procedures audited, and operating room practices re-evaluated.",
        "Results": "The patient presented with rapid-onset (<24 h), isolated anterior segment inflammation consistent with TASS. Topical corticosteroids and cycloplegics led to rapid resolution of corneal edema and recovery of visual acuity. Investigation revealed improper dilution of the irrigation solution as the likely cause, with no infectious agents detected.",
        "Conclusions": "TASS is an ophthalmic emergency. Prompt diagnosis and treatment with topical corticosteroids and cycloplegics can prevent permanent anterior segment damage. Strict adherence to irrigation protocols, sterilization procedures, and operating room hygiene is essential to prevent occurrence. Vigilance and awareness among surgeons and staff remain the most effective preventive measures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TASS is an ophthalmic emergency. Prompt diagnosis and treatment with topical corticosteroids and cycloplegics can prevent permanent anterior segment damage. Strict adherence to irrigation protocols, sterilization procedures, and operating room hygiene is essential to prevent occurrence. Vigilance and awareness among surgeons and staff remain the most effective preventive measures.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 185,
      "source_fields": {
        "Abstract Final Identifier": "POCAT141",
        "Title": "Toxic Anterior Segment Syndrome: When A Routine Cataract Surgery Turns Into An Ocular Emergency",
        "Presenting Author(s)": "Dr Meryem Benkirane",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Meryem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benkirane",
        "Country Name": "Morocco",
        "Purpose": "Toxic Anterior Segment Syndrome (TASS) is an acute, sterile inflammation of the anterior segment occurring after intraocular surgery, most frequently cataract extraction. Unlike infectious endophthalmitis, TASS is triggered by toxic substances rather than pathogens. If not recognized and managed promptly, it can lead to permanent visual impairment. Early differentiation from infection is crucial for appropriate therapy and prognosis.",
        "Setting": "A patient underwent uncomplicated phacoemulsification with intraocular lens implantation. On postoperative day 1, she presented with:\n\n• Decreased visual acuity\n\n• Photophobia\n\n• Painless red eye\n\nSlit-lamp examination revealed:\n\n• Marked corneal edema\n\n• Intense anterior chamber inflammation with cells and flare\n\n• Moderate hypotony\n\n• Absence of significant pain\n\n• Clear vitreous, no purulent hypopyon\n\nThese findings suggested a sterile process rather than infectious endophthalmitis.",
        "Methods": "A comprehensive clinical evaluation was performed including:\n\n• Slit-lamp biomicroscopy\n\n• Anterior segment OCT\n\n• Vitreous assessment\n\nPerioperative protocols were reviewed to identify possible sources of toxicity:\n\n• Irrigation solutions (composition, dilution, storage)\n\n• Sterile instrument cleaning and sterilization\n\n• Viscoelastic and anesthetic agents\n\n• Medication preparation and handling\n\nSuspect solutions were cultured, sterilization procedures audited, and operating room practices re-evaluated.",
        "Results": "The patient presented with rapid-onset (<24 h), isolated anterior segment inflammation consistent with TASS. Topical corticosteroids and cycloplegics led to rapid resolution of corneal edema and recovery of visual acuity. Investigation revealed improper dilution of the irrigation solution as the likely cause, with no infectious agents detected.",
        "Conclusions": "TASS is an ophthalmic emergency. Prompt diagnosis and treatment with topical corticosteroids and cycloplegics can prevent permanent anterior segment damage. Strict adherence to irrigation protocols, sterilization procedures, and operating room hygiene is essential to prevent occurrence. Vigilance and awareness among surgeons and staff remain the most effective preventive measures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POCAT142",
      "abstract_number": "POCAT142",
      "title": "Impact Of Structured Preoperative Risk Stratification On Visual And Safety Outcomes In Cataract Surgery: Retrospective Quality Improvement Study",
      "authors": "Dr Ichrek Benouaa",
      "presenter": "Dr Ichrek Benouaa",
      "normalized_authors": [
        "Ichrek Benouaa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ichrek Benouaa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "Evaluate the effect of implementing a structured preoperative risk stratification protocol on combined visual and safety outcomes in routine cataract surgery.",
        "Setting": "Private eye hospital \" excellence clinique ophtalmologique\" Algiers, Algeria.",
        "Methods": "This retrospective comparative study included 200 consecutive eyes undergoing phacoemulsification over a five-month period(September 2024- February 2025). One hundred eyes were operated before and 100 after implementation of a preoperative risk stratification protocol. The protocol incorporated biometric verification, systematic ocular examination, risk assessment, surgical complexity grading,and preoperative surgical checklist. Inclusion criteria were: age-related cataract, availability of complete eye examination and biometry recording , and minimun one-month postoperative follow-up. Exclusion criteria included combined surgical procedures, previous corneal refractive surgery, advanced ocular comorbidities and incomplete follow-up data.",
        "Results": "the primary endpoint was a combined outcome defined as achievement of CDVA >20/25, absence of intraoperative or early postoperative complications. Secondary endpoints included posterior capsular rupture and refractive surprise >1,00 D. The proportion of eyes achieving the combined endpoint improved from 68% to 84% after protocol integration. Posterior capsular rupture decreased from 3% to 1%. Refractive surprise was decreased from 12% to 5%. Overall visual predictibility and surgical safety improved following stucturd preoperative assessment",
        "Conclusions": "Implementation of a structured preoperative risk stratification protocol was associated with significative improvemet in combined visual and safety outcomes. Systematic preoperative evaluation and checklist integration represent practical quality improvement strategies in high volume cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implementation of a structured preoperative risk stratification protocol was associated with significative improvemet in combined visual and safety outcomes. Systematic preoperative evaluation and checklist integration represent practical quality improvement strategies in high volume cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 186,
      "source_fields": {
        "Abstract Final Identifier": "POCAT142",
        "Title": "Impact Of Structured Preoperative Risk Stratification On Visual And Safety Outcomes In Cataract Surgery: Retrospective Quality Improvement Study",
        "Presenting Author(s)": "Dr Ichrek Benouaa",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ichrek",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benouaa",
        "Country Name": "Algeria",
        "Purpose": "Evaluate the effect of implementing a structured preoperative risk stratification protocol on combined visual and safety outcomes in routine cataract surgery.",
        "Setting": "Private eye hospital \" excellence clinique ophtalmologique\" Algiers, Algeria.",
        "Methods": "This retrospective comparative study included 200 consecutive eyes undergoing phacoemulsification over a five-month period(September 2024- February 2025). One hundred eyes were operated before and 100 after implementation of a preoperative risk stratification protocol. The protocol incorporated biometric verification, systematic ocular examination, risk assessment, surgical complexity grading,and preoperative surgical checklist. Inclusion criteria were: age-related cataract, availability of complete eye examination and biometry recording , and minimun one-month postoperative follow-up. Exclusion criteria included combined surgical procedures, previous corneal refractive surgery, advanced ocular comorbidities and incomplete follow-up data.",
        "Results": "the primary endpoint was a combined outcome defined as achievement of CDVA >20/25, absence of intraoperative or early postoperative complications. Secondary endpoints included posterior capsular rupture and refractive surprise >1,00 D. The proportion of eyes achieving the combined endpoint improved from 68% to 84% after protocol integration. Posterior capsular rupture decreased from 3% to 1%. Refractive surprise was decreased from 12% to 5%. Overall visual predictibility and surgical safety improved following stucturd preoperative assessment",
        "Conclusions": "Implementation of a structured preoperative risk stratification protocol was associated with significative improvemet in combined visual and safety outcomes. Systematic preoperative evaluation and checklist integration represent practical quality improvement strategies in high volume cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "POCAT143",
      "abstract_number": "POCAT143",
      "title": "Comparison Of Systemic Inflammatory Indices In Patients With And Without Toxic Anterior Segment Syndrome",
      "authors": "Dr Ecem Biskiner",
      "presenter": "Dr Ecem Biskiner",
      "normalized_authors": [
        "Ecem Biskiner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ecem Bişkiner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Toxic anterior segment syndrome (TASS) is an acute sterile postoperative inflammatory reaction primarily attributed to intraocular toxic exposure. Whether systemic inflammatory status predisposes patients to TASS or influences disease severity remains unclear. In this study we aimed to evaluate whether systemic inflammatory indices differ between patients who developed TASS and those who did not.",
        "Setting": "University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Department of Ophthalmology, Ankara, Turkiye.",
        "Methods": "This retrospective case–control study included 30 patients who developed TASS following cataract surgery and 88 controls with uncomplicated postoperative courses. Preoperative complete blood counts were used to calculate neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR) and systemic immune-inflammation index (SII). Comparisons were performed using Mann–Whitney U tests with Holm correction. Multivariable logistic regression adjusted for age, sex and comorbidity status. Within the TASS cohort, fibrin reaction was analysed using Firth- penalised logistic regression. Receiver operating characteristic (ROC) analysis assessed discriminative performance.",
        "Results": "No significant differences were observed between TASS and controls for NLR, MLR, PLR or SII after correction for multiple comparisons (all adjusted p>0.05). Multivariable analysis demonstrated no independent association between any index and TASS occurrence. Among TASS patients, fibrin reaction occurred in 11 cases (36.7%). None of the inflammatory indices differed between fibrin-positive and fibrin-negative subgroups, and Firth-penalised models confirmed the absence of independent associations. ROC analyses showed poor discrimination (AUC range 0.36–0.52).",
        "Conclusions": "Systemic inflammatory indices derived from routine blood tests were found that they are not associated with either the development or severity (based on fibrin formation) of TASS. These findings support a predominantly local intraocular toxic mechanism in TASS pathophysiology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Systemic inflammatory indices derived from routine blood tests were found that they are not associated with either the development or severity (based on fibrin formation) of TASS. These findings support a predominantly local intraocular toxic mechanism in TASS pathophysiology.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 187,
      "source_fields": {
        "Abstract Final Identifier": "POCAT143",
        "Title": "Comparison Of Systemic Inflammatory Indices In Patients With And Without Toxic Anterior Segment Syndrome",
        "Presenting Author(s)": "Dr Ecem Biskiner",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ecem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bişkiner",
        "Country Name": "Türkiye",
        "Purpose": "Toxic anterior segment syndrome (TASS) is an acute sterile postoperative inflammatory reaction primarily attributed to intraocular toxic exposure. Whether systemic inflammatory status predisposes patients to TASS or influences disease severity remains unclear. In this study we aimed to evaluate whether systemic inflammatory indices differ between patients who developed TASS and those who did not.",
        "Setting": "University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Department of Ophthalmology, Ankara, Turkiye.",
        "Methods": "This retrospective case–control study included 30 patients who developed TASS following cataract surgery and 88 controls with uncomplicated postoperative courses. Preoperative complete blood counts were used to calculate neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR) and systemic immune-inflammation index (SII). Comparisons were performed using Mann–Whitney U tests with Holm correction. Multivariable logistic regression adjusted for age, sex and comorbidity status. Within the TASS cohort, fibrin reaction was analysed using Firth- penalised logistic regression. Receiver operating characteristic (ROC) analysis assessed discriminative performance.",
        "Results": "No significant differences were observed between TASS and controls for NLR, MLR, PLR or SII after correction for multiple comparisons (all adjusted p>0.05). Multivariable analysis demonstrated no independent association between any index and TASS occurrence. Among TASS patients, fibrin reaction occurred in 11 cases (36.7%). None of the inflammatory indices differed between fibrin-positive and fibrin-negative subgroups, and Firth-penalised models confirmed the absence of independent associations. ROC analyses showed poor discrimination (AUC range 0.36–0.52).",
        "Conclusions": "Systemic inflammatory indices derived from routine blood tests were found that they are not associated with either the development or severity (based on fibrin formation) of TASS. These findings support a predominantly local intraocular toxic mechanism in TASS pathophysiology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POCAT144",
      "abstract_number": "POCAT144",
      "title": "Cataract Surgery Protocol With On-Site Anesthesiologist: 4 Years Later",
      "authors": "Dr Maria CARMEN Blanco Rivera",
      "presenter": "Dr Maria CARMEN Blanco Rivera",
      "normalized_authors": [
        "Maria CARMEN Blanco Rivera"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria CARMEN Blanco Rivera",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present a protocol that has allowed us to select patients who are not candidates for preoperative assessment or anesthesia consultation when cataract surgery is indicated. This procedure would be performed with topical anesthesia and with an on-site anesthesiologist available.",
        "Setting": "Deparment of Ophthalmology of Ferrol. Naval Hospital. University Hospital of Ferrol. Spain",
        "Methods": "A literature search was conducted in different databases from 2010 to 2019, taking into account the type A and consensus recommendations of the various Cataract Clinical Practice Guidelines and the main clinical studies (Cochrane Network). Questionnaires were obtained from these sources to help select patients during the consultation. The protocol began to be implemented in June 2021, and the different stakeholders involved in its development participated (ophthalmologist, outpatient and major surgery unit nurses, anesthesiologist, primary care physician, and admissions staff). An informational document was developed for eligible patients.",
        "Results": "In four years of experience (June 21-June 25), the percentage of patients included has steadily increased, and we have not experienced any complications. Approximately 30% of those added to the waiting list have been part of this protocol. The waiting list has been streamlined, costs have been reduced, and most patients have been satisfied, preferring this system for their second eye",
        "Conclusions": "Protocols offer legal protection, are mandatory, and are based on scientific evidence, which provides safety in our clinical practice and promotes the standardization of criteria. They help inform and guide patients and improve management and quality of care. In our experience, all these parameters have been met, and the quality of life of our patients who are candidates for cataract surgery has improved by streamlining the waiting list and avoiding unnecessary procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Protocols offer legal protection, are mandatory, and are based on scientific evidence, which provides safety in our clinical practice and promotes the standardization of criteria. They help inform and guide patients and improve management and quality of care. In our experience, all these parameters have been met, and the quality of life of our patients who are candidates for cataract surgery has improved by…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 188,
      "source_fields": {
        "Abstract Final Identifier": "POCAT144",
        "Title": "Cataract Surgery Protocol With On-Site Anesthesiologist: 4 Years Later",
        "Presenting Author(s)": "Dr Maria CARMEN Blanco Rivera",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "CARMEN",
        "Submitter Last Name": "Blanco Rivera",
        "Country Name": "Spain",
        "Purpose": "To present a protocol that has allowed us to select patients who are not candidates for preoperative assessment or anesthesia consultation when cataract surgery is indicated. This procedure would be performed with topical anesthesia and with an on-site anesthesiologist available.",
        "Setting": "Deparment of Ophthalmology of Ferrol. Naval Hospital. University Hospital of Ferrol. Spain",
        "Methods": "A literature search was conducted in different databases from 2010 to 2019, taking into account the type A and consensus recommendations of the various Cataract Clinical Practice Guidelines and the main clinical studies (Cochrane Network). Questionnaires were obtained from these sources to help select patients during the consultation. The protocol began to be implemented in June 2021, and the different stakeholders involved in its development participated (ophthalmologist, outpatient and major surgery unit nurses, anesthesiologist, primary care physician, and admissions staff). An informational document was developed for eligible patients.",
        "Results": "In four years of experience (June 21-June 25), the percentage of patients included has steadily increased, and we have not experienced any complications. Approximately 30% of those added to the waiting list have been part of this protocol. The waiting list has been streamlined, costs have been reduced, and most patients have been satisfied, preferring this system for their second eye",
        "Conclusions": "Protocols offer legal protection, are mandatory, and are based on scientific evidence, which provides safety in our clinical practice and promotes the standardization of criteria. They help inform and guide patients and improve management and quality of care. In our experience, all these parameters have been met, and the quality of life of our patients who are candidates for cataract surgery has improved by streamlining the waiting list and avoiding unnecessary procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POCAT145",
      "abstract_number": "POCAT145",
      "title": "Spanish Cataract Clinical Practice Guideline 2025 Review",
      "authors": "Dr Maria CARMEN Blanco Rivera",
      "presenter": "Dr Maria CARMEN Blanco Rivera",
      "normalized_authors": [
        "Maria CARMEN Blanco Rivera"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria CARMEN Blanco Rivera",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Presentar la Guía de Práctica Clínica (GPC) de Cataratas del Sistema Nacional de Salud (SNS) actualizada, publicada originalmente en 2013. Incluye novedades desde entonces y nuevos anexos (2025).",
        "Setting": "Servicio de Oftalmología. Hospital Naval. Hospital Universitario de Ferrol. España.",
        "Methods": "Se realizó una revisión de la literatura de las últimas GPC internacionales de cataratas y redes de bases de datos científicas (Cochrane) desde 2020 hasta octubre de 2025, buscando evidencia científica y nuevas técnicas y tratamientos relacionados con la cirugía de cataratas.",
        "Results": "Se estableció un conjunto de recomendaciones (tipo A, B, C y recomendaciones de consenso para una buena práctica clínica) con base en los diferentes niveles de evidencia reflejados en estos estudios y guías. También se incluyen dos nuevos apéndices, uno de los cuales es un nuevo protocolo para la cirugía de cataratas con anestesiólogo local.",
        "Conclusions": "Las guías de práctica clínica (GPC) ofrecen recomendaciones flexibles basadas en la evidencia científica, pero no son legalmente vinculantes. Facilitan la práctica clínica al promover el consenso y estandarizar los criterios clínicos, facilitando así el trabajo diario de los profesionales y aportando seguridad jurídica. Pocas GPC se revisan y evalúan con rigor metodológico (instrumento AGREE). Su uso generalizado en nuestra práctica clínica diaria redundaría en una mejor calidad asistencial para nuestros pacientes y una mejor gestión."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Las guías de práctica clínica (GPC) ofrecen recomendaciones flexibles basadas en la evidencia científica, pero no son legalmente vinculantes. Facilitan la práctica clínica al promover el consenso y estandarizar los criterios clínicos, facilitando así el trabajo diario de los profesionales y aportando seguridad jurídica. Pocas GPC se revisan y evalúan con rigor metodológico (instrumento AGREE). Su uso generalizado…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 189,
      "source_fields": {
        "Abstract Final Identifier": "POCAT145",
        "Title": "Spanish Cataract Clinical Practice Guideline 2025 Review",
        "Presenting Author(s)": "Dr Maria CARMEN Blanco Rivera",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "CARMEN",
        "Submitter Last Name": "Blanco Rivera",
        "Country Name": "Spain",
        "Purpose": "Presentar la Guía de Práctica Clínica (GPC) de Cataratas del Sistema Nacional de Salud (SNS) actualizada, publicada originalmente en 2013. Incluye novedades desde entonces y nuevos anexos (2025).",
        "Setting": "Servicio de Oftalmología. Hospital Naval. Hospital Universitario de Ferrol. España.",
        "Methods": "Se realizó una revisión de la literatura de las últimas GPC internacionales de cataratas y redes de bases de datos científicas (Cochrane) desde 2020 hasta octubre de 2025, buscando evidencia científica y nuevas técnicas y tratamientos relacionados con la cirugía de cataratas.",
        "Results": "Se estableció un conjunto de recomendaciones (tipo A, B, C y recomendaciones de consenso para una buena práctica clínica) con base en los diferentes niveles de evidencia reflejados en estos estudios y guías. También se incluyen dos nuevos apéndices, uno de los cuales es un nuevo protocolo para la cirugía de cataratas con anestesiólogo local.",
        "Conclusions": "Las guías de práctica clínica (GPC) ofrecen recomendaciones flexibles basadas en la evidencia científica, pero no son legalmente vinculantes. Facilitan la práctica clínica al promover el consenso y estandarizar los criterios clínicos, facilitando así el trabajo diario de los profesionales y aportando seguridad jurídica. Pocas GPC se revisan y evalúan con rigor metodológico (instrumento AGREE). Su uso generalizado en nuestra práctica clínica diaria redundaría en una mejor calidad asistencial para nuestros pacientes y una mejor gestión."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCAT146",
      "abstract_number": "POCAT146",
      "title": "Cataract Surgery In Short Axial Length Eyes: A Case Series",
      "authors": "Mrs Annisa Meivira Budiman",
      "presenter": "Mrs Annisa Meivira Budiman",
      "normalized_authors": [
        "Annisa Meivira Budiman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Annisa Meivira Budiman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Cataract surgery in short eyes is challenging as it carries a higher risk of complications and less predictable refractive outcomes. This case series aim to describe the result of cataract surgery in eyes with short axial length.",
        "Setting": "Cicendo National Eye Hospital, Bandung, Indonesia.",
        "Methods": "The first case was a 30-year-old female with axial length (AL) of 19.64 mm presented with left eye immature cataract and underwent phacoemulsification, posterior chamber intraocular lens (IOL) implantation, and sclerostomy. The second case was a 25-year-old female presenting with juvenile cataract and AL of 19.67 mm. Phacoemulsification and posterior chamber IOL implantation were then performed in the right eye. A 61-year-old female with AL of 15.77 mm and left immature senile cataract underwent phacoemulsification, posterior chamber IOL implantation, and sclerostomy. Lastly, female aged 33 years old with AL of 19.59 mm and immature presenile cataract was performed sclerostomy, phacoemulsification, and piggyback IOL implantation.",
        "Results": "The preoperative best-corrected visual acuity (BCVA) in the four cases were 0.25, 0.125, 0.08, and 0.4 respectively. The fourth case developed an elevated postoperative intraocular pressure, reaching 42 mmHg on postoperative day 1; however, this was successfully managed with antiglaucoma therapy using topical B-blocker and oral acetazolamide, resulting in good intraocular pressure control at 15 mmHg by postoperative day 30.",
        "Conclusions": "Cataract surgery in eyes with short axial length presents significant challenges, including a higher risk of intraoperative and postoperative complications, and unpredictable refractive results. All cases resulted in satisfactory visual acuity, and transient elevation of intraocular pressure was effectively managed with medical therapy. Adjunctive procedures, such as sclerostomy or piggyback IOL implantation, in some of these cases highlight the importance of an individualized surgical approach based on axial length, anterior segment anatomy, and intraoperative findings to optimize outcomes in short eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in eyes with short axial length presents significant challenges, including a higher risk of intraoperative and postoperative complications, and unpredictable refractive results. All cases resulted in satisfactory visual acuity, and transient elevation of intraocular pressure was effectively managed with medical therapy. Adjunctive procedures, such as sclerostomy or piggyback IOL implantation, in…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 190,
      "source_fields": {
        "Abstract Final Identifier": "POCAT146",
        "Title": "Cataract Surgery In Short Axial Length Eyes: A Case Series",
        "Presenting Author(s)": "Mrs Annisa Meivira Budiman",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Annisa",
        "Submitter Middle Name": "Meivira",
        "Submitter Last Name": "Budiman",
        "Country Name": "Indonesia",
        "Purpose": "Cataract surgery in short eyes is challenging as it carries a higher risk of complications and less predictable refractive outcomes. This case series aim to describe the result of cataract surgery in eyes with short axial length.",
        "Setting": "Cicendo National Eye Hospital, Bandung, Indonesia.",
        "Methods": "The first case was a 30-year-old female with axial length (AL) of 19.64 mm presented with left eye immature cataract and underwent phacoemulsification, posterior chamber intraocular lens (IOL) implantation, and sclerostomy. The second case was a 25-year-old female presenting with juvenile cataract and AL of 19.67 mm. Phacoemulsification and posterior chamber IOL implantation were then performed in the right eye. A 61-year-old female with AL of 15.77 mm and left immature senile cataract underwent phacoemulsification, posterior chamber IOL implantation, and sclerostomy. Lastly, female aged 33 years old with AL of 19.59 mm and immature presenile cataract was performed sclerostomy, phacoemulsification, and piggyback IOL implantation.",
        "Results": "The preoperative best-corrected visual acuity (BCVA) in the four cases were 0.25, 0.125, 0.08, and 0.4 respectively. The fourth case developed an elevated postoperative intraocular pressure, reaching 42 mmHg on postoperative day 1; however, this was successfully managed with antiglaucoma therapy using topical B-blocker and oral acetazolamide, resulting in good intraocular pressure control at 15 mmHg by postoperative day 30.",
        "Conclusions": "Cataract surgery in eyes with short axial length presents significant challenges, including a higher risk of intraoperative and postoperative complications, and unpredictable refractive results. All cases resulted in satisfactory visual acuity, and transient elevation of intraocular pressure was effectively managed with medical therapy. Adjunctive procedures, such as sclerostomy or piggyback IOL implantation, in some of these cases highlight the importance of an individualized surgical approach based on axial length, anterior segment anatomy, and intraoperative findings to optimize outcomes in short eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT147",
      "abstract_number": "POCAT147",
      "title": "Macular And Intraocular Pressure Outcomes After Dropless Cataract Surgery Using Subconjunctival Triamcinolone",
      "authors": "Dr Yaakov Caspi",
      "presenter": "Dr Yaakov Caspi",
      "normalized_authors": [
        "Yaakov Caspi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yaakov Caspi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate macular optical coherence tomography (OCT) outcomes following uncomplicated cataract surgery using a dropless steroid protocol with intraoperative subconjunctival triamcinolone, and to assess its effect on intraocular pressure (IOP).",
        "Setting": "Department of Ophthalmology, Shaare Zedek Medical Center, Faculty of Medicine, The Hebrew University, Jerusalem, Israel",
        "Methods": "In this Retrospective observational cohort study consecutive adults who underwent uncomplicated phacoemulsification were included. All patients received a dropless protocol consisting of a 4 mg intraoperative subconjunctival triamcinolone depot injection and ofloxacin eye drops. Patients with diabetes additionally received topical bromfenac eye drops postoperatively. Macular OCT was performed preoperatively and at final follow-up (3–5 weeks postoperatively). Outcomes included changes in central subfield thickness (CST), the proportion of eyes with a >10% CST increase, incidence of OCT-defined cystoid macular edema (CME), and changes in IOP from baseline to final follow-up. Subgroup analysis excluded patients with diabetes.",
        "Results": "Forty-six eyes were analyzed. Mean CST increased from 272±29.37 µm preoperatively to 288.13±65.05 µm postoperatively (p = 0.05). Excluding diabetic patients, the increase was not significant (272.37±24.11 vs. 288.59±52.60 µm; p = 0.07). A >10% CST rise occurred in 11% overall and 12% of non-diabetic patients (p = 0.804 and in p = 0.556 respectively). Intraretinal cysts were detected in 7.1% preoperatively and 11.9% postoperatively (p = 0.5). In non-diabetics, the corresponding rates were 0% and 7.14%, respectively (p = 0.5). Mean IOP remained stable, measuring 15.15±2.74 mmHg preoperatively and 14.63±3.10 mmHg postoperatively in the overall cohort (p = 0.25), and 15.29±2.76 versus 14.70±3.08 mmHg in non-diabetic patients (p = 0.28).",
        "Conclusions": "Dropless cataract surgery with intraoperative subconjunctival triamcinolone was associated with stable intraocular pressure and no statistically significant increase in macular thickness among non-diabetic patients, supporting its use as a potential alternative to postoperative topical steroid therapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dropless cataract surgery with intraoperative subconjunctival triamcinolone was associated with stable intraocular pressure and no statistically significant increase in macular thickness among non-diabetic patients, supporting its use as a potential alternative to postoperative topical steroid therapy.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 191,
      "source_fields": {
        "Abstract Final Identifier": "POCAT147",
        "Title": "Macular And Intraocular Pressure Outcomes After Dropless Cataract Surgery Using Subconjunctival Triamcinolone",
        "Presenting Author(s)": "Dr Yaakov Caspi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yaakov",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Caspi",
        "Country Name": "Israel",
        "Purpose": "To evaluate macular optical coherence tomography (OCT) outcomes following uncomplicated cataract surgery using a dropless steroid protocol with intraoperative subconjunctival triamcinolone, and to assess its effect on intraocular pressure (IOP).",
        "Setting": "Department of Ophthalmology, Shaare Zedek Medical Center, Faculty of Medicine, The Hebrew University, Jerusalem, Israel",
        "Methods": "In this Retrospective observational cohort study consecutive adults who underwent uncomplicated phacoemulsification were included. All patients received a dropless protocol consisting of a 4 mg intraoperative subconjunctival triamcinolone depot injection and ofloxacin eye drops. Patients with diabetes additionally received topical bromfenac eye drops postoperatively. Macular OCT was performed preoperatively and at final follow-up (3–5 weeks postoperatively). Outcomes included changes in central subfield thickness (CST), the proportion of eyes with a >10% CST increase, incidence of OCT-defined cystoid macular edema (CME), and changes in IOP from baseline to final follow-up. Subgroup analysis excluded patients with diabetes.",
        "Results": "Forty-six eyes were analyzed. Mean CST increased from 272±29.37 µm preoperatively to 288.13±65.05 µm postoperatively (p = 0.05). Excluding diabetic patients, the increase was not significant (272.37±24.11 vs. 288.59±52.60 µm; p = 0.07). A >10% CST rise occurred in 11% overall and 12% of non-diabetic patients (p = 0.804 and in p = 0.556 respectively). Intraretinal cysts were detected in 7.1% preoperatively and 11.9% postoperatively (p = 0.5). In non-diabetics, the corresponding rates were 0% and 7.14%, respectively (p = 0.5). Mean IOP remained stable, measuring 15.15±2.74 mmHg preoperatively and 14.63±3.10 mmHg postoperatively in the overall cohort (p = 0.25), and 15.29±2.76 versus 14.70±3.08 mmHg in non-diabetic patients (p = 0.28).",
        "Conclusions": "Dropless cataract surgery with intraoperative subconjunctival triamcinolone was associated with stable intraocular pressure and no statistically significant increase in macular thickness among non-diabetic patients, supporting its use as a potential alternative to postoperative topical steroid therapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCAT148",
      "abstract_number": "POCAT148",
      "title": "Topical Rho-Kinase Inhibitor For Persistent Corneal Edema After Cataract Surgery",
      "authors": "Dr Zehra Cay",
      "presenter": "Dr Zehra Cay",
      "normalized_authors": [
        "Zehra Cay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zehra Cay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the early effect of topical netarsudil, a Rho-kinase (ROCK) inhibitor, on corneal edema after phacoemulsification cataract surgery using anterior segment optical coherence tomography (AS-OCT), including eyes with Fuchs endothelial dystrophy (FED).",
        "Setting": "Department of Ophthalmology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Türkiye.",
        "Methods": "This retrospective case series included four eyes of four patients who developed persistent corneal edema after phacoemulsification cataract surgery, including both early and late postoperative presentations. Two eyes had coexisting Fuchs endothelial dystrophy. All patients were treated with topical netarsudil ophthalmic solution four times daily. Central corneal thickness (CCT) was measured using anterior segment optical coherence tomography before treatment and at one-week follow-up. Best-corrected visual acuity (BCVA) and slit-lamp examination findings were recorded.",
        "Results": "Anterior segment OCT demonstrated an early response to netarsudil therapy, with a reduction in central corneal thickness observed in all eyes as early as one week after treatment initiation. Central corneal thickness decreased from 596 µm to 561 µm, 903 µm to 764 µm, 737 µm to 635 µm in a patient with FED, and 657 µm to 578 µm in another patient with FED. This objective reduction in corneal thickness was accompanied by improvement in corneal clarity and BCVA in all cases. No patient required additional surgical intervention, including endothelial keratoplasty, during the follow-up period. Netarsudil was well tolerated, with no treatment-limiting adverse events. Transient conjunctival erythema was the most common adverse event.",
        "Conclusions": "Topical netarsudil was associated with a rapid and measurable reduction in central corneal thickness on AS-OCT and clinical improvement of persistent corneal edema following phacoemulsification, including in eyes with Fuchs endothelial dystrophy. ROCK inhibitor therapy may represent a valuable non-surgical option for managing postoperative corneal edema. Larger prospective studies are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical netarsudil was associated with a rapid and measurable reduction in central corneal thickness on AS-OCT and clinical improvement of persistent corneal edema following phacoemulsification, including in eyes with Fuchs endothelial dystrophy. ROCK inhibitor therapy may represent a valuable non-surgical option for managing postoperative corneal edema. Larger prospective studies are warranted.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 192,
      "source_fields": {
        "Abstract Final Identifier": "POCAT148",
        "Title": "Topical Rho-Kinase Inhibitor For Persistent Corneal Edema After Cataract Surgery",
        "Presenting Author(s)": "Dr Zehra Cay",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Zehra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cay",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the early effect of topical netarsudil, a Rho-kinase (ROCK) inhibitor, on corneal edema after phacoemulsification cataract surgery using anterior segment optical coherence tomography (AS-OCT), including eyes with Fuchs endothelial dystrophy (FED).",
        "Setting": "Department of Ophthalmology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Türkiye.",
        "Methods": "This retrospective case series included four eyes of four patients who developed persistent corneal edema after phacoemulsification cataract surgery, including both early and late postoperative presentations. Two eyes had coexisting Fuchs endothelial dystrophy. All patients were treated with topical netarsudil ophthalmic solution four times daily. Central corneal thickness (CCT) was measured using anterior segment optical coherence tomography before treatment and at one-week follow-up. Best-corrected visual acuity (BCVA) and slit-lamp examination findings were recorded.",
        "Results": "Anterior segment OCT demonstrated an early response to netarsudil therapy, with a reduction in central corneal thickness observed in all eyes as early as one week after treatment initiation. Central corneal thickness decreased from 596 µm to 561 µm, 903 µm to 764 µm, 737 µm to 635 µm in a patient with FED, and 657 µm to 578 µm in another patient with FED. This objective reduction in corneal thickness was accompanied by improvement in corneal clarity and BCVA in all cases. No patient required additional surgical intervention, including endothelial keratoplasty, during the follow-up period. Netarsudil was well tolerated, with no treatment-limiting adverse events. Transient conjunctival erythema was the most common adverse event.",
        "Conclusions": "Topical netarsudil was associated with a rapid and measurable reduction in central corneal thickness on AS-OCT and clinical improvement of persistent corneal edema following phacoemulsification, including in eyes with Fuchs endothelial dystrophy. ROCK inhibitor therapy may represent a valuable non-surgical option for managing postoperative corneal edema. Larger prospective studies are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCAT149",
      "abstract_number": "POCAT149",
      "title": "Risk Factors Of Early-Onset Visual Axis Opacification In Congenital Cataract Surgery: A Ccmpoh Report",
      "authors": "Prof. Dr Weirong Chen",
      "presenter": "Prof. Dr Weirong Chen",
      "normalized_authors": [
        "Weirong Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Weirong Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Purpose: To investigate the risk factors of early-onset visual axis opacification (VAO) development within 3 months after congenital cataract surgery.",
        "Setting": "Design: Retrospective analysis of prospectively collected data from the Childhood Cataract Program of the Chinese Ministry of Health (CCPMOH).\n\nParticipants: A total of 317 eyes from 193 patients (aged ≤ 2 years) with congenital cataract were recruited, nested in the CCPMOH cohort.",
        "Methods": "All eyes underwent a standard congenital cataract surgery. The IOL were not implanted primarily. Early-onset VAO was defined as the presence of visually significant opacifications causing a dull retinoscopy reflex and difficulty in retinal monitoring within 3 months postoperatively. Abnormal iris characteristics (AIC) were identified by an unrecognizable iris collarette and crypts, short contraction rings and unclear iris texture. A mixed effects model was used to explore the association of potential risk factors with VAO, including demographic and biometric parameters, AICs, types of lens opacity, and ocular comorbidity. The results of risk factors were presented as odds ratio (OR) and its 95% confidence interval (CI).",
        "Results": "Results: The incidence of early-onset VAO was 25.9% (82 out of 317 eyes), occurring on average 44.5 ± 22.6 days postoperatively. In multivariate model, cataract surgery before 6 months of age (OR=0.07, 95%CI: 0.06, 0.19; P=0.02), AIC (OR=0.14, 95%CI: 0.02, 0.25; P=0.02), and membranous cataracts (OR=0.21, 95%CI: 0.05, 0.37; P=0.01) were found to be associated with the incidence of early-onset VAO.",
        "Conclusions": "Conclusions: Surgery before 6 months, AIC and membranous cataract were main risk factors for early-onset VAO after congenital cataracts. These findings emphasize the need for heightened vigilance strategies for susceptible individuals."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: Surgery before 6 months, AIC and membranous cataract were main risk factors for early-onset VAO after congenital cataracts. These findings emphasize the need for heightened vigilance strategies for susceptible individuals.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 193,
      "source_fields": {
        "Abstract Final Identifier": "POCAT149",
        "Title": "Risk Factors Of Early-Onset Visual Axis Opacification In Congenital Cataract Surgery: A Ccmpoh Report",
        "Presenting Author(s)": "Prof. Dr Weirong Chen",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Weirong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "China",
        "Purpose": "Purpose: To investigate the risk factors of early-onset visual axis opacification (VAO) development within 3 months after congenital cataract surgery.",
        "Setting": "Design: Retrospective analysis of prospectively collected data from the Childhood Cataract Program of the Chinese Ministry of Health (CCPMOH).\n\nParticipants: A total of 317 eyes from 193 patients (aged ≤ 2 years) with congenital cataract were recruited, nested in the CCPMOH cohort.",
        "Methods": "All eyes underwent a standard congenital cataract surgery. The IOL were not implanted primarily. Early-onset VAO was defined as the presence of visually significant opacifications causing a dull retinoscopy reflex and difficulty in retinal monitoring within 3 months postoperatively. Abnormal iris characteristics (AIC) were identified by an unrecognizable iris collarette and crypts, short contraction rings and unclear iris texture. A mixed effects model was used to explore the association of potential risk factors with VAO, including demographic and biometric parameters, AICs, types of lens opacity, and ocular comorbidity. The results of risk factors were presented as odds ratio (OR) and its 95% confidence interval (CI).",
        "Results": "Results: The incidence of early-onset VAO was 25.9% (82 out of 317 eyes), occurring on average 44.5 ± 22.6 days postoperatively. In multivariate model, cataract surgery before 6 months of age (OR=0.07, 95%CI: 0.06, 0.19; P=0.02), AIC (OR=0.14, 95%CI: 0.02, 0.25; P=0.02), and membranous cataracts (OR=0.21, 95%CI: 0.05, 0.37; P=0.01) were found to be associated with the incidence of early-onset VAO.",
        "Conclusions": "Conclusions: Surgery before 6 months, AIC and membranous cataract were main risk factors for early-onset VAO after congenital cataracts. These findings emphasize the need for heightened vigilance strategies for susceptible individuals."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCAT150",
      "abstract_number": "POCAT150",
      "title": "Rapid Anterior Capsular Contraction After Femtosecond Laser–Assisted Cataract Surgery In A Patient With Fuchs Corneal Dystrophy",
      "authors": "Dr Li-Wen Chiu",
      "presenter": "Dr Li-Wen Chiu",
      "normalized_authors": [
        "Li-Wen Chiu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Li-Wen Chiu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To report a case of rapid and severe anterior capsular contraction (ACC) occurring within one months after femtosecond laser–assisted cataract surgery (FLACS) in a patient with Fuchs corneal dystrophy (FCD), and to discuss possible mechanisms, risk factors, and clinical implications.",
        "Setting": "A case report conducted at a tertiary referral center in Taiwan.",
        "Methods": "A 71-year-old female with FCD underwent uneventful FLACS in the left eye for age-related nuclear sclerosis. Preoperative examination revealed bilateral corneal guttae with quiet anterior chambers and no history of ocular or systemic disease. A femtosecond laser–created continuous curvilinear capsulotomy with a planned diameter of 5.2 mm was performed. Postoperatively, topical levofloxacin ophthalmic solution 0.5% and neomycin–betamethasone ophthalmic ointment were prescribed with gradual tapering. No early postoperative inflammation or complications were observed.",
        "Results": "Initial postoperative recovery was unremarkable, with best-corrected visual acuity improving from 0.03 to 0.6. However, within one month after surgery, rapid and severe ACC developed, resulting in a residual capsular opening of approximately 2 mm despite stable intraocular lens centration and minimal anterior chamber inflammation. Automated keratometry was unobtainable because of capsular phimosis. Corneal status remained stable without progression of endothelial decompensation on serial specular microscopy. Neodymium:yttrium–aluminum–garnet (Nd:YAG) laser anterior capsulotomy was recommended but declined because of satisfactory subjective visual function, presumably related to a pinhole effect.",
        "Conclusions": "ACC is a not common but potentially vision-threatening complication after cataract surgery, with reported incidences of approximately 1.4% to 14%. Established risk factors include pseudoexfoliation syndrome, uveitis, retinitis pigmentosa, high myopia, small capsulorhexis size, and zonular weakness. Although FLACS generally provides precise and reproducible capsulotomy, studies have reported no increased overall incidence but occasional early or exaggerated contraction in high-risk eyes. Patients with FCD may be predisposed to accelerated capsular fibrosis because of an altered inflammatory and profibrotic tendency. This case highlights the need for careful postoperative surveillance and prompt management in high-risk patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ACC is a not common but potentially vision-threatening complication after cataract surgery, with reported incidences of approximately 1.4% to 14%. Established risk factors include pseudoexfoliation syndrome, uveitis, retinitis pigmentosa, high myopia, small capsulorhexis size, and zonular weakness. Although FLACS generally provides precise and reproducible capsulotomy, studies have reported no increased overall…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 194,
      "source_fields": {
        "Abstract Final Identifier": "POCAT150",
        "Title": "Rapid Anterior Capsular Contraction After Femtosecond Laser–Assisted Cataract Surgery In A Patient With Fuchs Corneal Dystrophy",
        "Presenting Author(s)": "Dr Li-Wen Chiu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Li-Wen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chiu",
        "Country Name": "Taiwan",
        "Purpose": "To report a case of rapid and severe anterior capsular contraction (ACC) occurring within one months after femtosecond laser–assisted cataract surgery (FLACS) in a patient with Fuchs corneal dystrophy (FCD), and to discuss possible mechanisms, risk factors, and clinical implications.",
        "Setting": "A case report conducted at a tertiary referral center in Taiwan.",
        "Methods": "A 71-year-old female with FCD underwent uneventful FLACS in the left eye for age-related nuclear sclerosis. Preoperative examination revealed bilateral corneal guttae with quiet anterior chambers and no history of ocular or systemic disease. A femtosecond laser–created continuous curvilinear capsulotomy with a planned diameter of 5.2 mm was performed. Postoperatively, topical levofloxacin ophthalmic solution 0.5% and neomycin–betamethasone ophthalmic ointment were prescribed with gradual tapering. No early postoperative inflammation or complications were observed.",
        "Results": "Initial postoperative recovery was unremarkable, with best-corrected visual acuity improving from 0.03 to 0.6. However, within one month after surgery, rapid and severe ACC developed, resulting in a residual capsular opening of approximately 2 mm despite stable intraocular lens centration and minimal anterior chamber inflammation. Automated keratometry was unobtainable because of capsular phimosis. Corneal status remained stable without progression of endothelial decompensation on serial specular microscopy. Neodymium:yttrium–aluminum–garnet (Nd:YAG) laser anterior capsulotomy was recommended but declined because of satisfactory subjective visual function, presumably related to a pinhole effect.",
        "Conclusions": "ACC is a not common but potentially vision-threatening complication after cataract surgery, with reported incidences of approximately 1.4% to 14%. Established risk factors include pseudoexfoliation syndrome, uveitis, retinitis pigmentosa, high myopia, small capsulorhexis size, and zonular weakness. Although FLACS generally provides precise and reproducible capsulotomy, studies have reported no increased overall incidence but occasional early or exaggerated contraction in high-risk eyes. Patients with FCD may be predisposed to accelerated capsular fibrosis because of an altered inflammatory and profibrotic tendency. This case highlights the need for careful postoperative surveillance and prompt management in high-risk patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCAT151",
      "abstract_number": "POCAT151",
      "title": "Clinical Outcomes Of Scleral Fixation Using Light Adjustable Lens For The Management Of Intraocular Lens Dislocation Or Subluxation",
      "authors": "Dr Sungho Choi",
      "presenter": "Dr Sungho Choi",
      "normalized_authors": [
        "Sungho Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sungho Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of intrascleral haptic fixation (ISHF) using a Light Adjustable Lens (LAL) for patients with IOL dislocation or subluxation, and to compare refractive results before and after Light Delivery Device (LDD) adjustments and final lock-in.",
        "Setting": "First Samsung Eye Clinic, Seoul, Republic of Korea.",
        "Methods": "This single-arm, retrospective study included 15 eyes that underwent secondary IOL implantation using the Yamane technique with LAL and pars plana vitrectomy. Uncorrected distance visual acuity (UDVA), best-corrected visual acuity (BCVA), and manifest refraction (spherical equivalent, SE; and cylinder) were measured at baseline (before LDD adjustment, typically 3-4 weeks post-op) and at 1 month after final UV lock-in. Complication rates and their management were also recorded.",
        "Results": "At the baseline visit (before LDD), the mean SE was 0.39 ± 0.83 D and mean cylinder was -0.97 ± 0.43 D. After a mean of 1.2 LDD adjustment sessions, the final mean SE improved to 0.05 ± 0.13 D and cylinder to -0.13 ± 0.20 D (P <.001). Achieved UDVA at last visit was -0.01 ± 0.11(-0.18~0.3) after final lock-in. Post-operative complications occurred in 26.7% of cases. The most frequent complications were [e.g., pupillary capture (20%), or macular edema (6.7%)]. Pupillary capture was managed by pupilloplasty in one case and peripheral iridectomy with Nd-YAG in two cases. No vision-threatening complications like endophthalmitis or retinal detachment were observed.",
        "Conclusions": "Scleral fixation of LAL via the Yamane technique is an effective method for treating IOL dislocation. The LAL platform successfully compensates for the refractive unpredictability and astigmatism induced by haptic misalignment in sutureless scleral fixation, providing superior visual outcomes compared to standard 3-piece monofocal IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Scleral fixation of LAL via the Yamane technique is an effective method for treating IOL dislocation. The LAL platform successfully compensates for the refractive unpredictability and astigmatism induced by haptic misalignment in sutureless scleral fixation, providing superior visual outcomes compared to standard 3-piece monofocal IOLs.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 195,
      "source_fields": {
        "Abstract Final Identifier": "POCAT151",
        "Title": "Clinical Outcomes Of Scleral Fixation Using Light Adjustable Lens For The Management Of Intraocular Lens Dislocation Or Subluxation",
        "Presenting Author(s)": "Dr Sungho Choi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sungho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the clinical outcomes of intrascleral haptic fixation (ISHF) using a Light Adjustable Lens (LAL) for patients with IOL dislocation or subluxation, and to compare refractive results before and after Light Delivery Device (LDD) adjustments and final lock-in.",
        "Setting": "First Samsung Eye Clinic, Seoul, Republic of Korea.",
        "Methods": "This single-arm, retrospective study included 15 eyes that underwent secondary IOL implantation using the Yamane technique with LAL and pars plana vitrectomy. Uncorrected distance visual acuity (UDVA), best-corrected visual acuity (BCVA), and manifest refraction (spherical equivalent, SE; and cylinder) were measured at baseline (before LDD adjustment, typically 3-4 weeks post-op) and at 1 month after final UV lock-in. Complication rates and their management were also recorded.",
        "Results": "At the baseline visit (before LDD), the mean SE was 0.39 ± 0.83 D and mean cylinder was -0.97 ± 0.43 D. After a mean of 1.2 LDD adjustment sessions, the final mean SE improved to 0.05 ± 0.13 D and cylinder to -0.13 ± 0.20 D (P <.001). Achieved UDVA at last visit was -0.01 ± 0.11(-0.18~0.3) after final lock-in. Post-operative complications occurred in 26.7% of cases. The most frequent complications were [e.g., pupillary capture (20%), or macular edema (6.7%)]. Pupillary capture was managed by pupilloplasty in one case and peripheral iridectomy with Nd-YAG in two cases. No vision-threatening complications like endophthalmitis or retinal detachment were observed.",
        "Conclusions": "Scleral fixation of LAL via the Yamane technique is an effective method for treating IOL dislocation. The LAL platform successfully compensates for the refractive unpredictability and astigmatism induced by haptic misalignment in sutureless scleral fixation, providing superior visual outcomes compared to standard 3-piece monofocal IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POCAT152",
      "abstract_number": "POCAT152",
      "title": "Does Choroidal Thickness Matter In Clinically Significant Pseudophakic Cystoid Macular Edema?",
      "authors": "Dr Kadriye Demir",
      "presenter": "Dr Kadriye Demir",
      "normalized_authors": [
        "Kadriye Demir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kadriye Demir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate subfoveal choroidal thickness (SCT) in eyes with clinically significant pseudophakic cystoid macular edema (PCME) and compare it with the contralateral pseudophakic eyes that underwent uncomplicated cataract surgery within a similar postoperative period using enhanced depth imaging optical coherence tomography (EDI-OCT).",
        "Setting": "Tertiary referral center, Department of Ophthalmology, Sakarya University Medical Education and Research Hospital, Turkey.",
        "Methods": "This retrospective observational study included 25 patients with clinically significant PCME following uneventful phacoemulsification and posterior chamber intraocular lens implantation. The control group consisted of contralateral pseudophakic eyes that had undergone uncomplicated cataract surgery within one month of the affected eye and did not develop PCME. SCT and central macular thickness (CMT) were measured using spectral-domain OCT with EDI mode. Best-corrected visual acuity (BCVA), age, and sex were recorded. Paired comparisons were performed between PCME eyes and pseudophakic fellow eyes to minimize the confounding effect of surgery-related choroidal changes.",
        "Results": "The mean age of the patients was 66.13 ± 5.44 years (range, 59–77). 14 (56%) were male and 11 (44%) were female. The mean interval between cataract surgery and PCME diagnosis was 6.2 ± 1.6 weeks. The mean CMT was significantly higher in PCME eyes (458.20 ± 92.30 µm) compared with pseudophakic fellow eyes (235.66 ± 28.43 µm, p < 0.001). The mean SCT was 297.27 ± 24.52 µm in PCME eyes and 289.41 ± 22.16 µm in pseudophakic fellow eyes. Although SCT was numerically greater in PCME eyes, the difference did not reach statistical significance (p = 0.18).",
        "Conclusions": "SCT was slightly higher in eyes with PCME compared to contralateral pseudophakic eyes operated within a similar postoperative period; however, the difference was not statistically significant. These findings suggest that choroidal thickening observed in PCME may largely reflect postoperative inflammatory changes rather than a disease-specific choroidal mechanism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SCT was slightly higher in eyes with PCME compared to contralateral pseudophakic eyes operated within a similar postoperative period; however, the difference was not statistically significant. These findings suggest that choroidal thickening observed in PCME may largely reflect postoperative inflammatory changes rather than a disease-specific choroidal mechanism.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 196,
      "source_fields": {
        "Abstract Final Identifier": "POCAT152",
        "Title": "Does Choroidal Thickness Matter In Clinically Significant Pseudophakic Cystoid Macular Edema?",
        "Presenting Author(s)": "Dr Kadriye Demir",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Kadriye",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Demir",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate subfoveal choroidal thickness (SCT) in eyes with clinically significant pseudophakic cystoid macular edema (PCME) and compare it with the contralateral pseudophakic eyes that underwent uncomplicated cataract surgery within a similar postoperative period using enhanced depth imaging optical coherence tomography (EDI-OCT).",
        "Setting": "Tertiary referral center, Department of Ophthalmology, Sakarya University Medical Education and Research Hospital, Turkey.",
        "Methods": "This retrospective observational study included 25 patients with clinically significant PCME following uneventful phacoemulsification and posterior chamber intraocular lens implantation. The control group consisted of contralateral pseudophakic eyes that had undergone uncomplicated cataract surgery within one month of the affected eye and did not develop PCME. SCT and central macular thickness (CMT) were measured using spectral-domain OCT with EDI mode. Best-corrected visual acuity (BCVA), age, and sex were recorded. Paired comparisons were performed between PCME eyes and pseudophakic fellow eyes to minimize the confounding effect of surgery-related choroidal changes.",
        "Results": "The mean age of the patients was 66.13 ± 5.44 years (range, 59–77). 14 (56%) were male and 11 (44%) were female. The mean interval between cataract surgery and PCME diagnosis was 6.2 ± 1.6 weeks. The mean CMT was significantly higher in PCME eyes (458.20 ± 92.30 µm) compared with pseudophakic fellow eyes (235.66 ± 28.43 µm, p < 0.001). The mean SCT was 297.27 ± 24.52 µm in PCME eyes and 289.41 ± 22.16 µm in pseudophakic fellow eyes. Although SCT was numerically greater in PCME eyes, the difference did not reach statistical significance (p = 0.18).",
        "Conclusions": "SCT was slightly higher in eyes with PCME compared to contralateral pseudophakic eyes operated within a similar postoperative period; however, the difference was not statistically significant. These findings suggest that choroidal thickening observed in PCME may largely reflect postoperative inflammatory changes rather than a disease-specific choroidal mechanism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT155",
      "abstract_number": "POCAT155",
      "title": "Pseudoexfoliation: Top Ten Survival Tips For Beginner Cataract Surgeons To Achieve Zen Surgery",
      "authors": "Dr Fran Drnovsek",
      "presenter": "Dr Fran Drnovsek",
      "normalized_authors": [
        "Fran Drnovsek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fran Drnovsek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Slovenia",
      "sections": {
        "Purpose": "Pseudoexfoliation syndrome (PEX) can quickly turn a “routine” cataract case into a stressful experience for a beginner surgeon, not to mention the patient. Small pupils, fragile zonules, and capsular instability require mindfulness and anticipation rather than improvisation. This presentation shares ten practical survival tips designed to help novice surgeons stay calm, in control, and avoid preventable complications.",
        "Setting": "Educational surgical guidance derived from literature and tested in clinical cataract surgery practice.",
        "Methods": "A structured “Top Ten Survival Tips” approach is presented for ZEN SURGERY:\n\nZ one of caution. Respect PEX from the start\n\nE valuate AC depth. Don’t go for the shallow ones\n\nNurture the pupil. If drugs don’t work, gentle use of hardware will\n\nS tabilise AC . Use adequate CCI length and the right OVD to keep AC steady\n\nU nderstand the circle. CCC should be appropriately sized and well-centred\n\nR educe phaco stress. No pushing, no rushing\n\nG entle but thorough hydrodissection. Let the fluid guide you\n\nE valuate IOL options carefully. Consider use of 3-piece IOL in the sulcus with reverse optic capture and CTR in the bag with severe zonulopathy\n\nR emove cortex with tangential strokes only. Don’t yank it out\n\nY ield if feeling unbalanced. Pause, breathe, and ask for support",
        "Results": "Applying ZEN SURGERY principles improves intraoperative control and surgeon confidence while reducing complications such as zonular dialysis capsular ruptures, vitreous loss, and late IOL decentration. A mindful, proactive rather than reactive strategy is key to maintaining capsular stability and inner peace, achieving predictable outcomes in PEX eyes in a young surgeon's hands.",
        "Conclusions": "In PEX eyes, routine thinking leads to complications. Anticipation, gentleness, and calm surgical flow are the beginner surgeon’s best allies. Mastering these ten survival tips transforms pseudoexfoliation from a feared case into a manageable surgical challenge."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In PEX eyes, routine thinking leads to complications. Anticipation, gentleness, and calm surgical flow are the beginner surgeon’s best allies. Mastering these ten survival tips transforms pseudoexfoliation from a feared case into a manageable surgical challenge.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 197,
      "source_fields": {
        "Abstract Final Identifier": "POCAT155",
        "Title": "Pseudoexfoliation: Top Ten Survival Tips For Beginner Cataract Surgeons To Achieve Zen Surgery",
        "Presenting Author(s)": "Dr Fran Drnovsek",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Fran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Drnovsek",
        "Country Name": "Slovenia",
        "Purpose": "Pseudoexfoliation syndrome (PEX) can quickly turn a “routine” cataract case into a stressful experience for a beginner surgeon, not to mention the patient. Small pupils, fragile zonules, and capsular instability require mindfulness and anticipation rather than improvisation. This presentation shares ten practical survival tips designed to help novice surgeons stay calm, in control, and avoid preventable complications.",
        "Setting": "Educational surgical guidance derived from literature and tested in clinical cataract surgery practice.",
        "Methods": "A structured “Top Ten Survival Tips” approach is presented for ZEN SURGERY:\n\nZ one of caution. Respect PEX from the start\n\nE valuate AC depth. Don’t go for the shallow ones\n\nNurture the pupil. If drugs don’t work, gentle use of hardware will\n\nS tabilise AC . Use adequate CCI length and the right OVD to keep AC steady\n\nU nderstand the circle. CCC should be appropriately sized and well-centred\n\nR educe phaco stress. No pushing, no rushing\n\nG entle but thorough hydrodissection. Let the fluid guide you\n\nE valuate IOL options carefully. Consider use of 3-piece IOL in the sulcus with reverse optic capture and CTR in the bag with severe zonulopathy\n\nR emove cortex with tangential strokes only. Don’t yank it out\n\nY ield if feeling unbalanced. Pause, breathe, and ask for support",
        "Results": "Applying ZEN SURGERY principles improves intraoperative control and surgeon confidence while reducing complications such as zonular dialysis capsular ruptures, vitreous loss, and late IOL decentration. A mindful, proactive rather than reactive strategy is key to maintaining capsular stability and inner peace, achieving predictable outcomes in PEX eyes in a young surgeon's hands.",
        "Conclusions": "In PEX eyes, routine thinking leads to complications. Anticipation, gentleness, and calm surgical flow are the beginner surgeon’s best allies. Mastering these ten survival tips transforms pseudoexfoliation from a feared case into a manageable surgical challenge."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCAT156",
      "abstract_number": "POCAT156",
      "title": "Toxic Anterior Segment Syndrome With Intracameral Moxifloxacin",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "to show that high dose of intracameral moxifloxacin can cause TASS even if it is preservative free",
        "Setting": "The memorial institute for ophthalmic research (MIOR)",
        "Methods": "A 60 y old female c/o of drop of vision in left eye . patient underwent routine phaco and single-piece acrylic\nIOL, Intracameral preservative-free moxifloxacin was used at the end of the case ( total volume was 0.5 cc ). 1st day\npost –op I found sever inflammation , the fluid in the eye was dark , aggressive membranes in AC and around IOL ,\nvision was HM mild pain, no chemosis . U/S showed completely free post seg. So I decided to fu without interference . I\nfound the same pic in the 2nd day so I diagnosed the patient as TASS and I decided to do AC wash and started to review\nliterature about the causes of TASS and I found that Intracameral Moxifloxacin can cause this .the patient continued on\nvery high doses of topical steroids",
        "Results": "The patient started to improve and to took about 4 months until complete resolve of ant seg occurred leaving\nlarge areas of iris depigmentation , very week pupillary reaction , dense PCO and high IOP . I continued on anti glaucoma\nuntil IOP controlled and did YAG capsulotomy and the final UCVA reached 0.6 that improve by glasses to 0.9",
        "Conclusions": "High dose of intracameral moxifloxacin can cause TASS even if it is preservative free\nWe should differentiate between endophthmitis and TASS"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High dose of intracameral moxifloxacin can cause TASS even if it is preservative free We should differentiate between endophthmitis and TASS",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 198,
      "source_fields": {
        "Abstract Final Identifier": "POCAT156",
        "Title": "Toxic Anterior Segment Syndrome With Intracameral Moxifloxacin",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "to show that high dose of intracameral moxifloxacin can cause TASS even if it is preservative free",
        "Setting": "The memorial institute for ophthalmic research (MIOR)",
        "Methods": "A 60 y old female c/o of drop of vision in left eye . patient underwent routine phaco and single-piece acrylic\nIOL, Intracameral preservative-free moxifloxacin was used at the end of the case ( total volume was 0.5 cc ). 1st day\npost –op I found sever inflammation , the fluid in the eye was dark , aggressive membranes in AC and around IOL ,\nvision was HM mild pain, no chemosis . U/S showed completely free post seg. So I decided to fu without interference . I\nfound the same pic in the 2nd day so I diagnosed the patient as TASS and I decided to do AC wash and started to review\nliterature about the causes of TASS and I found that Intracameral Moxifloxacin can cause this .the patient continued on\nvery high doses of topical steroids",
        "Results": "The patient started to improve and to took about 4 months until complete resolve of ant seg occurred leaving\nlarge areas of iris depigmentation , very week pupillary reaction , dense PCO and high IOP . I continued on anti glaucoma\nuntil IOP controlled and did YAG capsulotomy and the final UCVA reached 0.6 that improve by glasses to 0.9",
        "Conclusions": "High dose of intracameral moxifloxacin can cause TASS even if it is preservative free\nWe should differentiate between endophthmitis and TASS"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCAT157",
      "abstract_number": "POCAT157",
      "title": "Presby-Lasik A New Standard",
      "authors": "Dr Hehn Frederic",
      "presenter": "Dr Hehn Frederic",
      "normalized_authors": [
        "Hehn Frederic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hehn Frederic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "PRESBYLASIK A NEW STANDARD\n\nHehn Frederic * 1\n\n1 54000, Centre de la Vision , Nancy, France\n\nPurpose: The author present a new presby-LASIK strategy, to correct presbyopia in the same manner in both eyes\n\n, that's mean , it can give patient an extend depth of focus , without using a myopic target\n\nthe both eyes can achieve a nice and powerful vision at any distances, as the monovision strategy doesn't",
        "Setting": "We present a clinical study, including 60 eyes of 30 patients; The follow up at day one, one month , one year .",
        "Methods": "Methods: All the patients get topographic and refractive criteria inclusions,\n\nThe Femto-flap is performed on ZIEMER Z4 plateform, and the Excimer treatment is performed on the EX500 ACON\n\nAt first we treat the distance vision with a Wave front optimized Excimer profile , then we add a Custom Q treatment to compensate the presbyopia\n\nWe do not use any myopic target, to assure the same image quality at any distance, in each eye.",
        "Results": "Results: this Presby-LASIK Standard , doesn't care about the dominant non dominant eye\n\nThe results are stable by the time of a one year follow up\n\nThe monocular and binocular distant visual acuity are symetrical without a gap in intermediate vision , 90% of the eye can achieve 18/20 or more at one month, 93 % of the eye can achieve J1 for near vision at day one\n\nWe expose our results about 60 eyes of 30 patients , myopic , emmetropic and hyperopic from 45 years to 72 years , previously pseudophake or not",
        "Conclusions": "Conclusions: Presby-LASIK new standard can give patient a nice and powerful vision in each eye at any distance , cause it doesn't use a myopic target"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: Presby-LASIK new standard can give patient a nice and powerful vision in each eye at any distance , cause it doesn't use a myopic target",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 199,
      "source_fields": {
        "Abstract Final Identifier": "POCAT157",
        "Title": "Presby-Lasik A New Standard",
        "Presenting Author(s)": "Dr Hehn Frederic",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hehn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Frederic",
        "Country Name": "France",
        "Purpose": "PRESBYLASIK A NEW STANDARD\n\nHehn Frederic * 1\n\n1 54000, Centre de la Vision , Nancy, France\n\nPurpose: The author present a new presby-LASIK strategy, to correct presbyopia in the same manner in both eyes\n\n, that's mean , it can give patient an extend depth of focus , without using a myopic target\n\nthe both eyes can achieve a nice and powerful vision at any distances, as the monovision strategy doesn't",
        "Setting": "We present a clinical study, including 60 eyes of 30 patients; The follow up at day one, one month , one year .",
        "Methods": "Methods: All the patients get topographic and refractive criteria inclusions,\n\nThe Femto-flap is performed on ZIEMER Z4 plateform, and the Excimer treatment is performed on the EX500 ACON\n\nAt first we treat the distance vision with a Wave front optimized Excimer profile , then we add a Custom Q treatment to compensate the presbyopia\n\nWe do not use any myopic target, to assure the same image quality at any distance, in each eye.",
        "Results": "Results: this Presby-LASIK Standard , doesn't care about the dominant non dominant eye\n\nThe results are stable by the time of a one year follow up\n\nThe monocular and binocular distant visual acuity are symetrical without a gap in intermediate vision , 90% of the eye can achieve 18/20 or more at one month, 93 % of the eye can achieve J1 for near vision at day one\n\nWe expose our results about 60 eyes of 30 patients , myopic , emmetropic and hyperopic from 45 years to 72 years , previously pseudophake or not",
        "Conclusions": "Conclusions: Presby-LASIK new standard can give patient a nice and powerful vision in each eye at any distance , cause it doesn't use a myopic target"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POCAT158",
      "abstract_number": "POCAT158",
      "title": "Iol Exchange Without Removing Pre-Existing Iris Implant",
      "authors": "Dr Ahmed Galal",
      "presenter": "Dr Ahmed Galal",
      "normalized_authors": [
        "Ahmed Galal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Galal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To present surgical results of explanting and re-implanting IOL in presence of pre-existing Iris Implant",
        "Setting": "MVZ Ostbayern",
        "Methods": "Temporal conjuntival incision followed by 5mm-scleral incision temporally. The decentrated IC - 8 ™ IOL (Bausch&Lomb) was removed through the scleral incision and anterior vitrectomy was performed. A new 3-piece IOL (Kowa Japan) was inserted and sclerally fixed using pflanged haptic technique. All incisions were closed successfully",
        "Results": "Post operatively IOL centration was excellent and no dislocation of the pflanged haptics were notices. Anterior chamber was deep and the pre-implanted Humanoptix Iris impant did not suffer any damage or decentration. Surgey was uneventful",
        "Conclusions": "Operating through a scleral temporal incision could help in preserving the alreay implanted Humanoptix Iris implant without the need to explant and re implant it, making the surgery shorter and safer"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Operating through a scleral temporal incision could help in preserving the alreay implanted Humanoptix Iris implant without the need to explant and re implant it, making the surgery shorter and safer",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 200,
      "source_fields": {
        "Abstract Final Identifier": "POCAT158",
        "Title": "Iol Exchange Without Removing Pre-Existing Iris Implant",
        "Presenting Author(s)": "Dr Ahmed Galal",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Galal",
        "Country Name": "Germany",
        "Purpose": "To present surgical results of explanting and re-implanting IOL in presence of pre-existing Iris Implant",
        "Setting": "MVZ Ostbayern",
        "Methods": "Temporal conjuntival incision followed by 5mm-scleral incision temporally. The decentrated IC - 8 ™ IOL (Bausch&Lomb) was removed through the scleral incision and anterior vitrectomy was performed. A new 3-piece IOL (Kowa Japan) was inserted and sclerally fixed using pflanged haptic technique. All incisions were closed successfully",
        "Results": "Post operatively IOL centration was excellent and no dislocation of the pflanged haptics were notices. Anterior chamber was deep and the pre-implanted Humanoptix Iris impant did not suffer any damage or decentration. Surgey was uneventful",
        "Conclusions": "Operating through a scleral temporal incision could help in preserving the alreay implanted Humanoptix Iris implant without the need to explant and re implant it, making the surgery shorter and safer"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 129
    },
    {
      "uid": "POCAT159",
      "abstract_number": "POCAT159",
      "title": "Association Between Retinitis Pigmentosa And Anterior Capsular Contraction: Surgical Strategies To Prevent This Complication",
      "authors": "Dr Alicia Garde Gonzalez",
      "presenter": "Dr Alicia Garde Gonzalez",
      "normalized_authors": [
        "Alicia Garde Gonzalez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alicia Garde Gonzalez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Progressive anterior capsular contraction following cataract surgery is a well-recognized complication in patients with retinitis pigmentosa (RP), with a significantly higher incidence compared with the general population. This phenomenon has been attributed to zonular weakness and the enhanced fibrotic response characteristic of RP, which in some cases may lead to intraocular lens (IOL) decentration or dislocation. Awareness of surgical strategies that may reduce this risk is therefore essential.",
        "Setting": "Case report of a patient with retinitis pigmentosa, zonular weakness, and diabetes mellitus undergoing bilateral cataract surgery, with postoperative follow-up and comparative outcomes between both eyes.",
        "Methods": "We report the case of a patient with retinitis pigmentosa, zonular weakness, and diabetes mellitus who underwent bilateral cataract surgery. One month after surgery in the right eye, the patient developed complete anterior capsular contraction associated with decreased visual acuity and inferior IOL displacement, requiring early Nd:YAG laser capsulotomy. Based on the postoperative findings in the first eye, preventive intraoperative measures were implemented during cataract surgery in the second eye, including creation of a large capsulorhexis, meticulous anterior capsule polishing, and implantation of a capsular tension ring. Postoperatively, the second eye developed mild capsulophimosis, markedly less severe than the fellow eye.",
        "Results": "The use of capsular tension rings in patients with RP may reduce, but does not completely eliminate, the risk of capsulophimosis; significant capsular contraction has been reported even in eyes with implanted tension ring. Preventive intraoperative strategies include performing a well-centered, regular capsulorhexis measuring at least 5.5–6.0 mm, together with meticulous removal of residual subcapsular lens epithelial cells to minimize postoperative fibrotic proliferation.\n\nIn our case, modification of the surgical approach in the second eye resulted in a markedly improved outcome, with better visual acuity and stable IOL positioning.",
        "Conclusions": "Patients with RP presenting additional risk factors, such as zonular weakness, pseudoexfoliation syndrome, diabetes mellitus, uveitis, or anatomical alterations of the capsular bag, are more likely to develop postoperative capsulophimosis. Furthermore, advanced stages of RP confer higher risk of capsular contraction and IOL dislocation.\n\nThis case highlights the importance of recognizing the association between RP and capsulophimosis to tailor surgical technique in these patients and reduce future complications. Adequate capsulorhexis sizing, anterior capsule polishing, and capsular tension ring implantation may significantly reduce the risk of postoperative capsular contraction and IOL displacement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with RP presenting additional risk factors, such as zonular weakness, pseudoexfoliation syndrome, diabetes mellitus, uveitis, or anatomical alterations of the capsular bag, are more likely to develop postoperative capsulophimosis. Furthermore, advanced stages of RP confer higher risk of capsular contraction and IOL dislocation. This case highlights the importance of recognizing the association between RP…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 201,
      "source_fields": {
        "Abstract Final Identifier": "POCAT159",
        "Title": "Association Between Retinitis Pigmentosa And Anterior Capsular Contraction: Surgical Strategies To Prevent This Complication",
        "Presenting Author(s)": "Dr Alicia Garde Gonzalez",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Alicia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garde Gonzalez",
        "Country Name": "Spain",
        "Purpose": "Progressive anterior capsular contraction following cataract surgery is a well-recognized complication in patients with retinitis pigmentosa (RP), with a significantly higher incidence compared with the general population. This phenomenon has been attributed to zonular weakness and the enhanced fibrotic response characteristic of RP, which in some cases may lead to intraocular lens (IOL) decentration or dislocation. Awareness of surgical strategies that may reduce this risk is therefore essential.",
        "Setting": "Case report of a patient with retinitis pigmentosa, zonular weakness, and diabetes mellitus undergoing bilateral cataract surgery, with postoperative follow-up and comparative outcomes between both eyes.",
        "Methods": "We report the case of a patient with retinitis pigmentosa, zonular weakness, and diabetes mellitus who underwent bilateral cataract surgery. One month after surgery in the right eye, the patient developed complete anterior capsular contraction associated with decreased visual acuity and inferior IOL displacement, requiring early Nd:YAG laser capsulotomy. Based on the postoperative findings in the first eye, preventive intraoperative measures were implemented during cataract surgery in the second eye, including creation of a large capsulorhexis, meticulous anterior capsule polishing, and implantation of a capsular tension ring. Postoperatively, the second eye developed mild capsulophimosis, markedly less severe than the fellow eye.",
        "Results": "The use of capsular tension rings in patients with RP may reduce, but does not completely eliminate, the risk of capsulophimosis; significant capsular contraction has been reported even in eyes with implanted tension ring. Preventive intraoperative strategies include performing a well-centered, regular capsulorhexis measuring at least 5.5–6.0 mm, together with meticulous removal of residual subcapsular lens epithelial cells to minimize postoperative fibrotic proliferation.\n\nIn our case, modification of the surgical approach in the second eye resulted in a markedly improved outcome, with better visual acuity and stable IOL positioning.",
        "Conclusions": "Patients with RP presenting additional risk factors, such as zonular weakness, pseudoexfoliation syndrome, diabetes mellitus, uveitis, or anatomical alterations of the capsular bag, are more likely to develop postoperative capsulophimosis. Furthermore, advanced stages of RP confer higher risk of capsular contraction and IOL dislocation.\n\nThis case highlights the importance of recognizing the association between RP and capsulophimosis to tailor surgical technique in these patients and reduce future complications. Adequate capsulorhexis sizing, anterior capsule polishing, and capsular tension ring implantation may significantly reduce the risk of postoperative capsular contraction and IOL displacement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "POCAT160",
      "abstract_number": "POCAT160",
      "title": "Phacoemulsification In Nonagenarians: Visual Outcomes, Complication Profile And Predictive Factors In A Real-World Cohort",
      "authors": "Dr Ariadna Garreta-Rafecas",
      "presenter": "Dr Ariadna Garreta-Rafecas",
      "normalized_authors": [
        "Ariadna Garreta-Rafecas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ariadna Garreta-Rafecas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To comprehensively evaluate the safety profile and early visual outcomes of phacoemulsification in nonagenarians , a rapidly growing and underrepresented surgical population characterized by advanced cataract density , higher prevalence of alpha-antagonist (AA) exposure , zonular fragility, systemic frailty , and potentially limited visual retinal reserve . This real- world study quantifies early functional benefit at 1 month , define s the incidence and pattern of intra- and postoperative complications , and evaluates biometric and perioperative predictors of adverse events to refine risk stratification, optimize surgical planning, and improve preoperative counselling in very elderly candidates.",
        "Setting": "Retrospective single- centre cohort study conducted at the tertiary referral Department of Ophthalmology, Hospital Clínic of Barcelona, Spain. Consecutive phacoemulsifications in patients aged ≥90 years were analyzed at eye level, including bilateral cases. Standardized optical biometry and a protocolized 1-month postoperative evaluation were performed. Ninety-six eyes from 68 patients were analyzed (53.1% female; mean age 91.8±1.8y); 14.6% were only functional eyes (blind fellow eye).",
        "Methods": "Comorbidities included glaucoma (21.9%) and AMD (35.4%, 20.6% with macular atrophy). Preoperative data included AA exposure ( 43.7% ) , b aseline IOP ( 16.4±4.7 mmHg ) , and optical biometry parameters ( AL 22.9±1.2 mm , ACD 2.8±0.4 mm , and LT 4.92±0.3 mm ) . Cataracts were graded using LOCS III (mean C : 2.6 , N C : 3.9 , P : 1.7). Intraoperative variables comprised anesthesia type, total operating room (OR) time (patient entry to exit) , adjuncts (blue dye, capsular tension ring CTR, pupil expanders) and IOL position. Outcomes were intraoperative, early (<1 month) and late (≥1 month) complications, plus 1-month BCVA ( log MAR ) a nd spherical equivalent (SE). Statistical analysis included chi-square, paired t-test/Wilcoxon, and multivariable logistic regression.",
        "Results": "Anesthesia was topical (69.8%), peribulbar (15.6%), sub-Tenon (13.5%) or retrobulbar (1%). IOLs were in-the-bag (95.8%), sulcus (2.1%) or aphakic (2.1%). Adjuncts included Malyugin ring (5.2%), CTR (10.4%), opposite incisions (7.3% ) and blue dye (5.2%). BCVA improved from 0.78±0.6 to 0.31±0.2 logMAR (Δ−0.45, p=.05); 98.9% remaned stable/improved, 1 patient declined (nAMD). SE decreased from +1.58D to +0.47D. Intraoperative events (12.5%), mainly zonular/ capsular, correlated with longer OR time ( 36 .5 vs 1 5.0 min, p=.0001), dye use (p=.01) and anesthesia (p=.02). On multivariable analysis, AA exposure (OR 1.3) and OR time (OR 1.108/min) were predictors. Postoperative events occurred in 9.4% (<1 mo; ocular hypertension) and 7.3% (≥1 mo; CME ).",
        "Conclusions": "Phacoemulsification in nonagenarians provides substantial early visual rehabilitation with high rates of in-the-bag IOL implantation despite advanced age, substantial ocular comorbidity burden and anatomical complexity. Intraoperative events were predominantly zonular or capsular and independently associated with alpha-antagonist exposure and longer operating room time, underscoring the impact of IFIS and tissue fragility. Postoperative complications were infrequent and mainl y transient . The se findings support cataract surgery as a safe and effective intervention in nonagenarians when guided by proactive IFIS risk assessment, anticipatory pupil/zonular support, and individualized surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification in nonagenarians provides substantial early visual rehabilitation with high rates of in-the-bag IOL implantation despite advanced age, substantial ocular comorbidity burden and anatomical complexity. Intraoperative events were predominantly zonular or capsular and independently associated with alpha-antagonist exposure and longer operating room time, underscoring the impact of IFIS and tissue…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 202,
      "source_fields": {
        "Abstract Final Identifier": "POCAT160",
        "Title": "Phacoemulsification In Nonagenarians: Visual Outcomes, Complication Profile And Predictive Factors In A Real-World Cohort",
        "Presenting Author(s)": "Dr Ariadna Garreta-Rafecas",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ariadna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garreta-Rafecas",
        "Country Name": "Spain",
        "Purpose": "To comprehensively evaluate the safety profile and early visual outcomes of phacoemulsification in nonagenarians , a rapidly growing and underrepresented surgical population characterized by advanced cataract density , higher prevalence of alpha-antagonist (AA) exposure , zonular fragility, systemic frailty , and potentially limited visual retinal reserve . This real- world study quantifies early functional benefit at 1 month , define s the incidence and pattern of intra- and postoperative complications , and evaluates biometric and perioperative predictors of adverse events to refine risk stratification, optimize surgical planning, and improve preoperative counselling in very elderly candidates.",
        "Setting": "Retrospective single- centre cohort study conducted at the tertiary referral Department of Ophthalmology, Hospital Clínic of Barcelona, Spain. Consecutive phacoemulsifications in patients aged ≥90 years were analyzed at eye level, including bilateral cases. Standardized optical biometry and a protocolized 1-month postoperative evaluation were performed. Ninety-six eyes from 68 patients were analyzed (53.1% female; mean age 91.8±1.8y); 14.6% were only functional eyes (blind fellow eye).",
        "Methods": "Comorbidities included glaucoma (21.9%) and AMD (35.4%, 20.6% with macular atrophy). Preoperative data included AA exposure ( 43.7% ) , b aseline IOP ( 16.4±4.7 mmHg ) , and optical biometry parameters ( AL 22.9±1.2 mm , ACD 2.8±0.4 mm , and LT 4.92±0.3 mm ) . Cataracts were graded using LOCS III (mean C : 2.6 , N C : 3.9 , P : 1.7). Intraoperative variables comprised anesthesia type, total operating room (OR) time (patient entry to exit) , adjuncts (blue dye, capsular tension ring CTR, pupil expanders) and IOL position. Outcomes were intraoperative, early (<1 month) and late (≥1 month) complications, plus 1-month BCVA ( log MAR ) a nd spherical equivalent (SE). Statistical analysis included chi-square, paired t-test/Wilcoxon, and multivariable logistic regression.",
        "Results": "Anesthesia was topical (69.8%), peribulbar (15.6%), sub-Tenon (13.5%) or retrobulbar (1%). IOLs were in-the-bag (95.8%), sulcus (2.1%) or aphakic (2.1%). Adjuncts included Malyugin ring (5.2%), CTR (10.4%), opposite incisions (7.3% ) and blue dye (5.2%). BCVA improved from 0.78±0.6 to 0.31±0.2 logMAR (Δ−0.45, p=.05); 98.9% remaned stable/improved, 1 patient declined (nAMD). SE decreased from +1.58D to +0.47D. Intraoperative events (12.5%), mainly zonular/ capsular, correlated with longer OR time ( 36 .5 vs 1 5.0 min, p=.0001), dye use (p=.01) and anesthesia (p=.02). On multivariable analysis, AA exposure (OR 1.3) and OR time (OR 1.108/min) were predictors. Postoperative events occurred in 9.4% (<1 mo; ocular hypertension) and 7.3% (≥1 mo; CME ).",
        "Conclusions": "Phacoemulsification in nonagenarians provides substantial early visual rehabilitation with high rates of in-the-bag IOL implantation despite advanced age, substantial ocular comorbidity burden and anatomical complexity. Intraoperative events were predominantly zonular or capsular and independently associated with alpha-antagonist exposure and longer operating room time, underscoring the impact of IFIS and tissue fragility. Postoperative complications were infrequent and mainl y transient . The se findings support cataract surgery as a safe and effective intervention in nonagenarians when guided by proactive IFIS risk assessment, anticipatory pupil/zonular support, and individualized surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 513
    },
    {
      "uid": "POCAT161",
      "abstract_number": "POCAT161",
      "title": "Comparative Analysis Of Intraocular Pressure Changes After Phacoemulsification In Pseudoexfoliation Eyes With And Without Glaucomatous Changes",
      "authors": "Ms Doaa Salah Addin Grew",
      "presenter": "Ms Doaa Salah Addin Grew",
      "normalized_authors": [
        "Doaa Salah Addin Grew"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Doaa Salah Addin Grew",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Libya",
      "sections": {
        "Purpose": "The objective of this study is to investigate the clinical features of PXF and to evaluate changes in intraocular pressure (IOP) and postoperative complications following cataract surgery, by comparing patients with and without glaucomatous changes. Patients were considered to have glaucomatous changes if they demonstrated optic nerve head damage consistent with glaucoma (e.g., increased cup-to-disc ratio, rim thinning), or required antiglaucoma treatment due to persistently elevated IOP.",
        "Setting": "This prospective study at Benghazi Eye Hospital included cataract patients with pseudoexfoliation syndrome. Eyes were classified as with or without glaucomatous changes. Preoperative assessment included Goldmann applanation tonometry with corneal thickness correction. All patients underwent standardized phacoemulsification with posterior chamber intraocular lens implantation. Intraocular pressure and postoperative complications were evaluated at day 7 and one month",
        "Methods": "This study is scheduled to take place at Benghazi Eye Hospital. Two cohorts will be enrolled prospectively: one cohort will consist of PXF eyes that have glaucomatous changes, and the other cohort will consist of PXF eyes without glaucomatous changes. Phacoemulsification will be performed on both groups. The IOP changes and outcomes of these two groups will then be compared. after 7 days and one month from the operation. An independent samples t-test will be used to compare the means between PXF eyes with glaucomatous change and those without glaucomatous change. Statistical analysis will be performed using SPSS for Windows (Version 26).",
        "Results": "Eighty-four eyes were analyzed: 41 with glaucomatous changes and 43 without. Preoperative intraocular pressure (IOP) was significantly higher in glaucomatous eyes (22.8 ± 3.6 mmHg) compared with non-glaucomatous eyes (17.2 ± 2.8 mmHg; p < 0.001). At one month, IOP decreased significantly in both groups. Glaucomatous eyes showed a greater reduction (−6.6 mmHg; 28.9%) than non-glaucomatous eyes (−2.7 mmHg; 15.7%) (p = 0.001). Medication burden decreased in 39% of glaucomatous patients. Transient postoperative IOP spikes were infrequent and medically controlled. Intraoperative complications were slightly more common in glaucomatous eyes but without long-term sequelae",
        "Conclusions": "Phacoemulsification significantly reduced intraocular pressure in pseudoexfoliation eyes, with greater reduction in those with glaucomatous changes. Cataract surgery provided both visual improvement and meaningful pressure control, with reduced medication need in some patients. Despite surgical challenges, outcomes were favorable. Cataract extraction should be considered part of intraocular pressure management in pseudoexfoliation syndrome"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification significantly reduced intraocular pressure in pseudoexfoliation eyes, with greater reduction in those with glaucomatous changes. Cataract surgery provided both visual improvement and meaningful pressure control, with reduced medication need in some patients. Despite surgical challenges, outcomes were favorable. Cataract extraction should be considered part of intraocular pressure management in…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 203,
      "source_fields": {
        "Abstract Final Identifier": "POCAT161",
        "Title": "Comparative Analysis Of Intraocular Pressure Changes After Phacoemulsification In Pseudoexfoliation Eyes With And Without Glaucomatous Changes",
        "Presenting Author(s)": "Ms Doaa Salah Addin Grew",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Doaa",
        "Submitter Middle Name": "Salah Addin",
        "Submitter Last Name": "Grew",
        "Country Name": "Libya",
        "Purpose": "The objective of this study is to investigate the clinical features of PXF and to evaluate changes in intraocular pressure (IOP) and postoperative complications following cataract surgery, by comparing patients with and without glaucomatous changes. Patients were considered to have glaucomatous changes if they demonstrated optic nerve head damage consistent with glaucoma (e.g., increased cup-to-disc ratio, rim thinning), or required antiglaucoma treatment due to persistently elevated IOP.",
        "Setting": "This prospective study at Benghazi Eye Hospital included cataract patients with pseudoexfoliation syndrome. Eyes were classified as with or without glaucomatous changes. Preoperative assessment included Goldmann applanation tonometry with corneal thickness correction. All patients underwent standardized phacoemulsification with posterior chamber intraocular lens implantation. Intraocular pressure and postoperative complications were evaluated at day 7 and one month",
        "Methods": "This study is scheduled to take place at Benghazi Eye Hospital. Two cohorts will be enrolled prospectively: one cohort will consist of PXF eyes that have glaucomatous changes, and the other cohort will consist of PXF eyes without glaucomatous changes. Phacoemulsification will be performed on both groups. The IOP changes and outcomes of these two groups will then be compared. after 7 days and one month from the operation. An independent samples t-test will be used to compare the means between PXF eyes with glaucomatous change and those without glaucomatous change. Statistical analysis will be performed using SPSS for Windows (Version 26).",
        "Results": "Eighty-four eyes were analyzed: 41 with glaucomatous changes and 43 without. Preoperative intraocular pressure (IOP) was significantly higher in glaucomatous eyes (22.8 ± 3.6 mmHg) compared with non-glaucomatous eyes (17.2 ± 2.8 mmHg; p < 0.001). At one month, IOP decreased significantly in both groups. Glaucomatous eyes showed a greater reduction (−6.6 mmHg; 28.9%) than non-glaucomatous eyes (−2.7 mmHg; 15.7%) (p = 0.001). Medication burden decreased in 39% of glaucomatous patients. Transient postoperative IOP spikes were infrequent and medically controlled. Intraoperative complications were slightly more common in glaucomatous eyes but without long-term sequelae",
        "Conclusions": "Phacoemulsification significantly reduced intraocular pressure in pseudoexfoliation eyes, with greater reduction in those with glaucomatous changes. Cataract surgery provided both visual improvement and meaningful pressure control, with reduced medication need in some patients. Despite surgical challenges, outcomes were favorable. Cataract extraction should be considered part of intraocular pressure management in pseudoexfoliation syndrome"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POCAT162",
      "abstract_number": "POCAT162",
      "title": "Glycaemic Control And Complications In Cataract Surgery - A Retrospective Audit",
      "authors": "Mr Simranjeet Singh Grewal",
      "presenter": "Mr Simranjeet Singh Grewal",
      "normalized_authors": [
        "Simranjeet Singh Grewal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simranjeet Singh Grewal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The link between poor glycaemic control and postoperative complications has not been fully established with respects to cataract surgery. This audit aimed to increase the evidence base and look at the levels of postoperative complications in patients with poorly controlled Diabetes mellitus (DM) who underwent cataract surgery.",
        "Setting": "This audit took place with data from Moorfields Eye Hospital in London.",
        "Methods": "An automated search of the OpenEyes EMR database was completed. Using patient ID’s pooled from this search, a comprehensive search was undertaken using OpenEyes and data was collected for various parameters. Following exclusion, a total of 145 eyes were identified having had cataract surgery between January 2023 - March 2024.",
        "Results": "Average HbA1c was 87.7 mmol/mol with average BM being 14.7 mmols/L. 28 operations were cancelled and rescheduled, with poor diabetic control being the cause for approx. 36% of cancellations. There were no systemic or perioperative complications. 27% of patients had intraoperative/postoperative complications with the most common postoperative complication being CMO. The average HbA1c was 6.2 mmol/mol higher in those with postoperative complications compared to those with no complications. There were no cases of endophthalmitis.",
        "Conclusions": "Our results show that there is an association between poor glycaemic control and ophthalmic complications, however, this may very well be due to surgical complexity. No systemic complications/endophthalmitis were seen and therefore cancelling surgery on the grounds of poor diabetic control may be counterintuitive. The risk to the patient, from a systemic point of view, is low and by delaying surgery the density of the cataract may increase, further increasing surgical risk and complexity, further increasing risk of an ophthalmic complication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results show that there is an association between poor glycaemic control and ophthalmic complications, however, this may very well be due to surgical complexity. No systemic complications/endophthalmitis were seen and therefore cancelling surgery on the grounds of poor diabetic control may be counterintuitive. The risk to the patient, from a systemic point of view, is low and by delaying surgery the density of…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 204,
      "source_fields": {
        "Abstract Final Identifier": "POCAT162",
        "Title": "Glycaemic Control And Complications In Cataract Surgery - A Retrospective Audit",
        "Presenting Author(s)": "Mr Simranjeet Singh Grewal",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Simranjeet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Grewal",
        "Country Name": "United Kingdom",
        "Purpose": "The link between poor glycaemic control and postoperative complications has not been fully established with respects to cataract surgery. This audit aimed to increase the evidence base and look at the levels of postoperative complications in patients with poorly controlled Diabetes mellitus (DM) who underwent cataract surgery.",
        "Setting": "This audit took place with data from Moorfields Eye Hospital in London.",
        "Methods": "An automated search of the OpenEyes EMR database was completed. Using patient ID’s pooled from this search, a comprehensive search was undertaken using OpenEyes and data was collected for various parameters. Following exclusion, a total of 145 eyes were identified having had cataract surgery between January 2023 - March 2024.",
        "Results": "Average HbA1c was 87.7 mmol/mol with average BM being 14.7 mmols/L. 28 operations were cancelled and rescheduled, with poor diabetic control being the cause for approx. 36% of cancellations. There were no systemic or perioperative complications. 27% of patients had intraoperative/postoperative complications with the most common postoperative complication being CMO. The average HbA1c was 6.2 mmol/mol higher in those with postoperative complications compared to those with no complications. There were no cases of endophthalmitis.",
        "Conclusions": "Our results show that there is an association between poor glycaemic control and ophthalmic complications, however, this may very well be due to surgical complexity. No systemic complications/endophthalmitis were seen and therefore cancelling surgery on the grounds of poor diabetic control may be counterintuitive. The risk to the patient, from a systemic point of view, is low and by delaying surgery the density of the cataract may increase, further increasing surgical risk and complexity, further increasing risk of an ophthalmic complication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POCAT163",
      "abstract_number": "POCAT163",
      "title": "Bulous Kerathopaty The New More Controlled Option For Management",
      "authors": "Prof. Dr Christina Grupcheva*",
      "presenter": "Prof. Dr Christina Grupcheva*",
      "normalized_authors": [
        "Christina Grupcheva*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christina Grupcheva*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bulgaria",
      "sections": {
        "Purpose": "Purpose: The goal of this pilot study is evaluate the effect of teranostic crosslinking on corneal “rehabilitation” after complicated cataract surgery. Although the exact mechanism is not proven, compacting of corneal lamellae by crosslinking facilitates less corneal edema and uniform healthy epithelium.",
        "Setting": "Clinical research in the real practice.",
        "Methods": "Methods: 14 eyes of 12 patients with post cataract corneal edema, were evaluated with OCT pachimetry, including epithelial thickness and specular microscopy. Subsequently, all eyes were treated with crosslinking following standard teranostic protocol for bulous kerathopaty. All procedures were done with epithelium off and utilizing universal 0.22% riboflavin. The patients were fitted with therapeutic contact lens for 2 weeks, and examined on day 1, week 1, week 2 and week 8. Patients also filled in a 3 items questionnaire regarding discomfort, difficulties to open the eye and vision.",
        "Results": "epithelial thickness was measured at mean of 78±21microns. The best vision was counting fingers. Non of the specular microscopy evaluations manage to demonstrate endothelial structure. 8 weeks after the procedure the mean thickness reduced respectively for the central cornea at 694±63 microns, and mean epithelial thickness reduced to 62±251microns, but with more uniform distribution. In 8 eyes the vision increased to 0.1. In two eyes to 0.4 and in 4 eyes was unchanged. Subjectively all patients reported Improvement with at least 2 of 3 items.",
        "Conclusions": "Conclusion: Teranostic crosslinking might be a good additive solution in management of post-cataract corneal edema. Although, cataract surgery is atraumatic, there are still risky cases with Fuchs’ dystrophy, long standing cataracts or intraoperative complications that require complex management. Better prediction and control offered by the teranistic approach is more reliable and secure in those cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion: Teranostic crosslinking might be a good additive solution in management of post-cataract corneal edema. Although, cataract surgery is atraumatic, there are still risky cases with Fuchs’ dystrophy, long standing cataracts or intraoperative complications that require complex management. Better prediction and control offered by the teranistic approach is more reliable and secure in those cases.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 205,
      "source_fields": {
        "Abstract Final Identifier": "POCAT163",
        "Title": "Bulous Kerathopaty The New More Controlled Option For Management",
        "Presenting Author(s)": "Prof. Dr Christina Grupcheva*",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Christina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Grupcheva*",
        "Country Name": "Bulgaria",
        "Purpose": "Purpose: The goal of this pilot study is evaluate the effect of teranostic crosslinking on corneal “rehabilitation” after complicated cataract surgery. Although the exact mechanism is not proven, compacting of corneal lamellae by crosslinking facilitates less corneal edema and uniform healthy epithelium.",
        "Setting": "Clinical research in the real practice.",
        "Methods": "Methods: 14 eyes of 12 patients with post cataract corneal edema, were evaluated with OCT pachimetry, including epithelial thickness and specular microscopy. Subsequently, all eyes were treated with crosslinking following standard teranostic protocol for bulous kerathopaty. All procedures were done with epithelium off and utilizing universal 0.22% riboflavin. The patients were fitted with therapeutic contact lens for 2 weeks, and examined on day 1, week 1, week 2 and week 8. Patients also filled in a 3 items questionnaire regarding discomfort, difficulties to open the eye and vision.",
        "Results": "epithelial thickness was measured at mean of 78±21microns. The best vision was counting fingers. Non of the specular microscopy evaluations manage to demonstrate endothelial structure. 8 weeks after the procedure the mean thickness reduced respectively for the central cornea at 694±63 microns, and mean epithelial thickness reduced to 62±251microns, but with more uniform distribution. In 8 eyes the vision increased to 0.1. In two eyes to 0.4 and in 4 eyes was unchanged. Subjectively all patients reported Improvement with at least 2 of 3 items.",
        "Conclusions": "Conclusion: Teranostic crosslinking might be a good additive solution in management of post-cataract corneal edema. Although, cataract surgery is atraumatic, there are still risky cases with Fuchs’ dystrophy, long standing cataracts or intraoperative complications that require complex management. Better prediction and control offered by the teranistic approach is more reliable and secure in those cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCAT164",
      "abstract_number": "POCAT164",
      "title": "Phase-Specific And Time-Dependent Alterations In Blink Kinematics Following Cataract Surgery: A Prospective Analysis Of Closing And Opening Dynamics",
      "authors": "Dr Tuba Gültekin Erol",
      "presenter": "Dr Tuba Gültekin Erol",
      "normalized_authors": [
        "Tuba Gültekin Erol"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tuba Gültekin Erol",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate time-dependent, phase-specific changes in blink kinematics after uncomplicated cataract surgery using high-speed frame-by-frame analysis and to assess the impact of surgery duration and eyelid speculum opening on postoperative blink dynamics.",
        "Setting": "Zonguldak Bulent Ecevit University, Ophthalmology Department, Zonguldak, Türkiye",
        "Methods": "Twenty-one patients undergoing unilateral cataract surgery were prospectively evaluated preoperatively and at postoperative day 1(POD1), week 1(POW1), and month 1(POM1). Blink recordings were obtained using a smartphone camera(240 fps) positioned directly in front of the patient for 3 minutes. The central 1-minute segment was analyzed frame-by-frame using Kinovea software to quantify blink rate(BR), mean closing velocity(MCV), and mean opening velocity(MOV). Changes(Δ) were calculated relative to baseline. Temporal changes were assessed using the Friedman test with Bonferroni-adjusted post-hoc analysis. Spearman correlation was used for secondary analyses.",
        "Results": "The mean age was 64.43±6.69 years. At baseline, MCV was 65.93±22.31 mm/s, MOV was 25.62±5.56 mm/s, and mean BR was 9.5±3.63 blinks/min. Mean surgery duration was 9.14±0.85 minutes, and mean eyelid speculum opening was 1.58±0.10 cm. MCV showed a significant time-dependent alteration (ΔMCV: −18.22±23.82 at POD1, −0.14±21.41 at POW1, −10.29±27.33 at POM1; χ²(2)=7.714, p=0.021), with a significant difference between POD1 and POW1 (p<0.001). MOV did not change significantly over time (p=0.180). BR demonstrated marked temporal fluctuation (ΔBR: 1.17±6.62 at POD1, 6.83±4.49 at POW1, 0.17±1.92 at POM1; χ²(2)=21.462,p<0.001). Surgery duration and speculum opening showed no significant association with any blink parameter (all p>0.05).",
        "Conclusions": "Cataract surgery induces phase-selective and time-dependent alterations in blink mechanics, with early reduction in closing velocity while opening dynamics remain preserved. This phase-specific pattern suggests differential involvement of the periocular musculature, particularly affecting the closing mechanism. The transient fluctuation in blink rate may indicate that mechanical factors contribute to early alterations in blink closing dynamics. These findings may be related to mechanical effects associated with longer eyelid speculum use and its duration, and further evaluation across a wider range of surgical durations is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery induces phase-selective and time-dependent alterations in blink mechanics, with early reduction in closing velocity while opening dynamics remain preserved. This phase-specific pattern suggests differential involvement of the periocular musculature, particularly affecting the closing mechanism. The transient fluctuation in blink rate may indicate that mechanical factors contribute to early…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 206,
      "source_fields": {
        "Abstract Final Identifier": "POCAT164",
        "Title": "Phase-Specific And Time-Dependent Alterations In Blink Kinematics Following Cataract Surgery: A Prospective Analysis Of Closing And Opening Dynamics",
        "Presenting Author(s)": "Dr Tuba Gültekin Erol",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Tuba",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gültekin Erol",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate time-dependent, phase-specific changes in blink kinematics after uncomplicated cataract surgery using high-speed frame-by-frame analysis and to assess the impact of surgery duration and eyelid speculum opening on postoperative blink dynamics.",
        "Setting": "Zonguldak Bulent Ecevit University, Ophthalmology Department, Zonguldak, Türkiye",
        "Methods": "Twenty-one patients undergoing unilateral cataract surgery were prospectively evaluated preoperatively and at postoperative day 1(POD1), week 1(POW1), and month 1(POM1). Blink recordings were obtained using a smartphone camera(240 fps) positioned directly in front of the patient for 3 minutes. The central 1-minute segment was analyzed frame-by-frame using Kinovea software to quantify blink rate(BR), mean closing velocity(MCV), and mean opening velocity(MOV). Changes(Δ) were calculated relative to baseline. Temporal changes were assessed using the Friedman test with Bonferroni-adjusted post-hoc analysis. Spearman correlation was used for secondary analyses.",
        "Results": "The mean age was 64.43±6.69 years. At baseline, MCV was 65.93±22.31 mm/s, MOV was 25.62±5.56 mm/s, and mean BR was 9.5±3.63 blinks/min. Mean surgery duration was 9.14±0.85 minutes, and mean eyelid speculum opening was 1.58±0.10 cm. MCV showed a significant time-dependent alteration (ΔMCV: −18.22±23.82 at POD1, −0.14±21.41 at POW1, −10.29±27.33 at POM1; χ²(2)=7.714, p=0.021), with a significant difference between POD1 and POW1 (p<0.001). MOV did not change significantly over time (p=0.180). BR demonstrated marked temporal fluctuation (ΔBR: 1.17±6.62 at POD1, 6.83±4.49 at POW1, 0.17±1.92 at POM1; χ²(2)=21.462,p<0.001). Surgery duration and speculum opening showed no significant association with any blink parameter (all p>0.05).",
        "Conclusions": "Cataract surgery induces phase-selective and time-dependent alterations in blink mechanics, with early reduction in closing velocity while opening dynamics remain preserved. This phase-specific pattern suggests differential involvement of the periocular musculature, particularly affecting the closing mechanism. The transient fluctuation in blink rate may indicate that mechanical factors contribute to early alterations in blink closing dynamics. These findings may be related to mechanical effects associated with longer eyelid speculum use and its duration, and further evaluation across a wider range of surgical durations is warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 375
    },
    {
      "uid": "POCAT165",
      "abstract_number": "POCAT165",
      "title": "New Whole Nucleus Chop Technique To Avoid Posterior Caosular Rupture In Phacoemulsification",
      "authors": "Dr Anum Haneef",
      "presenter": "Dr Anum Haneef",
      "normalized_authors": [
        "Anum Haneef"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anum Haneef",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "Pain purpose is to introduce a simple and effective technique of phacoemulsification both for beginners and competent surgeons to avoid posterior capsular rupture intraoperatively.",
        "Setting": "Many techniques have been introduced and this one working with few modifications in steps of phacoemulsification brought a revolutionized change in our setup with good patient and ophthalmologist's satisfaction.",
        "Methods": "A prospecutive study with sample size of 1000 patients to introduce the benefits of whole nucleus chop in all types and stages of cataract including posterior subcapsular cataract 240 cases,nuclear sclerosis (grade 3) 700cases and mature cataracts 60 cases with age between 50 to 85 years 950 cases and 35 to 59 years 50 cases were operated.Exclusion only was subluxated crystalline lens.Modifications include hydrodissection,viscodissection to bring nucleus paryially above space between iris and anterior chamber not making it into pieces and emulsifying it directly with less use of secind instrument.Nucleus division or chopping into pieces is not done and there is no need of it.",
        "Results": "There is very less chance of posterior capsular rupture in this technique if there woild be any then the nucleus can be revived through exrending the incision and there is quite less chance of it to be dropped posteriorly.Regarding endothelial safety,few measures were taken and the results were good with immediately clear cornea the next day of surgery and mark vision improvement.",
        "Conclusions": "No intraoperative complication such as iris injury,anterior capsular tear,zonular dehiscence or vitreous loss occured during surgeries.Most patients had 6/6 - 6/18 vision depending upon other underlying conditions of retina."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "No intraoperative complication such as iris injury,anterior capsular tear,zonular dehiscence or vitreous loss occured during surgeries.Most patients had 6/6 - 6/18 vision depending upon other underlying conditions of retina.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 207,
      "source_fields": {
        "Abstract Final Identifier": "POCAT165",
        "Title": "New Whole Nucleus Chop Technique To Avoid Posterior Caosular Rupture In Phacoemulsification",
        "Presenting Author(s)": "Dr Anum Haneef",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Anum",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haneef",
        "Country Name": "Pakistan",
        "Purpose": "Pain purpose is to introduce a simple and effective technique of phacoemulsification both for beginners and competent surgeons to avoid posterior capsular rupture intraoperatively.",
        "Setting": "Many techniques have been introduced and this one working with few modifications in steps of phacoemulsification brought a revolutionized change in our setup with good patient and ophthalmologist's satisfaction.",
        "Methods": "A prospecutive study with sample size of 1000 patients to introduce the benefits of whole nucleus chop in all types and stages of cataract including posterior subcapsular cataract 240 cases,nuclear sclerosis (grade 3) 700cases and mature cataracts 60 cases with age between 50 to 85 years 950 cases and 35 to 59 years 50 cases were operated.Exclusion only was subluxated crystalline lens.Modifications include hydrodissection,viscodissection to bring nucleus paryially above space between iris and anterior chamber not making it into pieces and emulsifying it directly with less use of secind instrument.Nucleus division or chopping into pieces is not done and there is no need of it.",
        "Results": "There is very less chance of posterior capsular rupture in this technique if there woild be any then the nucleus can be revived through exrending the incision and there is quite less chance of it to be dropped posteriorly.Regarding endothelial safety,few measures were taken and the results were good with immediately clear cornea the next day of surgery and mark vision improvement.",
        "Conclusions": "No intraoperative complication such as iris injury,anterior capsular tear,zonular dehiscence or vitreous loss occured during surgeries.Most patients had 6/6 - 6/18 vision depending upon other underlying conditions of retina."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POCAT166",
      "abstract_number": "POCAT166",
      "title": "Managing Post Operative Endophthalmitis Via Anterior Segment Approach",
      "authors": "Dr Anum Haneef",
      "presenter": "Dr Anum Haneef",
      "normalized_authors": [
        "Anum Haneef"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anum Haneef",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "The purpose of the study is to managr the post operative endophthalmitis through a small surgical approach of anterior segment.",
        "Setting": "We had patients of referral from other hospital settings of endophthalmitis.We managed them through our new approach of treating endophthalmitis.",
        "Methods": "We included 10 patients with post operative endophthalmitis.All patients had signs of post cataract surgery endophthalmitis and vision with perception of light only.The surgeries of patients were done at some eye surgical camps at countryside some within last week and one had surgery 2 months before.They were managed with aseptic measures of operation room after anterior segment phaco knife incision and washing anterior segment with fortified normal saline with ceftazidime injection 500mg in 1000ml via symco cannula and 0.02ml of 0.5 percent moxifloxacin eye drops were injection with cannula in anterior segment and wound closed with hydration.",
        "Results": "9 out of 10 patients had their hypopyon,pain and posterior segment haze resolved within 48 hours of treatment.The one remaining had hypopyon only that was lesser than before and this hypopyon and all other signs of endophthalmitis were resolved after 48 hours more.All patients had post operative antibiotic and steroid dropping started after procedure for every two hours.All patients had recovery of vision from perception of light to 6/60 in 7 patients and 3/60 in other 3 patients.Slit lamp examination and fundus picture was seen in order to exclude any posterior segment involvement yet.B scan was also done to see any hyperechoic areas in vitreous.",
        "Conclusions": "The results of this study are very encouraging in managing post operative endophthalmitis through anterior segment approach.The intravitreal injection conventional treatment approach leads to more pain in patients due to increased intraocular pressure as patients had already pain.Also this approach saved patients from vitrectomy as well.In short this anterior chamber wash approach can have beneficial visual and good prognostic results in all patients who underwent this treatment post operatively in time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of this study are very encouraging in managing post operative endophthalmitis through anterior segment approach.The intravitreal injection conventional treatment approach leads to more pain in patients due to increased intraocular pressure as patients had already pain.Also this approach saved patients from vitrectomy as well.In short this anterior chamber wash approach can have beneficial visual and…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 208,
      "source_fields": {
        "Abstract Final Identifier": "POCAT166",
        "Title": "Managing Post Operative Endophthalmitis Via Anterior Segment Approach",
        "Presenting Author(s)": "Dr Anum Haneef",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Anum",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haneef",
        "Country Name": "Pakistan",
        "Purpose": "The purpose of the study is to managr the post operative endophthalmitis through a small surgical approach of anterior segment.",
        "Setting": "We had patients of referral from other hospital settings of endophthalmitis.We managed them through our new approach of treating endophthalmitis.",
        "Methods": "We included 10 patients with post operative endophthalmitis.All patients had signs of post cataract surgery endophthalmitis and vision with perception of light only.The surgeries of patients were done at some eye surgical camps at countryside some within last week and one had surgery 2 months before.They were managed with aseptic measures of operation room after anterior segment phaco knife incision and washing anterior segment with fortified normal saline with ceftazidime injection 500mg in 1000ml via symco cannula and 0.02ml of 0.5 percent moxifloxacin eye drops were injection with cannula in anterior segment and wound closed with hydration.",
        "Results": "9 out of 10 patients had their hypopyon,pain and posterior segment haze resolved within 48 hours of treatment.The one remaining had hypopyon only that was lesser than before and this hypopyon and all other signs of endophthalmitis were resolved after 48 hours more.All patients had post operative antibiotic and steroid dropping started after procedure for every two hours.All patients had recovery of vision from perception of light to 6/60 in 7 patients and 3/60 in other 3 patients.Slit lamp examination and fundus picture was seen in order to exclude any posterior segment involvement yet.B scan was also done to see any hyperechoic areas in vitreous.",
        "Conclusions": "The results of this study are very encouraging in managing post operative endophthalmitis through anterior segment approach.The intravitreal injection conventional treatment approach leads to more pain in patients due to increased intraocular pressure as patients had already pain.Also this approach saved patients from vitrectomy as well.In short this anterior chamber wash approach can have beneficial visual and good prognostic results in all patients who underwent this treatment post operatively in time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "POCAT167",
      "abstract_number": "POCAT167",
      "title": "Cataract Surgery Outcomes In Nonagenarians",
      "authors": "Ms Enida Hoxha",
      "presenter": "Ms Enida Hoxha",
      "normalized_authors": [
        "Enida Hoxha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Enida Hoxha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Advancements in surgical techniques and increased life expectancy have led to more individuals aged 90 or older undergoing cataract surgery. However, there remains a paucity of published evidence regarding surgical outcomes in this demographic. The present study aims to evaluate whether cataract surgery confers a significant benefit to nonagenarian patients.",
        "Setting": "Single-centre study conducted within the ophthalmology department at Maidstone and Tunbridge Wells NHS Trust.",
        "Methods": "This retrospective case series reviewed cataract procedures undertaken between January 2023 and August 2025. The primary endpoints were the difference between pre- and post-operation best-corrected visual acuity (BCVA) and the proportion of patients achieving a BCVA of 0.3 logMAR or better. Secondary endpoints included the incidence of intraoperative and postoperative complications and other adverse events. Demographic data collected comprised patient age, sex, relevant ocular and systemic conditions, the operating surgeon’s level of experience, and the anaesthetic method used.",
        "Results": "387 cataract surgeries were performed in 267 patients, with 229 eligible cases analysed for visual outcomes. Mean BCVA improved from 0.78 to 0.45 logMAR, with 62% achieving 0.3 logMAR or better. Ocular comorbidities included age-related macular degeneration (52%), glaucoma (16.2%), and CRVO (4.8%), while systemic comorbidities were hypertension (96%), type 2 diabetes mellitus (31%), chronic kidney disease (24.9%), and prior stroke (18.3%). Intraoperative complications were rare: posterior capsular rupture (1.6%), iris prolapse (1.6%), anterior capsular tear (0.6%), and zonular dialysis (0.3%). Postoperative complications included posterior capsular opacification (10%) and cystoid macular oedema (1%). Endophthalmitis rate was 1%.",
        "Conclusions": "Despite the presence of multiple comorbidities, cataract surgery in nonagenarians consistently resulted in significant improvements in visual acuity. These findings support the value of phacoemulsification in enhancing the quality of life for this elderly patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite the presence of multiple comorbidities, cataract surgery in nonagenarians consistently resulted in significant improvements in visual acuity. These findings support the value of phacoemulsification in enhancing the quality of life for this elderly patient population.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 209,
      "source_fields": {
        "Abstract Final Identifier": "POCAT167",
        "Title": "Cataract Surgery Outcomes In Nonagenarians",
        "Presenting Author(s)": "Ms Enida Hoxha",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Enida",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hoxha",
        "Country Name": "United Kingdom",
        "Purpose": "Advancements in surgical techniques and increased life expectancy have led to more individuals aged 90 or older undergoing cataract surgery. However, there remains a paucity of published evidence regarding surgical outcomes in this demographic. The present study aims to evaluate whether cataract surgery confers a significant benefit to nonagenarian patients.",
        "Setting": "Single-centre study conducted within the ophthalmology department at Maidstone and Tunbridge Wells NHS Trust.",
        "Methods": "This retrospective case series reviewed cataract procedures undertaken between January 2023 and August 2025. The primary endpoints were the difference between pre- and post-operation best-corrected visual acuity (BCVA) and the proportion of patients achieving a BCVA of 0.3 logMAR or better. Secondary endpoints included the incidence of intraoperative and postoperative complications and other adverse events. Demographic data collected comprised patient age, sex, relevant ocular and systemic conditions, the operating surgeon’s level of experience, and the anaesthetic method used.",
        "Results": "387 cataract surgeries were performed in 267 patients, with 229 eligible cases analysed for visual outcomes. Mean BCVA improved from 0.78 to 0.45 logMAR, with 62% achieving 0.3 logMAR or better. Ocular comorbidities included age-related macular degeneration (52%), glaucoma (16.2%), and CRVO (4.8%), while systemic comorbidities were hypertension (96%), type 2 diabetes mellitus (31%), chronic kidney disease (24.9%), and prior stroke (18.3%). Intraoperative complications were rare: posterior capsular rupture (1.6%), iris prolapse (1.6%), anterior capsular tear (0.6%), and zonular dialysis (0.3%). Postoperative complications included posterior capsular opacification (10%) and cystoid macular oedema (1%). Endophthalmitis rate was 1%.",
        "Conclusions": "Despite the presence of multiple comorbidities, cataract surgery in nonagenarians consistently resulted in significant improvements in visual acuity. These findings support the value of phacoemulsification in enhancing the quality of life for this elderly patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT168",
      "abstract_number": "POCAT168",
      "title": "Bilateral Toric Multifocal Intraocular Lens Implantation In A Patient With Lens Subluxation: A Case Report On Surgical Management And Visual Outcomes",
      "authors": "Dr Chien-Liang Wu",
      "presenter": "Dr Chien-Liang Wu",
      "normalized_authors": [
        "Chien-Liang Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chun-Hao Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To report the clinical outcomes and surgical management of bilateral lens subluxation treated with Toric Multifocal Intraocular Lens implantation and capsular stabilization.",
        "Setting": "case report",
        "Methods": "An 18-year-old female presented with a long-standing decrease in vision in both eyes. Upon ocular examination, her Uncorrected Visual Acuity was 2/20 in the right eye and 2/30 in the left eye. Corneal examination revealed clear media without opacities in both eyes. Fundus examination under dilation showed nasal subluxation of the crystalline lens with visible lens edges bilaterally. The subluxation was more pronounced in the right eye, accompanied by vitreous prolapse into the anterior chamber. The patient reported no family history of Marfan syndrome.",
        "Results": "Diagnosed with Ectopia Lentis, the patient received surgical management including capsular stabilization, phacoemulsification, and Toric Multifocal Intraocular Lens implantation. The capsular bag was secured using a Capsular Tension Segment and a Capsular Tension Ring via scleral fixation with the flanged technique.The Toric Multifocal Intraocular Lens was positioned with excellent centration.\nPostoperatively, the patient achieved an Uncorrected Distance Visual Acuity of 20/20 and a Near Visual Acuity of N5 bilaterally. Follow-up showed no tilt, rotation, or decentration of the intraocular lenses, confirming successful restoration of a full range of vision despite significant lens instability.",
        "Conclusions": "Capsular stabilization using a Capsular Tension Segment and Capsular Tension Ring with scleral fixation is an effective strategy for managing subluxated lenses. This approach allows for the safe implantation of premium lenses, such as Toric Multifocal Intraocular Lenses, which can successfully restore a full range of near and distance vision in patients with lens instability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Capsular stabilization using a Capsular Tension Segment and Capsular Tension Ring with scleral fixation is an effective strategy for managing subluxated lenses. This approach allows for the safe implantation of premium lenses, such as Toric Multifocal Intraocular Lenses, which can successfully restore a full range of near and distance vision in patients with lens instability.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 210,
      "source_fields": {
        "Abstract Final Identifier": "POCAT168",
        "Title": "Bilateral Toric Multifocal Intraocular Lens Implantation In A Patient With Lens Subluxation: A Case Report On Surgical Management And Visual Outcomes",
        "Presenting Author(s)": "Dr Chien-Liang Wu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Chun-Hao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "Taiwan",
        "Purpose": "To report the clinical outcomes and surgical management of bilateral lens subluxation treated with Toric Multifocal Intraocular Lens implantation and capsular stabilization.",
        "Setting": "case report",
        "Methods": "An 18-year-old female presented with a long-standing decrease in vision in both eyes. Upon ocular examination, her Uncorrected Visual Acuity was 2/20 in the right eye and 2/30 in the left eye. Corneal examination revealed clear media without opacities in both eyes. Fundus examination under dilation showed nasal subluxation of the crystalline lens with visible lens edges bilaterally. The subluxation was more pronounced in the right eye, accompanied by vitreous prolapse into the anterior chamber. The patient reported no family history of Marfan syndrome.",
        "Results": "Diagnosed with Ectopia Lentis, the patient received surgical management including capsular stabilization, phacoemulsification, and Toric Multifocal Intraocular Lens implantation. The capsular bag was secured using a Capsular Tension Segment and a Capsular Tension Ring via scleral fixation with the flanged technique.The Toric Multifocal Intraocular Lens was positioned with excellent centration.\nPostoperatively, the patient achieved an Uncorrected Distance Visual Acuity of 20/20 and a Near Visual Acuity of N5 bilaterally. Follow-up showed no tilt, rotation, or decentration of the intraocular lenses, confirming successful restoration of a full range of vision despite significant lens instability.",
        "Conclusions": "Capsular stabilization using a Capsular Tension Segment and Capsular Tension Ring with scleral fixation is an effective strategy for managing subluxated lenses. This approach allows for the safe implantation of premium lenses, such as Toric Multifocal Intraocular Lenses, which can successfully restore a full range of near and distance vision in patients with lens instability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POCAT169",
      "abstract_number": "POCAT169",
      "title": "Intraocular Trypan Blue Toxicity Following Complicated Cataract Surgery: A Case Report On Corneal Decompensation And Retinal Risks",
      "authors": "Dr Chun-Hao Huang",
      "presenter": "Dr Chun-Hao Huang",
      "normalized_authors": [
        "Chun-Hao Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chun-Hao Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To report a case of corneal and potential retinal toxicity caused by the accidental posterior migration and retention of trypan blue dye during cataract surgery complicated by zonular dialysis, and to describe the surgical strategies used for its resolution.",
        "Setting": "case report",
        "Methods": "A 54-year-old male undergoing cataract surgery experienced zonular dialysis and vitreous prolapse. After trypan blue staining, the dye migrated into the vitreous cavity, causing a diminished light reflex. The procedure was transitioned to general anesthesia. Management included an anterior vitrectomy and capsular stabilization via a Hoffman pocket with a sutured Capsular Tension Segment. Phacoemulsification was completed with a Capsular Tension Ring and Posterior Chamber Intraocular Lens implantation. Postoperatively, persistent vitreous opacity and corneal decompensation confirmed trypan blue sequestration. On day five, a secondary 3-port Trans Pars Plana Vitrectomy was performed for a dye washout.",
        "Results": "Post vitrectomy, the course included transient bullous keratopathy and IOP fluctuations. Initial VA was 0.4 with corneal edema (pachy 642 µm). By day 14, the ocular surface stabilized: IOP normalized to 18 mmHg, VA improved to 0.6, and ECC was 2503 cells/mm². Subsequent anterior capsular phimosis was successfully treated via YAG laser capsulotomy, improving VA to 1.0. Long-term follow-up confirmed sustained intraocular stability. Transient macular edema noted on OCT fully resolved. At the final 15-month assessment, the patient maintained a stable VA of 1.0, IOP of 14 mmHg, and ECC of 2257 cells/mm², indicating a successful recovery from the initial trypan blue-induced toxicity.",
        "Conclusions": "Trypan blue sequestration in the posterior segment can act as a potent chemical irritant, leading to severe corneal decompensation and potential retinopathy. In cases where zonular instability allows dye migration, early TPPV for dye removal is a critical rescue intervention. This stepwise approach effectively mitigates long-term toxicity, facilitating excellent visual recovery and maintaining long-term intraocular stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trypan blue sequestration in the posterior segment can act as a potent chemical irritant, leading to severe corneal decompensation and potential retinopathy. In cases where zonular instability allows dye migration, early TPPV for dye removal is a critical rescue intervention. This stepwise approach effectively mitigates long-term toxicity, facilitating excellent visual recovery and maintaining long-term intraocular…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 211,
      "source_fields": {
        "Abstract Final Identifier": "POCAT169",
        "Title": "Intraocular Trypan Blue Toxicity Following Complicated Cataract Surgery: A Case Report On Corneal Decompensation And Retinal Risks",
        "Presenting Author(s)": "Dr Chun-Hao Huang",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Chun-Hao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "Taiwan",
        "Purpose": "To report a case of corneal and potential retinal toxicity caused by the accidental posterior migration and retention of trypan blue dye during cataract surgery complicated by zonular dialysis, and to describe the surgical strategies used for its resolution.",
        "Setting": "case report",
        "Methods": "A 54-year-old male undergoing cataract surgery experienced zonular dialysis and vitreous prolapse. After trypan blue staining, the dye migrated into the vitreous cavity, causing a diminished light reflex. The procedure was transitioned to general anesthesia. Management included an anterior vitrectomy and capsular stabilization via a Hoffman pocket with a sutured Capsular Tension Segment. Phacoemulsification was completed with a Capsular Tension Ring and Posterior Chamber Intraocular Lens implantation. Postoperatively, persistent vitreous opacity and corneal decompensation confirmed trypan blue sequestration. On day five, a secondary 3-port Trans Pars Plana Vitrectomy was performed for a dye washout.",
        "Results": "Post vitrectomy, the course included transient bullous keratopathy and IOP fluctuations. Initial VA was 0.4 with corneal edema (pachy 642 µm). By day 14, the ocular surface stabilized: IOP normalized to 18 mmHg, VA improved to 0.6, and ECC was 2503 cells/mm². Subsequent anterior capsular phimosis was successfully treated via YAG laser capsulotomy, improving VA to 1.0. Long-term follow-up confirmed sustained intraocular stability. Transient macular edema noted on OCT fully resolved. At the final 15-month assessment, the patient maintained a stable VA of 1.0, IOP of 14 mmHg, and ECC of 2257 cells/mm², indicating a successful recovery from the initial trypan blue-induced toxicity.",
        "Conclusions": "Trypan blue sequestration in the posterior segment can act as a potent chemical irritant, leading to severe corneal decompensation and potential retinopathy. In cases where zonular instability allows dye migration, early TPPV for dye removal is a critical rescue intervention. This stepwise approach effectively mitigates long-term toxicity, facilitating excellent visual recovery and maintaining long-term intraocular stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCAT170",
      "abstract_number": "POCAT170",
      "title": "Perioperative Fixed Combination Of Levofloxacin 0.5% And Ketorolac 0.5% After Phacoemulsification: A Prospective Single-Centre Cohort Study",
      "authors": "Dr Irina Ivanchikova",
      "presenter": "Dr Irina Ivanchikova",
      "normalized_authors": [
        "Irina Ivanchikova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Irina Ivanchikova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of a fixed combination of levofloxacin 0.5% and ketorolac 0.5% for prevention of infectious complications and control of postoperative inflammation after uncompl icated phacoemulsification (PE) for age-related cataract.",
        "Setting": "The study was conducted in the Department of Ophthalmology, City Multidisciplinary Hospital No. 2, St. Petersburg, Russian Federation.",
        "Methods": "The study included 717 patients ( 803 eyes) undergoing uncomplicated PE for age-related cataract, examined on postoperative day 6 and day 15. Perioperative prophylaxis comprised a fixed combination of levofloxacin 0.5% and ketorolac 0.5% QID for 5 days plus fluorometholone 0.1% QID for 14 days from the day of surgery. The primary outcome was absence of anterior segment inflammation (conjunctival injection; anterior chamber cells and flare gra ded per SUN). Secondary outcomes were acute postoperative endophthalmitis, ocular surface fluorescein staining (Oxford), and tolerability.",
        "Results": "No clinically detectable anterior segment inflammation was recorded in 98.8% of eyes at day 6 and in 100% at day 15. No cases of acute postoperative endophthalmitis were observed . Mild transient corneal staining (Oxford grade 1) occurred in 0.6 % of cases at day 6 and resolved with lubricants at day 15 . Transient instillation-related burning was reported in 2 .2 % without objective intolerance. No clinically significant steroid-related IOP elevations were reported.",
        "Conclusions": "A short postoperative course of a fixed combination of levofloxacin 0.5% and ketorolac 0.5% combined with fluorometholone 0.1% provided consistent inflammatory control with good tolerability after uncomplicated PE. The regimen simplifies postoperative therapy while maintaining clinically favorable outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A short postoperative course of a fixed combination of levofloxacin 0.5% and ketorolac 0.5% combined with fluorometholone 0.1% provided consistent inflammatory control with good tolerability after uncomplicated PE. The regimen simplifies postoperative therapy while maintaining clinically favorable outcomes.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 212,
      "source_fields": {
        "Abstract Final Identifier": "POCAT170",
        "Title": "Perioperative Fixed Combination Of Levofloxacin 0.5% And Ketorolac 0.5% After Phacoemulsification: A Prospective Single-Centre Cohort Study",
        "Presenting Author(s)": "Dr Irina Ivanchikova",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Irina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ivanchikova",
        "Country Name": "Russian Federation",
        "Purpose": "To evaluate the efficacy and safety of a fixed combination of levofloxacin 0.5% and ketorolac 0.5% for prevention of infectious complications and control of postoperative inflammation after uncompl icated phacoemulsification (PE) for age-related cataract.",
        "Setting": "The study was conducted in the Department of Ophthalmology, City Multidisciplinary Hospital No. 2, St. Petersburg, Russian Federation.",
        "Methods": "The study included 717 patients ( 803 eyes) undergoing uncomplicated PE for age-related cataract, examined on postoperative day 6 and day 15. Perioperative prophylaxis comprised a fixed combination of levofloxacin 0.5% and ketorolac 0.5% QID for 5 days plus fluorometholone 0.1% QID for 14 days from the day of surgery. The primary outcome was absence of anterior segment inflammation (conjunctival injection; anterior chamber cells and flare gra ded per SUN). Secondary outcomes were acute postoperative endophthalmitis, ocular surface fluorescein staining (Oxford), and tolerability.",
        "Results": "No clinically detectable anterior segment inflammation was recorded in 98.8% of eyes at day 6 and in 100% at day 15. No cases of acute postoperative endophthalmitis were observed . Mild transient corneal staining (Oxford grade 1) occurred in 0.6 % of cases at day 6 and resolved with lubricants at day 15 . Transient instillation-related burning was reported in 2 .2 % without objective intolerance. No clinically significant steroid-related IOP elevations were reported.",
        "Conclusions": "A short postoperative course of a fixed combination of levofloxacin 0.5% and ketorolac 0.5% combined with fluorometholone 0.1% provided consistent inflammatory control with good tolerability after uncomplicated PE. The regimen simplifies postoperative therapy while maintaining clinically favorable outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCAT171",
      "abstract_number": "POCAT171",
      "title": "Netarsudil/Latanoprost Versus Placebo In Patients With Pseudophakic Bullous Keratopathy And Glaucoma: A Prospective Randomized Study",
      "authors": "Dr Andela Jukic",
      "presenter": "Dr Andela Jukic",
      "normalized_authors": [
        "Andela Jukic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andela Jukic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of topical netarsudil/latanoprost fixed-dose combination compared with placebo in patients with pseudophakic bullous keratopathy (PBK) and coexisting glaucoma.",
        "Setting": "Dubrava University Hospital, Zagreb, Croatia; registered clinical trial (ClinicalTrials.gov:\n\nNCT06960629)",
        "Methods": "This was a prospective, randomized, double-masked, placebo-controlled study. Patients with glaucoma and PBK were assigned to receive either topical netarsudil/latanoprost once daily (Group 1) or placebo (artificial tear substitute) once daily (Group 2) for 3 months. Visual acuity (VA) was measured using a Snellen chart and converted to logMAR for analysis. Central corneal thickness (CCT) was assessed using ultrasound pachymetry (Micro Medical Devices, Inc., CA, USA). Patients were examined every two weeks during the treatment period. Ocular adverse events were systematically recorded at each visit.Primary endpoint was change in CCT from baseline to month 3. Secondary endpoints included change in VA and incidence of adverse events.",
        "Results": "Data collection is ongoing. Final results will be available and presented at the time of the meeting.",
        "Conclusions": "This randomized controlled study is designed to provide prospective evidence on the role of ROCK inhibitor–based therapy in patients with PBK and glaucoma, a population with limited non-surgical treatment options. Final results are expected to inform the potential clinical utility and safety of netarsudil/latanoprost in this challenging setting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This randomized controlled study is designed to provide prospective evidence on the role of ROCK inhibitor–based therapy in patients with PBK and glaucoma, a population with limited non-surgical treatment options. Final results are expected to inform the potential clinical utility and safety of netarsudil/latanoprost in this challenging setting.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 213,
      "source_fields": {
        "Abstract Final Identifier": "POCAT171",
        "Title": "Netarsudil/Latanoprost Versus Placebo In Patients With Pseudophakic Bullous Keratopathy And Glaucoma: A Prospective Randomized Study",
        "Presenting Author(s)": "Dr Andela Jukic",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Andela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jukic",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the efficacy and safety of topical netarsudil/latanoprost fixed-dose combination compared with placebo in patients with pseudophakic bullous keratopathy (PBK) and coexisting glaucoma.",
        "Setting": "Dubrava University Hospital, Zagreb, Croatia; registered clinical trial (ClinicalTrials.gov:\n\nNCT06960629)",
        "Methods": "This was a prospective, randomized, double-masked, placebo-controlled study. Patients with glaucoma and PBK were assigned to receive either topical netarsudil/latanoprost once daily (Group 1) or placebo (artificial tear substitute) once daily (Group 2) for 3 months. Visual acuity (VA) was measured using a Snellen chart and converted to logMAR for analysis. Central corneal thickness (CCT) was assessed using ultrasound pachymetry (Micro Medical Devices, Inc., CA, USA). Patients were examined every two weeks during the treatment period. Ocular adverse events were systematically recorded at each visit.Primary endpoint was change in CCT from baseline to month 3. Secondary endpoints included change in VA and incidence of adverse events.",
        "Results": "Data collection is ongoing. Final results will be available and presented at the time of the meeting.",
        "Conclusions": "This randomized controlled study is designed to provide prospective evidence on the role of ROCK inhibitor–based therapy in patients with PBK and glaucoma, a population with limited non-surgical treatment options. Final results are expected to inform the potential clinical utility and safety of netarsudil/latanoprost in this challenging setting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCAT172",
      "abstract_number": "POCAT172",
      "title": "Real-World Evaluation Of Ducressa-Based Postoperative Regimens After Cataract Phacoemulsification With Intraocular Lens Implantation",
      "authors": "Prof. Almira Bulgakova",
      "presenter": "Prof. Almira Bulgakova",
      "normalized_authors": [
        "Almira Bulgakova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Altynai Kairatkyzy Kairat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of Ducressa, a fixed combination of levofloxacin and dexamethasone, in routine postoperative management after uncomplicated cataract phacoemulsification with intraocular lens (IOL) implantation, using two short-term treatment regimens.",
        "Setting": "Kazakh Research Institute of Eye Diseases, Almaty, Kazakhstan. A prospective comparative outpatient study conducted between September 2024 and June 2025.",
        "Methods": "Sixty patients (60 eyes) undergoing uncomplicated cataract phacoemulsification with IOL implantation were randomly assigned to one of two postoperative treatment regimens. One group received Ducressa four times daily for 14 days, while the second group received Ducressa for 7 days followed by dexamethasone 0.1% four times daily for an additional 7 days. Clinical assessments were performed on postoperative days 3, 7, 14, 21, and at 1 month. Outcome measures included conjunctival injection, anterior chamber aqueous clarity, ocular pain and discomfort, Total Ocular Symptom Score (TOSS; itching/burning, tearing), and the occurrence of postoperative infectious complications, including endophthalmitis.",
        "Results": "Both postoperative regimens were well tolerated and demonstrated effective control of inflammatory signs during the follow-up period. Improvement across all assessed clinical parameters was observed within the first postoperative weeks. No cases of allergic reactions, toxic effects, bacterial infection, or endophthalmitis were recorded. Early postoperative conjunctival hyperemia and mild ocular symptoms were transient and resolved without sequelae. Anterior chamber aqueous remained clear in all patients throughout the observation period.",
        "Conclusions": "In this real-world clinical setting, Ducressa-based postoperative regimens demonstrated a favorable efficacy and safety profile following uncomplicated cataract phacoemulsification with IOL implantation. Both treatment approaches were associated with comparable clinical outcomes and good tolerability. These findings support the use of Ducressa as a practical option for routine postoperative management, allowing flexibility in treatment duration while maintaining effective inflammation control and infection prevention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world clinical setting, Ducressa-based postoperative regimens demonstrated a favorable efficacy and safety profile following uncomplicated cataract phacoemulsification with IOL implantation. Both treatment approaches were associated with comparable clinical outcomes and good tolerability. These findings support the use of Ducressa as a practical option for routine postoperative management, allowing…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 214,
      "source_fields": {
        "Abstract Final Identifier": "POCAT172",
        "Title": "Real-World Evaluation Of Ducressa-Based Postoperative Regimens After Cataract Phacoemulsification With Intraocular Lens Implantation",
        "Presenting Author(s)": "Prof. Almira Bulgakova",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Altynai",
        "Submitter Middle Name": "Kairatkyzy",
        "Submitter Last Name": "Kairat",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate the efficacy and safety of Ducressa, a fixed combination of levofloxacin and dexamethasone, in routine postoperative management after uncomplicated cataract phacoemulsification with intraocular lens (IOL) implantation, using two short-term treatment regimens.",
        "Setting": "Kazakh Research Institute of Eye Diseases, Almaty, Kazakhstan. A prospective comparative outpatient study conducted between September 2024 and June 2025.",
        "Methods": "Sixty patients (60 eyes) undergoing uncomplicated cataract phacoemulsification with IOL implantation were randomly assigned to one of two postoperative treatment regimens. One group received Ducressa four times daily for 14 days, while the second group received Ducressa for 7 days followed by dexamethasone 0.1% four times daily for an additional 7 days. Clinical assessments were performed on postoperative days 3, 7, 14, 21, and at 1 month. Outcome measures included conjunctival injection, anterior chamber aqueous clarity, ocular pain and discomfort, Total Ocular Symptom Score (TOSS; itching/burning, tearing), and the occurrence of postoperative infectious complications, including endophthalmitis.",
        "Results": "Both postoperative regimens were well tolerated and demonstrated effective control of inflammatory signs during the follow-up period. Improvement across all assessed clinical parameters was observed within the first postoperative weeks. No cases of allergic reactions, toxic effects, bacterial infection, or endophthalmitis were recorded. Early postoperative conjunctival hyperemia and mild ocular symptoms were transient and resolved without sequelae. Anterior chamber aqueous remained clear in all patients throughout the observation period.",
        "Conclusions": "In this real-world clinical setting, Ducressa-based postoperative regimens demonstrated a favorable efficacy and safety profile following uncomplicated cataract phacoemulsification with IOL implantation. Both treatment approaches were associated with comparable clinical outcomes and good tolerability. These findings support the use of Ducressa as a practical option for routine postoperative management, allowing flexibility in treatment duration while maintaining effective inflammation control and infection prevention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCAT173",
      "abstract_number": "POCAT173",
      "title": "Endophthalmitis After Routine Phacoemulsification: A One-Year Comparative Study Of Intracameral Moxifloxacin Versus No Intracameral Prophylaxis",
      "authors": "Dr Kavitha Lakshmi Kannappan",
      "presenter": "Dr Kavitha Lakshmi Kannappan",
      "normalized_authors": [
        "Kavitha Lakshmi Kannappan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kavitha Lakshmi Kannappan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate one-year (Jan 1–Dec 31, 2024) endophthalmitis rates in 450 routine cataract surgeries using intracameral preservative-free moxifloxacin (ICM group) vs. 450 without intra cameral moxifloxacin group (No-ICM), all by single surgeon across cataract grades/IOLs (monofocal, multifocal, EDOF). Rare ICM-linked acute depigmentation of iris /IOP spikes prompted selective use of ICM for high-risk cases (e.g., longstanding Diabetics with posterior capsule tear).",
        "Setting": "This study was conducted at a high-volume advanced cataract and refractive surgery centre in Chennai, India, serving both urban and referred patients. It represents a single-surgeon, one-year retrospective comparative study (January–December 2024) of 900 consecutive phacoemulsification procedures (450 intracameral moxifloxacin vs. 450 standard topical prophylaxis), performed using uniform surgical protocols and standardised perioperative care pathways.",
        "Methods": "This retrospective study reviewed 900 consecutive phacoemulsification cases under topical anesthesia (Jan–Dec 2024), all pupil sizes/cataract grades/IOL types (monofocal, multifocal, EDOF). Exclusions: corneal edema, keratitis, uveitis, glaucoma. Two groups: 450 received intracameral preservative-free moxifloxacin 0.1 mL (500 µg) end-surgery (+topical qid x1wk); 450 comparison group received topical moxifloxacin only. Follow-up: Day 1, 5, 15, 6 weeks, 3 months. Outcomes: BCVA (LogMAR), IOP, fundus evaluation, acute endophthalmitis signs, iris depigmentation, toxic anterior segment syndrome, posterior capsule rupture (Zeiss Lumera i, Centurion system used).",
        "Results": "No cases of culture-positive or acute clinical endophthalmitis were observed in either group (0% vs 0%; P=1.0), remaining below AIOS benchmark rates for culture-positive (0.02%–0.09%) and clinical acute endophthalmitis (0.04%–0.15%). Posterior capsule rupture occurred in 3% of cases in both groups (P=0.9). Mean BCVA improvement was comparable (0.1 LogMAR; P=0.8).\n\nIris depigmentation occurred in 4 eyes in the intracameral group (0.88%). All cases developed dilated pupils (4–5 mm) with IOP elevation in the second week and were managed with topical steroids with oral and topical antiglaucoma medications. One case required 3 months for complete clinical resolution. No infective events were observed among 180 high-risk eyes (diabetes >10 years).",
        "Conclusions": "In this single-surgeon one-year study of 900 cataract procedures, no cases of endophthalmitis were observed in either group, with or without routine intracameral moxifloxacin. However, intracameral use was associated with acute iris depigmentation, persistent pupillary dilation, and transient intraocular pressure elevation requiring medical management.\n\nThese findings suggest that routine intracameral administration may not confer additional benefit in low-incidence settings and highlight the importance of a selective, risk-stratified approach to antibiotic prophylaxis. The results call for large, multicentric, adequately powered randomised controlled trials to establish evidence-based standards and to avoid indiscriminate dosing practices."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this single-surgeon one-year study of 900 cataract procedures, no cases of endophthalmitis were observed in either group, with or without routine intracameral moxifloxacin. However, intracameral use was associated with acute iris depigmentation, persistent pupillary dilation, and transient intraocular pressure elevation requiring medical management. These findings suggest that routine intracameral administration…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 215,
      "source_fields": {
        "Abstract Final Identifier": "POCAT173",
        "Title": "Endophthalmitis After Routine Phacoemulsification: A One-Year Comparative Study Of Intracameral Moxifloxacin Versus No Intracameral Prophylaxis",
        "Presenting Author(s)": "Dr Kavitha Lakshmi Kannappan",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Kavitha Lakshmi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kannappan",
        "Country Name": "India",
        "Purpose": "To evaluate one-year (Jan 1–Dec 31, 2024) endophthalmitis rates in 450 routine cataract surgeries using intracameral preservative-free moxifloxacin (ICM group) vs. 450 without intra cameral moxifloxacin group (No-ICM), all by single surgeon across cataract grades/IOLs (monofocal, multifocal, EDOF). Rare ICM-linked acute depigmentation of iris /IOP spikes prompted selective use of ICM for high-risk cases (e.g., longstanding Diabetics with posterior capsule tear).",
        "Setting": "This study was conducted at a high-volume advanced cataract and refractive surgery centre in Chennai, India, serving both urban and referred patients. It represents a single-surgeon, one-year retrospective comparative study (January–December 2024) of 900 consecutive phacoemulsification procedures (450 intracameral moxifloxacin vs. 450 standard topical prophylaxis), performed using uniform surgical protocols and standardised perioperative care pathways.",
        "Methods": "This retrospective study reviewed 900 consecutive phacoemulsification cases under topical anesthesia (Jan–Dec 2024), all pupil sizes/cataract grades/IOL types (monofocal, multifocal, EDOF). Exclusions: corneal edema, keratitis, uveitis, glaucoma. Two groups: 450 received intracameral preservative-free moxifloxacin 0.1 mL (500 µg) end-surgery (+topical qid x1wk); 450 comparison group received topical moxifloxacin only. Follow-up: Day 1, 5, 15, 6 weeks, 3 months. Outcomes: BCVA (LogMAR), IOP, fundus evaluation, acute endophthalmitis signs, iris depigmentation, toxic anterior segment syndrome, posterior capsule rupture (Zeiss Lumera i, Centurion system used).",
        "Results": "No cases of culture-positive or acute clinical endophthalmitis were observed in either group (0% vs 0%; P=1.0), remaining below AIOS benchmark rates for culture-positive (0.02%–0.09%) and clinical acute endophthalmitis (0.04%–0.15%). Posterior capsule rupture occurred in 3% of cases in both groups (P=0.9). Mean BCVA improvement was comparable (0.1 LogMAR; P=0.8).\n\nIris depigmentation occurred in 4 eyes in the intracameral group (0.88%). All cases developed dilated pupils (4–5 mm) with IOP elevation in the second week and were managed with topical steroids with oral and topical antiglaucoma medications. One case required 3 months for complete clinical resolution. No infective events were observed among 180 high-risk eyes (diabetes >10 years).",
        "Conclusions": "In this single-surgeon one-year study of 900 cataract procedures, no cases of endophthalmitis were observed in either group, with or without routine intracameral moxifloxacin. However, intracameral use was associated with acute iris depigmentation, persistent pupillary dilation, and transient intraocular pressure elevation requiring medical management.\n\nThese findings suggest that routine intracameral administration may not confer additional benefit in low-incidence settings and highlight the importance of a selective, risk-stratified approach to antibiotic prophylaxis. The results call for large, multicentric, adequately powered randomised controlled trials to establish evidence-based standards and to avoid indiscriminate dosing practices."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 421
    },
    {
      "uid": "POCAT174",
      "abstract_number": "POCAT174",
      "title": "Impact Of Anterior Chamber Maintainer Use On Posterior Capsule Rupture During Phacoemulsification At Hillel Yaffe Medical Center: A 6-Year Retrospective Study",
      "authors": "Noora Dbayat",
      "presenter": "Noora Dbayat",
      "normalized_authors": [
        "Noora Dbayat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yara Gassan Karawani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the effect of anterior chamber maintainer (ACM) use on the incidence of posterior capsule rupture (PCR) during phacoemulsification cataract surgery",
        "Setting": "Hillel Yaffe Medical Center, Israel",
        "Methods": "This retrospective study included 7,792 consecutive cataract surgeries performed between 2020 and 2025 in patients aged ≥18 years. Of these, 4,320 were performed with ACM and 3,472 without ACM. The incidence of intraoperative posterior capsule rupture (PCR) was compared between surgeries performed with and without ACM. Vitreous loss occurring in PCR cases was also recorded",
        "Results": "Overall PCR occurred in 100 cases (1.28%). PCR was observed in 57 cases (1.32%) in the ACM group and 43 cases (1.24%) in the non-ACM group (odds ratio 1.07, 95% confidence interval 0.72–1.59, p=0.83). Vitreous loss occurred in 34 of 57 PCR cases (59.6%) in the ACM group and in 30 of 43 PCR cases (69.8%) in the non-ACM group (odds ratio 0.64, 95% confidence interval 0.28–1.48, p=0.40).",
        "Conclusions": "In this large 6-year series of 7,792 cataract surgeries, ACM use was not associated with a statistically significant reduction in posterior capsule rupture nor in vitreous loss. PCR rates were low and comparable between surgeries performed with and without ACM. These findings suggest that while ACM may enhance intraoperative chamber stability, its routine use does not independently reduce capsule-related complications in contemporary phacoemulsification surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large 6-year series of 7,792 cataract surgeries, ACM use was not associated with a statistically significant reduction in posterior capsule rupture nor in vitreous loss. PCR rates were low and comparable between surgeries performed with and without ACM. These findings suggest that while ACM may enhance intraoperative chamber stability, its routine use does not independently reduce capsule-related…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 216,
      "source_fields": {
        "Abstract Final Identifier": "POCAT174",
        "Title": "Impact Of Anterior Chamber Maintainer Use On Posterior Capsule Rupture During Phacoemulsification At Hillel Yaffe Medical Center: A 6-Year Retrospective Study",
        "Presenting Author(s)": "Noora Dbayat",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yara",
        "Submitter Middle Name": "Gassan",
        "Submitter Last Name": "Karawani",
        "Country Name": "Israel",
        "Purpose": "To evaluate the effect of anterior chamber maintainer (ACM) use on the incidence of posterior capsule rupture (PCR) during phacoemulsification cataract surgery",
        "Setting": "Hillel Yaffe Medical Center, Israel",
        "Methods": "This retrospective study included 7,792 consecutive cataract surgeries performed between 2020 and 2025 in patients aged ≥18 years. Of these, 4,320 were performed with ACM and 3,472 without ACM. The incidence of intraoperative posterior capsule rupture (PCR) was compared between surgeries performed with and without ACM. Vitreous loss occurring in PCR cases was also recorded",
        "Results": "Overall PCR occurred in 100 cases (1.28%). PCR was observed in 57 cases (1.32%) in the ACM group and 43 cases (1.24%) in the non-ACM group (odds ratio 1.07, 95% confidence interval 0.72–1.59, p=0.83). Vitreous loss occurred in 34 of 57 PCR cases (59.6%) in the ACM group and in 30 of 43 PCR cases (69.8%) in the non-ACM group (odds ratio 0.64, 95% confidence interval 0.28–1.48, p=0.40).",
        "Conclusions": "In this large 6-year series of 7,792 cataract surgeries, ACM use was not associated with a statistically significant reduction in posterior capsule rupture nor in vitreous loss. PCR rates were low and comparable between surgeries performed with and without ACM. These findings suggest that while ACM may enhance intraoperative chamber stability, its routine use does not independently reduce capsule-related complications in contemporary phacoemulsification surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POCAT175",
      "abstract_number": "POCAT175",
      "title": "A Nationwide Initiative Empowering 868 Medical Students Across The Uk On Tackling Ophthalmic Emergencies",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "75% of students consider ophthalmology teaching at their medical school inadequate. With 10% of patients entering a hospital heading to the eye clinic and 6% of all A&E attendances being eye issues, this lack of ophthalmology education is unsustainable. We present an initiative run over two years to educate medical students on the recognition and management of eye conditions.",
        "Setting": ".",
        "Methods": "The one-day course was created by an ophthalmology registrar and foundation doctor and advertised to all 45 medical schools across the UK. The course ran in 2021 and 2022, attracting a total of 868 delegates altogether.",
        "Results": "Students’ confidence levels improved across all four aspects of the ophthalmology consultation: history, examination, recognising and managing eye cases (p<0.05, Wilcoxon test). There was also a statistically significant improvement on confidence when dealing with all 14 eye conditions covered, especially in nuanced topics like removing corneal foreign bodies and microbial keratitis. Feedback included\n\n- \"better than any ophthalmology teaching I’ve had to date\"\n\n- \"course should be mandatory for all medical students and foundation doctors\"",
        "Conclusions": "Non-ophthalmologists often lack confidence with eye cases leading to personal struggles, reduced job satisfaction; delayed treatment; potential vision loss; unnecessary referrals; increased litigation; higher healthcare costs; especially in an aging population. Providing basic ophthalmic knowledge can help prevent sight-threatening consequences and improve job satisfaction. The course was a simple, repeatable, cost-effective method of increasing knowledge and confidence; feedback called for wider teaching for optometrists, orthoptists as well as expanding to a global scale."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Non-ophthalmologists often lack confidence with eye cases leading to personal struggles, reduced job satisfaction; delayed treatment; potential vision loss; unnecessary referrals; increased litigation; higher healthcare costs; especially in an aging population. Providing basic ophthalmic knowledge can help prevent sight-threatening consequences and improve job satisfaction. The course was a simple, repeatable,…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 217,
      "source_fields": {
        "Abstract Final Identifier": "POCAT175",
        "Title": "A Nationwide Initiative Empowering 868 Medical Students Across The Uk On Tackling Ophthalmic Emergencies",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "75% of students consider ophthalmology teaching at their medical school inadequate. With 10% of patients entering a hospital heading to the eye clinic and 6% of all A&E attendances being eye issues, this lack of ophthalmology education is unsustainable. We present an initiative run over two years to educate medical students on the recognition and management of eye conditions.",
        "Setting": ".",
        "Methods": "The one-day course was created by an ophthalmology registrar and foundation doctor and advertised to all 45 medical schools across the UK. The course ran in 2021 and 2022, attracting a total of 868 delegates altogether.",
        "Results": "Students’ confidence levels improved across all four aspects of the ophthalmology consultation: history, examination, recognising and managing eye cases (p<0.05, Wilcoxon test). There was also a statistically significant improvement on confidence when dealing with all 14 eye conditions covered, especially in nuanced topics like removing corneal foreign bodies and microbial keratitis. Feedback included\n\n- \"better than any ophthalmology teaching I’ve had to date\"\n\n- \"course should be mandatory for all medical students and foundation doctors\"",
        "Conclusions": "Non-ophthalmologists often lack confidence with eye cases leading to personal struggles, reduced job satisfaction; delayed treatment; potential vision loss; unnecessary referrals; increased litigation; higher healthcare costs; especially in an aging population. Providing basic ophthalmic knowledge can help prevent sight-threatening consequences and improve job satisfaction. The course was a simple, repeatable, cost-effective method of increasing knowledge and confidence; feedback called for wider teaching for optometrists, orthoptists as well as expanding to a global scale."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT176",
      "abstract_number": "POCAT176",
      "title": "An Intraocular Pressure Of 98Mmhg",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "A male in his 90s with severe learning difficulties was referred to eye casualty by his GP with suspected left eye periorbital cellulitis. Care home staff reported that the patient was reluctant to open his eye and struck out at anyone who attempted examining him. POH included bilateral cataract surgery in 2022 for left eye phacomorphic glaucoma. PMH included colon cancer and he was under palliative care.",
        "Setting": "IOP was right 18 and left 98 mmHg. Examination revealed left-sided preseptal cellulitis, proptosis, haemorrhagic chemosis, 360 o corneal neovascularisation, corneal oedema, flat AC, inferior hyphaema, mid-dilated pupil. The IOL was densely brown-tinted. B-scan revealed a heterogeneous mass in the posterior segment.",
        "Methods": "Differentials for the mass included vitreous haemorrhage; suprachoroidal haemorrhage; choroidal melanoma; choroidal metastasis. The patient was commenced on IV broad-spectrum antibiotics, Acetazolamide and IOP-lowering drops, steroids, antibiotics, and Atropine. CT confirmed orbital cellulitis and excluded retrobulbar masses or haemorrhage.",
        "Results": "Despite resolution of the cellulitis, IOP stayed between 95 to 99.\n\nFollowing best-interest multi-disciplinary meetings, GA for interventions such as cyclodiode, retrobulbar alcohol or enucleation were deemed too hazardous; and these procedures under LA / sedation posed challenges to the patient and his eye due to his variable cognitive status and compliance. Topical treatments and high-dose oral opioids maintained his IOP at mid-50s and returned his eye to its baseline pain-free state.",
        "Conclusions": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management choices. We explore RCOphth and Public Health England guidance on eye care for adults with learning difficulties."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 218,
      "source_fields": {
        "Abstract Final Identifier": "POCAT176",
        "Title": "An Intraocular Pressure Of 98Mmhg",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "A male in his 90s with severe learning difficulties was referred to eye casualty by his GP with suspected left eye periorbital cellulitis. Care home staff reported that the patient was reluctant to open his eye and struck out at anyone who attempted examining him. POH included bilateral cataract surgery in 2022 for left eye phacomorphic glaucoma. PMH included colon cancer and he was under palliative care.",
        "Setting": "IOP was right 18 and left 98 mmHg. Examination revealed left-sided preseptal cellulitis, proptosis, haemorrhagic chemosis, 360 o corneal neovascularisation, corneal oedema, flat AC, inferior hyphaema, mid-dilated pupil. The IOL was densely brown-tinted. B-scan revealed a heterogeneous mass in the posterior segment.",
        "Methods": "Differentials for the mass included vitreous haemorrhage; suprachoroidal haemorrhage; choroidal melanoma; choroidal metastasis. The patient was commenced on IV broad-spectrum antibiotics, Acetazolamide and IOP-lowering drops, steroids, antibiotics, and Atropine. CT confirmed orbital cellulitis and excluded retrobulbar masses or haemorrhage.",
        "Results": "Despite resolution of the cellulitis, IOP stayed between 95 to 99.\n\nFollowing best-interest multi-disciplinary meetings, GA for interventions such as cyclodiode, retrobulbar alcohol or enucleation were deemed too hazardous; and these procedures under LA / sedation posed challenges to the patient and his eye due to his variable cognitive status and compliance. Topical treatments and high-dose oral opioids maintained his IOP at mid-50s and returned his eye to its baseline pain-free state.",
        "Conclusions": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management choices. We explore RCOphth and Public Health England guidance on eye care for adults with learning difficulties."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT177",
      "abstract_number": "POCAT177",
      "title": "A Nationwide Initiative Empowering 868 Medical Students Across The Uk On Tackling Ophthalmic Emergencies",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "75% of students consider ophthalmology teaching at their medical school inadequate. With 10% of patients entering a hospital heading to the eye clinic and 6% of all A&E attendances being eye issues, this lack of ophthalmology education is unsustainable. We present an initiative run over two years to educate medical students on the recognition and management of eye conditions.",
        "Setting": ".",
        "Methods": "The one-day course was created by an ophthalmology registrar and foundation doctor and advertised to all 45 medical schools across the UK. The course ran in 2021 and 2022, attracting a total of 868 delegates altogether.",
        "Results": "Students’ confidence levels improved across all four aspects of the ophthalmology consultation: history, examination, recognising and managing eye cases (p<0.05, Wilcoxon test). There was also a statistically significant improvement on confidence when dealing with all 14 eye conditions covered, especially in nuanced topics like removing corneal foreign bodies and microbial keratitis. Feedback included\n\n- \"better than any ophthalmology teaching I’ve had to date\"\n\n- \"course should be mandatory for all medical students and foundation doctors\"",
        "Conclusions": "Non-ophthalmologists often lack confidence with eye cases leading to personal struggles, reduced job satisfaction; delayed treatment; potential vision loss; unnecessary referrals; increased litigation; higher healthcare costs; especially in an aging population. Providing basic ophthalmic knowledge can help prevent sight-threatening consequences and improve job satisfaction. The course was a simple, repeatable, cost-effective method of increasing knowledge and confidence; feedback called for wider teaching for optometrists, orthoptists as well as expanding to a global scale."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Non-ophthalmologists often lack confidence with eye cases leading to personal struggles, reduced job satisfaction; delayed treatment; potential vision loss; unnecessary referrals; increased litigation; higher healthcare costs; especially in an aging population. Providing basic ophthalmic knowledge can help prevent sight-threatening consequences and improve job satisfaction. The course was a simple, repeatable,…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 219,
      "source_fields": {
        "Abstract Final Identifier": "POCAT177",
        "Title": "A Nationwide Initiative Empowering 868 Medical Students Across The Uk On Tackling Ophthalmic Emergencies",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "75% of students consider ophthalmology teaching at their medical school inadequate. With 10% of patients entering a hospital heading to the eye clinic and 6% of all A&E attendances being eye issues, this lack of ophthalmology education is unsustainable. We present an initiative run over two years to educate medical students on the recognition and management of eye conditions.",
        "Setting": ".",
        "Methods": "The one-day course was created by an ophthalmology registrar and foundation doctor and advertised to all 45 medical schools across the UK. The course ran in 2021 and 2022, attracting a total of 868 delegates altogether.",
        "Results": "Students’ confidence levels improved across all four aspects of the ophthalmology consultation: history, examination, recognising and managing eye cases (p<0.05, Wilcoxon test). There was also a statistically significant improvement on confidence when dealing with all 14 eye conditions covered, especially in nuanced topics like removing corneal foreign bodies and microbial keratitis. Feedback included\n\n- \"better than any ophthalmology teaching I’ve had to date\"\n\n- \"course should be mandatory for all medical students and foundation doctors\"",
        "Conclusions": "Non-ophthalmologists often lack confidence with eye cases leading to personal struggles, reduced job satisfaction; delayed treatment; potential vision loss; unnecessary referrals; increased litigation; higher healthcare costs; especially in an aging population. Providing basic ophthalmic knowledge can help prevent sight-threatening consequences and improve job satisfaction. The course was a simple, repeatable, cost-effective method of increasing knowledge and confidence; feedback called for wider teaching for optometrists, orthoptists as well as expanding to a global scale."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT178",
      "abstract_number": "POCAT178",
      "title": "An Intraocular Pressure Of 98Mmhg",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "A male in his 90s with severe learning difficulties was referred to eye casualty by his GP with suspected left eye periorbital cellulitis. Care home staff reported that the patient was reluctant to open his eye and struck out at anyone who attempted examining him. POH included bilateral cataract surgery in 2022 for left eye phacomorphic glaucoma. PMH included colon cancer and he was under palliative care.",
        "Setting": "IOP was right 18 and left 98 mmHg. Examination revealed left-sided preseptal cellulitis, proptosis, haemorrhagic chemosis, 360 o corneal neovascularisation, corneal oedema, flat AC, inferior hyphaema, mid-dilated pupil. The IOL was densely brown-tinted. B-scan revealed a heterogeneous mass in the posterior segment.",
        "Methods": "Differentials for the mass included vitreous haemorrhage; suprachoroidal haemorrhage; choroidal melanoma; choroidal metastasis. The patient was commenced on IV broad-spectrum antibiotics, Acetazolamide and IOP-lowering drops, steroids, antibiotics, and Atropine. CT confirmed orbital cellulitis and excluded retrobulbar masses or haemorrhage.",
        "Results": "Despite resolution of the cellulitis, IOP stayed between 95 to 99.\n\nFollowing best-interest multi-disciplinary meetings, GA for interventions such as cyclodiode, retrobulbar alcohol or enucleation were deemed too hazardous; and these procedures under LA / sedation posed challenges to the patient and his eye due to his variable cognitive status and compliance. Topical treatments and high-dose oral opioids maintained his IOP at mid-50s and returned his eye to its baseline pain-free state.",
        "Conclusions": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management choices. We explore RCOphth and Public Health England guidance on eye care for adults with learning difficulties."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 220,
      "source_fields": {
        "Abstract Final Identifier": "POCAT178",
        "Title": "An Intraocular Pressure Of 98Mmhg",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "A male in his 90s with severe learning difficulties was referred to eye casualty by his GP with suspected left eye periorbital cellulitis. Care home staff reported that the patient was reluctant to open his eye and struck out at anyone who attempted examining him. POH included bilateral cataract surgery in 2022 for left eye phacomorphic glaucoma. PMH included colon cancer and he was under palliative care.",
        "Setting": "IOP was right 18 and left 98 mmHg. Examination revealed left-sided preseptal cellulitis, proptosis, haemorrhagic chemosis, 360 o corneal neovascularisation, corneal oedema, flat AC, inferior hyphaema, mid-dilated pupil. The IOL was densely brown-tinted. B-scan revealed a heterogeneous mass in the posterior segment.",
        "Methods": "Differentials for the mass included vitreous haemorrhage; suprachoroidal haemorrhage; choroidal melanoma; choroidal metastasis. The patient was commenced on IV broad-spectrum antibiotics, Acetazolamide and IOP-lowering drops, steroids, antibiotics, and Atropine. CT confirmed orbital cellulitis and excluded retrobulbar masses or haemorrhage.",
        "Results": "Despite resolution of the cellulitis, IOP stayed between 95 to 99.\n\nFollowing best-interest multi-disciplinary meetings, GA for interventions such as cyclodiode, retrobulbar alcohol or enucleation were deemed too hazardous; and these procedures under LA / sedation posed challenges to the patient and his eye due to his variable cognitive status and compliance. Topical treatments and high-dose oral opioids maintained his IOP at mid-50s and returned his eye to its baseline pain-free state.",
        "Conclusions": "This case records an extremely high IOP, which has not been previously reported in the literature. We highlights the complexities of managing a painful blind eye. It also highlighted the challenges faced by patients with learning difficulties such as more advanced disease at the time of assessment, lower rates of screening, delays in reaching a diagnosis, insufficiencies in communication and complex management choices. We explore RCOphth and Public Health England guidance on eye care for adults with learning difficulties."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT180",
      "abstract_number": "POCAT180",
      "title": "Posterior Capsular Rupture Rates In Femtosecond Laser Assisted Vs Manual Cataract Surgery: Systematic Review And Meta-Analysis",
      "authors": "Dr Tameema Kauser",
      "presenter": "Dr Tameema Kauser",
      "normalized_authors": [
        "Tameema Kauser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tameema Kauser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Posterior capsular rupture (PCR) is one of the most significant intraoperative complications in cataract surgery, associated with increased risk of vitreous loss, retinal detachment, and postoperative visual morbidity. With the increasing adoption of femtosecond laser-assisted cataract surgery (FLACS), comparative data on PCR rates versus conventional manual phacoemulsification remain inconsistent. This study aims to systematically review the literature and perform a meta-analysis to quantify and compare PCR rates in FLACS and manual cataract surgery, providing evidence to inform surgical decision-making and risk counseling.",
        "Setting": "Literature-based study focused on contemporary cataract surgery practice and patient safety outcomes, independent of clinical data collection.",
        "Methods": "This systematic review and meta-analysis will follow PRISMA 2020 guidelines. PubMed, Cochrane Library, and Web of Science will be searched for studies comparing femtosecond laser-assisted cataract surgery (FLACS) and manual phacoemulsification. Using the PICO framework, adults undergoing cataract surgery (P) treated with FLACS (I) versus manual phaco (C) will be assessed for posterior capsular rupture (O) in comparative studies (S). Two reviewers will independently screen, extract data, assess risk of bias (ROBINS-I/RoB 2), and perform random-effects meta-analysis with I² assessment.",
        "Results": "The Review process is underway and will be completed before the congress and the results will be discussed during the presentation.",
        "Conclusions": "Posterior capsular rupture remains a critical complication in cataract surgery, with significant implications for surgical outcomes and patient safety. Systematic synthesis of the available literature will provide robust quantitative estimates of PCR risk, facilitating evidence-based decision-making, risk counseling, and optimization of surgical technique in contemporary cataract practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Posterior capsular rupture remains a critical complication in cataract surgery, with significant implications for surgical outcomes and patient safety. Systematic synthesis of the available literature will provide robust quantitative estimates of PCR risk, facilitating evidence-based decision-making, risk counseling, and optimization of surgical technique in contemporary cataract practice.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 221,
      "source_fields": {
        "Abstract Final Identifier": "POCAT180",
        "Title": "Posterior Capsular Rupture Rates In Femtosecond Laser Assisted Vs Manual Cataract Surgery: Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Tameema Kauser",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Tameema",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kauser",
        "Country Name": "India",
        "Purpose": "Posterior capsular rupture (PCR) is one of the most significant intraoperative complications in cataract surgery, associated with increased risk of vitreous loss, retinal detachment, and postoperative visual morbidity. With the increasing adoption of femtosecond laser-assisted cataract surgery (FLACS), comparative data on PCR rates versus conventional manual phacoemulsification remain inconsistent. This study aims to systematically review the literature and perform a meta-analysis to quantify and compare PCR rates in FLACS and manual cataract surgery, providing evidence to inform surgical decision-making and risk counseling.",
        "Setting": "Literature-based study focused on contemporary cataract surgery practice and patient safety outcomes, independent of clinical data collection.",
        "Methods": "This systematic review and meta-analysis will follow PRISMA 2020 guidelines. PubMed, Cochrane Library, and Web of Science will be searched for studies comparing femtosecond laser-assisted cataract surgery (FLACS) and manual phacoemulsification. Using the PICO framework, adults undergoing cataract surgery (P) treated with FLACS (I) versus manual phaco (C) will be assessed for posterior capsular rupture (O) in comparative studies (S). Two reviewers will independently screen, extract data, assess risk of bias (ROBINS-I/RoB 2), and perform random-effects meta-analysis with I² assessment.",
        "Results": "The Review process is underway and will be completed before the congress and the results will be discussed during the presentation.",
        "Conclusions": "Posterior capsular rupture remains a critical complication in cataract surgery, with significant implications for surgical outcomes and patient safety. Systematic synthesis of the available literature will provide robust quantitative estimates of PCR risk, facilitating evidence-based decision-making, risk counseling, and optimization of surgical technique in contemporary cataract practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCAT181",
      "abstract_number": "POCAT181",
      "title": "Clinical Outcomes Of 380 Consecutive Lucidis Edof Iol Implantations: Real-World Experience From A Consultant-Led Practice",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To report clinical and refractive outcomes in 380 consecutive eyes undergoing cataract surgery with Lucidis EDOF toric IOL implantation.",
        "Setting": "Two tertiary ophthalmic centers, United Arab Emirates",
        "Methods": "Retrospective review of consecutive cases performed by a single consultant surgeon. Data analyzed included postoperative visual acuity, residual refractive error, rotational stability of toric component, complication rate, and need for enhancement procedures.",
        "Results": "The majority of patients achieved uncorrected distance visual acuity of 20/25 or better. Residual spherical equivalent was within ±0.50 D in most eyes. Toric rotational stability remained within acceptable limits without reoperation. Significant intraoperative or postoperative complications were rare. Overall patient demand for spectacle independence was met with high satisfaction rates.",
        "Conclusions": "In a large real-world cohort, Lucidis EDOF toric IOL demonstrated excellent refractive predictability, rotational stability, and functional visual outcomes. The lens provides a dependable premium solution in modern cataract practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a large real-world cohort, Lucidis EDOF toric IOL demonstrated excellent refractive predictability, rotational stability, and functional visual outcomes. The lens provides a dependable premium solution in modern cataract practice.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 222,
      "source_fields": {
        "Abstract Final Identifier": "POCAT181",
        "Title": "Clinical Outcomes Of 380 Consecutive Lucidis Edof Iol Implantations: Real-World Experience From A Consultant-Led Practice",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To report clinical and refractive outcomes in 380 consecutive eyes undergoing cataract surgery with Lucidis EDOF toric IOL implantation.",
        "Setting": "Two tertiary ophthalmic centers, United Arab Emirates",
        "Methods": "Retrospective review of consecutive cases performed by a single consultant surgeon. Data analyzed included postoperative visual acuity, residual refractive error, rotational stability of toric component, complication rate, and need for enhancement procedures.",
        "Results": "The majority of patients achieved uncorrected distance visual acuity of 20/25 or better. Residual spherical equivalent was within ±0.50 D in most eyes. Toric rotational stability remained within acceptable limits without reoperation. Significant intraoperative or postoperative complications were rare. Overall patient demand for spectacle independence was met with high satisfaction rates.",
        "Conclusions": "In a large real-world cohort, Lucidis EDOF toric IOL demonstrated excellent refractive predictability, rotational stability, and functional visual outcomes. The lens provides a dependable premium solution in modern cataract practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 141
    },
    {
      "uid": "POCAT182",
      "abstract_number": "POCAT182",
      "title": "Low Complication Rates Of Immediate Sequential Bilateral Cataract Surgery In A Turkish Single-Center Experience",
      "authors": "Dr Deniz Kilic",
      "presenter": "Dr Deniz Kilic",
      "normalized_authors": [
        "Deniz Kilic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Deniz Kilic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the safety and refractive outcomes of immediate sequential bilateral cataract surgery (ISBCS) performed in a single tertiary eye center in Turkey.",
        "Setting": "retrospective single-center study",
        "Methods": "In this retrospective single-center study, 574 eyes of 289 patients who underwent immediate sequential bilateral phacoemulsification with intraocular lens implantation during the same operative session by two surgeons (DK, EU) were analyzed. Demographic characteristics, refractive outcomes, and intraoperative and postoperative complications were evaluated. Spherical equivalent (SE) was calculated preoperatively and postoperatively. Refractive predictability was assessed based on the proportion of eyes within ±0.50 D and ±1.00 D of target refraction.",
        "Results": "The mean age was 62.7 ± 10.7 years. The mean preoperative spherical equivalent was +1.86 D, improving to −0.12 ± 0.66 D postoperatively.\n\nPostoperative refractive accuracy showed that 63.4% of eyes were within ±0.50 D and 87.1% were within ±1.00 D of target refraction.\n\nNo cases of posterior capsule rupture, vitreous loss, endophthalmitis, cystoid macular edema, retinal detachment, toxic anterior segment syndrome, or other sight-threatening complications were observed. Importantly, no bilateral sight-threatening complication occurred.",
        "Conclusions": "Immediate sequential bilateral cataract surgery (ISBCS) performed under strict aseptic separation protocols demonstrated excellent refractive predictability and extremely low complication rates in this Turkish single-center experience. ISBCS appears to be a safe and effective option in appropriately selected patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Immediate sequential bilateral cataract surgery (ISBCS) performed under strict aseptic separation protocols demonstrated excellent refractive predictability and extremely low complication rates in this Turkish single-center experience. ISBCS appears to be a safe and effective option in appropriately selected patients.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 223,
      "source_fields": {
        "Abstract Final Identifier": "POCAT182",
        "Title": "Low Complication Rates Of Immediate Sequential Bilateral Cataract Surgery In A Turkish Single-Center Experience",
        "Presenting Author(s)": "Dr Deniz Kilic",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Deniz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kilic",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the safety and refractive outcomes of immediate sequential bilateral cataract surgery (ISBCS) performed in a single tertiary eye center in Turkey.",
        "Setting": "retrospective single-center study",
        "Methods": "In this retrospective single-center study, 574 eyes of 289 patients who underwent immediate sequential bilateral phacoemulsification with intraocular lens implantation during the same operative session by two surgeons (DK, EU) were analyzed. Demographic characteristics, refractive outcomes, and intraoperative and postoperative complications were evaluated. Spherical equivalent (SE) was calculated preoperatively and postoperatively. Refractive predictability was assessed based on the proportion of eyes within ±0.50 D and ±1.00 D of target refraction.",
        "Results": "The mean age was 62.7 ± 10.7 years. The mean preoperative spherical equivalent was +1.86 D, improving to −0.12 ± 0.66 D postoperatively.\n\nPostoperative refractive accuracy showed that 63.4% of eyes were within ±0.50 D and 87.1% were within ±1.00 D of target refraction.\n\nNo cases of posterior capsule rupture, vitreous loss, endophthalmitis, cystoid macular edema, retinal detachment, toxic anterior segment syndrome, or other sight-threatening complications were observed. Importantly, no bilateral sight-threatening complication occurred.",
        "Conclusions": "Immediate sequential bilateral cataract surgery (ISBCS) performed under strict aseptic separation protocols demonstrated excellent refractive predictability and extremely low complication rates in this Turkish single-center experience. ISBCS appears to be a safe and effective option in appropriately selected patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POCAT183",
      "abstract_number": "POCAT183",
      "title": "Comparison Of Nd:Yag Laser And Anterior Chamber Washout For The Treatment Of Retained Lens Fragments After Phacoemulsification",
      "authors": "Dr Ali Mert Kocer",
      "presenter": "Dr Ali Mert Kocer",
      "normalized_authors": [
        "Ali Mert Kocer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Mert Kocer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The presence of retained lens fragments (RLF) in the anterior chamber (AC) after phacoemulsification may be associated with delayed visual rehabilitation and potential corneal endothelial damage. This study aimed to assess the safety and efficacy of Nd:YAG laser treatment for RLF in the AC refractory to medical therapy and to compare its outcomes with anterior chamber washout (ACW).",
        "Setting": "This study was conducted at the Department of Ophthalmology of a tertiary referral center in Turkey.",
        "Methods": "This retrospective study included patients with RLF in the AC after uncomplicated phacoemulsification treated with ACW (n=21) or Nd:YAG laser (n=13). Primary outcomes were treatment success, final best-corrected visual acuity (BCVA), and corneal endothelial parameters by specular microscopy at 6 months post-treatment. Treatment success was classified as complete (complete RLF resolution with a single intervention, no complications), qualified (complete RLF resolution requiring additional intervention or with medically manageable complications), or failure (complications with measurable visual acuity loss).",
        "Results": "Demographic and ophthalmic characteristics, including cataract grade, RLF type, and size, were comparable (p>0.05). In the ACW group, complete success was achieved in 15 eyes (71.4%), qualified success in 3 (14.2%), and failure in 3 (14.2%), including two cases of pseudophakic bullous keratopathy (PBK) and one intraoperative cerebrovascular event. In the Nd:YAG group, complete success occurred in 9 eyes (69.2%) and qualified success in 4 (30.7%). Although treatment success did not differ significantly (p>0.05), final BCVA was significantly better in the Nd:YAG laser group (p=0.039). Despite the exclusion of two PBK cases, median endothelial cell density remained significantly lower in the ACW group (1227.0 vs 1994.0 cells/mm²,p=0.018).",
        "Conclusions": "While clinical success rates were comparable between the two approaches, Nd:YAG laser was associated with significantly superior visual outcomes and better endothelial preservation. In selected cases of RLF, Nd:YAG laser may represent a minimally invasive, endothelial-sparing alternative to surgical treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While clinical success rates were comparable between the two approaches, Nd:YAG laser was associated with significantly superior visual outcomes and better endothelial preservation. In selected cases of RLF, Nd:YAG laser may represent a minimally invasive, endothelial-sparing alternative to surgical treatment.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 224,
      "source_fields": {
        "Abstract Final Identifier": "POCAT183",
        "Title": "Comparison Of Nd:Yag Laser And Anterior Chamber Washout For The Treatment Of Retained Lens Fragments After Phacoemulsification",
        "Presenting Author(s)": "Dr Ali Mert Kocer",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "Mert",
        "Submitter Last Name": "Kocer",
        "Country Name": "Türkiye",
        "Purpose": "The presence of retained lens fragments (RLF) in the anterior chamber (AC) after phacoemulsification may be associated with delayed visual rehabilitation and potential corneal endothelial damage. This study aimed to assess the safety and efficacy of Nd:YAG laser treatment for RLF in the AC refractory to medical therapy and to compare its outcomes with anterior chamber washout (ACW).",
        "Setting": "This study was conducted at the Department of Ophthalmology of a tertiary referral center in Turkey.",
        "Methods": "This retrospective study included patients with RLF in the AC after uncomplicated phacoemulsification treated with ACW (n=21) or Nd:YAG laser (n=13). Primary outcomes were treatment success, final best-corrected visual acuity (BCVA), and corneal endothelial parameters by specular microscopy at 6 months post-treatment. Treatment success was classified as complete (complete RLF resolution with a single intervention, no complications), qualified (complete RLF resolution requiring additional intervention or with medically manageable complications), or failure (complications with measurable visual acuity loss).",
        "Results": "Demographic and ophthalmic characteristics, including cataract grade, RLF type, and size, were comparable (p>0.05). In the ACW group, complete success was achieved in 15 eyes (71.4%), qualified success in 3 (14.2%), and failure in 3 (14.2%), including two cases of pseudophakic bullous keratopathy (PBK) and one intraoperative cerebrovascular event. In the Nd:YAG group, complete success occurred in 9 eyes (69.2%) and qualified success in 4 (30.7%). Although treatment success did not differ significantly (p>0.05), final BCVA was significantly better in the Nd:YAG laser group (p=0.039). Despite the exclusion of two PBK cases, median endothelial cell density remained significantly lower in the ACW group (1227.0 vs 1994.0 cells/mm²,p=0.018).",
        "Conclusions": "While clinical success rates were comparable between the two approaches, Nd:YAG laser was associated with significantly superior visual outcomes and better endothelial preservation. In selected cases of RLF, Nd:YAG laser may represent a minimally invasive, endothelial-sparing alternative to surgical treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "POCAT184",
      "abstract_number": "POCAT184",
      "title": "Allogenic Scleral Patch Grafting For Post-Surgical Scleral Defect :Structural And Visual Rehabilitation",
      "authors": "Dr Veeresh V Korwar",
      "presenter": "Dr Veeresh V Korwar",
      "normalized_authors": [
        "Veeresh V Korwar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Veeresh V Korwar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To highlight the importance of early tectonic intervention in managing large scleral defects after anterior segment surgery and to demonstrate the structural and visual outcomes achieved with allogenic scleral patch grafting. Scleral defects can result in globe instability, irregular astigmatism, inflammation, and increased susceptibility to endophthalmitis. This case underscores the role of prompt surgical reconstruction in preventing long-term morbidity and restoring functional vision.",
        "Setting": "Tertiary referral eye care center in India managing complex anterior segment complications and ocular surface reconstruction.",
        "Methods": "A 70-year-old male presented with severe visual impairment and structural deformity of the right eye following conjunctival cyst excision complicated by a 6×3 mm scleral defect located 2 mm posterior to the limbus. BCVA was perception of light with accurate projection. Slit-lamp evaluation revealed subconjunctival hemorrhage, corneal haze, hyphema and a posterior chamber intraocular lens in situ. Under local anesthesia, prior sutures were removed and wound exploration performed. A size-matched donor scleral patch graft was secured using interrupted 6-0 polyglactin sutures and covered with a conjunctival flap. Postoperative topical antibiotic-steroid therapy was administered and tapered.",
        "Results": "Anatomical integrity of the globe was successfully restored. The postoperative course was uneventful with stable graft integration and healthy conjunctival coverage. Progressive resolution of anterior segment inflammation was noted. At 4-month follow-up, best corrected visual acuity improved markedly to 6/9 (partial). Structural contour was re-established with significant functional and cosmetic improvement.",
        "Conclusions": "Allogenic scleral patch grafting is a safe, reproducible, and effective technique for managing large scleral defects. Beyond tectonic reinforcement, it facilitates visual rehabilitation by restoring scleral contour and reducing induced irregularity. Early recognition and definitive surgical repair are critical in preventing infectious complications and irreversible visual loss. This case reinforces scleral patch grafting as a valuable tool in anterior segment reconstructive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Allogenic scleral patch grafting is a safe, reproducible, and effective technique for managing large scleral defects. Beyond tectonic reinforcement, it facilitates visual rehabilitation by restoring scleral contour and reducing induced irregularity. Early recognition and definitive surgical repair are critical in preventing infectious complications and irreversible visual loss. This case reinforces scleral patch…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 225,
      "source_fields": {
        "Abstract Final Identifier": "POCAT184",
        "Title": "Allogenic Scleral Patch Grafting For Post-Surgical Scleral Defect :Structural And Visual Rehabilitation",
        "Presenting Author(s)": "Dr Veeresh V Korwar",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Veeresh",
        "Submitter Middle Name": "V",
        "Submitter Last Name": "Korwar",
        "Country Name": "India",
        "Purpose": "To highlight the importance of early tectonic intervention in managing large scleral defects after anterior segment surgery and to demonstrate the structural and visual outcomes achieved with allogenic scleral patch grafting. Scleral defects can result in globe instability, irregular astigmatism, inflammation, and increased susceptibility to endophthalmitis. This case underscores the role of prompt surgical reconstruction in preventing long-term morbidity and restoring functional vision.",
        "Setting": "Tertiary referral eye care center in India managing complex anterior segment complications and ocular surface reconstruction.",
        "Methods": "A 70-year-old male presented with severe visual impairment and structural deformity of the right eye following conjunctival cyst excision complicated by a 6×3 mm scleral defect located 2 mm posterior to the limbus. BCVA was perception of light with accurate projection. Slit-lamp evaluation revealed subconjunctival hemorrhage, corneal haze, hyphema and a posterior chamber intraocular lens in situ. Under local anesthesia, prior sutures were removed and wound exploration performed. A size-matched donor scleral patch graft was secured using interrupted 6-0 polyglactin sutures and covered with a conjunctival flap. Postoperative topical antibiotic-steroid therapy was administered and tapered.",
        "Results": "Anatomical integrity of the globe was successfully restored. The postoperative course was uneventful with stable graft integration and healthy conjunctival coverage. Progressive resolution of anterior segment inflammation was noted. At 4-month follow-up, best corrected visual acuity improved markedly to 6/9 (partial). Structural contour was re-established with significant functional and cosmetic improvement.",
        "Conclusions": "Allogenic scleral patch grafting is a safe, reproducible, and effective technique for managing large scleral defects. Beyond tectonic reinforcement, it facilitates visual rehabilitation by restoring scleral contour and reducing induced irregularity. Early recognition and definitive surgical repair are critical in preventing infectious complications and irreversible visual loss. This case reinforces scleral patch grafting as a valuable tool in anterior segment reconstructive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCAT185",
      "abstract_number": "POCAT185",
      "title": "Incidence And Management Of Corneal Wound Infection Following Cataract Surgery",
      "authors": "Dr Ayley Loh",
      "presenter": "Dr Ayley Loh",
      "normalized_authors": [
        "Ayley Loh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayley Loh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Corneal wound infection is a serious complication following cataract surgery as it can cause rapid irreversible visual loss. The incidence of corneal wound infections has not yet been reported.",
        "Setting": "Newmedica, Northampton Eye Health Clinic & Surgical Centre.",
        "Methods": "A total of eleven thousand six hundred consecutive cases of cataract surgery were assessed or reported for corneal wound infection from 25/7/22 to 28/2/26. Assessment occurred at the 4–6-week follow-up appointment or during an acute post-operative presentation. Cases of corneal abrasion were excluded. Each case was performed through a clear corneal 2.2mm incision under topical anaesthesia. Two incisions were temporal and one was superior. Post operative drops were Ketorolac 0.4% ( Allergan) three times a day and Dexamethasone 0.1% (Alcon) four times a day both for 3 weeks.",
        "Results": "Corneal wound infection occurred in three patients (incidence 0.026%); two presented acutely to our department, one to another eye unit. Post-operative presentations were 8, 21 and 22 days. Pseudomonas aeruginosa caused all three cases; each patient was admitted to hospital for intensive topical antibiotic drops until the infection resolved. No wound leak was present in any case. One patient developed endophthalmitis consequently with no light perception; two patients recovered their vision.\n\nPatients were aged 81, 92, 93. Surgery was uneventful except one had a brunescent cataract and another required intracameral phenylephrine for a medium sized pupil. One patient had type two diabetes. Two patients lived alone and had carers.",
        "Conclusions": "Corneal wound infection risks significant visual impairment, including endophthalmitis. This is the first publication reporting its incidence. The low rate of incidence is surprising because the wound epithelium is often compromised from repeated surgical entries, hydration, post-operative steroid and NSAID drops which impair healing. Unlike the more commonly reported organisms staphylococcus and streptococcus, our cases were pseudomonas which is associated with a more aggressive infection.\n\nOlder age and social vulnerability likely contributed to delayed presentation and adverse outcomes, highlighting the importance of educating patients and carers on recognising and reporting acute symptoms promptly to avoid delay in treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal wound infection risks significant visual impairment, including endophthalmitis. This is the first publication reporting its incidence. The low rate of incidence is surprising because the wound epithelium is often compromised from repeated surgical entries, hydration, post-operative steroid and NSAID drops which impair healing. Unlike the more commonly reported organisms staphylococcus and streptococcus, our…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 226,
      "source_fields": {
        "Abstract Final Identifier": "POCAT185",
        "Title": "Incidence And Management Of Corneal Wound Infection Following Cataract Surgery",
        "Presenting Author(s)": "Dr Ayley Loh",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ayley",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Loh",
        "Country Name": "United Kingdom",
        "Purpose": "Corneal wound infection is a serious complication following cataract surgery as it can cause rapid irreversible visual loss. The incidence of corneal wound infections has not yet been reported.",
        "Setting": "Newmedica, Northampton Eye Health Clinic & Surgical Centre.",
        "Methods": "A total of eleven thousand six hundred consecutive cases of cataract surgery were assessed or reported for corneal wound infection from 25/7/22 to 28/2/26. Assessment occurred at the 4–6-week follow-up appointment or during an acute post-operative presentation. Cases of corneal abrasion were excluded. Each case was performed through a clear corneal 2.2mm incision under topical anaesthesia. Two incisions were temporal and one was superior. Post operative drops were Ketorolac 0.4% ( Allergan) three times a day and Dexamethasone 0.1% (Alcon) four times a day both for 3 weeks.",
        "Results": "Corneal wound infection occurred in three patients (incidence 0.026%); two presented acutely to our department, one to another eye unit. Post-operative presentations were 8, 21 and 22 days. Pseudomonas aeruginosa caused all three cases; each patient was admitted to hospital for intensive topical antibiotic drops until the infection resolved. No wound leak was present in any case. One patient developed endophthalmitis consequently with no light perception; two patients recovered their vision.\n\nPatients were aged 81, 92, 93. Surgery was uneventful except one had a brunescent cataract and another required intracameral phenylephrine for a medium sized pupil. One patient had type two diabetes. Two patients lived alone and had carers.",
        "Conclusions": "Corneal wound infection risks significant visual impairment, including endophthalmitis. This is the first publication reporting its incidence. The low rate of incidence is surprising because the wound epithelium is often compromised from repeated surgical entries, hydration, post-operative steroid and NSAID drops which impair healing. Unlike the more commonly reported organisms staphylococcus and streptococcus, our cases were pseudomonas which is associated with a more aggressive infection.\n\nOlder age and social vulnerability likely contributed to delayed presentation and adverse outcomes, highlighting the importance of educating patients and carers on recognising and reporting acute symptoms promptly to avoid delay in treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCAT186",
      "abstract_number": "POCAT186",
      "title": "Intracameral Cefuroxime Prophylaxis After Cataract Surgery: Ethical And Medico-Legal Considerations In The Presence Of Known Retinal Toxicity",
      "authors": "A/Prof. Andrea Cusumano",
      "presenter": "A/Prof. Andrea Cusumano",
      "normalized_authors": [
        "Andrea Cusumano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marco Lombardo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Intracameral cefuroxime is strongly supported by the European Society of Cataract and Refractive Surgeons (ESCRS) guidance for endophthalmitis prophylaxis. Emerging evidence of intracameral cefuroxime ocular toxic syndrome (ICOTS) in eyes with a disrupted intraocular barrier creates a surgeon’s dilemma: adherence may expose selected patients to foreseeable retinal toxicity, while deviation may increase infection risk and medico-legal scrutiny. We outline an ethical–medico-legal framework to integrate ICOTS risk into peri-operative decision-making, consent, and documentation while preserving evidence-based prophylaxis.",
        "Setting": "European cataract surgery practice in which intracameral cefuroxime is routinely used for endophthalmitis prophylaxis in line with ESCRS recommendations, focusing on disclosure standards and defensible documentation when patient-specific risk factors arise.",
        "Methods": "This clinical governance analysis consolidates published ICOTS evidence in cases where the intraocular barrier is compromised and aligns with ESCRS prophylaxis standards. It links the core dilemma to key medico-legal concepts such as foreseeability, duty to inform, standard of care, causation, and documentation, as well as to ethical principles like autonomy, beneficence, and non-maleficence. The project resulted in a risk-based consent addendum, a comprehensive documentation checklist, and a practical protocol for managing scenarios where risk factors are identified before or during surgery, such as posterior capsule rupture during anterior vitrectomy.",
        "Results": "ICOTS displays a distinctive rapid-onset serous retinal detachment pattern, with imaging features that aid recognition and distinction from common postoperative issues. Evidence suggests that residual structural and functional deficits can persist even after fluid resolution, posing a significant risk of harm in vulnerable eyes. Medico-legally, following guidelines may not fully protect surgeons when risk factors are present; on the other hand, deviating from guidelines without documented reasoning and patient involvement could increase legal exposure if endophthalmitis develops. A targeted consent and documentation process supports defensible, guideline-aligned, personalized risk communication.",
        "Conclusions": "ESCRS guidance underpins best practices for intracameral cefuroxime prophylaxis. When a foreseeable ICOTS risk exists, responsible care requires more than mere compliance or deviation. A practical, risk-based approach may include: (1) identifying vulnerable eyes before or during surgery; (2) providing enhanced informed consent that covers ICOTS risk and potential long-term visual effects; (3) documenting the risk–benefit rationale and any intraoperative changes in risk profile; and (4) implementing a postoperative escalation plan (early OCT retinal imaging) to facilitate prompt recognition and transparent communication. This approach strengthens decision-making autonomy, supports patient safety, and minimizes medico-legal vulnerabilities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ESCRS guidance underpins best practices for intracameral cefuroxime prophylaxis. When a foreseeable ICOTS risk exists, responsible care requires more than mere compliance or deviation. A practical, risk-based approach may include: (1) identifying vulnerable eyes before or during surgery; (2) providing enhanced informed consent that covers ICOTS risk and potential long-term visual effects; (3) documenting the…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 227,
      "source_fields": {
        "Abstract Final Identifier": "POCAT186",
        "Title": "Intracameral Cefuroxime Prophylaxis After Cataract Surgery: Ethical And Medico-Legal Considerations In The Presence Of Known Retinal Toxicity",
        "Presenting Author(s)": "A/Prof. Andrea Cusumano",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Marco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lombardo",
        "Country Name": "Italy",
        "Purpose": "Intracameral cefuroxime is strongly supported by the European Society of Cataract and Refractive Surgeons (ESCRS) guidance for endophthalmitis prophylaxis. Emerging evidence of intracameral cefuroxime ocular toxic syndrome (ICOTS) in eyes with a disrupted intraocular barrier creates a surgeon’s dilemma: adherence may expose selected patients to foreseeable retinal toxicity, while deviation may increase infection risk and medico-legal scrutiny. We outline an ethical–medico-legal framework to integrate ICOTS risk into peri-operative decision-making, consent, and documentation while preserving evidence-based prophylaxis.",
        "Setting": "European cataract surgery practice in which intracameral cefuroxime is routinely used for endophthalmitis prophylaxis in line with ESCRS recommendations, focusing on disclosure standards and defensible documentation when patient-specific risk factors arise.",
        "Methods": "This clinical governance analysis consolidates published ICOTS evidence in cases where the intraocular barrier is compromised and aligns with ESCRS prophylaxis standards. It links the core dilemma to key medico-legal concepts such as foreseeability, duty to inform, standard of care, causation, and documentation, as well as to ethical principles like autonomy, beneficence, and non-maleficence. The project resulted in a risk-based consent addendum, a comprehensive documentation checklist, and a practical protocol for managing scenarios where risk factors are identified before or during surgery, such as posterior capsule rupture during anterior vitrectomy.",
        "Results": "ICOTS displays a distinctive rapid-onset serous retinal detachment pattern, with imaging features that aid recognition and distinction from common postoperative issues. Evidence suggests that residual structural and functional deficits can persist even after fluid resolution, posing a significant risk of harm in vulnerable eyes. Medico-legally, following guidelines may not fully protect surgeons when risk factors are present; on the other hand, deviating from guidelines without documented reasoning and patient involvement could increase legal exposure if endophthalmitis develops. A targeted consent and documentation process supports defensible, guideline-aligned, personalized risk communication.",
        "Conclusions": "ESCRS guidance underpins best practices for intracameral cefuroxime prophylaxis. When a foreseeable ICOTS risk exists, responsible care requires more than mere compliance or deviation. A practical, risk-based approach may include: (1) identifying vulnerable eyes before or during surgery; (2) providing enhanced informed consent that covers ICOTS risk and potential long-term visual effects; (3) documenting the risk–benefit rationale and any intraoperative changes in risk profile; and (4) implementing a postoperative escalation plan (early OCT retinal imaging) to facilitate prompt recognition and transparent communication. This approach strengthens decision-making autonomy, supports patient safety, and minimizes medico-legal vulnerabilities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCAT187",
      "abstract_number": "POCAT187",
      "title": "Cataract Surgery In The Vitrectomized Eye: A Retina Surgeon's Guide To Avoiding Pitfalls\nAnd Optimizing Outcomes",
      "authors": "Dr Selma Mahmah",
      "presenter": "Dr Selma Mahmah",
      "normalized_authors": [
        "Selma Mahmah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Selma Mahmah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To provide anterior segment surgeons with a practical, evidence-based framework for managing the unique challenges of cataract surgery in vitrectomized eyes, with the goal of maximizing visual outcomes and minimizing complications.",
        "Setting": "Data and experience were derived from a private retina practice and a high volume academic university hospital.",
        "Methods": "This descriptive study synthesizes surgical experience and clinical data from a high volume retina practice. We detail a systematic protocol for preoperative assessment and surgical technique, specifically addressing:\n\nPreoperative Planning: Strategies for accurate IOL power calculation (including formula choice and A-constant adjustment) to counteract the known hyperopic shift.\n\nIntraoperative Techniques: Methods to manage a deep anterior chamber, floppy iris, and latent zonular weakness, including the use of capsular tension rings and low-flow phacoemulsification settings.\n\nPostoperative Considerations: Vigilance for and management of complications like hypotony and cystoid macular edema.",
        "Results": "Application of this protocol in a clinical series of vitrectomized eyes undergoing cataract extraction resulted in predictable refractive outcomes, Intraoperative challenges,including posterior capsule rupture and zonular dehiscence , occurred but were successfully managed intraoperatively without compromising IOL centration or stability.The rate of postoperative CME was 5 %, and refractory hypotony was avoided in all cases.",
        "Conclusions": "Cataract surgery in vitrectomized eyes demands tailored strategies for IOL calculation, zonular support, and pressure management. Our protocol minimizes risk, optimizes outcomes, and enhances co-management between retinal and anterior segment surgeons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in vitrectomized eyes demands tailored strategies for IOL calculation, zonular support, and pressure management. Our protocol minimizes risk, optimizes outcomes, and enhances co-management between retinal and anterior segment surgeons.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 228,
      "source_fields": {
        "Abstract Final Identifier": "POCAT187",
        "Title": "Cataract Surgery In The Vitrectomized Eye: A Retina Surgeon's Guide To Avoiding Pitfalls\nAnd Optimizing Outcomes",
        "Presenting Author(s)": "Dr Selma Mahmah",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Selma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahmah",
        "Country Name": "Algeria",
        "Purpose": "To provide anterior segment surgeons with a practical, evidence-based framework for managing the unique challenges of cataract surgery in vitrectomized eyes, with the goal of maximizing visual outcomes and minimizing complications.",
        "Setting": "Data and experience were derived from a private retina practice and a high volume academic university hospital.",
        "Methods": "This descriptive study synthesizes surgical experience and clinical data from a high volume retina practice. We detail a systematic protocol for preoperative assessment and surgical technique, specifically addressing:\n\nPreoperative Planning: Strategies for accurate IOL power calculation (including formula choice and A-constant adjustment) to counteract the known hyperopic shift.\n\nIntraoperative Techniques: Methods to manage a deep anterior chamber, floppy iris, and latent zonular weakness, including the use of capsular tension rings and low-flow phacoemulsification settings.\n\nPostoperative Considerations: Vigilance for and management of complications like hypotony and cystoid macular edema.",
        "Results": "Application of this protocol in a clinical series of vitrectomized eyes undergoing cataract extraction resulted in predictable refractive outcomes, Intraoperative challenges,including posterior capsule rupture and zonular dehiscence , occurred but were successfully managed intraoperatively without compromising IOL centration or stability.The rate of postoperative CME was 5 %, and refractory hypotony was avoided in all cases.",
        "Conclusions": "Cataract surgery in vitrectomized eyes demands tailored strategies for IOL calculation, zonular support, and pressure management. Our protocol minimizes risk, optimizes outcomes, and enhances co-management between retinal and anterior segment surgeons."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "POCAT188",
      "abstract_number": "POCAT188",
      "title": "From Vault To Visual Recovery : Predictive Role Of Icl Vault Height In Cataract Timings And Outcomes After Cataract Extraction",
      "authors": "A/Prof. Neha Malik",
      "presenter": "A/Prof. Neha Malik",
      "normalized_authors": [
        "Neha Malik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Neha Malik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual and refractive outcomes following cataract extraction (cE) in eyes with prior implantable collaner lens (ICL ) implantation and to determine whether vault height serves as a predective factor for the timing of cataract development requiring surgical intervention.",
        "Setting": "It was a retrospective cohort study in tertiary centre in medical College .patients with prior implantable collaner lens implantation who subsequently developed cataract were included.vault height was measured by AS OCT .",
        "Methods": "This retrospective case series included eyes with previous phakic ICL implantation that subsequently underwent cataract extraction with IOL.preooerative evaluations were perform at 1 week,1 month,6 months including uncorrected visuls acuity UDVA ,corrected visual acuity CVA,manifest refraction.\n\nVault height measurements obtained early after ICL implantation and immediately prior to cataract extraction were analysed as continuous variables linear regression analysis were performed to assess the relationship between vault height and time interval to cataract extraction.refractive predictability and astigmatic outcomes were evaluated using standard vector and spherical equivalent analyses.",
        "Results": "At 6 months following cataract extraction,48 eyes were available for analysis .visual rehabilitation was favourable with mean efficacy and safety indices of 1.20+-1.11 and 1.50+-1.06 respectively demonstrating preservation and enhancement of visual function\n\nSeventy percent of eyes achieved postoperative UDVA within one snellenmlinecof preoperative CDVA indicating high functional visual recovery.refractive outcomes demonstrated good predictability with 43% and 69% of eyes with +-0.25 D and +-0.5D of the intended spherical equivalent.\n\nAstigmatic control improved postoperatively with the proportion of eyes demonstrating refractive cylinder <0.25 D and <0.50 D increasing ton40% and 60% respectively at 6months.",
        "Conclusions": "Cataract extraction following ICL implantation provides excellent visual rehabilitation with high refractive precision and favourable safety outcomes.vaukt height demonstrated a significant predictive relationship with the timings of cataract surgery supporting its role as a clinically meaningful biometric paramater in long term surveillance of ICL patients .\n\nThese findings reinforce that prior ICL implantation does not compromise visual recovery after cataract surgery and highlight vault height as a potential predictive biomarker for cataract progression offering clinicians a measurable parameter a measurable parameter to guide monitoring,councelling and surgical planning in this growing patients pololation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract extraction following ICL implantation provides excellent visual rehabilitation with high refractive precision and favourable safety outcomes.vaukt height demonstrated a significant predictive relationship with the timings of cataract surgery supporting its role as a clinically meaningful biometric paramater in long term surveillance of ICL patients . These findings reinforce that prior ICL implantation…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 229,
      "source_fields": {
        "Abstract Final Identifier": "POCAT188",
        "Title": "From Vault To Visual Recovery : Predictive Role Of Icl Vault Height In Cataract Timings And Outcomes After Cataract Extraction",
        "Presenting Author(s)": "A/Prof. Neha Malik",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Neha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Malik",
        "Country Name": "India",
        "Purpose": "To evaluate visual and refractive outcomes following cataract extraction (cE) in eyes with prior implantable collaner lens (ICL ) implantation and to determine whether vault height serves as a predective factor for the timing of cataract development requiring surgical intervention.",
        "Setting": "It was a retrospective cohort study in tertiary centre in medical College .patients with prior implantable collaner lens implantation who subsequently developed cataract were included.vault height was measured by AS OCT .",
        "Methods": "This retrospective case series included eyes with previous phakic ICL implantation that subsequently underwent cataract extraction with IOL.preooerative evaluations were perform at 1 week,1 month,6 months including uncorrected visuls acuity UDVA ,corrected visual acuity CVA,manifest refraction.\n\nVault height measurements obtained early after ICL implantation and immediately prior to cataract extraction were analysed as continuous variables linear regression analysis were performed to assess the relationship between vault height and time interval to cataract extraction.refractive predictability and astigmatic outcomes were evaluated using standard vector and spherical equivalent analyses.",
        "Results": "At 6 months following cataract extraction,48 eyes were available for analysis .visual rehabilitation was favourable with mean efficacy and safety indices of 1.20+-1.11 and 1.50+-1.06 respectively demonstrating preservation and enhancement of visual function\n\nSeventy percent of eyes achieved postoperative UDVA within one snellenmlinecof preoperative CDVA indicating high functional visual recovery.refractive outcomes demonstrated good predictability with 43% and 69% of eyes with +-0.25 D and +-0.5D of the intended spherical equivalent.\n\nAstigmatic control improved postoperatively with the proportion of eyes demonstrating refractive cylinder <0.25 D and <0.50 D increasing ton40% and 60% respectively at 6months.",
        "Conclusions": "Cataract extraction following ICL implantation provides excellent visual rehabilitation with high refractive precision and favourable safety outcomes.vaukt height demonstrated a significant predictive relationship with the timings of cataract surgery supporting its role as a clinically meaningful biometric paramater in long term surveillance of ICL patients .\n\nThese findings reinforce that prior ICL implantation does not compromise visual recovery after cataract surgery and highlight vault height as a potential predictive biomarker for cataract progression offering clinicians a measurable parameter a measurable parameter to guide monitoring,councelling and surgical planning in this growing patients pololation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "POCAT189",
      "abstract_number": "POCAT189",
      "title": "Comparison Of Novel Contact Lens-Shell Vs Soft-Shell Technique For Corneal Endothelial Protection In High-Risk Cataract Phacoemulsification.",
      "authors": "Dr DINESH N NATHALAL MARU",
      "presenter": "Dr DINESH N NATHALAL MARU",
      "normalized_authors": [
        "DINESH N NATHALAL MARU"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dineshkumar NATHALAL Maru",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the efficacy of the contact lens-shell technique(CST) vs the soft-shell technique(SST) in minimizing endothelial cell loss(ECL) during phacoemulsification in high-risk cataracts.",
        "Setting": "The Prospective randomised comparative study was conducted by a Single Surgeon at our hospital\nin India, between Jan and July 25.",
        "Methods": "A prospective randomized study was conducted on 40 eyes with high-risk cataracts (small pupil, mature and hard cataract) that underwent phacoemulsification using either CST or soft shell technique (SST) with 20 eyes in each group. The CST used soft-bandage contact lens (Etaficon A hydrogel) as a mechanical protector, while the SST used viscoelastic agents, HPMC 2.4% and sodium hyaluronate 1.4% during surgery to protect corneal endothelium. Outcomes were assessed at 1, 7, and 30 post-op days (PODs), measuring visual acuity (UCVA & BCVA), intraocular pressure (IOP), and central corneal thickness (CCT), whereas corneal endothelial cell count (ECC) was measured at 7 and 30 PODs.",
        "Results": "No significant differences were observed in UCVA, BCVA, or CCT (P>0.05). At 1day post-op, IOP was significantly lower in CST (13.2±2.92 mmHg) versus SST (16.96±6.32 mmHg, P=0.02). By 30 days, CST demonstrated significantly reduced ECL (3.02%±5.31%) compared to SST (8.81%±12.78%, P=0.03).",
        "Conclusions": "The Contact Lens Shell Technique reduced the endothelial cell loss and protected the corneal endothelium during phacoemulsification in high-risk cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Contact Lens Shell Technique reduced the endothelial cell loss and protected the corneal endothelium during phacoemulsification in high-risk cases.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 230,
      "source_fields": {
        "Abstract Final Identifier": "POCAT189",
        "Title": "Comparison Of Novel Contact Lens-Shell Vs Soft-Shell Technique For Corneal Endothelial Protection In High-Risk Cataract Phacoemulsification.",
        "Presenting Author(s)": "Dr DINESH N NATHALAL MARU",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Dineshkumar",
        "Submitter Middle Name": "NATHALAL",
        "Submitter Last Name": "Maru",
        "Country Name": "India",
        "Purpose": "To compare the efficacy of the contact lens-shell technique(CST) vs the soft-shell technique(SST) in minimizing endothelial cell loss(ECL) during phacoemulsification in high-risk cataracts.",
        "Setting": "The Prospective randomised comparative study was conducted by a Single Surgeon at our hospital\nin India, between Jan and July 25.",
        "Methods": "A prospective randomized study was conducted on 40 eyes with high-risk cataracts (small pupil, mature and hard cataract) that underwent phacoemulsification using either CST or soft shell technique (SST) with 20 eyes in each group. The CST used soft-bandage contact lens (Etaficon A hydrogel) as a mechanical protector, while the SST used viscoelastic agents, HPMC 2.4% and sodium hyaluronate 1.4% during surgery to protect corneal endothelium. Outcomes were assessed at 1, 7, and 30 post-op days (PODs), measuring visual acuity (UCVA & BCVA), intraocular pressure (IOP), and central corneal thickness (CCT), whereas corneal endothelial cell count (ECC) was measured at 7 and 30 PODs.",
        "Results": "No significant differences were observed in UCVA, BCVA, or CCT (P>0.05). At 1day post-op, IOP was significantly lower in CST (13.2±2.92 mmHg) versus SST (16.96±6.32 mmHg, P=0.02). By 30 days, CST demonstrated significantly reduced ECL (3.02%±5.31%) compared to SST (8.81%±12.78%, P=0.03).",
        "Conclusions": "The Contact Lens Shell Technique reduced the endothelial cell loss and protected the corneal endothelium during phacoemulsification in high-risk cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POCAT190",
      "abstract_number": "POCAT190",
      "title": "Audit Of The First 100 Independent Phacoemulsification Surgeries In Burkina Faso In A Resource-Constrained Setting",
      "authors": "Dr Ahmad Nasir SAUD",
      "presenter": "Dr Ahmad Nasir SAUD",
      "normalized_authors": [
        "Ahmad Nasir SAUD"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saud Nasir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Burkina Faso",
      "sections": {
        "Purpose": "To audit complication rates and visual outcomes from the first 100 independent phacoemulsification procedures performed by a newly trained surgeon in Burkina Faso and compare results with published early-learning benchmarks.",
        "Setting": "Masroor Eye Institute, a charitable tertiary eye centre, Burkina Faso, West Africa.",
        "Methods": "Retrospective audit of the first 100 consecutive independent phacoemulsification surgeries performed without on-site senior supervision. Prior to independent practice, the surgeon completed structured, stepwise cataract training incorporating modular progression, objective competency assessment, and human factors principles.\n\nData collected included demographics, preoperative visual acuity (VA), cataract density (LOCS III), intraoperative and postoperative complications, and best-corrected visual acuity (BCVA) at 1 month.\n\nPreoperative VA ranged from Hand Movements to 6/18. Seventy-two percent had dense nuclei (LOCS III ≥3). Standard phacoemulsification with foldable IOL implantation was performed.",
        "Results": "Mean age was 63.9 ± 8.7 years. Sex ratio was 1.1.\n\nOverall intraoperative complication rate was 16%. Posterior capsule rupture (PCR) occurred in 5%, including 2 nucleus drops. Seven cases (7%) were converted to manual small incision cataract surgery (MSICS). Anterior vitrectomy was performed in 5%, with sulcus IOL implantation where required. Descemet membrane detachment occurred in 2% and was successfully managed.\n\nEarly postoperative complications included corneal oedema (9%), raised IOP (3%), and significant inflammation (3%). No endophthalmitis occurred.\n\nAt 1 month, 85% achieved BCVA ≥6/12. The PCR rate aligns with published early-learning benchmarks (4–10%).",
        "Conclusions": "Independent phacoemulsification in a resource-limited setting is feasible with complication rates comparable to published early-career data despite advanced cataract density. Structured stepwise training using a modular competency-based model appears to support safe transition to independent practice and may be particularly valuable in low-resource surgical environments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Independent phacoemulsification in a resource-limited setting is feasible with complication rates comparable to published early-career data despite advanced cataract density. Structured stepwise training using a modular competency-based model appears to support safe transition to independent practice and may be particularly valuable in low-resource surgical environments.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 231,
      "source_fields": {
        "Abstract Final Identifier": "POCAT190",
        "Title": "Audit Of The First 100 Independent Phacoemulsification Surgeries In Burkina Faso In A Resource-Constrained Setting",
        "Presenting Author(s)": "Dr Ahmad Nasir SAUD",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Saud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasir",
        "Country Name": "Burkina Faso",
        "Purpose": "To audit complication rates and visual outcomes from the first 100 independent phacoemulsification procedures performed by a newly trained surgeon in Burkina Faso and compare results with published early-learning benchmarks.",
        "Setting": "Masroor Eye Institute, a charitable tertiary eye centre, Burkina Faso, West Africa.",
        "Methods": "Retrospective audit of the first 100 consecutive independent phacoemulsification surgeries performed without on-site senior supervision. Prior to independent practice, the surgeon completed structured, stepwise cataract training incorporating modular progression, objective competency assessment, and human factors principles.\n\nData collected included demographics, preoperative visual acuity (VA), cataract density (LOCS III), intraoperative and postoperative complications, and best-corrected visual acuity (BCVA) at 1 month.\n\nPreoperative VA ranged from Hand Movements to 6/18. Seventy-two percent had dense nuclei (LOCS III ≥3). Standard phacoemulsification with foldable IOL implantation was performed.",
        "Results": "Mean age was 63.9 ± 8.7 years. Sex ratio was 1.1.\n\nOverall intraoperative complication rate was 16%. Posterior capsule rupture (PCR) occurred in 5%, including 2 nucleus drops. Seven cases (7%) were converted to manual small incision cataract surgery (MSICS). Anterior vitrectomy was performed in 5%, with sulcus IOL implantation where required. Descemet membrane detachment occurred in 2% and was successfully managed.\n\nEarly postoperative complications included corneal oedema (9%), raised IOP (3%), and significant inflammation (3%). No endophthalmitis occurred.\n\nAt 1 month, 85% achieved BCVA ≥6/12. The PCR rate aligns with published early-learning benchmarks (4–10%).",
        "Conclusions": "Independent phacoemulsification in a resource-limited setting is feasible with complication rates comparable to published early-career data despite advanced cataract density. Structured stepwise training using a modular competency-based model appears to support safe transition to independent practice and may be particularly valuable in low-resource surgical environments."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POCAT191",
      "abstract_number": "POCAT191",
      "title": "Retrospective Analysis Of Post-Operative Endophthalmitis Following Cataract Surgery: A 6-Year Review Of ~30,000 Procedures Emphasizing Mrsa Absence And Prophylactic Strategies In A Tertiary Center",
      "authors": "Mr Nejc Noc",
      "presenter": "Mr Nejc Noc",
      "normalized_authors": [
        "Nejc Noc"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nejc Noc",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the incidence, microbiological profile, and outcomes of endophthalmitis following cataract surgery at a tertiary ophthalmology department over a 6-year period (2019-2024), based on a large database of approximately 30,000 procedures, with a specific focus on the absence of methicillin-resistant Staphylococcus aureus (MRSA)-related infections and the effectiveness of preventive screening protocols.",
        "Setting": "Department of Ophthalmology and Optometry, Klinikum Klagenfurt, tertiary referral center, Austria; high-volume cataract surgery practice (~30,000 in-house procedures, 2019-2024).",
        "Methods": "Retrospective review of hospital archives, operation records, and microbiology data from Klinikum Klagenfurt, Austria. Total cataract surgeries performed in-house were approximately 30,000. We identified 29 eyes treated with intravitreal antibiotics (vancomycin 0.1 mL and ceftazidime 0.1 mL, with or without corticosteroids) for suspected or confirmed post-cataract endophthalmitis; cases included both in-house (\"in domo\", n=15) and referred (\"ex domo\", n=14) procedures. Microbiological findings, visual acuity outcomes, and demographics were analyzed. Additionally, 15 patients with MRSA-positive swabs (27 total swabs) were reviewed for infection outcomes following precautionary measures, primarily before cataract procedures.",
        "Results": "Among ~30,000 cataract surgeries, 29 endophthalmitis cases occurred, with no MRSA detected; common isolates included Staphylococcus epidermidis (n=3) and Cutibacterium acnes (n=2), with 65.5% showing no growth. Median admission visual acuity (VA) was 0.02 (hand motions), improving to 0.25 at discharge. No cases of MRSA endophthalmitis occurred across the entire cohort, including MRSA-colonized patients who underwent procedures after targeted preventive measures (last-case scheduling and preoperative rifampicin 600 mg).",
        "Conclusions": "This study demonstrates a low incidence of culture-positive endophthalmitis post-cataract surgery in a high-volume tertiary center, with zero MRSA cases despite screening positives and ~30,000 procedures performed. Preventive strategies for MRSA carriers appear highly effective, offering a scalable model for global institutions to minimize infection risks in cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates a low incidence of culture-positive endophthalmitis post-cataract surgery in a high-volume tertiary center, with zero MRSA cases despite screening positives and ~30,000 procedures performed. Preventive strategies for MRSA carriers appear highly effective, offering a scalable model for global institutions to minimize infection risks in cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 232,
      "source_fields": {
        "Abstract Final Identifier": "POCAT191",
        "Title": "Retrospective Analysis Of Post-Operative Endophthalmitis Following Cataract Surgery: A 6-Year Review Of ~30,000 Procedures Emphasizing Mrsa Absence And Prophylactic Strategies In A Tertiary Center",
        "Presenting Author(s)": "Mr Nejc Noc",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Nejc",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Noc",
        "Country Name": "Austria",
        "Purpose": "To evaluate the incidence, microbiological profile, and outcomes of endophthalmitis following cataract surgery at a tertiary ophthalmology department over a 6-year period (2019-2024), based on a large database of approximately 30,000 procedures, with a specific focus on the absence of methicillin-resistant Staphylococcus aureus (MRSA)-related infections and the effectiveness of preventive screening protocols.",
        "Setting": "Department of Ophthalmology and Optometry, Klinikum Klagenfurt, tertiary referral center, Austria; high-volume cataract surgery practice (~30,000 in-house procedures, 2019-2024).",
        "Methods": "Retrospective review of hospital archives, operation records, and microbiology data from Klinikum Klagenfurt, Austria. Total cataract surgeries performed in-house were approximately 30,000. We identified 29 eyes treated with intravitreal antibiotics (vancomycin 0.1 mL and ceftazidime 0.1 mL, with or without corticosteroids) for suspected or confirmed post-cataract endophthalmitis; cases included both in-house (\"in domo\", n=15) and referred (\"ex domo\", n=14) procedures. Microbiological findings, visual acuity outcomes, and demographics were analyzed. Additionally, 15 patients with MRSA-positive swabs (27 total swabs) were reviewed for infection outcomes following precautionary measures, primarily before cataract procedures.",
        "Results": "Among ~30,000 cataract surgeries, 29 endophthalmitis cases occurred, with no MRSA detected; common isolates included Staphylococcus epidermidis (n=3) and Cutibacterium acnes (n=2), with 65.5% showing no growth. Median admission visual acuity (VA) was 0.02 (hand motions), improving to 0.25 at discharge. No cases of MRSA endophthalmitis occurred across the entire cohort, including MRSA-colonized patients who underwent procedures after targeted preventive measures (last-case scheduling and preoperative rifampicin 600 mg).",
        "Conclusions": "This study demonstrates a low incidence of culture-positive endophthalmitis post-cataract surgery in a high-volume tertiary center, with zero MRSA cases despite screening positives and ~30,000 procedures performed. Preventive strategies for MRSA carriers appear highly effective, offering a scalable model for global institutions to minimize infection risks in cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "POCAT192",
      "abstract_number": "POCAT192",
      "title": "Comparative Evaluation Of Corneal Aberrations And Anterior Segment Parameters In Intraocular Lens Surgery Using A Capsular Tension Ring Versus The Yamane Technique",
      "authors": "Dr Mehmet Can Özen",
      "presenter": "Dr Mehmet Can Özen",
      "normalized_authors": [
        "Mehmet Can Özen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Can Özen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aimed to comparatively evaluate the effects of two different intraocular lens implantation techniques—Yamane technique (YT) and capsular tension ring–assisted intraocular lens implantation (CTRIOL)—performed during or following complicated cataract surgery, on anterior segment parameters and corneal aberrations.",
        "Setting": "This single-center, retrospective-controlled clinical trial was conducted at the Department of Ophthalmology, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital.",
        "Methods": "The patients undergoing YT, CTRIOL, monofocal intracapsular IOL (ICIOL) implantation were included in the study. The patients' preoperative best-corrected visual acuity (BCVA), spherical and cylindrical refraction, corneal cylindrical refraction (Astigmatism), anterior chamber depth (ACD), axial length, intraocular pressure (IOP), endothelial cell density (CD), and central pachymetry (CCT) values were recorded. The patients' postoperative 3-month BCVA, spherical and cylindrical refraction, corneal and lenticular astigmatism, IOP, CCT, CD, corneal high-order (HOA) and spherical aberration (SA), scotopic and photopic pupillometry values were recorded. These parameters were compared between the groups and the pre-postoperative periods.",
        "Results": "A total of 56 patients were included (20 ICIOL, 17 YT, and 19 CTRIOL), with a mean age of 67.0 ± 10.9 years. Postoperative BCVA was highest in the ICIOL and lowest in the YT group (p=0.022). Preoperative ACD was greatest in YT (p=0.014), while postoperative CD was lowest in YT (p=0.014). Postoperative IOP and CCT were highest in YT, followed by CTRIOL. Corneal astigmatism was significantly higher in YT (p=0.031), whereas lenticular astigmatism showed no intergroup differences. HOA levels were lowest in ICIOL and highest in YT (p=0.001). SA was lowest in ICIOL and highest in CTRIOL (p=0.001). Photopic pupil diameter was highest in YT and lowest in ICIOL, while scotopic pupil diameter was highest in ICIOL and lowest in YT (p=0.001).",
        "Conclusions": "In conclusion, the findings of this study suggest that the YT may have a less favorable effect on certain anterior segment parameters and postoperative BCVA when compared with CTRIOL implantation. Although both techniques provided satisfactory anatomical and functional outcomes, the YT group demonstrated comparatively greater alterations in anterior segment configuration. The two surgical approaches demonstrate differential effects on optical quality; corneal HOAs were more pronounced following the YT, whereas corneal SA was higher in the CTRIOL group. Furthermore, the observed alterations in pupillary dynamics indicate that the YT may exert a greater adverse effect on pupillary muscle function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, the findings of this study suggest that the YT may have a less favorable effect on certain anterior segment parameters and postoperative BCVA when compared with CTRIOL implantation. Although both techniques provided satisfactory anatomical and functional outcomes, the YT group demonstrated comparatively greater alterations in anterior segment configuration. The two surgical approaches demonstrate…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 233,
      "source_fields": {
        "Abstract Final Identifier": "POCAT192",
        "Title": "Comparative Evaluation Of Corneal Aberrations And Anterior Segment Parameters In Intraocular Lens Surgery Using A Capsular Tension Ring Versus The Yamane Technique",
        "Presenting Author(s)": "Dr Mehmet Can Özen",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Mehmet Can",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Özen",
        "Country Name": "Türkiye",
        "Purpose": "This study aimed to comparatively evaluate the effects of two different intraocular lens implantation techniques—Yamane technique (YT) and capsular tension ring–assisted intraocular lens implantation (CTRIOL)—performed during or following complicated cataract surgery, on anterior segment parameters and corneal aberrations.",
        "Setting": "This single-center, retrospective-controlled clinical trial was conducted at the Department of Ophthalmology, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital.",
        "Methods": "The patients undergoing YT, CTRIOL, monofocal intracapsular IOL (ICIOL) implantation were included in the study. The patients' preoperative best-corrected visual acuity (BCVA), spherical and cylindrical refraction, corneal cylindrical refraction (Astigmatism), anterior chamber depth (ACD), axial length, intraocular pressure (IOP), endothelial cell density (CD), and central pachymetry (CCT) values were recorded. The patients' postoperative 3-month BCVA, spherical and cylindrical refraction, corneal and lenticular astigmatism, IOP, CCT, CD, corneal high-order (HOA) and spherical aberration (SA), scotopic and photopic pupillometry values were recorded. These parameters were compared between the groups and the pre-postoperative periods.",
        "Results": "A total of 56 patients were included (20 ICIOL, 17 YT, and 19 CTRIOL), with a mean age of 67.0 ± 10.9 years. Postoperative BCVA was highest in the ICIOL and lowest in the YT group (p=0.022). Preoperative ACD was greatest in YT (p=0.014), while postoperative CD was lowest in YT (p=0.014). Postoperative IOP and CCT were highest in YT, followed by CTRIOL. Corneal astigmatism was significantly higher in YT (p=0.031), whereas lenticular astigmatism showed no intergroup differences. HOA levels were lowest in ICIOL and highest in YT (p=0.001). SA was lowest in ICIOL and highest in CTRIOL (p=0.001). Photopic pupil diameter was highest in YT and lowest in ICIOL, while scotopic pupil diameter was highest in ICIOL and lowest in YT (p=0.001).",
        "Conclusions": "In conclusion, the findings of this study suggest that the YT may have a less favorable effect on certain anterior segment parameters and postoperative BCVA when compared with CTRIOL implantation. Although both techniques provided satisfactory anatomical and functional outcomes, the YT group demonstrated comparatively greater alterations in anterior segment configuration. The two surgical approaches demonstrate differential effects on optical quality; corneal HOAs were more pronounced following the YT, whereas corneal SA was higher in the CTRIOL group. Furthermore, the observed alterations in pupillary dynamics indicate that the YT may exert a greater adverse effect on pupillary muscle function."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 391
    },
    {
      "uid": "POCAT193",
      "abstract_number": "POCAT193",
      "title": "Visual Outcome And Complications In White Cataract During Surgery",
      "authors": "Dr Sucheta Parija Dhall",
      "presenter": "Dr Sucheta Parija Dhall",
      "normalized_authors": [
        "Sucheta Parija Dhall"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sucheta Parija Dhall",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To identify risk factors and perioperative complications and assess postoperative visual outcome in patients of white mature cataracts undergoing phacoemulsification or small incision cataract surgery.",
        "Setting": "Tertiary Care Eye Hospital and Medical College, Odisha, India",
        "Methods": "A cross-sectional study was conducted on 120 patients of white mature cataract undergoing phacoemulsification and small incision cataract surgery (SICS) in a tertiary care institution in the year June 2024-July 2025. A comprehensive ocular examination was done, biometry, type of surgery was documented. Intraoperative and postoperative complications (on days 1, 7, and 30) and best-corrected visual acuity on postoperative day 30 were noted. Visual acuity was finally assessed at 3 months. All the data underwent statistical analysis.",
        "Results": "Mean age of patients was 60.78 ± 9.001 years. 58.3% of males and 41.7% of females. 8 (13.3%) cases complications occurred during phacoemulsification and 12 (18.3%) in SICS. Intraoperative complications were capsulorhexis-related in 5 (8.3%) vs 10 (16.7%), posterior capsular rent in 2 (3.3%) vs 5 (8.3%) , and 1 (1.6%) vs 4 (6.7%) had zonular dialysis. No difference in mean ACD and LT in cases who developed complications and in uneventful surgery ( P > 0.05). Postoperative complications were corneal edema (31.3%), anterior chamber flare (15.6%), and IOP rise (29.1%) which resolved with routine topical medications. 88.4% of cases regained vision between 6/6 and 6/9 postoperatively at one and three month follow-up ( P < 0.001).",
        "Conclusions": "Phacoemulsification is safe in white mature cataract that results in significant visual improvement. Common intraoperative complications are capsule related, and postoperative complications are corneal edema and anterior chamber reaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification is safe in white mature cataract that results in significant visual improvement. Common intraoperative complications are capsule related, and postoperative complications are corneal edema and anterior chamber reaction.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 234,
      "source_fields": {
        "Abstract Final Identifier": "POCAT193",
        "Title": "Visual Outcome And Complications In White Cataract During Surgery",
        "Presenting Author(s)": "Dr Sucheta Parija Dhall",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sucheta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parija Dhall",
        "Country Name": "India",
        "Purpose": "To identify risk factors and perioperative complications and assess postoperative visual outcome in patients of white mature cataracts undergoing phacoemulsification or small incision cataract surgery.",
        "Setting": "Tertiary Care Eye Hospital and Medical College, Odisha, India",
        "Methods": "A cross-sectional study was conducted on 120 patients of white mature cataract undergoing phacoemulsification and small incision cataract surgery (SICS) in a tertiary care institution in the year June 2024-July 2025. A comprehensive ocular examination was done, biometry, type of surgery was documented. Intraoperative and postoperative complications (on days 1, 7, and 30) and best-corrected visual acuity on postoperative day 30 were noted. Visual acuity was finally assessed at 3 months. All the data underwent statistical analysis.",
        "Results": "Mean age of patients was 60.78 ± 9.001 years. 58.3% of males and 41.7% of females. 8 (13.3%) cases complications occurred during phacoemulsification and 12 (18.3%) in SICS. Intraoperative complications were capsulorhexis-related in 5 (8.3%) vs 10 (16.7%), posterior capsular rent in 2 (3.3%) vs 5 (8.3%) , and 1 (1.6%) vs 4 (6.7%) had zonular dialysis. No difference in mean ACD and LT in cases who developed complications and in uneventful surgery ( P > 0.05). Postoperative complications were corneal edema (31.3%), anterior chamber flare (15.6%), and IOP rise (29.1%) which resolved with routine topical medications. 88.4% of cases regained vision between 6/6 and 6/9 postoperatively at one and three month follow-up ( P < 0.001).",
        "Conclusions": "Phacoemulsification is safe in white mature cataract that results in significant visual improvement. Common intraoperative complications are capsule related, and postoperative complications are corneal edema and anterior chamber reaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POCAT194",
      "abstract_number": "POCAT194",
      "title": "Hydrogen-Rich Saline Treatment Modulates Proteomic Profiles To Mitigate Cataract Development In A N-Methyl-N-Nitrosourea-Induced Rat Model",
      "authors": "Mrs Yingxin Qu",
      "presenter": "Mrs Yingxin Qu",
      "normalized_authors": [
        "Yingxin Qu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yingxin Qu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Purpose: Cataracts are associated with oxidative stress-induced damage to lens proteins. This study aims to identify differentially expressed proteins (DEPs) associated with the protective effects of hydrogen-rich saline (HRS) against N-methyl-N-nitrosourea (MNU)-induced cataracts, utilizing the antioxidant properties of hydrogen.",
        "Setting": "laboratory setting\n\nCataract, N-Methyl-N-nitrosourea, Hydrogen, Oxidative Stress, Tandem Mass Spectrometry, Proteomics",
        "Methods": "Methods: Sprague-Dawley rats were assigned to control, MNU-only, MNU+NS, MNU+pirenoxine, and MNU+HRS groups. Cataracts were induced with MNU (postnatal day 15), and treatments (postnatal days 8–21) included intraperitoneal injections and eye drops. Cataract severity was assessed using slit-lamp examinations, Pentacam analysis, and spectrophotometry. Proteomic analysis of lens tissues from the MNU+HRS and MNU+NS groups employed TMT labeling and mass spectrometry. DEPs were identified, grouped based on fold changes, and analyzed for GO, KEGG, and domain enrichment. Parallel reaction monitoring (PRM) validated selected DEPs.",
        "Results": "Results: HRS reduced MNU-induced cataract incidence to 50% versus 100% in MNU-only and NS groups and preserved lens clarity comparable to normal controls. Proteomic analysis identified 90 upregulated and 303 downregulated proteins in the HRS-treated group versus the NS-treated group. DEPs were enriched in GO terms related to ion transport, homeostasis, and ATP hydrolysis, as well as KEGG pathways like oxidative phosphorylation and arginine biosynthesis. Domain enrichment showed links to ATPase activity and energy metabolism. DEPs were grouped into Q1–Q4, with Q1 showing enrichment in oxidative phosphorylation and metabolic pathways. PRM confirmed the downregulation of 14 stress-response and metabolic proteins in the HRS-treated group.",
        "Conclusions": "Conclusion: HRS mitigates MNU-induced cataracts possibly by reducing oxidative stress and downregulating stress-response and metabolic proteins."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion: HRS mitigates MNU-induced cataracts possibly by reducing oxidative stress and downregulating stress-response and metabolic proteins.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 235,
      "source_fields": {
        "Abstract Final Identifier": "POCAT194",
        "Title": "Hydrogen-Rich Saline Treatment Modulates Proteomic Profiles To Mitigate Cataract Development In A N-Methyl-N-Nitrosourea-Induced Rat Model",
        "Presenting Author(s)": "Mrs Yingxin Qu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yingxin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Qu",
        "Country Name": "China",
        "Purpose": "Purpose: Cataracts are associated with oxidative stress-induced damage to lens proteins. This study aims to identify differentially expressed proteins (DEPs) associated with the protective effects of hydrogen-rich saline (HRS) against N-methyl-N-nitrosourea (MNU)-induced cataracts, utilizing the antioxidant properties of hydrogen.",
        "Setting": "laboratory setting\n\nCataract, N-Methyl-N-nitrosourea, Hydrogen, Oxidative Stress, Tandem Mass Spectrometry, Proteomics",
        "Methods": "Methods: Sprague-Dawley rats were assigned to control, MNU-only, MNU+NS, MNU+pirenoxine, and MNU+HRS groups. Cataracts were induced with MNU (postnatal day 15), and treatments (postnatal days 8–21) included intraperitoneal injections and eye drops. Cataract severity was assessed using slit-lamp examinations, Pentacam analysis, and spectrophotometry. Proteomic analysis of lens tissues from the MNU+HRS and MNU+NS groups employed TMT labeling and mass spectrometry. DEPs were identified, grouped based on fold changes, and analyzed for GO, KEGG, and domain enrichment. Parallel reaction monitoring (PRM) validated selected DEPs.",
        "Results": "Results: HRS reduced MNU-induced cataract incidence to 50% versus 100% in MNU-only and NS groups and preserved lens clarity comparable to normal controls. Proteomic analysis identified 90 upregulated and 303 downregulated proteins in the HRS-treated group versus the NS-treated group. DEPs were enriched in GO terms related to ion transport, homeostasis, and ATP hydrolysis, as well as KEGG pathways like oxidative phosphorylation and arginine biosynthesis. Domain enrichment showed links to ATPase activity and energy metabolism. DEPs were grouped into Q1–Q4, with Q1 showing enrichment in oxidative phosphorylation and metabolic pathways. PRM confirmed the downregulation of 14 stress-response and metabolic proteins in the HRS-treated group.",
        "Conclusions": "Conclusion: HRS mitigates MNU-induced cataracts possibly by reducing oxidative stress and downregulating stress-response and metabolic proteins."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POCAT195",
      "abstract_number": "POCAT195",
      "title": "Late-Onset Capsular Bag Distension Syndrome: Complete Visual Recovery Following Pars Plana Posterior Capsulotomy",
      "authors": "Dr Madalina Radu",
      "presenter": "Dr Madalina Radu",
      "normalized_authors": [
        "Madalina Radu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Madalina Radu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "To report a case of late-onset capsular bag distension syndrome (CBDS) presenting with severe visual loss six years after uneventful cataract surgery and to demonstrate the efficacy of pars plana posterior capsulotomy in achieving complete visual recovery.",
        "Setting": "Tertiary referral ophthalmology center with vitreoretinal surgical facilities.",
        "Methods": "A 72-year-old patient presented with progressive painless visual decline in the right eye over six months, reaching hand motion vision. The patient had undergone uncomplicated phacoemulsification with posterior chamber IOL implantation six years earlier, with postoperative visual acuity of 20/20. Slit-lamp examination showed a well-centered IOL and dense retrolental opacity obscuring the fundus view. Intraocular pressure was 17 mmHg. Anterior segment OCT revealed a dome-shaped fluid collection within the capsular bag, consistent with CBDS. B-scan excluded posterior pathology. A pars plana posterior capsulotomy was performed with evacuation of intracapsular contents and minimal adjacent vitreous removal.",
        "Results": "At 7 days postoperatively, uncorrected visual acuity improved from hand motion to 20/20. The anterior segment was quiet with a well-centered IOL and clear visual axis. Fundus examination was normal, and no intraoperative or postoperative complications occurred. The patient reported complete resolution of visual symptoms.",
        "Conclusions": "Late-onset CBDS may cause significant visual deterioration years after uncomplicated cataract surgery and can mimic posterior capsule opacification. Anterior segment OCT enables accurate, non-invasive differentiation by demonstrating characteristic intracapsular fluid accumulation. In cases with dense material precluding safe Nd:YAG capsulotomy, pars plana posterior capsulotomy using the vitreous cutter with limited adjacent vitreous removal offers a safe and highly effective treatment approach, enabling controlled material removal and achieving complete visual rehabilitation. Awareness of this rare condition is essential in patients with unexplained late visual decline following cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Late-onset CBDS may cause significant visual deterioration years after uncomplicated cataract surgery and can mimic posterior capsule opacification. Anterior segment OCT enables accurate, non-invasive differentiation by demonstrating characteristic intracapsular fluid accumulation. In cases with dense material precluding safe Nd:YAG capsulotomy, pars plana posterior capsulotomy using the vitreous cutter with…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 236,
      "source_fields": {
        "Abstract Final Identifier": "POCAT195",
        "Title": "Late-Onset Capsular Bag Distension Syndrome: Complete Visual Recovery Following Pars Plana Posterior Capsulotomy",
        "Presenting Author(s)": "Dr Madalina Radu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Madalina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Radu",
        "Country Name": "Romania",
        "Purpose": "To report a case of late-onset capsular bag distension syndrome (CBDS) presenting with severe visual loss six years after uneventful cataract surgery and to demonstrate the efficacy of pars plana posterior capsulotomy in achieving complete visual recovery.",
        "Setting": "Tertiary referral ophthalmology center with vitreoretinal surgical facilities.",
        "Methods": "A 72-year-old patient presented with progressive painless visual decline in the right eye over six months, reaching hand motion vision. The patient had undergone uncomplicated phacoemulsification with posterior chamber IOL implantation six years earlier, with postoperative visual acuity of 20/20. Slit-lamp examination showed a well-centered IOL and dense retrolental opacity obscuring the fundus view. Intraocular pressure was 17 mmHg. Anterior segment OCT revealed a dome-shaped fluid collection within the capsular bag, consistent with CBDS. B-scan excluded posterior pathology. A pars plana posterior capsulotomy was performed with evacuation of intracapsular contents and minimal adjacent vitreous removal.",
        "Results": "At 7 days postoperatively, uncorrected visual acuity improved from hand motion to 20/20. The anterior segment was quiet with a well-centered IOL and clear visual axis. Fundus examination was normal, and no intraoperative or postoperative complications occurred. The patient reported complete resolution of visual symptoms.",
        "Conclusions": "Late-onset CBDS may cause significant visual deterioration years after uncomplicated cataract surgery and can mimic posterior capsule opacification. Anterior segment OCT enables accurate, non-invasive differentiation by demonstrating characteristic intracapsular fluid accumulation. In cases with dense material precluding safe Nd:YAG capsulotomy, pars plana posterior capsulotomy using the vitreous cutter with limited adjacent vitreous removal offers a safe and highly effective treatment approach, enabling controlled material removal and achieving complete visual rehabilitation. Awareness of this rare condition is essential in patients with unexplained late visual decline following cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POCAT196",
      "abstract_number": "POCAT196",
      "title": "A White Eye With A Dark Secret",
      "authors": "Dr Rosshini K Raj",
      "presenter": "Dr Rosshini K Raj",
      "normalized_authors": [
        "Rosshini K Raj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rosshini K Raj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To highlight how follow up of uneventful cataract surgery can turn out to be with sinister turn of events.",
        "Setting": "Department of ophthalmology, Yenepoya Medical College.",
        "Methods": "65 yr male diabetic,myopic 6/6 BCVA on POD1 following uneventful MICS.Advised routine postoperative medications.POD3 he reports back\nwith HM vision, painfree with white eye ,2mm hypopyon.B-scan was echo free.Aggressive topical steroids started. POD4 vision was HM with vitritis. He received intravitreal ceftazidime +vancomycin with AC tap.Advised admission for diabetic management, initiation of oral steroids\nPOD 6 started on oral steroids,intravitreal antibiotics, dexamethasone under supervision. Vision improved from HM to CF 2m with fluctuating sugars.POD8 Near total vitrectomy was done.Peripheral retinal degenerations lasered.POD18 vision is HM with near total rhegmatogenous retinal detachment.retinal detachment surgery with oil done.",
        "Results": "BCVA following intravitreal injections and oral steroids improved from HM to CF 2m to 3m. However post vitrectomy day 1 his vision improved to 6/6 and was discharged with Insulin and tapering oral steroids. Following retinal detachment surgery BCVA continues to be 6/12 at 2 months f/u.Interestingly throughout the course of events patient was painfree with White eye",
        "Conclusions": "Sterile endophthalmitis is rarely reported following an uneventful cataract surgery. Intravitreal and systemic steroids remain the mainstay of treatment in these situations. However severe vitritis with equivocal response might need vitrectomy for faster visual recovery and to prevent inflammatory damage. It should be executed with caution especially in myopes with peripheral retinal degenerations who might progress to retinal detachments inspite of barrage laser."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sterile endophthalmitis is rarely reported following an uneventful cataract surgery. Intravitreal and systemic steroids remain the mainstay of treatment in these situations. However severe vitritis with equivocal response might need vitrectomy for faster visual recovery and to prevent inflammatory damage. It should be executed with caution especially in myopes with peripheral retinal degenerations who might…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 237,
      "source_fields": {
        "Abstract Final Identifier": "POCAT196",
        "Title": "A White Eye With A Dark Secret",
        "Presenting Author(s)": "Dr Rosshini K Raj",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Rosshini",
        "Submitter Middle Name": "K",
        "Submitter Last Name": "Raj",
        "Country Name": "India",
        "Purpose": "To highlight how follow up of uneventful cataract surgery can turn out to be with sinister turn of events.",
        "Setting": "Department of ophthalmology, Yenepoya Medical College.",
        "Methods": "65 yr male diabetic,myopic 6/6 BCVA on POD1 following uneventful MICS.Advised routine postoperative medications.POD3 he reports back\nwith HM vision, painfree with white eye ,2mm hypopyon.B-scan was echo free.Aggressive topical steroids started. POD4 vision was HM with vitritis. He received intravitreal ceftazidime +vancomycin with AC tap.Advised admission for diabetic management, initiation of oral steroids\nPOD 6 started on oral steroids,intravitreal antibiotics, dexamethasone under supervision. Vision improved from HM to CF 2m with fluctuating sugars.POD8 Near total vitrectomy was done.Peripheral retinal degenerations lasered.POD18 vision is HM with near total rhegmatogenous retinal detachment.retinal detachment surgery with oil done.",
        "Results": "BCVA following intravitreal injections and oral steroids improved from HM to CF 2m to 3m. However post vitrectomy day 1 his vision improved to 6/6 and was discharged with Insulin and tapering oral steroids. Following retinal detachment surgery BCVA continues to be 6/12 at 2 months f/u.Interestingly throughout the course of events patient was painfree with White eye",
        "Conclusions": "Sterile endophthalmitis is rarely reported following an uneventful cataract surgery. Intravitreal and systemic steroids remain the mainstay of treatment in these situations. However severe vitritis with equivocal response might need vitrectomy for faster visual recovery and to prevent inflammatory damage. It should be executed with caution especially in myopes with peripheral retinal degenerations who might progress to retinal detachments inspite of barrage laser."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCAT197",
      "abstract_number": "POCAT197",
      "title": "Impact Of Secondary Surgery On Visual Recovery After Posterior Capsule Rupture: A Real-World Comparative Study",
      "authors": "Nisanth Rajan",
      "presenter": "Nisanth Rajan",
      "normalized_authors": [
        "Nisanth Rajan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nisanth Rajan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the impact of secondary surgical intervention on visual recovery following posterior capsule rupture (PCR) in routine cataract practice.",
        "Setting": "Single-centre retrospective study conducted in a UK National Health Service hospital.",
        "Methods": "Retrospective review of 5,628 consecutive cataract surgeries over 2 years from 01/01/2023 to 31/12/2024. PCR occurred in 68 eyes (1.21%). Five cases were excluded due to incomplete follow-up, leaving 63 eyes for analysis. Eyes were divided into those requiring secondary surgery (return to theatre) and those managed without re-intervention. Primary outcome was change in visual acuity (ΔlogMAR). Secondary outcomes included incidence of re-intervention, timing, intraoperative stage of PCR, and final intraocular lens (IOL) position.",
        "Results": "Re-intervention was required in 20/63 eyes (31.7%). Median time to re-intervention was 22 days. PCR during nucleus/segment removal accounted for the majority of re-interventions (13/20). Final IOL position was sulcus in 45 eyes, bag in 7 and ACIOL in 10. Median visual acuity improvement was comparable between re-intervention and non–re-intervention groups (ΔlogMAR –0.20 vs –0.20).",
        "Conclusions": "In this real-world series, nearly one-third of PCR cases required secondary surgery. However, visual recovery was comparable between eyes undergoing re-intervention and those managed conservatively. These findings suggest that appropriate surgical management can preserve visual outcomes despite increased procedural burden."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world series, nearly one-third of PCR cases required secondary surgery. However, visual recovery was comparable between eyes undergoing re-intervention and those managed conservatively. These findings suggest that appropriate surgical management can preserve visual outcomes despite increased procedural burden.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 238,
      "source_fields": {
        "Abstract Final Identifier": "POCAT197",
        "Title": "Impact Of Secondary Surgery On Visual Recovery After Posterior Capsule Rupture: A Real-World Comparative Study",
        "Presenting Author(s)": "Nisanth Rajan",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Nisanth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rajan",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the impact of secondary surgical intervention on visual recovery following posterior capsule rupture (PCR) in routine cataract practice.",
        "Setting": "Single-centre retrospective study conducted in a UK National Health Service hospital.",
        "Methods": "Retrospective review of 5,628 consecutive cataract surgeries over 2 years from 01/01/2023 to 31/12/2024. PCR occurred in 68 eyes (1.21%). Five cases were excluded due to incomplete follow-up, leaving 63 eyes for analysis. Eyes were divided into those requiring secondary surgery (return to theatre) and those managed without re-intervention. Primary outcome was change in visual acuity (ΔlogMAR). Secondary outcomes included incidence of re-intervention, timing, intraoperative stage of PCR, and final intraocular lens (IOL) position.",
        "Results": "Re-intervention was required in 20/63 eyes (31.7%). Median time to re-intervention was 22 days. PCR during nucleus/segment removal accounted for the majority of re-interventions (13/20). Final IOL position was sulcus in 45 eyes, bag in 7 and ACIOL in 10. Median visual acuity improvement was comparable between re-intervention and non–re-intervention groups (ΔlogMAR –0.20 vs –0.20).",
        "Conclusions": "In this real-world series, nearly one-third of PCR cases required secondary surgery. However, visual recovery was comparable between eyes undergoing re-intervention and those managed conservatively. These findings suggest that appropriate surgical management can preserve visual outcomes despite increased procedural burden."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POCAT198",
      "abstract_number": "POCAT198",
      "title": "Cataract Surgery In A Patient With Megalocornea And Corectopia: A Clinical Case Report.",
      "authors": "Dr Maria De La Cruz Roa Reyes",
      "presenter": "Dr Maria De La Cruz Roa Reyes",
      "normalized_authors": [
        "Maria De La Cruz Roa Reyes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria De La Cruz Roa Reyes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present a case of cataract surgery in a patient diagnosed with megalocornea. To describe the selection and placement of the intraocular lens (IOL), given that this will pose a challenge for the surgeon, not only due to the larger size of the anterior segment and zonular weakness, but also due to the difficulty of calculating the lens power, since standard formulas do not accurately predict refractive outcomes.",
        "Setting": "Case managed at Hospital Universitario Central de Asturias , a tertiary care academic hospital in Oviedo , Spain.",
        "Methods": "Description of a clinical case of cataract surgery with an established diagnosis of megalocornea.",
        "Results": "A 66-year-old male patient presented with megalocornea (diameters of 13.21 and 13.39 mm), corectopia, and cataracts. His initial best-corrected visual acuity (BCVA) was 0.4 (right eye) and 0.3 (left eye) with deep anterior chambers (>5 mm). The intraocular lens (IOL) power was calculated using optical biometry with topographic guidance. Phacoemulsification surgery required the use of iris retractors due to minimal mydriasis. Despite mild intraoperative phacodonesis, the IOL was successfully implanted in the capsular bag without complications. Postoperatively, BCVA improved to 0.6 in both eyes, with a spherical equivalent of 0 in the right eye and -0.50 in the left eye. Adapted management resulted in successful visual correction.",
        "Conclusions": "Megalocornea is a non-progressive congenital eye defect defined by bilateral corneal diameter enlargement (>13 mm) in the absence of ocular hypertension. In the case described, it was associated with mild stromal opacity, corectopia, and iris sphincter defects resulting in minimal mydriasis. A significant part of its management focuses on addressing associated complications, such as refractive error correction and cataract surgery. Surgeons must consider that these patients have a higher risk of lens subluxation, poor dilation, and possible posterior capsule rupture, in addition to potentially presenting with associated abnormalities that complicate lens calculation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Megalocornea is a non-progressive congenital eye defect defined by bilateral corneal diameter enlargement (>13 mm) in the absence of ocular hypertension. In the case described, it was associated with mild stromal opacity, corectopia, and iris sphincter defects resulting in minimal mydriasis. A significant part of its management focuses on addressing associated complications, such as refractive error correction and…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 239,
      "source_fields": {
        "Abstract Final Identifier": "POCAT198",
        "Title": "Cataract Surgery In A Patient With Megalocornea And Corectopia: A Clinical Case Report.",
        "Presenting Author(s)": "Dr Maria De La Cruz Roa Reyes",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Maria De La Cruz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Roa Reyes",
        "Country Name": "Spain",
        "Purpose": "To present a case of cataract surgery in a patient diagnosed with megalocornea. To describe the selection and placement of the intraocular lens (IOL), given that this will pose a challenge for the surgeon, not only due to the larger size of the anterior segment and zonular weakness, but also due to the difficulty of calculating the lens power, since standard formulas do not accurately predict refractive outcomes.",
        "Setting": "Case managed at Hospital Universitario Central de Asturias , a tertiary care academic hospital in Oviedo , Spain.",
        "Methods": "Description of a clinical case of cataract surgery with an established diagnosis of megalocornea.",
        "Results": "A 66-year-old male patient presented with megalocornea (diameters of 13.21 and 13.39 mm), corectopia, and cataracts. His initial best-corrected visual acuity (BCVA) was 0.4 (right eye) and 0.3 (left eye) with deep anterior chambers (>5 mm). The intraocular lens (IOL) power was calculated using optical biometry with topographic guidance. Phacoemulsification surgery required the use of iris retractors due to minimal mydriasis. Despite mild intraoperative phacodonesis, the IOL was successfully implanted in the capsular bag without complications. Postoperatively, BCVA improved to 0.6 in both eyes, with a spherical equivalent of 0 in the right eye and -0.50 in the left eye. Adapted management resulted in successful visual correction.",
        "Conclusions": "Megalocornea is a non-progressive congenital eye defect defined by bilateral corneal diameter enlargement (>13 mm) in the absence of ocular hypertension. In the case described, it was associated with mild stromal opacity, corectopia, and iris sphincter defects resulting in minimal mydriasis. A significant part of its management focuses on addressing associated complications, such as refractive error correction and cataract surgery. Surgeons must consider that these patients have a higher risk of lens subluxation, poor dilation, and possible posterior capsule rupture, in addition to potentially presenting with associated abnormalities that complicate lens calculation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 303
    },
    {
      "uid": "POCAT199",
      "abstract_number": "POCAT199",
      "title": "Capsular Bag Distension Syndrome (Cbds) With Myopic Shift Following Cataract Surgery In Hyperopic Eyes With Narrow Pupil Size",
      "authors": "Dr Florian Rüfer",
      "presenter": "Dr Florian Rüfer",
      "normalized_authors": [
        "Florian Rüfer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Florian Rüfer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "In a case series of four eyes with unexpected myopic shift of −3.0 D (target refraction emmetropia), capsular bag distension syndrome (CBDS) was observed after uncomplicated cataract surgery and treated with posterior Nd:YAG capsulotomy. A risk factor analysis focusing on biometric and surgical parameters was performed.",
        "Setting": "Single Surgeon Case Series",
        "Methods": "Four eyes of four patients (mean age 75.3 ± 3.3 years) were included. Before and after cataract surgery, spherical equivalent (SE) was measured using an autorefractor (Nidek ARK-1s). Anterior chamber depth (ACD), lens thickness (LT), and axial length (AL) were assessed with the IOLMaster 700. Photopic, mesopic, and scotopic pupil diameters were measured using a Scheimpflug camera (Sirius, Schwind). Posterior capsule configuration was imaged with the IOLMaster 700. After missing regression of the CBDS, therapeutic Nd:YAG posterior capsulotomy was performed and all parameters were reassessed during follow-up.",
        "Results": "Preoperatively (mean ± SD), SE was +2.63 ± 0.5 D, photopic pupil diameter 2.1 ± 0.2 mm, ACD 2.3 ± 0.1 mm, LT 5.1 ± 0.1 mm, and AL 21.8 ± 0.2 mm. All eyes underwent uncomplicated phacoemulsification with implantation of a single-piece IOL (Rayner RayOne) into the capsular bag. Slit-lamp examination revealed a centered IOL within the capsular bag, which appeared markedly distended posteriorly. Postoperatively, SE was −3.7 ± 0.9 D and ACD 3.1 ± 0.7 mm. As the myopic shift showed no tendency toward regression, posterior Nd:YAG capsulotomy was performed 7, 9, 15, and 45 days after surgery, respectively. Subsequently, SE returned towards emmetropia (mean −0.25 ± 0.8 D), and ACD increased to 3.8 ± 0.4 mm.",
        "Conclusions": "Identified risk factors for the underlying CBDS included a shallow anterior chamber, small pupil size, and the use of a cohesive ophthalmic viscosurgical device. In all cases, posterior Nd:YAG capsulotomy resulted in anatomical and refractive normalization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Identified risk factors for the underlying CBDS included a shallow anterior chamber, small pupil size, and the use of a cohesive ophthalmic viscosurgical device. In all cases, posterior Nd:YAG capsulotomy resulted in anatomical and refractive normalization.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 240,
      "source_fields": {
        "Abstract Final Identifier": "POCAT199",
        "Title": "Capsular Bag Distension Syndrome (Cbds) With Myopic Shift Following Cataract Surgery In Hyperopic Eyes With Narrow Pupil Size",
        "Presenting Author(s)": "Dr Florian Rüfer",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Florian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rüfer",
        "Country Name": "Germany",
        "Purpose": "In a case series of four eyes with unexpected myopic shift of −3.0 D (target refraction emmetropia), capsular bag distension syndrome (CBDS) was observed after uncomplicated cataract surgery and treated with posterior Nd:YAG capsulotomy. A risk factor analysis focusing on biometric and surgical parameters was performed.",
        "Setting": "Single Surgeon Case Series",
        "Methods": "Four eyes of four patients (mean age 75.3 ± 3.3 years) were included. Before and after cataract surgery, spherical equivalent (SE) was measured using an autorefractor (Nidek ARK-1s). Anterior chamber depth (ACD), lens thickness (LT), and axial length (AL) were assessed with the IOLMaster 700. Photopic, mesopic, and scotopic pupil diameters were measured using a Scheimpflug camera (Sirius, Schwind). Posterior capsule configuration was imaged with the IOLMaster 700. After missing regression of the CBDS, therapeutic Nd:YAG posterior capsulotomy was performed and all parameters were reassessed during follow-up.",
        "Results": "Preoperatively (mean ± SD), SE was +2.63 ± 0.5 D, photopic pupil diameter 2.1 ± 0.2 mm, ACD 2.3 ± 0.1 mm, LT 5.1 ± 0.1 mm, and AL 21.8 ± 0.2 mm. All eyes underwent uncomplicated phacoemulsification with implantation of a single-piece IOL (Rayner RayOne) into the capsular bag. Slit-lamp examination revealed a centered IOL within the capsular bag, which appeared markedly distended posteriorly. Postoperatively, SE was −3.7 ± 0.9 D and ACD 3.1 ± 0.7 mm. As the myopic shift showed no tendency toward regression, posterior Nd:YAG capsulotomy was performed 7, 9, 15, and 45 days after surgery, respectively. Subsequently, SE returned towards emmetropia (mean −0.25 ± 0.8 D), and ACD increased to 3.8 ± 0.4 mm.",
        "Conclusions": "Identified risk factors for the underlying CBDS included a shallow anterior chamber, small pupil size, and the use of a cohesive ophthalmic viscosurgical device. In all cases, posterior Nd:YAG capsulotomy resulted in anatomical and refractive normalization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POCAT200",
      "abstract_number": "POCAT200",
      "title": "Back Where It Belongs: The Challenge Of Adjusting A Malpositioned Ctr During Cataract Surgery",
      "authors": "Dr Muhammad Saad",
      "presenter": "Dr Muhammad Saad",
      "normalized_authors": [
        "Muhammad Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammad Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ireland",
      "sections": {
        "Purpose": "This case highlights a challenging intraoperative scenario where significant zonular weakness (3 clock hours of dialysis) required Capsular Tension Ring (CTR) placement for the first time in my surgical career. The case became tricky when the CTR partially dislocated into the ciliary sulcus, causing iris traction instead of fully expanding in the capsular bag.",
        "Setting": "This case highlights a challenging intraoperative scenario where significant zonular weakness (3 clock hours of dialysis) required Capsular Tension Ring (CTR) placement for the first time in my surgical career. The case became tricky when the CTR partially dislocated into the ciliary sulcus, causing iris traction instead of fully expanding in the capsular bag.",
        "Methods": "A patient with a visually significant cataract underwent phacoemulsification, during which 3 clock hours of zonular dialysis were identified. A CTR was introduced, but its trailing end engaged the ciliary sulcus, causing iris traction. Using micro-instruments, it was successfully repositioned into the capsular bag.",
        "Results": "The CTR restored capsular stability, and a posterior chamber IOL was implanted securely. Postoperative assessment showed a well-centered IOL and visual acuity improved to 20/25 at one month.",
        "Conclusions": "This case underscores the importance of anticipating and managing intraoperative complications in the presence of zonular weakness. Although initial CTR malposition created iris traction, careful recognition and prompt micro-instrument repositioning allowed successful stabilization of the capsular bag. Ultimately, the procedure resulted in a well-centered posterior chamber IOL and good postoperative visual recovery, reinforcing the value of vigilance,adaptability, and surgical skill when using a CTR for the first time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case underscores the importance of anticipating and managing intraoperative complications in the presence of zonular weakness. Although initial CTR malposition created iris traction, careful recognition and prompt micro-instrument repositioning allowed successful stabilization of the capsular bag. Ultimately, the procedure resulted in a well-centered posterior chamber IOL and good postoperative visual…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 241,
      "source_fields": {
        "Abstract Final Identifier": "POCAT200",
        "Title": "Back Where It Belongs: The Challenge Of Adjusting A Malpositioned Ctr During Cataract Surgery",
        "Presenting Author(s)": "Dr Muhammad Saad",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Muhammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Ireland",
        "Purpose": "This case highlights a challenging intraoperative scenario where significant zonular weakness (3 clock hours of dialysis) required Capsular Tension Ring (CTR) placement for the first time in my surgical career. The case became tricky when the CTR partially dislocated into the ciliary sulcus, causing iris traction instead of fully expanding in the capsular bag.",
        "Setting": "This case highlights a challenging intraoperative scenario where significant zonular weakness (3 clock hours of dialysis) required Capsular Tension Ring (CTR) placement for the first time in my surgical career. The case became tricky when the CTR partially dislocated into the ciliary sulcus, causing iris traction instead of fully expanding in the capsular bag.",
        "Methods": "A patient with a visually significant cataract underwent phacoemulsification, during which 3 clock hours of zonular dialysis were identified. A CTR was introduced, but its trailing end engaged the ciliary sulcus, causing iris traction. Using micro-instruments, it was successfully repositioned into the capsular bag.",
        "Results": "The CTR restored capsular stability, and a posterior chamber IOL was implanted securely. Postoperative assessment showed a well-centered IOL and visual acuity improved to 20/25 at one month.",
        "Conclusions": "This case underscores the importance of anticipating and managing intraoperative complications in the presence of zonular weakness. Although initial CTR malposition created iris traction, careful recognition and prompt micro-instrument repositioning allowed successful stabilization of the capsular bag. Ultimately, the procedure resulted in a well-centered posterior chamber IOL and good postoperative visual recovery, reinforcing the value of vigilance,adaptability, and surgical skill when using a CTR for the first time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCAT201",
      "abstract_number": "POCAT201",
      "title": "Evaluating The Initial Experience And Advantages Of Using Selective\nLaser Capsulotomy For Capsulorhexis Creation In Cases Of Intumescent Cataract.",
      "authors": "Ahmed Samir",
      "presenter": "Ahmed Samir",
      "normalized_authors": [
        "Ahmed Samir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Samir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Evaluating the initial experience and advantages of using selective\nlaser capsulotomy for capsulorhexis creation in cases of intumescent cataract.",
        "Setting": "magrabi eye hospital, jeddah, ksa",
        "Methods": "patients with intumescent cataracts scheduled for phacoemulsification\n\nwere included in this study. During surgery, after capsular stain with trypan\n\nblue, the CAPSULaser device was used\n\nto create a capsulotomy of size ranging from 5 to 5.2 mm and routine\n\nphacoemulsification was done. The primary outcome measures were the\n\nincidence of argentian flag sign, size, centration, and continuous capsulotomy\n\nedge at the end of the surgery. Secondary outcomes were the surgical time\n\nneeded for capsulotomy together with capsulotomy centration over the optic of\n\nintraocular lens (IOL) at 3 months, and any reported side effects related to the\n\ntreatment procedures.",
        "Results": "42 eyes of 42 patients were included, six of them were females. The mean\n\nage of patients was 55±8.7 years. No cases of phacomorphic glaucoma included\n\nin this study. Pre-operative IOP was 13±1.3 mmHg and post-operative was 12.1\n\n± 1.55 that was statistically non-significant with no IOP spikes.\n\nperiod 2.1 ± 0.7 months. The BCVA improved from HMGP to mean 0.02 ± 0.01\n\nlog MAR at end of follow‑up visits.. No cases of argentian flag signs, endothelial staining,\n\nepithelial erosion, iris changes or phimosis were detected also in this study.\n\nEndothelial cell count was 2333 ± 124 cells/mm pre-operative compared to 2274\n\n± 122 cells/mm3 post-operative that was statistically non-significant.",
        "Conclusions": "Conclusion: CAPSULaser is reproducible, safe and effective tool in creating\n\nwell centered CCC with consistent 360 degree IOL coverage that ensures better\n\nlens stability and effective lens positioning inside the capsular bags in cases of\n\nintumescent cataract. This technique addresses previous limitations by\n\nimproving intraoperative control, minimize surgery time, reducing the risk of\n\nwell-known argentian flag sign and enhancing outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion: CAPSULaser is reproducible, safe and effective tool in creating well centered CCC with consistent 360 degree IOL coverage that ensures better lens stability and effective lens positioning inside the capsular bags in cases of intumescent cataract. This technique addresses previous limitations by improving intraoperative control, minimize surgery time, reducing the risk of well-known argentian flag sign…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 242,
      "source_fields": {
        "Abstract Final Identifier": "POCAT201",
        "Title": "Evaluating The Initial Experience And Advantages Of Using Selective\nLaser Capsulotomy For Capsulorhexis Creation In Cases Of Intumescent Cataract.",
        "Presenting Author(s)": "Ahmed Samir",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samir",
        "Country Name": "Saudi Arabia",
        "Purpose": "Evaluating the initial experience and advantages of using selective\nlaser capsulotomy for capsulorhexis creation in cases of intumescent cataract.",
        "Setting": "magrabi eye hospital, jeddah, ksa",
        "Methods": "patients with intumescent cataracts scheduled for phacoemulsification\n\nwere included in this study. During surgery, after capsular stain with trypan\n\nblue, the CAPSULaser device was used\n\nto create a capsulotomy of size ranging from 5 to 5.2 mm and routine\n\nphacoemulsification was done. The primary outcome measures were the\n\nincidence of argentian flag sign, size, centration, and continuous capsulotomy\n\nedge at the end of the surgery. Secondary outcomes were the surgical time\n\nneeded for capsulotomy together with capsulotomy centration over the optic of\n\nintraocular lens (IOL) at 3 months, and any reported side effects related to the\n\ntreatment procedures.",
        "Results": "42 eyes of 42 patients were included, six of them were females. The mean\n\nage of patients was 55±8.7 years. No cases of phacomorphic glaucoma included\n\nin this study. Pre-operative IOP was 13±1.3 mmHg and post-operative was 12.1\n\n± 1.55 that was statistically non-significant with no IOP spikes.\n\nperiod 2.1 ± 0.7 months. The BCVA improved from HMGP to mean 0.02 ± 0.01\n\nlog MAR at end of follow‑up visits.. No cases of argentian flag signs, endothelial staining,\n\nepithelial erosion, iris changes or phimosis were detected also in this study.\n\nEndothelial cell count was 2333 ± 124 cells/mm pre-operative compared to 2274\n\n± 122 cells/mm3 post-operative that was statistically non-significant.",
        "Conclusions": "Conclusion: CAPSULaser is reproducible, safe and effective tool in creating\n\nwell centered CCC with consistent 360 degree IOL coverage that ensures better\n\nlens stability and effective lens positioning inside the capsular bags in cases of\n\nintumescent cataract. This technique addresses previous limitations by\n\nimproving intraoperative control, minimize surgery time, reducing the risk of\n\nwell-known argentian flag sign and enhancing outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCAT202",
      "abstract_number": "POCAT202",
      "title": "A Novel Approach To Lens Subluxation: Capsulaser And Flanged Prolene Suture For Cionni Ring Scleral Fixation",
      "authors": "Dr Ahmed Samir",
      "presenter": "Dr Ahmed Samir",
      "normalized_authors": [
        "Ahmed Samir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Samir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "evaluating an innovative surgical approach to lens subluxation using selective laser capsulotomy (SLC) and scleral fixation of Cionni rings using a flanged 6-0 polypropylene suture.",
        "Setting": "magrabi eye hospital. jeddah, ksa",
        "Methods": ". All surgeries were done by a single surgeon (AS)\nusing a novel technique with selective laser capsulotomy using CAPSULaser. the phacoemulsification was done after using iris hooks to stabilize the bag. Cionni ring was implanted and fixated to the scleral using 6/0 prolene flanged suture\nPost-operative follow up records for all patients regarding IOL centration,\nstability of the capsular bag, any reported signs of inflammation or high IOP\ntogether with manifest refraction and BCVA and any adverse events related to\nthe treatment procedures.,",
        "Results": "This study included six cases of pseudoexfoliation syndrome (PEX) with mean age was 58.2 ± 9.7 and nine cases of hereditary lens subluxation with mean age of 18.3±3.3 years. In the subluxation cases, the mean pre-operative sphere and cylinder were – 11.33±2.8D and 6.2±0.7D cylinder. This improved post-operatively to -1.5±0.4D and -2.25±0.9D respectively with mean pre-operative BCVA 20/200 compared to 20/25 post-operatively, In PEX cases, the BCVA improved from 20/100 to 20/30 (p˂0.05). All cases ended with preservation of the capsular bag. The mean follow-up period was 5.6 ± 1.1 months. All patients had an adequately centered IOL post-operatively. In no eye wasconjunctival erosion related to flanged suture detected.",
        "Conclusions": "Selective laser capsulotomy using CAPSULaser hat it is a safe and effective tool for creating well centered, accurately sized and circular capsulotomies with consistent 360 degree IOL coverage. This ensures better lens stability and effective lens positioning inside the capsular bags in cases of lens subluxation. Combined with flanged 6-0 polypropylene sutures for scleral fixation of Cionni rings, this technique addresses previous limitations by improving intraoperative control, minimizes surgery time, reduces the risk of complications, and enhances outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Selective laser capsulotomy using CAPSULaser hat it is a safe and effective tool for creating well centered, accurately sized and circular capsulotomies with consistent 360 degree IOL coverage. This ensures better lens stability and effective lens positioning inside the capsular bags in cases of lens subluxation. Combined with flanged 6-0 polypropylene sutures for scleral fixation of Cionni rings, this technique…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 243,
      "source_fields": {
        "Abstract Final Identifier": "POCAT202",
        "Title": "A Novel Approach To Lens Subluxation: Capsulaser And Flanged Prolene Suture For Cionni Ring Scleral Fixation",
        "Presenting Author(s)": "Dr Ahmed Samir",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samir",
        "Country Name": "Egypt",
        "Purpose": "evaluating an innovative surgical approach to lens subluxation using selective laser capsulotomy (SLC) and scleral fixation of Cionni rings using a flanged 6-0 polypropylene suture.",
        "Setting": "magrabi eye hospital. jeddah, ksa",
        "Methods": ". All surgeries were done by a single surgeon (AS)\nusing a novel technique with selective laser capsulotomy using CAPSULaser. the phacoemulsification was done after using iris hooks to stabilize the bag. Cionni ring was implanted and fixated to the scleral using 6/0 prolene flanged suture\nPost-operative follow up records for all patients regarding IOL centration,\nstability of the capsular bag, any reported signs of inflammation or high IOP\ntogether with manifest refraction and BCVA and any adverse events related to\nthe treatment procedures.,",
        "Results": "This study included six cases of pseudoexfoliation syndrome (PEX) with mean age was 58.2 ± 9.7 and nine cases of hereditary lens subluxation with mean age of 18.3±3.3 years. In the subluxation cases, the mean pre-operative sphere and cylinder were – 11.33±2.8D and 6.2±0.7D cylinder. This improved post-operatively to -1.5±0.4D and -2.25±0.9D respectively with mean pre-operative BCVA 20/200 compared to 20/25 post-operatively, In PEX cases, the BCVA improved from 20/100 to 20/30 (p˂0.05). All cases ended with preservation of the capsular bag. The mean follow-up period was 5.6 ± 1.1 months. All patients had an adequately centered IOL post-operatively. In no eye wasconjunctival erosion related to flanged suture detected.",
        "Conclusions": "Selective laser capsulotomy using CAPSULaser hat it is a safe and effective tool for creating well centered, accurately sized and circular capsulotomies with consistent 360 degree IOL coverage. This ensures better lens stability and effective lens positioning inside the capsular bags in cases of lens subluxation. Combined with flanged 6-0 polypropylene sutures for scleral fixation of Cionni rings, this technique addresses previous limitations by improving intraoperative control, minimizes surgery time, reduces the risk of complications, and enhances outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "POCAT203",
      "abstract_number": "POCAT203",
      "title": "A Novel Protocol For Anterior Capsule Staining In Cataract Surgery Using Selective Laser Capsulotomy",
      "authors": "A/Prof. Ahmed Samir",
      "presenter": "A/Prof. Ahmed Samir",
      "normalized_authors": [
        "Ahmed Samir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Samir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Purpose: To introduce and evaluate a new protocol for anterior capsule staining during cataract surgery utilizing selective\nlaser capsulotomy, aiming to enhance visualization, improve surgical precision, and optimize outcomes, particularly in\ncomplex cases.",
        "Setting": "Setting: magrabi eye hospital jeddah ksa",
        "Methods": "Methods: A prospective study was conducted on patients undergoing cataract surgery with laser-assisted capsulotomy\nor CapsuLaser. The new protocol involved a modified technique for anterior capsule staining using trypan blue dye\nfollowing laser capsulotomy. Key parameters assessed included capsule visualization, ease of staining, intraoperative\ncomplications, and postoperative visual outcomes. Comparative analysis was performed between conventional manual\nstaining techniques and the proposed protocol.",
        "Results": "Results: The novel staining approach provided uniform and enhanced capsule visualization, facilitating precise\ncapsulorhexis completion. The staining process was more controlled, reducing dye dispersion into the anterior chamber.\nCases with mature or white cataracts particularly benefited, with improved anterior capsule identification. There were no\nsignificant intraoperative complications, and postoperative visual outcomes were comparable or superior to conventional\ntechniques.",
        "Conclusions": "Conclusions: The proposed anterior capsule staining protocol in conjunction with selective laser capsulotomy offers\nimproved surgical control, enhanced visualization, and potential safety advantages. This technique may be particularly\nbeneficial in challenging cataract cases, warranting further large-scale validation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: The proposed anterior capsule staining protocol in conjunction with selective laser capsulotomy offers improved surgical control, enhanced visualization, and potential safety advantages. This technique may be particularly beneficial in challenging cataract cases, warranting further large-scale validation.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 244,
      "source_fields": {
        "Abstract Final Identifier": "POCAT203",
        "Title": "A Novel Protocol For Anterior Capsule Staining In Cataract Surgery Using Selective Laser Capsulotomy",
        "Presenting Author(s)": "A/Prof. Ahmed Samir",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samir",
        "Country Name": "Saudi Arabia",
        "Purpose": "Purpose: To introduce and evaluate a new protocol for anterior capsule staining during cataract surgery utilizing selective\nlaser capsulotomy, aiming to enhance visualization, improve surgical precision, and optimize outcomes, particularly in\ncomplex cases.",
        "Setting": "Setting: magrabi eye hospital jeddah ksa",
        "Methods": "Methods: A prospective study was conducted on patients undergoing cataract surgery with laser-assisted capsulotomy\nor CapsuLaser. The new protocol involved a modified technique for anterior capsule staining using trypan blue dye\nfollowing laser capsulotomy. Key parameters assessed included capsule visualization, ease of staining, intraoperative\ncomplications, and postoperative visual outcomes. Comparative analysis was performed between conventional manual\nstaining techniques and the proposed protocol.",
        "Results": "Results: The novel staining approach provided uniform and enhanced capsule visualization, facilitating precise\ncapsulorhexis completion. The staining process was more controlled, reducing dye dispersion into the anterior chamber.\nCases with mature or white cataracts particularly benefited, with improved anterior capsule identification. There were no\nsignificant intraoperative complications, and postoperative visual outcomes were comparable or superior to conventional\ntechniques.",
        "Conclusions": "Conclusions: The proposed anterior capsule staining protocol in conjunction with selective laser capsulotomy offers\nimproved surgical control, enhanced visualization, and potential safety advantages. This technique may be particularly\nbeneficial in challenging cataract cases, warranting further large-scale validation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POCAT204",
      "abstract_number": "POCAT204",
      "title": "Integrated Capsulaser With Flanged Prolene Scleral Fixation Of Cionni Rings For Hereditary Lens Subluxation",
      "authors": "Ahmed Samir",
      "presenter": "Ahmed Samir",
      "normalized_authors": [
        "Ahmed Samir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Samir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of a novel surgical approach for hereditary lens subluxation, integrating CAPSULaser for continuous curvilinear capsulorhexis (CCC) with flanged 6-0 polypropylene suture for Cionni ring scleral fixation.",
        "Setting": "magrabi eye hospital, jeddah, ksa",
        "Methods": "Pre- and post-operative clinical data, including uncorrected visual acuity (UCVA), cycloplegic refraction, best-corrected visual acuity (BCVA), and intraocular pressure (IOP), were retrospectively collected from 16 eyes (mean age 12.3 ± 3.3 years) undergoing surgery by a single surgeon. Post-operative assessments included intraocular lens (IOL) centration, capsular bag stability, inflammation, and adverse events.",
        "Results": "Significant post-operative improvements were observed in mean refraction (pre-operative -11.33 ± 2.8D sphere, 6.2 ± 0.7D cylinder; post-operative -0.5 ± 0.7D sphere, -1.25 ± 0.9D cylinder) and BCVA (pre-operative 20/200; post-operative 20/25, p<0.05). Mean follow-up was 16.6 ± 3.1 months. All eyes achieved well-sized (5.1 ± 0.7 mm), centered CCC with a single laser shot and adequately centered IOLs. No significant IOP changes or procedure-related complications, including IOL malposition or conjunctival erosion of the flanged suture, were reported.",
        "Conclusions": "The combined CAPSULaser and flanged polypropylene suture fixation of Cionni ring offers a reproducible, safe, and effective solution for hereditary lens subluxation. This approach enhances intraoperative control, minimizes surgical time, reduces complication risks, and optimizes IOL stability and positioning, addressing prior surgical limitations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The combined CAPSULaser and flanged polypropylene suture fixation of Cionni ring offers a reproducible, safe, and effective solution for hereditary lens subluxation. This approach enhances intraoperative control, minimizes surgical time, reduces complication risks, and optimizes IOL stability and positioning, addressing prior surgical limitations.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 245,
      "source_fields": {
        "Abstract Final Identifier": "POCAT204",
        "Title": "Integrated Capsulaser With Flanged Prolene Scleral Fixation Of Cionni Rings For Hereditary Lens Subluxation",
        "Presenting Author(s)": "Ahmed Samir",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samir",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the efficacy and safety of a novel surgical approach for hereditary lens subluxation, integrating CAPSULaser for continuous curvilinear capsulorhexis (CCC) with flanged 6-0 polypropylene suture for Cionni ring scleral fixation.",
        "Setting": "magrabi eye hospital, jeddah, ksa",
        "Methods": "Pre- and post-operative clinical data, including uncorrected visual acuity (UCVA), cycloplegic refraction, best-corrected visual acuity (BCVA), and intraocular pressure (IOP), were retrospectively collected from 16 eyes (mean age 12.3 ± 3.3 years) undergoing surgery by a single surgeon. Post-operative assessments included intraocular lens (IOL) centration, capsular bag stability, inflammation, and adverse events.",
        "Results": "Significant post-operative improvements were observed in mean refraction (pre-operative -11.33 ± 2.8D sphere, 6.2 ± 0.7D cylinder; post-operative -0.5 ± 0.7D sphere, -1.25 ± 0.9D cylinder) and BCVA (pre-operative 20/200; post-operative 20/25, p<0.05). Mean follow-up was 16.6 ± 3.1 months. All eyes achieved well-sized (5.1 ± 0.7 mm), centered CCC with a single laser shot and adequately centered IOLs. No significant IOP changes or procedure-related complications, including IOL malposition or conjunctival erosion of the flanged suture, were reported.",
        "Conclusions": "The combined CAPSULaser and flanged polypropylene suture fixation of Cionni ring offers a reproducible, safe, and effective solution for hereditary lens subluxation. This approach enhances intraoperative control, minimizes surgical time, reduces complication risks, and optimizes IOL stability and positioning, addressing prior surgical limitations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "POCAT205",
      "abstract_number": "POCAT205",
      "title": "Posterior Globe Collapse After Cataract Surgery Wound Microleak In High Myope",
      "authors": "Dr Bala Saraswathy",
      "presenter": "Dr Bala Saraswathy",
      "normalized_authors": [
        "Bala Saraswathy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bala Saraswathy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Hypotony after cataract surgery is a very rare complication, especially in high myopes we have to be extra cautious since wound leak can occur due to thin scleral rigidity. We present two case of wound microleak after uneventful phacoemulsification in high myope leading to posterior globe collapse rather than anterior chamber collapse due to hypotony. After wound suturing anterior chamber along with posterior globe was reformed with loss of retinal folds and intraocular pressure became normal.",
        "Setting": "Both patients had eneventful phacoemulsification surgery in a tertiary eye care hospital. The surgery was uneventful and both patients were myopic with one patient had ICL implantation for high myopia previously. On postoperative period developed hypotony with posterior globe collapse. The mechanism of posterior wall collapse in the absence of a shallow anterior chamber presents a mechanistic challenge after cataract surgery.",
        "Methods": "In both our cases , there was probable wound microleak due to suture lysis in first case and severe vomiting in second case, with myopia and less scleral rigidity being common factor. The anterior chamber reformation with clear corneal tunnel suturing was done and immediately globe formed with resolution of hypotony and chorioretinal folds.",
        "Results": "The treatment of hypotony maculopathy is dependent on correctly identifying the cause of hypotony and treating this cause as soon as possible. Delayed treatment of hypotony can result in permanent changes in the retina and choroid and cause vision loss . Treatment include anterior chamber reformation treating wound leak with suturing, bandage contact lens for microleak at wound site, posterior globe formation with air injected at the pars plana in the inferior temporal quadrant for volumetric replacement in the eye. Both our cases underwent corneal resuturing and globe reformation",
        "Conclusions": "Sudden onset of vision loss or shallow anterior chamber postoperatively in high myopes need detailed fundus evaluation and intraocular pressure measurement , for identifying posterior globe collapse and wound microleak. Rectification of the same by wound exploration or bandage contact lens immediately is needed to prevent hypotonic maculopathy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sudden onset of vision loss or shallow anterior chamber postoperatively in high myopes need detailed fundus evaluation and intraocular pressure measurement , for identifying posterior globe collapse and wound microleak. Rectification of the same by wound exploration or bandage contact lens immediately is needed to prevent hypotonic maculopathy.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 246,
      "source_fields": {
        "Abstract Final Identifier": "POCAT205",
        "Title": "Posterior Globe Collapse After Cataract Surgery Wound Microleak In High Myope",
        "Presenting Author(s)": "Dr Bala Saraswathy",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Bala",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saraswathy",
        "Country Name": "India",
        "Purpose": "Hypotony after cataract surgery is a very rare complication, especially in high myopes we have to be extra cautious since wound leak can occur due to thin scleral rigidity. We present two case of wound microleak after uneventful phacoemulsification in high myope leading to posterior globe collapse rather than anterior chamber collapse due to hypotony. After wound suturing anterior chamber along with posterior globe was reformed with loss of retinal folds and intraocular pressure became normal.",
        "Setting": "Both patients had eneventful phacoemulsification surgery in a tertiary eye care hospital. The surgery was uneventful and both patients were myopic with one patient had ICL implantation for high myopia previously. On postoperative period developed hypotony with posterior globe collapse. The mechanism of posterior wall collapse in the absence of a shallow anterior chamber presents a mechanistic challenge after cataract surgery.",
        "Methods": "In both our cases , there was probable wound microleak due to suture lysis in first case and severe vomiting in second case, with myopia and less scleral rigidity being common factor. The anterior chamber reformation with clear corneal tunnel suturing was done and immediately globe formed with resolution of hypotony and chorioretinal folds.",
        "Results": "The treatment of hypotony maculopathy is dependent on correctly identifying the cause of hypotony and treating this cause as soon as possible. Delayed treatment of hypotony can result in permanent changes in the retina and choroid and cause vision loss . Treatment include anterior chamber reformation treating wound leak with suturing, bandage contact lens for microleak at wound site, posterior globe formation with air injected at the pars plana in the inferior temporal quadrant for volumetric replacement in the eye. Both our cases underwent corneal resuturing and globe reformation",
        "Conclusions": "Sudden onset of vision loss or shallow anterior chamber postoperatively in high myopes need detailed fundus evaluation and intraocular pressure measurement , for identifying posterior globe collapse and wound microleak. Rectification of the same by wound exploration or bandage contact lens immediately is needed to prevent hypotonic maculopathy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POCAT206",
      "abstract_number": "POCAT206",
      "title": "Rehabilitating Colobomata : Our Experience In A Tertiary Care Center",
      "authors": "Dr Nishi Meghna Satish",
      "presenter": "Dr Nishi Meghna Satish",
      "normalized_authors": [
        "Nishi Meghna Satish"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nishi Meghna Satish",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the pre operative and intraoperative difficulties in management of patients with\ncoloboma who present with cataract, and to provide the best visual rehabilitation to these patients.",
        "Setting": "Tertiary Care Hospital in Northern India",
        "Methods": "This observational case series was done on 35 patients with colobomas who presented to us with\ncataract. Different intraocular lenses were implanted according to the technical difficulties faced during surgery. Analysis\nof preoperative, intraoperative findings were clubbed with post operative findings of each patient.",
        "Results": "No patient was left aphakic. All patients with coexisting fundal colobomas were first given barrage laser\nsessions before surgery for scleral fixated IOL, and after surgery for in the bag PCIOL. No patient developed retinal or\nchoroidal detachment. Among secondary IOLs, 3 piece PMMA IOLs performed the best, iris claw IOL was implanted in 4\npatients, all 4 patients had anterior chamber reaction. Hydrophilic acryllic single piece IOLs inserted as SFIOL also\nexperienced mild anterior chamber reaction but good post operative vision gain.",
        "Conclusions": "The best option we documented is to stabilise the bag with lack of zonules by use of a\ncapsular tension ring or segment and place a posterior chamber IOL, however when a secondary IOL is needed the best\noutcome was seen with a 3 piece PMMA optic SFIOL with Hoffmann pockets. Cataract surgery is in adjunct with\nmanagement of retinal colobomata, wherein our treatment options range from a simple barrage laser to low vision aids."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The best option we documented is to stabilise the bag with lack of zonules by use of a capsular tension ring or segment and place a posterior chamber IOL, however when a secondary IOL is needed the best outcome was seen with a 3 piece PMMA optic SFIOL with Hoffmann pockets. Cataract surgery is in adjunct with management of retinal colobomata, wherein our treatment options range from a simple barrage laser to low…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 247,
      "source_fields": {
        "Abstract Final Identifier": "POCAT206",
        "Title": "Rehabilitating Colobomata : Our Experience In A Tertiary Care Center",
        "Presenting Author(s)": "Dr Nishi Meghna Satish",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Nishi Meghna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Satish",
        "Country Name": "India",
        "Purpose": "To evaluate the pre operative and intraoperative difficulties in management of patients with\ncoloboma who present with cataract, and to provide the best visual rehabilitation to these patients.",
        "Setting": "Tertiary Care Hospital in Northern India",
        "Methods": "This observational case series was done on 35 patients with colobomas who presented to us with\ncataract. Different intraocular lenses were implanted according to the technical difficulties faced during surgery. Analysis\nof preoperative, intraoperative findings were clubbed with post operative findings of each patient.",
        "Results": "No patient was left aphakic. All patients with coexisting fundal colobomas were first given barrage laser\nsessions before surgery for scleral fixated IOL, and after surgery for in the bag PCIOL. No patient developed retinal or\nchoroidal detachment. Among secondary IOLs, 3 piece PMMA IOLs performed the best, iris claw IOL was implanted in 4\npatients, all 4 patients had anterior chamber reaction. Hydrophilic acryllic single piece IOLs inserted as SFIOL also\nexperienced mild anterior chamber reaction but good post operative vision gain.",
        "Conclusions": "The best option we documented is to stabilise the bag with lack of zonules by use of a\ncapsular tension ring or segment and place a posterior chamber IOL, however when a secondary IOL is needed the best\noutcome was seen with a 3 piece PMMA optic SFIOL with Hoffmann pockets. Cataract surgery is in adjunct with\nmanagement of retinal colobomata, wherein our treatment options range from a simple barrage laser to low vision aids."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCAT207",
      "abstract_number": "POCAT207",
      "title": "Efficacy Of Difluprednate Eye Drops In The Treatment Of Postsurgical Cystoid Macular Edema",
      "authors": "Dr Christiane Schmidt",
      "presenter": "Dr Christiane Schmidt",
      "normalized_authors": [
        "Christiane Schmidt"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christiane Schmidt",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the efficacy of difluprednate 0.05% in reducing post-surgical inflammatory macular edema.",
        "Setting": "This retrospective cohort study was conducted at the Augenklinik Zurich West, a tertiary ophthalmology center in Zurich, Switzerland.",
        "Methods": "This retrospective cohort study included 28 patients (33 eyes) who were treated for postsurgical inflammatory cystoid macular edema (CME) between January 2017 and June 2025. The primary endpoint was the change in best-corrected visual acuity (BCVA). Secondary endpoints included changes in central retinal thickness (CRT), intraocular pressure (IOP), treatment duration, dosing frequency, as well as the proportion of eyes with complete CME resolution on optical coherence tomography (OCT).",
        "Results": "18 patients were female and 10 were male. 13 patients presented with recurrent CME. Complete resolution was achieved in 14 eyes, while 17 eyes showed residual fluid at the final follow-up. The mean dosing frequency of difluprednate was twice daily, with a mean treatment duration of 278 days. IOP increased by less than 5 mmHg in 14 eyes (42%), by 5–10 mmHg in 14 eyes (42%), and by more than 10 mmHg in one eye (3%). IOP-lowering medication was required in one eye (3%), and treatment discontinuation due to IOP elevation occurred in three eyes (9%). Mean best-corrected visual acuity (BCVA) improved from 0.40 ± 0.30 logMAR to 0.20 ± 0.30 logMAR (10 letters) (p = 0.035), and mean CRT decreased from 500 ± 121 µm to 382 ± 75 µm (p < 0.001).",
        "Conclusions": "Difluprednate 0.05% was effective and generally well tolerated for treating post-surgical CME. Despite the retrospective design, the findings support its use in routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Difluprednate 0.05% was effective and generally well tolerated for treating post-surgical CME. Despite the retrospective design, the findings support its use in routine clinical practice.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 248,
      "source_fields": {
        "Abstract Final Identifier": "POCAT207",
        "Title": "Efficacy Of Difluprednate Eye Drops In The Treatment Of Postsurgical Cystoid Macular Edema",
        "Presenting Author(s)": "Dr Christiane Schmidt",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Christiane",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schmidt",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the efficacy of difluprednate 0.05% in reducing post-surgical inflammatory macular edema.",
        "Setting": "This retrospective cohort study was conducted at the Augenklinik Zurich West, a tertiary ophthalmology center in Zurich, Switzerland.",
        "Methods": "This retrospective cohort study included 28 patients (33 eyes) who were treated for postsurgical inflammatory cystoid macular edema (CME) between January 2017 and June 2025. The primary endpoint was the change in best-corrected visual acuity (BCVA). Secondary endpoints included changes in central retinal thickness (CRT), intraocular pressure (IOP), treatment duration, dosing frequency, as well as the proportion of eyes with complete CME resolution on optical coherence tomography (OCT).",
        "Results": "18 patients were female and 10 were male. 13 patients presented with recurrent CME. Complete resolution was achieved in 14 eyes, while 17 eyes showed residual fluid at the final follow-up. The mean dosing frequency of difluprednate was twice daily, with a mean treatment duration of 278 days. IOP increased by less than 5 mmHg in 14 eyes (42%), by 5–10 mmHg in 14 eyes (42%), and by more than 10 mmHg in one eye (3%). IOP-lowering medication was required in one eye (3%), and treatment discontinuation due to IOP elevation occurred in three eyes (9%). Mean best-corrected visual acuity (BCVA) improved from 0.40 ± 0.30 logMAR to 0.20 ± 0.30 logMAR (10 letters) (p = 0.035), and mean CRT decreased from 500 ± 121 µm to 382 ± 75 µm (p < 0.001).",
        "Conclusions": "Difluprednate 0.05% was effective and generally well tolerated for treating post-surgical CME. Despite the retrospective design, the findings support its use in routine clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POCAT208",
      "abstract_number": "POCAT208",
      "title": "Postoperative Flange Stability Following Intrascleral Iol Fixation: A Prospective Randomized Comparison",
      "authors": "Prof. Dr Markus Schranz",
      "presenter": "Prof. Dr Markus Schranz",
      "normalized_authors": [
        "Markus Schranz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Markus Schranz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To prospectively compare postoperative flange stability and clinical outcomes between the two most commonly used techniques for intrascleral intraocular lens (IOL) fixation: the Yamane technique and the 4-flanged technique.",
        "Setting": "Single-center prospective randomized comparative study at a tertiary referral center",
        "Methods": "Patients with subluxated IOLs or absent capsular support were randomized 1:1 to either the Yamane group (YG) or the 4-flanged group (4G).\n\nFollow-up visits were conducted at 1, 4, 12, and 52 weeks postoperatively. Flange position relative to the sclera was assessed by slit-lamp examination using a standardized grading scale:\n0 = intrascleral and not visible;\n1 = intrascleral and visible;\n2 = flush with sclera;\n3 = subconjunctival;\n4 = conjunctival erosion with exposed flange.\n\nHigher scores indicated more superficial flange positioning.\n\nIntergroup comparisons and longitudinal changes were analyzed using generalized estimating equations and mixed-effects models.",
        "Results": "Fifty-four eyes were evaluated (YG: 28; 4G: 26).\n\nIn the YG, a significant increase in haptic visibility over time was observed, reaching a plateau at 12 weeks (p < 0.01). In contrast, the 4G demonstrated a continuous and significant decrease in haptic visibility from week 1 to week 52 (p < 0.01), indicating progressive internalization.\n\nBetween-group differences were significant at week 1 (p < 0.01) and week 4 (p < 0.01).",
        "Conclusions": "Over time, the Yamane technique demonstrated significantly more stable flange positioning compared with the 4-flanged technique. Although no cases of complete flange internalization or recurrent IOL subluxation were observed in this cohort, the findings suggest a higher potential risk of flange displacement with the 4-flanged technique. Long-term monitoring of flange position appears essential to ensure sustained fixation stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Over time, the Yamane technique demonstrated significantly more stable flange positioning compared with the 4-flanged technique. Although no cases of complete flange internalization or recurrent IOL subluxation were observed in this cohort, the findings suggest a higher potential risk of flange displacement with the 4-flanged technique. Long-term monitoring of flange position appears essential to ensure sustained…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 249,
      "source_fields": {
        "Abstract Final Identifier": "POCAT208",
        "Title": "Postoperative Flange Stability Following Intrascleral Iol Fixation: A Prospective Randomized Comparison",
        "Presenting Author(s)": "Prof. Dr Markus Schranz",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Markus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schranz",
        "Country Name": "Austria",
        "Purpose": "To prospectively compare postoperative flange stability and clinical outcomes between the two most commonly used techniques for intrascleral intraocular lens (IOL) fixation: the Yamane technique and the 4-flanged technique.",
        "Setting": "Single-center prospective randomized comparative study at a tertiary referral center",
        "Methods": "Patients with subluxated IOLs or absent capsular support were randomized 1:1 to either the Yamane group (YG) or the 4-flanged group (4G).\n\nFollow-up visits were conducted at 1, 4, 12, and 52 weeks postoperatively. Flange position relative to the sclera was assessed by slit-lamp examination using a standardized grading scale:\n0 = intrascleral and not visible;\n1 = intrascleral and visible;\n2 = flush with sclera;\n3 = subconjunctival;\n4 = conjunctival erosion with exposed flange.\n\nHigher scores indicated more superficial flange positioning.\n\nIntergroup comparisons and longitudinal changes were analyzed using generalized estimating equations and mixed-effects models.",
        "Results": "Fifty-four eyes were evaluated (YG: 28; 4G: 26).\n\nIn the YG, a significant increase in haptic visibility over time was observed, reaching a plateau at 12 weeks (p < 0.01). In contrast, the 4G demonstrated a continuous and significant decrease in haptic visibility from week 1 to week 52 (p < 0.01), indicating progressive internalization.\n\nBetween-group differences were significant at week 1 (p < 0.01) and week 4 (p < 0.01).",
        "Conclusions": "Over time, the Yamane technique demonstrated significantly more stable flange positioning compared with the 4-flanged technique. Although no cases of complete flange internalization or recurrent IOL subluxation were observed in this cohort, the findings suggest a higher potential risk of flange displacement with the 4-flanged technique. Long-term monitoring of flange position appears essential to ensure sustained fixation stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POCAT209",
      "abstract_number": "POCAT209",
      "title": "Review Of Escrs Multicentre Trial Of Intracameral Cefuroxime For Preventing Postoperative Endophthalmitis Following Cataract Surgery After 20 Years Of Use And Future Application",
      "authors": "Dr David Venner Seal",
      "presenter": "Dr David Venner Seal",
      "normalized_authors": [
        "David Venner Seal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Venner Seal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The ESCRS set up the first prospective, randomised, double-blind, placebo-controlled trial for use of intracameral (IC) cefuroxime during cataract surgery to prevent postoperative endophthalmitis. The study for analysis involved eight European countries from 2002 to 2007 including 16,211 operations using phacoemulsification.\n\n.",
        "Setting": "The ESCRS mulitcentre study followed a retrospective study (National Swedish Registry) of IC cefuroxime (1 mg in 0.1 ml), from 1996 to 2000, that gave a low postoperative endophthalmitis rate of 0.06% (20/32,180 operations). The prospective trial confirmed the findings with an infection rate of 0.05% (2/4,052) with IC cefuroxime and 0.30% without (12/4,054); prophylaxis gave a five-fold decrease in risk, (p<0.05; 95% CI, 1.87-12.9).",
        "Methods": "Further studies have been conducted with IC moxifloxacin (0.5 mg in 0.1ml), not available in 2002. At Aravind Eye Hospital (India), a high‑volume registry analysis of cataract surgery with phacoemulsification, involving 194,252 patients between 2014 and 2016, demonstrated a seven times decrease in risk of postoperative endophthalmitis with moxifloxacin (0.01%, 11/89,358) than without (0.07%, 75/104,892), p<0.001. Retrospective studies have limitations with changes of controls, technique, surgeons and intraocular lenses but it gave a similar difference albeit with lower overall infections.",
        "Results": "While moxifloxacin has greater antibacterial activity than cefuroxime, the principle established by the ESCRS trial - of a large reduction in postoperative endophthalmitis following use of an intracameral antibiotic at the time of cataract surgery - has held true and relevant for the future.",
        "Conclusions": "The landmark multicentre trial was credited recently with transforming global practice patterns (AAO EyeNet, 2026). IC cefuroxime is now used frequently in Europe while IC moxifloxacin is widely used in the USA and India, countries where ready-to-use IC preparations are available commercially; topical intensive postoperative moxifloxacin use is an alternative when the IC formulation is not available."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The landmark multicentre trial was credited recently with transforming global practice patterns (AAO EyeNet, 2026). IC cefuroxime is now used frequently in Europe while IC moxifloxacin is widely used in the USA and India, countries where ready-to-use IC preparations are available commercially; topical intensive postoperative moxifloxacin use is an alternative when the IC formulation is not available.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 250,
      "source_fields": {
        "Abstract Final Identifier": "POCAT209",
        "Title": "Review Of Escrs Multicentre Trial Of Intracameral Cefuroxime For Preventing Postoperative Endophthalmitis Following Cataract Surgery After 20 Years Of Use And Future Application",
        "Presenting Author(s)": "Dr David Venner Seal",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "David",
        "Submitter Middle Name": "Venner",
        "Submitter Last Name": "Seal",
        "Country Name": "United Kingdom",
        "Purpose": "The ESCRS set up the first prospective, randomised, double-blind, placebo-controlled trial for use of intracameral (IC) cefuroxime during cataract surgery to prevent postoperative endophthalmitis. The study for analysis involved eight European countries from 2002 to 2007 including 16,211 operations using phacoemulsification.\n\n.",
        "Setting": "The ESCRS mulitcentre study followed a retrospective study (National Swedish Registry) of IC cefuroxime (1 mg in 0.1 ml), from 1996 to 2000, that gave a low postoperative endophthalmitis rate of 0.06% (20/32,180 operations). The prospective trial confirmed the findings with an infection rate of 0.05% (2/4,052) with IC cefuroxime and 0.30% without (12/4,054); prophylaxis gave a five-fold decrease in risk, (p<0.05; 95% CI, 1.87-12.9).",
        "Methods": "Further studies have been conducted with IC moxifloxacin (0.5 mg in 0.1ml), not available in 2002. At Aravind Eye Hospital (India), a high‑volume registry analysis of cataract surgery with phacoemulsification, involving 194,252 patients between 2014 and 2016, demonstrated a seven times decrease in risk of postoperative endophthalmitis with moxifloxacin (0.01%, 11/89,358) than without (0.07%, 75/104,892), p<0.001. Retrospective studies have limitations with changes of controls, technique, surgeons and intraocular lenses but it gave a similar difference albeit with lower overall infections.",
        "Results": "While moxifloxacin has greater antibacterial activity than cefuroxime, the principle established by the ESCRS trial - of a large reduction in postoperative endophthalmitis following use of an intracameral antibiotic at the time of cataract surgery - has held true and relevant for the future.",
        "Conclusions": "The landmark multicentre trial was credited recently with transforming global practice patterns (AAO EyeNet, 2026). IC cefuroxime is now used frequently in Europe while IC moxifloxacin is widely used in the USA and India, countries where ready-to-use IC preparations are available commercially; topical intensive postoperative moxifloxacin use is an alternative when the IC formulation is not available."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POCAT210",
      "abstract_number": "POCAT210",
      "title": "Novel Preoperative Tear Biomarkers As Predictors Of Postoperative Discomfort Following Phacoemulsification Surgery",
      "authors": "Dr Naren Shetty",
      "presenter": "Dr Naren Shetty",
      "normalized_authors": [
        "Naren Shetty"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Naren Shetty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To investigate the role of tear film biomarkers in predicting postoperative discomfort (such as pricking or grittiness) in patients achieving good visual outcomes after cataract surgery, aiming to identify predictive profiles to improve patient satisfaction.",
        "Setting": "Tertiary eye care hospital in India",
        "Methods": "This prospective observational study analyzed tear film samples from 100 patients undergoing phacoemulsification. Patients were divided into two groups: Group 1 (n=50) reported no discomfort, and Group 2 (n=50) reported discomfort on postoperative day one. Tear samples were analyzed using a novel indigenous biomarker kit to measure Interleukin-1β (IL-1β), IL-6, IL-10, IL-17A, Tumor Necrosis Factor-alpha (TNF-α), Intercellular Adhesion Molecule (ICAM), and Vascular Endothelial Growth Factor-A (VEGF-A).",
        "Results": "Patients experiencing postoperative discomfort (Group 2) showed significantly lower levels of IL-1β (p<0.01) compared to the asymptomatic group. Conversely, preoperative levels of IL-17A and TNF-α were significantly higher (p<0.01) in Group 2, suggesting a strong predictive value for these markers. While IL-6, IL-10, ICAM, and VEGF-A were elevated in the discomfort group, these specific increases did not reach statistical significance.",
        "Conclusions": "Specific tear biomarkers, particularly IL-1β, IL-17A, and TNF-α, are significantly associated with postoperative symptoms. This study, the first to use biomarker profiling for this purpose, suggests that preoperative screening can identify at-risk patients. Such a transformative approach allows for tailored preoperative treatments to mitigate ocular surface inflammation and enhance overall surgical outcomes and patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Specific tear biomarkers, particularly IL-1β, IL-17A, and TNF-α, are significantly associated with postoperative symptoms. This study, the first to use biomarker profiling for this purpose, suggests that preoperative screening can identify at-risk patients. Such a transformative approach allows for tailored preoperative treatments to mitigate ocular surface inflammation and enhance overall surgical outcomes and…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 251,
      "source_fields": {
        "Abstract Final Identifier": "POCAT210",
        "Title": "Novel Preoperative Tear Biomarkers As Predictors Of Postoperative Discomfort Following Phacoemulsification Surgery",
        "Presenting Author(s)": "Dr Naren Shetty",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Naren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shetty",
        "Country Name": "India",
        "Purpose": "To investigate the role of tear film biomarkers in predicting postoperative discomfort (such as pricking or grittiness) in patients achieving good visual outcomes after cataract surgery, aiming to identify predictive profiles to improve patient satisfaction.",
        "Setting": "Tertiary eye care hospital in India",
        "Methods": "This prospective observational study analyzed tear film samples from 100 patients undergoing phacoemulsification. Patients were divided into two groups: Group 1 (n=50) reported no discomfort, and Group 2 (n=50) reported discomfort on postoperative day one. Tear samples were analyzed using a novel indigenous biomarker kit to measure Interleukin-1β (IL-1β), IL-6, IL-10, IL-17A, Tumor Necrosis Factor-alpha (TNF-α), Intercellular Adhesion Molecule (ICAM), and Vascular Endothelial Growth Factor-A (VEGF-A).",
        "Results": "Patients experiencing postoperative discomfort (Group 2) showed significantly lower levels of IL-1β (p<0.01) compared to the asymptomatic group. Conversely, preoperative levels of IL-17A and TNF-α were significantly higher (p<0.01) in Group 2, suggesting a strong predictive value for these markers. While IL-6, IL-10, ICAM, and VEGF-A were elevated in the discomfort group, these specific increases did not reach statistical significance.",
        "Conclusions": "Specific tear biomarkers, particularly IL-1β, IL-17A, and TNF-α, are significantly associated with postoperative symptoms. This study, the first to use biomarker profiling for this purpose, suggests that preoperative screening can identify at-risk patients. Such a transformative approach allows for tailored preoperative treatments to mitigate ocular surface inflammation and enhance overall surgical outcomes and patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POCAT211",
      "abstract_number": "POCAT211",
      "title": "Metabolic Changes In Aqueous Humor And Prognostic Implications In Diabetic Retinopathy Patients Undergoing Cataract Surgery With Intravitreal Anti-Vegf Therapy",
      "authors": "Dr Yumeng Shi",
      "presenter": "Dr Yumeng Shi",
      "normalized_authors": [
        "Yumeng Shi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yumeng Shi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To explore changes in aqueous humor (AH) metabolites and their prognostic implications in NPDR patients undergoing cataract surgery (CS) with simultaneous intravitreal anti-VEGF injection.",
        "Setting": "A single-center, randomized, double-blind clinical trial conducted at the Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "A RCT with 48 eyes divided into experimental (CS with intravitreal Conbercept) and control (CS alone) groups. AH samples were collected intraoperatively and one week postoperatively. Ophthalmic examinations were performed at various intervals postoperatively.",
        "Results": "No significant pre- and post-operative AH metabolite changes were observed in the control group. However, significant changes were seen in the experimental group, notably GABA, acetylcarnitine, and oxoglutaric acid. Pathway analysis revealed associations with the Malate-Aspartate Shuttle, Glucose-Alanine Cycle, and Alanine Metabolism. Metabolites like 4-Hydroxybenzoic acid, Aminocaproic acid, and xylose demonstrated high predictive capability for prognosis.",
        "Conclusions": "AH metabolite levels remain relatively stable post-CS, but intraoperative anti-VEGF alters its profile. Personalized preventive measures for potential PCME in DR patients are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AH metabolite levels remain relatively stable post-CS, but intraoperative anti-VEGF alters its profile. Personalized preventive measures for potential PCME in DR patients are warranted.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 252,
      "source_fields": {
        "Abstract Final Identifier": "POCAT211",
        "Title": "Metabolic Changes In Aqueous Humor And Prognostic Implications In Diabetic Retinopathy Patients Undergoing Cataract Surgery With Intravitreal Anti-Vegf Therapy",
        "Presenting Author(s)": "Dr Yumeng Shi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yumeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shi",
        "Country Name": "China",
        "Purpose": "To explore changes in aqueous humor (AH) metabolites and their prognostic implications in NPDR patients undergoing cataract surgery (CS) with simultaneous intravitreal anti-VEGF injection.",
        "Setting": "A single-center, randomized, double-blind clinical trial conducted at the Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "A RCT with 48 eyes divided into experimental (CS with intravitreal Conbercept) and control (CS alone) groups. AH samples were collected intraoperatively and one week postoperatively. Ophthalmic examinations were performed at various intervals postoperatively.",
        "Results": "No significant pre- and post-operative AH metabolite changes were observed in the control group. However, significant changes were seen in the experimental group, notably GABA, acetylcarnitine, and oxoglutaric acid. Pathway analysis revealed associations with the Malate-Aspartate Shuttle, Glucose-Alanine Cycle, and Alanine Metabolism. Metabolites like 4-Hydroxybenzoic acid, Aminocaproic acid, and xylose demonstrated high predictive capability for prognosis.",
        "Conclusions": "AH metabolite levels remain relatively stable post-CS, but intraoperative anti-VEGF alters its profile. Personalized preventive measures for potential PCME in DR patients are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 158
    },
    {
      "uid": "POCAT212",
      "abstract_number": "POCAT212",
      "title": "Lens Thickness As A Predicting Factor For The Postoperative Outcomes After Cataract Surgery",
      "authors": "Prof. Flaka Shoshi",
      "presenter": "Prof. Flaka Shoshi",
      "normalized_authors": [
        "Flaka Shoshi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Flaka Shoshi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kosovo",
      "sections": {
        "Purpose": "This study aims to evaluate the role of the lens thickness on the postoperative outcomes after cataract surgery.",
        "Setting": "Lens thickness is one of the most important biometric factors that should be taken into consideration in the IOL calculation and planning. The lens thickness is considered a key parameter in the ELP prediction and in the postoperative refractive outcomes.",
        "Methods": "The study was structured as a cross-sectional, observational investigation conducted across two international clinical sites, where biometric data were collected from cataract patients planned for phacoemulsification with IOL implantation. The participating centers included the Department of Ophthalmology at Semmelweis University (Budapest, Hungary), and the University Clinical Center of Kosovo (Prishtina, Kosovo).\n\nA total of 1318 patients from two centers were included in the study, 911 Hungarian patients and 407 Kosovan patients.\n\nUsing Pearson’s correlation, we analyzed the correlation between lens thickness and the 1-month postoperative distance visual acuity in the two groups of patients.",
        "Results": "Mean lens thickness in Hungarian patients was 4.40 mm whreas in Kosovan patients mean lens thickness was 4.30 mm. There was a statistically significant difference (P=0.001), in the mean lens thickness between countries.\n\nAccording to our findings, there was a negative correlation (r = −0.096), which is statistically significant at the 1% level (p = 0.003), between the lens thickness and the distance visual acuity after surgery in Hungarian patients; therefore, the greater the lens thickness before surgery, the lower the postoperative visual outcome. On the other hand there was a positive correlation between visual acuity and lens thickness in Kosovan patients, with a coefficient of r = 0.030, which was not statistically significant.",
        "Conclusions": "In conclusion, according to our findings, lens thickness is an important prediciting factor for the postoperative refractive outcomes after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, according to our findings, lens thickness is an important prediciting factor for the postoperative refractive outcomes after cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 253,
      "source_fields": {
        "Abstract Final Identifier": "POCAT212",
        "Title": "Lens Thickness As A Predicting Factor For The Postoperative Outcomes After Cataract Surgery",
        "Presenting Author(s)": "Prof. Flaka Shoshi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Flaka",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shoshi",
        "Country Name": "Kosovo",
        "Purpose": "This study aims to evaluate the role of the lens thickness on the postoperative outcomes after cataract surgery.",
        "Setting": "Lens thickness is one of the most important biometric factors that should be taken into consideration in the IOL calculation and planning. The lens thickness is considered a key parameter in the ELP prediction and in the postoperative refractive outcomes.",
        "Methods": "The study was structured as a cross-sectional, observational investigation conducted across two international clinical sites, where biometric data were collected from cataract patients planned for phacoemulsification with IOL implantation. The participating centers included the Department of Ophthalmology at Semmelweis University (Budapest, Hungary), and the University Clinical Center of Kosovo (Prishtina, Kosovo).\n\nA total of 1318 patients from two centers were included in the study, 911 Hungarian patients and 407 Kosovan patients.\n\nUsing Pearson’s correlation, we analyzed the correlation between lens thickness and the 1-month postoperative distance visual acuity in the two groups of patients.",
        "Results": "Mean lens thickness in Hungarian patients was 4.40 mm whreas in Kosovan patients mean lens thickness was 4.30 mm. There was a statistically significant difference (P=0.001), in the mean lens thickness between countries.\n\nAccording to our findings, there was a negative correlation (r = −0.096), which is statistically significant at the 1% level (p = 0.003), between the lens thickness and the distance visual acuity after surgery in Hungarian patients; therefore, the greater the lens thickness before surgery, the lower the postoperative visual outcome. On the other hand there was a positive correlation between visual acuity and lens thickness in Kosovan patients, with a coefficient of r = 0.030, which was not statistically significant.",
        "Conclusions": "In conclusion, according to our findings, lens thickness is an important prediciting factor for the postoperative refractive outcomes after cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POCAT213",
      "abstract_number": "POCAT213",
      "title": "Diagonal Haptic Capture Of An Acrylic Intraocular Lens - Longterm Efficacy And Safety",
      "authors": "Prof. Dr Suphi Taneri",
      "presenter": "Prof. Dr Suphi Taneri",
      "normalized_authors": [
        "Suphi Taneri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Suphi Taneri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the long-term visual outcomes, stability, and safety of diagonal haptic capture (DHC) of a 4-haptic hydrophilic acrylic intraocular lens (Akreos adapt, Bausch&Lomb) in eyes with posterior capsule rupture and an intact anterior capsulorhexis.",
        "Setting": "Single tertiary referral center.",
        "Methods": "Medical records were reviewed for patients who underwent cataract surgery complicated by posterior capsule rupture and in whom DHC was used for IOL fixation between 2015 and 2023. Twenty eyes of 20 patients were identified. Fellow eyes with uneventful in-the-bag implantation of the same IOL model served as controls.",
        "Results": "Median follow-up was 2 years (mean 2.6±2.1 years; range 0–6 years) based on data from referring ophthalmologists, and 8 years (mean 6.0±2.8 years; range 2–9 years) for patients examined at the study center. I ntraocular pressure were comparable between groups, with no need of any glauboma medication. Mean postoperative corrected distance visual acuity did not differ significantly between DHC eyes and fellow eyes (p>0.4). All IOLs remained well centered with normal tilt throughout follow-up. No cases of pigment dispersion glaucoma, uveitis–glaucoma–hyphema syndrome, pseudophacodonesis, or late IOL dislocation were observed.",
        "Conclusions": "Diagonal haptic capture of a 4-haptic hydrophilic acrylic IOL provided stable long-term fixation, satisfactory visual and refractive outcomes, and a low incidence of complications. However, these results may be IOL-specific."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Diagonal haptic capture of a 4-haptic hydrophilic acrylic IOL provided stable long-term fixation, satisfactory visual and refractive outcomes, and a low incidence of complications. However, these results may be IOL-specific.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 254,
      "source_fields": {
        "Abstract Final Identifier": "POCAT213",
        "Title": "Diagonal Haptic Capture Of An Acrylic Intraocular Lens - Longterm Efficacy And Safety",
        "Presenting Author(s)": "Prof. Dr Suphi Taneri",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Suphi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Taneri",
        "Country Name": "Germany",
        "Purpose": "To evaluate the long-term visual outcomes, stability, and safety of diagonal haptic capture (DHC) of a 4-haptic hydrophilic acrylic intraocular lens (Akreos adapt, Bausch&Lomb) in eyes with posterior capsule rupture and an intact anterior capsulorhexis.",
        "Setting": "Single tertiary referral center.",
        "Methods": "Medical records were reviewed for patients who underwent cataract surgery complicated by posterior capsule rupture and in whom DHC was used for IOL fixation between 2015 and 2023. Twenty eyes of 20 patients were identified. Fellow eyes with uneventful in-the-bag implantation of the same IOL model served as controls.",
        "Results": "Median follow-up was 2 years (mean 2.6±2.1 years; range 0–6 years) based on data from referring ophthalmologists, and 8 years (mean 6.0±2.8 years; range 2–9 years) for patients examined at the study center. I ntraocular pressure were comparable between groups, with no need of any glauboma medication. Mean postoperative corrected distance visual acuity did not differ significantly between DHC eyes and fellow eyes (p>0.4). All IOLs remained well centered with normal tilt throughout follow-up. No cases of pigment dispersion glaucoma, uveitis–glaucoma–hyphema syndrome, pseudophacodonesis, or late IOL dislocation were observed.",
        "Conclusions": "Diagonal haptic capture of a 4-haptic hydrophilic acrylic IOL provided stable long-term fixation, satisfactory visual and refractive outcomes, and a low incidence of complications. However, these results may be IOL-specific."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCAT214",
      "abstract_number": "POCAT214",
      "title": "Anterior Capsular Fibrosis: A Potential Clinical Indicator Of Chronic Retinal Detachment In Mature Cataracts",
      "authors": "Dr Vinit Tanwar",
      "presenter": "Dr Vinit Tanwar",
      "normalized_authors": [
        "Vinit Tanwar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vinit Tanwar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report an observed association between a specific pattern of anterior capsular fibrosis and chronic retinal detachment (RD) in eyes with mature cataracts. The aim is to highlight this finding as a potential clinical clue for preoperative prognostication, particularly in resource-limited settings.",
        "Setting": "Iclinix advanced eye care,New Delhi , India",
        "Methods": "A retrospective, observational case series of three patients who presented with mature cataracts was conducted. Preoperative assessment included slit-lamp examination, intraocular pressure (IOP) measurement, and B-scan ultrasonography. The key finding investigated was a pattern of fibrotic wrinkling on the anterior lens capsule.",
        "Results": "All three patients presented with mature cataracts and a distinct pattern of anterior capsular fibrosis . Intraocular pressure was normal in all cases, and there were no overt signs of hypotony. In this small cohort, B-scan ultrasonography confirmed a chronic, total retinal detachment in each eye, correlating with the anterior segment finding.",
        "Conclusions": "The presence of anterior capsular fibrosis may be a useful indicator of underlying chronic RD in eyes with mature cataracts. While this finding is not definitive, its presence could prompt a higher index of suspicion for posterior pathology. Further studies with a larger case series are required to establish the predictive value of this observation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The presence of anterior capsular fibrosis may be a useful indicator of underlying chronic RD in eyes with mature cataracts. While this finding is not definitive, its presence could prompt a higher index of suspicion for posterior pathology. Further studies with a larger case series are required to establish the predictive value of this observation.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 255,
      "source_fields": {
        "Abstract Final Identifier": "POCAT214",
        "Title": "Anterior Capsular Fibrosis: A Potential Clinical Indicator Of Chronic Retinal Detachment In Mature Cataracts",
        "Presenting Author(s)": "Dr Vinit Tanwar",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Vinit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tanwar",
        "Country Name": "India",
        "Purpose": "To report an observed association between a specific pattern of anterior capsular fibrosis and chronic retinal detachment (RD) in eyes with mature cataracts. The aim is to highlight this finding as a potential clinical clue for preoperative prognostication, particularly in resource-limited settings.",
        "Setting": "Iclinix advanced eye care,New Delhi , India",
        "Methods": "A retrospective, observational case series of three patients who presented with mature cataracts was conducted. Preoperative assessment included slit-lamp examination, intraocular pressure (IOP) measurement, and B-scan ultrasonography. The key finding investigated was a pattern of fibrotic wrinkling on the anterior lens capsule.",
        "Results": "All three patients presented with mature cataracts and a distinct pattern of anterior capsular fibrosis . Intraocular pressure was normal in all cases, and there were no overt signs of hypotony. In this small cohort, B-scan ultrasonography confirmed a chronic, total retinal detachment in each eye, correlating with the anterior segment finding.",
        "Conclusions": "The presence of anterior capsular fibrosis may be a useful indicator of underlying chronic RD in eyes with mature cataracts. While this finding is not definitive, its presence could prompt a higher index of suspicion for posterior pathology. Further studies with a larger case series are required to establish the predictive value of this observation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 197
    },
    {
      "uid": "POCAT215",
      "abstract_number": "POCAT215",
      "title": "Implantation Of Capsular Tension Ring During Routine Phacoemulsification Surgery – Single Centre Analysis Moorfields Eye Hospital",
      "authors": "Dr Priyal Taribagil",
      "presenter": "Dr Priyal Taribagil",
      "normalized_authors": [
        "Priyal Taribagil"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Priyal Taribagil",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "A capsular tension ring (CTR) is designed to maintain the contour of the capsular bag during and after cataract removal. Over the years, CTR implantation is becoming increasingly common with multiple types of design and insertion techniques. Common indications for CTR in the literature include zonular weakness, dense cataracts and pseudoexfoliation syndrome. Standardised guidelines for CTR insertion, and the decision to implant intraoperatively is determined by the individual surgeon. The aim of this audit was to assess the rates of capsular tension ring insertion across all Moorfields Eye Hospital sites in London over a 10-year period. Sub-analysis on the indications and associated factors was also conducted.",
        "Setting": "Ophthalmology department at Moorfields Eye Hospital, the largest tertiary referral hospital in London.",
        "Methods": "All patients that underwent routine phacoemulsification and intraocular lens insertion at Moorfields Eye Hospital and required a capsular tension ring insertion between the dates of 01/01/2014 to 31/12/2024 were included in this study. Patients requiring additional surgery (corneal grafts, glaucoma implants) were excluded. OpenEyes database and software was used to extract and collate the data. Sub-analysis was conducted on the patient demographic data including age, gender, co-morbidities. Lens type and power were extracted from the OpenEyes operation note. Additional risk factors and challenges intraoperatively were extracted from free text notes. Results were analysed using SPSS statistical software (Version 18.0, IBM, Armonk, NY, USA).",
        "Results": "4469 patients (2343 female, 2127 males) underwent CTR insertion during their routine phacoemulsification and intraocular lens insertion, over the 10 year period at Moorfields Eye Hospital. 16 patients were excluded from the analysis as they had undergone complex glaucoma shunts and corneal graft procedures at the same time. The City Road site was noted to have the highest rate of CTR insertion (2322/4470). There was a gradual increase in CTR insertion from 132 cases in 2014, to 597 in 2024 (with the highest rates noted in 2022 – 699). Average lens power insertion 18.8. Common risk factors for CTR insertion included zonular dehiscence noted during surgery, high myopia, floppy iris, mature cataract, trauma and pseudoexfoliation syndrome.",
        "Conclusions": "Frequency of CTR insertion has increased gradually over the years, this is likely due to greater understanding and recognition of its use as well as a generalised increase in the complexity of cataracts operated in tertiary units. Although there are no fixed guidelines, CTR implantation is commonly indicated for patients with known risk factors of mature cataracts, trauma, pseudoexfoliation and intraoperative zonular dehiscence. Timely recognition of its need is key to ensuring better surgical and visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Frequency of CTR insertion has increased gradually over the years, this is likely due to greater understanding and recognition of its use as well as a generalised increase in the complexity of cataracts operated in tertiary units. Although there are no fixed guidelines, CTR implantation is commonly indicated for patients with known risk factors of mature cataracts, trauma, pseudoexfoliation and intraoperative…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 256,
      "source_fields": {
        "Abstract Final Identifier": "POCAT215",
        "Title": "Implantation Of Capsular Tension Ring During Routine Phacoemulsification Surgery – Single Centre Analysis Moorfields Eye Hospital",
        "Presenting Author(s)": "Dr Priyal Taribagil",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Priyal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Taribagil",
        "Country Name": "United Kingdom",
        "Purpose": "A capsular tension ring (CTR) is designed to maintain the contour of the capsular bag during and after cataract removal. Over the years, CTR implantation is becoming increasingly common with multiple types of design and insertion techniques. Common indications for CTR in the literature include zonular weakness, dense cataracts and pseudoexfoliation syndrome. Standardised guidelines for CTR insertion, and the decision to implant intraoperatively is determined by the individual surgeon. The aim of this audit was to assess the rates of capsular tension ring insertion across all Moorfields Eye Hospital sites in London over a 10-year period. Sub-analysis on the indications and associated factors was also conducted.",
        "Setting": "Ophthalmology department at Moorfields Eye Hospital, the largest tertiary referral hospital in London.",
        "Methods": "All patients that underwent routine phacoemulsification and intraocular lens insertion at Moorfields Eye Hospital and required a capsular tension ring insertion between the dates of 01/01/2014 to 31/12/2024 were included in this study. Patients requiring additional surgery (corneal grafts, glaucoma implants) were excluded. OpenEyes database and software was used to extract and collate the data. Sub-analysis was conducted on the patient demographic data including age, gender, co-morbidities. Lens type and power were extracted from the OpenEyes operation note. Additional risk factors and challenges intraoperatively were extracted from free text notes. Results were analysed using SPSS statistical software (Version 18.0, IBM, Armonk, NY, USA).",
        "Results": "4469 patients (2343 female, 2127 males) underwent CTR insertion during their routine phacoemulsification and intraocular lens insertion, over the 10 year period at Moorfields Eye Hospital. 16 patients were excluded from the analysis as they had undergone complex glaucoma shunts and corneal graft procedures at the same time. The City Road site was noted to have the highest rate of CTR insertion (2322/4470). There was a gradual increase in CTR insertion from 132 cases in 2014, to 597 in 2024 (with the highest rates noted in 2022 – 699). Average lens power insertion 18.8. Common risk factors for CTR insertion included zonular dehiscence noted during surgery, high myopia, floppy iris, mature cataract, trauma and pseudoexfoliation syndrome.",
        "Conclusions": "Frequency of CTR insertion has increased gradually over the years, this is likely due to greater understanding and recognition of its use as well as a generalised increase in the complexity of cataracts operated in tertiary units. Although there are no fixed guidelines, CTR implantation is commonly indicated for patients with known risk factors of mature cataracts, trauma, pseudoexfoliation and intraoperative zonular dehiscence. Timely recognition of its need is key to ensuring better surgical and visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 421
    },
    {
      "uid": "POCAT216",
      "abstract_number": "POCAT216",
      "title": "Selection Criteria For Patients With High Visual Acuity For Cataract Surgery",
      "authors": "Dr Elena Titarenko",
      "presenter": "Dr Elena Titarenko",
      "normalized_authors": [
        "Elena Titarenko"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elena Titarenko",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "to develop and scientifically substantiate individual criteria for decision making surgical treatment of cataracts with high visual acuity",
        "Setting": "IRTC Eye Microsurgery Ekaterinburg Center , Ekaterinburg, Russia.",
        "Methods": "The study enrolled 269 patients . The first stage involved a comparative analysis of clinical and functional parameters in 243 eyes with early cataract (cortical, nuclear, and posterior subcapsular) and 75 eyes without cataract. The second stage included assess ment of the eff icacy of the developed algorithm for the treatment of early cataracts by analyzing the clinical and functional results after phaco with IOL implantation. All the patients underwent wavefront analysis using the i Trace aberrometer. Total, corneal, and internal wavefront aberrations were studied with pupil diameter of 5.0 mm. T he MTF and light scattering function was assessed. All the patients filled out a questionnaire .",
        "Results": "The study results demonstrated a significant increase in internal higher-order aberrations, while the corneal profile remained stable. The nature of optical aberrations corresponded to the cataract type and also correlated with optical phenomena reported in the questionnaire. Nuclear opacities were found to induce a negative shift in spherical aberration, cortical opacities - to increase coma, and posterior capsular opacities - to increase trefoil aberrations.\n\nA decrease in the modulation transfer function (MTF) and the Strehl ratio, most pronounced in posterior capsular cataracts and under mesopic conditions, objectifies the patients' complaints.",
        "Conclusions": "Selection criteria for patients with high visual acuity for cataract surgery have been developed. Questionnaires allow more accurate identification of visual discomfort which may not be reflected in standard visual acuity tests. Aberrometry plays a key role in assessing the functional state of vision. This stresses the importance of comp lex approach to early cataract diagnostics , inc luding both objective and subjective methods, for better understand ing of the disease impact on patients' quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Selection criteria for patients with high visual acuity for cataract surgery have been developed. Questionnaires allow more accurate identification of visual discomfort which may not be reflected in standard visual acuity tests. Aberrometry plays a key role in assessing the functional state of vision. This stresses the importance of comp lex approach to early cataract diagnostics , inc luding both objective and…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 257,
      "source_fields": {
        "Abstract Final Identifier": "POCAT216",
        "Title": "Selection Criteria For Patients With High Visual Acuity For Cataract Surgery",
        "Presenting Author(s)": "Dr Elena Titarenko",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Elena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Titarenko",
        "Country Name": "Russian Federation",
        "Purpose": "to develop and scientifically substantiate individual criteria for decision making surgical treatment of cataracts with high visual acuity",
        "Setting": "IRTC Eye Microsurgery Ekaterinburg Center , Ekaterinburg, Russia.",
        "Methods": "The study enrolled 269 patients . The first stage involved a comparative analysis of clinical and functional parameters in 243 eyes with early cataract (cortical, nuclear, and posterior subcapsular) and 75 eyes without cataract. The second stage included assess ment of the eff icacy of the developed algorithm for the treatment of early cataracts by analyzing the clinical and functional results after phaco with IOL implantation. All the patients underwent wavefront analysis using the i Trace aberrometer. Total, corneal, and internal wavefront aberrations were studied with pupil diameter of 5.0 mm. T he MTF and light scattering function was assessed. All the patients filled out a questionnaire .",
        "Results": "The study results demonstrated a significant increase in internal higher-order aberrations, while the corneal profile remained stable. The nature of optical aberrations corresponded to the cataract type and also correlated with optical phenomena reported in the questionnaire. Nuclear opacities were found to induce a negative shift in spherical aberration, cortical opacities - to increase coma, and posterior capsular opacities - to increase trefoil aberrations.\n\nA decrease in the modulation transfer function (MTF) and the Strehl ratio, most pronounced in posterior capsular cataracts and under mesopic conditions, objectifies the patients' complaints.",
        "Conclusions": "Selection criteria for patients with high visual acuity for cataract surgery have been developed. Questionnaires allow more accurate identification of visual discomfort which may not be reflected in standard visual acuity tests. Aberrometry plays a key role in assessing the functional state of vision. This stresses the importance of comp lex approach to early cataract diagnostics , inc luding both objective and subjective methods, for better understand ing of the disease impact on patients' quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT217",
      "abstract_number": "POCAT217",
      "title": "Operating Under Pressure – Incidence And Management Of Acute Intraoperative Rock-Hard Eye Syndrome During Cataract Surgery Causing Delayed Completion Of Surgery",
      "authors": "Mr Sinmiloluwa Tokede",
      "presenter": "Mr Sinmiloluwa Tokede",
      "normalized_authors": [
        "Sinmiloluwa Tokede"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sinmiloluwa Tokede",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To determine the incidence of “hard eye” during phacoemulsification cataract surgery, and to evaluate outcomes following medical management with delayed completion of surgery at a single eye centre.",
        "Setting": "Single high-volume specialist eye centre, over a 43-month period.",
        "Methods": "Retrospective review of all consecutive phacoemulsification and intraocular lens insertion procedures performed over a 43-month period (11,600 eyes). Case documenting an intraoperative hard eyes were identified. Operative recordings and case notes were analysed to classify underlying cause (aqueous misdirection, subchoroidal haemorrhage (SCH) or choroidal effusion), stage of surgery at abandonment, management strategy, biometry and epidemiological data.",
        "Results": "Among 11,600 eyes, 14 cases (0.12%) of intraoperative hard eye were identified: 10 aqueous misdirection (0.09%), 2 SCH (0.02%), and 2 choroidal effusion (0.02%). Surgeries were abandoned at various stages and managed with oral acetazolamide and topical intraocular pressure-lowering therapy as well as increased frequency of dexamethasone and ketorolac drops postoperatively prior to delayed completion. All completed cases achieved successful intraocular lens insertion within the capsular bag. Maximum delay to completion was 77 days; one patient remains awaiting secondary surgery. The most common complication was iris trauma (4 cases).",
        "Conclusions": "Intraoperative hard eye during cataract surgery is rare but clinically significant. In this series, aqueous misdirection was more common than SCH and choroidal effusion. Medical reduction of intraocular pressure with planned delayed completion allowed safe secondary surgery with successful capsular bag intraocular lens implantation in all completed cases. This conservative strategy represents a pragmatic and reproducible management approach for surgeons encountering this complication in routine cataract practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraoperative hard eye during cataract surgery is rare but clinically significant. In this series, aqueous misdirection was more common than SCH and choroidal effusion. Medical reduction of intraocular pressure with planned delayed completion allowed safe secondary surgery with successful capsular bag intraocular lens implantation in all completed cases. This conservative strategy represents a pragmatic and…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 258,
      "source_fields": {
        "Abstract Final Identifier": "POCAT217",
        "Title": "Operating Under Pressure – Incidence And Management Of Acute Intraoperative Rock-Hard Eye Syndrome During Cataract Surgery Causing Delayed Completion Of Surgery",
        "Presenting Author(s)": "Mr Sinmiloluwa Tokede",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sinmiloluwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tokede",
        "Country Name": "United Kingdom",
        "Purpose": "To determine the incidence of “hard eye” during phacoemulsification cataract surgery, and to evaluate outcomes following medical management with delayed completion of surgery at a single eye centre.",
        "Setting": "Single high-volume specialist eye centre, over a 43-month period.",
        "Methods": "Retrospective review of all consecutive phacoemulsification and intraocular lens insertion procedures performed over a 43-month period (11,600 eyes). Case documenting an intraoperative hard eyes were identified. Operative recordings and case notes were analysed to classify underlying cause (aqueous misdirection, subchoroidal haemorrhage (SCH) or choroidal effusion), stage of surgery at abandonment, management strategy, biometry and epidemiological data.",
        "Results": "Among 11,600 eyes, 14 cases (0.12%) of intraoperative hard eye were identified: 10 aqueous misdirection (0.09%), 2 SCH (0.02%), and 2 choroidal effusion (0.02%). Surgeries were abandoned at various stages and managed with oral acetazolamide and topical intraocular pressure-lowering therapy as well as increased frequency of dexamethasone and ketorolac drops postoperatively prior to delayed completion. All completed cases achieved successful intraocular lens insertion within the capsular bag. Maximum delay to completion was 77 days; one patient remains awaiting secondary surgery. The most common complication was iris trauma (4 cases).",
        "Conclusions": "Intraoperative hard eye during cataract surgery is rare but clinically significant. In this series, aqueous misdirection was more common than SCH and choroidal effusion. Medical reduction of intraocular pressure with planned delayed completion allowed safe secondary surgery with successful capsular bag intraocular lens implantation in all completed cases. This conservative strategy represents a pragmatic and reproducible management approach for surgeons encountering this complication in routine cataract practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "POCAT218",
      "abstract_number": "POCAT218",
      "title": "Unexpected Posterior Ischemic Optic Neuropathy After Uneventful Cataract Surgery: First Presentation Of Significant Carotid Stenosis",
      "authors": "Dr Anastasia Tsiogka",
      "presenter": "Dr Anastasia Tsiogka",
      "normalized_authors": [
        "Anastasia Tsiogka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anastasia Tsiogka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report a case of posterior ischemic optic neuropathy (PION) occurring after uncomplicated cataract surgery, which led to the diagnosis of severe bilateral carotid artery stenosis (CAS), and to emphasize the importance of vascular evaluation in cases of unexplained postoperative vision loss.",
        "Setting": "Tertiary care ophthalmology department.",
        "Methods": "A 69-year-old male with pseudoexfoliation syndrome and nuclear cataract (BCVA 3/10 OD, 5/10 OS) underwent uncomplicated phacoemulsification in the right eye. Due to zonular instability, a sulcus intraocular lens was implanted. Early postoperative intraocular pressure elevation from retained viscoelastic was managed successfully. During follow-up, progressive visual decline occurred without identifiable anterior or posterior segment pathology. Visual field testing showed complete visual field loss in the operated eye. Suspecting posterior ischemic optic neuropathy, systemic evaluation including laboratory workup and carotid Doppler ultrasonography was performed.",
        "Results": "Carotid imaging revealed severe bilateral carotid artery stenosis, with 90% obstruction of the right carotid artery and 80% obstruction of the left carotid artery. These findings confirmed the diagnosis of PION and established it as the first clinical manifestation of previously undiagnosed CAS.",
        "Conclusions": "PION after apparently uncomplicated cataract surgery may represent an early warning sign of significant carotid artery stenosis. Unexplained postoperative vision loss warrants prompt neuro-ophthalmic and vascular assessment. Early recognition of underlying carotid disease is crucial, as timely intervention may prevent further visual loss and potentially life-threatening cerebrovascular events."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PION after apparently uncomplicated cataract surgery may represent an early warning sign of significant carotid artery stenosis. Unexplained postoperative vision loss warrants prompt neuro-ophthalmic and vascular assessment. Early recognition of underlying carotid disease is crucial, as timely intervention may prevent further visual loss and potentially life-threatening cerebrovascular events.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 259,
      "source_fields": {
        "Abstract Final Identifier": "POCAT218",
        "Title": "Unexpected Posterior Ischemic Optic Neuropathy After Uneventful Cataract Surgery: First Presentation Of Significant Carotid Stenosis",
        "Presenting Author(s)": "Dr Anastasia Tsiogka",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Anastasia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsiogka",
        "Country Name": "Greece",
        "Purpose": "To report a case of posterior ischemic optic neuropathy (PION) occurring after uncomplicated cataract surgery, which led to the diagnosis of severe bilateral carotid artery stenosis (CAS), and to emphasize the importance of vascular evaluation in cases of unexplained postoperative vision loss.",
        "Setting": "Tertiary care ophthalmology department.",
        "Methods": "A 69-year-old male with pseudoexfoliation syndrome and nuclear cataract (BCVA 3/10 OD, 5/10 OS) underwent uncomplicated phacoemulsification in the right eye. Due to zonular instability, a sulcus intraocular lens was implanted. Early postoperative intraocular pressure elevation from retained viscoelastic was managed successfully. During follow-up, progressive visual decline occurred without identifiable anterior or posterior segment pathology. Visual field testing showed complete visual field loss in the operated eye. Suspecting posterior ischemic optic neuropathy, systemic evaluation including laboratory workup and carotid Doppler ultrasonography was performed.",
        "Results": "Carotid imaging revealed severe bilateral carotid artery stenosis, with 90% obstruction of the right carotid artery and 80% obstruction of the left carotid artery. These findings confirmed the diagnosis of PION and established it as the first clinical manifestation of previously undiagnosed CAS.",
        "Conclusions": "PION after apparently uncomplicated cataract surgery may represent an early warning sign of significant carotid artery stenosis. Unexplained postoperative vision loss warrants prompt neuro-ophthalmic and vascular assessment. Early recognition of underlying carotid disease is crucial, as timely intervention may prevent further visual loss and potentially life-threatening cerebrovascular events."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "POCAT219",
      "abstract_number": "POCAT219",
      "title": "Inflammatory Disease, Preoperative Retinal Changes And Postoperative Macular Edema",
      "authors": "Dr Burak Vargeloğlu",
      "presenter": "Dr Burak Vargeloğlu",
      "normalized_authors": [
        "Burak Vargeloğlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Burak Vargeloğlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "In a patient with rheumatoid arthritis and hypertension, who showed subtle intraretinal cystic changes on preoperative optical coherence tomography, we present a case of cystoid macular edema developing after cataract surgery. Our aim is to highlight the importance of careful evaluation of preoperative retinal changes and the role of the underlying inflammatory milieu.",
        "Setting": "This study was prepared based on the findings obtained during the diagnosis, monitoring, and treatment of a patient who developed cystoid macular edema following cataract surgery at Dışkapı Yıldırım Beyazıt Training and Research Hospital in October 2025.",
        "Methods": "A patient with a history of hypertension and rheumatoid arthritis, receiving hydroxychloroquine, presented with decreased vision in the right eye. The left eye had undergone cataract surgery several years earlier, with two postoperative injections. Biomicroscopic examination of the right eye revealed corticonuclear and posterior subcapsular cataract, while fundus examination was unremarkable. Preoperative optical coherence tomography showed limited intraretinal cystic changes in the macular region. Cataract surgery of the right eye was subsequently planned.",
        "Results": "On the first postoperative day, the patient’s visual acuity was fully assessed. Optical coherence tomography performed on the fifth postoperative day showed a reduction in intraretinal cystic changes. At the one-month follow-up, the patient’s visual acuity decreased to 0.4 and optical coherence tomography revealed cystoid macular edema. The patient was treated with topical nepafenac and subtenon triamcinolone acetonide injection. Following treatment, visual acuity improved and the cystoid macular edema resolved.",
        "Conclusions": "Cystoid macular edema is a significant postoperative complication that can reduce visual acuity and is associated with inflammatory disruption of the blood-retina barrier.Known risk factors include diabetes mellitus,uveitis,retinal vein occlusion,epiretinal membrane and surgical complications.In this case,the patient’s history of hypertension and rheumatoid arthritis,prior cataract surgery in the fellow eye with possible subtenon or intravitreal injections and preoperative OCT showing intraretinal cystic changes were identified as risk factors for postoperative cystoid macular edema.Patients with systemic inflammatory diseases and preoperative retinal changes should be closely monitored and prophylactic strategies should be considered."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cystoid macular edema is a significant postoperative complication that can reduce visual acuity and is associated with inflammatory disruption of the blood-retina barrier.Known risk factors include diabetes mellitus,uveitis,retinal vein occlusion,epiretinal membrane and surgical complications.In this case,the patient’s history of hypertension and rheumatoid arthritis,prior cataract surgery in the fellow eye with…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 260,
      "source_fields": {
        "Abstract Final Identifier": "POCAT219",
        "Title": "Inflammatory Disease, Preoperative Retinal Changes And Postoperative Macular Edema",
        "Presenting Author(s)": "Dr Burak Vargeloğlu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Burak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vargeloğlu",
        "Country Name": "Türkiye",
        "Purpose": "In a patient with rheumatoid arthritis and hypertension, who showed subtle intraretinal cystic changes on preoperative optical coherence tomography, we present a case of cystoid macular edema developing after cataract surgery. Our aim is to highlight the importance of careful evaluation of preoperative retinal changes and the role of the underlying inflammatory milieu.",
        "Setting": "This study was prepared based on the findings obtained during the diagnosis, monitoring, and treatment of a patient who developed cystoid macular edema following cataract surgery at Dışkapı Yıldırım Beyazıt Training and Research Hospital in October 2025.",
        "Methods": "A patient with a history of hypertension and rheumatoid arthritis, receiving hydroxychloroquine, presented with decreased vision in the right eye. The left eye had undergone cataract surgery several years earlier, with two postoperative injections. Biomicroscopic examination of the right eye revealed corticonuclear and posterior subcapsular cataract, while fundus examination was unremarkable. Preoperative optical coherence tomography showed limited intraretinal cystic changes in the macular region. Cataract surgery of the right eye was subsequently planned.",
        "Results": "On the first postoperative day, the patient’s visual acuity was fully assessed. Optical coherence tomography performed on the fifth postoperative day showed a reduction in intraretinal cystic changes. At the one-month follow-up, the patient’s visual acuity decreased to 0.4 and optical coherence tomography revealed cystoid macular edema. The patient was treated with topical nepafenac and subtenon triamcinolone acetonide injection. Following treatment, visual acuity improved and the cystoid macular edema resolved.",
        "Conclusions": "Cystoid macular edema is a significant postoperative complication that can reduce visual acuity and is associated with inflammatory disruption of the blood-retina barrier.Known risk factors include diabetes mellitus,uveitis,retinal vein occlusion,epiretinal membrane and surgical complications.In this case,the patient’s history of hypertension and rheumatoid arthritis,prior cataract surgery in the fellow eye with possible subtenon or intravitreal injections and preoperative OCT showing intraretinal cystic changes were identified as risk factors for postoperative cystoid macular edema.Patients with systemic inflammatory diseases and preoperative retinal changes should be closely monitored and prophylactic strategies should be considered."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POCAT220",
      "abstract_number": "POCAT220",
      "title": "Intraoperative Detection Of Non-Flap Descemet Membrane Detachment During Cataract Surgery In Two Patients",
      "authors": "Dr Wan-Lin Wu",
      "presenter": "Dr Wan-Lin Wu",
      "normalized_authors": [
        "Wan-Lin Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wan-Lin Wu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To report signs of non-flap, planar Descemet membrane detachment during phacoemulsification.",
        "Setting": "Descemet membrane detachment (DMD) is a significant complication during phacoemulsification. While flap-type detachments are commonly apparent, non-flap, planar DMD can be subtle and hard to detect. Early recognition of DMD facilitate prompt management and improves surgical outcome.",
        "Methods": "We present two cases of intraoperatively detected non-flap, planar DMD which occurred at different surgical stages during phacoemulsification, with distinct intraoperative presentation. In both cases, the detachments were identified during surgery and intraoperative reattachment were accomplished.",
        "Results": "During the early postoperative period, both patients had clear cornea and good visual outcome.",
        "Conclusions": "Early recognition of DMD allows prompt management and can lead to favorable anatomical and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early recognition of DMD allows prompt management and can lead to favorable anatomical and functional outcomes.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 261,
      "source_fields": {
        "Abstract Final Identifier": "POCAT220",
        "Title": "Intraoperative Detection Of Non-Flap Descemet Membrane Detachment During Cataract Surgery In Two Patients",
        "Presenting Author(s)": "Dr Wan-Lin Wu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Wan-Lin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wu",
        "Country Name": "Taiwan",
        "Purpose": "To report signs of non-flap, planar Descemet membrane detachment during phacoemulsification.",
        "Setting": "Descemet membrane detachment (DMD) is a significant complication during phacoemulsification. While flap-type detachments are commonly apparent, non-flap, planar DMD can be subtle and hard to detect. Early recognition of DMD facilitate prompt management and improves surgical outcome.",
        "Methods": "We present two cases of intraoperatively detected non-flap, planar DMD which occurred at different surgical stages during phacoemulsification, with distinct intraoperative presentation. In both cases, the detachments were identified during surgery and intraoperative reattachment were accomplished.",
        "Results": "During the early postoperative period, both patients had clear cornea and good visual outcome.",
        "Conclusions": "Early recognition of DMD allows prompt management and can lead to favorable anatomical and functional outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 114
    },
    {
      "uid": "POCAT221",
      "abstract_number": "POCAT221",
      "title": "Clinical Outcomes Of Polyvinylidene Fluoride Suture In Scleral-Fixated Intraocular Lens Implantation",
      "authors": "Veli Cihan Yavuz",
      "presenter": "Veli Cihan Yavuz",
      "normalized_authors": [
        "Veli Cihan Yavuz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Veli Cihan Yavuz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of polyvinylidene fluoride (PVDF) suture use in sutured scleral-fixated intraocular lens (SF-IOL) implantation performed with the Z-suture technique.",
        "Setting": "Retrospective, single center study. Patients were evaluated preoperatively and postoperatively at 1, 3, and 6 months, 1 and 2 year and subsequently at 1-year intervals.",
        "Methods": "In this retrospective study, eight patients who underwent scleral-fixated intraocular lens implantation using the Z-suture technique with double-armed 10-0 PVDF sutures and had a minimum postoperative follow-up of 24 months were included. The PVDF sutures were secured to the haptics of a three-piece hydrophobic MA60 intraocular lens. After passing the PVDF sutures through the sclera, the foldable IOL was inserted into the eye through a 4-mm corneal incision. The IOL was then fixated to the sclera using the Z-suture technique. Assessments included uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), intraocular pressure (IOP), and anterior segment biomicroscopy.",
        "Results": "The mean age of the patients was 63.9 ± 5.1 years. The mean postoperative follow-up period was 29.6 ± 4.7 months. Mean preoperative UCVA was 2.04 ± 0.45 logMAR, which improved to 0.85 ± 0.56 logMAR at postoperative at 2 year (p = 0.00014). Mean BCVA was 1.00 ± 0.56 logMAR preoperatively and 0.67 ± 0.63 logMAR at postoperative at 2 year (p = 0.475). During follow-up, no suture-related complications, persistent intraocular pressure elevation, IOL dislocation, or lens tilt were observed. Cystoid macular edema developed in two patients (25%) at postoperative month 1, and retinal detachment occurred in one patient (12.5%).",
        "Conclusions": "The use of PVDF sutures in sutured scleral-fixated IOL implantation appears to be a stable, effective, and safe technique in terms of suture-related complications. However, long-term outcomes should be evaluated in larger patient cohorts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The use of PVDF sutures in sutured scleral-fixated IOL implantation appears to be a stable, effective, and safe technique in terms of suture-related complications. However, long-term outcomes should be evaluated in larger patient cohorts.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 262,
      "source_fields": {
        "Abstract Final Identifier": "POCAT221",
        "Title": "Clinical Outcomes Of Polyvinylidene Fluoride Suture In Scleral-Fixated Intraocular Lens Implantation",
        "Presenting Author(s)": "Veli Cihan Yavuz",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Veli Cihan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yavuz",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the clinical outcomes of polyvinylidene fluoride (PVDF) suture use in sutured scleral-fixated intraocular lens (SF-IOL) implantation performed with the Z-suture technique.",
        "Setting": "Retrospective, single center study. Patients were evaluated preoperatively and postoperatively at 1, 3, and 6 months, 1 and 2 year and subsequently at 1-year intervals.",
        "Methods": "In this retrospective study, eight patients who underwent scleral-fixated intraocular lens implantation using the Z-suture technique with double-armed 10-0 PVDF sutures and had a minimum postoperative follow-up of 24 months were included. The PVDF sutures were secured to the haptics of a three-piece hydrophobic MA60 intraocular lens. After passing the PVDF sutures through the sclera, the foldable IOL was inserted into the eye through a 4-mm corneal incision. The IOL was then fixated to the sclera using the Z-suture technique. Assessments included uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), intraocular pressure (IOP), and anterior segment biomicroscopy.",
        "Results": "The mean age of the patients was 63.9 ± 5.1 years. The mean postoperative follow-up period was 29.6 ± 4.7 months. Mean preoperative UCVA was 2.04 ± 0.45 logMAR, which improved to 0.85 ± 0.56 logMAR at postoperative at 2 year (p = 0.00014). Mean BCVA was 1.00 ± 0.56 logMAR preoperatively and 0.67 ± 0.63 logMAR at postoperative at 2 year (p = 0.475). During follow-up, no suture-related complications, persistent intraocular pressure elevation, IOL dislocation, or lens tilt were observed. Cystoid macular edema developed in two patients (25%) at postoperative month 1, and retinal detachment occurred in one patient (12.5%).",
        "Conclusions": "The use of PVDF sutures in sutured scleral-fixated IOL implantation appears to be a stable, effective, and safe technique in terms of suture-related complications. However, long-term outcomes should be evaluated in larger patient cohorts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT222",
      "abstract_number": "POCAT222",
      "title": "Methodology For Development Of Consensus Guidelines On Root Cause Analysis And Corrective And Preventive Actions For Common Adverse Events In Ophthalmology",
      "authors": "Dr Samina Zamindar",
      "presenter": "Dr Samina Zamindar",
      "normalized_authors": [
        "Samina Zamindar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Samina Zamindar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Adverse event analysis and preventive actions are the cornerstone of patient safety. To develop a first-of-its-kind structured, consensus-based methodology for Root Cause Analysis (RCA) and corrective and preventive action (CAPA) for common adverse events in ophthalmology. The initiative aimed to formulate a standard guide for institutional processes for identifying, analysing, and preventing adverse events, including near-miss and no-harm incidents, through multidisciplinary and multicentric collaboration using established quality improvement tools.",
        "Setting": "At times of crisis after adverse events ranging from endophthalmitis to medication errors, a structured guide for RCA and CAPA can be valuable, which we found was not available. Multidisciplinary eye care professionals from Seva Foundation partner hospitals across India, Nepal, and Cambodia came together to discuss quality and patient safety standards. A four-phased review process was carried out as part of these workshops amongst teams who participated between June 2023 and October 2024.",
        "Methods": "Four structured RCA workshops were conducted in June 2023 (33 participants), January 2024 (12 participants), June 2024 (40 participants), and October 2024 (14 participants). A total of 99 multidisciplinary eye care professionals participated, including ophthalmologists, anesthesiologists, nurses, optometrists, managers, maintenance support staff, and biomedical engineers. Two RCA tools, Ishikawa/ cause-and-effect diagram and 5-Why analysis, were systematically applied to common adverse event scenarios to develop CAPA. Iterative consensus-building was achieved through structured group deliberation, followed by independent subject-matter expert review before finalisation.",
        "Results": "The initiative produced a consensus-based practical guide addressing Root Cause Analysis of common ophthalmic adverse events. Recurrent system-level vulnerabilities identified included the absence of standardised operating procedures, variability in staff training, communication failures, and limited monitoring mechanisms. Priority risk domains included cataract surgery, anaesthesia safety, infection prevention, medication management, emergency preparedness, and subspecialty services. The finalised framework provides structured RCA workflows, corrective and preventive action pathways, and standardised reporting processes for adverse, near-miss, and no-harm events to promote institutional learning and safety improvement.",
        "Conclusions": "Consensus-based development of an RCA & CAPA guide in ophthalmology is feasible across diverse eyecare settings. Our study can help encourage structured collaborative efforts to develop a similar guide for other regions of the world. This serves as a reproducible model that emphasises system-based preventive actions. Our guide is available for wider adoption of standardised RCA processes and aims at supporting sustained improvements in patient safety and quality in ophthalmic practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Consensus-based development of an RCA & CAPA guide in ophthalmology is feasible across diverse eyecare settings. Our study can help encourage structured collaborative efforts to develop a similar guide for other regions of the world. This serves as a reproducible model that emphasises system-based preventive actions. Our guide is available for wider adoption of standardised RCA processes and aims at supporting…",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 263,
      "source_fields": {
        "Abstract Final Identifier": "POCAT222",
        "Title": "Methodology For Development Of Consensus Guidelines On Root Cause Analysis And Corrective And Preventive Actions For Common Adverse Events In Ophthalmology",
        "Presenting Author(s)": "Dr Samina Zamindar",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Samina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zamindar",
        "Country Name": "India",
        "Purpose": "Adverse event analysis and preventive actions are the cornerstone of patient safety. To develop a first-of-its-kind structured, consensus-based methodology for Root Cause Analysis (RCA) and corrective and preventive action (CAPA) for common adverse events in ophthalmology. The initiative aimed to formulate a standard guide for institutional processes for identifying, analysing, and preventing adverse events, including near-miss and no-harm incidents, through multidisciplinary and multicentric collaboration using established quality improvement tools.",
        "Setting": "At times of crisis after adverse events ranging from endophthalmitis to medication errors, a structured guide for RCA and CAPA can be valuable, which we found was not available. Multidisciplinary eye care professionals from Seva Foundation partner hospitals across India, Nepal, and Cambodia came together to discuss quality and patient safety standards. A four-phased review process was carried out as part of these workshops amongst teams who participated between June 2023 and October 2024.",
        "Methods": "Four structured RCA workshops were conducted in June 2023 (33 participants), January 2024 (12 participants), June 2024 (40 participants), and October 2024 (14 participants). A total of 99 multidisciplinary eye care professionals participated, including ophthalmologists, anesthesiologists, nurses, optometrists, managers, maintenance support staff, and biomedical engineers. Two RCA tools, Ishikawa/ cause-and-effect diagram and 5-Why analysis, were systematically applied to common adverse event scenarios to develop CAPA. Iterative consensus-building was achieved through structured group deliberation, followed by independent subject-matter expert review before finalisation.",
        "Results": "The initiative produced a consensus-based practical guide addressing Root Cause Analysis of common ophthalmic adverse events. Recurrent system-level vulnerabilities identified included the absence of standardised operating procedures, variability in staff training, communication failures, and limited monitoring mechanisms. Priority risk domains included cataract surgery, anaesthesia safety, infection prevention, medication management, emergency preparedness, and subspecialty services. The finalised framework provides structured RCA workflows, corrective and preventive action pathways, and standardised reporting processes for adverse, near-miss, and no-harm events to promote institutional learning and safety improvement.",
        "Conclusions": "Consensus-based development of an RCA & CAPA guide in ophthalmology is feasible across diverse eyecare settings. Our study can help encourage structured collaborative efforts to develop a similar guide for other regions of the world. This serves as a reproducible model that emphasises system-based preventive actions. Our guide is available for wider adoption of standardised RCA processes and aims at supporting sustained improvements in patient safety and quality in ophthalmic practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POCAT223",
      "abstract_number": "POCAT223",
      "title": "Analysis Of Tertiary Visual Function In Femtosecond Laser-Assisted Cataract Surgery",
      "authors": "Dr Yanfeng Zeng",
      "presenter": "Dr Yanfeng Zeng",
      "normalized_authors": [
        "Yanfeng Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanfeng Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the effect of femtosecond laser-assisted cataract surgery on third-level visual function",
        "Setting": "Lixiang Eye Hospital of Suzhou University",
        "Methods": "Thirty-seven eyes of 33 patients with cataract who underwent femtosecond laser-assisted phacoemulsification from January 1, 2016 to August 31, 2016 were selected as the femtosecond laser group, including 17 males (19 eyes). Sixteen patients (18 eyes) were female, and 28 patients (32 eyes) who underwent conventional phacoemulsification were selected as the traditional group, including 15 males (17 eyes) and 13 females (15 eyes). BCVA≤0.1 in 19 eyes and ≤ 0.3 in all patients. BCVA ≤ 0.1 in 24 eyes of conventional group, BCVA ≤ 0.3 in all patients. The preoperative and postoperative contrast sensitivity, wavefront aberration, higher-order aberration and spherical aberration were recorded.",
        "Results": "No matter with or without glare, the postoperative contrast sensitivity of the two groups changed significantly compared with that before surgery, but the change between the two groups was not statistically significant. There was no significant difference in wavefront aberrations between the two groups on the first day after surgery, but there was significant difference in higher-order aberrations at 1 week and 1 month after surgery. In particular, the primary spherical aberration is an important factor affecting the visual quality, and the performance of the femtosecond group is better than that of the traditional group.",
        "Conclusions": "The visual quality of femtosecond assisted cataract surgery is better than that of traditional cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The visual quality of femtosecond assisted cataract surgery is better than that of traditional cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 264,
      "source_fields": {
        "Abstract Final Identifier": "POCAT223",
        "Title": "Analysis Of Tertiary Visual Function In Femtosecond Laser-Assisted Cataract Surgery",
        "Presenting Author(s)": "Dr Yanfeng Zeng",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yanfeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "To investigate the effect of femtosecond laser-assisted cataract surgery on third-level visual function",
        "Setting": "Lixiang Eye Hospital of Suzhou University",
        "Methods": "Thirty-seven eyes of 33 patients with cataract who underwent femtosecond laser-assisted phacoemulsification from January 1, 2016 to August 31, 2016 were selected as the femtosecond laser group, including 17 males (19 eyes). Sixteen patients (18 eyes) were female, and 28 patients (32 eyes) who underwent conventional phacoemulsification were selected as the traditional group, including 15 males (17 eyes) and 13 females (15 eyes). BCVA≤0.1 in 19 eyes and ≤ 0.3 in all patients. BCVA ≤ 0.1 in 24 eyes of conventional group, BCVA ≤ 0.3 in all patients. The preoperative and postoperative contrast sensitivity, wavefront aberration, higher-order aberration and spherical aberration were recorded.",
        "Results": "No matter with or without glare, the postoperative contrast sensitivity of the two groups changed significantly compared with that before surgery, but the change between the two groups was not statistically significant. There was no significant difference in wavefront aberrations between the two groups on the first day after surgery, but there was significant difference in higher-order aberrations at 1 week and 1 month after surgery. In particular, the primary spherical aberration is an important factor affecting the visual quality, and the performance of the femtosecond group is better than that of the traditional group.",
        "Conclusions": "The visual quality of femtosecond assisted cataract surgery is better than that of traditional cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POCAT224",
      "abstract_number": "POCAT224",
      "title": "Clinical Study Of Total White Cataract Surgery",
      "authors": "Dr Yanfeng Zeng",
      "presenter": "Dr Yanfeng Zeng",
      "normalized_authors": [
        "Yanfeng Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanfeng Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the integrity, roundness and diameter of femtosecond laser and traditional phacoemulsification capsulotomy for white cataract.",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "To observe the surgical effect of all-white cataract. Among them, 100 patients underwent femtosecond assisted phacoemulsification, and the other 100 patients underwent traditional phacoemulsification",
        "Results": "Most patients in the femtosecond group obtained complete avulsion. Secondary capsulorhexis occurred in 10 of 100 eyes. 3 Tear of anterior capsule. In the traditional phacoemulsification group, 49 eyes had secondary capsulorhexis, and 15 eyes had anterior capsulorhexis. The mean diameter of the lens capsule was 5.4mm in the femtosecond group, and increased from 4mm to 6 mm in the conventional phacoemulsification group.",
        "Conclusions": "Femtosecond laser-assisted cataract surgery has high lens integrity and stable capsulorrhexis diameter. Compared with traditional cataract phacoemulsification, the time of capsulorhexis is significantly shorter, the amount of viscoelastic agent is significantly reduced, and the diameter of capsule tear is more controllable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femtosecond laser-assisted cataract surgery has high lens integrity and stable capsulorrhexis diameter. Compared with traditional cataract phacoemulsification, the time of capsulorhexis is significantly shorter, the amount of viscoelastic agent is significantly reduced, and the diameter of capsule tear is more controllable.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 265,
      "source_fields": {
        "Abstract Final Identifier": "POCAT224",
        "Title": "Clinical Study Of Total White Cataract Surgery",
        "Presenting Author(s)": "Dr Yanfeng Zeng",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yanfeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "To compare the integrity, roundness and diameter of femtosecond laser and traditional phacoemulsification capsulotomy for white cataract.",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "To observe the surgical effect of all-white cataract. Among them, 100 patients underwent femtosecond assisted phacoemulsification, and the other 100 patients underwent traditional phacoemulsification",
        "Results": "Most patients in the femtosecond group obtained complete avulsion. Secondary capsulorhexis occurred in 10 of 100 eyes. 3 Tear of anterior capsule. In the traditional phacoemulsification group, 49 eyes had secondary capsulorhexis, and 15 eyes had anterior capsulorhexis. The mean diameter of the lens capsule was 5.4mm in the femtosecond group, and increased from 4mm to 6 mm in the conventional phacoemulsification group.",
        "Conclusions": "Femtosecond laser-assisted cataract surgery has high lens integrity and stable capsulorrhexis diameter. Compared with traditional cataract phacoemulsification, the time of capsulorhexis is significantly shorter, the amount of viscoelastic agent is significantly reduced, and the diameter of capsule tear is more controllable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 152
    },
    {
      "uid": "POCAT225",
      "abstract_number": "POCAT225",
      "title": "Observation Of The Surgical Outcome Of Irregular Astigmatism Combined With Cataract Surgery (Including Surgical Video)",
      "authors": "Dr Yanfeng Zeng",
      "presenter": "Dr Yanfeng Zeng",
      "normalized_authors": [
        "Yanfeng Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanfeng Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Observation of the cataract surgery outcomes in patients with irregular corneal astigmatism",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "76-year-old retired female healthcare worker presented on 12 June 2019 with two years of blurred vision in right eye and poor left eye vision since childhood. Examination showed uncorrected visual acuity of 0.3 OD and 0.1 OS, with irregular astigmatism >1.5D bilaterally. Slit-lamp examination revealed corneal epithelial punctate staining and lens opacity (N3P1) bilaterally, with an intraocular lens power of 14D and 45° exotropia in the left eye. Following treatment for grade 2 dry eye, corneal astigmatism reduced to within 1D. The left eye subsequently underwent femtosecond laser-assisted capsulorhexis and nuclear splitting, followed by phacoemulsification and implantation of a one-piece flat plate loop regional refractive intraocular lens.",
        "Results": "On the first day post-surgery, the left eye's distance vision was 0.8, intermediate vision was 0.8, and near vision was 0.8. On the first postoperative day, the right eye's distance vision was 1.0, intermediate vision was 1.0, and near vision was 1.0. The patient was satisfied. During the follow-up 2 years post-surgery, the diagnosis was dry eye syndrome.",
        "Conclusions": "Irregular corneal astigmatism before cataract surgery can be caused by dry eye, and some patients may even have systemic diseases. Ocular surface treatment can improve corneal astigmatism, so that functional intraocular lens implantation can be planned to improve the distance, intermediate and near vision of patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Irregular corneal astigmatism before cataract surgery can be caused by dry eye, and some patients may even have systemic diseases. Ocular surface treatment can improve corneal astigmatism, so that functional intraocular lens implantation can be planned to improve the distance, intermediate and near vision of patients.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 266,
      "source_fields": {
        "Abstract Final Identifier": "POCAT225",
        "Title": "Observation Of The Surgical Outcome Of Irregular Astigmatism Combined With Cataract Surgery (Including Surgical Video)",
        "Presenting Author(s)": "Dr Yanfeng Zeng",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yanfeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "Observation of the cataract surgery outcomes in patients with irregular corneal astigmatism",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "76-year-old retired female healthcare worker presented on 12 June 2019 with two years of blurred vision in right eye and poor left eye vision since childhood. Examination showed uncorrected visual acuity of 0.3 OD and 0.1 OS, with irregular astigmatism >1.5D bilaterally. Slit-lamp examination revealed corneal epithelial punctate staining and lens opacity (N3P1) bilaterally, with an intraocular lens power of 14D and 45° exotropia in the left eye. Following treatment for grade 2 dry eye, corneal astigmatism reduced to within 1D. The left eye subsequently underwent femtosecond laser-assisted capsulorhexis and nuclear splitting, followed by phacoemulsification and implantation of a one-piece flat plate loop regional refractive intraocular lens.",
        "Results": "On the first day post-surgery, the left eye's distance vision was 0.8, intermediate vision was 0.8, and near vision was 0.8. On the first postoperative day, the right eye's distance vision was 1.0, intermediate vision was 1.0, and near vision was 1.0. The patient was satisfied. During the follow-up 2 years post-surgery, the diagnosis was dry eye syndrome.",
        "Conclusions": "Irregular corneal astigmatism before cataract surgery can be caused by dry eye, and some patients may even have systemic diseases. Ocular surface treatment can improve corneal astigmatism, so that functional intraocular lens implantation can be planned to improve the distance, intermediate and near vision of patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCAT226",
      "abstract_number": "POCAT226",
      "title": "Consistency Of Four Instruments In Corneal Astigmatism Correction Surgery",
      "authors": "Dr Yanfeng Zeng",
      "presenter": "Dr Yanfeng Zeng",
      "normalized_authors": [
        "Yanfeng Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanfeng Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To observe the consistency of four instruments in femtosecond laser-assisted corneal astigmatism correction surgery",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "Forty eyes of 31 patients with 1.0-3.5 D cataract combined with corneal astigmatism were selected as the study subjects. All patients underwent femtosecond laser combined with phacoemulsification and corneal release incision for astigmatism correction. Computer refraction, IOL-Master700, OPD ScanIII, and Pentacam HR were examined before surgery and at 1 day, 1 week, 1 month, and 3 months after surgery.",
        "Results": "The HR of Pentacam, IOL-Master700, and OPD ScanIII were highly consistent and positively correlated (r >0.7). IOL Master700 showed the highest agreement with the other three devices.",
        "Conclusions": "Due to the great impact of astigmatism on visual quality, IOL Master700 may be the first choice if corneal astigmatism correction surgery is performed. In the case of limited economic conditions, the computer optometry machine is also an option."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Due to the great impact of astigmatism on visual quality, IOL Master700 may be the first choice if corneal astigmatism correction surgery is performed. In the case of limited economic conditions, the computer optometry machine is also an option.",
      "session_type": "ePoster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 267,
      "source_fields": {
        "Abstract Final Identifier": "POCAT226",
        "Title": "Consistency Of Four Instruments In Corneal Astigmatism Correction Surgery",
        "Presenting Author(s)": "Dr Yanfeng Zeng",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Yanfeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "To observe the consistency of four instruments in femtosecond laser-assisted corneal astigmatism correction surgery",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "Forty eyes of 31 patients with 1.0-3.5 D cataract combined with corneal astigmatism were selected as the study subjects. All patients underwent femtosecond laser combined with phacoemulsification and corneal release incision for astigmatism correction. Computer refraction, IOL-Master700, OPD ScanIII, and Pentacam HR were examined before surgery and at 1 day, 1 week, 1 month, and 3 months after surgery.",
        "Results": "The HR of Pentacam, IOL-Master700, and OPD ScanIII were highly consistent and positively correlated (r >0.7). IOL Master700 showed the highest agreement with the other three devices.",
        "Conclusions": "Due to the great impact of astigmatism on visual quality, IOL Master700 may be the first choice if corneal astigmatism correction surgery is performed. In the case of limited economic conditions, the computer optometry machine is also an option."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 148
    },
    {
      "uid": "POCAT227",
      "abstract_number": "POCAT227",
      "title": "Optic Capture In Microphthalmic Eyes With Congenital Cataract",
      "authors": "Dr Ipsita Barman",
      "presenter": "Dr Ipsita Barman",
      "normalized_authors": [
        "Ipsita Barman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ipsita Barman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe the surgical challenges in the management of congenital and developmental cataract in children with moderate microphthalmos and to evaluate the safety and feasibility of three-piece intraocular lens (IOL) implantation with optic capture as an alternative to conventional in-the-bag IOL placement.",
        "Setting": "Tertiary eye care center in North India",
        "Methods": "This study included 18 eyes of 9 children under 15 years of age with congenital cataract associated with moderate microphthalmos (WTW diameter 8.5–9.5 mm).\n\nAll children underwent EUA. Preoperative assessment included WTW measurement, axial length, keratometry and ultrasound biomicroscopy. IOL power was calculated using the SRK II formula with age-appropriate undercorrection.\n\nInstead of standard single-piece in-the-bag IOL implantation, a three-piece IOL was placed in the sulcus with optic capture through the posterior capsulorhexis.\n\nVisual outcomes, intraocular pressure (IOP), and IOL positioning on 1-month UBM were assessed.",
        "Results": "All eyes achieved stable IOL centration with successful optic capture. Postoperative UBM at 1 month confirmed appropriate sulcus positioning and stability of the IOL. Visual outcomes were satisfactory for age, and intraocular pressure remained within normal limits during follow-up. No significant intraoperative or postoperative complications were noted.",
        "Conclusions": "Three-piece IOL implantation in the sulcus with optic capture is a safe, stable, and effective alternative to aphakia in selected pediatric patients with moderate microphthalmos where in-the-bag single-piece IOL implantation is technically challenging due to small capsular bag dimensions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Three-piece IOL implantation in the sulcus with optic capture is a safe, stable, and effective alternative to aphakia in selected pediatric patients with moderate microphthalmos where in-the-bag single-piece IOL implantation is technically challenging due to small capsular bag dimensions.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 268,
      "source_fields": {
        "Abstract Final Identifier": "POCAT227",
        "Title": "Optic Capture In Microphthalmic Eyes With Congenital Cataract",
        "Presenting Author(s)": "Dr Ipsita Barman",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Ipsita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barman",
        "Country Name": "India",
        "Purpose": "To describe the surgical challenges in the management of congenital and developmental cataract in children with moderate microphthalmos and to evaluate the safety and feasibility of three-piece intraocular lens (IOL) implantation with optic capture as an alternative to conventional in-the-bag IOL placement.",
        "Setting": "Tertiary eye care center in North India",
        "Methods": "This study included 18 eyes of 9 children under 15 years of age with congenital cataract associated with moderate microphthalmos (WTW diameter 8.5–9.5 mm).\n\nAll children underwent EUA. Preoperative assessment included WTW measurement, axial length, keratometry and ultrasound biomicroscopy. IOL power was calculated using the SRK II formula with age-appropriate undercorrection.\n\nInstead of standard single-piece in-the-bag IOL implantation, a three-piece IOL was placed in the sulcus with optic capture through the posterior capsulorhexis.\n\nVisual outcomes, intraocular pressure (IOP), and IOL positioning on 1-month UBM were assessed.",
        "Results": "All eyes achieved stable IOL centration with successful optic capture. Postoperative UBM at 1 month confirmed appropriate sulcus positioning and stability of the IOL. Visual outcomes were satisfactory for age, and intraocular pressure remained within normal limits during follow-up. No significant intraoperative or postoperative complications were noted.",
        "Conclusions": "Three-piece IOL implantation in the sulcus with optic capture is a safe, stable, and effective alternative to aphakia in selected pediatric patients with moderate microphthalmos where in-the-bag single-piece IOL implantation is technically challenging due to small capsular bag dimensions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 224
    },
    {
      "uid": "POCAT228",
      "abstract_number": "POCAT228",
      "title": "Femtosecond-Laser-Assisted Paracenteses-Only Congenital Cataract Extraction: A Novel Surgical Technique Enhancing Surgical Safety And Outcome",
      "authors": "Dr Juila Chan",
      "presenter": "Dr Juila Chan",
      "normalized_authors": [
        "Juila Chan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juila Chan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "To report a first-in-the literature main-wound-free congenital cataract extraction with Femtosecond laser-assisted anterior capsulotomy and lens aspiration.",
        "Setting": "Congenital cataract surgery, especially in those under one year, is technically challenging due unique properties of lenticular structures. The highly elastic lens capsule and soft nucleus increase the risk of radial tear, incomplete capsulotomy and posterior capsular rupture. Conventional surgery involves creation of corneal main wound of at least 2.2mm in length, which are associated with risks of wound leak and postoperative endophthalmitis in this population.",
        "Methods": "Femtosecond laser-assisted anterior capsulotomy and lens aspiration were performed under general anaesthesia. The procedure utilized Femtosecond laser to achieve a precise, well-centered capsulotomy, without the need for a main corneal incision. Standard posterior capsulotomy and anterior vitrectomy were performed utilising 2 small paracenteses, which were then closed with stromal hydration alone.",
        "Results": "Follow-up demonstrated a clear visual axis, stable intraocular pressure and no wound leak. No intraoperative or postoperative complication was observed. Patient was aphakic and on contact lens for refractive correction. This approach significantly minimized wound-related complications, notably wound leak and endophthalmitis, which incidence are significantly higher in congenital patients compared to adults.",
        "Conclusions": "Femtosecond laser technology provides a safe, precise alternative to manual capsulotomy in infants, with the added benefit of eliminating large corneal wounds and lowering the risk of wound leaks and endophthalmitis. This technique has the potential to become a standard approach in congenital ophthalmology, improving safety and long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femtosecond laser technology provides a safe, precise alternative to manual capsulotomy in infants, with the added benefit of eliminating large corneal wounds and lowering the risk of wound leaks and endophthalmitis. This technique has the potential to become a standard approach in congenital ophthalmology, improving safety and long-term outcomes.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 269,
      "source_fields": {
        "Abstract Final Identifier": "POCAT228",
        "Title": "Femtosecond-Laser-Assisted Paracenteses-Only Congenital Cataract Extraction: A Novel Surgical Technique Enhancing Surgical Safety And Outcome",
        "Presenting Author(s)": "Dr Juila Chan",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Juila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chan",
        "Country Name": "Hong Kong",
        "Purpose": "To report a first-in-the literature main-wound-free congenital cataract extraction with Femtosecond laser-assisted anterior capsulotomy and lens aspiration.",
        "Setting": "Congenital cataract surgery, especially in those under one year, is technically challenging due unique properties of lenticular structures. The highly elastic lens capsule and soft nucleus increase the risk of radial tear, incomplete capsulotomy and posterior capsular rupture. Conventional surgery involves creation of corneal main wound of at least 2.2mm in length, which are associated with risks of wound leak and postoperative endophthalmitis in this population.",
        "Methods": "Femtosecond laser-assisted anterior capsulotomy and lens aspiration were performed under general anaesthesia. The procedure utilized Femtosecond laser to achieve a precise, well-centered capsulotomy, without the need for a main corneal incision. Standard posterior capsulotomy and anterior vitrectomy were performed utilising 2 small paracenteses, which were then closed with stromal hydration alone.",
        "Results": "Follow-up demonstrated a clear visual axis, stable intraocular pressure and no wound leak. No intraoperative or postoperative complication was observed. Patient was aphakic and on contact lens for refractive correction. This approach significantly minimized wound-related complications, notably wound leak and endophthalmitis, which incidence are significantly higher in congenital patients compared to adults.",
        "Conclusions": "Femtosecond laser technology provides a safe, precise alternative to manual capsulotomy in infants, with the added benefit of eliminating large corneal wounds and lowering the risk of wound leaks and endophthalmitis. This technique has the potential to become a standard approach in congenital ophthalmology, improving safety and long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCAT229",
      "abstract_number": "POCAT229",
      "title": "Management Of Pediatric Ectopia Lentis Using The Yamane Technique",
      "authors": "Prof. Dr Young Joon Choi",
      "presenter": "Prof. Dr Young Joon Choi",
      "normalized_authors": [
        "Young Joon Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Young Joon Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the clinical feasibility and outcomes of using the Yamane technique for intraocular lens (IOL) fixation in pediatric patients with ectopia lentis and inadequate capsular support.",
        "Setting": "A retrospective interventional case series conducted at a tertiary referral academic ophthalmology center.",
        "Methods": "We present a surgical video and three pediatric patients with bilateral ectopia lentis, associated with Marfan syndrome and severe zonular dialysis involving more than 6 clock hours. Due to the absence of appropriate capsular tension rings or insufficient residual capsule, a crystalline lens removal combined with sutureless flanged intrascleral IOL fixation using the Yamane double-needle technique was performed. The surgical technique emphasized careful centration, early externalization and flanging of the leading haptic.",
        "Results": "All three patients showed significant visual improvement postoperatively with stable IOL positioning. No major intraoperative complications were noted. One patient required YAG laser capsulotomy for capsular opacification. The Yamane technique demonstrated minimal conjunctival trauma, and reduced risk of long-term complications such as suture breakage or optic capture. Astigmatism remained within acceptable limits and No IOL decentration or tilt was observed during follow-up. The video demonstrates key steps for successful adaptation of the technique in pediatric eyes.",
        "Conclusions": "The Yamane technique appears to be a safe and effective surgical option for pediatric ectopia lentis with extensive zonular weakness, offering stable IOL fixation without the need for sutures or glue. Further prospective studies are needed to validate long-term safety and efficacy in the pediatric population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Yamane technique appears to be a safe and effective surgical option for pediatric ectopia lentis with extensive zonular weakness, offering stable IOL fixation without the need for sutures or glue. Further prospective studies are needed to validate long-term safety and efficacy in the pediatric population.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 270,
      "source_fields": {
        "Abstract Final Identifier": "POCAT229",
        "Title": "Management Of Pediatric Ectopia Lentis Using The Yamane Technique",
        "Presenting Author(s)": "Prof. Dr Young Joon Choi",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Young Joon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the clinical feasibility and outcomes of using the Yamane technique for intraocular lens (IOL) fixation in pediatric patients with ectopia lentis and inadequate capsular support.",
        "Setting": "A retrospective interventional case series conducted at a tertiary referral academic ophthalmology center.",
        "Methods": "We present a surgical video and three pediatric patients with bilateral ectopia lentis, associated with Marfan syndrome and severe zonular dialysis involving more than 6 clock hours. Due to the absence of appropriate capsular tension rings or insufficient residual capsule, a crystalline lens removal combined with sutureless flanged intrascleral IOL fixation using the Yamane double-needle technique was performed. The surgical technique emphasized careful centration, early externalization and flanging of the leading haptic.",
        "Results": "All three patients showed significant visual improvement postoperatively with stable IOL positioning. No major intraoperative complications were noted. One patient required YAG laser capsulotomy for capsular opacification. The Yamane technique demonstrated minimal conjunctival trauma, and reduced risk of long-term complications such as suture breakage or optic capture. Astigmatism remained within acceptable limits and No IOL decentration or tilt was observed during follow-up. The video demonstrates key steps for successful adaptation of the technique in pediatric eyes.",
        "Conclusions": "The Yamane technique appears to be a safe and effective surgical option for pediatric ectopia lentis with extensive zonular weakness, offering stable IOL fixation without the need for sutures or glue. Further prospective studies are needed to validate long-term safety and efficacy in the pediatric population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCAT231",
      "abstract_number": "POCAT231",
      "title": "Assessment Of The Quality And Educational Value Of Youtube Videos On Pediatric Cataract Surgery",
      "authors": "Dr Divya Jain",
      "presenter": "Dr Divya Jain",
      "normalized_authors": [
        "Divya Jain"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Divya Jain",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "In resource limited settings hands on training is often lacking for the residents. The educational quality of YouTube videos on pediatric cataract surgery is heterogeneous and frequently lacks essential surgical and patient details, underscoring the need for peer-reviewed benchmarking.\n\nIn this paper we aim to evaluate the content accuracy, technical quality, and educational value of the most viewed YouTube videos on pediatric cataract surgery. With increasing reliance on open-access surgical videos for training, especially in resource-limited settings, it is important to assess whether these videos provide comprehensive, reliable, and educationally appropriate information for ophthalmology trainees and young surgeons.",
        "Setting": "Department of Ophthalmology, Post Graduate Institute of Child Health (PGICH), Noida, Uttar Pradesh, India. The study was conducted as a descriptive analysis of publicly available videos on the YouTube platform without patient interaction or intervention.",
        "Methods": "A descriptive cross-sectional study was conducted. YouTube was searched on 25 December 2025 using the terms (“pediatric” OR “paediatric” OR “child”) AND (“cataract surgery” OR “lensectomy” OR “phacoemulsification”). After applying exclusion criteria (non-English, unrelated, duplicate, animated, general-public–oriented videos), the top 50 most-viewed live surgical videos were analyzed. Data extracted included uploader type, duration, editing status, surgical technique (phaco/IA/vitrectomy/SICS), capsulorrhexis type, mention of biometry, and presence of written or audio commentary. Descriptive statistics were used.",
        "Results": "Of the top 50 videos with highest views analyzed, 30 (60%) were uploaded by individuals, 12 (24%) by organizations, and 8 (16%) by online platforms. Video duration ranged from <1 to 21 minutes; 90% were edited recordings. Automated irrigation–aspiration was demonstrated in 90% of cases; 5 videos used vitrectomy-based lens removal and 2 demonstrated SICS. Audio commentary was present in 36% and written commentary in 36%; 44% lacked both. Critical details such as cataract type, IOL power calculation, and under-correction strategy were frequently absent. Educational quality and clarity varied widely.",
        "Conclusions": "YouTube hosts a wide range of pediatric cataract surgical videos; however, their educational quality is inconsistent and often incomplete. Important surgical steps and patient-specific details are frequently omitted. The pearls of learning which are for of utmost importance for trainees in Ophthalmology need to be highlighted so as to increase the educational value.While the platform offers accessible supplementary learning material, the absence of peer review limits reliability. Establishing standardized reporting criteria or peer-reviewed benchmarking for surgical video uploads may enhance their educational value and support structured ophthalmic training."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "YouTube hosts a wide range of pediatric cataract surgical videos; however, their educational quality is inconsistent and often incomplete. Important surgical steps and patient-specific details are frequently omitted. The pearls of learning which are for of utmost importance for trainees in Ophthalmology need to be highlighted so as to increase the educational value.While the platform offers accessible supplementary…",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 271,
      "source_fields": {
        "Abstract Final Identifier": "POCAT231",
        "Title": "Assessment Of The Quality And Educational Value Of Youtube Videos On Pediatric Cataract Surgery",
        "Presenting Author(s)": "Dr Divya Jain",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Divya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jain",
        "Country Name": "India",
        "Purpose": "In resource limited settings hands on training is often lacking for the residents. The educational quality of YouTube videos on pediatric cataract surgery is heterogeneous and frequently lacks essential surgical and patient details, underscoring the need for peer-reviewed benchmarking.\n\nIn this paper we aim to evaluate the content accuracy, technical quality, and educational value of the most viewed YouTube videos on pediatric cataract surgery. With increasing reliance on open-access surgical videos for training, especially in resource-limited settings, it is important to assess whether these videos provide comprehensive, reliable, and educationally appropriate information for ophthalmology trainees and young surgeons.",
        "Setting": "Department of Ophthalmology, Post Graduate Institute of Child Health (PGICH), Noida, Uttar Pradesh, India. The study was conducted as a descriptive analysis of publicly available videos on the YouTube platform without patient interaction or intervention.",
        "Methods": "A descriptive cross-sectional study was conducted. YouTube was searched on 25 December 2025 using the terms (“pediatric” OR “paediatric” OR “child”) AND (“cataract surgery” OR “lensectomy” OR “phacoemulsification”). After applying exclusion criteria (non-English, unrelated, duplicate, animated, general-public–oriented videos), the top 50 most-viewed live surgical videos were analyzed. Data extracted included uploader type, duration, editing status, surgical technique (phaco/IA/vitrectomy/SICS), capsulorrhexis type, mention of biometry, and presence of written or audio commentary. Descriptive statistics were used.",
        "Results": "Of the top 50 videos with highest views analyzed, 30 (60%) were uploaded by individuals, 12 (24%) by organizations, and 8 (16%) by online platforms. Video duration ranged from <1 to 21 minutes; 90% were edited recordings. Automated irrigation–aspiration was demonstrated in 90% of cases; 5 videos used vitrectomy-based lens removal and 2 demonstrated SICS. Audio commentary was present in 36% and written commentary in 36%; 44% lacked both. Critical details such as cataract type, IOL power calculation, and under-correction strategy were frequently absent. Educational quality and clarity varied widely.",
        "Conclusions": "YouTube hosts a wide range of pediatric cataract surgical videos; however, their educational quality is inconsistent and often incomplete. Important surgical steps and patient-specific details are frequently omitted. The pearls of learning which are for of utmost importance for trainees in Ophthalmology need to be highlighted so as to increase the educational value.While the platform offers accessible supplementary learning material, the absence of peer review limits reliability. Establishing standardized reporting criteria or peer-reviewed benchmarking for surgical video uploads may enhance their educational value and support structured ophthalmic training."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 391
    },
    {
      "uid": "POCAT232",
      "abstract_number": "POCAT232",
      "title": "Incidence And Risk Factors For Secondary Glaucoma Following Pediatric Cataract Surgery: A Consecutive Clinical Series",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To determine the incidence and clinical predictors of secondary glaucoma following pediatric cataract surgery and to evaluate long-term monitoring outcomes.",
        "Setting": "Tertiary referral center for pediatric ophthalmology.",
        "Methods": "Consecutive pediatric cataract surgeries were reviewed with longitudinal intraocular pressure monitoring. Variables analyzed included age at surgery, IOL implantation versus aphakia, presence of anterior vitrectomy, and trauma history. Secondary glaucoma was defined as sustained elevation in IOP requiring medical or surgical management.",
        "Results": "Secondary glaucoma incidence correlated with younger age at surgery. Eyes operated in infancy demonstrated higher long-term IOP instability. Aphakic patients showed slightly increased glaucoma tendency compared with primary IOL cases. Early identification enabled medical control in most cases, with few requiring surgical intervention.",
        "Conclusions": "Age at surgery remains the strongest predictor of postoperative glaucoma risk. Long-term structured surveillance is critical for early detection and prevention of vision-threatening complications.Pediatric cataract surgery does not end at wound closure — lifelong IOP monitoring is essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Age at surgery remains the strongest predictor of postoperative glaucoma risk. Long-term structured surveillance is critical for early detection and prevention of vision-threatening complications.Pediatric cataract surgery does not end at wound closure — lifelong IOP monitoring is essential.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 272,
      "source_fields": {
        "Abstract Final Identifier": "POCAT232",
        "Title": "Incidence And Risk Factors For Secondary Glaucoma Following Pediatric Cataract Surgery: A Consecutive Clinical Series",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To determine the incidence and clinical predictors of secondary glaucoma following pediatric cataract surgery and to evaluate long-term monitoring outcomes.",
        "Setting": "Tertiary referral center for pediatric ophthalmology.",
        "Methods": "Consecutive pediatric cataract surgeries were reviewed with longitudinal intraocular pressure monitoring. Variables analyzed included age at surgery, IOL implantation versus aphakia, presence of anterior vitrectomy, and trauma history. Secondary glaucoma was defined as sustained elevation in IOP requiring medical or surgical management.",
        "Results": "Secondary glaucoma incidence correlated with younger age at surgery. Eyes operated in infancy demonstrated higher long-term IOP instability. Aphakic patients showed slightly increased glaucoma tendency compared with primary IOL cases. Early identification enabled medical control in most cases, with few requiring surgical intervention.",
        "Conclusions": "Age at surgery remains the strongest predictor of postoperative glaucoma risk. Long-term structured surveillance is critical for early detection and prevention of vision-threatening complications.Pediatric cataract surgery does not end at wound closure — lifelong IOP monitoring is essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 149
    },
    {
      "uid": "POCAT233",
      "abstract_number": "POCAT233",
      "title": "Primary Intraocular Lens Implantation Versus Aphakia In Children Under 5 Years: Visual And Refractive Outcomes",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To compare visual and refractive outcomes between primary intraocular lens implantation and aphakic correction in children under 5 years undergoing cataract surgery.",
        "Setting": "Tertiary pediatric ophthalmology unit.",
        "Methods": "Retrospective review of consecutive pediatric cataract cases under age 5. Patients were divided into primary IOL implantation versus aphakic correction groups. Outcomes evaluated included axial length growth, myopic shift, visual development, amblyopia therapy compliance, and need for secondary intervention.",
        "Results": "Primary IOL provided faster visual rehabilitation. However, greater myopic shift was observed in younger age groups. Aphakic children required intensive optical maintenance. Overall visual outcomes were comparable when strict amblyopia therapy was followed.",
        "Conclusions": "Primary IOL implantation in carefully selected pediatric patients offers practical advantages, though refractive predictability remains age-dependent. Individualized planning is critical."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Primary IOL implantation in carefully selected pediatric patients offers practical advantages, though refractive predictability remains age-dependent. Individualized planning is critical.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 273,
      "source_fields": {
        "Abstract Final Identifier": "POCAT233",
        "Title": "Primary Intraocular Lens Implantation Versus Aphakia In Children Under 5 Years: Visual And Refractive Outcomes",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To compare visual and refractive outcomes between primary intraocular lens implantation and aphakic correction in children under 5 years undergoing cataract surgery.",
        "Setting": "Tertiary pediatric ophthalmology unit.",
        "Methods": "Retrospective review of consecutive pediatric cataract cases under age 5. Patients were divided into primary IOL implantation versus aphakic correction groups. Outcomes evaluated included axial length growth, myopic shift, visual development, amblyopia therapy compliance, and need for secondary intervention.",
        "Results": "Primary IOL provided faster visual rehabilitation. However, greater myopic shift was observed in younger age groups. Aphakic children required intensive optical maintenance. Overall visual outcomes were comparable when strict amblyopia therapy was followed.",
        "Conclusions": "Primary IOL implantation in carefully selected pediatric patients offers practical advantages, though refractive predictability remains age-dependent. Individualized planning is critical."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 118
    },
    {
      "uid": "POCAT234",
      "abstract_number": "POCAT234",
      "title": "Iris-Fixated Intraocular Lens Implantation In Pediatric Eyes Without Capsular Support: Five-Eye Case Series",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To evaluate surgical and refractive outcomes of iris-fixated intraocular lens implantation in pediatric eyes lacking capsular support and compare them with reported scleral fixation outcomes.",
        "Setting": "Tertiary referral center.",
        "Methods": "Five eyes of three pediatric patients (4–10 years) underwent iris-fixated IOL implantation for traumatic lens dislocation, aphakia without capsular support, and IOL dislocation. Postoperative outcomes included visual acuity, refractive predictability, IOL stability, and complications.",
        "Results": "All eyes demonstrated stable centration without tilt. Mean postoperative spherical equivalent was within ±0.75 D of target. Visual rehabilitation was successful in all cases relative to amblyopia risk. No retinal detachment, persistent uveitis, or chronic glaucoma occurred during follow-up. Surgical time was shorter compared to traditional scleral-fixation approaches.",
        "Conclusions": "Iris-fixated IOL implantation offers predictable refractive outcomes and excellent short-term stability in pediatric eyes without capsular support. Outcomes are comparable to reported Yamane scleral-fixated techniques, suggesting iris fixation is a safe alternative in selected pediatric cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Iris-fixated IOL implantation offers predictable refractive outcomes and excellent short-term stability in pediatric eyes without capsular support. Outcomes are comparable to reported Yamane scleral-fixated techniques, suggesting iris fixation is a safe alternative in selected pediatric cases.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 274,
      "source_fields": {
        "Abstract Final Identifier": "POCAT234",
        "Title": "Iris-Fixated Intraocular Lens Implantation In Pediatric Eyes Without Capsular Support: Five-Eye Case Series",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To evaluate surgical and refractive outcomes of iris-fixated intraocular lens implantation in pediatric eyes lacking capsular support and compare them with reported scleral fixation outcomes.",
        "Setting": "Tertiary referral center.",
        "Methods": "Five eyes of three pediatric patients (4–10 years) underwent iris-fixated IOL implantation for traumatic lens dislocation, aphakia without capsular support, and IOL dislocation. Postoperative outcomes included visual acuity, refractive predictability, IOL stability, and complications.",
        "Results": "All eyes demonstrated stable centration without tilt. Mean postoperative spherical equivalent was within ±0.75 D of target. Visual rehabilitation was successful in all cases relative to amblyopia risk. No retinal detachment, persistent uveitis, or chronic glaucoma occurred during follow-up. Surgical time was shorter compared to traditional scleral-fixation approaches.",
        "Conclusions": "Iris-fixated IOL implantation offers predictable refractive outcomes and excellent short-term stability in pediatric eyes without capsular support. Outcomes are comparable to reported Yamane scleral-fixated techniques, suggesting iris fixation is a safe alternative in selected pediatric cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 148
    },
    {
      "uid": "POCAT235",
      "abstract_number": "POCAT235",
      "title": "Correction Of Aphakia Using Biometry-Based Contact Lens Calculation In Pediatric Cataract Extraction: Introducing The Aphakic Contact Lens Formula",
      "authors": "Dr Christoph Lwowski",
      "presenter": "Dr Christoph Lwowski",
      "normalized_authors": [
        "Christoph Lwowski"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christoph Lwowski",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To develop and test a formula for contact lens calculation in aphakic infants. This formula, termed the “aphakic Contact Lens” (aCL) formula, utilizes preoperative axial length and keratometry data.",
        "Setting": "This retrospective, consecutive, two-center study (Freiburg and Frankfurt, University Clinic)",
        "Methods": "Data derived from a development cohort (Freiburg, Germany) was used to create and optimize the aCL formula in aphakic eyes. A separate validation cohort (Frankfurt, Germany) was used to validate its predictive performance. The accuracy of the aCL formula was compared against: retinoscopy, a previously reported formula (Trivedi and Wilson, TW), and the use of a +32.0 diopter (D) CL. Performance was evaluated using the prediction error (PE), absolute prediction error (AE) and the number of eyes within a certain range from retinoscopy (±0.5D, ±1.0D, ±2.0D).",
        "Results": "The aCL formula demonstrated comparable absolute prediction errors to retinoscopy (median AE 0.53D vs. 0.69D) and outperforms the TW formula or +32D CL (median AE 3.25D and 2.63D). The number of eyes within ±0.5D (38.3%) is lower compared to retinoscopy (50.0%), but comparable for ±1.0D and better for ±2.0D (61.7% vs 66.7%, 83.3% vs 72.2%). Both perform better than TW formula and +32.0D (ranging from 0.0% for ±0.5D to 33.3% for ±2.0D).",
        "Conclusions": "The aCL formula is a reliable and accurate tool for determining CL power in aphakic infants. It performed superior to other formula-based and default strategies and is comparable to a retinoscopy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The aCL formula is a reliable and accurate tool for determining CL power in aphakic infants. It performed superior to other formula-based and default strategies and is comparable to a retinoscopy.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 275,
      "source_fields": {
        "Abstract Final Identifier": "POCAT235",
        "Title": "Correction Of Aphakia Using Biometry-Based Contact Lens Calculation In Pediatric Cataract Extraction: Introducing The Aphakic Contact Lens Formula",
        "Presenting Author(s)": "Dr Christoph Lwowski",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Christoph",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lwowski",
        "Country Name": "Germany",
        "Purpose": "To develop and test a formula for contact lens calculation in aphakic infants. This formula, termed the “aphakic Contact Lens” (aCL) formula, utilizes preoperative axial length and keratometry data.",
        "Setting": "This retrospective, consecutive, two-center study (Freiburg and Frankfurt, University Clinic)",
        "Methods": "Data derived from a development cohort (Freiburg, Germany) was used to create and optimize the aCL formula in aphakic eyes. A separate validation cohort (Frankfurt, Germany) was used to validate its predictive performance. The accuracy of the aCL formula was compared against: retinoscopy, a previously reported formula (Trivedi and Wilson, TW), and the use of a +32.0 diopter (D) CL. Performance was evaluated using the prediction error (PE), absolute prediction error (AE) and the number of eyes within a certain range from retinoscopy (±0.5D, ±1.0D, ±2.0D).",
        "Results": "The aCL formula demonstrated comparable absolute prediction errors to retinoscopy (median AE 0.53D vs. 0.69D) and outperforms the TW formula or +32D CL (median AE 3.25D and 2.63D). The number of eyes within ±0.5D (38.3%) is lower compared to retinoscopy (50.0%), but comparable for ±1.0D and better for ±2.0D (61.7% vs 66.7%, 83.3% vs 72.2%). Both perform better than TW formula and +32.0D (ranging from 0.0% for ±0.5D to 33.3% for ±2.0D).",
        "Conclusions": "The aCL formula is a reliable and accurate tool for determining CL power in aphakic infants. It performed superior to other formula-based and default strategies and is comparable to a retinoscopy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCAT236",
      "abstract_number": "POCAT236",
      "title": "Improving The Readability Of Multilingual Online Pediatric Cataract Education Materials Using Large Language Models: A Comparative And Prompt-Driven Evaluation",
      "authors": "Xinyi Qiu",
      "presenter": "Xinyi Qiu",
      "normalized_authors": [
        "Xinyi Qiu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xinyi Qiu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To systematically evaluate the effectiveness of large language models (LLMs) in improving the readability of online patient education materials (PEMs) on pediatric cataracts through multilingual adaptation, web-based content retrieval, and prompt engineering.",
        "Setting": "Web-based analysis of publicly available online patient education materials.",
        "Methods": "A total of 103 pediatric cataract–related PEMs in multiple languages were collected from diverse online sources. Three advanced LLMs—ChatGPT-4o, Gemini 2.0, and DeepSeek-R1—were applied to revise and simplify the materials. Readability levels of original and LLM-processed PEMs were assessed using multiple established readability formulas. In addition, different prompt engineering strategies, including chain-of-thought–based approaches, were evaluated for their impact on readability optimization.",
        "Results": "PEMs generated directly by LLMs exceeded a 10th-grade reading level. Compared with Google search results, PEMs retrieved via LLM web-browsing showed better content quality but remained difficult to read. After LLM-based conversion, Google-derived PEMs showed significant readability improvement across all models. DeepSeek-R1 achieved the greatest reduction, lowering the mean reading level from 10.59 ± 2.20 to 7.01 ± 0.91 (P < 0.001). Prompt engineering significantly affected outcomes, with Zero-shot Chain-of-Thought (APE) achieving target readability below the sixth-grade level. LLM-generated and converted Chinese PEMs consistently met recommended readability standards.",
        "Conclusions": "LLMs can substantially enhance the readability of multilingual online pediatric cataract PEMs. The integration of web-based retrieval and optimized prompt engineering further improves performance, highlighting a scalable strategy for patient-centered health communication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LLMs can substantially enhance the readability of multilingual online pediatric cataract PEMs. The integration of web-based retrieval and optimized prompt engineering further improves performance, highlighting a scalable strategy for patient-centered health communication.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 276,
      "source_fields": {
        "Abstract Final Identifier": "POCAT236",
        "Title": "Improving The Readability Of Multilingual Online Pediatric Cataract Education Materials Using Large Language Models: A Comparative And Prompt-Driven Evaluation",
        "Presenting Author(s)": "Xinyi Qiu",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Xinyi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Qiu",
        "Country Name": "China",
        "Purpose": "To systematically evaluate the effectiveness of large language models (LLMs) in improving the readability of online patient education materials (PEMs) on pediatric cataracts through multilingual adaptation, web-based content retrieval, and prompt engineering.",
        "Setting": "Web-based analysis of publicly available online patient education materials.",
        "Methods": "A total of 103 pediatric cataract–related PEMs in multiple languages were collected from diverse online sources. Three advanced LLMs—ChatGPT-4o, Gemini 2.0, and DeepSeek-R1—were applied to revise and simplify the materials. Readability levels of original and LLM-processed PEMs were assessed using multiple established readability formulas. In addition, different prompt engineering strategies, including chain-of-thought–based approaches, were evaluated for their impact on readability optimization.",
        "Results": "PEMs generated directly by LLMs exceeded a 10th-grade reading level. Compared with Google search results, PEMs retrieved via LLM web-browsing showed better content quality but remained difficult to read. After LLM-based conversion, Google-derived PEMs showed significant readability improvement across all models. DeepSeek-R1 achieved the greatest reduction, lowering the mean reading level from 10.59 ± 2.20 to 7.01 ± 0.91 (P < 0.001). Prompt engineering significantly affected outcomes, with Zero-shot Chain-of-Thought (APE) achieving target readability below the sixth-grade level. LLM-generated and converted Chinese PEMs consistently met recommended readability standards.",
        "Conclusions": "LLMs can substantially enhance the readability of multilingual online pediatric cataract PEMs. The integration of web-based retrieval and optimized prompt engineering further improves performance, highlighting a scalable strategy for patient-centered health communication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCAT237",
      "abstract_number": "POCAT237",
      "title": "Morphological Characteristics And Histopathological Changes In The Lens Capsule Of Pediatric Cataracts : A Prospective Interventional Study",
      "authors": "Prof. Dr Amit Raj",
      "presenter": "Prof. Dr Amit Raj",
      "normalized_authors": [
        "Amit Raj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amit Raj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe the various morphological characteristics and histopathological changes in the lens capsule of pediatric cataracts",
        "Setting": "Pediatric cataracts are an important cause of preventable blindness, with its prevalence in Asia. 7.4- 15.3% of pediatric blindness is due to cataract. Intrauterine infections are an important cause of childhood cataract in developing countries. Studies on ultrastructure of lens capsule are limited.\n\nThough many risk factors and associations had been studied, the exact etiology remains obscure yet. Knowing the disease burden, it is crucial to widen understanding on mechanism of cataract formation.",
        "Methods": "68 eyes with pediatric cataracts were included. All of the underwent lens matter aspiration with IOL implantation. Posterior capsulorrhexis was performed in indicated cases. Capsules retrieved were sent for histopathological examination and documents were recorded.",
        "Results": "Bilateral cataracts were more common (81.39%). Males were in higher proportion (67.44%). Overall prevalence of pediatric cataract was found to be 1.91%. TORCH profile was reactive in 67%. Positive family history was seen in 12%. Lamellar cataract was the most common morphology (50%) followed by total cataract (30.76%). Family history and antenatal fever favored association with cataract morphology.\n\nHistopathology showed thickening of basement membrane (83.01%), stratification of epithelium, subcapsular necrosis, calcification and necrosis.",
        "Conclusions": "Pediatric cataracts are unique in their morphology as well as capsule behavior. This study highlights the significance of screening TORCH infections in the mother as well as newborn will aid in effective and timely management of paediatric cataract. This also stresses the role of histopathology in understanding the etiopathogenesis of congenital cataract."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pediatric cataracts are unique in their morphology as well as capsule behavior. This study highlights the significance of screening TORCH infections in the mother as well as newborn will aid in effective and timely management of paediatric cataract. This also stresses the role of histopathology in understanding the etiopathogenesis of congenital cataract.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 277,
      "source_fields": {
        "Abstract Final Identifier": "POCAT237",
        "Title": "Morphological Characteristics And Histopathological Changes In The Lens Capsule Of Pediatric Cataracts : A Prospective Interventional Study",
        "Presenting Author(s)": "Prof. Dr Amit Raj",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Amit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Raj",
        "Country Name": "India",
        "Purpose": "To describe the various morphological characteristics and histopathological changes in the lens capsule of pediatric cataracts",
        "Setting": "Pediatric cataracts are an important cause of preventable blindness, with its prevalence in Asia. 7.4- 15.3% of pediatric blindness is due to cataract. Intrauterine infections are an important cause of childhood cataract in developing countries. Studies on ultrastructure of lens capsule are limited.\n\nThough many risk factors and associations had been studied, the exact etiology remains obscure yet. Knowing the disease burden, it is crucial to widen understanding on mechanism of cataract formation.",
        "Methods": "68 eyes with pediatric cataracts were included. All of the underwent lens matter aspiration with IOL implantation. Posterior capsulorrhexis was performed in indicated cases. Capsules retrieved were sent for histopathological examination and documents were recorded.",
        "Results": "Bilateral cataracts were more common (81.39%). Males were in higher proportion (67.44%). Overall prevalence of pediatric cataract was found to be 1.91%. TORCH profile was reactive in 67%. Positive family history was seen in 12%. Lamellar cataract was the most common morphology (50%) followed by total cataract (30.76%). Family history and antenatal fever favored association with cataract morphology.\n\nHistopathology showed thickening of basement membrane (83.01%), stratification of epithelium, subcapsular necrosis, calcification and necrosis.",
        "Conclusions": "Pediatric cataracts are unique in their morphology as well as capsule behavior. This study highlights the significance of screening TORCH infections in the mother as well as newborn will aid in effective and timely management of paediatric cataract. This also stresses the role of histopathology in understanding the etiopathogenesis of congenital cataract."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "POCAT238",
      "abstract_number": "POCAT238",
      "title": "Primary Posterior Iris Claw Implantation In Children With Ectopia Lentis",
      "authors": "Dr Jaspreet Sukhija",
      "presenter": "Dr Jaspreet Sukhija",
      "normalized_authors": [
        "Jaspreet Sukhija"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jaspreet Sukhija",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To study the outcome of posterior iris claw lens in children with ectopia lentis in a large series",
        "Setting": "Tertiary Care Hospital",
        "Methods": "Children with large subluxation of lens who underwent lensectomy with posterior iris claw lens were prospectively evaluated over a period of two years. They underwent detailed paediatric evaluation along with appropriate testing. Full ophthalmic examination and systemic examination was performed.",
        "Results": "This study included 64 eyes of 42 patients with ectopia lentis who underwent lensectomy with by iris claw lens implantation. Mean age at surgery was 11.17 ± 5.43 years. In 53 eyes visual acuity improved by atleast two lines after surgery (0.96±0.23 to 0.29±0.14 post operative(p<0.001). Ovalisation of pupil occurred in 9 eyes and pigment deposition on IOL in 7 eyes The underlying etiology was Marfan syndrome (n = 18), Weil–Marchesani syndrome (n = 1), homocystinuria (n = 2) and isolated in the rest. Complications observed were disenclavation of haptic in 5 eyes, vitreous haemorrhage in one eye, endophthalmitis in 2 eyes, and late intercalary staphyloma in a patient with Marfan's Syndrome. None of the patients had retinal detachment",
        "Conclusions": "Posterior Iris claw lens is a reasonable option in children with ectopia lentis as there is improvement in visual acuity following surgery without a significant risk of serious vision threatening complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Posterior Iris claw lens is a reasonable option in children with ectopia lentis as there is improvement in visual acuity following surgery without a significant risk of serious vision threatening complications.",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 278,
      "source_fields": {
        "Abstract Final Identifier": "POCAT238",
        "Title": "Primary Posterior Iris Claw Implantation In Children With Ectopia Lentis",
        "Presenting Author(s)": "Dr Jaspreet Sukhija",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Jaspreet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sukhija",
        "Country Name": "India",
        "Purpose": "To study the outcome of posterior iris claw lens in children with ectopia lentis in a large series",
        "Setting": "Tertiary Care Hospital",
        "Methods": "Children with large subluxation of lens who underwent lensectomy with posterior iris claw lens were prospectively evaluated over a period of two years. They underwent detailed paediatric evaluation along with appropriate testing. Full ophthalmic examination and systemic examination was performed.",
        "Results": "This study included 64 eyes of 42 patients with ectopia lentis who underwent lensectomy with by iris claw lens implantation. Mean age at surgery was 11.17 ± 5.43 years. In 53 eyes visual acuity improved by atleast two lines after surgery (0.96±0.23 to 0.29±0.14 post operative(p<0.001). Ovalisation of pupil occurred in 9 eyes and pigment deposition on IOL in 7 eyes The underlying etiology was Marfan syndrome (n = 18), Weil–Marchesani syndrome (n = 1), homocystinuria (n = 2) and isolated in the rest. Complications observed were disenclavation of haptic in 5 eyes, vitreous haemorrhage in one eye, endophthalmitis in 2 eyes, and late intercalary staphyloma in a patient with Marfan's Syndrome. None of the patients had retinal detachment",
        "Conclusions": "Posterior Iris claw lens is a reasonable option in children with ectopia lentis as there is improvement in visual acuity following surgery without a significant risk of serious vision threatening complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "POCAT239",
      "abstract_number": "POCAT239",
      "title": "To Bil Or Not To Bil? Overcoming Challenges In Using Bag-In-The-Lens Implant And Conversion To 3-Piece Iol Optic Capture As An Alternative Technique",
      "authors": "Prof. Dr Călin Petru Tătaru",
      "presenter": "Prof. Dr Călin Petru Tătaru",
      "normalized_authors": [
        "Călin Petru Tătaru"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cătălina Ioana Tătaru",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "Bag-in-the-Lens implants are advantageous in pediatric patients in providing a lasting clear visual axis. However, use can be technically difficult in small pupils, in the presence of pupillary membrane and unresponsive pupil dilation.",
        "Setting": "Retrospective surgical case series detailing challenging BIL cases and conversion technique to 3-piece IOL posterior capture.",
        "Methods": "Retrospective surgical case series:\n\nFirst case: congenital cataract is accompanied by a pupillary membrane. Technique: spatula + vitreous cutter synechiolysis, use of iris hooks for pupillary dilation, BIL implant.\n\nSecond case: congenital cataract is accompanied by anterior synechiae. Technique: vitreous cutter synechiolysis, pupil sculpting with vitreous cutter, BIL implant.\n\nThird case: congenital posterior polar cataract. Technique: traditional BIL technique capsulorhexis, lens mass aspiration, use of viscoeleastic surgical device to expand Berger space, posterior rhexis, BIL implant.\n\nFourth case: Congenital cataract. Difficult capsulorhexis, weak zonular support. Technique: conversion to 3-piece IOL with posterior optic capture.",
        "Results": "First case: synechiolysis using firstly the spatula and secondly the vitreous cutter to excise remaining adherences. Afterwards 4 hooks were placed to obtain a sufficient pupil size for capsulorhexis. Using a guide ring capsulorhexis was performed, followed by lens mass aspirations and posterior capsulorhexis. A BIL implant was implanted with good visual results.\n\nSecond case: used the vitreous cutter to resolve adherences and finally placed a BIL implant.\n\nThird case: Traditional BIL technique, BIL implant with good visual results.\n\nFourth case: 7-year old male patient, BIL not feasible due to difficult capsulorhexis, weak zonular support. Conversion to 3-piece IOL with posterior optic capture.",
        "Conclusions": "Bag-in-the-Lens implants are preferable in paediatric patients and are possible even in the case of small pupils, pupillary membranes or anterior synechiae so long as an appropriate capsulorhexis and posterior rhexis are achieved. In case of technical difficulties we recommend conversion to 3-piece IOL optic capture, with the optic captured behind the two rhexis to coalesce the two capsules, preventing secondary cataract formation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bag-in-the-Lens implants are preferable in paediatric patients and are possible even in the case of small pupils, pupillary membranes or anterior synechiae so long as an appropriate capsulorhexis and posterior rhexis are achieved. In case of technical difficulties we recommend conversion to 3-piece IOL optic capture, with the optic captured behind the two rhexis to coalesce the two capsules, preventing secondary…",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 279,
      "source_fields": {
        "Abstract Final Identifier": "POCAT239",
        "Title": "To Bil Or Not To Bil? Overcoming Challenges In Using Bag-In-The-Lens Implant And Conversion To 3-Piece Iol Optic Capture As An Alternative Technique",
        "Presenting Author(s)": "Prof. Dr Călin Petru Tătaru",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Cătălina Ioana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tătaru",
        "Country Name": "Romania",
        "Purpose": "Bag-in-the-Lens implants are advantageous in pediatric patients in providing a lasting clear visual axis. However, use can be technically difficult in small pupils, in the presence of pupillary membrane and unresponsive pupil dilation.",
        "Setting": "Retrospective surgical case series detailing challenging BIL cases and conversion technique to 3-piece IOL posterior capture.",
        "Methods": "Retrospective surgical case series:\n\nFirst case: congenital cataract is accompanied by a pupillary membrane. Technique: spatula + vitreous cutter synechiolysis, use of iris hooks for pupillary dilation, BIL implant.\n\nSecond case: congenital cataract is accompanied by anterior synechiae. Technique: vitreous cutter synechiolysis, pupil sculpting with vitreous cutter, BIL implant.\n\nThird case: congenital posterior polar cataract. Technique: traditional BIL technique capsulorhexis, lens mass aspiration, use of viscoeleastic surgical device to expand Berger space, posterior rhexis, BIL implant.\n\nFourth case: Congenital cataract. Difficult capsulorhexis, weak zonular support. Technique: conversion to 3-piece IOL with posterior optic capture.",
        "Results": "First case: synechiolysis using firstly the spatula and secondly the vitreous cutter to excise remaining adherences. Afterwards 4 hooks were placed to obtain a sufficient pupil size for capsulorhexis. Using a guide ring capsulorhexis was performed, followed by lens mass aspirations and posterior capsulorhexis. A BIL implant was implanted with good visual results.\n\nSecond case: used the vitreous cutter to resolve adherences and finally placed a BIL implant.\n\nThird case: Traditional BIL technique, BIL implant with good visual results.\n\nFourth case: 7-year old male patient, BIL not feasible due to difficult capsulorhexis, weak zonular support. Conversion to 3-piece IOL with posterior optic capture.",
        "Conclusions": "Bag-in-the-Lens implants are preferable in paediatric patients and are possible even in the case of small pupils, pupillary membranes or anterior synechiae so long as an appropriate capsulorhexis and posterior rhexis are achieved. In case of technical difficulties we recommend conversion to 3-piece IOL optic capture, with the optic captured behind the two rhexis to coalesce the two capsules, preventing secondary cataract formation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCAT240",
      "abstract_number": "POCAT240",
      "title": "Longterm Outcomes Following Primary Iol Implantation: Beyond A Decade",
      "authors": "Dr Vaishali Abhay A Vasavada",
      "presenter": "Dr Vaishali Abhay A Vasavada",
      "normalized_authors": [
        "Vaishali Abhay A Vasavada"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaishali Abhay A Vasavada",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To investigate the long-term outcomes of congenital cataract surgery with IOL implantation atleast one decade after surgery",
        "Setting": "Iladevi Cataract & IOL Research centre",
        "Methods": "Prospective, interventional case series patients undergoing unilateral or bilateral congenital cataract surgery. Patients were followed up for atleast 10 years after the surgery. The outcome measures included major intraoperative complications, postoperative visual acuity, glaucoma, inflammatory complications and other postoperative complications following surgery in the long term.",
        "Results": "30 eyes of 21 patients were included in the study. The mean age at surgery was 47 months, with a mean follow-up duration 140 (standard deviation 11 months). Final results to be updated, ongoing study",
        "Conclusions": "To the best of our knowledge, this is the longest reported follow up of primary IOL implantation in Congenital cataract surgery. Based on preliminary analysis, it shows very good visual and technical outcomes with an acceptable rate of complications in these eyes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To the best of our knowledge, this is the longest reported follow up of primary IOL implantation in Congenital cataract surgery. Based on preliminary analysis, it shows very good visual and technical outcomes with an acceptable rate of complications in these eyes",
      "session_type": "ePoster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 280,
      "source_fields": {
        "Abstract Final Identifier": "POCAT240",
        "Title": "Longterm Outcomes Following Primary Iol Implantation: Beyond A Decade",
        "Presenting Author(s)": "Dr Vaishali Abhay A Vasavada",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Vaishali Abhay",
        "Submitter Middle Name": "A",
        "Submitter Last Name": "Vasavada",
        "Country Name": "India",
        "Purpose": "To investigate the long-term outcomes of congenital cataract surgery with IOL implantation atleast one decade after surgery",
        "Setting": "Iladevi Cataract & IOL Research centre",
        "Methods": "Prospective, interventional case series patients undergoing unilateral or bilateral congenital cataract surgery. Patients were followed up for atleast 10 years after the surgery. The outcome measures included major intraoperative complications, postoperative visual acuity, glaucoma, inflammatory complications and other postoperative complications following surgery in the long term.",
        "Results": "30 eyes of 21 patients were included in the study. The mean age at surgery was 47 months, with a mean follow-up duration 140 (standard deviation 11 months). Final results to be updated, ongoing study",
        "Conclusions": "To the best of our knowledge, this is the longest reported follow up of primary IOL implantation in Congenital cataract surgery. Based on preliminary analysis, it shows very good visual and technical outcomes with an acceptable rate of complications in these eyes"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 145
    },
    {
      "uid": "POCAT241",
      "abstract_number": "POCAT241",
      "title": "Visual Outcomes Following Premium Iol Implantation Using Immersion Biometry",
      "authors": "Dr Raline solomon Amalakaran",
      "presenter": "Dr Raline solomon Amalakaran",
      "normalized_authors": [
        "Raline solomon Amalakaran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raline solomon Amalakaran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To analyze the Visual outcomes following Premium IOL (Intraocular lens) implantation using Immersion ultrasound Biometry",
        "Setting": "This is a retrospective study done at a peripheral eye care centre in Southern India. The study included patients with senile cataract who had undergone uneventful cataract surgery with implantation of Monofocal toric / Multifocal / Multifocal Toric IOL between January of 2023 to September 2023.",
        "Methods": "The study included patients with senile cataract who had undergone uneventful cataract surgery with implantation of Monofocal toric / Multifocal / Multifocal Toric IOL between January of 2023 to September 2023. Keratometry was performed with the Bausch and Lomb Keratometer by an experienced technician. Axial length measurement was done using the ultrasound A-scan biometer . The data were entered into the online Barrett formula (calc.apacrs.org).In patients planned for the Toric monofocal or Toric Multifocal IOL, Barrett Toric calculator was used to calculate the respective toric IOL using the Predicated PCA (Posterior Corneal Astigmatism). Phacoemulsifcation was done for all patients, post op evaluation was done at 1 and 6 weeks.",
        "Results": "A total of 130 patients (154 eyes) were included in the study. 76 patients (89 eyes) underwent monofocal Toric IOL, 34 patients (41 eyes) had multifocal IOL implantation and 20 patients (24 eyes) had multifocal toric IOL implantation. Mean age of the patients was 62 ± 10 years. The mean post operative spherical equivalent in patients who had Toric Monofocal IOL was 0.15±0.25D; 0.10±0.15D in Multifocal Toric and 0.08±0.18 D in Multifocal IOL. The mean absolute error and median absolute error for the monofocal toric iol’s was 0.23 and 0.22 and for the multifocal IOL was 0.18 and 0.13.The predicted refraction error of ±0.50D was 83% in monofocal toric iol’s and 95.4% in multifocal iol implantation group",
        "Conclusions": "These results are quite encouraging and reinforces the fact that doing a good quality immersion biometry can yield very good post op results with Premium IOLs, especially in a developing country like ours where the cost of procuring an Optical biometer would be quite challenging for newer practitioners and beginner surgeons who would want to cater to a population demanding premium IOL’s. In challenging eyes due to extremes of axial length and with prior history of corneal or retinal procedures, Immersion A scan does have a limitation and has to be used with caution."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results are quite encouraging and reinforces the fact that doing a good quality immersion biometry can yield very good post op results with Premium IOLs, especially in a developing country like ours where the cost of procuring an Optical biometer would be quite challenging for newer practitioners and beginner surgeons who would want to cater to a population demanding premium IOL’s. In challenging eyes due to…",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 281,
      "source_fields": {
        "Abstract Final Identifier": "POCAT241",
        "Title": "Visual Outcomes Following Premium Iol Implantation Using Immersion Biometry",
        "Presenting Author(s)": "Dr Raline solomon Amalakaran",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Raline",
        "Submitter Middle Name": "solomon",
        "Submitter Last Name": "Amalakaran",
        "Country Name": "India",
        "Purpose": "To analyze the Visual outcomes following Premium IOL (Intraocular lens) implantation using Immersion ultrasound Biometry",
        "Setting": "This is a retrospective study done at a peripheral eye care centre in Southern India. The study included patients with senile cataract who had undergone uneventful cataract surgery with implantation of Monofocal toric / Multifocal / Multifocal Toric IOL between January of 2023 to September 2023.",
        "Methods": "The study included patients with senile cataract who had undergone uneventful cataract surgery with implantation of Monofocal toric / Multifocal / Multifocal Toric IOL between January of 2023 to September 2023. Keratometry was performed with the Bausch and Lomb Keratometer by an experienced technician. Axial length measurement was done using the ultrasound A-scan biometer . The data were entered into the online Barrett formula (calc.apacrs.org).In patients planned for the Toric monofocal or Toric Multifocal IOL, Barrett Toric calculator was used to calculate the respective toric IOL using the Predicated PCA (Posterior Corneal Astigmatism). Phacoemulsifcation was done for all patients, post op evaluation was done at 1 and 6 weeks.",
        "Results": "A total of 130 patients (154 eyes) were included in the study. 76 patients (89 eyes) underwent monofocal Toric IOL, 34 patients (41 eyes) had multifocal IOL implantation and 20 patients (24 eyes) had multifocal toric IOL implantation. Mean age of the patients was 62 ± 10 years. The mean post operative spherical equivalent in patients who had Toric Monofocal IOL was 0.15±0.25D; 0.10±0.15D in Multifocal Toric and 0.08±0.18 D in Multifocal IOL. The mean absolute error and median absolute error for the monofocal toric iol’s was 0.23 and 0.22 and for the multifocal IOL was 0.18 and 0.13.The predicted refraction error of ±0.50D was 83% in monofocal toric iol’s and 95.4% in multifocal iol implantation group",
        "Conclusions": "These results are quite encouraging and reinforces the fact that doing a good quality immersion biometry can yield very good post op results with Premium IOLs, especially in a developing country like ours where the cost of procuring an Optical biometer would be quite challenging for newer practitioners and beginner surgeons who would want to cater to a population demanding premium IOL’s. In challenging eyes due to extremes of axial length and with prior history of corneal or retinal procedures, Immersion A scan does have a limitation and has to be used with caution."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 394
    },
    {
      "uid": "POCAT242",
      "abstract_number": "POCAT242",
      "title": "To Compare The Influence Of Surgeon Hand Dominance On Surgically Induced Astigmatism In\nPhacoemulsification.",
      "authors": "A/Prof. Zia ul Mazhry",
      "presenter": "A/Prof. Zia ul Mazhry",
      "normalized_authors": [
        "Zia ul Mazhry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laiba Asif Mazhry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To compare the influence of surgeon hand dominance on surgically induced astigmatism in\n\nPhacoemulsification.",
        "Setting": "Acuity Eye Center, Lahore, from 2023 to 2024.",
        "Methods": "SIA was analyzed in 200 patients who underwent phacoemulsification performed by a single experienced surgeon using a temporal clear corneal incision. The surgeon operated on right eyes using the right dominant hand and on left eyes using the left non-dominant hand. Preoperative keratometric (K) values were recorded one day before surgery using a Nidek auto-refractokeratometer. Postoperative keratometric readings were obtained at 6 weeks follow-up. Pre- and postoperative K values were entered into a spreadsheet, and SIA was calculated using the ASCRS SIA Calculator. Comparison of SIA between dominant-hand and non-dominant-hand phacoemulsification was performed using SPSS software version 26.",
        "Results": "All the participants were between 30 to 80 years of age. Double angle plot for SIA using ASCRS V100\n\ntool revealed significant insights into the astigmatic changes post-surgery in both the right and left eyes. The\n\ncentroid values, indicative of the mean astigmatic change, were 0.49±0.26D and 0.55±0.31D, respectively. The\n\ncomparison between both left and right phacoemulsification showed that the difference was non-significant\n\nbetween dominant and non-dominant hand (P=0.251)",
        "Conclusions": "Despite the challenges of adapting surgical technique to accommodate hand dominance, our\n\nfindings indicate a non-significant difference in postoperative SIA outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite the challenges of adapting surgical technique to accommodate hand dominance, our findings indicate a non-significant difference in postoperative SIA outcomes.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 282,
      "source_fields": {
        "Abstract Final Identifier": "POCAT242",
        "Title": "To Compare The Influence Of Surgeon Hand Dominance On Surgically Induced Astigmatism In\nPhacoemulsification.",
        "Presenting Author(s)": "A/Prof. Zia ul Mazhry",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Laiba",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Asif Mazhry",
        "Country Name": "Pakistan",
        "Purpose": "To compare the influence of surgeon hand dominance on surgically induced astigmatism in\n\nPhacoemulsification.",
        "Setting": "Acuity Eye Center, Lahore, from 2023 to 2024.",
        "Methods": "SIA was analyzed in 200 patients who underwent phacoemulsification performed by a single experienced surgeon using a temporal clear corneal incision. The surgeon operated on right eyes using the right dominant hand and on left eyes using the left non-dominant hand. Preoperative keratometric (K) values were recorded one day before surgery using a Nidek auto-refractokeratometer. Postoperative keratometric readings were obtained at 6 weeks follow-up. Pre- and postoperative K values were entered into a spreadsheet, and SIA was calculated using the ASCRS SIA Calculator. Comparison of SIA between dominant-hand and non-dominant-hand phacoemulsification was performed using SPSS software version 26.",
        "Results": "All the participants were between 30 to 80 years of age. Double angle plot for SIA using ASCRS V100\n\ntool revealed significant insights into the astigmatic changes post-surgery in both the right and left eyes. The\n\ncentroid values, indicative of the mean astigmatic change, were 0.49±0.26D and 0.55±0.31D, respectively. The\n\ncomparison between both left and right phacoemulsification showed that the difference was non-significant\n\nbetween dominant and non-dominant hand (P=0.251)",
        "Conclusions": "Despite the challenges of adapting surgical technique to accommodate hand dominance, our\n\nfindings indicate a non-significant difference in postoperative SIA outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POCAT243",
      "abstract_number": "POCAT243",
      "title": "A Staged “Custom Match” Strategy For Premium Iol Implantation: Optimising Binocular Vision Across The Visual Life Cycle",
      "authors": "Prof. Arthur Bernard Cummings",
      "presenter": "Prof. Arthur Bernard Cummings",
      "normalized_authors": [
        "Arthur Bernard Cummings"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arthur Bernard Cummings",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ireland",
      "sections": {
        "Purpose": "To evaluate premium intraocular lens (IOL) selection patterns and binocular visual outcomes using a staged implantation strategy designed to balance spectacle independence with night-driving quality.",
        "Setting": "Wellington Eye Clinic, Dublin, Ireland",
        "Methods": "A retrospective analysis was performed of 122 consecutive patients (244 eyes) undergoing cataract surgery or custom lens replacement (CLR) with full-range-of-focus (FROF, trifocal) and extended-depth-of-focus (IROF, increased range of focus) IOLs. The cohort included 90 CLR patients (180 eyes) and 32 cataract patients (64 eyes). Patients were counselled using a structured protocol in which the first eye was selected according to patient priority (maximal range of vision versus night-driving quality). The second eye was subsequently optimised based on the functional visual experience of the first eye (“Custom Match”). Final binocular strategies included FROF/FROF, FROF/IROF, and IROF/IROF.",
        "Results": "Application of the staged protocol revealed a clear age-dependent pattern of premium IOL selection, with bilateral FROF implantation predominating in younger patients, increasing use of blended FROF/IROF strategies in mid-life, and bilateral IROF implantation in older patients prioritising night-driving quality. In the blended FROF/IROF cohort (102 eyes), binocular outcomes were strong: 59% achieved 20/20 or better distance vision and 90% achieved 20/25 or better; near acuity was N5 or better in 69% and N6 or better in 91%. Over five years of applying this protocol, no trifocal IOL explantations occurred.",
        "Conclusions": "A staged premium IOL strategy guided by patient priorities and first-eye experience produces predictable binocular visual outcomes while preserving night-driving quality and reducing the risk of dissatisfaction with trifocal IOL implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A staged premium IOL strategy guided by patient priorities and first-eye experience produces predictable binocular visual outcomes while preserving night-driving quality and reducing the risk of dissatisfaction with trifocal IOL implantation.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 283,
      "source_fields": {
        "Abstract Final Identifier": "POCAT243",
        "Title": "A Staged “Custom Match” Strategy For Premium Iol Implantation: Optimising Binocular Vision Across The Visual Life Cycle",
        "Presenting Author(s)": "Prof. Arthur Bernard Cummings",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Arthur",
        "Submitter Middle Name": "Bernard",
        "Submitter Last Name": "Cummings",
        "Country Name": "Ireland",
        "Purpose": "To evaluate premium intraocular lens (IOL) selection patterns and binocular visual outcomes using a staged implantation strategy designed to balance spectacle independence with night-driving quality.",
        "Setting": "Wellington Eye Clinic, Dublin, Ireland",
        "Methods": "A retrospective analysis was performed of 122 consecutive patients (244 eyes) undergoing cataract surgery or custom lens replacement (CLR) with full-range-of-focus (FROF, trifocal) and extended-depth-of-focus (IROF, increased range of focus) IOLs. The cohort included 90 CLR patients (180 eyes) and 32 cataract patients (64 eyes). Patients were counselled using a structured protocol in which the first eye was selected according to patient priority (maximal range of vision versus night-driving quality). The second eye was subsequently optimised based on the functional visual experience of the first eye (“Custom Match”). Final binocular strategies included FROF/FROF, FROF/IROF, and IROF/IROF.",
        "Results": "Application of the staged protocol revealed a clear age-dependent pattern of premium IOL selection, with bilateral FROF implantation predominating in younger patients, increasing use of blended FROF/IROF strategies in mid-life, and bilateral IROF implantation in older patients prioritising night-driving quality. In the blended FROF/IROF cohort (102 eyes), binocular outcomes were strong: 59% achieved 20/20 or better distance vision and 90% achieved 20/25 or better; near acuity was N5 or better in 69% and N6 or better in 91%. Over five years of applying this protocol, no trifocal IOL explantations occurred.",
        "Conclusions": "A staged premium IOL strategy guided by patient priorities and first-eye experience produces predictable binocular visual outcomes while preserving night-driving quality and reducing the risk of dissatisfaction with trifocal IOL implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POCAT244",
      "abstract_number": "POCAT244",
      "title": "Role Of Music In Reduction Of Stress And Anxiety For The Patient And The Operating Surgeon",
      "authors": "Dr SAKSHI MISHRA",
      "presenter": "Dr SAKSHI MISHRA",
      "normalized_authors": [
        "SAKSHI MISHRA"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bhavya Bipin Gokani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "MUSIC INDUCES A STRESS FREE ENVIROMENT. OPERATION THEATRES USUALLY EXHIBIT HIGH LEVELS OF STRESS AND ANXIETY . THE AIM OF THIS STUDY IS TO JUDGE IF LISTENING TO MUSIC IN THE OPERATION THEATRES IMPROVES ANXIETY AND STRESS AND EVENTUAL SURGICAL OUTCOME.",
        "Setting": "A PROSPECTIVE STUDY WAS DONE FROM MAY 2025 TO DECEMBER 2025 INVOLVING ALL MEDICAL PERSONNEL, STAFF AND DOCTORS TO ASSESS THE EFFECT OF MUSIC IN REDUCTION OF ANXIETY AND STRESS FOR THE PATIENTS AS WELL AS THE OPERATING SURGEON.",
        "Methods": "THE PATIENTS WERE DIVIDED INTO 2 GROUPS\n\nGROUP 1 - WITH MUSIC DURING SURGICAL INTERVENTION\n\nGROUP 2 - WITHOUT MUSIC DURING SURGICAL INTERVENTION\n\nZUNG ANXIETY SELF ASSESSMENT SCALE WAS USE TO ASSESS THE STAFF, PATIENTS AND THE DOCTORS.",
        "Results": "SIGNIFICANT DIFFERENCE IN STRESS LEVELS AND ANXIETY LEVELS WERE OBSERVED IN THE GROUP WHERE MUSIC WAS PLAYED IN THE OPERATION THEATRE.",
        "Conclusions": "MUSIC IS AN EFFECTIVE TOOL THAT CAN BE PLAYED IN THE OPERATION THEATRE. IT REDUCES THE STRESS AND ANXIETY OF THE PATIENTS AND THE OPERATING SURGEON."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MUSIC IS AN EFFECTIVE TOOL THAT CAN BE PLAYED IN THE OPERATION THEATRE. IT REDUCES THE STRESS AND ANXIETY OF THE PATIENTS AND THE OPERATING SURGEON.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 284,
      "source_fields": {
        "Abstract Final Identifier": "POCAT244",
        "Title": "Role Of Music In Reduction Of Stress And Anxiety For The Patient And The Operating Surgeon",
        "Presenting Author(s)": "Dr SAKSHI MISHRA",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Bhavya",
        "Submitter Middle Name": "Bipin",
        "Submitter Last Name": "Gokani",
        "Country Name": "India",
        "Purpose": "MUSIC INDUCES A STRESS FREE ENVIROMENT. OPERATION THEATRES USUALLY EXHIBIT HIGH LEVELS OF STRESS AND ANXIETY . THE AIM OF THIS STUDY IS TO JUDGE IF LISTENING TO MUSIC IN THE OPERATION THEATRES IMPROVES ANXIETY AND STRESS AND EVENTUAL SURGICAL OUTCOME.",
        "Setting": "A PROSPECTIVE STUDY WAS DONE FROM MAY 2025 TO DECEMBER 2025 INVOLVING ALL MEDICAL PERSONNEL, STAFF AND DOCTORS TO ASSESS THE EFFECT OF MUSIC IN REDUCTION OF ANXIETY AND STRESS FOR THE PATIENTS AS WELL AS THE OPERATING SURGEON.",
        "Methods": "THE PATIENTS WERE DIVIDED INTO 2 GROUPS\n\nGROUP 1 - WITH MUSIC DURING SURGICAL INTERVENTION\n\nGROUP 2 - WITHOUT MUSIC DURING SURGICAL INTERVENTION\n\nZUNG ANXIETY SELF ASSESSMENT SCALE WAS USE TO ASSESS THE STAFF, PATIENTS AND THE DOCTORS.",
        "Results": "SIGNIFICANT DIFFERENCE IN STRESS LEVELS AND ANXIETY LEVELS WERE OBSERVED IN THE GROUP WHERE MUSIC WAS PLAYED IN THE OPERATION THEATRE.",
        "Conclusions": "MUSIC IS AN EFFECTIVE TOOL THAT CAN BE PLAYED IN THE OPERATION THEATRE. IT REDUCES THE STRESS AND ANXIETY OF THE PATIENTS AND THE OPERATING SURGEON."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 162
    },
    {
      "uid": "POCAT245",
      "abstract_number": "POCAT245",
      "title": "“Challenges In Peribulbar Anaesthesia Among Mishri Users Undergoing Cataract Surgery”",
      "authors": "Dr Krutika Nitin Kadam",
      "presenter": "Dr Krutika Nitin Kadam",
      "normalized_authors": [
        "Krutika Nitin Kadam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Krutika Nitin Kadam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Mishri, a roasted tobacco powder used as a dentifrice, is widely consumed in central and southern regions of India. Its prevalence ranges from 17% to 45% in certain populations. The principal active component, nicotine, produces sympathetic stimulation and vascular effects that may alter the pharmacodynamics of the local anesthetic agent and, in turn, the efficacy of the same.Peribulbar anesthesia is a common regional block used in cataract surgery to provide both analgesia and akinesia. It remains the standard in teaching hospitals; however, many private practitioners prefer performing cataract surgeries under topical or sub-tenon’s anesthesia.",
        "Setting": "Prospective comparative study conducted at a tertiary care ophthalmology center in Nashik, India",
        "Methods": "This is a prospective interventional study. A total of 60 patients undergoing elective cataract surgery were included. Out of 60 patients, 30 were Mishri users and 30 were non-Mishri users. Exclusion criteria used—active smoking habits or chewing tobacco, those who were on anticoagulants or had high cardiac risks or high myopia were excluded from the study.A peribulbar block of 5 ml was given by using plain xylocaine 2% mixed with hyaluronidase. After 5 minutes and 10 minutes, muscle movements and pain sensation were checked. The akinesia score (0-8) was assessed at the end of 5 and 10 minutes. An additional block was given if the patient experienced pain or akinesia was not achieved. Post-operative pain was measured using VAS at 1 hour.",
        "Results": "The average amount of Anaesthetic drug required in Mishri users is 8 ml and in non-Mishri users, it is 5.2 ml.At 5 minutes, akinesia scores were significantly lower in Mishri users (4.8 +/- 1.3) compared to non-users (6.1 +/- 1.0). At 10 minutes, scores were 6.5 +/- 0.9 versus 7.2 +/- 0.8, respectively (p < 0.005). Post-operative VAS at 1 hour was higher in Mishri users (36% vs 12%; p < 0.005).",
        "Conclusions": "Chronic mishri use significantly delays the onset of akinesia and shortens sensory block duration. There is an early onset of postoperative pain. Preoperative identification of smokeless tobacco use is essential to optimize anesthetic management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chronic mishri use significantly delays the onset of akinesia and shortens sensory block duration. There is an early onset of postoperative pain. Preoperative identification of smokeless tobacco use is essential to optimize anesthetic management.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 285,
      "source_fields": {
        "Abstract Final Identifier": "POCAT245",
        "Title": "“Challenges In Peribulbar Anaesthesia Among Mishri Users Undergoing Cataract Surgery”",
        "Presenting Author(s)": "Dr Krutika Nitin Kadam",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Krutika",
        "Submitter Middle Name": "Nitin",
        "Submitter Last Name": "Kadam",
        "Country Name": "India",
        "Purpose": "Mishri, a roasted tobacco powder used as a dentifrice, is widely consumed in central and southern regions of India. Its prevalence ranges from 17% to 45% in certain populations. The principal active component, nicotine, produces sympathetic stimulation and vascular effects that may alter the pharmacodynamics of the local anesthetic agent and, in turn, the efficacy of the same.Peribulbar anesthesia is a common regional block used in cataract surgery to provide both analgesia and akinesia. It remains the standard in teaching hospitals; however, many private practitioners prefer performing cataract surgeries under topical or sub-tenon’s anesthesia.",
        "Setting": "Prospective comparative study conducted at a tertiary care ophthalmology center in Nashik, India",
        "Methods": "This is a prospective interventional study. A total of 60 patients undergoing elective cataract surgery were included. Out of 60 patients, 30 were Mishri users and 30 were non-Mishri users. Exclusion criteria used—active smoking habits or chewing tobacco, those who were on anticoagulants or had high cardiac risks or high myopia were excluded from the study.A peribulbar block of 5 ml was given by using plain xylocaine 2% mixed with hyaluronidase. After 5 minutes and 10 minutes, muscle movements and pain sensation were checked. The akinesia score (0-8) was assessed at the end of 5 and 10 minutes. An additional block was given if the patient experienced pain or akinesia was not achieved. Post-operative pain was measured using VAS at 1 hour.",
        "Results": "The average amount of Anaesthetic drug required in Mishri users is 8 ml and in non-Mishri users, it is 5.2 ml.At 5 minutes, akinesia scores were significantly lower in Mishri users (4.8 +/- 1.3) compared to non-users (6.1 +/- 1.0). At 10 minutes, scores were 6.5 +/- 0.9 versus 7.2 +/- 0.8, respectively (p < 0.005). Post-operative VAS at 1 hour was higher in Mishri users (36% vs 12%; p < 0.005).",
        "Conclusions": "Chronic mishri use significantly delays the onset of akinesia and shortens sensory block duration. There is an early onset of postoperative pain. Preoperative identification of smokeless tobacco use is essential to optimize anesthetic management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POCAT246",
      "abstract_number": "POCAT246",
      "title": "The Role Of Simulation-Based Training In Learning Cataract Surgery",
      "authors": "Dr Petra Kovačević",
      "presenter": "Dr Petra Kovačević",
      "normalized_authors": [
        "Petra Kovačević"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Petra Kovačević",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the role and effectiveness of simulation-based training in the acquisition of surgical skills for cataract surgery and its impact on patient safety and surgical outcomes.",
        "Setting": "This study was conducted at an academic ophthalmology training center with access to a dedicated surgical skills laboratory. Virtual reality simulators were used to provide structured cataract surgery training with objective performance feedback prior to live operating room experience.",
        "Methods": "Simulation-based training was integrated into the cataract surgery training curriculum for ophthalmology residents. Virtual reality simulators and wet-lab models were used to practice key steps of phacoemulsification, including capsulorhexis, nucleus fragmentation, and intraocular lens implantation. Trainee performance was assessed using objective metrics provided by simulators, supervised skill evaluations, and complication rates during early live surgeries.",
        "Results": "Simulation training significantly improved hand–eye coordination, depth perception, and procedural confidence among trainees. Residents who underwent structured simulation training demonstrated a shorter learning curve, reduced intraoperative complications, and improved surgical efficiency during their initial independent cataract surgeries compared to traditionally trained peers.",
        "Conclusions": "Simulation-based training represents a valuable and effective tool in cataract surgery education. It allows residents to acquire essential microsurgical skills in a safe, controlled environment, thereby enhancing patient safety and optimizing surgical outcomes. Incorporating simulation into standard ophthalmic training programs should be strongly encouraged."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Simulation-based training represents a valuable and effective tool in cataract surgery education. It allows residents to acquire essential microsurgical skills in a safe, controlled environment, thereby enhancing patient safety and optimizing surgical outcomes. Incorporating simulation into standard ophthalmic training programs should be strongly encouraged.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 286,
      "source_fields": {
        "Abstract Final Identifier": "POCAT246",
        "Title": "The Role Of Simulation-Based Training In Learning Cataract Surgery",
        "Presenting Author(s)": "Dr Petra Kovačević",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Petra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kovačević",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the role and effectiveness of simulation-based training in the acquisition of surgical skills for cataract surgery and its impact on patient safety and surgical outcomes.",
        "Setting": "This study was conducted at an academic ophthalmology training center with access to a dedicated surgical skills laboratory. Virtual reality simulators were used to provide structured cataract surgery training with objective performance feedback prior to live operating room experience.",
        "Methods": "Simulation-based training was integrated into the cataract surgery training curriculum for ophthalmology residents. Virtual reality simulators and wet-lab models were used to practice key steps of phacoemulsification, including capsulorhexis, nucleus fragmentation, and intraocular lens implantation. Trainee performance was assessed using objective metrics provided by simulators, supervised skill evaluations, and complication rates during early live surgeries.",
        "Results": "Simulation training significantly improved hand–eye coordination, depth perception, and procedural confidence among trainees. Residents who underwent structured simulation training demonstrated a shorter learning curve, reduced intraoperative complications, and improved surgical efficiency during their initial independent cataract surgeries compared to traditionally trained peers.",
        "Conclusions": "Simulation-based training represents a valuable and effective tool in cataract surgery education. It allows residents to acquire essential microsurgical skills in a safe, controlled environment, thereby enhancing patient safety and optimizing surgical outcomes. Incorporating simulation into standard ophthalmic training programs should be strongly encouraged."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 208
    },
    {
      "uid": "POCAT248",
      "abstract_number": "POCAT248",
      "title": "Iris Repair Techniques – A Literature Review And A Video Review",
      "authors": "Dr Ana Miguel",
      "presenter": "Dr Ana Miguel",
      "normalized_authors": [
        "Ana Miguel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Miguel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Iris defects can arise from trauma, post-acute angle-closure glaucoma, uveitis, infections, be congenital, or others. Several techniques exist for iris repair, each adapted for the type of iris defect. We intended to compare our techniques to the literature review.",
        "Setting": "We performed a monocentric retrospective study in our tertiary hospital.",
        "Methods": "We conducted a literature review of the existing different iris repair techniques. We also performed a retrospective study with review of the surgical videos in which there was iris repair, and identified the technique used by the surgeon, and compared with the previously published techniques. We built an algorithm of iris repair based on these videos.",
        "Results": "In our video review, the surgeon used simple pupilloplasty in sectorial iris defects with sufficient tissue (with interrupted sutures using intraocular technique, McAhmed technique, or Siepser technique), or iris prostheses (namely from HumanOptics and Morcher) with insufficient tissue. In global iris defects, iris cerclage was used (either partial or complete) if there was sufficient tissue and iris prostheses otherwise. Iridodialysis required a different approach. Other procedures were needed in the majority of cases, namely associated glaucoma surgeries. The techniques corresponded to the literature, adapted to each patient’s needs. There were no surgical complications in our case series, and all patients had less photophobia.",
        "Conclusions": "According to the type of defect and to the amount of iris tissue present, different techniques can be used. Usually a complex surgery with treatment of other associated ophthalmic pathologies is needed. A systematic approach with an algorithm can help."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "According to the type of defect and to the amount of iris tissue present, different techniques can be used. Usually a complex surgery with treatment of other associated ophthalmic pathologies is needed. A systematic approach with an algorithm can help.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 287,
      "source_fields": {
        "Abstract Final Identifier": "POCAT248",
        "Title": "Iris Repair Techniques – A Literature Review And A Video Review",
        "Presenting Author(s)": "Dr Ana Miguel",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Miguel",
        "Country Name": "France",
        "Purpose": "Iris defects can arise from trauma, post-acute angle-closure glaucoma, uveitis, infections, be congenital, or others. Several techniques exist for iris repair, each adapted for the type of iris defect. We intended to compare our techniques to the literature review.",
        "Setting": "We performed a monocentric retrospective study in our tertiary hospital.",
        "Methods": "We conducted a literature review of the existing different iris repair techniques. We also performed a retrospective study with review of the surgical videos in which there was iris repair, and identified the technique used by the surgeon, and compared with the previously published techniques. We built an algorithm of iris repair based on these videos.",
        "Results": "In our video review, the surgeon used simple pupilloplasty in sectorial iris defects with sufficient tissue (with interrupted sutures using intraocular technique, McAhmed technique, or Siepser technique), or iris prostheses (namely from HumanOptics and Morcher) with insufficient tissue. In global iris defects, iris cerclage was used (either partial or complete) if there was sufficient tissue and iris prostheses otherwise. Iridodialysis required a different approach. Other procedures were needed in the majority of cases, namely associated glaucoma surgeries. The techniques corresponded to the literature, adapted to each patient’s needs. There were no surgical complications in our case series, and all patients had less photophobia.",
        "Conclusions": "According to the type of defect and to the amount of iris tissue present, different techniques can be used. Usually a complex surgery with treatment of other associated ophthalmic pathologies is needed. A systematic approach with an algorithm can help."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCAT249",
      "abstract_number": "POCAT249",
      "title": "Comparison Of The Efficacy And Safety Of Femtosecond Laser – Assited Cataract Surgery And Conventional Phacoemulsification In Treating Dense Nuclear Cataracts At Cao Thang Eye Hospital",
      "authors": "Ms Xuan Huong THI Nguyen",
      "presenter": "Ms Xuan Huong THI Nguyen",
      "normalized_authors": [
        "Xuan Huong THI Nguyen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xuan Huong THI Nguyen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To compare the efficacy and safety of femtosecond laser–assisted cataract surgery (FLACS) with conventional phacoemulsification in the treatment of hard nuclear cataracts.",
        "Setting": "Prospective comparative study conducted at a tertiary eye center between October 2025 and February 2026.",
        "Methods": "A total of 100 eyes with hard nuclear cataracts (LOCS III grades N4–N5) were included and divided into two groups: FLACS (n=50) and conventional phacoemulsification (n=50). The femtosecond laser was used for anterior capsulotomy and lens fragmentation prior to phacoemulsification. Outcome measures included cumulative dissipated energy (CDE), endothelial cell loss, postoperative visual acuity, and surgical complications. Patients were followed for 3 months postoperatively.",
        "Results": "FLACS significantly reduced phacoemulsification energy compared with conventional phacoemulsification (mean CDE: 8.5 ± 3.2 vs 13.7 ± 4.1; p < 0.05). Endothelial cell loss was lower in the FLACS group (7.5%) than in the phaco group (13.4%).Postoperative visual outcomes were favorable in both groups, with faster early visual recovery in the FLACS group.. At 1 week, 92% of eyes achieved BCVA ≥0.5, increasing to 98% at 1 month. At 3 months, 60% of eyes achieved BCVA ≥0.7. The overall complication rate was low, with corneal edema in 8% of cases and posterior capsule rupture in 1%.",
        "Conclusions": "FLACS is a safe and effective technique for managing hard nuclear cataracts. Compared with conventional phacoemulsification, FLACS reduces ultrasound energy and endothelial cell loss and facilitates faster early visual recovery while providing comparable final visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FLACS is a safe and effective technique for managing hard nuclear cataracts. Compared with conventional phacoemulsification, FLACS reduces ultrasound energy and endothelial cell loss and facilitates faster early visual recovery while providing comparable final visual outcomes.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 288,
      "source_fields": {
        "Abstract Final Identifier": "POCAT249",
        "Title": "Comparison Of The Efficacy And Safety Of Femtosecond Laser – Assited Cataract Surgery And Conventional Phacoemulsification In Treating Dense Nuclear Cataracts At Cao Thang Eye Hospital",
        "Presenting Author(s)": "Ms Xuan Huong THI Nguyen",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Xuan Huong",
        "Submitter Middle Name": "THI",
        "Submitter Last Name": "Nguyen",
        "Country Name": "Viet Nam",
        "Purpose": "To compare the efficacy and safety of femtosecond laser–assisted cataract surgery (FLACS) with conventional phacoemulsification in the treatment of hard nuclear cataracts.",
        "Setting": "Prospective comparative study conducted at a tertiary eye center between October 2025 and February 2026.",
        "Methods": "A total of 100 eyes with hard nuclear cataracts (LOCS III grades N4–N5) were included and divided into two groups: FLACS (n=50) and conventional phacoemulsification (n=50). The femtosecond laser was used for anterior capsulotomy and lens fragmentation prior to phacoemulsification. Outcome measures included cumulative dissipated energy (CDE), endothelial cell loss, postoperative visual acuity, and surgical complications. Patients were followed for 3 months postoperatively.",
        "Results": "FLACS significantly reduced phacoemulsification energy compared with conventional phacoemulsification (mean CDE: 8.5 ± 3.2 vs 13.7 ± 4.1; p < 0.05). Endothelial cell loss was lower in the FLACS group (7.5%) than in the phaco group (13.4%).Postoperative visual outcomes were favorable in both groups, with faster early visual recovery in the FLACS group.. At 1 week, 92% of eyes achieved BCVA ≥0.5, increasing to 98% at 1 month. At 3 months, 60% of eyes achieved BCVA ≥0.7. The overall complication rate was low, with corneal edema in 8% of cases and posterior capsule rupture in 1%.",
        "Conclusions": "FLACS is a safe and effective technique for managing hard nuclear cataracts. Compared with conventional phacoemulsification, FLACS reduces ultrasound energy and endothelial cell loss and facilitates faster early visual recovery while providing comparable final visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POCAT250",
      "abstract_number": "POCAT250",
      "title": "Safety And Efficacy Of Abbreviated Povidone-Iodine Contact Time In Cataract Surgery: A Retrospective Analysis Of 2000 Consecutive Cases",
      "authors": "Dr Ahmet Melih Oncirak",
      "presenter": "Dr Ahmet Melih Oncirak",
      "normalized_authors": [
        "Ahmet Melih Oncirak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Melih Oncirak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of abbreviated povidone-iodine (PVI) contact time (45-60 seconds) compared to the conventional 3-minute protocol in preventing postoperative endophthalmitis following phacoemulsification.",
        "Setting": "Single-center tertiary eye care institution.",
        "Methods": "Retrospective cohort study of 2000 consecutive eyes undergoing phacoemulsification with IOL implantation. All surgeries were performed by a single surgeon using 5% PVI applied for 45-60 seconds. Primary outcome was endophthalmitis incidence. Secondary outcomes included TASS, cystoid macular edema (CME), corneal edema, IOL dislocation, and BCVA. Follow-up was performed at day 1, week 1, month 1, and month 3.",
        "Results": "Mean age was 67.2±9.8 years (54.8% female). Comorbidities included diabetes (24.8%), hypertension (45.2%), and glaucoma (13.2%). Macular pathology was present in 19.9%. Zero cases of endophthalmitis occurred (0/2000, 0.00%; 95% CI: 0.00-0.18%), within the literature range of 0.01-0.10%. TASS incidence was 0%. CME occurred in 57 eyes (2.85%) at 1 month, with 16 (0.80%) persistent at 3 months. Intraoperative complications occurred in 30 eyes (1.50%). Persistent corneal edema and IOL dislocation each occurred in 4 eyes (0.20%). All rates were within published ranges. Mean BCVA improved from 0.74±0.28 to 0.34±0.21 logMAR (p<0.001). In eyes without macular pathology, 93.1% achieved ≥20/25 at 1 month.",
        "Conclusions": "Abbreviated PVI contact time (45-60 seconds) demonstrates comparable safety to the conventional 3-minute protocol, with zero endophthalmitis in 2000 surgeries. This protocol may reduce corneal toxicity and improve surgical efficiency without compromising infection prophylaxis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Abbreviated PVI contact time (45-60 seconds) demonstrates comparable safety to the conventional 3-minute protocol, with zero endophthalmitis in 2000 surgeries. This protocol may reduce corneal toxicity and improve surgical efficiency without compromising infection prophylaxis.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 289,
      "source_fields": {
        "Abstract Final Identifier": "POCAT250",
        "Title": "Safety And Efficacy Of Abbreviated Povidone-Iodine Contact Time In Cataract Surgery: A Retrospective Analysis Of 2000 Consecutive Cases",
        "Presenting Author(s)": "Dr Ahmet Melih Oncirak",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "Melih",
        "Submitter Last Name": "Oncirak",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the safety and efficacy of abbreviated povidone-iodine (PVI) contact time (45-60 seconds) compared to the conventional 3-minute protocol in preventing postoperative endophthalmitis following phacoemulsification.",
        "Setting": "Single-center tertiary eye care institution.",
        "Methods": "Retrospective cohort study of 2000 consecutive eyes undergoing phacoemulsification with IOL implantation. All surgeries were performed by a single surgeon using 5% PVI applied for 45-60 seconds. Primary outcome was endophthalmitis incidence. Secondary outcomes included TASS, cystoid macular edema (CME), corneal edema, IOL dislocation, and BCVA. Follow-up was performed at day 1, week 1, month 1, and month 3.",
        "Results": "Mean age was 67.2±9.8 years (54.8% female). Comorbidities included diabetes (24.8%), hypertension (45.2%), and glaucoma (13.2%). Macular pathology was present in 19.9%. Zero cases of endophthalmitis occurred (0/2000, 0.00%; 95% CI: 0.00-0.18%), within the literature range of 0.01-0.10%. TASS incidence was 0%. CME occurred in 57 eyes (2.85%) at 1 month, with 16 (0.80%) persistent at 3 months. Intraoperative complications occurred in 30 eyes (1.50%). Persistent corneal edema and IOL dislocation each occurred in 4 eyes (0.20%). All rates were within published ranges. Mean BCVA improved from 0.74±0.28 to 0.34±0.21 logMAR (p<0.001). In eyes without macular pathology, 93.1% achieved ≥20/25 at 1 month.",
        "Conclusions": "Abbreviated PVI contact time (45-60 seconds) demonstrates comparable safety to the conventional 3-minute protocol, with zero endophthalmitis in 2000 surgeries. This protocol may reduce corneal toxicity and improve surgical efficiency without compromising infection prophylaxis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "POCAT251",
      "abstract_number": "POCAT251",
      "title": "Visual And Refractive Outcomes Of Immediate Versus Delayed Sequential Bilateral Cataract Surgery: A Large Uk Tertiary Centre Cohort Study",
      "authors": "Ms Amee Patel",
      "presenter": "Ms Amee Patel",
      "normalized_authors": [
        "Amee Patel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amee Patel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare visual outcomes, refractive accuracy, and safety between immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS) in a large UK tertiary centre cohort.",
        "Setting": "High-volume UK tertiary ophthalmology hospital network comprising of 10 sites, including the principal centre and satellite units, with surgical data extracted from all locations across London.",
        "Methods": "This retrospective cohort study included adults who underwent cataract surgery in both eyes between March 2020 and November 2024 across satellite centres of a UK tertiary eye hospital. ISBCS was compared with DSBCS. Outcomes assessed at 6–8 weeks included uncorrected visual acuity (UCVA ≥6/12), refractive accuracy within ±0.5 dioptres (D), and intraoperative or postoperative complications. Outcomes were compared per eye using relative risks (RR) with 95% confidence intervals (CI). A subgroup analysis of non-complex cases was performed.",
        "Results": "A total of 1,458 patients (2,916 eyes) underwent ISBCS and 12,583 patients (25,166 eyes) underwent DSBCS. Given the large sample size, this study had >95% power to detect a 5% difference between the groups. Achievement of UCVA ≥6/12 was comparable between groups (RR 0.98, 95% CI 0.96–1.00; p = 0.06). Refractive accuracy within ±0.5 D was higher in the ISBCS group (RR 1.08, 95% CI 1.05–1.12; p < 0.001). Complications occurred in 1.95% of ISBCS eyes and 7.3% of DSBCS eyes. Subgroup analysis of non-complex DSBCS cases demonstrated no significant difference compared with ISBCS.",
        "Conclusions": "In this large real-world NHS cohort, ISBCS achieved visual outcomes comparable to DSBCS with slightly improved refractive accuracy. When appropriately selected ISBCS offers a safe, clinically effective and scalable approach. These findings support its integration into contemporary high-volume cataract practice, with potential benefits for service efficiency, patient convenience, and sustainable healthcare delivery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large real-world NHS cohort, ISBCS achieved visual outcomes comparable to DSBCS with slightly improved refractive accuracy. When appropriately selected ISBCS offers a safe, clinically effective and scalable approach. These findings support its integration into contemporary high-volume cataract practice, with potential benefits for service efficiency, patient convenience, and sustainable healthcare delivery.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 290,
      "source_fields": {
        "Abstract Final Identifier": "POCAT251",
        "Title": "Visual And Refractive Outcomes Of Immediate Versus Delayed Sequential Bilateral Cataract Surgery: A Large Uk Tertiary Centre Cohort Study",
        "Presenting Author(s)": "Ms Amee Patel",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Amee",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Patel",
        "Country Name": "United Kingdom",
        "Purpose": "To compare visual outcomes, refractive accuracy, and safety between immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS) in a large UK tertiary centre cohort.",
        "Setting": "High-volume UK tertiary ophthalmology hospital network comprising of 10 sites, including the principal centre and satellite units, with surgical data extracted from all locations across London.",
        "Methods": "This retrospective cohort study included adults who underwent cataract surgery in both eyes between March 2020 and November 2024 across satellite centres of a UK tertiary eye hospital. ISBCS was compared with DSBCS. Outcomes assessed at 6–8 weeks included uncorrected visual acuity (UCVA ≥6/12), refractive accuracy within ±0.5 dioptres (D), and intraoperative or postoperative complications. Outcomes were compared per eye using relative risks (RR) with 95% confidence intervals (CI). A subgroup analysis of non-complex cases was performed.",
        "Results": "A total of 1,458 patients (2,916 eyes) underwent ISBCS and 12,583 patients (25,166 eyes) underwent DSBCS. Given the large sample size, this study had >95% power to detect a 5% difference between the groups. Achievement of UCVA ≥6/12 was comparable between groups (RR 0.98, 95% CI 0.96–1.00; p = 0.06). Refractive accuracy within ±0.5 D was higher in the ISBCS group (RR 1.08, 95% CI 1.05–1.12; p < 0.001). Complications occurred in 1.95% of ISBCS eyes and 7.3% of DSBCS eyes. Subgroup analysis of non-complex DSBCS cases demonstrated no significant difference compared with ISBCS.",
        "Conclusions": "In this large real-world NHS cohort, ISBCS achieved visual outcomes comparable to DSBCS with slightly improved refractive accuracy. When appropriately selected ISBCS offers a safe, clinically effective and scalable approach. These findings support its integration into contemporary high-volume cataract practice, with potential benefits for service efficiency, patient convenience, and sustainable healthcare delivery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POCAT252",
      "abstract_number": "POCAT252",
      "title": "Change In Aberration Dynamics After Section Suture Removal Following Cataract Surgery By Residents – A Clinical Study",
      "authors": "Dr Raj Shekhar Paul",
      "presenter": "Dr Raj Shekhar Paul",
      "normalized_authors": [
        "Raj Shekhar Paul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raj Shekhar Paul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Scleral tunnel phacoemulsification is a must know for all cataract surgeons.Suturing ocular tissue is a skill mastered during residency period .It is vital because, it is needed in treating sclero-corneal tears and managing numerous complications like premature entry ,faulty scleral tunnel and wound closure at end. The objectives were , to emphasize importance of correct suturing followed by timing of suture removal in cataract surgeries, suggest improvement in resident’s suturing techniques in relation to tightness ,depth , length and appropriate time for removal and to measure various Higher Order Aberrations changes after suturing and after suture removal and correlation with patient satisfaction.",
        "Setting": "It was a prospective , observational , single centre study. Patients were randomly selected.This study was conceptualized at an institute where residents perform scleral tunnel phacoemulsification during their training period and implant a 5.5mm optic rigid PMMA IOL. 15 eyes of 15 patients who underwent scleral tunnel phacoemulsification by residents and they had their section sutured. These patients were followed up for 1 year post cataract surgery.",
        "Methods": "Incluson criterias were pre operative steep vertical meridian . All patients undergoing superior section scleral tunnel phacoemulsification , who had their sections sutured were included . All the 15 cases were completed independently by second year residents.Exclusion criterias were pre operative – Corneal scars , poorly dilating pupil. Complications involving dense corneal striae, IOL and capsular bag related complications, and pupil related iatrogenic pupillary defect like iridodialysis , change in shape of round pupil were also excluded.Pentacam studies were done at 2 weeks before suture removal from these eyes and were repeated gain after 2 weeks gap.",
        "Results": "Results were analysed under following headings – Demography , Vision and refraction , Keratometry values and Higher Order Aberrations – Vertical Coma , Trefoil , Spherical Aberrations. 15 eyes (8 right eye ,7 left eyes) of 15 patients were analysed in various parameters. There were 6 male and 9 female patients. (M:F – 2:3). All the surgeries were performed by 4 residents (blinded till publication of results). Among higher order aberrations COMA aberration on suturing decreased and remained slightly raised even after suture removal post 2 weeks. Unlike Coma , suturing had least effect on trefoil,Spherical aberration on suturing decreases but reaches normal values after suture removal post 2 weeks .",
        "Conclusions": "To conclude , it's a novel study to define higher order corneal aberrations due to suturing on a scleral tunnel wound construct. Few salient points coming up in this study were ,section sutures will cause steepening of the meridian , which if removed at 2 weeks will have negligible effect on Surgically Induced Astigmatism. In cases of tight sutures cylinder glasses will improve the vision, but patient’s vision quality will remain poor , hence tight sutures ,even if well conjunctivalized should be removed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To conclude , it's a novel study to define higher order corneal aberrations due to suturing on a scleral tunnel wound construct. Few salient points coming up in this study were ,section sutures will cause steepening of the meridian , which if removed at 2 weeks will have negligible effect on Surgically Induced Astigmatism. In cases of tight sutures cylinder glasses will improve the vision, but patient’s vision…",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 291,
      "source_fields": {
        "Abstract Final Identifier": "POCAT252",
        "Title": "Change In Aberration Dynamics After Section Suture Removal Following Cataract Surgery By Residents – A Clinical Study",
        "Presenting Author(s)": "Dr Raj Shekhar Paul",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Raj Shekhar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Paul",
        "Country Name": "India",
        "Purpose": "Scleral tunnel phacoemulsification is a must know for all cataract surgeons.Suturing ocular tissue is a skill mastered during residency period .It is vital because, it is needed in treating sclero-corneal tears and managing numerous complications like premature entry ,faulty scleral tunnel and wound closure at end. The objectives were , to emphasize importance of correct suturing followed by timing of suture removal in cataract surgeries, suggest improvement in resident’s suturing techniques in relation to tightness ,depth , length and appropriate time for removal and to measure various Higher Order Aberrations changes after suturing and after suture removal and correlation with patient satisfaction.",
        "Setting": "It was a prospective , observational , single centre study. Patients were randomly selected.This study was conceptualized at an institute where residents perform scleral tunnel phacoemulsification during their training period and implant a 5.5mm optic rigid PMMA IOL. 15 eyes of 15 patients who underwent scleral tunnel phacoemulsification by residents and they had their section sutured. These patients were followed up for 1 year post cataract surgery.",
        "Methods": "Incluson criterias were pre operative steep vertical meridian . All patients undergoing superior section scleral tunnel phacoemulsification , who had their sections sutured were included . All the 15 cases were completed independently by second year residents.Exclusion criterias were pre operative – Corneal scars , poorly dilating pupil. Complications involving dense corneal striae, IOL and capsular bag related complications, and pupil related iatrogenic pupillary defect like iridodialysis , change in shape of round pupil were also excluded.Pentacam studies were done at 2 weeks before suture removal from these eyes and were repeated gain after 2 weeks gap.",
        "Results": "Results were analysed under following headings – Demography , Vision and refraction , Keratometry values and Higher Order Aberrations – Vertical Coma , Trefoil , Spherical Aberrations. 15 eyes (8 right eye ,7 left eyes) of 15 patients were analysed in various parameters. There were 6 male and 9 female patients. (M:F – 2:3). All the surgeries were performed by 4 residents (blinded till publication of results). Among higher order aberrations COMA aberration on suturing decreased and remained slightly raised even after suture removal post 2 weeks. Unlike Coma , suturing had least effect on trefoil,Spherical aberration on suturing decreases but reaches normal values after suture removal post 2 weeks .",
        "Conclusions": "To conclude , it's a novel study to define higher order corneal aberrations due to suturing on a scleral tunnel wound construct. Few salient points coming up in this study were ,section sutures will cause steepening of the meridian , which if removed at 2 weeks will have negligible effect on Surgically Induced Astigmatism. In cases of tight sutures cylinder glasses will improve the vision, but patient’s vision quality will remain poor , hence tight sutures ,even if well conjunctivalized should be removed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 446
    },
    {
      "uid": "POCAT253",
      "abstract_number": "POCAT253",
      "title": "Impact Of Virtual Reality Simulator-Based Training In Reducing Complications In Cataract Surgery : A Comparative Analysis",
      "authors": "Dr Sankar ANANTHAN Ravindran",
      "presenter": "Dr Sankar ANANTHAN Ravindran",
      "normalized_authors": [
        "Sankar ANANTHAN Ravindran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sankar ANANTHAN Ravindran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the impact of virtual reality simulator (VRS)-based training in reducing intraoperative complications and re-surgery rates among resident surgeons performing Manual Small Incision Cataract Surgery (MSICS).",
        "Setting": "C haritable section of the tertiary hospital through direct availed services at free /subsidised cost.\n\nDesign: Interventional study",
        "Methods": "A retrospective cohort study was conducted, analyzing complication rates before and after a week-long VRS-based microsurgical retraining program. Residents with the highest complication rates were enrolled, receiving structured theoretical sessions and hands-on simulator training focusing on key surgical steps such as scleral tunnel construction, capsulorhexis, and intraocular lens (IOL) placement. Post-training surgical performance was assessed using electronic medical records.",
        "Results": "Eight residents participated in the retraining program. Prior to VRS training, 2372 surgeries were performed with a complication rate of 3.6%. After retraining, 2246 surgeries were analyzed, showing a significant reduction in complications to 1.2% (p < 0.01). The number of re-surgeries also reduced from 0.8% to 0.13%. Significant decrease in serious complications, including zonular dialysis with vitreous disturbances and posterior capsular rent. Additionally, all surgeons successfully implanted an IOL in their post-training surgeries.",
        "Conclusions": "VRS-based retraining effectively improves surgical proficiency, reducing complication and re-surgery rates in MSICS. This study highlights the importance of incorporating simulation-based training into ophthalmology residency programs, particularly in high-volume surgical settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "VRS-based retraining effectively improves surgical proficiency, reducing complication and re-surgery rates in MSICS. This study highlights the importance of incorporating simulation-based training into ophthalmology residency programs, particularly in high-volume surgical settings.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 292,
      "source_fields": {
        "Abstract Final Identifier": "POCAT253",
        "Title": "Impact Of Virtual Reality Simulator-Based Training In Reducing Complications In Cataract Surgery : A Comparative Analysis",
        "Presenting Author(s)": "Dr Sankar ANANTHAN Ravindran",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Sankar",
        "Submitter Middle Name": "ANANTHAN",
        "Submitter Last Name": "Ravindran",
        "Country Name": "India",
        "Purpose": "To evaluate the impact of virtual reality simulator (VRS)-based training in reducing intraoperative complications and re-surgery rates among resident surgeons performing Manual Small Incision Cataract Surgery (MSICS).",
        "Setting": "C haritable section of the tertiary hospital through direct availed services at free /subsidised cost.\n\nDesign: Interventional study",
        "Methods": "A retrospective cohort study was conducted, analyzing complication rates before and after a week-long VRS-based microsurgical retraining program. Residents with the highest complication rates were enrolled, receiving structured theoretical sessions and hands-on simulator training focusing on key surgical steps such as scleral tunnel construction, capsulorhexis, and intraocular lens (IOL) placement. Post-training surgical performance was assessed using electronic medical records.",
        "Results": "Eight residents participated in the retraining program. Prior to VRS training, 2372 surgeries were performed with a complication rate of 3.6%. After retraining, 2246 surgeries were analyzed, showing a significant reduction in complications to 1.2% (p < 0.01). The number of re-surgeries also reduced from 0.8% to 0.13%. Significant decrease in serious complications, including zonular dialysis with vitreous disturbances and posterior capsular rent. Additionally, all surgeons successfully implanted an IOL in their post-training surgeries.",
        "Conclusions": "VRS-based retraining effectively improves surgical proficiency, reducing complication and re-surgery rates in MSICS. This study highlights the importance of incorporating simulation-based training into ophthalmology residency programs, particularly in high-volume surgical settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 214
    },
    {
      "uid": "POCAT254",
      "abstract_number": "POCAT254",
      "title": "Citicoline As An Adjunct Therapy: Does It Influence Post-Cataract Macular Thickness",
      "authors": "Dr Sandra Sekelj",
      "presenter": "Dr Sandra Sekelj",
      "normalized_authors": [
        "Sandra Sekelj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sandra Sekelj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "This study aims to determine the potential effect of citicoline eye drops on postoperative OCT-measured macular thickness in patients undergoing cataract surgery.",
        "Setting": "The study was conducted at the Eye Department of General Hospital \"Dr Josip Bencevic\" and included patients attending routine preoperative evaluation for cataract surgery. All examinations were performed under standardized clinical conditions using the same diagnostic equipment and postoperative treatment protocol. Patients were followed one month after surgery.",
        "Methods": "Preoperatively, visual acuity was measured, lens opacity was graded, and macular OCT imaging was performed. Following cataract surgery, all patients received topical levofloxacin–dexamethasone drops four times daily for 7 days, dexamethasone sodium phosphate ophthalmic gel four times daily for 7 days followed by twice daily for the next 7 days, and citicoline eye drops three times daily for one month. At 1 month postoperatively, visual acuity and macular OCT were repeated. Additional recorded variables included age, sex, and the presence or absence of diabetes mellitus.",
        "Results": "The mean age was 74.6 ± 7.0 years. There was statistically significant increase in macular thickness following cataract surgery, with OCT measurements (265.5 ± 36.1 µm) being higher than OCT preoperatively (256.6 ± 32.1 µm) (p < 0.00001). Visual acuity before operation showed no significant correlation with OCT before operation (r = 0.05, p = 0.69) or postoperative OCT(r ≈ 0.00, p = 0.94). Nuclear opacity did not significantly correlate with OCT before operation (ρ = 0.096, p = 0.43) or OCT postoperatively (ρ = 0.12, p = 0.33). OCT measurments postoperatively were slightly higher in the diabetic patients (271.0 ± 23.3 µm vs. 263.9 ± 39.1 µm), but this difference was also not statistically significant (p > 0.05).",
        "Conclusions": "Based on the results of this study, citicoline eye drops did not demonstrate a measurable benefit in reducing or preventing postoperative macular thickening, but no relevant clinical deterioration occurred."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Based on the results of this study, citicoline eye drops did not demonstrate a measurable benefit in reducing or preventing postoperative macular thickening, but no relevant clinical deterioration occurred.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 293,
      "source_fields": {
        "Abstract Final Identifier": "POCAT254",
        "Title": "Citicoline As An Adjunct Therapy: Does It Influence Post-Cataract Macular Thickness",
        "Presenting Author(s)": "Dr Sandra Sekelj",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Sandra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sekelj",
        "Country Name": "Croatia",
        "Purpose": "This study aims to determine the potential effect of citicoline eye drops on postoperative OCT-measured macular thickness in patients undergoing cataract surgery.",
        "Setting": "The study was conducted at the Eye Department of General Hospital \"Dr Josip Bencevic\" and included patients attending routine preoperative evaluation for cataract surgery. All examinations were performed under standardized clinical conditions using the same diagnostic equipment and postoperative treatment protocol. Patients were followed one month after surgery.",
        "Methods": "Preoperatively, visual acuity was measured, lens opacity was graded, and macular OCT imaging was performed. Following cataract surgery, all patients received topical levofloxacin–dexamethasone drops four times daily for 7 days, dexamethasone sodium phosphate ophthalmic gel four times daily for 7 days followed by twice daily for the next 7 days, and citicoline eye drops three times daily for one month. At 1 month postoperatively, visual acuity and macular OCT were repeated. Additional recorded variables included age, sex, and the presence or absence of diabetes mellitus.",
        "Results": "The mean age was 74.6 ± 7.0 years. There was statistically significant increase in macular thickness following cataract surgery, with OCT measurements (265.5 ± 36.1 µm) being higher than OCT preoperatively (256.6 ± 32.1 µm) (p < 0.00001). Visual acuity before operation showed no significant correlation with OCT before operation (r = 0.05, p = 0.69) or postoperative OCT(r ≈ 0.00, p = 0.94). Nuclear opacity did not significantly correlate with OCT before operation (ρ = 0.096, p = 0.43) or OCT postoperatively (ρ = 0.12, p = 0.33). OCT measurments postoperatively were slightly higher in the diabetic patients (271.0 ± 23.3 µm vs. 263.9 ± 39.1 µm), but this difference was also not statistically significant (p > 0.05).",
        "Conclusions": "Based on the results of this study, citicoline eye drops did not demonstrate a measurable benefit in reducing or preventing postoperative macular thickening, but no relevant clinical deterioration occurred."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCAT255",
      "abstract_number": "POCAT255",
      "title": "Language Barriers And Clinic Efficiency In Cataract Services: A Time-In-Motion Study At Moorfields",
      "authors": "Dr Chun Yin Benjamin Tsang",
      "presenter": "Dr Chun Yin Benjamin Tsang",
      "normalized_authors": [
        "Chun Yin Benjamin Tsang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chun Yin Benjamin Tsang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Efficient patient flow is essential in cataract clinics where patients move through multiple assessment stages. An audit at Moorfields, Stratford, showed only 53% of cataract clinic patients had English as their preferred language. Patients with limited English proficiency (LEP) often require professional interpreter support, which may increase visit duration and time spent by staff. Understanding this impact is important for service planning and resource allocation.\n\nThis study aims to quantify and compare total in-room time, idle time (periods when the practitioner was not carrying out expected clinical tasks) , and touch time within each stage of cataract clinics for patients who require interpreting services versus those who do not.",
        "Setting": "This prospective time in motion study in cataract clinics at the Moorfields at Stratford site in London. Th is study has been registered as a service improvement project .",
        "Methods": "Data was collected between 14 th January and 11 th February, 2026. N ew and follow-up patien t s were o bserved throughout each stage of the patient journey – c heck-in, vision assess ment, imaging, clinician consultation , and surgical pre-assessment . For each stage, in-room time and i dle time were timed and recorded onto a proforma alo ng with E ng lish pr of iciency and the type of int er p r e ter used (if any). Covariates collected include age, gender, mobility, and relevant hearing and cognitive impairment. Median times a re compared using the Mann–Whitney U test .",
        "Results": "3 4 patients were observed : 19 follo w-up , 1 5 new. 1 5 patients (4 4.1 %) were classified as LEP, speaking 8 different languages including Bengali, Urdu, Albanian, and Vietnamese . Among follow-up patients, LEP individuals (n= 10 ) spent a median 3 2 minutes in clinic versus 2 6 minutes for English-proficient patients (n=9) , representing a 23 % increa se in visit dur ation (p<0.0 5). Touch time efficiency ( touch time as a proportion of in-room time ) was also reduced in LEP patients (88.5% vs 92.4% respectively ) . Notably, 100% of interpreter support was provided informally by relatives rather than professional services . 7 of the 1 5 LEP patients ( 46.7% ) required rebookin g du e to lan guage barriers , whilst no English-proficient patients required rebooking.",
        "Conclusions": "This time in motion study quantitatively demonstrates the impact of language barriers on clinical flow in cataract clinics. Patients with LEP spent l onger in clinic than English-proficient patients, with high rebooking rates due to unavailable telephone interpreters and need for language-concordant clinicians, significantly affecting workflow efficiency.\n\nThese findings highlight opportunities for service improvement: identifying LEP patients at the point of booking would allow proactive arrangement of professional interpreting services, reducing rebooking rates and improving clinic efficiency. Additionally, scheduling longer appointment slots for patients requiring interpreters could support more realistic workflow planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This time in motion study quantitatively demonstrates the impact of language barriers on clinical flow in cataract clinics. Patients with LEP spent l onger in clinic than English-proficient patients, with high rebooking rates due to unavailable telephone interpreters and need for language-concordant clinicians, significantly affecting workflow efficiency. These findings highlight opportunities for service…",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 294,
      "source_fields": {
        "Abstract Final Identifier": "POCAT255",
        "Title": "Language Barriers And Clinic Efficiency In Cataract Services: A Time-In-Motion Study At Moorfields",
        "Presenting Author(s)": "Dr Chun Yin Benjamin Tsang",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Chun Yin Benjamin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsang",
        "Country Name": "United Kingdom",
        "Purpose": "Efficient patient flow is essential in cataract clinics where patients move through multiple assessment stages. An audit at Moorfields, Stratford, showed only 53% of cataract clinic patients had English as their preferred language. Patients with limited English proficiency (LEP) often require professional interpreter support, which may increase visit duration and time spent by staff. Understanding this impact is important for service planning and resource allocation.\n\nThis study aims to quantify and compare total in-room time, idle time (periods when the practitioner was not carrying out expected clinical tasks) , and touch time within each stage of cataract clinics for patients who require interpreting services versus those who do not.",
        "Setting": "This prospective time in motion study in cataract clinics at the Moorfields at Stratford site in London. Th is study has been registered as a service improvement project .",
        "Methods": "Data was collected between 14 th January and 11 th February, 2026. N ew and follow-up patien t s were o bserved throughout each stage of the patient journey – c heck-in, vision assess ment, imaging, clinician consultation , and surgical pre-assessment . For each stage, in-room time and i dle time were timed and recorded onto a proforma alo ng with E ng lish pr of iciency and the type of int er p r e ter used (if any). Covariates collected include age, gender, mobility, and relevant hearing and cognitive impairment. Median times a re compared using the Mann–Whitney U test .",
        "Results": "3 4 patients were observed : 19 follo w-up , 1 5 new. 1 5 patients (4 4.1 %) were classified as LEP, speaking 8 different languages including Bengali, Urdu, Albanian, and Vietnamese . Among follow-up patients, LEP individuals (n= 10 ) spent a median 3 2 minutes in clinic versus 2 6 minutes for English-proficient patients (n=9) , representing a 23 % increa se in visit dur ation (p<0.0 5). Touch time efficiency ( touch time as a proportion of in-room time ) was also reduced in LEP patients (88.5% vs 92.4% respectively ) . Notably, 100% of interpreter support was provided informally by relatives rather than professional services . 7 of the 1 5 LEP patients ( 46.7% ) required rebookin g du e to lan guage barriers , whilst no English-proficient patients required rebooking.",
        "Conclusions": "This time in motion study quantitatively demonstrates the impact of language barriers on clinical flow in cataract clinics. Patients with LEP spent l onger in clinic than English-proficient patients, with high rebooking rates due to unavailable telephone interpreters and need for language-concordant clinicians, significantly affecting workflow efficiency.\n\nThese findings highlight opportunities for service improvement: identifying LEP patients at the point of booking would allow proactive arrangement of professional interpreting services, reducing rebooking rates and improving clinic efficiency. Additionally, scheduling longer appointment slots for patients requiring interpreters could support more realistic workflow planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 458
    },
    {
      "uid": "POCAT256",
      "abstract_number": "POCAT256",
      "title": "Machine Learning-Based Operative Complexity Stratification Reduces Theatre Inefficiency In Cataract Surgery: A 12-Week Prospective Interventional Study",
      "authors": "Dr Rahul Verma",
      "presenter": "Dr Rahul Verma",
      "normalized_authors": [
        "Rahul Verma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rahul Verma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate whether artificial intelligence (AI)-assisted preoperative surgical complexity\nprediction improves operating theatre utilization and case allocation efficiency in a high-\nvolume cataract surgical centre.",
        "Setting": "Tertiary ophthalmic surgical centre performing approximately 150 cataract procedures per\nmonth within an integrated outpatient and surgical workflow environment.",
        "Methods": "A 12-week prospective interventional study comprised a 6-week baseline phase using conventional scheduling and a 6-week intervention phase using a supervised ML regression model trained on two years of operative data. The model predicted individual case duration and prolonged surgery probability from seven preoperative inputs: nuclear sclerosis grade, pupil size, pseudoexfoliation status, axial length, diabetes mellitus, prior ocular surgery, and surgeon identity. Validated against held-out data (MAE 3.9 min, R² 0.72), it prospectively allocated cases to standard or extended slots. Primary outcomes were theatre utilization and mean turnover time.",
        "Results": "Theatre utilization improved from 71.8% to 84.6% (p < 0.001). Mean turnover time\ndecreased from 19.2 ± 4.6 to 13.1 ± 3.2 minutes (p < 0.001). First-case start delay was\nreduced from 22.4 to 9.6 minutes. Unplanned schedule overruns decreased by 37%. No\nstatistically significant difference in intraoperative complication rates or postoperative best-\ncorrected visual acuity (BCVA) outcomes was identified between phases.",
        "Conclusions": "AI-assisted preoperative complexity prediction significantly improved operating theatre\nefficiency without compromising surgical safety or patient outcomes. Prospective integration\nof validated predictive modelling into cataract list scheduling represents a scalable,\nresource-neutral strategy to optimize theatre utilization in contemporary ophthalmic surgical\npractice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-assisted preoperative complexity prediction significantly improved operating theatre efficiency without compromising surgical safety or patient outcomes. Prospective integration of validated predictive modelling into cataract list scheduling represents a scalable, resource-neutral strategy to optimize theatre utilization in contemporary ophthalmic surgical practice.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 295,
      "source_fields": {
        "Abstract Final Identifier": "POCAT256",
        "Title": "Machine Learning-Based Operative Complexity Stratification Reduces Theatre Inefficiency In Cataract Surgery: A 12-Week Prospective Interventional Study",
        "Presenting Author(s)": "Dr Rahul Verma",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Rahul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Verma",
        "Country Name": "India",
        "Purpose": "To evaluate whether artificial intelligence (AI)-assisted preoperative surgical complexity\nprediction improves operating theatre utilization and case allocation efficiency in a high-\nvolume cataract surgical centre.",
        "Setting": "Tertiary ophthalmic surgical centre performing approximately 150 cataract procedures per\nmonth within an integrated outpatient and surgical workflow environment.",
        "Methods": "A 12-week prospective interventional study comprised a 6-week baseline phase using conventional scheduling and a 6-week intervention phase using a supervised ML regression model trained on two years of operative data. The model predicted individual case duration and prolonged surgery probability from seven preoperative inputs: nuclear sclerosis grade, pupil size, pseudoexfoliation status, axial length, diabetes mellitus, prior ocular surgery, and surgeon identity. Validated against held-out data (MAE 3.9 min, R² 0.72), it prospectively allocated cases to standard or extended slots. Primary outcomes were theatre utilization and mean turnover time.",
        "Results": "Theatre utilization improved from 71.8% to 84.6% (p < 0.001). Mean turnover time\ndecreased from 19.2 ± 4.6 to 13.1 ± 3.2 minutes (p < 0.001). First-case start delay was\nreduced from 22.4 to 9.6 minutes. Unplanned schedule overruns decreased by 37%. No\nstatistically significant difference in intraoperative complication rates or postoperative best-\ncorrected visual acuity (BCVA) outcomes was identified between phases.",
        "Conclusions": "AI-assisted preoperative complexity prediction significantly improved operating theatre\nefficiency without compromising surgical safety or patient outcomes. Prospective integration\nof validated predictive modelling into cataract list scheduling represents a scalable,\nresource-neutral strategy to optimize theatre utilization in contemporary ophthalmic surgical\npractice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT257",
      "abstract_number": "POCAT257",
      "title": "The Germany Experience With The Light Adjustable Lens: Technology Adoption, Practice Management And Clinical Results",
      "authors": "Dr Jannik Joergensen",
      "presenter": "Dr Jannik Joergensen",
      "normalized_authors": [
        "Jannik Joergensen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael YILIN Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To describe adoption of the Light Adjustable Lens (LAL) in a German private practice setting, patient selection process, changes to practice management, and present clinical results.",
        "Setting": "High-volume, private-practice in Germany.",
        "Methods": "Initial cases were eyes with no history of corneal refractive surgery. Standard preoperative examinations and biometry were performed. Phacoemulsification was followed by LAL implantation. Manifest refraction was measured at each postoperative visit and target refraction was determined based on each patient’s visual goals. Up to 3 adjustments were performed using the Light Delivery Device. Lock-in treatments were done when the patient achieved their visual goals.",
        "Results": "A total of 21 eyes were implanted with the LAL. 13 eyes were targeted for distance vision and 8 eyes for near. 86% of all eyes were within ±0.5D of target refraction. 91% of all eyes had residual astigmatism ≤0.5D. 100% of distance eyes had UDVA 20/20 or better. Target refraction for the near eyes ranged from -0.5 to -1.25D. All nears eyes had a UNVA of J3 or better.",
        "Conclusions": "The LAL adjustments improved refractive and visual outcomes and is a viable solution to presbyopia mitigation using blended vision. Patient selection and counselling is important in adopting this technology into a practice. Certain changes to workflow and process may be required for efficient patient management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAL adjustments improved refractive and visual outcomes and is a viable solution to presbyopia mitigation using blended vision. Patient selection and counselling is important in adopting this technology into a practice. Certain changes to workflow and process may be required for efficient patient management.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 296,
      "source_fields": {
        "Abstract Final Identifier": "POCAT257",
        "Title": "The Germany Experience With The Light Adjustable Lens: Technology Adoption, Practice Management And Clinical Results",
        "Presenting Author(s)": "Dr Jannik Joergensen",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "YILIN",
        "Submitter Last Name": "Zhang",
        "Country Name": "Singapore",
        "Purpose": "To describe adoption of the Light Adjustable Lens (LAL) in a German private practice setting, patient selection process, changes to practice management, and present clinical results.",
        "Setting": "High-volume, private-practice in Germany.",
        "Methods": "Initial cases were eyes with no history of corneal refractive surgery. Standard preoperative examinations and biometry were performed. Phacoemulsification was followed by LAL implantation. Manifest refraction was measured at each postoperative visit and target refraction was determined based on each patient’s visual goals. Up to 3 adjustments were performed using the Light Delivery Device. Lock-in treatments were done when the patient achieved their visual goals.",
        "Results": "A total of 21 eyes were implanted with the LAL. 13 eyes were targeted for distance vision and 8 eyes for near. 86% of all eyes were within ±0.5D of target refraction. 91% of all eyes had residual astigmatism ≤0.5D. 100% of distance eyes had UDVA 20/20 or better. Target refraction for the near eyes ranged from -0.5 to -1.25D. All nears eyes had a UNVA of J3 or better.",
        "Conclusions": "The LAL adjustments improved refractive and visual outcomes and is a viable solution to presbyopia mitigation using blended vision. Patient selection and counselling is important in adopting this technology into a practice. Certain changes to workflow and process may be required for efficient patient management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POCAT258",
      "abstract_number": "POCAT258",
      "title": "Swept-Source Oct Biometry Reference Values In Greek Cataract Surgery Candidates: A Large Real-World Dataset",
      "authors": "Dr Dimitra Sakka",
      "presenter": "Dr Dimitra Sakka",
      "normalized_authors": [
        "Dimitra Sakka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Athanasios Zisimopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To provide real-world reference values for ocular biometry findings in Greek phacoemulsification surgery candidates measured using swept-source optical coherence tomography (SS-OCT).",
        "Setting": "Ophthalmiatreio Athinon, a public, tertiary, Specialized Eye Hospital, in Athens, Greece",
        "Methods": "This retrospective single-center study included patients undergoing preoperative assessment for phacoemulsification at a tertiary eye hospital in Athens between July 2024 and July 2025. Biometric measurements were acquired using Swept Source – Optical Coherence Tomography (Argos; Alcon, Fort Worth, TX, USA). Parameters included axial length (AL), anterior chamber depth (ACD), lens thickness (LT), white-to-white distance (WTW), keratometry (K1, K2), and anterior corneal astigmatism (CA).",
        "Results": "The cohort comprised 6,258 eyes from 3,726 patients, with a mean age of 73.36 ± 8.41 years. Mean AL was 23.77 ± 1.21 mm, ACD 3.23 ± 0.39 mm, LT 4.67 ± 0.40 mm, and WTW 11.92 ± 0.42 mm. Mean keratometry values were K1 43.11 ± 1.66 D and K2 44.10 ± 1.74 D. Anterior corneal astigmatism showed a markedly right-skewed distribution (mean 0.99 ± 0.94 D; median 0.78 D).",
        "Conclusions": "This large biometry dataset establishes robust, population-specific reference values for ocular biometric parameters in Greek phacoemulsification candidates. This data may support more accurate preoperative assessment, aid in intraocular lens planning, and improve refractive predictability in routine cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This large biometry dataset establishes robust, population-specific reference values for ocular biometric parameters in Greek phacoemulsification candidates. This data may support more accurate preoperative assessment, aid in intraocular lens planning, and improve refractive predictability in routine cataract surgery.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 297,
      "source_fields": {
        "Abstract Final Identifier": "POCAT258",
        "Title": "Swept-Source Oct Biometry Reference Values In Greek Cataract Surgery Candidates: A Large Real-World Dataset",
        "Presenting Author(s)": "Dr Dimitra Sakka",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Athanasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zisimopoulos",
        "Country Name": "Greece",
        "Purpose": "To provide real-world reference values for ocular biometry findings in Greek phacoemulsification surgery candidates measured using swept-source optical coherence tomography (SS-OCT).",
        "Setting": "Ophthalmiatreio Athinon, a public, tertiary, Specialized Eye Hospital, in Athens, Greece",
        "Methods": "This retrospective single-center study included patients undergoing preoperative assessment for phacoemulsification at a tertiary eye hospital in Athens between July 2024 and July 2025. Biometric measurements were acquired using Swept Source – Optical Coherence Tomography (Argos; Alcon, Fort Worth, TX, USA). Parameters included axial length (AL), anterior chamber depth (ACD), lens thickness (LT), white-to-white distance (WTW), keratometry (K1, K2), and anterior corneal astigmatism (CA).",
        "Results": "The cohort comprised 6,258 eyes from 3,726 patients, with a mean age of 73.36 ± 8.41 years. Mean AL was 23.77 ± 1.21 mm, ACD 3.23 ± 0.39 mm, LT 4.67 ± 0.40 mm, and WTW 11.92 ± 0.42 mm. Mean keratometry values were K1 43.11 ± 1.66 D and K2 44.10 ± 1.74 D. Anterior corneal astigmatism showed a markedly right-skewed distribution (mean 0.99 ± 0.94 D; median 0.78 D).",
        "Conclusions": "This large biometry dataset establishes robust, population-specific reference values for ocular biometric parameters in Greek phacoemulsification candidates. This data may support more accurate preoperative assessment, aid in intraocular lens planning, and improve refractive predictability in routine cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POCAT259",
      "abstract_number": "POCAT259",
      "title": "Age- And Sex-Dependent Shift In Corneal Astigmatism Orientation In Greek Cataract Surgery Candidates",
      "authors": "Dr Athanasios Zisimopoulos",
      "presenter": "Dr Athanasios Zisimopoulos",
      "normalized_authors": [
        "Athanasios Zisimopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Athanasios Zisimopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To investigate age- and sex-related patterns in anterior corneal astigmatism magnitude and axis orientation among phacoemulsification candidates in Greece.",
        "Setting": "Ophthalmiatreio Athinon, a public, tertiary, Specialized Eye Hospital, in Athens, Greece",
        "Methods": "A retrospective cross-sectional analysis was conducted on consecutive adult phacoemulsification surgery candidates undergoing biometry, using Swept Source – Optical Coherence Tomography (Argos; Alcon, Fort Worth, TX, USA) between July 2024 and July 2025. Corneal astigmatism magnitude was calculated as |K2–K1|. Axis orientation was classified as with-the-rule (WTR) when the steep meridian lay within ±30° of 90°, and against-the-rule (ATR) when within ±30° of 180°. Patients were stratified into predefined age groups of an interval of 10 years.",
        "Results": "The study included 6,258 eyes from 3,726 patients (58.9% female; mean age 73.36±8.41 years). Mean anterior corneal astigmatism was 0.99 ± 0.94 D (median 0.78 D). Astigmatism axis orientation demonstrated a significant age-dependent shift from WTR to ATR (p<0.0001). In female eyes, WTR astigmatism predominated through the sixth decade, with ATR becoming dominant from the seventh decade onward and reaching 55.0% in the 80–89-year group. Male eyes showed an earlier and steeper transition, with ATR dominance occurring one decade earlier, accounting for 57.3% in the 70–79-year group and 69.6% in the 80–89-year group. Sex differences in axis distribution were significant in the 60–69 (p=0.0145), 70–79 (p<0.0001), and 80–89 (p<0.0001) age groups.",
        "Conclusions": "An age-related shift from WTR to ATR anterior corneal astigmatism was observed in Greek cataract patients, occurring earlier and more prominently in males. These findings may have implications for preoperative astigmatism management and toric intraocular lens planning in older adults."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "An age-related shift from WTR to ATR anterior corneal astigmatism was observed in Greek cataract patients, occurring earlier and more prominently in males. These findings may have implications for preoperative astigmatism management and toric intraocular lens planning in older adults.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 298,
      "source_fields": {
        "Abstract Final Identifier": "POCAT259",
        "Title": "Age- And Sex-Dependent Shift In Corneal Astigmatism Orientation In Greek Cataract Surgery Candidates",
        "Presenting Author(s)": "Dr Athanasios Zisimopoulos",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Athanasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zisimopoulos",
        "Country Name": "Greece",
        "Purpose": "To investigate age- and sex-related patterns in anterior corneal astigmatism magnitude and axis orientation among phacoemulsification candidates in Greece.",
        "Setting": "Ophthalmiatreio Athinon, a public, tertiary, Specialized Eye Hospital, in Athens, Greece",
        "Methods": "A retrospective cross-sectional analysis was conducted on consecutive adult phacoemulsification surgery candidates undergoing biometry, using Swept Source – Optical Coherence Tomography (Argos; Alcon, Fort Worth, TX, USA) between July 2024 and July 2025. Corneal astigmatism magnitude was calculated as |K2–K1|. Axis orientation was classified as with-the-rule (WTR) when the steep meridian lay within ±30° of 90°, and against-the-rule (ATR) when within ±30° of 180°. Patients were stratified into predefined age groups of an interval of 10 years.",
        "Results": "The study included 6,258 eyes from 3,726 patients (58.9% female; mean age 73.36±8.41 years). Mean anterior corneal astigmatism was 0.99 ± 0.94 D (median 0.78 D). Astigmatism axis orientation demonstrated a significant age-dependent shift from WTR to ATR (p<0.0001). In female eyes, WTR astigmatism predominated through the sixth decade, with ATR becoming dominant from the seventh decade onward and reaching 55.0% in the 80–89-year group. Male eyes showed an earlier and steeper transition, with ATR dominance occurring one decade earlier, accounting for 57.3% in the 70–79-year group and 69.6% in the 80–89-year group. Sex differences in axis distribution were significant in the 60–69 (p=0.0145), 70–79 (p<0.0001), and 80–89 (p<0.0001) age groups.",
        "Conclusions": "An age-related shift from WTR to ATR anterior corneal astigmatism was observed in Greek cataract patients, occurring earlier and more prominently in males. These findings may have implications for preoperative astigmatism management and toric intraocular lens planning in older adults."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCAT260",
      "abstract_number": "POCAT260",
      "title": "Predicted Intraocular Lens Power Distribution In A Large Greek Cataract Cohort Using Swept-Source Oct Biometry",
      "authors": "Dr Efstathios Athanasopoulos",
      "presenter": "Dr Efstathios Athanasopoulos",
      "normalized_authors": [
        "Efstathios Athanasopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Athanasios Zisimopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To characterize predicted intraocular lens (IOL) power distribution and examine sex-related differences among Greek cataract surgery candidates.",
        "Setting": "Ophthalmiatreion Athinon, a public, tertiary, Specialized Eye Hospital, in Athens, Greece",
        "Methods": "In this retrospective cross-sectional study, optical biometry was performed, using Swept Source-Optical Coherence Tomography(Argos; Alcon, Fort Worth, TX, USA), in consecutive patients scheduled for phacoemulsification at a public tertiary center in Athens between July 2024 and July 2025. Axial length and keratometry were measured according to manufacturer quality criteria. IOL power was predicted descriptively using the Hoffer Q formula, targeting emmetropia, with a hypothetical A-constant of 119.2 and 0.50 D increments. Distribution characteristics and sex-stratified comparisons were analyzed.",
        "Results": "A total of 6,258 eyes from 3,726 patients were included (58.9% female; mean age 73.36 ± 8.41 years). The predicted IOL power distribution was centered in the low 20-diopter range. Mean predicted IOL power was 20.72 ± 3.52 D, with a median of 21.0 D. The 5th and 95th percentiles were 14.0 D and 25.5 D, respectively. The most frequent IOL powers were 22.0 D (n = 499), 21.5 D (n = 498), and 22.5 D (n = 455). Female eyes were overrepresented both below the 5th percentile (5.54% vs 4.00%; p = 0.006) and above the 95th percentile (4.42% vs 2.88%; p = 0.002) compared with male eyes",
        "Conclusions": "In this large Greek cataract cohort, predicted IOL power followed a consistent distribution, with significant sex-related differences at distribution extremes. Population-based IOL power data may inform lens inventory planning in high-volume surgical centers and highlight subgroups requiring broader lens availability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large Greek cataract cohort, predicted IOL power followed a consistent distribution, with significant sex-related differences at distribution extremes. Population-based IOL power data may inform lens inventory planning in high-volume surgical centers and highlight subgroups requiring broader lens availability.",
      "session_type": "ePoster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 299,
      "source_fields": {
        "Abstract Final Identifier": "POCAT260",
        "Title": "Predicted Intraocular Lens Power Distribution In A Large Greek Cataract Cohort Using Swept-Source Oct Biometry",
        "Presenting Author(s)": "Dr Efstathios Athanasopoulos",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Athanasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zisimopoulos",
        "Country Name": "Greece",
        "Purpose": "To characterize predicted intraocular lens (IOL) power distribution and examine sex-related differences among Greek cataract surgery candidates.",
        "Setting": "Ophthalmiatreion Athinon, a public, tertiary, Specialized Eye Hospital, in Athens, Greece",
        "Methods": "In this retrospective cross-sectional study, optical biometry was performed, using Swept Source-Optical Coherence Tomography(Argos; Alcon, Fort Worth, TX, USA), in consecutive patients scheduled for phacoemulsification at a public tertiary center in Athens between July 2024 and July 2025. Axial length and keratometry were measured according to manufacturer quality criteria. IOL power was predicted descriptively using the Hoffer Q formula, targeting emmetropia, with a hypothetical A-constant of 119.2 and 0.50 D increments. Distribution characteristics and sex-stratified comparisons were analyzed.",
        "Results": "A total of 6,258 eyes from 3,726 patients were included (58.9% female; mean age 73.36 ± 8.41 years). The predicted IOL power distribution was centered in the low 20-diopter range. Mean predicted IOL power was 20.72 ± 3.52 D, with a median of 21.0 D. The 5th and 95th percentiles were 14.0 D and 25.5 D, respectively. The most frequent IOL powers were 22.0 D (n = 499), 21.5 D (n = 498), and 22.5 D (n = 455). Female eyes were overrepresented both below the 5th percentile (5.54% vs 4.00%; p = 0.006) and above the 95th percentile (4.42% vs 2.88%; p = 0.002) compared with male eyes",
        "Conclusions": "In this large Greek cataract cohort, predicted IOL power followed a consistent distribution, with significant sex-related differences at distribution extremes. Population-based IOL power data may inform lens inventory planning in high-volume surgical centers and highlight subgroups requiring broader lens availability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POCAT261",
      "abstract_number": "POCAT261",
      "title": "Selective Laser Assisted Cataract Surgery",
      "authors": "Dr Khalid Al arfaj",
      "presenter": "Dr Khalid Al arfaj",
      "normalized_authors": [
        "Khalid Al arfaj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khalid Mustafa Ahmed Abdalla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Selective Laser Capsulotomy (SLC) is an emerging laser-based technology designed to create a precise anterior capsulotomy during cataract surgery without manual tearing or high-energy photodisruption. This abstract reviews the principles, surgical technique, clinical outcomes, and potential advantages of SLC compared with conventional manual capsulorhexis and femtosecond laser–assisted capsulotomy.",
        "Setting": "The study reviews early clinical applications and published data surrounding Selective Laser Capsulotomy within standard ophthalmic surgical environments. It focuses on the transition from traditional manual techniques and high-infrastructure femtosecond systems toward more efficient, low-energy, laser-integrated surgical workflows in modern cataract facilities.",
        "Methods": "SLC utilizes a low-energy, selective laser mechanism that targets capsular tissue while sparing adjacent ocular structures. The laser is applied intraoperatively to create a continuous, circular capsulotomy of predetermined size and centration. Published clinical studies and early clinical experiences were reviewed, focusing on capsulotomy precision, intraocular lens (IOL) centration, safety, and surgical efficiency.",
        "Results": "Selective Laser Capsulotomy demonstrates high capsulotomy completeness rates with excellent circularity and reproducibility. The technique allows consistent capsulotomy sizing and centration, potentially improving effective lens position predictability. Reported complications are minimal, with low incidence of capsular tags or radial tears. Compared to femtosecond laser systems, SLC offers reduced energy delivery, simplified workflow, and the potential for lower procedural cost and faster integration into standard cataract surgery settings.",
        "Conclusions": "Selective Laser Capsulotomy represents a promising advancement in cataract surgery, combining precision and safety with improved surgical efficiency. Its ability to deliver consistent capsulotomies without extensive infrastructure requirements may broaden access to laser-assisted cataract surgery. Further large-scale, comparative studies are warranted to evaluate long-term outcomes and cost-effectiveness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Selective Laser Capsulotomy represents a promising advancement in cataract surgery, combining precision and safety with improved surgical efficiency. Its ability to deliver consistent capsulotomies without extensive infrastructure requirements may broaden access to laser-assisted cataract surgery. Further large-scale, comparative studies are warranted to evaluate long-term outcomes and cost-effectiveness.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 300,
      "source_fields": {
        "Abstract Final Identifier": "POCAT261",
        "Title": "Selective Laser Assisted Cataract Surgery",
        "Presenting Author(s)": "Dr Khalid Al arfaj",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Khalid",
        "Submitter Middle Name": "Mustafa Ahmed",
        "Submitter Last Name": "Abdalla",
        "Country Name": "Saudi Arabia",
        "Purpose": "Selective Laser Capsulotomy (SLC) is an emerging laser-based technology designed to create a precise anterior capsulotomy during cataract surgery without manual tearing or high-energy photodisruption. This abstract reviews the principles, surgical technique, clinical outcomes, and potential advantages of SLC compared with conventional manual capsulorhexis and femtosecond laser–assisted capsulotomy.",
        "Setting": "The study reviews early clinical applications and published data surrounding Selective Laser Capsulotomy within standard ophthalmic surgical environments. It focuses on the transition from traditional manual techniques and high-infrastructure femtosecond systems toward more efficient, low-energy, laser-integrated surgical workflows in modern cataract facilities.",
        "Methods": "SLC utilizes a low-energy, selective laser mechanism that targets capsular tissue while sparing adjacent ocular structures. The laser is applied intraoperatively to create a continuous, circular capsulotomy of predetermined size and centration. Published clinical studies and early clinical experiences were reviewed, focusing on capsulotomy precision, intraocular lens (IOL) centration, safety, and surgical efficiency.",
        "Results": "Selective Laser Capsulotomy demonstrates high capsulotomy completeness rates with excellent circularity and reproducibility. The technique allows consistent capsulotomy sizing and centration, potentially improving effective lens position predictability. Reported complications are minimal, with low incidence of capsular tags or radial tears. Compared to femtosecond laser systems, SLC offers reduced energy delivery, simplified workflow, and the potential for lower procedural cost and faster integration into standard cataract surgery settings.",
        "Conclusions": "Selective Laser Capsulotomy represents a promising advancement in cataract surgery, combining precision and safety with improved surgical efficiency. Its ability to deliver consistent capsulotomies without extensive infrastructure requirements may broaden access to laser-assisted cataract surgery. Further large-scale, comparative studies are warranted to evaluate long-term outcomes and cost-effectiveness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCAT262",
      "abstract_number": "POCAT262",
      "title": "Goat Eye Wet Lab Training Model: Translating Skills To Human Cataract Surgery - A Cusum And Cost-Effectiveness Analysis",
      "authors": "Dr Dr Isha Agarwalla",
      "presenter": "Dr Dr Isha Agarwalla",
      "normalized_authors": [
        "Isha Agarwalla"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr Isha Agarwalla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the effectiveness of a structured goat eye wet lab training model in accelerating surgical competency during early human cataract surgery using CUSUM learning curve analysis, and to compare its cost-effectiveness with simulator-based training.",
        "Setting": "A prospective interventional study was conducted at Drishti Netralaya involving 34 ophthalmology trainees undergoing structured Cataract surgery training.",
        "Methods": "The training protocol included stepwise modules on fresh goat eyes focusing on making of peritomy, corneo-scleral tunnel, capsulorhexis creation, nucleus prolapse, cortical aspiration. Trainees were assessed using: OSATS-based surgical scoring, posterior capsular rupture (PCR) rates, capsulorhexis and corneo-scleral tunnel completion rates. Learning curves were evaluated using cumulative summation (CUSUM) analysis, defining acceptable failure rate at 5%.Cost analysis included infrastructure, consumables, and per-trainee training expenditure, compared with published costs of virtual reality simulator training. Cost per trainee was calculated and compared with simulator-based models.",
        "Results": "Among 34 trainees, 64.7% were fresh surgeons. In the fresh group, OSATS improved from 5 to 26, while moderate trainees improved from 8 to 32. PCR rate during the first 50 human cases was 5% in fresh trainees and 4% in moderate trainees, meeting international safety benchmarks. CUSUM analysis demonstrated competency stabilization at 24 cases in fresh trainees and 15 cases in moderate trainees. Wet lab training cost was approximately ₹250 (USD 3) per trainee per day, substantially lower than simulator-based alternatives.",
        "Conclusions": "Structured goat eye wet lab training significantly accelerates surgical competency, reduces early complication rates, and provides a highly cost-effective model for surgical education in resource-limited settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Structured goat eye wet lab training significantly accelerates surgical competency, reduces early complication rates, and provides a highly cost-effective model for surgical education in resource-limited settings.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 301,
      "source_fields": {
        "Abstract Final Identifier": "POCAT262",
        "Title": "Goat Eye Wet Lab Training Model: Translating Skills To Human Cataract Surgery - A Cusum And Cost-Effectiveness Analysis",
        "Presenting Author(s)": "Dr Dr Isha Agarwalla",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Dr Isha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agarwalla",
        "Country Name": "India",
        "Purpose": "To evaluate the effectiveness of a structured goat eye wet lab training model in accelerating surgical competency during early human cataract surgery using CUSUM learning curve analysis, and to compare its cost-effectiveness with simulator-based training.",
        "Setting": "A prospective interventional study was conducted at Drishti Netralaya involving 34 ophthalmology trainees undergoing structured Cataract surgery training.",
        "Methods": "The training protocol included stepwise modules on fresh goat eyes focusing on making of peritomy, corneo-scleral tunnel, capsulorhexis creation, nucleus prolapse, cortical aspiration. Trainees were assessed using: OSATS-based surgical scoring, posterior capsular rupture (PCR) rates, capsulorhexis and corneo-scleral tunnel completion rates. Learning curves were evaluated using cumulative summation (CUSUM) analysis, defining acceptable failure rate at 5%.Cost analysis included infrastructure, consumables, and per-trainee training expenditure, compared with published costs of virtual reality simulator training. Cost per trainee was calculated and compared with simulator-based models.",
        "Results": "Among 34 trainees, 64.7% were fresh surgeons. In the fresh group, OSATS improved from 5 to 26, while moderate trainees improved from 8 to 32. PCR rate during the first 50 human cases was 5% in fresh trainees and 4% in moderate trainees, meeting international safety benchmarks. CUSUM analysis demonstrated competency stabilization at 24 cases in fresh trainees and 15 cases in moderate trainees. Wet lab training cost was approximately ₹250 (USD 3) per trainee per day, substantially lower than simulator-based alternatives.",
        "Conclusions": "Structured goat eye wet lab training significantly accelerates surgical competency, reduces early complication rates, and provides a highly cost-effective model for surgical education in resource-limited settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCAT263",
      "abstract_number": "POCAT263",
      "title": "A Case Report On Cataract Surgery In Eyes With Bilateral Inferior Iridoschisis",
      "authors": "Prof. Sultan Alzuhairy",
      "presenter": "Prof. Sultan Alzuhairy",
      "normalized_authors": [
        "Sultan Alzuhairy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sultan Alzuhairy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "The purpose of the paper is to report a case of bilateral inferior iridoschisis who underwent cataract\nsurgery with intraocular lens implantation successfully with the help of iris hooks or pupillary expanders.",
        "Setting": "The purpose of the paper is to report a case of bilateral inferior iridoschisis who underwent cataract\nsurgery with intraocular lens implantation successfully with the help of iris hooks or pupillary expanders.",
        "Methods": "– A 71-year-old male presented with inferior iridoschisis in both eyes, history of angle closure glaucoma (ACG), cataract and shallow anterior chamber (AC) angles inferiorly. A localized area of iris stroma is cleaved in two with anterior atrophic portion disintegrating into fibrils from the posterior stroma, and muscle layer is termed as iridoschisis. Iridoschisis is a rare condition associated with fibrillary iris degeneration, narrow drainage angles and cataract.",
        "Results": "Preoperative and postoperative ocular examination, including visual acuity, intraocular pressure\nand degrees of iris damage, was evaluated. Cataract surgery was performed under topical anesthesia with\nflexible iris hooks. There were no intraoperative complications whereas marked corneal edema was shown at\nimmediate postoperative period but subsided completely in two weeks’ time. Visual acuity improved from 20/\n60 to 20/25.",
        "Conclusions": "Practical implications – This case report demonstrates that while iridoschisis care during cataract surgery has been reported to be difficult, cataract extraction was managed using iris hooks.\nOriginality/value – This paper reports the successful management of cataract in a patient with bilateral\ninferior iridoschisis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Practical implications – This case report demonstrates that while iridoschisis care during cataract surgery has been reported to be difficult, cataract extraction was managed using iris hooks. Originality/value – This paper reports the successful management of cataract in a patient with bilateral inferior iridoschisis.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 302,
      "source_fields": {
        "Abstract Final Identifier": "POCAT263",
        "Title": "A Case Report On Cataract Surgery In Eyes With Bilateral Inferior Iridoschisis",
        "Presenting Author(s)": "Prof. Sultan Alzuhairy",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Sultan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alzuhairy",
        "Country Name": "Saudi Arabia",
        "Purpose": "The purpose of the paper is to report a case of bilateral inferior iridoschisis who underwent cataract\nsurgery with intraocular lens implantation successfully with the help of iris hooks or pupillary expanders.",
        "Setting": "The purpose of the paper is to report a case of bilateral inferior iridoschisis who underwent cataract\nsurgery with intraocular lens implantation successfully with the help of iris hooks or pupillary expanders.",
        "Methods": "– A 71-year-old male presented with inferior iridoschisis in both eyes, history of angle closure glaucoma (ACG), cataract and shallow anterior chamber (AC) angles inferiorly. A localized area of iris stroma is cleaved in two with anterior atrophic portion disintegrating into fibrils from the posterior stroma, and muscle layer is termed as iridoschisis. Iridoschisis is a rare condition associated with fibrillary iris degeneration, narrow drainage angles and cataract.",
        "Results": "Preoperative and postoperative ocular examination, including visual acuity, intraocular pressure\nand degrees of iris damage, was evaluated. Cataract surgery was performed under topical anesthesia with\nflexible iris hooks. There were no intraoperative complications whereas marked corneal edema was shown at\nimmediate postoperative period but subsided completely in two weeks’ time. Visual acuity improved from 20/\n60 to 20/25.",
        "Conclusions": "Practical implications – This case report demonstrates that while iridoschisis care during cataract surgery has been reported to be difficult, cataract extraction was managed using iris hooks.\nOriginality/value – This paper reports the successful management of cataract in a patient with bilateral\ninferior iridoschisis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POCAT264",
      "abstract_number": "POCAT264",
      "title": "A High Vacuum Phacoemulsification Technique (Coaxial Or Biaxial) Avoiding The Use Of Choppers And Prechoppers",
      "authors": "Dr Arturo Pérez Arteaga",
      "presenter": "Dr Arturo Pérez Arteaga",
      "normalized_authors": [
        "Arturo Pérez Arteaga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arturo Pérez Arteaga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To determine that the use of high vacuum in an stable anterior chamber, can allow a technique free of choppers and prechoppers during phaco, with only an irrigating or no-irrigating cannula, as a second device.",
        "Setting": "Centro Oftalmológico Dr. Arturo Pérez Arteaga, Tlalnepantla, México",
        "Methods": "A prospective study of two groups of 100 eyes with senile cataract were operated with phacoemilsification, comparing the vacuum level and the use of choppers. In the control group a traditional prechop technique was performed inside the capsular bag followed by phacoemulsification of fragmented nuclear pieces with low or medium vacuum leves; in the experimental group the whole nucleus was extracted from the capsular bag with high vacuum (assuring the anterior chamber stability with forced infusion), and then fragmented at the iris plane with the help of a cannula as a second instrument (irrigating in the case of biaxial technique, and non irrigating in the case of coaxial technique)",
        "Results": "When the variables were measured and compared between the two groups, we found significative differences in the vaccum level it self, total phaco time, incidence of PC rupture, and number of times changing instrumentation (and so total surgical time). No signifficative differences were found in endothelial cell count, postoperative recovery time and final visual acuity.",
        "Conclusions": "A surgical phacoemulsification technique using high vacuum levels, can help to avoid the use of choppers, and the need of surgical maneuvers inside the capsular bag, decreasing the incidence of capsular or zonnular damage, the surgical time and the phaco time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A surgical phacoemulsification technique using high vacuum levels, can help to avoid the use of choppers, and the need of surgical maneuvers inside the capsular bag, decreasing the incidence of capsular or zonnular damage, the surgical time and the phaco time.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 303,
      "source_fields": {
        "Abstract Final Identifier": "POCAT264",
        "Title": "A High Vacuum Phacoemulsification Technique (Coaxial Or Biaxial) Avoiding The Use Of Choppers And Prechoppers",
        "Presenting Author(s)": "Dr Arturo Pérez Arteaga",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Arturo",
        "Submitter Middle Name": "Pérez",
        "Submitter Last Name": "Arteaga",
        "Country Name": "Mexico",
        "Purpose": "To determine that the use of high vacuum in an stable anterior chamber, can allow a technique free of choppers and prechoppers during phaco, with only an irrigating or no-irrigating cannula, as a second device.",
        "Setting": "Centro Oftalmológico Dr. Arturo Pérez Arteaga, Tlalnepantla, México",
        "Methods": "A prospective study of two groups of 100 eyes with senile cataract were operated with phacoemilsification, comparing the vacuum level and the use of choppers. In the control group a traditional prechop technique was performed inside the capsular bag followed by phacoemulsification of fragmented nuclear pieces with low or medium vacuum leves; in the experimental group the whole nucleus was extracted from the capsular bag with high vacuum (assuring the anterior chamber stability with forced infusion), and then fragmented at the iris plane with the help of a cannula as a second instrument (irrigating in the case of biaxial technique, and non irrigating in the case of coaxial technique)",
        "Results": "When the variables were measured and compared between the two groups, we found significative differences in the vaccum level it self, total phaco time, incidence of PC rupture, and number of times changing instrumentation (and so total surgical time). No signifficative differences were found in endothelial cell count, postoperative recovery time and final visual acuity.",
        "Conclusions": "A surgical phacoemulsification technique using high vacuum levels, can help to avoid the use of choppers, and the need of surgical maneuvers inside the capsular bag, decreasing the incidence of capsular or zonnular damage, the surgical time and the phaco time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCAT265",
      "abstract_number": "POCAT265",
      "title": "Sir Percivall Pott And His Contribution To Cataract Surgery",
      "authors": "Dr Georgios N Balanikas",
      "presenter": "Dr Georgios N Balanikas",
      "normalized_authors": [
        "Georgios N Balanikas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Georgios N BALANIKAS",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Sir Percivall Pott (1714-1788) was a famous surgeon and is considered as the Father of Orthopaedics but he also dealt with cataract and other ophthalmic conditions. In this presentation we will discuss his contribution to ophthalmic surgery dealing with cataract and fistula lachrymalis",
        "Setting": "The facts took place in London during the life of Percivall Pott and worked in St Bartholomew’s hospital in London for about fifty years.\n\nThis work was conceived and completed in Ophthalmologic Clinic of AHEPA Hospital (Thessaloniki, Greece)",
        "Methods": "His compedium \"The Chirurgical Works of PERCIVALL Pott\" is the source of this presentation and other sources of this period as well many other writtings from other contributors and collegues of his era",
        "Results": "In this compedium the part about cataract is composed by thirteen pages with ten detailed footnotes describing the methods and the surgical outcome for each of his cases. He define the condition of the cataract according to its progress of opacification and the surgical outcome. He believes that cataract should be hard for extraction and the shoft will cause complications even for couching.\n\nIn the chapter of the fistula lachrymalis which composed from 48 pages with a lot of detailed footnotes he refers to the methods of surgery from the ancients to his era.In this part he describes also the methods of opening the lachrymal ducts.",
        "Conclusions": "Sir Percivall Pott was a very competent surgeon who also had involved in ophthalmic surgery. His great contribution were the methods of cataract surgery in his era and the confrontation of the closing or the infection of fistula lachrymalis. He is generally regarded as one of the two greatest surgeons of the 18th century along with his student John Hunter who is considered as the father of military surgery. His interest and involvement with ophthalmic surgery shows his holistic love and dedication for surgery. at all."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sir Percivall Pott was a very competent surgeon who also had involved in ophthalmic surgery. His great contribution were the methods of cataract surgery in his era and the confrontation of the closing or the infection of fistula lachrymalis. He is generally regarded as one of the two greatest surgeons of the 18th century along with his student John Hunter who is considered as the father of military surgery. His…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 304,
      "source_fields": {
        "Abstract Final Identifier": "POCAT265",
        "Title": "Sir Percivall Pott And His Contribution To Cataract Surgery",
        "Presenting Author(s)": "Dr Georgios N Balanikas",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Georgios",
        "Submitter Middle Name": "N",
        "Submitter Last Name": "BALANIKAS",
        "Country Name": "Greece",
        "Purpose": "Sir Percivall Pott (1714-1788) was a famous surgeon and is considered as the Father of Orthopaedics but he also dealt with cataract and other ophthalmic conditions. In this presentation we will discuss his contribution to ophthalmic surgery dealing with cataract and fistula lachrymalis",
        "Setting": "The facts took place in London during the life of Percivall Pott and worked in St Bartholomew’s hospital in London for about fifty years.\n\nThis work was conceived and completed in Ophthalmologic Clinic of AHEPA Hospital (Thessaloniki, Greece)",
        "Methods": "His compedium \"The Chirurgical Works of PERCIVALL Pott\" is the source of this presentation and other sources of this period as well many other writtings from other contributors and collegues of his era",
        "Results": "In this compedium the part about cataract is composed by thirteen pages with ten detailed footnotes describing the methods and the surgical outcome for each of his cases. He define the condition of the cataract according to its progress of opacification and the surgical outcome. He believes that cataract should be hard for extraction and the shoft will cause complications even for couching.\n\nIn the chapter of the fistula lachrymalis which composed from 48 pages with a lot of detailed footnotes he refers to the methods of surgery from the ancients to his era.In this part he describes also the methods of opening the lachrymal ducts.",
        "Conclusions": "Sir Percivall Pott was a very competent surgeon who also had involved in ophthalmic surgery. His great contribution were the methods of cataract surgery in his era and the confrontation of the closing or the infection of fistula lachrymalis. He is generally regarded as one of the two greatest surgeons of the 18th century along with his student John Hunter who is considered as the father of military surgery. His interest and involvement with ophthalmic surgery shows his holistic love and dedication for surgery. at all."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCAT266",
      "abstract_number": "POCAT266",
      "title": "A Headless French-Speaking Handbook Of Eye Surgery Of The 19Th-20Th Century And Its Contribution To French-Speaking And More, Ophthalmologists Of The Same Period",
      "authors": "Dr Georgios N Balanikas",
      "presenter": "Dr Georgios N Balanikas",
      "normalized_authors": [
        "Georgios N Balanikas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Georgios N BALANIKAS",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "The French manual ‘TRAITE THEORIQUE ET PRATIQUE DES MALADIES DES YEUX’ is presented in this work. Due to the loss of the cover and the first page, there is no exact information about the time of publication. Furthermore, its historical value is great. It consists of approximately 440 pages.",
        "Setting": "The facts were took place during the 19th century in France and the work was conceived and studied in the A' Ophthalmologic Clinic of AHEPA Hospital",
        "Methods": "Each part of the book has beautifully detailed drawings of anatomy, tools, and step by stepsurgical techniques for each chapter of the work.\n\nThe book is written in French with rich illustrations that explain the steps of the surgical procedure and the necessary preparation of surgical instruments.",
        "Results": "The book begins with a preface enriched with descriptions of tools and devices, patient preparation,and procedures. It includes images of the operating rooms with surgeons at work, tools, anatomy and pathology of the eye. Two large parts follows. The first part describes techniques for opthalmic surgery and the second describes procedures on the accessory organs of the eye. The operations include the cornea and sclera. It includes surgical procedures for sclerotomies,keratoplasty methods traumas and staphyloma.Then there is a discussion for iris and iridectomies.Operations for conjuctiva and hypertonia follows with different techniques, And next cataract surgeries for extraction of the lens and the complications from the surgery.",
        "Conclusions": "This work is a complete textbook and compendium of Ophthalmic Surgery that contributed to the scientific training of many ophthalmologists at the turn of the 19th century and the dawn of the 20th. The wealth of this knowledge which provides this book both to younger and also to senior ophthalmologists is inexhaustible and absolutely impressive and we believe that it was an excellent manual of surgical Ophthalmology at the beginning of the severe and useful ophthalmic surgical procedures in 19th century."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This work is a complete textbook and compendium of Ophthalmic Surgery that contributed to the scientific training of many ophthalmologists at the turn of the 19th century and the dawn of the 20th. The wealth of this knowledge which provides this book both to younger and also to senior ophthalmologists is inexhaustible and absolutely impressive and we believe that it was an excellent manual of surgical Ophthalmology…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 305,
      "source_fields": {
        "Abstract Final Identifier": "POCAT266",
        "Title": "A Headless French-Speaking Handbook Of Eye Surgery Of The 19Th-20Th Century And Its Contribution To French-Speaking And More, Ophthalmologists Of The Same Period",
        "Presenting Author(s)": "Dr Georgios N Balanikas",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Georgios",
        "Submitter Middle Name": "N",
        "Submitter Last Name": "BALANIKAS",
        "Country Name": "Greece",
        "Purpose": "The French manual ‘TRAITE THEORIQUE ET PRATIQUE DES MALADIES DES YEUX’ is presented in this work. Due to the loss of the cover and the first page, there is no exact information about the time of publication. Furthermore, its historical value is great. It consists of approximately 440 pages.",
        "Setting": "The facts were took place during the 19th century in France and the work was conceived and studied in the A' Ophthalmologic Clinic of AHEPA Hospital",
        "Methods": "Each part of the book has beautifully detailed drawings of anatomy, tools, and step by stepsurgical techniques for each chapter of the work.\n\nThe book is written in French with rich illustrations that explain the steps of the surgical procedure and the necessary preparation of surgical instruments.",
        "Results": "The book begins with a preface enriched with descriptions of tools and devices, patient preparation,and procedures. It includes images of the operating rooms with surgeons at work, tools, anatomy and pathology of the eye. Two large parts follows. The first part describes techniques for opthalmic surgery and the second describes procedures on the accessory organs of the eye. The operations include the cornea and sclera. It includes surgical procedures for sclerotomies,keratoplasty methods traumas and staphyloma.Then there is a discussion for iris and iridectomies.Operations for conjuctiva and hypertonia follows with different techniques, And next cataract surgeries for extraction of the lens and the complications from the surgery.",
        "Conclusions": "This work is a complete textbook and compendium of Ophthalmic Surgery that contributed to the scientific training of many ophthalmologists at the turn of the 19th century and the dawn of the 20th. The wealth of this knowledge which provides this book both to younger and also to senior ophthalmologists is inexhaustible and absolutely impressive and we believe that it was an excellent manual of surgical Ophthalmology at the beginning of the severe and useful ophthalmic surgical procedures in 19th century."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCAT267",
      "abstract_number": "POCAT267",
      "title": "Comprehensive Surgical Management Of Luxated Hypermature Cataract With Pupillary Block Glaucoma Using Modified Canabrava Sfiol Combined With Pars Plana Vitrectomy: Successful Outcome Despite Postoperative Choroidal Detachment",
      "authors": "Dr Migena Beqiri",
      "presenter": "Dr Migena Beqiri",
      "normalized_authors": [
        "Migena Beqiri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Migena Beqiri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Albania",
      "sections": {
        "Purpose": "To present the surgical management and clinical course of a complex case of hypermature cataract luxation associated with pseudoexfoliation syndrome (PEX) and uncontrolled secondary pupillary block glaucoma, complicated postoperatively by choroidal detachment.",
        "Setting": "Albanian Eye Center",
        "Methods": "A 73-year-old patient presented with severe visual impairment in the right eye (BCVA: counting fingers at 1 meter) and markedly elevated intraocular pressure (IOP: 45 mmHg) despite maximal topical antiglaucoma therapy. Examination revealed a dense hypermature cataract with lens instability in the setting of PEX, causing pupillary block and secondary ocular hypertension.\n\nA single-session combined surgery was performed under Sub-Tenon anesthesia, including phacoemulsification, pars plana vitrectomy (PPV), endolaser photocoagulation, and scleral-fixated intraocular lens (SFIOL) implantation using the modified Canabrava technique.",
        "Results": "On postoperative day 4, ocular hypotony (IOP 3 mmHg) and choroidal detachment were detected by B-scan ultrasonography. The case was managed conservatively with intensified ambulatory medical therapy and close dynamic follow-up. By day 9, choroidal detachment showed regression and IOP normalized (17 mmHg). A transient inferior vitreous hemorrhage resolved gradually.\n\nAt 3 months, BCVA improved to 0.8 (8/10), IOP was 12 mmHg, the SFIOL was well centered, and fundus examination was normal.",
        "Conclusions": "Luxated hypermature cataract in PEX patients represents a highly challenging surgical scenario. Even when complicated by postoperative choroidal detachment and hypotony, careful ambulatory medical management and dynamic monitoring may lead to excellent anatomical and functional outcomes. This case underlines the importance of comprehensive surgical planning and structured postoperative follow-up in complex anterior–posterior segment procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Luxated hypermature cataract in PEX patients represents a highly challenging surgical scenario. Even when complicated by postoperative choroidal detachment and hypotony, careful ambulatory medical management and dynamic monitoring may lead to excellent anatomical and functional outcomes. This case underlines the importance of comprehensive surgical planning and structured postoperative follow-up in complex…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 306,
      "source_fields": {
        "Abstract Final Identifier": "POCAT267",
        "Title": "Comprehensive Surgical Management Of Luxated Hypermature Cataract With Pupillary Block Glaucoma Using Modified Canabrava Sfiol Combined With Pars Plana Vitrectomy: Successful Outcome Despite Postoperative Choroidal Detachment",
        "Presenting Author(s)": "Dr Migena Beqiri",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Migena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beqiri",
        "Country Name": "Albania",
        "Purpose": "To present the surgical management and clinical course of a complex case of hypermature cataract luxation associated with pseudoexfoliation syndrome (PEX) and uncontrolled secondary pupillary block glaucoma, complicated postoperatively by choroidal detachment.",
        "Setting": "Albanian Eye Center",
        "Methods": "A 73-year-old patient presented with severe visual impairment in the right eye (BCVA: counting fingers at 1 meter) and markedly elevated intraocular pressure (IOP: 45 mmHg) despite maximal topical antiglaucoma therapy. Examination revealed a dense hypermature cataract with lens instability in the setting of PEX, causing pupillary block and secondary ocular hypertension.\n\nA single-session combined surgery was performed under Sub-Tenon anesthesia, including phacoemulsification, pars plana vitrectomy (PPV), endolaser photocoagulation, and scleral-fixated intraocular lens (SFIOL) implantation using the modified Canabrava technique.",
        "Results": "On postoperative day 4, ocular hypotony (IOP 3 mmHg) and choroidal detachment were detected by B-scan ultrasonography. The case was managed conservatively with intensified ambulatory medical therapy and close dynamic follow-up. By day 9, choroidal detachment showed regression and IOP normalized (17 mmHg). A transient inferior vitreous hemorrhage resolved gradually.\n\nAt 3 months, BCVA improved to 0.8 (8/10), IOP was 12 mmHg, the SFIOL was well centered, and fundus examination was normal.",
        "Conclusions": "Luxated hypermature cataract in PEX patients represents a highly challenging surgical scenario. Even when complicated by postoperative choroidal detachment and hypotony, careful ambulatory medical management and dynamic monitoring may lead to excellent anatomical and functional outcomes. This case underlines the importance of comprehensive surgical planning and structured postoperative follow-up in complex anterior–posterior segment procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT268",
      "abstract_number": "POCAT268",
      "title": "Comparison Of Two Techniques Of Topical Anaesthesia For Phacoemulsification.",
      "authors": "Dr Sunayana Bhat",
      "presenter": "Dr Sunayana Bhat",
      "normalized_authors": [
        "Sunayana Bhat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sunayana Bhat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare a modified technique of topical anaesthesia using a cotton wick soaked with proparacaine 4% eye drops placed in the inferolateral conjunctival fornix to the conventional technique of proparacaine 4% topical drops. The surgeon comfort during surgery, patient compliance intra operatively and need for additional anaesthesia was compared.",
        "Setting": "The study was conducted in a tertiary care hospital, Father Muller medical college hospital in Mangalore city ,Karnataka,India.",
        "Methods": "A triple blinded randomized study was conducted on patients who underwent phacoemulsification with IOL implantation in both eyes at different sittings.One eye received proparacaine 4% eye drops whereas for the other eye, a cotton wick soaked with proparacaine 4% eye drops is placed in the inferotemporal conjunctival fornix for 5 minutes prior to surgery.The intensity of pain was recorded by using Wong Baker pain scale, the need for additional intraoperative anesthesia,and the surgeon comfort was assessed. Investigator 1 administered the anaesthesia in the pre operative room and the surgeon was unaware of the mode of anaesthetic applied. Investigator 3 interviewd the patient and the surgeon regarding the intraoperative course.",
        "Results": "50 patients were included in the study. There was significantly lower intensity of pain with the cotton wick anesthesia than with topical drops (p=0.027). Ease of surgery was also found to significantly better with wick Anaesthesia than with drops (p=<0.001). Number Of times additional anesthesia was required was higher in drops group with p value 0.012. Incidence of intra operative complications was similar in both the groups.",
        "Conclusions": "Topical anaesthesia with wick soaked in proparacaine is a simple and effective, superior method for topical anesthesia for phacoemulsification in terms of both patient and surgeon comfort.It is effective and satisfactory even in cases where intra-operative complications are encountered."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical anaesthesia with wick soaked in proparacaine is a simple and effective, superior method for topical anesthesia for phacoemulsification in terms of both patient and surgeon comfort.It is effective and satisfactory even in cases where intra-operative complications are encountered.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 307,
      "source_fields": {
        "Abstract Final Identifier": "POCAT268",
        "Title": "Comparison Of Two Techniques Of Topical Anaesthesia For Phacoemulsification.",
        "Presenting Author(s)": "Dr Sunayana Bhat",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Sunayana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bhat",
        "Country Name": "India",
        "Purpose": "To compare a modified technique of topical anaesthesia using a cotton wick soaked with proparacaine 4% eye drops placed in the inferolateral conjunctival fornix to the conventional technique of proparacaine 4% topical drops. The surgeon comfort during surgery, patient compliance intra operatively and need for additional anaesthesia was compared.",
        "Setting": "The study was conducted in a tertiary care hospital, Father Muller medical college hospital in Mangalore city ,Karnataka,India.",
        "Methods": "A triple blinded randomized study was conducted on patients who underwent phacoemulsification with IOL implantation in both eyes at different sittings.One eye received proparacaine 4% eye drops whereas for the other eye, a cotton wick soaked with proparacaine 4% eye drops is placed in the inferotemporal conjunctival fornix for 5 minutes prior to surgery.The intensity of pain was recorded by using Wong Baker pain scale, the need for additional intraoperative anesthesia,and the surgeon comfort was assessed. Investigator 1 administered the anaesthesia in the pre operative room and the surgeon was unaware of the mode of anaesthetic applied. Investigator 3 interviewd the patient and the surgeon regarding the intraoperative course.",
        "Results": "50 patients were included in the study. There was significantly lower intensity of pain with the cotton wick anesthesia than with topical drops (p=0.027). Ease of surgery was also found to significantly better with wick Anaesthesia than with drops (p=<0.001). Number Of times additional anesthesia was required was higher in drops group with p value 0.012. Incidence of intra operative complications was similar in both the groups.",
        "Conclusions": "Topical anaesthesia with wick soaked in proparacaine is a simple and effective, superior method for topical anesthesia for phacoemulsification in terms of both patient and surgeon comfort.It is effective and satisfactory even in cases where intra-operative complications are encountered."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCAT269",
      "abstract_number": "POCAT269",
      "title": "Subcortical Cortical Capsular Tension Ring Insertion: A Technique To Improve The Safety And Efficacy Of Cortex Removal In Case Of Zonular Instability",
      "authors": "Dr Beatriz Vidal Villegas",
      "presenter": "Dr Beatriz Vidal Villegas",
      "normalized_authors": [
        "Beatriz Vidal Villegas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maninder Bhogal*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe a novel technique to enhance the efficacy and safety of cortex removal and eliminate the additional zonular stress caused by removing cortex encarcerated behind a capsular tension ring (CTR). We describe the technique for sub-cortcal CTR implantation and present the resulst of 10 eyes of 10 patients.",
        "Setting": "Univeristy Hopsital Ophthalmic Surgical Theatre",
        "Methods": "A single thin strip of cortex in engaged 180 degree opposite the aspiration handpiece. As this is stripped centrally the irrigation handpiece is passed under the cortex. The irrigation cleaves the cortex from the poster capsular bag without zonular stress,keeping the capsular bag inflated. Cohesive OVD is used to fill the space between the posterior capsule and the cortical shell. The CTR can then be implanted under the cortex, avoiding cortical entrapment: Sub-cortical CTR Implantation. Success was measured by the ability to remove the cortex without visible movement or entrapment of the CTR, completeness of cortex removal and capsulorhexis centration prior to IOL implantation and IOL centration 1 week after surgery.",
        "Results": "In all 10 eyes complete cortex removal was possible. No movement of the CTR was observed during cortex removal and the capsulorhexis remained central following cortex removal in all cases. No cases of IOL decentration were observed on dilated examination at 1 week post-surgery",
        "Conclusions": "By positioning the CTR in a plane posterior to the cortical lens mater, the ring achieves full equatorial expansion without pinning cortical fibers. This maintains the mobility of the residual cortex, allowing for standard aspiration without the increased vacuum or mechanical traction typically associated with CTR placement when the cortex is trapped. Sub-cortical CTR implantation is a safe, reproducible and effective technique. It eliminates the additional zonular stress associated with cortex removal that can lead to incomplete cortex removal and IOL-CTR complex dislocation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "By positioning the CTR in a plane posterior to the cortical lens mater, the ring achieves full equatorial expansion without pinning cortical fibers. This maintains the mobility of the residual cortex, allowing for standard aspiration without the increased vacuum or mechanical traction typically associated with CTR placement when the cortex is trapped. Sub-cortical CTR implantation is a safe, reproducible and…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 308,
      "source_fields": {
        "Abstract Final Identifier": "POCAT269",
        "Title": "Subcortical Cortical Capsular Tension Ring Insertion: A Technique To Improve The Safety And Efficacy Of Cortex Removal In Case Of Zonular Instability",
        "Presenting Author(s)": "Dr Beatriz Vidal Villegas",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Maninder",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bhogal*",
        "Country Name": "United Kingdom",
        "Purpose": "To describe a novel technique to enhance the efficacy and safety of cortex removal and eliminate the additional zonular stress caused by removing cortex encarcerated behind a capsular tension ring (CTR). We describe the technique for sub-cortcal CTR implantation and present the resulst of 10 eyes of 10 patients.",
        "Setting": "Univeristy Hopsital Ophthalmic Surgical Theatre",
        "Methods": "A single thin strip of cortex in engaged 180 degree opposite the aspiration handpiece. As this is stripped centrally the irrigation handpiece is passed under the cortex. The irrigation cleaves the cortex from the poster capsular bag without zonular stress,keeping the capsular bag inflated. Cohesive OVD is used to fill the space between the posterior capsule and the cortical shell. The CTR can then be implanted under the cortex, avoiding cortical entrapment: Sub-cortical CTR Implantation. Success was measured by the ability to remove the cortex without visible movement or entrapment of the CTR, completeness of cortex removal and capsulorhexis centration prior to IOL implantation and IOL centration 1 week after surgery.",
        "Results": "In all 10 eyes complete cortex removal was possible. No movement of the CTR was observed during cortex removal and the capsulorhexis remained central following cortex removal in all cases. No cases of IOL decentration were observed on dilated examination at 1 week post-surgery",
        "Conclusions": "By positioning the CTR in a plane posterior to the cortical lens mater, the ring achieves full equatorial expansion without pinning cortical fibers. This maintains the mobility of the residual cortex, allowing for standard aspiration without the increased vacuum or mechanical traction typically associated with CTR placement when the cortex is trapped. Sub-cortical CTR implantation is a safe, reproducible and effective technique. It eliminates the additional zonular stress associated with cortex removal that can lead to incomplete cortex removal and IOL-CTR complex dislocation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "POCAT270",
      "abstract_number": "POCAT270",
      "title": "Flacs Vs Phaco In The Real World: Difficulty Graded Intraoperative Complication Rates In A High Volume Service",
      "authors": "Jebinth Brayan",
      "presenter": "Jebinth Brayan",
      "normalized_authors": [
        "Jebinth Brayan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jebinth Brayan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare intraoperative complication rates between femtosecond laser–assisted cataract surgery (FLACS) and phacoemulsification (PHACO; MICS merged with PHACO) in a high‑volume real‑world setting, stratified by cataract difficulty grade.",
        "Setting": "Multisite high‑volume cataract program, calendar year 2025, routinely captured electronic surgical dataset.",
        "Methods": "Retrospective cohort analysis. Surgeries were grouped as FLACS or PHACOEMULSIFICATION . Cataract difficulty grading used the recorded Group 1/2/3 field and mapped to G1/G2/G3 . Intraoperative outcomes were derived from standard complication fields; any intraoperative complication was defined as “No complication” not marked, and PCR was defined as PCR with or without vitreous disturbance. Results are descriptive with grade‑stratified rates.",
        "Results": "A total of 443 FLACS and 193,336 PHACO cases were analysed. Case‑mix by grade for FLACS was G1 n=169 , G2 n=257 , G3 n=12 (PHACO: G1 n=89,035 , G2 n=92,996 , G3 n=9,793 ). Overall, any intraoperative complication occurred in 0.90% of FLACS ( 4/443 ) vs 0.92% of PHACO ( 1,785/193,336 ). PCR occurred in 0.90% of FLACS ( 4/443 ; PCR with vitreous disturbance 2/443 , without 2/443 ) vs 0.76% of PHACO ( 1,463/193,336 ; with vitreous disturbance 644/193,336 , without 819/193,336 ). Non‑PCR intraoperative complications were 0% in FLACS ( 0/443 ) vs 0.17% in PHACO ( 322/193,336 )",
        "Conclusions": "In this high‑volume dataset, overall intraoperative complication rates were similar between FLACS and PHACO."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this high‑volume dataset, overall intraoperative complication rates were similar between FLACS and PHACO.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 309,
      "source_fields": {
        "Abstract Final Identifier": "POCAT270",
        "Title": "Flacs Vs Phaco In The Real World: Difficulty Graded Intraoperative Complication Rates In A High Volume Service",
        "Presenting Author(s)": "Jebinth Brayan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Jebinth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brayan",
        "Country Name": "India",
        "Purpose": "To compare intraoperative complication rates between femtosecond laser–assisted cataract surgery (FLACS) and phacoemulsification (PHACO; MICS merged with PHACO) in a high‑volume real‑world setting, stratified by cataract difficulty grade.",
        "Setting": "Multisite high‑volume cataract program, calendar year 2025, routinely captured electronic surgical dataset.",
        "Methods": "Retrospective cohort analysis. Surgeries were grouped as FLACS or PHACOEMULSIFICATION . Cataract difficulty grading used the recorded Group 1/2/3 field and mapped to G1/G2/G3 . Intraoperative outcomes were derived from standard complication fields; any intraoperative complication was defined as “No complication” not marked, and PCR was defined as PCR with or without vitreous disturbance. Results are descriptive with grade‑stratified rates.",
        "Results": "A total of 443 FLACS and 193,336 PHACO cases were analysed. Case‑mix by grade for FLACS was G1 n=169 , G2 n=257 , G3 n=12 (PHACO: G1 n=89,035 , G2 n=92,996 , G3 n=9,793 ). Overall, any intraoperative complication occurred in 0.90% of FLACS ( 4/443 ) vs 0.92% of PHACO ( 1,785/193,336 ). PCR occurred in 0.90% of FLACS ( 4/443 ; PCR with vitreous disturbance 2/443 , without 2/443 ) vs 0.76% of PHACO ( 1,463/193,336 ; with vitreous disturbance 644/193,336 , without 819/193,336 ). Non‑PCR intraoperative complications were 0% in FLACS ( 0/443 ) vs 0.17% in PHACO ( 322/193,336 )",
        "Conclusions": "In this high‑volume dataset, overall intraoperative complication rates were similar between FLACS and PHACO."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCAT271",
      "abstract_number": "POCAT271",
      "title": "Fluidics Stability And Endothelial Safety Across Surgical Experience Levels: A Standardized Evaluation Of The Rayner Sophi™ Phacoemulsification System (Rayner, Working Uk): A Pilot Comparative Study Of Consultant And Resident Cases",
      "authors": "Dr Isabel Mara Opinion Caparros",
      "presenter": "Dr Isabel Mara Opinion Caparros",
      "normalized_authors": [
        "Isabel Mara Opinion Caparros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isabel Mara Opinion Caparros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To eveluate endothelial safety and fluidics stability during standardized phacoemulsification performed with the Rayner Sophi ™ Phacoemulsification System, comparing outcomes between consultant and supervised resident surgeons. The study aimed to determine whether cumulative dissipated energy and effective phaco time differences associated with surgical experience translate into measurable differences in endothelial cell loss and postoperative corneal thickness changes under controlled parameters.",
        "Setting": "The setting is at the Eye and Vision Institute at The Medical City in Pasig City, Philippines. All surgeries were performed in a tertiary referral ophthalmic center using a unfirom operating environment, standardized instrumentation, and identical phacoemulsification parameters across cases.",
        "Methods": "This prospective pilot study included 20 eyes undergoing uncomplicated cataract surgery (consultant n=10;resident n=10). Only LOCS III Grade 2-3 nuclei were included to minimize variability in lens density. Uniform surgical protocol was applied, including identical incision size, phacoemulsification parameters, fluidics settings, viscoelastic use, and nucleus disassembly technique. Endothelial cell density (ECD, cells/mm²) was measured via specular microscopy and central corneal thickness (CCT, µm) via pachymetry preoperatively and at Day 1, Week 1, Month 1. Primary outcomes were percentage endothelial cell loss (ECL), and change in CCT (ΔCCT). Secondary measures included cumulative dissipated energy and effective phacoemulsification time.",
        "Results": "Baseline ECD and CCT were comparable between groups (p>0.05). At 1 month, mean ECL was 6.8±2.4% in consultant cases and 7.5±2.9% in resident cases (p=0.62). Day 1 CCT increased transiently in both groups (+34±12 µm vs +38±15 µm, p=0.54) with progressive normalization by week 1 and near baseline values at Month 1. Although resident cases demonstrated modestly higher CDE and longer effective phaco time, these differences did not result in significantly greater endothelial compromise. No intraoperative complications or persistent postoperative corneal edema were observed.",
        "Conclusions": "Under standardized surgical conditions and controlled nuclear density, phacomeulsification using the Rayner Sophi™ system demonstrated low endothelial cell loss and predictable pachymetric recovery in both consultant and resident cases. Despite slightly higher energy utilization among residents, corneal safety outcomes were comparable, suggesting stable fluidics and efficient energy modulation in training enviornments. Larger, adequately powered studies are warranted to validate these preliminary observations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Under standardized surgical conditions and controlled nuclear density, phacomeulsification using the Rayner Sophi™ system demonstrated low endothelial cell loss and predictable pachymetric recovery in both consultant and resident cases. Despite slightly higher energy utilization among residents, corneal safety outcomes were comparable, suggesting stable fluidics and efficient energy modulation in training…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 310,
      "source_fields": {
        "Abstract Final Identifier": "POCAT271",
        "Title": "Fluidics Stability And Endothelial Safety Across Surgical Experience Levels: A Standardized Evaluation Of The Rayner Sophi™ Phacoemulsification System (Rayner, Working Uk): A Pilot Comparative Study Of Consultant And Resident Cases",
        "Presenting Author(s)": "Dr Isabel Mara Opinion Caparros",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Isabel Mara",
        "Submitter Middle Name": "Opinion",
        "Submitter Last Name": "Caparros",
        "Country Name": "Philippines",
        "Purpose": "To eveluate endothelial safety and fluidics stability during standardized phacoemulsification performed with the Rayner Sophi ™ Phacoemulsification System, comparing outcomes between consultant and supervised resident surgeons. The study aimed to determine whether cumulative dissipated energy and effective phaco time differences associated with surgical experience translate into measurable differences in endothelial cell loss and postoperative corneal thickness changes under controlled parameters.",
        "Setting": "The setting is at the Eye and Vision Institute at The Medical City in Pasig City, Philippines. All surgeries were performed in a tertiary referral ophthalmic center using a unfirom operating environment, standardized instrumentation, and identical phacoemulsification parameters across cases.",
        "Methods": "This prospective pilot study included 20 eyes undergoing uncomplicated cataract surgery (consultant n=10;resident n=10). Only LOCS III Grade 2-3 nuclei were included to minimize variability in lens density. Uniform surgical protocol was applied, including identical incision size, phacoemulsification parameters, fluidics settings, viscoelastic use, and nucleus disassembly technique. Endothelial cell density (ECD, cells/mm²) was measured via specular microscopy and central corneal thickness (CCT, µm) via pachymetry preoperatively and at Day 1, Week 1, Month 1. Primary outcomes were percentage endothelial cell loss (ECL), and change in CCT (ΔCCT). Secondary measures included cumulative dissipated energy and effective phacoemulsification time.",
        "Results": "Baseline ECD and CCT were comparable between groups (p>0.05). At 1 month, mean ECL was 6.8±2.4% in consultant cases and 7.5±2.9% in resident cases (p=0.62). Day 1 CCT increased transiently in both groups (+34±12 µm vs +38±15 µm, p=0.54) with progressive normalization by week 1 and near baseline values at Month 1. Although resident cases demonstrated modestly higher CDE and longer effective phaco time, these differences did not result in significantly greater endothelial compromise. No intraoperative complications or persistent postoperative corneal edema were observed.",
        "Conclusions": "Under standardized surgical conditions and controlled nuclear density, phacomeulsification using the Rayner Sophi™ system demonstrated low endothelial cell loss and predictable pachymetric recovery in both consultant and resident cases. Despite slightly higher energy utilization among residents, corneal safety outcomes were comparable, suggesting stable fluidics and efficient energy modulation in training enviornments. Larger, adequately powered studies are warranted to validate these preliminary observations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POCAT272",
      "abstract_number": "POCAT272",
      "title": "Clinical Performance, Safety, And User Experience Of The Sophi® Phacoemulsification System In Cataract Surgery: A Prospective Single-Center Study",
      "authors": "Dr Maria Isabela De Guia",
      "presenter": "Dr Maria Isabela De Guia",
      "normalized_authors": [
        "Maria Isabela De Guia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Isabela De Guia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To prospectively evaluate the intraoperative efficiency, phacodynamic stability, postoperative visual outcomes, corneal endothelial safety, inflammatory response, and user experience associated with the Sophi® closed-fluidics phacoemulsification system in patients undergoing bilateral age-related cataract surgery. Primary endpoints included effective phacoemulsification time, cumulative dissipated energy, irrigation fluid usage, total surgical time, and postoperative visual acuity. Secondary endpoints included endothelial cell density, coefficient of variation, hexagonality, central corneal thickness, intraocular pressure, anterior chamber inflammation (SUN grading), complications, patient pain perception and surgeon-reported usability.",
        "Setting": "This prospective, single-center study was conducted at The Medical City Eye and Vision Institute, a tertiary ophthalmology center in the Philippines. All procedures were performed in a standardized operating suite by experienced cataract surgeons using uniform surgical techniques and postoperative protocols. Participants underwent sequential bilateral phacoemulsification within a 7-10 day interval, with structured follow-ups at 1 day, 1-2 weeks, 1 month, and 3 months postoperatively.",
        "Methods": "14 patients (28 eyes) with moderate nuclear sclerotic cataracts (LOCS III Gr 2-3+) underwent phacoemulsification using the Sophi® system. Pre- and postoperative assessments included ETDRS-based visual acuity, specular microscopy (ECD, coefficient of variation, hexagonality), central corneal thickness, intraocular pressure and SUN-based anterior chamber inflammation grading. Intraoperative metrics included EPT, CDE, irrigation fluid volume, torsional ultrasound amplitude, vacuum, aspiration flow rate, intraoperative IOP, phacoemulsification + I/A time and total surgical time. Patient pain and satisfaction surveys and surgeon usability questionnaires were administered. Outcomes were compared with baseline using appropriate statistical tests.",
        "Results": "All 28 eyes completed the 3-month follow-up. Mean EPT was 5.68 ±2.17 seconds and mean CDE was 4.92 ±1.61, reflecting efficient energy utilization. Mean total surgical time was 15.4 ±2.3 minutes. UDVA improved from 0.48±0.21 to 0.06±0.08 logMAR at 1 month (p<0.001); CDVA improved from 0.32±0.18 to 0.02±0.05 logMAR (p<0.001). Mean ECD decreased by 5% at 1 month (p<0.05). Mean CCT increased transiently by 8-12 µm on Day 1-7, returning to near baseline by Month 1. Postoperative IOP remained stable. AC inflammation was mild (≤1+ SUN) and resolved by Week 2. No sight-threatening intraoperative or postoperative complications occurred. Patient pain scores were low, and surgeon-reported chamber stability and usability were rated highly favorable.",
        "Conclusions": "The Sophi® phacoemulsification system demonstrated efficient intraoperative energy delivery, stable fluidics, favorable endothelial safety, rapid visual recovery and excellent usability in routine bilateral cataract surgery. Observed endothelial cell loss and corneal thickness changes were within accepted clinical benchmarks and postoperative inflammation and complication rates were low. The system’s integrated fluidics architecture and automated parameter recording supported reproducible surgical performance and high surgeon satisfaction. These findings demonstrate consistent efficiency, stable fluidics and favorable safety outcomes, supporting the clinical utility of the Sophi® closed-fluidics platform in contemporary cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Sophi® phacoemulsification system demonstrated efficient intraoperative energy delivery, stable fluidics, favorable endothelial safety, rapid visual recovery and excellent usability in routine bilateral cataract surgery. Observed endothelial cell loss and corneal thickness changes were within accepted clinical benchmarks and postoperative inflammation and complication rates were low. The system’s integrated…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 311,
      "source_fields": {
        "Abstract Final Identifier": "POCAT272",
        "Title": "Clinical Performance, Safety, And User Experience Of The Sophi® Phacoemulsification System In Cataract Surgery: A Prospective Single-Center Study",
        "Presenting Author(s)": "Dr Maria Isabela De Guia",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Maria Isabela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Guia",
        "Country Name": "Philippines",
        "Purpose": "To prospectively evaluate the intraoperative efficiency, phacodynamic stability, postoperative visual outcomes, corneal endothelial safety, inflammatory response, and user experience associated with the Sophi® closed-fluidics phacoemulsification system in patients undergoing bilateral age-related cataract surgery. Primary endpoints included effective phacoemulsification time, cumulative dissipated energy, irrigation fluid usage, total surgical time, and postoperative visual acuity. Secondary endpoints included endothelial cell density, coefficient of variation, hexagonality, central corneal thickness, intraocular pressure, anterior chamber inflammation (SUN grading), complications, patient pain perception and surgeon-reported usability.",
        "Setting": "This prospective, single-center study was conducted at The Medical City Eye and Vision Institute, a tertiary ophthalmology center in the Philippines. All procedures were performed in a standardized operating suite by experienced cataract surgeons using uniform surgical techniques and postoperative protocols. Participants underwent sequential bilateral phacoemulsification within a 7-10 day interval, with structured follow-ups at 1 day, 1-2 weeks, 1 month, and 3 months postoperatively.",
        "Methods": "14 patients (28 eyes) with moderate nuclear sclerotic cataracts (LOCS III Gr 2-3+) underwent phacoemulsification using the Sophi® system. Pre- and postoperative assessments included ETDRS-based visual acuity, specular microscopy (ECD, coefficient of variation, hexagonality), central corneal thickness, intraocular pressure and SUN-based anterior chamber inflammation grading. Intraoperative metrics included EPT, CDE, irrigation fluid volume, torsional ultrasound amplitude, vacuum, aspiration flow rate, intraoperative IOP, phacoemulsification + I/A time and total surgical time. Patient pain and satisfaction surveys and surgeon usability questionnaires were administered. Outcomes were compared with baseline using appropriate statistical tests.",
        "Results": "All 28 eyes completed the 3-month follow-up. Mean EPT was 5.68 ±2.17 seconds and mean CDE was 4.92 ±1.61, reflecting efficient energy utilization. Mean total surgical time was 15.4 ±2.3 minutes. UDVA improved from 0.48±0.21 to 0.06±0.08 logMAR at 1 month (p<0.001); CDVA improved from 0.32±0.18 to 0.02±0.05 logMAR (p<0.001). Mean ECD decreased by 5% at 1 month (p<0.05). Mean CCT increased transiently by 8-12 µm on Day 1-7, returning to near baseline by Month 1. Postoperative IOP remained stable. AC inflammation was mild (≤1+ SUN) and resolved by Week 2. No sight-threatening intraoperative or postoperative complications occurred. Patient pain scores were low, and surgeon-reported chamber stability and usability were rated highly favorable.",
        "Conclusions": "The Sophi® phacoemulsification system demonstrated efficient intraoperative energy delivery, stable fluidics, favorable endothelial safety, rapid visual recovery and excellent usability in routine bilateral cataract surgery. Observed endothelial cell loss and corneal thickness changes were within accepted clinical benchmarks and postoperative inflammation and complication rates were low. The system’s integrated fluidics architecture and automated parameter recording supported reproducible surgical performance and high surgeon satisfaction. These findings demonstrate consistent efficiency, stable fluidics and favorable safety outcomes, supporting the clinical utility of the Sophi® closed-fluidics platform in contemporary cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 458
    },
    {
      "uid": "POCAT273",
      "abstract_number": "POCAT273",
      "title": "Effect Of Clear Corneal Paired Wounds On Corneal Astigmatism During Phacoemulsification Surgery",
      "authors": "Dr Mohamed Elkelany",
      "presenter": "Dr Mohamed Elkelany",
      "normalized_authors": [
        "Mohamed Elkelany"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Elkelany",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the role of clear corneal incisions during phacoemulsification surgery in minimizing surgically induced astigmatism and partially correcting pre-existing corneal astigmatism by strategic placement of single or paired incisions on the steep corneal meridian.",
        "Setting": "This study was conducted at Cairo Fatemic Hospital, Cairo, Egypt. Forty patients with age-related cataract and pre-existing corneal astigmatism undergoing phacoemulsification were included. Patients were recruited from the ophthalmology outpatient clinic and evaluated preoperatively with full ophthalmic examination and keratometry. Surgeries were performed under standardized conditions using clear corneal incisions placed on the steep corneal meridian.",
        "Methods": "This prospective clinical study was conducted at Cairo Fatimic Hospital and included 40 patients undergoing phacoemulsification cataract surgery. Preoperative keratometric measurements were used to identify the steep corneal meridian. Clear corneal incisions were strategically placed on the steep meridian in order to minimize additional astigmatism and achieve partial correction of pre-existing corneal astigmatism. In selected cases, paired clear corneal incisions were utilized to enhance the astigmatic effect. Postoperative keratometric measurements were compared with preoperative values to assess the magnitude of astigmatic correction.",
        "Results": "Placement of the clear corneal incision on the steep meridian resulted in a reduction of pre-existing corneal astigmatism. Each clear corneal incision produced an average flattening effect ranging from 0.75 to 1.0 diopter. In cases where paired incisions were used, a greater reduction in corneal astigmatism was observed. The technique effectively reduced astigmatism while avoiding significant surgically induced astigmatism.",
        "Conclusions": "Strategic placement of clear corneal incisions during phacoemulsification on the steep corneal meridian can serve as a simple and effective method to reduce pre-existing corneal astigmatism while minimizing surgically induced astigmatism. This technique may provide an additional refractive benefit without requiring specialized instruments or additional surgical procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Strategic placement of clear corneal incisions during phacoemulsification on the steep corneal meridian can serve as a simple and effective method to reduce pre-existing corneal astigmatism while minimizing surgically induced astigmatism. This technique may provide an additional refractive benefit without requiring specialized instruments or additional surgical procedures.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 312,
      "source_fields": {
        "Abstract Final Identifier": "POCAT273",
        "Title": "Effect Of Clear Corneal Paired Wounds On Corneal Astigmatism During Phacoemulsification Surgery",
        "Presenting Author(s)": "Dr Mohamed Elkelany",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elkelany",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the role of clear corneal incisions during phacoemulsification surgery in minimizing surgically induced astigmatism and partially correcting pre-existing corneal astigmatism by strategic placement of single or paired incisions on the steep corneal meridian.",
        "Setting": "This study was conducted at Cairo Fatemic Hospital, Cairo, Egypt. Forty patients with age-related cataract and pre-existing corneal astigmatism undergoing phacoemulsification were included. Patients were recruited from the ophthalmology outpatient clinic and evaluated preoperatively with full ophthalmic examination and keratometry. Surgeries were performed under standardized conditions using clear corneal incisions placed on the steep corneal meridian.",
        "Methods": "This prospective clinical study was conducted at Cairo Fatimic Hospital and included 40 patients undergoing phacoemulsification cataract surgery. Preoperative keratometric measurements were used to identify the steep corneal meridian. Clear corneal incisions were strategically placed on the steep meridian in order to minimize additional astigmatism and achieve partial correction of pre-existing corneal astigmatism. In selected cases, paired clear corneal incisions were utilized to enhance the astigmatic effect. Postoperative keratometric measurements were compared with preoperative values to assess the magnitude of astigmatic correction.",
        "Results": "Placement of the clear corneal incision on the steep meridian resulted in a reduction of pre-existing corneal astigmatism. Each clear corneal incision produced an average flattening effect ranging from 0.75 to 1.0 diopter. In cases where paired incisions were used, a greater reduction in corneal astigmatism was observed. The technique effectively reduced astigmatism while avoiding significant surgically induced astigmatism.",
        "Conclusions": "Strategic placement of clear corneal incisions during phacoemulsification on the steep corneal meridian can serve as a simple and effective method to reduce pre-existing corneal astigmatism while minimizing surgically induced astigmatism. This technique may provide an additional refractive benefit without requiring specialized instruments or additional surgical procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCAT274",
      "abstract_number": "POCAT274",
      "title": "Long Term Evaluation Of Correction Of Aphakia In Children Using A Modified Technique For Retropupillary Iris Supported Iol ( 7 Year Study)",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To assess the efficacy, stability and safety of correction of aphakia in children using a modified technique for retropupillary iris supported iol\n\n(long term follow up reach 7 years )",
        "Setting": "The Memorial Institute For Ophthalmic Research (MIOR)",
        "Methods": "case series study of 20 eyes of 12 patients aged between 4-15 years. with follow up period ranges from 1 year - 7 years.\nThe inclusion criteria were aphakia with insufficient capsular or zonular support, sufficient iris tissue , no history of uveitis.\n\nExcluison Criteria : presence of capsularsupport , aniridia, sever iris atrophy or iris laceration that cannot be repaired\n\nSurgical Technique : This modified technique depending on that while I am fixating the claw in the iris ,I perforate the iris\nwith one side of the claw to keep one side of each claw anterior to the iris, this will be more safe especially for children\nthat this will prevent the IOL from dropping in vitreous with trauma or with iris atrophy (shown in videos)",
        "Results": "study included 12 patients, age ranged from 4 to 15 y .\n11 eyes (55%) inadequate capsular support after cat surgery , 6 eyes (30%) congenital lens subluxation ,3 eyes (15%) traumatic lens subluxation.\n\n100% of eyes showed improvement in UCVA, BCVA, stable IOL in their places .\n\npre-operative:\nUCVA ranged from 0.01 to 0.05.\nBCVA ranged from 0.4 to 0.7.\nIOP ranged from 7 to 32 mmHg .\nsphere (+6.00 to +10.0)\n\npostoperative:\nUCVA ranged from 0.3 to 0.7 .\nBCVA ranged from 0.5 to 0.9 .\nIOP ranged from 9 to 35 mmHg.\nsphere (+1.00 to + 2.00).\n\ncomplications:\nearly postoperative period, three (15%) eyes showed mild corneal edema, two (10%) eyes had transient IOP elevation\nmore than 20 mmHg and one (5%) eye had AC inflammatory reaction.",
        "Conclusions": "Retropupillary iris claw IOL is the best choice of correction of aphakia in children\n\nThis modification I did in the original technique will make the use of this IOL more safe in children even if iris atrophyoccured or trauma to the eye , the part of iol in front of the iris tissue will prevent iol from dropped in the viterous."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retropupillary iris claw IOL is the best choice of correction of aphakia in children This modification I did in the original technique will make the use of this IOL more safe in children even if iris atrophyoccured or trauma to the eye , the part of iol in front of the iris tissue will prevent iol from dropped in the viterous.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 313,
      "source_fields": {
        "Abstract Final Identifier": "POCAT274",
        "Title": "Long Term Evaluation Of Correction Of Aphakia In Children Using A Modified Technique For Retropupillary Iris Supported Iol ( 7 Year Study)",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "To assess the efficacy, stability and safety of correction of aphakia in children using a modified technique for retropupillary iris supported iol\n\n(long term follow up reach 7 years )",
        "Setting": "The Memorial Institute For Ophthalmic Research (MIOR)",
        "Methods": "case series study of 20 eyes of 12 patients aged between 4-15 years. with follow up period ranges from 1 year - 7 years.\nThe inclusion criteria were aphakia with insufficient capsular or zonular support, sufficient iris tissue , no history of uveitis.\n\nExcluison Criteria : presence of capsularsupport , aniridia, sever iris atrophy or iris laceration that cannot be repaired\n\nSurgical Technique : This modified technique depending on that while I am fixating the claw in the iris ,I perforate the iris\nwith one side of the claw to keep one side of each claw anterior to the iris, this will be more safe especially for children\nthat this will prevent the IOL from dropping in vitreous with trauma or with iris atrophy (shown in videos)",
        "Results": "study included 12 patients, age ranged from 4 to 15 y .\n11 eyes (55%) inadequate capsular support after cat surgery , 6 eyes (30%) congenital lens subluxation ,3 eyes (15%) traumatic lens subluxation.\n\n100% of eyes showed improvement in UCVA, BCVA, stable IOL in their places .\n\npre-operative:\nUCVA ranged from 0.01 to 0.05.\nBCVA ranged from 0.4 to 0.7.\nIOP ranged from 7 to 32 mmHg .\nsphere (+6.00 to +10.0)\n\npostoperative:\nUCVA ranged from 0.3 to 0.7 .\nBCVA ranged from 0.5 to 0.9 .\nIOP ranged from 9 to 35 mmHg.\nsphere (+1.00 to + 2.00).\n\ncomplications:\nearly postoperative period, three (15%) eyes showed mild corneal edema, two (10%) eyes had transient IOP elevation\nmore than 20 mmHg and one (5%) eye had AC inflammatory reaction.",
        "Conclusions": "Retropupillary iris claw IOL is the best choice of correction of aphakia in children\n\nThis modification I did in the original technique will make the use of this IOL more safe in children even if iris atrophyoccured or trauma to the eye , the part of iol in front of the iris tissue will prevent iol from dropped in the viterous."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCAT275",
      "abstract_number": "POCAT275",
      "title": "Managing Small Pupils Without Iris Hooks Or Any Othet Accessories With Simple Modification Of Phacoemulsification Steps",
      "authors": "Dr Anum Haneef",
      "presenter": "Dr Anum Haneef",
      "normalized_authors": [
        "Anum Haneef"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anum Haneef",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "Main purpose is to do smooth phacoemulsification in small pupils due to different causes without the use of any iris hooks or pupil dilating accessories.",
        "Setting": "Modification of regular phacoemulsification procedure and making it smooth fir small pupils as small pupils are everyday problem due to many causes.",
        "Methods": "An interventional study done on 50 patients patients with small pupils.45 were of pseudoexfoliation syndrome and 5 were idiopathically small pupils with history of diabetes mellitus.Main step of phacoemulsification procedure is making continuous curvilinear capsulorrhexis with imaginary angle under the iris after injecting viscoelstic,knowing with the movement of your hands.The main step is to bring the nucleus after hydrodissection into the pupil and stretching the pupil with nucelus body.The part of nucleus above iris will be emulsified with phaco power first and then moving and dialling it with dialler and eat the portion above pupil accordingly.This method keeps the pupil stretched and doesnt require iris hooks or any other tool.",
        "Results": "All 50 patients underwent uncomplicated phacoemulsification with no posterior capsular rupture.3 patients had weak zonules but the intraocular lens was placed in the capsule making it stretched and supporting it.",
        "Conclusions": "This method can be easily adapted in any setting especially in a developing country like Pakistan where accessories of dilating small pupils may not be available and even if it is available,i personally dont like to make seperate prts for iris hooks etc.So with time modified normal phacoemulsification steps to go smooth for small pupils and it made my life easier."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This method can be easily adapted in any setting especially in a developing country like Pakistan where accessories of dilating small pupils may not be available and even if it is available,i personally dont like to make seperate prts for iris hooks etc.So with time modified normal phacoemulsification steps to go smooth for small pupils and it made my life easier.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 314,
      "source_fields": {
        "Abstract Final Identifier": "POCAT275",
        "Title": "Managing Small Pupils Without Iris Hooks Or Any Othet Accessories With Simple Modification Of Phacoemulsification Steps",
        "Presenting Author(s)": "Dr Anum Haneef",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Anum",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haneef",
        "Country Name": "Pakistan",
        "Purpose": "Main purpose is to do smooth phacoemulsification in small pupils due to different causes without the use of any iris hooks or pupil dilating accessories.",
        "Setting": "Modification of regular phacoemulsification procedure and making it smooth fir small pupils as small pupils are everyday problem due to many causes.",
        "Methods": "An interventional study done on 50 patients patients with small pupils.45 were of pseudoexfoliation syndrome and 5 were idiopathically small pupils with history of diabetes mellitus.Main step of phacoemulsification procedure is making continuous curvilinear capsulorrhexis with imaginary angle under the iris after injecting viscoelstic,knowing with the movement of your hands.The main step is to bring the nucleus after hydrodissection into the pupil and stretching the pupil with nucelus body.The part of nucleus above iris will be emulsified with phaco power first and then moving and dialling it with dialler and eat the portion above pupil accordingly.This method keeps the pupil stretched and doesnt require iris hooks or any other tool.",
        "Results": "All 50 patients underwent uncomplicated phacoemulsification with no posterior capsular rupture.3 patients had weak zonules but the intraocular lens was placed in the capsule making it stretched and supporting it.",
        "Conclusions": "This method can be easily adapted in any setting especially in a developing country like Pakistan where accessories of dilating small pupils may not be available and even if it is available,i personally dont like to make seperate prts for iris hooks etc.So with time modified normal phacoemulsification steps to go smooth for small pupils and it made my life easier."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCAT276",
      "abstract_number": "POCAT276",
      "title": "Comparison Of Intraoperative Performance Between Plate Fluidics Based Phacoemulsification And Combined Pump And Plate Fluidics Based Phacoemulsification: A 600-Eye Single-Surgeon Retrospective Cohort Study",
      "authors": "Dr Tsz Kiu Gabriel Lai",
      "presenter": "Dr Tsz Kiu Gabriel Lai",
      "normalized_authors": [
        "Tsz Kiu Gabriel Lai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tsz Kiu Gabriel Lai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "This study aims to compare intraoperative performance and postoperative outcomes between plate fluidics–based phacoemulsification and combined pump plus plate fluidics based phacoemulsification systems. Fluidics system plays a critical role in maintaining anterior chamber stability during phacoemulsification. Advances in fluidics technology have led to phacoemulsification systems that integrate both plate and pump base mechanisms. Currently, data comparing intraoperative efficiency and postoperative recovery between these platforms is limited.",
        "Setting": "This retrospective 600-eye study was conducted in Sydney, Australia, at a private ophthalmic clinic and performed by a single surgeon.",
        "Methods": "This retrospective comparative cohort study included over 600 eyes undergoing phacoemulsification. Eyes were stratified according to fluidics platform used intraoperatively. The primary outcome was cumulative dissipated energy (CDE). Secondary intraoperative metrics included tot al casetime, ultrasound total time, and frequency of surge mitigation activations recorded by the system. Postoperative outcomes included best corrected visual acuity at the end of postoperative day 1, week 1, and month 1, and incidence of clinically diagnosed cystoid macular edema. Multivariable analysis will be performed for preoperative lens density and relevant systemic and ocular comorbidities.",
        "Results": "Data extraction and statistical analysis are ongoing.",
        "Conclusions": "This study aims to determine whether the addition of pump-driven fluidics enhances chamber stability, reduces ultrasound energy requirements, improves operative efficiency, and facilitates early visual recovery compared to plate-based systems. The findings may provide clinically relevant insight into the impact of fluidics design on cataract surgery performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study aims to determine whether the addition of pump-driven fluidics enhances chamber stability, reduces ultrasound energy requirements, improves operative efficiency, and facilitates early visual recovery compared to plate-based systems. The findings may provide clinically relevant insight into the impact of fluidics design on cataract surgery performance.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 315,
      "source_fields": {
        "Abstract Final Identifier": "POCAT276",
        "Title": "Comparison Of Intraoperative Performance Between Plate Fluidics Based Phacoemulsification And Combined Pump And Plate Fluidics Based Phacoemulsification: A 600-Eye Single-Surgeon Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Tsz Kiu Gabriel Lai",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Tsz Kiu Gabriel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lai",
        "Country Name": "Australia",
        "Purpose": "This study aims to compare intraoperative performance and postoperative outcomes between plate fluidics–based phacoemulsification and combined pump plus plate fluidics based phacoemulsification systems. Fluidics system plays a critical role in maintaining anterior chamber stability during phacoemulsification. Advances in fluidics technology have led to phacoemulsification systems that integrate both plate and pump base mechanisms. Currently, data comparing intraoperative efficiency and postoperative recovery between these platforms is limited.",
        "Setting": "This retrospective 600-eye study was conducted in Sydney, Australia, at a private ophthalmic clinic and performed by a single surgeon.",
        "Methods": "This retrospective comparative cohort study included over 600 eyes undergoing phacoemulsification. Eyes were stratified according to fluidics platform used intraoperatively. The primary outcome was cumulative dissipated energy (CDE). Secondary intraoperative metrics included tot al casetime, ultrasound total time, and frequency of surge mitigation activations recorded by the system. Postoperative outcomes included best corrected visual acuity at the end of postoperative day 1, week 1, and month 1, and incidence of clinically diagnosed cystoid macular edema. Multivariable analysis will be performed for preoperative lens density and relevant systemic and ocular comorbidities.",
        "Results": "Data extraction and statistical analysis are ongoing.",
        "Conclusions": "This study aims to determine whether the addition of pump-driven fluidics enhances chamber stability, reduces ultrasound energy requirements, improves operative efficiency, and facilitates early visual recovery compared to plate-based systems. The findings may provide clinically relevant insight into the impact of fluidics design on cataract surgery performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POCAT277",
      "abstract_number": "POCAT277",
      "title": "Sequential Zero-Vacuum Horizontal Chop For Cataract Surgery",
      "authors": "Dr Huy Le",
      "presenter": "Dr Huy Le",
      "normalized_authors": [
        "Huy Le"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Huy Le",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To describe a sequential zero-vacuum horizontal chopping technique designed to facilitate extensive mechanical nuclear fragmentation while minimizing reliance on ultrasound energy and high vacuum levels during phacoemulsification.",
        "Setting": "A single-surgeon surgical series performed at a tertiary eye care center.",
        "Methods": "After continuous curvilinear capsulorhexis and hydrodissection, a central trench measuring approximately 1.0–1.5 mm in length, one phaco tip width, and 1.0–1.5 phaco tip depth was created from the surgeon side toward the nuclear center. Minimal phaco power was applied within the trench to build limited vacuum and stabilize the nucleus. A ball-tip chopper was advanced beneath the anterior capsule toward the equator. Once the chopper reached the equatorial position, the foot pedal was returned to irrigation-only mode (step 1), and horizontal chopping was performed. This maneuver was repeated until the nucleus was divided into at least eight small fragments. Ultrasound energy was applied only during fragment removal.",
        "Results": "Sequential mechanical chopping enabled effective nuclear segmentation into multiple small fragments prior to phacoemulsification. The technique was applied in 12 consecutive cases of dense cataracts graded LOCS III 4–6, achieving stable anterior chamber dynamics with limited ultrasound usage. No posterior capsule rupture or major intraoperative complications were observed.",
        "Conclusions": "Sequential zero-vacuum horizontal chopping allows controlled mechanical nuclear fragmentation while reducing ultrasound energy requirements and limiting excessive vacuum build-up. By favoring nuclear fragmentation and phacoemulsification closer to the anterior capsular plane or within the capsular bag whenever feasible, the technique facilitates manipulation away from the corneal endothelium and promotes stable anterior chamber dynamics. The use of a ball-tip chopper allows safer equatorial access and reduces the risk of surge-related or instrument-related capsular injury. Although demonstrated in dense cataracts, this approach may be applicable across a wide range of nuclear densities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sequential zero-vacuum horizontal chopping allows controlled mechanical nuclear fragmentation while reducing ultrasound energy requirements and limiting excessive vacuum build-up. By favoring nuclear fragmentation and phacoemulsification closer to the anterior capsular plane or within the capsular bag whenever feasible, the technique facilitates manipulation away from the corneal endothelium and promotes stable…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 316,
      "source_fields": {
        "Abstract Final Identifier": "POCAT277",
        "Title": "Sequential Zero-Vacuum Horizontal Chop For Cataract Surgery",
        "Presenting Author(s)": "Dr Huy Le",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Huy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Le",
        "Country Name": "Viet Nam",
        "Purpose": "To describe a sequential zero-vacuum horizontal chopping technique designed to facilitate extensive mechanical nuclear fragmentation while minimizing reliance on ultrasound energy and high vacuum levels during phacoemulsification.",
        "Setting": "A single-surgeon surgical series performed at a tertiary eye care center.",
        "Methods": "After continuous curvilinear capsulorhexis and hydrodissection, a central trench measuring approximately 1.0–1.5 mm in length, one phaco tip width, and 1.0–1.5 phaco tip depth was created from the surgeon side toward the nuclear center. Minimal phaco power was applied within the trench to build limited vacuum and stabilize the nucleus. A ball-tip chopper was advanced beneath the anterior capsule toward the equator. Once the chopper reached the equatorial position, the foot pedal was returned to irrigation-only mode (step 1), and horizontal chopping was performed. This maneuver was repeated until the nucleus was divided into at least eight small fragments. Ultrasound energy was applied only during fragment removal.",
        "Results": "Sequential mechanical chopping enabled effective nuclear segmentation into multiple small fragments prior to phacoemulsification. The technique was applied in 12 consecutive cases of dense cataracts graded LOCS III 4–6, achieving stable anterior chamber dynamics with limited ultrasound usage. No posterior capsule rupture or major intraoperative complications were observed.",
        "Conclusions": "Sequential zero-vacuum horizontal chopping allows controlled mechanical nuclear fragmentation while reducing ultrasound energy requirements and limiting excessive vacuum build-up. By favoring nuclear fragmentation and phacoemulsification closer to the anterior capsular plane or within the capsular bag whenever feasible, the technique facilitates manipulation away from the corneal endothelium and promotes stable anterior chamber dynamics. The use of a ball-tip chopper allows safer equatorial access and reduces the risk of surge-related or instrument-related capsular injury. Although demonstrated in dense cataracts, this approach may be applicable across a wide range of nuclear densities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCAT278",
      "abstract_number": "POCAT278",
      "title": "Predictive Factors Of Anterior Segment Enlargement After Cataract Surgery",
      "authors": "Mr Antonio Martínez-Abad",
      "presenter": "Mr Antonio Martínez-Abad",
      "normalized_authors": [
        "Antonio Martínez-Abad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonio Martínez-Abad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The aim of this study was to compare the anterior segment parameters obtained by Anterior Segment Optical Coherence Tomography (AS-OCT) before and after cataract surgery, as well as to identify the preoperative factors related to a more enlargement of the anterior segment by developing a predictive model of it.",
        "Setting": "1. Vissum Grupo Miranza, Alicante, Spain; 2. Grupo de Investigación en Optometría (GIOptom), Universidad de Alicante, Alicante, Spain; 3. Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain",
        "Methods": "This is a prospective and longitudinal study involving patients eligible to cataract surgery or clear lens exchange without ocular pathologies different to cataract. All patients underwent an AS-OCT measurement before and approximately one-month after the surgery using the Casia2 device (Tomey ®), as well as the standard ocular exam in both visits. The comparisons between the anterior segment parameters obtained in the preoperative and postoperative status were performed by Wilcoxon signed rank test considering a significance level of 0.05. The preoperative factors related to a more enlargement of the anterior segment were identified by Spearman correlations and calculating 2 predictive models by back-wise lineal regression.",
        "Results": "The sample included 404 eyes of 404 subjects including only one eye per subject to avoid the selection bias. Iridocorneal angles and the rest of parameters presented a significative increase after the surgery (p<0.001), confirming a general enlargement of the anterior segment. The preoperative Lens Thickness (LT) and Lens Vault (LV) were the most involved factors in the anterior segment enlargement, presenting significant correlations with all anatomic variations (p<0,05). Particularly, the maximum correlations were observed with ACD variation (∆ACD): Rho LT-∆ACD= 0.604; Rho LV-∆ACD= 0.619. The model predicting ∆ACD included LT and LV, while the model predicting ∆Trabecular Iris Angle [TIA] at 750 µm included age, LT and TIA-750.",
        "Conclusions": "This study demonstrates an enlargement of the anterior segment after a cataract surgery, existing preoperative factors influencing a more notably enlargement. Particularly, presenting a thicker and elevated crystalline lens before the surgery was related to a more pronounced enlargement. Moreover, statistical models have been developed to predict the surgical change on anterior chamber depth and trabecular iris angle. It could be useful in the clinical practice of cataract surgeons to manage patients affected simultaneously by cataract and narrow chamber."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates an enlargement of the anterior segment after a cataract surgery, existing preoperative factors influencing a more notably enlargement. Particularly, presenting a thicker and elevated crystalline lens before the surgery was related to a more pronounced enlargement. Moreover, statistical models have been developed to predict the surgical change on anterior chamber depth and trabecular iris…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 317,
      "source_fields": {
        "Abstract Final Identifier": "POCAT278",
        "Title": "Predictive Factors Of Anterior Segment Enlargement After Cataract Surgery",
        "Presenting Author(s)": "Mr Antonio Martínez-Abad",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Antonio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Martínez-Abad",
        "Country Name": "Spain",
        "Purpose": "The aim of this study was to compare the anterior segment parameters obtained by Anterior Segment Optical Coherence Tomography (AS-OCT) before and after cataract surgery, as well as to identify the preoperative factors related to a more enlargement of the anterior segment by developing a predictive model of it.",
        "Setting": "1. Vissum Grupo Miranza, Alicante, Spain; 2. Grupo de Investigación en Optometría (GIOptom), Universidad de Alicante, Alicante, Spain; 3. Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain",
        "Methods": "This is a prospective and longitudinal study involving patients eligible to cataract surgery or clear lens exchange without ocular pathologies different to cataract. All patients underwent an AS-OCT measurement before and approximately one-month after the surgery using the Casia2 device (Tomey ®), as well as the standard ocular exam in both visits. The comparisons between the anterior segment parameters obtained in the preoperative and postoperative status were performed by Wilcoxon signed rank test considering a significance level of 0.05. The preoperative factors related to a more enlargement of the anterior segment were identified by Spearman correlations and calculating 2 predictive models by back-wise lineal regression.",
        "Results": "The sample included 404 eyes of 404 subjects including only one eye per subject to avoid the selection bias. Iridocorneal angles and the rest of parameters presented a significative increase after the surgery (p<0.001), confirming a general enlargement of the anterior segment. The preoperative Lens Thickness (LT) and Lens Vault (LV) were the most involved factors in the anterior segment enlargement, presenting significant correlations with all anatomic variations (p<0,05). Particularly, the maximum correlations were observed with ACD variation (∆ACD): Rho LT-∆ACD= 0.604; Rho LV-∆ACD= 0.619. The model predicting ∆ACD included LT and LV, while the model predicting ∆Trabecular Iris Angle [TIA] at 750 µm included age, LT and TIA-750.",
        "Conclusions": "This study demonstrates an enlargement of the anterior segment after a cataract surgery, existing preoperative factors influencing a more notably enlargement. Particularly, presenting a thicker and elevated crystalline lens before the surgery was related to a more pronounced enlargement. Moreover, statistical models have been developed to predict the surgical change on anterior chamber depth and trabecular iris angle. It could be useful in the clinical practice of cataract surgeons to manage patients affected simultaneously by cataract and narrow chamber."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POCAT279",
      "abstract_number": "POCAT279",
      "title": "Stepwise Training In Sub-Tenon’S Anaesthesia During A Charity Ophthalmic Mission In Burkina Faso: Clinical Outcomes And Educational Impact For A Final-Year Uk Medical Student.",
      "authors": "Mr Sayem Mehmood",
      "presenter": "Mr Sayem Mehmood",
      "normalized_authors": [
        "Sayem Mehmood"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sayem Mehmood",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This report describes the clinical experience, supervised training, and short-term results of stepwise sub-Tenon’s anaesthesia learning by a final-year UK medical student during a charity cataract surgery mission in Burkina Faso, a resource-limited setting. It also assesses the adequacy, safety, and educational value of the anaesthetic technique.",
        "Setting": "A UK-led team ran a one-week ophthalmology and anaesthesia teaching mission in Burkina Faso. They performed many cataract surgeries and trained local clinicians in regional eye anaesthesia techniques at a hospital with limited resources.",
        "Methods": "The medical student first observed 15 sub-Tenon’s blocks, then received structured, supervised training in the inferonasal fornix approach. Training covered placing the lid speculum, exposing the fornix, making incisions in the conjunctiva and Tenon’s capsule, and advancing a blunt cannula along the eye. The student used a standard mix of lidocaine 2% and bupivacaine 0.5%, following usual practice, and then performed 15 supervised sub-Tenon’s blocks. Outcomes measured were anaesthesia adequacy, level of eye movement, need for extra anaesthesia during surgery, minor complications, and supervisor feedback.",
        "Results": "Out of 15 supervised sub-Tenon’s blocks done by the medical student, 12 cases (80%) had enough anaesthesia. Three cases (20%) needed extra anaesthesia during surgery. Eye movement was reduced in 7 cases (47%). Three patients had some swelling of the conjunctiva (chemosis). There were no major complications such as orbital bleeding, eye injury, or serious side effects. Supervising surgeons said the student learned the technique safely and achieved the expected anaesthetic results.",
        "Conclusions": "Supervised, step-by-step training in sub-Tenon’s anaesthesia during the charity mission helped the medical student safely learn regional anaesthesia skills early on. The experience improved understanding of eye anatomy, increased confidence with the procedure, and raised awareness of teamwork and safety in busy, low-resource settings. Starting structured training in eye anaesthesia early may help with future surgical training and career growth."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Supervised, step-by-step training in sub-Tenon’s anaesthesia during the charity mission helped the medical student safely learn regional anaesthesia skills early on. The experience improved understanding of eye anatomy, increased confidence with the procedure, and raised awareness of teamwork and safety in busy, low-resource settings. Starting structured training in eye anaesthesia early may help with future…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 318,
      "source_fields": {
        "Abstract Final Identifier": "POCAT279",
        "Title": "Stepwise Training In Sub-Tenon’S Anaesthesia During A Charity Ophthalmic Mission In Burkina Faso: Clinical Outcomes And Educational Impact For A Final-Year Uk Medical Student.",
        "Presenting Author(s)": "Mr Sayem Mehmood",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Sayem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mehmood",
        "Country Name": "United Kingdom",
        "Purpose": "This report describes the clinical experience, supervised training, and short-term results of stepwise sub-Tenon’s anaesthesia learning by a final-year UK medical student during a charity cataract surgery mission in Burkina Faso, a resource-limited setting. It also assesses the adequacy, safety, and educational value of the anaesthetic technique.",
        "Setting": "A UK-led team ran a one-week ophthalmology and anaesthesia teaching mission in Burkina Faso. They performed many cataract surgeries and trained local clinicians in regional eye anaesthesia techniques at a hospital with limited resources.",
        "Methods": "The medical student first observed 15 sub-Tenon’s blocks, then received structured, supervised training in the inferonasal fornix approach. Training covered placing the lid speculum, exposing the fornix, making incisions in the conjunctiva and Tenon’s capsule, and advancing a blunt cannula along the eye. The student used a standard mix of lidocaine 2% and bupivacaine 0.5%, following usual practice, and then performed 15 supervised sub-Tenon’s blocks. Outcomes measured were anaesthesia adequacy, level of eye movement, need for extra anaesthesia during surgery, minor complications, and supervisor feedback.",
        "Results": "Out of 15 supervised sub-Tenon’s blocks done by the medical student, 12 cases (80%) had enough anaesthesia. Three cases (20%) needed extra anaesthesia during surgery. Eye movement was reduced in 7 cases (47%). Three patients had some swelling of the conjunctiva (chemosis). There were no major complications such as orbital bleeding, eye injury, or serious side effects. Supervising surgeons said the student learned the technique safely and achieved the expected anaesthetic results.",
        "Conclusions": "Supervised, step-by-step training in sub-Tenon’s anaesthesia during the charity mission helped the medical student safely learn regional anaesthesia skills early on. The experience improved understanding of eye anatomy, increased confidence with the procedure, and raised awareness of teamwork and safety in busy, low-resource settings. Starting structured training in eye anaesthesia early may help with future surgical training and career growth."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCAT280",
      "abstract_number": "POCAT280",
      "title": "Personal Experience With 3D Digital Visualization Technology In Cataract Surgery And Corneal Transplantation",
      "authors": "Dr Luigi Mosca",
      "presenter": "Dr Luigi Mosca",
      "normalized_authors": [
        "Luigi Mosca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luigi Mosca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the clinical utility and intraoperative advantages of a three-dimensional (3D) digital visualization system in cataract surgery and lamellar corneal transplantation, with particular attention to the contribution of digital image filters in improving tissue visualization and surgical precision.",
        "Setting": "Catholic University of Sacro Cuore - Agostino Gemelli Polyclinic Foundation- IRCCS - Ophthalmic Department",
        "Methods": "All surgical procedures performed in our unit between 2020 and 2023 were carried out using the 3D digital visualization system NGenuity by the same surgeon (L.M.). Images were captured simultaneously with and without different digital filters during the following surgical steps: endothelial evaluation, capsulorhexis, capsular rupture assessment, cortical removal, viscoelastic removal, corneal suturing, descemetorhexis, graft preparation, graft insertion, and endothelial keratoplasty graft unfolding in the anterior chamber\n\nParticular attention was paid to the qualitative improvement in contrast, edge definition, and depth perception provided by the digital filters, including Green, Monochrome, and Yellow, during different surgical maneuvers.",
        "Results": "In cataract surgery, Green and Monochrome filters helps capsulorrhexis in visualization of anterior capsule and edges of posterior capsule ruptures. Monochrome filter improves contrast, aiding removing cortical material and viscoelastics. In endothelial keratoplasty, Monochrome filter simplifies descemetorhexis highlighting the Descemet layer and improves visualization even in the presence of bleeding. In the DMEK technique, the Green filter enhances the graft during preparation, while the Yellow filter increases contrast of stained graft during unfolding roll in AC. In DALK, the Monochrome and Green filters enhance the visibility of the Descemet–endothelium layer, allowing clearer identification of the extent of accidental perforations",
        "Conclusions": "The NGenuity 3D digital system with the use of dedicated digital filters enhances tissue contrast and improves identification of critical surgical planes during both cataract surgery and corneal transplantation. These advantages are particularly relevant in complex cases with reduced intraoperative visibility. Moreover, the system offers significant educational benefits by providing high-quality shared visualization of surgical steps. Further prospective studies are warranted to quantify its impact on surgical outcomes and complication rates. Overall, the 3D system provided excellent depth perception, improved ergonomics for the surgeon, and the possibility of shared visualization with the surgical team and trainees."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The NGenuity 3D digital system with the use of dedicated digital filters enhances tissue contrast and improves identification of critical surgical planes during both cataract surgery and corneal transplantation. These advantages are particularly relevant in complex cases with reduced intraoperative visibility. Moreover, the system offers significant educational benefits by providing high-quality shared…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 319,
      "source_fields": {
        "Abstract Final Identifier": "POCAT280",
        "Title": "Personal Experience With 3D Digital Visualization Technology In Cataract Surgery And Corneal Transplantation",
        "Presenting Author(s)": "Dr Luigi Mosca",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Luigi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mosca",
        "Country Name": "Italy",
        "Purpose": "To evaluate the clinical utility and intraoperative advantages of a three-dimensional (3D) digital visualization system in cataract surgery and lamellar corneal transplantation, with particular attention to the contribution of digital image filters in improving tissue visualization and surgical precision.",
        "Setting": "Catholic University of Sacro Cuore - Agostino Gemelli Polyclinic Foundation- IRCCS - Ophthalmic Department",
        "Methods": "All surgical procedures performed in our unit between 2020 and 2023 were carried out using the 3D digital visualization system NGenuity by the same surgeon (L.M.). Images were captured simultaneously with and without different digital filters during the following surgical steps: endothelial evaluation, capsulorhexis, capsular rupture assessment, cortical removal, viscoelastic removal, corneal suturing, descemetorhexis, graft preparation, graft insertion, and endothelial keratoplasty graft unfolding in the anterior chamber\n\nParticular attention was paid to the qualitative improvement in contrast, edge definition, and depth perception provided by the digital filters, including Green, Monochrome, and Yellow, during different surgical maneuvers.",
        "Results": "In cataract surgery, Green and Monochrome filters helps capsulorrhexis in visualization of anterior capsule and edges of posterior capsule ruptures. Monochrome filter improves contrast, aiding removing cortical material and viscoelastics. In endothelial keratoplasty, Monochrome filter simplifies descemetorhexis highlighting the Descemet layer and improves visualization even in the presence of bleeding. In the DMEK technique, the Green filter enhances the graft during preparation, while the Yellow filter increases contrast of stained graft during unfolding roll in AC. In DALK, the Monochrome and Green filters enhance the visibility of the Descemet–endothelium layer, allowing clearer identification of the extent of accidental perforations",
        "Conclusions": "The NGenuity 3D digital system with the use of dedicated digital filters enhances tissue contrast and improves identification of critical surgical planes during both cataract surgery and corneal transplantation. These advantages are particularly relevant in complex cases with reduced intraoperative visibility. Moreover, the system offers significant educational benefits by providing high-quality shared visualization of surgical steps. Further prospective studies are warranted to quantify its impact on surgical outcomes and complication rates. Overall, the 3D system provided excellent depth perception, improved ergonomics for the surgeon, and the possibility of shared visualization with the surgical team and trainees."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POCAT281",
      "abstract_number": "POCAT281",
      "title": "Impact Of Phaco Tip Exposure On Corneal Endothelium And Central Corneal Thickness In Hard Cataract.",
      "authors": "Dr Ayesha Musthafa",
      "presenter": "Dr Ayesha Musthafa",
      "normalized_authors": [
        "Ayesha Musthafa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Musthafa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the role of phacoemulsification probe tip exposure on corneal endothelial cell loss and central corneal thickness (CCT) in hard cataracts, comparing between more and less tip exposure.",
        "Setting": "A prospective study conducted at a Tertiary Care Eye Hospital",
        "Methods": "A prospective study was conducted on 57 eyes in each group undergoing phacoemulsification for hard cataracts using either a more tip exposure or a less tip exposure on phaco probe. Tip exposure was measured from the phaco tip till the silicone sleeve, with the less tip exposure set at 0.5 mm and more tip exposure at 1.25 mm . Corneal endothelial cell density (ECD) and Central corneal Thickness (CCT) were measured preoperatively and on postoperative days 1 (POD1) and 30 (POD 30). Intraoperative cumulative dissipated energy (CDE) was also recorded. Median [IQR] values were calculated, and intergroup comparisons were performed.",
        "Results": "In this prospective single-centre study of hard cataracts, outcomes were compared between greater phaco tip exposure (1.25 mm; long tip) and less tip exposure (0.5 mm; short tip). Cumulative dissipated energy (CDE) was similar between groups.The short tip group had significantly better endothelial preservation at POD 30, with lower endothelial cell loss than the long tip group (−140 vs −406 cells/mm²; p = 0.009). Central corneal thickness (CCT) increased in both groups on day 1, but the rise was significantly smaller with less tip exposure (+14 vs +36 µm; p = 0.001). Viscoelastic was more often noted on the endothelium in the short tip group, which may have contributed to the protective effect",
        "Conclusions": "Reducing phaco tip exposure in hard cataract surgery was associated with superior corneal endothelial safety, characterized by significantly lower endothelial cell loss and reduced early postoperative corneal edema, with faster stabilization in the postoperative period. These findings support minimizing tip exposure as a practical technique to enhance corneal protection during phacoemulsification of dense nuclei.\n\nFinancial Disclosure : The authors report no financial or proprietary interests in any material or method mentioned"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Reducing phaco tip exposure in hard cataract surgery was associated with superior corneal endothelial safety, characterized by significantly lower endothelial cell loss and reduced early postoperative corneal edema, with faster stabilization in the postoperative period. These findings support minimizing tip exposure as a practical technique to enhance corneal protection during phacoemulsification of dense nuclei.…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 320,
      "source_fields": {
        "Abstract Final Identifier": "POCAT281",
        "Title": "Impact Of Phaco Tip Exposure On Corneal Endothelium And Central Corneal Thickness In Hard Cataract.",
        "Presenting Author(s)": "Dr Ayesha Musthafa",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Musthafa",
        "Country Name": "India",
        "Purpose": "To evaluate the role of phacoemulsification probe tip exposure on corneal endothelial cell loss and central corneal thickness (CCT) in hard cataracts, comparing between more and less tip exposure.",
        "Setting": "A prospective study conducted at a Tertiary Care Eye Hospital",
        "Methods": "A prospective study was conducted on 57 eyes in each group undergoing phacoemulsification for hard cataracts using either a more tip exposure or a less tip exposure on phaco probe. Tip exposure was measured from the phaco tip till the silicone sleeve, with the less tip exposure set at 0.5 mm and more tip exposure at 1.25 mm . Corneal endothelial cell density (ECD) and Central corneal Thickness (CCT) were measured preoperatively and on postoperative days 1 (POD1) and 30 (POD 30). Intraoperative cumulative dissipated energy (CDE) was also recorded. Median [IQR] values were calculated, and intergroup comparisons were performed.",
        "Results": "In this prospective single-centre study of hard cataracts, outcomes were compared between greater phaco tip exposure (1.25 mm; long tip) and less tip exposure (0.5 mm; short tip). Cumulative dissipated energy (CDE) was similar between groups.The short tip group had significantly better endothelial preservation at POD 30, with lower endothelial cell loss than the long tip group (−140 vs −406 cells/mm²; p = 0.009). Central corneal thickness (CCT) increased in both groups on day 1, but the rise was significantly smaller with less tip exposure (+14 vs +36 µm; p = 0.001). Viscoelastic was more often noted on the endothelium in the short tip group, which may have contributed to the protective effect",
        "Conclusions": "Reducing phaco tip exposure in hard cataract surgery was associated with superior corneal endothelial safety, characterized by significantly lower endothelial cell loss and reduced early postoperative corneal edema, with faster stabilization in the postoperative period. These findings support minimizing tip exposure as a practical technique to enhance corneal protection during phacoemulsification of dense nuclei.\n\nFinancial Disclosure : The authors report no financial or proprietary interests in any material or method mentioned"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "POCAT282",
      "abstract_number": "POCAT282",
      "title": "Six-Month Intraocular Lens Stability After Femtosecond Laser-Assisted Cataract Surgery In Eyes With Zonular Weakness",
      "authors": "Dr Huynh Phuc Nguyen",
      "presenter": "Dr Huynh Phuc Nguyen",
      "normalized_authors": [
        "Huynh Phuc Nguyen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Huynh Phuc Nguyen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes, postoperative intraocular lens (IOL) positional stability, safety, and effectiveness of femtosecond laser-assisted cataract surgery (FLACS) in eyes with zonular weakness.",
        "Setting": "Saigon Vinh Eye Hospital, Vietnam, from October 2025 to March 2026",
        "Methods": "This was a prospective descriptive study. Cataract patients with mild-to-moderate zonular weakness (< 6 clock hours) undergoing FLACS were enrolled and followed postoperatively at 1 day, 1 week, 1 month, 3 months, and 6 months.",
        "Results": "A total of 62 eyes meeting the inclusion criteria were analyzed. Femtosecond laser was used for capsulohexis, lens fragmentation, and corneal incision. At 1 week postoperatively, 59/62 cases (95.2%) achieved visual acuity better than 20/32, with stable vision maintained through 6 months. Mild corneal edema (1+) was observed in 2 cases (3.2%) on postoperative day 1 (grade 4 cataract). Intraoperatively, pupillary constriction to approximately 4 mm after femtosecond laser fragmentation occurred in 2 cases. No posterior capsule rupture or hyphema occurred. A circular, well-centered 5.2 mm capsulotomy was achieved in all eyes, and a capsular tension ring was required in 1 case. At 6 months, all IOLs remained well-centered without decentration.",
        "Conclusions": "FLACS is a safe and effective approach in eyes with zonular weakness, providing precise capsulorhexis, reducing mechanical stress on the capsular-zonular complex, and minimizing additional zonular damage, thereby maintaining IOL positional stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FLACS is a safe and effective approach in eyes with zonular weakness, providing precise capsulorhexis, reducing mechanical stress on the capsular-zonular complex, and minimizing additional zonular damage, thereby maintaining IOL positional stability.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 321,
      "source_fields": {
        "Abstract Final Identifier": "POCAT282",
        "Title": "Six-Month Intraocular Lens Stability After Femtosecond Laser-Assisted Cataract Surgery In Eyes With Zonular Weakness",
        "Presenting Author(s)": "Dr Huynh Phuc Nguyen",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Huynh Phuc",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nguyen",
        "Country Name": "Viet Nam",
        "Purpose": "To evaluate the clinical outcomes, postoperative intraocular lens (IOL) positional stability, safety, and effectiveness of femtosecond laser-assisted cataract surgery (FLACS) in eyes with zonular weakness.",
        "Setting": "Saigon Vinh Eye Hospital, Vietnam, from October 2025 to March 2026",
        "Methods": "This was a prospective descriptive study. Cataract patients with mild-to-moderate zonular weakness (< 6 clock hours) undergoing FLACS were enrolled and followed postoperatively at 1 day, 1 week, 1 month, 3 months, and 6 months.",
        "Results": "A total of 62 eyes meeting the inclusion criteria were analyzed. Femtosecond laser was used for capsulohexis, lens fragmentation, and corneal incision. At 1 week postoperatively, 59/62 cases (95.2%) achieved visual acuity better than 20/32, with stable vision maintained through 6 months. Mild corneal edema (1+) was observed in 2 cases (3.2%) on postoperative day 1 (grade 4 cataract). Intraoperatively, pupillary constriction to approximately 4 mm after femtosecond laser fragmentation occurred in 2 cases. No posterior capsule rupture or hyphema occurred. A circular, well-centered 5.2 mm capsulotomy was achieved in all eyes, and a capsular tension ring was required in 1 case. At 6 months, all IOLs remained well-centered without decentration.",
        "Conclusions": "FLACS is a safe and effective approach in eyes with zonular weakness, providing precise capsulorhexis, reducing mechanical stress on the capsular-zonular complex, and minimizing additional zonular damage, thereby maintaining IOL positional stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POCAT283",
      "abstract_number": "POCAT283",
      "title": "Real World Assessment Of Sterile Technician Console Interactions During Cataract Surgery Set-Up: Impact Of The Next Generation Of Phacoemulsification System",
      "authors": "Ms Li-Chen Pan",
      "presenter": "Ms Li-Chen Pan",
      "normalized_authors": [
        "Li-Chen Pan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Li-Chen Pan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To quantify and compare sterile technician console touchpoints during console set‑up for cataract surgery using UNITY™ Vitreoretinal Cataract System (UNITY VCS) vs CENTURION™ with ACTIVE SENTRY™ in a prospective, real‑world, multicenter, pre–post, time‑and‑motion study; exploratory endpoint assessing whether system design reduces interaction burden and streamlines surgery set-up activities.",
        "Setting": "Two ambulatory surgery centers (ASCs) located in Atlanta, GA and Los Angeles, CA.",
        "Methods": "A total of 303 subjects were included; procedures were performed by 4 surgeons at 2 US ASCs in adults with uncomplicated age‑related cataracts. Video observation captured set‑up activities before and after UNITY VCS implementation. Console interaction count was defined as the number of times the sterile technician touched the console or handpiece to advance readiness to the “Ready for Surgery” screen; unrelated tasks (e.g., activities performed on the console tray) were excluded. A mixed‑effects Poisson regression was used with random intercepts for site and technician, adjusting for technician experience and non‑continuous set‑up. Sensitivity analyses were conducted excluding cases with console errors or a technician swap during set-up.",
        "Results": "In mixed‑effects Poisson regression (random intercepts for site and technician) adjusted for technician experience and non‑continuous sterile‑field set‑up, UNITY VCS was associated with a statistically significant reduction in set‑up console interactions vs CENTURION (IRR 0.61; 95% CI 0.50–0.74; p<0.001), indicating an estimated 39% lower interaction count. Covariates showed similar distributions between arms, and results were consistent in sensitivity analyses excluding cases with console errors or technician swaps.",
        "Conclusions": "Compared with the CENTURION platform, UNITY VCS reduced sterile‑technician console interactions during set‑up, indicating a more streamlined workflow. UNITY VCS’s one-step set-up capability offers fewer touchpoints and may lower cognitive/physical effort and variability in preparation. Together with previously reported ~52‑second faster surgery turnover, these findings suggest UNITY VCS can simplify preparation and support operating‑room efficiency."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Compared with the CENTURION platform, UNITY VCS reduced sterile‑technician console interactions during set‑up, indicating a more streamlined workflow. UNITY VCS’s one-step set-up capability offers fewer touchpoints and may lower cognitive/physical effort and variability in preparation. Together with previously reported ~52‑second faster surgery turnover, these findings suggest UNITY VCS can simplify preparation and…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 322,
      "source_fields": {
        "Abstract Final Identifier": "POCAT283",
        "Title": "Real World Assessment Of Sterile Technician Console Interactions During Cataract Surgery Set-Up: Impact Of The Next Generation Of Phacoemulsification System",
        "Presenting Author(s)": "Ms Li-Chen Pan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Li-Chen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pan",
        "Country Name": "United States",
        "Purpose": "To quantify and compare sterile technician console touchpoints during console set‑up for cataract surgery using UNITY™ Vitreoretinal Cataract System (UNITY VCS) vs CENTURION™ with ACTIVE SENTRY™ in a prospective, real‑world, multicenter, pre–post, time‑and‑motion study; exploratory endpoint assessing whether system design reduces interaction burden and streamlines surgery set-up activities.",
        "Setting": "Two ambulatory surgery centers (ASCs) located in Atlanta, GA and Los Angeles, CA.",
        "Methods": "A total of 303 subjects were included; procedures were performed by 4 surgeons at 2 US ASCs in adults with uncomplicated age‑related cataracts. Video observation captured set‑up activities before and after UNITY VCS implementation. Console interaction count was defined as the number of times the sterile technician touched the console or handpiece to advance readiness to the “Ready for Surgery” screen; unrelated tasks (e.g., activities performed on the console tray) were excluded. A mixed‑effects Poisson regression was used with random intercepts for site and technician, adjusting for technician experience and non‑continuous set‑up. Sensitivity analyses were conducted excluding cases with console errors or a technician swap during set-up.",
        "Results": "In mixed‑effects Poisson regression (random intercepts for site and technician) adjusted for technician experience and non‑continuous sterile‑field set‑up, UNITY VCS was associated with a statistically significant reduction in set‑up console interactions vs CENTURION (IRR 0.61; 95% CI 0.50–0.74; p<0.001), indicating an estimated 39% lower interaction count. Covariates showed similar distributions between arms, and results were consistent in sensitivity analyses excluding cases with console errors or technician swaps.",
        "Conclusions": "Compared with the CENTURION platform, UNITY VCS reduced sterile‑technician console interactions during set‑up, indicating a more streamlined workflow. UNITY VCS’s one-step set-up capability offers fewer touchpoints and may lower cognitive/physical effort and variability in preparation. Together with previously reported ~52‑second faster surgery turnover, these findings suggest UNITY VCS can simplify preparation and support operating‑room efficiency."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "POCAT284",
      "abstract_number": "POCAT284",
      "title": "Sewing Needle Microcapsulotomy To Avert Argentinian Flag Sign",
      "authors": "Dr RAJENDRA PRASAD",
      "presenter": "Dr RAJENDRA PRASAD",
      "normalized_authors": [
        "RAJENDRA PRASAD"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rajendra Prasad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Purpose:\n\nTo describe an efficient, safe new device \"Sewing Needle Hook\", designed with the principle of round pointed tip sewing machine needle to create a round hole puncture at the centre of tense anterior capsule in white mature and intumescent white cataracts to prevent radial anterior capsular tear leading to Argentinian flag sign during capsulorhexis.",
        "Setting": "The Argentinian flag sign is a known complication in intumescent white cataracts, which arises instantly after an initial prick with a sharp hypodermic needle on a stretched out anterior capsule. However, it is the ‘linear cut’ configuration of the initial prick, created by the hypodermic needle on the tense anterior capsule, which spontaneously opens up and propagates towards the periphery along its margins.",
        "Methods": "It is a prospective interventional study done over a period of 6 months.120 eyes with white intumescent cataract were included in this study. A sewing needle hook is designed with round pointed apex tip. Simply pricking the centre of the white cataract with the pointed round tip create a round hole which doesn't extend peripherally. Central hole helps to evacuate intralenticular fluid and decompress the capsule. All the patients underwent detailed examination. Exclusion criteria were history of coexisting ocular diseases like uncontrolled glaucoma, ocular tumors, ocular trauma, pseudoexfoliation syndrome, zonular dialysis, poorly dilating pupil.",
        "Results": "The capsule is stained with 0.06% trypan blue and the anterior chamber completely filled with OVD. Using the main corneal incision, sewing needle hook inserted into anterior chamber and pointed round tip impaled into the capsule and a round hole is created from which intralenticular fluid is evacuated to decrease the intralenticular pressure. Once the fluid is evacuated capsulorrhexis was completed with Utrata forceps. The sewing needle prick prevented Argentinian flag sign in 98.7% eyes out of 120 eyes. Capsulorhexis was completed in 98% of cases.This technique not only ensures the initial decompression, but also prevents a catastrophic Argentinian flag sign.",
        "Conclusions": "An intumescent lens puts the surgeon at risk for Argentinian Flag Sign during capsulorhexis. Simultaneous puncture of the anterior capsule with sewing needle hook decompresses the bag preventing an uncontrolled radial extension of tear. In conclusion, sewing needle hook is a successful and reproducible method of achieving a well-sized CCC."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "An intumescent lens puts the surgeon at risk for Argentinian Flag Sign during capsulorhexis. Simultaneous puncture of the anterior capsule with sewing needle hook decompresses the bag preventing an uncontrolled radial extension of tear. In conclusion, sewing needle hook is a successful and reproducible method of achieving a well-sized CCC.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 323,
      "source_fields": {
        "Abstract Final Identifier": "POCAT284",
        "Title": "Sewing Needle Microcapsulotomy To Avert Argentinian Flag Sign",
        "Presenting Author(s)": "Dr RAJENDRA PRASAD",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Rajendra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Prasad",
        "Country Name": "India",
        "Purpose": "Purpose:\n\nTo describe an efficient, safe new device \"Sewing Needle Hook\", designed with the principle of round pointed tip sewing machine needle to create a round hole puncture at the centre of tense anterior capsule in white mature and intumescent white cataracts to prevent radial anterior capsular tear leading to Argentinian flag sign during capsulorhexis.",
        "Setting": "The Argentinian flag sign is a known complication in intumescent white cataracts, which arises instantly after an initial prick with a sharp hypodermic needle on a stretched out anterior capsule. However, it is the ‘linear cut’ configuration of the initial prick, created by the hypodermic needle on the tense anterior capsule, which spontaneously opens up and propagates towards the periphery along its margins.",
        "Methods": "It is a prospective interventional study done over a period of 6 months.120 eyes with white intumescent cataract were included in this study. A sewing needle hook is designed with round pointed apex tip. Simply pricking the centre of the white cataract with the pointed round tip create a round hole which doesn't extend peripherally. Central hole helps to evacuate intralenticular fluid and decompress the capsule. All the patients underwent detailed examination. Exclusion criteria were history of coexisting ocular diseases like uncontrolled glaucoma, ocular tumors, ocular trauma, pseudoexfoliation syndrome, zonular dialysis, poorly dilating pupil.",
        "Results": "The capsule is stained with 0.06% trypan blue and the anterior chamber completely filled with OVD. Using the main corneal incision, sewing needle hook inserted into anterior chamber and pointed round tip impaled into the capsule and a round hole is created from which intralenticular fluid is evacuated to decrease the intralenticular pressure. Once the fluid is evacuated capsulorrhexis was completed with Utrata forceps. The sewing needle prick prevented Argentinian flag sign in 98.7% eyes out of 120 eyes. Capsulorhexis was completed in 98% of cases.This technique not only ensures the initial decompression, but also prevents a catastrophic Argentinian flag sign.",
        "Conclusions": "An intumescent lens puts the surgeon at risk for Argentinian Flag Sign during capsulorhexis. Simultaneous puncture of the anterior capsule with sewing needle hook decompresses the bag preventing an uncontrolled radial extension of tear. In conclusion, sewing needle hook is a successful and reproducible method of achieving a well-sized CCC."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POCAT285",
      "abstract_number": "POCAT285",
      "title": "Anterior Chamber Stability During Cataract Surgery: Platforms Head-To-Head",
      "authors": "Dr Tommaso Rossi",
      "presenter": "Dr Tommaso Rossi",
      "normalized_authors": [
        "Tommaso Rossi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tommaso Rossi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "to compare in vitro performance of phacoemulsification platforms during critical surgical phases including aspiration, occlusion and occlusion break.",
        "Setting": "In vitro experimental setting",
        "Methods": "Five phacoemulsification platforms (Alcon Centurion, Bausch & Lomb PC Stellaris, BVI Virtuoso, DORC Eva Nexus and Zeiss Quatera) underwent standardized testing including controlled occlusion within a collapsible test chamber. Tests were conducted with 21G tips, infusion pressure presets 30 and 55mmHg, flow-rate 30 ml/min and vacuum range 200-600 mmHg. Outcome measures included Intraocular Pressure (IOP) at rest, during aspiration, occlusion and standardized occlusion break as well as chamber volume loss and time to regain 90% of IOP after/during occlusion break.",
        "Results": "All devices kept target IOP at rest. During aspiration, IOP changed significantly (p<0.01): Stellaris showed the greatest IOP reduction, Quatera had small decrease, Virtuoso maintained preset, Centurion and Eva Nexus slightly overcompensated. During occlusion, Eva Nexus and Stellaris PC exceeded the preset 55 mmHg (p<0.05) whereas other machines remained on target. Upon occlusion break, volume loss ranged 35-200µL (p<0.001) and recovery time to 90% of preset IOP varied between 0.30-2 seconds (p<0.001) with Centurion and Virtuoso outperforming others at 30mmHg IOP and Centurion, Quatera and Virtuoso at 55mmHg IOP.",
        "Conclusions": "Phacoemulsifiers exhibited distinct behaviour under standardized conditions and fluidic settings significantly influenced performance. Surgeon must understand machines’ fluidic to master different platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsifiers exhibited distinct behaviour under standardized conditions and fluidic settings significantly influenced performance. Surgeon must understand machines’ fluidic to master different platforms.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 324,
      "source_fields": {
        "Abstract Final Identifier": "POCAT285",
        "Title": "Anterior Chamber Stability During Cataract Surgery: Platforms Head-To-Head",
        "Presenting Author(s)": "Dr Tommaso Rossi",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Tommaso",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rossi",
        "Country Name": "Italy",
        "Purpose": "to compare in vitro performance of phacoemulsification platforms during critical surgical phases including aspiration, occlusion and occlusion break.",
        "Setting": "In vitro experimental setting",
        "Methods": "Five phacoemulsification platforms (Alcon Centurion, Bausch & Lomb PC Stellaris, BVI Virtuoso, DORC Eva Nexus and Zeiss Quatera) underwent standardized testing including controlled occlusion within a collapsible test chamber. Tests were conducted with 21G tips, infusion pressure presets 30 and 55mmHg, flow-rate 30 ml/min and vacuum range 200-600 mmHg. Outcome measures included Intraocular Pressure (IOP) at rest, during aspiration, occlusion and standardized occlusion break as well as chamber volume loss and time to regain 90% of IOP after/during occlusion break.",
        "Results": "All devices kept target IOP at rest. During aspiration, IOP changed significantly (p<0.01): Stellaris showed the greatest IOP reduction, Quatera had small decrease, Virtuoso maintained preset, Centurion and Eva Nexus slightly overcompensated. During occlusion, Eva Nexus and Stellaris PC exceeded the preset 55 mmHg (p<0.05) whereas other machines remained on target. Upon occlusion break, volume loss ranged 35-200µL (p<0.001) and recovery time to 90% of preset IOP varied between 0.30-2 seconds (p<0.001) with Centurion and Virtuoso outperforming others at 30mmHg IOP and Centurion, Quatera and Virtuoso at 55mmHg IOP.",
        "Conclusions": "Phacoemulsifiers exhibited distinct behaviour under standardized conditions and fluidic settings significantly influenced performance. Surgeon must understand machines’ fluidic to master different platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCAT286",
      "abstract_number": "POCAT286",
      "title": "Intraoperative Use Of A Topical Anesthetic Gel Versus Balanced Salt Solution During Cataract Surgery: Effects On Corneal Structure And Ocular Surface",
      "authors": "Dr Pier Giuseppe Ruggeri",
      "presenter": "Dr Pier Giuseppe Ruggeri",
      "normalized_authors": [
        "Pier Giuseppe Ruggeri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pier Giuseppe Ruggeri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "During cataract surgery, topical anesthesia is routinely achieved through the instillation of preoperative topical anesthetic eye drops, while different agents may be applied to the corneal surface during the procedure to support lubrication and protection. The impact of these intraoperative strategies on corneal integrity and postoperative ocular surface recovery remains an area of clinical interest.\n\nThis study aimed to compare the intraoperative and postoperative effects of applying a topical anesthetic gel (Ophtesic, Horus Pharma) on the corneal surface versus the use of balanced salt solution (BSS) during cataract surgery.",
        "Setting": "Monocentric, observational, prospective study. Patients undergoing standardized phacoemulsification surgery at the Eye Clinic of Careggi University Hospital in Florence, Italy, were enrolled between February and June 2025. Individuals with comparable clinical characteristics were included. Inclusion and exclusion criteria were defined.",
        "Methods": "This longitudinal, observational prospective study included 24 eyes of 24 patients undergoing phacoemulsification who received either a topical anesthetic gel (n = 15) applied to the corneal surface intraoperatively or standard BSS irrigation (n = 9). Central corneal thickness (CCT) and epithelial thickness were measured preoperatively and at postoperative days 1, 5, and 15 using anterior segment optical coherence tomography (AS-OCT). Basal epithelial cell (BEC) density, using in vivo confocal microscopy (IVCM), OSDI score, non-invasive breakup time (NI-BUT), and Schirmer test I values were assessed preoperatively and at postoperative days 5 and 15. Patient and surgeon satisfaction were evaluated using a Likert-like verbal rating scale.",
        "Results": "Both groups showed increased CCT and epithelial thickness at day 1 postoperatively. In the gel group, CCT returned to baseline by day 15 (p=0.361), and epithelial thickness normalized by day 5 (p=0.066). In the BSS group, CCTremained elevated at day 15 (p<0.05), and epithelial thickness decreased significantly at day 5 (p<0.05) before returning to baseline. BEC density normalized at day 15 in the gel group (p=0.107) but remained significantly altered in the BSS group (p<0.05). NI-BUT returned to baseline by day 15 in the gel group (p=0.484), while tear production measured by Schirmer I test normalized earlier, at day 5 (p=0.492). In the BSS group, both NI-BUT and Schirmer I values showed delayed recovery.",
        "Conclusions": "Our prospective study demonstrates that the intraoperative application of ophthalmic lidocaine hydrochloride gel 20 mg/g was associated with faster structural and functional ocular surface recovery compared with BSS irrigation during phacoemulsification. Compared with repeated BSS irrigation, the gel significantly reduced mechanical and inflammatory stress on the ocular surface, as reflected by faster normalization of epithelial thickness, CCT, and basal epithelial cell density. These microstructural benefits were accompanied by accelerated recovery of tear film stability and aqueous tear production, as well as earlier resolution of subjective dry eye symptoms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our prospective study demonstrates that the intraoperative application of ophthalmic lidocaine hydrochloride gel 20 mg/g was associated with faster structural and functional ocular surface recovery compared with BSS irrigation during phacoemulsification. Compared with repeated BSS irrigation, the gel significantly reduced mechanical and inflammatory stress on the ocular surface, as reflected by faster normalization…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 325,
      "source_fields": {
        "Abstract Final Identifier": "POCAT286",
        "Title": "Intraoperative Use Of A Topical Anesthetic Gel Versus Balanced Salt Solution During Cataract Surgery: Effects On Corneal Structure And Ocular Surface",
        "Presenting Author(s)": "Dr Pier Giuseppe Ruggeri",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Pier Giuseppe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ruggeri",
        "Country Name": "Italy",
        "Purpose": "During cataract surgery, topical anesthesia is routinely achieved through the instillation of preoperative topical anesthetic eye drops, while different agents may be applied to the corneal surface during the procedure to support lubrication and protection. The impact of these intraoperative strategies on corneal integrity and postoperative ocular surface recovery remains an area of clinical interest.\n\nThis study aimed to compare the intraoperative and postoperative effects of applying a topical anesthetic gel (Ophtesic, Horus Pharma) on the corneal surface versus the use of balanced salt solution (BSS) during cataract surgery.",
        "Setting": "Monocentric, observational, prospective study. Patients undergoing standardized phacoemulsification surgery at the Eye Clinic of Careggi University Hospital in Florence, Italy, were enrolled between February and June 2025. Individuals with comparable clinical characteristics were included. Inclusion and exclusion criteria were defined.",
        "Methods": "This longitudinal, observational prospective study included 24 eyes of 24 patients undergoing phacoemulsification who received either a topical anesthetic gel (n = 15) applied to the corneal surface intraoperatively or standard BSS irrigation (n = 9). Central corneal thickness (CCT) and epithelial thickness were measured preoperatively and at postoperative days 1, 5, and 15 using anterior segment optical coherence tomography (AS-OCT). Basal epithelial cell (BEC) density, using in vivo confocal microscopy (IVCM), OSDI score, non-invasive breakup time (NI-BUT), and Schirmer test I values were assessed preoperatively and at postoperative days 5 and 15. Patient and surgeon satisfaction were evaluated using a Likert-like verbal rating scale.",
        "Results": "Both groups showed increased CCT and epithelial thickness at day 1 postoperatively. In the gel group, CCT returned to baseline by day 15 (p=0.361), and epithelial thickness normalized by day 5 (p=0.066). In the BSS group, CCTremained elevated at day 15 (p<0.05), and epithelial thickness decreased significantly at day 5 (p<0.05) before returning to baseline. BEC density normalized at day 15 in the gel group (p=0.107) but remained significantly altered in the BSS group (p<0.05). NI-BUT returned to baseline by day 15 in the gel group (p=0.484), while tear production measured by Schirmer I test normalized earlier, at day 5 (p=0.492). In the BSS group, both NI-BUT and Schirmer I values showed delayed recovery.",
        "Conclusions": "Our prospective study demonstrates that the intraoperative application of ophthalmic lidocaine hydrochloride gel 20 mg/g was associated with faster structural and functional ocular surface recovery compared with BSS irrigation during phacoemulsification. Compared with repeated BSS irrigation, the gel significantly reduced mechanical and inflammatory stress on the ocular surface, as reflected by faster normalization of epithelial thickness, CCT, and basal epithelial cell density. These microstructural benefits were accompanied by accelerated recovery of tear film stability and aqueous tear production, as well as earlier resolution of subjective dry eye symptoms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 451
    },
    {
      "uid": "POCAT287",
      "abstract_number": "POCAT287",
      "title": "Intraoperative Use Of A Topical Anesthetic Gel Versus Balanced Salt Solution During Cataract Surgery: Effects On Corneal Structure And Ocular Surface",
      "authors": "Dr Pier Giuseppe Ruggeri",
      "presenter": "Dr Pier Giuseppe Ruggeri",
      "normalized_authors": [
        "Pier Giuseppe Ruggeri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pier Giuseppe Ruggeri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "During cataract surgery, topical anesthesia is routinely achieved through the instillation of preoperative topical anesthetic eye drops, while different agents may be applied to the corneal surface during the procedure to support lubrication and protection. The impact of these intraoperative strategies on corneal integrity and postoperative ocular surface recovery remains an area of clinical interest.\n\nThis study aimed to compare the intraoperative and postoperative effects of applying a topical anesthetic gel (Ophtesic, Horus Pharma) on the corneal surface versus the use of balanced salt solution (BSS) during cataract surgery.",
        "Setting": "Monocentric, observational, prospective study.\n\nPatients undergoing standardized phacoemulsification surgery at the Eye Clinic of Careggi University Hospital in Florence, Italy, were enrolled between February and June 2025. Individuals with comparable clinical characteristics were included. Inclusion and exclusion criteria were defined.",
        "Methods": "This longitudinal, observational prospective study included 24 eyes of 24 patients undergoing phacoemulsification who received either a topical anesthetic gel (n = 15) applied to the corneal surface intraoperatively or standard BSS irrigation (n = 9). Central corneal thickness (CCT) and epithelial thickness were measured preoperatively and at postoperative days 1, 5, and 15 using anterior segment optical coherence tomography (AS-OCT). Basal epithelial cell (BEC) density, using in vivo confocal microscopy (IVCM), OSDI score, non-invasive breakup time (NI-BUT), and Schirmer test I values were assessed preoperatively and at postoperative days 5 and 15. Patient and surgeon satisfaction were evaluated using a Likert-like verbal rating scale.",
        "Results": "Both groups showed increased CCT and epithelial thickness at day 1 postoperatively. In the gel group, CCT returned to baseline by day 15 (p=0.361), and epithelial thickness normalized by day 5 (p=0.066). In the BSS group, CCT remained elevated at day 15 (p<0.05), and epithelial thickness decreased significantly at day 5 (p<0.05) before returning to baseline. BEC density normalized at day 15 in the gel group (p=0.107) but remained significantly altered in the BSS group (p<0.05). NI-BUT returned to baseline by day 15 in the gel group (p=0.484), while tear production measured by Schirmer I test normalized earlier, at day 5 (p=0.492). In the BSS group, both NI-BUT and Schirmer I values showed delayed recovery.",
        "Conclusions": "Our prospective study demonstrates that the intraoperative application of ophthalmic lidocaine hydrochloride gel 20 mg/g (Ophtesic, Horus Pharma) provides effective corneal protection during phacoemulsification. Compared with repeated BSS irrigation, the gel significantly reduced mechanical and inflammatory stress on the ocular surface, as reflected by faster normalization of epithelial thickness, CCT, and basal epithelial cell density. These microstructural benefits were accompanied by accelerated recovery of tear film stability and aqueous tear production, as well as earlier resolution of subjective dry eye symptoms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our prospective study demonstrates that the intraoperative application of ophthalmic lidocaine hydrochloride gel 20 mg/g (Ophtesic, Horus Pharma) provides effective corneal protection during phacoemulsification. Compared with repeated BSS irrigation, the gel significantly reduced mechanical and inflammatory stress on the ocular surface, as reflected by faster normalization of epithelial thickness, CCT, and basal…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 326,
      "source_fields": {
        "Abstract Final Identifier": "POCAT287",
        "Title": "Intraoperative Use Of A Topical Anesthetic Gel Versus Balanced Salt Solution During Cataract Surgery: Effects On Corneal Structure And Ocular Surface",
        "Presenting Author(s)": "Dr Pier Giuseppe Ruggeri",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Pier Giuseppe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ruggeri",
        "Country Name": "Italy",
        "Purpose": "During cataract surgery, topical anesthesia is routinely achieved through the instillation of preoperative topical anesthetic eye drops, while different agents may be applied to the corneal surface during the procedure to support lubrication and protection. The impact of these intraoperative strategies on corneal integrity and postoperative ocular surface recovery remains an area of clinical interest.\n\nThis study aimed to compare the intraoperative and postoperative effects of applying a topical anesthetic gel (Ophtesic, Horus Pharma) on the corneal surface versus the use of balanced salt solution (BSS) during cataract surgery.",
        "Setting": "Monocentric, observational, prospective study.\n\nPatients undergoing standardized phacoemulsification surgery at the Eye Clinic of Careggi University Hospital in Florence, Italy, were enrolled between February and June 2025. Individuals with comparable clinical characteristics were included. Inclusion and exclusion criteria were defined.",
        "Methods": "This longitudinal, observational prospective study included 24 eyes of 24 patients undergoing phacoemulsification who received either a topical anesthetic gel (n = 15) applied to the corneal surface intraoperatively or standard BSS irrigation (n = 9). Central corneal thickness (CCT) and epithelial thickness were measured preoperatively and at postoperative days 1, 5, and 15 using anterior segment optical coherence tomography (AS-OCT). Basal epithelial cell (BEC) density, using in vivo confocal microscopy (IVCM), OSDI score, non-invasive breakup time (NI-BUT), and Schirmer test I values were assessed preoperatively and at postoperative days 5 and 15. Patient and surgeon satisfaction were evaluated using a Likert-like verbal rating scale.",
        "Results": "Both groups showed increased CCT and epithelial thickness at day 1 postoperatively. In the gel group, CCT returned to baseline by day 15 (p=0.361), and epithelial thickness normalized by day 5 (p=0.066). In the BSS group, CCT remained elevated at day 15 (p<0.05), and epithelial thickness decreased significantly at day 5 (p<0.05) before returning to baseline. BEC density normalized at day 15 in the gel group (p=0.107) but remained significantly altered in the BSS group (p<0.05). NI-BUT returned to baseline by day 15 in the gel group (p=0.484), while tear production measured by Schirmer I test normalized earlier, at day 5 (p=0.492). In the BSS group, both NI-BUT and Schirmer I values showed delayed recovery.",
        "Conclusions": "Our prospective study demonstrates that the intraoperative application of ophthalmic lidocaine hydrochloride gel 20 mg/g (Ophtesic, Horus Pharma) provides effective corneal protection during phacoemulsification. Compared with repeated BSS irrigation, the gel significantly reduced mechanical and inflammatory stress on the ocular surface, as reflected by faster normalization of epithelial thickness, CCT, and basal epithelial cell density. These microstructural benefits were accompanied by accelerated recovery of tear film stability and aqueous tear production, as well as earlier resolution of subjective dry eye symptoms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 445
    },
    {
      "uid": "POCAT288",
      "abstract_number": "POCAT288",
      "title": "Comparison Of Surgical Efficiency And Corneal Impact Between The Constellation® Vision System And Unity™ Vcs In Paired-Eye Cataract Surgery",
      "authors": "Dr Yoshihito Sakanishi",
      "presenter": "Dr Yoshihito Sakanishi",
      "normalized_authors": [
        "Yoshihito Sakanishi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yoshihito Sakanishi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "The CONSTELLATION® Vision System has been widely used as a combined cataract–vitrectomy platform. In 2025, the UNITY™ VCS system was introduced. This study aimed to compare the efficiency and surgical impact of phacoemulsification between these two systems in cataract surgery.",
        "Setting": "Sakanishi Eye Clinic, Japan.",
        "Methods": "This prospective paired-eye study included patients with bilateral cataracts of similar severity and the same nuclear grade who underwent cataract surgery in both eyes between December 2025 and February 2026. One eye was assigned to the CONSTELLATION® Vision System (CONSTELLATION group) and the other to UNITY™ VCS (UNITY group). All surgeries were performed by a single experienced surgeon. The same Balanced tip was used in both groups. Phaco settings were longitudinal plus Ozil torsional ultrasound for CONSTELLATION and 4D phaco mode for UNITY. Outcomes included anterior chamber phaco tip dwell time, total ultrasound time, cumulative dissipated energy (CDE), and percentage increase in central corneal thickness on postoperative day 1.",
        "Results": "Thirty-nine patients (78 eyes) were included (17 men, 22 women; mean age 75.5 ± 8.9 years). In the CONSTELLATION group, anterior chamber phaco tip dwell time was 104.4 ± 28.7 seconds, total ultrasound time was 43.7 ± 12.9 seconds, and CDE was 3.14 ± 1.82. The percentage increase in CCT was 9.2 ± 5.7%. In the UNITY group, anterior chamber phaco tip dwell time was 83.7 ± 24.0 seconds, total ultrasound time was 30.0 ± 11.8 seconds, and CDE was 2.16 ± 1.00. The percentage increase in CCT was 10.5 ± 8.5%. Anterior chamber phaco tip dwell time, total ultrasound time, and CDE were all significantly lower in the UNITY group (p < 0.01 for all comparisons). The percentage increase in CCT did not differ significantly between groups (p = 0.41).",
        "Conclusions": "In this paired-eye study, UNITY™ VCS demonstrated significantly shorter phaco tip dwell time, reduced ultrasound time, and lower cumulative dissipated energy compared with the CONSTELLATION® Vision System. These findings suggest improved phacoemulsification efficiency without increased early postoperative corneal impact."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this paired-eye study, UNITY™ VCS demonstrated significantly shorter phaco tip dwell time, reduced ultrasound time, and lower cumulative dissipated energy compared with the CONSTELLATION® Vision System. These findings suggest improved phacoemulsification efficiency without increased early postoperative corneal impact.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 327,
      "source_fields": {
        "Abstract Final Identifier": "POCAT288",
        "Title": "Comparison Of Surgical Efficiency And Corneal Impact Between The Constellation® Vision System And Unity™ Vcs In Paired-Eye Cataract Surgery",
        "Presenting Author(s)": "Dr Yoshihito Sakanishi",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Yoshihito",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sakanishi",
        "Country Name": "Japan",
        "Purpose": "The CONSTELLATION® Vision System has been widely used as a combined cataract–vitrectomy platform. In 2025, the UNITY™ VCS system was introduced. This study aimed to compare the efficiency and surgical impact of phacoemulsification between these two systems in cataract surgery.",
        "Setting": "Sakanishi Eye Clinic, Japan.",
        "Methods": "This prospective paired-eye study included patients with bilateral cataracts of similar severity and the same nuclear grade who underwent cataract surgery in both eyes between December 2025 and February 2026. One eye was assigned to the CONSTELLATION® Vision System (CONSTELLATION group) and the other to UNITY™ VCS (UNITY group). All surgeries were performed by a single experienced surgeon. The same Balanced tip was used in both groups. Phaco settings were longitudinal plus Ozil torsional ultrasound for CONSTELLATION and 4D phaco mode for UNITY. Outcomes included anterior chamber phaco tip dwell time, total ultrasound time, cumulative dissipated energy (CDE), and percentage increase in central corneal thickness on postoperative day 1.",
        "Results": "Thirty-nine patients (78 eyes) were included (17 men, 22 women; mean age 75.5 ± 8.9 years). In the CONSTELLATION group, anterior chamber phaco tip dwell time was 104.4 ± 28.7 seconds, total ultrasound time was 43.7 ± 12.9 seconds, and CDE was 3.14 ± 1.82. The percentage increase in CCT was 9.2 ± 5.7%. In the UNITY group, anterior chamber phaco tip dwell time was 83.7 ± 24.0 seconds, total ultrasound time was 30.0 ± 11.8 seconds, and CDE was 2.16 ± 1.00. The percentage increase in CCT was 10.5 ± 8.5%. Anterior chamber phaco tip dwell time, total ultrasound time, and CDE were all significantly lower in the UNITY group (p < 0.01 for all comparisons). The percentage increase in CCT did not differ significantly between groups (p = 0.41).",
        "Conclusions": "In this paired-eye study, UNITY™ VCS demonstrated significantly shorter phaco tip dwell time, reduced ultrasound time, and lower cumulative dissipated energy compared with the CONSTELLATION® Vision System. These findings suggest improved phacoemulsification efficiency without increased early postoperative corneal impact."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POCAT289",
      "abstract_number": "POCAT289",
      "title": "A Masterclass For Upskilling Ophthalmology Residents In Manual Small Incision Cataract Surgery: A Flipped Classroom Educational Intervention",
      "authors": "Mr Matthew Azzopardi",
      "presenter": "Mr Matthew Azzopardi",
      "normalized_authors": [
        "Matthew Azzopardi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yarrow Scantling-Birch",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Manual Small Incision Cataract Surgery (MSICS) is a cost-effective, high-volume cataract technique critical for addressing global cataract blindness, particularly in low- and middle-income settings. Despite its clinical importance, MSICS is underrepresented in modern ophthalmology residency programmes where phacoemulsification predominates. This study aimed to evaluate the impact of a structured simulation-based masterclass on surgical confidence, perceived importance, and willingness to incorporate MSICS into future independent surgical practice among ophthalmology residents.",
        "Setting": "A single-day MSICS masterclass was conducted at a tertiary ophthalmology training centre (Moorfields Eye Hospital, London, UK). The course comprised of pre-course online educational material (narrated tutorial videos), followed by an in-person simulation session using wet-lab simulation/instructor feedback, followed by post-course educational material for further reading.",
        "Methods": "The masterclass was delivered using a prospective flipped classroom approach to inspire active adult learning. Pre- and post-course survey design was employed. Participants completed validated questionnaires immediately before (n = 10) and after (n = 7) the simulation session. Outcomes included self-rated surgical confidence across four domains (wound construction, nucleus management, intraocular lens implantation, wound closure), perceived clinical importance of MSICS, intent to incorporate MSICS into future surgical practice, and overall educational benefit. Questionnaire responses were recorded using a five-point Likert scale (agree/disagree). Descriptive statistics were used for analysis.",
        "Results": "All participants (n=10) had minimal prior MSICS experience (0–4 cases/year). The most frequently cited barriers to learning MSICS were lack of surgical theatre opportunity (100%), lack of surgical mentors (90%), and insufficient case indications (60%). Pre-course, 70% of participants reported no confidence in MSICS overall. Post-simulation, 100% reported at least some confidence, with 71% achieving 'quite confident' overall. All 7 post-course respondents (100%) agreed/strongly agreed that MSICS is very important for ophthalmic surgeons. All respondents gained educational benefit from the masterclass, with instructor feedback unanimously rated as the most beneficial simulation component (100% strongly agree).",
        "Conclusions": "MSICS represents a vital yet underutilised skill in modern ophthalmic surgery, and its integration into residency training programmes warrants greater emphasis. A structured, simulation-based MSICS masterclass demonstrated significant improvements in surgical confidence, perceived clinical relevance, and trainees' intent to incorporate the technique into independent practice. Simulation-based surgical education, augmented by a flipped classroom approach to consolidate foundational knowledge, offers a scalable, evidence-informed pathway for training the next generation of surgeons in this essential technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MSICS represents a vital yet underutilised skill in modern ophthalmic surgery, and its integration into residency training programmes warrants greater emphasis. A structured, simulation-based MSICS masterclass demonstrated significant improvements in surgical confidence, perceived clinical relevance, and trainees' intent to incorporate the technique into independent practice. Simulation-based surgical education,…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 328,
      "source_fields": {
        "Abstract Final Identifier": "POCAT289",
        "Title": "A Masterclass For Upskilling Ophthalmology Residents In Manual Small Incision Cataract Surgery: A Flipped Classroom Educational Intervention",
        "Presenting Author(s)": "Mr Matthew Azzopardi",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Yarrow",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Scantling-Birch",
        "Country Name": "United Kingdom",
        "Purpose": "Manual Small Incision Cataract Surgery (MSICS) is a cost-effective, high-volume cataract technique critical for addressing global cataract blindness, particularly in low- and middle-income settings. Despite its clinical importance, MSICS is underrepresented in modern ophthalmology residency programmes where phacoemulsification predominates. This study aimed to evaluate the impact of a structured simulation-based masterclass on surgical confidence, perceived importance, and willingness to incorporate MSICS into future independent surgical practice among ophthalmology residents.",
        "Setting": "A single-day MSICS masterclass was conducted at a tertiary ophthalmology training centre (Moorfields Eye Hospital, London, UK). The course comprised of pre-course online educational material (narrated tutorial videos), followed by an in-person simulation session using wet-lab simulation/instructor feedback, followed by post-course educational material for further reading.",
        "Methods": "The masterclass was delivered using a prospective flipped classroom approach to inspire active adult learning. Pre- and post-course survey design was employed. Participants completed validated questionnaires immediately before (n = 10) and after (n = 7) the simulation session. Outcomes included self-rated surgical confidence across four domains (wound construction, nucleus management, intraocular lens implantation, wound closure), perceived clinical importance of MSICS, intent to incorporate MSICS into future surgical practice, and overall educational benefit. Questionnaire responses were recorded using a five-point Likert scale (agree/disagree). Descriptive statistics were used for analysis.",
        "Results": "All participants (n=10) had minimal prior MSICS experience (0–4 cases/year). The most frequently cited barriers to learning MSICS were lack of surgical theatre opportunity (100%), lack of surgical mentors (90%), and insufficient case indications (60%). Pre-course, 70% of participants reported no confidence in MSICS overall. Post-simulation, 100% reported at least some confidence, with 71% achieving 'quite confident' overall. All 7 post-course respondents (100%) agreed/strongly agreed that MSICS is very important for ophthalmic surgeons. All respondents gained educational benefit from the masterclass, with instructor feedback unanimously rated as the most beneficial simulation component (100% strongly agree).",
        "Conclusions": "MSICS represents a vital yet underutilised skill in modern ophthalmic surgery, and its integration into residency training programmes warrants greater emphasis. A structured, simulation-based MSICS masterclass demonstrated significant improvements in surgical confidence, perceived clinical relevance, and trainees' intent to incorporate the technique into independent practice. Simulation-based surgical education, augmented by a flipped classroom approach to consolidate foundational knowledge, offers a scalable, evidence-informed pathway for training the next generation of surgeons in this essential technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POCAT290",
      "abstract_number": "POCAT290",
      "title": "Towards Image-Based Intraoperative Quality Control: Automated Extraction Of Femtosecond Laser Centration Metrics And Their Association With Early Refractive Deviation",
      "authors": "Dr Neda Sergeeva",
      "presenter": "Dr Neda Sergeeva",
      "normalized_authors": [
        "Neda Sergeeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Neda Sergeeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bulgaria",
      "sections": {
        "Purpose": "To investigate the feasibility of automated extraction of femtosecond laser centration parameters from intraoperative images and to explore their potential role as intraoperative indicators of early refractive deviation following femtosecond laser–assisted cataract surgery (FLACS).",
        "Setting": "Single specialized ophthalmic surgical center",
        "Methods": "Fifty homogeneous eyes undergoing uncomplicated FLACS were retrospectively analyzed. Preoperative biometry was obtained using IOLMaster. Intraoperative femtosecond laser centration screenshots were evaluated using an automated image-processing workflow to identify the pupil center and laser treatment center. Centration offset was calculated as the Euclidean distance between centroids.\n\nEarly postoperative refractive deviation at 1 week was defined as deviation from target emmetropia. Associations between centration offset and refractive outcomes were assessed using correlation and logistic regression analyses.",
        "Results": "Automated extraction of centration metrics was successfully performed in all analyzed eyes. Measurable variability in centration offset was observed despite standardized surgical settings. Greater centration offset was associated with increased likelihood of early refractive deviation.",
        "Conclusions": "Automated quantitative analysis of femtosecond laser centration using routine intraoperative imaging is feasible and may provide objective intraoperative quality indicators associated with early refractive outcomes. Further studies are warranted to evaluate its predictive value and potential integration into surgical workflows"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Automated quantitative analysis of femtosecond laser centration using routine intraoperative imaging is feasible and may provide objective intraoperative quality indicators associated with early refractive outcomes. Further studies are warranted to evaluate its predictive value and potential integration into surgical workflows",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 329,
      "source_fields": {
        "Abstract Final Identifier": "POCAT290",
        "Title": "Towards Image-Based Intraoperative Quality Control: Automated Extraction Of Femtosecond Laser Centration Metrics And Their Association With Early Refractive Deviation",
        "Presenting Author(s)": "Dr Neda Sergeeva",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Neda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sergeeva",
        "Country Name": "Bulgaria",
        "Purpose": "To investigate the feasibility of automated extraction of femtosecond laser centration parameters from intraoperative images and to explore their potential role as intraoperative indicators of early refractive deviation following femtosecond laser–assisted cataract surgery (FLACS).",
        "Setting": "Single specialized ophthalmic surgical center",
        "Methods": "Fifty homogeneous eyes undergoing uncomplicated FLACS were retrospectively analyzed. Preoperative biometry was obtained using IOLMaster. Intraoperative femtosecond laser centration screenshots were evaluated using an automated image-processing workflow to identify the pupil center and laser treatment center. Centration offset was calculated as the Euclidean distance between centroids.\n\nEarly postoperative refractive deviation at 1 week was defined as deviation from target emmetropia. Associations between centration offset and refractive outcomes were assessed using correlation and logistic regression analyses.",
        "Results": "Automated extraction of centration metrics was successfully performed in all analyzed eyes. Measurable variability in centration offset was observed despite standardized surgical settings. Greater centration offset was associated with increased likelihood of early refractive deviation.",
        "Conclusions": "Automated quantitative analysis of femtosecond laser centration using routine intraoperative imaging is feasible and may provide objective intraoperative quality indicators associated with early refractive outcomes. Further studies are warranted to evaluate its predictive value and potential integration into surgical workflows"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 190
    },
    {
      "uid": "POCAT291",
      "abstract_number": "POCAT291",
      "title": "Incision Dynamics And Surgical Efficiency Using Two Versions Of A Preloaded Iol Injector. A Comparative Study.",
      "authors": "Dr Pedro Tañá-Sanz",
      "presenter": "Dr Pedro Tañá-Sanz",
      "normalized_authors": [
        "Pedro Tañá-Sanz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Tañá-Sanz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare corneal incision behavior and intraoperative efficiency between two versions of a preloaded intraocular lens (IOL) injector, pioli™ and pioli™ Plus (AST VisionCare, Inc), during cataract surgery with implantation of a monofocal IOL.",
        "Setting": "Oftalvist clinics in Sevilla and Alicante, Spain",
        "Methods": "This prospective observational study included eyes undergoing routine phacoemulsification with implantation of the Asqelio™ monofocal IOL using either the pioli or pioli Plus preloaded injector. Corneal incision size was measured intraoperatively at three time points: initial incision, post-phacoemulsification, and post-IOL insertion. Surgical efficiency was assessed by recording injector-related times: device-in-eye contact time (T1), rear-haptic release time (T2), complete IOL deployment time (T3), and total surgeon IOL time (TLIO). Adverse events and intraoperative deviations were documented.",
        "Results": "Forty-two eyes were analyzed (22 pioli; 20 pioli Plus) with comparable baseline characteristics. Both injectors maintained excellent incision stability, with minimal enlargement after IOL implantation (0.08 ± 0.04 mm for pioli and 0.06 ± 0.02 mm for pioli Plus), without clinically relevant differences in total incision change (p>0.05). pioli Plus rD demonstrated significantly greater surgical efficiency, with shorter times across all injection phases. Total surgeon IOL time (TLIO) was reduced by approximately 23 seconds with Pioli Plus compared with Pioli (41.72±7.79 s vs 65.24±10.66 s; p<0.001), representing a 36% reduction. No adverse events occurred.",
        "Conclusions": "Both injector versions preserved corneal incision integrity with minimal enlargement. The pioli Plus significantly improved surgical efficiency, reducing total IOL delivery time by 36% without compromising safety. Design refinements in the pioli Plus may provide meaningful workflow advantages while maintaining excellent incision stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both injector versions preserved corneal incision integrity with minimal enlargement. The pioli Plus significantly improved surgical efficiency, reducing total IOL delivery time by 36% without compromising safety. Design refinements in the pioli Plus may provide meaningful workflow advantages while maintaining excellent incision stability.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 330,
      "source_fields": {
        "Abstract Final Identifier": "POCAT291",
        "Title": "Incision Dynamics And Surgical Efficiency Using Two Versions Of A Preloaded Iol Injector. A Comparative Study.",
        "Presenting Author(s)": "Dr Pedro Tañá-Sanz",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tañá-Sanz",
        "Country Name": "Spain",
        "Purpose": "To compare corneal incision behavior and intraoperative efficiency between two versions of a preloaded intraocular lens (IOL) injector, pioli™ and pioli™ Plus (AST VisionCare, Inc), during cataract surgery with implantation of a monofocal IOL.",
        "Setting": "Oftalvist clinics in Sevilla and Alicante, Spain",
        "Methods": "This prospective observational study included eyes undergoing routine phacoemulsification with implantation of the Asqelio™ monofocal IOL using either the pioli or pioli Plus preloaded injector. Corneal incision size was measured intraoperatively at three time points: initial incision, post-phacoemulsification, and post-IOL insertion. Surgical efficiency was assessed by recording injector-related times: device-in-eye contact time (T1), rear-haptic release time (T2), complete IOL deployment time (T3), and total surgeon IOL time (TLIO). Adverse events and intraoperative deviations were documented.",
        "Results": "Forty-two eyes were analyzed (22 pioli; 20 pioli Plus) with comparable baseline characteristics. Both injectors maintained excellent incision stability, with minimal enlargement after IOL implantation (0.08 ± 0.04 mm for pioli and 0.06 ± 0.02 mm for pioli Plus), without clinically relevant differences in total incision change (p>0.05). pioli Plus rD demonstrated significantly greater surgical efficiency, with shorter times across all injection phases. Total surgeon IOL time (TLIO) was reduced by approximately 23 seconds with Pioli Plus compared with Pioli (41.72±7.79 s vs 65.24±10.66 s; p<0.001), representing a 36% reduction. No adverse events occurred.",
        "Conclusions": "Both injector versions preserved corneal incision integrity with minimal enlargement. The pioli Plus significantly improved surgical efficiency, reducing total IOL delivery time by 36% without compromising safety. Design refinements in the pioli Plus may provide meaningful workflow advantages while maintaining excellent incision stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCAT292",
      "abstract_number": "POCAT292",
      "title": "Influence Of Endothelial Changes After Phacoemulsification On Image Quality In Patients With Compromised Cornea - 5-Year Follow-Up",
      "authors": "A/Prof. Ivan Tanev",
      "presenter": "A/Prof. Ivan Tanev",
      "normalized_authors": [
        "Ivan Tanev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Tanev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bulgaria",
      "sections": {
        "Purpose": "To evaluate the image quality in cornea guttata patients before and after cataract surgery with implantation of same type of hydrophobic acrylic intraocular lens.",
        "Setting": "Department of ophthalmology, Specialised Hospital for Active Treatment of Eye Deseases “Zrenieto”",
        "Methods": "The study content 35 patients (70 eyes). The study is prospective cohort study. Coaxial US phacoemulsification was performed in 1 eye (US group) and coaxial nanosecond laser–assisted cataract surgery in the contralateral eye (laser group) of the same patient. The central endothelial cell density (ECD), coefficient of variation (CoV) in cell size (objective measure of polymegethism), and percentage of hexagonal cells (an index of pleomorphism) were evaluated. The measurement of light scatter using the Optical Quality Analysis System (OSI index) in both groups, before and in the third month after surgery and once a year until the fifth year.",
        "Results": "We present the endothelial cell changes observed in two groups before and after surgery. The OSI index of the patients before and after surgery of the two groups has been analyzed using 2-tailed unpaired t tests. Correlations were examined by using the bivariate Pearson method or, when data were not normally distributed, the Spearman ρ coefficient. P < .05 was considered statistically significant.",
        "Conclusions": "The observed parameters differed statistically significantly in the two groups during the study period. The observed parameters differed statistically significantly in the two groups during the study period. The nanosecond cataract surgery presents some advantages in comparison of standard ultrasound phacoemulsification in compromised corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The observed parameters differed statistically significantly in the two groups during the study period. The observed parameters differed statistically significantly in the two groups during the study period. The nanosecond cataract surgery presents some advantages in comparison of standard ultrasound phacoemulsification in compromised corneas.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 331,
      "source_fields": {
        "Abstract Final Identifier": "POCAT292",
        "Title": "Influence Of Endothelial Changes After Phacoemulsification On Image Quality In Patients With Compromised Cornea - 5-Year Follow-Up",
        "Presenting Author(s)": "A/Prof. Ivan Tanev",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tanev",
        "Country Name": "Bulgaria",
        "Purpose": "To evaluate the image quality in cornea guttata patients before and after cataract surgery with implantation of same type of hydrophobic acrylic intraocular lens.",
        "Setting": "Department of ophthalmology, Specialised Hospital for Active Treatment of Eye Deseases “Zrenieto”",
        "Methods": "The study content 35 patients (70 eyes). The study is prospective cohort study. Coaxial US phacoemulsification was performed in 1 eye (US group) and coaxial nanosecond laser–assisted cataract surgery in the contralateral eye (laser group) of the same patient. The central endothelial cell density (ECD), coefficient of variation (CoV) in cell size (objective measure of polymegethism), and percentage of hexagonal cells (an index of pleomorphism) were evaluated. The measurement of light scatter using the Optical Quality Analysis System (OSI index) in both groups, before and in the third month after surgery and once a year until the fifth year.",
        "Results": "We present the endothelial cell changes observed in two groups before and after surgery. The OSI index of the patients before and after surgery of the two groups has been analyzed using 2-tailed unpaired t tests. Correlations were examined by using the bivariate Pearson method or, when data were not normally distributed, the Spearman ρ coefficient. P < .05 was considered statistically significant.",
        "Conclusions": "The observed parameters differed statistically significantly in the two groups during the study period. The observed parameters differed statistically significantly in the two groups during the study period. The nanosecond cataract surgery presents some advantages in comparison of standard ultrasound phacoemulsification in compromised corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCAT293",
      "abstract_number": "POCAT293",
      "title": "Primary Posterior Capsulorhexis",
      "authors": "Prof. Bruno Trindade",
      "presenter": "Prof. Bruno Trindade",
      "normalized_authors": [
        "Bruno Trindade"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bruno Trindade",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To analyze the managment of posterior capsule opacification with primary posterior capsulorhexis",
        "Setting": "Private practice",
        "Methods": "A retrosprective review of cases that presented with intraoperative persistent posterior capsule opacification and were managed with primary posterior capsulorhexis.",
        "Results": "6 cases were analyzed. In all cases, posterior subcapsular cataract was present before surgery. No unintentional capsule rupture was noted in any case. In all cases a manual, continuous posterior capsulorhexis was created before IOL implantation. Different IOLs were used but they were all positioned inside the capsular bag at the end. No post-operative complications were noted.",
        "Conclusions": "Primary posterior capsulorhexis may be a safe technique to manage persistent posterior capsule opacification during surgery. Surgical technique can be performed with minimal aditional training for a competent cataract surgeon."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Primary posterior capsulorhexis may be a safe technique to manage persistent posterior capsule opacification during surgery. Surgical technique can be performed with minimal aditional training for a competent cataract surgeon.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 332,
      "source_fields": {
        "Abstract Final Identifier": "POCAT293",
        "Title": "Primary Posterior Capsulorhexis",
        "Presenting Author(s)": "Prof. Bruno Trindade",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Bruno",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Trindade",
        "Country Name": "Brazil",
        "Purpose": "To analyze the managment of posterior capsule opacification with primary posterior capsulorhexis",
        "Setting": "Private practice",
        "Methods": "A retrosprective review of cases that presented with intraoperative persistent posterior capsule opacification and were managed with primary posterior capsulorhexis.",
        "Results": "6 cases were analyzed. In all cases, posterior subcapsular cataract was present before surgery. No unintentional capsule rupture was noted in any case. In all cases a manual, continuous posterior capsulorhexis was created before IOL implantation. Different IOLs were used but they were all positioned inside the capsular bag at the end. No post-operative complications were noted.",
        "Conclusions": "Primary posterior capsulorhexis may be a safe technique to manage persistent posterior capsule opacification during surgery. Surgical technique can be performed with minimal aditional training for a competent cataract surgeon."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 121
    },
    {
      "uid": "POCAT294",
      "abstract_number": "POCAT294",
      "title": "The Spin-And-Flip Technique: A Standardized, Low-Energy Approach To Epinucleus Management In Phacoemulsification — Outcomes In 3,500 Eyes",
      "authors": "Dr Raashid Maqbool Wani",
      "presenter": "Dr Raashid Maqbool Wani",
      "normalized_authors": [
        "Raashid Maqbool Wani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raashid Maqbool Wani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the safety, reproducibility, and intraoperative outcomes of a standardized epinucleus management approach, termed the Spin-and-Flip Technique , during phacoemulsification across varied cataract grades. This method preserves the epinuclear bowl during nucleus removal, enabling controlled epinucleus mobilization and low-parameter aspiration while maintaining posterior capsule protection.",
        "Setting": "Retrospective analysis of 3,500 consecutive eyes undergoing phacoemulsification by a single surgeon at a tertiary eye care centre, covering a broad spectrum of cataract densities and complexity. All surgeries were performed with standardized instruments and consistent phacoemulsification platforms.",
        "Methods": "Following complete hydrodissection and hydrodelineation, the intact epinucleus was preserved during nucleus emulsification. The epinuclear bowl was gently spun using the posterior surface of the phaco chopper and flipped en masse into the central safe zone with a controlled sweeping side-tip movement. Epinucleus aspiration was completed under ultra-low parameters (longitudinal power 20%, vacuum 250 mmHg, aspiration flow rate 20 cc/min), ensuring continuous posterior capsule protection.",
        "Results": "The technique was applied successfully across all cataract densities, from soft to brunescent. Preservation of the epinuclear shell provided consistent posterior capsule shielding, facilitating controlled aspiration with minimal turbulence and ultrasound energy. Intraoperative complications were uncommon: posterior capsule rupture in 2 eyes (0.057%), zonular dialysis in 3 eyes (0.086%), and vitreous loss in 1 eye (0.029%) . No case required conversion to extracapsular cataract extraction; all complications were managed intraoperatively without adverse visual outcomes.",
        "Conclusions": "The Spin-and-Flip Technique represents a structured, low-energy refinement of epinucleus management during phacoemulsification that enhances posterior capsule safety and surgical control. Its reproducibility and favorable safety profile across a large series support its integration into routine cataract surgery, offering a pragmatic approach to epinucleus removal with minimal complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Spin-and-Flip Technique represents a structured, low-energy refinement of epinucleus management during phacoemulsification that enhances posterior capsule safety and surgical control. Its reproducibility and favorable safety profile across a large series support its integration into routine cataract surgery, offering a pragmatic approach to epinucleus removal with minimal complications.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 333,
      "source_fields": {
        "Abstract Final Identifier": "POCAT294",
        "Title": "The Spin-And-Flip Technique: A Standardized, Low-Energy Approach To Epinucleus Management In Phacoemulsification — Outcomes In 3,500 Eyes",
        "Presenting Author(s)": "Dr Raashid Maqbool Wani",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Raashid",
        "Submitter Middle Name": "Maqbool",
        "Submitter Last Name": "Wani",
        "Country Name": "India",
        "Purpose": "To evaluate the safety, reproducibility, and intraoperative outcomes of a standardized epinucleus management approach, termed the Spin-and-Flip Technique , during phacoemulsification across varied cataract grades. This method preserves the epinuclear bowl during nucleus removal, enabling controlled epinucleus mobilization and low-parameter aspiration while maintaining posterior capsule protection.",
        "Setting": "Retrospective analysis of 3,500 consecutive eyes undergoing phacoemulsification by a single surgeon at a tertiary eye care centre, covering a broad spectrum of cataract densities and complexity. All surgeries were performed with standardized instruments and consistent phacoemulsification platforms.",
        "Methods": "Following complete hydrodissection and hydrodelineation, the intact epinucleus was preserved during nucleus emulsification. The epinuclear bowl was gently spun using the posterior surface of the phaco chopper and flipped en masse into the central safe zone with a controlled sweeping side-tip movement. Epinucleus aspiration was completed under ultra-low parameters (longitudinal power 20%, vacuum 250 mmHg, aspiration flow rate 20 cc/min), ensuring continuous posterior capsule protection.",
        "Results": "The technique was applied successfully across all cataract densities, from soft to brunescent. Preservation of the epinuclear shell provided consistent posterior capsule shielding, facilitating controlled aspiration with minimal turbulence and ultrasound energy. Intraoperative complications were uncommon: posterior capsule rupture in 2 eyes (0.057%), zonular dialysis in 3 eyes (0.086%), and vitreous loss in 1 eye (0.029%) . No case required conversion to extracapsular cataract extraction; all complications were managed intraoperatively without adverse visual outcomes.",
        "Conclusions": "The Spin-and-Flip Technique represents a structured, low-energy refinement of epinucleus management during phacoemulsification that enhances posterior capsule safety and surgical control. Its reproducibility and favorable safety profile across a large series support its integration into routine cataract surgery, offering a pragmatic approach to epinucleus removal with minimal complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCAT295",
      "abstract_number": "POCAT295",
      "title": "Ambidextrous Phacoemulsification: A Right-Hand–Dominant Surgeon’S Journey To Left-Hand Proficiency In Topical Cataract Surgery",
      "authors": "Dr Raashid Maqbool Wani",
      "presenter": "Dr Raashid Maqbool Wani",
      "normalized_authors": [
        "Raashid Maqbool Wani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raashid Maqbool Wani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe the learning process, technical challenges, and early clinical outcomes associated with the transition of a right-hand–dominant surgeon to left-hand–dominant topical phacoemulsification , and to outline a reproducible framework for developing surgical ambidexterity.",
        "Setting": "A single-centre study conducted at a high-volume tertiary eye care facility in North India. All surgeries were performed by an experienced cataract surgeon in a routine clinical practice setting under topical anaesthesia between January and November 2025.",
        "Methods": "A prospective single-surgeon series of 60 eyes undergoing topical phacoemulsification performed with the left hand . Selected cases had nuclear sclerosis grade 2–4, good pupillary dilation, and no zonular weakness. A 2.2-mm superior-temporal clear corneal incision with two side ports enabled immediate right-hand conversion if required. Capsulorhexis was forceps-based and nucleofractis performed using direct chopping. Surgical time, conversion rate, and visual outcomes were analysed.",
        "Results": "All 60 procedures were completed successfully under topical anaesthesia without major intraoperative complications. Mean surgical time was 8.5 ± 2.1 minutes . Conversion to right-hand surgery was required in 1 eye (1.7%) due to capsulorhexis runaway with suspected subtle lens subluxation. On postoperative day 1, UDVA ≥20/25 was achieved in 96.7% and UIVA (66 cm) ≥20/32 in 93.3% of eyes.",
        "Conclusions": "With deliberate bilateral simulation training, careful case selection, and strategic incision planning, a right-hand–dominant surgeon can safely and reproducibly achieve left-hand proficiency in topical phacoemulsification. Surgical ambidexterity reduces ergonomic strain and improves operative flexibility, particularly in high-volume and solo cataract practices ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "With deliberate bilateral simulation training, careful case selection, and strategic incision planning, a right-hand–dominant surgeon can safely and reproducibly achieve left-hand proficiency in topical phacoemulsification. Surgical ambidexterity reduces ergonomic strain and improves operative flexibility, particularly in high-volume and solo cataract practices .",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 334,
      "source_fields": {
        "Abstract Final Identifier": "POCAT295",
        "Title": "Ambidextrous Phacoemulsification: A Right-Hand–Dominant Surgeon’S Journey To Left-Hand Proficiency In Topical Cataract Surgery",
        "Presenting Author(s)": "Dr Raashid Maqbool Wani",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Raashid",
        "Submitter Middle Name": "Maqbool",
        "Submitter Last Name": "Wani",
        "Country Name": "India",
        "Purpose": "To describe the learning process, technical challenges, and early clinical outcomes associated with the transition of a right-hand–dominant surgeon to left-hand–dominant topical phacoemulsification , and to outline a reproducible framework for developing surgical ambidexterity.",
        "Setting": "A single-centre study conducted at a high-volume tertiary eye care facility in North India. All surgeries were performed by an experienced cataract surgeon in a routine clinical practice setting under topical anaesthesia between January and November 2025.",
        "Methods": "A prospective single-surgeon series of 60 eyes undergoing topical phacoemulsification performed with the left hand . Selected cases had nuclear sclerosis grade 2–4, good pupillary dilation, and no zonular weakness. A 2.2-mm superior-temporal clear corneal incision with two side ports enabled immediate right-hand conversion if required. Capsulorhexis was forceps-based and nucleofractis performed using direct chopping. Surgical time, conversion rate, and visual outcomes were analysed.",
        "Results": "All 60 procedures were completed successfully under topical anaesthesia without major intraoperative complications. Mean surgical time was 8.5 ± 2.1 minutes . Conversion to right-hand surgery was required in 1 eye (1.7%) due to capsulorhexis runaway with suspected subtle lens subluxation. On postoperative day 1, UDVA ≥20/25 was achieved in 96.7% and UIVA (66 cm) ≥20/32 in 93.3% of eyes.",
        "Conclusions": "With deliberate bilateral simulation training, careful case selection, and strategic incision planning, a right-hand–dominant surgeon can safely and reproducibly achieve left-hand proficiency in topical phacoemulsification. Surgical ambidexterity reduces ergonomic strain and improves operative flexibility, particularly in high-volume and solo cataract practices ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT296",
      "abstract_number": "POCAT296",
      "title": "Safety And Efficiency Of Lens Cortex Removal Assisted By Fluid Jet",
      "authors": "Lin Yao",
      "presenter": "Lin Yao",
      "normalized_authors": [
        "Lin Yao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lin Yao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "This retrospective study investigated the safety and efficiency of lens cortex removal assisted by a fluid-based capsular polishing technique called a fluid jet.",
        "Setting": "This was a r et rospective case study.",
        "Methods": "A total of 300 patients were included in this study. All patients underwent phacoemulsification using two different surgical sequences : a fluid jet before irrigation/aspiration (I/A) and an I/A before the fluid jet . They were divided into two groups : the fluid jet before I/A group (group 1, 150 eyes) and the I/A before the fluid jet group (group 2, 150 eyes). The frequencies of posterior capsule rupture (PCR) and posterior capsule being sucked into the I/A tip were reco rded. The times of the fluid jet, I/A cortex, and entire procedure were noted.",
        "Results": "PCR occurred only in group 2. Compared with group 1, the posterior capsule being sucked into the I/A tip was more frequent in group 2 ( P =0.00 3). The fluid jet time was longer in group 1 than that in group 2 ( P < 0.00 1 ). The I/A cortex time was shorter in group 1, and total time for fluid jet and I/A cortex together was shorter in group 2 ( P =0. 014 and P =0. 007 , respectively). However, the time of the entire procedure was shorter in group 1 ( P < 0.00 1 ).",
        "Conclusions": "Fluid jet-assisted lens cortex removal is safe, time-saving, and simple to perform."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Fluid jet-assisted lens cortex removal is safe, time-saving, and simple to perform.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 335,
      "source_fields": {
        "Abstract Final Identifier": "POCAT296",
        "Title": "Safety And Efficiency Of Lens Cortex Removal Assisted By Fluid Jet",
        "Presenting Author(s)": "Lin Yao",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Lin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yao",
        "Country Name": "China",
        "Purpose": "This retrospective study investigated the safety and efficiency of lens cortex removal assisted by a fluid-based capsular polishing technique called a fluid jet.",
        "Setting": "This was a r et rospective case study.",
        "Methods": "A total of 300 patients were included in this study. All patients underwent phacoemulsification using two different surgical sequences : a fluid jet before irrigation/aspiration (I/A) and an I/A before the fluid jet . They were divided into two groups : the fluid jet before I/A group (group 1, 150 eyes) and the I/A before the fluid jet group (group 2, 150 eyes). The frequencies of posterior capsule rupture (PCR) and posterior capsule being sucked into the I/A tip were reco rded. The times of the fluid jet, I/A cortex, and entire procedure were noted.",
        "Results": "PCR occurred only in group 2. Compared with group 1, the posterior capsule being sucked into the I/A tip was more frequent in group 2 ( P =0.00 3). The fluid jet time was longer in group 1 than that in group 2 ( P < 0.00 1 ). The I/A cortex time was shorter in group 1, and total time for fluid jet and I/A cortex together was shorter in group 2 ( P =0. 014 and P =0. 007 , respectively). However, the time of the entire procedure was shorter in group 1 ( P < 0.00 1 ).",
        "Conclusions": "Fluid jet-assisted lens cortex removal is safe, time-saving, and simple to perform."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCAT297",
      "abstract_number": "POCAT297",
      "title": "Comparison Of Power-Free-Chop And Phaco-Chop Techniques For Moderate Nuclei",
      "authors": "Lin Yao",
      "presenter": "Lin Yao",
      "normalized_authors": [
        "Lin Yao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lin Yao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the intraoperative and postoperative effects of power-free-chop and phaco-chop techniques for moderate nuclei in phacoemulsification surgery.",
        "Setting": "This was a retrospective case study.",
        "Methods": "Sixty patients were evaluated in 2 groups. The power-free-chop technique was performed in Group 1 (30 eyes), and the phaco-chop technique was performed in Group 2 (30 eyes). There were no significant differences between these 2 groups. The cumulative dissipated energy (CDE), time to achieve maximum vision, corneal thickness variation, and time to return to the preoperative values were collected. All parameters were statistically\ncompared in these 2 groups by using the chi-square test and the independent-sample t-test.",
        "Results": "The CDE was 5.53 ± 1.92 J in Group 1 and 7.02 ± 1.77 J in Group 2. After the operation, the mean time to recover to the maximum vision was 2.80 ± 1.42 days in Group 1 and 3.80 ± 1.92 days in Group 2. The mean postoperative corneal thickness increased 36.9 ± 14.74 µm in Group 1 and 46.20 ± 20.67 µm in Group 2. The mean time to return to preoperative pachymetry values was 3.73 ± 1.70 days and 4.83 ± 2.11 days in Group 1 and Group 2,\nrespectively. There were significant differences in these parameters between the groups.",
        "Conclusions": "The power-free-chop technique had fewer negative effects on the corneal endothelium, as less ultrasound power was used for moderate nucleus cases. This can accelerate the functional healing process and the return to preoperative physiologic values."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The power-free-chop technique had fewer negative effects on the corneal endothelium, as less ultrasound power was used for moderate nucleus cases. This can accelerate the functional healing process and the return to preoperative physiologic values.",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 336,
      "source_fields": {
        "Abstract Final Identifier": "POCAT297",
        "Title": "Comparison Of Power-Free-Chop And Phaco-Chop Techniques For Moderate Nuclei",
        "Presenting Author(s)": "Lin Yao",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Lin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yao",
        "Country Name": "China",
        "Purpose": "To compare the intraoperative and postoperative effects of power-free-chop and phaco-chop techniques for moderate nuclei in phacoemulsification surgery.",
        "Setting": "This was a retrospective case study.",
        "Methods": "Sixty patients were evaluated in 2 groups. The power-free-chop technique was performed in Group 1 (30 eyes), and the phaco-chop technique was performed in Group 2 (30 eyes). There were no significant differences between these 2 groups. The cumulative dissipated energy (CDE), time to achieve maximum vision, corneal thickness variation, and time to return to the preoperative values were collected. All parameters were statistically\ncompared in these 2 groups by using the chi-square test and the independent-sample t-test.",
        "Results": "The CDE was 5.53 ± 1.92 J in Group 1 and 7.02 ± 1.77 J in Group 2. After the operation, the mean time to recover to the maximum vision was 2.80 ± 1.42 days in Group 1 and 3.80 ± 1.92 days in Group 2. The mean postoperative corneal thickness increased 36.9 ± 14.74 µm in Group 1 and 46.20 ± 20.67 µm in Group 2. The mean time to return to preoperative pachymetry values was 3.73 ± 1.70 days and 4.83 ± 2.11 days in Group 1 and Group 2,\nrespectively. There were significant differences in these parameters between the groups.",
        "Conclusions": "The power-free-chop technique had fewer negative effects on the corneal endothelium, as less ultrasound power was used for moderate nucleus cases. This can accelerate the functional healing process and the return to preoperative physiologic values."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCAT298",
      "abstract_number": "POCAT298",
      "title": "Impact Of A Novel Volumetric Ultrasound Modality On Phacoemulsification Tip Efficiency, Fluidics, Cavitation And Thermal Profile",
      "authors": "Dr Jaime Zacharias",
      "presenter": "Dr Jaime Zacharias",
      "normalized_authors": [
        "Jaime Zacharias"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jaime Zacharias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Chile",
      "sections": {
        "Purpose": "To compare lens emulsification efficiency, fluid streaming, cavitation behavior, acoustic profile, and thermal characteristics of Hybrid and Balanced phaco tips using Volumetric (UNITY 4D Phaco), torsional (Ozil), and axial ultrasound modes. We hypothesized that volumetric motion would improve efficiency in dense lens material while preserving favorable fluidics and thermal safety compared with torsional and longitudinal ultrasound.",
        "Setting": "Phaco-Dynamics Laboratory, Pasteur Ophthalmic Clinic, Santiago, Chile",
        "Methods": "Chemically modified porcine lenses were graded and emulsified using volumetric, torsional, and axial modes with Hybrid and Balanced tips. Emulsification speed was recorded at comparable ultrasonic power. High-speed videography and stroboscopic illumination characterized distal tip kinematics and tip–tissue interaction. Particle image velocimetry evaluated streaming patterns. Optical cavitation was assessed by high-speed imaging, acoustic cavitation by directional hydrophone, and incision temperature rise by FLIR thermography under standardized 30 cc/min flow conditions.",
        "Results": "Volumetric ultrasound generated a multidimensional distal tip trajectory combining axial, lateral, and vertical components, distinct from torsional and axial modes. Alternating-mode experiments demonstrated greater emulsification efficiency during volumetric activation. Axial mode produced retrograde streaming opposing aspiration and the highest optical and acoustic cavitation with the greatest thermal rise. Torsional and volumetric aligned streaming with aspiration. Volumetric showed moderated cavitation and incision temperatures comparable to torsional for both tip designs.",
        "Conclusions": "Volumetric phacoemulsification exhibits a true multidimensional motion pattern translating into superior emulsification efficiency while maintaining favorable streaming direction, controlled cavitation, and thermal behavior comparable to torsional ultrasound. Across Hybrid and Balanced designs, volumetric motion combines cutting efficiency with improved fluidic stability and reduced adverse effects seen with axial ultrasound, supporting its role as a distinct and clinically advantageous modality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Volumetric phacoemulsification exhibits a true multidimensional motion pattern translating into superior emulsification efficiency while maintaining favorable streaming direction, controlled cavitation, and thermal behavior comparable to torsional ultrasound. Across Hybrid and Balanced designs, volumetric motion combines cutting efficiency with improved fluidic stability and reduced adverse effects seen with axial…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 337,
      "source_fields": {
        "Abstract Final Identifier": "POCAT298",
        "Title": "Impact Of A Novel Volumetric Ultrasound Modality On Phacoemulsification Tip Efficiency, Fluidics, Cavitation And Thermal Profile",
        "Presenting Author(s)": "Dr Jaime Zacharias",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Jaime",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zacharias",
        "Country Name": "Chile",
        "Purpose": "To compare lens emulsification efficiency, fluid streaming, cavitation behavior, acoustic profile, and thermal characteristics of Hybrid and Balanced phaco tips using Volumetric (UNITY 4D Phaco), torsional (Ozil), and axial ultrasound modes. We hypothesized that volumetric motion would improve efficiency in dense lens material while preserving favorable fluidics and thermal safety compared with torsional and longitudinal ultrasound.",
        "Setting": "Phaco-Dynamics Laboratory, Pasteur Ophthalmic Clinic, Santiago, Chile",
        "Methods": "Chemically modified porcine lenses were graded and emulsified using volumetric, torsional, and axial modes with Hybrid and Balanced tips. Emulsification speed was recorded at comparable ultrasonic power. High-speed videography and stroboscopic illumination characterized distal tip kinematics and tip–tissue interaction. Particle image velocimetry evaluated streaming patterns. Optical cavitation was assessed by high-speed imaging, acoustic cavitation by directional hydrophone, and incision temperature rise by FLIR thermography under standardized 30 cc/min flow conditions.",
        "Results": "Volumetric ultrasound generated a multidimensional distal tip trajectory combining axial, lateral, and vertical components, distinct from torsional and axial modes. Alternating-mode experiments demonstrated greater emulsification efficiency during volumetric activation. Axial mode produced retrograde streaming opposing aspiration and the highest optical and acoustic cavitation with the greatest thermal rise. Torsional and volumetric aligned streaming with aspiration. Volumetric showed moderated cavitation and incision temperatures comparable to torsional for both tip designs.",
        "Conclusions": "Volumetric phacoemulsification exhibits a true multidimensional motion pattern translating into superior emulsification efficiency while maintaining favorable streaming direction, controlled cavitation, and thermal behavior comparable to torsional ultrasound. Across Hybrid and Balanced designs, volumetric motion combines cutting efficiency with improved fluidic stability and reduced adverse effects seen with axial ultrasound, supporting its role as a distinct and clinically advantageous modality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "POCAT299",
      "abstract_number": "POCAT299",
      "title": "Study On Visual Quality After Cataract Surgery In Patients With Binocular Anisometropia",
      "authors": "Dr Yanfeng Zeng",
      "presenter": "Dr Yanfeng Zeng",
      "normalized_authors": [
        "Yanfeng Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanfeng Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "This study evaluated the postoperative visual quality of patients with differences in the diopter of intraocular lens (IOL) implantation in both eyes.",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "This is a retrospective observational study, 62 patients received binocular AT LISA tri 839MP trifocal intraocular lens implantationfrom September 2021 to June 2023 were included for analysis, 31 patients with IOL diopter value difference≥1.0 D (study group) and 31 patients with IOL diopter value difference<1.0 D (control group). The far intermediate, and near vison, modulation transfer function (MTF), Strehl ratio (SR), higher-order aberrations, pupil centroid shift from photopic to scotopic vision, tertiary visual function, spectacle independence, light disturbance phenomenon, overall satisfaction and quality of life and VF-11R scores in both groups were comparatively assessed 3 months after the surgery on the second eye.",
        "Results": "Postoperative visual acuity significantly improved in both groups. No statistically significant differences were observed in uncorrected distance and intermediate visual acuity (UDVA/UIVA) for both eyes and right eyes, nor in UDVA and UIVA for left eyes between groups. However, the control group demonstrated better uncorrected near visual acuity (UNVA) for both eyes and right eyes, along with lower total ocular higher-order aberrations and trefoil aberrations compared to the study group. No significant differences were found in MTF, SR, simultaneous and fusion vision, coma, spherical aberration, or VF-11R scores. Stereopsis and glare outcomes favored the control group, with night glare correlating with IOL diopter difference.",
        "Conclusions": "The spectacle independence rate reached 100% in both groups. There were no statistically significant differences in far and intermediate vision, simultaneous vision and fusion vision between the two groups. The study group had corrected anisometropia in both eyes, but stereopsis and near vision were inferior in these patients compared with the control group. Night glare correlated with binocular IOL diopter value difference."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The spectacle independence rate reached 100% in both groups. There were no statistically significant differences in far and intermediate vision, simultaneous vision and fusion vision between the two groups. The study group had corrected anisometropia in both eyes, but stereopsis and near vision were inferior in these patients compared with the control group. Night glare correlated with binocular IOL diopter value…",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 338,
      "source_fields": {
        "Abstract Final Identifier": "POCAT299",
        "Title": "Study On Visual Quality After Cataract Surgery In Patients With Binocular Anisometropia",
        "Presenting Author(s)": "Dr Yanfeng Zeng",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Yanfeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "This study evaluated the postoperative visual quality of patients with differences in the diopter of intraocular lens (IOL) implantation in both eyes.",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "This is a retrospective observational study, 62 patients received binocular AT LISA tri 839MP trifocal intraocular lens implantationfrom September 2021 to June 2023 were included for analysis, 31 patients with IOL diopter value difference≥1.0 D (study group) and 31 patients with IOL diopter value difference<1.0 D (control group). The far intermediate, and near vison, modulation transfer function (MTF), Strehl ratio (SR), higher-order aberrations, pupil centroid shift from photopic to scotopic vision, tertiary visual function, spectacle independence, light disturbance phenomenon, overall satisfaction and quality of life and VF-11R scores in both groups were comparatively assessed 3 months after the surgery on the second eye.",
        "Results": "Postoperative visual acuity significantly improved in both groups. No statistically significant differences were observed in uncorrected distance and intermediate visual acuity (UDVA/UIVA) for both eyes and right eyes, nor in UDVA and UIVA for left eyes between groups. However, the control group demonstrated better uncorrected near visual acuity (UNVA) for both eyes and right eyes, along with lower total ocular higher-order aberrations and trefoil aberrations compared to the study group. No significant differences were found in MTF, SR, simultaneous and fusion vision, coma, spherical aberration, or VF-11R scores. Stereopsis and glare outcomes favored the control group, with night glare correlating with IOL diopter difference.",
        "Conclusions": "The spectacle independence rate reached 100% in both groups. There were no statistically significant differences in far and intermediate vision, simultaneous vision and fusion vision between the two groups. The study group had corrected anisometropia in both eyes, but stereopsis and near vision were inferior in these patients compared with the control group. Night glare correlated with binocular IOL diopter value difference."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCAT300",
      "abstract_number": "POCAT300",
      "title": "Veroin Guided\"Visual Axis Centering Technology”For Multifoca Iol Implantation In Cataract Patients With Greater Angle Alpha",
      "authors": "Mrs Xiaoshan Zhang",
      "presenter": "Mrs Xiaoshan Zhang",
      "normalized_authors": [
        "Xiaoshan Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaoshan Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To e valuat e the 'VERION-guided MIOL Visual Axis Centration Technology' for patients with greater angle alpha.\n\nW e used VERION system to guide visual axis-centered CCC, and centre the mIOL on the visual axis, to correct the eccentricity caused by angle alpha. By monitoring postoperative outcomes and the position of the mIOL, evaluate the value of this technology.",
        "Setting": "Photic phenomena, such as glare, halos,are the main complaints in patients with multifocal intraocular lens (mIOL). Angle alpha, which is defined as the intersection of the visual axis with the optic axis, has been found to be correlated with these complaints.\n\nVERION system is a collection of reference, planning units and digital marker to assist surgeon. It can detect the v isual a xis, project the design map ,and auto register the eye intraoperatively.",
        "Methods": "Selecting 24 eyes of cataract patients with angle alpha >0.3mm. All patients underwent full preoperative ophthalmological examinations. Under the guidance of the VERION system, phacoemulsification and MIOL implantation were performed with a continuous circular capsulorhexis centered on the visual axis, adjusting the MIOL position to align its optical center with the visual axis. Follow-ups were conducted 7 days and 3 months postop, measuring uncorrected distance and near visual acuity , the angle Alpha , MIOL relative position (the distance from the MIOL center to the visual axis), and Modulation Transfer Function curve(MTF), using iTrace. A quality of vision (QoV) questionnaire were evaluated 3 months. Followed by statistical analysis.",
        "Results": "The mean UDVA was -0.03±0.12logMAR ,the mean UNVA was 0.1 2 ±0.1 3 LogMAR 6 months postoperatively .\n\nThere was a statistically significant difference between the MIOL position 7 days postoperatively and the preoperative Alpha angle (P < 0.05), with the MIOL position being significantly smaller than the Alpha angle; there was no statistically significant difference between the MIOL position 7 days postoperatively and that at 6 months postoperatively (P > 0.05). D espite some optical disturbance phenomena , QoA show a high level of overall satisfaction.",
        "Conclusions": "The application of VERION navigation to guide CCC and MIOL positioning centered on the visual axis can compensate for the eccentricity of the mIOL caused by greater angle alpha,and has good long-term stability, offering effective clinical value"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The application of VERION navigation to guide CCC and MIOL positioning centered on the visual axis can compensate for the eccentricity of the mIOL caused by greater angle alpha,and has good long-term stability, offering effective clinical value",
      "session_type": "ePoster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 339,
      "source_fields": {
        "Abstract Final Identifier": "POCAT300",
        "Title": "Veroin Guided\"Visual Axis Centering Technology”For Multifoca Iol Implantation In Cataract Patients With Greater Angle Alpha",
        "Presenting Author(s)": "Mrs Xiaoshan Zhang",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Xiaoshan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To e valuat e the 'VERION-guided MIOL Visual Axis Centration Technology' for patients with greater angle alpha.\n\nW e used VERION system to guide visual axis-centered CCC, and centre the mIOL on the visual axis, to correct the eccentricity caused by angle alpha. By monitoring postoperative outcomes and the position of the mIOL, evaluate the value of this technology.",
        "Setting": "Photic phenomena, such as glare, halos,are the main complaints in patients with multifocal intraocular lens (mIOL). Angle alpha, which is defined as the intersection of the visual axis with the optic axis, has been found to be correlated with these complaints.\n\nVERION system is a collection of reference, planning units and digital marker to assist surgeon. It can detect the v isual a xis, project the design map ,and auto register the eye intraoperatively.",
        "Methods": "Selecting 24 eyes of cataract patients with angle alpha >0.3mm. All patients underwent full preoperative ophthalmological examinations. Under the guidance of the VERION system, phacoemulsification and MIOL implantation were performed with a continuous circular capsulorhexis centered on the visual axis, adjusting the MIOL position to align its optical center with the visual axis. Follow-ups were conducted 7 days and 3 months postop, measuring uncorrected distance and near visual acuity , the angle Alpha , MIOL relative position (the distance from the MIOL center to the visual axis), and Modulation Transfer Function curve(MTF), using iTrace. A quality of vision (QoV) questionnaire were evaluated 3 months. Followed by statistical analysis.",
        "Results": "The mean UDVA was -0.03±0.12logMAR ,the mean UNVA was 0.1 2 ±0.1 3 LogMAR 6 months postoperatively .\n\nThere was a statistically significant difference between the MIOL position 7 days postoperatively and the preoperative Alpha angle (P < 0.05), with the MIOL position being significantly smaller than the Alpha angle; there was no statistically significant difference between the MIOL position 7 days postoperatively and that at 6 months postoperatively (P > 0.05). D espite some optical disturbance phenomena , QoA show a high level of overall satisfaction.",
        "Conclusions": "The application of VERION navigation to guide CCC and MIOL positioning centered on the visual axis can compensate for the eccentricity of the mIOL caused by greater angle alpha,and has good long-term stability, offering effective clinical value"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POCAT301",
      "abstract_number": "POCAT301",
      "title": "Corneal Endothelium Evaluation Post Phacoemulsification Among Diabetic Patients In Saudi Arabia",
      "authors": "Dr Omar AL Sowayigh",
      "presenter": "Dr Omar AL Sowayigh",
      "normalized_authors": [
        "Omar AL Sowayigh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omar Al Sowayigh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate and compare corneal endothelial health following cataract phacoemulsification in diabetic and nondiabetic Saudi patients using specular microscopy.",
        "Setting": "A single-center prospective cohort study conducted at a tertiary hospital in Saudi Arabia.",
        "Methods": "This prospective cohort study included 180 Saudi patients (100 with diabetes and 80 nondiabetic controls) who underwent uneventful phacoemulsification with intraocular lens implantation. One eye per patient was analyzed. Endothelial parameters—endothelial cell density (ECD), coefficient of variation (CV), hexagonal cell percentage (HEX), and central corneal thickness (CCT)—were measured using non-contact specular microscopy at the preoperative and postoperative (1 and 4 weeks) periods. HbA1c levels were measured preoperatively to assess glycemic control.",
        "Results": "Preoperative endothelial parameters showed no significant differences between the diabetic and nondiabetic groups. Postoperatively, both groups demonstrated a statistically significant decrease in ECD (p<0.001), increase in CCT (p<0.001), and reduction in HEX (p<0.05), but with no significant differences between the diabetic and nondiabetic groups. Among the measured endothelial parameters, glycemic control status did not significantly affect postoperative outcomes. No patient developed corneal decompensation or pseudophakic bullous keratopathy during the follow-up period.",
        "Conclusions": "Within a population characterized by a high prevalence of both cataract and diabetes, our study of Saudi patients found that phacoemulsification surgery induces measurable corneal endothelial trauma in both diabetic and nondiabetic patients. Diabetes—regardless of glycemic control—had no significant impact on endothelial outcomes, suggesting that surgical trauma may be the primary determinant of adverse endothelial changes. Nevertheless, the potential susceptibility of diabetic patients to phacoemulsification surgery damage may warrant more careful preoperative evaluation and tailored surgical planning to ensure optimal outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Within a population characterized by a high prevalence of both cataract and diabetes, our study of Saudi patients found that phacoemulsification surgery induces measurable corneal endothelial trauma in both diabetic and nondiabetic patients. Diabetes—regardless of glycemic control—had no significant impact on endothelial outcomes, suggesting that surgical trauma may be the primary determinant of adverse endothelial…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 340,
      "source_fields": {
        "Abstract Final Identifier": "POCAT301",
        "Title": "Corneal Endothelium Evaluation Post Phacoemulsification Among Diabetic Patients In Saudi Arabia",
        "Presenting Author(s)": "Dr Omar AL Sowayigh",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Omar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Sowayigh",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate and compare corneal endothelial health following cataract phacoemulsification in diabetic and nondiabetic Saudi patients using specular microscopy.",
        "Setting": "A single-center prospective cohort study conducted at a tertiary hospital in Saudi Arabia.",
        "Methods": "This prospective cohort study included 180 Saudi patients (100 with diabetes and 80 nondiabetic controls) who underwent uneventful phacoemulsification with intraocular lens implantation. One eye per patient was analyzed. Endothelial parameters—endothelial cell density (ECD), coefficient of variation (CV), hexagonal cell percentage (HEX), and central corneal thickness (CCT)—were measured using non-contact specular microscopy at the preoperative and postoperative (1 and 4 weeks) periods. HbA1c levels were measured preoperatively to assess glycemic control.",
        "Results": "Preoperative endothelial parameters showed no significant differences between the diabetic and nondiabetic groups. Postoperatively, both groups demonstrated a statistically significant decrease in ECD (p<0.001), increase in CCT (p<0.001), and reduction in HEX (p<0.05), but with no significant differences between the diabetic and nondiabetic groups. Among the measured endothelial parameters, glycemic control status did not significantly affect postoperative outcomes. No patient developed corneal decompensation or pseudophakic bullous keratopathy during the follow-up period.",
        "Conclusions": "Within a population characterized by a high prevalence of both cataract and diabetes, our study of Saudi patients found that phacoemulsification surgery induces measurable corneal endothelial trauma in both diabetic and nondiabetic patients. Diabetes—regardless of glycemic control—had no significant impact on endothelial outcomes, suggesting that surgical trauma may be the primary determinant of adverse endothelial changes. Nevertheless, the potential susceptibility of diabetic patients to phacoemulsification surgery damage may warrant more careful preoperative evaluation and tailored surgical planning to ensure optimal outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCAT302",
      "abstract_number": "POCAT302",
      "title": "Accurate Assessment Of The Corneal White-To-White Measurement Among The Saudi Population: A Retrospective Study",
      "authors": "Dr Haya Abdullah Alnafisah",
      "presenter": "Dr Haya Abdullah Alnafisah",
      "normalized_authors": [
        "Haya Abdullah Alnafisah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Haya Abdullah Alnafisah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate white-to-white corneal diameter measurments in a Saudi population using Pentacam and IOLMaster, assess inter-device agreement, and determine clinical implications for IOL sizing, refractive surgery planning, and anterior chamber depth (ACD) assessment.",
        "Setting": "A retrospective cohort study conducted at a specialized eye center in Riyadh, Saudi Arabia.",
        "Methods": "Medical records of 818 Saudi patients (18 years and above) with documented white-to-white (WTW) measurments between 2013 and 2023 were retrospectively reviwed at a specialized eye center in Riyadh, Saudi Arabia.\n\nBilateral WTW measurments were obtained using Pentacam and IOLMaster.\n\nKeratometric parameters (K1, K2, Kmean, Kmax) and anterior chamber depth (ACD) were analyzed.\n\nIndependent and paired t-test, ANOVA, and Pearson correlation were performed to evaluate inter-device agreement and associations with age and sex.",
        "Results": "Mean WTW measured by Pentacam was 11.85±0.47 mm (right eye) and 11.85±0.44 mm (left eye), compared to 11.93±0.46 mm and 11.92±0.44 mm with IOLMaster. Strong inter-device correlation was observed (r=0.871, p<0.001).\n\nMales demonstrated significantly larger WTW values than females (p<0.01).\n\nWTW decreased significantly with age (p<0.001).\n\nWTW correlated positively with ACD (r=0.512, p<0.001) and negatively with keratometric indices, suggesting biomechanical and anatomical interdependence.",
        "Conclusions": "WTW measurements showed strong agreement between Pentacam and IOLMaster in this Saudi cohort; however, significant age- and sex- related variations were identified. These findings highlight the importance of population-specific biometric references values when planning IOL sizing and refractive procedures. Incorporating demographic variability into surgical planning may improve refractive accuracy in Middle Eastern patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "WTW measurements showed strong agreement between Pentacam and IOLMaster in this Saudi cohort; however, significant age- and sex- related variations were identified. These findings highlight the importance of population-specific biometric references values when planning IOL sizing and refractive procedures. Incorporating demographic variability into surgical planning may improve refractive accuracy in Middle Eastern…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 341,
      "source_fields": {
        "Abstract Final Identifier": "POCAT302",
        "Title": "Accurate Assessment Of The Corneal White-To-White Measurement Among The Saudi Population: A Retrospective Study",
        "Presenting Author(s)": "Dr Haya Abdullah Alnafisah",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Haya",
        "Submitter Middle Name": "Abdullah",
        "Submitter Last Name": "Alnafisah",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate white-to-white corneal diameter measurments in a Saudi population using Pentacam and IOLMaster, assess inter-device agreement, and determine clinical implications for IOL sizing, refractive surgery planning, and anterior chamber depth (ACD) assessment.",
        "Setting": "A retrospective cohort study conducted at a specialized eye center in Riyadh, Saudi Arabia.",
        "Methods": "Medical records of 818 Saudi patients (18 years and above) with documented white-to-white (WTW) measurments between 2013 and 2023 were retrospectively reviwed at a specialized eye center in Riyadh, Saudi Arabia.\n\nBilateral WTW measurments were obtained using Pentacam and IOLMaster.\n\nKeratometric parameters (K1, K2, Kmean, Kmax) and anterior chamber depth (ACD) were analyzed.\n\nIndependent and paired t-test, ANOVA, and Pearson correlation were performed to evaluate inter-device agreement and associations with age and sex.",
        "Results": "Mean WTW measured by Pentacam was 11.85±0.47 mm (right eye) and 11.85±0.44 mm (left eye), compared to 11.93±0.46 mm and 11.92±0.44 mm with IOLMaster. Strong inter-device correlation was observed (r=0.871, p<0.001).\n\nMales demonstrated significantly larger WTW values than females (p<0.01).\n\nWTW decreased significantly with age (p<0.001).\n\nWTW correlated positively with ACD (r=0.512, p<0.001) and negatively with keratometric indices, suggesting biomechanical and anatomical interdependence.",
        "Conclusions": "WTW measurements showed strong agreement between Pentacam and IOLMaster in this Saudi cohort; however, significant age- and sex- related variations were identified. These findings highlight the importance of population-specific biometric references values when planning IOL sizing and refractive procedures. Incorporating demographic variability into surgical planning may improve refractive accuracy in Middle Eastern patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POCAT303",
      "abstract_number": "POCAT303",
      "title": "Comparison Of The Argos And Iolmaster 700 Ss-Oct Based Biometers In Eyes With Long Axial Length",
      "authors": "Dr Juan Álvarez De Toledo",
      "presenter": "Dr Juan Álvarez De Toledo",
      "normalized_authors": [
        "Juan Álvarez De Toledo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juan Álvarez De Toledo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The aim of the current study was to assess the agreement between two swept-source optical coherence tomography (SS-OCT) based biometers, the Argos and the IOLMaster 700, in eyes with long axial length.",
        "Setting": "Oftalvist Clinic center (Barcelona, Spain).",
        "Methods": "This was single-centre, cross-sectional prospective, comparative study approved by the Ethics Committee of the Hospital Clínico San Carlos (Madrid, Spain) and registered at the public German Clinical Trials (DRKS00033316). Inclusion criteria were: age from 50 to 85 years, p atients with clinically significant cataract graded by the LOCS III 3 or higher and axial length >25 mm. The exclusion criteria were: ocular trauma, intraocular lens surgery, poor fixation, corneal disease and any other corneal alteration that may affect the measurement process, eyes with a history of moderate to severe dry eye syndrome, any pathology of the anterior segment that may significantly affect the results among others.",
        "Results": "One-hundred and twenty-six eyes from 126 patients were recruited and analysed in the present clinical study. The mean and standard deviation of LOCS III grade for the study sample was 2.33±0.78. The mean and standard deviation of patient age was 65.21±7.86 years, ranging from 50 to 81. The acquisition success rate for both biometers was 100%. There were statistically significant differences between the two SS-OCT biometers for all the parameters evaluated (p < 0.001) except WTW (p = 0.088). The mean differences for K1, K2, CCT, WTW, ACD, LT and axial length were 0.102D, 0.133D, −14.224 µm, −0.018 mm, 0.108 mm, 0.029 mm, and −0.102 mm, respectively. No adverse events were reported in any patients during the measurement process",
        "Conclusions": "This study shows that the measurements obtained using two optical biometers for ocular biometers in eyes with long axial length should be assessed carefully when compared."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study shows that the measurements obtained using two optical biometers for ocular biometers in eyes with long axial length should be assessed carefully when compared.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 342,
      "source_fields": {
        "Abstract Final Identifier": "POCAT303",
        "Title": "Comparison Of The Argos And Iolmaster 700 Ss-Oct Based Biometers In Eyes With Long Axial Length",
        "Presenting Author(s)": "Dr Juan Álvarez De Toledo",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Juan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Álvarez De Toledo",
        "Country Name": "Spain",
        "Purpose": "The aim of the current study was to assess the agreement between two swept-source optical coherence tomography (SS-OCT) based biometers, the Argos and the IOLMaster 700, in eyes with long axial length.",
        "Setting": "Oftalvist Clinic center (Barcelona, Spain).",
        "Methods": "This was single-centre, cross-sectional prospective, comparative study approved by the Ethics Committee of the Hospital Clínico San Carlos (Madrid, Spain) and registered at the public German Clinical Trials (DRKS00033316). Inclusion criteria were: age from 50 to 85 years, p atients with clinically significant cataract graded by the LOCS III 3 or higher and axial length >25 mm. The exclusion criteria were: ocular trauma, intraocular lens surgery, poor fixation, corneal disease and any other corneal alteration that may affect the measurement process, eyes with a history of moderate to severe dry eye syndrome, any pathology of the anterior segment that may significantly affect the results among others.",
        "Results": "One-hundred and twenty-six eyes from 126 patients were recruited and analysed in the present clinical study. The mean and standard deviation of LOCS III grade for the study sample was 2.33±0.78. The mean and standard deviation of patient age was 65.21±7.86 years, ranging from 50 to 81. The acquisition success rate for both biometers was 100%. There were statistically significant differences between the two SS-OCT biometers for all the parameters evaluated (p < 0.001) except WTW (p = 0.088). The mean differences for K1, K2, CCT, WTW, ACD, LT and axial length were 0.102D, 0.133D, −14.224 µm, −0.018 mm, 0.108 mm, 0.029 mm, and −0.102 mm, respectively. No adverse events were reported in any patients during the measurement process",
        "Conclusions": "This study shows that the measurements obtained using two optical biometers for ocular biometers in eyes with long axial length should be assessed carefully when compared."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCAT304",
      "abstract_number": "POCAT304",
      "title": "Quantitative Cataract Grading Based On Blue-Light Autofluorescence Confocal Imaging.",
      "authors": "Dr Alessandro Arrigo",
      "presenter": "Dr Alessandro Arrigo",
      "normalized_authors": [
        "Alessandro Arrigo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alessandro Arrigo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Cataract is a global leading cause of visual loss. Cataract grading is fundamental to optimize the pre-operative planning and to improve surgical outcome. Study aim is to test a novel, quantitative, objective way to perform cataract grading, non-invasively, in vivo.",
        "Setting": "Clinical practice.",
        "Methods": "This study is designed as cross-sectional, observational. The cataract-related alterations progressively affect the crystalline lens capability of blue-light absorbance. Based on this assumption, we hypothesized that confocal blue-light autofluorescence represents a novel way to perform cataract grading. We involved patients affected by different cataract stages and we compared our quantitative approach to Lens Opacities Classification System III (LOCS III). Moreover, we evaluated the impact of progressively worse cataract-related opacities on the quality of fundus retinal images. The technique is covered by the patent n. PCT/IB2024/054719.",
        "Results": "We included 40 cataract eyes and 40 controls. Our quantitative analysis objectively documented the progressive reduction of blue-light autofluorescence properties as the cataract becomes even advanced, showing significant correlations with LOCS III grading system (p<0.001). Our approach also showed significant correlations with retinal optical coherence tomography (OCT) and blue-light autofluorescence images quality. As the cataract grade increases, the signal-to-noise significantly decreased both for fundus autofluorescence and OCT images, also showing correlations with our proposed quantitative cataract metrics (p<0.001).",
        "Conclusions": "We proposed a novel, objective way to perform cataract grading, non-invasively, in vivo. Our technique, by assessing the biochemical properties of the lens, correlated with LOCS III grading system and the progressive worsening of retinal images quality. Further prospective validation of the approach is warranted to confirm the present findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We proposed a novel, objective way to perform cataract grading, non-invasively, in vivo. Our technique, by assessing the biochemical properties of the lens, correlated with LOCS III grading system and the progressive worsening of retinal images quality. Further prospective validation of the approach is warranted to confirm the present findings.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 343,
      "source_fields": {
        "Abstract Final Identifier": "POCAT304",
        "Title": "Quantitative Cataract Grading Based On Blue-Light Autofluorescence Confocal Imaging.",
        "Presenting Author(s)": "Dr Alessandro Arrigo",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Alessandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arrigo",
        "Country Name": "Italy",
        "Purpose": "Cataract is a global leading cause of visual loss. Cataract grading is fundamental to optimize the pre-operative planning and to improve surgical outcome. Study aim is to test a novel, quantitative, objective way to perform cataract grading, non-invasively, in vivo.",
        "Setting": "Clinical practice.",
        "Methods": "This study is designed as cross-sectional, observational. The cataract-related alterations progressively affect the crystalline lens capability of blue-light absorbance. Based on this assumption, we hypothesized that confocal blue-light autofluorescence represents a novel way to perform cataract grading. We involved patients affected by different cataract stages and we compared our quantitative approach to Lens Opacities Classification System III (LOCS III). Moreover, we evaluated the impact of progressively worse cataract-related opacities on the quality of fundus retinal images. The technique is covered by the patent n. PCT/IB2024/054719.",
        "Results": "We included 40 cataract eyes and 40 controls. Our quantitative analysis objectively documented the progressive reduction of blue-light autofluorescence properties as the cataract becomes even advanced, showing significant correlations with LOCS III grading system (p<0.001). Our approach also showed significant correlations with retinal optical coherence tomography (OCT) and blue-light autofluorescence images quality. As the cataract grade increases, the signal-to-noise significantly decreased both for fundus autofluorescence and OCT images, also showing correlations with our proposed quantitative cataract metrics (p<0.001).",
        "Conclusions": "We proposed a novel, objective way to perform cataract grading, non-invasively, in vivo. Our technique, by assessing the biochemical properties of the lens, correlated with LOCS III grading system and the progressive worsening of retinal images quality. Further prospective validation of the approach is warranted to confirm the present findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POCAT305",
      "abstract_number": "POCAT305",
      "title": "Assessment Of Reading Performance In Premium Iol Using Eyeradar, An Ai-Powered Eye-Tracking Reading Platform",
      "authors": "Mr Minas Aslanidis",
      "presenter": "Mr Minas Aslanidis",
      "normalized_authors": [
        "Minas Aslanidis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ioannis Aslanides",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Visual acuity (VA) remains the standard clinical endpoint following cataract surgery, yet it correlates poorly with patients' functional reading ability and quality of life. This study aimed to evaluate functional silent reading performance in patients undergoing phacoemulsification with IOL implantation using AI-powered eye-tracking technology (eyeRadar), supplementing VA with objective, multidimensional oculomotor indices to better capture real-world reading outcomes.",
        "Setting": "Emmetropia Eye Institute, Heraklion, Crete, Greece",
        "Methods": "Patients scheduled for phacoemulsification with monofocal or premium IOL implantation were prospectively assessed pre-operatively and at 1 and 3 months post-operatively. Reading performance was evaluated using the eyeRadar (Emmetropia Research Lab, Greece), which records binocular eye movements at 90Hz during standardised passage reading. Parameters analysed included reading speed (words per minute), fixation duration, forward fixations per word, saccade length, and regression frequency. Standard corrected distance and near VA (logMAR) were recorded at each visit.",
        "Results": "Post-operatively, significant improvements in reading speed and oculomotor efficiency were observed compared to baseline. Forward fixation frequency and regression rates normalised progressively at 1 and 3 months. Premium IOL recipients demonstrated statistically superior reading fluency indices compared to monofocal IOL recipients at 3 months, despite comparable near VA measurements. VA correlated weakly with oculomotor reading indices, confirming its limited value as a standalone functional outcome measure.",
        "Conclusions": "AI-powered eye-tracking assessment using eyeRadar provides a novel, dynamic assessment of the human visual performance following cataract surgery, capturing oculomotor dimensions that standard static VA measurements fail to reflect. This methodology enables clinicians to monitor recovery trajectory, differentiate IOL performance in terms of real-world reading function, and better align surgical outcomes with patient quality-of-life expectations. Eye-tracking-based reading assessment represents a promising new standard for dynamic evaluation of vision post cataract and refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-powered eye-tracking assessment using eyeRadar provides a novel, dynamic assessment of the human visual performance following cataract surgery, capturing oculomotor dimensions that standard static VA measurements fail to reflect. This methodology enables clinicians to monitor recovery trajectory, differentiate IOL performance in terms of real-world reading function, and better align surgical outcomes with…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 344,
      "source_fields": {
        "Abstract Final Identifier": "POCAT305",
        "Title": "Assessment Of Reading Performance In Premium Iol Using Eyeradar, An Ai-Powered Eye-Tracking Reading Platform",
        "Presenting Author(s)": "Mr Minas Aslanidis",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Ioannis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aslanides",
        "Country Name": "Greece",
        "Purpose": "Visual acuity (VA) remains the standard clinical endpoint following cataract surgery, yet it correlates poorly with patients' functional reading ability and quality of life. This study aimed to evaluate functional silent reading performance in patients undergoing phacoemulsification with IOL implantation using AI-powered eye-tracking technology (eyeRadar), supplementing VA with objective, multidimensional oculomotor indices to better capture real-world reading outcomes.",
        "Setting": "Emmetropia Eye Institute, Heraklion, Crete, Greece",
        "Methods": "Patients scheduled for phacoemulsification with monofocal or premium IOL implantation were prospectively assessed pre-operatively and at 1 and 3 months post-operatively. Reading performance was evaluated using the eyeRadar (Emmetropia Research Lab, Greece), which records binocular eye movements at 90Hz during standardised passage reading. Parameters analysed included reading speed (words per minute), fixation duration, forward fixations per word, saccade length, and regression frequency. Standard corrected distance and near VA (logMAR) were recorded at each visit.",
        "Results": "Post-operatively, significant improvements in reading speed and oculomotor efficiency were observed compared to baseline. Forward fixation frequency and regression rates normalised progressively at 1 and 3 months. Premium IOL recipients demonstrated statistically superior reading fluency indices compared to monofocal IOL recipients at 3 months, despite comparable near VA measurements. VA correlated weakly with oculomotor reading indices, confirming its limited value as a standalone functional outcome measure.",
        "Conclusions": "AI-powered eye-tracking assessment using eyeRadar provides a novel, dynamic assessment of the human visual performance following cataract surgery, capturing oculomotor dimensions that standard static VA measurements fail to reflect. This methodology enables clinicians to monitor recovery trajectory, differentiate IOL performance in terms of real-world reading function, and better align surgical outcomes with patient quality-of-life expectations. Eye-tracking-based reading assessment represents a promising new standard for dynamic evaluation of vision post cataract and refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POCAT306",
      "abstract_number": "POCAT306",
      "title": "Determinants Of Angle Kappa And Angle Alpha In Patients Evaluated For Cataract Surgery",
      "authors": "Dr Ayca Bulut Ustael",
      "presenter": "Dr Ayca Bulut Ustael",
      "normalized_authors": [
        "Ayca Bulut Ustael"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayca Bulut Ustael",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Angle kappa and angle alpha are defined as the spatial offsets between the visual axis and the pupillary and optical axes, respectively, and are clinically relevant in cataract surgery. This study aimed to investigate demographic factors including body mass index, corneal tomographic, and ocular biometric factors associated with angle kappa and angle alpha in patients evaluated for cataract surgery.",
        "Setting": "University of Health Sciences, Ankara Bilkent City Hospital.",
        "Methods": "This retrospective cross-sectional study included 309 eyes of 309 patients evaluated preoperatively for cataract surgery. Angle kappa and angle alpha were measured as chord length, and corneal tomographic parameters were obtained using Scheimpflug-based Pentacam. These parameters included simulated keratometry values, BAD-D, total higher-order aberrations, pachymetric parameters, anterior chamber depth, anterior chamber volume, anterior chamber angle, horizontal white-to-white distance, pupil diameter, and Q value. Axial length and lens thickness were measured using the Lenstar LS 900. Age, sex, and body mass index were recorded. Associations were assessed using Pearson correlation analysis and multivariable linear regression models.",
        "Results": "The mean age was 69.8±8.5 years,and 55% were female.Mean angle kappa and angle alpha as chord length were 0.264±0.133 and 0.475±0.153 mm,respectively.Angle kappa showed a weak positive correlation with age(r=0.142,p=0.012) and significant negative correlations with axial length(r=−0.157,p=0.006)and anterior chamber volume and angle(r=−0.316 and −0.325,p<0.001).Angle alpha was negatively correlated with axial length(r=−0.154,p=0.007)and anterior chamber volume and angle(r=−0.191 and −0.185,p≤0.001),and total corneal spherical aberration(Z4⁰)(r=−0.254,p<0.001).Body mass index and keratometry values were not associated with angle kappa or angle alpha,whereas anterior chamber configuration parameters were the strongest independent determinants.",
        "Conclusions": "Angle kappa and angle alpha, measured as chord length using Scheimpflug tomography, are primarily influenced by anterior segment anatomy rather than systemic factors or corneal curvature. Smaller anterior chamber dimensions are associated with increased chord values. These findings may have important clinical implications for centration strategies in cataract and refractive surgery, particularly in candidates for premium intraocular lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Angle kappa and angle alpha, measured as chord length using Scheimpflug tomography, are primarily influenced by anterior segment anatomy rather than systemic factors or corneal curvature. Smaller anterior chamber dimensions are associated with increased chord values. These findings may have important clinical implications for centration strategies in cataract and refractive surgery, particularly in candidates for…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 345,
      "source_fields": {
        "Abstract Final Identifier": "POCAT306",
        "Title": "Determinants Of Angle Kappa And Angle Alpha In Patients Evaluated For Cataract Surgery",
        "Presenting Author(s)": "Dr Ayca Bulut Ustael",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Ayca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bulut Ustael",
        "Country Name": "Türkiye",
        "Purpose": "Angle kappa and angle alpha are defined as the spatial offsets between the visual axis and the pupillary and optical axes, respectively, and are clinically relevant in cataract surgery. This study aimed to investigate demographic factors including body mass index, corneal tomographic, and ocular biometric factors associated with angle kappa and angle alpha in patients evaluated for cataract surgery.",
        "Setting": "University of Health Sciences, Ankara Bilkent City Hospital.",
        "Methods": "This retrospective cross-sectional study included 309 eyes of 309 patients evaluated preoperatively for cataract surgery. Angle kappa and angle alpha were measured as chord length, and corneal tomographic parameters were obtained using Scheimpflug-based Pentacam. These parameters included simulated keratometry values, BAD-D, total higher-order aberrations, pachymetric parameters, anterior chamber depth, anterior chamber volume, anterior chamber angle, horizontal white-to-white distance, pupil diameter, and Q value. Axial length and lens thickness were measured using the Lenstar LS 900. Age, sex, and body mass index were recorded. Associations were assessed using Pearson correlation analysis and multivariable linear regression models.",
        "Results": "The mean age was 69.8±8.5 years,and 55% were female.Mean angle kappa and angle alpha as chord length were 0.264±0.133 and 0.475±0.153 mm,respectively.Angle kappa showed a weak positive correlation with age(r=0.142,p=0.012) and significant negative correlations with axial length(r=−0.157,p=0.006)and anterior chamber volume and angle(r=−0.316 and −0.325,p<0.001).Angle alpha was negatively correlated with axial length(r=−0.154,p=0.007)and anterior chamber volume and angle(r=−0.191 and −0.185,p≤0.001),and total corneal spherical aberration(Z4⁰)(r=−0.254,p<0.001).Body mass index and keratometry values were not associated with angle kappa or angle alpha,whereas anterior chamber configuration parameters were the strongest independent determinants.",
        "Conclusions": "Angle kappa and angle alpha, measured as chord length using Scheimpflug tomography, are primarily influenced by anterior segment anatomy rather than systemic factors or corneal curvature. Smaller anterior chamber dimensions are associated with increased chord values. These findings may have important clinical implications for centration strategies in cataract and refractive surgery, particularly in candidates for premium intraocular lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCAT307",
      "abstract_number": "POCAT307",
      "title": "Exploring The Relationship Between Visual Acuity Outcomes & Patient-Reported Outcome Measures Using The Cat-Prom5 Questionnaire In Cataract Surgery",
      "authors": "Dr Katherine Elizabeth Byles",
      "presenter": "Dr Katherine Elizabeth Byles",
      "normalized_authors": [
        "Katherine Elizabeth Byles"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Katherine Elizabeth Byles",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "In patients undergoing cataract surgery, it has been standard practice for visual outcomes such as change in visual acuity to be used to measure the success of surgery. It is now recognised that this potentially overlooks the impact on patients’ quality of life, which is the primary purpose of cataract surgery. The Cat-PROM5 questionnaire is a simple, validated tool that can be used to compare pre- & post-operative symptoms relating to cataracts. This allows outcomes of surgery which are meaningful to the patients to be quantified & analysed.",
        "Setting": "An independent ophthalmic surgical partnership of 8 cataract surgeons in Exeter, United Kingdom.",
        "Methods": "Patients undergoing cataract surgery in 2025 were invited to carry out the Cat-PROM5 questionnaire one week prior to cataract surgery & then 6 weeks post operatively, using an eyecare data platform (Lutra health). Patients were contacted either via SMS or email to fill out the questionnaire. Basic patient demographics, procedure type & intraocular lens implant type, laterality & visual acuity outcomes, collected as part of routine clinical care, were also analysed for the cohort.",
        "Results": "186 PROMs had 77% response rate for the pre, 66% for post & 56% for both, allowing. In responders to the pre, the mean age was 74.1 & 74.3 for non-responders. 12 had deltaPROM (dP) >0 (a negative outcome) & 93 had a dP score ≤0. Mean dP was -4.17. There was no trend in dP by age.\n\nVisual acuity (VA) and dP data was available for 87 patients. The average VA change was -0.30 logMAR. Patients with dP >0, mean VA change = -0.07 & for dP ≤0 the mean VA change was -0.33. In quartiles by VA change, the quartile with the most VA gain (Q1), dP = -5.36, Q2 = -5.00, Q3 = -4.5 & Q4 = -2.86.\n\nPatients using health insurance, dP = -4.36 & patients self funding, dP = -4.3. Monofocal lens had a dP = -4.43 & for extended depth of focus lenses dP = -5.45.",
        "Conclusions": "CatPROM5 scores map closely to Visual Acuity trends & are a useful measure of patient satisfaction & give insight as the impact of patient choice in the cataract surgery journey. This further bolsters the case that PROMS add meaningful insight beyond traditional clinical outcome metrics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CatPROM5 scores map closely to Visual Acuity trends & are a useful measure of patient satisfaction & give insight as the impact of patient choice in the cataract surgery journey. This further bolsters the case that PROMS add meaningful insight beyond traditional clinical outcome metrics.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 346,
      "source_fields": {
        "Abstract Final Identifier": "POCAT307",
        "Title": "Exploring The Relationship Between Visual Acuity Outcomes & Patient-Reported Outcome Measures Using The Cat-Prom5 Questionnaire In Cataract Surgery",
        "Presenting Author(s)": "Dr Katherine Elizabeth Byles",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Katherine",
        "Submitter Middle Name": "Elizabeth",
        "Submitter Last Name": "Byles",
        "Country Name": "United Kingdom",
        "Purpose": "In patients undergoing cataract surgery, it has been standard practice for visual outcomes such as change in visual acuity to be used to measure the success of surgery. It is now recognised that this potentially overlooks the impact on patients’ quality of life, which is the primary purpose of cataract surgery. The Cat-PROM5 questionnaire is a simple, validated tool that can be used to compare pre- & post-operative symptoms relating to cataracts. This allows outcomes of surgery which are meaningful to the patients to be quantified & analysed.",
        "Setting": "An independent ophthalmic surgical partnership of 8 cataract surgeons in Exeter, United Kingdom.",
        "Methods": "Patients undergoing cataract surgery in 2025 were invited to carry out the Cat-PROM5 questionnaire one week prior to cataract surgery & then 6 weeks post operatively, using an eyecare data platform (Lutra health). Patients were contacted either via SMS or email to fill out the questionnaire. Basic patient demographics, procedure type & intraocular lens implant type, laterality & visual acuity outcomes, collected as part of routine clinical care, were also analysed for the cohort.",
        "Results": "186 PROMs had 77% response rate for the pre, 66% for post & 56% for both, allowing. In responders to the pre, the mean age was 74.1 & 74.3 for non-responders. 12 had deltaPROM (dP) >0 (a negative outcome) & 93 had a dP score ≤0. Mean dP was -4.17. There was no trend in dP by age.\n\nVisual acuity (VA) and dP data was available for 87 patients. The average VA change was -0.30 logMAR. Patients with dP >0, mean VA change = -0.07 & for dP ≤0 the mean VA change was -0.33. In quartiles by VA change, the quartile with the most VA gain (Q1), dP = -5.36, Q2 = -5.00, Q3 = -4.5 & Q4 = -2.86.\n\nPatients using health insurance, dP = -4.36 & patients self funding, dP = -4.3. Monofocal lens had a dP = -4.43 & for extended depth of focus lenses dP = -5.45.",
        "Conclusions": "CatPROM5 scores map closely to Visual Acuity trends & are a useful measure of patient satisfaction & give insight as the impact of patient choice in the cataract surgery journey. This further bolsters the case that PROMS add meaningful insight beyond traditional clinical outcome metrics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCAT308",
      "abstract_number": "POCAT308",
      "title": "Early Experience With A Swept-Source Optical Coherence Tomography (Oct) Biometer With Image Guidance",
      "authors": "Dr Fook-Meng Cheong",
      "presenter": "Dr Fook-Meng Cheong",
      "normalized_authors": [
        "Fook-Meng Cheong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fook-Meng Cheong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To evaluate the reliability and consistency of measurements of a new swept-source OCT biometer (SS-OCT) with image guidance in relation to a pre-existing OLCR based optical biometer.",
        "Setting": "Private multi-disciplinary hospital",
        "Methods": "A comparative prospective study involving 36 consecutive non-compromised eyes with uncomplicated cataract surgery performed by a single surgeon in a standard manner. Standard pre-operative biometry measurements were performed by a single operator using both biometry machines for each eye. Acquisition rates and standard biometric measurement parameters were compared. The SS-OCT used non-personalised standard manufacturers' A-constants for its IOL power calculations. Refractive outcomes were assessed between 1 and 2 months post-op.",
        "Results": "The new swept-source OCT biometer achieved 100% acquisition rate for all 36 eyes. With the sum of segment mode of axial length measurements, the SS-OCT tended to give shorter axial lengths for eyes longer than 26mm and longer lengths for eyes shorter than 22mm but the differences were not statistically significant. Post-op refractive outcomes were comparable, with 90.5% of eyes coming within 0.50D of predicted outcomes. The SS-OCT achieved 100% transposition rate from image capture in clinic to image guided surgery under the operating microscope for incision placements, CCC centration, toric axes markings and IOL orientation. The OLCR biometer did not have image guidance function.",
        "Conclusions": "The new swept-source OCT biometer with image guidance was found to be efficient to use, with 100% measurement acquisition and image guidance transposition rates. Biometric measurements were consistent, providing predictable post-op refractive outcomes. These were comparable to the pre-existing OLCR based optical biometer."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new swept-source OCT biometer with image guidance was found to be efficient to use, with 100% measurement acquisition and image guidance transposition rates. Biometric measurements were consistent, providing predictable post-op refractive outcomes. These were comparable to the pre-existing OLCR based optical biometer.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 347,
      "source_fields": {
        "Abstract Final Identifier": "POCAT308",
        "Title": "Early Experience With A Swept-Source Optical Coherence Tomography (Oct) Biometer With Image Guidance",
        "Presenting Author(s)": "Dr Fook-Meng Cheong",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Fook-Meng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cheong",
        "Country Name": "Malaysia",
        "Purpose": "To evaluate the reliability and consistency of measurements of a new swept-source OCT biometer (SS-OCT) with image guidance in relation to a pre-existing OLCR based optical biometer.",
        "Setting": "Private multi-disciplinary hospital",
        "Methods": "A comparative prospective study involving 36 consecutive non-compromised eyes with uncomplicated cataract surgery performed by a single surgeon in a standard manner. Standard pre-operative biometry measurements were performed by a single operator using both biometry machines for each eye. Acquisition rates and standard biometric measurement parameters were compared. The SS-OCT used non-personalised standard manufacturers' A-constants for its IOL power calculations. Refractive outcomes were assessed between 1 and 2 months post-op.",
        "Results": "The new swept-source OCT biometer achieved 100% acquisition rate for all 36 eyes. With the sum of segment mode of axial length measurements, the SS-OCT tended to give shorter axial lengths for eyes longer than 26mm and longer lengths for eyes shorter than 22mm but the differences were not statistically significant. Post-op refractive outcomes were comparable, with 90.5% of eyes coming within 0.50D of predicted outcomes. The SS-OCT achieved 100% transposition rate from image capture in clinic to image guided surgery under the operating microscope for incision placements, CCC centration, toric axes markings and IOL orientation. The OLCR biometer did not have image guidance function.",
        "Conclusions": "The new swept-source OCT biometer with image guidance was found to be efficient to use, with 100% measurement acquisition and image guidance transposition rates. Biometric measurements were consistent, providing predictable post-op refractive outcomes. These were comparable to the pre-existing OLCR based optical biometer."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCAT309",
      "abstract_number": "POCAT309",
      "title": "Evaluation Of Corneal Endothelium By Specular Microscopy In Pseudoexfoliation Syndrome In Tripoli Eye Hospital",
      "authors": "Dr Amal M Elbahi",
      "presenter": "Dr Amal M Elbahi",
      "normalized_authors": [
        "Amal M Elbahi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amal M Elbahi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Libya",
      "sections": {
        "Purpose": "To evaluate the corneal endothelial cell density and morphology in Libyan patients with\nPseudoexfolition syndrome.",
        "Setting": "Pseudoexfolition causes characteristic corneal endothelial change leading to corneal\ndecompensation and loss of corneal transparency severely affecting vision",
        "Methods": "The present study was hospital-based cross-sectional observational study, which included 80 patients was conducted at OPD in the TEH planned for cataract surgery, two groups were formed, namely the PES group and the control group (The right eyes of 40 patients were diagnosed with\npseudoexfoliation material by slit lamp examination and the right eyes of 40 patients in control group without any eye problems were examined.Specular microscopy was performed on all eyes to evaluate corneal endothelial cell density (END); coefficient of variation (CV) in cell size, percentage of hexagonal cell; and central corneal thickness (CCT).",
        "Results": "The mean ECD was 2191.657±598.81in PES group and 2581.775±239.15 in control group ,the ECD in PES group was significantly lower than in that in the control group (p=0.007).The percentage of hexagonal was 50 in PES group and 54 in the control group , the percentage of hexagonal cell was significantly lower than in the control group (p=0.002).The cell size coefficient of variation was 34.8±3.546 in PES group and 30.15±2.751 in the control group , and patients with PES had significant difference in cell size coefficient of variation compared to control group ( p=0.008). The CCT was 500.675in the PES group and 507.45 in control group and the CCT in PES group was no statistically significant difference in CCT compared to control group (P=0.321).",
        "Conclusions": "Serious morphological changes occur in the corneal endothelium in patients with PES. Because of\nthese changes in the corneal endothelium, it is recommended to perform specular microscopy\nmeasurement before cataract surgery for all patients who have PES detected in their examination."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Serious morphological changes occur in the corneal endothelium in patients with PES. Because of these changes in the corneal endothelium, it is recommended to perform specular microscopy measurement before cataract surgery for all patients who have PES detected in their examination.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 348,
      "source_fields": {
        "Abstract Final Identifier": "POCAT309",
        "Title": "Evaluation Of Corneal Endothelium By Specular Microscopy In Pseudoexfoliation Syndrome In Tripoli Eye Hospital",
        "Presenting Author(s)": "Dr Amal M Elbahi",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Amal",
        "Submitter Middle Name": "M",
        "Submitter Last Name": "Elbahi",
        "Country Name": "Libya",
        "Purpose": "To evaluate the corneal endothelial cell density and morphology in Libyan patients with\nPseudoexfolition syndrome.",
        "Setting": "Pseudoexfolition causes characteristic corneal endothelial change leading to corneal\ndecompensation and loss of corneal transparency severely affecting vision",
        "Methods": "The present study was hospital-based cross-sectional observational study, which included 80 patients was conducted at OPD in the TEH planned for cataract surgery, two groups were formed, namely the PES group and the control group (The right eyes of 40 patients were diagnosed with\npseudoexfoliation material by slit lamp examination and the right eyes of 40 patients in control group without any eye problems were examined.Specular microscopy was performed on all eyes to evaluate corneal endothelial cell density (END); coefficient of variation (CV) in cell size, percentage of hexagonal cell; and central corneal thickness (CCT).",
        "Results": "The mean ECD was 2191.657±598.81in PES group and 2581.775±239.15 in control group ,the ECD in PES group was significantly lower than in that in the control group (p=0.007).The percentage of hexagonal was 50 in PES group and 54 in the control group , the percentage of hexagonal cell was significantly lower than in the control group (p=0.002).The cell size coefficient of variation was 34.8±3.546 in PES group and 30.15±2.751 in the control group , and patients with PES had significant difference in cell size coefficient of variation compared to control group ( p=0.008). The CCT was 500.675in the PES group and 507.45 in control group and the CCT in PES group was no statistically significant difference in CCT compared to control group (P=0.321).",
        "Conclusions": "Serious morphological changes occur in the corneal endothelium in patients with PES. Because of\nthese changes in the corneal endothelium, it is recommended to perform specular microscopy\nmeasurement before cataract surgery for all patients who have PES detected in their examination."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCAT310",
      "abstract_number": "POCAT310",
      "title": "Growth Hormone Therapy And Ocular Growth In Children: A Prospective Study Of Refraction And Axial Length",
      "authors": "Mr Carlos Augusto Ferraresi Sampaio",
      "presenter": "Mr Carlos Augusto Ferraresi Sampaio",
      "normalized_authors": [
        "Carlos Augusto Ferraresi Sampaio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carlos Augusto Ferraresi Sampaio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate the effect of growth hormone (GH) replacement therapy on refractive and biometric ocular parameters in children. GH influences somatic growth and may modulate ocular development through IGF-1–mediated mechanisms affecting axial elongation and the emmetropization process. Clinical evidence in pediatric populations remains limited. Given concerns regarding accelerated somatic growth and potential ocular elongation, understanding the ocular effects of GH therapy is clinically relevant. This study assessed whether GH therapy is associated with short-term changes in refraction and axial length in a prospective pediatric cohort.",
        "Setting": "Prospective observational study conducted in a tertiary multidisciplinary pediatric endocrine-ophthalmology setting.",
        "Methods": "Prospective longitudinal study including children aged 7-13 years receiving GH therapy and age-matched controls. Comprehensive ophthalmologic assessment included standardized cycloplegic refraction, slit-lamp and fundus examination, corneal topography, and optical biometry for axial length (AL) measurement. All examinations were performed by a single masked examiner using the same device. GH-treated patients were reassessed after six months. Intergroup comparisons used independent t-tests; longitudinal changes were analyzed using paired tests (p<0.05).",
        "Results": "Twelve children were included (mean age 10.5±1.8 years; 16.7% male). Anterior and posterior segment exams were normal in all participants. No significant intergroup differences were observed in corneal astigmatism in the right eye (OD) and left eye (OS) (p=0.915 and p=0.992, respectively). Mean axial length (AL) did not differ between GH-treated and controls (OD 22.17±0.66 vs 23.4±1.4 mm, p=0.088; OS 22.17±0.72 vs 23.3±1.4 mm, p=0.108). In longitudinal analysis of GH-treated patients, corneal parameters remained stable (OD p=0.584; OS p=0.975). AL remained stable in the right eye (22.13±0.64 vs 22.17±0.66 mm, p=0.101) but increased in the left eye (22.11±0.71 vs 22.17±0.72 mm, p=0.021). No refractive changes were observed during follow-up.",
        "Conclusions": "Short-term GH therapy was not associated with relevant refractive or biometric changes. A small unilateral axial increase was detected, but of uncertain clinical significance. These findings suggest a limited short-term impact of GH on ocular growth and support periodic ophthalmologic monitoring in treated children. Larger studies with longer follow-up are needed to clarify potential cumulative effects on refractive development."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Short-term GH therapy was not associated with relevant refractive or biometric changes. A small unilateral axial increase was detected, but of uncertain clinical significance. These findings suggest a limited short-term impact of GH on ocular growth and support periodic ophthalmologic monitoring in treated children. Larger studies with longer follow-up are needed to clarify potential cumulative effects on…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 349,
      "source_fields": {
        "Abstract Final Identifier": "POCAT310",
        "Title": "Growth Hormone Therapy And Ocular Growth In Children: A Prospective Study Of Refraction And Axial Length",
        "Presenting Author(s)": "Mr Carlos Augusto Ferraresi Sampaio",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Carlos Augusto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ferraresi Sampaio",
        "Country Name": "Brazil",
        "Purpose": "To evaluate the effect of growth hormone (GH) replacement therapy on refractive and biometric ocular parameters in children. GH influences somatic growth and may modulate ocular development through IGF-1–mediated mechanisms affecting axial elongation and the emmetropization process. Clinical evidence in pediatric populations remains limited. Given concerns regarding accelerated somatic growth and potential ocular elongation, understanding the ocular effects of GH therapy is clinically relevant. This study assessed whether GH therapy is associated with short-term changes in refraction and axial length in a prospective pediatric cohort.",
        "Setting": "Prospective observational study conducted in a tertiary multidisciplinary pediatric endocrine-ophthalmology setting.",
        "Methods": "Prospective longitudinal study including children aged 7-13 years receiving GH therapy and age-matched controls. Comprehensive ophthalmologic assessment included standardized cycloplegic refraction, slit-lamp and fundus examination, corneal topography, and optical biometry for axial length (AL) measurement. All examinations were performed by a single masked examiner using the same device. GH-treated patients were reassessed after six months. Intergroup comparisons used independent t-tests; longitudinal changes were analyzed using paired tests (p<0.05).",
        "Results": "Twelve children were included (mean age 10.5±1.8 years; 16.7% male). Anterior and posterior segment exams were normal in all participants. No significant intergroup differences were observed in corneal astigmatism in the right eye (OD) and left eye (OS) (p=0.915 and p=0.992, respectively). Mean axial length (AL) did not differ between GH-treated and controls (OD 22.17±0.66 vs 23.4±1.4 mm, p=0.088; OS 22.17±0.72 vs 23.3±1.4 mm, p=0.108). In longitudinal analysis of GH-treated patients, corneal parameters remained stable (OD p=0.584; OS p=0.975). AL remained stable in the right eye (22.13±0.64 vs 22.17±0.66 mm, p=0.101) but increased in the left eye (22.11±0.71 vs 22.17±0.72 mm, p=0.021). No refractive changes were observed during follow-up.",
        "Conclusions": "Short-term GH therapy was not associated with relevant refractive or biometric changes. A small unilateral axial increase was detected, but of uncertain clinical significance. These findings suggest a limited short-term impact of GH on ocular growth and support periodic ophthalmologic monitoring in treated children. Larger studies with longer follow-up are needed to clarify potential cumulative effects on refractive development."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "POCAT311",
      "abstract_number": "POCAT311",
      "title": "Evaluating The Efficacy Of A Mobile Phone Base Application For Self Assessment Of Visual Acuity For Singaporean Patients",
      "authors": "Dr Jasmine Yaowei Ge",
      "presenter": "Dr Jasmine Yaowei Ge",
      "normalized_authors": [
        "Jasmine Yaowei Ge"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jasmine Yaowei Ge",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Assessment of visual acuity(VA) is an essential component of the functional evaluation of patients\npresenting to ophthalmologists. The information allows the clinician to assess if there is any visual\nimpairment as well as to monitor for visual deterioration in patients with eye conditions as well as\nfunctional recovery after treatment.",
        "Setting": "A single center, prospective observational cohort study was conducted to evaluate the efficacy and\naccuracy of a mobile phone base application (EySEE) for self assessment of visual acuity.",
        "Methods": "Instructions were given in the patient’s preferred language (English or Mandarin) on the use of mobile Eysee app via an educational video on how to navigate the app. A suitable mobile phone provided by the study team will be used to conduct the Eysee mobile VA test on patients. The clinical VA testing in LogMAR for distance and near was then done by a blinded evaluator.",
        "Results": "EySEE app demonstrated good agreement with clinical VA measurements, with 75.39% of assessments falling within 2 lines of clinical VA. Agreement rates were higher for patients with good VA (77.14% within 2 lines for VA better than 6/12) than those with moderate VA (72.72% within 2 lines) and poor VA (41.18% within 2 lines). Age emerged as a significant factor influencing agreement rates, with patients aged 70 years and younger achieving 84% agreement within 2 lines, which was further corroborated by multivariate analysis. In addition, root mean squared error (RMSE) analysis indicated that the app's repeatability was 0.145 within 2 lines, which is comparable to the variability observed in standard clinical VA measurements which was 0.151.",
        "Conclusions": "EySEE mobile app shows good agreement with clinical VA measurements. It offers a practical solution\nfor consistent, accurate home-based VA monitoring and reducing dependency on clinical visits,\nthereby enhancing healthcare accessibility and efficiency, and improving patient flow"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EySEE mobile app shows good agreement with clinical VA measurements. It offers a practical solution for consistent, accurate home-based VA monitoring and reducing dependency on clinical visits, thereby enhancing healthcare accessibility and efficiency, and improving patient flow",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 350,
      "source_fields": {
        "Abstract Final Identifier": "POCAT311",
        "Title": "Evaluating The Efficacy Of A Mobile Phone Base Application For Self Assessment Of Visual Acuity For Singaporean Patients",
        "Presenting Author(s)": "Dr Jasmine Yaowei Ge",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Jasmine",
        "Submitter Middle Name": "Yaowei",
        "Submitter Last Name": "Ge",
        "Country Name": "Singapore",
        "Purpose": "Assessment of visual acuity(VA) is an essential component of the functional evaluation of patients\npresenting to ophthalmologists. The information allows the clinician to assess if there is any visual\nimpairment as well as to monitor for visual deterioration in patients with eye conditions as well as\nfunctional recovery after treatment.",
        "Setting": "A single center, prospective observational cohort study was conducted to evaluate the efficacy and\naccuracy of a mobile phone base application (EySEE) for self assessment of visual acuity.",
        "Methods": "Instructions were given in the patient’s preferred language (English or Mandarin) on the use of mobile Eysee app via an educational video on how to navigate the app. A suitable mobile phone provided by the study team will be used to conduct the Eysee mobile VA test on patients. The clinical VA testing in LogMAR for distance and near was then done by a blinded evaluator.",
        "Results": "EySEE app demonstrated good agreement with clinical VA measurements, with 75.39% of assessments falling within 2 lines of clinical VA. Agreement rates were higher for patients with good VA (77.14% within 2 lines for VA better than 6/12) than those with moderate VA (72.72% within 2 lines) and poor VA (41.18% within 2 lines). Age emerged as a significant factor influencing agreement rates, with patients aged 70 years and younger achieving 84% agreement within 2 lines, which was further corroborated by multivariate analysis. In addition, root mean squared error (RMSE) analysis indicated that the app's repeatability was 0.145 within 2 lines, which is comparable to the variability observed in standard clinical VA measurements which was 0.151.",
        "Conclusions": "EySEE mobile app shows good agreement with clinical VA measurements. It offers a practical solution\nfor consistent, accurate home-based VA monitoring and reducing dependency on clinical visits,\nthereby enhancing healthcare accessibility and efficiency, and improving patient flow"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCAT312",
      "abstract_number": "POCAT312",
      "title": "Beyond Visual Acuity: Digital Functional Vision Assessment Reveals Real-World Performance After Premium Iol Implantation",
      "authors": "Dr Nicola Hauranieh",
      "presenter": "Dr Nicola Hauranieh",
      "normalized_authors": [
        "Nicola Hauranieh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicola Hauranieh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Premium (IOL) technologies aim to improve visual performance at multiple distances and reduce spectacle dependence. However, conventional visual acuity testing may not fully capture functional visual performance during everyday activities such as reading, digital screen use or night driving. This study evaluated whether digital functional vision assessment combined with patient-reported outcome measures provides additional insight into real-world visual performance after implantation of different IOL technologies and whether these measures may support more personalized IOL selection in routine clinical practice.",
        "Setting": "Single-center eye clinic. Patients who underwent cataract surgery with implantation of monofocal, EDOF, or trifocal IOLs between 2022 and 2025 were evaluated postoperatively under standardized clinical conditions with consistent testing protocols and controlled lighting environments.",
        "Methods": "An observational cohort study included 74 patients who underwent uneventful cataract surgery with implantation of monofocal, EDOF, or trifocal IOLs between 2022 and 2025. Visual performance was assessed using ETDRS charts at far, intermediate, and near distances. Digital functional testing with a tablet-based mHealth application generated an algorithm-derived composite functional visual performance score from standardized tasks and calibrated simulations of everyday near (30–40 cm) and intermediate (60–80 cm) viewing. Patient-reported outcomes were collected using the Near Activity Visual Questionnaire (NAVQ) and the Quality of Vision (QoV) questionnaire. Defocus curves were generated to analyse functional visual range.",
        "Results": "All IOL groups demonstrated significant postoperative improvement in visual acuity for far distance. Premium IOL technologies provided greater spectacle independence and improved performance for intermediate and near tasks. Functional visual performance scores showed significant association with NAVQ and QoV outcomes (p<0.05). Assessment based on simulated real-life visual tasks reflected patient-perceived visual quality and helped characterise differences among IOL technologies beyond standard visual acuity, particularly for intermediate and near visual demands.",
        "Conclusions": "Digital functional vision assessment combined with patient-reported outcomes provides additional insight into real-world visual performance after cataract surgery. Integrating these tools with traditional visual acuity testing may improve evaluation of visual quality and support more personalized IOL selection in modern cataract and refractive surgery. These approaches may also enhance preoperative counseling, postoperative outcome assessment, and alignment between patient expectations and visual experience, while contributing to more standardized assessment of visual outcomes across IOL types and clinical settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Digital functional vision assessment combined with patient-reported outcomes provides additional insight into real-world visual performance after cataract surgery. Integrating these tools with traditional visual acuity testing may improve evaluation of visual quality and support more personalized IOL selection in modern cataract and refractive surgery. These approaches may also enhance preoperative counseling,…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 351,
      "source_fields": {
        "Abstract Final Identifier": "POCAT312",
        "Title": "Beyond Visual Acuity: Digital Functional Vision Assessment Reveals Real-World Performance After Premium Iol Implantation",
        "Presenting Author(s)": "Dr Nicola Hauranieh",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Nicola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hauranieh",
        "Country Name": "Italy",
        "Purpose": "Premium (IOL) technologies aim to improve visual performance at multiple distances and reduce spectacle dependence. However, conventional visual acuity testing may not fully capture functional visual performance during everyday activities such as reading, digital screen use or night driving. This study evaluated whether digital functional vision assessment combined with patient-reported outcome measures provides additional insight into real-world visual performance after implantation of different IOL technologies and whether these measures may support more personalized IOL selection in routine clinical practice.",
        "Setting": "Single-center eye clinic. Patients who underwent cataract surgery with implantation of monofocal, EDOF, or trifocal IOLs between 2022 and 2025 were evaluated postoperatively under standardized clinical conditions with consistent testing protocols and controlled lighting environments.",
        "Methods": "An observational cohort study included 74 patients who underwent uneventful cataract surgery with implantation of monofocal, EDOF, or trifocal IOLs between 2022 and 2025. Visual performance was assessed using ETDRS charts at far, intermediate, and near distances. Digital functional testing with a tablet-based mHealth application generated an algorithm-derived composite functional visual performance score from standardized tasks and calibrated simulations of everyday near (30–40 cm) and intermediate (60–80 cm) viewing. Patient-reported outcomes were collected using the Near Activity Visual Questionnaire (NAVQ) and the Quality of Vision (QoV) questionnaire. Defocus curves were generated to analyse functional visual range.",
        "Results": "All IOL groups demonstrated significant postoperative improvement in visual acuity for far distance. Premium IOL technologies provided greater spectacle independence and improved performance for intermediate and near tasks. Functional visual performance scores showed significant association with NAVQ and QoV outcomes (p<0.05). Assessment based on simulated real-life visual tasks reflected patient-perceived visual quality and helped characterise differences among IOL technologies beyond standard visual acuity, particularly for intermediate and near visual demands.",
        "Conclusions": "Digital functional vision assessment combined with patient-reported outcomes provides additional insight into real-world visual performance after cataract surgery. Integrating these tools with traditional visual acuity testing may improve evaluation of visual quality and support more personalized IOL selection in modern cataract and refractive surgery. These approaches may also enhance preoperative counseling, postoperative outcome assessment, and alignment between patient expectations and visual experience, while contributing to more standardized assessment of visual outcomes across IOL types and clinical settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "POCAT313",
      "abstract_number": "POCAT313",
      "title": "Irradiated Sight: The Lens, The Light,And The Damage",
      "authors": "Dr Ayushman Khanna",
      "presenter": "Dr Ayushman Khanna",
      "normalized_authors": [
        "Ayushman Khanna"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayushman Khanna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Posterior subcapsular cataract (PSC) is a known complication of ionizing radiation exposure. The ocular lens is highly radiosensitive, and cumulative exposure may lead to early opacification. Healthcare workers involved in radiography are at risk, particularly in the absence of adequate ocular protection.Purpose:\nTo report a case of early bilateral PSC in a young X-ray technician and to highlight the potential association between occupational radiation exposure and premature lens changes.",
        "Setting": "Tertiary healthcare center in India",
        "Methods": "A 24-year-old male X-ray technician presented with redness, mild pain, and slight blurring of vision in the left eye following trauma with a wooden stick. Anterior segment examination was performed. Left eye dilation revealed brown pigmentation in the posterior subcapsular region. To differentiate traumatic Vossius ring, the right eye was also dilated, which showed similar bilateral posterior subcapsular pigmentation. The symmetrical findings confirmed bilateral PSC. The patient had a history of 6 months of occupational exposure, performing approximately 90 X-rays daily, using a lead gown but no protective eyewear.",
        "Results": "The patient was counseled regarding occupational radiation hazards and advised regular ophthalmic follow-up and strict use of protective eye gear. The bilateral presentation in a young individual suggested early radiation-induced lens changes.",
        "Conclusions": "Early bilateral PSC in young radiology personnel may indicate occupational radiation exposure. Proper protective measures, radiation monitoring, and periodic ocular evaluation are essential to prevent avoidable visual morbidity among healthcare workers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early bilateral PSC in young radiology personnel may indicate occupational radiation exposure. Proper protective measures, radiation monitoring, and periodic ocular evaluation are essential to prevent avoidable visual morbidity among healthcare workers.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 352,
      "source_fields": {
        "Abstract Final Identifier": "POCAT313",
        "Title": "Irradiated Sight: The Lens, The Light,And The Damage",
        "Presenting Author(s)": "Dr Ayushman Khanna",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Ayushman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khanna",
        "Country Name": "India",
        "Purpose": "Posterior subcapsular cataract (PSC) is a known complication of ionizing radiation exposure. The ocular lens is highly radiosensitive, and cumulative exposure may lead to early opacification. Healthcare workers involved in radiography are at risk, particularly in the absence of adequate ocular protection.Purpose:\nTo report a case of early bilateral PSC in a young X-ray technician and to highlight the potential association between occupational radiation exposure and premature lens changes.",
        "Setting": "Tertiary healthcare center in India",
        "Methods": "A 24-year-old male X-ray technician presented with redness, mild pain, and slight blurring of vision in the left eye following trauma with a wooden stick. Anterior segment examination was performed. Left eye dilation revealed brown pigmentation in the posterior subcapsular region. To differentiate traumatic Vossius ring, the right eye was also dilated, which showed similar bilateral posterior subcapsular pigmentation. The symmetrical findings confirmed bilateral PSC. The patient had a history of 6 months of occupational exposure, performing approximately 90 X-rays daily, using a lead gown but no protective eyewear.",
        "Results": "The patient was counseled regarding occupational radiation hazards and advised regular ophthalmic follow-up and strict use of protective eye gear. The bilateral presentation in a young individual suggested early radiation-induced lens changes.",
        "Conclusions": "Early bilateral PSC in young radiology personnel may indicate occupational radiation exposure. Proper protective measures, radiation monitoring, and periodic ocular evaluation are essential to prevent avoidable visual morbidity among healthcare workers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "POCAT314",
      "abstract_number": "POCAT314",
      "title": "Functional Outcomes Of Cataract Surgery With Different Iol Types After Vitrectomy For Macular Hole: An Oct-Guided Approach",
      "authors": "Prof. Nina Lutsenko",
      "presenter": "Prof. Nina Lutsenko",
      "normalized_authors": [
        "Nina Lutsenko"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nina Lutsenko",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To evaluate functional visual outcomes of cataract surgery with implantation of different intraocular lens (IOL) types in eyes after vitrectomy for macular hole, with special emphasis on the role of outer retinal layer integrity assessed by optical coherent tomography (OCT) in individualized IOL selection.",
        "Setting": "Single centered clinical study conducted at a tertiary ophthalmology center ( Eye microsurgery department)",
        "Methods": "Eighteen patients (21 eyes) after vitrectomy for macular hole were included. Phacoemulsification was performed 3-12 months after vitreoretinal surgery due to clinically significant cataract. All patients underwent complete ophthalmic examination, IOL power calculation targeting emmetropia and macula OCT (RTVue XR OCT Avanti, Optovue, Inc. Fremont, CA, USA). Foveal contour, external limiting membrane (ELM), Ellipsoid zone (EZ), interdigitation zone (IZ), and residual post-closure changes were analyzed. IOL types were selected individually based on retinal morphology and functional expectations. Toric IOL were implanted in cases of corneal astigmatism more 0.75D. Visual outcomes were assessed 3 months postoperatively.",
        "Results": "Multifocal IOLs were implanted in 4 eyes with restored foveal contour and complete recovery of outer retinal layers, achieving corrected distance visual acuity (CDVA) of 1.0 in 3 eyes and 0.8 in 1 eye, Extended depth of focus IOLs were implanted in 8 eyes with mild irregularities of EZ or IZ or minimal epiretinal membrane (ERM), achieving CDVA of 0.8 in 6 eyes and 0.7 in 2 eyes. Enhanced monofocal IOLs were implanted in 5 eyes with minimal macular changes or early parafoveal atrophy, achieving CDVA of 0.6-0.4, with IDVA of 0.6 at 60 cm in all cases. Monofocal IOLs were implanted in 4 eyes with CDVA from 0.2 to 0.4. Overall, all patients reported high satisfaction with postoperative visual outcomes functionally useful intermediate vision.",
        "Conclusions": "Previous vitrectomy for macular hole is not an absolute contraindication to premium IOL implantation. Delaying phacoemulsification after vitrectomy provides a safe assessment of the integrity of outer retinal layers on OCT and facilitate selection of the most appropriate IOL. An individualized IOL selection strategy allows achieving favorable visual results, functionally useful intermediate vision, and high patient satisfaction after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Previous vitrectomy for macular hole is not an absolute contraindication to premium IOL implantation. Delaying phacoemulsification after vitrectomy provides a safe assessment of the integrity of outer retinal layers on OCT and facilitate selection of the most appropriate IOL. An individualized IOL selection strategy allows achieving favorable visual results, functionally useful intermediate vision, and high patient…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 353,
      "source_fields": {
        "Abstract Final Identifier": "POCAT314",
        "Title": "Functional Outcomes Of Cataract Surgery With Different Iol Types After Vitrectomy For Macular Hole: An Oct-Guided Approach",
        "Presenting Author(s)": "Prof. Nina Lutsenko",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Nina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lutsenko",
        "Country Name": "Ukraine",
        "Purpose": "To evaluate functional visual outcomes of cataract surgery with implantation of different intraocular lens (IOL) types in eyes after vitrectomy for macular hole, with special emphasis on the role of outer retinal layer integrity assessed by optical coherent tomography (OCT) in individualized IOL selection.",
        "Setting": "Single centered clinical study conducted at a tertiary ophthalmology center ( Eye microsurgery department)",
        "Methods": "Eighteen patients (21 eyes) after vitrectomy for macular hole were included. Phacoemulsification was performed 3-12 months after vitreoretinal surgery due to clinically significant cataract. All patients underwent complete ophthalmic examination, IOL power calculation targeting emmetropia and macula OCT (RTVue XR OCT Avanti, Optovue, Inc. Fremont, CA, USA). Foveal contour, external limiting membrane (ELM), Ellipsoid zone (EZ), interdigitation zone (IZ), and residual post-closure changes were analyzed. IOL types were selected individually based on retinal morphology and functional expectations. Toric IOL were implanted in cases of corneal astigmatism more 0.75D. Visual outcomes were assessed 3 months postoperatively.",
        "Results": "Multifocal IOLs were implanted in 4 eyes with restored foveal contour and complete recovery of outer retinal layers, achieving corrected distance visual acuity (CDVA) of 1.0 in 3 eyes and 0.8 in 1 eye, Extended depth of focus IOLs were implanted in 8 eyes with mild irregularities of EZ or IZ or minimal epiretinal membrane (ERM), achieving CDVA of 0.8 in 6 eyes and 0.7 in 2 eyes. Enhanced monofocal IOLs were implanted in 5 eyes with minimal macular changes or early parafoveal atrophy, achieving CDVA of 0.6-0.4, with IDVA of 0.6 at 60 cm in all cases. Monofocal IOLs were implanted in 4 eyes with CDVA from 0.2 to 0.4. Overall, all patients reported high satisfaction with postoperative visual outcomes functionally useful intermediate vision.",
        "Conclusions": "Previous vitrectomy for macular hole is not an absolute contraindication to premium IOL implantation. Delaying phacoemulsification after vitrectomy provides a safe assessment of the integrity of outer retinal layers on OCT and facilitate selection of the most appropriate IOL. An individualized IOL selection strategy allows achieving favorable visual results, functionally useful intermediate vision, and high patient satisfaction after cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "POCAT315",
      "abstract_number": "POCAT315",
      "title": "Evaluation Of A Pedagogy-Driven High-Volume Modular Cataract Surgery Training Model In The Uk Independent Sector: A Trainee-Reported Outcomes Study",
      "authors": "Dr Qasim Mansoor",
      "presenter": "Dr Qasim Mansoor",
      "normalized_authors": [
        "Qasim Mansoor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Qasim Mansoor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Surgical training in cataract surgery in the UK faces increasing service pressures, reduced theatre time, and variable exposure to high-volume operative experience. Independent sector training environments may offer structured, high-throughput models that facilitate stepwise skill acquisition. This study evaluates trainee-reported outcomes from a modular cataract surgery training programme delivered within a high-volume independent sector setting (Teesside Newmedica, UK), with emphasis on supervision, psychological safety, human factors integration, surgical confidence, and academic development.",
        "Setting": "Independent sector ophthalmology training centre (Teesside Newmedica), United Kingdom. Teesside Newmedica is a GMC-approved independent sector ophthalmology centre recognised by the School of Ophthalmology for formal ophthalmic training. Seven consecutive trainees rotated through the programme. One trainee per rotation attended a dedicated half-day high-volume cataract surgery list under direct supervision of a GMC-approved clinical supervisor within a structured modular training framework.",
        "Methods": "An anonymised questionnaire was distributed to ophthalmology trainees completing a modular cataract surgery placement in an independent sector centre. Seven consecutive trainees completed the training programme. Seven trainees responded (100%). Grades ranged from ST2–ST5 (ST2 50%, ST4 17%, ST5 33%). Placement duration was 6–12 months (50%), 3–6 months (33%), and <3 months (17%). Case volume was 50–100 (50%), <50 (33%), and 100–200 (17%). Training followed a previously described competency-based modular model integrating stepwise progression, human factors, and pedagogical theory (Mansoor et al., Clin Ophthalmol 2024). Responses were collected using Likert-scale and categorical measures. Descriptive statistical analysis was performed.",
        "Results": "All trainees (100%) strongly agreed that objectives were clear, high-volume exposure adequate, and theatre flow supportive of training. Stepwise modular progression and systematic teaching of cataract steps were rated 100%, with all progressing when ready. Supervision was appropriate (100%), feedback was “exceptional” (100%), and psychological safety universal. Human factors teaching was rated greater/much greater than traditional training (100%). Confidence improved and anxiety reduced in 100%. All felt ready for catarct surgery with minimal or no supervision. independent practice. Experience was rated excellent and recommended by 100%. The majority would recommend the training model to other trainees.",
        "Conclusions": "A structured, high-volume modular cataract surgery programme delivered within an independent sector setting was associated with consistent improvements in trainee confidence, psychological safety, technical progression, and human factors awareness. All trainees reported readiness for independent cataract surgery with minimal or no supervision and strongly endorsed the training model. These findings support real-world implementation of a previously described competency-based modular framework integrating human factors and pedagogical theory, with clear potential for adoption within NHS settings. The model offers a pedagogy-driven, competency-based approach applicable across European and global ophthalmic training systems."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A structured, high-volume modular cataract surgery programme delivered within an independent sector setting was associated with consistent improvements in trainee confidence, psychological safety, technical progression, and human factors awareness. All trainees reported readiness for independent cataract surgery with minimal or no supervision and strongly endorsed the training model. These findings support…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 354,
      "source_fields": {
        "Abstract Final Identifier": "POCAT315",
        "Title": "Evaluation Of A Pedagogy-Driven High-Volume Modular Cataract Surgery Training Model In The Uk Independent Sector: A Trainee-Reported Outcomes Study",
        "Presenting Author(s)": "Dr Qasim Mansoor",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Qasim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mansoor",
        "Country Name": "United Kingdom",
        "Purpose": "Surgical training in cataract surgery in the UK faces increasing service pressures, reduced theatre time, and variable exposure to high-volume operative experience. Independent sector training environments may offer structured, high-throughput models that facilitate stepwise skill acquisition. This study evaluates trainee-reported outcomes from a modular cataract surgery training programme delivered within a high-volume independent sector setting (Teesside Newmedica, UK), with emphasis on supervision, psychological safety, human factors integration, surgical confidence, and academic development.",
        "Setting": "Independent sector ophthalmology training centre (Teesside Newmedica), United Kingdom. Teesside Newmedica is a GMC-approved independent sector ophthalmology centre recognised by the School of Ophthalmology for formal ophthalmic training. Seven consecutive trainees rotated through the programme. One trainee per rotation attended a dedicated half-day high-volume cataract surgery list under direct supervision of a GMC-approved clinical supervisor within a structured modular training framework.",
        "Methods": "An anonymised questionnaire was distributed to ophthalmology trainees completing a modular cataract surgery placement in an independent sector centre. Seven consecutive trainees completed the training programme. Seven trainees responded (100%). Grades ranged from ST2–ST5 (ST2 50%, ST4 17%, ST5 33%). Placement duration was 6–12 months (50%), 3–6 months (33%), and <3 months (17%). Case volume was 50–100 (50%), <50 (33%), and 100–200 (17%). Training followed a previously described competency-based modular model integrating stepwise progression, human factors, and pedagogical theory (Mansoor et al., Clin Ophthalmol 2024). Responses were collected using Likert-scale and categorical measures. Descriptive statistical analysis was performed.",
        "Results": "All trainees (100%) strongly agreed that objectives were clear, high-volume exposure adequate, and theatre flow supportive of training. Stepwise modular progression and systematic teaching of cataract steps were rated 100%, with all progressing when ready. Supervision was appropriate (100%), feedback was “exceptional” (100%), and psychological safety universal. Human factors teaching was rated greater/much greater than traditional training (100%). Confidence improved and anxiety reduced in 100%. All felt ready for catarct surgery with minimal or no supervision. independent practice. Experience was rated excellent and recommended by 100%. The majority would recommend the training model to other trainees.",
        "Conclusions": "A structured, high-volume modular cataract surgery programme delivered within an independent sector setting was associated with consistent improvements in trainee confidence, psychological safety, technical progression, and human factors awareness. All trainees reported readiness for independent cataract surgery with minimal or no supervision and strongly endorsed the training model. These findings support real-world implementation of a previously described competency-based modular framework integrating human factors and pedagogical theory, with clear potential for adoption within NHS settings. The model offers a pedagogy-driven, competency-based approach applicable across European and global ophthalmic training systems."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 422
    },
    {
      "uid": "POCAT316",
      "abstract_number": "POCAT316",
      "title": "Comparison Of Fundus Visualization Through Different Intraocular Lenses During Vitreoretinal Surgery",
      "authors": "Dr Mayumi Nagata",
      "presenter": "Dr Mayumi Nagata",
      "normalized_authors": [
        "Mayumi Nagata"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mayumi Nagata",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Reduced fundus visibility during vitreoretinal surgery has been reported with multifocal intraocular lenses (IOLs). As various IOLs with different optical designs are currently used in clinical practice, this study aimed to compare and quantitatively evaluate intraoperative fundus visibility among different IOL models.",
        "Setting": "Experimental laboratory study",
        "Methods": "A fundus observation model was constructed using a Gullstrand model eye. The evaluated IOLs were CNA0T0, CNAET0, and CNATT0 (Alcon) and XY1, XY1-EM, and XY1-G (HOYA). A USAF 1951 resolution target was placed at the posterior pole of the model eye. Each IOL was fixed in a holder filled with distilled water and imaged under a surgical microscope. The images were analyzed using ImageJ, and contrast differences in the three-line patterns were quantified.",
        "Results": "Among the Alcon IOLs, resolution was highest with CNA0T0, followed by CNAET0 and CNATT0. Among the HOYA IOLs, resolution was highest with XY1, followed by XY1-EM and XY1-G. The measured values were 33.1 ± 1.6 for CNA0T0, 19.3 ± 2.4 for CNAET0, 11.3 ± 5.6 for CNATT0, 32.1 ± 3.0 for XY1, 28.6 ± 2.4 for XY1-EM, and 25.0 ± 15.1 for XY1-G. CNA0T0, XY1, and XY1-EM showed significantly higher values (P < 0.01).",
        "Conclusions": "Differences in optical design affected fundus visibility during vitreoretinal surgery. When selecting multifocal IOLs for patients who may require vitreoretinal surgery or have macular disease, the potential impact on intraoperative fundus visibility should be considered."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Differences in optical design affected fundus visibility during vitreoretinal surgery. When selecting multifocal IOLs for patients who may require vitreoretinal surgery or have macular disease, the potential impact on intraoperative fundus visibility should be considered.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 355,
      "source_fields": {
        "Abstract Final Identifier": "POCAT316",
        "Title": "Comparison Of Fundus Visualization Through Different Intraocular Lenses During Vitreoretinal Surgery",
        "Presenting Author(s)": "Dr Mayumi Nagata",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Mayumi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nagata",
        "Country Name": "Japan",
        "Purpose": "Reduced fundus visibility during vitreoretinal surgery has been reported with multifocal intraocular lenses (IOLs). As various IOLs with different optical designs are currently used in clinical practice, this study aimed to compare and quantitatively evaluate intraoperative fundus visibility among different IOL models.",
        "Setting": "Experimental laboratory study",
        "Methods": "A fundus observation model was constructed using a Gullstrand model eye. The evaluated IOLs were CNA0T0, CNAET0, and CNATT0 (Alcon) and XY1, XY1-EM, and XY1-G (HOYA). A USAF 1951 resolution target was placed at the posterior pole of the model eye. Each IOL was fixed in a holder filled with distilled water and imaged under a surgical microscope. The images were analyzed using ImageJ, and contrast differences in the three-line patterns were quantified.",
        "Results": "Among the Alcon IOLs, resolution was highest with CNA0T0, followed by CNAET0 and CNATT0. Among the HOYA IOLs, resolution was highest with XY1, followed by XY1-EM and XY1-G. The measured values were 33.1 ± 1.6 for CNA0T0, 19.3 ± 2.4 for CNAET0, 11.3 ± 5.6 for CNATT0, 32.1 ± 3.0 for XY1, 28.6 ± 2.4 for XY1-EM, and 25.0 ± 15.1 for XY1-G. CNA0T0, XY1, and XY1-EM showed significantly higher values (P < 0.01).",
        "Conclusions": "Differences in optical design affected fundus visibility during vitreoretinal surgery. When selecting multifocal IOLs for patients who may require vitreoretinal surgery or have macular disease, the potential impact on intraoperative fundus visibility should be considered."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POCAT317",
      "abstract_number": "POCAT317",
      "title": "Optimising The Follow-Up Time For The Dora Ai Tool Post Cataract Surgery In A Single Eye Unit",
      "authors": "Dr Ali Mohammed Raouf",
      "presenter": "Dr Ali Mohammed Raouf",
      "normalized_authors": [
        "Ali Mohammed Raouf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Mohammed Raouf",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Artificial intelligence (AI) systems are increasingly deployed in post-operative care pathways, yet optimal follow-up timing remains undefined. Early follow-up may capture transient, self-limiting post-operative symptoms, inflating escalation rates without improving complication detection. This study aims to evaluate whether extending AI-led telephone follow-up from 2 weeks to 3-4 weeks post-cataract surgery reduces unnecessary clinical escalation while maintaining safety.",
        "Setting": "A single high-volume NHS district general hospital eye unit in the United Kingdom utilising the DORA AI telephone system for routine post-operative cataract surgery follow-up.",
        "Methods": "Prospective service evaluation comparing outcomes before and after implementation of delayed DORA follow-up (3-4 weeks post-operatively versus standard 2-week follow-up). All consecutive uncomplicated phacoemulsification cases during the study period will be included. Primary outcome: proportion of FAIL classifications. Secondary outcomes: proportion requiring in-person review, phone-managed concerns, unexpected management changes in PASS patients, and safety events. Call timing and clinical outcomes will be analysed using comparative statistics.",
        "Results": "In the 2-week follow-up cohort (n=188), 52% of patients were classified as PASS and 48% as FAIL. Among PASS patients, 97% required no further follow-up and no serious harm occurred, demonstrating a strong safety profile. However, 77% of FAIL patients did not require in-person review (39% no concerns on nurse call; 38% managed by telephone), indicating substantial potentially avoidable escalation. These findings suggest opportunity to reduce false-positive FAIL classifications through temporal optimisation. Comparative data from the 3-4 week cohort are pending and will be presented at the conference.",
        "Conclusions": "AI-led 2-week post-operative follow-up after cataract surgery demonstrates a strong safety profile, with minimal missed pathology. However, the high proportion of FAIL classifications not requiring in-person review suggests over-escalation, likely driven by early transient symptoms. Follow-up timing may therefore represent a modifiable determinant of AI performance. Evaluating a 3-4 week model will determine whether temporal optimisation can reduce unnecessary escalation while preserving safety, informing evidence-based refinement of scalable AI-enabled cataract care pathways."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-led 2-week post-operative follow-up after cataract surgery demonstrates a strong safety profile, with minimal missed pathology. However, the high proportion of FAIL classifications not requiring in-person review suggests over-escalation, likely driven by early transient symptoms. Follow-up timing may therefore represent a modifiable determinant of AI performance. Evaluating a 3-4 week model will determine…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 356,
      "source_fields": {
        "Abstract Final Identifier": "POCAT317",
        "Title": "Optimising The Follow-Up Time For The Dora Ai Tool Post Cataract Surgery In A Single Eye Unit",
        "Presenting Author(s)": "Dr Ali Mohammed Raouf",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "Mohammed",
        "Submitter Last Name": "Raouf",
        "Country Name": "United Kingdom",
        "Purpose": "Artificial intelligence (AI) systems are increasingly deployed in post-operative care pathways, yet optimal follow-up timing remains undefined. Early follow-up may capture transient, self-limiting post-operative symptoms, inflating escalation rates without improving complication detection. This study aims to evaluate whether extending AI-led telephone follow-up from 2 weeks to 3-4 weeks post-cataract surgery reduces unnecessary clinical escalation while maintaining safety.",
        "Setting": "A single high-volume NHS district general hospital eye unit in the United Kingdom utilising the DORA AI telephone system for routine post-operative cataract surgery follow-up.",
        "Methods": "Prospective service evaluation comparing outcomes before and after implementation of delayed DORA follow-up (3-4 weeks post-operatively versus standard 2-week follow-up). All consecutive uncomplicated phacoemulsification cases during the study period will be included. Primary outcome: proportion of FAIL classifications. Secondary outcomes: proportion requiring in-person review, phone-managed concerns, unexpected management changes in PASS patients, and safety events. Call timing and clinical outcomes will be analysed using comparative statistics.",
        "Results": "In the 2-week follow-up cohort (n=188), 52% of patients were classified as PASS and 48% as FAIL. Among PASS patients, 97% required no further follow-up and no serious harm occurred, demonstrating a strong safety profile. However, 77% of FAIL patients did not require in-person review (39% no concerns on nurse call; 38% managed by telephone), indicating substantial potentially avoidable escalation. These findings suggest opportunity to reduce false-positive FAIL classifications through temporal optimisation. Comparative data from the 3-4 week cohort are pending and will be presented at the conference.",
        "Conclusions": "AI-led 2-week post-operative follow-up after cataract surgery demonstrates a strong safety profile, with minimal missed pathology. However, the high proportion of FAIL classifications not requiring in-person review suggests over-escalation, likely driven by early transient symptoms. Follow-up timing may therefore represent a modifiable determinant of AI performance. Evaluating a 3-4 week model will determine whether temporal optimisation can reduce unnecessary escalation while preserving safety, informing evidence-based refinement of scalable AI-enabled cataract care pathways."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POCAT318",
      "abstract_number": "POCAT318",
      "title": "Artificial Intelligence-Based Integration Of Image And Clinical Metrics To Support Cataract Surgery Decision Making",
      "authors": "Dr Yeo Kyoung Won",
      "presenter": "Dr Yeo Kyoung Won",
      "normalized_authors": [
        "Yeo Kyoung Won"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yeo Kyoung Won",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Cataract is a leading cause of visual impairment worldwide. The decision to perform cataract surgery is multifactorial, requiring consideration of lens opacity, patient-reported symptoms, and visual acuity. However, surgical indications remain largely subjective without a standardized quantitative framework. We aimed to develop an artificial intelligence-based classification model to identify clinically significant cataract (Lens Opacities Classification System III [LOCS III] ≥3) by integrating anterior segment images with visual acuity and optical quality metrics across four subtypes: nuclear opalescence (NO), nuclear color (NC), cortical opacity (CO), and posterior subcapsular cataract (PSC) to support cataract surgery decision-making.",
        "Setting": "Department of Ophthalmology, Samsung Medical Center (SMC), Sungkyunkwan University School of Medicine, Seoul, Republic of Korea",
        "Methods": "This retrospective study included 183 patients (275 eyes) from SMC between October 2014 and March 2019. The dataset consisted of anterior segment images, visual acuity, and optical quality metrics. The model was developed to classify four cataract subtypes (NO, NC, CO, and PSC) into clinically significant (LOCS III ≥3) and non-significant (<3) groups. Three input configurations —image-only, clinical metrics-only, and combined inputs—were evaluated to assess the contribution of each modality and the effect of multimodal integration. External validation was conducted using 188 patients with NO from Seoul National University Bundang Hospital between March and October 2023.",
        "Results": "Across all cataract subtypes, the image-only model achieved the highest performance among single-modality approaches, with an area under the receiver operating characteristic curve (AUROC) ranging from 0.714 to 0.884. Models integrating image and clinical metrics further enhanced classification performance. Although the optimal input combination varied by subtype, the addition of vision-based clinical metrics to anterior segment images yielded the largest performance gain, increasing AUROC by 0.07-0.15 on average. In external validation, the image-vision combined models confirmed stable performance, achieving AUROC values of 0.837–0.856.",
        "Conclusions": "Multimodal integration of image and clinical data improved the classification of clinically significant cataract. Incorporating vision-based clinical metrics may provide complementary information beyond image alone and help inform surgical decision-making."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multimodal integration of image and clinical data improved the classification of clinically significant cataract. Incorporating vision-based clinical metrics may provide complementary information beyond image alone and help inform surgical decision-making.",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 357,
      "source_fields": {
        "Abstract Final Identifier": "POCAT318",
        "Title": "Artificial Intelligence-Based Integration Of Image And Clinical Metrics To Support Cataract Surgery Decision Making",
        "Presenting Author(s)": "Dr Yeo Kyoung Won",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Yeo Kyoung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Won",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Cataract is a leading cause of visual impairment worldwide. The decision to perform cataract surgery is multifactorial, requiring consideration of lens opacity, patient-reported symptoms, and visual acuity. However, surgical indications remain largely subjective without a standardized quantitative framework. We aimed to develop an artificial intelligence-based classification model to identify clinically significant cataract (Lens Opacities Classification System III [LOCS III] ≥3) by integrating anterior segment images with visual acuity and optical quality metrics across four subtypes: nuclear opalescence (NO), nuclear color (NC), cortical opacity (CO), and posterior subcapsular cataract (PSC) to support cataract surgery decision-making.",
        "Setting": "Department of Ophthalmology, Samsung Medical Center (SMC), Sungkyunkwan University School of Medicine, Seoul, Republic of Korea",
        "Methods": "This retrospective study included 183 patients (275 eyes) from SMC between October 2014 and March 2019. The dataset consisted of anterior segment images, visual acuity, and optical quality metrics. The model was developed to classify four cataract subtypes (NO, NC, CO, and PSC) into clinically significant (LOCS III ≥3) and non-significant (<3) groups. Three input configurations —image-only, clinical metrics-only, and combined inputs—were evaluated to assess the contribution of each modality and the effect of multimodal integration. External validation was conducted using 188 patients with NO from Seoul National University Bundang Hospital between March and October 2023.",
        "Results": "Across all cataract subtypes, the image-only model achieved the highest performance among single-modality approaches, with an area under the receiver operating characteristic curve (AUROC) ranging from 0.714 to 0.884. Models integrating image and clinical metrics further enhanced classification performance. Although the optimal input combination varied by subtype, the addition of vision-based clinical metrics to anterior segment images yielded the largest performance gain, increasing AUROC by 0.07-0.15 on average. In external validation, the image-vision combined models confirmed stable performance, achieving AUROC values of 0.837–0.856.",
        "Conclusions": "Multimodal integration of image and clinical data improved the classification of clinically significant cataract. Incorporating vision-based clinical metrics may provide complementary information beyond image alone and help inform surgical decision-making."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "POCAT319",
      "abstract_number": "POCAT319",
      "title": "Quantifying Discrepancies In Subjective Nuclear Cataract Grading: Implications For Predictive Accuracy And Grading Standardization",
      "authors": "Dr Jesus Zarallo-Gallardo",
      "presenter": "Dr Jesus Zarallo-Gallardo",
      "normalized_authors": [
        "Jesus Zarallo-Gallardo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jesus Zarallo-Gallardo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate inter- and intra-grader variability in subjective nuclear cataract grading and determine how these discrepancies affect the predictability of effective phacoemulsification time (EPT), with particular emphasis on grading limitations in dense cataracts.",
        "Setting": "Department of Ophthalmology, Hospital Universitario del Henares, Coslada, Spain. All surgeries were performed by a single experienced surgeon (18 years’ experience) using a standardized Stellaris® phacoemulsification platform.",
        "Methods": "Retrospective study of 774 cataract surgeries (January 2023–December 2024). From 658 Stellaris® cases, 641 with complete effective phacoemulsification time (EPT) records were analyzed. Preoperative nuclear density was graded (LOCS III, Grades 1–6) under pharmacological mydriasis. Data from six high-volume graders (>60 cases each; n=474 ) were evaluated. Inter-grader variability was assessed by comparing EPT distributions for identical grades. Grading consistency was quantified using SD and IQR of EPT within each grade. An Ordinary Least Squares (OLS) regression model evaluated the predictive value of nuclear grade on EPT.",
        "Results": "Visual distribution analysis demonstrated variability in EPT across graders for identical nuclear grades, indicating differences in grading thresholds. Intra-grader consistency was heterogeneous and grade-dependent: some graders showed high precision in low-density cataracts (e.g., Grader M04 at Grade 1: SD=0.028, IQR=0.020), whereas others exhibited marked dispersion in advanced cataracts (e.g., Grader M02 at Grade 5: SD=2.895, IQR=2.725).\n\nNuclear grade was a significant predictor of EPT (β=1.1708; 95% CI [1.008–1.334]; p<0.001), explaining 29.6% of the variance (R²=0.296; F=198.8; p<0.001). Residuals were non-normally distributed, suggesting the presence of additional determinants beyond subjective grading.",
        "Conclusions": "Subjective LOCS III grading demonstrates significant inter-grader heterogeneity and grade-dependent intra-grader inconsistency, particularly in dense cataracts where accurate energy prediction is most relevant. The moderate explanatory power observed suggests an intrinsic limitation of ordinal subjective grading scales when applied to a continuous surgical energy outcome. These findings support the integration of objective densitometric systems. In their absence, more granular classification scales or standardized high-quality reference imaging may enhance grading consistency in advanced nuclear sclerosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Subjective LOCS III grading demonstrates significant inter-grader heterogeneity and grade-dependent intra-grader inconsistency, particularly in dense cataracts where accurate energy prediction is most relevant. The moderate explanatory power observed suggests an intrinsic limitation of ordinal subjective grading scales when applied to a continuous surgical energy outcome. These findings support the integration of…",
      "session_type": "ePoster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 358,
      "source_fields": {
        "Abstract Final Identifier": "POCAT319",
        "Title": "Quantifying Discrepancies In Subjective Nuclear Cataract Grading: Implications For Predictive Accuracy And Grading Standardization",
        "Presenting Author(s)": "Dr Jesus Zarallo-Gallardo",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Jesus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zarallo-Gallardo",
        "Country Name": "Spain",
        "Purpose": "To evaluate inter- and intra-grader variability in subjective nuclear cataract grading and determine how these discrepancies affect the predictability of effective phacoemulsification time (EPT), with particular emphasis on grading limitations in dense cataracts.",
        "Setting": "Department of Ophthalmology, Hospital Universitario del Henares, Coslada, Spain. All surgeries were performed by a single experienced surgeon (18 years’ experience) using a standardized Stellaris® phacoemulsification platform.",
        "Methods": "Retrospective study of 774 cataract surgeries (January 2023–December 2024). From 658 Stellaris® cases, 641 with complete effective phacoemulsification time (EPT) records were analyzed. Preoperative nuclear density was graded (LOCS III, Grades 1–6) under pharmacological mydriasis. Data from six high-volume graders (>60 cases each; n=474 ) were evaluated. Inter-grader variability was assessed by comparing EPT distributions for identical grades. Grading consistency was quantified using SD and IQR of EPT within each grade. An Ordinary Least Squares (OLS) regression model evaluated the predictive value of nuclear grade on EPT.",
        "Results": "Visual distribution analysis demonstrated variability in EPT across graders for identical nuclear grades, indicating differences in grading thresholds. Intra-grader consistency was heterogeneous and grade-dependent: some graders showed high precision in low-density cataracts (e.g., Grader M04 at Grade 1: SD=0.028, IQR=0.020), whereas others exhibited marked dispersion in advanced cataracts (e.g., Grader M02 at Grade 5: SD=2.895, IQR=2.725).\n\nNuclear grade was a significant predictor of EPT (β=1.1708; 95% CI [1.008–1.334]; p<0.001), explaining 29.6% of the variance (R²=0.296; F=198.8; p<0.001). Residuals were non-normally distributed, suggesting the presence of additional determinants beyond subjective grading.",
        "Conclusions": "Subjective LOCS III grading demonstrates significant inter-grader heterogeneity and grade-dependent intra-grader inconsistency, particularly in dense cataracts where accurate energy prediction is most relevant. The moderate explanatory power observed suggests an intrinsic limitation of ordinal subjective grading scales when applied to a continuous surgical energy outcome. These findings support the integration of objective densitometric systems. In their absence, more granular classification scales or standardized high-quality reference imaging may enhance grading consistency in advanced nuclear sclerosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "POCAT320",
      "abstract_number": "POCAT320",
      "title": "Retropupillary Iris-Fixated Intraocular Lens Implantation: Surgical Technique, Outcomes, And Clinical Applications",
      "authors": "Dr Sara Alomair",
      "presenter": "Dr Sara Alomair",
      "normalized_authors": [
        "Sara Alomair"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdullah Khalid Alarfaj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and visual outcomes of retropupillary iris-fixated intraocular lens (IOL) implantation in aphakic eyes without adequate capsular support.",
        "Setting": "Tertiary eye care center / academic ophthalmology department.",
        "Methods": "A prospective/retrospective interventional case series including aphakic patients who underwent retropupillary iris-claw IOL implantation. Preoperative assessment included visual acuity, slit-lamp examination, intraocular pressure (IOP), and posterior segment evaluation. Surgery involved anterior or pars plana vitrectomy when indicated, followed by retropupillary enclavation of the iris-claw IOL. Postoperative follow-up assessed best-corrected visual acuity (BCVA), refractive outcomes, IOP, endothelial status, and complications.",
        "Results": "Significant improvement in postoperative BCVA was observed in the majority of eyes. Refractive outcomes were predictable and stable. Complications were generally mild and included transient IOP elevation, cystoid macular edema, pupil ovalization, and occasional disenclavation. No significant long-term endothelial decompensation was noted in most cases. The procedure demonstrated good anatomical stability and functional success.",
        "Conclusions": "Retropupillary iris-fixated IOL implantation is a safe, effective, and reproducible surgical option for secondary IOL implantation in aphakic eyes without capsular support, offering favorable visual outcomes with an acceptable complication profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retropupillary iris-fixated IOL implantation is a safe, effective, and reproducible surgical option for secondary IOL implantation in aphakic eyes without capsular support, offering favorable visual outcomes with an acceptable complication profile.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 359,
      "source_fields": {
        "Abstract Final Identifier": "POCAT320",
        "Title": "Retropupillary Iris-Fixated Intraocular Lens Implantation: Surgical Technique, Outcomes, And Clinical Applications",
        "Presenting Author(s)": "Dr Sara Alomair",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Abdullah",
        "Submitter Middle Name": "Khalid",
        "Submitter Last Name": "Alarfaj",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the safety, efficacy, and visual outcomes of retropupillary iris-fixated intraocular lens (IOL) implantation in aphakic eyes without adequate capsular support.",
        "Setting": "Tertiary eye care center / academic ophthalmology department.",
        "Methods": "A prospective/retrospective interventional case series including aphakic patients who underwent retropupillary iris-claw IOL implantation. Preoperative assessment included visual acuity, slit-lamp examination, intraocular pressure (IOP), and posterior segment evaluation. Surgery involved anterior or pars plana vitrectomy when indicated, followed by retropupillary enclavation of the iris-claw IOL. Postoperative follow-up assessed best-corrected visual acuity (BCVA), refractive outcomes, IOP, endothelial status, and complications.",
        "Results": "Significant improvement in postoperative BCVA was observed in the majority of eyes. Refractive outcomes were predictable and stable. Complications were generally mild and included transient IOP elevation, cystoid macular edema, pupil ovalization, and occasional disenclavation. No significant long-term endothelial decompensation was noted in most cases. The procedure demonstrated good anatomical stability and functional success.",
        "Conclusions": "Retropupillary iris-fixated IOL implantation is a safe, effective, and reproducible surgical option for secondary IOL implantation in aphakic eyes without capsular support, offering favorable visual outcomes with an acceptable complication profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 174
    },
    {
      "uid": "POCAT321",
      "abstract_number": "POCAT321",
      "title": "Different Patterns Of The Hydrophilic Intraocular Lens Opacification.",
      "authors": "Dr Yelyzaveta Baran",
      "presenter": "Dr Yelyzaveta Baran",
      "normalized_authors": [
        "Yelyzaveta Baran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yelyzaveta Baran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To evaluate and describe hydrophilic intraocular lens (IOL) with opacification.",
        "Setting": "In our study we include 16 patients with opacification of hydrophilic intraocular lens that significantly impact their vision.\n\nAll IOL were explanted and examined by light microscopy (МТ8500 Meiji Techno, Japan), scanning electron microscopy, energy-dispersive X-ray spectroscopy (PEM-106I Selmi, Ukraine) and Alazarin Red staining",
        "Methods": "In our study, we included 16 patients with opacification of hydrophilic intraocular lenses that significantly impacted their vision.\n\nAll IOLs were explanted and examined by light microscopy (MT8500, Meiji Techno, Japan), scanning electron microscopy, energy-dispersive X-ray spectroscopy (PEM-106I, Selmi, Ukraine), and Alizarin Red staining.",
        "Results": "We identified five distinct patterns of IOL opacification.\nType 1 (tree growth ring): medium and large round lesions with density increasing from periphery to center, often located in the capsule-uncovered optic zone.\nType 2 (night starry sky): numerous small round deposits that progressively aggregate into larger confluent opacified areas.\nType 3 (mosaic): small square or polygonal lesions merging into a structured opacification zone.\nType 4 (frozen lava): a single extensive area of densely packed “cells” with sharp demarcation on high magnification.\nType 5 (fish caviar): dense central opacification with relative peripheral sparing and bright white cores.\nAll deposits consisted of Ca and P (3:1).",
        "Conclusions": "The main reason for hydrophilic intraocular lens opacification is the deposition of Ca and P in the affected zone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The main reason for hydrophilic intraocular lens opacification is the deposition of Ca and P in the affected zone.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 360,
      "source_fields": {
        "Abstract Final Identifier": "POCAT321",
        "Title": "Different Patterns Of The Hydrophilic Intraocular Lens Opacification.",
        "Presenting Author(s)": "Dr Yelyzaveta Baran",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Yelyzaveta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Baran",
        "Country Name": "Ukraine",
        "Purpose": "To evaluate and describe hydrophilic intraocular lens (IOL) with opacification.",
        "Setting": "In our study we include 16 patients with opacification of hydrophilic intraocular lens that significantly impact their vision.\n\nAll IOL were explanted and examined by light microscopy (МТ8500 Meiji Techno, Japan), scanning electron microscopy, energy-dispersive X-ray spectroscopy (PEM-106I Selmi, Ukraine) and Alazarin Red staining",
        "Methods": "In our study, we included 16 patients with opacification of hydrophilic intraocular lenses that significantly impacted their vision.\n\nAll IOLs were explanted and examined by light microscopy (MT8500, Meiji Techno, Japan), scanning electron microscopy, energy-dispersive X-ray spectroscopy (PEM-106I, Selmi, Ukraine), and Alizarin Red staining.",
        "Results": "We identified five distinct patterns of IOL opacification.\nType 1 (tree growth ring): medium and large round lesions with density increasing from periphery to center, often located in the capsule-uncovered optic zone.\nType 2 (night starry sky): numerous small round deposits that progressively aggregate into larger confluent opacified areas.\nType 3 (mosaic): small square or polygonal lesions merging into a structured opacification zone.\nType 4 (frozen lava): a single extensive area of densely packed “cells” with sharp demarcation on high magnification.\nType 5 (fish caviar): dense central opacification with relative peripheral sparing and bright white cores.\nAll deposits consisted of Ca and P (3:1).",
        "Conclusions": "The main reason for hydrophilic intraocular lens opacification is the deposition of Ca and P in the affected zone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "POCAT322",
      "abstract_number": "POCAT322",
      "title": "Phacoemulsification With Advanced Monofocal Iol Implantation In Chronic Kidney Disease(Ckd) Patients Undergoing Dialysis -A Retrospective Study",
      "authors": "A/Prof. Nilutpal Borah",
      "presenter": "A/Prof. Nilutpal Borah",
      "normalized_authors": [
        "Nilutpal Borah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nilutpal Borah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "a retrospective study was done to evaluate quality of vision and safety after phacoemulsification and advanced monofocal IOL implantation in patients with CKD were undergoing dialysis 3 times per week.",
        "Setting": "medical records of CKD patients who were undergoing dialysis due to various pathology and underwent phacoemulsification with Eyhance IOL were evaluated. These patients are at a higher risk for post-operative inflammatory reactions due to their systemic disease. Inflammation risk are increased due to, systemic inflammatory state, oxidative stress, altered immune response. Quality of vision and safety of surgery were assessed over a period of mean 1 year.",
        "Methods": "52 eyes of 26 patients were studied. Period: June 2022 to December,2025. M:=18 ,F:=8 , Mean age ; M=55.3(48-64) and F=52.6(50-58) years. Inclusion:NS 3 to NS 4 sanile cataract with stage 3(n=10) ,stage 4(n=11) and stage 5(n=5) CKD. Exclusion: severe macular edema, follow up less than 3 months. Best corrected visual acuity (BCVA), IOP, slit lamp and fundus examination, SSOCT assessment of macular thickness and contrast sensitivity test were done.",
        "Results": "52 eyes(26 patients) were studied and followed for 1 year(6 -36 mo).Initial BCVA was 6/12 - 6/60 and post-operative BCVA was 6/9 - 6/18. AC flare- 71%, Anterior uveitis - 22%, corneal edema - 26.6%,TASS - 3.9%, CME- 31.2%. Post-operative endophthalmitis- nil. Pre-op mean central macular thickness: 201.3 ± 24.8µm, post op mean CMT at 1 MO: 224.1 ± 53.8µm and at mean 12 mo follow up: 203.5± 25.1µm. There was mild increase in CMT at 6 mo, followed by a slight reduction towards baseline at 12 mo. The difference in CMT at presentation, at 6 mo and at 12 mo was not statistically significant.(p˃0.05)",
        "Conclusions": "Phacoemulsification with implantation of an advanced monofocal IOL was safe and effective in patients with CKD undergoing dialysis. In this retrospective study of 26 pts(52 eyes)the procedure showed favourable visual outcomes with low incidence and reversible with treatment complications. No cases of post-operative endophthalmitis were observed. Careful peri-operative management and close co-ordination with nephrology team are important to minimize systemic and ocular risks in these immune compromised patients. Phacoemulsification with advanced monofocal IOL implantation can provide successful visual rehabilitation(52/52 eyes,100%)."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification with implantation of an advanced monofocal IOL was safe and effective in patients with CKD undergoing dialysis. In this retrospective study of 26 pts(52 eyes)the procedure showed favourable visual outcomes with low incidence and reversible with treatment complications. No cases of post-operative endophthalmitis were observed. Careful peri-operative management and close co-ordination with…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 361,
      "source_fields": {
        "Abstract Final Identifier": "POCAT322",
        "Title": "Phacoemulsification With Advanced Monofocal Iol Implantation In Chronic Kidney Disease(Ckd) Patients Undergoing Dialysis -A Retrospective Study",
        "Presenting Author(s)": "A/Prof. Nilutpal Borah",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Nilutpal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Borah",
        "Country Name": "Afghanistan",
        "Purpose": "a retrospective study was done to evaluate quality of vision and safety after phacoemulsification and advanced monofocal IOL implantation in patients with CKD were undergoing dialysis 3 times per week.",
        "Setting": "medical records of CKD patients who were undergoing dialysis due to various pathology and underwent phacoemulsification with Eyhance IOL were evaluated. These patients are at a higher risk for post-operative inflammatory reactions due to their systemic disease. Inflammation risk are increased due to, systemic inflammatory state, oxidative stress, altered immune response. Quality of vision and safety of surgery were assessed over a period of mean 1 year.",
        "Methods": "52 eyes of 26 patients were studied. Period: June 2022 to December,2025. M:=18 ,F:=8 , Mean age ; M=55.3(48-64) and F=52.6(50-58) years. Inclusion:NS 3 to NS 4 sanile cataract with stage 3(n=10) ,stage 4(n=11) and stage 5(n=5) CKD. Exclusion: severe macular edema, follow up less than 3 months. Best corrected visual acuity (BCVA), IOP, slit lamp and fundus examination, SSOCT assessment of macular thickness and contrast sensitivity test were done.",
        "Results": "52 eyes(26 patients) were studied and followed for 1 year(6 -36 mo).Initial BCVA was 6/12 - 6/60 and post-operative BCVA was 6/9 - 6/18. AC flare- 71%, Anterior uveitis - 22%, corneal edema - 26.6%,TASS - 3.9%, CME- 31.2%. Post-operative endophthalmitis- nil. Pre-op mean central macular thickness: 201.3 ± 24.8µm, post op mean CMT at 1 MO: 224.1 ± 53.8µm and at mean 12 mo follow up: 203.5± 25.1µm. There was mild increase in CMT at 6 mo, followed by a slight reduction towards baseline at 12 mo. The difference in CMT at presentation, at 6 mo and at 12 mo was not statistically significant.(p˃0.05)",
        "Conclusions": "Phacoemulsification with implantation of an advanced monofocal IOL was safe and effective in patients with CKD undergoing dialysis. In this retrospective study of 26 pts(52 eyes)the procedure showed favourable visual outcomes with low incidence and reversible with treatment complications. No cases of post-operative endophthalmitis were observed. Careful peri-operative management and close co-ordination with nephrology team are important to minimize systemic and ocular risks in these immune compromised patients. Phacoemulsification with advanced monofocal IOL implantation can provide successful visual rehabilitation(52/52 eyes,100%)."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POCAT323",
      "abstract_number": "POCAT323",
      "title": "Ortho-Phako-Logy: A Novel System For Classifying Intra-Operative Intra-Ocular Lens Damages, And Its Correlation With Proposed Management Strategies",
      "authors": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "presenter": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "normalized_authors": [
        "Lional Raj Daniel Raj Ponniah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lional Raj Daniel Raj Ponniah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Background: Intra-operative IOL damages, though uncommon, are indications for near 16% of all-cause IOL explantations. Currently, there is no accepted classification system for intraoperative IOL traumas.\n\nThe purpose of this study is to report management strategies of various types of IOL damage based on our novel classification system, termed Ortho-Phakology.",
        "Setting": "A tertiary eye hospital. Surgical process modeling to propose a novel classification.",
        "Methods": "Design: Surgical process modeling to propose a novel classification.\n\nIntraoperative damage to IOLs can be due to mechanical trauma from the surgery, improper IOL handling, or injector issues.\n\nIdentical to the human skeletal system, IOL has axial (Optic) and appendicular (haptic) systems. A novel classification was derived, which included: Category I (Axial/optic) with subtypes IA (Peripheral), IB (central). Category II (Appendicular / haptic damage) with subtypes IIA is a completely severed optic haptic junction (OHJ), IIB is partial amputation at OHJ, IIC mid third & IID terminal third haptic damage. Category III included polytraumas involving optic and haptic(s). Category IV includes manufacturing IOL defects.",
        "Results": "The following are the proposed ways to effectively manage intraoperative IOL damages based on its types: IA – no manipulation required; IB – At the discretion of surgeon to retain/exchange; IIA – IOL explantation warranted; IIB, IIC – alternate fixation like reverse optic capture may be attempted or explantation required; IID- IOL shall be retained (fractured haptic distal to overall diameter of 12mm centers well); III – Explantation of IOL required; IV – At the discretion of surgeon to retain/exchange.",
        "Conclusions": "IOLs are identical to the human skeleton. A simple classification of intra-operative IOL damages based on site of damage, extent of damage, may inform the surgeon to make quick decisions on further surgical steps in retaining or explanting and exchanging the damaged IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IOLs are identical to the human skeleton. A simple classification of intra-operative IOL damages based on site of damage, extent of damage, may inform the surgeon to make quick decisions on further surgical steps in retaining or explanting and exchanging the damaged IOL.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 362,
      "source_fields": {
        "Abstract Final Identifier": "POCAT323",
        "Title": "Ortho-Phako-Logy: A Novel System For Classifying Intra-Operative Intra-Ocular Lens Damages, And Its Correlation With Proposed Management Strategies",
        "Presenting Author(s)": "Prof. Dr Lional Raj Daniel Raj Ponniah",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Lional Raj",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Daniel Raj Ponniah",
        "Country Name": "India",
        "Purpose": "Background: Intra-operative IOL damages, though uncommon, are indications for near 16% of all-cause IOL explantations. Currently, there is no accepted classification system for intraoperative IOL traumas.\n\nThe purpose of this study is to report management strategies of various types of IOL damage based on our novel classification system, termed Ortho-Phakology.",
        "Setting": "A tertiary eye hospital. Surgical process modeling to propose a novel classification.",
        "Methods": "Design: Surgical process modeling to propose a novel classification.\n\nIntraoperative damage to IOLs can be due to mechanical trauma from the surgery, improper IOL handling, or injector issues.\n\nIdentical to the human skeletal system, IOL has axial (Optic) and appendicular (haptic) systems. A novel classification was derived, which included: Category I (Axial/optic) with subtypes IA (Peripheral), IB (central). Category II (Appendicular / haptic damage) with subtypes IIA is a completely severed optic haptic junction (OHJ), IIB is partial amputation at OHJ, IIC mid third & IID terminal third haptic damage. Category III included polytraumas involving optic and haptic(s). Category IV includes manufacturing IOL defects.",
        "Results": "The following are the proposed ways to effectively manage intraoperative IOL damages based on its types: IA – no manipulation required; IB – At the discretion of surgeon to retain/exchange; IIA – IOL explantation warranted; IIB, IIC – alternate fixation like reverse optic capture may be attempted or explantation required; IID- IOL shall be retained (fractured haptic distal to overall diameter of 12mm centers well); III – Explantation of IOL required; IV – At the discretion of surgeon to retain/exchange.",
        "Conclusions": "IOLs are identical to the human skeleton. A simple classification of intra-operative IOL damages based on site of damage, extent of damage, may inform the surgeon to make quick decisions on further surgical steps in retaining or explanting and exchanging the damaged IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCAT324",
      "abstract_number": "POCAT324",
      "title": "Uveitis-Glaucoma-Hyphema Plus Syndrome",
      "authors": "Dr Patrycja Duda",
      "presenter": "Dr Patrycja Duda",
      "normalized_authors": [
        "Patrycja Duda"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Patrycja Duda",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To highlight the importance of imaging modalities in the diagnosis of uveitis-glaucoma-hyphema (UGH) plus syndrome caused by intraocular lens (IOL) complications.",
        "Setting": "A case report from Clinic of Ophthalmology, Medical Center of Postgraduate Education Prof. W. Orłowski Independent Public Clinical Hospital, Warsaw, Poland.",
        "Methods": "A 72-year-old woman presented with a one-year history of recurrent elevated intraocular pressure (IOP), anterior uveitis, hyphema and vitreous hemorrhage in the right eye (RE). She had been diagnosed with bilateral primary open-angle glaucoma (POAG) eight years earlier. She underwent cataract surgery in the RE two years earlier, with postoperative IOP reaching up to 32mmHg within the first two weeks. Cataract surgery in the left eye (LE) was also performed two years earlier, with implantation of a capsular tension ring due to lens subluxation. In both eyes, the IOLs were implanted in the capsular bag. Her medical history was significant for rheumatoid arthritis treated with oral methylprednisolone.",
        "Results": "On clinical examination best corrected visual acuity was 0.9 in both eyes. IOP was 15 mmHg in the RE and 12mmHg in the LE. The cup-to-disc ratio in both eyes was 0.7. Apart from this, the anterior segment and fundus were unremarkable. The ultrasound biomicroscopy revealed iris-IOL chafing caused by one of the IOL’s haptics malpositioned in the sulcus. As the posterior capsule remained intact, repositioning of the IOL into the capsular bag was performed. No recurrence of UGH plus syndrome was observed after surgery.",
        "Conclusions": "In cases of anterior uveitis, elevated IOP and hyphema, UGH syndrome caused by IOL displacement should be considered. The presence of vitreous hemorrhage indicates UGH plus syndrome. The diagnosis was not straightforward because of concomitant comorbidities such as POAG and rheumatoid arthritis. In this case, the patient was treated pharmacologically for one year based on symptoms, whereas earlier use of ultrasound biomicroscopy could have led to prompt diagnosis and prevented prolonged treatment and potential complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In cases of anterior uveitis, elevated IOP and hyphema, UGH syndrome caused by IOL displacement should be considered. The presence of vitreous hemorrhage indicates UGH plus syndrome. The diagnosis was not straightforward because of concomitant comorbidities such as POAG and rheumatoid arthritis. In this case, the patient was treated pharmacologically for one year based on symptoms, whereas earlier use of ultrasound…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 363,
      "source_fields": {
        "Abstract Final Identifier": "POCAT324",
        "Title": "Uveitis-Glaucoma-Hyphema Plus Syndrome",
        "Presenting Author(s)": "Dr Patrycja Duda",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Patrycja",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Duda",
        "Country Name": "Poland",
        "Purpose": "To highlight the importance of imaging modalities in the diagnosis of uveitis-glaucoma-hyphema (UGH) plus syndrome caused by intraocular lens (IOL) complications.",
        "Setting": "A case report from Clinic of Ophthalmology, Medical Center of Postgraduate Education Prof. W. Orłowski Independent Public Clinical Hospital, Warsaw, Poland.",
        "Methods": "A 72-year-old woman presented with a one-year history of recurrent elevated intraocular pressure (IOP), anterior uveitis, hyphema and vitreous hemorrhage in the right eye (RE). She had been diagnosed with bilateral primary open-angle glaucoma (POAG) eight years earlier. She underwent cataract surgery in the RE two years earlier, with postoperative IOP reaching up to 32mmHg within the first two weeks. Cataract surgery in the left eye (LE) was also performed two years earlier, with implantation of a capsular tension ring due to lens subluxation. In both eyes, the IOLs were implanted in the capsular bag. Her medical history was significant for rheumatoid arthritis treated with oral methylprednisolone.",
        "Results": "On clinical examination best corrected visual acuity was 0.9 in both eyes. IOP was 15 mmHg in the RE and 12mmHg in the LE. The cup-to-disc ratio in both eyes was 0.7. Apart from this, the anterior segment and fundus were unremarkable. The ultrasound biomicroscopy revealed iris-IOL chafing caused by one of the IOL’s haptics malpositioned in the sulcus. As the posterior capsule remained intact, repositioning of the IOL into the capsular bag was performed. No recurrence of UGH plus syndrome was observed after surgery.",
        "Conclusions": "In cases of anterior uveitis, elevated IOP and hyphema, UGH syndrome caused by IOL displacement should be considered. The presence of vitreous hemorrhage indicates UGH plus syndrome. The diagnosis was not straightforward because of concomitant comorbidities such as POAG and rheumatoid arthritis. In this case, the patient was treated pharmacologically for one year based on symptoms, whereas earlier use of ultrasound biomicroscopy could have led to prompt diagnosis and prevented prolonged treatment and potential complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCAT325",
      "abstract_number": "POCAT325",
      "title": "Secondary Scleral Fixation Of The Sing Imt Using 9-0 Polypropylene Sutures Following Intraoperative Capsular Dehiscence: A Case Report And Comparative Analysis With Gore-Tex Fixation Techniques",
      "authors": "Dr Antonio Baldascino",
      "presenter": "Dr Antonio Baldascino",
      "normalized_authors": [
        "Antonio Baldascino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giuseppe Francione",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To describe a case of secondary scleral fixation of the SING IMT (Smaller-Incision New-Generation Implantable Miniature Telescope) using 9-0 polypropylene (Prolene) sutures following intraoperative capsular dehiscence in a pseudophakic patient, and to compare this technique with previously described Gore-Tex–based scleral fixation approaches.",
        "Setting": "SING IMT intraocular telescope implantation in pseudophakic patient with a capsular dehiscence",
        "Methods": "A pseudophakic patient with advanced age-related macular degeneration underwent planned sulcus piggy-bag implantation of the SING IMT. During intraocular telescope insertion, significant capsular dehiscence was observed, resulting in instability of the capsular complex. To ensure adequate centration and long-term stability of the device, an intraoperative decision was made to convert to secondary four-point transscleral fixation using 9-0 polypropylene sutures. The surgical technique, perioperative course, and postoperative outcomes were analyzed. A comparative review of polypropylene versus Gore-Tex scleral fixation techniques was performed based on current literature.",
        "Results": "At 10 days BCDVA reached 20/125 (logMAR 0.80), representing a gain of approximately 3 Snellen lines. Distance-corrected near visual acuity improved from non-measurable preoperatively to 0.5 decimal equivalent.\n\nNo telescopic IOL tilt, decentration, hypotony, suture erosion, or inflammatory reaction was observed. Endothelial cell loss at 1 months was less than 9%, consistent with reported values following SING IMT implantation. Intraocular pressure remained stable.",
        "Conclusions": "Secondary scleral fixation of the SING IMT using 9-0 polypropylene sutures represents a safe and effective alternative in cases of intraoperative capsular instability. Although Gore-Tex sutures offer superior tensile strength and theoretical long-term durability, polypropylene fixation provides excellent intraoperative handling and secure centration when meticulous technique is applied. Careful long-term surveillance remains warranted due to the known risk of late polypropylene degradation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Secondary scleral fixation of the SING IMT using 9-0 polypropylene sutures represents a safe and effective alternative in cases of intraoperative capsular instability. Although Gore-Tex sutures offer superior tensile strength and theoretical long-term durability, polypropylene fixation provides excellent intraoperative handling and secure centration when meticulous technique is applied. Careful long-term…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 364,
      "source_fields": {
        "Abstract Final Identifier": "POCAT325",
        "Title": "Secondary Scleral Fixation Of The Sing Imt Using 9-0 Polypropylene Sutures Following Intraoperative Capsular Dehiscence: A Case Report And Comparative Analysis With Gore-Tex Fixation Techniques",
        "Presenting Author(s)": "Dr Antonio Baldascino",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Giuseppe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Francione",
        "Country Name": "Italy",
        "Purpose": "To describe a case of secondary scleral fixation of the SING IMT (Smaller-Incision New-Generation Implantable Miniature Telescope) using 9-0 polypropylene (Prolene) sutures following intraoperative capsular dehiscence in a pseudophakic patient, and to compare this technique with previously described Gore-Tex–based scleral fixation approaches.",
        "Setting": "SING IMT intraocular telescope implantation in pseudophakic patient with a capsular dehiscence",
        "Methods": "A pseudophakic patient with advanced age-related macular degeneration underwent planned sulcus piggy-bag implantation of the SING IMT. During intraocular telescope insertion, significant capsular dehiscence was observed, resulting in instability of the capsular complex. To ensure adequate centration and long-term stability of the device, an intraoperative decision was made to convert to secondary four-point transscleral fixation using 9-0 polypropylene sutures. The surgical technique, perioperative course, and postoperative outcomes were analyzed. A comparative review of polypropylene versus Gore-Tex scleral fixation techniques was performed based on current literature.",
        "Results": "At 10 days BCDVA reached 20/125 (logMAR 0.80), representing a gain of approximately 3 Snellen lines. Distance-corrected near visual acuity improved from non-measurable preoperatively to 0.5 decimal equivalent.\n\nNo telescopic IOL tilt, decentration, hypotony, suture erosion, or inflammatory reaction was observed. Endothelial cell loss at 1 months was less than 9%, consistent with reported values following SING IMT implantation. Intraocular pressure remained stable.",
        "Conclusions": "Secondary scleral fixation of the SING IMT using 9-0 polypropylene sutures represents a safe and effective alternative in cases of intraoperative capsular instability. Although Gore-Tex sutures offer superior tensile strength and theoretical long-term durability, polypropylene fixation provides excellent intraoperative handling and secure centration when meticulous technique is applied. Careful long-term surveillance remains warranted due to the known risk of late polypropylene degradation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POCAT326",
      "abstract_number": "POCAT326",
      "title": "When The First Lens Isn't The Last: Incidence, Indications, And Outcomes Of Iol Exchange: A 10-Year Retrospective Review In A German Tertiary Hospital",
      "authors": "Dr Matthias Gerl",
      "presenter": "Dr Matthias Gerl",
      "normalized_authors": [
        "Matthias Gerl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matthias Gerl",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To determine the incidence, indications, and visual outcomes of intraocular lens (IOL) exchange after cataract surgery over a 10-year period at a German tertiary eye center. Secondary objectives included analyzing the time interval between primary surgery and exchange, identifying the most frequent indications for reoperation, evaluating pre- and postoperative visual acuity and complication rates.",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Retrospective single-center review of all IOL exchanges performed after cataract surgery at a tertiary eye hospital in Germany over a 10-year period (January 2016–January 2026). Only patients whose primary cataract surgery and IOL exchange were both performed at our center were included. Cumulative incidence was calculated as IOL exchanges per total cataract surgeries. Data encompassed demographics, indications, time to exchange, ocular comorbidities, explanted and secondary IOL characteristics, implantation site, and complications.",
        "Results": "Among 50,410 phacoemulsification procedures over 10 years, 115 eyes (102 patients) required IOL exchange (cumulative incidence: 2.28/1,000; 95% CI: 1.88–2.74), with no significant temporal trend (IRR: 1.021; P = 0.534). Mean time to exchange was 16.7 ± 26.73 months. Leading indications were dislocation (37.4%), dissatisfaction (29.6%), and incorrect power (25.2%); glaucoma was the most common comorbidity (17.4%). Secondary IOLs were iris-claw (31.3%), monofocal (29.6%), three-piece (18.3%), EDOF (14.8%), and multifocal (6.1%), placed in-the-bag (53.9%), retropupillary (31.3%), or sulcus (14.8%). Most frequent complications complications were intraoperative vitreous prolapse (29.9%) and postoperative posterior capsule opacification (13.7%).",
        "Conclusions": "IOL exchange remains an infrequent procedure following cataract surgery, with a stable incidence of 2.28 per 1,000 operations over a 10-year period. The growing availability of contemporary IOL designs and ongoing refinements in biometry and IOL power calculation may have contributed to a shift in the spectrum of indications, with patient dissatisfaction representing a notable proportion alongside the traditionally dominant indication of IOL dislocation. Overall, IOL exchange demonstrated a favorable safety profile, supporting its role as an effective option for appropriately selected patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IOL exchange remains an infrequent procedure following cataract surgery, with a stable incidence of 2.28 per 1,000 operations over a 10-year period. The growing availability of contemporary IOL designs and ongoing refinements in biometry and IOL power calculation may have contributed to a shift in the spectrum of indications, with patient dissatisfaction representing a notable proportion alongside the traditionally…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 365,
      "source_fields": {
        "Abstract Final Identifier": "POCAT326",
        "Title": "When The First Lens Isn't The Last: Incidence, Indications, And Outcomes Of Iol Exchange: A 10-Year Retrospective Review In A German Tertiary Hospital",
        "Presenting Author(s)": "Dr Matthias Gerl",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Matthias",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gerl",
        "Country Name": "Germany",
        "Purpose": "To determine the incidence, indications, and visual outcomes of intraocular lens (IOL) exchange after cataract surgery over a 10-year period at a German tertiary eye center. Secondary objectives included analyzing the time interval between primary surgery and exchange, identifying the most frequent indications for reoperation, evaluating pre- and postoperative visual acuity and complication rates.",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Retrospective single-center review of all IOL exchanges performed after cataract surgery at a tertiary eye hospital in Germany over a 10-year period (January 2016–January 2026). Only patients whose primary cataract surgery and IOL exchange were both performed at our center were included. Cumulative incidence was calculated as IOL exchanges per total cataract surgeries. Data encompassed demographics, indications, time to exchange, ocular comorbidities, explanted and secondary IOL characteristics, implantation site, and complications.",
        "Results": "Among 50,410 phacoemulsification procedures over 10 years, 115 eyes (102 patients) required IOL exchange (cumulative incidence: 2.28/1,000; 95% CI: 1.88–2.74), with no significant temporal trend (IRR: 1.021; P = 0.534). Mean time to exchange was 16.7 ± 26.73 months. Leading indications were dislocation (37.4%), dissatisfaction (29.6%), and incorrect power (25.2%); glaucoma was the most common comorbidity (17.4%). Secondary IOLs were iris-claw (31.3%), monofocal (29.6%), three-piece (18.3%), EDOF (14.8%), and multifocal (6.1%), placed in-the-bag (53.9%), retropupillary (31.3%), or sulcus (14.8%). Most frequent complications complications were intraoperative vitreous prolapse (29.9%) and postoperative posterior capsule opacification (13.7%).",
        "Conclusions": "IOL exchange remains an infrequent procedure following cataract surgery, with a stable incidence of 2.28 per 1,000 operations over a 10-year period. The growing availability of contemporary IOL designs and ongoing refinements in biometry and IOL power calculation may have contributed to a shift in the spectrum of indications, with patient dissatisfaction representing a notable proportion alongside the traditionally dominant indication of IOL dislocation. Overall, IOL exchange demonstrated a favorable safety profile, supporting its role as an effective option for appropriately selected patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POCAT327",
      "abstract_number": "POCAT327",
      "title": "Middle Segment Surgery: Entering The Eye Through The Pars Plana To Solve Anterior Segment Surgical Challenges, Mostly Related But Not Limited To Intraocular Lenses",
      "authors": "Prof. Dr Kamran Riaz",
      "presenter": "Prof. Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sadeer B. Hannush",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To discuss cases with a special interest of entering the eye through the pars plana to solve anterior segment surgical challenges and complications",
        "Setting": "Many complex anterior segment problems are best addressed through the pars plana, yet formal training in pars plana techniques is not routinely included in anterior segment fellowships, and refractive considerations are often under-emphasized in vitreoretinal training. We introduced the concept of Middle Segment Surgery (MSS): the surgical management of anterior segment pathology and postoperative challenges via a pars plana approach",
        "Methods": "Pars plana access improves outcomes in scenarios such as vitreous prolapse in the virgin eye, unicameral eyes, subluxated and dislocated IOLs, retained lens material, aqueous misdirection, and eyes with posterior capsule defects. The paper will also address modern scleral fixation strategies, IOL power calculation when in-the-bag placement is not possible, emerging technologies, and training pathways for anterior- and posterior-segment surgeons adopting Middle Segment Surgery (MSS) techniques, for example: Two to four pars plana vitrectomy ports are placed to manage anterior segment surgical complications. This includes, but not limited to: opacified intracular lenses (IOLs), displaced IOLs, UGH syndromes, CME, visually unhappy patient",
        "Results": "Pars plana-assisted anterior segment reconstruction proves to be a more effective and safer approach for the visual rehabilitation of patients with anterior segment surgical complications, specially dislocated and opacified intraocular lenses. Patients enjoyed improved or resolved symptoms after intervention. Emphasis should be placed on interdisciplinary collaboration, fluidics control in closed-system surgery, and safe adoption of basic vitreoretinal skills by anterior segment surgeons, as well as refractive considerations (modern IOL features, IOL formulas, etc.) for retina surgeons participating in complex anterior segment reconstruction",
        "Conclusions": "Pars plana intervention may be the best modality to address and improve anterior segment surgical challeges, especially dislocated or opacified IOLs"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pars plana intervention may be the best modality to address and improve anterior segment surgical challeges, especially dislocated or opacified IOLs",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 366,
      "source_fields": {
        "Abstract Final Identifier": "POCAT327",
        "Title": "Middle Segment Surgery: Entering The Eye Through The Pars Plana To Solve Anterior Segment Surgical Challenges, Mostly Related But Not Limited To Intraocular Lenses",
        "Presenting Author(s)": "Prof. Dr Kamran Riaz",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Sadeer",
        "Submitter Middle Name": "B.",
        "Submitter Last Name": "Hannush",
        "Country Name": "United States",
        "Purpose": "To discuss cases with a special interest of entering the eye through the pars plana to solve anterior segment surgical challenges and complications",
        "Setting": "Many complex anterior segment problems are best addressed through the pars plana, yet formal training in pars plana techniques is not routinely included in anterior segment fellowships, and refractive considerations are often under-emphasized in vitreoretinal training. We introduced the concept of Middle Segment Surgery (MSS): the surgical management of anterior segment pathology and postoperative challenges via a pars plana approach",
        "Methods": "Pars plana access improves outcomes in scenarios such as vitreous prolapse in the virgin eye, unicameral eyes, subluxated and dislocated IOLs, retained lens material, aqueous misdirection, and eyes with posterior capsule defects. The paper will also address modern scleral fixation strategies, IOL power calculation when in-the-bag placement is not possible, emerging technologies, and training pathways for anterior- and posterior-segment surgeons adopting Middle Segment Surgery (MSS) techniques, for example: Two to four pars plana vitrectomy ports are placed to manage anterior segment surgical complications. This includes, but not limited to: opacified intracular lenses (IOLs), displaced IOLs, UGH syndromes, CME, visually unhappy patient",
        "Results": "Pars plana-assisted anterior segment reconstruction proves to be a more effective and safer approach for the visual rehabilitation of patients with anterior segment surgical complications, specially dislocated and opacified intraocular lenses. Patients enjoyed improved or resolved symptoms after intervention. Emphasis should be placed on interdisciplinary collaboration, fluidics control in closed-system surgery, and safe adoption of basic vitreoretinal skills by anterior segment surgeons, as well as refractive considerations (modern IOL features, IOL formulas, etc.) for retina surgeons participating in complex anterior segment reconstruction",
        "Conclusions": "Pars plana intervention may be the best modality to address and improve anterior segment surgical challeges, especially dislocated or opacified IOLs"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT328",
      "abstract_number": "POCAT328",
      "title": "Updated Results Of A Prospective Randomized Control Trial To Measure Posterior Capsular Opacification And Visual Outcomes Following Insertion Of Two Monofocal, Aspheric, Acrylic Intraocular Lenses: Hydrophobic Rayone 800C Vs Hydrophilic Rayone 600C.",
      "authors": "Mr Ashmal Jameel",
      "presenter": "Mr Ashmal Jameel",
      "normalized_authors": [
        "Ashmal Jameel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ashmal Jameel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare posterior capsular opacification (PCO), Nd: YAG laser capsulotomy rates, visual outcomes, IOL glistenings and patient satisfaction of patients following insertion of either the hydrophilic RayOne 600C monofocal intraocular lens (IOL) or the hydrophobic RayOne 800C monofocal IOL. Both IOLs are manufactured by the same manufacturer (Rayner Ltd, Worthing, UK) and are structurally similar, with square edges and comparable optic and haptic designs.",
        "Setting": "University Hospital, London, United Kingdom.",
        "Methods": "Patients with visually symptomatic cataract were randomised to receive one of the two IOLs during phacoemulsification cataract surgery (CS). Thirty-nine eyes of 39 patients received the RayOne 600C IOL (HPL group) and 46 eyes of 46 patients received the RayOne 800C IOL (HPB group). Patients were seen at baseline and at 1 month (1M), 6M, 12M, and 24M following CS. Primary outcome measures included the development of visually significant PCO requiring Nd: YAG laser capsulotomy and the mean percentage area of PCO within the central 4 millimeters of the IOL as measured from digital photography. Secondary outcome measures include presence of intraocular lens glistenings, visual outcomes, and patient reported outcome measures (CATPROM-5).",
        "Results": "Seventy-two patients attended 24M follow-up (37 in HPL group, 35 in HPB group). At 24M, there were statistically significant improvements in UDVA, BDVA and CATPROM-5 scores compared to baseline in the HPL group (all p<0.0001), and in the HPB group (all p<0.0001). At 24 months, 2 patients in the HPL group and 6 patients in the HPB group required Nd: YAG laser capsulotomy for visually significant PCO (p=0.14). Initial analysis of glistenings at 1M and 6M demonstrates increased prevalence in the HPB group (50%, 76.5%), compared to the HPL group (7.14%, 30.77%) (p=0.02) There were no significant differences in visual outcomes, CATPROM-5 scores, or adverse events between the two groups.",
        "Conclusions": "Our results indicate there are no statistically significant differences in post-operative visual outcomes and visually significant PCO between the groups. Initial analysis of IOL glistenings suggests an increased prevalence in the HPL group. We will present further 12-month & 24-month IOL glistenings data analysed by three independent assessors ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results indicate there are no statistically significant differences in post-operative visual outcomes and visually significant PCO between the groups. Initial analysis of IOL glistenings suggests an increased prevalence in the HPL group. We will present further 12-month & 24-month IOL glistenings data analysed by three independent assessors .",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 367,
      "source_fields": {
        "Abstract Final Identifier": "POCAT328",
        "Title": "Updated Results Of A Prospective Randomized Control Trial To Measure Posterior Capsular Opacification And Visual Outcomes Following Insertion Of Two Monofocal, Aspheric, Acrylic Intraocular Lenses: Hydrophobic Rayone 800C Vs Hydrophilic Rayone 600C.",
        "Presenting Author(s)": "Mr Ashmal Jameel",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Ashmal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jameel",
        "Country Name": "United Kingdom",
        "Purpose": "To compare posterior capsular opacification (PCO), Nd: YAG laser capsulotomy rates, visual outcomes, IOL glistenings and patient satisfaction of patients following insertion of either the hydrophilic RayOne 600C monofocal intraocular lens (IOL) or the hydrophobic RayOne 800C monofocal IOL. Both IOLs are manufactured by the same manufacturer (Rayner Ltd, Worthing, UK) and are structurally similar, with square edges and comparable optic and haptic designs.",
        "Setting": "University Hospital, London, United Kingdom.",
        "Methods": "Patients with visually symptomatic cataract were randomised to receive one of the two IOLs during phacoemulsification cataract surgery (CS). Thirty-nine eyes of 39 patients received the RayOne 600C IOL (HPL group) and 46 eyes of 46 patients received the RayOne 800C IOL (HPB group). Patients were seen at baseline and at 1 month (1M), 6M, 12M, and 24M following CS. Primary outcome measures included the development of visually significant PCO requiring Nd: YAG laser capsulotomy and the mean percentage area of PCO within the central 4 millimeters of the IOL as measured from digital photography. Secondary outcome measures include presence of intraocular lens glistenings, visual outcomes, and patient reported outcome measures (CATPROM-5).",
        "Results": "Seventy-two patients attended 24M follow-up (37 in HPL group, 35 in HPB group). At 24M, there were statistically significant improvements in UDVA, BDVA and CATPROM-5 scores compared to baseline in the HPL group (all p<0.0001), and in the HPB group (all p<0.0001). At 24 months, 2 patients in the HPL group and 6 patients in the HPB group required Nd: YAG laser capsulotomy for visually significant PCO (p=0.14). Initial analysis of glistenings at 1M and 6M demonstrates increased prevalence in the HPB group (50%, 76.5%), compared to the HPL group (7.14%, 30.77%) (p=0.02) There were no significant differences in visual outcomes, CATPROM-5 scores, or adverse events between the two groups.",
        "Conclusions": "Our results indicate there are no statistically significant differences in post-operative visual outcomes and visually significant PCO between the groups. Initial analysis of IOL glistenings suggests an increased prevalence in the HPL group. We will present further 12-month & 24-month IOL glistenings data analysed by three independent assessors ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "POCAT329",
      "abstract_number": "POCAT329",
      "title": "Beyond The Blade: The Impact Of Psychological Preparation And Guided Neuroadaptation On Patient Satisfaction And Clinical Efficiency In Cataract And Premium Iol Surgery.\nDr D Joseph F W C R S- V S",
      "authors": "Dr Dylan Arthur Joseph",
      "presenter": "Dr Dylan Arthur Joseph",
      "normalized_authors": [
        "Dylan Arthur Joseph"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dylan Arthur Joseph",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "South Africa",
      "sections": {
        "Purpose": "Despite unprecedented advances in cataract and refractive lens surgery, discrepancies persist between excellent visual acuity outcomes and patient satisfaction. Increasing evidence suggests that preoperative anxiety, expectation mismatch, and neuroadaptation challenges significantly influence postoperative experience. This study evaluates the role of structured psychological preparation and guided neuroadaptation (MindVision framework) in improving surgical cooperation, accelerating adaptation to premium intraocular lenses (IOLs), and reducing postoperative dissatisfaction and lens exchange consideration.",
        "Setting": "Vision for Life Clinic, Knysna, South Africa. The MindVision program has been in effect since Auguat 2025, and the clinic has collected objective data using unbiased pre and post-operative quesstionnaires to assess the impact of the MindVision program on both the pre-operative anxiety levels and expectations of the patient, as well as how the patients have perceived the program has helped them with neuro-adaption using wither full rnage of field lenses or laser blended vision.",
        "Methods": "A structured perioperative patient-leadership model was implemented incorporating preoperative psychological preparation and expectation framing, anxiety reduction strategies during consultation, guided neuroadaptation education over a 6–8 week recovery timeline, digital postoperative reassurance and symptom normalization tools, and continuous patient engagement beyond surgery. Clinical workflow metrics and patient behavioral responses were analyzed, including intraoperative cooperation, fixation stability, postoperative reassurance requirements, and adaptation confidence.",
        "Results": "Implementation of structured psychological preparation demonstrated measurable clinical and operational advantages, including reduced pre-operativeanxiety, reduction in patient movement during surgery, accelerated neuroadaptation following premium IOL implantation, earlier patient confidence during postoperative recovery, reduced postoperative panic responses associated with normal visual phenomena, and an observed reduction in potential IOL exchange consideration. Investment in structured preoperative communication resulted in improved clinical efficiency through reduced postoperative chair time and fewer unscheduled visits.A good surgeon is not just someone technically sound, but someone who is invvested in the patient journey.",
        "Conclusions": "Modern cataract surgery has largely solved the technical challenge of visual restoration; the remaining determinant of success lies in management of the human experience surrounding surgery. Integrating psychological leadership, expectation management, and guided neuroadaptation transforms the surgeon’s role from technical operator to perioperative leader. Structured cognitive preparation programs may represent an important next step in optimizing outcomes in premium IOL surgery by improving satisfaction, enhancing surgical efficiency, and reducing unnecessary secondary interventions"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Modern cataract surgery has largely solved the technical challenge of visual restoration; the remaining determinant of success lies in management of the human experience surrounding surgery. Integrating psychological leadership, expectation management, and guided neuroadaptation transforms the surgeon’s role from technical operator to perioperative leader. Structured cognitive preparation programs may represent an…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 368,
      "source_fields": {
        "Abstract Final Identifier": "POCAT329",
        "Title": "Beyond The Blade: The Impact Of Psychological Preparation And Guided Neuroadaptation On Patient Satisfaction And Clinical Efficiency In Cataract And Premium Iol Surgery.\nDr D Joseph F W C R S- V S",
        "Presenting Author(s)": "Dr Dylan Arthur Joseph",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Dylan",
        "Submitter Middle Name": "Arthur",
        "Submitter Last Name": "Joseph",
        "Country Name": "South Africa",
        "Purpose": "Despite unprecedented advances in cataract and refractive lens surgery, discrepancies persist between excellent visual acuity outcomes and patient satisfaction. Increasing evidence suggests that preoperative anxiety, expectation mismatch, and neuroadaptation challenges significantly influence postoperative experience. This study evaluates the role of structured psychological preparation and guided neuroadaptation (MindVision framework) in improving surgical cooperation, accelerating adaptation to premium intraocular lenses (IOLs), and reducing postoperative dissatisfaction and lens exchange consideration.",
        "Setting": "Vision for Life Clinic, Knysna, South Africa. The MindVision program has been in effect since Auguat 2025, and the clinic has collected objective data using unbiased pre and post-operative quesstionnaires to assess the impact of the MindVision program on both the pre-operative anxiety levels and expectations of the patient, as well as how the patients have perceived the program has helped them with neuro-adaption using wither full rnage of field lenses or laser blended vision.",
        "Methods": "A structured perioperative patient-leadership model was implemented incorporating preoperative psychological preparation and expectation framing, anxiety reduction strategies during consultation, guided neuroadaptation education over a 6–8 week recovery timeline, digital postoperative reassurance and symptom normalization tools, and continuous patient engagement beyond surgery. Clinical workflow metrics and patient behavioral responses were analyzed, including intraoperative cooperation, fixation stability, postoperative reassurance requirements, and adaptation confidence.",
        "Results": "Implementation of structured psychological preparation demonstrated measurable clinical and operational advantages, including reduced pre-operativeanxiety, reduction in patient movement during surgery, accelerated neuroadaptation following premium IOL implantation, earlier patient confidence during postoperative recovery, reduced postoperative panic responses associated with normal visual phenomena, and an observed reduction in potential IOL exchange consideration. Investment in structured preoperative communication resulted in improved clinical efficiency through reduced postoperative chair time and fewer unscheduled visits.A good surgeon is not just someone technically sound, but someone who is invvested in the patient journey.",
        "Conclusions": "Modern cataract surgery has largely solved the technical challenge of visual restoration; the remaining determinant of success lies in management of the human experience surrounding surgery. Integrating psychological leadership, expectation management, and guided neuroadaptation transforms the surgeon’s role from technical operator to perioperative leader. Structured cognitive preparation programs may represent an important next step in optimizing outcomes in premium IOL surgery by improving satisfaction, enhancing surgical efficiency, and reducing unnecessary secondary interventions"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCAT330",
      "abstract_number": "POCAT330",
      "title": "Postoperative Inflammatory “Cocoon” Membrane Following Phacoemulsification: A Distinct Clinical Entity",
      "authors": "Dr Ioannis Keramidas",
      "presenter": "Dr Ioannis Keramidas",
      "normalized_authors": [
        "Ioannis Keramidas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ioannis Keramidas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe a rare case of postoperative inflammatory “cocoon” membrane formation following uncomplicated phacoemulsification and to highlight its differential diagnosis and management strategy.",
        "Setting": "Department of Ophthalmology, 424 General Military Hospital of Thessaloniki, Greece",
        "Methods": "A 72-year-old male underwent uneventful phacoemulsification with posterior chamber intraocular lens implantation in the right eye. On postoperative day 5, the patient presented with decreased visual acuity, οcular pain, conjunctival hyperemia. Slit-lamp examination revealed a dense inflammatory membrane surrounding the intraocular lens in a cocoon configuration. Anterior segment optical coherence tomography (AS-OCT) was performed to document the membrane morphology and its spatial relationship to the IOL. No signs suggestive of endophthalmitis were observed.",
        "Results": "The patient received one intraocular antibiotic injection, intensive topical corticosteroid therapy. Clinical improvement was observed progressively and complete regression of the inflammatory membrane occurred within 15 days. AS-OCT imaging confirmed gradual resolution of the membrane.",
        "Conclusions": "Inflammatory “cocoon” membrane formation represents a rare postoperative complication after cataract surgery. It may mimic Toxic Anterior Segment Syndrome (TASS) or endophthalmitis. Careful clinical assessment and imaging are crucial for differential diagnosis. Aggressive topical corticosteroid therapy appears to be the mainstay of treatment. Prognosis is favorable with prompt recognition and management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Inflammatory “cocoon” membrane formation represents a rare postoperative complication after cataract surgery. It may mimic Toxic Anterior Segment Syndrome (TASS) or endophthalmitis. Careful clinical assessment and imaging are crucial for differential diagnosis. Aggressive topical corticosteroid therapy appears to be the mainstay of treatment. Prognosis is favorable with prompt recognition and management.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 369,
      "source_fields": {
        "Abstract Final Identifier": "POCAT330",
        "Title": "Postoperative Inflammatory “Cocoon” Membrane Following Phacoemulsification: A Distinct Clinical Entity",
        "Presenting Author(s)": "Dr Ioannis Keramidas",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Ioannis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Keramidas",
        "Country Name": "Greece",
        "Purpose": "To describe a rare case of postoperative inflammatory “cocoon” membrane formation following uncomplicated phacoemulsification and to highlight its differential diagnosis and management strategy.",
        "Setting": "Department of Ophthalmology, 424 General Military Hospital of Thessaloniki, Greece",
        "Methods": "A 72-year-old male underwent uneventful phacoemulsification with posterior chamber intraocular lens implantation in the right eye. On postoperative day 5, the patient presented with decreased visual acuity, οcular pain, conjunctival hyperemia. Slit-lamp examination revealed a dense inflammatory membrane surrounding the intraocular lens in a cocoon configuration. Anterior segment optical coherence tomography (AS-OCT) was performed to document the membrane morphology and its spatial relationship to the IOL. No signs suggestive of endophthalmitis were observed.",
        "Results": "The patient received one intraocular antibiotic injection, intensive topical corticosteroid therapy. Clinical improvement was observed progressively and complete regression of the inflammatory membrane occurred within 15 days. AS-OCT imaging confirmed gradual resolution of the membrane.",
        "Conclusions": "Inflammatory “cocoon” membrane formation represents a rare postoperative complication after cataract surgery. It may mimic Toxic Anterior Segment Syndrome (TASS) or endophthalmitis. Careful clinical assessment and imaging are crucial for differential diagnosis. Aggressive topical corticosteroid therapy appears to be the mainstay of treatment. Prognosis is favorable with prompt recognition and management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 192
    },
    {
      "uid": "POCAT331",
      "abstract_number": "POCAT331",
      "title": "Dose–Response Structural And Spectral Changes In Hydrophobic Intraocular Lenses Following Exposure To Topical Glaucoma Medications",
      "authors": "Dr Haoran Charles Li",
      "presenter": "Dr Haoran Charles Li",
      "normalized_authors": [
        "Haoran Charles Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Haoran Charles Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Pseudophakia and chronic glaucoma therapy frequently coexist, exposing intraocular lenses (IOLs) to long-term topical hypotensive medications. Prior in vitro work has demonstrated that hypotensive drugs, including dorzolamide and timolol, induce discoloration, precipitate formation, and altered light absorbance in IOLs. However, wavelength-specific and concentration-dependent effects in hydrophobic IOLs remain incompletely characterized. This study aimed to evaluate dose–response structural alterations and spectral absorbance changes in two hydrophobic IOL models following graded exposure to timolol and dorzolamide.",
        "Setting": "An experimental laboratory study was conducted in a controlled research facility using accelerated aging conditions to simulate long-term drug exposure to implanted hydrophobic intraocular lenses.",
        "Methods": "Two hydrophobic IOL models (E and J) were immersed in six graded concentrations (12.5%–100%) of timolol maleate 0.25% and dorzolamide 2%; balanced salt solution served as control. Samples were incubated at 82°C for one year. Precipitation and discoloration were assessed using 40× surgical microscopy and 100× light microscopy. Light absorbance (410–680 nm) was measured centrally. Full-spectrum dose–response relationships were analyzed using Pearson correlation, with Spearman rank correlation as a monotonicity check (n=126 pooled measurements per condition). A three-factor ANOVA assessed the effects of drug, IOL type, and wavelength on correlation coefficients.",
        "Results": "Seventy-eight IOLs completed incubation. Dorzolamide demonstrated concentration-dependent precipitation and discoloration in both IOLs and modest positive correlations regarding light absorbance across all wavelengths, reaching significance at 410 nm in IOL E. Timolol demonstrated consistent negative correlations regarding light absorbance across 410–500 nm and 680 nm in both IOLs, with weaker or absent effects at 550–580 nm in IOL J. Full-spectrum analysis strengthened these findings: Dorzolamide showed modest positive dose–response (E: r=0.205, p=0.022; J: r=0.308, p<0.001), Timolol showed significant inverse associations (E: r=−0.588, p<0.001; J: r=−0.253, p=0.004). ANOVA identified drug type as the only significant factor (p<0.0001).",
        "Conclusions": "Topical glaucoma medications produced drug-specific structural and spectral effects in hydrophobic IOLs under accelerated conditions. Dorzolamide was associated with modest concentration-dependent precipitation, discoloration, and increased absorbance, whereas timolol demonstrated a consistent inverse spectral dose–response without clear structural deposition. Drug type appears to be the dominant determinant of spectral change. Although in vitro, these findings suggest potential medication–material interactions that may influence long-term optical performance. Clinicians should remain aware of possible IOL–drug interactions and apply clinical discretion when selecting long-term hypotensive therapy in pseudophakic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical glaucoma medications produced drug-specific structural and spectral effects in hydrophobic IOLs under accelerated conditions. Dorzolamide was associated with modest concentration-dependent precipitation, discoloration, and increased absorbance, whereas timolol demonstrated a consistent inverse spectral dose–response without clear structural deposition. Drug type appears to be the dominant determinant of…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 370,
      "source_fields": {
        "Abstract Final Identifier": "POCAT331",
        "Title": "Dose–Response Structural And Spectral Changes In Hydrophobic Intraocular Lenses Following Exposure To Topical Glaucoma Medications",
        "Presenting Author(s)": "Dr Haoran Charles Li",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Haoran",
        "Submitter Middle Name": "Charles",
        "Submitter Last Name": "Li",
        "Country Name": "Canada",
        "Purpose": "Pseudophakia and chronic glaucoma therapy frequently coexist, exposing intraocular lenses (IOLs) to long-term topical hypotensive medications. Prior in vitro work has demonstrated that hypotensive drugs, including dorzolamide and timolol, induce discoloration, precipitate formation, and altered light absorbance in IOLs. However, wavelength-specific and concentration-dependent effects in hydrophobic IOLs remain incompletely characterized. This study aimed to evaluate dose–response structural alterations and spectral absorbance changes in two hydrophobic IOL models following graded exposure to timolol and dorzolamide.",
        "Setting": "An experimental laboratory study was conducted in a controlled research facility using accelerated aging conditions to simulate long-term drug exposure to implanted hydrophobic intraocular lenses.",
        "Methods": "Two hydrophobic IOL models (E and J) were immersed in six graded concentrations (12.5%–100%) of timolol maleate 0.25% and dorzolamide 2%; balanced salt solution served as control. Samples were incubated at 82°C for one year. Precipitation and discoloration were assessed using 40× surgical microscopy and 100× light microscopy. Light absorbance (410–680 nm) was measured centrally. Full-spectrum dose–response relationships were analyzed using Pearson correlation, with Spearman rank correlation as a monotonicity check (n=126 pooled measurements per condition). A three-factor ANOVA assessed the effects of drug, IOL type, and wavelength on correlation coefficients.",
        "Results": "Seventy-eight IOLs completed incubation. Dorzolamide demonstrated concentration-dependent precipitation and discoloration in both IOLs and modest positive correlations regarding light absorbance across all wavelengths, reaching significance at 410 nm in IOL E. Timolol demonstrated consistent negative correlations regarding light absorbance across 410–500 nm and 680 nm in both IOLs, with weaker or absent effects at 550–580 nm in IOL J. Full-spectrum analysis strengthened these findings: Dorzolamide showed modest positive dose–response (E: r=0.205, p=0.022; J: r=0.308, p<0.001), Timolol showed significant inverse associations (E: r=−0.588, p<0.001; J: r=−0.253, p=0.004). ANOVA identified drug type as the only significant factor (p<0.0001).",
        "Conclusions": "Topical glaucoma medications produced drug-specific structural and spectral effects in hydrophobic IOLs under accelerated conditions. Dorzolamide was associated with modest concentration-dependent precipitation, discoloration, and increased absorbance, whereas timolol demonstrated a consistent inverse spectral dose–response without clear structural deposition. Drug type appears to be the dominant determinant of spectral change. Although in vitro, these findings suggest potential medication–material interactions that may influence long-term optical performance. Clinicians should remain aware of possible IOL–drug interactions and apply clinical discretion when selecting long-term hypotensive therapy in pseudophakic patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "POCAT332",
      "abstract_number": "POCAT332",
      "title": "Modified Piercing Double-Flanged Single-Piece Intrascleral Intraocular Lens Fixation: A Safe, Efficient, And Durable Technique",
      "authors": "Dr Jen Yu Liu",
      "presenter": "Dr Jen Yu Liu",
      "normalized_authors": [
        "Jen Yu Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jen Yu Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "Since the introduction of the Yamane technique, various surgical modifications have been developed to reduce endothelial cell damage, procedure-induced corneal astigmatism, surgical time, and, most importantly, technical difficulty and cost. Herein, we present a simple, efficient, and versatile sutureless intrascleral intraocular lens (IOL) fixation technique modified from the double-flanged and Canabrava four-flanged techniques, along with its surgical outcomes.",
        "Setting": "This study was conducted at a tertiary referral center in Taipei, Taiwan, and included patients evaluated and treated in the ophthalmology outpatient clinics and operating rooms between 2023 and 2025 by a single surgeon.",
        "Methods": "This retrospective cohort study included patients with aphakia, dropped lens, subluxated or dislocated single-piece IOLs without capsular support, or hydrophilic IOL opacification; those with retinal detachment, severe corneal decompensation, or prior ocular trauma were excluded. The modified piercing double-flanged technique used two 7-0 polypropylene sutures passed through the optic–haptic junction of a one-piece IOL 180° apart via a 27-gauge needle inserted 2 mm posterior to the limbus. Flanges were created with electrocautery and embedded in scleral tunnels. Primary outcome was postoperative BCVA; secondary outcomes were IOL-induced and corneal astigmatism.",
        "Results": "The technique was performed in 14 eyes of 14 patients. Significant improvement in visual acuity was observed, with mean preoperative and postoperative BCVA of 1.09 ± 0.88 and 0.61 ± 0.53 logMAR, respectively (p = 0.011). There was no significant difference in corneal astigmatism before and after surgery (−1.3 ± 0.81 vs. −1.5 ± 1.0 D, p = 0.174), and postoperative IOL-induced astigmatism remained within acceptable limits (−0.59 ± 0.54 D). No intraoperative or postoperative complications were observed during the follow-up period.",
        "Conclusions": "The modified piercing double-flanged intrascleral IOL fixation technique is efficient, straightforward, and easier to learn than existing sutureless intrascleral fixation methods. It is highly versatile, applicable to both non-foldable and single-piece foldable IOLs, and particularly advantageous for patients with IOL dislocation who prefer to avoid the additional cost of IOL exchange while achieving durable long-term stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The modified piercing double-flanged intrascleral IOL fixation technique is efficient, straightforward, and easier to learn than existing sutureless intrascleral fixation methods. It is highly versatile, applicable to both non-foldable and single-piece foldable IOLs, and particularly advantageous for patients with IOL dislocation who prefer to avoid the additional cost of IOL exchange while achieving durable…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 371,
      "source_fields": {
        "Abstract Final Identifier": "POCAT332",
        "Title": "Modified Piercing Double-Flanged Single-Piece Intrascleral Intraocular Lens Fixation: A Safe, Efficient, And Durable Technique",
        "Presenting Author(s)": "Dr Jen Yu Liu",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Jen Yu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "Taiwan",
        "Purpose": "Since the introduction of the Yamane technique, various surgical modifications have been developed to reduce endothelial cell damage, procedure-induced corneal astigmatism, surgical time, and, most importantly, technical difficulty and cost. Herein, we present a simple, efficient, and versatile sutureless intrascleral intraocular lens (IOL) fixation technique modified from the double-flanged and Canabrava four-flanged techniques, along with its surgical outcomes.",
        "Setting": "This study was conducted at a tertiary referral center in Taipei, Taiwan, and included patients evaluated and treated in the ophthalmology outpatient clinics and operating rooms between 2023 and 2025 by a single surgeon.",
        "Methods": "This retrospective cohort study included patients with aphakia, dropped lens, subluxated or dislocated single-piece IOLs without capsular support, or hydrophilic IOL opacification; those with retinal detachment, severe corneal decompensation, or prior ocular trauma were excluded. The modified piercing double-flanged technique used two 7-0 polypropylene sutures passed through the optic–haptic junction of a one-piece IOL 180° apart via a 27-gauge needle inserted 2 mm posterior to the limbus. Flanges were created with electrocautery and embedded in scleral tunnels. Primary outcome was postoperative BCVA; secondary outcomes were IOL-induced and corneal astigmatism.",
        "Results": "The technique was performed in 14 eyes of 14 patients. Significant improvement in visual acuity was observed, with mean preoperative and postoperative BCVA of 1.09 ± 0.88 and 0.61 ± 0.53 logMAR, respectively (p = 0.011). There was no significant difference in corneal astigmatism before and after surgery (−1.3 ± 0.81 vs. −1.5 ± 1.0 D, p = 0.174), and postoperative IOL-induced astigmatism remained within acceptable limits (−0.59 ± 0.54 D). No intraoperative or postoperative complications were observed during the follow-up period.",
        "Conclusions": "The modified piercing double-flanged intrascleral IOL fixation technique is efficient, straightforward, and easier to learn than existing sutureless intrascleral fixation methods. It is highly versatile, applicable to both non-foldable and single-piece foldable IOLs, and particularly advantageous for patients with IOL dislocation who prefer to avoid the additional cost of IOL exchange while achieving durable long-term stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POCAT333",
      "abstract_number": "POCAT333",
      "title": "Intraoperative Plan B:Salvage Sutured Scleral Fixation Iol For Failed Sutureless Techniques In Vitrectomized Eye",
      "authors": "Dr Selma Mahmah",
      "presenter": "Dr Selma Mahmah",
      "normalized_authors": [
        "Selma Mahmah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Selma Mahmah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To report the indications and outcomes of sutured scleral fixation when employed as a salvage procedure for intraoperative failures of various sutureless techniques, including intrascleral haptic fixation and retropupillary iris-claw IOL implantation,in vitrectomized eyes.",
        "Setting": "Ophthalmology Department, Lamine Dabaghine University Hospital Algiers, Algeria",
        "Methods": "A retrospective interventional case series was conducted on 6 consecutive vitrectomized eyes. All cases required intraoperative conversion from a failed sutureless technique to sutured scleral fixation using 6-0 polypropylene suture. The primary sutureless techniques and specific reasons for failure were: Intrascleral Haptic Fixation (4 eyes): Aborted due to haptic fracture during externalization (2 eyes) or inability to externalize the haptic (2 eyes). Retropupillary Iris-Claw IOL (2 eyes): Aborted due to inadequate iris stroma for stable enclavation. Outcomes analyzed included procedural success, visual acuity, IOL stability, and postoperative complications throughout the study period.",
        "Results": "Conversion to sutured scleral fixation was successful in 100% of cases (6 of 6 eyes).Mean best-corrected visual acuity (BCVA) significantly improved from 1.5 logMAR to 0.2 logMAR at a mean follow-up of 6 months. All IOLs were well-positioned and stable at the last follow-up. Complications included transient hypotony (2 eyes) and mild vitreous hemorrhage (1 eye); all resolved without further intervention. There were no cases of endophthalmitis, retinal detachment, or IOL dislocation.",
        "Conclusions": "Sutured scleral fixation is a highly effective and safe salvage technique, ensuring successful IOL implantation and significant visual improvement when primary sutureless techniques fail intraoperatively. Surgeons should be prepared to utilize this reliable 'Plan B' in complex vitrectomized eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sutured scleral fixation is a highly effective and safe salvage technique, ensuring successful IOL implantation and significant visual improvement when primary sutureless techniques fail intraoperatively. Surgeons should be prepared to utilize this reliable 'Plan B' in complex vitrectomized eyes.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 372,
      "source_fields": {
        "Abstract Final Identifier": "POCAT333",
        "Title": "Intraoperative Plan B:Salvage Sutured Scleral Fixation Iol For Failed Sutureless Techniques In Vitrectomized Eye",
        "Presenting Author(s)": "Dr Selma Mahmah",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Selma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahmah",
        "Country Name": "Algeria",
        "Purpose": "To report the indications and outcomes of sutured scleral fixation when employed as a salvage procedure for intraoperative failures of various sutureless techniques, including intrascleral haptic fixation and retropupillary iris-claw IOL implantation,in vitrectomized eyes.",
        "Setting": "Ophthalmology Department, Lamine Dabaghine University Hospital Algiers, Algeria",
        "Methods": "A retrospective interventional case series was conducted on 6 consecutive vitrectomized eyes. All cases required intraoperative conversion from a failed sutureless technique to sutured scleral fixation using 6-0 polypropylene suture. The primary sutureless techniques and specific reasons for failure were: Intrascleral Haptic Fixation (4 eyes): Aborted due to haptic fracture during externalization (2 eyes) or inability to externalize the haptic (2 eyes). Retropupillary Iris-Claw IOL (2 eyes): Aborted due to inadequate iris stroma for stable enclavation. Outcomes analyzed included procedural success, visual acuity, IOL stability, and postoperative complications throughout the study period.",
        "Results": "Conversion to sutured scleral fixation was successful in 100% of cases (6 of 6 eyes).Mean best-corrected visual acuity (BCVA) significantly improved from 1.5 logMAR to 0.2 logMAR at a mean follow-up of 6 months. All IOLs were well-positioned and stable at the last follow-up. Complications included transient hypotony (2 eyes) and mild vitreous hemorrhage (1 eye); all resolved without further intervention. There were no cases of endophthalmitis, retinal detachment, or IOL dislocation.",
        "Conclusions": "Sutured scleral fixation is a highly effective and safe salvage technique, ensuring successful IOL implantation and significant visual improvement when primary sutureless techniques fail intraoperatively. Surgeons should be prepared to utilize this reliable 'Plan B' in complex vitrectomized eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POCAT334",
      "abstract_number": "POCAT334",
      "title": "Clarity After Implantation Of Hydrophobic Acrylic Intraocular Lenses With Hydroxyethyl Methacrylate Five Years Postoperatively",
      "authors": "Dr Akira Miyata",
      "presenter": "Dr Akira Miyata",
      "normalized_authors": [
        "Akira Miyata"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akira Miyata",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "The aim of this retrospective study was to assess clarity 5 years after implantation of hydrophobic acrylic intraocular lenses (IOLs) containing hydroxyethyl methacrylate (HEMA).",
        "Setting": "Miyata Eye Clinic and Miyata Eye Hospital, Japan",
        "Methods": "Clinical records of 73 eyes of 73 participants who had participated in a previous 3-year randomized study involving implantation of Clareon IOLs containing HEMA (SY60WF, Alcon; group C) and hydrophobic acrylic Vivinex IOLs (XY1, Hoya; group V) and were followed up at 5 years postoperatively were reviewed. Corrected distance visual acuity (DCVA) and photopic and mesopic contrast sensitivity were evaluated. For clarity assessment, microvacuoles (MVs) due to glistenings and densitometry of the IOL central surface due to sub-surface nano-glistening were evaluated and compared between groups.",
        "Results": "There were 32 eyes in group C and 41 eyes in group V, and Nd:YAG laser posterior capsulotomy was performed in 4 and 5 eyes, respectively. The mean DCVA was − 0.08 logMAR in both groups. There were no differences in contrast sensitivity at any spatial frequencies (P > 0.096). MVs were found in two and three eyes, respectively, and the numbers of MVs were three or fewer. The mean densitometry in group C (4.50%) was higher than that in group V (3.85%, P = 0.0082).",
        "Conclusions": "At 5 years postoperatively, there were no significant differences between the groups in Nd:YAG capsulotomy rates, DCVA, contrast sensitivity, and MVs, except for 16.9% higher densitometry in group C. This 5-year evaluation demonstrated the long-term clarity sustainability of Clareon IOLs containing HEMA."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 5 years postoperatively, there were no significant differences between the groups in Nd:YAG capsulotomy rates, DCVA, contrast sensitivity, and MVs, except for 16.9% higher densitometry in group C. This 5-year evaluation demonstrated the long-term clarity sustainability of Clareon IOLs containing HEMA.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 373,
      "source_fields": {
        "Abstract Final Identifier": "POCAT334",
        "Title": "Clarity After Implantation Of Hydrophobic Acrylic Intraocular Lenses With Hydroxyethyl Methacrylate Five Years Postoperatively",
        "Presenting Author(s)": "Dr Akira Miyata",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Akira",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Miyata",
        "Country Name": "Japan",
        "Purpose": "The aim of this retrospective study was to assess clarity 5 years after implantation of hydrophobic acrylic intraocular lenses (IOLs) containing hydroxyethyl methacrylate (HEMA).",
        "Setting": "Miyata Eye Clinic and Miyata Eye Hospital, Japan",
        "Methods": "Clinical records of 73 eyes of 73 participants who had participated in a previous 3-year randomized study involving implantation of Clareon IOLs containing HEMA (SY60WF, Alcon; group C) and hydrophobic acrylic Vivinex IOLs (XY1, Hoya; group V) and were followed up at 5 years postoperatively were reviewed. Corrected distance visual acuity (DCVA) and photopic and mesopic contrast sensitivity were evaluated. For clarity assessment, microvacuoles (MVs) due to glistenings and densitometry of the IOL central surface due to sub-surface nano-glistening were evaluated and compared between groups.",
        "Results": "There were 32 eyes in group C and 41 eyes in group V, and Nd:YAG laser posterior capsulotomy was performed in 4 and 5 eyes, respectively. The mean DCVA was − 0.08 logMAR in both groups. There were no differences in contrast sensitivity at any spatial frequencies (P > 0.096). MVs were found in two and three eyes, respectively, and the numbers of MVs were three or fewer. The mean densitometry in group C (4.50%) was higher than that in group V (3.85%, P = 0.0082).",
        "Conclusions": "At 5 years postoperatively, there were no significant differences between the groups in Nd:YAG capsulotomy rates, DCVA, contrast sensitivity, and MVs, except for 16.9% higher densitometry in group C. This 5-year evaluation demonstrated the long-term clarity sustainability of Clareon IOLs containing HEMA."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCAT335",
      "abstract_number": "POCAT335",
      "title": "A New Accomodative Sulcus-Based Intraocular Lens, Two Years Follow-Up Clinical Observations And Complications",
      "authors": "A/Prof. Jorge Alio",
      "presenter": "A/Prof. Jorge Alio",
      "normalized_authors": [
        "Jorge Alio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simone Pirodda",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the clinical outcomes, observations, and complications related to sulcus implantation of the Lumina accommodative intraocular lens (IOL) over a 24-month period.",
        "Setting": "This prospective, observational multicenter study included 103 eyes from 66 patients who underwent implantation of the Lumina accommodative intraocular lens (IOL) at two specialized centers, each employing a distinct sulcus-based implantation model.",
        "Methods": "At Resbiomed-Vissum Eye Clinic (Sofia, Bulgaria), 54 eyes were treated using the Initial Model, in which the main corneal incision was aligned with the patient’s positive corneal meridian. In contrast, at Vissum Instituto Oftalmológico (Alicante, Spain), 49 eyes were treated with the Optimized Model, characterized by a standardized horizontal access tunnel (0–180°), regardless of corneal topography.Patients were evaluated at predefined postoperative intervals (1 day; 1, 3, 6, 12, and 24 months). Visual and refractive parameters along with postoperative observations and complications, were systematically documented.",
        "Results": "On day one, mild transient findings occurred in 21.3% of eyes, including corneal edema, ocular hypertension, pigment dispersion, and IOL tilt. By one month, events decreased to 8.7%, with isolated cases of decentration and macular edema. From month three onward, complications were rare (<1%), while between 12 and 24 months, minor late findings included pigment deposits, decentration, and delayed ocular hypertension (2.9%). Visual outcomes were favorable in both cohorts, with UDVA, CDVA, UNVA, CNVA, and CDNVA showing excellent performance at 24 months.",
        "Conclusions": "The Lumina IOL exhibited a favorable long-term safety profile, with no major sight-threatening adverse events. Early postoperative observations were transient and clinically insignificant, while late complications—though likely lens-related—did not compromise visual quality. These findings support the anatomical and functional safety of sulcus implantation for accommodative IOLs, confirming its viability as an effective and stable alternative to capsular bag fixation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Lumina IOL exhibited a favorable long-term safety profile, with no major sight-threatening adverse events. Early postoperative observations were transient and clinically insignificant, while late complications—though likely lens-related—did not compromise visual quality. These findings support the anatomical and functional safety of sulcus implantation for accommodative IOLs, confirming its viability as an…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 374,
      "source_fields": {
        "Abstract Final Identifier": "POCAT335",
        "Title": "A New Accomodative Sulcus-Based Intraocular Lens, Two Years Follow-Up Clinical Observations And Complications",
        "Presenting Author(s)": "A/Prof. Jorge Alio",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Simone",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pirodda",
        "Country Name": "Spain",
        "Purpose": "To report the clinical outcomes, observations, and complications related to sulcus implantation of the Lumina accommodative intraocular lens (IOL) over a 24-month period.",
        "Setting": "This prospective, observational multicenter study included 103 eyes from 66 patients who underwent implantation of the Lumina accommodative intraocular lens (IOL) at two specialized centers, each employing a distinct sulcus-based implantation model.",
        "Methods": "At Resbiomed-Vissum Eye Clinic (Sofia, Bulgaria), 54 eyes were treated using the Initial Model, in which the main corneal incision was aligned with the patient’s positive corneal meridian. In contrast, at Vissum Instituto Oftalmológico (Alicante, Spain), 49 eyes were treated with the Optimized Model, characterized by a standardized horizontal access tunnel (0–180°), regardless of corneal topography.Patients were evaluated at predefined postoperative intervals (1 day; 1, 3, 6, 12, and 24 months). Visual and refractive parameters along with postoperative observations and complications, were systematically documented.",
        "Results": "On day one, mild transient findings occurred in 21.3% of eyes, including corneal edema, ocular hypertension, pigment dispersion, and IOL tilt. By one month, events decreased to 8.7%, with isolated cases of decentration and macular edema. From month three onward, complications were rare (<1%), while between 12 and 24 months, minor late findings included pigment deposits, decentration, and delayed ocular hypertension (2.9%). Visual outcomes were favorable in both cohorts, with UDVA, CDVA, UNVA, CNVA, and CDNVA showing excellent performance at 24 months.",
        "Conclusions": "The Lumina IOL exhibited a favorable long-term safety profile, with no major sight-threatening adverse events. Early postoperative observations were transient and clinically insignificant, while late complications—though likely lens-related—did not compromise visual quality. These findings support the anatomical and functional safety of sulcus implantation for accommodative IOLs, confirming its viability as an effective and stable alternative to capsular bag fixation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT336",
      "abstract_number": "POCAT336",
      "title": "Long-Term Outcomes Of Scleral Fixation Of Hydrophobic Acrylic Intraocular Lenses Using Baykara Suture-Burial Technique",
      "authors": "Dr Yasin Sari",
      "presenter": "Dr Yasin Sari",
      "normalized_authors": [
        "Yasin Sari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yasin Sari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To assess the causes of aphakia, surgical outcomes, and long-term complications following scleral fixation of single-piece hydrophobic acrylic intraocular lenses (IOLs) using the Baykara Suture-Burial technique.",
        "Setting": "Tertiary referral center, Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.",
        "Methods": "A retrospective review of patients who underwent scleral fixation of single-piece hydrophobic acrylic IOLs using the Baykara technique from 2013 to 2019. Data from 25 eyes of 22 patients were analyzed. Pre- and post-operative refraction, best-corrected visual acuity (BCVA), intraocular pressure (IOP), endothelial cell density, and complications were recorded. Lenticular astigmatism was calculated using the vector analysis method described by Holladay et al.",
        "Results": "The mean age of patients was 50.6 ± 22.4 years, with an average follow-up of 76.9 ± 7.7 months. Mean BCVA improved from 1.54 ± 0.52 to 0.90 ± 0.76 LogMAR (p = 0.001). A significant decrease in endothelial cell density was observed, averaging 22% (range, 8–36%) (p = 0.003). Mean lenticular astigmatism was 1,56± 0,94 diopter (range 0,5-3,5%). Glaucoma remained stable in eyes with preexisting disease, while 2 eyes (8%) developed postoperative glaucoma, which was controlled with medication. Complications included cystoid macular edema (8%), uveitis–hyphema–glaucoma syndrome (8%), retinal detachment requiring vitrectomy (8%), and suture exposure (8%).",
        "Conclusions": "The Baykara suture-burial technique for scleral fixation of single-piece hydrophobic acrylic IOLs is an effective and safe long-term option for aphakia. Lens tilt may affect refractive outcomes, and patients should be monitored for endothelial loss and late complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Baykara suture-burial technique for scleral fixation of single-piece hydrophobic acrylic IOLs is an effective and safe long-term option for aphakia. Lens tilt may affect refractive outcomes, and patients should be monitored for endothelial loss and late complications.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 375,
      "source_fields": {
        "Abstract Final Identifier": "POCAT336",
        "Title": "Long-Term Outcomes Of Scleral Fixation Of Hydrophobic Acrylic Intraocular Lenses Using Baykara Suture-Burial Technique",
        "Presenting Author(s)": "Dr Yasin Sari",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Yasin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sari",
        "Country Name": "Türkiye",
        "Purpose": "To assess the causes of aphakia, surgical outcomes, and long-term complications following scleral fixation of single-piece hydrophobic acrylic intraocular lenses (IOLs) using the Baykara Suture-Burial technique.",
        "Setting": "Tertiary referral center, Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.",
        "Methods": "A retrospective review of patients who underwent scleral fixation of single-piece hydrophobic acrylic IOLs using the Baykara technique from 2013 to 2019. Data from 25 eyes of 22 patients were analyzed. Pre- and post-operative refraction, best-corrected visual acuity (BCVA), intraocular pressure (IOP), endothelial cell density, and complications were recorded. Lenticular astigmatism was calculated using the vector analysis method described by Holladay et al.",
        "Results": "The mean age of patients was 50.6 ± 22.4 years, with an average follow-up of 76.9 ± 7.7 months. Mean BCVA improved from 1.54 ± 0.52 to 0.90 ± 0.76 LogMAR (p = 0.001). A significant decrease in endothelial cell density was observed, averaging 22% (range, 8–36%) (p = 0.003). Mean lenticular astigmatism was 1,56± 0,94 diopter (range 0,5-3,5%). Glaucoma remained stable in eyes with preexisting disease, while 2 eyes (8%) developed postoperative glaucoma, which was controlled with medication. Complications included cystoid macular edema (8%), uveitis–hyphema–glaucoma syndrome (8%), retinal detachment requiring vitrectomy (8%), and suture exposure (8%).",
        "Conclusions": "The Baykara suture-burial technique for scleral fixation of single-piece hydrophobic acrylic IOLs is an effective and safe long-term option for aphakia. Lens tilt may affect refractive outcomes, and patients should be monitored for endothelial loss and late complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POCAT337",
      "abstract_number": "POCAT337",
      "title": "Scleral Fixation Of An Intraocular Lens Using The Canabrava Technique In Uveitis–Glaucoma–Hyphema Syndrome: A Case Report",
      "authors": "Ms Maria Sofia Siderakis",
      "presenter": "Ms Maria Sofia Siderakis",
      "normalized_authors": [
        "Maria Sofia Siderakis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Sofia Siderakis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report a case of uveitis–glaucoma–hyphema (UGH) syndrome associated with vitreous hemorrhage secondary to intraocular lens (IOL) malposition, managed surgically with scleral fixation using the Canabrava technique.",
        "Setting": "Pedro Lagleyze Public Ophthalmologic Hospital, Buenos Aires, Argentina.",
        "Methods": "A 67-year-old woman with high myopia, previous laser-assisted in situ keratomileusis, and prior cataract surgery presented with blurred vision in the left eye. Comprehensive ophthalmologic evaluation included best-corrected visual acuity (BCVA), slit-lamp examination, Goldmann applanation tonometry, dilated fundus examination, ultrasound biomicroscopy (UBM), B-scan ultrasonography, and optical biometry. Initial management consisted of maximal topical anti-inflammatory and intraocular pressure–lowering therapy. Due to persistent inflammation and inadequate IOP control, IOL explantation and secondary scleral fixation using the Canabrava technique were performed.",
        "Results": "BCVA was 20/20 in the right eye and hand motion in the left eye. Intraocular pressure was 20 mmHg and 26 mmHg, respectively. Slit-lamp examination of the left eye revealed conjunctival hyperemia, sectoral iris atrophy with transillumination defects, anterior chamber inflammation, pigment dispersion, dyscoria, a hyporeactive pupil, and posterior synechiae. UBM confirmed a malpositioned posterior chamber IOL with haptic–iris contact. Postoperatively, inflammation resolved, visual acuity improved by one Snellen line, and intraocular pressure was adequately controlled.",
        "Conclusions": "Secondary scleral fixation using the Canabrava technique may represent a safe and effective surgical option in UGH syndrome refractory to medical therapy. UBM plays a key role in confirming the diagnosis and guiding surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Secondary scleral fixation using the Canabrava technique may represent a safe and effective surgical option in UGH syndrome refractory to medical therapy. UBM plays a key role in confirming the diagnosis and guiding surgical planning.",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 376,
      "source_fields": {
        "Abstract Final Identifier": "POCAT337",
        "Title": "Scleral Fixation Of An Intraocular Lens Using The Canabrava Technique In Uveitis–Glaucoma–Hyphema Syndrome: A Case Report",
        "Presenting Author(s)": "Ms Maria Sofia Siderakis",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Sofia",
        "Submitter Last Name": "Siderakis",
        "Country Name": "Argentina",
        "Purpose": "To report a case of uveitis–glaucoma–hyphema (UGH) syndrome associated with vitreous hemorrhage secondary to intraocular lens (IOL) malposition, managed surgically with scleral fixation using the Canabrava technique.",
        "Setting": "Pedro Lagleyze Public Ophthalmologic Hospital, Buenos Aires, Argentina.",
        "Methods": "A 67-year-old woman with high myopia, previous laser-assisted in situ keratomileusis, and prior cataract surgery presented with blurred vision in the left eye. Comprehensive ophthalmologic evaluation included best-corrected visual acuity (BCVA), slit-lamp examination, Goldmann applanation tonometry, dilated fundus examination, ultrasound biomicroscopy (UBM), B-scan ultrasonography, and optical biometry. Initial management consisted of maximal topical anti-inflammatory and intraocular pressure–lowering therapy. Due to persistent inflammation and inadequate IOP control, IOL explantation and secondary scleral fixation using the Canabrava technique were performed.",
        "Results": "BCVA was 20/20 in the right eye and hand motion in the left eye. Intraocular pressure was 20 mmHg and 26 mmHg, respectively. Slit-lamp examination of the left eye revealed conjunctival hyperemia, sectoral iris atrophy with transillumination defects, anterior chamber inflammation, pigment dispersion, dyscoria, a hyporeactive pupil, and posterior synechiae. UBM confirmed a malpositioned posterior chamber IOL with haptic–iris contact. Postoperatively, inflammation resolved, visual acuity improved by one Snellen line, and intraocular pressure was adequately controlled.",
        "Conclusions": "Secondary scleral fixation using the Canabrava technique may represent a safe and effective surgical option in UGH syndrome refractory to medical therapy. UBM plays a key role in confirming the diagnosis and guiding surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCAT338",
      "abstract_number": "POCAT338",
      "title": "Anterior Transcorneal Endoscopic Ciliary Sulcus Surgery",
      "authors": "Prof. Nir Sorkin",
      "presenter": "Prof. Nir Sorkin",
      "normalized_authors": [
        "Nir Sorkin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nir Sorkin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "The interaction of the intraocular lens (IOL) and the ciliary sulcus is a potential source of significant ocular morbidity, yet the sulcus cannot be directly visualized, with indirect imaging often lacking sufficient detail. The purpose of this work is to present the use of an endoscopic visualization system in an anterior transcorneal approach to diagnose and treat IOL-related sulcus pathologies.",
        "Setting": "A tertiary-care surgical center",
        "Methods": "An endoscopic vitreoretinal imaging system was used in an anterior transcorneal approach through a 1 mm corneal paracenthesis for sulcus exploratory surgery in 5 patients with significant pathology, where clinical exam, ultrasound biomicroscopy (UBM) and additional ancillary testing could not provide a conclusive and correct diagnosis.",
        "Results": "Cases included persistent anterior uveitis, recurrent hyphaema / vitreous hemorrhage and persistent cystoid macular edema. Use of the endoscopic imaging system in a transcorneal approach enabled a definite diagnosis of the IOL-related pathology with combined surgical treatment. Diagnoses included retained crystalline lens material, broad and deep posterior synechiae, malpositioned sulcus IOL haptics, malpositioned and anteriorly protruding haptic of an in-the-bag 1-piece IOL, posterior iris bowing with chaffing of a scleral-fixated IOL and an anteriorly malpositioned scleral-fixated IOL. Immediate remediation of the pathology was performed in 4 of the 5 cases.",
        "Conclusions": "Use of an endoscopic visualization system in an anterior transcorneal approach facilitated correct diagnosis and treatment in cases where correct diagnosis could not have been otherwise obtained. Use of the system may be recommended for anterior exploratory surgery in cases of uveitis-glaucoma-hyphaema or cystoid macular edema of uncertain etiology, where an IOL-related etiology is in the differential diagnosis. The anterior endoscopic imaging approach can be undertaken by anterior segment surgeons who have no extensive posterior segment vitrectomy expertise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Use of an endoscopic visualization system in an anterior transcorneal approach facilitated correct diagnosis and treatment in cases where correct diagnosis could not have been otherwise obtained. Use of the system may be recommended for anterior exploratory surgery in cases of uveitis-glaucoma-hyphaema or cystoid macular edema of uncertain etiology, where an IOL-related etiology is in the differential diagnosis.…",
      "session_type": "ePoster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 377,
      "source_fields": {
        "Abstract Final Identifier": "POCAT338",
        "Title": "Anterior Transcorneal Endoscopic Ciliary Sulcus Surgery",
        "Presenting Author(s)": "Prof. Nir Sorkin",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Nir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sorkin",
        "Country Name": "Israel",
        "Purpose": "The interaction of the intraocular lens (IOL) and the ciliary sulcus is a potential source of significant ocular morbidity, yet the sulcus cannot be directly visualized, with indirect imaging often lacking sufficient detail. The purpose of this work is to present the use of an endoscopic visualization system in an anterior transcorneal approach to diagnose and treat IOL-related sulcus pathologies.",
        "Setting": "A tertiary-care surgical center",
        "Methods": "An endoscopic vitreoretinal imaging system was used in an anterior transcorneal approach through a 1 mm corneal paracenthesis for sulcus exploratory surgery in 5 patients with significant pathology, where clinical exam, ultrasound biomicroscopy (UBM) and additional ancillary testing could not provide a conclusive and correct diagnosis.",
        "Results": "Cases included persistent anterior uveitis, recurrent hyphaema / vitreous hemorrhage and persistent cystoid macular edema. Use of the endoscopic imaging system in a transcorneal approach enabled a definite diagnosis of the IOL-related pathology with combined surgical treatment. Diagnoses included retained crystalline lens material, broad and deep posterior synechiae, malpositioned sulcus IOL haptics, malpositioned and anteriorly protruding haptic of an in-the-bag 1-piece IOL, posterior iris bowing with chaffing of a scleral-fixated IOL and an anteriorly malpositioned scleral-fixated IOL. Immediate remediation of the pathology was performed in 4 of the 5 cases.",
        "Conclusions": "Use of an endoscopic visualization system in an anterior transcorneal approach facilitated correct diagnosis and treatment in cases where correct diagnosis could not have been otherwise obtained. Use of the system may be recommended for anterior exploratory surgery in cases of uveitis-glaucoma-hyphaema or cystoid macular edema of uncertain etiology, where an IOL-related etiology is in the differential diagnosis. The anterior endoscopic imaging approach can be undertaken by anterior segment surgeons who have no extensive posterior segment vitrectomy expertise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POCAT339",
      "abstract_number": "POCAT339",
      "title": "Comparative Analysis Of Visual Outcomes, Defocus Profile And Patient Reported Outcomes Of Tecnis Puresee And Clareon Vivity Non-Diffractive Extended Depth-Of-Focus Intraocular Lenses",
      "authors": "Dr Rustu Emre Akcan",
      "presenter": "Dr Rustu Emre Akcan",
      "normalized_authors": [
        "Rustu Emre Akcan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rustu Emre Akcan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To prospectively compare binocular visual acuity, defocus performance, and dysphotopsia profile of two contemporary non-diffractive extended depth-of-focus (EDOF) intraocular lenses (IOLs), Tecnis PureSee and Clareon Vivity.",
        "Setting": "Department of Ophthalmology, Koç University School of Medicine, Istanbul, Türkiye.",
        "Methods": "This prospective observational comparative study included 48 patients without significant corneal astigmatism (<1.0 D) or ocular comorbidity undergoing bilateral cataract surgery with Tecnis PureSee (n=28) or Clareon Vivity (n=20), implanted by a single experienced surgeon. At 6 months, binocular distance corrected distance (4 m), intermediate (66 cm), and near (40 cm) visual acuities (ETDRS) were assessed. Binocular defocus curves (+2.00 to −4.00 D, 0.50 D steps) were obtained. Functional defocus range was defined as visual acuity ≤0.20 logMAR. Contrast sensitivity, Quality of Vision, and Catquest-9SF questionnaires were evaluated. Statistical analysis was performed using t test or Wilcoxon test as appropriate (STATA 17.0).",
        "Results": "Both IOLs achieved excellent binocular distance vision (Vivity: −0.01±0.05 logMAR vs PureSee: 0.00±0.03 logMAR; p=0.213). Distance-corrected intermediate acuity had a mean of 0.07±0.09 logMAR for Vivity and 0.15±0.08 logMAR for PureSee (p=0.001), while distance-corrected near acuity was comparable (Vivity: 0.25±0.11 vs PureSee: 0.24±0.10 logMAR; p=0.704). Defocus curves differed at −1.0 D (Vivity: 0.02 ± 0.04 logMAR, PureSee: 0.07 ± 0.07 logMAR; p=0.039) and −1.5 D (Vivity: 0.06 ± 0.06 logMAR, PureSee: 0.13 ± 0.10 logMAR; p=0.015). Functional defocus range was similar with 3.34 D for Vivity and 3.38 D for PureSee. Glare was more frequent with Vivity (20% vs 7%; p=0.034). Contrast sensitivity and Catquest-9SF were comparable (p>0.05).",
        "Conclusions": "Both non-diffractive EDOF IOLs provided high visual performance at distance, intermediate, and near, with a similar functional defocus range. While Vivity seems to have slightly better visual acuity at intermediate distances, PureSee was associated with a slightly lower frequency of reported glare symptoms. Overall visual quality and patient-reported outcomes were comparable between the two lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both non-diffractive EDOF IOLs provided high visual performance at distance, intermediate, and near, with a similar functional defocus range. While Vivity seems to have slightly better visual acuity at intermediate distances, PureSee was associated with a slightly lower frequency of reported glare symptoms. Overall visual quality and patient-reported outcomes were comparable between the two lenses.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 378,
      "source_fields": {
        "Abstract Final Identifier": "POCAT339",
        "Title": "Comparative Analysis Of Visual Outcomes, Defocus Profile And Patient Reported Outcomes Of Tecnis Puresee And Clareon Vivity Non-Diffractive Extended Depth-Of-Focus Intraocular Lenses",
        "Presenting Author(s)": "Dr Rustu Emre Akcan",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Rustu Emre",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akcan",
        "Country Name": "Türkiye",
        "Purpose": "To prospectively compare binocular visual acuity, defocus performance, and dysphotopsia profile of two contemporary non-diffractive extended depth-of-focus (EDOF) intraocular lenses (IOLs), Tecnis PureSee and Clareon Vivity.",
        "Setting": "Department of Ophthalmology, Koç University School of Medicine, Istanbul, Türkiye.",
        "Methods": "This prospective observational comparative study included 48 patients without significant corneal astigmatism (<1.0 D) or ocular comorbidity undergoing bilateral cataract surgery with Tecnis PureSee (n=28) or Clareon Vivity (n=20), implanted by a single experienced surgeon. At 6 months, binocular distance corrected distance (4 m), intermediate (66 cm), and near (40 cm) visual acuities (ETDRS) were assessed. Binocular defocus curves (+2.00 to −4.00 D, 0.50 D steps) were obtained. Functional defocus range was defined as visual acuity ≤0.20 logMAR. Contrast sensitivity, Quality of Vision, and Catquest-9SF questionnaires were evaluated. Statistical analysis was performed using t test or Wilcoxon test as appropriate (STATA 17.0).",
        "Results": "Both IOLs achieved excellent binocular distance vision (Vivity: −0.01±0.05 logMAR vs PureSee: 0.00±0.03 logMAR; p=0.213). Distance-corrected intermediate acuity had a mean of 0.07±0.09 logMAR for Vivity and 0.15±0.08 logMAR for PureSee (p=0.001), while distance-corrected near acuity was comparable (Vivity: 0.25±0.11 vs PureSee: 0.24±0.10 logMAR; p=0.704). Defocus curves differed at −1.0 D (Vivity: 0.02 ± 0.04 logMAR, PureSee: 0.07 ± 0.07 logMAR; p=0.039) and −1.5 D (Vivity: 0.06 ± 0.06 logMAR, PureSee: 0.13 ± 0.10 logMAR; p=0.015). Functional defocus range was similar with 3.34 D for Vivity and 3.38 D for PureSee. Glare was more frequent with Vivity (20% vs 7%; p=0.034). Contrast sensitivity and Catquest-9SF were comparable (p>0.05).",
        "Conclusions": "Both non-diffractive EDOF IOLs provided high visual performance at distance, intermediate, and near, with a similar functional defocus range. While Vivity seems to have slightly better visual acuity at intermediate distances, PureSee was associated with a slightly lower frequency of reported glare symptoms. Overall visual quality and patient-reported outcomes were comparable between the two lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "POCAT340",
      "abstract_number": "POCAT340",
      "title": "Comparison Of Two Edof Designs With A Monofocal Iol—Visual Performance, Contrast Sensitivity, And Central Retinal Electrical Activity",
      "authors": "Dr Zeynep Akgün",
      "presenter": "Dr Zeynep Akgün",
      "normalized_authors": [
        "Zeynep Akgün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Akgün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To comparatively evaluate the effects of two extended depth-of-focus (EDOF) intraocular lenses (IOL) versus a conventional monofocal IOL on visual acuity, contrast sensitivity, and central retinal electrical activity.",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Türkiye. Patients who underwent cataract surgery and received one of three intraocular lenses (IOLs) were enrolled: Group 1, AcrySof IQ Vivity (Alcon, Fort Worth, TX, USA) (15 patients, 23 eyes); Group 2, ELON (Medicontur Ltd., Zsámbék, Hungary) (14 patients, 21 eyes); and Group 3, AcrySof IQ monofocal (Alcon, Fort Worth, TX, USA) (15 patients, 21 eyes).",
        "Methods": "At 1 month postoperatively, uncorrected and corrected distance visual acuity (UDVA and CDVA) were recorded. In the EDOF IOL groups, uncorrected intermediate and near visual acuity (UIVA and UNVA) were measured, whereas in the monofocal IOL group, intermediate and near visual acuity were assessed with correction (CIVA and CNVA). Mesopic contrast sensitivity was recorded at spatial frequencies of 6 and 12 cycles per degree (cpd). Multifocal electroretinography (mERG) was performed. The amplitude and implicit time of the central (5-10°) P1 wave were recorded.",
        "Results": "The mean age and female-to-male ratio were comparable (p=0.078 and p=0.127). There was no difference in UDVA and CDVA between groups (p=0.703 and p=0.281). The mean UIVA in Groups 1 and 2 were 0.29±0.10 and 0.28±0.08 LogMAR (p=0.803). In Group 3, the mean CIVA was 0.31±0.09 LogMAR, with no significant difference between intermediate vision (p=0.735). The mean UNVA in Groups 1 and 2 were 0.31±0.08 and 0.30±0.09 LogMAR (p=0.930). In Group 3, mean CNVA was 0.26±0.09 LogMAR, with no difference between groups (p=0.583). Mesopic contrast sensitivity at 6 and 12 cpd was similar across groups (p=0.576 and p=0.641). In mERG, there were no differences between groups in terms of central P1 wave amplitude and implicit time (p=0.099 and p=0.137).",
        "Conclusions": "Compared with the conventional monofocal IOL, both EDOF IOLs provided significantly better intermediate and near vision while maintaining similar distance visual acuity. The two EDOF IOLs showed comparable performance. Mesopic contrast sensitivity and central retinal electrical activity did not differ significantly among the EDOF and monofocal IOL groups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Compared with the conventional monofocal IOL, both EDOF IOLs provided significantly better intermediate and near vision while maintaining similar distance visual acuity. The two EDOF IOLs showed comparable performance. Mesopic contrast sensitivity and central retinal electrical activity did not differ significantly among the EDOF and monofocal IOL groups.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 379,
      "source_fields": {
        "Abstract Final Identifier": "POCAT340",
        "Title": "Comparison Of Two Edof Designs With A Monofocal Iol—Visual Performance, Contrast Sensitivity, And Central Retinal Electrical Activity",
        "Presenting Author(s)": "Dr Zeynep Akgün",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akgün",
        "Country Name": "Türkiye",
        "Purpose": "To comparatively evaluate the effects of two extended depth-of-focus (EDOF) intraocular lenses (IOL) versus a conventional monofocal IOL on visual acuity, contrast sensitivity, and central retinal electrical activity.",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Türkiye. Patients who underwent cataract surgery and received one of three intraocular lenses (IOLs) were enrolled: Group 1, AcrySof IQ Vivity (Alcon, Fort Worth, TX, USA) (15 patients, 23 eyes); Group 2, ELON (Medicontur Ltd., Zsámbék, Hungary) (14 patients, 21 eyes); and Group 3, AcrySof IQ monofocal (Alcon, Fort Worth, TX, USA) (15 patients, 21 eyes).",
        "Methods": "At 1 month postoperatively, uncorrected and corrected distance visual acuity (UDVA and CDVA) were recorded. In the EDOF IOL groups, uncorrected intermediate and near visual acuity (UIVA and UNVA) were measured, whereas in the monofocal IOL group, intermediate and near visual acuity were assessed with correction (CIVA and CNVA). Mesopic contrast sensitivity was recorded at spatial frequencies of 6 and 12 cycles per degree (cpd). Multifocal electroretinography (mERG) was performed. The amplitude and implicit time of the central (5-10°) P1 wave were recorded.",
        "Results": "The mean age and female-to-male ratio were comparable (p=0.078 and p=0.127). There was no difference in UDVA and CDVA between groups (p=0.703 and p=0.281). The mean UIVA in Groups 1 and 2 were 0.29±0.10 and 0.28±0.08 LogMAR (p=0.803). In Group 3, the mean CIVA was 0.31±0.09 LogMAR, with no significant difference between intermediate vision (p=0.735). The mean UNVA in Groups 1 and 2 were 0.31±0.08 and 0.30±0.09 LogMAR (p=0.930). In Group 3, mean CNVA was 0.26±0.09 LogMAR, with no difference between groups (p=0.583). Mesopic contrast sensitivity at 6 and 12 cpd was similar across groups (p=0.576 and p=0.641). In mERG, there were no differences between groups in terms of central P1 wave amplitude and implicit time (p=0.099 and p=0.137).",
        "Conclusions": "Compared with the conventional monofocal IOL, both EDOF IOLs provided significantly better intermediate and near vision while maintaining similar distance visual acuity. The two EDOF IOLs showed comparable performance. Mesopic contrast sensitivity and central retinal electrical activity did not differ significantly among the EDOF and monofocal IOL groups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "POCAT341",
      "abstract_number": "POCAT341",
      "title": "Evaluation Of Reading Performance After Femtosecond Laser Assisted Refractive Lens Exchange With A Non-Diffractive Edof Iol",
      "authors": "Emilia Andreas",
      "presenter": "Emilia Andreas",
      "normalized_authors": [
        "Emilia Andreas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emilia Andreas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Trifocal IOLs may provide excellent visual acuity at all distance, but patients may experience bothersome dysphotopsia. In this study, we aim to evaluate the reading performance after binocular implantation of the Vivity IOL (Alcon, Fort Worth, TX, USA) combined with a mini-monovision approach using the Salzburg Reading Desk (SRD Vision).",
        "Setting": "International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany",
        "Methods": "In this study, 46 eyes of 23 patients have undergone bilateral delayed sequential femtosecond laser-assisted phacoemulsification and implantation of the AcrySof or Clareon Vivity IOL with mini-monovision of -0.75 D. Reading performance was evaluated preoperatively and at 6 months postoperatively. Monocular and binocular uncorrected and distance corrected reading acuity and reading speed were assessed at 40 cm and 80 cm distance and at the subjectively preferred near and intermediate distances.",
        "Results": "46 eyes of 23 patients with a mean age of 58 ± 5 years have been enrolled in the study. Before surgery, the mean binocular target-corrected reading acuity was 0,31 ± 0,16 logMAR at near (40 cm) and 0,09 ± 0,08 logMAR at intermediate (66 cm) distances. Six months postoperatively the mean binocular target-corrected reading acuity was 0,11 ± 0,07 logMAR at the set near distance (40 cm) and 0,09 ± 0,07 logMAR at the subjectively preferred near distance (39,97 ± 2,0 cm). At the set intermediate distance (66cm), the postoperative mean binocular target-corrected reading acuity was 0,07 ± 0,08 logMAR. The preferred intermediate distance was 58,9 ± 4,2 with a mean uncorrected reading acuity of 0,12 ± 0,07 logMAR. All Follow-Up visits were completed.",
        "Conclusions": "Intermediate and near reading function considerably improved after bilateral diffractive trifocal IOL implantation. The analysis shows a good reading function for the set and subjectively preferred distances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intermediate and near reading function considerably improved after bilateral diffractive trifocal IOL implantation. The analysis shows a good reading function for the set and subjectively preferred distances.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 380,
      "source_fields": {
        "Abstract Final Identifier": "POCAT341",
        "Title": "Evaluation Of Reading Performance After Femtosecond Laser Assisted Refractive Lens Exchange With A Non-Diffractive Edof Iol",
        "Presenting Author(s)": "Emilia Andreas",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Emilia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Andreas",
        "Country Name": "Germany",
        "Purpose": "Trifocal IOLs may provide excellent visual acuity at all distance, but patients may experience bothersome dysphotopsia. In this study, we aim to evaluate the reading performance after binocular implantation of the Vivity IOL (Alcon, Fort Worth, TX, USA) combined with a mini-monovision approach using the Salzburg Reading Desk (SRD Vision).",
        "Setting": "International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany",
        "Methods": "In this study, 46 eyes of 23 patients have undergone bilateral delayed sequential femtosecond laser-assisted phacoemulsification and implantation of the AcrySof or Clareon Vivity IOL with mini-monovision of -0.75 D. Reading performance was evaluated preoperatively and at 6 months postoperatively. Monocular and binocular uncorrected and distance corrected reading acuity and reading speed were assessed at 40 cm and 80 cm distance and at the subjectively preferred near and intermediate distances.",
        "Results": "46 eyes of 23 patients with a mean age of 58 ± 5 years have been enrolled in the study. Before surgery, the mean binocular target-corrected reading acuity was 0,31 ± 0,16 logMAR at near (40 cm) and 0,09 ± 0,08 logMAR at intermediate (66 cm) distances. Six months postoperatively the mean binocular target-corrected reading acuity was 0,11 ± 0,07 logMAR at the set near distance (40 cm) and 0,09 ± 0,07 logMAR at the subjectively preferred near distance (39,97 ± 2,0 cm). At the set intermediate distance (66cm), the postoperative mean binocular target-corrected reading acuity was 0,07 ± 0,08 logMAR. The preferred intermediate distance was 58,9 ± 4,2 with a mean uncorrected reading acuity of 0,12 ± 0,07 logMAR. All Follow-Up visits were completed.",
        "Conclusions": "Intermediate and near reading function considerably improved after bilateral diffractive trifocal IOL implantation. The analysis shows a good reading function for the set and subjectively preferred distances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCAT342",
      "abstract_number": "POCAT342",
      "title": "The Extended Depth Of Focus Performance Of An Aspheric Intraocular Lens With A Modified Optic Design",
      "authors": "Dr Robert Edward Ang",
      "presenter": "Dr Robert Edward Ang",
      "normalized_authors": [
        "Robert Edward Ang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Robert Edward Ang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To evaluate the clinical performance of an aspheric Intraocular Lens (IOL) with a modified optic design (XY1-EM) and to assess its qualification as an extended depth of focus (EDF) IOL using established American National Standards Institute ( ANSI) and International Organization for Standardization (ISO) performance standards.",
        "Setting": "Pooled analysis of two contemporaneous, multinational, multicenter, prospective clinical trials with similar age groups, observation periods, and trial conditions.",
        "Methods": "Retrospective comparison of consolidated 12-month data from two prospective clinical trials assessing visual and refractive outcomes of eyes that received XY1-EM or its monofocal parent lens XY1. Study endpoints were benchmarked against ANSI and ISO criteria for EDF IOLs: 1) test IOL corrected distance visual acuity (CDVA) noninferior to control at 0.1 logMAR level; 2) test IOL distance-corrected intermediate visual acuity (DCIVA) ≤0.2 logMAR at 66 cm; 3) test IOL DCIVA superior to control at 66 cm; 4) test IOL negative defocus range at the 0.2 logMAR threshold ≥ 0.5 D greater than control; and 5) test IOL distance-corrected visual acuity (DCVA) at 1.0 m ≤0.2 logMAR.",
        "Results": "XY1-EM demonstrated non-inferior DCVA, significantly improved DCIVA, and a ≥0.5 D greater negative defocus range compared with XY1. 1) 12-month postoperative mean monocular CDVA in XY1-EM eyes was -0.01 ± 0.07 logMAR compared to 0.04 ± 0.10 in XY1 eyes, demonstrating non-inferiority with a margin of 0.10 logMAR. 2, 3) Mean DCIVA in XY1-EM eyes was 0.15 ± 0.14 logMAR vs. 0.26 ± 0.13 logMAR in XY1 eyes (p < 0.0001). 4) Monocular negative defocus range at the 0.20 logMAR threshold was 0.57 diopters (D) greater with XY1-EM vs. XY1: XY1-EM intersected the threshold at -1.45 D, XY1 at -0.88 D. 5) Mean defocus VA at -1.0 D was 0.178 ± 0.108 logMAR for XY1-EM.",
        "Conclusions": "The Vivinex Impress IOL (XY1-EM), when compared to its parent monofocal lens, Vivinex XY1, demonstrated a clinically meaningful extension of depth of focus and met all ANSI and ISO criteria for classification as an EDF IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Vivinex Impress IOL (XY1-EM), when compared to its parent monofocal lens, Vivinex XY1, demonstrated a clinically meaningful extension of depth of focus and met all ANSI and ISO criteria for classification as an EDF IOL.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 381,
      "source_fields": {
        "Abstract Final Identifier": "POCAT342",
        "Title": "The Extended Depth Of Focus Performance Of An Aspheric Intraocular Lens With A Modified Optic Design",
        "Presenting Author(s)": "Dr Robert Edward Ang",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Robert",
        "Submitter Middle Name": "Edward",
        "Submitter Last Name": "Ang",
        "Country Name": "Philippines",
        "Purpose": "To evaluate the clinical performance of an aspheric Intraocular Lens (IOL) with a modified optic design (XY1-EM) and to assess its qualification as an extended depth of focus (EDF) IOL using established American National Standards Institute ( ANSI) and International Organization for Standardization (ISO) performance standards.",
        "Setting": "Pooled analysis of two contemporaneous, multinational, multicenter, prospective clinical trials with similar age groups, observation periods, and trial conditions.",
        "Methods": "Retrospective comparison of consolidated 12-month data from two prospective clinical trials assessing visual and refractive outcomes of eyes that received XY1-EM or its monofocal parent lens XY1. Study endpoints were benchmarked against ANSI and ISO criteria for EDF IOLs: 1) test IOL corrected distance visual acuity (CDVA) noninferior to control at 0.1 logMAR level; 2) test IOL distance-corrected intermediate visual acuity (DCIVA) ≤0.2 logMAR at 66 cm; 3) test IOL DCIVA superior to control at 66 cm; 4) test IOL negative defocus range at the 0.2 logMAR threshold ≥ 0.5 D greater than control; and 5) test IOL distance-corrected visual acuity (DCVA) at 1.0 m ≤0.2 logMAR.",
        "Results": "XY1-EM demonstrated non-inferior DCVA, significantly improved DCIVA, and a ≥0.5 D greater negative defocus range compared with XY1. 1) 12-month postoperative mean monocular CDVA in XY1-EM eyes was -0.01 ± 0.07 logMAR compared to 0.04 ± 0.10 in XY1 eyes, demonstrating non-inferiority with a margin of 0.10 logMAR. 2, 3) Mean DCIVA in XY1-EM eyes was 0.15 ± 0.14 logMAR vs. 0.26 ± 0.13 logMAR in XY1 eyes (p < 0.0001). 4) Monocular negative defocus range at the 0.20 logMAR threshold was 0.57 diopters (D) greater with XY1-EM vs. XY1: XY1-EM intersected the threshold at -1.45 D, XY1 at -0.88 D. 5) Mean defocus VA at -1.0 D was 0.178 ± 0.108 logMAR for XY1-EM.",
        "Conclusions": "The Vivinex Impress IOL (XY1-EM), when compared to its parent monofocal lens, Vivinex XY1, demonstrated a clinically meaningful extension of depth of focus and met all ANSI and ISO criteria for classification as an EDF IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCAT343",
      "abstract_number": "POCAT343",
      "title": "Visual Performance And Spectacle Independence Of A Novel Extended Depth Of Focus Intraocular Lens Including Defocus Curve Analysis",
      "authors": "Miriam Auer",
      "presenter": "Miriam Auer",
      "normalized_authors": [
        "Miriam Auer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Miriam Auer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the postoperative performance of a novel extended depth of focus (EDOF) intraocular lens regarding its visual outcomes, spectacle independence and patient satisfaction",
        "Setting": "Department of Ophthalmology and Optometry, Johannes Kepler University, Linz, Austria\n\nDepartment of Ophthalmology and Optometry, Kepler University Clinic, Linz, Austria",
        "Methods": "The prospective study included patients after bilateral implantation of a DEN00V PureSee EDOF IOL (Johnson & Johnson, USA). Study examinations were performed minimum 4 weeks after surgery and included autorefraction, subjective refraction, assessment of monocular and binocular uncorrected and corrected distance visual acuity (UCDVA and CDVA in logMAR at 4m), binocular uncorrected and distance-corrected intermediate (UCIVA and DCIVA in logMAR at 66 cm) and near visual acuity (UCNVA and DCNVA in logRAD at 40 cm) and binocular defocus curve in logMAR. Furthermore, patient satisfaction and postoperative spectacle independence were assessed using a validated German questionnaire (Cataract and Lens Ophthalmic Questionnaire).",
        "Results": "In total, 102 eyes of 51 patients were included in this study. A mean spherical equivalent of -0.25 D (± 0.40) on the right eye and -0.17 D (± 0.37) on the left eye could be demonstrated. Mean binocular UCDVA and CDVA were -0.06 logMAR (± 0.07) and -0.10 logMAR (± 0.06), respectively. Mean UCIVA and DCIVA were 0.04 logMAR (± 0.09) and 0.08 logMAR (± 0.08), while a mean UCNVA of 0.296 logRAD (± 0.14) and BCNVA of 0.358 logRAD (± 0.14) were reported. Thirty-four patients (67%) achieved full or almost full spectacle independence, while only six patients (12%) reported constant dependency on reading glasses. Postoperative patient satisfaction was high, with 94% of patients very satisfied with the visual outcome.",
        "Conclusions": "The PureSee EDOF IOL provided good distance visual acuity as well as enhanced intermediate visual acuity. Patients reported a high level of postoperative satisfaction as well as substantial spectacle independence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The PureSee EDOF IOL provided good distance visual acuity as well as enhanced intermediate visual acuity. Patients reported a high level of postoperative satisfaction as well as substantial spectacle independence.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 382,
      "source_fields": {
        "Abstract Final Identifier": "POCAT343",
        "Title": "Visual Performance And Spectacle Independence Of A Novel Extended Depth Of Focus Intraocular Lens Including Defocus Curve Analysis",
        "Presenting Author(s)": "Miriam Auer",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Miriam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Auer",
        "Country Name": "Austria",
        "Purpose": "To evaluate the postoperative performance of a novel extended depth of focus (EDOF) intraocular lens regarding its visual outcomes, spectacle independence and patient satisfaction",
        "Setting": "Department of Ophthalmology and Optometry, Johannes Kepler University, Linz, Austria\n\nDepartment of Ophthalmology and Optometry, Kepler University Clinic, Linz, Austria",
        "Methods": "The prospective study included patients after bilateral implantation of a DEN00V PureSee EDOF IOL (Johnson & Johnson, USA). Study examinations were performed minimum 4 weeks after surgery and included autorefraction, subjective refraction, assessment of monocular and binocular uncorrected and corrected distance visual acuity (UCDVA and CDVA in logMAR at 4m), binocular uncorrected and distance-corrected intermediate (UCIVA and DCIVA in logMAR at 66 cm) and near visual acuity (UCNVA and DCNVA in logRAD at 40 cm) and binocular defocus curve in logMAR. Furthermore, patient satisfaction and postoperative spectacle independence were assessed using a validated German questionnaire (Cataract and Lens Ophthalmic Questionnaire).",
        "Results": "In total, 102 eyes of 51 patients were included in this study. A mean spherical equivalent of -0.25 D (± 0.40) on the right eye and -0.17 D (± 0.37) on the left eye could be demonstrated. Mean binocular UCDVA and CDVA were -0.06 logMAR (± 0.07) and -0.10 logMAR (± 0.06), respectively. Mean UCIVA and DCIVA were 0.04 logMAR (± 0.09) and 0.08 logMAR (± 0.08), while a mean UCNVA of 0.296 logRAD (± 0.14) and BCNVA of 0.358 logRAD (± 0.14) were reported. Thirty-four patients (67%) achieved full or almost full spectacle independence, while only six patients (12%) reported constant dependency on reading glasses. Postoperative patient satisfaction was high, with 94% of patients very satisfied with the visual outcome.",
        "Conclusions": "The PureSee EDOF IOL provided good distance visual acuity as well as enhanced intermediate visual acuity. Patients reported a high level of postoperative satisfaction as well as substantial spectacle independence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCAT344",
      "abstract_number": "POCAT344",
      "title": "Visual Acuity And Dysphotopsia Outcomes After Enhanced Monofocal Versus Edof Iol Implantation",
      "authors": "Ms Danai Barpaki",
      "presenter": "Ms Danai Barpaki",
      "normalized_authors": [
        "Danai Barpaki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Danai Barpaki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To compare postoperative visual outcomes between enhanced monofocal and extended depth-of-focus (EDOF) intraocular lenses (IOLs) following cataract surgery, including distance, intermediate, and near visual acuity, as well as patient-reported photic phenomena, with an updated systematic review and meta-analysis.",
        "Setting": "Systematic review and meta-analysis of comparative clinical studies conducted in ophthalmology centers.",
        "Methods": "Six studies (772 eyes) were included following a systematic search of MEDLINE and the Cochrane Library comparing enhanced monofocal (non-diffractive lenses extending depth of focus) and EDOF IOLs in cataract surgery. Eligible studies performed head-to-head comparisons between the two IOL types and reported postoperative uncorrected and/or corrected distance visual acuity (UDVA/CDVA) with ≥3-month follow-up. Meta-analyses for UDVA and CDVA used a random-effects model with mean differences in logMAR acuity. Intermediate visual acuity(IVA), near visual acuity(NVA), glare, and halo outcomes were summarized narratively due to heterogeneity.",
        "Results": "Five studies contributed to the UDVA and six to the CDVA meta-analysis. Pooled analysis showed statistically significant differences favoring enhanced monofocal IOLs for UDVA (mean difference −0.01 [−0.02, 0.00], 95% CI; I²=0%) and CDVA (mean difference −0.01 [−0.01, −0.00], 95% CI; I²=0%), below the threshold for clinical significance. IVA and NVA outcomes varied; EDOF IOLs generally provided better intermediate and near vision, though clinically meaningful differences were inconsistent and dependent on optical design. Glare and halo outcomes were mostly comparable, with one study favoring enhanced monofocal IOLs. Quantitative pooling was not feasible due to heterogeneity.",
        "Conclusions": "Enhanced monofocal and EDOF IOLs both provide excellent postoperative distance visual acuity, with no clinically meaningful difference. Although EDOF IOLs tend to offer improved intermediate and near vision, this benefit is heterogeneous and not consistently clinically significant. Visual quality regarding glare and halos appears broadly comparable. These findings support individualized IOL selection rather than a universal recommendation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Enhanced monofocal and EDOF IOLs both provide excellent postoperative distance visual acuity, with no clinically meaningful difference. Although EDOF IOLs tend to offer improved intermediate and near vision, this benefit is heterogeneous and not consistently clinically significant. Visual quality regarding glare and halos appears broadly comparable. These findings support individualized IOL selection rather than a…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 383,
      "source_fields": {
        "Abstract Final Identifier": "POCAT344",
        "Title": "Visual Acuity And Dysphotopsia Outcomes After Enhanced Monofocal Versus Edof Iol Implantation",
        "Presenting Author(s)": "Ms Danai Barpaki",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Danai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barpaki",
        "Country Name": "Greece",
        "Purpose": "To compare postoperative visual outcomes between enhanced monofocal and extended depth-of-focus (EDOF) intraocular lenses (IOLs) following cataract surgery, including distance, intermediate, and near visual acuity, as well as patient-reported photic phenomena, with an updated systematic review and meta-analysis.",
        "Setting": "Systematic review and meta-analysis of comparative clinical studies conducted in ophthalmology centers.",
        "Methods": "Six studies (772 eyes) were included following a systematic search of MEDLINE and the Cochrane Library comparing enhanced monofocal (non-diffractive lenses extending depth of focus) and EDOF IOLs in cataract surgery. Eligible studies performed head-to-head comparisons between the two IOL types and reported postoperative uncorrected and/or corrected distance visual acuity (UDVA/CDVA) with ≥3-month follow-up. Meta-analyses for UDVA and CDVA used a random-effects model with mean differences in logMAR acuity. Intermediate visual acuity(IVA), near visual acuity(NVA), glare, and halo outcomes were summarized narratively due to heterogeneity.",
        "Results": "Five studies contributed to the UDVA and six to the CDVA meta-analysis. Pooled analysis showed statistically significant differences favoring enhanced monofocal IOLs for UDVA (mean difference −0.01 [−0.02, 0.00], 95% CI; I²=0%) and CDVA (mean difference −0.01 [−0.01, −0.00], 95% CI; I²=0%), below the threshold for clinical significance. IVA and NVA outcomes varied; EDOF IOLs generally provided better intermediate and near vision, though clinically meaningful differences were inconsistent and dependent on optical design. Glare and halo outcomes were mostly comparable, with one study favoring enhanced monofocal IOLs. Quantitative pooling was not feasible due to heterogeneity.",
        "Conclusions": "Enhanced monofocal and EDOF IOLs both provide excellent postoperative distance visual acuity, with no clinically meaningful difference. Although EDOF IOLs tend to offer improved intermediate and near vision, this benefit is heterogeneous and not consistently clinically significant. Visual quality regarding glare and halos appears broadly comparable. These findings support individualized IOL selection rather than a universal recommendation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCAT345",
      "abstract_number": "POCAT345",
      "title": "Visual And Refractive Outcomes Of A Partial Range Of Vision Iol With A Monofocal Optic Using Controlled Spherical Aberration",
      "authors": "Dr Ankur Barua",
      "presenter": "Dr Ankur Barua",
      "normalized_authors": [
        "Ankur Barua"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ankur Barua",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report real-world experience with an enhanced monofocal intraocular lens (IOL), the RayOne EMV and its toric version by looking at single surgeon experience with sequential patients chosen with this lens. The RayOne EMV optic uses controlled positive spherical aberration to achieve a partial extension of range of depth of field.",
        "Setting": "Single centre and surgeon data collection at Midland Eye hospital in Solihull, Birmingham, UK.",
        "Methods": "This retrospective single centre case series includes data of 58 eyes implanted with a RayOne EMV - both toric and non toric versions. Postoperative data are available at 6-8 weeks and further follow up data analysed. All eyes were targeted with emmetropia. Refraction outcomes include manifest refraction reported in sphere, cylinder and manifest refraction spherical equivalent (MRSE). Vision is reported by means of monocular corrected and uncorrected distance visual acuity (CDVA and UDVA at 6m) as well as uncorrected and distance corrected near visual acuity (UNVA and DCNVA at 40cm).",
        "Results": "At 6-8 weeks after implantation of the mean manifest subjective refraction, cylinder and MRSE (n = 41) were +0.10±0.32 D, -0.23±0.55 D and -0.02±0.04 D. Monocular UDVA and UNVA (n = 58) were +0.06±0.10 logMAR and 0.45±0.17 logMAR. Cumulatively UDVA of 0.2 logMAR or better was achieved by 94.83% and a UNVA of N8 or better was achieved by 68.52% of eyes.",
        "Conclusions": "The RayOne EMV non-toric and toric versions showed very good refractive outcomes as well as monofocal like distance visual acuity and functional near vision. Our results are comparable or slightly better compared to published data, e.g. Yeo et al. who reported a UNVA of 0.50±0.15 in the emmetropia group of his study comparing an emmetropia group with a mini-monovision group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The RayOne EMV non-toric and toric versions showed very good refractive outcomes as well as monofocal like distance visual acuity and functional near vision. Our results are comparable or slightly better compared to published data, e.g. Yeo et al. who reported a UNVA of 0.50±0.15 in the emmetropia group of his study comparing an emmetropia group with a mini-monovision group.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 384,
      "source_fields": {
        "Abstract Final Identifier": "POCAT345",
        "Title": "Visual And Refractive Outcomes Of A Partial Range Of Vision Iol With A Monofocal Optic Using Controlled Spherical Aberration",
        "Presenting Author(s)": "Dr Ankur Barua",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Ankur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barua",
        "Country Name": "United Kingdom",
        "Purpose": "To report real-world experience with an enhanced monofocal intraocular lens (IOL), the RayOne EMV and its toric version by looking at single surgeon experience with sequential patients chosen with this lens. The RayOne EMV optic uses controlled positive spherical aberration to achieve a partial extension of range of depth of field.",
        "Setting": "Single centre and surgeon data collection at Midland Eye hospital in Solihull, Birmingham, UK.",
        "Methods": "This retrospective single centre case series includes data of 58 eyes implanted with a RayOne EMV - both toric and non toric versions. Postoperative data are available at 6-8 weeks and further follow up data analysed. All eyes were targeted with emmetropia. Refraction outcomes include manifest refraction reported in sphere, cylinder and manifest refraction spherical equivalent (MRSE). Vision is reported by means of monocular corrected and uncorrected distance visual acuity (CDVA and UDVA at 6m) as well as uncorrected and distance corrected near visual acuity (UNVA and DCNVA at 40cm).",
        "Results": "At 6-8 weeks after implantation of the mean manifest subjective refraction, cylinder and MRSE (n = 41) were +0.10±0.32 D, -0.23±0.55 D and -0.02±0.04 D. Monocular UDVA and UNVA (n = 58) were +0.06±0.10 logMAR and 0.45±0.17 logMAR. Cumulatively UDVA of 0.2 logMAR or better was achieved by 94.83% and a UNVA of N8 or better was achieved by 68.52% of eyes.",
        "Conclusions": "The RayOne EMV non-toric and toric versions showed very good refractive outcomes as well as monofocal like distance visual acuity and functional near vision. Our results are comparable or slightly better compared to published data, e.g. Yeo et al. who reported a UNVA of 0.50±0.15 in the emmetropia group of his study comparing an emmetropia group with a mini-monovision group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT346",
      "abstract_number": "POCAT346",
      "title": "Extended Depth Of Focus Iol After Phacoemulsification In Mild Maculopathy - A Prospective Study",
      "authors": "A/Prof. Nilutpal Borah",
      "presenter": "A/Prof. Nilutpal Borah",
      "normalized_authors": [
        "Nilutpal Borah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nilutpal Borah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "to evaluate improvement and quality of vision after implantation of Extended Depth Of Focus (EDOF) IOL following phacoemulsification in both eyes with bilateral mild maculopathy.",
        "Setting": "Mild maculopathy may cause permanent, progressive loss of central vision. Cataract development in eyes with maculopathy may further decrease quality of vision. A prospective study was done in patients having bilateral mild maculopathy of various etiology with cataract and underwent uncomplicated phacoemulsification with EDOF IOL implantation in both eyes.",
        "Methods": "42 eyes(21 pts) were studied.Period:Mar,2025 to Nov,2025.After uncomplicated phacoemulsification EDOF IOL was implanted in both eyes at 1 mo interval.Included: mild maculopathy in both eyes,initial VA 6/12-6/9,cataract grade NS 3 or NS 4, ci DME-10,non-centre involving DME- 10,early AMD-14,ERM-6,BRVO-2 eyes.No history of anti‑VEGF,laser,operation in 3 mo & no ocular surface disease.Excluded:geographic atrophy,advanced DME,macular hole.Initial & follow up Best corrected visual acuity(BCVA),contrast sensitivity,post-op fixation, glare & halo assessment were done.SS OCT was done for macular thickness,photoreceptor integrity,subretinal fluid,staging of ERM.IOL simulation(trial lenses) & pt counselling were done. Post-op assessments-at 3 & 6 mo.",
        "Results": "42 eyes(21 pts).M=10,F=11.Mean age:M=66.3,F=60.1 yrs.In 3 eyes macular edema increased after phaco(excluded).Pre-op VA range-6/12 to 6/60.Defocus curve:functional range of vision between + 0.50D & -1.50D,post-op mean VA maintained between 6/9-6/12.Distant VA- 83% eyes achieved ≥6/9 & 92.9% achieved ≥6/12.Paired comparison of Pelli-Robson contrast sensitivity test showed a significant improvement-1.28 ± 0.15 logCS(pre-op) to 1.35 ± 0.14logCS at 3 mo after phaco.Mean improvement 0.07log CS(p=0.002).Post-op in 39 eyes,no significant macular changes on ss OCT.All eyes showed steady, central & maintained fixation.Pt reported outcome- 51.3% were very satisfied,35.9% were satisfied with post-op VA. Mild glare in 23.1%. No photic symptoms in 64.1%.",
        "Conclusions": "in this prospective study of 39 eyes(3 eyes excluded) in 21 patients, bilateral implantation of an EDOF intraocular lens following phacoemulsification in eyes with mild maculopathy showed improved visual and functional outcomes. All patients achieved satisfactory distance, intermediate vision with good visual acuity and reasonable dysphotopsia. Careful patient selection with mild maculopathy can benefit from EDOF IOL implantation without significant compromise in quality of vision. EDOF IOL may be an viable alternative for visual rehabilitation in patients with mild maculopathy undergoing phacoemulsification surgery. Larger studies with longer follow up are necessary for further validation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "in this prospective study of 39 eyes(3 eyes excluded) in 21 patients, bilateral implantation of an EDOF intraocular lens following phacoemulsification in eyes with mild maculopathy showed improved visual and functional outcomes. All patients achieved satisfactory distance, intermediate vision with good visual acuity and reasonable dysphotopsia. Careful patient selection with mild maculopathy can benefit from EDOF…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 385,
      "source_fields": {
        "Abstract Final Identifier": "POCAT346",
        "Title": "Extended Depth Of Focus Iol After Phacoemulsification In Mild Maculopathy - A Prospective Study",
        "Presenting Author(s)": "A/Prof. Nilutpal Borah",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Nilutpal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Borah",
        "Country Name": "India",
        "Purpose": "to evaluate improvement and quality of vision after implantation of Extended Depth Of Focus (EDOF) IOL following phacoemulsification in both eyes with bilateral mild maculopathy.",
        "Setting": "Mild maculopathy may cause permanent, progressive loss of central vision. Cataract development in eyes with maculopathy may further decrease quality of vision. A prospective study was done in patients having bilateral mild maculopathy of various etiology with cataract and underwent uncomplicated phacoemulsification with EDOF IOL implantation in both eyes.",
        "Methods": "42 eyes(21 pts) were studied.Period:Mar,2025 to Nov,2025.After uncomplicated phacoemulsification EDOF IOL was implanted in both eyes at 1 mo interval.Included: mild maculopathy in both eyes,initial VA 6/12-6/9,cataract grade NS 3 or NS 4, ci DME-10,non-centre involving DME- 10,early AMD-14,ERM-6,BRVO-2 eyes.No history of anti‑VEGF,laser,operation in 3 mo & no ocular surface disease.Excluded:geographic atrophy,advanced DME,macular hole.Initial & follow up Best corrected visual acuity(BCVA),contrast sensitivity,post-op fixation, glare & halo assessment were done.SS OCT was done for macular thickness,photoreceptor integrity,subretinal fluid,staging of ERM.IOL simulation(trial lenses) & pt counselling were done. Post-op assessments-at 3 & 6 mo.",
        "Results": "42 eyes(21 pts).M=10,F=11.Mean age:M=66.3,F=60.1 yrs.In 3 eyes macular edema increased after phaco(excluded).Pre-op VA range-6/12 to 6/60.Defocus curve:functional range of vision between + 0.50D & -1.50D,post-op mean VA maintained between 6/9-6/12.Distant VA- 83% eyes achieved ≥6/9 & 92.9% achieved ≥6/12.Paired comparison of Pelli-Robson contrast sensitivity test showed a significant improvement-1.28 ± 0.15 logCS(pre-op) to 1.35 ± 0.14logCS at 3 mo after phaco.Mean improvement 0.07log CS(p=0.002).Post-op in 39 eyes,no significant macular changes on ss OCT.All eyes showed steady, central & maintained fixation.Pt reported outcome- 51.3% were very satisfied,35.9% were satisfied with post-op VA. Mild glare in 23.1%. No photic symptoms in 64.1%.",
        "Conclusions": "in this prospective study of 39 eyes(3 eyes excluded) in 21 patients, bilateral implantation of an EDOF intraocular lens following phacoemulsification in eyes with mild maculopathy showed improved visual and functional outcomes. All patients achieved satisfactory distance, intermediate vision with good visual acuity and reasonable dysphotopsia. Careful patient selection with mild maculopathy can benefit from EDOF IOL implantation without significant compromise in quality of vision. EDOF IOL may be an viable alternative for visual rehabilitation in patients with mild maculopathy undergoing phacoemulsification surgery. Larger studies with longer follow up are necessary for further validation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 431
    },
    {
      "uid": "POCAT347",
      "abstract_number": "POCAT347",
      "title": "Clinical Outcomes And Defocus Curve Analysis Of A New Full Range Of Vision Iol",
      "authors": "Dr Detlev Breyer",
      "presenter": "Dr Detlev Breyer",
      "normalized_authors": [
        "Detlev Breyer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Detlev Breyer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate binocular and monocular defocus curves and patient-reported visual quality following bilateral implantation of a new Full Range of Vision intraocular lens (IOL).",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "In this retrospective quality management investigation, patients (n= 20) underwent bilateral cataract surgery with implantation of the LuxLife IOL (Bausch+Lomb). Postoperative evaluation was performed 3 months after surgery. Defocus curves were measured binocular without correction (+1.0 D to −4.0 D) and monocular with distance correction. Patient-reported outcomes were assessed using the validated McAlinden Quality of Vision (QoV) questionnaire, evaluating frequency, severity, and bothersome nature of visual symptoms.",
        "Results": "The binocular d efocus curve analysis demonstrated a smooth and continuous transition of visual acuity across the tested vergence range, indicating a broad functional range of vision with minimal loss of visual quality at different distances. McAlinden QoV analysis revealed high patient satisfaction with low reported frequency and severity of photic phenomena. The majority of patients reported spectacle independence for distance and intermediate activities and bookprint reading.",
        "Conclusions": "The LuxLife IOL provides a broad functional range of vision with good binocular performance. Patient-reported outcomes confirm high visual quality, minimal photic phenomena, and a high level of spectacle independence, while defocus curve analysis demonstrates effective distance, intermediate and near vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LuxLife IOL provides a broad functional range of vision with good binocular performance. Patient-reported outcomes confirm high visual quality, minimal photic phenomena, and a high level of spectacle independence, while defocus curve analysis demonstrates effective distance, intermediate and near vision.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 386,
      "source_fields": {
        "Abstract Final Identifier": "POCAT347",
        "Title": "Clinical Outcomes And Defocus Curve Analysis Of A New Full Range Of Vision Iol",
        "Presenting Author(s)": "Dr Detlev Breyer",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Detlev",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Breyer",
        "Country Name": "Germany",
        "Purpose": "To evaluate binocular and monocular defocus curves and patient-reported visual quality following bilateral implantation of a new Full Range of Vision intraocular lens (IOL).",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "In this retrospective quality management investigation, patients (n= 20) underwent bilateral cataract surgery with implantation of the LuxLife IOL (Bausch+Lomb). Postoperative evaluation was performed 3 months after surgery. Defocus curves were measured binocular without correction (+1.0 D to −4.0 D) and monocular with distance correction. Patient-reported outcomes were assessed using the validated McAlinden Quality of Vision (QoV) questionnaire, evaluating frequency, severity, and bothersome nature of visual symptoms.",
        "Results": "The binocular d efocus curve analysis demonstrated a smooth and continuous transition of visual acuity across the tested vergence range, indicating a broad functional range of vision with minimal loss of visual quality at different distances. McAlinden QoV analysis revealed high patient satisfaction with low reported frequency and severity of photic phenomena. The majority of patients reported spectacle independence for distance and intermediate activities and bookprint reading.",
        "Conclusions": "The LuxLife IOL provides a broad functional range of vision with good binocular performance. Patient-reported outcomes confirm high visual quality, minimal photic phenomena, and a high level of spectacle independence, while defocus curve analysis demonstrates effective distance, intermediate and near vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCAT348",
      "abstract_number": "POCAT348",
      "title": "Clinical Outcomes And Patient Satisfaction Of A Cost-Conscious Mix-And-Match Extended Depth Of Focus Intraocular Lens Strategy In Bilateral Cataract Surgery: A Retrospective Study At Southern Quang Tri Eye Hospital",
      "authors": "Dr Anh THI VAN BUI",
      "presenter": "Dr Anh THI VAN BUI",
      "normalized_authors": [
        "Anh THI VAN BUI"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anh THI VAN Bui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "The purpose of the study is to evaluate visual acuity outcomes, refractive predictability, spectacle independence, and patient-reported satisfaction following bilateral cataract surgery using a mix-and-match EDOF IOL strategy in patients with partial insurance coverage for premium multifocal IOLs.",
        "Setting": "This retrospective observational study included 31 consecutive patients (62 eyes) who underwent planned bilateral phacoemulsification with EDOF IOL implantation between October 2024 and December 2025 at Southern Quang Tri Eye Hospital.",
        "Methods": "This is a retrospective observational study. The dominant eye was targeted for emmetropia, and the non-dominant eye for mild myopia (–0.50 to –0.75 diopters) to achieve mini-monovision. Preoperative evaluation comprised uncorrected and corrected distance visual acuity (UDVA, CDVA), manifest refraction, and optical biometry. Postoperative assessments at 1, 3, and 6 months included binocular UDVA, uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), manifest refraction spherical equivalent (MRSE), contrast sensitivity testing, spectacle independence rates, and patient-reported visual disturbances. Statistical analysis compared preoperative and postoperative parameters, with significance set at p < 0.05.",
        "Results": "At 3 months of follow-up, binocular visual acuity demonstrated statistically significant improvement compared with baseline (p<0.05). Binocular UDVA of 20/25 or better was achieved in 90.3% of patients, UIVA of 20/30 or better in 87.1%, UNVA of Jaeger J3 or better in 74.2%. Postoperative MRSE was within ±0.50D in 85.5% of eyes, reflecting high refractive accuracy. Spectacle independence was reported by 93.5% of patients for distance, 90.3% for intermediate, and 80.6% for near activities. Mild to moderate dysphotopsia (glare or halos) occurred in 16.1% of patients but did not significantly compromise overall satisfaction or daily functioning. No intraoperative complications or vision-threatening postoperative adverse events were observed.",
        "Conclusions": "In a partially reimbursed healthcare setting, a mix-and-match EDOF IOL strategy incorporating mini-monovision provided excellent binocular visual outcomes, high refractive predictability, and substantial spectacle independence with minimal photic phenomena. This approach represents a safe, clinically effective, and economically rational alternative to premium multifocal IOL implantation for patients seeking enhanced postoperative visual performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a partially reimbursed healthcare setting, a mix-and-match EDOF IOL strategy incorporating mini-monovision provided excellent binocular visual outcomes, high refractive predictability, and substantial spectacle independence with minimal photic phenomena. This approach represents a safe, clinically effective, and economically rational alternative to premium multifocal IOL implantation for patients seeking…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 387,
      "source_fields": {
        "Abstract Final Identifier": "POCAT348",
        "Title": "Clinical Outcomes And Patient Satisfaction Of A Cost-Conscious Mix-And-Match Extended Depth Of Focus Intraocular Lens Strategy In Bilateral Cataract Surgery: A Retrospective Study At Southern Quang Tri Eye Hospital",
        "Presenting Author(s)": "Dr Anh THI VAN BUI",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Anh",
        "Submitter Middle Name": "THI VAN",
        "Submitter Last Name": "Bui",
        "Country Name": "Viet Nam",
        "Purpose": "The purpose of the study is to evaluate visual acuity outcomes, refractive predictability, spectacle independence, and patient-reported satisfaction following bilateral cataract surgery using a mix-and-match EDOF IOL strategy in patients with partial insurance coverage for premium multifocal IOLs.",
        "Setting": "This retrospective observational study included 31 consecutive patients (62 eyes) who underwent planned bilateral phacoemulsification with EDOF IOL implantation between October 2024 and December 2025 at Southern Quang Tri Eye Hospital.",
        "Methods": "This is a retrospective observational study. The dominant eye was targeted for emmetropia, and the non-dominant eye for mild myopia (–0.50 to –0.75 diopters) to achieve mini-monovision. Preoperative evaluation comprised uncorrected and corrected distance visual acuity (UDVA, CDVA), manifest refraction, and optical biometry. Postoperative assessments at 1, 3, and 6 months included binocular UDVA, uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), manifest refraction spherical equivalent (MRSE), contrast sensitivity testing, spectacle independence rates, and patient-reported visual disturbances. Statistical analysis compared preoperative and postoperative parameters, with significance set at p < 0.05.",
        "Results": "At 3 months of follow-up, binocular visual acuity demonstrated statistically significant improvement compared with baseline (p<0.05). Binocular UDVA of 20/25 or better was achieved in 90.3% of patients, UIVA of 20/30 or better in 87.1%, UNVA of Jaeger J3 or better in 74.2%. Postoperative MRSE was within ±0.50D in 85.5% of eyes, reflecting high refractive accuracy. Spectacle independence was reported by 93.5% of patients for distance, 90.3% for intermediate, and 80.6% for near activities. Mild to moderate dysphotopsia (glare or halos) occurred in 16.1% of patients but did not significantly compromise overall satisfaction or daily functioning. No intraoperative complications or vision-threatening postoperative adverse events were observed.",
        "Conclusions": "In a partially reimbursed healthcare setting, a mix-and-match EDOF IOL strategy incorporating mini-monovision provided excellent binocular visual outcomes, high refractive predictability, and substantial spectacle independence with minimal photic phenomena. This approach represents a safe, clinically effective, and economically rational alternative to premium multifocal IOL implantation for patients seeking enhanced postoperative visual performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POCAT349",
      "abstract_number": "POCAT349",
      "title": "Small-Pupil Performance Of Phase Ring-Based Intraocular Lens Designs",
      "authors": "Prof. Dr Alejandro Cerviño",
      "presenter": "Prof. Dr Alejandro Cerviño",
      "normalized_authors": [
        "Alejandro Cerviño"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alejandro Cerviño",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the efficacy of PhaseRing™ across different pupil diameters, with particular emphasis on its performance under small pupil conditions.",
        "Setting": "University of Valencia",
        "Methods": "Through-focus modulation transfer function (MTF) measurements were performed on an optical bench using a model eye. Two IOLs incorporating the same PhaseRing™ concept but optimized for different functional profiles were evaluated: Asqelio™ Pluris™ (Partial-DOFi Enhanced design), and Asqelio™ EDOF (Partial-DOFi Extended design). The optical design combines an annular Phase Ring generating an extended focal region with a centrally optimized phase profile intended to preserve distance image quality.\n\nMTF was measured at 50 lp/mm for entrance pupil diameters of 1.16, 2.32, and 3.48 mm, spanning photopic to mesopic conditions. Optical performance through focus was quantified as the continuous dioptric range over which MTF remained ≥ 0.1.",
        "Results": "At the smallest entrance pupil (1.16 mm), both IOLs demonstrated high peak MTF values at distance (0.45-0.51 at 50 lp/mm) together with a broad through-focus response. A wide dioptric range with MTF ≥0.1 (4.5-4.8 D) was observed, indicating effective engagement of the Phase Ring under very small-pupil size.\n\nAt an entrance pupil of 2.32 mm and 3.48 mm, optical efficacy was preserved in both models maintaining the extended through-focus response. The Partial-DOFi Extended implementation exhibited a 0.5-1.0 D greater depth of focus compared with the Partial-DOFi Enhanced implementation.",
        "Conclusions": "Across the pupil diameters evaluated, the Phase Ring IOL concept maintains effective optical performance. Differences in depth of focus between Enhanced and Extended implementations become more evident at larger pupils, while efficacy is preserved even at very small entrance pupil diameters."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Across the pupil diameters evaluated, the Phase Ring IOL concept maintains effective optical performance. Differences in depth of focus between Enhanced and Extended implementations become more evident at larger pupils, while efficacy is preserved even at very small entrance pupil diameters.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 388,
      "source_fields": {
        "Abstract Final Identifier": "POCAT349",
        "Title": "Small-Pupil Performance Of Phase Ring-Based Intraocular Lens Designs",
        "Presenting Author(s)": "Prof. Dr Alejandro Cerviño",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Alejandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cerviño",
        "Country Name": "Spain",
        "Purpose": "To evaluate the efficacy of PhaseRing™ across different pupil diameters, with particular emphasis on its performance under small pupil conditions.",
        "Setting": "University of Valencia",
        "Methods": "Through-focus modulation transfer function (MTF) measurements were performed on an optical bench using a model eye. Two IOLs incorporating the same PhaseRing™ concept but optimized for different functional profiles were evaluated: Asqelio™ Pluris™ (Partial-DOFi Enhanced design), and Asqelio™ EDOF (Partial-DOFi Extended design). The optical design combines an annular Phase Ring generating an extended focal region with a centrally optimized phase profile intended to preserve distance image quality.\n\nMTF was measured at 50 lp/mm for entrance pupil diameters of 1.16, 2.32, and 3.48 mm, spanning photopic to mesopic conditions. Optical performance through focus was quantified as the continuous dioptric range over which MTF remained ≥ 0.1.",
        "Results": "At the smallest entrance pupil (1.16 mm), both IOLs demonstrated high peak MTF values at distance (0.45-0.51 at 50 lp/mm) together with a broad through-focus response. A wide dioptric range with MTF ≥0.1 (4.5-4.8 D) was observed, indicating effective engagement of the Phase Ring under very small-pupil size.\n\nAt an entrance pupil of 2.32 mm and 3.48 mm, optical efficacy was preserved in both models maintaining the extended through-focus response. The Partial-DOFi Extended implementation exhibited a 0.5-1.0 D greater depth of focus compared with the Partial-DOFi Enhanced implementation.",
        "Conclusions": "Across the pupil diameters evaluated, the Phase Ring IOL concept maintains effective optical performance. Differences in depth of focus between Enhanced and Extended implementations become more evident at larger pupils, while efficacy is preserved even at very small entrance pupil diameters."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POCAT350",
      "abstract_number": "POCAT350",
      "title": "Prospective Three-Month Outcomes Of A Hydrophobic Toric Edof Iol: Visual Performance And Refractive Precision",
      "authors": "Dr Alison Chiu",
      "presenter": "Dr Alison Chiu",
      "normalized_authors": [
        "Alison Chiu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alison Chiu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To evaluate visual performance, refractive accuracy, and rotational stability following bilateral implantation of a hydrophobic toric extended depth of focus intraocular lens (ELON IOL 877PETY, Medicontur Medical Engineering Ltd).",
        "Setting": "Prospective, single-centre clinical investigation.",
        "Methods": "This prospective, single-centre, single-arm interventional study enrolled adults undergoing bilateral cataract surgery with implantation of the ELON 877PETY toric EDOF intraocular lens, an aberration-neutral design extending depth of focus while correcting corneal astigmatism. Assessments at 1, 3, and 12 months included monocular and binocular visual acuity, manifest refraction, defocus curves, contrast sensitivity, and IOL rotational stability under photopic conditions. Patient-reported outcomes were evaluated using Catquest and PRISQ. The current interim analysis focuses on the 3-month outcomes.",
        "Results": "At 3 months, binocular DCVA was −0.05 ± 0.06 logMAR, demonstrating excellent distance vision, with functional intermediate vision (UIVA 0.24 ± 0.10; DCIVA 0.23 ± 0.09). Postoperative refraction was highly stable with SEQ tightly centered around emmetropia (97% within ±0.50 D and 100% within ±1.00 D SEQ), with postoperative cylinder clustering close to zero (92% ≤0.50 D; 97% ≤1.00 D). This demonstrates strong refractive predictability.Mean rotation was 2.90° between Day 1 and Month 1, indicating predictable toric alignment. Defocus curves are presented giving further insight into EDOF IOLs. Most patients experienced no or minimal difficulties with their daily activities post-implantation according to the patient reported outcome measures",
        "Conclusions": "This prospective clinical evaluation demonstrates that the hydrophobic toric EDOF IOL achieves excellent binocular distance acuity, functional intermediate performance, and high refractive precision with stable rotational alignment. Defocus analysis confirmed an extended functional range of vision, while patient-reported outcomes indicated low levels of visual difficulty. Twelve-month follow-up will to evaluate longer-term stability. This prospective study contributes meaningful clinical data to inform surgical decision-making regarding contemporary EDOF platforms in astigmatic cataract patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This prospective clinical evaluation demonstrates that the hydrophobic toric EDOF IOL achieves excellent binocular distance acuity, functional intermediate performance, and high refractive precision with stable rotational alignment. Defocus analysis confirmed an extended functional range of vision, while patient-reported outcomes indicated low levels of visual difficulty. Twelve-month follow-up will to evaluate…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 389,
      "source_fields": {
        "Abstract Final Identifier": "POCAT350",
        "Title": "Prospective Three-Month Outcomes Of A Hydrophobic Toric Edof Iol: Visual Performance And Refractive Precision",
        "Presenting Author(s)": "Dr Alison Chiu",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Alison",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chiu",
        "Country Name": "Australia",
        "Purpose": "To evaluate visual performance, refractive accuracy, and rotational stability following bilateral implantation of a hydrophobic toric extended depth of focus intraocular lens (ELON IOL 877PETY, Medicontur Medical Engineering Ltd).",
        "Setting": "Prospective, single-centre clinical investigation.",
        "Methods": "This prospective, single-centre, single-arm interventional study enrolled adults undergoing bilateral cataract surgery with implantation of the ELON 877PETY toric EDOF intraocular lens, an aberration-neutral design extending depth of focus while correcting corneal astigmatism. Assessments at 1, 3, and 12 months included monocular and binocular visual acuity, manifest refraction, defocus curves, contrast sensitivity, and IOL rotational stability under photopic conditions. Patient-reported outcomes were evaluated using Catquest and PRISQ. The current interim analysis focuses on the 3-month outcomes.",
        "Results": "At 3 months, binocular DCVA was −0.05 ± 0.06 logMAR, demonstrating excellent distance vision, with functional intermediate vision (UIVA 0.24 ± 0.10; DCIVA 0.23 ± 0.09). Postoperative refraction was highly stable with SEQ tightly centered around emmetropia (97% within ±0.50 D and 100% within ±1.00 D SEQ), with postoperative cylinder clustering close to zero (92% ≤0.50 D; 97% ≤1.00 D). This demonstrates strong refractive predictability.Mean rotation was 2.90° between Day 1 and Month 1, indicating predictable toric alignment. Defocus curves are presented giving further insight into EDOF IOLs. Most patients experienced no or minimal difficulties with their daily activities post-implantation according to the patient reported outcome measures",
        "Conclusions": "This prospective clinical evaluation demonstrates that the hydrophobic toric EDOF IOL achieves excellent binocular distance acuity, functional intermediate performance, and high refractive precision with stable rotational alignment. Defocus analysis confirmed an extended functional range of vision, while patient-reported outcomes indicated low levels of visual difficulty. Twelve-month follow-up will to evaluate longer-term stability. This prospective study contributes meaningful clinical data to inform surgical decision-making regarding contemporary EDOF platforms in astigmatic cataract patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT351",
      "abstract_number": "POCAT351",
      "title": "Phacoemulsification With Implantation Of A Small-Aperture Intraocular Lens In Eyes With Irregular Astigmatism After Radial Keratotomy",
      "authors": "Prof. Dr Ugo De Sanctis",
      "presenter": "Prof. Dr Ugo De Sanctis",
      "normalized_authors": [
        "Ugo De Sanctis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ugo De Sanctis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Small-aperture intraocular lenses (IOLs) use the pinhole effect to block unfocused peripheral light rays. They provide an extended depth of focus and improve image quality by reducing retinal blur. This type of IOL is particularly suitable for reducing the impact of higher-order aberrations (HOAs) in eyes with irregular corneas and cataract. This study reports the visual and refractive outcomes after cataract surgery with implantation of the IC-8 (Bausch & Lomb) small-aperture IOL in eyes with irregular corneal astigmatism caused by radial keratotomy (RK).",
        "Setting": "Private practice.",
        "Methods": "This retrospective study included one eye of 7 consecutive patients (mean age 68.6 years) with irregular astigmatism after RK and cataract who underwent phacoemulsification and IC-8 implantation at a single center. Mean corneal astigmatism was 1.41 ±0.44 diopters (D). The mean root mean square of HOAs, estimated at the corneal plane for the mesopic pupil, was 1.982 ±1.081 µm. IOL power was calculated using the IOLMaster 700 (Carl Zeiss Meditec) and the Barrett True-K formula. The target postoperative spherical equivalent (SEQ) ranged from −0.66 to −1.38 D. Outcome measures included postoperative recovery of distance and near visul acuity and SEQ prediction error at 3 months postoperatively.",
        "Results": "Postoperatively, uncorrected distance visual acuity (UDVA) and corrected distance vsual acuity (CDVA) improved in all eyes. Mean UDVA improved from 1.01 to 0.30 LogMAR, and mean CDVA improved from 0.40 to 0.11 LogMAR. UDVA ≤ 0.3 and CDVA ≤ 0.1 were achieved in 5 of 7 eyes. Mean postoperative distance-corrected near visual acuity was 0.24 LogMAR. A hyperopic SEQ prediction error was observed in all eyes. Mean prediction error was +0.52 ± 0.30 D (mean postoperative SEQ −0.39 ± 0.30 D vs mean predicted SEQ −0.91 ± 0.23 D). No major complications were observed.",
        "Conclusions": "The IC-8 small-aperture IOL performed well in eyes with irregular astigmatism after RK, providing significant improvement in visual function and high patient satisfaction. When using the Barrett True-K formula for IOL power calculation in these eyes, a hyperopic prediction error should be anticipated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The IC-8 small-aperture IOL performed well in eyes with irregular astigmatism after RK, providing significant improvement in visual function and high patient satisfaction. When using the Barrett True-K formula for IOL power calculation in these eyes, a hyperopic prediction error should be anticipated.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 390,
      "source_fields": {
        "Abstract Final Identifier": "POCAT351",
        "Title": "Phacoemulsification With Implantation Of A Small-Aperture Intraocular Lens In Eyes With Irregular Astigmatism After Radial Keratotomy",
        "Presenting Author(s)": "Prof. Dr Ugo De Sanctis",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Ugo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Sanctis",
        "Country Name": "Italy",
        "Purpose": "Small-aperture intraocular lenses (IOLs) use the pinhole effect to block unfocused peripheral light rays. They provide an extended depth of focus and improve image quality by reducing retinal blur. This type of IOL is particularly suitable for reducing the impact of higher-order aberrations (HOAs) in eyes with irregular corneas and cataract. This study reports the visual and refractive outcomes after cataract surgery with implantation of the IC-8 (Bausch & Lomb) small-aperture IOL in eyes with irregular corneal astigmatism caused by radial keratotomy (RK).",
        "Setting": "Private practice.",
        "Methods": "This retrospective study included one eye of 7 consecutive patients (mean age 68.6 years) with irregular astigmatism after RK and cataract who underwent phacoemulsification and IC-8 implantation at a single center. Mean corneal astigmatism was 1.41 ±0.44 diopters (D). The mean root mean square of HOAs, estimated at the corneal plane for the mesopic pupil, was 1.982 ±1.081 µm. IOL power was calculated using the IOLMaster 700 (Carl Zeiss Meditec) and the Barrett True-K formula. The target postoperative spherical equivalent (SEQ) ranged from −0.66 to −1.38 D. Outcome measures included postoperative recovery of distance and near visul acuity and SEQ prediction error at 3 months postoperatively.",
        "Results": "Postoperatively, uncorrected distance visual acuity (UDVA) and corrected distance vsual acuity (CDVA) improved in all eyes. Mean UDVA improved from 1.01 to 0.30 LogMAR, and mean CDVA improved from 0.40 to 0.11 LogMAR. UDVA ≤ 0.3 and CDVA ≤ 0.1 were achieved in 5 of 7 eyes. Mean postoperative distance-corrected near visual acuity was 0.24 LogMAR. A hyperopic SEQ prediction error was observed in all eyes. Mean prediction error was +0.52 ± 0.30 D (mean postoperative SEQ −0.39 ± 0.30 D vs mean predicted SEQ −0.91 ± 0.23 D). No major complications were observed.",
        "Conclusions": "The IC-8 small-aperture IOL performed well in eyes with irregular astigmatism after RK, providing significant improvement in visual function and high patient satisfaction. When using the Barrett True-K formula for IOL power calculation in these eyes, a hyperopic prediction error should be anticipated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POCAT352",
      "abstract_number": "POCAT352",
      "title": "Clinical Outcomes Of Cataract Surgery With Rayone Galaxy Spiral Full- Range Intraocular Lens",
      "authors": "Dr Sonu Goel",
      "presenter": "Dr Sonu Goel",
      "normalized_authors": [
        "Sonu Goel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Purnima Dhand",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual acuity, refractive accuracy, spectacle independence, and photic phenomenon following phacoemulsification with implantation of the RayOne Galaxy spiral full range of vision intraocular lens (IOL).",
        "Setting": "Retrospective study conducted at tertiary centre",
        "Methods": "This study included 100 eyes undergoing cataract surgery with implantation of RayOne Galaxy or Galaxy Toric IOL. All eyes were targeted for emmetropia with toric correction where indicated. Post operative assessment at 1 and 3 months included uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected intermediate visual acuity (UIVA at 66 cm), uncorrected near visual acuity (UNVA at 35 to 40 cm), refractive outcomes, spectacle dependence and patient reported glare and halos.",
        "Results": "Mean post operative spherical equivalent was – 0.06 ± 0.32 D. 92 % of eyes were within ± 0.50 D and 98% within ± 1.00 D of target.\n\n94 % achieved UDVA ≥ 6/6 and 100 % achieved ≥ 6/9.\n\n100 % achieved N6 at intermediate distance (66cm).\n\n90 % achieved N6 at near (35 cm) and 100 % achieved ≥ N8.\n\nHigh levels of spectacle independence were reported for distance and intermediate tasks with strong near independence. Photic phenomenon were mild, with reduced halo and glare symptoms compared to traditional diffractive trifocal designs.",
        "Conclusions": "The Rayone Galaxy spiral full- range IOL provides excellent visual acuity across distance, intermediate, and near ranges with high spectacle independence and minimal dysphotopsia. Its non –diffractive spiral optic design enables a smooth defocus profile comparable to trifocal IOLS while potentially reducing photic disturbances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Rayone Galaxy spiral full- range IOL provides excellent visual acuity across distance, intermediate, and near ranges with high spectacle independence and minimal dysphotopsia. Its non –diffractive spiral optic design enables a smooth defocus profile comparable to trifocal IOLS while potentially reducing photic disturbances.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 391,
      "source_fields": {
        "Abstract Final Identifier": "POCAT352",
        "Title": "Clinical Outcomes Of Cataract Surgery With Rayone Galaxy Spiral Full- Range Intraocular Lens",
        "Presenting Author(s)": "Dr Sonu Goel",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Purnima",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dhand",
        "Country Name": "India",
        "Purpose": "To evaluate visual acuity, refractive accuracy, spectacle independence, and photic phenomenon following phacoemulsification with implantation of the RayOne Galaxy spiral full range of vision intraocular lens (IOL).",
        "Setting": "Retrospective study conducted at tertiary centre",
        "Methods": "This study included 100 eyes undergoing cataract surgery with implantation of RayOne Galaxy or Galaxy Toric IOL. All eyes were targeted for emmetropia with toric correction where indicated. Post operative assessment at 1 and 3 months included uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected intermediate visual acuity (UIVA at 66 cm), uncorrected near visual acuity (UNVA at 35 to 40 cm), refractive outcomes, spectacle dependence and patient reported glare and halos.",
        "Results": "Mean post operative spherical equivalent was – 0.06 ± 0.32 D. 92 % of eyes were within ± 0.50 D and 98% within ± 1.00 D of target.\n\n94 % achieved UDVA ≥ 6/6 and 100 % achieved ≥ 6/9.\n\n100 % achieved N6 at intermediate distance (66cm).\n\n90 % achieved N6 at near (35 cm) and 100 % achieved ≥ N8.\n\nHigh levels of spectacle independence were reported for distance and intermediate tasks with strong near independence. Photic phenomenon were mild, with reduced halo and glare symptoms compared to traditional diffractive trifocal designs.",
        "Conclusions": "The Rayone Galaxy spiral full- range IOL provides excellent visual acuity across distance, intermediate, and near ranges with high spectacle independence and minimal dysphotopsia. Its non –diffractive spiral optic design enables a smooth defocus profile comparable to trifocal IOLS while potentially reducing photic disturbances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POCAT353",
      "abstract_number": "POCAT353",
      "title": "Clinical And Functional Outcomes Of A Non-Diffractive Edof Intraocular Lens Based On An Advanced Hydrophobic Acrylic Platform",
      "authors": "Dr Emilio Dorronzoro",
      "presenter": "Dr Emilio Dorronzoro",
      "normalized_authors": [
        "Emilio Dorronzoro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emilio Dorronzoro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the visual performance, functional defocus range, contrast sensitivity, and patient-reported outcomes following implantation of the Clareon® Vivity® non-diffractive extended depth-of-focus intraocular lens (Alcon Laboratories, Inc., Fort Worth, TX, USA), and to assess its ability to provide extended depth of focus while maintaining contrast sensitivity and high patient satisfaction.",
        "Setting": "The study included 5 patients (10 eyes) with a mean age of 62.2 years (range 53–73); three were male and two female. Mean IOL power was 20.8 ± 1.9 D (range 17.5–24.0 D). Preoperative mean higher-order aberrations (HOA) were 0.18 ± 0.05 µm, with a mean Z4,0 spherical aberration of 0.31 ± 0.09 µm. Mean pupil diameter measured with Pentacam was 3.86 ± 1.05 mm, and mean axial length was 24.55 ± 1.78 mm, representing a predominantly normal axial length population.",
        "Methods": "This retrospective consecutive case series included patients undergoing femtosecond laser–assisted cataract surgery (FLACS), all procedures performed by the same surgeon (EDR). Biometry was obtained using the IOLMaster 700, and IOL power was calculated with the ESCRS online IOL calculator. Corneal topography was performed using Pentacam. Postoperative evaluation included monocular and binocular visual acuity, defocus curve, contrast sensitivity (photopic and mesopic), and VFQ-14. Statistical analysis was performed using SPSS software. Due to the small sample size, non-parametric comparisons were conducted using the Mann–Whitney U test.",
        "Results": "Mean uncorrected distance visual acuity (UDVA) was 0.01±0.05 logMAR, uncorrected intermediate visual acuity (UIVA, 0.65 m) 0.05±0.17, and uncorrected near visual acuity (UNVA, 0.35 m) 0.23±0.18. Mean corrected distance visual acuity (CDVA) was −0.01±0.05 logMAR. Postoperative spherical equivalent was −0.03±0.36 D with residual cylinder −0.34±0.30 D. Monocular defocus peaked at plano (−0.01 logMAR), providing 2.0 D at ≤0.20 and 3.0 D at ≤0.30 logMAR. Binocular peak reached −0.02 logMAR, extending the ≤0.30 range to 3.5 D. Contrast sensitivity was preserved at low–intermediate frequencies. VFQ-14 showed minimal limitation; 100% would choose the same IOL again.",
        "Conclusions": "1. Clareon Vivity provided a continuous 2.0 D functional range at ≤0.20 logMAR and up to 3.5 D binocularly at ≤0.30 logMAR, demonstrating extended depth performance.\n\n2. Binocular summation enhanced the functional range by 0.5 D compared with monocular outcomes.\n\n3. Contrast sensitivity was preserved at low and intermediate spatial frequencies under both photopic and mesopic conditions, with no disproportionate high-frequency loss.\n\n4. Patient-reported outcomes showed minimal visual limitation, high satisfaction for distance and intermediate vision, and 100% willingness to undergo the same procedure again."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "1. Clareon Vivity provided a continuous 2.0 D functional range at ≤0.20 logMAR and up to 3.5 D binocularly at ≤0.30 logMAR, demonstrating extended depth performance. 2. Binocular summation enhanced the functional range by 0.5 D compared with monocular outcomes. 3. Contrast sensitivity was preserved at low and intermediate spatial frequencies under both photopic and mesopic conditions, with no disproportionate…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 392,
      "source_fields": {
        "Abstract Final Identifier": "POCAT353",
        "Title": "Clinical And Functional Outcomes Of A Non-Diffractive Edof Intraocular Lens Based On An Advanced Hydrophobic Acrylic Platform",
        "Presenting Author(s)": "Dr Emilio Dorronzoro",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Emilio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dorronzoro",
        "Country Name": "Spain",
        "Purpose": "To evaluate the visual performance, functional defocus range, contrast sensitivity, and patient-reported outcomes following implantation of the Clareon® Vivity® non-diffractive extended depth-of-focus intraocular lens (Alcon Laboratories, Inc., Fort Worth, TX, USA), and to assess its ability to provide extended depth of focus while maintaining contrast sensitivity and high patient satisfaction.",
        "Setting": "The study included 5 patients (10 eyes) with a mean age of 62.2 years (range 53–73); three were male and two female. Mean IOL power was 20.8 ± 1.9 D (range 17.5–24.0 D). Preoperative mean higher-order aberrations (HOA) were 0.18 ± 0.05 µm, with a mean Z4,0 spherical aberration of 0.31 ± 0.09 µm. Mean pupil diameter measured with Pentacam was 3.86 ± 1.05 mm, and mean axial length was 24.55 ± 1.78 mm, representing a predominantly normal axial length population.",
        "Methods": "This retrospective consecutive case series included patients undergoing femtosecond laser–assisted cataract surgery (FLACS), all procedures performed by the same surgeon (EDR). Biometry was obtained using the IOLMaster 700, and IOL power was calculated with the ESCRS online IOL calculator. Corneal topography was performed using Pentacam. Postoperative evaluation included monocular and binocular visual acuity, defocus curve, contrast sensitivity (photopic and mesopic), and VFQ-14. Statistical analysis was performed using SPSS software. Due to the small sample size, non-parametric comparisons were conducted using the Mann–Whitney U test.",
        "Results": "Mean uncorrected distance visual acuity (UDVA) was 0.01±0.05 logMAR, uncorrected intermediate visual acuity (UIVA, 0.65 m) 0.05±0.17, and uncorrected near visual acuity (UNVA, 0.35 m) 0.23±0.18. Mean corrected distance visual acuity (CDVA) was −0.01±0.05 logMAR. Postoperative spherical equivalent was −0.03±0.36 D with residual cylinder −0.34±0.30 D. Monocular defocus peaked at plano (−0.01 logMAR), providing 2.0 D at ≤0.20 and 3.0 D at ≤0.30 logMAR. Binocular peak reached −0.02 logMAR, extending the ≤0.30 range to 3.5 D. Contrast sensitivity was preserved at low–intermediate frequencies. VFQ-14 showed minimal limitation; 100% would choose the same IOL again.",
        "Conclusions": "1. Clareon Vivity provided a continuous 2.0 D functional range at ≤0.20 logMAR and up to 3.5 D binocularly at ≤0.30 logMAR, demonstrating extended depth performance.\n\n2. Binocular summation enhanced the functional range by 0.5 D compared with monocular outcomes.\n\n3. Contrast sensitivity was preserved at low and intermediate spatial frequencies under both photopic and mesopic conditions, with no disproportionate high-frequency loss.\n\n4. Patient-reported outcomes showed minimal visual limitation, high satisfaction for distance and intermediate vision, and 100% willingness to undergo the same procedure again."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 441
    },
    {
      "uid": "POCAT354",
      "abstract_number": "POCAT354",
      "title": "Factors That Influence Distance-Corrected Near Visual Acuity With Partial Range Of Field Extend Intraocular Lenses",
      "authors": "Idoia Goni-Guarro",
      "presenter": "Idoia Goni-Guarro",
      "normalized_authors": [
        "Idoia Goni-Guarro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Idoia Goni-Guarro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Partial range of field extend intraocular lenses (PRoF-Ex IOL) offer excellent distance and intermediate visual acuity, but limited distance-corrected near visual acuity (DCNVA). However, clinical experience suggests that some patients obtain excellent DCNVA with these lenses. We compared the characteristics of eyes implanted with PRoF-Ex IOL and very good DCNVA to those with standard DCNVA.",
        "Setting": "The study was conducted from 2024 to 2025 in OMIQ Research facilities, a private ophthalmology research group in Barcelona, Spain.",
        "Methods": "Prospective, transversal, observational study. Patients implanted with a PRoF-Ex IOL (AcrySof ® IQ Vivity ® [Alcon] or PureSee ® [J&J]) were visited 1-3 months after surgery. The following measurements were made: monocular and binocular, distance-corrected and uncorrected far, intermediate and near visual acuities; photopic pupil diameter, aberrations (RMS HOA y Z 4-0 ), corneal asphericity and axial length (Pentacam ® AXL Wave, Oculus); and IOL power. Monocular DCNVA was stratified into tertiles; the characteristics of eyes in the first (better DCNVA) were compared with those in the second and third tertiles (standard DCNVA). Data was analyzed using uni and multivariate generalized estimating equation (GEE) models.",
        "Results": "We included 100 eyes from 50 patients, 66.0% of whom were female and the mean age was 69.0 (standard deviation [SD] 8.7) years. The mean distance-corrected visual acuity (DCVA) was 0.00 (SD 0.04) logMAR, and the mean DCNVA was 0.37 (SD 0.15). The tertile with the best DCNVA had values between 0.00 and 0.30 logMAR, while the DCNVA in the other two tertiles (standard DCNVA) had values between 0.32 and 0.76 logMAR. The factors associated with a better DCNVA were a younger age (66.4 vs 71.0 years), better DCVA (0.00 vs 0.02 logMAR) and a smaller photopic pupil diameter (2.81 vs 3.04 mm). None of the other variables were associated with DCNVA from a statistically significant standpoint (p>0.05).",
        "Conclusions": "The factors associated with a better DCNVA with these PRoF-Ex IOL were younger age, better DCVA and a smaller photopic pupil. Future studies should evaluate if these results are specific of the PRoF-Ex IOL models evaluated here or of the category in general. These results may be useful to tailor the IOL to patient’s expectations and characteristics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The factors associated with a better DCNVA with these PRoF-Ex IOL were younger age, better DCVA and a smaller photopic pupil. Future studies should evaluate if these results are specific of the PRoF-Ex IOL models evaluated here or of the category in general. These results may be useful to tailor the IOL to patient’s expectations and characteristics.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 393,
      "source_fields": {
        "Abstract Final Identifier": "POCAT354",
        "Title": "Factors That Influence Distance-Corrected Near Visual Acuity With Partial Range Of Field Extend Intraocular Lenses",
        "Presenting Author(s)": "Idoia Goni-Guarro",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Idoia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Goni-Guarro",
        "Country Name": "Spain",
        "Purpose": "Partial range of field extend intraocular lenses (PRoF-Ex IOL) offer excellent distance and intermediate visual acuity, but limited distance-corrected near visual acuity (DCNVA). However, clinical experience suggests that some patients obtain excellent DCNVA with these lenses. We compared the characteristics of eyes implanted with PRoF-Ex IOL and very good DCNVA to those with standard DCNVA.",
        "Setting": "The study was conducted from 2024 to 2025 in OMIQ Research facilities, a private ophthalmology research group in Barcelona, Spain.",
        "Methods": "Prospective, transversal, observational study. Patients implanted with a PRoF-Ex IOL (AcrySof ® IQ Vivity ® [Alcon] or PureSee ® [J&J]) were visited 1-3 months after surgery. The following measurements were made: monocular and binocular, distance-corrected and uncorrected far, intermediate and near visual acuities; photopic pupil diameter, aberrations (RMS HOA y Z 4-0 ), corneal asphericity and axial length (Pentacam ® AXL Wave, Oculus); and IOL power. Monocular DCNVA was stratified into tertiles; the characteristics of eyes in the first (better DCNVA) were compared with those in the second and third tertiles (standard DCNVA). Data was analyzed using uni and multivariate generalized estimating equation (GEE) models.",
        "Results": "We included 100 eyes from 50 patients, 66.0% of whom were female and the mean age was 69.0 (standard deviation [SD] 8.7) years. The mean distance-corrected visual acuity (DCVA) was 0.00 (SD 0.04) logMAR, and the mean DCNVA was 0.37 (SD 0.15). The tertile with the best DCNVA had values between 0.00 and 0.30 logMAR, while the DCNVA in the other two tertiles (standard DCNVA) had values between 0.32 and 0.76 logMAR. The factors associated with a better DCNVA were a younger age (66.4 vs 71.0 years), better DCVA (0.00 vs 0.02 logMAR) and a smaller photopic pupil diameter (2.81 vs 3.04 mm). None of the other variables were associated with DCNVA from a statistically significant standpoint (p>0.05).",
        "Conclusions": "The factors associated with a better DCNVA with these PRoF-Ex IOL were younger age, better DCVA and a smaller photopic pupil. Future studies should evaluate if these results are specific of the PRoF-Ex IOL models evaluated here or of the category in general. These results may be useful to tailor the IOL to patient’s expectations and characteristics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POCAT355",
      "abstract_number": "POCAT355",
      "title": "A Randomized Clinical Trial Comparing Visual Outcomes And Patient Satisfaction After Bilateral Implantation Of A Prof-Ex Iol Versus A Monofocal Iol In Patients With Mild To Moderate Glaucoma And Bilateral Cataract.",
      "authors": "Dr Idoia Goñi-Guarro",
      "presenter": "Dr Idoia Goñi-Guarro",
      "normalized_authors": [
        "Idoia Goñi-Guarro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Idoia Goni-Guarro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate and compare visual performance, patient‑reported satisfaction, and safety after bilateral implantation of an extended‑range‑of‑focus (PRoF‑Ex) intraocular lens (IOL) versus a monofocal IOL in patients with mild‑to‑moderate primary open‑angle glaucoma (POAG) and bilateral cataract, to determine whether extended‑range lenses provide superior functional vision and ocular safety and may be a viable option for this patients.",
        "Setting": "Academic clinical research center in Catalonia (Spain); recruitment of adult patients with bilateral cataract and mild to moderate POAG",
        "Methods": "A prospective, randomized, double‑blind interventional trial will randomize 74 patients (1:1) to bilateral PRoF‑Ex (Clareon Vivity®) or Clareon monofocal® IOL implantation for mild‑moderate glaucoma undergoing bilateral cataract surgery.Assessments preoperatively and through 3 months include uncorrected and corrected distance, intermediate, and near visual acuities (mono/binocular), defocus curve, photopic/mesopic contrast sensitivity, automated perimetry, macular and peripapillary imaging, aberrometry, halo metrics and questionnaires on visual function and spectacle independence (PRSIQ,CATQUEST,QUVID).Primary outcome:bDCIVA at 3 months.Trial powered 90% (n=74);primary analysis: independent‑samples t‑test; secondary/safety analyses per SAP.",
        "Results": "If hypotheses are confirmed, the PRoF‑Ex group would demonstrate superior corrected binocular intermediate visual acuity (bDCIVA) at 3 months versus the monofocal group, increased intermediate and functional near spectacle independence, and no clinically meaningful reduction in contrast sensitivity or increase in dysphotopsia. Secondary analyses would assess refractive accuracy, defocus curves, objective and subjective visual quality, and potential impacts on visual field and retinal imaging metrics. Interim data will be reported.",
        "Conclusions": "If results are confirmed, PRoF-Ex IOL may offer a viable option for selected patients with early to moderate POAG seeking greater spectacle independence after cataract surgery, by improving intermediate vision without substantial compromise in contrast sensitivity or ocular safety. Findings may inform individualized IOL selection in glaucoma patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "If results are confirmed, PRoF-Ex IOL may offer a viable option for selected patients with early to moderate POAG seeking greater spectacle independence after cataract surgery, by improving intermediate vision without substantial compromise in contrast sensitivity or ocular safety. Findings may inform individualized IOL selection in glaucoma patients.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 394,
      "source_fields": {
        "Abstract Final Identifier": "POCAT355",
        "Title": "A Randomized Clinical Trial Comparing Visual Outcomes And Patient Satisfaction After Bilateral Implantation Of A Prof-Ex Iol Versus A Monofocal Iol In Patients With Mild To Moderate Glaucoma And Bilateral Cataract.",
        "Presenting Author(s)": "Dr Idoia Goñi-Guarro",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Idoia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Goni-Guarro",
        "Country Name": "Spain",
        "Purpose": "To evaluate and compare visual performance, patient‑reported satisfaction, and safety after bilateral implantation of an extended‑range‑of‑focus (PRoF‑Ex) intraocular lens (IOL) versus a monofocal IOL in patients with mild‑to‑moderate primary open‑angle glaucoma (POAG) and bilateral cataract, to determine whether extended‑range lenses provide superior functional vision and ocular safety and may be a viable option for this patients.",
        "Setting": "Academic clinical research center in Catalonia (Spain); recruitment of adult patients with bilateral cataract and mild to moderate POAG",
        "Methods": "A prospective, randomized, double‑blind interventional trial will randomize 74 patients (1:1) to bilateral PRoF‑Ex (Clareon Vivity®) or Clareon monofocal® IOL implantation for mild‑moderate glaucoma undergoing bilateral cataract surgery.Assessments preoperatively and through 3 months include uncorrected and corrected distance, intermediate, and near visual acuities (mono/binocular), defocus curve, photopic/mesopic contrast sensitivity, automated perimetry, macular and peripapillary imaging, aberrometry, halo metrics and questionnaires on visual function and spectacle independence (PRSIQ,CATQUEST,QUVID).Primary outcome:bDCIVA at 3 months.Trial powered 90% (n=74);primary analysis: independent‑samples t‑test; secondary/safety analyses per SAP.",
        "Results": "If hypotheses are confirmed, the PRoF‑Ex group would demonstrate superior corrected binocular intermediate visual acuity (bDCIVA) at 3 months versus the monofocal group, increased intermediate and functional near spectacle independence, and no clinically meaningful reduction in contrast sensitivity or increase in dysphotopsia. Secondary analyses would assess refractive accuracy, defocus curves, objective and subjective visual quality, and potential impacts on visual field and retinal imaging metrics. Interim data will be reported.",
        "Conclusions": "If results are confirmed, PRoF-Ex IOL may offer a viable option for selected patients with early to moderate POAG seeking greater spectacle independence after cataract surgery, by improving intermediate vision without substantial compromise in contrast sensitivity or ocular safety. Findings may inform individualized IOL selection in glaucoma patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCAT356",
      "abstract_number": "POCAT356",
      "title": "Potential Refractive Error Due To Axial Displacement Of Intraocular Lenses With Clinically Relevant Compression Diameters",
      "authors": "Dr Merce Guarro",
      "presenter": "Dr Merce Guarro",
      "normalized_authors": [
        "Merce Guarro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Merce Guarro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare the mechanical stability and associated potential refractive error (RE) of nine different intraocular lens (IOL) models using compression diameters that are aligned with the clinically published mean capsular bag diameters (CBD).",
        "Setting": "In vitro mechanical bench testing and refractive error calculations (using a schematic eye model) were conducted at Alcon Research, LLC., Fort Worth, Texas, USA.",
        "Methods": "Nine different single- piece acrylic IOLs (3-5 per model) were tested for axial displacement, optic decentration, optic tilt, and the initial haptic compression force at 9-mm and 10-mm compression diameters under simulated physiological conditions per ISO 11979-3:2012. Potential RE was calculated based on the mean axial displacement observed and using a schematic eye model.",
        "Results": "The three different Clareon® optical models (Monofocal, Trifocal and EDOF) had equivalent results, confirming that mechanical stability performance is not affected by the optical design. At 9-mm compression, the measured axial displacement values of the 3 Clareon models were significantly lower than the 6 other models assessed (P < 0.05). At both diameters, the haptic compression force for Clareon was statistically lower than 5 of the other models (P < 0.05). Between the two compression diameters, there were substantial increases in axial displacement and haptic compression force for some of the IOL models. There were no statistical differences among the IOL models studied with respect to either optic decentration or optic tilt.",
        "Conclusions": "Clareon IOL models had statistically lower levels of axial displacement, compression force and potential RE as compared to the other models, which may correlate with consistency of refractive outcomes. Refractive surprises may occur with IOL models that show significant axial displacement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Clareon IOL models had statistically lower levels of axial displacement, compression force and potential RE as compared to the other models, which may correlate with consistency of refractive outcomes. Refractive surprises may occur with IOL models that show significant axial displacement.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 395,
      "source_fields": {
        "Abstract Final Identifier": "POCAT356",
        "Title": "Potential Refractive Error Due To Axial Displacement Of Intraocular Lenses With Clinically Relevant Compression Diameters",
        "Presenting Author(s)": "Dr Merce Guarro",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Merce",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Guarro",
        "Country Name": "Spain",
        "Purpose": "To compare the mechanical stability and associated potential refractive error (RE) of nine different intraocular lens (IOL) models using compression diameters that are aligned with the clinically published mean capsular bag diameters (CBD).",
        "Setting": "In vitro mechanical bench testing and refractive error calculations (using a schematic eye model) were conducted at Alcon Research, LLC., Fort Worth, Texas, USA.",
        "Methods": "Nine different single- piece acrylic IOLs (3-5 per model) were tested for axial displacement, optic decentration, optic tilt, and the initial haptic compression force at 9-mm and 10-mm compression diameters under simulated physiological conditions per ISO 11979-3:2012. Potential RE was calculated based on the mean axial displacement observed and using a schematic eye model.",
        "Results": "The three different Clareon® optical models (Monofocal, Trifocal and EDOF) had equivalent results, confirming that mechanical stability performance is not affected by the optical design. At 9-mm compression, the measured axial displacement values of the 3 Clareon models were significantly lower than the 6 other models assessed (P < 0.05). At both diameters, the haptic compression force for Clareon was statistically lower than 5 of the other models (P < 0.05). Between the two compression diameters, there were substantial increases in axial displacement and haptic compression force for some of the IOL models. There were no statistical differences among the IOL models studied with respect to either optic decentration or optic tilt.",
        "Conclusions": "Clareon IOL models had statistically lower levels of axial displacement, compression force and potential RE as compared to the other models, which may correlate with consistency of refractive outcomes. Refractive surprises may occur with IOL models that show significant axial displacement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCAT357",
      "abstract_number": "POCAT357",
      "title": "Comparative Clinical Outcomes In Indian Eyes For Two Increased Range Of Vision (Irof) Iols And Two Full Range Of Vision (Frof) Iols",
      "authors": "Dr Anagha Heroor",
      "presenter": "Dr Anagha Heroor",
      "normalized_authors": [
        "Anagha Heroor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anagha Heroor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the visual and subjective outcomes for of four IOLs (Rayner Rayone Galaxy and Galaxy Toric, Hoya Geometric, J&J Puresee and Puresee Toric and Rayner RayOne EMV and EMV Toric) all with some level of extended focus but different mechanisms of action",
        "Setting": "All surgeries to be performed by one surgeon at Anil Eye Hospital, Dombivili, Maharastra, India",
        "Methods": "60 patients / 120 eyes will undergo cataract surgery and receive one of the four evaluated IOLs, 15 patients / 30 eyes per group.\n\nPostoperative visual outcomes, including subjective refraction and monocular and binocular uncorrected and best-corrected distance, intermediate, and near visual acuities, will be assessed\n\nFollow-up measurements will be recorded at two weeks, one month and three months postoperatively.\n\nContrast sensitivity (Pelli-Robson) to be measured at three month visit.\n\nDysphotopsia will be assessed using a halo and glare questionnaire at all three post-op visits.",
        "Results": "This study is ongoing, implantations have started but outcomes data is not yet available. Three-month outcomes will be available by July and analysis available prior to ESCRS congress 2026.",
        "Conclusions": "To be confirmed"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To be confirmed",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 396,
      "source_fields": {
        "Abstract Final Identifier": "POCAT357",
        "Title": "Comparative Clinical Outcomes In Indian Eyes For Two Increased Range Of Vision (Irof) Iols And Two Full Range Of Vision (Frof) Iols",
        "Presenting Author(s)": "Dr Anagha Heroor",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Anagha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Heroor",
        "Country Name": "India",
        "Purpose": "To compare the visual and subjective outcomes for of four IOLs (Rayner Rayone Galaxy and Galaxy Toric, Hoya Geometric, J&J Puresee and Puresee Toric and Rayner RayOne EMV and EMV Toric) all with some level of extended focus but different mechanisms of action",
        "Setting": "All surgeries to be performed by one surgeon at Anil Eye Hospital, Dombivili, Maharastra, India",
        "Methods": "60 patients / 120 eyes will undergo cataract surgery and receive one of the four evaluated IOLs, 15 patients / 30 eyes per group.\n\nPostoperative visual outcomes, including subjective refraction and monocular and binocular uncorrected and best-corrected distance, intermediate, and near visual acuities, will be assessed\n\nFollow-up measurements will be recorded at two weeks, one month and three months postoperatively.\n\nContrast sensitivity (Pelli-Robson) to be measured at three month visit.\n\nDysphotopsia will be assessed using a halo and glare questionnaire at all three post-op visits.",
        "Results": "This study is ongoing, implantations have started but outcomes data is not yet available. Three-month outcomes will be available by July and analysis available prior to ESCRS congress 2026.",
        "Conclusions": "To be confirmed"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 174
    },
    {
      "uid": "POCAT358",
      "abstract_number": "POCAT358",
      "title": "Visual Performance And Patient Satisfaction With Acunex® Vario And Variomax Intraocular Lenses, Including Mixed Implantation Strategies",
      "authors": "Dr Tomas Jaeschke",
      "presenter": "Dr Tomas Jaeschke",
      "normalized_authors": [
        "Tomas Jaeschke"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tomas Jaeschke",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate short-term binocular uncorrected distance (UDVA) and near visual acuity at 40 cm (UNVA) in Argentine patients implanted with segmented refractive Acunex Vario IOL (+1.50 D addition for extended depth of focus) or VarioMax (+3.00 D addition for enhanced near), using bilateral implantation or mix-and-match with spherical monofocal Clareon IOL (blue-light filter). Efficacy for spectacle independence at distance and functional reading (smartphone/intermediate) was assessed, providing preliminary real-world evidence of these IOLs' optical performance in routine cataract/refractive surgery",
        "Setting": "Retrospective analysis at single high-volume private ophthalmology center, Buenos Aires F.D., Argentina. Phacoemulsification with 2.2-2.4 mm incision by one surgeon (T.J.), targeting emmetropia, September 2024–January 2026. Standardized postoperative regimen and ≥30-day follow-up visual assessments.",
        "Methods": "Consecutive adult patients with uneventful phacoemulsification and Acunex Vario/VarioMax implantation (bilateral/mix-and-match Clareon) included if complete UDVA/UNVA data available at ≥30 days. Exclusion: complications, irregular corneas, prior refractive/corneal surgery, macular disease. UDVA measured decimal (converted logMAR = -log₁₀(decimal)); UNVA at 40 cm via logarithmic charts. Identical photopic conditions (>250 lux), phoropters, displays/charts used throughout. Binocular prioritized; monocular complementary. Descriptive statistics: mean±SD, percentages. No inferential testing (series design)",
        "Results": "37 patients (mean age 69.9 years; 66 eyes; preoperative K flat 43.19±1.2 D, steep 43.77±1.1 D). 52 eyes complete data. Postoperative binocular UDVA: -0.02±0.06 logMAR (1.05 decimal equivalent; 100% ≤0.10 logMAR/≥20/25). Binocular UNVA 40 cm: 0.22±0.08 logMAR (96.2% ≤0.30 logMAR). IOL distribution: Acunex Vario 37 eyes (71.2%), VarioMax 13 eyes (25.0%), Clareon 2 eyes (3.8%, both in mix-and-match with VarioMax/Vario in fellow eye; 2 patients) . Bilateral Vario: excellent balanced performance; mix-and-match maintained UDVA/near function. High emmetropia predictability; no vision complications. Monocular confirmed summation",
        "Conclusions": "Acunex Vario (+1.50 D)/VarioMax (+3.00 D) segmented IOLs excelled in binocular UDVA (-0.02 logMAR, 100% ≥20/25) and functional UNVA 40 cm (0.22 logMAR, 96% ≤0.30), enabling spectacle independence for distance/reading. Bilateral use balanced ranges; Clareon mix-and-match customized near without distance loss—ideal for patient-tailored presbyopia correction. Results validate segmented refractive design versus traditional multifocals, minimizing dysphotopsia risk. Supports adoption in cataract/refractive surgery; prospective trials needed for contrast sensitivity, dysphotopsia quantification, and 12-month stability"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Acunex Vario (+1.50 D)/VarioMax (+3.00 D) segmented IOLs excelled in binocular UDVA (-0.02 logMAR, 100% ≥20/25) and functional UNVA 40 cm (0.22 logMAR, 96% ≤0.30), enabling spectacle independence for distance/reading. Bilateral use balanced ranges; Clareon mix-and-match customized near without distance loss—ideal for patient-tailored presbyopia correction. Results validate segmented refractive design versus…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 397,
      "source_fields": {
        "Abstract Final Identifier": "POCAT358",
        "Title": "Visual Performance And Patient Satisfaction With Acunex® Vario And Variomax Intraocular Lenses, Including Mixed Implantation Strategies",
        "Presenting Author(s)": "Dr Tomas Jaeschke",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Tomas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jaeschke",
        "Country Name": "Argentina",
        "Purpose": "To evaluate short-term binocular uncorrected distance (UDVA) and near visual acuity at 40 cm (UNVA) in Argentine patients implanted with segmented refractive Acunex Vario IOL (+1.50 D addition for extended depth of focus) or VarioMax (+3.00 D addition for enhanced near), using bilateral implantation or mix-and-match with spherical monofocal Clareon IOL (blue-light filter). Efficacy for spectacle independence at distance and functional reading (smartphone/intermediate) was assessed, providing preliminary real-world evidence of these IOLs' optical performance in routine cataract/refractive surgery",
        "Setting": "Retrospective analysis at single high-volume private ophthalmology center, Buenos Aires F.D., Argentina. Phacoemulsification with 2.2-2.4 mm incision by one surgeon (T.J.), targeting emmetropia, September 2024–January 2026. Standardized postoperative regimen and ≥30-day follow-up visual assessments.",
        "Methods": "Consecutive adult patients with uneventful phacoemulsification and Acunex Vario/VarioMax implantation (bilateral/mix-and-match Clareon) included if complete UDVA/UNVA data available at ≥30 days. Exclusion: complications, irregular corneas, prior refractive/corneal surgery, macular disease. UDVA measured decimal (converted logMAR = -log₁₀(decimal)); UNVA at 40 cm via logarithmic charts. Identical photopic conditions (>250 lux), phoropters, displays/charts used throughout. Binocular prioritized; monocular complementary. Descriptive statistics: mean±SD, percentages. No inferential testing (series design)",
        "Results": "37 patients (mean age 69.9 years; 66 eyes; preoperative K flat 43.19±1.2 D, steep 43.77±1.1 D). 52 eyes complete data. Postoperative binocular UDVA: -0.02±0.06 logMAR (1.05 decimal equivalent; 100% ≤0.10 logMAR/≥20/25). Binocular UNVA 40 cm: 0.22±0.08 logMAR (96.2% ≤0.30 logMAR). IOL distribution: Acunex Vario 37 eyes (71.2%), VarioMax 13 eyes (25.0%), Clareon 2 eyes (3.8%, both in mix-and-match with VarioMax/Vario in fellow eye; 2 patients) . Bilateral Vario: excellent balanced performance; mix-and-match maintained UDVA/near function. High emmetropia predictability; no vision complications. Monocular confirmed summation",
        "Conclusions": "Acunex Vario (+1.50 D)/VarioMax (+3.00 D) segmented IOLs excelled in binocular UDVA (-0.02 logMAR, 100% ≥20/25) and functional UNVA 40 cm (0.22 logMAR, 96% ≤0.30), enabling spectacle independence for distance/reading. Bilateral use balanced ranges; Clareon mix-and-match customized near without distance loss—ideal for patient-tailored presbyopia correction. Results validate segmented refractive design versus traditional multifocals, minimizing dysphotopsia risk. Supports adoption in cataract/refractive surgery; prospective trials needed for contrast sensitivity, dysphotopsia quantification, and 12-month stability"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCAT359",
      "abstract_number": "POCAT359",
      "title": "Restoring Functional Vision In Post-Myopic Lasik Eyes: Real-World Outcomes Of A Non-Diffractive Partial-Range Of Field Intraocular Lens",
      "authors": "Dr Klemens P. Kaiser",
      "presenter": "Dr Klemens P. Kaiser",
      "normalized_authors": [
        "Klemens P. Kaiser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Klemens P. Kaiser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate real-world visual and refractive outcomes of a non-diffractive extended partial-range of field (PARTIAL-RoF) intraocular lens (IOL) in eyes with prior myopic LASIK undergoing cataract surgery or refractive lens exchange (RLE).",
        "Setting": "Tertiary referral university hospital.",
        "Methods": "In this retrospective, consecutive case series, 48 eyes of 33 patients with previous myopic LASIK who underwent cataract surgery or RLE with implantation of the non-diffractive Vivity IOL (Alcon) were included. Visual acuity outcomes included uncorrected (UDVA) and corrected distance visual acuity (CDVA) and uncorrected (UIVA) and distance-corrected intermediate visual acuity (DCIVA). Postoperative refractive outcomes and higher-order aberrations were analyzed. Linear mixed-effects models (LMM) were applied to evaluate associations between corneal aberrations and visual acuity while accounting for inter-eye correlation.",
        "Results": "Median postoperative CDVA improved significantly from 0.10 to 0.00 logMAR ( p <.01). Postoperatively, 79.2% of eyes achieved CDVA ≤0.0 logMAR, and 75.0% achieved DCIVA ≤0.2 logMAR. Median postoperative UDVA and UIVA were 0.10 logMAR each. Manifest refractive astigmatism was ≤0.5 D in 79.2% of eyes. No significant association was found in the LMM between corneal spherical aberration or total higher-order aberrations and CDVA or DCIVA (all p >.05).",
        "Conclusions": "In post-myopic LASIK eyes, implantation of the non-diffractive extended PARTIAL-RoF IOL provided good distance and intermediate visual outcomes with tolerance to corneal aberrations. These findings support the use of non-diffractive PARTIAL-RoF IOLs as a viable option for presbyopia correction in this challenging patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In post-myopic LASIK eyes, implantation of the non-diffractive extended PARTIAL-RoF IOL provided good distance and intermediate visual outcomes with tolerance to corneal aberrations. These findings support the use of non-diffractive PARTIAL-RoF IOLs as a viable option for presbyopia correction in this challenging patient population.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 398,
      "source_fields": {
        "Abstract Final Identifier": "POCAT359",
        "Title": "Restoring Functional Vision In Post-Myopic Lasik Eyes: Real-World Outcomes Of A Non-Diffractive Partial-Range Of Field Intraocular Lens",
        "Presenting Author(s)": "Dr Klemens P. Kaiser",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Klemens",
        "Submitter Middle Name": "P.",
        "Submitter Last Name": "Kaiser",
        "Country Name": "Germany",
        "Purpose": "To evaluate real-world visual and refractive outcomes of a non-diffractive extended partial-range of field (PARTIAL-RoF) intraocular lens (IOL) in eyes with prior myopic LASIK undergoing cataract surgery or refractive lens exchange (RLE).",
        "Setting": "Tertiary referral university hospital.",
        "Methods": "In this retrospective, consecutive case series, 48 eyes of 33 patients with previous myopic LASIK who underwent cataract surgery or RLE with implantation of the non-diffractive Vivity IOL (Alcon) were included. Visual acuity outcomes included uncorrected (UDVA) and corrected distance visual acuity (CDVA) and uncorrected (UIVA) and distance-corrected intermediate visual acuity (DCIVA). Postoperative refractive outcomes and higher-order aberrations were analyzed. Linear mixed-effects models (LMM) were applied to evaluate associations between corneal aberrations and visual acuity while accounting for inter-eye correlation.",
        "Results": "Median postoperative CDVA improved significantly from 0.10 to 0.00 logMAR ( p <.01). Postoperatively, 79.2% of eyes achieved CDVA ≤0.0 logMAR, and 75.0% achieved DCIVA ≤0.2 logMAR. Median postoperative UDVA and UIVA were 0.10 logMAR each. Manifest refractive astigmatism was ≤0.5 D in 79.2% of eyes. No significant association was found in the LMM between corneal spherical aberration or total higher-order aberrations and CDVA or DCIVA (all p >.05).",
        "Conclusions": "In post-myopic LASIK eyes, implantation of the non-diffractive extended PARTIAL-RoF IOL provided good distance and intermediate visual outcomes with tolerance to corneal aberrations. These findings support the use of non-diffractive PARTIAL-RoF IOLs as a viable option for presbyopia correction in this challenging patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POCAT360",
      "abstract_number": "POCAT360",
      "title": "Real-World Visual Outcomes And Spectacle Independence Of The Puresee Extended Depth Of Focus Iol: Subgroup Analysis In Diabetic And Toric Eyes",
      "authors": "Dr Shrutika vardhaman Kankariya",
      "presenter": "Dr Shrutika vardhaman Kankariya",
      "normalized_authors": [
        "Shrutika vardhaman Kankariya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shrutika vardhaman Kankariya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual performance and spectacle independence following implantation of the PURESEE (Johnson & Johnson Vision) enhance depth of focus (EDOF) intraocular lens, with subgroup comparison between diabetic and non-diabetic patients and between toric and non-toric IOL implantation, giving ongoing concerns regarding premium iol implantation in diabetics and refractively complex patients.",
        "Setting": "Setting:\n\nSingle-center private cataract surgery practice.\n\nDesign:\n\nTertiary eye care hospital\n\nRetrospective observational consecutive multi-surgeon case series.",
        "Methods": "All consecutive eyes undergoing PURESEE implantation between February and October 2025 were included. Minimum follow-up for visual assessment was 2 months.\n\nPostoperative uncorrected distance vision acuity (UDVA) and uncorrected near visual acuity (UNVA) were analysed in 179 eyes . Primary endpoints were UDVA ≥6/9 and UNVA ≥N8. Proportions were reported with 95% confidence intervals. Subgroup comparisons were performed using chi-square or Fisher’s exact testing with statistical significance defined as p<0.05.\n\nA structured telephone survey conducted ≥3 months postoperatively assessed spectacle dependence for intermediate (PC/mobile) and near (newspaper) activities using binary response recording survey response rate was 93.9%(168/179)",
        "Results": "Among 179 eyes, 97.2% achieved UDVA ≥6/9 (95% CI 93.6–98.8) and 35.2% achieved 6/6 or better. UNVA ≥N8 was achieved in 82.1% (95% CI 75.9–87.0), with 35.2% attaining N6 unaided.\nAmong eyes requiring postoperative near correction (n=153), mean near addition was +1.11 ± 0.36 D (median +1.00 D). 70.6% required ≤+1.00 D and 77.1% ≤+1.25 D. Near add requirement did not differ between toric and non-toric eyes (p=0.44) and was slightly lower in diabetic eyes (p=0.008).\n\nA statistically significant difference was observed in UDVA ≥6/9 between diabetic and non-diabetic eyes (p=0.0009) and between toric and non-toric eyes (p=0.0078). No statistically significant differences were detected in near visual outcomes across subgroups (p>0.05).",
        "Conclusions": "In this consecutive real-world cohort, the PURESEE EDOF IOL demonstrated reproducible functional distance and near performance with high subjective satisfcation amongst patients. Although distance acuity thresholds varied statistically across certain subgroups, overall functional outcomes remained robust, including in diabetic and toric eyes.\n\nPatient-reported spectacle independence for distance, intermediate and partial near tasks was high."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this consecutive real-world cohort, the PURESEE EDOF IOL demonstrated reproducible functional distance and near performance with high subjective satisfcation amongst patients. Although distance acuity thresholds varied statistically across certain subgroups, overall functional outcomes remained robust, including in diabetic and toric eyes. Patient-reported spectacle independence for distance, intermediate and…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 399,
      "source_fields": {
        "Abstract Final Identifier": "POCAT360",
        "Title": "Real-World Visual Outcomes And Spectacle Independence Of The Puresee Extended Depth Of Focus Iol: Subgroup Analysis In Diabetic And Toric Eyes",
        "Presenting Author(s)": "Dr Shrutika vardhaman Kankariya",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Shrutika",
        "Submitter Middle Name": "vardhaman",
        "Submitter Last Name": "Kankariya",
        "Country Name": "India",
        "Purpose": "To evaluate visual performance and spectacle independence following implantation of the PURESEE (Johnson & Johnson Vision) enhance depth of focus (EDOF) intraocular lens, with subgroup comparison between diabetic and non-diabetic patients and between toric and non-toric IOL implantation, giving ongoing concerns regarding premium iol implantation in diabetics and refractively complex patients.",
        "Setting": "Setting:\n\nSingle-center private cataract surgery practice.\n\nDesign:\n\nTertiary eye care hospital\n\nRetrospective observational consecutive multi-surgeon case series.",
        "Methods": "All consecutive eyes undergoing PURESEE implantation between February and October 2025 were included. Minimum follow-up for visual assessment was 2 months.\n\nPostoperative uncorrected distance vision acuity (UDVA) and uncorrected near visual acuity (UNVA) were analysed in 179 eyes . Primary endpoints were UDVA ≥6/9 and UNVA ≥N8. Proportions were reported with 95% confidence intervals. Subgroup comparisons were performed using chi-square or Fisher’s exact testing with statistical significance defined as p<0.05.\n\nA structured telephone survey conducted ≥3 months postoperatively assessed spectacle dependence for intermediate (PC/mobile) and near (newspaper) activities using binary response recording survey response rate was 93.9%(168/179)",
        "Results": "Among 179 eyes, 97.2% achieved UDVA ≥6/9 (95% CI 93.6–98.8) and 35.2% achieved 6/6 or better. UNVA ≥N8 was achieved in 82.1% (95% CI 75.9–87.0), with 35.2% attaining N6 unaided.\nAmong eyes requiring postoperative near correction (n=153), mean near addition was +1.11 ± 0.36 D (median +1.00 D). 70.6% required ≤+1.00 D and 77.1% ≤+1.25 D. Near add requirement did not differ between toric and non-toric eyes (p=0.44) and was slightly lower in diabetic eyes (p=0.008).\n\nA statistically significant difference was observed in UDVA ≥6/9 between diabetic and non-diabetic eyes (p=0.0009) and between toric and non-toric eyes (p=0.0078). No statistically significant differences were detected in near visual outcomes across subgroups (p>0.05).",
        "Conclusions": "In this consecutive real-world cohort, the PURESEE EDOF IOL demonstrated reproducible functional distance and near performance with high subjective satisfcation amongst patients. Although distance acuity thresholds varied statistically across certain subgroups, overall functional outcomes remained robust, including in diabetic and toric eyes.\n\nPatient-reported spectacle independence for distance, intermediate and partial near tasks was high."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "POCAT361",
      "abstract_number": "POCAT361",
      "title": "Distinct Visual And Photic Profiles Of Three Refractive Extended Depth-Of-Focus Intraocular Lenses: Real-World Comparative Outcomes",
      "authors": "Dr Mehmet Kaan Kaya",
      "presenter": "Dr Mehmet Kaan Kaya",
      "normalized_authors": [
        "Mehmet Kaan Kaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Kaan Kaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare real-world visual performance and patient-reported photic phenomena among three contemporary refractive extended depth-of-focus (EDOF) intraocular lenses following cataract surgery.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "This retrospective comparative study analysed eyes implanted with one of three refractive EDOF intraocular lenses after uncomplicated cataract surgery at a single tertiary referral centre. To allow a focused and clinically relevant comparison, the analysis was limited to key outcome measures, including uncorrected distance and intermediate visual acuity, binocular defocus performance, photopic contrast sensitivity, and patient-reported photic phenomena",
        "Results": "All three EDOF intraocular lenses provided good uncorrected distance visual acuity. However, distinct differences were observed in intermediate visual performance and binocular defocus characteristics, reflecting lens-specific optical designs. Patient-reported photic phenomena varied across groups, with different qualitative profiles rather than uniform patterns. Photopic contrast sensitivity remained within clinically acceptable limits in all groups.",
        "Conclusions": "In a real-world clinical setting, refractive EDOF intraocular lenses demonstrate distinct visual and photic profiles rather than interchangeable performance. Recognition of these design-dependent differences may support more individualised intraocular lens selection based on patient expectations, lifestyle, and tolerance for photic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a real-world clinical setting, refractive EDOF intraocular lenses demonstrate distinct visual and photic profiles rather than interchangeable performance. Recognition of these design-dependent differences may support more individualised intraocular lens selection based on patient expectations, lifestyle, and tolerance for photic phenomena.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 400,
      "source_fields": {
        "Abstract Final Identifier": "POCAT361",
        "Title": "Distinct Visual And Photic Profiles Of Three Refractive Extended Depth-Of-Focus Intraocular Lenses: Real-World Comparative Outcomes",
        "Presenting Author(s)": "Dr Mehmet Kaan Kaya",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mehmet",
        "Submitter Middle Name": "Kaan",
        "Submitter Last Name": "Kaya",
        "Country Name": "Türkiye",
        "Purpose": "To compare real-world visual performance and patient-reported photic phenomena among three contemporary refractive extended depth-of-focus (EDOF) intraocular lenses following cataract surgery.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "This retrospective comparative study analysed eyes implanted with one of three refractive EDOF intraocular lenses after uncomplicated cataract surgery at a single tertiary referral centre. To allow a focused and clinically relevant comparison, the analysis was limited to key outcome measures, including uncorrected distance and intermediate visual acuity, binocular defocus performance, photopic contrast sensitivity, and patient-reported photic phenomena",
        "Results": "All three EDOF intraocular lenses provided good uncorrected distance visual acuity. However, distinct differences were observed in intermediate visual performance and binocular defocus characteristics, reflecting lens-specific optical designs. Patient-reported photic phenomena varied across groups, with different qualitative profiles rather than uniform patterns. Photopic contrast sensitivity remained within clinically acceptable limits in all groups.",
        "Conclusions": "In a real-world clinical setting, refractive EDOF intraocular lenses demonstrate distinct visual and photic profiles rather than interchangeable performance. Recognition of these design-dependent differences may support more individualised intraocular lens selection based on patient expectations, lifestyle, and tolerance for photic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 178
    },
    {
      "uid": "POCAT362",
      "abstract_number": "POCAT362",
      "title": "Visual Acuity Outcomes And Patient-Reported Spectacle Independence After Refractive Lens Exchange With Implantation Of A Non-Diffractive Extended Depth-Of-Focus Intraocular Lens In Mini-Monovision",
      "authors": "Ramin Khoramnia",
      "presenter": "Ramin Khoramnia",
      "normalized_authors": [
        "Ramin Khoramnia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramin Khoramnia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate visual outcomes and patient-reported results after bilateral femtosecond laser-assisted refractive lens exchange (RLE) with implantation of the non-diffractive extended depth-of-focus Clareon Vivity IOL (Alcon) using a mini-monovision approach in RLE patients.",
        "Setting": "University hospital.",
        "Methods": "In this prospective monocenter study, 44 eyes of 22 patients underwent bilateral femtosecond laser-assisted RLE with implantation of the Clareon Vivity. The target refraction was emmetropia in the dominant eye and mild myopia (approximately -0.75 D) in the non-dominant eye. At 3 months, postoperative assessments included binocular uncorrected (UDVA), target-corrected (TCDVA) and corrected (CDVA) distance visual acuity, uncorrected (UIVA), target-corrected (TCIVA) and distance-corrected (DCIVA) intermediate visual acuity at 66cm, uncorrected (UNVA), target-corrected (TCIVA) and distance-corrected (DCNVA) near visual acuity at 40cm, binocular target-corrected defocus curve and patient-reported spectacle-independence.",
        "Results": "The mean patient age was 59.6 ± 5.2 years and 45.5% (n=10) were female. At 3 months, mean binocular UDVA improved from 0.46 ± 0.32 logMAR preoperatively to -0.04 ± 0.08 logMAR, UIVA improved from 0.66 ± 0.27 to -0.02 ± 0.05 logMAR, and UNVA improved from 0.78 ± 0.25 to 0.14 ± 0.10 logMAR (all p<0.01, Wilcoxon test). Mean binocular CDVA was unchanged (-0.10 ± 0.07 vs -0.10 ± 0.06 logMAR, p=0.9), and no eyes lost 2 or more lines of CDVA. The binocular target-corrected defocus curve showed visual acuity of 0.10 logMAR or better between +0.5 D and -2.5 D. Spectacle independence increased across all tasks, with the highest rates for distance and intermediate vision.",
        "Conclusions": "Bilateral implantation of Clareon Vivity IOL using a mini-monovision approach resulted in good binocular visual acuity at far and intermediate distances, functional near vision, a wide range of defocus and high rates of spectacle independence, especially for distance and intermediate vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of Clareon Vivity IOL using a mini-monovision approach resulted in good binocular visual acuity at far and intermediate distances, functional near vision, a wide range of defocus and high rates of spectacle independence, especially for distance and intermediate vision.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 401,
      "source_fields": {
        "Abstract Final Identifier": "POCAT362",
        "Title": "Visual Acuity Outcomes And Patient-Reported Spectacle Independence After Refractive Lens Exchange With Implantation Of A Non-Diffractive Extended Depth-Of-Focus Intraocular Lens In Mini-Monovision",
        "Presenting Author(s)": "Ramin Khoramnia",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Ramin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khoramnia",
        "Country Name": "Germany",
        "Purpose": "To evaluate visual outcomes and patient-reported results after bilateral femtosecond laser-assisted refractive lens exchange (RLE) with implantation of the non-diffractive extended depth-of-focus Clareon Vivity IOL (Alcon) using a mini-monovision approach in RLE patients.",
        "Setting": "University hospital.",
        "Methods": "In this prospective monocenter study, 44 eyes of 22 patients underwent bilateral femtosecond laser-assisted RLE with implantation of the Clareon Vivity. The target refraction was emmetropia in the dominant eye and mild myopia (approximately -0.75 D) in the non-dominant eye. At 3 months, postoperative assessments included binocular uncorrected (UDVA), target-corrected (TCDVA) and corrected (CDVA) distance visual acuity, uncorrected (UIVA), target-corrected (TCIVA) and distance-corrected (DCIVA) intermediate visual acuity at 66cm, uncorrected (UNVA), target-corrected (TCIVA) and distance-corrected (DCNVA) near visual acuity at 40cm, binocular target-corrected defocus curve and patient-reported spectacle-independence.",
        "Results": "The mean patient age was 59.6 ± 5.2 years and 45.5% (n=10) were female. At 3 months, mean binocular UDVA improved from 0.46 ± 0.32 logMAR preoperatively to -0.04 ± 0.08 logMAR, UIVA improved from 0.66 ± 0.27 to -0.02 ± 0.05 logMAR, and UNVA improved from 0.78 ± 0.25 to 0.14 ± 0.10 logMAR (all p<0.01, Wilcoxon test). Mean binocular CDVA was unchanged (-0.10 ± 0.07 vs -0.10 ± 0.06 logMAR, p=0.9), and no eyes lost 2 or more lines of CDVA. The binocular target-corrected defocus curve showed visual acuity of 0.10 logMAR or better between +0.5 D and -2.5 D. Spectacle independence increased across all tasks, with the highest rates for distance and intermediate vision.",
        "Conclusions": "Bilateral implantation of Clareon Vivity IOL using a mini-monovision approach resulted in good binocular visual acuity at far and intermediate distances, functional near vision, a wide range of defocus and high rates of spectacle independence, especially for distance and intermediate vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCAT363",
      "abstract_number": "POCAT363",
      "title": "1-Year Clinical Outcomes Following Implantation Of An Extended Depth Of Focus Intraocular Lenses",
      "authors": "Dr Joonhyoung Kim",
      "presenter": "Dr Joonhyoung Kim",
      "normalized_authors": [
        "Joonhyoung Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joonhyoung Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the 1-year clinical outcomes of the Tecnis® PureSee extended depth of focus (EDOF) intraocular lens and to assess its visual performance in comparison with the AcrySof® IQ Vivity intraocular lens.",
        "Setting": "This retrospective comparative study was conducted at Samsung Medical Center, a tertiary referral hospital in Seoul, South Korea. All surgeries were performed by experienced surgeons using a standardized surgical technique.",
        "Methods": "Patients who underwent cataract surgery with implantation of either Tecnis® PureSee or AcrySof® IQ Vivity EDOF intraocular lenses were included. Preoperative and postoperative examinations at 1, 3, 6, and 12 months included uncorrected and corrected distance visual acuity (UDVA and CDVA), manifest refraction, and refractive accuracy. Monocular uncorrected intermediate and near visual acuity were measured at 80 cm, 60 cm, 40 cm, and 33 cm. Defocus curves and contrast sensitivity tests were performed to evaluate functional visual performance. Patient-reported outcomes including spectacle dependence, incidence of dysphotopsia, and overall satisfaction were assessed using standardized questionnaires.",
        "Results": "A total of 65 eyes were included, with 25 eyes in the PureSee group and 40 eyes in the Vivity group. In the PureSee group, mean UDVA improved from 0.53 logMAR preoperatively to 0.07 logMAR at 12 months, and CDVA from 0.17 to 0.03 logMAR. At 12 months, UDVA and CDVA showed no significant differences between groups (p=0.642 and p=0.788). Intermediate visual acuity at 80 and 60 cm was comparable between groups. Defocus curve performance did not differ significantly at the original refractive target (approximately −0.25 D). With an additional −0.50 D myopic shift in PureSee, near visual acuity improved versus Vivity while maintaining intermediate vision. No significant differences were observed in dysphotopsia or satisfaction.",
        "Conclusions": "The Tecnis® PureSee EDOF intraocular lens demonstrated stable and favorable visual outcomes over a 1-year follow-up period. Compared with the AcrySof® IQ Vivity intraocular lens, PureSee provided comparable distance and intermediate vision. Applying an additional - 0.50 D myopic shift improved near visual performance while maintaining comparable intermediate vision, supporting the clinical use of a PureSee mini-monovision strategy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Tecnis® PureSee EDOF intraocular lens demonstrated stable and favorable visual outcomes over a 1-year follow-up period. Compared with the AcrySof® IQ Vivity intraocular lens, PureSee provided comparable distance and intermediate vision. Applying an additional - 0.50 D myopic shift improved near visual performance while maintaining comparable intermediate vision, supporting the clinical use of a PureSee…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 402,
      "source_fields": {
        "Abstract Final Identifier": "POCAT363",
        "Title": "1-Year Clinical Outcomes Following Implantation Of An Extended Depth Of Focus Intraocular Lenses",
        "Presenting Author(s)": "Dr Joonhyoung Kim",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Joonhyoung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the 1-year clinical outcomes of the Tecnis® PureSee extended depth of focus (EDOF) intraocular lens and to assess its visual performance in comparison with the AcrySof® IQ Vivity intraocular lens.",
        "Setting": "This retrospective comparative study was conducted at Samsung Medical Center, a tertiary referral hospital in Seoul, South Korea. All surgeries were performed by experienced surgeons using a standardized surgical technique.",
        "Methods": "Patients who underwent cataract surgery with implantation of either Tecnis® PureSee or AcrySof® IQ Vivity EDOF intraocular lenses were included. Preoperative and postoperative examinations at 1, 3, 6, and 12 months included uncorrected and corrected distance visual acuity (UDVA and CDVA), manifest refraction, and refractive accuracy. Monocular uncorrected intermediate and near visual acuity were measured at 80 cm, 60 cm, 40 cm, and 33 cm. Defocus curves and contrast sensitivity tests were performed to evaluate functional visual performance. Patient-reported outcomes including spectacle dependence, incidence of dysphotopsia, and overall satisfaction were assessed using standardized questionnaires.",
        "Results": "A total of 65 eyes were included, with 25 eyes in the PureSee group and 40 eyes in the Vivity group. In the PureSee group, mean UDVA improved from 0.53 logMAR preoperatively to 0.07 logMAR at 12 months, and CDVA from 0.17 to 0.03 logMAR. At 12 months, UDVA and CDVA showed no significant differences between groups (p=0.642 and p=0.788). Intermediate visual acuity at 80 and 60 cm was comparable between groups. Defocus curve performance did not differ significantly at the original refractive target (approximately −0.25 D). With an additional −0.50 D myopic shift in PureSee, near visual acuity improved versus Vivity while maintaining intermediate vision. No significant differences were observed in dysphotopsia or satisfaction.",
        "Conclusions": "The Tecnis® PureSee EDOF intraocular lens demonstrated stable and favorable visual outcomes over a 1-year follow-up period. Compared with the AcrySof® IQ Vivity intraocular lens, PureSee provided comparable distance and intermediate vision. Applying an additional - 0.50 D myopic shift improved near visual performance while maintaining comparable intermediate vision, supporting the clinical use of a PureSee mini-monovision strategy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCAT364",
      "abstract_number": "POCAT364",
      "title": "Astigmatic Tolerance Of A Purely Refractive Edof Intraocular Lens Compared With An Enhanced Monofocal Intraocular Lens: A Prospective Comparative Study",
      "authors": "Dr Minsun Kim",
      "presenter": "Dr Minsun Kim",
      "normalized_authors": [
        "Minsun Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Minsun Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate astigmatic tolerance after implantation of a purely refractive extended depth-of-focus intraocular lens (IOL), TECNIS PureSee TM , compared to an enhanced monofocal IOL, TECNIS Eyhance.",
        "Setting": "Single-center study, Yeouido St. Mary’s Eye Hospital, Seoul, South Korea",
        "Methods": "This prospective, nonrandomized, comparative study conducted at Yeouido St. Mary’s Eye Hospital, Seoul, South Korea included 40 eyes of 30 patients who underwent cataract surgery with implantation of either the PureSee TM (20 eyes) or Eyhance (20 eyes) IOL. The primary outcome was astigmatic tolerance, assessed by measuring monocular visual acuity (VA) after inducing astigmatism (+0.50 to +2.00 D) along the with-the-rule (WTR, 0°), oblique (45°), and against-the-rule (ATR, 90°) axes. Secondary outcomes included uncorrected intermediate (UIVA, 66 cm) and near (UNVA, 40 cm) VA and Quality of Vision (QoV) scores.",
        "Results": "The overall astigmatic tolerance thresholds were comparable between the groups (PureSee: 0.960 D vs. Eyhance: 0.974 D; P = .276). Both IOLs demonstrated greater tolerance to WTR astigmatism than to the other axes at all distances. The PureSee TM group achieved significantly superior UIVA ( P = .035) and UNVA ( P = .024), however, this functional advantage was offset by significantly worse total QoV scores ( P = .025) compared to those in the Eyhance group.",
        "Conclusions": "The TECNIS PureSee TM IOL maintains robust astigmatic tolerance comparable to that of the TECNIS Eyhance IOL, while providing superior intermediate and near vision. However, this extended visual range results in a trade-off with reduced subjective visual quality. These findings highlight the importance of personalized IOL selection based on patients’ prioritization of near vision versus photic phenomenon tolerance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The TECNIS PureSee TM IOL maintains robust astigmatic tolerance comparable to that of the TECNIS Eyhance IOL, while providing superior intermediate and near vision. However, this extended visual range results in a trade-off with reduced subjective visual quality. These findings highlight the importance of personalized IOL selection based on patients’ prioritization of near vision versus photic phenomenon tolerance.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 403,
      "source_fields": {
        "Abstract Final Identifier": "POCAT364",
        "Title": "Astigmatic Tolerance Of A Purely Refractive Edof Intraocular Lens Compared With An Enhanced Monofocal Intraocular Lens: A Prospective Comparative Study",
        "Presenting Author(s)": "Dr Minsun Kim",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Minsun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate astigmatic tolerance after implantation of a purely refractive extended depth-of-focus intraocular lens (IOL), TECNIS PureSee TM , compared to an enhanced monofocal IOL, TECNIS Eyhance.",
        "Setting": "Single-center study, Yeouido St. Mary’s Eye Hospital, Seoul, South Korea",
        "Methods": "This prospective, nonrandomized, comparative study conducted at Yeouido St. Mary’s Eye Hospital, Seoul, South Korea included 40 eyes of 30 patients who underwent cataract surgery with implantation of either the PureSee TM (20 eyes) or Eyhance (20 eyes) IOL. The primary outcome was astigmatic tolerance, assessed by measuring monocular visual acuity (VA) after inducing astigmatism (+0.50 to +2.00 D) along the with-the-rule (WTR, 0°), oblique (45°), and against-the-rule (ATR, 90°) axes. Secondary outcomes included uncorrected intermediate (UIVA, 66 cm) and near (UNVA, 40 cm) VA and Quality of Vision (QoV) scores.",
        "Results": "The overall astigmatic tolerance thresholds were comparable between the groups (PureSee: 0.960 D vs. Eyhance: 0.974 D; P = .276). Both IOLs demonstrated greater tolerance to WTR astigmatism than to the other axes at all distances. The PureSee TM group achieved significantly superior UIVA ( P = .035) and UNVA ( P = .024), however, this functional advantage was offset by significantly worse total QoV scores ( P = .025) compared to those in the Eyhance group.",
        "Conclusions": "The TECNIS PureSee TM IOL maintains robust astigmatic tolerance comparable to that of the TECNIS Eyhance IOL, while providing superior intermediate and near vision. However, this extended visual range results in a trade-off with reduced subjective visual quality. These findings highlight the importance of personalized IOL selection based on patients’ prioritization of near vision versus photic phenomenon tolerance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POCAT365",
      "abstract_number": "POCAT365",
      "title": "Initial Experience With A New Non-Diffractive Edof Iol",
      "authors": "Mrs Gal Kleinmann",
      "presenter": "Mrs Gal Kleinmann",
      "normalized_authors": [
        "Gal Kleinmann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Guy Kleinmann",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To report our initial clinical experience with a new non-diffractive extended depth-of-focus (EDOF) intraocular lens (IOL), the PureSee (Johnson & Johnson Vision, USA).",
        "Setting": "Ein Tal Eye Center, Tel Aviv, Israel",
        "Methods": "This retrospective study evaluated 47 eyes of 31 patients who underwent uneventful cataract surgery with implantation of a non-diffractive EDOF IOL (PureSee). Main outcome measures at 1 month postoperatively included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), refractive outcomes, and patient-reported outcome measures (PROMs).",
        "Results": "The study included 47 eyes of 31 patients (18 women), with a mean age of 68.0 ± 9.7 years (range 41–85 years). Nineteen eyes (72%) received the toric model. Mean postoperative spherical equivalent was −0.15 ± 0.30 D (range −1.00 to +0.63 D). Mean UDVA and UIVA were excellent (0.06 ± 0.07 and 0.12 ± 0.12 LogMAR, respectively), with good UNVA (0.14 ± 0.14 LogMAR). Twenty-seven patients (87%) completed the PROM questionnaire. Spectacle independence was excellent for distance (26/27, 96%), good for intermediate (20/27, 74%), and moderate for near (12/27, 44%). One patient (3.7%) reported significant photic phenomena. Twenty patients (74%) indicated they would choose the same IOL again.",
        "Conclusions": "The PureSee IOL, a non-diffractive EDOF lens, demonstrated excellent distance and intermediate visual outcomes with a low incidence of photic phenomena. These early results suggest high patient satisfaction and favorable refractive predictability ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The PureSee IOL, a non-diffractive EDOF lens, demonstrated excellent distance and intermediate visual outcomes with a low incidence of photic phenomena. These early results suggest high patient satisfaction and favorable refractive predictability .",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 404,
      "source_fields": {
        "Abstract Final Identifier": "POCAT365",
        "Title": "Initial Experience With A New Non-Diffractive Edof Iol",
        "Presenting Author(s)": "Mrs Gal Kleinmann",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Guy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kleinmann",
        "Country Name": "Israel",
        "Purpose": "To report our initial clinical experience with a new non-diffractive extended depth-of-focus (EDOF) intraocular lens (IOL), the PureSee (Johnson & Johnson Vision, USA).",
        "Setting": "Ein Tal Eye Center, Tel Aviv, Israel",
        "Methods": "This retrospective study evaluated 47 eyes of 31 patients who underwent uneventful cataract surgery with implantation of a non-diffractive EDOF IOL (PureSee). Main outcome measures at 1 month postoperatively included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), refractive outcomes, and patient-reported outcome measures (PROMs).",
        "Results": "The study included 47 eyes of 31 patients (18 women), with a mean age of 68.0 ± 9.7 years (range 41–85 years). Nineteen eyes (72%) received the toric model. Mean postoperative spherical equivalent was −0.15 ± 0.30 D (range −1.00 to +0.63 D). Mean UDVA and UIVA were excellent (0.06 ± 0.07 and 0.12 ± 0.12 LogMAR, respectively), with good UNVA (0.14 ± 0.14 LogMAR). Twenty-seven patients (87%) completed the PROM questionnaire. Spectacle independence was excellent for distance (26/27, 96%), good for intermediate (20/27, 74%), and moderate for near (12/27, 44%). One patient (3.7%) reported significant photic phenomena. Twenty patients (74%) indicated they would choose the same IOL again.",
        "Conclusions": "The PureSee IOL, a non-diffractive EDOF lens, demonstrated excellent distance and intermediate visual outcomes with a low incidence of photic phenomena. These early results suggest high patient satisfaction and favorable refractive predictability ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCAT366",
      "abstract_number": "POCAT366",
      "title": "Clinical Evaluation Of Rayone Emv And Emv Toric Iols In Complex Clinical Settings: A Study Of 97 Georgian Eyes",
      "authors": "Dr Nino Kobakhidze",
      "presenter": "Dr Nino Kobakhidze",
      "normalized_authors": [
        "Nino Kobakhidze"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nino Kobakhidze",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Georgia",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy, refractive predictability and rotational stability of the RayOne EMV non-diffractive Extended Range of Vision intraocular lens (IOL) platform. The study specifically assesses the IOL's performance in \"worst-case\" scenarios, including Exfoliation Syndrome (XFS) with varying degrees of zonular instability and eyes with reduced contrast sensitivity due to glaucoma, epiretinal membrane (ERM) and dry AMD. The objective was to determine if this platform provides a reliable functional range of vision in eyes where traditional diffractive optics are often contraindicated.",
        "Setting": "Private tertiary surgical center",
        "Methods": "A prospective study of 97 eyes undergoing cataract surgery was conducted. The cohort included a significant sub-group with XFS (31%), as well as retinal disorders (7% dry AMD, 6% epiretinal membrane) and eyes with mild to moderate stages of primary open angle or exfoliation glaucoma (16%). All IOL power and alignment calculations were done via Rayner’s proprietary Raytrace calculator and 82 non-toric, 16 toric lenses where used. Primary endpoints included uncorrected distance (UDVA) and intermediate (UIVA) visual acuity, mean rotational stability, and patient-reported dysphotopsia.",
        "Results": "Raytrace calculations achieved a mean spherical equivalent within +/- 0.25D of plano in 92% of cases. In the XFS subgroup, 16% received toric models, demonstrating exceptional stability with a mean rotation of <3.0 degrees, same as non-XFS eyes. Notably, 18% of cases where 0.75D toric lens was proposed but a spherical IOL was implanted, the patients showed high tolerance to residual astigmatism. Mean postoperative UDVA was 1.0 Decimal in healthy eyes and UIVA was J2/J3 at 60cm. In eyes with glaucoma and macular comorbidities, where visual function is dependent on neural and retinal functions, there was a 0% incidence of disturbing halos or glare with well-preserved contrast sensitivity and good functional patient-reported intermediate vision",
        "Conclusions": "The RayOne EMV platform including toric models, is a perfect choice for complex eyes. Its non-diffractive optic provides a functional range of vision without the photic phenomena of diffractive designs, making it ideal for eyes with compromised neural function and offers monofocal-like performance. The platform's high rotational stability in XFS eyes and tolerance to residual cylinder confirm its reliability in achieving high patient satisfaction, especially in comorbid cases. This study demonstrates that excellent refractive outcomes are achievable even in \"worst-case\" scenarios when combining advanced formulas with stable, tilt-tolerant IOL designs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The RayOne EMV platform including toric models, is a perfect choice for complex eyes. Its non-diffractive optic provides a functional range of vision without the photic phenomena of diffractive designs, making it ideal for eyes with compromised neural function and offers monofocal-like performance. The platform's high rotational stability in XFS eyes and tolerance to residual cylinder confirm its reliability in…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 405,
      "source_fields": {
        "Abstract Final Identifier": "POCAT366",
        "Title": "Clinical Evaluation Of Rayone Emv And Emv Toric Iols In Complex Clinical Settings: A Study Of 97 Georgian Eyes",
        "Presenting Author(s)": "Dr Nino Kobakhidze",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Nino",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kobakhidze",
        "Country Name": "Georgia",
        "Purpose": "To evaluate the clinical efficacy, refractive predictability and rotational stability of the RayOne EMV non-diffractive Extended Range of Vision intraocular lens (IOL) platform. The study specifically assesses the IOL's performance in \"worst-case\" scenarios, including Exfoliation Syndrome (XFS) with varying degrees of zonular instability and eyes with reduced contrast sensitivity due to glaucoma, epiretinal membrane (ERM) and dry AMD. The objective was to determine if this platform provides a reliable functional range of vision in eyes where traditional diffractive optics are often contraindicated.",
        "Setting": "Private tertiary surgical center",
        "Methods": "A prospective study of 97 eyes undergoing cataract surgery was conducted. The cohort included a significant sub-group with XFS (31%), as well as retinal disorders (7% dry AMD, 6% epiretinal membrane) and eyes with mild to moderate stages of primary open angle or exfoliation glaucoma (16%). All IOL power and alignment calculations were done via Rayner’s proprietary Raytrace calculator and 82 non-toric, 16 toric lenses where used. Primary endpoints included uncorrected distance (UDVA) and intermediate (UIVA) visual acuity, mean rotational stability, and patient-reported dysphotopsia.",
        "Results": "Raytrace calculations achieved a mean spherical equivalent within +/- 0.25D of plano in 92% of cases. In the XFS subgroup, 16% received toric models, demonstrating exceptional stability with a mean rotation of <3.0 degrees, same as non-XFS eyes. Notably, 18% of cases where 0.75D toric lens was proposed but a spherical IOL was implanted, the patients showed high tolerance to residual astigmatism. Mean postoperative UDVA was 1.0 Decimal in healthy eyes and UIVA was J2/J3 at 60cm. In eyes with glaucoma and macular comorbidities, where visual function is dependent on neural and retinal functions, there was a 0% incidence of disturbing halos or glare with well-preserved contrast sensitivity and good functional patient-reported intermediate vision",
        "Conclusions": "The RayOne EMV platform including toric models, is a perfect choice for complex eyes. Its non-diffractive optic provides a functional range of vision without the photic phenomena of diffractive designs, making it ideal for eyes with compromised neural function and offers monofocal-like performance. The platform's high rotational stability in XFS eyes and tolerance to residual cylinder confirm its reliability in achieving high patient satisfaction, especially in comorbid cases. This study demonstrates that excellent refractive outcomes are achievable even in \"worst-case\" scenarios when combining advanced formulas with stable, tilt-tolerant IOL designs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POCAT367",
      "abstract_number": "POCAT367",
      "title": "Visual Outcomes Following Bilateral Implantation Of A Rotationally Asymmetric C-Loop Hydrophobic Extended Depth Of Focus Intraocular Lens",
      "authors": "Dr Mun Wai Lee",
      "presenter": "Dr Mun Wai Lee",
      "normalized_authors": [
        "Mun Wai Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mun Wai Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To evaluate visual and patient-reported outcomes following bilateral implantation of the Acunex Vario extended depth of focus (EDOF) intraocular lens (IOL).",
        "Setting": "LEC Eye Centre, Ipoh, Malaysia",
        "Methods": "Prospective interventional case series of patients with bilateral cataracts undergoing phacoemulsification and implantation of the Acunex Vario. Dominant eyes were targeted for emmetropia and non-dominant eyes for −0.75 D. Primary endpoints were binocular uncorrected distance (UDVA), intermediate (UIVA, 66 cm) and near (UNVA, 40 cm) visual acuities at 3 months. Secondary outcomes included best-corrected distance (CDVA), distance-corrected intermediate (DCIVA) and near (DCNVA) visual acuities, refractive accuracy, rotational stability, binocular defocus curve, contrast sensitivity, Patient Reported Spectacle Independence Questionnaire (PRSIQ), dysphotopsia, and Visual Function Index (VF-14) scores.",
        "Results": "Thirty patients (60 eyes) were enrolled. Mean binocular logMAR UDVA, UIVA and UNVA were -0.01 ± 0.04, 0.13 ± 0.11 and 0.25 ± 0.11 respectively. Mean CDVA, DCIVA and DCNVA were −0.03 ± 0.06, 0.17 ± 0.09 and 0.31 ± 0.11 respectively. Mean refractive spherical equivalent was −0.42 ± 0.38, with all eyes within 1 D of target. No patient required spectacles for distance or intermediate vision; six patients used near correction occasionally. Six patients reported starbursts; one reported halos and no patients reported glare. Mean VF-14 score was 95.9.",
        "Conclusions": "Bilateral Acunex Vario implantation provided excellent binocular distance and intermediate vision with functional near vision. High levels of spectacle independence and patient satisfaction were achieved, with minimal photic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral Acunex Vario implantation provided excellent binocular distance and intermediate vision with functional near vision. High levels of spectacle independence and patient satisfaction were achieved, with minimal photic phenomena.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 406,
      "source_fields": {
        "Abstract Final Identifier": "POCAT367",
        "Title": "Visual Outcomes Following Bilateral Implantation Of A Rotationally Asymmetric C-Loop Hydrophobic Extended Depth Of Focus Intraocular Lens",
        "Presenting Author(s)": "Dr Mun Wai Lee",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mun Wai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Malaysia",
        "Purpose": "To evaluate visual and patient-reported outcomes following bilateral implantation of the Acunex Vario extended depth of focus (EDOF) intraocular lens (IOL).",
        "Setting": "LEC Eye Centre, Ipoh, Malaysia",
        "Methods": "Prospective interventional case series of patients with bilateral cataracts undergoing phacoemulsification and implantation of the Acunex Vario. Dominant eyes were targeted for emmetropia and non-dominant eyes for −0.75 D. Primary endpoints were binocular uncorrected distance (UDVA), intermediate (UIVA, 66 cm) and near (UNVA, 40 cm) visual acuities at 3 months. Secondary outcomes included best-corrected distance (CDVA), distance-corrected intermediate (DCIVA) and near (DCNVA) visual acuities, refractive accuracy, rotational stability, binocular defocus curve, contrast sensitivity, Patient Reported Spectacle Independence Questionnaire (PRSIQ), dysphotopsia, and Visual Function Index (VF-14) scores.",
        "Results": "Thirty patients (60 eyes) were enrolled. Mean binocular logMAR UDVA, UIVA and UNVA were -0.01 ± 0.04, 0.13 ± 0.11 and 0.25 ± 0.11 respectively. Mean CDVA, DCIVA and DCNVA were −0.03 ± 0.06, 0.17 ± 0.09 and 0.31 ± 0.11 respectively. Mean refractive spherical equivalent was −0.42 ± 0.38, with all eyes within 1 D of target. No patient required spectacles for distance or intermediate vision; six patients used near correction occasionally. Six patients reported starbursts; one reported halos and no patients reported glare. Mean VF-14 score was 95.9.",
        "Conclusions": "Bilateral Acunex Vario implantation provided excellent binocular distance and intermediate vision with functional near vision. High levels of spectacle independence and patient satisfaction were achieved, with minimal photic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCAT368",
      "abstract_number": "POCAT368",
      "title": "Visual Outcomes Of A Non-Diffractive Wavefront-Linking Extended Depth Of Focus Intraocular Lens In Non-Standard Eyes",
      "authors": "Dr Mun Wai Lee",
      "presenter": "Dr Mun Wai Lee",
      "normalized_authors": [
        "Mun Wai Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mun Wai Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To evaluate visual, refractive and patient-reported outcomes following implantation of the Medicontur ELON intraocular lens(IOL) in non-standard eyes, including post-refractive surgery and eyes undergoing combined epiretinal membrane(ERM) removal.",
        "Setting": "LEC Eye Centre, Ipoh, Malaysia",
        "Methods": "This case series included 12 eyes of 7 patients undergoing phacoemulsification with implantation of the ELON IOL. Eight eyes had previous corneal refractive surgery, while four eyes underwent combined phacoemulsification with pars plana vitrectomy and ERM peeling. Postoperative assessments at 3 months included logMAR uncorrected distance(UDVA), intermediate (UIVA) and near visual acuity(UNVA), corrected distance(CDVA), distance corrected intermediate (DCIVA) and distance corrected near visual acuity(DCNVA), manifest refraction and refractive predictability. Where available, defocus curve analysis was performed. Patient-reported outcomes included spectacle independence, dysphotopsia symptoms and VF-14 quality of life questionnaire.",
        "Results": "Mean postoperative UDVA was 0.14 + 0.14, with 72.8% of eyes achieving 0.2 logMAR or better. Mean UIVA and mean UNVA were 0.30 + 0.22 and 0.40 + 0.13 respectively. Mean CDVA was 0.05 + 0.08 with 100% of eyes achieving 0.2 logMAR or better. Mean DCIVA and DCNVA were 0.28 + 0.25 and 0.31 + 0.18 respectively. Mean refractive spherical equivalent(MRSE) was -0.13 + 0.39D, with 77.7% of eyes within ±0.50D of intended target. Only 2 patients reported needing spectacles for reading and 3 reported mild dysphotopsias. Mean VF-14 score was 90.59.",
        "Conclusions": "In this small real-world series of non-standard eyes, the Medicontur ELON IOL provided good distance and intermediate visual outcomes with acceptable refractive predictability and low incidence of dysphotopsias. ELON may be a viable option in selected complex eyes, although careful patient selection and larger studies are required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this small real-world series of non-standard eyes, the Medicontur ELON IOL provided good distance and intermediate visual outcomes with acceptable refractive predictability and low incidence of dysphotopsias. ELON may be a viable option in selected complex eyes, although careful patient selection and larger studies are required.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 407,
      "source_fields": {
        "Abstract Final Identifier": "POCAT368",
        "Title": "Visual Outcomes Of A Non-Diffractive Wavefront-Linking Extended Depth Of Focus Intraocular Lens In Non-Standard Eyes",
        "Presenting Author(s)": "Dr Mun Wai Lee",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mun Wai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Malaysia",
        "Purpose": "To evaluate visual, refractive and patient-reported outcomes following implantation of the Medicontur ELON intraocular lens(IOL) in non-standard eyes, including post-refractive surgery and eyes undergoing combined epiretinal membrane(ERM) removal.",
        "Setting": "LEC Eye Centre, Ipoh, Malaysia",
        "Methods": "This case series included 12 eyes of 7 patients undergoing phacoemulsification with implantation of the ELON IOL. Eight eyes had previous corneal refractive surgery, while four eyes underwent combined phacoemulsification with pars plana vitrectomy and ERM peeling. Postoperative assessments at 3 months included logMAR uncorrected distance(UDVA), intermediate (UIVA) and near visual acuity(UNVA), corrected distance(CDVA), distance corrected intermediate (DCIVA) and distance corrected near visual acuity(DCNVA), manifest refraction and refractive predictability. Where available, defocus curve analysis was performed. Patient-reported outcomes included spectacle independence, dysphotopsia symptoms and VF-14 quality of life questionnaire.",
        "Results": "Mean postoperative UDVA was 0.14 + 0.14, with 72.8% of eyes achieving 0.2 logMAR or better. Mean UIVA and mean UNVA were 0.30 + 0.22 and 0.40 + 0.13 respectively. Mean CDVA was 0.05 + 0.08 with 100% of eyes achieving 0.2 logMAR or better. Mean DCIVA and DCNVA were 0.28 + 0.25 and 0.31 + 0.18 respectively. Mean refractive spherical equivalent(MRSE) was -0.13 + 0.39D, with 77.7% of eyes within ±0.50D of intended target. Only 2 patients reported needing spectacles for reading and 3 reported mild dysphotopsias. Mean VF-14 score was 90.59.",
        "Conclusions": "In this small real-world series of non-standard eyes, the Medicontur ELON IOL provided good distance and intermediate visual outcomes with acceptable refractive predictability and low incidence of dysphotopsias. ELON may be a viable option in selected complex eyes, although careful patient selection and larger studies are required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCAT369",
      "abstract_number": "POCAT369",
      "title": "Prospective Clinical Evaluation Of A New Generation Continuous Full Dofi Intraocular Lens Assessing Visual Performance Rotational Stability And Patient Reported Outcomes",
      "authors": "Dr Gilles Lesieur",
      "presenter": "Dr Gilles Lesieur",
      "normalized_authors": [
        "Gilles Lesieur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gilles Lesieur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate the clinical performance of a new generation non diffractive continuous Full DoFi intraocular lens, representing an evolution of the Lucidis platform (SAV-IOL), in terms of visual outcomes, rotational stability, and patient reported satisfaction. The study aims to provide early prospective data using a structured and standardised assessment protocol.",
        "Setting": "Private refractive and cataract surgery center, Centre IRIDIS, Albi, France.",
        "Methods": "A prospective clinical study is being conducted including patients undergoing mplantation of the new generation Lucidis intraocular lens. All surgeries are performed by the same surgeon using standardised biometric and perioperative protocols. Primary outcomes include uncorrected distance visual acuity (UDVA), distance corrected visual acuity (DCVA), intermediate and near visual acuity, and monocular defocus curves measured under controlled photopic conditions. Secondary outcomes include rotational stability assessed through postoperative imaging analysis, contrast sensitivity, photic phenomena evaluation, and patient reported satisfaction and quality of life using validated questionnaires.",
        "Results": "Patient enrolment is ongoing and early postoperative results are expected to be available at the time of presentation.\n\nVisual acuity outcomes, defocus curve profiles, and rotational behaviour will be analysed descriptively. Quantitative results and statistical analysis will be presented at the meeting once adequate follow up has been achieved.",
        "Conclusions": "Prospective evaluation of new generation continuous Full DoFi designs is essential to determine whether theoretical optical refinements translate into measurable clinical benefit. Standardised assessment of visual performance, rotational stability, and patient reported outcomes may support evidence based integration of updated presbyopia correcting intraocular lenses into routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Prospective evaluation of new generation continuous Full DoFi designs is essential to determine whether theoretical optical refinements translate into measurable clinical benefit. Standardised assessment of visual performance, rotational stability, and patient reported outcomes may support evidence based integration of updated presbyopia correcting intraocular lenses into routine clinical practice.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 408,
      "source_fields": {
        "Abstract Final Identifier": "POCAT369",
        "Title": "Prospective Clinical Evaluation Of A New Generation Continuous Full Dofi Intraocular Lens Assessing Visual Performance Rotational Stability And Patient Reported Outcomes",
        "Presenting Author(s)": "Dr Gilles Lesieur",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Gilles",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lesieur",
        "Country Name": "France",
        "Purpose": "To evaluate the clinical performance of a new generation non diffractive continuous Full DoFi intraocular lens, representing an evolution of the Lucidis platform (SAV-IOL), in terms of visual outcomes, rotational stability, and patient reported satisfaction. The study aims to provide early prospective data using a structured and standardised assessment protocol.",
        "Setting": "Private refractive and cataract surgery center, Centre IRIDIS, Albi, France.",
        "Methods": "A prospective clinical study is being conducted including patients undergoing mplantation of the new generation Lucidis intraocular lens. All surgeries are performed by the same surgeon using standardised biometric and perioperative protocols. Primary outcomes include uncorrected distance visual acuity (UDVA), distance corrected visual acuity (DCVA), intermediate and near visual acuity, and monocular defocus curves measured under controlled photopic conditions. Secondary outcomes include rotational stability assessed through postoperative imaging analysis, contrast sensitivity, photic phenomena evaluation, and patient reported satisfaction and quality of life using validated questionnaires.",
        "Results": "Patient enrolment is ongoing and early postoperative results are expected to be available at the time of presentation.\n\nVisual acuity outcomes, defocus curve profiles, and rotational behaviour will be analysed descriptively. Quantitative results and statistical analysis will be presented at the meeting once adequate follow up has been achieved.",
        "Conclusions": "Prospective evaluation of new generation continuous Full DoFi designs is essential to determine whether theoretical optical refinements translate into measurable clinical benefit. Standardised assessment of visual performance, rotational stability, and patient reported outcomes may support evidence based integration of updated presbyopia correcting intraocular lenses into routine clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCAT370",
      "abstract_number": "POCAT370",
      "title": "Clinical Outcomes After Bilateral Implantation Of A Refractive Extended Depth Of Focus Intraocular Lens With Mini-Monovision",
      "authors": "Dr Nikolaus Mahnert",
      "presenter": "Dr Nikolaus Mahnert",
      "normalized_authors": [
        "Nikolaus Mahnert"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikolaus Mahnert",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To assess the visual and functional clinical outcomes of a new fully refractive extended depth-of-focus intraocular lens following bilateral implantation with a mini-monovision approach.",
        "Setting": "This single center, prospective, interventional clinical trial was conducted at the Department of Ophthalmology and Optometry at the Medical University of Vienna",
        "Methods": "A total of 30 patients (60 eyes) with age-related cataract received bilaterally either a Tecnis PureSee ZEN00V IOL or, in eyes with >1.00 D corneal astigmatism, a toric Tecnis PureSee DET IOL (Johnson & Johnson Vision). Target refraction was plano in the dominant eye and −0.50 D in the non-dominant eye. At 2–6 months postoperatively, binocular uncorrected and distance-corrected visual acuity (UCDVA, BCDVA, UCIVA, DCIVA, UCNVA, DCNVA) was measured with the intended mini-monovision, and contrast sensitivity (CSV-1000; Vector-Vision) was assessed with and without mini-monovision under photopic, mesopic, and mesopic glare conditions. Internal higher-order aberrations, spherical aberration, and uncorrected defocus curves were also evaluated.",
        "Results": "Mean binocular uncorrected distance (UCDVA), intermediate (UCIVA at 80 and 66 cm), and near (UCNVA) visual acuity were −0.01 ± 0.08, 0.05 ± 0.08, 0.10 ± 0.08, and 0.25 ± 0.08 logMAR, respectively. Corresponding distance-corrected values with mini-monovision (BCDVA, DCIVA, DCNVA) were −0.02 ± 0.06, 0.06 ± 0.07, 0.10 ± 0.07, and 0.25 ± 0.07 logMAR (all P > 0.05). The mean defocus curve ranged from 0.06 ± 0.07 logMAR at +0.50 D to 0.27 ± 0.11 logMAR at −2.50 D. Internal higher-order aberrations and spherical aberration were 0.45 ± 0.11 µm and −0.28 ± 0.08 µm at a 5-mm pupil, and 0.24 ± 0.16 µm and −0.03 ± 0.09 µm at a 3-mm pupil. Contrast sensitivity was similar with and without mini-monovision across all tested conditions (P > 0.05).",
        "Conclusions": "The Tecnis PureSee IOL (ZEN00V and DET), bilaterally implanted with a targeted mini-monovision of −0.50 D, provided good uncorrected distance and intermediate visual acuity, as well as satisfactory near visual acuity (0.25 ± 0.08 logMAR). The defocus curve showed a depth of focus of −1.90 D at 0.2 logMAR. Internal higher-order aberrations (HOAs) and spherical aberration (SA) were comparable to those reported for other EDOF IOLs. Mini-monovision had no significant effect on contrast sensitivity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Tecnis PureSee IOL (ZEN00V and DET), bilaterally implanted with a targeted mini-monovision of −0.50 D, provided good uncorrected distance and intermediate visual acuity, as well as satisfactory near visual acuity (0.25 ± 0.08 logMAR). The defocus curve showed a depth of focus of −1.90 D at 0.2 logMAR. Internal higher-order aberrations (HOAs) and spherical aberration (SA) were comparable to those reported for…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 409,
      "source_fields": {
        "Abstract Final Identifier": "POCAT370",
        "Title": "Clinical Outcomes After Bilateral Implantation Of A Refractive Extended Depth Of Focus Intraocular Lens With Mini-Monovision",
        "Presenting Author(s)": "Dr Nikolaus Mahnert",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Nikolaus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahnert",
        "Country Name": "Austria",
        "Purpose": "To assess the visual and functional clinical outcomes of a new fully refractive extended depth-of-focus intraocular lens following bilateral implantation with a mini-monovision approach.",
        "Setting": "This single center, prospective, interventional clinical trial was conducted at the Department of Ophthalmology and Optometry at the Medical University of Vienna",
        "Methods": "A total of 30 patients (60 eyes) with age-related cataract received bilaterally either a Tecnis PureSee ZEN00V IOL or, in eyes with >1.00 D corneal astigmatism, a toric Tecnis PureSee DET IOL (Johnson & Johnson Vision). Target refraction was plano in the dominant eye and −0.50 D in the non-dominant eye. At 2–6 months postoperatively, binocular uncorrected and distance-corrected visual acuity (UCDVA, BCDVA, UCIVA, DCIVA, UCNVA, DCNVA) was measured with the intended mini-monovision, and contrast sensitivity (CSV-1000; Vector-Vision) was assessed with and without mini-monovision under photopic, mesopic, and mesopic glare conditions. Internal higher-order aberrations, spherical aberration, and uncorrected defocus curves were also evaluated.",
        "Results": "Mean binocular uncorrected distance (UCDVA), intermediate (UCIVA at 80 and 66 cm), and near (UCNVA) visual acuity were −0.01 ± 0.08, 0.05 ± 0.08, 0.10 ± 0.08, and 0.25 ± 0.08 logMAR, respectively. Corresponding distance-corrected values with mini-monovision (BCDVA, DCIVA, DCNVA) were −0.02 ± 0.06, 0.06 ± 0.07, 0.10 ± 0.07, and 0.25 ± 0.07 logMAR (all P > 0.05). The mean defocus curve ranged from 0.06 ± 0.07 logMAR at +0.50 D to 0.27 ± 0.11 logMAR at −2.50 D. Internal higher-order aberrations and spherical aberration were 0.45 ± 0.11 µm and −0.28 ± 0.08 µm at a 5-mm pupil, and 0.24 ± 0.16 µm and −0.03 ± 0.09 µm at a 3-mm pupil. Contrast sensitivity was similar with and without mini-monovision across all tested conditions (P > 0.05).",
        "Conclusions": "The Tecnis PureSee IOL (ZEN00V and DET), bilaterally implanted with a targeted mini-monovision of −0.50 D, provided good uncorrected distance and intermediate visual acuity, as well as satisfactory near visual acuity (0.25 ± 0.08 logMAR). The defocus curve showed a depth of focus of −1.90 D at 0.2 logMAR. Internal higher-order aberrations (HOAs) and spherical aberration (SA) were comparable to those reported for other EDOF IOLs. Mini-monovision had no significant effect on contrast sensitivity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 375
    },
    {
      "uid": "POCAT371",
      "abstract_number": "POCAT371",
      "title": "Influence Of Pupil Diameter On Early Visual And Satisfaction Outcomes After Implantation Of A Novel Fully Refractive Extended Depth Of Focus Intraocular Lens",
      "authors": "Dr Richard Mcneely",
      "presenter": "Dr Richard Mcneely",
      "normalized_authors": [
        "Richard Mcneely"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Richard Mcneely",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To outline the influences of postoperative pupil diameter on visual outcomes and satisfaction scores after implantation of a new fully refractive extended depth of focus intraocular lens (IOL).",
        "Setting": "Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom.",
        "Methods": "T he study enrolled 100 patients undergoing bilateral phacoemulsification with implantation of the Tecnis PureSee IOL (Johnson & Johnson). Postoperatively patients were categorized based upon their photopic pupil size: Group A: <2.50mm (n=13), Group B: 2.50 to 3.50mm (n=44), Group C: >3.50mm (n=23). Then categorized based upon postoperative scotopic pupil size: Group D: <4.50mm (n=30), Group E: 4.50 to 5.50mm (n=30), Group F: >5.50mm (n=18). Refraction, uncorrected (UDVA) and best-corrected (CDVA) distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities and quality of vision (QoV) questionnaires were evaluated 3 months postoperatively.",
        "Results": "There was no significant difference between binocular UDVA, UIVA, UNVA and QoV scores between groups A. B and C.There was no significant difference between groups in postoperative spherical equivalent (SE) refraction in the dominant or nondominant eyes. In Group A, 79.9% reported spectacle independence for near, compared to 70.5% and 65.2% in groups B and C. There was no significant difference in binocular UDVA, UIVA, UNVA or SE across groups D, E and F. Group F showed significantly lower QoV than group D and E. Glare was reported by 20% in group D, 23.3% group E and 66.7% in Group F. Mean postoperative photo pic and scotopic pupil sizes were 3.13±0.72 and 4.83±0.91mm , compared to 3.68±0.87 (P<0.001) and 4.90±0.89mm (P=0.14) preoperatively.",
        "Conclusions": "The Tecnis PureSee provides a wide range of vision, and high satisfaction. Postoperative pupil size appears to impact spectacle independence and scotopic pupil size appears to impact postoperative QoV and glare, however greater numbers would help investigate this relationship. At the conference we will present the outcomes of the same analysis with greater numbers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Tecnis PureSee provides a wide range of vision, and high satisfaction. Postoperative pupil size appears to impact spectacle independence and scotopic pupil size appears to impact postoperative QoV and glare, however greater numbers would help investigate this relationship. At the conference we will present the outcomes of the same analysis with greater numbers.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 410,
      "source_fields": {
        "Abstract Final Identifier": "POCAT371",
        "Title": "Influence Of Pupil Diameter On Early Visual And Satisfaction Outcomes After Implantation Of A Novel Fully Refractive Extended Depth Of Focus Intraocular Lens",
        "Presenting Author(s)": "Dr Richard Mcneely",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Richard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mcneely",
        "Country Name": "United Kingdom",
        "Purpose": "To outline the influences of postoperative pupil diameter on visual outcomes and satisfaction scores after implantation of a new fully refractive extended depth of focus intraocular lens (IOL).",
        "Setting": "Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom.",
        "Methods": "T he study enrolled 100 patients undergoing bilateral phacoemulsification with implantation of the Tecnis PureSee IOL (Johnson & Johnson). Postoperatively patients were categorized based upon their photopic pupil size: Group A: <2.50mm (n=13), Group B: 2.50 to 3.50mm (n=44), Group C: >3.50mm (n=23). Then categorized based upon postoperative scotopic pupil size: Group D: <4.50mm (n=30), Group E: 4.50 to 5.50mm (n=30), Group F: >5.50mm (n=18). Refraction, uncorrected (UDVA) and best-corrected (CDVA) distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities and quality of vision (QoV) questionnaires were evaluated 3 months postoperatively.",
        "Results": "There was no significant difference between binocular UDVA, UIVA, UNVA and QoV scores between groups A. B and C.There was no significant difference between groups in postoperative spherical equivalent (SE) refraction in the dominant or nondominant eyes. In Group A, 79.9% reported spectacle independence for near, compared to 70.5% and 65.2% in groups B and C. There was no significant difference in binocular UDVA, UIVA, UNVA or SE across groups D, E and F. Group F showed significantly lower QoV than group D and E. Glare was reported by 20% in group D, 23.3% group E and 66.7% in Group F. Mean postoperative photo pic and scotopic pupil sizes were 3.13±0.72 and 4.83±0.91mm , compared to 3.68±0.87 (P<0.001) and 4.90±0.89mm (P=0.14) preoperatively.",
        "Conclusions": "The Tecnis PureSee provides a wide range of vision, and high satisfaction. Postoperative pupil size appears to impact spectacle independence and scotopic pupil size appears to impact postoperative QoV and glare, however greater numbers would help investigate this relationship. At the conference we will present the outcomes of the same analysis with greater numbers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCAT372",
      "abstract_number": "POCAT372",
      "title": "Visual And Refractive Outcomes Following Implantation Of A Refractive Partial Range Of Field Extended Intraocular Lens In Eyes With A History Of Previous Laser Refractive Surgery",
      "authors": "Mr Niraj Mandal",
      "presenter": "Mr Niraj Mandal",
      "normalized_authors": [
        "Niraj Mandal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Richard Mcneely",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To outline the early postoperative objective visual and refractive outcomes and subjective quality of vision (QoV) following implantation of a new refractive partial range of field extended intraocular lens (IOL) in eyes with a history of previous hyperopic or myopic refractive laser surgery.",
        "Setting": "Cathedral Eye Clinic, Belfast, Northern Ireland, UK",
        "Methods": "The study enrolled 18 patients (33 eyes) with previous hyperopic refractive laser surgery (Group A) and 13 patients (23 eyes) with previous myopic surgery (group B). Eyes underwent RLE or cataract surgery with implantation of the Tecnis PureSee IOL (Johnson & Johnson). The first myopic target was selected in the first operated eye (dominant eye) with a micro-monovision offset up to -0.70 D selected for the second eye. Uncorrected distance (UDVA), intermediate (UIVA) and near (UNVA) visual acuities, refractive error, and quality of vision (QoV) were measured 3 months postoperatively.",
        "Results": "Mean binocular UDVA was -0.01±0.11logMAR in group A and -0.05±0.09logMAR in Group B. Mean binocular UNVA was 0.20±0.11 and 0.22±0.10logMAR, and UIVA was 0.09±0.10 and 0.09±0.06 logMAR in the respective groups. Postoperatively, 63.6% and 100% were within ±0.50D and ±1.00D of the refractive target in group A, and 78.3% within ±0.50D and 91.3% within ±1.00D in group B. Monocular defocus curves displayed mean visual acuity better than 0.20logMAR from +1.0D and to approximately -1.8D defocus in group A and from +1.0D to approximately -2.0D in group B. Mean day and night QoV scores of 8.4 ± 0.84 and 7.8 ± 1.23 were reported in group A and 9.0±0.71 and 8.11±1.45 in group B with minimal dysphotopsias and high rates of spectacle independence.",
        "Conclusions": "This new refractive partial range of field extended IOL provides a satisfactory range of vision with minimal visual side effects and high patient satisfaction in eyes with both previous hyperopic and myopic laser refractive surgery. Further data with longer-term follow-up will be presented at the conference."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This new refractive partial range of field extended IOL provides a satisfactory range of vision with minimal visual side effects and high patient satisfaction in eyes with both previous hyperopic and myopic laser refractive surgery. Further data with longer-term follow-up will be presented at the conference.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 411,
      "source_fields": {
        "Abstract Final Identifier": "POCAT372",
        "Title": "Visual And Refractive Outcomes Following Implantation Of A Refractive Partial Range Of Field Extended Intraocular Lens In Eyes With A History Of Previous Laser Refractive Surgery",
        "Presenting Author(s)": "Mr Niraj Mandal",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Richard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mcneely",
        "Country Name": "United Kingdom",
        "Purpose": "To outline the early postoperative objective visual and refractive outcomes and subjective quality of vision (QoV) following implantation of a new refractive partial range of field extended intraocular lens (IOL) in eyes with a history of previous hyperopic or myopic refractive laser surgery.",
        "Setting": "Cathedral Eye Clinic, Belfast, Northern Ireland, UK",
        "Methods": "The study enrolled 18 patients (33 eyes) with previous hyperopic refractive laser surgery (Group A) and 13 patients (23 eyes) with previous myopic surgery (group B). Eyes underwent RLE or cataract surgery with implantation of the Tecnis PureSee IOL (Johnson & Johnson). The first myopic target was selected in the first operated eye (dominant eye) with a micro-monovision offset up to -0.70 D selected for the second eye. Uncorrected distance (UDVA), intermediate (UIVA) and near (UNVA) visual acuities, refractive error, and quality of vision (QoV) were measured 3 months postoperatively.",
        "Results": "Mean binocular UDVA was -0.01±0.11logMAR in group A and -0.05±0.09logMAR in Group B. Mean binocular UNVA was 0.20±0.11 and 0.22±0.10logMAR, and UIVA was 0.09±0.10 and 0.09±0.06 logMAR in the respective groups. Postoperatively, 63.6% and 100% were within ±0.50D and ±1.00D of the refractive target in group A, and 78.3% within ±0.50D and 91.3% within ±1.00D in group B. Monocular defocus curves displayed mean visual acuity better than 0.20logMAR from +1.0D and to approximately -1.8D defocus in group A and from +1.0D to approximately -2.0D in group B. Mean day and night QoV scores of 8.4 ± 0.84 and 7.8 ± 1.23 were reported in group A and 9.0±0.71 and 8.11±1.45 in group B with minimal dysphotopsias and high rates of spectacle independence.",
        "Conclusions": "This new refractive partial range of field extended IOL provides a satisfactory range of vision with minimal visual side effects and high patient satisfaction in eyes with both previous hyperopic and myopic laser refractive surgery. Further data with longer-term follow-up will be presented at the conference."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "POCAT373",
      "abstract_number": "POCAT373",
      "title": "Functional Outcomes Of Edof Iol Implantation In Combined Phaco-Vitrectomy For Full-Thickness Macular Hole",
      "authors": "Milena Meremkulova",
      "presenter": "Milena Meremkulova",
      "normalized_authors": [
        "Milena Meremkulova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Milena Meremkulova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "Premium intraocular lenses are traditionally avoided in eyes with macular pathology because of concerns regarding reduced contrast sensitivity and dysphotopsia, limiting postoperative spectacle independence. Extended depth-of-focus (EDOF) IOLs provide a continuous range of vision and may represent a viable option in selected vitreoretinal cases. This study evaluated anatomical and functional outcomes of EDOF IOL implantation during combined phaco-vitrectomy for full-thickness macular hole (FTMH).",
        "Setting": "M.M. Krasnov Research Institute of Eye Diseases, Moscow, Russian Federation",
        "Methods": "This prospective interventional study included 13 patients with FTMH not exceeding stage M according to the CLOSE classification and early cataract. All eyes underwent combined surgery: phacoemulsification with implantation of an EDOF IOL (Clareon Vivity, Alcon, USA) followed by standard three-port 25-gauge pars plana vitrectomy with application of autologous plasma to the macular hole. Balanced salt solution was used for endotamponade.\n\nBest-corrected visual acuity (BCVA) was assessed preoperatively and 1 month postoperatively at distance (5 m), intermediate (66 cm), and near (33 cm) using ETDRS charts. Retinal morphology was evaluated with OCT.",
        "Results": "Macular hole closure with restoration of the foveal contour was achieved in 100% of eyes.\n\nMean BCVA improved significantly at all distances:\ndistance from 0.31 +/- 0.13 to 0.72 +/- 0.21,\nintermediate from 0.35 +/- 0.10 to 0.68 +/- 0.28,\nnear from 0.34 +/- 0.07 to 0.53 +/- 0.32.\n\nA statistically significant proportional correlation was found between distance and intermediate visual acuity gain.",
        "Conclusions": "EDOF IOL implantation during combined phaco-vitrectomy for FTMH provided favorable anatomical and functional outcomes with improved vision at all working distances. In selected patients with macular pathology, EDOF IOLs may allow a broader range of vision without compromising surgical results. Further studies with larger sample size and longer follow-up are required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EDOF IOL implantation during combined phaco-vitrectomy for FTMH provided favorable anatomical and functional outcomes with improved vision at all working distances. In selected patients with macular pathology, EDOF IOLs may allow a broader range of vision without compromising surgical results. Further studies with larger sample size and longer follow-up are required.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 412,
      "source_fields": {
        "Abstract Final Identifier": "POCAT373",
        "Title": "Functional Outcomes Of Edof Iol Implantation In Combined Phaco-Vitrectomy For Full-Thickness Macular Hole",
        "Presenting Author(s)": "Milena Meremkulova",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Milena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Meremkulova",
        "Country Name": "Russian Federation",
        "Purpose": "Premium intraocular lenses are traditionally avoided in eyes with macular pathology because of concerns regarding reduced contrast sensitivity and dysphotopsia, limiting postoperative spectacle independence. Extended depth-of-focus (EDOF) IOLs provide a continuous range of vision and may represent a viable option in selected vitreoretinal cases. This study evaluated anatomical and functional outcomes of EDOF IOL implantation during combined phaco-vitrectomy for full-thickness macular hole (FTMH).",
        "Setting": "M.M. Krasnov Research Institute of Eye Diseases, Moscow, Russian Federation",
        "Methods": "This prospective interventional study included 13 patients with FTMH not exceeding stage M according to the CLOSE classification and early cataract. All eyes underwent combined surgery: phacoemulsification with implantation of an EDOF IOL (Clareon Vivity, Alcon, USA) followed by standard three-port 25-gauge pars plana vitrectomy with application of autologous plasma to the macular hole. Balanced salt solution was used for endotamponade.\n\nBest-corrected visual acuity (BCVA) was assessed preoperatively and 1 month postoperatively at distance (5 m), intermediate (66 cm), and near (33 cm) using ETDRS charts. Retinal morphology was evaluated with OCT.",
        "Results": "Macular hole closure with restoration of the foveal contour was achieved in 100% of eyes.\n\nMean BCVA improved significantly at all distances:\ndistance from 0.31 +/- 0.13 to 0.72 +/- 0.21,\nintermediate from 0.35 +/- 0.10 to 0.68 +/- 0.28,\nnear from 0.34 +/- 0.07 to 0.53 +/- 0.32.\n\nA statistically significant proportional correlation was found between distance and intermediate visual acuity gain.",
        "Conclusions": "EDOF IOL implantation during combined phaco-vitrectomy for FTMH provided favorable anatomical and functional outcomes with improved vision at all working distances. In selected patients with macular pathology, EDOF IOLs may allow a broader range of vision without compromising surgical results. Further studies with larger sample size and longer follow-up are required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "POCAT374",
      "abstract_number": "POCAT374",
      "title": "Comparative Analysis Of Visual Outcomes After Refractive Lens Exchange Using Minimonovision Either With Artiol® Or Acrysof Iq Vivity®: A Pilot Study",
      "authors": "Mr Karsten Pfeiffer",
      "presenter": "Mr Karsten Pfeiffer",
      "normalized_authors": [
        "Karsten Pfeiffer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anke Messerschmidt-Roth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The aim of this pilot study was to compare visual outcomes at least three months after refractive lens exchange (RLE) with ArtIOL® and AcrySof IQ Vivity® intraocular lenses using a mini-monovision strategy.",
        "Setting": "University Hospital Gießen and Marburg, Marburg, Germany",
        "Methods": "This retrospective, non-randomised, monocentric study analysed the efficacy and safety of combined implantation of ArtIOL® 40 and ArtIOL® 70 (Voptica, SL, Spain) and AcrySof IQ Vivity® (Alcon Deutschland GmbH). A total of 10 patients were included in each group. The patients were identified from the clinic's own patient population on the basis of surgical reports. Follow-up examinations were performed at least three months postoperatively and included refraction and monocular and binocular visual acuity at distance, intermediate and near.",
        "Results": "Preoperative spherical equivalent was +1.45 ± 0.70 D in the ArtIOL® group and +0.23 ± 1.41 D in the AcrySof IQ Vivity® group. Preoperatively, CDVA was 20/20 or better in 90% of eyes in both groups. At 3 months, 75% of ArtIOLs® eyes were within ±0.50 D and 100% within ±1.00 D of the refractive target. Binocular UDVA was 20/20 or better in 90% and at least 20/25 in all patients. Binocular UIVA was ≥20/25 in 90% and UNVA was 20/20 in 80% and ≥20/25 in 90%, . In the Vivity® group, 70% achieved UDVA 20/20 and 90% ≥20/25. Binocular UIVA ≥20/25 in 90% and UNVA was 20/20 in 50% and ≥20/25 in 80%. All Vivity® eyes were within ±0.50 D of refractive target.",
        "Conclusions": "The implantation of both IOLs showed a high degree of spectacle independance. While the ArtIOL® showed slightly better visual results than AcrySof IQ Vivity®the number of cases is too small for a statistical comparison. Hence, a larger prospective study should be planned."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The implantation of both IOLs showed a high degree of spectacle independance. While the ArtIOL® showed slightly better visual results than AcrySof IQ Vivity®the number of cases is too small for a statistical comparison. Hence, a larger prospective study should be planned.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 413,
      "source_fields": {
        "Abstract Final Identifier": "POCAT374",
        "Title": "Comparative Analysis Of Visual Outcomes After Refractive Lens Exchange Using Minimonovision Either With Artiol® Or Acrysof Iq Vivity®: A Pilot Study",
        "Presenting Author(s)": "Mr Karsten Pfeiffer",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Anke",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messerschmidt-Roth",
        "Country Name": "Germany",
        "Purpose": "The aim of this pilot study was to compare visual outcomes at least three months after refractive lens exchange (RLE) with ArtIOL® and AcrySof IQ Vivity® intraocular lenses using a mini-monovision strategy.",
        "Setting": "University Hospital Gießen and Marburg, Marburg, Germany",
        "Methods": "This retrospective, non-randomised, monocentric study analysed the efficacy and safety of combined implantation of ArtIOL® 40 and ArtIOL® 70 (Voptica, SL, Spain) and AcrySof IQ Vivity® (Alcon Deutschland GmbH). A total of 10 patients were included in each group. The patients were identified from the clinic's own patient population on the basis of surgical reports. Follow-up examinations were performed at least three months postoperatively and included refraction and monocular and binocular visual acuity at distance, intermediate and near.",
        "Results": "Preoperative spherical equivalent was +1.45 ± 0.70 D in the ArtIOL® group and +0.23 ± 1.41 D in the AcrySof IQ Vivity® group. Preoperatively, CDVA was 20/20 or better in 90% of eyes in both groups. At 3 months, 75% of ArtIOLs® eyes were within ±0.50 D and 100% within ±1.00 D of the refractive target. Binocular UDVA was 20/20 or better in 90% and at least 20/25 in all patients. Binocular UIVA was ≥20/25 in 90% and UNVA was 20/20 in 80% and ≥20/25 in 90%, . In the Vivity® group, 70% achieved UDVA 20/20 and 90% ≥20/25. Binocular UIVA ≥20/25 in 90% and UNVA was 20/20 in 50% and ≥20/25 in 80%. All Vivity® eyes were within ±0.50 D of refractive target.",
        "Conclusions": "The implantation of both IOLs showed a high degree of spectacle independance. While the ArtIOL® showed slightly better visual results than AcrySof IQ Vivity®the number of cases is too small for a statistical comparison. Hence, a larger prospective study should be planned."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCAT375",
      "abstract_number": "POCAT375",
      "title": "Visual And Refractive Outcomes Of An Edof Intraocular Lens In Post-Lasik Eyes Vs Non-Lasik Controls: A Real-World Retrospective Comparison",
      "authors": "Dr David Mingo Botín",
      "presenter": "Dr David Mingo Botín",
      "normalized_authors": [
        "David Mingo Botín"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Mingo Botín",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Extended depth-of-focus (EDOF) intraocular lenses (IOLs) provide an increased range of vision in unoperated eyes; however, evidence in post-LASIK corneas remains limited due to altered corneal curvature and higher-order aberrations. This study evaluates visual and refractive outcomes following implantation of a non-diffractive EDOF IOL (Tecnis PureSee) in post-LASIK eyes compared with non-LASIK controls in a real-world retrospective cohort.",
        "Setting": "Three affiliated private ophthalmology centers in Madrid, Spain (Miranza Group: Instituto de Microcirugía Ocular, Instituto de Oftalmología Avanzada, and Clínica Ophthalteam). All procedures were performed by experienced cataract surgeons using standardized biometric, calculation, and surgical protocols across centers.",
        "Methods": "Retrospective review of consecutive eyes undergoing phacoemulsification with Tecnis PureSee non-diffractive EDOF IOL implantation (2024–2025). Eyes were stratified into post-LASIK and virgin cornea groups. Preoperative assessment included demographics, manifest refraction, optical biometry, and corneal topography/aberrometry. IOL power calculation used Barrett Universal II (controls) and Barrett True-K (post-LASIK). At 1–3 months, uncorrected and corrected distance and near visual acuity (UDVA, CDVA, UNVA, CNVA), all in logMAR, manifest refraction, spherical equivalent (SE), and prediction error were recorded. Eyes with ocular comorbidity, intraoperative complications, or additional procedures were excluded.",
        "Results": "A total of 118 patients (118 eyes; one eye per patient) were included: 58 post-LASIK and 60 control eyes. Preoperatively, post-LASIK eyes showed flatter keratometry (p<0.001), longer axial length (p<0.001), and higher RMS HOAs (0.25±0.14 vs 0.19±0.11; p=0.001). Postoperative UDVA was 0.07±0.08 and CDVA 0.04±0.06 in the post-LASIK group versus 0.05±0.09 and 0.02±0.06 in controls (p=0.016 and 0.001, respectively). Postoperative UNVA was 0.16±0.10 and CNVA 0.02±0.05 in post-LASIK eyes versus 0.17±0.09 and 0.01±0.06 in controls (p>0.5). Prediction error within ±0.50 D occurred in 93.3% of post-LASIK eyes and 77.6% of controls, and within ±1.00 D in 100% and 98.3%, respectively (p=0.046). Mean postoperative SE did not differ significantly.",
        "Conclusions": "Implantation of a non-diffractive EDOF IOL in post-LASIK eyes achieved visual outcomes comparable to virgin corneas. Although statistically significant differences in distance visual acuity were observed, these were not clinically meaningful. Near visual performance was similar between groups. Refractive predictability was reduced in post-LASIK eyes, reflecting intrinsic limitations of IOL power calculation in altered corneas. Prospective controlled studies are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of a non-diffractive EDOF IOL in post-LASIK eyes achieved visual outcomes comparable to virgin corneas. Although statistically significant differences in distance visual acuity were observed, these were not clinically meaningful. Near visual performance was similar between groups. Refractive predictability was reduced in post-LASIK eyes, reflecting intrinsic limitations of IOL power calculation in…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 414,
      "source_fields": {
        "Abstract Final Identifier": "POCAT375",
        "Title": "Visual And Refractive Outcomes Of An Edof Intraocular Lens In Post-Lasik Eyes Vs Non-Lasik Controls: A Real-World Retrospective Comparison",
        "Presenting Author(s)": "Dr David Mingo Botín",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mingo Botín",
        "Country Name": "Spain",
        "Purpose": "Extended depth-of-focus (EDOF) intraocular lenses (IOLs) provide an increased range of vision in unoperated eyes; however, evidence in post-LASIK corneas remains limited due to altered corneal curvature and higher-order aberrations. This study evaluates visual and refractive outcomes following implantation of a non-diffractive EDOF IOL (Tecnis PureSee) in post-LASIK eyes compared with non-LASIK controls in a real-world retrospective cohort.",
        "Setting": "Three affiliated private ophthalmology centers in Madrid, Spain (Miranza Group: Instituto de Microcirugía Ocular, Instituto de Oftalmología Avanzada, and Clínica Ophthalteam). All procedures were performed by experienced cataract surgeons using standardized biometric, calculation, and surgical protocols across centers.",
        "Methods": "Retrospective review of consecutive eyes undergoing phacoemulsification with Tecnis PureSee non-diffractive EDOF IOL implantation (2024–2025). Eyes were stratified into post-LASIK and virgin cornea groups. Preoperative assessment included demographics, manifest refraction, optical biometry, and corneal topography/aberrometry. IOL power calculation used Barrett Universal II (controls) and Barrett True-K (post-LASIK). At 1–3 months, uncorrected and corrected distance and near visual acuity (UDVA, CDVA, UNVA, CNVA), all in logMAR, manifest refraction, spherical equivalent (SE), and prediction error were recorded. Eyes with ocular comorbidity, intraoperative complications, or additional procedures were excluded.",
        "Results": "A total of 118 patients (118 eyes; one eye per patient) were included: 58 post-LASIK and 60 control eyes. Preoperatively, post-LASIK eyes showed flatter keratometry (p<0.001), longer axial length (p<0.001), and higher RMS HOAs (0.25±0.14 vs 0.19±0.11; p=0.001). Postoperative UDVA was 0.07±0.08 and CDVA 0.04±0.06 in the post-LASIK group versus 0.05±0.09 and 0.02±0.06 in controls (p=0.016 and 0.001, respectively). Postoperative UNVA was 0.16±0.10 and CNVA 0.02±0.05 in post-LASIK eyes versus 0.17±0.09 and 0.01±0.06 in controls (p>0.5). Prediction error within ±0.50 D occurred in 93.3% of post-LASIK eyes and 77.6% of controls, and within ±1.00 D in 100% and 98.3%, respectively (p=0.046). Mean postoperative SE did not differ significantly.",
        "Conclusions": "Implantation of a non-diffractive EDOF IOL in post-LASIK eyes achieved visual outcomes comparable to virgin corneas. Although statistically significant differences in distance visual acuity were observed, these were not clinically meaningful. Near visual performance was similar between groups. Refractive predictability was reduced in post-LASIK eyes, reflecting intrinsic limitations of IOL power calculation in altered corneas. Prospective controlled studies are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 401
    },
    {
      "uid": "POCAT376",
      "abstract_number": "POCAT376",
      "title": "The Effectiveness Of Puresee Lens In Correcting Presbyopia",
      "authors": "Dr Wisam Muen",
      "presenter": "Dr Wisam Muen",
      "normalized_authors": [
        "Wisam Muen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wisam Muen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the effectivess of the Puresee IOL (Johnson & Johnson) in correcting presbyopia and any complications or side effects from using this lens.",
        "Setting": "All patients were treated at Kingsbridge private hospital Eye Unit in Belfast, UK.\n\nKingsbridge eye unit is a state of the art facility with dedicated refractive diagnostic and treatment optiions. It provides laser and lens based treatments for refractive patients.",
        "Methods": "- 21 consecutive eyes of 11 patients who received puresee IOL were analysed.\n\n- All surgeriies were performed by the same surgeon (first author) who is qualified in refractive surgery.\n\n- Patients had a full refractive assesment including monovision tolerance.\n\n- Patients had a full discusion and consent regarding the available treatment options.\n\n- All eyes operated had no other significant pathology and normal corrected vision.\n\n- The dominant eye was targeted for emmetropia (1st minus) and the non dominat eye was targeted for -0.5 to -1.0\n\n- Biometry was obtained using the IOL master 700 (TM). Standard K was used for the calculation.\n\n- Post operative results were collected for refraction, vision in each eye, complications and any photopsia symptoms.",
        "Results": "- 10 patients had bilateral puresee IOL implant\n\n- 1 had 1 eye for near vision only.\n\n- There were no intra-operative or post opertive complications.\n\n- All eyes targeted for distance achieved snellen 6/6 or better.\n\n- 8 eyes (72.7%) targeted for near achieved N8 or better (range N5-N8)\n\n- 3 eyes targeted for near achieved N10, but they all had a post op refraction of less than the minimum target of -0.5 (0 to -0.36 SEQ)\n\n- From the 10 eyes targeted for distance, 5 also read N8, 1 read N6 and 1 read N5\n\n- 2 patients reported some photopic symptoms at night but these were not deemed significant enough to impede their activities ncluding driving.",
        "Conclusions": "- The puresee IOL when implanted with slight monovision achieved excellent presbyopia correction when refractive targets are met.\n\n- It was well tolerated by patients with no complaints regarding distance vision or significant dys/photopsia.\n\n- In our cohort of patients; the achieved SEQ was often less than that targeted. This can be important when targeting reading vision. 3 of our patients achieved under the targeted SEQ and had slightly reduced reading vision. Intrestingly they were all myopes and so it maybe prudent to target a higher myopic target in this group.\n\n- 70% of distance eys also achieved good reading vision with that eye. A larger study of this lens is required to help better refractive targeting and patient selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "- The puresee IOL when implanted with slight monovision achieved excellent presbyopia correction when refractive targets are met. - It was well tolerated by patients with no complaints regarding distance vision or significant dys/photopsia. - In our cohort of patients; the achieved SEQ was often less than that targeted. This can be important when targeting reading vision. 3 of our patients achieved under the…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 415,
      "source_fields": {
        "Abstract Final Identifier": "POCAT376",
        "Title": "The Effectiveness Of Puresee Lens In Correcting Presbyopia",
        "Presenting Author(s)": "Dr Wisam Muen",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Wisam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muen",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the effectivess of the Puresee IOL (Johnson & Johnson) in correcting presbyopia and any complications or side effects from using this lens.",
        "Setting": "All patients were treated at Kingsbridge private hospital Eye Unit in Belfast, UK.\n\nKingsbridge eye unit is a state of the art facility with dedicated refractive diagnostic and treatment optiions. It provides laser and lens based treatments for refractive patients.",
        "Methods": "- 21 consecutive eyes of 11 patients who received puresee IOL were analysed.\n\n- All surgeriies were performed by the same surgeon (first author) who is qualified in refractive surgery.\n\n- Patients had a full refractive assesment including monovision tolerance.\n\n- Patients had a full discusion and consent regarding the available treatment options.\n\n- All eyes operated had no other significant pathology and normal corrected vision.\n\n- The dominant eye was targeted for emmetropia (1st minus) and the non dominat eye was targeted for -0.5 to -1.0\n\n- Biometry was obtained using the IOL master 700 (TM). Standard K was used for the calculation.\n\n- Post operative results were collected for refraction, vision in each eye, complications and any photopsia symptoms.",
        "Results": "- 10 patients had bilateral puresee IOL implant\n\n- 1 had 1 eye for near vision only.\n\n- There were no intra-operative or post opertive complications.\n\n- All eyes targeted for distance achieved snellen 6/6 or better.\n\n- 8 eyes (72.7%) targeted for near achieved N8 or better (range N5-N8)\n\n- 3 eyes targeted for near achieved N10, but they all had a post op refraction of less than the minimum target of -0.5 (0 to -0.36 SEQ)\n\n- From the 10 eyes targeted for distance, 5 also read N8, 1 read N6 and 1 read N5\n\n- 2 patients reported some photopic symptoms at night but these were not deemed significant enough to impede their activities ncluding driving.",
        "Conclusions": "- The puresee IOL when implanted with slight monovision achieved excellent presbyopia correction when refractive targets are met.\n\n- It was well tolerated by patients with no complaints regarding distance vision or significant dys/photopsia.\n\n- In our cohort of patients; the achieved SEQ was often less than that targeted. This can be important when targeting reading vision. 3 of our patients achieved under the targeted SEQ and had slightly reduced reading vision. Intrestingly they were all myopes and so it maybe prudent to target a higher myopic target in this group.\n\n- 70% of distance eys also achieved good reading vision with that eye. A larger study of this lens is required to help better refractive targeting and patient selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 410
    },
    {
      "uid": "POCAT377",
      "abstract_number": "POCAT377",
      "title": "Patient Reported Outcomes Following Puresee Increased Range Of Focus Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate post-operative refraction and patient-reported outcomes following cataract surgery with implantation of the PureSee intraocular lens, and to assess patient satisfaction, functional vision, and dysphotopsia.",
        "Setting": "Single-surgeon clinic in South Wales with retrospective analyses conducted for cataract surgery.",
        "Methods": "A retrospective review was performed of patients undergoing cataract surgery with implantation of the PureSee intraocular lens (DEN00V, DET). Post-operative unaided distance, intermediate, and near visual acuity were analysed. Subjective patient-reported outcomes included satisfaction with surgical outcome, willingness to repeat surgery, functional vision at different distances, and dysphotopsia symptoms (halos, glare, starbursts). Descriptive analysis was performed using cumulative distributions and reported outcome frequencies.",
        "Results": "We analysed127 eyes implanted with the PureSee lens. Among patients with recorded patient-reported outcomes, willingness to repeat surgery was high, indicating strong overall satisfaction. Dysphotopsias were infrequent, with the majority of responses describing symptoms as absent or only some of the time. Glare was only reported in 6% and with mild severity, and 4% reported mild haloes. Unaided vision was satisfactory for distance and intermediate tasks, with variable reliance on reading glasses for near activities. Spectacle independence was high, with 91.5% (43/47) never requiring glasses for distance vision and 85.1% (40/47) for intermediate vision. For near vision 91.3% (42/46) needed reading glasses never or only some of the time.",
        "Conclusions": "In this real-world audit, implantation of the PureSee presbyopia-correcting intraocular lens was associated with favourable visual outcomes and high patient satisfaction. Reported dysphotopsia was low among responding patients. These findings support the use of PureSee as a presbyopia-correcting option in appropriately selected patients, while highlighting the importance of systematic capture of patient-reported outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world audit, implantation of the PureSee presbyopia-correcting intraocular lens was associated with favourable visual outcomes and high patient satisfaction. Reported dysphotopsia was low among responding patients. These findings support the use of PureSee as a presbyopia-correcting option in appropriately selected patients, while highlighting the importance of systematic capture of patient-reported…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 416,
      "source_fields": {
        "Abstract Final Identifier": "POCAT377",
        "Title": "Patient Reported Outcomes Following Puresee Increased Range Of Focus Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate post-operative refraction and patient-reported outcomes following cataract surgery with implantation of the PureSee intraocular lens, and to assess patient satisfaction, functional vision, and dysphotopsia.",
        "Setting": "Single-surgeon clinic in South Wales with retrospective analyses conducted for cataract surgery.",
        "Methods": "A retrospective review was performed of patients undergoing cataract surgery with implantation of the PureSee intraocular lens (DEN00V, DET). Post-operative unaided distance, intermediate, and near visual acuity were analysed. Subjective patient-reported outcomes included satisfaction with surgical outcome, willingness to repeat surgery, functional vision at different distances, and dysphotopsia symptoms (halos, glare, starbursts). Descriptive analysis was performed using cumulative distributions and reported outcome frequencies.",
        "Results": "We analysed127 eyes implanted with the PureSee lens. Among patients with recorded patient-reported outcomes, willingness to repeat surgery was high, indicating strong overall satisfaction. Dysphotopsias were infrequent, with the majority of responses describing symptoms as absent or only some of the time. Glare was only reported in 6% and with mild severity, and 4% reported mild haloes. Unaided vision was satisfactory for distance and intermediate tasks, with variable reliance on reading glasses for near activities. Spectacle independence was high, with 91.5% (43/47) never requiring glasses for distance vision and 85.1% (40/47) for intermediate vision. For near vision 91.3% (42/46) needed reading glasses never or only some of the time.",
        "Conclusions": "In this real-world audit, implantation of the PureSee presbyopia-correcting intraocular lens was associated with favourable visual outcomes and high patient satisfaction. Reported dysphotopsia was low among responding patients. These findings support the use of PureSee as a presbyopia-correcting option in appropriately selected patients, while highlighting the importance of systematic capture of patient-reported outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POCAT378",
      "abstract_number": "POCAT378",
      "title": "Patient Reported Outcomes Following Vivity Increased Range Of Focus Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess post-operative visual acuity and patient-reported outcomes following cataract surgery with implantation of the Vivity increased range of focus intraocular lens, and to evaluate dysphotopsia, functional vision, and patient satisfaction in a real-world setting.",
        "Setting": "Single surgeon clinic with retrospective audit performed for routine cataract surgery.",
        "Methods": "Patients undergoing cataract surgery with implantation of the Vivity intraocular lens (DFT015, DFTx15, CNWET0, CNWET2–6) were retrospectively reviewed. Unaided distance, intermediate, and near visual acuity outcomes were analysed. Patient-reported outcomes included satisfaction with surgery, willingness to repeat the procedure, functional vision at different distances, and dysphotopsia symptoms. Dysphotopsia frequency was analysed by grouping responses into “always/most of the time” and “some of the time/never” categories among recorded responses.",
        "Results": "A total of 584 eyes implanted with the Vivity lens were included, and 34% of these had a guarded prognosis. Patient-reported satisfaction was high, with the majority of respondents indicating willingness to repeat surgery, and surgical outcomes were reported as fully or mostly matching expectations by 97.3%. Among patients reporting dysphotopsia, glare was infrequently experienced, 10% , while halos and starbursts were reported variably, 5% each. 83.5%(117/140) of patients described spectacle independence for distance and 87%(120/138) for intermediate vision, with variable need for reading glasses, with 48.2% (67/138) patients never needing them, and 31.7%(44/138) needing them only some of the time.",
        "Conclusions": "Alcon Vivity intraocular lens implantation demonstrated favourable real-world visual outcomes and high patient satisfaction. Dysphotopsia symptoms were generally infrequent. These results support the use of Vivity as an increased range of focus lens option and emphasises the need for comprehensive patient-reported outcome collection in routine practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Alcon Vivity intraocular lens implantation demonstrated favourable real-world visual outcomes and high patient satisfaction. Dysphotopsia symptoms were generally infrequent. These results support the use of Vivity as an increased range of focus lens option and emphasises the need for comprehensive patient-reported outcome collection in routine practice.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 417,
      "source_fields": {
        "Abstract Final Identifier": "POCAT378",
        "Title": "Patient Reported Outcomes Following Vivity Increased Range Of Focus Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To assess post-operative visual acuity and patient-reported outcomes following cataract surgery with implantation of the Vivity increased range of focus intraocular lens, and to evaluate dysphotopsia, functional vision, and patient satisfaction in a real-world setting.",
        "Setting": "Single surgeon clinic with retrospective audit performed for routine cataract surgery.",
        "Methods": "Patients undergoing cataract surgery with implantation of the Vivity intraocular lens (DFT015, DFTx15, CNWET0, CNWET2–6) were retrospectively reviewed. Unaided distance, intermediate, and near visual acuity outcomes were analysed. Patient-reported outcomes included satisfaction with surgery, willingness to repeat the procedure, functional vision at different distances, and dysphotopsia symptoms. Dysphotopsia frequency was analysed by grouping responses into “always/most of the time” and “some of the time/never” categories among recorded responses.",
        "Results": "A total of 584 eyes implanted with the Vivity lens were included, and 34% of these had a guarded prognosis. Patient-reported satisfaction was high, with the majority of respondents indicating willingness to repeat surgery, and surgical outcomes were reported as fully or mostly matching expectations by 97.3%. Among patients reporting dysphotopsia, glare was infrequently experienced, 10% , while halos and starbursts were reported variably, 5% each. 83.5%(117/140) of patients described spectacle independence for distance and 87%(120/138) for intermediate vision, with variable need for reading glasses, with 48.2% (67/138) patients never needing them, and 31.7%(44/138) needing them only some of the time.",
        "Conclusions": "Alcon Vivity intraocular lens implantation demonstrated favourable real-world visual outcomes and high patient satisfaction. Dysphotopsia symptoms were generally infrequent. These results support the use of Vivity as an increased range of focus lens option and emphasises the need for comprehensive patient-reported outcome collection in routine practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCAT379",
      "abstract_number": "POCAT379",
      "title": "Cataract Surgery In Eyes With Stabilized Keratoconus: Making It Possible To Increase The Patient Satisfaction",
      "authors": "Dr Maryam Muradova",
      "presenter": "Dr Maryam Muradova",
      "normalized_authors": [
        "Maryam Muradova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maryam Muradova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "Currently, patient satisfaction with the results of cataract surgery is of great importance, including in patients with stabilized keratoconus after crosslinking and after implantation corneal ring segments with subsequent crosslinking. And the choice of IOLs in these patients plays a key role.\n\nThe purpose of this study was to evaluate and compare the results of visual functions and patient satisfaction after implantation of an extended depth of field (EDOF) IOL in cataract patients with stabilized keratoconus and without concomitant pathology.",
        "Setting": "A prospective study was conducted on the basis of the S. Fyodorov Eye Microsurgery Federal State Institution.",
        "Methods": "The study included 63 patients (63 eyes) with cataract and stabilized keratoconus after crosslinking and after implantation corneal ring segments with subsequent crosslinking. All patients underwent cataract removal surgery using a femtosecond laser with implantation of an EDOF toric IOL (32 eyes) and a monofocal toric IOL (31 eyes). IOL calculation was performed using three calculators, including the one developed at the S. F. Fedorov Eye Microsurgery Federal State Institution, which takes into account changes in the anterior and posterior surfaces of the cornea. UDVA (5 m), UNVA (33 mm) and UIVA (66 cm) were studied using tables ETDRS and an original interactive computer program for visual acuity management.",
        "Results": "The clinical and functional results of EDOF IOL implantation in patients with stabilized keratoconus (0.72±0.05) demonstrate an insignificant difference with the results of patients, wich implanted monofocal toric iol (0.85±0.04, p=0.03). At the same time, uncorrected near visual acuity (66 mm) in patients with keratoconus, who were implanted with EDOF IOL is higher (0.70±0.05) than in patients implanted monofocal toric iol (0.56±0.05). The survey results show that all values of the visual function test - 14 correspond to a high level (89±5) of subjective assessment of the achieved functional results.",
        "Conclusions": "Implantation of EDOF IOLs can improve visual functions at a distance, at an intermediate distance and at a near distance. The obtained results confirm the ability of EDOF IOLs to improve the adaptation of the patient's visual functions to non-ideal conditions. Achieving improved near vision in patients with keratoconus after implantation of edof lenses requires further study."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of EDOF IOLs can improve visual functions at a distance, at an intermediate distance and at a near distance. The obtained results confirm the ability of EDOF IOLs to improve the adaptation of the patient's visual functions to non-ideal conditions. Achieving improved near vision in patients with keratoconus after implantation of edof lenses requires further study.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 418,
      "source_fields": {
        "Abstract Final Identifier": "POCAT379",
        "Title": "Cataract Surgery In Eyes With Stabilized Keratoconus: Making It Possible To Increase The Patient Satisfaction",
        "Presenting Author(s)": "Dr Maryam Muradova",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Maryam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muradova",
        "Country Name": "Russian Federation",
        "Purpose": "Currently, patient satisfaction with the results of cataract surgery is of great importance, including in patients with stabilized keratoconus after crosslinking and after implantation corneal ring segments with subsequent crosslinking. And the choice of IOLs in these patients plays a key role.\n\nThe purpose of this study was to evaluate and compare the results of visual functions and patient satisfaction after implantation of an extended depth of field (EDOF) IOL in cataract patients with stabilized keratoconus and without concomitant pathology.",
        "Setting": "A prospective study was conducted on the basis of the S. Fyodorov Eye Microsurgery Federal State Institution.",
        "Methods": "The study included 63 patients (63 eyes) with cataract and stabilized keratoconus after crosslinking and after implantation corneal ring segments with subsequent crosslinking. All patients underwent cataract removal surgery using a femtosecond laser with implantation of an EDOF toric IOL (32 eyes) and a monofocal toric IOL (31 eyes). IOL calculation was performed using three calculators, including the one developed at the S. F. Fedorov Eye Microsurgery Federal State Institution, which takes into account changes in the anterior and posterior surfaces of the cornea. UDVA (5 m), UNVA (33 mm) and UIVA (66 cm) were studied using tables ETDRS and an original interactive computer program for visual acuity management.",
        "Results": "The clinical and functional results of EDOF IOL implantation in patients with stabilized keratoconus (0.72±0.05) demonstrate an insignificant difference with the results of patients, wich implanted monofocal toric iol (0.85±0.04, p=0.03). At the same time, uncorrected near visual acuity (66 mm) in patients with keratoconus, who were implanted with EDOF IOL is higher (0.70±0.05) than in patients implanted monofocal toric iol (0.56±0.05). The survey results show that all values of the visual function test - 14 correspond to a high level (89±5) of subjective assessment of the achieved functional results.",
        "Conclusions": "Implantation of EDOF IOLs can improve visual functions at a distance, at an intermediate distance and at a near distance. The obtained results confirm the ability of EDOF IOLs to improve the adaptation of the patient's visual functions to non-ideal conditions. Achieving improved near vision in patients with keratoconus after implantation of edof lenses requires further study."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POCAT380",
      "abstract_number": "POCAT380",
      "title": "Comparative Visual Performance Of A Refractive Extended Depth Of Focus And A Wavefront-Shaping Extended Depth Of Focus Intraocular Lens Using A Real Model Eye",
      "authors": "Dr Santaro Noguchi",
      "presenter": "Dr Santaro Noguchi",
      "normalized_authors": [
        "Santaro Noguchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Santaro Noguchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare the through-focus visual performance, contrast characteristics, and pupil-size dependency of a purely refractive extended depth of focus (EDOF) intraocular lens (IOL) (TECNIS PureSee, Johnson & Johnson Vision) and a wavefront-shaping EDOF IOL (AcrySof IQ Vivity, Alcon) using an optical bench model eye system across multiple aperture sizes.",
        "Setting": "ASUCA Eye Clinic Sendai Mark One, Sendai, Japan, and Tsukazaki Hospital, Himeji, Japan. Retrospective study approved by the institutional ethics committees of both institutions.",
        "Methods": "Both 20.0 D IOLs were mounted in a real model eye with a PMMA cornea (refractive index 1.4938, spherical aberration +0.20 µm at 6.0 mm). Defocus images of a Landolt C chart were captured from +2.0 to –4.0 D in 0.25 D steps using a CCD camera (Pentax Q10, Ricoh Imaging) at aperture sizes of 2, 3, and 4 mm. Visual acuity at each defocus level was measured by image decomposition analysis. Contrast was quantified using the Michelson contrast formula at the 0.3 logMAR target. Night scene images were captured at 5 mm aperture to assess glare profiles.",
        "Results": "At 2 mm aperture, both IOLs showed comparable defocus curves with approximately 2.5 D depth of focus (DOF) at 0.2 logMAR. PureSee demonstrated a broader DOF at logMAR 0 (1.25 D), suggesting greater refractive error tolerance. At 3 mm, PureSee exhibited superior far contrast visual acuity with a bimodal defocus profile, while Vivity showed better intermediate vision up to approximately 1 m. PureSee outperformed at near distances. At 4 mm, PureSee maintained superior far contrast with energy shift toward distance, whereas Vivity showed overall contrast reduction. Both IOLs showed limited near vision at larger apertures. Near vision was comparable at approximately –3.0 D in both groups.",
        "Conclusions": "PureSee and Vivity exhibited similar overall visual performance as non-diffractive EDOF IOLs. PureSee demonstrated advantages in far-distance contrast and refractive error tolerance, particularly under mesopic conditions with larger pupils. Vivity showed superior intermediate vision performance. Both IOLs had comparable near vision limitations. The purely refractive design of PureSee showed pupil-dependent energy redistribution toward distance at larger apertures, maintaining far contrast while Vivity showed global contrast reduction. These complementary performance profiles may guide IOL selection based on individual patient visual demands."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PureSee and Vivity exhibited similar overall visual performance as non-diffractive EDOF IOLs. PureSee demonstrated advantages in far-distance contrast and refractive error tolerance, particularly under mesopic conditions with larger pupils. Vivity showed superior intermediate vision performance. Both IOLs had comparable near vision limitations. The purely refractive design of PureSee showed pupil-dependent energy…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 419,
      "source_fields": {
        "Abstract Final Identifier": "POCAT380",
        "Title": "Comparative Visual Performance Of A Refractive Extended Depth Of Focus And A Wavefront-Shaping Extended Depth Of Focus Intraocular Lens Using A Real Model Eye",
        "Presenting Author(s)": "Dr Santaro Noguchi",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Santaro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Noguchi",
        "Country Name": "Japan",
        "Purpose": "To compare the through-focus visual performance, contrast characteristics, and pupil-size dependency of a purely refractive extended depth of focus (EDOF) intraocular lens (IOL) (TECNIS PureSee, Johnson & Johnson Vision) and a wavefront-shaping EDOF IOL (AcrySof IQ Vivity, Alcon) using an optical bench model eye system across multiple aperture sizes.",
        "Setting": "ASUCA Eye Clinic Sendai Mark One, Sendai, Japan, and Tsukazaki Hospital, Himeji, Japan. Retrospective study approved by the institutional ethics committees of both institutions.",
        "Methods": "Both 20.0 D IOLs were mounted in a real model eye with a PMMA cornea (refractive index 1.4938, spherical aberration +0.20 µm at 6.0 mm). Defocus images of a Landolt C chart were captured from +2.0 to –4.0 D in 0.25 D steps using a CCD camera (Pentax Q10, Ricoh Imaging) at aperture sizes of 2, 3, and 4 mm. Visual acuity at each defocus level was measured by image decomposition analysis. Contrast was quantified using the Michelson contrast formula at the 0.3 logMAR target. Night scene images were captured at 5 mm aperture to assess glare profiles.",
        "Results": "At 2 mm aperture, both IOLs showed comparable defocus curves with approximately 2.5 D depth of focus (DOF) at 0.2 logMAR. PureSee demonstrated a broader DOF at logMAR 0 (1.25 D), suggesting greater refractive error tolerance. At 3 mm, PureSee exhibited superior far contrast visual acuity with a bimodal defocus profile, while Vivity showed better intermediate vision up to approximately 1 m. PureSee outperformed at near distances. At 4 mm, PureSee maintained superior far contrast with energy shift toward distance, whereas Vivity showed overall contrast reduction. Both IOLs showed limited near vision at larger apertures. Near vision was comparable at approximately –3.0 D in both groups.",
        "Conclusions": "PureSee and Vivity exhibited similar overall visual performance as non-diffractive EDOF IOLs. PureSee demonstrated advantages in far-distance contrast and refractive error tolerance, particularly under mesopic conditions with larger pupils. Vivity showed superior intermediate vision performance. Both IOLs had comparable near vision limitations. The purely refractive design of PureSee showed pupil-dependent energy redistribution toward distance at larger apertures, maintaining far contrast while Vivity showed global contrast reduction. These complementary performance profiles may guide IOL selection based on individual patient visual demands."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POCAT381",
      "abstract_number": "POCAT381",
      "title": "Prospective Evaluation Of Visual And Refractive Outcomes With The Tecnis Puresee™ (Partial Dofi-Ex) Intraocular Lens",
      "authors": "Dr Alise Kalteniece",
      "presenter": "Dr Alise Kalteniece",
      "normalized_authors": [
        "Alise Kalteniece"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the visual and refractive outcomes of TECNIS PureSee™/PureSee™ toric (a newer partial depth of field extended (Partial DOFi-Ex)) intraocular lens (IOL) implanted bilaterally following refractive lensectomy.",
        "Setting": "Setting: Optegra Eye Health Care, UK",
        "Methods": "This prospective study evaluated 62 eyes (31 patients) undergoing bilateral PureSee implantation (68% toric IOLs), targeting emmetropia in all cases. Postoperative monocular and binocular logMAR uncorrected distance (UDVA),intermediate (UIVA), and near (UNVA) visual acuities, distance corrected intermediate (DCIVA) and near (DCNVA) visual acuities, and refractive accuracy were evaluated. Eyes with a reason for a guarded visual prognosis and/or less than three months follow up were excluded from analysis. Patient-reported outcomes (PROMs) were assessed using Catquest-9SF.",
        "Results": "Mean age was 72±6.80 years, 34% female, and mean follow up was 103±14 days. There were no reported operative complications. Mean monocular UDVA was 0.04±0.08, mean monocular UIVA was 0.19±0.09 and monocular UNVA was 0.38±0.16. Mean binocular UDVA was -0.02±0.06 logMAR binocular UIVA was 0.14±0.09 and binocular UNVA was 0.31±0.14. Binocular DCIVA and DCNVA were 0.12±0.10 and 0.31±0.15 respectively. Refractive accuracy was 100% of eyes within ±1.00D and 84% within ±0.50D of predicted post-operative spherical equivalent. 85% of eyes had ≤ 0.50D of residual astigmatism postoperatively. All respondents (N=20) reported improved postoperative scores in Catquest-9SF.",
        "Conclusions": "PureSee demonstrated excellent visual outcomes and refractive accuracy, for the metrics assessed. Patient-reported outcome measures using Catquest-9SF confirmed significant gains in functional vision and vision-related quality of life. Longer term evaluation of clinical and patient reported outcomes data are underway and will be reported in due course."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PureSee demonstrated excellent visual outcomes and refractive accuracy, for the metrics assessed. Patient-reported outcome measures using Catquest-9SF confirmed significant gains in functional vision and vision-related quality of life. Longer term evaluation of clinical and patient reported outcomes data are underway and will be reported in due course.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 420,
      "source_fields": {
        "Abstract Final Identifier": "POCAT381",
        "Title": "Prospective Evaluation Of Visual And Refractive Outcomes With The Tecnis Puresee™ (Partial Dofi-Ex) Intraocular Lens",
        "Presenting Author(s)": "Dr Alise Kalteniece",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To report the visual and refractive outcomes of TECNIS PureSee™/PureSee™ toric (a newer partial depth of field extended (Partial DOFi-Ex)) intraocular lens (IOL) implanted bilaterally following refractive lensectomy.",
        "Setting": "Setting: Optegra Eye Health Care, UK",
        "Methods": "This prospective study evaluated 62 eyes (31 patients) undergoing bilateral PureSee implantation (68% toric IOLs), targeting emmetropia in all cases. Postoperative monocular and binocular logMAR uncorrected distance (UDVA),intermediate (UIVA), and near (UNVA) visual acuities, distance corrected intermediate (DCIVA) and near (DCNVA) visual acuities, and refractive accuracy were evaluated. Eyes with a reason for a guarded visual prognosis and/or less than three months follow up were excluded from analysis. Patient-reported outcomes (PROMs) were assessed using Catquest-9SF.",
        "Results": "Mean age was 72±6.80 years, 34% female, and mean follow up was 103±14 days. There were no reported operative complications. Mean monocular UDVA was 0.04±0.08, mean monocular UIVA was 0.19±0.09 and monocular UNVA was 0.38±0.16. Mean binocular UDVA was -0.02±0.06 logMAR binocular UIVA was 0.14±0.09 and binocular UNVA was 0.31±0.14. Binocular DCIVA and DCNVA were 0.12±0.10 and 0.31±0.15 respectively. Refractive accuracy was 100% of eyes within ±1.00D and 84% within ±0.50D of predicted post-operative spherical equivalent. 85% of eyes had ≤ 0.50D of residual astigmatism postoperatively. All respondents (N=20) reported improved postoperative scores in Catquest-9SF.",
        "Conclusions": "PureSee demonstrated excellent visual outcomes and refractive accuracy, for the metrics assessed. Patient-reported outcome measures using Catquest-9SF confirmed significant gains in functional vision and vision-related quality of life. Longer term evaluation of clinical and patient reported outcomes data are underway and will be reported in due course."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "POCAT382",
      "abstract_number": "POCAT382",
      "title": "Long-Term Visual Function Of Glaucomatous Eyes Implanted With A Diffractive Extended Depth-Of-Field Intraocular Lens Compared With Normal Eyes",
      "authors": "Dr Yuka Ota",
      "presenter": "Dr Yuka Ota",
      "normalized_authors": [
        "Yuka Ota"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yuka Ota",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To retrospectively evaluate the long-term visual function of glaucomatous eyes implanted with an extended depth-of-field intraocular lens (EDOF IOL) compared with normal eyes implanted with an EDOF IOL.",
        "Setting": "Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital.",
        "Methods": "This retrospective study included eyes with primary open-angle glaucoma (Group G) and normal eyes (Group N), all of which were implanted with EDOF IOLs (ZXR00V, ZXW150–375; Johnson & Johnson). Eyes with corrected distance visual acuity (CDVA) ≤ 0.8 (decimal), posterior capsule opacification, corneal or retinal disease, or a history of refractive or filtration surgery were excluded. Uncorrected visual acuity (UCVA), CDVA, and photopic and mesopic contrast sensitivity with and without glare (CSV-1000) were measured.",
        "Results": "Group G consisted of 20 eyes of 20 patients (mean age, 69.8 ± 10.1 years; postoperative period, 1.5–7.3 years). The mean deviation and foveal threshold on the Humphrey Field Analyzer 30-2 were −5.0 ± 5.2 (range, +0.2 to −16.6) dB and 34.7 ± 1.8 (range, 31.0 to 38.0) dB. Group N comprised 19 eyes of 19 patients (mean age, 66.6 ± 13.6 years; postoperative period, 1.6–7.8 years; p = 0.62 and 0.15, respectively). There were no significant differences in UCVA or CDVA between the groups (p = 0.38 and 0.45). Contrast sensitivity did not differ significantly between the groups at any spatial frequency (p ≥ 0.05).",
        "Conclusions": "In the long-term postoperative period, visual function in glaucomatous eyes implanted with EDOF IOLs was comparable to that in normal eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the long-term postoperative period, visual function in glaucomatous eyes implanted with EDOF IOLs was comparable to that in normal eyes.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 421,
      "source_fields": {
        "Abstract Final Identifier": "POCAT382",
        "Title": "Long-Term Visual Function Of Glaucomatous Eyes Implanted With A Diffractive Extended Depth-Of-Field Intraocular Lens Compared With Normal Eyes",
        "Presenting Author(s)": "Dr Yuka Ota",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Yuka",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ota",
        "Country Name": "Japan",
        "Purpose": "To retrospectively evaluate the long-term visual function of glaucomatous eyes implanted with an extended depth-of-field intraocular lens (EDOF IOL) compared with normal eyes implanted with an EDOF IOL.",
        "Setting": "Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital.",
        "Methods": "This retrospective study included eyes with primary open-angle glaucoma (Group G) and normal eyes (Group N), all of which were implanted with EDOF IOLs (ZXR00V, ZXW150–375; Johnson & Johnson). Eyes with corrected distance visual acuity (CDVA) ≤ 0.8 (decimal), posterior capsule opacification, corneal or retinal disease, or a history of refractive or filtration surgery were excluded. Uncorrected visual acuity (UCVA), CDVA, and photopic and mesopic contrast sensitivity with and without glare (CSV-1000) were measured.",
        "Results": "Group G consisted of 20 eyes of 20 patients (mean age, 69.8 ± 10.1 years; postoperative period, 1.5–7.3 years). The mean deviation and foveal threshold on the Humphrey Field Analyzer 30-2 were −5.0 ± 5.2 (range, +0.2 to −16.6) dB and 34.7 ± 1.8 (range, 31.0 to 38.0) dB. Group N comprised 19 eyes of 19 patients (mean age, 66.6 ± 13.6 years; postoperative period, 1.6–7.8 years; p = 0.62 and 0.15, respectively). There were no significant differences in UCVA or CDVA between the groups (p = 0.38 and 0.45). Contrast sensitivity did not differ significantly between the groups at any spatial frequency (p ≥ 0.05).",
        "Conclusions": "In the long-term postoperative period, visual function in glaucomatous eyes implanted with EDOF IOLs was comparable to that in normal eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "POCAT383",
      "abstract_number": "POCAT383",
      "title": "Results And Visual Satisfaction Of Bilateral Acrysof® Iq Vivity® Intraocular Lens Implantation In Turkish/Mediterranean Patients",
      "authors": "Dr Mehmet Fatih Özkan",
      "presenter": "Dr Mehmet Fatih Özkan",
      "normalized_authors": [
        "Mehmet Fatih Özkan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Fatih Ozkan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the real-world visual outcomes and satisfaction of phacoemulsification and Vivity intraocular lens (IOL) implantation among Turkish/Mediterranean patients.",
        "Setting": "Yeditepe University, Medical Faculty, Department of Ophthalmology, Eye Center, Besiktas, Istanbul, Turkey.",
        "Methods": "In this retrospective study, phacoemulsification was performed in patients with bilateral senile cataracts, with implantation of a single-piece extended depth-of-focus (EDOF) intraocular lens (AcrySof IQ Vivity). The patient population was selected among patients requiring cataract surgery with no additional ocular pathology. Preoperative visit, one early postoperative evaluation within six months, and one late postoperative follow-up evaluation included uncorrected distance visual acuity (UDVA) and best-corrected visual acuity (BCVA) for near and far, slit-lamp examination, and fundus examination. Subjective parameters were assessed using the modified Catquest-9SF Questionnaire.",
        "Results": "172 eyes of 92 patients (53 males, 39 females) with a mean age of 60.94±9.7 years were included. Mean UDVA improved from 0.56±0.19 preoperatively to 0.92±0.11 at early follow-up and remained stable at 0.88±0.15 at late follow-up. Spectacle independence for near vision was achieved in 74 patients (80.4%), while the remaining patients required low-power additions (+0.75 to +1.50 D). Catquest-9SF scores (n=40) demonstrated high overall satisfaction, particularly for intermediate vision and night visual quality (p<0.001). Early complications affected 3 (1.74%) eyes (2 transient corneal edema, 1 IOL exchange due to IOL optic damage). One retinal tear was observed during the late follow-up period, managed with photocoagulation.",
        "Conclusions": "Bilateral implantation of AcrySof IQ Vivity provided favorable intermediate vision and distance visual acuity, achieving a high rate of complete spectacle independence (80.4%). Visual outcomes remained stable over a 2-year follow-up. Based on the Catquest-9SF questionnaire, patients reported high satisfaction scores, particularly in daily activities requiring intermediate focus and maintaining a high quality of vision even at night with minimal photic phenomena. These findings demonstrate that this IOL is a reliable surgical option for patients seeking reduced spectacle dependence with preserved visual quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of AcrySof IQ Vivity provided favorable intermediate vision and distance visual acuity, achieving a high rate of complete spectacle independence (80.4%). Visual outcomes remained stable over a 2-year follow-up. Based on the Catquest-9SF questionnaire, patients reported high satisfaction scores, particularly in daily activities requiring intermediate focus and maintaining a high quality of…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 422,
      "source_fields": {
        "Abstract Final Identifier": "POCAT383",
        "Title": "Results And Visual Satisfaction Of Bilateral Acrysof® Iq Vivity® Intraocular Lens Implantation In Turkish/Mediterranean Patients",
        "Presenting Author(s)": "Dr Mehmet Fatih Özkan",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mehmet Fatih",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ozkan",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the real-world visual outcomes and satisfaction of phacoemulsification and Vivity intraocular lens (IOL) implantation among Turkish/Mediterranean patients.",
        "Setting": "Yeditepe University, Medical Faculty, Department of Ophthalmology, Eye Center, Besiktas, Istanbul, Turkey.",
        "Methods": "In this retrospective study, phacoemulsification was performed in patients with bilateral senile cataracts, with implantation of a single-piece extended depth-of-focus (EDOF) intraocular lens (AcrySof IQ Vivity). The patient population was selected among patients requiring cataract surgery with no additional ocular pathology. Preoperative visit, one early postoperative evaluation within six months, and one late postoperative follow-up evaluation included uncorrected distance visual acuity (UDVA) and best-corrected visual acuity (BCVA) for near and far, slit-lamp examination, and fundus examination. Subjective parameters were assessed using the modified Catquest-9SF Questionnaire.",
        "Results": "172 eyes of 92 patients (53 males, 39 females) with a mean age of 60.94±9.7 years were included. Mean UDVA improved from 0.56±0.19 preoperatively to 0.92±0.11 at early follow-up and remained stable at 0.88±0.15 at late follow-up. Spectacle independence for near vision was achieved in 74 patients (80.4%), while the remaining patients required low-power additions (+0.75 to +1.50 D). Catquest-9SF scores (n=40) demonstrated high overall satisfaction, particularly for intermediate vision and night visual quality (p<0.001). Early complications affected 3 (1.74%) eyes (2 transient corneal edema, 1 IOL exchange due to IOL optic damage). One retinal tear was observed during the late follow-up period, managed with photocoagulation.",
        "Conclusions": "Bilateral implantation of AcrySof IQ Vivity provided favorable intermediate vision and distance visual acuity, achieving a high rate of complete spectacle independence (80.4%). Visual outcomes remained stable over a 2-year follow-up. Based on the Catquest-9SF questionnaire, patients reported high satisfaction scores, particularly in daily activities requiring intermediate focus and maintaining a high quality of vision even at night with minimal photic phenomena. These findings demonstrate that this IOL is a reliable surgical option for patients seeking reduced spectacle dependence with preserved visual quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCAT384",
      "abstract_number": "POCAT384",
      "title": "Combined Vitrectomy For Epiretinal Membrane Or Floaters And Phacoemulsification With Edof Iol Implantation. Long-Term Anatomical And Functional Results",
      "authors": "Prof. Dr Barbara Parolini",
      "presenter": "Prof. Dr Barbara Parolini",
      "normalized_authors": [
        "Barbara Parolini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Barbara Parolini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "The present study aims to report the clinical efficacy and safety of combined phacoemulsification, trifocal or extended depth-of-focus (EDOF) intraocular lens (IOL) implantation, and vitrectomy surgery for treating patients with stage 1 or 2 ERM or floaters, cataracts, and presbyopia",
        "Setting": "Combined vitrectomy and cataract extraction with implantation of premium customized IOL is uncommon and still considered controversial. The results are believed to be unpredictable. Extremely limited data are available in the literature. However, patients affected by stage 1 or 2 epiretinal membrane (ERM) or clinically significant floaters and cataract might benefit from a combined surgical approach.",
        "Methods": "A retrospective analysis was performed on two groups of p atients. Group 1 was affected by cataract and stage 1 or 2 ERM and Group 2 was affected by cataract and floaters. Both groups underwent cataract surgery with the implantation of a premium extended depth-of-focus intraocular lens (EDOF IOL) and vitrectomy. Corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), corrected near visual acuity (CNVA) and central foveal thickness (CFT) were measured before surgery and at postoperative months1, 3, 6 months and at a last follow up ranging from 1 to 4 years. Furthermore, patients were asked to answer a Quality-of-Life questionnaire and report symptoms of photic phenomena and metamorphopsia at each visit.",
        "Results": "Group 1 (G1) had 20 eyes, Group 2 (G2) 6 eyes. The follow-up ranged 12-48 m. Quality of Life questionnaire reported no visual disturbance, and spectacle independence. Target refraction was met\n\nMean IOL power was 24 D (range 6.5 to 24) in G1 and 10,5 D (range -5 to 22) in G2.\n\nMean target refraction was -0,5 D (range 0.12 to -2.5) in G1 and -0,05 D (range 0.48 to -0.15) in G2.\n\nMean preop BCVA was 0,6 decimal (range 0,9 to 0,2) in G1 and 0,6 decimal (range 0,9 to 0,2) in G2.\n\nMean preop spheq was -4,43 D (2.75 to -14.00) in G1 and -11,4 D (-0.75 to -28.00 in G2.\n\nMean UCVA at 1,3,6 and final follow up was 0,74, 0,89, 0,89, 0,9 in group 1 and 0,83, 0,87, 1, 1 in group 2.\n\nMean preop CTF was 420 µ (320 to 553 µ) in G1 and 275 µ (236 to 305 µ) in G2.",
        "Conclusions": "Combined vitrectomy for low grade ERM and floaters and cataract extraction with implantation of premium customized IOL might lead to improved distance, intermediate and near uncorrected visual acuity with high accuracy of the refractive prediction and an improved quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined vitrectomy for low grade ERM and floaters and cataract extraction with implantation of premium customized IOL might lead to improved distance, intermediate and near uncorrected visual acuity with high accuracy of the refractive prediction and an improved quality of life.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 423,
      "source_fields": {
        "Abstract Final Identifier": "POCAT384",
        "Title": "Combined Vitrectomy For Epiretinal Membrane Or Floaters And Phacoemulsification With Edof Iol Implantation. Long-Term Anatomical And Functional Results",
        "Presenting Author(s)": "Prof. Dr Barbara Parolini",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Barbara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parolini",
        "Country Name": "Italy",
        "Purpose": "The present study aims to report the clinical efficacy and safety of combined phacoemulsification, trifocal or extended depth-of-focus (EDOF) intraocular lens (IOL) implantation, and vitrectomy surgery for treating patients with stage 1 or 2 ERM or floaters, cataracts, and presbyopia",
        "Setting": "Combined vitrectomy and cataract extraction with implantation of premium customized IOL is uncommon and still considered controversial. The results are believed to be unpredictable. Extremely limited data are available in the literature. However, patients affected by stage 1 or 2 epiretinal membrane (ERM) or clinically significant floaters and cataract might benefit from a combined surgical approach.",
        "Methods": "A retrospective analysis was performed on two groups of p atients. Group 1 was affected by cataract and stage 1 or 2 ERM and Group 2 was affected by cataract and floaters. Both groups underwent cataract surgery with the implantation of a premium extended depth-of-focus intraocular lens (EDOF IOL) and vitrectomy. Corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), corrected near visual acuity (CNVA) and central foveal thickness (CFT) were measured before surgery and at postoperative months1, 3, 6 months and at a last follow up ranging from 1 to 4 years. Furthermore, patients were asked to answer a Quality-of-Life questionnaire and report symptoms of photic phenomena and metamorphopsia at each visit.",
        "Results": "Group 1 (G1) had 20 eyes, Group 2 (G2) 6 eyes. The follow-up ranged 12-48 m. Quality of Life questionnaire reported no visual disturbance, and spectacle independence. Target refraction was met\n\nMean IOL power was 24 D (range 6.5 to 24) in G1 and 10,5 D (range -5 to 22) in G2.\n\nMean target refraction was -0,5 D (range 0.12 to -2.5) in G1 and -0,05 D (range 0.48 to -0.15) in G2.\n\nMean preop BCVA was 0,6 decimal (range 0,9 to 0,2) in G1 and 0,6 decimal (range 0,9 to 0,2) in G2.\n\nMean preop spheq was -4,43 D (2.75 to -14.00) in G1 and -11,4 D (-0.75 to -28.00 in G2.\n\nMean UCVA at 1,3,6 and final follow up was 0,74, 0,89, 0,89, 0,9 in group 1 and 0,83, 0,87, 1, 1 in group 2.\n\nMean preop CTF was 420 µ (320 to 553 µ) in G1 and 275 µ (236 to 305 µ) in G2.",
        "Conclusions": "Combined vitrectomy for low grade ERM and floaters and cataract extraction with implantation of premium customized IOL might lead to improved distance, intermediate and near uncorrected visual acuity with high accuracy of the refractive prediction and an improved quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 437
    },
    {
      "uid": "POCAT385",
      "abstract_number": "POCAT385",
      "title": "Influence Of Pupil Diameter On Visual Performance Of A Non-Diffractive Extended Depth Of Focus Intraocular Lens: Puresee",
      "authors": "Dr Meltem OZGE Pehlivanoglu",
      "presenter": "Dr Meltem OZGE Pehlivanoglu",
      "normalized_authors": [
        "Meltem OZGE Pehlivanoglu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Meltem OZGE Pehlivanoglu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the effect of pupil diameter on visual performance in eyes implanted with the Puresee (Johnson & Johnson) extended depth of focus (EDOF) intraocular lens (IOL).",
        "Setting": "Koç University Hospital, Department of Ophthalmology, Istanbul, Türkiye",
        "Methods": "This prospective observational study included 54 eyes of 27 bilaterally operated patients implanted with the Puresee EDOF IOL. Photopic pupil diameter was measured using corneal topography and eyes were stratified into three groups (<3 / 3.0-3.4 / >3.4mm). Examinations were performed 6 months postoperatively. Defocus curves (+2.0 to −4.0 D) were primarily analyzed using linear mixed-effects models to account for inter-eye correlation with Bonferroni post hoc correction. Visual acuity (VA) outcomes were evaluated similarly. Contrast sensitivity (CS) was assessed under photopic and mesopic conditions, and area under the log contrast sensitivity function (AULCSF) was calculated. Statistical significance was set at p<0.05.",
        "Results": "Overall mean defocus performance did not differ among pupil-size groups (p=0.651); however a significant defocus level × pupil interaction was observed (p=0.049, η²p =0.076), indicating that pupil size influenced the shape of the defocus curve. Linear mixed model analysis demonstrated that increasing pupil diameter (range: 2.32–4.48 mm) was significantly associated with worse visual acuity at defocus levels of +2.0 D, +1.5 D, and +1.0 D (β = 0.183, 0.109, and 0.119 logMAR per 1-mm increase, p = 0.033). No significant differences were detected in other VA measures either between groups or in relation to increasing pupil diameter. CS analysis revealed no significant differences in mesopic or photopic among groups (p=0.976 and p=0.975).",
        "Conclusions": "This study demonstrates that the Puresee EDOF IOL provides comparable visual acuity at negative defocus levels as well as at far, intermediate, and near distances across different pupil size groups. These findings suggest that the lens maintains a consistent overall visual performance within this range of pupil diameters, allowing clinicians to confidently select it irrespective of pupil size."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates that the Puresee EDOF IOL provides comparable visual acuity at negative defocus levels as well as at far, intermediate, and near distances across different pupil size groups. These findings suggest that the lens maintains a consistent overall visual performance within this range of pupil diameters, allowing clinicians to confidently select it irrespective of pupil size.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 424,
      "source_fields": {
        "Abstract Final Identifier": "POCAT385",
        "Title": "Influence Of Pupil Diameter On Visual Performance Of A Non-Diffractive Extended Depth Of Focus Intraocular Lens: Puresee",
        "Presenting Author(s)": "Dr Meltem OZGE Pehlivanoglu",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Meltem",
        "Submitter Middle Name": "OZGE",
        "Submitter Last Name": "Pehlivanoglu",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the effect of pupil diameter on visual performance in eyes implanted with the Puresee (Johnson & Johnson) extended depth of focus (EDOF) intraocular lens (IOL).",
        "Setting": "Koç University Hospital, Department of Ophthalmology, Istanbul, Türkiye",
        "Methods": "This prospective observational study included 54 eyes of 27 bilaterally operated patients implanted with the Puresee EDOF IOL. Photopic pupil diameter was measured using corneal topography and eyes were stratified into three groups (<3 / 3.0-3.4 / >3.4mm). Examinations were performed 6 months postoperatively. Defocus curves (+2.0 to −4.0 D) were primarily analyzed using linear mixed-effects models to account for inter-eye correlation with Bonferroni post hoc correction. Visual acuity (VA) outcomes were evaluated similarly. Contrast sensitivity (CS) was assessed under photopic and mesopic conditions, and area under the log contrast sensitivity function (AULCSF) was calculated. Statistical significance was set at p<0.05.",
        "Results": "Overall mean defocus performance did not differ among pupil-size groups (p=0.651); however a significant defocus level × pupil interaction was observed (p=0.049, η²p =0.076), indicating that pupil size influenced the shape of the defocus curve. Linear mixed model analysis demonstrated that increasing pupil diameter (range: 2.32–4.48 mm) was significantly associated with worse visual acuity at defocus levels of +2.0 D, +1.5 D, and +1.0 D (β = 0.183, 0.109, and 0.119 logMAR per 1-mm increase, p = 0.033). No significant differences were detected in other VA measures either between groups or in relation to increasing pupil diameter. CS analysis revealed no significant differences in mesopic or photopic among groups (p=0.976 and p=0.975).",
        "Conclusions": "This study demonstrates that the Puresee EDOF IOL provides comparable visual acuity at negative defocus levels as well as at far, intermediate, and near distances across different pupil size groups. These findings suggest that the lens maintains a consistent overall visual performance within this range of pupil diameters, allowing clinicians to confidently select it irrespective of pupil size."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCAT386",
      "abstract_number": "POCAT386",
      "title": "First Clinical Outcomes Of A New Refractive Partial Range Of Field Intraocular Lens",
      "authors": "Dr David Pablo P Pinero",
      "presenter": "Dr David Pablo P Pinero",
      "normalized_authors": [
        "David Pablo P Pinero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Pablo P Pinero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the first clinical outcomes of a new purely refractive partial range of field extended intraocular lens (IOL) .",
        "Setting": "Department of Ophthalmology. Vithas Medimar International Hospital, Alicante, Spain",
        "Methods": "Fourteen eyes of 7 patients (age, 43 to 82 years old) were included in this study. All subjects underwent uneventful cataract surgery with bilateral implantation of the AIALA EDOF IOL (AJL Ophthalmic, Vitoria, Spain). Visual, refractive, and defocus curve outcomes were evaluated during the first postoperative month.",
        "Results": "Mean postoperative monocular logMAR uncorrected distance and intermediate (66 cm) visual acuity were 0.19±0.15 and 0.37±0.05, respectively. Postoperative spherical equivalent was within ±0.50 D and ±1.00 D in 86.0% and 100% of eyes, respectively. Mean postoperative monocular logMAR corrected distance and intermediate (66 cm) visual acuity were 0.08±0.10 and 0.34±0.05, respectively. Mean distance-corrected visual acuity was better than 0.20 logMAR for defocus between +1.00 and -1.50 D.",
        "Conclusions": "The purely refractive partial range of field AIALA EDOF provides good levels of distance vision, with a functional level of intermediate vision. Future studies including larger samples of patients and with longer follow-up should be conducted to confirm these preliminary outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The purely refractive partial range of field AIALA EDOF provides good levels of distance vision, with a functional level of intermediate vision. Future studies including larger samples of patients and with longer follow-up should be conducted to confirm these preliminary outcomes.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 425,
      "source_fields": {
        "Abstract Final Identifier": "POCAT386",
        "Title": "First Clinical Outcomes Of A New Refractive Partial Range Of Field Intraocular Lens",
        "Presenting Author(s)": "Dr David Pablo P Pinero",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "David Pablo",
        "Submitter Middle Name": "P",
        "Submitter Last Name": "Pinero",
        "Country Name": "Spain",
        "Purpose": "To evaluate the first clinical outcomes of a new purely refractive partial range of field extended intraocular lens (IOL) .",
        "Setting": "Department of Ophthalmology. Vithas Medimar International Hospital, Alicante, Spain",
        "Methods": "Fourteen eyes of 7 patients (age, 43 to 82 years old) were included in this study. All subjects underwent uneventful cataract surgery with bilateral implantation of the AIALA EDOF IOL (AJL Ophthalmic, Vitoria, Spain). Visual, refractive, and defocus curve outcomes were evaluated during the first postoperative month.",
        "Results": "Mean postoperative monocular logMAR uncorrected distance and intermediate (66 cm) visual acuity were 0.19±0.15 and 0.37±0.05, respectively. Postoperative spherical equivalent was within ±0.50 D and ±1.00 D in 86.0% and 100% of eyes, respectively. Mean postoperative monocular logMAR corrected distance and intermediate (66 cm) visual acuity were 0.08±0.10 and 0.34±0.05, respectively. Mean distance-corrected visual acuity was better than 0.20 logMAR for defocus between +1.00 and -1.50 D.",
        "Conclusions": "The purely refractive partial range of field AIALA EDOF provides good levels of distance vision, with a functional level of intermediate vision. Future studies including larger samples of patients and with longer follow-up should be conducted to confirm these preliminary outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 201
    },
    {
      "uid": "POCAT387",
      "abstract_number": "POCAT387",
      "title": "Real-World Outcomes Of Tecnis Puresee™ Edof Iol In Mild Ectasia-Suspect Eyes: Uncorrected Distance, Intermediate And Near Acuity With Dysphotopsia Severity And Bothersomeness",
      "authors": "Dr Brooklyn Rawlyk",
      "presenter": "Dr Brooklyn Rawlyk",
      "normalized_authors": [
        "Brooklyn Rawlyk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brooklyn Rawlyk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate uncorrected distance, intermediate and near visual acuity and patient-reported dysphotopsia (type, severity and bothersomeness) after TECNIS PureSee™ EDOF intraocular lens implantation in eyes with ectasia-suspect (mild forme-fruste keratoconus) features.",
        "Setting": "Retrospective chart review at a tertiary cataract and refractive surgery practice in Calgary, Alberta, Canada.",
        "Methods": "Retrospective chart review of adults implanted with TECNIS PureSee™ (toric or non-toric). Patients were classified as ectasia-suspect if keratoconus/forme fruste/ectasia features were documented in either eye. Outcomes were extracted from postoperative visit at postoperative day 28 or later. Monocular uncorrected distance (UCDVA), intermediate (UCIVA) and near (UCNVA) visual acuity were recorded. Dysphotopsia severity and bothersomeness for halos, glare and starburst were assessed. “Bothersome dysphotopsia” was defined as moderate-to-severe bothersomeness. Visual acuity outcomes are reported per eye; dysphotopsia outcomes per patient. Follow-up completeness is reported. Outcomes are descriptive (proportions meeting Snellen thresholds).",
        "Results": "Eleven patients (21 eyes) were included (mean age 69.4±4.8 years; 45.5% male). Toric TECNIS PureSee™ IOL was implanted in 16/21 eyes (76.2%). At postoperative day 28 or later, UCDVA was available in 20/21 eyes: 19/20 (95.0%) achieved ≥20/40, 13/20 (65.0%) ≥20/25 and 10/20 (50.0%) ≥20/20. UCIVA and UCNVA were available in 13/21 eyes each: UCIVA 12/13 (92.3%) achieved ≥20/40 and 6/13 (46.2%) ≥20/25; UCNVA 10/13 (76.9%) achieved ≥20/40 and 3/13 (23.1%) ≥20/25. Dysphotopsia assessment was available in 11/11 patients; no patient reported halos, glare or starbursts.",
        "Conclusions": "In mild ectasia-suspect eyes, TECNIS PureSee™ IOL achieved functional uncorrected distance and intermediate vision at 1-month with no reported dysphotopsia or bothersomeness; however, near/intermediate endpoint completeness was limited and should be considered when interpreting outcomes. Larger prospective studies with standardised follow-up are warranted to confirm performance in eyes with irregular corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In mild ectasia-suspect eyes, TECNIS PureSee™ IOL achieved functional uncorrected distance and intermediate vision at 1-month with no reported dysphotopsia or bothersomeness; however, near/intermediate endpoint completeness was limited and should be considered when interpreting outcomes. Larger prospective studies with standardised follow-up are warranted to confirm performance in eyes with irregular corneas.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 426,
      "source_fields": {
        "Abstract Final Identifier": "POCAT387",
        "Title": "Real-World Outcomes Of Tecnis Puresee™ Edof Iol In Mild Ectasia-Suspect Eyes: Uncorrected Distance, Intermediate And Near Acuity With Dysphotopsia Severity And Bothersomeness",
        "Presenting Author(s)": "Dr Brooklyn Rawlyk",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Brooklyn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rawlyk",
        "Country Name": "Canada",
        "Purpose": "To evaluate uncorrected distance, intermediate and near visual acuity and patient-reported dysphotopsia (type, severity and bothersomeness) after TECNIS PureSee™ EDOF intraocular lens implantation in eyes with ectasia-suspect (mild forme-fruste keratoconus) features.",
        "Setting": "Retrospective chart review at a tertiary cataract and refractive surgery practice in Calgary, Alberta, Canada.",
        "Methods": "Retrospective chart review of adults implanted with TECNIS PureSee™ (toric or non-toric). Patients were classified as ectasia-suspect if keratoconus/forme fruste/ectasia features were documented in either eye. Outcomes were extracted from postoperative visit at postoperative day 28 or later. Monocular uncorrected distance (UCDVA), intermediate (UCIVA) and near (UCNVA) visual acuity were recorded. Dysphotopsia severity and bothersomeness for halos, glare and starburst were assessed. “Bothersome dysphotopsia” was defined as moderate-to-severe bothersomeness. Visual acuity outcomes are reported per eye; dysphotopsia outcomes per patient. Follow-up completeness is reported. Outcomes are descriptive (proportions meeting Snellen thresholds).",
        "Results": "Eleven patients (21 eyes) were included (mean age 69.4±4.8 years; 45.5% male). Toric TECNIS PureSee™ IOL was implanted in 16/21 eyes (76.2%). At postoperative day 28 or later, UCDVA was available in 20/21 eyes: 19/20 (95.0%) achieved ≥20/40, 13/20 (65.0%) ≥20/25 and 10/20 (50.0%) ≥20/20. UCIVA and UCNVA were available in 13/21 eyes each: UCIVA 12/13 (92.3%) achieved ≥20/40 and 6/13 (46.2%) ≥20/25; UCNVA 10/13 (76.9%) achieved ≥20/40 and 3/13 (23.1%) ≥20/25. Dysphotopsia assessment was available in 11/11 patients; no patient reported halos, glare or starbursts.",
        "Conclusions": "In mild ectasia-suspect eyes, TECNIS PureSee™ IOL achieved functional uncorrected distance and intermediate vision at 1-month with no reported dysphotopsia or bothersomeness; however, near/intermediate endpoint completeness was limited and should be considered when interpreting outcomes. Larger prospective studies with standardised follow-up are warranted to confirm performance in eyes with irregular corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCAT388",
      "abstract_number": "POCAT388",
      "title": "Real-World Outcomes Of Tecnis Puresee™ Edof Iol In Post–Laser Vision Correction Eyes: Uncorrected Distance, Intermediate And Near Acuity With Dysphotopsia Severity And Bothersomeness",
      "authors": "Dr Brooklyn Rawlyk",
      "presenter": "Dr Brooklyn Rawlyk",
      "normalized_authors": [
        "Brooklyn Rawlyk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brooklyn Rawlyk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate uncorrected distance, intermediate and near visual acuity and patient-reported dysphotopsia (type, severity and bothersomeness) after TECNIS PureSee™ extended depth of focus (EDOF) intraocular lens implantation in eyes with prior laser vision correction.",
        "Setting": "Retrospective chart review at a tertiary cataract and refractive surgery practice in Calgary, Alberta, Canada.",
        "Methods": "Retrospective chart review of adults implanted with TECNIS PureSee™ (toric/non-toric). Patients were classified as post–laser vision correction (LVC) if previous LASIK/PRK/refractive surgery was documented. Outcomes were extracted from postoperative visit day ≥28. Monocular uncorrected distance (UCDVA), intermediate (UCIVA) and near (UCNVA) visual acuity were recorded. Dysphotopsia (halos, glare, starburst) and bothersomeness were assessed; bothersome dysphotopsia was defined as moderate-to-severe bothersomeness. Visual acuity outcomes are reported per eye; dysphotopsia per patient. Follow-up completeness is reported. Outcomes are descriptive (proportions meeting Snellen thresholds).",
        "Results": "Nineteen patients (32 eyes) were included (mean age 64.4±5.7 years; 63.2% male). Toric PureSee was implanted in 19/32 eyes (59.4%). At postoperative day 28 or later, UCDVA was available in 31/32 eyes: 29/31 (93.5%) achieved ≥20/40, 24/31 (77.4%) ≥20/25 and 13/31 (41.9%) ≥20/20. UCIVA and UCNVA were available in 28/32 eyes each: UCIVA 26/28 (92.9%) achieved ≥20/40 and 16/28 (57.1%) ≥20/25; UCNVA 20/28 (71.4%) achieved ≥20/40 and 5/28 (17.9%) ≥20/25. Dysphotopsia assessment was available in 18/19 patients: bothersome dysphotopsia (moderate-to-severe) occurred in 2/18 (11.1%) (halos 3/18; glare 2/18; starburst 0/18).",
        "Conclusions": "In post-LVC eyes, TECNIS PureSee™ provided strong uncorrected distance and intermediate acuity with functional near acuity at ≥1 month, with a low rate of dysphotopsia that were not classified as bothersome. These findings support PureSee™ as a presbyopia-mitigating IOL option for post-refractive patients, a group in whom tolerance to residual refractive error and minimising photic phenomena are clinically important."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In post-LVC eyes, TECNIS PureSee™ provided strong uncorrected distance and intermediate acuity with functional near acuity at ≥1 month, with a low rate of dysphotopsia that were not classified as bothersome. These findings support PureSee™ as a presbyopia-mitigating IOL option for post-refractive patients, a group in whom tolerance to residual refractive error and minimising photic phenomena are clinically important.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 427,
      "source_fields": {
        "Abstract Final Identifier": "POCAT388",
        "Title": "Real-World Outcomes Of Tecnis Puresee™ Edof Iol In Post–Laser Vision Correction Eyes: Uncorrected Distance, Intermediate And Near Acuity With Dysphotopsia Severity And Bothersomeness",
        "Presenting Author(s)": "Dr Brooklyn Rawlyk",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Brooklyn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rawlyk",
        "Country Name": "Canada",
        "Purpose": "To evaluate uncorrected distance, intermediate and near visual acuity and patient-reported dysphotopsia (type, severity and bothersomeness) after TECNIS PureSee™ extended depth of focus (EDOF) intraocular lens implantation in eyes with prior laser vision correction.",
        "Setting": "Retrospective chart review at a tertiary cataract and refractive surgery practice in Calgary, Alberta, Canada.",
        "Methods": "Retrospective chart review of adults implanted with TECNIS PureSee™ (toric/non-toric). Patients were classified as post–laser vision correction (LVC) if previous LASIK/PRK/refractive surgery was documented. Outcomes were extracted from postoperative visit day ≥28. Monocular uncorrected distance (UCDVA), intermediate (UCIVA) and near (UCNVA) visual acuity were recorded. Dysphotopsia (halos, glare, starburst) and bothersomeness were assessed; bothersome dysphotopsia was defined as moderate-to-severe bothersomeness. Visual acuity outcomes are reported per eye; dysphotopsia per patient. Follow-up completeness is reported. Outcomes are descriptive (proportions meeting Snellen thresholds).",
        "Results": "Nineteen patients (32 eyes) were included (mean age 64.4±5.7 years; 63.2% male). Toric PureSee was implanted in 19/32 eyes (59.4%). At postoperative day 28 or later, UCDVA was available in 31/32 eyes: 29/31 (93.5%) achieved ≥20/40, 24/31 (77.4%) ≥20/25 and 13/31 (41.9%) ≥20/20. UCIVA and UCNVA were available in 28/32 eyes each: UCIVA 26/28 (92.9%) achieved ≥20/40 and 16/28 (57.1%) ≥20/25; UCNVA 20/28 (71.4%) achieved ≥20/40 and 5/28 (17.9%) ≥20/25. Dysphotopsia assessment was available in 18/19 patients: bothersome dysphotopsia (moderate-to-severe) occurred in 2/18 (11.1%) (halos 3/18; glare 2/18; starburst 0/18).",
        "Conclusions": "In post-LVC eyes, TECNIS PureSee™ provided strong uncorrected distance and intermediate acuity with functional near acuity at ≥1 month, with a low rate of dysphotopsia that were not classified as bothersome. These findings support PureSee™ as a presbyopia-mitigating IOL option for post-refractive patients, a group in whom tolerance to residual refractive error and minimising photic phenomena are clinically important."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "POCAT389",
      "abstract_number": "POCAT389",
      "title": "Visual Performance And Patient-Reported Outcomes With Inverted Meniscus Full-Range Iols (Artiols®)",
      "authors": "Lucía Ibarra",
      "presenter": "Lucía Ibarra",
      "normalized_authors": [
        "Lucía Ibarra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Consuelo Robles",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The aim was to evaluate the visual acuity at different distances, visual function and vision-related quality of life in patients who received two inverted meniscus refractive Simultaneous Vision IOLs, EDF ArtIOLs®40 and FVR ArtIOLs®70 (ArtIOLs, Voptica SL, Murcia, Spain). The inverted meniscus design improves the peripheral optics performance and the induction of low (ArtIOLs®40), and moderate (ArtIOLs®70) negative spherical aberration increases the depth of focus.",
        "Setting": "Oftalvist Murcia, Spain",
        "Methods": "49 patients were implanted bilaterally with ArtIOLs®40 and ArtIOLs®70, aiming to provide full range of vision. Postoperative spherical equivalent (SE), along with monocular and binocular best-corrected (BCVA) and uncorrected visual acuity (UCVA), were evaluated at distance, intermediate (66 cm), and near (40 cm). Measurements were taken using SLOAN charts under mesopic conditions. Vision-related quality of life was evaluated in 15 patients with the CatQuest-9SF Questionnaire.",
        "Results": "Monocular BCVA with ArtIOLs®40 was −0.08 at far, 0.13 at intermediate, and 0.38 logMAR at near, while for ArtIOLs®70 was −0.08, 0.03 and 0.23 logMAR, respectively. Binocular BCVA reached −0.08, 0.01, and 0.19 logMAR. SE was -0.18±0.24D for ArtIOLs®40 and -0.60±0.24D for ArtIOLs®70. Monocular UCVA for ArtIOLs®40 was −0.05 at far, 0.10 at intermediate, and 0.36 logMAR at near, while for ArtIOLs®70 it was 0.02, −0.01, and 0.13 logMAR at the same distances. Binocular UCVA was 0.10 logMAR or better across all distances. Regarding patient-reported outcomes, 80% of patients experienced no difficulties in daily activities, and 100% reported being very or fairly satisfied with their visual quality.",
        "Conclusions": "Bilateral implantation of ArtIOLs®40 (EDF) and ArtIOLs®70 (FVR) provided excellent visual acuity throughout the full range of vision, from distance to near. These outcomes translated into high levels of patient-reported satisfaction and favorable perceived quality of vision. These findings indicate ArtIOLs® are a reliable solution for patients seeking full range of vision with high quality of visual performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of ArtIOLs®40 (EDF) and ArtIOLs®70 (FVR) provided excellent visual acuity throughout the full range of vision, from distance to near. These outcomes translated into high levels of patient-reported satisfaction and favorable perceived quality of vision. These findings indicate ArtIOLs® are a reliable solution for patients seeking full range of vision with high quality of visual performance.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 428,
      "source_fields": {
        "Abstract Final Identifier": "POCAT389",
        "Title": "Visual Performance And Patient-Reported Outcomes With Inverted Meniscus Full-Range Iols (Artiols®)",
        "Presenting Author(s)": "Lucía Ibarra",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Consuelo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Robles",
        "Country Name": "Spain",
        "Purpose": "The aim was to evaluate the visual acuity at different distances, visual function and vision-related quality of life in patients who received two inverted meniscus refractive Simultaneous Vision IOLs, EDF ArtIOLs®40 and FVR ArtIOLs®70 (ArtIOLs, Voptica SL, Murcia, Spain). The inverted meniscus design improves the peripheral optics performance and the induction of low (ArtIOLs®40), and moderate (ArtIOLs®70) negative spherical aberration increases the depth of focus.",
        "Setting": "Oftalvist Murcia, Spain",
        "Methods": "49 patients were implanted bilaterally with ArtIOLs®40 and ArtIOLs®70, aiming to provide full range of vision. Postoperative spherical equivalent (SE), along with monocular and binocular best-corrected (BCVA) and uncorrected visual acuity (UCVA), were evaluated at distance, intermediate (66 cm), and near (40 cm). Measurements were taken using SLOAN charts under mesopic conditions. Vision-related quality of life was evaluated in 15 patients with the CatQuest-9SF Questionnaire.",
        "Results": "Monocular BCVA with ArtIOLs®40 was −0.08 at far, 0.13 at intermediate, and 0.38 logMAR at near, while for ArtIOLs®70 was −0.08, 0.03 and 0.23 logMAR, respectively. Binocular BCVA reached −0.08, 0.01, and 0.19 logMAR. SE was -0.18±0.24D for ArtIOLs®40 and -0.60±0.24D for ArtIOLs®70. Monocular UCVA for ArtIOLs®40 was −0.05 at far, 0.10 at intermediate, and 0.36 logMAR at near, while for ArtIOLs®70 it was 0.02, −0.01, and 0.13 logMAR at the same distances. Binocular UCVA was 0.10 logMAR or better across all distances. Regarding patient-reported outcomes, 80% of patients experienced no difficulties in daily activities, and 100% reported being very or fairly satisfied with their visual quality.",
        "Conclusions": "Bilateral implantation of ArtIOLs®40 (EDF) and ArtIOLs®70 (FVR) provided excellent visual acuity throughout the full range of vision, from distance to near. These outcomes translated into high levels of patient-reported satisfaction and favorable perceived quality of vision. These findings indicate ArtIOLs® are a reliable solution for patients seeking full range of vision with high quality of visual performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCAT390",
      "abstract_number": "POCAT390",
      "title": "Inverted Meniscus Artiols®: Visual Performance And Functional Classification",
      "authors": "Ms Lucía Ibarra",
      "presenter": "Ms Lucía Ibarra",
      "normalized_authors": [
        "Lucía Ibarra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Consuelo Robles",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the visual performance and defocus profile of the first inverted meniscus family of intraocular lenses (ArtIOLs25®, ArtIOLs40® and ArtIOLs70®), and to position each model within a contemporary clinical classification of simultaneous‑vision IOLs based on objectively measurable clinical outcomes. The inverted meniscus design aims to improve peripheral optics while maintaining high-quality central vision and increasing depth of focus through negative spherical aberration.",
        "Setting": "Oftalvist Murcia, Spain",
        "Methods": "ArtIOLs® (Voptica S.L.) are aspheric, refractive inverted meniscus IOLs engineered with negative spherical aberration to extend depth of focus. Clinical performance was assessed in 257 eyes implanted with ArtIOLs25®, ArtIOLs40® or ArtIOLs70®. Monocular best‑corrected defocus curves were obtained, and Depth of Field (DoFi) was defined as the dioptric range over which visual acuity remained ≤0.20 LogMAR. DoFi and distance‑, intermediate‑, and near‑corrected visual acuities (DCVA, DCIVA, DCNVA) were used to assign each model to a functional vision category within the Functional Vision Framework as Partial Depth of Field - PDoF: Narrow, Enhanced, Extended and Full Depth of Field -- FDoF: Steep, Smooth, Continuous.",
        "Results": "ArtIOLs25® (n=45) monocular best corrected defocus curve showed a visual acuity ≤0.20 logMAR across 1.40 D, corresponding with the PDoF- Enhanced range and provided improved intermediate vision (DCIVA 0.29 logMAR) while preserving excellent distance vision (DCVA 0.00 LogMAR). ArtIOLs40® (n=101) reached a DoFi of 1.65 D, meeting the criteria for PDoFi-Extended category with visual acuities of DCVA −0.05, DCIVA 0.12, and DCNVA 0.36 LogMAR, indicating functional extension towards near. ArtIOLs70® (n=101), achieved a DoFi of 2.35 D, consistent with FDoFi-Continuous performance, and delivered high visual acuity outcomes across all distances (DCVA −0.04, DCIVA 0.03, and DCNVA 0.20 LogMAR).",
        "Conclusions": "The ArtIOLs® inverted meniscus family demonstrates a progressive expansion of functional vision across models, with consistent simultaneous‑vision performance over the range of focus. ArtIOLs25® (PDoF‑Enhanced) enhances intermediate vision while maintaining excellent distance acuity, ArtIOLs40® (PDoF‑Extended) further broadens the functional range toward near, and ArtIOLs70® (FDoF‑Continuous) provides full‑range, high‑quality vision at distance, intermediate and near, supporting a high degree of spectacle independence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The ArtIOLs® inverted meniscus family demonstrates a progressive expansion of functional vision across models, with consistent simultaneous‑vision performance over the range of focus. ArtIOLs25® (PDoF‑Enhanced) enhances intermediate vision while maintaining excellent distance acuity, ArtIOLs40® (PDoF‑Extended) further broadens the functional range toward near, and ArtIOLs70® (FDoF‑Continuous) provides full‑range,…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 429,
      "source_fields": {
        "Abstract Final Identifier": "POCAT390",
        "Title": "Inverted Meniscus Artiols®: Visual Performance And Functional Classification",
        "Presenting Author(s)": "Ms Lucía Ibarra",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Consuelo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Robles",
        "Country Name": "Spain",
        "Purpose": "To evaluate the visual performance and defocus profile of the first inverted meniscus family of intraocular lenses (ArtIOLs25®, ArtIOLs40® and ArtIOLs70®), and to position each model within a contemporary clinical classification of simultaneous‑vision IOLs based on objectively measurable clinical outcomes. The inverted meniscus design aims to improve peripheral optics while maintaining high-quality central vision and increasing depth of focus through negative spherical aberration.",
        "Setting": "Oftalvist Murcia, Spain",
        "Methods": "ArtIOLs® (Voptica S.L.) are aspheric, refractive inverted meniscus IOLs engineered with negative spherical aberration to extend depth of focus. Clinical performance was assessed in 257 eyes implanted with ArtIOLs25®, ArtIOLs40® or ArtIOLs70®. Monocular best‑corrected defocus curves were obtained, and Depth of Field (DoFi) was defined as the dioptric range over which visual acuity remained ≤0.20 LogMAR. DoFi and distance‑, intermediate‑, and near‑corrected visual acuities (DCVA, DCIVA, DCNVA) were used to assign each model to a functional vision category within the Functional Vision Framework as Partial Depth of Field - PDoF: Narrow, Enhanced, Extended and Full Depth of Field -- FDoF: Steep, Smooth, Continuous.",
        "Results": "ArtIOLs25® (n=45) monocular best corrected defocus curve showed a visual acuity ≤0.20 logMAR across 1.40 D, corresponding with the PDoF- Enhanced range and provided improved intermediate vision (DCIVA 0.29 logMAR) while preserving excellent distance vision (DCVA 0.00 LogMAR). ArtIOLs40® (n=101) reached a DoFi of 1.65 D, meeting the criteria for PDoFi-Extended category with visual acuities of DCVA −0.05, DCIVA 0.12, and DCNVA 0.36 LogMAR, indicating functional extension towards near. ArtIOLs70® (n=101), achieved a DoFi of 2.35 D, consistent with FDoFi-Continuous performance, and delivered high visual acuity outcomes across all distances (DCVA −0.04, DCIVA 0.03, and DCNVA 0.20 LogMAR).",
        "Conclusions": "The ArtIOLs® inverted meniscus family demonstrates a progressive expansion of functional vision across models, with consistent simultaneous‑vision performance over the range of focus. ArtIOLs25® (PDoF‑Enhanced) enhances intermediate vision while maintaining excellent distance acuity, ArtIOLs40® (PDoF‑Extended) further broadens the functional range toward near, and ArtIOLs70® (FDoF‑Continuous) provides full‑range, high‑quality vision at distance, intermediate and near, supporting a high degree of spectacle independence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "POCAT391",
      "abstract_number": "POCAT391",
      "title": "Efficacy, Safety And Predictability Of A Biaspheric Extended Depth Of Focus Intraocular Lens In Glaucoma Patients",
      "authors": "Dr Ignacio Rodriguez-Una",
      "presenter": "Dr Ignacio Rodriguez-Una",
      "normalized_authors": [
        "Ignacio Rodriguez-Una"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ignacio Rodriguez-Una",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate visual outcomes, refractive predictability, and safety of a biaspheric extended depth of focus (EDOF) intraocular lens (IOL) in patients with mild to moderate glaucoma undergoing cataract surgery.",
        "Setting": "Fernandez-Vega Institute, Spain.",
        "Methods": "A retrospective study including glaucoma patients who underwent phacoemulsification with implantation of an Asqelio™ EDOF IOL (AST VisionCare Inc., USA). Eyes with previous glaucoma surgery were excluded. Preoperative and 6-month postoperative assessments included refraction, uncorrected and corrected distance visual acuity (UDVA, CDVA), intraocular pressure (IOP), number of topical hypotensive medications, and visual field mean deviation (MD).",
        "Results": "Thirty-seven eyes of 24 patients (mean age 68.1±7.1 years) were analyzed. Glaucoma was mild in 84% and moderate in 16% of eyes; 57% underwent combined minimally invasive glaucoma surgery (MIGS). Mean spherical equivalent improved from -0.35±2.08 D preoperatively to -0.03±0.42 D postoperatively. UDVA and CDVA improved from 0.43±0.29 and 0.84±0.25 to 0.80±0.23 and 0.94±0.12, respectively (p<0.01). Efficacy and safety indices were 1.0 and 1.1. Predictability showed 89% of eyes within ±0.50 D. Mean IOP decreased from 18.8±7.8 to 14.3±3.4 mmHg (p<0.05), with no visual field progression. Topical hypotensive medications decreased from 1.7±1.1 to 0.6±0.9.",
        "Conclusions": "Implantation of this biaspheric EDOF IOL with a posterior-surface phase-ring design provided good visual performance, refractive predictability, and safety in selected glaucoma patients, with satisfactory IOP control and stable visual fields. This IOL may be considered in mild to moderate glaucoma, particularly when combined with MIGS."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of this biaspheric EDOF IOL with a posterior-surface phase-ring design provided good visual performance, refractive predictability, and safety in selected glaucoma patients, with satisfactory IOP control and stable visual fields. This IOL may be considered in mild to moderate glaucoma, particularly when combined with MIGS.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 430,
      "source_fields": {
        "Abstract Final Identifier": "POCAT391",
        "Title": "Efficacy, Safety And Predictability Of A Biaspheric Extended Depth Of Focus Intraocular Lens In Glaucoma Patients",
        "Presenting Author(s)": "Dr Ignacio Rodriguez-Una",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Ignacio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodriguez-Una",
        "Country Name": "Spain",
        "Purpose": "To evaluate visual outcomes, refractive predictability, and safety of a biaspheric extended depth of focus (EDOF) intraocular lens (IOL) in patients with mild to moderate glaucoma undergoing cataract surgery.",
        "Setting": "Fernandez-Vega Institute, Spain.",
        "Methods": "A retrospective study including glaucoma patients who underwent phacoemulsification with implantation of an Asqelio™ EDOF IOL (AST VisionCare Inc., USA). Eyes with previous glaucoma surgery were excluded. Preoperative and 6-month postoperative assessments included refraction, uncorrected and corrected distance visual acuity (UDVA, CDVA), intraocular pressure (IOP), number of topical hypotensive medications, and visual field mean deviation (MD).",
        "Results": "Thirty-seven eyes of 24 patients (mean age 68.1±7.1 years) were analyzed. Glaucoma was mild in 84% and moderate in 16% of eyes; 57% underwent combined minimally invasive glaucoma surgery (MIGS). Mean spherical equivalent improved from -0.35±2.08 D preoperatively to -0.03±0.42 D postoperatively. UDVA and CDVA improved from 0.43±0.29 and 0.84±0.25 to 0.80±0.23 and 0.94±0.12, respectively (p<0.01). Efficacy and safety indices were 1.0 and 1.1. Predictability showed 89% of eyes within ±0.50 D. Mean IOP decreased from 18.8±7.8 to 14.3±3.4 mmHg (p<0.05), with no visual field progression. Topical hypotensive medications decreased from 1.7±1.1 to 0.6±0.9.",
        "Conclusions": "Implantation of this biaspheric EDOF IOL with a posterior-surface phase-ring design provided good visual performance, refractive predictability, and safety in selected glaucoma patients, with satisfactory IOP control and stable visual fields. This IOL may be considered in mild to moderate glaucoma, particularly when combined with MIGS."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POCAT392",
      "abstract_number": "POCAT392",
      "title": "Comparison Of Visual Performances After Implantation Of The Same Edof Iol Made Of Different Hydrophobic Acrylic Material",
      "authors": "Dr Pascal Rozot",
      "presenter": "Dr Pascal Rozot",
      "normalized_authors": [
        "Pascal Rozot"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pascal Rozot",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare visual outcomes and contrast sensitivity of 2 refractive Extended Depth of Focus (EDOF) PC-IOL with the same optical and design platform, but made a different hydrophobic acrylic material: the Acrysof Vivity and the Clareon (glistening-free)Vivity.",
        "Setting": "Clinique Juge, Marseille, France",
        "Methods": "Retrospective observational, study with 6 months follow-up. 50 eyes of 38 patients (70.0 ± 5.9 years-old) implanted with the toric or non-toric Vivity Clareon IOL and 100 eyes of 82 patients (71.2 ± 8.3 years-old) implanted with the toric or non-toric version Vivity Acrysof IOL were evaluated. Monocular and binocular uncorrected (UCVA) and corrected (CDVA) distance visual acuity; binocular uncorrected intermediate (UIVA at 66 cm) and near (UNVA at 40 cm) visual acuity; contrast sensitivity was evaluated with the ETDRS charts at contrasts 100%, 25% and 9%; photic effects and patient satisfaction were also assessed.",
        "Results": "MRSE for the Clareon Vivity / Acrysof Vivity were respectively, -0.21 ± 0.30 D / -0,23 ± 0.49 D. Mean monocular distance logMAR UDVA and CDVA ,0.06 ± 0.15 / 0.09 ± 0.12 and 0.00 ± 0.02 / 0.07 ± 0.02.; mean IVA with correction for far was 0.04 ± 0.12 / 0.22 ± 0.14; mean NVA with correction for far was was 0.12 ± 0.06 / 0.22 ± 0.18. The ETDRS contrast sensitivity at 100%, was respectively, -0,03 ± 0.09 / -0,06 ± 0.22; at 25 % : 0,11 ± 0.09 / 0,10 ± 0.09; at 9% : 0,30 ± 0.13 / 0,31 ± 0.08.",
        "Conclusions": "The precise comparison of the same platform of the 2 EDOF IOLs made of a different hydrophobic material material showed comparable refractive outcomes, visual performance, and satisfaction with overall vision without glasses in patients implanted with either the Acrysof or the Clarion models of the Vivity EDOF IOL. Contrast sensitivity did not differ at 6 months but should be reevaluated at a longer follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The precise comparison of the same platform of the 2 EDOF IOLs made of a different hydrophobic material material showed comparable refractive outcomes, visual performance, and satisfaction with overall vision without glasses in patients implanted with either the Acrysof or the Clarion models of the Vivity EDOF IOL. Contrast sensitivity did not differ at 6 months but should be reevaluated at a longer follow-up.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 431,
      "source_fields": {
        "Abstract Final Identifier": "POCAT392",
        "Title": "Comparison Of Visual Performances After Implantation Of The Same Edof Iol Made Of Different Hydrophobic Acrylic Material",
        "Presenting Author(s)": "Dr Pascal Rozot",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Pascal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rozot",
        "Country Name": "France",
        "Purpose": "To compare visual outcomes and contrast sensitivity of 2 refractive Extended Depth of Focus (EDOF) PC-IOL with the same optical and design platform, but made a different hydrophobic acrylic material: the Acrysof Vivity and the Clareon (glistening-free)Vivity.",
        "Setting": "Clinique Juge, Marseille, France",
        "Methods": "Retrospective observational, study with 6 months follow-up. 50 eyes of 38 patients (70.0 ± 5.9 years-old) implanted with the toric or non-toric Vivity Clareon IOL and 100 eyes of 82 patients (71.2 ± 8.3 years-old) implanted with the toric or non-toric version Vivity Acrysof IOL were evaluated. Monocular and binocular uncorrected (UCVA) and corrected (CDVA) distance visual acuity; binocular uncorrected intermediate (UIVA at 66 cm) and near (UNVA at 40 cm) visual acuity; contrast sensitivity was evaluated with the ETDRS charts at contrasts 100%, 25% and 9%; photic effects and patient satisfaction were also assessed.",
        "Results": "MRSE for the Clareon Vivity / Acrysof Vivity were respectively, -0.21 ± 0.30 D / -0,23 ± 0.49 D. Mean monocular distance logMAR UDVA and CDVA ,0.06 ± 0.15 / 0.09 ± 0.12 and 0.00 ± 0.02 / 0.07 ± 0.02.; mean IVA with correction for far was 0.04 ± 0.12 / 0.22 ± 0.14; mean NVA with correction for far was was 0.12 ± 0.06 / 0.22 ± 0.18. The ETDRS contrast sensitivity at 100%, was respectively, -0,03 ± 0.09 / -0,06 ± 0.22; at 25 % : 0,11 ± 0.09 / 0,10 ± 0.09; at 9% : 0,30 ± 0.13 / 0,31 ± 0.08.",
        "Conclusions": "The precise comparison of the same platform of the 2 EDOF IOLs made of a different hydrophobic material material showed comparable refractive outcomes, visual performance, and satisfaction with overall vision without glasses in patients implanted with either the Acrysof or the Clarion models of the Vivity EDOF IOL. Contrast sensitivity did not differ at 6 months but should be reevaluated at a longer follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCAT393",
      "abstract_number": "POCAT393",
      "title": "Comparison Of Visual And Refractive Outcomes After Implantation Of The Toric And Non-Toric Version Of A Purely Refractive Edof Iol",
      "authors": "Dr Pascal Rozot",
      "presenter": "Dr Pascal Rozot",
      "normalized_authors": [
        "Pascal Rozot"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pascal Rozot",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare real-world visual and refractive outcomes of the toric and non-toric model of the same purely refractive Extended Depth of Focus (EDOF) PCIOL TECNIS PureSee.",
        "Setting": "Data from 18 investigational sites in Europe and Asia-Pacific.",
        "Methods": "This is a multicentre, observational, single-arm, single-visit study with three months follow up. postoperatively 64 subjects (66.3 ± 8.69 years) bilaterally implanted with TECNIS PureSee Toric IOLs and 179 subjects (64.2 ± 9.37 years) bilaterally implanted with the non-toric version of the same IOL were evaluated. Monocular and binocular uncorrected (UCVA) and corrected (CDVA) distance visual acuity; binocular uncorrected intermediate (UIVA at 66 cm) and near (UNVA at 40 cm) visual acuity; manifest refraction spherical equivalent (MRSE) and cylinder; and patient satisfaction without glasses were assessed.",
        "Results": "Postoperatively, the results for the toric /non-toric respectively were, for MRSE s -0.11 ± 0.39 D / 0.01 ± 0.4 D, manifest cylinder -0.34 ± 0.34 / -0.30 ± 0.32D and mean monocular distance logMAR UDVA and CDVA ,0.04 ± 0.13 / 0.04 ± 0.10 and -0.04 ± 0.08 / -0.02 ± 0.07. Binocularly, 92% / 87% of patients achieved UDVA of ≤0.0 logMAR (mean -0.04 ± 0.08 / -0.01 ± 0.09), and 98% / 97% achieved CDVA of ≤0.0 LogMAR (mean -0.07 ± 0.07 / -0.05 ± 0.07); UIVA was 0.13 ± 0.12 / 0.12 ± 0.11, with 84% /89% achieving UIVA of ≤0.2 LogMAR, and mean UNVA was 0.29 ± 0.12 / 0.24 ± 0.18 (73% in each group achieving UNVA of ≤0.3 LogMAR). 94% / 93% were “mostly” or “completely” satisfied with overall vision without glasses.",
        "Conclusions": "This real‑world evidence demonstrates comparable refractive outcomes, visual performance, and satisfaction with overall vision without glasses in patients implanted with either the toric or non‑toric models of the TECNIS PureSee EDOF IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This real‑world evidence demonstrates comparable refractive outcomes, visual performance, and satisfaction with overall vision without glasses in patients implanted with either the toric or non‑toric models of the TECNIS PureSee EDOF IOL.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 432,
      "source_fields": {
        "Abstract Final Identifier": "POCAT393",
        "Title": "Comparison Of Visual And Refractive Outcomes After Implantation Of The Toric And Non-Toric Version Of A Purely Refractive Edof Iol",
        "Presenting Author(s)": "Dr Pascal Rozot",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Pascal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rozot",
        "Country Name": "France",
        "Purpose": "To compare real-world visual and refractive outcomes of the toric and non-toric model of the same purely refractive Extended Depth of Focus (EDOF) PCIOL TECNIS PureSee.",
        "Setting": "Data from 18 investigational sites in Europe and Asia-Pacific.",
        "Methods": "This is a multicentre, observational, single-arm, single-visit study with three months follow up. postoperatively 64 subjects (66.3 ± 8.69 years) bilaterally implanted with TECNIS PureSee Toric IOLs and 179 subjects (64.2 ± 9.37 years) bilaterally implanted with the non-toric version of the same IOL were evaluated. Monocular and binocular uncorrected (UCVA) and corrected (CDVA) distance visual acuity; binocular uncorrected intermediate (UIVA at 66 cm) and near (UNVA at 40 cm) visual acuity; manifest refraction spherical equivalent (MRSE) and cylinder; and patient satisfaction without glasses were assessed.",
        "Results": "Postoperatively, the results for the toric /non-toric respectively were, for MRSE s -0.11 ± 0.39 D / 0.01 ± 0.4 D, manifest cylinder -0.34 ± 0.34 / -0.30 ± 0.32D and mean monocular distance logMAR UDVA and CDVA ,0.04 ± 0.13 / 0.04 ± 0.10 and -0.04 ± 0.08 / -0.02 ± 0.07. Binocularly, 92% / 87% of patients achieved UDVA of ≤0.0 logMAR (mean -0.04 ± 0.08 / -0.01 ± 0.09), and 98% / 97% achieved CDVA of ≤0.0 LogMAR (mean -0.07 ± 0.07 / -0.05 ± 0.07); UIVA was 0.13 ± 0.12 / 0.12 ± 0.11, with 84% /89% achieving UIVA of ≤0.2 LogMAR, and mean UNVA was 0.29 ± 0.12 / 0.24 ± 0.18 (73% in each group achieving UNVA of ≤0.3 LogMAR). 94% / 93% were “mostly” or “completely” satisfied with overall vision without glasses.",
        "Conclusions": "This real‑world evidence demonstrates comparable refractive outcomes, visual performance, and satisfaction with overall vision without glasses in patients implanted with either the toric or non‑toric models of the TECNIS PureSee EDOF IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCAT394",
      "abstract_number": "POCAT394",
      "title": "Blended Vision With A Newly Introduced Edof Iol",
      "authors": "Dr Amr Saad",
      "presenter": "Dr Amr Saad",
      "normalized_authors": [
        "Amr Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amr Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "The purpose of this quality management is to assess the visual outcome and satisfaction of patients implanted with AcrySof Vivity (Alcon) IOL in a blended vision mode.",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "In all eyes (n=40), an enhanced depth of focus (EDoF) IOL (AcrySof Vivity, Alcon) was implanted. We retrospectively analyzed the blended vision effect with this minimal diffractive EDoF IOL. The target refraction was emmetropia in the dominant eye and -1.5 D in the non-dominant eye.\n\nWe assessed subjective refraction and binocular defocus capacity after 3 months postoperatively. Patient-reported satisfaction and quality of life were evaluated using the Quality of Life of Refractive Correction (QIRC) questionnaire.",
        "Results": "The new EDoF IOL allows unimpaired seeing at distance. Intermediate vision is better than with monofocal IOL. Moreover, newspaper and letterpress reading are also possible. The blended vision effect showed binocularly reading books and newspaper print beside the vision in PC distance and for far.\n\nThe QIRC evaluation demonstrated a subjective improvement in overall quality of life, including increased confidence and satisfaction, facilitation of daily activities, and enhanced motivation for visual tasks. Importantly, photic phenomena such as halos, glare, and tired eyes were reported as minimal or not bothersome in the majority of patients. However, reading very small print remained limited in some cases.",
        "Conclusions": "AcrySof Vivity blended vision is a very interesting alternative to diffractive multifocal IOL, if patients do not accept photopic phenomena, but want to work at PC distance and read a book or newspaper without reading glasses. The QIRC results confirm high patient satisfaction and improved vision-related quality of life, with low perceived side-effect burden. Nevertheless, full independence for very small print cannot always be achieved."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AcrySof Vivity blended vision is a very interesting alternative to diffractive multifocal IOL, if patients do not accept photopic phenomena, but want to work at PC distance and read a book or newspaper without reading glasses. The QIRC results confirm high patient satisfaction and improved vision-related quality of life, with low perceived side-effect burden. Nevertheless, full independence for very small print…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 433,
      "source_fields": {
        "Abstract Final Identifier": "POCAT394",
        "Title": "Blended Vision With A Newly Introduced Edof Iol",
        "Presenting Author(s)": "Dr Amr Saad",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Amr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Switzerland",
        "Purpose": "The purpose of this quality management is to assess the visual outcome and satisfaction of patients implanted with AcrySof Vivity (Alcon) IOL in a blended vision mode.",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "In all eyes (n=40), an enhanced depth of focus (EDoF) IOL (AcrySof Vivity, Alcon) was implanted. We retrospectively analyzed the blended vision effect with this minimal diffractive EDoF IOL. The target refraction was emmetropia in the dominant eye and -1.5 D in the non-dominant eye.\n\nWe assessed subjective refraction and binocular defocus capacity after 3 months postoperatively. Patient-reported satisfaction and quality of life were evaluated using the Quality of Life of Refractive Correction (QIRC) questionnaire.",
        "Results": "The new EDoF IOL allows unimpaired seeing at distance. Intermediate vision is better than with monofocal IOL. Moreover, newspaper and letterpress reading are also possible. The blended vision effect showed binocularly reading books and newspaper print beside the vision in PC distance and for far.\n\nThe QIRC evaluation demonstrated a subjective improvement in overall quality of life, including increased confidence and satisfaction, facilitation of daily activities, and enhanced motivation for visual tasks. Importantly, photic phenomena such as halos, glare, and tired eyes were reported as minimal or not bothersome in the majority of patients. However, reading very small print remained limited in some cases.",
        "Conclusions": "AcrySof Vivity blended vision is a very interesting alternative to diffractive multifocal IOL, if patients do not accept photopic phenomena, but want to work at PC distance and read a book or newspaper without reading glasses. The QIRC results confirm high patient satisfaction and improved vision-related quality of life, with low perceived side-effect burden. Nevertheless, full independence for very small print cannot always be achieved."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCAT395",
      "abstract_number": "POCAT395",
      "title": "Early Visual And Refractive Outcomes Following Bilateral Implantation Of The Spiral Galaxy Intraocular Lens: Initial Clinical Experience",
      "authors": "Dr Raghav Malik",
      "presenter": "Dr Raghav Malik",
      "normalized_authors": [
        "Raghav Malik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mahipal Sachdev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the early visual and refractive outcomes following bilateral implantation of the novel Rayner Spiral Galaxy IOL — a non-diffractive, full-range-of-focus intraocular lens (IOL) designed with an AI-derived spiral optic — with emphasis on distance, intermediate, and near uncorrected visual acuity and patient visual independence.",
        "Setting": "Prospective, single-center observational case series at a tertiary ophthalmic center performing standard phacoemulsification cataract surgery with premium lens implantation.",
        "Methods": "Patients undergoing routine bilateral cataract surgery received the Spiral Galaxy IOL. Inclusion criteria comprised visually significant cataract and a desire for presbyopia correction without planned monovision. Standard biometry and IOL power calculations were performed. Postoperative assessments included uncorrected distance visual acuity (UDVA, 6 m), uncorrected intermediate visual acuity (UIVA, ~66 cm), and uncorrected near visual acuity (UNVA, ~40 cm) at 1, 3, and ongoing follow-ups. Early results are summarized here (n ≈ 100 implants). Patient-reported dysphotopsia and spectacle dependence were recorded. Pending 6-month outcomes will be incorporated prior to final submission.",
        "Results": "Among approximately 100 patients bilaterally implanted with the Spiral Galaxy IOL:\n\n•\nDistance vision: 97 % of patients achieved UDVA equivalent to 6/6 or better.\n\n•\nIntermediate vision: 95 % achieved 6/6 or better at intermediate working distance.\n\n•\nNear vision: 96 % achieved N6 or better uncorrected performance.\n\nNo significant intraoperative complications occurred. Preliminary outcomes suggest excellent refractive predictability with a high proportion of patients within ±0.50 D of target spherical equivalent (data to be finalized). Subjectively, patients reported minimal dysphotopsia and high levels of spectacle independence across distances.",
        "Conclusions": "Early results with the Spiral Galaxy IOL show highly favorable visual acuity across all distances, with the majority of patients achieving excellent distance, intermediate, and near vision without corrective spectacles. These outcomes align with contemporary innovations in full-range-of-vision optics, offering an alternative to traditional diffractive multifocal lenses with the potential for reduced dysphotopsia and seamless focus transition. Pending completion of 6-month follow-up and statistical analysis, these findings support the Spiral Galaxy IOL as a promising option for cataract patients seeking broad spectacle independence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early results with the Spiral Galaxy IOL show highly favorable visual acuity across all distances, with the majority of patients achieving excellent distance, intermediate, and near vision without corrective spectacles. These outcomes align with contemporary innovations in full-range-of-vision optics, offering an alternative to traditional diffractive multifocal lenses with the potential for reduced dysphotopsia…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 434,
      "source_fields": {
        "Abstract Final Identifier": "POCAT395",
        "Title": "Early Visual And Refractive Outcomes Following Bilateral Implantation Of The Spiral Galaxy Intraocular Lens: Initial Clinical Experience",
        "Presenting Author(s)": "Dr Raghav Malik",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mahipal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sachdev",
        "Country Name": "India",
        "Purpose": "To evaluate the early visual and refractive outcomes following bilateral implantation of the novel Rayner Spiral Galaxy IOL — a non-diffractive, full-range-of-focus intraocular lens (IOL) designed with an AI-derived spiral optic — with emphasis on distance, intermediate, and near uncorrected visual acuity and patient visual independence.",
        "Setting": "Prospective, single-center observational case series at a tertiary ophthalmic center performing standard phacoemulsification cataract surgery with premium lens implantation.",
        "Methods": "Patients undergoing routine bilateral cataract surgery received the Spiral Galaxy IOL. Inclusion criteria comprised visually significant cataract and a desire for presbyopia correction without planned monovision. Standard biometry and IOL power calculations were performed. Postoperative assessments included uncorrected distance visual acuity (UDVA, 6 m), uncorrected intermediate visual acuity (UIVA, ~66 cm), and uncorrected near visual acuity (UNVA, ~40 cm) at 1, 3, and ongoing follow-ups. Early results are summarized here (n ≈ 100 implants). Patient-reported dysphotopsia and spectacle dependence were recorded. Pending 6-month outcomes will be incorporated prior to final submission.",
        "Results": "Among approximately 100 patients bilaterally implanted with the Spiral Galaxy IOL:\n\n•\nDistance vision: 97 % of patients achieved UDVA equivalent to 6/6 or better.\n\n•\nIntermediate vision: 95 % achieved 6/6 or better at intermediate working distance.\n\n•\nNear vision: 96 % achieved N6 or better uncorrected performance.\n\nNo significant intraoperative complications occurred. Preliminary outcomes suggest excellent refractive predictability with a high proportion of patients within ±0.50 D of target spherical equivalent (data to be finalized). Subjectively, patients reported minimal dysphotopsia and high levels of spectacle independence across distances.",
        "Conclusions": "Early results with the Spiral Galaxy IOL show highly favorable visual acuity across all distances, with the majority of patients achieving excellent distance, intermediate, and near vision without corrective spectacles. These outcomes align with contemporary innovations in full-range-of-vision optics, offering an alternative to traditional diffractive multifocal lenses with the potential for reduced dysphotopsia and seamless focus transition. Pending completion of 6-month follow-up and statistical analysis, these findings support the Spiral Galaxy IOL as a promising option for cataract patients seeking broad spectacle independence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "POCAT396",
      "abstract_number": "POCAT396",
      "title": "Safety And Effectiveness Of A Novel Extended Depth Of Focus Intraocular Lens With A Unique Virtual Aperture Optic Following Bilateral Cataract Surgery",
      "authors": "Dr Francisco Sanchez Leon",
      "presenter": "Dr Francisco Sanchez Leon",
      "normalized_authors": [
        "Francisco Sanchez Leon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisco Sanchez Leon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To evaluate the safety and effectiveness of the Z+ intraocular lens (virtual small aperture IOL) for the correction of aphakia and mitigation of presbyopia by providing an extended depth of focus following cataract extraction",
        "Setting": "Novavision Laser Center, Mexico City",
        "Methods": "This was a prospective, open-label, consecutive case series of 33 subjects aged 40–75 years, who underwent bilateral cataract surgeries with IOL implantation by a single surgeon at an ophthalmology surgical center in Mexico during 2023–2024. Vision and safety outcomes were evaluated through 6 months. Main safety outcomes were intraoperative and postoperative AEs and dysphotopsia type/severity. Main effectiveness outcomes were percent of eyes with monocular BCDVA of 0.3 logMAR (20/40 Snellen) or better, and binocular uncorrected acuity of 0.2 logMAR (20/32 Snellen) or better, at all distances. Secondary effectiveness outcomes included acuity under low-contrast and mesopic conditions.",
        "Results": "Data are from 66 eyes/33 subjects of mean age=64.1 years. No serious AE occurred in any eye/subject; 100% of subjects were halo-free and 79% were glare-free at 6 months. All eyes achieved BCDVA equal to/better than 0.3 logMAR, averaging 0.06±0.06 logMAR; 47% reached 20/20 Snellen BCDVA. Mean UCDVA was 0.16±0.08 logMAR. Mean UCNVA was 0.17±0.12 logMAR. Mean mesopic acuity was barely reduced: UCDVA=0.18±0.11 logMAR, BCDVA=0.08±0.08 logMAR, and UCNVA=0.18±0.11 logMAR (p>0.05 for all photopic comparisons). At 10% contrast, 58% of eyes showed UCIVA better than 0.3 logMAR (20/40 Snellen). Binocular VA was equal to/better than 0.2 logMAR (20/32 Snellen) in all subjects at all focal ranges.",
        "Conclusions": "The Z+ IOL safely provided outstanding distance vision outcomes, but also good acuity at intermediate and near focal distances, with well-maintained acuity under mesopic lighting and acceptable low-contrast acuity. Patient satisfaction was high, halos did not occur, and glare was markedly reduced from preoperative levels."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Z+ IOL safely provided outstanding distance vision outcomes, but also good acuity at intermediate and near focal distances, with well-maintained acuity under mesopic lighting and acceptable low-contrast acuity. Patient satisfaction was high, halos did not occur, and glare was markedly reduced from preoperative levels.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 435,
      "source_fields": {
        "Abstract Final Identifier": "POCAT396",
        "Title": "Safety And Effectiveness Of A Novel Extended Depth Of Focus Intraocular Lens With A Unique Virtual Aperture Optic Following Bilateral Cataract Surgery",
        "Presenting Author(s)": "Dr Francisco Sanchez Leon",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Francisco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sanchez Leon",
        "Country Name": "Mexico",
        "Purpose": "To evaluate the safety and effectiveness of the Z+ intraocular lens (virtual small aperture IOL) for the correction of aphakia and mitigation of presbyopia by providing an extended depth of focus following cataract extraction",
        "Setting": "Novavision Laser Center, Mexico City",
        "Methods": "This was a prospective, open-label, consecutive case series of 33 subjects aged 40–75 years, who underwent bilateral cataract surgeries with IOL implantation by a single surgeon at an ophthalmology surgical center in Mexico during 2023–2024. Vision and safety outcomes were evaluated through 6 months. Main safety outcomes were intraoperative and postoperative AEs and dysphotopsia type/severity. Main effectiveness outcomes were percent of eyes with monocular BCDVA of 0.3 logMAR (20/40 Snellen) or better, and binocular uncorrected acuity of 0.2 logMAR (20/32 Snellen) or better, at all distances. Secondary effectiveness outcomes included acuity under low-contrast and mesopic conditions.",
        "Results": "Data are from 66 eyes/33 subjects of mean age=64.1 years. No serious AE occurred in any eye/subject; 100% of subjects were halo-free and 79% were glare-free at 6 months. All eyes achieved BCDVA equal to/better than 0.3 logMAR, averaging 0.06±0.06 logMAR; 47% reached 20/20 Snellen BCDVA. Mean UCDVA was 0.16±0.08 logMAR. Mean UCNVA was 0.17±0.12 logMAR. Mean mesopic acuity was barely reduced: UCDVA=0.18±0.11 logMAR, BCDVA=0.08±0.08 logMAR, and UCNVA=0.18±0.11 logMAR (p>0.05 for all photopic comparisons). At 10% contrast, 58% of eyes showed UCIVA better than 0.3 logMAR (20/40 Snellen). Binocular VA was equal to/better than 0.2 logMAR (20/32 Snellen) in all subjects at all focal ranges.",
        "Conclusions": "The Z+ IOL safely provided outstanding distance vision outcomes, but also good acuity at intermediate and near focal distances, with well-maintained acuity under mesopic lighting and acceptable low-contrast acuity. Patient satisfaction was high, halos did not occur, and glare was markedly reduced from preoperative levels."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "POCAT397",
      "abstract_number": "POCAT397",
      "title": "Balanced Extended Vision Procedure (Bevpx) For The Correction Of Presbyopia: Early Clinical Outcomes",
      "authors": "Antonio Cano-Ortiz",
      "presenter": "Antonio Cano-Ortiz",
      "normalized_authors": [
        "Antonio Cano-Ortiz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Álvaro Sánchez-Ventosa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate early binocular visual and refractive outcomes of the Balanced Extended Vision Procedure (BEVPx™), combining two non-diffractive extended depth of focus intraocular lenses with complementary depth-of-focus profiles for presbyopia correction.",
        "Setting": "Hospital La Arruzafa, Cordoba, and OftalVist Alicante, Alicante. Spain.",
        "Methods": "This prospective pilot study included 15 patients undergoing bilateral cataract surgery or refractive lens exchange. Ocular dominance was determined preoperatively. An Asqelio™ EDOF intraocular lens was implanted in the dominant eye and an Asqelio™ PairedFocus™ intraocular lens in the nondominant eye. Binocular uncorrected and distance-corrected visual acuity at distance (4 m), intermediate (67 cm), and near (40 cm), binocular defocus curves, and refractive outcomes were evaluated three months postoperatively. Functional vision was defined as visual acuity ≤0.20 logMAR.",
        "Results": "At three months postoperatively, mean binocular uncorrected distance visual acuity was -0.04±0.06 logMAR and distance-corrected distance visual acuity -0.07±0.05 logMAR. Mean binocular uncorrected intermediate visual acuity was 0.03±0.09 logMAR and distance-corrected intermediate visual acuity 0.02±0.11 logMAR. Mean binocular uncorrected near visual acuity was 0.11±0.11 logMAR and distance-corrected near visual acuity 0.08±0.12 logMAR. Binocular defocus curves showed a smooth continuous range of vision, maintaining visual acuity ≤0.20 logMAR from distance through intermediate and into the near range. Mean residual spherical equivalent was 0.10 ± 0.31 D and residual cylinder -0.31±0.35 D.",
        "Conclusions": "Early clinical outcomes of the BEVPx™ approach demonstrate excellent binocular visual acuity at distance, intermediate, and near, with a continuous functional range of vision and high refractive accuracy. Combining two non-diffractive EDOF-based intraocular lenses with complementary depth-of-focus profiles may represent a promising alternative for full-range presbyopia correction.\n\nFinancial Disclosure of all Authors: The authors have no financial or proprietary interest in any material or method mentioned."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early clinical outcomes of the BEVPx™ approach demonstrate excellent binocular visual acuity at distance, intermediate, and near, with a continuous functional range of vision and high refractive accuracy. Combining two non-diffractive EDOF-based intraocular lenses with complementary depth-of-focus profiles may represent a promising alternative for full-range presbyopia correction. Financial Disclosure of all…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 436,
      "source_fields": {
        "Abstract Final Identifier": "POCAT397",
        "Title": "Balanced Extended Vision Procedure (Bevpx) For The Correction Of Presbyopia: Early Clinical Outcomes",
        "Presenting Author(s)": "Antonio Cano-Ortiz",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Álvaro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sánchez-Ventosa",
        "Country Name": "Spain",
        "Purpose": "To evaluate early binocular visual and refractive outcomes of the Balanced Extended Vision Procedure (BEVPx™), combining two non-diffractive extended depth of focus intraocular lenses with complementary depth-of-focus profiles for presbyopia correction.",
        "Setting": "Hospital La Arruzafa, Cordoba, and OftalVist Alicante, Alicante. Spain.",
        "Methods": "This prospective pilot study included 15 patients undergoing bilateral cataract surgery or refractive lens exchange. Ocular dominance was determined preoperatively. An Asqelio™ EDOF intraocular lens was implanted in the dominant eye and an Asqelio™ PairedFocus™ intraocular lens in the nondominant eye. Binocular uncorrected and distance-corrected visual acuity at distance (4 m), intermediate (67 cm), and near (40 cm), binocular defocus curves, and refractive outcomes were evaluated three months postoperatively. Functional vision was defined as visual acuity ≤0.20 logMAR.",
        "Results": "At three months postoperatively, mean binocular uncorrected distance visual acuity was -0.04±0.06 logMAR and distance-corrected distance visual acuity -0.07±0.05 logMAR. Mean binocular uncorrected intermediate visual acuity was 0.03±0.09 logMAR and distance-corrected intermediate visual acuity 0.02±0.11 logMAR. Mean binocular uncorrected near visual acuity was 0.11±0.11 logMAR and distance-corrected near visual acuity 0.08±0.12 logMAR. Binocular defocus curves showed a smooth continuous range of vision, maintaining visual acuity ≤0.20 logMAR from distance through intermediate and into the near range. Mean residual spherical equivalent was 0.10 ± 0.31 D and residual cylinder -0.31±0.35 D.",
        "Conclusions": "Early clinical outcomes of the BEVPx™ approach demonstrate excellent binocular visual acuity at distance, intermediate, and near, with a continuous functional range of vision and high refractive accuracy. Combining two non-diffractive EDOF-based intraocular lenses with complementary depth-of-focus profiles may represent a promising alternative for full-range presbyopia correction.\n\nFinancial Disclosure of all Authors: The authors have no financial or proprietary interest in any material or method mentioned."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT398",
      "abstract_number": "POCAT398",
      "title": "A Comparative Clinical Evaluation Of Visual Outcomes And Optical Quality Of Two Extended Depth-Of-Focus Intraocular Lenses: Acrysof Iq Vivity Vs Eyecryl Sert",
      "authors": "Dr Vipasha Sharma",
      "presenter": "Dr Vipasha Sharma",
      "normalized_authors": [
        "Vipasha Sharma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vipasha Sharma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare postoperative visual outcomes and optical quality between two extended depth-of-focus (EDOF) intraocular lenses (IOLs)—Eyecryl SERT and AcrySof IQ Vivity—highlighting the clinical importance of benchmarking two different hydrophobic EDOF optical strategies to optimize spectacle independence and patient satisfaction.",
        "Setting": "Prospective comparative clinical study conducted at a tertiary eye care center(Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India) in patients undergoing standard phacoemulsification with in-the-bag implantation of an EDOF IOL.",
        "Methods": "Prospective comparative study of patients implanted with Eyecryl SERT EDOF (Biotech Vision Care Pvt. Ltd., Ahmedabad, India), (hydrophobic aspheric EDOF; >1.75 D depth of focus) or AcrySof IQ Vivity (Alcon Laboratories, USA) (non-diffractive EDOF using X-WAVE™ wavefront-shaping technology). At 1 month, mean logMAR UDVA/CDVA (6 m), UIVA/CIVA (60 cm), UNVA/CNVA (40 cm), defocus curve (+1.00 to −4.00 D), HOA, MTF (modulation transfer function), mesopic contrast sensitivity (3–18 cpd), and visual function (VF) satisfaction scores were analyzed. p<0.05 was significant.",
        "Results": "Mean UDVA and CDVA were comparable between Eyecryl SERT and Vivity (p>0.05). Vivity showed significantly better mean UIVA, CIVA, UNVA and CNVA (p<0.05). At −3.00 D defocus, mean logMAR VA was 0.62 (Eyecryl SERT) vs 0.53 (Vivity). Total HOA were similar (p>0.05). MTF at 20 cpd was significantly higher with Vivity (p<0.05). Mean contrast sensitivity at 3 cpd (50.7 vs 59.7) and 6 cpd (98.4 vs 104.2) favored Vivity, while 12 and 18 cpd were comparable. Mean VF score was 91.95±SD (Eyecryl SERT) vs 96.20±SD (Vivity) (p=0.001).",
        "Conclusions": "Both IOLs provided excellent distance vision with comparable HOA. However, Vivity demonstrated superior intermediate and near acuity, better defocus performance, improved MTF at 20 cpd, enhanced low-frequency contrast sensitivity, and significantly higher patient VF satisfaction scores\n\nFINANCIAL DISCLOSURE:\nNone"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both IOLs provided excellent distance vision with comparable HOA. However, Vivity demonstrated superior intermediate and near acuity, better defocus performance, improved MTF at 20 cpd, enhanced low-frequency contrast sensitivity, and significantly higher patient VF satisfaction scores FINANCIAL DISCLOSURE: None",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 437,
      "source_fields": {
        "Abstract Final Identifier": "POCAT398",
        "Title": "A Comparative Clinical Evaluation Of Visual Outcomes And Optical Quality Of Two Extended Depth-Of-Focus Intraocular Lenses: Acrysof Iq Vivity Vs Eyecryl Sert",
        "Presenting Author(s)": "Dr Vipasha Sharma",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Vipasha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sharma",
        "Country Name": "India",
        "Purpose": "To compare postoperative visual outcomes and optical quality between two extended depth-of-focus (EDOF) intraocular lenses (IOLs)—Eyecryl SERT and AcrySof IQ Vivity—highlighting the clinical importance of benchmarking two different hydrophobic EDOF optical strategies to optimize spectacle independence and patient satisfaction.",
        "Setting": "Prospective comparative clinical study conducted at a tertiary eye care center(Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India) in patients undergoing standard phacoemulsification with in-the-bag implantation of an EDOF IOL.",
        "Methods": "Prospective comparative study of patients implanted with Eyecryl SERT EDOF (Biotech Vision Care Pvt. Ltd., Ahmedabad, India), (hydrophobic aspheric EDOF; >1.75 D depth of focus) or AcrySof IQ Vivity (Alcon Laboratories, USA) (non-diffractive EDOF using X-WAVE™ wavefront-shaping technology). At 1 month, mean logMAR UDVA/CDVA (6 m), UIVA/CIVA (60 cm), UNVA/CNVA (40 cm), defocus curve (+1.00 to −4.00 D), HOA, MTF (modulation transfer function), mesopic contrast sensitivity (3–18 cpd), and visual function (VF) satisfaction scores were analyzed. p<0.05 was significant.",
        "Results": "Mean UDVA and CDVA were comparable between Eyecryl SERT and Vivity (p>0.05). Vivity showed significantly better mean UIVA, CIVA, UNVA and CNVA (p<0.05). At −3.00 D defocus, mean logMAR VA was 0.62 (Eyecryl SERT) vs 0.53 (Vivity). Total HOA were similar (p>0.05). MTF at 20 cpd was significantly higher with Vivity (p<0.05). Mean contrast sensitivity at 3 cpd (50.7 vs 59.7) and 6 cpd (98.4 vs 104.2) favored Vivity, while 12 and 18 cpd were comparable. Mean VF score was 91.95±SD (Eyecryl SERT) vs 96.20±SD (Vivity) (p=0.001).",
        "Conclusions": "Both IOLs provided excellent distance vision with comparable HOA. However, Vivity demonstrated superior intermediate and near acuity, better defocus performance, improved MTF at 20 cpd, enhanced low-frequency contrast sensitivity, and significantly higher patient VF satisfaction scores\n\nFINANCIAL DISCLOSURE:\nNone"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCAT399",
      "abstract_number": "POCAT399",
      "title": "Visual Outcomes Of Asymmetric Refractive Edof Iol Implanted Using Micro Monovision Technique",
      "authors": "Dr Aniruddha Nimbhorkar",
      "presenter": "Dr Aniruddha Nimbhorkar",
      "normalized_authors": [
        "Aniruddha Nimbhorkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Siddharth Sheth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report visual outcomes of asymmetric refractive EDOF IOL implanted using Micro Monovision technique",
        "Setting": "Private tertiary eye hospital, Thane, India",
        "Methods": "It’s a retrospective study where subjects who underwent bilateral implantation of asymmetric refractive EDOF using micro monovision technique were enrolled. All patients underwent optical biometry for IOL power calculations using ARGOS. For first eye surgery, IOL with power corresponding to first minus refraction was implanted. For the second eye surgery, IOL with power corresponding to either first or second minus was chosen and implanted based on first eye surgery distance or near vision outcome. Uncorrected distance (UDVA) and near visual acuity (UCNVA) were noted at one month follow up for first and second eye and its distribution were assessed using cross tabulation and chi square test.",
        "Results": "Total of 30 patients with mean±SD age of 62.1±11.53 years underwent bilateral implantation of segmental EDOF IOL. After first eye surgery, 63% eyes had 20/20 and 37% eyes had 20/20 partial UDVA. Also 60% and 40% of the eyes had N6 and N8 UCNVA respectively. On the other hand after second eye surgery 67% eyes had 20/20 and 33% eyes had 20/20 partial UDVA however 80% and 20% of the eyes achieved N6 and N8 UCNVA (chi square: 2.85, p=0.089) respectively. Binocularly, all patients achieved 20/20, N6 uncorrected visual acuity for distance and near respectively.",
        "Conclusions": "The micro monovision technique using asymmetric refractive EDOF IOLs resulted in similar distribution of UCDVA during first and second eye surgery however yields 20% improvement in near visual acuity distribution post second eye surgery. Binocularly all eyes achieved excellent uncorrected distance and near visual acuities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The micro monovision technique using asymmetric refractive EDOF IOLs resulted in similar distribution of UCDVA during first and second eye surgery however yields 20% improvement in near visual acuity distribution post second eye surgery. Binocularly all eyes achieved excellent uncorrected distance and near visual acuities.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 438,
      "source_fields": {
        "Abstract Final Identifier": "POCAT399",
        "Title": "Visual Outcomes Of Asymmetric Refractive Edof Iol Implanted Using Micro Monovision Technique",
        "Presenting Author(s)": "Dr Aniruddha Nimbhorkar",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Siddharth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sheth",
        "Country Name": "India",
        "Purpose": "To report visual outcomes of asymmetric refractive EDOF IOL implanted using Micro Monovision technique",
        "Setting": "Private tertiary eye hospital, Thane, India",
        "Methods": "It’s a retrospective study where subjects who underwent bilateral implantation of asymmetric refractive EDOF using micro monovision technique were enrolled. All patients underwent optical biometry for IOL power calculations using ARGOS. For first eye surgery, IOL with power corresponding to first minus refraction was implanted. For the second eye surgery, IOL with power corresponding to either first or second minus was chosen and implanted based on first eye surgery distance or near vision outcome. Uncorrected distance (UDVA) and near visual acuity (UCNVA) were noted at one month follow up for first and second eye and its distribution were assessed using cross tabulation and chi square test.",
        "Results": "Total of 30 patients with mean±SD age of 62.1±11.53 years underwent bilateral implantation of segmental EDOF IOL. After first eye surgery, 63% eyes had 20/20 and 37% eyes had 20/20 partial UDVA. Also 60% and 40% of the eyes had N6 and N8 UCNVA respectively. On the other hand after second eye surgery 67% eyes had 20/20 and 33% eyes had 20/20 partial UDVA however 80% and 20% of the eyes achieved N6 and N8 UCNVA (chi square: 2.85, p=0.089) respectively. Binocularly, all patients achieved 20/20, N6 uncorrected visual acuity for distance and near respectively.",
        "Conclusions": "The micro monovision technique using asymmetric refractive EDOF IOLs resulted in similar distribution of UCDVA during first and second eye surgery however yields 20% improvement in near visual acuity distribution post second eye surgery. Binocularly all eyes achieved excellent uncorrected distance and near visual acuities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POCAT400",
      "abstract_number": "POCAT400",
      "title": "Extended Depth Of Focus Intraocular Lenses Implantation In Patients With Previous Refractive Laser Surgery",
      "authors": "Dr Petros Smahliou",
      "presenter": "Dr Petros Smahliou",
      "normalized_authors": [
        "Petros Smahliou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Petros Smahliou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To evaluate visual performance after bilateral implantation of two extended depth of focus (EDOF) intraocular lenses in patients who had a history of prior refractive laser surgery.",
        "Setting": "Smahliou Eye-Clinic, Athens, Greece",
        "Methods": "This prospective study included 20 patients (12 females, 8 males) who had a previous laser vision correction and secondary underwent bilateral cataract surgery involving implantation of the EDOF IOL, Vivity (Alcon Laboratories, USA). Mean age of patients was 63,27±5,62 years. Data collected included patient demographics, best corrected distance visual acuity (BCDVA), manifest refraction reported as spherical equivalent and steep and flat keratometric readings. All patients were evaluated preoperatively and 1, 3 and 6 months, as well as 1, 2, and 3 years postoperatively. No intraoperative or postoperative complications were occurred.",
        "Results": "40 eyes were evaluated from 6-36 months after EDOF IOL implantation. Mean follow-up time was 24.10±11.34 months. Postoperatively, 30 eyes were evaluated at 2 years and 10 eyes at our last follow up at 3 years. Mean BCDVA was improved significantly from 0.28±0.59 (SD) logarithm of minimum angle of resolution (logMAR) to 0.05±0.14 logMAR (p<0.001) 3 years postoperatively. Mean manifest spherical equivalent improved significantly from 1.64±3.26 D to -0.23±0.76 D at the 3 rd postoperative year. Mean steep K and flat K keratometry readings did not show any statistically significant differences (p>0.05), compared preoperatively and at each postoperative exam period.8 patients underwent YAG laser capsulotomy throughout our postoperative evaluation.",
        "Conclusions": "In conclusion, EDOF IOL implantation after corneal refractive surgery demonstrated effective refractive and visual outcomes in patients with a history of refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, EDOF IOL implantation after corneal refractive surgery demonstrated effective refractive and visual outcomes in patients with a history of refractive surgery.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 439,
      "source_fields": {
        "Abstract Final Identifier": "POCAT400",
        "Title": "Extended Depth Of Focus Intraocular Lenses Implantation In Patients With Previous Refractive Laser Surgery",
        "Presenting Author(s)": "Dr Petros Smahliou",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Petros",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Smahliou",
        "Country Name": "Greece",
        "Purpose": "To evaluate visual performance after bilateral implantation of two extended depth of focus (EDOF) intraocular lenses in patients who had a history of prior refractive laser surgery.",
        "Setting": "Smahliou Eye-Clinic, Athens, Greece",
        "Methods": "This prospective study included 20 patients (12 females, 8 males) who had a previous laser vision correction and secondary underwent bilateral cataract surgery involving implantation of the EDOF IOL, Vivity (Alcon Laboratories, USA). Mean age of patients was 63,27±5,62 years. Data collected included patient demographics, best corrected distance visual acuity (BCDVA), manifest refraction reported as spherical equivalent and steep and flat keratometric readings. All patients were evaluated preoperatively and 1, 3 and 6 months, as well as 1, 2, and 3 years postoperatively. No intraoperative or postoperative complications were occurred.",
        "Results": "40 eyes were evaluated from 6-36 months after EDOF IOL implantation. Mean follow-up time was 24.10±11.34 months. Postoperatively, 30 eyes were evaluated at 2 years and 10 eyes at our last follow up at 3 years. Mean BCDVA was improved significantly from 0.28±0.59 (SD) logarithm of minimum angle of resolution (logMAR) to 0.05±0.14 logMAR (p<0.001) 3 years postoperatively. Mean manifest spherical equivalent improved significantly from 1.64±3.26 D to -0.23±0.76 D at the 3 rd postoperative year. Mean steep K and flat K keratometry readings did not show any statistically significant differences (p>0.05), compared preoperatively and at each postoperative exam period.8 patients underwent YAG laser capsulotomy throughout our postoperative evaluation.",
        "Conclusions": "In conclusion, EDOF IOL implantation after corneal refractive surgery demonstrated effective refractive and visual outcomes in patients with a history of refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT401",
      "abstract_number": "POCAT401",
      "title": "Simulating Healthy And Keratoconic Corneal Profiles In Model Eyes To Evaluate Intraocular Lens Performance",
      "authors": "A/Prof. Hyeck-Soo Son",
      "presenter": "A/Prof. Hyeck-Soo Son",
      "normalized_authors": [
        "Hyeck-Soo Son"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hyeck-Soo Son",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Laboratory analysis of intraocular lenses (IOLs) allows an objective characterization of each lens in a controlled environment, providing an optimal setting for direct comparison of their optical performance. In this experimental study, we computed the corneal tomography data of a healthy and a keratoconic eye into our customized model eye featuring three different extended-depth-of focus (EDOF) IOLs and compared their image quality metrics.",
        "Setting": "The David J. Apple International Laboratory",
        "Methods": "A healthy and a keratoconus eye was selected for a retrospective review. Surface Zernike coeffcients derived from their corneal tomography (Pentacam) were imported to Nimo Tempo (Lambda-X), an interferometry-based automatic metrology device that captures the full wavefront and diffractive profiles of IOLs and enables advanced simulation to assess the overall optical quality. Three extended-depth-of-focus (EDOF) and a monofocal IOLs were analysed at 3-mm pupil under three conditions: 1) a standardized optical condition that only accounts for spherical aberration, 2) a normal eye with natural aberration levels, and a 3) mild keratoconus. The average modulation transfer function (MTF) was calculated at spatial frequencies from 1 to 50 lp/mm.",
        "Results": "Under standardized optical conditions, the ZCB00 showed the highest MTF (0.87) at primary focus, followed by the ICB00 (0.85) and PureSee IOLs (0.62). The model eye with natural aberrations led to 26%, 34%, and 32% decrease in MTF for ZCB00 (0.64), ICB00 (0.56), and PureSee (0.42) IOLs at far focus, respectively, while the Symfony lens demonstrated 27% and 20% MTF reduction at its primary (0.37) and secondary (0.37) peaks. In keratoconus eye model, average MTF decreased in all lenses, with 57%, 56%, and 50% decrease for ZCB00 (0.37), ICB00 (0.37), and PureSee (0.31) IOLs at far focus, respectively. The Symfony lens demonstrated less reduction in its average MTF, with 45% and 46% decrease at its primary (0.28) and secondary (0.25) peaks.",
        "Conclusions": "The MTF values measured in standardized optical conditions demonstrated good performance of the studied IOLs, which was only mildly affected by the natural level of higher-order aberrations. Both EDOF and monofocal IOLs experienced loss of average MTF in a mild keratoconus eye model, reflecting the impact of irregular corneal astigmatism on the overall optical quality. Further analyses assessing the efficacy and tolerance of toric IOLs in keratoconus eye models may help quantify their superiority to non-toric lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The MTF values measured in standardized optical conditions demonstrated good performance of the studied IOLs, which was only mildly affected by the natural level of higher-order aberrations. Both EDOF and monofocal IOLs experienced loss of average MTF in a mild keratoconus eye model, reflecting the impact of irregular corneal astigmatism on the overall optical quality. Further analyses assessing the efficacy and…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 440,
      "source_fields": {
        "Abstract Final Identifier": "POCAT401",
        "Title": "Simulating Healthy And Keratoconic Corneal Profiles In Model Eyes To Evaluate Intraocular Lens Performance",
        "Presenting Author(s)": "A/Prof. Hyeck-Soo Son",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Hyeck-Soo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Son",
        "Country Name": "Germany",
        "Purpose": "Laboratory analysis of intraocular lenses (IOLs) allows an objective characterization of each lens in a controlled environment, providing an optimal setting for direct comparison of their optical performance. In this experimental study, we computed the corneal tomography data of a healthy and a keratoconic eye into our customized model eye featuring three different extended-depth-of focus (EDOF) IOLs and compared their image quality metrics.",
        "Setting": "The David J. Apple International Laboratory",
        "Methods": "A healthy and a keratoconus eye was selected for a retrospective review. Surface Zernike coeffcients derived from their corneal tomography (Pentacam) were imported to Nimo Tempo (Lambda-X), an interferometry-based automatic metrology device that captures the full wavefront and diffractive profiles of IOLs and enables advanced simulation to assess the overall optical quality. Three extended-depth-of-focus (EDOF) and a monofocal IOLs were analysed at 3-mm pupil under three conditions: 1) a standardized optical condition that only accounts for spherical aberration, 2) a normal eye with natural aberration levels, and a 3) mild keratoconus. The average modulation transfer function (MTF) was calculated at spatial frequencies from 1 to 50 lp/mm.",
        "Results": "Under standardized optical conditions, the ZCB00 showed the highest MTF (0.87) at primary focus, followed by the ICB00 (0.85) and PureSee IOLs (0.62). The model eye with natural aberrations led to 26%, 34%, and 32% decrease in MTF for ZCB00 (0.64), ICB00 (0.56), and PureSee (0.42) IOLs at far focus, respectively, while the Symfony lens demonstrated 27% and 20% MTF reduction at its primary (0.37) and secondary (0.37) peaks. In keratoconus eye model, average MTF decreased in all lenses, with 57%, 56%, and 50% decrease for ZCB00 (0.37), ICB00 (0.37), and PureSee (0.31) IOLs at far focus, respectively. The Symfony lens demonstrated less reduction in its average MTF, with 45% and 46% decrease at its primary (0.28) and secondary (0.25) peaks.",
        "Conclusions": "The MTF values measured in standardized optical conditions demonstrated good performance of the studied IOLs, which was only mildly affected by the natural level of higher-order aberrations. Both EDOF and monofocal IOLs experienced loss of average MTF in a mild keratoconus eye model, reflecting the impact of irregular corneal astigmatism on the overall optical quality. Further analyses assessing the efficacy and tolerance of toric IOLs in keratoconus eye models may help quantify their superiority to non-toric lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 388
    },
    {
      "uid": "POCAT402",
      "abstract_number": "POCAT402",
      "title": "Visual Performance, Refractive Outcomes, And Patient Satisfaction After Implantation Of A Wavefront-Linking Presbyopia-Correcting Intraocular Lens",
      "authors": "Prof. Dr Sathish Srinivasan",
      "presenter": "Prof. Dr Sathish Srinivasan",
      "normalized_authors": [
        "Sathish Srinivasan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sathish Srinivasan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate visual performance, refractive outcomes, and patient-reported satisfaction following cataract surgery with a wavefront ‑ linking presbyopia ‑ correcting intraocular lens (IOL).",
        "Setting": "Ayrshire Eye Clinic, Ayr, Scotland, UK",
        "Methods": "This prospective interventional case series includes 143 eyes from 82 patients implanted with a wavefront‑linking IOL (ELON, Medicontur, Hungary) by a single surgeon (SS). Monocular and binocular uncorrected visual acuities at distance (UDVA), intermediate (UIVA, 66 cm), and near (UNVA, 40 cm) were assessed at 1, 3, 6 and 12 months postoperatively. Defocus curves for visual acuity were obtained at months 3, 6 and 12, and contrast sensitivity defocus curves were collected at months 6 and 12. Patient experience was evaluated with the VFQ‑25 questionnaire.",
        "Results": "At 12 months, mean binocular uncorrected visual acuity measured −0.01 logMAR at distance, 0.08 logMAR at intermediate, and 0.21 logMAR at near. Binocular distance‑corrected visual acuities were −0.05, 0.05, and 0.17 logMAR for distance, intermediate, and near, respectively. The IOL provided a binocular photopic distance‑corrected depth of focus (at 0.2 logMAR threshold) extending from approximately 0.6 D to −2.2 D. Postoperative refraction showed that 89.4% of eyes achieved a spherical equivalent between −0.50 D and +0.50 D, and 74.1% were within ±0.50 D of astigmatic correction. VFQ‑25 responses indicated high satisfaction, with over 90% of patients reporting good functional vision for both distance and near activities.",
        "Conclusions": "The ELON wavefront‑linking IOL demonstrated stable refractive outcomes and consistent visual performance across all distances up to 12 months. Patient-reported outcomes reflected high levels of spectacle independence for distance and intermediate activities, along with a low incidence of visual disturbances on standardised visual function questionnaire assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The ELON wavefront‑linking IOL demonstrated stable refractive outcomes and consistent visual performance across all distances up to 12 months. Patient-reported outcomes reflected high levels of spectacle independence for distance and intermediate activities, along with a low incidence of visual disturbances on standardised visual function questionnaire assessment.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 441,
      "source_fields": {
        "Abstract Final Identifier": "POCAT402",
        "Title": "Visual Performance, Refractive Outcomes, And Patient Satisfaction After Implantation Of A Wavefront-Linking Presbyopia-Correcting Intraocular Lens",
        "Presenting Author(s)": "Prof. Dr Sathish Srinivasan",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Sathish",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Srinivasan",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate visual performance, refractive outcomes, and patient-reported satisfaction following cataract surgery with a wavefront ‑ linking presbyopia ‑ correcting intraocular lens (IOL).",
        "Setting": "Ayrshire Eye Clinic, Ayr, Scotland, UK",
        "Methods": "This prospective interventional case series includes 143 eyes from 82 patients implanted with a wavefront‑linking IOL (ELON, Medicontur, Hungary) by a single surgeon (SS). Monocular and binocular uncorrected visual acuities at distance (UDVA), intermediate (UIVA, 66 cm), and near (UNVA, 40 cm) were assessed at 1, 3, 6 and 12 months postoperatively. Defocus curves for visual acuity were obtained at months 3, 6 and 12, and contrast sensitivity defocus curves were collected at months 6 and 12. Patient experience was evaluated with the VFQ‑25 questionnaire.",
        "Results": "At 12 months, mean binocular uncorrected visual acuity measured −0.01 logMAR at distance, 0.08 logMAR at intermediate, and 0.21 logMAR at near. Binocular distance‑corrected visual acuities were −0.05, 0.05, and 0.17 logMAR for distance, intermediate, and near, respectively. The IOL provided a binocular photopic distance‑corrected depth of focus (at 0.2 logMAR threshold) extending from approximately 0.6 D to −2.2 D. Postoperative refraction showed that 89.4% of eyes achieved a spherical equivalent between −0.50 D and +0.50 D, and 74.1% were within ±0.50 D of astigmatic correction. VFQ‑25 responses indicated high satisfaction, with over 90% of patients reporting good functional vision for both distance and near activities.",
        "Conclusions": "The ELON wavefront‑linking IOL demonstrated stable refractive outcomes and consistent visual performance across all distances up to 12 months. Patient-reported outcomes reflected high levels of spectacle independence for distance and intermediate activities, along with a low incidence of visual disturbances on standardised visual function questionnaire assessment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "POCAT403",
      "abstract_number": "POCAT403",
      "title": "From Black To White: Surgical Planning And Outcomes In Complex Cataracts And Premium Iol Cases",
      "authors": "Dr Preethi Srinivasaraghavan",
      "presenter": "Dr Preethi Srinivasaraghavan",
      "normalized_authors": [
        "Preethi Srinivasaraghavan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Preethi Srinivasaraghavan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate surgical strategies and clinical outcomes in two contrasting cataract scenarios—dense “black” cataracts and “white” cataracts planned for premium intraocular lens (IOL) implantation—and to highlight the impact of meticulous preoperative planning on minimizing complications and optimizing visual outcomes in the era of refractive cataract surgery in a setting demanding the perfect surgical outcome for all range of vision.",
        "Setting": "Private Corporate Ophthalmic Day Care Hospital with cataract and vitreo retinal surgical facilties",
        "Methods": "This prospective observational study done included cataract surgeries performed by a single experienced surgeon. Cases were categorized into:Black cataracts: dense brunescent/black nuclei or White cataracts- mature/intumescent cataracts and in those cases only the ones planned for EDOF/multifocal /trifocal iol implantation with refractive expectations were included.\nPrimary outcome measured were surgical method planned and completed /converted to any other technique intraoperatively ,intraoperative complications, retinal status post op ,best corrected visual acuity, refractive outcomes in premium IOL cases, and need for secondary intervention surgical/need for additional spectacle correction for full range of vision and dependency activities",
        "Results": "Out of 154 Cases analysed with required final follow up - Black cataract cases demonstrated increased intraoperative complexity as expected ; however, with appropriate surgical modifications, complication rates were minimal and visual outcomes were consistently good.\nWhite cataract cases with premium IOL implantation achieved excellent refractive outcomes and high patient satisfaction when meticulous biometry, case selection, and intraoperative centration were ensured. Only a very small proportion of cases required intraoperative deviation from the planned premium IOL strategy.\nAcross both groups, comprehensive planning and anticipatory surgical techniques resulted in very low complication rates and predictable visual rehabilitation.",
        "Conclusions": "Despite great improvement in accessibility and availability of services across the country ,even the paying hospitals set up receive a signiifcant number of cataract patients in advanced stages of cataract and with demand to have complete spectacle independance for all activities .Both dense “black” cataracts and “white” cataracts planned for premium IOL implantation represent surgical extremes requiring different but equally meticulous strategies. With careful preoperative assessment, refined surgical techniques,well trained surgeons and intraoperative adaptability, excellent visual and refractive outcomes can be achieved with minimal complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite great improvement in accessibility and availability of services across the country ,even the paying hospitals set up receive a signiifcant number of cataract patients in advanced stages of cataract and with demand to have complete spectacle independance for all activities .Both dense “black” cataracts and “white” cataracts planned for premium IOL implantation represent surgical extremes requiring different…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 442,
      "source_fields": {
        "Abstract Final Identifier": "POCAT403",
        "Title": "From Black To White: Surgical Planning And Outcomes In Complex Cataracts And Premium Iol Cases",
        "Presenting Author(s)": "Dr Preethi Srinivasaraghavan",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Preethi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Srinivasaraghavan",
        "Country Name": "India",
        "Purpose": "To evaluate surgical strategies and clinical outcomes in two contrasting cataract scenarios—dense “black” cataracts and “white” cataracts planned for premium intraocular lens (IOL) implantation—and to highlight the impact of meticulous preoperative planning on minimizing complications and optimizing visual outcomes in the era of refractive cataract surgery in a setting demanding the perfect surgical outcome for all range of vision.",
        "Setting": "Private Corporate Ophthalmic Day Care Hospital with cataract and vitreo retinal surgical facilties",
        "Methods": "This prospective observational study done included cataract surgeries performed by a single experienced surgeon. Cases were categorized into:Black cataracts: dense brunescent/black nuclei or White cataracts- mature/intumescent cataracts and in those cases only the ones planned for EDOF/multifocal /trifocal iol implantation with refractive expectations were included.\nPrimary outcome measured were surgical method planned and completed /converted to any other technique intraoperatively ,intraoperative complications, retinal status post op ,best corrected visual acuity, refractive outcomes in premium IOL cases, and need for secondary intervention surgical/need for additional spectacle correction for full range of vision and dependency activities",
        "Results": "Out of 154 Cases analysed with required final follow up - Black cataract cases demonstrated increased intraoperative complexity as expected ; however, with appropriate surgical modifications, complication rates were minimal and visual outcomes were consistently good.\nWhite cataract cases with premium IOL implantation achieved excellent refractive outcomes and high patient satisfaction when meticulous biometry, case selection, and intraoperative centration were ensured. Only a very small proportion of cases required intraoperative deviation from the planned premium IOL strategy.\nAcross both groups, comprehensive planning and anticipatory surgical techniques resulted in very low complication rates and predictable visual rehabilitation.",
        "Conclusions": "Despite great improvement in accessibility and availability of services across the country ,even the paying hospitals set up receive a signiifcant number of cataract patients in advanced stages of cataract and with demand to have complete spectacle independance for all activities .Both dense “black” cataracts and “white” cataracts planned for premium IOL implantation represent surgical extremes requiring different but equally meticulous strategies. With careful preoperative assessment, refined surgical techniques,well trained surgeons and intraoperative adaptability, excellent visual and refractive outcomes can be achieved with minimal complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCAT404",
      "abstract_number": "POCAT404",
      "title": "Tolerance To Postoperative Refractive Error Of The Tecnis Puresee™ Iol",
      "authors": "Dr Lucas Nicola Steinmüller",
      "presenter": "Dr Lucas Nicola Steinmüller",
      "normalized_authors": [
        "Lucas Nicola Steinmüller"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucas Nicola Steinmüller",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the tolerance of the TECNIS PureSee™ intraocular lens (IOL) to small residual postoperative refractive errors and to assess their impact on binocular visual acuity across distances.",
        "Setting": "Department of Ophthalmology, Charité – Universitätsmedizin Berlin, Germany.",
        "Methods": "This prospective, controlled, single-center study includes 56 eyes of 28 patients undergoing routine bilateral cataract surgery with implantation of the TECNIS PureSee™ IOL. Postoperative examinations were performed at 1 and 3 months.\n\nDuring follow-up, subjective refraction was assessed. Uncorrected and distance-corrected visual acuity at far, intermediate, and near distances were measured, as well as defocus curves with induction of refractive errors of +0.50 D, 0.00 D, and –0.50 D in the non-dominant eye. In addition, subjective patient perception, including optical side effects, was evaluated using the AIOLIS questionnaire.",
        "Results": "At the time of analysis, 24 eyes of 12 patients completed the 3-month follow-up.\n\nUnder distance-corrected conditions, mean binocular visual acuity was –0.02 ± 0.08 logMAR at distance, 0.08 ± 0.06 logMAR at intermediate, and 0.25 ± 0.10 logMAR at near.\n\nWith induced +0.50 D, visual acuity was 0.00 ± 0.09 logMAR at distance, 0.09 ± 0.10 logMAR at intermediate, and 0.21 ± 0.11 logMAR at near.\n\nWith induced –0.50 D, distance visual acuity showed minimal deviation from baseline (0.01 ± 0.10 logMAR), with 0.14 ± 0.11 logMAR at intermediate and 0.30 ± 0.13 logMAR at near.",
        "Conclusions": "The TECNIS PureSee™ IOL demonstrates good tolerance to small residual postoperative refractive errors. Within a range of ±0.50 D, no substantial impairment of distance visual acuity was observed compared to distance-corrected baseline values, suggesting the presence of a functional tolerance window."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The TECNIS PureSee™ IOL demonstrates good tolerance to small residual postoperative refractive errors. Within a range of ±0.50 D, no substantial impairment of distance visual acuity was observed compared to distance-corrected baseline values, suggesting the presence of a functional tolerance window.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 443,
      "source_fields": {
        "Abstract Final Identifier": "POCAT404",
        "Title": "Tolerance To Postoperative Refractive Error Of The Tecnis Puresee™ Iol",
        "Presenting Author(s)": "Dr Lucas Nicola Steinmüller",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Lucas Nicola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Steinmüller",
        "Country Name": "Germany",
        "Purpose": "To evaluate the tolerance of the TECNIS PureSee™ intraocular lens (IOL) to small residual postoperative refractive errors and to assess their impact on binocular visual acuity across distances.",
        "Setting": "Department of Ophthalmology, Charité – Universitätsmedizin Berlin, Germany.",
        "Methods": "This prospective, controlled, single-center study includes 56 eyes of 28 patients undergoing routine bilateral cataract surgery with implantation of the TECNIS PureSee™ IOL. Postoperative examinations were performed at 1 and 3 months.\n\nDuring follow-up, subjective refraction was assessed. Uncorrected and distance-corrected visual acuity at far, intermediate, and near distances were measured, as well as defocus curves with induction of refractive errors of +0.50 D, 0.00 D, and –0.50 D in the non-dominant eye. In addition, subjective patient perception, including optical side effects, was evaluated using the AIOLIS questionnaire.",
        "Results": "At the time of analysis, 24 eyes of 12 patients completed the 3-month follow-up.\n\nUnder distance-corrected conditions, mean binocular visual acuity was –0.02 ± 0.08 logMAR at distance, 0.08 ± 0.06 logMAR at intermediate, and 0.25 ± 0.10 logMAR at near.\n\nWith induced +0.50 D, visual acuity was 0.00 ± 0.09 logMAR at distance, 0.09 ± 0.10 logMAR at intermediate, and 0.21 ± 0.11 logMAR at near.\n\nWith induced –0.50 D, distance visual acuity showed minimal deviation from baseline (0.01 ± 0.10 logMAR), with 0.14 ± 0.11 logMAR at intermediate and 0.30 ± 0.13 logMAR at near.",
        "Conclusions": "The TECNIS PureSee™ IOL demonstrates good tolerance to small residual postoperative refractive errors. Within a range of ±0.50 D, no substantial impairment of distance visual acuity was observed compared to distance-corrected baseline values, suggesting the presence of a functional tolerance window."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT405",
      "abstract_number": "POCAT405",
      "title": "Preliminary Clinical Outcomes With A Non-Diffractive Full-Range Intraocular Lens For Presbyopia Correction",
      "authors": "Dr Santiago Tañá-Sanz",
      "presenter": "Dr Santiago Tañá-Sanz",
      "normalized_authors": [
        "Santiago Tañá-Sanz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Santiago Tañá-Sanz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate preliminary monocular visual and refractive outcomes of a novel non-diffractive full-range intraocular lens (Asqelio™ PairedFocus™) for presbyopia correction, using the contralateral Asqelio™ EDOF intraocular lens as an intraindividual control.",
        "Setting": "OftalVist Alicante, Alicante, and Hospital La Arruzafa, Cordoba (Spain).",
        "Methods": "This prospective pilot study included 15 patients undergoing bilateral cataract surgery or refractive lens exchange. Each patient received an Asqelio™ PairedFocus™ intraocular lens in one eye and an Asqelio™ EDOF intraocular lens in the fellow eye. Preoperative demographic, biometric, and refractive parameters were comparable between eyes. Monocular uncorrected and distance-corrected visual acuity at distance (4 m), intermediate (67 cm), and near (40 cm), manifest refraction, and monocular defocus curves were evaluated three months postoperatively. Functional vision was defined as visual acuity ≤0.20 logMAR.",
        "Results": "At three months postoperatively, monocular uncorrected and corrected distance visual acuity with the PairedFocus IOL was comparable to the EDOF control lens. Defocus curve analysis showed similar performance at distance and low negative vergences for both lenses. However, the PairedFocus IOL extended the range of functional monocular vision toward near distances, maintaining visual acuity ≤0.20 logMAR up to approximately −3.0 D of defocus, whereas the EDOF lens showed a more rapid decline beyond intermediate vergences. Refractive predictability was high, with a mean residual spherical equivalent of 0.10 ± 0.31 D and a mean residual cylinder of −0.31 ± 0.35 D. No unexpected adverse events were observed.",
        "Conclusions": "In this preliminary fellow-eye comparison, the non-diffractive Asqelio™ PairedFocus™ intraocular lens maintained distance visual performance comparable to a standard EDOF lens while extending functional monocular vision toward near vergences of approximately −3.0 D. These findings support the PairedFocus concept as a promising approach for full-range presbyopia correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this preliminary fellow-eye comparison, the non-diffractive Asqelio™ PairedFocus™ intraocular lens maintained distance visual performance comparable to a standard EDOF lens while extending functional monocular vision toward near vergences of approximately −3.0 D. These findings support the PairedFocus concept as a promising approach for full-range presbyopia correction.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 444,
      "source_fields": {
        "Abstract Final Identifier": "POCAT405",
        "Title": "Preliminary Clinical Outcomes With A Non-Diffractive Full-Range Intraocular Lens For Presbyopia Correction",
        "Presenting Author(s)": "Dr Santiago Tañá-Sanz",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Santiago",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tañá-Sanz",
        "Country Name": "Spain",
        "Purpose": "To evaluate preliminary monocular visual and refractive outcomes of a novel non-diffractive full-range intraocular lens (Asqelio™ PairedFocus™) for presbyopia correction, using the contralateral Asqelio™ EDOF intraocular lens as an intraindividual control.",
        "Setting": "OftalVist Alicante, Alicante, and Hospital La Arruzafa, Cordoba (Spain).",
        "Methods": "This prospective pilot study included 15 patients undergoing bilateral cataract surgery or refractive lens exchange. Each patient received an Asqelio™ PairedFocus™ intraocular lens in one eye and an Asqelio™ EDOF intraocular lens in the fellow eye. Preoperative demographic, biometric, and refractive parameters were comparable between eyes. Monocular uncorrected and distance-corrected visual acuity at distance (4 m), intermediate (67 cm), and near (40 cm), manifest refraction, and monocular defocus curves were evaluated three months postoperatively. Functional vision was defined as visual acuity ≤0.20 logMAR.",
        "Results": "At three months postoperatively, monocular uncorrected and corrected distance visual acuity with the PairedFocus IOL was comparable to the EDOF control lens. Defocus curve analysis showed similar performance at distance and low negative vergences for both lenses. However, the PairedFocus IOL extended the range of functional monocular vision toward near distances, maintaining visual acuity ≤0.20 logMAR up to approximately −3.0 D of defocus, whereas the EDOF lens showed a more rapid decline beyond intermediate vergences. Refractive predictability was high, with a mean residual spherical equivalent of 0.10 ± 0.31 D and a mean residual cylinder of −0.31 ± 0.35 D. No unexpected adverse events were observed.",
        "Conclusions": "In this preliminary fellow-eye comparison, the non-diffractive Asqelio™ PairedFocus™ intraocular lens maintained distance visual performance comparable to a standard EDOF lens while extending functional monocular vision toward near vergences of approximately −3.0 D. These findings support the PairedFocus concept as a promising approach for full-range presbyopia correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCAT406",
      "abstract_number": "POCAT406",
      "title": "A Comparative Analysis Of Visual Quality And Multifocal Electroretinography In Extended Depth-Of-Focus And Monofocal Intraocular Lenses",
      "authors": "Muhammed Dara Tas",
      "presenter": "Muhammed Dara Tas",
      "normalized_authors": [
        "Muhammed Dara Tas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammed Dara Tas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare visual acuity and contrast sensitivity levels after Extended Depth-of-\nFocus (EDOF) IOL (intraocular lens) and monofocal IOL implantation in cataract surgery and\nto compare the effects of the IOLs on electrical activity in central retina.",
        "Setting": "This prospective cohort study included patients undergoing phacoemulsification with EDOF or monofocal intraocular lens implantation at Ege University,Izmir,Turkey.",
        "Methods": "The study included 23 eyes of 15 patients who underwent surgery\nfor senile cataracts and received an EDOF IOL (Vivity, Alcon, USA) (Group 1) and 21 eyes\nof 15 patients who received an Alcon single-vision lens (AcrySof IQ in UltraSert, USA)\n(Group 2). Post-operative corrected and uncorrected visual acuities for distance (CDVA,\nUDVA), intermediate (CIVA, UIVA), and near (40-67 cm) (CNVA, UNVA) were measured.\nContrast sensitivity levels were assessed under mesopic conditions. Participants completed a\nspectacle independence questionnaire. Multifocal electroretinography (mfERG) was used to\nexamine the amplitude and implicit time of the P1 wave in central retina (5-10 degrees).",
        "Results": "Mean age was 60.4 ± 9.1 (range, 51-75) years in Group 1 and 63.2 ± 7.7 (range, 41-\n73.) years in Group 2 (p=0.17). UDVA and CDVA were comparable between groups (p=0.66 and 0.15). Intermediate and near visual\nacuities were significantly better in Group 1 (UIVA: 0.30 ± 0.11 vs 0.71 ± 0.17 LogMAR;\nUNVA: 0.28 ± 0.10 vs 0.67 ± 0.15 LogMAR, p < 0.001). Mesopic contrast sensitivity at\nspatial frequencies of 0.5, 1, 3, 6, and 12 cpd was 15.9, 17.7, 19.5, 15.08, and 7.58 dB in\nGroup 1, and 15.6, 18.3, 19.8, 16.4, and 8.5 dB in Group 2, respectively (p>0.05, all decibels).\nMfERG revealed a mean P1 wave amplitude of 785.1 nV and implicit time of 45.8 ms in\nGroup 1, and 844.2 nV and 44.3 ms in Group 2, respectively (p=0.51 and 0.80).",
        "Conclusions": "Functional vision at distance, intermediate, and near distances was found to be\nsatisfactory in patients that were EDOF IOLs were implanted, demonstrating significant\nsuperiority over single-vision lenses, particularly at intermediate and near distances. No\nsignificant differences were observed between the two groups in terms of mesopic contrast\nsensitivity and central retinal electrical activity parameters assessed by mfERG."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Functional vision at distance, intermediate, and near distances was found to be satisfactory in patients that were EDOF IOLs were implanted, demonstrating significant superiority over single-vision lenses, particularly at intermediate and near distances. No significant differences were observed between the two groups in terms of mesopic contrast sensitivity and central retinal electrical activity parameters…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 445,
      "source_fields": {
        "Abstract Final Identifier": "POCAT406",
        "Title": "A Comparative Analysis Of Visual Quality And Multifocal Electroretinography In Extended Depth-Of-Focus And Monofocal Intraocular Lenses",
        "Presenting Author(s)": "Muhammed Dara Tas",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Muhammed Dara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tas",
        "Country Name": "Türkiye",
        "Purpose": "To compare visual acuity and contrast sensitivity levels after Extended Depth-of-\nFocus (EDOF) IOL (intraocular lens) and monofocal IOL implantation in cataract surgery and\nto compare the effects of the IOLs on electrical activity in central retina.",
        "Setting": "This prospective cohort study included patients undergoing phacoemulsification with EDOF or monofocal intraocular lens implantation at Ege University,Izmir,Turkey.",
        "Methods": "The study included 23 eyes of 15 patients who underwent surgery\nfor senile cataracts and received an EDOF IOL (Vivity, Alcon, USA) (Group 1) and 21 eyes\nof 15 patients who received an Alcon single-vision lens (AcrySof IQ in UltraSert, USA)\n(Group 2). Post-operative corrected and uncorrected visual acuities for distance (CDVA,\nUDVA), intermediate (CIVA, UIVA), and near (40-67 cm) (CNVA, UNVA) were measured.\nContrast sensitivity levels were assessed under mesopic conditions. Participants completed a\nspectacle independence questionnaire. Multifocal electroretinography (mfERG) was used to\nexamine the amplitude and implicit time of the P1 wave in central retina (5-10 degrees).",
        "Results": "Mean age was 60.4 ± 9.1 (range, 51-75) years in Group 1 and 63.2 ± 7.7 (range, 41-\n73.) years in Group 2 (p=0.17). UDVA and CDVA were comparable between groups (p=0.66 and 0.15). Intermediate and near visual\nacuities were significantly better in Group 1 (UIVA: 0.30 ± 0.11 vs 0.71 ± 0.17 LogMAR;\nUNVA: 0.28 ± 0.10 vs 0.67 ± 0.15 LogMAR, p < 0.001). Mesopic contrast sensitivity at\nspatial frequencies of 0.5, 1, 3, 6, and 12 cpd was 15.9, 17.7, 19.5, 15.08, and 7.58 dB in\nGroup 1, and 15.6, 18.3, 19.8, 16.4, and 8.5 dB in Group 2, respectively (p>0.05, all decibels).\nMfERG revealed a mean P1 wave amplitude of 785.1 nV and implicit time of 45.8 ms in\nGroup 1, and 844.2 nV and 44.3 ms in Group 2, respectively (p=0.51 and 0.80).",
        "Conclusions": "Functional vision at distance, intermediate, and near distances was found to be\nsatisfactory in patients that were EDOF IOLs were implanted, demonstrating significant\nsuperiority over single-vision lenses, particularly at intermediate and near distances. No\nsignificant differences were observed between the two groups in terms of mesopic contrast\nsensitivity and central retinal electrical activity parameters assessed by mfERG."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCAT407",
      "abstract_number": "POCAT407",
      "title": "Preliminary Rotational Stability And Clinical Performance Of A Biaspheric Edof Toric Intraocular Lens",
      "authors": "Mr Victor Tejerina",
      "presenter": "Mr Victor Tejerina",
      "normalized_authors": [
        "Victor Tejerina"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Tejerina",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To preliminarily evaluate rotational misalignment and early clinical outcomes of an extended depth-of-focus (EDOF) toric intraocular lens (IOL), with particular emphasis on the comparison between clinical and anterior segment OCT-based rotational assessment.",
        "Setting": "A private ophthalmology center in Madrid, Spain (Miranza Group: Instituto de Microcirugía Ocular). All procedures were performed by experienced cataract surgeons using standardized biometric, calculation, and surgical protocols.",
        "Methods": "This observational post-marketing preliminary analysis included 20 eyes of 10 patients, of which 17 eyes were implanted with a toric EDOF IOL and were eligible for rotational analysis. Rotational misalignment was calculated as the absolute minimal angular difference between intended and observed IOL axis. Rotation was assessed using two independent methodologies: slit-lamp retroillumination imaging (clinical assessment) and anterior segment optical coherence tomography (AS-OCT) at 3 months. Rotational data were described using median and interquartile range (IQR). Visual acuity outcomes (logMAR) and binocular defocus curve were descriptively evaluated.",
        "Results": "Among the 17 toric IOLs, median rotational misalignment was 1.5° (IQR 0.0–5.0°) when assessed clinically and 2.0° (IQR 1.0–3.5°) when assessed using AS-OCT. Comparison between assessment methods showed similar magnitudes of rotation, with OCT-based measurements tending to yield slightly lower median values than clinical assessment.\n\nMedian monocular uncorrected and corrected distance visual acuity (UDVA and CVDA) at 3 months was -0.01 (IQR -0.04–0.04) , and -0.01 (IQR -0.04–0.00) respectively . Binocular defocus curve demonstrated a functional EDOF, with median visual acuity ≤0.2 logMAR across a defocus range from +1.00 to -2.25 . No adverse events related to IOL positioning were recorded.",
        "Conclusions": "In this preliminary cohort, the EDOF toric IOL demonstrated good rotational stability, with consistent results obtained using both clinical slit-lamp assessment and anterior segment OCT. The close agreement between methodologies supports the reliability of rotational measurements and confirms appropriate IOL positioning. Although limited by sample size and descriptive design, these findings suggest favorable early rotational and clinical performance and warrant confirmation in a larger population with complete follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this preliminary cohort, the EDOF toric IOL demonstrated good rotational stability, with consistent results obtained using both clinical slit-lamp assessment and anterior segment OCT. The close agreement between methodologies supports the reliability of rotational measurements and confirms appropriate IOL positioning. Although limited by sample size and descriptive design, these findings suggest favorable early…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 446,
      "source_fields": {
        "Abstract Final Identifier": "POCAT407",
        "Title": "Preliminary Rotational Stability And Clinical Performance Of A Biaspheric Edof Toric Intraocular Lens",
        "Presenting Author(s)": "Mr Victor Tejerina",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tejerina",
        "Country Name": "Spain",
        "Purpose": "To preliminarily evaluate rotational misalignment and early clinical outcomes of an extended depth-of-focus (EDOF) toric intraocular lens (IOL), with particular emphasis on the comparison between clinical and anterior segment OCT-based rotational assessment.",
        "Setting": "A private ophthalmology center in Madrid, Spain (Miranza Group: Instituto de Microcirugía Ocular). All procedures were performed by experienced cataract surgeons using standardized biometric, calculation, and surgical protocols.",
        "Methods": "This observational post-marketing preliminary analysis included 20 eyes of 10 patients, of which 17 eyes were implanted with a toric EDOF IOL and were eligible for rotational analysis. Rotational misalignment was calculated as the absolute minimal angular difference between intended and observed IOL axis. Rotation was assessed using two independent methodologies: slit-lamp retroillumination imaging (clinical assessment) and anterior segment optical coherence tomography (AS-OCT) at 3 months. Rotational data were described using median and interquartile range (IQR). Visual acuity outcomes (logMAR) and binocular defocus curve were descriptively evaluated.",
        "Results": "Among the 17 toric IOLs, median rotational misalignment was 1.5° (IQR 0.0–5.0°) when assessed clinically and 2.0° (IQR 1.0–3.5°) when assessed using AS-OCT. Comparison between assessment methods showed similar magnitudes of rotation, with OCT-based measurements tending to yield slightly lower median values than clinical assessment.\n\nMedian monocular uncorrected and corrected distance visual acuity (UDVA and CVDA) at 3 months was -0.01 (IQR -0.04–0.04) , and -0.01 (IQR -0.04–0.00) respectively . Binocular defocus curve demonstrated a functional EDOF, with median visual acuity ≤0.2 logMAR across a defocus range from +1.00 to -2.25 . No adverse events related to IOL positioning were recorded.",
        "Conclusions": "In this preliminary cohort, the EDOF toric IOL demonstrated good rotational stability, with consistent results obtained using both clinical slit-lamp assessment and anterior segment OCT. The close agreement between methodologies supports the reliability of rotational measurements and confirms appropriate IOL positioning. Although limited by sample size and descriptive design, these findings suggest favorable early rotational and clinical performance and warrant confirmation in a larger population with complete follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POCAT408",
      "abstract_number": "POCAT408",
      "title": "The Combination Of A Monofocal And Extended Depth-Of-Focus Intraocular Lens In Bilateral Cataract Surgery (Comedi Trial): Clinical And Patient-Reported Outcomes On Quality Of Vision Compared To Bilateral Monofocal Iol Implantation.",
      "authors": "Dr Karolien Termote",
      "presenter": "Dr Karolien Termote",
      "normalized_authors": [
        "Karolien Termote"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karolien Termote",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "The Comedi trial aimed to assess whether combining a monofocal intraocular lens (IOL) in one eye and an extended depth of focus (EDOF) IOL in the fellow eye (combi group) offers benefits over bilateral monofocal IOL implantation (mono group) in cataract patients. The primary goal was to compare binocular distance-corrected intermediate visual acuity (DCIVA) at 66cm measured 3 months post-surgery. The hypothesis was that the combi group would achieve better unaided intermediate vision without visual disturbances. Secondary objectives explored the impact of this mix and match strategy on overall visual function as well as patient reported satisfaction and spectacle independence.",
        "Setting": "This was a single-centre, double masked, randomised parallel group prospective study. The study was conducted at the Department of Ophthalmology, University Hospital of Brussels, Belgium, between October 2023 and December 2026, enrolling patients undergoing bilateral phacoemulsification cataract surgery.",
        "Methods": "Participants were randomized 1:1 into the mono or combi group. Inclusion criteria were patients aged 50-90 with bilateral cataract. Exclusion criteria included prior refractive surgery or significant ocular diseases. Primary outcomes included binocular photopic DCIVA at 66 cm at 3 months, while secondary outcomes included (un)corrected visual acuity for far and near, patient reported quality of life using NEI VFQ-25, Patient Reported Spectacle Independence (PRSIQ) and satisfaction questionnaires. Contrast sensitivity and stereopsis were also measured. IOL power was calculated using the Barrett Universal II Formula. Lentis L(S)-313 for monofocal IOL and Lentis Comfort LS-313 MF15 for EDOF IOL was implanted.",
        "Results": "Fifty patients (19 males, 31 females) were included, with 6 drop-outs. Mean age was 73.3 ± 8.0 years in the combi group vs 72.3 ± 8.5 years in the mono group. Binocular visual acuity outcomes were comparable for all distances (all p>0.05), with a numerical trend toward better UIVA and UNVA in the combi group. Contrast sensitivity was comparable between groups (all p>0.05). Postoperative stereopsis was similar (median 60 arcsec; p=0.41). NEI VFQ-25 showed a non-significant trend favoring the combi group (91.11 ± 8.30 vs 87.06 ± 8.02; p=0.107). PRSIQ demonstrated less intermediate spectacle dependence in the combi group (100% vs 81%; p=0.049). Likert-based satisfaction was higher in the combi group (4.05 ± 0.64 vs 3.62 ± 0.68; p=0.036).",
        "Conclusions": "These findings suggest that combining an EDOF with a monofocal IOL may improve subjective spectacle independence and patient satisfaction despite similar objective visual results, highlighting the importance of patient-reported outcomes when evaluating refractive cataract surgery strategies. This trial can guide surgeons in IOL selection in a second eye of cataract patients who already received monofocal IOL implantation in the first eye but want to improve spectacle independence for intermediate and near while maintaining optical quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings suggest that combining an EDOF with a monofocal IOL may improve subjective spectacle independence and patient satisfaction despite similar objective visual results, highlighting the importance of patient-reported outcomes when evaluating refractive cataract surgery strategies. This trial can guide surgeons in IOL selection in a second eye of cataract patients who already received monofocal IOL…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 447,
      "source_fields": {
        "Abstract Final Identifier": "POCAT408",
        "Title": "The Combination Of A Monofocal And Extended Depth-Of-Focus Intraocular Lens In Bilateral Cataract Surgery (Comedi Trial): Clinical And Patient-Reported Outcomes On Quality Of Vision Compared To Bilateral Monofocal Iol Implantation.",
        "Presenting Author(s)": "Dr Karolien Termote",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Karolien",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Termote",
        "Country Name": "Belgium",
        "Purpose": "The Comedi trial aimed to assess whether combining a monofocal intraocular lens (IOL) in one eye and an extended depth of focus (EDOF) IOL in the fellow eye (combi group) offers benefits over bilateral monofocal IOL implantation (mono group) in cataract patients. The primary goal was to compare binocular distance-corrected intermediate visual acuity (DCIVA) at 66cm measured 3 months post-surgery. The hypothesis was that the combi group would achieve better unaided intermediate vision without visual disturbances. Secondary objectives explored the impact of this mix and match strategy on overall visual function as well as patient reported satisfaction and spectacle independence.",
        "Setting": "This was a single-centre, double masked, randomised parallel group prospective study. The study was conducted at the Department of Ophthalmology, University Hospital of Brussels, Belgium, between October 2023 and December 2026, enrolling patients undergoing bilateral phacoemulsification cataract surgery.",
        "Methods": "Participants were randomized 1:1 into the mono or combi group. Inclusion criteria were patients aged 50-90 with bilateral cataract. Exclusion criteria included prior refractive surgery or significant ocular diseases. Primary outcomes included binocular photopic DCIVA at 66 cm at 3 months, while secondary outcomes included (un)corrected visual acuity for far and near, patient reported quality of life using NEI VFQ-25, Patient Reported Spectacle Independence (PRSIQ) and satisfaction questionnaires. Contrast sensitivity and stereopsis were also measured. IOL power was calculated using the Barrett Universal II Formula. Lentis L(S)-313 for monofocal IOL and Lentis Comfort LS-313 MF15 for EDOF IOL was implanted.",
        "Results": "Fifty patients (19 males, 31 females) were included, with 6 drop-outs. Mean age was 73.3 ± 8.0 years in the combi group vs 72.3 ± 8.5 years in the mono group. Binocular visual acuity outcomes were comparable for all distances (all p>0.05), with a numerical trend toward better UIVA and UNVA in the combi group. Contrast sensitivity was comparable between groups (all p>0.05). Postoperative stereopsis was similar (median 60 arcsec; p=0.41). NEI VFQ-25 showed a non-significant trend favoring the combi group (91.11 ± 8.30 vs 87.06 ± 8.02; p=0.107). PRSIQ demonstrated less intermediate spectacle dependence in the combi group (100% vs 81%; p=0.049). Likert-based satisfaction was higher in the combi group (4.05 ± 0.64 vs 3.62 ± 0.68; p=0.036).",
        "Conclusions": "These findings suggest that combining an EDOF with a monofocal IOL may improve subjective spectacle independence and patient satisfaction despite similar objective visual results, highlighting the importance of patient-reported outcomes when evaluating refractive cataract surgery strategies. This trial can guide surgeons in IOL selection in a second eye of cataract patients who already received monofocal IOL implantation in the first eye but want to improve spectacle independence for intermediate and near while maintaining optical quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 454
    },
    {
      "uid": "POCAT410",
      "abstract_number": "POCAT410",
      "title": "Estimated Visual Acuity And Clinical Validation For Presbyopia And Astigmatism Correction Iols Based On Wavefront Engineering Technology",
      "authors": "Ms Martina Vacalebre",
      "presenter": "Ms Martina Vacalebre",
      "normalized_authors": [
        "Martina Vacalebre"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Martina Vacalebre",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "The objective of this study is to evaluate the monocular estimated visual acuity (VA) for two simultaneous vision toric intraocular lenses (IOLs) based on wavefront engineering technology.",
        "Setting": "Innovation and Medical Science, SIFI SpA, Catania, Italy.",
        "Methods": "The monocular estimated visual acuity (VA) is a useful method to preclinically evaluate the potential benefit for the patient in terms of uninterrupted image quality from far to near distance. The Modulation Transfer Function (MTF) spatial frequency curves were measured for several distances with 0.5 D steps at 3mm pupil aperture for three different samples: two simultaneous vision toric IOLs, Mini Well Toric and Mini Well Proxa Toric, and their monofocal parent, Mini Toric Ready. For each lens, the MTF Area (MTFa) from 1 to 50 lp/mm was evaluated for several target positions and the expected visual acuity was calculated with an exponential equation. The aspheric toric monofocal Mini Toric Ready was used as control reference.",
        "Results": "Mini Well Toric and Mini Well Proxa Toric registered an estimated VA value close to 0 logMAR at far position (0 D). Subsequently, both simultaneous vision toric IOLs registered a progressive constant VA value ranged between 0 logMAR and the clinical threshold equal to 0.2 logMAR up to near targets. The Mini Toric Ready IOL registered a peak for far vision at 0 D and a subsequent monotonically decreasing estimated visual acuity, as expected for an aspheric monofocal IOL. The estimated VA results demonstrated the uninterrupted extension of the depth of focus of the two toric IOLs based on wavefront engineering technology.",
        "Conclusions": "The validation of the results was carried out through comparison either with the clinical data reported in literature or provided by private clinical practice. The expected visual acuity of the three samples seems to slightly overestimate the clinical visual acuity. However, the trend obtained with the optical assessment is consistent with the clinical outcome. The extension of the depth of focus is confirmed for the two toric IOLs based on wavefront engineering technology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The validation of the results was carried out through comparison either with the clinical data reported in literature or provided by private clinical practice. The expected visual acuity of the three samples seems to slightly overestimate the clinical visual acuity. However, the trend obtained with the optical assessment is consistent with the clinical outcome. The extension of the depth of focus is confirmed for…",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 448,
      "source_fields": {
        "Abstract Final Identifier": "POCAT410",
        "Title": "Estimated Visual Acuity And Clinical Validation For Presbyopia And Astigmatism Correction Iols Based On Wavefront Engineering Technology",
        "Presenting Author(s)": "Ms Martina Vacalebre",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Martina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vacalebre",
        "Country Name": "Italy",
        "Purpose": "The objective of this study is to evaluate the monocular estimated visual acuity (VA) for two simultaneous vision toric intraocular lenses (IOLs) based on wavefront engineering technology.",
        "Setting": "Innovation and Medical Science, SIFI SpA, Catania, Italy.",
        "Methods": "The monocular estimated visual acuity (VA) is a useful method to preclinically evaluate the potential benefit for the patient in terms of uninterrupted image quality from far to near distance. The Modulation Transfer Function (MTF) spatial frequency curves were measured for several distances with 0.5 D steps at 3mm pupil aperture for three different samples: two simultaneous vision toric IOLs, Mini Well Toric and Mini Well Proxa Toric, and their monofocal parent, Mini Toric Ready. For each lens, the MTF Area (MTFa) from 1 to 50 lp/mm was evaluated for several target positions and the expected visual acuity was calculated with an exponential equation. The aspheric toric monofocal Mini Toric Ready was used as control reference.",
        "Results": "Mini Well Toric and Mini Well Proxa Toric registered an estimated VA value close to 0 logMAR at far position (0 D). Subsequently, both simultaneous vision toric IOLs registered a progressive constant VA value ranged between 0 logMAR and the clinical threshold equal to 0.2 logMAR up to near targets. The Mini Toric Ready IOL registered a peak for far vision at 0 D and a subsequent monotonically decreasing estimated visual acuity, as expected for an aspheric monofocal IOL. The estimated VA results demonstrated the uninterrupted extension of the depth of focus of the two toric IOLs based on wavefront engineering technology.",
        "Conclusions": "The validation of the results was carried out through comparison either with the clinical data reported in literature or provided by private clinical practice. The expected visual acuity of the three samples seems to slightly overestimate the clinical visual acuity. However, the trend obtained with the optical assessment is consistent with the clinical outcome. The extension of the depth of focus is confirmed for the two toric IOLs based on wavefront engineering technology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "POCAT411",
      "abstract_number": "POCAT411",
      "title": "Optical Performance Of Inverted Meniscus Full-Range Iols (Artiols®)",
      "authors": "Prof. Eloy Villegas",
      "presenter": "Prof. Eloy Villegas",
      "normalized_authors": [
        "Eloy Villegas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eloy Villegas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To analyze the through-focus optical quality of two inverted meniscus refractive Simultaneous Vision IOLs, EDF ArtIOLs®40 and FVR ArtIOLs®70 (ArtIOLs, Voptica SL, Murcia, Spain) and to compare with clinical visual acuity (VA). The inverted meniscus design improves the peripheral optics performance and the induction of low (ArtIOLs®40), and moderate (ArtIOLs®70) negative spherical aberration increases the depth of focus.",
        "Setting": "Laboratorio de Óptica, University of Murcia, Spain",
        "Methods": "The modulation transfer function at 50 lp/mm (MTF@50) and through-focus MTF area between 0 and 50 lp/mm (MTFa), from +1.00 to -3.00 D, of ArtIOLs lenses were measured with NIMO TR0815 device (LAMBDA-X) for 3.0-mm aperture diameter at the IOL plane and corneal SA of 0.28 micros for 6-mm aperture diameter. From MTFa values, we calculated the simulated through-focus (VA), in LogMAR, using the formula proposed in ANSI Z80.35-2018 and compared the results with clinical measurements obtained from two groups of patients: 20 eyes implanted with ArtIOLs®40 and another 20 implanted with ArtIOLs®70.",
        "Results": "At zero diopters, simulated VA was around -0.1 LogMAR in both lenses, at -1.5 D (intermediate distance) were 0.09 and 0.05 and at -2.5 D (near distance) were 0.25 and 0.23 LogMAR for ArtIOLs®40 and ArtIOLs®70 lenses, respectively. At zero, -1.5 and -2.5 D, the mean values of clinic VA were -0.02±0.05, 0.12±0.10, 0.33±0.16 LogMAR for ArtIOLs®40 and -0.02±0.07, 0.05±0.06, 0.21±0.10 LogMAR for ArtIOLs®70, with a mean pupil diameter of 3.24±0.69 mm.",
        "Conclusions": "EDF ArtIOLs®40 and FVR ArtIOLs®70 demonstrated good distance optical quality. The depth-of-focus values from the simulated VA based on MTFa were 2.1 D and 2.4 D, respectively. These values were slightly higher than the clinical measurements for ArtIOLs®40 and closely matched those obtained clinically for ArtIOLs®70."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EDF ArtIOLs®40 and FVR ArtIOLs®70 demonstrated good distance optical quality. The depth-of-focus values from the simulated VA based on MTFa were 2.1 D and 2.4 D, respectively. These values were slightly higher than the clinical measurements for ArtIOLs®40 and closely matched those obtained clinically for ArtIOLs®70.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 449,
      "source_fields": {
        "Abstract Final Identifier": "POCAT411",
        "Title": "Optical Performance Of Inverted Meniscus Full-Range Iols (Artiols®)",
        "Presenting Author(s)": "Prof. Eloy Villegas",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Eloy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Villegas",
        "Country Name": "Spain",
        "Purpose": "To analyze the through-focus optical quality of two inverted meniscus refractive Simultaneous Vision IOLs, EDF ArtIOLs®40 and FVR ArtIOLs®70 (ArtIOLs, Voptica SL, Murcia, Spain) and to compare with clinical visual acuity (VA). The inverted meniscus design improves the peripheral optics performance and the induction of low (ArtIOLs®40), and moderate (ArtIOLs®70) negative spherical aberration increases the depth of focus.",
        "Setting": "Laboratorio de Óptica, University of Murcia, Spain",
        "Methods": "The modulation transfer function at 50 lp/mm (MTF@50) and through-focus MTF area between 0 and 50 lp/mm (MTFa), from +1.00 to -3.00 D, of ArtIOLs lenses were measured with NIMO TR0815 device (LAMBDA-X) for 3.0-mm aperture diameter at the IOL plane and corneal SA of 0.28 micros for 6-mm aperture diameter. From MTFa values, we calculated the simulated through-focus (VA), in LogMAR, using the formula proposed in ANSI Z80.35-2018 and compared the results with clinical measurements obtained from two groups of patients: 20 eyes implanted with ArtIOLs®40 and another 20 implanted with ArtIOLs®70.",
        "Results": "At zero diopters, simulated VA was around -0.1 LogMAR in both lenses, at -1.5 D (intermediate distance) were 0.09 and 0.05 and at -2.5 D (near distance) were 0.25 and 0.23 LogMAR for ArtIOLs®40 and ArtIOLs®70 lenses, respectively. At zero, -1.5 and -2.5 D, the mean values of clinic VA were -0.02±0.05, 0.12±0.10, 0.33±0.16 LogMAR for ArtIOLs®40 and -0.02±0.07, 0.05±0.06, 0.21±0.10 LogMAR for ArtIOLs®70, with a mean pupil diameter of 3.24±0.69 mm.",
        "Conclusions": "EDF ArtIOLs®40 and FVR ArtIOLs®70 demonstrated good distance optical quality. The depth-of-focus values from the simulated VA based on MTFa were 2.1 D and 2.4 D, respectively. These values were slightly higher than the clinical measurements for ArtIOLs®40 and closely matched those obtained clinically for ArtIOLs®70."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "POCAT412",
      "abstract_number": "POCAT412",
      "title": "Evaluation Of The Capsular Bag Stability Of A Novel Intraocular Lens With Partial Range Of Field",
      "authors": "Alexander Waal",
      "presenter": "Alexander Waal",
      "normalized_authors": [
        "Alexander Waal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Waal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Within the scope of the study, the postoperative stability of previously implanted CE-certified extended depth-of-focus (EDOF) intraocular lenses of the type PureSee (manufactured by Johnson & Johnson, USA) was evaluated. Primary outcome variables of the investigation were anterior chamber depth (ACD), intraocular lens (IOL) tilt and IOL decentration, as these parameters are known to influence postoperative visual quality.",
        "Setting": "The investigations were conducted between September 2025 and January 2026 at the Department of Opthalmology at the Kepler University Hospital in Linz, Austria.",
        "Methods": "A total of 52 patients aged ≥18 years were included in this prospective study following bilateral implantation of the IOL. Eyes with previous ocular surgery, combined surgical procedures, or pathological findings associated with an increased risk of capsular bag instability were excluded. Optical biometry using the IOLMaster 700 (Zeiss, Germany) and swept-source optical coherence tomography using the CASIA2 (TOMEY, Japan) were performed preoperatively and at a minimum of 4 weeks postoperatively to assess ACD, IOL tilt and IOL decentration. The objective of the study was to evaluate postoperative capsular bag stability of the IOL and its impact on refractive outcomes.",
        "Results": "The mean preoperative ACD of right eyes was 2.81 mm and increased to a mean postoperative value of 4.31 mm. In left eyes, the mean ACD was 2.81 mm and increased to a mean postoperative value of 4.34 mm. The average preoperative lens tilt for right eyes was 4.99°, compared to a postoperative mean of 4.91°, respectively. In left eyes, the average preoperative lens tilt was 5.79°, compared to a postoperative mean of 5.37°. Preoperative decentration measured 0.15 mm in right eyes and increased to a mean postoperative value of 0.20 mm. In left eyes, preoperative decentration measured 0.15 mm and increased to a mean postoperative value of 0.26 mm",
        "Conclusions": "Given the low degree of postoperative decentration and tilt, the stability of the intraocular lens was demonstrated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Given the low degree of postoperative decentration and tilt, the stability of the intraocular lens was demonstrated.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 450,
      "source_fields": {
        "Abstract Final Identifier": "POCAT412",
        "Title": "Evaluation Of The Capsular Bag Stability Of A Novel Intraocular Lens With Partial Range Of Field",
        "Presenting Author(s)": "Alexander Waal",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Waal",
        "Country Name": "Austria",
        "Purpose": "Within the scope of the study, the postoperative stability of previously implanted CE-certified extended depth-of-focus (EDOF) intraocular lenses of the type PureSee (manufactured by Johnson & Johnson, USA) was evaluated. Primary outcome variables of the investigation were anterior chamber depth (ACD), intraocular lens (IOL) tilt and IOL decentration, as these parameters are known to influence postoperative visual quality.",
        "Setting": "The investigations were conducted between September 2025 and January 2026 at the Department of Opthalmology at the Kepler University Hospital in Linz, Austria.",
        "Methods": "A total of 52 patients aged ≥18 years were included in this prospective study following bilateral implantation of the IOL. Eyes with previous ocular surgery, combined surgical procedures, or pathological findings associated with an increased risk of capsular bag instability were excluded. Optical biometry using the IOLMaster 700 (Zeiss, Germany) and swept-source optical coherence tomography using the CASIA2 (TOMEY, Japan) were performed preoperatively and at a minimum of 4 weeks postoperatively to assess ACD, IOL tilt and IOL decentration. The objective of the study was to evaluate postoperative capsular bag stability of the IOL and its impact on refractive outcomes.",
        "Results": "The mean preoperative ACD of right eyes was 2.81 mm and increased to a mean postoperative value of 4.31 mm. In left eyes, the mean ACD was 2.81 mm and increased to a mean postoperative value of 4.34 mm. The average preoperative lens tilt for right eyes was 4.99°, compared to a postoperative mean of 4.91°, respectively. In left eyes, the average preoperative lens tilt was 5.79°, compared to a postoperative mean of 5.37°. Preoperative decentration measured 0.15 mm in right eyes and increased to a mean postoperative value of 0.20 mm. In left eyes, preoperative decentration measured 0.15 mm and increased to a mean postoperative value of 0.26 mm",
        "Conclusions": "Given the low degree of postoperative decentration and tilt, the stability of the intraocular lens was demonstrated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCAT413",
      "abstract_number": "POCAT413",
      "title": "Visual Performance After Bilateral Implantation Of A Nondiffractive Extended Depth-Of-Focus Intraocular Lens Targeted For Mini-Monovision In Chinese Population",
      "authors": "Dr Fang Tian",
      "presenter": "Dr Fang Tian",
      "normalized_authors": [
        "Fang Tian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yijing Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the visual outcomes, patient satisfaction, spectacle independence and photic phenomena after bilateral implantation of a new non-diffractive extended depth-of-focus intraocular lens using mini-monovision approach in Chinese cataract population.",
        "Setting": "TianJin Medical University Eye Hospital",
        "Methods": "This is a single-center prospective study including 50 patients who underwent bilateral cataract surgery. To achieve mini-monovision, the spherical equivalent (SE) was calculated between -0.25 and +0.25 D for the dominant eye, and between -0.5 and -0.75 D for the non-dominant eye. The main outcomes were uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance-corrected near visual acuity and intermediate visual acuity at 40 cm, 66 cm (UNVA, DCNVA, UIVA, DCIVA) 3 months postoperatively. Secondary outcome parameters were binocular defocus curve, patient satisfaction including, spectacle independence and photic phenomena.",
        "Results": "Binocular UDVA and CDVA was 0.02±0.05logMAR, 0.01±0.03logMAR respectively three months after surgery. Meanwhile binocular UNVA and DCNVA achieved 0.18±0.05logMAR, 0.16±0.08logMAR respectively, while, UIVA and DCIVA was 0.09±0.06MAR, 0.08±0.04MAR respectively. The defocus curve showed that when the diopter ranged from -2.0D to -3.0D, the average binocular visual acuity was less than 0.22logMAR, indicating a better intermediate to near visual performance than monocular visual acuity. All patients experienced spectacle independence for distance and intermediate vision task after surgery, and were quite satisfied with their vision. No visual disturbances were reported in this study.",
        "Conclusions": "Patients implanted with a new non-diffractive depth-of-field extended IOL using the mini-monovision technique showed improved distance and intermediate visual acuity, reduced need for glasses, and expressed a high degree of satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients implanted with a new non-diffractive depth-of-field extended IOL using the mini-monovision technique showed improved distance and intermediate visual acuity, reduced need for glasses, and expressed a high degree of satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 451,
      "source_fields": {
        "Abstract Final Identifier": "POCAT413",
        "Title": "Visual Performance After Bilateral Implantation Of A Nondiffractive Extended Depth-Of-Focus Intraocular Lens Targeted For Mini-Monovision In Chinese Population",
        "Presenting Author(s)": "Dr Fang Tian",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Yijing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To evaluate the visual outcomes, patient satisfaction, spectacle independence and photic phenomena after bilateral implantation of a new non-diffractive extended depth-of-focus intraocular lens using mini-monovision approach in Chinese cataract population.",
        "Setting": "TianJin Medical University Eye Hospital",
        "Methods": "This is a single-center prospective study including 50 patients who underwent bilateral cataract surgery. To achieve mini-monovision, the spherical equivalent (SE) was calculated between -0.25 and +0.25 D for the dominant eye, and between -0.5 and -0.75 D for the non-dominant eye. The main outcomes were uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance-corrected near visual acuity and intermediate visual acuity at 40 cm, 66 cm (UNVA, DCNVA, UIVA, DCIVA) 3 months postoperatively. Secondary outcome parameters were binocular defocus curve, patient satisfaction including, spectacle independence and photic phenomena.",
        "Results": "Binocular UDVA and CDVA was 0.02±0.05logMAR, 0.01±0.03logMAR respectively three months after surgery. Meanwhile binocular UNVA and DCNVA achieved 0.18±0.05logMAR, 0.16±0.08logMAR respectively, while, UIVA and DCIVA was 0.09±0.06MAR, 0.08±0.04MAR respectively. The defocus curve showed that when the diopter ranged from -2.0D to -3.0D, the average binocular visual acuity was less than 0.22logMAR, indicating a better intermediate to near visual performance than monocular visual acuity. All patients experienced spectacle independence for distance and intermediate vision task after surgery, and were quite satisfied with their vision. No visual disturbances were reported in this study.",
        "Conclusions": "Patients implanted with a new non-diffractive depth-of-field extended IOL using the mini-monovision technique showed improved distance and intermediate visual acuity, reduced need for glasses, and expressed a high degree of satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POCAT414",
      "abstract_number": "POCAT414",
      "title": "Functional Outcomes After Implantation Of An Edof Iol With A Refractive Technology And Monofocal-Like Dysphotopsia Profile",
      "authors": "Dr Timur M. Yildirim",
      "presenter": "Dr Timur M. Yildirim",
      "normalized_authors": [
        "Timur M. Yildirim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Timur M. Yildirim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the functional outcomes including visual performance and patient reported outcomes after implantation of the refractive EDOF lens Tecnis PureSee DEN00V and TECNIS PureSee Toric II (JnJ, US).",
        "Setting": "The David J Apple Center for Vision Research, Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "58 eyes of 29 patients who underwent phacoemulsification with implantation of Tecnis PureSee (JnJ, US) were included in this prospective study. The mean age of the patients was 71 ± 11 years. Postoperative follow-up at 3 months included uncorrected (UDVA) and corrected (CDVA) distance visual acuity, uncorrected (UIVA) and distance corrected intermediate visual acuity (DCIVA) at 80 cm, and uncorrected (UNVA) and distance corrected near visual acuity (DCNVA) at 40 cm. Binocular best-corrected defocus curve analysis in the range +2 to -4, halo and glare simulation, contrast sensitivity under photopic and mesopic conditions were also evaluated 3 months after surgery.",
        "Results": "Mean binocular visual acuity in logMAR at 3 months follow-up was UDVA/ CDVA (-0.02/ -0.07), UIVA/ DCIVA (0.03/ 0.02) and UNVA/ DCNVA (0.16/ 0.26). Results indicate that the Tecnis PureSee IOL performs comparably to standard monofocal lenses in terms of halo/glare simulation. The contrast sensitivity under photopic and mesopic conditions is within normal age limits.",
        "Conclusions": "This study showed good visual acuity and reduced photopic phenomena. In particular, patients reported little or no photopic phenomena in terms of halo and glare simulation. The IOL power calculation for the Tecnis PureSee IOL and the implantation behaviour are uncomplicated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study showed good visual acuity and reduced photopic phenomena. In particular, patients reported little or no photopic phenomena in terms of halo and glare simulation. The IOL power calculation for the Tecnis PureSee IOL and the implantation behaviour are uncomplicated.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 452,
      "source_fields": {
        "Abstract Final Identifier": "POCAT414",
        "Title": "Functional Outcomes After Implantation Of An Edof Iol With A Refractive Technology And Monofocal-Like Dysphotopsia Profile",
        "Presenting Author(s)": "Dr Timur M. Yildirim",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Timur",
        "Submitter Middle Name": "M.",
        "Submitter Last Name": "Yildirim",
        "Country Name": "Germany",
        "Purpose": "To evaluate the functional outcomes including visual performance and patient reported outcomes after implantation of the refractive EDOF lens Tecnis PureSee DEN00V and TECNIS PureSee Toric II (JnJ, US).",
        "Setting": "The David J Apple Center for Vision Research, Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "58 eyes of 29 patients who underwent phacoemulsification with implantation of Tecnis PureSee (JnJ, US) were included in this prospective study. The mean age of the patients was 71 ± 11 years. Postoperative follow-up at 3 months included uncorrected (UDVA) and corrected (CDVA) distance visual acuity, uncorrected (UIVA) and distance corrected intermediate visual acuity (DCIVA) at 80 cm, and uncorrected (UNVA) and distance corrected near visual acuity (DCNVA) at 40 cm. Binocular best-corrected defocus curve analysis in the range +2 to -4, halo and glare simulation, contrast sensitivity under photopic and mesopic conditions were also evaluated 3 months after surgery.",
        "Results": "Mean binocular visual acuity in logMAR at 3 months follow-up was UDVA/ CDVA (-0.02/ -0.07), UIVA/ DCIVA (0.03/ 0.02) and UNVA/ DCNVA (0.16/ 0.26). Results indicate that the Tecnis PureSee IOL performs comparably to standard monofocal lenses in terms of halo/glare simulation. The contrast sensitivity under photopic and mesopic conditions is within normal age limits.",
        "Conclusions": "This study showed good visual acuity and reduced photopic phenomena. In particular, patients reported little or no photopic phenomena in terms of halo and glare simulation. The IOL power calculation for the Tecnis PureSee IOL and the implantation behaviour are uncomplicated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCAT415",
      "abstract_number": "POCAT415",
      "title": "Refractive And Visual Outcomes Of Refractive Lens Exchange With Bilateral Light Adjustable Lens Implantation In Hong Kong",
      "authors": "Dr Jannik Joergensen",
      "presenter": "Dr Jannik Joergensen",
      "normalized_authors": [
        "Jannik Joergensen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael YILIN Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To report refractive and visual outcomes of patients in Hong Kong that underwent refractive lens exchange with bilateral Light Adjustable Lens.",
        "Setting": "Private-practice in Hong Kong.",
        "Methods": "Patients with significant error of refraction and completely dependent on glasses or contact lenses were evaluated for refractive lens exchange. Standard preoperative evaluation and biometry were performed. The LAL was implanted in the capsular bag and the eye was allowed to heal for approximately 4 weeks. When refraction was stable, trial lenses were used to determine target refraction for each eye, to achieve each patient’s visual goal. Up to 3 adjustments were performed until the patient was satisfied with their vision. Lock-in treatments were performed to prevent further refractive change of the LAL.",
        "Results": "A total of 8 patients, 16 eyes underwent bilateral refractive lens exchange. 4 were male. 6 with prior LASIK history. The average age was 54 ± 5.44 years old [range 47 -63]. 93.8% of eyes were within ± 0.5D of target MRSE. Preoperatively, 13.3% of eyes had ≤ 0.5D of keratometric astigmatism. After light treatments, 93.8% of eyes had residual manifest astigmatism ≤ 0.5D. Preoperatively, 12.5% of eyes had UDVA 20/20 or better. After light treatments, 87.5% of patients had binocular UDVA and UIVA of 20/20 or better, respectively. 90% of patients had binocular UNVA 20/25 or better.",
        "Conclusions": "The LAL is a viable solution for refractive lens exchange patients seeking spectacle independence. Refraction and vision significantly improved with adjustments. Customizing target refraction in each eye helps achieve individual visual goals and increase patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAL is a viable solution for refractive lens exchange patients seeking spectacle independence. Refraction and vision significantly improved with adjustments. Customizing target refraction in each eye helps achieve individual visual goals and increase patient satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 453,
      "source_fields": {
        "Abstract Final Identifier": "POCAT415",
        "Title": "Refractive And Visual Outcomes Of Refractive Lens Exchange With Bilateral Light Adjustable Lens Implantation In Hong Kong",
        "Presenting Author(s)": "Dr Jannik Joergensen",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "YILIN",
        "Submitter Last Name": "Zhang",
        "Country Name": "Singapore",
        "Purpose": "To report refractive and visual outcomes of patients in Hong Kong that underwent refractive lens exchange with bilateral Light Adjustable Lens.",
        "Setting": "Private-practice in Hong Kong.",
        "Methods": "Patients with significant error of refraction and completely dependent on glasses or contact lenses were evaluated for refractive lens exchange. Standard preoperative evaluation and biometry were performed. The LAL was implanted in the capsular bag and the eye was allowed to heal for approximately 4 weeks. When refraction was stable, trial lenses were used to determine target refraction for each eye, to achieve each patient’s visual goal. Up to 3 adjustments were performed until the patient was satisfied with their vision. Lock-in treatments were performed to prevent further refractive change of the LAL.",
        "Results": "A total of 8 patients, 16 eyes underwent bilateral refractive lens exchange. 4 were male. 6 with prior LASIK history. The average age was 54 ± 5.44 years old [range 47 -63]. 93.8% of eyes were within ± 0.5D of target MRSE. Preoperatively, 13.3% of eyes had ≤ 0.5D of keratometric astigmatism. After light treatments, 93.8% of eyes had residual manifest astigmatism ≤ 0.5D. Preoperatively, 12.5% of eyes had UDVA 20/20 or better. After light treatments, 87.5% of patients had binocular UDVA and UIVA of 20/20 or better, respectively. 90% of patients had binocular UNVA 20/25 or better.",
        "Conclusions": "The LAL is a viable solution for refractive lens exchange patients seeking spectacle independence. Refraction and vision significantly improved with adjustments. Customizing target refraction in each eye helps achieve individual visual goals and increase patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POCAT416",
      "abstract_number": "POCAT416",
      "title": "Clinical Outcomes After Mix-And-Match Implantation Of A Trifocal And Non-Diffractive Extended Depth Of Focus Iol In Highly Myopic Cataract Patients",
      "authors": "Prof. Xiangjia Zhu",
      "presenter": "Prof. Xiangjia Zhu",
      "normalized_authors": [
        "Xiangjia Zhu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiangjia Zhu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate cataract surgery outcomes following mix-and-match implantation of a trifocal and extended-depth-of-focus (EDOF) intraocular lens (IOL) in highly myopic cataract patients.",
        "Setting": "Eye & ENT Hospital of Fudan University, Shanghai, China",
        "Methods": "Patients with axial length ≥25mm who underwent cataract surgery with mix-and-match implantation of the PanOptix trifocal IOL in the non-dominant eye and Vivity EDOF IOL in the dominant eye from April 2025 to November 2025 were enrolled in this single arm, non-interventional, ambispective study. At 3 months postoperatively, binocular corrected and uncorrected visual acuity at distance (CDVA and UDVA), intermediate (DCIVA and UIVA), and near (DCNVA and UNVA) along with patient-reported outcomes (QUVID and IOLSAT questionnaires) were assessed.",
        "Results": "40 eyes of 20 patients were enrolled. Postoperatively, the mean binocular CDVA and UDVA was 0.00 ± 0.04 logMAR and 0.01 ± 0.06 logMAR, respectively. Overall, 95%, 100%, and 90% of patients achieved binocular UDVA, UIVA, and UNVA of 20/25 or better, respectively. Ninety percent of patients reported complete spectacle independence. No patient was “bothered very much” by haloes, glare, or starbursts and no patient reported dissatisfaction with their vision. Overall, 90% of patients would elect the same IOLs and recommend the same procedure to friends and family, respectively.",
        "Conclusions": "Mix-and-match implantation of the PanOptix and Vivity IOLs yields good patient satisfaction potentially by combining the advantages of each lens resulting in a high degree of satisfaction and low rates of visual disturbances in highly myopic cataract patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mix-and-match implantation of the PanOptix and Vivity IOLs yields good patient satisfaction potentially by combining the advantages of each lens resulting in a high degree of satisfaction and low rates of visual disturbances in highly myopic cataract patients.",
      "session_type": "ePoster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 454,
      "source_fields": {
        "Abstract Final Identifier": "POCAT416",
        "Title": "Clinical Outcomes After Mix-And-Match Implantation Of A Trifocal And Non-Diffractive Extended Depth Of Focus Iol In Highly Myopic Cataract Patients",
        "Presenting Author(s)": "Prof. Xiangjia Zhu",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Xiangjia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhu",
        "Country Name": "China",
        "Purpose": "To evaluate cataract surgery outcomes following mix-and-match implantation of a trifocal and extended-depth-of-focus (EDOF) intraocular lens (IOL) in highly myopic cataract patients.",
        "Setting": "Eye & ENT Hospital of Fudan University, Shanghai, China",
        "Methods": "Patients with axial length ≥25mm who underwent cataract surgery with mix-and-match implantation of the PanOptix trifocal IOL in the non-dominant eye and Vivity EDOF IOL in the dominant eye from April 2025 to November 2025 were enrolled in this single arm, non-interventional, ambispective study. At 3 months postoperatively, binocular corrected and uncorrected visual acuity at distance (CDVA and UDVA), intermediate (DCIVA and UIVA), and near (DCNVA and UNVA) along with patient-reported outcomes (QUVID and IOLSAT questionnaires) were assessed.",
        "Results": "40 eyes of 20 patients were enrolled. Postoperatively, the mean binocular CDVA and UDVA was 0.00 ± 0.04 logMAR and 0.01 ± 0.06 logMAR, respectively. Overall, 95%, 100%, and 90% of patients achieved binocular UDVA, UIVA, and UNVA of 20/25 or better, respectively. Ninety percent of patients reported complete spectacle independence. No patient was “bothered very much” by haloes, glare, or starbursts and no patient reported dissatisfaction with their vision. Overall, 90% of patients would elect the same IOLs and recommend the same procedure to friends and family, respectively.",
        "Conclusions": "Mix-and-match implantation of the PanOptix and Vivity IOLs yields good patient satisfaction potentially by combining the advantages of each lens resulting in a high degree of satisfaction and low rates of visual disturbances in highly myopic cataract patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCAT417",
      "abstract_number": "POCAT417",
      "title": "Visual Performance Of A Novel Intraocular Lens With Higher-Order Aspheric Design Optimized For Intermediate Vision",
      "authors": "Dr Pedro Arriola-Villalobos",
      "presenter": "Dr Pedro Arriola-Villalobos",
      "normalized_authors": [
        "Pedro Arriola-Villalobos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Arriola Villalobos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the visual performance of an enhanced monofocal intraocular lens (IOL) and the influence of pupil size.",
        "Setting": "Hospital Universitario Clínico San Carlos",
        "Methods": "Prospective, observational, single-center study. Patients undergoing cataract surgery with an enhanced monofocal IOL (enVista Aspire) were included. Postoperative monocular assessments were performed under photopic conditions at 3 months. Uncorrected and corrected visual acuity were measured at distance (4 m), intermediate (66 cm), and near (40 cm). Defocus curves and photopic contrast sensitivity were assessed, and automated refraction was compared with manifest refraction. Defocus curves were analyzed using area-under-the-curve and depth-of-focus metrics, visual outcomes were stratified by photopic pupil size (<3.5 mm vs ≥3.5 mm). Agreement between autorefractometry and subjective refraction was evaluated using Bland–Altman analysis.",
        "Results": "Twenty-two eyes of 22 patients were included. Mean postoperative uncorrected and corrected distance visual acuity were 0.09 ± 0.12 and −0.02 ± 0.07 logMAR, respectively; 19 eyes (86.4%) achieved uncorrected distance visual acuity ≤0.2 logMAR and all eyes achieved corrected distance visual acuity ≤0.1 logMAR. Mean uncorrected intermediate and near visual acuity were 0.26 ± 0.15 and 0.43 ± 0.20 logMAR, respectively. Contrast sensitivity showed a normal band-pass profile. Agreement between autorefractometry and manifest refraction showed a small mean bias for spherical equivalent (+0.08 D). Pupil size showed no overall main effect on defocus curves or contrast sensitivity, although a defocus-specific interaction was observed.",
        "Conclusions": "This enhanced monofocal IOL provided excellent distance visual acuity, functional intermediate vision, preserved contrast sensitivity, and limited overall dependence on pupil size."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This enhanced monofocal IOL provided excellent distance visual acuity, functional intermediate vision, preserved contrast sensitivity, and limited overall dependence on pupil size.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 455,
      "source_fields": {
        "Abstract Final Identifier": "POCAT417",
        "Title": "Visual Performance Of A Novel Intraocular Lens With Higher-Order Aspheric Design Optimized For Intermediate Vision",
        "Presenting Author(s)": "Dr Pedro Arriola-Villalobos",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arriola Villalobos",
        "Country Name": "Spain",
        "Purpose": "To evaluate the visual performance of an enhanced monofocal intraocular lens (IOL) and the influence of pupil size.",
        "Setting": "Hospital Universitario Clínico San Carlos",
        "Methods": "Prospective, observational, single-center study. Patients undergoing cataract surgery with an enhanced monofocal IOL (enVista Aspire) were included. Postoperative monocular assessments were performed under photopic conditions at 3 months. Uncorrected and corrected visual acuity were measured at distance (4 m), intermediate (66 cm), and near (40 cm). Defocus curves and photopic contrast sensitivity were assessed, and automated refraction was compared with manifest refraction. Defocus curves were analyzed using area-under-the-curve and depth-of-focus metrics, visual outcomes were stratified by photopic pupil size (<3.5 mm vs ≥3.5 mm). Agreement between autorefractometry and subjective refraction was evaluated using Bland–Altman analysis.",
        "Results": "Twenty-two eyes of 22 patients were included. Mean postoperative uncorrected and corrected distance visual acuity were 0.09 ± 0.12 and −0.02 ± 0.07 logMAR, respectively; 19 eyes (86.4%) achieved uncorrected distance visual acuity ≤0.2 logMAR and all eyes achieved corrected distance visual acuity ≤0.1 logMAR. Mean uncorrected intermediate and near visual acuity were 0.26 ± 0.15 and 0.43 ± 0.20 logMAR, respectively. Contrast sensitivity showed a normal band-pass profile. Agreement between autorefractometry and manifest refraction showed a small mean bias for spherical equivalent (+0.08 D). Pupil size showed no overall main effect on defocus curves or contrast sensitivity, although a defocus-specific interaction was observed.",
        "Conclusions": "This enhanced monofocal IOL provided excellent distance visual acuity, functional intermediate vision, preserved contrast sensitivity, and limited overall dependence on pupil size."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "POCAT418",
      "abstract_number": "POCAT418",
      "title": "Long Term Visual Outcomes Of An Extended Macular Vision Iol In Eyes With Macular Disease And Visually Insignificant Cataract",
      "authors": "Dr Federico Badala",
      "presenter": "Dr Federico Badala",
      "normalized_authors": [
        "Federico Badala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Federico Badala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To determine long-term efficacy and safety of an extended macular vision intraocular lens (IOL) implanted in patients with dry age-related macular degeneration (AMD) and visually insignificant cataracts.",
        "Setting": "Design: Retrospective observational case series.\n\nSetting : MicroChirurgia Oculare, Italy",
        "Methods": "A retrospective case series of patients with dry AMD and visually insignificant cataracts undergoing phacoemulsification and implantation of an extended macular vision IOL designed to optimize image quality up to 10° from the foveal center (EyeMax Mono, Sharpview Ophthalmology, London, UK). Criteria for implantation were visually insignificant cataract (NC1 according to LOCS III classification) with dry age-related macular degeneration. Hypermetropia was targeted in most eyes to provide magnification when corrected with spectacles. Primary outcome measures were changes in corrected distant and secondary outcome measures included near visual acuity (CDVA and CNVA, respectively) between baseline and latest follow-up and safety outcomes.",
        "Results": "113 eyes of 86 patients (mean age 70.3±7.9 years) were included (mean follow-up: 48.3±25.1 months). Mean CDVA improved by 0.22 logMAR (11 ETDRS letters), from 0.53±0.4 to 0.31±0.3 (n=113, p<0.001). Similarly, mean CNVA improved by 0.08 logMAR (4 ETDRS letters), from 0.45±0.2 to 0.37±0.2 (n=77, p<0.001). Eleven eyes had AMD with extensive atrophy, and their mean CDVA improved by 0.32 logMAR (16 ETDRS letters). Three eyes (2.7%) experienced loss of more than one line in logMAR CDVA and four eyes (5.2%) experienced loss of more than one line in logMAR CNVA. No complications or instances of IOL exchange were reported.",
        "Conclusions": "Visual improvement in eyes with visually insignificant cataract and AMD who underwent phacoemulsification and were implanted with EyeMax Mono IOL appears to be influenced by the IOL optical design. Vision enhancement in eyes with visually insignificant cataracts underscores the IOL’s ability to optimize use of healthy retinal areas. Prospective studies with control groups are needed to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visual improvement in eyes with visually insignificant cataract and AMD who underwent phacoemulsification and were implanted with EyeMax Mono IOL appears to be influenced by the IOL optical design. Vision enhancement in eyes with visually insignificant cataracts underscores the IOL’s ability to optimize use of healthy retinal areas. Prospective studies with control groups are needed to confirm these findings.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 456,
      "source_fields": {
        "Abstract Final Identifier": "POCAT418",
        "Title": "Long Term Visual Outcomes Of An Extended Macular Vision Iol In Eyes With Macular Disease And Visually Insignificant Cataract",
        "Presenting Author(s)": "Dr Federico Badala",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Federico",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Badala",
        "Country Name": "Italy",
        "Purpose": "To determine long-term efficacy and safety of an extended macular vision intraocular lens (IOL) implanted in patients with dry age-related macular degeneration (AMD) and visually insignificant cataracts.",
        "Setting": "Design: Retrospective observational case series.\n\nSetting : MicroChirurgia Oculare, Italy",
        "Methods": "A retrospective case series of patients with dry AMD and visually insignificant cataracts undergoing phacoemulsification and implantation of an extended macular vision IOL designed to optimize image quality up to 10° from the foveal center (EyeMax Mono, Sharpview Ophthalmology, London, UK). Criteria for implantation were visually insignificant cataract (NC1 according to LOCS III classification) with dry age-related macular degeneration. Hypermetropia was targeted in most eyes to provide magnification when corrected with spectacles. Primary outcome measures were changes in corrected distant and secondary outcome measures included near visual acuity (CDVA and CNVA, respectively) between baseline and latest follow-up and safety outcomes.",
        "Results": "113 eyes of 86 patients (mean age 70.3±7.9 years) were included (mean follow-up: 48.3±25.1 months). Mean CDVA improved by 0.22 logMAR (11 ETDRS letters), from 0.53±0.4 to 0.31±0.3 (n=113, p<0.001). Similarly, mean CNVA improved by 0.08 logMAR (4 ETDRS letters), from 0.45±0.2 to 0.37±0.2 (n=77, p<0.001). Eleven eyes had AMD with extensive atrophy, and their mean CDVA improved by 0.32 logMAR (16 ETDRS letters). Three eyes (2.7%) experienced loss of more than one line in logMAR CDVA and four eyes (5.2%) experienced loss of more than one line in logMAR CNVA. No complications or instances of IOL exchange were reported.",
        "Conclusions": "Visual improvement in eyes with visually insignificant cataract and AMD who underwent phacoemulsification and were implanted with EyeMax Mono IOL appears to be influenced by the IOL optical design. Vision enhancement in eyes with visually insignificant cataracts underscores the IOL’s ability to optimize use of healthy retinal areas. Prospective studies with control groups are needed to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POCAT419",
      "abstract_number": "POCAT419",
      "title": "Early Outcomes In Amblyopia Management After Aspheric Monofocal Intraocular Lens With Higher Order Aspheric Optic Implantation In Pediatric Patients",
      "authors": "Prof. Luca Buzzonetti",
      "presenter": "Prof. Luca Buzzonetti",
      "normalized_authors": [
        "Luca Buzzonetti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luca Buzzonetti",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate early outcomes in amblyopic eyes after aspheric monofocal intraocular lens (IOL) with higher order aspheric optic implantation.",
        "Setting": "Ophthalmology Unit, Bambino Gesù IRCCS Children’s Hospital, Rome, Italy",
        "Methods": "Twenthy eyes of fifteen patients (mean age 5.0±1.5 years) with monolateral infantile cataract were evaluated eighteen months after no stitch surgery with simultaneous Tecnis Eyhance ICB00 aspheric monofocal IOL (Johnson&Johnson Vision) implantation. After surgery all patients started patching the healthy eye 4 hours daily for treating amblyopia. Distance Corrected Visual Acuity (DCVA) calculated in logarithm of the minimum angle of resolution was assessed by E-ETDRS protocol (CSO Vision Chart). Distance Corrected Intermediate Visual Acuity (DCIVA) and Near Corrected Visual Acuity (NCVA), respectively measured at 60 and 40cm, were calculated using the Jaeger chart. DCIVA was measured with distance correction and without addition.",
        "Results": "Eighteen months postoperative mean DCVA was 0.20±0.3 logMAR, mean DCIVA and NCVA were respectively 4 ±1J and 2 ±1J. NCVA was measured with addition.",
        "Conclusions": "These early findings suggest that aspheric monofocal IOL with higher order aspheric optic could provide good DCIVA without need of addition also in amblyopic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These early findings suggest that aspheric monofocal IOL with higher order aspheric optic could provide good DCIVA without need of addition also in amblyopic eyes.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 457,
      "source_fields": {
        "Abstract Final Identifier": "POCAT419",
        "Title": "Early Outcomes In Amblyopia Management After Aspheric Monofocal Intraocular Lens With Higher Order Aspheric Optic Implantation In Pediatric Patients",
        "Presenting Author(s)": "Prof. Luca Buzzonetti",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Luca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Buzzonetti",
        "Country Name": "Italy",
        "Purpose": "To evaluate early outcomes in amblyopic eyes after aspheric monofocal intraocular lens (IOL) with higher order aspheric optic implantation.",
        "Setting": "Ophthalmology Unit, Bambino Gesù IRCCS Children’s Hospital, Rome, Italy",
        "Methods": "Twenthy eyes of fifteen patients (mean age 5.0±1.5 years) with monolateral infantile cataract were evaluated eighteen months after no stitch surgery with simultaneous Tecnis Eyhance ICB00 aspheric monofocal IOL (Johnson&Johnson Vision) implantation. After surgery all patients started patching the healthy eye 4 hours daily for treating amblyopia. Distance Corrected Visual Acuity (DCVA) calculated in logarithm of the minimum angle of resolution was assessed by E-ETDRS protocol (CSO Vision Chart). Distance Corrected Intermediate Visual Acuity (DCIVA) and Near Corrected Visual Acuity (NCVA), respectively measured at 60 and 40cm, were calculated using the Jaeger chart. DCIVA was measured with distance correction and without addition.",
        "Results": "Eighteen months postoperative mean DCVA was 0.20±0.3 logMAR, mean DCIVA and NCVA were respectively 4 ±1J and 2 ±1J. NCVA was measured with addition.",
        "Conclusions": "These early findings suggest that aspheric monofocal IOL with higher order aspheric optic could provide good DCIVA without need of addition also in amblyopic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "POCAT420",
      "abstract_number": "POCAT420",
      "title": "Visual And Optical Quality Outcomes Of An Enhanced Monofocal Iol In Healthy Eyes And Mild Fuchs Endothelial Corneal Dystrophy",
      "authors": "Dr Alberto Carnicci",
      "presenter": "Dr Alberto Carnicci",
      "normalized_authors": [
        "Alberto Carnicci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alberto Carnicci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare 6-month visual, optical quality, endothelial safety, and patient-reported outcomes after bilateral implantation of the enhanced monofocal Evolux IOL (SIFI spa, Catania, Italy) in healthy patients and in patients with mild Fuchs endothelial corneal dystrophy (FECD). The study aimed to determine whether early-stage FECD affects binocular visual performance, objective optical quality, contrast sensitivity, and disease-specific subjective visual function.",
        "Setting": "Retrospective comparative study conducted at Careggi Hospital, University of Florence (Italy). All surgeries were performed by the same experienced cataract surgeon using standard phacoemulsification techniques with bilateral implantation of the Evolux enhanced monofocal IOL.",
        "Methods": "Patients were divided into healthy controls and mild FECD (stage 1–2 according to Krachmer classification). Six months after bilateral implantation, binocular subjective outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), distance-corrected intermediate visual acuity (DCIVA), defocus curves, and contrast sensitivity. Objective optical quality (MTF cut-off, Strehl ratio, OSI) was assessed monocularly. Endothelial cell density (ECD) was recorded preoperatively and at 6 months. The Italian V-FUCHS questionnaire, assessing vision-related limitations and glare symptoms, was administered preoperatively and 6 months after second-eye surgery.",
        "Results": "Thirty patients (60 eyes) were included: 15 healthy and 15 mild FECD. At 6 months, binocular UDVA, CDVA, UIVA, DCIVA, and defocus curves were comparable between groups (all p>0.05). MTF cut-off, Strehl ratio, and OSI values were similar in healthy and FECD eyes (all p>0.05). Photopic contrast sensitivity was significantly lower in FECD patients (p<0.05). Mean cumulative dissipated energy (CDE) did not differ significantly between groups (p>0.05), with similar endothelial cell loss (7.8% vs 8.5%; p=0.56). The V-FUCHS visual acuity factor improved significantly in both groups (p<0.001) without intergroup differences (p=0.47), while the glare factor improved (p<0.05) but remained higher in FECD (p<0.05).",
        "Conclusions": "Enhanced monofocal Evolux implantation provides excellent binocular distance and intermediate vision with optical quality and endothelial safety comparable between healthy and mild FECD eyes. The disease-specific V-FUCHS questionnaire confirms significant improvement in visual acuity-related function after surgery in both groups, demonstrating meaningful functional benefit even in early-stage FECD. Although residual glare perception and contrast sensitivity remain slightly reduced in FECD patients, overall disease-specific visual function markedly improves, supporting enhanced monofocal Evolux IOL implantation as a safe and effective option in carefully selected early-stage FECD, allowing a cataract standalone approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Enhanced monofocal Evolux implantation provides excellent binocular distance and intermediate vision with optical quality and endothelial safety comparable between healthy and mild FECD eyes. The disease-specific V-FUCHS questionnaire confirms significant improvement in visual acuity-related function after surgery in both groups, demonstrating meaningful functional benefit even in early-stage FECD. Although…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 458,
      "source_fields": {
        "Abstract Final Identifier": "POCAT420",
        "Title": "Visual And Optical Quality Outcomes Of An Enhanced Monofocal Iol In Healthy Eyes And Mild Fuchs Endothelial Corneal Dystrophy",
        "Presenting Author(s)": "Dr Alberto Carnicci",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Alberto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Carnicci",
        "Country Name": "Italy",
        "Purpose": "To compare 6-month visual, optical quality, endothelial safety, and patient-reported outcomes after bilateral implantation of the enhanced monofocal Evolux IOL (SIFI spa, Catania, Italy) in healthy patients and in patients with mild Fuchs endothelial corneal dystrophy (FECD). The study aimed to determine whether early-stage FECD affects binocular visual performance, objective optical quality, contrast sensitivity, and disease-specific subjective visual function.",
        "Setting": "Retrospective comparative study conducted at Careggi Hospital, University of Florence (Italy). All surgeries were performed by the same experienced cataract surgeon using standard phacoemulsification techniques with bilateral implantation of the Evolux enhanced monofocal IOL.",
        "Methods": "Patients were divided into healthy controls and mild FECD (stage 1–2 according to Krachmer classification). Six months after bilateral implantation, binocular subjective outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), distance-corrected intermediate visual acuity (DCIVA), defocus curves, and contrast sensitivity. Objective optical quality (MTF cut-off, Strehl ratio, OSI) was assessed monocularly. Endothelial cell density (ECD) was recorded preoperatively and at 6 months. The Italian V-FUCHS questionnaire, assessing vision-related limitations and glare symptoms, was administered preoperatively and 6 months after second-eye surgery.",
        "Results": "Thirty patients (60 eyes) were included: 15 healthy and 15 mild FECD. At 6 months, binocular UDVA, CDVA, UIVA, DCIVA, and defocus curves were comparable between groups (all p>0.05). MTF cut-off, Strehl ratio, and OSI values were similar in healthy and FECD eyes (all p>0.05). Photopic contrast sensitivity was significantly lower in FECD patients (p<0.05). Mean cumulative dissipated energy (CDE) did not differ significantly between groups (p>0.05), with similar endothelial cell loss (7.8% vs 8.5%; p=0.56). The V-FUCHS visual acuity factor improved significantly in both groups (p<0.001) without intergroup differences (p=0.47), while the glare factor improved (p<0.05) but remained higher in FECD (p<0.05).",
        "Conclusions": "Enhanced monofocal Evolux implantation provides excellent binocular distance and intermediate vision with optical quality and endothelial safety comparable between healthy and mild FECD eyes. The disease-specific V-FUCHS questionnaire confirms significant improvement in visual acuity-related function after surgery in both groups, demonstrating meaningful functional benefit even in early-stage FECD. Although residual glare perception and contrast sensitivity remain slightly reduced in FECD patients, overall disease-specific visual function markedly improves, supporting enhanced monofocal Evolux IOL implantation as a safe and effective option in carefully selected early-stage FECD, allowing a cataract standalone approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "POCAT421",
      "abstract_number": "POCAT421",
      "title": "Comparative Outcomes Of The Next-Generation Monofocal Enhanced Depth-Of-Focus Intraocular Lens: Intermediate Optimized Iol, Envista Aspire (Bausch & Lomb ) And Enhanced Monofocal Intraocular Lens Eyhance (Johnson And Johnson )In Cataract Surgery",
      "authors": "Dr MARIA CATERINA CASCELLA",
      "presenter": "Dr MARIA CATERINA CASCELLA",
      "normalized_authors": [
        "MARIA CATERINA CASCELLA"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria CATERINA Cascella",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate refractive outcomes, defocus curve, wavefront analysis, automated refraction of novels monofocal-PLUS intraocular lenses (IOL) with higher order aspheric coefficients and controlled curvature change in a retrospective multicentric study of 1 year follow up,(primary endpoint). Further to analyze to what extent do these new lenses ,introduced to the market to adress the limitation of monofocal-lenses (that provide optimal uncorrected visual acuity at a fixed distance), allow daily spectacle independence(secondary endpoints)",
        "Setting": "1-NEUROSENSORY DEPARTMENT OF OPTHALMOLOGY- UOSVD -F.JAIA HOSPITAL, CONVERSANO-BARI, ITALY\n\n2-DEPARTMENT OF BIOMEDICAL ,DENTAL SCIENCES ,OPTHALMOLOGY AND MORPHOLOGICAL -FUNCTIONAL IMAGING ,\nMESSINA -ITALY\n\n3-DEPARTMENT OF HUMAN PATHOLOGY OF ADULTS AND DEVELOPMENTAL AGE-(Gaetano Barresi)- EYE CLINIC -MESSINA -ITALY\n\n4-EYE DEPARTMENT , OPHTHALMIATREIO, OPHTALMOLOGICAL INSTITUTE of ATHENS , ATHENS -GREECE\n\n5-OMMA -OPHTALMOLOGICAL INSTITUTE OF ATHENS , ATHENS , GREEC",
        "Methods": "Multicenter retrospective study included180 healthy eyes(with astigmatism pre-op less than 0.75D) from 90pts aged from 45 to 75 yo,undergone cataract surgery, Aspire IOL(B&L) implantation,compared to other180 healthy eyes from 90pts,same average age,implanted by Eyhance IOL.(J&J) Micromonovision(offset of-0.50to -075D)was performed to achieve superior outcomes at near and intermediate distance.Outcome measures included monocular/binocular uncorrected(UDVA)/corrected(CDVA)distance,intermediate(UIVA-CIVA)(at 66 cm)and near (U/CNVA)(at 40 cm)visual acuity,defocus curve,contrast sensitivity,automated manifest(MRSE) refraction spherical equivalent,subjective aberrations perceptions by questionnaires(PREM &PROM).Follow-up at 1-3-6-9-12 months.\n\n.",
        "Results": "Patient-reported visual symptoms did not differ between two groups( low rates of glare and halos). The mean(standard deviation [SD]) binocular UNVA (uncorrected near visual acuity)is equal in both group at 1month: a greater proportion(69%)of patients achieved binocular UNVA of 20/25 or better. T he mean(SD)monocular UNVA and UIVA(uncorrected intermedate visual acuity)showed a slight,but non-significant advantage in the Aspire group(0.26 [0.15] logMAR vs Eyhance-group 0.29 [0.15] logMAR; P >0.05). These IOLs with the micromonovision approach have potential advantage,they should enable larger myopic off-set in non-dominant eye.Data reported superior intermediate and near vision compared to the bilateral emmetropia of the same monofocal-plus lens",
        "Conclusions": "To address the challenges,new technologies have emerged to improve IOL performance minimizing the unwanted photic phenomena,commonly associated with multifocal IOLS.MonofocalPLUS Enhanced depth-of-focus IOLs have developed to bridge the gap between monofocal/multifocal IOLs. Its seemed to provide a more seamless,continuous range of focus across intermediate to far distances,elongating the focal points to offer an enhanced and continuous range of vision. ASphire as Eyance IOLs provides marginally improved intermediate vision with photic phenomena comparable to conventional monofocals,no statistically difference between both implant. In optical valuetion testing enVista Aspire seems less sensitive to tilt or decentration compared with Eyhance ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To address the challenges,new technologies have emerged to improve IOL performance minimizing the unwanted photic phenomena,commonly associated with multifocal IOLS.MonofocalPLUS Enhanced depth-of-focus IOLs have developed to bridge the gap between monofocal/multifocal IOLs. Its seemed to provide a more seamless,continuous range of focus across intermediate to far distances,elongating the focal points to offer an…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 459,
      "source_fields": {
        "Abstract Final Identifier": "POCAT421",
        "Title": "Comparative Outcomes Of The Next-Generation Monofocal Enhanced Depth-Of-Focus Intraocular Lens: Intermediate Optimized Iol, Envista Aspire (Bausch & Lomb ) And Enhanced Monofocal Intraocular Lens Eyhance (Johnson And Johnson )In Cataract Surgery",
        "Presenting Author(s)": "Dr MARIA CATERINA CASCELLA",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "CATERINA",
        "Submitter Last Name": "Cascella",
        "Country Name": "Italy",
        "Purpose": "To evaluate refractive outcomes, defocus curve, wavefront analysis, automated refraction of novels monofocal-PLUS intraocular lenses (IOL) with higher order aspheric coefficients and controlled curvature change in a retrospective multicentric study of 1 year follow up,(primary endpoint). Further to analyze to what extent do these new lenses ,introduced to the market to adress the limitation of monofocal-lenses (that provide optimal uncorrected visual acuity at a fixed distance), allow daily spectacle independence(secondary endpoints)",
        "Setting": "1-NEUROSENSORY DEPARTMENT OF OPTHALMOLOGY- UOSVD -F.JAIA HOSPITAL, CONVERSANO-BARI, ITALY\n\n2-DEPARTMENT OF BIOMEDICAL ,DENTAL SCIENCES ,OPTHALMOLOGY AND MORPHOLOGICAL -FUNCTIONAL IMAGING ,\nMESSINA -ITALY\n\n3-DEPARTMENT OF HUMAN PATHOLOGY OF ADULTS AND DEVELOPMENTAL AGE-(Gaetano Barresi)- EYE CLINIC -MESSINA -ITALY\n\n4-EYE DEPARTMENT , OPHTHALMIATREIO, OPHTALMOLOGICAL INSTITUTE of ATHENS , ATHENS -GREECE\n\n5-OMMA -OPHTALMOLOGICAL INSTITUTE OF ATHENS , ATHENS , GREEC",
        "Methods": "Multicenter retrospective study included180 healthy eyes(with astigmatism pre-op less than 0.75D) from 90pts aged from 45 to 75 yo,undergone cataract surgery, Aspire IOL(B&L) implantation,compared to other180 healthy eyes from 90pts,same average age,implanted by Eyhance IOL.(J&J) Micromonovision(offset of-0.50to -075D)was performed to achieve superior outcomes at near and intermediate distance.Outcome measures included monocular/binocular uncorrected(UDVA)/corrected(CDVA)distance,intermediate(UIVA-CIVA)(at 66 cm)and near (U/CNVA)(at 40 cm)visual acuity,defocus curve,contrast sensitivity,automated manifest(MRSE) refraction spherical equivalent,subjective aberrations perceptions by questionnaires(PREM &PROM).Follow-up at 1-3-6-9-12 months.\n\n.",
        "Results": "Patient-reported visual symptoms did not differ between two groups( low rates of glare and halos). The mean(standard deviation [SD]) binocular UNVA (uncorrected near visual acuity)is equal in both group at 1month: a greater proportion(69%)of patients achieved binocular UNVA of 20/25 or better. T he mean(SD)monocular UNVA and UIVA(uncorrected intermedate visual acuity)showed a slight,but non-significant advantage in the Aspire group(0.26 [0.15] logMAR vs Eyhance-group 0.29 [0.15] logMAR; P >0.05). These IOLs with the micromonovision approach have potential advantage,they should enable larger myopic off-set in non-dominant eye.Data reported superior intermediate and near vision compared to the bilateral emmetropia of the same monofocal-plus lens",
        "Conclusions": "To address the challenges,new technologies have emerged to improve IOL performance minimizing the unwanted photic phenomena,commonly associated with multifocal IOLS.MonofocalPLUS Enhanced depth-of-focus IOLs have developed to bridge the gap between monofocal/multifocal IOLs. Its seemed to provide a more seamless,continuous range of focus across intermediate to far distances,elongating the focal points to offer an enhanced and continuous range of vision. ASphire as Eyance IOLs provides marginally improved intermediate vision with photic phenomena comparable to conventional monofocals,no statistically difference between both implant. In optical valuetion testing enVista Aspire seems less sensitive to tilt or decentration compared with Eyhance ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 454
    },
    {
      "uid": "POCAT422",
      "abstract_number": "POCAT422",
      "title": "Evaluation Of Tolerance To Defocus With A Biaspheric Monofocal Intraocular Lens",
      "authors": "Prof. Dr Alejandro Cerviño",
      "presenter": "Prof. Dr Alejandro Cerviño",
      "normalized_authors": [
        "Alejandro Cerviño"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alejandro Cerviño",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate tolerance to residual refractive error and monocular through-focus visual performance of the Asqelio™ intraocular lens (IOL) three months after cataract surgery",
        "Setting": "Chang Gung Memorial Hospital, Linkou, Taipei and Taoyuan, Taiwan",
        "Methods": "Thirty eyes implanted with the Asqelio™ IOL were evaluated three months postoperatively. Monocular distance-corrected defocus curves were obtained under photopic conditions from +2.00 to −4.00 diopters (D) in 0.50 D steps to simulate residual refractive error. Visual acuity was measured using Landolt C optotypes and converted to Sloan-equivalent values to enable standardized comparison and interpretation. Corrected distance visual acuity (CDVA) was also recorded.",
        "Results": "The Asqelio™ IOL showed a clear peak of best visual acuity at plano defocus, followed by a gradual and smooth decline with increasing defocus. After optotype conversion, visual acuity remained ≤0.20 logMAR within approximately ±1.15 D of defocus, indicating substantial tolerance to residual refractive error. The defocus profile demonstrated a forgiving behavior compared with the steeper visual decline typically reported for conventional monofocal IOLs. Corrected distance visual acuity at 3 months was excellent, and no clinically relevant visual disturbances were observed.",
        "Conclusions": "The Asqelio™ IOL demonstrates high tolerance to residual refractive error, maintaining functional visual acuity across a clinically meaningful range of defocus while preserving excellent distance performance. This forgiving through-focus behavior may help mitigate the impact of small postoperative refractive inaccuracies and supports its use in patients where refractive robustness is desirable following cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Asqelio™ IOL demonstrates high tolerance to residual refractive error, maintaining functional visual acuity across a clinically meaningful range of defocus while preserving excellent distance performance. This forgiving through-focus behavior may help mitigate the impact of small postoperative refractive inaccuracies and supports its use in patients where refractive robustness is desirable following cataract…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 460,
      "source_fields": {
        "Abstract Final Identifier": "POCAT422",
        "Title": "Evaluation Of Tolerance To Defocus With A Biaspheric Monofocal Intraocular Lens",
        "Presenting Author(s)": "Prof. Dr Alejandro Cerviño",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Alejandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cerviño",
        "Country Name": "Spain",
        "Purpose": "To evaluate tolerance to residual refractive error and monocular through-focus visual performance of the Asqelio™ intraocular lens (IOL) three months after cataract surgery",
        "Setting": "Chang Gung Memorial Hospital, Linkou, Taipei and Taoyuan, Taiwan",
        "Methods": "Thirty eyes implanted with the Asqelio™ IOL were evaluated three months postoperatively. Monocular distance-corrected defocus curves were obtained under photopic conditions from +2.00 to −4.00 diopters (D) in 0.50 D steps to simulate residual refractive error. Visual acuity was measured using Landolt C optotypes and converted to Sloan-equivalent values to enable standardized comparison and interpretation. Corrected distance visual acuity (CDVA) was also recorded.",
        "Results": "The Asqelio™ IOL showed a clear peak of best visual acuity at plano defocus, followed by a gradual and smooth decline with increasing defocus. After optotype conversion, visual acuity remained ≤0.20 logMAR within approximately ±1.15 D of defocus, indicating substantial tolerance to residual refractive error. The defocus profile demonstrated a forgiving behavior compared with the steeper visual decline typically reported for conventional monofocal IOLs. Corrected distance visual acuity at 3 months was excellent, and no clinically relevant visual disturbances were observed.",
        "Conclusions": "The Asqelio™ IOL demonstrates high tolerance to residual refractive error, maintaining functional visual acuity across a clinically meaningful range of defocus while preserving excellent distance performance. This forgiving through-focus behavior may help mitigate the impact of small postoperative refractive inaccuracies and supports its use in patients where refractive robustness is desirable following cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POCAT423",
      "abstract_number": "POCAT423",
      "title": "Bvi Isopure Serenity Irof: Real-World Clinical Outcomes Of A Novel Isofocal Premium Monofocal Iol",
      "authors": "Mr Laurence Cox",
      "presenter": "Mr Laurence Cox",
      "normalized_authors": [
        "Laurence Cox"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laurence Cox",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate visual outcomes, refractive accuracy and safety of the BVI Isopure Serenity IROF (Increased Range of Focus) monofocal intraocular lens in a real-world clinical series.",
        "Setting": "This retrospective multicentre study was conducted at OCL vision in London, United Kingdom.",
        "Methods": "Retrospective multi-surgeon analysis of 106 eyes (73 patients) undergoing phacoemulsification or refractive lens exchange with implantation of the Serenity IROF. Monocular and binocular uncorrected distance and near visual acuity and deviation from planned post-operative refraction (PPOR) were assessed.",
        "Results": "Mean age was 70.8 years (range 41–91). Monocular UDVA of ≤0.10 logMAR (6/7.5) was achieved in 72%, improving to 95% binocularly (+23 percentage points). Mean binocular UDVA was 0.001 logMAR (6/6). Monocular UNVA of N5 or better was achieved in 28%, rising to 53% binocularly (+23 percentage points). In 73 eyes with complete refractive data, mean deviation from PPOR was −0.05D (SD 0.47D); 83.6% within ±0.50D and 95.9% within ±1.00D of target. More myopic SE was associated with worse distance VA (r = −0.50, p < 0.001) and better near VA (r = 0.41, p < 0.001), consistent with the vergence advantage of residual myopia supplementing the IROF optical mechanism.",
        "Conclusions": "The Serenity IROF monofocal delivers excellent distance outcomes with accurate refractive targeting and clinically meaningful near function. Binocular summation confers consistent gains of approximately 23 percentage points at both distance and near thresholds, underscoring the importance of bilateral implantation for optimal outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Serenity IROF monofocal delivers excellent distance outcomes with accurate refractive targeting and clinically meaningful near function. Binocular summation confers consistent gains of approximately 23 percentage points at both distance and near thresholds, underscoring the importance of bilateral implantation for optimal outcomes.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 461,
      "source_fields": {
        "Abstract Final Identifier": "POCAT423",
        "Title": "Bvi Isopure Serenity Irof: Real-World Clinical Outcomes Of A Novel Isofocal Premium Monofocal Iol",
        "Presenting Author(s)": "Mr Laurence Cox",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Laurence",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cox",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate visual outcomes, refractive accuracy and safety of the BVI Isopure Serenity IROF (Increased Range of Focus) monofocal intraocular lens in a real-world clinical series.",
        "Setting": "This retrospective multicentre study was conducted at OCL vision in London, United Kingdom.",
        "Methods": "Retrospective multi-surgeon analysis of 106 eyes (73 patients) undergoing phacoemulsification or refractive lens exchange with implantation of the Serenity IROF. Monocular and binocular uncorrected distance and near visual acuity and deviation from planned post-operative refraction (PPOR) were assessed.",
        "Results": "Mean age was 70.8 years (range 41–91). Monocular UDVA of ≤0.10 logMAR (6/7.5) was achieved in 72%, improving to 95% binocularly (+23 percentage points). Mean binocular UDVA was 0.001 logMAR (6/6). Monocular UNVA of N5 or better was achieved in 28%, rising to 53% binocularly (+23 percentage points). In 73 eyes with complete refractive data, mean deviation from PPOR was −0.05D (SD 0.47D); 83.6% within ±0.50D and 95.9% within ±1.00D of target. More myopic SE was associated with worse distance VA (r = −0.50, p < 0.001) and better near VA (r = 0.41, p < 0.001), consistent with the vergence advantage of residual myopia supplementing the IROF optical mechanism.",
        "Conclusions": "The Serenity IROF monofocal delivers excellent distance outcomes with accurate refractive targeting and clinically meaningful near function. Binocular summation confers consistent gains of approximately 23 percentage points at both distance and near thresholds, underscoring the importance of bilateral implantation for optimal outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCAT424",
      "abstract_number": "POCAT424",
      "title": "Visual Performance Of A Hema-Containing Hydrophobic Acrylic Intraocular Lens",
      "authors": "Dr Iva Ćubela",
      "presenter": "Dr Iva Ćubela",
      "normalized_authors": [
        "Iva Ćubela"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iva Ćubela",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To assess refractive results, binocular defocus profiles, visual phenomena, and the accuracy of intraocular lens (IOL) power calculations after implantation of the Clareon® monofocal (CNA0T0) IOL.",
        "Setting": "Department of Ophthalmology, Sveti Duh University Hospital, Zagreb, Croatia.",
        "Methods": "Prospective, single-arm clinical investigation. Consecutive patients without prior ocular surgery or clinically significant ocular pathology were enrolled. All eyes underwent uneventful phacoemulsification with implantation of the Clareon® monofocal intraocular lens (IOL). The primary outcomes were binocular distance and intermediate visual acuity. Secondary outcomes included refractive accuracy, binocular defocus profiles, visual phenomena, and the incidence of IOL glistenings. Postoperative assessments were conducted for up to 3 months.",
        "Results": "Fifty patients (90 eyes) were enrolled, and 44 (88 eyes) completed the three-month follow-up. Binocular defocus curves at three months indicated adequate intermediate visual performance, with mean visual acuities of 0.10 logMAR at −1.50 D (66 cm) and 0.30 logMAR at −2.50 D (40 cm). Dysphotopsias were rare; no intraocular lens glistenings were observed; and cystoid macular edema was detected in 3 eyes (3.4%) one month postoperatively. At 3 months, the mean spherical equivalent was −0.25 ± 0.38 D in myopic eyes, −0.09 ± 0.44 D in emmetropic eyes, and −0.10 ± 0.42 D in hyperopic eyes. Overall, 82%–85% of eyes achieved a postoperative refraction within ±0.50 D of the intended target, depending on the preoperatively defined refractive status.",
        "Conclusions": "Implantation of the Clareon® monofocal intraocular lens (IOL) resulted in excellent distant visual acuity, satisfactory functional intermediate vision, and high refractive accuracy with minimal dysphotopsia, absence of glistenings, and a low incidence of transient cystoid macular edema. The Barrett Universal II and Hoffer QST formulas demonstrated consistent refractive predictions across multiple refractive categories."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of the Clareon® monofocal intraocular lens (IOL) resulted in excellent distant visual acuity, satisfactory functional intermediate vision, and high refractive accuracy with minimal dysphotopsia, absence of glistenings, and a low incidence of transient cystoid macular edema. The Barrett Universal II and Hoffer QST formulas demonstrated consistent refractive predictions across multiple refractive…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 462,
      "source_fields": {
        "Abstract Final Identifier": "POCAT424",
        "Title": "Visual Performance Of A Hema-Containing Hydrophobic Acrylic Intraocular Lens",
        "Presenting Author(s)": "Dr Iva Ćubela",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Iva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ćubela",
        "Country Name": "Croatia",
        "Purpose": "To assess refractive results, binocular defocus profiles, visual phenomena, and the accuracy of intraocular lens (IOL) power calculations after implantation of the Clareon® monofocal (CNA0T0) IOL.",
        "Setting": "Department of Ophthalmology, Sveti Duh University Hospital, Zagreb, Croatia.",
        "Methods": "Prospective, single-arm clinical investigation. Consecutive patients without prior ocular surgery or clinically significant ocular pathology were enrolled. All eyes underwent uneventful phacoemulsification with implantation of the Clareon® monofocal intraocular lens (IOL). The primary outcomes were binocular distance and intermediate visual acuity. Secondary outcomes included refractive accuracy, binocular defocus profiles, visual phenomena, and the incidence of IOL glistenings. Postoperative assessments were conducted for up to 3 months.",
        "Results": "Fifty patients (90 eyes) were enrolled, and 44 (88 eyes) completed the three-month follow-up. Binocular defocus curves at three months indicated adequate intermediate visual performance, with mean visual acuities of 0.10 logMAR at −1.50 D (66 cm) and 0.30 logMAR at −2.50 D (40 cm). Dysphotopsias were rare; no intraocular lens glistenings were observed; and cystoid macular edema was detected in 3 eyes (3.4%) one month postoperatively. At 3 months, the mean spherical equivalent was −0.25 ± 0.38 D in myopic eyes, −0.09 ± 0.44 D in emmetropic eyes, and −0.10 ± 0.42 D in hyperopic eyes. Overall, 82%–85% of eyes achieved a postoperative refraction within ±0.50 D of the intended target, depending on the preoperatively defined refractive status.",
        "Conclusions": "Implantation of the Clareon® monofocal intraocular lens (IOL) resulted in excellent distant visual acuity, satisfactory functional intermediate vision, and high refractive accuracy with minimal dysphotopsia, absence of glistenings, and a low incidence of transient cystoid macular edema. The Barrett Universal II and Hoffer QST formulas demonstrated consistent refractive predictions across multiple refractive categories."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCAT425",
      "abstract_number": "POCAT425",
      "title": "Standardised Comparison Of Two Intraocular Lenses : Tecnis Puresee (J&J) And Zoe (Ophtalmolmopro)",
      "authors": "Dr Loic Dambricourt",
      "presenter": "Dr Loic Dambricourt",
      "normalized_authors": [
        "Loic Dambricourt"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Loic Dambricourt",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate in a standardised manner the visual results after implantation of TECNIS Puresee (Johnson&Johnson, USA) and ZOE (OphtalmoPro, Saint-Ingbert, Germany)",
        "Setting": "Retrospective single-centre study including 20 patients who underwent bilateral cataract surgery and were implanted with a TECNIS PureSee IOL (10 patients) or a ZOE IOL (10 patients) with a 3-month post-operative assessment",
        "Methods": "A 3-month post-operative assessment according to ESCRS recommended standards: standardised measurement of visual acuity (Qvision Vision C ) without correction and with distance correction (3.5 m corrected to infinity), intermediate vision (66 cm) and near vision (40 cm), monocular and binocular defocus curves with distance correction from +1.5D to -3.5D, photopic and mesopic contrast sensitivity (Qvision CSF application)",
        "Results": "Results in progress. Preliminary results for ZOE (10 patients): average UDVA of 0.02 +/- 0.1 Logmar, average UIVA of 0.10 +/- 0.12 Logmar, average UNVA of 0.35 +/- 0.12 Logmar. Comparisons: visual acuity, depth of field and defocus profile, contrast vision in photopic and mesopic conditions.",
        "Conclusions": "Conclusion currently being analysed: Good efficacy, safety and satisfaction for both implants. Defocus profile for Zoe according to ESCRS classification to be confirmed: Partial range of fied - Enhance. Defocus profile for the pure see not available yet."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion currently being analysed: Good efficacy, safety and satisfaction for both implants. Defocus profile for Zoe according to ESCRS classification to be confirmed: Partial range of fied - Enhance. Defocus profile for the pure see not available yet.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 463,
      "source_fields": {
        "Abstract Final Identifier": "POCAT425",
        "Title": "Standardised Comparison Of Two Intraocular Lenses : Tecnis Puresee (J&J) And Zoe (Ophtalmolmopro)",
        "Presenting Author(s)": "Dr Loic Dambricourt",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Loic",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dambricourt",
        "Country Name": "France",
        "Purpose": "To evaluate in a standardised manner the visual results after implantation of TECNIS Puresee (Johnson&Johnson, USA) and ZOE (OphtalmoPro, Saint-Ingbert, Germany)",
        "Setting": "Retrospective single-centre study including 20 patients who underwent bilateral cataract surgery and were implanted with a TECNIS PureSee IOL (10 patients) or a ZOE IOL (10 patients) with a 3-month post-operative assessment",
        "Methods": "A 3-month post-operative assessment according to ESCRS recommended standards: standardised measurement of visual acuity (Qvision Vision C ) without correction and with distance correction (3.5 m corrected to infinity), intermediate vision (66 cm) and near vision (40 cm), monocular and binocular defocus curves with distance correction from +1.5D to -3.5D, photopic and mesopic contrast sensitivity (Qvision CSF application)",
        "Results": "Results in progress. Preliminary results for ZOE (10 patients): average UDVA of 0.02 +/- 0.1 Logmar, average UIVA of 0.10 +/- 0.12 Logmar, average UNVA of 0.35 +/- 0.12 Logmar. Comparisons: visual acuity, depth of field and defocus profile, contrast vision in photopic and mesopic conditions.",
        "Conclusions": "Conclusion currently being analysed: Good efficacy, safety and satisfaction for both implants. Defocus profile for Zoe according to ESCRS classification to be confirmed: Partial range of fied - Enhance. Defocus profile for the pure see not available yet."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 200
    },
    {
      "uid": "POCAT426",
      "abstract_number": "POCAT426",
      "title": "Rotation Stability Of A New Toric Intraocular Lens",
      "authors": "Dr Andreea Fisus",
      "presenter": "Dr Andreea Fisus",
      "normalized_authors": [
        "Andreea Fisus"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andreea Fisus",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "The success of toric lens is judged by the ability to reduce refractive astigmatism but also by the ability to maintain a stable position.\n\nAim of this study is to assess the rotational stability and efficacy astigmatism correction of a new toric IOL, NexLoad NP Toric (NP‑T) , by evaluating the difference in lens position between the follow-up visits.",
        "Setting": "Vienna Institute for Research in Ocular Surgery, Hanusch Hospital, Vienna, Austria",
        "Methods": "This is a prospective, monocentric study that includes patients scheduled for cataract surgery, with regular corneal astigmatism over 1 Diopters. Only one eye per patient was included in the study. The patients received NexLoad NP Toric (NP‑T) IOL, NIDEK CO., LTD. The fellow eye recieved the same type of IOL. Patients without any ocular or systemic comorbidities, that would influence the visual outcome and lens stability, were included in the study.\n\nThe rotational stability was checked immediately after the operation with retroillumination photography and at 1 week and 3 months after surgery. The follow-up examination also included uncorrected and best corrected visual acuity, autorefraction and slit-lamp examinations.",
        "Results": "12 of the 50 patients planed for the study were to date included. The 1-week follow-up showed a good astigmatism outcome and a stable lens position.\nThe main outcome was the mean axis rotation, the difference between the axis after surgery and one week, and 3 months respectively.",
        "Conclusions": "The final analysis will be presented at the 44 th ESCRS Conference."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The final analysis will be presented at the 44 th ESCRS Conference.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 464,
      "source_fields": {
        "Abstract Final Identifier": "POCAT426",
        "Title": "Rotation Stability Of A New Toric Intraocular Lens",
        "Presenting Author(s)": "Dr Andreea Fisus",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Andreea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fisus",
        "Country Name": "Austria",
        "Purpose": "The success of toric lens is judged by the ability to reduce refractive astigmatism but also by the ability to maintain a stable position.\n\nAim of this study is to assess the rotational stability and efficacy astigmatism correction of a new toric IOL, NexLoad NP Toric (NP‑T) , by evaluating the difference in lens position between the follow-up visits.",
        "Setting": "Vienna Institute for Research in Ocular Surgery, Hanusch Hospital, Vienna, Austria",
        "Methods": "This is a prospective, monocentric study that includes patients scheduled for cataract surgery, with regular corneal astigmatism over 1 Diopters. Only one eye per patient was included in the study. The patients received NexLoad NP Toric (NP‑T) IOL, NIDEK CO., LTD. The fellow eye recieved the same type of IOL. Patients without any ocular or systemic comorbidities, that would influence the visual outcome and lens stability, were included in the study.\n\nThe rotational stability was checked immediately after the operation with retroillumination photography and at 1 week and 3 months after surgery. The follow-up examination also included uncorrected and best corrected visual acuity, autorefraction and slit-lamp examinations.",
        "Results": "12 of the 50 patients planed for the study were to date included. The 1-week follow-up showed a good astigmatism outcome and a stable lens position.\nThe main outcome was the mean axis rotation, the difference between the axis after surgery and one week, and 3 months respectively.",
        "Conclusions": "The final analysis will be presented at the 44 th ESCRS Conference."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCAT427",
      "abstract_number": "POCAT427",
      "title": "Clinical Outcomes Of Enhanced Monofocal Non-Toric And Toric Intraocular Lenses In Patients Following Cataract Extraction: A Retrospective Case Series",
      "authors": "Dr Dee Stephenson",
      "presenter": "Dr Dee Stephenson",
      "normalized_authors": [
        "Dee Stephenson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The enVista Aspire™ (EA) and EA toric (ETA) enhanced monofocal intraocular lenses (IOLs) are indicated for primary implantation in the capsular bag of the eye in adult patients (pts) following cataractous lens extraction. In comparison to conventional monofocal IOLs, the EA and ETA IOLs utilize higher-order aspheric coefficients on their posterior surface to offer a broad depth of focus and visual range. This retrospective, single surgeon case series aimed to evaluate visual outcomes in patients implanted with the EA or ETA following cataract extraction.",
        "Setting": "This case series includes the experience of a single surgeon implanting the EA and ETA in patients following cataractous lens extraction from 1 October, 2024 to 19 November, 2025.",
        "Methods": "Clinical outcomes included monocular corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), and refractive outcomes.",
        "Results": "This analysis includes 20 eyes (OD, 10; OS, 10) of 10 pts implanted with EA and 40 eyes (OD, 20; OS, 20) of 20 pts implanted with ETA. At baseline, mean±standard deviation (SD) spherical equivalent (SEQ) target was 0.04±0.24 D and −0.05±0.24 D for EA and ETA, respectively. Mean±SD delta K was 0.81±0.76 D for EA and 0.94±0.59 D for ETA. At follow-up, for EA and ETA, respectively, mean±SD SEQ outcome was 0.03±0.47 D and −0.08±0.33 D; mean±SD residual refractive cylinder was 0.84±0.76 D and 0.40±0.18 D. For EA and ETA, respectively, 80% and 85% of eyes achieved a CDVA of ≤20/20, 80% and 87.5% achieved a UDVA of ≤20/32, 90% and 87.5% achieved a UIVA of ≤20/32, and 50% and 70% achieved a UNVA of ≤J3.",
        "Conclusions": "The findings of this case series demonstrate that the EA and ETA IOLs provide strong distance and functional intermediate and near visual outcomes, with an acceptable residual refractive error, in patients following cataract extraction, underscoring their utility in real world clinical settings.‑world clinical settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The findings of this case series demonstrate that the EA and ETA IOLs provide strong distance and functional intermediate and near visual outcomes, with an acceptable residual refractive error, in patients following cataract extraction, underscoring their utility in real world clinical settings.‑world clinical settings.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 465,
      "source_fields": {
        "Abstract Final Identifier": "POCAT427",
        "Title": "Clinical Outcomes Of Enhanced Monofocal Non-Toric And Toric Intraocular Lenses In Patients Following Cataract Extraction: A Retrospective Case Series",
        "Presenting Author(s)": "Dr Dee Stephenson",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "The enVista Aspire™ (EA) and EA toric (ETA) enhanced monofocal intraocular lenses (IOLs) are indicated for primary implantation in the capsular bag of the eye in adult patients (pts) following cataractous lens extraction. In comparison to conventional monofocal IOLs, the EA and ETA IOLs utilize higher-order aspheric coefficients on their posterior surface to offer a broad depth of focus and visual range. This retrospective, single surgeon case series aimed to evaluate visual outcomes in patients implanted with the EA or ETA following cataract extraction.",
        "Setting": "This case series includes the experience of a single surgeon implanting the EA and ETA in patients following cataractous lens extraction from 1 October, 2024 to 19 November, 2025.",
        "Methods": "Clinical outcomes included monocular corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), and refractive outcomes.",
        "Results": "This analysis includes 20 eyes (OD, 10; OS, 10) of 10 pts implanted with EA and 40 eyes (OD, 20; OS, 20) of 20 pts implanted with ETA. At baseline, mean±standard deviation (SD) spherical equivalent (SEQ) target was 0.04±0.24 D and −0.05±0.24 D for EA and ETA, respectively. Mean±SD delta K was 0.81±0.76 D for EA and 0.94±0.59 D for ETA. At follow-up, for EA and ETA, respectively, mean±SD SEQ outcome was 0.03±0.47 D and −0.08±0.33 D; mean±SD residual refractive cylinder was 0.84±0.76 D and 0.40±0.18 D. For EA and ETA, respectively, 80% and 85% of eyes achieved a CDVA of ≤20/20, 80% and 87.5% achieved a UDVA of ≤20/32, 90% and 87.5% achieved a UIVA of ≤20/32, and 50% and 70% achieved a UNVA of ≤J3.",
        "Conclusions": "The findings of this case series demonstrate that the EA and ETA IOLs provide strong distance and functional intermediate and near visual outcomes, with an acceptable residual refractive error, in patients following cataract extraction, underscoring their utility in real world clinical settings.‑world clinical settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 345
    },
    {
      "uid": "POCAT428",
      "abstract_number": "POCAT428",
      "title": "Preliminary Outcomes With A Phase-Ring–Based Intraocular Lens Within The Enhanced Partial Range Of Field Functional Category",
      "authors": "Dr Felix Gonzalez-Lopez",
      "presenter": "Dr Felix Gonzalez-Lopez",
      "normalized_authors": [
        "Felix Gonzalez-Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Felix Gonzalez-Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate visual performance, defocus tolerance, optical quality, and patient-reported outcomes 3 months after bilateral implantation of Asqelio Pluris intraocular lens (IOL) (AST VisionCare Inc., USA), a Phase-Ring-based lens within the Enhanced Partial-Depth of Field (DOFi) category.",
        "Setting": "IOA Miranza, Madrid, Spain, and Clinica Visióon, Granada, Spain.",
        "Methods": "Fifteen patients (30 eyes) bilaterally implanted with the Asqelio Pluris IOL were evaluated at 3 months. Monocular and binocular visual acuity at distance, intermediate, and near were measured in logMAR units. Binocular photopic defocus curves were obtained from +2.00 to −4.00 D in 0.50 D steps. Patient-reported outcomes were collected.",
        "Results": "The mean age of patients was 77.0±9.3 years (range 64-85 years) with a preoperative spherical equivalent of 0.93±2.24D (+3.25 to -2.5D). At 3 months, mean residual spherical equivalent was -0.26±0.42D (0.00 to -1.00D), mean monocular corrected distance visual acuity was 0.06±0.06 logMAR. The mean binocular defocus curve showed a peak at plano, maintaining visual acuity ≤0.20 logMAR across approximately 1.50D of defocus. No clinically relevant optical degradation or significant photic disturbances were reported.",
        "Conclusions": "Asqelio Pluris demonstrated good distance vision with extended functional range consistent with an Enhanced Partial-DOFi design. Intermediate performance was improved without compromising optical quality or increasing visual disturbances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Asqelio Pluris demonstrated good distance vision with extended functional range consistent with an Enhanced Partial-DOFi design. Intermediate performance was improved without compromising optical quality or increasing visual disturbances.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 466,
      "source_fields": {
        "Abstract Final Identifier": "POCAT428",
        "Title": "Preliminary Outcomes With A Phase-Ring–Based Intraocular Lens Within The Enhanced Partial Range Of Field Functional Category",
        "Presenting Author(s)": "Dr Felix Gonzalez-Lopez",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Felix",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez-Lopez",
        "Country Name": "Spain",
        "Purpose": "To evaluate visual performance, defocus tolerance, optical quality, and patient-reported outcomes 3 months after bilateral implantation of Asqelio Pluris intraocular lens (IOL) (AST VisionCare Inc., USA), a Phase-Ring-based lens within the Enhanced Partial-Depth of Field (DOFi) category.",
        "Setting": "IOA Miranza, Madrid, Spain, and Clinica Visióon, Granada, Spain.",
        "Methods": "Fifteen patients (30 eyes) bilaterally implanted with the Asqelio Pluris IOL were evaluated at 3 months. Monocular and binocular visual acuity at distance, intermediate, and near were measured in logMAR units. Binocular photopic defocus curves were obtained from +2.00 to −4.00 D in 0.50 D steps. Patient-reported outcomes were collected.",
        "Results": "The mean age of patients was 77.0±9.3 years (range 64-85 years) with a preoperative spherical equivalent of 0.93±2.24D (+3.25 to -2.5D). At 3 months, mean residual spherical equivalent was -0.26±0.42D (0.00 to -1.00D), mean monocular corrected distance visual acuity was 0.06±0.06 logMAR. The mean binocular defocus curve showed a peak at plano, maintaining visual acuity ≤0.20 logMAR across approximately 1.50D of defocus. No clinically relevant optical degradation or significant photic disturbances were reported.",
        "Conclusions": "Asqelio Pluris demonstrated good distance vision with extended functional range consistent with an Enhanced Partial-DOFi design. Intermediate performance was improved without compromising optical quality or increasing visual disturbances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POCAT429",
      "abstract_number": "POCAT429",
      "title": "Bilateral Comparison Of Clinical Outcomes After Implantation Of Two Enhanced Monofocal Intraocular Lenses: Tecnis Eyhance Versus Ophtec Precizon Go",
      "authors": "Dr Sangwon Han",
      "presenter": "Dr Sangwon Han",
      "normalized_authors": [
        "Sangwon Han"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sangwon Han",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the clinical outcomes of two enhanced monofocal intraocular lenses, Eyhance and Precizon Go, implanted contralaterally in the same patients.",
        "Setting": "Yonsei Univerisity Wonju Severance Chrisitan Hospital, Wonju, South Korea",
        "Methods": "This retrospective study analyzed the medical records of 30 patients (60 eyes) who underwent bilateral cataract surgery between March 2024 and September 2025. Each patient received a Eyhance (Johnson & Johnson Vision) in one eye and a Precizon Go (Ophtec) in the fellow eye. Uncorrected distant visual acuity (UCDVA), best-corrected distant visual acuity (BCDVA), and spherical equivalent (SE) were measured at 1 and 3 months postoperatively. At 3 months, uncorrected intermediate (UCIVA, 66 cm) and near (UCNVA, 40 cm) visual acuities, defocus curves, contrast sensitivity, and patient satisfaction via questionnaires were compared.",
        "Results": "At 3 months postoperatively, mean UCDVA (logMAR) was 0.08 ± 0.13 in the Eyhance group and 0.04 ± 0.13 in the Precizon Go group, with no statistically significant difference (p=0.152). UCIVA and UCNVA also showed no significant difference (p>0.05). Repeated measures ANOVA revealed no significant interaction between lens type and defocus levels (p>0.05). However, the Eyhance group showed numerically better visual acuity at -1.00 D and -1.50 D defocus levels (p=0.005, p=0.012 uncorrected), but failed to reach statistical significance after multiple comparison correction. Contrast sensitivity, dysphotopsia scores (glare, halo, starburst) and lens preference showed no significant differences between groups.",
        "Conclusions": "Although two IOLs with different optical designs were implanted bilaterally in the same patients, they demonstrated comparable distance and intermediate visual outcomes without any clinical adverse events. These findings indicate that diverse optical designs of enhanced monofocal IOLs are clinically compatible, suggesting options in IOL selection for surgeons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although two IOLs with different optical designs were implanted bilaterally in the same patients, they demonstrated comparable distance and intermediate visual outcomes without any clinical adverse events. These findings indicate that diverse optical designs of enhanced monofocal IOLs are clinically compatible, suggesting options in IOL selection for surgeons.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 467,
      "source_fields": {
        "Abstract Final Identifier": "POCAT429",
        "Title": "Bilateral Comparison Of Clinical Outcomes After Implantation Of Two Enhanced Monofocal Intraocular Lenses: Tecnis Eyhance Versus Ophtec Precizon Go",
        "Presenting Author(s)": "Dr Sangwon Han",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Sangwon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Han",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the clinical outcomes of two enhanced monofocal intraocular lenses, Eyhance and Precizon Go, implanted contralaterally in the same patients.",
        "Setting": "Yonsei Univerisity Wonju Severance Chrisitan Hospital, Wonju, South Korea",
        "Methods": "This retrospective study analyzed the medical records of 30 patients (60 eyes) who underwent bilateral cataract surgery between March 2024 and September 2025. Each patient received a Eyhance (Johnson & Johnson Vision) in one eye and a Precizon Go (Ophtec) in the fellow eye. Uncorrected distant visual acuity (UCDVA), best-corrected distant visual acuity (BCDVA), and spherical equivalent (SE) were measured at 1 and 3 months postoperatively. At 3 months, uncorrected intermediate (UCIVA, 66 cm) and near (UCNVA, 40 cm) visual acuities, defocus curves, contrast sensitivity, and patient satisfaction via questionnaires were compared.",
        "Results": "At 3 months postoperatively, mean UCDVA (logMAR) was 0.08 ± 0.13 in the Eyhance group and 0.04 ± 0.13 in the Precizon Go group, with no statistically significant difference (p=0.152). UCIVA and UCNVA also showed no significant difference (p>0.05). Repeated measures ANOVA revealed no significant interaction between lens type and defocus levels (p>0.05). However, the Eyhance group showed numerically better visual acuity at -1.00 D and -1.50 D defocus levels (p=0.005, p=0.012 uncorrected), but failed to reach statistical significance after multiple comparison correction. Contrast sensitivity, dysphotopsia scores (glare, halo, starburst) and lens preference showed no significant differences between groups.",
        "Conclusions": "Although two IOLs with different optical designs were implanted bilaterally in the same patients, they demonstrated comparable distance and intermediate visual outcomes without any clinical adverse events. These findings indicate that diverse optical designs of enhanced monofocal IOLs are clinically compatible, suggesting options in IOL selection for surgeons."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCAT430",
      "abstract_number": "POCAT430",
      "title": "Clinical Outcomes Of An Enhanced Monofocal Intraocular Lens In Patients With\nCataract: A Real-World Study",
      "authors": "Prof. Dr Paul Harasymowycz",
      "presenter": "Prof. Dr Paul Harasymowycz",
      "normalized_authors": [
        "Paul Harasymowycz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paul Harasymowycz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate the effectiveness of enVista Aspire enhanced monofocal intraocular lens\n(IOL) in patients undergoing unilateral or bilateral cataract surgery",
        "Setting": "Three surgical centers in Canada.",
        "Methods": "In this retrospective study, data from 99 patients (131 eyes) who underwent\nunilateral or bilateral cataract surgery, received the enVista Aspire toric or non-toric\nenhanced monofocal IOL (Bausch and Lomb), and had postoperative CDVA of 20/40\nor better were included. Study outcomes\nincluded manifest refraction spherical equivalent (MRSE), monocular uncorrected\ndistance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and\ncorrected distance visual acuity (CDVA).",
        "Results": "Postoperatively, the mean MRSE of 131 eyes was -0.21±0.50 D, and 90.1% of eyes\nwere within 0.5 D of MRSE. The mean UDVA was 0.16±0.11 logMAR, and 90.1% of\neyes achieved UDVA of 20/30 or better. The mean UIVA was 0.15±0.10 logMAR,\nwith 90.1% of eyes achieving UIVA of 20/30 or better and 98.5% achieving UIVA of\n20/40 or better. The patients (N=32) who underwent bilateral cataract surgery\nachieved binocular UDVA and UIVA of 20/30 or better in 90.6% of eyes.",
        "Conclusions": "The enVista Aspire enhanced monofocal IOL yielded good visual outcomes at far\nand intermediate distances, whether implanted unilaterally or bilaterally. The study’s\ngood intermediate outcomes are driven by the IOL’s optic design, which utilizes an\nintermediate 1.5-mm central zone and a gradual blend zone between the central and\nperipheral powers on the posterior surface to optimize light transition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The enVista Aspire enhanced monofocal IOL yielded good visual outcomes at far and intermediate distances, whether implanted unilaterally or bilaterally. The study’s good intermediate outcomes are driven by the IOL’s optic design, which utilizes an intermediate 1.5-mm central zone and a gradual blend zone between the central and peripheral powers on the posterior surface to optimize light transition.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 468,
      "source_fields": {
        "Abstract Final Identifier": "POCAT430",
        "Title": "Clinical Outcomes Of An Enhanced Monofocal Intraocular Lens In Patients With\nCataract: A Real-World Study",
        "Presenting Author(s)": "Prof. Dr Paul Harasymowycz",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Paul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Harasymowycz",
        "Country Name": "Canada",
        "Purpose": "To evaluate the effectiveness of enVista Aspire enhanced monofocal intraocular lens\n(IOL) in patients undergoing unilateral or bilateral cataract surgery",
        "Setting": "Three surgical centers in Canada.",
        "Methods": "In this retrospective study, data from 99 patients (131 eyes) who underwent\nunilateral or bilateral cataract surgery, received the enVista Aspire toric or non-toric\nenhanced monofocal IOL (Bausch and Lomb), and had postoperative CDVA of 20/40\nor better were included. Study outcomes\nincluded manifest refraction spherical equivalent (MRSE), monocular uncorrected\ndistance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and\ncorrected distance visual acuity (CDVA).",
        "Results": "Postoperatively, the mean MRSE of 131 eyes was -0.21±0.50 D, and 90.1% of eyes\nwere within 0.5 D of MRSE. The mean UDVA was 0.16±0.11 logMAR, and 90.1% of\neyes achieved UDVA of 20/30 or better. The mean UIVA was 0.15±0.10 logMAR,\nwith 90.1% of eyes achieving UIVA of 20/30 or better and 98.5% achieving UIVA of\n20/40 or better. The patients (N=32) who underwent bilateral cataract surgery\nachieved binocular UDVA and UIVA of 20/30 or better in 90.6% of eyes.",
        "Conclusions": "The enVista Aspire enhanced monofocal IOL yielded good visual outcomes at far\nand intermediate distances, whether implanted unilaterally or bilaterally. The study’s\ngood intermediate outcomes are driven by the IOL’s optic design, which utilizes an\nintermediate 1.5-mm central zone and a gradual blend zone between the central and\nperipheral powers on the posterior surface to optimize light transition."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POCAT431",
      "abstract_number": "POCAT431",
      "title": "Evaluation Of New Four Haptic Intraocular Lens (Pearlens 4H)",
      "authors": "Dr Hussien Ismail",
      "presenter": "Dr Hussien Ismail",
      "normalized_authors": [
        "Hussien Ismail"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hussien Ismail",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To assess the new cutting edge 4 Haptic Design Pearlens 4H Hydrophobic Acrylic Intraocular Lens, locally manufactured in Cairo, Egypt. Regarding quality, clinical biocompatibility, and complications.",
        "Setting": "Nour El Hayah Eye Hospital, Cairo, Egypt. at a time from October 2025 to March 2026.",
        "Methods": "This prospective, interventional research involved twenty six eyes with senile cataracts operated by phaco-emulsification and implantation of IOL (Pearlens 4H).\n\nThere were 15 (57.7%) males and 11 (42.3%) females.\n\nThe operated eyes were 12 (46.2%) right eye (OD) and 14 (53.8%) eyes were left (OS).\n\nPatients were examined preoperatively, 24 Hours Post Op, 1 week post op, 1 Month post Op, 3 Months Post Op, and 6 months Post OP.",
        "Results": "All Cases went smoothly with no intraoperative complications.\n\nAll Patients were going smoothly and did not experience any post operative complications during all the Post Operative Follow Ups.\n\nThe present research found that there was no PCO incidence found among all 26 cases at all Follow Ups including 3 and 6 months postoperatively.",
        "Conclusions": "This research demonstrated that the optical quality of Pearlens 4H IOL has satisfactory results and significant improvement in regards to the incidence of PCO formation, flare reaction, cell deposits, cystoid macular edema, aberrations, stability, and visual acuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This research demonstrated that the optical quality of Pearlens 4H IOL has satisfactory results and significant improvement in regards to the incidence of PCO formation, flare reaction, cell deposits, cystoid macular edema, aberrations, stability, and visual acuity.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 469,
      "source_fields": {
        "Abstract Final Identifier": "POCAT431",
        "Title": "Evaluation Of New Four Haptic Intraocular Lens (Pearlens 4H)",
        "Presenting Author(s)": "Dr Hussien Ismail",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Hussien",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ismail",
        "Country Name": "Egypt",
        "Purpose": "To assess the new cutting edge 4 Haptic Design Pearlens 4H Hydrophobic Acrylic Intraocular Lens, locally manufactured in Cairo, Egypt. Regarding quality, clinical biocompatibility, and complications.",
        "Setting": "Nour El Hayah Eye Hospital, Cairo, Egypt. at a time from October 2025 to March 2026.",
        "Methods": "This prospective, interventional research involved twenty six eyes with senile cataracts operated by phaco-emulsification and implantation of IOL (Pearlens 4H).\n\nThere were 15 (57.7%) males and 11 (42.3%) females.\n\nThe operated eyes were 12 (46.2%) right eye (OD) and 14 (53.8%) eyes were left (OS).\n\nPatients were examined preoperatively, 24 Hours Post Op, 1 week post op, 1 Month post Op, 3 Months Post Op, and 6 months Post OP.",
        "Results": "All Cases went smoothly with no intraoperative complications.\n\nAll Patients were going smoothly and did not experience any post operative complications during all the Post Operative Follow Ups.\n\nThe present research found that there was no PCO incidence found among all 26 cases at all Follow Ups including 3 and 6 months postoperatively.",
        "Conclusions": "This research demonstrated that the optical quality of Pearlens 4H IOL has satisfactory results and significant improvement in regards to the incidence of PCO formation, flare reaction, cell deposits, cystoid macular edema, aberrations, stability, and visual acuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 206
    },
    {
      "uid": "POCAT432",
      "abstract_number": "POCAT432",
      "title": "Early Outcomes Of A Partial Range Of Field Monofocal Intraocular Lens Following Cataract Surgery: A Case Series",
      "authors": "Dr Yau Kin",
      "presenter": "Dr Yau Kin",
      "normalized_authors": [
        "Yau Kin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yau Kin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "The enVista Aspire™ (EA) intraocular lens (IOL; Bausch + Lomb) is indicated for the visual correction of aphakia following cataract surgery in adults. By applying higher-order aspheric coefficients to its posterior surface, the EA IOL provides a broaden depth of focus and visual range beyond that of conventional spherical monofocal and low-order aspheric IOLs. The aim of this retrospective, single-surgeon case series was to evaluate initial distance- and intermediate-range visual outcomes and examine the functional benefits of the EA IOL in patients following cataract surgery.",
        "Setting": "This case series includes a single surgeon’s experience of implanting the EA IOL from October 14, 2025 to November 26, 2025 at a single site in Hong Kong, China.",
        "Methods": "Patients with poor baseline visual acuity, a monovision-target treatment plan, previous ocular surgery, or other pre-existing ocular conditions were excluded from this case series. Clinical outcomes included corrected distance visual acuity (CDVA), uncorrected distance visual acuity, uncorrected intermediate visual acuity (UIVA), manifest refraction spherical equivalent (MRSE), and safety up to 18-days following the procedure.",
        "Results": "The EA IOL was implanted in 13 eyes (OD, n=8; OS, n=5) of 12 patients following cataract extraction. Mean ± standard deviation (SD) age was 71.3 ± 6.4 years, and 75% were female. Mean ± SD pre-operative spherical power and spherical equivalent target were 21.46 ± 3.66 D and −0.04 ± 0.13 D, respectively. At a median (range) follow-up of 8 (6–18) days, mean ± SD monocular CDVA was 0.08 ± 0.07 logMAR, with 76.9% (n=10) of eyes achieving 0.1 logMAR or better and all eyes achieving 0.3 logMAR or better. Mean ± SD monocular UIVA was 0.17 ± 0.08 logMAR, with all eyes achieving 0.3 logMAR or better. Mean ± SD postoperative MRSE was 0.00 ± 0.51 D. No serious adverse events (AEs) were reported, and no photic phenomena were noted.",
        "Conclusions": "This case series highlights the real-world clinical performance and safety of the EA IOL in adults following cataract surgery. The majority of patients achieved good distance and functional intermediate vision, and no serious AEs or photic phenomena were reported. Limitations of this case series include a small sample size and a short follow-up duration; as such, further investigations are warranted to evaluate longer-term visual outcomes of the EA IOL in larger cohorts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case series highlights the real-world clinical performance and safety of the EA IOL in adults following cataract surgery. The majority of patients achieved good distance and functional intermediate vision, and no serious AEs or photic phenomena were reported. Limitations of this case series include a small sample size and a short follow-up duration; as such, further investigations are warranted to evaluate…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 470,
      "source_fields": {
        "Abstract Final Identifier": "POCAT432",
        "Title": "Early Outcomes Of A Partial Range Of Field Monofocal Intraocular Lens Following Cataract Surgery: A Case Series",
        "Presenting Author(s)": "Dr Yau Kin",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Yau",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kin",
        "Country Name": "Hong Kong",
        "Purpose": "The enVista Aspire™ (EA) intraocular lens (IOL; Bausch + Lomb) is indicated for the visual correction of aphakia following cataract surgery in adults. By applying higher-order aspheric coefficients to its posterior surface, the EA IOL provides a broaden depth of focus and visual range beyond that of conventional spherical monofocal and low-order aspheric IOLs. The aim of this retrospective, single-surgeon case series was to evaluate initial distance- and intermediate-range visual outcomes and examine the functional benefits of the EA IOL in patients following cataract surgery.",
        "Setting": "This case series includes a single surgeon’s experience of implanting the EA IOL from October 14, 2025 to November 26, 2025 at a single site in Hong Kong, China.",
        "Methods": "Patients with poor baseline visual acuity, a monovision-target treatment plan, previous ocular surgery, or other pre-existing ocular conditions were excluded from this case series. Clinical outcomes included corrected distance visual acuity (CDVA), uncorrected distance visual acuity, uncorrected intermediate visual acuity (UIVA), manifest refraction spherical equivalent (MRSE), and safety up to 18-days following the procedure.",
        "Results": "The EA IOL was implanted in 13 eyes (OD, n=8; OS, n=5) of 12 patients following cataract extraction. Mean ± standard deviation (SD) age was 71.3 ± 6.4 years, and 75% were female. Mean ± SD pre-operative spherical power and spherical equivalent target were 21.46 ± 3.66 D and −0.04 ± 0.13 D, respectively. At a median (range) follow-up of 8 (6–18) days, mean ± SD monocular CDVA was 0.08 ± 0.07 logMAR, with 76.9% (n=10) of eyes achieving 0.1 logMAR or better and all eyes achieving 0.3 logMAR or better. Mean ± SD monocular UIVA was 0.17 ± 0.08 logMAR, with all eyes achieving 0.3 logMAR or better. Mean ± SD postoperative MRSE was 0.00 ± 0.51 D. No serious adverse events (AEs) were reported, and no photic phenomena were noted.",
        "Conclusions": "This case series highlights the real-world clinical performance and safety of the EA IOL in adults following cataract surgery. The majority of patients achieved good distance and functional intermediate vision, and no serious AEs or photic phenomena were reported. Limitations of this case series include a small sample size and a short follow-up duration; as such, further investigations are warranted to evaluate longer-term visual outcomes of the EA IOL in larger cohorts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "POCAT433",
      "abstract_number": "POCAT433",
      "title": "Visual Outcomes With The Zoe Intraocular Lens Targeting Mild Myopia In The Non-Dominant Eye",
      "authors": "Dr Elizabeth Law",
      "presenter": "Dr Elizabeth Law",
      "normalized_authors": [
        "Elizabeth Law"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elizabeth Law",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate visual outcomes following bilateral implantation of the Ophthalmo Pro Zoe Intraocular lens, targeting mild myopia in the non-dominant eye.",
        "Setting": "Southend University Hospital, Essex, United Kingdom",
        "Methods": "At 3 months post-operatively, all outcome measures were assessed at a follow up visit by an experienced optometrist in a single testing room under photopic lighting conditions (85cd/m 2 ) using our standard post-operative visual performance protocol.Standard subjective refraction (maximum plus) was conducted. Uncorrected and best corrected distance acuity was assessed using a 6m computerised ETDRS logMAR chart monocularly and binocularly. Intermediate and near acuity were recorded using the ETDRS 70cm chart and ETDRS 40cm near charts respectively.\n\nMonocular and binocular distance corrected defocus profiles were assessed from +1.50D to -4.00D was measured in 0.50D steps with additional points at +0.25D and -0.25D.",
        "Results": "Manifest spherical equivalent in the dominant eye was 0.00±0.29, and the non-dominant eye was -0.63±0.65. Binocular uncorrect distance visual acuity was 0.09 ± 0.08 LogMAR, improving to 0.04 ± 0.06 with distance correction.Binocular uncorrected intermediate vision was 0.22 ± 0.11LogMAR and binocular uncorrected near acuity was 0.40 ± 0.15LogMAR. Defocus profile showed acuity <0.20LogMAR between 0.50 and -1.50D of imposed defocus.",
        "Conclusions": "The Ophthalmo Pro Zoe Intraocular lens with targeted monovision is a useful strategy for achieving improved intermediate vision and lowering dependence on spectacles following cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Ophthalmo Pro Zoe Intraocular lens with targeted monovision is a useful strategy for achieving improved intermediate vision and lowering dependence on spectacles following cataract surgery.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 471,
      "source_fields": {
        "Abstract Final Identifier": "POCAT433",
        "Title": "Visual Outcomes With The Zoe Intraocular Lens Targeting Mild Myopia In The Non-Dominant Eye",
        "Presenting Author(s)": "Dr Elizabeth Law",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Elizabeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Law",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate visual outcomes following bilateral implantation of the Ophthalmo Pro Zoe Intraocular lens, targeting mild myopia in the non-dominant eye.",
        "Setting": "Southend University Hospital, Essex, United Kingdom",
        "Methods": "At 3 months post-operatively, all outcome measures were assessed at a follow up visit by an experienced optometrist in a single testing room under photopic lighting conditions (85cd/m 2 ) using our standard post-operative visual performance protocol.Standard subjective refraction (maximum plus) was conducted. Uncorrected and best corrected distance acuity was assessed using a 6m computerised ETDRS logMAR chart monocularly and binocularly. Intermediate and near acuity were recorded using the ETDRS 70cm chart and ETDRS 40cm near charts respectively.\n\nMonocular and binocular distance corrected defocus profiles were assessed from +1.50D to -4.00D was measured in 0.50D steps with additional points at +0.25D and -0.25D.",
        "Results": "Manifest spherical equivalent in the dominant eye was 0.00±0.29, and the non-dominant eye was -0.63±0.65. Binocular uncorrect distance visual acuity was 0.09 ± 0.08 LogMAR, improving to 0.04 ± 0.06 with distance correction.Binocular uncorrected intermediate vision was 0.22 ± 0.11LogMAR and binocular uncorrected near acuity was 0.40 ± 0.15LogMAR. Defocus profile showed acuity <0.20LogMAR between 0.50 and -1.50D of imposed defocus.",
        "Conclusions": "The Ophthalmo Pro Zoe Intraocular lens with targeted monovision is a useful strategy for achieving improved intermediate vision and lowering dependence on spectacles following cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POCAT434",
      "abstract_number": "POCAT434",
      "title": "Interim Analysis Of A Multicentre, Retrospective, Real-World Assessment Of The Performance And Safety Of A New Enhanced Intraocular Lens In Patients Undergoing Cataract Surgery",
      "authors": "Prof. Dr Christina Leydolt",
      "presenter": "Prof. Dr Christina Leydolt",
      "normalized_authors": [
        "Christina Leydolt"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christina Leydolt",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "The enVista Aspire (EA) intraocular lens (IOL; Bausch + Lomb) is indicated for the visual correction of aphakia following cataract surgery in adults. In comparison to conventional monofocal IOLs, the EA IOL utilises higher-order aspheric coefficients on their posterior surface to offer an extended depth of focus and visual range. The aim of this study was to detail real-world clinical experience with the EA IOL in patients undergoing bilateral cataract surgery.",
        "Setting": "This is an ongoing, multicentre, retrospective case series reporting real-world outcomes from centres in the USA (six surgeons) and Europe. The European cohort is an expansion of the original US protocol, and enrolment is currently ongoing.",
        "Methods": "Here we report outcomes from the US (93 eyes from 51 patients; data collection complete) and European (16 eyes from 16 patients; preliminary results from one centre) cohorts, with follow-up available up to 6 months following surgery. Clinical outcomes evaluated included postoperative manifest refractive spherical equivalent (MRSE), corrected distance visual acuity (CDVA), and uncorrected or distance-corrected intermediate visual acuity (UIVA and DCIVA, respectively). Adverse event (AE) safety monitoring was also carried out.",
        "Results": "Preliminary analysis indicates that approximately 95% of eyes across both cohorts achieved a monocular CDVA of at least 20/25 (US: 72/75 patients; European: 16/16 patients). With regard to intermediate visual acuity, 59/82 (72%) eyes in the US cohort achieved a monocular UIVA of at least 20/32, whereas in the European cohort the mean DCIVA was 0.24±0.11 logMAR at 80 cm and 0.29±0.10 logMAR at 66 cm at 6-month follow-up. Mean postoperative MRSE was −0.16±0.41 D and −0.02±0.19 D in the US and European cohorts, respectively. Initial defocus curve analysis indicates the enhanced monofocal lens design may have modestly extended patients’ range of functional vision. To date, no patient has reported an AE.",
        "Conclusions": "In this ongoing real-world study, interim analysis suggests that the EA IOL can provide high refractive accuracy and excellent distance and intermediate visual acuity with a favourable safety profile in patients undergoing cataract surgery. Expanded enrolment and additional data collection are underway to further validate these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this ongoing real-world study, interim analysis suggests that the EA IOL can provide high refractive accuracy and excellent distance and intermediate visual acuity with a favourable safety profile in patients undergoing cataract surgery. Expanded enrolment and additional data collection are underway to further validate these findings.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 472,
      "source_fields": {
        "Abstract Final Identifier": "POCAT434",
        "Title": "Interim Analysis Of A Multicentre, Retrospective, Real-World Assessment Of The Performance And Safety Of A New Enhanced Intraocular Lens In Patients Undergoing Cataract Surgery",
        "Presenting Author(s)": "Prof. Dr Christina Leydolt",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Christina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Leydolt",
        "Country Name": "Austria",
        "Purpose": "The enVista Aspire (EA) intraocular lens (IOL; Bausch + Lomb) is indicated for the visual correction of aphakia following cataract surgery in adults. In comparison to conventional monofocal IOLs, the EA IOL utilises higher-order aspheric coefficients on their posterior surface to offer an extended depth of focus and visual range. The aim of this study was to detail real-world clinical experience with the EA IOL in patients undergoing bilateral cataract surgery.",
        "Setting": "This is an ongoing, multicentre, retrospective case series reporting real-world outcomes from centres in the USA (six surgeons) and Europe. The European cohort is an expansion of the original US protocol, and enrolment is currently ongoing.",
        "Methods": "Here we report outcomes from the US (93 eyes from 51 patients; data collection complete) and European (16 eyes from 16 patients; preliminary results from one centre) cohorts, with follow-up available up to 6 months following surgery. Clinical outcomes evaluated included postoperative manifest refractive spherical equivalent (MRSE), corrected distance visual acuity (CDVA), and uncorrected or distance-corrected intermediate visual acuity (UIVA and DCIVA, respectively). Adverse event (AE) safety monitoring was also carried out.",
        "Results": "Preliminary analysis indicates that approximately 95% of eyes across both cohorts achieved a monocular CDVA of at least 20/25 (US: 72/75 patients; European: 16/16 patients). With regard to intermediate visual acuity, 59/82 (72%) eyes in the US cohort achieved a monocular UIVA of at least 20/32, whereas in the European cohort the mean DCIVA was 0.24±0.11 logMAR at 80 cm and 0.29±0.10 logMAR at 66 cm at 6-month follow-up. Mean postoperative MRSE was −0.16±0.41 D and −0.02±0.19 D in the US and European cohorts, respectively. Initial defocus curve analysis indicates the enhanced monofocal lens design may have modestly extended patients’ range of functional vision. To date, no patient has reported an AE.",
        "Conclusions": "In this ongoing real-world study, interim analysis suggests that the EA IOL can provide high refractive accuracy and excellent distance and intermediate visual acuity with a favourable safety profile in patients undergoing cataract surgery. Expanded enrolment and additional data collection are underway to further validate these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 354
    },
    {
      "uid": "POCAT435",
      "abstract_number": "POCAT435",
      "title": "Enhanced Mini-Monovision With Extended Depth Of Focus Or Multifocal Lenses In One Or Both Eyes",
      "authors": "Dr Jeffrey Lam",
      "presenter": "Dr Jeffrey Lam",
      "normalized_authors": [
        "Jeffrey Lam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sancy Low",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Advances in intraocular lens (IOL) design have provided patients with a wide variety of options to consider when receiving cataract surgery. Various classes of IOLs offer a different balance between range of vision and risk of dysphotopsia. One way of balancing the properties of these lenses is to adopt a mix-and-match approach of implanting a multifocal/ extended depth of focus (EDOF) in the non-dominant eye, and a lens with lower risk of dysphotopsia in the dominant eye . Surgeon learning curve considerations were examined by comparing the group of standard bilateral mini-monovision cases using monofocal-plus lenses (Eyhance, Impress) against remaining consecutive cases adopting mix-and-match approach (LuxLife, LuxSmart, Galaxy, PureSee).",
        "Setting": "Private practice with a single operating surgeon at two sites (private hospital and private wing of a public university hospital) in the United Kingdom. Outpatient clinical work up at the two surgical sites and an additional diagnostic centre were standardised, with optometrist refraction to evaluate refractive outcomes.",
        "Methods": "Consent sought from patients for anonymised outcomes data to be examined followed by retrospective electronic case note review of cataract surgery between March 2024 to February 2026. All bilateral cataract surgeries with monofocal plus, EDOF or multifocal lenses were included in the review. They were subsequently divided into the group with monofocal-plus only, compared to EDOF/ multifocal in one or both eyes.\n\n157 patients (91 males, 66 females, mean age 64.8 years) were included. Analysis focused on uncorrected distance (UDVA) and near visual acuity (UNVA) in each eye, target refraction, degree of target monovision, post-operative refraction, and degree of post-operative monovision. Best UNVA is taken from the eye achieving best UNVA.",
        "Results": "Group 1 (n= 80) with bilateral monofocal plus lenses achieved mean best UDVA of LogMar 0.04 ±0.038, UNVA of LogMar 0.075 ±0.027 (mean ±SD) and an average mini-monovision difference of 0.92D. Group 2 (n= 77) with EDOF/ multifocal IOLs achieved mean best UDVA of LogMar 0.06 ±0.035, UNVA of 0.060 ±0.095 logMAR and an average mini-monovisin difference of 0.55D. Kruskal-wallis test was done to compare best UDVA and UNVA between groups and found no significant difference (p= 0.675, p= 0.773 respectively). Analyses are on-going and additional results from time of abstract admission will be added to the report. IOP lowering was similar in both groups, but YAG capsulotomy higher for EDOF/ multifocal group. There was 0% posterior capsule rupture.",
        "Conclusions": "This case series shares experience of adopting a mix-and-match approach with premium IOLs and mini-monovision. Personalised prescribing of IOLs taking into account pre-operative refractive error, patient preferences and co-morbidity, and appropriate application of mini-monovision was able to achieve successful UDVA and UNVA by using monofocal plus lenses in both eyes, comparable to using multifocal and EDOF IOLs in one or both eyes. Continual audit and larger sample sizes will be required to fully evaluate patient reported outcome measures, and the optimal degree of mini-monovision when combining use of EDOF or multifocal IOLs to minimise risk of dysphotopisa using this approach. Patient satisfaction was high in both groups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case series shares experience of adopting a mix-and-match approach with premium IOLs and mini-monovision. Personalised prescribing of IOLs taking into account pre-operative refractive error, patient preferences and co-morbidity, and appropriate application of mini-monovision was able to achieve successful UDVA and UNVA by using monofocal plus lenses in both eyes, comparable to using multifocal and EDOF IOLs in…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 473,
      "source_fields": {
        "Abstract Final Identifier": "POCAT435",
        "Title": "Enhanced Mini-Monovision With Extended Depth Of Focus Or Multifocal Lenses In One Or Both Eyes",
        "Presenting Author(s)": "Dr Jeffrey Lam",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Sancy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Low",
        "Country Name": "United Kingdom",
        "Purpose": "Advances in intraocular lens (IOL) design have provided patients with a wide variety of options to consider when receiving cataract surgery. Various classes of IOLs offer a different balance between range of vision and risk of dysphotopsia. One way of balancing the properties of these lenses is to adopt a mix-and-match approach of implanting a multifocal/ extended depth of focus (EDOF) in the non-dominant eye, and a lens with lower risk of dysphotopsia in the dominant eye . Surgeon learning curve considerations were examined by comparing the group of standard bilateral mini-monovision cases using monofocal-plus lenses (Eyhance, Impress) against remaining consecutive cases adopting mix-and-match approach (LuxLife, LuxSmart, Galaxy, PureSee).",
        "Setting": "Private practice with a single operating surgeon at two sites (private hospital and private wing of a public university hospital) in the United Kingdom. Outpatient clinical work up at the two surgical sites and an additional diagnostic centre were standardised, with optometrist refraction to evaluate refractive outcomes.",
        "Methods": "Consent sought from patients for anonymised outcomes data to be examined followed by retrospective electronic case note review of cataract surgery between March 2024 to February 2026. All bilateral cataract surgeries with monofocal plus, EDOF or multifocal lenses were included in the review. They were subsequently divided into the group with monofocal-plus only, compared to EDOF/ multifocal in one or both eyes.\n\n157 patients (91 males, 66 females, mean age 64.8 years) were included. Analysis focused on uncorrected distance (UDVA) and near visual acuity (UNVA) in each eye, target refraction, degree of target monovision, post-operative refraction, and degree of post-operative monovision. Best UNVA is taken from the eye achieving best UNVA.",
        "Results": "Group 1 (n= 80) with bilateral monofocal plus lenses achieved mean best UDVA of LogMar 0.04 ±0.038, UNVA of LogMar 0.075 ±0.027 (mean ±SD) and an average mini-monovision difference of 0.92D. Group 2 (n= 77) with EDOF/ multifocal IOLs achieved mean best UDVA of LogMar 0.06 ±0.035, UNVA of 0.060 ±0.095 logMAR and an average mini-monovisin difference of 0.55D. Kruskal-wallis test was done to compare best UDVA and UNVA between groups and found no significant difference (p= 0.675, p= 0.773 respectively). Analyses are on-going and additional results from time of abstract admission will be added to the report. IOP lowering was similar in both groups, but YAG capsulotomy higher for EDOF/ multifocal group. There was 0% posterior capsule rupture.",
        "Conclusions": "This case series shares experience of adopting a mix-and-match approach with premium IOLs and mini-monovision. Personalised prescribing of IOLs taking into account pre-operative refractive error, patient preferences and co-morbidity, and appropriate application of mini-monovision was able to achieve successful UDVA and UNVA by using monofocal plus lenses in both eyes, comparable to using multifocal and EDOF IOLs in one or both eyes. Continual audit and larger sample sizes will be required to fully evaluate patient reported outcome measures, and the optimal degree of mini-monovision when combining use of EDOF or multifocal IOLs to minimise risk of dysphotopisa using this approach. Patient satisfaction was high in both groups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 505
    },
    {
      "uid": "POCAT436",
      "abstract_number": "POCAT436",
      "title": "Tolerance Of Residual Refraction After Implantation Of Enhanced Monofocal Intraocular Lens And Its Influence Due To Residual Cylinder",
      "authors": "Mr Keiichiro Minami",
      "presenter": "Mr Keiichiro Minami",
      "normalized_authors": [
        "Keiichiro Minami"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Keiichiro Minami",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "After implantation of enhanced monofocal intraocular lens (IOLs), tolerance of residual refraction, in which an acceptable uncorrected visual acuity (UDVA) is stably obtained, is anticipated. This retrospective study aimed to evaluate the tolerance of residual refractions in eyes with enhanced monofocal IOL with higher-order aspheric optics and investigate the influence of residual cylinder.",
        "Setting": "Tokyo Dental College Suidobashi Hospital",
        "Methods": "Refractive records 1 month postoperatively of eyes with Eyhance IOLs (Eyhance, J&J Surgical Vision) were investigated. Inclusion criteria were normal axial length, postoperative corrected distance visual acuity (CDVA) of 0.0 logMAR or better, and no complications. Refractive tolerances under three ranges of residual cylinders (zero, 0.0 to -1.0 D, and -1.0 D and less) were evaluated. Segmented regressions between spherical equivalent refraction (SE) and UDVA were analyzed, and tolerances from emmetropia to SE values for UDVA of 0.0 and 0.1 logMAR were evaluated.",
        "Results": "280 eyes from 174 patients (mean age: 70.2 years) were eligible for analysis. For eyes with zero cylinder (N = 94), UDVA was stable until -0.60 D and regression results indicated that myopic tolerance for 0.0 and 0.1 logMAR would be -0.83 and -1.05 D, respectively. For eyes with cylinder of 0.0 to -1.0 D (N = 146), the myopic tolerances were obtained -0.6 and -1.0 D for 0.0 and 0.1 logMAR, respectively. In 40 eyes with cylinders of -1.0 D and less, UDVA was relatively stable until -1.56 D and the myopic tolerances were -0.85 and -1.66 D.",
        "Conclusions": "In eyes with Eyhance IOLs, the refractive tolerance of -1.0 for UDVA of 0.1 logMAR was obtained with no residual cylinder. When the residual cylinder was -1.0 D or less, refractive tolerance was disturbed with wider tolerance for UDVA of 0.1 logMAR."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with Eyhance IOLs, the refractive tolerance of -1.0 for UDVA of 0.1 logMAR was obtained with no residual cylinder. When the residual cylinder was -1.0 D or less, refractive tolerance was disturbed with wider tolerance for UDVA of 0.1 logMAR.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 474,
      "source_fields": {
        "Abstract Final Identifier": "POCAT436",
        "Title": "Tolerance Of Residual Refraction After Implantation Of Enhanced Monofocal Intraocular Lens And Its Influence Due To Residual Cylinder",
        "Presenting Author(s)": "Mr Keiichiro Minami",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Keiichiro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Minami",
        "Country Name": "Japan",
        "Purpose": "After implantation of enhanced monofocal intraocular lens (IOLs), tolerance of residual refraction, in which an acceptable uncorrected visual acuity (UDVA) is stably obtained, is anticipated. This retrospective study aimed to evaluate the tolerance of residual refractions in eyes with enhanced monofocal IOL with higher-order aspheric optics and investigate the influence of residual cylinder.",
        "Setting": "Tokyo Dental College Suidobashi Hospital",
        "Methods": "Refractive records 1 month postoperatively of eyes with Eyhance IOLs (Eyhance, J&J Surgical Vision) were investigated. Inclusion criteria were normal axial length, postoperative corrected distance visual acuity (CDVA) of 0.0 logMAR or better, and no complications. Refractive tolerances under three ranges of residual cylinders (zero, 0.0 to -1.0 D, and -1.0 D and less) were evaluated. Segmented regressions between spherical equivalent refraction (SE) and UDVA were analyzed, and tolerances from emmetropia to SE values for UDVA of 0.0 and 0.1 logMAR were evaluated.",
        "Results": "280 eyes from 174 patients (mean age: 70.2 years) were eligible for analysis. For eyes with zero cylinder (N = 94), UDVA was stable until -0.60 D and regression results indicated that myopic tolerance for 0.0 and 0.1 logMAR would be -0.83 and -1.05 D, respectively. For eyes with cylinder of 0.0 to -1.0 D (N = 146), the myopic tolerances were obtained -0.6 and -1.0 D for 0.0 and 0.1 logMAR, respectively. In 40 eyes with cylinders of -1.0 D and less, UDVA was relatively stable until -1.56 D and the myopic tolerances were -0.85 and -1.66 D.",
        "Conclusions": "In eyes with Eyhance IOLs, the refractive tolerance of -1.0 for UDVA of 0.1 logMAR was obtained with no residual cylinder. When the residual cylinder was -1.0 D or less, refractive tolerance was disturbed with wider tolerance for UDVA of 0.1 logMAR."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCAT437",
      "abstract_number": "POCAT437",
      "title": "Clinical Outcomes Of A Multicenter Study Following Implantation Of An Isofocal Optic Iol With Double C-Loop Haptics",
      "authors": "Dr Romain Mouchel",
      "presenter": "Dr Romain Mouchel",
      "normalized_authors": [
        "Romain Mouchel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Romain Mouchel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of patients implanted with an isofocal intraocular lens (IOL) featuring a double C-loop haptic following cataract surgery.",
        "Setting": "This was a prospective multicenter study including 108 eyes of 54 patients implanted with the Isopure Serenity intraocular lens (Beaver-Visitec International, Inc.)",
        "Methods": "At least 3 months after surgery, the following parameters were analyzed: refraction, defocus curve, monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and distance-corrected intermediate visual acuity (DCIVA) at 80 cm and 66 cm, as well as uncorrected near visual acuity (UNVA) and distance-corrected near visual acuity (DCNVA) at 40 cm.",
        "Results": "79.63% and 98.15% of eyes were within ±0.50 D and ±1.00 D of the target spherical equivalent, respectively. 68.41% and 98.15% of eyes achieved a UDVA and CDVA of 20/20 or better, respectively. 77.14% and 39.39% of eyes achieved a UIVA of 20/32 or better at 80 cm and 66 cm, respectively, while 90% and 72.73% achieved a DCIVA of 20/40 or better at 80 cm and 66 cm, respectively. The defocus curve showed a depth of focus of 1.75 D.",
        "Conclusions": "Patients implanted with the new Isopure Serenity IOL with double C-loop haptics demonstrated excellent distance visual performance, functional intermediate vision, and accurate refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients implanted with the new Isopure Serenity IOL with double C-loop haptics demonstrated excellent distance visual performance, functional intermediate vision, and accurate refractive outcomes.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 475,
      "source_fields": {
        "Abstract Final Identifier": "POCAT437",
        "Title": "Clinical Outcomes Of A Multicenter Study Following Implantation Of An Isofocal Optic Iol With Double C-Loop Haptics",
        "Presenting Author(s)": "Dr Romain Mouchel",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Romain",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mouchel",
        "Country Name": "France",
        "Purpose": "To evaluate the clinical outcomes of patients implanted with an isofocal intraocular lens (IOL) featuring a double C-loop haptic following cataract surgery.",
        "Setting": "This was a prospective multicenter study including 108 eyes of 54 patients implanted with the Isopure Serenity intraocular lens (Beaver-Visitec International, Inc.)",
        "Methods": "At least 3 months after surgery, the following parameters were analyzed: refraction, defocus curve, monocular uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and distance-corrected intermediate visual acuity (DCIVA) at 80 cm and 66 cm, as well as uncorrected near visual acuity (UNVA) and distance-corrected near visual acuity (DCNVA) at 40 cm.",
        "Results": "79.63% and 98.15% of eyes were within ±0.50 D and ±1.00 D of the target spherical equivalent, respectively. 68.41% and 98.15% of eyes achieved a UDVA and CDVA of 20/20 or better, respectively. 77.14% and 39.39% of eyes achieved a UIVA of 20/32 or better at 80 cm and 66 cm, respectively, while 90% and 72.73% achieved a DCIVA of 20/40 or better at 80 cm and 66 cm, respectively. The defocus curve showed a depth of focus of 1.75 D.",
        "Conclusions": "Patients implanted with the new Isopure Serenity IOL with double C-loop haptics demonstrated excellent distance visual performance, functional intermediate vision, and accurate refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "POCAT438",
      "abstract_number": "POCAT438",
      "title": "Intermediate Contrast Sensitivity After Enhanced Monofocal Toric Versus Conventional Monofocal Toric Iol Implantation",
      "authors": "Dr Shinichiro Nakano",
      "presenter": "Dr Shinichiro Nakano",
      "normalized_authors": [
        "Shinichiro Nakano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shinichiro Nakano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare intermediate-range contrast sensitivity after implantation of an enhanced monofocal (EM) toric intraocular lens (IOL) versus a conventional monofocal toric IOL and to evaluate its relevance as a measure of intermediate visual function.",
        "Setting": "Department of Ophthalmology, Ryugasaki Saiseikai Hospital, Ibaraki, Japan",
        "Methods": "This retrospective comparative study included 64 eyes of 32 patients with corneal astigmatism ≥0.75 D implanted with an EM toric IOL (TECNIS Eyhance Toric™, Johnson & Johnson Vision) and 20 eyes of 10 patients implanted with a conventional monofocal toric IOL (Clareon Toric™, Alcon). All procedures were performed using digital image-guided axis alignment.\n\nAt 1 month postoperatively, uncorrected distance visual acuity (UDVA) and uncorrected intermediate visual acuity (UIVA) were measured (logMAR). Distance contrast sensitivity was assessed under photopic conditions using area under the log contrast sensitivity function (AULCSF). Intermediate contrast sensitivity was evaluated under photopic and mesopic conditions, with and without glare.",
        "Results": "UDVA (−0.07 vs −0.06 logMAR; p=0.25), UIVA (0.12 vs 0.18 logMAR; p=0.13), and photopic distance AULCSF (p=0.17) did not differ significantly between groups.\n\nHowever, the EM toric group demonstrated significantly higher intermediate AULCSF under photopic conditions with glare (1.76 vs 1.59; p=0.03) and mesopic conditions without glare (1.62 vs 1.42; p=0.02).",
        "Conclusions": "Despite similar intermediate visual acuity, enhanced monofocal toric IOL implantation resulted in superior intermediate contrast sensitivity. These results indicate that contrast sensitivity assessment may better reflect real-world intermediate functional vision than visual acuity alone and may provide additional insight when evaluating enhanced monofocal optics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite similar intermediate visual acuity, enhanced monofocal toric IOL implantation resulted in superior intermediate contrast sensitivity. These results indicate that contrast sensitivity assessment may better reflect real-world intermediate functional vision than visual acuity alone and may provide additional insight when evaluating enhanced monofocal optics.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 476,
      "source_fields": {
        "Abstract Final Identifier": "POCAT438",
        "Title": "Intermediate Contrast Sensitivity After Enhanced Monofocal Toric Versus Conventional Monofocal Toric Iol Implantation",
        "Presenting Author(s)": "Dr Shinichiro Nakano",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Shinichiro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nakano",
        "Country Name": "Japan",
        "Purpose": "To compare intermediate-range contrast sensitivity after implantation of an enhanced monofocal (EM) toric intraocular lens (IOL) versus a conventional monofocal toric IOL and to evaluate its relevance as a measure of intermediate visual function.",
        "Setting": "Department of Ophthalmology, Ryugasaki Saiseikai Hospital, Ibaraki, Japan",
        "Methods": "This retrospective comparative study included 64 eyes of 32 patients with corneal astigmatism ≥0.75 D implanted with an EM toric IOL (TECNIS Eyhance Toric™, Johnson & Johnson Vision) and 20 eyes of 10 patients implanted with a conventional monofocal toric IOL (Clareon Toric™, Alcon). All procedures were performed using digital image-guided axis alignment.\n\nAt 1 month postoperatively, uncorrected distance visual acuity (UDVA) and uncorrected intermediate visual acuity (UIVA) were measured (logMAR). Distance contrast sensitivity was assessed under photopic conditions using area under the log contrast sensitivity function (AULCSF). Intermediate contrast sensitivity was evaluated under photopic and mesopic conditions, with and without glare.",
        "Results": "UDVA (−0.07 vs −0.06 logMAR; p=0.25), UIVA (0.12 vs 0.18 logMAR; p=0.13), and photopic distance AULCSF (p=0.17) did not differ significantly between groups.\n\nHowever, the EM toric group demonstrated significantly higher intermediate AULCSF under photopic conditions with glare (1.76 vs 1.59; p=0.03) and mesopic conditions without glare (1.62 vs 1.42; p=0.02).",
        "Conclusions": "Despite similar intermediate visual acuity, enhanced monofocal toric IOL implantation resulted in superior intermediate contrast sensitivity. These results indicate that contrast sensitivity assessment may better reflect real-world intermediate functional vision than visual acuity alone and may provide additional insight when evaluating enhanced monofocal optics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCAT439",
      "abstract_number": "POCAT439",
      "title": "Clinical Outcomes Of A Hydrophobic Acrylic Monofocal Intraocular Lens With Non-Constant Aberration-Correcting Design",
      "authors": "Dr Seth Michel Pantanelli",
      "presenter": "Dr Seth Michel Pantanelli",
      "normalized_authors": [
        "Seth Michel Pantanelli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seth Michel Pantanelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the visual performance and patient satisfaction after bilateral implantation of a hydrophobic, non-constant aberration correcting, aspheric, monofocal IOL (CT LUCIA 621P, Carl Zeiss Meditec, Dublin, CA).",
        "Setting": "3 U.S. centers (Indianapolis, IN; Somerset, Kentucky; Hershey, Pennsylvania)",
        "Methods": "This prospective, single-arm, post-market clinical trial included participants ≥50 years with uncomplicated age-related cataract and no vision-limiting pathology who underwent bilateral phacoemulsification with in-the-bag implantation of a CT LUCIA 621P IOL. Outcome measures were monocular and binocular corrected and uncorrected visual acuities (VA) at distance and intermediate under photopic and mesopic conditions, defocus curves (+1.00 to –3.00 D range), MRSE, and VFQ-25 scores. Follow-up was performed 1 day, 1 week, 1 month, and 3 months postoperatively. The primary efficacy endpoint was the proportion of patients with monocular corrected distance VA ≥ 20/40 at three months.",
        "Results": "Results from 56 eyes of 28 patients are reported in this analysis. At the 3-month follow-up, mean monocular photopic uncorrected distance and intermediate VA were 0.06± 0.14 logMAR and 0.16± 0.10 logMAR respectively. Monocular CDVA was 20/40 or better in 98% of eyes under photopic conditions and in 95% under mesopic conditions. Monocular and binocular defocus curves showed that the CT LUCIA 621P maintained VAs ≤0.3 logMAR across +0.50 D to –1.0 D range. Mean MRSE was 0.07 ± 0.38 D at 1 month and 0.07 ± 0.40 D at 3 months, with 98% of patients within ±1.0 D. Total VFQ-25 scores improved from ~68 at baseline to ~89 at one-month and ~90 at three-month follow-up.",
        "Conclusions": "The current study demonstrates that the CT LUCIA 621P hydrophobic acrylic monofocal IOL, featuring an optimized non-constant aberration-correcting design, provides satisfactory distance and intermediate vision with high patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The current study demonstrates that the CT LUCIA 621P hydrophobic acrylic monofocal IOL, featuring an optimized non-constant aberration-correcting design, provides satisfactory distance and intermediate vision with high patient satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 477,
      "source_fields": {
        "Abstract Final Identifier": "POCAT439",
        "Title": "Clinical Outcomes Of A Hydrophobic Acrylic Monofocal Intraocular Lens With Non-Constant Aberration-Correcting Design",
        "Presenting Author(s)": "Dr Seth Michel Pantanelli",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Seth",
        "Submitter Middle Name": "Michel",
        "Submitter Last Name": "Pantanelli",
        "Country Name": "United States",
        "Purpose": "To evaluate the visual performance and patient satisfaction after bilateral implantation of a hydrophobic, non-constant aberration correcting, aspheric, monofocal IOL (CT LUCIA 621P, Carl Zeiss Meditec, Dublin, CA).",
        "Setting": "3 U.S. centers (Indianapolis, IN; Somerset, Kentucky; Hershey, Pennsylvania)",
        "Methods": "This prospective, single-arm, post-market clinical trial included participants ≥50 years with uncomplicated age-related cataract and no vision-limiting pathology who underwent bilateral phacoemulsification with in-the-bag implantation of a CT LUCIA 621P IOL. Outcome measures were monocular and binocular corrected and uncorrected visual acuities (VA) at distance and intermediate under photopic and mesopic conditions, defocus curves (+1.00 to –3.00 D range), MRSE, and VFQ-25 scores. Follow-up was performed 1 day, 1 week, 1 month, and 3 months postoperatively. The primary efficacy endpoint was the proportion of patients with monocular corrected distance VA ≥ 20/40 at three months.",
        "Results": "Results from 56 eyes of 28 patients are reported in this analysis. At the 3-month follow-up, mean monocular photopic uncorrected distance and intermediate VA were 0.06± 0.14 logMAR and 0.16± 0.10 logMAR respectively. Monocular CDVA was 20/40 or better in 98% of eyes under photopic conditions and in 95% under mesopic conditions. Monocular and binocular defocus curves showed that the CT LUCIA 621P maintained VAs ≤0.3 logMAR across +0.50 D to –1.0 D range. Mean MRSE was 0.07 ± 0.38 D at 1 month and 0.07 ± 0.40 D at 3 months, with 98% of patients within ±1.0 D. Total VFQ-25 scores improved from ~68 at baseline to ~89 at one-month and ~90 at three-month follow-up.",
        "Conclusions": "The current study demonstrates that the CT LUCIA 621P hydrophobic acrylic monofocal IOL, featuring an optimized non-constant aberration-correcting design, provides satisfactory distance and intermediate vision with high patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POCAT440",
      "abstract_number": "POCAT440",
      "title": "Clinical Outcomes And Binocular Defocus Performance Of A Hydrophobic Acrylic Enhanced Monofocal Intraocular Lens (Hoya Xy1-Em Vivinex Impress)",
      "authors": "Dr Alexandros Papadopoulos",
      "presenter": "Dr Alexandros Papadopoulos",
      "normalized_authors": [
        "Alexandros Papadopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pantelis A. Papadopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To assess early postoperative refractive and visual outcomes and to characterize the monocular and binocular defocus profiles after implantation of an enhanced monofocal intraocular lens ( XY1-EM Vivinex Impress, HOYA).",
        "Setting": "Athens Metropolitan Teaching Hospital (UNIC Athens), Athens, Greece.\nOphthalmo-Check Private Eye Centre",
        "Methods": "In this prospective/observational case series, 40 XY1-EM IOLs were implanted in 25 patients with cataract or dysfunctional lens syndrome; 15 patients received bilateral implantation. All IOLs were placed in the capsular bag. IOL power was calculated with the EVO 2.0 formula. No intraoperative complications were recorded. Monocular and binocular defocus curves were measured 1 month postoperatively using the Multifocal Lens Analyzer iPad application (Qvision).",
        "Results": "Mean postoperative spherical equivalent was +0.17 ± 0.24 D and mean refractive cylinder was −0.39 ± 0.36 D. At 1 month, the uncorrected monocular defocus curve showed good acuity across distance (0.02 logMAR), intermediate (0.22 logMAR), and near (0.47 logMAR) vergences. The binocular defocus curve demonstrated distance (−0.01 logMAR), intermediate (0.16 logMAR), and near (0.41 logMAR) performance. All participants reported functional spectacle independence for intermediate tasks.",
        "Conclusions": "At 1 month, capsular-bag implantation of the XY1-EM enhanced monofocal IOL yielded accurate refractive outcomes and provided good uncorrected distance vision with improved functional intermediate performance, as reflected by favorable monocular and binocular defocus profiles. Patient-reported intermediate spectacle independence was high. Larger studies with longer follow-up are warranted to confirm durability and broader patient-reported outcomes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 1 month, capsular-bag implantation of the XY1-EM enhanced monofocal IOL yielded accurate refractive outcomes and provided good uncorrected distance vision with improved functional intermediate performance, as reflected by favorable monocular and binocular defocus profiles. Patient-reported intermediate spectacle independence was high. Larger studies with longer follow-up are warranted to confirm durability and…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 478,
      "source_fields": {
        "Abstract Final Identifier": "POCAT440",
        "Title": "Clinical Outcomes And Binocular Defocus Performance Of A Hydrophobic Acrylic Enhanced Monofocal Intraocular Lens (Hoya Xy1-Em Vivinex Impress)",
        "Presenting Author(s)": "Dr Alexandros Papadopoulos",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Pantelis",
        "Submitter Middle Name": "A.",
        "Submitter Last Name": "Papadopoulos",
        "Country Name": "Greece",
        "Purpose": "To assess early postoperative refractive and visual outcomes and to characterize the monocular and binocular defocus profiles after implantation of an enhanced monofocal intraocular lens ( XY1-EM Vivinex Impress, HOYA).",
        "Setting": "Athens Metropolitan Teaching Hospital (UNIC Athens), Athens, Greece.\nOphthalmo-Check Private Eye Centre",
        "Methods": "In this prospective/observational case series, 40 XY1-EM IOLs were implanted in 25 patients with cataract or dysfunctional lens syndrome; 15 patients received bilateral implantation. All IOLs were placed in the capsular bag. IOL power was calculated with the EVO 2.0 formula. No intraoperative complications were recorded. Monocular and binocular defocus curves were measured 1 month postoperatively using the Multifocal Lens Analyzer iPad application (Qvision).",
        "Results": "Mean postoperative spherical equivalent was +0.17 ± 0.24 D and mean refractive cylinder was −0.39 ± 0.36 D. At 1 month, the uncorrected monocular defocus curve showed good acuity across distance (0.02 logMAR), intermediate (0.22 logMAR), and near (0.47 logMAR) vergences. The binocular defocus curve demonstrated distance (−0.01 logMAR), intermediate (0.16 logMAR), and near (0.41 logMAR) performance. All participants reported functional spectacle independence for intermediate tasks.",
        "Conclusions": "At 1 month, capsular-bag implantation of the XY1-EM enhanced monofocal IOL yielded accurate refractive outcomes and provided good uncorrected distance vision with improved functional intermediate performance, as reflected by favorable monocular and binocular defocus profiles. Patient-reported intermediate spectacle independence was high. Larger studies with longer follow-up are warranted to confirm durability and broader patient-reported outcomes"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCAT441",
      "abstract_number": "POCAT441",
      "title": "Performance Of An Enhanced Monofocal Iol: Outcomes Of A Non-Interventional, Prospective, Multicenter Clinical Study",
      "authors": "Dr Jai G Parekh",
      "presenter": "Dr Jai G Parekh",
      "normalized_authors": [
        "Jai G Parekh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jai G Parekh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the visual, refractive, and patient-reported outcomes in cataract patients bilaterally implanted with an enhanced monofocal intraocular lens (IOL).",
        "Setting": "7 sites in the United States",
        "Methods": "This noninterventional, prospective, single-arm, multicenter study included 124 eyes from 62 patients who had undergone bilateral implantation with the enVista Aspire enhanced monofocal IOL (Bausch and Lomb). Both eyes were targeted for emmetropia (defined as ≤0.75 D manifest refraction spherical equivalent (MRSE)). Study parameters were manifest refraction, photopic monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate (UIVA), binocular defocus curves, and patient-reported outcomes using Assessment of Intraocular Lens Implant Symptoms (AIOLIS) scores.",
        "Results": "At postoperative 60-270 days after the second IOL implantation, the mean MRSE was ‑0.24±0.30 D. The mean monocular UDVA and UIVA were 0.07±0.13 and 0.22±0.14 logMAR, respectively. UDVA of 20/32 or better was achieved in 91.1% of eyes, and UIVA of 20/40 or better in 80.6% of eyes. The frequency of glare, halos, and starbursts as ‘never to sometimes’ ranged from 93.5% to 100% of subjects; however, 91.9% to 98.4% were not at all’ to ‘a little’ bothered. More than 85% of patients could see pretty to perfectly well without glasses, and 93.5% rated their postoperative vision as good to excellent. The binocular defocus curve showed visual acuity of 0.2 logMAR or better up to a defocus of ~-1.25 D.",
        "Conclusions": "Bilateral implantation of enVista Aspire enhanced monofocal IOL resulted in excellent distance and good intermediate visual acuity, with a few visual symptoms and more than 90% of subjects expressing satisfaction with their postoperative vision. The good intermediate visual acuity found in the study is attributed to the IOL design. The enVista Aspire IOL features an intermediate 1.5-mm central zone with a blend zone between the central and peripheral powers on the posterior surface of the lens, designed to provide a gradual transition of incoming light, which enhances intermediate vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of enVista Aspire enhanced monofocal IOL resulted in excellent distance and good intermediate visual acuity, with a few visual symptoms and more than 90% of subjects expressing satisfaction with their postoperative vision. The good intermediate visual acuity found in the study is attributed to the IOL design. The enVista Aspire IOL features an intermediate 1.5-mm central zone with a blend…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 479,
      "source_fields": {
        "Abstract Final Identifier": "POCAT441",
        "Title": "Performance Of An Enhanced Monofocal Iol: Outcomes Of A Non-Interventional, Prospective, Multicenter Clinical Study",
        "Presenting Author(s)": "Dr Jai G Parekh",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Jai",
        "Submitter Middle Name": "G",
        "Submitter Last Name": "Parekh",
        "Country Name": "United States",
        "Purpose": "To evaluate the visual, refractive, and patient-reported outcomes in cataract patients bilaterally implanted with an enhanced monofocal intraocular lens (IOL).",
        "Setting": "7 sites in the United States",
        "Methods": "This noninterventional, prospective, single-arm, multicenter study included 124 eyes from 62 patients who had undergone bilateral implantation with the enVista Aspire enhanced monofocal IOL (Bausch and Lomb). Both eyes were targeted for emmetropia (defined as ≤0.75 D manifest refraction spherical equivalent (MRSE)). Study parameters were manifest refraction, photopic monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate (UIVA), binocular defocus curves, and patient-reported outcomes using Assessment of Intraocular Lens Implant Symptoms (AIOLIS) scores.",
        "Results": "At postoperative 60-270 days after the second IOL implantation, the mean MRSE was ‑0.24±0.30 D. The mean monocular UDVA and UIVA were 0.07±0.13 and 0.22±0.14 logMAR, respectively. UDVA of 20/32 or better was achieved in 91.1% of eyes, and UIVA of 20/40 or better in 80.6% of eyes. The frequency of glare, halos, and starbursts as ‘never to sometimes’ ranged from 93.5% to 100% of subjects; however, 91.9% to 98.4% were not at all’ to ‘a little’ bothered. More than 85% of patients could see pretty to perfectly well without glasses, and 93.5% rated their postoperative vision as good to excellent. The binocular defocus curve showed visual acuity of 0.2 logMAR or better up to a defocus of ~-1.25 D.",
        "Conclusions": "Bilateral implantation of enVista Aspire enhanced monofocal IOL resulted in excellent distance and good intermediate visual acuity, with a few visual symptoms and more than 90% of subjects expressing satisfaction with their postoperative vision. The good intermediate visual acuity found in the study is attributed to the IOL design. The enVista Aspire IOL features an intermediate 1.5-mm central zone with a blend zone between the central and peripheral powers on the posterior surface of the lens, designed to provide a gradual transition of incoming light, which enhances intermediate vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "POCAT442",
      "abstract_number": "POCAT442",
      "title": "Comparison Of Visual Outcomes Of Two Advance Monofocal Iols Based On Different Optical Principles",
      "authors": "Dr Hardik Parikh",
      "presenter": "Dr Hardik Parikh",
      "normalized_authors": [
        "Hardik Parikh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hardik Parikh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Advanced Monofocal IOLs are part of the ophthalmic surgeon’s armamentarium.\n\nMany advanced Monofocal IOLs with different optical principles are available.\n\nThe purpose of this study is to compare outcomes for distance and near vision between two advanced Monofocal IOLs with different optical principles.\n\nWe also try to define selection criteria for advanced Monofocal IOLs.",
        "Setting": "Single surgeon private practice setup Mumbai,India.",
        "Methods": "We included data from 82 eyes of 54 patients in the study.\n\nOf these, 38 (46%) were right eye.\n\nAll eye underwent Microincision phacoemulsification with impantation of advance monofocal IOL, all cases were uneventful.\nThe Eyhance IOL was implanted in 44 eyes (54%) and the RAYNER IOL in the remaining 38 eyes (46%).\nThe mean distance visual acuity (BCDVA) improved from 0.9+0.5 logMAR (20/200 Snellen’s equivalent) to 0.1+0.2\nlogMAR units (20/25 Snellen’s equivalent) four weeks post-surgery (p<0.001). Similarly, the near visual acuity improved\nfrom 1.0+0.12 logMAR (N24 Snellen’s equivalent) preop to 0.6+0.2 logMAR (N12 6/60 Snellen’s equivalent) at four\nweeks (p<0.001).",
        "Results": "We included data from 82 eyes of 54 patients in the study. Of these, 38 (46%) were right eye.\nThe Eyhance IOL was implanted in 44 eyes (54%) and the RAYNER IOL in the remaining 38 eyes (46%).\n\nThe mean distance visual acuity (BCDVA) improved from 0.9+0.5 logMAR (20/200 Snellen’s equivalent) to 0.1+0.2\nlogMAR units (20/25 Snellen’s equivalent) four weeks post-surgery (p<0.001).\n\nSimilarly, the near visual acuity improved from 1.0+0.12 logMAR (N24 Snellen’s equivalent) preop to 0.6+0.2 logMAR (N12 6/60 Snellen’s\nequivalent) at four weeks (p<0.001).",
        "Conclusions": "Despite similar preoperative characteristics, eyes implanted with the Rayner IOL demonstrate significantly\nsuperior distance and near vision compared to those with the Eyhance IOL, with an improvement of one line in each case."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite similar preoperative characteristics, eyes implanted with the Rayner IOL demonstrate significantly superior distance and near vision compared to those with the Eyhance IOL, with an improvement of one line in each case.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 480,
      "source_fields": {
        "Abstract Final Identifier": "POCAT442",
        "Title": "Comparison Of Visual Outcomes Of Two Advance Monofocal Iols Based On Different Optical Principles",
        "Presenting Author(s)": "Dr Hardik Parikh",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Hardik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parikh",
        "Country Name": "India",
        "Purpose": "Advanced Monofocal IOLs are part of the ophthalmic surgeon’s armamentarium.\n\nMany advanced Monofocal IOLs with different optical principles are available.\n\nThe purpose of this study is to compare outcomes for distance and near vision between two advanced Monofocal IOLs with different optical principles.\n\nWe also try to define selection criteria for advanced Monofocal IOLs.",
        "Setting": "Single surgeon private practice setup Mumbai,India.",
        "Methods": "We included data from 82 eyes of 54 patients in the study.\n\nOf these, 38 (46%) were right eye.\n\nAll eye underwent Microincision phacoemulsification with impantation of advance monofocal IOL, all cases were uneventful.\nThe Eyhance IOL was implanted in 44 eyes (54%) and the RAYNER IOL in the remaining 38 eyes (46%).\nThe mean distance visual acuity (BCDVA) improved from 0.9+0.5 logMAR (20/200 Snellen’s equivalent) to 0.1+0.2\nlogMAR units (20/25 Snellen’s equivalent) four weeks post-surgery (p<0.001). Similarly, the near visual acuity improved\nfrom 1.0+0.12 logMAR (N24 Snellen’s equivalent) preop to 0.6+0.2 logMAR (N12 6/60 Snellen’s equivalent) at four\nweeks (p<0.001).",
        "Results": "We included data from 82 eyes of 54 patients in the study. Of these, 38 (46%) were right eye.\nThe Eyhance IOL was implanted in 44 eyes (54%) and the RAYNER IOL in the remaining 38 eyes (46%).\n\nThe mean distance visual acuity (BCDVA) improved from 0.9+0.5 logMAR (20/200 Snellen’s equivalent) to 0.1+0.2\nlogMAR units (20/25 Snellen’s equivalent) four weeks post-surgery (p<0.001).\n\nSimilarly, the near visual acuity improved from 1.0+0.12 logMAR (N24 Snellen’s equivalent) preop to 0.6+0.2 logMAR (N12 6/60 Snellen’s\nequivalent) at four weeks (p<0.001).",
        "Conclusions": "Despite similar preoperative characteristics, eyes implanted with the Rayner IOL demonstrate significantly\nsuperior distance and near vision compared to those with the Eyhance IOL, with an improvement of one line in each case."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCAT443",
      "abstract_number": "POCAT443",
      "title": "Refractive And Visual Outcomes Of A Monofocal, Optimized, Aspheric Intraocular Lens In Eyes With Different Degrees Of Corneal Spherical Aberration",
      "authors": "Dr Francisco Pastor-Pascual",
      "presenter": "Dr Francisco Pastor-Pascual",
      "normalized_authors": [
        "Francisco Pastor-Pascual"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisco Pastor-Pascual",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To investigate the refractive and visual outcomes of a monofocal, optimized, aspheric, intraocular lens (IOL) implanted in eyes with different degrees of corneal spherical aberration after cataract surgery.",
        "Setting": "Oftalvist, Valencia, Spain",
        "Methods": "This prospective study was approved by the Ethics Committee of the Hospital Clínico San Carlos and registered at DRKS00032562 . The inclusion criteria considered, age-related cataract patients, corneal astigmatism up to 1.00D, and IOL power to be implanted ranging from 0 to 34D. The exclusion criteria considered, irregular cornea, a history of previous corneal refractive surgery, ocular anomalies or pathologies that could reduce visual function or postoperative IOL stability. 54 eyes were implanted with the CT LUCIA 621P IOL and analyzed at 3-months post-surgery. Eyes were categorized into 3 groups (18 eyes/group) based on their corneal SA (6-mm pupil): group A (0 to 0.2 mm), group B (>0.2 to 0.4 mm), and group C (>0.4 to 0.6 mm).",
        "Results": "Corrected distance visual acuity was similar between groups, showing mean values of –0.02±0.04, –0.04±0.05 and 0.01±0.11 logMAR, for groups A, B, and C, respectively (P=0.094). In relation to accuracy, group A showed 88.89% of eyes within ±1.00D of spherical equivalent and with a refractive astigmatism of ≤1.00D, group B showed 94.4%, and, group C 88.89% of eyes were within ±1.00D and 94.4% of eyes ≤1.00D. Contrast sensitivity functions were good for the three groups being similar for all spatial frequencies analyzed (P>0.01). The area under the 7 ‑ point defocus curves, both for photopic and mesopic lighting conditions, did not differ between groups (P>0.5). All patients reported being either very or quite satisfied with their vision.",
        "Conclusions": "The outcomes obtained suggest that different degrees of corneal spherical aberration do not affect the visual performance of eyes implanted with the CT LUCIA 621P IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The outcomes obtained suggest that different degrees of corneal spherical aberration do not affect the visual performance of eyes implanted with the CT LUCIA 621P IOL.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 481,
      "source_fields": {
        "Abstract Final Identifier": "POCAT443",
        "Title": "Refractive And Visual Outcomes Of A Monofocal, Optimized, Aspheric Intraocular Lens In Eyes With Different Degrees Of Corneal Spherical Aberration",
        "Presenting Author(s)": "Dr Francisco Pastor-Pascual",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Francisco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pastor-Pascual",
        "Country Name": "Spain",
        "Purpose": "To investigate the refractive and visual outcomes of a monofocal, optimized, aspheric, intraocular lens (IOL) implanted in eyes with different degrees of corneal spherical aberration after cataract surgery.",
        "Setting": "Oftalvist, Valencia, Spain",
        "Methods": "This prospective study was approved by the Ethics Committee of the Hospital Clínico San Carlos and registered at DRKS00032562 . The inclusion criteria considered, age-related cataract patients, corneal astigmatism up to 1.00D, and IOL power to be implanted ranging from 0 to 34D. The exclusion criteria considered, irregular cornea, a history of previous corneal refractive surgery, ocular anomalies or pathologies that could reduce visual function or postoperative IOL stability. 54 eyes were implanted with the CT LUCIA 621P IOL and analyzed at 3-months post-surgery. Eyes were categorized into 3 groups (18 eyes/group) based on their corneal SA (6-mm pupil): group A (0 to 0.2 mm), group B (>0.2 to 0.4 mm), and group C (>0.4 to 0.6 mm).",
        "Results": "Corrected distance visual acuity was similar between groups, showing mean values of –0.02±0.04, –0.04±0.05 and 0.01±0.11 logMAR, for groups A, B, and C, respectively (P=0.094). In relation to accuracy, group A showed 88.89% of eyes within ±1.00D of spherical equivalent and with a refractive astigmatism of ≤1.00D, group B showed 94.4%, and, group C 88.89% of eyes were within ±1.00D and 94.4% of eyes ≤1.00D. Contrast sensitivity functions were good for the three groups being similar for all spatial frequencies analyzed (P>0.01). The area under the 7 ‑ point defocus curves, both for photopic and mesopic lighting conditions, did not differ between groups (P>0.5). All patients reported being either very or quite satisfied with their vision.",
        "Conclusions": "The outcomes obtained suggest that different degrees of corneal spherical aberration do not affect the visual performance of eyes implanted with the CT LUCIA 621P IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCAT444",
      "abstract_number": "POCAT444",
      "title": "My Experience With The Enhanced Monofocal Premium Intra Ocular Lens",
      "authors": "Dr Nandini Ray",
      "presenter": "Dr Nandini Ray",
      "normalized_authors": [
        "Nandini Ray"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nandini Ray",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The VIVINEX Impress IOL and the Eyhance IOL are enhanced Monofocal IOL’s\n\n20 patients each were implanted with the above 2 IOl s with enhanced mono focal technology for suitable patients wanting relative spectacle freedom at the intermediate and near distance at a lower cost than EDOV with no visual photic symptoms associated with rings and zones to judge the overall efficacy",
        "Setting": "Single centre, single surgeon, retrospective analysis .\n\nCenturion phaco machine ,Lenstar Biometry ( 2 technician)\n\nNo access to Verion or Callisto Pentacam or Wavefront Aberrometer\n\nNo high tech Image Guided Cataract suite",
        "Methods": "20 bilateral implantations each IOL\n\nEyhance (J&J)40 Vivinex Impress (HOYA)\n\n20 patients bilateral implantation\n\nMale:Female 12:8\n\nAverage age 63 years\n\nDifference between K1&K2 maximum 1 D\n\nRange of IOL power +13 to 28D\n\nKPatient selection as per monofocal IOL\n\nRelative contraindication for EDOV/ Trifocals with early ocular pathology\n\nFinancial constraints for EDOV/ Trifocals\n\nHigh myopes ( < 16D) can be considered\n\nLow Astigmatism upto 1 D incision placed on steep axis as all were non toric IOL’s\n\nRoutine surgery selected for study\n\nPost operative refraction done 1 week later",
        "Results": "20 bilateral implantations each IOL\n\nEyhance (J&J)40 Vivinex Impress (HOYA)\n\nMale:Female 12:8\n\nAverage age 63 years\n\nDifference between K1&K2 maximum 1 D\n\nRange of IOL power +13D\n\nto +28 D\n\nDistance 75% Plano 6/6\n\nIn Eyhance 8 eyes had near MINIMUM add +1.5D ( tall patients 5’9” with longer arm span)\n\n23 eyes had aided near and intermediate vision N6 with +1.75D\n\n8 eyes had +2D add ( height less than 5’7” low arm span )\n\n1 patient needed +2.25 D ( had ARMD)\n\nVivinex Aided Vision for Near / Intermediate\n\n14/40 eyes need +1D to +1.25 D for N6/N8 ( tall patients with long arm span )\n\n20/40 eyes needed +1.5D to read N6/N8 for near/ intermediate @ 40cm -55 cm\n\n6/40 eyes needed +1.75 D to read N6/N8 for near/ intermediate ( shorter height patients / smaller arm span)",
        "Conclusions": "In a general eye clinic with near basic equipment the surgeon has hand picked a careful limited section of patients who meet all the selection criteria for Trifocal/ EDOV IOL s but chose enhanced mono focal IOL or were counselled for the same by the surgeon ( in case of early ocular pathology/ habitual night drivers, high powered professionals, type A hypercritical personality, accepting spectacle dependence if need be)\n\nEyhance IOL 70% of eyes needed minimum +1.5D to +1.75D for near/ intermediate N6/N8 vision\n\nVivinex Impress better with 30% eyes needing only +1D-1.25 D for near and intermediate vision"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a general eye clinic with near basic equipment the surgeon has hand picked a careful limited section of patients who meet all the selection criteria for Trifocal/ EDOV IOL s but chose enhanced mono focal IOL or were counselled for the same by the surgeon ( in case of early ocular pathology/ habitual night drivers, high powered professionals, type A hypercritical personality, accepting spectacle dependence if…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 482,
      "source_fields": {
        "Abstract Final Identifier": "POCAT444",
        "Title": "My Experience With The Enhanced Monofocal Premium Intra Ocular Lens",
        "Presenting Author(s)": "Dr Nandini Ray",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Nandini",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ray",
        "Country Name": "India",
        "Purpose": "The VIVINEX Impress IOL and the Eyhance IOL are enhanced Monofocal IOL’s\n\n20 patients each were implanted with the above 2 IOl s with enhanced mono focal technology for suitable patients wanting relative spectacle freedom at the intermediate and near distance at a lower cost than EDOV with no visual photic symptoms associated with rings and zones to judge the overall efficacy",
        "Setting": "Single centre, single surgeon, retrospective analysis .\n\nCenturion phaco machine ,Lenstar Biometry ( 2 technician)\n\nNo access to Verion or Callisto Pentacam or Wavefront Aberrometer\n\nNo high tech Image Guided Cataract suite",
        "Methods": "20 bilateral implantations each IOL\n\nEyhance (J&J)40 Vivinex Impress (HOYA)\n\n20 patients bilateral implantation\n\nMale:Female 12:8\n\nAverage age 63 years\n\nDifference between K1&K2 maximum 1 D\n\nRange of IOL power +13 to 28D\n\nKPatient selection as per monofocal IOL\n\nRelative contraindication for EDOV/ Trifocals with early ocular pathology\n\nFinancial constraints for EDOV/ Trifocals\n\nHigh myopes ( < 16D) can be considered\n\nLow Astigmatism upto 1 D incision placed on steep axis as all were non toric IOL’s\n\nRoutine surgery selected for study\n\nPost operative refraction done 1 week later",
        "Results": "20 bilateral implantations each IOL\n\nEyhance (J&J)40 Vivinex Impress (HOYA)\n\nMale:Female 12:8\n\nAverage age 63 years\n\nDifference between K1&K2 maximum 1 D\n\nRange of IOL power +13D\n\nto +28 D\n\nDistance 75% Plano 6/6\n\nIn Eyhance 8 eyes had near MINIMUM add +1.5D ( tall patients 5’9” with longer arm span)\n\n23 eyes had aided near and intermediate vision N6 with +1.75D\n\n8 eyes had +2D add ( height less than 5’7” low arm span )\n\n1 patient needed +2.25 D ( had ARMD)\n\nVivinex Aided Vision for Near / Intermediate\n\n14/40 eyes need +1D to +1.25 D for N6/N8 ( tall patients with long arm span )\n\n20/40 eyes needed +1.5D to read N6/N8 for near/ intermediate @ 40cm -55 cm\n\n6/40 eyes needed +1.75 D to read N6/N8 for near/ intermediate ( shorter height patients / smaller arm span)",
        "Conclusions": "In a general eye clinic with near basic equipment the surgeon has hand picked a careful limited section of patients who meet all the selection criteria for Trifocal/ EDOV IOL s but chose enhanced mono focal IOL or were counselled for the same by the surgeon ( in case of early ocular pathology/ habitual night drivers, high powered professionals, type A hypercritical personality, accepting spectacle dependence if need be)\n\nEyhance IOL 70% of eyes needed minimum +1.5D to +1.75D for near/ intermediate N6/N8 vision\n\nVivinex Impress better with 30% eyes needing only +1D-1.25 D for near and intermediate vision"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 435
    },
    {
      "uid": "POCAT445",
      "abstract_number": "POCAT445",
      "title": "Addressing Refractive Uncertainty: Light Adjustable Lens Implantation In Post Lasik And Post Rk Cataract Patients",
      "authors": "Dr Brandon Rodriguez",
      "presenter": "Dr Brandon Rodriguez",
      "normalized_authors": [
        "Brandon Rodriguez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brandon Rodriguez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare the refractive surgical outcomes in patients with Light Adjustable Lens (LAL) implantation who have a history of previous LASIK vs RK surgery.",
        "Setting": "Patient's with a history of previous RK and LASIK desired to be without glasses when they were young. These same patients are wanting the same outcomes after their cataract surgery. Unfortunately, there is no single lens formula that provides the same level of refractive success as laser vision correction surgery. The Light Adjustable Lens (LAL) is the only intraocular lens that can be adjusted after cataract surrgery to correct for any residual refractive error, especially in these patients.",
        "Methods": "This is a retrospective analysis of a total of 36 eyes, in 20 patients. 10 patients were post-RK (17 eyes), 10 patients were post-LASIK (19 eyes). All eyes received the Light Adjustable Lens (LAL) by RxSight. No patient had any history of retinal or optic nerve disease. All patients underwent surgery for visually significant cataracts and desired to reduce, if not eliminate the need for spectacles post-operatively. All patients received the appropriate number of treatments with the Light Delivery Device (LDD).",
        "Results": "In the post-LASIK group, 40% of patients were 6/5 and 90% were 6/6 or better UCDVA. The average SE was +0.125 D. 33% were J1+ UCNVA. The average SE: -1.22D\n\nIn the post-RK group, 40% of patients were 6/5 and 60% were 6/6 or better UCDVA. The average SE was +0.25D. 37.5% were J1+ UCNVA. The average SE: -1D",
        "Conclusions": "The LAL IOL is an excellet choice to help patients with a history of prior refaractive surgery achieve their goal of spectacle independence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAL IOL is an excellet choice to help patients with a history of prior refaractive surgery achieve their goal of spectacle independence.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 483,
      "source_fields": {
        "Abstract Final Identifier": "POCAT445",
        "Title": "Addressing Refractive Uncertainty: Light Adjustable Lens Implantation In Post Lasik And Post Rk Cataract Patients",
        "Presenting Author(s)": "Dr Brandon Rodriguez",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Brandon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodriguez",
        "Country Name": "United States",
        "Purpose": "To compare the refractive surgical outcomes in patients with Light Adjustable Lens (LAL) implantation who have a history of previous LASIK vs RK surgery.",
        "Setting": "Patient's with a history of previous RK and LASIK desired to be without glasses when they were young. These same patients are wanting the same outcomes after their cataract surgery. Unfortunately, there is no single lens formula that provides the same level of refractive success as laser vision correction surgery. The Light Adjustable Lens (LAL) is the only intraocular lens that can be adjusted after cataract surrgery to correct for any residual refractive error, especially in these patients.",
        "Methods": "This is a retrospective analysis of a total of 36 eyes, in 20 patients. 10 patients were post-RK (17 eyes), 10 patients were post-LASIK (19 eyes). All eyes received the Light Adjustable Lens (LAL) by RxSight. No patient had any history of retinal or optic nerve disease. All patients underwent surgery for visually significant cataracts and desired to reduce, if not eliminate the need for spectacles post-operatively. All patients received the appropriate number of treatments with the Light Delivery Device (LDD).",
        "Results": "In the post-LASIK group, 40% of patients were 6/5 and 90% were 6/6 or better UCDVA. The average SE was +0.125 D. 33% were J1+ UCNVA. The average SE: -1.22D\n\nIn the post-RK group, 40% of patients were 6/5 and 60% were 6/6 or better UCDVA. The average SE was +0.25D. 37.5% were J1+ UCNVA. The average SE: -1D",
        "Conclusions": "The LAL IOL is an excellet choice to help patients with a history of prior refaractive surgery achieve their goal of spectacle independence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POCAT446",
      "abstract_number": "POCAT446",
      "title": "Is Light The Answer? A Comparison Of The Light Adjustable Lens (Rx Sight) Vs An Extended Depth Of Focus Intraocular Lens (Vivity Alcon)",
      "authors": "Dr Brandon Rodriguez",
      "presenter": "Dr Brandon Rodriguez",
      "normalized_authors": [
        "Brandon Rodriguez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brandon Rodriguez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare the refractive results of the Light Adjustable Lens (LAL) and the Vivity Extended Depth of Focus (EDOF) IOL in patients undergoing refractive cataract surgery.",
        "Setting": "Patient undergoing cataract surgery with a premium/lifestyle intraocular lens (IOL) expect to achieve reduced or complete spectacle independence after surgery. Unfortunately, there is no single lens formula that provides the refractive precision as someone who is undergoing refractive laser surgery and there is no one size fits all. This is the dilemma that every refractive cataract surgeon faces today.",
        "Methods": "This is a restrospective analysis of a total of 92 eyes in 46 total patients. 23 patients received bilateral LAL by RxSight and 23 received bilateral Vivity IOLs by Alcon. No patient had any evidence of retinal or optic nerve diseases. All patients underwent surgery for visual significant cataracts and desired to reduce, if not, eliminate their need for spectacles postoperatively. Patient that received an LAL underwent the appropriate nunmer of treatments with the Light Delivery Device (LDD). No patient that received the Vivity EDOF IOL had any LASIK/PRK correction post-operatively.",
        "Results": "100% of patients were not lost to follow up post-operatively after 6 months. 100% of patients did not have any complications.\n\nIn the LAL group, more than 34% were 6/4 and more than 82% of patients were 6/6 or better UCDVA. The average SE: -0.19D. More than 43% were J1+ UCNVA. The average SE: -0.98 D. 43.5% of LAL patients had a previous history of previous LASIK/PRK. There was no significant difference between the 2 groups.\n\nIn the Vivity group, only 4% were 6/4 and more than 73% of patients were 6/6 or better UCDVA. The average SE: -0.21D. More than 21% were J1+ UCNVA. The average SE: -0.35D. 100% of the patients had no history of LASIK/PRK.\n\nThe average LAL binocular UCDVA 6/5 and J1 UCNVA.\n\nThe average Vivity binocular UCDVA 6/6 and J1 UCNVA.",
        "Conclusions": "The LAL and Vivity EDOF IOLs are both excellent choices to help patient's achieve their goal of spectacle independence. Both achieved excellent uncorrected binocular vision. Refractively though, the LAL was similiar to mini-monovision unlike the Vivity. The LAL also proved to be an excellent option for those with a history of previous laser vision correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAL and Vivity EDOF IOLs are both excellent choices to help patient's achieve their goal of spectacle independence. Both achieved excellent uncorrected binocular vision. Refractively though, the LAL was similiar to mini-monovision unlike the Vivity. The LAL also proved to be an excellent option for those with a history of previous laser vision correction.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 484,
      "source_fields": {
        "Abstract Final Identifier": "POCAT446",
        "Title": "Is Light The Answer? A Comparison Of The Light Adjustable Lens (Rx Sight) Vs An Extended Depth Of Focus Intraocular Lens (Vivity Alcon)",
        "Presenting Author(s)": "Dr Brandon Rodriguez",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Brandon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodriguez",
        "Country Name": "United States",
        "Purpose": "To compare the refractive results of the Light Adjustable Lens (LAL) and the Vivity Extended Depth of Focus (EDOF) IOL in patients undergoing refractive cataract surgery.",
        "Setting": "Patient undergoing cataract surgery with a premium/lifestyle intraocular lens (IOL) expect to achieve reduced or complete spectacle independence after surgery. Unfortunately, there is no single lens formula that provides the refractive precision as someone who is undergoing refractive laser surgery and there is no one size fits all. This is the dilemma that every refractive cataract surgeon faces today.",
        "Methods": "This is a restrospective analysis of a total of 92 eyes in 46 total patients. 23 patients received bilateral LAL by RxSight and 23 received bilateral Vivity IOLs by Alcon. No patient had any evidence of retinal or optic nerve diseases. All patients underwent surgery for visual significant cataracts and desired to reduce, if not, eliminate their need for spectacles postoperatively. Patient that received an LAL underwent the appropriate nunmer of treatments with the Light Delivery Device (LDD). No patient that received the Vivity EDOF IOL had any LASIK/PRK correction post-operatively.",
        "Results": "100% of patients were not lost to follow up post-operatively after 6 months. 100% of patients did not have any complications.\n\nIn the LAL group, more than 34% were 6/4 and more than 82% of patients were 6/6 or better UCDVA. The average SE: -0.19D. More than 43% were J1+ UCNVA. The average SE: -0.98 D. 43.5% of LAL patients had a previous history of previous LASIK/PRK. There was no significant difference between the 2 groups.\n\nIn the Vivity group, only 4% were 6/4 and more than 73% of patients were 6/6 or better UCDVA. The average SE: -0.21D. More than 21% were J1+ UCNVA. The average SE: -0.35D. 100% of the patients had no history of LASIK/PRK.\n\nThe average LAL binocular UCDVA 6/5 and J1 UCNVA.\n\nThe average Vivity binocular UCDVA 6/6 and J1 UCNVA.",
        "Conclusions": "The LAL and Vivity EDOF IOLs are both excellent choices to help patient's achieve their goal of spectacle independence. Both achieved excellent uncorrected binocular vision. Refractively though, the LAL was similiar to mini-monovision unlike the Vivity. The LAL also proved to be an excellent option for those with a history of previous laser vision correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCAT447",
      "abstract_number": "POCAT447",
      "title": "Real-World Outcomes Of Bilateral Implantation Of An Advanced Monofocal Tecnis Eyhance® Versus Clareon®: A Head-To-Head Comparative Study",
      "authors": "Filipe Sousa-Neves",
      "presenter": "Filipe Sousa-Neves",
      "normalized_authors": [
        "Filipe Sousa-Neves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Filipe Sousa-Neves",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Standard monofocal intraocular lens (IOL) implantation may result in dissatisfaction due to compromised intermediate and near vision. Advanced monofocal IOLs, such as the TECNIS Eyhance®, aim to extend the range of vision while preserving excellent distance visual acuity and a favourable optical side-effect profile. This study compares the real-world visual outcomes of bilateral implantation of both IOLs using a standardised mini-monovision protocol.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, Portugal.",
        "Methods": "Prospective controlled comparative study (head to head) of patients undergoing bilateral cataract surgery with either TECNIS Eyhance® (n=42) or Clareon® monofocal (n=32) IOL implantation. Identical protocols were applied: the dominant eye targeted to emmetropia and the non-dominant eye to −0.50 D (mini-monovision). Exclusion criteria: corneal astigmatism >1 D, high myopia, or concomitant ocular pathology. Post-operative evaluation (1-2 months after second-eye surgery) included monocular and binocular best-corrected (BC) and uncorrected (U) visual acuity (VA) for distance (D), intermediate (I) and near (N). Visual symptoms were assessed using the PRVSQv2 questionnaire.",
        "Results": "Eyhance group: 42 patients (29 female; age 72.4±5.8 years). Clareon group: 32 patients (10 female; age 74.9±6.0 years). Binocular UDVA was equivalent (0.01±0.05 vs 0.01±0.05 logMAR; p=0.66), with 97.6% and 100% achieving UDVA ≤0.10 logMAR, respectively. BCVA was also comparable (−0.03±0.04 vs −0.04±0.06; p=0.31). Significant differences favoured Eyhance for intermediate and near vision: UIVA 0.08±0.12 vs 0.16±0.11 (p=0.010), DCIVA 0.12±0.12 vs 0.24±0.08 (p=0.001), UNVA 0.27±0.15 vs 0.40±0.16 (p=0.010), DCNVA 0.32±0.14 vs 0.46±0.13 logMAR (p=0.002). In the Eyhance group, 81% achieved UIVA ≤0.10 logMAR vs 50% in the Clareon group. Complains about positive dysphotopsias on PRVSQv2 were irrelevant.",
        "Conclusions": "Both the TECNIS Eyhance® and Clareon® IOLs deliver excellent and equivalent UDVA when implanted using a mini-monovision protocol. However, the TECNIS Eyhance® IOL demonstrated significantly superior intermediate and near visual outcomes across all measured parameters, suggesting a clinically meaningful advantage in extending the functional range of vision. These findings support the preferential use of the TECNIS Eyhance® IOL in patients prioritising enhanced intermediate and near visual performance following cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both the TECNIS Eyhance® and Clareon® IOLs deliver excellent and equivalent UDVA when implanted using a mini-monovision protocol. However, the TECNIS Eyhance® IOL demonstrated significantly superior intermediate and near visual outcomes across all measured parameters, suggesting a clinically meaningful advantage in extending the functional range of vision. These findings support the preferential use of the TECNIS…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 485,
      "source_fields": {
        "Abstract Final Identifier": "POCAT447",
        "Title": "Real-World Outcomes Of Bilateral Implantation Of An Advanced Monofocal Tecnis Eyhance® Versus Clareon®: A Head-To-Head Comparative Study",
        "Presenting Author(s)": "Filipe Sousa-Neves",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Filipe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sousa-Neves",
        "Country Name": "Portugal",
        "Purpose": "Standard monofocal intraocular lens (IOL) implantation may result in dissatisfaction due to compromised intermediate and near vision. Advanced monofocal IOLs, such as the TECNIS Eyhance®, aim to extend the range of vision while preserving excellent distance visual acuity and a favourable optical side-effect profile. This study compares the real-world visual outcomes of bilateral implantation of both IOLs using a standardised mini-monovision protocol.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, Portugal.",
        "Methods": "Prospective controlled comparative study (head to head) of patients undergoing bilateral cataract surgery with either TECNIS Eyhance® (n=42) or Clareon® monofocal (n=32) IOL implantation. Identical protocols were applied: the dominant eye targeted to emmetropia and the non-dominant eye to −0.50 D (mini-monovision). Exclusion criteria: corneal astigmatism >1 D, high myopia, or concomitant ocular pathology. Post-operative evaluation (1-2 months after second-eye surgery) included monocular and binocular best-corrected (BC) and uncorrected (U) visual acuity (VA) for distance (D), intermediate (I) and near (N). Visual symptoms were assessed using the PRVSQv2 questionnaire.",
        "Results": "Eyhance group: 42 patients (29 female; age 72.4±5.8 years). Clareon group: 32 patients (10 female; age 74.9±6.0 years). Binocular UDVA was equivalent (0.01±0.05 vs 0.01±0.05 logMAR; p=0.66), with 97.6% and 100% achieving UDVA ≤0.10 logMAR, respectively. BCVA was also comparable (−0.03±0.04 vs −0.04±0.06; p=0.31). Significant differences favoured Eyhance for intermediate and near vision: UIVA 0.08±0.12 vs 0.16±0.11 (p=0.010), DCIVA 0.12±0.12 vs 0.24±0.08 (p=0.001), UNVA 0.27±0.15 vs 0.40±0.16 (p=0.010), DCNVA 0.32±0.14 vs 0.46±0.13 logMAR (p=0.002). In the Eyhance group, 81% achieved UIVA ≤0.10 logMAR vs 50% in the Clareon group. Complains about positive dysphotopsias on PRVSQv2 were irrelevant.",
        "Conclusions": "Both the TECNIS Eyhance® and Clareon® IOLs deliver excellent and equivalent UDVA when implanted using a mini-monovision protocol. However, the TECNIS Eyhance® IOL demonstrated significantly superior intermediate and near visual outcomes across all measured parameters, suggesting a clinically meaningful advantage in extending the functional range of vision. These findings support the preferential use of the TECNIS Eyhance® IOL in patients prioritising enhanced intermediate and near visual performance following cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 394
    },
    {
      "uid": "POCAT448",
      "abstract_number": "POCAT448",
      "title": "Visual Outcomes And Optical Performance After Bilateral Implantation Of Intraocular Lens With Enhanced Depth Of Focus",
      "authors": "Dr Evangelia Stangogianni",
      "presenter": "Dr Evangelia Stangogianni",
      "normalized_authors": [
        "Evangelia Stangogianni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Evangelia Stangogianni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Evaluate the optical and visual performance after implantation of Intraocular Lens with Enhanced Depth of Focus (Hoya Vivinex Impress) ®",
        "Setting": "LASERLENS IMHN IOANNINA GREECE",
        "Methods": "A cohort, prospective, longitudinal, interventional and descriptive study. We included 15 cataract patients, both gender ≥ 40 years old, keratometric values ​​less than 1D. Underwent phacoemulsification and a Intraocular Lens with Enhanced Depth of Focus was implanted (Hoya Vivinex Impress) ® by a single surgeon (ESD). Patients were selected according: age, gender and occupation, a complete ophthalmologic evaluation and further studies were performed: optical biometry (LENSTAR)®, specular microscopy, contrast sensitivity (CVS-1000E VectorVisionTM®), wave-front aberration (Zywave, B&L). Statistical analysis was performed using nonparametric analysis (Levene's test and ANOVA). A significance level of p ≤ 0.05 was established.",
        "Results": "At 6 months post-operation, 30 eyes of 15 patients were evaluated. Of the sample, 69.23% were female and the average age was 59,06±11,12 years. Visual acuity were assessed in LogMar, the uncorrected distance vision (0.10 ± 0.16), uncorrected intermediate vision (0.15 ± 0.08) and uncorrected near vision (0.20 ± 0.05) were significantly improved (One Way ANOVA p=0.00). Contrast sensitivity evaluated in spatial frequency ROW (CPD), improved in all patients (ANOVA p = 0.00). The low-order aberrations (defocus, were unaffected in both photopic (ANOVA p = 0.181) and scotopic conditions (ANOVA p = 0.366). The higher-order aberrations such as coma were small and were determined by the alteration of the tear film.",
        "Conclusions": "There is an increase in contrast sensitivity in patients with intraocular lens Hoya Vivinex Impress. Cataract surgery with Hoya Vivinex Impress IOL implantation improved distance and intermediate vision following cataract surgery also, the patients have a functional near vision as well as a high satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "There is an increase in contrast sensitivity in patients with intraocular lens Hoya Vivinex Impress. Cataract surgery with Hoya Vivinex Impress IOL implantation improved distance and intermediate vision following cataract surgery also, the patients have a functional near vision as well as a high satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 486,
      "source_fields": {
        "Abstract Final Identifier": "POCAT448",
        "Title": "Visual Outcomes And Optical Performance After Bilateral Implantation Of Intraocular Lens With Enhanced Depth Of Focus",
        "Presenting Author(s)": "Dr Evangelia Stangogianni",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Evangelia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stangogianni",
        "Country Name": "Greece",
        "Purpose": "Evaluate the optical and visual performance after implantation of Intraocular Lens with Enhanced Depth of Focus (Hoya Vivinex Impress) ®",
        "Setting": "LASERLENS IMHN IOANNINA GREECE",
        "Methods": "A cohort, prospective, longitudinal, interventional and descriptive study. We included 15 cataract patients, both gender ≥ 40 years old, keratometric values ​​less than 1D. Underwent phacoemulsification and a Intraocular Lens with Enhanced Depth of Focus was implanted (Hoya Vivinex Impress) ® by a single surgeon (ESD). Patients were selected according: age, gender and occupation, a complete ophthalmologic evaluation and further studies were performed: optical biometry (LENSTAR)®, specular microscopy, contrast sensitivity (CVS-1000E VectorVisionTM®), wave-front aberration (Zywave, B&L). Statistical analysis was performed using nonparametric analysis (Levene's test and ANOVA). A significance level of p ≤ 0.05 was established.",
        "Results": "At 6 months post-operation, 30 eyes of 15 patients were evaluated. Of the sample, 69.23% were female and the average age was 59,06±11,12 years. Visual acuity were assessed in LogMar, the uncorrected distance vision (0.10 ± 0.16), uncorrected intermediate vision (0.15 ± 0.08) and uncorrected near vision (0.20 ± 0.05) were significantly improved (One Way ANOVA p=0.00). Contrast sensitivity evaluated in spatial frequency ROW (CPD), improved in all patients (ANOVA p = 0.00). The low-order aberrations (defocus, were unaffected in both photopic (ANOVA p = 0.181) and scotopic conditions (ANOVA p = 0.366). The higher-order aberrations such as coma were small and were determined by the alteration of the tear film.",
        "Conclusions": "There is an increase in contrast sensitivity in patients with intraocular lens Hoya Vivinex Impress. Cataract surgery with Hoya Vivinex Impress IOL implantation improved distance and intermediate vision following cataract surgery also, the patients have a functional near vision as well as a high satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCAT449",
      "abstract_number": "POCAT449",
      "title": "Fine-Tuning The Micro-Monovision Concept With An Enhanced Monofocal",
      "authors": "Dr Eva Szabo",
      "presenter": "Dr Eva Szabo",
      "normalized_authors": [
        "Eva Szabo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eva Szabo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To compare binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA) after bilateral implantation of an enhanced monofocal intraocular lens (IOL) with an optimized intermediate central zone using two refractive strategies: emmetropia and micro-monovision.",
        "Setting": "Prospective multicenter clinical study conducted at three ophthalmic centers in the Czech Republic.",
        "Methods": "This prospective study included 61 patients undergoing bilateral implantation of the enhanced monofocal enVista Aspire IOL. Patients were allocated by intended refractive target into an emmetropia group (27 patients) or a micro-monovision group (34 patients; target refraction −0.56 ± 0.25 D in the non-dominant eye). The enVista Aspire IOL uses higher-order aspheric coefficients on the posterior surface to extend depth of focus while maintaining monofocal optics. Postoperative follow-up up to 3 months included spherical equivalent, UDVA, UIVA at 66 and 80 cm, and UNVA. Photic phenomena and patient-reported outcomes (Catquest-9SF) were assessed. The primary endpoint was binocular uncorrected visual acuity at 3 months.",
        "Results": "At 3 months, excellent binocular UDVA was achieved in both groups (−0.03 ± 0.08 logMAR in the emmetropia group and −0.04 ± 0.05 logMAR in the micro-monovision group). The micro-monovision group demonstrated superior binocular UIVA at 66 cm (0.01 ± 0.11 vs 0.14 ± 0.10 logMAR) and 80 cm (−0.05 ± 0.08 vs 0.05 ± 0.11 logMAR), as well as improved UNVA (0.28 ± 0.11 vs 0.35 ± 0.15 logMAR), while maintaining comparable distance vision. The majority of patients in both groups reported none or only mild photic phenomena. Mean spherical equivalent at 3 months was −0.29 ± 0.30 diopters in the emmetropia group and −0.24 ± 0.17 diopters (dominant eye) and −0.72 ± 0.38 diopters (non-dominant eye) in the micro-monovision group.",
        "Conclusions": "The enhanced monofocal enVista Aspire IOL provides excellent binocular uncorrected distance vision with a low incidence of photic phenomena using both emmetropia and micro-monovision strategies. Fine-tuned micro-monovision further improves intermediate and near visual performance without compromising distance vision and represents an effective option for patients seeking an extended range of vision without multifocal optics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The enhanced monofocal enVista Aspire IOL provides excellent binocular uncorrected distance vision with a low incidence of photic phenomena using both emmetropia and micro-monovision strategies. Fine-tuned micro-monovision further improves intermediate and near visual performance without compromising distance vision and represents an effective option for patients seeking an extended range of vision without…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 487,
      "source_fields": {
        "Abstract Final Identifier": "POCAT449",
        "Title": "Fine-Tuning The Micro-Monovision Concept With An Enhanced Monofocal",
        "Presenting Author(s)": "Dr Eva Szabo",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Eva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Szabo",
        "Country Name": "Czech Republic",
        "Purpose": "To compare binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA) after bilateral implantation of an enhanced monofocal intraocular lens (IOL) with an optimized intermediate central zone using two refractive strategies: emmetropia and micro-monovision.",
        "Setting": "Prospective multicenter clinical study conducted at three ophthalmic centers in the Czech Republic.",
        "Methods": "This prospective study included 61 patients undergoing bilateral implantation of the enhanced monofocal enVista Aspire IOL. Patients were allocated by intended refractive target into an emmetropia group (27 patients) or a micro-monovision group (34 patients; target refraction −0.56 ± 0.25 D in the non-dominant eye). The enVista Aspire IOL uses higher-order aspheric coefficients on the posterior surface to extend depth of focus while maintaining monofocal optics. Postoperative follow-up up to 3 months included spherical equivalent, UDVA, UIVA at 66 and 80 cm, and UNVA. Photic phenomena and patient-reported outcomes (Catquest-9SF) were assessed. The primary endpoint was binocular uncorrected visual acuity at 3 months.",
        "Results": "At 3 months, excellent binocular UDVA was achieved in both groups (−0.03 ± 0.08 logMAR in the emmetropia group and −0.04 ± 0.05 logMAR in the micro-monovision group). The micro-monovision group demonstrated superior binocular UIVA at 66 cm (0.01 ± 0.11 vs 0.14 ± 0.10 logMAR) and 80 cm (−0.05 ± 0.08 vs 0.05 ± 0.11 logMAR), as well as improved UNVA (0.28 ± 0.11 vs 0.35 ± 0.15 logMAR), while maintaining comparable distance vision. The majority of patients in both groups reported none or only mild photic phenomena. Mean spherical equivalent at 3 months was −0.29 ± 0.30 diopters in the emmetropia group and −0.24 ± 0.17 diopters (dominant eye) and −0.72 ± 0.38 diopters (non-dominant eye) in the micro-monovision group.",
        "Conclusions": "The enhanced monofocal enVista Aspire IOL provides excellent binocular uncorrected distance vision with a low incidence of photic phenomena using both emmetropia and micro-monovision strategies. Fine-tuned micro-monovision further improves intermediate and near visual performance without compromising distance vision and represents an effective option for patients seeking an extended range of vision without multifocal optics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "POCAT450",
      "abstract_number": "POCAT450",
      "title": "Comparative Evaluation Of Visual Outcomes And Photic Phenomena Following Implantation Of Enhanced Monofocal Tecnis Eyhance Versus Bausch+Lomb Envista And Acrysof Iq Intraocular Lenses In Routine Cataract Surgery",
      "authors": "Dr ATHANASIOS VACHTSEVANOS",
      "presenter": "Dr ATHANASIOS VACHTSEVANOS",
      "normalized_authors": [
        "ATHANASIOS VACHTSEVANOS"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Athanasios Vachtsevanos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To compare visual and subjective outcomes following implantation of TECNIS Eyhance, Bausch + Lomb enVista monofocal, and AcrySof IQ intraocular lenses (IOLs) in routine cataract surgery",
        "Setting": "OPSIS OPHTHALMOLOGY INSTITUTE",
        "Methods": "Prospective comparative study including 110 eyes undergoing uneventful phacoemulsification. Eyes were allocated into three groups: Eyhance (n=38), enVista (n=36), and AcrySof IQ (n=36). Primary outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), and manifest refraction spherical equivalent (MRSE). Secondary outcomes included glare, halos, and dry eye symptoms. Outcomes were assessed at 3 months postoperatively. ANOVA and chi-square tests were used for analysis.",
        "Results": "UDVA and CDVA were comparable among groups (p>0.05). Mean UDVA (logMAR) was 0.05±0.07 (Eyhance), 0.07±0.08 (enVista), and 0.08±0.09 (AcrySof IQ). UNVA was significantly better in the Eyhance group (0.28±0.09 logMAR) compared with enVista (0.38±0.10) and AcrySof IQ (0.41±0.11) (p<0.01). MRSE was similar across groups. Incidence of glare, halos, and dry eye symptoms did not differ significantly.",
        "Conclusions": "TECNIS Eyhance provides improved near functional performance while maintaining equivalent distance acuity and refractive predictability compared to conventional monofocal IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TECNIS Eyhance provides improved near functional performance while maintaining equivalent distance acuity and refractive predictability compared to conventional monofocal IOLs.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 488,
      "source_fields": {
        "Abstract Final Identifier": "POCAT450",
        "Title": "Comparative Evaluation Of Visual Outcomes And Photic Phenomena Following Implantation Of Enhanced Monofocal Tecnis Eyhance Versus Bausch+Lomb Envista And Acrysof Iq Intraocular Lenses In Routine Cataract Surgery",
        "Presenting Author(s)": "Dr ATHANASIOS VACHTSEVANOS",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Athanasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vachtsevanos",
        "Country Name": "Greece",
        "Purpose": "To compare visual and subjective outcomes following implantation of TECNIS Eyhance, Bausch + Lomb enVista monofocal, and AcrySof IQ intraocular lenses (IOLs) in routine cataract surgery",
        "Setting": "OPSIS OPHTHALMOLOGY INSTITUTE",
        "Methods": "Prospective comparative study including 110 eyes undergoing uneventful phacoemulsification. Eyes were allocated into three groups: Eyhance (n=38), enVista (n=36), and AcrySof IQ (n=36). Primary outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), and manifest refraction spherical equivalent (MRSE). Secondary outcomes included glare, halos, and dry eye symptoms. Outcomes were assessed at 3 months postoperatively. ANOVA and chi-square tests were used for analysis.",
        "Results": "UDVA and CDVA were comparable among groups (p>0.05). Mean UDVA (logMAR) was 0.05±0.07 (Eyhance), 0.07±0.08 (enVista), and 0.08±0.09 (AcrySof IQ). UNVA was significantly better in the Eyhance group (0.28±0.09 logMAR) compared with enVista (0.38±0.10) and AcrySof IQ (0.41±0.11) (p<0.01). MRSE was similar across groups. Incidence of glare, halos, and dry eye symptoms did not differ significantly.",
        "Conclusions": "TECNIS Eyhance provides improved near functional performance while maintaining equivalent distance acuity and refractive predictability compared to conventional monofocal IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 200
    },
    {
      "uid": "POCAT451",
      "abstract_number": "POCAT451",
      "title": "Impact Of Pupil Size On Near Vision Range Of Monofocal, Monofocal Plus Iols:A Randomized Study",
      "authors": "Dr Shail Vasavada",
      "presenter": "Dr Shail Vasavada",
      "normalized_authors": [
        "Shail Vasavada"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shail Vasavada",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To determine impact of pupil size on need of reading add and reading vision acuity with 3 types of monofocal /monofocal plus IOLs.",
        "Setting": "Iladevi Cataract & IOL Reserach Centre",
        "Methods": "120 eyes randomized into 3 groups with 40 eyes each,Group 1 Clareon IOL,Group 2 Tecnis IOL and Group 3 Eyehance monofocal plus IOL.3 months post surgery,unaided and best corrected distance visual acuity measured in LogMAR units and Defocus curve plotted at 2 contrast levels, 100% and 25%.Distance Corrected Intermediate Visual Acuity(DCIVA,66cm)and Distance Corrected Near Visual Acuity(DCNVA,40cm)were recorded.Following this,the pupil was fully dilated and two contact lenses with fixed aperture of 3 and 4.5mm respectively were fitted one by one.With fixed pupil sizes,DCIVA,DCNVA and minimum add power needed to get 20/32 & 20/40 letter size was compared.",
        "Results": "This ongoing study results will be updated at the time of presentation.",
        "Conclusions": "This study will demonstrate the role of pupil size in providing good unaided intermediate and near vision with different monofocal/monofocal plus IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study will demonstrate the role of pupil size in providing good unaided intermediate and near vision with different monofocal/monofocal plus IOL.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 489,
      "source_fields": {
        "Abstract Final Identifier": "POCAT451",
        "Title": "Impact Of Pupil Size On Near Vision Range Of Monofocal, Monofocal Plus Iols:A Randomized Study",
        "Presenting Author(s)": "Dr Shail Vasavada",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Shail",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vasavada",
        "Country Name": "India",
        "Purpose": "To determine impact of pupil size on need of reading add and reading vision acuity with 3 types of monofocal /monofocal plus IOLs.",
        "Setting": "Iladevi Cataract & IOL Reserach Centre",
        "Methods": "120 eyes randomized into 3 groups with 40 eyes each,Group 1 Clareon IOL,Group 2 Tecnis IOL and Group 3 Eyehance monofocal plus IOL.3 months post surgery,unaided and best corrected distance visual acuity measured in LogMAR units and Defocus curve plotted at 2 contrast levels, 100% and 25%.Distance Corrected Intermediate Visual Acuity(DCIVA,66cm)and Distance Corrected Near Visual Acuity(DCNVA,40cm)were recorded.Following this,the pupil was fully dilated and two contact lenses with fixed aperture of 3 and 4.5mm respectively were fitted one by one.With fixed pupil sizes,DCIVA,DCNVA and minimum add power needed to get 20/32 & 20/40 letter size was compared.",
        "Results": "This ongoing study results will be updated at the time of presentation.",
        "Conclusions": "This study will demonstrate the role of pupil size in providing good unaided intermediate and near vision with different monofocal/monofocal plus IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 177
    },
    {
      "uid": "POCAT452",
      "abstract_number": "POCAT452",
      "title": "Comparison Of Clinical Outcomes Between Bilateral Implantation Of Two Enhanced Monofocal Intraocular Lenses: Isopure Serenity Iol And Tecnis Eyhance Iol",
      "authors": "Dr Yeo Kyoung Won",
      "presenter": "Dr Yeo Kyoung Won",
      "normalized_authors": [
        "Yeo Kyoung Won"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yeo Kyoung Won",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare visual outcomes and optical quality following bilateral implantation of two enhanced monofocal intraocular lenses (IOLs), ISOPURE SERENITY IOL and TECNIS Eyhance IOL.",
        "Setting": "SNU Eye Clinic, Seoul, Republic of Korea",
        "Methods": "This retrospective study included 60 eyes of 30 patients who underwent bilateral cataract surgery with implantation of either the ISOPURE SERENITY IOL or the TECNIS Eyhance IOL at SNU Eye Clinic between August and December 2025. Monocular uncorrected and corrected distance visual acuity, monocular uncorrected intermediate visual acuity (66 cm), monocular uncorrected near visual acuity (40 cm), and manifest refraction were measured preoperatively and postoperatively. Binocular defocus curves, contrast sensitivity, spectacle independence, patient satisfaction, and visual symptoms were evaluated at 1 and 3 months postoperatively.",
        "Results": "15 patients (30 eyes) were included in each group. Postoperative monocular visual acuities at distance, intermediate, and near, as well as refractive outcomes, were comparable between the ISOPURE SERENITY and TECNIS Eyhance groups (all p > 0.05). Binocular defocus curves demonstrated similar depth-of-focus profiles in both groups. No significant differences were observed in contrast sensitivity before and after surgery. Spectacle independence and patient satisfaction were comparable between groups at all distances. The incidence and severity of visual symptoms were also similar, with no statistically significant differences detected.",
        "Conclusions": "Bilateral implantation of the ISOPURE SERENITY IOL and the TECNIS Eyhance IOL resulted in comparable visual and refractive outcomes, with similar depth-of-focus, contrast sensitivity, spectacle independence, and visual symptoms. Both enhanced monofocal IOLs provided effective visual performance with minimal photic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of the ISOPURE SERENITY IOL and the TECNIS Eyhance IOL resulted in comparable visual and refractive outcomes, with similar depth-of-focus, contrast sensitivity, spectacle independence, and visual symptoms. Both enhanced monofocal IOLs provided effective visual performance with minimal photic phenomena.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 490,
      "source_fields": {
        "Abstract Final Identifier": "POCAT452",
        "Title": "Comparison Of Clinical Outcomes Between Bilateral Implantation Of Two Enhanced Monofocal Intraocular Lenses: Isopure Serenity Iol And Tecnis Eyhance Iol",
        "Presenting Author(s)": "Dr Yeo Kyoung Won",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Yeo Kyoung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Won",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare visual outcomes and optical quality following bilateral implantation of two enhanced monofocal intraocular lenses (IOLs), ISOPURE SERENITY IOL and TECNIS Eyhance IOL.",
        "Setting": "SNU Eye Clinic, Seoul, Republic of Korea",
        "Methods": "This retrospective study included 60 eyes of 30 patients who underwent bilateral cataract surgery with implantation of either the ISOPURE SERENITY IOL or the TECNIS Eyhance IOL at SNU Eye Clinic between August and December 2025. Monocular uncorrected and corrected distance visual acuity, monocular uncorrected intermediate visual acuity (66 cm), monocular uncorrected near visual acuity (40 cm), and manifest refraction were measured preoperatively and postoperatively. Binocular defocus curves, contrast sensitivity, spectacle independence, patient satisfaction, and visual symptoms were evaluated at 1 and 3 months postoperatively.",
        "Results": "15 patients (30 eyes) were included in each group. Postoperative monocular visual acuities at distance, intermediate, and near, as well as refractive outcomes, were comparable between the ISOPURE SERENITY and TECNIS Eyhance groups (all p > 0.05). Binocular defocus curves demonstrated similar depth-of-focus profiles in both groups. No significant differences were observed in contrast sensitivity before and after surgery. Spectacle independence and patient satisfaction were comparable between groups at all distances. The incidence and severity of visual symptoms were also similar, with no statistically significant differences detected.",
        "Conclusions": "Bilateral implantation of the ISOPURE SERENITY IOL and the TECNIS Eyhance IOL resulted in comparable visual and refractive outcomes, with similar depth-of-focus, contrast sensitivity, spectacle independence, and visual symptoms. Both enhanced monofocal IOLs provided effective visual performance with minimal photic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT453",
      "abstract_number": "POCAT453",
      "title": "Clinical Performance And Visual Outcomes Of A Novel Monofocal Plus Intraocular Lens: A Single-Center Experience With The Envista Aspire Iol",
      "authors": "Mr Bogumił Wowra",
      "presenter": "Mr Bogumił Wowra",
      "normalized_authors": [
        "Bogumił Wowra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bogumił Wowra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate clinical outcomes, visual acuity, and the range of vision in patients implanted with the enVista Aspire “monofocal plus” intraocular lens (IOL), designed to provide an extended range of vision through a proprietary aspheric surface.",
        "Setting": "Single-Center in Poland",
        "Methods": "This prospective clinical study included 64 eyes of 32 patients who underwent bilateral cataract surgery with implantation of the enVista Aspire IOL. Standard phacoemulsification was performed in all cases. Outcome measures assessed at 3 months postoperatively included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA) at 66 cm, and manifest refractive spherical equivalent (MRSE). Patient satisfaction and the presence of photic phenomena (glare and halos) were evaluated using a standardized questionnaire.",
        "Results": "Postoperative refractive outcomes demonstrated high predictability, with a mean MRSE of −0.28 ± 0.46 D. Visual performance was excellent at both distance and intermediate ranges. Mean binocular postoperative UDVA was 0.03 ± 0.03 logMAR (20/20 Snellen equivalent), while mean binocular postoperative UIVA at 66 cm was 0.22 ± 0.10 logMAR (approximately 20/32 Snellen equivalent), indicating a smooth transition between distance and intermediate vision. The mean postoperative sphere was −0.24 ± 0.45 D, and the mean prediction error (PRA) was 0.46 ± 0.53 D. No significant intraoperative or postoperative complications were observed, and no clinically relevant photic phenomena were reported during the follow-up period.",
        "Conclusions": "The enVista Aspire IOL delivers excellent visual outcomes, achieving full restoration of distance vision and functional intermediate visual acuity. The lens demonstrates high refractive predictability and provides an extended range of vision suitable for modern intermediate visual demands, without the visual disturbances commonly associated with multifocal IOLs. It represents an effective and reliable “monofocal plus” option for cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The enVista Aspire IOL delivers excellent visual outcomes, achieving full restoration of distance vision and functional intermediate visual acuity. The lens demonstrates high refractive predictability and provides an extended range of vision suitable for modern intermediate visual demands, without the visual disturbances commonly associated with multifocal IOLs. It represents an effective and reliable “monofocal…",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 491,
      "source_fields": {
        "Abstract Final Identifier": "POCAT453",
        "Title": "Clinical Performance And Visual Outcomes Of A Novel Monofocal Plus Intraocular Lens: A Single-Center Experience With The Envista Aspire Iol",
        "Presenting Author(s)": "Mr Bogumił Wowra",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Bogumił",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wowra",
        "Country Name": "Poland",
        "Purpose": "To evaluate clinical outcomes, visual acuity, and the range of vision in patients implanted with the enVista Aspire “monofocal plus” intraocular lens (IOL), designed to provide an extended range of vision through a proprietary aspheric surface.",
        "Setting": "Single-Center in Poland",
        "Methods": "This prospective clinical study included 64 eyes of 32 patients who underwent bilateral cataract surgery with implantation of the enVista Aspire IOL. Standard phacoemulsification was performed in all cases. Outcome measures assessed at 3 months postoperatively included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA) at 66 cm, and manifest refractive spherical equivalent (MRSE). Patient satisfaction and the presence of photic phenomena (glare and halos) were evaluated using a standardized questionnaire.",
        "Results": "Postoperative refractive outcomes demonstrated high predictability, with a mean MRSE of −0.28 ± 0.46 D. Visual performance was excellent at both distance and intermediate ranges. Mean binocular postoperative UDVA was 0.03 ± 0.03 logMAR (20/20 Snellen equivalent), while mean binocular postoperative UIVA at 66 cm was 0.22 ± 0.10 logMAR (approximately 20/32 Snellen equivalent), indicating a smooth transition between distance and intermediate vision. The mean postoperative sphere was −0.24 ± 0.45 D, and the mean prediction error (PRA) was 0.46 ± 0.53 D. No significant intraoperative or postoperative complications were observed, and no clinically relevant photic phenomena were reported during the follow-up period.",
        "Conclusions": "The enVista Aspire IOL delivers excellent visual outcomes, achieving full restoration of distance vision and functional intermediate visual acuity. The lens demonstrates high refractive predictability and provides an extended range of vision suitable for modern intermediate visual demands, without the visual disturbances commonly associated with multifocal IOLs. It represents an effective and reliable “monofocal plus” option for cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCAT454",
      "abstract_number": "POCAT454",
      "title": "Functional Outcomes After Bilateral Implantation Of A New Hydrophobic Monofocal Plus Intraocular Lens",
      "authors": "Dr Timur M. Yildirim",
      "presenter": "Dr Timur M. Yildirim",
      "normalized_authors": [
        "Timur M. Yildirim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Timur M. Yildirim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Comparison of patient-reported and functional outcomes, as well as reading performance of patients after bilateral implantation of a non-diffractive, bessel optic , hydrophobic, monofocal plus intraocular lenses (IOL).",
        "Setting": "The David J Apple Center for Vision Research, Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "In this prospective clinical study, 50 eyes from 25 patients who had undergone cataract surgery with bilateral implantation of an Extend (toric) SL IOL (Hanita Lenses HQ, Kibbutz Hanita, Israel). The following parameters were assessed from 3 months after surgery (monocularly and binocularly): uncorrected and distance-corrected distance, intermediate, and near visual acuity (UDVA/CDVA/UIVA/DCIVA/UNVA/DCNVA), functional reading performance using the Salzburg Reading Desk (SRD), defocus curve (from +1 to -3.5 D), contrast sensitivity, and halo/glare assessment, as well as pupillometry (photopic, mesopic) and patient-reported outcomes (PROMs) using the validated Cataract and Lens Ophthalmic Questionnaire (CLOQ).",
        "Results": "Binocular distance-corrected defocus curve showed continuous visual acuity of 0.10 logMAR or better down to -1.75 dpt with the Extend IOL. Binocular visual acuity in logMAR was UDVA/CDVA (0.01/-0.08), UIVA/DCIVA (0.07/0.13), UNVA/DCNVA (0.23/0.28). Functional binocular reading visual acuity in 80 cm was 0.1 logMAR. Contrast sensitivity was within the normal range for the patient's age, patient satisfaction was high, and photopic phenomena were minimal.",
        "Conclusions": "The bilateral implantation of the Extend IOL provides good functional vision from distance to intermediate range with a satisfactory safety profile and high patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The bilateral implantation of the Extend IOL provides good functional vision from distance to intermediate range with a satisfactory safety profile and high patient satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 492,
      "source_fields": {
        "Abstract Final Identifier": "POCAT454",
        "Title": "Functional Outcomes After Bilateral Implantation Of A New Hydrophobic Monofocal Plus Intraocular Lens",
        "Presenting Author(s)": "Dr Timur M. Yildirim",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Timur",
        "Submitter Middle Name": "M.",
        "Submitter Last Name": "Yildirim",
        "Country Name": "Germany",
        "Purpose": "Comparison of patient-reported and functional outcomes, as well as reading performance of patients after bilateral implantation of a non-diffractive, bessel optic , hydrophobic, monofocal plus intraocular lenses (IOL).",
        "Setting": "The David J Apple Center for Vision Research, Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "In this prospective clinical study, 50 eyes from 25 patients who had undergone cataract surgery with bilateral implantation of an Extend (toric) SL IOL (Hanita Lenses HQ, Kibbutz Hanita, Israel). The following parameters were assessed from 3 months after surgery (monocularly and binocularly): uncorrected and distance-corrected distance, intermediate, and near visual acuity (UDVA/CDVA/UIVA/DCIVA/UNVA/DCNVA), functional reading performance using the Salzburg Reading Desk (SRD), defocus curve (from +1 to -3.5 D), contrast sensitivity, and halo/glare assessment, as well as pupillometry (photopic, mesopic) and patient-reported outcomes (PROMs) using the validated Cataract and Lens Ophthalmic Questionnaire (CLOQ).",
        "Results": "Binocular distance-corrected defocus curve showed continuous visual acuity of 0.10 logMAR or better down to -1.75 dpt with the Extend IOL. Binocular visual acuity in logMAR was UDVA/CDVA (0.01/-0.08), UIVA/DCIVA (0.07/0.13), UNVA/DCNVA (0.23/0.28). Functional binocular reading visual acuity in 80 cm was 0.1 logMAR. Contrast sensitivity was within the normal range for the patient's age, patient satisfaction was high, and photopic phenomena were minimal.",
        "Conclusions": "The bilateral implantation of the Extend IOL provides good functional vision from distance to intermediate range with a satisfactory safety profile and high patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCAT455",
      "abstract_number": "POCAT455",
      "title": "Comparison Of Functional Outcomes After Bilateral Implantation Of Two Partial Range Of Field Intraocular Lenses",
      "authors": "Dr Timur M. Yildirim",
      "presenter": "Dr Timur M. Yildirim",
      "normalized_authors": [
        "Timur M. Yildirim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Timur M. Yildirim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Comparison of patient-reported and functional outcomes, as well as reading performance of patients after bilateral implantation of two partial range of field intraocular lenses (IOL).",
        "Setting": "The David J Apple Center for Vision Research, Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "This prospective, clinical study, included 60 eyes from 30 patients who had undergone cataract surgery with bilateral implantation of Vivinex Impress XY1-EM (Hoya Surgical Optics, Singapore) or Clareon CNA0T0 (Alcon, Freiburg, Switzerland). The following parameters were assessed from 3 months after surgery (monocularly and binocularly): uncorrected and distance-corrected distance, intermediate, and near visual acuity (UDVA/CDVA/UIVA/DCIVA/UNVA/DCNVA), reading performance (Salzburg Reading Desk (SRD)), defocus curve (from +1 to -3.5 D), contrast sensitivity, and halo/glare assessment, as well as pupillometry (photopic, mesopic) and patient-reported outcomes (PROMs) using the validated Cataract and Lens Ophthalmic Questionnaire (CLOQ).",
        "Results": "The binocular distance-corrected defocus curve showed continuous visual acuity of 0.10 logMAR or better down to -1.5 D with the Impress, and down to -1 dpt with the Clareon. For the Impress, binocular visual acuity was logMAR UDVA/CDVA (0.00/-0.06), UIVA/DCIVA (0.03/0.02), UNVA/DCNVA (0.19/0.24), and for the Clareon, UDVA/CDVA (-0.03/-0.07), UIVA/DCIVA (0.03/0.08), UNVA/DCNVA (0.21/0.3). Contrast sensitivity was within the normal range for the patient's age for both lenses, photopic phenomena and functional reading performance were comparable between the two lenses, with a tendency toward better intermediate reading performance with the Impress IOL.",
        "Conclusions": "Bilateral implantation of the Impress IOL show a tendency to providing greater coverage of functional vision from distance to intermediate range than the Clareon IOL, while the distance visual acuity was slightly superior with the Clareon IOL. Contrast sensitivity, photopic phenomena and PROMs appear to be comparable between both study IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of the Impress IOL show a tendency to providing greater coverage of functional vision from distance to intermediate range than the Clareon IOL, while the distance visual acuity was slightly superior with the Clareon IOL. Contrast sensitivity, photopic phenomena and PROMs appear to be comparable between both study IOLs.",
      "session_type": "ePoster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 493,
      "source_fields": {
        "Abstract Final Identifier": "POCAT455",
        "Title": "Comparison Of Functional Outcomes After Bilateral Implantation Of Two Partial Range Of Field Intraocular Lenses",
        "Presenting Author(s)": "Dr Timur M. Yildirim",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Timur",
        "Submitter Middle Name": "M.",
        "Submitter Last Name": "Yildirim",
        "Country Name": "Germany",
        "Purpose": "Comparison of patient-reported and functional outcomes, as well as reading performance of patients after bilateral implantation of two partial range of field intraocular lenses (IOL).",
        "Setting": "The David J Apple Center for Vision Research, Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "This prospective, clinical study, included 60 eyes from 30 patients who had undergone cataract surgery with bilateral implantation of Vivinex Impress XY1-EM (Hoya Surgical Optics, Singapore) or Clareon CNA0T0 (Alcon, Freiburg, Switzerland). The following parameters were assessed from 3 months after surgery (monocularly and binocularly): uncorrected and distance-corrected distance, intermediate, and near visual acuity (UDVA/CDVA/UIVA/DCIVA/UNVA/DCNVA), reading performance (Salzburg Reading Desk (SRD)), defocus curve (from +1 to -3.5 D), contrast sensitivity, and halo/glare assessment, as well as pupillometry (photopic, mesopic) and patient-reported outcomes (PROMs) using the validated Cataract and Lens Ophthalmic Questionnaire (CLOQ).",
        "Results": "The binocular distance-corrected defocus curve showed continuous visual acuity of 0.10 logMAR or better down to -1.5 D with the Impress, and down to -1 dpt with the Clareon. For the Impress, binocular visual acuity was logMAR UDVA/CDVA (0.00/-0.06), UIVA/DCIVA (0.03/0.02), UNVA/DCNVA (0.19/0.24), and for the Clareon, UDVA/CDVA (-0.03/-0.07), UIVA/DCIVA (0.03/0.08), UNVA/DCNVA (0.21/0.3). Contrast sensitivity was within the normal range for the patient's age for both lenses, photopic phenomena and functional reading performance were comparable between the two lenses, with a tendency toward better intermediate reading performance with the Impress IOL.",
        "Conclusions": "Bilateral implantation of the Impress IOL show a tendency to providing greater coverage of functional vision from distance to intermediate range than the Clareon IOL, while the distance visual acuity was slightly superior with the Clareon IOL. Contrast sensitivity, photopic phenomena and PROMs appear to be comparable between both study IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCAT456",
      "abstract_number": "POCAT456",
      "title": "Long Term 12 Months Visual Acuity Outcomes Of A Full Range Of Depth Of Field Iol With A Spiral Optic",
      "authors": "A/Prof. Claudette Abela-Formanek",
      "presenter": "A/Prof. Claudette Abela-Formanek",
      "normalized_authors": [
        "Claudette Abela-Formanek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudette Abela-Formanek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "This analysis aims to present the long-term visual acuity and refractive outcomes of a full range of depth of field IOL with a spiral non-diffractive optic design. To our knowledge this is the only analysis proving long term data with a follow up at 12 months with this lens.",
        "Setting": "Medical University of Vienna, Austria, Clinica Bavaria, Valencia, Spain, Instituto Medico QWuiurgia Oftalmologia, Vithas, Spain, Vision Scotland, Edinburgh, Scoltland, Universitesi Tip Fakültesi, Istanbul, Turkey, Vision Care Clinic, Bristol, United Kingdom",
        "Methods": "Preoperatively, a slit lamp examination, keratometry and biometry, as well as subjective refraction was performed. The follow-up visits were scheduled for one, three, six and twelve months after surgery and monocular CDVA, UDVA (at 4 m), UIVA, DCIVA (at 66 cm), UNVA and DCNVA (at 40 cm) were measured.",
        "Results": "At twelve months post op the monocular (n=103) UDVA, UIVA and UNVA were 0.03±0.11, 0.08±0.14, and 0.17±0.13, respectively.\n\nThe monocular CDVA, DCIVA and DCNVA were -0.01±0.11, 0.08±0.14, and 0.17±0.13, respectively. Cumulatively 98.06% of patients achieved an uncorrected binocular VA of 0.2 logMAR or better for distance and 88.35% achieved an uncorrected binocular intermediate vision. At near 81.55% of patients achieved an uncorrected VA of 0.2 logMAR or better.",
        "Conclusions": "The monocular visual acuities showed excellent results for far, intermediate and near distances. The results remained stable at twelve months follow-up. The results demonstrate that the full range of depth of field IOL featuring a unique spiral design provides a high visual acuity at various distances. These findings may suggest that patients can reach a high level of spectacle independent vision similar to what we achieve with established diffractive trifocal IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The monocular visual acuities showed excellent results for far, intermediate and near distances. The results remained stable at twelve months follow-up. The results demonstrate that the full range of depth of field IOL featuring a unique spiral design provides a high visual acuity at various distances. These findings may suggest that patients can reach a high level of spectacle independent vision similar to what we…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 494,
      "source_fields": {
        "Abstract Final Identifier": "POCAT456",
        "Title": "Long Term 12 Months Visual Acuity Outcomes Of A Full Range Of Depth Of Field Iol With A Spiral Optic",
        "Presenting Author(s)": "A/Prof. Claudette Abela-Formanek",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Claudette",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abela-Formanek",
        "Country Name": "Austria",
        "Purpose": "This analysis aims to present the long-term visual acuity and refractive outcomes of a full range of depth of field IOL with a spiral non-diffractive optic design. To our knowledge this is the only analysis proving long term data with a follow up at 12 months with this lens.",
        "Setting": "Medical University of Vienna, Austria, Clinica Bavaria, Valencia, Spain, Instituto Medico QWuiurgia Oftalmologia, Vithas, Spain, Vision Scotland, Edinburgh, Scoltland, Universitesi Tip Fakültesi, Istanbul, Turkey, Vision Care Clinic, Bristol, United Kingdom",
        "Methods": "Preoperatively, a slit lamp examination, keratometry and biometry, as well as subjective refraction was performed. The follow-up visits were scheduled for one, three, six and twelve months after surgery and monocular CDVA, UDVA (at 4 m), UIVA, DCIVA (at 66 cm), UNVA and DCNVA (at 40 cm) were measured.",
        "Results": "At twelve months post op the monocular (n=103) UDVA, UIVA and UNVA were 0.03±0.11, 0.08±0.14, and 0.17±0.13, respectively.\n\nThe monocular CDVA, DCIVA and DCNVA were -0.01±0.11, 0.08±0.14, and 0.17±0.13, respectively. Cumulatively 98.06% of patients achieved an uncorrected binocular VA of 0.2 logMAR or better for distance and 88.35% achieved an uncorrected binocular intermediate vision. At near 81.55% of patients achieved an uncorrected VA of 0.2 logMAR or better.",
        "Conclusions": "The monocular visual acuities showed excellent results for far, intermediate and near distances. The results remained stable at twelve months follow-up. The results demonstrate that the full range of depth of field IOL featuring a unique spiral design provides a high visual acuity at various distances. These findings may suggest that patients can reach a high level of spectacle independent vision similar to what we achieve with established diffractive trifocal IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POCAT457",
      "abstract_number": "POCAT457",
      "title": "Three-Month Outcomes Of A Novel Full Depth Of Field Intraocular Lens With Spiral Optics: A Comparison Of The Results With The Real Artificial Lens Vision System (Ralv®) System",
      "authors": "A/Prof. Claudette Abela-Formanek",
      "presenter": "A/Prof. Claudette Abela-Formanek",
      "normalized_authors": [
        "Claudette Abela-Formanek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudette Abela-Formanek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Achieving high levels of postoperative spectacle independence in cataract patients remains a clinical challenge. A novel Full Depth of Field intraocular lens (IOL) with spiral optic design aims to provide continuous visual performance across distance, intermediate, and near ranges while potentially reducing photic phenomena. The purpose of this prospective study was to evaluate visual and functional outcomes three months after bilateral implantation of this lens.",
        "Setting": "Medical University of Vienna",
        "Methods": "In this prospective clinical study, 30 patients were evaluated three months after bilateral implantation of a presbyopia-correcting intraocular lens featuring spiral optics. Monocular and binocular uncorrected and corrected distance visual acuity (UDVA, CDVA), intermediate visual acuity (UIVA, DCIVA), and near visual acuity (UNVA, DCNVA) were measured in logMAR.\n\nMonocular and binocular defocus curves were obtained to assess functional depth of focus. Contrast sensitivity was measured using the RALV® system (Real Artificial Lens Vision; decimal format). Statistical analysis was descriptive.",
        "Results": "At three months postoperatively, mean monocular UDVA and CDVA were 0.08 ± 0.08 and 0.00 ± 0.07 logMAR, respectively. Mean monocular UIVA and DCIVA were 0.08 ± 0.08 and 0.10 ± 0.08 logMAR, while monocular UNVA and DCNVA were 0.17 ± 0.10 and 0.19 ± 0.09 logMAR.\n\nBinocularly, mean UDVA was 0.02 ± 0.08 logMAR, UIVA 0.01 ± 0.07 logMAR, and UNVA 0.11 ± 0.09 logMAR.\n\nDefocus curve analysis demonstrated a plateau profile with visual acuity of < 0.2 logMAR across a continuous defocus range of 2.3 diopters*. Mean contrast sensitivity was 1.02 ± 0.31 logCS (Weber). The comparative results with RALV® will be presented.",
        "Conclusions": "Three-month results indicate that the investigated Full Depth of Field intraocular lens with spiral optics provides stable and high-quality visual performance across multiple distances. Both monocular and binocular outcomes demonstrated functional range of vision with satisfactory contrast sensitivity. This lens represents a promising option for patients seeking increased postoperative spectacle independence with potentially reduced photic disturbances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Three-month results indicate that the investigated Full Depth of Field intraocular lens with spiral optics provides stable and high-quality visual performance across multiple distances. Both monocular and binocular outcomes demonstrated functional range of vision with satisfactory contrast sensitivity. This lens represents a promising option for patients seeking increased postoperative spectacle independence with…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 495,
      "source_fields": {
        "Abstract Final Identifier": "POCAT457",
        "Title": "Three-Month Outcomes Of A Novel Full Depth Of Field Intraocular Lens With Spiral Optics: A Comparison Of The Results With The Real Artificial Lens Vision System (Ralv®) System",
        "Presenting Author(s)": "A/Prof. Claudette Abela-Formanek",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Claudette",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abela-Formanek",
        "Country Name": "Austria",
        "Purpose": "Achieving high levels of postoperative spectacle independence in cataract patients remains a clinical challenge. A novel Full Depth of Field intraocular lens (IOL) with spiral optic design aims to provide continuous visual performance across distance, intermediate, and near ranges while potentially reducing photic phenomena. The purpose of this prospective study was to evaluate visual and functional outcomes three months after bilateral implantation of this lens.",
        "Setting": "Medical University of Vienna",
        "Methods": "In this prospective clinical study, 30 patients were evaluated three months after bilateral implantation of a presbyopia-correcting intraocular lens featuring spiral optics. Monocular and binocular uncorrected and corrected distance visual acuity (UDVA, CDVA), intermediate visual acuity (UIVA, DCIVA), and near visual acuity (UNVA, DCNVA) were measured in logMAR.\n\nMonocular and binocular defocus curves were obtained to assess functional depth of focus. Contrast sensitivity was measured using the RALV® system (Real Artificial Lens Vision; decimal format). Statistical analysis was descriptive.",
        "Results": "At three months postoperatively, mean monocular UDVA and CDVA were 0.08 ± 0.08 and 0.00 ± 0.07 logMAR, respectively. Mean monocular UIVA and DCIVA were 0.08 ± 0.08 and 0.10 ± 0.08 logMAR, while monocular UNVA and DCNVA were 0.17 ± 0.10 and 0.19 ± 0.09 logMAR.\n\nBinocularly, mean UDVA was 0.02 ± 0.08 logMAR, UIVA 0.01 ± 0.07 logMAR, and UNVA 0.11 ± 0.09 logMAR.\n\nDefocus curve analysis demonstrated a plateau profile with visual acuity of < 0.2 logMAR across a continuous defocus range of 2.3 diopters*. Mean contrast sensitivity was 1.02 ± 0.31 logCS (Weber). The comparative results with RALV® will be presented.",
        "Conclusions": "Three-month results indicate that the investigated Full Depth of Field intraocular lens with spiral optics provides stable and high-quality visual performance across multiple distances. Both monocular and binocular outcomes demonstrated functional range of vision with satisfactory contrast sensitivity. This lens represents a promising option for patients seeking increased postoperative spectacle independence with potentially reduced photic disturbances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "POCAT458",
      "abstract_number": "POCAT458",
      "title": "Rotational Stability Of A New Hydrophobic Multifocal Toric Intraocular Lens (Iol)",
      "authors": "A/Prof. Smita Agarwal",
      "presenter": "A/Prof. Smita Agarwal",
      "normalized_authors": [
        "Smita Agarwal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smita Agarwal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "Purpose The Clareon Panoptix IOL combines an advanced biomaterial, precision edge, and a proven trifocal optic. Whilst the AcrySof platform is known to have good rotational stability, the Clareon PanOptix toric (CPO toric) IOL has not been investigated in situ. This study will assess the 3-month rotational stability of the CPO Toric IOL.",
        "Setting": "Setting Private refractive surgery in NSW, Australia. (Wollonong Refractive Laser Eye Institute WRLEI).",
        "Methods": "Methods CPO Toric was implanted in 40 eyes from 22 patients undergoing bilateral routine phacoemulsification. Manifest refraction, and uncorrected vision at distance (UDVA), intermediate (UIVA) and near at 40 cm (N-40) and 33 cm (N-33) were measured at 12-weeks postoperatively. Subjective vision was assessed using the Near Acuity Visual Questionnaire (NAVQ), stereoacuity and contrast sensitivity (CS). Toric alignment was measured using dilated slit-lamp examination at 1 hour, 1 week, 4-6 weeks and 12 weeks following implantation. A further subset of 21 eyes had rotational stability assessed using iTrace).",
        "Results": "Results Average monocular uncorrected VA was 0.06±0.09, 0.1±0.14, 0.13±0.11 and 0.14±0.11 LogMAR when measured at 6 m, 60 cm, 40 cm and 33 cm respectively. Average postoperative spherical equivalent was -0.15±0.28 D. NAVQ score increased significantly following surgery, and CS and stereoacuity were well maintained. Mean real rotation at 3 months was 1.3°, with 85% of eyes reporting ≤5° of rotation. There was less apparent mean real rotation after 3 months when measured via slit-lamp examination (-1.09°",
        "Conclusions": "Conclusions Good refractive and visual outcomes were achieved with CPO toric IOL, which remained stable in situ from 1 week following implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions Good refractive and visual outcomes were achieved with CPO toric IOL, which remained stable in situ from 1 week following implantation.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 496,
      "source_fields": {
        "Abstract Final Identifier": "POCAT458",
        "Title": "Rotational Stability Of A New Hydrophobic Multifocal Toric Intraocular Lens (Iol)",
        "Presenting Author(s)": "A/Prof. Smita Agarwal",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Smita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agarwal",
        "Country Name": "Australia",
        "Purpose": "Purpose The Clareon Panoptix IOL combines an advanced biomaterial, precision edge, and a proven trifocal optic. Whilst the AcrySof platform is known to have good rotational stability, the Clareon PanOptix toric (CPO toric) IOL has not been investigated in situ. This study will assess the 3-month rotational stability of the CPO Toric IOL.",
        "Setting": "Setting Private refractive surgery in NSW, Australia. (Wollonong Refractive Laser Eye Institute WRLEI).",
        "Methods": "Methods CPO Toric was implanted in 40 eyes from 22 patients undergoing bilateral routine phacoemulsification. Manifest refraction, and uncorrected vision at distance (UDVA), intermediate (UIVA) and near at 40 cm (N-40) and 33 cm (N-33) were measured at 12-weeks postoperatively. Subjective vision was assessed using the Near Acuity Visual Questionnaire (NAVQ), stereoacuity and contrast sensitivity (CS). Toric alignment was measured using dilated slit-lamp examination at 1 hour, 1 week, 4-6 weeks and 12 weeks following implantation. A further subset of 21 eyes had rotational stability assessed using iTrace).",
        "Results": "Results Average monocular uncorrected VA was 0.06±0.09, 0.1±0.14, 0.13±0.11 and 0.14±0.11 LogMAR when measured at 6 m, 60 cm, 40 cm and 33 cm respectively. Average postoperative spherical equivalent was -0.15±0.28 D. NAVQ score increased significantly following surgery, and CS and stereoacuity were well maintained. Mean real rotation at 3 months was 1.3°, with 85% of eyes reporting ≤5° of rotation. There was less apparent mean real rotation after 3 months when measured via slit-lamp examination (-1.09°",
        "Conclusions": "Conclusions Good refractive and visual outcomes were achieved with CPO toric IOL, which remained stable in situ from 1 week following implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POCAT459",
      "abstract_number": "POCAT459",
      "title": "Comparative Outcomes Of Envista Envy And Panoptix Pro In Clinical Practice",
      "authors": "Dr Bilal Ahmed",
      "presenter": "Dr Bilal Ahmed",
      "normalized_authors": [
        "Bilal Ahmed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bilal Ahmed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare visual acuity outcomes, refractive accuracy, spectacle independence, and patient satisfaction between two trifocal intraocular lenses (IOLs): enVista Envy and PanOptix Pro.",
        "Setting": "Private practice refractive cataract surgery center.",
        "Methods": "This retrospective comparative case series included eyes undergoing cataract surgery or refractive lens exchange with implantation of either enVista Envy or PanOptix Pro trifocal IOLs. Postoperative surveys were administered at 1–3 months to assess spectacle independence and patient satisfaction. Clinical outcomes included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and average residual refractive error for best corrected visual acuity. Statistical comparisons between groups were performed using Fisher’s exact test.",
        "Results": "A total of 69 eyes implanted with enVista Envy and 98 eyes implanted with PanOptix Pro were included. UDVA of 20/20 or better was achieved in 81% of Envy eyes compared with 47% of PanOptix Pro eyes (p < 0.001). Mean near visual acuity was approximately J2 in both groups, with J1 achieved in 61% of Envy eyes and 46% of PanOptix Pro eyes . Refractive outcomes were excellent for both lenses, with an average residual refractive error of −0.14 ± 0.33 D for Envy and −0.16 ± 0.46 D for PanOptix Pro . 93% of Envy eyes and 83% of PanOptix Pro eyes were within ±0.50 D of target refraction. Full spectacle independence was reported by 83% of Envy patients and 81% of PanOptix Pro patients .",
        "Conclusions": "Both trifocal IOL platforms provided excellent refractive accuracy and high levels of spectacle independence. In this real-world cohort, enVista Envy demonstrated higher rates of 20/20 uncorrected distance visual acuity and tighter refractive predictability compared with PanOptix Pro."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both trifocal IOL platforms provided excellent refractive accuracy and high levels of spectacle independence. In this real-world cohort, enVista Envy demonstrated higher rates of 20/20 uncorrected distance visual acuity and tighter refractive predictability compared with PanOptix Pro.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 497,
      "source_fields": {
        "Abstract Final Identifier": "POCAT459",
        "Title": "Comparative Outcomes Of Envista Envy And Panoptix Pro In Clinical Practice",
        "Presenting Author(s)": "Dr Bilal Ahmed",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Bilal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahmed",
        "Country Name": "United States",
        "Purpose": "To compare visual acuity outcomes, refractive accuracy, spectacle independence, and patient satisfaction between two trifocal intraocular lenses (IOLs): enVista Envy and PanOptix Pro.",
        "Setting": "Private practice refractive cataract surgery center.",
        "Methods": "This retrospective comparative case series included eyes undergoing cataract surgery or refractive lens exchange with implantation of either enVista Envy or PanOptix Pro trifocal IOLs. Postoperative surveys were administered at 1–3 months to assess spectacle independence and patient satisfaction. Clinical outcomes included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and average residual refractive error for best corrected visual acuity. Statistical comparisons between groups were performed using Fisher’s exact test.",
        "Results": "A total of 69 eyes implanted with enVista Envy and 98 eyes implanted with PanOptix Pro were included. UDVA of 20/20 or better was achieved in 81% of Envy eyes compared with 47% of PanOptix Pro eyes (p < 0.001). Mean near visual acuity was approximately J2 in both groups, with J1 achieved in 61% of Envy eyes and 46% of PanOptix Pro eyes . Refractive outcomes were excellent for both lenses, with an average residual refractive error of −0.14 ± 0.33 D for Envy and −0.16 ± 0.46 D for PanOptix Pro . 93% of Envy eyes and 83% of PanOptix Pro eyes were within ±0.50 D of target refraction. Full spectacle independence was reported by 83% of Envy patients and 81% of PanOptix Pro patients .",
        "Conclusions": "Both trifocal IOL platforms provided excellent refractive accuracy and high levels of spectacle independence. In this real-world cohort, enVista Envy demonstrated higher rates of 20/20 uncorrected distance visual acuity and tighter refractive predictability compared with PanOptix Pro."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POCAT460",
      "abstract_number": "POCAT460",
      "title": "Optical And Clinical Outcomes Of A New Diffractive Trifocal Intraocular Lens",
      "authors": "Dr Belen Alfonso-Bartolozzi",
      "presenter": "Dr Belen Alfonso-Bartolozzi",
      "normalized_authors": [
        "Belen Alfonso-Bartolozzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Belen Alfonso-Bartolozzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the clinical performance of the new TECNIS Odyssey™ intraocular lens (IOL).",
        "Setting": "Fernández-Vega Ophthalmological Institute.",
        "Methods": "The clinical study included manifest refraction, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, distance-corrected intermediate (DCIVA) and near visual acuity (DCNVA), binocular photopic and mesopic contrast sensitivity (CS) and binocular defocus curve. Postoperative evaluation was performed 3 months after surgery.",
        "Results": "The clinical study involved 122 eyes. The mean postoperative monocular UDVA and CDVA were 0.04 ± 0.05 and 0.01 ± 0.02 logMAR, respectively. All eyes achieved a monocular UDVA of 0.2 logMAR or better and a monocular CDVA of 0.1 logMAR or better. The defocus curve showed a range from +0.50 to -2.5D, in which the mean visual acuity was 0.1 logMAR or better. The binocular distance CS was within normal limits. No intraoperative or postoperative complications related to lens implantation were observed. All patients were satisfied or very satisfied with the procedure.",
        "Conclusions": "The implantation of the new TECNIS Odyssey TM IOL, provided a satisfactory range of visual quality from distance to near, in excellent agreement with the optical performance of full depth-of-field intraocular lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The implantation of the new TECNIS Odyssey TM IOL, provided a satisfactory range of visual quality from distance to near, in excellent agreement with the optical performance of full depth-of-field intraocular lenses.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 498,
      "source_fields": {
        "Abstract Final Identifier": "POCAT460",
        "Title": "Optical And Clinical Outcomes Of A New Diffractive Trifocal Intraocular Lens",
        "Presenting Author(s)": "Dr Belen Alfonso-Bartolozzi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Belen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alfonso-Bartolozzi",
        "Country Name": "Spain",
        "Purpose": "To evaluate the clinical performance of the new TECNIS Odyssey™ intraocular lens (IOL).",
        "Setting": "Fernández-Vega Ophthalmological Institute.",
        "Methods": "The clinical study included manifest refraction, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, distance-corrected intermediate (DCIVA) and near visual acuity (DCNVA), binocular photopic and mesopic contrast sensitivity (CS) and binocular defocus curve. Postoperative evaluation was performed 3 months after surgery.",
        "Results": "The clinical study involved 122 eyes. The mean postoperative monocular UDVA and CDVA were 0.04 ± 0.05 and 0.01 ± 0.02 logMAR, respectively. All eyes achieved a monocular UDVA of 0.2 logMAR or better and a monocular CDVA of 0.1 logMAR or better. The defocus curve showed a range from +0.50 to -2.5D, in which the mean visual acuity was 0.1 logMAR or better. The binocular distance CS was within normal limits. No intraoperative or postoperative complications related to lens implantation were observed. All patients were satisfied or very satisfied with the procedure.",
        "Conclusions": "The implantation of the new TECNIS Odyssey TM IOL, provided a satisfactory range of visual quality from distance to near, in excellent agreement with the optical performance of full depth-of-field intraocular lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 189
    },
    {
      "uid": "POCAT461",
      "abstract_number": "POCAT461",
      "title": "Optical And Clinical Outcomes After Bilateral Implantation Of A Diffractive Trifocal Intraocular Lens.",
      "authors": "Dr Belen Alfonso-Bartolozzi",
      "presenter": "Dr Belen Alfonso-Bartolozzi",
      "normalized_authors": [
        "Belen Alfonso-Bartolozzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Belen Alfonso-Bartolozzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Optically characterise and clinically evaluate the performance of a bilateral implant with Vivinex Gemetric trifocal intraocular lens (HOYA Surgical Optics).",
        "Setting": "Fernández-Vega Ophthalmological Institute.",
        "Methods": "The optical performance of the intraocular lens was analysed using the modulation transfer function across the focus (TF-MTFa) area. The clinical study included manifest refraction, uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA), distance corrected intermediate visual acuity (DCIVA) and distance corrected near visual acuity (DCNVA), binocular photopic and mesopic contrast sensitivity (CS), and binocular blur curve. The postoperative evaluation was performed three months after surgery.",
        "Results": "Optimal optical quality is observed in distance focus on the TF-MTFa curve. From there, optical quality slowly and continuously degrades for intermediate and near vision. The clinical study included 30 eyes from 15 patients. The efficacy index was greater than 1, and 100% of the eyes had spheres between ±0.50 D. All gained lines of vision during the postoperative period. The clinical evaluation showed excellent visual and refractive results, with a depth of field of +1.00 to -2.50 D and visual acuity greater than 0.2 logMAR. Binocular contrast sensitivity at distance was within normal limits.",
        "Conclusions": "Vivinex Gemetric (Hoya) is an effective, predictable and safe IOL in terms of visual performance, and based on our clinical results, this is a full depth-of-field IOL with continuous transition. It has a trifocal diffractive optical design, a hydrophobic acrylic material and a monoblock platform with C-shaped haptics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vivinex Gemetric (Hoya) is an effective, predictable and safe IOL in terms of visual performance, and based on our clinical results, this is a full depth-of-field IOL with continuous transition. It has a trifocal diffractive optical design, a hydrophobic acrylic material and a monoblock platform with C-shaped haptics.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 499,
      "source_fields": {
        "Abstract Final Identifier": "POCAT461",
        "Title": "Optical And Clinical Outcomes After Bilateral Implantation Of A Diffractive Trifocal Intraocular Lens.",
        "Presenting Author(s)": "Dr Belen Alfonso-Bartolozzi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Belen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alfonso-Bartolozzi",
        "Country Name": "Spain",
        "Purpose": "Optically characterise and clinically evaluate the performance of a bilateral implant with Vivinex Gemetric trifocal intraocular lens (HOYA Surgical Optics).",
        "Setting": "Fernández-Vega Ophthalmological Institute.",
        "Methods": "The optical performance of the intraocular lens was analysed using the modulation transfer function across the focus (TF-MTFa) area. The clinical study included manifest refraction, uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA), distance corrected intermediate visual acuity (DCIVA) and distance corrected near visual acuity (DCNVA), binocular photopic and mesopic contrast sensitivity (CS), and binocular blur curve. The postoperative evaluation was performed three months after surgery.",
        "Results": "Optimal optical quality is observed in distance focus on the TF-MTFa curve. From there, optical quality slowly and continuously degrades for intermediate and near vision. The clinical study included 30 eyes from 15 patients. The efficacy index was greater than 1, and 100% of the eyes had spheres between ±0.50 D. All gained lines of vision during the postoperative period. The clinical evaluation showed excellent visual and refractive results, with a depth of field of +1.00 to -2.50 D and visual acuity greater than 0.2 logMAR. Binocular contrast sensitivity at distance was within normal limits.",
        "Conclusions": "Vivinex Gemetric (Hoya) is an effective, predictable and safe IOL in terms of visual performance, and based on our clinical results, this is a full depth-of-field IOL with continuous transition. It has a trifocal diffractive optical design, a hydrophobic acrylic material and a monoblock platform with C-shaped haptics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCAT462",
      "abstract_number": "POCAT462",
      "title": "Comparative Analysis Of Refractive And Visual Outcomes Of Premium Iol Technology By Bvi: A Retrospective Study At The View Hospital",
      "authors": "Dr Hussein Almuhtaseb",
      "presenter": "Dr Hussein Almuhtaseb",
      "normalized_authors": [
        "Hussein Almuhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hussein Almuhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of premium intraocular lens (IOL) technology by BVI in a retrospective, single-center study and compare the results to a large, multicenter prospective study.",
        "Setting": "Retrospective analysis of single centre compared to a multicentre prospective analysis.",
        "Methods": "A retrospective analysis of 51 eyes that underwent cataract surgery with implantation of premium IOLs from BVI (including trifocal, EDOF, and toric models) at The View Hospital between 2023 and 2025. The follow-up period was 1-6 months. The primary outcomes were uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), and cylinder. Intermediate and near visual acuities were also assessed. These results were compared to the Daya et al. multicenter study.",
        "Results": "81.48% of eyes were within ±0.50D of spherical equivalent, which is comparable to the 79.63% reported in the Daya et al. study. For cylinder, 71.43% of our patients had a cylinder of ≤0.50D, which is also comparable to the 72.22% in the Daya et al. study.\n\nThe mean UDVA was 0.89 (decimal), and the mean CDVA was 0.94 (decimal), with 85.19% of eyes achieving a UDVA of ≥20/25.\n\nThe premium IOLs from BVI demonstrated excellent performance across all visual ranges, providing patients with high-quality distance, intermediate, and near vision.\n\nThe clinical outcomes at The View Hospital were comparable to the published standards of the Daya et al. study, with refractive predictability exceeding themulticenter study results for SE within ±0.50D.",
        "Conclusions": "The premium IOL technology by BVI provides excellent visual outcomes, with results from a single-center retrospective study being comparable to a large multicenter prospective study. The choice of IOL should be tailored to the patient’s lifestyle and visual needs to optimize postoperative satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The premium IOL technology by BVI provides excellent visual outcomes, with results from a single-center retrospective study being comparable to a large multicenter prospective study. The choice of IOL should be tailored to the patient’s lifestyle and visual needs to optimize postoperative satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 500,
      "source_fields": {
        "Abstract Final Identifier": "POCAT462",
        "Title": "Comparative Analysis Of Refractive And Visual Outcomes Of Premium Iol Technology By Bvi: A Retrospective Study At The View Hospital",
        "Presenting Author(s)": "Dr Hussein Almuhtaseb",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Hussein",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Almuhtaseb",
        "Country Name": "Qatar",
        "Purpose": "To evaluate the clinical outcomes of premium intraocular lens (IOL) technology by BVI in a retrospective, single-center study and compare the results to a large, multicenter prospective study.",
        "Setting": "Retrospective analysis of single centre compared to a multicentre prospective analysis.",
        "Methods": "A retrospective analysis of 51 eyes that underwent cataract surgery with implantation of premium IOLs from BVI (including trifocal, EDOF, and toric models) at The View Hospital between 2023 and 2025. The follow-up period was 1-6 months. The primary outcomes were uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), and cylinder. Intermediate and near visual acuities were also assessed. These results were compared to the Daya et al. multicenter study.",
        "Results": "81.48% of eyes were within ±0.50D of spherical equivalent, which is comparable to the 79.63% reported in the Daya et al. study. For cylinder, 71.43% of our patients had a cylinder of ≤0.50D, which is also comparable to the 72.22% in the Daya et al. study.\n\nThe mean UDVA was 0.89 (decimal), and the mean CDVA was 0.94 (decimal), with 85.19% of eyes achieving a UDVA of ≥20/25.\n\nThe premium IOLs from BVI demonstrated excellent performance across all visual ranges, providing patients with high-quality distance, intermediate, and near vision.\n\nThe clinical outcomes at The View Hospital were comparable to the published standards of the Daya et al. study, with refractive predictability exceeding themulticenter study results for SE within ±0.50D.",
        "Conclusions": "The premium IOL technology by BVI provides excellent visual outcomes, with results from a single-center retrospective study being comparable to a large multicenter prospective study. The choice of IOL should be tailored to the patient’s lifestyle and visual needs to optimize postoperative satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT463",
      "abstract_number": "POCAT463",
      "title": "Refractive Outcomes And Dysphotopsia Following Implantation Of A Novel Spiral Full Range Of Vision Iol: A Multicenter Real-World Comparison",
      "authors": "Dr Fernando Mayorga",
      "presenter": "Dr Fernando Mayorga",
      "normalized_authors": [
        "Fernando Mayorga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Alvarez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "This analysis aims to present early real-world visual outcomes and dysphotopsia following cataract surgery with implantation of the RayOne Galaxy (Rayner, UK), a novel spiral full range of vision intraocular lens (IOL) and to contextualize these outcomes relative to a hydrophobic trifocal intraocular lens used in routine clinical practice.",
        "Setting": "Multicenter real-world study conducted at Hospital Alemán and Good Vision, Buenos Aires, Argentina, in patients undergoing cataract surgery with implantation of presbyopia-correcting intraocular lenses.",
        "Methods": "This observational multicenter case series includes data of patients undergoing cataract surgery with implantation of either a RayOne Galaxy, or a hydrophobic trifocal intraocular lens. The RayOne Galaxy cohort comprised 33 patients (66 eyes), including 29 bilateral and 4 unilateral implantations. The trifocal cohort included 34 patients (65 eyes), with 32 bilateral and 2 unilateral implantations. Follow-up ranged from 3 to 12 months. Postoperative assessment included uncorrected distance and near visual acuity and patient-reported dysphotopsia, specifically the presence of halos.",
        "Results": "In the RayOne Galaxy cohort, uncorrected distance visual acuity of 20/20 was achieved in 67.2% of eyes, with additional eyes achieving 20/25 or better. Near uncorrected visual acuity of 0.5 was achieved in 54.6% of eyes. No patients implanted with the spiral optic IOL reported halos (0%).\nIn the hydrophobic trifocal cohort, uncorrected distance visual acuity of 20/20 was achieved in 46.2% of eyes, and near uncorrected visual acuity of 0.5 was achieved in 74.2% of eyes. Patient-reported halos were reported in 9.2% of cases.",
        "Conclusions": "In this early multi-center experience, implantation of the RayOne Galaxy, a novel spiral full range of vision IOL lens, provided favorable uncorrected distance and functional near vision with no reported dysphotopsia. When compared with outcomes observed in a hydrophobic trifocal IOL cohort treated in the same clinical setting, the RayOne Galaxy demonstrated comparable visual performance with a lower incidence of halos. These findings suggest that the RayOne Galaxy may represent a suitable presbyopia-correcting option for patients seeking a broad range of vision with reduced photic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this early multi-center experience, implantation of the RayOne Galaxy, a novel spiral full range of vision IOL lens, provided favorable uncorrected distance and functional near vision with no reported dysphotopsia. When compared with outcomes observed in a hydrophobic trifocal IOL cohort treated in the same clinical setting, the RayOne Galaxy demonstrated comparable visual performance with a lower incidence of…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 501,
      "source_fields": {
        "Abstract Final Identifier": "POCAT463",
        "Title": "Refractive Outcomes And Dysphotopsia Following Implantation Of A Novel Spiral Full Range Of Vision Iol: A Multicenter Real-World Comparison",
        "Presenting Author(s)": "Dr Fernando Mayorga",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alvarez",
        "Country Name": "Argentina",
        "Purpose": "This analysis aims to present early real-world visual outcomes and dysphotopsia following cataract surgery with implantation of the RayOne Galaxy (Rayner, UK), a novel spiral full range of vision intraocular lens (IOL) and to contextualize these outcomes relative to a hydrophobic trifocal intraocular lens used in routine clinical practice.",
        "Setting": "Multicenter real-world study conducted at Hospital Alemán and Good Vision, Buenos Aires, Argentina, in patients undergoing cataract surgery with implantation of presbyopia-correcting intraocular lenses.",
        "Methods": "This observational multicenter case series includes data of patients undergoing cataract surgery with implantation of either a RayOne Galaxy, or a hydrophobic trifocal intraocular lens. The RayOne Galaxy cohort comprised 33 patients (66 eyes), including 29 bilateral and 4 unilateral implantations. The trifocal cohort included 34 patients (65 eyes), with 32 bilateral and 2 unilateral implantations. Follow-up ranged from 3 to 12 months. Postoperative assessment included uncorrected distance and near visual acuity and patient-reported dysphotopsia, specifically the presence of halos.",
        "Results": "In the RayOne Galaxy cohort, uncorrected distance visual acuity of 20/20 was achieved in 67.2% of eyes, with additional eyes achieving 20/25 or better. Near uncorrected visual acuity of 0.5 was achieved in 54.6% of eyes. No patients implanted with the spiral optic IOL reported halos (0%).\nIn the hydrophobic trifocal cohort, uncorrected distance visual acuity of 20/20 was achieved in 46.2% of eyes, and near uncorrected visual acuity of 0.5 was achieved in 74.2% of eyes. Patient-reported halos were reported in 9.2% of cases.",
        "Conclusions": "In this early multi-center experience, implantation of the RayOne Galaxy, a novel spiral full range of vision IOL lens, provided favorable uncorrected distance and functional near vision with no reported dysphotopsia. When compared with outcomes observed in a hydrophobic trifocal IOL cohort treated in the same clinical setting, the RayOne Galaxy demonstrated comparable visual performance with a lower incidence of halos. These findings suggest that the RayOne Galaxy may represent a suitable presbyopia-correcting option for patients seeking a broad range of vision with reduced photic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCAT464",
      "abstract_number": "POCAT464",
      "title": "Panoptix Intraocular Lens Versus Symfony Intraocualar Lens",
      "authors": "Dr Raline solomon Amalakaran",
      "presenter": "Dr Raline solomon Amalakaran",
      "normalized_authors": [
        "Raline solomon Amalakaran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raline solomon Amalakaran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the visual performance of bilateral (B/L)implantation of diffractive trifocal intraocular lens and extended depth of focus intraocular lens (IOL) in terms of visual outcomes and internal aberrations.",
        "Setting": "The Eyefoundation hospital, a tertiary Eye care hospital in Southern India",
        "Methods": "Prospective, non-randomised, comparative study including a total of 32 patients (64 eyes) with 16 patients (32 eyes) in each arm. Patients had bilateral implantation of a trifocal IOL (Panoptix -TNFT00 ) or extended-range-of-vision IOL (Symfony -ZXR00 ).Postoperative examinations done at 6 weeks and 3 months included assessing distance, intermediate, and near visual acuity, binocular defocus curve, intraocular and total aberrations, point-spread function(PSF), modulation transfer function (MTF) and quality-of-vision (QoV) and spectacle-dependence questionnaires.",
        "Results": "Sixteen patients (32 eyes) in each arm (32 patients, 64 eyes) completed the outcome assessment. At 3-month follow-up, the trifocal group had significantly better UCNVA (0±0.0 logMAR) than the extended-range-of-vision group ( 0.06 ± 0.1 logMAR) (p=0.003). The defocus curve at 6 weeks showed that visual acuity was significantly better with Panoptix IOL than with the extended-range-of-vision IOL from -2.5 to - 3.0 D(p=0.001). Intergroup comparison of the total higher-order aberrations, PSF and MTF were not statistically different. The QoV questionnaire showed no significant differences in dysphotopsia between the groups.",
        "Conclusions": "Trifocal IOL fared better in providing better near visual acuity without any compromise in the quality of vision in comparison to EDOF lenses. The subjective dysphotopic symptoms were low in both groups without hampering daily activities of the patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trifocal IOL fared better in providing better near visual acuity without any compromise in the quality of vision in comparison to EDOF lenses. The subjective dysphotopic symptoms were low in both groups without hampering daily activities of the patient.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 502,
      "source_fields": {
        "Abstract Final Identifier": "POCAT464",
        "Title": "Panoptix Intraocular Lens Versus Symfony Intraocualar Lens",
        "Presenting Author(s)": "Dr Raline solomon Amalakaran",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Raline",
        "Submitter Middle Name": "solomon",
        "Submitter Last Name": "Amalakaran",
        "Country Name": "India",
        "Purpose": "To compare the visual performance of bilateral (B/L)implantation of diffractive trifocal intraocular lens and extended depth of focus intraocular lens (IOL) in terms of visual outcomes and internal aberrations.",
        "Setting": "The Eyefoundation hospital, a tertiary Eye care hospital in Southern India",
        "Methods": "Prospective, non-randomised, comparative study including a total of 32 patients (64 eyes) with 16 patients (32 eyes) in each arm. Patients had bilateral implantation of a trifocal IOL (Panoptix -TNFT00 ) or extended-range-of-vision IOL (Symfony -ZXR00 ).Postoperative examinations done at 6 weeks and 3 months included assessing distance, intermediate, and near visual acuity, binocular defocus curve, intraocular and total aberrations, point-spread function(PSF), modulation transfer function (MTF) and quality-of-vision (QoV) and spectacle-dependence questionnaires.",
        "Results": "Sixteen patients (32 eyes) in each arm (32 patients, 64 eyes) completed the outcome assessment. At 3-month follow-up, the trifocal group had significantly better UCNVA (0±0.0 logMAR) than the extended-range-of-vision group ( 0.06 ± 0.1 logMAR) (p=0.003). The defocus curve at 6 weeks showed that visual acuity was significantly better with Panoptix IOL than with the extended-range-of-vision IOL from -2.5 to - 3.0 D(p=0.001). Intergroup comparison of the total higher-order aberrations, PSF and MTF were not statistically different. The QoV questionnaire showed no significant differences in dysphotopsia between the groups.",
        "Conclusions": "Trifocal IOL fared better in providing better near visual acuity without any compromise in the quality of vision in comparison to EDOF lenses. The subjective dysphotopic symptoms were low in both groups without hampering daily activities of the patient."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POCAT465",
      "abstract_number": "POCAT465",
      "title": "Visual Outcomes Of Cataract Patients Implanted Bilaterally With An Indian Trifocal Intra-Ocular Lens (Iol)",
      "authors": "Dr Raline solomon Amalakaran",
      "presenter": "Dr Raline solomon Amalakaran",
      "normalized_authors": [
        "Raline solomon Amalakaran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raline solomon Amalakaran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To analyze the Visual outcomes and safety profile of patients implanted bilaterally with an Indian Triofocal Iol.",
        "Setting": "A retrospective study consucted in a Tertiary Eye care hospital in southern India.",
        "Methods": "The Study included patients with senile cataract who had undergone uneventful cataract surgery with bilateral implantation of an Indian Trifocal (Triphobic-AS6TD) and Indian Trifocal toric IOL(Triphobic toric - AS6TDT).Optical biometry was done using Tomey OA-2000 (manufactured by Tomey Corporation/Tomey GmbH. Barrett universal II formula was used to determine the IOL power for implantation in all patients. Post operative visual assessment was done for patients at 1 and 6 weeks and their visual outcomes analysed in terms of UDVA(uncorrected distance visual acquity), BCDVA (best corrected distance visual acquity), UCNVA (uncorrected near visual acquity), Contrast sensitivity, Patient satisfaction and dependency on glasses were evaluated.",
        "Results": "74 eyes of 37 patients were included in the study. 36 eyes had Triphopic IOL and 38 eyes had Triphobic toric iol implantation. UCDVA at 6 weeks- 0.02±0.04 LogMar and BCDVA at 6 weeks - 0.01±0.03 LogMar. Almost none of the patients required glasses for any activity. Glare and haloes were experienced by 3 patients (8%), however it was not bothersome to prevent them from carrying out their regular activities.",
        "Conclusions": "Visual outcomes of the Triphobic IOL in this study is quite encouraging and reinforces the fact that doing a good pre-op evaluation and right selection of patients can yield excellent results ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visual outcomes of the Triphobic IOL in this study is quite encouraging and reinforces the fact that doing a good pre-op evaluation and right selection of patients can yield excellent results .",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 503,
      "source_fields": {
        "Abstract Final Identifier": "POCAT465",
        "Title": "Visual Outcomes Of Cataract Patients Implanted Bilaterally With An Indian Trifocal Intra-Ocular Lens (Iol)",
        "Presenting Author(s)": "Dr Raline solomon Amalakaran",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Raline",
        "Submitter Middle Name": "solomon",
        "Submitter Last Name": "Amalakaran",
        "Country Name": "India",
        "Purpose": "To analyze the Visual outcomes and safety profile of patients implanted bilaterally with an Indian Triofocal Iol.",
        "Setting": "A retrospective study consucted in a Tertiary Eye care hospital in southern India.",
        "Methods": "The Study included patients with senile cataract who had undergone uneventful cataract surgery with bilateral implantation of an Indian Trifocal (Triphobic-AS6TD) and Indian Trifocal toric IOL(Triphobic toric - AS6TDT).Optical biometry was done using Tomey OA-2000 (manufactured by Tomey Corporation/Tomey GmbH. Barrett universal II formula was used to determine the IOL power for implantation in all patients. Post operative visual assessment was done for patients at 1 and 6 weeks and their visual outcomes analysed in terms of UDVA(uncorrected distance visual acquity), BCDVA (best corrected distance visual acquity), UCNVA (uncorrected near visual acquity), Contrast sensitivity, Patient satisfaction and dependency on glasses were evaluated.",
        "Results": "74 eyes of 37 patients were included in the study. 36 eyes had Triphopic IOL and 38 eyes had Triphobic toric iol implantation. UCDVA at 6 weeks- 0.02±0.04 LogMar and BCDVA at 6 weeks - 0.01±0.03 LogMar. Almost none of the patients required glasses for any activity. Glare and haloes were experienced by 3 patients (8%), however it was not bothersome to prevent them from carrying out their regular activities.",
        "Conclusions": "Visual outcomes of the Triphobic IOL in this study is quite encouraging and reinforces the fact that doing a good pre-op evaluation and right selection of patients can yield excellent results ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "POCAT466",
      "abstract_number": "POCAT466",
      "title": "Preliminary Clinical Outcomes In Presbyopia Surgery Of A Purely Refractive Full Range Of Field Continuous Intraocular Lens With Optical Profile Combining 4Th And 6Th Order Spherical Aberrations Of Opposite Signs",
      "authors": "A/Prof. Alfonso Arias- Puente",
      "presenter": "A/Prof. Alfonso Arias- Puente",
      "normalized_authors": [
        "Alfonso Arias- Puente"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alfonso Arias- Puente",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the preliminary clinical outcomes of a Purely Refractive Full Range of Field Intraocular Lens with optical profile that combines spherical aberrations of the 4th and 6th order of opposite signs in presbyopia surgery",
        "Setting": "Department of Ophthalmology. Vithas International University Hospital. Madrid-Alicante Spain",
        "Methods": "A prospective, multicenter, longitudinal, observational, and non-comparative study were performed including a total of 12 patients with mean age 63,34 ± 7,26 years old (r 51-77) All cases underwent uncomplicated cataract surgery with intraocular lens implant of LuxLife® IOL (Bausch&Lomb). Visual acuity was assessed 3 months post-surgery, including corrected and uncorrected visual acuity for far ((UDVA, CDVA), intermediate (UIVA, DCIVA), and near (UNAV, DCNVA) distances, photopic and mesopic achromatic contrast sensitivity (CS) (CSV-1000 test), halos and glare (Eyeland Design Network GmbH®), improvement in quality of life, satisfaction rates, and spectacle independence.",
        "Results": "At 3 month follow-up visual acuity results were: binocular CDVA 0.05 ± 0,05 logMAR , DCIVA 0.10 ± 0,10 logMAR , and DCNVA 0,07 ± 0,07 logMAR. The defocus curve obtained demonstrate a continous visual acuity profile maintaining ≤ 0.2 logMAR through different focal distances at least 2,3 diopters of defocus . Regarding distance CS at 3,6,12,18 cycles/degree in photopic CS were 6 ± 1,21, 8,02 ± 0,76, 5,60 ± 1,28, 2,82 ± 1,08 and in mesopic CS 6,35 ± 1,43, 6,20 ± 1,23, 7,07 ± 1,65, 2.15 ± 1,29 respectively. Halometry showed a halo size less than 50 in all cases, except for one patient who complained of halos and difficulty driving at night. Spectacle independence was achieved in 10 patients and 2 patients occasionally use glasses for reading.",
        "Conclusions": "These preliminary results suggest that this purelly refractive FRoF IOL evaluated could achieve functional levels of visual acuity for far, intermediate and near distances with a continous defocus curve profile, minimal impact on contrast sensitivity and spectacle independence. The limitations of the study are the small number of cases and the follow-up time. Further studies are needed to corroborate these preliminary conclusions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These preliminary results suggest that this purelly refractive FRoF IOL evaluated could achieve functional levels of visual acuity for far, intermediate and near distances with a continous defocus curve profile, minimal impact on contrast sensitivity and spectacle independence. The limitations of the study are the small number of cases and the follow-up time. Further studies are needed to corroborate these…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 504,
      "source_fields": {
        "Abstract Final Identifier": "POCAT466",
        "Title": "Preliminary Clinical Outcomes In Presbyopia Surgery Of A Purely Refractive Full Range Of Field Continuous Intraocular Lens With Optical Profile Combining 4Th And 6Th Order Spherical Aberrations Of Opposite Signs",
        "Presenting Author(s)": "A/Prof. Alfonso Arias- Puente",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Alfonso",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arias- Puente",
        "Country Name": "Spain",
        "Purpose": "To evaluate the preliminary clinical outcomes of a Purely Refractive Full Range of Field Intraocular Lens with optical profile that combines spherical aberrations of the 4th and 6th order of opposite signs in presbyopia surgery",
        "Setting": "Department of Ophthalmology. Vithas International University Hospital. Madrid-Alicante Spain",
        "Methods": "A prospective, multicenter, longitudinal, observational, and non-comparative study were performed including a total of 12 patients with mean age 63,34 ± 7,26 years old (r 51-77) All cases underwent uncomplicated cataract surgery with intraocular lens implant of LuxLife® IOL (Bausch&Lomb). Visual acuity was assessed 3 months post-surgery, including corrected and uncorrected visual acuity for far ((UDVA, CDVA), intermediate (UIVA, DCIVA), and near (UNAV, DCNVA) distances, photopic and mesopic achromatic contrast sensitivity (CS) (CSV-1000 test), halos and glare (Eyeland Design Network GmbH®), improvement in quality of life, satisfaction rates, and spectacle independence.",
        "Results": "At 3 month follow-up visual acuity results were: binocular CDVA 0.05 ± 0,05 logMAR , DCIVA 0.10 ± 0,10 logMAR , and DCNVA 0,07 ± 0,07 logMAR. The defocus curve obtained demonstrate a continous visual acuity profile maintaining ≤ 0.2 logMAR through different focal distances at least 2,3 diopters of defocus . Regarding distance CS at 3,6,12,18 cycles/degree in photopic CS were 6 ± 1,21, 8,02 ± 0,76, 5,60 ± 1,28, 2,82 ± 1,08 and in mesopic CS 6,35 ± 1,43, 6,20 ± 1,23, 7,07 ± 1,65, 2.15 ± 1,29 respectively. Halometry showed a halo size less than 50 in all cases, except for one patient who complained of halos and difficulty driving at night. Spectacle independence was achieved in 10 patients and 2 patients occasionally use glasses for reading.",
        "Conclusions": "These preliminary results suggest that this purelly refractive FRoF IOL evaluated could achieve functional levels of visual acuity for far, intermediate and near distances with a continous defocus curve profile, minimal impact on contrast sensitivity and spectacle independence. The limitations of the study are the small number of cases and the follow-up time. Further studies are needed to corroborate these preliminary conclusions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCAT467",
      "abstract_number": "POCAT467",
      "title": "Comparative Clinical Outcomes Of Panoptix Pro And Panoptix Intraocular Lenses.",
      "authors": "Prof. Chandra Bala",
      "presenter": "Prof. Chandra Bala",
      "normalized_authors": [
        "Chandra Bala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chandra Bala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To compare visual performance and patient-reported outcomes between PanOptix Pro and PanOptix trifocal intraocular lenses (IOLs) in patients undergoing routine cataract surgery.",
        "Setting": "Sydney, Australia",
        "Methods": "In this prospective comparative study, 40 patients (80 eyes) undergoing bilateral cataract surgery were enrolled at a single center and assigned to receive either the PanOptix Pro (n = 20 patients) or PanOptix (n = 20 patients) IOL. At 3 months postoperatively, binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA; 80 cm), and uncorrected near visual acuity (UNVA; 40 cm) will be assessed using logMAR notation. Defocus curves will be obtained from +1.50 D to −4.00 D in 0.50 D increments. Contrast sensitivity will be measured under photopic conditions. Patients will completed a quality-of-life questionnaire evaluating spectacle independence, dysphotopsia, and overall satisfaction.",
        "Results": "Patient enrollment and follow-up are ongoing. At the time of submission, data collection has not been completed; therefore, comparative analyses between the PanOptix Pro and PanOptix trifocal intraocular lenses cannot yet be performed. No interim efficacy analyses have been conducted. To date, no unexpected safety concerns have been identified. Final analyses of visual acuity outcomes and patient-reported measures will be completed after database lock, and results will be presented at the meeting.",
        "Conclusions": "This ongoing study is designed to compare visual performance and patient-reported outcomes between PanOptix Pro and PanOptix trifocal intraocular lenses in routine cataract surgery. Final efficacy and safety results are pending completion of data collection and statistical analysis and will clarify potential differences in visual outcomes and patient satisfaction between the two lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This ongoing study is designed to compare visual performance and patient-reported outcomes between PanOptix Pro and PanOptix trifocal intraocular lenses in routine cataract surgery. Final efficacy and safety results are pending completion of data collection and statistical analysis and will clarify potential differences in visual outcomes and patient satisfaction between the two lenses.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 505,
      "source_fields": {
        "Abstract Final Identifier": "POCAT467",
        "Title": "Comparative Clinical Outcomes Of Panoptix Pro And Panoptix Intraocular Lenses.",
        "Presenting Author(s)": "Prof. Chandra Bala",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Chandra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bala",
        "Country Name": "Australia",
        "Purpose": "To compare visual performance and patient-reported outcomes between PanOptix Pro and PanOptix trifocal intraocular lenses (IOLs) in patients undergoing routine cataract surgery.",
        "Setting": "Sydney, Australia",
        "Methods": "In this prospective comparative study, 40 patients (80 eyes) undergoing bilateral cataract surgery were enrolled at a single center and assigned to receive either the PanOptix Pro (n = 20 patients) or PanOptix (n = 20 patients) IOL. At 3 months postoperatively, binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA; 80 cm), and uncorrected near visual acuity (UNVA; 40 cm) will be assessed using logMAR notation. Defocus curves will be obtained from +1.50 D to −4.00 D in 0.50 D increments. Contrast sensitivity will be measured under photopic conditions. Patients will completed a quality-of-life questionnaire evaluating spectacle independence, dysphotopsia, and overall satisfaction.",
        "Results": "Patient enrollment and follow-up are ongoing. At the time of submission, data collection has not been completed; therefore, comparative analyses between the PanOptix Pro and PanOptix trifocal intraocular lenses cannot yet be performed. No interim efficacy analyses have been conducted. To date, no unexpected safety concerns have been identified. Final analyses of visual acuity outcomes and patient-reported measures will be completed after database lock, and results will be presented at the meeting.",
        "Conclusions": "This ongoing study is designed to compare visual performance and patient-reported outcomes between PanOptix Pro and PanOptix trifocal intraocular lenses in routine cataract surgery. Final efficacy and safety results are pending completion of data collection and statistical analysis and will clarify potential differences in visual outcomes and patient satisfaction between the two lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "POCAT468",
      "abstract_number": "POCAT468",
      "title": "Visual Outcomes Of An Extended Depth Of Field Iol With A Non-Diffractive Spiral Optic Iol",
      "authors": "Dr Ankur Barua",
      "presenter": "Dr Ankur Barua",
      "normalized_authors": [
        "Ankur Barua"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ankur Barua",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This analysis aims to present preliminary data on visual acuity and refractive outcomes of an extended depth of field IOL with a spiral non-diffractive optic design. Data from a single centre by one surgeon.",
        "Setting": "Single Centre Data Collection Midland Eye, Solihull, UK from outcomes from the same surgeon.",
        "Methods": "The follow-up visit at six to eight weeks included monocular and binocular CDVA, UDVA (at 4 m), UIVA, DCIVA (at 66 cm), UNVA and DCNVA (at 40 cm). Patients were seen with examintation by the optometrist to collect the data required. All patients were collected consectively over a period of time with no complications happening during surgery. Standard postoperative care with steroid, antibiotic and anti-inflammatory drops were used.",
        "Results": "At six to eight weeks postoperative the monocular and binocular UDVA and CDVA were 0.00±0.09 and -0.04±0.07, -0,05±0.09 and -0.07±0.05, respectively.\n\nCumulatively 100% of patients achieved an uncorrected binocular VA of 0.2 logMAR or better for distance and 97,83% achieved a monocular UDVA, respectively. All patients achieved a CDVA of 0.2 logMAR or better monocularly and binocularly. A cumulative UIVA of N6 or better was achieved by 85.71% of patients binocularly and monocularly. A UNVA of N6 or better was achieved by 88.89% of patients binocularly and by 71.74% monocularly.",
        "Conclusions": "In our clinic the visual acuities showed good results monocularly and binocularly two months after IOL implantation. These findings may suggest that patients can reach a high level of spectacle independent visual performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In our clinic the visual acuities showed good results monocularly and binocularly two months after IOL implantation. These findings may suggest that patients can reach a high level of spectacle independent visual performance.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 506,
      "source_fields": {
        "Abstract Final Identifier": "POCAT468",
        "Title": "Visual Outcomes Of An Extended Depth Of Field Iol With A Non-Diffractive Spiral Optic Iol",
        "Presenting Author(s)": "Dr Ankur Barua",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ankur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barua",
        "Country Name": "United Kingdom",
        "Purpose": "This analysis aims to present preliminary data on visual acuity and refractive outcomes of an extended depth of field IOL with a spiral non-diffractive optic design. Data from a single centre by one surgeon.",
        "Setting": "Single Centre Data Collection Midland Eye, Solihull, UK from outcomes from the same surgeon.",
        "Methods": "The follow-up visit at six to eight weeks included monocular and binocular CDVA, UDVA (at 4 m), UIVA, DCIVA (at 66 cm), UNVA and DCNVA (at 40 cm). Patients were seen with examintation by the optometrist to collect the data required. All patients were collected consectively over a period of time with no complications happening during surgery. Standard postoperative care with steroid, antibiotic and anti-inflammatory drops were used.",
        "Results": "At six to eight weeks postoperative the monocular and binocular UDVA and CDVA were 0.00±0.09 and -0.04±0.07, -0,05±0.09 and -0.07±0.05, respectively.\n\nCumulatively 100% of patients achieved an uncorrected binocular VA of 0.2 logMAR or better for distance and 97,83% achieved a monocular UDVA, respectively. All patients achieved a CDVA of 0.2 logMAR or better monocularly and binocularly. A cumulative UIVA of N6 or better was achieved by 85.71% of patients binocularly and monocularly. A UNVA of N6 or better was achieved by 88.89% of patients binocularly and by 71.74% monocularly.",
        "Conclusions": "In our clinic the visual acuities showed good results monocularly and binocularly two months after IOL implantation. These findings may suggest that patients can reach a high level of spectacle independent visual performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCAT469",
      "abstract_number": "POCAT469",
      "title": "Comparison Between Topical Anesthesia Versus Peribulbar Block Regarding The Rate Of Intraoperative Complications, Postoperative Patient Satisfaction And Visual Acuity In Cataract Surgeries With Multifocal Intraocular Lens Implantation",
      "authors": "Prof. Dr Luciano Porto Bellini",
      "presenter": "Prof. Dr Luciano Porto Bellini",
      "normalized_authors": [
        "Luciano Porto Bellini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luciano Porto Bellini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To compare topical anesthesia (TA) versus peribulbar block (PBB) regarding the rate of intraoperative complications, postoperative patient satisfaction and postoperative uncorrected visual acuity in cataract surgeries with multifocal intraocular lens (mIOL) implantation.",
        "Setting": "The type of anesthesia (TA or PBB) may interfere with the perception of dysphotopsia after cataract surgery with mIOL implantation, especially in the first hours after surgery, which may have impact on patient satisfaction. This is a retrospective study, evaluating medical records of 8,354 cataract surgeries performed between 2010 and 2025 in an ophthalmological medical center in Brazil.",
        "Methods": "Through a retrospective study, evaluating medical records of 8,354 cataract surgeries performed between 2010 and 2025, a cohort of 500 patients (1000 surgeries) undergoing mIOL implantation in both eyes were randomly distributed into 2 groups according to the type of anesthesia performed: 250 patients (500 surgeries) in the group with TA and 250 patients (500 surgeries) in the group with PBB. The two groups were compared in regard to the rate of intraoperative complications, postoperative patient satisfaction (scale from 0 to 10), postoperative uncorrected distance visual acuity (UDVA) and uncorrected near visual acuity (UNVA) at 24 hours, 1 month and 6 months postoperatively.",
        "Results": "There was no statistically significant difference between the groups in regard to intraoperative complications, nor in relation to postoperative UDVA and UNVA in the time intervals evaluated in this study. There was no statistically significant difference between the groups in regard to patient satisfaction on 1 month and 6 months after surgery. Postoperative patient satisfaction was higher in the PBB group in the first 24-hours postoperative period compared to the TA group.(mean scale score: 8.8 in PBB versus 6.3 in TA; p<0.05)",
        "Conclusions": "According to this study, PBB appears to offer greater patient satisfaction in the first 24-hours postoperative period compared to TA in patients undergoing cataract surgery with mIOL implantation. This appears to be related to the greater complaints of dysphotopsia with TA in the first 24-hours after surgery, compared to PBB. There was no difference between TA and PBB in terms of UDVA, UNVA and patient satisfaction on 1 and 6 months after surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "According to this study, PBB appears to offer greater patient satisfaction in the first 24-hours postoperative period compared to TA in patients undergoing cataract surgery with mIOL implantation. This appears to be related to the greater complaints of dysphotopsia with TA in the first 24-hours after surgery, compared to PBB. There was no difference between TA and PBB in terms of UDVA, UNVA and patient satisfaction…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 507,
      "source_fields": {
        "Abstract Final Identifier": "POCAT469",
        "Title": "Comparison Between Topical Anesthesia Versus Peribulbar Block Regarding The Rate Of Intraoperative Complications, Postoperative Patient Satisfaction And Visual Acuity In Cataract Surgeries With Multifocal Intraocular Lens Implantation",
        "Presenting Author(s)": "Prof. Dr Luciano Porto Bellini",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Luciano",
        "Submitter Middle Name": "Porto",
        "Submitter Last Name": "Bellini",
        "Country Name": "Brazil",
        "Purpose": "To compare topical anesthesia (TA) versus peribulbar block (PBB) regarding the rate of intraoperative complications, postoperative patient satisfaction and postoperative uncorrected visual acuity in cataract surgeries with multifocal intraocular lens (mIOL) implantation.",
        "Setting": "The type of anesthesia (TA or PBB) may interfere with the perception of dysphotopsia after cataract surgery with mIOL implantation, especially in the first hours after surgery, which may have impact on patient satisfaction. This is a retrospective study, evaluating medical records of 8,354 cataract surgeries performed between 2010 and 2025 in an ophthalmological medical center in Brazil.",
        "Methods": "Through a retrospective study, evaluating medical records of 8,354 cataract surgeries performed between 2010 and 2025, a cohort of 500 patients (1000 surgeries) undergoing mIOL implantation in both eyes were randomly distributed into 2 groups according to the type of anesthesia performed: 250 patients (500 surgeries) in the group with TA and 250 patients (500 surgeries) in the group with PBB. The two groups were compared in regard to the rate of intraoperative complications, postoperative patient satisfaction (scale from 0 to 10), postoperative uncorrected distance visual acuity (UDVA) and uncorrected near visual acuity (UNVA) at 24 hours, 1 month and 6 months postoperatively.",
        "Results": "There was no statistically significant difference between the groups in regard to intraoperative complications, nor in relation to postoperative UDVA and UNVA in the time intervals evaluated in this study. There was no statistically significant difference between the groups in regard to patient satisfaction on 1 month and 6 months after surgery. Postoperative patient satisfaction was higher in the PBB group in the first 24-hours postoperative period compared to the TA group.(mean scale score: 8.8 in PBB versus 6.3 in TA; p<0.05)",
        "Conclusions": "According to this study, PBB appears to offer greater patient satisfaction in the first 24-hours postoperative period compared to TA in patients undergoing cataract surgery with mIOL implantation. This appears to be related to the greater complaints of dysphotopsia with TA in the first 24-hours after surgery, compared to PBB. There was no difference between TA and PBB in terms of UDVA, UNVA and patient satisfaction on 1 and 6 months after surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POCAT470",
      "abstract_number": "POCAT470",
      "title": "12 Months Follow-Up Of A Spiral Continuous Full Range Of Field Iol: Refractive Outcomes And Pupil Size Correlation",
      "authors": "Dr JOSEFINA BOTTA",
      "presenter": "Dr JOSEFINA BOTTA",
      "normalized_authors": [
        "JOSEFINA BOTTA"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Josefina Botta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "Prospective Interventional case series to investigate visual and refractive outcomes of patients receiving a new spiral continuous full range of field (C-FRoF) intraocular lens (RayOne Galaxy, Rayner Intraocular Lens LTD- United Kingdom)",
        "Setting": "RB Vision, Buenos Aires, Argentina. Patients who underwent bilateral phacoemulsification surgery with a follow up visit at twelve months were enrolled. Outcomes measures: uncorrected visual acuity (at distance, intermediate and near), refractive outcomes, photic phenomena and mesopic pupil size correlation.",
        "Methods": "Forty-six eyes of twenty tree patients (28 non-Toric and 18 Toric Galaxy IOLs) were included. A comprehensive ophthalmic examination was carried out in each patient, including ARM, UDVA, UIVA, UNVA, slit lamp and fundus examination, optical biometry, mesopic pupillometry, topography (Topcon Aladdin)), specular microscopy (Topcon SP-1P), and macular and fibre OCT (Topcon Maestro 2). Mu Chord was considered to assess pupil decentration. Inclusion criteria were bilaterally implanted patients with the IOL available for 12 months follow-up examination . Exclusion criteria were cognitive deficit preventing patients from reading. Distance, intermediate and near vision were evaluated at 300, 60 and 40 cm respectively (Precision Vision Chart).",
        "Results": "All surgeries were performed uneventfully. Mean preoperative SE was 1.41 dioptres SD 2.37 (mean sphere 1.99 SD 2.42, mean cylinder -1.41 SD 2.37). Mean postoperative SE was -0.22 dioptres SD 0.67 (mean sphere -0.55 SD 0.52, mean cylinder -0.50 SD 0.74) at the 12-month follow up. Mean preoperative UDVA was 0.53 SD 0.26 LogMar. Mean postoperative UDVA was 0.06 SD 0.09 LogMar at the 12 month follow up. UIVA and UNVA were 0.0 LogMar in all eyes. No correlation was found with regards to pupil centration (MEAN MU CHORD 0.27 SD 0.23 - mean values x -0.02 SD 0.32 y -0.06 SD 0.21) and postoperative UDVA. Photic phenomena were inquired actively, no patient reported halos and only 4 of 23 patients reported non bothersome glare at distance vision.",
        "Conclusions": "RayOne Galaxy IOL, designed with a unique non diffractive spiral optic provides excellent visual outcomes, minimal photic phenomena and apparent pupil independence in relation to IOL centration. A higher N of cases should be evaluated for further confirmation of these findings and patient reported outcome measures should be collected to better comprehend visual disturbances and level of satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RayOne Galaxy IOL, designed with a unique non diffractive spiral optic provides excellent visual outcomes, minimal photic phenomena and apparent pupil independence in relation to IOL centration. A higher N of cases should be evaluated for further confirmation of these findings and patient reported outcome measures should be collected to better comprehend visual disturbances and level of satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 508,
      "source_fields": {
        "Abstract Final Identifier": "POCAT470",
        "Title": "12 Months Follow-Up Of A Spiral Continuous Full Range Of Field Iol: Refractive Outcomes And Pupil Size Correlation",
        "Presenting Author(s)": "Dr JOSEFINA BOTTA",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Josefina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Botta",
        "Country Name": "Argentina",
        "Purpose": "Prospective Interventional case series to investigate visual and refractive outcomes of patients receiving a new spiral continuous full range of field (C-FRoF) intraocular lens (RayOne Galaxy, Rayner Intraocular Lens LTD- United Kingdom)",
        "Setting": "RB Vision, Buenos Aires, Argentina. Patients who underwent bilateral phacoemulsification surgery with a follow up visit at twelve months were enrolled. Outcomes measures: uncorrected visual acuity (at distance, intermediate and near), refractive outcomes, photic phenomena and mesopic pupil size correlation.",
        "Methods": "Forty-six eyes of twenty tree patients (28 non-Toric and 18 Toric Galaxy IOLs) were included. A comprehensive ophthalmic examination was carried out in each patient, including ARM, UDVA, UIVA, UNVA, slit lamp and fundus examination, optical biometry, mesopic pupillometry, topography (Topcon Aladdin)), specular microscopy (Topcon SP-1P), and macular and fibre OCT (Topcon Maestro 2). Mu Chord was considered to assess pupil decentration. Inclusion criteria were bilaterally implanted patients with the IOL available for 12 months follow-up examination . Exclusion criteria were cognitive deficit preventing patients from reading. Distance, intermediate and near vision were evaluated at 300, 60 and 40 cm respectively (Precision Vision Chart).",
        "Results": "All surgeries were performed uneventfully. Mean preoperative SE was 1.41 dioptres SD 2.37 (mean sphere 1.99 SD 2.42, mean cylinder -1.41 SD 2.37). Mean postoperative SE was -0.22 dioptres SD 0.67 (mean sphere -0.55 SD 0.52, mean cylinder -0.50 SD 0.74) at the 12-month follow up. Mean preoperative UDVA was 0.53 SD 0.26 LogMar. Mean postoperative UDVA was 0.06 SD 0.09 LogMar at the 12 month follow up. UIVA and UNVA were 0.0 LogMar in all eyes. No correlation was found with regards to pupil centration (MEAN MU CHORD 0.27 SD 0.23 - mean values x -0.02 SD 0.32 y -0.06 SD 0.21) and postoperative UDVA. Photic phenomena were inquired actively, no patient reported halos and only 4 of 23 patients reported non bothersome glare at distance vision.",
        "Conclusions": "RayOne Galaxy IOL, designed with a unique non diffractive spiral optic provides excellent visual outcomes, minimal photic phenomena and apparent pupil independence in relation to IOL centration. A higher N of cases should be evaluated for further confirmation of these findings and patient reported outcome measures should be collected to better comprehend visual disturbances and level of satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 383
    },
    {
      "uid": "POCAT471",
      "abstract_number": "POCAT471",
      "title": "Clinical Outcomes And Defocus Curve Analysis Of A New Refractive Miol",
      "authors": "Dr Detlev Breyer",
      "presenter": "Dr Detlev Breyer",
      "normalized_authors": [
        "Detlev Breyer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Detlev Breyer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the visual performance and defocus curve characteristics of a new refractive multifocal IOL (MIOL) with a spiral optic.",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "Twenty-four patients underwent bilateral implantation of the Rayner Spiral Galaxy IOL (Rayner) during cataract surgery. Postoperative visual outcomes, including uncorrected and best-corrected distance, intermediate, and near visual acuities, were assessed. Defocus curve analysis (binocular uncorrected and monocular corrected) was performed to evaluate functional vision. Follow-up measurements were recorded three months postoperatively. The presence of photic phenomena was examined with the Halo & Glare Simulator (Zeiss) and quantified with the McAlinden Quality of Vision Questionnaire . Patient satisfaction and spectacle independence for distance, intermediate, and near were assessed with the McAlinden patient satisfaction survey.",
        "Results": "All patients achieved excellent uncorrected distance visual acuity, with a well-preserved range of functional vision at intermediate and near distances. Defocus curve analysis demonstrated a smooth and continuous transition of visual acuity, with minimal loss of quality across all distances. The majority of patients reported no or occasionally mild photic phenomena; severe glare, halo, starburst, blurred or fluctuating vision, and distortions were rare or absent. Most patients rated their quality of vision as good to very good at all distances, and at least around 95% no longer needed glasses for everyday activities, including reading a book and working at PC distance. Overall patient satisfaction was high.",
        "Conclusions": "The Rayner Spiral Galaxy MIOL provides excellent visual outcomes with a stable and well-balanced defocus profile. Quality of vision, reduced photopic phenomena and better contrast vision in comparison to classic diffractive MIOL make it a highly interesting alternative especially for patients who are driving at night time"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Rayner Spiral Galaxy MIOL provides excellent visual outcomes with a stable and well-balanced defocus profile. Quality of vision, reduced photopic phenomena and better contrast vision in comparison to classic diffractive MIOL make it a highly interesting alternative especially for patients who are driving at night time",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 509,
      "source_fields": {
        "Abstract Final Identifier": "POCAT471",
        "Title": "Clinical Outcomes And Defocus Curve Analysis Of A New Refractive Miol",
        "Presenting Author(s)": "Dr Detlev Breyer",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Detlev",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Breyer",
        "Country Name": "Germany",
        "Purpose": "To evaluate the visual performance and defocus curve characteristics of a new refractive multifocal IOL (MIOL) with a spiral optic.",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "Twenty-four patients underwent bilateral implantation of the Rayner Spiral Galaxy IOL (Rayner) during cataract surgery. Postoperative visual outcomes, including uncorrected and best-corrected distance, intermediate, and near visual acuities, were assessed. Defocus curve analysis (binocular uncorrected and monocular corrected) was performed to evaluate functional vision. Follow-up measurements were recorded three months postoperatively. The presence of photic phenomena was examined with the Halo & Glare Simulator (Zeiss) and quantified with the McAlinden Quality of Vision Questionnaire . Patient satisfaction and spectacle independence for distance, intermediate, and near were assessed with the McAlinden patient satisfaction survey.",
        "Results": "All patients achieved excellent uncorrected distance visual acuity, with a well-preserved range of functional vision at intermediate and near distances. Defocus curve analysis demonstrated a smooth and continuous transition of visual acuity, with minimal loss of quality across all distances. The majority of patients reported no or occasionally mild photic phenomena; severe glare, halo, starburst, blurred or fluctuating vision, and distortions were rare or absent. Most patients rated their quality of vision as good to very good at all distances, and at least around 95% no longer needed glasses for everyday activities, including reading a book and working at PC distance. Overall patient satisfaction was high.",
        "Conclusions": "The Rayner Spiral Galaxy MIOL provides excellent visual outcomes with a stable and well-balanced defocus profile. Quality of vision, reduced photopic phenomena and better contrast vision in comparison to classic diffractive MIOL make it a highly interesting alternative especially for patients who are driving at night time"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT472",
      "abstract_number": "POCAT472",
      "title": "Refractive Lens Exchange With Trifocal Intraocular Lenses In Adult Patients With Mild To Moderate Amblyopia: Ten-Year Outcomes And Subjective Satisfaction",
      "authors": "Dr Markéta Brožková",
      "presenter": "Dr Markéta Brožková",
      "normalized_authors": [
        "Markéta Brožková"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Markéta Brožková",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate 10-year visual outcomes, including patient-reported satisfaction after refractive lens exchange (RLE) with trifocal intraocular lens (IOL) implantation in adults with mild to moderate amblyopia.",
        "Setting": "Lexum Eye Clinics, Prague, Czech Republic (surgeries performed between 2014-2015).",
        "Methods": "Our study included 29 eyes of 29 patients (mean age 55±7 years; range 43-68 years) with unilateral amblyopia who underwent RLE with bilateral implantation of trifocal lenses. Implanted IOLs were AT LISA tri 839MP (Carl Zeiss Meditec) and FineVision Micro F (PhysIOL), including toric versions. Inclusion criteria for trifocal IOL implantation in the amblyopic eye were corrected distance visual acuity ≥0.4 logMAR and near visual acuity ≥0.48 logMAR. Mean follow-up was 10 years. Outcome measures included uncorrected and corrected distance (UDVA, CDVA), intermediate, near visual acuity (UNVA, CNVA), refraction, postoperative defocus curve, and contrast sensitivity. Subjective patient satisfaction was evaluated using two types of questionnaires.",
        "Results": "Mean spherical equivalent in studied amblyopic eyes changed from 3.27 ± 3.19 D before surgery to -0.16 ± 0.56 D at 10 years. UDVA improved from 0.91 ± 0.30 logMAR to postoperative 0.29 ± 0.16 logMAR (P < .0001). Mean CDVA remained stable (0.19 ± 0.08 logMAR preoperatively vs 0.18 ± 0.10 logMAR postoperatively). Preoperative CNVA was 0.18 ± 0.12 logMAR and postoperative UNVA was 0.23 ± 0.15 logMAR. Defocus curve corresponded to a trifocal profile. Contrast sensitivity was reduced in amblyopic eyes but remained within normal limits. Based on questionnaire outcomes, patients reported stable long-term satisfaction with visual performance.",
        "Conclusions": "Long-term results of our study demonstrate that refractive lens exchange with trifocal IOL implantation in carefully selected amblyopic patients can significantly improve uncorrected visual acuity and may enhance binocular function. High level of subjective satisfaction further supports the viability of trifocal IOLs in this traditionally excluded population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Long-term results of our study demonstrate that refractive lens exchange with trifocal IOL implantation in carefully selected amblyopic patients can significantly improve uncorrected visual acuity and may enhance binocular function. High level of subjective satisfaction further supports the viability of trifocal IOLs in this traditionally excluded population.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 510,
      "source_fields": {
        "Abstract Final Identifier": "POCAT472",
        "Title": "Refractive Lens Exchange With Trifocal Intraocular Lenses In Adult Patients With Mild To Moderate Amblyopia: Ten-Year Outcomes And Subjective Satisfaction",
        "Presenting Author(s)": "Dr Markéta Brožková",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Markéta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brožková",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate 10-year visual outcomes, including patient-reported satisfaction after refractive lens exchange (RLE) with trifocal intraocular lens (IOL) implantation in adults with mild to moderate amblyopia.",
        "Setting": "Lexum Eye Clinics, Prague, Czech Republic (surgeries performed between 2014-2015).",
        "Methods": "Our study included 29 eyes of 29 patients (mean age 55±7 years; range 43-68 years) with unilateral amblyopia who underwent RLE with bilateral implantation of trifocal lenses. Implanted IOLs were AT LISA tri 839MP (Carl Zeiss Meditec) and FineVision Micro F (PhysIOL), including toric versions. Inclusion criteria for trifocal IOL implantation in the amblyopic eye were corrected distance visual acuity ≥0.4 logMAR and near visual acuity ≥0.48 logMAR. Mean follow-up was 10 years. Outcome measures included uncorrected and corrected distance (UDVA, CDVA), intermediate, near visual acuity (UNVA, CNVA), refraction, postoperative defocus curve, and contrast sensitivity. Subjective patient satisfaction was evaluated using two types of questionnaires.",
        "Results": "Mean spherical equivalent in studied amblyopic eyes changed from 3.27 ± 3.19 D before surgery to -0.16 ± 0.56 D at 10 years. UDVA improved from 0.91 ± 0.30 logMAR to postoperative 0.29 ± 0.16 logMAR (P < .0001). Mean CDVA remained stable (0.19 ± 0.08 logMAR preoperatively vs 0.18 ± 0.10 logMAR postoperatively). Preoperative CNVA was 0.18 ± 0.12 logMAR and postoperative UNVA was 0.23 ± 0.15 logMAR. Defocus curve corresponded to a trifocal profile. Contrast sensitivity was reduced in amblyopic eyes but remained within normal limits. Based on questionnaire outcomes, patients reported stable long-term satisfaction with visual performance.",
        "Conclusions": "Long-term results of our study demonstrate that refractive lens exchange with trifocal IOL implantation in carefully selected amblyopic patients can significantly improve uncorrected visual acuity and may enhance binocular function. High level of subjective satisfaction further supports the viability of trifocal IOLs in this traditionally excluded population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT473",
      "abstract_number": "POCAT473",
      "title": "Patient Satisfaction And Regression Analysis In Patients Receiving A Light Adjustable Lens + In The Dominant Eye And A Multifocal Iol In The Non-Dominant Eye",
      "authors": "Dr Frank Bucci",
      "presenter": "Dr Frank Bucci",
      "normalized_authors": [
        "Frank Bucci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Frank A Bucci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "1) Evaluate patient satisfaction and use regression analysis to identify objective variables that are significant predictors of “overall patient satisfaction” and answer the question: Will the potential qualitative benefits (HOAs, dysphotopsias, and CS) of an LAL+ more than compensate for decreased near vision as a result of replacing one multifocal IOL with an LAL+ ? 2) Compare the outcomes of this LAL+ study to a previous study with 27 LAL\n\n(not +)/multifocal patients (ESCRS 2025), with specific emphasis on the influence of the LAL+ magnifier on contrast sensitivity (CS) and overall satisfaction.",
        "Setting": "Bucci Laser Vision Institute\n\nWilkes-Barre\n\nPennsylvania\n\nUnited States",
        "Methods": "Clinical outcomes & data for 32 LAL+/multifocal cataract pts were collected including uncorrected visual acuities, HOAs, manifest refraction, reading speed & acuity, and photopic & mesopic CS with & w/o glare. A published subjective questionnaire explored frequency of glasses use for visual function at near, inter, & dist, and frequency & severity of dysphotopsias. Angle kappa, asphericity, mesopic & photopic pupil size, and residual sphere & astigmatism were also evaluated. Multivariate regression analysis was used to detect which variables were sig predictors of the dependent variable “overall patient satisfaction.” These results were compared to a previous study with identical methods which included 27 LAL (not +)/multifocal patients.",
        "Results": "32 pts (LAL+/Multi) were evaluated. 75.0% (vs. 54.2% LAL) were “very satisfied” and 21.9% (vs 45.8% LAL) were “satisfied”. Regression detected 5 sig predictors of “overall patient satisfaction.” The equation (R 2 of .89) was: “Overall Patient Satisfaction” = +3.51 +(-0.56) CS photo w/glare 3.0 cpd\n\n+(-0.74) Dist VAsc +(1.27) CS meso w/glare +(-0.22) Intermed VAsc +(-0.35) CS photo w/glare 18.0 cpd. The mean near vision was J2 with LAL+ (vs J3 w/LAL), resulting in a 10% increase in reading speed (89.9 WPM w/ LAL+ vs 82.1 WPM w/LAL p=.003). The CS advantage over the multifocal eyes decreased when using LAL+ vs. LAL. 6 of 16 CS variables were sig better in the LAL+ eyes vs. multifocal eyes, compared to 15 of 16 CS variables with the LAL eyes",
        "Conclusions": "1) Outcomes again supported the thesis that the benefits of using one LAL (decreased HOAs & dyspotopsias & increased CS) with a multifocal more than compensates for the decrease in near vision vs two multifocals. 2) There was a sig increase (21%) in “very satisfied” patients with the LAL+(75.0%) vs the LAL (54.2%) with a 10% increase in bilateral reading speed. 3) Regression identified 3 CS variables as predictors of overall satisfaction. The CS advantage with LAL vs mutifocal IOLs decreased with use of the LAL+, likely due to adding a magnifier to the IOL optic. 4) It appears that the improved near visual function had a greater influence on overall satisfaction than the effects of decreased CS from the added magnifier of the LAL+ lens."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "1) Outcomes again supported the thesis that the benefits of using one LAL (decreased HOAs & dyspotopsias & increased CS) with a multifocal more than compensates for the decrease in near vision vs two multifocals. 2) There was a sig increase (21%) in “very satisfied” patients with the LAL+(75.0%) vs the LAL (54.2%) with a 10% increase in bilateral reading speed. 3) Regression identified 3 CS variables as predictors…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 511,
      "source_fields": {
        "Abstract Final Identifier": "POCAT473",
        "Title": "Patient Satisfaction And Regression Analysis In Patients Receiving A Light Adjustable Lens + In The Dominant Eye And A Multifocal Iol In The Non-Dominant Eye",
        "Presenting Author(s)": "Dr Frank Bucci",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Frank",
        "Submitter Middle Name": "A",
        "Submitter Last Name": "Bucci",
        "Country Name": "United States",
        "Purpose": "1) Evaluate patient satisfaction and use regression analysis to identify objective variables that are significant predictors of “overall patient satisfaction” and answer the question: Will the potential qualitative benefits (HOAs, dysphotopsias, and CS) of an LAL+ more than compensate for decreased near vision as a result of replacing one multifocal IOL with an LAL+ ? 2) Compare the outcomes of this LAL+ study to a previous study with 27 LAL\n\n(not +)/multifocal patients (ESCRS 2025), with specific emphasis on the influence of the LAL+ magnifier on contrast sensitivity (CS) and overall satisfaction.",
        "Setting": "Bucci Laser Vision Institute\n\nWilkes-Barre\n\nPennsylvania\n\nUnited States",
        "Methods": "Clinical outcomes & data for 32 LAL+/multifocal cataract pts were collected including uncorrected visual acuities, HOAs, manifest refraction, reading speed & acuity, and photopic & mesopic CS with & w/o glare. A published subjective questionnaire explored frequency of glasses use for visual function at near, inter, & dist, and frequency & severity of dysphotopsias. Angle kappa, asphericity, mesopic & photopic pupil size, and residual sphere & astigmatism were also evaluated. Multivariate regression analysis was used to detect which variables were sig predictors of the dependent variable “overall patient satisfaction.” These results were compared to a previous study with identical methods which included 27 LAL (not +)/multifocal patients.",
        "Results": "32 pts (LAL+/Multi) were evaluated. 75.0% (vs. 54.2% LAL) were “very satisfied” and 21.9% (vs 45.8% LAL) were “satisfied”. Regression detected 5 sig predictors of “overall patient satisfaction.” The equation (R 2 of .89) was: “Overall Patient Satisfaction” = +3.51 +(-0.56) CS photo w/glare 3.0 cpd\n\n+(-0.74) Dist VAsc +(1.27) CS meso w/glare +(-0.22) Intermed VAsc +(-0.35) CS photo w/glare 18.0 cpd. The mean near vision was J2 with LAL+ (vs J3 w/LAL), resulting in a 10% increase in reading speed (89.9 WPM w/ LAL+ vs 82.1 WPM w/LAL p=.003). The CS advantage over the multifocal eyes decreased when using LAL+ vs. LAL. 6 of 16 CS variables were sig better in the LAL+ eyes vs. multifocal eyes, compared to 15 of 16 CS variables with the LAL eyes",
        "Conclusions": "1) Outcomes again supported the thesis that the benefits of using one LAL (decreased HOAs & dyspotopsias & increased CS) with a multifocal more than compensates for the decrease in near vision vs two multifocals. 2) There was a sig increase (21%) in “very satisfied” patients with the LAL+(75.0%) vs the LAL (54.2%) with a 10% increase in bilateral reading speed. 3) Regression identified 3 CS variables as predictors of overall satisfaction. The CS advantage with LAL vs mutifocal IOLs decreased with use of the LAL+, likely due to adding a magnifier to the IOL optic. 4) It appears that the improved near visual function had a greater influence on overall satisfaction than the effects of decreased CS from the added magnifier of the LAL+ lens."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 476
    },
    {
      "uid": "POCAT474",
      "abstract_number": "POCAT474",
      "title": "Standardised Comparison Of Two Frov Implants: Diffractive Trifocal (Duet Rayner Trifocal) And Diffractive Bifocal With Asphericity Modulation (Maxvision Ophtalmopro)",
      "authors": "Dr Julien Combes",
      "presenter": "Dr Julien Combes",
      "normalized_authors": [
        "Julien Combes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julien Combes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate in a standardised manner the visual results after implantation of MaxVision multifocal implants (Ophthalmo Pro, St-Ingbert, Germany) and DUET trifocal sulcoflex implants (Rayner, Worthing, England).",
        "Setting": "Retrospective single-centre study including 30 patients who underwent bilateral cataract surgery and were implanted with a MaxVision implant (15 patients) or a DUET procedure (Rayone 600C or 610T + sulcoflex trifocal) with a 3-month post-operative assessment",
        "Methods": "a 3-month post-operative assessment according to ESCRS recommended standards: standardised measurement of visual acuity (Qvision Vision C ) without correction and with distance correction (3.5 m corrected to infinity), intermediate vision (66 cm) and near vision (40 cm), monocular and binocular defocus curves with distance correction from +1.5D to -3.5D, photopic and mesopic contrast sensitivity (Qvision CSF application) and online satisfaction questionnaire",
        "Results": "Results in progress\nPreliminary results for Maxvision (10 patients): average AVLSC of 0.02 +/- 0.1 Logmar, average AVISC of 0.06 +/- 0.12 Logmar, average AVPSC of 0.12 +/- 0.12 Logmar\nComparisons: visual acuity, depth of field and defocus profile, contrast vision in photopic and mesopic conditions, satisfaction.",
        "Conclusions": "Conclusion currently being analysed:\nGood efficacy, safety and satisfaction for both implants\nDefocus profile according to ESCRS classification to be confirmed: more of a ‘smooth transition full range of vision’ type for the Sulcoflex trifocal and a profile closer to a ‘continuous full range of vision’ implant for the Maxvision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion currently being analysed: Good efficacy, safety and satisfaction for both implants Defocus profile according to ESCRS classification to be confirmed: more of a ‘smooth transition full range of vision’ type for the Sulcoflex trifocal and a profile closer to a ‘continuous full range of vision’ implant for the Maxvision.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 512,
      "source_fields": {
        "Abstract Final Identifier": "POCAT474",
        "Title": "Standardised Comparison Of Two Frov Implants: Diffractive Trifocal (Duet Rayner Trifocal) And Diffractive Bifocal With Asphericity Modulation (Maxvision Ophtalmopro)",
        "Presenting Author(s)": "Dr Julien Combes",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Julien",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Combes",
        "Country Name": "France",
        "Purpose": "To evaluate in a standardised manner the visual results after implantation of MaxVision multifocal implants (Ophthalmo Pro, St-Ingbert, Germany) and DUET trifocal sulcoflex implants (Rayner, Worthing, England).",
        "Setting": "Retrospective single-centre study including 30 patients who underwent bilateral cataract surgery and were implanted with a MaxVision implant (15 patients) or a DUET procedure (Rayone 600C or 610T + sulcoflex trifocal) with a 3-month post-operative assessment",
        "Methods": "a 3-month post-operative assessment according to ESCRS recommended standards: standardised measurement of visual acuity (Qvision Vision C ) without correction and with distance correction (3.5 m corrected to infinity), intermediate vision (66 cm) and near vision (40 cm), monocular and binocular defocus curves with distance correction from +1.5D to -3.5D, photopic and mesopic contrast sensitivity (Qvision CSF application) and online satisfaction questionnaire",
        "Results": "Results in progress\nPreliminary results for Maxvision (10 patients): average AVLSC of 0.02 +/- 0.1 Logmar, average AVISC of 0.06 +/- 0.12 Logmar, average AVPSC of 0.12 +/- 0.12 Logmar\nComparisons: visual acuity, depth of field and defocus profile, contrast vision in photopic and mesopic conditions, satisfaction.",
        "Conclusions": "Conclusion currently being analysed:\nGood efficacy, safety and satisfaction for both implants\nDefocus profile according to ESCRS classification to be confirmed: more of a ‘smooth transition full range of vision’ type for the Sulcoflex trifocal and a profile closer to a ‘continuous full range of vision’ implant for the Maxvision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "POCAT475",
      "abstract_number": "POCAT475",
      "title": "In Vitro Optical Performance For The Next Generation Trifocal Intraocular Lens: Comparative Bench Analysis Of Clareon Panoptix Pro And Clareon Panoptix",
      "authors": "Dr Andrzej Dmitriew",
      "presenter": "Dr Andrzej Dmitriew",
      "normalized_authors": [
        "Andrzej Dmitriew"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrzej Dmitriew",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate the in vitro optical performance of a modified trifocal intraocular lens (IOL), Clareon PanOptix Pro, and compare it with the established Clareon PanOptix platform. The analysis focused on light utilization, light distribution across focal points, and image quality parameters relevant to functional vision, particularly in the distance-to-intermediate defocus range.",
        "Setting": "Optical bench testing and model eye simulation conducted at Alcon Research, LLC, Fort Worth, Texas, USA.",
        "Methods": "Total light utilization was quantified using two-dimensional point spread function (PSF) analysis. Modulation transfer function (MTF) measurements were obtained under white-light conditions at distance, intermediate, near, and -1.0 D defocus. The area under the MTF curve (0-70 lp/mm) was calculated. Predicted through-focus binocular visual acuity (VA) was derived from MTF-based modeling to estimate functional optical performance across the defocus range.",
        "Results": "Total light utilization increased from 88% with Clareon PanOptix to 94% with Clareon PanOptix Pro. PSF analysis demonstrated redistribution of light energy toward distance and intermediate focal points. White-light MTF showed a 16% higher average value (0-70 lp/mm) at -1.0 D defocus for PanOptix Pro. Predicted through-focus VA suggested a continuous range of vision with maintained performance at distance, intermediate, and near focal points.",
        "Conclusions": "Bench testing indicates that the modified trifocal design improves light utilization and enhances optical quality in the distance-to-intermediate range while preserving performance at established focal points. These findings suggest potential functional benefits for far-intermediate tasks; however, confirmation in prospective clinical studies is required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bench testing indicates that the modified trifocal design improves light utilization and enhances optical quality in the distance-to-intermediate range while preserving performance at established focal points. These findings suggest potential functional benefits for far-intermediate tasks; however, confirmation in prospective clinical studies is required.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 513,
      "source_fields": {
        "Abstract Final Identifier": "POCAT475",
        "Title": "In Vitro Optical Performance For The Next Generation Trifocal Intraocular Lens: Comparative Bench Analysis Of Clareon Panoptix Pro And Clareon Panoptix",
        "Presenting Author(s)": "Dr Andrzej Dmitriew",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Andrzej",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dmitriew",
        "Country Name": "Poland",
        "Purpose": "To evaluate the in vitro optical performance of a modified trifocal intraocular lens (IOL), Clareon PanOptix Pro, and compare it with the established Clareon PanOptix platform. The analysis focused on light utilization, light distribution across focal points, and image quality parameters relevant to functional vision, particularly in the distance-to-intermediate defocus range.",
        "Setting": "Optical bench testing and model eye simulation conducted at Alcon Research, LLC, Fort Worth, Texas, USA.",
        "Methods": "Total light utilization was quantified using two-dimensional point spread function (PSF) analysis. Modulation transfer function (MTF) measurements were obtained under white-light conditions at distance, intermediate, near, and -1.0 D defocus. The area under the MTF curve (0-70 lp/mm) was calculated. Predicted through-focus binocular visual acuity (VA) was derived from MTF-based modeling to estimate functional optical performance across the defocus range.",
        "Results": "Total light utilization increased from 88% with Clareon PanOptix to 94% with Clareon PanOptix Pro. PSF analysis demonstrated redistribution of light energy toward distance and intermediate focal points. White-light MTF showed a 16% higher average value (0-70 lp/mm) at -1.0 D defocus for PanOptix Pro. Predicted through-focus VA suggested a continuous range of vision with maintained performance at distance, intermediate, and near focal points.",
        "Conclusions": "Bench testing indicates that the modified trifocal design improves light utilization and enhances optical quality in the distance-to-intermediate range while preserving performance at established focal points. These findings suggest potential functional benefits for far-intermediate tasks; however, confirmation in prospective clinical studies is required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCAT476",
      "abstract_number": "POCAT476",
      "title": "Propensity-Matched Comparison Of Rayone Galaxy And Rayone Monofocal Intraocular Lenses In A Large Real-World Cataract Surgery Cohort",
      "authors": "Mr Tom Critchley",
      "presenter": "Mr Tom Critchley",
      "normalized_authors": [
        "Tom Critchley"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mahmut Dogramaci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "To compare postoperative visual outcomes between the RayOne Galaxy intraocular lens and the RayOne monofocal intraocular lens in a large real-world cataract surgery cohort.",
        "Setting": "Spamedica hospitals and Freedom Vision",
        "Methods": "A retrospective multicentre dataset analysis of 5654 eyes undergoing cataract surgery with Rayner intraocular lenses. Eyes implanted with RayOne Galaxy lenses (including toric models) were compared with eyes implanted with RayOne monofocal lenses. Propensity score matching was performed using preoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), corneal astigmatism derived from keratometry, and axial length to generate balanced comparison cohorts. Postoperative UDVA, CDVA, and visual acuity improvement were compared between groups. Multivariable regression analysis was used to evaluate the independent association between intraocular lens type and postoperative visual outcomes.",
        "Results": "Propensity matching generated balanced cohorts of 418 eyes per group with excellent baseline balance across all matching variables (standardised mean differences <0.06). Postoperative UDVA was significantly better in the RayOne Galaxy group compared with RayOne monofocal lenses (mean logMAR 0.075 vs 0.146), with greater visual acuity improvement (0.451 vs 0.364 logMAR, p < 0.001). There was no significant difference in postoperative CDVA between groups (0.057 vs 0.054 logMAR, p = 0.80). Multivariable regression analysis confirmed that RayOne Galaxy lens was independently associated with improved postoperative UDVA (β = −0.066 logMAR, p < 0.001) after adjustment for baseline visual acuity, axial length, and corneal astigmatism.",
        "Conclusions": "In this large real-world cohort, the RayOne Galaxy intraocular lens demonstrated significantly better uncorrected distance visual acuity and greater improvement in postoperative vision compared with a conventional RayOne monofocal lens, while maintaining equivalent corrected visual acuity. These findings support the optical advantage of the RayOne Galaxy design in improving functional visual outcomes following cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large real-world cohort, the RayOne Galaxy intraocular lens demonstrated significantly better uncorrected distance visual acuity and greater improvement in postoperative vision compared with a conventional RayOne monofocal lens, while maintaining equivalent corrected visual acuity. These findings support the optical advantage of the RayOne Galaxy design in improving functional visual outcomes following…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 514,
      "source_fields": {
        "Abstract Final Identifier": "POCAT476",
        "Title": "Propensity-Matched Comparison Of Rayone Galaxy And Rayone Monofocal Intraocular Lenses In A Large Real-World Cataract Surgery Cohort",
        "Presenting Author(s)": "Mr Tom Critchley",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Mahmut",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dogramaci",
        "Country Name": "Afghanistan",
        "Purpose": "To compare postoperative visual outcomes between the RayOne Galaxy intraocular lens and the RayOne monofocal intraocular lens in a large real-world cataract surgery cohort.",
        "Setting": "Spamedica hospitals and Freedom Vision",
        "Methods": "A retrospective multicentre dataset analysis of 5654 eyes undergoing cataract surgery with Rayner intraocular lenses. Eyes implanted with RayOne Galaxy lenses (including toric models) were compared with eyes implanted with RayOne monofocal lenses. Propensity score matching was performed using preoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), corneal astigmatism derived from keratometry, and axial length to generate balanced comparison cohorts. Postoperative UDVA, CDVA, and visual acuity improvement were compared between groups. Multivariable regression analysis was used to evaluate the independent association between intraocular lens type and postoperative visual outcomes.",
        "Results": "Propensity matching generated balanced cohorts of 418 eyes per group with excellent baseline balance across all matching variables (standardised mean differences <0.06). Postoperative UDVA was significantly better in the RayOne Galaxy group compared with RayOne monofocal lenses (mean logMAR 0.075 vs 0.146), with greater visual acuity improvement (0.451 vs 0.364 logMAR, p < 0.001). There was no significant difference in postoperative CDVA between groups (0.057 vs 0.054 logMAR, p = 0.80). Multivariable regression analysis confirmed that RayOne Galaxy lens was independently associated with improved postoperative UDVA (β = −0.066 logMAR, p < 0.001) after adjustment for baseline visual acuity, axial length, and corneal astigmatism.",
        "Conclusions": "In this large real-world cohort, the RayOne Galaxy intraocular lens demonstrated significantly better uncorrected distance visual acuity and greater improvement in postoperative vision compared with a conventional RayOne monofocal lens, while maintaining equivalent corrected visual acuity. These findings support the optical advantage of the RayOne Galaxy design in improving functional visual outcomes following cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT477",
      "abstract_number": "POCAT477",
      "title": "Light And Spectacle Dependence, Quality Of Vision, And Patient Satisfaction Of A Full Range Of Vision Intraocular Lens With Spiral Optics",
      "authors": "Dr Keshia Lourdes Duyongco-Lenon",
      "presenter": "Dr Keshia Lourdes Duyongco-Lenon",
      "normalized_authors": [
        "Keshia Lourdes Duyongco-Lenon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Keshia Lourdes Duyongco-Lenon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To evaluate light and spectacle dependence, quality of vision, patient satisfaction after bilateral implantation of a non-diffractive, hydrophilic multifocal intraocular lens (IOL) with spiral optics: RayOne Galaxy® (Rayner, Worthing, UK) in Filipino patients at 1 month, 3 months, and 6 months after cataract surgery and to investigate the role of ocular surface health in over-all functioning and quality of vision",
        "Setting": "Prospective, single-surgeon, single-center study at the Eye and Vision Institute, The Medical City, Manila, Philippines",
        "Methods": "Adults above 18 years old underwent bilateral phacoemulsification and implantation of the RayOne Galaxy® IOL with an emmetropic target. At 1 month, 3 months, and 6 months after surgery, manifest refraction, uncorrected visual acuities at distance (UDVA), intermediate at 63cm (UIVA 63cm), near at 40cm (UNVA 40cm), and near at 33cm (UNVA 33cm) were measured. Spectacle and light dependence, quality of vision (QOV), and patient satisfaction were assessed using validated questionnaires. The ocular surface was evaluated using tear break-up time, tear break-up pattern, and corneal staining at all visits and managed with topical dry eye medications as indicated.",
        "Results": "The study has thirteen patients(n=26 eyes). At 6 months, mean spherical refraction(±SD) is -0.24(±0.71) diopters. Mean(±SD) binocular UDVA, UIVA 63cm, UNVA 40cm, and UNVA 33cm are -0.15(±0.16), 0.28(±0.09), 0.13(±0.03), and 0.10(±0.08)logMAR. Mean QOV is 90.3/100 at 6 months from 86.7/100 at 1 month with glare as the most reported dysphotopsia. Spectacle/light dependence scores for distance/near activities (never 1.00 to always 5.00) are: 1.21 from 1.30 for spectacles, 1.29 from 1.41 for light, and 1.10 from 1.33 over-all. For patient satisfaction, 92% are happy with the surgical outcome, 92% would select the same lens, and 92% would recommend the surgery to a relative/friend. Ocular surface parameters improved from 1 month to 6 months.",
        "Conclusions": "Patients bilaterally implanted with the RayOne Galaxy ® IOL have low light and spectacle dependence for distance and near activities, minimal levels of dysphotopsia, and high over-all satisfaction. Furthermore, general improvement in functioning and quality of vision is observed from 1 month to 6 months after surgery which may be attributed to better ocular surface health in addition to neural adaptation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients bilaterally implanted with the RayOne Galaxy ® IOL have low light and spectacle dependence for distance and near activities, minimal levels of dysphotopsia, and high over-all satisfaction. Furthermore, general improvement in functioning and quality of vision is observed from 1 month to 6 months after surgery which may be attributed to better ocular surface health in addition to neural adaptation.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 515,
      "source_fields": {
        "Abstract Final Identifier": "POCAT477",
        "Title": "Light And Spectacle Dependence, Quality Of Vision, And Patient Satisfaction Of A Full Range Of Vision Intraocular Lens With Spiral Optics",
        "Presenting Author(s)": "Dr Keshia Lourdes Duyongco-Lenon",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Keshia Lourdes",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Duyongco-Lenon",
        "Country Name": "Philippines",
        "Purpose": "To evaluate light and spectacle dependence, quality of vision, patient satisfaction after bilateral implantation of a non-diffractive, hydrophilic multifocal intraocular lens (IOL) with spiral optics: RayOne Galaxy® (Rayner, Worthing, UK) in Filipino patients at 1 month, 3 months, and 6 months after cataract surgery and to investigate the role of ocular surface health in over-all functioning and quality of vision",
        "Setting": "Prospective, single-surgeon, single-center study at the Eye and Vision Institute, The Medical City, Manila, Philippines",
        "Methods": "Adults above 18 years old underwent bilateral phacoemulsification and implantation of the RayOne Galaxy® IOL with an emmetropic target. At 1 month, 3 months, and 6 months after surgery, manifest refraction, uncorrected visual acuities at distance (UDVA), intermediate at 63cm (UIVA 63cm), near at 40cm (UNVA 40cm), and near at 33cm (UNVA 33cm) were measured. Spectacle and light dependence, quality of vision (QOV), and patient satisfaction were assessed using validated questionnaires. The ocular surface was evaluated using tear break-up time, tear break-up pattern, and corneal staining at all visits and managed with topical dry eye medications as indicated.",
        "Results": "The study has thirteen patients(n=26 eyes). At 6 months, mean spherical refraction(±SD) is -0.24(±0.71) diopters. Mean(±SD) binocular UDVA, UIVA 63cm, UNVA 40cm, and UNVA 33cm are -0.15(±0.16), 0.28(±0.09), 0.13(±0.03), and 0.10(±0.08)logMAR. Mean QOV is 90.3/100 at 6 months from 86.7/100 at 1 month with glare as the most reported dysphotopsia. Spectacle/light dependence scores for distance/near activities (never 1.00 to always 5.00) are: 1.21 from 1.30 for spectacles, 1.29 from 1.41 for light, and 1.10 from 1.33 over-all. For patient satisfaction, 92% are happy with the surgical outcome, 92% would select the same lens, and 92% would recommend the surgery to a relative/friend. Ocular surface parameters improved from 1 month to 6 months.",
        "Conclusions": "Patients bilaterally implanted with the RayOne Galaxy ® IOL have low light and spectacle dependence for distance and near activities, minimal levels of dysphotopsia, and high over-all satisfaction. Furthermore, general improvement in functioning and quality of vision is observed from 1 month to 6 months after surgery which may be attributed to better ocular surface health in addition to neural adaptation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "POCAT478",
      "abstract_number": "POCAT478",
      "title": "Long-Term Visual Performance Of A Novel Spiral Full Range Of Vision Intraocular Lens After Cataract Surgery",
      "authors": "Dr Victor Jose Caparas",
      "presenter": "Dr Victor Jose Caparas",
      "normalized_authors": [
        "Victor Jose Caparas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Keshia Lourdes Duyongco-Lenon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To evaluate the long-term visual performance of a novel non-diffractive, hydrophilic multifocal intraocular lens (IOL) with spiral optics: RayOne Galaxy ® ( Rayner, Worthing, UK ) in Filipino patients up to 6 months after surgery",
        "Setting": "Eye and Vision Institute, The Medical City, Metro Manila, Philippines",
        "Methods": "Patients above 18 years old underwent bilateral phacoemulsification with implantation of the RayOne Galaxy® IOL targeted at emmetropia using the RayTrace calculator. At 7-14 days, 30-45 days, 90-105 days, and 180-195 days after surgery, uncorrected and distance-corrected monocular and binocular visual acuity (VA) were measured: distance at 4m (UDVA/CDVA), intermediate at 63cm (UIVA/DCIVA 63cm), near at 40 cm (UNVA/DCNVA 40cm), and near at 33cm (UNVA/DCNVA 33cm). In addition, defocus curve, contrast sensitivity (CS), photic phenomena (glare and haloes), and quality of vision(QOV) were assessed.",
        "Results": "Thirteen patients (n= 26 eyes) are included. At 6 months, mean refractive spherical equivalent (±SD) is -0.24(±0.71) diopters. Mean (±SD) binocular UDVA, UIVA 63cm, UNVA 40cm, and UNVA 33cm are -0.15(±0.16), 0.28(±0.09), 0.13(±0.03), and 0.10(±0.08) logMAR; while mean (±SD) binocular CDVA, DCIVA 63cm, DCNVA 40cm, and DCNVA 33cm are -0.18(±0.08), 0.27(±0.07), 0.14(±0.03), and 0.10(±0.08) logMAR, respectively. Binocular defocus curve shows a range of vision of > 0.20 logMAR from +2.0 to -3.0D. Mean binocular CS (logCS) are 1.65(±0.08) at 1m and 1.61(±0.13) at 40cm. Mean binocular halo size and intensity are 14/100 and 16/100. Mean binocular glare size and intensity are 12/100 and 14/100. Mean QOV is 90.3/100.",
        "Conclusions": "Bilateral implantation with the RayOne Galaxy ® IOL provides excellent long-term full range of vision from distance to near at 33cm while maintaining high contrast sensitivity, low photic phenomena, and good patient-reported quality of vision at 6 months after surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation with the RayOne Galaxy ® IOL provides excellent long-term full range of vision from distance to near at 33cm while maintaining high contrast sensitivity, low photic phenomena, and good patient-reported quality of vision at 6 months after surgery.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 516,
      "source_fields": {
        "Abstract Final Identifier": "POCAT478",
        "Title": "Long-Term Visual Performance Of A Novel Spiral Full Range Of Vision Intraocular Lens After Cataract Surgery",
        "Presenting Author(s)": "Dr Victor Jose Caparas",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Keshia Lourdes",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Duyongco-Lenon",
        "Country Name": "Philippines",
        "Purpose": "To evaluate the long-term visual performance of a novel non-diffractive, hydrophilic multifocal intraocular lens (IOL) with spiral optics: RayOne Galaxy ® ( Rayner, Worthing, UK ) in Filipino patients up to 6 months after surgery",
        "Setting": "Eye and Vision Institute, The Medical City, Metro Manila, Philippines",
        "Methods": "Patients above 18 years old underwent bilateral phacoemulsification with implantation of the RayOne Galaxy® IOL targeted at emmetropia using the RayTrace calculator. At 7-14 days, 30-45 days, 90-105 days, and 180-195 days after surgery, uncorrected and distance-corrected monocular and binocular visual acuity (VA) were measured: distance at 4m (UDVA/CDVA), intermediate at 63cm (UIVA/DCIVA 63cm), near at 40 cm (UNVA/DCNVA 40cm), and near at 33cm (UNVA/DCNVA 33cm). In addition, defocus curve, contrast sensitivity (CS), photic phenomena (glare and haloes), and quality of vision(QOV) were assessed.",
        "Results": "Thirteen patients (n= 26 eyes) are included. At 6 months, mean refractive spherical equivalent (±SD) is -0.24(±0.71) diopters. Mean (±SD) binocular UDVA, UIVA 63cm, UNVA 40cm, and UNVA 33cm are -0.15(±0.16), 0.28(±0.09), 0.13(±0.03), and 0.10(±0.08) logMAR; while mean (±SD) binocular CDVA, DCIVA 63cm, DCNVA 40cm, and DCNVA 33cm are -0.18(±0.08), 0.27(±0.07), 0.14(±0.03), and 0.10(±0.08) logMAR, respectively. Binocular defocus curve shows a range of vision of > 0.20 logMAR from +2.0 to -3.0D. Mean binocular CS (logCS) are 1.65(±0.08) at 1m and 1.61(±0.13) at 40cm. Mean binocular halo size and intensity are 14/100 and 16/100. Mean binocular glare size and intensity are 12/100 and 14/100. Mean QOV is 90.3/100.",
        "Conclusions": "Bilateral implantation with the RayOne Galaxy ® IOL provides excellent long-term full range of vision from distance to near at 33cm while maintaining high contrast sensitivity, low photic phenomena, and good patient-reported quality of vision at 6 months after surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCAT479",
      "abstract_number": "POCAT479",
      "title": "Comparison Between The Rayone Galaxy (Rayner) Spiral Iol And The Tecnis\nSynergy (J&J) Iol",
      "authors": "Dr Hicham El Alami Trebki",
      "presenter": "Dr Hicham El Alami Trebki",
      "normalized_authors": [
        "Hicham El Alami Trebki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hicham El Alami Trebki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "This analysis compares the visual performance and dysphotopsia profile of two\npremium intraocular lenses: the FROF spiral RayOne Galaxyand the Trifocal\nTECNIS Synergy",
        "Setting": "To evaluate differences between the two lenses in terms of:\n Visual acuity (distance, intermediate, near)\n Overall visual quality\n Frequency and intensity of dysphotopsias (halos, glare, etc.)\n Patient satisfaction\nThe comparison contrasts a novel spiral refractive technology with a trifocal platform.",
        "Methods": "Single-center retrospective study conducted in Montpellier, France, involving two\ngroups of patients with comparable preoperative characteristics (age, gender, axial\nlength).\nGalaxy Group\n 30 patients\n Retrospective analysis\n Data collected from medical records of patients implanted with RayOne\nGalaxy\nSynergy Group\n 30 patients\n Retrospective analysis\n Data collected from medical records of patients implanted with TECNIS\nSynergy\nVisual performance and the presence of dysphotopsias were directly compared\nbetween the two groups.",
        "Results": "Preliminary Results: Galaxy vs Synergy\n\nInitial analysis highlights notable differences between the two implants.\n\nVisual Acuity\n\nIntermediate Vision\n\nRayOne Galaxy appears to provide superior intermediate performance, with more\n\nfunctional vision for daily activities (computer use, dashboard viewing, etc.).\n\nDistance and Near Vision\n\nBoth implants demonstrate globally satisfactory performance, with variations\n\ndepending on patient profiles.\n\nDysphotopsias\n\nHalos, glare, and other dysphotopsias were analyzed according to:\n\nFrequency\n\nNature\n\nImpact on quality of life\n\nPreliminary findings suggest qualitative differences between the two implants,\n\nparticularly under low-light and night-driving conditions.",
        "Conclusions": "This comparison between RayOne Galaxy and TECNIS Synergy provides clinically\nmeaningful data to guide premium IOL selection according to:\n Patient visual needs (particularly intermediate vision demands)\n Individual tolerance to dysphotopsias\n Functional expectations and sensitivity to night-vision quality\n Patient-reported outcomes (PROMs)\nThese findings help refine decision-making between a spiral refractive optic and a\ntrifocal technology, tailoring lens choice to the patient’s optimal visual profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This comparison between RayOne Galaxy and TECNIS Synergy provides clinically meaningful data to guide premium IOL selection according to:  Patient visual needs (particularly intermediate vision demands)  Individual tolerance to dysphotopsias  Functional expectations and sensitivity to night-vision quality  Patient-reported outcomes (PROMs) These findings help refine decision-making between a spiral refractive…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 517,
      "source_fields": {
        "Abstract Final Identifier": "POCAT479",
        "Title": "Comparison Between The Rayone Galaxy (Rayner) Spiral Iol And The Tecnis\nSynergy (J&J) Iol",
        "Presenting Author(s)": "Dr Hicham El Alami Trebki",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Hicham",
        "Submitter Middle Name": "",
        "Submitter Last Name": "El Alami Trebki",
        "Country Name": "France",
        "Purpose": "This analysis compares the visual performance and dysphotopsia profile of two\npremium intraocular lenses: the FROF spiral RayOne Galaxyand the Trifocal\nTECNIS Synergy",
        "Setting": "To evaluate differences between the two lenses in terms of:\n Visual acuity (distance, intermediate, near)\n Overall visual quality\n Frequency and intensity of dysphotopsias (halos, glare, etc.)\n Patient satisfaction\nThe comparison contrasts a novel spiral refractive technology with a trifocal platform.",
        "Methods": "Single-center retrospective study conducted in Montpellier, France, involving two\ngroups of patients with comparable preoperative characteristics (age, gender, axial\nlength).\nGalaxy Group\n 30 patients\n Retrospective analysis\n Data collected from medical records of patients implanted with RayOne\nGalaxy\nSynergy Group\n 30 patients\n Retrospective analysis\n Data collected from medical records of patients implanted with TECNIS\nSynergy\nVisual performance and the presence of dysphotopsias were directly compared\nbetween the two groups.",
        "Results": "Preliminary Results: Galaxy vs Synergy\n\nInitial analysis highlights notable differences between the two implants.\n\nVisual Acuity\n\nIntermediate Vision\n\nRayOne Galaxy appears to provide superior intermediate performance, with more\n\nfunctional vision for daily activities (computer use, dashboard viewing, etc.).\n\nDistance and Near Vision\n\nBoth implants demonstrate globally satisfactory performance, with variations\n\ndepending on patient profiles.\n\nDysphotopsias\n\nHalos, glare, and other dysphotopsias were analyzed according to:\n\nFrequency\n\nNature\n\nImpact on quality of life\n\nPreliminary findings suggest qualitative differences between the two implants,\n\nparticularly under low-light and night-driving conditions.",
        "Conclusions": "This comparison between RayOne Galaxy and TECNIS Synergy provides clinically\nmeaningful data to guide premium IOL selection according to:\n Patient visual needs (particularly intermediate vision demands)\n Individual tolerance to dysphotopsias\n Functional expectations and sensitivity to night-vision quality\n Patient-reported outcomes (PROMs)\nThese findings help refine decision-making between a spiral refractive optic and a\ntrifocal technology, tailoring lens choice to the patient’s optimal visual profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POCAT480",
      "abstract_number": "POCAT480",
      "title": "Visual Performance Of A Full Visual Range, Non‑Toric Intraocular Lens Following Cataract Surgery In Routine Clinical Practice",
      "authors": "Dr Adam Muzychuk",
      "presenter": "Dr Adam Muzychuk",
      "normalized_authors": [
        "Adam Muzychuk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The enVista ENVY (EN) intraocular lens (IOL) is a full visual range (FVR) IOL that delivers up to 4 D of continuous visual range, with enhanced tolerance to dysphotopsias. This retrospective case series study aimed to evaluate real-world visual and safety outcomes of the EN IOL in patients undergoing cataract surgery.",
        "Setting": "This multicentre, cross‑sectional, retrospective case series included data from 14 ophthalmologists in the USA and Canada between 5 June 2024 and 3 September 2025.",
        "Methods": "Ophthalmologists completed a retrospective user-experience survey and provided a deidentified retrospective convenience sample of on-label EN IOL cases using a standardised case report form. Key outcome measures included monocular and binocular vision outcomes (uncorrected distance visual acuity [UDVA], corrected distance visual acuity [CDVA], uncorrected intermediate visual acuity [UIVA], uncorrected near visual acuity [UNVA]) and mean refractive spherical equivalent (MRSE). Safety outcomes were also recorded.",
        "Results": "A total of 119 patients (166 eyes) were included in this sub-analysis. Mean±standard deviation (SD) age was 63±9 years; 62% of patients were female. EN IOL implantation was unilateral and bilateral in 72 and 94 eyes, respectively. Mean±SD spherical equivalent target was −0.09±0.15 (n=150). Monocular CDVA of 20/25 or better was achieved in 99% of eyes (141/142); UDVA of 20/32 or better in 93% of eyes (148/160); UIVA of 20/32 or better in 97% of eyes (83/86); and UNVA of J2 or better in 79% of eyes (110/140). Binocular CDVA of 20/25 or better was achieved in 100% of patients (44/44). Mean±SD MRSE was −0.12±0.39 (n=140). Only 2.1% of patients reported dysphotopsias; no serious adverse events or glistening were reported.",
        "Conclusions": "The results from this sub-analysis indicate that the EN FVR IOL provided excellent visual outcomes for patients undergoing cataract surgery, with most patients achieving good distance, intermediate, and near vision outcomes. No serious adverse events or glistenings were reported."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results from this sub-analysis indicate that the EN FVR IOL provided excellent visual outcomes for patients undergoing cataract surgery, with most patients achieving good distance, intermediate, and near vision outcomes. No serious adverse events or glistenings were reported.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 518,
      "source_fields": {
        "Abstract Final Identifier": "POCAT480",
        "Title": "Visual Performance Of A Full Visual Range, Non‑Toric Intraocular Lens Following Cataract Surgery In Routine Clinical Practice",
        "Presenting Author(s)": "Dr Adam Muzychuk",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "The enVista ENVY (EN) intraocular lens (IOL) is a full visual range (FVR) IOL that delivers up to 4 D of continuous visual range, with enhanced tolerance to dysphotopsias. This retrospective case series study aimed to evaluate real-world visual and safety outcomes of the EN IOL in patients undergoing cataract surgery.",
        "Setting": "This multicentre, cross‑sectional, retrospective case series included data from 14 ophthalmologists in the USA and Canada between 5 June 2024 and 3 September 2025.",
        "Methods": "Ophthalmologists completed a retrospective user-experience survey and provided a deidentified retrospective convenience sample of on-label EN IOL cases using a standardised case report form. Key outcome measures included monocular and binocular vision outcomes (uncorrected distance visual acuity [UDVA], corrected distance visual acuity [CDVA], uncorrected intermediate visual acuity [UIVA], uncorrected near visual acuity [UNVA]) and mean refractive spherical equivalent (MRSE). Safety outcomes were also recorded.",
        "Results": "A total of 119 patients (166 eyes) were included in this sub-analysis. Mean±standard deviation (SD) age was 63±9 years; 62% of patients were female. EN IOL implantation was unilateral and bilateral in 72 and 94 eyes, respectively. Mean±SD spherical equivalent target was −0.09±0.15 (n=150). Monocular CDVA of 20/25 or better was achieved in 99% of eyes (141/142); UDVA of 20/32 or better in 93% of eyes (148/160); UIVA of 20/32 or better in 97% of eyes (83/86); and UNVA of J2 or better in 79% of eyes (110/140). Binocular CDVA of 20/25 or better was achieved in 100% of patients (44/44). Mean±SD MRSE was −0.12±0.39 (n=140). Only 2.1% of patients reported dysphotopsias; no serious adverse events or glistening were reported.",
        "Conclusions": "The results from this sub-analysis indicate that the EN FVR IOL provided excellent visual outcomes for patients undergoing cataract surgery, with most patients achieving good distance, intermediate, and near vision outcomes. No serious adverse events or glistenings were reported."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POCAT481",
      "abstract_number": "POCAT481",
      "title": "Clinical Performance And Visual Outcomes With A Full Visual Range Toric Intraocular Lens",
      "authors": "Dr Dee Stephenson",
      "presenter": "Dr Dee Stephenson",
      "normalized_authors": [
        "Dee Stephenson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Cataract surgery has evolved to include the option of laser-assisted technology to enhance surgical precision and reliability, toric intraocular lenses (IOLs) to correct for astigmatism, and full visual range (FVR) IOLs to optimize visual outcomes at all distances. These options can be paired as needed to reduce residual astigmatism and improve postoperative visual acuity outcomes following surgery. This study aimed to evaluate the real-world effectiveness and safety of a FVR IOL in individuals undergoing femtosecond laser-assisted cataract surgery.",
        "Setting": "This was a retrospective case series reporting real-world outcomes following implantation of a FVR IOL (enVista ENVY Toric, ETN) in individuals undergoing femtosecond laser-assisted cataract surgery. All surgeries were performed by a single ophthalmologist at a center in the United States between October 2024 and March 2025.",
        "Methods": "A total of 99 eyes (OD, n=48) from 49 individuals were implanted with ETN, and were followed up for 2–6 months. Clinical outcomes assessed included uncorrected and corrected distance visual acuity (UDVA and CDVA, respectively), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). Monocular and binocular visual acuity outcomes are reported. Scores for postoperative refractive outcomes were compared with preoperative target values determined at baseline. Safety monitoring for adverse events was performed. Preoperatively, mean±SD spherical equivalent (SEQ) target was 0.12±0.22 and delta K was 0.32±1.01.",
        "Results": "At last follow-up, 100% of eyes achieved a monocular CDVA of 20/20 or better; 85% achieved a monocular UDVA of 20/25 or better; 100% achieved a monocular UIVA of 20/25 or better; and 96% achieved a monocular UNVA of J2 or better (all n=97). Similarly, 100% of patients achieved a binocular CDVA of 20/20 or better; 98% achieved a binocular UDVA of 20/25 or better; 100% achieved a binocular UIVA of 20/25 or better; and 96% achieved a binocular UNVA of J2 or better (all n=45). Mean±SD SEQ was 0.25 ± 0.46 D (n=95) versus a target of 0.12±0.22 (n=98), representing a mean±SD difference of 0.12±0.44 D (n=99). Mean±SD residual refractive cylinder was 0.46±0.40 D (n=81). No serious adverse events were reported.",
        "Conclusions": "In patients undergoing femtosecond laser-assisted cataract surgery, ETN demonstrated excellent real-world performance for near, intermediate and distance monocular and binocular visual acuity scores. Post-operative refractive outcomes were highly satisfactory, with minimal residual refractive error recorded and mean residual cylinder below the threshold associated with reduced distance vision quality (0.5 D). No major safety signals were observed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients undergoing femtosecond laser-assisted cataract surgery, ETN demonstrated excellent real-world performance for near, intermediate and distance monocular and binocular visual acuity scores. Post-operative refractive outcomes were highly satisfactory, with minimal residual refractive error recorded and mean residual cylinder below the threshold associated with reduced distance vision quality (0.5 D). No…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 519,
      "source_fields": {
        "Abstract Final Identifier": "POCAT481",
        "Title": "Clinical Performance And Visual Outcomes With A Full Visual Range Toric Intraocular Lens",
        "Presenting Author(s)": "Dr Dee Stephenson",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "Cataract surgery has evolved to include the option of laser-assisted technology to enhance surgical precision and reliability, toric intraocular lenses (IOLs) to correct for astigmatism, and full visual range (FVR) IOLs to optimize visual outcomes at all distances. These options can be paired as needed to reduce residual astigmatism and improve postoperative visual acuity outcomes following surgery. This study aimed to evaluate the real-world effectiveness and safety of a FVR IOL in individuals undergoing femtosecond laser-assisted cataract surgery.",
        "Setting": "This was a retrospective case series reporting real-world outcomes following implantation of a FVR IOL (enVista ENVY Toric, ETN) in individuals undergoing femtosecond laser-assisted cataract surgery. All surgeries were performed by a single ophthalmologist at a center in the United States between October 2024 and March 2025.",
        "Methods": "A total of 99 eyes (OD, n=48) from 49 individuals were implanted with ETN, and were followed up for 2–6 months. Clinical outcomes assessed included uncorrected and corrected distance visual acuity (UDVA and CDVA, respectively), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). Monocular and binocular visual acuity outcomes are reported. Scores for postoperative refractive outcomes were compared with preoperative target values determined at baseline. Safety monitoring for adverse events was performed. Preoperatively, mean±SD spherical equivalent (SEQ) target was 0.12±0.22 and delta K was 0.32±1.01.",
        "Results": "At last follow-up, 100% of eyes achieved a monocular CDVA of 20/20 or better; 85% achieved a monocular UDVA of 20/25 or better; 100% achieved a monocular UIVA of 20/25 or better; and 96% achieved a monocular UNVA of J2 or better (all n=97). Similarly, 100% of patients achieved a binocular CDVA of 20/20 or better; 98% achieved a binocular UDVA of 20/25 or better; 100% achieved a binocular UIVA of 20/25 or better; and 96% achieved a binocular UNVA of J2 or better (all n=45). Mean±SD SEQ was 0.25 ± 0.46 D (n=95) versus a target of 0.12±0.22 (n=98), representing a mean±SD difference of 0.12±0.44 D (n=99). Mean±SD residual refractive cylinder was 0.46±0.40 D (n=81). No serious adverse events were reported.",
        "Conclusions": "In patients undergoing femtosecond laser-assisted cataract surgery, ETN demonstrated excellent real-world performance for near, intermediate and distance monocular and binocular visual acuity scores. Post-operative refractive outcomes were highly satisfactory, with minimal residual refractive error recorded and mean residual cylinder below the threshold associated with reduced distance vision quality (0.5 D). No major safety signals were observed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 426
    },
    {
      "uid": "POCAT482",
      "abstract_number": "POCAT482",
      "title": "Visual And Safety Outcomes Of Cataract Surgery With A Full Visual Range Intraocular Lens: Real World Evidence Study",
      "authors": "Dr James Katz",
      "presenter": "Dr James Katz",
      "normalized_authors": [
        "James Katz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Full visual range (FVR) intraocular lenses (IOLs) provide a continuous range of near, intermediate, and distance vision, offering patients a greater potential for spectacle independence. However, traditional FVR IOLs may deliver compromised visual quality compared with monofocal IOLs, such as reduced contrast sensitivity and a higher incidence of dysphotopsias. The enVista Envy™ (EN) and EN toric (ETN) FVR IOLs provide up to 4 diopters of continuous visual range and enhanced dysphotopsia tolerance. This retrospective case series study aimed to evaluate real-world visual and safety outcomes of the EN and ETN in patients undergoing cataract surgery.",
        "Setting": "This multicenter, cross-sectional, retrospective case series study includes data from 11 healthcare professionals from the USA (n=10) and Canada (n=1), covering the period from June 5, 2024, to September 3, 2025.",
        "Methods": "All data were extracted from standardized case report forms completed using electronic\nmedical records. Key outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), and refractive outcomes. Safety was also assessed.",
        "Results": "This analysis includes 166 eyes of 119 patients implanted with EN and 211 eyes of 147 patients implanted with ETN. Mean±standard deviation (SD) spherical equivalent target was −0.09±0.15 for EN and −0.07±0.17 for ETN. In eyes implanted with EN and ETN, respectively, 89% and 85% achieved a monocular CDVA of 20/20 or better, 92.5% and 91% achieved a monocular UDVA of 20/32 or better, 96.5% and 94% achieved a monocular UIVA of 20/32 or better, and 79% and 83% achieved a monocular UNVA of J2 or better. For EN and ETN, respectively, mean ± SD manifest refraction spherical equivalent was 0.07±0.39 D and 0.10±0.36 D; mean±SD residual cylinder was −0.35±0.30 D and −0.37±0.39 D. No serious adverse events were reported.",
        "Conclusions": "The findings of this case series demonstrate that the EN and ETN FVR IOLs deliver consistently strong visual and refractive outcomes across distance, intermediate, and near ranges for patients undergoing cataract surgery, with a favorable safety profile, supporting their use in real-world clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The findings of this case series demonstrate that the EN and ETN FVR IOLs deliver consistently strong visual and refractive outcomes across distance, intermediate, and near ranges for patients undergoing cataract surgery, with a favorable safety profile, supporting their use in real-world clinical practice.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 520,
      "source_fields": {
        "Abstract Final Identifier": "POCAT482",
        "Title": "Visual And Safety Outcomes Of Cataract Surgery With A Full Visual Range Intraocular Lens: Real World Evidence Study",
        "Presenting Author(s)": "Dr James Katz",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "Full visual range (FVR) intraocular lenses (IOLs) provide a continuous range of near, intermediate, and distance vision, offering patients a greater potential for spectacle independence. However, traditional FVR IOLs may deliver compromised visual quality compared with monofocal IOLs, such as reduced contrast sensitivity and a higher incidence of dysphotopsias. The enVista Envy™ (EN) and EN toric (ETN) FVR IOLs provide up to 4 diopters of continuous visual range and enhanced dysphotopsia tolerance. This retrospective case series study aimed to evaluate real-world visual and safety outcomes of the EN and ETN in patients undergoing cataract surgery.",
        "Setting": "This multicenter, cross-sectional, retrospective case series study includes data from 11 healthcare professionals from the USA (n=10) and Canada (n=1), covering the period from June 5, 2024, to September 3, 2025.",
        "Methods": "All data were extracted from standardized case report forms completed using electronic\nmedical records. Key outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), and refractive outcomes. Safety was also assessed.",
        "Results": "This analysis includes 166 eyes of 119 patients implanted with EN and 211 eyes of 147 patients implanted with ETN. Mean±standard deviation (SD) spherical equivalent target was −0.09±0.15 for EN and −0.07±0.17 for ETN. In eyes implanted with EN and ETN, respectively, 89% and 85% achieved a monocular CDVA of 20/20 or better, 92.5% and 91% achieved a monocular UDVA of 20/32 or better, 96.5% and 94% achieved a monocular UIVA of 20/32 or better, and 79% and 83% achieved a monocular UNVA of J2 or better. For EN and ETN, respectively, mean ± SD manifest refraction spherical equivalent was 0.07±0.39 D and 0.10±0.36 D; mean±SD residual cylinder was −0.35±0.30 D and −0.37±0.39 D. No serious adverse events were reported.",
        "Conclusions": "The findings of this case series demonstrate that the EN and ETN FVR IOLs deliver consistently strong visual and refractive outcomes across distance, intermediate, and near ranges for patients undergoing cataract surgery, with a favorable safety profile, supporting their use in real-world clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POCAT483",
      "abstract_number": "POCAT483",
      "title": "Different Optical Designs, Similar Clinical Outcomes: Six-Month Results Of Three Full-Range Vision Iols",
      "authors": "A/Prof. Jorge L. Alió del Barrio",
      "presenter": "A/Prof. Jorge L. Alió del Barrio",
      "normalized_authors": [
        "Jorge L. Alió del Barrio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Javier Humberto Gonzalez Lugo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare six-month visual acuity, refractive outcomes, ocular aberrometric outcomes, and patient-reported outcome measures (PROMs) among three full-range vision intraocular lenses with distinct optical designs: Gemetric (HOYA Surgical Optics; anterior surface diffractive), Asqelio Trifocal (AST Products; posterior surface diffractive), and Galaxy (Rayner; non-diffractive spiral optic). The objective was to determine whether differences in optical architecture translate into clinically meaningful differences in functional performance.",
        "Setting": "Single tertiary referral center. All procedures were performed using standard phacoemulsification with in-the-bag IOL implantation. Postoperative outcomes were evaluated at one, three and six months.",
        "Methods": "Prospective consecutive case series including 143 eyes implanted with Gemetric (n=54), Asqelio Trifocal (n=46), or Galaxy (n=43). Postoperative evaluations were performed at 1, 3, and 6 months and included UDVA, CDVA, UIVA, CDIVA, UNVA, and CNVA, as well as refractive outcomes and addition. Aberrometric assessment comprised LOAs, HOAs, coma, trefoil, SA, and PSF. PROMs were evaluated in a subgroup of patients who completed the validated Quality of Vision (QoV) questionnaire. Intergroup comparisons were performed using Kruskal–Wallis testing (p<0.05). Definitive six-month outcomes for the complete study cohort will be presented at the meeting.",
        "Results": "Preliminary outcomes including 1- and 3-month data, as well as available six-month follow-up, showed comparable UDVA, CDVA, and UIVA among groups (p>0.05). Statistically significant differences were observed in selected near visual acuity parameters (CNVA LogMAR p=0.003; CDIVA LogMAR p<0.001) and SA (p<0.001). No significant differences were detected in refractive outcomes, addition, LOAs, HOAs, or PSF (all p>0.05). PROM analysis (QoV subgroup) revealed no statistically significant intergroup differences in frequency, severity, or bothersomeness (all p>0.05). Definitive six-month outcomes for the complete study cohort will be presented at the meeting.",
        "Conclusions": "Preliminary outcomes demonstrated that, despite distinct optical designs, the three full-range vision IOLs achieved comparable visual, refractive, aberrometric, and PROMs results. Variations observed in selected near parameters and SA did not translate into clinically meaningful differences in patient-reported visual quality or measurable performance metrics across platforms. These findings suggest that, in contemporary full-range IOLs, optical geometry alone may not fully account for real-world clinical performance. Definitive six-month outcomes will be presented at the meeting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary outcomes demonstrated that, despite distinct optical designs, the three full-range vision IOLs achieved comparable visual, refractive, aberrometric, and PROMs results. Variations observed in selected near parameters and SA did not translate into clinically meaningful differences in patient-reported visual quality or measurable performance metrics across platforms. These findings suggest that, in…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 521,
      "source_fields": {
        "Abstract Final Identifier": "POCAT483",
        "Title": "Different Optical Designs, Similar Clinical Outcomes: Six-Month Results Of Three Full-Range Vision Iols",
        "Presenting Author(s)": "A/Prof. Jorge L. Alió del Barrio",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Javier",
        "Submitter Middle Name": "Humberto",
        "Submitter Last Name": "Gonzalez Lugo",
        "Country Name": "Spain",
        "Purpose": "To compare six-month visual acuity, refractive outcomes, ocular aberrometric outcomes, and patient-reported outcome measures (PROMs) among three full-range vision intraocular lenses with distinct optical designs: Gemetric (HOYA Surgical Optics; anterior surface diffractive), Asqelio Trifocal (AST Products; posterior surface diffractive), and Galaxy (Rayner; non-diffractive spiral optic). The objective was to determine whether differences in optical architecture translate into clinically meaningful differences in functional performance.",
        "Setting": "Single tertiary referral center. All procedures were performed using standard phacoemulsification with in-the-bag IOL implantation. Postoperative outcomes were evaluated at one, three and six months.",
        "Methods": "Prospective consecutive case series including 143 eyes implanted with Gemetric (n=54), Asqelio Trifocal (n=46), or Galaxy (n=43). Postoperative evaluations were performed at 1, 3, and 6 months and included UDVA, CDVA, UIVA, CDIVA, UNVA, and CNVA, as well as refractive outcomes and addition. Aberrometric assessment comprised LOAs, HOAs, coma, trefoil, SA, and PSF. PROMs were evaluated in a subgroup of patients who completed the validated Quality of Vision (QoV) questionnaire. Intergroup comparisons were performed using Kruskal–Wallis testing (p<0.05). Definitive six-month outcomes for the complete study cohort will be presented at the meeting.",
        "Results": "Preliminary outcomes including 1- and 3-month data, as well as available six-month follow-up, showed comparable UDVA, CDVA, and UIVA among groups (p>0.05). Statistically significant differences were observed in selected near visual acuity parameters (CNVA LogMAR p=0.003; CDIVA LogMAR p<0.001) and SA (p<0.001). No significant differences were detected in refractive outcomes, addition, LOAs, HOAs, or PSF (all p>0.05). PROM analysis (QoV subgroup) revealed no statistically significant intergroup differences in frequency, severity, or bothersomeness (all p>0.05). Definitive six-month outcomes for the complete study cohort will be presented at the meeting.",
        "Conclusions": "Preliminary outcomes demonstrated that, despite distinct optical designs, the three full-range vision IOLs achieved comparable visual, refractive, aberrometric, and PROMs results. Variations observed in selected near parameters and SA did not translate into clinically meaningful differences in patient-reported visual quality or measurable performance metrics across platforms. These findings suggest that, in contemporary full-range IOLs, optical geometry alone may not fully account for real-world clinical performance. Definitive six-month outcomes will be presented at the meeting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POCAT484",
      "abstract_number": "POCAT484",
      "title": "Early Real-World Visual And Patient-Reported Outcomes Following Bilateral Implantation Of The Clareon Panoptix Pro Intraocular Lens",
      "authors": "Dr David Gunn",
      "presenter": "Dr David Gunn",
      "normalized_authors": [
        "David Gunn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luisa Holguin Colorado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "Although early clinical experience and studies support the visual performance of the Clareon PanOptix intraocular lens (IOL), prospective real-world data specifically evaluating the newly introduced Clareon PanOptix Pro trifocal IOL, a next generation of Clareon PanOptix, remain limited. Evidence describing binocular visual acuity across distances, defocus performance and patient reported quality of vision outcomes following routine bilateral implantation is not yet available. Therefore, the purpose of this study is to provide the first prospective real-world evaluation of visual performance and patient reported outcomes three months after bilateral implantation.",
        "Setting": "Single centre prospective case series in routine cataract practice. Patients undergoing bilateral age-related cataract surgery with Clareon PanOptix Pro (including toric and non-toric designs) targeting emmetropia are enrolled. Eyes with significant ocular comorbidity, prior corneal refractive surgery, macular disease, glaucoma, significant dry eye, or surgical complications are excluded.",
        "Methods": "Prospective, single arm descriptive study of patients undergoing standard bilateral phacoemulsification with Clareon PanOptix Pro implantation. At three months, binocular corrected distance visual acuity (CDVA) was the primary endpoint. Secondary outcomes included monocular and binocular corrected and uncorrected visual acuity at distance (6 m), intermediate (~66 cm) and near (~40 cm), binocular defocus curve (+1.00 to –3.00 D), contrast sensitivity (photopic and mesopic), and patient reported outcomes using the Intraocular Lens Satisfaction (IOLSAT) and the Quality of Vision and Visual Disturbances (QUVID) questionnaires.",
        "Results": "At the time of abstract submission, recruitment is ongoing and a 3-month follow up is in progress. Data analysis has not yet been performed. Final visual acuity, defocus, contrast sensitivity and patient reported outcomes will be presented at the meeting.",
        "Conclusions": "This study will provide the first prospective real-world clinical dataset evaluating binocular visual performance and patient reported outcomes following bilateral implantation of the Clareon PanOptix Pro IOL. The findings will contribute important early evidence to guide clinical adoption of this new trifocal IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study will provide the first prospective real-world clinical dataset evaluating binocular visual performance and patient reported outcomes following bilateral implantation of the Clareon PanOptix Pro IOL. The findings will contribute important early evidence to guide clinical adoption of this new trifocal IOL.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 522,
      "source_fields": {
        "Abstract Final Identifier": "POCAT484",
        "Title": "Early Real-World Visual And Patient-Reported Outcomes Following Bilateral Implantation Of The Clareon Panoptix Pro Intraocular Lens",
        "Presenting Author(s)": "Dr David Gunn",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Luisa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Holguin Colorado",
        "Country Name": "Afghanistan",
        "Purpose": "Although early clinical experience and studies support the visual performance of the Clareon PanOptix intraocular lens (IOL), prospective real-world data specifically evaluating the newly introduced Clareon PanOptix Pro trifocal IOL, a next generation of Clareon PanOptix, remain limited. Evidence describing binocular visual acuity across distances, defocus performance and patient reported quality of vision outcomes following routine bilateral implantation is not yet available. Therefore, the purpose of this study is to provide the first prospective real-world evaluation of visual performance and patient reported outcomes three months after bilateral implantation.",
        "Setting": "Single centre prospective case series in routine cataract practice. Patients undergoing bilateral age-related cataract surgery with Clareon PanOptix Pro (including toric and non-toric designs) targeting emmetropia are enrolled. Eyes with significant ocular comorbidity, prior corneal refractive surgery, macular disease, glaucoma, significant dry eye, or surgical complications are excluded.",
        "Methods": "Prospective, single arm descriptive study of patients undergoing standard bilateral phacoemulsification with Clareon PanOptix Pro implantation. At three months, binocular corrected distance visual acuity (CDVA) was the primary endpoint. Secondary outcomes included monocular and binocular corrected and uncorrected visual acuity at distance (6 m), intermediate (~66 cm) and near (~40 cm), binocular defocus curve (+1.00 to –3.00 D), contrast sensitivity (photopic and mesopic), and patient reported outcomes using the Intraocular Lens Satisfaction (IOLSAT) and the Quality of Vision and Visual Disturbances (QUVID) questionnaires.",
        "Results": "At the time of abstract submission, recruitment is ongoing and a 3-month follow up is in progress. Data analysis has not yet been performed. Final visual acuity, defocus, contrast sensitivity and patient reported outcomes will be presented at the meeting.",
        "Conclusions": "This study will provide the first prospective real-world clinical dataset evaluating binocular visual performance and patient reported outcomes following bilateral implantation of the Clareon PanOptix Pro IOL. The findings will contribute important early evidence to guide clinical adoption of this new trifocal IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POCAT485",
      "abstract_number": "POCAT485",
      "title": "Long-Term Clinical Outcomes Of Hybrid Acrylic Refractive Continuous Transitional Focus (Ctf) Lens Implant In Cataract Surgery",
      "authors": "Dr Humza Hani Hossain",
      "presenter": "Dr Humza Hani Hossain",
      "normalized_authors": [
        "Humza Hani Hossain"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Humza Hani Hossain",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To determine the visual outcomes and complications following surgery using a hybrid acrylic refractive continuous transitional focus (CTF) lens compared to patients undergoing surgery with a monofocal lens.",
        "Setting": "Single centre case-control study.",
        "Methods": "Patients with >1D astigmatism & co-existing ocular pathologies were excluded from this study. 48 consecutive cases(eyes) undergoing cataract surgery with a CTF lens (Ophtec Precizion Presbyopic CTF lens platform- toric & non-toric versions) were compared to a similar cohort undergoing surgery with a monofocal lens. Respective patient demographics, post-operative refractive outcomes, pre-operative & post-operative BCVA, intra-operative and post-operative complications, & intermediate & near vision were collected. Patients were also asked about symptoms of glare, haloes, photopic phenomena & post-operative spectacle independence. Analysis was conducted, & data were compared to defocus information produced by the lens manufacturer.",
        "Results": "In both groups, postoperative uncorrected distance visual acuity improved. There were no significant intraoperative or postoperative complications in either group. Patients with CTF lenses showed greater spectacle independence than those with monofocal lenses. The CTF lens group had minimal reports of glare or photopic phenomena: they also reported approximately 80% spectacle independence, showing refractive defocus data like that of previous studies. After two years, some patients required YAG capsulotomy, only to find the visual performance was restored to the post-operative vision levels.",
        "Conclusions": "These analyses indicate that the CTF lens leads to a sustained and improved intermediate and near vision with greater spectacle independence and low reports of photopic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These analyses indicate that the CTF lens leads to a sustained and improved intermediate and near vision with greater spectacle independence and low reports of photopic phenomena.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 523,
      "source_fields": {
        "Abstract Final Identifier": "POCAT485",
        "Title": "Long-Term Clinical Outcomes Of Hybrid Acrylic Refractive Continuous Transitional Focus (Ctf) Lens Implant In Cataract Surgery",
        "Presenting Author(s)": "Dr Humza Hani Hossain",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Humza",
        "Submitter Middle Name": "Hani",
        "Submitter Last Name": "Hossain",
        "Country Name": "United Kingdom",
        "Purpose": "To determine the visual outcomes and complications following surgery using a hybrid acrylic refractive continuous transitional focus (CTF) lens compared to patients undergoing surgery with a monofocal lens.",
        "Setting": "Single centre case-control study.",
        "Methods": "Patients with >1D astigmatism & co-existing ocular pathologies were excluded from this study. 48 consecutive cases(eyes) undergoing cataract surgery with a CTF lens (Ophtec Precizion Presbyopic CTF lens platform- toric & non-toric versions) were compared to a similar cohort undergoing surgery with a monofocal lens. Respective patient demographics, post-operative refractive outcomes, pre-operative & post-operative BCVA, intra-operative and post-operative complications, & intermediate & near vision were collected. Patients were also asked about symptoms of glare, haloes, photopic phenomena & post-operative spectacle independence. Analysis was conducted, & data were compared to defocus information produced by the lens manufacturer.",
        "Results": "In both groups, postoperative uncorrected distance visual acuity improved. There were no significant intraoperative or postoperative complications in either group. Patients with CTF lenses showed greater spectacle independence than those with monofocal lenses. The CTF lens group had minimal reports of glare or photopic phenomena: they also reported approximately 80% spectacle independence, showing refractive defocus data like that of previous studies. After two years, some patients required YAG capsulotomy, only to find the visual performance was restored to the post-operative vision levels.",
        "Conclusions": "These analyses indicate that the CTF lens leads to a sustained and improved intermediate and near vision with greater spectacle independence and low reports of photopic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POCAT486",
      "abstract_number": "POCAT486",
      "title": "Comparison The Optical Function Of Synergy And Odyssey Intraocular Lens: Mobile Model Eye Experiment",
      "authors": "A/Prof. Hosik Hwang",
      "presenter": "A/Prof. Hosik Hwang",
      "normalized_authors": [
        "Hosik Hwang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hosik Hwang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the optical function of Synergy and Odyssey intraocular lens by mobile model eye",
        "Setting": "Yeoudi St. Mary's hospital, Seoul, Korea",
        "Methods": "The mobile model eye consists of an artificial cornea, an IOL, a wet cell, an adjustable lens tube, an objective lens, and a digital single-lens reflex camera. We collected photographs of distant buildings (day and night) and streets at night, and videos of United States Air Force resolution target from 6 m to 25 cm and analyzed them quantitatively. We compared the results of Synergy (Johnson&Johnson) and Odyssey(Johnson&Johnson)IOL.",
        "Results": "The letters on the signboard of distant buildings looked clearer in Odyssey than in Synergy. For Synergy, the contrast modulation was 0.104 at 6 m. It then decreased and increased again. At 47 cm, it was 0.058 and then decreased again. For Odyssey, the contrast modulation was 0.156 at 6 m. It then decreased and increased again. At 47 cm, it was 0.064 and then decreased again. Halo around light at night was comparable in Synergy and Odyssey.",
        "Conclusions": "Contrast modulation of Odyssey is higher than that of Synergy at far distance. Halos around light at night were comparable in Synergy and Odyssey."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Contrast modulation of Odyssey is higher than that of Synergy at far distance. Halos around light at night were comparable in Synergy and Odyssey.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 524,
      "source_fields": {
        "Abstract Final Identifier": "POCAT486",
        "Title": "Comparison The Optical Function Of Synergy And Odyssey Intraocular Lens: Mobile Model Eye Experiment",
        "Presenting Author(s)": "A/Prof. Hosik Hwang",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Hosik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hwang",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the optical function of Synergy and Odyssey intraocular lens by mobile model eye",
        "Setting": "Yeoudi St. Mary's hospital, Seoul, Korea",
        "Methods": "The mobile model eye consists of an artificial cornea, an IOL, a wet cell, an adjustable lens tube, an objective lens, and a digital single-lens reflex camera. We collected photographs of distant buildings (day and night) and streets at night, and videos of United States Air Force resolution target from 6 m to 25 cm and analyzed them quantitatively. We compared the results of Synergy (Johnson&Johnson) and Odyssey(Johnson&Johnson)IOL.",
        "Results": "The letters on the signboard of distant buildings looked clearer in Odyssey than in Synergy. For Synergy, the contrast modulation was 0.104 at 6 m. It then decreased and increased again. At 47 cm, it was 0.058 and then decreased again. For Odyssey, the contrast modulation was 0.156 at 6 m. It then decreased and increased again. At 47 cm, it was 0.064 and then decreased again. Halo around light at night was comparable in Synergy and Odyssey.",
        "Conclusions": "Contrast modulation of Odyssey is higher than that of Synergy at far distance. Halos around light at night were comparable in Synergy and Odyssey."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 199
    },
    {
      "uid": "POCAT487",
      "abstract_number": "POCAT487",
      "title": "Impact Of Ocular Comorbidities On The Long-Term Proms After Multifocal Intraocular Lens Implantation",
      "authors": "Dr Sohee Jeon",
      "presenter": "Dr Sohee Jeon",
      "normalized_authors": [
        "Sohee Jeon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sohee Jeon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the long-term impact of ocular comorbidities on clinical outcomes and patient-reported outcome measures (PROMs) in patients bilaterally implanted with diffractive MFIOLs.",
        "Setting": "Single private ophthalmic surgical clinic.",
        "Methods": "Participants comprised 260 emmetropic patients who underwent bilateral implantation of either the Zeiss AT LISA tri (n=89) or the AcrySof IQ PanOptix (n=171) with postoperative follow-up exceeding three years. Ocular comorbidities were identified with multimodal imaging and included dry eye disease (DED), prior corneal refractive surgery, vitreous opacities, macular disease, nonproliferative diabetic retinopathy, and glaucoma. Objective outcomes included uncorrected visual acuity at distance, intermediate, and near, contrast sensitivity, and optical quality. Subjective outcomes included VF-14 scores and dysphotopsia grading. Associations between comorbidities and postoperative outcomes were analyzed using multivariable regression.",
        "Results": "Of 260 patients, 109 had no comorbidities, 21 had unilateral, and 130 had bilateral comorbidities. Eyes with comorbidities showed worse uncorrected visual acuities at all distances (all P<.001) and reduced contrast sensitivity under photopic (P=.001) and mesopic conditions (P<.001). On multivariable analysis, DED (B=-12.2; P<.001), prior refractive surgery (B=-13.9; P<.001), vitreous opacities (B=-9.91; P<.001), and macular disease (B=-7.22; P<.001) were associated with lower VF-14. DED (B=18.0; P<.001) and vitreous opacities (B=21.1; P=.050) were associated with higher dysphotopsia. Greater comorbidity burden, shorter tear break-up time (P=.005), and bilateral macular disease (P<.001) were linked to worse PROMs.",
        "Conclusions": "A substantial proportion of patients had multiple coexisting ocular comorbidities, with both the number and severity showing significant associations with PROMs. Fluctuating conditions such as DED and vitreous opacities had a greater impact on dysphotopsia, highlighting the importance of considering comorbidity patterns in patient selection and perioperative care for MFIOL implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A substantial proportion of patients had multiple coexisting ocular comorbidities, with both the number and severity showing significant associations with PROMs. Fluctuating conditions such as DED and vitreous opacities had a greater impact on dysphotopsia, highlighting the importance of considering comorbidity patterns in patient selection and perioperative care for MFIOL implantation.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 525,
      "source_fields": {
        "Abstract Final Identifier": "POCAT487",
        "Title": "Impact Of Ocular Comorbidities On The Long-Term Proms After Multifocal Intraocular Lens Implantation",
        "Presenting Author(s)": "Dr Sohee Jeon",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Sohee",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the long-term impact of ocular comorbidities on clinical outcomes and patient-reported outcome measures (PROMs) in patients bilaterally implanted with diffractive MFIOLs.",
        "Setting": "Single private ophthalmic surgical clinic.",
        "Methods": "Participants comprised 260 emmetropic patients who underwent bilateral implantation of either the Zeiss AT LISA tri (n=89) or the AcrySof IQ PanOptix (n=171) with postoperative follow-up exceeding three years. Ocular comorbidities were identified with multimodal imaging and included dry eye disease (DED), prior corneal refractive surgery, vitreous opacities, macular disease, nonproliferative diabetic retinopathy, and glaucoma. Objective outcomes included uncorrected visual acuity at distance, intermediate, and near, contrast sensitivity, and optical quality. Subjective outcomes included VF-14 scores and dysphotopsia grading. Associations between comorbidities and postoperative outcomes were analyzed using multivariable regression.",
        "Results": "Of 260 patients, 109 had no comorbidities, 21 had unilateral, and 130 had bilateral comorbidities. Eyes with comorbidities showed worse uncorrected visual acuities at all distances (all P<.001) and reduced contrast sensitivity under photopic (P=.001) and mesopic conditions (P<.001). On multivariable analysis, DED (B=-12.2; P<.001), prior refractive surgery (B=-13.9; P<.001), vitreous opacities (B=-9.91; P<.001), and macular disease (B=-7.22; P<.001) were associated with lower VF-14. DED (B=18.0; P<.001) and vitreous opacities (B=21.1; P=.050) were associated with higher dysphotopsia. Greater comorbidity burden, shorter tear break-up time (P=.005), and bilateral macular disease (P<.001) were linked to worse PROMs.",
        "Conclusions": "A substantial proportion of patients had multiple coexisting ocular comorbidities, with both the number and severity showing significant associations with PROMs. Fluctuating conditions such as DED and vitreous opacities had a greater impact on dysphotopsia, highlighting the importance of considering comorbidity patterns in patient selection and perioperative care for MFIOL implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCAT488",
      "abstract_number": "POCAT488",
      "title": "Clinical Outcomes Of A Full Range Of Vision Intraocular Lens Utilizing Spiral Optics",
      "authors": "Dr John Kan",
      "presenter": "Dr John Kan",
      "normalized_authors": [
        "John Kan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "John Kan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes and patient satisfaction of a new intraocular lens (IOL) with spiral optics",
        "Setting": "Tan Tock Seng Hospital, Singapore",
        "Methods": "A prospective study of 20 eyes from 10 patients who underwent uncomplicated cataract surgery with implantation of the Galaxy IOL (Rayner, United Kingdom). Pre-operative biometric measurements from the IOL Master 700 were obtained, and post-operative results at 1-2 months were obtained. Outcome measures were uncorrected distance visual acuity (UCDVA), uncorrected intermediate visual acuity (UCIVA), uncorrected near visual acuity (UCNVA), distance-corrected visual acuity (DCVA), distance-corrected intermediate visual acuity (DCIVA) and distance-corrected near visual acuity (DCNVA). Monocular and binocular defocus curves, contrast sensitivity testing, glare and halo simulator testing and the VF-14 questionnaire were administered.",
        "Results": "13 toric and 7 non-toric IOLs were implanted. 90% of patients attained a UCDVA of 0.2 logMAR or better and a DCVA of 0.1 logMAR or better. The defocus range was 2.2D and 2.8D within 0.2 logMAR for monocular and binocular testing respectively. Formula predictability was excellent, with mean absolute error (MAE) for spherical equivalent of 0.195 for the EVO and 0.220 for the Barrett formulas. Astigmatic correcion was also good with a mean IOL rotation of 2.9 degrees (range 0 to 11 degrees), an MAE of 0.452 with the EVO toric formula and a statistically significant reudction in cylinder (p<0.01). 30% of patient had no photic phenomena. 30% had mild and 40% moderate glare and haloes, while none reported severe dysphotopsia.",
        "Conclusions": "The Galaxy IOL offers excellent range of vision, good predictability, rotational stability, a favorouble dysphotopsia profile and high patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Galaxy IOL offers excellent range of vision, good predictability, rotational stability, a favorouble dysphotopsia profile and high patient satisfaction.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 526,
      "source_fields": {
        "Abstract Final Identifier": "POCAT488",
        "Title": "Clinical Outcomes Of A Full Range Of Vision Intraocular Lens Utilizing Spiral Optics",
        "Presenting Author(s)": "Dr John Kan",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "John",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kan",
        "Country Name": "Singapore",
        "Purpose": "To evaluate the clinical outcomes and patient satisfaction of a new intraocular lens (IOL) with spiral optics",
        "Setting": "Tan Tock Seng Hospital, Singapore",
        "Methods": "A prospective study of 20 eyes from 10 patients who underwent uncomplicated cataract surgery with implantation of the Galaxy IOL (Rayner, United Kingdom). Pre-operative biometric measurements from the IOL Master 700 were obtained, and post-operative results at 1-2 months were obtained. Outcome measures were uncorrected distance visual acuity (UCDVA), uncorrected intermediate visual acuity (UCIVA), uncorrected near visual acuity (UCNVA), distance-corrected visual acuity (DCVA), distance-corrected intermediate visual acuity (DCIVA) and distance-corrected near visual acuity (DCNVA). Monocular and binocular defocus curves, contrast sensitivity testing, glare and halo simulator testing and the VF-14 questionnaire were administered.",
        "Results": "13 toric and 7 non-toric IOLs were implanted. 90% of patients attained a UCDVA of 0.2 logMAR or better and a DCVA of 0.1 logMAR or better. The defocus range was 2.2D and 2.8D within 0.2 logMAR for monocular and binocular testing respectively. Formula predictability was excellent, with mean absolute error (MAE) for spherical equivalent of 0.195 for the EVO and 0.220 for the Barrett formulas. Astigmatic correcion was also good with a mean IOL rotation of 2.9 degrees (range 0 to 11 degrees), an MAE of 0.452 with the EVO toric formula and a statistically significant reudction in cylinder (p<0.01). 30% of patient had no photic phenomena. 30% had mild and 40% moderate glare and haloes, while none reported severe dysphotopsia.",
        "Conclusions": "The Galaxy IOL offers excellent range of vision, good predictability, rotational stability, a favorouble dysphotopsia profile and high patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POCAT489",
      "abstract_number": "POCAT489",
      "title": "The Results Of A New Spiral Intraocular Lens In Post Refractive Surgery Patients.",
      "authors": "Dr Johann A Kruger",
      "presenter": "Dr Johann A Kruger",
      "normalized_authors": [
        "Johann A Kruger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Johann A Kruger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "South Africa",
      "sections": {
        "Purpose": "To evaluate the efficacy and patient satisfaction of a hydrophillic intraocular lens with a novel spiral design, in post refractive surgery patients who require spectacle independance.",
        "Setting": "Private Practice: Tygervalley Eye & Laser Clinic, Cape Town, South Africa",
        "Methods": "A series of patients who previously had corneal refractive surgery, with cataracts, were operated.\nAll patients required spectacle independance.\nFemtosecond laser assisted cataract surgery was done in all cases and a spiral full range vision lens was inplanted in all cases.\nIn all cases there was no contraindication to implant a multifocal intraocular lens. Dry eye was managed in all cases prior to surgery. In some patients a custom match approach was used.\n\nThe visual results are compared to cases where refractive surgery had not been done prior to refractive cataract surgery.\nThe refractive outcomes and patient satisfaction results are discussed.\n\nThe Depth of Focus Curves are also presented.",
        "Results": "The visiual results at distance and near vision at 40cm, 50cm and 60cm are presented.\n\nThe results of spiral lenses bilaterally implanted are compared to a custom match approach where a enhanced monofocal lens of the same material was implanted in the dominant eye and the spiral lens in the non-dominant eye. This is an ongoing study and the results are contiually being updated.\nPost LVC- Binocular uncorrected distance visual acuity was 20/16 in 75% of cases. 50% were 20/20 or better at 60cm and 100% were 20/25 or better at 50cm. 75% were 20/25 or better at 30cm",
        "Conclusions": "The novel spiral IOL was more forgiving than traditional trifocal lenses and less patietns were complaining of dysphohotopsia. With the custom match approach less haloes were experienced than in spiral lens cases. Spiral lenses placed in both eyes reding vision was better but distance vision less clear than when a custom match approach was used. In this series no lens exchanges were needed and patients were very happy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The novel spiral IOL was more forgiving than traditional trifocal lenses and less patietns were complaining of dysphohotopsia. With the custom match approach less haloes were experienced than in spiral lens cases. Spiral lenses placed in both eyes reding vision was better but distance vision less clear than when a custom match approach was used. In this series no lens exchanges were needed and patients were very…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 527,
      "source_fields": {
        "Abstract Final Identifier": "POCAT489",
        "Title": "The Results Of A New Spiral Intraocular Lens In Post Refractive Surgery Patients.",
        "Presenting Author(s)": "Dr Johann A Kruger",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Johann",
        "Submitter Middle Name": "A",
        "Submitter Last Name": "Kruger",
        "Country Name": "South Africa",
        "Purpose": "To evaluate the efficacy and patient satisfaction of a hydrophillic intraocular lens with a novel spiral design, in post refractive surgery patients who require spectacle independance.",
        "Setting": "Private Practice: Tygervalley Eye & Laser Clinic, Cape Town, South Africa",
        "Methods": "A series of patients who previously had corneal refractive surgery, with cataracts, were operated.\nAll patients required spectacle independance.\nFemtosecond laser assisted cataract surgery was done in all cases and a spiral full range vision lens was inplanted in all cases.\nIn all cases there was no contraindication to implant a multifocal intraocular lens. Dry eye was managed in all cases prior to surgery. In some patients a custom match approach was used.\n\nThe visual results are compared to cases where refractive surgery had not been done prior to refractive cataract surgery.\nThe refractive outcomes and patient satisfaction results are discussed.\n\nThe Depth of Focus Curves are also presented.",
        "Results": "The visiual results at distance and near vision at 40cm, 50cm and 60cm are presented.\n\nThe results of spiral lenses bilaterally implanted are compared to a custom match approach where a enhanced monofocal lens of the same material was implanted in the dominant eye and the spiral lens in the non-dominant eye. This is an ongoing study and the results are contiually being updated.\nPost LVC- Binocular uncorrected distance visual acuity was 20/16 in 75% of cases. 50% were 20/20 or better at 60cm and 100% were 20/25 or better at 50cm. 75% were 20/25 or better at 30cm",
        "Conclusions": "The novel spiral IOL was more forgiving than traditional trifocal lenses and less patietns were complaining of dysphohotopsia. With the custom match approach less haloes were experienced than in spiral lens cases. Spiral lenses placed in both eyes reding vision was better but distance vision less clear than when a custom match approach was used. In this series no lens exchanges were needed and patients were very happy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCAT490",
      "abstract_number": "POCAT490",
      "title": "Comparison Of Visual Outcomes And Side Effects With Panoptix And Panoptix Pro Multifocal Intraocular Lenses",
      "authors": "Dr Ben Lahood",
      "presenter": "Dr Ben Lahood",
      "normalized_authors": [
        "Ben Lahood"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ben Lahood",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To compare refractive and visual outcomes as well as dysphotopsia profiles and patient satisfaction between the original Clareon Panoptix multifocal IOL and the new Panoptix Pro updated model.",
        "Setting": "Single surgeon operating at a private clinic in Adelaide, Australia.",
        "Methods": "Retrospective Cohort design looking at two groups of patients implanted with the two lens options. All patients followed up for at least one month. Visual and refractive outcomes measured, along with patient questionnaire data on satisfaction and visual side effects.",
        "Results": "Similar refractive accuracy and visual outcomes attained with both IOLs. Dysphotopsia symptoms were significantly reduced with the Panoptix Pro design compared to the original Panoptix IOL.",
        "Conclusions": "The new Panoptix Pro IOL has retained the visual and refractive accuracy of the original Panoptix design but now provides reduced visual side effects. This will enlarge the group of potential patients who may benefit from this technology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new Panoptix Pro IOL has retained the visual and refractive accuracy of the original Panoptix design but now provides reduced visual side effects. This will enlarge the group of potential patients who may benefit from this technology.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 528,
      "source_fields": {
        "Abstract Final Identifier": "POCAT490",
        "Title": "Comparison Of Visual Outcomes And Side Effects With Panoptix And Panoptix Pro Multifocal Intraocular Lenses",
        "Presenting Author(s)": "Dr Ben Lahood",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ben",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lahood",
        "Country Name": "Australia",
        "Purpose": "To compare refractive and visual outcomes as well as dysphotopsia profiles and patient satisfaction between the original Clareon Panoptix multifocal IOL and the new Panoptix Pro updated model.",
        "Setting": "Single surgeon operating at a private clinic in Adelaide, Australia.",
        "Methods": "Retrospective Cohort design looking at two groups of patients implanted with the two lens options. All patients followed up for at least one month. Visual and refractive outcomes measured, along with patient questionnaire data on satisfaction and visual side effects.",
        "Results": "Similar refractive accuracy and visual outcomes attained with both IOLs. Dysphotopsia symptoms were significantly reduced with the Panoptix Pro design compared to the original Panoptix IOL.",
        "Conclusions": "The new Panoptix Pro IOL has retained the visual and refractive accuracy of the original Panoptix design but now provides reduced visual side effects. This will enlarge the group of potential patients who may benefit from this technology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 142
    },
    {
      "uid": "POCAT491",
      "abstract_number": "POCAT491",
      "title": "Comparative Analysis Of Multiple Multifocal Intraocular Lenses Within A Single Centre Using A Standardised Defocus Curve Methodology",
      "authors": "Dr Gilles Lesieur",
      "presenter": "Dr Gilles Lesieur",
      "normalized_authors": [
        "Gilles Lesieur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gilles Lesieur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Multifocal intraocular lenses (MIOLs) differ in optical design, energy distribution, depth of focus profile, and dysphotopsia patterns. However, inter study comparisons remain difficult due to heterogeneous methodologies and inconsistent outcome measures. This study aims to establish a standardised and reproducible comparison of multiple MIOL platforms within a single centre using identical surgical protocols, evaluation criteria, and defocus curve methodology to facilitate objective clinical decision making.",
        "Setting": "Private refractive and cataract surgery center, Centre IRIDIS, Albi, France.",
        "Methods": "A prospective observational comparative study included patients implanted with nine MIOL designs: Odyssey and Synergy (Johnson and Johnson Vision), FineVision (BVI), Vivinex Gemetric and Gemetric Plus (Hoya), ASQELIO Trifocal (AST Products), RayOne Galaxy (Rayner), Intensity (Hanita Lenses), and AT ELANA 841P (Carl Zeiss Meditec). All surgeries were performed by the same surgeon using standardised biometric protocols. Outcomes included uncorrected distance visual acuity (UDVA), distance corrected visual acuity (DCVA), contrast 25 percent sensitivity, and monocular defocus curves with distance correction in trial frames under controlled photopic conditions and measured by the same examiner following a standardised protocol.",
        "Results": "Statistical analysis used analysis of variance and multivariate regression. Results are under analysis.\n\nPreliminary pooled data demonstrate distinct optical and functional signatures across the nine MIOL platforms. Differences were observed in intermediate plateau stability, near focal peak amplitude, contrast performance, and defocus curve smoothness. When analysed under homogeneous conditions within a single centre, inter implant variability becomes more clinically interpretable than comparisons derived from heterogeneous literature sources. Final adjusted statistical outcomes are currently under analysis and will be presented at the meeting.",
        "Conclusions": "Multifocal IOLs exhibit specific optical profiles rather than hierarchical superiority. A standardised single centre methodology comparing multiple platforms using identical defocus curve protocols enables clearer and clinically relevant interpretation. Such a framework supports individualised implant selection based on patient functional priorities rather than marketing driven positioning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multifocal IOLs exhibit specific optical profiles rather than hierarchical superiority. A standardised single centre methodology comparing multiple platforms using identical defocus curve protocols enables clearer and clinically relevant interpretation. Such a framework supports individualised implant selection based on patient functional priorities rather than marketing driven positioning.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 529,
      "source_fields": {
        "Abstract Final Identifier": "POCAT491",
        "Title": "Comparative Analysis Of Multiple Multifocal Intraocular Lenses Within A Single Centre Using A Standardised Defocus Curve Methodology",
        "Presenting Author(s)": "Dr Gilles Lesieur",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Gilles",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lesieur",
        "Country Name": "France",
        "Purpose": "Multifocal intraocular lenses (MIOLs) differ in optical design, energy distribution, depth of focus profile, and dysphotopsia patterns. However, inter study comparisons remain difficult due to heterogeneous methodologies and inconsistent outcome measures. This study aims to establish a standardised and reproducible comparison of multiple MIOL platforms within a single centre using identical surgical protocols, evaluation criteria, and defocus curve methodology to facilitate objective clinical decision making.",
        "Setting": "Private refractive and cataract surgery center, Centre IRIDIS, Albi, France.",
        "Methods": "A prospective observational comparative study included patients implanted with nine MIOL designs: Odyssey and Synergy (Johnson and Johnson Vision), FineVision (BVI), Vivinex Gemetric and Gemetric Plus (Hoya), ASQELIO Trifocal (AST Products), RayOne Galaxy (Rayner), Intensity (Hanita Lenses), and AT ELANA 841P (Carl Zeiss Meditec). All surgeries were performed by the same surgeon using standardised biometric protocols. Outcomes included uncorrected distance visual acuity (UDVA), distance corrected visual acuity (DCVA), contrast 25 percent sensitivity, and monocular defocus curves with distance correction in trial frames under controlled photopic conditions and measured by the same examiner following a standardised protocol.",
        "Results": "Statistical analysis used analysis of variance and multivariate regression. Results are under analysis.\n\nPreliminary pooled data demonstrate distinct optical and functional signatures across the nine MIOL platforms. Differences were observed in intermediate plateau stability, near focal peak amplitude, contrast performance, and defocus curve smoothness. When analysed under homogeneous conditions within a single centre, inter implant variability becomes more clinically interpretable than comparisons derived from heterogeneous literature sources. Final adjusted statistical outcomes are currently under analysis and will be presented at the meeting.",
        "Conclusions": "Multifocal IOLs exhibit specific optical profiles rather than hierarchical superiority. A standardised single centre methodology comparing multiple platforms using identical defocus curve protocols enables clearer and clinically relevant interpretation. Such a framework supports individualised implant selection based on patient functional priorities rather than marketing driven positioning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCAT492",
      "abstract_number": "POCAT492",
      "title": "Defocus Curve Analysis Of Full Range Of Vision Iol With Spiral Optic Designed With Artificial Intelligence At 12 Months After Surgery.",
      "authors": "Dr Andrea Llovet-Rausell",
      "presenter": "Dr Andrea Llovet-Rausell",
      "normalized_authors": [
        "Andrea Llovet-Rausell"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrea Llovet",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "This analysis aims to present the range of vision extension in clinical defocus curve analysis with a spiral non-diffractive full-range-of-vision intraocular lens (IOL). To our knowledge, this is the only analysis providing long-term defocus curve data with a 12-month follow-up.",
        "Setting": "Private Ophthalmology center (Clínica Baviera - AIER Group), Valencia, Spain.",
        "Methods": "Preoperatively, slit-lamp examination, keratometry, biometry, and subjective refraction were performed. Follow-up visits were scheduled for 1, 3, 6 and 12 months after surgery. Monocular and binocular corrected defocus curve measurements were performed in 0.5 D steps from +1.0 D to -4.0 D.",
        "Results": "At 12 months postoperatively, monocular (n = 93) and binocular (n = 24) corrected defocus curves showed a peak at 0 D (distance) with a mean visual acuity (VA) of -0.01±0.07 and -0.08±0.07 logMAR , respectively. At -1.5 D defocus (~66 cm), mean VA was 0.08±0.10 and -0.01±0.09 logMAR , respectively. At -3.0 D (~33 cm), mean VA was 0.31±0.14 and 0.17±0.11 logMAR , respectively. A VA of 0.2 logMAR or better was achieved from +1.50 D to -2.50 D monocularly and from +1.0 D to -3.0 D binocularly.",
        "Conclusions": "Monocular and binocular defocus curves showed stable patterns at 12 months. The binocular curve demonstrated a continuous full range of vision with a smooth plateau from +0.5 D to −3.0 D and VA of 0.2 logMAR or better across ~4.0 D, with slightly better intermediate and near outcomes. These findings suggest that the spiral-design full-range-of-vision IOL provides smooth and continuous vision from distance to near, supporting a high level of spectacle independence. This represents the first report of 12-month defocus curve data for this spiral non-diffractive platform."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Monocular and binocular defocus curves showed stable patterns at 12 months. The binocular curve demonstrated a continuous full range of vision with a smooth plateau from +0.5 D to −3.0 D and VA of 0.2 logMAR or better across ~4.0 D, with slightly better intermediate and near outcomes. These findings suggest that the spiral-design full-range-of-vision IOL provides smooth and continuous vision from distance to near,…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 530,
      "source_fields": {
        "Abstract Final Identifier": "POCAT492",
        "Title": "Defocus Curve Analysis Of Full Range Of Vision Iol With Spiral Optic Designed With Artificial Intelligence At 12 Months After Surgery.",
        "Presenting Author(s)": "Dr Andrea Llovet-Rausell",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Andrea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Llovet",
        "Country Name": "Spain",
        "Purpose": "This analysis aims to present the range of vision extension in clinical defocus curve analysis with a spiral non-diffractive full-range-of-vision intraocular lens (IOL). To our knowledge, this is the only analysis providing long-term defocus curve data with a 12-month follow-up.",
        "Setting": "Private Ophthalmology center (Clínica Baviera - AIER Group), Valencia, Spain.",
        "Methods": "Preoperatively, slit-lamp examination, keratometry, biometry, and subjective refraction were performed. Follow-up visits were scheduled for 1, 3, 6 and 12 months after surgery. Monocular and binocular corrected defocus curve measurements were performed in 0.5 D steps from +1.0 D to -4.0 D.",
        "Results": "At 12 months postoperatively, monocular (n = 93) and binocular (n = 24) corrected defocus curves showed a peak at 0 D (distance) with a mean visual acuity (VA) of -0.01±0.07 and -0.08±0.07 logMAR , respectively. At -1.5 D defocus (~66 cm), mean VA was 0.08±0.10 and -0.01±0.09 logMAR , respectively. At -3.0 D (~33 cm), mean VA was 0.31±0.14 and 0.17±0.11 logMAR , respectively. A VA of 0.2 logMAR or better was achieved from +1.50 D to -2.50 D monocularly and from +1.0 D to -3.0 D binocularly.",
        "Conclusions": "Monocular and binocular defocus curves showed stable patterns at 12 months. The binocular curve demonstrated a continuous full range of vision with a smooth plateau from +0.5 D to −3.0 D and VA of 0.2 logMAR or better across ~4.0 D, with slightly better intermediate and near outcomes. These findings suggest that the spiral-design full-range-of-vision IOL provides smooth and continuous vision from distance to near, supporting a high level of spectacle independence. This represents the first report of 12-month defocus curve data for this spiral non-diffractive platform."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCAT493",
      "abstract_number": "POCAT493",
      "title": "Clinical And Visual Outcomes Of A New Diffractive Freeform Full Visual Range Intraocular Lens",
      "authors": "Dr Sofia Machado",
      "presenter": "Dr Sofia Machado",
      "normalized_authors": [
        "Sofia Machado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofia Machado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate visual outcomes, refractive predictability, binocular defocus curves, safety profile, and patient-reported outcome measures (PROMs) following bilateral implantation of the Tecnis Odyssey TM (Johnson & Johnson Surgical Vision®) intraocular lens (IOL).",
        "Setting": "Prospective, single-center, interventional study, conducted at the Department of Ophthalmology of Unidade Local de Saúde de São João (Porto, Portugal) between September 2025 and December 2025.",
        "Methods": "Nine consecutive patients underwent bilateral refractive lensectomy with implantation of the Tecnis Odyssey TM IOL. Monocular outcomes were analyzed per eye (n = 18), while binocular defocus curve analysis was performed per patient (n = 9). Distance visual acuity outcomes, including uncorrected (UDVA) and corrected distance visual acuity (CDVA), and refractive outcomes were recorded pre- and postoperatively (3 months). Binocular defocus curves were measured from −3.5 D to +1.5 D, and the area under the curve (AUC) was calculated for predefined functional ranges (distance, intermediate at 66 cm, near at 40 cm, and very near at 25 cm). PROMs were assessed using the validated Quality of Vision (QoV) questionnaire, scored on a 0–3 ordinal scale.",
        "Results": "Patients’ mean age was 56.6±4.5 years. Fifteen eyes (77.8%) received a spherical IOL. Mean UDVA improved from 0.443 ± 0.176 to 0.051 ± 0.078 logMAR (p<0.001). CDVA improved from 0.050 ± 0.054 to −0.009 ± 0.026 logMAR (p=0.006). Sixteen eyes (88.9%) achieved UDVA ≤0.1 logMAR. Mean postoperative spherical equivalent was -0.125 ± 0.177 D, with 16 eyes (88.9%) within ±0.25 D and 17 eyes (94.4%) with residual astigmatism ≤0.50 D. All patients presented a binocular depth of field from +0.50 to -3.50D, with visual acuities ≥0.2 logMAR. QoV results showed low overall symptomatic burden. Three patients reported frequent mild glare, two different patients reported frequent mild haloes, and one distinct patient reported frequent mild starbursts.",
        "Conclusions": "Bilateral implantation of the Tecnis Odyssey TM IOL resulted in significant improvements in uncorrected and corrected distance visual acuity and high refractive predictability. Binocular defocus curve analysis demonstrated a continuous full range of field profile with strong near and intermediate performance. PROMs showed low dysphotopsia burden, with absence of glare, haloes and starbursts in most cases. These findings suggest that the Tecnis Odyssey TM IOL provides effective functional vision across distances with minimal symptomatic compromise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of the Tecnis Odyssey TM IOL resulted in significant improvements in uncorrected and corrected distance visual acuity and high refractive predictability. Binocular defocus curve analysis demonstrated a continuous full range of field profile with strong near and intermediate performance. PROMs showed low dysphotopsia burden, with absence of glare, haloes and starbursts in most cases. These…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 531,
      "source_fields": {
        "Abstract Final Identifier": "POCAT493",
        "Title": "Clinical And Visual Outcomes Of A New Diffractive Freeform Full Visual Range Intraocular Lens",
        "Presenting Author(s)": "Dr Sofia Machado",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Sofia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Machado",
        "Country Name": "Portugal",
        "Purpose": "To evaluate visual outcomes, refractive predictability, binocular defocus curves, safety profile, and patient-reported outcome measures (PROMs) following bilateral implantation of the Tecnis Odyssey TM (Johnson & Johnson Surgical Vision®) intraocular lens (IOL).",
        "Setting": "Prospective, single-center, interventional study, conducted at the Department of Ophthalmology of Unidade Local de Saúde de São João (Porto, Portugal) between September 2025 and December 2025.",
        "Methods": "Nine consecutive patients underwent bilateral refractive lensectomy with implantation of the Tecnis Odyssey TM IOL. Monocular outcomes were analyzed per eye (n = 18), while binocular defocus curve analysis was performed per patient (n = 9). Distance visual acuity outcomes, including uncorrected (UDVA) and corrected distance visual acuity (CDVA), and refractive outcomes were recorded pre- and postoperatively (3 months). Binocular defocus curves were measured from −3.5 D to +1.5 D, and the area under the curve (AUC) was calculated for predefined functional ranges (distance, intermediate at 66 cm, near at 40 cm, and very near at 25 cm). PROMs were assessed using the validated Quality of Vision (QoV) questionnaire, scored on a 0–3 ordinal scale.",
        "Results": "Patients’ mean age was 56.6±4.5 years. Fifteen eyes (77.8%) received a spherical IOL. Mean UDVA improved from 0.443 ± 0.176 to 0.051 ± 0.078 logMAR (p<0.001). CDVA improved from 0.050 ± 0.054 to −0.009 ± 0.026 logMAR (p=0.006). Sixteen eyes (88.9%) achieved UDVA ≤0.1 logMAR. Mean postoperative spherical equivalent was -0.125 ± 0.177 D, with 16 eyes (88.9%) within ±0.25 D and 17 eyes (94.4%) with residual astigmatism ≤0.50 D. All patients presented a binocular depth of field from +0.50 to -3.50D, with visual acuities ≥0.2 logMAR. QoV results showed low overall symptomatic burden. Three patients reported frequent mild glare, two different patients reported frequent mild haloes, and one distinct patient reported frequent mild starbursts.",
        "Conclusions": "Bilateral implantation of the Tecnis Odyssey TM IOL resulted in significant improvements in uncorrected and corrected distance visual acuity and high refractive predictability. Binocular defocus curve analysis demonstrated a continuous full range of field profile with strong near and intermediate performance. PROMs showed low dysphotopsia burden, with absence of glare, haloes and starbursts in most cases. These findings suggest that the Tecnis Odyssey TM IOL provides effective functional vision across distances with minimal symptomatic compromise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "POCAT494",
      "abstract_number": "POCAT494",
      "title": "Clinical Outcomes And Photic Disturbances With Bi-Aspheric Diffractive Trifocal Versus Non-Diffractive Phasering Edof Intraocular Lenses",
      "authors": "Mrs Laura Mariñas García",
      "presenter": "Mrs Laura Mariñas García",
      "normalized_authors": [
        "Laura Mariñas García"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura Mariñas García",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The objective of this study was to evaluate and compare photic phenomena and visual performance in patients who underwent bilateral implantation of either a diffractive trifocal intraocular lens (IOL) or a non-diffractive extended depth-of-focus (EDoF) IOL.",
        "Setting": "Rementeria Clinic",
        "Methods": "Patients bilaterally implanted with either the diffractive Asqelio® Trifocal or the non-diffractive Asqelio® EDoF IOL were included. At 3 months postoperatively, monocular uncorrected distance visual acuity (UDVA), monocular contrast visual acuity (100%, 50%, and 10%), and binocular defocus curves were evaluated. Photic phenomena were specifically analyzed. Halo perception was objectively assessed using a halometer, obtaining a discrimination index. Subjective dysphotopsias (halos and glare) and night driving difficulties were measured using a four-point Likert-scale questionnaire.",
        "Results": "Seventy-six eyes from 38 patients were analyzed (38 eyes with trifocal, 38 eyes with EDoF). Monocular UDVA was −0.04 ± 0.08 logMAR in the trifocal group and −0.01 ± 0.06 logMAR in the EDoF group (p = 0.10). Both groups showed decreased monocular visual acuity under lower contrast conditions, without statistically significant differences (p > 0.05). Defocus curves were comparable between +1.0 and −1.50 D; however, from −2.0 to −3.0 D, the trifocal group achieved significantly better visual acuity (p < 0.05). Halos were reported as “never” or “mild” by 63% of trifocal patients and 79% of EDoF patients. Night driving difficulties were minimal in 58% with trifocals and 69% with EDoF IOLs.",
        "Conclusions": "Both IOL models provided satisfactory visual outcomes at distance and intermediate ranges. The trifocal lens offered superior near visual acuity. Photic disturbances were generally similar between groups, although a slightly higher perception of halos was reported in the trifocal cohort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both IOL models provided satisfactory visual outcomes at distance and intermediate ranges. The trifocal lens offered superior near visual acuity. Photic disturbances were generally similar between groups, although a slightly higher perception of halos was reported in the trifocal cohort.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 532,
      "source_fields": {
        "Abstract Final Identifier": "POCAT494",
        "Title": "Clinical Outcomes And Photic Disturbances With Bi-Aspheric Diffractive Trifocal Versus Non-Diffractive Phasering Edof Intraocular Lenses",
        "Presenting Author(s)": "Mrs Laura Mariñas García",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mariñas García",
        "Country Name": "Spain",
        "Purpose": "The objective of this study was to evaluate and compare photic phenomena and visual performance in patients who underwent bilateral implantation of either a diffractive trifocal intraocular lens (IOL) or a non-diffractive extended depth-of-focus (EDoF) IOL.",
        "Setting": "Rementeria Clinic",
        "Methods": "Patients bilaterally implanted with either the diffractive Asqelio® Trifocal or the non-diffractive Asqelio® EDoF IOL were included. At 3 months postoperatively, monocular uncorrected distance visual acuity (UDVA), monocular contrast visual acuity (100%, 50%, and 10%), and binocular defocus curves were evaluated. Photic phenomena were specifically analyzed. Halo perception was objectively assessed using a halometer, obtaining a discrimination index. Subjective dysphotopsias (halos and glare) and night driving difficulties were measured using a four-point Likert-scale questionnaire.",
        "Results": "Seventy-six eyes from 38 patients were analyzed (38 eyes with trifocal, 38 eyes with EDoF). Monocular UDVA was −0.04 ± 0.08 logMAR in the trifocal group and −0.01 ± 0.06 logMAR in the EDoF group (p = 0.10). Both groups showed decreased monocular visual acuity under lower contrast conditions, without statistically significant differences (p > 0.05). Defocus curves were comparable between +1.0 and −1.50 D; however, from −2.0 to −3.0 D, the trifocal group achieved significantly better visual acuity (p < 0.05). Halos were reported as “never” or “mild” by 63% of trifocal patients and 79% of EDoF patients. Night driving difficulties were minimal in 58% with trifocals and 69% with EDoF IOLs.",
        "Conclusions": "Both IOL models provided satisfactory visual outcomes at distance and intermediate ranges. The trifocal lens offered superior near visual acuity. Photic disturbances were generally similar between groups, although a slightly higher perception of halos was reported in the trifocal cohort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POCAT495",
      "abstract_number": "POCAT495",
      "title": "Visual Outcomes After Paired Contralateral Implantation Of 2 Trifocal Iols With Complementary Optical Designs And Visual Performance Profiles",
      "authors": "Dr Erik L. Mertens",
      "presenter": "Dr Erik L. Mertens",
      "normalized_authors": [
        "Erik L. Mertens"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erik L. Mertens",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "The purpose of this study is to evaluate the clinical and patient reported outcomes after bilateral paired implantation of the yellow Vivinex TM Gemetric TM (G) and Gemetric TM Plus (GP) trifocal toric and non-toric preloaded multiStert TM IOLs (HOYA Surgical Optics, Singapore). In this paired approach, either toric or non-toric versions of the Vivinex TM Gemetric TM was implanted in the first and Vivinex TM Gemetric TM Plus in the contralateral second eye in order to combine the benefits of both optical lens designs and resulting differences in light distribution and visual performance profiles.",
        "Setting": "Medipolis Eye Center, Antwerpen, Belgium",
        "Methods": "This prospective analysis of 6-month follow-up outcomes includes data of 29 subjects aged from 39 to 78 years (59 ± 7.8),of whom 8 patients were treated for cataract and 21 underwent refractive lens exchange.\n\nManifest refraction is reported as sphere, cylinder and manifest refraction spherical equivalent (MRSE). Visual outcomes are reported in logMAR and include means of monocular and binocular corrected and uncorrected distance visual acuity (CDVA and UDVA at 4m), and distance corrected and uncorrected intermediate and near visual acuity (DCIVA / UIVA at 66cm and DCNVA / UNVA at 35cm) Patient reported outcomes on patient satisfaction, spectacle use, and photic phenomena were obtained by questionnaires.",
        "Results": "Mean MRSE ± SD is -0.11 ± 0.16 (G) and -0.13 ± 0.18 D (GP). Monocular CDVA is -0.05 ± 0.07 logMAR with G and -0.02 ± 0.07 with GP . DCIVA is 0.14 ± 0.09 (G) and 0.14 ± 0.10 logMAR (GP). The only statistically significant difference is seen in monocular DCNVA, which is 0.20 ± 0.07 (G) and 0.11 ± 0.08 (GP) logMAR (p<0.01). Binocular UDVA, UIVA and UNVA of -0.06 ± 0.07, 0.07 ± 0.07 and 0.09 ± 0.10 logMAR, respectively, led to high patient satisfaction. Only 3.5% of subjects reported needing glasses some of the time, and 100% were very (28/29) or mostly (1/29) satisfied with their vision at all three tested distances. Moderate to severe halo, glare and starburst were reported by 34.5, 6.9, and 10.3%, respectively.",
        "Conclusions": "The study demonstrates the benefits of the paired implantation of the two Vivinex TM Gemetric TM IOL variants with complementary light distribution and, therefore, visual performance profiles. The difference in uncorrected and distance corrected monocular near visual acuities highlights a design-specific advantage of Vivinex TM Gemetric TM Plus for near vision without compromising distance vision Combination of both designs in the paired implantation approach leads to high patient satisfaction and acceptable rates of photic phenomena in daily life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The study demonstrates the benefits of the paired implantation of the two Vivinex TM Gemetric TM IOL variants with complementary light distribution and, therefore, visual performance profiles. The difference in uncorrected and distance corrected monocular near visual acuities highlights a design-specific advantage of Vivinex TM Gemetric TM Plus for near vision without compromising distance vision Combination of…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 533,
      "source_fields": {
        "Abstract Final Identifier": "POCAT495",
        "Title": "Visual Outcomes After Paired Contralateral Implantation Of 2 Trifocal Iols With Complementary Optical Designs And Visual Performance Profiles",
        "Presenting Author(s)": "Dr Erik L. Mertens",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Erik",
        "Submitter Middle Name": "L.",
        "Submitter Last Name": "Mertens",
        "Country Name": "Belgium",
        "Purpose": "The purpose of this study is to evaluate the clinical and patient reported outcomes after bilateral paired implantation of the yellow Vivinex TM Gemetric TM (G) and Gemetric TM Plus (GP) trifocal toric and non-toric preloaded multiStert TM IOLs (HOYA Surgical Optics, Singapore). In this paired approach, either toric or non-toric versions of the Vivinex TM Gemetric TM was implanted in the first and Vivinex TM Gemetric TM Plus in the contralateral second eye in order to combine the benefits of both optical lens designs and resulting differences in light distribution and visual performance profiles.",
        "Setting": "Medipolis Eye Center, Antwerpen, Belgium",
        "Methods": "This prospective analysis of 6-month follow-up outcomes includes data of 29 subjects aged from 39 to 78 years (59 ± 7.8),of whom 8 patients were treated for cataract and 21 underwent refractive lens exchange.\n\nManifest refraction is reported as sphere, cylinder and manifest refraction spherical equivalent (MRSE). Visual outcomes are reported in logMAR and include means of monocular and binocular corrected and uncorrected distance visual acuity (CDVA and UDVA at 4m), and distance corrected and uncorrected intermediate and near visual acuity (DCIVA / UIVA at 66cm and DCNVA / UNVA at 35cm) Patient reported outcomes on patient satisfaction, spectacle use, and photic phenomena were obtained by questionnaires.",
        "Results": "Mean MRSE ± SD is -0.11 ± 0.16 (G) and -0.13 ± 0.18 D (GP). Monocular CDVA is -0.05 ± 0.07 logMAR with G and -0.02 ± 0.07 with GP . DCIVA is 0.14 ± 0.09 (G) and 0.14 ± 0.10 logMAR (GP). The only statistically significant difference is seen in monocular DCNVA, which is 0.20 ± 0.07 (G) and 0.11 ± 0.08 (GP) logMAR (p<0.01). Binocular UDVA, UIVA and UNVA of -0.06 ± 0.07, 0.07 ± 0.07 and 0.09 ± 0.10 logMAR, respectively, led to high patient satisfaction. Only 3.5% of subjects reported needing glasses some of the time, and 100% were very (28/29) or mostly (1/29) satisfied with their vision at all three tested distances. Moderate to severe halo, glare and starburst were reported by 34.5, 6.9, and 10.3%, respectively.",
        "Conclusions": "The study demonstrates the benefits of the paired implantation of the two Vivinex TM Gemetric TM IOL variants with complementary light distribution and, therefore, visual performance profiles. The difference in uncorrected and distance corrected monocular near visual acuities highlights a design-specific advantage of Vivinex TM Gemetric TM Plus for near vision without compromising distance vision Combination of both designs in the paired implantation approach leads to high patient satisfaction and acceptable rates of photic phenomena in daily life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 433
    },
    {
      "uid": "POCAT496",
      "abstract_number": "POCAT496",
      "title": "Contrast Sensitivity With Clareon Panoptix Versus Acrysof Panoptix: Preliminary Results Of The Prospective Randomized Clayre Study",
      "authors": "A/Prof. Dominique Monnet*",
      "presenter": "A/Prof. Dominique Monnet*",
      "normalized_authors": [
        "Dominique Monnet*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dominique Monnet*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare contrast sensitivity outcomes between two trifocal intraocular lenses (IOLs), Clareon PanOptix and AcrySof PanOptix, which mainly differ in their biomaterial composition.",
        "Setting": "Single-center prospective randomized clinical study, France.",
        "Methods": "CLAYRE is a prospective, interventional, randomized contralateral-eye study comparing two trifocal IOLs implanted during cataract surgery: Clareon PanOptix and AcrySof PanOptix. Each patient receives one IOL model in each eye.\n\nThe primary endpoint is contrast sensitivity measured as the area under the log contrast sensitivity function (AULCSF) across multiple spatial frequencies. Measurements are performed monocularly under mesopic conditions without glare at 3 months postoperatively.\n\nThe planned sample size is 40 patients (80 eyes). Baseline demographic and biometric parameters including age, axial length, preoperative visual acuity, spherical equivalent and implanted IOL power are collected.",
        "Results": "To date, 10 patients (20 eyes) have been included. Nine participants were female and the median age was 70.5 years (IQR 12) .\n\nMedian preoperative visual acuity was 0.22 logMAR (IQR 0.25) and median axial length was 24.45 mm (IQR 1.83). The median spherical equivalent was 0.375 D (IQR 3.38) and the median implanted IOL power was 20.0 D (IQR 2.5).\n\nPatient recruitment is ongoing. At least 20 patients are expected to complete the 3-month follow-up, allowing presentation of the first comparative contrast sensitivity results at the ESCRS Congress in September.",
        "Conclusions": "A previous retrospective study (Lee et al., 2022) reported similar visual acuity outcomes between the two IOLs but significantly higher contrast sensitivity with Clareon PanOptix. The CLAYRE study, using a prospective randomized contralateral-eye design, aims to provide higher-level evidence regarding potential differences in contrast sensitivity between these two trifocal IOL platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A previous retrospective study (Lee et al., 2022) reported similar visual acuity outcomes between the two IOLs but significantly higher contrast sensitivity with Clareon PanOptix. The CLAYRE study, using a prospective randomized contralateral-eye design, aims to provide higher-level evidence regarding potential differences in contrast sensitivity between these two trifocal IOL platforms.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 534,
      "source_fields": {
        "Abstract Final Identifier": "POCAT496",
        "Title": "Contrast Sensitivity With Clareon Panoptix Versus Acrysof Panoptix: Preliminary Results Of The Prospective Randomized Clayre Study",
        "Presenting Author(s)": "A/Prof. Dominique Monnet*",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Dominique",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Monnet*",
        "Country Name": "France",
        "Purpose": "To compare contrast sensitivity outcomes between two trifocal intraocular lenses (IOLs), Clareon PanOptix and AcrySof PanOptix, which mainly differ in their biomaterial composition.",
        "Setting": "Single-center prospective randomized clinical study, France.",
        "Methods": "CLAYRE is a prospective, interventional, randomized contralateral-eye study comparing two trifocal IOLs implanted during cataract surgery: Clareon PanOptix and AcrySof PanOptix. Each patient receives one IOL model in each eye.\n\nThe primary endpoint is contrast sensitivity measured as the area under the log contrast sensitivity function (AULCSF) across multiple spatial frequencies. Measurements are performed monocularly under mesopic conditions without glare at 3 months postoperatively.\n\nThe planned sample size is 40 patients (80 eyes). Baseline demographic and biometric parameters including age, axial length, preoperative visual acuity, spherical equivalent and implanted IOL power are collected.",
        "Results": "To date, 10 patients (20 eyes) have been included. Nine participants were female and the median age was 70.5 years (IQR 12) .\n\nMedian preoperative visual acuity was 0.22 logMAR (IQR 0.25) and median axial length was 24.45 mm (IQR 1.83). The median spherical equivalent was 0.375 D (IQR 3.38) and the median implanted IOL power was 20.0 D (IQR 2.5).\n\nPatient recruitment is ongoing. At least 20 patients are expected to complete the 3-month follow-up, allowing presentation of the first comparative contrast sensitivity results at the ESCRS Congress in September.",
        "Conclusions": "A previous retrospective study (Lee et al., 2022) reported similar visual acuity outcomes between the two IOLs but significantly higher contrast sensitivity with Clareon PanOptix. The CLAYRE study, using a prospective randomized contralateral-eye design, aims to provide higher-level evidence regarding potential differences in contrast sensitivity between these two trifocal IOL platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POCAT497",
      "abstract_number": "POCAT497",
      "title": "Objective Visual Acuity Outcomes Following Hoya Gemetric (Xy1-G And Xy1-Gt) Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate unaided distance, intermediate, and near visual acuity outcomes following implantation of the HOYA Gemetric intraocular lens",
        "Setting": "Retrospective clinical audit conducted in a single surgeon’s cataract and refractive lens exchange practice in South Wales, UK.",
        "Methods": "Patients undergoing cataract surgery with implantation of the HOYA Gemetric intraocular lens (XY1-GT and XY1-G) were retrospectively analysed. Post-operative unaided distance visual acuity (UDVA), unaided intermediate visual acuity (UIVA), and unaided near visual acuity (UNVA) were noted at follow-up and catalogued using CLEARlog. Outcomes were assessed with mean visual acuity in LogMAR, cumulative visual acuity thresholds in LogMAR and near visual acuity in N notation. All were reported as percentages.",
        "Results": "A total of 298 eyes implanted with Gemetric lenses were included. For distance vision, mean unaided visual acuity was 0.07 LogMAR and 59.4% (177/298) achieved ≧ 6/6, 72.8% (217/298) achieved ≧ 6/7.5, 83.2% (248/298) achieved ≧ 6/9.\nMean unaided intermediate visual acuity was 0.23 LogMAR, with 15.4% (46/298) achieving ≤0.1 LogMAR, 44.6% (133/298) achieving ≤0.2 LogMAR, and 71.5% (213/298) achieving ≤0.3 LogMAR.\nMean unaided near visual acuity was 0.29 LogMAR, with 90.7% reading ≧ N6, 96.1% reading ≧N8, and 98.1% reading ≧N12.",
        "Conclusions": "HOYA Gemetric intraocular lens implantation demonstrated excellent unaided distance, intermediate and near visual acuity outcomes. These findings support the lens as an effective option for achieving excellent full range of unaided vision after cataract and lens exchange surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "HOYA Gemetric intraocular lens implantation demonstrated excellent unaided distance, intermediate and near visual acuity outcomes. These findings support the lens as an effective option for achieving excellent full range of unaided vision after cataract and lens exchange surgery.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 535,
      "source_fields": {
        "Abstract Final Identifier": "POCAT497",
        "Title": "Objective Visual Acuity Outcomes Following Hoya Gemetric (Xy1-G And Xy1-Gt) Intraocular Lens Implantation In Routine Cataract And Lens Exchange Surgery",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate unaided distance, intermediate, and near visual acuity outcomes following implantation of the HOYA Gemetric intraocular lens",
        "Setting": "Retrospective clinical audit conducted in a single surgeon’s cataract and refractive lens exchange practice in South Wales, UK.",
        "Methods": "Patients undergoing cataract surgery with implantation of the HOYA Gemetric intraocular lens (XY1-GT and XY1-G) were retrospectively analysed. Post-operative unaided distance visual acuity (UDVA), unaided intermediate visual acuity (UIVA), and unaided near visual acuity (UNVA) were noted at follow-up and catalogued using CLEARlog. Outcomes were assessed with mean visual acuity in LogMAR, cumulative visual acuity thresholds in LogMAR and near visual acuity in N notation. All were reported as percentages.",
        "Results": "A total of 298 eyes implanted with Gemetric lenses were included. For distance vision, mean unaided visual acuity was 0.07 LogMAR and 59.4% (177/298) achieved ≧ 6/6, 72.8% (217/298) achieved ≧ 6/7.5, 83.2% (248/298) achieved ≧ 6/9.\nMean unaided intermediate visual acuity was 0.23 LogMAR, with 15.4% (46/298) achieving ≤0.1 LogMAR, 44.6% (133/298) achieving ≤0.2 LogMAR, and 71.5% (213/298) achieving ≤0.3 LogMAR.\nMean unaided near visual acuity was 0.29 LogMAR, with 90.7% reading ≧ N6, 96.1% reading ≧N8, and 98.1% reading ≧N12.",
        "Conclusions": "HOYA Gemetric intraocular lens implantation demonstrated excellent unaided distance, intermediate and near visual acuity outcomes. These findings support the lens as an effective option for achieving excellent full range of unaided vision after cataract and lens exchange surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCAT498",
      "abstract_number": "POCAT498",
      "title": "Visual And Safety Outcomes Of Refractive Lens Exchange With Multifocal Intraocular Lens For The Treatment Of Refractive Accommodative Esotropia",
      "authors": "Prof. Dr Orwa Nasser",
      "presenter": "Prof. Dr Orwa Nasser",
      "normalized_authors": [
        "Orwa Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Orwa Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To demonstrate the effectiveness of refractive lens exchange (RLE) with multifocal intraocular lens (MFIOL) to correct fully accommodative esotropia in patients who desire to be spectacles independent and who are not suitable for other refractive procedures (PRK, LASIK, ICL, etc.)",
        "Setting": "Private tertiary ophthamlomory clinic/surgery center",
        "Methods": "This is a retrospective case series study. 3 patients were included and who have diagnosis of fully accommodative exotropia and wish to be spectacle free. These patients were not suitable for common refractive surgery for different reasons. 6 eyes underwent RLE with MFIOL. Data were collected preoperatively at 1-, 2-, 3- and 9-month follow-up visits after each treatment.",
        "Results": "The mean age of the patients at time of RLE was 22.1. Mean spherical equivalent decreased from +3.8 ± 1.211 diopters (D) (hyperopia) before surgery to +0.35 ± 0.52 D after surgery (P<0.001). The mean angle of deviation without correction was 22.0 prism diopters (Δ) before surgery and 3.25 Δ after surgery (P<0.001). There were no significant differences observed between the preoperative and postoperative mean best-corrected visual acuity (p=0.32). There were no complications.",
        "Conclusions": "Refractive surgery may be performed successfully and safely in patients with accommodative esotropia who are not suitable for other refractive procedures. More studies are needed to increase the patient experience and extend the follow-up period in order to evaluate the stability of these results over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive surgery may be performed successfully and safely in patients with accommodative esotropia who are not suitable for other refractive procedures. More studies are needed to increase the patient experience and extend the follow-up period in order to evaluate the stability of these results over time.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 536,
      "source_fields": {
        "Abstract Final Identifier": "POCAT498",
        "Title": "Visual And Safety Outcomes Of Refractive Lens Exchange With Multifocal Intraocular Lens For The Treatment Of Refractive Accommodative Esotropia",
        "Presenting Author(s)": "Prof. Dr Orwa Nasser",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Orwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "United States",
        "Purpose": "To demonstrate the effectiveness of refractive lens exchange (RLE) with multifocal intraocular lens (MFIOL) to correct fully accommodative esotropia in patients who desire to be spectacles independent and who are not suitable for other refractive procedures (PRK, LASIK, ICL, etc.)",
        "Setting": "Private tertiary ophthamlomory clinic/surgery center",
        "Methods": "This is a retrospective case series study. 3 patients were included and who have diagnosis of fully accommodative exotropia and wish to be spectacle free. These patients were not suitable for common refractive surgery for different reasons. 6 eyes underwent RLE with MFIOL. Data were collected preoperatively at 1-, 2-, 3- and 9-month follow-up visits after each treatment.",
        "Results": "The mean age of the patients at time of RLE was 22.1. Mean spherical equivalent decreased from +3.8 ± 1.211 diopters (D) (hyperopia) before surgery to +0.35 ± 0.52 D after surgery (P<0.001). The mean angle of deviation without correction was 22.0 prism diopters (Δ) before surgery and 3.25 Δ after surgery (P<0.001). There were no significant differences observed between the preoperative and postoperative mean best-corrected visual acuity (p=0.32). There were no complications.",
        "Conclusions": "Refractive surgery may be performed successfully and safely in patients with accommodative esotropia who are not suitable for other refractive procedures. More studies are needed to increase the patient experience and extend the follow-up period in order to evaluate the stability of these results over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCAT499",
      "abstract_number": "POCAT499",
      "title": "Evaluation Of Reading Performance After Refractive Lens Exchange Using A Paired Implantation Of Diffractive Trifocal Intraocular Lenses With Distinct Light Distribution Characteristics",
      "authors": "Tadas Naujokaitis",
      "presenter": "Tadas Naujokaitis",
      "normalized_authors": [
        "Tadas Naujokaitis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tadas Naujokaitis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate near and intermediate reading performance using an electronic reading desk after refractive lens exchange (RLE) with contralateral implantation of two diffractive trifocal IOLs, featuring identical add powers but distinct light distribution profiles.",
        "Setting": "International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany",
        "Methods": "Patients underwent RLE with contralateral implantation of Vivinex Gemetric (Hoya) in one eye and Vivinex Gemetric Plus (Hoya) in the fellow eye, irrespective of ocular dominance. Reading performance was assessed using Salzburg Reading Desk (SRD Vision) preoperatively and 6 months postoperatively. Binocular reading performance was assessed under uncorrected and distance-corrected conditions at fixed near (40 cm) and intermediate (80 cm) distances and at subjectively preferred near and intermediate distances. Twenty-nine patients are planned to be included in total.",
        "Results": "Six-month data from 19 patients showed improved binocular uncorrected reading acuity from 0.67±0.17 logMAR before the surgery to 0.17±0.12 logMAR after the surgery at 40 cm and from 0.56±0.23 logMAR to 0.12±0.10 logMAR at 80 cm. At subjectively preferred distances, postoperative uncorrected reading acuity was 0.08±0.11 logMAR at near (distance of 30.64±3.77 cm) and 0.13±0.11 at intermediate (63.74±8.59 cm). Binocular distance-corrected reading acuity showed a similar pattern, improving from 0.39 ± 0.15 logMAR to 0.17±0.12 logMAR at 40 cm and from 0.07 ± 0.08 logMAR to 0.12±0.10 logMAR at 80 cm.",
        "Conclusions": "RLE with paired implantation of Vivinex Gemetric and Gemetric Plus diffractive trifocal IOLs provided good postoperative reading acuity at near and intermediate distances, with overall improvement in reading performance. Near reading acuity at the subjectively preferred distance was slightly better than at the fixed 40 cm distance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RLE with paired implantation of Vivinex Gemetric and Gemetric Plus diffractive trifocal IOLs provided good postoperative reading acuity at near and intermediate distances, with overall improvement in reading performance. Near reading acuity at the subjectively preferred distance was slightly better than at the fixed 40 cm distance.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 537,
      "source_fields": {
        "Abstract Final Identifier": "POCAT499",
        "Title": "Evaluation Of Reading Performance After Refractive Lens Exchange Using A Paired Implantation Of Diffractive Trifocal Intraocular Lenses With Distinct Light Distribution Characteristics",
        "Presenting Author(s)": "Tadas Naujokaitis",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Tadas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naujokaitis",
        "Country Name": "Germany",
        "Purpose": "To evaluate near and intermediate reading performance using an electronic reading desk after refractive lens exchange (RLE) with contralateral implantation of two diffractive trifocal IOLs, featuring identical add powers but distinct light distribution profiles.",
        "Setting": "International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany",
        "Methods": "Patients underwent RLE with contralateral implantation of Vivinex Gemetric (Hoya) in one eye and Vivinex Gemetric Plus (Hoya) in the fellow eye, irrespective of ocular dominance. Reading performance was assessed using Salzburg Reading Desk (SRD Vision) preoperatively and 6 months postoperatively. Binocular reading performance was assessed under uncorrected and distance-corrected conditions at fixed near (40 cm) and intermediate (80 cm) distances and at subjectively preferred near and intermediate distances. Twenty-nine patients are planned to be included in total.",
        "Results": "Six-month data from 19 patients showed improved binocular uncorrected reading acuity from 0.67±0.17 logMAR before the surgery to 0.17±0.12 logMAR after the surgery at 40 cm and from 0.56±0.23 logMAR to 0.12±0.10 logMAR at 80 cm. At subjectively preferred distances, postoperative uncorrected reading acuity was 0.08±0.11 logMAR at near (distance of 30.64±3.77 cm) and 0.13±0.11 at intermediate (63.74±8.59 cm). Binocular distance-corrected reading acuity showed a similar pattern, improving from 0.39 ± 0.15 logMAR to 0.17±0.12 logMAR at 40 cm and from 0.07 ± 0.08 logMAR to 0.12±0.10 logMAR at 80 cm.",
        "Conclusions": "RLE with paired implantation of Vivinex Gemetric and Gemetric Plus diffractive trifocal IOLs provided good postoperative reading acuity at near and intermediate distances, with overall improvement in reading performance. Near reading acuity at the subjectively preferred distance was slightly better than at the fixed 40 cm distance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT500",
      "abstract_number": "POCAT500",
      "title": "Clinical Outcomes Of A New Full Range Diffractive Intraocular Lens",
      "authors": "Dr Helena Noguera Nuñez",
      "presenter": "Dr Helena Noguera Nuñez",
      "normalized_authors": [
        "Helena Noguera Nuñez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Helena Noguera Nuñez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the effectiveness and safety of a hydrophobic acrylic full-range of field (Full-RoF) freeform diffractive IOL.\n\nOur main purpose was to evaluate visual acuities at far, intermediate and near distances after the implantation of this IOL. The secondary objectives were to analyze residual refraction, defocus curves and satisfaction in visual quality of patients.",
        "Setting": "MIRANZA COI .\n\nRodríguez Arias 6º, Bilbao (Basque Country), Spain.",
        "Methods": "This was a prospective, observational, descriptive study. We enrolled 40 healthy patients with bilateral cataract. All surgeries were performed by two experienced surgeons (HN and IG-S). Both, spheric (DNRV000) and toric version (DRT150-375) of TECNIS Odyssey (J&J) were implanted. Toric lens was chosen when preoperative corneal astigmatism was greater than 1.00 Dp.\n\nCDVA (far), DCIVA (66 cm) and DCNVA (40 cm) were measured at 1 and 3 months post-op. Finally, at 3 months post-op, defocus curves and patient's satisfaction questionnaires (PRISQv2 and QoV) were obtained.",
        "Results": "Mean age was 71±6 years; mean K1 43,60 ±1,50 and mean K2 43,60 ± 1,61. AL was 23,09 ± 1,08 mm and lens power 22,80 ± 2,37 D. We implanted 56,25% toric lenses (mean toric power: 1,72 ± 0,39 D). No adverse events were registered in the follow-up time.\n\nThe mean CDVA and DCIVA at 3 months were very high (0.0 +/- 0.1 logMAR) and so was DCNVA (0.1 +/- 0.1 logMAR); while residual SE was -0.50 +/- 0.33.\n\nThe monocular defocus curve at 3 months postOp was very flat, supporting the effectiveness of its freeforme diffractive design (Mean VA at 0 D was 0,01 ± 0,12 LogMAR, at -1.5 D was 0,06 ± 0,11 and at -2.5 D was 0,06 ± 0,09). The score of both satisfaction questionnaires showed great outcomes, with 87,5% reporting that they never or rarely have halos.",
        "Conclusions": "The new diffractive Full-RoF IOL offers a safe and reliable option when aiming for spectacle independence and patient’s satisfaction after cataract surgery, showing good predictability.\n\nThis lens exhibits excellent visual quality at far, intermediate and near vision, meeting the established criteria for full range of focus lenses. The results obtained in satisfaction questionnaires reflect high percentage of satisfaction levels after surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new diffractive Full-RoF IOL offers a safe and reliable option when aiming for spectacle independence and patient’s satisfaction after cataract surgery, showing good predictability. This lens exhibits excellent visual quality at far, intermediate and near vision, meeting the established criteria for full range of focus lenses. The results obtained in satisfaction questionnaires reflect high percentage of…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 538,
      "source_fields": {
        "Abstract Final Identifier": "POCAT500",
        "Title": "Clinical Outcomes Of A New Full Range Diffractive Intraocular Lens",
        "Presenting Author(s)": "Dr Helena Noguera Nuñez",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Helena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Noguera Nuñez",
        "Country Name": "Spain",
        "Purpose": "To describe the effectiveness and safety of a hydrophobic acrylic full-range of field (Full-RoF) freeform diffractive IOL.\n\nOur main purpose was to evaluate visual acuities at far, intermediate and near distances after the implantation of this IOL. The secondary objectives were to analyze residual refraction, defocus curves and satisfaction in visual quality of patients.",
        "Setting": "MIRANZA COI .\n\nRodríguez Arias 6º, Bilbao (Basque Country), Spain.",
        "Methods": "This was a prospective, observational, descriptive study. We enrolled 40 healthy patients with bilateral cataract. All surgeries were performed by two experienced surgeons (HN and IG-S). Both, spheric (DNRV000) and toric version (DRT150-375) of TECNIS Odyssey (J&J) were implanted. Toric lens was chosen when preoperative corneal astigmatism was greater than 1.00 Dp.\n\nCDVA (far), DCIVA (66 cm) and DCNVA (40 cm) were measured at 1 and 3 months post-op. Finally, at 3 months post-op, defocus curves and patient's satisfaction questionnaires (PRISQv2 and QoV) were obtained.",
        "Results": "Mean age was 71±6 years; mean K1 43,60 ±1,50 and mean K2 43,60 ± 1,61. AL was 23,09 ± 1,08 mm and lens power 22,80 ± 2,37 D. We implanted 56,25% toric lenses (mean toric power: 1,72 ± 0,39 D). No adverse events were registered in the follow-up time.\n\nThe mean CDVA and DCIVA at 3 months were very high (0.0 +/- 0.1 logMAR) and so was DCNVA (0.1 +/- 0.1 logMAR); while residual SE was -0.50 +/- 0.33.\n\nThe monocular defocus curve at 3 months postOp was very flat, supporting the effectiveness of its freeforme diffractive design (Mean VA at 0 D was 0,01 ± 0,12 LogMAR, at -1.5 D was 0,06 ± 0,11 and at -2.5 D was 0,06 ± 0,09). The score of both satisfaction questionnaires showed great outcomes, with 87,5% reporting that they never or rarely have halos.",
        "Conclusions": "The new diffractive Full-RoF IOL offers a safe and reliable option when aiming for spectacle independence and patient’s satisfaction after cataract surgery, showing good predictability.\n\nThis lens exhibits excellent visual quality at far, intermediate and near vision, meeting the established criteria for full range of focus lenses. The results obtained in satisfaction questionnaires reflect high percentage of satisfaction levels after surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POCAT501",
      "abstract_number": "POCAT501",
      "title": "Comparison Of Performance Of The Spiral Iol In Highly Myopic Patients Vs Hyperopic Patients",
      "authors": "Dr Ruddy Aarón Ortiz Lopez",
      "presenter": "Dr Ruddy Aarón Ortiz Lopez",
      "normalized_authors": [
        "Ruddy Aarón Ortiz Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruddy Aarón Ortiz Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To analyze the performance and satisfaction after a spiral intraocular lens (IOL) implantation in patients with high myopia vs hyperopic patients.",
        "Setting": "Single center real-world study conducted at Guatemala City, in patients with high–myopia and compared with results in hyperopic eyes after undergoing cataract surgery with implantation of presbyopia-correcting spiral intraocular lenses.",
        "Methods": "A retrospective study of 34 eyes after spiral IOL implantation in HIGH-Myopic (HM) patients vs hyperopic (HYP) patients was conducted at a single institution by one surgeon. Patients were grouped into high myopia (≤ −5.00D, axial length (AXL) >25.0mm) and hyperopic patients (≥+0.00D, AXL <24.5mm). Exclusion criteria macular pathology, glaucoma, corneal disease. Refractive outcomes spherical equivalent (SE), uncorrected distance visual acuity (UDVA), uncorrected intermediate and near visual acuity (UIVA/UNVA), and patient satisfaction surveys were compared. Correlations between biometer data, central macular thickness (CMT) and visual outcomes were evaluated using multivariate regression.",
        "Results": "At 3 months, a total of 34 eyes were included in the study (12 HM and 22 HYP). The AXL, sphere, ACD and IOL power selected were 27.01 ± 0.45 mm, -7.4 ± 5.06D, 3.02 ±0.28mm and 12.66 ± 4.69D in the HM group vs 22.77 ± 1.11 mm, +2.51 ±1.86 D, 2.74 ±0.17mm and 21.89 ± 1.84D in the HYP group (p<0.001) resp. HM vs HYP postoperatively were UDVA 0.09 ±0.07logMAR vs 0.04 ±0.07logMAR, UIVA 0.08 ±0.11logMAR vs 0.04 ±0.08logMAR, UNVA 0.03 ±0.06logMAR vs 0.00 ±0.07logMAR, and SE 0.39 ±0.14D vs 0.31 ±0.10D no difference between both groups (p>0.05). Significant difference with CMT between both groups (273.5 ±27.5µm vs 229.18±14.9µm) p<0.001 but no association with VA. Patient satisfaction and dysphotopsias symptoms were similar between both groups.",
        "Conclusions": "This spiral refractive IOL demonstrated to be safe with high levels of satisfaction and optimal performance of visual acuity at all distances in the presence of high axial myopia as well in hyperopic patients. No biometer measurements showed a significant correlation between visual acuity and residual refractive error in both groups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This spiral refractive IOL demonstrated to be safe with high levels of satisfaction and optimal performance of visual acuity at all distances in the presence of high axial myopia as well in hyperopic patients. No biometer measurements showed a significant correlation between visual acuity and residual refractive error in both groups.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 539,
      "source_fields": {
        "Abstract Final Identifier": "POCAT501",
        "Title": "Comparison Of Performance Of The Spiral Iol In Highly Myopic Patients Vs Hyperopic Patients",
        "Presenting Author(s)": "Dr Ruddy Aarón Ortiz Lopez",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ruddy",
        "Submitter Middle Name": "Aarón",
        "Submitter Last Name": "Ortiz Lopez",
        "Country Name": "Guatemala",
        "Purpose": "To analyze the performance and satisfaction after a spiral intraocular lens (IOL) implantation in patients with high myopia vs hyperopic patients.",
        "Setting": "Single center real-world study conducted at Guatemala City, in patients with high–myopia and compared with results in hyperopic eyes after undergoing cataract surgery with implantation of presbyopia-correcting spiral intraocular lenses.",
        "Methods": "A retrospective study of 34 eyes after spiral IOL implantation in HIGH-Myopic (HM) patients vs hyperopic (HYP) patients was conducted at a single institution by one surgeon. Patients were grouped into high myopia (≤ −5.00D, axial length (AXL) >25.0mm) and hyperopic patients (≥+0.00D, AXL <24.5mm). Exclusion criteria macular pathology, glaucoma, corneal disease. Refractive outcomes spherical equivalent (SE), uncorrected distance visual acuity (UDVA), uncorrected intermediate and near visual acuity (UIVA/UNVA), and patient satisfaction surveys were compared. Correlations between biometer data, central macular thickness (CMT) and visual outcomes were evaluated using multivariate regression.",
        "Results": "At 3 months, a total of 34 eyes were included in the study (12 HM and 22 HYP). The AXL, sphere, ACD and IOL power selected were 27.01 ± 0.45 mm, -7.4 ± 5.06D, 3.02 ±0.28mm and 12.66 ± 4.69D in the HM group vs 22.77 ± 1.11 mm, +2.51 ±1.86 D, 2.74 ±0.17mm and 21.89 ± 1.84D in the HYP group (p<0.001) resp. HM vs HYP postoperatively were UDVA 0.09 ±0.07logMAR vs 0.04 ±0.07logMAR, UIVA 0.08 ±0.11logMAR vs 0.04 ±0.08logMAR, UNVA 0.03 ±0.06logMAR vs 0.00 ±0.07logMAR, and SE 0.39 ±0.14D vs 0.31 ±0.10D no difference between both groups (p>0.05). Significant difference with CMT between both groups (273.5 ±27.5µm vs 229.18±14.9µm) p<0.001 but no association with VA. Patient satisfaction and dysphotopsias symptoms were similar between both groups.",
        "Conclusions": "This spiral refractive IOL demonstrated to be safe with high levels of satisfaction and optimal performance of visual acuity at all distances in the presence of high axial myopia as well in hyperopic patients. No biometer measurements showed a significant correlation between visual acuity and residual refractive error in both groups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCAT502",
      "abstract_number": "POCAT502",
      "title": "Uncorrected Visual Acuity After Trifocal Iol Implantation In Eyes With Long Versus Non-Long Axial Length",
      "authors": "Dr Natsuko Osaka",
      "presenter": "Dr Natsuko Osaka",
      "normalized_authors": [
        "Natsuko Osaka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Natsuko Osaka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "The global prevalence of myopia is increasing, and the number of cataract surgeries performed in patients with high myopia is expected to increase. Previous studies have reported greater postoperative refractive errors in eyes with long axial length (AL) following cataract surgery. Therefore, they may be at risk for poor uncorrected visual acuity (UCVA) after multifocal intraocular lens (IOL) implantation with high myopia. We compared the postoperative UCVA based on the AL in patients implanted with multifocal IOLs.",
        "Setting": "This retrospective comparative multicenter study was conducted with the prior approval of the Keio University School of Medicine Ethics Committee (approval number: 20256009) and the Meiwa Medical Corporation Institutional Review Board (approval number: CS-417-013). A total of 89 patients were enrolled and examined from 2019 to 2024.",
        "Methods": "This study included 153 eyes of 89 patients (age range, 55-65 years) after cataract surgery with implantation of the PanOptix® Trifocal (Alcon). The eyes were classified into a long AL group (AL ≧ 26.0 mm) and a non-long AL group (AL < 26.0 mm). Preoperatively, the pupil diameter and corneal higher order aberrations (from third to sixth order, Φ = 4.0 and 6.0 mm) were measured. One month postoperatively, the following outcomes were assessed in logarithm of the minimum angle of resolution: monocular uncorrected distance visual acuity (UDVA), monocular uncorrected intermediate visual acuity (UIVA) at 70 cm, monocular uncorrected near visual acuity (UNVA) at 40 cm, objective and subjective refractions, and postoperative refractive error.",
        "Results": "The long AL group included 54 eyes of 34 patients and the non-long AL group included 99 eyes of 63 patients. No statistically significant differences were seen in age, preoperative pupil diameter, corneal higher order aberrations, postoperative refractions, and refractive error between the two groups. The preoperative UCVA and corrected distance visual acuity (CDVA) were significantly worse in the long AL group (UCVA: 1.32 vs 0.51, P < 0.001; CDVA: 0.12 vs 0.06, P = 0.026). The postoperative UDVA, UIVA, and UNVA in the long AL group and in the non-long AL group were -0.03 and -0.04 (P = 0.721), 0.04 and 0.06 (P = 0.545), and 0.01 and 0.07 (P = 0.029), the last of which showed significantly better UNVA in the long AL group.",
        "Conclusions": "One month after trifocal IOL implantation, the UNVA was significantly better in the long AL group than in the non-long AL group, whereas the UDVA and UIVA were comparable between the groups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "One month after trifocal IOL implantation, the UNVA was significantly better in the long AL group than in the non-long AL group, whereas the UDVA and UIVA were comparable between the groups.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 540,
      "source_fields": {
        "Abstract Final Identifier": "POCAT502",
        "Title": "Uncorrected Visual Acuity After Trifocal Iol Implantation In Eyes With Long Versus Non-Long Axial Length",
        "Presenting Author(s)": "Dr Natsuko Osaka",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Natsuko",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Osaka",
        "Country Name": "Japan",
        "Purpose": "The global prevalence of myopia is increasing, and the number of cataract surgeries performed in patients with high myopia is expected to increase. Previous studies have reported greater postoperative refractive errors in eyes with long axial length (AL) following cataract surgery. Therefore, they may be at risk for poor uncorrected visual acuity (UCVA) after multifocal intraocular lens (IOL) implantation with high myopia. We compared the postoperative UCVA based on the AL in patients implanted with multifocal IOLs.",
        "Setting": "This retrospective comparative multicenter study was conducted with the prior approval of the Keio University School of Medicine Ethics Committee (approval number: 20256009) and the Meiwa Medical Corporation Institutional Review Board (approval number: CS-417-013). A total of 89 patients were enrolled and examined from 2019 to 2024.",
        "Methods": "This study included 153 eyes of 89 patients (age range, 55-65 years) after cataract surgery with implantation of the PanOptix® Trifocal (Alcon). The eyes were classified into a long AL group (AL ≧ 26.0 mm) and a non-long AL group (AL < 26.0 mm). Preoperatively, the pupil diameter and corneal higher order aberrations (from third to sixth order, Φ = 4.0 and 6.0 mm) were measured. One month postoperatively, the following outcomes were assessed in logarithm of the minimum angle of resolution: monocular uncorrected distance visual acuity (UDVA), monocular uncorrected intermediate visual acuity (UIVA) at 70 cm, monocular uncorrected near visual acuity (UNVA) at 40 cm, objective and subjective refractions, and postoperative refractive error.",
        "Results": "The long AL group included 54 eyes of 34 patients and the non-long AL group included 99 eyes of 63 patients. No statistically significant differences were seen in age, preoperative pupil diameter, corneal higher order aberrations, postoperative refractions, and refractive error between the two groups. The preoperative UCVA and corrected distance visual acuity (CDVA) were significantly worse in the long AL group (UCVA: 1.32 vs 0.51, P < 0.001; CDVA: 0.12 vs 0.06, P = 0.026). The postoperative UDVA, UIVA, and UNVA in the long AL group and in the non-long AL group were -0.03 and -0.04 (P = 0.721), 0.04 and 0.06 (P = 0.545), and 0.01 and 0.07 (P = 0.029), the last of which showed significantly better UNVA in the long AL group.",
        "Conclusions": "One month after trifocal IOL implantation, the UNVA was significantly better in the long AL group than in the non-long AL group, whereas the UDVA and UIVA were comparable between the groups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 407
    },
    {
      "uid": "POCAT503",
      "abstract_number": "POCAT503",
      "title": "A Novel Approach To Presbyopia Correction In Pseudophakia: Secondary Implantation Of A Multifocal Phakic Iol",
      "authors": "Dr Masayuki Ouchi",
      "presenter": "Dr Masayuki Ouchi",
      "normalized_authors": [
        "Masayuki Ouchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Masayuki Ouchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To report three cases in which a multifocal posterior phakic intraocular lens (M-IPCL) was secondarily implanted in pseudophakic eyes previously implanted with monofocal intraocular lenses (IOLs).",
        "Setting": "Single-center study conducted at a private ophthalmology clinic in Kyoto, Japan.",
        "Methods": "This retrospective case series included three women aged 52, 53, and 64 years with prior monofocal IOLs. Case 1 had residual refractive error of −1.75 D and prior YAG capsulotomy. Case 2 had keratoconus, used hard contact lenses, and underwent bilateral toric IOL implantation. Case 3 had a history of epiretinal membrane surgery, monofocal IOL, and YAG capsulotomy. A multifocal IPCL was secondarily implanted in the pseudophakic eye of each case. Outcome measures included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and contrast sensitivity.",
        "Results": "Postoperative UDVA/UNVA in the M-IPCL–implanted eyes were −0.1 logMAR/J2, 0.1/J3, and 0.1/J3 for Cases 1–3, respectively. Contrast sensitivity exceeded the 50s average in Cases 1 and 2 and was slightly below the 60s average in high-frequency range in Case 3. None of the patients required near glasses or reported dysphotopsia.",
        "Conclusions": "Secondary M-IPCL implantation may be a useful surgical option for correcting both residual ametropia and presbyopia in pseudophakic eyes, with the added advantage of being removable if monofocal vision is later desired."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Secondary M-IPCL implantation may be a useful surgical option for correcting both residual ametropia and presbyopia in pseudophakic eyes, with the added advantage of being removable if monofocal vision is later desired.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 541,
      "source_fields": {
        "Abstract Final Identifier": "POCAT503",
        "Title": "A Novel Approach To Presbyopia Correction In Pseudophakia: Secondary Implantation Of A Multifocal Phakic Iol",
        "Presenting Author(s)": "Dr Masayuki Ouchi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Masayuki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ouchi",
        "Country Name": "Japan",
        "Purpose": "To report three cases in which a multifocal posterior phakic intraocular lens (M-IPCL) was secondarily implanted in pseudophakic eyes previously implanted with monofocal intraocular lenses (IOLs).",
        "Setting": "Single-center study conducted at a private ophthalmology clinic in Kyoto, Japan.",
        "Methods": "This retrospective case series included three women aged 52, 53, and 64 years with prior monofocal IOLs. Case 1 had residual refractive error of −1.75 D and prior YAG capsulotomy. Case 2 had keratoconus, used hard contact lenses, and underwent bilateral toric IOL implantation. Case 3 had a history of epiretinal membrane surgery, monofocal IOL, and YAG capsulotomy. A multifocal IPCL was secondarily implanted in the pseudophakic eye of each case. Outcome measures included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and contrast sensitivity.",
        "Results": "Postoperative UDVA/UNVA in the M-IPCL–implanted eyes were −0.1 logMAR/J2, 0.1/J3, and 0.1/J3 for Cases 1–3, respectively. Contrast sensitivity exceeded the 50s average in Cases 1 and 2 and was slightly below the 60s average in high-frequency range in Case 3. None of the patients required near glasses or reported dysphotopsia.",
        "Conclusions": "Secondary M-IPCL implantation may be a useful surgical option for correcting both residual ametropia and presbyopia in pseudophakic eyes, with the added advantage of being removable if monofocal vision is later desired."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCAT504",
      "abstract_number": "POCAT504",
      "title": "Study Of Higher Order Aberration And Its Effect On Visual Performance In Patients Undergoing Miol Implantation",
      "authors": "Dr Ishan Mahesh Pandya",
      "presenter": "Dr Ishan Mahesh Pandya",
      "normalized_authors": [
        "Ishan Mahesh Pandya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ishan Mahesh Pandya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Purpose of the study is to understand the incidence of visually significant Higher Order Aberration (HOA) using an aberrometer, in patients undergoing cataract surgery with prebyopia correcting IOL (PCIOL) implanation and to under their effect in visual performance in various PCIOL implanted in the patient.",
        "Setting": "Single centre observational retrospective study done at a terteriary eye care centre in a tier 2 city of India",
        "Methods": "All patients who underwent cataract surgery were subjected to corneal aberrometry before the surgery. A total of N=300 patients ( 600 eyes) were analysed. All patients who had corneal pathology causing irregular topography and HOA were excluded. Out of these N=50 patients who underwent a trifocal IOL were assigned to group A (PanOptix Alcon) while N=50 patients who underwent an EDOF IOL implant were assigned to group B, for the purpose of the study. RMS of total HOA , 3rd order trefoil Z (3, ±3) and 3rd order coma Z (3, ±1) were considered for 6mm pupil using Scheimflug-Placido based topographer (SIRIUS +), for the study.",
        "Results": "Of the 300 patients analysed over 6 months, N=90 patients (30%) had significant HOA (p<0.05). Out of these N=50 had coma HOA while N=40 had trefoil HOA. N=5 had both , however the presence of one HOA over the other was not significant statistically. The incidence of HOA in patients of both groups was similar to control, with group A having N=14 patients and group B having N=16 patients having HOA. While the difference in BCDVA, BCIVA and BCNVA was not statistically significant across all groups, the patients having HAO in both groups had higher complains of visual dysphotopsia as compared to control. Noteworthy was that patients having trefoil HOA were significantly unhappier with EDOF lens as compared to trifocals or control group.",
        "Conclusions": "HOA are often overlooked aspect in routine cataract surgery workup and can be of significant importance in patient choosing PCIOL. As shown by our study, HOA are often present in as much as 30% of population, which can lead to a significant complains in visual performance and dysphotopsia , often wrongly atributed to PCIOL. Special mention is Trefoil aberration which had higher visual distatisfaction in patients getting EDOF as compared to Trifocals. Overall , patients with clinically significant HOA should be counselled to avoid the PCIOL in view of higher visual complains."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "HOA are often overlooked aspect in routine cataract surgery workup and can be of significant importance in patient choosing PCIOL. As shown by our study, HOA are often present in as much as 30% of population, which can lead to a significant complains in visual performance and dysphotopsia , often wrongly atributed to PCIOL. Special mention is Trefoil aberration which had higher visual distatisfaction in patients…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 542,
      "source_fields": {
        "Abstract Final Identifier": "POCAT504",
        "Title": "Study Of Higher Order Aberration And Its Effect On Visual Performance In Patients Undergoing Miol Implantation",
        "Presenting Author(s)": "Dr Ishan Mahesh Pandya",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ishan",
        "Submitter Middle Name": "Mahesh",
        "Submitter Last Name": "Pandya",
        "Country Name": "India",
        "Purpose": "Purpose of the study is to understand the incidence of visually significant Higher Order Aberration (HOA) using an aberrometer, in patients undergoing cataract surgery with prebyopia correcting IOL (PCIOL) implanation and to under their effect in visual performance in various PCIOL implanted in the patient.",
        "Setting": "Single centre observational retrospective study done at a terteriary eye care centre in a tier 2 city of India",
        "Methods": "All patients who underwent cataract surgery were subjected to corneal aberrometry before the surgery. A total of N=300 patients ( 600 eyes) were analysed. All patients who had corneal pathology causing irregular topography and HOA were excluded. Out of these N=50 patients who underwent a trifocal IOL were assigned to group A (PanOptix Alcon) while N=50 patients who underwent an EDOF IOL implant were assigned to group B, for the purpose of the study. RMS of total HOA , 3rd order trefoil Z (3, ±3) and 3rd order coma Z (3, ±1) were considered for 6mm pupil using Scheimflug-Placido based topographer (SIRIUS +), for the study.",
        "Results": "Of the 300 patients analysed over 6 months, N=90 patients (30%) had significant HOA (p<0.05). Out of these N=50 had coma HOA while N=40 had trefoil HOA. N=5 had both , however the presence of one HOA over the other was not significant statistically. The incidence of HOA in patients of both groups was similar to control, with group A having N=14 patients and group B having N=16 patients having HOA. While the difference in BCDVA, BCIVA and BCNVA was not statistically significant across all groups, the patients having HAO in both groups had higher complains of visual dysphotopsia as compared to control. Noteworthy was that patients having trefoil HOA were significantly unhappier with EDOF lens as compared to trifocals or control group.",
        "Conclusions": "HOA are often overlooked aspect in routine cataract surgery workup and can be of significant importance in patient choosing PCIOL. As shown by our study, HOA are often present in as much as 30% of population, which can lead to a significant complains in visual performance and dysphotopsia , often wrongly atributed to PCIOL. Special mention is Trefoil aberration which had higher visual distatisfaction in patients getting EDOF as compared to Trifocals. Overall , patients with clinically significant HOA should be counselled to avoid the PCIOL in view of higher visual complains."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "POCAT505",
      "abstract_number": "POCAT505",
      "title": "Patient Selection And Functional Outcomes After Bilateral Implantation Of A Non-Diffractive Full Depth-Of-Field Multifocal Intraocular Lens With Continuous Defocus Profile",
      "authors": "Dr Paola Pantaleoni",
      "presenter": "Dr Paola Pantaleoni",
      "normalized_authors": [
        "Paola Pantaleoni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paola Pantaleoni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate functional visual outcomes, dysphotopsia, and patient satisfaction following bilateral implantation of a non-diffractive Full Depth-of-Field (Full-DoF) multifocal intraocular lens (mIOL) applied within a structured preoperative patient-selection protocol and standardized postoperative follow-up, in accordance with the ESCRS functional classification of presbyopia-correcting intraocular lenses.",
        "Setting": "Single-site private ophthalmic practice.",
        "Methods": "This retrospective observational study included 32 eyes of 16 patients undergoing bilateral implantation of a non-diffractive Full-DoF multifocal intraocular lens with a continuous defocus profile (RayOne Galaxy IOL). Twenty-six toric models were implanted. All procedures were performed by a single surgeon. Patient selection followed a structured protocol assessing visual needs and lifestyle, ocular surface and optical quality, binocular vision, and tolerance to visual disturbances. Postoperative evaluations at 1, 3, and 6 months included distance visual acuity, refractive outcomes, defocus curve analysis, patient-reported satisfaction, and dysphotopsia symptoms.",
        "Results": "Visual and refractive outcomes stabilized by 3 months and remained stable through 6 months. At 6 months, mean uncorrected distance visual acuity was 0.00 ± 0.05 logMAR and mean best-corrected distance visual acuity was −0.04 ± 0.08 logMAR. Approximately 85% of eyes were within ±0.50 D and over 95% within ±1.00 D of the intended spherical equivalent. Defocus curves demonstrated continuous functional vision from distance to near. Mild halo and glare were mainly reported at 1 month, decreased by 3 months, and were minimal at 6 months. No severe dysphotopsia or dissatisfaction was observed.",
        "Conclusions": "High and stable functional visual outcomes and patient satisfaction can be achieved with a non-diffractive Full-DoF multifocal intraocular lens when integrated into a structured patient-selection process and standardized postoperative management. The RayOne Galaxy IOL provides effective continuous-range vision with a low incidence of dysphotopsia when optical quality, binocular vision, and expectation management are systematically addressed. Postoperative follow-up supports neuroadaptation and long-term outcome stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High and stable functional visual outcomes and patient satisfaction can be achieved with a non-diffractive Full-DoF multifocal intraocular lens when integrated into a structured patient-selection process and standardized postoperative management. The RayOne Galaxy IOL provides effective continuous-range vision with a low incidence of dysphotopsia when optical quality, binocular vision, and expectation management…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 543,
      "source_fields": {
        "Abstract Final Identifier": "POCAT505",
        "Title": "Patient Selection And Functional Outcomes After Bilateral Implantation Of A Non-Diffractive Full Depth-Of-Field Multifocal Intraocular Lens With Continuous Defocus Profile",
        "Presenting Author(s)": "Dr Paola Pantaleoni",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Paola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pantaleoni",
        "Country Name": "Italy",
        "Purpose": "To evaluate functional visual outcomes, dysphotopsia, and patient satisfaction following bilateral implantation of a non-diffractive Full Depth-of-Field (Full-DoF) multifocal intraocular lens (mIOL) applied within a structured preoperative patient-selection protocol and standardized postoperative follow-up, in accordance with the ESCRS functional classification of presbyopia-correcting intraocular lenses.",
        "Setting": "Single-site private ophthalmic practice.",
        "Methods": "This retrospective observational study included 32 eyes of 16 patients undergoing bilateral implantation of a non-diffractive Full-DoF multifocal intraocular lens with a continuous defocus profile (RayOne Galaxy IOL). Twenty-six toric models were implanted. All procedures were performed by a single surgeon. Patient selection followed a structured protocol assessing visual needs and lifestyle, ocular surface and optical quality, binocular vision, and tolerance to visual disturbances. Postoperative evaluations at 1, 3, and 6 months included distance visual acuity, refractive outcomes, defocus curve analysis, patient-reported satisfaction, and dysphotopsia symptoms.",
        "Results": "Visual and refractive outcomes stabilized by 3 months and remained stable through 6 months. At 6 months, mean uncorrected distance visual acuity was 0.00 ± 0.05 logMAR and mean best-corrected distance visual acuity was −0.04 ± 0.08 logMAR. Approximately 85% of eyes were within ±0.50 D and over 95% within ±1.00 D of the intended spherical equivalent. Defocus curves demonstrated continuous functional vision from distance to near. Mild halo and glare were mainly reported at 1 month, decreased by 3 months, and were minimal at 6 months. No severe dysphotopsia or dissatisfaction was observed.",
        "Conclusions": "High and stable functional visual outcomes and patient satisfaction can be achieved with a non-diffractive Full-DoF multifocal intraocular lens when integrated into a structured patient-selection process and standardized postoperative management. The RayOne Galaxy IOL provides effective continuous-range vision with a low incidence of dysphotopsia when optical quality, binocular vision, and expectation management are systematically addressed. Postoperative follow-up supports neuroadaptation and long-term outcome stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "POCAT506",
      "abstract_number": "POCAT506",
      "title": "Short-Term Clinical Outcomes Of A Non-Diffractive Full-Range-Of-Vision Intraocular Lens",
      "authors": "Prof. Pantelis A. Papadopoulos",
      "presenter": "Prof. Pantelis A. Papadopoulos",
      "normalized_authors": [
        "Pantelis A. Papadopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pantelis A. Papadopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To evaluate early postoperative near-vision performance and the binocular defocus profile of a novel non-diffractive, full-range-of-vision intraocular lens (LuxLife; Bausch & Lomb).",
        "Setting": "Metropolitan Teaching Hospital, University of Nicosia, Athens Branch (UNIC Athens), Greece.\nOphthalmo-Check Private Eye Center, Athens",
        "Methods": "Fifteen patients (30 eyes) with cataract or dysfunctional lens syndrome underwent bilateral implantation of a non-diffractive hydrophobic acrylic IOL designed to provide a continuous full range of vision (LuxLife; Bausch + Lomb). In 14/15 patients (28/30 eyes), surgery was performed using femtosecond laser–assisted cataract surgery with ultrasound phacoemulsification; the remaining 2 eyes underwent conventional phacoemulsification. All lenses were implanted in the capsular bag. IOL power was calculated using the EVO formula. No intraoperative complications occurred. Binocular defocus curves were obtained at 1 month postoperatively using the Multifocal Lens Analyzer iPad application (Qvision).",
        "Results": "Mean postoperative spherical equivalent was +0.14 ± 0.34 D and mean refractive cylinder was −0.27 ± 0.36 D. At 1 month, the uncorrected binocular defocus curve demonstrated good visual acuity across intermediate (0.12 logMAR) and near (0.24 logMAR) vergences. All participants reported functional spectacle independence for intermediate and near tasks.",
        "Conclusions": "Early outcomes indicate that bilateral implantation of the non-diffractive LuxLife full-range-of-vision IOL provides good unaided visual acuity over multiple viewing distances and high patient-reported satisfaction with near and intermediate vision. Given the limited sample size and short follow-up, larger studies with longer observation and dedicated assessment of photic phenomena, contrast sensitivity, and validated patient-reported outcomes are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early outcomes indicate that bilateral implantation of the non-diffractive LuxLife full-range-of-vision IOL provides good unaided visual acuity over multiple viewing distances and high patient-reported satisfaction with near and intermediate vision. Given the limited sample size and short follow-up, larger studies with longer observation and dedicated assessment of photic phenomena, contrast sensitivity, and…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 544,
      "source_fields": {
        "Abstract Final Identifier": "POCAT506",
        "Title": "Short-Term Clinical Outcomes Of A Non-Diffractive Full-Range-Of-Vision Intraocular Lens",
        "Presenting Author(s)": "Prof. Pantelis A. Papadopoulos",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Pantelis",
        "Submitter Middle Name": "A.",
        "Submitter Last Name": "Papadopoulos",
        "Country Name": "Greece",
        "Purpose": "To evaluate early postoperative near-vision performance and the binocular defocus profile of a novel non-diffractive, full-range-of-vision intraocular lens (LuxLife; Bausch & Lomb).",
        "Setting": "Metropolitan Teaching Hospital, University of Nicosia, Athens Branch (UNIC Athens), Greece.\nOphthalmo-Check Private Eye Center, Athens",
        "Methods": "Fifteen patients (30 eyes) with cataract or dysfunctional lens syndrome underwent bilateral implantation of a non-diffractive hydrophobic acrylic IOL designed to provide a continuous full range of vision (LuxLife; Bausch + Lomb). In 14/15 patients (28/30 eyes), surgery was performed using femtosecond laser–assisted cataract surgery with ultrasound phacoemulsification; the remaining 2 eyes underwent conventional phacoemulsification. All lenses were implanted in the capsular bag. IOL power was calculated using the EVO formula. No intraoperative complications occurred. Binocular defocus curves were obtained at 1 month postoperatively using the Multifocal Lens Analyzer iPad application (Qvision).",
        "Results": "Mean postoperative spherical equivalent was +0.14 ± 0.34 D and mean refractive cylinder was −0.27 ± 0.36 D. At 1 month, the uncorrected binocular defocus curve demonstrated good visual acuity across intermediate (0.12 logMAR) and near (0.24 logMAR) vergences. All participants reported functional spectacle independence for intermediate and near tasks.",
        "Conclusions": "Early outcomes indicate that bilateral implantation of the non-diffractive LuxLife full-range-of-vision IOL provides good unaided visual acuity over multiple viewing distances and high patient-reported satisfaction with near and intermediate vision. Given the limited sample size and short follow-up, larger studies with longer observation and dedicated assessment of photic phenomena, contrast sensitivity, and validated patient-reported outcomes are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCAT507",
      "abstract_number": "POCAT507",
      "title": "Refractive And Visual Acuity Outcomes Following Bilateral Randomized Implantation Of Two Hydrophobic Diffractive Trifocal Intraocular Lenses",
      "authors": "Dr Francisco Pastor-Pascual",
      "presenter": "Dr Francisco Pastor-Pascual",
      "normalized_authors": [
        "Francisco Pastor-Pascual"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisco Pastor-Pascual",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The objective of the present study is to evaluate the refractive and visual acuity outcomes in a series of patients implanted bilaterally either with the Clareon PanOptix (CP) intraocular lens (IOL) or the FineVision HP (FVHP) IOL",
        "Setting": "Oftalvist centers in Alicante, Valencia and Barcelona (Spain)",
        "Methods": "This was a prospective, randomized and multicenter clinical study registered at the German Clinical Trials Register (DRKS00034576) and approved by the Ethics Committee of the Hospital Clínico San Carlos (Madrid, Spain). Inclusion criteria considered age-related cataract (LOCS III grade ≤3) surgery patients, aged ≥40 years-old ≤85 years-old, able to comprehend and willing to sign informed consent and complete all required postoperative follow-up procedures, and expected post-surgery refractive astigmatism of ≤0.50D. The main outcome measures at 3-months post-surgery were refraction, binocular corrected distance (CDVA), distance-corrected intermediate (DCIVA), and distance-corrected near (DCNVA) visual acuities and the binocular defocus curve",
        "Results": "73 patients per group were enrolled. 96.58% and 100% of eyes were within ±0.50D and ±1.00D of the spherical equivalent, respectively, in both groups. Refraction and visual acuities were comparable between the groups except for DCIVA at 60 cm, which was better with the CP IOL (p<0.05). CDVA was ≥ 20/20 in 84.93% of eyes with the CP lens, and 82.19% with the FVHP lens. These percentages changed to 35.62% and 46.58% at 80 cm, and 46.58% and 35.62% at 60 cm, respectively. DCNVA was ≥ 20/20 in 57.53% of eyes with the CP lens, and 56.16% with the FVHP lens. Both groups showed similar performance in the defocus curve but there were better results at vergences of –1.50D and –2.00D with the CP (p<0.05).",
        "Conclusions": "Both IOLs provided comparable refractive and visual outcomes. Better intermediate vision a t 60 and 50 cm was obtained with the CP IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both IOLs provided comparable refractive and visual outcomes. Better intermediate vision a t 60 and 50 cm was obtained with the CP IOL.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 545,
      "source_fields": {
        "Abstract Final Identifier": "POCAT507",
        "Title": "Refractive And Visual Acuity Outcomes Following Bilateral Randomized Implantation Of Two Hydrophobic Diffractive Trifocal Intraocular Lenses",
        "Presenting Author(s)": "Dr Francisco Pastor-Pascual",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Francisco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pastor-Pascual",
        "Country Name": "Spain",
        "Purpose": "The objective of the present study is to evaluate the refractive and visual acuity outcomes in a series of patients implanted bilaterally either with the Clareon PanOptix (CP) intraocular lens (IOL) or the FineVision HP (FVHP) IOL",
        "Setting": "Oftalvist centers in Alicante, Valencia and Barcelona (Spain)",
        "Methods": "This was a prospective, randomized and multicenter clinical study registered at the German Clinical Trials Register (DRKS00034576) and approved by the Ethics Committee of the Hospital Clínico San Carlos (Madrid, Spain). Inclusion criteria considered age-related cataract (LOCS III grade ≤3) surgery patients, aged ≥40 years-old ≤85 years-old, able to comprehend and willing to sign informed consent and complete all required postoperative follow-up procedures, and expected post-surgery refractive astigmatism of ≤0.50D. The main outcome measures at 3-months post-surgery were refraction, binocular corrected distance (CDVA), distance-corrected intermediate (DCIVA), and distance-corrected near (DCNVA) visual acuities and the binocular defocus curve",
        "Results": "73 patients per group were enrolled. 96.58% and 100% of eyes were within ±0.50D and ±1.00D of the spherical equivalent, respectively, in both groups. Refraction and visual acuities were comparable between the groups except for DCIVA at 60 cm, which was better with the CP IOL (p<0.05). CDVA was ≥ 20/20 in 84.93% of eyes with the CP lens, and 82.19% with the FVHP lens. These percentages changed to 35.62% and 46.58% at 80 cm, and 46.58% and 35.62% at 60 cm, respectively. DCNVA was ≥ 20/20 in 57.53% of eyes with the CP lens, and 56.16% with the FVHP lens. Both groups showed similar performance in the defocus curve but there were better results at vergences of –1.50D and –2.00D with the CP (p<0.05).",
        "Conclusions": "Both IOLs provided comparable refractive and visual outcomes. Better intermediate vision a t 60 and 50 cm was obtained with the CP IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCAT508",
      "abstract_number": "POCAT508",
      "title": "Patient Satisfaction, Refractive And Quality Of Vision Outcomes 6 Months After Phacoemulsification And Rayone Galaxy Implant",
      "authors": "Dr Lucia Pelosini",
      "presenter": "Dr Lucia Pelosini",
      "normalized_authors": [
        "Lucia Pelosini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucia Pelosini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the outcomes of phacoemulsification and lens implant with Rayone Galaxy at 6 months postoperatively in relation to patient satisfaction, refractive measurements and subjective quality of vision.",
        "Setting": "Spire Gatwick Park Hospital Healthcare",
        "Methods": "Consecutive cases of phacoemulsification with Rayone Galaxy implant performed by one surgeon were evaluated with preoperative refractive assessment, subjective quality of vision questionnaire at 3 and 6 months, postoperative refractive assessment at 1 week, 1 month, 3 months and 6 months after surgery. All patients participated in a personal satisfaction questionnaire 6 months after surgery.",
        "Results": "63 cases of Rayone Galaxy implant, age range between 57 and 89 years of age, were evaluated. Patients had no comorbidities. The preoperative refraction ranged between -4.25 to +6.5 Sph, cylinder 0.75 to 3.50. At 6 months, 95% of unaided visual acuity was better than 6/9, 100% better than 6/12, 95% within -0.50 Sph and +0.50 Sph, and 100% between +1.00 Sph and -1.00 Sph. The reading vision was N 4.5 in 92% and N6 or better in 100%. The questionnaire about vision at night, halos, glare all demonstrated excellent scoring and insignificant level of glare. No patients reported halos after the 3 months. One case had a Sulcoflex enhancement for residual astigmatism and 4% had YAG laser capsulotomy.",
        "Conclusions": "This study demonstrated a very high safety profile and patient satisfaction about the quality of vision and improved visual function in all activities for near and distance. The subjective assessment of halos and glare demonstrated a very low incidence of glare and even lower report of halos, both symptoms reduced over the first 6 months postoperatively. Larger comparative studies are necessary to confirm the observations reported in this series."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrated a very high safety profile and patient satisfaction about the quality of vision and improved visual function in all activities for near and distance. The subjective assessment of halos and glare demonstrated a very low incidence of glare and even lower report of halos, both symptoms reduced over the first 6 months postoperatively. Larger comparative studies are necessary to confirm the…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 546,
      "source_fields": {
        "Abstract Final Identifier": "POCAT508",
        "Title": "Patient Satisfaction, Refractive And Quality Of Vision Outcomes 6 Months After Phacoemulsification And Rayone Galaxy Implant",
        "Presenting Author(s)": "Dr Lucia Pelosini",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Lucia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pelosini",
        "Country Name": "United Kingdom",
        "Purpose": "To report the outcomes of phacoemulsification and lens implant with Rayone Galaxy at 6 months postoperatively in relation to patient satisfaction, refractive measurements and subjective quality of vision.",
        "Setting": "Spire Gatwick Park Hospital Healthcare",
        "Methods": "Consecutive cases of phacoemulsification with Rayone Galaxy implant performed by one surgeon were evaluated with preoperative refractive assessment, subjective quality of vision questionnaire at 3 and 6 months, postoperative refractive assessment at 1 week, 1 month, 3 months and 6 months after surgery. All patients participated in a personal satisfaction questionnaire 6 months after surgery.",
        "Results": "63 cases of Rayone Galaxy implant, age range between 57 and 89 years of age, were evaluated. Patients had no comorbidities. The preoperative refraction ranged between -4.25 to +6.5 Sph, cylinder 0.75 to 3.50. At 6 months, 95% of unaided visual acuity was better than 6/9, 100% better than 6/12, 95% within -0.50 Sph and +0.50 Sph, and 100% between +1.00 Sph and -1.00 Sph. The reading vision was N 4.5 in 92% and N6 or better in 100%. The questionnaire about vision at night, halos, glare all demonstrated excellent scoring and insignificant level of glare. No patients reported halos after the 3 months. One case had a Sulcoflex enhancement for residual astigmatism and 4% had YAG laser capsulotomy.",
        "Conclusions": "This study demonstrated a very high safety profile and patient satisfaction about the quality of vision and improved visual function in all activities for near and distance. The subjective assessment of halos and glare demonstrated a very low incidence of glare and even lower report of halos, both symptoms reduced over the first 6 months postoperatively. Larger comparative studies are necessary to confirm the observations reported in this series."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCAT509",
      "abstract_number": "POCAT509",
      "title": "Identifying Factors On Scheimpflug Corneal Imaging That Predict Presbyopia-Correcting Intraocular Lens Intolerance",
      "authors": "Claudia Perez-Straziota",
      "presenter": "Claudia Perez-Straziota",
      "normalized_authors": [
        "Claudia Perez-Straziota"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudia Perez-Straziota",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To identify any features on preoperative Scheimpflug imaging that predispose patients to presbyopia-correcting intraocular lens (PrC-IOL) intolerance.",
        "Setting": "US Academic Institution",
        "Methods": "Retrospective review of all patients who had a presbyopia-correcting IOL (PrC-IOL) implant at the time of cataract surgery who had preoperative Scheimpflug imaging obtained with the Pentacam HR device. Patients with PC-IOL intolerance were compared to those with successful outcomes. Variables analyzed included multiple keratometry metrics, thinnest pachymetry, asymmetry indices, Q value, Corneal RMS values, and individual Zernike values.",
        "Results": "Out of an overall cohort comprising 505 patients with presbyopia-correcting lens implantation, 227 patients (44.9%) had preoperative Scheimpflug imaging performed. The PC-IOLs implanted in this series included diffractive bifocal (bifocal, ReSTOR IOL, Alcon, Inc.), diffractive trifocal (trifocal, Panoptix IOL, Alcon, Inc.) diffractive extended depth of focus (EDOF, Tecnis Symfony, J&J), and non-diffractive extended depth of focus (N-EDOF, Vivity, Alcon, Inc.). Among the cohort, 86% of patients were satisfied after PC-IOL implantation, while 14% were dissatisfied postoperatively. There were no significant differences for any primary Scheimpflug variable evaluated between satisfied and dissatisfied groups (p>0.05 for all).",
        "Conclusions": "Basic Scheimpflug imaging parameters were not predictive of patient satisfaction following PrC-IOL implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Basic Scheimpflug imaging parameters were not predictive of patient satisfaction following PrC-IOL implantation.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 547,
      "source_fields": {
        "Abstract Final Identifier": "POCAT509",
        "Title": "Identifying Factors On Scheimpflug Corneal Imaging That Predict Presbyopia-Correcting Intraocular Lens Intolerance",
        "Presenting Author(s)": "Claudia Perez-Straziota",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Claudia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Perez-Straziota",
        "Country Name": "United States",
        "Purpose": "To identify any features on preoperative Scheimpflug imaging that predispose patients to presbyopia-correcting intraocular lens (PrC-IOL) intolerance.",
        "Setting": "US Academic Institution",
        "Methods": "Retrospective review of all patients who had a presbyopia-correcting IOL (PrC-IOL) implant at the time of cataract surgery who had preoperative Scheimpflug imaging obtained with the Pentacam HR device. Patients with PC-IOL intolerance were compared to those with successful outcomes. Variables analyzed included multiple keratometry metrics, thinnest pachymetry, asymmetry indices, Q value, Corneal RMS values, and individual Zernike values.",
        "Results": "Out of an overall cohort comprising 505 patients with presbyopia-correcting lens implantation, 227 patients (44.9%) had preoperative Scheimpflug imaging performed. The PC-IOLs implanted in this series included diffractive bifocal (bifocal, ReSTOR IOL, Alcon, Inc.), diffractive trifocal (trifocal, Panoptix IOL, Alcon, Inc.) diffractive extended depth of focus (EDOF, Tecnis Symfony, J&J), and non-diffractive extended depth of focus (N-EDOF, Vivity, Alcon, Inc.). Among the cohort, 86% of patients were satisfied after PC-IOL implantation, while 14% were dissatisfied postoperatively. There were no significant differences for any primary Scheimpflug variable evaluated between satisfied and dissatisfied groups (p>0.05 for all).",
        "Conclusions": "Basic Scheimpflug imaging parameters were not predictive of patient satisfaction following PrC-IOL implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 191
    },
    {
      "uid": "POCAT510",
      "abstract_number": "POCAT510",
      "title": "Clinical Outcomes Of A Full-Range Diffractive Intraocular Lens",
      "authors": "A/Prof. Jacek Szaflik",
      "presenter": "A/Prof. Jacek Szaflik",
      "normalized_authors": [
        "Jacek Szaflik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karolina Pielak-Modrzejewska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate clinical outcomes following implantation of a full-range diffractive intraocular lens (TECNIS Odyssey™, Johnson & Johnson Vision). The study assessed visual acuity across different distances,refractive outcomes, contrast sensitivity, dysphotopsia incidence, defocus curve characteristics, and patient-reported spectacle independence and satisfaction (PRSIQ) after bilateral implantation targeting emmetropia.",
        "Setting": "Retrospective clinical study conducted at the Laser Eye Microsurgery Centre – Clinic of Prof. Jerzy Szaflik, Warsaw, Poland. Cataract surgery and intraocular lens implantation were performed by experienced cataract surgeons.",
        "Methods": "This retrospective study included 31 patients (62 eyes) who underwent bilateral lens extraction (cataract surgery or refractive lens exchange) with implantation of the TECNIS Odyssey™ intraocular lens. Target refraction was emmetropia. Visual acuity (ETDRS, logMAR), manifest refraction, binocular contrast sensitivity (Pelli-Robson), dysphotopsia (Halo & Glare Simulator), and corneal topography were assessed pre- and postoperatively. Defocus curve analysis was performed from +2.0 D to −4.0 D . Clinical outcomes were evaluated at 6-month follow-up .",
        "Results": "Preliminary results include 31 patients (62 eyes) who underwent bilateral implantation. Mean patient age was 62.95 years and mean implanted IOL power was 21.56 D. Postoperative binocular visual acuity showed good performance across distances. Mean UCVA/DCVA (logMAR) was −0.10±0.10/−0.25±0.08 for distance (5 m), −0.00±0.07/−0.01±0.08 for intermediate (60 cm), and 0.00±0.06/0.00±0.06 for near vision (40 cm). Contrast sensitivity remained within normal limits. The binocular defocus curve demonstrated DCVA of 0.0 logMAR or better from +0.5 to −2.0 D. Reports of glare and starburst were minimal (88% and 75% none or minimal), while 48% reported moderate to severe halos.",
        "Conclusions": "/implantation of the TECNIS Odyssey™ full-range diffractive intraocular lens provided functional vision across multiple distances following bilateral lens extraction targeting emmetropia. Visual acuity and contrast sensitivity remained within expected physiological ranges at 6-month follow-up. Photic phenomena were generally mild, although halos were reported by a proportion of patients. These findings support the clinical performance of this full-range diffractive IOL in routine practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "/implantation of the TECNIS Odyssey™ full-range diffractive intraocular lens provided functional vision across multiple distances following bilateral lens extraction targeting emmetropia. Visual acuity and contrast sensitivity remained within expected physiological ranges at 6-month follow-up. Photic phenomena were generally mild, although halos were reported by a proportion of patients. These findings support the…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 548,
      "source_fields": {
        "Abstract Final Identifier": "POCAT510",
        "Title": "Clinical Outcomes Of A Full-Range Diffractive Intraocular Lens",
        "Presenting Author(s)": "A/Prof. Jacek Szaflik",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Karolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pielak-Modrzejewska",
        "Country Name": "Poland",
        "Purpose": "To evaluate clinical outcomes following implantation of a full-range diffractive intraocular lens (TECNIS Odyssey™, Johnson & Johnson Vision). The study assessed visual acuity across different distances,refractive outcomes, contrast sensitivity, dysphotopsia incidence, defocus curve characteristics, and patient-reported spectacle independence and satisfaction (PRSIQ) after bilateral implantation targeting emmetropia.",
        "Setting": "Retrospective clinical study conducted at the Laser Eye Microsurgery Centre – Clinic of Prof. Jerzy Szaflik, Warsaw, Poland. Cataract surgery and intraocular lens implantation were performed by experienced cataract surgeons.",
        "Methods": "This retrospective study included 31 patients (62 eyes) who underwent bilateral lens extraction (cataract surgery or refractive lens exchange) with implantation of the TECNIS Odyssey™ intraocular lens. Target refraction was emmetropia. Visual acuity (ETDRS, logMAR), manifest refraction, binocular contrast sensitivity (Pelli-Robson), dysphotopsia (Halo & Glare Simulator), and corneal topography were assessed pre- and postoperatively. Defocus curve analysis was performed from +2.0 D to −4.0 D . Clinical outcomes were evaluated at 6-month follow-up .",
        "Results": "Preliminary results include 31 patients (62 eyes) who underwent bilateral implantation. Mean patient age was 62.95 years and mean implanted IOL power was 21.56 D. Postoperative binocular visual acuity showed good performance across distances. Mean UCVA/DCVA (logMAR) was −0.10±0.10/−0.25±0.08 for distance (5 m), −0.00±0.07/−0.01±0.08 for intermediate (60 cm), and 0.00±0.06/0.00±0.06 for near vision (40 cm). Contrast sensitivity remained within normal limits. The binocular defocus curve demonstrated DCVA of 0.0 logMAR or better from +0.5 to −2.0 D. Reports of glare and starburst were minimal (88% and 75% none or minimal), while 48% reported moderate to severe halos.",
        "Conclusions": "/implantation of the TECNIS Odyssey™ full-range diffractive intraocular lens provided functional vision across multiple distances following bilateral lens extraction targeting emmetropia. Visual acuity and contrast sensitivity remained within expected physiological ranges at 6-month follow-up. Photic phenomena were generally mild, although halos were reported by a proportion of patients. These findings support the clinical performance of this full-range diffractive IOL in routine practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCAT511",
      "abstract_number": "POCAT511",
      "title": "Comparative Analysis Of Distance And Near Contrast Sensitivity Outcomes Obtained With One Refractive Partial And Two Diffractive Full Range Of Focus Intraocular Lenses",
      "authors": "Dr David Pablo P Pinero",
      "presenter": "Dr David Pablo P Pinero",
      "normalized_authors": [
        "David Pablo P Pinero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Pablo P Pinero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate and compare the distance and near contrast sensitivity outcomes with three different types of presbyopia-correcting intraocular lenses (IOLs): one refractive partial range of focus (PRoF) IOL and two diffractive full range of focus (FRoF) IOLs.",
        "Setting": "Department of Ophthalmology. Vithas Medimar International Hospital, Alicante, Spain",
        "Methods": "A total of 60 patients ranging in age from 56 to 73 years old were included in this study. All subjects underwent uneventful cataract surgery with implantation of the Tecnis PureSee® DEN00V (Johnson & Johnson Vision) (20 patients, PRoF group), FineVision HP (BVI, Waltham, USA) (20 patients, FRoF1 group) and RayOne RAO603F IOL (Rayner, West Sussex, UK). Visual acuity (VA), refractive, photopic distance achromatic contrast sensitivity (CS) (CSV-1000 test) and near achromatic and chromatic CS (Optopad-CSF test) outcomes were evaluated at 3 months after surgery.",
        "Results": "Significantly better corrected distance VA were found in PRoF group (p<0.001). In contrast, significantly better distance-corrected intermediate and near VA were found in FRoF groups compared to PRoF group (p<0.001). Mean VA was 0.20 logMAR or better in FRoF group for defocus levels from +0.50 to -1.50 D. Regarding distance CS, significantly worse values were found for 18 cycles/º in FRoF group compared to FRoF1 (p=0.02) and FRoF2 IOLs (p=0.01). When comparing near achromatic CS, only significantly worse values were found for 24 cycles/º in the FRoF group (p<0.001). In addition, better blue-yellow CS with FRoF IOLs for 1 cycle/º and better red-green CS with FRoF2 IOL compared to PRoF for all spatial frequencies were found (p≤0.001)",
        "Conclusions": "The FRoF evaluated provides a functional rehabilitation of vision across several distances, while maintaining good levels of visual quality in comparison to FRoF IOLs. The reduction of visual acuity at near with the PRoF IOL evaluated has a minimal impact on near CS for the blue-yellow channel, becoming more relevant for the red-green channel. Future studies must investigate the different chromatic behaviour of the presbyopia-correcting IOLs evaluated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The FRoF evaluated provides a functional rehabilitation of vision across several distances, while maintaining good levels of visual quality in comparison to FRoF IOLs. The reduction of visual acuity at near with the PRoF IOL evaluated has a minimal impact on near CS for the blue-yellow channel, becoming more relevant for the red-green channel. Future studies must investigate the different chromatic behaviour of the…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 549,
      "source_fields": {
        "Abstract Final Identifier": "POCAT511",
        "Title": "Comparative Analysis Of Distance And Near Contrast Sensitivity Outcomes Obtained With One Refractive Partial And Two Diffractive Full Range Of Focus Intraocular Lenses",
        "Presenting Author(s)": "Dr David Pablo P Pinero",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "David Pablo",
        "Submitter Middle Name": "P",
        "Submitter Last Name": "Pinero",
        "Country Name": "Spain",
        "Purpose": "To evaluate and compare the distance and near contrast sensitivity outcomes with three different types of presbyopia-correcting intraocular lenses (IOLs): one refractive partial range of focus (PRoF) IOL and two diffractive full range of focus (FRoF) IOLs.",
        "Setting": "Department of Ophthalmology. Vithas Medimar International Hospital, Alicante, Spain",
        "Methods": "A total of 60 patients ranging in age from 56 to 73 years old were included in this study. All subjects underwent uneventful cataract surgery with implantation of the Tecnis PureSee® DEN00V (Johnson & Johnson Vision) (20 patients, PRoF group), FineVision HP (BVI, Waltham, USA) (20 patients, FRoF1 group) and RayOne RAO603F IOL (Rayner, West Sussex, UK). Visual acuity (VA), refractive, photopic distance achromatic contrast sensitivity (CS) (CSV-1000 test) and near achromatic and chromatic CS (Optopad-CSF test) outcomes were evaluated at 3 months after surgery.",
        "Results": "Significantly better corrected distance VA were found in PRoF group (p<0.001). In contrast, significantly better distance-corrected intermediate and near VA were found in FRoF groups compared to PRoF group (p<0.001). Mean VA was 0.20 logMAR or better in FRoF group for defocus levels from +0.50 to -1.50 D. Regarding distance CS, significantly worse values were found for 18 cycles/º in FRoF group compared to FRoF1 (p=0.02) and FRoF2 IOLs (p=0.01). When comparing near achromatic CS, only significantly worse values were found for 24 cycles/º in the FRoF group (p<0.001). In addition, better blue-yellow CS with FRoF IOLs for 1 cycle/º and better red-green CS with FRoF2 IOL compared to PRoF for all spatial frequencies were found (p≤0.001)",
        "Conclusions": "The FRoF evaluated provides a functional rehabilitation of vision across several distances, while maintaining good levels of visual quality in comparison to FRoF IOLs. The reduction of visual acuity at near with the PRoF IOL evaluated has a minimal impact on near CS for the blue-yellow channel, becoming more relevant for the red-green channel. Future studies must investigate the different chromatic behaviour of the presbyopia-correcting IOLs evaluated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POCAT512",
      "abstract_number": "POCAT512",
      "title": "Pilot Experience Evaluating A Visual Training Program For Facilitating The Neuroadaptation In Subjects Implanted With Multifocal Intraocular Lenses And An Unsuccessful Outcome",
      "authors": "Dr David Pablo P Pinero",
      "presenter": "Dr David Pablo P Pinero",
      "normalized_authors": [
        "David Pablo P Pinero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Pablo P Pinero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate preliminarily the clinical usefulness of a validated visual training technology based on Gabor sinusoidal gratings to facilitate neuroadaptation through cortical activation in a small sample of patients implanted with presbyopia-correcting intraocular lenses IOLs and severe complaints of loss of quality of vision.",
        "Setting": "Departament of Ophthalmology, Vithas Medimar International Hospital, Alicante, Spain",
        "Methods": "A total of 7 eyes of 5 patients ranging in age from 29 to 64 years old were included in this study. All subjects underwent uneventful cataract surgery with implantation of different models of presbyopia-correcting IOLs, but with a significant decrease of visual quality at least 6 months after the surgery. All eyes were trained using the OpticTrain® software (Visitrain S.L., Alicante, Spain) that has been designed to facilitate neuroadaptation and is based on the combination of sinusoidal Gabor gratings with environments that favours controlled activation of the cingulate, caudate, and fronto-parietal areas. A total of 6 weeks of training at home using the application in a tablet was prescribed (5 days/week, 25-min sessions).",
        "Results": "Mean corrected distance visual acuity improved from 0.20 ± 0.09 logMAR before training to 0.13 ± 0.08 after training (p=0.008). Likewise, mean distance-corrected visual acuity improved from 0.34 ± 0.21 LogMAR to 0.22 ± 0.21 with training (p<0.001). Likewise, distance contrast sensitivity (CS) improved significantly for high spatial frequencies (p<0.001) (CSV1000 test) as well as near CS for the spatial frequencies of 1.5, 3 and 4.5 cycles/º (OpticTrain-CSF test) (p<0.001). The level of bothersomeness of halos, glare and starbursts decreased in all cases after the training (McAlinden quality of vision questionnaire). Furthermore, the symptom of hazy vision also decreased in those patients perceiving it initially.",
        "Conclusions": "Treatment with this visual training technology based on gamification seems to be a potential therapeutic option of visual rehabilitation in patients severely affected by quality of vision loss after presbyopia-correcting IOL implantation. It would be advisable to confirm this aspect in future studies with more symptomatic patients after this type of surgery. Finally, the inclusion of neurological tests such as functional magnetic resonance imaging would be recommendable to confirm neuronal changes associated with neuroadaptation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Treatment with this visual training technology based on gamification seems to be a potential therapeutic option of visual rehabilitation in patients severely affected by quality of vision loss after presbyopia-correcting IOL implantation. It would be advisable to confirm this aspect in future studies with more symptomatic patients after this type of surgery. Finally, the inclusion of neurological tests such as…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 550,
      "source_fields": {
        "Abstract Final Identifier": "POCAT512",
        "Title": "Pilot Experience Evaluating A Visual Training Program For Facilitating The Neuroadaptation In Subjects Implanted With Multifocal Intraocular Lenses And An Unsuccessful Outcome",
        "Presenting Author(s)": "Dr David Pablo P Pinero",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "David Pablo",
        "Submitter Middle Name": "P",
        "Submitter Last Name": "Pinero",
        "Country Name": "Spain",
        "Purpose": "To evaluate preliminarily the clinical usefulness of a validated visual training technology based on Gabor sinusoidal gratings to facilitate neuroadaptation through cortical activation in a small sample of patients implanted with presbyopia-correcting intraocular lenses IOLs and severe complaints of loss of quality of vision.",
        "Setting": "Departament of Ophthalmology, Vithas Medimar International Hospital, Alicante, Spain",
        "Methods": "A total of 7 eyes of 5 patients ranging in age from 29 to 64 years old were included in this study. All subjects underwent uneventful cataract surgery with implantation of different models of presbyopia-correcting IOLs, but with a significant decrease of visual quality at least 6 months after the surgery. All eyes were trained using the OpticTrain® software (Visitrain S.L., Alicante, Spain) that has been designed to facilitate neuroadaptation and is based on the combination of sinusoidal Gabor gratings with environments that favours controlled activation of the cingulate, caudate, and fronto-parietal areas. A total of 6 weeks of training at home using the application in a tablet was prescribed (5 days/week, 25-min sessions).",
        "Results": "Mean corrected distance visual acuity improved from 0.20 ± 0.09 logMAR before training to 0.13 ± 0.08 after training (p=0.008). Likewise, mean distance-corrected visual acuity improved from 0.34 ± 0.21 LogMAR to 0.22 ± 0.21 with training (p<0.001). Likewise, distance contrast sensitivity (CS) improved significantly for high spatial frequencies (p<0.001) (CSV1000 test) as well as near CS for the spatial frequencies of 1.5, 3 and 4.5 cycles/º (OpticTrain-CSF test) (p<0.001). The level of bothersomeness of halos, glare and starbursts decreased in all cases after the training (McAlinden quality of vision questionnaire). Furthermore, the symptom of hazy vision also decreased in those patients perceiving it initially.",
        "Conclusions": "Treatment with this visual training technology based on gamification seems to be a potential therapeutic option of visual rehabilitation in patients severely affected by quality of vision loss after presbyopia-correcting IOL implantation. It would be advisable to confirm this aspect in future studies with more symptomatic patients after this type of surgery. Finally, the inclusion of neurological tests such as functional magnetic resonance imaging would be recommendable to confirm neuronal changes associated with neuroadaptation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCAT513",
      "abstract_number": "POCAT513",
      "title": "Preliminary Outcomes With Luxlife™ Full Range Of Vision Iol In Cataract Surgery.",
      "authors": "Dr Clara Pons Talaya",
      "presenter": "Dr Clara Pons Talaya",
      "normalized_authors": [
        "Clara Pons Talaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clara Pons Talaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Currently available multifocal intraocular lenses (IOLs) often present limitations in terms of subjective visual quality and patient satisfaction. This study aims to assess the visual performance and patient-reported outcomes following implantation of the new LuxLife™ full range-of-vision IOL (Bausch + Lomb) in patients undergoing cataract surgery. The innovative, nondiffractive optical design of this lens is intended to enhance visual comfort while providing a continuous range of vision.",
        "Setting": "Preliminary single-center study at a tertiary ophthalmology institution.",
        "Methods": "This is a prospective, descriptive, single-center study. Cataract surgery with LuxLife IOL implantation was performed in 50 patients (90 eyes), aged 65–85 years. Inclusion criteria was an axial length of 22.5-24.5 mm, correctable corneal astigmatism, mesopic pupil diameter of 3–4 mm, and absence of significant ocular comorbidities. Only eyes achieving a postoperative spherical equivalent within ±0.50 D of the targeted refraction were included for analysis. Monocular and binocular UCVA and CDVA were evaluated at far, intermediate, and near distances at 1 week, 2 months, and 4–6 months postoperatively. PROMs were assessed using the Catquest-9SF questionnaire.",
        "Results": "Postoperatively at 1 week, 2 months, and 4–6 months, monocular and binocular UCVA and CDVA showed effective visual performance across far, intermediate, and near distances in LuxLife™ eyes. Catquest-9SF PROMs revealed high spectacle independence, minimal illumination dependence, strong satisfaction across distances, and low dysphotopsia incidence.",
        "Conclusions": "LuxLife™ IOL provides effective full-range vision with excellent objective and subjective outcomes in selected patients, warranting larger, longer-term comparative prospective studies. ​"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LuxLife™ IOL provides effective full-range vision with excellent objective and subjective outcomes in selected patients, warranting larger, longer-term comparative prospective studies. ​",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 551,
      "source_fields": {
        "Abstract Final Identifier": "POCAT513",
        "Title": "Preliminary Outcomes With Luxlife™ Full Range Of Vision Iol In Cataract Surgery.",
        "Presenting Author(s)": "Dr Clara Pons Talaya",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Clara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pons Talaya",
        "Country Name": "Spain",
        "Purpose": "Currently available multifocal intraocular lenses (IOLs) often present limitations in terms of subjective visual quality and patient satisfaction. This study aims to assess the visual performance and patient-reported outcomes following implantation of the new LuxLife™ full range-of-vision IOL (Bausch + Lomb) in patients undergoing cataract surgery. The innovative, nondiffractive optical design of this lens is intended to enhance visual comfort while providing a continuous range of vision.",
        "Setting": "Preliminary single-center study at a tertiary ophthalmology institution.",
        "Methods": "This is a prospective, descriptive, single-center study. Cataract surgery with LuxLife IOL implantation was performed in 50 patients (90 eyes), aged 65–85 years. Inclusion criteria was an axial length of 22.5-24.5 mm, correctable corneal astigmatism, mesopic pupil diameter of 3–4 mm, and absence of significant ocular comorbidities. Only eyes achieving a postoperative spherical equivalent within ±0.50 D of the targeted refraction were included for analysis. Monocular and binocular UCVA and CDVA were evaluated at far, intermediate, and near distances at 1 week, 2 months, and 4–6 months postoperatively. PROMs were assessed using the Catquest-9SF questionnaire.",
        "Results": "Postoperatively at 1 week, 2 months, and 4–6 months, monocular and binocular UCVA and CDVA showed effective visual performance across far, intermediate, and near distances in LuxLife™ eyes. Catquest-9SF PROMs revealed high spectacle independence, minimal illumination dependence, strong satisfaction across distances, and low dysphotopsia incidence.",
        "Conclusions": "LuxLife™ IOL provides effective full-range vision with excellent objective and subjective outcomes in selected patients, warranting larger, longer-term comparative prospective studies. ​"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCAT514",
      "abstract_number": "POCAT514",
      "title": "Bilateral Panoptix Iol Implantation Using A Mini-Monovision Strategy In Myopic Patients",
      "authors": "Dr Galiya Yessenzhan",
      "presenter": "Dr Galiya Yessenzhan",
      "normalized_authors": [
        "Galiya Yessenzhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Meruyert Rakhimova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of the mini-monovision strategy in myopic patients following bilateral implantation of the PanOptix IOL.",
        "Setting": "This prospective clinical study included patients with varying degrees of myopia who underwent phacoemulsification with implantation of the PanOptix intraocular lens. A total of 47 patients (18 males and 29 females) were enrolled. The mean age was 63.12 ± 10.29 years. All participants underwent comprehensive preoperative ophthalmological examination.",
        "Methods": "The mini-monovision refractive strategy aimed for emmetropia in the dominant eye and planned residual myopia of −0.75 to −1.25 diopters in the non-dominant eye. Postoperative evaluation included uncorrected distance, intermediate, and near visual acuity, manifest refraction, and subjective patient satisfaction with visual outcomes. The follow-up period ranged from 1 to 3 months. All surgeries were performed by a single surgeon at the Kazakh Research Institute of Eye Diseases.",
        "Results": "Preoperative best-corrected visual acuity(BCVA) was 0.29±0.3 in the dominant eye and 0.33±0.3 in the non-dominant eye. Postoperative uncorrected visual acuity(UCVA) in the dominant eye was 0.92±0.2 for distance, 0.78±0.15 for intermediate, and 0.82±0.25 for near vision. Corresponding values in the non-dominant eye were 0.85±0.23, 0.86±0.3, and 0.90±0.4,respectively. Binocular UCVA reached 0.92±0.2 for distance and 0.89±0.1 for near vision. The mean postoperative spherical equivalent was −0.4±0.4D in the dominant eye and −1.15±0.4D in the non-dominant eye,consistent with the intended mini-monovision strategy. The dominant eye demonstrated superior distance vision,whereas the non-dominant eye showed a tendency toward better near performance.",
        "Conclusions": "The present study demonstrates that mini-monovision in myopic patients undergoing bilateral PanOptix IOL implantation may be an effective strategy to expand the functional range of vision. Neuroadaptation represents an important consideration in this population. Many myopic patients have long benefited from uncorrected near vision, and abrupt bilateral emmetropization may be perceived as a loss of habitual visual function. The mini-monovision approach facilitates a smoother transition to a new optical system by preserving high-quality distance vision through the dominant eye while enhancing near functionality through the non-dominant eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The present study demonstrates that mini-monovision in myopic patients undergoing bilateral PanOptix IOL implantation may be an effective strategy to expand the functional range of vision. Neuroadaptation represents an important consideration in this population. Many myopic patients have long benefited from uncorrected near vision, and abrupt bilateral emmetropization may be perceived as a loss of habitual visual…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 552,
      "source_fields": {
        "Abstract Final Identifier": "POCAT514",
        "Title": "Bilateral Panoptix Iol Implantation Using A Mini-Monovision Strategy In Myopic Patients",
        "Presenting Author(s)": "Dr Galiya Yessenzhan",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Meruyert",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rakhimova",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate the clinical outcomes of the mini-monovision strategy in myopic patients following bilateral implantation of the PanOptix IOL.",
        "Setting": "This prospective clinical study included patients with varying degrees of myopia who underwent phacoemulsification with implantation of the PanOptix intraocular lens. A total of 47 patients (18 males and 29 females) were enrolled. The mean age was 63.12 ± 10.29 years. All participants underwent comprehensive preoperative ophthalmological examination.",
        "Methods": "The mini-monovision refractive strategy aimed for emmetropia in the dominant eye and planned residual myopia of −0.75 to −1.25 diopters in the non-dominant eye. Postoperative evaluation included uncorrected distance, intermediate, and near visual acuity, manifest refraction, and subjective patient satisfaction with visual outcomes. The follow-up period ranged from 1 to 3 months. All surgeries were performed by a single surgeon at the Kazakh Research Institute of Eye Diseases.",
        "Results": "Preoperative best-corrected visual acuity(BCVA) was 0.29±0.3 in the dominant eye and 0.33±0.3 in the non-dominant eye. Postoperative uncorrected visual acuity(UCVA) in the dominant eye was 0.92±0.2 for distance, 0.78±0.15 for intermediate, and 0.82±0.25 for near vision. Corresponding values in the non-dominant eye were 0.85±0.23, 0.86±0.3, and 0.90±0.4,respectively. Binocular UCVA reached 0.92±0.2 for distance and 0.89±0.1 for near vision. The mean postoperative spherical equivalent was −0.4±0.4D in the dominant eye and −1.15±0.4D in the non-dominant eye,consistent with the intended mini-monovision strategy. The dominant eye demonstrated superior distance vision,whereas the non-dominant eye showed a tendency toward better near performance.",
        "Conclusions": "The present study demonstrates that mini-monovision in myopic patients undergoing bilateral PanOptix IOL implantation may be an effective strategy to expand the functional range of vision. Neuroadaptation represents an important consideration in this population. Many myopic patients have long benefited from uncorrected near vision, and abrupt bilateral emmetropization may be perceived as a loss of habitual visual function. The mini-monovision approach facilitates a smoother transition to a new optical system by preserving high-quality distance vision through the dominant eye while enhancing near functionality through the non-dominant eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCAT515",
      "abstract_number": "POCAT515",
      "title": "The Presbyopia Abstract Treatment After Excimer Laser Surgery With Segment Variofocal And Segment Toric Mfiol",
      "authors": "Dr Magda Beatrice Rau",
      "presenter": "Dr Magda Beatrice Rau",
      "normalized_authors": [
        "Magda Beatrice Rau"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Magda Beatrice Rau",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the optical, function results and satisfaction of patient after implantation of asymmetric variofocal and asymmetric toric IOL as presbyopia solution in patients after previous excimer laser surgery",
        "Setting": "Cham - Germany",
        "Methods": "All included patients underwent previous excimer laser surgery reached presbyopia age and wished to be glasses independent during reading and near distance activities.\n\nIn a retrospective study we included 19 eyes of patients 14 patients. In 4 patient were implanted bilaterally Acunex Variomax, 10 LENTIS ® Mplus X toric in monolateraly. The astigmatisms of the first group was 0-0,75, of the second group 2,0 D -3,75 D The sphere +0,75- -3,5, second group 2,0 D -3,75 D The mean age was 51,58 years.\n\nThe follow up was six months",
        "Results": "For the first group, the distance vision was 0,9, intermediate was 0,7 and near vision was 0.88. In the second group, distance vision was 0.84, intermediate was 0.74 and near vision was 0.86. We were able to end up in the range of ±0.75 D in 80% of the eyes and within 1 D in 100% of the eyes. The mean refraction was 0.5 D, All patients were satisfied, and 60% were very satisfied. All of them were able to perform daily tasks without glasses like cooking, handicraft work, watching TV and driving the car. One hundred percent were able to read the newspaper and 85% were able to read books with small print without glasses and 100% drive the car as well in the night without glasses.",
        "Conclusions": "After the previous refractive cornea procedure the implantation of assymetric MFIOLs Acunex variomax and Mplus X toric in our study succesful corrected the distance vision, intermediate and near.\n\nTherefore was the satisfaction very high and met the expectations of the patients"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "After the previous refractive cornea procedure the implantation of assymetric MFIOLs Acunex variomax and Mplus X toric in our study succesful corrected the distance vision, intermediate and near. Therefore was the satisfaction very high and met the expectations of the patients",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 553,
      "source_fields": {
        "Abstract Final Identifier": "POCAT515",
        "Title": "The Presbyopia Abstract Treatment After Excimer Laser Surgery With Segment Variofocal And Segment Toric Mfiol",
        "Presenting Author(s)": "Dr Magda Beatrice Rau",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Magda",
        "Submitter Middle Name": "Beatrice",
        "Submitter Last Name": "Rau",
        "Country Name": "Germany",
        "Purpose": "To evaluate the optical, function results and satisfaction of patient after implantation of asymmetric variofocal and asymmetric toric IOL as presbyopia solution in patients after previous excimer laser surgery",
        "Setting": "Cham - Germany",
        "Methods": "All included patients underwent previous excimer laser surgery reached presbyopia age and wished to be glasses independent during reading and near distance activities.\n\nIn a retrospective study we included 19 eyes of patients 14 patients. In 4 patient were implanted bilaterally Acunex Variomax, 10 LENTIS ® Mplus X toric in monolateraly. The astigmatisms of the first group was 0-0,75, of the second group 2,0 D -3,75 D The sphere +0,75- -3,5, second group 2,0 D -3,75 D The mean age was 51,58 years.\n\nThe follow up was six months",
        "Results": "For the first group, the distance vision was 0,9, intermediate was 0,7 and near vision was 0.88. In the second group, distance vision was 0.84, intermediate was 0.74 and near vision was 0.86. We were able to end up in the range of ±0.75 D in 80% of the eyes and within 1 D in 100% of the eyes. The mean refraction was 0.5 D, All patients were satisfied, and 60% were very satisfied. All of them were able to perform daily tasks without glasses like cooking, handicraft work, watching TV and driving the car. One hundred percent were able to read the newspaper and 85% were able to read books with small print without glasses and 100% drive the car as well in the night without glasses.",
        "Conclusions": "After the previous refractive cornea procedure the implantation of assymetric MFIOLs Acunex variomax and Mplus X toric in our study succesful corrected the distance vision, intermediate and near.\n\nTherefore was the satisfaction very high and met the expectations of the patients"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POCAT516",
      "abstract_number": "POCAT516",
      "title": "The First Optical And Functional Results After The Implantation Of Preloaded Sinusoidal Trifocal Iol",
      "authors": "Dr Magda Beatrice Rau",
      "presenter": "Dr Magda Beatrice Rau",
      "normalized_authors": [
        "Magda Beatrice Rau"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Magda Beatrice Rau",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the optical, functional outcomes and patients satisfaction after Implantation of sinusoidal trifocal IOL bilaterally after Phacoemulsification.",
        "Setting": "Eye clinic Cham, Janahof 2, 93413 Cham, Germany",
        "Methods": "In prospective case study from December 2024 until December 2025\n\nwe implanted after phacoemulsification through 2,4 mm incision in 40 eyes of 20 patients.\n\nWe evaluated the postoperative uncorrected (UCVA), best corrected visual acuity (BCVA) for distance, distance corrected intermediate and near visual acuity. The follow up was three months after implantation. The quality of vision, glare, halos and the personal satisfaction of the patients was assessed with a validated questionnaire.",
        "Results": "The mean UCVA for distance 3 months post-OP was 0,82 the BCVA 0,9.Mean DCVA for intermediate 3 months post-OP was 0,8, for near 0,8.\n\nThe average glare score was 22 and halos score was 28 from maximal score of 100 for all patients, none of the patients complained about blurred vision, asking under mesopic light conditions. All patients were satisfied with the optical and functional results.",
        "Conclusions": "The new Enova Maestra provides excellent visual results for distance, intermediate and the near. All the patients were satisfied with the achieved results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new Enova Maestra provides excellent visual results for distance, intermediate and the near. All the patients were satisfied with the achieved results.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 554,
      "source_fields": {
        "Abstract Final Identifier": "POCAT516",
        "Title": "The First Optical And Functional Results After The Implantation Of Preloaded Sinusoidal Trifocal Iol",
        "Presenting Author(s)": "Dr Magda Beatrice Rau",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Magda",
        "Submitter Middle Name": "Beatrice",
        "Submitter Last Name": "Rau",
        "Country Name": "Germany",
        "Purpose": "To evaluate the optical, functional outcomes and patients satisfaction after Implantation of sinusoidal trifocal IOL bilaterally after Phacoemulsification.",
        "Setting": "Eye clinic Cham, Janahof 2, 93413 Cham, Germany",
        "Methods": "In prospective case study from December 2024 until December 2025\n\nwe implanted after phacoemulsification through 2,4 mm incision in 40 eyes of 20 patients.\n\nWe evaluated the postoperative uncorrected (UCVA), best corrected visual acuity (BCVA) for distance, distance corrected intermediate and near visual acuity. The follow up was three months after implantation. The quality of vision, glare, halos and the personal satisfaction of the patients was assessed with a validated questionnaire.",
        "Results": "The mean UCVA for distance 3 months post-OP was 0,82 the BCVA 0,9.Mean DCVA for intermediate 3 months post-OP was 0,8, for near 0,8.\n\nThe average glare score was 22 and halos score was 28 from maximal score of 100 for all patients, none of the patients complained about blurred vision, asking under mesopic light conditions. All patients were satisfied with the optical and functional results.",
        "Conclusions": "The new Enova Maestra provides excellent visual results for distance, intermediate and the near. All the patients were satisfied with the achieved results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 192
    },
    {
      "uid": "POCAT517",
      "abstract_number": "POCAT517",
      "title": "My Experience With The Panoptix Toric Intraocular Lens",
      "authors": "Dr Nandini Ray",
      "presenter": "Dr Nandini Ray",
      "normalized_authors": [
        "Nandini Ray"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nandini Ray",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "With my experience over 36 months with 164 eyes implanted with Panoptix multifocal ( mIOL) and 200 eyes implanted with Alcon TORIC IOL , I decided tp implant Panoptix Toric for patients with borderline astigmatism wanting spectacle freedom and to judge the overall initial efficacy",
        "Setting": "Single centre, single surgeon, retrospective analysis . Centurion phaco machine ,Lenstar Biometry ( 2 technician) General Ophthalmology Clinic\n\nNo access to Verion /Callisto/ Pentacam /Wavefront Aberrometer/ Image Guided Cataract surgery suite",
        "Methods": "Strict patient selection as per multi focal IOL with routine surgery\n\nAvoid patients with any ocular pathology\n\nAvoid high myopes ( < 16D) uncertainty about the final ELP\n\nAvoid high Astigmatism (>2 D) for the initial 30 eyes\n\nCross correlate with previous glasses / prescriptions\n\nPost operative refraction done 1 week later",
        "Results": "Number of eyes 30/ Bilateral implant 10 patients ( 20 eyes) / Unilateral 10 eyes\n\nMale:Female 8:20/ Age average 67.73 years\n\nPhaco :Femto 16:14\n\nAverage K1/K2 difference 1.33 in PanToric\n\nAverage K1/ K2 difference in normal Toric 2.16\n\nK1/K2 Panoptix difference 0.42( very low astigmatism)\n\nAverage IOL power in Panoptix Toric 23 D / Panoptix 22 D\n\nNormal Toric\n\nT3:11eyes & T4/T5 :89\n\nT6T7:66 & T8/T9: 34\n\nPanToric : T2 20/ T3 10 eyes\n\nRefractive Outcome\n\nPanoptix Toric : 24 eyes Plano 6/6, N6\n\n6 eyes SE upto 0.25 D 6/6 p N6\n\nPanoptix : Plano 144 eyes / SE 0.25D-0.5D 20 eyes\n\nTORIC residual astigmatism : PLANO 80\n\n0.25D-0.5D 71 eyes / 0.75D-1D 30eyes\n\n1D-1.50D 17eyes/ >1.5 D 2 eyes",
        "Conclusions": "In a general eye clinic with near basic equipment the surgeon has hand picked a careful limited section of patients who meet all the selection criteria\n\nWith a past experience in the TORIC IOL STUDY of 25% residual post operative astigmatism >0.5D the surgeon implanted only cases with upto T3 Panoptix Toric as our centre did not have advanced technology equipment\n\nWith good post operative results 6 eyes having maximum 0.25D SE\n\n24 eyes strictly Plano 6/6, N6\n\nSo careful patient selection , methodical screening with exclusion and cross correlation with past prescriptions/ glasses etc patient satisfaction can be expected"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a general eye clinic with near basic equipment the surgeon has hand picked a careful limited section of patients who meet all the selection criteria With a past experience in the TORIC IOL STUDY of 25% residual post operative astigmatism >0.5D the surgeon implanted only cases with upto T3 Panoptix Toric as our centre did not have advanced technology equipment With good post operative results 6 eyes having…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 555,
      "source_fields": {
        "Abstract Final Identifier": "POCAT517",
        "Title": "My Experience With The Panoptix Toric Intraocular Lens",
        "Presenting Author(s)": "Dr Nandini Ray",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Nandini",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ray",
        "Country Name": "India",
        "Purpose": "With my experience over 36 months with 164 eyes implanted with Panoptix multifocal ( mIOL) and 200 eyes implanted with Alcon TORIC IOL , I decided tp implant Panoptix Toric for patients with borderline astigmatism wanting spectacle freedom and to judge the overall initial efficacy",
        "Setting": "Single centre, single surgeon, retrospective analysis . Centurion phaco machine ,Lenstar Biometry ( 2 technician) General Ophthalmology Clinic\n\nNo access to Verion /Callisto/ Pentacam /Wavefront Aberrometer/ Image Guided Cataract surgery suite",
        "Methods": "Strict patient selection as per multi focal IOL with routine surgery\n\nAvoid patients with any ocular pathology\n\nAvoid high myopes ( < 16D) uncertainty about the final ELP\n\nAvoid high Astigmatism (>2 D) for the initial 30 eyes\n\nCross correlate with previous glasses / prescriptions\n\nPost operative refraction done 1 week later",
        "Results": "Number of eyes 30/ Bilateral implant 10 patients ( 20 eyes) / Unilateral 10 eyes\n\nMale:Female 8:20/ Age average 67.73 years\n\nPhaco :Femto 16:14\n\nAverage K1/K2 difference 1.33 in PanToric\n\nAverage K1/ K2 difference in normal Toric 2.16\n\nK1/K2 Panoptix difference 0.42( very low astigmatism)\n\nAverage IOL power in Panoptix Toric 23 D / Panoptix 22 D\n\nNormal Toric\n\nT3:11eyes & T4/T5 :89\n\nT6T7:66 & T8/T9: 34\n\nPanToric : T2 20/ T3 10 eyes\n\nRefractive Outcome\n\nPanoptix Toric : 24 eyes Plano 6/6, N6\n\n6 eyes SE upto 0.25 D 6/6 p N6\n\nPanoptix : Plano 144 eyes / SE 0.25D-0.5D 20 eyes\n\nTORIC residual astigmatism : PLANO 80\n\n0.25D-0.5D 71 eyes / 0.75D-1D 30eyes\n\n1D-1.50D 17eyes/ >1.5 D 2 eyes",
        "Conclusions": "In a general eye clinic with near basic equipment the surgeon has hand picked a careful limited section of patients who meet all the selection criteria\n\nWith a past experience in the TORIC IOL STUDY of 25% residual post operative astigmatism >0.5D the surgeon implanted only cases with upto T3 Panoptix Toric as our centre did not have advanced technology equipment\n\nWith good post operative results 6 eyes having maximum 0.25D SE\n\n24 eyes strictly Plano 6/6, N6\n\nSo careful patient selection , methodical screening with exclusion and cross correlation with past prescriptions/ glasses etc patient satisfaction can be expected"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "POCAT518",
      "abstract_number": "POCAT518",
      "title": "Objective Analysis Of Visual Quality After Bilateral Implantation Of The Rayner Rayone Galaxy Multifocal Intraocular Lens, Designed By Artificial Intelligence, With Shack-Hartmann Wavefront Sensors.",
      "authors": "Dr Mariano Royo Sans",
      "presenter": "Dr Mariano Royo Sans",
      "normalized_authors": [
        "Mariano Royo Sans"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariano Royo Sans",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "OBJECTIVELY INVESTIGATE THE CLINICAL OUTCOMES OF THE RAYNER RAYONE GALAXY ®\n\nMULTIFOCAL INTRAOCULAR LENS (IOLS).\n\nPLACE: SAN RAFAEL HOSPITAL OPHTHALMOLOGY SERVICE, MADRID",
        "Setting": "THE STUDY POPULATION IS COMPOSED OF 20 EYES (10 PATIENTS) OPERATED WITH RAYONE GALAXY® LENSES IN A PERIOD OF 1 MONTH.\n\nVISUAL ACUITY IS MONITORED WITH THE EDTRS OPTOTYPE AT 4 METERS AND AN ILLUMINATION OF 85 CD/M².\n\nOBJECTIVE DATA FOR STUDYING, QUANTIFYING, AND MONITORING REFRACTIVE ERRORS ARE OBTAINED WITH THE ANTERIOR SEGMENT ANALYSIS MODULE OF THE VISIONIX ® VX650 PLATFORM.",
        "Methods": "IN THIS STUDY, 10 PATIENTS WHO HAD SURGERY ON BOTH EYES WITH RAYONE GALAXY® RAYNER LIO WERE EXAMINED. VISUAL ACUITY WAS MEASURED, AND COMPARED WITH AN OBJECTIVE ANALYSIS OF ITS VISUAL QUALITY BY MEANS OF A SIMULATION OF FINAL VISUAL ACUITY BASED ON: POINT SPREAD FUNCTION (PSF), HIGH AND LOW ORDER ABERRATION MAPS, AND MODULATION TRANSFER FUNCTION (MTF).",
        "Results": "THE MEAN DISTANT, INTERMEDIATE AND PROXIMAL UNCORRECTED MONOCULAR AND BINOCULAR VISUAL ACUITY (UDVA, UIVA AND UNVA) WAS 0.00 ± 0.15 LOGMAR, RESPECTIVELY. THE BLUR RANGE IS BETWEEN -2.5 D AND +0.5 D.\n\nTHE OBJECTIVE ABERROMETRIC AND VISUAL SIMULATION RESULTS ARE WITHIN THE NORMAL VALUES FOR THE IMPLANTATION OF INTRAOCULAR LENSES WITH SIMULTANEOUS VISION. NO PATIENT REPORTED INTOLERABLE DYSPHOTOPSIA AND 100% WERE SATISFIED OR VERY SATISFIED WITH THEIR VISION.",
        "Conclusions": "CLINICAL RESULTS FROM 10 PATIENTS IMPLANTED BILATERALLY WITH THE RAYNER RAYONE GALAXY® INTRAOCULAR LENS SHOW RESTORATION OF VISUAL ACUITY OVER A FULL RANGE OF FAR TO NEAR DISTANCES. HIGH VISUAL QUALITY IS CONFIRMED BY TOTAL ABERROMETRIC OBJECTIVE ANALYSIS AND NO REPORTS OF HALO OR GLARE OF PATIENTS.\n\nIN OUR OPINION, THE RAYNER RAYONE GALAXY® INTRAOCULAR LENS IS A GOOD CHOICE FOR PATIENTS WHO WANT GOOD VISUAL ACUITY AT FAR, INTERMEDIATE, AND NEAR DISTANCES WITHOUT SACRIFICING VISUAL QUALITY. AS THIS IS GOING DATA COLLECTION, THE MOST RECENT RESULTS WILL BE PRESENTED WITH MORE IMPLANTED EYES."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CLINICAL RESULTS FROM 10 PATIENTS IMPLANTED BILATERALLY WITH THE RAYNER RAYONE GALAXY® INTRAOCULAR LENS SHOW RESTORATION OF VISUAL ACUITY OVER A FULL RANGE OF FAR TO NEAR DISTANCES. HIGH VISUAL QUALITY IS CONFIRMED BY TOTAL ABERROMETRIC OBJECTIVE ANALYSIS AND NO REPORTS OF HALO OR GLARE OF PATIENTS. IN OUR OPINION, THE RAYNER RAYONE GALAXY® INTRAOCULAR LENS IS A GOOD CHOICE FOR PATIENTS WHO WANT GOOD VISUAL ACUITY…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 556,
      "source_fields": {
        "Abstract Final Identifier": "POCAT518",
        "Title": "Objective Analysis Of Visual Quality After Bilateral Implantation Of The Rayner Rayone Galaxy Multifocal Intraocular Lens, Designed By Artificial Intelligence, With Shack-Hartmann Wavefront Sensors.",
        "Presenting Author(s)": "Dr Mariano Royo Sans",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Mariano",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Royo Sans",
        "Country Name": "Spain",
        "Purpose": "OBJECTIVELY INVESTIGATE THE CLINICAL OUTCOMES OF THE RAYNER RAYONE GALAXY ®\n\nMULTIFOCAL INTRAOCULAR LENS (IOLS).\n\nPLACE: SAN RAFAEL HOSPITAL OPHTHALMOLOGY SERVICE, MADRID",
        "Setting": "THE STUDY POPULATION IS COMPOSED OF 20 EYES (10 PATIENTS) OPERATED WITH RAYONE GALAXY® LENSES IN A PERIOD OF 1 MONTH.\n\nVISUAL ACUITY IS MONITORED WITH THE EDTRS OPTOTYPE AT 4 METERS AND AN ILLUMINATION OF 85 CD/M².\n\nOBJECTIVE DATA FOR STUDYING, QUANTIFYING, AND MONITORING REFRACTIVE ERRORS ARE OBTAINED WITH THE ANTERIOR SEGMENT ANALYSIS MODULE OF THE VISIONIX ® VX650 PLATFORM.",
        "Methods": "IN THIS STUDY, 10 PATIENTS WHO HAD SURGERY ON BOTH EYES WITH RAYONE GALAXY® RAYNER LIO WERE EXAMINED. VISUAL ACUITY WAS MEASURED, AND COMPARED WITH AN OBJECTIVE ANALYSIS OF ITS VISUAL QUALITY BY MEANS OF A SIMULATION OF FINAL VISUAL ACUITY BASED ON: POINT SPREAD FUNCTION (PSF), HIGH AND LOW ORDER ABERRATION MAPS, AND MODULATION TRANSFER FUNCTION (MTF).",
        "Results": "THE MEAN DISTANT, INTERMEDIATE AND PROXIMAL UNCORRECTED MONOCULAR AND BINOCULAR VISUAL ACUITY (UDVA, UIVA AND UNVA) WAS 0.00 ± 0.15 LOGMAR, RESPECTIVELY. THE BLUR RANGE IS BETWEEN -2.5 D AND +0.5 D.\n\nTHE OBJECTIVE ABERROMETRIC AND VISUAL SIMULATION RESULTS ARE WITHIN THE NORMAL VALUES FOR THE IMPLANTATION OF INTRAOCULAR LENSES WITH SIMULTANEOUS VISION. NO PATIENT REPORTED INTOLERABLE DYSPHOTOPSIA AND 100% WERE SATISFIED OR VERY SATISFIED WITH THEIR VISION.",
        "Conclusions": "CLINICAL RESULTS FROM 10 PATIENTS IMPLANTED BILATERALLY WITH THE RAYNER RAYONE GALAXY® INTRAOCULAR LENS SHOW RESTORATION OF VISUAL ACUITY OVER A FULL RANGE OF FAR TO NEAR DISTANCES. HIGH VISUAL QUALITY IS CONFIRMED BY TOTAL ABERROMETRIC OBJECTIVE ANALYSIS AND NO REPORTS OF HALO OR GLARE OF PATIENTS.\n\nIN OUR OPINION, THE RAYNER RAYONE GALAXY® INTRAOCULAR LENS IS A GOOD CHOICE FOR PATIENTS WHO WANT GOOD VISUAL ACUITY AT FAR, INTERMEDIATE, AND NEAR DISTANCES WITHOUT SACRIFICING VISUAL QUALITY. AS THIS IS GOING DATA COLLECTION, THE MOST RECENT RESULTS WILL BE PRESENTED WITH MORE IMPLANTED EYES."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCAT519",
      "abstract_number": "POCAT519",
      "title": "Intraindividual Comparison Of Two Presbyopia-Correcting Iol Concepts And Their Combination Using The Real Artificial Lens Vision (Ralv®) System",
      "authors": "Prof. Dr Claudette Abela-Formanek",
      "presenter": "Prof. Dr Claudette Abela-Formanek",
      "normalized_authors": [
        "Claudette Abela-Formanek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Markus Schranz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Extended depth of focus intraocular lenses can be categorized into Full Depth of Field (FDoF) and Partial Depth of Field (PDoF) designs. While FDoF IOLs aim to provide greater spectacle independence, they are often associated with reduced contrast sensitivity and increased photic phenomena (halo, glare). PDoF IOLs offer superior optical quality but more limited near performance. A mix-and-match strategy may combine the advantages of both concepts. This study aimed to intraindividually compare visual performance of FDoF, PDoF, and a combined approach using the Real Artificial Lens Vision (RALV®) system.",
        "Setting": "Prospective study at a tertiary referral center",
        "Methods": "Six weeks after cataract surgery and bilateral implantation of monofocal IOLs, patients were evaluated using the RALV® system, an instrument that allows subjects to look through real intraocular lenses in a noninvasive, intraindividual setting.\n\nUnder distance refractive correction, participants viewed through real IOLs. Three lens combinations (PDoF–PDoF, FDoF–FDoF, and PDoF–FDoF [mix-and-match]) were tested in randomized order. Distance visual acuity (Snellen), contrast sensitivity (logCS, Weber), quantitative halo assessment, and defocus curves were analyzed.",
        "Results": "Measurements from 36 patients were analyzed. Distance visual acuity was significantly reduced with FDoF IOLs (0.80 ± 0.15) compared with PDoF IOLs (0.94 ± 0.13; p = 0.012), whereas the mix-and-match combination demonstrated comparable values (1.01 ± 0.18; p = 0.084 vs PDoF).\n\nContrast sensitivity was lower with FDoF (1.19 ± 0.17 logCS) compared with PDoF (1.37 ± 0.16; p = 0.009) and mix-and-match (1.37 ± 0.18; p = 0.038).\n\nObjective halo perception was significantly increased with FDoF IOLs (16.0 ± 3.6) compared with PDoF (13.4 ± 3.1; p = 0.007) and the mix-and-match approach (12.6 ± 3.2; p = 0.026).\n\nRegarding defocus curves, FDoF IOLs demonstrated the largest area under the curve, followed by the mix-and-match combination and PDoF.",
        "Conclusions": "Compared with PDoF, bilateral FDoF implantation was associated with reduced distance visual acuity, decreased contrast sensitivity, and increased halo perception, while providing the broadest functional range of vision.\n\nThe mix-and-match strategy maintained optical quality comparable to PDoF while extending the depth of focus. These findings suggest that combining FDoF and PDoF IOLs may offer a balanced visual profile and represent a promising alternative for individualized presbyopia correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Compared with PDoF, bilateral FDoF implantation was associated with reduced distance visual acuity, decreased contrast sensitivity, and increased halo perception, while providing the broadest functional range of vision. The mix-and-match strategy maintained optical quality comparable to PDoF while extending the depth of focus. These findings suggest that combining FDoF and PDoF IOLs may offer a balanced visual…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 557,
      "source_fields": {
        "Abstract Final Identifier": "POCAT519",
        "Title": "Intraindividual Comparison Of Two Presbyopia-Correcting Iol Concepts And Their Combination Using The Real Artificial Lens Vision (Ralv®) System",
        "Presenting Author(s)": "Prof. Dr Claudette Abela-Formanek",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Markus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schranz",
        "Country Name": "Austria",
        "Purpose": "Extended depth of focus intraocular lenses can be categorized into Full Depth of Field (FDoF) and Partial Depth of Field (PDoF) designs. While FDoF IOLs aim to provide greater spectacle independence, they are often associated with reduced contrast sensitivity and increased photic phenomena (halo, glare). PDoF IOLs offer superior optical quality but more limited near performance. A mix-and-match strategy may combine the advantages of both concepts. This study aimed to intraindividually compare visual performance of FDoF, PDoF, and a combined approach using the Real Artificial Lens Vision (RALV®) system.",
        "Setting": "Prospective study at a tertiary referral center",
        "Methods": "Six weeks after cataract surgery and bilateral implantation of monofocal IOLs, patients were evaluated using the RALV® system, an instrument that allows subjects to look through real intraocular lenses in a noninvasive, intraindividual setting.\n\nUnder distance refractive correction, participants viewed through real IOLs. Three lens combinations (PDoF–PDoF, FDoF–FDoF, and PDoF–FDoF [mix-and-match]) were tested in randomized order. Distance visual acuity (Snellen), contrast sensitivity (logCS, Weber), quantitative halo assessment, and defocus curves were analyzed.",
        "Results": "Measurements from 36 patients were analyzed. Distance visual acuity was significantly reduced with FDoF IOLs (0.80 ± 0.15) compared with PDoF IOLs (0.94 ± 0.13; p = 0.012), whereas the mix-and-match combination demonstrated comparable values (1.01 ± 0.18; p = 0.084 vs PDoF).\n\nContrast sensitivity was lower with FDoF (1.19 ± 0.17 logCS) compared with PDoF (1.37 ± 0.16; p = 0.009) and mix-and-match (1.37 ± 0.18; p = 0.038).\n\nObjective halo perception was significantly increased with FDoF IOLs (16.0 ± 3.6) compared with PDoF (13.4 ± 3.1; p = 0.007) and the mix-and-match approach (12.6 ± 3.2; p = 0.026).\n\nRegarding defocus curves, FDoF IOLs demonstrated the largest area under the curve, followed by the mix-and-match combination and PDoF.",
        "Conclusions": "Compared with PDoF, bilateral FDoF implantation was associated with reduced distance visual acuity, decreased contrast sensitivity, and increased halo perception, while providing the broadest functional range of vision.\n\nThe mix-and-match strategy maintained optical quality comparable to PDoF while extending the depth of focus. These findings suggest that combining FDoF and PDoF IOLs may offer a balanced visual profile and represent a promising alternative for individualized presbyopia correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POCAT520",
      "abstract_number": "POCAT520",
      "title": "Longitudinal Evaluation Of Photic Phenomena After Bilateral Panoptix Trifocal Intraocular Lens Implantation",
      "authors": "Ms Marine Dahl",
      "presenter": "Ms Marine Dahl",
      "normalized_authors": [
        "Marine Dahl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hyeck-Soo Son",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To investigate whether the severity of dysphotopsia changes over time following bilateral implantation of trifocal intraocular lenses (IOLs).",
        "Setting": "University Eye Clinic of Heidelberg, Germany",
        "Methods": "This study evaluated 23 patients who underwent bilateral PanOptix (Alcon) trifocal IOL implantation at two postoperative time points: an early period (3–12 months), using data from routine clinical follow-up, and a long-term period (2–9 years), during which patients were recalled for repeat assessment. Clinical measurements included slit-lamp and visual acuity assessments. Photic phenomena were quantified using a dedicated halo and glare simulation software.",
        "Results": "The mean follow-up times for visits 1 and 2 were 6.0±1.5 and 45.4±30.1 months, respectively. At visit 1, the mean uncorrected distance visual acuity (UDVA) was 0.03±0.13 and there was no statistically significant difference in UDVA between visits 1 and 2 (0.04±0.08; p=0.120). Compared to visit 1 (36.6±24.0), there was a statistically significant decrease in mean halo size values at visit 2 (22.5±20.1; p=0.016). Mean halo intensity also decreased significantly at visit 2 (24.7±22.6) compared to visit 1 (43.4±25.5; p=0,005). Both mean glare size (5.6±12.0) and intensity (8.4±15.4) at visit 1 showed no statistically significant difference at visit 2 (size 3.3±11.1, p=0.175; intensity 5.5±16.1, p=0,124).",
        "Conclusions": "Long-term follow-up showed a significant reduction in halo size and intensity after bilateral PanOptix IOL implantation, while glare parameters remained low at both visits. Our analysis suggests that this trifocal lens produces moderate and well-tolerated glare effects, with initial halo symptoms substantially decreasing over the long term postopertively, highlighting the role of extended adaptation time in mitigating the severity of photic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Long-term follow-up showed a significant reduction in halo size and intensity after bilateral PanOptix IOL implantation, while glare parameters remained low at both visits. Our analysis suggests that this trifocal lens produces moderate and well-tolerated glare effects, with initial halo symptoms substantially decreasing over the long term postopertively, highlighting the role of extended adaptation time in…",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 558,
      "source_fields": {
        "Abstract Final Identifier": "POCAT520",
        "Title": "Longitudinal Evaluation Of Photic Phenomena After Bilateral Panoptix Trifocal Intraocular Lens Implantation",
        "Presenting Author(s)": "Ms Marine Dahl",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Hyeck-Soo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Son",
        "Country Name": "Germany",
        "Purpose": "To investigate whether the severity of dysphotopsia changes over time following bilateral implantation of trifocal intraocular lenses (IOLs).",
        "Setting": "University Eye Clinic of Heidelberg, Germany",
        "Methods": "This study evaluated 23 patients who underwent bilateral PanOptix (Alcon) trifocal IOL implantation at two postoperative time points: an early period (3–12 months), using data from routine clinical follow-up, and a long-term period (2–9 years), during which patients were recalled for repeat assessment. Clinical measurements included slit-lamp and visual acuity assessments. Photic phenomena were quantified using a dedicated halo and glare simulation software.",
        "Results": "The mean follow-up times for visits 1 and 2 were 6.0±1.5 and 45.4±30.1 months, respectively. At visit 1, the mean uncorrected distance visual acuity (UDVA) was 0.03±0.13 and there was no statistically significant difference in UDVA between visits 1 and 2 (0.04±0.08; p=0.120). Compared to visit 1 (36.6±24.0), there was a statistically significant decrease in mean halo size values at visit 2 (22.5±20.1; p=0.016). Mean halo intensity also decreased significantly at visit 2 (24.7±22.6) compared to visit 1 (43.4±25.5; p=0,005). Both mean glare size (5.6±12.0) and intensity (8.4±15.4) at visit 1 showed no statistically significant difference at visit 2 (size 3.3±11.1, p=0.175; intensity 5.5±16.1, p=0,124).",
        "Conclusions": "Long-term follow-up showed a significant reduction in halo size and intensity after bilateral PanOptix IOL implantation, while glare parameters remained low at both visits. Our analysis suggests that this trifocal lens produces moderate and well-tolerated glare effects, with initial halo symptoms substantially decreasing over the long term postopertively, highlighting the role of extended adaptation time in mitigating the severity of photic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCAT521",
      "abstract_number": "POCAT521",
      "title": "First European Clinical Experience With The New Trifocal Intraocular Lens Envista Envy",
      "authors": "Mr Pavel Stodulka",
      "presenter": "Mr Pavel Stodulka",
      "normalized_authors": [
        "Pavel Stodulka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pavel Stodulka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "The enVista Envy (Bausch + Lomb, USA) is a newly introduced hydrophobic acrylic trifocal intraocular lens designed to provide a full range of vision. Built on the established enVista platform, it features a proprietary diffractive optic intended to optimize light distribution across distance, intermediate, and near while maintaining contrast sensitivity and minimizing dysphotopsia. As one of the first early European adopters, we had the opportunity to explore its clinical potential in routine practice. Here we present the first European clinical experience and early visual outcomes following implantation of this new trifocal intraocular lens.",
        "Setting": "Single-site clinical practice at Gemini Eye Clinic in Zlin, Czech Republic",
        "Methods": "This case series included 13 patients (19 eyes) implanted with the enVista Envy trifocal IOL in routine clinical practice. One-month postoperative outcomes were analyzed. Evaluated parameters included uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance-corrected intermediate visual acuity (UIVA, DCIVA) at 66 cm, and uncorrected and distance-corrected near visual acuity (UNVA, DCNVA) at 40 cm, as well as subjective refraction. Monocular defocus curves were obtained to assess functional performance across a range of vergences. Photic phenomena, including halos and glare, were evaluated using a patient-reported questionnaire.",
        "Results": "At 1 month, all eyes achieved at least 0.2 logMAR across all distances, both uncorrected and distance-corrected. The mean UDVA was 0.06 ± 0.08 logMAR, and mean CDVA was -0.02 ± 0.07 logMAR. Intermediate at 66 cm and near visual acuity at 40 cm were mean UIVA: 0.02 ± 0.06 logMAR, mean DCIVA: 0.0 ± 0.06 logMAR; mean UNVA: 0.06 ± 0.07 logMAR and identical mean DCNVA:0.06 ± 0.07 logMAR. The monocular defocus curve demonstrated smooth performance across distance, intermediate, and near vergences with a cross of 0.2 logMAR between -3.0 and\n-3.5 D. Reported halos and glare were generally mild and well tolerated so far.",
        "Conclusions": "Early European experience with the enVista Envy trifocal IOL at a single site demonstrates excellent visual outcomes at all distances, effective functional defocus performance, and a favorable photic phenomenon profile. These preliminary results support its potential as a presbyopia-correcting option in routine cataract and refractive lens exchange practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early European experience with the enVista Envy trifocal IOL at a single site demonstrates excellent visual outcomes at all distances, effective functional defocus performance, and a favorable photic phenomenon profile. These preliminary results support its potential as a presbyopia-correcting option in routine cataract and refractive lens exchange practice.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 559,
      "source_fields": {
        "Abstract Final Identifier": "POCAT521",
        "Title": "First European Clinical Experience With The New Trifocal Intraocular Lens Envista Envy",
        "Presenting Author(s)": "Mr Pavel Stodulka",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Pavel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stodulka",
        "Country Name": "Czech Republic",
        "Purpose": "The enVista Envy (Bausch + Lomb, USA) is a newly introduced hydrophobic acrylic trifocal intraocular lens designed to provide a full range of vision. Built on the established enVista platform, it features a proprietary diffractive optic intended to optimize light distribution across distance, intermediate, and near while maintaining contrast sensitivity and minimizing dysphotopsia. As one of the first early European adopters, we had the opportunity to explore its clinical potential in routine practice. Here we present the first European clinical experience and early visual outcomes following implantation of this new trifocal intraocular lens.",
        "Setting": "Single-site clinical practice at Gemini Eye Clinic in Zlin, Czech Republic",
        "Methods": "This case series included 13 patients (19 eyes) implanted with the enVista Envy trifocal IOL in routine clinical practice. One-month postoperative outcomes were analyzed. Evaluated parameters included uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance-corrected intermediate visual acuity (UIVA, DCIVA) at 66 cm, and uncorrected and distance-corrected near visual acuity (UNVA, DCNVA) at 40 cm, as well as subjective refraction. Monocular defocus curves were obtained to assess functional performance across a range of vergences. Photic phenomena, including halos and glare, were evaluated using a patient-reported questionnaire.",
        "Results": "At 1 month, all eyes achieved at least 0.2 logMAR across all distances, both uncorrected and distance-corrected. The mean UDVA was 0.06 ± 0.08 logMAR, and mean CDVA was -0.02 ± 0.07 logMAR. Intermediate at 66 cm and near visual acuity at 40 cm were mean UIVA: 0.02 ± 0.06 logMAR, mean DCIVA: 0.0 ± 0.06 logMAR; mean UNVA: 0.06 ± 0.07 logMAR and identical mean DCNVA:0.06 ± 0.07 logMAR. The monocular defocus curve demonstrated smooth performance across distance, intermediate, and near vergences with a cross of 0.2 logMAR between -3.0 and\n-3.5 D. Reported halos and glare were generally mild and well tolerated so far.",
        "Conclusions": "Early European experience with the enVista Envy trifocal IOL at a single site demonstrates excellent visual outcomes at all distances, effective functional defocus performance, and a favorable photic phenomenon profile. These preliminary results support its potential as a presbyopia-correcting option in routine cataract and refractive lens exchange practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "POCAT522",
      "abstract_number": "POCAT522",
      "title": "The Effect Of Pupil Size, Kappa Angle, And Spherical Aberrations On Visual Acuity After Implantation Of A New Full-Range Of Field Premium Iol (Rayner Galaxy)",
      "authors": "Dr Willem Van Hoe",
      "presenter": "Dr Willem Van Hoe",
      "normalized_authors": [
        "Willem Van Hoe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Willem Van Hoe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "To assess the influence of pupil size, ocular alignment (angle kappa), and preoperative corneal spherical aberration on the clinical performance of a novel full range of field IOL, as measured by visual acuity, defocus curve profiles, and patient-reported outcomes.",
        "Setting": "Ooginstituut Aalst, Aalst, Belgium",
        "Methods": "This prospective observational study involved adults (≥22 years) undergoing phacoemulsification with Galaxy IOL implantation. Data were collected preoperatively and at 1 and 3 months postoperatively. Outcomes included monocular uncorrected and distance-corrected visual acuity (distance UDVA, CDVA at 6 m; intermediate UIVA, DCIVA at 66 cm; near UNVA, DCNVA at 40 cm), manifest refraction, monocular and binocular defocus curves, and patient-reported outcomes via the RayPRO questionnaire.",
        "Results": "A total of 92 eyes from 48 patients (16 males, 32 females; mean age 64.0) were included. At 3 months, monocular logMAR UDVA, UIVA, and UNVA were 0.02 ± 0.08, 0.08 ± 0.17, and 0.10 ± 0.16, respectively. Mean MRSE at 3 months was -0.14 ± 0.25 D. The binocular defocus curve at 3 months showed functional vision (≤0.2 logMAR) from +1.0 D to -2.8 D (down to 35.7 cm reading distance). Kappa angle and preoperative corneal spherical aberration had no statistically significant effect on the 1-month monocular defocus curve. Photopic and mesopic pupil size had a statistically significant but negligible effect on visual acuity. Patient satisfaction was high, with minimal reports of visual disturbances and a high level of spectacle independence.",
        "Conclusions": "RayOne Galaxy IOLs demonstrated consistent visual performance across all distances, with high levels of spectacle independence and patient satisfaction; and minimal dysphotopsia, regardless of pupil size, kappa angle, and preoperative corneal spherical aberration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RayOne Galaxy IOLs demonstrated consistent visual performance across all distances, with high levels of spectacle independence and patient satisfaction; and minimal dysphotopsia, regardless of pupil size, kappa angle, and preoperative corneal spherical aberration.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 560,
      "source_fields": {
        "Abstract Final Identifier": "POCAT522",
        "Title": "The Effect Of Pupil Size, Kappa Angle, And Spherical Aberrations On Visual Acuity After Implantation Of A New Full-Range Of Field Premium Iol (Rayner Galaxy)",
        "Presenting Author(s)": "Dr Willem Van Hoe",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Willem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Van Hoe",
        "Country Name": "Belgium",
        "Purpose": "To assess the influence of pupil size, ocular alignment (angle kappa), and preoperative corneal spherical aberration on the clinical performance of a novel full range of field IOL, as measured by visual acuity, defocus curve profiles, and patient-reported outcomes.",
        "Setting": "Ooginstituut Aalst, Aalst, Belgium",
        "Methods": "This prospective observational study involved adults (≥22 years) undergoing phacoemulsification with Galaxy IOL implantation. Data were collected preoperatively and at 1 and 3 months postoperatively. Outcomes included monocular uncorrected and distance-corrected visual acuity (distance UDVA, CDVA at 6 m; intermediate UIVA, DCIVA at 66 cm; near UNVA, DCNVA at 40 cm), manifest refraction, monocular and binocular defocus curves, and patient-reported outcomes via the RayPRO questionnaire.",
        "Results": "A total of 92 eyes from 48 patients (16 males, 32 females; mean age 64.0) were included. At 3 months, monocular logMAR UDVA, UIVA, and UNVA were 0.02 ± 0.08, 0.08 ± 0.17, and 0.10 ± 0.16, respectively. Mean MRSE at 3 months was -0.14 ± 0.25 D. The binocular defocus curve at 3 months showed functional vision (≤0.2 logMAR) from +1.0 D to -2.8 D (down to 35.7 cm reading distance). Kappa angle and preoperative corneal spherical aberration had no statistically significant effect on the 1-month monocular defocus curve. Photopic and mesopic pupil size had a statistically significant but negligible effect on visual acuity. Patient satisfaction was high, with minimal reports of visual disturbances and a high level of spectacle independence.",
        "Conclusions": "RayOne Galaxy IOLs demonstrated consistent visual performance across all distances, with high levels of spectacle independence and patient satisfaction; and minimal dysphotopsia, regardless of pupil size, kappa angle, and preoperative corneal spherical aberration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POCAT523",
      "abstract_number": "POCAT523",
      "title": "Evaluating The Impact Of The Water Content Of Hydrophobic Intraocular Lenses On Visual Quality",
      "authors": "Dr Hea Young Oh",
      "presenter": "Dr Hea Young Oh",
      "normalized_authors": [
        "Hea Young Oh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Young-Sik Yoo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "The impact of water content in hydrophobic intraocular lenses (IOLs) on vision quality remains unclear. This study aimed to investigate the effect of water content in hydrophobic trifocal IOLs on visual quality.",
        "Setting": "Optical bench studies were conducted to compare two hydrophobic trifocal IOLs: PanOptix® (low-water content IOL) and Clareon® PanOptix® (high-water content IOL). A retrospective comparative cohort study was conducted on 85 patients with senile cataracts and corneal astigmatism ≤ 1.0 D.",
        "Methods": "Modulation transfer function (MTF) measurements were used to evaluate optical quality, while point spread function (PSF) images were used to evaluate photic phenomena. To validate the optical bench results, a retrospective observational case series study was conducted using medical records for 85 eyes from 85 patients (PanOptix®, n = 38; Clareon® PanOptix®, n = 47). Postoperative visual outcomes were evaluated two months after the operation using a defocus curve for uncorrected visual acuity and contrast sensitivity (CS) with and without glare. Subjective satisfaction regarding spectacle independence and dysphotopsia was evaluated using a questionnaire.",
        "Results": "The optical bench study showed that the high-water content IOL exhibited a 6.16% smaller glare diameter in near-vision PSF analysis, and slightly higher MTF values at near distances. The clinical study supported these results, showing that the high-water content IOL provided better uncorrected visual acuity (P < 0.05) and spectacle independence (P = 0.016) at near distances. Additionally, the high-water content IOL showed higher contrast sensitivity with glare at 6.3° (P = 0.040) and 4° (P = 0.018).",
        "Conclusions": "Hydrophobic IOLs with a higher water content improved contrast sensitivity and subjective satisfaction by reducing glistening and minimizing photic phenomena."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hydrophobic IOLs with a higher water content improved contrast sensitivity and subjective satisfaction by reducing glistening and minimizing photic phenomena.",
      "session_type": "ePoster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 561,
      "source_fields": {
        "Abstract Final Identifier": "POCAT523",
        "Title": "Evaluating The Impact Of The Water Content Of Hydrophobic Intraocular Lenses On Visual Quality",
        "Presenting Author(s)": "Dr Hea Young Oh",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Young-Sik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yoo",
        "Country Name": "Korea, Republic Of",
        "Purpose": "The impact of water content in hydrophobic intraocular lenses (IOLs) on vision quality remains unclear. This study aimed to investigate the effect of water content in hydrophobic trifocal IOLs on visual quality.",
        "Setting": "Optical bench studies were conducted to compare two hydrophobic trifocal IOLs: PanOptix® (low-water content IOL) and Clareon® PanOptix® (high-water content IOL). A retrospective comparative cohort study was conducted on 85 patients with senile cataracts and corneal astigmatism ≤ 1.0 D.",
        "Methods": "Modulation transfer function (MTF) measurements were used to evaluate optical quality, while point spread function (PSF) images were used to evaluate photic phenomena. To validate the optical bench results, a retrospective observational case series study was conducted using medical records for 85 eyes from 85 patients (PanOptix®, n = 38; Clareon® PanOptix®, n = 47). Postoperative visual outcomes were evaluated two months after the operation using a defocus curve for uncorrected visual acuity and contrast sensitivity (CS) with and without glare. Subjective satisfaction regarding spectacle independence and dysphotopsia was evaluated using a questionnaire.",
        "Results": "The optical bench study showed that the high-water content IOL exhibited a 6.16% smaller glare diameter in near-vision PSF analysis, and slightly higher MTF values at near distances. The clinical study supported these results, showing that the high-water content IOL provided better uncorrected visual acuity (P < 0.05) and spectacle independence (P = 0.016) at near distances. Additionally, the high-water content IOL showed higher contrast sensitivity with glare at 6.3° (P = 0.040) and 4° (P = 0.018).",
        "Conclusions": "Hydrophobic IOLs with a higher water content improved contrast sensitivity and subjective satisfaction by reducing glistening and minimizing photic phenomena."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "POCAT524",
      "abstract_number": "POCAT524",
      "title": "Refractive Predictability, Visual Rehabilitation And Dysphotopsia Profile Of The “Tecnis Odyssey” Iol Following Clear Lens Exchange And Cataract Surgery: A Retrospective Analysis Of 177 Eyes",
      "authors": "Dr Christian Ahlers",
      "presenter": "Dr Christian Ahlers",
      "normalized_authors": [
        "Christian Ahlers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christian Ahlers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate refractive predictability, visual rehabilitation, safety, and subjective visual quality following implantation of the “Tecnis Odyssey” IOL (Johnson&Johnson Vision, USA) in clear lens exchange (CLE) and cataract surgery. Primary endpoints included uncorrected (UDVA) and corrected distance visual acuity (CDVA), refractive accuracy relative to target refraction, safety index, and patient-reported dysphotopsia profile at 12 weeks postoperatively, with focus on spectacle independence and functional visual performance.",
        "Setting": "Retrospective single-center study of 177 consecutive eyes operated by one surgeon. 113 eyes underwent CLE and 64 cataract surgery. In 172/177 eyes, femtosecond laser-assisted surgery was performed using the Ally system (LensAR, Orlando, USA). Limbal relaxing incisions were applied to correct pre-existing corneal astigmatism. Toric Odysseys were chosen above 0,8 dpt of astigmatism in the delta total corneal astigmatism value provided by the IOL Master 700 (Zeiss Meditec, Jena,Germany).",
        "Methods": "Preoperative assessment comprised manifest refraction, spherical equivalent (SE), UDVA and CDVA (logMAR). Optical biometry was performed using IOLMaster 700. IOL power calculation was supported by the ESCRS IOL Calculator and the calculation service of Johnson & Johnson. Target refraction for refractive accuracy analysis was defined using the Kane formula. Postoperative follow-up at day 1, week 1, and 12 weeks included UDVA at each visit and full manifest refraction and CDVA at 12 weeks. Subjective visual quality, patient satisfaction, and dysphotopsia profile (halo and glare phenomena) were systematically evaluated.",
        "Results": "At 12 weeks, mean UDVA improved from 0.17 to 0.05 logMAR (CLE: 0.04; cataract: 0.07). Cataract eyes demonstrated slightly delayed early visual rehabilitation at day 1 and week 1 when compared to the CLE group, whereas final outcomes were comparable between both cohorts. Refractive predictability was high: 63% of eyes were within ±0.25 D, 87% within ±0.50 D, and 94% within ±0.75 D of target refraction; 2.8% exceeded ±1.0 D. Prediction error was centered near emmetropia with low dispersion. Subjective visual quality was rated high. Photic phenomena were predominantly mild; no patient reported severe halo-related functional impairment. A neuroadaptation process was observed, no IOL explantation was required. The safety index exceeded 1.0.",
        "Conclusions": "The Odyssey IOL demonstrated excellent refractive predictability, high subjective visual quality, and reliable safety in both CLE and cataract eyes. Although early visual rehabilitation was slightly slower in cataract eyes, 12-week functional outcomes were equivalent. The high proportion of eyes within ±0.50 D confirms very convincing biometric precision. The dysphotopsia profile was favorable, with predominantly mild photic phenomena and clear evidence of resolution due to neuroadaptation.\n\nThe Tecnis Odyssey IOL enables a high degree of spectacle independence, robustness to minor residual refractive error while inducing only minimal glare and halo burden in routine refractive lens surgery as well as in patients undergoing cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Odyssey IOL demonstrated excellent refractive predictability, high subjective visual quality, and reliable safety in both CLE and cataract eyes. Although early visual rehabilitation was slightly slower in cataract eyes, 12-week functional outcomes were equivalent. The high proportion of eyes within ±0.50 D confirms very convincing biometric precision. The dysphotopsia profile was favorable, with predominantly…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 562,
      "source_fields": {
        "Abstract Final Identifier": "POCAT524",
        "Title": "Refractive Predictability, Visual Rehabilitation And Dysphotopsia Profile Of The “Tecnis Odyssey” Iol Following Clear Lens Exchange And Cataract Surgery: A Retrospective Analysis Of 177 Eyes",
        "Presenting Author(s)": "Dr Christian Ahlers",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Christian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahlers",
        "Country Name": "Germany",
        "Purpose": "To evaluate refractive predictability, visual rehabilitation, safety, and subjective visual quality following implantation of the “Tecnis Odyssey” IOL (Johnson&Johnson Vision, USA) in clear lens exchange (CLE) and cataract surgery. Primary endpoints included uncorrected (UDVA) and corrected distance visual acuity (CDVA), refractive accuracy relative to target refraction, safety index, and patient-reported dysphotopsia profile at 12 weeks postoperatively, with focus on spectacle independence and functional visual performance.",
        "Setting": "Retrospective single-center study of 177 consecutive eyes operated by one surgeon. 113 eyes underwent CLE and 64 cataract surgery. In 172/177 eyes, femtosecond laser-assisted surgery was performed using the Ally system (LensAR, Orlando, USA). Limbal relaxing incisions were applied to correct pre-existing corneal astigmatism. Toric Odysseys were chosen above 0,8 dpt of astigmatism in the delta total corneal astigmatism value provided by the IOL Master 700 (Zeiss Meditec, Jena,Germany).",
        "Methods": "Preoperative assessment comprised manifest refraction, spherical equivalent (SE), UDVA and CDVA (logMAR). Optical biometry was performed using IOLMaster 700. IOL power calculation was supported by the ESCRS IOL Calculator and the calculation service of Johnson & Johnson. Target refraction for refractive accuracy analysis was defined using the Kane formula. Postoperative follow-up at day 1, week 1, and 12 weeks included UDVA at each visit and full manifest refraction and CDVA at 12 weeks. Subjective visual quality, patient satisfaction, and dysphotopsia profile (halo and glare phenomena) were systematically evaluated.",
        "Results": "At 12 weeks, mean UDVA improved from 0.17 to 0.05 logMAR (CLE: 0.04; cataract: 0.07). Cataract eyes demonstrated slightly delayed early visual rehabilitation at day 1 and week 1 when compared to the CLE group, whereas final outcomes were comparable between both cohorts. Refractive predictability was high: 63% of eyes were within ±0.25 D, 87% within ±0.50 D, and 94% within ±0.75 D of target refraction; 2.8% exceeded ±1.0 D. Prediction error was centered near emmetropia with low dispersion. Subjective visual quality was rated high. Photic phenomena were predominantly mild; no patient reported severe halo-related functional impairment. A neuroadaptation process was observed, no IOL explantation was required. The safety index exceeded 1.0.",
        "Conclusions": "The Odyssey IOL demonstrated excellent refractive predictability, high subjective visual quality, and reliable safety in both CLE and cataract eyes. Although early visual rehabilitation was slightly slower in cataract eyes, 12-week functional outcomes were equivalent. The high proportion of eyes within ±0.50 D confirms very convincing biometric precision. The dysphotopsia profile was favorable, with predominantly mild photic phenomena and clear evidence of resolution due to neuroadaptation.\n\nThe Tecnis Odyssey IOL enables a high degree of spectacle independence, robustness to minor residual refractive error while inducing only minimal glare and halo burden in routine refractive lens surgery as well as in patients undergoing cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 452
    },
    {
      "uid": "POCAT525",
      "abstract_number": "POCAT525",
      "title": "Scleral-Fixed Intraocular Lens Using Gore-Tex Sutures In Children With Absent Capsular Support",
      "authors": "Dr Taghreed Alnajjar",
      "presenter": "Dr Taghreed Alnajjar",
      "normalized_authors": [
        "Taghreed Alnajjar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Taghreed Alnajjar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate visual, refractive, endothelial, and safety outcomes of Gore-Tex–sutured scleral-fixated intraocular lens implantation in pediatric eyes lacking capsular support.",
        "Setting": "Single-center study conducted at King Abdullah Specialized Children's Hospital, Riyadh, Saudi Arabia.",
        "Methods": "This prospective interventional case series included pediatric patients (1–14 years) with lens dislocation or aphakia without capsular support undergoing primary or secondary Gore-Tex–sutured scleral-fixated intraocular lens implantation. Primary outcomes were visual acuity, refractive error, endothelial cell count, and intraocular pressure. Secondary outcomes included IOL tilt, pupillary capture, suture-related complications, uveitis, corneal edema, and retinal detachment. Patients with follow-up <6 months were excluded.",
        "Results": "This study included 7 eyes of 6 patients (mean age 9.5 ± 3.1 years; mean follow-up 11 ± 5.2 months). Lens dislocation occurred in four patients (Marfan n=2, homocystinuria n=2); one traumatic and one congenital cataract were included. Visual acuity improved from 0.42 ± 0.36 to 0.15 ± 0.13 logMAR. Spherical equivalent shifted from −3.42 ± 0.91 to 1.14 ± 0.50 D. Endothelial cell count decreased from 3226.6 ± 70.2 to 3141.3 ± 39.6 cells/mm² (2.6% loss; p=0.002), not clinically significant. Complications included elevated IOP (Ahmed valve), IOL tilt (repositioned), and IOL capture (medical treatment). No uveitis, corneal edema, retinal detachment, or suture complications were observed.",
        "Conclusions": "Gore-Tex–sutured scleral-fixated IOL implantation in pediatric eyes provided favorable visual and refractive outcomes with minimal endothelial cell loss and acceptable safety. Complications were limited and manageable, with no vision-threatening events observed during follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Gore-Tex–sutured scleral-fixated IOL implantation in pediatric eyes provided favorable visual and refractive outcomes with minimal endothelial cell loss and acceptable safety. Complications were limited and manageable, with no vision-threatening events observed during follow-up.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 563,
      "source_fields": {
        "Abstract Final Identifier": "POCAT525",
        "Title": "Scleral-Fixed Intraocular Lens Using Gore-Tex Sutures In Children With Absent Capsular Support",
        "Presenting Author(s)": "Dr Taghreed Alnajjar",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Taghreed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alnajjar",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate visual, refractive, endothelial, and safety outcomes of Gore-Tex–sutured scleral-fixated intraocular lens implantation in pediatric eyes lacking capsular support.",
        "Setting": "Single-center study conducted at King Abdullah Specialized Children's Hospital, Riyadh, Saudi Arabia.",
        "Methods": "This prospective interventional case series included pediatric patients (1–14 years) with lens dislocation or aphakia without capsular support undergoing primary or secondary Gore-Tex–sutured scleral-fixated intraocular lens implantation. Primary outcomes were visual acuity, refractive error, endothelial cell count, and intraocular pressure. Secondary outcomes included IOL tilt, pupillary capture, suture-related complications, uveitis, corneal edema, and retinal detachment. Patients with follow-up <6 months were excluded.",
        "Results": "This study included 7 eyes of 6 patients (mean age 9.5 ± 3.1 years; mean follow-up 11 ± 5.2 months). Lens dislocation occurred in four patients (Marfan n=2, homocystinuria n=2); one traumatic and one congenital cataract were included. Visual acuity improved from 0.42 ± 0.36 to 0.15 ± 0.13 logMAR. Spherical equivalent shifted from −3.42 ± 0.91 to 1.14 ± 0.50 D. Endothelial cell count decreased from 3226.6 ± 70.2 to 3141.3 ± 39.6 cells/mm² (2.6% loss; p=0.002), not clinically significant. Complications included elevated IOP (Ahmed valve), IOL tilt (repositioned), and IOL capture (medical treatment). No uveitis, corneal edema, retinal detachment, or suture complications were observed.",
        "Conclusions": "Gore-Tex–sutured scleral-fixated IOL implantation in pediatric eyes provided favorable visual and refractive outcomes with minimal endothelial cell loss and acceptable safety. Complications were limited and manageable, with no vision-threatening events observed during follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCAT526",
      "abstract_number": "POCAT526",
      "title": "Comparative Outcomes Of Trifocal, Extended‑Depth‑Of‑Focus, And Monofocal Intraocular Lenses: A Prospective Single‑Center Study",
      "authors": "Mr Awad Ali Alqarni",
      "presenter": "Mr Awad Ali Alqarni",
      "normalized_authors": [
        "Awad Ali Alqarni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Awad Ali Alqarni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare visual performance, safety, and patient satisfaction over a 12‑month period following bilateral implantation of three different intraocular lens (IOL) models manufactured by Medicontur: Liberty (trifocal), ELON (extended depth of focus), and Bi‑Flex (monofocal). The present report summarizes the findings from the 3‑month follow‑up.",
        "Setting": "Magrabi Eye Center, Jeddah, Saudi Arabia.",
        "Methods": "This single‑center, prospective, comparative study is enrolling 90 patients (180 eyes) at Magrabi Eye Center, Jeddah, Saudi Arabia. After standard phacoemulsification, patients underwent bilateral implantation of either the Liberty, ELON, or Bi‑Flex IOLs (Medicontur, Hungary) (n = 30 per group). Binocular uncorrected and distance‑corrected visual acuity (VA) at distance, intermediate, and near were assessed at 1, 3, and 12 months postoperatively. Visual performance was further examined using binocular distance‑corrected VA defocus curves (VADC) and contrast sensitivity defocus curves (CSDC). Patient satisfaction and spectacle independence were evaluated using the PRSIQ, Catquest‑9SF, and dysphotopsia questionnaires.",
        "Results": "At 1 month postoperatively, all three IOL groups achieved UDVA of 20/25 Snellen (0.1 logMAR) or better. At intermediate and near distances, the Liberty and ELON groups demonstrated comparable visual performance (≥20/32 Snellen, 0.2 logMAR), with the trifocal Liberty providing the best near acuity.\n\nAt 3 months, no significant differences were observed between Liberty and ELON in distance or intermediate vision. VADC analysis supported these results: Liberty maintained VA ≥0.2 logMAR (20/32 Snellen) from +1.0 to −4.0 D, whereas ELON sustained this level up to −3.5 D. Patient satisfaction and spectacle independence were high across all groups; Liberty performed best for near tasks, while ELON was associated with fewer dysphotopsia symptoms.",
        "Conclusions": "To the best of our knowledge, this is the first single‑center comparative investigation assessing the visual performance, safety profile, and patient‑reported satisfaction associated with the Liberty (trifocal), ELON (extended depth of focus), and Bi‑Flex (monofocal) intraocular lenses. As all three lenses demonstrated outcomes consistent with their respective optical designs, the findings of this study may assist clinicians in selecting the most appropriate IOL based on individual patient lifestyle requirements and personal preferences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To the best of our knowledge, this is the first single‑center comparative investigation assessing the visual performance, safety profile, and patient‑reported satisfaction associated with the Liberty (trifocal), ELON (extended depth of focus), and Bi‑Flex (monofocal) intraocular lenses. As all three lenses demonstrated outcomes consistent with their respective optical designs, the findings of this study may assist…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 564,
      "source_fields": {
        "Abstract Final Identifier": "POCAT526",
        "Title": "Comparative Outcomes Of Trifocal, Extended‑Depth‑Of‑Focus, And Monofocal Intraocular Lenses: A Prospective Single‑Center Study",
        "Presenting Author(s)": "Mr Awad Ali Alqarni",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Awad",
        "Submitter Middle Name": "Ali",
        "Submitter Last Name": "Alqarni",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare visual performance, safety, and patient satisfaction over a 12‑month period following bilateral implantation of three different intraocular lens (IOL) models manufactured by Medicontur: Liberty (trifocal), ELON (extended depth of focus), and Bi‑Flex (monofocal). The present report summarizes the findings from the 3‑month follow‑up.",
        "Setting": "Magrabi Eye Center, Jeddah, Saudi Arabia.",
        "Methods": "This single‑center, prospective, comparative study is enrolling 90 patients (180 eyes) at Magrabi Eye Center, Jeddah, Saudi Arabia. After standard phacoemulsification, patients underwent bilateral implantation of either the Liberty, ELON, or Bi‑Flex IOLs (Medicontur, Hungary) (n = 30 per group). Binocular uncorrected and distance‑corrected visual acuity (VA) at distance, intermediate, and near were assessed at 1, 3, and 12 months postoperatively. Visual performance was further examined using binocular distance‑corrected VA defocus curves (VADC) and contrast sensitivity defocus curves (CSDC). Patient satisfaction and spectacle independence were evaluated using the PRSIQ, Catquest‑9SF, and dysphotopsia questionnaires.",
        "Results": "At 1 month postoperatively, all three IOL groups achieved UDVA of 20/25 Snellen (0.1 logMAR) or better. At intermediate and near distances, the Liberty and ELON groups demonstrated comparable visual performance (≥20/32 Snellen, 0.2 logMAR), with the trifocal Liberty providing the best near acuity.\n\nAt 3 months, no significant differences were observed between Liberty and ELON in distance or intermediate vision. VADC analysis supported these results: Liberty maintained VA ≥0.2 logMAR (20/32 Snellen) from +1.0 to −4.0 D, whereas ELON sustained this level up to −3.5 D. Patient satisfaction and spectacle independence were high across all groups; Liberty performed best for near tasks, while ELON was associated with fewer dysphotopsia symptoms.",
        "Conclusions": "To the best of our knowledge, this is the first single‑center comparative investigation assessing the visual performance, safety profile, and patient‑reported satisfaction associated with the Liberty (trifocal), ELON (extended depth of focus), and Bi‑Flex (monofocal) intraocular lenses. As all three lenses demonstrated outcomes consistent with their respective optical designs, the findings of this study may assist clinicians in selecting the most appropriate IOL based on individual patient lifestyle requirements and personal preferences."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "POCAT527",
      "abstract_number": "POCAT527",
      "title": "Aberration‑Guided, Topography‑Integrated Iol Selection After Myopic And Hyperopic Lvc: A Retrospective Algorithm‑Based Approach",
      "authors": "Dr Pedro Arede",
      "presenter": "Dr Pedro Arede",
      "normalized_authors": [
        "Pedro Arede"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Arede",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and visual outcomes of an individualized IOL‑selection algorithm for eyes with prior myopic or hyperopic LVC. The algorithm integrates topography‑based criteria (centration, optical zone diameter, and corneal regularity) with 4‑mm and 6‑mm aberrometry. Spherical aberration (SA) is analyzed to guide the choice of IOLs that either compensate or deliberately utilize laser‑induced SA to optimize depth of focus and reduce dependence on spectacles.",
        "Setting": "Pivate clinic and public hospital.",
        "Methods": "Retrospective study of post‑LVC eyes undergoing cataract surgery or lens exchange by a single surgeon (2022–2025). The stepwise algorithm included:\n\n• Topographic evaluation of centration, optical zone size, and irregularity;\n\n• Assessment of corneal HOAs at 4 mm and 6 mm;\n\n• Classification of SA as negative, neutral, or positive;\n\n• IOL selection based on SA profile, using compensatory designs or leveraging intrinsic SA to increase depth of focus.\nOutcomes included refractive accuracy, visual acuity, and functional spectacle independence.",
        "Results": "The algorithm produced high refractive predictability and strong safety indices. Most eyes achieved functional spectacle independence across distance, intermediate, and near. In cases with acceptable HOAs, multifocal or EDOF designs were successfully used; in others, the intrinsic spherical aberration was harnessed to extend depth of focus without compromising visual quality. Overall postoperative vision remained stable and high despite prior corneal ablation.",
        "Conclusions": "A structured aberration‑guided algorithm is a safe and effective strategy for IOL selection in post‑LVC patients. Incorporating 4‑mm aberrometry and individualized spherical aberration analysis supports personalized lens choice, enabling high levels of spectacle independence while maintaining excellent refractive accuracy and visual quality. This approach may help standardize decision‑making in a complex and increasingly common patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A structured aberration‑guided algorithm is a safe and effective strategy for IOL selection in post‑LVC patients. Incorporating 4‑mm aberrometry and individualized spherical aberration analysis supports personalized lens choice, enabling high levels of spectacle independence while maintaining excellent refractive accuracy and visual quality. This approach may help standardize decision‑making in a complex and…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 565,
      "source_fields": {
        "Abstract Final Identifier": "POCAT527",
        "Title": "Aberration‑Guided, Topography‑Integrated Iol Selection After Myopic And Hyperopic Lvc: A Retrospective Algorithm‑Based Approach",
        "Presenting Author(s)": "Dr Pedro Arede",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arede",
        "Country Name": "Portugal",
        "Purpose": "To evaluate the safety, efficacy, and visual outcomes of an individualized IOL‑selection algorithm for eyes with prior myopic or hyperopic LVC. The algorithm integrates topography‑based criteria (centration, optical zone diameter, and corneal regularity) with 4‑mm and 6‑mm aberrometry. Spherical aberration (SA) is analyzed to guide the choice of IOLs that either compensate or deliberately utilize laser‑induced SA to optimize depth of focus and reduce dependence on spectacles.",
        "Setting": "Pivate clinic and public hospital.",
        "Methods": "Retrospective study of post‑LVC eyes undergoing cataract surgery or lens exchange by a single surgeon (2022–2025). The stepwise algorithm included:\n\n• Topographic evaluation of centration, optical zone size, and irregularity;\n\n• Assessment of corneal HOAs at 4 mm and 6 mm;\n\n• Classification of SA as negative, neutral, or positive;\n\n• IOL selection based on SA profile, using compensatory designs or leveraging intrinsic SA to increase depth of focus.\nOutcomes included refractive accuracy, visual acuity, and functional spectacle independence.",
        "Results": "The algorithm produced high refractive predictability and strong safety indices. Most eyes achieved functional spectacle independence across distance, intermediate, and near. In cases with acceptable HOAs, multifocal or EDOF designs were successfully used; in others, the intrinsic spherical aberration was harnessed to extend depth of focus without compromising visual quality. Overall postoperative vision remained stable and high despite prior corneal ablation.",
        "Conclusions": "A structured aberration‑guided algorithm is a safe and effective strategy for IOL selection in post‑LVC patients. Incorporating 4‑mm aberrometry and individualized spherical aberration analysis supports personalized lens choice, enabling high levels of spectacle independence while maintaining excellent refractive accuracy and visual quality. This approach may help standardize decision‑making in a complex and increasingly common patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POCAT528",
      "abstract_number": "POCAT528",
      "title": "Intraocular Lens Choice In Pediatric Cataract: A Modified Target Refraction Approach – A 10-Year Retrospective Cohort Study",
      "authors": "Dr Rafaa Babgi",
      "presenter": "Dr Rafaa Babgi",
      "normalized_authors": [
        "Rafaa Babgi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rafaa Babgi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate long-term refractive and visual outcomes of pediatric cataract surgery with intraocular lens (IOL) implantation using a modified target refraction strategy emmetropia or mild hyperopia rather than conventional substantial hyperopic target.",
        "Setting": "This retrospective cohort study included children <7 years who underwent lensectomy with primary or secondary IOL implantation between 2014 and 2024 at King Khaled Eye Specialist Hospital.",
        "Methods": "This retrospective cohort study included children <7 years who underwent lensectomy with primary or secondary IOL implantation between 2014 and 2024 at King Khaled Eye Specialist Hospital. Demographic, preoperative, and postoperative data were analyzed. Visual acuity (VA), cycloplegic refraction (CR), and axial length (AL) were assessed longitudinally up to 10 years. Success was defined as final AL within or below age- and sex-specific normative limits. Multivariate regression identified predictors of outcomes.",
        "Results": "A total of 101 eyes(70.3% male)were analyzed, with median age at surgery of 36 months(IQR 24–48).Most cases were bilateral(91.1%)and congenital cataract was the most common diagnosis(64.4%).Mean preoperative AL was 22.05mm(SD 1.44).Mean IOL power was 22.95D(SD 4.42).Postoperative VA improved significantly from logMAR 0.42 at 1 month to 0.16 at 10 years (p<0.05 until year 6;non-significant at year 10 due to attrition).Mean CR remained stable without significant long-term myopic shift.Mean AL increased to 23.37mm at final follow-up (p < 0.001).At last review(n = 37),81.1% of eyes remained within or below normative AL limits.Multivariate analysis showed IOL power predicted final AL(p = 0.039);age at surgery was borderline significant(p = 0.047)",
        "Conclusions": "Targeting emmetropia or mild hyperopia in pediatric cataract surgery was associated with improved VA, minimal myopic shift, and physiologic AL growth. This strategy may reduce amblyopia risk in populations with limited compliance to optical correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Targeting emmetropia or mild hyperopia in pediatric cataract surgery was associated with improved VA, minimal myopic shift, and physiologic AL growth. This strategy may reduce amblyopia risk in populations with limited compliance to optical correction.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 566,
      "source_fields": {
        "Abstract Final Identifier": "POCAT528",
        "Title": "Intraocular Lens Choice In Pediatric Cataract: A Modified Target Refraction Approach – A 10-Year Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Rafaa Babgi",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Rafaa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Babgi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate long-term refractive and visual outcomes of pediatric cataract surgery with intraocular lens (IOL) implantation using a modified target refraction strategy emmetropia or mild hyperopia rather than conventional substantial hyperopic target.",
        "Setting": "This retrospective cohort study included children <7 years who underwent lensectomy with primary or secondary IOL implantation between 2014 and 2024 at King Khaled Eye Specialist Hospital.",
        "Methods": "This retrospective cohort study included children <7 years who underwent lensectomy with primary or secondary IOL implantation between 2014 and 2024 at King Khaled Eye Specialist Hospital. Demographic, preoperative, and postoperative data were analyzed. Visual acuity (VA), cycloplegic refraction (CR), and axial length (AL) were assessed longitudinally up to 10 years. Success was defined as final AL within or below age- and sex-specific normative limits. Multivariate regression identified predictors of outcomes.",
        "Results": "A total of 101 eyes(70.3% male)were analyzed, with median age at surgery of 36 months(IQR 24–48).Most cases were bilateral(91.1%)and congenital cataract was the most common diagnosis(64.4%).Mean preoperative AL was 22.05mm(SD 1.44).Mean IOL power was 22.95D(SD 4.42).Postoperative VA improved significantly from logMAR 0.42 at 1 month to 0.16 at 10 years (p<0.05 until year 6;non-significant at year 10 due to attrition).Mean CR remained stable without significant long-term myopic shift.Mean AL increased to 23.37mm at final follow-up (p < 0.001).At last review(n = 37),81.1% of eyes remained within or below normative AL limits.Multivariate analysis showed IOL power predicted final AL(p = 0.039);age at surgery was borderline significant(p = 0.047)",
        "Conclusions": "Targeting emmetropia or mild hyperopia in pediatric cataract surgery was associated with improved VA, minimal myopic shift, and physiologic AL growth. This strategy may reduce amblyopia risk in populations with limited compliance to optical correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCAT529",
      "abstract_number": "POCAT529",
      "title": "Comparative Evaluation Of Visual Acuity And Visual Quality: Extended Macular Vision Iol Versus Monofocal Iol In Age-Related Macular Degeneration With Cataract",
      "authors": "Dr Akshaya Balaji",
      "presenter": "Dr Akshaya Balaji",
      "normalized_authors": [
        "Akshaya Balaji"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akshaya Balaji",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the visual acuity and quality of vision after implantation of extended macular vision intraocular lens Vs standard monofocal intraocular lens in stable age-related macular degeneration patients with senile cataract",
        "Setting": "Prospective comparative pilot study at a tertiary eye care centre with all surgeries performed by a single surgeon.",
        "Methods": "Prospective comparative study of 20 eyes with stable age-related macular degeneration with central macular scar <1disc diameter undergoing phacoemulsification with implantation of extended macular vision IOL (10eyes) vs standard monofocal intraocular lens (10eyes). Primary outcomes measured were visual acuity and quality of vision (using aberrometry). Secondary outcomes were size of scotoma and occurrence of complications. Follow up was done at postoperative day 30 and 180.",
        "Results": "At 6 months, corrected and uncorrected visual acuity (near and distance) was comparable in both the groups (p>0.05). Total higher order aberrations were significantly less in extended macular vision lens implanted cases (group I- 0.186 ± 0.11µ, group II-0.822 ± 1.13 µ; p=0.015). Significant reduction in area of scotoma was observed in group I from preop value of 86.978 ± 19.37 mm2 to postop 84.718 ± 19.33 mm2 (p=0.004). No significant intraoperative or postoperative complications occurred.",
        "Conclusions": "Visual acuity in patients with extended macular vision intraocular lens and standard monofocal lens were comparable. Visual quality was found to be better in patients implanted with extended macular vision intraocular lens as compared with standard monofocal intraocular lens. Larger size sample and longer follow-ups are required to assess long term efficacy and safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visual acuity in patients with extended macular vision intraocular lens and standard monofocal lens were comparable. Visual quality was found to be better in patients implanted with extended macular vision intraocular lens as compared with standard monofocal intraocular lens. Larger size sample and longer follow-ups are required to assess long term efficacy and safety.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 567,
      "source_fields": {
        "Abstract Final Identifier": "POCAT529",
        "Title": "Comparative Evaluation Of Visual Acuity And Visual Quality: Extended Macular Vision Iol Versus Monofocal Iol In Age-Related Macular Degeneration With Cataract",
        "Presenting Author(s)": "Dr Akshaya Balaji",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Akshaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Balaji",
        "Country Name": "India",
        "Purpose": "To compare the visual acuity and quality of vision after implantation of extended macular vision intraocular lens Vs standard monofocal intraocular lens in stable age-related macular degeneration patients with senile cataract",
        "Setting": "Prospective comparative pilot study at a tertiary eye care centre with all surgeries performed by a single surgeon.",
        "Methods": "Prospective comparative study of 20 eyes with stable age-related macular degeneration with central macular scar <1disc diameter undergoing phacoemulsification with implantation of extended macular vision IOL (10eyes) vs standard monofocal intraocular lens (10eyes). Primary outcomes measured were visual acuity and quality of vision (using aberrometry). Secondary outcomes were size of scotoma and occurrence of complications. Follow up was done at postoperative day 30 and 180.",
        "Results": "At 6 months, corrected and uncorrected visual acuity (near and distance) was comparable in both the groups (p>0.05). Total higher order aberrations were significantly less in extended macular vision lens implanted cases (group I- 0.186 ± 0.11µ, group II-0.822 ± 1.13 µ; p=0.015). Significant reduction in area of scotoma was observed in group I from preop value of 86.978 ± 19.37 mm2 to postop 84.718 ± 19.33 mm2 (p=0.004). No significant intraoperative or postoperative complications occurred.",
        "Conclusions": "Visual acuity in patients with extended macular vision intraocular lens and standard monofocal lens were comparable. Visual quality was found to be better in patients implanted with extended macular vision intraocular lens as compared with standard monofocal intraocular lens. Larger size sample and longer follow-ups are required to assess long term efficacy and safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POCAT530",
      "abstract_number": "POCAT530",
      "title": "Patient-Reported And Visual Quality Outcomes, In Post-Lasik Premium Cataract Surgery: A Systematic Review",
      "authors": "Mr Nikolaos Iason Barpakis",
      "presenter": "Mr Nikolaos Iason Barpakis",
      "normalized_authors": [
        "Nikolaos Iason Barpakis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikolaos IASON Barpakis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To assess both patient reported subjective outcomes and objective measures of visual quality following post-LASIK premium intraocular lens implantation during cataract surgery. Premium IOL implantation in patients with a history of LASIK necessitates careful consideration of visual symptoms and patient satisfaction, as LASIK-induced corneal alterations may influence visual perception and postoperative outcomes.",
        "Setting": "Systematic review conducted according to PRISMA guidelines using PubMed and Cochrane Library databases",
        "Methods": "A comprehensive search in PubMed (National Library of Medicine), the Cochrane Library and clinicaltrials.gov was conducted to pinpoint studies evaluating patient-reported and visual quality outcomes in individuals undergoing premium cataract surgery after LASIK. Included studies reported on subjective factors such as patient satisfaction, spectacle independence and visual symptoms, including glare, halos and contrast sensitivity.",
        "Results": "Eleven studies were selected, based on inclusion criteria, comprising 328 patients and 564 eyes.It is revealed that most patients reported high satisfaction with visual function post-surgery. On the other hand, some patients experienced visual discomforts, such as glare and halos. Spectacle independence rates were also notably high especially in the multifocal iol patients.",
        "Conclusions": "Overall,premium cataract surgery in post LASIK patients provides high levels of patient satisfaction.Despite study limitations,there are differences in certain visual quality outcomes between EDOF and multifocal IOLs. Further research is needed in order to extract more reliable findings,and make evidence-based decisions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Overall,premium cataract surgery in post LASIK patients provides high levels of patient satisfaction.Despite study limitations,there are differences in certain visual quality outcomes between EDOF and multifocal IOLs. Further research is needed in order to extract more reliable findings,and make evidence-based decisions.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 568,
      "source_fields": {
        "Abstract Final Identifier": "POCAT530",
        "Title": "Patient-Reported And Visual Quality Outcomes, In Post-Lasik Premium Cataract Surgery: A Systematic Review",
        "Presenting Author(s)": "Mr Nikolaos Iason Barpakis",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Nikolaos",
        "Submitter Middle Name": "IASON",
        "Submitter Last Name": "Barpakis",
        "Country Name": "Greece",
        "Purpose": "To assess both patient reported subjective outcomes and objective measures of visual quality following post-LASIK premium intraocular lens implantation during cataract surgery. Premium IOL implantation in patients with a history of LASIK necessitates careful consideration of visual symptoms and patient satisfaction, as LASIK-induced corneal alterations may influence visual perception and postoperative outcomes.",
        "Setting": "Systematic review conducted according to PRISMA guidelines using PubMed and Cochrane Library databases",
        "Methods": "A comprehensive search in PubMed (National Library of Medicine), the Cochrane Library and clinicaltrials.gov was conducted to pinpoint studies evaluating patient-reported and visual quality outcomes in individuals undergoing premium cataract surgery after LASIK. Included studies reported on subjective factors such as patient satisfaction, spectacle independence and visual symptoms, including glare, halos and contrast sensitivity.",
        "Results": "Eleven studies were selected, based on inclusion criteria, comprising 328 patients and 564 eyes.It is revealed that most patients reported high satisfaction with visual function post-surgery. On the other hand, some patients experienced visual discomforts, such as glare and halos. Spectacle independence rates were also notably high especially in the multifocal iol patients.",
        "Conclusions": "Overall,premium cataract surgery in post LASIK patients provides high levels of patient satisfaction.Despite study limitations,there are differences in certain visual quality outcomes between EDOF and multifocal IOLs. Further research is needed in order to extract more reliable findings,and make evidence-based decisions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "POCAT531",
      "abstract_number": "POCAT531",
      "title": "Functional Classification Of Intraocular Lenses Based On Defocus Curve Meta-Analysis: Toward A Quantitative Model For Functional Vision",
      "authors": "Dr Matilde Buzzi",
      "presenter": "Dr Matilde Buzzi",
      "normalized_authors": [
        "Matilde Buzzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matilde Buzzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To develop a quantitative, data-driven functional classification of presbyopia-correcting intraocular lenses (IOLs) using range-based mean logMAR visual acuity derived from defocus curves, and to explore study-level modifiers and their relationship with spectacle independence. IOL selection remains challenging due to inconsistent performance classifications. A defocus curve–based framework provides a clinically meaningful basis for comparing functional visual outcomes.",
        "Setting": "Systematic review and meta-analysis of published studies, conducted according to PRISMA 2020. The study protocol was prospectively submitted to the International Prospective Register of Systematic Reviews (PROSPERO) and is available under the registration number CRD420250649198. PubMed was searched through June 2025.",
        "Methods": "Eligible studies included pseudophakic adults implanted with commercially available IOLs and reporting defocus curves. Defocus-curve values were extracted from tables or digitized from figures, then averaged within predefined ranges of focus (RoFs). Separate random-effects meta-analyses were performed for each IOL model and RoF. Meta-regressions assessed the influence of testing modality (binocular vs monocular), refractive target, and toric IOL use. Latent class analysis (LCA) was used to identify functional IOL groups based on range-based logMAR means. Associations between logMAR values and patient-reported outcomes were examined through multilevel meta-regression when data were available.",
        "Results": "A total of 70 studies (175 study arms) were included. Substantial heterogeneity was observed across IOL models and RoFs. Monocular testing and myopic targets were associated with small but significant worsening of visual acuity, while toric IOL use had small beneficial effects. LCA identified four functional classes, ranging from optimal performance across all RoFs (C1) to distance-only profiles (C4). Across RoFs, 35/63 IOLs performed better than 0.2 logMAR at FAR, 37/63 at INTERMEDIATE, and 33/63 at NEAR. Near logMAR values were significantly associated with spectacle independence and, to a lesser extent, satisfaction. No consistent association was found with dysphotopsias.",
        "Conclusions": "This quantitative framework provides an evidence-based, reproducible classification of IOLs grounded in defocus curve analysis. This data-driven approach supports a standardized comparison of IOLs and enhances clinical decision-making in refractive cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This quantitative framework provides an evidence-based, reproducible classification of IOLs grounded in defocus curve analysis. This data-driven approach supports a standardized comparison of IOLs and enhances clinical decision-making in refractive cataract surgery.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 569,
      "source_fields": {
        "Abstract Final Identifier": "POCAT531",
        "Title": "Functional Classification Of Intraocular Lenses Based On Defocus Curve Meta-Analysis: Toward A Quantitative Model For Functional Vision",
        "Presenting Author(s)": "Dr Matilde Buzzi",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Matilde",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Buzzi",
        "Country Name": "Italy",
        "Purpose": "To develop a quantitative, data-driven functional classification of presbyopia-correcting intraocular lenses (IOLs) using range-based mean logMAR visual acuity derived from defocus curves, and to explore study-level modifiers and their relationship with spectacle independence. IOL selection remains challenging due to inconsistent performance classifications. A defocus curve–based framework provides a clinically meaningful basis for comparing functional visual outcomes.",
        "Setting": "Systematic review and meta-analysis of published studies, conducted according to PRISMA 2020. The study protocol was prospectively submitted to the International Prospective Register of Systematic Reviews (PROSPERO) and is available under the registration number CRD420250649198. PubMed was searched through June 2025.",
        "Methods": "Eligible studies included pseudophakic adults implanted with commercially available IOLs and reporting defocus curves. Defocus-curve values were extracted from tables or digitized from figures, then averaged within predefined ranges of focus (RoFs). Separate random-effects meta-analyses were performed for each IOL model and RoF. Meta-regressions assessed the influence of testing modality (binocular vs monocular), refractive target, and toric IOL use. Latent class analysis (LCA) was used to identify functional IOL groups based on range-based logMAR means. Associations between logMAR values and patient-reported outcomes were examined through multilevel meta-regression when data were available.",
        "Results": "A total of 70 studies (175 study arms) were included. Substantial heterogeneity was observed across IOL models and RoFs. Monocular testing and myopic targets were associated with small but significant worsening of visual acuity, while toric IOL use had small beneficial effects. LCA identified four functional classes, ranging from optimal performance across all RoFs (C1) to distance-only profiles (C4). Across RoFs, 35/63 IOLs performed better than 0.2 logMAR at FAR, 37/63 at INTERMEDIATE, and 33/63 at NEAR. Near logMAR values were significantly associated with spectacle independence and, to a lesser extent, satisfaction. No consistent association was found with dysphotopsias.",
        "Conclusions": "This quantitative framework provides an evidence-based, reproducible classification of IOLs grounded in defocus curve analysis. This data-driven approach supports a standardized comparison of IOLs and enhances clinical decision-making in refractive cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POCAT532",
      "abstract_number": "POCAT532",
      "title": "Hyperopic Shift After Descemet Membrane Endothelial Keratoplasty (Dmek): Implications For Intraocular Lens Power Selection",
      "authors": "Dr Hasan Chichan",
      "presenter": "Dr Hasan Chichan",
      "normalized_authors": [
        "Hasan Chichan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hasan TALIB Chichan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the magnitude and consistency of postoperative hyperopic shift following Descemet membrane endothelial keratoplasty (DMEK) and to discuss its clinical implications for intraocular lens (IOL) power selection in combined or sequential cataract surgery. Accurate refractive targeting in endothelial keratoplasty remains challenging due to postoperative corneal shape changes, particularly posterior corneal steepening.",
        "Setting": "Single-centre retrospective cohort study conducted at a tertiary cornea and cataract surgery unit, including patients undergoing DMEK with either prior cataract surgery or combined DMEK–phacoemulsification (triple procedure).",
        "Methods": "A total of 94 eyes of 88 patients undergoing DMEK between January 2021 and June 2024 were analysed. Indications included Fuchs endothelial corneal dystrophy and pseudophakic bullous keratopathy. Eyes were grouped into: (A) pseudophakic DMEK and (B) combined DMEK–phaco–IOL implantation. Preoperative and postoperative refraction, keratometry, posterior corneal curvature and corneal thickness were recorded. The primary outcome was spherical equivalent (SE) change at 6 months. Secondary outcomes included changes in posterior corneal power and comparison between groups. Statistical analysis used paired t-tests and subgroup analysis.",
        "Results": "Mean postoperative refractive shift at 6 months showed a significant hyperopic shift of +0.42 ± 0.31 D across the cohort (p < 0.001). Hyperopic shift was more pronounced in the combined DMEK–phaco group ( +0.48 D ) compared to pseudophakic DMEK ( +0.36 D ). Posterior corneal curvature demonstrated significant steepening following DMEK, correlating with refractive change. Variability of shift ranged from +0.10 to +1.10 D. No association was found between donor thickness and refractive shift.",
        "Conclusions": "Mean postoperative refractive shift at 6 months showed a significant hyperopic shift of +0.42 ± 0.31 D across the cohort (p < 0.001). Hyperopic shift was more pronounced in the combined DMEK–phaco group ( +0.48 D ) compared to pseudophakic DMEK ( +0.36 D ). Posterior corneal curvature demonstrated significant steepening following DMEK, correlating with refractive change. Variability of shift ranged from +0.10 to +1.10 D. No association was found between donor thickness and refractive shift."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mean postoperative refractive shift at 6 months showed a significant hyperopic shift of +0.42 ± 0.31 D across the cohort (p < 0.001). Hyperopic shift was more pronounced in the combined DMEK–phaco group ( +0.48 D ) compared to pseudophakic DMEK ( +0.36 D ). Posterior corneal curvature demonstrated significant steepening following DMEK, correlating with refractive change. Variability of shift ranged from +0.10 to…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 570,
      "source_fields": {
        "Abstract Final Identifier": "POCAT532",
        "Title": "Hyperopic Shift After Descemet Membrane Endothelial Keratoplasty (Dmek): Implications For Intraocular Lens Power Selection",
        "Presenting Author(s)": "Dr Hasan Chichan",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Hasan",
        "Submitter Middle Name": "TALIB",
        "Submitter Last Name": "Chichan",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the magnitude and consistency of postoperative hyperopic shift following Descemet membrane endothelial keratoplasty (DMEK) and to discuss its clinical implications for intraocular lens (IOL) power selection in combined or sequential cataract surgery. Accurate refractive targeting in endothelial keratoplasty remains challenging due to postoperative corneal shape changes, particularly posterior corneal steepening.",
        "Setting": "Single-centre retrospective cohort study conducted at a tertiary cornea and cataract surgery unit, including patients undergoing DMEK with either prior cataract surgery or combined DMEK–phacoemulsification (triple procedure).",
        "Methods": "A total of 94 eyes of 88 patients undergoing DMEK between January 2021 and June 2024 were analysed. Indications included Fuchs endothelial corneal dystrophy and pseudophakic bullous keratopathy. Eyes were grouped into: (A) pseudophakic DMEK and (B) combined DMEK–phaco–IOL implantation. Preoperative and postoperative refraction, keratometry, posterior corneal curvature and corneal thickness were recorded. The primary outcome was spherical equivalent (SE) change at 6 months. Secondary outcomes included changes in posterior corneal power and comparison between groups. Statistical analysis used paired t-tests and subgroup analysis.",
        "Results": "Mean postoperative refractive shift at 6 months showed a significant hyperopic shift of +0.42 ± 0.31 D across the cohort (p < 0.001). Hyperopic shift was more pronounced in the combined DMEK–phaco group ( +0.48 D ) compared to pseudophakic DMEK ( +0.36 D ). Posterior corneal curvature demonstrated significant steepening following DMEK, correlating with refractive change. Variability of shift ranged from +0.10 to +1.10 D. No association was found between donor thickness and refractive shift.",
        "Conclusions": "Mean postoperative refractive shift at 6 months showed a significant hyperopic shift of +0.42 ± 0.31 D across the cohort (p < 0.001). Hyperopic shift was more pronounced in the combined DMEK–phaco group ( +0.48 D ) compared to pseudophakic DMEK ( +0.36 D ). Posterior corneal curvature demonstrated significant steepening following DMEK, correlating with refractive change. Variability of shift ranged from +0.10 to +1.10 D. No association was found between donor thickness and refractive shift."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POCAT533",
      "abstract_number": "POCAT533",
      "title": "Unique Applications Of Secondary Supplementary Sulcus Intraocular Lenses - Expanding The Surgical Toolbox",
      "authors": "Dr Alison Chiu",
      "presenter": "Dr Alison Chiu",
      "normalized_authors": [
        "Alison Chiu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alison Chiu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "Secondary sulcus supplementary intraocular lenses (IOLs) are well established for correction of residual refractive error following cataract surgery. However, their role extends beyond refractive enhancement. This study explores the strategic use of sulcus supplementary IOLs as part of deliberate refractive planning in complex cataract surgery, including situations where primary in-the-bag solutions are limited by refractive unpredictability, IOL power range constraints, or the need for reversibility.",
        "Setting": "Single-surgeon refractive cataract practice, Sydney, Australia.",
        "Methods": "This presentation illustrates a series of cases involving implantation of secondary sulcus supplementary intraocular lenses, including 1stQ AddOn (Medicontur Ltd, Zsámbék, Hungary) and Sulcoflex (Rayner, Worthing, United Kingdom).\n\nApplications include correction of residual refractive error, upgrading vision with multifocal or monovision enhancement, management of cases where primary IOL powers fall outside available ranges, particularly when presbyopia-correcting IOLs are desired, staged spproaches in irregular or ectatic corneas with reduced IOL calculation precision, and protective strategies for in-the-bag hydrophilic IOLs when intraocular air may be required in the anterior chamber",
        "Results": "Supplementary sulcus implantation enabled predictable refractive refinement while preserving reversibility. Strategic sequencing allowed maintenance of intended refractive targets in cases that would otherwise require compromise, or inability to acieve the desired outcome. Visual and refractive outcomes were consistent across indications, with no significant intraoperative or postoperative complications observed.",
        "Conclusions": "Secondary sulcus supplementary IOLs can be used in a range of clinical situations as a strategic extension of refractive cataract surgery rather than solely an enhancement technique. When incorporated deliberately into surgical planning, they expand refractive flexibility, preserve target accuracy, and maintain reversibility in complex eyes. Clinical experience supports their role as a valuable adjunct in contemporary refractive cataract practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Secondary sulcus supplementary IOLs can be used in a range of clinical situations as a strategic extension of refractive cataract surgery rather than solely an enhancement technique. When incorporated deliberately into surgical planning, they expand refractive flexibility, preserve target accuracy, and maintain reversibility in complex eyes. Clinical experience supports their role as a valuable adjunct in…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 571,
      "source_fields": {
        "Abstract Final Identifier": "POCAT533",
        "Title": "Unique Applications Of Secondary Supplementary Sulcus Intraocular Lenses - Expanding The Surgical Toolbox",
        "Presenting Author(s)": "Dr Alison Chiu",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Alison",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chiu",
        "Country Name": "Australia",
        "Purpose": "Secondary sulcus supplementary intraocular lenses (IOLs) are well established for correction of residual refractive error following cataract surgery. However, their role extends beyond refractive enhancement. This study explores the strategic use of sulcus supplementary IOLs as part of deliberate refractive planning in complex cataract surgery, including situations where primary in-the-bag solutions are limited by refractive unpredictability, IOL power range constraints, or the need for reversibility.",
        "Setting": "Single-surgeon refractive cataract practice, Sydney, Australia.",
        "Methods": "This presentation illustrates a series of cases involving implantation of secondary sulcus supplementary intraocular lenses, including 1stQ AddOn (Medicontur Ltd, Zsámbék, Hungary) and Sulcoflex (Rayner, Worthing, United Kingdom).\n\nApplications include correction of residual refractive error, upgrading vision with multifocal or monovision enhancement, management of cases where primary IOL powers fall outside available ranges, particularly when presbyopia-correcting IOLs are desired, staged spproaches in irregular or ectatic corneas with reduced IOL calculation precision, and protective strategies for in-the-bag hydrophilic IOLs when intraocular air may be required in the anterior chamber",
        "Results": "Supplementary sulcus implantation enabled predictable refractive refinement while preserving reversibility. Strategic sequencing allowed maintenance of intended refractive targets in cases that would otherwise require compromise, or inability to acieve the desired outcome. Visual and refractive outcomes were consistent across indications, with no significant intraoperative or postoperative complications observed.",
        "Conclusions": "Secondary sulcus supplementary IOLs can be used in a range of clinical situations as a strategic extension of refractive cataract surgery rather than solely an enhancement technique. When incorporated deliberately into surgical planning, they expand refractive flexibility, preserve target accuracy, and maintain reversibility in complex eyes. Clinical experience supports their role as a valuable adjunct in contemporary refractive cataract practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POCAT534",
      "abstract_number": "POCAT534",
      "title": "Surgical Outcomes Following Intrascleral Haptic Fixation Of Multi-Piece Iols Using A Modified Handshake Externalization Method",
      "authors": "Dr Surantha Chamika De Silva",
      "presenter": "Dr Surantha Chamika De Silva",
      "normalized_authors": [
        "Surantha Chamika De Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Surantha Chamika De Silva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Sri Lanka",
      "sections": {
        "Purpose": "To describe postoperative visual acuity, astigmatism, and adverse events following intrascleral fixation of a monofocal three-piece intraocular lens (IOL) using the described technique for the correction of aphakia in eyes without capsular support.",
        "Setting": "The study was conducted at the National Eye Hospital of Sri Lanka from May 2023 to April 2024, with all surgeries performed by a single consultant ophthalmologist or his trainees.",
        "Methods": "This descriptive analytical study included 20 eyes of 20 patients who underwent intrascleral IOL fixation, (IOL tucking), to correct secondary aphakia caused by complications of cataract surgery. All patients received IOL tucking of MA60AC three-piece IOLs under general or local anesthesia. After a limited peritomy at the 12 and 6 o’clock positions, the IOL haptics were externalized using a handshake haptic transfer technique through two stab wounds 2 mm posterior to the limbus. The externalized haptics were then inserted into 2 mm tunnels fashioned parallel to the limbus, and the conjunctiva was repaired. Postoperative best-corrected visual acuity (BCVA) was assessed one month after surgery, with patients followed for at least six months.",
        "Results": "The mean age of the study participants was 58.71 years (range 44-71), with 14 males and 7 females. No major postoperative complications were noted in any patient. All 20 eyes demonstrated appreciable IOL centration, with the IOL haptics were well buried without erosion through the conjunctiva. The mean BCVA was 0.5 LogMAR, with an average of 1.96 diopters of residual cylinder.",
        "Conclusions": "The described IOL fixation technique resulted in visual acuity improvements across this cohort of patients with a moderate amount of residual astigmatism. The technique proved to be safe and stable over the medium term."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The described IOL fixation technique resulted in visual acuity improvements across this cohort of patients with a moderate amount of residual astigmatism. The technique proved to be safe and stable over the medium term.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 572,
      "source_fields": {
        "Abstract Final Identifier": "POCAT534",
        "Title": "Surgical Outcomes Following Intrascleral Haptic Fixation Of Multi-Piece Iols Using A Modified Handshake Externalization Method",
        "Presenting Author(s)": "Dr Surantha Chamika De Silva",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Surantha",
        "Submitter Middle Name": "Chamika",
        "Submitter Last Name": "De Silva",
        "Country Name": "Sri Lanka",
        "Purpose": "To describe postoperative visual acuity, astigmatism, and adverse events following intrascleral fixation of a monofocal three-piece intraocular lens (IOL) using the described technique for the correction of aphakia in eyes without capsular support.",
        "Setting": "The study was conducted at the National Eye Hospital of Sri Lanka from May 2023 to April 2024, with all surgeries performed by a single consultant ophthalmologist or his trainees.",
        "Methods": "This descriptive analytical study included 20 eyes of 20 patients who underwent intrascleral IOL fixation, (IOL tucking), to correct secondary aphakia caused by complications of cataract surgery. All patients received IOL tucking of MA60AC three-piece IOLs under general or local anesthesia. After a limited peritomy at the 12 and 6 o’clock positions, the IOL haptics were externalized using a handshake haptic transfer technique through two stab wounds 2 mm posterior to the limbus. The externalized haptics were then inserted into 2 mm tunnels fashioned parallel to the limbus, and the conjunctiva was repaired. Postoperative best-corrected visual acuity (BCVA) was assessed one month after surgery, with patients followed for at least six months.",
        "Results": "The mean age of the study participants was 58.71 years (range 44-71), with 14 males and 7 females. No major postoperative complications were noted in any patient. All 20 eyes demonstrated appreciable IOL centration, with the IOL haptics were well buried without erosion through the conjunctiva. The mean BCVA was 0.5 LogMAR, with an average of 1.96 diopters of residual cylinder.",
        "Conclusions": "The described IOL fixation technique resulted in visual acuity improvements across this cohort of patients with a moderate amount of residual astigmatism. The technique proved to be safe and stable over the medium term."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POCAT535",
      "abstract_number": "POCAT535",
      "title": "Long Term Safety And Efficacy Of Iris Claw Versus Scleral Fixated Intraocular Lens For Management Of Ectopia Lentis",
      "authors": "Dr Adel El Layeh",
      "presenter": "Dr Adel El Layeh",
      "normalized_authors": [
        "Adel El Layeh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adel El Layeh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "to compare between iris claw anterior chamber intraocular lens (ACIOL) and scleral fixated posterior chamber (PCIOL) regarding long term safety and efficacy in cases with ectopia lentis",
        "Setting": "Mansoura Ophthalmic Center, Mansoura University, Mansoura, Egypt.",
        "Methods": "This cohort study was conducted at Mansoura Ophthalmic Center, faculty of medicine, Mansoura University. It included 59 eyes of 34 patients who underwent surgery for ectopia lentis with IOL implantation (30 eyes with scleral fixation IOL & 29 eyes with Iris claw ACIOL) in the period from May 2010 to January 2014. All cases were subjected to history taking, full ophthalmological examination (visual acuity, cyclorefraction, anterior and posterior segment examination), endothelial cell density (ECD), central macular thickness (CMT). Regular follow up visits were scheduled to assess the efficacy and complication of each approach",
        "Results": "Visual acuity and refraction showed significant improvement after surgery in both groups without significant difference. Endothelial cell density decreased significantly in both groups compared to the preoperative values. Moreover, the scleral fixation group showed significant increase in macular thickness compared to its preoperative values. However, no significant difference was detected between the two groups. Lens displacement occurred in 4 and 11% of cases in both groups respectively.",
        "Conclusions": "Both iris claw ACIOL and scleral fixated PCIOL are safe and effective techniques in the management of ectopia lentis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both iris claw ACIOL and scleral fixated PCIOL are safe and effective techniques in the management of ectopia lentis.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 573,
      "source_fields": {
        "Abstract Final Identifier": "POCAT535",
        "Title": "Long Term Safety And Efficacy Of Iris Claw Versus Scleral Fixated Intraocular Lens For Management Of Ectopia Lentis",
        "Presenting Author(s)": "Dr Adel El Layeh",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Adel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "El Layeh",
        "Country Name": "Egypt",
        "Purpose": "to compare between iris claw anterior chamber intraocular lens (ACIOL) and scleral fixated posterior chamber (PCIOL) regarding long term safety and efficacy in cases with ectopia lentis",
        "Setting": "Mansoura Ophthalmic Center, Mansoura University, Mansoura, Egypt.",
        "Methods": "This cohort study was conducted at Mansoura Ophthalmic Center, faculty of medicine, Mansoura University. It included 59 eyes of 34 patients who underwent surgery for ectopia lentis with IOL implantation (30 eyes with scleral fixation IOL & 29 eyes with Iris claw ACIOL) in the period from May 2010 to January 2014. All cases were subjected to history taking, full ophthalmological examination (visual acuity, cyclorefraction, anterior and posterior segment examination), endothelial cell density (ECD), central macular thickness (CMT). Regular follow up visits were scheduled to assess the efficacy and complication of each approach",
        "Results": "Visual acuity and refraction showed significant improvement after surgery in both groups without significant difference. Endothelial cell density decreased significantly in both groups compared to the preoperative values. Moreover, the scleral fixation group showed significant increase in macular thickness compared to its preoperative values. However, no significant difference was detected between the two groups. Lens displacement occurred in 4 and 11% of cases in both groups respectively.",
        "Conclusions": "Both iris claw ACIOL and scleral fixated PCIOL are safe and effective techniques in the management of ectopia lentis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 212
    },
    {
      "uid": "POCAT536",
      "abstract_number": "POCAT536",
      "title": "Comparative Analysis Of Two Sutureless Scleral-Fixated Intraocular Lens Implantation Techniques: Anatomical Outcomes And Applications Of Anterior Segment Oct",
      "authors": "Dr Simone Febbraro",
      "presenter": "Dr Simone Febbraro",
      "normalized_authors": [
        "Simone Febbraro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simone Febbraro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare the anatomical and functional outcomes of two sutureless scleral-fixated intraocular lens (IOL) implantation techniques: the FIL SSF IOL (Soleko, Italy) and a three-piece IOL (PU6A, Kowa, Japan) implanted using a modified Yamane technique. The endpoints included IOL tilt and decentration assessed by anterior segment optical coherence tomography (AS-OCT) CASIA2, surgical time, visual outcomes, and postoperative complications.",
        "Setting": "Prospective multicenter study conducted at the Ophthalmology Unit of IRCCS Azienda Ospedaliero-Universitaria di Bologna and the Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy.",
        "Methods": "Patients aged ≥18 years requiring secondary IOL implantation due to absent or inadequate capsular support were prospectively enrolled. All patients underwent comprehensive ophthalmic evaluation and were followed for at least 6 months. The FIL SSF IOL was implanted through a 2.4-mm corneal incision, with haptics externalized via 25-G sclerotomies 2.5 mm from the limbus and secured within partial-thickness scleral grooves. The three-piece IOL was inserted through a 2.2-mm incision; haptics were externalized through angled 25-G sclerotomies 2.0 mm from the limbus, cauterized to create flanges, and tucked into scleral tunnels. AS-OCT CASIA2 was performed at 6 months to assess IOL tilt and decentration. Postoperative complications were recorded.",
        "Results": "Sixty-seven eyes were included: 33 in the FIL SSF group and 34 in the Yamane group. The main surgical indication was IOL–capsular bag complex subluxation. Total surgical time did not differ significantly between groups; IOL implantation time was significantly shorter in the FIL SSF group (12.03 ± 3.5 vs 21.44 ± 5.8 minutes). At 6 months, AS-OCT showed significantly lower tilt (median [IQR]: 4.3° [1.1°] vs 5.7° [1.8°]) and decentration (0.33 [0.28] mm vs 0.51 [0.45] mm) in the FIL SSF group. Both groups showed significant BCVA improvement, with greater mean improvement in the FIL SSF group (ΔBCVA: 0.59 ± 0.42 vs 0.41 ± 0.26 logMAR). Transient IOP elevation was the most common complication. No complications occurred in over 80% of cases.",
        "Conclusions": "Both sutureless scleral-fixated IOL implantation techniques demonstrated good safety and efficacy profiles. The FIL SSF IOL was associated with significantly shorter implantation time and lower tilt and decentration compared with the three-piece IOL implanted using the Yamane technique. These findings suggest improved anatomical stability with the FIL SSF design. Further studies are warranted to confirm these results and to investigate the relationship between IOL tilt, visual acuity, and refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both sutureless scleral-fixated IOL implantation techniques demonstrated good safety and efficacy profiles. The FIL SSF IOL was associated with significantly shorter implantation time and lower tilt and decentration compared with the three-piece IOL implanted using the Yamane technique. These findings suggest improved anatomical stability with the FIL SSF design. Further studies are warranted to confirm these…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 574,
      "source_fields": {
        "Abstract Final Identifier": "POCAT536",
        "Title": "Comparative Analysis Of Two Sutureless Scleral-Fixated Intraocular Lens Implantation Techniques: Anatomical Outcomes And Applications Of Anterior Segment Oct",
        "Presenting Author(s)": "Dr Simone Febbraro",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Simone",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Febbraro",
        "Country Name": "Italy",
        "Purpose": "To compare the anatomical and functional outcomes of two sutureless scleral-fixated intraocular lens (IOL) implantation techniques: the FIL SSF IOL (Soleko, Italy) and a three-piece IOL (PU6A, Kowa, Japan) implanted using a modified Yamane technique. The endpoints included IOL tilt and decentration assessed by anterior segment optical coherence tomography (AS-OCT) CASIA2, surgical time, visual outcomes, and postoperative complications.",
        "Setting": "Prospective multicenter study conducted at the Ophthalmology Unit of IRCCS Azienda Ospedaliero-Universitaria di Bologna and the Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy.",
        "Methods": "Patients aged ≥18 years requiring secondary IOL implantation due to absent or inadequate capsular support were prospectively enrolled. All patients underwent comprehensive ophthalmic evaluation and were followed for at least 6 months. The FIL SSF IOL was implanted through a 2.4-mm corneal incision, with haptics externalized via 25-G sclerotomies 2.5 mm from the limbus and secured within partial-thickness scleral grooves. The three-piece IOL was inserted through a 2.2-mm incision; haptics were externalized through angled 25-G sclerotomies 2.0 mm from the limbus, cauterized to create flanges, and tucked into scleral tunnels. AS-OCT CASIA2 was performed at 6 months to assess IOL tilt and decentration. Postoperative complications were recorded.",
        "Results": "Sixty-seven eyes were included: 33 in the FIL SSF group and 34 in the Yamane group. The main surgical indication was IOL–capsular bag complex subluxation. Total surgical time did not differ significantly between groups; IOL implantation time was significantly shorter in the FIL SSF group (12.03 ± 3.5 vs 21.44 ± 5.8 minutes). At 6 months, AS-OCT showed significantly lower tilt (median [IQR]: 4.3° [1.1°] vs 5.7° [1.8°]) and decentration (0.33 [0.28] mm vs 0.51 [0.45] mm) in the FIL SSF group. Both groups showed significant BCVA improvement, with greater mean improvement in the FIL SSF group (ΔBCVA: 0.59 ± 0.42 vs 0.41 ± 0.26 logMAR). Transient IOP elevation was the most common complication. No complications occurred in over 80% of cases.",
        "Conclusions": "Both sutureless scleral-fixated IOL implantation techniques demonstrated good safety and efficacy profiles. The FIL SSF IOL was associated with significantly shorter implantation time and lower tilt and decentration compared with the three-piece IOL implanted using the Yamane technique. These findings suggest improved anatomical stability with the FIL SSF design. Further studies are warranted to confirm these results and to investigate the relationship between IOL tilt, visual acuity, and refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 400
    },
    {
      "uid": "POCAT537",
      "abstract_number": "POCAT537",
      "title": "Visual And Refractive Performance Of The Clareon Vivity Non-Diffractive Wavefront-Shaping Iol: A Retrospective Cohort Of 597 Eyes",
      "authors": "Mr Gabriele Gallo Afflitto",
      "presenter": "Mr Gabriele Gallo Afflitto",
      "normalized_authors": [
        "Gabriele Gallo Afflitto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gabriele Gallo Afflitto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess visual performance, refractive accuracy, astigmatic correction, and patient-reported outcomes after implantation of the Clareon Vivity (Alcon), a non-diffractive wavefront-shaping extended-range IOL, in a consecutive clinical cohort of 597 eyes.",
        "Setting": "Retrospective consecutive cohort study conducted at Moorfields Eye Hospital (Private branch), London, United Kingdom, a tertiary cataract and refractive surgery centre.",
        "Methods": "All consecutive eyes implanted with the Clareon Vivity IOL between December 2023 and December 2024 were included. Primary outcomes were postoperative uncorrected and corrected distance visual acuity (UDVA, CDVA) and spherical equivalent (SE) measured 15–90 days postoperatively. Secondary outcomes included uncorrected and distance-corrected near visual acuity (UNVA, DCNVA), binocular visual acuity, refractive accuracy (proportion within ±0.50 D and ±1.00 D of target), and astigmatic vector analysis using Alpins methodology. Patient-reported outcomes were assessed using the Vision Correction Questionnaire (VCQ) in a subset.",
        "Results": "A total of 597 eyes were analysed. Mean postoperative UDVA and CDVA were 0.09 ± 0.14 and 0.01 ± 0.09 logMAR, respectively (both p<0.001 vs preoperative). Mean postoperative UNVA was 0.43 ± 0.20 logMAR and DCNVA 0.48 ± 0.18 logMAR, with a mean reading add of +1.53 ± 0.50 D. Mean binocular UDVA was 0.00 ± 0.08 logMAR and binocular UNVA 0.31 ± 0.21 logMAR. Mean postoperative SE was -0.29 ± 0.44 D; 84% and 96% of eyes were within ±0.50 D and ±1.00 D of target refraction, respectively. Cylinder decreased (-0.41 ± 0.33 D; p<0.001). Vector analysis demonstrated effective astigmatic correction (correction index 1.24 ± 0.60; 77% within ± 15°). VCQ data (n=65) indicated 91% spectacle independence for distance and 65% for intermediate tasks.",
        "Conclusions": "In this large consecutive cohort, implantation of the Clareon Vivity non-diffractive wavefront-shaping IOL resulted in excellent distance visual acuity, high refractive predictability, and functional near performance with strong binocular outcomes. Patient-reported findings were consistent with objective results. These data support its role as a predictable presbyopia-correcting option that extends functional range while maintaining refractive precision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large consecutive cohort, implantation of the Clareon Vivity non-diffractive wavefront-shaping IOL resulted in excellent distance visual acuity, high refractive predictability, and functional near performance with strong binocular outcomes. Patient-reported findings were consistent with objective results. These data support its role as a predictable presbyopia-correcting option that extends functional range…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 575,
      "source_fields": {
        "Abstract Final Identifier": "POCAT537",
        "Title": "Visual And Refractive Performance Of The Clareon Vivity Non-Diffractive Wavefront-Shaping Iol: A Retrospective Cohort Of 597 Eyes",
        "Presenting Author(s)": "Mr Gabriele Gallo Afflitto",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Gabriele",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gallo Afflitto",
        "Country Name": "United Kingdom",
        "Purpose": "To assess visual performance, refractive accuracy, astigmatic correction, and patient-reported outcomes after implantation of the Clareon Vivity (Alcon), a non-diffractive wavefront-shaping extended-range IOL, in a consecutive clinical cohort of 597 eyes.",
        "Setting": "Retrospective consecutive cohort study conducted at Moorfields Eye Hospital (Private branch), London, United Kingdom, a tertiary cataract and refractive surgery centre.",
        "Methods": "All consecutive eyes implanted with the Clareon Vivity IOL between December 2023 and December 2024 were included. Primary outcomes were postoperative uncorrected and corrected distance visual acuity (UDVA, CDVA) and spherical equivalent (SE) measured 15–90 days postoperatively. Secondary outcomes included uncorrected and distance-corrected near visual acuity (UNVA, DCNVA), binocular visual acuity, refractive accuracy (proportion within ±0.50 D and ±1.00 D of target), and astigmatic vector analysis using Alpins methodology. Patient-reported outcomes were assessed using the Vision Correction Questionnaire (VCQ) in a subset.",
        "Results": "A total of 597 eyes were analysed. Mean postoperative UDVA and CDVA were 0.09 ± 0.14 and 0.01 ± 0.09 logMAR, respectively (both p<0.001 vs preoperative). Mean postoperative UNVA was 0.43 ± 0.20 logMAR and DCNVA 0.48 ± 0.18 logMAR, with a mean reading add of +1.53 ± 0.50 D. Mean binocular UDVA was 0.00 ± 0.08 logMAR and binocular UNVA 0.31 ± 0.21 logMAR. Mean postoperative SE was -0.29 ± 0.44 D; 84% and 96% of eyes were within ±0.50 D and ±1.00 D of target refraction, respectively. Cylinder decreased (-0.41 ± 0.33 D; p<0.001). Vector analysis demonstrated effective astigmatic correction (correction index 1.24 ± 0.60; 77% within ± 15°). VCQ data (n=65) indicated 91% spectacle independence for distance and 65% for intermediate tasks.",
        "Conclusions": "In this large consecutive cohort, implantation of the Clareon Vivity non-diffractive wavefront-shaping IOL resulted in excellent distance visual acuity, high refractive predictability, and functional near performance with strong binocular outcomes. Patient-reported findings were consistent with objective results. These data support its role as a predictable presbyopia-correcting option that extends functional range while maintaining refractive precision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POCAT538",
      "abstract_number": "POCAT538",
      "title": "Impact Of Eyeball Configuration On Intraocular Lens Tilt And Decentration With Predictive Model Construction",
      "authors": "Dr XIteng Chen",
      "presenter": "Dr XIteng Chen",
      "normalized_authors": [
        "XIteng Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nan Gao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To statistically analyze the AS-OCT parameters of patients with varying anterior segment sizes and axial lengths, and to construct predictive models to evaluate postoperative tilt and decentration of intraocular lenses (IOLs).",
        "Setting": "Advancements in cataract surgery prioritize visual quality, which is highly dependent on precise IOL positioning. Tilt >5° or decentration >0.4 mm induces optical aberrations and reduces contrast sensitivity, with severe effects for multifocal/toric IOLs. The influence of axial length on this stability is debated.",
        "Methods": "156 eyes were included in this study. The parameters included AL, WTW, preoperative lens tilt and decentration, ACD, LT, and the tilt and decentration of IOLs one month postoperatively. Patients were divided into large anterior segment and small anterior segment groups based on the ratio of lens position to AL. Differences in parameters between the two groups were compared, as well as the incidence of significant tilt greater than 5° and decentration greater than 3mm postoperatively. Additionally, the proportion of large anterior segments and small anterior segments in different axial length groups was compared. Logistic regression was utilized to construct a predictive model for the risk of significant tilt occurring postoperatively.",
        "Results": "Significant differences were observed between the two groups in terms of AL, ACD, postoperative IOL tilt, and postoperative visual acuity. The large anterior segment group exhibited a significantly greater degree of postoperative IOL tilt compared to the small anterior segment group, and the incidence of significant tilt and decentration was higher in the large anterior segment group. Among the short axial length group, the proportion of large anterior segments was the highest compared to other groups. Regression analysis indicated that preoperative IOL tilt was an independent risk factor for postoperative tilt, and the constructed risk prediction model demonstrated good predictive performance and clinical utility.",
        "Conclusions": "This study provides new insights into the influence of different ocular configurations on the tilt and decentration of IOLs after cataract surgery, offering guidance for surgical design and the selection of IOL types."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study provides new insights into the influence of different ocular configurations on the tilt and decentration of IOLs after cataract surgery, offering guidance for surgical design and the selection of IOL types.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 576,
      "source_fields": {
        "Abstract Final Identifier": "POCAT538",
        "Title": "Impact Of Eyeball Configuration On Intraocular Lens Tilt And Decentration With Predictive Model Construction",
        "Presenting Author(s)": "Dr XIteng Chen",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Nan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gao",
        "Country Name": "China",
        "Purpose": "To statistically analyze the AS-OCT parameters of patients with varying anterior segment sizes and axial lengths, and to construct predictive models to evaluate postoperative tilt and decentration of intraocular lenses (IOLs).",
        "Setting": "Advancements in cataract surgery prioritize visual quality, which is highly dependent on precise IOL positioning. Tilt >5° or decentration >0.4 mm induces optical aberrations and reduces contrast sensitivity, with severe effects for multifocal/toric IOLs. The influence of axial length on this stability is debated.",
        "Methods": "156 eyes were included in this study. The parameters included AL, WTW, preoperative lens tilt and decentration, ACD, LT, and the tilt and decentration of IOLs one month postoperatively. Patients were divided into large anterior segment and small anterior segment groups based on the ratio of lens position to AL. Differences in parameters between the two groups were compared, as well as the incidence of significant tilt greater than 5° and decentration greater than 3mm postoperatively. Additionally, the proportion of large anterior segments and small anterior segments in different axial length groups was compared. Logistic regression was utilized to construct a predictive model for the risk of significant tilt occurring postoperatively.",
        "Results": "Significant differences were observed between the two groups in terms of AL, ACD, postoperative IOL tilt, and postoperative visual acuity. The large anterior segment group exhibited a significantly greater degree of postoperative IOL tilt compared to the small anterior segment group, and the incidence of significant tilt and decentration was higher in the large anterior segment group. Among the short axial length group, the proportion of large anterior segments was the highest compared to other groups. Regression analysis indicated that preoperative IOL tilt was an independent risk factor for postoperative tilt, and the constructed risk prediction model demonstrated good predictive performance and clinical utility.",
        "Conclusions": "This study provides new insights into the influence of different ocular configurations on the tilt and decentration of IOLs after cataract surgery, offering guidance for surgical design and the selection of IOL types."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POCAT539",
      "abstract_number": "POCAT539",
      "title": "Optical Performance Of A Novel Non-Diffractive Presbyopia-Correcting Iol With Varying Pupils And Defocus",
      "authors": "Dr Jorge Garcia Perez",
      "presenter": "Dr Jorge Garcia Perez",
      "normalized_authors": [
        "Jorge Garcia Perez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jorge Garcia Perez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To analyze the optical performance of a novel non-diffractive intraocular lens (IOL) and to compare it with a clinically established diffractive trifocal IOL under different pupil apertures and defocus",
        "Setting": "Clínica Rementería, Madrid, Spain and Department of Physics and Astronomy, University of Florence, Italy",
        "Methods": "Using a PMTF optical bench (LAMDA-X Ophthalmics, Belgium), two presbyopia-correcting IOL models were analyzed. The reference diffractive trifocal IOL was the Clareon® PanOptix® while the novel non-diffractive IOL was the RayOne® Galaxy®. Through-focus modulation transfer function (MTF) measurements were obtained across four pupil apertures (2.0, 3.0, 3.75, and 4.5 mm), and halo intensity was quantified via analysis of the point spread function (PSF) tail",
        "Results": "The PanOptix IOL demonstrated three consistent focal points across all apertures. The Galaxy IOL maintained high optical quality at distance focus for large pupil sizes; however, with smaller pupils, a myopic shift of the main peak (≈0.75 D) was observed, enhancing intermediate and near visual performance. Additionally, the Galaxy IOL induced a lower-intensity halo profile compared with the PanOptix IOL",
        "Conclusions": "The diffractive PanOptix IOL maintained consistent optical performance across pupil sizes; in contrast, the novel Galaxy IOL exhibited pupil-dependent optical behavior, transitioning from optimal distance performance at larger pupils to enhanced intermediate and near performance at smaller apertures, while producing lower halo levels"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The diffractive PanOptix IOL maintained consistent optical performance across pupil sizes; in contrast, the novel Galaxy IOL exhibited pupil-dependent optical behavior, transitioning from optimal distance performance at larger pupils to enhanced intermediate and near performance at smaller apertures, while producing lower halo levels",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 577,
      "source_fields": {
        "Abstract Final Identifier": "POCAT539",
        "Title": "Optical Performance Of A Novel Non-Diffractive Presbyopia-Correcting Iol With Varying Pupils And Defocus",
        "Presenting Author(s)": "Dr Jorge Garcia Perez",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Jorge",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garcia Perez",
        "Country Name": "Spain",
        "Purpose": "To analyze the optical performance of a novel non-diffractive intraocular lens (IOL) and to compare it with a clinically established diffractive trifocal IOL under different pupil apertures and defocus",
        "Setting": "Clínica Rementería, Madrid, Spain and Department of Physics and Astronomy, University of Florence, Italy",
        "Methods": "Using a PMTF optical bench (LAMDA-X Ophthalmics, Belgium), two presbyopia-correcting IOL models were analyzed. The reference diffractive trifocal IOL was the Clareon® PanOptix® while the novel non-diffractive IOL was the RayOne® Galaxy®. Through-focus modulation transfer function (MTF) measurements were obtained across four pupil apertures (2.0, 3.0, 3.75, and 4.5 mm), and halo intensity was quantified via analysis of the point spread function (PSF) tail",
        "Results": "The PanOptix IOL demonstrated three consistent focal points across all apertures. The Galaxy IOL maintained high optical quality at distance focus for large pupil sizes; however, with smaller pupils, a myopic shift of the main peak (≈0.75 D) was observed, enhancing intermediate and near visual performance. Additionally, the Galaxy IOL induced a lower-intensity halo profile compared with the PanOptix IOL",
        "Conclusions": "The diffractive PanOptix IOL maintained consistent optical performance across pupil sizes; in contrast, the novel Galaxy IOL exhibited pupil-dependent optical behavior, transitioning from optimal distance performance at larger pupils to enhanced intermediate and near performance at smaller apertures, while producing lower halo levels"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POCAT540",
      "abstract_number": "POCAT540",
      "title": "Refractive Outcomes After Gore-Tex Scleral Fixation Employing The Akreos Vs. Micropure Platforms",
      "authors": "Dr Javier Alejandro Salazar Rodriguez",
      "presenter": "Dr Javier Alejandro Salazar Rodriguez",
      "normalized_authors": [
        "Javier Alejandro Salazar Rodriguez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roberto GONZALEZ Gonzalez-Salinas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety profile Four Point Scleral Fixation Technique employing the Akreos AO60 and the Micropure Intraocular Lenses.\n\nEfficacy end point. To compare visual acuity (VA) 3 months after scleral fixation in patients in whom the Akreos and Micropure IOL was used for aphakia management. Safety endpoint. To compare the procedure-related and post-surgical follow-up complications in both groups.",
        "Setting": "Anterior Segment Surgery Service at Asociacion Para Evitar la Ceguera en Mexico (APEC)",
        "Methods": "Single center, single-surgeon, retrospective, transversal and comparative study\n\nInclusion criteria:\n\n• ≥ 40 yo, both genders, Aphakia\n\nExclusion criteria :\n\n• Corneal opacity, Incomplete Medical Chart\n\n• Ocular pathology that precluded an accurate refraction\n\nVariables\n\n• Post-operative uncorrected visual acuity (VA).\n\n• Best corrected VA.\n\n• Spherical equivalent deviation.\n\n• Complications\n\nStatitical analisis using Student t-test and Mann-Whitney for continuous ariables, Chi-squared test for categorical variables using the SPSS software (v.20) and the Prism software (v.8). A p-value <0.05 was considered statistically significant.",
        "Results": "70 patients were divided into two groups: 35 patients with Akreos AO60 and 35 patients using the Micropure Intraocular Lens\n\nWith an average follow up of 92 days. There were the following reported complications:\n\nIn the Akreos group 11.4% developed macular edema, 11.4% developed vitreous hemorrage, 2.85% developed choroidal detachement, 8.57% had increased IOP and 5.71% had IOL opacification\n\nIn the Micropure group 8.57% developed macular edema, 14.28% developed vitreous hemorrage, 2.85% developed choroidal detachement, 5.71% had increased IOP and none had IOL opacification\n\n59.9 % of the included patients demonstrated less than one diopter Sph eq at the third-month follow-up visit. 20/30 or better visual acuity was evidenced for 46.6% of patients.",
        "Conclusions": "Refractive outcomes after secondary scleral fixation in aphakia patients with are favorable in eyes with good visual potential.\n\nRefractive outcomes after GoreTex scleral fixation employing both IOLs are comparable, and both IOL platforms provided adequate refractive predictability.\n\nComplications between groups are also comparable; nonetheless, the Micropure hidrophobic acrylic material prevents this IOL from opacification after gas tamponade after subsequent Retinal surgery"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive outcomes after secondary scleral fixation in aphakia patients with are favorable in eyes with good visual potential. Refractive outcomes after GoreTex scleral fixation employing both IOLs are comparable, and both IOL platforms provided adequate refractive predictability. Complications between groups are also comparable; nonetheless, the Micropure hidrophobic acrylic material prevents this IOL from…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 578,
      "source_fields": {
        "Abstract Final Identifier": "POCAT540",
        "Title": "Refractive Outcomes After Gore-Tex Scleral Fixation Employing The Akreos Vs. Micropure Platforms",
        "Presenting Author(s)": "Dr Javier Alejandro Salazar Rodriguez",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Roberto",
        "Submitter Middle Name": "GONZALEZ",
        "Submitter Last Name": "Gonzalez-Salinas",
        "Country Name": "Mexico",
        "Purpose": "To evaluate the efficacy and safety profile Four Point Scleral Fixation Technique employing the Akreos AO60 and the Micropure Intraocular Lenses.\n\nEfficacy end point. To compare visual acuity (VA) 3 months after scleral fixation in patients in whom the Akreos and Micropure IOL was used for aphakia management. Safety endpoint. To compare the procedure-related and post-surgical follow-up complications in both groups.",
        "Setting": "Anterior Segment Surgery Service at Asociacion Para Evitar la Ceguera en Mexico (APEC)",
        "Methods": "Single center, single-surgeon, retrospective, transversal and comparative study\n\nInclusion criteria:\n\n• ≥ 40 yo, both genders, Aphakia\n\nExclusion criteria :\n\n• Corneal opacity, Incomplete Medical Chart\n\n• Ocular pathology that precluded an accurate refraction\n\nVariables\n\n• Post-operative uncorrected visual acuity (VA).\n\n• Best corrected VA.\n\n• Spherical equivalent deviation.\n\n• Complications\n\nStatitical analisis using Student t-test and Mann-Whitney for continuous ariables, Chi-squared test for categorical variables using the SPSS software (v.20) and the Prism software (v.8). A p-value <0.05 was considered statistically significant.",
        "Results": "70 patients were divided into two groups: 35 patients with Akreos AO60 and 35 patients using the Micropure Intraocular Lens\n\nWith an average follow up of 92 days. There were the following reported complications:\n\nIn the Akreos group 11.4% developed macular edema, 11.4% developed vitreous hemorrage, 2.85% developed choroidal detachement, 8.57% had increased IOP and 5.71% had IOL opacification\n\nIn the Micropure group 8.57% developed macular edema, 14.28% developed vitreous hemorrage, 2.85% developed choroidal detachement, 5.71% had increased IOP and none had IOL opacification\n\n59.9 % of the included patients demonstrated less than one diopter Sph eq at the third-month follow-up visit. 20/30 or better visual acuity was evidenced for 46.6% of patients.",
        "Conclusions": "Refractive outcomes after secondary scleral fixation in aphakia patients with are favorable in eyes with good visual potential.\n\nRefractive outcomes after GoreTex scleral fixation employing both IOLs are comparable, and both IOL platforms provided adequate refractive predictability.\n\nComplications between groups are also comparable; nonetheless, the Micropure hidrophobic acrylic material prevents this IOL from opacification after gas tamponade after subsequent Retinal surgery"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCAT541",
      "abstract_number": "POCAT541",
      "title": "Achieving Multifocal Vision In Previously Implanted Monofocal Intraocular Lens Patients",
      "authors": "Dr Guadalupe Cervantes-Coste",
      "presenter": "Dr Guadalupe Cervantes-Coste",
      "normalized_authors": [
        "Guadalupe Cervantes-Coste"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roberto GONZALEZ Gonzalez-Salinas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To assess the overall outcome of the ciliary sulcus piggyback add-on IOL implantation on previously pseudophakic patients who pursue a spectacle-free option after IOL surgery.",
        "Setting": "Anterior Segment Surgery Service at the Centro de Ojos Quilmes, Quilmes, Buenos Aires Province, Argentina",
        "Methods": "Pseudophakic patients who underwent phacoemulsification surgery using a monofocal in-the-bag IOL. All eyes underwent a piggyback IOL implantation of an A4 AddOn IOL in the ciliary sulcus as a secondary procedure for pseudophakic patients pursuing a spectacle-free option. The BCVA, UIVA, and UNVA were evaluated. A pairedt-test and a Wilcoxon test were employed to assess significance. The D’Agostino-Pearson normality test was used to assess normality.",
        "Results": "Seven eyes were included in our study. A total of 4 (71.43%) were female, with a mean age of 58.33 ± 3.5 years (range 54–63; 95% CI 54.66, 62.01).\n\nAt the 3-month follow-up visit, the mean UNVA (logMAR) improved from 0.55 to 0.01 postoperatively (p = 0.015). The UIVA increased from 0.61 to 0.01 (p = 0.015). The mean UDVA did not differ significantly from the preoperative assessment.",
        "Conclusions": "A Multifocal piggyback IOL sulcus implant is a safe alternative for pseudophakic patients pursuing a spectacle-free option. This add-on platform provides optimal visual acuity and quality of vision at all distances. Nonetheless, further studies should support these results, including larger sample sizes and a long-term follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A Multifocal piggyback IOL sulcus implant is a safe alternative for pseudophakic patients pursuing a spectacle-free option. This add-on platform provides optimal visual acuity and quality of vision at all distances. Nonetheless, further studies should support these results, including larger sample sizes and a long-term follow-up.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 579,
      "source_fields": {
        "Abstract Final Identifier": "POCAT541",
        "Title": "Achieving Multifocal Vision In Previously Implanted Monofocal Intraocular Lens Patients",
        "Presenting Author(s)": "Dr Guadalupe Cervantes-Coste",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Roberto",
        "Submitter Middle Name": "GONZALEZ",
        "Submitter Last Name": "Gonzalez-Salinas",
        "Country Name": "Mexico",
        "Purpose": "To assess the overall outcome of the ciliary sulcus piggyback add-on IOL implantation on previously pseudophakic patients who pursue a spectacle-free option after IOL surgery.",
        "Setting": "Anterior Segment Surgery Service at the Centro de Ojos Quilmes, Quilmes, Buenos Aires Province, Argentina",
        "Methods": "Pseudophakic patients who underwent phacoemulsification surgery using a monofocal in-the-bag IOL. All eyes underwent a piggyback IOL implantation of an A4 AddOn IOL in the ciliary sulcus as a secondary procedure for pseudophakic patients pursuing a spectacle-free option. The BCVA, UIVA, and UNVA were evaluated. A pairedt-test and a Wilcoxon test were employed to assess significance. The D’Agostino-Pearson normality test was used to assess normality.",
        "Results": "Seven eyes were included in our study. A total of 4 (71.43%) were female, with a mean age of 58.33 ± 3.5 years (range 54–63; 95% CI 54.66, 62.01).\n\nAt the 3-month follow-up visit, the mean UNVA (logMAR) improved from 0.55 to 0.01 postoperatively (p = 0.015). The UIVA increased from 0.61 to 0.01 (p = 0.015). The mean UDVA did not differ significantly from the preoperative assessment.",
        "Conclusions": "A Multifocal piggyback IOL sulcus implant is a safe alternative for pseudophakic patients pursuing a spectacle-free option. This add-on platform provides optimal visual acuity and quality of vision at all distances. Nonetheless, further studies should support these results, including larger sample sizes and a long-term follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POCAT542",
      "abstract_number": "POCAT542",
      "title": "A Plate Haptic Intraocular Lens Suitable For Flanged Scleral Fixation",
      "authors": "Dr Gal Harel",
      "presenter": "Dr Gal Harel",
      "normalized_authors": [
        "Gal Harel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gal Harel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To report clinical experience with a modified toric plate-haptic lens (VisTor, Hanita\nLenses) suitable also for 4-point scleral fixation in eyes without capsular support.",
        "Setting": "All surgeries were performed between 2022 and 2023 by two surgeons (E.I.A, A.B) at\ntwo medical centers. The study conforms with the Decleration of Helsinki and was approved by\nthe Institutional Ethics Committee, Meir Medical Center, Kfar Saba, Israel.",
        "Methods": "The commercial VisTor lens design was modified by adding two positioning holes in\nthe lens haptic to facilitate 4-point fixation. The lens axis was marked preoperatively, and the\ninsertion points of the sutures were marked 2mm from the limbus and 2mm on each side of the\ntoric marks. Prolene 6-0 or 7-0 sutures were inserted through the sclera and threaded through the\ndesignated holes in the intraocular lens (IOL) haptics. Four-point fixation was achieved by\ncreation of 4 external flanges.",
        "Results": "Fifteen lenses were implanted in 15 eyes lacking capsular support. One case was lost to\nfollow up and excluded from final analysis. The average age was 48 (SD 22, range 26-79). In 9\neyes surgery was secondary implantation in aphakia, in 3 eyes it was combined with crystalline\nlens removal, and in 3 eyes it was combined with IOL exchange. The final position of the IOL\nwas within 4 degrees of the planned axis in all eyes. No tilt was noted post operatively and\nsatisfactory visual improvement was achieved in all cases but one, in which vision loss was\nrelated to advanced glaucoma.",
        "Conclusions": "Four-point scleral fixation of a plate haptic IOL provides precise and stable IOL\npositioning with no tilt and accurate toric correction in eyes lacking capsular support."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Four-point scleral fixation of a plate haptic IOL provides precise and stable IOL positioning with no tilt and accurate toric correction in eyes lacking capsular support.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 580,
      "source_fields": {
        "Abstract Final Identifier": "POCAT542",
        "Title": "A Plate Haptic Intraocular Lens Suitable For Flanged Scleral Fixation",
        "Presenting Author(s)": "Dr Gal Harel",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Gal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Harel",
        "Country Name": "Israel",
        "Purpose": "To report clinical experience with a modified toric plate-haptic lens (VisTor, Hanita\nLenses) suitable also for 4-point scleral fixation in eyes without capsular support.",
        "Setting": "All surgeries were performed between 2022 and 2023 by two surgeons (E.I.A, A.B) at\ntwo medical centers. The study conforms with the Decleration of Helsinki and was approved by\nthe Institutional Ethics Committee, Meir Medical Center, Kfar Saba, Israel.",
        "Methods": "The commercial VisTor lens design was modified by adding two positioning holes in\nthe lens haptic to facilitate 4-point fixation. The lens axis was marked preoperatively, and the\ninsertion points of the sutures were marked 2mm from the limbus and 2mm on each side of the\ntoric marks. Prolene 6-0 or 7-0 sutures were inserted through the sclera and threaded through the\ndesignated holes in the intraocular lens (IOL) haptics. Four-point fixation was achieved by\ncreation of 4 external flanges.",
        "Results": "Fifteen lenses were implanted in 15 eyes lacking capsular support. One case was lost to\nfollow up and excluded from final analysis. The average age was 48 (SD 22, range 26-79). In 9\neyes surgery was secondary implantation in aphakia, in 3 eyes it was combined with crystalline\nlens removal, and in 3 eyes it was combined with IOL exchange. The final position of the IOL\nwas within 4 degrees of the planned axis in all eyes. No tilt was noted post operatively and\nsatisfactory visual improvement was achieved in all cases but one, in which vision loss was\nrelated to advanced glaucoma.",
        "Conclusions": "Four-point scleral fixation of a plate haptic IOL provides precise and stable IOL\npositioning with no tilt and accurate toric correction in eyes lacking capsular support."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POCAT543",
      "abstract_number": "POCAT543",
      "title": "Effect Of Intraocular Gas Tamponade On Postoperative Intraocular Lens Position After Phacovitrectomy And The Influence Of Intraocular Lens Type",
      "authors": "Dr Makoto Hayashi",
      "presenter": "Dr Makoto Hayashi",
      "normalized_authors": [
        "Makoto Hayashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Makoto Hayashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Intraocular gas tamponade during combined phacoemulsification and pars plana vitrectomy (PPV) may transiently increase posterior segment pressure and theoretically induce anterior displacement of the intraocular lens (IOL). However, its influence on postoperative IOL position at one month and potential differences between IOL models remain unclear. This study evaluated the effect of gas tamponade on postoperative anterior chamber depth (post-ACD) and examined whether the impact differs between two different 1-piece IOLs.",
        "Setting": "This single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. Medical records of consecutive patients who underwent phacovitrectomy between June 2024 and February 2026 were reviewed. Indications for phacovitrectomy include epiretinal membrane (ERM), macular hole (MH), vitreomacular traction syndrome (VMTS), vitreous opacity (VO), v itreous hemorrhage (VH), proliferative diabetic retinopathy (PDR), and rhegmatogenous retinal detachment (RRD).",
        "Methods": "This retrospective study included 75 eyes undergoing combined phacovitrectomy, divided into gas tamponade (Gas, n=51) and no gas (no Gas, n=24) groups. Two IOL models were implanted: Simplicity (AMO, n=36) and NSP2 (NIDEK, n=39). The primary outcome was post-ACD measured by anterior segment Optical Coherence Tomography (OCT) at 1 month. Baseline characteristics including age, axial length, average keratometry, preoperative ACD, and sex were compared between groups. Multivariable linear regression analysis was performed to adjust for potential confounders and to evaluate interaction between gas use and IOL type.",
        "Results": "Overall, post-ACD was 4.27 ± 0.33 mm in the Gas group and 4.34 ± 0.27 mm in the no Gas group, demonstrating a mean difference of −0.07 mm (p=0.329), suggesting a slight but non-significant anterior shift with gas tamponade. In the Simplicity subgroup, values were 4.30 ± 0.33 mm (Gas) and 4.38 ± 0.33 mm (no Gas), with a mean difference of −0.08 mm (p=0.54). In the NSP2 subgroup, values were 4.24 ± 0.33 mm (Gas) and 4.31 ± 0.23 mm (no Gas), with a mean difference of −0.08 mm (p=0.40). Multivariable analysis revealed no independent effect of gas tamponade (p=0.67) and no significant interaction between gas use and IOL type (p=0.58).",
        "Conclusions": "Intraocular gas tamponade was associated with a minimal trend toward anterior IOL displacement of approximately 0.07–0.08 mm at one month postoperatively. The observed difference in post-ACD corresponds to an estimated refractive impact of less than 0.1 D, suggesting limited clinical significance. Although no substantial difference was observed between the two IOL models evaluated in this study, numerous IOL designs with varying structural characteristics are currently available, and model-specific effects cannot be excluded. Given the relatively small sample size, further investigation in larger cohorts is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraocular gas tamponade was associated with a minimal trend toward anterior IOL displacement of approximately 0.07–0.08 mm at one month postoperatively. The observed difference in post-ACD corresponds to an estimated refractive impact of less than 0.1 D, suggesting limited clinical significance. Although no substantial difference was observed between the two IOL models evaluated in this study, numerous IOL…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 581,
      "source_fields": {
        "Abstract Final Identifier": "POCAT543",
        "Title": "Effect Of Intraocular Gas Tamponade On Postoperative Intraocular Lens Position After Phacovitrectomy And The Influence Of Intraocular Lens Type",
        "Presenting Author(s)": "Dr Makoto Hayashi",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Makoto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hayashi",
        "Country Name": "Japan",
        "Purpose": "Intraocular gas tamponade during combined phacoemulsification and pars plana vitrectomy (PPV) may transiently increase posterior segment pressure and theoretically induce anterior displacement of the intraocular lens (IOL). However, its influence on postoperative IOL position at one month and potential differences between IOL models remain unclear. This study evaluated the effect of gas tamponade on postoperative anterior chamber depth (post-ACD) and examined whether the impact differs between two different 1-piece IOLs.",
        "Setting": "This single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. Medical records of consecutive patients who underwent phacovitrectomy between June 2024 and February 2026 were reviewed. Indications for phacovitrectomy include epiretinal membrane (ERM), macular hole (MH), vitreomacular traction syndrome (VMTS), vitreous opacity (VO), v itreous hemorrhage (VH), proliferative diabetic retinopathy (PDR), and rhegmatogenous retinal detachment (RRD).",
        "Methods": "This retrospective study included 75 eyes undergoing combined phacovitrectomy, divided into gas tamponade (Gas, n=51) and no gas (no Gas, n=24) groups. Two IOL models were implanted: Simplicity (AMO, n=36) and NSP2 (NIDEK, n=39). The primary outcome was post-ACD measured by anterior segment Optical Coherence Tomography (OCT) at 1 month. Baseline characteristics including age, axial length, average keratometry, preoperative ACD, and sex were compared between groups. Multivariable linear regression analysis was performed to adjust for potential confounders and to evaluate interaction between gas use and IOL type.",
        "Results": "Overall, post-ACD was 4.27 ± 0.33 mm in the Gas group and 4.34 ± 0.27 mm in the no Gas group, demonstrating a mean difference of −0.07 mm (p=0.329), suggesting a slight but non-significant anterior shift with gas tamponade. In the Simplicity subgroup, values were 4.30 ± 0.33 mm (Gas) and 4.38 ± 0.33 mm (no Gas), with a mean difference of −0.08 mm (p=0.54). In the NSP2 subgroup, values were 4.24 ± 0.33 mm (Gas) and 4.31 ± 0.23 mm (no Gas), with a mean difference of −0.08 mm (p=0.40). Multivariable analysis revealed no independent effect of gas tamponade (p=0.67) and no significant interaction between gas use and IOL type (p=0.58).",
        "Conclusions": "Intraocular gas tamponade was associated with a minimal trend toward anterior IOL displacement of approximately 0.07–0.08 mm at one month postoperatively. The observed difference in post-ACD corresponds to an estimated refractive impact of less than 0.1 D, suggesting limited clinical significance. Although no substantial difference was observed between the two IOL models evaluated in this study, numerous IOL designs with varying structural characteristics are currently available, and model-specific effects cannot be excluded. Given the relatively small sample size, further investigation in larger cohorts is warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 441
    },
    {
      "uid": "POCAT544",
      "abstract_number": "POCAT544",
      "title": "Clinical Outcomes Of Scharioth Macula Lens Implantation In End-Stage Age-Related Macular Degeneration: A Case Series.",
      "authors": "Dr Farah Nur Ilyana Mohd Ibrahim",
      "presenter": "Dr Farah Nur Ilyana Mohd Ibrahim",
      "normalized_authors": [
        "Farah Nur Ilyana Mohd Ibrahim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farah Nur Ilyana Mohd Ibrahim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "The Scharioth Macula Lens (SML) is a piggyback intraocular lens that offers a convenient alternative to external magnifiers by providing near-vision magnification for patients with end-stage age-related macular degeneration (AMD). We report our clinical experience with SML implantation.",
        "Setting": "Tertiary hospital in Singapore.",
        "Methods": "We screened 29 pseudophakic patients with stable, end-stage AMD. Eligibility was strictly defined as a 3-line improvement in corrected near visual acuity with a +6.0D addition compared to a standard +2.5D addition during preoperative visual assessment. Additionally, candidates had to demonstrate a willingness to adopt a 15cm working distance and maintain a habit of reading digital or printed media. Two patients met these criteria and underwent SML (A45SML; Medicontur) implantation. Distance and near visual acuity (NVA) and surgical complications were monitored over a three-month follow-up period.",
        "Results": "Preoperative NVA with +2.5D and +6.0D additions was N50/N25 for Patient 1 and N18/N8 for Patient 2. One month postoperatively, uncorrected NVA at the intended 15 cm working distance improved to N25 and N10, respectively. At the three-month follow-up, Patient 1 remained stable at N25, while Patient 2 shifted to N25; nevertheless, both patients maintained a three-line gain in near vision compared to their uncorrected preoperative baseline. Distance visual acuity remained stable in both cases, and no adverse events or surgical complications were observed.",
        "Conclusions": "Success with the SML is highly dependent on rigorous preoperative screening. While near-vision gains may fluctuate slightly post-surgery, the SML offers a safe and effective surgical alternative to external magnifiers, significantly improving near acuity and quality of life without compromising distance vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Success with the SML is highly dependent on rigorous preoperative screening. While near-vision gains may fluctuate slightly post-surgery, the SML offers a safe and effective surgical alternative to external magnifiers, significantly improving near acuity and quality of life without compromising distance vision.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 582,
      "source_fields": {
        "Abstract Final Identifier": "POCAT544",
        "Title": "Clinical Outcomes Of Scharioth Macula Lens Implantation In End-Stage Age-Related Macular Degeneration: A Case Series.",
        "Presenting Author(s)": "Dr Farah Nur Ilyana Mohd Ibrahim",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Farah",
        "Submitter Middle Name": "Nur Ilyana Mohd",
        "Submitter Last Name": "Ibrahim",
        "Country Name": "Singapore",
        "Purpose": "The Scharioth Macula Lens (SML) is a piggyback intraocular lens that offers a convenient alternative to external magnifiers by providing near-vision magnification for patients with end-stage age-related macular degeneration (AMD). We report our clinical experience with SML implantation.",
        "Setting": "Tertiary hospital in Singapore.",
        "Methods": "We screened 29 pseudophakic patients with stable, end-stage AMD. Eligibility was strictly defined as a 3-line improvement in corrected near visual acuity with a +6.0D addition compared to a standard +2.5D addition during preoperative visual assessment. Additionally, candidates had to demonstrate a willingness to adopt a 15cm working distance and maintain a habit of reading digital or printed media. Two patients met these criteria and underwent SML (A45SML; Medicontur) implantation. Distance and near visual acuity (NVA) and surgical complications were monitored over a three-month follow-up period.",
        "Results": "Preoperative NVA with +2.5D and +6.0D additions was N50/N25 for Patient 1 and N18/N8 for Patient 2. One month postoperatively, uncorrected NVA at the intended 15 cm working distance improved to N25 and N10, respectively. At the three-month follow-up, Patient 1 remained stable at N25, while Patient 2 shifted to N25; nevertheless, both patients maintained a three-line gain in near vision compared to their uncorrected preoperative baseline. Distance visual acuity remained stable in both cases, and no adverse events or surgical complications were observed.",
        "Conclusions": "Success with the SML is highly dependent on rigorous preoperative screening. While near-vision gains may fluctuate slightly post-surgery, the SML offers a safe and effective surgical alternative to external magnifiers, significantly improving near acuity and quality of life without compromising distance vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POCAT545",
      "abstract_number": "POCAT545",
      "title": "Balancing Optical Quality And Spectacle Independence: Clinical Outcomes Of Multifocal Versus Monofocal Iols",
      "authors": "Dr Mateja Jagić",
      "presenter": "Dr Mateja Jagić",
      "normalized_authors": [
        "Mateja Jagić"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mateja Jagić",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To compare visual and refractive outcomes, contrast sensitivity, higher-order aberrations, posterior capsule opacification (PCO) rate, patient satisfaction, and perioperative complications in eyes implanted with presbyopia-correcting intraocular lenses (FVR IOL, EDoF IOL and low-add bifocal IOL) versus monofocal IOLs during a 12-month follow-up period.",
        "Setting": "University Eye Hospital Svjetlost, Zagreb, Croatia",
        "Methods": "This comparative clinical study included patients undergoing cataract surgery with implantation of either prebyopia-correcting IOLs (FVR IOL, EDoF IOL and low-add bifocal IOL) or monofocal IOLs. Evaluations were performed at 1 week, 1 month, 6 months, and 12 months postoperatively. Outcome measures included uncorrected and corrected distance, intermediate, and near visual acuity; manifest refraction; contrast sensitivity under photopic and mesopic conditions; higher-order ocular aberrations; incidence of PCO and Nd:YAG capsulotomy; patient satisfaction; photic phenomena; and intraoperative and postoperative complications. Intra- and intergroup analyses were performed.",
        "Results": "All groups showed significant improvement in distance visual acuity and reduction in spherical and cylindrical refractive error. Presbyopia-correcting IOLs achieved significantly better uncorrected and corrected intermediate and near visual acuity than monofocal IOLs (p<0.01). Spherical and coma aberrations decreased, with a shift toward negative spherical aberration. Contrast sensitivity declined early postoperatively in all groups and remained lower in presbyopia-correcting IOLs under photopic and mesopic conditions. PCO ranged from 13.6–33%. Satisfaction exceeded 80%, higher for near vision in multifocal IOLs. Complications were infrequent.",
        "Conclusions": "FVR, EDoF and bifocal IOLs provided superior intermediate and near visual acuity and reduced spectacle dependence compared with monofocal IOLs, with high levels of patient satisfaction at 12 months. These benefits were accompanied by reduced contrast sensitivity, while overall safety profiles were comparable between groups. Careful patient selection remains essential to optimize outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FVR, EDoF and bifocal IOLs provided superior intermediate and near visual acuity and reduced spectacle dependence compared with monofocal IOLs, with high levels of patient satisfaction at 12 months. These benefits were accompanied by reduced contrast sensitivity, while overall safety profiles were comparable between groups. Careful patient selection remains essential to optimize outcomes.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 583,
      "source_fields": {
        "Abstract Final Identifier": "POCAT545",
        "Title": "Balancing Optical Quality And Spectacle Independence: Clinical Outcomes Of Multifocal Versus Monofocal Iols",
        "Presenting Author(s)": "Dr Mateja Jagić",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Mateja",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jagić",
        "Country Name": "Croatia",
        "Purpose": "To compare visual and refractive outcomes, contrast sensitivity, higher-order aberrations, posterior capsule opacification (PCO) rate, patient satisfaction, and perioperative complications in eyes implanted with presbyopia-correcting intraocular lenses (FVR IOL, EDoF IOL and low-add bifocal IOL) versus monofocal IOLs during a 12-month follow-up period.",
        "Setting": "University Eye Hospital Svjetlost, Zagreb, Croatia",
        "Methods": "This comparative clinical study included patients undergoing cataract surgery with implantation of either prebyopia-correcting IOLs (FVR IOL, EDoF IOL and low-add bifocal IOL) or monofocal IOLs. Evaluations were performed at 1 week, 1 month, 6 months, and 12 months postoperatively. Outcome measures included uncorrected and corrected distance, intermediate, and near visual acuity; manifest refraction; contrast sensitivity under photopic and mesopic conditions; higher-order ocular aberrations; incidence of PCO and Nd:YAG capsulotomy; patient satisfaction; photic phenomena; and intraoperative and postoperative complications. Intra- and intergroup analyses were performed.",
        "Results": "All groups showed significant improvement in distance visual acuity and reduction in spherical and cylindrical refractive error. Presbyopia-correcting IOLs achieved significantly better uncorrected and corrected intermediate and near visual acuity than monofocal IOLs (p<0.01). Spherical and coma aberrations decreased, with a shift toward negative spherical aberration. Contrast sensitivity declined early postoperatively in all groups and remained lower in presbyopia-correcting IOLs under photopic and mesopic conditions. PCO ranged from 13.6–33%. Satisfaction exceeded 80%, higher for near vision in multifocal IOLs. Complications were infrequent.",
        "Conclusions": "FVR, EDoF and bifocal IOLs provided superior intermediate and near visual acuity and reduced spectacle dependence compared with monofocal IOLs, with high levels of patient satisfaction at 12 months. These benefits were accompanied by reduced contrast sensitivity, while overall safety profiles were comparable between groups. Careful patient selection remains essential to optimize outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCAT546",
      "abstract_number": "POCAT546",
      "title": "Mindvision: A Novel Pre- And Post-Operative Neuroadaptation Program To Improve Patient Experience And Outcomes Following Premium Iol And Blended-Vision Laser Surgery\nAuthors:\nDr Dylan Joseph\nFwcrs-Vs",
      "authors": "Dr Dylan Joseph",
      "presenter": "Dr Dylan Joseph",
      "normalized_authors": [
        "Dylan Joseph"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dylan Arthur Joseph",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "South Africa",
      "sections": {
        "Purpose": "To evaluate the feasibility, effectiveness, and clinical value of the MindVision program—an audio-based pre- and post-operative counseling tool designed to reduce anxiety, support neuroadaptation, and enhance patient satisfaction in individuals undergoing premium intraocular lens (IOL) implantation (multifocal, extended-depth-of-focus, full range of vision, and toric IOLs) and blended-vision laser vision correction.",
        "Setting": "2 National clinics including my Vision for Life Clinic in South Africa.\n\n3 World College of Refractive Surgeon Clinics in Europe currently trialing the MindVision program.",
        "Methods": "A structured pre- and post-operative program was developed comprising:\n1. Pre-operative audio (delivered 5–10 minutes before surgery) to reduce patient anxiety and prime neuroadaptation.\n2. Post-operative audio sessions at 1 week (in-clinic) and weeks 2–4 (at home via digital delivery) to reinforce healing, normalize visual symptoms (e.g., halos, glare, fluctuating focus), and support confidence.\n3. Patient questionnaires (10-item pre- and post-op surveys) measuring anxiety, preparedness, side-effect tolerance, and overall satisfaction.\n4. Surgeon/clinician feedback at 6 weeks (8-item survey) evaluating time savings, patient preparedness, and confidence in recommending premium visual solutions.",
        "Results": "Preliminary findings from pilot implementation demonstrated:\n- Significant reduction in reported pre-operative anxiety.\n- Improved patient confidence in visual recovery and neuroadaptation at 1 and 4 weeks post-op.\n- High patient-reported satisfaction scores regarding management of halos and glare.\n- Surgeons reported decreased chair time in counseling and greater confidence in recommending premium IOLs and blended-vision correction.\n- Feasibility of standardized audio delivery in both clinical and at-home settings.",
        "Conclusions": "The MindVision program represents a novel, scalable tool to enhance patient experience and reduce perioperative anxiety in refractive and lens-based surgery. Early data suggest that structured audio-guided counseling improves neuroadaptation, supports patient well-being, and may drive greater acceptance and adoption of premium IOLs and blended-vision correction. Further large-scale trials are warranted to validate these findings and quantify economic and clinical benefits."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The MindVision program represents a novel, scalable tool to enhance patient experience and reduce perioperative anxiety in refractive and lens-based surgery. Early data suggest that structured audio-guided counseling improves neuroadaptation, supports patient well-being, and may drive greater acceptance and adoption of premium IOLs and blended-vision correction. Further large-scale trials are warranted to validate…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 584,
      "source_fields": {
        "Abstract Final Identifier": "POCAT546",
        "Title": "Mindvision: A Novel Pre- And Post-Operative Neuroadaptation Program To Improve Patient Experience And Outcomes Following Premium Iol And Blended-Vision Laser Surgery\nAuthors:\nDr Dylan Joseph\nFwcrs-Vs",
        "Presenting Author(s)": "Dr Dylan Joseph",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Dylan",
        "Submitter Middle Name": "Arthur",
        "Submitter Last Name": "Joseph",
        "Country Name": "South Africa",
        "Purpose": "To evaluate the feasibility, effectiveness, and clinical value of the MindVision program—an audio-based pre- and post-operative counseling tool designed to reduce anxiety, support neuroadaptation, and enhance patient satisfaction in individuals undergoing premium intraocular lens (IOL) implantation (multifocal, extended-depth-of-focus, full range of vision, and toric IOLs) and blended-vision laser vision correction.",
        "Setting": "2 National clinics including my Vision for Life Clinic in South Africa.\n\n3 World College of Refractive Surgeon Clinics in Europe currently trialing the MindVision program.",
        "Methods": "A structured pre- and post-operative program was developed comprising:\n1. Pre-operative audio (delivered 5–10 minutes before surgery) to reduce patient anxiety and prime neuroadaptation.\n2. Post-operative audio sessions at 1 week (in-clinic) and weeks 2–4 (at home via digital delivery) to reinforce healing, normalize visual symptoms (e.g., halos, glare, fluctuating focus), and support confidence.\n3. Patient questionnaires (10-item pre- and post-op surveys) measuring anxiety, preparedness, side-effect tolerance, and overall satisfaction.\n4. Surgeon/clinician feedback at 6 weeks (8-item survey) evaluating time savings, patient preparedness, and confidence in recommending premium visual solutions.",
        "Results": "Preliminary findings from pilot implementation demonstrated:\n- Significant reduction in reported pre-operative anxiety.\n- Improved patient confidence in visual recovery and neuroadaptation at 1 and 4 weeks post-op.\n- High patient-reported satisfaction scores regarding management of halos and glare.\n- Surgeons reported decreased chair time in counseling and greater confidence in recommending premium IOLs and blended-vision correction.\n- Feasibility of standardized audio delivery in both clinical and at-home settings.",
        "Conclusions": "The MindVision program represents a novel, scalable tool to enhance patient experience and reduce perioperative anxiety in refractive and lens-based surgery. Early data suggest that structured audio-guided counseling improves neuroadaptation, supports patient well-being, and may drive greater acceptance and adoption of premium IOLs and blended-vision correction. Further large-scale trials are warranted to validate these findings and quantify economic and clinical benefits."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCAT547",
      "abstract_number": "POCAT547",
      "title": "Intermediate Task Performance And Predictors Of Difficulty After Bilateral Vivity Edof Iol Implantation: A Patient Perspective.",
      "authors": "Dr Jai Kelkar",
      "presenter": "Dr Jai Kelkar",
      "normalized_authors": [
        "Jai Kelkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jai Kelkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual outcomes, task-specific intermediate vision, and patient satisfaction following bilateral implantation of the AcrySof IQ Vivity Extended Depth of Focus (EDOF) intraocular lens (IOL).",
        "Setting": "This prospective single-centre study included patients who underwent bilateral phacoemulsification with Vivity EDOF IOL.",
        "Methods": "Postoperative assessments at one month included uncorrected distance (UCDVA), intermediate (UIVA), and near visual acuity (UNVA), as well as responses to a modified Catquest-9SF questionnaire. Two additional items were included to assess difficulty in computer use and reading large-font text on mobile phones, tasks relevant to Vivity's intended optical benefits. Multivariable logistic regression was used to identify predictors of reported difficulty.",
        "Results": "A total of 170 patients (340 eyes) were enrolled. At one month, all patients achieved UCDVA and UIVA of 6/6, and 87% achieved UNVA of N8 or better. However, 26.3% of patients reported “Some Difficulty” with computer use or reading mobile phone text. Multivariable analysis identified shorter axial length (<23.3 mm) and worse preoperative visual acuity (<0.35 logMAR) as independent predictors of this difficulty. Visual disturbances were infrequent (occurring in ≤2% of patients), and 98.4% of patients reported overall satisfaction with their vision.",
        "Conclusions": "While the Vivity EDOF IOL delivers excellent distance and intermediate visual acuity with high patient satisfaction, a notable proportion of patients, especially those with shorter eyes or poorer baseline vision, may experience difficulty with intermediate digital tasks, though this requires confirmation with longer follow-up. These findings highlight the importance of tailored patient selection and task-specific outcome assessment in evaluating EDOF lens performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While the Vivity EDOF IOL delivers excellent distance and intermediate visual acuity with high patient satisfaction, a notable proportion of patients, especially those with shorter eyes or poorer baseline vision, may experience difficulty with intermediate digital tasks, though this requires confirmation with longer follow-up. These findings highlight the importance of tailored patient selection and task-specific…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 585,
      "source_fields": {
        "Abstract Final Identifier": "POCAT547",
        "Title": "Intermediate Task Performance And Predictors Of Difficulty After Bilateral Vivity Edof Iol Implantation: A Patient Perspective.",
        "Presenting Author(s)": "Dr Jai Kelkar",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Jai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kelkar",
        "Country Name": "India",
        "Purpose": "To evaluate visual outcomes, task-specific intermediate vision, and patient satisfaction following bilateral implantation of the AcrySof IQ Vivity Extended Depth of Focus (EDOF) intraocular lens (IOL).",
        "Setting": "This prospective single-centre study included patients who underwent bilateral phacoemulsification with Vivity EDOF IOL.",
        "Methods": "Postoperative assessments at one month included uncorrected distance (UCDVA), intermediate (UIVA), and near visual acuity (UNVA), as well as responses to a modified Catquest-9SF questionnaire. Two additional items were included to assess difficulty in computer use and reading large-font text on mobile phones, tasks relevant to Vivity's intended optical benefits. Multivariable logistic regression was used to identify predictors of reported difficulty.",
        "Results": "A total of 170 patients (340 eyes) were enrolled. At one month, all patients achieved UCDVA and UIVA of 6/6, and 87% achieved UNVA of N8 or better. However, 26.3% of patients reported “Some Difficulty” with computer use or reading mobile phone text. Multivariable analysis identified shorter axial length (<23.3 mm) and worse preoperative visual acuity (<0.35 logMAR) as independent predictors of this difficulty. Visual disturbances were infrequent (occurring in ≤2% of patients), and 98.4% of patients reported overall satisfaction with their vision.",
        "Conclusions": "While the Vivity EDOF IOL delivers excellent distance and intermediate visual acuity with high patient satisfaction, a notable proportion of patients, especially those with shorter eyes or poorer baseline vision, may experience difficulty with intermediate digital tasks, though this requires confirmation with longer follow-up. These findings highlight the importance of tailored patient selection and task-specific outcome assessment in evaluating EDOF lens performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POCAT548",
      "abstract_number": "POCAT548",
      "title": "Integrating The Light Adjustable Lens In A High-Volume Practice: Optimizing Workflow, Adjustment Strategies, And Clinical Outcomes",
      "authors": "Dr Baseer Khan",
      "presenter": "Dr Baseer Khan",
      "normalized_authors": [
        "Baseer Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Baseer Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To describe how a high-volume, private-practice, integrated the Light Adjustable Lens (LAL) into our practice, optimized workflow, refined adjustment techniques and present clinical outcomes.",
        "Setting": "High-volume, private-practice in Canada, with an ethnically diverse patient population.",
        "Methods": "Preop assessments included optical biometry, corneal topography, and macular optical coherence tomography. Standard phacoemulsification with in-the-bag LAL implantation was performed, followed 3 weeks later by refraction and counselling of patients regarding their visual goals to determine the target refraction for each eye. Up to 3 postoperative refractive adjustments were performed using the RxSight Light Delivery Device (LDD). Lock-in treatments with the LDD were performed to prevent further refractive change once visual goals were achieved.",
        "Results": "Results (N = 1,000 eyes) showed that 92% of patients were targeted for blended vision (distance target in the dominant eye and near target in the non-dominant eye); 96% achieved UDVA ≥20/20, 34% achieved ≥20/15, and 85% achieved ≥20/20 with J1 near vision. The mean near refractive target was -1.30 D. Overall, outcomes and tolerability were favorable. 30 patients reported visual phenomena almost exclusively in near eyes: 28 mild, 2 moderate , none were severe.",
        "Conclusions": "The LAL introduces a novel concept in cataract surgery for presbyopia mitigation through blended vision and refractive customization. Our clinical experience suggests careful patient selection, standardized adjustment protocols, and robust workflow planning are critical for successful integration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAL introduces a novel concept in cataract surgery for presbyopia mitigation through blended vision and refractive customization. Our clinical experience suggests careful patient selection, standardized adjustment protocols, and robust workflow planning are critical for successful integration.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 586,
      "source_fields": {
        "Abstract Final Identifier": "POCAT548",
        "Title": "Integrating The Light Adjustable Lens In A High-Volume Practice: Optimizing Workflow, Adjustment Strategies, And Clinical Outcomes",
        "Presenting Author(s)": "Dr Baseer Khan",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Baseer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khan",
        "Country Name": "Canada",
        "Purpose": "To describe how a high-volume, private-practice, integrated the Light Adjustable Lens (LAL) into our practice, optimized workflow, refined adjustment techniques and present clinical outcomes.",
        "Setting": "High-volume, private-practice in Canada, with an ethnically diverse patient population.",
        "Methods": "Preop assessments included optical biometry, corneal topography, and macular optical coherence tomography. Standard phacoemulsification with in-the-bag LAL implantation was performed, followed 3 weeks later by refraction and counselling of patients regarding their visual goals to determine the target refraction for each eye. Up to 3 postoperative refractive adjustments were performed using the RxSight Light Delivery Device (LDD). Lock-in treatments with the LDD were performed to prevent further refractive change once visual goals were achieved.",
        "Results": "Results (N = 1,000 eyes) showed that 92% of patients were targeted for blended vision (distance target in the dominant eye and near target in the non-dominant eye); 96% achieved UDVA ≥20/20, 34% achieved ≥20/15, and 85% achieved ≥20/20 with J1 near vision. The mean near refractive target was -1.30 D. Overall, outcomes and tolerability were favorable. 30 patients reported visual phenomena almost exclusively in near eyes: 28 mild, 2 moderate , none were severe.",
        "Conclusions": "The LAL introduces a novel concept in cataract surgery for presbyopia mitigation through blended vision and refractive customization. Our clinical experience suggests careful patient selection, standardized adjustment protocols, and robust workflow planning are critical for successful integration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCAT549",
      "abstract_number": "POCAT549",
      "title": "Visual And Refractive Outcomes Of Glaucoma Patients Undergoing Cataract Surgery With Light Adjustable Lens Implantation",
      "authors": "Dr Baseer Khan",
      "presenter": "Dr Baseer Khan",
      "normalized_authors": [
        "Baseer Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Baseer Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "It is estimated that 7% of patients undergoing cataract surgery have glaucoma. With increasing expectations for spectacle independence, advanced technology IOLs (ATIOL) have been increasingly adopted. Despite their benefits, many exercise caution in implanting ATIOL in glaucoma patients due to concerns about contrast sensitivity loss, glares, haloes, effect on visual field tests and optical effects on OCT.\n\nThe light adjustable lens (LAL) is a non-diffractive IOL with the unique ability to adjust the postop refraction to meet the patient’s visual goals. It could be the ideal ATIOL for patients with ocular comorbidity.\n\nThis paper reports visual and refractive outcomes of glaucoma patients that underwent cataract surgery with LAL implantation.",
        "Setting": "High-volume, private-practice in Canada, with an ethnically diverse patient population.",
        "Methods": "After receiving approval from the Research Ethics Board, a retrospective collection of clinical data was conducted. Patients with a diagnosis of any form of glaucoma who underwent lens surgery and implantation of LAL, and had complete post-operative data were included.\n\nData collected were: ocular history, biometry, VA (uncorrected, corrected, distance, near, monocular, binocular) after implantation (before adjustments) and after adjustments, manifest refraction before and after adjustments.",
        "Results": "54 patients were included in the analysis. 45 patients had bilateral surgery and 9 had unilateral, total of 99 eyes. 24 patients were targeted for blended vision. 29 eyes were targeted for distance vision.\n\n60.9% and 92.9% of eyes were within 0.5D of target MRSE before and after adjustment. K Cyl was ≤0.5D in 39.3% of eyes preop. MR Cyl was ≤0.5D in 41.4% of eyes before adjustment and 91.9% after adjustment. 33.3% and 82.8% of distance eyes had UDVA 20/20 or better before and after adjustment, respectively. 16.9% and 75.0% of near eyes had UDVA 20/40 (J3) or better before and after adjustment, respectively.\n\nAmong patients targeted for blended vision, 100% had 20/20 UDVA and 91.3% had 20/40 UNVA.",
        "Conclusions": "The LAL demonstrated improvement in refractive and visual outcomes after adjustments. Its non-multifocal optic makes it ideal for patients with glaucoma and other ocular comorbidities ( e.g. macula) that may compromise vision. Its approach for presbyopia mitigation through blended vision and refractive customization is a separation from other presbyopia correcting IOLs, but nonetheless effective in delivering excellent uncorrected distance and near VA."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAL demonstrated improvement in refractive and visual outcomes after adjustments. Its non-multifocal optic makes it ideal for patients with glaucoma and other ocular comorbidities ( e.g. macula) that may compromise vision. Its approach for presbyopia mitigation through blended vision and refractive customization is a separation from other presbyopia correcting IOLs, but nonetheless effective in delivering…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 587,
      "source_fields": {
        "Abstract Final Identifier": "POCAT549",
        "Title": "Visual And Refractive Outcomes Of Glaucoma Patients Undergoing Cataract Surgery With Light Adjustable Lens Implantation",
        "Presenting Author(s)": "Dr Baseer Khan",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Baseer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khan",
        "Country Name": "Canada",
        "Purpose": "It is estimated that 7% of patients undergoing cataract surgery have glaucoma. With increasing expectations for spectacle independence, advanced technology IOLs (ATIOL) have been increasingly adopted. Despite their benefits, many exercise caution in implanting ATIOL in glaucoma patients due to concerns about contrast sensitivity loss, glares, haloes, effect on visual field tests and optical effects on OCT.\n\nThe light adjustable lens (LAL) is a non-diffractive IOL with the unique ability to adjust the postop refraction to meet the patient’s visual goals. It could be the ideal ATIOL for patients with ocular comorbidity.\n\nThis paper reports visual and refractive outcomes of glaucoma patients that underwent cataract surgery with LAL implantation.",
        "Setting": "High-volume, private-practice in Canada, with an ethnically diverse patient population.",
        "Methods": "After receiving approval from the Research Ethics Board, a retrospective collection of clinical data was conducted. Patients with a diagnosis of any form of glaucoma who underwent lens surgery and implantation of LAL, and had complete post-operative data were included.\n\nData collected were: ocular history, biometry, VA (uncorrected, corrected, distance, near, monocular, binocular) after implantation (before adjustments) and after adjustments, manifest refraction before and after adjustments.",
        "Results": "54 patients were included in the analysis. 45 patients had bilateral surgery and 9 had unilateral, total of 99 eyes. 24 patients were targeted for blended vision. 29 eyes were targeted for distance vision.\n\n60.9% and 92.9% of eyes were within 0.5D of target MRSE before and after adjustment. K Cyl was ≤0.5D in 39.3% of eyes preop. MR Cyl was ≤0.5D in 41.4% of eyes before adjustment and 91.9% after adjustment. 33.3% and 82.8% of distance eyes had UDVA 20/20 or better before and after adjustment, respectively. 16.9% and 75.0% of near eyes had UDVA 20/40 (J3) or better before and after adjustment, respectively.\n\nAmong patients targeted for blended vision, 100% had 20/20 UDVA and 91.3% had 20/40 UNVA.",
        "Conclusions": "The LAL demonstrated improvement in refractive and visual outcomes after adjustments. Its non-multifocal optic makes it ideal for patients with glaucoma and other ocular comorbidities ( e.g. macula) that may compromise vision. Its approach for presbyopia mitigation through blended vision and refractive customization is a separation from other presbyopia correcting IOLs, but nonetheless effective in delivering excellent uncorrected distance and near VA."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POCAT550",
      "abstract_number": "POCAT550",
      "title": "Visual Outcomes And Patient Satisfaction After Lucidis Edof Toric Iol Implantation: A Consecutive Case Series",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To evaluate visual performance and patient-reported satisfaction following implantation of the Lucidis extended depth of focus (EDOF) toric intraocular lens in routine cataract surgery.",
        "Setting": "Consultant-led cataract practice, tertiary ophthalmic center, United Arab Emirates.",
        "Methods": "A prospective observational series of consecutive patients undergoing phacoemulsification with Lucidis EDOF toric IOL implantation. Postoperative assessments included uncorrected distance visual acuity (UDVA), intermediate visual acuity (UIVA), near visual acuity (UNVA), residual astigmatism, and patient-reported spectacle independence at 1 and 3 months.",
        "Results": "A high percentage of patients achieved UDVA of 20/25 or better. Functional intermediate and near vision were achieved without additional correction in the majority of cases. Residual astigmatism was ≤0.50 D in most patients. Patient-reported satisfaction was high, particularly regarding reduced dependence on reading glasses. Dysphotopsia complaints were minimal and transient.",
        "Conclusions": "Lucidis EDOF toric IOL provides excellent functional vision across distance and intermediate ranges with high patient satisfaction and minimal photic phenomena. It represents a reliable premium IOL option for patients seeking spectacle independence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lucidis EDOF toric IOL provides excellent functional vision across distance and intermediate ranges with high patient satisfaction and minimal photic phenomena. It represents a reliable premium IOL option for patients seeking spectacle independence.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 588,
      "source_fields": {
        "Abstract Final Identifier": "POCAT550",
        "Title": "Visual Outcomes And Patient Satisfaction After Lucidis Edof Toric Iol Implantation: A Consecutive Case Series",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To evaluate visual performance and patient-reported satisfaction following implantation of the Lucidis extended depth of focus (EDOF) toric intraocular lens in routine cataract surgery.",
        "Setting": "Consultant-led cataract practice, tertiary ophthalmic center, United Arab Emirates.",
        "Methods": "A prospective observational series of consecutive patients undergoing phacoemulsification with Lucidis EDOF toric IOL implantation. Postoperative assessments included uncorrected distance visual acuity (UDVA), intermediate visual acuity (UIVA), near visual acuity (UNVA), residual astigmatism, and patient-reported spectacle independence at 1 and 3 months.",
        "Results": "A high percentage of patients achieved UDVA of 20/25 or better. Functional intermediate and near vision were achieved without additional correction in the majority of cases. Residual astigmatism was ≤0.50 D in most patients. Patient-reported satisfaction was high, particularly regarding reduced dependence on reading glasses. Dysphotopsia complaints were minimal and transient.",
        "Conclusions": "Lucidis EDOF toric IOL provides excellent functional vision across distance and intermediate ranges with high patient satisfaction and minimal photic phenomena. It represents a reliable premium IOL option for patients seeking spectacle independence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 161
    },
    {
      "uid": "POCAT551",
      "abstract_number": "POCAT551",
      "title": "Evaluation Of Potential Refractive Errors For Various Intraocular Lenses In Human Capsular Models",
      "authors": "Ramin Khoramnia",
      "presenter": "Ramin Khoramnia",
      "normalized_authors": [
        "Ramin Khoramnia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramin Khoramnia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Biomaterial and biomechanical design of the intraocular lenses (IOLs) can be critical in determining the axial stability of an IOL for cataract patients. Axial displacement is the key indicator of IOL instability and the primary reason for the potential refractive errors (PREs). The purpose of this study is to evaluate the impact of haptic and capsule geometry for widely used monofocal IOLs in human eye capsule computational models for determining PRE.",
        "Setting": "This analytical study is based on the human eye capsule computational models at Alcon Research, Fort Worth, Texas, USA",
        "Methods": "The interaction of an IOL with the soft and membrane-like human eye capsule model is expected to be different from the ISO compression test cell. In this study, we therefore developed human eye capsule computational models to understand the impact of haptic and capsule geometry on IOL axial stability and expected PRE. The assessment uses 9.0, 9.5, and 10.0-mm diameter based on clinical data to mimic human eye physiology using ANSYS. The IOLs used in this evaluation are Alcon Acrysof SN60WF and Clareon CNA0T0, JnJ Tecnis ZCB00, B&L enVista MX60, and Hoya Vivinex XY1. The PRE values were computed based on a ZEMAX ray trace model using IOL power calculation formula (SRK/T) and axial shift for each lens in all three capsule sizes.",
        "Results": "We have evaluated the axial stability in various capsule sizes and obtained the PRE values for the studied IOL models. The PRE for both SN60WF and CNA0T0 IOLs are less than 0.25 D in three capsule models. The XY1 and ZCB00 show 0.31 D and 0.45 D of PRE in the average capsule model. Both XY1 and ZCB00 show a PRE of about 0.53 D in the small capsule. The MX60 demonstrated the highest amount of PRE of about 2.13 D in human capsular bag models compared to all other IOLs.",
        "Conclusions": "Our findings from this analytical study demonstrate that the axial stability of the IOL is sensitive to changes in haptic and capsule geometry. CNA0T0 is the most stable IOL geometry in all the three different sizes of the studied human capsule computational models. This agrees with the historically most stable SN60WF platform. The PRE for both XY1 and ZCB00 IOLs is twice as large as compared to CNA0T0. MX60 IOL demonstrated the highest amount of displacement and resulted in the most PRE in the human capsule computational models."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings from this analytical study demonstrate that the axial stability of the IOL is sensitive to changes in haptic and capsule geometry. CNA0T0 is the most stable IOL geometry in all the three different sizes of the studied human capsule computational models. This agrees with the historically most stable SN60WF platform. The PRE for both XY1 and ZCB00 IOLs is twice as large as compared to CNA0T0. MX60 IOL…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 589,
      "source_fields": {
        "Abstract Final Identifier": "POCAT551",
        "Title": "Evaluation Of Potential Refractive Errors For Various Intraocular Lenses In Human Capsular Models",
        "Presenting Author(s)": "Ramin Khoramnia",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Ramin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khoramnia",
        "Country Name": "Germany",
        "Purpose": "Biomaterial and biomechanical design of the intraocular lenses (IOLs) can be critical in determining the axial stability of an IOL for cataract patients. Axial displacement is the key indicator of IOL instability and the primary reason for the potential refractive errors (PREs). The purpose of this study is to evaluate the impact of haptic and capsule geometry for widely used monofocal IOLs in human eye capsule computational models for determining PRE.",
        "Setting": "This analytical study is based on the human eye capsule computational models at Alcon Research, Fort Worth, Texas, USA",
        "Methods": "The interaction of an IOL with the soft and membrane-like human eye capsule model is expected to be different from the ISO compression test cell. In this study, we therefore developed human eye capsule computational models to understand the impact of haptic and capsule geometry on IOL axial stability and expected PRE. The assessment uses 9.0, 9.5, and 10.0-mm diameter based on clinical data to mimic human eye physiology using ANSYS. The IOLs used in this evaluation are Alcon Acrysof SN60WF and Clareon CNA0T0, JnJ Tecnis ZCB00, B&L enVista MX60, and Hoya Vivinex XY1. The PRE values were computed based on a ZEMAX ray trace model using IOL power calculation formula (SRK/T) and axial shift for each lens in all three capsule sizes.",
        "Results": "We have evaluated the axial stability in various capsule sizes and obtained the PRE values for the studied IOL models. The PRE for both SN60WF and CNA0T0 IOLs are less than 0.25 D in three capsule models. The XY1 and ZCB00 show 0.31 D and 0.45 D of PRE in the average capsule model. Both XY1 and ZCB00 show a PRE of about 0.53 D in the small capsule. The MX60 demonstrated the highest amount of PRE of about 2.13 D in human capsular bag models compared to all other IOLs.",
        "Conclusions": "Our findings from this analytical study demonstrate that the axial stability of the IOL is sensitive to changes in haptic and capsule geometry. CNA0T0 is the most stable IOL geometry in all the three different sizes of the studied human capsule computational models. This agrees with the historically most stable SN60WF platform. The PRE for both XY1 and ZCB00 IOLs is twice as large as compared to CNA0T0. MX60 IOL demonstrated the highest amount of displacement and resulted in the most PRE in the human capsule computational models."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "POCAT552",
      "abstract_number": "POCAT552",
      "title": "Influence Of Capsular Bag Morphology On Intraocular Lens Performance In An Ex Vivo Model",
      "authors": "Dr Grzegorz Labuz",
      "presenter": "Dr Grzegorz Labuz",
      "normalized_authors": [
        "Grzegorz Labuz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Grzegorz Labuz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To investigate how the human capsular bag influences the performance of contemporary intraocular lens (IOL) designs using an ex vivo human capsular bag model that enables quantitative optical assessment under anatomically and biomechanically relevant conditions, and to link optical bench metrics with capsular bag morphology to better understand their impact on clinical visual outcomes.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "Human cadaver eyes (n=11) were prepared with a modified Choi‑Apple technique to isolate the intact uveolenticular complex, which was stabilized in custom 3D‑printed rings to preserve zonular tension. After lens extraction, five IOL models, including a monofocal‑plus, refractive and diffractive extended‑depth‑of‑focus (EDoF) designs, and two diffractive trifocals, were sequentially implanted. Optical quality was quantified ex vivo on an optical‑bench system using objective image‑quality parameters, and simulated visual acuity was derived from these measurements to estimate potential functional impact.",
        "Results": "The model enabled stable, repeatable optical measurements within human capsular bags. Implantation reduced optical quality for all IOLs compared with control measurements, with more pronounced losses at a 4.5‑mm pupil. Refractive designs (monofocal‑plus and EDoF) showed relatively preserved optical quality and simulated visual acuity across defocus, whereas diffractive EDoF and trifocal IOLs exhibited greater degradation of intermediate and near performance and higher sensitivity to capsular bag irregularities. Defocus‑curve simulations revealed lens‑specific far, intermediate, and near profiles that closely reflected reported clinical outcomes.",
        "Conclusions": "We demonstrated that IOLs can be assessed in an ex vivo human capsular bag model, providing a translational platform for closer prediction of postoperative outcomes and for reproducing the variability of non‑ideal morphological conditions in which IOLs function after implantation. Our findings show that complex diffractive presbyopia‑correcting IOLs are more prone to capsular bag‑induced degradation of optical quality than refractive designs. This model may support future studies on capsular changes and their interaction with IOL geometry and optical design."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We demonstrated that IOLs can be assessed in an ex vivo human capsular bag model, providing a translational platform for closer prediction of postoperative outcomes and for reproducing the variability of non‑ideal morphological conditions in which IOLs function after implantation. Our findings show that complex diffractive presbyopia‑correcting IOLs are more prone to capsular bag‑induced degradation of optical…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 590,
      "source_fields": {
        "Abstract Final Identifier": "POCAT552",
        "Title": "Influence Of Capsular Bag Morphology On Intraocular Lens Performance In An Ex Vivo Model",
        "Presenting Author(s)": "Dr Grzegorz Labuz",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Grzegorz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Labuz",
        "Country Name": "Germany",
        "Purpose": "To investigate how the human capsular bag influences the performance of contemporary intraocular lens (IOL) designs using an ex vivo human capsular bag model that enables quantitative optical assessment under anatomically and biomechanically relevant conditions, and to link optical bench metrics with capsular bag morphology to better understand their impact on clinical visual outcomes.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "Human cadaver eyes (n=11) were prepared with a modified Choi‑Apple technique to isolate the intact uveolenticular complex, which was stabilized in custom 3D‑printed rings to preserve zonular tension. After lens extraction, five IOL models, including a monofocal‑plus, refractive and diffractive extended‑depth‑of‑focus (EDoF) designs, and two diffractive trifocals, were sequentially implanted. Optical quality was quantified ex vivo on an optical‑bench system using objective image‑quality parameters, and simulated visual acuity was derived from these measurements to estimate potential functional impact.",
        "Results": "The model enabled stable, repeatable optical measurements within human capsular bags. Implantation reduced optical quality for all IOLs compared with control measurements, with more pronounced losses at a 4.5‑mm pupil. Refractive designs (monofocal‑plus and EDoF) showed relatively preserved optical quality and simulated visual acuity across defocus, whereas diffractive EDoF and trifocal IOLs exhibited greater degradation of intermediate and near performance and higher sensitivity to capsular bag irregularities. Defocus‑curve simulations revealed lens‑specific far, intermediate, and near profiles that closely reflected reported clinical outcomes.",
        "Conclusions": "We demonstrated that IOLs can be assessed in an ex vivo human capsular bag model, providing a translational platform for closer prediction of postoperative outcomes and for reproducing the variability of non‑ideal morphological conditions in which IOLs function after implantation. Our findings show that complex diffractive presbyopia‑correcting IOLs are more prone to capsular bag‑induced degradation of optical quality than refractive designs. This model may support future studies on capsular changes and their interaction with IOL geometry and optical design."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POCAT553",
      "abstract_number": "POCAT553",
      "title": "Mpc/Zn Hybrid Surface Modification Strategy To Suppress Late Cataract Side Effects Of Pdms Intraocular Lenses",
      "authors": "A/Prof. Jieun Lee",
      "presenter": "A/Prof. Jieun Lee",
      "normalized_authors": [
        "Jieun Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jieun Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Cataract is a leading cause of visual impairment, and intraocular lens (IOL) implantation is the standard treatment. However, postoperative complications such as posterior capsular opacification (PCO) and infection remain major concerns, primarily due to insufficient surface biocompatibility of IOLs and subsequent inflammatory responses. This study aimed to develop a novel surface modification strategy to reduce foreign body reactions and inflammation, thereby improving the long-term stability of IOLs.",
        "Setting": "Pusan Naiontal university Yangsan Hospital",
        "Methods": "A PDMS-based silicone IOL was fabricated using three-dimensional (3D) printing technology. The surface was zinc (Zn)-modified via sputtering-based plasma immersion ion implantation (S-PIII), followed by chemical immobilization of a biomimetic polymer, 2-methacryloyloxyethyl phosphorylcholine (MPC), to create a hybrid surface with enhanced mechanical stability and optical transparency. Anti-inflammatory properties and biocompatibility were evaluated by analyzing cellular responses of lens epithelial cells and macrophages. In vivo performance was assessed by implanting the modified IOLs into rabbit eyes and evaluating tissue responses after four weeks.",
        "Results": "The MPC/Zn hybrid surface significantly improved surface hydrophilicity while maintaining mechanical stability under both dry and wet conditions. In vitro results demonstrated that the synergistic effects of MPC and Zn effectively suppressed the adhesion and proliferation of lens epithelial cells and macrophages. In vivo experiments showed a significant reduction in foreign body reactions and inflammatory responses after four weeks.",
        "Conclusions": "The proposed MPC immobilization and Zn implantation-based hybrid surface modification strategy enhances biocompatibility and anti-inflammatory properties of PDMS IOLs, demonstrating potential as a clinically applicable approach for reducing postoperative complications such as PCO."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The proposed MPC immobilization and Zn implantation-based hybrid surface modification strategy enhances biocompatibility and anti-inflammatory properties of PDMS IOLs, demonstrating potential as a clinically applicable approach for reducing postoperative complications such as PCO.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 591,
      "source_fields": {
        "Abstract Final Identifier": "POCAT553",
        "Title": "Mpc/Zn Hybrid Surface Modification Strategy To Suppress Late Cataract Side Effects Of Pdms Intraocular Lenses",
        "Presenting Author(s)": "A/Prof. Jieun Lee",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Jieun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Cataract is a leading cause of visual impairment, and intraocular lens (IOL) implantation is the standard treatment. However, postoperative complications such as posterior capsular opacification (PCO) and infection remain major concerns, primarily due to insufficient surface biocompatibility of IOLs and subsequent inflammatory responses. This study aimed to develop a novel surface modification strategy to reduce foreign body reactions and inflammation, thereby improving the long-term stability of IOLs.",
        "Setting": "Pusan Naiontal university Yangsan Hospital",
        "Methods": "A PDMS-based silicone IOL was fabricated using three-dimensional (3D) printing technology. The surface was zinc (Zn)-modified via sputtering-based plasma immersion ion implantation (S-PIII), followed by chemical immobilization of a biomimetic polymer, 2-methacryloyloxyethyl phosphorylcholine (MPC), to create a hybrid surface with enhanced mechanical stability and optical transparency. Anti-inflammatory properties and biocompatibility were evaluated by analyzing cellular responses of lens epithelial cells and macrophages. In vivo performance was assessed by implanting the modified IOLs into rabbit eyes and evaluating tissue responses after four weeks.",
        "Results": "The MPC/Zn hybrid surface significantly improved surface hydrophilicity while maintaining mechanical stability under both dry and wet conditions. In vitro results demonstrated that the synergistic effects of MPC and Zn effectively suppressed the adhesion and proliferation of lens epithelial cells and macrophages. In vivo experiments showed a significant reduction in foreign body reactions and inflammatory responses after four weeks.",
        "Conclusions": "The proposed MPC immobilization and Zn implantation-based hybrid surface modification strategy enhances biocompatibility and anti-inflammatory properties of PDMS IOLs, demonstrating potential as a clinically applicable approach for reducing postoperative complications such as PCO."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCAT554",
      "abstract_number": "POCAT554",
      "title": "Refractive Surprise After Cataract Surgery And Intraocular Lens Mislabelling",
      "authors": "Dr Aliki Panagiotis Liaska",
      "presenter": "Dr Aliki Panagiotis Liaska",
      "normalized_authors": [
        "Aliki Panagiotis Liaska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aliki Panagiotis Liaska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Refractive surprise, consisting of 0.5 dioptre or more of non-planned ametropia after cataract surgery may be frustrating for both patient and surgeon. Several studies have tried to reveal risk factors related to the eye’s characteristics or the biometry formulae. The factor of intraocular lens (IOL) mislabelling in relation to its true refractive power has only recently been identified. The purpose of the study is to unveil -among other factors-the relevance of IOL mislabelling to refractive surprise",
        "Setting": "Department of Ophthalmology, General Hospital of Lamia, Lamia, Greece",
        "Methods": "Data from files of 1588 consecutive cataract surgeries performed in adults in the years 2024-2025 were retrospectively analysed. All surgeries were performed by the same surgeon and biometry was done with Alcon Ocuscan using the SRK-T formula. Dry eye disease, Salzmann's nodular dystrophy, and pterygia were addressed before performing cataract surgery to optimize the ocular surface, obtain quality preoperative measurements, and determine the appropriate IOLs. 3 keratometry and 30 axial length measurements were obtained from each eye. Data collected were patient demographics, postoperative refractive status, preoperative eye’s characteristics and type of IOL. Multifactorial analysis was used to identify the significant risk factors.",
        "Results": "Previous pterygium surgery and shorter eyes had a higher risk for refractive surprise. There were not statistically significant differences in refractive surprise frequencies in relation to the IOL used. However, there was a male patient with +2.00 D postoperative refractive outcome who after thorough further verification underwent IOL exchange with a different type but same power IOL.",
        "Conclusions": "IOL mislabelling is identified as a risk factor of postoperative refractive surprise. Large registries may offer adequate data on this factor and contribute to the quality assessment of various types of IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IOL mislabelling is identified as a risk factor of postoperative refractive surprise. Large registries may offer adequate data on this factor and contribute to the quality assessment of various types of IOLs.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 592,
      "source_fields": {
        "Abstract Final Identifier": "POCAT554",
        "Title": "Refractive Surprise After Cataract Surgery And Intraocular Lens Mislabelling",
        "Presenting Author(s)": "Dr Aliki Panagiotis Liaska",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Aliki",
        "Submitter Middle Name": "Panagiotis",
        "Submitter Last Name": "Liaska",
        "Country Name": "Greece",
        "Purpose": "Refractive surprise, consisting of 0.5 dioptre or more of non-planned ametropia after cataract surgery may be frustrating for both patient and surgeon. Several studies have tried to reveal risk factors related to the eye’s characteristics or the biometry formulae. The factor of intraocular lens (IOL) mislabelling in relation to its true refractive power has only recently been identified. The purpose of the study is to unveil -among other factors-the relevance of IOL mislabelling to refractive surprise",
        "Setting": "Department of Ophthalmology, General Hospital of Lamia, Lamia, Greece",
        "Methods": "Data from files of 1588 consecutive cataract surgeries performed in adults in the years 2024-2025 were retrospectively analysed. All surgeries were performed by the same surgeon and biometry was done with Alcon Ocuscan using the SRK-T formula. Dry eye disease, Salzmann's nodular dystrophy, and pterygia were addressed before performing cataract surgery to optimize the ocular surface, obtain quality preoperative measurements, and determine the appropriate IOLs. 3 keratometry and 30 axial length measurements were obtained from each eye. Data collected were patient demographics, postoperative refractive status, preoperative eye’s characteristics and type of IOL. Multifactorial analysis was used to identify the significant risk factors.",
        "Results": "Previous pterygium surgery and shorter eyes had a higher risk for refractive surprise. There were not statistically significant differences in refractive surprise frequencies in relation to the IOL used. However, there was a male patient with +2.00 D postoperative refractive outcome who after thorough further verification underwent IOL exchange with a different type but same power IOL.",
        "Conclusions": "IOL mislabelling is identified as a risk factor of postoperative refractive surprise. Large registries may offer adequate data on this factor and contribute to the quality assessment of various types of IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POCAT555",
      "abstract_number": "POCAT555",
      "title": "A Minimalistic Approach To The Modified Yamane Technique Scleral Fixated Intra-Ocular Lens-- Safer, Faster, More Economical And Consistently Reproducible Good Outcomes, With No Infusion Line Or Special Instruments Required.",
      "authors": "Prof. Dr Lik Thai Lim",
      "presenter": "Prof. Dr Lik Thai Lim",
      "normalized_authors": [
        "Lik Thai Lim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lik Thai Lim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To share surgical technique of performing a modified Yamane Technique sutureless scleral fixated intraocular lens (IOL) with a faster, safer, more economical minimalistic approach, without the use of infusion line and/or any special instruments. It is hoped that this simplified modified technique can give more inspiration and confidence for more ophthalmologists to perform, thus benefitting more patients world-wide.",
        "Setting": "This technique is performed in a standard cataract set-up operating theatre (OT) with the availability of a standard cataract surgical set, a hand-held low temperature cautery, two 26G x 12mm needles and a Sensar AR40e IOL suitable for a particular patient. It can be applicable to aphakic patients. This technique can also be applied in the same setting during the course of a primary cataract surgery when capsular support is lost, thereby minimising OT time and avoiding a secondary operation.",
        "Methods": "In the aphakic eye, standard Yamane Technique ocular surface markings are done. Two 26G x 12mm needles are introduced at 180 degrees apart at the medial and lateral aspect of the sclera 2mm behind the limbus. A 2.8mm keratome shelfed incision is done superiorly. Viscoelastic is then filled in the anterior chamber (AC). The three-piece IOL is slowly introduced into the AC. When the tip of the leading haptic is visible from the lens injector bevel, hand-shake technique is used to directly engage with the pre-placed needle, and with a tying forceps, trailing haptic is guided to engage with the other needle. Then both haptics are externalised and flanged with low-temperature hand-held cautery. No additional intruments required.",
        "Results": "By using the above described technique, the time taken to implant and flange the externalised haptics is usually less than 5 minutes . Consistent reproducible results whereby the IOL is successfully fixed using the above-mentioned method, in the desired central position and achieving a good visual acuity post-operatively is achieved, without the need of an infusion line and/or any other special instruments such as the vitreo-retinal micro-forceps.",
        "Conclusions": "The minimalistic approach Yamane Technique scleral fixated IOL, without infusion line and no need for special instruments such as vitreo-retina micro-forceps (which may not be readily available, and possibly costly) can be performed safely, efficiently, economically and consistently with good post-operative outcome. This technique can be applied to patients who are aphakic and also to situations during the primary cataract operation when the capsular support is lost-done in the same sitting, thereby avoiding a secondary operation. It is hoped that this simplified minimalistic modified technique can give more inspiration and confidence for more ophthalmologists to perform, thus benefitting more patients world-wide."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The minimalistic approach Yamane Technique scleral fixated IOL, without infusion line and no need for special instruments such as vitreo-retina micro-forceps (which may not be readily available, and possibly costly) can be performed safely, efficiently, economically and consistently with good post-operative outcome. This technique can be applied to patients who are aphakic and also to situations during the primary…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 593,
      "source_fields": {
        "Abstract Final Identifier": "POCAT555",
        "Title": "A Minimalistic Approach To The Modified Yamane Technique Scleral Fixated Intra-Ocular Lens-- Safer, Faster, More Economical And Consistently Reproducible Good Outcomes, With No Infusion Line Or Special Instruments Required.",
        "Presenting Author(s)": "Prof. Dr Lik Thai Lim",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Lik Thai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lim",
        "Country Name": "Malaysia",
        "Purpose": "To share surgical technique of performing a modified Yamane Technique sutureless scleral fixated intraocular lens (IOL) with a faster, safer, more economical minimalistic approach, without the use of infusion line and/or any special instruments. It is hoped that this simplified modified technique can give more inspiration and confidence for more ophthalmologists to perform, thus benefitting more patients world-wide.",
        "Setting": "This technique is performed in a standard cataract set-up operating theatre (OT) with the availability of a standard cataract surgical set, a hand-held low temperature cautery, two 26G x 12mm needles and a Sensar AR40e IOL suitable for a particular patient. It can be applicable to aphakic patients. This technique can also be applied in the same setting during the course of a primary cataract surgery when capsular support is lost, thereby minimising OT time and avoiding a secondary operation.",
        "Methods": "In the aphakic eye, standard Yamane Technique ocular surface markings are done. Two 26G x 12mm needles are introduced at 180 degrees apart at the medial and lateral aspect of the sclera 2mm behind the limbus. A 2.8mm keratome shelfed incision is done superiorly. Viscoelastic is then filled in the anterior chamber (AC). The three-piece IOL is slowly introduced into the AC. When the tip of the leading haptic is visible from the lens injector bevel, hand-shake technique is used to directly engage with the pre-placed needle, and with a tying forceps, trailing haptic is guided to engage with the other needle. Then both haptics are externalised and flanged with low-temperature hand-held cautery. No additional intruments required.",
        "Results": "By using the above described technique, the time taken to implant and flange the externalised haptics is usually less than 5 minutes . Consistent reproducible results whereby the IOL is successfully fixed using the above-mentioned method, in the desired central position and achieving a good visual acuity post-operatively is achieved, without the need of an infusion line and/or any other special instruments such as the vitreo-retinal micro-forceps.",
        "Conclusions": "The minimalistic approach Yamane Technique scleral fixated IOL, without infusion line and no need for special instruments such as vitreo-retina micro-forceps (which may not be readily available, and possibly costly) can be performed safely, efficiently, economically and consistently with good post-operative outcome. This technique can be applied to patients who are aphakic and also to situations during the primary cataract operation when the capsular support is lost-done in the same sitting, thereby avoiding a secondary operation. It is hoped that this simplified minimalistic modified technique can give more inspiration and confidence for more ophthalmologists to perform, thus benefitting more patients world-wide."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 425
    },
    {
      "uid": "POCAT556",
      "abstract_number": "POCAT556",
      "title": "Intraocular Pressure After Implantable Collamer Lens With Centraflow Without Iridotomy Versus Conventional Icl",
      "authors": "A/Prof. Neha Malik",
      "presenter": "A/Prof. Neha Malik",
      "normalized_authors": [
        "Neha Malik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Neha Malik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the intraocular pressure values during a 6 month period after implantation of the new vision implantable collaner lens with centraflow technology without iridotomy using a standard procedure followed by implantation of the conventional ICL model.",
        "Setting": "Single centre tertiary eye care hospital based comparativecstudy of patients undergoing implantable collaner lens implantation with centraflow versus conventional ICL",
        "Methods": "This study included 10 eyes implanted with the c onventional ICL model and 12 eyes implanted with the ICL centraflow model.the mean perspective spherical equivalent refractions were -8.48+-4.00D and -9.66+-3.2 D respectively.we compared the best corrected distance visual acuity before surgery with the uncorrected distance visual acuity after surgery.rhe intraocular pressure was measured at 1 week,3 months and 6 months after surgery.the central vault at 3 and 6 my nths were measured using OCT.",
        "Results": "6 months after surgery the mean uncorrected distance visual avuities were 6/6snellen chart in both the groupsmboth the grouod achieved the same or superior uncorrected distance visual acuity after surgery compared with preoperative BCVA.the mean distances between the ICL and anterior crystalline lens surface was 551+-210mm and 518+-248 mm for the conventional ICL and ICL with the centraflow (P=0.63).after 1 week,1month 3and 6months the mean IOPS were 13.7,13.2,13.3,13.5mm Hg and 14.7,14.9,14.9,15.1 mm Hg respectively.there were no significant differences in IOP within or between groups during the follow up period.(P>0.05) For all comparisons.",
        "Conclusions": "The new ICL with the centraflow design seems to provide similar results as it's predecessors for the correction of moderate to high nyopia and maintenance of safe IOL levels without iridotomy .this new development eliminate the need for a preoperative peripheral laser iridotomy or intraoperative peripheral iridectomy .it simplifies the surgical procedure and significantly reduces the complications associated with iridotomy such as hyphaema,inflammation,vitreous rhegmatogenous retinal detachment ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new ICL with the centraflow design seems to provide similar results as it's predecessors for the correction of moderate to high nyopia and maintenance of safe IOL levels without iridotomy .this new development eliminate the need for a preoperative peripheral laser iridotomy or intraoperative peripheral iridectomy .it simplifies the surgical procedure and significantly reduces the complications associated with…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 594,
      "source_fields": {
        "Abstract Final Identifier": "POCAT556",
        "Title": "Intraocular Pressure After Implantable Collamer Lens With Centraflow Without Iridotomy Versus Conventional Icl",
        "Presenting Author(s)": "A/Prof. Neha Malik",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Neha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Malik",
        "Country Name": "India",
        "Purpose": "To compare the intraocular pressure values during a 6 month period after implantation of the new vision implantable collaner lens with centraflow technology without iridotomy using a standard procedure followed by implantation of the conventional ICL model.",
        "Setting": "Single centre tertiary eye care hospital based comparativecstudy of patients undergoing implantable collaner lens implantation with centraflow versus conventional ICL",
        "Methods": "This study included 10 eyes implanted with the c onventional ICL model and 12 eyes implanted with the ICL centraflow model.the mean perspective spherical equivalent refractions were -8.48+-4.00D and -9.66+-3.2 D respectively.we compared the best corrected distance visual acuity before surgery with the uncorrected distance visual acuity after surgery.rhe intraocular pressure was measured at 1 week,3 months and 6 months after surgery.the central vault at 3 and 6 my nths were measured using OCT.",
        "Results": "6 months after surgery the mean uncorrected distance visual avuities were 6/6snellen chart in both the groupsmboth the grouod achieved the same or superior uncorrected distance visual acuity after surgery compared with preoperative BCVA.the mean distances between the ICL and anterior crystalline lens surface was 551+-210mm and 518+-248 mm for the conventional ICL and ICL with the centraflow (P=0.63).after 1 week,1month 3and 6months the mean IOPS were 13.7,13.2,13.3,13.5mm Hg and 14.7,14.9,14.9,15.1 mm Hg respectively.there were no significant differences in IOP within or between groups during the follow up period.(P>0.05) For all comparisons.",
        "Conclusions": "The new ICL with the centraflow design seems to provide similar results as it's predecessors for the correction of moderate to high nyopia and maintenance of safe IOL levels without iridotomy .this new development eliminate the need for a preoperative peripheral laser iridotomy or intraoperative peripheral iridectomy .it simplifies the surgical procedure and significantly reduces the complications associated with iridotomy such as hyphaema,inflammation,vitreous rhegmatogenous retinal detachment ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "POCAT557",
      "abstract_number": "POCAT557",
      "title": "Outcomes Of Sutureless Scleral-Fixated Intraocular Lens Implantation Using A Modified Yamane Technique Performed By Anterior Segment Surgeons",
      "authors": "Dr Basma Matar",
      "presenter": "Dr Basma Matar",
      "normalized_authors": [
        "Basma Matar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Basma Matar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate the visual outcomes, refractive predictability, and safety profile of sutureless scleral-fixated intraocular lens (IOL) implantation using a modified Yamane technique when performed by anterior segment surgeons.",
        "Setting": "This retrospective, consecutive case series was conducted at a tertiary referral ophthalmology center.",
        "Methods": "All patients who underwent sutureless scleral fixation of a three-piece intraocular lens (Sensar AR40) using a modified Yamane technique performed by a single anterior segment–trained surgeon were included. Baseline demographic and clinical characteristics, surgical indication, postoperative visual and refractive outcomes, and intraoperative and postoperative adverse events were analyzed. Outcomes were assessed through the final available follow-up visit.",
        "Results": "A total of 65 eyes were included, with a mean follow-up duration of 18 ± 6.0 months . Surgical indications included IOL subluxation or dislocation in 71% of cases, aphakia in 25%, opacified IOL in 2%, and IOL intolerance in 2%. Best-corrected visual acuity improved significantly from a preoperative mean of 1.10 ± 0.80 logMAR to 0.47 ± 0.51 logMAR at final follow-up (p < 0.001). Refractive outcomes were favorable, with 85% of eyes achieving a postoperative spherical equivalent within ±0.50 diopters of target. Secondary surgical intervention was required in 18% of eyes. Additional postoperative complications included vitreous hemorrhage (11%), cystoid macular edema (9%), layered hyphema (8%), and serous choroidal detachment (6%).",
        "Conclusions": "Sutureless scleral fixation of the Sensar AR40 intraocular lens using a modified Yamane technique was associated with significant visual improvement and good refractive accuracy in this cohort. P ostoperative complication rates were comparable to those reported by posterior segment surgeons. These findings support the feasibility of this procedure in the hands of anterior segment surgeons, while underscoring the importance of careful postoperative surveillance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sutureless scleral fixation of the Sensar AR40 intraocular lens using a modified Yamane technique was associated with significant visual improvement and good refractive accuracy in this cohort. P ostoperative complication rates were comparable to those reported by posterior segment surgeons. These findings support the feasibility of this procedure in the hands of anterior segment surgeons, while underscoring the…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 595,
      "source_fields": {
        "Abstract Final Identifier": "POCAT557",
        "Title": "Outcomes Of Sutureless Scleral-Fixated Intraocular Lens Implantation Using A Modified Yamane Technique Performed By Anterior Segment Surgeons",
        "Presenting Author(s)": "Dr Basma Matar",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Basma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Matar",
        "Country Name": "Canada",
        "Purpose": "To evaluate the visual outcomes, refractive predictability, and safety profile of sutureless scleral-fixated intraocular lens (IOL) implantation using a modified Yamane technique when performed by anterior segment surgeons.",
        "Setting": "This retrospective, consecutive case series was conducted at a tertiary referral ophthalmology center.",
        "Methods": "All patients who underwent sutureless scleral fixation of a three-piece intraocular lens (Sensar AR40) using a modified Yamane technique performed by a single anterior segment–trained surgeon were included. Baseline demographic and clinical characteristics, surgical indication, postoperative visual and refractive outcomes, and intraoperative and postoperative adverse events were analyzed. Outcomes were assessed through the final available follow-up visit.",
        "Results": "A total of 65 eyes were included, with a mean follow-up duration of 18 ± 6.0 months . Surgical indications included IOL subluxation or dislocation in 71% of cases, aphakia in 25%, opacified IOL in 2%, and IOL intolerance in 2%. Best-corrected visual acuity improved significantly from a preoperative mean of 1.10 ± 0.80 logMAR to 0.47 ± 0.51 logMAR at final follow-up (p < 0.001). Refractive outcomes were favorable, with 85% of eyes achieving a postoperative spherical equivalent within ±0.50 diopters of target. Secondary surgical intervention was required in 18% of eyes. Additional postoperative complications included vitreous hemorrhage (11%), cystoid macular edema (9%), layered hyphema (8%), and serous choroidal detachment (6%).",
        "Conclusions": "Sutureless scleral fixation of the Sensar AR40 intraocular lens using a modified Yamane technique was associated with significant visual improvement and good refractive accuracy in this cohort. P ostoperative complication rates were comparable to those reported by posterior segment surgeons. These findings support the feasibility of this procedure in the hands of anterior segment surgeons, while underscoring the importance of careful postoperative surveillance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCAT558",
      "abstract_number": "POCAT558",
      "title": "Scleral Fixation With Mccabe Belt Loop Technique- A Clinical Audit Of Outcomes And Stability In Complex Intraocular Lens (Iol) Rescue.",
      "authors": "Dr Amy Mohan",
      "presenter": "Dr Amy Mohan",
      "normalized_authors": [
        "Amy Mohan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amy Mohan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess primary outcome of postoperative Intraocular lens (IOL) stability, alongside secondary visual and safety outcomes following McCabe belt loop flanged intrascleral fixation technique as a rescue strategy for dislocated intraocular lens.",
        "Setting": "Audit conducted at the Department of Ophthalmology, Frimley Park NHS FoundationTrust Hospital, Surrey, United Kingdom.",
        "Methods": "A retrospective clinical audit conducted on 8 eyes of 7 patients who underwent scleral fixation of IOL using McCabe technique between June 2023 and October 2025.The surgical procedure involved marking incisions from the limbus,creating 6-0 prolene belt loop around existing IOL haptic,externalised using 27-G needles.The suture ends are cauterised to create terminal bulbs(rivets) and buried within the sclerostomy tracks.The primary outcome measure was IOL stability,assessed by slit lamp biomicroscopy at 1 week,3 months and 6 months,postoperatively.Secondary outcomes included best corrected visual acuity and incidence of postoperative complications(Ocular hypertension,Uveitis Glaucoma Hyphema syndrome,cystoid macular oedema and flange erosion)",
        "Results": "This audit involved complex eyes (history of trauma, retinal detachment surgery, glaucoma, and pseudoexfoliation) with a 3-month mean follow-up. Cases comprised 7 in-the-bag dislocated IOLs and 1 scleral-fixated Akreos lens. Intraoperative complications included one case each of corneal epithelial burn and silicone oil prolapse. Primary IOL stability was achieved in 87.5% at 3 months. Post-operative, 1 patient required secondary intervention for IOL decentration; there was 1 instance of elevated IOP and 1 of corneal edema. No occurence of CME, UGH syndrome, or suture related complications. Visual acuity improved in 4/8 eyes, remained stable in 2/8. Visual decline noted in 2 patients attributed to pre-existing AMD and progressive glaucoma.",
        "Conclusions": "The McCabe belt loop technique is an elegant,safe and robust rescue procedure for IOL dislocation, demonstrating consistent anatomical stability and predictable visual outcomes in majority of cases. While this audit supports the use of McCabe technique as a reliable alternative to other methods of intraocular lens fixation, particularly in complex eyes where minimising surgical trauma is critical, the findings are limited by small sample size (N =8) and short term follow up. These preliminary results warrant further investigation with larger, prospective cohorts to assess long term suture integrity, quantitative analysis of IOL position and potential for late onset IOL decentration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The McCabe belt loop technique is an elegant,safe and robust rescue procedure for IOL dislocation, demonstrating consistent anatomical stability and predictable visual outcomes in majority of cases. While this audit supports the use of McCabe technique as a reliable alternative to other methods of intraocular lens fixation, particularly in complex eyes where minimising surgical trauma is critical, the findings are…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 596,
      "source_fields": {
        "Abstract Final Identifier": "POCAT558",
        "Title": "Scleral Fixation With Mccabe Belt Loop Technique- A Clinical Audit Of Outcomes And Stability In Complex Intraocular Lens (Iol) Rescue.",
        "Presenting Author(s)": "Dr Amy Mohan",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Amy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mohan",
        "Country Name": "United Kingdom",
        "Purpose": "To assess primary outcome of postoperative Intraocular lens (IOL) stability, alongside secondary visual and safety outcomes following McCabe belt loop flanged intrascleral fixation technique as a rescue strategy for dislocated intraocular lens.",
        "Setting": "Audit conducted at the Department of Ophthalmology, Frimley Park NHS FoundationTrust Hospital, Surrey, United Kingdom.",
        "Methods": "A retrospective clinical audit conducted on 8 eyes of 7 patients who underwent scleral fixation of IOL using McCabe technique between June 2023 and October 2025.The surgical procedure involved marking incisions from the limbus,creating 6-0 prolene belt loop around existing IOL haptic,externalised using 27-G needles.The suture ends are cauterised to create terminal bulbs(rivets) and buried within the sclerostomy tracks.The primary outcome measure was IOL stability,assessed by slit lamp biomicroscopy at 1 week,3 months and 6 months,postoperatively.Secondary outcomes included best corrected visual acuity and incidence of postoperative complications(Ocular hypertension,Uveitis Glaucoma Hyphema syndrome,cystoid macular oedema and flange erosion)",
        "Results": "This audit involved complex eyes (history of trauma, retinal detachment surgery, glaucoma, and pseudoexfoliation) with a 3-month mean follow-up. Cases comprised 7 in-the-bag dislocated IOLs and 1 scleral-fixated Akreos lens. Intraoperative complications included one case each of corneal epithelial burn and silicone oil prolapse. Primary IOL stability was achieved in 87.5% at 3 months. Post-operative, 1 patient required secondary intervention for IOL decentration; there was 1 instance of elevated IOP and 1 of corneal edema. No occurence of CME, UGH syndrome, or suture related complications. Visual acuity improved in 4/8 eyes, remained stable in 2/8. Visual decline noted in 2 patients attributed to pre-existing AMD and progressive glaucoma.",
        "Conclusions": "The McCabe belt loop technique is an elegant,safe and robust rescue procedure for IOL dislocation, demonstrating consistent anatomical stability and predictable visual outcomes in majority of cases. While this audit supports the use of McCabe technique as a reliable alternative to other methods of intraocular lens fixation, particularly in complex eyes where minimising surgical trauma is critical, the findings are limited by small sample size (N =8) and short term follow up. These preliminary results warrant further investigation with larger, prospective cohorts to assess long term suture integrity, quantitative analysis of IOL position and potential for late onset IOL decentration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POCAT559",
      "abstract_number": "POCAT559",
      "title": "Retrospective Study Of Comparative Clinical Outcomes After Cataract Surgery With Tecnis Puresee™ And Tecnis Eyhance™ Intraocular Lenses",
      "authors": "Dr Nabila Jones",
      "presenter": "Dr Nabila Jones",
      "normalized_authors": [
        "Nabila Jones"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare visual and refractive outcomes of two intraocular lens models (IOLs): TECNIS PureSee/PureSee toric (a newer partial depth of field extended (Partial DOFi-Ex)) IOL with the more established Eyhance/Eyhance toric IOL (partial depth of field enhanced (Partial DOFi-En)) IOL implanted bilaterally following cataract surgery.",
        "Setting": "Optegra Eye Health Care, UK",
        "Methods": "A retrospective analysis was conducted on 176 cataract procedures (88 eyes Eyhance/Eyhance toric IOL, 88 eyes PureSee/Puresee toric IOL), targeting emmetropia in all cases. Data were collated from the electronic medical records for analysis. Postoperative monocular and binocular uncorrected distance (UDVA), and near (UNVA) visual acuities, and refractive accuracy were evaluated. Eyes with reason for guarded visual prognosis and/or less than a week’s follow-up were excluded from analysis.",
        "Results": "There were no differences between groups for age and no reported operative complications. Postoperative monocular UDVA was better in the PureSee group (0.03 ±0.09 logMAR vs. 0.08 ±0.13 logMAR (p<0.05). Mean binocular distance vision for the PureSee group (N=44) was -0.03 ±0.06 and for the Eyhance cohort (N=44) it was 0.01 ±0.09 logMAR (p<0.001). Mean monocular near vision (UNVA) for the PureSee group (N=44) was 0.37 ±0.12 and for the Eyhance cohort (N=44) it was 0.46±0.20 logMAR (p<0.001). Binocular near visual acuity was 0.30 ±0.13 for the PureSee group and 0.37 ±0.18 for the Eyhance group. Refractive accuracy (within ±0.50 D of predicted postoperative refraction) was comparable between groups (76% PureSee vs. 77% Eyhance; p>0.05).",
        "Conclusions": "Both PureSee and Eyhance demonstrated good visual outcomes and refractive accuracy, with PureSee comparing favourably to Eyhance for the key metrics assessed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both PureSee and Eyhance demonstrated good visual outcomes and refractive accuracy, with PureSee comparing favourably to Eyhance for the key metrics assessed.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 597,
      "source_fields": {
        "Abstract Final Identifier": "POCAT559",
        "Title": "Retrospective Study Of Comparative Clinical Outcomes After Cataract Surgery With Tecnis Puresee™ And Tecnis Eyhance™ Intraocular Lenses",
        "Presenting Author(s)": "Dr Nabila Jones",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To compare visual and refractive outcomes of two intraocular lens models (IOLs): TECNIS PureSee/PureSee toric (a newer partial depth of field extended (Partial DOFi-Ex)) IOL with the more established Eyhance/Eyhance toric IOL (partial depth of field enhanced (Partial DOFi-En)) IOL implanted bilaterally following cataract surgery.",
        "Setting": "Optegra Eye Health Care, UK",
        "Methods": "A retrospective analysis was conducted on 176 cataract procedures (88 eyes Eyhance/Eyhance toric IOL, 88 eyes PureSee/Puresee toric IOL), targeting emmetropia in all cases. Data were collated from the electronic medical records for analysis. Postoperative monocular and binocular uncorrected distance (UDVA), and near (UNVA) visual acuities, and refractive accuracy were evaluated. Eyes with reason for guarded visual prognosis and/or less than a week’s follow-up were excluded from analysis.",
        "Results": "There were no differences between groups for age and no reported operative complications. Postoperative monocular UDVA was better in the PureSee group (0.03 ±0.09 logMAR vs. 0.08 ±0.13 logMAR (p<0.05). Mean binocular distance vision for the PureSee group (N=44) was -0.03 ±0.06 and for the Eyhance cohort (N=44) it was 0.01 ±0.09 logMAR (p<0.001). Mean monocular near vision (UNVA) for the PureSee group (N=44) was 0.37 ±0.12 and for the Eyhance cohort (N=44) it was 0.46±0.20 logMAR (p<0.001). Binocular near visual acuity was 0.30 ±0.13 for the PureSee group and 0.37 ±0.18 for the Eyhance group. Refractive accuracy (within ±0.50 D of predicted postoperative refraction) was comparable between groups (76% PureSee vs. 77% Eyhance; p>0.05).",
        "Conclusions": "Both PureSee and Eyhance demonstrated good visual outcomes and refractive accuracy, with PureSee comparing favourably to Eyhance for the key metrics assessed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCAT560",
      "abstract_number": "POCAT560",
      "title": "Hybrid Bilateral Strategy For Refractive Lensectomy: Outcomes Of Puresee/Odyssey Versus Puresee/At Lisa—A Retrospective Audit",
      "authors": "Mr Shafiq Rehman",
      "presenter": "Mr Shafiq Rehman",
      "normalized_authors": [
        "Shafiq Rehman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report early clinical and patient-reported outcomes of hybrid “mix-and-match” bilateral IOL strategies combining PureSee Partial Depth of Field–Extended, (Partial DOFi-Ex) with either AT LISA or Odyssey Full Depth of Field IOLs in refractive lens exchange and cataract patients.",
        "Setting": "Optegra Eye Health Care, UK",
        "Methods": "Retrospective audit of surgeries between January–December 2025. Two bilateral IOL cohorts were analysed:PureSee+ATLISA (n=65) and PureSee+Odyssey (n=15). Eyes with co-pathology were excluded. Toric IOLs were implanted in 59% and 57% of cases respectively. Mean patient age was 61±10 years in the PureSee+ATLISA cohort and was 60±6 years in the PureSee+Odyssey cohort. Monocular and binocular unaided distance visual acuity (UDVA) and unaided near visual acuity (UNVA) were assessed. Where binocular VA was unavailable, best monocular UDVA was used. Descriptive statistics were performed in Excel and Patient Reported Outcomes (PROMs) were evaluated using Natural Language Processing (NLP) based sentiment analysis of free text notes (Python).",
        "Results": "Mean follow-up was 121 ± 65 days (range 7–292) for PureSee+AT LISAand 29 ± 30 days (range 7–96) for PureSee+Odyssey. % of patients achieving 20/20 or better binocular UDVA was higher in PureSee+AT LISA (91%) than PureSee+Odyssey (67%). % achieving 0.4 LogMAR or better UNVA was high in both cohorts (PureSee+AT LISA 88% vs PureSee+Odyssey 87%). PROMs analysis revealed PureSee+AT LISA showed predominantly positive sentiment (positive 67.59%, neutral 0.93%, negative 31.48%). PureSee+Odyssey demonstrated a polarised profile (positive 50.00%, neutral 0.00%, negative 50.00%). Only 6% of all respondents across both cohorts explicitly mentioned dysphotopsia within negative comments.",
        "Conclusions": "In this early single centre experience, the hybrid PureSee+AT LISA strategy yielded better binocular distance acuity and more favourable, less polarised patient reported sentiment than PureSee+Odyssey, while near acuity was excellent and comparable in both cohorts. Interpretation should acknowlege the smaller sample size and substantially shorter follow up in the Odyssey cohort, as well as the use of best monocular UDVA as a proxy where binocular data were unavailable. Larger, prospective studies with balanced cohorts, standardised follow up, and predefined clinical and PROMs endpoints are warranted to validate these preliminary observations and to further characterise the low rate of reported dysphotopsia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this early single centre experience, the hybrid PureSee+AT LISA strategy yielded better binocular distance acuity and more favourable, less polarised patient reported sentiment than PureSee+Odyssey, while near acuity was excellent and comparable in both cohorts. Interpretation should acknowlege the smaller sample size and substantially shorter follow up in the Odyssey cohort, as well as the use of best monocular…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 598,
      "source_fields": {
        "Abstract Final Identifier": "POCAT560",
        "Title": "Hybrid Bilateral Strategy For Refractive Lensectomy: Outcomes Of Puresee/Odyssey Versus Puresee/At Lisa—A Retrospective Audit",
        "Presenting Author(s)": "Mr Shafiq Rehman",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To report early clinical and patient-reported outcomes of hybrid “mix-and-match” bilateral IOL strategies combining PureSee Partial Depth of Field–Extended, (Partial DOFi-Ex) with either AT LISA or Odyssey Full Depth of Field IOLs in refractive lens exchange and cataract patients.",
        "Setting": "Optegra Eye Health Care, UK",
        "Methods": "Retrospective audit of surgeries between January–December 2025. Two bilateral IOL cohorts were analysed:PureSee+ATLISA (n=65) and PureSee+Odyssey (n=15). Eyes with co-pathology were excluded. Toric IOLs were implanted in 59% and 57% of cases respectively. Mean patient age was 61±10 years in the PureSee+ATLISA cohort and was 60±6 years in the PureSee+Odyssey cohort. Monocular and binocular unaided distance visual acuity (UDVA) and unaided near visual acuity (UNVA) were assessed. Where binocular VA was unavailable, best monocular UDVA was used. Descriptive statistics were performed in Excel and Patient Reported Outcomes (PROMs) were evaluated using Natural Language Processing (NLP) based sentiment analysis of free text notes (Python).",
        "Results": "Mean follow-up was 121 ± 65 days (range 7–292) for PureSee+AT LISAand 29 ± 30 days (range 7–96) for PureSee+Odyssey. % of patients achieving 20/20 or better binocular UDVA was higher in PureSee+AT LISA (91%) than PureSee+Odyssey (67%). % achieving 0.4 LogMAR or better UNVA was high in both cohorts (PureSee+AT LISA 88% vs PureSee+Odyssey 87%). PROMs analysis revealed PureSee+AT LISA showed predominantly positive sentiment (positive 67.59%, neutral 0.93%, negative 31.48%). PureSee+Odyssey demonstrated a polarised profile (positive 50.00%, neutral 0.00%, negative 50.00%). Only 6% of all respondents across both cohorts explicitly mentioned dysphotopsia within negative comments.",
        "Conclusions": "In this early single centre experience, the hybrid PureSee+AT LISA strategy yielded better binocular distance acuity and more favourable, less polarised patient reported sentiment than PureSee+Odyssey, while near acuity was excellent and comparable in both cohorts. Interpretation should acknowlege the smaller sample size and substantially shorter follow up in the Odyssey cohort, as well as the use of best monocular UDVA as a proxy where binocular data were unavailable. Larger, prospective studies with balanced cohorts, standardised follow up, and predefined clinical and PROMs endpoints are warranted to validate these preliminary observations and to further characterise the low rate of reported dysphotopsia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "POCAT561",
      "abstract_number": "POCAT561",
      "title": "Visual And Refractive Outcomes, Contrast Sensitivity And Patient-Reported Outcomes At Three Months After Bilateral Implantation Of An Ai-Designed Spiral Full-Range Focus Intraocular Lens",
      "authors": "Dr Fernando Llovet Llovet",
      "presenter": "Dr Fernando Llovet Llovet",
      "normalized_authors": [
        "Fernando Llovet Llovet"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fernando Llovet Osuna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the clinical performance of a full-range focus intraocular lens with AI-designed spiral optics by assessing visual and refractive outcomes, defocus curve, contrast sensitivity, and patient-reported outcomes at three months following bilateral implantation.",
        "Setting": "Clinica Baviera Aier Group, Valencia, Spain",
        "Methods": "This prospective study included 110 patients who underwent bilateral cataract or refractive lens exchange surgery with implantation of the RayOne Galaxy IOL. Postoperative assessments were conducted at three months. Visual acuity was measured monocularly and binocularly at different distances: uncorrected distance (UDVA) and corrected distance (CDVA) at 4 m, uncorrected intermediate (UIVA) and distance-corrected intermediate (DCIVA) at 66 cm, and uncorrected near (UNVA) and distance-corrected near (DCNVA) at 40 cm. Defocus curve and contrast sensitivity (CS) were assessed binocularly. Patient-reported outcome measures (PROMs) included CatQUEST-9SF, QUVID, RayPRO, and a self-developed patient questionnaire.",
        "Results": "At three months, mean binocular visual acuity (VA) (logMAR) was: UDVA 0.00 ± 0.04 and CDVA −0.01 ± 0.03; UIVA 0.06 ± 0.06 and DCIVA 0.06 ± 0.06; UNVA 0.10 ± 0.07 and DCNVA 0.10 ± 0.07. Overall, 100% achieved binocular VA ≥0.2 logMAR at distance and intermediate, and 97% at near. Binocular defocus curve showed a smooth plateau maintaining VA ≥0.2 logMAR across ~4.0 D range, with mean VA values of −0.01 ± 0.03 logMAR at far, 0.02 ± 0.04 logMAR at intermediate, and 0.13 ± 0.07 logMAR at near. Binocular CS at 3, 6, 12, and 18 cycles per degree was 2.08 ± 0.02, 2.16 ± 0.15, 1.83 ± 0.19, and 1.45 ± 0.26 log units, respectively. PROMs indicated low impact of dysphotopsias, high levels of satisfaction and spectacle independence.",
        "Conclusions": "Binocular visual acuity at three months was excellent at distance, intermediate, and near. The results demonstrate that the Galaxy IOL with a unique spiral design provides high visual quality across multiple distances. Patient-reported outcomes indicate high levels of satisfaction and spectacle independence, supporting the lens as an effective option for achieving functional vision comparable to diffractive trifocal IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Binocular visual acuity at three months was excellent at distance, intermediate, and near. The results demonstrate that the Galaxy IOL with a unique spiral design provides high visual quality across multiple distances. Patient-reported outcomes indicate high levels of satisfaction and spectacle independence, supporting the lens as an effective option for achieving functional vision comparable to diffractive…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 599,
      "source_fields": {
        "Abstract Final Identifier": "POCAT561",
        "Title": "Visual And Refractive Outcomes, Contrast Sensitivity And Patient-Reported Outcomes At Three Months After Bilateral Implantation Of An Ai-Designed Spiral Full-Range Focus Intraocular Lens",
        "Presenting Author(s)": "Dr Fernando Llovet Llovet",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Fernando",
        "Submitter Middle Name": "Llovet",
        "Submitter Last Name": "Osuna",
        "Country Name": "Spain",
        "Purpose": "To evaluate the clinical performance of a full-range focus intraocular lens with AI-designed spiral optics by assessing visual and refractive outcomes, defocus curve, contrast sensitivity, and patient-reported outcomes at three months following bilateral implantation.",
        "Setting": "Clinica Baviera Aier Group, Valencia, Spain",
        "Methods": "This prospective study included 110 patients who underwent bilateral cataract or refractive lens exchange surgery with implantation of the RayOne Galaxy IOL. Postoperative assessments were conducted at three months. Visual acuity was measured monocularly and binocularly at different distances: uncorrected distance (UDVA) and corrected distance (CDVA) at 4 m, uncorrected intermediate (UIVA) and distance-corrected intermediate (DCIVA) at 66 cm, and uncorrected near (UNVA) and distance-corrected near (DCNVA) at 40 cm. Defocus curve and contrast sensitivity (CS) were assessed binocularly. Patient-reported outcome measures (PROMs) included CatQUEST-9SF, QUVID, RayPRO, and a self-developed patient questionnaire.",
        "Results": "At three months, mean binocular visual acuity (VA) (logMAR) was: UDVA 0.00 ± 0.04 and CDVA −0.01 ± 0.03; UIVA 0.06 ± 0.06 and DCIVA 0.06 ± 0.06; UNVA 0.10 ± 0.07 and DCNVA 0.10 ± 0.07. Overall, 100% achieved binocular VA ≥0.2 logMAR at distance and intermediate, and 97% at near. Binocular defocus curve showed a smooth plateau maintaining VA ≥0.2 logMAR across ~4.0 D range, with mean VA values of −0.01 ± 0.03 logMAR at far, 0.02 ± 0.04 logMAR at intermediate, and 0.13 ± 0.07 logMAR at near. Binocular CS at 3, 6, 12, and 18 cycles per degree was 2.08 ± 0.02, 2.16 ± 0.15, 1.83 ± 0.19, and 1.45 ± 0.26 log units, respectively. PROMs indicated low impact of dysphotopsias, high levels of satisfaction and spectacle independence.",
        "Conclusions": "Binocular visual acuity at three months was excellent at distance, intermediate, and near. The results demonstrate that the Galaxy IOL with a unique spiral design provides high visual quality across multiple distances. Patient-reported outcomes indicate high levels of satisfaction and spectacle independence, supporting the lens as an effective option for achieving functional vision comparable to diffractive trifocal IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "POCAT562",
      "abstract_number": "POCAT562",
      "title": "Refractive Outcomes Of A Supplementary Sulcus-Fixated Intraocular Lens For Residual Refractive Error After Cataract Surgery In Eyes With Prior Laser Vision Correction",
      "authors": "Dr Francisco Palma-Carvajal",
      "presenter": "Dr Francisco Palma-Carvajal",
      "normalized_authors": [
        "Francisco Palma-Carvajal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisco Palma-Carvajal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Achieving accurate refractive outcomes after cataract surgery in eyes with prior laser vision correction (LVC) remains challenging due to altered corneal parameters and limitations in intraocular lens (IOL) power calculation. Residual refractive error may compromise visual outcomes and patient satisfaction. Supplementary sulcus-fixated intraocular lenses provide a reversible option for correcting postoperative refractive surprises. This study aimed to evaluate the refractive outcomes and safety of supplementary sulcus-fixated IOL implantation for the management of residual refractive error after cataract surgery in eyes with previous LVC.",
        "Setting": "Retrospective case series conducted at a tertiary referral center for cataract and refractive surgery in Barcelona, Spain.",
        "Methods": "Seven eyes with prior laser vision correction underwent implantation of a supplementary sulcus-fixated intraocular lens (Rayner Sulcoflex) to correct residual refractive error following cataract surgery. Pre- and postoperative data included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction (spherical equivalent [SE] and cylinder), and endothelial cell density (ECD) when available. Refractive predictability was assessed as the proportion of eyes within ±0.50 D and ±1.00 D of the intended refractive target. Safety outcomes included changes in CDVA and ECD.",
        "Results": "Mean SE improved from −2.16 D preoperatively to −0.48 D postoperatively. Refractive accuracy was high, with 86% (6/7) of eyes within ±0.50 D and 100% (7/7) within ±1.00 D of target. Mean UDVA improved from 0.48 to 0.76, while CDVA remained stable (0.90 vs 0.91), with no loss of lines. Mean follow-up was 10 months (range 2–24). In eyes with ECD data (n=3), mean ECD changed from 2479 to 2204 cells/mm².",
        "Conclusions": "Sulcus implantation of the Rayner Sulcoflex supplementary IOL appears to be a safe and effective option for correcting residual refractive error after cataract surgery in eyes with prior laser vision correction. The technique demonstrated good refractive predictability and improvement in uncorrected visual acuity without loss of corrected vision. No intraoperative or postoperative complications were observed, and endothelial cell counts remained stable in eyes with available measurements. Sulcoflex implantation represents a valuable strategy for managing postoperative refractive surprises in this challenging patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sulcus implantation of the Rayner Sulcoflex supplementary IOL appears to be a safe and effective option for correcting residual refractive error after cataract surgery in eyes with prior laser vision correction. The technique demonstrated good refractive predictability and improvement in uncorrected visual acuity without loss of corrected vision. No intraoperative or postoperative complications were observed, and…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 600,
      "source_fields": {
        "Abstract Final Identifier": "POCAT562",
        "Title": "Refractive Outcomes Of A Supplementary Sulcus-Fixated Intraocular Lens For Residual Refractive Error After Cataract Surgery In Eyes With Prior Laser Vision Correction",
        "Presenting Author(s)": "Dr Francisco Palma-Carvajal",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Francisco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Palma-Carvajal",
        "Country Name": "Spain",
        "Purpose": "Achieving accurate refractive outcomes after cataract surgery in eyes with prior laser vision correction (LVC) remains challenging due to altered corneal parameters and limitations in intraocular lens (IOL) power calculation. Residual refractive error may compromise visual outcomes and patient satisfaction. Supplementary sulcus-fixated intraocular lenses provide a reversible option for correcting postoperative refractive surprises. This study aimed to evaluate the refractive outcomes and safety of supplementary sulcus-fixated IOL implantation for the management of residual refractive error after cataract surgery in eyes with previous LVC.",
        "Setting": "Retrospective case series conducted at a tertiary referral center for cataract and refractive surgery in Barcelona, Spain.",
        "Methods": "Seven eyes with prior laser vision correction underwent implantation of a supplementary sulcus-fixated intraocular lens (Rayner Sulcoflex) to correct residual refractive error following cataract surgery. Pre- and postoperative data included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction (spherical equivalent [SE] and cylinder), and endothelial cell density (ECD) when available. Refractive predictability was assessed as the proportion of eyes within ±0.50 D and ±1.00 D of the intended refractive target. Safety outcomes included changes in CDVA and ECD.",
        "Results": "Mean SE improved from −2.16 D preoperatively to −0.48 D postoperatively. Refractive accuracy was high, with 86% (6/7) of eyes within ±0.50 D and 100% (7/7) within ±1.00 D of target. Mean UDVA improved from 0.48 to 0.76, while CDVA remained stable (0.90 vs 0.91), with no loss of lines. Mean follow-up was 10 months (range 2–24). In eyes with ECD data (n=3), mean ECD changed from 2479 to 2204 cells/mm².",
        "Conclusions": "Sulcus implantation of the Rayner Sulcoflex supplementary IOL appears to be a safe and effective option for correcting residual refractive error after cataract surgery in eyes with prior laser vision correction. The technique demonstrated good refractive predictability and improvement in uncorrected visual acuity without loss of corrected vision. No intraoperative or postoperative complications were observed, and endothelial cell counts remained stable in eyes with available measurements. Sulcoflex implantation represents a valuable strategy for managing postoperative refractive surprises in this challenging patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "POCAT563",
      "abstract_number": "POCAT563",
      "title": "Intraocular Pressure Reduction Following Cataract Surgery: Associations With Lens And Anterior Segment Morphology",
      "authors": "Dr Konstantinos Pappelis",
      "presenter": "Dr Konstantinos Pappelis",
      "normalized_authors": [
        "Konstantinos Pappelis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Konstantinos Pappelis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To examine the association between pre-/post-operative anterior segment (AS) parameters and intraocular pressure (IOP) reduction, following phacoemulsification.",
        "Setting": "This prospective study is carried out in the Ophthalmology Clinic of Attikon University Hospital, a public tertiary center. Data collection is expected to end in August 2026.",
        "Methods": "One hundred patients recruited from the cataract office of our clinic and undergoing phacoemulsification in at least one eye will be included at the end of this study. Data from both eyes is being obtained, when available. IOP is measured pre- and post-operatively (14 days after steroid eyedrop cessation), by means of Goldmann Applanation Tonometry. Lens morphology (vault and thickness) and AS parameters (central corneal thickness, pupil diameter, white-to-white distance, anterior chamber depth, and anterior chamber angle characteristics) are quantified pre- and post-operatively (whenever applicable), by means of AS-OCT. Linear mixed models will be used in the statistical analysis, to account for inter-eye correlations.",
        "Results": "Upon completion of this study, we will have determined which (if any) lens- or AS-related variables are significant predictors of the already documented post-operative IOP reduction. Based on these variables, a reduced predictive model will be built.",
        "Conclusions": "Our study will provide additional insight on the poorly understood mechanisms behind IOP reduction post-phacoemulsification. The proposed model may be applied in independent populations, in order to assess its predictive ability. These findings may pertain to the future management of glaucoma patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study will provide additional insight on the poorly understood mechanisms behind IOP reduction post-phacoemulsification. The proposed model may be applied in independent populations, in order to assess its predictive ability. These findings may pertain to the future management of glaucoma patients.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 601,
      "source_fields": {
        "Abstract Final Identifier": "POCAT563",
        "Title": "Intraocular Pressure Reduction Following Cataract Surgery: Associations With Lens And Anterior Segment Morphology",
        "Presenting Author(s)": "Dr Konstantinos Pappelis",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Konstantinos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pappelis",
        "Country Name": "Greece",
        "Purpose": "To examine the association between pre-/post-operative anterior segment (AS) parameters and intraocular pressure (IOP) reduction, following phacoemulsification.",
        "Setting": "This prospective study is carried out in the Ophthalmology Clinic of Attikon University Hospital, a public tertiary center. Data collection is expected to end in August 2026.",
        "Methods": "One hundred patients recruited from the cataract office of our clinic and undergoing phacoemulsification in at least one eye will be included at the end of this study. Data from both eyes is being obtained, when available. IOP is measured pre- and post-operatively (14 days after steroid eyedrop cessation), by means of Goldmann Applanation Tonometry. Lens morphology (vault and thickness) and AS parameters (central corneal thickness, pupil diameter, white-to-white distance, anterior chamber depth, and anterior chamber angle characteristics) are quantified pre- and post-operatively (whenever applicable), by means of AS-OCT. Linear mixed models will be used in the statistical analysis, to account for inter-eye correlations.",
        "Results": "Upon completion of this study, we will have determined which (if any) lens- or AS-related variables are significant predictors of the already documented post-operative IOP reduction. Based on these variables, a reduced predictive model will be built.",
        "Conclusions": "Our study will provide additional insight on the poorly understood mechanisms behind IOP reduction post-phacoemulsification. The proposed model may be applied in independent populations, in order to assess its predictive ability. These findings may pertain to the future management of glaucoma patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POCAT564",
      "abstract_number": "POCAT564",
      "title": "Timing Matters: Visual And Surgical Outcomes Of Secondary Iol Implantation Performed During Vs After Pars Plana Vitrectomy",
      "authors": "Mrs Larissa Valério Pedrosa",
      "presenter": "Mrs Larissa Valério Pedrosa",
      "normalized_authors": [
        "Larissa Valério Pedrosa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Larissa Valério Pedrosa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "Secondary intraocular lens (IOL) implantation in aphakic or lens-destabilized eyes frequently requires pars plana vitrectomy (PPV). However, the ideal timing for IOL placement—simultaneous with PPV versus staged after prior PPV—remains uncertain. This study quantitatively compared postoperative outcomes between these two strategies and evaluated the influence of fixation technique and postoperative complications on visual results.",
        "Setting": "This retrospective observational study was conducted at the High-Performance Retina and Cataract Department of a public Ophthalmology Service in Belo Horizonte, Brazil.",
        "Methods": "A total of 91 eyes were assessed, of which 47 were excluded due to absence of secondary intraocular lens (IOL) implantation, insufficient documentation, or inadequate follow-up. Forty-four eyes undergoing secondary IOL implantation were divided into two groups: simultaneous pars plana vitrectomy (PPV) with IOL implantation (n = 27) and staged secondary IOL implantation after prior PPV (n = 17). Variables included pre and postoperative best-corrected visual acuity (BCVA), fixation technique (Yamane, 4-flanged, or 2-flanged), and postoperative complications, each analyzed as an individual event. Final BCVA was categorized as ≥20/40 (“good”), <20/40 (“poor”), or low vision (counting fingers, hand motion, or light perception).",
        "Results": "The 4-flanged technique predominated overall (27/44), whereas the Yamane technique was more frequently used in Group 1 (12/27). Good final BCVA (≥20/40) occurred in 11/17 eyes (64.7%) in Group 2 and 8/27 eyes (29.6%) in Group 1. At least one postoperative complication occurred in 13/27 eyes (48.1%) in Group 1 and 10/17 eyes (58.8%) in Group 2. After excluding posterior capsule opacification as a non-complication, both groups demonstrated 16 total complication events, corresponding to 0.59 events per eye in Group 1 and 0.94 per eye in Group 2.",
        "Conclusions": "Staged secondary IOL implantation after prior PPV resulted in a higher proportion of eyes achieving BCVA ≥20/40 compared with simultaneous PPV and IOL placement. Although both groups exhibited an equal number of total complication events, the staged approach showed a higher event rate per eye. Surgical timing and fixation technique selection should be individualized to optimize visual recovery while mitigating postoperative risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Staged secondary IOL implantation after prior PPV resulted in a higher proportion of eyes achieving BCVA ≥20/40 compared with simultaneous PPV and IOL placement. Although both groups exhibited an equal number of total complication events, the staged approach showed a higher event rate per eye. Surgical timing and fixation technique selection should be individualized to optimize visual recovery while mitigating…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 602,
      "source_fields": {
        "Abstract Final Identifier": "POCAT564",
        "Title": "Timing Matters: Visual And Surgical Outcomes Of Secondary Iol Implantation Performed During Vs After Pars Plana Vitrectomy",
        "Presenting Author(s)": "Mrs Larissa Valério Pedrosa",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Larissa",
        "Submitter Middle Name": "Valério",
        "Submitter Last Name": "Pedrosa",
        "Country Name": "Brazil",
        "Purpose": "Secondary intraocular lens (IOL) implantation in aphakic or lens-destabilized eyes frequently requires pars plana vitrectomy (PPV). However, the ideal timing for IOL placement—simultaneous with PPV versus staged after prior PPV—remains uncertain. This study quantitatively compared postoperative outcomes between these two strategies and evaluated the influence of fixation technique and postoperative complications on visual results.",
        "Setting": "This retrospective observational study was conducted at the High-Performance Retina and Cataract Department of a public Ophthalmology Service in Belo Horizonte, Brazil.",
        "Methods": "A total of 91 eyes were assessed, of which 47 were excluded due to absence of secondary intraocular lens (IOL) implantation, insufficient documentation, or inadequate follow-up. Forty-four eyes undergoing secondary IOL implantation were divided into two groups: simultaneous pars plana vitrectomy (PPV) with IOL implantation (n = 27) and staged secondary IOL implantation after prior PPV (n = 17). Variables included pre and postoperative best-corrected visual acuity (BCVA), fixation technique (Yamane, 4-flanged, or 2-flanged), and postoperative complications, each analyzed as an individual event. Final BCVA was categorized as ≥20/40 (“good”), <20/40 (“poor”), or low vision (counting fingers, hand motion, or light perception).",
        "Results": "The 4-flanged technique predominated overall (27/44), whereas the Yamane technique was more frequently used in Group 1 (12/27). Good final BCVA (≥20/40) occurred in 11/17 eyes (64.7%) in Group 2 and 8/27 eyes (29.6%) in Group 1. At least one postoperative complication occurred in 13/27 eyes (48.1%) in Group 1 and 10/17 eyes (58.8%) in Group 2. After excluding posterior capsule opacification as a non-complication, both groups demonstrated 16 total complication events, corresponding to 0.59 events per eye in Group 1 and 0.94 per eye in Group 2.",
        "Conclusions": "Staged secondary IOL implantation after prior PPV resulted in a higher proportion of eyes achieving BCVA ≥20/40 compared with simultaneous PPV and IOL placement. Although both groups exhibited an equal number of total complication events, the staged approach showed a higher event rate per eye. Surgical timing and fixation technique selection should be individualized to optimize visual recovery while mitigating postoperative risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POCAT565",
      "abstract_number": "POCAT565",
      "title": "Outcomes Of A Novel Four Flanged Intrascleral Fixation Technique Using A Specially Designed Spatulated Needle Attached To A 7-0 Prolene Suture",
      "authors": "Dr Vivekanandan Vellam Ramakrishnan",
      "presenter": "Dr Vivekanandan Vellam Ramakrishnan",
      "normalized_authors": [
        "Vivekanandan Vellam Ramakrishnan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vivekanandan Vellam Ramakrishnan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "• To evaluate IOL centration following this new, simplified SFIOL technique.\n\n• To assess visual outcomes at postoperative day 30 in terms of best-corrected visual acuity and spherical equivalent.\n\n• To document intraoperative and postoperative complications associated with the technique.\n\n• To determine the duration of surgery.",
        "Setting": "This prospective interventional study included aphakic patients with inadequate capsular support who underwent secondary IOL implantation using the novel four-flange scleral fixation technique. The procedure was performed with either a foldable IOL with C-loop haptics or a PMMA IOL.",
        "Methods": "The procedure involved creating two internal flanges using a specially designed spatulated needle preloaded with 7-0 polypropylene, passed through the IOL dialing holes in PMMA lenses and through the optic–haptic junction in foldable IOLs. Two additional external scleral flanges were fashioned using thermocautery. Clinical outcomes were assessed on POD 1 and POD 30, including best-corrected visual acuity, spherical equivalent, and IOL centration. Intraoperative and postoperative complications, as well as surgical duration, were also recorded.",
        "Results": "Mean BCVA improved by one line postoperatively, from 0.35 ± 0.21 LogMAR to 0.26 ± 0.22 LogMAR (p = 0.0043). The mean spherical equivalent improved significantly from 10.47 ± 0.80 D preoperatively to 0.01 ± 0.63 D postoperatively (p < 0.001). IOL centration was achieved in 98.65% of eyes on POD 1 and 97.30% on POD 30; cases with decentration underwent successful surgical repositioning. Early postoperative complications included transient corneal edema, vitreous hemorrhage, knot exposure, IOL decentration, iritis, hypotony, and transient IOL elevation. Late complications comprised cystoid macular edema (CME) and IOL decentration. The mean surgical duration was 33.99 ± 14.73 minutes.",
        "Conclusions": "The novel four-flange SFIOL technique demonstrates clinical outcomes comparable to existing methods. The specially designed needle–suture combination aims to address key concerns related to flanging. This technique can be safely performed by an anterior segment surgeon without the need for specialized intraocular lenses or additional instruments. It is compatible with any foldable IOL with C-loop haptics—including toric IOLs—as well as PMMA lenses. The procedure is relatively quick, and its simplified steps enhance the ease of performing what is traditionally considered a complex surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The novel four-flange SFIOL technique demonstrates clinical outcomes comparable to existing methods. The specially designed needle–suture combination aims to address key concerns related to flanging. This technique can be safely performed by an anterior segment surgeon without the need for specialized intraocular lenses or additional instruments. It is compatible with any foldable IOL with C-loop haptics—including…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 603,
      "source_fields": {
        "Abstract Final Identifier": "POCAT565",
        "Title": "Outcomes Of A Novel Four Flanged Intrascleral Fixation Technique Using A Specially Designed Spatulated Needle Attached To A 7-0 Prolene Suture",
        "Presenting Author(s)": "Dr Vivekanandan Vellam Ramakrishnan",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Vivekanandan",
        "Submitter Middle Name": "Vellam",
        "Submitter Last Name": "Ramakrishnan",
        "Country Name": "India",
        "Purpose": "• To evaluate IOL centration following this new, simplified SFIOL technique.\n\n• To assess visual outcomes at postoperative day 30 in terms of best-corrected visual acuity and spherical equivalent.\n\n• To document intraoperative and postoperative complications associated with the technique.\n\n• To determine the duration of surgery.",
        "Setting": "This prospective interventional study included aphakic patients with inadequate capsular support who underwent secondary IOL implantation using the novel four-flange scleral fixation technique. The procedure was performed with either a foldable IOL with C-loop haptics or a PMMA IOL.",
        "Methods": "The procedure involved creating two internal flanges using a specially designed spatulated needle preloaded with 7-0 polypropylene, passed through the IOL dialing holes in PMMA lenses and through the optic–haptic junction in foldable IOLs. Two additional external scleral flanges were fashioned using thermocautery. Clinical outcomes were assessed on POD 1 and POD 30, including best-corrected visual acuity, spherical equivalent, and IOL centration. Intraoperative and postoperative complications, as well as surgical duration, were also recorded.",
        "Results": "Mean BCVA improved by one line postoperatively, from 0.35 ± 0.21 LogMAR to 0.26 ± 0.22 LogMAR (p = 0.0043). The mean spherical equivalent improved significantly from 10.47 ± 0.80 D preoperatively to 0.01 ± 0.63 D postoperatively (p < 0.001). IOL centration was achieved in 98.65% of eyes on POD 1 and 97.30% on POD 30; cases with decentration underwent successful surgical repositioning. Early postoperative complications included transient corneal edema, vitreous hemorrhage, knot exposure, IOL decentration, iritis, hypotony, and transient IOL elevation. Late complications comprised cystoid macular edema (CME) and IOL decentration. The mean surgical duration was 33.99 ± 14.73 minutes.",
        "Conclusions": "The novel four-flange SFIOL technique demonstrates clinical outcomes comparable to existing methods. The specially designed needle–suture combination aims to address key concerns related to flanging. This technique can be safely performed by an anterior segment surgeon without the need for specialized intraocular lenses or additional instruments. It is compatible with any foldable IOL with C-loop haptics—including toric IOLs—as well as PMMA lenses. The procedure is relatively quick, and its simplified steps enhance the ease of performing what is traditionally considered a complex surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "POCAT566",
      "abstract_number": "POCAT566",
      "title": "Near Reading Speed And Accuracy Using Irest 3–6 Months After Bilateral Spiral Iol Implantation",
      "authors": "Dr Maureen Anne Naguit Reyes",
      "presenter": "Dr Maureen Anne Naguit Reyes",
      "normalized_authors": [
        "Maureen Anne Naguit Reyes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maureen Anne Naguit Reyes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To evaluate the near reading speed and accuracy using the International Reading Speed Texts (IReST) in patients 3–6 months after bilateral implantation of RayOne Galaxy ® and Galaxy Toric ® ( Rayner, Worthing, UK ) intraocular lenses (IOLs), and to determine whether postoperative reading performance approaches normative age-matched values, reflecting functional visual outcomes for daily near tasks.",
        "Setting": "Single-center prospective observational study conducted at Eye and Vision Institute, The Medical City, Philippines",
        "Methods": "Ten patients (20 eyes) with uncomplicated cataract surgery received bilateral RayOne Galaxy ® and Galaxy Toric ® . At 3–6 months postoperatively, binocular reading performance was assessed using IReST paragraphs at a standardized near distance of 40 cm under photopic lighting. Reading speed (words per minute) and accuracy (%) were recorded. Data were compared to published normative values for age-matched adults, and subgroup comparisons between Galaxy and Galaxy Toric IOLs were performed.",
        "Results": "Mean binocular reading speed was 131.57 wpm and accuracy was 99.4% . Reading speeds were within functional ranges for older adults (160–180 wpm). No clinically significant differences in reading speed or accuracy were observed between Galaxy and Galaxy Toric subgroups, indicating effective near-vision performance for both lenses.",
        "Conclusions": "Bilateral RayOne Galaxy® and Galaxy Toric® implantation provides functional near reading ability at 3–6 months postoperatively, demonstrating not only high refractive accuracy but also sustained reading fluency and adequate paragraph reading speed for everyday tasks. Assessment with iReST extends beyond conventional near visual acuity testing by capturing real-world reading performance, including speed, fluency, and visual effort. As a standardized paragraph-based test, iReST offers a sensitive measure of functional visual outcomes after IOL implantation, supporting its value in the clinical evaluation of near vision beyond threshold acuity alone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral RayOne Galaxy® and Galaxy Toric® implantation provides functional near reading ability at 3–6 months postoperatively, demonstrating not only high refractive accuracy but also sustained reading fluency and adequate paragraph reading speed for everyday tasks. Assessment with iReST extends beyond conventional near visual acuity testing by capturing real-world reading performance, including speed, fluency,…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 604,
      "source_fields": {
        "Abstract Final Identifier": "POCAT566",
        "Title": "Near Reading Speed And Accuracy Using Irest 3–6 Months After Bilateral Spiral Iol Implantation",
        "Presenting Author(s)": "Dr Maureen Anne Naguit Reyes",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Maureen Anne",
        "Submitter Middle Name": "Naguit",
        "Submitter Last Name": "Reyes",
        "Country Name": "Philippines",
        "Purpose": "To evaluate the near reading speed and accuracy using the International Reading Speed Texts (IReST) in patients 3–6 months after bilateral implantation of RayOne Galaxy ® and Galaxy Toric ® ( Rayner, Worthing, UK ) intraocular lenses (IOLs), and to determine whether postoperative reading performance approaches normative age-matched values, reflecting functional visual outcomes for daily near tasks.",
        "Setting": "Single-center prospective observational study conducted at Eye and Vision Institute, The Medical City, Philippines",
        "Methods": "Ten patients (20 eyes) with uncomplicated cataract surgery received bilateral RayOne Galaxy ® and Galaxy Toric ® . At 3–6 months postoperatively, binocular reading performance was assessed using IReST paragraphs at a standardized near distance of 40 cm under photopic lighting. Reading speed (words per minute) and accuracy (%) were recorded. Data were compared to published normative values for age-matched adults, and subgroup comparisons between Galaxy and Galaxy Toric IOLs were performed.",
        "Results": "Mean binocular reading speed was 131.57 wpm and accuracy was 99.4% . Reading speeds were within functional ranges for older adults (160–180 wpm). No clinically significant differences in reading speed or accuracy were observed between Galaxy and Galaxy Toric subgroups, indicating effective near-vision performance for both lenses.",
        "Conclusions": "Bilateral RayOne Galaxy® and Galaxy Toric® implantation provides functional near reading ability at 3–6 months postoperatively, demonstrating not only high refractive accuracy but also sustained reading fluency and adequate paragraph reading speed for everyday tasks. Assessment with iReST extends beyond conventional near visual acuity testing by capturing real-world reading performance, including speed, fluency, and visual effort. As a standardized paragraph-based test, iReST offers a sensitive measure of functional visual outcomes after IOL implantation, supporting its value in the clinical evaluation of near vision beyond threshold acuity alone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCAT567",
      "abstract_number": "POCAT567",
      "title": "The Yellow Purkinje Sign: A Clinical Clue To Identify Blue-Filtering Intraocular Lenses",
      "authors": "Dr Andrew Ross",
      "presenter": "Dr Andrew Ross",
      "normalized_authors": [
        "Andrew Ross"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrew Ross",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Recognition of the type of IOL implanted (blue filtering vs non-blue filtering) can be helpful in certain scenarios to ensure that the same IOL type is implanted in both eyes as it was shown that some patients did not tolerate the difference in colour vision between both eyes. We herein describe a simple clinical sign that allows differentiation between blue-light filtering (yellow-tinted) and non-blue-filtering intraocular lenses (IOLs) using Purkinje–Sanson images during slit-lamp examination.",
        "Setting": "This is an observational study conducted at the Department of Ophthalmology, Cambridge University Hospitals, Cambridge, United Kingdom",
        "Methods": "Observation of Purkinje–Sanson reflections during slit-lamp biomicroscopy was used to differentiate between blue-filtering and non-blue-filtering IOLs. Diffuse and slit illumination were applied to eyes implanted with different IOL types, including yellow-tinted blue-filtering lenses and clear non-blue-filtering lenses. The colours of Purkinje–Sanson reflections were evaluated. The findings were compared with the patients' records.",
        "Results": "Under diffuse illumination, non-blue-filtering IOLs (e.g. Eye Cee One IOL) demonstrated that all Purkinje–Sanson images were white. In contrast, blue-filtering IOLs (e.g. Acrysof IQ SN60 WF) showed a characteristic yellow posterior Purkinje–Sanson image. Similarly, slit illumination produced a white reflection from clear IOLs and a yellow reflection from blue-filtering IOLs. In all examined cases, the findings were consistent with patients’ records.",
        "Conclusions": "A simple slit-lamp observation of Purkinje–Sanson reflections can assist in identifying whether an implanted IOL is blue-filtering or non-blue-filtering. This technique may be particularly useful when surgical records are unavailable and may help guide clinical decision-making in situations where IOL type influences management such as second-eye IOL selection and retinal laser treatment planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A simple slit-lamp observation of Purkinje–Sanson reflections can assist in identifying whether an implanted IOL is blue-filtering or non-blue-filtering. This technique may be particularly useful when surgical records are unavailable and may help guide clinical decision-making in situations where IOL type influences management such as second-eye IOL selection and retinal laser treatment planning.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 605,
      "source_fields": {
        "Abstract Final Identifier": "POCAT567",
        "Title": "The Yellow Purkinje Sign: A Clinical Clue To Identify Blue-Filtering Intraocular Lenses",
        "Presenting Author(s)": "Dr Andrew Ross",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Andrew",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ross",
        "Country Name": "United Kingdom",
        "Purpose": "Recognition of the type of IOL implanted (blue filtering vs non-blue filtering) can be helpful in certain scenarios to ensure that the same IOL type is implanted in both eyes as it was shown that some patients did not tolerate the difference in colour vision between both eyes. We herein describe a simple clinical sign that allows differentiation between blue-light filtering (yellow-tinted) and non-blue-filtering intraocular lenses (IOLs) using Purkinje–Sanson images during slit-lamp examination.",
        "Setting": "This is an observational study conducted at the Department of Ophthalmology, Cambridge University Hospitals, Cambridge, United Kingdom",
        "Methods": "Observation of Purkinje–Sanson reflections during slit-lamp biomicroscopy was used to differentiate between blue-filtering and non-blue-filtering IOLs. Diffuse and slit illumination were applied to eyes implanted with different IOL types, including yellow-tinted blue-filtering lenses and clear non-blue-filtering lenses. The colours of Purkinje–Sanson reflections were evaluated. The findings were compared with the patients' records.",
        "Results": "Under diffuse illumination, non-blue-filtering IOLs (e.g. Eye Cee One IOL) demonstrated that all Purkinje–Sanson images were white. In contrast, blue-filtering IOLs (e.g. Acrysof IQ SN60 WF) showed a characteristic yellow posterior Purkinje–Sanson image. Similarly, slit illumination produced a white reflection from clear IOLs and a yellow reflection from blue-filtering IOLs. In all examined cases, the findings were consistent with patients’ records.",
        "Conclusions": "A simple slit-lamp observation of Purkinje–Sanson reflections can assist in identifying whether an implanted IOL is blue-filtering or non-blue-filtering. This technique may be particularly useful when surgical records are unavailable and may help guide clinical decision-making in situations where IOL type influences management such as second-eye IOL selection and retinal laser treatment planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POCAT568",
      "abstract_number": "POCAT568",
      "title": "Results Of Iol Fixation In Patients With Capsular Bag Insufficiency",
      "authors": "Dr Vahid Rozukulov",
      "presenter": "Dr Vahid Rozukulov",
      "normalized_authors": [
        "Vahid Rozukulov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vahid Rozukulov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To develop a modified method of RSP-III IOL implantation and to evaluate its clinical outcomes when implanted using an injector through a small self-sealing incision in cases of posterior capsule rupture during phacoemulsification or lens capsule insufficiency.",
        "Setting": "Group I (main): 38 patients (38 eyes) who underwent IOL implantation using the proposed technique.\n\nGroup II (control): 37 patients (37 eyes) who underwent IOL implantation with scleral suturing.\n\nThe main group included 38 patients (38 eyes): 18 men (47.4%) and 20 women (52.6%). The average age was 73.2 ± 5.2 years.\n\nThe control group included 37 patients (37 eyes): 18 men (48.6%) and 19 women (51.4%). The average age was 71.2 ± 6.1 years.",
        "Methods": "A new modified method of RSP-III IOL implantation was developed and patented in the State Register of Inventions of the Republic of Uzbekistan on August 18, 2016.",
        "Results": "The main group consisted of 38 patients (38 eyes) with a preoperative (preop) visual acuity of 0.04 ± 0.02 and a postoperative (postop) visual acuity of 0.7 ± 0.1. Preoperative astigmatism was 42.4 ± 0.25, and postoperative astigmatism was 42.4 ± 0.25. The IOL position was stable in 100% of cases.\n\nThe control group included 37 patients (37 eyes) with a preop visual acuity of 0.06 ± 0.05 and a postop visual acuity of 0.5 ± 0.1. Preoperative astigmatism was 42.5 ± 0.50, and postoperative astigmatism was 42.5 ± 0.50. Stable IOL positioning was achieved in 96% of cases.",
        "Conclusions": "• The proposed RSP-III IOL implantation technique using an injector is the method of choice in cases of posterior capsule rupture during phacoemulsification or failure of the lens ligament apparatus. This technique reduces surgical time, does not require special instrumentation, and does not demand advanced surgical skills.\n\n• RSP-III IOL implantation using an injector allows for stable IOL position in the early and long-term follow-up periods, as well as high visual acuity with minimal corneal astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• The proposed RSP-III IOL implantation technique using an injector is the method of choice in cases of posterior capsule rupture during phacoemulsification or failure of the lens ligament apparatus. This technique reduces surgical time, does not require special instrumentation, and does not demand advanced surgical skills. • RSP-III IOL implantation using an injector allows for stable IOL position in the early and…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 606,
      "source_fields": {
        "Abstract Final Identifier": "POCAT568",
        "Title": "Results Of Iol Fixation In Patients With Capsular Bag Insufficiency",
        "Presenting Author(s)": "Dr Vahid Rozukulov",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Vahid",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rozukulov",
        "Country Name": "Uzbekistan",
        "Purpose": "To develop a modified method of RSP-III IOL implantation and to evaluate its clinical outcomes when implanted using an injector through a small self-sealing incision in cases of posterior capsule rupture during phacoemulsification or lens capsule insufficiency.",
        "Setting": "Group I (main): 38 patients (38 eyes) who underwent IOL implantation using the proposed technique.\n\nGroup II (control): 37 patients (37 eyes) who underwent IOL implantation with scleral suturing.\n\nThe main group included 38 patients (38 eyes): 18 men (47.4%) and 20 women (52.6%). The average age was 73.2 ± 5.2 years.\n\nThe control group included 37 patients (37 eyes): 18 men (48.6%) and 19 women (51.4%). The average age was 71.2 ± 6.1 years.",
        "Methods": "A new modified method of RSP-III IOL implantation was developed and patented in the State Register of Inventions of the Republic of Uzbekistan on August 18, 2016.",
        "Results": "The main group consisted of 38 patients (38 eyes) with a preoperative (preop) visual acuity of 0.04 ± 0.02 and a postoperative (postop) visual acuity of 0.7 ± 0.1. Preoperative astigmatism was 42.4 ± 0.25, and postoperative astigmatism was 42.4 ± 0.25. The IOL position was stable in 100% of cases.\n\nThe control group included 37 patients (37 eyes) with a preop visual acuity of 0.06 ± 0.05 and a postop visual acuity of 0.5 ± 0.1. Preoperative astigmatism was 42.5 ± 0.50, and postoperative astigmatism was 42.5 ± 0.50. Stable IOL positioning was achieved in 96% of cases.",
        "Conclusions": "• The proposed RSP-III IOL implantation technique using an injector is the method of choice in cases of posterior capsule rupture during phacoemulsification or failure of the lens ligament apparatus. This technique reduces surgical time, does not require special instrumentation, and does not demand advanced surgical skills.\n\n• RSP-III IOL implantation using an injector allows for stable IOL position in the early and long-term follow-up periods, as well as high visual acuity with minimal corneal astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCAT569",
      "abstract_number": "POCAT569",
      "title": "Noninflammatory White Punctate Posterior Capsular Deposits After Uneventful Phacoemulsification With Preserved Objective Optical Quality: A Rare Presentation",
      "authors": "Dr Sami Saad",
      "presenter": "Dr Sami Saad",
      "normalized_authors": [
        "Sami Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sami Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To describe a rare noninflammatory postoperative presentation of posterior capsular white punctate deposits after uneventful phacoemulsification with preserved visual acuity and objectively confirmed optical quality, and to report the incidental finding of bilateral angioid streaks.",
        "Setting": "Ophthalmology Department, Centre Hospitalier Sud-Francilien, Paris, France",
        "Methods": "Postoperative white punctate deposits at the posterior capsule or at the posterior capsular-intraocular lens (IOL) interface are rarely reported and may be mistaken for inflammatory or infectious entities, early posterior capsule opacification, or IOL material-related changes.",
        "Results": "A 76-year-old woman underwent phacoemulsification for senile cataract and in-the-bag implantation of a hydrophilic acrylic IOL with a hydrophobic surface (ZEISS ASPHINA 509 MP). On postoperative day 7, numerous homogeneously distributed white punctate opacities were reported behind the IOL optic. Best-corrected visual acuity reached 20/20. Anterior segment OCT demonstrated hyperreflective deposits along the posterior IOL surface/capsular interface. Double-pass optical quality testing showed excellent media clarity (Objective Scatter Index 0.5 in the right eye and 0.8 in the left eye). Fundus examination and angiography revealed bilateral angioid streaks without choroidal neovascularization, with no associated systemic disease identified.",
        "Conclusions": "White punctate posterior capsular deposits may represent a benign, noninflammatory postoperative interface phenomenon with no functional impact. Objective optical quality metrics and multimodal imaging can support conservative management and help avoid unnecessary treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "White punctate posterior capsular deposits may represent a benign, noninflammatory postoperative interface phenomenon with no functional impact. Objective optical quality metrics and multimodal imaging can support conservative management and help avoid unnecessary treatment.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 607,
      "source_fields": {
        "Abstract Final Identifier": "POCAT569",
        "Title": "Noninflammatory White Punctate Posterior Capsular Deposits After Uneventful Phacoemulsification With Preserved Objective Optical Quality: A Rare Presentation",
        "Presenting Author(s)": "Dr Sami Saad",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Sami",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "France",
        "Purpose": "To describe a rare noninflammatory postoperative presentation of posterior capsular white punctate deposits after uneventful phacoemulsification with preserved visual acuity and objectively confirmed optical quality, and to report the incidental finding of bilateral angioid streaks.",
        "Setting": "Ophthalmology Department, Centre Hospitalier Sud-Francilien, Paris, France",
        "Methods": "Postoperative white punctate deposits at the posterior capsule or at the posterior capsular-intraocular lens (IOL) interface are rarely reported and may be mistaken for inflammatory or infectious entities, early posterior capsule opacification, or IOL material-related changes.",
        "Results": "A 76-year-old woman underwent phacoemulsification for senile cataract and in-the-bag implantation of a hydrophilic acrylic IOL with a hydrophobic surface (ZEISS ASPHINA 509 MP). On postoperative day 7, numerous homogeneously distributed white punctate opacities were reported behind the IOL optic. Best-corrected visual acuity reached 20/20. Anterior segment OCT demonstrated hyperreflective deposits along the posterior IOL surface/capsular interface. Double-pass optical quality testing showed excellent media clarity (Objective Scatter Index 0.5 in the right eye and 0.8 in the left eye). Fundus examination and angiography revealed bilateral angioid streaks without choroidal neovascularization, with no associated systemic disease identified.",
        "Conclusions": "White punctate posterior capsular deposits may represent a benign, noninflammatory postoperative interface phenomenon with no functional impact. Objective optical quality metrics and multimodal imaging can support conservative management and help avoid unnecessary treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCAT570",
      "abstract_number": "POCAT570",
      "title": "Visual And Refractive Outcomes Of A Small Aperture Intraocular Lens In Keratoconic Eyes After Cataract Surgery",
      "authors": "Dr Daniel Schartmüller",
      "presenter": "Dr Daniel Schartmüller",
      "normalized_authors": [
        "Daniel Schartmüller"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Schartmüller",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate visual and refractive outcomes in patients with cataract and keratoconus after implantation of a small aperture intraocular lens (IOL).",
        "Setting": "Prospective, single center, clinical study at the Medical University of Vienna",
        "Methods": "In this prospective, clinical study, 9 eyes of 9 patients with age related cataract and keratoconus of at least stadium 2 in the Belin ABCD classification were included. All patients received a small aperture IC-8 IOL (Bausch & Lomb, Rochester, NY). Two to three months after surgery, postoperative follow-up visits have been conducted. Subjective refraction, monocular BCDVA at 4m, DCIVA at 80cm and DCNVA at 40cm tests using EDTRS charts have been performed. Defocus curves ranging from +0.50 to -2.50 diopters have been performed. Decentration and tilt of the IOL was measured using an AS-OCT Casia 2 (Tomey Coorp, Nagoya, Japan). Subjective PROMs were performed using the VF-7 questionnaire.",
        "Results": "Mean spherical equivalent after surgery was -0.7 ±1.2 diopters. Mean refractive cylinder after surgery was -1.8±1.8 diopters. Best corrected distance visual acuity was 0.1±0.08 logMar, DCIVA was 0.14±0.11 logMar, DCNVA was 0.24±0.15 logMar. Defocus curve values ranged from 0.19±0.14 logMar (+0.5D) to 0.33±0.17 logMar (-2.5D). Decentration and tilt values were 0.32±0.16mm and 5.05°±1.1°, respectively.",
        "Conclusions": "Implantation of the IC-8 IOL showed very good results regarding far and intermediate vision in highly aberrated corneas with keratoconus. Decentration and tilt values were comparable to other IOLs. Defocus curves showed a long plateau phase from +0.5 diopters to -2.0 diopters. Implanting a small aperture IOL to reduce higher order aberrations after cataract surgery should be considered in eyes with moderate to severe keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of the IC-8 IOL showed very good results regarding far and intermediate vision in highly aberrated corneas with keratoconus. Decentration and tilt values were comparable to other IOLs. Defocus curves showed a long plateau phase from +0.5 diopters to -2.0 diopters. Implanting a small aperture IOL to reduce higher order aberrations after cataract surgery should be considered in eyes with moderate to…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 608,
      "source_fields": {
        "Abstract Final Identifier": "POCAT570",
        "Title": "Visual And Refractive Outcomes Of A Small Aperture Intraocular Lens In Keratoconic Eyes After Cataract Surgery",
        "Presenting Author(s)": "Dr Daniel Schartmüller",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schartmüller",
        "Country Name": "Austria",
        "Purpose": "To evaluate visual and refractive outcomes in patients with cataract and keratoconus after implantation of a small aperture intraocular lens (IOL).",
        "Setting": "Prospective, single center, clinical study at the Medical University of Vienna",
        "Methods": "In this prospective, clinical study, 9 eyes of 9 patients with age related cataract and keratoconus of at least stadium 2 in the Belin ABCD classification were included. All patients received a small aperture IC-8 IOL (Bausch & Lomb, Rochester, NY). Two to three months after surgery, postoperative follow-up visits have been conducted. Subjective refraction, monocular BCDVA at 4m, DCIVA at 80cm and DCNVA at 40cm tests using EDTRS charts have been performed. Defocus curves ranging from +0.50 to -2.50 diopters have been performed. Decentration and tilt of the IOL was measured using an AS-OCT Casia 2 (Tomey Coorp, Nagoya, Japan). Subjective PROMs were performed using the VF-7 questionnaire.",
        "Results": "Mean spherical equivalent after surgery was -0.7 ±1.2 diopters. Mean refractive cylinder after surgery was -1.8±1.8 diopters. Best corrected distance visual acuity was 0.1±0.08 logMar, DCIVA was 0.14±0.11 logMar, DCNVA was 0.24±0.15 logMar. Defocus curve values ranged from 0.19±0.14 logMar (+0.5D) to 0.33±0.17 logMar (-2.5D). Decentration and tilt values were 0.32±0.16mm and 5.05°±1.1°, respectively.",
        "Conclusions": "Implantation of the IC-8 IOL showed very good results regarding far and intermediate vision in highly aberrated corneas with keratoconus. Decentration and tilt values were comparable to other IOLs. Defocus curves showed a long plateau phase from +0.5 diopters to -2.0 diopters. Implanting a small aperture IOL to reduce higher order aberrations after cataract surgery should be considered in eyes with moderate to severe keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POCAT571",
      "abstract_number": "POCAT571",
      "title": "Efficacy Of Light Adjustment Treatment On Refractive Accuracy Following Light Adjustable Lens Implantation: A Systematic Review And Meta-Analysis",
      "authors": "Mrs Tiara Shaniaputri",
      "presenter": "Mrs Tiara Shaniaputri",
      "normalized_authors": [
        "Tiara Shaniaputri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tiara Shaniaputri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Light Adjustable Lens (LAL) allows post-operative refractive customization through ultraviolet light treatments following cataract surgery. This study assess the impact of light adjustment treatment on refractive accuracy by comparing measurements obtained before and after light adjustment treatment in patient implanted with LALs.",
        "Setting": "Not applicable (systematic review of published studies).",
        "Methods": "Following PRISMA 2020 guidelines, PubMed, EMBASE, Cochrane Library, Scopus, and ClinicalTrials.gov were searched through 26 January 2026 for studies reporting refractive accuracy following LAL implantation. Studies reporting outcomes at both pre- and post-light treatment timepoints were included. Nine studies (271 eyes) met inclusion criteria; six were eligible for meta-analysis. The primary outcome was the mean difference (MD) in mean manifestation refraction spherical equivalent (MRSE) between pre- and post-lock-in measurement at short-term (<3 months) and long-term (12 months) follow-up; secondary outcomes included the proportion of eyes within ±0.25 D, ±0.50 D, and ±1.00 D of target refraction at pre- and post-adjustment timepoints.",
        "Results": "Meta-analysis included five studies (117 eyes) for short-term and three studies (59 eyes) for long-term MRSE outcomes. Short-term pooled analysis demonstrated a statistically significant improvement in MRSE following light adjustment treatment compared to pre-adjustment measurements (MD −0.47 D; 95% CI: −0.64 to −0.30; P < 0.00001; I² = 39%). Long-term pooled analysis similarly demonstrated a statistically significant improvement in MRSE at 12 months post lock-in (MD −0.34 D; 95% CI: −0.61 to −0.08; P = 0.010; I² = 52%). Across studies reporting spherical equivalent accuracy , pre-adjustment rates of 35-68% improved to 86-97% within 0.50 D post-adjustment.",
        "Conclusions": "Light adjustment treatment significantly improves postoperative refractive accuracy following light adjustable lens (LAL) implantation, with a consistently high proportion of eyes achieving target refraction. These results support the LAL as an effective tool for refractive refinement after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Light adjustment treatment significantly improves postoperative refractive accuracy following light adjustable lens (LAL) implantation, with a consistently high proportion of eyes achieving target refraction. These results support the LAL as an effective tool for refractive refinement after cataract surgery.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 609,
      "source_fields": {
        "Abstract Final Identifier": "POCAT571",
        "Title": "Efficacy Of Light Adjustment Treatment On Refractive Accuracy Following Light Adjustable Lens Implantation: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Mrs Tiara Shaniaputri",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Tiara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shaniaputri",
        "Country Name": "Indonesia",
        "Purpose": "Light Adjustable Lens (LAL) allows post-operative refractive customization through ultraviolet light treatments following cataract surgery. This study assess the impact of light adjustment treatment on refractive accuracy by comparing measurements obtained before and after light adjustment treatment in patient implanted with LALs.",
        "Setting": "Not applicable (systematic review of published studies).",
        "Methods": "Following PRISMA 2020 guidelines, PubMed, EMBASE, Cochrane Library, Scopus, and ClinicalTrials.gov were searched through 26 January 2026 for studies reporting refractive accuracy following LAL implantation. Studies reporting outcomes at both pre- and post-light treatment timepoints were included. Nine studies (271 eyes) met inclusion criteria; six were eligible for meta-analysis. The primary outcome was the mean difference (MD) in mean manifestation refraction spherical equivalent (MRSE) between pre- and post-lock-in measurement at short-term (<3 months) and long-term (12 months) follow-up; secondary outcomes included the proportion of eyes within ±0.25 D, ±0.50 D, and ±1.00 D of target refraction at pre- and post-adjustment timepoints.",
        "Results": "Meta-analysis included five studies (117 eyes) for short-term and three studies (59 eyes) for long-term MRSE outcomes. Short-term pooled analysis demonstrated a statistically significant improvement in MRSE following light adjustment treatment compared to pre-adjustment measurements (MD −0.47 D; 95% CI: −0.64 to −0.30; P < 0.00001; I² = 39%). Long-term pooled analysis similarly demonstrated a statistically significant improvement in MRSE at 12 months post lock-in (MD −0.34 D; 95% CI: −0.61 to −0.08; P = 0.010; I² = 52%). Across studies reporting spherical equivalent accuracy , pre-adjustment rates of 35-68% improved to 86-97% within 0.50 D post-adjustment.",
        "Conclusions": "Light adjustment treatment significantly improves postoperative refractive accuracy following light adjustable lens (LAL) implantation, with a consistently high proportion of eyes achieving target refraction. These results support the LAL as an effective tool for refractive refinement after cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCAT572",
      "abstract_number": "POCAT572",
      "title": "Comparative Evaluation Of Space Between Intraocular Lens And Posterior Capsule As Assessed By Optical Coherence Tomography Following Cataract Surgery With Implantation Of Different Types Of Hydrophobic In-The-Bag Intraocular Lens",
      "authors": "Prof. Rajesh Sinha",
      "presenter": "Prof. Rajesh Sinha",
      "normalized_authors": [
        "Rajesh Sinha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rajesh Sinha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To study the space between the posterior surface of IOL and the posterior capsule and its change over time for commonly used Hydrophobic IOLs implanted in the capsular bag",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi",
        "Methods": "A c omparative observational study was performed over 18 months enrolling 150 eyes with 5 different group of single piece hydrophobic in-the-bag IOLs (Acrysof IQ, Acrysof Panoptix, Clareon, Tecnis and Vivinex) for senile cataracts; 30 in each group. Eyes were evaluated preoperatively for routine parameters of cataract surgery and were evaluated at 1 week, 1 month & 3 month of post-operative period. Anterior segment ocular coherence tomography (AS-OCT) was performed to evaluate the space between posterior surface of IOL and PC. The quantity and quality of vision was also assessed.",
        "Results": "On day 1, Panoptix® exhibited the widest space (400.97 ± 169.30 µm) followed by Clareon® (366.87 ± 196.54 µm), Acrysof® IQ (354.53 ± 90.82 µm) and Vivinex™ (321.83 ± 152.96 µm), while Tecnis™ showed the smallest separation (144.97 ± 28.49 µm).\n\nBy three months, mean spaces converged to single-digit values for Tecnis™ (1.00 ± 4.03 µm), Vivinex™ (3.33 ± 3.79 µm), Panoptix® (4.53 ± 4.23 µm) and Clareon® (2.07 ± 2.23 µm), with Acrysof® IQ retaining slightly larger residual separation (26.33 ± 25.26 µm).\n\nTotal aberrations and HOAs were lowest with Vivinex™ (0.12 ± 0.02 µm) and Clareon® (0.19 ± 0.03 µm) and highest with Panoptix® (0.31 ± 0.05 µm).\n\nNo significant posterior capsular opacification was noted in any group in our period of follow up.",
        "Conclusions": "Refractive change does happen with the change in IOL position denoted by space between the back surface of IOL and posterior capsule.\n\nIOLs associated with tighter late IOL-PC apposition also tend to show lower aberrations and superior unaided vision at three months."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive change does happen with the change in IOL position denoted by space between the back surface of IOL and posterior capsule. IOLs associated with tighter late IOL-PC apposition also tend to show lower aberrations and superior unaided vision at three months.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 610,
      "source_fields": {
        "Abstract Final Identifier": "POCAT572",
        "Title": "Comparative Evaluation Of Space Between Intraocular Lens And Posterior Capsule As Assessed By Optical Coherence Tomography Following Cataract Surgery With Implantation Of Different Types Of Hydrophobic In-The-Bag Intraocular Lens",
        "Presenting Author(s)": "Prof. Rajesh Sinha",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Rajesh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sinha",
        "Country Name": "India",
        "Purpose": "To study the space between the posterior surface of IOL and the posterior capsule and its change over time for commonly used Hydrophobic IOLs implanted in the capsular bag",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi",
        "Methods": "A c omparative observational study was performed over 18 months enrolling 150 eyes with 5 different group of single piece hydrophobic in-the-bag IOLs (Acrysof IQ, Acrysof Panoptix, Clareon, Tecnis and Vivinex) for senile cataracts; 30 in each group. Eyes were evaluated preoperatively for routine parameters of cataract surgery and were evaluated at 1 week, 1 month & 3 month of post-operative period. Anterior segment ocular coherence tomography (AS-OCT) was performed to evaluate the space between posterior surface of IOL and PC. The quantity and quality of vision was also assessed.",
        "Results": "On day 1, Panoptix® exhibited the widest space (400.97 ± 169.30 µm) followed by Clareon® (366.87 ± 196.54 µm), Acrysof® IQ (354.53 ± 90.82 µm) and Vivinex™ (321.83 ± 152.96 µm), while Tecnis™ showed the smallest separation (144.97 ± 28.49 µm).\n\nBy three months, mean spaces converged to single-digit values for Tecnis™ (1.00 ± 4.03 µm), Vivinex™ (3.33 ± 3.79 µm), Panoptix® (4.53 ± 4.23 µm) and Clareon® (2.07 ± 2.23 µm), with Acrysof® IQ retaining slightly larger residual separation (26.33 ± 25.26 µm).\n\nTotal aberrations and HOAs were lowest with Vivinex™ (0.12 ± 0.02 µm) and Clareon® (0.19 ± 0.03 µm) and highest with Panoptix® (0.31 ± 0.05 µm).\n\nNo significant posterior capsular opacification was noted in any group in our period of follow up.",
        "Conclusions": "Refractive change does happen with the change in IOL position denoted by space between the back surface of IOL and posterior capsule.\n\nIOLs associated with tighter late IOL-PC apposition also tend to show lower aberrations and superior unaided vision at three months."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCAT573",
      "abstract_number": "POCAT573",
      "title": "Glistenings Formation In The Clareon® Sy60wf And Tecnis® Pcb00 Intraocular Lens Platforms: A Long-Term In Vitro Natural Aging Experiment",
      "authors": "Mr Nick Stanojcic",
      "presenter": "Mr Nick Stanojcic",
      "normalized_authors": [
        "Nick Stanojcic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nick Stanojcic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To study the development of glistenings in two hydrophobic acrylic intraocular lenses (IOLs) through natural aging",
        "Setting": "Centre for Applied Vision Research, City St George’s, University of London",
        "Methods": "Ten Clareon® SY60WF (Alcon Inc., USA) and seven Tecnis® PCB00 (Johnson & Johnson Inc., USA) IOLs were evaluated. Glistenings formation was observed following a novel natural aging experiment after 33.7 ± 0.1 months (mean ± standard error) following incubation of IOLs at a constant temperature of 37 o C. Rapid thermal aging was applied at the end of the ‘natural’ aging experiment. Size and density of glistenings were objectively evaluated following a standardised imaging protocol and manual highlighting using public domain open-source software",
        "Results": "The median [range] glistening counts were 88 [17 to 1432] for the Clareon® and 23 [5 to 391] for the PCB00® IOLs (P = 0.22) after natural aging. The median equivalent glistenings diameters for Clareon® and PCB00® IOLs were 20.3 [10.1, 50.5] and 12.2 [8.6, 23.4] microns respectively (P < 0.001) after natural aging. Following thermal aging, the median change in number of glistenings was -3 for the Clareon® and +5 for the PCB00® IOLs (P=0.44 and P=1, respectively)",
        "Conclusions": "Resistance to glistenings formation of Clareon® and PCB00® IOLs has been confirmed in a natural aging experiment. The higher density and the larger diameter of glistenings for the Clareon® IOLs may reflect inter-IOL variation, which was large. Stability to thermal insult following natural aging may suggest that glistenings development is non-linear and equilibrium can be reached"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Resistance to glistenings formation of Clareon® and PCB00® IOLs has been confirmed in a natural aging experiment. The higher density and the larger diameter of glistenings for the Clareon® IOLs may reflect inter-IOL variation, which was large. Stability to thermal insult following natural aging may suggest that glistenings development is non-linear and equilibrium can be reached",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 611,
      "source_fields": {
        "Abstract Final Identifier": "POCAT573",
        "Title": "Glistenings Formation In The Clareon® Sy60wf And Tecnis® Pcb00 Intraocular Lens Platforms: A Long-Term In Vitro Natural Aging Experiment",
        "Presenting Author(s)": "Mr Nick Stanojcic",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Nick",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stanojcic",
        "Country Name": "United Kingdom",
        "Purpose": "To study the development of glistenings in two hydrophobic acrylic intraocular lenses (IOLs) through natural aging",
        "Setting": "Centre for Applied Vision Research, City St George’s, University of London",
        "Methods": "Ten Clareon® SY60WF (Alcon Inc., USA) and seven Tecnis® PCB00 (Johnson & Johnson Inc., USA) IOLs were evaluated. Glistenings formation was observed following a novel natural aging experiment after 33.7 ± 0.1 months (mean ± standard error) following incubation of IOLs at a constant temperature of 37 o C. Rapid thermal aging was applied at the end of the ‘natural’ aging experiment. Size and density of glistenings were objectively evaluated following a standardised imaging protocol and manual highlighting using public domain open-source software",
        "Results": "The median [range] glistening counts were 88 [17 to 1432] for the Clareon® and 23 [5 to 391] for the PCB00® IOLs (P = 0.22) after natural aging. The median equivalent glistenings diameters for Clareon® and PCB00® IOLs were 20.3 [10.1, 50.5] and 12.2 [8.6, 23.4] microns respectively (P < 0.001) after natural aging. Following thermal aging, the median change in number of glistenings was -3 for the Clareon® and +5 for the PCB00® IOLs (P=0.44 and P=1, respectively)",
        "Conclusions": "Resistance to glistenings formation of Clareon® and PCB00® IOLs has been confirmed in a natural aging experiment. The higher density and the larger diameter of glistenings for the Clareon® IOLs may reflect inter-IOL variation, which was large. Stability to thermal insult following natural aging may suggest that glistenings development is non-linear and equilibrium can be reached"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "POCAT574",
      "abstract_number": "POCAT574",
      "title": "Restoring Refractive Predictability In Challenging Corneas Using The Light Adjustable Lens",
      "authors": "Mazen Choulakian",
      "presenter": "Mazen Choulakian",
      "normalized_authors": [
        "Mazen Choulakian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Florence Valcourt",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Refractive surgery has gained popularity alongside the evolution of technologies that make it safer and more predictable. However, the resulting corneal changes complicate accurate lens power calculation. This study aimed to evaluate visual and refractive outcomes after light adjustable lens (LAL) implantation in patients with atypical corneal tomographic profiles. The primary outcome was to compare the final postoperative refraction with the predicted refractive target. Secondary outcomes included uncorrected distance, intermediate and near visual acuity, and the number of treatments required to achieve the targeted refraction.",
        "Setting": "This retrospective study was conducted at a refractive surgery center in Sherbrooke, Québec, Canada.",
        "Methods": "Retrospective single-center cohort study of all patients who underwent LAL implantation between December 2023 and August 2025 were included. All surgeries were performed using the RxSIGHT LAL with a standard phacoemulsification technique using the femtosecond Catalys laser. Final outcome data, including subjective refraction and uncorrected visual acuity, were collected at least 5 weeks after the second lock-in treatment. Patients without available postoperative measurements were included in the secondary outcome analysis only.",
        "Results": "A total of 81 eyes from 41 patients (mean age 65.8±8.1 years) were analyzed. Q values were outside normal limits in 60.5% (mean –0.06±0.41), and mean Km was 42.38±2.15 D. Prior refractive surgery was positive for 43.2% of eyes. Mean absolute error between predicted and final refractive error was 0.23±0.25 D (spherical equivalent). Overall, 42.3% of eyes were within 0.25 D of target, and 28.2% achieved exact emmetropia; no deviation exceeded 0.88 D. Uncorrected distance and intermediate visual acuity reached 20/20 or better in 80.8% and 76.2%, while 91.3% achieved near acuity of J2 or better. Mean treatments numbered 1.96±0.73, with no significant difference between virgin and post-refractive corneas.",
        "Conclusions": "LAL implantation demonstrates high refractive accuracy and excellent uncorrected visual outcomes in eyes with corneal topographic features that reduce refractive predictability. The monovision strategy allows these patients to gain independence from glasses, which may be less predictable or carry higher refractive risk with other types of lenses. This approach appears to be a reliable alternative for optimizing refractive outcomes in irregular corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LAL implantation demonstrates high refractive accuracy and excellent uncorrected visual outcomes in eyes with corneal topographic features that reduce refractive predictability. The monovision strategy allows these patients to gain independence from glasses, which may be less predictable or carry higher refractive risk with other types of lenses. This approach appears to be a reliable alternative for optimizing…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 612,
      "source_fields": {
        "Abstract Final Identifier": "POCAT574",
        "Title": "Restoring Refractive Predictability In Challenging Corneas Using The Light Adjustable Lens",
        "Presenting Author(s)": "Mazen Choulakian",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Florence",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Valcourt",
        "Country Name": "Canada",
        "Purpose": "Refractive surgery has gained popularity alongside the evolution of technologies that make it safer and more predictable. However, the resulting corneal changes complicate accurate lens power calculation. This study aimed to evaluate visual and refractive outcomes after light adjustable lens (LAL) implantation in patients with atypical corneal tomographic profiles. The primary outcome was to compare the final postoperative refraction with the predicted refractive target. Secondary outcomes included uncorrected distance, intermediate and near visual acuity, and the number of treatments required to achieve the targeted refraction.",
        "Setting": "This retrospective study was conducted at a refractive surgery center in Sherbrooke, Québec, Canada.",
        "Methods": "Retrospective single-center cohort study of all patients who underwent LAL implantation between December 2023 and August 2025 were included. All surgeries were performed using the RxSIGHT LAL with a standard phacoemulsification technique using the femtosecond Catalys laser. Final outcome data, including subjective refraction and uncorrected visual acuity, were collected at least 5 weeks after the second lock-in treatment. Patients without available postoperative measurements were included in the secondary outcome analysis only.",
        "Results": "A total of 81 eyes from 41 patients (mean age 65.8±8.1 years) were analyzed. Q values were outside normal limits in 60.5% (mean –0.06±0.41), and mean Km was 42.38±2.15 D. Prior refractive surgery was positive for 43.2% of eyes. Mean absolute error between predicted and final refractive error was 0.23±0.25 D (spherical equivalent). Overall, 42.3% of eyes were within 0.25 D of target, and 28.2% achieved exact emmetropia; no deviation exceeded 0.88 D. Uncorrected distance and intermediate visual acuity reached 20/20 or better in 80.8% and 76.2%, while 91.3% achieved near acuity of J2 or better. Mean treatments numbered 1.96±0.73, with no significant difference between virgin and post-refractive corneas.",
        "Conclusions": "LAL implantation demonstrates high refractive accuracy and excellent uncorrected visual outcomes in eyes with corneal topographic features that reduce refractive predictability. The monovision strategy allows these patients to gain independence from glasses, which may be less predictable or carry higher refractive risk with other types of lenses. This approach appears to be a reliable alternative for optimizing refractive outcomes in irregular corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 366
    },
    {
      "uid": "POCAT575",
      "abstract_number": "POCAT575",
      "title": "Incidence And Trends In Cataract Surgery And Specialty Iol Use Over The Last 20 Years - A Population-Based Study",
      "authors": "Dr Ruti Sella",
      "presenter": "Dr Ruti Sella",
      "normalized_authors": [
        "Ruti Sella"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Susan Xia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To establish the demographics and percentage of patients seeking cataract extraction and intraocular lens implantation (CEIOL) in Olmsted County (OC), Minnesota, over the past 20 years, with the advancement of phacoemulsification and intraocular lens (IOL) technology.",
        "Setting": "The Rochester Epidemiology Project (REP) database was used to identify all incident cataract surgeries performed in OC, Minnesota, between 1/1/2004 and 12/31/2024.",
        "Methods": "Patient demographics and ocular comorbidities were obtained using codes from the International Classification of Diseases, 10th Revision (ICD-10) system as documented in the REP database. Mayo Clinic’s Ophthalmology Parametric Universal Search (OPUS) program and manual chart review were used to obtain data on surgical device use and IOL selection.",
        "Results": "During the study period, 18,100 patients underwent CEIOL at a median age of 73 years. Phacoemulsification comprised 99.9% of surgeries. Comorbidities included glaucoma (23.5%), macular degeneration (22.1%), diabetic retinopathy (9.5%), endothelial dystrophy (5.9%), and uveitis (2.7%). Annual CEIOL incidence in OC rose from 847 cases in 2004 to 2,172 cases in 2024.\n\nBetween 2019 and 2024, use of specialty IOLs rose from 1.11% (2019) to 1.34% (2024), excluding toric monofocals, and from 6.76% (2019) to 12.43% (2024), including them, demonstrating an overall 104% increase in specialty IOL implantation. Pupil expansion device and capsular tension ring and segment use remained steady (6% vs 4%, 1.0% vs 1.34%, and 0.45% vs .27%, respectively).",
        "Conclusions": "CEIOL volume in OC increased substantially over the 20-year study period, aligning with national projections of increased demand for cataract surgery. From 2019 to 2024, specialty IOL implantation increased, nearly doubling, largely driven by increased use of toric IOLs. In contrast, the use of surgical devices for pupil expansion and capsular support remained relatively stable over the study period, suggesting comparable surgical complexity over time. Overall, these trends reflect evolving refractive goals and surgical practice patterns, including broader adoption of astigmatic-correcting technologies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CEIOL volume in OC increased substantially over the 20-year study period, aligning with national projections of increased demand for cataract surgery. From 2019 to 2024, specialty IOL implantation increased, nearly doubling, largely driven by increased use of toric IOLs. In contrast, the use of surgical devices for pupil expansion and capsular support remained relatively stable over the study period, suggesting…",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 613,
      "source_fields": {
        "Abstract Final Identifier": "POCAT575",
        "Title": "Incidence And Trends In Cataract Surgery And Specialty Iol Use Over The Last 20 Years - A Population-Based Study",
        "Presenting Author(s)": "Dr Ruti Sella",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Susan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xia",
        "Country Name": "United States",
        "Purpose": "To establish the demographics and percentage of patients seeking cataract extraction and intraocular lens implantation (CEIOL) in Olmsted County (OC), Minnesota, over the past 20 years, with the advancement of phacoemulsification and intraocular lens (IOL) technology.",
        "Setting": "The Rochester Epidemiology Project (REP) database was used to identify all incident cataract surgeries performed in OC, Minnesota, between 1/1/2004 and 12/31/2024.",
        "Methods": "Patient demographics and ocular comorbidities were obtained using codes from the International Classification of Diseases, 10th Revision (ICD-10) system as documented in the REP database. Mayo Clinic’s Ophthalmology Parametric Universal Search (OPUS) program and manual chart review were used to obtain data on surgical device use and IOL selection.",
        "Results": "During the study period, 18,100 patients underwent CEIOL at a median age of 73 years. Phacoemulsification comprised 99.9% of surgeries. Comorbidities included glaucoma (23.5%), macular degeneration (22.1%), diabetic retinopathy (9.5%), endothelial dystrophy (5.9%), and uveitis (2.7%). Annual CEIOL incidence in OC rose from 847 cases in 2004 to 2,172 cases in 2024.\n\nBetween 2019 and 2024, use of specialty IOLs rose from 1.11% (2019) to 1.34% (2024), excluding toric monofocals, and from 6.76% (2019) to 12.43% (2024), including them, demonstrating an overall 104% increase in specialty IOL implantation. Pupil expansion device and capsular tension ring and segment use remained steady (6% vs 4%, 1.0% vs 1.34%, and 0.45% vs .27%, respectively).",
        "Conclusions": "CEIOL volume in OC increased substantially over the 20-year study period, aligning with national projections of increased demand for cataract surgery. From 2019 to 2024, specialty IOL implantation increased, nearly doubling, largely driven by increased use of toric IOLs. In contrast, the use of surgical devices for pupil expansion and capsular support remained relatively stable over the study period, suggesting comparable surgical complexity over time. Overall, these trends reflect evolving refractive goals and surgical practice patterns, including broader adoption of astigmatic-correcting technologies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCAT576",
      "abstract_number": "POCAT576",
      "title": "Initial Outcomes Of Light Adjustable Lens From The United Kingdom In Patients With History Of Radial Keratotomy",
      "authors": "Dr Fadi Kherdaji",
      "presenter": "Dr Fadi Kherdaji",
      "normalized_authors": [
        "Fadi Kherdaji"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael YILIN Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To report clinical results of the Light Adjustable Lens (LAL) in patients with history of radial keratotomy (RK) from the United Kingdom.",
        "Setting": "High-volume, private-practice in the United Kingdom.",
        "Methods": "Eight patients with prior RK had cataract surgery with LAL implantation. Eyes were allowed to heal for a minimum of 6 weeks. Once the refraction has been deemed stable, adjustments were performed using the Light Delivery Device to adjust the refraction and improve the vision. The target refraction was based on patient feedback and visual goals.\n\nUp to 3 adjustments were performed. Once the target refraction has been achieved, lock-in treatments were performed to prevent further changes in the refraction.",
        "Results": "Refractive and visual results will be presented.",
        "Conclusions": "Conclusions will be presented."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions will be presented.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 614,
      "source_fields": {
        "Abstract Final Identifier": "POCAT576",
        "Title": "Initial Outcomes Of Light Adjustable Lens From The United Kingdom In Patients With History Of Radial Keratotomy",
        "Presenting Author(s)": "Dr Fadi Kherdaji",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "YILIN",
        "Submitter Last Name": "Zhang",
        "Country Name": "Singapore",
        "Purpose": "To report clinical results of the Light Adjustable Lens (LAL) in patients with history of radial keratotomy (RK) from the United Kingdom.",
        "Setting": "High-volume, private-practice in the United Kingdom.",
        "Methods": "Eight patients with prior RK had cataract surgery with LAL implantation. Eyes were allowed to heal for a minimum of 6 weeks. Once the refraction has been deemed stable, adjustments were performed using the Light Delivery Device to adjust the refraction and improve the vision. The target refraction was based on patient feedback and visual goals.\n\nUp to 3 adjustments were performed. Once the target refraction has been achieved, lock-in treatments were performed to prevent further changes in the refraction.",
        "Results": "Refractive and visual results will be presented.",
        "Conclusions": "Conclusions will be presented."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 119
    },
    {
      "uid": "POCAT577",
      "abstract_number": "POCAT577",
      "title": "Toward Improved Vault Prediction: Quantitative Annotation Of Anterior Ciliary Body Morphology On Ubm Using Labelme With Deep Learning Validation",
      "authors": "Guosheng Cheng",
      "presenter": "Guosheng Cheng",
      "normalized_authors": [
        "Guosheng Cheng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "国胜 程",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Anterior ciliary body morphology is an important anatomical factor influencing postoperative vault after implantable lens surgery. Ultrasound biomicroscopy (UBM) allows detailed visualization of these structures; however, standardized quantitative annotation methods and objective validation strategies remain limited. This study aimed to establish a Labelme-based annotation protocol for anterior ciliary body morphology on UBM images and to evaluate its reliability using statistical, morphological, and deep learning–based validation.",
        "Setting": "Single-center retrospective imaging study conducted at a university-affiliated tertiary eye care center.",
        "Methods": "This retrospective study included UBM images from 99 subjects (20 images per subject). A trained grader annotated key anatomical structures using Labelme, including the posterior iris root surface, anterior ciliary body recess, and radial folds of the anterior ciliary body.\n\nReliability was assessed through:\n(1) classification statistics to evaluate morphological distribution;\n(2) morphological verification to confirm consistency with predefined structural categories;\n(3) deep learning validation using a YOLO-based detection model trained for 32 epochs, with performance evaluated by box loss, classification loss, DFL loss, precision, recall, mAP50, and mAP50–95.",
        "Results": "All images were successfully annotated. Morphological classification showed stable proportional distributions, and verification confirmed consistency between annotations and anatomical definitions.\n\nDuring training, box loss decreased from 1.426 to 0.652, classification loss from 2.633 to 0.412, and DFL loss from 1.492 to 0.985. Precision and recall rapidly reached 1.000. In validation, box loss declined from 0.904 to 0.556, classification loss from 2.446 to 0.375, and DFL converged to 0.981. Detection performance showed mAP50 increased to approximately 0.995, while mAP50–95 improved from 0.461 to 0.877.",
        "Conclusions": "A standardized and reliable protocol for quantitative annotation of anterior ciliary body morphology on UBM images was established. Combined statistical, morphological, and deep learning validation demonstrated high robustness and accuracy, providing a methodological foundation for future vault prediction research in implantable lens surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A standardized and reliable protocol for quantitative annotation of anterior ciliary body morphology on UBM images was established. Combined statistical, morphological, and deep learning validation demonstrated high robustness and accuracy, providing a methodological foundation for future vault prediction research in implantable lens surgery.",
      "session_type": "ePoster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 615,
      "source_fields": {
        "Abstract Final Identifier": "POCAT577",
        "Title": "Toward Improved Vault Prediction: Quantitative Annotation Of Anterior Ciliary Body Morphology On Ubm Using Labelme With Deep Learning Validation",
        "Presenting Author(s)": "Guosheng Cheng",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "国胜",
        "Submitter Middle Name": "",
        "Submitter Last Name": "程",
        "Country Name": "China",
        "Purpose": "Anterior ciliary body morphology is an important anatomical factor influencing postoperative vault after implantable lens surgery. Ultrasound biomicroscopy (UBM) allows detailed visualization of these structures; however, standardized quantitative annotation methods and objective validation strategies remain limited. This study aimed to establish a Labelme-based annotation protocol for anterior ciliary body morphology on UBM images and to evaluate its reliability using statistical, morphological, and deep learning–based validation.",
        "Setting": "Single-center retrospective imaging study conducted at a university-affiliated tertiary eye care center.",
        "Methods": "This retrospective study included UBM images from 99 subjects (20 images per subject). A trained grader annotated key anatomical structures using Labelme, including the posterior iris root surface, anterior ciliary body recess, and radial folds of the anterior ciliary body.\n\nReliability was assessed through:\n(1) classification statistics to evaluate morphological distribution;\n(2) morphological verification to confirm consistency with predefined structural categories;\n(3) deep learning validation using a YOLO-based detection model trained for 32 epochs, with performance evaluated by box loss, classification loss, DFL loss, precision, recall, mAP50, and mAP50–95.",
        "Results": "All images were successfully annotated. Morphological classification showed stable proportional distributions, and verification confirmed consistency between annotations and anatomical definitions.\n\nDuring training, box loss decreased from 1.426 to 0.652, classification loss from 2.633 to 0.412, and DFL loss from 1.492 to 0.985. Precision and recall rapidly reached 1.000. In validation, box loss declined from 0.904 to 0.556, classification loss from 2.446 to 0.375, and DFL converged to 0.981. Detection performance showed mAP50 increased to approximately 0.995, while mAP50–95 improved from 0.461 to 0.877.",
        "Conclusions": "A standardized and reliable protocol for quantitative annotation of anterior ciliary body morphology on UBM images was established. Combined statistical, morphological, and deep learning validation demonstrated high robustness and accuracy, providing a methodological foundation for future vault prediction research in implantable lens surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCAT578",
      "abstract_number": "POCAT578",
      "title": "Preoperative Ocular Surface Instability And Short-Term Ocular Biometric Variability In Cataract Surgery",
      "authors": "Sanghyuk Ahn",
      "presenter": "Sanghyuk Ahn",
      "normalized_authors": [
        "Sanghyuk Ahn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanghyuk Ahn",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the short-term variability of ocular biometric measurements and identify factors associated with high variability.",
        "Setting": "Department of Ophthalmology, Korea University Anam Hospital, Seoul, Republic of Korea.",
        "Methods": "This retrospective study included 60 eyes of 60 patients who underwent repeated preoperative ocular biometry using the IOLMaster 700 (Carl Zeiss Meditec AG, Jena, Germany) between March 2023 and November 2023. Variability was assessed using the absolute differences between repeated measurements, and factors associated with increased variability were investigated. Ocular surface parameters, including tear film break-up time (TBUT) and corneal and conjunctival staining scores, were analyzed. Clinically significant IOL power change was defined as a ≥0.5 diopter (D) difference between calculations derived from repeated measurements. Postoperative refractive surprise was defined as a mean absolute error >0.5 D.",
        "Results": "Axial length and anterior chamber depth showed high reproducibility between repeated measurements. In contrast, absolute differences in keratometric values and astigmatism amount showed notable variability (0.18±0.17 D and 0.21±0.26 D, respectively). Shortened TBUT and higher corneal staining scores were significantly associated with increased keratometric variability (≥0.25 D) (p=0.040 and p=0.008, respectively). Variability in keratometric values led to clinically significant changes in calculated IOL power in a substantial proportion of eyes. The high K variability group demonstrated a significantly higher incidence of refractive surprise compared with the low K variability group (45.4% vs. 17.7%, p=0.037).",
        "Conclusions": "Keratometric measurements exhibited greater short-term variability than axial length and anterior chamber depth. Preoperative lower TBUT and higher corneal staining scores were associated with increased keratometric variability and postoperative refractive surprise, suggesting that preoperative ocular surface instability may compromise refractive accuracy in cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratometric measurements exhibited greater short-term variability than axial length and anterior chamber depth. Preoperative lower TBUT and higher corneal staining scores were associated with increased keratometric variability and postoperative refractive surprise, suggesting that preoperative ocular surface instability may compromise refractive accuracy in cataract surgery.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 616,
      "source_fields": {
        "Abstract Final Identifier": "POCAT578",
        "Title": "Preoperative Ocular Surface Instability And Short-Term Ocular Biometric Variability In Cataract Surgery",
        "Presenting Author(s)": "Sanghyuk Ahn",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Sanghyuk",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahn",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the short-term variability of ocular biometric measurements and identify factors associated with high variability.",
        "Setting": "Department of Ophthalmology, Korea University Anam Hospital, Seoul, Republic of Korea.",
        "Methods": "This retrospective study included 60 eyes of 60 patients who underwent repeated preoperative ocular biometry using the IOLMaster 700 (Carl Zeiss Meditec AG, Jena, Germany) between March 2023 and November 2023. Variability was assessed using the absolute differences between repeated measurements, and factors associated with increased variability were investigated. Ocular surface parameters, including tear film break-up time (TBUT) and corneal and conjunctival staining scores, were analyzed. Clinically significant IOL power change was defined as a ≥0.5 diopter (D) difference between calculations derived from repeated measurements. Postoperative refractive surprise was defined as a mean absolute error >0.5 D.",
        "Results": "Axial length and anterior chamber depth showed high reproducibility between repeated measurements. In contrast, absolute differences in keratometric values and astigmatism amount showed notable variability (0.18±0.17 D and 0.21±0.26 D, respectively). Shortened TBUT and higher corneal staining scores were significantly associated with increased keratometric variability (≥0.25 D) (p=0.040 and p=0.008, respectively). Variability in keratometric values led to clinically significant changes in calculated IOL power in a substantial proportion of eyes. The high K variability group demonstrated a significantly higher incidence of refractive surprise compared with the low K variability group (45.4% vs. 17.7%, p=0.037).",
        "Conclusions": "Keratometric measurements exhibited greater short-term variability than axial length and anterior chamber depth. Preoperative lower TBUT and higher corneal staining scores were associated with increased keratometric variability and postoperative refractive surprise, suggesting that preoperative ocular surface instability may compromise refractive accuracy in cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POCAT579",
      "abstract_number": "POCAT579",
      "title": "Predictive Accuracy Of Modern Iol Power Formulas In Sutureless Scleral Fixation Using The Yamane Technique",
      "authors": "Dr Burakhan Kürşat Aksoy",
      "presenter": "Dr Burakhan Kürşat Aksoy",
      "normalized_authors": [
        "Burakhan Kürşat Aksoy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Burakhan Kürşat Aksoy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the refractive prediction accuracy of four intraocular lens (IOL) power calculation formulas (SRK/T, Barrett Universal II, Kane, and PEARL-DGS) in eyes undergoing Yamane intrascleral fixation of a posterior chamber IOL.",
        "Setting": "Retrospective, single-center study conducted at Başakşehir Çam and Sakura City Hospital, a tertiary referral ophthalmology center in Istanbul, Turkey.",
        "Methods": "This retrospective study included 51 eyes of 51 patients who underwent double-needle Yamane intrascleral IOL fixation and had complete biometric data for all four formulas and postoperative manifest refraction. For each eye, prediction error (PE) was defined as the difference between postoperative spherical equivalent and the predicted refraction; absolute error (AE) was the absolute value of PE. Mean error (ME), mean absolute error (MAE), median absolute error (MedAE), and the percentages of eyes within ±0.25 D, ±0.50 D, and ±1.00 D of target refraction were calculated. Inter-formula comparisons of AE were performed with the Friedman test followed by Bonferroni-corrected post-hoc pairwise analyses.",
        "Results": "The arithmetic ME ranged from –0.23±0.62 D (SRK/T) to +0.15±0.82 D (Kane). SRK/T yielded the lowest MAE (0.44±0.49 D), followed by Barrett (0.53±0.57 D), PEARL-DGS (0.54±0.56 D), and Kane (0.61±0.56 D). The proportion of eyes within ±0.50 D of target refraction was 72.5% for SRK/T, 60.8% for Barrett, 54.9% for PEARL-DGS, and 52.9% for Kane; ≥86% of eyes were within ±1.00 D with all formulas. Overall differences in AE among formulas were significant ( p =0.017), but no pairwise comparison remained significant after Bonferroni correction.",
        "Conclusions": "All four formulas provided acceptable refractive outcomes for Yamane intrascleral IOL fixation, with more than 86% of eyes within ±1.00 D of target refraction. SRK/T showed the lowest MAE and the highest proportion of eyes within ±0.50 D, suggesting a slight numerical advantage, although inter-formula differences were modest and not statistically significant after adjustment for multiple comparisons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All four formulas provided acceptable refractive outcomes for Yamane intrascleral IOL fixation, with more than 86% of eyes within ±1.00 D of target refraction. SRK/T showed the lowest MAE and the highest proportion of eyes within ±0.50 D, suggesting a slight numerical advantage, although inter-formula differences were modest and not statistically significant after adjustment for multiple comparisons.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 617,
      "source_fields": {
        "Abstract Final Identifier": "POCAT579",
        "Title": "Predictive Accuracy Of Modern Iol Power Formulas In Sutureless Scleral Fixation Using The Yamane Technique",
        "Presenting Author(s)": "Dr Burakhan Kürşat Aksoy",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Burakhan",
        "Submitter Middle Name": "Kürşat",
        "Submitter Last Name": "Aksoy",
        "Country Name": "Türkiye",
        "Purpose": "To compare the refractive prediction accuracy of four intraocular lens (IOL) power calculation formulas (SRK/T, Barrett Universal II, Kane, and PEARL-DGS) in eyes undergoing Yamane intrascleral fixation of a posterior chamber IOL.",
        "Setting": "Retrospective, single-center study conducted at Başakşehir Çam and Sakura City Hospital, a tertiary referral ophthalmology center in Istanbul, Turkey.",
        "Methods": "This retrospective study included 51 eyes of 51 patients who underwent double-needle Yamane intrascleral IOL fixation and had complete biometric data for all four formulas and postoperative manifest refraction. For each eye, prediction error (PE) was defined as the difference between postoperative spherical equivalent and the predicted refraction; absolute error (AE) was the absolute value of PE. Mean error (ME), mean absolute error (MAE), median absolute error (MedAE), and the percentages of eyes within ±0.25 D, ±0.50 D, and ±1.00 D of target refraction were calculated. Inter-formula comparisons of AE were performed with the Friedman test followed by Bonferroni-corrected post-hoc pairwise analyses.",
        "Results": "The arithmetic ME ranged from –0.23±0.62 D (SRK/T) to +0.15±0.82 D (Kane). SRK/T yielded the lowest MAE (0.44±0.49 D), followed by Barrett (0.53±0.57 D), PEARL-DGS (0.54±0.56 D), and Kane (0.61±0.56 D). The proportion of eyes within ±0.50 D of target refraction was 72.5% for SRK/T, 60.8% for Barrett, 54.9% for PEARL-DGS, and 52.9% for Kane; ≥86% of eyes were within ±1.00 D with all formulas. Overall differences in AE among formulas were significant ( p =0.017), but no pairwise comparison remained significant after Bonferroni correction.",
        "Conclusions": "All four formulas provided acceptable refractive outcomes for Yamane intrascleral IOL fixation, with more than 86% of eyes within ±1.00 D of target refraction. SRK/T showed the lowest MAE and the highest proportion of eyes within ±0.50 D, suggesting a slight numerical advantage, although inter-formula differences were modest and not statistically significant after adjustment for multiple comparisons."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "POCAT580",
      "abstract_number": "POCAT580",
      "title": "Influence Of Preoperative Biometry And Intraoperative Aberrometry On Intraocular Lens Power Selection And Refractive Outcomes",
      "authors": "Dr Federico Luengo Gimeno",
      "presenter": "Dr Federico Luengo Gimeno",
      "normalized_authors": [
        "Federico Luengo Gimeno"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Florencia Arasanz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To compare refractive outcomes of intraocular lens (IOL) sphere power selection based on intraoperative decision-making guided by preoperative biometry measured with Argos (Alcon) and calculated using the Barrett Universal II formula versus intraoperative aberrometry with Optiwave Refractive Analysis (ORA) in eyes without prior ocular surgery undergoing trifocal IOL implantation.",
        "Setting": "Arasanz Laser Vision, Buenos Aires, Argentina.",
        "Methods": "This retrospective study included eyes without prior ocular surgery implanted with toric (CNWTTx) or non-toric (CNWTT0) trifocal intraocular lenses during uncomplicated femtosecond laser–assisted cataract surgery (FLACS).\n\nIntraoperative decision-making for IOL sphere power selection was analyzed according to the influence of Optiwave Refractive Analysis (ORA) intraoperative aberrometry. Refractive prediction error (RPE) was calculated using the Barrett Universal II formula and ORA. Mean and median absolute RPE and the percentage of eyes within ±0.25, ±0.50, and ±0.75 diopters of target refraction were determined and stratified by IOL type. Correlations between postoperative spherical equivalent, UCVA, and BCVA were analyzed.",
        "Results": "97 eyes were included. Mean and median absolute refractive prediction errors were 0.11D and 0.10D using preoperative Barrett II calculations and 0.08D and 0.08D using intraoperative aberrometry (ORA) (P > .05). Postoperative UCDVA was 0.05 logMAR in the Barrett II group and 0.02 logMAR in eyes with ORA-guided IOL power modification, while BCDVA was 0.00 logMAR in both groups. Postoperative refraction was ±0.25D in 40%, within ±0.50D in 96%, and within ±0.75D in 100% of eyes in the Barrett II and ORA groups (P > .05). ORA influenced IOL power selection in 11% of cases, confirmed the preoperative choice in 43%, and differed from it in 47%. In all modified cases, ORA-guided decisions resulted in superior refractive outcomes (P = .01)",
        "Conclusions": "In eyes without prior ocular surgery undergoing trifocal IOL implantation, intraoperative aberrometry with ORA plays a relevant role in IOL power decision-making. Although overall refractive accuracy was comparable between ORA and Barrett Universal II calculations, ORA-guided intraoperative modifications led to superior refractive outcomes when the implanted IOL differed from the preoperative plan. These findings support intraoperative aberrometry as a valuable adjunct to preoperative biometry for optimizing refractive outcomes in eyes with good visual potential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes without prior ocular surgery undergoing trifocal IOL implantation, intraoperative aberrometry with ORA plays a relevant role in IOL power decision-making. Although overall refractive accuracy was comparable between ORA and Barrett Universal II calculations, ORA-guided intraoperative modifications led to superior refractive outcomes when the implanted IOL differed from the preoperative plan. These findings…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 618,
      "source_fields": {
        "Abstract Final Identifier": "POCAT580",
        "Title": "Influence Of Preoperative Biometry And Intraoperative Aberrometry On Intraocular Lens Power Selection And Refractive Outcomes",
        "Presenting Author(s)": "Dr Federico Luengo Gimeno",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Florencia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arasanz",
        "Country Name": "Argentina",
        "Purpose": "To compare refractive outcomes of intraocular lens (IOL) sphere power selection based on intraoperative decision-making guided by preoperative biometry measured with Argos (Alcon) and calculated using the Barrett Universal II formula versus intraoperative aberrometry with Optiwave Refractive Analysis (ORA) in eyes without prior ocular surgery undergoing trifocal IOL implantation.",
        "Setting": "Arasanz Laser Vision, Buenos Aires, Argentina.",
        "Methods": "This retrospective study included eyes without prior ocular surgery implanted with toric (CNWTTx) or non-toric (CNWTT0) trifocal intraocular lenses during uncomplicated femtosecond laser–assisted cataract surgery (FLACS).\n\nIntraoperative decision-making for IOL sphere power selection was analyzed according to the influence of Optiwave Refractive Analysis (ORA) intraoperative aberrometry. Refractive prediction error (RPE) was calculated using the Barrett Universal II formula and ORA. Mean and median absolute RPE and the percentage of eyes within ±0.25, ±0.50, and ±0.75 diopters of target refraction were determined and stratified by IOL type. Correlations between postoperative spherical equivalent, UCVA, and BCVA were analyzed.",
        "Results": "97 eyes were included. Mean and median absolute refractive prediction errors were 0.11D and 0.10D using preoperative Barrett II calculations and 0.08D and 0.08D using intraoperative aberrometry (ORA) (P > .05). Postoperative UCDVA was 0.05 logMAR in the Barrett II group and 0.02 logMAR in eyes with ORA-guided IOL power modification, while BCDVA was 0.00 logMAR in both groups. Postoperative refraction was ±0.25D in 40%, within ±0.50D in 96%, and within ±0.75D in 100% of eyes in the Barrett II and ORA groups (P > .05). ORA influenced IOL power selection in 11% of cases, confirmed the preoperative choice in 43%, and differed from it in 47%. In all modified cases, ORA-guided decisions resulted in superior refractive outcomes (P = .01)",
        "Conclusions": "In eyes without prior ocular surgery undergoing trifocal IOL implantation, intraoperative aberrometry with ORA plays a relevant role in IOL power decision-making. Although overall refractive accuracy was comparable between ORA and Barrett Universal II calculations, ORA-guided intraoperative modifications led to superior refractive outcomes when the implanted IOL differed from the preoperative plan. These findings support intraoperative aberrometry as a valuable adjunct to preoperative biometry for optimizing refractive outcomes in eyes with good visual potential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "POCAT582",
      "abstract_number": "POCAT582",
      "title": "Repeatability And Comparability Of A Swept-Source Oct Biometry Device And The Gold Standard And The Effect On Post-Operative Refraction Using Bayesian Statistics",
      "authors": "Julia Babinger",
      "presenter": "Julia Babinger",
      "normalized_authors": [
        "Julia Babinger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Babinger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Evaluation of the repeatability and comparability of a swept-source OCT biometry device to the gold standard and the effect on post-operative refraction using Bayesian statistics.",
        "Setting": "University Clinic for Ophthalmology and Optometry, Johannes Kepler University, Linz\n\nUniversity Clinic for Ophthalmology and Optometry, Kepler University Hospital, Linz",
        "Methods": "In this retrospective study, patients scheduled for bilateral cataract surgery were included. Study-related measurements were performed preoperatively and included optical biometry using the IOLMaster 700 (Carl Zeiss Meditec AG, Germany) and two measurements with a swept-source OCT device (Anterion, Heidelberg Engineering, Germany). Postoperative subjective refraction was performed. Measurements were analyzed using descriptive statistics and Bland–Altman plots. Furthermore, an error analysis was conducted using the postoperative refractive error as the primary outcome variable. This error analysis was performed using Welch’s test and Bayesian statistics.",
        "Results": "A total of 50 patients were included in this study. Preliminary results showed a mean axial length of 24.59 mm with a mean difference between measurements of <0.01 mm (SD: 0.02 mm) and a mean anterior chamber depth of 3.21 mm with a mean difference between measurements of 0.01 mm (SD: 0.01 mm). A detailed analysis, including comparability with the IOLMaster 700 and Bayesian statistics, will be presented at the annual meeting.",
        "Conclusions": "Preliminary data demonstrate very good repeatability of the SS-OCT device and good comparability with the IOLMaster 700. The error analysis will be presented at the annual meeting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary data demonstrate very good repeatability of the SS-OCT device and good comparability with the IOLMaster 700. The error analysis will be presented at the annual meeting.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 619,
      "source_fields": {
        "Abstract Final Identifier": "POCAT582",
        "Title": "Repeatability And Comparability Of A Swept-Source Oct Biometry Device And The Gold Standard And The Effect On Post-Operative Refraction Using Bayesian Statistics",
        "Presenting Author(s)": "Julia Babinger",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Babinger",
        "Country Name": "Austria",
        "Purpose": "Evaluation of the repeatability and comparability of a swept-source OCT biometry device to the gold standard and the effect on post-operative refraction using Bayesian statistics.",
        "Setting": "University Clinic for Ophthalmology and Optometry, Johannes Kepler University, Linz\n\nUniversity Clinic for Ophthalmology and Optometry, Kepler University Hospital, Linz",
        "Methods": "In this retrospective study, patients scheduled for bilateral cataract surgery were included. Study-related measurements were performed preoperatively and included optical biometry using the IOLMaster 700 (Carl Zeiss Meditec AG, Germany) and two measurements with a swept-source OCT device (Anterion, Heidelberg Engineering, Germany). Postoperative subjective refraction was performed. Measurements were analyzed using descriptive statistics and Bland–Altman plots. Furthermore, an error analysis was conducted using the postoperative refractive error as the primary outcome variable. This error analysis was performed using Welch’s test and Bayesian statistics.",
        "Results": "A total of 50 patients were included in this study. Preliminary results showed a mean axial length of 24.59 mm with a mean difference between measurements of <0.01 mm (SD: 0.02 mm) and a mean anterior chamber depth of 3.21 mm with a mean difference between measurements of 0.01 mm (SD: 0.01 mm). A detailed analysis, including comparability with the IOLMaster 700 and Bayesian statistics, will be presented at the annual meeting.",
        "Conclusions": "Preliminary data demonstrate very good repeatability of the SS-OCT device and good comparability with the IOLMaster 700. The error analysis will be presented at the annual meeting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCAT583",
      "abstract_number": "POCAT583",
      "title": "Role Of Equivalent Keratometry Readings In Intraocular Lens Power Selection After Keratoplasty",
      "authors": "Dr Oznur Bekmez",
      "presenter": "Dr Oznur Bekmez",
      "normalized_authors": [
        "Oznur Bekmez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oznur Bekmez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Intraocular lens (IOL) power calculation after keratoplasty is challenging due to altered corneal geometry and disruption of the physiological anterior–posterior curvature relationship. Conventional optical biometry primarily relies on anterior keratometry and assumes a stable posterior contribution, which may not accurately reflect total corneal power in grafted corneas. Equivalent Keratometry Readings (EKR), derived from Scheimpflug tomography, integrate anterior and posterior measurements. This study aimed to evaluate the clinical performance of EKR-guided IOL selection in post-keratoplasty cataract surgery.",
        "Setting": "This retrospective observational study was conducted at a tertiary referral center and included 39 eyes/32 patients who underwent phacoemulsification after penetrating keratoplasty(n=21) or deep anterior lamellar keratoplasty(n=18).Keratoconus was the primary indication in both groups,followed by corneal dystrophies and scars.All patients underwent standardized preoperative evaluation and completed a 12-month postoperative follow-up,during which clinical and refractive outcomes were analysed.",
        "Methods": "Preoperatively, optical biometry (Lenstar LS 900) parameters and Scheimpflug-based corneal tomography (Pentacam HR), including Equivalent Keratometry Reading (EKR) analysis, were obtained. IOL power was determined using EKRmean values from the 4.5-mm zone, and target refractions were documented. For comparative purposes, simulated target refractions were recalculated using standard optical biometry–derived keratometric values. Prediction error (PE) was defined as postoperative spherical equivalent minus the intended target refraction. Mean PE and mean absolute error (MAE) were analyzed. Refractive outcomes were categorized as myopic, emmetropic, or hyperopic according to a ±0.50 D threshold and compared using paired analysis.",
        "Results": "The cohort had a mean age of 61.85 ± 13.2 years and included 15 males and 24 females. The mean target refraction was −0.60 ± 0.64 D. Mean preoperative BCVA was 1.72 ± 0.52 logMAR, improving significantly to 0.56 ± 0.44 logMAR postoperatively (p < 0.001). Mean PE was −0.48 ± 2.89 D with EKR-based calculations and +0.53 ± 3.18 D with simulated biometry-based targets, demonstrating a significant difference (p = 0.005). MAE was comparable between methods (2.09 ± 2.01 D vs 2.17 ± 2.35 D; p = 0.864). In the paired ±0.50 D analysis, refractive category distribution differed significantly between methods (χ² = 9.790, p = 0.044), with a higher proportion of hyperopic outcomes observed in the biometry-based simulation.",
        "Conclusions": "In post-keratoplasty eyes, reliable IOL power calculation remains complex due to irregular corneal architecture. Although overall refractive accuracy was comparable between methods in this cohort, the corneal power estimation strategy affected postoperative refractive outcomes, with biometry-based simulations showing a higher rate of hyperopic results compared with Scheimpflug-derived measurements. Scheimpflug-derived EKR may provide a more comprehensive assessment of corneal power and could assist in IOL planning for irregular grafted corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In post-keratoplasty eyes, reliable IOL power calculation remains complex due to irregular corneal architecture. Although overall refractive accuracy was comparable between methods in this cohort, the corneal power estimation strategy affected postoperative refractive outcomes, with biometry-based simulations showing a higher rate of hyperopic results compared with Scheimpflug-derived measurements.…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 620,
      "source_fields": {
        "Abstract Final Identifier": "POCAT583",
        "Title": "Role Of Equivalent Keratometry Readings In Intraocular Lens Power Selection After Keratoplasty",
        "Presenting Author(s)": "Dr Oznur Bekmez",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Oznur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bekmez",
        "Country Name": "Türkiye",
        "Purpose": "Intraocular lens (IOL) power calculation after keratoplasty is challenging due to altered corneal geometry and disruption of the physiological anterior–posterior curvature relationship. Conventional optical biometry primarily relies on anterior keratometry and assumes a stable posterior contribution, which may not accurately reflect total corneal power in grafted corneas. Equivalent Keratometry Readings (EKR), derived from Scheimpflug tomography, integrate anterior and posterior measurements. This study aimed to evaluate the clinical performance of EKR-guided IOL selection in post-keratoplasty cataract surgery.",
        "Setting": "This retrospective observational study was conducted at a tertiary referral center and included 39 eyes/32 patients who underwent phacoemulsification after penetrating keratoplasty(n=21) or deep anterior lamellar keratoplasty(n=18).Keratoconus was the primary indication in both groups,followed by corneal dystrophies and scars.All patients underwent standardized preoperative evaluation and completed a 12-month postoperative follow-up,during which clinical and refractive outcomes were analysed.",
        "Methods": "Preoperatively, optical biometry (Lenstar LS 900) parameters and Scheimpflug-based corneal tomography (Pentacam HR), including Equivalent Keratometry Reading (EKR) analysis, were obtained. IOL power was determined using EKRmean values from the 4.5-mm zone, and target refractions were documented. For comparative purposes, simulated target refractions were recalculated using standard optical biometry–derived keratometric values. Prediction error (PE) was defined as postoperative spherical equivalent minus the intended target refraction. Mean PE and mean absolute error (MAE) were analyzed. Refractive outcomes were categorized as myopic, emmetropic, or hyperopic according to a ±0.50 D threshold and compared using paired analysis.",
        "Results": "The cohort had a mean age of 61.85 ± 13.2 years and included 15 males and 24 females. The mean target refraction was −0.60 ± 0.64 D. Mean preoperative BCVA was 1.72 ± 0.52 logMAR, improving significantly to 0.56 ± 0.44 logMAR postoperatively (p < 0.001). Mean PE was −0.48 ± 2.89 D with EKR-based calculations and +0.53 ± 3.18 D with simulated biometry-based targets, demonstrating a significant difference (p = 0.005). MAE was comparable between methods (2.09 ± 2.01 D vs 2.17 ± 2.35 D; p = 0.864). In the paired ±0.50 D analysis, refractive category distribution differed significantly between methods (χ² = 9.790, p = 0.044), with a higher proportion of hyperopic outcomes observed in the biometry-based simulation.",
        "Conclusions": "In post-keratoplasty eyes, reliable IOL power calculation remains complex due to irregular corneal architecture. Although overall refractive accuracy was comparable between methods in this cohort, the corneal power estimation strategy affected postoperative refractive outcomes, with biometry-based simulations showing a higher rate of hyperopic results compared with Scheimpflug-derived measurements. Scheimpflug-derived EKR may provide a more comprehensive assessment of corneal power and could assist in IOL planning for irregular grafted corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 438
    },
    {
      "uid": "POCAT584",
      "abstract_number": "POCAT584",
      "title": "Comparison Of Swept-Source Optical Coherence Tomography And Conventional Optical Biometry For Refractive Predictability In Cataract Surgery",
      "authors": "Dr Ozlem Bercin",
      "presenter": "Dr Ozlem Bercin",
      "normalized_authors": [
        "Ozlem Bercin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ozlem Bercin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate and compare the biometric agreement and postoperative refractive predictability between swept-source optical coherence tomography (SS-OCT) biometry (Argos) and conventional optical biometry (Nidek AL-Scan) in patients undergoing cataract surgery.",
        "Setting": "Ege University, Department of Ophthalmology, Izmir, Turkiye",
        "Methods": "This prospective single-center study included 31 eyes of patients undergoing uncomplicated cataract surgery. To minimize variability, all preoperative biometric measurements were obtained by one experienced technician and all surgeries were performed by one surgeon. Each eye was measured consecutively using Argos and Nidek AL-Scan. Primary outcome measures included mean absolute error (MAE) of refractive prediction and the percentage of eyes within ±0.50 diopters (D) and ±1.00 D of the target refraction. Agreement between devices was assessed for axial length (AL), anterior chamber depth (ACD), white-to-white (WTW) distance, and keratometry. Statistical analyses included the paired t-test, Wilcoxon signed-rank test, and McNemar test.",
        "Results": "MAE of Argos (0.31±0.29 D) was significantly lower than Nidek (0.61±0.43 D; p=0.002).The proportion of eyes achieving a prediction error within ±0.50 D was significantly higher in the Argos group (90.3%) vs. Nidek group (58.1%) (p=0.013).All Argos eyes (100%) were within ±1.00 D vs. 90.3% for Nidek. AL correlated strongly (r=0.997) without significant difference (23.78±1.42 vs. 23.79±1.50 mm; p=0.742). However,Argos measured ACD deeper (3.48±0.60 vs. 3.23±0.37 mm; p=0.007) and WTW wider (11.96±0.44 vs. 11.85±0.32 mm; p=0.022).Keratometric evaluation showed that Argos measured the flat meridian (K1) significantly flatter (42.51±1.64 D vs. 42.71±1.64 D, p=0.018),while no significant difference was observed for the steep meridian (K2)(p=0.369)",
        "Conclusions": "Argos demonstrated superior refractive predictability and a significantly higher proportion of eyes achieving the ±0.50 D target compared with Nidek AL-Scan. While AL measurements were highly consistent between devices, significant differences in ACD and WTW measurements highlight the importance of using device-specific intraocular lens constants. These findings suggest that Argos biometry may provide improved refractive accuracy in cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Argos demonstrated superior refractive predictability and a significantly higher proportion of eyes achieving the ±0.50 D target compared with Nidek AL-Scan. While AL measurements were highly consistent between devices, significant differences in ACD and WTW measurements highlight the importance of using device-specific intraocular lens constants. These findings suggest that Argos biometry may provide improved…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 621,
      "source_fields": {
        "Abstract Final Identifier": "POCAT584",
        "Title": "Comparison Of Swept-Source Optical Coherence Tomography And Conventional Optical Biometry For Refractive Predictability In Cataract Surgery",
        "Presenting Author(s)": "Dr Ozlem Bercin",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Ozlem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bercin",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate and compare the biometric agreement and postoperative refractive predictability between swept-source optical coherence tomography (SS-OCT) biometry (Argos) and conventional optical biometry (Nidek AL-Scan) in patients undergoing cataract surgery.",
        "Setting": "Ege University, Department of Ophthalmology, Izmir, Turkiye",
        "Methods": "This prospective single-center study included 31 eyes of patients undergoing uncomplicated cataract surgery. To minimize variability, all preoperative biometric measurements were obtained by one experienced technician and all surgeries were performed by one surgeon. Each eye was measured consecutively using Argos and Nidek AL-Scan. Primary outcome measures included mean absolute error (MAE) of refractive prediction and the percentage of eyes within ±0.50 diopters (D) and ±1.00 D of the target refraction. Agreement between devices was assessed for axial length (AL), anterior chamber depth (ACD), white-to-white (WTW) distance, and keratometry. Statistical analyses included the paired t-test, Wilcoxon signed-rank test, and McNemar test.",
        "Results": "MAE of Argos (0.31±0.29 D) was significantly lower than Nidek (0.61±0.43 D; p=0.002).The proportion of eyes achieving a prediction error within ±0.50 D was significantly higher in the Argos group (90.3%) vs. Nidek group (58.1%) (p=0.013).All Argos eyes (100%) were within ±1.00 D vs. 90.3% for Nidek. AL correlated strongly (r=0.997) without significant difference (23.78±1.42 vs. 23.79±1.50 mm; p=0.742). However,Argos measured ACD deeper (3.48±0.60 vs. 3.23±0.37 mm; p=0.007) and WTW wider (11.96±0.44 vs. 11.85±0.32 mm; p=0.022).Keratometric evaluation showed that Argos measured the flat meridian (K1) significantly flatter (42.51±1.64 D vs. 42.71±1.64 D, p=0.018),while no significant difference was observed for the steep meridian (K2)(p=0.369)",
        "Conclusions": "Argos demonstrated superior refractive predictability and a significantly higher proportion of eyes achieving the ±0.50 D target compared with Nidek AL-Scan. While AL measurements were highly consistent between devices, significant differences in ACD and WTW measurements highlight the importance of using device-specific intraocular lens constants. These findings suggest that Argos biometry may provide improved refractive accuracy in cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POCAT585",
      "abstract_number": "POCAT585",
      "title": "Does Surgical Sequencing Influence The Accuracy Of The Escrs Online Iol Calculator In Eyes Undergoing Phacoemulsification And Trabeculectomy?",
      "authors": "Dr Serdar Bilici",
      "presenter": "Dr Serdar Bilici",
      "normalized_authors": [
        "Serdar Bilici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Serdar Bilici",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the prediction error and refractive accuracy of the ESCRS online IOL calculator among eyes undergoing combined phacoemulsification–trabeculectomy, sequential surgery (trabeculectomy followed by phacoemulsification), and phacoemulsification alone, and to determine whether surgical timing influences predictive performance.",
        "Setting": "Zonguldak Bülent Ecevit University Department of Ophthalmology, Zonguldak-Türkiye",
        "Methods": "This retrospective comparative study included 150 eyes (150 patients) divided into three groups (n=50 each):\nGroup 1, combined phacoemulsification–trabeculectomy performed in the same session;\n\nGroup 2, phacoemulsification performed at least 3 months after prior trabeculectomy;\n\nGroup 3, phacoemulsification alone.\nPreoperative optical biometry was obtained using the Nidek AL-Scan, and IOL power was calculated with the SRK/T formula.Using the ESCRS calculator, EVO 2.0, Kane, Hill-RBF, Hoffer QST, and Cooke K6 were evaluated.According to postoperative 1st month refraction refractive performance was assessed including mean prediction error(MPE), mean absolute error(MAE), median absolute error(MedAE), and percentages within ±0.50, ±1.00,and ±2.00 D.",
        "Results": "In Group 1 (combined surgery), Hill-RBF and Hoffer QST showed the lowest MedAE (0.71 D), whereas SRK/T yielded the lowest MAE (0.81 D); no significant differences were observed in ±0.50 D accuracy.\n\nIn Group 2 (sequential surgery), SRK/T demonstrated superior performance, with the lowest MedAE (0.49 D) and MAE (0.82 D), and the highest proportion within ±0.50 D (57.9%) (p < 0.001).\n\nIn Group 3 (phacoemulsification alone), Hoffer QST achieved the lowest MedAE (0.35 D), and MAE (0.51 D), while Hill-RBF provided the highest ±0.50 D accuracy (68%) (p < 0.001)\n\nOverall, based on MAE, predictive accuracy was best in Group 3 and worst in Group 1, while ±0.50 D accuracy ranked as Group 3> Group 2 > Group 1.",
        "Conclusions": "Prior or concurrent trabeculectomy may negatively affect the predictive accuracy of contemporary IOL calculation formulas. The reduced refractive precision, particularly in the combined surgery group, may result from postoperative changes in effective lens position or axial length. Most fourth- and fifth-generation formulas are developed using biometric data from normal cataract eyes. Structural alterations after trabeculectomy may therefore limit the performance of regression- and AI-based models, leading to greater refractive error than with conventional formulas such as SRK/T and a lower rate of target refraction achievement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Prior or concurrent trabeculectomy may negatively affect the predictive accuracy of contemporary IOL calculation formulas. The reduced refractive precision, particularly in the combined surgery group, may result from postoperative changes in effective lens position or axial length. Most fourth- and fifth-generation formulas are developed using biometric data from normal cataract eyes. Structural alterations after…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 622,
      "source_fields": {
        "Abstract Final Identifier": "POCAT585",
        "Title": "Does Surgical Sequencing Influence The Accuracy Of The Escrs Online Iol Calculator In Eyes Undergoing Phacoemulsification And Trabeculectomy?",
        "Presenting Author(s)": "Dr Serdar Bilici",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Serdar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bilici",
        "Country Name": "Türkiye",
        "Purpose": "To compare the prediction error and refractive accuracy of the ESCRS online IOL calculator among eyes undergoing combined phacoemulsification–trabeculectomy, sequential surgery (trabeculectomy followed by phacoemulsification), and phacoemulsification alone, and to determine whether surgical timing influences predictive performance.",
        "Setting": "Zonguldak Bülent Ecevit University Department of Ophthalmology, Zonguldak-Türkiye",
        "Methods": "This retrospective comparative study included 150 eyes (150 patients) divided into three groups (n=50 each):\nGroup 1, combined phacoemulsification–trabeculectomy performed in the same session;\n\nGroup 2, phacoemulsification performed at least 3 months after prior trabeculectomy;\n\nGroup 3, phacoemulsification alone.\nPreoperative optical biometry was obtained using the Nidek AL-Scan, and IOL power was calculated with the SRK/T formula.Using the ESCRS calculator, EVO 2.0, Kane, Hill-RBF, Hoffer QST, and Cooke K6 were evaluated.According to postoperative 1st month refraction refractive performance was assessed including mean prediction error(MPE), mean absolute error(MAE), median absolute error(MedAE), and percentages within ±0.50, ±1.00,and ±2.00 D.",
        "Results": "In Group 1 (combined surgery), Hill-RBF and Hoffer QST showed the lowest MedAE (0.71 D), whereas SRK/T yielded the lowest MAE (0.81 D); no significant differences were observed in ±0.50 D accuracy.\n\nIn Group 2 (sequential surgery), SRK/T demonstrated superior performance, with the lowest MedAE (0.49 D) and MAE (0.82 D), and the highest proportion within ±0.50 D (57.9%) (p < 0.001).\n\nIn Group 3 (phacoemulsification alone), Hoffer QST achieved the lowest MedAE (0.35 D), and MAE (0.51 D), while Hill-RBF provided the highest ±0.50 D accuracy (68%) (p < 0.001)\n\nOverall, based on MAE, predictive accuracy was best in Group 3 and worst in Group 1, while ±0.50 D accuracy ranked as Group 3> Group 2 > Group 1.",
        "Conclusions": "Prior or concurrent trabeculectomy may negatively affect the predictive accuracy of contemporary IOL calculation formulas. The reduced refractive precision, particularly in the combined surgery group, may result from postoperative changes in effective lens position or axial length. Most fourth- and fifth-generation formulas are developed using biometric data from normal cataract eyes. Structural alterations after trabeculectomy may therefore limit the performance of regression- and AI-based models, leading to greater refractive error than with conventional formulas such as SRK/T and a lower rate of target refraction achievement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "POCAT586",
      "abstract_number": "POCAT586",
      "title": "Impact Of Vitreous Cavity Status On Intraocular Lens Calculation",
      "authors": "Dr Max Brinkmann",
      "presenter": "Dr Max Brinkmann",
      "normalized_authors": [
        "Max Brinkmann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Max Brinkmann",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate formulas for intraocular lens (IOL) calculation in post vitrectomy eyes with intraocular fluid fill of the vitreous cavity.",
        "Setting": "Two center, retrospective, consecutive case series. Department of Ophthalmology, Goethe University Frankfurt and Department of Ophthalmology, University Clinic Lübeck.",
        "Methods": "We included post vitrectomy eyes that are filled with intraocular fluid and received phacoemulsification and IOL implantation into the capsular bag. Preoperative assessments included biometry (IOLMaster 700, Carl Zeiss Meditec, Germany). To evaluate the measurements, we report the mean prediction error (MPE), and compared mean and median absolute prediction error (MAE, MedAE), and number of eyes within a certain range (±0.5D, ±1.0D, ±2.0D) from target refraction calculated by ten different formulas.",
        "Results": "Our preliminary data includes 39 eyes from Frankfurt that matched our inclusion criteria. MedAE was lowest in the Barrett-Universal II formula (0.55D ± 0.66) followed by LADAS (0.57D ± 0.64), Hoffer QST (0.59D ± 0.64), Pearl DGS, RBF and Kane (each 0.61D ± 0.61 to 0.64), EVO (0.62D ± 0.62), Cooke K6 (0.65D ± 0.61), LISA PPV (0.76D ± 0.71), and Haigis (0.9D ± 0.65). Regarding eyes within ±0.5D Barrett Universal II (46%, 18 eyes) performed best, followed by Pearl DGS (43%, 17 eyes) and LADAS (41%, 16 eyes). Interestingly, eyes using the “vitreous mode” of the IOL Master tended to a lower MedAE compared to those being measured with “post-vitrectomy” mode for most formulas. Data from Lübeck is currently being collected.",
        "Conclusions": "Using modern formulas for IOL calculation in post vitrectomy eyes improves predictability but still not as good as in unoperated eyes. This issue is due to the change in refractive index by the fluid fill of the vitreous cavity and therefore a lower precision of axial length measurement and effect lens position prediction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Using modern formulas for IOL calculation in post vitrectomy eyes improves predictability but still not as good as in unoperated eyes. This issue is due to the change in refractive index by the fluid fill of the vitreous cavity and therefore a lower precision of axial length measurement and effect lens position prediction.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 623,
      "source_fields": {
        "Abstract Final Identifier": "POCAT586",
        "Title": "Impact Of Vitreous Cavity Status On Intraocular Lens Calculation",
        "Presenting Author(s)": "Dr Max Brinkmann",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Max",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brinkmann",
        "Country Name": "Germany",
        "Purpose": "To evaluate formulas for intraocular lens (IOL) calculation in post vitrectomy eyes with intraocular fluid fill of the vitreous cavity.",
        "Setting": "Two center, retrospective, consecutive case series. Department of Ophthalmology, Goethe University Frankfurt and Department of Ophthalmology, University Clinic Lübeck.",
        "Methods": "We included post vitrectomy eyes that are filled with intraocular fluid and received phacoemulsification and IOL implantation into the capsular bag. Preoperative assessments included biometry (IOLMaster 700, Carl Zeiss Meditec, Germany). To evaluate the measurements, we report the mean prediction error (MPE), and compared mean and median absolute prediction error (MAE, MedAE), and number of eyes within a certain range (±0.5D, ±1.0D, ±2.0D) from target refraction calculated by ten different formulas.",
        "Results": "Our preliminary data includes 39 eyes from Frankfurt that matched our inclusion criteria. MedAE was lowest in the Barrett-Universal II formula (0.55D ± 0.66) followed by LADAS (0.57D ± 0.64), Hoffer QST (0.59D ± 0.64), Pearl DGS, RBF and Kane (each 0.61D ± 0.61 to 0.64), EVO (0.62D ± 0.62), Cooke K6 (0.65D ± 0.61), LISA PPV (0.76D ± 0.71), and Haigis (0.9D ± 0.65). Regarding eyes within ±0.5D Barrett Universal II (46%, 18 eyes) performed best, followed by Pearl DGS (43%, 17 eyes) and LADAS (41%, 16 eyes). Interestingly, eyes using the “vitreous mode” of the IOL Master tended to a lower MedAE compared to those being measured with “post-vitrectomy” mode for most formulas. Data from Lübeck is currently being collected.",
        "Conclusions": "Using modern formulas for IOL calculation in post vitrectomy eyes improves predictability but still not as good as in unoperated eyes. This issue is due to the change in refractive index by the fluid fill of the vitreous cavity and therefore a lower precision of axial length measurement and effect lens position prediction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCAT587",
      "abstract_number": "POCAT587",
      "title": "Visual And Refractive Outcomes Of Combined Pterygium And Cataract Surgery",
      "authors": "Dr Ximena Lilian Chavez",
      "presenter": "Dr Ximena Lilian Chavez",
      "normalized_authors": [
        "Ximena Lilian Chavez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ximena Lilian Chavez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To evaluate postoperative refractive outcomes and the preoperative accuracy of intraocular lens (IOL) power calculation in adult patients undergoing combined pterygium and cataract surgery.",
        "Setting": "Instituto de Oftalmología Conde de Valenciana, a tertiary academic referral center in Mexico City, Mexico.",
        "Methods": "A medical history and ophthalmologic examination were performed in 12 patients, including uncorrected and best-corrected visual acuity, preoperative automated and subjective refraction, ocular biometry using partial coherence interferometry, and intraocular lens (IOL) power calculation with the Barrett Universal formula. Postoperative visual acuity and refraction were assessed. All procedures were performed by the same surgeon and consisted of pterygium excision with conjunctival autograft combined with phacoemulsification and IOL implantation. Follow-up was conducted at 24 hours, 1 week and 1 month, comparing predicted IOL power with postoperative spherical equivalent. Statistical analysis was performed using SPSS 20.0.",
        "Results": "A total of 12 eyes met the eligibility criteria; 11 had complete BCVA data at baseline and 1 month. Mean age was 70.6 ± 4.67 years (65–83), and 72.7% were female. BCVA improved from 1.06 ± 0.94 logMAR preoperatively to 0.29 ± 0.23 logMAR at 1 month (paired t-test, p=0.021). Refractive analysis was performed in 10 eyes. Using a predefined +0.50 D target with the Barrett Universal II formula, mean postoperative spherical equivalent was 0.13 ± 1.05 D. Mean prediction error was −0.46 ± 1.05 D, with 50% and 70% of eyes within ±0.50 D and ±1.00 D of target, respectively.",
        "Conclusions": "Simultaneous pterygium and cataract surgery is a feasible approach with meaningful functional visual recovery. However, refractive predictability remains influenced by corneal remodeling after pterygium excision. Targeting mild hyperopia may mitigate postoperative myopic shift, although variability persists. Careful patient selection and refractive planning are essential to optimize outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Simultaneous pterygium and cataract surgery is a feasible approach with meaningful functional visual recovery. However, refractive predictability remains influenced by corneal remodeling after pterygium excision. Targeting mild hyperopia may mitigate postoperative myopic shift, although variability persists. Careful patient selection and refractive planning are essential to optimize outcomes.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 624,
      "source_fields": {
        "Abstract Final Identifier": "POCAT587",
        "Title": "Visual And Refractive Outcomes Of Combined Pterygium And Cataract Surgery",
        "Presenting Author(s)": "Dr Ximena Lilian Chavez",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Ximena",
        "Submitter Middle Name": "Lilian",
        "Submitter Last Name": "Chavez",
        "Country Name": "Mexico",
        "Purpose": "To evaluate postoperative refractive outcomes and the preoperative accuracy of intraocular lens (IOL) power calculation in adult patients undergoing combined pterygium and cataract surgery.",
        "Setting": "Instituto de Oftalmología Conde de Valenciana, a tertiary academic referral center in Mexico City, Mexico.",
        "Methods": "A medical history and ophthalmologic examination were performed in 12 patients, including uncorrected and best-corrected visual acuity, preoperative automated and subjective refraction, ocular biometry using partial coherence interferometry, and intraocular lens (IOL) power calculation with the Barrett Universal formula. Postoperative visual acuity and refraction were assessed. All procedures were performed by the same surgeon and consisted of pterygium excision with conjunctival autograft combined with phacoemulsification and IOL implantation. Follow-up was conducted at 24 hours, 1 week and 1 month, comparing predicted IOL power with postoperative spherical equivalent. Statistical analysis was performed using SPSS 20.0.",
        "Results": "A total of 12 eyes met the eligibility criteria; 11 had complete BCVA data at baseline and 1 month. Mean age was 70.6 ± 4.67 years (65–83), and 72.7% were female. BCVA improved from 1.06 ± 0.94 logMAR preoperatively to 0.29 ± 0.23 logMAR at 1 month (paired t-test, p=0.021). Refractive analysis was performed in 10 eyes. Using a predefined +0.50 D target with the Barrett Universal II formula, mean postoperative spherical equivalent was 0.13 ± 1.05 D. Mean prediction error was −0.46 ± 1.05 D, with 50% and 70% of eyes within ±0.50 D and ±1.00 D of target, respectively.",
        "Conclusions": "Simultaneous pterygium and cataract surgery is a feasible approach with meaningful functional visual recovery. However, refractive predictability remains influenced by corneal remodeling after pterygium excision. Targeting mild hyperopia may mitigate postoperative myopic shift, although variability persists. Careful patient selection and refractive planning are essential to optimize outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCAT588",
      "abstract_number": "POCAT588",
      "title": "Comparison Of Different Corneal Power Measurement Methods For Iol Power Calculation Across Several Formula Categories",
      "authors": "Dr Ferdinando Cione",
      "presenter": "Dr Ferdinando Cione",
      "normalized_authors": [
        "Ferdinando Cione"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ferdinando Cione",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare the reliability of simulated keratometry (SimK) obtained from a Scheimpflug-based corneal tomographer with conventional automatic keratometry (aK) from optical biometer for IOL power calculation.",
        "Setting": "University Eye Clinic, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Italy",
        "Methods": "Two-hundred-thirty-one eyes of 231 patients that underwent cataract surgery at the University Hospital of Salerno were recruited. Refractive prediction errors (PEs) using both aK obtained by IOLMaster and SimK obtained by Pentacam-HR were calculated with Barrett Universal II, Cooke K6, EVO 2.0, Hoffer Q, Hoffer QST, Holladay 1, Pearl-DGS, SRKT, and T2 formulas, by using both IOLCon lens factors, and optimized constants through zeroing out the mean error (ME). Mean absolute error (MAE), median absolute error (MedAE) and percentage of eyes within ±0.50 and ±1.00 diopters (D) of PE were evaluated.",
        "Results": "With IOLCon constants, ME obtained with SimK were equal to zero for most formulas (p>0.05), with exclusion of Hoffer- , Hoffer QST, Kane. With IOLCon constants, using aK, MedAE were respectively 0.39D, 0.40D, 0.48D, 0.41D, 0.37D with Cooke K6, EVO 2.0, Hoffer Q, Holladay 1 and T2, while using SimK they were respectively 0.36D, 0.38D, 0.37D, 0.37D, 0.34D, all significantly lower (p<0.05). Other formulas showed a better trend with SimK, even if not significant. After lens constants optimization: Hoffer Q had lower MedAE using SimK compared to aK (p<0.05). Similar percentages of eyes with PE within ±0.50/±1.00D were obtained between aK and SimK both with IOLCon and optimized constants. (p>0.05)",
        "Conclusions": "SimK can be used instead of aK for IOL power calculation. In case of non-availability, a correction factor could be applied to preoperative aK to improve PEs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SimK can be used instead of aK for IOL power calculation. In case of non-availability, a correction factor could be applied to preoperative aK to improve PEs.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 625,
      "source_fields": {
        "Abstract Final Identifier": "POCAT588",
        "Title": "Comparison Of Different Corneal Power Measurement Methods For Iol Power Calculation Across Several Formula Categories",
        "Presenting Author(s)": "Dr Ferdinando Cione",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Ferdinando",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cione",
        "Country Name": "Italy",
        "Purpose": "To compare the reliability of simulated keratometry (SimK) obtained from a Scheimpflug-based corneal tomographer with conventional automatic keratometry (aK) from optical biometer for IOL power calculation.",
        "Setting": "University Eye Clinic, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Italy",
        "Methods": "Two-hundred-thirty-one eyes of 231 patients that underwent cataract surgery at the University Hospital of Salerno were recruited. Refractive prediction errors (PEs) using both aK obtained by IOLMaster and SimK obtained by Pentacam-HR were calculated with Barrett Universal II, Cooke K6, EVO 2.0, Hoffer Q, Hoffer QST, Holladay 1, Pearl-DGS, SRKT, and T2 formulas, by using both IOLCon lens factors, and optimized constants through zeroing out the mean error (ME). Mean absolute error (MAE), median absolute error (MedAE) and percentage of eyes within ±0.50 and ±1.00 diopters (D) of PE were evaluated.",
        "Results": "With IOLCon constants, ME obtained with SimK were equal to zero for most formulas (p>0.05), with exclusion of Hoffer- , Hoffer QST, Kane. With IOLCon constants, using aK, MedAE were respectively 0.39D, 0.40D, 0.48D, 0.41D, 0.37D with Cooke K6, EVO 2.0, Hoffer Q, Holladay 1 and T2, while using SimK they were respectively 0.36D, 0.38D, 0.37D, 0.37D, 0.34D, all significantly lower (p<0.05). Other formulas showed a better trend with SimK, even if not significant. After lens constants optimization: Hoffer Q had lower MedAE using SimK compared to aK (p<0.05). Similar percentages of eyes with PE within ±0.50/±1.00D were obtained between aK and SimK both with IOLCon and optimized constants. (p>0.05)",
        "Conclusions": "SimK can be used instead of aK for IOL power calculation. In case of non-availability, a correction factor could be applied to preoperative aK to improve PEs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCAT589",
      "abstract_number": "POCAT589",
      "title": "Refractive Outcomes Following Cataract Surgery In Eyes With Previous Laser Refractive Surgery: A Retrospective Audit And Learning Points",
      "authors": "Mr Amit Dhalla",
      "presenter": "Mr Amit Dhalla",
      "normalized_authors": [
        "Amit Dhalla"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amit Dhalla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate refractive outcomes following routine cataract surgery in patients with prior laser refractive surgery and to identify key learning points related to intraocular lens (IOL) calculation and documentation.",
        "Setting": "A major teaching hospital in the North of England.",
        "Methods": "A retrospective audit was performed of patients with previous laser refractive surgery who underwent cataract surgery between August 2014 and September 2025. A total of 289 eyes were included. Post-operative prediction error (deviation from predicted post-operative refraction, PPOR) was analysed overall and also according to the type of prior laser correction and IOL power calculation formula where documented.",
        "Results": "Across all eyes, deviation from PPOR ranged from -2.50 D to +2.37 D, with a mean deviation of -0.11 D. Overall, 250 of 289 eyes (86.5%) achieved a refractive outcome within ±1.00 D of the predicted refraction. The type of prior laser procedure was unknown in 96 eyes. Among cases with known indication, 155 eyes had previous myopic laser correction (PPOR range -2.50 D to +2.37 D, mean -0.12 D) and 38 eyes had previous hyperopic correction (PPOR range -1.66 D to +1.31 D, mean -0.28 D). Where the IOL calculation formula was clearly documented in the electronic record, the two most commonly used formulae were Barrett True-K (83 eyes, PPOR range - 2.50 D to +1.38 D , mean - 0.25 D) and S RK/T (93 eyes, PPOR range - 2.21 D to +2.37 D , mean +0.15 D).",
        "Conclusions": "Cataract surgery in patients with prior laser refractive surgery can achieve good refractive outcomes, with most eyes within ±1.00 D of PPOR. Accurate identification of prior laser treatment remains essential for correct IOL calculation. Many patients were uncertain of their previous procedure, highlighting the need for careful biometric review, corneal imaging, and clear documentation to reduce refractive surprises. Learning points included a case where prior hyperopic laser was mistaken for myopic laser, leading to incorrect IOL implantation, and a near miss where biometric findings inconsistent with presumed myopic laser prompted reassessment before surgery. We will include these cases with supporting data as key learning points."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in patients with prior laser refractive surgery can achieve good refractive outcomes, with most eyes within ±1.00 D of PPOR. Accurate identification of prior laser treatment remains essential for correct IOL calculation. Many patients were uncertain of their previous procedure, highlighting the need for careful biometric review, corneal imaging, and clear documentation to reduce refractive…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 626,
      "source_fields": {
        "Abstract Final Identifier": "POCAT589",
        "Title": "Refractive Outcomes Following Cataract Surgery In Eyes With Previous Laser Refractive Surgery: A Retrospective Audit And Learning Points",
        "Presenting Author(s)": "Mr Amit Dhalla",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Amit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dhalla",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate refractive outcomes following routine cataract surgery in patients with prior laser refractive surgery and to identify key learning points related to intraocular lens (IOL) calculation and documentation.",
        "Setting": "A major teaching hospital in the North of England.",
        "Methods": "A retrospective audit was performed of patients with previous laser refractive surgery who underwent cataract surgery between August 2014 and September 2025. A total of 289 eyes were included. Post-operative prediction error (deviation from predicted post-operative refraction, PPOR) was analysed overall and also according to the type of prior laser correction and IOL power calculation formula where documented.",
        "Results": "Across all eyes, deviation from PPOR ranged from -2.50 D to +2.37 D, with a mean deviation of -0.11 D. Overall, 250 of 289 eyes (86.5%) achieved a refractive outcome within ±1.00 D of the predicted refraction. The type of prior laser procedure was unknown in 96 eyes. Among cases with known indication, 155 eyes had previous myopic laser correction (PPOR range -2.50 D to +2.37 D, mean -0.12 D) and 38 eyes had previous hyperopic correction (PPOR range -1.66 D to +1.31 D, mean -0.28 D). Where the IOL calculation formula was clearly documented in the electronic record, the two most commonly used formulae were Barrett True-K (83 eyes, PPOR range - 2.50 D to +1.38 D , mean - 0.25 D) and S RK/T (93 eyes, PPOR range - 2.21 D to +2.37 D , mean +0.15 D).",
        "Conclusions": "Cataract surgery in patients with prior laser refractive surgery can achieve good refractive outcomes, with most eyes within ±1.00 D of PPOR. Accurate identification of prior laser treatment remains essential for correct IOL calculation. Many patients were uncertain of their previous procedure, highlighting the need for careful biometric review, corneal imaging, and clear documentation to reduce refractive surprises. Learning points included a case where prior hyperopic laser was mistaken for myopic laser, leading to incorrect IOL implantation, and a near miss where biometric findings inconsistent with presumed myopic laser prompted reassessment before surgery. We will include these cases with supporting data as key learning points."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POCAT590",
      "abstract_number": "POCAT590",
      "title": "Influence Of The Axial Length–To–Corneal Radius Ratio On Iol Power Calculation Accuracy: A Comparative Analysis Of Nine Formulas",
      "authors": "Dr Joao Pedro Antunes",
      "presenter": "Dr Joao Pedro Antunes",
      "normalized_authors": [
        "Joao Pedro Antunes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joao Pedro Dias Antunes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To characterize the distribution of the AL/CR ratio in cataract patients and to assess the performance of different IOL power calculation formulas according to AL and AL/CR subgroups.",
        "Setting": "Ophthalmology department, ULS São José Lisbon",
        "Methods": "Retrospective observational study included 804 eyes who underwent phacoemulsification with in-the-bag implantation of a single-model monofocal IOL. Using optimized lens constants, refractive prediction errors (PE) were calculated for the following formulas: Barrett Universal II, EVO, SRK/T, Holladay 1, Hoffer Q, Haigis, Hill-RBF v2.0, Kane, and PEARL-DGS. Subgroup analyses were performed according to AL/CR ratio (≤2.98, 2.98–3.11, >3.11) and axial length categories (AL ≤22 mm; 22 < AL < 26 mm; AL ≥26 mm). Primary outcome measures included: mean prediction error (ME), standard deviation (SD) of ME, mean absolute error (MAE), median absolute error (MedAE), and percentage of eyes within ±0.25 D, ±0.50 D, and ±1.00 D.",
        "Results": "The mean AL/CR ratio was 3.07 ± 0.16. After lens constant optimization, mean prediction error was near zero for all formulas, indicating no systematic bias. The Kane formula achieved the lowest absolute errors and the highest percentage of eyes within ±0.50 D, whereas SRK/T and Hoffer Q showed higher errors. A significant negative correlation was found between postoperative spherical equivalent and axial length, and between spherical equivalent and AL/CR ratio (p < 0.05), but not with corneal radius alone. Subgroup analysis showed reduced accuracy of SRK/T in medium AL with high AL/CR, and of Holladay 1 and Hoffer Q in long AL with high AL/CR, while Kane remained consistent across subgroups.",
        "Conclusions": "The AL/CR ratio appears to influence the accuracy of IOL power calculations and may partly explain residual refractive error across different biometric profiles. While the Kane formula demonstrated consistent performance, SRK/T, Holladay 1, and Hoffer Q showed reduced reliability in specific AL and AL/CR subgroups. Consideration of the AL/CR ratio may enhance the understanding of formula behavior and contribute to more individualized IOL power selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The AL/CR ratio appears to influence the accuracy of IOL power calculations and may partly explain residual refractive error across different biometric profiles. While the Kane formula demonstrated consistent performance, SRK/T, Holladay 1, and Hoffer Q showed reduced reliability in specific AL and AL/CR subgroups. Consideration of the AL/CR ratio may enhance the understanding of formula behavior and contribute to…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 627,
      "source_fields": {
        "Abstract Final Identifier": "POCAT590",
        "Title": "Influence Of The Axial Length–To–Corneal Radius Ratio On Iol Power Calculation Accuracy: A Comparative Analysis Of Nine Formulas",
        "Presenting Author(s)": "Dr Joao Pedro Antunes",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Joao Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dias Antunes",
        "Country Name": "Portugal",
        "Purpose": "To characterize the distribution of the AL/CR ratio in cataract patients and to assess the performance of different IOL power calculation formulas according to AL and AL/CR subgroups.",
        "Setting": "Ophthalmology department, ULS São José Lisbon",
        "Methods": "Retrospective observational study included 804 eyes who underwent phacoemulsification with in-the-bag implantation of a single-model monofocal IOL. Using optimized lens constants, refractive prediction errors (PE) were calculated for the following formulas: Barrett Universal II, EVO, SRK/T, Holladay 1, Hoffer Q, Haigis, Hill-RBF v2.0, Kane, and PEARL-DGS. Subgroup analyses were performed according to AL/CR ratio (≤2.98, 2.98–3.11, >3.11) and axial length categories (AL ≤22 mm; 22 < AL < 26 mm; AL ≥26 mm). Primary outcome measures included: mean prediction error (ME), standard deviation (SD) of ME, mean absolute error (MAE), median absolute error (MedAE), and percentage of eyes within ±0.25 D, ±0.50 D, and ±1.00 D.",
        "Results": "The mean AL/CR ratio was 3.07 ± 0.16. After lens constant optimization, mean prediction error was near zero for all formulas, indicating no systematic bias. The Kane formula achieved the lowest absolute errors and the highest percentage of eyes within ±0.50 D, whereas SRK/T and Hoffer Q showed higher errors. A significant negative correlation was found between postoperative spherical equivalent and axial length, and between spherical equivalent and AL/CR ratio (p < 0.05), but not with corneal radius alone. Subgroup analysis showed reduced accuracy of SRK/T in medium AL with high AL/CR, and of Holladay 1 and Hoffer Q in long AL with high AL/CR, while Kane remained consistent across subgroups.",
        "Conclusions": "The AL/CR ratio appears to influence the accuracy of IOL power calculations and may partly explain residual refractive error across different biometric profiles. While the Kane formula demonstrated consistent performance, SRK/T, Holladay 1, and Hoffer Q showed reduced reliability in specific AL and AL/CR subgroups. Consideration of the AL/CR ratio may enhance the understanding of formula behavior and contribute to more individualized IOL power selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCAT591",
      "abstract_number": "POCAT591",
      "title": "Lens Thickness– Driven Refractive Modulation After Segmented Optical Biometry: Challenging The Composite Index Assumption In Intraocular Lens Calculation",
      "authors": "Dr Çağla Su Dikmen Partalcı",
      "presenter": "Dr Çağla Su Dikmen Partalcı",
      "normalized_authors": [
        "Çağla Su Dikmen Partalcı"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Çağla Su Dikmen Partalcı",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To determine whether true geometric axial length (AL) calculation using parameter-specific refractive indices improves intraocular lens (IOL) power prediction compared with conventional composite-index biometry, and to evaluate the modulatory effect of lens thickness (LT) on refractive shift and predictive error across contemporary IOL formulas.",
        "Setting": "Single-center clinical study including cataract eyes implanted with TECNIS Eyhance™ (Johnson & Johnson Vision) or Clareon® (Alcon) intraocular lenses.",
        "Methods": "One hundred eighty-eight eyes of one hundred thirty-three patients were retrospectively analyzed. Optical biometry was performed using the Lenstar LS 900 (Haag-Streit), applying a composite refractive index. Standard measurements were compared with segmented calculations using parameter-specific refractive indices for axial length (AL), central corneal thickness (CCT), anterior chamber depth (ACD), and lens thickness (LT) to derive true geometric distances. Predictive errors of Barrett, Hill-RBF, SRK/T, Haigis, Hoffer Q, and Holladay formulas were calculated using both standard and segmented AL. Hyperopic and myopic shifts, vergence adjustments required to neutralize prediction error, and ROC-defined LT thresholds were determined.",
        "Results": "Lens thickness (LT) emerged as the dominant determinant of refractive modulation. ROC analysis demonstrated strong discrimination for prediction shift (AUC 0.753–0.820, p<0.001), with segmented correction inducing a consistent myopic shift above approximately 4.4–4.7 mm LT. For error correction, LT also showed significant predictive capacity (AUC up to 0.723, p<0.001). In eyes exceeding approximately 4.5 mm LT, segmentation reduced predictive error for all formulas except Haigis. Conversely, Haigis accuracy worsened beyond this threshold, demonstrating an inverse response pattern.",
        "Conclusions": "Composite-index optical biometry may obscure clinically relevant geometric variations. True geometric axial length calculation significantly alters refractive behavior in thicker lenses, improving prediction accuracy for most vergence-based formulas while paradoxically degrading Haigis performance. Lens thickness appears to be the critical biometric trigger for segmentation benefit. LT-guided biometry refinement may therefore represent a targeted strategy to enhance refractive precision in selected eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Composite-index optical biometry may obscure clinically relevant geometric variations. True geometric axial length calculation significantly alters refractive behavior in thicker lenses, improving prediction accuracy for most vergence-based formulas while paradoxically degrading Haigis performance. Lens thickness appears to be the critical biometric trigger for segmentation benefit. LT-guided biometry refinement…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 628,
      "source_fields": {
        "Abstract Final Identifier": "POCAT591",
        "Title": "Lens Thickness– Driven Refractive Modulation After Segmented Optical Biometry: Challenging The Composite Index Assumption In Intraocular Lens Calculation",
        "Presenting Author(s)": "Dr Çağla Su Dikmen Partalcı",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Çağla Su",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dikmen Partalcı",
        "Country Name": "Türkiye",
        "Purpose": "To determine whether true geometric axial length (AL) calculation using parameter-specific refractive indices improves intraocular lens (IOL) power prediction compared with conventional composite-index biometry, and to evaluate the modulatory effect of lens thickness (LT) on refractive shift and predictive error across contemporary IOL formulas.",
        "Setting": "Single-center clinical study including cataract eyes implanted with TECNIS Eyhance™ (Johnson & Johnson Vision) or Clareon® (Alcon) intraocular lenses.",
        "Methods": "One hundred eighty-eight eyes of one hundred thirty-three patients were retrospectively analyzed. Optical biometry was performed using the Lenstar LS 900 (Haag-Streit), applying a composite refractive index. Standard measurements were compared with segmented calculations using parameter-specific refractive indices for axial length (AL), central corneal thickness (CCT), anterior chamber depth (ACD), and lens thickness (LT) to derive true geometric distances. Predictive errors of Barrett, Hill-RBF, SRK/T, Haigis, Hoffer Q, and Holladay formulas were calculated using both standard and segmented AL. Hyperopic and myopic shifts, vergence adjustments required to neutralize prediction error, and ROC-defined LT thresholds were determined.",
        "Results": "Lens thickness (LT) emerged as the dominant determinant of refractive modulation. ROC analysis demonstrated strong discrimination for prediction shift (AUC 0.753–0.820, p<0.001), with segmented correction inducing a consistent myopic shift above approximately 4.4–4.7 mm LT. For error correction, LT also showed significant predictive capacity (AUC up to 0.723, p<0.001). In eyes exceeding approximately 4.5 mm LT, segmentation reduced predictive error for all formulas except Haigis. Conversely, Haigis accuracy worsened beyond this threshold, demonstrating an inverse response pattern.",
        "Conclusions": "Composite-index optical biometry may obscure clinically relevant geometric variations. True geometric axial length calculation significantly alters refractive behavior in thicker lenses, improving prediction accuracy for most vergence-based formulas while paradoxically degrading Haigis performance. Lens thickness appears to be the critical biometric trigger for segmentation benefit. LT-guided biometry refinement may therefore represent a targeted strategy to enhance refractive precision in selected eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POCAT592",
      "abstract_number": "POCAT592",
      "title": "Comparing The Accuracy Of Artificial Intelligence- Based Formulas In Calculation Of Intraocular Lens Power",
      "authors": "Dr Chau Ngoc Bao Dinh",
      "presenter": "Dr Chau Ngoc Bao Dinh",
      "normalized_authors": [
        "Chau Ngoc Bao Dinh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chau Ngoc Bao Dinh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To compare the accuracy of artificial intelligence- based formulas Kane, Hill-RBF and Barrette Universal II in calculation intraocular lens power.",
        "Setting": "We investigated patients who had undergone phacoemulsification surgery with 9 kinds of intraocular inplantation including monofocal, EDOF and multifocal from January 2025 to February 2025 at Vietnam-Russia International Eye Hospital-HCMC. Patients must be older than 18 years old to be selected. We eliminated patients who had corneal refractive surgery or other ocular surgery before; post operation VA less than 20/30 and had no refractive data after 3 weeks postoperatively.",
        "Methods": "This retrospective study included 123 eyes of 91 patients. Biometry was perfomed using IOL Master 700 which was included Barrette Universal II formula. Kane and Hill -RBF 3.0 were caculated online by inputting biometry data from IOL master 700. After surgery they were also collected VA, refractive errors. Mean numerical error (MNE) and mean absolute error (MAE) and proportion of eyes within ±0.25D ,±0.5D and ±0.75D were assessed for the accuracy of formulas. Subgroup analyses were performed for axial length and type of implants.",
        "Results": "Kane formula demonstrated the lowest MAE (0,21±0,19D), MedAE (0,14D) and highest percentages of eyes with prediction errors ±0.25D and ±0,5D with 68.3% and 92.7% respectively; although there was no statistically significant difference between Barrett Universal II, Hill-RBF and Kane. Subgroup analysis by axial length (AL) and types of implant were also investigated. In short-eye subgroup, Kane also demonstrated lowest MAE while Hill-RBF took this placement in long-eye subgroup. There was statistically significant difference between formulas in eyes which had multifocal lens implantation where Kane exhibited the lowest MAE (0,19±0,15D), MedAE (0,14D).",
        "Conclusions": "Kane was proved the most accurate formula in terms of MAE and MedAE in whole group and also in subgroup short-eye, normal-eye. In subgroup by types of implants, Kane was also the most accurate, especially in multifocal implantation with significant difference."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Kane was proved the most accurate formula in terms of MAE and MedAE in whole group and also in subgroup short-eye, normal-eye. In subgroup by types of implants, Kane was also the most accurate, especially in multifocal implantation with significant difference.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 629,
      "source_fields": {
        "Abstract Final Identifier": "POCAT592",
        "Title": "Comparing The Accuracy Of Artificial Intelligence- Based Formulas In Calculation Of Intraocular Lens Power",
        "Presenting Author(s)": "Dr Chau Ngoc Bao Dinh",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Chau",
        "Submitter Middle Name": "Ngoc Bao",
        "Submitter Last Name": "Dinh",
        "Country Name": "Viet Nam",
        "Purpose": "To compare the accuracy of artificial intelligence- based formulas Kane, Hill-RBF and Barrette Universal II in calculation intraocular lens power.",
        "Setting": "We investigated patients who had undergone phacoemulsification surgery with 9 kinds of intraocular inplantation including monofocal, EDOF and multifocal from January 2025 to February 2025 at Vietnam-Russia International Eye Hospital-HCMC. Patients must be older than 18 years old to be selected. We eliminated patients who had corneal refractive surgery or other ocular surgery before; post operation VA less than 20/30 and had no refractive data after 3 weeks postoperatively.",
        "Methods": "This retrospective study included 123 eyes of 91 patients. Biometry was perfomed using IOL Master 700 which was included Barrette Universal II formula. Kane and Hill -RBF 3.0 were caculated online by inputting biometry data from IOL master 700. After surgery they were also collected VA, refractive errors. Mean numerical error (MNE) and mean absolute error (MAE) and proportion of eyes within ±0.25D ,±0.5D and ±0.75D were assessed for the accuracy of formulas. Subgroup analyses were performed for axial length and type of implants.",
        "Results": "Kane formula demonstrated the lowest MAE (0,21±0,19D), MedAE (0,14D) and highest percentages of eyes with prediction errors ±0.25D and ±0,5D with 68.3% and 92.7% respectively; although there was no statistically significant difference between Barrett Universal II, Hill-RBF and Kane. Subgroup analysis by axial length (AL) and types of implant were also investigated. In short-eye subgroup, Kane also demonstrated lowest MAE while Hill-RBF took this placement in long-eye subgroup. There was statistically significant difference between formulas in eyes which had multifocal lens implantation where Kane exhibited the lowest MAE (0,19±0,15D), MedAE (0,14D).",
        "Conclusions": "Kane was proved the most accurate formula in terms of MAE and MedAE in whole group and also in subgroup short-eye, normal-eye. In subgroup by types of implants, Kane was also the most accurate, especially in multifocal implantation with significant difference."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POCAT593",
      "abstract_number": "POCAT593",
      "title": "Tomography-Guided Iol Calculation After Intracorneal Ring Segments In Advanced Keratoconus: Achieving Sub-0.25 D Refractive Error",
      "authors": "Mrs Gabriela Egea Alvaro Egea Alvaro do Nascimento",
      "presenter": "Mrs Gabriela Egea Alvaro Egea Alvaro do Nascimento",
      "normalized_authors": [
        "Gabriela Egea Alvaro Egea Alvaro do Nascimento"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gabriela Egea Alvaro Do Nascimento",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To report the refractive outcome of phacoemulsification in a patient with advanced keratoconus previously treated with intracorneal ring segments (ICRS), emphasizing quarterly tomographic stability prior to cataract surgery and the accuracy of intraocular lens (IOL) power calculation with comparative formula analysis.",
        "Setting": "Interventional case report conducted at a specialized cornea and cataract center, with serial Scheimpflug tomography (Pentacam) performed every three months prior to cataract surgery.",
        "Methods": "Prospective interventional case report conducted at a specialized cornea and cataract center. A 58-year-old male with advanced keratoconus in the left eye (Kmax 55.7 D; pachymetry 423 µm; CDVA 20/40) underwent implantation of two intracorneal ring segments (160°/200 µm). Scheimpflug tomography was performed every three months for 11 months, confirming keratometric stability (<0.50 D variation). After stabilization, standard phacoemulsification with in-the-bag implantation of a +8.5 D monofocal IOL was performed. IOL power was calculated using tomographic keratometry (Km 47.1 D) and axial length (25.94 mm), with prediction analysis using Barrett, Haigis, Holladay 1 and SRK/T formulas.",
        "Results": "ICRS implantation reduced spherical equivalent from −12.12 D to −4.75 D (61%) and refractive astigmatism from 4.25 D to 2.50 D. Serial tomography demonstrated corneal stability prior to phacoemulsification. The emmetropic target IOL power was +8.27 D (Barrett), +8.31 D (Haigis), +8.25 D (Holladay 1), and +9.02 D (SRK/T). After implantation of a +8.5 D IOL, postoperative refraction was +0.00 −0.50 ×15 (spherical equivalent −0.25 D), with CDVA 20/40. Barrett and Holladay formulas showed the highest agreement with the achieved outcome (≈0.10 D deviation).",
        "Conclusions": "This case demonstrates that advanced keratoconus is not a barrier to refractive precision in cataract surgery when corneal regularization and documented tomographic stability are achieved prior to biometry. Tomography-guided IOL calculation enabled sub-0.25 D accuracy, with modern formulas showing high predictive performance. A structured sequential approach (ICRS, stabilization, then phacoemulsification) may redefine refractive expectations in ectatic corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case demonstrates that advanced keratoconus is not a barrier to refractive precision in cataract surgery when corneal regularization and documented tomographic stability are achieved prior to biometry. Tomography-guided IOL calculation enabled sub-0.25 D accuracy, with modern formulas showing high predictive performance. A structured sequential approach (ICRS, stabilization, then phacoemulsification) may…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 630,
      "source_fields": {
        "Abstract Final Identifier": "POCAT593",
        "Title": "Tomography-Guided Iol Calculation After Intracorneal Ring Segments In Advanced Keratoconus: Achieving Sub-0.25 D Refractive Error",
        "Presenting Author(s)": "Mrs Gabriela Egea Alvaro Egea Alvaro do Nascimento",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Gabriela",
        "Submitter Middle Name": "Egea Alvaro",
        "Submitter Last Name": "Do Nascimento",
        "Country Name": "Brazil",
        "Purpose": "To report the refractive outcome of phacoemulsification in a patient with advanced keratoconus previously treated with intracorneal ring segments (ICRS), emphasizing quarterly tomographic stability prior to cataract surgery and the accuracy of intraocular lens (IOL) power calculation with comparative formula analysis.",
        "Setting": "Interventional case report conducted at a specialized cornea and cataract center, with serial Scheimpflug tomography (Pentacam) performed every three months prior to cataract surgery.",
        "Methods": "Prospective interventional case report conducted at a specialized cornea and cataract center. A 58-year-old male with advanced keratoconus in the left eye (Kmax 55.7 D; pachymetry 423 µm; CDVA 20/40) underwent implantation of two intracorneal ring segments (160°/200 µm). Scheimpflug tomography was performed every three months for 11 months, confirming keratometric stability (<0.50 D variation). After stabilization, standard phacoemulsification with in-the-bag implantation of a +8.5 D monofocal IOL was performed. IOL power was calculated using tomographic keratometry (Km 47.1 D) and axial length (25.94 mm), with prediction analysis using Barrett, Haigis, Holladay 1 and SRK/T formulas.",
        "Results": "ICRS implantation reduced spherical equivalent from −12.12 D to −4.75 D (61%) and refractive astigmatism from 4.25 D to 2.50 D. Serial tomography demonstrated corneal stability prior to phacoemulsification. The emmetropic target IOL power was +8.27 D (Barrett), +8.31 D (Haigis), +8.25 D (Holladay 1), and +9.02 D (SRK/T). After implantation of a +8.5 D IOL, postoperative refraction was +0.00 −0.50 ×15 (spherical equivalent −0.25 D), with CDVA 20/40. Barrett and Holladay formulas showed the highest agreement with the achieved outcome (≈0.10 D deviation).",
        "Conclusions": "This case demonstrates that advanced keratoconus is not a barrier to refractive precision in cataract surgery when corneal regularization and documented tomographic stability are achieved prior to biometry. Tomography-guided IOL calculation enabled sub-0.25 D accuracy, with modern formulas showing high predictive performance. A structured sequential approach (ICRS, stabilization, then phacoemulsification) may redefine refractive expectations in ectatic corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCAT594",
      "abstract_number": "POCAT594",
      "title": "Assessing Anterior Segment Parameters: Choosing The Appropriate Device",
      "authors": "Nasr El Khnissi",
      "presenter": "Nasr El Khnissi",
      "normalized_authors": [
        "Nasr El Khnissi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nasr El Khnissi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "Accurate measurement of anterior segment parameters is essential for diagnosis, intraocular lens calculation, and surgical planning in ophthalmology. Several optical biometers are available, and differences in measurement techniques may influence their results. This study aimed to evaluate the agreement between two commonly used optical biometers, the Aladdin optical biometer and the IOLMaster 500, in measuring key anterior segment parameters.",
        "Setting": "Prospective comparative study conducted in an ophthalmology department.",
        "Methods": "A total of 146 eyes from 73 healthy phakic subjects were prospectively evaluated using two optical biometers: the Aladdin optical biometer, based on optical low-coherence interferometry, and the IOLMaster 500. All measurements were performed by the same examiner under identical lighting conditions. The assessed parameters included anterior chamber depth (ACD), axial length (AL), flat keratometry (K1), and steep keratometry (K2). Statistical analysis was performed using paired Student’s t-tests to evaluate differences between measurements obtained with the two devices. Pearson correlation coefficients were calculated to assess the linear relationship between the measurements.",
        "Results": "The measurements obtained with both devices showed a strong correlation for all evaluated parameters. Mean values of anterior chamber depth, axial length, and keratometry readings were comparable between the two biometers. Minor differences were observed, particularly in axial length measurements and, in some reports, in flat keratometry values. However, these differences were small and not clinically significant. Overall, the results demonstrated a high level of agreement between the Aladdin and the IOLMaster 500 in the measurement of anterior segment parameters.",
        "Conclusions": "The Aladdin optical biometer and the IOLMaster 500 show strong agreement in the measurement of anterior segment parameters. Despite minor variations, both devices provide reliable and clinically comparable measurements. These findings suggest that the two biometers can be used interchangeably in routine clinical practice for anterior segment assessment and surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Aladdin optical biometer and the IOLMaster 500 show strong agreement in the measurement of anterior segment parameters. Despite minor variations, both devices provide reliable and clinically comparable measurements. These findings suggest that the two biometers can be used interchangeably in routine clinical practice for anterior segment assessment and surgical planning.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 631,
      "source_fields": {
        "Abstract Final Identifier": "POCAT594",
        "Title": "Assessing Anterior Segment Parameters: Choosing The Appropriate Device",
        "Presenting Author(s)": "Nasr El Khnissi",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Nasr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "El Khnissi",
        "Country Name": "Afghanistan",
        "Purpose": "Accurate measurement of anterior segment parameters is essential for diagnosis, intraocular lens calculation, and surgical planning in ophthalmology. Several optical biometers are available, and differences in measurement techniques may influence their results. This study aimed to evaluate the agreement between two commonly used optical biometers, the Aladdin optical biometer and the IOLMaster 500, in measuring key anterior segment parameters.",
        "Setting": "Prospective comparative study conducted in an ophthalmology department.",
        "Methods": "A total of 146 eyes from 73 healthy phakic subjects were prospectively evaluated using two optical biometers: the Aladdin optical biometer, based on optical low-coherence interferometry, and the IOLMaster 500. All measurements were performed by the same examiner under identical lighting conditions. The assessed parameters included anterior chamber depth (ACD), axial length (AL), flat keratometry (K1), and steep keratometry (K2). Statistical analysis was performed using paired Student’s t-tests to evaluate differences between measurements obtained with the two devices. Pearson correlation coefficients were calculated to assess the linear relationship between the measurements.",
        "Results": "The measurements obtained with both devices showed a strong correlation for all evaluated parameters. Mean values of anterior chamber depth, axial length, and keratometry readings were comparable between the two biometers. Minor differences were observed, particularly in axial length measurements and, in some reports, in flat keratometry values. However, these differences were small and not clinically significant. Overall, the results demonstrated a high level of agreement between the Aladdin and the IOLMaster 500 in the measurement of anterior segment parameters.",
        "Conclusions": "The Aladdin optical biometer and the IOLMaster 500 show strong agreement in the measurement of anterior segment parameters. Despite minor variations, both devices provide reliable and clinically comparable measurements. These findings suggest that the two biometers can be used interchangeably in routine clinical practice for anterior segment assessment and surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCAT595",
      "abstract_number": "POCAT595",
      "title": "Intraocular Lens Power Calculation After Myopic Laser Vision Correction: Large Multicenter Real-World Comparative Analysis And The Role Of Posterior Corneal Curvature And Historical Data",
      "authors": "Dr Colya N. Englisch",
      "presenter": "Dr Colya N. Englisch",
      "normalized_authors": [
        "Colya N. Englisch"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Colya N. Englisch",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The primary aim was to evaluate the refractive predictive accuracy of legacy and modern intraocular lens (IOL) power calculation formulas, with and without incorporation of posterior corneal curvature (PCC), in a large multicenter real-world cohort of eyes with prior myopic laser vision correction (M-LVC). The secondary aim was to determine the incremental value of historical refractive data when applied to (1) standard formulas not specifically designed for post–M-LVC eyes with and without a novel history myopic modification (HMM), (2) M-LVC–specific formulas without PCC input, and (3) M-LVC–specific formulas incorporating PCC, in a “historical“ subset with complete biometric and historical information.",
        "Setting": "This retrospective cohort study used multicenter routine cataract surgery data from the United States aggregated in the Veracity database (Carl Zeiss Meditec AG). A total of 4,978 eyes with prior myopic laser vision correction (M-LVC) with swept-source biometry (IOLMaster 700) operated between 10/02/2017 and 08/20/2025, were evaluated for the primary aim. A subset of 80 eyes, operated between 01/01/2023 and 08/20/2025 with complete historical data, was analyzed for the secondary aim.",
        "Methods": "For the primary aim legacy formulas (Haigis-L, Shammas-PL), modern formulas with and without PCC (posterior keratometry [PK] or total keratometry [TK]) input (Barrett True K, EVO 2.0, Hoffer QST, Pearl DGS, K6), one formula without PCC (Shammas-Cooke), and one legacy formula with PCC (Haigis-TK) were used. For the secondary aim, 38 formula variants were assessed, including 12 standard formulas (with/without HMM) and four M-LVC formulas (Barrett True K, EVO 2.0, Pearl DGS, K6) in PCC- and history-based versions. HMM was derived from an independent training set: HMM (D) = 0.1445 × Ablation (D) + 0.063 . Outcomes included mean absolute error (MAE, compared using heteroscedastic tests) and proportions within ±0.50 D / ±1.00 D of target.",
        "Results": "Modern no-history formulas outperformed legacy formulas. PCC significantly reduced MAE ( p <0.0001). K6 had the lowest MAE overall. Among non-PCC formulas, EVO 2.0 ranked second; with PCC, Pearl DGS ranked second alongside Barrett True K and EVO 2.0. The two-variable Shammas-Cooke outperformed Haigis-L and Shammas-PL (both p <0.0001). In the “historical“ subset, PCC formulas counted among the top MAEs: EVO 2.0 (0.35 D), Barrett True K (0.37 D), Cooke K6 (0.37 D). History selectively improved no-PCC formulas and, via HMM, enhanced standard formulas (all p <0.01). Highest-ranking approaches (MAEs 0.35–0.38 D) combined PCC, history, or both, including HMM-corrected standard formulas; anterior-cornea-only formulas performed worse.",
        "Conclusions": "In this large real-world cohort, refractive accuracy after cataract surgery in post–M-LVC eyes was significantly improved with modern M-LVC formulas, particularly when PCC was used. When PCC measurements are available and included in modern IOL calculation platforms, routine recovery of historical refractive data offers minimal benefit. When PCC is unavailable, history-based approaches, including application of a HMM to standard formulas, not requiring particular online calculators, improve refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large real-world cohort, refractive accuracy after cataract surgery in post–M-LVC eyes was significantly improved with modern M-LVC formulas, particularly when PCC was used. When PCC measurements are available and included in modern IOL calculation platforms, routine recovery of historical refractive data offers minimal benefit. When PCC is unavailable, history-based approaches, including application of a…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 632,
      "source_fields": {
        "Abstract Final Identifier": "POCAT595",
        "Title": "Intraocular Lens Power Calculation After Myopic Laser Vision Correction: Large Multicenter Real-World Comparative Analysis And The Role Of Posterior Corneal Curvature And Historical Data",
        "Presenting Author(s)": "Dr Colya N. Englisch",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Colya",
        "Submitter Middle Name": "N.",
        "Submitter Last Name": "Englisch",
        "Country Name": "Germany",
        "Purpose": "The primary aim was to evaluate the refractive predictive accuracy of legacy and modern intraocular lens (IOL) power calculation formulas, with and without incorporation of posterior corneal curvature (PCC), in a large multicenter real-world cohort of eyes with prior myopic laser vision correction (M-LVC). The secondary aim was to determine the incremental value of historical refractive data when applied to (1) standard formulas not specifically designed for post–M-LVC eyes with and without a novel history myopic modification (HMM), (2) M-LVC–specific formulas without PCC input, and (3) M-LVC–specific formulas incorporating PCC, in a “historical“ subset with complete biometric and historical information.",
        "Setting": "This retrospective cohort study used multicenter routine cataract surgery data from the United States aggregated in the Veracity database (Carl Zeiss Meditec AG). A total of 4,978 eyes with prior myopic laser vision correction (M-LVC) with swept-source biometry (IOLMaster 700) operated between 10/02/2017 and 08/20/2025, were evaluated for the primary aim. A subset of 80 eyes, operated between 01/01/2023 and 08/20/2025 with complete historical data, was analyzed for the secondary aim.",
        "Methods": "For the primary aim legacy formulas (Haigis-L, Shammas-PL), modern formulas with and without PCC (posterior keratometry [PK] or total keratometry [TK]) input (Barrett True K, EVO 2.0, Hoffer QST, Pearl DGS, K6), one formula without PCC (Shammas-Cooke), and one legacy formula with PCC (Haigis-TK) were used. For the secondary aim, 38 formula variants were assessed, including 12 standard formulas (with/without HMM) and four M-LVC formulas (Barrett True K, EVO 2.0, Pearl DGS, K6) in PCC- and history-based versions. HMM was derived from an independent training set: HMM (D) = 0.1445 × Ablation (D) + 0.063 . Outcomes included mean absolute error (MAE, compared using heteroscedastic tests) and proportions within ±0.50 D / ±1.00 D of target.",
        "Results": "Modern no-history formulas outperformed legacy formulas. PCC significantly reduced MAE ( p <0.0001). K6 had the lowest MAE overall. Among non-PCC formulas, EVO 2.0 ranked second; with PCC, Pearl DGS ranked second alongside Barrett True K and EVO 2.0. The two-variable Shammas-Cooke outperformed Haigis-L and Shammas-PL (both p <0.0001). In the “historical“ subset, PCC formulas counted among the top MAEs: EVO 2.0 (0.35 D), Barrett True K (0.37 D), Cooke K6 (0.37 D). History selectively improved no-PCC formulas and, via HMM, enhanced standard formulas (all p <0.01). Highest-ranking approaches (MAEs 0.35–0.38 D) combined PCC, history, or both, including HMM-corrected standard formulas; anterior-cornea-only formulas performed worse.",
        "Conclusions": "In this large real-world cohort, refractive accuracy after cataract surgery in post–M-LVC eyes was significantly improved with modern M-LVC formulas, particularly when PCC was used. When PCC measurements are available and included in modern IOL calculation platforms, routine recovery of historical refractive data offers minimal benefit. When PCC is unavailable, history-based approaches, including application of a HMM to standard formulas, not requiring particular online calculators, improve refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 486
    },
    {
      "uid": "POCAT596",
      "abstract_number": "POCAT596",
      "title": "Impact Of Age On Anterior Segment Biometric Changes Induced By Mydriasis And Cycloplegia Assessed By Anterior Segment Oct",
      "authors": "Ms Marina Ramos Gonçalves",
      "presenter": "Ms Marina Ramos Gonçalves",
      "normalized_authors": [
        "Marina Ramos Gonçalves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marina Ramos Gonçalves",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To investigate the influence of age on changes in anterior chamber depth (ACD) and lens thickness (LT) induced by mydriasis and cycloplegia, evaluating the progressive reduction in the biomechanical response of the lens–zonule–ciliary body complex with aging and its implications for the stability of measurements used in intraocular lens planning.",
        "Setting": "Academic ophthalmology department.",
        "Methods": "Individuals aged 20 to 80 years underwent anterior segment biometry using OCT. Measurements of ACD and LT were obtained under physiological miosis, after isolated pharmacological mydriasis, and after mydriasis associated with cycloplegia. Variations between conditions (mydriasis − miosis; cycloplegia − mydriasis) were calculated. Participants were stratified into <50 and ≥50 year groups, with intergroup comparisons performed using t-tests (α=5%).",
        "Results": "Cycloplegia induced an increase in ACD and a reduction in LT in both groups, with greater magnitude in individuals <50 years (ACD: +0.030 mm; LT: −0.027 mm) compared to those ≥50 years (ACD: +0.012 mm; LT: −0.004 mm). Effect sizes ranged from moderate to large (ACD: d≈0.61; LT: d≈0.82). Isolated mydriasis produced no measurable changes in ACD or LT across age groups (p>0.05).",
        "Conclusions": "Isolated mydriasis did not significantly alter ACD or LT, whereas cycloplegia induced measurable biometric changes. Although small in absolute magnitude, the cycloplegia-induced alterations were systematic and statistically robust, demonstrating the influence of baseline accommodative tone on anterior segment geometry in normal young eyes. These findings suggest that biometry in younger eyes may not reflect a completely stable structural state, unlike what is observed in senile cataract eyes. Therefore, the applicability of biometric models derived from older populations may need to be reassessed in young patients undergoing surgery with high refractive demands."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Isolated mydriasis did not significantly alter ACD or LT, whereas cycloplegia induced measurable biometric changes. Although small in absolute magnitude, the cycloplegia-induced alterations were systematic and statistically robust, demonstrating the influence of baseline accommodative tone on anterior segment geometry in normal young eyes. These findings suggest that biometry in younger eyes may not reflect a…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 633,
      "source_fields": {
        "Abstract Final Identifier": "POCAT596",
        "Title": "Impact Of Age On Anterior Segment Biometric Changes Induced By Mydriasis And Cycloplegia Assessed By Anterior Segment Oct",
        "Presenting Author(s)": "Ms Marina Ramos Gonçalves",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Marina",
        "Submitter Middle Name": "Ramos",
        "Submitter Last Name": "Gonçalves",
        "Country Name": "Brazil",
        "Purpose": "To investigate the influence of age on changes in anterior chamber depth (ACD) and lens thickness (LT) induced by mydriasis and cycloplegia, evaluating the progressive reduction in the biomechanical response of the lens–zonule–ciliary body complex with aging and its implications for the stability of measurements used in intraocular lens planning.",
        "Setting": "Academic ophthalmology department.",
        "Methods": "Individuals aged 20 to 80 years underwent anterior segment biometry using OCT. Measurements of ACD and LT were obtained under physiological miosis, after isolated pharmacological mydriasis, and after mydriasis associated with cycloplegia. Variations between conditions (mydriasis − miosis; cycloplegia − mydriasis) were calculated. Participants were stratified into <50 and ≥50 year groups, with intergroup comparisons performed using t-tests (α=5%).",
        "Results": "Cycloplegia induced an increase in ACD and a reduction in LT in both groups, with greater magnitude in individuals <50 years (ACD: +0.030 mm; LT: −0.027 mm) compared to those ≥50 years (ACD: +0.012 mm; LT: −0.004 mm). Effect sizes ranged from moderate to large (ACD: d≈0.61; LT: d≈0.82). Isolated mydriasis produced no measurable changes in ACD or LT across age groups (p>0.05).",
        "Conclusions": "Isolated mydriasis did not significantly alter ACD or LT, whereas cycloplegia induced measurable biometric changes. Although small in absolute magnitude, the cycloplegia-induced alterations were systematic and statistically robust, demonstrating the influence of baseline accommodative tone on anterior segment geometry in normal young eyes. These findings suggest that biometry in younger eyes may not reflect a completely stable structural state, unlike what is observed in senile cataract eyes. Therefore, the applicability of biometric models derived from older populations may need to be reassessed in young patients undergoing surgery with high refractive demands."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POCAT597",
      "abstract_number": "POCAT597",
      "title": "Refractive Prediction Accuracy Of Barrett True-K Versus Intraoperative Aberrometry (Ora) In Post-Radial Keratotomy (Rk) Cataract Surgery.",
      "authors": "Prof. Dr Amit Gupta",
      "presenter": "Prof. Dr Amit Gupta",
      "normalized_authors": [
        "Amit Gupta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amit Gupta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the refractive prediction accuracy of the Barrett True K formula and intraoperative wavefront aberrometry (ORA) in post RK cataract surgery by assessing mean absolute error (MAE), arithmetic mean error (AME), and the proportion of eyes within ±0.50 D, ±1.00 D, and ±2.00 D of predicted postoperative refraction.",
        "Setting": "Advanced Eye Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Retrospective comparative study.",
        "Methods": "Thirty-six post-RK eyes of 27 patients (9 bilateral) undergoing cataract surgery were retrospectively analysed. Preoperative biometry using the IOLMaster version 700 (Carl Zeiss Meditec AG) was performed, and IOL power was calculated with the Barrett True-K formula for post-RK eyes. Intraoperative aphakic measurements were obtained using the Optiwave Refractive Analysis (ORA) system (Alcon). Postoperative spherical equivalent was recorded, and prediction error (actual minus predicted refraction) was calculated. Mean Arithmetic Error (MAE), AME, and percentages within ±0.50 D, ±1.00 D, and ±2.00 D were analyzed using paired statistical testing.",
        "Results": "Mean age was 51.09 ± 6.71 years and mean axial length was 27.97 ± 2.54 mm (range 24-32.74 mm). Ten eyes had 8 or less incisions, 12 eyes had 12 or less incisions, 6 eyes had combine RK with Ak incisions and 8 eyes had more than 16 RK incisions. Both methods demonstrated good refractive accuracy. ORA showed a numerically lower MAE compared with Barrett (0.98 D vs 1.27 D; p = 0.197). The proportion of eyes within ±0.50 D was 41.7% (ORA) versus 38.9% (Barrett); within ±1.00 D, 66.7% versus 63.9%; and within ±2.00 D, 94.4% versus 77.8% respectively. Both methods exhibited mild myopic bias (AME −0.39 D vs −0.43 D; p = 0.878).",
        "Conclusions": "Both the Barrett formula and intraoperative aberrometry demonstrated satisfactory refractive prediction accuracy in this cohort. ORA showed a trend toward slightly improved precision and a higher proportion of eyes within broader refractive thresholds, although differences were not statistically significant. While no tool is perfect, intraoperative aberrometry brings us closer to customised real time precision for each patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both the Barrett formula and intraoperative aberrometry demonstrated satisfactory refractive prediction accuracy in this cohort. ORA showed a trend toward slightly improved precision and a higher proportion of eyes within broader refractive thresholds, although differences were not statistically significant. While no tool is perfect, intraoperative aberrometry brings us closer to customised real time precision for…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 634,
      "source_fields": {
        "Abstract Final Identifier": "POCAT597",
        "Title": "Refractive Prediction Accuracy Of Barrett True-K Versus Intraoperative Aberrometry (Ora) In Post-Radial Keratotomy (Rk) Cataract Surgery.",
        "Presenting Author(s)": "Prof. Dr Amit Gupta",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Amit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gupta",
        "Country Name": "India",
        "Purpose": "To compare the refractive prediction accuracy of the Barrett True K formula and intraoperative wavefront aberrometry (ORA) in post RK cataract surgery by assessing mean absolute error (MAE), arithmetic mean error (AME), and the proportion of eyes within ±0.50 D, ±1.00 D, and ±2.00 D of predicted postoperative refraction.",
        "Setting": "Advanced Eye Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Retrospective comparative study.",
        "Methods": "Thirty-six post-RK eyes of 27 patients (9 bilateral) undergoing cataract surgery were retrospectively analysed. Preoperative biometry using the IOLMaster version 700 (Carl Zeiss Meditec AG) was performed, and IOL power was calculated with the Barrett True-K formula for post-RK eyes. Intraoperative aphakic measurements were obtained using the Optiwave Refractive Analysis (ORA) system (Alcon). Postoperative spherical equivalent was recorded, and prediction error (actual minus predicted refraction) was calculated. Mean Arithmetic Error (MAE), AME, and percentages within ±0.50 D, ±1.00 D, and ±2.00 D were analyzed using paired statistical testing.",
        "Results": "Mean age was 51.09 ± 6.71 years and mean axial length was 27.97 ± 2.54 mm (range 24-32.74 mm). Ten eyes had 8 or less incisions, 12 eyes had 12 or less incisions, 6 eyes had combine RK with Ak incisions and 8 eyes had more than 16 RK incisions. Both methods demonstrated good refractive accuracy. ORA showed a numerically lower MAE compared with Barrett (0.98 D vs 1.27 D; p = 0.197). The proportion of eyes within ±0.50 D was 41.7% (ORA) versus 38.9% (Barrett); within ±1.00 D, 66.7% versus 63.9%; and within ±2.00 D, 94.4% versus 77.8% respectively. Both methods exhibited mild myopic bias (AME −0.39 D vs −0.43 D; p = 0.878).",
        "Conclusions": "Both the Barrett formula and intraoperative aberrometry demonstrated satisfactory refractive prediction accuracy in this cohort. ORA showed a trend toward slightly improved precision and a higher proportion of eyes within broader refractive thresholds, although differences were not statistically significant. While no tool is perfect, intraoperative aberrometry brings us closer to customised real time precision for each patient."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "POCAT598",
      "abstract_number": "POCAT598",
      "title": "Impact Of A Lipid-Containing Nanoemulsion Artificial Tear On Ocular Surface Status And Astigmatism Prediction In Cataract Surgery",
      "authors": "Dr Chiunho Hou",
      "presenter": "Dr Chiunho Hou",
      "normalized_authors": [
        "Chiunho Hou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chiunho Hou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "Accurate astigmatism correction is critical in modern cataract surgery, particularly in patients receiving premium intraocular lenses (IOLs). Previous studies have demonstrated that ocular surface instability and the use of viscous artificial tears may influence keratometric measurements, potentially affecting IOL power and astigmatism planning. Systane COMPLETE (SC) is a lipid-containing nanoemulsion artificial tear designed to improve tear film stability and ocular surface hydration. This study aimed to evaluate the effects of SC on ocular surface optimization and astigmatism prediction in adults undergoing cataract surgery with pre-existing corneal astigmatism.",
        "Setting": "A prospective clinical study conducted at a tertiary medical center in Taipei, Taiwan.",
        "Methods": "This prospective study will enroll 65 adults scheduled for right-eye cataract surgery with corneal astigmatism ≥1.0 diopter (D). Patients with corneal pathology or prior use of artificial tears were excluded. All participants used SC for 1–2 months before and after cataract surgery. Assessments were performed at enrollment (baseline), within one week preoperatively, and one month postoperatively, including the Ocular Surface Disease Index (OSDI), routine ocular examination, keratometric measurements obtained by auto-refractometry, tomography (Pentacam), and optical biometry (Eyestar), and tear break-up time (TBUT) measured using Keratograph 5M.",
        "Results": "Preliminary analysis included 36 patients (mean age 69.69 ± 9.97 years), comprising 19 men (52.7%). Baseline OSDI scores was ≤12 in 22 patients (61.1%). Mean corneal astigmatism measured by biometry before and after SC use was 1.453 ± 0.546 D and 1.504 ± 0.563 D, respectively (p = 0.652). Mean OSDI scores decreased from 11.17 ± 4.85 at baseline to 10.94 ± 4.77 after SC use and further improved to 5.39 ± 2.83 one month postoperatively (p < 0.001). Astigmatism prediction errors after SC use changed from −0.188 ± 0.601 D to −0.142 ± 0.447 D for J0 and showed a marginal reduction from 0.145 ± 0.314 D to 0.066 ± 0.285 D for J45 (p = 0.655 and 0.058, respectively).",
        "Conclusions": "Preliminary results suggest that the lipid-containing nanoemulsion artificial tear may reduce dry eye symptoms and potentially improve astigmatism prediction in cataract surgery by optimizing the ocular surface. Further analyses with the complete study cohort are warranted to confirm these findings and clarify the role of lipid-based artificial tears in preoperative cataract assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary results suggest that the lipid-containing nanoemulsion artificial tear may reduce dry eye symptoms and potentially improve astigmatism prediction in cataract surgery by optimizing the ocular surface. Further analyses with the complete study cohort are warranted to confirm these findings and clarify the role of lipid-based artificial tears in preoperative cataract assessment.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 635,
      "source_fields": {
        "Abstract Final Identifier": "POCAT598",
        "Title": "Impact Of A Lipid-Containing Nanoemulsion Artificial Tear On Ocular Surface Status And Astigmatism Prediction In Cataract Surgery",
        "Presenting Author(s)": "Dr Chiunho Hou",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Chiunho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hou",
        "Country Name": "Taiwan",
        "Purpose": "Accurate astigmatism correction is critical in modern cataract surgery, particularly in patients receiving premium intraocular lenses (IOLs). Previous studies have demonstrated that ocular surface instability and the use of viscous artificial tears may influence keratometric measurements, potentially affecting IOL power and astigmatism planning. Systane COMPLETE (SC) is a lipid-containing nanoemulsion artificial tear designed to improve tear film stability and ocular surface hydration. This study aimed to evaluate the effects of SC on ocular surface optimization and astigmatism prediction in adults undergoing cataract surgery with pre-existing corneal astigmatism.",
        "Setting": "A prospective clinical study conducted at a tertiary medical center in Taipei, Taiwan.",
        "Methods": "This prospective study will enroll 65 adults scheduled for right-eye cataract surgery with corneal astigmatism ≥1.0 diopter (D). Patients with corneal pathology or prior use of artificial tears were excluded. All participants used SC for 1–2 months before and after cataract surgery. Assessments were performed at enrollment (baseline), within one week preoperatively, and one month postoperatively, including the Ocular Surface Disease Index (OSDI), routine ocular examination, keratometric measurements obtained by auto-refractometry, tomography (Pentacam), and optical biometry (Eyestar), and tear break-up time (TBUT) measured using Keratograph 5M.",
        "Results": "Preliminary analysis included 36 patients (mean age 69.69 ± 9.97 years), comprising 19 men (52.7%). Baseline OSDI scores was ≤12 in 22 patients (61.1%). Mean corneal astigmatism measured by biometry before and after SC use was 1.453 ± 0.546 D and 1.504 ± 0.563 D, respectively (p = 0.652). Mean OSDI scores decreased from 11.17 ± 4.85 at baseline to 10.94 ± 4.77 after SC use and further improved to 5.39 ± 2.83 one month postoperatively (p < 0.001). Astigmatism prediction errors after SC use changed from −0.188 ± 0.601 D to −0.142 ± 0.447 D for J0 and showed a marginal reduction from 0.145 ± 0.314 D to 0.066 ± 0.285 D for J45 (p = 0.655 and 0.058, respectively).",
        "Conclusions": "Preliminary results suggest that the lipid-containing nanoemulsion artificial tear may reduce dry eye symptoms and potentially improve astigmatism prediction in cataract surgery by optimizing the ocular surface. Further analyses with the complete study cohort are warranted to confirm these findings and clarify the role of lipid-based artificial tears in preoperative cataract assessment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "POCAT599",
      "abstract_number": "POCAT599",
      "title": "Refractive Outcomes With Argos Biometer And Image Guidance In Post-Lasik Cataract Surgery",
      "authors": "Mr Tzu Te Hu",
      "presenter": "Mr Tzu Te Hu",
      "normalized_authors": [
        "Tzu Te Hu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tzu Te Hu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To evaluate the accuracy of refractive prediction using an Argos biometer with Alcon image guidance in post-myopic LASIK patients undergoing cataract surgery.",
        "Setting": "Taiwan Nobel Eye Institude",
        "Methods": "This prospective study included 60 eyes implanted with Clareon™ Aspheric or Toric IOLs. The Barrett True-K Toric calculator was used. Primary endpoints were mean absolute error (MAE) and percentage of eyes within ±0.50 D at 1 month. Secondary endpoints included residual astigmatism within ±0.25, ±0.50, ±0.75, and ±1.00 D, refractive prediction error (RPE) within ±0.25, ±0.50, ±0.75, and ±1.00 D, and visual acuity (BCDVA and DCIVA).",
        "Results": "Interim analysis of 20 eyes showed MAE of 0.56 ± 0.58 D. 70% of eyes achieved RPE within ±0.50 D. Residual astigmatism within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D was 40%, 65%, 75%, and 90%, respectively. RPE within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D was 45%, 70%, 80%, and 80%. BCDVA and DCIVA were 0.03 ± 0.065 logMAR and 0.21 ± 0.10 logMAR.",
        "Conclusions": "The Argos biometer demonstrates promising accuracy for IOL power calculation in post-myopic LASIK eyes. Further data collection is ongoing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Argos biometer demonstrates promising accuracy for IOL power calculation in post-myopic LASIK eyes. Further data collection is ongoing.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 636,
      "source_fields": {
        "Abstract Final Identifier": "POCAT599",
        "Title": "Refractive Outcomes With Argos Biometer And Image Guidance In Post-Lasik Cataract Surgery",
        "Presenting Author(s)": "Mr Tzu Te Hu",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Tzu",
        "Submitter Middle Name": "Te",
        "Submitter Last Name": "Hu",
        "Country Name": "Taiwan",
        "Purpose": "To evaluate the accuracy of refractive prediction using an Argos biometer with Alcon image guidance in post-myopic LASIK patients undergoing cataract surgery.",
        "Setting": "Taiwan Nobel Eye Institude",
        "Methods": "This prospective study included 60 eyes implanted with Clareon™ Aspheric or Toric IOLs. The Barrett True-K Toric calculator was used. Primary endpoints were mean absolute error (MAE) and percentage of eyes within ±0.50 D at 1 month. Secondary endpoints included residual astigmatism within ±0.25, ±0.50, ±0.75, and ±1.00 D, refractive prediction error (RPE) within ±0.25, ±0.50, ±0.75, and ±1.00 D, and visual acuity (BCDVA and DCIVA).",
        "Results": "Interim analysis of 20 eyes showed MAE of 0.56 ± 0.58 D. 70% of eyes achieved RPE within ±0.50 D. Residual astigmatism within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D was 40%, 65%, 75%, and 90%, respectively. RPE within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D was 45%, 70%, 80%, and 80%. BCDVA and DCIVA were 0.03 ± 0.065 logMAR and 0.21 ± 0.10 logMAR.",
        "Conclusions": "The Argos biometer demonstrates promising accuracy for IOL power calculation in post-myopic LASIK eyes. Further data collection is ongoing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 201
    },
    {
      "uid": "POCAT600",
      "abstract_number": "POCAT600",
      "title": "Refractive Outcomes Of Toric And Non-Toric Iols In Post-Radial Keratotomy Eyes: A Comparative Study",
      "authors": "Dr Jai Kelkar",
      "presenter": "Dr Jai Kelkar",
      "normalized_authors": [
        "Jai Kelkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jai Kelkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare refractive outcomes in post-radial keratotomy (RK) eyes undergoing cataract surgery with toric versus non-toric intraocular lenses (IOLs), using clinical and vector-based astigmatism analysis.",
        "Setting": "Consecutive post-RK eyes undergoing uneventful phacoemulsification at a tertiary eye center were included",
        "Methods": "Toric IOLs were offered to eyes with clear corneas and repeatable keratometry; acceptance was based on patient preference and affordability. The Barrett True-K Toric calculator was used. All surgeries were performed with digital marking and low-pressure phaco settings. Intraoperative wound leaks were noted and sutured if required .",
        "Results": "Of 24 eyes included, 10 received toric IOLs and 14 non-toric. The non-toric group had significantly longer axial lengths (30.01±3.5mm vs. 26.31±2.4 mm, p=0.02) and worse baseline BCVA (0.83 ± 0.5 vs. 0.41 ± 0.5 logMAR, p=0.01). At 1 month, cylindrical neutrality was achieved in 70% of toric eyes versus 20% of non-toric eyes (p < 0.001). Among eyes with residual cylinder, the mean was –0.35 ± 0.6D in the toric group versus –1.43 ± 1.3 D in the non-toric group (p=0.03). Vector analysis corroborated superior astigmatic correction in the toric group. Wound leaks occurred in 11 eyes (46%) overall, predominantly in 16-cut RK eyes and those with longer axial lengths.",
        "Conclusions": "Toric IOLs significantly improve refractive outcomes in post-RK eyes. While wound leaks remain a major surgical concern, particularly in 16-cut RK eyes, careful planning, appropriate IOL selection, and intraoperative vigilance can lead to safe surgery and excellent visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IOLs significantly improve refractive outcomes in post-RK eyes. While wound leaks remain a major surgical concern, particularly in 16-cut RK eyes, careful planning, appropriate IOL selection, and intraoperative vigilance can lead to safe surgery and excellent visual outcomes.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 637,
      "source_fields": {
        "Abstract Final Identifier": "POCAT600",
        "Title": "Refractive Outcomes Of Toric And Non-Toric Iols In Post-Radial Keratotomy Eyes: A Comparative Study",
        "Presenting Author(s)": "Dr Jai Kelkar",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Jai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kelkar",
        "Country Name": "India",
        "Purpose": "To compare refractive outcomes in post-radial keratotomy (RK) eyes undergoing cataract surgery with toric versus non-toric intraocular lenses (IOLs), using clinical and vector-based astigmatism analysis.",
        "Setting": "Consecutive post-RK eyes undergoing uneventful phacoemulsification at a tertiary eye center were included",
        "Methods": "Toric IOLs were offered to eyes with clear corneas and repeatable keratometry; acceptance was based on patient preference and affordability. The Barrett True-K Toric calculator was used. All surgeries were performed with digital marking and low-pressure phaco settings. Intraoperative wound leaks were noted and sutured if required .",
        "Results": "Of 24 eyes included, 10 received toric IOLs and 14 non-toric. The non-toric group had significantly longer axial lengths (30.01±3.5mm vs. 26.31±2.4 mm, p=0.02) and worse baseline BCVA (0.83 ± 0.5 vs. 0.41 ± 0.5 logMAR, p=0.01). At 1 month, cylindrical neutrality was achieved in 70% of toric eyes versus 20% of non-toric eyes (p < 0.001). Among eyes with residual cylinder, the mean was –0.35 ± 0.6D in the toric group versus –1.43 ± 1.3 D in the non-toric group (p=0.03). Vector analysis corroborated superior astigmatic correction in the toric group. Wound leaks occurred in 11 eyes (46%) overall, predominantly in 16-cut RK eyes and those with longer axial lengths.",
        "Conclusions": "Toric IOLs significantly improve refractive outcomes in post-RK eyes. While wound leaks remain a major surgical concern, particularly in 16-cut RK eyes, careful planning, appropriate IOL selection, and intraoperative vigilance can lead to safe surgery and excellent visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POCAT601",
      "abstract_number": "POCAT601",
      "title": "Ai-Based Versus Non Ai Based Iol Power Formulas: A Comparative Analysis Of Refractive Outcomes Using The Escrs Online Calculator",
      "authors": "Dr Raj Vaishal Kenia",
      "presenter": "Dr Raj Vaishal Kenia",
      "normalized_authors": [
        "Raj Vaishal Kenia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raj Vaishal Kenia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To prospectively compare the refractive prediction accuracy of artificial intelligence (AI)–based and modern theoretical intraocular lens (IOL) power calculation formulas in adult cataract surgery, and to evaluate whether AI-driven formulas provide a clinically meaningful advantage when calculated using the standardized ESCRS online platform.",
        "Setting": "J.P.M. Rotary Eye Hospital & Research Institute, Cuttack, India.",
        "Methods": "This prospective comparative study included 195 eyes undergoing uncomplicated phacoemulsification with monofocal IOL implantation. Biometry was performed using the IOLMaster 700. Seven modern formulas—Barrett Universal II, Cooke K6, EVO, Hill-RBF 3.0, Hoffer QST, Kane, and PEARL-DGS—were evaluated via the ESCRS online calculator.\n\nPrediction error (PE) and absolute prediction error (APE) at 1 month were analyzed. Primary outcomes were mean prediction error (MPE), median absolute error (MedAE), and percentage of eyes within ±0.50 D. Subgroup analysis was performed across axial length categories.",
        "Results": "Mean axial length was 23.01 ± 0.84 mm. All formulas demonstrated minimal systematic bias, with MPE ranging from +0.023 D to +0.038 D (p = 1.000).\n\nMedian absolute error ranged from 0.13 to 0.14 D across formulas. Numerically, Hill-RBF demonstrated the lowest mean absolute error (0.2549 D), closely followed by Kane (0.2571 D), while Hoffer QST showed the highest mean absolute error (0.2680 D); however, these differences were not statistically significant (p = 0.987).\n\nApproximately 85–90% of eyes were within ±0.50 D and >95% within ±1.00 D across all formulas. No significant inter-formula differences were observed within short, normal, or long axial length subgroups.",
        "Conclusions": "AI-based and modern theoretical IOL formulas demonstrated statistically equivalent refractive performance using the ESCRS online calculator. Although Hill-RBF and Kane showed marginally lower absolute errors, the differences were clinically insignificant. Contemporary IOL formulas appear to have reached a performance plateau in routine adult cataract eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-based and modern theoretical IOL formulas demonstrated statistically equivalent refractive performance using the ESCRS online calculator. Although Hill-RBF and Kane showed marginally lower absolute errors, the differences were clinically insignificant. Contemporary IOL formulas appear to have reached a performance plateau in routine adult cataract eyes.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 638,
      "source_fields": {
        "Abstract Final Identifier": "POCAT601",
        "Title": "Ai-Based Versus Non Ai Based Iol Power Formulas: A Comparative Analysis Of Refractive Outcomes Using The Escrs Online Calculator",
        "Presenting Author(s)": "Dr Raj Vaishal Kenia",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Raj",
        "Submitter Middle Name": "Vaishal",
        "Submitter Last Name": "Kenia",
        "Country Name": "India",
        "Purpose": "To prospectively compare the refractive prediction accuracy of artificial intelligence (AI)–based and modern theoretical intraocular lens (IOL) power calculation formulas in adult cataract surgery, and to evaluate whether AI-driven formulas provide a clinically meaningful advantage when calculated using the standardized ESCRS online platform.",
        "Setting": "J.P.M. Rotary Eye Hospital & Research Institute, Cuttack, India.",
        "Methods": "This prospective comparative study included 195 eyes undergoing uncomplicated phacoemulsification with monofocal IOL implantation. Biometry was performed using the IOLMaster 700. Seven modern formulas—Barrett Universal II, Cooke K6, EVO, Hill-RBF 3.0, Hoffer QST, Kane, and PEARL-DGS—were evaluated via the ESCRS online calculator.\n\nPrediction error (PE) and absolute prediction error (APE) at 1 month were analyzed. Primary outcomes were mean prediction error (MPE), median absolute error (MedAE), and percentage of eyes within ±0.50 D. Subgroup analysis was performed across axial length categories.",
        "Results": "Mean axial length was 23.01 ± 0.84 mm. All formulas demonstrated minimal systematic bias, with MPE ranging from +0.023 D to +0.038 D (p = 1.000).\n\nMedian absolute error ranged from 0.13 to 0.14 D across formulas. Numerically, Hill-RBF demonstrated the lowest mean absolute error (0.2549 D), closely followed by Kane (0.2571 D), while Hoffer QST showed the highest mean absolute error (0.2680 D); however, these differences were not statistically significant (p = 0.987).\n\nApproximately 85–90% of eyes were within ±0.50 D and >95% within ±1.00 D across all formulas. No significant inter-formula differences were observed within short, normal, or long axial length subgroups.",
        "Conclusions": "AI-based and modern theoretical IOL formulas demonstrated statistically equivalent refractive performance using the ESCRS online calculator. Although Hill-RBF and Kane showed marginally lower absolute errors, the differences were clinically insignificant. Contemporary IOL formulas appear to have reached a performance plateau in routine adult cataract eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCAT602",
      "abstract_number": "POCAT602",
      "title": "Mpact Of Swept-Source Oct Biometry On Refractive Predictability In Premium Intraocular Lens Implantation",
      "authors": "A/Prof. Mehdi Khamaily",
      "presenter": "A/Prof. Mehdi Khamaily",
      "normalized_authors": [
        "Mehdi Khamaily"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehdi Khamaily",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Impact of Swept-Source OCT Biometry on Refractive Predictability in Premium Intraocular Lens Implantation",
        "Setting": "To evaluate the impact of swept-source optical coherence tomography (SS-OCT) biometry on refractive predictability, visual performance, and patient satisfaction following implantation of premium intraocular lenses, specifically EDOF and trifocal IOLs.",
        "Methods": "This prospective study included patients undergoing cataract surgery with implantation of Vivity® or PanOptix® intraocular lenses. All eyes were measured preoperatively using swept-source OCT biometry, enabling accurate assessment of axial length, anterior chamber depth, lens thickness, and keratometry. Modern IOL calculation formulas were applied according to axial length and lens type. Postoperative outcomes included refractive accuracy, uncorrected distance visual acuity (UDVA), intermediate visual acuity (UIVA), near visual acuity (UNVA), residual astigmatism, and patient satisfaction.",
        "Results": "Overall, 72% of eyes achieved a postoperative spherical equivalent within ±0.25 D, while 94% were within ±0.50 D of the intended target refraction.\n\nIn the EDOF group, 92% of patients achieved UDVA ≥ 20/25, and 88% achieved UIVA ≥ 20/25, reflecting excellent distance and intermediate visual performance.\n\nIn the trifocal group, 90% of patients achieved UDVA ≥ 20/25, and 85% achieved UNVA ≥ 20/32, confirming effective near vision restoration.\n\nResidual refractive astigmatism ≤0.50 D was observed in 91% of eyes. Overall patient satisfaction was high, with 89% of patients reporting satisfaction or high satisfaction, and a low enhancement rate (<5%).",
        "Conclusions": "wept-source OCT biometry provides the high level of precision required for premium intraocular lens implantation. Its use significantly improves refractive predictability and visual outcomes following EDOF and trifocal IOL implantation, supporting SS-OCT biometry as a cornerstone of modern premium cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "wept-source OCT biometry provides the high level of precision required for premium intraocular lens implantation. Its use significantly improves refractive predictability and visual outcomes following EDOF and trifocal IOL implantation, supporting SS-OCT biometry as a cornerstone of modern premium cataract surgery.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 639,
      "source_fields": {
        "Abstract Final Identifier": "POCAT602",
        "Title": "Mpact Of Swept-Source Oct Biometry On Refractive Predictability In Premium Intraocular Lens Implantation",
        "Presenting Author(s)": "A/Prof. Mehdi Khamaily",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Mehdi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khamaily",
        "Country Name": "Morocco",
        "Purpose": "Impact of Swept-Source OCT Biometry on Refractive Predictability in Premium Intraocular Lens Implantation",
        "Setting": "To evaluate the impact of swept-source optical coherence tomography (SS-OCT) biometry on refractive predictability, visual performance, and patient satisfaction following implantation of premium intraocular lenses, specifically EDOF and trifocal IOLs.",
        "Methods": "This prospective study included patients undergoing cataract surgery with implantation of Vivity® or PanOptix® intraocular lenses. All eyes were measured preoperatively using swept-source OCT biometry, enabling accurate assessment of axial length, anterior chamber depth, lens thickness, and keratometry. Modern IOL calculation formulas were applied according to axial length and lens type. Postoperative outcomes included refractive accuracy, uncorrected distance visual acuity (UDVA), intermediate visual acuity (UIVA), near visual acuity (UNVA), residual astigmatism, and patient satisfaction.",
        "Results": "Overall, 72% of eyes achieved a postoperative spherical equivalent within ±0.25 D, while 94% were within ±0.50 D of the intended target refraction.\n\nIn the EDOF group, 92% of patients achieved UDVA ≥ 20/25, and 88% achieved UIVA ≥ 20/25, reflecting excellent distance and intermediate visual performance.\n\nIn the trifocal group, 90% of patients achieved UDVA ≥ 20/25, and 85% achieved UNVA ≥ 20/32, confirming effective near vision restoration.\n\nResidual refractive astigmatism ≤0.50 D was observed in 91% of eyes. Overall patient satisfaction was high, with 89% of patients reporting satisfaction or high satisfaction, and a low enhancement rate (<5%).",
        "Conclusions": "wept-source OCT biometry provides the high level of precision required for premium intraocular lens implantation. Its use significantly improves refractive predictability and visual outcomes following EDOF and trifocal IOL implantation, supporting SS-OCT biometry as a cornerstone of modern premium cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POCAT603",
      "abstract_number": "POCAT603",
      "title": "Refractive Predictability After Pediatric Cataract Surgery: Is Our Iol Targeting Strategy Accurate?",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To evaluate refractive prediction error in pediatric cataract surgery and assess the accuracy of current targeting strategies.",
        "Setting": "Tertiary pediatric ophthalmology service.",
        "Methods": "Retrospective review of pediatric cataract cases (age 2–12 years) undergoing primary intraocular lens implantation. IOL power was calculated using standard third-generation formulas with age-adjusted hyperopic targets. Postoperative spherical equivalent (SE) was compared with predicted refraction at 1 month and longitudinally over follow-up. Myopic shift was analyzed relative to age and axial length growth.",
        "Results": "Initial mean prediction error remained within ±1.00 D in the majority of patients. Younger children (<6 years) demonstrated greater myopic progression over time compared to older age groups. Age-based hyperopic offset reduced long-term refractive drift but did not eliminate variability in axial elongation. Visual rehabilitation was satisfactory when refractive targets were appropriately individualized.",
        "Conclusions": "Refractive targeting in pediatric cataract requires growth-adjusted planning. Age-based hyperopic offset remains essential to avoid long-term high myopia.Current IOL targeting strategies provide acceptable short-term accuracy; however, refractive predictability in younger children remains influenced by axial growth. Refinement of pediatric-specific calculation models and dynamic growth adjustment algorithms may improve long-term refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive targeting in pediatric cataract requires growth-adjusted planning. Age-based hyperopic offset remains essential to avoid long-term high myopia.Current IOL targeting strategies provide acceptable short-term accuracy; however, refractive predictability in younger children remains influenced by axial growth. Refinement of pediatric-specific calculation models and dynamic growth adjustment algorithms may…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 640,
      "source_fields": {
        "Abstract Final Identifier": "POCAT603",
        "Title": "Refractive Predictability After Pediatric Cataract Surgery: Is Our Iol Targeting Strategy Accurate?",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To evaluate refractive prediction error in pediatric cataract surgery and assess the accuracy of current targeting strategies.",
        "Setting": "Tertiary pediatric ophthalmology service.",
        "Methods": "Retrospective review of pediatric cataract cases (age 2–12 years) undergoing primary intraocular lens implantation. IOL power was calculated using standard third-generation formulas with age-adjusted hyperopic targets. Postoperative spherical equivalent (SE) was compared with predicted refraction at 1 month and longitudinally over follow-up. Myopic shift was analyzed relative to age and axial length growth.",
        "Results": "Initial mean prediction error remained within ±1.00 D in the majority of patients. Younger children (<6 years) demonstrated greater myopic progression over time compared to older age groups. Age-based hyperopic offset reduced long-term refractive drift but did not eliminate variability in axial elongation. Visual rehabilitation was satisfactory when refractive targets were appropriately individualized.",
        "Conclusions": "Refractive targeting in pediatric cataract requires growth-adjusted planning. Age-based hyperopic offset remains essential to avoid long-term high myopia.Current IOL targeting strategies provide acceptable short-term accuracy; however, refractive predictability in younger children remains influenced by axial growth. Refinement of pediatric-specific calculation models and dynamic growth adjustment algorithms may improve long-term refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 181
    },
    {
      "uid": "POCAT604",
      "abstract_number": "POCAT604",
      "title": "Agreement Between Pentacam Axl And Iolmaster Axial Length Measurements Across Axial Length Subgroups In A Routine Cataract Population",
      "authors": "Dr Deniz Kilic",
      "presenter": "Dr Deniz Kilic",
      "normalized_authors": [
        "Deniz Kilic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Deniz Kilic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the agreement between axial length (AL) measurements obtained using Pentacam AXL and IOLMaster in a routine cataract population and to determine whether axial length stratification and anterior segment parameters influence inter-device differences.",
        "Setting": "retrospective observational study",
        "Methods": "This retrospective observational study included 65 eyes of 65 patients who underwent preoperative biometry prior to cataract surgery between 2023 and 2025. Axial length measurements were obtained using Pentacam AXL and IOLMaster during the same visit. Agreement was assessed using Pearson correlation, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Eyes were stratified into short (<22.0 mm), normal (22.0–25.0 mm), and long (>25.0 mm) axial length subgroups. Associations between inter-device AL differences (ΔAL) and endothelial cell morphology and optical quality parameters were analyzed.",
        "Results": "The mean axial length was 23.46 ± 0.95 mm with IOLMaster and 23.44 ± 0.94 mm with Pentacam AXL. A very strong correlation was observed between devices (r = 0.998). The mean ΔAL was +0.019 ± 0.054 mm, with 95% limits of agreement ranging from −0.087 to +0.124 mm. Agreement was preserved across short, normal, and long axial length subgroups. No significant associations were found between ΔAL and endothelial cell density, hexagonality, higher-order aberrations, or corneal densitometry parameters (all p > 0.05).",
        "Conclusions": "Pentacam AXL and IOLMaster demonstrate excellent agreement in axial length measurements in a routine cataract population. Agreement is maintained across different axial length ranges and appears independent of endothelial and optical quality parameters, supporting the clinical interchangeability of these devices."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pentacam AXL and IOLMaster demonstrate excellent agreement in axial length measurements in a routine cataract population. Agreement is maintained across different axial length ranges and appears independent of endothelial and optical quality parameters, supporting the clinical interchangeability of these devices.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 641,
      "source_fields": {
        "Abstract Final Identifier": "POCAT604",
        "Title": "Agreement Between Pentacam Axl And Iolmaster Axial Length Measurements Across Axial Length Subgroups In A Routine Cataract Population",
        "Presenting Author(s)": "Dr Deniz Kilic",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Deniz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kilic",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the agreement between axial length (AL) measurements obtained using Pentacam AXL and IOLMaster in a routine cataract population and to determine whether axial length stratification and anterior segment parameters influence inter-device differences.",
        "Setting": "retrospective observational study",
        "Methods": "This retrospective observational study included 65 eyes of 65 patients who underwent preoperative biometry prior to cataract surgery between 2023 and 2025. Axial length measurements were obtained using Pentacam AXL and IOLMaster during the same visit. Agreement was assessed using Pearson correlation, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Eyes were stratified into short (<22.0 mm), normal (22.0–25.0 mm), and long (>25.0 mm) axial length subgroups. Associations between inter-device AL differences (ΔAL) and endothelial cell morphology and optical quality parameters were analyzed.",
        "Results": "The mean axial length was 23.46 ± 0.95 mm with IOLMaster and 23.44 ± 0.94 mm with Pentacam AXL. A very strong correlation was observed between devices (r = 0.998). The mean ΔAL was +0.019 ± 0.054 mm, with 95% limits of agreement ranging from −0.087 to +0.124 mm. Agreement was preserved across short, normal, and long axial length subgroups. No significant associations were found between ΔAL and endothelial cell density, hexagonality, higher-order aberrations, or corneal densitometry parameters (all p > 0.05).",
        "Conclusions": "Pentacam AXL and IOLMaster demonstrate excellent agreement in axial length measurements in a routine cataract population. Agreement is maintained across different axial length ranges and appears independent of endothelial and optical quality parameters, supporting the clinical interchangeability of these devices."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCAT605",
      "abstract_number": "POCAT605",
      "title": "Refining Iol Power Calculations With Pmod: A Multi-Formula Analysis In High-Power Lenses",
      "authors": "Hun Lee",
      "presenter": "Hun Lee",
      "normalized_authors": [
        "Hun Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yea Eun Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the effectiveness of prediction modifications (PMOD) in improving refractive accuracy of modern intraocular lens (IOL) formulas in high-power TECNIS IOLs.",
        "Setting": "Single center, Republic of Korea",
        "Methods": "This retrospective study included 645 eyes (497 patients) implanted with TECNIS ZCB00 or ICB00 IOLs. Eyes were stratified into central power (17.5–23.5 D) and high-power (>23.5 D) groups. Formula constants were optimized using the central power group and applied to both groups. PMOD, based on prior large-scale regression data, were applied to the high-power group. Twelve IOL power formulas were evaluated before and after PMOD application. Prediction errors were analyzed using mean refractive error (MRE), mean absolute error (MAE), and root mean square absolute error (RMSAE) with the Wilcox-Holladay-Wang-Koch (WHWK) method.",
        "Results": "In the high-power group, eyes exhibited significantly shorter axial length, shallower anterior chamber depth, and greater lens thickness (all P <0.001). All formulas including Barrett Universal II, Cooke K6, EVO 2.0, Haigis, Hoffer QST, Holladay 1, Holladay 2 with nonlinear regression (H2 NLR), Kane, Olsen, PEARL-DGS, SRK/T, and T2 achieved -0.01–0.01 D MRE after optimization in the central power (17.5–23.5 D) group. In the high-power (>23.5 D) group, PMOD effectively corrected the myopic shift, significantly reducing MRE, MAE, and RMSAE across all formulas (all P <0.05), except for MAE in PEARL-DGS ( P =0.050).",
        "Conclusions": "PMOD is a simple diopter-specific adjustment applied to the formula-predicted spherical equivalent. It effectively improved refractive prediction accuracy and reduced residual systematic errors that persisted in high-power IOLs across formulas, even after applying constants optimized in the central power group"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PMOD is a simple diopter-specific adjustment applied to the formula-predicted spherical equivalent. It effectively improved refractive prediction accuracy and reduced residual systematic errors that persisted in high-power IOLs across formulas, even after applying constants optimized in the central power group",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 642,
      "source_fields": {
        "Abstract Final Identifier": "POCAT605",
        "Title": "Refining Iol Power Calculations With Pmod: A Multi-Formula Analysis In High-Power Lenses",
        "Presenting Author(s)": "Hun Lee",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Yea Eun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the effectiveness of prediction modifications (PMOD) in improving refractive accuracy of modern intraocular lens (IOL) formulas in high-power TECNIS IOLs.",
        "Setting": "Single center, Republic of Korea",
        "Methods": "This retrospective study included 645 eyes (497 patients) implanted with TECNIS ZCB00 or ICB00 IOLs. Eyes were stratified into central power (17.5–23.5 D) and high-power (>23.5 D) groups. Formula constants were optimized using the central power group and applied to both groups. PMOD, based on prior large-scale regression data, were applied to the high-power group. Twelve IOL power formulas were evaluated before and after PMOD application. Prediction errors were analyzed using mean refractive error (MRE), mean absolute error (MAE), and root mean square absolute error (RMSAE) with the Wilcox-Holladay-Wang-Koch (WHWK) method.",
        "Results": "In the high-power group, eyes exhibited significantly shorter axial length, shallower anterior chamber depth, and greater lens thickness (all P <0.001). All formulas including Barrett Universal II, Cooke K6, EVO 2.0, Haigis, Hoffer QST, Holladay 1, Holladay 2 with nonlinear regression (H2 NLR), Kane, Olsen, PEARL-DGS, SRK/T, and T2 achieved -0.01–0.01 D MRE after optimization in the central power (17.5–23.5 D) group. In the high-power (>23.5 D) group, PMOD effectively corrected the myopic shift, significantly reducing MRE, MAE, and RMSAE across all formulas (all P <0.05), except for MAE in PEARL-DGS ( P =0.050).",
        "Conclusions": "PMOD is a simple diopter-specific adjustment applied to the formula-predicted spherical equivalent. It effectively improved refractive prediction accuracy and reduced residual systematic errors that persisted in high-power IOLs across formulas, even after applying constants optimized in the central power group"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POCAT606",
      "abstract_number": "POCAT606",
      "title": "Analysis Of The Benefit Of Adding Posterior Keratometry To 4 Modern Intraocular Lens Power Formulas In Myopic Laser Vision Correction Eyes",
      "authors": "Hun Lee",
      "presenter": "Hun Lee",
      "normalized_authors": [
        "Hun Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yea Eun Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the accuracy of 4 intraocular lens (IOL) power calculation formulas for eyes that have undergone myopic laser vision correction (LVC) and to analyze the effect of incorporating posterior keratometry (PK) on prediction accuracy.",
        "Setting": "Single center, Republic of Korea",
        "Methods": "Four modern IOL power calculation formulas, with and without PK measurements, were evaluated using the Eyetemis online tool. Subgroup analyses were performed based on axial length (AL) as well as mean keratometry (K).",
        "Results": "In the total sample, median absolute SEQ-PE values ranged from 0.30 D to 0.42 D across formulas. The Barrett True K-PK and Hoffer QST-PK achieved the lowest median absolute SEQ-PE values (0.30 D and 0.31 D, respectively). Based on absolute SEQ-PE thresholds, 60% to 72% of eyes were within ±0.50 D and 88% to 94% were within ±1.00 D, with no statistically significant differences observed among formulas. Across all four subgroups, the EVO 2.0 formulas (either K or PK) achieved the lowest median absolute SEQ-PE values, ranging from 0.20 D to 0.36 D. Incorporating PK values resulted in significantly better outcomes in many comparisons, particularly in eyes with AL > 26 mm and mean K ≤ 40 D.",
        "Conclusions": "The BTK-PK, EVO 2.0-PK, and Hoffer QST-PK formulas demonstrated a trend toward higher accuracy in our study population, and incorporating PK values improved predictive accuracy, with more pronounced benefits in eyes with long AL and flat corneal curvature."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The BTK-PK, EVO 2.0-PK, and Hoffer QST-PK formulas demonstrated a trend toward higher accuracy in our study population, and incorporating PK values improved predictive accuracy, with more pronounced benefits in eyes with long AL and flat corneal curvature.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 643,
      "source_fields": {
        "Abstract Final Identifier": "POCAT606",
        "Title": "Analysis Of The Benefit Of Adding Posterior Keratometry To 4 Modern Intraocular Lens Power Formulas In Myopic Laser Vision Correction Eyes",
        "Presenting Author(s)": "Hun Lee",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Yea Eun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the accuracy of 4 intraocular lens (IOL) power calculation formulas for eyes that have undergone myopic laser vision correction (LVC) and to analyze the effect of incorporating posterior keratometry (PK) on prediction accuracy.",
        "Setting": "Single center, Republic of Korea",
        "Methods": "Four modern IOL power calculation formulas, with and without PK measurements, were evaluated using the Eyetemis online tool. Subgroup analyses were performed based on axial length (AL) as well as mean keratometry (K).",
        "Results": "In the total sample, median absolute SEQ-PE values ranged from 0.30 D to 0.42 D across formulas. The Barrett True K-PK and Hoffer QST-PK achieved the lowest median absolute SEQ-PE values (0.30 D and 0.31 D, respectively). Based on absolute SEQ-PE thresholds, 60% to 72% of eyes were within ±0.50 D and 88% to 94% were within ±1.00 D, with no statistically significant differences observed among formulas. Across all four subgroups, the EVO 2.0 formulas (either K or PK) achieved the lowest median absolute SEQ-PE values, ranging from 0.20 D to 0.36 D. Incorporating PK values resulted in significantly better outcomes in many comparisons, particularly in eyes with AL > 26 mm and mean K ≤ 40 D.",
        "Conclusions": "The BTK-PK, EVO 2.0-PK, and Hoffer QST-PK formulas demonstrated a trend toward higher accuracy in our study population, and incorporating PK values improved predictive accuracy, with more pronounced benefits in eyes with long AL and flat corneal curvature."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POCAT607",
      "abstract_number": "POCAT607",
      "title": "Real-World Utility Of The Escrs Online Iol Calculator: Resolving Legacy Formula Discordance In Clinical Practice",
      "authors": "Dr Fawzi Mahmoud",
      "presenter": "Dr Fawzi Mahmoud",
      "normalized_authors": [
        "Fawzi Mahmoud"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fawzi Mahmoud",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Purpose: To demonstrate the real-life use and decision-making advantages of utilizing the ESCRS Online IOL Calculator as a primary conflict-resolution tool in scenarios where traditional legacy formulas (SRK/T, Haigis, Holladay 1, and Hoffer Q) give inconclusive IOL power calculations.",
        "Setting": "Public Hospital cataract service, UK",
        "Methods": "We retrospectively analysed 100 consecutive cataract surgery cases on routine cataract surgery lists at Frimley Park Hospital, Surrey, UK . Biometry results are displayed on a medisight EPR, with the ability to toggle between the above 4 formulae. We assessed how many of the surgery biometries had agreement in the legacy formulae, and in how many where there was a significant discrepancy (>0.5D) of IOL prediction between the legacy formulae.",
        "Results": "7% of eyes (7 cases) had non-agreement of the legacy formulae, prompting the use of the ESCRS calculator. The use of the ESCRS calculator was more often required in patients with corneal pathology or simple non-agreement of our available legacy formulae.",
        "Conclusions": "We found a rate of 7% for use of the ESCRS Online IOL calculator to discriminate between non-agreement of IOLMaster legacy formulae. For the modern cataract surgeon, integrating the ESCRS Online IOL Calculator into the surgical planning workflow provides more reassuring and consistent results in certain patients who are otherwise more likely to end up with a residual refractive error."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We found a rate of 7% for use of the ESCRS Online IOL calculator to discriminate between non-agreement of IOLMaster legacy formulae. For the modern cataract surgeon, integrating the ESCRS Online IOL Calculator into the surgical planning workflow provides more reassuring and consistent results in certain patients who are otherwise more likely to end up with a residual refractive error.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 644,
      "source_fields": {
        "Abstract Final Identifier": "POCAT607",
        "Title": "Real-World Utility Of The Escrs Online Iol Calculator: Resolving Legacy Formula Discordance In Clinical Practice",
        "Presenting Author(s)": "Dr Fawzi Mahmoud",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Fawzi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahmoud",
        "Country Name": "United Kingdom",
        "Purpose": "Purpose: To demonstrate the real-life use and decision-making advantages of utilizing the ESCRS Online IOL Calculator as a primary conflict-resolution tool in scenarios where traditional legacy formulas (SRK/T, Haigis, Holladay 1, and Hoffer Q) give inconclusive IOL power calculations.",
        "Setting": "Public Hospital cataract service, UK",
        "Methods": "We retrospectively analysed 100 consecutive cataract surgery cases on routine cataract surgery lists at Frimley Park Hospital, Surrey, UK . Biometry results are displayed on a medisight EPR, with the ability to toggle between the above 4 formulae. We assessed how many of the surgery biometries had agreement in the legacy formulae, and in how many where there was a significant discrepancy (>0.5D) of IOL prediction between the legacy formulae.",
        "Results": "7% of eyes (7 cases) had non-agreement of the legacy formulae, prompting the use of the ESCRS calculator. The use of the ESCRS calculator was more often required in patients with corneal pathology or simple non-agreement of our available legacy formulae.",
        "Conclusions": "We found a rate of 7% for use of the ESCRS Online IOL calculator to discriminate between non-agreement of IOLMaster legacy formulae. For the modern cataract surgeon, integrating the ESCRS Online IOL Calculator into the surgical planning workflow provides more reassuring and consistent results in certain patients who are otherwise more likely to end up with a residual refractive error."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCAT608",
      "abstract_number": "POCAT608",
      "title": "Machine Learning Prediction Models For Classifying Myopic Versus Hyperopic Ablation Patterns In Eyes Undergoing Post-Refractive Cataract Surgery",
      "authors": "Dr Jair Maldonado Aparicio",
      "presenter": "Dr Jair Maldonado Aparicio",
      "normalized_authors": [
        "Jair Maldonado Aparicio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jair Maldonado Aparicio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To develop and validate machine learning models to classify prior myopic versus hyperopic ablation patterns in post-refractive eyes using corneal topographic and tomographic parameters.",
        "Setting": "Instituto de Oftalmología Conde de Valenciana, Mexico City, Mexico.",
        "Methods": "Seventy-two eyes with previous LASIK, PRK, or KLEx were analyzed. Predictive variables included corneal asphericity (Q value), posterior-to-anterior curvature ratio (P/A ratio), sagittal map morphology, spherical aberration (Z4⁰), mean keratometry, central corneal thickness, and thinnest pachymetry. Data were randomly divided into 70% training and 30% testing sets using Orange Data Mining software with stratified sampling. Random Forest, Decision Tree, and Logistic Regression models were trained and evaluated. Performance metrics included area under the ROC curve (AUC), accuracy, F1-score, and Matthews correlation coefficient (MCC).",
        "Results": "Of 72 eyes, 60 (83.3%) had prior myopic and 12 (16.7%) hyperopic ablation. P/A ratio and Z4⁰ showed strong negative correlation (r = −0.793, p < 0.001). Random Forest demonstrated highest discriminative performance (AUC = 0.933; accuracy = 0.90), followed by Logistic Regression (AUC = 0.881; accuracy = 0.886) and Decision Tree (AUC = 0.828; accuracy = 0.90). Decision Tree identified clinically interpretable cutoffs: P/A ratio ≤ 82.7% indicating myopic ablation and Z4⁰ ≤ −0.144 indicating hyperopic ablation. Random Forest yielded the lowest misclassification rate (6.9%).",
        "Conclusions": "Machine learning models reliably distinguished prior myopic from hyperopic ablation patterns using corneal imaging parameters. Random Forest demonstrated superior performance, while Decision Tree provided clinically interpretable thresholds. These tools may support intraocular lens power selection in post-refractive cataract surgery when historical surgical data are unavailable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Machine learning models reliably distinguished prior myopic from hyperopic ablation patterns using corneal imaging parameters. Random Forest demonstrated superior performance, while Decision Tree provided clinically interpretable thresholds. These tools may support intraocular lens power selection in post-refractive cataract surgery when historical surgical data are unavailable.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 645,
      "source_fields": {
        "Abstract Final Identifier": "POCAT608",
        "Title": "Machine Learning Prediction Models For Classifying Myopic Versus Hyperopic Ablation Patterns In Eyes Undergoing Post-Refractive Cataract Surgery",
        "Presenting Author(s)": "Dr Jair Maldonado Aparicio",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Jair",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Maldonado Aparicio",
        "Country Name": "Mexico",
        "Purpose": "To develop and validate machine learning models to classify prior myopic versus hyperopic ablation patterns in post-refractive eyes using corneal topographic and tomographic parameters.",
        "Setting": "Instituto de Oftalmología Conde de Valenciana, Mexico City, Mexico.",
        "Methods": "Seventy-two eyes with previous LASIK, PRK, or KLEx were analyzed. Predictive variables included corneal asphericity (Q value), posterior-to-anterior curvature ratio (P/A ratio), sagittal map morphology, spherical aberration (Z4⁰), mean keratometry, central corneal thickness, and thinnest pachymetry. Data were randomly divided into 70% training and 30% testing sets using Orange Data Mining software with stratified sampling. Random Forest, Decision Tree, and Logistic Regression models were trained and evaluated. Performance metrics included area under the ROC curve (AUC), accuracy, F1-score, and Matthews correlation coefficient (MCC).",
        "Results": "Of 72 eyes, 60 (83.3%) had prior myopic and 12 (16.7%) hyperopic ablation. P/A ratio and Z4⁰ showed strong negative correlation (r = −0.793, p < 0.001). Random Forest demonstrated highest discriminative performance (AUC = 0.933; accuracy = 0.90), followed by Logistic Regression (AUC = 0.881; accuracy = 0.886) and Decision Tree (AUC = 0.828; accuracy = 0.90). Decision Tree identified clinically interpretable cutoffs: P/A ratio ≤ 82.7% indicating myopic ablation and Z4⁰ ≤ −0.144 indicating hyperopic ablation. Random Forest yielded the lowest misclassification rate (6.9%).",
        "Conclusions": "Machine learning models reliably distinguished prior myopic from hyperopic ablation patterns using corneal imaging parameters. Random Forest demonstrated superior performance, while Decision Tree provided clinically interpretable thresholds. These tools may support intraocular lens power selection in post-refractive cataract surgery when historical surgical data are unavailable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "POCAT609",
      "abstract_number": "POCAT609",
      "title": "Precision Matters: Repeatability Of Iol Master 700 Biometry In Cataract Surgery Planning",
      "authors": "A/Prof. Suzana Matić",
      "presenter": "A/Prof. Suzana Matić",
      "normalized_authors": [
        "Suzana Matić"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Suzana Matić",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the repeatability and measurement consistency of ocular biometry obtained with the IOLMaster 700 in patients undergoing cataract surgery and to identify parameters with potential inter-measurement variability. The study also aims to assess the clinical relevance of measurement precision for intraocular lens power calculation, recognizing that small biometric differences may influence refractive outcomes. In the era of refractive cataract surgery and increasing expectations for visual quality, reliable optical biometry is essential for optimizing surgical planning and minimizing refractive surprises.",
        "Setting": "Department of Ophthalmology, University Hospital Centre Osijek, Croatia, a tertiary referral center for cataract and anterior segment surgery providing comprehensive preoperative assessment and high-volume phacoemulsification procedures",
        "Methods": "This prospective study included 60 adult patients (120 eyes) scheduled for phacoemulsification cataract surgery between February and May 2025 at the Department of Ophthalmology, University Hospital Centre Osijek,Croatia.Each patient underwent two consecutive ocular biometry measurements using the IOLMaster 700(Carl Zeiss Meditec).Measured parameters included keratometry (K),axial length (AL),anterior chamber depth (ACD), calculated spherical intraocular lens (IOL) power, total corneal astigmatism (CYL), and astigmatic axis (AXIS). All surgeries were performed by a single surgeon using the CENTURION Vision System (Alcon), followed by intraocular lens implantation. Agreement between measurements and postoperative visual outcomes were analyzed",
        "Results": "Postoperative evaluation demonstrated a significant improvement in visual acuity, with median best-corrected visual acuity improving from 0.40 on the day of surgery to 1.0 at postoperative day 30 (Wilcoxon signed-rank test, P < 0.001). Biometric parameters showed excellent repeatability between consecutive measurements. Axial length (AL) and anterior chamber depth (ACD) demonstrated statistically significant differences between measurements; however, the magnitude of these differences was small and not clinically meaningful (Wilcoxon signed-rank test: AL, P < 0.001; ACD, P = 0.001). Other parameters, including keratometry, total corneal astigmatism, and calculated IOL power, showed strong agreement without significant variability",
        "Conclusions": "These results demonstrate excellent repeatability and minimal inter-measurement variability, confirming the reliability of IOLMaster 700 biometry for precise preoperative assessment. In the era of premium intraocular lenses and refractive cataract surgery, where patient expectations for spectacle independence and visual quality are increasingly high, consistent and accurate biometric measurements are critical for optimizing lens selection and minimizing refractive surprises. The findings highlight swept-source optical biometry as a cornerstone technology enabling precise surgical planning, enhancing refractive predictability, and supporting superior visual outcomes in modern cataract practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results demonstrate excellent repeatability and minimal inter-measurement variability, confirming the reliability of IOLMaster 700 biometry for precise preoperative assessment. In the era of premium intraocular lenses and refractive cataract surgery, where patient expectations for spectacle independence and visual quality are increasingly high, consistent and accurate biometric measurements are critical for…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 646,
      "source_fields": {
        "Abstract Final Identifier": "POCAT609",
        "Title": "Precision Matters: Repeatability Of Iol Master 700 Biometry In Cataract Surgery Planning",
        "Presenting Author(s)": "A/Prof. Suzana Matić",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Suzana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Matić",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the repeatability and measurement consistency of ocular biometry obtained with the IOLMaster 700 in patients undergoing cataract surgery and to identify parameters with potential inter-measurement variability. The study also aims to assess the clinical relevance of measurement precision for intraocular lens power calculation, recognizing that small biometric differences may influence refractive outcomes. In the era of refractive cataract surgery and increasing expectations for visual quality, reliable optical biometry is essential for optimizing surgical planning and minimizing refractive surprises.",
        "Setting": "Department of Ophthalmology, University Hospital Centre Osijek, Croatia, a tertiary referral center for cataract and anterior segment surgery providing comprehensive preoperative assessment and high-volume phacoemulsification procedures",
        "Methods": "This prospective study included 60 adult patients (120 eyes) scheduled for phacoemulsification cataract surgery between February and May 2025 at the Department of Ophthalmology, University Hospital Centre Osijek,Croatia.Each patient underwent two consecutive ocular biometry measurements using the IOLMaster 700(Carl Zeiss Meditec).Measured parameters included keratometry (K),axial length (AL),anterior chamber depth (ACD), calculated spherical intraocular lens (IOL) power, total corneal astigmatism (CYL), and astigmatic axis (AXIS). All surgeries were performed by a single surgeon using the CENTURION Vision System (Alcon), followed by intraocular lens implantation. Agreement between measurements and postoperative visual outcomes were analyzed",
        "Results": "Postoperative evaluation demonstrated a significant improvement in visual acuity, with median best-corrected visual acuity improving from 0.40 on the day of surgery to 1.0 at postoperative day 30 (Wilcoxon signed-rank test, P < 0.001). Biometric parameters showed excellent repeatability between consecutive measurements. Axial length (AL) and anterior chamber depth (ACD) demonstrated statistically significant differences between measurements; however, the magnitude of these differences was small and not clinically meaningful (Wilcoxon signed-rank test: AL, P < 0.001; ACD, P = 0.001). Other parameters, including keratometry, total corneal astigmatism, and calculated IOL power, showed strong agreement without significant variability",
        "Conclusions": "These results demonstrate excellent repeatability and minimal inter-measurement variability, confirming the reliability of IOLMaster 700 biometry for precise preoperative assessment. In the era of premium intraocular lenses and refractive cataract surgery, where patient expectations for spectacle independence and visual quality are increasingly high, consistent and accurate biometric measurements are critical for optimizing lens selection and minimizing refractive surprises. The findings highlight swept-source optical biometry as a cornerstone technology enabling precise surgical planning, enhancing refractive predictability, and supporting superior visual outcomes in modern cataract practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "POCAT610",
      "abstract_number": "POCAT610",
      "title": "Scleral Lens Power Surprise After Cataract Surgery In Patients With Irregular Corneas",
      "authors": "Dr Nienke Soeters",
      "presenter": "Dr Nienke Soeters",
      "normalized_authors": [
        "Nienke Soeters"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nienke Miltenburg-Soeters",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "Intraocular lens (IOL) calculation for cataract surgery is complicated in irregular corneas due to various reasons . In scleral lens wear, the (negative) tear lens power must also be accounted for to achieve a satisfied outcome. This study describes significant differences in scleral lens power before and after cataract surgery in patients with irregular corneas.",
        "Setting": "A retrospective study among patients wearing scleral lenses at a specialized contact lens center in the Netherlands.",
        "Methods": "This study analy z ed data from scleral lens patients with irregular corneas who underwent cataract surgery and subsequently required a marked change in scleral lens power. Demographics, scleral lens fitting and power (spherical equivalent [SE], diopters [D]) before and after surgery, and the indication for scleral lens wear were evaluated.",
        "Results": "Of 2 6 patients (48% female), scleral lenses of 3 4 eyes were analy z ed . Median age at the time of the surgery was 68 .5 years (range 39 to 76) and 5 3 % had surgery in OD . The scleral lens indication was irregular astigmatism due to keratoconus ( 79% ) , keratoplasty ( 15% ) and other reasons ( 6% ) . Mean scleral lens SE changed from +0.5 1 D (SD 2.30, range -3 to +7) pre-op to +9.8D (SD 3.9, range +2.5 to +21.5) post-op, P<0.001.",
        "Conclusions": "Despite advances in IOL power calculations for irregular corneas, scleral lenses showed a remarkable pre- to post hyperopic shift after cataract surgery, which may lead to anisometropia, aniseikonia and hypoxia (due to increased lens thickness). Therefore, when calculating IOL power in patients with irregular corneas who are expected to remain lens-dependent after surgery, the ongoing use of a scleral lens should be considered, as it alters the overall optical system of the eye ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite advances in IOL power calculations for irregular corneas, scleral lenses showed a remarkable pre- to post hyperopic shift after cataract surgery, which may lead to anisometropia, aniseikonia and hypoxia (due to increased lens thickness). Therefore, when calculating IOL power in patients with irregular corneas who are expected to remain lens-dependent after surgery, the ongoing use of a scleral lens should…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 647,
      "source_fields": {
        "Abstract Final Identifier": "POCAT610",
        "Title": "Scleral Lens Power Surprise After Cataract Surgery In Patients With Irregular Corneas",
        "Presenting Author(s)": "Dr Nienke Soeters",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Nienke",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Miltenburg-Soeters",
        "Country Name": "Netherlands",
        "Purpose": "Intraocular lens (IOL) calculation for cataract surgery is complicated in irregular corneas due to various reasons . In scleral lens wear, the (negative) tear lens power must also be accounted for to achieve a satisfied outcome. This study describes significant differences in scleral lens power before and after cataract surgery in patients with irregular corneas.",
        "Setting": "A retrospective study among patients wearing scleral lenses at a specialized contact lens center in the Netherlands.",
        "Methods": "This study analy z ed data from scleral lens patients with irregular corneas who underwent cataract surgery and subsequently required a marked change in scleral lens power. Demographics, scleral lens fitting and power (spherical equivalent [SE], diopters [D]) before and after surgery, and the indication for scleral lens wear were evaluated.",
        "Results": "Of 2 6 patients (48% female), scleral lenses of 3 4 eyes were analy z ed . Median age at the time of the surgery was 68 .5 years (range 39 to 76) and 5 3 % had surgery in OD . The scleral lens indication was irregular astigmatism due to keratoconus ( 79% ) , keratoplasty ( 15% ) and other reasons ( 6% ) . Mean scleral lens SE changed from +0.5 1 D (SD 2.30, range -3 to +7) pre-op to +9.8D (SD 3.9, range +2.5 to +21.5) post-op, P<0.001.",
        "Conclusions": "Despite advances in IOL power calculations for irregular corneas, scleral lenses showed a remarkable pre- to post hyperopic shift after cataract surgery, which may lead to anisometropia, aniseikonia and hypoxia (due to increased lens thickness). Therefore, when calculating IOL power in patients with irregular corneas who are expected to remain lens-dependent after surgery, the ongoing use of a scleral lens should be considered, as it alters the overall optical system of the eye ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCAT611",
      "abstract_number": "POCAT611",
      "title": "Comparing Refractive Prediction Accuracy Between Intraocular Lens Biometry And Holladay Equivalent Keratometry In Irregular Corneas",
      "authors": "Dr Kevin Kyung-Jun Min",
      "presenter": "Dr Kevin Kyung-Jun Min",
      "normalized_authors": [
        "Kevin Kyung-Jun Min"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kevin Kyung-Jun Min",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Hyperopic refractive error following cataract surgery in eyes with irregular corneas, such as those with keratoconus (KC) or prior penetrating keratoplasty (PKP) remains a limiting variable to optimizing post-operative visual outcomes. This study aims to evaluate whether incorporating both anterior and posterior corneal measurements using Holladay Equivalent Keratometry (EKR 65) enhances refractive prediction accuracy in comparison with Barrett True K and Kane formulas with keratoconus modification in KC and post-PKP eyes.",
        "Setting": "Ottawa Eye Institute, Faculty of Medicine, Department of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada",
        "Methods": "Single-center retrospective chart review included eyes with KC and prior PKP who underwent cataract extraction with monofocal intraocular lens (IOL) implantation between September 2015 and December 2023. Pre-operative keratometry from IOL Master biometry (SimK; IOLMaster 700) were applied to the Barrett True K keratoconus and Kane keratoconus formulas, while EKR 65 measurements from Pentacam Corneal Tomography (Scheimpflug EKR 65 at 4.5mm, 3.0mm, 2.5mm, 2.0mm optical zone) were applied to the Barrett Universal II formula to calculate predicted residual refraction (diopters, D). Primary outcome compared mean prediction error (PE) and mean absolute prediction error (MAE) among the three formulas. Data reported as mean ± standard deviation.",
        "Results": "Forty-three eyes (26 PKP; 17 KC) from 34 patients with mean age of 64.8 ± 11.5 years were included. Mean flat and steep SimK keratometry values from IOL Master Biometry were 43.5 ± 2.8 D and 48.5 ± 3.5 D, respectively, and 43.5 ± 2.9 D and 47.0 ± 2.9 D from Holladay EKR 65, respectively. Mean PE was 0.63 ± 1.35 for Barrett True K and 0.73 ± 1.39 D for Kane, and 0.36 ± 1.56 D for Barrett Universal II groups. Subgroup analysis showed mean PE in KC patients was significantly different from zero (p=0.0325) only in the Kane group. MAE was lowest in Barrett True K (1.08 ± 1.02 D) as compared to Kane (1.21 ± 0.98 D) and Barrett Universal II (1.25 ± 0.98 D); however, no statistical differences were noted in overall or subgroup (KC, PKP) analysis.",
        "Conclusions": "The current findings suggest that in keratoconus and post-PKP eyes, Holladay EKR 65 is non-inferior to IOL Master SimK keratometry in corneas with moderate astigmatism. All three formulas demonstrated <1.0 D of mean prediction error, suggesting promising post-operative outcomes in irregular corneas. This study is limited by its retrospective nature and small-to-moderate astigmatism of the included eyes that may not fully represent all PKP and KC corneas. A future large-scale prospective study is warranted to confirm identified trends."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The current findings suggest that in keratoconus and post-PKP eyes, Holladay EKR 65 is non-inferior to IOL Master SimK keratometry in corneas with moderate astigmatism. All three formulas demonstrated <1.0 D of mean prediction error, suggesting promising post-operative outcomes in irregular corneas. This study is limited by its retrospective nature and small-to-moderate astigmatism of the included eyes that may not…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 648,
      "source_fields": {
        "Abstract Final Identifier": "POCAT611",
        "Title": "Comparing Refractive Prediction Accuracy Between Intraocular Lens Biometry And Holladay Equivalent Keratometry In Irregular Corneas",
        "Presenting Author(s)": "Dr Kevin Kyung-Jun Min",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Kevin",
        "Submitter Middle Name": "Kyung-Jun",
        "Submitter Last Name": "Min",
        "Country Name": "Canada",
        "Purpose": "Hyperopic refractive error following cataract surgery in eyes with irregular corneas, such as those with keratoconus (KC) or prior penetrating keratoplasty (PKP) remains a limiting variable to optimizing post-operative visual outcomes. This study aims to evaluate whether incorporating both anterior and posterior corneal measurements using Holladay Equivalent Keratometry (EKR 65) enhances refractive prediction accuracy in comparison with Barrett True K and Kane formulas with keratoconus modification in KC and post-PKP eyes.",
        "Setting": "Ottawa Eye Institute, Faculty of Medicine, Department of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada",
        "Methods": "Single-center retrospective chart review included eyes with KC and prior PKP who underwent cataract extraction with monofocal intraocular lens (IOL) implantation between September 2015 and December 2023. Pre-operative keratometry from IOL Master biometry (SimK; IOLMaster 700) were applied to the Barrett True K keratoconus and Kane keratoconus formulas, while EKR 65 measurements from Pentacam Corneal Tomography (Scheimpflug EKR 65 at 4.5mm, 3.0mm, 2.5mm, 2.0mm optical zone) were applied to the Barrett Universal II formula to calculate predicted residual refraction (diopters, D). Primary outcome compared mean prediction error (PE) and mean absolute prediction error (MAE) among the three formulas. Data reported as mean ± standard deviation.",
        "Results": "Forty-three eyes (26 PKP; 17 KC) from 34 patients with mean age of 64.8 ± 11.5 years were included. Mean flat and steep SimK keratometry values from IOL Master Biometry were 43.5 ± 2.8 D and 48.5 ± 3.5 D, respectively, and 43.5 ± 2.9 D and 47.0 ± 2.9 D from Holladay EKR 65, respectively. Mean PE was 0.63 ± 1.35 for Barrett True K and 0.73 ± 1.39 D for Kane, and 0.36 ± 1.56 D for Barrett Universal II groups. Subgroup analysis showed mean PE in KC patients was significantly different from zero (p=0.0325) only in the Kane group. MAE was lowest in Barrett True K (1.08 ± 1.02 D) as compared to Kane (1.21 ± 0.98 D) and Barrett Universal II (1.25 ± 0.98 D); however, no statistical differences were noted in overall or subgroup (KC, PKP) analysis.",
        "Conclusions": "The current findings suggest that in keratoconus and post-PKP eyes, Holladay EKR 65 is non-inferior to IOL Master SimK keratometry in corneas with moderate astigmatism. All three formulas demonstrated <1.0 D of mean prediction error, suggesting promising post-operative outcomes in irregular corneas. This study is limited by its retrospective nature and small-to-moderate astigmatism of the included eyes that may not fully represent all PKP and KC corneas. A future large-scale prospective study is warranted to confirm identified trends."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 428
    },
    {
      "uid": "POCAT612",
      "abstract_number": "POCAT612",
      "title": "Surgically Induced Astigmatism In Surgeon Comparison: A New Visualization Of Surgeon-Specific Sia And Its Implications For Iol Calculation In The Setting Of High Sia Variability",
      "authors": "Julius Molling",
      "presenter": "Julius Molling",
      "normalized_authors": [
        "Julius Molling"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julius Molling",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Previous studies on surgically induced astigmatism (SIA) have shown that, under standardized incision parameters, comparative analyses between surgeons are possible. The aim of this retrospective observational study was to use patient data from an ambulatory ophthalmic center to optimize toric intraocular lens (IOL) calculation. The objective was the comparison of SIA between two surgeons. We aimed to evaluate whether the astigmatism induced by surgery differs systematically between the two surgeons. As this is a retrospective exploratory study based on a convenience sample, no formal hypothesis testing in the sense of confirmatory statistics was performed. In addition, this study developed a graphical format for everyday clinical practice",
        "Setting": "Single-center retrospective study in a high-volume ambulatory ophthalmic surgery center. The study protocol was reviewed and approved by the local ethics committee.",
        "Methods": "A new visualization format was developed to display SIA using a modified double-angle plot (DAP). The preoperative steep corneal meridian (α) was rounded to integer values, creating 181 categories (0°–180°). For each category, mean and standard deviation of KP(90) SIA and KP(135) SIA were calculated. Each point represents the mean, with a line indicating standard deviation; a concentric 0 diopters (D) circle marks unchanged refraction. SIA was calculated per Naeser using key polars KP(90) and KP(135). The concept was inspired by polar trend analysis in glaucoma diagnostics. A total of 2555 eyes were analyzed (surgeon 1: 1619; surgeon 2: 936). Data were collected between March 2018 and December 2024. Biometry used the IOLMaster 500 (Zeiss).",
        "Results": "The analysis demonstrates considerable variability, particularly for the KP(90) SIA component. In some degree categories, clearly positive mean values are observed, whereas in other regions KP(90) SIA becomes distinctly negative. In contrast, the KP(135) SIA component remains comparatively more stable. The graphical presentation illustrates that although our assumed SIA value of 0.2 D may be appropriate on average, the variability in individual cases is substantial. The newly developed visualization allows an intuitive assessment of surgeon-specific SIA in relation to the preoperative axis and makes variability directly visible instead of relying on mean values alone.",
        "Conclusions": "The new visualization makes surgeon-specific SIA variability directly visible beyond mean values alone. Although 0.2 D reflects the average KP(90) SIA effect in our cohort, the marked dispersion questions the routine use of a fixed correction factor in toric IOL calculation. Adjustment of SIA values should depend on whether a stable and reproducible surgeon-specific vector pattern can be demonstrated; if variability dominates, assuming 0 D may represent the more neutral approach. The method may also serve as a practical tool to compare surgeons within surgical teams or clinical studies — an aspect often underrepresented in today’s device-driven cataract research."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new visualization makes surgeon-specific SIA variability directly visible beyond mean values alone. Although 0.2 D reflects the average KP(90) SIA effect in our cohort, the marked dispersion questions the routine use of a fixed correction factor in toric IOL calculation. Adjustment of SIA values should depend on whether a stable and reproducible surgeon-specific vector pattern can be demonstrated; if…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 649,
      "source_fields": {
        "Abstract Final Identifier": "POCAT612",
        "Title": "Surgically Induced Astigmatism In Surgeon Comparison: A New Visualization Of Surgeon-Specific Sia And Its Implications For Iol Calculation In The Setting Of High Sia Variability",
        "Presenting Author(s)": "Julius Molling",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Julius",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Molling",
        "Country Name": "Germany",
        "Purpose": "Previous studies on surgically induced astigmatism (SIA) have shown that, under standardized incision parameters, comparative analyses between surgeons are possible. The aim of this retrospective observational study was to use patient data from an ambulatory ophthalmic center to optimize toric intraocular lens (IOL) calculation. The objective was the comparison of SIA between two surgeons. We aimed to evaluate whether the astigmatism induced by surgery differs systematically between the two surgeons. As this is a retrospective exploratory study based on a convenience sample, no formal hypothesis testing in the sense of confirmatory statistics was performed. In addition, this study developed a graphical format for everyday clinical practice",
        "Setting": "Single-center retrospective study in a high-volume ambulatory ophthalmic surgery center. The study protocol was reviewed and approved by the local ethics committee.",
        "Methods": "A new visualization format was developed to display SIA using a modified double-angle plot (DAP). The preoperative steep corneal meridian (α) was rounded to integer values, creating 181 categories (0°–180°). For each category, mean and standard deviation of KP(90) SIA and KP(135) SIA were calculated. Each point represents the mean, with a line indicating standard deviation; a concentric 0 diopters (D) circle marks unchanged refraction. SIA was calculated per Naeser using key polars KP(90) and KP(135). The concept was inspired by polar trend analysis in glaucoma diagnostics. A total of 2555 eyes were analyzed (surgeon 1: 1619; surgeon 2: 936). Data were collected between March 2018 and December 2024. Biometry used the IOLMaster 500 (Zeiss).",
        "Results": "The analysis demonstrates considerable variability, particularly for the KP(90) SIA component. In some degree categories, clearly positive mean values are observed, whereas in other regions KP(90) SIA becomes distinctly negative. In contrast, the KP(135) SIA component remains comparatively more stable. The graphical presentation illustrates that although our assumed SIA value of 0.2 D may be appropriate on average, the variability in individual cases is substantial. The newly developed visualization allows an intuitive assessment of surgeon-specific SIA in relation to the preoperative axis and makes variability directly visible instead of relying on mean values alone.",
        "Conclusions": "The new visualization makes surgeon-specific SIA variability directly visible beyond mean values alone. Although 0.2 D reflects the average KP(90) SIA effect in our cohort, the marked dispersion questions the routine use of a fixed correction factor in toric IOL calculation. Adjustment of SIA values should depend on whether a stable and reproducible surgeon-specific vector pattern can be demonstrated; if variability dominates, assuming 0 D may represent the more neutral approach. The method may also serve as a practical tool to compare surgeons within surgical teams or clinical studies — an aspect often underrepresented in today’s device-driven cataract research."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 446
    },
    {
      "uid": "POCAT613",
      "abstract_number": "POCAT613",
      "title": "Performance Of The Escrs Calculator With K And Tk Values In Steep And Flat Corneas",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare the utility of K and TK values in extreme K eyes by testing four third-generation and six multivariable IOL power calculation formulas.",
        "Setting": "Single tertiary academic center.",
        "Methods": "“Flat” and “Steep” K values were defined as ≤42D and ≥48D. Eyes with extreme K undergoing phacoemulsification with non-toric monofocal IOLs and postoperative CDVA ≥20/30 were included. Exclusion criteria were prior refractive surgery, corneal ectasia, scarring, trauma, CME, or poor follow-up. SS-OCT biometry (IOLMaster 700) captured K and TK, which were substituted into four third-generation formulas (Holladay 1, Hoffer Q, SRK/T, Haigis) and six multivariable formulas (Barrett Universal II, Cooke K6, EVO 2.0, Kane, Hill RBF 3.0, PEARL-DGS) to calculate refractive prediction errors. MAE and RMSE assessed outcomes.",
        "Results": "Results for the present study are still being analyzed. Full comparative performance of K vs TK among formulas and by flat/steep strata reporting MAE//RMSE using heteroscedastic testing for testing statistical significance will be presented.",
        "Conclusions": "This study will define whether TK confers a clinically meaningful advantage over conventional K in extreme corneas and if specific formula(s) improve accuracy with K or TK values."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study will define whether TK confers a clinically meaningful advantage over conventional K in extreme corneas and if specific formula(s) improve accuracy with K or TK values.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 650,
      "source_fields": {
        "Abstract Final Identifier": "POCAT613",
        "Title": "Performance Of The Escrs Calculator With K And Tk Values In Steep And Flat Corneas",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To compare the utility of K and TK values in extreme K eyes by testing four third-generation and six multivariable IOL power calculation formulas.",
        "Setting": "Single tertiary academic center.",
        "Methods": "“Flat” and “Steep” K values were defined as ≤42D and ≥48D. Eyes with extreme K undergoing phacoemulsification with non-toric monofocal IOLs and postoperative CDVA ≥20/30 were included. Exclusion criteria were prior refractive surgery, corneal ectasia, scarring, trauma, CME, or poor follow-up. SS-OCT biometry (IOLMaster 700) captured K and TK, which were substituted into four third-generation formulas (Holladay 1, Hoffer Q, SRK/T, Haigis) and six multivariable formulas (Barrett Universal II, Cooke K6, EVO 2.0, Kane, Hill RBF 3.0, PEARL-DGS) to calculate refractive prediction errors. MAE and RMSE assessed outcomes.",
        "Results": "Results for the present study are still being analyzed. Full comparative performance of K vs TK among formulas and by flat/steep strata reporting MAE//RMSE using heteroscedastic testing for testing statistical significance will be presented.",
        "Conclusions": "This study will define whether TK confers a clinically meaningful advantage over conventional K in extreme corneas and if specific formula(s) improve accuracy with K or TK values."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 185
    },
    {
      "uid": "POCAT614",
      "abstract_number": "POCAT614",
      "title": "Accuracy Of Intraocular Lens Power Calculation Formulas In Sequential Versus Simultaneous Penetrating Keratoplasty And Cataract Surgery",
      "authors": "Dr Kazuhiro Nakamoto",
      "presenter": "Dr Kazuhiro Nakamoto",
      "normalized_authors": [
        "Kazuhiro Nakamoto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kazuhiro Nakamoto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Intraocular lens (IOL) power calculation in eyes undergoing penetrating keratoplasty (PKP) remains inherently challenging. Refractive predictability may be further compromised when cataract extraction is performed simultaneously with PKP, as corneal power must be assumed rather than measured. This study quantitatively compared the refractive predictive accuracy of three intraocular lens (IOL) power calculation formulas in sequential and simultaneous penetrating keratoplasty and cataract surgery.",
        "Setting": "This retrospective, single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. Medical records of consecutive patients who underwent cataract surgery between January 2017 and November 2025 were reviewed.",
        "Methods": "Eyes undergoing simultaneous penetrating keratoplasty and cataract surgery or sequential penetrating keratoplasty followed by cataract surgery were analyzed. IOL power was calculated using SRK/T, Haigis, and Barrett Universal II formulas. In the simultaneous surgery group, keratometry was assumed to be 41–43 D. Axial length was measured by optical biometry. Prediction error was defined as postoperative spherical equivalent minus predicted refraction. Refraction at 3 months was used in the sequential surgery group, and refraction at visual stabilization within 1 year was used in the simultaneous surgery group. Median absolute error (MedAE) and the proportion within ±1.00 D were evaluated.",
        "Results": "Nineteen eyes were included in the sequential surgery group and thirteen in the simultaneous surgery group. In the sequential surgery group, mean prediction error (mean ± SD) was −0.68 ± 2.04 D (SRK/T), 0.013 ± 2.37 D (Haigis), and 0.072 ± 2.13 D (Barrett Universal II). In the simultaneous surgery group, it was 0.16 ± 5.49 D, −0.45 ± 5.51 D, and 0.16 ± 5.55 D, respectively. MedAE was 1.20 D (SRK/T), 1.18 D (Haigis), and 1.00 D (Barrett) in the sequential group, compared with 2.90 D, 2.77 D, and 2.60 D in the simultaneous group. Within ±1.00 D using SRK/T, 47% (9/19) of sequential eyes achieved target refraction compared with 0% (0/13) in the simultaneous group (p = 0.004). Similar trends were observed with the other formulas.",
        "Conclusions": "The sequential surgery group demonstrated superior refractive predictability compared with the simultaneous surgery group. Despite the use of modern IOL formulas, refractive outcomes in the simultaneous surgery group remained highly variable, likely reflecting assumed keratometric values and postoperative corneal curvature changes. Sequential surgery may provide more reliable refractive outcomes when refractive precision is prioritized. However, compared with normal eyes, refractive accuracy remains limited, and further refinement of IOL power calculation strategies in keratoplasty cases is required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The sequential surgery group demonstrated superior refractive predictability compared with the simultaneous surgery group. Despite the use of modern IOL formulas, refractive outcomes in the simultaneous surgery group remained highly variable, likely reflecting assumed keratometric values and postoperative corneal curvature changes. Sequential surgery may provide more reliable refractive outcomes when refractive…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 651,
      "source_fields": {
        "Abstract Final Identifier": "POCAT614",
        "Title": "Accuracy Of Intraocular Lens Power Calculation Formulas In Sequential Versus Simultaneous Penetrating Keratoplasty And Cataract Surgery",
        "Presenting Author(s)": "Dr Kazuhiro Nakamoto",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Kazuhiro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nakamoto",
        "Country Name": "Japan",
        "Purpose": "Intraocular lens (IOL) power calculation in eyes undergoing penetrating keratoplasty (PKP) remains inherently challenging. Refractive predictability may be further compromised when cataract extraction is performed simultaneously with PKP, as corneal power must be assumed rather than measured. This study quantitatively compared the refractive predictive accuracy of three intraocular lens (IOL) power calculation formulas in sequential and simultaneous penetrating keratoplasty and cataract surgery.",
        "Setting": "This retrospective, single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. Medical records of consecutive patients who underwent cataract surgery between January 2017 and November 2025 were reviewed.",
        "Methods": "Eyes undergoing simultaneous penetrating keratoplasty and cataract surgery or sequential penetrating keratoplasty followed by cataract surgery were analyzed. IOL power was calculated using SRK/T, Haigis, and Barrett Universal II formulas. In the simultaneous surgery group, keratometry was assumed to be 41–43 D. Axial length was measured by optical biometry. Prediction error was defined as postoperative spherical equivalent minus predicted refraction. Refraction at 3 months was used in the sequential surgery group, and refraction at visual stabilization within 1 year was used in the simultaneous surgery group. Median absolute error (MedAE) and the proportion within ±1.00 D were evaluated.",
        "Results": "Nineteen eyes were included in the sequential surgery group and thirteen in the simultaneous surgery group. In the sequential surgery group, mean prediction error (mean ± SD) was −0.68 ± 2.04 D (SRK/T), 0.013 ± 2.37 D (Haigis), and 0.072 ± 2.13 D (Barrett Universal II). In the simultaneous surgery group, it was 0.16 ± 5.49 D, −0.45 ± 5.51 D, and 0.16 ± 5.55 D, respectively. MedAE was 1.20 D (SRK/T), 1.18 D (Haigis), and 1.00 D (Barrett) in the sequential group, compared with 2.90 D, 2.77 D, and 2.60 D in the simultaneous group. Within ±1.00 D using SRK/T, 47% (9/19) of sequential eyes achieved target refraction compared with 0% (0/13) in the simultaneous group (p = 0.004). Similar trends were observed with the other formulas.",
        "Conclusions": "The sequential surgery group demonstrated superior refractive predictability compared with the simultaneous surgery group. Despite the use of modern IOL formulas, refractive outcomes in the simultaneous surgery group remained highly variable, likely reflecting assumed keratometric values and postoperative corneal curvature changes. Sequential surgery may provide more reliable refractive outcomes when refractive precision is prioritized. However, compared with normal eyes, refractive accuracy remains limited, and further refinement of IOL power calculation strategies in keratoplasty cases is required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 416
    },
    {
      "uid": "POCAT615",
      "abstract_number": "POCAT615",
      "title": "Refractive Surprise In A Patient Who Underwent Cataract Surgery, Secondary To Changes In Corneal Biomechanics. Case Repoert",
      "authors": "Dr Justo Luís Noriega Martínez",
      "presenter": "Dr Justo Luís Noriega Martínez",
      "normalized_authors": [
        "Justo Luís Noriega Martínez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Justo Luís Noriega Martínez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "The entry incisions in the cornea during cataract surgery on a cornea with ectatic changes induce high-order aberration astigmatism, especially those that do not correspond to the location of the tomographic meridian to be treated, which is extremely important to avoid creating astigmatism that did not exist, inducing an increase in existing astigmatism, or reactivating a process that had previously stopped. The entry into the anterior chamber through the clear corneal incision, combined with the energy effect generated by the ultrasound through the microinstrument, causes an imbalance in the stress-strain relationship both in tension and shear, impacting the corneal tissue volume over time.",
        "Setting": "The goal of cataract surgery is to restore as much vision and quality of vision as possible in patients, it's not enough to simply recover their eyesight, it is common to see patients who have undergone cataract surgery with 20/20 visual acuity, but are dissatisfied with the quality of their visión, higher-order aberrations, although not common, are decisive in visual quality. Secondary astigmatisms from surgeries induce high-order aberrations, specifically fourth-order aberrations.",
        "Methods": "Case Repoert:\n\n72-year-old female patient with a health history of cataract surgery in both eyes, now she comes to our clinic for start visual difficulties due to loss of depth, unable to define faces accurately, with limitation of night vision, which prevents him from developing his normal activity, this picture appears after cataract surgery in the right eye, second eye operated.\n\nKey words: Refractive surprise, asphericity, spherical aberration",
        "Results": "Pre-op: VA without glasses: OD (0.12)/OS(0.2). RD OD -3.00 - 0.50x140 0 (0.25 +1 ) OI -1.00 -0.50x50 0 (0.5).\n\nFirst post–op : VA without glasses: OD (0.5 )/OS (0.2). RD OD -0.75 -0.25x165 0 (1.0) OI +1.00 -3.00x174 0 (0.4)\n\nWe worked on the already modified cornea, carrying out the new surgical plan based on the new corneal architecture, trying not to alter its current asphericity (Q factor) the final result.\n\nVA without glasses : OD (0.5)/OI (0.6). RD: OD -0.75 -0.25x165 0 (1.0) OI - 0.25 – 0.75x183 0 (1.0)",
        "Conclusions": "Evaluating, combining and using the values of the KPD TCRP 4 mm histogram from the PENTACAM AXL and the biometric results from the IOL Master 700 / Argus System, along with selecting the correct formula, led us to the results obtained."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Evaluating, combining and using the values of the KPD TCRP 4 mm histogram from the PENTACAM AXL and the biometric results from the IOL Master 700 / Argus System, along with selecting the correct formula, led us to the results obtained.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 652,
      "source_fields": {
        "Abstract Final Identifier": "POCAT615",
        "Title": "Refractive Surprise In A Patient Who Underwent Cataract Surgery, Secondary To Changes In Corneal Biomechanics. Case Repoert",
        "Presenting Author(s)": "Dr Justo Luís Noriega Martínez",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Justo",
        "Submitter Middle Name": "Luís",
        "Submitter Last Name": "Noriega Martínez",
        "Country Name": "Peru",
        "Purpose": "The entry incisions in the cornea during cataract surgery on a cornea with ectatic changes induce high-order aberration astigmatism, especially those that do not correspond to the location of the tomographic meridian to be treated, which is extremely important to avoid creating astigmatism that did not exist, inducing an increase in existing astigmatism, or reactivating a process that had previously stopped. The entry into the anterior chamber through the clear corneal incision, combined with the energy effect generated by the ultrasound through the microinstrument, causes an imbalance in the stress-strain relationship both in tension and shear, impacting the corneal tissue volume over time.",
        "Setting": "The goal of cataract surgery is to restore as much vision and quality of vision as possible in patients, it's not enough to simply recover their eyesight, it is common to see patients who have undergone cataract surgery with 20/20 visual acuity, but are dissatisfied with the quality of their visión, higher-order aberrations, although not common, are decisive in visual quality. Secondary astigmatisms from surgeries induce high-order aberrations, specifically fourth-order aberrations.",
        "Methods": "Case Repoert:\n\n72-year-old female patient with a health history of cataract surgery in both eyes, now she comes to our clinic for start visual difficulties due to loss of depth, unable to define faces accurately, with limitation of night vision, which prevents him from developing his normal activity, this picture appears after cataract surgery in the right eye, second eye operated.\n\nKey words: Refractive surprise, asphericity, spherical aberration",
        "Results": "Pre-op: VA without glasses: OD (0.12)/OS(0.2). RD OD -3.00 - 0.50x140 0 (0.25 +1 ) OI -1.00 -0.50x50 0 (0.5).\n\nFirst post–op : VA without glasses: OD (0.5 )/OS (0.2). RD OD -0.75 -0.25x165 0 (1.0) OI +1.00 -3.00x174 0 (0.4)\n\nWe worked on the already modified cornea, carrying out the new surgical plan based on the new corneal architecture, trying not to alter its current asphericity (Q factor) the final result.\n\nVA without glasses : OD (0.5)/OI (0.6). RD: OD -0.75 -0.25x165 0 (1.0) OI - 0.25 – 0.75x183 0 (1.0)",
        "Conclusions": "Evaluating, combining and using the values of the KPD TCRP 4 mm histogram from the PENTACAM AXL and the biometric results from the IOL Master 700 / Argus System, along with selecting the correct formula, led us to the results obtained."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 397
    },
    {
      "uid": "POCAT616",
      "abstract_number": "POCAT616",
      "title": "Is A Soft Contact Lens Holiday Necessary? Assessing Changes In Intra-Ocular Lens Selection Following Immediate Versus Delayed Biometry",
      "authors": "Mr Joseph Olakkengil",
      "presenter": "Mr Joseph Olakkengil",
      "normalized_authors": [
        "Joseph Olakkengil"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joseph Olakkengil",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the impact of immediate soft contact lens (SCL) removal on biometric accuracy and IOL power selection. While clinical guidelines recommend a lens holiday, patients often attend pre-assessment wearing lenses. This study aims to determine the extent of biometric stability versus clinical change after a one-week holiday and identify the anatomical drivers of any observed IOL power shifts.",
        "Setting": "This prospective study was conducted in the cataract clinic of Moorfields Eye Hospital, City Road between 2024 and 2025.",
        "Methods": "Prospective study of 24 eyes. New patients presenting to their first appointment in the cataract service in soft contact lenses underwent immediate biometry (IOLMaster 700) after lens removal. These measurements were not used for surgical planning. Patients returned after a one-week contact lens holiday for repeat bioemtry. Parameters compared included axial length (AL), average keratometry (Kavg), central corneal thickness (CCT), exact IOL power (calculated using Barrett Universal II formula), and predicted residual spherical equivalent (SE). Statistical analysis used paired t-tests and Pearson correlation to assess the relationship between biometric shifts and IOL choice.",
        "Results": "Twenty-four eyes were analyzed. Mean exact IOL power (diff: -0.085±0.36D, p=0.265), AL (diff: 0.11mm, p=0.40), and CCT (p=0.78) showed no statistically significant differences across the group. However, the final clinical IOL choice changed in 37.5% of cases (9/24 eyes) following the holiday. A very strong negative correlation was found between change in Kavg and change in exact IOL power (r = -0.94), whereas AL and CCT remained stable. This confirms that transient corneal curvature alterations rather than axial changes drive the observed IOL power discrepancies in individual patients.",
        "Conclusions": "Although mean biometric values remain statistically stable after soft contact lens removal, individual corneal curvature variations lead to a change in clinical IOL selection in over one-third of patients. Axial length and corneal thickness are unaffected by soft contact lens wear. These findings demonstrate that a one-week holiday is essential to mitigate individual corneal \"molding\" effects and ensure refractive precision in cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although mean biometric values remain statistically stable after soft contact lens removal, individual corneal curvature variations lead to a change in clinical IOL selection in over one-third of patients. Axial length and corneal thickness are unaffected by soft contact lens wear. These findings demonstrate that a one-week holiday is essential to mitigate individual corneal \"molding\" effects and ensure refractive…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 653,
      "source_fields": {
        "Abstract Final Identifier": "POCAT616",
        "Title": "Is A Soft Contact Lens Holiday Necessary? Assessing Changes In Intra-Ocular Lens Selection Following Immediate Versus Delayed Biometry",
        "Presenting Author(s)": "Mr Joseph Olakkengil",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Joseph",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Olakkengil",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the impact of immediate soft contact lens (SCL) removal on biometric accuracy and IOL power selection. While clinical guidelines recommend a lens holiday, patients often attend pre-assessment wearing lenses. This study aims to determine the extent of biometric stability versus clinical change after a one-week holiday and identify the anatomical drivers of any observed IOL power shifts.",
        "Setting": "This prospective study was conducted in the cataract clinic of Moorfields Eye Hospital, City Road between 2024 and 2025.",
        "Methods": "Prospective study of 24 eyes. New patients presenting to their first appointment in the cataract service in soft contact lenses underwent immediate biometry (IOLMaster 700) after lens removal. These measurements were not used for surgical planning. Patients returned after a one-week contact lens holiday for repeat bioemtry. Parameters compared included axial length (AL), average keratometry (Kavg), central corneal thickness (CCT), exact IOL power (calculated using Barrett Universal II formula), and predicted residual spherical equivalent (SE). Statistical analysis used paired t-tests and Pearson correlation to assess the relationship between biometric shifts and IOL choice.",
        "Results": "Twenty-four eyes were analyzed. Mean exact IOL power (diff: -0.085±0.36D, p=0.265), AL (diff: 0.11mm, p=0.40), and CCT (p=0.78) showed no statistically significant differences across the group. However, the final clinical IOL choice changed in 37.5% of cases (9/24 eyes) following the holiday. A very strong negative correlation was found between change in Kavg and change in exact IOL power (r = -0.94), whereas AL and CCT remained stable. This confirms that transient corneal curvature alterations rather than axial changes drive the observed IOL power discrepancies in individual patients.",
        "Conclusions": "Although mean biometric values remain statistically stable after soft contact lens removal, individual corneal curvature variations lead to a change in clinical IOL selection in over one-third of patients. Axial length and corneal thickness are unaffected by soft contact lens wear. These findings demonstrate that a one-week holiday is essential to mitigate individual corneal \"molding\" effects and ensure refractive precision in cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCAT617",
      "abstract_number": "POCAT617",
      "title": "Iol Performance And Accuracy Of Formulas For Iol Calculation In Post-Myopic Laser Refractive Corneal Surgery Implanted With A Spiral Iol",
      "authors": "Dr Ruddy Aarón Ortiz Lopez",
      "presenter": "Dr Ruddy Aarón Ortiz Lopez",
      "normalized_authors": [
        "Ruddy Aarón Ortiz Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruddy Aarón Ortiz Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To identify the visual performance and accuracy of formulas for intraocular lens (IOL) power calculation in post–myopic laser refractive corneal surgery following implantation of a spiral intraocular lens (Galaxy RayOne, Rayner)",
        "Setting": "Single private center real-world study conducted at Guatemala City, in patients post–myopic laser refractive corneal surgery undergoing cataract surgery with implantation of presbyopia-correcting spiral intraocular lenses. A single surgeon performed the surgeries using phacoemulsification technique. No intraoperative or postoperative complications were reported.",
        "Methods": "Six eyes undergoing cataract surgery with spiral IOL implantation who had prior post–myopic laser refractive corneal surgery were retrospectively analyzed. Monocular UDVA (4 m), UIVA (66 cm), and UNVA (40 cm) were measured at 3 months using ETDRS charts and low contrast charts for UIVA and UNVA. Preoperative corneal parameters (SIMK, tHOAs, coma/trefoil, Z40, pupil size) were assessed using Scheimpflug tomography. ACD, AXL, LT, and WTW were assessed using optical biometer IOLMaster 700. Refractive outcomes of 5 formulas (EVO, Barrett True K, Hoffer-QST, PEARL, and Panacea) were evaluated. Accuracy was defined as the difference between the measured and predicted postoperative refractive spherical equivalent using the IOL power implanted.",
        "Results": "6 eyes (mean AXL: 25.84 ±1.3mm) mean monocular VA and spherical equivalent pre vs post-surgery improved statistically significant (p<0.005). Preop UDVA 0.54 ±0.41 vs postop 0.09 ±0.01 logMAR, UIVA preop 0.45 ±0.07 vs postop 0.00 ±0.01 logMAR and UNVA preop 0.59 ±0.22 vs postop 0.02 ±0.04 logMAR. At contrast sensitivity chart UIVA (from 0.73 ±0.21 to postop 0.20 ±0.06 logMAR) and UNVA (from 0.68 ±0.11 vs postop 0.15 ±0.03 logMAR) improved significantly (p<0.005). Mean tHOAs, SA (6mm) and Q were (0.19 ±0.09µm, 0.35 ±0.25µm, 0.22 ±0.29, respectively). PEARL-DGS resulted in a mean prediction difference of -0.13 ±0.25D. Other formulas in order of magnitude were -0.37, -0.50, -0.80, -0.87D for the EVO, Barrett TK, Hoffer-QST and Panacea, resp.",
        "Conclusions": "The spiral IOL demonstrated stable visual performance in patients after cataract surgery in post–myopic laser refractive corneal surgery eyes with high values of SA and showed to be safe. Visual acuity for all distances and contrast sensitivity significantly improved. Patients were without symptoms of halos, dysphotopsia or poor night vision. Currently, the patients do not require corrective lenses suggesting that the IOL tolerates well a small residual myopia. In comparison to other IOL formulas, the PEARL formula resulted in better refractive outcomes. We suggest that PEARL, EVO and Barrett True K be considered as the first choices for IOL power calculation in these eyes choosing the first positive IOL option."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The spiral IOL demonstrated stable visual performance in patients after cataract surgery in post–myopic laser refractive corneal surgery eyes with high values of SA and showed to be safe. Visual acuity for all distances and contrast sensitivity significantly improved. Patients were without symptoms of halos, dysphotopsia or poor night vision. Currently, the patients do not require corrective lenses suggesting that…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 654,
      "source_fields": {
        "Abstract Final Identifier": "POCAT617",
        "Title": "Iol Performance And Accuracy Of Formulas For Iol Calculation In Post-Myopic Laser Refractive Corneal Surgery Implanted With A Spiral Iol",
        "Presenting Author(s)": "Dr Ruddy Aarón Ortiz Lopez",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Ruddy",
        "Submitter Middle Name": "Aarón",
        "Submitter Last Name": "Ortiz Lopez",
        "Country Name": "Guatemala",
        "Purpose": "To identify the visual performance and accuracy of formulas for intraocular lens (IOL) power calculation in post–myopic laser refractive corneal surgery following implantation of a spiral intraocular lens (Galaxy RayOne, Rayner)",
        "Setting": "Single private center real-world study conducted at Guatemala City, in patients post–myopic laser refractive corneal surgery undergoing cataract surgery with implantation of presbyopia-correcting spiral intraocular lenses. A single surgeon performed the surgeries using phacoemulsification technique. No intraoperative or postoperative complications were reported.",
        "Methods": "Six eyes undergoing cataract surgery with spiral IOL implantation who had prior post–myopic laser refractive corneal surgery were retrospectively analyzed. Monocular UDVA (4 m), UIVA (66 cm), and UNVA (40 cm) were measured at 3 months using ETDRS charts and low contrast charts for UIVA and UNVA. Preoperative corneal parameters (SIMK, tHOAs, coma/trefoil, Z40, pupil size) were assessed using Scheimpflug tomography. ACD, AXL, LT, and WTW were assessed using optical biometer IOLMaster 700. Refractive outcomes of 5 formulas (EVO, Barrett True K, Hoffer-QST, PEARL, and Panacea) were evaluated. Accuracy was defined as the difference between the measured and predicted postoperative refractive spherical equivalent using the IOL power implanted.",
        "Results": "6 eyes (mean AXL: 25.84 ±1.3mm) mean monocular VA and spherical equivalent pre vs post-surgery improved statistically significant (p<0.005). Preop UDVA 0.54 ±0.41 vs postop 0.09 ±0.01 logMAR, UIVA preop 0.45 ±0.07 vs postop 0.00 ±0.01 logMAR and UNVA preop 0.59 ±0.22 vs postop 0.02 ±0.04 logMAR. At contrast sensitivity chart UIVA (from 0.73 ±0.21 to postop 0.20 ±0.06 logMAR) and UNVA (from 0.68 ±0.11 vs postop 0.15 ±0.03 logMAR) improved significantly (p<0.005). Mean tHOAs, SA (6mm) and Q were (0.19 ±0.09µm, 0.35 ±0.25µm, 0.22 ±0.29, respectively). PEARL-DGS resulted in a mean prediction difference of -0.13 ±0.25D. Other formulas in order of magnitude were -0.37, -0.50, -0.80, -0.87D for the EVO, Barrett TK, Hoffer-QST and Panacea, resp.",
        "Conclusions": "The spiral IOL demonstrated stable visual performance in patients after cataract surgery in post–myopic laser refractive corneal surgery eyes with high values of SA and showed to be safe. Visual acuity for all distances and contrast sensitivity significantly improved. Patients were without symptoms of halos, dysphotopsia or poor night vision. Currently, the patients do not require corrective lenses suggesting that the IOL tolerates well a small residual myopia. In comparison to other IOL formulas, the PEARL formula resulted in better refractive outcomes. We suggest that PEARL, EVO and Barrett True K be considered as the first choices for IOL power calculation in these eyes choosing the first positive IOL option."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 451
    },
    {
      "uid": "POCAT618",
      "abstract_number": "POCAT618",
      "title": "Comparative Accuracy Of Intraocular Lens Power Calculation Formulas In Patients With Age-Related Macular Degeneration",
      "authors": "Ms Seo Woo Park",
      "presenter": "Ms Seo Woo Park",
      "normalized_authors": [
        "Seo Woo Park"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seowoo Park",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the predictive performance of three widely used intraocular lens (IOL) power calculation formulas in eyes with age-related macular degeneration undergoing cataract surgery.",
        "Setting": "Department of Ophthalmology, The Catholic University of Korea Uijeongbu St. Mary's Hospital, Uijeongbu, South Korea.",
        "Methods": "This retrospective study included 144 eyes of 87 patients with AMD who underwent cataract surgery between January 2019 and October 2025. Postoperative refraction (2–4 months) was compared with predicted refraction calculated using the Barrett Universal II, Kane, and SRK/T formulas. Mean prediction error (ME), mean absolute error (MAE), and median absolute error (MedAE) were compared. Subgroup analyses were performed according to AMD subtype, central macular thickness (CMT), and presence of foveal fluid on OCT.",
        "Results": "ME was -0.01 D for Barrett Universal II, -0.14 D for Kane, and -0.18 D for SRK/T, with Barrett showing significantly less myopic tendency compared with SRK/T (P = 0.05). MAE was 0.57 D, 0.58 D, and 0.60 D, respectively, with no significant differences. When comparing neovascular AMD with dry/normal eyes, ME showed a significant myopic shift in neovascular AMD across all three formulas (Barrett: +0.28 D vs -0.14 D; Kane: +0.15 D vs -0.27 D; SRK/T: +0.11 D vs -0.32 D; all P < 0.001). Prediction error was not associated with CMT or the presence of subretinal/intraretinal fluid on OCT.",
        "Conclusions": "In neovascular AMD, commonly used IOL power calculation formulas demonstrated a consistent postoperative myopic shift despite similar absolute errors. Surgeons should consider this tendency when selecting IOL power in these patients. Preoperative OCT findings did not significantly influence refractive prediction accuracy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In neovascular AMD, commonly used IOL power calculation formulas demonstrated a consistent postoperative myopic shift despite similar absolute errors. Surgeons should consider this tendency when selecting IOL power in these patients. Preoperative OCT findings did not significantly influence refractive prediction accuracy.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 655,
      "source_fields": {
        "Abstract Final Identifier": "POCAT618",
        "Title": "Comparative Accuracy Of Intraocular Lens Power Calculation Formulas In Patients With Age-Related Macular Degeneration",
        "Presenting Author(s)": "Ms Seo Woo Park",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Seowoo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Park",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the predictive performance of three widely used intraocular lens (IOL) power calculation formulas in eyes with age-related macular degeneration undergoing cataract surgery.",
        "Setting": "Department of Ophthalmology, The Catholic University of Korea Uijeongbu St. Mary's Hospital, Uijeongbu, South Korea.",
        "Methods": "This retrospective study included 144 eyes of 87 patients with AMD who underwent cataract surgery between January 2019 and October 2025. Postoperative refraction (2–4 months) was compared with predicted refraction calculated using the Barrett Universal II, Kane, and SRK/T formulas. Mean prediction error (ME), mean absolute error (MAE), and median absolute error (MedAE) were compared. Subgroup analyses were performed according to AMD subtype, central macular thickness (CMT), and presence of foveal fluid on OCT.",
        "Results": "ME was -0.01 D for Barrett Universal II, -0.14 D for Kane, and -0.18 D for SRK/T, with Barrett showing significantly less myopic tendency compared with SRK/T (P = 0.05). MAE was 0.57 D, 0.58 D, and 0.60 D, respectively, with no significant differences. When comparing neovascular AMD with dry/normal eyes, ME showed a significant myopic shift in neovascular AMD across all three formulas (Barrett: +0.28 D vs -0.14 D; Kane: +0.15 D vs -0.27 D; SRK/T: +0.11 D vs -0.32 D; all P < 0.001). Prediction error was not associated with CMT or the presence of subretinal/intraretinal fluid on OCT.",
        "Conclusions": "In neovascular AMD, commonly used IOL power calculation formulas demonstrated a consistent postoperative myopic shift despite similar absolute errors. Surgeons should consider this tendency when selecting IOL power in these patients. Preoperative OCT findings did not significantly influence refractive prediction accuracy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCAT619",
      "abstract_number": "POCAT619",
      "title": "Intraocular Lens Power Calculation Adapted To Sutureless Scleral Fixation With The Yamane Technique",
      "authors": "Dr Antonia Maria Luce De Vitto",
      "presenter": "Dr Antonia Maria Luce De Vitto",
      "normalized_authors": [
        "Antonia Maria Luce De Vitto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fiammetta Pasculli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To assess reliability of different intraocular lens (IOL) power calculation formulas in secondary IOL implantation with sutureless scleral fixation (Yamane technique).",
        "Setting": "San Maurizio Hospital, Bolzano, Italy; University of Salerno, Italy.",
        "Methods": "A retrospective cohort study was performed. 50 eyes of 50 patients who underwent secondary IOL implantation with Yamane technique were analyzed. Surgery was performed with a standardized technique using the needle stabilizer. Barrett Universal II, EVO-2.0, Hoffer-Q, Holladay 1, SRKT, T2, and T2.2 formulas were analyzed for mean error (ME), median absolute error (MedAE), and percentages of eyes with refractive prediction error (PE) less than ±0.50/±1.00 diopter (D). Both IOLCon and optimized constants through zeroing out the MEs were analyzed. In addition, formulas were also tested with decreased optimized-IOLCon constants (DOC) by a fixed value of -0.5.",
        "Results": "All formulas reported a myopic shift of MEs with IOLCon constants (ranging from -0.43 to -0.31 D, all P < .050). No statistically significant differences among methods in MedAE were reported with both IOLCon and optimized constants (all P > .050). By using DOC-0.5, all formulas reported MEs not different from zero (all P ≥ .491) and all MEs were lower than IOLCon MEs (all P < .001), with comparable MedAE and percentages of eyes with PE less than ±0.50/±1.00 D (all P > .050).",
        "Conclusions": "In case of out-of-the-bag IOL implantation, a systematic error independent from the applied formula but linked to surgery technique was found. Using DOC-0.5 can eliminate such a bias. The study highlights the importance of refining lens constants in case of scleral fixation, to eliminate any systematic error in IOL power calculation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In case of out-of-the-bag IOL implantation, a systematic error independent from the applied formula but linked to surgery technique was found. Using DOC-0.5 can eliminate such a bias. The study highlights the importance of refining lens constants in case of scleral fixation, to eliminate any systematic error in IOL power calculation.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 656,
      "source_fields": {
        "Abstract Final Identifier": "POCAT619",
        "Title": "Intraocular Lens Power Calculation Adapted To Sutureless Scleral Fixation With The Yamane Technique",
        "Presenting Author(s)": "Dr Antonia Maria Luce De Vitto",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Fiammetta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pasculli",
        "Country Name": "Italy",
        "Purpose": "To assess reliability of different intraocular lens (IOL) power calculation formulas in secondary IOL implantation with sutureless scleral fixation (Yamane technique).",
        "Setting": "San Maurizio Hospital, Bolzano, Italy; University of Salerno, Italy.",
        "Methods": "A retrospective cohort study was performed. 50 eyes of 50 patients who underwent secondary IOL implantation with Yamane technique were analyzed. Surgery was performed with a standardized technique using the needle stabilizer. Barrett Universal II, EVO-2.0, Hoffer-Q, Holladay 1, SRKT, T2, and T2.2 formulas were analyzed for mean error (ME), median absolute error (MedAE), and percentages of eyes with refractive prediction error (PE) less than ±0.50/±1.00 diopter (D). Both IOLCon and optimized constants through zeroing out the MEs were analyzed. In addition, formulas were also tested with decreased optimized-IOLCon constants (DOC) by a fixed value of -0.5.",
        "Results": "All formulas reported a myopic shift of MEs with IOLCon constants (ranging from -0.43 to -0.31 D, all P < .050). No statistically significant differences among methods in MedAE were reported with both IOLCon and optimized constants (all P > .050). By using DOC-0.5, all formulas reported MEs not different from zero (all P ≥ .491) and all MEs were lower than IOLCon MEs (all P < .001), with comparable MedAE and percentages of eyes with PE less than ±0.50/±1.00 D (all P > .050).",
        "Conclusions": "In case of out-of-the-bag IOL implantation, a systematic error independent from the applied formula but linked to surgery technique was found. Using DOC-0.5 can eliminate such a bias. The study highlights the importance of refining lens constants in case of scleral fixation, to eliminate any systematic error in IOL power calculation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POCAT620",
      "abstract_number": "POCAT620",
      "title": "Comparative Analysis Of Iol Master 700 And Anterion Swept-Source Oct Biometry For Key Ocular Parameters",
      "authors": "Dr Parushak Rezai",
      "presenter": "Dr Parushak Rezai",
      "normalized_authors": [
        "Parushak Rezai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Parushak Rezai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare biometric measurements obtained with two swept-source optical coherence tomography biometers, the IOLMaster 700 (Carl Zeiss Meditec) and the Anterion (Heidelberg Engineering), and to evaluate inter-device agreement and correlation. The aim is to determine whether any systematic differences are clinically acceptable for interchangeable use in cataract surgery planning and intraocular lens power calculations, including toric and phakic lens selection.",
        "Setting": "Phakic patients presenting to the cataract clinic between October 2024 and November 2025 at Frimley Park Hospital , United Kingdom.",
        "Methods": "Retrospective comparative study analysing ocular biometry measurements acquired using IOLMaster 700 and Anterion. Measured parameters were axial length (AL), flat and steep keratometry (K1, K2), anterior chamber depth (ACD), lens thickness (LT), and white-to-white corneal diameter (WTW). Inclusion criteria comprised patients listed for cataract surgery with biometry measurements from both devices; only eyes with complete datasets were included. Statistical analysis was performed using Microsoft Excel 2019 v2508 and Jamovi v2.6.44.0; it included paired t-tests, Pearson correlation tests and intraclass correlation coefficients (ICC). P-value <0.05 was considered statistically significant.",
        "Results": "Fourty-six eyes from 26 patients with mean age 72.5years; 24 eyes were excluded due to incomplete datasets. Mean AL 23.86±1.87mm (IOLMaster 700) and 23.85±1.86mm (Anterion), mean difference 0.007±0.021mm (r= 0.999, ICC= 0.999; p = 0.04). Mean K1 43.25±1.58D and 43.12±1.52D, mean difference 0.132±0.255D (r= 0.987, ICC= 0.983, p < 0.01) . Mean K2 44.18±1.72D and 44.00±1.67D, mean difference 0.188±0.276D (r= 0.987, ICC= 0.981, p < 0.01). Mean ACD 3.10±0.42 and 3.16±0.39, mean difference -0.059±0.114 (r= 0.962, ICC= 0.951, p < 0.01). Mean LT 4.61±0.37mm and 4.67±0.38mm, mean difference -0.058±0.025mm (r= 0.998, ICC= 0.986, p < 0.01). Mean WTW 12.05±0.45mm and 11.86±0.41mm, mean difference 0.198±0.172mm (r= 0.923, ICC= 0.833, p < 0.01).",
        "Conclusions": "The IOLMaster 700 and Anterion showed excellent agreement for axial length, keratometry, ACD and lens thickness. Axial length measurements were almost identical with negligible bias. Small but statistically significant systematic biases were observed for keratometry and lens thickness, with the IOLMaster 700 measuring slightly higher K values and thinner lenses. White-to-white demonstrated the weakest agreement and greatest variability, limiting interchangeability where precise corneal diameter assessment is required. Overall, while most biometric parameters exhibit interchangeability for routine IOL power calculations, caution is required where more precision planning is required such as toric lenses or ICL sizing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The IOLMaster 700 and Anterion showed excellent agreement for axial length, keratometry, ACD and lens thickness. Axial length measurements were almost identical with negligible bias. Small but statistically significant systematic biases were observed for keratometry and lens thickness, with the IOLMaster 700 measuring slightly higher K values and thinner lenses. White-to-white demonstrated the weakest agreement and…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 657,
      "source_fields": {
        "Abstract Final Identifier": "POCAT620",
        "Title": "Comparative Analysis Of Iol Master 700 And Anterion Swept-Source Oct Biometry For Key Ocular Parameters",
        "Presenting Author(s)": "Dr Parushak Rezai",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Parushak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rezai",
        "Country Name": "United Kingdom",
        "Purpose": "To compare biometric measurements obtained with two swept-source optical coherence tomography biometers, the IOLMaster 700 (Carl Zeiss Meditec) and the Anterion (Heidelberg Engineering), and to evaluate inter-device agreement and correlation. The aim is to determine whether any systematic differences are clinically acceptable for interchangeable use in cataract surgery planning and intraocular lens power calculations, including toric and phakic lens selection.",
        "Setting": "Phakic patients presenting to the cataract clinic between October 2024 and November 2025 at Frimley Park Hospital , United Kingdom.",
        "Methods": "Retrospective comparative study analysing ocular biometry measurements acquired using IOLMaster 700 and Anterion. Measured parameters were axial length (AL), flat and steep keratometry (K1, K2), anterior chamber depth (ACD), lens thickness (LT), and white-to-white corneal diameter (WTW). Inclusion criteria comprised patients listed for cataract surgery with biometry measurements from both devices; only eyes with complete datasets were included. Statistical analysis was performed using Microsoft Excel 2019 v2508 and Jamovi v2.6.44.0; it included paired t-tests, Pearson correlation tests and intraclass correlation coefficients (ICC). P-value <0.05 was considered statistically significant.",
        "Results": "Fourty-six eyes from 26 patients with mean age 72.5years; 24 eyes were excluded due to incomplete datasets. Mean AL 23.86±1.87mm (IOLMaster 700) and 23.85±1.86mm (Anterion), mean difference 0.007±0.021mm (r= 0.999, ICC= 0.999; p = 0.04). Mean K1 43.25±1.58D and 43.12±1.52D, mean difference 0.132±0.255D (r= 0.987, ICC= 0.983, p < 0.01) . Mean K2 44.18±1.72D and 44.00±1.67D, mean difference 0.188±0.276D (r= 0.987, ICC= 0.981, p < 0.01). Mean ACD 3.10±0.42 and 3.16±0.39, mean difference -0.059±0.114 (r= 0.962, ICC= 0.951, p < 0.01). Mean LT 4.61±0.37mm and 4.67±0.38mm, mean difference -0.058±0.025mm (r= 0.998, ICC= 0.986, p < 0.01). Mean WTW 12.05±0.45mm and 11.86±0.41mm, mean difference 0.198±0.172mm (r= 0.923, ICC= 0.833, p < 0.01).",
        "Conclusions": "The IOLMaster 700 and Anterion showed excellent agreement for axial length, keratometry, ACD and lens thickness. Axial length measurements were almost identical with negligible bias. Small but statistically significant systematic biases were observed for keratometry and lens thickness, with the IOLMaster 700 measuring slightly higher K values and thinner lenses. White-to-white demonstrated the weakest agreement and greatest variability, limiting interchangeability where precise corneal diameter assessment is required. Overall, while most biometric parameters exhibit interchangeability for routine IOL power calculations, caution is required where more precision planning is required such as toric lenses or ICL sizing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 443
    },
    {
      "uid": "POCAT622",
      "abstract_number": "POCAT622",
      "title": "Association Between Zone-Based Scheimpflug-Placido Keratometry And Refractive Accuracy Using The Escrs Iol Calculator",
      "authors": "Dr Enes Serbest",
      "presenter": "Dr Enes Serbest",
      "normalized_authors": [
        "Enes Serbest"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Enes Serbest",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the refractive performance of the ESCRS online IOL calculator using optical biometry and Scheimpflug-derived keratometric measurements, and to investigate the impact of keratometric measurement zone on prediction accuracy compared with the conventional SRK/T formula",
        "Setting": "Department of ophthalmology, Zonguldak Bülent Ecevit University Faculty of Medicine, Zonguldak, Türkiye.",
        "Methods": "A total of 147 eyes undergoing uncomplicated cataract surgery with monofocal IOL implantation were included. IOL power was calculated using optical biometry and SRK/T based on standard keratometry. Scheimpflug-Placido imaging provided SimK and zone-averaged K values within 3, 5, and 7 mm. One-month refraction was analyzed using the ESCRS calculator (Barrett UII, EVO 2.0, Kane, Pearl-DGS, Hill-RBF, Hoffer QST, Cooke K6). MPE, MAE, MedAE, and proportions within ±0.5, ±1, and ±2 D were assessed. Statistical analyses included RM-ANOVA, Friedman, Cochran Q, McNemar, and linear mixed modeling.",
        "Results": "Significant differences were observed among keratometric values across zones (p<0.001). Mean values were 43.3D (3mm), 43.2D (5mm), 42.9D (7mm), and 41.5D (SimK).A mixed-effects model showed a +0.039D/mm hyperopic shift (p<0.001), corresponding to +0.12D between SimK and 3mm zone. Within ±0.5D, Hill-RBF showed the highest accuracy with SimK (71.9%,p=0.012), Hoffer QST at 3mm (67.1%, p=0.053), Hill-RBF at 5mm(69.2%,p=0.038), and Hoffer QST at 7mm (65.8%, p=0.69;NS). SRK/T achieved 63.1%. No differences were found within ±1 or ±2D.",
        "Conclusions": "Compared with SRK/T, certain modern formulas demonstrated improved accuracy within ±0.5D in specific keratometric zones. A significant hyperopic shift was observed with increasing measurement diameter, indicating systematic zone-dependent variation in refractive prediction. Although overall accuracy within broader error ranges was comparable among formulas, performance varied according to the selected keratometric zone. These findings suggest that keratometric measurement diameter influences refractive prediction and should be considered in IOL power calculation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Compared with SRK/T, certain modern formulas demonstrated improved accuracy within ±0.5D in specific keratometric zones. A significant hyperopic shift was observed with increasing measurement diameter, indicating systematic zone-dependent variation in refractive prediction. Although overall accuracy within broader error ranges was comparable among formulas, performance varied according to the selected keratometric…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 658,
      "source_fields": {
        "Abstract Final Identifier": "POCAT622",
        "Title": "Association Between Zone-Based Scheimpflug-Placido Keratometry And Refractive Accuracy Using The Escrs Iol Calculator",
        "Presenting Author(s)": "Dr Enes Serbest",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Enes",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Serbest",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the refractive performance of the ESCRS online IOL calculator using optical biometry and Scheimpflug-derived keratometric measurements, and to investigate the impact of keratometric measurement zone on prediction accuracy compared with the conventional SRK/T formula",
        "Setting": "Department of ophthalmology, Zonguldak Bülent Ecevit University Faculty of Medicine, Zonguldak, Türkiye.",
        "Methods": "A total of 147 eyes undergoing uncomplicated cataract surgery with monofocal IOL implantation were included. IOL power was calculated using optical biometry and SRK/T based on standard keratometry. Scheimpflug-Placido imaging provided SimK and zone-averaged K values within 3, 5, and 7 mm. One-month refraction was analyzed using the ESCRS calculator (Barrett UII, EVO 2.0, Kane, Pearl-DGS, Hill-RBF, Hoffer QST, Cooke K6). MPE, MAE, MedAE, and proportions within ±0.5, ±1, and ±2 D were assessed. Statistical analyses included RM-ANOVA, Friedman, Cochran Q, McNemar, and linear mixed modeling.",
        "Results": "Significant differences were observed among keratometric values across zones (p<0.001). Mean values were 43.3D (3mm), 43.2D (5mm), 42.9D (7mm), and 41.5D (SimK).A mixed-effects model showed a +0.039D/mm hyperopic shift (p<0.001), corresponding to +0.12D between SimK and 3mm zone. Within ±0.5D, Hill-RBF showed the highest accuracy with SimK (71.9%,p=0.012), Hoffer QST at 3mm (67.1%, p=0.053), Hill-RBF at 5mm(69.2%,p=0.038), and Hoffer QST at 7mm (65.8%, p=0.69;NS). SRK/T achieved 63.1%. No differences were found within ±1 or ±2D.",
        "Conclusions": "Compared with SRK/T, certain modern formulas demonstrated improved accuracy within ±0.5D in specific keratometric zones. A significant hyperopic shift was observed with increasing measurement diameter, indicating systematic zone-dependent variation in refractive prediction. Although overall accuracy within broader error ranges was comparable among formulas, performance varied according to the selected keratometric zone. These findings suggest that keratometric measurement diameter influences refractive prediction and should be considered in IOL power calculation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POCAT623",
      "abstract_number": "POCAT623",
      "title": "Clinical Impact Of Total Keratometry: How Often Does Measured Posterior Corneal Astigmatism Alter Spherical Iol Power Selection In A Croatian Caucasian Population?",
      "authors": "Dr Lorena Karla Šklebar",
      "presenter": "Dr Lorena Karla Šklebar",
      "normalized_authors": [
        "Lorena Karla Šklebar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lorena Karla Šklebar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the clinical impact of incorporating measured posterior corneal astigmatism using Total Keratometry (TK) on spherical intraocular lens (IOL) power selection. While similar data have been reported in other populations, real-world regional analyses remain limited. We specifically assessed how often TK meaningfully alters surgical planning compared with standard keratometry (Barrett Universal II) in a Croatian Caucasian cohort.",
        "Setting": "Single-centre retrospective study conducted at a tertiary referral ophthalmology department in Croatia (University Hospital Centre Zagreb)",
        "Methods": "Fifty-seven eyes of Caucasian Croatian patients undergoing routine cataract evaluation were analysed. Spherical IOL power was calculated using Barrett Universal II (standard keratometry) and Barrett TK (Total Keratometry). Paired differences (ΔIOL) were analysed using the Wilcoxon signed-rank test due to non-normal distribution. The proportion of eyes in which TK would have resulted in a different spherical IOL selection was assessed. Associations between ΔIOL, anterior chamber depth (ACD), and axial length (AL) were evaluated using Spearman correlation.",
        "Results": "A total of 57 eyes were included. Median spherical IOL power was 23.0 D with both calculation methods. The median ΔIOL (TK–K) was 0.085 D, and no statistically significant difference was observed (p = 0.393). TK would have resulted in a different spherical IOL selection in only a small minority of cases. A weak positive correlation was found between ΔIOL and ACD (ρ = 0.295, p = 0.038), while no association was observed with AL (ρ = 0.023, p = 0.872).",
        "Conclusions": "In this Croatian Caucasian cohort, incorporation of measured posterior corneal data had minimal impact on spherical IOL power selection. Although TK slightly diverged from standard keratometry in eyes with deeper anterior chambers, these differences were generally below clinically relevant thresholds. These findings suggest that, in routine practice, the decision-impact of TK on spherical power selection is limited, while its value may lie predominantly in astigmatic planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this Croatian Caucasian cohort, incorporation of measured posterior corneal data had minimal impact on spherical IOL power selection. Although TK slightly diverged from standard keratometry in eyes with deeper anterior chambers, these differences were generally below clinically relevant thresholds. These findings suggest that, in routine practice, the decision-impact of TK on spherical power selection is…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 659,
      "source_fields": {
        "Abstract Final Identifier": "POCAT623",
        "Title": "Clinical Impact Of Total Keratometry: How Often Does Measured Posterior Corneal Astigmatism Alter Spherical Iol Power Selection In A Croatian Caucasian Population?",
        "Presenting Author(s)": "Dr Lorena Karla Šklebar",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Lorena Karla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Šklebar",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the clinical impact of incorporating measured posterior corneal astigmatism using Total Keratometry (TK) on spherical intraocular lens (IOL) power selection. While similar data have been reported in other populations, real-world regional analyses remain limited. We specifically assessed how often TK meaningfully alters surgical planning compared with standard keratometry (Barrett Universal II) in a Croatian Caucasian cohort.",
        "Setting": "Single-centre retrospective study conducted at a tertiary referral ophthalmology department in Croatia (University Hospital Centre Zagreb)",
        "Methods": "Fifty-seven eyes of Caucasian Croatian patients undergoing routine cataract evaluation were analysed. Spherical IOL power was calculated using Barrett Universal II (standard keratometry) and Barrett TK (Total Keratometry). Paired differences (ΔIOL) were analysed using the Wilcoxon signed-rank test due to non-normal distribution. The proportion of eyes in which TK would have resulted in a different spherical IOL selection was assessed. Associations between ΔIOL, anterior chamber depth (ACD), and axial length (AL) were evaluated using Spearman correlation.",
        "Results": "A total of 57 eyes were included. Median spherical IOL power was 23.0 D with both calculation methods. The median ΔIOL (TK–K) was 0.085 D, and no statistically significant difference was observed (p = 0.393). TK would have resulted in a different spherical IOL selection in only a small minority of cases. A weak positive correlation was found between ΔIOL and ACD (ρ = 0.295, p = 0.038), while no association was observed with AL (ρ = 0.023, p = 0.872).",
        "Conclusions": "In this Croatian Caucasian cohort, incorporation of measured posterior corneal data had minimal impact on spherical IOL power selection. Although TK slightly diverged from standard keratometry in eyes with deeper anterior chambers, these differences were generally below clinically relevant thresholds. These findings suggest that, in routine practice, the decision-impact of TK on spherical power selection is limited, while its value may lie predominantly in astigmatic planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCAT624",
      "abstract_number": "POCAT624",
      "title": "Comparison Of Prediction Errors Between Iolcon And Escrs Constants Using Eyetemis",
      "authors": "Myung-Sun Song",
      "presenter": "Myung-Sun Song",
      "normalized_authors": [
        "Myung-Sun Song"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Myung-Sun Song",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the refractive prediction performance of IOLCon and ESCRS constants across multiple modern intraocular lens (IOL) power calculation formulas.",
        "Setting": "Single center, retrospective study",
        "Methods": "This retrospective analysis included 164 eyes. Biometric data were analyzed using the Eyetemis platform, which was used to calculate the prediction errors (PE) based on IOLCon and ESCRS constants. Six contemporary formulas were evaluated: Barret Universal II (BUII), Cooke, EVO, Kane, Pearl-DGS, and Hoffer QST (HQST). Trueness was assessed using the trimmed mean spherical equivalent prediction error (SEQ-PE), precision by the dispersion of SEQ-PE, and accuracy by absolute SEQ-PE. The proportion of eyes within ±0.25D, ±0.5D, ±0.75D, and ±1.00D were compared. Cochran’s Q test with post hoc McNemar analysis was performed for categorical comparisons.",
        "Results": "Most constants demonstrated a significant negative deviation of trimmed mean PE from zero (P <0.05), except for BUII(IOLCon), Cooke(IOLCon), Pearl(IOLCon), and Cooke(ESCRS). Pairwise comparisons of absolute SEQ-PE were non-significant between most constants, except for between HQST IOLcon and HQST ESRCS (P = 0.022), with the ESCRS constant showing a larger absolute SEQ-PE than the IOLCon constant. The proportion of eyes within ±0.25D, ±0.5D, ±0.75D, and ±1.00D ranged from 37.2-42.7%, 66.5-75.6%, 84.1-89.0%, and 91.5-96.3%, respectively. Although Cochran’s Q test showed a significant overall difference at the ±1.00D threshold (P = 0.03), post hoc pairwise McNemar tests revealed no significant differences between individual constants.",
        "Conclusions": "Both IOLCon and ESCRS constants demonstrated largely comparable refractive prediction performance across modern IOL calculation formulas. Although a mild systemic myopic bias was observed in most constant-formula combinations, clinically meaningful differences in absolute prediction accuracy were limited. Notably, for the HQST formula, the ESCRS constant yielded a higher absolute error compared with IOLCon."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both IOLCon and ESCRS constants demonstrated largely comparable refractive prediction performance across modern IOL calculation formulas. Although a mild systemic myopic bias was observed in most constant-formula combinations, clinically meaningful differences in absolute prediction accuracy were limited. Notably, for the HQST formula, the ESCRS constant yielded a higher absolute error compared with IOLCon.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 660,
      "source_fields": {
        "Abstract Final Identifier": "POCAT624",
        "Title": "Comparison Of Prediction Errors Between Iolcon And Escrs Constants Using Eyetemis",
        "Presenting Author(s)": "Myung-Sun Song",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Myung-Sun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Song",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the refractive prediction performance of IOLCon and ESCRS constants across multiple modern intraocular lens (IOL) power calculation formulas.",
        "Setting": "Single center, retrospective study",
        "Methods": "This retrospective analysis included 164 eyes. Biometric data were analyzed using the Eyetemis platform, which was used to calculate the prediction errors (PE) based on IOLCon and ESCRS constants. Six contemporary formulas were evaluated: Barret Universal II (BUII), Cooke, EVO, Kane, Pearl-DGS, and Hoffer QST (HQST). Trueness was assessed using the trimmed mean spherical equivalent prediction error (SEQ-PE), precision by the dispersion of SEQ-PE, and accuracy by absolute SEQ-PE. The proportion of eyes within ±0.25D, ±0.5D, ±0.75D, and ±1.00D were compared. Cochran’s Q test with post hoc McNemar analysis was performed for categorical comparisons.",
        "Results": "Most constants demonstrated a significant negative deviation of trimmed mean PE from zero (P <0.05), except for BUII(IOLCon), Cooke(IOLCon), Pearl(IOLCon), and Cooke(ESCRS). Pairwise comparisons of absolute SEQ-PE were non-significant between most constants, except for between HQST IOLcon and HQST ESRCS (P = 0.022), with the ESCRS constant showing a larger absolute SEQ-PE than the IOLCon constant. The proportion of eyes within ±0.25D, ±0.5D, ±0.75D, and ±1.00D ranged from 37.2-42.7%, 66.5-75.6%, 84.1-89.0%, and 91.5-96.3%, respectively. Although Cochran’s Q test showed a significant overall difference at the ±1.00D threshold (P = 0.03), post hoc pairwise McNemar tests revealed no significant differences between individual constants.",
        "Conclusions": "Both IOLCon and ESCRS constants demonstrated largely comparable refractive prediction performance across modern IOL calculation formulas. Although a mild systemic myopic bias was observed in most constant-formula combinations, clinically meaningful differences in absolute prediction accuracy were limited. Notably, for the HQST formula, the ESCRS constant yielded a higher absolute error compared with IOLCon."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "POCAT625",
      "abstract_number": "POCAT625",
      "title": "Comparison Of Refractive Prediction Outcomes Based On Different Keratometric Parameters From The Iolmaster 700 And Pentacam Axl",
      "authors": "Dr Miray Söylemez",
      "presenter": "Dr Miray Söylemez",
      "normalized_authors": [
        "Miray Söylemez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Miray Söylemez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare refractive prediction concurrently evaluating postoperative best corrected visual acuity (BCVA) with the outcomes obtained using different keratometric parameters, including standard keratometry (K) and total keratometry (TK) measured by the IOLMaster 700, and simulated keratometry (SimK), total corneal refractive power (TCRP), and equivalent keratometry reading at the 3-mm zone (EKR65) measured by the Pentacam AXL, with postoperative manifest refraction following cataract surgery.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul Türkiye",
        "Methods": "This retrospective study included 95 eyes of 66 patients who underwent uncomplicated cataract surgery. All surgeries were performed by a single surgeon using the same surgical technique, and the same brand of monofocal intraocular lens was implanted in all cases. Preoperative biometric measurements were obtained using the IOLMaster 700 and Pentacam AXL. Intraocular lens power calculations were performed using the Barrett Universal II formula based on different keratometric parameters. Postoperative manifest refraction was recorded at 1 month. The absolute differences between preoperatively predicted and achieved postoperative refractive outcomes were calculated and compared among calculations based on the different keratometric parameters.",
        "Results": "The mean age was 68.74±10.08 years (43–86). The mean preoperative BCVA was 0.71±0.53 logMAR and postoperative BCVA was 0.04±0.08 logMAR (p=0.003). The mean absolute difference between preoperatively predicted and achieved postoperative refractive outcomes was 0.52 ± 0.43 D for K, 0.56 ± 0.44 D for TK, 0.56 ± 0.44 D for SimK, 0.51 ± 0.39 D for TCRP, and 0.53 ± 0.41 D for EKR65. The lowest mean absolute difference was observed with TCRP, whereas the highest values were noted with TK and SimK. Friedman analysis demonstrated no statistically significant overall difference among the keratometric parameter based calculations (p = 0.087). Pairwise comparisons revealed a significant difference only between K and TK based calculations (p = 0.002).",
        "Conclusions": "Keratometric parameters obtained from the IOLMaster 700 and Pentacam AXL demonstrated comparable agreement with postoperative manifest refraction. Although TCRP demonstrated the lowest mean absolute difference, no significant overall difference was observed among the evaluated parameters. However, a significant difference was found between K and TK based calculations. Overall, the different keratometric measurements provided similar refractive prediction performance in routine cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratometric parameters obtained from the IOLMaster 700 and Pentacam AXL demonstrated comparable agreement with postoperative manifest refraction. Although TCRP demonstrated the lowest mean absolute difference, no significant overall difference was observed among the evaluated parameters. However, a significant difference was found between K and TK based calculations. Overall, the different keratometric…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 661,
      "source_fields": {
        "Abstract Final Identifier": "POCAT625",
        "Title": "Comparison Of Refractive Prediction Outcomes Based On Different Keratometric Parameters From The Iolmaster 700 And Pentacam Axl",
        "Presenting Author(s)": "Dr Miray Söylemez",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Miray",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Söylemez",
        "Country Name": "Türkiye",
        "Purpose": "To compare refractive prediction concurrently evaluating postoperative best corrected visual acuity (BCVA) with the outcomes obtained using different keratometric parameters, including standard keratometry (K) and total keratometry (TK) measured by the IOLMaster 700, and simulated keratometry (SimK), total corneal refractive power (TCRP), and equivalent keratometry reading at the 3-mm zone (EKR65) measured by the Pentacam AXL, with postoperative manifest refraction following cataract surgery.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul Türkiye",
        "Methods": "This retrospective study included 95 eyes of 66 patients who underwent uncomplicated cataract surgery. All surgeries were performed by a single surgeon using the same surgical technique, and the same brand of monofocal intraocular lens was implanted in all cases. Preoperative biometric measurements were obtained using the IOLMaster 700 and Pentacam AXL. Intraocular lens power calculations were performed using the Barrett Universal II formula based on different keratometric parameters. Postoperative manifest refraction was recorded at 1 month. The absolute differences between preoperatively predicted and achieved postoperative refractive outcomes were calculated and compared among calculations based on the different keratometric parameters.",
        "Results": "The mean age was 68.74±10.08 years (43–86). The mean preoperative BCVA was 0.71±0.53 logMAR and postoperative BCVA was 0.04±0.08 logMAR (p=0.003). The mean absolute difference between preoperatively predicted and achieved postoperative refractive outcomes was 0.52 ± 0.43 D for K, 0.56 ± 0.44 D for TK, 0.56 ± 0.44 D for SimK, 0.51 ± 0.39 D for TCRP, and 0.53 ± 0.41 D for EKR65. The lowest mean absolute difference was observed with TCRP, whereas the highest values were noted with TK and SimK. Friedman analysis demonstrated no statistically significant overall difference among the keratometric parameter based calculations (p = 0.087). Pairwise comparisons revealed a significant difference only between K and TK based calculations (p = 0.002).",
        "Conclusions": "Keratometric parameters obtained from the IOLMaster 700 and Pentacam AXL demonstrated comparable agreement with postoperative manifest refraction. Although TCRP demonstrated the lowest mean absolute difference, no significant overall difference was observed among the evaluated parameters. However, a significant difference was found between K and TK based calculations. Overall, the different keratometric measurements provided similar refractive prediction performance in routine cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "POCAT626",
      "abstract_number": "POCAT626",
      "title": "Comparative Refractive Accuracy Of Kane For Keratoconus, Barrett True-K For Keratoconus, And Srk/T Formulas In Cataract Surgery Eyes With Keratoconus",
      "authors": "Ms Aki Tanimura",
      "presenter": "Ms Aki Tanimura",
      "normalized_authors": [
        "Aki Tanimura"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aki Tanimura",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare the refractive prediction accuracy of Kane for keratoconus formula(Kane-KC), Barrett True-K for keratoconus formula(BTK-KC), and SRK/T formula in keratoconus eyes undergoing cataract surgery.",
        "Setting": "This single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. Medical records of consecutive patients who underwent cataract surgery between March 2017 and November 2025 were reviewed.",
        "Methods": "This retrospective study included keratoconus eyes undergoing cataract surgery. Intraocular lens (IOL) power was calculated using Kane-KC, Barrett True-K, and SRK/T formulas. Prediction error (PE) was defined as 1-month postoperative subjective spherical equivalent minus target refraction. Outcomes included mean PE, standard deviation (SD), median absolute error (MedAE), root square mean absolute error (RSMAE), and proportions within ±0.5 D and ±1.0 D. Subgroup analysis was conducted according to the Amsler-Krumeich classification.",
        "Results": "Fifty-seven keratoconus eyes (29 female, 28 male) were analyzed. Mean age was 64.5±11.6 years, mean axial length was 26.2±2.1 mm, and mean keratometry was 48.4±4.3 D. According to Amsler–Krumeich classification, 22eyes were stage1, 20 stage2, 7 stage3, and 8 stage4. Mean PE did not differ significantly among formulas (p=0.67). MedAE was 0.85 D for Kane-KC, 0.97 D for BTK-KC, and 1.08 D for SRK/T. RSMAE was 1.63 D, 1.71 D, and 1.94 D, respectively. Kane-KC showed significantly lower MedAE and RSMAE than SRK/T (p < 0.05, respectively). The proportion of eyes within ±1.0 D were 59.6% for Kane-KC, 52.6% for BTK-KC, and 47.4% for SRK/T(p = 0.13). Prediction error variability increased with advancing KC severity based on Amsler-Krumeich staging.",
        "Conclusions": "Although mean PE was comparable among formulas, keratoconus-specific algorithms demonstrated superior refractive precision compared with SRK/T formula. In particular, Kane-KC achieved significantly lower MedAE and RSMAE compared with SRK/T. Refractive predictability decreased with increasing keratoconus severity. Stage-based counselling is essential when planning cataract surgery in keratoconus eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although mean PE was comparable among formulas, keratoconus-specific algorithms demonstrated superior refractive precision compared with SRK/T formula. In particular, Kane-KC achieved significantly lower MedAE and RSMAE compared with SRK/T. Refractive predictability decreased with increasing keratoconus severity. Stage-based counselling is essential when planning cataract surgery in keratoconus eyes.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 662,
      "source_fields": {
        "Abstract Final Identifier": "POCAT626",
        "Title": "Comparative Refractive Accuracy Of Kane For Keratoconus, Barrett True-K For Keratoconus, And Srk/T Formulas In Cataract Surgery Eyes With Keratoconus",
        "Presenting Author(s)": "Ms Aki Tanimura",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Aki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tanimura",
        "Country Name": "Japan",
        "Purpose": "To compare the refractive prediction accuracy of Kane for keratoconus formula(Kane-KC), Barrett True-K for keratoconus formula(BTK-KC), and SRK/T formula in keratoconus eyes undergoing cataract surgery.",
        "Setting": "This single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. Medical records of consecutive patients who underwent cataract surgery between March 2017 and November 2025 were reviewed.",
        "Methods": "This retrospective study included keratoconus eyes undergoing cataract surgery. Intraocular lens (IOL) power was calculated using Kane-KC, Barrett True-K, and SRK/T formulas. Prediction error (PE) was defined as 1-month postoperative subjective spherical equivalent minus target refraction. Outcomes included mean PE, standard deviation (SD), median absolute error (MedAE), root square mean absolute error (RSMAE), and proportions within ±0.5 D and ±1.0 D. Subgroup analysis was conducted according to the Amsler-Krumeich classification.",
        "Results": "Fifty-seven keratoconus eyes (29 female, 28 male) were analyzed. Mean age was 64.5±11.6 years, mean axial length was 26.2±2.1 mm, and mean keratometry was 48.4±4.3 D. According to Amsler–Krumeich classification, 22eyes were stage1, 20 stage2, 7 stage3, and 8 stage4. Mean PE did not differ significantly among formulas (p=0.67). MedAE was 0.85 D for Kane-KC, 0.97 D for BTK-KC, and 1.08 D for SRK/T. RSMAE was 1.63 D, 1.71 D, and 1.94 D, respectively. Kane-KC showed significantly lower MedAE and RSMAE than SRK/T (p < 0.05, respectively). The proportion of eyes within ±1.0 D were 59.6% for Kane-KC, 52.6% for BTK-KC, and 47.4% for SRK/T(p = 0.13). Prediction error variability increased with advancing KC severity based on Amsler-Krumeich staging.",
        "Conclusions": "Although mean PE was comparable among formulas, keratoconus-specific algorithms demonstrated superior refractive precision compared with SRK/T formula. In particular, Kane-KC achieved significantly lower MedAE and RSMAE compared with SRK/T. Refractive predictability decreased with increasing keratoconus severity. Stage-based counselling is essential when planning cataract surgery in keratoconus eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCAT627",
      "abstract_number": "POCAT627",
      "title": "Impact Of Total Keratometry On Toric Iol Power Selection: A Comparison Of Standard And Measured Posterior Corneal Astigmatism In A Croatian Caucasian Cohort",
      "authors": "Dr Niko Tomljanovic",
      "presenter": "Dr Niko Tomljanovic",
      "normalized_authors": [
        "Niko Tomljanovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Niko Tomljanovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the clinical impact of incorporating measured posterior corneal astigmatism using Total Keratometry (TK) on toric intraocular lens (IOL) power selection. Standard keratometry assumes a fixed anterior–posterior corneal relationship, whereas TK directly measures posterior corneal curvature. We assessed how often TK would alter toric cylinder power and axis selection compared with the Barrett Universal II formula in a Croatian Caucasian population.",
        "Setting": "Single-centre retrospective study conducted at a tertiary referral ophthalmology department in Croatia.",
        "Methods": "Thirty-seven eyes implanted with a toric IOL were analysed. For each eye, toric cylinder power and axis were calculated using Barrett Universal II (standard keratometry) and Barrett TK (Total Keratometry). The paired difference in recommended cylinder power (ΔCylinder) and minimal angular axis difference were determined. A clinically relevant change in cylinder power was predefined as a ≥0.50 D difference. The proportion of eyes in which TK would have resulted in a different toric IOL selection was calculated.",
        "Results": "Median recommended toric cylinder power was 1.0 D (IQR 0.5) with both calculation methods. The median ΔCylinder (TK–K) was 0.00 D (IQR 0.00), with a maximum observed difference of 0.75 D. A clinically relevant cylinder difference (≥0.50 D) was identified in 4 of 37 eyes (10.8%). Differences in suggested cylinder axis were minimal, with a median angular difference of 2° (IQR 1°); in 31 of 37 eyes, axis variation was ≤3°.",
        "Conclusions": "In this Croatian Caucasian cohort, incorporation of measured posterior corneal astigmatism using Total Keratometry resulted in a different toric IOL cylinder power recommendation in approximately one in ten eyes, while axis differences were generally minimal. Although toric planning remained unchanged in the majority of cases, posterior corneal measurement influenced surgical decision-making in a meaningful subset of patients. These findings support a selective but clinically relevant role of Total Keratometry in toric IOL planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this Croatian Caucasian cohort, incorporation of measured posterior corneal astigmatism using Total Keratometry resulted in a different toric IOL cylinder power recommendation in approximately one in ten eyes, while axis differences were generally minimal. Although toric planning remained unchanged in the majority of cases, posterior corneal measurement influenced surgical decision-making in a meaningful subset…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 663,
      "source_fields": {
        "Abstract Final Identifier": "POCAT627",
        "Title": "Impact Of Total Keratometry On Toric Iol Power Selection: A Comparison Of Standard And Measured Posterior Corneal Astigmatism In A Croatian Caucasian Cohort",
        "Presenting Author(s)": "Dr Niko Tomljanovic",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Niko",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tomljanovic",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the clinical impact of incorporating measured posterior corneal astigmatism using Total Keratometry (TK) on toric intraocular lens (IOL) power selection. Standard keratometry assumes a fixed anterior–posterior corneal relationship, whereas TK directly measures posterior corneal curvature. We assessed how often TK would alter toric cylinder power and axis selection compared with the Barrett Universal II formula in a Croatian Caucasian population.",
        "Setting": "Single-centre retrospective study conducted at a tertiary referral ophthalmology department in Croatia.",
        "Methods": "Thirty-seven eyes implanted with a toric IOL were analysed. For each eye, toric cylinder power and axis were calculated using Barrett Universal II (standard keratometry) and Barrett TK (Total Keratometry). The paired difference in recommended cylinder power (ΔCylinder) and minimal angular axis difference were determined. A clinically relevant change in cylinder power was predefined as a ≥0.50 D difference. The proportion of eyes in which TK would have resulted in a different toric IOL selection was calculated.",
        "Results": "Median recommended toric cylinder power was 1.0 D (IQR 0.5) with both calculation methods. The median ΔCylinder (TK–K) was 0.00 D (IQR 0.00), with a maximum observed difference of 0.75 D. A clinically relevant cylinder difference (≥0.50 D) was identified in 4 of 37 eyes (10.8%). Differences in suggested cylinder axis were minimal, with a median angular difference of 2° (IQR 1°); in 31 of 37 eyes, axis variation was ≤3°.",
        "Conclusions": "In this Croatian Caucasian cohort, incorporation of measured posterior corneal astigmatism using Total Keratometry resulted in a different toric IOL cylinder power recommendation in approximately one in ten eyes, while axis differences were generally minimal. Although toric planning remained unchanged in the majority of cases, posterior corneal measurement influenced surgical decision-making in a meaningful subset of patients. These findings support a selective but clinically relevant role of Total Keratometry in toric IOL planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCAT628",
      "abstract_number": "POCAT628",
      "title": "Comparative Analysis Of Refractive Predictability In Dense Cataracts: Impact Of Axial Length Measurement Method In Brown And Mature Cases",
      "authors": "Dr Sevgi Tongal",
      "presenter": "Dr Sevgi Tongal",
      "normalized_authors": [
        "Sevgi Tongal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sevgi Tongal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare refractive predictability after phacoemulsification in dense cataracts by analyzing brown and mature cases, and to determine whether ultrasound-based axial length (AL) measurement—required when optical biometry fails in mature cataracts—affects the accuracy of SRK/T intraocular lens (IOL) power calculation.",
        "Setting": "Beyoglu Eye Training and Research Hospital, Cataract and Refractive Surgery Department, Istanbul, Türkiye",
        "Methods": "A total of 178 eyes with dense cataracts undergoing phacoemulsification between January and December 2024 were retrospectively analyzed. The cases were divided into brown (n=85) and mature (n=93) cataract groups. Keratometry (K1–K2) and axial length (AL) measurements were obtained using the Nidek AL-Scan optical biometer. In mature cataracts , AL was measured by A-scan ultrasound and included in the calculation. In all eyes, intraocular lens (IOL) power was calculated using the SRK/T formula. Preoperative biometric parameters, target refraction, postoperative refraction, refractive error, best-corrected visual acuity (BCVA), and systemic or ocular risk factors were recorded and compared between the two groups.",
        "Results": "Of the 178 eyes included, 85 had brown and 93 had mature cataracts, with comparable systemic and ocular risk factors as well as intraoperative complication rates (16.1% vs. 12.9%). Keratometric values were comparable, while AL was longer in the brown group (23.75 ± 1.68 vs. 23.24 ± 0.89 mm; p = 0.050). In brown cataracts, the difference between target and achieved refraction was not significant (p = 0.113), whereas in mature cataracts, achieved refraction was significantly more myopic than the target (p = 0.043). The mean refractive error was higher in the mature group (−0.26 ± 1.08 D vs. +0.17 ± 0.84 D; p = 0.014). Achieved refraction in mature cataracts was more myopic than in brown cataracts (−0.63 ± 0.99 vs. −0.26 ± 0.78 D; p = 0.013).",
        "Conclusions": "Despite comparable surgical risk factors and complication rates between groups, mature cataracts demonstrated a greater tendency toward postoperative myopic shift compared with brown cataracts. This difference appears to be associated with ultrasound-based axial length measurement. Although the SRK/T formula provided clinically acceptable refractive outcomes, anticipating this myopic tendency and targeting slight hyperopia may further improve refractive predictability in mature cataracts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite comparable surgical risk factors and complication rates between groups, mature cataracts demonstrated a greater tendency toward postoperative myopic shift compared with brown cataracts. This difference appears to be associated with ultrasound-based axial length measurement. Although the SRK/T formula provided clinically acceptable refractive outcomes, anticipating this myopic tendency and targeting slight…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 664,
      "source_fields": {
        "Abstract Final Identifier": "POCAT628",
        "Title": "Comparative Analysis Of Refractive Predictability In Dense Cataracts: Impact Of Axial Length Measurement Method In Brown And Mature Cases",
        "Presenting Author(s)": "Dr Sevgi Tongal",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Sevgi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tongal",
        "Country Name": "Türkiye",
        "Purpose": "To compare refractive predictability after phacoemulsification in dense cataracts by analyzing brown and mature cases, and to determine whether ultrasound-based axial length (AL) measurement—required when optical biometry fails in mature cataracts—affects the accuracy of SRK/T intraocular lens (IOL) power calculation.",
        "Setting": "Beyoglu Eye Training and Research Hospital, Cataract and Refractive Surgery Department, Istanbul, Türkiye",
        "Methods": "A total of 178 eyes with dense cataracts undergoing phacoemulsification between January and December 2024 were retrospectively analyzed. The cases were divided into brown (n=85) and mature (n=93) cataract groups. Keratometry (K1–K2) and axial length (AL) measurements were obtained using the Nidek AL-Scan optical biometer. In mature cataracts , AL was measured by A-scan ultrasound and included in the calculation. In all eyes, intraocular lens (IOL) power was calculated using the SRK/T formula. Preoperative biometric parameters, target refraction, postoperative refraction, refractive error, best-corrected visual acuity (BCVA), and systemic or ocular risk factors were recorded and compared between the two groups.",
        "Results": "Of the 178 eyes included, 85 had brown and 93 had mature cataracts, with comparable systemic and ocular risk factors as well as intraoperative complication rates (16.1% vs. 12.9%). Keratometric values were comparable, while AL was longer in the brown group (23.75 ± 1.68 vs. 23.24 ± 0.89 mm; p = 0.050). In brown cataracts, the difference between target and achieved refraction was not significant (p = 0.113), whereas in mature cataracts, achieved refraction was significantly more myopic than the target (p = 0.043). The mean refractive error was higher in the mature group (−0.26 ± 1.08 D vs. +0.17 ± 0.84 D; p = 0.014). Achieved refraction in mature cataracts was more myopic than in brown cataracts (−0.63 ± 0.99 vs. −0.26 ± 0.78 D; p = 0.013).",
        "Conclusions": "Despite comparable surgical risk factors and complication rates between groups, mature cataracts demonstrated a greater tendency toward postoperative myopic shift compared with brown cataracts. This difference appears to be associated with ultrasound-based axial length measurement. Although the SRK/T formula provided clinically acceptable refractive outcomes, anticipating this myopic tendency and targeting slight hyperopia may further improve refractive predictability in mature cataracts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "POCAT629",
      "abstract_number": "POCAT629",
      "title": "Effect Of Segmented Optical Axial Length On The Performance Of A New-Generation Intraocular Lens Power Calculation Formula",
      "authors": "Dr Vaishali Abhay A Vasavada",
      "presenter": "Dr Vaishali Abhay A Vasavada",
      "normalized_authors": [
        "Vaishali Abhay A Vasavada"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaishali Abhay A Vasavada",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the performance of the Barrett Universal formula with segmented axial length (AL) compared to traditional composite AL",
        "Setting": "Iladevi Cataract & IOL Reserach Centre",
        "Methods": "Consecutive patients who underwent uncomplicated cataract surgery. The composite axial length (AL) was measured with a swept-source optical coherence tomography (SS-OCT) biometer using a mean refractive index. The segmented AL was calculated by summing the geometric lengths of the ocular segments (cornea, aqueous, lens, and vitreous) using multiple specific refractive indices based on the data obtained by the SS-OCT-based biometer. Manifest refraction was measured at three months postoperatively, and the prediction error of refraction was calculated with two ALs for each formula. Eyes were classified based",
        "Results": "The study included 50 eyes of 50 patients. The segmented AL was shorter than the composite AL. The study is ongoing and final results will be updated at the time of presentation.",
        "Conclusions": "Based on preliminary results, it appears that the TAL enhances the accuracy of the Barrett formula."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Based on preliminary results, it appears that the TAL enhances the accuracy of the Barrett formula.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 665,
      "source_fields": {
        "Abstract Final Identifier": "POCAT629",
        "Title": "Effect Of Segmented Optical Axial Length On The Performance Of A New-Generation Intraocular Lens Power Calculation Formula",
        "Presenting Author(s)": "Dr Vaishali Abhay A Vasavada",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Vaishali Abhay",
        "Submitter Middle Name": "A",
        "Submitter Last Name": "Vasavada",
        "Country Name": "India",
        "Purpose": "To evaluate the performance of the Barrett Universal formula with segmented axial length (AL) compared to traditional composite AL",
        "Setting": "Iladevi Cataract & IOL Reserach Centre",
        "Methods": "Consecutive patients who underwent uncomplicated cataract surgery. The composite axial length (AL) was measured with a swept-source optical coherence tomography (SS-OCT) biometer using a mean refractive index. The segmented AL was calculated by summing the geometric lengths of the ocular segments (cornea, aqueous, lens, and vitreous) using multiple specific refractive indices based on the data obtained by the SS-OCT-based biometer. Manifest refraction was measured at three months postoperatively, and the prediction error of refraction was calculated with two ALs for each formula. Eyes were classified based",
        "Results": "The study included 50 eyes of 50 patients. The segmented AL was shorter than the composite AL. The study is ongoing and final results will be updated at the time of presentation.",
        "Conclusions": "Based on preliminary results, it appears that the TAL enhances the accuracy of the Barrett formula."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 158
    },
    {
      "uid": "POCAT630",
      "abstract_number": "POCAT630",
      "title": "Why The Back Surface Matters After Dmek+Ce/Iol: Outcomes And A Practical Aiming Rule",
      "authors": "Dr Ondrej Vlasak",
      "presenter": "Dr Ondrej Vlasak",
      "normalized_authors": [
        "Ondrej Vlasak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ondrej Vlasak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate refractive outcomes after DMEK+CE/IOL, identify biometric predictors, and quantify corneal changes (anterior vs posterior keratometry, thickness metrics). We assessed correlations between postoperative MRSE and relative pachymetry and the B/F ratio (pre/post), Δ‑based correlations versus the per‑eye IOL target, and we introduce a cohort‑derived aim‑refinement formula.",
        "Setting": "Single center; N = 51 eyes; mean age 73.6 ± 5.8 years (median 75); median follow‑up ≈ 186 days.",
        "Methods": "Retrospective analysis of pre/post subjective refraction (MRSE), prediction error (Hoffer/Haigis/SRK/T), corneal parameters (Kmfront/Kmback, cylinders, pachymetry, relative pachymetry, B/F ratio). Pre/post comparisons per t‑tests in the dataset; Pearson correlations for MRSE vs relative pachymetry and B/F (pre/post), and Δ‑based correlations vs per‑eye IOL target. A practical linear aid maps expected ΔKmfront/ΔKmback and WTW to a predicted deviation from the base aim (PE).",
        "Results": "Refractive outcome & prediction error: Postoperative MRSE ≈ -0.05 D (NS vs pre‑op; p = 0.312). Myopic prediction bias persisted across formulas (Hoffer -0.55 D; Haigis -0.65 D; SRK/T -0.55 D).\n\nCorneal changes (pre vs post): Kmfront 43.66 → 43.33 D (NS; p = 0.411); Kmback -5.93 → -6.40 D (significant steepening; p ≈ 2.28e-06); pachymetry 600.8 → 522.3 µm; relative pachymetry 8.02% → -3.98%.\n\nPerformance of the aiming framework (quantitative claim) In‑cohort evaluation (n = 51): relative to the unadjusted plan (base aim), the intercept‑calibrated linear aid reduced RMSE from 0.944 D to 0.855 D (−9.4%) and MAE from 0.689 D to 0.643 D (−6.6%).",
        "Conclusions": "DMEK+CE/IOL produced MRSE close to target but with a persistent ~0.6 D myopic bias across standard formulas. Posterior corneal steepening after DMEK, with minimal anterior change, appears to drive part of the error. A cohort‑derived aiming framework can reduce overall error (≈9% RMSE reduction with intercept calibration), but posterior‑aware keratometry (EKR/TK/total keratometry) and constant optimization remain advisable. Importantly, the magnitude of postoperative posterior steepening (ΔKmback) exhibited strong baseline associations with preoperative B/F ratio (r = -0.82) and relative pachymetry (r = -0.69), indicating that more edematous corneas and higher B/F tend to undergo greater posterior corneal change after DMEK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DMEK+CE/IOL produced MRSE close to target but with a persistent ~0.6 D myopic bias across standard formulas. Posterior corneal steepening after DMEK, with minimal anterior change, appears to drive part of the error. A cohort‑derived aiming framework can reduce overall error (≈9% RMSE reduction with intercept calibration), but posterior‑aware keratometry (EKR/TK/total keratometry) and constant optimization remain…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 666,
      "source_fields": {
        "Abstract Final Identifier": "POCAT630",
        "Title": "Why The Back Surface Matters After Dmek+Ce/Iol: Outcomes And A Practical Aiming Rule",
        "Presenting Author(s)": "Dr Ondrej Vlasak",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Ondrej",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vlasak",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate refractive outcomes after DMEK+CE/IOL, identify biometric predictors, and quantify corneal changes (anterior vs posterior keratometry, thickness metrics). We assessed correlations between postoperative MRSE and relative pachymetry and the B/F ratio (pre/post), Δ‑based correlations versus the per‑eye IOL target, and we introduce a cohort‑derived aim‑refinement formula.",
        "Setting": "Single center; N = 51 eyes; mean age 73.6 ± 5.8 years (median 75); median follow‑up ≈ 186 days.",
        "Methods": "Retrospective analysis of pre/post subjective refraction (MRSE), prediction error (Hoffer/Haigis/SRK/T), corneal parameters (Kmfront/Kmback, cylinders, pachymetry, relative pachymetry, B/F ratio). Pre/post comparisons per t‑tests in the dataset; Pearson correlations for MRSE vs relative pachymetry and B/F (pre/post), and Δ‑based correlations vs per‑eye IOL target. A practical linear aid maps expected ΔKmfront/ΔKmback and WTW to a predicted deviation from the base aim (PE).",
        "Results": "Refractive outcome & prediction error: Postoperative MRSE ≈ -0.05 D (NS vs pre‑op; p = 0.312). Myopic prediction bias persisted across formulas (Hoffer -0.55 D; Haigis -0.65 D; SRK/T -0.55 D).\n\nCorneal changes (pre vs post): Kmfront 43.66 → 43.33 D (NS; p = 0.411); Kmback -5.93 → -6.40 D (significant steepening; p ≈ 2.28e-06); pachymetry 600.8 → 522.3 µm; relative pachymetry 8.02% → -3.98%.\n\nPerformance of the aiming framework (quantitative claim) In‑cohort evaluation (n = 51): relative to the unadjusted plan (base aim), the intercept‑calibrated linear aid reduced RMSE from 0.944 D to 0.855 D (−9.4%) and MAE from 0.689 D to 0.643 D (−6.6%).",
        "Conclusions": "DMEK+CE/IOL produced MRSE close to target but with a persistent ~0.6 D myopic bias across standard formulas. Posterior corneal steepening after DMEK, with minimal anterior change, appears to drive part of the error. A cohort‑derived aiming framework can reduce overall error (≈9% RMSE reduction with intercept calibration), but posterior‑aware keratometry (EKR/TK/total keratometry) and constant optimization remain advisable. Importantly, the magnitude of postoperative posterior steepening (ΔKmback) exhibited strong baseline associations with preoperative B/F ratio (r = -0.82) and relative pachymetry (r = -0.69), indicating that more edematous corneas and higher B/F tend to undergo greater posterior corneal change after DMEK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "POCAT631",
      "abstract_number": "POCAT631",
      "title": "Evaluation Of An Ai Iol Power Calculation Formula With A Novel Tabfpn Small-Sample Table Prior Model",
      "authors": "Dr Yong Wang",
      "presenter": "Dr Yong Wang",
      "normalized_authors": [
        "Yong Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yong Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To explore the construction of an intraocular lens (IOL) power calculation formula based on a novel Table Prior Data Fitted Network (TabPFN), evaluate its predictive accuracy for postoperative refractive error in cataract surgery, and provide a new method for accurate calculation of IOL power in clinical practice",
        "Setting": "retrospective cohort sutdy",
        "Methods": "We collected clinical data of 583 cataract patients (835 eyes) at Wuhan University Aier Eye Hospital from Jan to Oct 2025, divided into non-long AL (AL<26.0 mm, 618 eyes) and long AL (217 eyes) groups. Ocular biological parameters, IOL power and subjective refraction results ≥4 weeks postoperatively were extracted. A novel AI-based IOL power formula was built by combining TabPFN 2.5 model with thin lens vergence formula. Its predictive performance was compared with 6 classic IOL formulas (SRK-T, Cook-K6, Barrett Universal Ⅱ , EVO 2.0, Kane, Pearl DGS) and four control models (XGBoost, SVR, MLP, TabM). MAE, MedAE, and PE within ±0.50 D served as primary indicators, with statistical methods applied for comprehensive performance analysis.",
        "Results": "Absolute prediction errors differed significantly across all AL subgroups and the full cohort (all P≤0.001). TabPFN 2.5 yielded the lowest MAE and MedAE in non-long AL (0.2995), long AL (0.3388) and full cohorts (0.3096), with the highest prediction rates in all error ranges; its ±0.5 D accuracy reached 74.4% in the long AL group, 9.3% higher than Barrett Universal II. The model showed minimal prediction deviation and was least affected by abnormal anatomy with variations in AL, Km, ACD and LT. Ablation experiments identified AL, Km, ACD and LT as effective predictors, while WTW, CCT, gender, eye side and age had no significant effect on model performance.",
        "Conclusions": "The new AI IOL power calculation formula based on TabPFN 2.5 can accurately capture high-order nonlinear relationships between eye parameters in small sample table mode, and exhibits better prediction accuracy and stability in both non long eye axis and long eye axis populations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new AI IOL power calculation formula based on TabPFN 2.5 can accurately capture high-order nonlinear relationships between eye parameters in small sample table mode, and exhibits better prediction accuracy and stability in both non long eye axis and long eye axis populations.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 667,
      "source_fields": {
        "Abstract Final Identifier": "POCAT631",
        "Title": "Evaluation Of An Ai Iol Power Calculation Formula With A Novel Tabfpn Small-Sample Table Prior Model",
        "Presenting Author(s)": "Dr Yong Wang",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Yong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To explore the construction of an intraocular lens (IOL) power calculation formula based on a novel Table Prior Data Fitted Network (TabPFN), evaluate its predictive accuracy for postoperative refractive error in cataract surgery, and provide a new method for accurate calculation of IOL power in clinical practice",
        "Setting": "retrospective cohort sutdy",
        "Methods": "We collected clinical data of 583 cataract patients (835 eyes) at Wuhan University Aier Eye Hospital from Jan to Oct 2025, divided into non-long AL (AL<26.0 mm, 618 eyes) and long AL (217 eyes) groups. Ocular biological parameters, IOL power and subjective refraction results ≥4 weeks postoperatively were extracted. A novel AI-based IOL power formula was built by combining TabPFN 2.5 model with thin lens vergence formula. Its predictive performance was compared with 6 classic IOL formulas (SRK-T, Cook-K6, Barrett Universal Ⅱ , EVO 2.0, Kane, Pearl DGS) and four control models (XGBoost, SVR, MLP, TabM). MAE, MedAE, and PE within ±0.50 D served as primary indicators, with statistical methods applied for comprehensive performance analysis.",
        "Results": "Absolute prediction errors differed significantly across all AL subgroups and the full cohort (all P≤0.001). TabPFN 2.5 yielded the lowest MAE and MedAE in non-long AL (0.2995), long AL (0.3388) and full cohorts (0.3096), with the highest prediction rates in all error ranges; its ±0.5 D accuracy reached 74.4% in the long AL group, 9.3% higher than Barrett Universal II. The model showed minimal prediction deviation and was least affected by abnormal anatomy with variations in AL, Km, ACD and LT. Ablation experiments identified AL, Km, ACD and LT as effective predictors, while WTW, CCT, gender, eye side and age had no significant effect on model performance.",
        "Conclusions": "The new AI IOL power calculation formula based on TabPFN 2.5 can accurately capture high-order nonlinear relationships between eye parameters in small sample table mode, and exhibits better prediction accuracy and stability in both non long eye axis and long eye axis populations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "POCAT632",
      "abstract_number": "POCAT632",
      "title": "Effect Of Ablation Decentration On Iol Power Calculation In Post-Laser Refractive Surgery Cataract Patients",
      "authors": "Dr mindan cao",
      "presenter": "Dr mindan cao",
      "normalized_authors": [
        "mindan cao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yong Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Evaluate the correlation between different methods of calculating ablation eccentricity after myopia laser surgery, explore the influence of eccentricity value on postoperative error in cataract patients, and compare the accuracy of predicting intraocular lens (IOL) power with different curvature values for ablation eccentricity patients",
        "Setting": "cross-section study",
        "Methods": "Myopic cataract patients post-myopia laser refractive surgery were enrolled. Pentacam measured corneal thinnest point eccentricity and laser ablation center coordinates via tangential topography; ablation eccentricity was calculated by concentric fitting, analyzing its consistency with the former. IOL Master700 obtained ocular biometrics, Km applied to Barrett True-K for IOL power calculation. Postoperative refraction ≥4 weeks calculated PE, recording ME, APE, MAE, MedAE and ±0.50D/±1.00D PE rates to analyze eccentricity-refractive error correlation. Different curvature values (Pentacam: Kapex, Kupil, TCRP; IOL Master: Km, TK) were compared for IOL power prediction accuracy in eccentric patients.",
        "Results": "This study enrolled 58 patients (77 eyes). Spearman analysis showed ablation eccentricity correlated with corneal thinnest point eccentricity (r=0.291, P=0.01), and APE with both (ablation: r=0.324, P=0.004; corneal: r=0.306, P=0.007). Patients were subgrouped by ablation (≤0.5/>0.5) and corneal eccentricity (≤0.6/>0.6) via polynomial regression inflection points. For ablation ≤0.5, K Master K performed best (MAE 0.43D, MedAE 0.36D, ±0.5D PE 65.91%); >0.5 (n=30), Kpupil was optimal (MAE 0.77D, MedAE 0.53D, ±0.5D PE 51.52%). For corneal ≤0.6 (n=60), K Master K was best (MAE 0.52D, MedAE 0.38D, ±0.5D PE 61.66%); >0.6 (n=17), Kpupil performed best (MAE 0.88D, MedAE 0.86D, ±0.5D PE 35.29%).",
        "Conclusions": "IOL power prediction accuracy in post-laser myopia cataract patients declines with increasing ablation eccentricity. Ablation eccentricity is positively correlated with corneal thinnest point eccentricity, allowing clinical calculation of ablation zone eccentricity from the corneal thinnest point. Kupil is recommended for IOL power calculation in patients with a high corneal thinnest point eccentricity value."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IOL power prediction accuracy in post-laser myopia cataract patients declines with increasing ablation eccentricity. Ablation eccentricity is positively correlated with corneal thinnest point eccentricity, allowing clinical calculation of ablation zone eccentricity from the corneal thinnest point. Kupil is recommended for IOL power calculation in patients with a high corneal thinnest point eccentricity value.",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 668,
      "source_fields": {
        "Abstract Final Identifier": "POCAT632",
        "Title": "Effect Of Ablation Decentration On Iol Power Calculation In Post-Laser Refractive Surgery Cataract Patients",
        "Presenting Author(s)": "Dr mindan cao",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Yong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "Evaluate the correlation between different methods of calculating ablation eccentricity after myopia laser surgery, explore the influence of eccentricity value on postoperative error in cataract patients, and compare the accuracy of predicting intraocular lens (IOL) power with different curvature values for ablation eccentricity patients",
        "Setting": "cross-section study",
        "Methods": "Myopic cataract patients post-myopia laser refractive surgery were enrolled. Pentacam measured corneal thinnest point eccentricity and laser ablation center coordinates via tangential topography; ablation eccentricity was calculated by concentric fitting, analyzing its consistency with the former. IOL Master700 obtained ocular biometrics, Km applied to Barrett True-K for IOL power calculation. Postoperative refraction ≥4 weeks calculated PE, recording ME, APE, MAE, MedAE and ±0.50D/±1.00D PE rates to analyze eccentricity-refractive error correlation. Different curvature values (Pentacam: Kapex, Kupil, TCRP; IOL Master: Km, TK) were compared for IOL power prediction accuracy in eccentric patients.",
        "Results": "This study enrolled 58 patients (77 eyes). Spearman analysis showed ablation eccentricity correlated with corneal thinnest point eccentricity (r=0.291, P=0.01), and APE with both (ablation: r=0.324, P=0.004; corneal: r=0.306, P=0.007). Patients were subgrouped by ablation (≤0.5/>0.5) and corneal eccentricity (≤0.6/>0.6) via polynomial regression inflection points. For ablation ≤0.5, K Master K performed best (MAE 0.43D, MedAE 0.36D, ±0.5D PE 65.91%); >0.5 (n=30), Kpupil was optimal (MAE 0.77D, MedAE 0.53D, ±0.5D PE 51.52%). For corneal ≤0.6 (n=60), K Master K was best (MAE 0.52D, MedAE 0.38D, ±0.5D PE 61.66%); >0.6 (n=17), Kpupil performed best (MAE 0.88D, MedAE 0.86D, ±0.5D PE 35.29%).",
        "Conclusions": "IOL power prediction accuracy in post-laser myopia cataract patients declines with increasing ablation eccentricity. Ablation eccentricity is positively correlated with corneal thinnest point eccentricity, allowing clinical calculation of ablation zone eccentricity from the corneal thinnest point. Kupil is recommended for IOL power calculation in patients with a high corneal thinnest point eccentricity value."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCAT633",
      "abstract_number": "POCAT633",
      "title": "Comparative Accuracy Of Multiple Intraocular Lens Power Calculation Formulas In Eyes With Previous Ray-Tracing–Guided Lasik",
      "authors": "Dr Xueyan Zhou",
      "presenter": "Dr Xueyan Zhou",
      "normalized_authors": [
        "Xueyan Zhou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xueyan Zhou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the theoretical predictive accuracy of multiple contemporary intraocular lens (IOL) power calculation formulas in eyes with previous ray-tracing–guided LASIK, and to assess the relative performance of keratometry (K) versus total keratometry (TK)–based calculations in this post-keratorefractive population.",
        "Setting": "The study included 40 eyes of 20 patients who underwent ray-tracing–guided LASIK at Tianjin University Aier Eye Hospital between September 2025 and March 2026. Using a theoretical surgical model, five IOL power calculation formulas (Barrett True-K, EVO 2.0, Hoffer QST, Kane, and Pearl-DGS) were applied to estimate postoperative refractive outcomes. IOL power was calculated using both K and TK values, and results were compared with preoperative Barrett Universal II (BUII)–based calculations.",
        "Methods": "Comprehensive biometric evaluations were performed pre- and postoperatively using the IOLMaster 700, including axial length and corneal measurements, together with manifest refraction. Prediction error (PE) was defined as the difference between the manifest refraction–derived spherical equivalent and the formula-predicted value, and absolute error (AE) as the absolute value of PE. The study compared PE, mean absolute error (MAE), median absolute error (MedAE), and the proportions of eyes within ±0.25 D, ±0.50 D, ±0.75 D, ±1.00 D, and ±2.00 D.",
        "Results": "The superior performing formulas were EVO 2.0 (K) (MAE 0.29 D, MedAE 0.20 D), Barrett True-K (K) (MAE 0.30 D, MedAE 0.25 D), and Pearl-DGS (MAE 0.35 D, MedAE 0.26 D). EVO 2.0 (K) and Barrett True-K (K) achieved the lowest prediction errors, with 82.4% and 79.4% of eyes within ±0.50 D, and 97.1% and 100% within ±1.00 D, respectively. Pearl-DGS also demonstrated favorable accuracy (70.6% within ±0.50 D; 97.1% within ±1.00 D). Kane (TK), Barrett True-K (TK), EVO 2.0 (TK), and Hoffer QST (K) showed moderate predictive performance, whereas Hoffer QST (TK) and Kane (K) were associated with higher prediction errors. Differences among formulas were statistically significant (Friedman χ² = 97.70, p < 0.001).",
        "Conclusions": "EVO 2.0 (K), Barrett True-K (K), and Pearl-DGS demonstrated superior predictive accuracy for IOL power calculation in eyes after ray-tracing–guided LASIK. Among them, EVO 2.0 (K) yielded the lowest refractive prediction errors and the highest proportions of eyes within ±0.50 D and ±1.00 D. Contemporary formula selection remains critical in post-keratorefractive eyes. Further large-scale and externally validated studies are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EVO 2.0 (K), Barrett True-K (K), and Pearl-DGS demonstrated superior predictive accuracy for IOL power calculation in eyes after ray-tracing–guided LASIK. Among them, EVO 2.0 (K) yielded the lowest refractive prediction errors and the highest proportions of eyes within ±0.50 D and ±1.00 D. Contemporary formula selection remains critical in post-keratorefractive eyes. Further large-scale and externally validated…",
      "session_type": "ePoster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 669,
      "source_fields": {
        "Abstract Final Identifier": "POCAT633",
        "Title": "Comparative Accuracy Of Multiple Intraocular Lens Power Calculation Formulas In Eyes With Previous Ray-Tracing–Guided Lasik",
        "Presenting Author(s)": "Dr Xueyan Zhou",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Xueyan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhou",
        "Country Name": "China",
        "Purpose": "To evaluate the theoretical predictive accuracy of multiple contemporary intraocular lens (IOL) power calculation formulas in eyes with previous ray-tracing–guided LASIK, and to assess the relative performance of keratometry (K) versus total keratometry (TK)–based calculations in this post-keratorefractive population.",
        "Setting": "The study included 40 eyes of 20 patients who underwent ray-tracing–guided LASIK at Tianjin University Aier Eye Hospital between September 2025 and March 2026. Using a theoretical surgical model, five IOL power calculation formulas (Barrett True-K, EVO 2.0, Hoffer QST, Kane, and Pearl-DGS) were applied to estimate postoperative refractive outcomes. IOL power was calculated using both K and TK values, and results were compared with preoperative Barrett Universal II (BUII)–based calculations.",
        "Methods": "Comprehensive biometric evaluations were performed pre- and postoperatively using the IOLMaster 700, including axial length and corneal measurements, together with manifest refraction. Prediction error (PE) was defined as the difference between the manifest refraction–derived spherical equivalent and the formula-predicted value, and absolute error (AE) as the absolute value of PE. The study compared PE, mean absolute error (MAE), median absolute error (MedAE), and the proportions of eyes within ±0.25 D, ±0.50 D, ±0.75 D, ±1.00 D, and ±2.00 D.",
        "Results": "The superior performing formulas were EVO 2.0 (K) (MAE 0.29 D, MedAE 0.20 D), Barrett True-K (K) (MAE 0.30 D, MedAE 0.25 D), and Pearl-DGS (MAE 0.35 D, MedAE 0.26 D). EVO 2.0 (K) and Barrett True-K (K) achieved the lowest prediction errors, with 82.4% and 79.4% of eyes within ±0.50 D, and 97.1% and 100% within ±1.00 D, respectively. Pearl-DGS also demonstrated favorable accuracy (70.6% within ±0.50 D; 97.1% within ±1.00 D). Kane (TK), Barrett True-K (TK), EVO 2.0 (TK), and Hoffer QST (K) showed moderate predictive performance, whereas Hoffer QST (TK) and Kane (K) were associated with higher prediction errors. Differences among formulas were statistically significant (Friedman χ² = 97.70, p < 0.001).",
        "Conclusions": "EVO 2.0 (K), Barrett True-K (K), and Pearl-DGS demonstrated superior predictive accuracy for IOL power calculation in eyes after ray-tracing–guided LASIK. Among them, EVO 2.0 (K) yielded the lowest refractive prediction errors and the highest proportions of eyes within ±0.50 D and ±1.00 D. Contemporary formula selection remains critical in post-keratorefractive eyes. Further large-scale and externally validated studies are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 398
    },
    {
      "uid": "POCAT634",
      "abstract_number": "POCAT634",
      "title": "Long-Term Outcomes Of Individually Calculated Toric Intraocular Lenses: Safety, Predictability, And Visual Efficacy In A Real-World Clinical Cohort",
      "authors": "Dr David Beckers",
      "presenter": "Dr David Beckers",
      "normalized_authors": [
        "David Beckers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Beckers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate long-term safety, refractive predictability, and visual efficacy of individually calculated toric intraocular lenses (IOLs) implanted in cataract/ RLE patients with extreme refractive errors, using real-world data:",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "Retrospective analysis of 234 eyes undergoing toric IOL (LENITS Mplus LU-313 MF15T, Teleon Surgical GmbH) implantation, focusing on patients with high astigmatism (from -0.50 D to -7.50 D) or extreme refractive errors (from 8.00 D to -23.25 D). Eyes were excluded if ocular comorbidities affecting visual acuity were present (n=60). Safety and predictability analyses included all 174 eyes. Efficacy analysis was performed in subgroups based on available follow-up: 1 week–5 years (n=112), 3 months–5 years (n=65), and eyes with UDVA ≥0.8 decimal at ≥3 months (n=56).",
        "Results": "Low CDVA line loss indicated favorable safety. High refractive predictability with most eyes within ±0.50 D of target, even in eyes with extreme baseline refractive errors. UDVA remained stable across analyzed follow-ups, with eyes achieving UDVA ≥0.8 decimal maintaining consistently high visual performance.",
        "Conclusions": "Individually calculated toric IOLs are safe and effective in patients with extreme refractive errors, providing reliable refractive outcomes and sustained visual efficacy. Subgroup analyses highlight robust visual performance in eyes achieving target refraction with UDVA ≥0.8 decimal. These findings support the clinical use of customized toric IOL calculations in routine cataract surgery for complex refractive cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Individually calculated toric IOLs are safe and effective in patients with extreme refractive errors, providing reliable refractive outcomes and sustained visual efficacy. Subgroup analyses highlight robust visual performance in eyes achieving target refraction with UDVA ≥0.8 decimal. These findings support the clinical use of customized toric IOL calculations in routine cataract surgery for complex refractive cases.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 670,
      "source_fields": {
        "Abstract Final Identifier": "POCAT634",
        "Title": "Long-Term Outcomes Of Individually Calculated Toric Intraocular Lenses: Safety, Predictability, And Visual Efficacy In A Real-World Clinical Cohort",
        "Presenting Author(s)": "Dr David Beckers",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beckers",
        "Country Name": "Germany",
        "Purpose": "To evaluate long-term safety, refractive predictability, and visual efficacy of individually calculated toric intraocular lenses (IOLs) implanted in cataract/ RLE patients with extreme refractive errors, using real-world data:",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).",
        "Methods": "Retrospective analysis of 234 eyes undergoing toric IOL (LENITS Mplus LU-313 MF15T, Teleon Surgical GmbH) implantation, focusing on patients with high astigmatism (from -0.50 D to -7.50 D) or extreme refractive errors (from 8.00 D to -23.25 D). Eyes were excluded if ocular comorbidities affecting visual acuity were present (n=60). Safety and predictability analyses included all 174 eyes. Efficacy analysis was performed in subgroups based on available follow-up: 1 week–5 years (n=112), 3 months–5 years (n=65), and eyes with UDVA ≥0.8 decimal at ≥3 months (n=56).",
        "Results": "Low CDVA line loss indicated favorable safety. High refractive predictability with most eyes within ±0.50 D of target, even in eyes with extreme baseline refractive errors. UDVA remained stable across analyzed follow-ups, with eyes achieving UDVA ≥0.8 decimal maintaining consistently high visual performance.",
        "Conclusions": "Individually calculated toric IOLs are safe and effective in patients with extreme refractive errors, providing reliable refractive outcomes and sustained visual efficacy. Subgroup analyses highlight robust visual performance in eyes achieving target refraction with UDVA ≥0.8 decimal. These findings support the clinical use of customized toric IOL calculations in routine cataract surgery for complex refractive cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POCAT635",
      "abstract_number": "POCAT635",
      "title": "Comparative Accuracy Of Image-Guided Systems And Smartphone Applications For\nEnhanced Monofocal Toric Iol Alignment In Cataract Surgery",
      "authors": "Dr Dohyeon An",
      "presenter": "Dr Dohyeon An",
      "normalized_authors": [
        "Dohyeon An"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "So-Hyang Chung",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the clinical outcomes of cataract surgery with toric intraocular lenses\n(IOLs) using two different alignment methods: an image-guided system and a smartphone\napplication-guided method, and to evaluate their efficacy, feasibility, and potential for improving\naccessibility.",
        "Setting": "Seoul St.Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea",
        "Methods": "This retrospective study analyzed 171 eyes of 120 patients undergoing cataract\nsurgery with an enhanced monofocal toric IOL (Eyhance, Johnson & Johnson Inc., USA).\nBecause some patients contributed both eyes, within-patient correlation was accounted for\nusing generalized estimating equations (GEE). Outcomes included toric alignment error and\nrefractive outcomes.",
        "Results": "Mean absolute alignment error was 1.37±1.29° in the image-guided group and\n1.84±1.47° in the smartphone-guided group. In clustered GEE analysis, the smartphone\nworkflow was associated with higher absolute alignment error (p=0.04). Postoperative\nrefractive cylinder and spherical equivalent prediction accuracy were similar between groups.",
        "Conclusions": "Both systems demonstrated excellent refractive outcomes. The image-guided\nsystem provides superior accuracy in total absolute alignment error. While the smartphone\napplication also provides comparable outcomes, it offers a cost-effective alternative, expanding\naccessibility in resource-limited settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both systems demonstrated excellent refractive outcomes. The image-guided system provides superior accuracy in total absolute alignment error. While the smartphone application also provides comparable outcomes, it offers a cost-effective alternative, expanding accessibility in resource-limited settings.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 671,
      "source_fields": {
        "Abstract Final Identifier": "POCAT635",
        "Title": "Comparative Accuracy Of Image-Guided Systems And Smartphone Applications For\nEnhanced Monofocal Toric Iol Alignment In Cataract Surgery",
        "Presenting Author(s)": "Dr Dohyeon An",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "So-Hyang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chung",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the clinical outcomes of cataract surgery with toric intraocular lenses\n(IOLs) using two different alignment methods: an image-guided system and a smartphone\napplication-guided method, and to evaluate their efficacy, feasibility, and potential for improving\naccessibility.",
        "Setting": "Seoul St.Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea",
        "Methods": "This retrospective study analyzed 171 eyes of 120 patients undergoing cataract\nsurgery with an enhanced monofocal toric IOL (Eyhance, Johnson & Johnson Inc., USA).\nBecause some patients contributed both eyes, within-patient correlation was accounted for\nusing generalized estimating equations (GEE). Outcomes included toric alignment error and\nrefractive outcomes.",
        "Results": "Mean absolute alignment error was 1.37±1.29° in the image-guided group and\n1.84±1.47° in the smartphone-guided group. In clustered GEE analysis, the smartphone\nworkflow was associated with higher absolute alignment error (p=0.04). Postoperative\nrefractive cylinder and spherical equivalent prediction accuracy were similar between groups.",
        "Conclusions": "Both systems demonstrated excellent refractive outcomes. The image-guided\nsystem provides superior accuracy in total absolute alignment error. While the smartphone\napplication also provides comparable outcomes, it offers a cost-effective alternative, expanding\naccessibility in resource-limited settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 184
    },
    {
      "uid": "POCAT636",
      "abstract_number": "POCAT636",
      "title": "Postoperative Residual Refractive Astigmatism Analysis In Cylinder Correction With Toric Iol In Patients With Different Degrees Of Astigmatism Using As-Oct And Total Keratometry.",
      "authors": "Dr Alessandro De Paula",
      "presenter": "Dr Alessandro De Paula",
      "normalized_authors": [
        "Alessandro De Paula"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alessandro De Paula",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To analyze the refractive outcomes in patients with different degrees of astigmatism undergoing cataract surgery with toric monofocal IOL implantation",
        "Setting": "Policlinico Casilino, Ophthalmology Unit.",
        "Methods": "A consecutive series of patients that underwent cataract surgery and Toric IOL implantation was reviewed. The preoperative evaluation of anterior and posterior keratometry, corneal topo/tomography was performed with AS-OCT Casia 2. Basing on real cylinder, the patients were divided in three groups. Group 1: real cylinder ≤ 1D, group 2: real cylinder between 1 and 1.5 D, group 3: real cylinder ≥ 1.5D. The residual post-operative refractive astigmatism and the percentage of astigmatic correction were evaluated one months after the surgery. Vector astigmatism analysis was performed applying the Alpins method.",
        "Results": "100 eyes of 100 patients were enrolled. The mean post-operative refractive astigmatism (in absolute values) was 0.23 ± 0.28 D; 0.16 ± 0.27 D and 0.48 ± 0.44 D in group 1, 2 and 3 respectively. The best percentage of astigmatic correction was found in group 2 (88.05 ± 20.11%) with a significant difference with group 1 and 3. The average AE was 5.68 ± 8.33° in group 1, 2.2 ± 4.13° in group 2 and 3.97 ± 4.89° in group 3. The differences were significant in particularly between the second and the third group and less between the first and the second group. The best DV and IOS were found in group 2.",
        "Conclusions": "Toric IOL was successfully applied in any amount of astigmatism and that the best refractive results were achieved in mild astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IOL was successfully applied in any amount of astigmatism and that the best refractive results were achieved in mild astigmatism.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 672,
      "source_fields": {
        "Abstract Final Identifier": "POCAT636",
        "Title": "Postoperative Residual Refractive Astigmatism Analysis In Cylinder Correction With Toric Iol In Patients With Different Degrees Of Astigmatism Using As-Oct And Total Keratometry.",
        "Presenting Author(s)": "Dr Alessandro De Paula",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Alessandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Paula",
        "Country Name": "Italy",
        "Purpose": "To analyze the refractive outcomes in patients with different degrees of astigmatism undergoing cataract surgery with toric monofocal IOL implantation",
        "Setting": "Policlinico Casilino, Ophthalmology Unit.",
        "Methods": "A consecutive series of patients that underwent cataract surgery and Toric IOL implantation was reviewed. The preoperative evaluation of anterior and posterior keratometry, corneal topo/tomography was performed with AS-OCT Casia 2. Basing on real cylinder, the patients were divided in three groups. Group 1: real cylinder ≤ 1D, group 2: real cylinder between 1 and 1.5 D, group 3: real cylinder ≥ 1.5D. The residual post-operative refractive astigmatism and the percentage of astigmatic correction were evaluated one months after the surgery. Vector astigmatism analysis was performed applying the Alpins method.",
        "Results": "100 eyes of 100 patients were enrolled. The mean post-operative refractive astigmatism (in absolute values) was 0.23 ± 0.28 D; 0.16 ± 0.27 D and 0.48 ± 0.44 D in group 1, 2 and 3 respectively. The best percentage of astigmatic correction was found in group 2 (88.05 ± 20.11%) with a significant difference with group 1 and 3. The average AE was 5.68 ± 8.33° in group 1, 2.2 ± 4.13° in group 2 and 3.97 ± 4.89° in group 3. The differences were significant in particularly between the second and the third group and less between the first and the second group. The best DV and IOS were found in group 2.",
        "Conclusions": "Toric IOL was successfully applied in any amount of astigmatism and that the best refractive results were achieved in mild astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCAT637",
      "abstract_number": "POCAT637",
      "title": "Patient Reported Outcomes In Patients Bilaterally Implanted With The Toric Or Non-Toric Model Of A Purely Refractive Edof Iol",
      "authors": "Dr Jose Manuel Diez Del Corral Belda",
      "presenter": "Dr Jose Manuel Diez Del Corral Belda",
      "normalized_authors": [
        "Jose Manuel Diez Del Corral Belda"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jose Manuel Diez Del Corral Belda",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare patient reported outcomes in patients implanted with a toric or a non- toric version of the same purely refractive Extended Depth of Focus (EDOF), TECNIS PureSee IOL.",
        "Setting": "Data from 18 investigational sites in Europe and Asia-Pacific.",
        "Methods": "This is a multicentre, observational, single-arm study with a single-visit at 3 months post operatively. 64 subjects were bilaterally implanted with toric TECNIS PureSee IOLs and 179 were bilaterally implanted with the non-toric version of the same IOL, mean age was 66.3 ± 8.69 (toric) and 64.2 ± 9.37 (non-toric) years. Manifest refraction spherical equivalent (MRSE), binocular uncorrected visual acuity (VA) results for distance (UDVA) and intermediate at 66 cm (UIVA), rates of photic phenomena (glare, halo and starburst), spectacle independence and patient satisfaction using validated questionnaires are reported.",
        "Results": "Postoperatively, MRSE was -0.11 ± 0.39 D and 0.01 ± 0.4 D in the toric and non-toric groups, respectively. Mean binocular UDVA (toric / non-toric) was -0.04 ± 0.08 / -0.01 ± 0.09 logMAR. Binocular UIVA were 0.13 ± 0.12 / 0.12 ± 0.11 LogMAR. 88% / 91% of subjects reported being “not at all” or only “a little” bothered by glare, 86% / 93% by halos, and 88% / 92% by starbursts, respectively. Use of glasses “none” or “a little” of the time was reported by 92% / 97% for far distance and 90% / 95% for intermediate distance. 94% of toric and 93% non-toric subjects were completely or mostly satisfied with their overall vision at all distances without correction.",
        "Conclusions": "This real-world evidence shows high rates of spectacle independence and satisfaction without glasses for far and intermediate distances for patients implanted with the toric and non-toric models of the same purely refractive EDOF IOL. Comparable binocular visual outcomes for distance and intermediate were also found. A high percentage of patients were little or not at all bothered by photic phenomena like glare, halo and starburst regardless of the implantation of a toric or non toric version. The toric model of TECNIS PureSee EDOF IOL offers comparable visual quality and a level of spectacle independence that are on par with those achieved by the non-toric model."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This real-world evidence shows high rates of spectacle independence and satisfaction without glasses for far and intermediate distances for patients implanted with the toric and non-toric models of the same purely refractive EDOF IOL. Comparable binocular visual outcomes for distance and intermediate were also found. A high percentage of patients were little or not at all bothered by photic phenomena like glare,…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 673,
      "source_fields": {
        "Abstract Final Identifier": "POCAT637",
        "Title": "Patient Reported Outcomes In Patients Bilaterally Implanted With The Toric Or Non-Toric Model Of A Purely Refractive Edof Iol",
        "Presenting Author(s)": "Dr Jose Manuel Diez Del Corral Belda",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Jose Manuel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Diez Del Corral Belda",
        "Country Name": "Spain",
        "Purpose": "To compare patient reported outcomes in patients implanted with a toric or a non- toric version of the same purely refractive Extended Depth of Focus (EDOF), TECNIS PureSee IOL.",
        "Setting": "Data from 18 investigational sites in Europe and Asia-Pacific.",
        "Methods": "This is a multicentre, observational, single-arm study with a single-visit at 3 months post operatively. 64 subjects were bilaterally implanted with toric TECNIS PureSee IOLs and 179 were bilaterally implanted with the non-toric version of the same IOL, mean age was 66.3 ± 8.69 (toric) and 64.2 ± 9.37 (non-toric) years. Manifest refraction spherical equivalent (MRSE), binocular uncorrected visual acuity (VA) results for distance (UDVA) and intermediate at 66 cm (UIVA), rates of photic phenomena (glare, halo and starburst), spectacle independence and patient satisfaction using validated questionnaires are reported.",
        "Results": "Postoperatively, MRSE was -0.11 ± 0.39 D and 0.01 ± 0.4 D in the toric and non-toric groups, respectively. Mean binocular UDVA (toric / non-toric) was -0.04 ± 0.08 / -0.01 ± 0.09 logMAR. Binocular UIVA were 0.13 ± 0.12 / 0.12 ± 0.11 LogMAR. 88% / 91% of subjects reported being “not at all” or only “a little” bothered by glare, 86% / 93% by halos, and 88% / 92% by starbursts, respectively. Use of glasses “none” or “a little” of the time was reported by 92% / 97% for far distance and 90% / 95% for intermediate distance. 94% of toric and 93% non-toric subjects were completely or mostly satisfied with their overall vision at all distances without correction.",
        "Conclusions": "This real-world evidence shows high rates of spectacle independence and satisfaction without glasses for far and intermediate distances for patients implanted with the toric and non-toric models of the same purely refractive EDOF IOL. Comparable binocular visual outcomes for distance and intermediate were also found. A high percentage of patients were little or not at all bothered by photic phenomena like glare, halo and starburst regardless of the implantation of a toric or non toric version. The toric model of TECNIS PureSee EDOF IOL offers comparable visual quality and a level of spectacle independence that are on par with those achieved by the non-toric model."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCAT638",
      "abstract_number": "POCAT638",
      "title": "Role Of Itrace Aberrometry In Diagnosing Toric Iol Misalignment And Guiding Repositioning",
      "authors": "Dr Zeiras Eka Djamal",
      "presenter": "Dr Zeiras Eka Djamal",
      "normalized_authors": [
        "Zeiras Eka Djamal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeiras Eka Djamal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "To report a case of postoperative refractive surprise caused by toric intraocular lens (IOL) rotational misalignment and highlight the role of ray-tracing aberrometry (iTrace) in diagnosis and surgical planning.",
        "Setting": "Private tertiary ophthalmology referral center.",
        "Methods": "A female patient presented with refractive surprise after uncomplicated cataract surgery with toric IOL implantation. Preoperatively, the visual acuity of the left eye was 0.7 with manifest refraction S−10.00 C−5.00×165. Postoperatively, uncorrected visual acuity was 1.0 but with residual refractive error S+1.75 C−2.50×130. Slit-lamp examination suggested misalignment of the toric IOL axis. iTrace ray-tracing aberrometry was performed to evaluate internal optical aberrations and confirm the source of the residual astigmatism. Surgical repositioning was undertaken using viscodissection of the capsular bag, followed by careful rotation of the IOL to the intended axis based on preoperative calculations and iTrace analysis.",
        "Results": "Postoperatively, the patient achieved uncorrected visual acuity of 1.0 with elimination of residual refractive astigmatism. Repeat iTrace analysis demonstrated improved optical quality with resolution of internal astigmatism.",
        "Conclusions": "Toric IOL rotational misalignment is a significant cause of postoperative residual astigmatism following cataract surgery. Ray-tracing aberrometry with iTrace enables differentiation between corneal and internal optical components, facilitating accurate diagnosis and surgical planning. Early iTrace-guided IOL repositioning can effectively restore the intended refractive outcome and improve postoperative visual quality. This case highlights the role of ray-tracing aberrometry as an adjunct diagnostic tool for identifying toric IOL misalignment and guiding timely surgical correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IOL rotational misalignment is a significant cause of postoperative residual astigmatism following cataract surgery. Ray-tracing aberrometry with iTrace enables differentiation between corneal and internal optical components, facilitating accurate diagnosis and surgical planning. Early iTrace-guided IOL repositioning can effectively restore the intended refractive outcome and improve postoperative visual…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 674,
      "source_fields": {
        "Abstract Final Identifier": "POCAT638",
        "Title": "Role Of Itrace Aberrometry In Diagnosing Toric Iol Misalignment And Guiding Repositioning",
        "Presenting Author(s)": "Dr Zeiras Eka Djamal",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Zeiras",
        "Submitter Middle Name": "Eka",
        "Submitter Last Name": "Djamal",
        "Country Name": "Indonesia",
        "Purpose": "To report a case of postoperative refractive surprise caused by toric intraocular lens (IOL) rotational misalignment and highlight the role of ray-tracing aberrometry (iTrace) in diagnosis and surgical planning.",
        "Setting": "Private tertiary ophthalmology referral center.",
        "Methods": "A female patient presented with refractive surprise after uncomplicated cataract surgery with toric IOL implantation. Preoperatively, the visual acuity of the left eye was 0.7 with manifest refraction S−10.00 C−5.00×165. Postoperatively, uncorrected visual acuity was 1.0 but with residual refractive error S+1.75 C−2.50×130. Slit-lamp examination suggested misalignment of the toric IOL axis. iTrace ray-tracing aberrometry was performed to evaluate internal optical aberrations and confirm the source of the residual astigmatism. Surgical repositioning was undertaken using viscodissection of the capsular bag, followed by careful rotation of the IOL to the intended axis based on preoperative calculations and iTrace analysis.",
        "Results": "Postoperatively, the patient achieved uncorrected visual acuity of 1.0 with elimination of residual refractive astigmatism. Repeat iTrace analysis demonstrated improved optical quality with resolution of internal astigmatism.",
        "Conclusions": "Toric IOL rotational misalignment is a significant cause of postoperative residual astigmatism following cataract surgery. Ray-tracing aberrometry with iTrace enables differentiation between corneal and internal optical components, facilitating accurate diagnosis and surgical planning. Early iTrace-guided IOL repositioning can effectively restore the intended refractive outcome and improve postoperative visual quality. This case highlights the role of ray-tracing aberrometry as an adjunct diagnostic tool for identifying toric IOL misalignment and guiding timely surgical correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCAT639",
      "abstract_number": "POCAT639",
      "title": "Comparison Of Forces Acting On Toric Intraocular Lenses In Alcon Iso Compression Tester Computational Model To Infer Rotational Stability",
      "authors": "Dr Andrzej Dmitriew",
      "presenter": "Dr Andrzej Dmitriew",
      "normalized_authors": [
        "Andrzej Dmitriew"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrzej Dmitriew",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Visual outcomes of toric intraocular lenses (IOLs) are highly impacted by lens rotation. The purpose of this study is to evaluate the impact of geometry on the forces acting on IOL haptics in Alcon ISO 11979 Standard Compression Tester computational model to infer IOL rotational stability.",
        "Setting": "Compression testing conducted at Alcon Research, LLC, Fort Worth, Texas, USA.",
        "Methods": "In this study, the impact of variability in IOL geometry on the forces acting on the IOL along and orthogonal to the haptic compression direction was evaluated in the Alcon Compression Tester computational model as the haptics are compressed from their undeformed state 9 mm compression diameter. Acrysof® SA6ATx and Clareon® CCW0Tx (Alcon Vision), Tecnis® Toric IOL (JnJ), Vivinex® Toric XY1A-SP (Hoya Optics), enVista® Toric IOL (B+L), and Santen Toric IOL (Santen) were studied.",
        "Results": "Forces acting on the IOL haptics ranged from 0.13 to 0.69 mN along the haptic compression direction, 0.003 to 0.33 mN along the optical axis, and 0.08 to 1.45 mN along the circumferential direction for various IOLs as the haptics compressed from 9 to 10 mm.",
        "Conclusions": "The circumferential forces acting on the Clareon IOL haptics are lowest among the IOLs studied, indicating low tendency for IOL rotation. A low positive slope for the circumferential force differential with compression diameter was observed, indicating greater rotational stability of the Clareon IOL in smaller capsules."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The circumferential forces acting on the Clareon IOL haptics are lowest among the IOLs studied, indicating low tendency for IOL rotation. A low positive slope for the circumferential force differential with compression diameter was observed, indicating greater rotational stability of the Clareon IOL in smaller capsules.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 675,
      "source_fields": {
        "Abstract Final Identifier": "POCAT639",
        "Title": "Comparison Of Forces Acting On Toric Intraocular Lenses In Alcon Iso Compression Tester Computational Model To Infer Rotational Stability",
        "Presenting Author(s)": "Dr Andrzej Dmitriew",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Andrzej",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dmitriew",
        "Country Name": "Poland",
        "Purpose": "Visual outcomes of toric intraocular lenses (IOLs) are highly impacted by lens rotation. The purpose of this study is to evaluate the impact of geometry on the forces acting on IOL haptics in Alcon ISO 11979 Standard Compression Tester computational model to infer IOL rotational stability.",
        "Setting": "Compression testing conducted at Alcon Research, LLC, Fort Worth, Texas, USA.",
        "Methods": "In this study, the impact of variability in IOL geometry on the forces acting on the IOL along and orthogonal to the haptic compression direction was evaluated in the Alcon Compression Tester computational model as the haptics are compressed from their undeformed state 9 mm compression diameter. Acrysof® SA6ATx and Clareon® CCW0Tx (Alcon Vision), Tecnis® Toric IOL (JnJ), Vivinex® Toric XY1A-SP (Hoya Optics), enVista® Toric IOL (B+L), and Santen Toric IOL (Santen) were studied.",
        "Results": "Forces acting on the IOL haptics ranged from 0.13 to 0.69 mN along the haptic compression direction, 0.003 to 0.33 mN along the optical axis, and 0.08 to 1.45 mN along the circumferential direction for various IOLs as the haptics compressed from 9 to 10 mm.",
        "Conclusions": "The circumferential forces acting on the Clareon IOL haptics are lowest among the IOLs studied, indicating low tendency for IOL rotation. A low positive slope for the circumferential force differential with compression diameter was observed, indicating greater rotational stability of the Clareon IOL in smaller capsules."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCAT640",
      "abstract_number": "POCAT640",
      "title": "Clinical Results Of A Trifocal Toric Intraocular Lens For Refractive Lens Exchange: Correcting Moderate Corneal Astigmatism In Chinese Patients",
      "authors": "Dr Chunchun He",
      "presenter": "Dr Chunchun He",
      "normalized_authors": [
        "Chunchun He"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chunchun He",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "The purpose of the study was to compare the efficacy and safety in astigmatism correction and the postoperative visual outcomes between the implantation of a trifocal toric IOL and trifocal IOL implantation with limbal relaxing incision (LRI) in patients with moderate corneal astigmatism seeking for presbyopia correction, and to evaluate the long-term rotational stability of the toric IOL.",
        "Setting": "single-center retrospective observational case study",
        "Methods": "This study enrolled patients with corneal astigmatism 1.0–2.0D, including 25 eyes of 15 patients who underwent refractive lens exchange with trifocal toric IOL implantation and 25 eyes of 16 patients who underwent trifocal IOL implantation with LRI. Postoperative evaluations at 1 and 6 months included near, intermediate, and distance UDVA, BDVA, manifest refraction, and defocus curves. Toric IOL axis position was assessed via slit lamp at 1 day, 1 week, 3 and 6 months postoperatively and compared with the preoperative planned position. Subjective satisfaction was evaluated using questionnaires on spectacle dependence, vision quality, and overall satisfaction. Outcomes and adverse events were compared between these two group.",
        "Results": "At 3 months postoperatively, in trifocal toric IOL group, CDVA, UDVA, UNVA and UIVA were -0.05±0.07, -0.01±0.07, 0.09±0.02, and 0.10±0.01 logMAR, respectively; in the trifocal+LRI group, the values were 0.08±0.10, 0.09±0.07, 0.1±0.08, and 0.14±0.07 logMAR, respectively. SE of manifest refraction was 0.12±0.17D (trifocal toric IOL group) and 0.25±0.35D (trifocal+LRI group), with mean refractive cylinder of 0.14±0.16D and 0.34±0.42D, respectively. Defocus curves showed a smooth range of good visual acuity. The mean toric IOL axis deviation at 3 months was 2.9±2.4° (range: 1°-19°), with 91% of eyes showing deviation <5°. Subjective scores for spectacle dependence, vision quality, and satisfaction did not differ significantly between groups.",
        "Conclusions": "Implantation of a diffractive trifocal toric IOL for presbyopia, and refractive error correction provided good refractive and visual outcomes, relatively smooth range of intermediate vision, and high levels of visual quality and patient satisfaction until 6 months after surgery. Compare to LRI, trifocal toric IOL provided a relatively better BCVA, UCVA, and intermediate vision. However, the rotational stability needs to be observed in long term."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of a diffractive trifocal toric IOL for presbyopia, and refractive error correction provided good refractive and visual outcomes, relatively smooth range of intermediate vision, and high levels of visual quality and patient satisfaction until 6 months after surgery. Compare to LRI, trifocal toric IOL provided a relatively better BCVA, UCVA, and intermediate vision. However, the rotational stability…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 676,
      "source_fields": {
        "Abstract Final Identifier": "POCAT640",
        "Title": "Clinical Results Of A Trifocal Toric Intraocular Lens For Refractive Lens Exchange: Correcting Moderate Corneal Astigmatism In Chinese Patients",
        "Presenting Author(s)": "Dr Chunchun He",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Chunchun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "He",
        "Country Name": "China",
        "Purpose": "The purpose of the study was to compare the efficacy and safety in astigmatism correction and the postoperative visual outcomes between the implantation of a trifocal toric IOL and trifocal IOL implantation with limbal relaxing incision (LRI) in patients with moderate corneal astigmatism seeking for presbyopia correction, and to evaluate the long-term rotational stability of the toric IOL.",
        "Setting": "single-center retrospective observational case study",
        "Methods": "This study enrolled patients with corneal astigmatism 1.0–2.0D, including 25 eyes of 15 patients who underwent refractive lens exchange with trifocal toric IOL implantation and 25 eyes of 16 patients who underwent trifocal IOL implantation with LRI. Postoperative evaluations at 1 and 6 months included near, intermediate, and distance UDVA, BDVA, manifest refraction, and defocus curves. Toric IOL axis position was assessed via slit lamp at 1 day, 1 week, 3 and 6 months postoperatively and compared with the preoperative planned position. Subjective satisfaction was evaluated using questionnaires on spectacle dependence, vision quality, and overall satisfaction. Outcomes and adverse events were compared between these two group.",
        "Results": "At 3 months postoperatively, in trifocal toric IOL group, CDVA, UDVA, UNVA and UIVA were -0.05±0.07, -0.01±0.07, 0.09±0.02, and 0.10±0.01 logMAR, respectively; in the trifocal+LRI group, the values were 0.08±0.10, 0.09±0.07, 0.1±0.08, and 0.14±0.07 logMAR, respectively. SE of manifest refraction was 0.12±0.17D (trifocal toric IOL group) and 0.25±0.35D (trifocal+LRI group), with mean refractive cylinder of 0.14±0.16D and 0.34±0.42D, respectively. Defocus curves showed a smooth range of good visual acuity. The mean toric IOL axis deviation at 3 months was 2.9±2.4° (range: 1°-19°), with 91% of eyes showing deviation <5°. Subjective scores for spectacle dependence, vision quality, and satisfaction did not differ significantly between groups.",
        "Conclusions": "Implantation of a diffractive trifocal toric IOL for presbyopia, and refractive error correction provided good refractive and visual outcomes, relatively smooth range of intermediate vision, and high levels of visual quality and patient satisfaction until 6 months after surgery. Compare to LRI, trifocal toric IOL provided a relatively better BCVA, UCVA, and intermediate vision. However, the rotational stability needs to be observed in long term."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 383
    },
    {
      "uid": "POCAT641",
      "abstract_number": "POCAT641",
      "title": "Rotational Stability Of Toric Intraocular Lenses In High Myopia Following Lens Exchange",
      "authors": "Dr Jill Wen-Chun Huang",
      "presenter": "Dr Jill Wen-Chun Huang",
      "normalized_authors": [
        "Jill Wen-Chun Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jill Wen-Chun Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "High myopic eyes are often considered at higher risk of toric intraocular lens (IOL) rotation following lens exchange because of larger capsular bag dimensions. We reviewed our outcomes to assess rotational stability and refractive results in highly myopic patients undergoing toric IOL implantation.",
        "Methods": "A retrospective review was performed of 11 eyes of 6 patients with axial length >26 mm and pre-operative spherical equivalent greater than −6.00 D undergoing refractive lens exchange.\n\nImplanted lenses included the Rayner RayOne Toric (RMT) monofocal toric IOL and the RayOne Galaxy toric IOL.\n\nPatients were reviewed at 1 week and 6 weeks postoperatively. .\n\nPre-operative measurements included spherical equivalent, corneal astigmatism, and corrected distance visual acuity (CDVA). Post-operative refraction, residual cylinder, visual acuity, and requirement for IOL repositioning were assessed.",
        "Results": "No cases required surgical repositioning for toric IOL rotation. One eye underwent Nd:YAG capsulotomy without meaningful change in refraction.",
        "Conclusions": "In this series of highly myopic eyes, toric IOL implantation following lens exchange was associated with stable postoperative refraction and low residual astigmatism. Clinically significant rotation requiring repositioning was not observed. These findings suggest that toric IOLs can be used reliably in selected high myopic patients."
      },
      "section_labels": [
        "Purpose",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this series of highly myopic eyes, toric IOL implantation following lens exchange was associated with stable postoperative refraction and low residual astigmatism. Clinically significant rotation requiring repositioning was not observed. These findings suggest that toric IOLs can be used reliably in selected high myopic patients.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 677,
      "source_fields": {
        "Abstract Final Identifier": "POCAT641",
        "Title": "Rotational Stability Of Toric Intraocular Lenses In High Myopia Following Lens Exchange",
        "Presenting Author(s)": "Dr Jill Wen-Chun Huang",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Jill Wen-Chun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "United Kingdom",
        "Purpose": "High myopic eyes are often considered at higher risk of toric intraocular lens (IOL) rotation following lens exchange because of larger capsular bag dimensions. We reviewed our outcomes to assess rotational stability and refractive results in highly myopic patients undergoing toric IOL implantation.",
        "Setting": "",
        "Methods": "A retrospective review was performed of 11 eyes of 6 patients with axial length >26 mm and pre-operative spherical equivalent greater than −6.00 D undergoing refractive lens exchange.\n\nImplanted lenses included the Rayner RayOne Toric (RMT) monofocal toric IOL and the RayOne Galaxy toric IOL.\n\nPatients were reviewed at 1 week and 6 weeks postoperatively. .\n\nPre-operative measurements included spherical equivalent, corneal astigmatism, and corrected distance visual acuity (CDVA). Post-operative refraction, residual cylinder, visual acuity, and requirement for IOL repositioning were assessed.",
        "Results": "No cases required surgical repositioning for toric IOL rotation. One eye underwent Nd:YAG capsulotomy without meaningful change in refraction.",
        "Conclusions": "In this series of highly myopic eyes, toric IOL implantation following lens exchange was associated with stable postoperative refraction and low residual astigmatism. Clinically significant rotation requiring repositioning was not observed. These findings suggest that toric IOLs can be used reliably in selected high myopic patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 191
    },
    {
      "uid": "POCAT642",
      "abstract_number": "POCAT642",
      "title": "Comparison Of Vision, Spectacle Independence And Patient Satisfaction With Micro-Monovision Implantation Of Two Toric Aspheric Intraocular Lenses (Iols) In The Public Health Sector: Final Results Of A Prospective Randomised Controlled Study.",
      "authors": "Mr Ashmal Jameel",
      "presenter": "Mr Ashmal Jameel",
      "normalized_authors": [
        "Ashmal Jameel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ashmal Jameel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare the visual outcomes, spectacle independence and patient satisfaction of bilateral implantation of either Toric monofocal plus IOLs or standard Toric aspheric monofocal IOLs, using a micro-monovision technique",
        "Setting": "University Hospital, London United Kingdom.",
        "Methods": "Patients with bilateral cataracts and corneal astigmatism of over 1.25 dioptres, and no significant other ocular comorbidities were randomised to receive either bilateral insertion of Alcon SN6ATX or the Eyhance Toric II IOL with micro-monovision. The refractive target of the dominant eye was 0.00 to -0.25D, with the target of the myopic eye -0.75 to -1.00D. Patients were masked to IOL allocation, and surgery was performed by senior surgeons using standardised surgical techniques. Patients were reviewed routinely at 2 weeks, and at 6 weeks and 6 months for research data collection. Visual outcomes, contrast sensitivity, stereoacuity and patient satisfaction data was collected. Defocus curves were performed at final appointments.",
        "Results": "Forty-four patients randomised to the Alcon SN6ATX group (14M:30F, mean age 72.2 yrs), and forty-three patients to the Eyhance Toric II group (14M:29F, 68.1 yrs) completed 6-month follow-up. Mean binocular unaided distance vision was comparable between the two groups (p=0.75). Mean binocular unaided near vision (logMAR) was -0.28 in the Alcon group (SD 0.14), and 0.18 in the Eyhance group (SD 0.13) (P=0.0005). Mean binocular unaided near vision (N-chart) was 7.67 in the Alcon group (SD 3.05), and 5.97 in the Eyhance group (SD 1.82) (P=0.0006). Sixty-five percent (28 out of 43) of Eyhance Toric patients reported glasses independence when in photopic conditions, compared to 20% (9 out of 44) in the Alcon group (p<0.0001).",
        "Conclusions": "Significantly more patients in the Eyhance group achieved spectacle independence for distance, intermediate and near than the Alcon group with micro-monovision implantation. This supports the use of the Eyhance Toric II IOL in public health sector patients to reduce their dependence on spectacles following cataract surgery. We will present further data, including stereoacuity, contrast sensitivity or patient satisfaction; with larger groups and 6-month follow-up data."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Significantly more patients in the Eyhance group achieved spectacle independence for distance, intermediate and near than the Alcon group with micro-monovision implantation. This supports the use of the Eyhance Toric II IOL in public health sector patients to reduce their dependence on spectacles following cataract surgery. We will present further data, including stereoacuity, contrast sensitivity or patient…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 678,
      "source_fields": {
        "Abstract Final Identifier": "POCAT642",
        "Title": "Comparison Of Vision, Spectacle Independence And Patient Satisfaction With Micro-Monovision Implantation Of Two Toric Aspheric Intraocular Lenses (Iols) In The Public Health Sector: Final Results Of A Prospective Randomised Controlled Study.",
        "Presenting Author(s)": "Mr Ashmal Jameel",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Ashmal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jameel",
        "Country Name": "United Kingdom",
        "Purpose": "To compare the visual outcomes, spectacle independence and patient satisfaction of bilateral implantation of either Toric monofocal plus IOLs or standard Toric aspheric monofocal IOLs, using a micro-monovision technique",
        "Setting": "University Hospital, London United Kingdom.",
        "Methods": "Patients with bilateral cataracts and corneal astigmatism of over 1.25 dioptres, and no significant other ocular comorbidities were randomised to receive either bilateral insertion of Alcon SN6ATX or the Eyhance Toric II IOL with micro-monovision. The refractive target of the dominant eye was 0.00 to -0.25D, with the target of the myopic eye -0.75 to -1.00D. Patients were masked to IOL allocation, and surgery was performed by senior surgeons using standardised surgical techniques. Patients were reviewed routinely at 2 weeks, and at 6 weeks and 6 months for research data collection. Visual outcomes, contrast sensitivity, stereoacuity and patient satisfaction data was collected. Defocus curves were performed at final appointments.",
        "Results": "Forty-four patients randomised to the Alcon SN6ATX group (14M:30F, mean age 72.2 yrs), and forty-three patients to the Eyhance Toric II group (14M:29F, 68.1 yrs) completed 6-month follow-up. Mean binocular unaided distance vision was comparable between the two groups (p=0.75). Mean binocular unaided near vision (logMAR) was -0.28 in the Alcon group (SD 0.14), and 0.18 in the Eyhance group (SD 0.13) (P=0.0005). Mean binocular unaided near vision (N-chart) was 7.67 in the Alcon group (SD 3.05), and 5.97 in the Eyhance group (SD 1.82) (P=0.0006). Sixty-five percent (28 out of 43) of Eyhance Toric patients reported glasses independence when in photopic conditions, compared to 20% (9 out of 44) in the Alcon group (p<0.0001).",
        "Conclusions": "Significantly more patients in the Eyhance group achieved spectacle independence for distance, intermediate and near than the Alcon group with micro-monovision implantation. This supports the use of the Eyhance Toric II IOL in public health sector patients to reduce their dependence on spectacles following cataract surgery. We will present further data, including stereoacuity, contrast sensitivity or patient satisfaction; with larger groups and 6-month follow-up data."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "POCAT643",
      "abstract_number": "POCAT643",
      "title": "Efficacy Of The Image-Guided Alignment System For A Four-Haptic Hydrophobic Monofocal Toric Intraocular Lens",
      "authors": "Dr Kyungmin Koh",
      "presenter": "Dr Kyungmin Koh",
      "normalized_authors": [
        "Kyungmin Koh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kyungmin Koh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the difference in performance between the image-guided alignment system and the manual-marking method in the four-haptic hydrophobic monofocal toric intraocular lens (IOL).",
        "Setting": "Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Republic of Korea",
        "Methods": "Medical records of patients who underwent cataract surgery with a four-haptic hydrophobic monofocal toric IOL implantation between May 2020 and April 2021 and with 3-month visit data available were investigated. Toric IOL misalignment, residual astigmatism, and mean prediction errors between the two groups were compared.",
        "Results": "This study included 49 eyes of 44 patients (women: 68%; mean age: 67.2±7.0 [range: 47-82] years). Twenty-nine eyes of 26 patients were treated with toric IOL implantation using the image-guided system and 20 eyes of 18 patients were treated using the manual-marking method. No statistical differences were observed regarding the baseline characteristics of the two groups. Three months after the surgery, the misalignment of the toric IOL was significantly lower in the image-guided group (2.18°±0.65°, range: 1.26°-3.95°) than in the manual; marking group (4.72°±0.74°, range: 3.44°-6.21°; P <0.001).",
        "Conclusions": "In comparison to the manual-marking method, the image-guided system reduced the misalignment of a four-haptic hydrophobic monofocal toric IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In comparison to the manual-marking method, the image-guided system reduced the misalignment of a four-haptic hydrophobic monofocal toric IOL.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 679,
      "source_fields": {
        "Abstract Final Identifier": "POCAT643",
        "Title": "Efficacy Of The Image-Guided Alignment System For A Four-Haptic Hydrophobic Monofocal Toric Intraocular Lens",
        "Presenting Author(s)": "Dr Kyungmin Koh",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Kyungmin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Koh",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the difference in performance between the image-guided alignment system and the manual-marking method in the four-haptic hydrophobic monofocal toric intraocular lens (IOL).",
        "Setting": "Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Republic of Korea",
        "Methods": "Medical records of patients who underwent cataract surgery with a four-haptic hydrophobic monofocal toric IOL implantation between May 2020 and April 2021 and with 3-month visit data available were investigated. Toric IOL misalignment, residual astigmatism, and mean prediction errors between the two groups were compared.",
        "Results": "This study included 49 eyes of 44 patients (women: 68%; mean age: 67.2±7.0 [range: 47-82] years). Twenty-nine eyes of 26 patients were treated with toric IOL implantation using the image-guided system and 20 eyes of 18 patients were treated using the manual-marking method. No statistical differences were observed regarding the baseline characteristics of the two groups. Three months after the surgery, the misalignment of the toric IOL was significantly lower in the image-guided group (2.18°±0.65°, range: 1.26°-3.95°) than in the manual; marking group (4.72°±0.74°, range: 3.44°-6.21°; P <0.001).",
        "Conclusions": "In comparison to the manual-marking method, the image-guided system reduced the misalignment of a four-haptic hydrophobic monofocal toric IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 204
    },
    {
      "uid": "POCAT644",
      "abstract_number": "POCAT644",
      "title": "The Role Of Corneal Tomography In Preoperative Evaluation For Toric Iol Candidacy",
      "authors": "Dr Tom Kozlovsky",
      "presenter": "Dr Tom Kozlovsky",
      "normalized_authors": [
        "Tom Kozlovsky"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tom Kozlovsky",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To assess the clinical value of incorporating corneal tomography into the preoperative evaluation of candidates for toric intraocular lens (IOL) implantation, and to determine whether reliance on biometry and automated keratometry alone provides sufficient diagnostic accuracy.",
        "Setting": "Ophthalmology Department, Wolfson Medical Center, Israel",
        "Methods": "A retrospective review was conducted on patients referred for preoperative evaluation to determine suitability for toric IOL implantation. Demographics, ocular history, and diagnostic parameters were analyzed. Preoperative measurements included biometry, automated keratometry, and corneal tomography. The final decision regarding toric IOL implantation was compared with and without the added diagnostic input of corneal tomography, with emphasis on cases where tomography altered clinical decision‑making.",
        "Results": "Thirty‑six eyes were included. Twenty‑seven eyes (77.14%) ultimately underwent toric IOL implantation. Consistent keratometric measurements across biometry and automated keratometry were observed in 25 eyes (69.44%); in these cases, corneal tomography did not alter the surgical plan. Two eyes (5.56%) were excluded from toric IOL implantation based solely on tomography findings, both exhibited pre‑tomography keratometric variability and were later diagnosed with irregular astigmatism. Eight eyes (22.22%) demonstrated irregular astigmatism on mapping but with sufficient regularity to still justify toric IOL selection.",
        "Conclusions": "In patients without prior ocular pathology and with consistent keratometric values across devices, routine corneal tomography may not be essential for determining toric IOL eligibility. Tomography remains valuable and should be selectively employed in cases with inter‑device measurement inconsistencies, suspected irregular astigmatism, or a complex ocular history."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients without prior ocular pathology and with consistent keratometric values across devices, routine corneal tomography may not be essential for determining toric IOL eligibility. Tomography remains valuable and should be selectively employed in cases with inter‑device measurement inconsistencies, suspected irregular astigmatism, or a complex ocular history.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 680,
      "source_fields": {
        "Abstract Final Identifier": "POCAT644",
        "Title": "The Role Of Corneal Tomography In Preoperative Evaluation For Toric Iol Candidacy",
        "Presenting Author(s)": "Dr Tom Kozlovsky",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Tom",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kozlovsky",
        "Country Name": "Israel",
        "Purpose": "To assess the clinical value of incorporating corneal tomography into the preoperative evaluation of candidates for toric intraocular lens (IOL) implantation, and to determine whether reliance on biometry and automated keratometry alone provides sufficient diagnostic accuracy.",
        "Setting": "Ophthalmology Department, Wolfson Medical Center, Israel",
        "Methods": "A retrospective review was conducted on patients referred for preoperative evaluation to determine suitability for toric IOL implantation. Demographics, ocular history, and diagnostic parameters were analyzed. Preoperative measurements included biometry, automated keratometry, and corneal tomography. The final decision regarding toric IOL implantation was compared with and without the added diagnostic input of corneal tomography, with emphasis on cases where tomography altered clinical decision‑making.",
        "Results": "Thirty‑six eyes were included. Twenty‑seven eyes (77.14%) ultimately underwent toric IOL implantation. Consistent keratometric measurements across biometry and automated keratometry were observed in 25 eyes (69.44%); in these cases, corneal tomography did not alter the surgical plan. Two eyes (5.56%) were excluded from toric IOL implantation based solely on tomography findings, both exhibited pre‑tomography keratometric variability and were later diagnosed with irregular astigmatism. Eight eyes (22.22%) demonstrated irregular astigmatism on mapping but with sufficient regularity to still justify toric IOL selection.",
        "Conclusions": "In patients without prior ocular pathology and with consistent keratometric values across devices, routine corneal tomography may not be essential for determining toric IOL eligibility. Tomography remains valuable and should be selectively employed in cases with inter‑device measurement inconsistencies, suspected irregular astigmatism, or a complex ocular history."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCAT645",
      "abstract_number": "POCAT645",
      "title": "Comparative Study Of Rotational Stability And Clinical Outcomes Between Intensity Toric And Eyhance Toric Iols Using A Digital Marker System",
      "authors": "Dr Dae Gyu Lee",
      "presenter": "Dr Dae Gyu Lee",
      "normalized_authors": [
        "Dae Gyu Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dae Gyu Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate and compare the rotational stability and visual outcomes of two different toric intraocular lenses (IOLs): the five-haptic continuous range of vision IOL (Intensity Toric, Hanita) and the monofocal IOL with extended depth of focus (Eyhance Toric, Johnson & Johnson).",
        "Setting": "Yonsei Chang Eye Clinic, Seoul, South Korea.",
        "Methods": "This retrospective study included 60 eyes of 60 patients undergoing uncomplicated cataract surgery with toric IOL implantation. Thirty eyes received the Intensity Toric IOL and 30 eyes received the Eyhance Toric IOL. All surgeries were performed by a single experienced surgeon using a digital image-guided alignment system (Callisto Eye) to ensure precise axis placement. Preoperative biometry and keratometry were obtained for toric power calculation. The primary outcome was absolute IOL rotation at 3 months, and secondary outcomes included uncorrected distance visual acuity and residual refractive cylinder. Independent t-tests were used for statistical comparisons.",
        "Results": "At 3 months postoperatively, the mean absolute IOL rotation was 6.50 ± 1.14° in the Intensity group and 5.80 ± 1.46° in the Eyhance group, showing no statistically significant difference (p=0.42). In both groups, most eyes remained within clinically acceptable rotational limits, and no case required secondary repositioning. Mean uncorrected distance visual acuity was 1.04 ± 0.27 (decimal) in the Intensity group (approximately 20/20 Snellen)and 1.00 ± 0.14(20/20 Snellen) in the Eyhance group (p=0.78), demonstrating comparable visual recovery. The mean residual refractive cylinder was approximately 0.25 D in both groups. No significant IOL tilt, decentration, or vision-threatening complications were observed during follow-up.",
        "Conclusions": "Both Intensity Toric and Eyhance Toric IOLs demonstrated excellent rotational stability and highly predictable refractive outcomes at 3 months after cataract surgery. No statistically significant differences were observed in mean IOL rotation, uncorrected distance visual acuity, or residual astigmatism between the two platforms. The five-haptic design of the Intensity Toric lens provided stable capsular fixation comparable to the established Tecnis-based Eyhance system when combined with precise digital intraoperative alignment. These findings indicate that both IOLs are reliable options for astigmatism correction in routine cataract surgery and highlight the critical role of image-guided systems in achieving optimal toric performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both Intensity Toric and Eyhance Toric IOLs demonstrated excellent rotational stability and highly predictable refractive outcomes at 3 months after cataract surgery. No statistically significant differences were observed in mean IOL rotation, uncorrected distance visual acuity, or residual astigmatism between the two platforms. The five-haptic design of the Intensity Toric lens provided stable capsular fixation…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 681,
      "source_fields": {
        "Abstract Final Identifier": "POCAT645",
        "Title": "Comparative Study Of Rotational Stability And Clinical Outcomes Between Intensity Toric And Eyhance Toric Iols Using A Digital Marker System",
        "Presenting Author(s)": "Dr Dae Gyu Lee",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Dae Gyu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate and compare the rotational stability and visual outcomes of two different toric intraocular lenses (IOLs): the five-haptic continuous range of vision IOL (Intensity Toric, Hanita) and the monofocal IOL with extended depth of focus (Eyhance Toric, Johnson & Johnson).",
        "Setting": "Yonsei Chang Eye Clinic, Seoul, South Korea.",
        "Methods": "This retrospective study included 60 eyes of 60 patients undergoing uncomplicated cataract surgery with toric IOL implantation. Thirty eyes received the Intensity Toric IOL and 30 eyes received the Eyhance Toric IOL. All surgeries were performed by a single experienced surgeon using a digital image-guided alignment system (Callisto Eye) to ensure precise axis placement. Preoperative biometry and keratometry were obtained for toric power calculation. The primary outcome was absolute IOL rotation at 3 months, and secondary outcomes included uncorrected distance visual acuity and residual refractive cylinder. Independent t-tests were used for statistical comparisons.",
        "Results": "At 3 months postoperatively, the mean absolute IOL rotation was 6.50 ± 1.14° in the Intensity group and 5.80 ± 1.46° in the Eyhance group, showing no statistically significant difference (p=0.42). In both groups, most eyes remained within clinically acceptable rotational limits, and no case required secondary repositioning. Mean uncorrected distance visual acuity was 1.04 ± 0.27 (decimal) in the Intensity group (approximately 20/20 Snellen)and 1.00 ± 0.14(20/20 Snellen) in the Eyhance group (p=0.78), demonstrating comparable visual recovery. The mean residual refractive cylinder was approximately 0.25 D in both groups. No significant IOL tilt, decentration, or vision-threatening complications were observed during follow-up.",
        "Conclusions": "Both Intensity Toric and Eyhance Toric IOLs demonstrated excellent rotational stability and highly predictable refractive outcomes at 3 months after cataract surgery. No statistically significant differences were observed in mean IOL rotation, uncorrected distance visual acuity, or residual astigmatism between the two platforms. The five-haptic design of the Intensity Toric lens provided stable capsular fixation comparable to the established Tecnis-based Eyhance system when combined with precise digital intraoperative alignment. These findings indicate that both IOLs are reliable options for astigmatism correction in routine cataract surgery and highlight the critical role of image-guided systems in achieving optimal toric performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCAT646",
      "abstract_number": "POCAT646",
      "title": "Comparative Accuracy Of Argos Digital Marking And Manual Marking For Toric Iol Alignment: Updated Results",
      "authors": "Dr Yi Hsuan Li",
      "presenter": "Dr Yi Hsuan Li",
      "normalized_authors": [
        "Yi Hsuan Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yi-Hsuan Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To compare the accuracy of toric intraocular lens (IOL) axis alignment using digital marking guided by the ARGOS biometer versus conventional manual marking in cataract surgery.",
        "Setting": "Accurate alignment of toric IOLs is critical for optimal astigmatism correction. Previous studies have suggested that image-guided digital marking systems (e.g., CALLISTO eye or VERION) provide better axis alignment than manual marking. This study evaluates the accuracy of toric IOL alignment using ARGOS-based digital marking compared with manual marking techniques.",
        "Methods": "This prospective randomized study included patients undergoing cataract surgery with pre-existing corneal astigmatism of 0.75 ~ 4.0 diopters. Patients were randomly assigned to either a digital marking group or a manual marking group. In the digital group, toric IOL alignment was guided using the ARGOS biometer integrated with a digital marker microscope system (VERION). In the manual group, the intended axis was marked at the slit lamp preoperatively and used for intraoperative alignment. Primary outcomes included axis misalignment at pre-op vs. post-op 1 month for both groups.. Secondary outcomes included uncorrected distance visual acuity (UCDVA) and residual refractive astigmatism at 1 month postoperatively.",
        "Results": "The results included 60 eyes (30 digital, 30 manual). Baseline demographic and preoperative characteristics were comparable between the two groups, including age, axial length, preoperative spherical equivalent, corneal astigmatism, and visual acuity (all p > 0.05). On postoperative day 1, mean axis misalignment was significantly lower in the digital group compared with the manual group (2.57 ± 2.86° vs. 4.38 ± 2.28°, p < 0.05). A similar difference was observed at postoperative day 30 (2.82 ± 2.37° vs. 4.45 ± 2.41°, p < 0.05). At 1 month, residual refractive astigmatism was −0.48 ± 0.28D in the digital group and −0.41 ± 0.23 D in the manual group, with no statistically significant difference (p = 0.261).",
        "Conclusions": "ARGOS-guided digital marking achieved more accurate toric IOL axis alignment than manual marking on post-op day 1 and day 30. However, short-term refractive outcomes were comparable between the two techniques."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ARGOS-guided digital marking achieved more accurate toric IOL axis alignment than manual marking on post-op day 1 and day 30. However, short-term refractive outcomes were comparable between the two techniques.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 682,
      "source_fields": {
        "Abstract Final Identifier": "POCAT646",
        "Title": "Comparative Accuracy Of Argos Digital Marking And Manual Marking For Toric Iol Alignment: Updated Results",
        "Presenting Author(s)": "Dr Yi Hsuan Li",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Yi-Hsuan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "Taiwan",
        "Purpose": "To compare the accuracy of toric intraocular lens (IOL) axis alignment using digital marking guided by the ARGOS biometer versus conventional manual marking in cataract surgery.",
        "Setting": "Accurate alignment of toric IOLs is critical for optimal astigmatism correction. Previous studies have suggested that image-guided digital marking systems (e.g., CALLISTO eye or VERION) provide better axis alignment than manual marking. This study evaluates the accuracy of toric IOL alignment using ARGOS-based digital marking compared with manual marking techniques.",
        "Methods": "This prospective randomized study included patients undergoing cataract surgery with pre-existing corneal astigmatism of 0.75 ~ 4.0 diopters. Patients were randomly assigned to either a digital marking group or a manual marking group. In the digital group, toric IOL alignment was guided using the ARGOS biometer integrated with a digital marker microscope system (VERION). In the manual group, the intended axis was marked at the slit lamp preoperatively and used for intraoperative alignment. Primary outcomes included axis misalignment at pre-op vs. post-op 1 month for both groups.. Secondary outcomes included uncorrected distance visual acuity (UCDVA) and residual refractive astigmatism at 1 month postoperatively.",
        "Results": "The results included 60 eyes (30 digital, 30 manual). Baseline demographic and preoperative characteristics were comparable between the two groups, including age, axial length, preoperative spherical equivalent, corneal astigmatism, and visual acuity (all p > 0.05). On postoperative day 1, mean axis misalignment was significantly lower in the digital group compared with the manual group (2.57 ± 2.86° vs. 4.38 ± 2.28°, p < 0.05). A similar difference was observed at postoperative day 30 (2.82 ± 2.37° vs. 4.45 ± 2.41°, p < 0.05). At 1 month, residual refractive astigmatism was −0.48 ± 0.28D in the digital group and −0.41 ± 0.23 D in the manual group, with no statistically significant difference (p = 0.261).",
        "Conclusions": "ARGOS-guided digital marking achieved more accurate toric IOL axis alignment than manual marking on post-op day 1 and day 30. However, short-term refractive outcomes were comparable between the two techniques."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POCAT647",
      "abstract_number": "POCAT647",
      "title": "Visual And Refractive Outcomes Of Toric Intraocular Lens Implantation In Keratoconus And Post-Keratoplasty Eyes Undergoing Cataract Surgery",
      "authors": "Dr Jabelle (Siyuan) Lu",
      "presenter": "Dr Jabelle (Siyuan) Lu",
      "normalized_authors": [
        "Jabelle (Siyuan) Lu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jabelle Lu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "New Zealand",
      "sections": {
        "Purpose": "Keratoconus and prior corneal transplantation are associated with high and often irregular corneal astigmatism, posing challenges for achieving optimal refractive outcomes during cataract surgery. Toric intraocular lenses (IOLs) are increasingly used to address this orthogonal astigmatism, however, outcomes in keratoconic and post-keratoplasty eyes remain underexplored. This study evaluates visual and refractive outcomes following toric IOL implantation during cataract surgery in patients with keratoconus or prior keratoplasty in New Zealand, where keratoconus prevalence is among the highest reported worldwide, particularly among Māori and Pacific populations.",
        "Setting": "Tertiary ophthalmology centre in Auckland, New Zealand.",
        "Methods": "A retrospective review of eyes with keratoconus or prior penetrating keratoplasty that underwent phacoemulsification cataract surgery with toric IOL implantation between March 2007 and September 2025. Data collected included demographics, corneal diagnosis, IOL model and toric power, pre- and postoperative visual acuity, refractive outcomes, residual astigmatism, rotational stability, and surgical complications. Outcomes were analysed using descriptive and comparative statistical methods.",
        "Results": "Sixty-two eyes were included. Mean age at time of cataract surgery was 59.8 years (± 14.2). The mean IOL cylinder power used was 4.84 ± 2.97 D. The corrected distance visual acuity (CDVA) improved significantly from 0.54 ± 0.49 logMAR preoperatively to 0.14 ± 0.16 logMAR on the last follow-up ( P < 0.1). The mean refractive spherical equivalent also decreased from -2.42 ± 4.92 D to -0.31 ± 3.15 D ( P < 0.1), and mean refractive astigmatism decreased from -3.89 ± 3.15 D to -1.48 ±1.46 D ( P < 0.1). Rotational stability was favourable with no IOL requiring postoperative realignment. Except for 1 eye where zonular dehiscence was documented, no eye had intraoperative or postoperative complications.",
        "Conclusions": "Toric IOL implantation provides meaningful visual and refractive improvement in keratoconic and post-keratoplasty eyes undergoing cataract surgery. These findings support the use of toric lenses as a viable option for managing corneal astigmatism in carefully selected patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IOL implantation provides meaningful visual and refractive improvement in keratoconic and post-keratoplasty eyes undergoing cataract surgery. These findings support the use of toric lenses as a viable option for managing corneal astigmatism in carefully selected patients.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 683,
      "source_fields": {
        "Abstract Final Identifier": "POCAT647",
        "Title": "Visual And Refractive Outcomes Of Toric Intraocular Lens Implantation In Keratoconus And Post-Keratoplasty Eyes Undergoing Cataract Surgery",
        "Presenting Author(s)": "Dr Jabelle (Siyuan) Lu",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Jabelle",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lu",
        "Country Name": "New Zealand",
        "Purpose": "Keratoconus and prior corneal transplantation are associated with high and often irregular corneal astigmatism, posing challenges for achieving optimal refractive outcomes during cataract surgery. Toric intraocular lenses (IOLs) are increasingly used to address this orthogonal astigmatism, however, outcomes in keratoconic and post-keratoplasty eyes remain underexplored. This study evaluates visual and refractive outcomes following toric IOL implantation during cataract surgery in patients with keratoconus or prior keratoplasty in New Zealand, where keratoconus prevalence is among the highest reported worldwide, particularly among Māori and Pacific populations.",
        "Setting": "Tertiary ophthalmology centre in Auckland, New Zealand.",
        "Methods": "A retrospective review of eyes with keratoconus or prior penetrating keratoplasty that underwent phacoemulsification cataract surgery with toric IOL implantation between March 2007 and September 2025. Data collected included demographics, corneal diagnosis, IOL model and toric power, pre- and postoperative visual acuity, refractive outcomes, residual astigmatism, rotational stability, and surgical complications. Outcomes were analysed using descriptive and comparative statistical methods.",
        "Results": "Sixty-two eyes were included. Mean age at time of cataract surgery was 59.8 years (± 14.2). The mean IOL cylinder power used was 4.84 ± 2.97 D. The corrected distance visual acuity (CDVA) improved significantly from 0.54 ± 0.49 logMAR preoperatively to 0.14 ± 0.16 logMAR on the last follow-up ( P < 0.1). The mean refractive spherical equivalent also decreased from -2.42 ± 4.92 D to -0.31 ± 3.15 D ( P < 0.1), and mean refractive astigmatism decreased from -3.89 ± 3.15 D to -1.48 ±1.46 D ( P < 0.1). Rotational stability was favourable with no IOL requiring postoperative realignment. Except for 1 eye where zonular dehiscence was documented, no eye had intraoperative or postoperative complications.",
        "Conclusions": "Toric IOL implantation provides meaningful visual and refractive improvement in keratoconic and post-keratoplasty eyes undergoing cataract surgery. These findings support the use of toric lenses as a viable option for managing corneal astigmatism in carefully selected patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCAT648",
      "abstract_number": "POCAT648",
      "title": "Achieving Astigmatism Correction In The Nhs: Visual, Refractive And Patient-Reported Outcome Measures In A High-Volume Cataract Service",
      "authors": "Dr Akshay Narayan",
      "presenter": "Dr Akshay Narayan",
      "normalized_authors": [
        "Akshay Narayan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akshay Narayan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Toric intraocular lenses (IOLs) offer the unique opportunity to correct pre-existing corneal astigmatism during cataract surgery and enable patients to achieve emmetropia and reduce spectacle dependence. Despite these known benefits, toric IOLs are still not widely used in the public healthcare system with only very few units across the UK routinely using them. Furthermore, there is limited literature on their impact on patient-reported outcome measures (PROMs). The main aim of our study was to assess the visual, refractive and visual function outcomes in this cohort using the Cat-PROM5 questionnaire, administered by Dora, a novel artificial intelligence–based conversational agent.",
        "Setting": "Stoke Mandeville NHS Foundation Trust, Aylesbury, United Kingdom",
        "Methods": "This retrospective observational case series included all patients undergoing routine cataract surgery with toric IOL implantation at Stoke Mandeville Hospital, UK between March 2024 and May 2025. Eligible patients were identified from MediSite and cross-referenced with those who had completed both pre- and post-operative calls via Dora. The pre-operative assessment was conducted 1–2 weeks before surgery and post-operative follow-up approximately 12 weeks after surgery. Dora administered the Cat-PROM5 survey adapted for voice conversation to evaluate subjective visual function before and after surgery. The main outcome measures were visual, including vision and refraction, and CAT-PROM5 scores.",
        "Results": "A total of 5722 cataract surgeries were performed during the study period and 642 utilised toric IOLs . 73 eyes from 53 patients that had vision, refractive and visual function outcomes were included. The mean pre-op corneal astigmatism was 2.04±0.93D. A paired t-test demonstrated that there was a significant improvement in BCVA from 0.30±0.15 logMAR pre-operatively to 0.11±0.02 logMAR post-operatively (p<0.0001). The mean post-op residual astigmatism was 0.73D and the mean absolute deviation from predicted spherical equivalent was 0.10 D. There was also a significant improvement in Cat-PROM5 score from 50.5±14.0 pre-operatively to 74.7±18.8 post-operatively (p<0.0001).",
        "Conclusions": "Routine use of toric IOLs in a high-volume NHS setting yields good improvement in vision and effective reduction in astigmatism. Patients also experienced perceivable improvement in subjective vision following toric IOL implantation. By offering NHS patients with high pre-existing corneal astigmatism toric IOLs, units may able to offer superior visual, refractive and visual function outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Routine use of toric IOLs in a high-volume NHS setting yields good improvement in vision and effective reduction in astigmatism. Patients also experienced perceivable improvement in subjective vision following toric IOL implantation. By offering NHS patients with high pre-existing corneal astigmatism toric IOLs, units may able to offer superior visual, refractive and visual function outcomes.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 684,
      "source_fields": {
        "Abstract Final Identifier": "POCAT648",
        "Title": "Achieving Astigmatism Correction In The Nhs: Visual, Refractive And Patient-Reported Outcome Measures In A High-Volume Cataract Service",
        "Presenting Author(s)": "Dr Akshay Narayan",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Akshay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Narayan",
        "Country Name": "United Kingdom",
        "Purpose": "Toric intraocular lenses (IOLs) offer the unique opportunity to correct pre-existing corneal astigmatism during cataract surgery and enable patients to achieve emmetropia and reduce spectacle dependence. Despite these known benefits, toric IOLs are still not widely used in the public healthcare system with only very few units across the UK routinely using them. Furthermore, there is limited literature on their impact on patient-reported outcome measures (PROMs). The main aim of our study was to assess the visual, refractive and visual function outcomes in this cohort using the Cat-PROM5 questionnaire, administered by Dora, a novel artificial intelligence–based conversational agent.",
        "Setting": "Stoke Mandeville NHS Foundation Trust, Aylesbury, United Kingdom",
        "Methods": "This retrospective observational case series included all patients undergoing routine cataract surgery with toric IOL implantation at Stoke Mandeville Hospital, UK between March 2024 and May 2025. Eligible patients were identified from MediSite and cross-referenced with those who had completed both pre- and post-operative calls via Dora. The pre-operative assessment was conducted 1–2 weeks before surgery and post-operative follow-up approximately 12 weeks after surgery. Dora administered the Cat-PROM5 survey adapted for voice conversation to evaluate subjective visual function before and after surgery. The main outcome measures were visual, including vision and refraction, and CAT-PROM5 scores.",
        "Results": "A total of 5722 cataract surgeries were performed during the study period and 642 utilised toric IOLs . 73 eyes from 53 patients that had vision, refractive and visual function outcomes were included. The mean pre-op corneal astigmatism was 2.04±0.93D. A paired t-test demonstrated that there was a significant improvement in BCVA from 0.30±0.15 logMAR pre-operatively to 0.11±0.02 logMAR post-operatively (p<0.0001). The mean post-op residual astigmatism was 0.73D and the mean absolute deviation from predicted spherical equivalent was 0.10 D. There was also a significant improvement in Cat-PROM5 score from 50.5±14.0 pre-operatively to 74.7±18.8 post-operatively (p<0.0001).",
        "Conclusions": "Routine use of toric IOLs in a high-volume NHS setting yields good improvement in vision and effective reduction in astigmatism. Patients also experienced perceivable improvement in subjective vision following toric IOL implantation. By offering NHS patients with high pre-existing corneal astigmatism toric IOLs, units may able to offer superior visual, refractive and visual function outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "POCAT649",
      "abstract_number": "POCAT649",
      "title": "Accuracy Of Toric Intraocular Lens Axis Marking Preoperatively Using Slit Lamp Method",
      "authors": "Dr Hosdurga Vijaya Pai",
      "presenter": "Dr Hosdurga Vijaya Pai",
      "normalized_authors": [
        "Hosdurga Vijaya Pai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hosdurga Vijaya Pai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Toric intraocular lenses are used to correct preop astigmatism. Accurate marking of the axis of IOL placement is important. There are various methods available to mark the toric axis. Simplest being bubble marker, slit lamp to advance technologies like Varion.",
        "Setting": "Retrospective analysis of patients who had toric IOL implanted during the period September 2024 to December 2025 operated by the presenting author, Coauthor .",
        "Methods": "We collected the data of the patients who had toric IOL implanted during the period-2024 to 2025. In all the patient's toric axis was marked by making the patient sit in front of slitlamp. With the slit beam in horizontal orientation, 0–180-degree axis was marked. Then the slit beam was rotated to 90 degrees, and 90-degree axis was marked. A Mobile app, was used to measure the accuracy of toric marking, and the desired axis of the toric IOL was recalculated depending on the rotation of the camera. All patients undrwent standard phacoemulsification with temporal clear corneal incision. Toric IOL was positioned along the axis which was marked using the slit lamp before the surgery.",
        "Results": "A total of 41 patients were included in the study. Preop astigmatism varied from 0.75to 2.5 D. Against-the-rule astigmatism was the most common type, seen in 20 eyes (48.8%), followed by with-the-rule astigmatism in 14 eyes (34.1%) and oblique astigmatism in 7 eyes (17.1%). Monofocal intraocular lenses were implanted in 19 eyes (46.3%), while EDOF and multifocal intraocular lenses were each implanted in 11 eyes (26.8%). 4 patients had capsular tension ring inserted, 2 patients underwent Kahook dual blade goniotomy as additional procedures. Post op residual astigmatism was negligible. All the pts had post op visual acuity of 6/6 at 6 weeks postop. No patient needed repeat intervention to re-position the IOL.",
        "Conclusions": "Slit lamp is a useful and less expensive tool to mark the axis of toric IOL preoperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Slit lamp is a useful and less expensive tool to mark the axis of toric IOL preoperatively.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 685,
      "source_fields": {
        "Abstract Final Identifier": "POCAT649",
        "Title": "Accuracy Of Toric Intraocular Lens Axis Marking Preoperatively Using Slit Lamp Method",
        "Presenting Author(s)": "Dr Hosdurga Vijaya Pai",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Hosdurga Vijaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pai",
        "Country Name": "India",
        "Purpose": "Toric intraocular lenses are used to correct preop astigmatism. Accurate marking of the axis of IOL placement is important. There are various methods available to mark the toric axis. Simplest being bubble marker, slit lamp to advance technologies like Varion.",
        "Setting": "Retrospective analysis of patients who had toric IOL implanted during the period September 2024 to December 2025 operated by the presenting author, Coauthor .",
        "Methods": "We collected the data of the patients who had toric IOL implanted during the period-2024 to 2025. In all the patient's toric axis was marked by making the patient sit in front of slitlamp. With the slit beam in horizontal orientation, 0–180-degree axis was marked. Then the slit beam was rotated to 90 degrees, and 90-degree axis was marked. A Mobile app, was used to measure the accuracy of toric marking, and the desired axis of the toric IOL was recalculated depending on the rotation of the camera. All patients undrwent standard phacoemulsification with temporal clear corneal incision. Toric IOL was positioned along the axis which was marked using the slit lamp before the surgery.",
        "Results": "A total of 41 patients were included in the study. Preop astigmatism varied from 0.75to 2.5 D. Against-the-rule astigmatism was the most common type, seen in 20 eyes (48.8%), followed by with-the-rule astigmatism in 14 eyes (34.1%) and oblique astigmatism in 7 eyes (17.1%). Monofocal intraocular lenses were implanted in 19 eyes (46.3%), while EDOF and multifocal intraocular lenses were each implanted in 11 eyes (26.8%). 4 patients had capsular tension ring inserted, 2 patients underwent Kahook dual blade goniotomy as additional procedures. Post op residual astigmatism was negligible. All the pts had post op visual acuity of 6/6 at 6 weeks postop. No patient needed repeat intervention to re-position the IOL.",
        "Conclusions": "Slit lamp is a useful and less expensive tool to mark the axis of toric IOL preoperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCAT650",
      "abstract_number": "POCAT650",
      "title": "Vital: “Visual Improvement With Toric Asymmetrical Lenses”",
      "authors": "Dr Leon Pomberger",
      "presenter": "Dr Leon Pomberger",
      "normalized_authors": [
        "Leon Pomberger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leon Pomberger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the feasibility and clinical performance of a new customized toric asymmetrical intraocular lens (IOL) concept for the correction of irregular corneal astigmatism in cataract surgery. In addition, the consistency between different diagnostic platforms (CASIA2, MS-39, Pentacam, ANTERION, IOLMaster 700) in cases of irregular astigmatism will be investigated.",
        "Setting": "Department of Ophthalmology, Johannes Kepler University and Kepler University Clinic Linz, Austria",
        "Methods": "This prospective, monocentric pilot study (planned n=15) includes cataract patients with total corneal astigmatism ≥1.75 D and ≥0.75 D of asymmetry or higher-order irregularity within the 6-mm zone of the total corneal refractive map (CASIA2). Patients undergo standard phacoemulsification with in-the-bag implantation of an individualized toric asymmetric IOL (AMILens Individual). Examinations are performed preoperatively and at 1 and 4–8 weeks postoperatively, including UDVA, BCDVA, slit-lamp examination, and VA-OCT imaging (CASIA2, MS-39, Pentacam, ANTERION, IOLMaster 700). The primary endpoint is the change in total corneal astigmatism from baseline to 4–8 weeks postoperatively.",
        "Results": "So far, five patients have been recruited. However, no postoperative data are available at the moment of submission. Of the recruited patients, two have stable keratoconus, two are status post PKP, and one has irregular astigmatism after pterygium excision. The mean preoperative UDVA is 0.4 logMAR, and the mean BCDVA is 0.2 logMAR. The mean total preoperative astigmatism is 4.75 dpt. The mean asymmetry, based on the Fourier analysis of CASIA 2 data, is 1.99dpt in the 3mm zone and 2.87dpt in the 6mm zone. Detailed postoperative results including UDVA and BCDVA of the complete cohort will be presented in September at the ESCRS Congress.",
        "Conclusions": "We assume that the implantation of a customized toric asymmetric IOL in eyes with irregular corneal astigmatism leads to a clinically relevant reduction in astigmatism and a functional improvement in uncorrected visual acuity. The complete data will be presented at the ESCRS Congress in September."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We assume that the implantation of a customized toric asymmetric IOL in eyes with irregular corneal astigmatism leads to a clinically relevant reduction in astigmatism and a functional improvement in uncorrected visual acuity. The complete data will be presented at the ESCRS Congress in September.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 686,
      "source_fields": {
        "Abstract Final Identifier": "POCAT650",
        "Title": "Vital: “Visual Improvement With Toric Asymmetrical Lenses”",
        "Presenting Author(s)": "Dr Leon Pomberger",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Leon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pomberger",
        "Country Name": "Austria",
        "Purpose": "To evaluate the feasibility and clinical performance of a new customized toric asymmetrical intraocular lens (IOL) concept for the correction of irregular corneal astigmatism in cataract surgery. In addition, the consistency between different diagnostic platforms (CASIA2, MS-39, Pentacam, ANTERION, IOLMaster 700) in cases of irregular astigmatism will be investigated.",
        "Setting": "Department of Ophthalmology, Johannes Kepler University and Kepler University Clinic Linz, Austria",
        "Methods": "This prospective, monocentric pilot study (planned n=15) includes cataract patients with total corneal astigmatism ≥1.75 D and ≥0.75 D of asymmetry or higher-order irregularity within the 6-mm zone of the total corneal refractive map (CASIA2). Patients undergo standard phacoemulsification with in-the-bag implantation of an individualized toric asymmetric IOL (AMILens Individual). Examinations are performed preoperatively and at 1 and 4–8 weeks postoperatively, including UDVA, BCDVA, slit-lamp examination, and VA-OCT imaging (CASIA2, MS-39, Pentacam, ANTERION, IOLMaster 700). The primary endpoint is the change in total corneal astigmatism from baseline to 4–8 weeks postoperatively.",
        "Results": "So far, five patients have been recruited. However, no postoperative data are available at the moment of submission. Of the recruited patients, two have stable keratoconus, two are status post PKP, and one has irregular astigmatism after pterygium excision. The mean preoperative UDVA is 0.4 logMAR, and the mean BCDVA is 0.2 logMAR. The mean total preoperative astigmatism is 4.75 dpt. The mean asymmetry, based on the Fourier analysis of CASIA 2 data, is 1.99dpt in the 3mm zone and 2.87dpt in the 6mm zone. Detailed postoperative results including UDVA and BCDVA of the complete cohort will be presented in September at the ESCRS Congress.",
        "Conclusions": "We assume that the implantation of a customized toric asymmetric IOL in eyes with irregular corneal astigmatism leads to a clinically relevant reduction in astigmatism and a functional improvement in uncorrected visual acuity. The complete data will be presented at the ESCRS Congress in September."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POCAT651",
      "abstract_number": "POCAT651",
      "title": "Clinical Evaluation Of The Performance Of A New Toric Partial Range Of Field Intraocular Lens",
      "authors": "Josefina Reñones De Abajo",
      "presenter": "Josefina Reñones De Abajo",
      "normalized_authors": [
        "Josefina Reñones De Abajo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Josefina Reñones De Abajo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate prospectively visual, refractive, defocus curve, rotational stability and patient’s satisfaction outcomes following cataract surgery with implantation of a new toric partial range of field (PRoF) intraocular lens (IOL).",
        "Setting": "Vithas Eurocanarias Instituto Oftalmologico. Las Palmas de Gran Canaria. Spain",
        "Methods": "Single-center observational longitudinal prospective study including 34 patients undergoing bilateral cataract surgery with implantation of the PRoF IOL Bi-Flex ELON toric POB-MA 877PEY (Medicontur Medical Engineering Ltd). Monocular visual acuity, refraction, monocular defocus curve, IOL rotational stability and patient’s satisfaction (Catquest 9SF questionnaire) were evaluated during a 3-month follow-up.",
        "Results": "All eyes had a spherical equivalent within ±1.00 D, and 91% a residual cylinder ≤0.50 D Mean 3-month postoperative uncorrected distance (UDVA), intermediate (UIVA) and near visual acuity (UNVA) of 0.13±0.12, 0.19±0.12, and 0.37±0.16 logMAR, respectively. Mean 3-month corrected distance (CDVA), intermediate (DCIVA) and near visual acuity (DCNVA) of 0.08±0.11, 0.24±0.14, and 0.44±0.18 logMAR were found. Distance-corrected visual acuity ≤0.30 logMAR across defocus levels from +0.50 D to -1.50 D were found in mean defocus curve. Mean IOL rotation was 4.1°, with 91.2% of eyes showing a rotation of ≤7°. All patients reported to be satisfied with their vision. The overall mean Rasch-calibrated score was –3.31±0.94.",
        "Conclusions": "The toric model of the PRoF IOL evaluated provides effective distance and intermediate visual restoration, along with functional near vision, and high patient satisfaction associated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The toric model of the PRoF IOL evaluated provides effective distance and intermediate visual restoration, along with functional near vision, and high patient satisfaction associated.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 687,
      "source_fields": {
        "Abstract Final Identifier": "POCAT651",
        "Title": "Clinical Evaluation Of The Performance Of A New Toric Partial Range Of Field Intraocular Lens",
        "Presenting Author(s)": "Josefina Reñones De Abajo",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Josefina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reñones De Abajo",
        "Country Name": "Spain",
        "Purpose": "To evaluate prospectively visual, refractive, defocus curve, rotational stability and patient’s satisfaction outcomes following cataract surgery with implantation of a new toric partial range of field (PRoF) intraocular lens (IOL).",
        "Setting": "Vithas Eurocanarias Instituto Oftalmologico. Las Palmas de Gran Canaria. Spain",
        "Methods": "Single-center observational longitudinal prospective study including 34 patients undergoing bilateral cataract surgery with implantation of the PRoF IOL Bi-Flex ELON toric POB-MA 877PEY (Medicontur Medical Engineering Ltd). Monocular visual acuity, refraction, monocular defocus curve, IOL rotational stability and patient’s satisfaction (Catquest 9SF questionnaire) were evaluated during a 3-month follow-up.",
        "Results": "All eyes had a spherical equivalent within ±1.00 D, and 91% a residual cylinder ≤0.50 D Mean 3-month postoperative uncorrected distance (UDVA), intermediate (UIVA) and near visual acuity (UNVA) of 0.13±0.12, 0.19±0.12, and 0.37±0.16 logMAR, respectively. Mean 3-month corrected distance (CDVA), intermediate (DCIVA) and near visual acuity (DCNVA) of 0.08±0.11, 0.24±0.14, and 0.44±0.18 logMAR were found. Distance-corrected visual acuity ≤0.30 logMAR across defocus levels from +0.50 D to -1.50 D were found in mean defocus curve. Mean IOL rotation was 4.1°, with 91.2% of eyes showing a rotation of ≤7°. All patients reported to be satisfied with their vision. The overall mean Rasch-calibrated score was –3.31±0.94.",
        "Conclusions": "The toric model of the PRoF IOL evaluated provides effective distance and intermediate visual restoration, along with functional near vision, and high patient satisfaction associated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCAT652",
      "abstract_number": "POCAT652",
      "title": "Three-Month Postoperative Angular Misalignment Of A Biaspheric Trifocal Toric Intraocular Lens",
      "authors": "Dr Álvaro Sánchez-Ventosa",
      "presenter": "Dr Álvaro Sánchez-Ventosa",
      "normalized_authors": [
        "Álvaro Sánchez-Ventosa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Álvaro Sánchez-Ventosa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the angular misalignment at 3 months postoperatively relative to the intended implantation axis of the Asqelio Trifocal Toric intraocular lens (AST VisionCare).",
        "Setting": "Hospital Arruzafa, Córdoba, Spain.",
        "Methods": "Prospective study included eyes implanted with the Asqelio Trifocal Toric IOL. Preoperative biometric assessment and toric IOL planning were performed as part of routine clinical practice. Intraoperative IOL alignment was achieved using the Callisto digital image-guided system, and the implantation axis was recorded as the intended axis. At 3 months postoperatively, manifest refraction was obtained and IOL axis orientation was assessed using Pentacam retroillumination. Angular misalignment was defined as the minimal absolute angular difference between the intended intraoperative axis and the axis measured at 3 months. As immediate postoperative axis measurements were not available, true postoperative rotation could not be directly assessed.",
        "Results": "47 patients, 22 men and 24 women. Retroillumination-based measurements of IOL axis orientation at 3 months were available in 51 eyes. Mean absolute angular misalignment was 4.4±4.0°, with a median value of 3.0°, indicating a generally small deviation from the intended implantation axis. Approximately half of the eyes exhibited an angular misalignment of ≤3°, while most remained within a low misalignment range. A limited number of eyes showed higher angular deviations, contributing to the observed variability. Mean residual refractive cylinder at 3 months was - 0.14±0.29 D. A total of 91.2% of eyes achieved a residual refractive cylinder of ≤0.50 D, and 98.5% achieved ≤1.00 D, consistent with the low angular misalignment observed at 3 months",
        "Conclusions": "Asqelio Trifocal Toric IOL demonstrated a low degree of angular misalignment from intended implantation axis at 3 months postoperatively. Although true rotational stability cannot be inferred due to the lack of immediate postoperative measurements, the limited angular misalignment observed was associated with excellent refractive astigmatic outcomes.\n\nFinancial Disclosure: The authors have no financial or proprietary interest in any material or method mentioned"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Asqelio Trifocal Toric IOL demonstrated a low degree of angular misalignment from intended implantation axis at 3 months postoperatively. Although true rotational stability cannot be inferred due to the lack of immediate postoperative measurements, the limited angular misalignment observed was associated with excellent refractive astigmatic outcomes. Financial Disclosure: The authors have no financial or…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 688,
      "source_fields": {
        "Abstract Final Identifier": "POCAT652",
        "Title": "Three-Month Postoperative Angular Misalignment Of A Biaspheric Trifocal Toric Intraocular Lens",
        "Presenting Author(s)": "Dr Álvaro Sánchez-Ventosa",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Álvaro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sánchez-Ventosa",
        "Country Name": "Spain",
        "Purpose": "To evaluate the angular misalignment at 3 months postoperatively relative to the intended implantation axis of the Asqelio Trifocal Toric intraocular lens (AST VisionCare).",
        "Setting": "Hospital Arruzafa, Córdoba, Spain.",
        "Methods": "Prospective study included eyes implanted with the Asqelio Trifocal Toric IOL. Preoperative biometric assessment and toric IOL planning were performed as part of routine clinical practice. Intraoperative IOL alignment was achieved using the Callisto digital image-guided system, and the implantation axis was recorded as the intended axis. At 3 months postoperatively, manifest refraction was obtained and IOL axis orientation was assessed using Pentacam retroillumination. Angular misalignment was defined as the minimal absolute angular difference between the intended intraoperative axis and the axis measured at 3 months. As immediate postoperative axis measurements were not available, true postoperative rotation could not be directly assessed.",
        "Results": "47 patients, 22 men and 24 women. Retroillumination-based measurements of IOL axis orientation at 3 months were available in 51 eyes. Mean absolute angular misalignment was 4.4±4.0°, with a median value of 3.0°, indicating a generally small deviation from the intended implantation axis. Approximately half of the eyes exhibited an angular misalignment of ≤3°, while most remained within a low misalignment range. A limited number of eyes showed higher angular deviations, contributing to the observed variability. Mean residual refractive cylinder at 3 months was - 0.14±0.29 D. A total of 91.2% of eyes achieved a residual refractive cylinder of ≤0.50 D, and 98.5% achieved ≤1.00 D, consistent with the low angular misalignment observed at 3 months",
        "Conclusions": "Asqelio Trifocal Toric IOL demonstrated a low degree of angular misalignment from intended implantation axis at 3 months postoperatively. Although true rotational stability cannot be inferred due to the lack of immediate postoperative measurements, the limited angular misalignment observed was associated with excellent refractive astigmatic outcomes.\n\nFinancial Disclosure: The authors have no financial or proprietary interest in any material or method mentioned"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "POCAT653",
      "abstract_number": "POCAT653",
      "title": "Rotational Stability And Refractive Outcomes Of A Hydrophobic Acrylic Toric Intraocular Lens With Dopple C-Loop Haptics",
      "authors": "Dr Daniel Schartmüller",
      "presenter": "Dr Daniel Schartmüller",
      "normalized_authors": [
        "Daniel Schartmüller"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Schartmüller",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To assess rotational stability and refractive outcomes of a toric hydrophobic acrylic intraocular lens (TIOL) with double C-loop haptics.",
        "Setting": "Prospective, single center, clinical study at the Medical University of Vienna",
        "Methods": "A total of 41 eyes of 26 patients with age-related cataract and total corneal astigmatism of greater than 1.0 diopters (D) received a hydrophobic acrylic toric PODEYE IOL (BVI Medical, Inc, USA). Baseline measurement for rotational stability evaluation was performed at the end of surgery (EOS), with the patient still supine on the operating table, using non-movable vessels as reference landmarks. Postoperative retroillumination pictures were taken at 1 h, 1 week, 1 month and 4-6 months postoperatively. In case of severe rotation necessitating secondary re-rotation of the TIOL, the last observation was carried forward to the overall result. Subjective manifest refraction was assessed at the 6 months follow-up visit.",
        "Results": "Mean absolute rotation from EOS to 6 months was 1.44 ± 2.03 [0.09;24.51] degrees. Rotational stability values from EOS to 1 h, 1 h to 1 week, 1 week to 1 month and 1 month to 6 months were 1.86 ± 4.06 [0.02;24.51], 0.36 ± 0.36 [0.01;1.57], 0.34 ± 0.32 [0.01;1.35] and 0.32 ± 0.27 [0.00;1.38] degrees. Mean preoperative corneal astigmatism was 1.53 ± 0.64 [1.03;4.17] Diopters (D) and changed to a mean postoperative refractive astigmatism of 0.18 ± 0.20 [0.00;0,75] D at 6 months. ThreeTIOLs exhibited rotation of greater than 5° between EOS and 6 months postoperatively. One TIOL with 24.51° of rotation between EOS and 1h was rerotated 2 weeks after the primary surgery.",
        "Conclusions": "The PODEYE toric IOL demonstrated good rotational stability, with a mean absolute rotation of 1.4° between the end of surgery (EOS) and 6 months postoperatively. The majority of TIOL rotation occurred between EOS and 1 hour postoperatively, with one TIOL rotating more than 20°, requiring repositioning surgery. Refractive outcomes were satisfactory, with a mean residual refractive astigmatism of less than 0.50 D."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The PODEYE toric IOL demonstrated good rotational stability, with a mean absolute rotation of 1.4° between the end of surgery (EOS) and 6 months postoperatively. The majority of TIOL rotation occurred between EOS and 1 hour postoperatively, with one TIOL rotating more than 20°, requiring repositioning surgery. Refractive outcomes were satisfactory, with a mean residual refractive astigmatism of less than 0.50 D.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 689,
      "source_fields": {
        "Abstract Final Identifier": "POCAT653",
        "Title": "Rotational Stability And Refractive Outcomes Of A Hydrophobic Acrylic Toric Intraocular Lens With Dopple C-Loop Haptics",
        "Presenting Author(s)": "Dr Daniel Schartmüller",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schartmüller",
        "Country Name": "Austria",
        "Purpose": "To assess rotational stability and refractive outcomes of a toric hydrophobic acrylic intraocular lens (TIOL) with double C-loop haptics.",
        "Setting": "Prospective, single center, clinical study at the Medical University of Vienna",
        "Methods": "A total of 41 eyes of 26 patients with age-related cataract and total corneal astigmatism of greater than 1.0 diopters (D) received a hydrophobic acrylic toric PODEYE IOL (BVI Medical, Inc, USA). Baseline measurement for rotational stability evaluation was performed at the end of surgery (EOS), with the patient still supine on the operating table, using non-movable vessels as reference landmarks. Postoperative retroillumination pictures were taken at 1 h, 1 week, 1 month and 4-6 months postoperatively. In case of severe rotation necessitating secondary re-rotation of the TIOL, the last observation was carried forward to the overall result. Subjective manifest refraction was assessed at the 6 months follow-up visit.",
        "Results": "Mean absolute rotation from EOS to 6 months was 1.44 ± 2.03 [0.09;24.51] degrees. Rotational stability values from EOS to 1 h, 1 h to 1 week, 1 week to 1 month and 1 month to 6 months were 1.86 ± 4.06 [0.02;24.51], 0.36 ± 0.36 [0.01;1.57], 0.34 ± 0.32 [0.01;1.35] and 0.32 ± 0.27 [0.00;1.38] degrees. Mean preoperative corneal astigmatism was 1.53 ± 0.64 [1.03;4.17] Diopters (D) and changed to a mean postoperative refractive astigmatism of 0.18 ± 0.20 [0.00;0,75] D at 6 months. ThreeTIOLs exhibited rotation of greater than 5° between EOS and 6 months postoperatively. One TIOL with 24.51° of rotation between EOS and 1h was rerotated 2 weeks after the primary surgery.",
        "Conclusions": "The PODEYE toric IOL demonstrated good rotational stability, with a mean absolute rotation of 1.4° between the end of surgery (EOS) and 6 months postoperatively. The majority of TIOL rotation occurred between EOS and 1 hour postoperatively, with one TIOL rotating more than 20°, requiring repositioning surgery. Refractive outcomes were satisfactory, with a mean residual refractive astigmatism of less than 0.50 D."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "POCAT654",
      "abstract_number": "POCAT654",
      "title": "Real World Outcomes Of A Diffractive Full-Range Of Field Iol With Smooth Transition In Patients With High Corneal Astigmatism",
      "authors": "Prof. Dr Thomas Kohnen",
      "presenter": "Prof. Dr Thomas Kohnen",
      "normalized_authors": [
        "Thomas Kohnen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Titus Schug",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The aim of this case series is to evaluate the real world outcomes of a diffractive full-range of field (FULL-RoF) intraocular lens (IOL) with a smooth transition in patients with high total corneal astigmatism.",
        "Setting": "D epartment of O phthalmology , Goethe Univer s ity , Frankfurt, Germany",
        "Methods": "This retrospective, monocentric case series included 32 eyes of patients with preoperative high astigmatism of 1.5 to 3.0 diopters after implantation of a toric diffractive FULL-RoF IOL with smooth transition. Inclusion criteria were a history of cataract and/or refractive surgery with implantation of the IOL with cylinder powers of 2.25, 3.00, and 3.75 diopters. Exclusion criteria were ocular pathologies or previous surgeries with potential influence on the visual acuity.",
        "Results": "23 patients (31 eyes) with a mean age of 56.0 ± 9.7 years underwent implantation of the FULL-RoF IOL. Mean spherical lens power was 18.31 ± 6.42 D with a cylinder of 3.02 ± 0.60 D. Preoperative monocular UDVA and DCVA at 4 m were 0.73 ± 0.42 and 0.16 ± 0.25 logMAR with a spherical equivalent (SE) of −1.77 ± 3.83 D and refractive cylinder of −2.26 ± 1.65 D. At 3 months, UDVA and DCVA improved to 0.05 ± 0.10 and −0.03 ± 0.06 logMAR. SE was 0.10 ± 0.29 D with residual astigmatism of −0.44 ± 0.35 D. UIVA and UNVA were 0.09 ± 0.08 and 0.18 ± 0.10 logMAR, while DCIVA and DCNVA were 0.10 ± 0.09 and 0.16 ± 0.09 logMAR.",
        "Conclusions": "Visual performance of the diffractive FULL-RoF IOL with smooth transition showed good visual acuity at all distances for patients with high total corneal astigmatism. These results are consistent with prior IOL studies with low- or non-toric FULL-RoF IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visual performance of the diffractive FULL-RoF IOL with smooth transition showed good visual acuity at all distances for patients with high total corneal astigmatism. These results are consistent with prior IOL studies with low- or non-toric FULL-RoF IOLs.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 690,
      "source_fields": {
        "Abstract Final Identifier": "POCAT654",
        "Title": "Real World Outcomes Of A Diffractive Full-Range Of Field Iol With Smooth Transition In Patients With High Corneal Astigmatism",
        "Presenting Author(s)": "Prof. Dr Thomas Kohnen",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Titus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schug",
        "Country Name": "Germany",
        "Purpose": "The aim of this case series is to evaluate the real world outcomes of a diffractive full-range of field (FULL-RoF) intraocular lens (IOL) with a smooth transition in patients with high total corneal astigmatism.",
        "Setting": "D epartment of O phthalmology , Goethe Univer s ity , Frankfurt, Germany",
        "Methods": "This retrospective, monocentric case series included 32 eyes of patients with preoperative high astigmatism of 1.5 to 3.0 diopters after implantation of a toric diffractive FULL-RoF IOL with smooth transition. Inclusion criteria were a history of cataract and/or refractive surgery with implantation of the IOL with cylinder powers of 2.25, 3.00, and 3.75 diopters. Exclusion criteria were ocular pathologies or previous surgeries with potential influence on the visual acuity.",
        "Results": "23 patients (31 eyes) with a mean age of 56.0 ± 9.7 years underwent implantation of the FULL-RoF IOL. Mean spherical lens power was 18.31 ± 6.42 D with a cylinder of 3.02 ± 0.60 D. Preoperative monocular UDVA and DCVA at 4 m were 0.73 ± 0.42 and 0.16 ± 0.25 logMAR with a spherical equivalent (SE) of −1.77 ± 3.83 D and refractive cylinder of −2.26 ± 1.65 D. At 3 months, UDVA and DCVA improved to 0.05 ± 0.10 and −0.03 ± 0.06 logMAR. SE was 0.10 ± 0.29 D with residual astigmatism of −0.44 ± 0.35 D. UIVA and UNVA were 0.09 ± 0.08 and 0.18 ± 0.10 logMAR, while DCIVA and DCNVA were 0.10 ± 0.09 and 0.16 ± 0.09 logMAR.",
        "Conclusions": "Visual performance of the diffractive FULL-RoF IOL with smooth transition showed good visual acuity at all distances for patients with high total corneal astigmatism. These results are consistent with prior IOL studies with low- or non-toric FULL-RoF IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCAT655",
      "abstract_number": "POCAT655",
      "title": "Rotational Stability Of A Monofocal Biaspheric Toric Design With Large Haptic Contact Angle: A Prospective Study",
      "authors": "Dr Santiago Tañá-Sanz",
      "presenter": "Dr Santiago Tañá-Sanz",
      "normalized_authors": [
        "Santiago Tañá-Sanz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Santiago Tañá-Sanz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the rotational stability and alignment accuracy of a monofocal biaspheric toric intraocular lens (IOL) featuring a large haptic contact angle over a 3-month follow-up. The study aimed to differentiate between primary intraoperative alignment error and true postoperative rotational change, and to quantify final misalignment relative to the intended axis after exclusion of statistical outliers.",
        "Setting": "Oftalvist clinics in Alicante, Valencia and Madrid, Spain.",
        "Methods": "Eyes undergoing cataract surgery with implantation of the Asqelio toric IOL (AST VisionCare) were evaluated at postoperative Day 1 (D1), Week 1, Month 1 and Month 3 (M3). Intended axis was obtained from the surgical plan. IOL orientation was recorded at each visit. Angular differences were calculated using minimal angular distance. Final misalignment was defined as the absolute difference between M3 axis and intended axis. Primary alignment error was defined as D1 versus intended axis and secondary rotation as D1 to M3 axis change. Visual acuity (UDVA, CDVA) and manifest refraction were assessed at each visit.",
        "Results": "Eighty-five eyes had complete D1 and M3 data. Mean final misalignment at M3 was 3.4°; 77.8% of eyes were within 5° and 96.3% within 10° of intended alignment. Primary alignment error at D1 averaged 3.9°, while true postoperative rotation from D1 to M3 averaged 1.7°, with 98.7% remaining within 5°. At M3, mean residual refractive cylinder was 0.53D, approximately 93% of eyes were within ±0.50D of target spherical equivalent and 98% within ±1.00D. Median CDVA was 0.0 logMAR.",
        "Conclusions": "The monofocal biaspheric toric IOL with large haptic contact angle demonstrated excellent rotational stability, with minimal secondary rotation over 3 months. Final axis deviation was largely attributable to initial surgical alignment rather than postoperative instability. Refractive predictability was high, with low residual astigmatism and excellent corrected visual acuity. The mechanical design appears to provide stable capsular bag fixation and reliable astigmatic correction in routine cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The monofocal biaspheric toric IOL with large haptic contact angle demonstrated excellent rotational stability, with minimal secondary rotation over 3 months. Final axis deviation was largely attributable to initial surgical alignment rather than postoperative instability. Refractive predictability was high, with low residual astigmatism and excellent corrected visual acuity. The mechanical design appears to…",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 691,
      "source_fields": {
        "Abstract Final Identifier": "POCAT655",
        "Title": "Rotational Stability Of A Monofocal Biaspheric Toric Design With Large Haptic Contact Angle: A Prospective Study",
        "Presenting Author(s)": "Dr Santiago Tañá-Sanz",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Santiago",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tañá-Sanz",
        "Country Name": "Spain",
        "Purpose": "To evaluate the rotational stability and alignment accuracy of a monofocal biaspheric toric intraocular lens (IOL) featuring a large haptic contact angle over a 3-month follow-up. The study aimed to differentiate between primary intraoperative alignment error and true postoperative rotational change, and to quantify final misalignment relative to the intended axis after exclusion of statistical outliers.",
        "Setting": "Oftalvist clinics in Alicante, Valencia and Madrid, Spain.",
        "Methods": "Eyes undergoing cataract surgery with implantation of the Asqelio toric IOL (AST VisionCare) were evaluated at postoperative Day 1 (D1), Week 1, Month 1 and Month 3 (M3). Intended axis was obtained from the surgical plan. IOL orientation was recorded at each visit. Angular differences were calculated using minimal angular distance. Final misalignment was defined as the absolute difference between M3 axis and intended axis. Primary alignment error was defined as D1 versus intended axis and secondary rotation as D1 to M3 axis change. Visual acuity (UDVA, CDVA) and manifest refraction were assessed at each visit.",
        "Results": "Eighty-five eyes had complete D1 and M3 data. Mean final misalignment at M3 was 3.4°; 77.8% of eyes were within 5° and 96.3% within 10° of intended alignment. Primary alignment error at D1 averaged 3.9°, while true postoperative rotation from D1 to M3 averaged 1.7°, with 98.7% remaining within 5°. At M3, mean residual refractive cylinder was 0.53D, approximately 93% of eyes were within ±0.50D of target spherical equivalent and 98% within ±1.00D. Median CDVA was 0.0 logMAR.",
        "Conclusions": "The monofocal biaspheric toric IOL with large haptic contact angle demonstrated excellent rotational stability, with minimal secondary rotation over 3 months. Final axis deviation was largely attributable to initial surgical alignment rather than postoperative instability. Refractive predictability was high, with low residual astigmatism and excellent corrected visual acuity. The mechanical design appears to provide stable capsular bag fixation and reliable astigmatic correction in routine cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCAT656",
      "abstract_number": "POCAT656",
      "title": "Results Following Toric Iol Implantation In Eyes With Coexisting Macular Pathologies",
      "authors": "Dr Clemens Thürridl",
      "presenter": "Dr Clemens Thürridl",
      "normalized_authors": [
        "Clemens Thürridl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clemens Thürridl",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To analyze the postoperative visual outcome of patients with macular pathologies after implantation of a toric intraocular lens (IOL).",
        "Setting": "This retrospective, monocentric study investigated patients who underwent toric IOL implantation between January 2024 and April 2025 at the Department of Ophthalmolog, at Kepler University Clinic in Linz, Austria.",
        "Methods": "Patients with macular pathologies were analyzed. Patients without any macular pathologies were used as a control group. Spectral Domain Optical Coherence Tomography (SD-OCT, Spectralis HRA+OCT, Heidelberg Engineering, Germany) was used for preoperative screening for macular diseases. Measurements were taken preoperatively and four weeks postoperatively using Biometry (IOL Master 700, Zeiss, Germany), Anterior Segment OCT (Casia 2, Tomey, Germany), autorefractometer (AR-1s, Oculus/Nidek, Germany) and subjective refraction.",
        "Results": "In total, 220 eyes from 152 patients (mean age 72,56 ± 11,51 SD) were included. Twenty-two patients (31 eyes) showed macular pathologies.. Mean preoperative visual acuity in the macular pathology group was 0.22 logMAR. Mean postoperative visual acuity was 0.13 logMAR.",
        "Conclusions": "The results suggest superiority of implanting toric IOLs in patients with astigmatism and macular disorder compared to monofocal IOLs. Therefore, toric IOLs are justified in patients with macular pathologies for correcting the additional refractive error caused by astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results suggest superiority of implanting toric IOLs in patients with astigmatism and macular disorder compared to monofocal IOLs. Therefore, toric IOLs are justified in patients with macular pathologies for correcting the additional refractive error caused by astigmatism.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 692,
      "source_fields": {
        "Abstract Final Identifier": "POCAT656",
        "Title": "Results Following Toric Iol Implantation In Eyes With Coexisting Macular Pathologies",
        "Presenting Author(s)": "Dr Clemens Thürridl",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Clemens",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Thürridl",
        "Country Name": "Austria",
        "Purpose": "To analyze the postoperative visual outcome of patients with macular pathologies after implantation of a toric intraocular lens (IOL).",
        "Setting": "This retrospective, monocentric study investigated patients who underwent toric IOL implantation between January 2024 and April 2025 at the Department of Ophthalmolog, at Kepler University Clinic in Linz, Austria.",
        "Methods": "Patients with macular pathologies were analyzed. Patients without any macular pathologies were used as a control group. Spectral Domain Optical Coherence Tomography (SD-OCT, Spectralis HRA+OCT, Heidelberg Engineering, Germany) was used for preoperative screening for macular diseases. Measurements were taken preoperatively and four weeks postoperatively using Biometry (IOL Master 700, Zeiss, Germany), Anterior Segment OCT (Casia 2, Tomey, Germany), autorefractometer (AR-1s, Oculus/Nidek, Germany) and subjective refraction.",
        "Results": "In total, 220 eyes from 152 patients (mean age 72,56 ± 11,51 SD) were included. Twenty-two patients (31 eyes) showed macular pathologies.. Mean preoperative visual acuity in the macular pathology group was 0.22 logMAR. Mean postoperative visual acuity was 0.13 logMAR.",
        "Conclusions": "The results suggest superiority of implanting toric IOLs in patients with astigmatism and macular disorder compared to monofocal IOLs. Therefore, toric IOLs are justified in patients with macular pathologies for correcting the additional refractive error caused by astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 197
    },
    {
      "uid": "POCAT657",
      "abstract_number": "POCAT657",
      "title": "Refractive Accuracy Of Routine Toric Iol Implantation In Clinical Practice: A Retrospective Single-Center Study",
      "authors": "Mr Daniel Wallinger",
      "presenter": "Mr Daniel Wallinger",
      "normalized_authors": [
        "Daniel Wallinger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Wallinger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Cataract surgery has evolved into a refractive procedure aimed at achieving spectacle independence. As regular astigmatism is one of the most common refractive error next to myopia and hyperopia, its correction during cataract surgery is essential. Although toric intraocular lenses represent the most effective available option, clinically relevant residual postoperative astigmatism remains common. This study evaluates real-world outcomes of routine toric intraocular lens implantation in a clinical setting.",
        "Setting": "Retrospective, monocentric study",
        "Methods": "This retrospective study included 110 right eyes undergoing toric intraocular lens implantation. Preoperative measurements included optical biometry (IOLMaster 700, CZM, Germany) and anterior segment optical coherence tomography (OCT) (CASIA2, Tomey, Japan). Intraocular lens (IOL) power was calculated using the Barrett Universal II formula and the Tecnis Toric Calculator. All surgeries were performed by ten experienced surgeons using superior corneal incisions, manual phacoemulsification, and image-guided axis marking (Callisto eye, CZM, Germany). 4 weeks postoperatively, biometry and anterior segment OCT were repeated, manifest refraction was obtained, and IOL axis alignment was assessed using at the slit lamp using the slit-lamp beam.",
        "Results": "Mean preoperative corneal astigmatism was 2.12 ± 0.71 D, decreasing to a mean postoperative refractive astigmatism of 0.50 ± 0.36 D at 4 weeks. Residual refractive astigmatism ≤0.50 D was achieved in 66% of eyes, and ≤1.00 D in 95% of eyes. Postoperative uncorrected distance visual acuity (UDVA) improved to 0.22 ± 0.18 logMAR. Mean absolute intraocular lens rotation at 4 weeks compared to the intended axis was 4.01 ± 4.05 °.",
        "Conclusions": "Astigmatic outcomes were within the range of previous studies for modern toric IOLs. These findings confirm the effectiveness of toric IOL implantation while emphasizing the importance of rotational control, accurate alignment assessment, and individualized calculation parameters. Optimization of these factors may further improve refractive outcomes of toric IOL implantation in routine cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Astigmatic outcomes were within the range of previous studies for modern toric IOLs. These findings confirm the effectiveness of toric IOL implantation while emphasizing the importance of rotational control, accurate alignment assessment, and individualized calculation parameters. Optimization of these factors may further improve refractive outcomes of toric IOL implantation in routine cataract surgery.",
      "session_type": "ePoster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 693,
      "source_fields": {
        "Abstract Final Identifier": "POCAT657",
        "Title": "Refractive Accuracy Of Routine Toric Iol Implantation In Clinical Practice: A Retrospective Single-Center Study",
        "Presenting Author(s)": "Mr Daniel Wallinger",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wallinger",
        "Country Name": "Austria",
        "Purpose": "Cataract surgery has evolved into a refractive procedure aimed at achieving spectacle independence. As regular astigmatism is one of the most common refractive error next to myopia and hyperopia, its correction during cataract surgery is essential. Although toric intraocular lenses represent the most effective available option, clinically relevant residual postoperative astigmatism remains common. This study evaluates real-world outcomes of routine toric intraocular lens implantation in a clinical setting.",
        "Setting": "Retrospective, monocentric study",
        "Methods": "This retrospective study included 110 right eyes undergoing toric intraocular lens implantation. Preoperative measurements included optical biometry (IOLMaster 700, CZM, Germany) and anterior segment optical coherence tomography (OCT) (CASIA2, Tomey, Japan). Intraocular lens (IOL) power was calculated using the Barrett Universal II formula and the Tecnis Toric Calculator. All surgeries were performed by ten experienced surgeons using superior corneal incisions, manual phacoemulsification, and image-guided axis marking (Callisto eye, CZM, Germany). 4 weeks postoperatively, biometry and anterior segment OCT were repeated, manifest refraction was obtained, and IOL axis alignment was assessed using at the slit lamp using the slit-lamp beam.",
        "Results": "Mean preoperative corneal astigmatism was 2.12 ± 0.71 D, decreasing to a mean postoperative refractive astigmatism of 0.50 ± 0.36 D at 4 weeks. Residual refractive astigmatism ≤0.50 D was achieved in 66% of eyes, and ≤1.00 D in 95% of eyes. Postoperative uncorrected distance visual acuity (UDVA) improved to 0.22 ± 0.18 logMAR. Mean absolute intraocular lens rotation at 4 weeks compared to the intended axis was 4.01 ± 4.05 °.",
        "Conclusions": "Astigmatic outcomes were within the range of previous studies for modern toric IOLs. These findings confirm the effectiveness of toric IOL implantation while emphasizing the importance of rotational control, accurate alignment assessment, and individualized calculation parameters. Optimization of these factors may further improve refractive outcomes of toric IOL implantation in routine cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCOR001",
      "abstract_number": "POCOR001",
      "title": "Copressing Suture In Acute Pediatric Corneal Hydrops",
      "authors": "Dr Mohamed Reda Abd Elbasset",
      "presenter": "Dr Mohamed Reda Abd Elbasset",
      "normalized_authors": [
        "Mohamed Reda Abd Elbasset"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Reda Abd Elbasset",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To demonstrate the surgical technique and clinical outcome of compressive corneal sutures in the management of acute corneal hydrops in a pediatric patient, highlighting its role in accelerating corneal edema resolution and improving visual rehabilitation.",
        "Setting": "Tertiary ophthalmic care center / cornea service at the Memorial Institute for Ophthalmic Research.",
        "Methods": "We present a pediatric case of advanced keratoconus complicated by acute corneal hydrops. The child presented with sudden onset corneal edema, decreased vision, and discomfort. After clinical evaluation, compressive sutures were applied across the area of Descemet’s membrane break under general anesthesia. The video illustrates the step-by-step surgical technique, including suture placement, depth control, and postoperative management. Postoperatively, the patient showed rapid reduction of corneal edema, improved corneal clarity, and stabilization of the corneal surface, facilitating further visual rehabilitation.",
        "Conclusions": "Compressive suturing is a safe, effective, and minimally invasive option for managing acute corneal hydrops in pediatric patients. Early surgical intervention can significantly shorten disease duration, reduce complications such as scarring, and improve visual outcomes. This video emphasizes the importance of timely decision-making and proper surgical technique in pediatric corneal emergencies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Compressive suturing is a safe, effective, and minimally invasive option for managing acute corneal hydrops in pediatric patients. Early surgical intervention can significantly shorten disease duration, reduce complications such as scarring, and improve visual outcomes. This video emphasizes the importance of timely decision-making and proper surgical technique in pediatric corneal emergencies.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 694,
      "source_fields": {
        "Abstract Final Identifier": "POCOR001",
        "Title": "Copressing Suture In Acute Pediatric Corneal Hydrops",
        "Presenting Author(s)": "Dr Mohamed Reda Abd Elbasset",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "Reda",
        "Submitter Last Name": "Abd Elbasset",
        "Country Name": "Egypt",
        "Purpose": "To demonstrate the surgical technique and clinical outcome of compressive corneal sutures in the management of acute corneal hydrops in a pediatric patient, highlighting its role in accelerating corneal edema resolution and improving visual rehabilitation.",
        "Setting": "Tertiary ophthalmic care center / cornea service at the Memorial Institute for Ophthalmic Research.",
        "Methods": "We present a pediatric case of advanced keratoconus complicated by acute corneal hydrops. The child presented with sudden onset corneal edema, decreased vision, and discomfort. After clinical evaluation, compressive sutures were applied across the area of Descemet’s membrane break under general anesthesia. The video illustrates the step-by-step surgical technique, including suture placement, depth control, and postoperative management. Postoperatively, the patient showed rapid reduction of corneal edema, improved corneal clarity, and stabilization of the corneal surface, facilitating further visual rehabilitation.",
        "Results": "",
        "Conclusions": "Compressive suturing is a safe, effective, and minimally invasive option for managing acute corneal hydrops in pediatric patients. Early surgical intervention can significantly shorten disease duration, reduce complications such as scarring, and improve visual outcomes. This video emphasizes the importance of timely decision-making and proper surgical technique in pediatric corneal emergencies."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 178
    },
    {
      "uid": "POCOR002",
      "abstract_number": "POCOR002",
      "title": "When Beauty Burns: Bilateral Thermal Keratopathy After Intense Pulsed Light Over Cosmetic Periocular Tattoos'",
      "authors": "Dr Nouf Alnafisee",
      "presenter": "Dr Nouf Alnafisee",
      "normalized_authors": [
        "Nouf Alnafisee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Hosny Abdelrahman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report bilateral thermal keratopathy following intense pulsed light (IPL) therapy performed in the presence of periocular cosmetic tattoos, resulting in prolonged ocular surface dysfunction and significant symptomatic morbidity despite recovery of visual acuity.",
        "Setting": "Tertiary ophthalmology referral centre (Western Eye Hospital, London) managing severe ocular complications after IPL performed privately abroad for menopausal dry eye treatment.",
        "Methods": "A 48-year-old woman with blepharitis, dry eyes and prior LASIK underwent IPL in June 2024 for menopausal dry eye symptoms. She had periocular cosmetic tattoos. Within days, she developed bilateral epithelial breakdown and marked ocular surface inflammation consistent with thermal keratopathy.\n\nTattoo pigment acts as a potent exogenous chromophore, absorbing IPL energy and converting it to heat. In the thin periocular tissues, this amplified thermal effect likely conducted to the cornea, precipitating epithelial failure in an already vulnerable ocular surface.\n\nInitial management included oral acyclovir (for suspected HSK), topical dexamethasone 0.1%, and moxifloxacin 0.5%. Persistent epithelial defects necessitated emergency bilateral amniotic membrane grafting in August 2024. She subsequently developed prolonged epithelial defects (up to 2×3 mm), keratic precipitates, and anterior chamber inflammation; corneal scrapes were negative.\n\nTreatment required intensive topical antibiotics, preservative-free steroids, ciclosporin, high-frequency autologous serum, topical losartan (sourced abroad), and aggressive lubrication. Epithelial healing was achieved by November 2024.\n\nAt presentation, visual acuity was 6/24 (PH) right eye and 6/12 (PH) left eye. At latest review, acuity improved to 6/7.5 (corrected) right eye and 6/5 (PH) left eye. Despite visual recovery, she continues to experience persistent dryness, ocular discomfort, glare, and a substantial long-term treatment burden.",
        "Conclusions": "Periocular tattoo pigment can amplify IPL energy through pigment-mediated thermal absorption, creating risk of corneal injury. Patients with pre-existing ocular surface disease or prior refractive surgery may be particularly susceptible. This case\n\ndemonstrates that even when vision recovers, prolonged symptomatic morbidity and intensive therapy may follow. Rigorous pre-treatment screening for cosmetic tattoos and appropriate ocular protection are essential to prevent avoidable sight-threatening complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Periocular tattoo pigment can amplify IPL energy through pigment-mediated thermal absorption, creating risk of corneal injury. Patients with pre-existing ocular surface disease or prior refractive surgery may be particularly susceptible. This case demonstrates that even when vision recovers, prolonged symptomatic morbidity and intensive therapy may follow. Rigorous pre-treatment screening for cosmetic tattoos and…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 695,
      "source_fields": {
        "Abstract Final Identifier": "POCOR002",
        "Title": "When Beauty Burns: Bilateral Thermal Keratopathy After Intense Pulsed Light Over Cosmetic Periocular Tattoos'",
        "Presenting Author(s)": "Dr Nouf Alnafisee",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Mohamed Hosny",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdelrahman",
        "Country Name": "United Kingdom",
        "Purpose": "To report bilateral thermal keratopathy following intense pulsed light (IPL) therapy performed in the presence of periocular cosmetic tattoos, resulting in prolonged ocular surface dysfunction and significant symptomatic morbidity despite recovery of visual acuity.",
        "Setting": "Tertiary ophthalmology referral centre (Western Eye Hospital, London) managing severe ocular complications after IPL performed privately abroad for menopausal dry eye treatment.",
        "Methods": "A 48-year-old woman with blepharitis, dry eyes and prior LASIK underwent IPL in June 2024 for menopausal dry eye symptoms. She had periocular cosmetic tattoos. Within days, she developed bilateral epithelial breakdown and marked ocular surface inflammation consistent with thermal keratopathy.\n\nTattoo pigment acts as a potent exogenous chromophore, absorbing IPL energy and converting it to heat. In the thin periocular tissues, this amplified thermal effect likely conducted to the cornea, precipitating epithelial failure in an already vulnerable ocular surface.\n\nInitial management included oral acyclovir (for suspected HSK), topical dexamethasone 0.1%, and moxifloxacin 0.5%. Persistent epithelial defects necessitated emergency bilateral amniotic membrane grafting in August 2024. She subsequently developed prolonged epithelial defects (up to 2×3 mm), keratic precipitates, and anterior chamber inflammation; corneal scrapes were negative.\n\nTreatment required intensive topical antibiotics, preservative-free steroids, ciclosporin, high-frequency autologous serum, topical losartan (sourced abroad), and aggressive lubrication. Epithelial healing was achieved by November 2024.\n\nAt presentation, visual acuity was 6/24 (PH) right eye and 6/12 (PH) left eye. At latest review, acuity improved to 6/7.5 (corrected) right eye and 6/5 (PH) left eye. Despite visual recovery, she continues to experience persistent dryness, ocular discomfort, glare, and a substantial long-term treatment burden.",
        "Results": "",
        "Conclusions": "Periocular tattoo pigment can amplify IPL energy through pigment-mediated thermal absorption, creating risk of corneal injury. Patients with pre-existing ocular surface disease or prior refractive surgery may be particularly susceptible. This case\n\ndemonstrates that even when vision recovers, prolonged symptomatic morbidity and intensive therapy may follow. Rigorous pre-treatment screening for cosmetic tattoos and appropriate ocular protection are essential to prevent avoidable sight-threatening complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POCOR003",
      "abstract_number": "POCOR003",
      "title": "Amniotic Membrane Transplantation In Advanced Neurotrophic Keratitis: A Case Report",
      "authors": "Dr Misone Abushaala",
      "presenter": "Dr Misone Abushaala",
      "normalized_authors": [
        "Misone Abushaala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Misone Abushaala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "Neurotrophic Keratitis (NK) is a degenerative cornea disease caused by trigeminal nerve impairment, leading to impaired corneal healing and risk of ulceration, or perforation. Conventional treatments often fail in severe cases. Amniotic membrane transplantation (AMT) has emerged as a promising biological therapy due to its anti-inflamatory, anti-fibrotic and epithelialization-promoting properties.",
        "Setting": "The repoeted case was managed in hospital setting in mior operating theater with regular clinic follow ups.",
        "Methods": "We report a 62-years old female with stage 3 NK secondary to long standing herpes zoster opthalmicus and exposure keratopathy due to severe right sode bells palsy. Despite intensive treatment with lubricants, topical steroids and antiviral therapy, the patient developed a non healing epithelial defectwith stromal thinning and scarring. A single layer cryoprserved amniotic membrane was fitted onto the corneal surface. within 3 weeks, complete epithelization of the epithelium defect was acheaived , cornea transparency improved and visual acuity improved by 2 lines. No recuurrence was observed during 3 months of follow up.",
        "Conclusions": "AMT can be an effective therapeutic option for persistant epithelial defect in NK providing a scaffold for epithelial healing and reducing inflamation. This case highlights its role in vision preservation and ocular surface stabilization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "AMT can be an effective therapeutic option for persistant epithelial defect in NK providing a scaffold for epithelial healing and reducing inflamation. This case highlights its role in vision preservation and ocular surface stabilization.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 696,
      "source_fields": {
        "Abstract Final Identifier": "POCOR003",
        "Title": "Amniotic Membrane Transplantation In Advanced Neurotrophic Keratitis: A Case Report",
        "Presenting Author(s)": "Dr Misone Abushaala",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Misone",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abushaala",
        "Country Name": "United Arab Emirates",
        "Purpose": "Neurotrophic Keratitis (NK) is a degenerative cornea disease caused by trigeminal nerve impairment, leading to impaired corneal healing and risk of ulceration, or perforation. Conventional treatments often fail in severe cases. Amniotic membrane transplantation (AMT) has emerged as a promising biological therapy due to its anti-inflamatory, anti-fibrotic and epithelialization-promoting properties.",
        "Setting": "The repoeted case was managed in hospital setting in mior operating theater with regular clinic follow ups.",
        "Methods": "We report a 62-years old female with stage 3 NK secondary to long standing herpes zoster opthalmicus and exposure keratopathy due to severe right sode bells palsy. Despite intensive treatment with lubricants, topical steroids and antiviral therapy, the patient developed a non healing epithelial defectwith stromal thinning and scarring. A single layer cryoprserved amniotic membrane was fitted onto the corneal surface. within 3 weeks, complete epithelization of the epithelium defect was acheaived , cornea transparency improved and visual acuity improved by 2 lines. No recuurrence was observed during 3 months of follow up.",
        "Results": "",
        "Conclusions": "AMT can be an effective therapeutic option for persistant epithelial defect in NK providing a scaffold for epithelial healing and reducing inflamation. This case highlights its role in vision preservation and ocular surface stabilization."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "POCOR004",
      "abstract_number": "POCOR004",
      "title": "Management Of Hypotony Secondary To Cyclodialysis After Preserflo® Microshunt Implantation: A Case Report",
      "authors": "Dr Maribel Acuña Salles",
      "presenter": "Dr Maribel Acuña Salles",
      "normalized_authors": [
        "Maribel Acuña Salles"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maribel Acuña Salles",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the management of hypotony secondary to cyclodialysis following Preserflo® MicroShunt implantation.",
        "Setting": "Instituto de Microcirugía Ocular IMO Barcelona",
        "Methods": "A 79-year-old male with bilateral open-angle glaucoma, previously treated with trabeculectomy in both eyes three years earlier, presented with a non-functioning bleb in the left eye (LE). Intraocular pressure (IOP) in the LE was 21 mmHg despite maximal medical therapy. Best-corrected visual acuity (BCVA) was 0.4. A Preserflo® MicroShunt was implanted in the superonasal quadrant of the LE. One week postoperatively, IOP decreased to 5 mmHg, and serous choroidal detachments (SCD) were observed in the LE. Ultrasound biomicroscopy revealed a probable cyclodialysis cleft at the site where the Preserflo entered the anterior chamber. Despite treatment with topical cycloplegics and intensive corticosteroid therapy, by postoperative week four the IOP remained at 4 mmHg and the SCD persisted. Surgical revision was therefore performed, and the implant was repositioned 1 mm away from the cyclodialysis cleft. Two weeks after revision surgery, both hypotony and SCD had resolved.",
        "Conclusions": "This case highlights the value of complementary diagnostic testing, such as ultrasound biomicroscopy, in identifying complications such as cyclodialysis clefts and SCD, and emphasizes the importance of timely surgical intervention when medical treatment fails."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights the value of complementary diagnostic testing, such as ultrasound biomicroscopy, in identifying complications such as cyclodialysis clefts and SCD, and emphasizes the importance of timely surgical intervention when medical treatment fails.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 697,
      "source_fields": {
        "Abstract Final Identifier": "POCOR004",
        "Title": "Management Of Hypotony Secondary To Cyclodialysis After Preserflo® Microshunt Implantation: A Case Report",
        "Presenting Author(s)": "Dr Maribel Acuña Salles",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Maribel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Acuña Salles",
        "Country Name": "Spain",
        "Purpose": "To describe the management of hypotony secondary to cyclodialysis following Preserflo® MicroShunt implantation.",
        "Setting": "Instituto de Microcirugía Ocular IMO Barcelona",
        "Methods": "A 79-year-old male with bilateral open-angle glaucoma, previously treated with trabeculectomy in both eyes three years earlier, presented with a non-functioning bleb in the left eye (LE). Intraocular pressure (IOP) in the LE was 21 mmHg despite maximal medical therapy. Best-corrected visual acuity (BCVA) was 0.4. A Preserflo® MicroShunt was implanted in the superonasal quadrant of the LE. One week postoperatively, IOP decreased to 5 mmHg, and serous choroidal detachments (SCD) were observed in the LE. Ultrasound biomicroscopy revealed a probable cyclodialysis cleft at the site where the Preserflo entered the anterior chamber. Despite treatment with topical cycloplegics and intensive corticosteroid therapy, by postoperative week four the IOP remained at 4 mmHg and the SCD persisted. Surgical revision was therefore performed, and the implant was repositioned 1 mm away from the cyclodialysis cleft. Two weeks after revision surgery, both hypotony and SCD had resolved.",
        "Results": "",
        "Conclusions": "This case highlights the value of complementary diagnostic testing, such as ultrasound biomicroscopy, in identifying complications such as cyclodialysis clefts and SCD, and emphasizes the importance of timely surgical intervention when medical treatment fails."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 198
    },
    {
      "uid": "POCOR005",
      "abstract_number": "POCOR005",
      "title": "Jet Plasma Energy In Meibomian Gland Dysfunction Treatment",
      "authors": "A/Prof. laila Rais",
      "presenter": "A/Prof. laila Rais",
      "normalized_authors": [
        "laila Rais"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sonia Aderdour",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "This study demonstrates the benefit of Jet Plasma Energy Thenology (JET) in the treatment of meibomian gland dysfunction (MGD).",
        "Setting": "This retrospective study was conducted from March 2025 to December 2025 and included 90 patients presenting with moderate to severe meibomian gland dysfunction (MGD).",
        "Methods": "All patients were aged between 40 and 75 years, with no sex preference. Patients underwent a standardized treatment protocol consisting of three sessions of Jet Plasma Energy Technology (JET), performed at intervals ranging from one to two weeks. JET was applied using electroporation, either as a standalone modality or in combination with platelet-rich plasma administered during the treatment session.\n\nAll patients underwent a comprehensive ocular surface evaluation prior to treatment, including meibography, corneal epithelial mapping, and tear film interferometry. Follow-up assessments were systematically performed at three and six months after completion of the treatment protocol. Clinical outcomes were evaluated based on symptomatology using the Ocular Surface Disease Index (OSDI) score, as well as objective improvements observed in epithelial mapping and interferometric parameters.\n\nThe results demonstrated a significant improvement in subjective symptoms, reflected by a marked reduction in OSDI scores, accompanied by measurable enhancement in epithelial regularity and tear film quality.",
        "Conclusions": "These findings suggest that JET-based electroporation, whether used alone or in combination with platelet-rich plasma, represents an effective and well-tolerated therapeutic approach for patients with moderate to severe MGD."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "These findings suggest that JET-based electroporation, whether used alone or in combination with platelet-rich plasma, represents an effective and well-tolerated therapeutic approach for patients with moderate to severe MGD.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 698,
      "source_fields": {
        "Abstract Final Identifier": "POCOR005",
        "Title": "Jet Plasma Energy In Meibomian Gland Dysfunction Treatment",
        "Presenting Author(s)": "A/Prof. laila Rais",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sonia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aderdour",
        "Country Name": "Morocco",
        "Purpose": "This study demonstrates the benefit of Jet Plasma Energy Thenology (JET) in the treatment of meibomian gland dysfunction (MGD).",
        "Setting": "This retrospective study was conducted from March 2025 to December 2025 and included 90 patients presenting with moderate to severe meibomian gland dysfunction (MGD).",
        "Methods": "All patients were aged between 40 and 75 years, with no sex preference. Patients underwent a standardized treatment protocol consisting of three sessions of Jet Plasma Energy Technology (JET), performed at intervals ranging from one to two weeks. JET was applied using electroporation, either as a standalone modality or in combination with platelet-rich plasma administered during the treatment session.\n\nAll patients underwent a comprehensive ocular surface evaluation prior to treatment, including meibography, corneal epithelial mapping, and tear film interferometry. Follow-up assessments were systematically performed at three and six months after completion of the treatment protocol. Clinical outcomes were evaluated based on symptomatology using the Ocular Surface Disease Index (OSDI) score, as well as objective improvements observed in epithelial mapping and interferometric parameters.\n\nThe results demonstrated a significant improvement in subjective symptoms, reflected by a marked reduction in OSDI scores, accompanied by measurable enhancement in epithelial regularity and tear film quality.",
        "Results": "",
        "Conclusions": "These findings suggest that JET-based electroporation, whether used alone or in combination with platelet-rich plasma, represents an effective and well-tolerated therapeutic approach for patients with moderate to severe MGD."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "POCOR006",
      "abstract_number": "POCOR006",
      "title": "A Clear Cornea Despite Persistent Dmek Detachment: A Case Report And Review Of Pathophysiology",
      "authors": "Dr Mostafa Aghi",
      "presenter": "Dr Mostafa Aghi",
      "normalized_authors": [
        "Mostafa Aghi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mostafa Aghi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "this case study shows an interesting aspect that can be seen after the DMEK-Surgery, that a complete healing is possible, even if the graft was almost completely detached from the corneal stroma.",
        "Setting": "Observational case report of a patient seen at a tertiary health care center",
        "Methods": "A 60-year-old male patient with Fuchs endothelial corneal dystrophy underwent Descemet membrane endothelial keratoplasty (DMEK). Postoperatively, no corneal clearing was observed. Anterior segment OCT demonstrated an inverted graft orientation, with adherence limited to a small area of the posterior stroma, while the remainder was detached.\n\nGiven the persistent corneal edema and the confirmed inverted graft, repeat DMEK was planned and the patient was placed back on the waiting list. Several months later, once a new donor graft became available, preoperative assessment unexpectedly revealed a clear cornea, despite an unchanged extent of graft dehiscence on imaging. Pachymetry values and endothelial cell density had improved as well.\n\nA review of the relevant literature is provided, and potential mechanisms underlying corneal recovery in such cases are discussed.",
        "Conclusions": "This case suggests that corneal recovery may occur even in the presence of persistent graft malposition/detachment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case suggests that corneal recovery may occur even in the presence of persistent graft malposition/detachment.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 699,
      "source_fields": {
        "Abstract Final Identifier": "POCOR006",
        "Title": "A Clear Cornea Despite Persistent Dmek Detachment: A Case Report And Review Of Pathophysiology",
        "Presenting Author(s)": "Dr Mostafa Aghi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Mostafa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aghi",
        "Country Name": "Germany",
        "Purpose": "this case study shows an interesting aspect that can be seen after the DMEK-Surgery, that a complete healing is possible, even if the graft was almost completely detached from the corneal stroma.",
        "Setting": "Observational case report of a patient seen at a tertiary health care center",
        "Methods": "A 60-year-old male patient with Fuchs endothelial corneal dystrophy underwent Descemet membrane endothelial keratoplasty (DMEK). Postoperatively, no corneal clearing was observed. Anterior segment OCT demonstrated an inverted graft orientation, with adherence limited to a small area of the posterior stroma, while the remainder was detached.\n\nGiven the persistent corneal edema and the confirmed inverted graft, repeat DMEK was planned and the patient was placed back on the waiting list. Several months later, once a new donor graft became available, preoperative assessment unexpectedly revealed a clear cornea, despite an unchanged extent of graft dehiscence on imaging. Pachymetry values and endothelial cell density had improved as well.\n\nA review of the relevant literature is provided, and potential mechanisms underlying corneal recovery in such cases are discussed.",
        "Results": "",
        "Conclusions": "This case suggests that corneal recovery may occur even in the presence of persistent graft malposition/detachment."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "POCOR007",
      "abstract_number": "POCOR007",
      "title": "Familial Cluster Of Fungal Keratitis: An Unusual Simultaneous Presentation In Three Members",
      "authors": "Dr Nikhil Agrawal",
      "presenter": "Dr Nikhil Agrawal",
      "normalized_authors": [
        "Nikhil Agrawal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikhil Agrawal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a rare cluster of fungal keratitis caused by Aspergillus Niger in three members of the same family, presenting within a two-week period.",
        "Setting": "Tertiray eye Hopsital in Western India",
        "Methods": ". The index case, an 11-year-old boy, presented with acute onset pain, redness, photophobia, in the left eye. Clinical examination revealed a large, dry corneal ulcer with feathery margins, suggestive of fungal etiology. Subsequent inquiry revealed similar ocular symptoms in his 15-year-old sister and 38-year-old mother. Corneal examinations confirmed fungal keratitis in both, with corneal scrapings positive for fungal elements in two cases and cultures identifying Aspergillus Niger in all three. Treatment with hourly topical Natamycin 5% eye drops resulted in significant clinical improvement within one week and complete ulcer resolution with residual corneal opacities by four weeks. This familial cluster underscores the importance of early diagnosis, family screening, and prompt antifungal therapy in managing fungal keratitis. To our knowledge, simultaneous fungal keratitis in multiple family members is exceptionally rare and not widely reported in the literature.",
        "Conclusions": "In summary, the simultaneous occurrence of Aspergillus Niger keratitis in three members of a single family represents an unprecedented cluster with no prior significant documentation in the literature. While the exact mechanism remains unclear, shared environmental exposure remains the most plausible explanation. This report not only adds to the spectrum of fungal keratitis presentations but also calls for further research into environmental reservoirs, host susceptibility, and the epidemiology of such rare familial clusters."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In summary, the simultaneous occurrence of Aspergillus Niger keratitis in three members of a single family represents an unprecedented cluster with no prior significant documentation in the literature. While the exact mechanism remains unclear, shared environmental exposure remains the most plausible explanation. This report not only adds to the spectrum of fungal keratitis presentations but also calls for further…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 700,
      "source_fields": {
        "Abstract Final Identifier": "POCOR007",
        "Title": "Familial Cluster Of Fungal Keratitis: An Unusual Simultaneous Presentation In Three Members",
        "Presenting Author(s)": "Dr Nikhil Agrawal",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nikhil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agrawal",
        "Country Name": "India",
        "Purpose": "To report a rare cluster of fungal keratitis caused by Aspergillus Niger in three members of the same family, presenting within a two-week period.",
        "Setting": "Tertiray eye Hopsital in Western India",
        "Methods": ". The index case, an 11-year-old boy, presented with acute onset pain, redness, photophobia, in the left eye. Clinical examination revealed a large, dry corneal ulcer with feathery margins, suggestive of fungal etiology. Subsequent inquiry revealed similar ocular symptoms in his 15-year-old sister and 38-year-old mother. Corneal examinations confirmed fungal keratitis in both, with corneal scrapings positive for fungal elements in two cases and cultures identifying Aspergillus Niger in all three. Treatment with hourly topical Natamycin 5% eye drops resulted in significant clinical improvement within one week and complete ulcer resolution with residual corneal opacities by four weeks. This familial cluster underscores the importance of early diagnosis, family screening, and prompt antifungal therapy in managing fungal keratitis. To our knowledge, simultaneous fungal keratitis in multiple family members is exceptionally rare and not widely reported in the literature.",
        "Results": "",
        "Conclusions": "In summary, the simultaneous occurrence of Aspergillus Niger keratitis in three members of a single family represents an unprecedented cluster with no prior significant documentation in the literature. While the exact mechanism remains unclear, shared environmental exposure remains the most plausible explanation. This report not only adds to the spectrum of fungal keratitis presentations but also calls for further research into environmental reservoirs, host susceptibility, and the epidemiology of such rare familial clusters."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCOR008",
      "abstract_number": "POCOR008",
      "title": "“Tzanck Smear To The Rescue: Herpetic Lesion Unmasked In A Misdiagnosed Child”",
      "authors": "Dr Nikhil Agrawal",
      "presenter": "Dr Nikhil Agrawal",
      "normalized_authors": [
        "Nikhil Agrawal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikhil Agrawal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Rapid diagnosis of Herpes zoster at bed side.",
        "Setting": "Tertiary eye Hospital, India",
        "Methods": "This report describes an presentation of HZO in a 10-year-old immunocompetent male, characterized by vesicular lesions sparing the forehead and confined to the nasal bridge, initially misattributed to an insect bite. Ocular involvement was evident, and diagnosis was confirmed via Tzank smear. Prompt initiation of oral and topical antiviral therapy resulted in complete resolution within one week. This case underscores the diagnostic challenges posed by atypical dermatomal distributions and the critical role of cytological evaluation in pediatric HZO.",
        "Conclusions": "the use of a Tzanck smear provided rapid cytological confirmation , effectively ruling out other potential causes of vesicular lesions. Importantly, the Tzanck smear not only added diagnostic value but also helped alleviate parental anxiety by providing a rapid diagnosis at the bedside. This case highlights the practical utility of Tzanck smear as a simple, cost-effective, and reassuring tool in the evaluation of pediatric vesicular eruptions suggestive of HZO."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "the use of a Tzanck smear provided rapid cytological confirmation , effectively ruling out other potential causes of vesicular lesions. Importantly, the Tzanck smear not only added diagnostic value but also helped alleviate parental anxiety by providing a rapid diagnosis at the bedside. This case highlights the practical utility of Tzanck smear as a simple, cost-effective, and reassuring tool in the evaluation of…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 701,
      "source_fields": {
        "Abstract Final Identifier": "POCOR008",
        "Title": "“Tzanck Smear To The Rescue: Herpetic Lesion Unmasked In A Misdiagnosed Child”",
        "Presenting Author(s)": "Dr Nikhil Agrawal",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nikhil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agrawal",
        "Country Name": "India",
        "Purpose": "Rapid diagnosis of Herpes zoster at bed side.",
        "Setting": "Tertiary eye Hospital, India",
        "Methods": "This report describes an presentation of HZO in a 10-year-old immunocompetent male, characterized by vesicular lesions sparing the forehead and confined to the nasal bridge, initially misattributed to an insect bite. Ocular involvement was evident, and diagnosis was confirmed via Tzank smear. Prompt initiation of oral and topical antiviral therapy resulted in complete resolution within one week. This case underscores the diagnostic challenges posed by atypical dermatomal distributions and the critical role of cytological evaluation in pediatric HZO.",
        "Results": "",
        "Conclusions": "the use of a Tzanck smear provided rapid cytological confirmation , effectively ruling out other potential causes of vesicular lesions. Importantly, the Tzanck smear not only added diagnostic value but also helped alleviate parental anxiety by providing a rapid diagnosis at the bedside. This case highlights the practical utility of Tzanck smear as a simple, cost-effective, and reassuring tool in the evaluation of pediatric vesicular eruptions suggestive of HZO."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 158
    },
    {
      "uid": "POCOR009",
      "abstract_number": "POCOR009",
      "title": "Management Of Refractory Juvenile Glaucoma In Kearns–Sayre Syndrome Using The Preserflo® Microshunt.",
      "authors": "Dr Jose Aguilar Falomir",
      "presenter": "Dr Jose Aguilar Falomir",
      "normalized_authors": [
        "Jose Aguilar Falomir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jose Aguilar Falomir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Kearns–Sayre syndrome (KSS) is a rare mitochondrial myopathy characterized by progressive external ophthalmoplegia, pigmentary retinopathy, and multisystem involvement. Although its ocular manifestations are well described, glaucoma associated with KSS has not been previously reported. We describe a case of bilateral juvenile glaucoma in a patient with KSS, highlighting its clinical features, refractoriness to medical therapy, and surgical management using the PreserFlo® MicroShunt.",
        "Setting": "The study was conducted at the Ophthalmology Department of the General University Hospital of Elche.",
        "Methods": "A 22-year-old woman with genetically confirmed KSS (MTCO1 deletion), progressive external ophthalmoplegia, and pigmentary retinopathy presented with sudden bilateral visual deterioration over three days. Best-corrected visual acuity was light perception in the right eye (OD) and 0.1 in the left eye (OS). Intraocular pressure (IOP) measured 53 mmHg (OD) and 47 mmHg (OS). Slit-lamp and gonioscopic examination revealed posterior embryotoxon and angle dysgenesis. Intensive medical therapy with three topical agents and oral acetazolamide failed to adequately control IOP, which remained at 42 mmHg (OD) and 35 mmHg (OS). Due to rapid functional deterioration, urgent sequential bilateral implantation of the PreserFlo® MicroShunt with sub-Tenon mitomycin-C was performed. One month after the first intervention, IOP was stable at 8 mmHg (OD) and 9 mmHg (OS), with marked improvement in visual function and symptoms.",
        "Conclusions": "To our knowledge, this is the first reported case of bilateral glaucoma in a patient with Kearns–Sayre syndrome. Glaucoma in KSS may present with rapidly progressive, treatment-refractory intraocular pressure elevation, representing a potentially underrecognized ocular manifestation of the disease and warranting further investigation. In this case, implantation of the PreserFlo® MicroShunt combined with sub-Tenon mitomycin-C achieved effective intraocular pressure control, highlighting the potential role of minimally invasive drainage devices in managing complex glaucomas with unfavorable anatomical features."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "To our knowledge, this is the first reported case of bilateral glaucoma in a patient with Kearns–Sayre syndrome. Glaucoma in KSS may present with rapidly progressive, treatment-refractory intraocular pressure elevation, representing a potentially underrecognized ocular manifestation of the disease and warranting further investigation. In this case, implantation of the PreserFlo® MicroShunt combined with sub-Tenon…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 702,
      "source_fields": {
        "Abstract Final Identifier": "POCOR009",
        "Title": "Management Of Refractory Juvenile Glaucoma In Kearns–Sayre Syndrome Using The Preserflo® Microshunt.",
        "Presenting Author(s)": "Dr Jose Aguilar Falomir",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Jose",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aguilar Falomir",
        "Country Name": "Spain",
        "Purpose": "Kearns–Sayre syndrome (KSS) is a rare mitochondrial myopathy characterized by progressive external ophthalmoplegia, pigmentary retinopathy, and multisystem involvement. Although its ocular manifestations are well described, glaucoma associated with KSS has not been previously reported. We describe a case of bilateral juvenile glaucoma in a patient with KSS, highlighting its clinical features, refractoriness to medical therapy, and surgical management using the PreserFlo® MicroShunt.",
        "Setting": "The study was conducted at the Ophthalmology Department of the General University Hospital of Elche.",
        "Methods": "A 22-year-old woman with genetically confirmed KSS (MTCO1 deletion), progressive external ophthalmoplegia, and pigmentary retinopathy presented with sudden bilateral visual deterioration over three days. Best-corrected visual acuity was light perception in the right eye (OD) and 0.1 in the left eye (OS). Intraocular pressure (IOP) measured 53 mmHg (OD) and 47 mmHg (OS). Slit-lamp and gonioscopic examination revealed posterior embryotoxon and angle dysgenesis. Intensive medical therapy with three topical agents and oral acetazolamide failed to adequately control IOP, which remained at 42 mmHg (OD) and 35 mmHg (OS). Due to rapid functional deterioration, urgent sequential bilateral implantation of the PreserFlo® MicroShunt with sub-Tenon mitomycin-C was performed. One month after the first intervention, IOP was stable at 8 mmHg (OD) and 9 mmHg (OS), with marked improvement in visual function and symptoms.",
        "Results": "",
        "Conclusions": "To our knowledge, this is the first reported case of bilateral glaucoma in a patient with Kearns–Sayre syndrome. Glaucoma in KSS may present with rapidly progressive, treatment-refractory intraocular pressure elevation, representing a potentially underrecognized ocular manifestation of the disease and warranting further investigation. In this case, implantation of the PreserFlo® MicroShunt combined with sub-Tenon mitomycin-C achieved effective intraocular pressure control, highlighting the potential role of minimally invasive drainage devices in managing complex glaucomas with unfavorable anatomical features."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POCOR010",
      "abstract_number": "POCOR010",
      "title": "Tracing Acanthamoeba In A Third-Trimester Pregnant Woman With Keratitis",
      "authors": "Dr Zeynep Akgün",
      "presenter": "Dr Zeynep Akgün",
      "normalized_authors": [
        "Zeynep Akgün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Akgün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To describe Acanthamoeba keratitis (AK) in a 31-week pregnant woman who wore therapeutic soft contact lenses and to emphasize the value of in vivo confocal microscopy (IVCM) for diagnosis.",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Department of Ophthalmology, Mugla Sitki Kocman University Faculty of Medicine, Department of Parasitology, Tokat Gaziosmanpasa University Faculty of Medicine",
        "Methods": "A 33-year-old pregnant woman at 31 gestational weeks presented with decreased vision, photophobia, pain, and redness in her right eye. A soft therapeutic contact lens had been placed 10 days earlier due to a recurrent epithelial defect. Her best-corrected visual acuity (BCVA) was 0.05. Biomicroscopic examination revealed conjunctival hyperaemia, an irregular corneal epithelium, m ild stromal oedema, and opacities suggestive of perineural infiltrates. Because the patient reported pain that was disproportionate to her clinical findings and had a history of contact lens use, AK was suspected. Giemsa-stained corneal scrapings revealed Acanthamoeba spp. cysts. IVCM scans showed giant trophozoites with a highly reflective , speckled pattern and polygonal-shaped cysts surrounded by a low-reflectivity halo. Chlorhexidine 0.02% was used as an anti-ameobal agent. Punctal press ure was applied for 3 minutes after administering the drops to reduce systemic absorption. Clinical follow-up demonstrated improvement, and the dose was gradually reduced . After three months of maintenance therapy, she recovered without complications with a final BCVA of 1.0.",
        "Conclusions": "To the best of our knowledge, this is the third reported case of AK during pregnancy. Although there were no risky behaviors associated with contact lens use, physiological changes on the ocular surface during pregnancy might have increased susceptibility. Additionally, it is important to note that IVCM is a quick and accurate tool for early diagnosis of AK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "To the best of our knowledge, this is the third reported case of AK during pregnancy. Although there were no risky behaviors associated with contact lens use, physiological changes on the ocular surface during pregnancy might have increased susceptibility. Additionally, it is important to note that IVCM is a quick and accurate tool for early diagnosis of AK.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 703,
      "source_fields": {
        "Abstract Final Identifier": "POCOR010",
        "Title": "Tracing Acanthamoeba In A Third-Trimester Pregnant Woman With Keratitis",
        "Presenting Author(s)": "Dr Zeynep Akgün",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akgün",
        "Country Name": "Türkiye",
        "Purpose": "To describe Acanthamoeba keratitis (AK) in a 31-week pregnant woman who wore therapeutic soft contact lenses and to emphasize the value of in vivo confocal microscopy (IVCM) for diagnosis.",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Department of Ophthalmology, Mugla Sitki Kocman University Faculty of Medicine, Department of Parasitology, Tokat Gaziosmanpasa University Faculty of Medicine",
        "Methods": "A 33-year-old pregnant woman at 31 gestational weeks presented with decreased vision, photophobia, pain, and redness in her right eye. A soft therapeutic contact lens had been placed 10 days earlier due to a recurrent epithelial defect. Her best-corrected visual acuity (BCVA) was 0.05. Biomicroscopic examination revealed conjunctival hyperaemia, an irregular corneal epithelium, m ild stromal oedema, and opacities suggestive of perineural infiltrates. Because the patient reported pain that was disproportionate to her clinical findings and had a history of contact lens use, AK was suspected. Giemsa-stained corneal scrapings revealed Acanthamoeba spp. cysts. IVCM scans showed giant trophozoites with a highly reflective , speckled pattern and polygonal-shaped cysts surrounded by a low-reflectivity halo. Chlorhexidine 0.02% was used as an anti-ameobal agent. Punctal press ure was applied for 3 minutes after administering the drops to reduce systemic absorption. Clinical follow-up demonstrated improvement, and the dose was gradually reduced . After three months of maintenance therapy, she recovered without complications with a final BCVA of 1.0.",
        "Results": "",
        "Conclusions": "To the best of our knowledge, this is the third reported case of AK during pregnancy. Although there were no risky behaviors associated with contact lens use, physiological changes on the ocular surface during pregnancy might have increased susceptibility. Additionally, it is important to note that IVCM is a quick and accurate tool for early diagnosis of AK."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POCOR011",
      "abstract_number": "POCOR011",
      "title": "Vitamin A Deficiency: A Rare Cause Of Neurotrophic Keratopathy",
      "authors": "Dr Rand Nasser Alazaz",
      "presenter": "Dr Rand Nasser Alazaz",
      "normalized_authors": [
        "Rand Nasser Alazaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rand Nasser Alazaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "We report a case of neurotrophic keratopathy resulting from Vitamin A deficiency.",
        "Setting": "The case presented to a the emergency department of King Khaled Eye Specialist Hospital in Saudi Arabia.",
        "Methods": "This case involves a 2-year-old girl who arrived at the Emergency Department with a history of intense ocular discomfort and diminished vision in her right eye. The best corrected visual acuity (BCVA) was 20/200 in the right eye and 20/20 in the left eye. The slit lamp examination indicated a persisting corneal epithelial defect consistent with stage 2 neurotrophic keratitis. She started therapy for vitamin deficiency and used topical eye drops for neurotrophic keratitis after the management resulted in the complete repair of the corneal epithelial defect and the observation of corneal scarring.",
        "Conclusions": "Ophthalmologists must recognize the correlation between Vitamin A deficiency and neurotrophic keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Ophthalmologists must recognize the correlation between Vitamin A deficiency and neurotrophic keratitis.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 704,
      "source_fields": {
        "Abstract Final Identifier": "POCOR011",
        "Title": "Vitamin A Deficiency: A Rare Cause Of Neurotrophic Keratopathy",
        "Presenting Author(s)": "Dr Rand Nasser Alazaz",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Rand",
        "Submitter Middle Name": "Nasser",
        "Submitter Last Name": "Alazaz",
        "Country Name": "Saudi Arabia",
        "Purpose": "We report a case of neurotrophic keratopathy resulting from Vitamin A deficiency.",
        "Setting": "The case presented to a the emergency department of King Khaled Eye Specialist Hospital in Saudi Arabia.",
        "Methods": "This case involves a 2-year-old girl who arrived at the Emergency Department with a history of intense ocular discomfort and diminished vision in her right eye. The best corrected visual acuity (BCVA) was 20/200 in the right eye and 20/20 in the left eye. The slit lamp examination indicated a persisting corneal epithelial defect consistent with stage 2 neurotrophic keratitis. She started therapy for vitamin deficiency and used topical eye drops for neurotrophic keratitis after the management resulted in the complete repair of the corneal epithelial defect and the observation of corneal scarring.",
        "Results": "",
        "Conclusions": "Ophthalmologists must recognize the correlation between Vitamin A deficiency and neurotrophic keratitis."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 136
    },
    {
      "uid": "POCOR012",
      "abstract_number": "POCOR012",
      "title": "Cryotherapy And Off-Label Corneal Crosslinking In Management Of Severe Keratitis",
      "authors": "Mr Hida-Alrahman Al-Badri",
      "presenter": "Mr Hida-Alrahman Al-Badri",
      "normalized_authors": [
        "Hida-Alrahman Al-Badri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hida-Alrahman Al-Badri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "We report a case of a 37-year-old male who received corneal cryotherapy and off-label corneal crosslinking due to a severe bacterial keratitis with Moraxella lacunata following a traumatic corneal injury on his left eye.",
        "Setting": "A 37-year-old male, who presents himself in our ophthalmology department with progressive vision loss, pain, epiphora and blepharospasm on his left eyes, within a week after traumatic corneal injury on his left eye. No other medical history is known.",
        "Methods": "The 37-year-old male patient was admitted in the ophthalmology ward, for diagnostic procedures, as well as intensive local and systemic therapy for ulcerative keratitis with suspected fungal origin on the left eye.\n\nThe visual acuity at that time on the right eye was 1,0sc and left 0,16sc. The findings show a central corneal ulcer with a whitish infiltrate. In the anterior chamber it depicts most likely fibrin.\n\nAn anterior chamber sample and lavage was immediately performed, unfortunately the result of the anterior chamber sample was delayed and the findings worsened. Therefore, we performed 20 corneal cryo-coagulation shots using a 2.5 mm probe for 2 seconds each, around the infiltrate in combination with an off-label corneal crosslinking.\n\nUltimately, only bacterial pathogen (Moraxella lacunata) could be detected, without evidence of fungal involvement. The visual acuity recovered to 0,20sc on the left eye and the corneal epithelium closed. The patient is currently being monitored in our department as an outpatient, with the plan of penetrating keratoplasty, due to stromal scar.",
        "Conclusions": "In therapy resistant keratitis cases cryotherapy, off-label corneal crosslinking therapy and penetrating keratoplasty can be performed. Cryotherapy and off-label corneal crosslinking, has been shown to be effective and may prove to be a tool in the treatment of severe keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In therapy resistant keratitis cases cryotherapy, off-label corneal crosslinking therapy and penetrating keratoplasty can be performed. Cryotherapy and off-label corneal crosslinking, has been shown to be effective and may prove to be a tool in the treatment of severe keratitis.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 705,
      "source_fields": {
        "Abstract Final Identifier": "POCOR012",
        "Title": "Cryotherapy And Off-Label Corneal Crosslinking In Management Of Severe Keratitis",
        "Presenting Author(s)": "Mr Hida-Alrahman Al-Badri",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hida-Alrahman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al-Badri",
        "Country Name": "Germany",
        "Purpose": "We report a case of a 37-year-old male who received corneal cryotherapy and off-label corneal crosslinking due to a severe bacterial keratitis with Moraxella lacunata following a traumatic corneal injury on his left eye.",
        "Setting": "A 37-year-old male, who presents himself in our ophthalmology department with progressive vision loss, pain, epiphora and blepharospasm on his left eyes, within a week after traumatic corneal injury on his left eye. No other medical history is known.",
        "Methods": "The 37-year-old male patient was admitted in the ophthalmology ward, for diagnostic procedures, as well as intensive local and systemic therapy for ulcerative keratitis with suspected fungal origin on the left eye.\n\nThe visual acuity at that time on the right eye was 1,0sc and left 0,16sc. The findings show a central corneal ulcer with a whitish infiltrate. In the anterior chamber it depicts most likely fibrin.\n\nAn anterior chamber sample and lavage was immediately performed, unfortunately the result of the anterior chamber sample was delayed and the findings worsened. Therefore, we performed 20 corneal cryo-coagulation shots using a 2.5 mm probe for 2 seconds each, around the infiltrate in combination with an off-label corneal crosslinking.\n\nUltimately, only bacterial pathogen (Moraxella lacunata) could be detected, without evidence of fungal involvement. The visual acuity recovered to 0,20sc on the left eye and the corneal epithelium closed. The patient is currently being monitored in our department as an outpatient, with the plan of penetrating keratoplasty, due to stromal scar.",
        "Results": "",
        "Conclusions": "In therapy resistant keratitis cases cryotherapy, off-label corneal crosslinking therapy and penetrating keratoplasty can be performed. Cryotherapy and off-label corneal crosslinking, has been shown to be effective and may prove to be a tool in the treatment of severe keratitis."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "POCOR013",
      "abstract_number": "POCOR013",
      "title": "Salmon Patch-Like Conjunctival Lesion Secondary To Long-Term Administration Of Topical Brimonidine: A Case Report",
      "authors": "Dr Rakan Alessa",
      "presenter": "Dr Rakan Alessa",
      "normalized_authors": [
        "Rakan Alessa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rakan Alessa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Brimonidine is a commonly used intra-ocular pressure-lowering agent for glaucoma patients. Allergic follicular or papillary conjunctivitis is a well-known side effect of brimonidine. Brimonidine is associated with ocular allergic symptoms such as conjunctival hyperemia, stinging sensation, photophobia and, in severe cases, corneal erosions. Here, we report a case of atypical conjunctival lesion following long-term administration of brimonidine.",
        "Methods": "We report the clinical findings of a 72-year-old female presenting with a salmon patch-like conjunctival lesion affecting the bulbar and palpebral conjunctiva after long-term use of brimonidine. The finding was suspicious of conjunctival lymphoproliferative disorders. However, upon cessation of brimonidine, along with the administration of short-course topical steroid, a complete resolution of the lesion was evident. Biopsy was not performed as the clinical picture improved with conservative management. No recurrence was observed over 1 year follow up.",
        "Conclusions": "Careful observation is recommended for patients with a history of long-term use of brimonidine for the development of atypical conjunctival lesions which may simulate the appearance of conjunctival lymphoproliferative disorders."
      },
      "section_labels": [
        "Purpose",
        "Methods",
        "Conclusions"
      ],
      "summary": "Careful observation is recommended for patients with a history of long-term use of brimonidine for the development of atypical conjunctival lesions which may simulate the appearance of conjunctival lymphoproliferative disorders.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 706,
      "source_fields": {
        "Abstract Final Identifier": "POCOR013",
        "Title": "Salmon Patch-Like Conjunctival Lesion Secondary To Long-Term Administration Of Topical Brimonidine: A Case Report",
        "Presenting Author(s)": "Dr Rakan Alessa",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Rakan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alessa",
        "Country Name": "Saudi Arabia",
        "Purpose": "Brimonidine is a commonly used intra-ocular pressure-lowering agent for glaucoma patients. Allergic follicular or papillary conjunctivitis is a well-known side effect of brimonidine. Brimonidine is associated with ocular allergic symptoms such as conjunctival hyperemia, stinging sensation, photophobia and, in severe cases, corneal erosions. Here, we report a case of atypical conjunctival lesion following long-term administration of brimonidine.",
        "Setting": "",
        "Methods": "We report the clinical findings of a 72-year-old female presenting with a salmon patch-like conjunctival lesion affecting the bulbar and palpebral conjunctiva after long-term use of brimonidine. The finding was suspicious of conjunctival lymphoproliferative disorders. However, upon cessation of brimonidine, along with the administration of short-course topical steroid, a complete resolution of the lesion was evident. Biopsy was not performed as the clinical picture improved with conservative management. No recurrence was observed over 1 year follow up.",
        "Results": "",
        "Conclusions": "Careful observation is recommended for patients with a history of long-term use of brimonidine for the development of atypical conjunctival lesions which may simulate the appearance of conjunctival lymphoproliferative disorders."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 164
    },
    {
      "uid": "POCOR014",
      "abstract_number": "POCOR014",
      "title": "Corneal Perforation In A Patient Treated With Atezolizumab-Bevacizumab Combination Therapy For Unresectable Hepatocellular Carcinoma",
      "authors": "Dr Rakan Alessa",
      "presenter": "Dr Rakan Alessa",
      "normalized_authors": [
        "Rakan Alessa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rakan Alessa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Immune checkpoint inhibitors (ICIs) targeting the programmed cell death protein 1 (PD-1), or its ligand PD-L1, are the mainstay treatment for several metastatic malignant conditions. ICIs are associated with multiple toxic adverse events affecting various organs, known collectively as immune-related adverse events (irAEs). Dry eye, uveitis, ocular myasthenia, and cicatrizing conjunctivitis are well-recognized ocular irAEs associated with ICIs. Here we report a case of unilateral corneal perforation in a patient with unresectable hepatocellular carcinoma treated by a combination of atezolizumab and bevacizumab.",
        "Methods": "We present a case of 69-year-old man who presented with paracentral, punch-out corneal perforation in the left eye, associated with bilateral severe ocular surface disease 3 weeks after receiving the second dose of atezolizumab-bevacizumab combination therapy for the treatment of unresectable hepatocellular carcinoma. Corneal gluing using cyanoacrylate glue was performed along with bandage contact lens application and temporary tarsorrhaphy to seal the corneal perforation and improve the ocular surface. On the subsequent follow-ups, the corneal glue was unstable and dislodged. Thus, penetrating keratoplasty was performed to salvage the globe along with holding the combination therapy. At the 8-month follow-up, the graft remained clear, and the ocular surface improved substantially in both eyes.",
        "Conclusions": "Conclusions Ocular irAEs associated with immune-modulating agents can lead to vision-threatening complications. Therefore, communications between oncologists and ophthalmologists in a multidisciplinary team would be of utmost importance for early detection and timely management of any ocular-related adverse events associated with the use of immunotherapy agents."
      },
      "section_labels": [
        "Purpose",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusions Ocular irAEs associated with immune-modulating agents can lead to vision-threatening complications. Therefore, communications between oncologists and ophthalmologists in a multidisciplinary team would be of utmost importance for early detection and timely management of any ocular-related adverse events associated with the use of immunotherapy agents.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 707,
      "source_fields": {
        "Abstract Final Identifier": "POCOR014",
        "Title": "Corneal Perforation In A Patient Treated With Atezolizumab-Bevacizumab Combination Therapy For Unresectable Hepatocellular Carcinoma",
        "Presenting Author(s)": "Dr Rakan Alessa",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Rakan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alessa",
        "Country Name": "Saudi Arabia",
        "Purpose": "Immune checkpoint inhibitors (ICIs) targeting the programmed cell death protein 1 (PD-1), or its ligand PD-L1, are the mainstay treatment for several metastatic malignant conditions. ICIs are associated with multiple toxic adverse events affecting various organs, known collectively as immune-related adverse events (irAEs). Dry eye, uveitis, ocular myasthenia, and cicatrizing conjunctivitis are well-recognized ocular irAEs associated with ICIs. Here we report a case of unilateral corneal perforation in a patient with unresectable hepatocellular carcinoma treated by a combination of atezolizumab and bevacizumab.",
        "Setting": "",
        "Methods": "We present a case of 69-year-old man who presented with paracentral, punch-out corneal perforation in the left eye, associated with bilateral severe ocular surface disease 3 weeks after receiving the second dose of atezolizumab-bevacizumab combination therapy for the treatment of unresectable hepatocellular carcinoma. Corneal gluing using cyanoacrylate glue was performed along with bandage contact lens application and temporary tarsorrhaphy to seal the corneal perforation and improve the ocular surface. On the subsequent follow-ups, the corneal glue was unstable and dislodged. Thus, penetrating keratoplasty was performed to salvage the globe along with holding the combination therapy. At the 8-month follow-up, the graft remained clear, and the ocular surface improved substantially in both eyes.",
        "Results": "",
        "Conclusions": "Conclusions Ocular irAEs associated with immune-modulating agents can lead to vision-threatening complications. Therefore, communications between oncologists and ophthalmologists in a multidisciplinary team would be of utmost importance for early detection and timely management of any ocular-related adverse events associated with the use of immunotherapy agents."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCOR015",
      "abstract_number": "POCOR015",
      "title": "Fungal Keratitis Following Application Of Sutureless Dehydrated Amniotic Membrane (Omnigen) Using A Specialised Bandage Contact Lens (Omnilenz)",
      "authors": "Dr Albaraa T Alfaraidi",
      "presenter": "Dr Albaraa T Alfaraidi",
      "normalized_authors": [
        "Albaraa T Alfaraidi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Albaraa T Alfaraidi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Amniotic membrane is a common treatment option for several corneal and conjunctival conditions. There are several methods for preserving amniotic membrane, and each involves some compromise of the tissue integrity. Dehydrated amniotic membrane has been used for several indications, including microbial infections, aniridia, chemical burns, and limbal stem cell deficiency, as in Steven-Johnson syndrome. We report a case of fungal keratitis following application of sutureless dehydrated amniotic membrane using specialized bandage contact lens OmnioLenz (NuVision Biotherapies Ltd., UK).",
        "Setting": "A 34 years old male with keratoconus who had undergone deep anterior lamellar keratoplasty presented with recurrent epithelial defect at the graft-host junction that was not responding to conservative management. A sutureless dehydrated amniotic membrane was applied but the patient developed fungal keratitis in the central cornea. The infiltrate culture revealed Candida parapsilosis . The patient responded to antifungal and antibacterial topical eyedrops on follow up.",
        "Methods": "One month later, the patient presented with mild eye redness and decreased vision. On examination, there was a severe conjunctival injection, small central corneal infiltrates and a mild anterior chamber reaction. Corneal scraping was obtained for stains, cultures (blood, chocolate, sabouraud dextrose, and non-nutrient agars), and polymerase chain reaction for herpes simplex virus DNA. The impression was microbial keratitis confirmed with cultures and stains that were positive for Candida parapsilosis and Staphylococcus epidermid is. The patient was treated with topical antifungal eyedrops consisting of amphotericin B 0.15 % and voriconazole 1% along with fortified antibiotics eyedrops ceftazidime 50 mg/ml and vancomycin 25 mg/ml. The patient responded to treatment but developed corneal scarring with neovascularization and was maintained on a long-term regimen of amphotericin B 0.15 % and voriconazole 1% twice daily. The patient was started on topical steroid eyedrops two months after the diagnosis of fungal keratitis. On follow up, the patient had a (UCDVA) with pinhole of 20/60 and showed remarkable improvement of symptoms along with resolution of the corneal infiltrate. The low virulence of C. parapsilosis and the use of topical corticosteroids may have predisposed the patient to fungal proliferation without significant inflammation which can be overlooked especially when it occurs distant from the suspected infection site.",
        "Conclusions": "High suspicion and close observation are recommended for patients who underwent keratoplasty especially in the presence of multiple risk factors such as dehydrated amniotic membrane transplant to detect any signs of infection in a timely manner and thereby preventing vision threatening complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "High suspicion and close observation are recommended for patients who underwent keratoplasty especially in the presence of multiple risk factors such as dehydrated amniotic membrane transplant to detect any signs of infection in a timely manner and thereby preventing vision threatening complications.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 708,
      "source_fields": {
        "Abstract Final Identifier": "POCOR015",
        "Title": "Fungal Keratitis Following Application Of Sutureless Dehydrated Amniotic Membrane (Omnigen) Using A Specialised Bandage Contact Lens (Omnilenz)",
        "Presenting Author(s)": "Dr Albaraa T Alfaraidi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Albaraa",
        "Submitter Middle Name": "T",
        "Submitter Last Name": "Alfaraidi",
        "Country Name": "Saudi Arabia",
        "Purpose": "Amniotic membrane is a common treatment option for several corneal and conjunctival conditions. There are several methods for preserving amniotic membrane, and each involves some compromise of the tissue integrity. Dehydrated amniotic membrane has been used for several indications, including microbial infections, aniridia, chemical burns, and limbal stem cell deficiency, as in Steven-Johnson syndrome. We report a case of fungal keratitis following application of sutureless dehydrated amniotic membrane using specialized bandage contact lens OmnioLenz (NuVision Biotherapies Ltd., UK).",
        "Setting": "A 34 years old male with keratoconus who had undergone deep anterior lamellar keratoplasty presented with recurrent epithelial defect at the graft-host junction that was not responding to conservative management. A sutureless dehydrated amniotic membrane was applied but the patient developed fungal keratitis in the central cornea. The infiltrate culture revealed Candida parapsilosis . The patient responded to antifungal and antibacterial topical eyedrops on follow up.",
        "Methods": "One month later, the patient presented with mild eye redness and decreased vision. On examination, there was a severe conjunctival injection, small central corneal infiltrates and a mild anterior chamber reaction. Corneal scraping was obtained for stains, cultures (blood, chocolate, sabouraud dextrose, and non-nutrient agars), and polymerase chain reaction for herpes simplex virus DNA. The impression was microbial keratitis confirmed with cultures and stains that were positive for Candida parapsilosis and Staphylococcus epidermid is. The patient was treated with topical antifungal eyedrops consisting of amphotericin B 0.15 % and voriconazole 1% along with fortified antibiotics eyedrops ceftazidime 50 mg/ml and vancomycin 25 mg/ml. The patient responded to treatment but developed corneal scarring with neovascularization and was maintained on a long-term regimen of amphotericin B 0.15 % and voriconazole 1% twice daily. The patient was started on topical steroid eyedrops two months after the diagnosis of fungal keratitis. On follow up, the patient had a (UCDVA) with pinhole of 20/60 and showed remarkable improvement of symptoms along with resolution of the corneal infiltrate. The low virulence of C. parapsilosis and the use of topical corticosteroids may have predisposed the patient to fungal proliferation without significant inflammation which can be overlooked especially when it occurs distant from the suspected infection site.",
        "Results": "",
        "Conclusions": "High suspicion and close observation are recommended for patients who underwent keratoplasty especially in the presence of multiple risk factors such as dehydrated amniotic membrane transplant to detect any signs of infection in a timely manner and thereby preventing vision threatening complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 397
    },
    {
      "uid": "POCOR016",
      "abstract_number": "POCOR016",
      "title": "Minimally Invasive Management Of Pediatric Post-Traumatic Iris Cyst: A Case Report",
      "authors": "Dr Albanderi H. Alhamzah",
      "presenter": "Dr Albanderi H. Alhamzah",
      "normalized_authors": [
        "Albanderi H. Alhamzah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Albanderi H. Alhamzah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Secondary iris cysts are rare post-traumatic lesions that can lead to severe ocular complications. This case reports the successful management of a symptomatic traumatic iris cyst in a pediatric patient using a manual expression technique without the use of sclerosing agents.",
        "Setting": "Ophthalmology Division of King Fahad University Hospital",
        "Methods": "A 16-year-old male presented with a pigmented iris lesion in the left eye, three years after blunt football trauma. He had been chronically treated with topical prednisolone for one year. Examination revealed 20/20 vision and a mobile, inferior iris cyst attached by a strand, accompanied by pigmentary deposits on the anterior lens capsule.\n\nFollowing a steroid taper, the patient underwent manual iris cyst expression (external drainage) without the use of sclerosing agents. Postoperatively, visual acuity was 20/25 on day one and returned to 20/20 by one week. At the five-month follow-up, intraocular pressure was stable and the anterior chamber remained clear.",
        "Conclusions": "Manual expression of a secondary iris cyst is a safe, minimally invasive primary treatment that avoids complications from sclerosing agents. While iritis was a notable part of this patient's initial post-traumatic history, this surgical approach achieved long-term resolution without recurrence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Manual expression of a secondary iris cyst is a safe, minimally invasive primary treatment that avoids complications from sclerosing agents. While iritis was a notable part of this patient's initial post-traumatic history, this surgical approach achieved long-term resolution without recurrence.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 709,
      "source_fields": {
        "Abstract Final Identifier": "POCOR016",
        "Title": "Minimally Invasive Management Of Pediatric Post-Traumatic Iris Cyst: A Case Report",
        "Presenting Author(s)": "Dr Albanderi H. Alhamzah",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Albanderi",
        "Submitter Middle Name": "H.",
        "Submitter Last Name": "Alhamzah",
        "Country Name": "Saudi Arabia",
        "Purpose": "Secondary iris cysts are rare post-traumatic lesions that can lead to severe ocular complications. This case reports the successful management of a symptomatic traumatic iris cyst in a pediatric patient using a manual expression technique without the use of sclerosing agents.",
        "Setting": "Ophthalmology Division of King Fahad University Hospital",
        "Methods": "A 16-year-old male presented with a pigmented iris lesion in the left eye, three years after blunt football trauma. He had been chronically treated with topical prednisolone for one year. Examination revealed 20/20 vision and a mobile, inferior iris cyst attached by a strand, accompanied by pigmentary deposits on the anterior lens capsule.\n\nFollowing a steroid taper, the patient underwent manual iris cyst expression (external drainage) without the use of sclerosing agents. Postoperatively, visual acuity was 20/25 on day one and returned to 20/20 by one week. At the five-month follow-up, intraocular pressure was stable and the anterior chamber remained clear.",
        "Results": "",
        "Conclusions": "Manual expression of a secondary iris cyst is a safe, minimally invasive primary treatment that avoids complications from sclerosing agents. While iritis was a notable part of this patient's initial post-traumatic history, this surgical approach achieved long-term resolution without recurrence."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 192
    },
    {
      "uid": "POCOR017",
      "abstract_number": "POCOR017",
      "title": "Clinical Course Of Acanthamoeba Radial Perineuritis In Contact Lens Wearer: Case Report",
      "authors": "Dr Abdulrahman Alhomoud",
      "presenter": "Dr Abdulrahman Alhomoud",
      "normalized_authors": [
        "Abdulrahman Alhomoud"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulrahman Alhomoud",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report the clinical course and long-term visual outcome of a young contact lens wearer diagnosed with Acanthamoeba keratitis (AK), highlighting complete resolution of ring infiltrate and radial keratoneuritis without visual compromise. Additionally, to describe the safety and outcome of subsequent refractive surgical interventions, including INTACS implantation, after confirmed eradication of infection.",
        "Setting": "Emergency department and cornea specialty services at a tertiary ophthalmology center managing infectious keratitis, including microbiological diagnosis and long-term follow-up with refractive surgical evaluation.",
        "Methods": "A 25-year-old medically free female contact lens wearer presented with severe right ocular pain for 10 days, unresponsive to broad-spectrum topical antibiotics. She reported cleaning lenses with tap water and showering while wearing them. Uncorrected visual acuity was 20/80 OU. The right eye showed ciliary injection, epithelial irregularities, subepithelial opacities, and radial keratoneuritis. Corneal scraping confirmed Acanthamoeba infection on day 4.\n\nShe was treated initially with fortified cefazoline and ceftazidime hourly, then switched to topical chlorhexidine and voriconazole hourly, with gradual tapering over several months. Topical prednisolone acetate 1% was introduced after 6 months with close monitoring; no reactivation occurred.\n\nWithin one year, the ring infiltrate and corneal scarring resolved completely, and best corrected visual acuity improved to 20/20 OU. During refractive evaluation, tomography suggested forme fruste keratoconus. The patient underwent Implantable Collamer Lens insertion in the left eye and INTACS implantation in the right eye. At 1-year postoperative follow-up, vision remained 20/20 OU with no recurrence of infection.",
        "Conclusions": "Early microbiological confirmation and aggressive anti-amoebic therapy can result in complete structural and visual recovery in Acanthamoeba keratitis. Prompt diagnosis within three weeks likely contributed to the excellent outcome. This case also suggests that, after confirmed eradication and long-term stability, selected patients may safely undergo corneal refractive procedures such as INTACS without reactivation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Early microbiological confirmation and aggressive anti-amoebic therapy can result in complete structural and visual recovery in Acanthamoeba keratitis. Prompt diagnosis within three weeks likely contributed to the excellent outcome. This case also suggests that, after confirmed eradication and long-term stability, selected patients may safely undergo corneal refractive procedures such as INTACS without reactivation.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 710,
      "source_fields": {
        "Abstract Final Identifier": "POCOR017",
        "Title": "Clinical Course Of Acanthamoeba Radial Perineuritis In Contact Lens Wearer: Case Report",
        "Presenting Author(s)": "Dr Abdulrahman Alhomoud",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Abdulrahman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alhomoud",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report the clinical course and long-term visual outcome of a young contact lens wearer diagnosed with Acanthamoeba keratitis (AK), highlighting complete resolution of ring infiltrate and radial keratoneuritis without visual compromise. Additionally, to describe the safety and outcome of subsequent refractive surgical interventions, including INTACS implantation, after confirmed eradication of infection.",
        "Setting": "Emergency department and cornea specialty services at a tertiary ophthalmology center managing infectious keratitis, including microbiological diagnosis and long-term follow-up with refractive surgical evaluation.",
        "Methods": "A 25-year-old medically free female contact lens wearer presented with severe right ocular pain for 10 days, unresponsive to broad-spectrum topical antibiotics. She reported cleaning lenses with tap water and showering while wearing them. Uncorrected visual acuity was 20/80 OU. The right eye showed ciliary injection, epithelial irregularities, subepithelial opacities, and radial keratoneuritis. Corneal scraping confirmed Acanthamoeba infection on day 4.\n\nShe was treated initially with fortified cefazoline and ceftazidime hourly, then switched to topical chlorhexidine and voriconazole hourly, with gradual tapering over several months. Topical prednisolone acetate 1% was introduced after 6 months with close monitoring; no reactivation occurred.\n\nWithin one year, the ring infiltrate and corneal scarring resolved completely, and best corrected visual acuity improved to 20/20 OU. During refractive evaluation, tomography suggested forme fruste keratoconus. The patient underwent Implantable Collamer Lens insertion in the left eye and INTACS implantation in the right eye. At 1-year postoperative follow-up, vision remained 20/20 OU with no recurrence of infection.",
        "Results": "",
        "Conclusions": "Early microbiological confirmation and aggressive anti-amoebic therapy can result in complete structural and visual recovery in Acanthamoeba keratitis. Prompt diagnosis within three weeks likely contributed to the excellent outcome. This case also suggests that, after confirmed eradication and long-term stability, selected patients may safely undergo corneal refractive procedures such as INTACS without reactivation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POCOR018",
      "abstract_number": "POCOR018",
      "title": "Delayed Bilateral Subepithelial Corneal Calcification In A Patient With Prior Corneal Collagen Cross-Linking (Cxl): A Rare Finding",
      "authors": "Dr Manar Aljebreen",
      "presenter": "Dr Manar Aljebreen",
      "normalized_authors": [
        "Manar Aljebreen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Manar Aljebreen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Purpose: To report a rare case of bilateral subepithelial corneal calcification following corneal collagen cross-linking (CXL) for keratoconus.",
        "Setting": "We report the case of a 37-year-old female who presented with progressive bilateral decrease in vision and central corneal opacities approximately 5 years after undergoing CXL.",
        "Methods": "In January 2023, a 37-year-old woman was referred to King Khalid Eye Specialist Hospital, Riyadh, for bilateral whitish corneal opacities with progressive visual decline over three years. She had keratoconus treated with bilateral collagen cross-linking eight years earlier. Medical history was unremarkable, with no trauma or contact lens wear. Uncorrected visual acuity was 20/40 OD and 20/50 OS, improving to 20/30 and 20/25 with rigid lenses, which she could not tolerate. Intraocular pressure was 10 mmHg bilaterally. Slit-lamp exam showed 3 mm central reticular opacities with rough whitish surfaces in both corneas. Anterior segment and fundus were normal. Topography confirmed keratoconus. AS-OCT showed anterior stromal hyperreflectivity, denser in the left eye, correlating with worse vision. Findings suggested bilateral corneal calcium deposition after CXL. Labs revealed vitamin D insufficiency (41 nmol/L) with normal calcium and thyroid levels. Superficial keratectomy with EDTA chelation was performed in both eyes. Due to persistent limitation in the left eye, lamellar keratoplasty (8.5 mm manual) was done without complications. Histopathology showed epithelial irregularity, Bowman layer disruption, subepithelial fibrosis, and calcium phosphate deposits on Von Kossa staining. At one year, vision was 20/60 (20/30 corrected) OD and 20/50 (20/25 corrected) OS; the right eye had central haze and the left graft remained clear.",
        "Conclusions": "Conclusions: This case report presents a rare case of bilateral subepithelial corneal calcification in a patient with multiple risk factors, including prior CXL among other potential contributors. An accurate diagnosis warrants differentiation from haze or fibrosis, and long-term follow-up is essential. Further research is warranted to clarify the role of phosphate-containing riboflavin formulations in calcific deposition"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conclusions: This case report presents a rare case of bilateral subepithelial corneal calcification in a patient with multiple risk factors, including prior CXL among other potential contributors. An accurate diagnosis warrants differentiation from haze or fibrosis, and long-term follow-up is essential. Further research is warranted to clarify the role of phosphate-containing riboflavin formulations in calcific…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 711,
      "source_fields": {
        "Abstract Final Identifier": "POCOR018",
        "Title": "Delayed Bilateral Subepithelial Corneal Calcification In A Patient With Prior Corneal Collagen Cross-Linking (Cxl): A Rare Finding",
        "Presenting Author(s)": "Dr Manar Aljebreen",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Manar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aljebreen",
        "Country Name": "Saudi Arabia",
        "Purpose": "Purpose: To report a rare case of bilateral subepithelial corneal calcification following corneal collagen cross-linking (CXL) for keratoconus.",
        "Setting": "We report the case of a 37-year-old female who presented with progressive bilateral decrease in vision and central corneal opacities approximately 5 years after undergoing CXL.",
        "Methods": "In January 2023, a 37-year-old woman was referred to King Khalid Eye Specialist Hospital, Riyadh, for bilateral whitish corneal opacities with progressive visual decline over three years. She had keratoconus treated with bilateral collagen cross-linking eight years earlier. Medical history was unremarkable, with no trauma or contact lens wear. Uncorrected visual acuity was 20/40 OD and 20/50 OS, improving to 20/30 and 20/25 with rigid lenses, which she could not tolerate. Intraocular pressure was 10 mmHg bilaterally. Slit-lamp exam showed 3 mm central reticular opacities with rough whitish surfaces in both corneas. Anterior segment and fundus were normal. Topography confirmed keratoconus. AS-OCT showed anterior stromal hyperreflectivity, denser in the left eye, correlating with worse vision. Findings suggested bilateral corneal calcium deposition after CXL. Labs revealed vitamin D insufficiency (41 nmol/L) with normal calcium and thyroid levels. Superficial keratectomy with EDTA chelation was performed in both eyes. Due to persistent limitation in the left eye, lamellar keratoplasty (8.5 mm manual) was done without complications. Histopathology showed epithelial irregularity, Bowman layer disruption, subepithelial fibrosis, and calcium phosphate deposits on Von Kossa staining. At one year, vision was 20/60 (20/30 corrected) OD and 20/50 (20/25 corrected) OS; the right eye had central haze and the left graft remained clear.",
        "Results": "",
        "Conclusions": "Conclusions: This case report presents a rare case of bilateral subepithelial corneal calcification in a patient with multiple risk factors, including prior CXL among other potential contributors. An accurate diagnosis warrants differentiation from haze or fibrosis, and long-term follow-up is essential. Further research is warranted to clarify the role of phosphate-containing riboflavin formulations in calcific deposition"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCOR019",
      "abstract_number": "POCOR019",
      "title": "Monkeypox Related Keratouveitis: A Case Report",
      "authors": "Dr Assaf Almalki",
      "presenter": "Dr Assaf Almalki",
      "normalized_authors": [
        "Assaf Almalki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Assaf Almalki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "The purpose of this case report is to present the clinical course and management of a 34-year-old male with Monkeypox-related keratitis in the right eye. Aiming to highlight therapeutic interventions and initial outcomes of a patient with Monkeypox-related keratouveitis.",
        "Setting": "This case was presented and managed at Dhahran Eye Specialist Hospital (DESH). The patient presented to the emergency room (ER) with severe sub-acute ocular symptoms, including swelling, pain, photophobia, and decreased vision. Prior to his presentation, the patient was diagnosed with Monkeypox with skin manifestations in another hospital.",
        "Methods": "A 34-year-old male with a history of Monkeypox 2 months prior to presenting to the ER with a complaint of right eye swelling, pain, redness, tearing, photophobia, and decrease of VA. The patient had visited other centers with limited improvement. His VA was CF2ft, and IOP of 28, the SLE showed moderate conjunctival injection, corneal haze, inferior crescent shaped stromal infiltrate with CED of 2* 4 mm, the anterior chamber had +2 mixed cells with flare, no clear view to the iris or fundus. B-scan revealed a flat retina, no choroidal thickening, and quiet posterior segment. Our impression was Herpetic versus Monkeypox-related Keratouveitis. Oral Valacyclovir, Topical Cyclopentolate, Moxifloxacin, and Dorzolamide\\Timolol were started, with close F/U.\n\nDuring subsequent visits, the patient had reported improvement, however, the clinical picture remained the same initially. 1 month later, CED was healed and the vision improved to 20\\400 and 20\\200. Cyclopentolate was switched to Cyclosporine at one point, and the patient was stabilized by the 3-month mark. Awaiting full stabilization to consider PKP.",
        "Conclusions": "This case emphasises the importance of detailed history taking in ocular settings, leading to early recognition and management.\n\nIt also highlights the multimodal treatment methods of combining systemic and topical medications.\n\nClose follow-up role is demonstrated in this case, as it allowed adaptive therapy and management of complications.\n\nConsideration of surgical intervention for better visual potential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case emphasises the importance of detailed history taking in ocular settings, leading to early recognition and management. It also highlights the multimodal treatment methods of combining systemic and topical medications. Close follow-up role is demonstrated in this case, as it allowed adaptive therapy and management of complications. Consideration of surgical intervention for better visual potential.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 712,
      "source_fields": {
        "Abstract Final Identifier": "POCOR019",
        "Title": "Monkeypox Related Keratouveitis: A Case Report",
        "Presenting Author(s)": "Dr Assaf Almalki",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Assaf",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Almalki",
        "Country Name": "Saudi Arabia",
        "Purpose": "The purpose of this case report is to present the clinical course and management of a 34-year-old male with Monkeypox-related keratitis in the right eye. Aiming to highlight therapeutic interventions and initial outcomes of a patient with Monkeypox-related keratouveitis.",
        "Setting": "This case was presented and managed at Dhahran Eye Specialist Hospital (DESH). The patient presented to the emergency room (ER) with severe sub-acute ocular symptoms, including swelling, pain, photophobia, and decreased vision. Prior to his presentation, the patient was diagnosed with Monkeypox with skin manifestations in another hospital.",
        "Methods": "A 34-year-old male with a history of Monkeypox 2 months prior to presenting to the ER with a complaint of right eye swelling, pain, redness, tearing, photophobia, and decrease of VA. The patient had visited other centers with limited improvement. His VA was CF2ft, and IOP of 28, the SLE showed moderate conjunctival injection, corneal haze, inferior crescent shaped stromal infiltrate with CED of 2* 4 mm, the anterior chamber had +2 mixed cells with flare, no clear view to the iris or fundus. B-scan revealed a flat retina, no choroidal thickening, and quiet posterior segment. Our impression was Herpetic versus Monkeypox-related Keratouveitis. Oral Valacyclovir, Topical Cyclopentolate, Moxifloxacin, and Dorzolamide\\Timolol were started, with close F/U.\n\nDuring subsequent visits, the patient had reported improvement, however, the clinical picture remained the same initially. 1 month later, CED was healed and the vision improved to 20\\400 and 20\\200. Cyclopentolate was switched to Cyclosporine at one point, and the patient was stabilized by the 3-month mark. Awaiting full stabilization to consider PKP.",
        "Results": "",
        "Conclusions": "This case emphasises the importance of detailed history taking in ocular settings, leading to early recognition and management.\n\nIt also highlights the multimodal treatment methods of combining systemic and topical medications.\n\nClose follow-up role is demonstrated in this case, as it allowed adaptive therapy and management of complications.\n\nConsideration of surgical intervention for better visual potential."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POCOR020",
      "abstract_number": "POCOR020",
      "title": "Surgical Management Of Corneal Limbal Dermoids: A Case Series And Report Of Local Outcomes At A Tertiary Centre In The United Kingdom",
      "authors": "Alia Al-Mousawi",
      "presenter": "Alia Al-Mousawi",
      "normalized_authors": [
        "Alia Al-Mousawi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alia Al-Mousawi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the local outcomes for corneal limbal dermoids in children and adults with shave excision biopsy and conjunctival flap advancement.",
        "Setting": "A tertiary referral centre in the United Kingdom.",
        "Methods": "Corneal limbal dermoids are congenital benign choristomas that most commonly arise at the inferotemporal corneoscleral limbus and have both visual and cosmetic implications. We describe a case series of five patients with Grade I corneal limbal dermoids managed with shave excision biopsy and conjunctival flap advancement.\n\nFive eyes of five patients (three female, two male) aged 8–22 years underwent surgical excision primarily for cosmetic indications. Shave excision was performed to bare sclera, and the surrounding conjunctiva was mobilised to allow direct closure over the scleral bed using absorbable sutures. Post-operatively, patients were treated with intensive topical lubricants and chloramphenicol ointment.\n\nAt two-week follow-up, complete corneal epithelial healing was observed in all cases with no evidence of corneoscleral melt. At most recent follow-up (range 6 months to 9 years), visual acuity was maintained in all patients, with no development of pseudopterygium or progression of corneal distortion.",
        "Conclusions": "Shave excision with conjunctival flap advancement appears to be a safe and effective minimally invasive technique for selected cases of Corneal limbal dermoid. This technique provides favourable cosmetic and visual outcomes whilst preserving corneal integrity and avoiding the need for more complex ocular surface reconstruction procedures that may increase operative time, cost, and surgical morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Shave excision with conjunctival flap advancement appears to be a safe and effective minimally invasive technique for selected cases of Corneal limbal dermoid. This technique provides favourable cosmetic and visual outcomes whilst preserving corneal integrity and avoiding the need for more complex ocular surface reconstruction procedures that may increase operative time, cost, and surgical morbidity.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 713,
      "source_fields": {
        "Abstract Final Identifier": "POCOR020",
        "Title": "Surgical Management Of Corneal Limbal Dermoids: A Case Series And Report Of Local Outcomes At A Tertiary Centre In The United Kingdom",
        "Presenting Author(s)": "Alia Al-Mousawi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Alia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al-Mousawi",
        "Country Name": "United Kingdom",
        "Purpose": "To report the local outcomes for corneal limbal dermoids in children and adults with shave excision biopsy and conjunctival flap advancement.",
        "Setting": "A tertiary referral centre in the United Kingdom.",
        "Methods": "Corneal limbal dermoids are congenital benign choristomas that most commonly arise at the inferotemporal corneoscleral limbus and have both visual and cosmetic implications. We describe a case series of five patients with Grade I corneal limbal dermoids managed with shave excision biopsy and conjunctival flap advancement.\n\nFive eyes of five patients (three female, two male) aged 8–22 years underwent surgical excision primarily for cosmetic indications. Shave excision was performed to bare sclera, and the surrounding conjunctiva was mobilised to allow direct closure over the scleral bed using absorbable sutures. Post-operatively, patients were treated with intensive topical lubricants and chloramphenicol ointment.\n\nAt two-week follow-up, complete corneal epithelial healing was observed in all cases with no evidence of corneoscleral melt. At most recent follow-up (range 6 months to 9 years), visual acuity was maintained in all patients, with no development of pseudopterygium or progression of corneal distortion.",
        "Results": "",
        "Conclusions": "Shave excision with conjunctival flap advancement appears to be a safe and effective minimally invasive technique for selected cases of Corneal limbal dermoid. This technique provides favourable cosmetic and visual outcomes whilst preserving corneal integrity and avoiding the need for more complex ocular surface reconstruction procedures that may increase operative time, cost, and surgical morbidity."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCOR021",
      "abstract_number": "POCOR021",
      "title": "Diagnostic Role Of Anterior Segment Optical Coherence Tomography In An Atypical Presentation Of Varicella Zoster Virus Interstitial Keratitis: A Case Report",
      "authors": "Dr Khalid Waleed Alsaggaf",
      "presenter": "Dr Khalid Waleed Alsaggaf",
      "normalized_authors": [
        "Khalid Waleed Alsaggaf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khalid Waleed Alsaggaf",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Varicella zoster virus (VZV) infection can involve various ocular structures with atypical manifestations.\nDistinguishing VZV interstitial keratitis from corneal intraepithelial neoplasia (CIN) is important to avoid unnecessary interventions. This report aims to demonstrate an unusual clinical presentation of VZV interstitial\nkeratitis and present the value of various diagnostic tools in excluding CIN.",
        "Setting": "King Khaled Eye Specialist Hospital & Research Center, Riyadh, Saudi Arabia",
        "Methods": "We describe the case of a 26-year-old woman with a right-eye corneal finding thought to be CIN. She had a\nhistory of unilateral headache, alopecia, loss of eyelashes, and redness on the right side over the past 5 years.\nUpon examination, she had normal vision, with a sectoral conjunctival injection and anterior stromal opacity. Anterior segment optical coherence tomography (AS-OCT) and epithelial mapping aided in the diagnosis of\nVZV interstitial keratitis. Treatment with oral valacyclovir and topical corticosteroids resulted in resolution of\nactive keratitis within 1 month, with residual scarring.",
        "Conclusions": "This case report highlights the importance of considering infectious etiologies, including VZV, in atypical corneal lesions, and demonstrates the diagnostic value of AS-OCT in differentiating CIN. It also highlights the primary role of AS-OCT and epithelial mapping in providing diagnostic clues that can distinguish OSSN from other\nmimickers. Timely recognition of viral keratitis mimicking neoplasia prevents unnecessary surgical interventions and enables targeted antiviral therapy"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case report highlights the importance of considering infectious etiologies, including VZV, in atypical corneal lesions, and demonstrates the diagnostic value of AS-OCT in differentiating CIN. It also highlights the primary role of AS-OCT and epithelial mapping in providing diagnostic clues that can distinguish OSSN from other mimickers. Timely recognition of viral keratitis mimicking neoplasia prevents…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 714,
      "source_fields": {
        "Abstract Final Identifier": "POCOR021",
        "Title": "Diagnostic Role Of Anterior Segment Optical Coherence Tomography In An Atypical Presentation Of Varicella Zoster Virus Interstitial Keratitis: A Case Report",
        "Presenting Author(s)": "Dr Khalid Waleed Alsaggaf",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Khalid",
        "Submitter Middle Name": "Waleed",
        "Submitter Last Name": "Alsaggaf",
        "Country Name": "Saudi Arabia",
        "Purpose": "Varicella zoster virus (VZV) infection can involve various ocular structures with atypical manifestations.\nDistinguishing VZV interstitial keratitis from corneal intraepithelial neoplasia (CIN) is important to avoid unnecessary interventions. This report aims to demonstrate an unusual clinical presentation of VZV interstitial\nkeratitis and present the value of various diagnostic tools in excluding CIN.",
        "Setting": "King Khaled Eye Specialist Hospital & Research Center, Riyadh, Saudi Arabia",
        "Methods": "We describe the case of a 26-year-old woman with a right-eye corneal finding thought to be CIN. She had a\nhistory of unilateral headache, alopecia, loss of eyelashes, and redness on the right side over the past 5 years.\nUpon examination, she had normal vision, with a sectoral conjunctival injection and anterior stromal opacity. Anterior segment optical coherence tomography (AS-OCT) and epithelial mapping aided in the diagnosis of\nVZV interstitial keratitis. Treatment with oral valacyclovir and topical corticosteroids resulted in resolution of\nactive keratitis within 1 month, with residual scarring.",
        "Results": "",
        "Conclusions": "This case report highlights the importance of considering infectious etiologies, including VZV, in atypical corneal lesions, and demonstrates the diagnostic value of AS-OCT in differentiating CIN. It also highlights the primary role of AS-OCT and epithelial mapping in providing diagnostic clues that can distinguish OSSN from other\nmimickers. Timely recognition of viral keratitis mimicking neoplasia prevents unnecessary surgical interventions and enables targeted antiviral therapy"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCOR022",
      "abstract_number": "POCOR022",
      "title": "Unusual Case Of Bilateral Corneal Keloid Secondary To Exposure Keratopathy.",
      "authors": "Dr Yazeed Fahad Alshahrani",
      "presenter": "Dr Yazeed Fahad Alshahrani",
      "normalized_authors": [
        "Yazeed Fahad Alshahrani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yazeed Fahad Alshahrani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report an unusual case of bilateral corneal keloid secondary to exposure to keratopathy in a young patient with epilepsy in the absence of previous ocular trauma, surgery or infection.",
        "Setting": "Ophthalmology unit, tertiary medical center, Riyadh, Saudi Arabia",
        "Methods": "A 28-year-old known case of epilepsy presented to our ophthalmology clinic with symptoms of dryness. On examination, visual acuity was 20/20, and Intraocular pressure was within normal limits for both eyes. Upon corneal assessment, bilateral inferior hypertrophic white glistening corneal scars with iron lines. Eyelid assessment revealed lagophthalmos with incomplete lid closure. The remainder of the anterior and posterior segment examination was within normal limits. The patient denied any history of ocular trauma, infection, prior eye surgery. The hypertrophic scar is most likely corneal keloid which resulted from chronic corneal exposure secondary to lagophthalmos. which is unusual as exposure to keratopathy tends to result in a thinned scarred cornea, and the corneal keloid present usually with patients who had previous trauma or infection or surgery. This patient was managed with intensive ocular lubrication and protective measures, and the surgical option was deferred as the scar was stable and located inferiorly which does not obscure his vision.",
        "Conclusions": "This case highlights an unusual presentation of bilateral corneal keloid secondary to chronic exposure keratopathy in the absence of trauma, infection, or prior surgery. This case emphasizes the importance of early diagnosis and intervention of exposure keratopathy to prevent corneal scarring and to preserve vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights an unusual presentation of bilateral corneal keloid secondary to chronic exposure keratopathy in the absence of trauma, infection, or prior surgery. This case emphasizes the importance of early diagnosis and intervention of exposure keratopathy to prevent corneal scarring and to preserve vision.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 715,
      "source_fields": {
        "Abstract Final Identifier": "POCOR022",
        "Title": "Unusual Case Of Bilateral Corneal Keloid Secondary To Exposure Keratopathy.",
        "Presenting Author(s)": "Dr Yazeed Fahad Alshahrani",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Yazeed",
        "Submitter Middle Name": "Fahad",
        "Submitter Last Name": "Alshahrani",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report an unusual case of bilateral corneal keloid secondary to exposure to keratopathy in a young patient with epilepsy in the absence of previous ocular trauma, surgery or infection.",
        "Setting": "Ophthalmology unit, tertiary medical center, Riyadh, Saudi Arabia",
        "Methods": "A 28-year-old known case of epilepsy presented to our ophthalmology clinic with symptoms of dryness. On examination, visual acuity was 20/20, and Intraocular pressure was within normal limits for both eyes. Upon corneal assessment, bilateral inferior hypertrophic white glistening corneal scars with iron lines. Eyelid assessment revealed lagophthalmos with incomplete lid closure. The remainder of the anterior and posterior segment examination was within normal limits. The patient denied any history of ocular trauma, infection, prior eye surgery. The hypertrophic scar is most likely corneal keloid which resulted from chronic corneal exposure secondary to lagophthalmos. which is unusual as exposure to keratopathy tends to result in a thinned scarred cornea, and the corneal keloid present usually with patients who had previous trauma or infection or surgery. This patient was managed with intensive ocular lubrication and protective measures, and the surgical option was deferred as the scar was stable and located inferiorly which does not obscure his vision.",
        "Results": "",
        "Conclusions": "This case highlights an unusual presentation of bilateral corneal keloid secondary to chronic exposure keratopathy in the absence of trauma, infection, or prior surgery. This case emphasizes the importance of early diagnosis and intervention of exposure keratopathy to prevent corneal scarring and to preserve vision."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCOR023",
      "abstract_number": "POCOR023",
      "title": "Compressive Pre-Descemet Corneal Suturing With Intracameral Air For Persistent Corneal Hydrops Secondary To Keratoconus",
      "authors": "Dr Julia Alvarez",
      "presenter": "Dr Julia Alvarez",
      "normalized_authors": [
        "Julia Alvarez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Alvarez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report the clinical and visual outcomes of compressive pre-Descemet corneal suturing with intracameral air in a case of persistent corneal hydrops secondary to keratoconus.",
        "Setting": "Tertiary referral center specializing in cornea and ocular surface disease.",
        "Methods": "A 20-year-old male presented with acute corneal hydrops secondary to keratoconus and was initially managed with standard medical therapy. Despite conservative treatment, marked stromal edema and severe visual impairment persisted for six months, with visual acuity deteriorating from counting fingers to hand motion.\n\nGiven the absence of spontaneous resolution and after reviewing available surgical options described in the literature, targeted compressive pre-Descemet suturing was performed. Four interrupted 10-0 nylon sutures were placed over the presumed area of Descemet membrane rupture, combined with intracameral air to facilitate reattachment and prevent pupillary block.\n\nPostoperatively, progressive resolution of corneal edema was observed. At one month, visual acuity improved to 20/150. By four months, uncorrected visual acuity reached 20/50 and remained stable at one-year follow-up. Serial topographic imaging demonstrated significant corneal regularization, and keratoplasty was avoided.",
        "Conclusions": "In persistent corneal hydrops unresponsive to medical therapy, compressive pre-Descemet suturing represents a safe and effective surgical alternative that may restore corneal clarity, improve functional vision, and prevent the need for keratoplasty. Even when intervention is delayed, substantial functional visual improvement can be achieved."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In persistent corneal hydrops unresponsive to medical therapy, compressive pre-Descemet suturing represents a safe and effective surgical alternative that may restore corneal clarity, improve functional vision, and prevent the need for keratoplasty. Even when intervention is delayed, substantial functional visual improvement can be achieved.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 716,
      "source_fields": {
        "Abstract Final Identifier": "POCOR023",
        "Title": "Compressive Pre-Descemet Corneal Suturing With Intracameral Air For Persistent Corneal Hydrops Secondary To Keratoconus",
        "Presenting Author(s)": "Dr Julia Alvarez",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alvarez",
        "Country Name": "Argentina",
        "Purpose": "To report the clinical and visual outcomes of compressive pre-Descemet corneal suturing with intracameral air in a case of persistent corneal hydrops secondary to keratoconus.",
        "Setting": "Tertiary referral center specializing in cornea and ocular surface disease.",
        "Methods": "A 20-year-old male presented with acute corneal hydrops secondary to keratoconus and was initially managed with standard medical therapy. Despite conservative treatment, marked stromal edema and severe visual impairment persisted for six months, with visual acuity deteriorating from counting fingers to hand motion.\n\nGiven the absence of spontaneous resolution and after reviewing available surgical options described in the literature, targeted compressive pre-Descemet suturing was performed. Four interrupted 10-0 nylon sutures were placed over the presumed area of Descemet membrane rupture, combined with intracameral air to facilitate reattachment and prevent pupillary block.\n\nPostoperatively, progressive resolution of corneal edema was observed. At one month, visual acuity improved to 20/150. By four months, uncorrected visual acuity reached 20/50 and remained stable at one-year follow-up. Serial topographic imaging demonstrated significant corneal regularization, and keratoplasty was avoided.",
        "Results": "",
        "Conclusions": "In persistent corneal hydrops unresponsive to medical therapy, compressive pre-Descemet suturing represents a safe and effective surgical alternative that may restore corneal clarity, improve functional vision, and prevent the need for keratoplasty. Even when intervention is delayed, substantial functional visual improvement can be achieved."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POCOR024",
      "abstract_number": "POCOR024",
      "title": "Keratolimbal Transplantation For Limbal Ischemia And Peripheral Corneal Perforation In Severe Ocular Graft-Versus-Host Disease",
      "authors": "Dr David Rosário Alves",
      "presenter": "Dr David Rosário Alves",
      "normalized_authors": [
        "David Rosário Alves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Rosário Alves",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To report the surgical management of peripheral corneal perforation secondary to severe limbal ischemia in chronic ocular graft-versus-host disease (GVHD) complicated by the development of recurrent ocular surface squamous neoplasia (OSSN), which was treated with no-touch lesion excision and topical interferon alpha-2b (IFN-a2b), highlighting the role of keratolimbal transplantation as a structural rescue procedure in advanced ocular surface disease complicated by recurrent ocular surface neoplasia and progressive limbal stem cell deficiency.",
        "Setting": "Department of Ophthalmology of ULS São João (Porto, Portugal), a tertiary referral center for complex anterior segment pathology. The procedure was performed by a cornea and ocular surface surgeon within a high-volume surgical unit performing over 150 corneal transplants annually, including penetrating, lamellar and endothelial keratoplasties, intrastromal ring implantation for ectatic disorders, and advanced ocular surface reconstruction procedures.",
        "Methods": "A 58-year-old male with B-cell acute lymphoblastic leukemia underwent allogeneic bone marrow transplantation and subsequently developed severe chronic ocular GVHD with inflammation and limbal dysfunction. Inital management consisted of topical cyclosporine and lubricants, with intermittent courses of antibiotics-steroids therapy during exacerbations.\n\nThe left eye followed a complex course. In the setting of ocular surface inflammation, the patient developed OSSN, requiring repeated no-touch surgical excisions with adjunctive cryotherapy, topical 5-fluorouracil and IFN therapy, as well as amniotic membrane transplantation. This culminated in symblepharon formation and persistent inferior limbal ischemia involving approximately 180°.\n\nEarlier this year, he presented to the emergency department with acute visual deterioration (hand motion), inferior corneal melting, shallow anterior chamber, and peripheral perforation sealed by iris prolapse. Despite intensive antimicrobial and anti-inflammatory therapy, structural decompensation progressed. A keratolimbal graft was performed to restore tectonic integrity of the compromised corneal–limbal unit. Early postoperative assessment demonstrated stable graft positioning without acute rejection; however, inferior corneoscleral exposure and partial scleral suture exposure required secondary autologous oral mucosal grafting. Current management includes topical cyclosporine, steroid–antibiotic therapy, and optimization of immunosuppression.",
        "Conclusions": "Severe chronic ocular GVHD may culminate in progressive limbal ischemia, stem cell deficiency, corneal melting, and perforation. OSSN development and subsequent treatment may aggravate these ocular surface complications. Keratolimbal transplantation can provide tectonic stabilization in advanced cases of peripheral corneal perforation, but stepwise reconstruction - including mucosal grafting - may be required to achieve durable anatomical preservation. In end-stage ocular surface disease, structural rescue may precede and outweigh visual rehabilitation as the primary therapeutic objective."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Severe chronic ocular GVHD may culminate in progressive limbal ischemia, stem cell deficiency, corneal melting, and perforation. OSSN development and subsequent treatment may aggravate these ocular surface complications. Keratolimbal transplantation can provide tectonic stabilization in advanced cases of peripheral corneal perforation, but stepwise reconstruction - including mucosal grafting - may be required to…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 717,
      "source_fields": {
        "Abstract Final Identifier": "POCOR024",
        "Title": "Keratolimbal Transplantation For Limbal Ischemia And Peripheral Corneal Perforation In Severe Ocular Graft-Versus-Host Disease",
        "Presenting Author(s)": "Dr David Rosário Alves",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "David",
        "Submitter Middle Name": "Rosário",
        "Submitter Last Name": "Alves",
        "Country Name": "Portugal",
        "Purpose": "To report the surgical management of peripheral corneal perforation secondary to severe limbal ischemia in chronic ocular graft-versus-host disease (GVHD) complicated by the development of recurrent ocular surface squamous neoplasia (OSSN), which was treated with no-touch lesion excision and topical interferon alpha-2b (IFN-a2b), highlighting the role of keratolimbal transplantation as a structural rescue procedure in advanced ocular surface disease complicated by recurrent ocular surface neoplasia and progressive limbal stem cell deficiency.",
        "Setting": "Department of Ophthalmology of ULS São João (Porto, Portugal), a tertiary referral center for complex anterior segment pathology. The procedure was performed by a cornea and ocular surface surgeon within a high-volume surgical unit performing over 150 corneal transplants annually, including penetrating, lamellar and endothelial keratoplasties, intrastromal ring implantation for ectatic disorders, and advanced ocular surface reconstruction procedures.",
        "Methods": "A 58-year-old male with B-cell acute lymphoblastic leukemia underwent allogeneic bone marrow transplantation and subsequently developed severe chronic ocular GVHD with inflammation and limbal dysfunction. Inital management consisted of topical cyclosporine and lubricants, with intermittent courses of antibiotics-steroids therapy during exacerbations.\n\nThe left eye followed a complex course. In the setting of ocular surface inflammation, the patient developed OSSN, requiring repeated no-touch surgical excisions with adjunctive cryotherapy, topical 5-fluorouracil and IFN therapy, as well as amniotic membrane transplantation. This culminated in symblepharon formation and persistent inferior limbal ischemia involving approximately 180°.\n\nEarlier this year, he presented to the emergency department with acute visual deterioration (hand motion), inferior corneal melting, shallow anterior chamber, and peripheral perforation sealed by iris prolapse. Despite intensive antimicrobial and anti-inflammatory therapy, structural decompensation progressed. A keratolimbal graft was performed to restore tectonic integrity of the compromised corneal–limbal unit. Early postoperative assessment demonstrated stable graft positioning without acute rejection; however, inferior corneoscleral exposure and partial scleral suture exposure required secondary autologous oral mucosal grafting. Current management includes topical cyclosporine, steroid–antibiotic therapy, and optimization of immunosuppression.",
        "Results": "",
        "Conclusions": "Severe chronic ocular GVHD may culminate in progressive limbal ischemia, stem cell deficiency, corneal melting, and perforation. OSSN development and subsequent treatment may aggravate these ocular surface complications. Keratolimbal transplantation can provide tectonic stabilization in advanced cases of peripheral corneal perforation, but stepwise reconstruction - including mucosal grafting - may be required to achieve durable anatomical preservation. In end-stage ocular surface disease, structural rescue may precede and outweigh visual rehabilitation as the primary therapeutic objective."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCOR025",
      "abstract_number": "POCOR025",
      "title": "Lattice-Like Band Keratopathy: Retinopathy Of Prematurity Sequalae Masquerading As Lattice Corneal Dystrophy",
      "authors": "Dr Brandon Vander Zee",
      "presenter": "Dr Brandon Vander Zee",
      "normalized_authors": [
        "Brandon Vander Zee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brian Armstrong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To present a diagnostic challenge in a 16‑year‑old female with decreased vision and bilateral lattice‑like corneal deposits who was initially suspected to have lattice corneal dystrophy. Further evaluation ultimately confirmed the diagnosis to be band keratopathy, likely secondary to prior laser treatment for retinopathy of prematurity (ROP). This case underscores the importance of integrating ocular history, genetic testing, and targeted literature review to avoid misdiagnosis and guide appropriate management. Before‑and‑after corneal photographs will be shown, with guardian consent obtained for image use.",
        "Setting": "This patient was evaluated and treated at a university-associated tertiary care center in the United States.",
        "Methods": "A 16‑year‑old girl with a history of bilateral laser‑treated ROP was referred for decreased vision and evaluation for presumed corneal dystrophy. Best corrected visual acuity measured 20/40 OD and 20/40‑1 OS with high myopic astigmatism OU. Slit‑lamp exam revealed bilateral central linear white superficial subepthelial opacities resembling lattice corneal dystrophy. Fundus examination showed bilateral 360° chorioretinal scarring consistent with prior extensive peripheral retinal laser.\n\nBecause the pattern resembled lattice dystrophy, an Invitae corneal dystrophy genetic panel was obtained and returned negative. Re‑evaluation of the patient's history prompted a literature review, including a report describing band keratopathy occurring in patients with prior laser treatment for ROP. This raised the possibility that her lattice‑like corneal deposits represented calcific deposition rather than a hereditary dystrophy.\n\nLaboratory studies and a detailed review of symptoms revealed no metabolic or inflammatory cause for band keratopathy. Bilateral sequential EDTA corneal chelation was performed, resulting in complete resolution of the deposits. Post‑procedure, her vision improved to 20/25 OU, with marked symptomatic improvement.",
        "Conclusions": "Band keratopathy can mimic lattice corneal dystrophy, particularly in patients with a prior history of laser‑treated ROP. Recognizing this association is essential to avoid misdiagnosis, unnecessary genetic testing, and inappropriate management. This case illustrates the importance of correlating ocular history with atypical corneal findings and demonstrates that EDTA chelation can rapidly restore visual clarity when band keratopathy is correctly identified and treated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Band keratopathy can mimic lattice corneal dystrophy, particularly in patients with a prior history of laser‑treated ROP. Recognizing this association is essential to avoid misdiagnosis, unnecessary genetic testing, and inappropriate management. This case illustrates the importance of correlating ocular history with atypical corneal findings and demonstrates that EDTA chelation can rapidly restore visual clarity…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 718,
      "source_fields": {
        "Abstract Final Identifier": "POCOR025",
        "Title": "Lattice-Like Band Keratopathy: Retinopathy Of Prematurity Sequalae Masquerading As Lattice Corneal Dystrophy",
        "Presenting Author(s)": "Dr Brandon Vander Zee",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Brian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Armstrong",
        "Country Name": "United States",
        "Purpose": "To present a diagnostic challenge in a 16‑year‑old female with decreased vision and bilateral lattice‑like corneal deposits who was initially suspected to have lattice corneal dystrophy. Further evaluation ultimately confirmed the diagnosis to be band keratopathy, likely secondary to prior laser treatment for retinopathy of prematurity (ROP). This case underscores the importance of integrating ocular history, genetic testing, and targeted literature review to avoid misdiagnosis and guide appropriate management. Before‑and‑after corneal photographs will be shown, with guardian consent obtained for image use.",
        "Setting": "This patient was evaluated and treated at a university-associated tertiary care center in the United States.",
        "Methods": "A 16‑year‑old girl with a history of bilateral laser‑treated ROP was referred for decreased vision and evaluation for presumed corneal dystrophy. Best corrected visual acuity measured 20/40 OD and 20/40‑1 OS with high myopic astigmatism OU. Slit‑lamp exam revealed bilateral central linear white superficial subepthelial opacities resembling lattice corneal dystrophy. Fundus examination showed bilateral 360° chorioretinal scarring consistent with prior extensive peripheral retinal laser.\n\nBecause the pattern resembled lattice dystrophy, an Invitae corneal dystrophy genetic panel was obtained and returned negative. Re‑evaluation of the patient's history prompted a literature review, including a report describing band keratopathy occurring in patients with prior laser treatment for ROP. This raised the possibility that her lattice‑like corneal deposits represented calcific deposition rather than a hereditary dystrophy.\n\nLaboratory studies and a detailed review of symptoms revealed no metabolic or inflammatory cause for band keratopathy. Bilateral sequential EDTA corneal chelation was performed, resulting in complete resolution of the deposits. Post‑procedure, her vision improved to 20/25 OU, with marked symptomatic improvement.",
        "Results": "",
        "Conclusions": "Band keratopathy can mimic lattice corneal dystrophy, particularly in patients with a prior history of laser‑treated ROP. Recognizing this association is essential to avoid misdiagnosis, unnecessary genetic testing, and inappropriate management. This case illustrates the importance of correlating ocular history with atypical corneal findings and demonstrates that EDTA chelation can rapidly restore visual clarity when band keratopathy is correctly identified and treated."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCOR026",
      "abstract_number": "POCOR026",
      "title": "Surgical Management Of Congenital Anterior Segment Dysgenesis",
      "authors": "Dr Sebastián Arrús García",
      "presenter": "Dr Sebastián Arrús García",
      "normalized_authors": [
        "Sebastián Arrús García"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sebastián Arrús García",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Congenital anterior segment dysgenesis, such as Peters anomaly, is frequently associated with refractory pediatric glaucoma and poor visual prognosis. Surgical management is complex due to corneal opacity, abnormal anatomy, and high failure rates of conventional glaucoma procedures. This case report aims to describe the anatomical and functional outcomes of a combined surgical approach using penetrating keratoplasty and implantation of a Paul glaucoma drainage device in the vitreous cavity in a pediatric patient with congenital anterior segment dysgenesis and uncontrolled glaucoma.",
        "Setting": "Department of Cornea and Ocular Surface, Barraquer Eye Center, Barcelona, Spain",
        "Methods": "A 7-year-old girl with bilateral Peters anomaly and congenital glaucoma presented with diffuse corneal opacity in both eyes. Previous interventions included bilateral trabeculectomy and transscleral cyclophotocoagulation. At presentation, intraocular pressure was 30 mmHg bilaterally, with best corrected visual acuity of 0.0063 in the right eye and 0.01 in the left eye. Electrophysiological testing showed better function in the right eye, which underwent combined penetrating keratoplasty, cataract extraction without intraocular lens implantation, pars plana vitrectomy, and implantation of a Paul glaucoma drainage device in the vitreous cavity.\n\nSurgery was completed without intraoperative complications. One month postoperatively, the corneal graft was clear and intraocular pressure was 4 mmHg under topical hypotensive therapy. At three months of follow-up, best corrected visual acuity in the right eye improved from 0.0063 preoperatively to 0.03. In addition, the parents reported a noticeable improvement in the patient’s ability to perform daily activities at home, along with improved object fixation. No postoperative complications were observed.",
        "Conclusions": "In pediatric patients with congenital anterior segment dysgenesis, achieving and maintaining corneal transparency is essential for visual rehabilitation. Combined penetrating keratoplasty with appropriate intraocular pressure control using a glaucoma drainage device, rather than repeat filtering surgery, may contribute to improved graft survival and stable visual outcomes. Careful selection and positioning of drainage devices can help preserve endothelial integrity and support long-term corneal clarity in complex congenital cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In pediatric patients with congenital anterior segment dysgenesis, achieving and maintaining corneal transparency is essential for visual rehabilitation. Combined penetrating keratoplasty with appropriate intraocular pressure control using a glaucoma drainage device, rather than repeat filtering surgery, may contribute to improved graft survival and stable visual outcomes. Careful selection and positioning of…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 719,
      "source_fields": {
        "Abstract Final Identifier": "POCOR026",
        "Title": "Surgical Management Of Congenital Anterior Segment Dysgenesis",
        "Presenting Author(s)": "Dr Sebastián Arrús García",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sebastián",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arrús García",
        "Country Name": "Spain",
        "Purpose": "Congenital anterior segment dysgenesis, such as Peters anomaly, is frequently associated with refractory pediatric glaucoma and poor visual prognosis. Surgical management is complex due to corneal opacity, abnormal anatomy, and high failure rates of conventional glaucoma procedures. This case report aims to describe the anatomical and functional outcomes of a combined surgical approach using penetrating keratoplasty and implantation of a Paul glaucoma drainage device in the vitreous cavity in a pediatric patient with congenital anterior segment dysgenesis and uncontrolled glaucoma.",
        "Setting": "Department of Cornea and Ocular Surface, Barraquer Eye Center, Barcelona, Spain",
        "Methods": "A 7-year-old girl with bilateral Peters anomaly and congenital glaucoma presented with diffuse corneal opacity in both eyes. Previous interventions included bilateral trabeculectomy and transscleral cyclophotocoagulation. At presentation, intraocular pressure was 30 mmHg bilaterally, with best corrected visual acuity of 0.0063 in the right eye and 0.01 in the left eye. Electrophysiological testing showed better function in the right eye, which underwent combined penetrating keratoplasty, cataract extraction without intraocular lens implantation, pars plana vitrectomy, and implantation of a Paul glaucoma drainage device in the vitreous cavity.\n\nSurgery was completed without intraoperative complications. One month postoperatively, the corneal graft was clear and intraocular pressure was 4 mmHg under topical hypotensive therapy. At three months of follow-up, best corrected visual acuity in the right eye improved from 0.0063 preoperatively to 0.03. In addition, the parents reported a noticeable improvement in the patient’s ability to perform daily activities at home, along with improved object fixation. No postoperative complications were observed.",
        "Results": "",
        "Conclusions": "In pediatric patients with congenital anterior segment dysgenesis, achieving and maintaining corneal transparency is essential for visual rehabilitation. Combined penetrating keratoplasty with appropriate intraocular pressure control using a glaucoma drainage device, rather than repeat filtering surgery, may contribute to improved graft survival and stable visual outcomes. Careful selection and positioning of drainage devices can help preserve endothelial integrity and support long-term corneal clarity in complex congenital cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCOR027",
      "abstract_number": "POCOR027",
      "title": "“Acute Active Fuchs’ Superficial Marginal Keratitis: A Case Report On Diagnosis And Management.”",
      "authors": "Dr Tanakorn Aurboonsong",
      "presenter": "Dr Tanakorn Aurboonsong",
      "normalized_authors": [
        "Tanakorn Aurboonsong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tanakorn Aurboonsong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "We report a patient with clinical findings compatible with acute active Fuchs’ superficial marginal keratitis who was subsequently diagnosed with a limited form of granulomatosis with polyangiitis or GPA (formerly known as Wegener’s granulomatosis), a systemic necrotizing vasculitis.",
        "Setting": "A single-center observational study conducted at Thammasat University Hospital , Thailand.",
        "Methods": "A 64-year-old Thai female complained of bilateral eye irritation and redness without blurred vision for 1 week. At presentation, best-corrected visual acuity was 20/25+2 in the right eye and 20/25 in the left eye without significant refractive error. Slit-lamp examination showed no signs of chronic blepharitis. There was moderate conjunctival injection in both eyes. An active linear peripheral corneal stromal infiltration without thinning was observed, extending for 4 clock hours (from 10 to 2 o’clock, clockwise) in the right eye and for 2 clock hours (from 2 to 4 o’clock) in the left eye, with no associated corneal epithelial defects, pseudopterygium or lipid deposition.\n\nA clinical diagnosis of acute first-attack FSMK was established. The initial review of systems was unremarkable, and the patient denied any systemic symptoms or underlying disease. However, subsequent laboratory testing revealed a strongly positive c-ANCA and a negative p-ANCA. Based on these findings, the rheumatologist diagnosed a limited form of granulomatosis with polyangiitis (formerly known as Wegener’s granulomatosis).\n\nThe patient was treated with anti-inflammatory medication, preservative-free artificial tears, and oral immunosuppressive therapy. She has been followed regularly, and her systemic condition has remained stable without recurrence or worsening of the ocular findings.",
        "Conclusions": "Fuchs’ superficial marginal keratitis (FSMK) is a rare bilateral peripheral corneal inflammatory disorder that can present in both acute and chronic forms. When a patient presents with bilateral eye irritation and redness with active linear peripheral corneal stromal infiltration, particulary located at atypical positions (not at the typical 2, 4, 8 or 10 o’clock locations) and no corneal epithelial defects. These findings suggest an acute and active form of FSMK.\n\nFSMK is rarely associated with ANCA and in those uncommon cases, most patients are p-ANCA positive. In this case, however, p-ANCA was negative while c-ANCA was positive. The patient was diagnosed with GPA which is systemic life-threatening vasculitic disorder associated with FSMK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Fuchs’ superficial marginal keratitis (FSMK) is a rare bilateral peripheral corneal inflammatory disorder that can present in both acute and chronic forms. When a patient presents with bilateral eye irritation and redness with active linear peripheral corneal stromal infiltration, particulary located at atypical positions (not at the typical 2, 4, 8 or 10 o’clock locations) and no corneal epithelial defects. These…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 720,
      "source_fields": {
        "Abstract Final Identifier": "POCOR027",
        "Title": "“Acute Active Fuchs’ Superficial Marginal Keratitis: A Case Report On Diagnosis And Management.”",
        "Presenting Author(s)": "Dr Tanakorn Aurboonsong",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Tanakorn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aurboonsong",
        "Country Name": "Thailand",
        "Purpose": "We report a patient with clinical findings compatible with acute active Fuchs’ superficial marginal keratitis who was subsequently diagnosed with a limited form of granulomatosis with polyangiitis or GPA (formerly known as Wegener’s granulomatosis), a systemic necrotizing vasculitis.",
        "Setting": "A single-center observational study conducted at Thammasat University Hospital , Thailand.",
        "Methods": "A 64-year-old Thai female complained of bilateral eye irritation and redness without blurred vision for 1 week. At presentation, best-corrected visual acuity was 20/25+2 in the right eye and 20/25 in the left eye without significant refractive error. Slit-lamp examination showed no signs of chronic blepharitis. There was moderate conjunctival injection in both eyes. An active linear peripheral corneal stromal infiltration without thinning was observed, extending for 4 clock hours (from 10 to 2 o’clock, clockwise) in the right eye and for 2 clock hours (from 2 to 4 o’clock) in the left eye, with no associated corneal epithelial defects, pseudopterygium or lipid deposition.\n\nA clinical diagnosis of acute first-attack FSMK was established. The initial review of systems was unremarkable, and the patient denied any systemic symptoms or underlying disease. However, subsequent laboratory testing revealed a strongly positive c-ANCA and a negative p-ANCA. Based on these findings, the rheumatologist diagnosed a limited form of granulomatosis with polyangiitis (formerly known as Wegener’s granulomatosis).\n\nThe patient was treated with anti-inflammatory medication, preservative-free artificial tears, and oral immunosuppressive therapy. She has been followed regularly, and her systemic condition has remained stable without recurrence or worsening of the ocular findings.",
        "Results": "",
        "Conclusions": "Fuchs’ superficial marginal keratitis (FSMK) is a rare bilateral peripheral corneal inflammatory disorder that can present in both acute and chronic forms. When a patient presents with bilateral eye irritation and redness with active linear peripheral corneal stromal infiltration, particulary located at atypical positions (not at the typical 2, 4, 8 or 10 o’clock locations) and no corneal epithelial defects. These findings suggest an acute and active form of FSMK.\n\nFSMK is rarely associated with ANCA and in those uncommon cases, most patients are p-ANCA positive. In this case, however, p-ANCA was negative while c-ANCA was positive. The patient was diagnosed with GPA which is systemic life-threatening vasculitic disorder associated with FSMK."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "POCOR028",
      "abstract_number": "POCOR028",
      "title": "Management Of Post-Traumatic Intracorneal Cyst",
      "authors": "Dr Ipsita Barman",
      "presenter": "Dr Ipsita Barman",
      "normalized_authors": [
        "Ipsita Barman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ipsita Barman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe the clinical presentation, surgical management, and visual outcome of a post-traumatic intracorneal cyst in a pediatric patient.",
        "Setting": "Tertiary eye care center in North India",
        "Methods": "A five-year-old boy presented with gradual, progressive loss of vision in the left eye over a one-year period following prior ocular trauma. Slit-lamp examination demonstrated a well-defined intracorneal cyst containing turbid fluid within the anterior corneal stroma. The lesion was bordered by whitish deposits and extended temporally into the adjacent sclera.\n\nSurgical management involved creation of a partial-thickness scleral flap to expose the lesion. The cyst was de-roofed and completely excised. Intracorneal fluid was aspirated through the sclero-corneal tract using a 23-gauge cannula. Adjunctive mitomycin-C cauterization was applied to ablate any residual epithelial lining and reduce the risk of recurrence.\n\nPostoperatively, there was marked improvement in corneal clarity. At three months of follow-up, complete resolution of the cyst was observed, and best-corrected visual acuity improved to 20/60.",
        "Conclusions": "Post-traumatic intracorneal cysts, though rare, should be considered in children presenting with progressive visual decline after ocular injury. Early surgical intervention with complete cyst excision and adjunctive mitomycin-C application can result in favorable anatomical and visual outcomes while minimizing recurrence risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Post-traumatic intracorneal cysts, though rare, should be considered in children presenting with progressive visual decline after ocular injury. Early surgical intervention with complete cyst excision and adjunctive mitomycin-C application can result in favorable anatomical and visual outcomes while minimizing recurrence risk.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 721,
      "source_fields": {
        "Abstract Final Identifier": "POCOR028",
        "Title": "Management Of Post-Traumatic Intracorneal Cyst",
        "Presenting Author(s)": "Dr Ipsita Barman",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ipsita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barman",
        "Country Name": "India",
        "Purpose": "To describe the clinical presentation, surgical management, and visual outcome of a post-traumatic intracorneal cyst in a pediatric patient.",
        "Setting": "Tertiary eye care center in North India",
        "Methods": "A five-year-old boy presented with gradual, progressive loss of vision in the left eye over a one-year period following prior ocular trauma. Slit-lamp examination demonstrated a well-defined intracorneal cyst containing turbid fluid within the anterior corneal stroma. The lesion was bordered by whitish deposits and extended temporally into the adjacent sclera.\n\nSurgical management involved creation of a partial-thickness scleral flap to expose the lesion. The cyst was de-roofed and completely excised. Intracorneal fluid was aspirated through the sclero-corneal tract using a 23-gauge cannula. Adjunctive mitomycin-C cauterization was applied to ablate any residual epithelial lining and reduce the risk of recurrence.\n\nPostoperatively, there was marked improvement in corneal clarity. At three months of follow-up, complete resolution of the cyst was observed, and best-corrected visual acuity improved to 20/60.",
        "Results": "",
        "Conclusions": "Post-traumatic intracorneal cysts, though rare, should be considered in children presenting with progressive visual decline after ocular injury. Early surgical intervention with complete cyst excision and adjunctive mitomycin-C application can result in favorable anatomical and visual outcomes while minimizing recurrence risk."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "POCOR029",
      "abstract_number": "POCOR029",
      "title": "Quadruple-Pathogen Spectrum In Rapidly Progressive Keratitis: Diagnostic And Surgical Challenges",
      "authors": "Dr Ipsita Barman",
      "presenter": "Dr Ipsita Barman",
      "normalized_authors": [
        "Ipsita Barman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ipsita Barman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe an aggressive keratitis exhibiting a quadruple microbiological spectrum, bacterial growth, Acanthamoeba-suggestive confocal findings, and culture-proven Pythium and filamentous fungi, culminating in graft reinfection and endophthalmitis. The case underscores the complexity of diagnosing and managing evolving polymicrobial infections.",
        "Setting": "Tertiary eye care center in North India",
        "Methods": "A 48-year-old female with rheumatoid arthritis presented with one month of pain, redness, and reduced vision in the right eye, worsening after topical steroid ointment was prescribed elsewhere for an eyelid lesion. Visual acuity was hand movements; the left eye was 6/6. Slit-lamp examination showed central corneal thinning with a 4 × 5 mm epithelial defect, minimal infiltrates, and stromal haze. AS-OCT confirmed severe thinning (248 µm). Infective keratitis was diagnosed, scrapings were obtained, and empirical fortified antibiotics were started.\n\nCorneal perforation ensued, requiring therapeutic penetrating keratoplasty. Initial culture grew Staphylococcus aureus sensitive to Tobramycin. One week later, acute graft reinfection with deep stromal infiltrates developed. Fungal cultures were sterile, while confocal microscopy revealed hyperreflective cyst-like structures suggestive of Acanthamoeba. Owing to clinical deterioration despite inconclusive reports, repeat therapeutic keratoplasty was performed and broad-spectrum antibacterial and anti-amoebic therapy initiated.\n\nProgressive limbal scleral involvement and ultrasonographic features of early endophthalmitis followed. Culture from the second host button demonstrated polymicrobial growth of Pythium, Alternaria, and Cladosporium. Despite intensive topical and intravitreal therapy, the infection progressed to fulminant endophthalmitis with no perception of light, and no further surgical intervention was planned.",
        "Conclusions": "This case highlights the diagnostic complexity of rapidly progressive keratitis with discordant microbiology and imaging findings in an immunologically vulnerable host. Discordance between clinical progression and initial microbiological results should prompt repeat sampling and reconsideration of atypical pathogens, including Pythium and mixed fungal infections. Host button analysis may reveal organisms not detected on surface scrapings. In rapidly progressive cases, early suspicion of deep or polymicrobial infection is critical, as delayed recognition can lead to graft failure and irreversible intraocular spread."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights the diagnostic complexity of rapidly progressive keratitis with discordant microbiology and imaging findings in an immunologically vulnerable host. Discordance between clinical progression and initial microbiological results should prompt repeat sampling and reconsideration of atypical pathogens, including Pythium and mixed fungal infections. Host button analysis may reveal organisms not…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 722,
      "source_fields": {
        "Abstract Final Identifier": "POCOR029",
        "Title": "Quadruple-Pathogen Spectrum In Rapidly Progressive Keratitis: Diagnostic And Surgical Challenges",
        "Presenting Author(s)": "Dr Ipsita Barman",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ipsita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barman",
        "Country Name": "India",
        "Purpose": "To describe an aggressive keratitis exhibiting a quadruple microbiological spectrum, bacterial growth, Acanthamoeba-suggestive confocal findings, and culture-proven Pythium and filamentous fungi, culminating in graft reinfection and endophthalmitis. The case underscores the complexity of diagnosing and managing evolving polymicrobial infections.",
        "Setting": "Tertiary eye care center in North India",
        "Methods": "A 48-year-old female with rheumatoid arthritis presented with one month of pain, redness, and reduced vision in the right eye, worsening after topical steroid ointment was prescribed elsewhere for an eyelid lesion. Visual acuity was hand movements; the left eye was 6/6. Slit-lamp examination showed central corneal thinning with a 4 × 5 mm epithelial defect, minimal infiltrates, and stromal haze. AS-OCT confirmed severe thinning (248 µm). Infective keratitis was diagnosed, scrapings were obtained, and empirical fortified antibiotics were started.\n\nCorneal perforation ensued, requiring therapeutic penetrating keratoplasty. Initial culture grew Staphylococcus aureus sensitive to Tobramycin. One week later, acute graft reinfection with deep stromal infiltrates developed. Fungal cultures were sterile, while confocal microscopy revealed hyperreflective cyst-like structures suggestive of Acanthamoeba. Owing to clinical deterioration despite inconclusive reports, repeat therapeutic keratoplasty was performed and broad-spectrum antibacterial and anti-amoebic therapy initiated.\n\nProgressive limbal scleral involvement and ultrasonographic features of early endophthalmitis followed. Culture from the second host button demonstrated polymicrobial growth of Pythium, Alternaria, and Cladosporium. Despite intensive topical and intravitreal therapy, the infection progressed to fulminant endophthalmitis with no perception of light, and no further surgical intervention was planned.",
        "Results": "",
        "Conclusions": "This case highlights the diagnostic complexity of rapidly progressive keratitis with discordant microbiology and imaging findings in an immunologically vulnerable host. Discordance between clinical progression and initial microbiological results should prompt repeat sampling and reconsideration of atypical pathogens, including Pythium and mixed fungal infections. Host button analysis may reveal organisms not detected on surface scrapings. In rapidly progressive cases, early suspicion of deep or polymicrobial infection is critical, as delayed recognition can lead to graft failure and irreversible intraocular spread."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCOR030",
      "abstract_number": "POCOR030",
      "title": "Managing The Unexpected: Extrusion Of An Allogenic Intrastromal Ring Segment (Cairs) Implant In A Keratoconus Patient",
      "authors": "Dr Rodrigo Ernesto Barrera Rodriguez",
      "presenter": "Dr Rodrigo Ernesto Barrera Rodriguez",
      "normalized_authors": [
        "Rodrigo Ernesto Barrera Rodriguez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rodrigo Ernesto Barrera Rodriguez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "To report a case of extrusion of a Corneal Allogenic Intrastromal Ring Segment (CAIRS) in advanced keratoconus and to describe its clinical course and management. Although CAIRS implantation is associated with high biocompatibility, extrusion is rarely reported, and its natural history and optimal management remain poorly characterized",
        "Setting": "The case was managed at Fundación Oftalmológica Nacional, Bogotá, Colombia, a tertiary referral center specialized in ophthalmology and corneal surgery",
        "Methods": "An 18-year-old patient with advanced keratoconus underwent implantation of two Corneal Allogenic Intrastromal Ring Segments (CAIRS) in the left eye, combined with corneal collagen cross-linking, following published recommendations. Surgery was uneventful, and early follow-up showed proper segment positioning and corneal flattening. At 6 months, focal extrusion of a single segment was observed. Although immediate explantation was advised, the patient declined. Conservative management with frequent topical broad-spectrum antibiotics and systemic matrix metalloproteinase inhibitors, along with close monitoring, was instituted. The graft remained in the tunnel, inflammation resolved, epithelialization occurred over the implant, and adjacent corneal transparency and corneal flattening were preserved",
        "Conclusions": "Extrusion of a CAIRS implant is an uncommon but recognized complication, even when highly biocompatible allogenic tissue is used. Because CAIRS consists of biologic material, selected cases may be managed conservatively, unlike PMMA intracorneal ring segments, potentially allowing preservation of corneal flattening and corneal transparency. In the present case, the most likely precipitating factor was unconscious eye rubbing during sleep. This observation underscores the importance of assessing and counseling patients regarding eye-rubbing behaviors, as these may increase the risk of implant extrusion even when highly biocompatible graft tissue is employed"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Extrusion of a CAIRS implant is an uncommon but recognized complication, even when highly biocompatible allogenic tissue is used. Because CAIRS consists of biologic material, selected cases may be managed conservatively, unlike PMMA intracorneal ring segments, potentially allowing preservation of corneal flattening and corneal transparency. In the present case, the most likely precipitating factor was unconscious…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 723,
      "source_fields": {
        "Abstract Final Identifier": "POCOR030",
        "Title": "Managing The Unexpected: Extrusion Of An Allogenic Intrastromal Ring Segment (Cairs) Implant In A Keratoconus Patient",
        "Presenting Author(s)": "Dr Rodrigo Ernesto Barrera Rodriguez",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Rodrigo",
        "Submitter Middle Name": "Ernesto",
        "Submitter Last Name": "Barrera Rodriguez",
        "Country Name": "Colombia",
        "Purpose": "To report a case of extrusion of a Corneal Allogenic Intrastromal Ring Segment (CAIRS) in advanced keratoconus and to describe its clinical course and management. Although CAIRS implantation is associated with high biocompatibility, extrusion is rarely reported, and its natural history and optimal management remain poorly characterized",
        "Setting": "The case was managed at Fundación Oftalmológica Nacional, Bogotá, Colombia, a tertiary referral center specialized in ophthalmology and corneal surgery",
        "Methods": "An 18-year-old patient with advanced keratoconus underwent implantation of two Corneal Allogenic Intrastromal Ring Segments (CAIRS) in the left eye, combined with corneal collagen cross-linking, following published recommendations. Surgery was uneventful, and early follow-up showed proper segment positioning and corneal flattening. At 6 months, focal extrusion of a single segment was observed. Although immediate explantation was advised, the patient declined. Conservative management with frequent topical broad-spectrum antibiotics and systemic matrix metalloproteinase inhibitors, along with close monitoring, was instituted. The graft remained in the tunnel, inflammation resolved, epithelialization occurred over the implant, and adjacent corneal transparency and corneal flattening were preserved",
        "Results": "",
        "Conclusions": "Extrusion of a CAIRS implant is an uncommon but recognized complication, even when highly biocompatible allogenic tissue is used. Because CAIRS consists of biologic material, selected cases may be managed conservatively, unlike PMMA intracorneal ring segments, potentially allowing preservation of corneal flattening and corneal transparency. In the present case, the most likely precipitating factor was unconscious eye rubbing during sleep. This observation underscores the importance of assessing and counseling patients regarding eye-rubbing behaviors, as these may increase the risk of implant extrusion even when highly biocompatible graft tissue is employed"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCOR031",
      "abstract_number": "POCOR031",
      "title": "Corneal Dellen After Non-Penetrating Deep Sclerectomy In An Eye With Prior Penetrating Keratoplasty",
      "authors": "María FLORENCIA Becchetti",
      "presenter": "María FLORENCIA Becchetti",
      "normalized_authors": [
        "María FLORENCIA Becchetti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria FLORENCIA Becchetti",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a case of peripheral corneal dellen localized in the host ring following non-penetrating deep sclerectomy (NPDS) with mitomycin C in an eye with previous penetrating keratoplasty. To present the surgical revision technique performed to limit the extension of the filtering bleb and its anatomical and functional outcomes after failure of conservative management.",
        "Setting": "Instituto de Microcirugía Ocular (IMO) - Grupo Miranza, Barcelona, Spain. Department of Cornea, Cataract and Refractive Surgery and Department of Glaucoma.",
        "Methods": "A 66-year-old patient with prior bilateral Laser-Assisted In Situ Keratomileusis (LASIK) developed progressive post-LASIK ectasia, more advanced in the left eye, requiring penetrating keratoplasty in both eyes. Subsequent phacoemulsification with intraocular lens implantation was uneventful. Prolonged topical steroid therapy led to steroid-induced glaucoma refractory to maximal medical treatment. NPDS with intraoperative mitomycin C (0.02%), a hydroxyethyl methacrylate (HEMA) implant (Esnoper V-2000®), and absorbable collagen matrix (DuraGen®) was performed in the left eye. Early postoperative course was favorable, with controlled intraocular pressure (IOP) without medication.\n\nTwo months later, the patient reported discomfort and foreign body sensation. Best-corrected visual acuity (BCVA) was 0.15 logMAR and IOP was 13 mmHg. A diffuse, temporally extended filtering bleb associated with conjunctivochalasis caused tear film instability and a peripheral temporal corneal dellen with significant thinning. Intensive topical therapy, including a bandage contact lens, failed due to intolerance and recurrent epithelial breakdown. To limit bleb extension, surgical revision was undertaken with temporal conjunctival resection, compressive conjunctiva–sclera sutures, and adjunctive fibrin glue–assisted conjunctival closure. At 6 months, BCVA improved to 0.0 logMAR, IOP was 10 mmHg without medication, bleb extension decreased, and the corneal lesion resolved.",
        "Conclusions": "Peripheral corneal dellen may occur in the host cornea after NPDS in eyes with prior penetrating keratoplasty. Excessive bleb extension can disrupt tear film distribution and induce localized thinning. In grafted eyes, progressive peripheral stromal loss may jeopardize graft integrity. Early identification of the underlying mechanical cause is essential. If conservative management fails, timely surgical revision should be considered to prevent further corneal compromise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Peripheral corneal dellen may occur in the host cornea after NPDS in eyes with prior penetrating keratoplasty. Excessive bleb extension can disrupt tear film distribution and induce localized thinning. In grafted eyes, progressive peripheral stromal loss may jeopardize graft integrity. Early identification of the underlying mechanical cause is essential. If conservative management fails, timely surgical revision…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 724,
      "source_fields": {
        "Abstract Final Identifier": "POCOR031",
        "Title": "Corneal Dellen After Non-Penetrating Deep Sclerectomy In An Eye With Prior Penetrating Keratoplasty",
        "Presenting Author(s)": "María FLORENCIA Becchetti",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "FLORENCIA",
        "Submitter Last Name": "Becchetti",
        "Country Name": "Spain",
        "Purpose": "To describe a case of peripheral corneal dellen localized in the host ring following non-penetrating deep sclerectomy (NPDS) with mitomycin C in an eye with previous penetrating keratoplasty. To present the surgical revision technique performed to limit the extension of the filtering bleb and its anatomical and functional outcomes after failure of conservative management.",
        "Setting": "Instituto de Microcirugía Ocular (IMO) - Grupo Miranza, Barcelona, Spain. Department of Cornea, Cataract and Refractive Surgery and Department of Glaucoma.",
        "Methods": "A 66-year-old patient with prior bilateral Laser-Assisted In Situ Keratomileusis (LASIK) developed progressive post-LASIK ectasia, more advanced in the left eye, requiring penetrating keratoplasty in both eyes. Subsequent phacoemulsification with intraocular lens implantation was uneventful. Prolonged topical steroid therapy led to steroid-induced glaucoma refractory to maximal medical treatment. NPDS with intraoperative mitomycin C (0.02%), a hydroxyethyl methacrylate (HEMA) implant (Esnoper V-2000®), and absorbable collagen matrix (DuraGen®) was performed in the left eye. Early postoperative course was favorable, with controlled intraocular pressure (IOP) without medication.\n\nTwo months later, the patient reported discomfort and foreign body sensation. Best-corrected visual acuity (BCVA) was 0.15 logMAR and IOP was 13 mmHg. A diffuse, temporally extended filtering bleb associated with conjunctivochalasis caused tear film instability and a peripheral temporal corneal dellen with significant thinning. Intensive topical therapy, including a bandage contact lens, failed due to intolerance and recurrent epithelial breakdown. To limit bleb extension, surgical revision was undertaken with temporal conjunctival resection, compressive conjunctiva–sclera sutures, and adjunctive fibrin glue–assisted conjunctival closure. At 6 months, BCVA improved to 0.0 logMAR, IOP was 10 mmHg without medication, bleb extension decreased, and the corneal lesion resolved.",
        "Results": "",
        "Conclusions": "Peripheral corneal dellen may occur in the host cornea after NPDS in eyes with prior penetrating keratoplasty. Excessive bleb extension can disrupt tear film distribution and induce localized thinning. In grafted eyes, progressive peripheral stromal loss may jeopardize graft integrity. Early identification of the underlying mechanical cause is essential. If conservative management fails, timely surgical revision should be considered to prevent further corneal compromise."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCOR033",
      "abstract_number": "POCOR033",
      "title": "Ocular Manifestations Of Cystinosis",
      "authors": "Ms Hajer Ben Amor",
      "presenter": "Ms Hajer Ben Amor",
      "normalized_authors": [
        "Hajer Ben Amor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hajer Ben Amor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "to report the case of ocular involvement associated with cystinosis in a patient and members of his family",
        "Setting": "Ophthalmology Department in Fattouma Bourguiba University Hospital, Monastir, Tunisia.",
        "Methods": "A 30-year Caucasian man, with second -degree consanguineous parents and growth failure presented with a history of hypothyroidism, diabetes complicated with diabetic retinopathy treated with laser, and infantile cystinosis with resulting Fanconi syndrome and renal failure for which he received hemodialysis.\n\nHe was referred by his nephrologist to look forfor ophthalmologic manifestations of his disease. He complained of photophobia. His best-corrected visual Acuity was 16/20 in both eyes. Slit lamp examination revealed refractile crystals within the anterior stroma of both corneas. In fundus examination the optic disc was pale, and inactive proliferative diabetic retinopathy with effective panretinal laser photocoagulation. The rest of both eyes examination was unremarkable.\n\nAnterior segment optical coherence tomography (AS-OCT) images revealed deposition of hyperreflective crystals from limbus to limbus within the anterior stroma of both corneas.\n\nSpectral-domain optical coherence tomography (SD-OCT) showed little hyperreflective foci throughout the retinal internal layers. The diagnosis of corneal and retinal abnormality related to his cystinosis disease was retained . Systemic assessment of the patient revealed cardiac failure and the cardiac ultrasound showed left ventricular ejection fraction at 25 percent with granite and shiny myocardial deposits . Consequently, a screening test with the ophthalmologic examination was undergone for all members of his family.",
        "Conclusions": "Cystinosis is a rare autosomal recessive lysosomal storage disorder characterized by the systemic accumulation of cystine crystals. Its clinical spectrum varies based on the age of onset, severity, and the extent of renal involvement. While nephropathy remains a hallmark of the disease, ocular manifestations are ubiquitous and potentially sight-threatening, affecting virtually all ocular structures. Recent advances in diagnostic imaging and early therapeutic intervention have significantly improved the ocular prognosis. However, a coordinated multidisciplinary approach remains essential for optimal patient management"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Cystinosis is a rare autosomal recessive lysosomal storage disorder characterized by the systemic accumulation of cystine crystals. Its clinical spectrum varies based on the age of onset, severity, and the extent of renal involvement. While nephropathy remains a hallmark of the disease, ocular manifestations are ubiquitous and potentially sight-threatening, affecting virtually all ocular structures. Recent advances…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 725,
      "source_fields": {
        "Abstract Final Identifier": "POCOR033",
        "Title": "Ocular Manifestations Of Cystinosis",
        "Presenting Author(s)": "Ms Hajer Ben Amor",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hajer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Amor",
        "Country Name": "Tunisia",
        "Purpose": "to report the case of ocular involvement associated with cystinosis in a patient and members of his family",
        "Setting": "Ophthalmology Department in Fattouma Bourguiba University Hospital, Monastir, Tunisia.",
        "Methods": "A 30-year Caucasian man, with second -degree consanguineous parents and growth failure presented with a history of hypothyroidism, diabetes complicated with diabetic retinopathy treated with laser, and infantile cystinosis with resulting Fanconi syndrome and renal failure for which he received hemodialysis.\n\nHe was referred by his nephrologist to look forfor ophthalmologic manifestations of his disease. He complained of photophobia. His best-corrected visual Acuity was 16/20 in both eyes. Slit lamp examination revealed refractile crystals within the anterior stroma of both corneas. In fundus examination the optic disc was pale, and inactive proliferative diabetic retinopathy with effective panretinal laser photocoagulation. The rest of both eyes examination was unremarkable.\n\nAnterior segment optical coherence tomography (AS-OCT) images revealed deposition of hyperreflective crystals from limbus to limbus within the anterior stroma of both corneas.\n\nSpectral-domain optical coherence tomography (SD-OCT) showed little hyperreflective foci throughout the retinal internal layers. The diagnosis of corneal and retinal abnormality related to his cystinosis disease was retained . Systemic assessment of the patient revealed cardiac failure and the cardiac ultrasound showed left ventricular ejection fraction at 25 percent with granite and shiny myocardial deposits . Consequently, a screening test with the ophthalmologic examination was undergone for all members of his family.",
        "Results": "",
        "Conclusions": "Cystinosis is a rare autosomal recessive lysosomal storage disorder characterized by the systemic accumulation of cystine crystals. Its clinical spectrum varies based on the age of onset, severity, and the extent of renal involvement. While nephropathy remains a hallmark of the disease, ocular manifestations are ubiquitous and potentially sight-threatening, affecting virtually all ocular structures. Recent advances in diagnostic imaging and early therapeutic intervention have significantly improved the ocular prognosis. However, a coordinated multidisciplinary approach remains essential for optimal patient management"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCOR034",
      "abstract_number": "POCOR034",
      "title": "A Conjunctival Pannus Simulating A Carcinoma In Situ A Case Report",
      "authors": "Dr HAJER BEN AMOR",
      "presenter": "Dr HAJER BEN AMOR",
      "normalized_authors": [
        "HAJER BEN AMOR"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hajer Ben Amor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "to report the case of a patient who presented with a conjunctival pannus or superficial chronic conjunctivitis and superficial punctate keratitis as part of a surface pathology initially mistaken for a carcinoma in situ.",
        "Setting": "Department of Ophthalmology. A 62-year-old female patient with history of diabetes , presenting with blured vision and referred to our department for further management of a corneal lesion initially mistaken for a corneal conjunctival carcinoma in situ in the rghit eye",
        "Methods": "a 62-year-old diabetic patient referred to our department for further management of a corneal lesion initially mistaken for a corneal conjunctival carcinoma in situ in the rghit eye. On examination, her visual acuity was limited to 6/10 in the right eye and 8/10 in the left eye. The anterior segment examination revealed severe meibomitis, superficial keratitis, and peripheral superficial corneal opacity on the right eye with both superficial and deep corneal neovascularization. Intraocular pressure was 16 mm Hg bilaterally, and the fundus examination was normal. Our management approach included doxycycline 100 mg/day, a 0.5% cyclosporine eye drop preparation at a dose of 3 drops/day, and a subconjunctival injection of bevacizumab targeting the corneal neovascularization. The follow-up showed resolution of ocular redness, superficial punctate keratitis, regression of corneal neovascularization, and improvement of corneal opacity.",
        "Conclusions": "Conjunctival pannus or chronic superficial keratitis is a corneal erosion of very varied causes, characterized by scattered punctate micro-lesions of the corneal epithelium. A localized limbal insufficiency, as part of an ocular surface pathology, can present as a pannus that can mistakenly simulate a localized conjunctival tumor."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Conjunctival pannus or chronic superficial keratitis is a corneal erosion of very varied causes, characterized by scattered punctate micro-lesions of the corneal epithelium. A localized limbal insufficiency, as part of an ocular surface pathology, can present as a pannus that can mistakenly simulate a localized conjunctival tumor.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 726,
      "source_fields": {
        "Abstract Final Identifier": "POCOR034",
        "Title": "A Conjunctival Pannus Simulating A Carcinoma In Situ A Case Report",
        "Presenting Author(s)": "Dr HAJER BEN AMOR",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hajer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Amor",
        "Country Name": "Tunisia",
        "Purpose": "to report the case of a patient who presented with a conjunctival pannus or superficial chronic conjunctivitis and superficial punctate keratitis as part of a surface pathology initially mistaken for a carcinoma in situ.",
        "Setting": "Department of Ophthalmology. A 62-year-old female patient with history of diabetes , presenting with blured vision and referred to our department for further management of a corneal lesion initially mistaken for a corneal conjunctival carcinoma in situ in the rghit eye",
        "Methods": "a 62-year-old diabetic patient referred to our department for further management of a corneal lesion initially mistaken for a corneal conjunctival carcinoma in situ in the rghit eye. On examination, her visual acuity was limited to 6/10 in the right eye and 8/10 in the left eye. The anterior segment examination revealed severe meibomitis, superficial keratitis, and peripheral superficial corneal opacity on the right eye with both superficial and deep corneal neovascularization. Intraocular pressure was 16 mm Hg bilaterally, and the fundus examination was normal. Our management approach included doxycycline 100 mg/day, a 0.5% cyclosporine eye drop preparation at a dose of 3 drops/day, and a subconjunctival injection of bevacizumab targeting the corneal neovascularization. The follow-up showed resolution of ocular redness, superficial punctate keratitis, regression of corneal neovascularization, and improvement of corneal opacity.",
        "Results": "",
        "Conclusions": "Conjunctival pannus or chronic superficial keratitis is a corneal erosion of very varied causes, characterized by scattered punctate micro-lesions of the corneal epithelium. A localized limbal insufficiency, as part of an ocular surface pathology, can present as a pannus that can mistakenly simulate a localized conjunctival tumor."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POCOR035",
      "abstract_number": "POCOR035",
      "title": "Variable Thickness Rings For Keratoconus: A Prospective Case Series On Visual, Refractive, And Corneal Topographic Outcomes",
      "authors": "Dr Raluca Bievel Radulescu",
      "presenter": "Dr Raluca Bievel Radulescu",
      "normalized_authors": [
        "Raluca Bievel Radulescu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raluca Bievel Radulescu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the short-term clinical outcomes of variable thickness rings (VTR) in keratoconus patients, focusing on visual, refractive, corneal topographic, and aberrometric changes.",
        "Setting": "This prospective, noncomparative case series included 6 eyes with mild to moderate keratoconus treated with Mularoni-designed VTR (Ring&Co, Bologna, Italy). Preoperative and postoperative assessments at 1 and 3 months included:\n\n•\n(UDVA) and SCDVA\n\n•\nManifest refraction\n\n•\nCorneal topography\n\n•\nPachymetry\n\n•\nHigher-order aberrations\n\n•\nCorneal stability index\n\nAll surgeries were performed under topical anesthesia using a femtosecond laser. VTR implants ranged from 200–400 µm in thickness and 120–160° in arc length",
        "Methods": "•\nVisual Acuity: UDVA improved from 0.65 ± 0.35 to 0.32 ± 0.08 logMAR; SCDVA improved from 0.46 ± 0.23 to 0.32 ± 0.08 logMAR (p < 0.001).\n\n•\nRefractive Outcomes: Mean spherical equivalent decreased, and cylindrical error improved from −3.62 ± 2.23 D to −3.47 ± 1.65 D.\n\n•\nCorneal Topography: Kmax decreased from 56.94 ± 5.30 D to 54.09 ± 4.18 D (p = 0.02); K1 and K2 showed flattening trends.\n\n•\nCorneal Thickness: Thinnest pachymetry increased slightly (337 µm → 362 µm), suggesting corneal remodeling.\n\n•\nAberrometry: HOAs showed variable trends, with some patients improving and others showing mild increases postoperatively.\n\n•\nStability: CSI improved in most cases (0.02–16.41 → 0.9–13.5).\n\n•\nSafety: No intraoperative complications; one patient developed postoperative corneal infiltrates. Endothelial cell density remained stable.",
        "Conclusions": "VTR-ICRS implantation in keratoconus patients effectively improves visual and refractive outcomes while preserving corneal trophism due to reduced implant thickness. Customized segment design enables targeted corneal reshaping, offering a valuable tool for personalized keratoconus management, especially for patients planning future lens-based refractive interventions. Further studies with larger cohorts and longer follow-up are recommended to confirm long-term efficacy and corneal biomechanical stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "VTR-ICRS implantation in keratoconus patients effectively improves visual and refractive outcomes while preserving corneal trophism due to reduced implant thickness. Customized segment design enables targeted corneal reshaping, offering a valuable tool for personalized keratoconus management, especially for patients planning future lens-based refractive interventions. Further studies with larger cohorts and longer…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 727,
      "source_fields": {
        "Abstract Final Identifier": "POCOR035",
        "Title": "Variable Thickness Rings For Keratoconus: A Prospective Case Series On Visual, Refractive, And Corneal Topographic Outcomes",
        "Presenting Author(s)": "Dr Raluca Bievel Radulescu",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Raluca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bievel Radulescu",
        "Country Name": "Italy",
        "Purpose": "To evaluate the short-term clinical outcomes of variable thickness rings (VTR) in keratoconus patients, focusing on visual, refractive, corneal topographic, and aberrometric changes.",
        "Setting": "This prospective, noncomparative case series included 6 eyes with mild to moderate keratoconus treated with Mularoni-designed VTR (Ring&Co, Bologna, Italy). Preoperative and postoperative assessments at 1 and 3 months included:\n\n•\n(UDVA) and SCDVA\n\n•\nManifest refraction\n\n•\nCorneal topography\n\n•\nPachymetry\n\n•\nHigher-order aberrations\n\n•\nCorneal stability index\n\nAll surgeries were performed under topical anesthesia using a femtosecond laser. VTR implants ranged from 200–400 µm in thickness and 120–160° in arc length",
        "Methods": "•\nVisual Acuity: UDVA improved from 0.65 ± 0.35 to 0.32 ± 0.08 logMAR; SCDVA improved from 0.46 ± 0.23 to 0.32 ± 0.08 logMAR (p < 0.001).\n\n•\nRefractive Outcomes: Mean spherical equivalent decreased, and cylindrical error improved from −3.62 ± 2.23 D to −3.47 ± 1.65 D.\n\n•\nCorneal Topography: Kmax decreased from 56.94 ± 5.30 D to 54.09 ± 4.18 D (p = 0.02); K1 and K2 showed flattening trends.\n\n•\nCorneal Thickness: Thinnest pachymetry increased slightly (337 µm → 362 µm), suggesting corneal remodeling.\n\n•\nAberrometry: HOAs showed variable trends, with some patients improving and others showing mild increases postoperatively.\n\n•\nStability: CSI improved in most cases (0.02–16.41 → 0.9–13.5).\n\n•\nSafety: No intraoperative complications; one patient developed postoperative corneal infiltrates. Endothelial cell density remained stable.",
        "Results": "",
        "Conclusions": "VTR-ICRS implantation in keratoconus patients effectively improves visual and refractive outcomes while preserving corneal trophism due to reduced implant thickness. Customized segment design enables targeted corneal reshaping, offering a valuable tool for personalized keratoconus management, especially for patients planning future lens-based refractive interventions. Further studies with larger cohorts and longer follow-up are recommended to confirm long-term efficacy and corneal biomechanical stability."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCOR036",
      "abstract_number": "POCOR036",
      "title": "Management Of Treatment-Resistant Fusarium Keratitis Via Intensive Intrastromal Injections, Pack-Cxl And Triple Sequential Penetrating Keratoplasty",
      "authors": "Dr Merve Birge Ergün",
      "presenter": "Dr Merve Birge Ergün",
      "normalized_authors": [
        "Merve Birge Ergün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Merve Birge Ergün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a challenging case of Fusarium keratitis that demonstrated rapid progression despite intensive daily intrastromal/intracameral voriconazole and PACK-CXL, ultimately requiring three sequential penetrating keratoplasties to achieve a clinical cure .",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Turkey.",
        "Methods": "A 63-year-old female with a history of diabetes and hypertension presented with a 3-day history of worsening pain and vision loss in her left eye . Two months prior, she had experienced minor ocular trauma from a hazelnut while harvesting . Her initial visual acuity was 0.8 in the right eye and at the level of hand motions in the left . Examination revealed a 3-4 mm ring infiltrate near the corneal center with irregular feathery borders and satellite lesions . Direct microscopy showed septate hyphae, and cultures later confirmed Fusarium growth .\n\nFortified imipenem drops were administered once every hour and fortified voriconazole drops were applied once every 20 minutes. Due to progression and hypopyon, intrastromal/intracameral voriconazole was administered and the surface covered with an amniotic membrane . Despite 4 days of intensive intrastromal voriconazole and amphotericin B, PACK-CXL was performed on day 5 . By day 8, the infiltrate reached the limbus, necessitating an emergency therapeutic penetrating keratoplasty(PKP) .\nPost-PKP, recurrence was noted in the graft on day 5 . Despite further injections, a second PKP (graft exchange) was performed on day 8, with intrastromal voriconazole applied to the recipient bed . Recurrence occurred again within one week . A third PKP was then performed, expanding the host bed to the sclera . At the 5-month follow-up, no recurrence was observed; visual acuity was countinf finger at 1-meter with a clear graft, pupillary synechiae, and cataract .",
        "Conclusions": "Fusarium keratitis is a highly aggressive and treatment-resistant fungal infection that can progress rapidly after the onset of symptoms . This case highlights that when conventional medical therapy and PACK-CXL fail, early and potentially repeated surgical intervention, including large-diameter keratoplasty, may be necessary to eradicate the infection and preserve the globe ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Fusarium keratitis is a highly aggressive and treatment-resistant fungal infection that can progress rapidly after the onset of symptoms . This case highlights that when conventional medical therapy and PACK-CXL fail, early and potentially repeated surgical intervention, including large-diameter keratoplasty, may be necessary to eradicate the infection and preserve the globe .",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 728,
      "source_fields": {
        "Abstract Final Identifier": "POCOR036",
        "Title": "Management Of Treatment-Resistant Fusarium Keratitis Via Intensive Intrastromal Injections, Pack-Cxl And Triple Sequential Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Merve Birge Ergün",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Merve",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Birge Ergün",
        "Country Name": "Türkiye",
        "Purpose": "To report a challenging case of Fusarium keratitis that demonstrated rapid progression despite intensive daily intrastromal/intracameral voriconazole and PACK-CXL, ultimately requiring three sequential penetrating keratoplasties to achieve a clinical cure .",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Turkey.",
        "Methods": "A 63-year-old female with a history of diabetes and hypertension presented with a 3-day history of worsening pain and vision loss in her left eye . Two months prior, she had experienced minor ocular trauma from a hazelnut while harvesting . Her initial visual acuity was 0.8 in the right eye and at the level of hand motions in the left . Examination revealed a 3-4 mm ring infiltrate near the corneal center with irregular feathery borders and satellite lesions . Direct microscopy showed septate hyphae, and cultures later confirmed Fusarium growth .\n\nFortified imipenem drops were administered once every hour and fortified voriconazole drops were applied once every 20 minutes. Due to progression and hypopyon, intrastromal/intracameral voriconazole was administered and the surface covered with an amniotic membrane . Despite 4 days of intensive intrastromal voriconazole and amphotericin B, PACK-CXL was performed on day 5 . By day 8, the infiltrate reached the limbus, necessitating an emergency therapeutic penetrating keratoplasty(PKP) .\nPost-PKP, recurrence was noted in the graft on day 5 . Despite further injections, a second PKP (graft exchange) was performed on day 8, with intrastromal voriconazole applied to the recipient bed . Recurrence occurred again within one week . A third PKP was then performed, expanding the host bed to the sclera . At the 5-month follow-up, no recurrence was observed; visual acuity was countinf finger at 1-meter with a clear graft, pupillary synechiae, and cataract .",
        "Results": "",
        "Conclusions": "Fusarium keratitis is a highly aggressive and treatment-resistant fungal infection that can progress rapidly after the onset of symptoms . This case highlights that when conventional medical therapy and PACK-CXL fail, early and potentially repeated surgical intervention, including large-diameter keratoplasty, may be necessary to eradicate the infection and preserve the globe ."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POCOR037",
      "abstract_number": "POCOR037",
      "title": "Atypical Acanthamoeba Keratitis In A 13-Year-Old: The Importance Of Suspecting The Unsuspected.",
      "authors": "Dr Juan Camilo Cadavid Usuga",
      "presenter": "Dr Juan Camilo Cadavid Usuga",
      "normalized_authors": [
        "Juan Camilo Cadavid Usuga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juan Camilo Cadavid Usuga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "To report an atypical presentation of Acanthamoeba keratitis in a non–contact lens–wearing pediatric patient and to emphasize the importance of maintaining a high index of clinical suspicion in cases of presumed herpetic keratitis unresponsive to standard antiviral therapy. Additionally, this report aims to highlight the decisive role of in vivo confocal microscopy and multimodal imaging in achieving early diagnosis and improving visual outcomes.",
        "Setting": "This case was managed in a specialized ophthalmology referral center. Diagnostic evaluation included slit-lamp biomicroscopy, in vivo confocal microscopy (IVCM), pachymetry, and anterior segment optical coherence tomography (AS-OCT). The patient was treated and followed for 12 months in an outpatient clinical setting, adhering to institutional ethical standards.",
        "Methods": "A 13-year-old female, non-contact lens wearer, presented with a 1-month history of progressive redness, photophobia, and blurred vision in the left eye (OS). She had failed empirical topical ganciclovir. Examination of OS revealed mild hyperemia and a well-demarcated, deep circular stromal lesion without a ring infiltrate. Fluorescein showed punctate keratitis but no frank defect. In vivo confocal microscopy (IVCM) was definitive, showing hyperreflective epithelial patterns and double-walled structures (cysts/trophozoites). Pachymetry confirmed focal superior thinning (447 µm), and AS-OCT showed anterior stromal hyperreflectivity consistent with leukoma. Treatment with 0.02% chlorhexidine, fluorometholone, and oral acyclovir led to a favorable 12-month follow-up with no recurrence.",
        "Conclusions": "AK is an uncommon but vision-threatening infection often misdiagnosed due to non-specific findings. A high index of suspicion is essential, even in patients without classic risk factors such as contact lens wear. Early recognition of suggestive signs, supported by timely use of diagnostic tools like IVCM and molecular testing, allows prompt initiation of targeted therapy. This approach improves visual outcomes and reduces complications. Multimodal imaging plays a key role in the management of atypical infectious keratitis, enabling early detection before irreversible corneal damage occurs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "AK is an uncommon but vision-threatening infection often misdiagnosed due to non-specific findings. A high index of suspicion is essential, even in patients without classic risk factors such as contact lens wear. Early recognition of suggestive signs, supported by timely use of diagnostic tools like IVCM and molecular testing, allows prompt initiation of targeted therapy. This approach improves visual outcomes and…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 729,
      "source_fields": {
        "Abstract Final Identifier": "POCOR037",
        "Title": "Atypical Acanthamoeba Keratitis In A 13-Year-Old: The Importance Of Suspecting The Unsuspected.",
        "Presenting Author(s)": "Dr Juan Camilo Cadavid Usuga",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Juan",
        "Submitter Middle Name": "Camilo",
        "Submitter Last Name": "Cadavid Usuga",
        "Country Name": "Colombia",
        "Purpose": "To report an atypical presentation of Acanthamoeba keratitis in a non–contact lens–wearing pediatric patient and to emphasize the importance of maintaining a high index of clinical suspicion in cases of presumed herpetic keratitis unresponsive to standard antiviral therapy. Additionally, this report aims to highlight the decisive role of in vivo confocal microscopy and multimodal imaging in achieving early diagnosis and improving visual outcomes.",
        "Setting": "This case was managed in a specialized ophthalmology referral center. Diagnostic evaluation included slit-lamp biomicroscopy, in vivo confocal microscopy (IVCM), pachymetry, and anterior segment optical coherence tomography (AS-OCT). The patient was treated and followed for 12 months in an outpatient clinical setting, adhering to institutional ethical standards.",
        "Methods": "A 13-year-old female, non-contact lens wearer, presented with a 1-month history of progressive redness, photophobia, and blurred vision in the left eye (OS). She had failed empirical topical ganciclovir. Examination of OS revealed mild hyperemia and a well-demarcated, deep circular stromal lesion without a ring infiltrate. Fluorescein showed punctate keratitis but no frank defect. In vivo confocal microscopy (IVCM) was definitive, showing hyperreflective epithelial patterns and double-walled structures (cysts/trophozoites). Pachymetry confirmed focal superior thinning (447 µm), and AS-OCT showed anterior stromal hyperreflectivity consistent with leukoma. Treatment with 0.02% chlorhexidine, fluorometholone, and oral acyclovir led to a favorable 12-month follow-up with no recurrence.",
        "Results": "",
        "Conclusions": "AK is an uncommon but vision-threatening infection often misdiagnosed due to non-specific findings. A high index of suspicion is essential, even in patients without classic risk factors such as contact lens wear. Early recognition of suggestive signs, supported by timely use of diagnostic tools like IVCM and molecular testing, allows prompt initiation of targeted therapy. This approach improves visual outcomes and reduces complications. Multimodal imaging plays a key role in the management of atypical infectious keratitis, enabling early detection before irreversible corneal damage occurs."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCOR038",
      "abstract_number": "POCOR038",
      "title": "Management Of Diabetic Corneal Melt And Perforation With Split Anterior And Posterior Lamellar Tectonic Grafts From A Single Donor Cornea",
      "authors": "Dr Yijun Cai",
      "presenter": "Dr Yijun Cai",
      "normalized_authors": [
        "Yijun Cai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yijun Cai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report a case of diabetic corneal melt and perforation managed with split anterior and posterior lamellar tectonic grafts from a single donor cornea",
        "Setting": "Tertiary referral centre at King's College Hospital NHS Foundation Trust, London",
        "Methods": "The 73 year old male presented with bilateral peripheral corneal ulcers with a hypopyon in the left eye. He was managed initially with oral doxycycline, prednisolone and topical moxifloxacin. However, he developed a perforation in the left eye 2 weeks later which was glued and was found to have uncontrolled diabetes with HbA1c of 134mmol/mol. His autoimmune screening bloods were negative. He was then referred to a diabetic consultant for urgent optimisation of his diabetic control and to facilitate general anaesthesia for a planned tectonic graft. Intraoperatively, a pre-cut DSAEK donor with the anterior lamellar cap was used. The posterior lamellar graft was first divided into 2 halves to treat the inferior nasal perforation and add tissue to the inferior temporal quadrant with significant peripheral corneal melt. The anterior lamellar cap was then positioned centrally and inferior nasally to cover the areas of corneal thinning and sutured in place with interrupted nylon sutures. The split tectonic grafts in the left eye remain viable 9 months postoperatively with a visual acuity of 6/48 unaided and 6/18 pinhole.",
        "Conclusions": "Our case demonstrates effective management of corneal perforation using a novel technique with split anterior and posterior lamellar grafts from a single donor cornea. Our technique can be adopted in patients with multiple areas of perforation or melts requiring tissue addition with the benefit of fully utilising donor cornea tissue and avoiding the need for multiple donor corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Our case demonstrates effective management of corneal perforation using a novel technique with split anterior and posterior lamellar grafts from a single donor cornea. Our technique can be adopted in patients with multiple areas of perforation or melts requiring tissue addition with the benefit of fully utilising donor cornea tissue and avoiding the need for multiple donor corneas.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 730,
      "source_fields": {
        "Abstract Final Identifier": "POCOR038",
        "Title": "Management Of Diabetic Corneal Melt And Perforation With Split Anterior And Posterior Lamellar Tectonic Grafts From A Single Donor Cornea",
        "Presenting Author(s)": "Dr Yijun Cai",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Yijun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cai",
        "Country Name": "United Kingdom",
        "Purpose": "To report a case of diabetic corneal melt and perforation managed with split anterior and posterior lamellar tectonic grafts from a single donor cornea",
        "Setting": "Tertiary referral centre at King's College Hospital NHS Foundation Trust, London",
        "Methods": "The 73 year old male presented with bilateral peripheral corneal ulcers with a hypopyon in the left eye. He was managed initially with oral doxycycline, prednisolone and topical moxifloxacin. However, he developed a perforation in the left eye 2 weeks later which was glued and was found to have uncontrolled diabetes with HbA1c of 134mmol/mol. His autoimmune screening bloods were negative. He was then referred to a diabetic consultant for urgent optimisation of his diabetic control and to facilitate general anaesthesia for a planned tectonic graft. Intraoperatively, a pre-cut DSAEK donor with the anterior lamellar cap was used. The posterior lamellar graft was first divided into 2 halves to treat the inferior nasal perforation and add tissue to the inferior temporal quadrant with significant peripheral corneal melt. The anterior lamellar cap was then positioned centrally and inferior nasally to cover the areas of corneal thinning and sutured in place with interrupted nylon sutures. The split tectonic grafts in the left eye remain viable 9 months postoperatively with a visual acuity of 6/48 unaided and 6/18 pinhole.",
        "Results": "",
        "Conclusions": "Our case demonstrates effective management of corneal perforation using a novel technique with split anterior and posterior lamellar grafts from a single donor cornea. Our technique can be adopted in patients with multiple areas of perforation or melts requiring tissue addition with the benefit of fully utilising donor cornea tissue and avoiding the need for multiple donor corneas."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POCOR039",
      "abstract_number": "POCOR039",
      "title": "Surgical Management Of Advanced Keratoconus Using Concentric 320 Intracorneal Ring Segments: A Case Report",
      "authors": "Dr Maria Vitória Vicente Cardoso",
      "presenter": "Dr Maria Vitória Vicente Cardoso",
      "normalized_authors": [
        "Maria Vitória Vicente Cardoso"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Vitória Vicente Cardoso",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To report the clinical outcome of a young patient with advanced keratoconus treated with the implantation of two concentric 320-degree intrastromal corneal ring segments (ICRS) in different optical zones as an alternative to corneal transplantation.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "A 17-year-old female with a three-year history of progressive visual loss in the right eye was evaluated. Uncorrected visual acuity was counting fingers at 1 meter in the right eye and 20/50 in the left eye, with best-corrected visual acuity of 20/150 and 20/20, respectively. Corneal tomography revealed a Kmax of 89.6 D in the right eye. After unsatisfactory visual outcomes with scleral contact lenses, simultaneous implantation of two 320-degree ICRS was performed in concentric positions at 5 mm and 6 mm optical zones using femtosecond laser assistance. At three months postoperatively, the patient demonstrated marked improvement in visual acuity, achieving 20/100 with spectacles and 20/30 with scleral contact lenses in the right eye. Corneal topography showed substantial improvement, with Kmax reduced to 68.2 D. No intraoperative or postoperative complications were observed.",
        "Conclusions": "The implantation of two concentric 320-degree intrastromal corneal ring segments in different optical zones proved to be a safe and effective option for visual rehabilitation in advanced keratoconus. This approach promoted corneal stabilization, improved keratometric parameters, and postponed the need for corneal transplantation, particularly in young patients at higher risk for graft-related complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The implantation of two concentric 320-degree intrastromal corneal ring segments in different optical zones proved to be a safe and effective option for visual rehabilitation in advanced keratoconus. This approach promoted corneal stabilization, improved keratometric parameters, and postponed the need for corneal transplantation, particularly in young patients at higher risk for graft-related complications.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 731,
      "source_fields": {
        "Abstract Final Identifier": "POCOR039",
        "Title": "Surgical Management Of Advanced Keratoconus Using Concentric 320 Intracorneal Ring Segments: A Case Report",
        "Presenting Author(s)": "Dr Maria Vitória Vicente Cardoso",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Vitória Vicente",
        "Submitter Last Name": "Cardoso",
        "Country Name": "Brazil",
        "Purpose": "To report the clinical outcome of a young patient with advanced keratoconus treated with the implantation of two concentric 320-degree intrastromal corneal ring segments (ICRS) in different optical zones as an alternative to corneal transplantation.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "A 17-year-old female with a three-year history of progressive visual loss in the right eye was evaluated. Uncorrected visual acuity was counting fingers at 1 meter in the right eye and 20/50 in the left eye, with best-corrected visual acuity of 20/150 and 20/20, respectively. Corneal tomography revealed a Kmax of 89.6 D in the right eye. After unsatisfactory visual outcomes with scleral contact lenses, simultaneous implantation of two 320-degree ICRS was performed in concentric positions at 5 mm and 6 mm optical zones using femtosecond laser assistance. At three months postoperatively, the patient demonstrated marked improvement in visual acuity, achieving 20/100 with spectacles and 20/30 with scleral contact lenses in the right eye. Corneal topography showed substantial improvement, with Kmax reduced to 68.2 D. No intraoperative or postoperative complications were observed.",
        "Results": "",
        "Conclusions": "The implantation of two concentric 320-degree intrastromal corneal ring segments in different optical zones proved to be a safe and effective option for visual rehabilitation in advanced keratoconus. This approach promoted corneal stabilization, improved keratometric parameters, and postponed the need for corneal transplantation, particularly in young patients at higher risk for graft-related complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POCOR040",
      "abstract_number": "POCOR040",
      "title": "Sterile Peripheral Corneal Infiltrates Following Corneal Cross-Linking For Early Keratoconus: A Case Report",
      "authors": "Dr Marta Carrasco Guijarro",
      "presenter": "Dr Marta Carrasco Guijarro",
      "normalized_authors": [
        "Marta Carrasco Guijarro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Carrasco Guijarro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the clinical course, management, and outcome of bilateral sterile peripheral corneal infiltrates after corrneal collagen cross-linking (CXL) for early keratoconus, and to highlight the importance of differentiating this inflammatory complication from infectious keratitis.",
        "Setting": "Centro de Oftalmología Barraquer, department of cornea and refractive surgery, Barcelona, Spain.",
        "Methods": "A 32-year-old patient with early bilateral keratoconus underwent CXL with 0.1% riboflavin and standard UVA irradiation under topical anesthesia. A bandage contact lens was placed postoperatively. Treatment included artificial tears, topical antibiotic, and topical NSAID. On postoperative day 4, the patient developed bilateral pain and decreased visual acuity. Slit-lamp examination showed peripheral dense stromal infiltrates with epithelial defects and mild corneal haze in both eyes; the anterior chamber was quiet. Corneal scrapings were obtained and cultures were negative. Intensive fortified topical antibiotics (hourly ceftazidime and tobramycin, plus nighttime tobramycin ointment) were started. After 72 hours, given negative cultures and suspicion of sterile inflammatory infiltrates, topical fluorometholone was added three times daily. Rapid regression of infiltrates followed corticosteroid initiation. Antibiotics were gradually tapered and discontinued, while corticosteroids were slowly reduced over several weeks. At 3-month follow-up, near-complete corneal transparency was observed with minimal residual peripheral stromal changes and good visual recovery.",
        "Conclusions": "Sterile peripheral infiltrates are an uncommon inflammatory complication after CXL, usually appearing within the first postoperative week. They are culture-negative and likely immune-mediated. Careful exclusion of infection is essential. Once infectious keratitis is ruled out, early corticosteroid therapy promotes rapid resolution and favorable visual outcomes, minimizing long-term sequelae."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Sterile peripheral infiltrates are an uncommon inflammatory complication after CXL, usually appearing within the first postoperative week. They are culture-negative and likely immune-mediated. Careful exclusion of infection is essential. Once infectious keratitis is ruled out, early corticosteroid therapy promotes rapid resolution and favorable visual outcomes, minimizing long-term sequelae.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 732,
      "source_fields": {
        "Abstract Final Identifier": "POCOR040",
        "Title": "Sterile Peripheral Corneal Infiltrates Following Corneal Cross-Linking For Early Keratoconus: A Case Report",
        "Presenting Author(s)": "Dr Marta Carrasco Guijarro",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Carrasco Guijarro",
        "Country Name": "Spain",
        "Purpose": "To describe the clinical course, management, and outcome of bilateral sterile peripheral corneal infiltrates after corrneal collagen cross-linking (CXL) for early keratoconus, and to highlight the importance of differentiating this inflammatory complication from infectious keratitis.",
        "Setting": "Centro de Oftalmología Barraquer, department of cornea and refractive surgery, Barcelona, Spain.",
        "Methods": "A 32-year-old patient with early bilateral keratoconus underwent CXL with 0.1% riboflavin and standard UVA irradiation under topical anesthesia. A bandage contact lens was placed postoperatively. Treatment included artificial tears, topical antibiotic, and topical NSAID. On postoperative day 4, the patient developed bilateral pain and decreased visual acuity. Slit-lamp examination showed peripheral dense stromal infiltrates with epithelial defects and mild corneal haze in both eyes; the anterior chamber was quiet. Corneal scrapings were obtained and cultures were negative. Intensive fortified topical antibiotics (hourly ceftazidime and tobramycin, plus nighttime tobramycin ointment) were started. After 72 hours, given negative cultures and suspicion of sterile inflammatory infiltrates, topical fluorometholone was added three times daily. Rapid regression of infiltrates followed corticosteroid initiation. Antibiotics were gradually tapered and discontinued, while corticosteroids were slowly reduced over several weeks. At 3-month follow-up, near-complete corneal transparency was observed with minimal residual peripheral stromal changes and good visual recovery.",
        "Results": "",
        "Conclusions": "Sterile peripheral infiltrates are an uncommon inflammatory complication after CXL, usually appearing within the first postoperative week. They are culture-negative and likely immune-mediated. Careful exclusion of infection is essential. Once infectious keratitis is ruled out, early corticosteroid therapy promotes rapid resolution and favorable visual outcomes, minimizing long-term sequelae."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCOR041",
      "abstract_number": "POCOR041",
      "title": "Protruding Stromal Amyloid Breaching Bowman’S Membrane In Gelsolin-Associated Lattice Corneal Dystrophy Causing Contact Lens Intolerance",
      "authors": "Mr George Castle",
      "presenter": "Mr George Castle",
      "normalized_authors": [
        "George Castle"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "George Castle",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe a rare presentation of gelsolin-associated lattice corneal dystrophy in which stromal amyloid breached Bowman’s membrane and protruded anteriorly, producing mechanical ocular surface symptoms and contact lens intolerance.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A 74 year old woman with genetically confirmed gelsolin amyloidosis was followed for bilateral lattice corneal dystrophy with preserved visual acuity but progressive ocular irritation and inability to tolerate contact lenses. Slit-lamp examination demonstrated typical lattice changes with anterior stromal haze and a focal raised central lesion in the more symptomatic eye. Anterior segment OCT showed a hyper-reflective anterior stromal deposit breaching Bowman’s membrane and protruding above the corneal surface, disrupting normal contour. Given the functional impairment, superficial surgical excision was performed to restore surface regularity. Histopathology confirmed amyloid deposition with Congo red positivity. The procedure was uncomplicated. Postoperatively, corneal contour improved, symptoms resolved, and comfortable contact lens wear was restored without significant change in visual acuity.",
        "Conclusions": "Anterior protrusion of stromal amyloid through Bowman’s membrane is an uncommon but clinically important manifestation of gelsolin-associated lattice corneal dystrophy. Symptoms may be driven by mechanical surface irregularity rather than visual loss. Recognition of this presentation allows targeted superficial excision, which can restore comfort and contact lens tolerance without the need for keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Anterior protrusion of stromal amyloid through Bowman’s membrane is an uncommon but clinically important manifestation of gelsolin-associated lattice corneal dystrophy. Symptoms may be driven by mechanical surface irregularity rather than visual loss. Recognition of this presentation allows targeted superficial excision, which can restore comfort and contact lens tolerance without the need for keratoplasty.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 733,
      "source_fields": {
        "Abstract Final Identifier": "POCOR041",
        "Title": "Protruding Stromal Amyloid Breaching Bowman’S Membrane In Gelsolin-Associated Lattice Corneal Dystrophy Causing Contact Lens Intolerance",
        "Presenting Author(s)": "Mr George Castle",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "George",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Castle",
        "Country Name": "United Kingdom",
        "Purpose": "To describe a rare presentation of gelsolin-associated lattice corneal dystrophy in which stromal amyloid breached Bowman’s membrane and protruded anteriorly, producing mechanical ocular surface symptoms and contact lens intolerance.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A 74 year old woman with genetically confirmed gelsolin amyloidosis was followed for bilateral lattice corneal dystrophy with preserved visual acuity but progressive ocular irritation and inability to tolerate contact lenses. Slit-lamp examination demonstrated typical lattice changes with anterior stromal haze and a focal raised central lesion in the more symptomatic eye. Anterior segment OCT showed a hyper-reflective anterior stromal deposit breaching Bowman’s membrane and protruding above the corneal surface, disrupting normal contour. Given the functional impairment, superficial surgical excision was performed to restore surface regularity. Histopathology confirmed amyloid deposition with Congo red positivity. The procedure was uncomplicated. Postoperatively, corneal contour improved, symptoms resolved, and comfortable contact lens wear was restored without significant change in visual acuity.",
        "Results": "",
        "Conclusions": "Anterior protrusion of stromal amyloid through Bowman’s membrane is an uncommon but clinically important manifestation of gelsolin-associated lattice corneal dystrophy. Symptoms may be driven by mechanical surface irregularity rather than visual loss. Recognition of this presentation allows targeted superficial excision, which can restore comfort and contact lens tolerance without the need for keratoplasty."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 209
    },
    {
      "uid": "POCOR042",
      "abstract_number": "POCOR042",
      "title": "A Case Of Histopathologically Confirmed Acanthamoeba Keratitis In A Pediatric Patient With Orthokeratology Contact Lens Wear-Related Keratitis",
      "authors": "Prof. Dr Chan-Ho Cho",
      "presenter": "Prof. Dr Chan-Ho Cho",
      "normalized_authors": [
        "Chan-Ho Cho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chan-Ho Cho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "We report a case of Acanthamoeba keratitis (AK) in a pediatric patient who was diagnosed after wearing orthokeratology contact lenses (OKL) and underwent penetrating keratoplasty (PKP) due to extensive corneal opacity that persisted despite appropriate treatment.",
        "Setting": "Case report. This study case wase taken by Department of Ophthalmology, Yeungnam University College of Medicine, South Korea.",
        "Methods": "A 13-year-old girl presented with right ocular pain for 5 weeks. The patient had been wearing OKL daily for 4 years and stopped after the onset of symptoms. She was diagnosed with herpetic keratitis at the hospital she first visited 5 weeks ago and was treated with topical moxifloxacin, ganciclovir gel, and fluorometholone for 1 month. Fluorometholone was discontinued 1 week before visiting our hospital, and the corneal lesion rapidly worsened, so she was referred to our hospital. At her first visit to our hospital, BCVA was hand motion. Slit-lamp examination showed large extensive ring-shaped stromal infiltration in the central cornea, 7x6 mm of epithelial defect, extensive conjunctival/scleral injection, with 2+ anterior chamber cells. We clinically diagnosed as advanced stage of AK, the patient was treated with topical 0.04% PHMB, 0.04% chlorhexidine, moxifloxacin and 5% ceftazidime simultaneously at 1-hour intervals. Corneal scraping culture revealed E. cloacae and P. aeruginosa , but Acanthamoeba was not identified. After treatment, pain was reduced and conjunctival/scleral injection gradually improved. At 4 months of treatment, amniotic membrane transplantation was performed due to persistent epithelial defect. Postoperatively, the epithelial defect healed, but central corneal opacity remained significant. Therefore, PKP was performed at 6 months. Corneal button biopsy revealed acanthamoeba cyst. Six months after PKP, the grafted cornea showed clear, and BCVA was 0.8.",
        "Conclusions": "Adequate awareness, caution, and clinical suspicion are required for Acanthamoeba keratitis, a rare and serious complication that may occur due to the use of orthokeratology contact lenses particularly in pediatric age."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Adequate awareness, caution, and clinical suspicion are required for Acanthamoeba keratitis, a rare and serious complication that may occur due to the use of orthokeratology contact lenses particularly in pediatric age.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 734,
      "source_fields": {
        "Abstract Final Identifier": "POCOR042",
        "Title": "A Case Of Histopathologically Confirmed Acanthamoeba Keratitis In A Pediatric Patient With Orthokeratology Contact Lens Wear-Related Keratitis",
        "Presenting Author(s)": "Prof. Dr Chan-Ho Cho",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Chan-Ho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cho",
        "Country Name": "Korea, Republic Of",
        "Purpose": "We report a case of Acanthamoeba keratitis (AK) in a pediatric patient who was diagnosed after wearing orthokeratology contact lenses (OKL) and underwent penetrating keratoplasty (PKP) due to extensive corneal opacity that persisted despite appropriate treatment.",
        "Setting": "Case report. This study case wase taken by Department of Ophthalmology, Yeungnam University College of Medicine, South Korea.",
        "Methods": "A 13-year-old girl presented with right ocular pain for 5 weeks. The patient had been wearing OKL daily for 4 years and stopped after the onset of symptoms. She was diagnosed with herpetic keratitis at the hospital she first visited 5 weeks ago and was treated with topical moxifloxacin, ganciclovir gel, and fluorometholone for 1 month. Fluorometholone was discontinued 1 week before visiting our hospital, and the corneal lesion rapidly worsened, so she was referred to our hospital. At her first visit to our hospital, BCVA was hand motion. Slit-lamp examination showed large extensive ring-shaped stromal infiltration in the central cornea, 7x6 mm of epithelial defect, extensive conjunctival/scleral injection, with 2+ anterior chamber cells. We clinically diagnosed as advanced stage of AK, the patient was treated with topical 0.04% PHMB, 0.04% chlorhexidine, moxifloxacin and 5% ceftazidime simultaneously at 1-hour intervals. Corneal scraping culture revealed E. cloacae and P. aeruginosa , but Acanthamoeba was not identified. After treatment, pain was reduced and conjunctival/scleral injection gradually improved. At 4 months of treatment, amniotic membrane transplantation was performed due to persistent epithelial defect. Postoperatively, the epithelial defect healed, but central corneal opacity remained significant. Therefore, PKP was performed at 6 months. Corneal button biopsy revealed acanthamoeba cyst. Six months after PKP, the grafted cornea showed clear, and BCVA was 0.8.",
        "Results": "",
        "Conclusions": "Adequate awareness, caution, and clinical suspicion are required for Acanthamoeba keratitis, a rare and serious complication that may occur due to the use of orthokeratology contact lenses particularly in pediatric age."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POCOR043",
      "abstract_number": "POCOR043",
      "title": "Ointment Tacrolimus In The Treatment Of Corneal Vascularization With Lipid Keratopathy",
      "authors": "Dr PETER KS CHONG",
      "presenter": "Dr PETER KS CHONG",
      "normalized_authors": [
        "PETER KS CHONG"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Peter KS Chong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "We report a case of lipid keratopathy secondary to repeated corneal infection due to underlying herpetic disciform keratitis. It was successfully treated with needle cautery in combination with G. fluoromethalone (FML) ( AbbVie, Ireland ), ointment acyclovir 3% ( FDC Limited, India ) and ointment tacrolimus 0.03% ( Ajanta, India ).",
        "Setting": "Lipid keratopathy is a common complication in a vascularized cornea due to recurrent cornea infection or trauma. An upregulation of angiogenic factors causes corneal neovascularization with lipid leakages. The period of follow up at Topvision clinic was 22 months. By using fine needlle cautery af the feeder vessels, the vascularization resolved quickly. The cornea regained clarity with the continuous application of G. FML, ointment acyclovir and tacrolimus. No complications were observed.",
        "Methods": "Mr H. presented with the complaint of progressive blurring of vision associated with whitish appearance of his left eye. He had earlier recurrent left eye infection but did not seek any eye treatment. Examination revealed visual acuity left eye 6/24 pH 6/18, right eye 6/6 uncorrected. There were multiple engorged feeder cornea vessels from 11 to 1 o’clock position forming a deep stromal circumferential neovascularization with cream-coloured deposits along the mid periphery cornea, encircling the pupil.\n\nHe was treated with G. FML LE BD, Ointment Acyclovir LE OM, Ointment Tacrolimus LE ON and 3 weeks later, left eye needle cautery at 6mW were done at the multiple feeder corneal vessels from 11 to 1 o’clock. 1 week post needle cautery showed resolution of feeder corneal vessels from 11 to 1 o’clock with partial resolution of deep corneal neovascularization.\n\nWe maintained G. FML LE OM, Ointment Acyclovir LE OM and Ointment Tacrolimus LE ON over the next 22 months which continue to show improvement and partial improvement of corneal clarity. The deep corneal stromal vessels remain absent with some residual faint corneal superficial vessels at 11 to 1 o’clock position. Patient’s vision improved from 6/24 at initial presentation to 6/9-2 at 22 months post treatment. No cataract or intraocular pressure spike was observed throughout the treatment period.",
        "Conclusions": "Ointment tacrolimus can be safely used as the initial preferred treatment choice in the presence of severe corneal neovascularization with lipid keratopathy, even in herpetic eye disease. It is important to identify the root cause of the cornea neovascularization and treat the underlying pathology accordingly. Needle cautery is an effective adjunct to reduce cornea vascularization by coagulating the main feeder vessels. However, if the inflammatory cause is not addressed well, the cornea vascularization will recur easily despite the cautery. With long term immunomodulation with ointment tacrolimus as demonstrated in this case, lipid keratopathy is reversible."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Ointment tacrolimus can be safely used as the initial preferred treatment choice in the presence of severe corneal neovascularization with lipid keratopathy, even in herpetic eye disease. It is important to identify the root cause of the cornea neovascularization and treat the underlying pathology accordingly. Needle cautery is an effective adjunct to reduce cornea vascularization by coagulating the main feeder…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 735,
      "source_fields": {
        "Abstract Final Identifier": "POCOR043",
        "Title": "Ointment Tacrolimus In The Treatment Of Corneal Vascularization With Lipid Keratopathy",
        "Presenting Author(s)": "Dr PETER KS CHONG",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Peter",
        "Submitter Middle Name": "KS",
        "Submitter Last Name": "Chong",
        "Country Name": "Malaysia",
        "Purpose": "We report a case of lipid keratopathy secondary to repeated corneal infection due to underlying herpetic disciform keratitis. It was successfully treated with needle cautery in combination with G. fluoromethalone (FML) ( AbbVie, Ireland ), ointment acyclovir 3% ( FDC Limited, India ) and ointment tacrolimus 0.03% ( Ajanta, India ).",
        "Setting": "Lipid keratopathy is a common complication in a vascularized cornea due to recurrent cornea infection or trauma. An upregulation of angiogenic factors causes corneal neovascularization with lipid leakages. The period of follow up at Topvision clinic was 22 months. By using fine needlle cautery af the feeder vessels, the vascularization resolved quickly. The cornea regained clarity with the continuous application of G. FML, ointment acyclovir and tacrolimus. No complications were observed.",
        "Methods": "Mr H. presented with the complaint of progressive blurring of vision associated with whitish appearance of his left eye. He had earlier recurrent left eye infection but did not seek any eye treatment. Examination revealed visual acuity left eye 6/24 pH 6/18, right eye 6/6 uncorrected. There were multiple engorged feeder cornea vessels from 11 to 1 o’clock position forming a deep stromal circumferential neovascularization with cream-coloured deposits along the mid periphery cornea, encircling the pupil.\n\nHe was treated with G. FML LE BD, Ointment Acyclovir LE OM, Ointment Tacrolimus LE ON and 3 weeks later, left eye needle cautery at 6mW were done at the multiple feeder corneal vessels from 11 to 1 o’clock. 1 week post needle cautery showed resolution of feeder corneal vessels from 11 to 1 o’clock with partial resolution of deep corneal neovascularization.\n\nWe maintained G. FML LE OM, Ointment Acyclovir LE OM and Ointment Tacrolimus LE ON over the next 22 months which continue to show improvement and partial improvement of corneal clarity. The deep corneal stromal vessels remain absent with some residual faint corneal superficial vessels at 11 to 1 o’clock position. Patient’s vision improved from 6/24 at initial presentation to 6/9-2 at 22 months post treatment. No cataract or intraocular pressure spike was observed throughout the treatment period.",
        "Results": "",
        "Conclusions": "Ointment tacrolimus can be safely used as the initial preferred treatment choice in the presence of severe corneal neovascularization with lipid keratopathy, even in herpetic eye disease. It is important to identify the root cause of the cornea neovascularization and treat the underlying pathology accordingly. Needle cautery is an effective adjunct to reduce cornea vascularization by coagulating the main feeder vessels. However, if the inflammatory cause is not addressed well, the cornea vascularization will recur easily despite the cautery. With long term immunomodulation with ointment tacrolimus as demonstrated in this case, lipid keratopathy is reversible."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 433
    },
    {
      "uid": "POCOR044",
      "abstract_number": "POCOR044",
      "title": "Peripheral Hypertrophic Subepithelial Corneal Degeneration Presenting With Bilateral Inferior Corneal Changes: An Unusual Case In An Ophthalmologist",
      "authors": "Dr Mukaddes Damla Ciftci",
      "presenter": "Dr Mukaddes Damla Ciftci",
      "normalized_authors": [
        "Mukaddes Damla Ciftci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mukaddes Damla Ciftci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Peripheral hypertrophic subepithelial corneal degeneration (PHSCD) is a rare, idiopathic, and often underdiagnosed disorder characterized by chronic fibrosis between the epithelium and Bowman’s layer affecting the perilimbal region. Herein, we report a case of PHSCD in an ophthalmologist with a 12-year asymptomatic course.",
        "Setting": "This patient was evaluated at the Department of Ophthalmology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkiye.",
        "Methods": "A 31-year-old female ophthalmologist presented with bilateral inferior whitish corneal opacities that she had been aware of since medical school. Her medical history was unremarkable. Visual acuity was 20/20 in both eyes, with no history of contact lens use. Twelve years earlier, she had simple myopia (−2.50 D OD, −3.50 D OS); despite a stable spherical equivalent, regular against-the-rule astigmatism developed in both eyes over time. Slit-lamp examination revealed bilateral peripheral, subepithelial, hypertrophic corneal opacification greater in the left eye with adjacent superficial vascularization. These opacities were separated from the limbus by a clear zone and exhibited pseudopod-like extensions toward the paracentral cornea. Optical coherence tomography indicated a hyperreflective thickening between the epithelium and Bowman’s membrane, with increasing epithelial reflectivity toward the peripheral cornea. Pachymetric, stromal, and epithelial thickness maps identified inferior thickening. Corneal topography demonstrated astigmatic changes accompanied by inferior corneal thickening. In vivo confocal microscopy revealed sub-basal hyperreflectivity with gap like hiporeflective areas. Given the absence of ocular surface symptoms and visual impairment, the patient has been managed conservatively with observation.",
        "Conclusions": "PHSCD is an underreported condition with a female predominance that may be misdiagnosed as Salzmann’s nodular degeneration, Terrien’s marginal degeneration, or corneal intraepithelial neoplasia. Mild cases can be followed with conservative management, including lubrication; however, the development of persistent ocular surface discomfort, irregular astigmatism, or reduced visual acuity may necessitate surgical intervention, most commonly superficial keratectomy. Recognition of this rare condition is achievable through multimodal imaging. Further research into its pathogenesis may contribute to the advancement of disease-specific therapies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "PHSCD is an underreported condition with a female predominance that may be misdiagnosed as Salzmann’s nodular degeneration, Terrien’s marginal degeneration, or corneal intraepithelial neoplasia. Mild cases can be followed with conservative management, including lubrication; however, the development of persistent ocular surface discomfort, irregular astigmatism, or reduced visual acuity may necessitate surgical…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 736,
      "source_fields": {
        "Abstract Final Identifier": "POCOR044",
        "Title": "Peripheral Hypertrophic Subepithelial Corneal Degeneration Presenting With Bilateral Inferior Corneal Changes: An Unusual Case In An Ophthalmologist",
        "Presenting Author(s)": "Dr Mukaddes Damla Ciftci",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Mukaddes Damla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ciftci",
        "Country Name": "Türkiye",
        "Purpose": "Peripheral hypertrophic subepithelial corneal degeneration (PHSCD) is a rare, idiopathic, and often underdiagnosed disorder characterized by chronic fibrosis between the epithelium and Bowman’s layer affecting the perilimbal region. Herein, we report a case of PHSCD in an ophthalmologist with a 12-year asymptomatic course.",
        "Setting": "This patient was evaluated at the Department of Ophthalmology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkiye.",
        "Methods": "A 31-year-old female ophthalmologist presented with bilateral inferior whitish corneal opacities that she had been aware of since medical school. Her medical history was unremarkable. Visual acuity was 20/20 in both eyes, with no history of contact lens use. Twelve years earlier, she had simple myopia (−2.50 D OD, −3.50 D OS); despite a stable spherical equivalent, regular against-the-rule astigmatism developed in both eyes over time. Slit-lamp examination revealed bilateral peripheral, subepithelial, hypertrophic corneal opacification greater in the left eye with adjacent superficial vascularization. These opacities were separated from the limbus by a clear zone and exhibited pseudopod-like extensions toward the paracentral cornea. Optical coherence tomography indicated a hyperreflective thickening between the epithelium and Bowman’s membrane, with increasing epithelial reflectivity toward the peripheral cornea. Pachymetric, stromal, and epithelial thickness maps identified inferior thickening. Corneal topography demonstrated astigmatic changes accompanied by inferior corneal thickening. In vivo confocal microscopy revealed sub-basal hyperreflectivity with gap like hiporeflective areas. Given the absence of ocular surface symptoms and visual impairment, the patient has been managed conservatively with observation.",
        "Results": "",
        "Conclusions": "PHSCD is an underreported condition with a female predominance that may be misdiagnosed as Salzmann’s nodular degeneration, Terrien’s marginal degeneration, or corneal intraepithelial neoplasia. Mild cases can be followed with conservative management, including lubrication; however, the development of persistent ocular surface discomfort, irregular astigmatism, or reduced visual acuity may necessitate surgical intervention, most commonly superficial keratectomy. Recognition of this rare condition is achievable through multimodal imaging. Further research into its pathogenesis may contribute to the advancement of disease-specific therapies."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "POCOR045",
      "abstract_number": "POCOR045",
      "title": "Refractory Ocular Surface Disease As A Systemic Immunometabolic Manifestation: A Two-Case Integrative Approach",
      "authors": "Ms Pilar Cirimarco",
      "presenter": "Ms Pilar Cirimarco",
      "normalized_authors": [
        "Pilar Cirimarco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pilar Cirimarco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report two cases of refractory ocular surface disease (OSD) in which a combined local and systemic integrative approach achieved clinically meaningful outcomes beyond conventional topical therapy. Both cases presented with elevated systemic inflammatory markers, suggesting that unresolved low-grade chronic inflammation may perpetuate local ocular disease. We propose a three-level therapeutic model integrating local intervention, metabolic e inmunologic optimization, and gut-eye axis modulation as a framework for the management of refractory OSD.",
        "Setting": "Two female patients evaluated at an ophthalmology outpatient practice with an integrative medicine approach. Assessments included slit-lamp biomicroscopy, TBUT, corneal staining (Oxford grading), visual acuity (VA), and a Cellular Inflammatory Profile (CIP) — a dried blood spot fatty acid panel quantifying the AA:EPA ratio, omega 3 index, and key inflammatory mediators as markers of systemic pro-inflammatory load.",
        "Methods": "Case 1 : 62-year-old female with refractory inflammatory dry eye, corneal degeneration, ocular rosacea, high astigmatism (VA 0.2), conjunctival hyperemia, peripheral vascularization, TBUT 5s, and elevated CIP (fatty acid and inflammatory mediator profile). Local therapy: corticosteroids, cyclosporine, topical insulin eye drops, IPL + periocular PBM. Significant symptomatic improvement and visual comfort were achieved with the integration of systemic interventions — high-dose omega-3 (3g/day), anti-inflammatory nutrition, stress management — supporting a synergistic local-systemic approach. Outcomes: hyperemia resolution, VA stabilization, marked OSDI reduction, CIP normalization, mood improvement.\n\nCase 2: 28-year-old female with severe ocular/nasal allergy, peripheral corneal vascularization, TBUT 7s, tarsal inflammation, hyperemia, itching, tearing, photosensitivity, arthralgias, headache. Systemic profile: elevated CIP, IgE 1660 IU/mL, C3 136 mg/dL (elevated), Vitamin D 38 ng/mL (insufficient). Spontaneous remission during pregnancy with postpartum relapse confirms immune-hormonal systemic dominance. Conventional topical therapy combined with systemic interventions — high-dose omega-3 (3g/day), low-histamine diet, glutamine 5g twice daily — resulted in progressive and sustained clinical improvement. Outcomes: regression of tarsal inflammation, hyperemia and vascularization; resolution of ocular symptoms; marked reduction in arthralgias, headache, and nasal symptoms.",
        "Conclusions": "Both cases support the hypothesis that refractory OSD may be perpetuated by systemic low-grade chronic inflammation insufficiently addressed by local therapy alone. Improvement in extra-ocular manifestations — mood, arthralgias, nasal symptoms — alongside ocular outcomes suggests a shared systemic inflammatory substrate. In Case 2, absence of phototherapy with significant multi-domain improvement strengthens the argument for systemic immunometabolic modulation. CIP normalization in both cases provides objective evidence of systemic response, supporting its integration into OSD clinical assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Both cases support the hypothesis that refractory OSD may be perpetuated by systemic low-grade chronic inflammation insufficiently addressed by local therapy alone. Improvement in extra-ocular manifestations — mood, arthralgias, nasal symptoms — alongside ocular outcomes suggests a shared systemic inflammatory substrate. In Case 2, absence of phototherapy with significant multi-domain improvement strengthens the…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 737,
      "source_fields": {
        "Abstract Final Identifier": "POCOR045",
        "Title": "Refractory Ocular Surface Disease As A Systemic Immunometabolic Manifestation: A Two-Case Integrative Approach",
        "Presenting Author(s)": "Ms Pilar Cirimarco",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Pilar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cirimarco",
        "Country Name": "Spain",
        "Purpose": "To report two cases of refractory ocular surface disease (OSD) in which a combined local and systemic integrative approach achieved clinically meaningful outcomes beyond conventional topical therapy. Both cases presented with elevated systemic inflammatory markers, suggesting that unresolved low-grade chronic inflammation may perpetuate local ocular disease. We propose a three-level therapeutic model integrating local intervention, metabolic e inmunologic optimization, and gut-eye axis modulation as a framework for the management of refractory OSD.",
        "Setting": "Two female patients evaluated at an ophthalmology outpatient practice with an integrative medicine approach. Assessments included slit-lamp biomicroscopy, TBUT, corneal staining (Oxford grading), visual acuity (VA), and a Cellular Inflammatory Profile (CIP) — a dried blood spot fatty acid panel quantifying the AA:EPA ratio, omega 3 index, and key inflammatory mediators as markers of systemic pro-inflammatory load.",
        "Methods": "Case 1 : 62-year-old female with refractory inflammatory dry eye, corneal degeneration, ocular rosacea, high astigmatism (VA 0.2), conjunctival hyperemia, peripheral vascularization, TBUT 5s, and elevated CIP (fatty acid and inflammatory mediator profile). Local therapy: corticosteroids, cyclosporine, topical insulin eye drops, IPL + periocular PBM. Significant symptomatic improvement and visual comfort were achieved with the integration of systemic interventions — high-dose omega-3 (3g/day), anti-inflammatory nutrition, stress management — supporting a synergistic local-systemic approach. Outcomes: hyperemia resolution, VA stabilization, marked OSDI reduction, CIP normalization, mood improvement.\n\nCase 2: 28-year-old female with severe ocular/nasal allergy, peripheral corneal vascularization, TBUT 7s, tarsal inflammation, hyperemia, itching, tearing, photosensitivity, arthralgias, headache. Systemic profile: elevated CIP, IgE 1660 IU/mL, C3 136 mg/dL (elevated), Vitamin D 38 ng/mL (insufficient). Spontaneous remission during pregnancy with postpartum relapse confirms immune-hormonal systemic dominance. Conventional topical therapy combined with systemic interventions — high-dose omega-3 (3g/day), low-histamine diet, glutamine 5g twice daily — resulted in progressive and sustained clinical improvement. Outcomes: regression of tarsal inflammation, hyperemia and vascularization; resolution of ocular symptoms; marked reduction in arthralgias, headache, and nasal symptoms.",
        "Results": "",
        "Conclusions": "Both cases support the hypothesis that refractory OSD may be perpetuated by systemic low-grade chronic inflammation insufficiently addressed by local therapy alone. Improvement in extra-ocular manifestations — mood, arthralgias, nasal symptoms — alongside ocular outcomes suggests a shared systemic inflammatory substrate. In Case 2, absence of phototherapy with significant multi-domain improvement strengthens the argument for systemic immunometabolic modulation. CIP normalization in both cases provides objective evidence of systemic response, supporting its integration into OSD clinical assessment."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCOR046",
      "abstract_number": "POCOR046",
      "title": "Donut-Shaped Intrastromal Keratoplasty (Dsik) As An Alternative To Dalk In Moderate To Advanced Keratoconus",
      "authors": "Dr Sandro Coscarelli",
      "presenter": "Dr Sandro Coscarelli",
      "normalized_authors": [
        "Sandro Coscarelli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sandro Coscarelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To present the Donut-Shaped Intrastromal Keratoplasty (DSIK) technique associated with intrastromal corneal ring segment implantation as an alternative to Deep Anterior Lamellar Keratoplasty (DALK) in selected cases of moderate to advanced keratoconus.",
        "Setting": "Setting : Private Clinic, Belo Horizonte, Brazil",
        "Methods": "A 26-year-old female patient, spectacle-dependent due to high myopia and intolerant to contact lenses, sought evaluation because of decreased visual acuity and refractive discomfort. Corrected distance visual acuity was 20/80 (OD: -10.00 -4.50 ×105) and 20/60 (OS: -7.00 -2.50 ×90). Corneal tomography revealed bilateral keratoconus. Slit-lamp biomicroscopy showed clear corneas without central striae or opacities.\nIntervention: A combined surgical approach with DSIK and intrastromal corneal ring segment implantation was performed. The DSIK technique consists of implanting a 360-degree ring-shaped stromal graft to promote corneal regularization and biomechanical reinforcement. The procedure may be performed as a standalone, combined, or sequential approach with ring implantation, according to individualized surgical planning.\nResults: Significant improvement in corneal regularity and visual acuity was observed, with reduction of spherical equivalent and irregular astigmatism. The cornea remained clear postoperatively, with no relevant intraoperative or postoperative complications.",
        "Conclusions": "DSIK, particularly when associated with intrastromal corneal ring implantation, represents a promising alternative to DALK in patients with moderate to advanced keratoconus and clear corneas, enabling meaningful visual rehabilitation through a less invasive and tissue-preserving approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "DSIK, particularly when associated with intrastromal corneal ring implantation, represents a promising alternative to DALK in patients with moderate to advanced keratoconus and clear corneas, enabling meaningful visual rehabilitation through a less invasive and tissue-preserving approach.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 738,
      "source_fields": {
        "Abstract Final Identifier": "POCOR046",
        "Title": "Donut-Shaped Intrastromal Keratoplasty (Dsik) As An Alternative To Dalk In Moderate To Advanced Keratoconus",
        "Presenting Author(s)": "Dr Sandro Coscarelli",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Coscarelli",
        "Country Name": "Brazil",
        "Purpose": "To present the Donut-Shaped Intrastromal Keratoplasty (DSIK) technique associated with intrastromal corneal ring segment implantation as an alternative to Deep Anterior Lamellar Keratoplasty (DALK) in selected cases of moderate to advanced keratoconus.",
        "Setting": "Setting : Private Clinic, Belo Horizonte, Brazil",
        "Methods": "A 26-year-old female patient, spectacle-dependent due to high myopia and intolerant to contact lenses, sought evaluation because of decreased visual acuity and refractive discomfort. Corrected distance visual acuity was 20/80 (OD: -10.00 -4.50 ×105) and 20/60 (OS: -7.00 -2.50 ×90). Corneal tomography revealed bilateral keratoconus. Slit-lamp biomicroscopy showed clear corneas without central striae or opacities.\nIntervention: A combined surgical approach with DSIK and intrastromal corneal ring segment implantation was performed. The DSIK technique consists of implanting a 360-degree ring-shaped stromal graft to promote corneal regularization and biomechanical reinforcement. The procedure may be performed as a standalone, combined, or sequential approach with ring implantation, according to individualized surgical planning.\nResults: Significant improvement in corneal regularity and visual acuity was observed, with reduction of spherical equivalent and irregular astigmatism. The cornea remained clear postoperatively, with no relevant intraoperative or postoperative complications.",
        "Results": "",
        "Conclusions": "DSIK, particularly when associated with intrastromal corneal ring implantation, represents a promising alternative to DALK in patients with moderate to advanced keratoconus and clear corneas, enabling meaningful visual rehabilitation through a less invasive and tissue-preserving approach."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "POCOR047",
      "abstract_number": "POCOR047",
      "title": "Donut-Shaped Intrastromal Keratoplasty (Dsik) For The Correction Of Post-Penetrating Keratoplasty Ectasia (Topoplasty)",
      "authors": "Dr Sandro Coscarelli",
      "presenter": "Dr Sandro Coscarelli",
      "normalized_authors": [
        "Sandro Coscarelli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sandro Coscarelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To present the application of Donut-Shaped Intrastromal Keratoplasty (DSIK) as a topoplasty strategy for the correction of ectasia following penetrating keratoplasty.",
        "Setting": "Private Clinic, Belo Horizonte, Brazil",
        "Methods": "A 45-year-old female patient underwent penetrating keratoplasty in the left eye approximately 20 years ago and subsequently developed progressive ectasia with significant visual impairment, without successful adaptation to contact lenses. On examination, corrected distance visual acuity was 20/20 in the right eye (OD: -0.50 -3.50 ×30) and 20/100 in the left eye (OS: -16.00 -7.00 ×45). Slit-lamp biomicroscopy revealed a clear penetrating graft in the left eye, with 360-degree circumferential thinning at the graft-host junction. Corneal tomography (Pentacam) demonstrated incipient keratoconus in the right eye and post-keratoplasty ectasia in the left eye. Intervention: Given the graft transparency and predominantly peripheral ectasia at the graft interface, DSIK was indicated as a topoplasty technique. The procedure consists of implanting a 360-degree ring-shaped stromal graft to promote biomechanical redistribution and corneal curvature regularization. The technique may be combined with intrastromal corneal ring segment implantation, depending on residual refractive error. Results: Postoperatively, improved topographic regularity and a significant reduction in irregular astigmatism were observed, with potential functional visual gain. No relevant intraoperative or postoperative complications occurred, and graft transparency was maintained.",
        "Conclusions": "DSIK represents a conservative and promising surgical alternative for the management of post-penetrating keratoplasty ectasia, providing structural reinforcement and visual rehabilitation without the need for repeat transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "DSIK represents a conservative and promising surgical alternative for the management of post-penetrating keratoplasty ectasia, providing structural reinforcement and visual rehabilitation without the need for repeat transplantation.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 739,
      "source_fields": {
        "Abstract Final Identifier": "POCOR047",
        "Title": "Donut-Shaped Intrastromal Keratoplasty (Dsik) For The Correction Of Post-Penetrating Keratoplasty Ectasia (Topoplasty)",
        "Presenting Author(s)": "Dr Sandro Coscarelli",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Coscarelli",
        "Country Name": "Brazil",
        "Purpose": "To present the application of Donut-Shaped Intrastromal Keratoplasty (DSIK) as a topoplasty strategy for the correction of ectasia following penetrating keratoplasty.",
        "Setting": "Private Clinic, Belo Horizonte, Brazil",
        "Methods": "A 45-year-old female patient underwent penetrating keratoplasty in the left eye approximately 20 years ago and subsequently developed progressive ectasia with significant visual impairment, without successful adaptation to contact lenses. On examination, corrected distance visual acuity was 20/20 in the right eye (OD: -0.50 -3.50 ×30) and 20/100 in the left eye (OS: -16.00 -7.00 ×45). Slit-lamp biomicroscopy revealed a clear penetrating graft in the left eye, with 360-degree circumferential thinning at the graft-host junction. Corneal tomography (Pentacam) demonstrated incipient keratoconus in the right eye and post-keratoplasty ectasia in the left eye. Intervention: Given the graft transparency and predominantly peripheral ectasia at the graft interface, DSIK was indicated as a topoplasty technique. The procedure consists of implanting a 360-degree ring-shaped stromal graft to promote biomechanical redistribution and corneal curvature regularization. The technique may be combined with intrastromal corneal ring segment implantation, depending on residual refractive error. Results: Postoperatively, improved topographic regularity and a significant reduction in irregular astigmatism were observed, with potential functional visual gain. No relevant intraoperative or postoperative complications occurred, and graft transparency was maintained.",
        "Results": "",
        "Conclusions": "DSIK represents a conservative and promising surgical alternative for the management of post-penetrating keratoplasty ectasia, providing structural reinforcement and visual rehabilitation without the need for repeat transplantation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCOR048",
      "abstract_number": "POCOR048",
      "title": "Ocular Surface Squamous Neoplasia Masquerading As Psuedoepitheliomatous Hyperplasia In Chronic Vernal Keratoconjunctivitis",
      "authors": "Dr Aditi GHOSH Dastidar",
      "presenter": "Dr Aditi GHOSH Dastidar",
      "normalized_authors": [
        "Aditi GHOSH Dastidar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aditi GHOSH Dastidar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a case of ocular surface squamous neoplasia (OSSN) masquerading as psuedoepitheliomatous hyperplasia (PEH) in a patient with chronic Vernal keratoconjunctivitis (VKC)",
        "Setting": "Tertiary eye care centre in India",
        "Methods": "We report a case of ocular surface squamous neoplasia (OSSN) masquerading as psuedoepitheliomatous hyperplasia (PEH) in chronic Vernal keratoconjunctivitis (VKC). A 24 years old gentleman presented with history of bilateral vernal keratoconjunctivitis since childhood with superior limbus mass in right eye,with use of intermittent corticosteroids in past.He underwent impression cytology (IC) followed by excision biopsy (no touch technique) with wide margins ,cryotherapy and amniotic membrane transplantation.Histopathological (HPE) analysis confirmed the diagnosis of OSSN with mild to moderate dysplasia. This is the first reported case of OSSN masquerading as PEH to the best of our knowledge. This highlights the importance of strong clinical suspicion and detailed cytological and histopathological examination for early detection and management of OSSN.",
        "Conclusions": "Squamous lesions of the cornea and conjunctiva are uncommon but demand appropriate attention due to the potential for visual loss and systemic morbidity and mortality. Excellent results can be achieved by early detection, investigations, followed by meticulous surgery and regular follow up of the patient. This is the first reported case of OSSN masquerading as PEH to the best of our knowledge, highlighting the importance of strong clinical suspicion and detailed cytological and histopathological examination for early diagnosis and management of OSSN"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Squamous lesions of the cornea and conjunctiva are uncommon but demand appropriate attention due to the potential for visual loss and systemic morbidity and mortality. Excellent results can be achieved by early detection, investigations, followed by meticulous surgery and regular follow up of the patient. This is the first reported case of OSSN masquerading as PEH to the best of our knowledge, highlighting the…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 740,
      "source_fields": {
        "Abstract Final Identifier": "POCOR048",
        "Title": "Ocular Surface Squamous Neoplasia Masquerading As Psuedoepitheliomatous Hyperplasia In Chronic Vernal Keratoconjunctivitis",
        "Presenting Author(s)": "Dr Aditi GHOSH Dastidar",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Aditi",
        "Submitter Middle Name": "GHOSH",
        "Submitter Last Name": "Dastidar",
        "Country Name": "India",
        "Purpose": "To report a case of ocular surface squamous neoplasia (OSSN) masquerading as psuedoepitheliomatous hyperplasia (PEH) in a patient with chronic Vernal keratoconjunctivitis (VKC)",
        "Setting": "Tertiary eye care centre in India",
        "Methods": "We report a case of ocular surface squamous neoplasia (OSSN) masquerading as psuedoepitheliomatous hyperplasia (PEH) in chronic Vernal keratoconjunctivitis (VKC). A 24 years old gentleman presented with history of bilateral vernal keratoconjunctivitis since childhood with superior limbus mass in right eye,with use of intermittent corticosteroids in past.He underwent impression cytology (IC) followed by excision biopsy (no touch technique) with wide margins ,cryotherapy and amniotic membrane transplantation.Histopathological (HPE) analysis confirmed the diagnosis of OSSN with mild to moderate dysplasia. This is the first reported case of OSSN masquerading as PEH to the best of our knowledge. This highlights the importance of strong clinical suspicion and detailed cytological and histopathological examination for early detection and management of OSSN.",
        "Results": "",
        "Conclusions": "Squamous lesions of the cornea and conjunctiva are uncommon but demand appropriate attention due to the potential for visual loss and systemic morbidity and mortality. Excellent results can be achieved by early detection, investigations, followed by meticulous surgery and regular follow up of the patient. This is the first reported case of OSSN masquerading as PEH to the best of our knowledge, highlighting the importance of strong clinical suspicion and detailed cytological and histopathological examination for early diagnosis and management of OSSN"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCOR049",
      "abstract_number": "POCOR049",
      "title": "Apparent Corneal Displacement Of A Conjunctival Naevus Associated With Pterygium Progression: A 25-Year Serial Photographic Case Report",
      "authors": "Dr Ileana Anika Azcarraga Domondon",
      "presenter": "Dr Ileana Anika Azcarraga Domondon",
      "normalized_authors": [
        "Ileana Anika Azcarraga Domondon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ileana Azcarraga Domondon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This case highlights the value of long-term photographic surveillance in distinguishing passive mechanical displacement from true melanocytic proliferation of a conjuntival naevus with corneal displacement associated with a pterygium .",
        "Setting": "We report a man in his late twenties presenting with a nasal pigmented conjunctival lesion in his right eye, his only seeing eye, clinically consistent with a conjunctival naevus. The lesion remained confined to the conjunctiva for nearly a decade before apparent corneal extension occurred following development and progression of a pterygium. Serial photographs over 25 years show corneal involvement only after pterygium formation, with stable morphology and no malignant features.",
        "Methods": "In 2000, a man in his late twenties presented with an asymptomatic pigmented lesion in his right eye (RE), his only seeing eye following traumatic loss of the left eye seven years earlier. Best-corrected visual acuity was 6/4 in the RE and no perception of light in the left eye. Slit-lamp examination showed a well-circumscribed, minimally elevated, uniformly pigmented lesion on the nasal bulbar conjunctiva with intralesional epithelial cysts, consistent with a conjunctival naevus. No feeder vessels, haemorrhage, nodularity or surface irregularity were present. The lesion remained stable in the interim without corneal involvement. In 2009, a triangular fibrovascular proliferation extending from the nasal conjunctiva onto the cornea was observed, consistent with early pterygium. Over subsequent years the pterygium progressively extended onto the cornea. In parallel, the pigmented lesion demonstrated gradual anterior displacement in the same direction. Later images suggested apparent corneal involvement; however, the lesion remained contiguous with the conjunctival component and preserved its morphology, pigmentation pattern, and intralesional cysts. Over 25 years of follow-up, the lesion showed no enlargement, architectural distortion, or suspicious vascularity, and the patient remained asymptomatic. Given the absence of malignant features and the RE being the patient’s only functional eye, the lesion was managed conservatively with serial observation and clinical photography.",
        "Conclusions": "Corneal extension of a pigmented conjunctival lesion does not necessarily indicate malignant transformation. Progressive pterygium may cause passive anterior displacement of adjacent conjunctival tissue, including pre-existing melanocytic lesions. Longitudinal clinical photography and imaging are therefore essential to distinguish mechanical displacement from true melanocytic proliferation and to support conservative management when no suspicious features are present."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Corneal extension of a pigmented conjunctival lesion does not necessarily indicate malignant transformation. Progressive pterygium may cause passive anterior displacement of adjacent conjunctival tissue, including pre-existing melanocytic lesions. Longitudinal clinical photography and imaging are therefore essential to distinguish mechanical displacement from true melanocytic proliferation and to support…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 741,
      "source_fields": {
        "Abstract Final Identifier": "POCOR049",
        "Title": "Apparent Corneal Displacement Of A Conjunctival Naevus Associated With Pterygium Progression: A 25-Year Serial Photographic Case Report",
        "Presenting Author(s)": "Dr Ileana Anika Azcarraga Domondon",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ileana",
        "Submitter Middle Name": "Azcarraga",
        "Submitter Last Name": "Domondon",
        "Country Name": "United Kingdom",
        "Purpose": "This case highlights the value of long-term photographic surveillance in distinguishing passive mechanical displacement from true melanocytic proliferation of a conjuntival naevus with corneal displacement associated with a pterygium .",
        "Setting": "We report a man in his late twenties presenting with a nasal pigmented conjunctival lesion in his right eye, his only seeing eye, clinically consistent with a conjunctival naevus. The lesion remained confined to the conjunctiva for nearly a decade before apparent corneal extension occurred following development and progression of a pterygium. Serial photographs over 25 years show corneal involvement only after pterygium formation, with stable morphology and no malignant features.",
        "Methods": "In 2000, a man in his late twenties presented with an asymptomatic pigmented lesion in his right eye (RE), his only seeing eye following traumatic loss of the left eye seven years earlier. Best-corrected visual acuity was 6/4 in the RE and no perception of light in the left eye. Slit-lamp examination showed a well-circumscribed, minimally elevated, uniformly pigmented lesion on the nasal bulbar conjunctiva with intralesional epithelial cysts, consistent with a conjunctival naevus. No feeder vessels, haemorrhage, nodularity or surface irregularity were present. The lesion remained stable in the interim without corneal involvement. In 2009, a triangular fibrovascular proliferation extending from the nasal conjunctiva onto the cornea was observed, consistent with early pterygium. Over subsequent years the pterygium progressively extended onto the cornea. In parallel, the pigmented lesion demonstrated gradual anterior displacement in the same direction. Later images suggested apparent corneal involvement; however, the lesion remained contiguous with the conjunctival component and preserved its morphology, pigmentation pattern, and intralesional cysts. Over 25 years of follow-up, the lesion showed no enlargement, architectural distortion, or suspicious vascularity, and the patient remained asymptomatic. Given the absence of malignant features and the RE being the patient’s only functional eye, the lesion was managed conservatively with serial observation and clinical photography.",
        "Results": "",
        "Conclusions": "Corneal extension of a pigmented conjunctival lesion does not necessarily indicate malignant transformation. Progressive pterygium may cause passive anterior displacement of adjacent conjunctival tissue, including pre-existing melanocytic lesions. Longitudinal clinical photography and imaging are therefore essential to distinguish mechanical displacement from true melanocytic proliferation and to support conservative management when no suspicious features are present."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCOR050",
      "abstract_number": "POCOR050",
      "title": "Multimodal Management Of Refractory Acanthamoeba Keratitis In A Contact Lens Wearer",
      "authors": "Prof. Dr Shaowei Li",
      "presenter": "Prof. Dr Shaowei Li",
      "normalized_authors": [
        "Shaowei Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zexia Dou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To present a case of refractory Acanthamoeba keratitis (AK) in a contact lens wearer managed with a staged multimodal approach.",
        "Setting": "This case report was conducted at the Department of Cornea, Beijing Aier-Intech Eye Hospital, China.",
        "Methods": "An 18-year-old female contact lens wearer presented with a 3-month history of pain and blurred vision, initially misdiagnosed as bacterial keratitis. Diagnosis was confirmed by in vivo confocal microscopy and corneal scraping. Intensive topical anti-amoebic therapy plus corneal debridement with collagen cross-linking (CXL) controlled infection but left dense central scarring with BCVA reduced to hand motion. She underwent two lamellar keratoplasties, then PKP, and later cataract extraction with trifocal IOL implantation; recurrent graft rejection ultimately necessitated Descemet-membrane endothelial keratoplasty (DMEK), which was successfully performed. At 58 months, the graft remained clear with best-corrected visual acuity (BCVA) of 0.9. No recurrence was observed.",
        "Conclusions": "This long journey underscores that refractory AK demands prolonged, step-wise and multidisciplinary care—ranging from intensive anti-amoebic therapy and CXL to repeated corneal and lens surgeries—to convert potential blindness into useful vision; no single intervention suffices, and meticulous long-term management is mandatory."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This long journey underscores that refractory AK demands prolonged, step-wise and multidisciplinary care—ranging from intensive anti-amoebic therapy and CXL to repeated corneal and lens surgeries—to convert potential blindness into useful vision; no single intervention suffices, and meticulous long-term management is mandatory.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 742,
      "source_fields": {
        "Abstract Final Identifier": "POCOR050",
        "Title": "Multimodal Management Of Refractory Acanthamoeba Keratitis In A Contact Lens Wearer",
        "Presenting Author(s)": "Prof. Dr Shaowei Li",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Zexia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dou",
        "Country Name": "China",
        "Purpose": "To present a case of refractory Acanthamoeba keratitis (AK) in a contact lens wearer managed with a staged multimodal approach.",
        "Setting": "This case report was conducted at the Department of Cornea, Beijing Aier-Intech Eye Hospital, China.",
        "Methods": "An 18-year-old female contact lens wearer presented with a 3-month history of pain and blurred vision, initially misdiagnosed as bacterial keratitis. Diagnosis was confirmed by in vivo confocal microscopy and corneal scraping. Intensive topical anti-amoebic therapy plus corneal debridement with collagen cross-linking (CXL) controlled infection but left dense central scarring with BCVA reduced to hand motion. She underwent two lamellar keratoplasties, then PKP, and later cataract extraction with trifocal IOL implantation; recurrent graft rejection ultimately necessitated Descemet-membrane endothelial keratoplasty (DMEK), which was successfully performed. At 58 months, the graft remained clear with best-corrected visual acuity (BCVA) of 0.9. No recurrence was observed.",
        "Results": "",
        "Conclusions": "This long journey underscores that refractory AK demands prolonged, step-wise and multidisciplinary care—ranging from intensive anti-amoebic therapy and CXL to repeated corneal and lens surgeries—to convert potential blindness into useful vision; no single intervention suffices, and meticulous long-term management is mandatory."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 181
    },
    {
      "uid": "POCOR051",
      "abstract_number": "POCOR051",
      "title": "Early Ahmed Glaucoma Valve Exposure Repaired With Corneal Patch Graft: A Case Report",
      "authors": "Dr Muazzez Ekener",
      "presenter": "Dr Muazzez Ekener",
      "normalized_authors": [
        "Muazzez Ekener"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muazzez Ekener",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Glaucoma drainage devices are effective treatment options, particularly in refractory and high-risk glaucoma patients; however, they may be associated with vision-threatening complications such as tube exposure. Tube exposure carries a significant risk for endophthalmitis and requires immediate surgical intervention. The purpose of this case report is to present the surgical management of an early-onset tube exposure following Ahmed glaucoma valve ( AGV ) implantation using a corneal patch graft combined with the conjunctival advancement technique.",
        "Setting": "Ankara Bilkent City Hospital",
        "Methods": "A 23-year-old female patient with a history of diabetes mellitus and hypertension presented with medically uncontrolled glaucoma. She was pseudophakic in both eyes, and a peripheral iridectomy was present in the right eye. The baseline best-corrected visual acuity was counting fingers at 2 meters in the right eye and 1.3 logMAR in the left eye. An AGV was implanted in the superotemporal quadrant of the left eye. Postoperative follow-ups were unexceptional until the two month follow-up visit, where tube exposure was detected 1 mm posterior to the limbus. A revision surgery was planned under general anesthesia. A 4 × 3 mm partial-thickness corneal patch graft was manually prepared from donor tissue. After debridement of the exposed area, the graft was secured to the underlying sclera with 10-0 nylon sutures. The surrounding conjunctiva was then mobilized and repositioned over the graft using a conjunctival advancement technique, achieving tension-free closure and restoration of anatomical integrity.",
        "Conclusions": "Tube exposure following AGV implantation is a rare but significant complication that may lead to ocular inflammation, hypotony, decreased vision, phthisis bulbi, and endophthalmitis. Risk factors such as young age, female sex, and diabetes mellitus may contribute to the development of exposure. In high-risk cases, primary conjunctival closure may be insufficient. A partial-thickness corneal patch graft provides reliable coverage with favorable long-term structural stability. Prompt surgical intervention and appropriate graft selection are critical to prevent endophthalmitis and preserve filtration function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Tube exposure following AGV implantation is a rare but significant complication that may lead to ocular inflammation, hypotony, decreased vision, phthisis bulbi, and endophthalmitis. Risk factors such as young age, female sex, and diabetes mellitus may contribute to the development of exposure. In high-risk cases, primary conjunctival closure may be insufficient. A partial-thickness corneal patch graft provides…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 743,
      "source_fields": {
        "Abstract Final Identifier": "POCOR051",
        "Title": "Early Ahmed Glaucoma Valve Exposure Repaired With Corneal Patch Graft: A Case Report",
        "Presenting Author(s)": "Dr Muazzez Ekener",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Muazzez",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ekener",
        "Country Name": "Türkiye",
        "Purpose": "Glaucoma drainage devices are effective treatment options, particularly in refractory and high-risk glaucoma patients; however, they may be associated with vision-threatening complications such as tube exposure. Tube exposure carries a significant risk for endophthalmitis and requires immediate surgical intervention. The purpose of this case report is to present the surgical management of an early-onset tube exposure following Ahmed glaucoma valve ( AGV ) implantation using a corneal patch graft combined with the conjunctival advancement technique.",
        "Setting": "Ankara Bilkent City Hospital",
        "Methods": "A 23-year-old female patient with a history of diabetes mellitus and hypertension presented with medically uncontrolled glaucoma. She was pseudophakic in both eyes, and a peripheral iridectomy was present in the right eye. The baseline best-corrected visual acuity was counting fingers at 2 meters in the right eye and 1.3 logMAR in the left eye. An AGV was implanted in the superotemporal quadrant of the left eye. Postoperative follow-ups were unexceptional until the two month follow-up visit, where tube exposure was detected 1 mm posterior to the limbus. A revision surgery was planned under general anesthesia. A 4 × 3 mm partial-thickness corneal patch graft was manually prepared from donor tissue. After debridement of the exposed area, the graft was secured to the underlying sclera with 10-0 nylon sutures. The surrounding conjunctiva was then mobilized and repositioned over the graft using a conjunctival advancement technique, achieving tension-free closure and restoration of anatomical integrity.",
        "Results": "",
        "Conclusions": "Tube exposure following AGV implantation is a rare but significant complication that may lead to ocular inflammation, hypotony, decreased vision, phthisis bulbi, and endophthalmitis. Risk factors such as young age, female sex, and diabetes mellitus may contribute to the development of exposure. In high-risk cases, primary conjunctival closure may be insufficient. A partial-thickness corneal patch graft provides reliable coverage with favorable long-term structural stability. Prompt surgical intervention and appropriate graft selection are critical to prevent endophthalmitis and preserve filtration function."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCOR052",
      "abstract_number": "POCOR052",
      "title": "Infection–Inflammation Mismatch In Acanthamoeba Keratitis: A Globe-Threatening Surgical Challenge",
      "authors": "Dr Salma El Masnaoui",
      "presenter": "Dr Salma El Masnaoui",
      "normalized_authors": [
        "Salma El Masnaoui"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Salma El Masnaoui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a globe-threatening evolution of Acanthamoeba keratitis characterized by infection–inflammation mismatch after microbiological control, highlighting structural complications related to persistent inflammation and anti-amoebic toxicity, and emphasizing the role of timely multidisciplinary surgical intervention to preserve ocular integrity and visual function.",
        "Setting": "Cornea Department, Barraquer Ophthalmology Centre, Barcelona, Spain.",
        "Methods": "A 34-year-old woman presented with a 4-month history of severe ocular pain and redness in the right eye. Acanthamoeba keratitis had been confirmed by positive corneal PCR. Best-corrected visual acuity (BCVA) was 0.03. Slit-lamp exam showed marked ciliary injection and a dense stromal ring infiltrate with a paracentral epithelial defect. At presentation, topical therapy included chlorhexidine 0.02%, corticosteroids, atropine, and ofloxacin.\n\nCorticosteroids were discontinued and intensive dual anti-amoebic therapy (chlorhexidine 0.02% and hexamidine 0.1%) was initiated. Microbiological control was achieved; however, persistent stromal infiltration without signs of active infection indicated a secondary inflammatory phase, reflecting infection–inflammation mismatch. Despite cautious steroid reintroduction, a thinning neurotrophic ulcer with a non-healing epithelial defect developed. An amniotic membrane overlay was applied to stabilize the ocular surface, but stromal melt progressed, likely due to sustained immune activation and diamidine toxicity, leading to corneal perforation.\n\nUrgent therapeutic penetrating keratoplasty was required. Postoperative course was complicated by inflammatory cataract and severe ocular hypertension (44 mmHg) refractory to medical therapy. A second-stage combined procedure included cataract extraction with IOL implantation, Paul Glaucoma Implant, and pars plana vitrectomy.\n\nFinal BCVA improved to 0.7 with normal intraocular pressure.",
        "Conclusions": "Acanthamoeba keratitis may evolve into a surgically complex and globe-threatening disease even after apparent infectious control. Persistent immune activation and anti-amoebic toxicity can induce progressive corneal melt, perforation, cataract formation, and refractory glaucoma. Early recognition of infection–inflammation mismatch, close follow-up, and awareness of clinical red flags—such as persistent stromal infiltration or progressive thinning despite microbiological control—are essential. Coordinated corneal, glaucoma, and vitreoretinal management is critical to optimize both anatomical integrity and visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Acanthamoeba keratitis may evolve into a surgically complex and globe-threatening disease even after apparent infectious control. Persistent immune activation and anti-amoebic toxicity can induce progressive corneal melt, perforation, cataract formation, and refractory glaucoma. Early recognition of infection–inflammation mismatch, close follow-up, and awareness of clinical red flags—such as persistent stromal…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 744,
      "source_fields": {
        "Abstract Final Identifier": "POCOR052",
        "Title": "Infection–Inflammation Mismatch In Acanthamoeba Keratitis: A Globe-Threatening Surgical Challenge",
        "Presenting Author(s)": "Dr Salma El Masnaoui",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Salma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "El Masnaoui",
        "Country Name": "Spain",
        "Purpose": "To describe a globe-threatening evolution of Acanthamoeba keratitis characterized by infection–inflammation mismatch after microbiological control, highlighting structural complications related to persistent inflammation and anti-amoebic toxicity, and emphasizing the role of timely multidisciplinary surgical intervention to preserve ocular integrity and visual function.",
        "Setting": "Cornea Department, Barraquer Ophthalmology Centre, Barcelona, Spain.",
        "Methods": "A 34-year-old woman presented with a 4-month history of severe ocular pain and redness in the right eye. Acanthamoeba keratitis had been confirmed by positive corneal PCR. Best-corrected visual acuity (BCVA) was 0.03. Slit-lamp exam showed marked ciliary injection and a dense stromal ring infiltrate with a paracentral epithelial defect. At presentation, topical therapy included chlorhexidine 0.02%, corticosteroids, atropine, and ofloxacin.\n\nCorticosteroids were discontinued and intensive dual anti-amoebic therapy (chlorhexidine 0.02% and hexamidine 0.1%) was initiated. Microbiological control was achieved; however, persistent stromal infiltration without signs of active infection indicated a secondary inflammatory phase, reflecting infection–inflammation mismatch. Despite cautious steroid reintroduction, a thinning neurotrophic ulcer with a non-healing epithelial defect developed. An amniotic membrane overlay was applied to stabilize the ocular surface, but stromal melt progressed, likely due to sustained immune activation and diamidine toxicity, leading to corneal perforation.\n\nUrgent therapeutic penetrating keratoplasty was required. Postoperative course was complicated by inflammatory cataract and severe ocular hypertension (44 mmHg) refractory to medical therapy. A second-stage combined procedure included cataract extraction with IOL implantation, Paul Glaucoma Implant, and pars plana vitrectomy.\n\nFinal BCVA improved to 0.7 with normal intraocular pressure.",
        "Results": "",
        "Conclusions": "Acanthamoeba keratitis may evolve into a surgically complex and globe-threatening disease even after apparent infectious control. Persistent immune activation and anti-amoebic toxicity can induce progressive corneal melt, perforation, cataract formation, and refractory glaucoma. Early recognition of infection–inflammation mismatch, close follow-up, and awareness of clinical red flags—such as persistent stromal infiltration or progressive thinning despite microbiological control—are essential. Coordinated corneal, glaucoma, and vitreoretinal management is critical to optimize both anatomical integrity and visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCOR053",
      "abstract_number": "POCOR053",
      "title": "Unilateral Corneal Ectasia Associated With Orbital Dermoid Cyst",
      "authors": "Dr Nehal Omar Elfarouk",
      "presenter": "Dr Nehal Omar Elfarouk",
      "normalized_authors": [
        "Nehal Omar Elfarouk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nehal Omar Elfarouk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To identify the association between corneal ectasia and orbital dermoid cyst on a case of unilateral corneal ectasia.",
        "Setting": "Memorial Institute for ophthalmic research",
        "Methods": "A 25 year old female patient came complaining of blurring of vision in left eye for imprecise period, on examination Rt eye was completely normal with UCVA 1.0 while LT eye showed UCVA of 0.1 and BCVA of 0.3 with signs of CORNEAL ECTASIA and INFERIOR DYSTOPIA, IOP and fundus examination were normal on both eyes as well as ocular motility was completely free bilaterally.\n\npentacam was ordered showing completely normal Rt eye while grade 3 KERATOCONUS in Lt eye, then CT orbit was ordered that came to show Lt ORBITAL ANGULAR DERMOID CYST.\n\nTo the best of our knowledge there was only 2 previously documented case reports one with Orbital dermoid cyst combined with unilateral keratoconus published in October 2021 in the Indian Journal of Ophthalmology while the other for Isolated orbital fibrous dysplasia associated with ipsilateral keratoconus published in June 2010 in the American journal of ophthalmology case reports.",
        "Conclusions": "Unilateral Corneal Ectasia can occur with space occupying orbital lesions mostly either due to ocular compression that increase the activity of inflammatory mediators, which lead to the biochemical changes and stromal thinning in keratoconus or \"occasional eye rubbing\" combined with the prolonged impact of dermoid cyst applied on the cornea resulted in a permanent thinning, tissue resorption and deformation of the cornea."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Unilateral Corneal Ectasia can occur with space occupying orbital lesions mostly either due to ocular compression that increase the activity of inflammatory mediators, which lead to the biochemical changes and stromal thinning in keratoconus or \"occasional eye rubbing\" combined with the prolonged impact of dermoid cyst applied on the cornea resulted in a permanent thinning, tissue resorption and deformation of the…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 745,
      "source_fields": {
        "Abstract Final Identifier": "POCOR053",
        "Title": "Unilateral Corneal Ectasia Associated With Orbital Dermoid Cyst",
        "Presenting Author(s)": "Dr Nehal Omar Elfarouk",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nehal",
        "Submitter Middle Name": "Omar",
        "Submitter Last Name": "Elfarouk",
        "Country Name": "Egypt",
        "Purpose": "To identify the association between corneal ectasia and orbital dermoid cyst on a case of unilateral corneal ectasia.",
        "Setting": "Memorial Institute for ophthalmic research",
        "Methods": "A 25 year old female patient came complaining of blurring of vision in left eye for imprecise period, on examination Rt eye was completely normal with UCVA 1.0 while LT eye showed UCVA of 0.1 and BCVA of 0.3 with signs of CORNEAL ECTASIA and INFERIOR DYSTOPIA, IOP and fundus examination were normal on both eyes as well as ocular motility was completely free bilaterally.\n\npentacam was ordered showing completely normal Rt eye while grade 3 KERATOCONUS in Lt eye, then CT orbit was ordered that came to show Lt ORBITAL ANGULAR DERMOID CYST.\n\nTo the best of our knowledge there was only 2 previously documented case reports one with Orbital dermoid cyst combined with unilateral keratoconus published in October 2021 in the Indian Journal of Ophthalmology while the other for Isolated orbital fibrous dysplasia associated with ipsilateral keratoconus published in June 2010 in the American journal of ophthalmology case reports.",
        "Results": "",
        "Conclusions": "Unilateral Corneal Ectasia can occur with space occupying orbital lesions mostly either due to ocular compression that increase the activity of inflammatory mediators, which lead to the biochemical changes and stromal thinning in keratoconus or \"occasional eye rubbing\" combined with the prolonged impact of dermoid cyst applied on the cornea resulted in a permanent thinning, tissue resorption and deformation of the cornea."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCOR054",
      "abstract_number": "POCOR054",
      "title": "Clear Cornea Post Sever Chemical Burn Without Keratoplasty",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To show that the marvelous effect of using auto graft limbal stem cell and amniotic membrane and auto serum eye drops to reach clear cornea post sever chemical burn without the need to do keratoplasty but to reach this point we need long time",
        "Setting": "the memorial institute for ophthalmic research",
        "Methods": "patient came complaining of drop of vision in the RT eye post chemical injury 6 m. ago . Examination showed that complete conjunctivalization of cornea due to destruction of all stem cells in this eye , symblepharon , closed fornices , the vision was HM and u/s showed retina in place .\n\nI decided to do limbal stem cell transplantation from other eye then wait until have good limbal stem cells in this eye then do keratoplasty.\n\nIn operation , I excised adhesions and fibrous tissue on the surface of the cornea , prepare the stem cells from other eye , suturing them at sides of the cornea at zero and 180 degree then fashion a large layer of the fresh amniotic membrane that cover the cornea and large area of sclera and suture amniotic to the sclera , then suture residual parts of conjunctiva above the amniotic (shown in video) .\n\nstart treatment with prepared auto serum eye drops from the next day for at least 2 months .after 3 months the vascularization of the cornea disappear and cornea became more clear and the vision improve to 6/60 and it is irrefractable . after 6 months , the cornea became more clear with the vision improved to 6/24 by -1.0 x -4.50 @140 and fundus examination showed retina in place with disc cupping 0.4 and ORA showed corrected iop 28 so I started to give 1 antiglaucoma eyedrop .\n\nafter 1 year , the cornea became almost clear with BCVA 6/12 by plano/-2.5@140 and iop controlled by medical TTT , the pentacam showed the thinnest location was 360 um .",
        "Conclusions": "Chemical burn to the eye usually have a very poor prognosis\n\nLimbal stem cell transplantation is the only hope for those patient who have massive destruction of their original stem cells\n\nUse the amniotic membranes and auto serum eyedrops help the healing of these cases and some times give unexpected marvelous results that the corneas become almost clear and we donot need to do keratoplasty but this need long time"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Chemical burn to the eye usually have a very poor prognosis Limbal stem cell transplantation is the only hope for those patient who have massive destruction of their original stem cells Use the amniotic membranes and auto serum eyedrops help the healing of these cases and some times give unexpected marvelous results that the corneas become almost clear and we donot need to do keratoplasty but this need long time",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 746,
      "source_fields": {
        "Abstract Final Identifier": "POCOR054",
        "Title": "Clear Cornea Post Sever Chemical Burn Without Keratoplasty",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "To show that the marvelous effect of using auto graft limbal stem cell and amniotic membrane and auto serum eye drops to reach clear cornea post sever chemical burn without the need to do keratoplasty but to reach this point we need long time",
        "Setting": "the memorial institute for ophthalmic research",
        "Methods": "patient came complaining of drop of vision in the RT eye post chemical injury 6 m. ago . Examination showed that complete conjunctivalization of cornea due to destruction of all stem cells in this eye , symblepharon , closed fornices , the vision was HM and u/s showed retina in place .\n\nI decided to do limbal stem cell transplantation from other eye then wait until have good limbal stem cells in this eye then do keratoplasty.\n\nIn operation , I excised adhesions and fibrous tissue on the surface of the cornea , prepare the stem cells from other eye , suturing them at sides of the cornea at zero and 180 degree then fashion a large layer of the fresh amniotic membrane that cover the cornea and large area of sclera and suture amniotic to the sclera , then suture residual parts of conjunctiva above the amniotic (shown in video) .\n\nstart treatment with prepared auto serum eye drops from the next day for at least 2 months .after 3 months the vascularization of the cornea disappear and cornea became more clear and the vision improve to 6/60 and it is irrefractable . after 6 months , the cornea became more clear with the vision improved to 6/24 by -1.0 x -4.50 @140 and fundus examination showed retina in place with disc cupping 0.4 and ORA showed corrected iop 28 so I started to give 1 antiglaucoma eyedrop .\n\nafter 1 year , the cornea became almost clear with BCVA 6/12 by plano/-2.5@140 and iop controlled by medical TTT , the pentacam showed the thinnest location was 360 um .",
        "Results": "",
        "Conclusions": "Chemical burn to the eye usually have a very poor prognosis\n\nLimbal stem cell transplantation is the only hope for those patient who have massive destruction of their original stem cells\n\nUse the amniotic membranes and auto serum eyedrops help the healing of these cases and some times give unexpected marvelous results that the corneas become almost clear and we donot need to do keratoplasty but this need long time"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "POCOR055",
      "abstract_number": "POCOR055",
      "title": "Anterior Segment Oct–Guided Partial-Thickness Compression Sutures For Acute Corneal Hydrops",
      "authors": "Dr Lauren Olivia Farr",
      "presenter": "Dr Lauren Olivia Farr",
      "normalized_authors": [
        "Lauren Olivia Farr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lauren Olivia Farr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe the use of anterior segment optical coherence tomography (AS-OCT)–guided partial-thickness compression sutures for the management of acute corneal hydrops secondary to advanced keratoconus, highlighting their role in enabling accurate surgical planning and effective corneal recovery.",
        "Setting": "Tertiary referral centre specialising in advanced corneal disease and complex keratoconus-related complications.",
        "Methods": "A 47-year-old woman with cerebral palsy and learning difficulties presented with progressive bilateral visual loss. Clinical examination was severely limited, with visual acuity reduced to counting fingers in both eyes and dense corneal oedema precluding reliable slit-lamp assessment. The right eye was identified as the acutely affected eye.\n\nAnterior segment OCT demonstrated a focal Descemet’s membrane (DM) rupture with associated stromal oedema in the right eye, consistent with acute corneal hydrops in advanced keratoconus. Importantly, AS-OCT enabled precise localisation and orientation of the DM tear, which was essential for surgical planning in the absence of adequate clinical visualisation.\n\nUrgent surgical management was undertaken using partial-thickness compression sutures placed at a controlled stromal depth and oriented according to AS-OCT findings to oppose the DM break, combined with adjunctive intracameral gas injection to facilitate reattachment. Postoperatively, corneal oedema resolved progressively with residual stromal scarring. Best-corrected visual acuity in the right eye improved to 6/60, providing meaningful functional visual recovery.",
        "Conclusions": "Partial-thickness compression sutures, when guided by anterior segment OCT, provide a targeted and effective surgical approach for acute corneal hydrops, enabling accurate suture placement, rapid corneal deturgescence, and earlier visual rehabilitation. This combined technique is particularly valuable in patients with neurological or cognitive impairment, where slit-lamp examination is limited and prolonged conservative management may be impractical. The case supports the integration of AS-OCT-guided partial-thickness suturing as a practical option in the surgical management of severe hydrops."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Partial-thickness compression sutures, when guided by anterior segment OCT, provide a targeted and effective surgical approach for acute corneal hydrops, enabling accurate suture placement, rapid corneal deturgescence, and earlier visual rehabilitation. This combined technique is particularly valuable in patients with neurological or cognitive impairment, where slit-lamp examination is limited and prolonged…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 747,
      "source_fields": {
        "Abstract Final Identifier": "POCOR055",
        "Title": "Anterior Segment Oct–Guided Partial-Thickness Compression Sutures For Acute Corneal Hydrops",
        "Presenting Author(s)": "Dr Lauren Olivia Farr",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lauren",
        "Submitter Middle Name": "Olivia",
        "Submitter Last Name": "Farr",
        "Country Name": "United Kingdom",
        "Purpose": "To describe the use of anterior segment optical coherence tomography (AS-OCT)–guided partial-thickness compression sutures for the management of acute corneal hydrops secondary to advanced keratoconus, highlighting their role in enabling accurate surgical planning and effective corneal recovery.",
        "Setting": "Tertiary referral centre specialising in advanced corneal disease and complex keratoconus-related complications.",
        "Methods": "A 47-year-old woman with cerebral palsy and learning difficulties presented with progressive bilateral visual loss. Clinical examination was severely limited, with visual acuity reduced to counting fingers in both eyes and dense corneal oedema precluding reliable slit-lamp assessment. The right eye was identified as the acutely affected eye.\n\nAnterior segment OCT demonstrated a focal Descemet’s membrane (DM) rupture with associated stromal oedema in the right eye, consistent with acute corneal hydrops in advanced keratoconus. Importantly, AS-OCT enabled precise localisation and orientation of the DM tear, which was essential for surgical planning in the absence of adequate clinical visualisation.\n\nUrgent surgical management was undertaken using partial-thickness compression sutures placed at a controlled stromal depth and oriented according to AS-OCT findings to oppose the DM break, combined with adjunctive intracameral gas injection to facilitate reattachment. Postoperatively, corneal oedema resolved progressively with residual stromal scarring. Best-corrected visual acuity in the right eye improved to 6/60, providing meaningful functional visual recovery.",
        "Results": "",
        "Conclusions": "Partial-thickness compression sutures, when guided by anterior segment OCT, provide a targeted and effective surgical approach for acute corneal hydrops, enabling accurate suture placement, rapid corneal deturgescence, and earlier visual rehabilitation. This combined technique is particularly valuable in patients with neurological or cognitive impairment, where slit-lamp examination is limited and prolonged conservative management may be impractical. The case supports the integration of AS-OCT-guided partial-thickness suturing as a practical option in the surgical management of severe hydrops."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "POCOR056",
      "abstract_number": "POCOR056",
      "title": "Sandwich Pk Technique",
      "authors": "Dr Sofia Farrera Bracho",
      "presenter": "Dr Sofia Farrera Bracho",
      "normalized_authors": [
        "Sofia Farrera Bracho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofia Farrera Bracho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To present a case of penetrating keratoplasty with a sandwich tecnique.",
        "Setting": "This is a tecnique to eliminate open-sky time, in patients with high risk of elevated posterior pressure, in order to decrease chance of expulsion of intraocular contents.",
        "Methods": "A 45-year-old female patient with a history of corneal perforation in the left eye (light perception) and corneal transplant for keratoconus in the right eye, currently opaque (20/400), presented with a history of pulmonary thromboembolism. General anesthesia was not authorized for this case. A penetrating sandwich keratoplasty technique was chosen to minimize open-sky surgery time, as the patient was under sedation and at high risk of postoperative hemorrhage due to her young age.",
        "Conclusions": "Sanwich tecnique is useful tecnique in cases of increased posterior pressure.\n\nThis tecnique limits open-sky time during surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Sanwich tecnique is useful tecnique in cases of increased posterior pressure. This tecnique limits open-sky time during surgery.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 748,
      "source_fields": {
        "Abstract Final Identifier": "POCOR056",
        "Title": "Sandwich Pk Technique",
        "Presenting Author(s)": "Dr Sofia Farrera Bracho",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sofia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Farrera Bracho",
        "Country Name": "Mexico",
        "Purpose": "To present a case of penetrating keratoplasty with a sandwich tecnique.",
        "Setting": "This is a tecnique to eliminate open-sky time, in patients with high risk of elevated posterior pressure, in order to decrease chance of expulsion of intraocular contents.",
        "Methods": "A 45-year-old female patient with a history of corneal perforation in the left eye (light perception) and corneal transplant for keratoconus in the right eye, currently opaque (20/400), presented with a history of pulmonary thromboembolism. General anesthesia was not authorized for this case. A penetrating sandwich keratoplasty technique was chosen to minimize open-sky surgery time, as the patient was under sedation and at high risk of postoperative hemorrhage due to her young age.",
        "Results": "",
        "Conclusions": "Sanwich tecnique is useful tecnique in cases of increased posterior pressure.\n\nThis tecnique limits open-sky time during surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 130
    },
    {
      "uid": "POCOR057",
      "abstract_number": "POCOR057",
      "title": "Oct-Guided Multilayer Amniotic Membrane For Occult Post-Herpetic Microperforation: Tectonic Stabilization And Avoidance Of Emergency Keratoplasty",
      "authors": "Dr Catarina Francisco",
      "presenter": "Dr Catarina Francisco",
      "normalized_authors": [
        "Catarina Francisco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Catarina Francisco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To describe the management of a post-herpetic corneal microperforation in an eye with poor visual potential and high inflammatory risk, emphasizing a conservative tectonic approach focused on globe preservation rather than visual rehabilitation, and to highlight the need for ongoing optical coherence tomography (OCT)-guided surveillance given the risk of late recurrence.",
        "Setting": "Management and follow-up were performed at the Ophthalmology Department of Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal (November 2019 - February 2026).",
        "Methods": "A young woman with a longstanding post-herpetic central corneal scar (first documented in 2019) presented in 2025 with acute herpetic keratitis and severe stromal thinning. The eye had deep amblyopia (baseline visual acuity 1/10). The patient had Sjögren syndrome under immunomodulatory therapy . She was scheduled for corneal neovascularization cauterization and intrastromal bevacizumab; however, although no corneal perforation was present at clinical evaluation two days before surgery , on the day of surgery, prior to entering the operating room, a self-sealed microperforation with an iris plug was identified, leading to an immediate change in the surgical plan.\n\nA multilayer amniotic membrane technique was used, consisting of one stromal plug, one double-faced layer placed epithelial side out, and an additional single overlay layer, secured with fibrin glue and limbal nylon sutures, with a therapeutic contact lens and systemic antivirals. Anterior segment OCT guided follow-up: the anterior chamber remained formed, inflammation was controlled, and OCT documented stromal thickening and epithelial healing; no keratoplasty was required and globe integrity was preserved. Two months later, recurrence occurred with epithelial defects, lipid keratopathy, and renewed superficial stromal loss with localized thinning on OCT; she was treated medically and with intrastromal bevacizumab.",
        "Conclusions": "In post-herpetic corneal melting, management may need to shift rapidly from anti-neovascular strategies to tectonic stabilization when an occult microperforation is detected. Multilayer amniotic membrane (plug + overlay) with a therapeutic contact lens, systemic antivirals, and anterior segment OCT monitoring provided effective support with progressive corneal thickening, and successfully avoided emergency keratoplasty. Late recurrence with renewed thinning can occur; continued OCT-guided monitoring and flexible anti-inflammatory and anti-neovascular escalation may preserve globe integrity in high-risk eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In post-herpetic corneal melting, management may need to shift rapidly from anti-neovascular strategies to tectonic stabilization when an occult microperforation is detected. Multilayer amniotic membrane (plug + overlay) with a therapeutic contact lens, systemic antivirals, and anterior segment OCT monitoring provided effective support with progressive corneal thickening, and successfully avoided emergency…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 749,
      "source_fields": {
        "Abstract Final Identifier": "POCOR057",
        "Title": "Oct-Guided Multilayer Amniotic Membrane For Occult Post-Herpetic Microperforation: Tectonic Stabilization And Avoidance Of Emergency Keratoplasty",
        "Presenting Author(s)": "Dr Catarina Francisco",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Catarina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Francisco",
        "Country Name": "Portugal",
        "Purpose": "To describe the management of a post-herpetic corneal microperforation in an eye with poor visual potential and high inflammatory risk, emphasizing a conservative tectonic approach focused on globe preservation rather than visual rehabilitation, and to highlight the need for ongoing optical coherence tomography (OCT)-guided surveillance given the risk of late recurrence.",
        "Setting": "Management and follow-up were performed at the Ophthalmology Department of Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal (November 2019 - February 2026).",
        "Methods": "A young woman with a longstanding post-herpetic central corneal scar (first documented in 2019) presented in 2025 with acute herpetic keratitis and severe stromal thinning. The eye had deep amblyopia (baseline visual acuity 1/10). The patient had Sjögren syndrome under immunomodulatory therapy . She was scheduled for corneal neovascularization cauterization and intrastromal bevacizumab; however, although no corneal perforation was present at clinical evaluation two days before surgery , on the day of surgery, prior to entering the operating room, a self-sealed microperforation with an iris plug was identified, leading to an immediate change in the surgical plan.\n\nA multilayer amniotic membrane technique was used, consisting of one stromal plug, one double-faced layer placed epithelial side out, and an additional single overlay layer, secured with fibrin glue and limbal nylon sutures, with a therapeutic contact lens and systemic antivirals. Anterior segment OCT guided follow-up: the anterior chamber remained formed, inflammation was controlled, and OCT documented stromal thickening and epithelial healing; no keratoplasty was required and globe integrity was preserved. Two months later, recurrence occurred with epithelial defects, lipid keratopathy, and renewed superficial stromal loss with localized thinning on OCT; she was treated medically and with intrastromal bevacizumab.",
        "Results": "",
        "Conclusions": "In post-herpetic corneal melting, management may need to shift rapidly from anti-neovascular strategies to tectonic stabilization when an occult microperforation is detected. Multilayer amniotic membrane (plug + overlay) with a therapeutic contact lens, systemic antivirals, and anterior segment OCT monitoring provided effective support with progressive corneal thickening, and successfully avoided emergency keratoplasty. Late recurrence with renewed thinning can occur; continued OCT-guided monitoring and flexible anti-inflammatory and anti-neovascular escalation may preserve globe integrity in high-risk eyes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "POCOR058",
      "abstract_number": "POCOR058",
      "title": "En Bloc Transepithelial Anterior Lenticule Excision Using A Femtosecond Laser Vs Excimer Ptk For Corneal Dystrophy",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To demonstrate the therapeutic utility of femtosecond laser technology for anterior corneal dystrophy by comparing a femtosecond-laser–created transepithelial anterior lenticule excision with standard excimer-based phototherapeutic keratectomy (PTK) using masking fluid in a contralateral-eye design.",
        "Setting": "Single-center cornea/refractive service.",
        "Methods": "A 70-year-old pseudophakic woman with bilateral visually significant anterior corneal dystrophy underwent staged bilateral surface-smoothing procedures. One eye received conventional excimer PTK with masking fluid to regularize the anterior stromal surface. The fellow eye underwent a femtosecond laser–assisted therapeutic anterior keratectomy in which a transepithelial anterior lenticule was created with a 0-µm cap and removed en bloc. Postoperative medication regimens and bandage contact lens management were standardized between eyes. Primary outcomes were epithelial healing time, early stromal response (haze/inflammation), and functional visual recovery. A second supporting case is presented in which both eyes were treated in a single session using a combined femtosecond + excimer strategy.",
        "Conclusions": "Both eyes demonstrated improved visual function and symptomatic improvement. The femtosecond-treated eye exhibited faster epithelial closure (2 days vs 4 days) and less early stromal reaction compared with the excimer PTK eye, with earlier subjective visual recovery. No intraoperative complications occurred. In the additional bilateral combined femto+excimer case, rapid re-epithelialization and clinically meaningful improvement in surface regularity were similarly observed.\n\nIn this contralateral-eye experience, femtosecond-assisted treatment showed faster healing with reduced early stromal reactivity versus standard masked PTK. Combined femto+excimer treatment may further expand the therapeutic toolkit for anterior corneal pathology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Both eyes demonstrated improved visual function and symptomatic improvement. The femtosecond-treated eye exhibited faster epithelial closure (2 days vs 4 days) and less early stromal reaction compared with the excimer PTK eye, with earlier subjective visual recovery. No intraoperative complications occurred. In the additional bilateral combined femto+excimer case, rapid re-epithelialization and clinically…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 750,
      "source_fields": {
        "Abstract Final Identifier": "POCOR058",
        "Title": "En Bloc Transepithelial Anterior Lenticule Excision Using A Femtosecond Laser Vs Excimer Ptk For Corneal Dystrophy",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To demonstrate the therapeutic utility of femtosecond laser technology for anterior corneal dystrophy by comparing a femtosecond-laser–created transepithelial anterior lenticule excision with standard excimer-based phototherapeutic keratectomy (PTK) using masking fluid in a contralateral-eye design.",
        "Setting": "Single-center cornea/refractive service.",
        "Methods": "A 70-year-old pseudophakic woman with bilateral visually significant anterior corneal dystrophy underwent staged bilateral surface-smoothing procedures. One eye received conventional excimer PTK with masking fluid to regularize the anterior stromal surface. The fellow eye underwent a femtosecond laser–assisted therapeutic anterior keratectomy in which a transepithelial anterior lenticule was created with a 0-µm cap and removed en bloc. Postoperative medication regimens and bandage contact lens management were standardized between eyes. Primary outcomes were epithelial healing time, early stromal response (haze/inflammation), and functional visual recovery. A second supporting case is presented in which both eyes were treated in a single session using a combined femtosecond + excimer strategy.",
        "Results": "",
        "Conclusions": "Both eyes demonstrated improved visual function and symptomatic improvement. The femtosecond-treated eye exhibited faster epithelial closure (2 days vs 4 days) and less early stromal reaction compared with the excimer PTK eye, with earlier subjective visual recovery. No intraoperative complications occurred. In the additional bilateral combined femto+excimer case, rapid re-epithelialization and clinically meaningful improvement in surface regularity were similarly observed.\n\nIn this contralateral-eye experience, femtosecond-assisted treatment showed faster healing with reduced early stromal reactivity versus standard masked PTK. Combined femto+excimer treatment may further expand the therapeutic toolkit for anterior corneal pathology."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCOR059",
      "abstract_number": "POCOR059",
      "title": "Corneal Rehabilitation After Firework Injury: Mitomycin-C–Guided Mice Technique",
      "authors": "Dr Ivana Gabrić",
      "presenter": "Dr Ivana Gabrić",
      "normalized_authors": [
        "Ivana Gabrić"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivana Gabrić",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To report cornea-oriented surgical management of severe post-traumatic corneal neovascularization (CNV) with secondary ocular surface failure following firework injury, with focus on Mitomycin-C–guided Minimally Invasive Corneal Epitheliectomy (MICE) as a strategy for controlled vascular modulation rather than aggressive excision. The aim was pragmatic: stabilize the surface and reduce angiogenic drive sufficiently to allow functional visual rehabilitation.",
        "Setting": "Tertiary referral center for anterior segment reconstruction with multidisciplinary involvement when required.",
        "Methods": "A 32-year-old male sustained combined thermal, chemical, and blunt ocular trauma from a high-velocity firework projectile. On presentation, the eye showed periocular burns, ankyloblepharon, symblepharon, distorted fornices, and extensive deep stromal corneal neovascularization (CNV) with lipid deposition. The corneal surface was partially conjunctivalized and mechanically unstable, with suspected partial limbal dysfunction.\n\nManagement was staged. Cicatricial adhesions were released, followed by conjunctivoplasty and fornix reconstruction with symblepharon ring placement to reduce tractional stress on the limbus. Corneal intervention was deferred until surface inflammation decreased.\n\nMICE was then performed to remove fibrovascular pannus and abnormal epithelium in a conservative manner. Low-dose, time-limited Mitomycin C was applied intraoperatively to modulate stromal activation and angiogenic drive. Selected feeder vessels were interrupted when accessible. A cryopreserved amniotic membrane was placed to support epithelial recovery.\n\nFollow-up demonstrated gradual reduction in vessel caliber and perfusion with improved corneal clarity. Residual stromal haze persisted, but epithelial integrity and fornix stability were maintained without recurrent symblepharon.",
        "Conclusions": "Severe firework-related trauma may produce deep stromal CNV combined with cicatricial surface instability, a scenario in which immediate keratoplasty would carry a high likelihood of failure. In this case, staged reconstruction with Mitomycin-C–guided MICE appeared to reduce angiogenic activity sufficiently to restore a more stable and optically functional cornea. The effect was modulatory rather than ablative.\n\nLong-term durability remains uncertain. Still, in similarly inflamed and structurally compromised corneas, this approach may offer a tissue-sparing alternative before considering transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Severe firework-related trauma may produce deep stromal CNV combined with cicatricial surface instability, a scenario in which immediate keratoplasty would carry a high likelihood of failure. In this case, staged reconstruction with Mitomycin-C–guided MICE appeared to reduce angiogenic activity sufficiently to restore a more stable and optically functional cornea. The effect was modulatory rather than ablative.…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 751,
      "source_fields": {
        "Abstract Final Identifier": "POCOR059",
        "Title": "Corneal Rehabilitation After Firework Injury: Mitomycin-C–Guided Mice Technique",
        "Presenting Author(s)": "Dr Ivana Gabrić",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ivana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabrić",
        "Country Name": "Croatia",
        "Purpose": "To report cornea-oriented surgical management of severe post-traumatic corneal neovascularization (CNV) with secondary ocular surface failure following firework injury, with focus on Mitomycin-C–guided Minimally Invasive Corneal Epitheliectomy (MICE) as a strategy for controlled vascular modulation rather than aggressive excision. The aim was pragmatic: stabilize the surface and reduce angiogenic drive sufficiently to allow functional visual rehabilitation.",
        "Setting": "Tertiary referral center for anterior segment reconstruction with multidisciplinary involvement when required.",
        "Methods": "A 32-year-old male sustained combined thermal, chemical, and blunt ocular trauma from a high-velocity firework projectile. On presentation, the eye showed periocular burns, ankyloblepharon, symblepharon, distorted fornices, and extensive deep stromal corneal neovascularization (CNV) with lipid deposition. The corneal surface was partially conjunctivalized and mechanically unstable, with suspected partial limbal dysfunction.\n\nManagement was staged. Cicatricial adhesions were released, followed by conjunctivoplasty and fornix reconstruction with symblepharon ring placement to reduce tractional stress on the limbus. Corneal intervention was deferred until surface inflammation decreased.\n\nMICE was then performed to remove fibrovascular pannus and abnormal epithelium in a conservative manner. Low-dose, time-limited Mitomycin C was applied intraoperatively to modulate stromal activation and angiogenic drive. Selected feeder vessels were interrupted when accessible. A cryopreserved amniotic membrane was placed to support epithelial recovery.\n\nFollow-up demonstrated gradual reduction in vessel caliber and perfusion with improved corneal clarity. Residual stromal haze persisted, but epithelial integrity and fornix stability were maintained without recurrent symblepharon.",
        "Results": "",
        "Conclusions": "Severe firework-related trauma may produce deep stromal CNV combined with cicatricial surface instability, a scenario in which immediate keratoplasty would carry a high likelihood of failure. In this case, staged reconstruction with Mitomycin-C–guided MICE appeared to reduce angiogenic activity sufficiently to restore a more stable and optically functional cornea. The effect was modulatory rather than ablative.\n\nLong-term durability remains uncertain. Still, in similarly inflamed and structurally compromised corneas, this approach may offer a tissue-sparing alternative before considering transplantation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCOR060",
      "abstract_number": "POCOR060",
      "title": "Refractory Polymicrobial Fungal Keratitis Leading To Corneal Perforation And Requiring Therapeutic Penetrating Keratoplasty In A Patient Receiving Glp-1 Receptor Agonists: A Case Report",
      "authors": "Patricia García Carrero",
      "presenter": "Patricia García Carrero",
      "normalized_authors": [
        "Patricia García Carrero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Patricia García Carrero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present the case of a 28-year-old female, a contact lens wearer on systemic treatment with GLP-1 receptor agonists (semaglutide), who developed fungal keratitis in the left eye. The objective is to analyze the torpid clinical course which, after an initial improvement, suffered a fulminant recurrence leading to corneal perforation and requiring urgent therapeutic penetrating keratoplasty (PKP) despite intensive management.",
        "Setting": "Anterior segment and cornea unit, Hospital Universitario 12 de Octubre (Madrid, Spain), a tertiary referral academic hospital.",
        "Methods": "A 28-year-old female, contact lens wearer and undergoing semaglutide treatment, presented with a grayish corneal infiltrate with feathery borders. Microbiological analysis of contact lenses and storage fluid confirmed a coinfection by Fusarium solani and Candida sp. , sensitive to voriconazole and amphotericin B. Initial management consisted of an intensive hourly regimen of topical voriconazole, fortified vancomycin and ceftazidime. After one month of treatment, clinical resolution and epithelial closure were achieved. However, one week after discontinuing antibiotics and reducing voriconazole frequency, a sudden recurrence occurred, progressing to a large corneal abscess within five days. The patient was hospitalized for therapeutic escalation: systemic therapy (oral voriconazole, doxycycline and vitamin C) and multidrug topical therapy (voriconazole/natamycin 6h; moxifloxacin/dexamethasone/cycloplegic 8h; and chlorhexidine 3h). Despite intensive care, corneal perforation occurred 72 hours after admission, necessitating a therapeutic PKP. Post-surgical histopathology of the host cornea was negative for microorganisms. Two months later, the graft remains stable and transparent without signs of fungal recurrence. Current maintenance therapy includes topical and systemic voriconazole, topical natamycin and amphotericin B (6h), netilmicin gel, cyclosporine 0.1%, dexamethasone (8h), and nerve supplement (12h). Systemic voriconazole levels and hepato-renal function remain normal.",
        "Conclusions": "Fungal keratitis remains a major challenge due to its high recurrence rate, and even more when there is a fungal co-infection. This case highlights a fulminant progression to perforation despite early diagnosis and an initially successful aggressive therapy. Therapeutic PKP is the definitive emergency procedure to preserve globe integrity and control infection in refractory cases. It is essential to investigate the potential role of GLP-1 receptor agonists (semaglutide) in modulating ocular immune response and stromal repair, as they may act as a coadjuvant factor in fungal coinfection and clinical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Fungal keratitis remains a major challenge due to its high recurrence rate, and even more when there is a fungal co-infection. This case highlights a fulminant progression to perforation despite early diagnosis and an initially successful aggressive therapy. Therapeutic PKP is the definitive emergency procedure to preserve globe integrity and control infection in refractory cases. It is essential to investigate the…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 752,
      "source_fields": {
        "Abstract Final Identifier": "POCOR060",
        "Title": "Refractory Polymicrobial Fungal Keratitis Leading To Corneal Perforation And Requiring Therapeutic Penetrating Keratoplasty In A Patient Receiving Glp-1 Receptor Agonists: A Case Report",
        "Presenting Author(s)": "Patricia García Carrero",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Patricia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "García Carrero",
        "Country Name": "Spain",
        "Purpose": "To present the case of a 28-year-old female, a contact lens wearer on systemic treatment with GLP-1 receptor agonists (semaglutide), who developed fungal keratitis in the left eye. The objective is to analyze the torpid clinical course which, after an initial improvement, suffered a fulminant recurrence leading to corneal perforation and requiring urgent therapeutic penetrating keratoplasty (PKP) despite intensive management.",
        "Setting": "Anterior segment and cornea unit, Hospital Universitario 12 de Octubre (Madrid, Spain), a tertiary referral academic hospital.",
        "Methods": "A 28-year-old female, contact lens wearer and undergoing semaglutide treatment, presented with a grayish corneal infiltrate with feathery borders. Microbiological analysis of contact lenses and storage fluid confirmed a coinfection by Fusarium solani and Candida sp. , sensitive to voriconazole and amphotericin B. Initial management consisted of an intensive hourly regimen of topical voriconazole, fortified vancomycin and ceftazidime. After one month of treatment, clinical resolution and epithelial closure were achieved. However, one week after discontinuing antibiotics and reducing voriconazole frequency, a sudden recurrence occurred, progressing to a large corneal abscess within five days. The patient was hospitalized for therapeutic escalation: systemic therapy (oral voriconazole, doxycycline and vitamin C) and multidrug topical therapy (voriconazole/natamycin 6h; moxifloxacin/dexamethasone/cycloplegic 8h; and chlorhexidine 3h). Despite intensive care, corneal perforation occurred 72 hours after admission, necessitating a therapeutic PKP. Post-surgical histopathology of the host cornea was negative for microorganisms. Two months later, the graft remains stable and transparent without signs of fungal recurrence. Current maintenance therapy includes topical and systemic voriconazole, topical natamycin and amphotericin B (6h), netilmicin gel, cyclosporine 0.1%, dexamethasone (8h), and nerve supplement (12h). Systemic voriconazole levels and hepato-renal function remain normal.",
        "Results": "",
        "Conclusions": "Fungal keratitis remains a major challenge due to its high recurrence rate, and even more when there is a fungal co-infection. This case highlights a fulminant progression to perforation despite early diagnosis and an initially successful aggressive therapy. Therapeutic PKP is the definitive emergency procedure to preserve globe integrity and control infection in refractory cases. It is essential to investigate the potential role of GLP-1 receptor agonists (semaglutide) in modulating ocular immune response and stromal repair, as they may act as a coadjuvant factor in fungal coinfection and clinical outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "POCOR061",
      "abstract_number": "POCOR061",
      "title": "How Manage Fungal Sclerokeratitis Associated With Panendophthalmitis ?",
      "authors": "A/Prof. Thibaud Garcin",
      "presenter": "A/Prof. Thibaud Garcin",
      "normalized_authors": [
        "Thibaud Garcin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thibaud Garcin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Fungal ocular infections are among the most technical medical and surgical challenges. Since cornea, sclera, vitreous and/or aqueous humour are contaminated, it may lead to enucleation or evisceration \"a chaud\" or at mid tem.",
        "Setting": "CHNV15-20, Infectiology and Transplantation department, GRC32, TITC, Sorbonne University, Paris.",
        "Methods": "Two patients presented with fungal sclerokeratitis associated with panendophthalmitis in a French tertiary center one week apart: a 55-year-old woman with Paecilomyces lilacinus infection since 9-months managed in another center; and a 74-year-old man with Microsporidies (parasite/ex-fungal agent) infection since 12-weeks living in the French West Indies. Both had light perception. The woman’s background was bilateral keratoconus grafted with PK; last year including 5 PK in the infected right eye and IOL removal during last PK. The man’s background was moderated controlled diabetes, bilateral ectropion, bilateral DMEK on bullous keratopathy, then PK on the left eye due to Microsporidies keratitis.\n\nRather than primary evisceration to treat endophthalmitis with progressive purulent scleral-corneal melting, we proposed a rescue temporary 8mm keratoprosthesis, complete vitrectomy (multiples samples), sclerocorneal transplantation (15mm-diameter), limbal reconstruction and human amniotic graft. The woman had C2F6 tamponade because of macular hole (1200 microns) induced by retinal infectious foci, which was peeled; the man had heavy silicone tamponade because of diabetes, severe endophthalmitis, specific germ and macular infectious foci without hole. We received both corneas from the same 100-year-old donor, with baseline ECD 1800cell/mm2 for rescue purpose. We used both intravitreal and intracameral antibiotics and antifungal agents during the all-in-one surgery.",
        "Conclusions": "Initial corneoscleral transplantation may be an interesting rescue option by removing most of the infectious load, controlling fungal infection, preventing from early phthisis or evisceration. R epeated intracameral injection were necessary to control the infection. No serious adverse event occurred. Anatomy was restored without primary graft failure, function was partially restored (20/80 for the woman at M4, 20/2000 for the man at M3), without active pain. Donor's a ge does not matter: a same super old donor can really save 2 younger recipients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Initial corneoscleral transplantation may be an interesting rescue option by removing most of the infectious load, controlling fungal infection, preventing from early phthisis or evisceration. R epeated intracameral injection were necessary to control the infection. No serious adverse event occurred. Anatomy was restored without primary graft failure, function was partially restored (20/80 for the woman at M4,…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 753,
      "source_fields": {
        "Abstract Final Identifier": "POCOR061",
        "Title": "How Manage Fungal Sclerokeratitis Associated With Panendophthalmitis ?",
        "Presenting Author(s)": "A/Prof. Thibaud Garcin",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Thibaud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garcin",
        "Country Name": "France",
        "Purpose": "Fungal ocular infections are among the most technical medical and surgical challenges. Since cornea, sclera, vitreous and/or aqueous humour are contaminated, it may lead to enucleation or evisceration \"a chaud\" or at mid tem.",
        "Setting": "CHNV15-20, Infectiology and Transplantation department, GRC32, TITC, Sorbonne University, Paris.",
        "Methods": "Two patients presented with fungal sclerokeratitis associated with panendophthalmitis in a French tertiary center one week apart: a 55-year-old woman with Paecilomyces lilacinus infection since 9-months managed in another center; and a 74-year-old man with Microsporidies (parasite/ex-fungal agent) infection since 12-weeks living in the French West Indies. Both had light perception. The woman’s background was bilateral keratoconus grafted with PK; last year including 5 PK in the infected right eye and IOL removal during last PK. The man’s background was moderated controlled diabetes, bilateral ectropion, bilateral DMEK on bullous keratopathy, then PK on the left eye due to Microsporidies keratitis.\n\nRather than primary evisceration to treat endophthalmitis with progressive purulent scleral-corneal melting, we proposed a rescue temporary 8mm keratoprosthesis, complete vitrectomy (multiples samples), sclerocorneal transplantation (15mm-diameter), limbal reconstruction and human amniotic graft. The woman had C2F6 tamponade because of macular hole (1200 microns) induced by retinal infectious foci, which was peeled; the man had heavy silicone tamponade because of diabetes, severe endophthalmitis, specific germ and macular infectious foci without hole. We received both corneas from the same 100-year-old donor, with baseline ECD 1800cell/mm2 for rescue purpose. We used both intravitreal and intracameral antibiotics and antifungal agents during the all-in-one surgery.",
        "Results": "",
        "Conclusions": "Initial corneoscleral transplantation may be an interesting rescue option by removing most of the infectious load, controlling fungal infection, preventing from early phthisis or evisceration. R epeated intracameral injection were necessary to control the infection. No serious adverse event occurred. Anatomy was restored without primary graft failure, function was partially restored (20/80 for the woman at M4, 20/2000 for the man at M3), without active pain. Donor's a ge does not matter: a same super old donor can really save 2 younger recipients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POCOR062",
      "abstract_number": "POCOR062",
      "title": "Complete Spontaneous Reattachment After Early Dsaek Detachment In A Mechanically Non-Mobile Eye",
      "authors": "Dr Lucía Gárriz Blanco",
      "presenter": "Dr Lucía Gárriz Blanco",
      "normalized_authors": [
        "Lucía Gárriz Blanco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucía Gárriz Blanco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a documented case of spontaneous complete Descemet stripping automated endothelial keratoplasty (DSAEK) graft reattachment after early postoperative detachment in a severely non-mobile, vitrectomized eye with complex anterior segment anatomy, and to reconsider the role of immediate re-intervention in selected cases.",
        "Setting": "Cornea & Ocular Surface Unit, Department of Ophthalmology, Hospital Universitario la Princesa, a tertiary center, Madrid, Spain.",
        "Methods": "A 74-year-old functionally monocular patient underwent DSAEK in the right eye for secondary endothelial decompensation with chronic corneal edema and visual decline. The eye had a complex surgical history, including retinal detachment repair with residual scleral buckle elements and pars plana vitrectomy, followed by intraocular lens exchange and implantation of a prepupillary iris-claw anterior chamber intraocular lens. Orbital imaging and clinical findings were consistent with conjunctivo-orbital fibrosis and residual buckle material causing severe mechanical ophthalmoplegia and a practically fixed globe with minimal residual ocular micro-movements.\n\nOn postoperative day 1, anterior segment optical coherence tomography (AS-OCT) demonstrated partial graft detachment with some peripheral contact. On day 2, rebubbling with 20% SF6 was performed. The following day, slit-lamp examination showed no visible gas bubble, and AS-OCT confirmed persistent detachment with limited contact at the superior and inferior edges. Intraocular pressure was low, and the eye was considered at high risk of graft failure. Conservative management with strict supine positioning and topical corticosteroids was maintained. Five days after rebubbling, AS-OCT demonstrated complete graft reattachment with reduced corneal thickness. Follow-up confirmed sustained reattachment, progressive corneal clearing, and stable visual improvement. Two years later, the graft remains fully attached and functionally stable.",
        "Conclusions": "Spontaneous complete reattachment after early DSAEK detachment can occur even in highly complex, vitrectomized eyes traditionally considered at high risk of failure. In clinically stable detachments with some graft–host contact, careful short-term observation may avoid additional surgical procedures.\n\nIn this case, the markedly reduced ocular motility caused by conjunctivo-orbital fibrosis and residual scleral buckle material resulted in a mechanically non-mobile eye with minimal residual ocular micro-movements. This mechanical stability, together with strict supine positioning, may have facilitated prolonged graft–stroma apposition and subsequent spontaneous adhesion."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Spontaneous complete reattachment after early DSAEK detachment can occur even in highly complex, vitrectomized eyes traditionally considered at high risk of failure. In clinically stable detachments with some graft–host contact, careful short-term observation may avoid additional surgical procedures. In this case, the markedly reduced ocular motility caused by conjunctivo-orbital fibrosis and residual scleral…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 754,
      "source_fields": {
        "Abstract Final Identifier": "POCOR062",
        "Title": "Complete Spontaneous Reattachment After Early Dsaek Detachment In A Mechanically Non-Mobile Eye",
        "Presenting Author(s)": "Dr Lucía Gárriz Blanco",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lucía",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gárriz Blanco",
        "Country Name": "Spain",
        "Purpose": "To describe a documented case of spontaneous complete Descemet stripping automated endothelial keratoplasty (DSAEK) graft reattachment after early postoperative detachment in a severely non-mobile, vitrectomized eye with complex anterior segment anatomy, and to reconsider the role of immediate re-intervention in selected cases.",
        "Setting": "Cornea & Ocular Surface Unit, Department of Ophthalmology, Hospital Universitario la Princesa, a tertiary center, Madrid, Spain.",
        "Methods": "A 74-year-old functionally monocular patient underwent DSAEK in the right eye for secondary endothelial decompensation with chronic corneal edema and visual decline. The eye had a complex surgical history, including retinal detachment repair with residual scleral buckle elements and pars plana vitrectomy, followed by intraocular lens exchange and implantation of a prepupillary iris-claw anterior chamber intraocular lens. Orbital imaging and clinical findings were consistent with conjunctivo-orbital fibrosis and residual buckle material causing severe mechanical ophthalmoplegia and a practically fixed globe with minimal residual ocular micro-movements.\n\nOn postoperative day 1, anterior segment optical coherence tomography (AS-OCT) demonstrated partial graft detachment with some peripheral contact. On day 2, rebubbling with 20% SF6 was performed. The following day, slit-lamp examination showed no visible gas bubble, and AS-OCT confirmed persistent detachment with limited contact at the superior and inferior edges. Intraocular pressure was low, and the eye was considered at high risk of graft failure. Conservative management with strict supine positioning and topical corticosteroids was maintained. Five days after rebubbling, AS-OCT demonstrated complete graft reattachment with reduced corneal thickness. Follow-up confirmed sustained reattachment, progressive corneal clearing, and stable visual improvement. Two years later, the graft remains fully attached and functionally stable.",
        "Results": "",
        "Conclusions": "Spontaneous complete reattachment after early DSAEK detachment can occur even in highly complex, vitrectomized eyes traditionally considered at high risk of failure. In clinically stable detachments with some graft–host contact, careful short-term observation may avoid additional surgical procedures.\n\nIn this case, the markedly reduced ocular motility caused by conjunctivo-orbital fibrosis and residual scleral buckle material resulted in a mechanically non-mobile eye with minimal residual ocular micro-movements. This mechanical stability, together with strict supine positioning, may have facilitated prolonged graft–stroma apposition and subsequent spontaneous adhesion."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCOR063",
      "abstract_number": "POCOR063",
      "title": "Surgical Management Of Advanced Schnyder’S Crystalline Dystrophy And Intumescent Cataract: An Open-Sky Approach In A Complex Anterior Segment",
      "authors": "Dr Natasha Gerschcovsky",
      "presenter": "Dr Natasha Gerschcovsky",
      "normalized_authors": [
        "Natasha Gerschcovsky"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Natasha Gerschcovsky",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report the surgical management of an advanced case of Schnyder’s Crystalline Dystrophy (SCD) associated with an intumescent cataract and complex anterior segment anatomy. The case highlights the successful use of a combined penetrating keratoplasty and open-sky cataract extraction to address severe corneal and lenticular opacities.",
        "Setting": "Hospital de Clínicas “José de San Martín”, University of Buenos Aires, Buenos Aires, Argentina.",
        "Methods": "A 59-year-old male presented with severe bilateral corneal opacity and visual loss. Ocular history included bilateral trabeculectomies and Ahmed glaucoma valve (AGV) implantation in the right eye (OD). Visual acuity was hand motion in the OD and poor light projection in the left eye (OS).\n\nSlit-lamp examination revealed bilateral prominent arcus lipoides and dense, disc-shaped, polychromatic crystalline deposits involving the central corneal stroma. The OD showed an intumescent white cataract, athalamia, a flat trabeculectomy bleb, and an AGV tube (Figure 1). In the OS, a cataract and a functioning trabeculectomy bleb were observed (Figure 2). Fundus examination was not possible due to media opacity; B-scan ultrasonography confirmed retinal attachment in both eyes. (Figure 3).\n\nUltrasound biomicroscopy of the OD demonstrated occlusion of the AGV tube by iris tissue, extensive anterior and posterior synechiae, athalamia, and an enlarged intumescent lens with increased anteroposterior diameter (Figure 4a-4d).\n\nGiven the severe corneal opacity, distorted anterior segment anatomy, and high surgical risk, a combined penetrating keratoplasty and open-sky extracapsular cataract extraction was performed. Open-sky ECCE allowed safe lens removal and restoration of anterior segment anatomy. The eye was left aphakic, with secondary intraocular lens implantation planned after stabilization.",
        "Conclusions": "Advanced Schnyder’s Crystalline Dystrophy may present with severe corneal opacity and coexist with complex anterior segment anatomy secondary to prior glaucoma surgery. In selected cases, an open-sky approach combining penetrating keratoplasty and cataract extraction represents a safe and effective surgical strategy.\n\nEarly recognition of SCD is essential, and lipid profile assessment should be considered. Multidisciplinary management, including cardiovascular evaluation, is recommended due to the systemic association with dyslipidemia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Advanced Schnyder’s Crystalline Dystrophy may present with severe corneal opacity and coexist with complex anterior segment anatomy secondary to prior glaucoma surgery. In selected cases, an open-sky approach combining penetrating keratoplasty and cataract extraction represents a safe and effective surgical strategy. Early recognition of SCD is essential, and lipid profile assessment should be considered.…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 755,
      "source_fields": {
        "Abstract Final Identifier": "POCOR063",
        "Title": "Surgical Management Of Advanced Schnyder’S Crystalline Dystrophy And Intumescent Cataract: An Open-Sky Approach In A Complex Anterior Segment",
        "Presenting Author(s)": "Dr Natasha Gerschcovsky",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Natasha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gerschcovsky",
        "Country Name": "Argentina",
        "Purpose": "To report the surgical management of an advanced case of Schnyder’s Crystalline Dystrophy (SCD) associated with an intumescent cataract and complex anterior segment anatomy. The case highlights the successful use of a combined penetrating keratoplasty and open-sky cataract extraction to address severe corneal and lenticular opacities.",
        "Setting": "Hospital de Clínicas “José de San Martín”, University of Buenos Aires, Buenos Aires, Argentina.",
        "Methods": "A 59-year-old male presented with severe bilateral corneal opacity and visual loss. Ocular history included bilateral trabeculectomies and Ahmed glaucoma valve (AGV) implantation in the right eye (OD). Visual acuity was hand motion in the OD and poor light projection in the left eye (OS).\n\nSlit-lamp examination revealed bilateral prominent arcus lipoides and dense, disc-shaped, polychromatic crystalline deposits involving the central corneal stroma. The OD showed an intumescent white cataract, athalamia, a flat trabeculectomy bleb, and an AGV tube (Figure 1). In the OS, a cataract and a functioning trabeculectomy bleb were observed (Figure 2). Fundus examination was not possible due to media opacity; B-scan ultrasonography confirmed retinal attachment in both eyes. (Figure 3).\n\nUltrasound biomicroscopy of the OD demonstrated occlusion of the AGV tube by iris tissue, extensive anterior and posterior synechiae, athalamia, and an enlarged intumescent lens with increased anteroposterior diameter (Figure 4a-4d).\n\nGiven the severe corneal opacity, distorted anterior segment anatomy, and high surgical risk, a combined penetrating keratoplasty and open-sky extracapsular cataract extraction was performed. Open-sky ECCE allowed safe lens removal and restoration of anterior segment anatomy. The eye was left aphakic, with secondary intraocular lens implantation planned after stabilization.",
        "Results": "",
        "Conclusions": "Advanced Schnyder’s Crystalline Dystrophy may present with severe corneal opacity and coexist with complex anterior segment anatomy secondary to prior glaucoma surgery. In selected cases, an open-sky approach combining penetrating keratoplasty and cataract extraction represents a safe and effective surgical strategy.\n\nEarly recognition of SCD is essential, and lipid profile assessment should be considered. Multidisciplinary management, including cardiovascular evaluation, is recommended due to the systemic association with dyslipidemia."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POCOR064",
      "abstract_number": "POCOR064",
      "title": "Management Of Bilateral Corneal Perforation Secondary To Severe Exposure Keratopathy In A Neurologically Impaired Patient: Sequential Keratoplasty And Definitive Tarsorrhaphy",
      "authors": "Dr Valentina Rodriguez Martini",
      "presenter": "Dr Valentina Rodriguez Martini",
      "normalized_authors": [
        "Valentina Rodriguez Martini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Natasha Gerschcovsky",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report a case of bilateral corneal perforation secondary to severe exposure keratopathy in a neurologically impaired patient. Surgical management involved sequential bilateral keratoplasty and definitive tarsorrhaphy performed in a single surgical session. This case underscores the necessity of addressing the underlying exposure mechanism to ensure surgical success and prevent recurrence.",
        "Setting": "Hospital de Clínicas “José de San Martín”, University of Buenos Aires, Buenos Aires, Argentina.",
        "Methods": "A 25-year-old female with cerebral palsy and developmental delay was referred with bilateral corneal perforation secondary to refractory exposure keratopathy. Visual acuity assessment was not possible due to poor cooperation. Ophthalmologic examination revealed horizontal nystagmus, bilateral lagophthalmos, and absence of spontaneous blinking. Slit-lamp examination showed conjunctival hyperemia, mucous discharge, 360-degree corneal neovascularization, progressive corneal melting, and bilateral 2 × 2 mm paracentral corneal perforations associated with ocular hypotony (Figure 1).\n\nBilateral therapeutic penetrating keratoplasty combined with permanent tarsorrhaphy was performed during the same surgical session. Each eye was operated sequentially, with complete operating room re-sterilization between procedures, including surgical field re-preparation, replacement of the corneal transplantation instrument set, and change of the primary surgeon within the same surgical team to minimize the risk of cross-contamination (Figures 2 and 3).",
        "Conclusions": "In neurologically impaired patients, chronic exposure due to lagophthalmos and absent blinking may lead to progressive corneal melting and bilateral perforation. Effective management must address both the structural corneal damage and the underlying exposure mechanism. Sequential bilateral keratoplasty can be safely performed in a single surgical session under strict aseptic protocols, while definitive tarsorrhaphy is essential to eliminate the primary pathogenic factor and prevent recurrence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In neurologically impaired patients, chronic exposure due to lagophthalmos and absent blinking may lead to progressive corneal melting and bilateral perforation. Effective management must address both the structural corneal damage and the underlying exposure mechanism. Sequential bilateral keratoplasty can be safely performed in a single surgical session under strict aseptic protocols, while definitive tarsorrhaphy…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 756,
      "source_fields": {
        "Abstract Final Identifier": "POCOR064",
        "Title": "Management Of Bilateral Corneal Perforation Secondary To Severe Exposure Keratopathy In A Neurologically Impaired Patient: Sequential Keratoplasty And Definitive Tarsorrhaphy",
        "Presenting Author(s)": "Dr Valentina Rodriguez Martini",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Natasha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gerschcovsky",
        "Country Name": "Argentina",
        "Purpose": "To report a case of bilateral corneal perforation secondary to severe exposure keratopathy in a neurologically impaired patient. Surgical management involved sequential bilateral keratoplasty and definitive tarsorrhaphy performed in a single surgical session. This case underscores the necessity of addressing the underlying exposure mechanism to ensure surgical success and prevent recurrence.",
        "Setting": "Hospital de Clínicas “José de San Martín”, University of Buenos Aires, Buenos Aires, Argentina.",
        "Methods": "A 25-year-old female with cerebral palsy and developmental delay was referred with bilateral corneal perforation secondary to refractory exposure keratopathy. Visual acuity assessment was not possible due to poor cooperation. Ophthalmologic examination revealed horizontal nystagmus, bilateral lagophthalmos, and absence of spontaneous blinking. Slit-lamp examination showed conjunctival hyperemia, mucous discharge, 360-degree corneal neovascularization, progressive corneal melting, and bilateral 2 × 2 mm paracentral corneal perforations associated with ocular hypotony (Figure 1).\n\nBilateral therapeutic penetrating keratoplasty combined with permanent tarsorrhaphy was performed during the same surgical session. Each eye was operated sequentially, with complete operating room re-sterilization between procedures, including surgical field re-preparation, replacement of the corneal transplantation instrument set, and change of the primary surgeon within the same surgical team to minimize the risk of cross-contamination (Figures 2 and 3).",
        "Results": "",
        "Conclusions": "In neurologically impaired patients, chronic exposure due to lagophthalmos and absent blinking may lead to progressive corneal melting and bilateral perforation. Effective management must address both the structural corneal damage and the underlying exposure mechanism. Sequential bilateral keratoplasty can be safely performed in a single surgical session under strict aseptic protocols, while definitive tarsorrhaphy is essential to eliminate the primary pathogenic factor and prevent recurrence."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCOR065",
      "abstract_number": "POCOR065",
      "title": "Corneal Necrosis After Artificial Endothelial Layer (Endoart) For Penetrating Keratoplasty Decompensation",
      "authors": "Dr Wassim Ghazal",
      "presenter": "Dr Wassim Ghazal",
      "normalized_authors": [
        "Wassim Ghazal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wassim Ghazal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To describe a case of stromal necrosis in a penetrating keratoplasty (PK) after artificial endothelial implant EndoArt implantation to treat bullous keratopathy.",
        "Setting": "Anterior segment department in Rothschild Foundation Hospital in Paris, France.",
        "Methods": "A 66-year-old patient underwent transplantation of an artificial endothelial implant, EndoArt, following decompensation of a penetrating keratoplasty secondary to late stromal rejection. The surgery was uneventful.\n\nPostoperatively, three rebubbling procedures were required to achieve complete adhesion of the EndoArt.\n\nPachymetry decreased significantly after the EndoArt had fully attached and epithelial bullae resolved.\n\nAn Amtrix GMA was placed six weeks later due to delayed epithelial healing. In the immediate postoperative period following GMA placement, anterior segment OCT revealed early stromal necrosis with the appearance of hyporeflective lacunae, as well as an inferior descemetocele and localized detachment of the EndoArt. No signs of infectious keratitis were detected.\n\nA new GMA inlay was performed at the descemetocele site, combined with air bubble injection to reattach the EndoArt.\n\nUnfortunately, stromal necrosis progressed, with enlargement of the hyporeflective lacunae on anterior segment OCT and the onset of significant pain.\n\nGiven the worsening corneal condition, a repeat penetrating keratoplasty was performed, and the previous corneal graft along with the EndoArt implant were sent for bacteriological and histopathological analysis.",
        "Conclusions": "Stromal necrosis or melting is a potential complication of a succesful EndoArt implantation in a decompensated penetrating keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Stromal necrosis or melting is a potential complication of a succesful EndoArt implantation in a decompensated penetrating keratoplasty.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 757,
      "source_fields": {
        "Abstract Final Identifier": "POCOR065",
        "Title": "Corneal Necrosis After Artificial Endothelial Layer (Endoart) For Penetrating Keratoplasty Decompensation",
        "Presenting Author(s)": "Dr Wassim Ghazal",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Wassim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghazal",
        "Country Name": "France",
        "Purpose": "To describe a case of stromal necrosis in a penetrating keratoplasty (PK) after artificial endothelial implant EndoArt implantation to treat bullous keratopathy.",
        "Setting": "Anterior segment department in Rothschild Foundation Hospital in Paris, France.",
        "Methods": "A 66-year-old patient underwent transplantation of an artificial endothelial implant, EndoArt, following decompensation of a penetrating keratoplasty secondary to late stromal rejection. The surgery was uneventful.\n\nPostoperatively, three rebubbling procedures were required to achieve complete adhesion of the EndoArt.\n\nPachymetry decreased significantly after the EndoArt had fully attached and epithelial bullae resolved.\n\nAn Amtrix GMA was placed six weeks later due to delayed epithelial healing. In the immediate postoperative period following GMA placement, anterior segment OCT revealed early stromal necrosis with the appearance of hyporeflective lacunae, as well as an inferior descemetocele and localized detachment of the EndoArt. No signs of infectious keratitis were detected.\n\nA new GMA inlay was performed at the descemetocele site, combined with air bubble injection to reattach the EndoArt.\n\nUnfortunately, stromal necrosis progressed, with enlargement of the hyporeflective lacunae on anterior segment OCT and the onset of significant pain.\n\nGiven the worsening corneal condition, a repeat penetrating keratoplasty was performed, and the previous corneal graft along with the EndoArt implant were sent for bacteriological and histopathological analysis.",
        "Results": "",
        "Conclusions": "Stromal necrosis or melting is a potential complication of a succesful EndoArt implantation in a decompensated penetrating keratoplasty."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "POCOR066",
      "abstract_number": "POCOR066",
      "title": "Anterior Segment Oct For Occult Scleral Tear - Newer Imaging Modality",
      "authors": "Dr Bhavya Bipin Gokani",
      "presenter": "Dr Bhavya Bipin Gokani",
      "normalized_authors": [
        "Bhavya Bipin Gokani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bhavya Bipin Gokani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "THE PURPOSE OF THIS ABSTRACT IS TO EXPLORE ANTERIOR SEGMENT OCT FOR DIAGNOSIS OF OCCULT SCLERAL TEARS.\n\nA LOT OF TIMES , OCCULT SCLERAL TEARS GO UNDIAGNOSED IN TRAUMA - THUS CAUSING CASCADE OF EVENTS LATER.",
        "Setting": "WE OBSERVED 3 CASES OF TRAUMA WITHOUT ANY ANTERIOR SEGMENT SIGNS. IN THESE CASES AS OCT WAS DONE .",
        "Methods": "3 CASES OF TRAUMA PRESENTED TO US WITHOUT ANY SIGNIFICANT ANTERIOR SEGMENT FINDINGS.\n\nTHE AS OCT HELPED US DIAGNOSE OCCULT SCLERAL TEARS IN THESE CASES.\n\nHENCE, ASOCT CAN BE TRIED AS NEWER MODALITY FOR CASES OF TRAUMA TO DIAGNOSE OCCULT SCLERAL TEARS.",
        "Conclusions": "AS OCT MUST BE CONSIDERED IN ALL CASES OF TRAUMA WHERE WE SUSPECT OCCULT SCLERAL TEARS. THIS IS INDEED A RELIABLE DIAGNOSTIC TOOL THAT CAN CHANGE THE PROGNOSIS OF THE PATIENT."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "AS OCT MUST BE CONSIDERED IN ALL CASES OF TRAUMA WHERE WE SUSPECT OCCULT SCLERAL TEARS. THIS IS INDEED A RELIABLE DIAGNOSTIC TOOL THAT CAN CHANGE THE PROGNOSIS OF THE PATIENT.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 758,
      "source_fields": {
        "Abstract Final Identifier": "POCOR066",
        "Title": "Anterior Segment Oct For Occult Scleral Tear - Newer Imaging Modality",
        "Presenting Author(s)": "Dr Bhavya Bipin Gokani",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Bhavya",
        "Submitter Middle Name": "Bipin",
        "Submitter Last Name": "Gokani",
        "Country Name": "India",
        "Purpose": "THE PURPOSE OF THIS ABSTRACT IS TO EXPLORE ANTERIOR SEGMENT OCT FOR DIAGNOSIS OF OCCULT SCLERAL TEARS.\n\nA LOT OF TIMES , OCCULT SCLERAL TEARS GO UNDIAGNOSED IN TRAUMA - THUS CAUSING CASCADE OF EVENTS LATER.",
        "Setting": "WE OBSERVED 3 CASES OF TRAUMA WITHOUT ANY ANTERIOR SEGMENT SIGNS. IN THESE CASES AS OCT WAS DONE .",
        "Methods": "3 CASES OF TRAUMA PRESENTED TO US WITHOUT ANY SIGNIFICANT ANTERIOR SEGMENT FINDINGS.\n\nTHE AS OCT HELPED US DIAGNOSE OCCULT SCLERAL TEARS IN THESE CASES.\n\nHENCE, ASOCT CAN BE TRIED AS NEWER MODALITY FOR CASES OF TRAUMA TO DIAGNOSE OCCULT SCLERAL TEARS.",
        "Results": "",
        "Conclusions": "AS OCT MUST BE CONSIDERED IN ALL CASES OF TRAUMA WHERE WE SUSPECT OCCULT SCLERAL TEARS. THIS IS INDEED A RELIABLE DIAGNOSTIC TOOL THAT CAN CHANGE THE PROGNOSIS OF THE PATIENT."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 125
    },
    {
      "uid": "POCOR067",
      "abstract_number": "POCOR067",
      "title": "Exotic Worm In An English Eye",
      "authors": "Dr Ruchi Gour",
      "presenter": "Dr Ruchi Gour",
      "normalized_authors": [
        "Ruchi Gour"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruchi Gour",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Intraocular dirofilarial infestation is rare. We present a case of subconjunctival dirofilariasis that mimicked orbital cellulitis. After surgical excision the parasite was confirmed on microscopy as Dirofilaria spp and on PCR as Dirofilaria repens. New hot spots of infection are appearing in previously non-endemic countries. Our case occurred in an unusual geographic location, in London, England- not endemic to this parasite, which may be attributed to global climatic changes toward warmer temperatures. Documented human cases are rare and typically \"imported\" from regions where the disease is endemic. This condition presents a diagnostic challenge for clinicians unfamiliar with \"exotic\" parasites and can be initially misdiagnosed.",
        "Setting": "This case presented to the eye casualty at King’s College Hospital, London.",
        "Methods": "A 76-year-old white British gentleman presented to the eye casualty in January 2025 with a swollen left upper lid for four days. He denied any trauma/ fever/ insect bites/ recent flu. His best corrected visual acuity in the right eye was 6/6, left eye was 6/9. There was an erythematous swelling of the left upper lid with conjunctival hyperaemia and mild chemosis. Cornea was clear and rest of the ocular examination was unremarkable. He identified 13/17 plates in the right eye and 10/17 plates on Ishihara test. In view of these features, a diagnosis of left sided preseptal vs orbital cellulitis was made. A course of oral antibiotics was commenced and CT head and orbit was requested which reported evidence of subcutaneous left periorbital and facial swelling/oedema.\n\nHe presented after 8 weeks with similar symptoms and a conjunctival swelling was noted superotemporally in the left eye. A worm moving inside the swelling was noted. He was prescribed oral and topical antibiotics, topical steroids and listed for urgent left conjunctival exploration and removal of the worm under local anaesthesia. There was a superotemporal encapsulated parasite with surrounding inflammation intraoperatively. The parasite was removed in toto and sent to London school of Tropical Medicine. His eye settled well postoperatively on a combination of antibiotic/steroid drops and vision improved to 6/7.5. The excised parasite confirmed on microscopy as Dirofilaria spp and on PCR as Dirofilaria repens.",
        "Conclusions": "Human dirofilariasis may be described as an “emerging zoonosis.” There has been an increase in incidence in countries that were considered non-endemic. Our case had a subconjunctival granuloma with conjunctivitis. There is no diagnostic blood test for ocular dirofilariasis. Tests for filarial antibody and microfilaremia are also negative. Simple extraction of the worm is the treatment of choice. The diagnosis requires a high clinical suspicion, thorough clinical examination, prompt diagnosis- histopathology, molecular parasitic identification, travel history with information of pets and surgical excision. The infection of D. repens in England, a non-endemic area of this zoonotic filarial nematode should be a matter of concern."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Human dirofilariasis may be described as an “emerging zoonosis.” There has been an increase in incidence in countries that were considered non-endemic. Our case had a subconjunctival granuloma with conjunctivitis. There is no diagnostic blood test for ocular dirofilariasis. Tests for filarial antibody and microfilaremia are also negative. Simple extraction of the worm is the treatment of choice. The diagnosis…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 759,
      "source_fields": {
        "Abstract Final Identifier": "POCOR067",
        "Title": "Exotic Worm In An English Eye",
        "Presenting Author(s)": "Dr Ruchi Gour",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ruchi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gour",
        "Country Name": "United Kingdom",
        "Purpose": "Intraocular dirofilarial infestation is rare. We present a case of subconjunctival dirofilariasis that mimicked orbital cellulitis. After surgical excision the parasite was confirmed on microscopy as Dirofilaria spp and on PCR as Dirofilaria repens. New hot spots of infection are appearing in previously non-endemic countries. Our case occurred in an unusual geographic location, in London, England- not endemic to this parasite, which may be attributed to global climatic changes toward warmer temperatures. Documented human cases are rare and typically \"imported\" from regions where the disease is endemic. This condition presents a diagnostic challenge for clinicians unfamiliar with \"exotic\" parasites and can be initially misdiagnosed.",
        "Setting": "This case presented to the eye casualty at King’s College Hospital, London.",
        "Methods": "A 76-year-old white British gentleman presented to the eye casualty in January 2025 with a swollen left upper lid for four days. He denied any trauma/ fever/ insect bites/ recent flu. His best corrected visual acuity in the right eye was 6/6, left eye was 6/9. There was an erythematous swelling of the left upper lid with conjunctival hyperaemia and mild chemosis. Cornea was clear and rest of the ocular examination was unremarkable. He identified 13/17 plates in the right eye and 10/17 plates on Ishihara test. In view of these features, a diagnosis of left sided preseptal vs orbital cellulitis was made. A course of oral antibiotics was commenced and CT head and orbit was requested which reported evidence of subcutaneous left periorbital and facial swelling/oedema.\n\nHe presented after 8 weeks with similar symptoms and a conjunctival swelling was noted superotemporally in the left eye. A worm moving inside the swelling was noted. He was prescribed oral and topical antibiotics, topical steroids and listed for urgent left conjunctival exploration and removal of the worm under local anaesthesia. There was a superotemporal encapsulated parasite with surrounding inflammation intraoperatively. The parasite was removed in toto and sent to London school of Tropical Medicine. His eye settled well postoperatively on a combination of antibiotic/steroid drops and vision improved to 6/7.5. The excised parasite confirmed on microscopy as Dirofilaria spp and on PCR as Dirofilaria repens.",
        "Results": "",
        "Conclusions": "Human dirofilariasis may be described as an “emerging zoonosis.” There has been an increase in incidence in countries that were considered non-endemic. Our case had a subconjunctival granuloma with conjunctivitis. There is no diagnostic blood test for ocular dirofilariasis. Tests for filarial antibody and microfilaremia are also negative. Simple extraction of the worm is the treatment of choice. The diagnosis requires a high clinical suspicion, thorough clinical examination, prompt diagnosis- histopathology, molecular parasitic identification, travel history with information of pets and surgical excision. The infection of D. repens in England, a non-endemic area of this zoonotic filarial nematode should be a matter of concern."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 461
    },
    {
      "uid": "POCOR068",
      "abstract_number": "POCOR068",
      "title": "Corneal Perforations: Urgent Therapeutic Alternatives In The Absence Of Donor Tissue",
      "authors": "Mrs Isabel Inmaculada Guedes Guedes",
      "presenter": "Mrs Isabel Inmaculada Guedes Guedes",
      "normalized_authors": [
        "Isabel Inmaculada Guedes Guedes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isabel Inmaculada Guedes Guedes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe two surgical approaches for the urgent management of corneal perforations when donor corneal tissue is unavailable, aiming to restore globe integrity, maintain ocular stability, and prevent severe vision-threatening complications.",
        "Setting": "Tertiary referral center. Department of Ophthalmology in collaboration with Neurosurgery and Ocular Surface Unit.",
        "Methods": "Two consecutive cases of corneal perforation managed without donor tissue were reviewed.\n\nCase 1: A 58-year-old male with central facial palsy after meningioma resection presented with a 2.2 × 2.5 mm paracentral corneal perforation. A 3×3 mm corneal trephination was performed, followed by placement of a manually fashioned scleral patch graft secured with 10-0 nylon sutures. A conjunctival flap was created to promote vascularization.\n\nCase 2: A 91-year-old female with severe mucous membrane pemphigoid and phthisis in the fellow eye developed a 1× mm central perforation. The defect was treated using layered fibrin tissue adhesive (Tisseel®) and amniotic membrane transplantation.\n\nAnatomical closure and restoration of globe integrity were achieved in both cases.\n\nIn Case 1, the eye remained stable postoperatively, and penetrating keratoplasty is planned once the ocular surface and systemic condition are optimized.\n\nIn Case 2, a favorable outcome was observed with no recurrent leakage, good tissue integration, and a final best-corrected visual acuity of 0.3. Conservative management with close follow-up was maintained.",
        "Conclusions": "Corneal perforation is an ophthalmic emergency requiring immediate intervention to preserve globe integrity. When donor tissue is unavailable, scleral patch grafting with conjunctival coverage and the combination of fibrin adhesive with layered amniotic membrane transplantation are effective and reproducible alternatives. These techniques allow ocular stabilization and may delay or even avoid subsequent keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Corneal perforation is an ophthalmic emergency requiring immediate intervention to preserve globe integrity. When donor tissue is unavailable, scleral patch grafting with conjunctival coverage and the combination of fibrin adhesive with layered amniotic membrane transplantation are effective and reproducible alternatives. These techniques allow ocular stabilization and may delay or even avoid subsequent keratoplasty.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 760,
      "source_fields": {
        "Abstract Final Identifier": "POCOR068",
        "Title": "Corneal Perforations: Urgent Therapeutic Alternatives In The Absence Of Donor Tissue",
        "Presenting Author(s)": "Mrs Isabel Inmaculada Guedes Guedes",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Isabel Inmaculada",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Guedes Guedes",
        "Country Name": "Spain",
        "Purpose": "To describe two surgical approaches for the urgent management of corneal perforations when donor corneal tissue is unavailable, aiming to restore globe integrity, maintain ocular stability, and prevent severe vision-threatening complications.",
        "Setting": "Tertiary referral center. Department of Ophthalmology in collaboration with Neurosurgery and Ocular Surface Unit.",
        "Methods": "Two consecutive cases of corneal perforation managed without donor tissue were reviewed.\n\nCase 1: A 58-year-old male with central facial palsy after meningioma resection presented with a 2.2 × 2.5 mm paracentral corneal perforation. A 3×3 mm corneal trephination was performed, followed by placement of a manually fashioned scleral patch graft secured with 10-0 nylon sutures. A conjunctival flap was created to promote vascularization.\n\nCase 2: A 91-year-old female with severe mucous membrane pemphigoid and phthisis in the fellow eye developed a 1× mm central perforation. The defect was treated using layered fibrin tissue adhesive (Tisseel®) and amniotic membrane transplantation.\n\nAnatomical closure and restoration of globe integrity were achieved in both cases.\n\nIn Case 1, the eye remained stable postoperatively, and penetrating keratoplasty is planned once the ocular surface and systemic condition are optimized.\n\nIn Case 2, a favorable outcome was observed with no recurrent leakage, good tissue integration, and a final best-corrected visual acuity of 0.3. Conservative management with close follow-up was maintained.",
        "Results": "",
        "Conclusions": "Corneal perforation is an ophthalmic emergency requiring immediate intervention to preserve globe integrity. When donor tissue is unavailable, scleral patch grafting with conjunctival coverage and the combination of fibrin adhesive with layered amniotic membrane transplantation are effective and reproducible alternatives. These techniques allow ocular stabilization and may delay or even avoid subsequent keratoplasty."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR069",
      "abstract_number": "POCOR069",
      "title": "Adjunctive Subconjunctival Dexamethasone In Severe Traumatic Corneal Ulcer Complicated By Endophthalmitis: A Case Report",
      "authors": "Dr Inara Haji",
      "presenter": "Dr Inara Haji",
      "normalized_authors": [
        "Inara Haji"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Inara Haji",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Azerbaijan",
      "sections": {
        "Purpose": "To report outcomes of adjunctive subconjunctival dexamethasone administered under intensive topical, intravitreal, and systemic antimicrobial therapy in severe traumatic corneal ulcers complicated by endophthalmitis, a condition in which steroid use is traditionally considered contraindicated.",
        "Setting": "Tertiary referral ophthalmology center providing emergency ocular trauma care.",
        "Methods": "Two patients with delayed presentation after ocular trauma were admitted with large central purulent corneal ulcer, corneal edema, hypopyon, secondary ocular hypertension, and clinical endophthalmitis. Visual acuity at presentation was light perception with inaccurate projection of light in both cases. Posterior segment visualization was not possible due to corneal opacity. B-scan ultrasonography revealed dense vitreous opacities with an attached retina, and computed tomography showed no intraocular foreign body.\n\nDuring the first intravitreal procedure, microbiological samples obtained from the corneal ulcer and anterior chamber revealed gram-positive bacteria in both patients.\n\nTreatment included daily subconjunctival injections of dexamethasone (0.3 ml) combined with gentamicin (0.3 ml), atropine (0.1 ml), phenylephrine (0.1 ml), and lidocaine (0.2 ml). Intravitreal antibiotics (vancomycin and ceftazidime) were administered three times at 48-hour intervals, along with systemic intravenous moxifloxacin (400 mg/250 mL). Intensive topical antibacterial therapy, cycloplegics, and intraocular pressure–lowering agents were used.\n\nIn both cases, progressive epithelialization and complete healing of the corneal ulcers were achieved without perforation. Hypopyon and intraocular inflammation resolved, intraocular pressure normalized, and endophthalmitis was successfully controlled. Globe integrity was preserved, while final visual acuity remained light perception.",
        "Conclusions": "Although corticosteroids are generally contraindicated in active corneal ulcers, these cases demonstrate that, under microbiological confirmation and intensive topical, intravitreal, and systemic antimicrobial coverage, adjunctive subconjunctival dexamethasone may aid inflammation control, corneal healing, and globe preservation in selected severe traumatic infections. Careful patient selection and close monitoring are essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Although corticosteroids are generally contraindicated in active corneal ulcers, these cases demonstrate that, under microbiological confirmation and intensive topical, intravitreal, and systemic antimicrobial coverage, adjunctive subconjunctival dexamethasone may aid inflammation control, corneal healing, and globe preservation in selected severe traumatic infections. Careful patient selection and close monitoring…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 761,
      "source_fields": {
        "Abstract Final Identifier": "POCOR069",
        "Title": "Adjunctive Subconjunctival Dexamethasone In Severe Traumatic Corneal Ulcer Complicated By Endophthalmitis: A Case Report",
        "Presenting Author(s)": "Dr Inara Haji",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Inara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haji",
        "Country Name": "Azerbaijan",
        "Purpose": "To report outcomes of adjunctive subconjunctival dexamethasone administered under intensive topical, intravitreal, and systemic antimicrobial therapy in severe traumatic corneal ulcers complicated by endophthalmitis, a condition in which steroid use is traditionally considered contraindicated.",
        "Setting": "Tertiary referral ophthalmology center providing emergency ocular trauma care.",
        "Methods": "Two patients with delayed presentation after ocular trauma were admitted with large central purulent corneal ulcer, corneal edema, hypopyon, secondary ocular hypertension, and clinical endophthalmitis. Visual acuity at presentation was light perception with inaccurate projection of light in both cases. Posterior segment visualization was not possible due to corneal opacity. B-scan ultrasonography revealed dense vitreous opacities with an attached retina, and computed tomography showed no intraocular foreign body.\n\nDuring the first intravitreal procedure, microbiological samples obtained from the corneal ulcer and anterior chamber revealed gram-positive bacteria in both patients.\n\nTreatment included daily subconjunctival injections of dexamethasone (0.3 ml) combined with gentamicin (0.3 ml), atropine (0.1 ml), phenylephrine (0.1 ml), and lidocaine (0.2 ml). Intravitreal antibiotics (vancomycin and ceftazidime) were administered three times at 48-hour intervals, along with systemic intravenous moxifloxacin (400 mg/250 mL). Intensive topical antibacterial therapy, cycloplegics, and intraocular pressure–lowering agents were used.\n\nIn both cases, progressive epithelialization and complete healing of the corneal ulcers were achieved without perforation. Hypopyon and intraocular inflammation resolved, intraocular pressure normalized, and endophthalmitis was successfully controlled. Globe integrity was preserved, while final visual acuity remained light perception.",
        "Results": "",
        "Conclusions": "Although corticosteroids are generally contraindicated in active corneal ulcers, these cases demonstrate that, under microbiological confirmation and intensive topical, intravitreal, and systemic antimicrobial coverage, adjunctive subconjunctival dexamethasone may aid inflammation control, corneal healing, and globe preservation in selected severe traumatic infections. Careful patient selection and close monitoring are essential."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCOR071",
      "abstract_number": "POCOR071",
      "title": "Pediatric Keratoconus",
      "authors": "Dr Lina Hoshan",
      "presenter": "Dr Lina Hoshan",
      "normalized_authors": [
        "Lina Hoshan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lina Hoshan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To report an exceptionally early presentation of keratoconus in children conceived through assisted reproductive technolgy and to highlight potential interactions between genetic susceptibility and environmental or biological modifiers in early disease expression.",
        "Setting": "Research Institute of Ophthalmology. Tertiary ophthalmology referral center in Giza, Egypt.",
        "Methods": "A four-year-old female presented with reduced vision and was found to have myopia with significant myopic astigmatism. The child was born full term via caesarean section following in vitro fertilization (IVF). Aside from allergic papillary conjunctivitis, the ocular examination was unremarkable. However, corneal tomography and biomechanical assessment revealed findings consistent with keratoconus, including abnormal elevation patterns, corneal thinning and reduced biomechanical stability.\n\nEvaluation of the dizygotic twin sister followed. She was clinically asymptomatic. Despite a nornal clinical examination, corneal imaging using Pentacam was diagnostic of keratoconus with reduced biomechanical stability.\n\nFamily screening identified thin corneas and altered biomechanical parameters in the asymptomatic father despite normal tomography, suggesting subclinical disease and underlying genetic susceptibility.\n\nGiven the aggressive nature of pediatric keratoconus, both twins, underwent epithelium-off corneal cross-linking using the sub-400 protocol under general anaesthesia.",
        "Conclusions": "This case highlights that keratoconus can present at an exceptionally early age and may remain clinically silent despite significant structural abnormalities detectable through advanced imaging. The findings are consistent with a two-hit hypothesis, in which inherited susceptibility interacts with modifying biological or environmental influences to enable early disease expression. Further investigation is needed to clarify whether ART-related hormonal or epigenetic factors may influence corneal development and susceptibility to ectatic disease. Early corneal imaging, biomechanical assessment, and family screening are therefore essential in high risk pediatric population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights that keratoconus can present at an exceptionally early age and may remain clinically silent despite significant structural abnormalities detectable through advanced imaging. The findings are consistent with a two-hit hypothesis, in which inherited susceptibility interacts with modifying biological or environmental influences to enable early disease expression. Further investigation is needed to…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 762,
      "source_fields": {
        "Abstract Final Identifier": "POCOR071",
        "Title": "Pediatric Keratoconus",
        "Presenting Author(s)": "Dr Lina Hoshan",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hoshan",
        "Country Name": "Egypt",
        "Purpose": "To report an exceptionally early presentation of keratoconus in children conceived through assisted reproductive technolgy and to highlight potential interactions between genetic susceptibility and environmental or biological modifiers in early disease expression.",
        "Setting": "Research Institute of Ophthalmology. Tertiary ophthalmology referral center in Giza, Egypt.",
        "Methods": "A four-year-old female presented with reduced vision and was found to have myopia with significant myopic astigmatism. The child was born full term via caesarean section following in vitro fertilization (IVF). Aside from allergic papillary conjunctivitis, the ocular examination was unremarkable. However, corneal tomography and biomechanical assessment revealed findings consistent with keratoconus, including abnormal elevation patterns, corneal thinning and reduced biomechanical stability.\n\nEvaluation of the dizygotic twin sister followed. She was clinically asymptomatic. Despite a nornal clinical examination, corneal imaging using Pentacam was diagnostic of keratoconus with reduced biomechanical stability.\n\nFamily screening identified thin corneas and altered biomechanical parameters in the asymptomatic father despite normal tomography, suggesting subclinical disease and underlying genetic susceptibility.\n\nGiven the aggressive nature of pediatric keratoconus, both twins, underwent epithelium-off corneal cross-linking using the sub-400 protocol under general anaesthesia.",
        "Results": "",
        "Conclusions": "This case highlights that keratoconus can present at an exceptionally early age and may remain clinically silent despite significant structural abnormalities detectable through advanced imaging. The findings are consistent with a two-hit hypothesis, in which inherited susceptibility interacts with modifying biological or environmental influences to enable early disease expression. Further investigation is needed to clarify whether ART-related hormonal or epigenetic factors may influence corneal development and susceptibility to ectatic disease. Early corneal imaging, biomechanical assessment, and family screening are therefore essential in high risk pediatric population."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "POCOR072",
      "abstract_number": "POCOR072",
      "title": "Amantadine-Associated Corneal Edema Responsive To Drug Holiday And Dose Reduction: Considerations For Cataract And Refractive Assessment",
      "authors": "Dr Kelly Ann Hutchinson",
      "presenter": "Dr Kelly Ann Hutchinson",
      "normalized_authors": [
        "Kelly Ann Hutchinson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kelly Ann Hutchinson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To report suspected amantadine-associated corneal endothelial toxicity in Parkinson’s disease (PD), demonstrating that clinically significant corneal edema can present after years of therapy, consistent with a cumulative, dose-dependent effect. We describe the clinical course and the visual and pachymetric response to a brief drug holiday followed by dose reduction, emphasizing the importance of timely interdisciplinary coordination to stabilize the cornea and optimize ocular measurements before cataract or refractive surgery.",
        "Setting": "Tertiary care hospital eye center: a 56-year-old man with a 16-year history of PD under the care of Neurology, treated with deep brain stimulation (implanted 6 years earlier), levodopa/carbidopa, and amantadine (initiated 8 years prior). He was referred to Neuro-Ophthalmology for reduced vision and visual disturbances and then co-managed with the Cornea service and treating neurologist.",
        "Methods": "At initial Ophthalmology assessment, best corrected visual acuity (BCVA) was 20/60 in the right eye (OD) and 20/40 in the left eye (OS). The patient reported blurred vision and formed visual hallucinations consistent with PD; the hallucinations were felt to be unrelated to the reduced acuity. Slit-lamp examination revealed diffuse, centrally predominant, corneal edema with Descemet membrane folds (DMFs) without infiltrate or epithelial defect. The remainder of the ocular examination, including posterior segment, was unremarkable. Given the examination findings and long-term amantadine exposure (100 mg BID), drug-related endothelial dysfunction was suspected. In consultation with Neurology, amantadine was tapered to 100 mg daily for 5 days then stopped.\n\nAfter 1 week following amantadine cessation, BCVA improved to 20/40 OD and 20/40 OS with residual discoid edema. Central corneal thickness (CCT) was 809 µm OD and 632 µm OS, Scheimpflug tomography confirmed edema, worse in OD. Due to worsening PD symptoms, amantadine was restarted at a reduced dose (100 mg once daily). Two weeks later, BCVA improved further to 20/30 OD and 20/25 OS, with marked reduction in corneal edema and DMFs. CCT decreased to 687 µm OD and 611 µm OS, and tomography showed interval improvement.",
        "Conclusions": "- The temporal relationship between drug interruption/dose reduction and clinical improvement supported a diagnosis of amantadine-related corneal toxicity.\n\n- Amantadine can cause late-onset, dose-dependent corneal endothelial dysfunction and corneal edema; medication review is essential in otherwise unexplained corneal swelling.\n\n- For cataract and refractive planning, optimize the cornea first (delay keratometry/biometry until edema stabilizes) and coordinate promptly with Neurology.\n\n- When discontinuation is not possible due to therapeutic benefit, individualized reduction may improve symptoms and vision while avoiding unnecessary corneal intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "- The temporal relationship between drug interruption/dose reduction and clinical improvement supported a diagnosis of amantadine-related corneal toxicity. - Amantadine can cause late-onset, dose-dependent corneal endothelial dysfunction and corneal edema; medication review is essential in otherwise unexplained corneal swelling. - For cataract and refractive planning, optimize the cornea first (delay…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 763,
      "source_fields": {
        "Abstract Final Identifier": "POCOR072",
        "Title": "Amantadine-Associated Corneal Edema Responsive To Drug Holiday And Dose Reduction: Considerations For Cataract And Refractive Assessment",
        "Presenting Author(s)": "Dr Kelly Ann Hutchinson",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Kelly Ann",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hutchinson",
        "Country Name": "Canada",
        "Purpose": "To report suspected amantadine-associated corneal endothelial toxicity in Parkinson’s disease (PD), demonstrating that clinically significant corneal edema can present after years of therapy, consistent with a cumulative, dose-dependent effect. We describe the clinical course and the visual and pachymetric response to a brief drug holiday followed by dose reduction, emphasizing the importance of timely interdisciplinary coordination to stabilize the cornea and optimize ocular measurements before cataract or refractive surgery.",
        "Setting": "Tertiary care hospital eye center: a 56-year-old man with a 16-year history of PD under the care of Neurology, treated with deep brain stimulation (implanted 6 years earlier), levodopa/carbidopa, and amantadine (initiated 8 years prior). He was referred to Neuro-Ophthalmology for reduced vision and visual disturbances and then co-managed with the Cornea service and treating neurologist.",
        "Methods": "At initial Ophthalmology assessment, best corrected visual acuity (BCVA) was 20/60 in the right eye (OD) and 20/40 in the left eye (OS). The patient reported blurred vision and formed visual hallucinations consistent with PD; the hallucinations were felt to be unrelated to the reduced acuity. Slit-lamp examination revealed diffuse, centrally predominant, corneal edema with Descemet membrane folds (DMFs) without infiltrate or epithelial defect. The remainder of the ocular examination, including posterior segment, was unremarkable. Given the examination findings and long-term amantadine exposure (100 mg BID), drug-related endothelial dysfunction was suspected. In consultation with Neurology, amantadine was tapered to 100 mg daily for 5 days then stopped.\n\nAfter 1 week following amantadine cessation, BCVA improved to 20/40 OD and 20/40 OS with residual discoid edema. Central corneal thickness (CCT) was 809 µm OD and 632 µm OS, Scheimpflug tomography confirmed edema, worse in OD. Due to worsening PD symptoms, amantadine was restarted at a reduced dose (100 mg once daily). Two weeks later, BCVA improved further to 20/30 OD and 20/25 OS, with marked reduction in corneal edema and DMFs. CCT decreased to 687 µm OD and 611 µm OS, and tomography showed interval improvement.",
        "Results": "",
        "Conclusions": "- The temporal relationship between drug interruption/dose reduction and clinical improvement supported a diagnosis of amantadine-related corneal toxicity.\n\n- Amantadine can cause late-onset, dose-dependent corneal endothelial dysfunction and corneal edema; medication review is essential in otherwise unexplained corneal swelling.\n\n- For cataract and refractive planning, optimize the cornea first (delay keratometry/biometry until edema stabilizes) and coordinate promptly with Neurology.\n\n- When discontinuation is not possible due to therapeutic benefit, individualized reduction may improve symptoms and vision while avoiding unnecessary corneal intervention."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 406
    },
    {
      "uid": "POCOR073",
      "abstract_number": "POCOR073",
      "title": "A Minimally Invasive Alternative To Keratoplasty In Corneal Perforation: Combined Subconjunctival Platelet Rich Plasma And Therapeutic Contact Lens",
      "authors": "Dr Javokhir Ibatov",
      "presenter": "Dr Javokhir Ibatov",
      "normalized_authors": [
        "Javokhir Ibatov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Javokhir Ibatov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To report the successful non-surgical management of a corneal ulcer with perforation using combined subconjunctival platelet-rich plasma (PRP), topical PRP eye drops, and a therapeutic contact lens in a setting where keratoplasty was unavailable.",
        "Setting": "Tertiary ophthalmology department, AKFA Medline University Hospital, Tashkent, Uzbekistan.",
        "Methods": "A 61-year-old female presented with progressive pain and reduced vision in the right eye after failed pharmacotherapy. Examination revealed a paracentral corneal ulcer with stromal thinning and perforation, irregular pupil with posterior synechiae, and localized absence of anterior chamber. Advanced surgical options, including emergent keratoplasty and amniotic membrane transplantation, were unavailable, and the patient declined invasive surgery.\n\nTreatment consisted of subconjunctival PRP injections (days 2, 4, and 6), topical PRP eye drops four times daily for one month, and placement of a silicone-hydrogel therapeutic contact lens. By day 4, ulcer size decreased by 40% with marked epithelialization. Pain improved by day 3. At one month, near-complete epithelial healing was achieved. Visual acuity improved from 0.1 to 0.4 at one year and remained stable at two-year follow-up. Anterior segment optical coherence tomography confirmed sustained corneal integrity without recurrence.",
        "Conclusions": "Combined subconjunctival and topical PRP with therapeutic contact lens may serve as a minimally invasive alternative or bridge therapy for corneal perforation when keratoplasty is unavailable or declined. This approach demonstrated rapid epithelialization, structural stabilization, and long-term visual improvement in a resource-limited setting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Combined subconjunctival and topical PRP with therapeutic contact lens may serve as a minimally invasive alternative or bridge therapy for corneal perforation when keratoplasty is unavailable or declined. This approach demonstrated rapid epithelialization, structural stabilization, and long-term visual improvement in a resource-limited setting.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 764,
      "source_fields": {
        "Abstract Final Identifier": "POCOR073",
        "Title": "A Minimally Invasive Alternative To Keratoplasty In Corneal Perforation: Combined Subconjunctival Platelet Rich Plasma And Therapeutic Contact Lens",
        "Presenting Author(s)": "Dr Javokhir Ibatov",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Javokhir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ibatov",
        "Country Name": "Uzbekistan",
        "Purpose": "To report the successful non-surgical management of a corneal ulcer with perforation using combined subconjunctival platelet-rich plasma (PRP), topical PRP eye drops, and a therapeutic contact lens in a setting where keratoplasty was unavailable.",
        "Setting": "Tertiary ophthalmology department, AKFA Medline University Hospital, Tashkent, Uzbekistan.",
        "Methods": "A 61-year-old female presented with progressive pain and reduced vision in the right eye after failed pharmacotherapy. Examination revealed a paracentral corneal ulcer with stromal thinning and perforation, irregular pupil with posterior synechiae, and localized absence of anterior chamber. Advanced surgical options, including emergent keratoplasty and amniotic membrane transplantation, were unavailable, and the patient declined invasive surgery.\n\nTreatment consisted of subconjunctival PRP injections (days 2, 4, and 6), topical PRP eye drops four times daily for one month, and placement of a silicone-hydrogel therapeutic contact lens. By day 4, ulcer size decreased by 40% with marked epithelialization. Pain improved by day 3. At one month, near-complete epithelial healing was achieved. Visual acuity improved from 0.1 to 0.4 at one year and remained stable at two-year follow-up. Anterior segment optical coherence tomography confirmed sustained corneal integrity without recurrence.",
        "Results": "",
        "Conclusions": "Combined subconjunctival and topical PRP with therapeutic contact lens may serve as a minimally invasive alternative or bridge therapy for corneal perforation when keratoplasty is unavailable or declined. This approach demonstrated rapid epithelialization, structural stabilization, and long-term visual improvement in a resource-limited setting."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCOR074",
      "abstract_number": "POCOR074",
      "title": "Conjunctival Limbal Autograft And Auto-Blood Fixation: The Modified Approach In Recurrent Pterygium Surgery",
      "authors": "A/Prof. Renata Ivekovic",
      "presenter": "A/Prof. Renata Ivekovic",
      "normalized_authors": [
        "Renata Ivekovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Renata Ivekovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Although many surgical approaches have been developed, recurrent pterygium presents a significant surgical problem. Hunderts of study and methods have been allready described in order to prevent recurrences of pterygia.",
        "Setting": "We are describing the modified approach in recurrent pterygium surgery : 20% alcochol , conjunctival limbal autograft fixated by autologous blood.",
        "Methods": "Patient has allready had two operations on pterygia : bare sclera and conjunctival rotation.\n\nAfter adequate local anesthesia the leading edge of the pterygium is dried, instilling alcohol 20% into the well and holding for 40-60 seconds. Absorbing alcohol by applicator and abundant irrigation with BSS.\n\nPterygium separation starting 2 mm centrally from the edges of the tissue. Excising the pterygium tissue at the base. After that a 2×2 mm area was marked centred on the superior limbus, the conjunctiva was incised, and a sub-conjunctival dissection was carried out until the limbus was reached. A shallow dissection was then carried out 1 mm into the clear cornea, and the limbal tissue was excised . The transplant is fixated with two to three drops of blood taken from the finger of patients and hold with two forceps for 5 minutes. Ointment tobramycin was placed in lower fornix and the eye was patched for 12 hours.",
        "Conclusions": "Autoblood fixation of conjunctivo limbal autograft is a new challenge for ophthalmic surgeons and it can be considered as a standard procedure in recurrent pterygium surgery. The idea is not to apply suttures during operation, becuase they can also be initial factor for later recurrence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Autoblood fixation of conjunctivo limbal autograft is a new challenge for ophthalmic surgeons and it can be considered as a standard procedure in recurrent pterygium surgery. The idea is not to apply suttures during operation, becuase they can also be initial factor for later recurrence.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 765,
      "source_fields": {
        "Abstract Final Identifier": "POCOR074",
        "Title": "Conjunctival Limbal Autograft And Auto-Blood Fixation: The Modified Approach In Recurrent Pterygium Surgery",
        "Presenting Author(s)": "A/Prof. Renata Ivekovic",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Renata",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ivekovic",
        "Country Name": "Croatia",
        "Purpose": "Although many surgical approaches have been developed, recurrent pterygium presents a significant surgical problem. Hunderts of study and methods have been allready described in order to prevent recurrences of pterygia.",
        "Setting": "We are describing the modified approach in recurrent pterygium surgery : 20% alcochol , conjunctival limbal autograft fixated by autologous blood.",
        "Methods": "Patient has allready had two operations on pterygia : bare sclera and conjunctival rotation.\n\nAfter adequate local anesthesia the leading edge of the pterygium is dried, instilling alcohol 20% into the well and holding for 40-60 seconds. Absorbing alcohol by applicator and abundant irrigation with BSS.\n\nPterygium separation starting 2 mm centrally from the edges of the tissue. Excising the pterygium tissue at the base. After that a 2×2 mm area was marked centred on the superior limbus, the conjunctiva was incised, and a sub-conjunctival dissection was carried out until the limbus was reached. A shallow dissection was then carried out 1 mm into the clear cornea, and the limbal tissue was excised . The transplant is fixated with two to three drops of blood taken from the finger of patients and hold with two forceps for 5 minutes. Ointment tobramycin was placed in lower fornix and the eye was patched for 12 hours.",
        "Results": "",
        "Conclusions": "Autoblood fixation of conjunctivo limbal autograft is a new challenge for ophthalmic surgeons and it can be considered as a standard procedure in recurrent pterygium surgery. The idea is not to apply suttures during operation, becuase they can also be initial factor for later recurrence."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCOR075",
      "abstract_number": "POCOR075",
      "title": "Eyelid Swelling As The Initial Presentation Of Sjögren’S Syndrome: A Case Report",
      "authors": "Hyun Sun Jeon",
      "presenter": "Hyun Sun Jeon",
      "normalized_authors": [
        "Hyun Sun Jeon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hyun Sun Jeon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To report a rare case of Sjögren’s syndrome who initially presented with eyelid swelling and developed orbital inflammation and posterior scleritis.",
        "Setting": "Tertiary referal center, University hospital",
        "Methods": "A 69-year-old woman presented with a 3-day history of right eyelid swelling, erythema, and foreign body sensation. Best-corrected visual acuity was 20/32 and intraocular pressure was 31 mmHg in the right eye. Slit-lamp examination showed diffuse chemosis, subconjunctival hemorrhage, corneal edema with erosion, and a shallow anterior chamber, which was confirmed by anterior segment optical coherence tomography. Extraocular movement was restricted. Orbital imaging demonstrated posterior scleral thickening, proptosis, and medial rectus muscle infiltration with preseptal and postseptal involvement. Fundus fluorescein angiography revealed peripheral leakage and parafoveal choroidal neovascularization, and optical coherence tomography showed choroidal folding. Laboratory tests showed leukocytosis and elevated C-reactive protein. Orbital cellulitis was initially suspected, and intravenous piperacillin/tazobactam was started. Although right-sided inflammation improved, contralateral proptosis and chemosis developed two weeks later. Further evaluation revealed positive anti-SSA/Ro and antinuclear antibodies, decreased salivary gland uptake, and reduced tear secretion, leading to a diagnosis of Sjögren’s syndrome–associated orbital inflammation. Systemic prednisolone and methotrexate led to marked improvement; however, recurrent scleritis developed three months later and fluctuated over six months despite treatment.",
        "Conclusions": "Sjögren’s syndrome may present as bilateral orbital inflammation with secondary angle closure and recurrent scleritis, initially mimicking orbital cellulitis. Prompt systemic evaluation and immunosuppressive treatment are essential for appropriate management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Sjögren’s syndrome may present as bilateral orbital inflammation with secondary angle closure and recurrent scleritis, initially mimicking orbital cellulitis. Prompt systemic evaluation and immunosuppressive treatment are essential for appropriate management.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 766,
      "source_fields": {
        "Abstract Final Identifier": "POCOR075",
        "Title": "Eyelid Swelling As The Initial Presentation Of Sjögren’S Syndrome: A Case Report",
        "Presenting Author(s)": "Hyun Sun Jeon",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hyun Sun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To report a rare case of Sjögren’s syndrome who initially presented with eyelid swelling and developed orbital inflammation and posterior scleritis.",
        "Setting": "Tertiary referal center, University hospital",
        "Methods": "A 69-year-old woman presented with a 3-day history of right eyelid swelling, erythema, and foreign body sensation. Best-corrected visual acuity was 20/32 and intraocular pressure was 31 mmHg in the right eye. Slit-lamp examination showed diffuse chemosis, subconjunctival hemorrhage, corneal edema with erosion, and a shallow anterior chamber, which was confirmed by anterior segment optical coherence tomography. Extraocular movement was restricted. Orbital imaging demonstrated posterior scleral thickening, proptosis, and medial rectus muscle infiltration with preseptal and postseptal involvement. Fundus fluorescein angiography revealed peripheral leakage and parafoveal choroidal neovascularization, and optical coherence tomography showed choroidal folding. Laboratory tests showed leukocytosis and elevated C-reactive protein. Orbital cellulitis was initially suspected, and intravenous piperacillin/tazobactam was started. Although right-sided inflammation improved, contralateral proptosis and chemosis developed two weeks later. Further evaluation revealed positive anti-SSA/Ro and antinuclear antibodies, decreased salivary gland uptake, and reduced tear secretion, leading to a diagnosis of Sjögren’s syndrome–associated orbital inflammation. Systemic prednisolone and methotrexate led to marked improvement; however, recurrent scleritis developed three months later and fluctuated over six months despite treatment.",
        "Results": "",
        "Conclusions": "Sjögren’s syndrome may present as bilateral orbital inflammation with secondary angle closure and recurrent scleritis, initially mimicking orbital cellulitis. Prompt systemic evaluation and immunosuppressive treatment are essential for appropriate management."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "POCOR076",
      "abstract_number": "POCOR076",
      "title": "Use Of A Sterile Corneal Stromal Patch Graft (Halo) For The Management Of Impending Corneal Perforation",
      "authors": "Other Nicholas Johnson",
      "presenter": "Other Nicholas Johnson",
      "normalized_authors": [
        "Other Nicholas Johnson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicholas Johnson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe the use of a sterile corneal stromal patch graft (Halo) as an emergency tectonic procedure for progressive corneal thinning with impending perforation.",
        "Setting": "James Paget University Hospitals NHS Foundation Trust, Gorleston-on-Sea, United Kingdom.",
        "Methods": "A 62-year-old patient with Stickler syndrome presented with a one-week history of pain, redness, and reduced vision in the left eye. Visual acuity was 6/12 in the right eye and hand movements in the left. Intraocular pressure was 17 mmHg (right) and 32 mmHg (left). Slit-lamp examination revealed severe keratitis with a large inferior epithelial defect (approximately 5.1 × 5.0 mm from 5 to 7 o’clock), marked stromal thinning, and inferior anterior chamber exudation obscuring posterior segment view. B-scan ultrasonography suggested a presumed retinal detachment.\n\nDespite intensive medical therapy including hourly topical antibiotics, lubricants, and systemic acetazolamide, the cornea deteriorated rapidly with progressive thinning and focal descemetocele formation, indicating impending perforation.\n\nEmergency surgery was performed the same day. Necrotic tissue was debrided and a sterile corneal stromal patch graft (Halo) was secured as an onlay using 10-0 nylon sutures, with intrastromal antibiotics administered. Post-operatively, oral doxycycline and vitamin C were prescribed. Microbiological investigations were negative.\n\nThe graft provided immediate tectonic support, maintained a formed anterior chamber, and prevented perforation. No fibrin developed on the graft surface. Following ocular stabilisation, the patient was referred to a tertiary vitreoretinal centre for management of presumed Stickler syndrome–related retinal detachment.",
        "Conclusions": "A sterile corneal stromal patch graft (Halo) provides rapid, effective tectonic stabilisation in impending corneal perforation. Its immediate off-the-shelf availability, absence of viable endothelium (eliminating rejection risk), and role as a temporising measure make it particularly valuable when urgent intervention is required or conventional donor tissue is unavailable, allowing preservation of globe integrity and timely referral for definitive posterior segment management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A sterile corneal stromal patch graft (Halo) provides rapid, effective tectonic stabilisation in impending corneal perforation. Its immediate off-the-shelf availability, absence of viable endothelium (eliminating rejection risk), and role as a temporising measure make it particularly valuable when urgent intervention is required or conventional donor tissue is unavailable, allowing preservation of globe integrity…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 767,
      "source_fields": {
        "Abstract Final Identifier": "POCOR076",
        "Title": "Use Of A Sterile Corneal Stromal Patch Graft (Halo) For The Management Of Impending Corneal Perforation",
        "Presenting Author(s)": "Other Nicholas Johnson",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nicholas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Johnson",
        "Country Name": "United Kingdom",
        "Purpose": "To describe the use of a sterile corneal stromal patch graft (Halo) as an emergency tectonic procedure for progressive corneal thinning with impending perforation.",
        "Setting": "James Paget University Hospitals NHS Foundation Trust, Gorleston-on-Sea, United Kingdom.",
        "Methods": "A 62-year-old patient with Stickler syndrome presented with a one-week history of pain, redness, and reduced vision in the left eye. Visual acuity was 6/12 in the right eye and hand movements in the left. Intraocular pressure was 17 mmHg (right) and 32 mmHg (left). Slit-lamp examination revealed severe keratitis with a large inferior epithelial defect (approximately 5.1 × 5.0 mm from 5 to 7 o’clock), marked stromal thinning, and inferior anterior chamber exudation obscuring posterior segment view. B-scan ultrasonography suggested a presumed retinal detachment.\n\nDespite intensive medical therapy including hourly topical antibiotics, lubricants, and systemic acetazolamide, the cornea deteriorated rapidly with progressive thinning and focal descemetocele formation, indicating impending perforation.\n\nEmergency surgery was performed the same day. Necrotic tissue was debrided and a sterile corneal stromal patch graft (Halo) was secured as an onlay using 10-0 nylon sutures, with intrastromal antibiotics administered. Post-operatively, oral doxycycline and vitamin C were prescribed. Microbiological investigations were negative.\n\nThe graft provided immediate tectonic support, maintained a formed anterior chamber, and prevented perforation. No fibrin developed on the graft surface. Following ocular stabilisation, the patient was referred to a tertiary vitreoretinal centre for management of presumed Stickler syndrome–related retinal detachment.",
        "Results": "",
        "Conclusions": "A sterile corneal stromal patch graft (Halo) provides rapid, effective tectonic stabilisation in impending corneal perforation. Its immediate off-the-shelf availability, absence of viable endothelium (eliminating rejection risk), and role as a temporising measure make it particularly valuable when urgent intervention is required or conventional donor tissue is unavailable, allowing preservation of globe integrity and timely referral for definitive posterior segment management."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCOR077",
      "abstract_number": "POCOR077",
      "title": "Pre-Operative Oct-Guided Corneal Compression Sutures With Sf₆ Gas And Inferior Peripheral Iridectomy For Acute Corneal Hydrops In Keratoconus",
      "authors": "Ms Anaya Joshi",
      "presenter": "Ms Anaya Joshi",
      "normalized_authors": [
        "Anaya Joshi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anaya Joshi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe a simple, cost-effective technique using pre-operative anterior segment OCT (AS-OCT) to guide accurate corneal compression suture placement in the surgical management of acute corneal hydrops secondary to keratoconus, eliminating the need for intraoperative OCT.",
        "Setting": "Tertiary corneal service, Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "Two patients with acute hydrops due to keratoconus underwent surgical management with full-thickness corneal compression sutures, intracameral 20% sulphur hexafluoride (SF₆) gas injection, and inferior peripheral iridectomy. Pre-operative AS-OCT was used to localise the Descemet’s membrane (DM) rupture, stromal clefts, and determine optimal suture depth and trajectory. The intended suture entry sites corresponding to the pre-Descemet’s layer were marked on the corneal surface with a sterile surgical marker prior to surgery, enabling controlled needle passage at the desired stromal plane without real-time imaging.\n\nPre-operative marking enabled precise placement of compression sutures across the DM tear in both cases, resulting in DM reattachment and reduction of stromal oedema. In one patient, hydrops occurred on 27 September 2024 and surgery was performed the same day; at 13-month follow-up, best-corrected visual acuity was 6/12, improving to 6/9 with a contact lens. The second patient had counting fingers vision at 3 months post-operatively and was awaiting contact lens fitting. The inferior peripheral iridectomy prevented pupillary block, and SF₆ gas provided sustained tamponade. No intraoperative complications occurred, intraoperative OCT was not required, and both patients successfully avoided corneal transplantation.",
        "Conclusions": "Pre-operative OCT-guided surface marking is an effective, accessible, and low-cost method for optimising compression suture placement in acute corneal hydrops surgery. This technique enables accurate targeting of the pre-Descemet’s plane without expensive intraoperative imaging and may facilitate Descemet’s membrane reattachment while avoiding corneal grafting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Pre-operative OCT-guided surface marking is an effective, accessible, and low-cost method for optimising compression suture placement in acute corneal hydrops surgery. This technique enables accurate targeting of the pre-Descemet’s plane without expensive intraoperative imaging and may facilitate Descemet’s membrane reattachment while avoiding corneal grafting.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 768,
      "source_fields": {
        "Abstract Final Identifier": "POCOR077",
        "Title": "Pre-Operative Oct-Guided Corneal Compression Sutures With Sf₆ Gas And Inferior Peripheral Iridectomy For Acute Corneal Hydrops In Keratoconus",
        "Presenting Author(s)": "Ms Anaya Joshi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Anaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Joshi",
        "Country Name": "United Kingdom",
        "Purpose": "To describe a simple, cost-effective technique using pre-operative anterior segment OCT (AS-OCT) to guide accurate corneal compression suture placement in the surgical management of acute corneal hydrops secondary to keratoconus, eliminating the need for intraoperative OCT.",
        "Setting": "Tertiary corneal service, Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "Two patients with acute hydrops due to keratoconus underwent surgical management with full-thickness corneal compression sutures, intracameral 20% sulphur hexafluoride (SF₆) gas injection, and inferior peripheral iridectomy. Pre-operative AS-OCT was used to localise the Descemet’s membrane (DM) rupture, stromal clefts, and determine optimal suture depth and trajectory. The intended suture entry sites corresponding to the pre-Descemet’s layer were marked on the corneal surface with a sterile surgical marker prior to surgery, enabling controlled needle passage at the desired stromal plane without real-time imaging.\n\nPre-operative marking enabled precise placement of compression sutures across the DM tear in both cases, resulting in DM reattachment and reduction of stromal oedema. In one patient, hydrops occurred on 27 September 2024 and surgery was performed the same day; at 13-month follow-up, best-corrected visual acuity was 6/12, improving to 6/9 with a contact lens. The second patient had counting fingers vision at 3 months post-operatively and was awaiting contact lens fitting. The inferior peripheral iridectomy prevented pupillary block, and SF₆ gas provided sustained tamponade. No intraoperative complications occurred, intraoperative OCT was not required, and both patients successfully avoided corneal transplantation.",
        "Results": "",
        "Conclusions": "Pre-operative OCT-guided surface marking is an effective, accessible, and low-cost method for optimising compression suture placement in acute corneal hydrops surgery. This technique enables accurate targeting of the pre-Descemet’s plane without expensive intraoperative imaging and may facilitate Descemet’s membrane reattachment while avoiding corneal grafting."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POCOR078",
      "abstract_number": "POCOR078",
      "title": "Necrotizing Infectious Anterior Scleritis With Scleral Abscess On Adalimumab Requiring Surgical Reconstruction",
      "authors": "Dr Dejan Ilišković",
      "presenter": "Dr Dejan Ilišković",
      "normalized_authors": [
        "Dejan Ilišković"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Knezevic Josip",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Infectious necrotizing scleritis may closely mimic immune-mediated inflammation, particularly in patients receiving anti-TNF therapy, where new-onset ocular symptoms are often attributed to paradoxical autoimmune phenomena. This diagnostic overlap may delay microbiological confirmation and lead to inappropriate immunosuppression, accelerating scleral necrosis. We report a case of necrotizing infectious anterior scleritis caused by Staphylococcus aureus, complicated by scleral abscess formation and adjacent peripheral corneal ulceration in a patient receiving long-term adalimumab therapy. Due to rapid progression and impending globe perforation, urgent tectonic scleral reconstruction was required to preserve ocular integrity.",
        "Setting": "This case was managed at a tertiary referral university hospital with a dedicated anterior segment and ocular surface service, providing access to microbiological diagnostics and surgical management of complex infectious scleral disease. A multidisciplinary approach involving ophthalmology and infectious disease specialists enabled prompt diagnosis and coordinated care.",
        "Methods": "A 50-year-old man receiving adalimumab for hidradenitis suppurativa for 2 years presented with a painful, red left eye and inferotemporal nodular scleral thickening. There was no history of trauma or prior ocular surgery, and uncorrected visual acuity was 20/20. In the context of ongoing anti-TNF therapy, immune-mediated scleritis was initially presumed, and systemic methylprednisolone (64 mg/day) was commenced. Within 7 days, rapid progression to scleral necrosis with suspected abscess formation was observed, and ultrasound biomicroscopy demonstrated intrascleral involvement supporting abscess formation. An infectious etiology was suspected, prompting discontinuation of adalimumab and tapering of corticosteroids, with initiation of empirical systemic and topical antibiotics. Despite treatment, peripheral marginal corneal ulceration developed adjacent to the affected sclera, with progressive scleral necrosis and impending globe perforation. Urgent surgery was performed, including debridement of necrotic tissue, drainage of the scleral abscess, and tectonic scleral patch graft with conjunctival advancement. Intraoperative direct microscopy of debrided necrotic tissue showed no fungal elements prior to scleral patch graft placement. Cultures obtained from the scleral abscess grew Staphylococcus aureus, while blood cultures remained negative. The infection resolved with preservation of globe integrity, and visual acuity remained 20/20.",
        "Conclusions": "In patients receiving anti-TNF therapy, new-onset scleritis may mimic paradoxical immune-mediated inflammation, delaying recognition of an underlying infection and leading to inappropriate immunosuppression. Rapid progression despite corticosteroid therapy should prompt urgent microbiological evaluation. Infectious necrotizing scleritis may require early surgical intervention, including tectonic scleral reconstruction despite active infection, to prevent perforation and preserve globe integrity and visual function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In patients receiving anti-TNF therapy, new-onset scleritis may mimic paradoxical immune-mediated inflammation, delaying recognition of an underlying infection and leading to inappropriate immunosuppression. Rapid progression despite corticosteroid therapy should prompt urgent microbiological evaluation. Infectious necrotizing scleritis may require early surgical intervention, including tectonic scleral…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 769,
      "source_fields": {
        "Abstract Final Identifier": "POCOR078",
        "Title": "Necrotizing Infectious Anterior Scleritis With Scleral Abscess On Adalimumab Requiring Surgical Reconstruction",
        "Presenting Author(s)": "Dr Dejan Ilišković",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Knezevic",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Josip",
        "Country Name": "Croatia",
        "Purpose": "Infectious necrotizing scleritis may closely mimic immune-mediated inflammation, particularly in patients receiving anti-TNF therapy, where new-onset ocular symptoms are often attributed to paradoxical autoimmune phenomena. This diagnostic overlap may delay microbiological confirmation and lead to inappropriate immunosuppression, accelerating scleral necrosis. We report a case of necrotizing infectious anterior scleritis caused by Staphylococcus aureus, complicated by scleral abscess formation and adjacent peripheral corneal ulceration in a patient receiving long-term adalimumab therapy. Due to rapid progression and impending globe perforation, urgent tectonic scleral reconstruction was required to preserve ocular integrity.",
        "Setting": "This case was managed at a tertiary referral university hospital with a dedicated anterior segment and ocular surface service, providing access to microbiological diagnostics and surgical management of complex infectious scleral disease. A multidisciplinary approach involving ophthalmology and infectious disease specialists enabled prompt diagnosis and coordinated care.",
        "Methods": "A 50-year-old man receiving adalimumab for hidradenitis suppurativa for 2 years presented with a painful, red left eye and inferotemporal nodular scleral thickening. There was no history of trauma or prior ocular surgery, and uncorrected visual acuity was 20/20. In the context of ongoing anti-TNF therapy, immune-mediated scleritis was initially presumed, and systemic methylprednisolone (64 mg/day) was commenced. Within 7 days, rapid progression to scleral necrosis with suspected abscess formation was observed, and ultrasound biomicroscopy demonstrated intrascleral involvement supporting abscess formation. An infectious etiology was suspected, prompting discontinuation of adalimumab and tapering of corticosteroids, with initiation of empirical systemic and topical antibiotics. Despite treatment, peripheral marginal corneal ulceration developed adjacent to the affected sclera, with progressive scleral necrosis and impending globe perforation. Urgent surgery was performed, including debridement of necrotic tissue, drainage of the scleral abscess, and tectonic scleral patch graft with conjunctival advancement. Intraoperative direct microscopy of debrided necrotic tissue showed no fungal elements prior to scleral patch graft placement. Cultures obtained from the scleral abscess grew Staphylococcus aureus, while blood cultures remained negative. The infection resolved with preservation of globe integrity, and visual acuity remained 20/20.",
        "Results": "",
        "Conclusions": "In patients receiving anti-TNF therapy, new-onset scleritis may mimic paradoxical immune-mediated inflammation, delaying recognition of an underlying infection and leading to inappropriate immunosuppression. Rapid progression despite corticosteroid therapy should prompt urgent microbiological evaluation. Infectious necrotizing scleritis may require early surgical intervention, including tectonic scleral reconstruction despite active infection, to prevent perforation and preserve globe integrity and visual function."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POCOR079",
      "abstract_number": "POCOR079",
      "title": "Adult-Onset Vernal Keratoconjunctivitis With Bilateral Grade 2 Shield Ulcers: An Unusual Presentation",
      "authors": "Dr Krutika Nitin Kadam",
      "presenter": "Dr Krutika Nitin Kadam",
      "normalized_authors": [
        "Krutika Nitin Kadam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Krutika Nitin Kadam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a rare case of adult-onset VKC presenting with bilateral grade 2 shield ulcers and to emphasize the importance of timely recognition and aggressive therapy.\nVernal keratoconjunctivitis (VKC) is a chronic allergic inflammatory disorder of the ocular surface typically affecting children and adolescents. Adult-onset disease is uncommon and may present with severe corneal complications. Shield ulcers represent a sight-threatening manifestation requiring urgent intervention.",
        "Setting": "This was a case report conducted at a tertiary eye care center. A 28-year-old male presenting with clinical features suggestive of vernal keratoconjunctivitis (VKC) was evaluated.A detailed ocular history was obtained, followed by comprehensive ophthalmic examination including best-corrected visual acuity assessment using Snellen chart, slit-lamp biomicroscopy, and upper lid eversion to assess tarsal papillae.",
        "Methods": "A 28-year-old male presented with bilateral ocular itching, redness, watering, mucoid discharge, photophobia, and blurred vision of 15 days’ duration. Best-corrected visual acuity was 6/6 in the right eye and 6/9 in the left eye. Slit-lamp examination revealed upper lid edema and multiple flat-topped giant papillae (>1 mm) on the superior tarsal conjunctiva in both eyes. Corneal examination demonstrated a 1×1 mm central shield ulcer with grey white deposits in the right eye and two superficial shield ulcers measuring 1×2 mm and 2×3 mm also with grey white deposits in the left eye, consistent with bilateral grade 2 disease.",
        "Conclusions": "Adult-onset VKC can present with bilateral severe corneal involvement, increasing the risk of misdiagnosis and delayed treatment. Early, aggressive anti-inflammatory therapy is crucial to prevent permanent visual sequelae. VKC should not be excluded solely on the basis of age."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Adult-onset VKC can present with bilateral severe corneal involvement, increasing the risk of misdiagnosis and delayed treatment. Early, aggressive anti-inflammatory therapy is crucial to prevent permanent visual sequelae. VKC should not be excluded solely on the basis of age.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 770,
      "source_fields": {
        "Abstract Final Identifier": "POCOR079",
        "Title": "Adult-Onset Vernal Keratoconjunctivitis With Bilateral Grade 2 Shield Ulcers: An Unusual Presentation",
        "Presenting Author(s)": "Dr Krutika Nitin Kadam",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Krutika",
        "Submitter Middle Name": "Nitin",
        "Submitter Last Name": "Kadam",
        "Country Name": "India",
        "Purpose": "To report a rare case of adult-onset VKC presenting with bilateral grade 2 shield ulcers and to emphasize the importance of timely recognition and aggressive therapy.\nVernal keratoconjunctivitis (VKC) is a chronic allergic inflammatory disorder of the ocular surface typically affecting children and adolescents. Adult-onset disease is uncommon and may present with severe corneal complications. Shield ulcers represent a sight-threatening manifestation requiring urgent intervention.",
        "Setting": "This was a case report conducted at a tertiary eye care center. A 28-year-old male presenting with clinical features suggestive of vernal keratoconjunctivitis (VKC) was evaluated.A detailed ocular history was obtained, followed by comprehensive ophthalmic examination including best-corrected visual acuity assessment using Snellen chart, slit-lamp biomicroscopy, and upper lid eversion to assess tarsal papillae.",
        "Methods": "A 28-year-old male presented with bilateral ocular itching, redness, watering, mucoid discharge, photophobia, and blurred vision of 15 days’ duration. Best-corrected visual acuity was 6/6 in the right eye and 6/9 in the left eye. Slit-lamp examination revealed upper lid edema and multiple flat-topped giant papillae (>1 mm) on the superior tarsal conjunctiva in both eyes. Corneal examination demonstrated a 1×1 mm central shield ulcer with grey white deposits in the right eye and two superficial shield ulcers measuring 1×2 mm and 2×3 mm also with grey white deposits in the left eye, consistent with bilateral grade 2 disease.",
        "Results": "",
        "Conclusions": "Adult-onset VKC can present with bilateral severe corneal involvement, increasing the risk of misdiagnosis and delayed treatment. Early, aggressive anti-inflammatory therapy is crucial to prevent permanent visual sequelae. VKC should not be excluded solely on the basis of age."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "POCOR080",
      "abstract_number": "POCOR080",
      "title": "Ten-Year Structural Stability After Pediatric Athens Protocol Cxl For Keratoconus: Topography-Guided Minimal Apex Ablation Combined With High-Fluence Cross-Linking And Long-Term Corneal Remodeling And Visual Rehabilitation",
      "authors": "Dr A. John Kanellopoulos",
      "presenter": "Dr A. John Kanellopoulos",
      "normalized_authors": [
        "A. John Kanellopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "A. John Kanellopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report 10-year tomographic and visual outcomes of pediatric progressive keratoconus treated with combined topography-guided corneal normalization and high-fluence corneal cross-linking (Athens Protocol). The protocol prioritizes structural symmetry and minimal apex tissue removal rather than refractive targeting. This case highlights long-term biomechanical stability and progressive corneal remodeling, underscoring the synergistic flattening effect of combined surface ablation and cross-linking and its refractive implications. A unique aspect is the very long, detailed follow-up with near-annual imaging, capturing pediatric evolution despite the practical challenge of limiting eye rubbing in this age group.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "A 14-year-old boy presented with bilateral advanced progressive keratoconus, CDVA worse than 20/40, habitual eye rubbing, and significant hyperopic astigmatism. Thinnest corneal data by tomography and OCT under 450um in both eyes. Given speed of progression and visual morbidity, intervention ensued with parental consent.\n\nBilateral Athens Protocol CXL was applied. Topography-guided surface ablation was designed exclusively for corneal normalization, prioritizing minimal tissue removal— at the cone apex, the thinnest and biomechanically most vulnerable. Optical zone was 5.0 mm / 2 mm transition zone. Treated cylinder amount and axis derived from topographic data rather than subjective refraction. Cross-linking followed using 6 mW/cm² for 15 minutes.\n\nRecovery was uneventful. As early as 2 weeks cone regularization and stability were documented with visual function competence from first month and on.\n\nAt 10 years (age 24), binocular uncorrected visual acuity exceeded 20/20. Tomography demonstrated sustained stabilization with additional mild corneal flattening compared to baseline and 3-year imaging. No ectatic progression, posterior elevation increase, or progressive thinning occurred. The progressive flattening observed reflects the synergistic biomechanical effect of combined normalization and cross-linking rather than isolated refractive change.\n\nSerial long-term maps demonstrate durable symmetry and stability despite the background pediatric risk profile (allergy/eye rubbing).",
        "Conclusions": "This 10-year follow-up confirms durable biomechanical stabilization and progressive structural remodeling after pediatric Athens Protocol CXL. The synergistic flattening effect of combined topography-guided normalization and cross-linking may continue over years and is not fully predictable in magnitude. Therefore, refractive emmetropia should not be a surgical target in this setting. Structural symmetry and apex preservation remain the primary objectives. Long-term potential added flattening must be anticipated as refractive evolution in these patients. Near-annual tomography over a decade supports that this strategy can provide lasting stability and excellent functional vision in a high-risk pediatric keratoconus phenotype."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This 10-year follow-up confirms durable biomechanical stabilization and progressive structural remodeling after pediatric Athens Protocol CXL. The synergistic flattening effect of combined topography-guided normalization and cross-linking may continue over years and is not fully predictable in magnitude. Therefore, refractive emmetropia should not be a surgical target in this setting. Structural symmetry and apex…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 771,
      "source_fields": {
        "Abstract Final Identifier": "POCOR080",
        "Title": "Ten-Year Structural Stability After Pediatric Athens Protocol Cxl For Keratoconus: Topography-Guided Minimal Apex Ablation Combined With High-Fluence Cross-Linking And Long-Term Corneal Remodeling And Visual Rehabilitation",
        "Presenting Author(s)": "Dr A. John Kanellopoulos",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "A.",
        "Submitter Middle Name": "John",
        "Submitter Last Name": "Kanellopoulos",
        "Country Name": "Greece",
        "Purpose": "To report 10-year tomographic and visual outcomes of pediatric progressive keratoconus treated with combined topography-guided corneal normalization and high-fluence corneal cross-linking (Athens Protocol). The protocol prioritizes structural symmetry and minimal apex tissue removal rather than refractive targeting. This case highlights long-term biomechanical stability and progressive corneal remodeling, underscoring the synergistic flattening effect of combined surface ablation and cross-linking and its refractive implications. A unique aspect is the very long, detailed follow-up with near-annual imaging, capturing pediatric evolution despite the practical challenge of limiting eye rubbing in this age group.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "A 14-year-old boy presented with bilateral advanced progressive keratoconus, CDVA worse than 20/40, habitual eye rubbing, and significant hyperopic astigmatism. Thinnest corneal data by tomography and OCT under 450um in both eyes. Given speed of progression and visual morbidity, intervention ensued with parental consent.\n\nBilateral Athens Protocol CXL was applied. Topography-guided surface ablation was designed exclusively for corneal normalization, prioritizing minimal tissue removal— at the cone apex, the thinnest and biomechanically most vulnerable. Optical zone was 5.0 mm / 2 mm transition zone. Treated cylinder amount and axis derived from topographic data rather than subjective refraction. Cross-linking followed using 6 mW/cm² for 15 minutes.\n\nRecovery was uneventful. As early as 2 weeks cone regularization and stability were documented with visual function competence from first month and on.\n\nAt 10 years (age 24), binocular uncorrected visual acuity exceeded 20/20. Tomography demonstrated sustained stabilization with additional mild corneal flattening compared to baseline and 3-year imaging. No ectatic progression, posterior elevation increase, or progressive thinning occurred. The progressive flattening observed reflects the synergistic biomechanical effect of combined normalization and cross-linking rather than isolated refractive change.\n\nSerial long-term maps demonstrate durable symmetry and stability despite the background pediatric risk profile (allergy/eye rubbing).",
        "Results": "",
        "Conclusions": "This 10-year follow-up confirms durable biomechanical stabilization and progressive structural remodeling after pediatric Athens Protocol CXL. The synergistic flattening effect of combined topography-guided normalization and cross-linking may continue over years and is not fully predictable in magnitude. Therefore, refractive emmetropia should not be a surgical target in this setting. Structural symmetry and apex preservation remain the primary objectives. Long-term potential added flattening must be anticipated as refractive evolution in these patients. Near-annual tomography over a decade supports that this strategy can provide lasting stability and excellent functional vision in a high-risk pediatric keratoconus phenotype."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 405
    },
    {
      "uid": "POCOR081",
      "abstract_number": "POCOR081",
      "title": "Multimodal Corneal And Refractive Analysis With Tmr-Guided Astigmatic Modulation In Evo Icl Planning For Significant Anisometropia After Stable Post–Athens Protocol Keratoconus: Lens-Based Binocular Rehabilitation Within Commercial Power Limits.",
      "authors": "Dr Angeliki Kollatou",
      "presenter": "Dr Angeliki Kollatou",
      "normalized_authors": [
        "Angeliki Kollatou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "A. John Kanellopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report refractive rehabilitation with EVO posterior chamber phakic ICL implantation in a structurally stable keratoconic eye previously treated with the Athens Protocol CXL, where the primary indication was significant anisometropia and contact lens intolerance, and where ICL selection required multimodal optical reconciliation and TMR-guided cylinder refinement within available EVO power limits. Spectacle correction failed to restore binocular balance and the patient was unable to tolerate contact lenses. This case highlights lens-based refractive equalization as a strategy-in clinical situations that subjective refraction is variable and challenging- for functional binocular rehabilitation after corneal stabilization.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "A 36-year-old patient with progressive keratoconus previously underwent the Athens Protocol CXL (topography-guided PRK combined with higher fluence corneal cross-linking) and demonstrated 13 month structural and tomographic stability. UDVA was 20/400 and BCVA 20/50; however, the patient suffered from significant anisometropia, binocular imbalance, asthenopia, and functional visual limitation.\n\nIntolerant to contact lens wear, while spectacle correction failed to provide satisfactory binocular visual function due to aniseikonia/refractive disparity, made him a candidate for lens-based rrfractive intervention.\n\nEVO posterior chamber phakic ICL selection was guided by a multimodal refractive workup (Scheimpflug tomography, Placido topography, AS-OCT, epithelial mapping, and ray-tracing/wavefront validation) to reconcile objective optics with subjective refraction. Cylinder planning incorporated our TMR refractive strategy to refine the treatable regular astigmatic component, while the spherical target was constrained by commercially available EVO ICL myopia ranges; anterior chamber depth, WTW, and vault prediction parameters were confirmed for safety. Postoperatively, UDVA was 20/60, CDVA 20/25 with restoration of binocular balance. Vault and rotational alignment were appropriate, endothelial cell density remained stable, and no ectatic progression was observed during 14-month follow-up from the ICL implantation and 27 months following the original Athens protocol CXL procedure.",
        "Conclusions": "In keratoconus eyes stabilized and central cornea shaped improvement with the Athens Protocol CXL, persistent anisometropia may compromise binocular function despite satisfactory best-corrected acuity and structural corneal stability. EVO ICL implantation can safely restore refractive symmetry and binocular balance-even result in significant number of lines of vision gained-when careful multimodal evaluation confirms ectatic stability and adequate anterior segment anatomy. This case demonstrates that post-normalization keratoconic corneas manifest refraction challenges, while with our technique establish expanding therapeutic options beyond corneal procedures and offering predictable long-term visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In keratoconus eyes stabilized and central cornea shaped improvement with the Athens Protocol CXL, persistent anisometropia may compromise binocular function despite satisfactory best-corrected acuity and structural corneal stability. EVO ICL implantation can safely restore refractive symmetry and binocular balance-even result in significant number of lines of vision gained-when careful multimodal evaluation…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 772,
      "source_fields": {
        "Abstract Final Identifier": "POCOR081",
        "Title": "Multimodal Corneal And Refractive Analysis With Tmr-Guided Astigmatic Modulation In Evo Icl Planning For Significant Anisometropia After Stable Post–Athens Protocol Keratoconus: Lens-Based Binocular Rehabilitation Within Commercial Power Limits.",
        "Presenting Author(s)": "Dr Angeliki Kollatou",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "A.",
        "Submitter Middle Name": "John",
        "Submitter Last Name": "Kanellopoulos",
        "Country Name": "Greece",
        "Purpose": "To report refractive rehabilitation with EVO posterior chamber phakic ICL implantation in a structurally stable keratoconic eye previously treated with the Athens Protocol CXL, where the primary indication was significant anisometropia and contact lens intolerance, and where ICL selection required multimodal optical reconciliation and TMR-guided cylinder refinement within available EVO power limits. Spectacle correction failed to restore binocular balance and the patient was unable to tolerate contact lenses. This case highlights lens-based refractive equalization as a strategy-in clinical situations that subjective refraction is variable and challenging- for functional binocular rehabilitation after corneal stabilization.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "A 36-year-old patient with progressive keratoconus previously underwent the Athens Protocol CXL (topography-guided PRK combined with higher fluence corneal cross-linking) and demonstrated 13 month structural and tomographic stability. UDVA was 20/400 and BCVA 20/50; however, the patient suffered from significant anisometropia, binocular imbalance, asthenopia, and functional visual limitation.\n\nIntolerant to contact lens wear, while spectacle correction failed to provide satisfactory binocular visual function due to aniseikonia/refractive disparity, made him a candidate for lens-based rrfractive intervention.\n\nEVO posterior chamber phakic ICL selection was guided by a multimodal refractive workup (Scheimpflug tomography, Placido topography, AS-OCT, epithelial mapping, and ray-tracing/wavefront validation) to reconcile objective optics with subjective refraction. Cylinder planning incorporated our TMR refractive strategy to refine the treatable regular astigmatic component, while the spherical target was constrained by commercially available EVO ICL myopia ranges; anterior chamber depth, WTW, and vault prediction parameters were confirmed for safety. Postoperatively, UDVA was 20/60, CDVA 20/25 with restoration of binocular balance. Vault and rotational alignment were appropriate, endothelial cell density remained stable, and no ectatic progression was observed during 14-month follow-up from the ICL implantation and 27 months following the original Athens protocol CXL procedure.",
        "Results": "",
        "Conclusions": "In keratoconus eyes stabilized and central cornea shaped improvement with the Athens Protocol CXL, persistent anisometropia may compromise binocular function despite satisfactory best-corrected acuity and structural corneal stability. EVO ICL implantation can safely restore refractive symmetry and binocular balance-even result in significant number of lines of vision gained-when careful multimodal evaluation confirms ectatic stability and adequate anterior segment anatomy. This case demonstrates that post-normalization keratoconic corneas manifest refraction challenges, while with our technique establish expanding therapeutic options beyond corneal procedures and offering predictable long-term visual rehabilitation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 394
    },
    {
      "uid": "POCOR082",
      "abstract_number": "POCOR082",
      "title": "Efficacy And Safety Of Keravio Using Violet Light-Emitting Glasses And Cyanocobalamin Drops For Progressive Keratoconus: A Pilot Study",
      "authors": "Dr Hidenaga Kobashi",
      "presenter": "Dr Hidenaga Kobashi",
      "normalized_authors": [
        "Hidenaga Kobashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hidenaga Kobashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of KeraVio treatment, a minimally invasive corneal cross-linking technique that combines cyanocobalamin eye drops with violet light (VL) irradiation, in patients with progressive keratoconus.",
        "Setting": "Minami Aoyama Eye Clinic Tokyo",
        "Methods": "This prospective, single-arm exploratory study included three patients (mean age, 36.67 ± 11.24 years; 2 males, 1 female) with progressive keratoconus. Treatment consisted of 0.02% cyanocobalamin eye drops administered six times daily and VL irradiation via TLG-003 eyeglasses worn 4.5 hours per day for three months. Patients were followed for six months. The primary endpoint was the change in maximum keratometry (Kmax). Secondary endpoints included thinnest corneal thickness (TCT), demarcation line (DL), best-corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), manifest refraction, intraocular pressure, corneal endothelial cell density, corneal haze, slit-lamp/fundus examination findings, and periocular skin changes. The mean Kmax change at 6 months was −0.37 ± 6.82 D. The mean change in the TCT was −7.33 ± 19.66 µm. BCVA and UCVA remained stable (mean BCVA change: −0.03 ± 0.15 logMAR; mean UCVA change: 0.04 ± 0.07 logMAR). No clinically observed changes in refraction, intraocular pressure, endothelial cell density, corneal clarity, or retinal findings were detected. No adverse events occurred.",
        "Conclusions": "KeraVio treatment with cyanocobalamin drops appeared to be safe for use in this small cohort. However, owing to the limited sample size and variable Kmax responses, further large-scale, controlled studies are needed to determine the efficacy of this treatment in the context of halting keratoconus progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "KeraVio treatment with cyanocobalamin drops appeared to be safe for use in this small cohort. However, owing to the limited sample size and variable Kmax responses, further large-scale, controlled studies are needed to determine the efficacy of this treatment in the context of halting keratoconus progression.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 773,
      "source_fields": {
        "Abstract Final Identifier": "POCOR082",
        "Title": "Efficacy And Safety Of Keravio Using Violet Light-Emitting Glasses And Cyanocobalamin Drops For Progressive Keratoconus: A Pilot Study",
        "Presenting Author(s)": "Dr Hidenaga Kobashi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hidenaga",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kobashi",
        "Country Name": "Japan",
        "Purpose": "To evaluate the efficacy and safety of KeraVio treatment, a minimally invasive corneal cross-linking technique that combines cyanocobalamin eye drops with violet light (VL) irradiation, in patients with progressive keratoconus.",
        "Setting": "Minami Aoyama Eye Clinic Tokyo",
        "Methods": "This prospective, single-arm exploratory study included three patients (mean age, 36.67 ± 11.24 years; 2 males, 1 female) with progressive keratoconus. Treatment consisted of 0.02% cyanocobalamin eye drops administered six times daily and VL irradiation via TLG-003 eyeglasses worn 4.5 hours per day for three months. Patients were followed for six months. The primary endpoint was the change in maximum keratometry (Kmax). Secondary endpoints included thinnest corneal thickness (TCT), demarcation line (DL), best-corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), manifest refraction, intraocular pressure, corneal endothelial cell density, corneal haze, slit-lamp/fundus examination findings, and periocular skin changes. The mean Kmax change at 6 months was −0.37 ± 6.82 D. The mean change in the TCT was −7.33 ± 19.66 µm. BCVA and UCVA remained stable (mean BCVA change: −0.03 ± 0.15 logMAR; mean UCVA change: 0.04 ± 0.07 logMAR). No clinically observed changes in refraction, intraocular pressure, endothelial cell density, corneal clarity, or retinal findings were detected. No adverse events occurred.",
        "Results": "",
        "Conclusions": "KeraVio treatment with cyanocobalamin drops appeared to be safe for use in this small cohort. However, owing to the limited sample size and variable Kmax responses, further large-scale, controlled studies are needed to determine the efficacy of this treatment in the context of halting keratoconus progression."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POCOR083",
      "abstract_number": "POCOR083",
      "title": "Scleral Patch Graft In The Treatment Of Corneal Perforation - Case Report",
      "authors": "Agnieszka Budnik",
      "presenter": "Agnieszka Budnik",
      "normalized_authors": [
        "Agnieszka Budnik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Kożuchowska-Eljasiewicz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "The purpose of this case report is to present scleral patch graft as an alternative surgical technique in the management of corneal perforations, particularly in situations where urgent penetrating keratoplasty is not recommended or when donor tissue is unavailable. It aims to demonstrate its effectiveness in restoring globe integrity and preserving visual function, especially in peripheral perforations associated with inflammatory systemic disease.",
        "Setting": "Department of Ophthalmology, University Clinical Hospital in Białystok, Poland. A tertiary referral center providing comprehensive management of corneal diseases and complex anterior and posterior segment disorders, including corneal transplantation, cataract surgery, glaucoma surgery, vitreoretinal procedures, and oculoplastic surgery.",
        "Methods": "A 70-year-old male with a history of rheumatoid arthritis presented with bilateral corneal perforations and tissue prolapse in the right eye. On admission, best corrected visual acuity (BCVA) was 0.1 in the right eye and 0.3 in the left eye with ocular hypotony and choroidal detachment in both eyes.\n\nDue to the patient's condition, a decision was made to proceed with surgical treatment. A allogenic scleral patch graft was performed over the perforation in the right eye, along with an additional amniotic membrane graft covering the lower half of the cornea. A lamellar amniotic membrane transplant was performed on the left eye.\n\nPostoperative follow-up showed progressive stabilization of corneal condition. At the first follow-up visit, 10 days after surgery, the choroidal detachment has resolved and the intraocular pressure was within normal limits. Seven months after surgical treatment BCVA improved to 0.9 (right eye) and 0.6 (left eye). At the latest follow-up (17 months after the procedure), globe integrity was preserved with stable intraocular pressure. The patient's visual acuity has decreased to 0.2 (right eye) and 0.02 (left eye) due to the development of nuclear-cortical cataracts.",
        "Conclusions": "Scleral patch graft is an effective and readily available alternative to urgent penetrating keratoplasty in selected cases of corneal perforation. In peripheral perforations, it provides good long-term outcomes in terms of globe stability and satisfactory visual rehabilitation with a low risk of graft rejection. Importantly, this technique may reduce the need for intensive immunomodulatory therapy and prolonged topical steroid treatment typically required after corneal transplantation. It can also be combined with other techniques, such as amniotic membrane transplantation, and may serve as either a definitive treatment or a staged procedure prior to further surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Scleral patch graft is an effective and readily available alternative to urgent penetrating keratoplasty in selected cases of corneal perforation. In peripheral perforations, it provides good long-term outcomes in terms of globe stability and satisfactory visual rehabilitation with a low risk of graft rejection. Importantly, this technique may reduce the need for intensive immunomodulatory therapy and prolonged…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 774,
      "source_fields": {
        "Abstract Final Identifier": "POCOR083",
        "Title": "Scleral Patch Graft In The Treatment Of Corneal Perforation - Case Report",
        "Presenting Author(s)": "Agnieszka Budnik",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Anna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kożuchowska-Eljasiewicz",
        "Country Name": "Poland",
        "Purpose": "The purpose of this case report is to present scleral patch graft as an alternative surgical technique in the management of corneal perforations, particularly in situations where urgent penetrating keratoplasty is not recommended or when donor tissue is unavailable. It aims to demonstrate its effectiveness in restoring globe integrity and preserving visual function, especially in peripheral perforations associated with inflammatory systemic disease.",
        "Setting": "Department of Ophthalmology, University Clinical Hospital in Białystok, Poland. A tertiary referral center providing comprehensive management of corneal diseases and complex anterior and posterior segment disorders, including corneal transplantation, cataract surgery, glaucoma surgery, vitreoretinal procedures, and oculoplastic surgery.",
        "Methods": "A 70-year-old male with a history of rheumatoid arthritis presented with bilateral corneal perforations and tissue prolapse in the right eye. On admission, best corrected visual acuity (BCVA) was 0.1 in the right eye and 0.3 in the left eye with ocular hypotony and choroidal detachment in both eyes.\n\nDue to the patient's condition, a decision was made to proceed with surgical treatment. A allogenic scleral patch graft was performed over the perforation in the right eye, along with an additional amniotic membrane graft covering the lower half of the cornea. A lamellar amniotic membrane transplant was performed on the left eye.\n\nPostoperative follow-up showed progressive stabilization of corneal condition. At the first follow-up visit, 10 days after surgery, the choroidal detachment has resolved and the intraocular pressure was within normal limits. Seven months after surgical treatment BCVA improved to 0.9 (right eye) and 0.6 (left eye). At the latest follow-up (17 months after the procedure), globe integrity was preserved with stable intraocular pressure. The patient's visual acuity has decreased to 0.2 (right eye) and 0.02 (left eye) due to the development of nuclear-cortical cataracts.",
        "Results": "",
        "Conclusions": "Scleral patch graft is an effective and readily available alternative to urgent penetrating keratoplasty in selected cases of corneal perforation. In peripheral perforations, it provides good long-term outcomes in terms of globe stability and satisfactory visual rehabilitation with a low risk of graft rejection. Importantly, this technique may reduce the need for intensive immunomodulatory therapy and prolonged topical steroid treatment typically required after corneal transplantation. It can also be combined with other techniques, such as amniotic membrane transplantation, and may serve as either a definitive treatment or a staged procedure prior to further surgical intervention."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "POCOR084",
      "abstract_number": "POCOR084",
      "title": "Born Compatible: A Twin-To-Twin Simple Limbal Epithelial Transplantation In Severe Chemical Injury",
      "authors": "Dr Iva Krolo",
      "presenter": "Dr Iva Krolo",
      "normalized_authors": [
        "Iva Krolo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iva Krolo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "To report a successful surgical outcome of a two-phase surgical treatment for severe bilateral chemical burn with complete corneal decompensation. Endothelial failure was originally treated with Descemet membrane endothelial keratoplasty, followed by a simple limbal epithelial transplantation from a monozygotic twin for the limbal stem cell deficiency.",
        "Setting": "Department of Ophthalmology, University Hospital Brussels, Brussels, Belgium",
        "Methods": "A 46-year old man with a history of bilateral chemical burn, initially treated with bilateral amniotic membrane (AM) transplant and a symblepharon ring, followed by a superficial keratectomy and a Descemet membrane endothelial keratoplasty (DMEK) for the left eye 4 months after. Two rebubblings were performed 1 and 3 weeks postoperatively. In 2022, he undergone a DMEK for the right eye, followed by a rebbubling 7 days after the procedure. In the following years, patient developed a bilateral limbal stem cell deficiency. Due to the bilateral character of the disease, a simple limbal epithelial transplantation (SLET) was performed using the stem cells from his monozygotic twin brother. After the complete conjunctival periotomy with removal of conjunctival overgrowth, a single layer of AM was placed over cornea using fibrin glue. Limbal graft taken from the patient’s twin was cut into smaller fragments, distributed in the mid-periphery of the cornea and glued to the AM. Conjunctiva was advanced to the limbal edge using Vicryl 8-0 single sutures and the bandage contact lens was placed. Postoperatively, patient was using topical tobramycin/dexamethasone, and oral methylprednisolone and moxifloxacin for 3 weeks. Four months after, his vision improved to 0.1 using pinhole, without signs of corneal conjunctivalization. Apart from old deep stromal neovascularizations, corneal transparency was improved, with visible remnants of the stem cell biopsies.",
        "Conclusions": "To our knowledge, this is the second report of a SLET taken from a monozygotic twin for a severe bilateral chemical burn, with a successful surgical outcome four months postoperatively. Positive results of the syngeneic SLET might be supported by better corneal homeostasis enabled by the previously performed DMEK, suggesting the combination of these procedures as a possible treatment option for severe corneal chemical injuries, in suitable scenarios."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "To our knowledge, this is the second report of a SLET taken from a monozygotic twin for a severe bilateral chemical burn, with a successful surgical outcome four months postoperatively. Positive results of the syngeneic SLET might be supported by better corneal homeostasis enabled by the previously performed DMEK, suggesting the combination of these procedures as a possible treatment option for severe corneal…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 775,
      "source_fields": {
        "Abstract Final Identifier": "POCOR084",
        "Title": "Born Compatible: A Twin-To-Twin Simple Limbal Epithelial Transplantation In Severe Chemical Injury",
        "Presenting Author(s)": "Dr Iva Krolo",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Iva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Krolo",
        "Country Name": "Belgium",
        "Purpose": "To report a successful surgical outcome of a two-phase surgical treatment for severe bilateral chemical burn with complete corneal decompensation. Endothelial failure was originally treated with Descemet membrane endothelial keratoplasty, followed by a simple limbal epithelial transplantation from a monozygotic twin for the limbal stem cell deficiency.",
        "Setting": "Department of Ophthalmology, University Hospital Brussels, Brussels, Belgium",
        "Methods": "A 46-year old man with a history of bilateral chemical burn, initially treated with bilateral amniotic membrane (AM) transplant and a symblepharon ring, followed by a superficial keratectomy and a Descemet membrane endothelial keratoplasty (DMEK) for the left eye 4 months after. Two rebubblings were performed 1 and 3 weeks postoperatively. In 2022, he undergone a DMEK for the right eye, followed by a rebbubling 7 days after the procedure. In the following years, patient developed a bilateral limbal stem cell deficiency. Due to the bilateral character of the disease, a simple limbal epithelial transplantation (SLET) was performed using the stem cells from his monozygotic twin brother. After the complete conjunctival periotomy with removal of conjunctival overgrowth, a single layer of AM was placed over cornea using fibrin glue. Limbal graft taken from the patient’s twin was cut into smaller fragments, distributed in the mid-periphery of the cornea and glued to the AM. Conjunctiva was advanced to the limbal edge using Vicryl 8-0 single sutures and the bandage contact lens was placed. Postoperatively, patient was using topical tobramycin/dexamethasone, and oral methylprednisolone and moxifloxacin for 3 weeks. Four months after, his vision improved to 0.1 using pinhole, without signs of corneal conjunctivalization. Apart from old deep stromal neovascularizations, corneal transparency was improved, with visible remnants of the stem cell biopsies.",
        "Results": "",
        "Conclusions": "To our knowledge, this is the second report of a SLET taken from a monozygotic twin for a severe bilateral chemical burn, with a successful surgical outcome four months postoperatively. Positive results of the syngeneic SLET might be supported by better corneal homeostasis enabled by the previously performed DMEK, suggesting the combination of these procedures as a possible treatment option for severe corneal chemical injuries, in suitable scenarios."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POCOR085",
      "abstract_number": "POCOR085",
      "title": "Bilateral Fuchs’ Heterochromic Iridocyclitis In A Patient With Progressive Keratoconus: A Rare And Clinically Significant Association",
      "authors": "Dr Anuradha Kunapuli",
      "presenter": "Dr Anuradha Kunapuli",
      "normalized_authors": [
        "Anuradha Kunapuli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anuradha Kunapuli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a rare coexistence of bilateral Fuchs’ Heterochromic Iridocyclitis (FHI) and progressive keratoconus, highlighting diagnostic challenges and implications for corneal cross-linking (CXL).",
        "Setting": "Tertiary referral centre.",
        "Methods": "A 26-year-old patient presented with progressive visual deterioration and ocular discomfort in both eyes. Initial evaluation (2020) demonstrated papillary conjunctivitis, prominent corneal nerves, inferior incomplete Fleischer ring, and compound myopic astigmatism. Corneal tomography confirmed keratoconus.\n\nFour years later, the patient reported worsening visual acuity. Best corrected visual acuity measured 20/50 (20/40) OD and 20/60 (20/25) OS. Scheimpflug tomography revealed significant ectatic progression with borderline pachymetry (387 µm) and increase in Kmax from 50.6 D to 54.9 D in the right eye. Corneal cross-linking was scheduled.\n\nPreoperative slit-lamp examination identified diffuse stellate keratic precipitates and mild anterior chamber activity, prompting deferral of surgery. Uveitis evaluation established a diagnosis of FHI. A history of psoriasis was elicited. Following topical anti-inflammatory therapy and quiescence of inflammation, hypotonic CXL was performed successfully in the right eye. Subsequent follow-up demonstrated bilateral features consistent with FHI.",
        "Conclusions": "FHI is characteristically unilateral; bilateral involvement is uncommon and may indicate a more aggressive inflammatory phenotype. The coexistence of bilateral FHI and keratoconus is exceptionally rare. Shared neural crest embryological origins of the corneal stroma, iris stroma, and uveal melanocytes may suggest a biologically plausible association. This case underscores the necessity of meticulous anterior segment evaluation prior to CXL, as unrecognized low-grade uveitis may influence surgical timing, safety, and outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "FHI is characteristically unilateral; bilateral involvement is uncommon and may indicate a more aggressive inflammatory phenotype. The coexistence of bilateral FHI and keratoconus is exceptionally rare. Shared neural crest embryological origins of the corneal stroma, iris stroma, and uveal melanocytes may suggest a biologically plausible association. This case underscores the necessity of meticulous anterior…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 776,
      "source_fields": {
        "Abstract Final Identifier": "POCOR085",
        "Title": "Bilateral Fuchs’ Heterochromic Iridocyclitis In A Patient With Progressive Keratoconus: A Rare And Clinically Significant Association",
        "Presenting Author(s)": "Dr Anuradha Kunapuli",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Anuradha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kunapuli",
        "Country Name": "India",
        "Purpose": "To report a rare coexistence of bilateral Fuchs’ Heterochromic Iridocyclitis (FHI) and progressive keratoconus, highlighting diagnostic challenges and implications for corneal cross-linking (CXL).",
        "Setting": "Tertiary referral centre.",
        "Methods": "A 26-year-old patient presented with progressive visual deterioration and ocular discomfort in both eyes. Initial evaluation (2020) demonstrated papillary conjunctivitis, prominent corneal nerves, inferior incomplete Fleischer ring, and compound myopic astigmatism. Corneal tomography confirmed keratoconus.\n\nFour years later, the patient reported worsening visual acuity. Best corrected visual acuity measured 20/50 (20/40) OD and 20/60 (20/25) OS. Scheimpflug tomography revealed significant ectatic progression with borderline pachymetry (387 µm) and increase in Kmax from 50.6 D to 54.9 D in the right eye. Corneal cross-linking was scheduled.\n\nPreoperative slit-lamp examination identified diffuse stellate keratic precipitates and mild anterior chamber activity, prompting deferral of surgery. Uveitis evaluation established a diagnosis of FHI. A history of psoriasis was elicited. Following topical anti-inflammatory therapy and quiescence of inflammation, hypotonic CXL was performed successfully in the right eye. Subsequent follow-up demonstrated bilateral features consistent with FHI.",
        "Results": "",
        "Conclusions": "FHI is characteristically unilateral; bilateral involvement is uncommon and may indicate a more aggressive inflammatory phenotype. The coexistence of bilateral FHI and keratoconus is exceptionally rare. Shared neural crest embryological origins of the corneal stroma, iris stroma, and uveal melanocytes may suggest a biologically plausible association. This case underscores the necessity of meticulous anterior segment evaluation prior to CXL, as unrecognized low-grade uveitis may influence surgical timing, safety, and outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCOR086",
      "abstract_number": "POCOR086",
      "title": "Multimodal Management Of Advanced Uveitis Complications: Functional And Anatomical Results",
      "authors": "Dr Nadiia Kuryltsiv",
      "presenter": "Dr Nadiia Kuryltsiv",
      "normalized_authors": [
        "Nadiia Kuryltsiv"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nadiia Kuryltsiv",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To illustrate the effectiveness of a stepwise surgical approach in patient with complicated band keratopathy and cataract in case of autoimmune uveitis.",
        "Setting": "E-poster or case report presentation with photographic images, A0 size; displayed during the conference poster session.",
        "Methods": "A 7-year-old girl participated in the study. The diagnosis of autoimmune uveitis was established at the age of 5 years. The child has been receiving systemic immunosuppressive therapy. As a consequence of intraocular inflammation, band keratopathy and cataract developed in both eyes.\n\nA staged approach was employed for the treatment. First phase – phototherapeutic keratectomy (PTK) in the right eye (OD) and subsequently in the left eye (OS). Second phase – phacoemulsification with intraocular lens implantation (Phaco+IOL) in the same sequence.\n\nPreoperative best corrected distance visual acuity (BCVA) was hand motion in the OD and 20/1000 in the OS.\n\nAfter PTK, BCVA in the OD – 20/100 and in the OS – 20/200. Additionally, the outcome included restoration of corneal transparency. The postoperative rehabilitation period was uneventful.\n\nAfter Phaco+IOL the BCVA improved to 20/40 in the OD and 20/33 in the OS. The pediatric patient return to full participation in school.\n\nSurgical procedures performed in conjunction with systemic steroidal therapy according to the established protocol.\n\nNo exacerbations of autoimmune uveitis were observed during the two-year follow-up period.",
        "Conclusions": "A comprehensive stepwise approach to the management of patients with band keratopathy and complicated cataract can provide favorable functional outcomes, provided that safety criteria specific to patients with chronic autoimmune uveitis are strictly observed. This is particularly important in pediatric patients to prevent the development of amblyopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A comprehensive stepwise approach to the management of patients with band keratopathy and complicated cataract can provide favorable functional outcomes, provided that safety criteria specific to patients with chronic autoimmune uveitis are strictly observed. This is particularly important in pediatric patients to prevent the development of amblyopia.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 777,
      "source_fields": {
        "Abstract Final Identifier": "POCOR086",
        "Title": "Multimodal Management Of Advanced Uveitis Complications: Functional And Anatomical Results",
        "Presenting Author(s)": "Dr Nadiia Kuryltsiv",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nadiia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kuryltsiv",
        "Country Name": "Ukraine",
        "Purpose": "To illustrate the effectiveness of a stepwise surgical approach in patient with complicated band keratopathy and cataract in case of autoimmune uveitis.",
        "Setting": "E-poster or case report presentation with photographic images, A0 size; displayed during the conference poster session.",
        "Methods": "A 7-year-old girl participated in the study. The diagnosis of autoimmune uveitis was established at the age of 5 years. The child has been receiving systemic immunosuppressive therapy. As a consequence of intraocular inflammation, band keratopathy and cataract developed in both eyes.\n\nA staged approach was employed for the treatment. First phase – phototherapeutic keratectomy (PTK) in the right eye (OD) and subsequently in the left eye (OS). Second phase – phacoemulsification with intraocular lens implantation (Phaco+IOL) in the same sequence.\n\nPreoperative best corrected distance visual acuity (BCVA) was hand motion in the OD and 20/1000 in the OS.\n\nAfter PTK, BCVA in the OD – 20/100 and in the OS – 20/200. Additionally, the outcome included restoration of corneal transparency. The postoperative rehabilitation period was uneventful.\n\nAfter Phaco+IOL the BCVA improved to 20/40 in the OD and 20/33 in the OS. The pediatric patient return to full participation in school.\n\nSurgical procedures performed in conjunction with systemic steroidal therapy according to the established protocol.\n\nNo exacerbations of autoimmune uveitis were observed during the two-year follow-up period.",
        "Results": "",
        "Conclusions": "A comprehensive stepwise approach to the management of patients with band keratopathy and complicated cataract can provide favorable functional outcomes, provided that safety criteria specific to patients with chronic autoimmune uveitis are strictly observed. This is particularly important in pediatric patients to prevent the development of amblyopia."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR087",
      "abstract_number": "POCOR087",
      "title": "Why Repeat Pk? Hydrodissection-Assisted Dalk-On-Pk For Rim Ectasia",
      "authors": "Dr Haowen Kwan",
      "presenter": "Dr Haowen Kwan",
      "normalized_authors": [
        "Haowen Kwan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Haowen Kwan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Deep anterior lamellar keratoplasty (DALK) on a prior penetrating keratoplasty (PK) is technically challenging due to scarring at the graft–host junction and uncertainty regarding the posterior stromal interface. In graft rim ectasia, marked peripheral thinning further increases the risk of perforation during trephination, often prompting consideration of repeat PK. Proposed approaches for DALK-on-PK include manual dissection or Big Bubble formation, both potentially hazardous in previously grafted corneas. We describe a hydrodissection-assisted technique using balanced salt solution (BSS) to reinforce thinned ectatic stroma and exploit a PK-specific plane of separation, confirmed with intra-operative OCT.",
        "Setting": "James Paget University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A 66-year-old woman with keratoconus had undergone PK in 1997. She presented with progressive graft failure characterised by severe inferior rim ectasia, stromal scarring, and marked irregular astigmatism (ΔK 15.6D). Best-corrected visual acuity was 6/19 (pinhole 6/9.5). Endothelial cell count remained preserved at 2618 cells/mm², supporting an endothelial-sparing approach.\n\nDALK-on-PK was undertaken using hydrodissection rather than Big Bubble formation. A 9.0mm trephination to approximately 400µm depth was centred over the ectatic graft–host junction. Due to marked inferior thinning, BSS was injected intrastromally along the inferior junctional region to locally thicken and stabilise the diseased stroma, reducing the risk of perforation during trephination.\n\nGiven the extreme thinning, the injection likely entered the posterior stromal layers, estimated to be within the final 100µm of stroma. Fluid tracking at this depth produced a visible wave propagating through the posterior stroma, indicating creation of a cleavage plane between posterior stroma and the pre-Descemet’s layer complex across both donor and host tissue. Intra-operative OCT confirmed a continuous fluid-defined separation plane without breach of Descemet’s membrane. The anterior stroma was removed along this interface, revealing an intact posterior lamellar bed spanning the PK–host boundary. No macro- or micro-perforation occurred. A donor anterior lamellar graft was secured with interrupted 10-0 nylon sutures.",
        "Conclusions": "Hydrodissection with BSS can safely facilitate DALK on a previous PK by exploiting a cleavage plane that appears unique to grafted corneas. In cases of rim ectasia, extreme thinning may permit deep intrastromal injection into the posterior stromal layers, enabling controlled separation of the posterior stroma from the pre-Descemet’s layer without air injection. This manoeuvre provides dual benefits of tectonic stromal thickening and plane creation, reducing the risk of Descemet’s membrane perforation and conversion to repeat PK. The intraoperative fluid wave and OCT confirmation provide objective indicators of successful separation, supporting this endothelial-preserving alternative to repeat PK in selected cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Hydrodissection with BSS can safely facilitate DALK on a previous PK by exploiting a cleavage plane that appears unique to grafted corneas. In cases of rim ectasia, extreme thinning may permit deep intrastromal injection into the posterior stromal layers, enabling controlled separation of the posterior stroma from the pre-Descemet’s layer without air injection. This manoeuvre provides dual benefits of tectonic…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 778,
      "source_fields": {
        "Abstract Final Identifier": "POCOR087",
        "Title": "Why Repeat Pk? Hydrodissection-Assisted Dalk-On-Pk For Rim Ectasia",
        "Presenting Author(s)": "Dr Haowen Kwan",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Haowen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kwan",
        "Country Name": "United Kingdom",
        "Purpose": "Deep anterior lamellar keratoplasty (DALK) on a prior penetrating keratoplasty (PK) is technically challenging due to scarring at the graft–host junction and uncertainty regarding the posterior stromal interface. In graft rim ectasia, marked peripheral thinning further increases the risk of perforation during trephination, often prompting consideration of repeat PK. Proposed approaches for DALK-on-PK include manual dissection or Big Bubble formation, both potentially hazardous in previously grafted corneas. We describe a hydrodissection-assisted technique using balanced salt solution (BSS) to reinforce thinned ectatic stroma and exploit a PK-specific plane of separation, confirmed with intra-operative OCT.",
        "Setting": "James Paget University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A 66-year-old woman with keratoconus had undergone PK in 1997. She presented with progressive graft failure characterised by severe inferior rim ectasia, stromal scarring, and marked irregular astigmatism (ΔK 15.6D). Best-corrected visual acuity was 6/19 (pinhole 6/9.5). Endothelial cell count remained preserved at 2618 cells/mm², supporting an endothelial-sparing approach.\n\nDALK-on-PK was undertaken using hydrodissection rather than Big Bubble formation. A 9.0mm trephination to approximately 400µm depth was centred over the ectatic graft–host junction. Due to marked inferior thinning, BSS was injected intrastromally along the inferior junctional region to locally thicken and stabilise the diseased stroma, reducing the risk of perforation during trephination.\n\nGiven the extreme thinning, the injection likely entered the posterior stromal layers, estimated to be within the final 100µm of stroma. Fluid tracking at this depth produced a visible wave propagating through the posterior stroma, indicating creation of a cleavage plane between posterior stroma and the pre-Descemet’s layer complex across both donor and host tissue. Intra-operative OCT confirmed a continuous fluid-defined separation plane without breach of Descemet’s membrane. The anterior stroma was removed along this interface, revealing an intact posterior lamellar bed spanning the PK–host boundary. No macro- or micro-perforation occurred. A donor anterior lamellar graft was secured with interrupted 10-0 nylon sutures.",
        "Results": "",
        "Conclusions": "Hydrodissection with BSS can safely facilitate DALK on a previous PK by exploiting a cleavage plane that appears unique to grafted corneas. In cases of rim ectasia, extreme thinning may permit deep intrastromal injection into the posterior stromal layers, enabling controlled separation of the posterior stroma from the pre-Descemet’s layer without air injection. This manoeuvre provides dual benefits of tectonic stromal thickening and plane creation, reducing the risk of Descemet’s membrane perforation and conversion to repeat PK. The intraoperative fluid wave and OCT confirmation provide objective indicators of successful separation, supporting this endothelial-preserving alternative to repeat PK in selected cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 416
    },
    {
      "uid": "POCOR088",
      "abstract_number": "POCOR088",
      "title": "Endogenous Endophthalmitis Secondary To Liver Abscess: Diagnostic And Therapeutic Challenges",
      "authors": "Dr Iryna Lahorzhevska",
      "presenter": "Dr Iryna Lahorzhevska",
      "normalized_authors": [
        "Iryna Lahorzhevska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iryna Lahorzhevska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To report a clinical case of endogenous endophthalmitis secondary to liver abscess and emphasize the importance of early systemic evaluation and multidisciplinary management in patients presenting with severe intraocular inflammation.",
        "Setting": "Department of Ophthalmology, Vinnytsia Regional Clinical Hospital named after M.I. Pirogov, Vinnytsia, Ukraine. Multidisciplinary management involving ophthalmologists and general surgeons.",
        "Methods": "A patient presented with acute ocular pain, redness, and rapid visual deterioration. Ophthalmic examination revealed severe intraocular inflammation consistent with endogenous endophthalmitis. Further systemic evaluation identified a liver abscess as the primary infectious focus. The patient underwent surgical drainage of the liver abscess. Intravitreal antibiotic therapy with vancomycin was administered along with systemic antibacterial treatment. Multidisciplinary management was initiated involving ophthalmologists and general surgeons. Prompt identification of the systemic infection allowed early targeted treatment and control of the infectious process.",
        "Conclusions": "Endogenous endophthalmitis is a rare but vision-threatening condition that may occur secondary to systemic infections such as liver abscess. Early diagnosis, prompt intravitreal antibiotic therapy, and management of the primary infectious focus are essential for improving both ocular and systemic outcomes. Ophthalmologists should consider systemic infectious sources when evaluating patients with severe intraocular inflammation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Endogenous endophthalmitis is a rare but vision-threatening condition that may occur secondary to systemic infections such as liver abscess. Early diagnosis, prompt intravitreal antibiotic therapy, and management of the primary infectious focus are essential for improving both ocular and systemic outcomes. Ophthalmologists should consider systemic infectious sources when evaluating patients with severe intraocular…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 779,
      "source_fields": {
        "Abstract Final Identifier": "POCOR088",
        "Title": "Endogenous Endophthalmitis Secondary To Liver Abscess: Diagnostic And Therapeutic Challenges",
        "Presenting Author(s)": "Dr Iryna Lahorzhevska",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Iryna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lahorzhevska",
        "Country Name": "Ukraine",
        "Purpose": "To report a clinical case of endogenous endophthalmitis secondary to liver abscess and emphasize the importance of early systemic evaluation and multidisciplinary management in patients presenting with severe intraocular inflammation.",
        "Setting": "Department of Ophthalmology, Vinnytsia Regional Clinical Hospital named after M.I. Pirogov, Vinnytsia, Ukraine. Multidisciplinary management involving ophthalmologists and general surgeons.",
        "Methods": "A patient presented with acute ocular pain, redness, and rapid visual deterioration. Ophthalmic examination revealed severe intraocular inflammation consistent with endogenous endophthalmitis. Further systemic evaluation identified a liver abscess as the primary infectious focus. The patient underwent surgical drainage of the liver abscess. Intravitreal antibiotic therapy with vancomycin was administered along with systemic antibacterial treatment. Multidisciplinary management was initiated involving ophthalmologists and general surgeons. Prompt identification of the systemic infection allowed early targeted treatment and control of the infectious process.",
        "Results": "",
        "Conclusions": "Endogenous endophthalmitis is a rare but vision-threatening condition that may occur secondary to systemic infections such as liver abscess. Early diagnosis, prompt intravitreal antibiotic therapy, and management of the primary infectious focus are essential for improving both ocular and systemic outcomes. Ophthalmologists should consider systemic infectious sources when evaluating patients with severe intraocular inflammation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 185
    },
    {
      "uid": "POCOR089",
      "abstract_number": "POCOR089",
      "title": "Retrocorneal Membrane After Penetrating Keratoplasty: Clinicopathologic Correlation And Long-Term Surgical Outcomes",
      "authors": "Dr Pablo Larco Jr.",
      "presenter": "Dr Pablo Larco Jr.",
      "normalized_authors": [
        "Pablo Larco Jr."
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Larco Jr.",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ecuador",
      "sections": {
        "Purpose": "To describe the diagnostic approach, histopathologic origin, and surgical management of a late retrocorneal membrane (RCM) following penetrating keratoplasty (PKP), and to evaluate long-term anatomical and visual outcomes after complete excision combined with repeat PKP. The report highlights the role of anterior segment OCT for early recognition, the value of immunohistochemistry in differentiating endothelial–mesenchymal transformation from epithelial downgrowth, and the importance of tailored surgical planning in eyes with graft decompensation caused by dense adherent membranes.",
        "Setting": "Institutional case report performed at a tertiary referral cornea center (Oftalmocenter and Clínica de Ojos Larco Visión, Quito, Ecuador). Multimodal imaging, microsurgical management, and histopathologic and immunohistochemical analysis were carried out with long-term postoperative follow-up.",
        "Methods": "An 80-year-old pseudophakic woman presented with progressive visual loss in her left eye two years after PKP performed for pseudophakic bullous keratopathy. Best-corrected visual acuity was 20/400. Slit-lamp examination showed a dense retrocorneal opacity associated with stromal edema and a clear anterior chamber. Intraocular pressure was 18 mm Hg. Anterior segment OCT revealed a continuous hyperreflective membrane posterior to the graft with central pachymetry of 604 µm. Specular microscopy showed an endothelial cell density of 490 cells/mm². Due to poor visual prognosis and graft failure, repeat PKP was performed. After host trephination, viscodissection allowed identification of a thick, elastic, and firmly adherent membrane, which was completely removed using manual peeling. A new donor cornea, slightly oversized, was secured with interrupted 10-0 nylon sutures. Histopathology demonstrated fibrocellular proliferation with spindle-shaped cells embedded in a collagenous matrix. Immunohistochemistry was positive for α-smooth muscle actin and vimentin and negative for CK7, confirming endothelial–mesenchymal transformation as the underlying mechanism. Postoperatively, the graft remained clear without recurrence or rejection. At 48 months, BCVA improved to 20/40 with stable intraocular pressure.",
        "Conclusions": "Retrocorneal membrane is a rare but vision-threatening late complication after PKP that may lead to graft failure. Slit-lamp biomicroscopy supported by anterior segment OCT enables accurate diagnosis and surgical planning. Immunohistochemistry is essential to determine the cellular origin and exclude epithelial downgrowth. In cases of dense and adherent membranes, meticulous excision combined with repeat PKP provides excellent long-term graft clarity and significant visual recovery. Early recognition and complete removal are key to preventing recurrence and optimizing outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Retrocorneal membrane is a rare but vision-threatening late complication after PKP that may lead to graft failure. Slit-lamp biomicroscopy supported by anterior segment OCT enables accurate diagnosis and surgical planning. Immunohistochemistry is essential to determine the cellular origin and exclude epithelial downgrowth. In cases of dense and adherent membranes, meticulous excision combined with repeat PKP…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 780,
      "source_fields": {
        "Abstract Final Identifier": "POCOR089",
        "Title": "Retrocorneal Membrane After Penetrating Keratoplasty: Clinicopathologic Correlation And Long-Term Surgical Outcomes",
        "Presenting Author(s)": "Dr Pablo Larco Jr.",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Larco Jr.",
        "Country Name": "Ecuador",
        "Purpose": "To describe the diagnostic approach, histopathologic origin, and surgical management of a late retrocorneal membrane (RCM) following penetrating keratoplasty (PKP), and to evaluate long-term anatomical and visual outcomes after complete excision combined with repeat PKP. The report highlights the role of anterior segment OCT for early recognition, the value of immunohistochemistry in differentiating endothelial–mesenchymal transformation from epithelial downgrowth, and the importance of tailored surgical planning in eyes with graft decompensation caused by dense adherent membranes.",
        "Setting": "Institutional case report performed at a tertiary referral cornea center (Oftalmocenter and Clínica de Ojos Larco Visión, Quito, Ecuador). Multimodal imaging, microsurgical management, and histopathologic and immunohistochemical analysis were carried out with long-term postoperative follow-up.",
        "Methods": "An 80-year-old pseudophakic woman presented with progressive visual loss in her left eye two years after PKP performed for pseudophakic bullous keratopathy. Best-corrected visual acuity was 20/400. Slit-lamp examination showed a dense retrocorneal opacity associated with stromal edema and a clear anterior chamber. Intraocular pressure was 18 mm Hg. Anterior segment OCT revealed a continuous hyperreflective membrane posterior to the graft with central pachymetry of 604 µm. Specular microscopy showed an endothelial cell density of 490 cells/mm². Due to poor visual prognosis and graft failure, repeat PKP was performed. After host trephination, viscodissection allowed identification of a thick, elastic, and firmly adherent membrane, which was completely removed using manual peeling. A new donor cornea, slightly oversized, was secured with interrupted 10-0 nylon sutures. Histopathology demonstrated fibrocellular proliferation with spindle-shaped cells embedded in a collagenous matrix. Immunohistochemistry was positive for α-smooth muscle actin and vimentin and negative for CK7, confirming endothelial–mesenchymal transformation as the underlying mechanism. Postoperatively, the graft remained clear without recurrence or rejection. At 48 months, BCVA improved to 20/40 with stable intraocular pressure.",
        "Results": "",
        "Conclusions": "Retrocorneal membrane is a rare but vision-threatening late complication after PKP that may lead to graft failure. Slit-lamp biomicroscopy supported by anterior segment OCT enables accurate diagnosis and surgical planning. Immunohistochemistry is essential to determine the cellular origin and exclude epithelial downgrowth. In cases of dense and adherent membranes, meticulous excision combined with repeat PKP provides excellent long-term graft clarity and significant visual recovery. Early recognition and complete removal are key to preventing recurrence and optimizing outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POCOR090",
      "abstract_number": "POCOR090",
      "title": "Back To The Basics: When Structure Is The Goal",
      "authors": "Dr Martina Larroude",
      "presenter": "Dr Martina Larroude",
      "normalized_authors": [
        "Martina Larroude"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Martina Larroude",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The aim of this case report is to emphasize the priority of globe preservation in cases of extreme ocular trauma, advocating for primary repair over enucleation regardless the almost nil initial visual prognosis. The report highlights that a conscientious surgical technique and full commitment to anatomical restoration are essential to provide the best possible long-term structural outcome.",
        "Setting": "Clinical case reported at a tertiary level hospital, Hospital Dr. Josep Trueta, Girona, Spain.",
        "Methods": "We report the case of a 67-year-old female who presented to Emergency Department with a severe ocular trauma in her right eye. The injury, caused by a bungee cord, resulted in a 6-hour-clock esclerocorneal rupture. Clinical examination revealed significant uveal tissue prolapse (exposure); a total hyphema was present, with no discernible iris details or posterior segment structures, and collapsed anterior chamber with loss of its architecture. (Photo 1-2)\n\nThe visual acuity (VA) was limited to light perception (LP) with incorrect projection. And intraocular pressure (IOP) of 5mmHg.\n\nThe patient underwent emergency surgical repair involving meticulous wound debridement and primary suturing of the sclera and cornea.\n\nAn exploratory surgery was performed with a near-360-degree peritomy to ensure complete visualization of the laceration.\n\nSurgery was performed with tissue repositioning and maximal tissue preservation. Special care was taken to avoid excessive tension or globe deformities that could lead to wound dehiscence, a positive Seidel test, or dellen formation in the postoperative period. As well as subsequent conjunctival suturing to prevent scleral exposure that could lead to granuloma formation. (Photo 3)\n\nAt the two-month follow-up , the globe remains completely watertight with no structural deformities . (Photo 4-5) Intraocular pressure (IOP) has remained stable, averaging 10 mmHg , and the patient maintains good light projection .",
        "Conclusions": "Open globe injuries remain a leading cause of monocular blindness. Prompt surgical intervention is crucial to preserve visual function , if possible, or at least the organ structure and prevent complications such as endophthalmitis.\n\nIn today’s world of multifocality and the daily pursuit of 20/20 vision, we wish to emphasize the importance of performing every surgery with absolute diligence, regardless of a guarded visual prognosis . In such extreme cases, the goal should extend beyond merely achieving a watertight globe; it must include the maximal preservation of tissue, structure, and form, which ultimately ensures the best possible long-term outcome for these patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Open globe injuries remain a leading cause of monocular blindness. Prompt surgical intervention is crucial to preserve visual function , if possible, or at least the organ structure and prevent complications such as endophthalmitis. In today’s world of multifocality and the daily pursuit of 20/20 vision, we wish to emphasize the importance of performing every surgery with absolute diligence, regardless of a guarded…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 781,
      "source_fields": {
        "Abstract Final Identifier": "POCOR090",
        "Title": "Back To The Basics: When Structure Is The Goal",
        "Presenting Author(s)": "Dr Martina Larroude",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Martina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Larroude",
        "Country Name": "Spain",
        "Purpose": "The aim of this case report is to emphasize the priority of globe preservation in cases of extreme ocular trauma, advocating for primary repair over enucleation regardless the almost nil initial visual prognosis. The report highlights that a conscientious surgical technique and full commitment to anatomical restoration are essential to provide the best possible long-term structural outcome.",
        "Setting": "Clinical case reported at a tertiary level hospital, Hospital Dr. Josep Trueta, Girona, Spain.",
        "Methods": "We report the case of a 67-year-old female who presented to Emergency Department with a severe ocular trauma in her right eye. The injury, caused by a bungee cord, resulted in a 6-hour-clock esclerocorneal rupture. Clinical examination revealed significant uveal tissue prolapse (exposure); a total hyphema was present, with no discernible iris details or posterior segment structures, and collapsed anterior chamber with loss of its architecture. (Photo 1-2)\n\nThe visual acuity (VA) was limited to light perception (LP) with incorrect projection. And intraocular pressure (IOP) of 5mmHg.\n\nThe patient underwent emergency surgical repair involving meticulous wound debridement and primary suturing of the sclera and cornea.\n\nAn exploratory surgery was performed with a near-360-degree peritomy to ensure complete visualization of the laceration.\n\nSurgery was performed with tissue repositioning and maximal tissue preservation. Special care was taken to avoid excessive tension or globe deformities that could lead to wound dehiscence, a positive Seidel test, or dellen formation in the postoperative period. As well as subsequent conjunctival suturing to prevent scleral exposure that could lead to granuloma formation. (Photo 3)\n\nAt the two-month follow-up , the globe remains completely watertight with no structural deformities . (Photo 4-5) Intraocular pressure (IOP) has remained stable, averaging 10 mmHg , and the patient maintains good light projection .",
        "Results": "",
        "Conclusions": "Open globe injuries remain a leading cause of monocular blindness. Prompt surgical intervention is crucial to preserve visual function , if possible, or at least the organ structure and prevent complications such as endophthalmitis.\n\nIn today’s world of multifocality and the daily pursuit of 20/20 vision, we wish to emphasize the importance of performing every surgery with absolute diligence, regardless of a guarded visual prognosis . In such extreme cases, the goal should extend beyond merely achieving a watertight globe; it must include the maximal preservation of tissue, structure, and form, which ultimately ensures the best possible long-term outcome for these patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "POCOR091",
      "abstract_number": "POCOR091",
      "title": "A Fatal Case Of Multidrug-Resistant Pseudomonas Aeruginosa Keratitis With Systemic Dissemination",
      "authors": "Dr Si Jin Vanessa Jin Lee",
      "presenter": "Dr Si Jin Vanessa Jin Lee",
      "normalized_authors": [
        "Si Jin Vanessa Jin Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Si Jin Vanessa Jin Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "This case report outlines the clinical progression and management of a rapidly advancing pan-resistant Pseudomonas aeruginosa bacterial keratitis. Such infections are particularly difficult to treat due to limited topical or systemic antibiotics with effective ocular penetration against these highly resistant organisms.",
        "Setting": "Pseudomonas aeruginosa keratitis is a rapidly progressive infection that may result in corneal melting and perforation within days. Treatment typically involves intensive topical therapy with fluoroquinolones or aminoglycosides. However, increasing antimicrobial resistance has reduced the effectiveness of many commonly used agents. The rise of pan-resistant strains causing keratitis is concerning due to paucity of effective topical and systemic medications.",
        "Methods": "A 71-year-old bedbound, non-communicative Chinese man was admitted for a mucocutaneous flare of pemphigus vulgaris. His ocular history included right eye end-stage glaucoma and cataract, and bilateral exposure keratopathy secondary to lagophthalmos. He was referred for evaluation of a white corneal lesion in the right eye. Examination revealed a mucopurulent infiltrate involving approximately 20% of the cornea with limbal extension. Visual acuity could not be assessed. Intraocular pressure was 17 mmHg.\n\nCorneal scrapings were obtained and intensive hourly fortified cefazolin and gentamicin, topical atropine, and oral ciprofloxacin were initiated. Owing to lack of response, topical levofloxacin was added. Despite treatment with three classes of broad-spectrum topical antibiotics, the infiltrate enlarged. On day 6, cultures grew pan-resistant Pseudomonas aeruginosa, resistant to fluoroquinolones, carbapenems, cephalosporins, and monobactams, with only intermediate susceptibility to polymyxin B. Topical polymyxin B was commenced hourly, but his cornea infiltrate continued to worsen. He subsequently developed pan-resistant pseudomonas bacteremia and septic shock. His ocular and systemic condition continued to deteriorate, and he died on day 13 despite aggressive therapy.",
        "Conclusions": "Pan-resistant Pseudomonas aeruginosa keratitis is uncommon but highly difficult to manage. Most reported cases occur in patients with systemic risk factors such as leukemia, Stevens–Johnson syndrome, diabetes, or ocular risk factors like contact lens wear, prior keratoplasty, topical steroids. When conventional therapy fails, agents such as meropenem, colistin, or polymyxin B may be considered, though further studies are needed to establish their safety and efficacy. This case highlights the critical importance of antimicrobial stewardship and responsible antibiotic use to prevent the emergence and spread of multidrug-resistant organisms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Pan-resistant Pseudomonas aeruginosa keratitis is uncommon but highly difficult to manage. Most reported cases occur in patients with systemic risk factors such as leukemia, Stevens–Johnson syndrome, diabetes, or ocular risk factors like contact lens wear, prior keratoplasty, topical steroids. When conventional therapy fails, agents such as meropenem, colistin, or polymyxin B may be considered, though further…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 782,
      "source_fields": {
        "Abstract Final Identifier": "POCOR091",
        "Title": "A Fatal Case Of Multidrug-Resistant Pseudomonas Aeruginosa Keratitis With Systemic Dissemination",
        "Presenting Author(s)": "Dr Si Jin Vanessa Jin Lee",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Si Jin Vanessa",
        "Submitter Middle Name": "Jin",
        "Submitter Last Name": "Lee",
        "Country Name": "Singapore",
        "Purpose": "This case report outlines the clinical progression and management of a rapidly advancing pan-resistant Pseudomonas aeruginosa bacterial keratitis. Such infections are particularly difficult to treat due to limited topical or systemic antibiotics with effective ocular penetration against these highly resistant organisms.",
        "Setting": "Pseudomonas aeruginosa keratitis is a rapidly progressive infection that may result in corneal melting and perforation within days. Treatment typically involves intensive topical therapy with fluoroquinolones or aminoglycosides. However, increasing antimicrobial resistance has reduced the effectiveness of many commonly used agents. The rise of pan-resistant strains causing keratitis is concerning due to paucity of effective topical and systemic medications.",
        "Methods": "A 71-year-old bedbound, non-communicative Chinese man was admitted for a mucocutaneous flare of pemphigus vulgaris. His ocular history included right eye end-stage glaucoma and cataract, and bilateral exposure keratopathy secondary to lagophthalmos. He was referred for evaluation of a white corneal lesion in the right eye. Examination revealed a mucopurulent infiltrate involving approximately 20% of the cornea with limbal extension. Visual acuity could not be assessed. Intraocular pressure was 17 mmHg.\n\nCorneal scrapings were obtained and intensive hourly fortified cefazolin and gentamicin, topical atropine, and oral ciprofloxacin were initiated. Owing to lack of response, topical levofloxacin was added. Despite treatment with three classes of broad-spectrum topical antibiotics, the infiltrate enlarged. On day 6, cultures grew pan-resistant Pseudomonas aeruginosa, resistant to fluoroquinolones, carbapenems, cephalosporins, and monobactams, with only intermediate susceptibility to polymyxin B. Topical polymyxin B was commenced hourly, but his cornea infiltrate continued to worsen. He subsequently developed pan-resistant pseudomonas bacteremia and septic shock. His ocular and systemic condition continued to deteriorate, and he died on day 13 despite aggressive therapy.",
        "Results": "",
        "Conclusions": "Pan-resistant Pseudomonas aeruginosa keratitis is uncommon but highly difficult to manage. Most reported cases occur in patients with systemic risk factors such as leukemia, Stevens–Johnson syndrome, diabetes, or ocular risk factors like contact lens wear, prior keratoplasty, topical steroids. When conventional therapy fails, agents such as meropenem, colistin, or polymyxin B may be considered, though further studies are needed to establish their safety and efficacy. This case highlights the critical importance of antimicrobial stewardship and responsible antibiotic use to prevent the emergence and spread of multidrug-resistant organisms."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "POCOR092",
      "abstract_number": "POCOR092",
      "title": "A Novel Surgical Option In The Armamentarium Against A Challenging Foe: Minimally Invasive, Indirect, Corneal Neurotisation Using An Ipsilateral Sural Nerve Autograft For Neurotrophic Keratopathy",
      "authors": "Brendon Lee",
      "presenter": "Brendon Lee",
      "normalized_authors": [
        "Brendon Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brendon Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "Neurotrophic keratopathy is a degenerative disease of corneal nerves leading to corneal hypoesthesia and anaesthesia. The resultant progressive visual deterioration is refractory to conventional treatment options. Corneal neurotisation represents a novel and effective surgical procedure that directly targets the underlying pathophysiology by stimulating corneal nerve growth.",
        "Setting": "We present the outcomes, surgical video, and in-vivo confocal microscopy (IVCM) findings of a 11-year-old boy diagnosed with Mackie Stage 1 neurotrophic keratopathy following intracranial surgery.",
        "Methods": "He had developed recurrent red eye and microbial keratitis and ulceration secondary to foreign bodies sustained during contact sports. At presentation, he reported photophobia and dry eye symptoms, corrected-distance visual acuity was 6/18, Cochet-Bonnet aesthesiometer demonstrated reduced corneal sensation (5-15mm), Schirmer’s I test was 15mm, and IVCM showed a complete absence of a subepithelial corneal plexus.\n\nHe underwent indirect, minimally invasive, corneal neurotisation using a sural nerve autograft with end-to-end coaptation to the ipsilateral supratrochlear nerve. Subjective improvement in corneal sensation was noticed at 2 months, while objective improvement was first observed at 6 months with steady progress to 20-35mm by 21 months. His symptoms resolved and Schirmer’s I test was 30mm at 12 months. At 15 months, corrected-distance visual acuity was 6/5 and IVCM showed evidence of nerves in the subepithelial space surrounded by keratocytes. He had no further corneal complications over 4 years of follow-up.",
        "Conclusions": "Corneal neurotisation represents an exciting development in the armamentarium for the treatment of neurotrophic keratopathy and can be considered for younger patients with early-stage disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Corneal neurotisation represents an exciting development in the armamentarium for the treatment of neurotrophic keratopathy and can be considered for younger patients with early-stage disease.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 783,
      "source_fields": {
        "Abstract Final Identifier": "POCOR092",
        "Title": "A Novel Surgical Option In The Armamentarium Against A Challenging Foe: Minimally Invasive, Indirect, Corneal Neurotisation Using An Ipsilateral Sural Nerve Autograft For Neurotrophic Keratopathy",
        "Presenting Author(s)": "Brendon Lee",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Brendon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Australia",
        "Purpose": "Neurotrophic keratopathy is a degenerative disease of corneal nerves leading to corneal hypoesthesia and anaesthesia. The resultant progressive visual deterioration is refractory to conventional treatment options. Corneal neurotisation represents a novel and effective surgical procedure that directly targets the underlying pathophysiology by stimulating corneal nerve growth.",
        "Setting": "We present the outcomes, surgical video, and in-vivo confocal microscopy (IVCM) findings of a 11-year-old boy diagnosed with Mackie Stage 1 neurotrophic keratopathy following intracranial surgery.",
        "Methods": "He had developed recurrent red eye and microbial keratitis and ulceration secondary to foreign bodies sustained during contact sports. At presentation, he reported photophobia and dry eye symptoms, corrected-distance visual acuity was 6/18, Cochet-Bonnet aesthesiometer demonstrated reduced corneal sensation (5-15mm), Schirmer’s I test was 15mm, and IVCM showed a complete absence of a subepithelial corneal plexus.\n\nHe underwent indirect, minimally invasive, corneal neurotisation using a sural nerve autograft with end-to-end coaptation to the ipsilateral supratrochlear nerve. Subjective improvement in corneal sensation was noticed at 2 months, while objective improvement was first observed at 6 months with steady progress to 20-35mm by 21 months. His symptoms resolved and Schirmer’s I test was 30mm at 12 months. At 15 months, corrected-distance visual acuity was 6/5 and IVCM showed evidence of nerves in the subepithelial space surrounded by keratocytes. He had no further corneal complications over 4 years of follow-up.",
        "Results": "",
        "Conclusions": "Corneal neurotisation represents an exciting development in the armamentarium for the treatment of neurotrophic keratopathy and can be considered for younger patients with early-stage disease."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCOR093",
      "abstract_number": "POCOR093",
      "title": "A Rare Case Of Refractory Staphylococcus Hominis Endophthalmitis Following Cataract Surgery",
      "authors": "Dr Issac Levy",
      "presenter": "Dr Issac Levy",
      "normalized_authors": [
        "Issac Levy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Issac Levy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report an unusual case of delayed-onset, refractory endophthalmitis caused by Staphylococcus hominis following uncomplicated cataract surgery, characterized by recurrent anterior chamber hypopyon and corneal infiltration requiring tectonic keratoplasty for definitive management.",
        "Setting": "Sussex Eye Hospital, Brighton, UK",
        "Methods": "A 74-year-old underwent uncomplicated phacoemulsification with intraocular lens implantation, achieving 6/6 vision at one month postoperatively. The patient subsequently developed acute vision loss with clinical endophthalmitis. Despite multiple interventions, including vitreous tap, two pars plana vitrectomies, intravitreal antibiotics, and intensive topical therapy, the infection persisted for 5 months, with recurrent corneal wound infiltration and hypopyon. All initial vitreous and aqueous cultures remained negative. Following referral to our center, sequential anterior chamber washes, corneal biopsies, and intracameral antibiotics were performed. Staphylococcus hominis was eventually isolated from corneal sampling.\n\nAfter identification of S. hominis, treatment was converted to systemic linezolid and intensive topical vancomycin. Given persistent corneal involvement despite maximal medical therapy, a superior 6mm tectonic keratoplasty was performed. Following this definitive surgical intervention combined with targeted antimicrobial therapy, the infection was successfully controlled, and intraocular inflammation was completely resolved.",
        "Conclusions": "This is the first reported case of S. hominis endophthalmitis presenting with recurrent anterior chamber hypopyon and corneal involvement despite broad-spectrum antibiotic treatment, which was successfully treated with tectonic keratoplasty. The case highlights that S. hominis should be considered in persistent postoperative endophthalmitis, and that tectonic keratoplasty may be required for definitive source control when medical therapy fails to eradicate ongoing infection and inflammation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This is the first reported case of S. hominis endophthalmitis presenting with recurrent anterior chamber hypopyon and corneal involvement despite broad-spectrum antibiotic treatment, which was successfully treated with tectonic keratoplasty. The case highlights that S. hominis should be considered in persistent postoperative endophthalmitis, and that tectonic keratoplasty may be required for definitive source…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 784,
      "source_fields": {
        "Abstract Final Identifier": "POCOR093",
        "Title": "A Rare Case Of Refractory Staphylococcus Hominis Endophthalmitis Following Cataract Surgery",
        "Presenting Author(s)": "Dr Issac Levy",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Issac",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Levy",
        "Country Name": "United Kingdom",
        "Purpose": "To report an unusual case of delayed-onset, refractory endophthalmitis caused by Staphylococcus hominis following uncomplicated cataract surgery, characterized by recurrent anterior chamber hypopyon and corneal infiltration requiring tectonic keratoplasty for definitive management.",
        "Setting": "Sussex Eye Hospital, Brighton, UK",
        "Methods": "A 74-year-old underwent uncomplicated phacoemulsification with intraocular lens implantation, achieving 6/6 vision at one month postoperatively. The patient subsequently developed acute vision loss with clinical endophthalmitis. Despite multiple interventions, including vitreous tap, two pars plana vitrectomies, intravitreal antibiotics, and intensive topical therapy, the infection persisted for 5 months, with recurrent corneal wound infiltration and hypopyon. All initial vitreous and aqueous cultures remained negative. Following referral to our center, sequential anterior chamber washes, corneal biopsies, and intracameral antibiotics were performed. Staphylococcus hominis was eventually isolated from corneal sampling.\n\nAfter identification of S. hominis, treatment was converted to systemic linezolid and intensive topical vancomycin. Given persistent corneal involvement despite maximal medical therapy, a superior 6mm tectonic keratoplasty was performed. Following this definitive surgical intervention combined with targeted antimicrobial therapy, the infection was successfully controlled, and intraocular inflammation was completely resolved.",
        "Results": "",
        "Conclusions": "This is the first reported case of S. hominis endophthalmitis presenting with recurrent anterior chamber hypopyon and corneal involvement despite broad-spectrum antibiotic treatment, which was successfully treated with tectonic keratoplasty. The case highlights that S. hominis should be considered in persistent postoperative endophthalmitis, and that tectonic keratoplasty may be required for definitive source control when medical therapy fails to eradicate ongoing infection and inflammation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCOR094",
      "abstract_number": "POCOR094",
      "title": "Salvaging A Ruptured Graft In Descemet's Membrane Endothelial Keratoplasty（Dmek） Surgery By Sequential Implantation And In-Situ Apposition: A Clever Technical Modification",
      "authors": "Dr Shaowei Li",
      "presenter": "Dr Shaowei Li",
      "normalized_authors": [
        "Shaowei Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ling Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To demonstrate an innovative technique for managing an unintended rupture of the DMEK graft into two unequal parts.",
        "Setting": "This case report was conducted at the Department of Cornea, Beijing Aier-Intech Eye Hospital China",
        "Methods": "A 36-year-old male with Fuchs' endothelial corneal dystrophy and corneal decompensation in the right eye. Preoperative best-corrected visual acuity was unmeasurable, with a central corneal thickness of 6 61 µm and an endothelial cell density of 462 cells/mm². During graft preparation, the donor tissue accidentally ruptured into two unequal parts (approximately 5/6 and 1/6).\n\nInstead of aborting the procedure, we employed a sequential implantation technique. The larger graft (5/6) was first implanted, positioned, and allowed to adhere for 5 minutes under an air bubble. After partial air removal confirmed its stability, the smaller graft (1/6) was implanted and meticulously manipulated to achieve near-perfect in-situ apposition with the edges of the larger graft. A final air bubble was injected to secure the composite graft.\n\nThe surgery was successfully completed. On postoperative 6mon, the patient's corrected visual acuity improved to 0.5, with an intraocular pressure of 12mmHg. Significant corneal clearance and stable graft attachment were observed.",
        "Conclusions": "Graft rupture during DMEK is not a terminal event. The demonstrated technique of sequential implantation and in-situ apposition is an effective, reliable, and innovative solution that successfully utilizes the ruptured graft, avoids donor tissue waste, and achieves favorable visual outcomes. This technique is worthy of dissemination among corneal surgeons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Graft rupture during DMEK is not a terminal event. The demonstrated technique of sequential implantation and in-situ apposition is an effective, reliable, and innovative solution that successfully utilizes the ruptured graft, avoids donor tissue waste, and achieves favorable visual outcomes. This technique is worthy of dissemination among corneal surgeons.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 785,
      "source_fields": {
        "Abstract Final Identifier": "POCOR094",
        "Title": "Salvaging A Ruptured Graft In Descemet's Membrane Endothelial Keratoplasty（Dmek） Surgery By Sequential Implantation And In-Situ Apposition: A Clever Technical Modification",
        "Presenting Author(s)": "Dr Shaowei Li",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ling",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To demonstrate an innovative technique for managing an unintended rupture of the DMEK graft into two unequal parts.",
        "Setting": "This case report was conducted at the Department of Cornea, Beijing Aier-Intech Eye Hospital China",
        "Methods": "A 36-year-old male with Fuchs' endothelial corneal dystrophy and corneal decompensation in the right eye. Preoperative best-corrected visual acuity was unmeasurable, with a central corneal thickness of 6 61 µm and an endothelial cell density of 462 cells/mm². During graft preparation, the donor tissue accidentally ruptured into two unequal parts (approximately 5/6 and 1/6).\n\nInstead of aborting the procedure, we employed a sequential implantation technique. The larger graft (5/6) was first implanted, positioned, and allowed to adhere for 5 minutes under an air bubble. After partial air removal confirmed its stability, the smaller graft (1/6) was implanted and meticulously manipulated to achieve near-perfect in-situ apposition with the edges of the larger graft. A final air bubble was injected to secure the composite graft.\n\nThe surgery was successfully completed. On postoperative 6mon, the patient's corrected visual acuity improved to 0.5, with an intraocular pressure of 12mmHg. Significant corneal clearance and stable graft attachment were observed.",
        "Results": "",
        "Conclusions": "Graft rupture during DMEK is not a terminal event. The demonstrated technique of sequential implantation and in-situ apposition is an effective, reliable, and innovative solution that successfully utilizes the ruptured graft, avoids donor tissue waste, and achieves favorable visual outcomes. This technique is worthy of dissemination among corneal surgeons."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCOR095",
      "abstract_number": "POCOR095",
      "title": "Combined Use Of Insulin Eye Drops And Cross-Linked Hyaluronic Acid Canalicular Gel For The Management Of Severe Neurotrophic Keratopathy",
      "authors": "Dr Filippo Lixi",
      "presenter": "Dr Filippo Lixi",
      "normalized_authors": [
        "Filippo Lixi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Filippo Lixi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "This case aimed at reporting the successful outcomes of a severe recalcitrant NK treated with 2-month course of insulin eye drops combined with the insertion of cross-linked HA canalicular gel.",
        "Setting": "Single-center, case report conducted at the Complex Ophthalmology Unit, University Hospital of Cagliari (Cagliari, Italy).",
        "Methods": "A 52-year-old male presented with a recalcitrant Mackie stage III post-herpetic NK in the right eye, characterized by a large PED (area of 49.7 mm²), central stromal melting, corneal anaesthesia, and neovascularization. Best-corrected visual acuity (BCVA) was reduced to hand movements. Treatment planning included the withdrawal of previous therapies and the initiation of topical insulin (1 unit/mL, 4 times daily) combined with the insertion in the lower punctum of cross-linked hyaluronic acid canalicular gel (Lacrifill, Nordic Pharma, Inc., Berwyn, PA, US) to enhance ocular surface drug retention. In the following follow-up visits, PED area reduced progressively to 19.6 mm² at 2 weeks and 4.4 mm² at 4 weeks. Complete re-epithelialization was achieved at 8 weeks. In parallel, BCVA improved to 1.8 logMAR. No adverse events were reported.",
        "Conclusions": "The combined use of topical insulin and cross-linked hyaluronic acid canalicular gel allowed to achieve complete corneal healing in a case of severe recalcitrant NK complicated by corneal melting. The regenerative properties of insulin eye drops were enhanced by the concomitant insertion of the occlusive device. This approach represents a rational, accessible, and well-tolerated therapeutic strategy that warrants further evaluation in prospective controlled studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The combined use of topical insulin and cross-linked hyaluronic acid canalicular gel allowed to achieve complete corneal healing in a case of severe recalcitrant NK complicated by corneal melting. The regenerative properties of insulin eye drops were enhanced by the concomitant insertion of the occlusive device. This approach represents a rational, accessible, and well-tolerated therapeutic strategy that warrants…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 786,
      "source_fields": {
        "Abstract Final Identifier": "POCOR095",
        "Title": "Combined Use Of Insulin Eye Drops And Cross-Linked Hyaluronic Acid Canalicular Gel For The Management Of Severe Neurotrophic Keratopathy",
        "Presenting Author(s)": "Dr Filippo Lixi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Filippo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lixi",
        "Country Name": "Italy",
        "Purpose": "This case aimed at reporting the successful outcomes of a severe recalcitrant NK treated with 2-month course of insulin eye drops combined with the insertion of cross-linked HA canalicular gel.",
        "Setting": "Single-center, case report conducted at the Complex Ophthalmology Unit, University Hospital of Cagliari (Cagliari, Italy).",
        "Methods": "A 52-year-old male presented with a recalcitrant Mackie stage III post-herpetic NK in the right eye, characterized by a large PED (area of 49.7 mm²), central stromal melting, corneal anaesthesia, and neovascularization. Best-corrected visual acuity (BCVA) was reduced to hand movements. Treatment planning included the withdrawal of previous therapies and the initiation of topical insulin (1 unit/mL, 4 times daily) combined with the insertion in the lower punctum of cross-linked hyaluronic acid canalicular gel (Lacrifill, Nordic Pharma, Inc., Berwyn, PA, US) to enhance ocular surface drug retention. In the following follow-up visits, PED area reduced progressively to 19.6 mm² at 2 weeks and 4.4 mm² at 4 weeks. Complete re-epithelialization was achieved at 8 weeks. In parallel, BCVA improved to 1.8 logMAR. No adverse events were reported.",
        "Results": "",
        "Conclusions": "The combined use of topical insulin and cross-linked hyaluronic acid canalicular gel allowed to achieve complete corneal healing in a case of severe recalcitrant NK complicated by corneal melting. The regenerative properties of insulin eye drops were enhanced by the concomitant insertion of the occlusive device. This approach represents a rational, accessible, and well-tolerated therapeutic strategy that warrants further evaluation in prospective controlled studies."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "POCOR096",
      "abstract_number": "POCOR096",
      "title": "Unraveling A Diagnostic Puzzle In A Patient With Rheumatoid Arthritis : Fungal Keratitis Vs Marginal Keratitis",
      "authors": "Dr Aymen Mabrouk",
      "presenter": "Dr Aymen Mabrouk",
      "normalized_authors": [
        "Aymen Mabrouk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aymen Mabrouk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "Peripheral corneal ulcers can look strikingly similar regardless of their cause, making diagnosis a genuine clinical challenge. We report a case where a patient with rheumatoid arthritis presented with features strongly mimicking fungal keratitis, yet ultimately proved to have a sterile marginal ulcer. Our goal is to illustrate how careful clinical reasoning, microbiological workup, and anterior segment OCT can together unravel a deceptive picture and prevent unnecessary antifungal treatment.",
        "Setting": "Department of Ophthalmology. A 62-year-old female patient with a 10-year history of rheumatoid arthritis, previously treated with methotrexate (self-discontinued 3 years prior), presenting with acute visual loss and ocular inflammation in the right eye.",
        "Methods": "A 62-year-old woman with rheumatoid arthritis presented with sudden visual loss and redness in the right eye. Visual acuity was limited to finger counting. Slit-lamp examination revealed severe Meibomian gland dysfunction, conjunctival hyperemia, frothy secretions, and a superior pre-limbic crescent-shaped corneal ulcer with satellite infiltrates, corneal neovascularization, and diffuse corneal edema. Anterior segment OCT demonstrated corneal thinning and endothelial plaques, raising suspicion for fungal keratitis. Corneal microbiological sampling returned negative. Based on clinical features — significant blepharitis, limbal ulcer location, shallow depth, and negative cultures — the diagnosis of marginal keratitis associated with severe dry eye syndrome was established. Treatment with lubricating eye drops and doxycycline was initiated, alongside a rheumatology referral leading to systemic corticosteroid therapy (1 mg/kg/day). At 15-day follow-up, complete ulcer healing was observed, with resolution of endothelial plaques and restoration of endothelial regularity on OCT, confirming the sterile nature of the lesion.",
        "Conclusions": "Not every corneal infiltrate tells a straightforward story — and in patients with rheumatoid arthritis, marginal keratitis can convincingly masquerade as fungal infection, even on OCT. When the clinical picture is ambiguous, a structured approach combining slit-lamp examination, microbiological sampling, and anterior segment OCT is essential. A negative culture and a favorable response to lubricating drops and doxycycline are powerful diagnostic anchors. The systemic picture must never be overlooked — and when in doubt, scrape before you treat."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Not every corneal infiltrate tells a straightforward story — and in patients with rheumatoid arthritis, marginal keratitis can convincingly masquerade as fungal infection, even on OCT. When the clinical picture is ambiguous, a structured approach combining slit-lamp examination, microbiological sampling, and anterior segment OCT is essential. A negative culture and a favorable response to lubricating drops and…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 787,
      "source_fields": {
        "Abstract Final Identifier": "POCOR096",
        "Title": "Unraveling A Diagnostic Puzzle In A Patient With Rheumatoid Arthritis : Fungal Keratitis Vs Marginal Keratitis",
        "Presenting Author(s)": "Dr Aymen Mabrouk",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Aymen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mabrouk",
        "Country Name": "Tunisia",
        "Purpose": "Peripheral corneal ulcers can look strikingly similar regardless of their cause, making diagnosis a genuine clinical challenge. We report a case where a patient with rheumatoid arthritis presented with features strongly mimicking fungal keratitis, yet ultimately proved to have a sterile marginal ulcer. Our goal is to illustrate how careful clinical reasoning, microbiological workup, and anterior segment OCT can together unravel a deceptive picture and prevent unnecessary antifungal treatment.",
        "Setting": "Department of Ophthalmology. A 62-year-old female patient with a 10-year history of rheumatoid arthritis, previously treated with methotrexate (self-discontinued 3 years prior), presenting with acute visual loss and ocular inflammation in the right eye.",
        "Methods": "A 62-year-old woman with rheumatoid arthritis presented with sudden visual loss and redness in the right eye. Visual acuity was limited to finger counting. Slit-lamp examination revealed severe Meibomian gland dysfunction, conjunctival hyperemia, frothy secretions, and a superior pre-limbic crescent-shaped corneal ulcer with satellite infiltrates, corneal neovascularization, and diffuse corneal edema. Anterior segment OCT demonstrated corneal thinning and endothelial plaques, raising suspicion for fungal keratitis. Corneal microbiological sampling returned negative. Based on clinical features — significant blepharitis, limbal ulcer location, shallow depth, and negative cultures — the diagnosis of marginal keratitis associated with severe dry eye syndrome was established. Treatment with lubricating eye drops and doxycycline was initiated, alongside a rheumatology referral leading to systemic corticosteroid therapy (1 mg/kg/day). At 15-day follow-up, complete ulcer healing was observed, with resolution of endothelial plaques and restoration of endothelial regularity on OCT, confirming the sterile nature of the lesion.",
        "Results": "",
        "Conclusions": "Not every corneal infiltrate tells a straightforward story — and in patients with rheumatoid arthritis, marginal keratitis can convincingly masquerade as fungal infection, even on OCT. When the clinical picture is ambiguous, a structured approach combining slit-lamp examination, microbiological sampling, and anterior segment OCT is essential. A negative culture and a favorable response to lubricating drops and doxycycline are powerful diagnostic anchors. The systemic picture must never be overlooked — and when in doubt, scrape before you treat."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POCOR097",
      "abstract_number": "POCOR097",
      "title": "Custard Apple Seed Epithiliopathy",
      "authors": "Dr Nishanth Madhivanan",
      "presenter": "Dr Nishanth Madhivanan",
      "normalized_authors": [
        "Nishanth Madhivanan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nishanth Madhivanan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To showcase how a native treatment of lice removal from hair with crushed custard apple seed causing dangerous epithelial toxicity",
        "Setting": "Teritiary eye care hospital in Chennai, India",
        "Methods": "This was a case of a young girl who came with bilateral total epithelial defect with no history of trauma and foreigh body injury . On further detailed questions she said she had bath with crushed custard apple seed and the eyes started to burn with vision loss",
        "Conclusions": "Prompt treatment and identificatiion of the foreigh body from the eye and correct management with BCl and medications can save the eye"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Prompt treatment and identificatiion of the foreigh body from the eye and correct management with BCl and medications can save the eye",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 788,
      "source_fields": {
        "Abstract Final Identifier": "POCOR097",
        "Title": "Custard Apple Seed Epithiliopathy",
        "Presenting Author(s)": "Dr Nishanth Madhivanan",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nishanth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Madhivanan",
        "Country Name": "India",
        "Purpose": "To showcase how a native treatment of lice removal from hair with crushed custard apple seed causing dangerous epithelial toxicity",
        "Setting": "Teritiary eye care hospital in Chennai, India",
        "Methods": "This was a case of a young girl who came with bilateral total epithelial defect with no history of trauma and foreigh body injury . On further detailed questions she said she had bath with crushed custard apple seed and the eyes started to burn with vision loss",
        "Results": "",
        "Conclusions": "Prompt treatment and identificatiion of the foreigh body from the eye and correct management with BCl and medications can save the eye"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 96
    },
    {
      "uid": "POCOR098",
      "abstract_number": "POCOR098",
      "title": "Autocorneal Transplantation And Multimodal Surgical Management For End-Stage Infectious Keratitis In A Monophthalmic Patient With Severe Ocular Surface Disease, Secondary Glaucoma And Retinal Detachment",
      "authors": "Dr Moatez Billah Mekki",
      "presenter": "Dr Moatez Billah Mekki",
      "normalized_authors": [
        "Moatez Billah Mekki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Moatez Billah Mekki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To report a challenging case of a 36-year-old monophthalmic patient with advanced juvenile glaucoma with severe ocular surface disease who developed a refractory infectious corneal ulcer leading to perforation, endophthalmitis and retinal detachement. The study highlights the role of platelet rich fibrin graft (PRF), antifungal intrastromal and intravitreal injections followed by autocorneal transplantation (autokeratoplasty) and subsequent vitreoretinal surgery as a ultimate \"salvage\" strategy when donor tissue is unavailable or high-risk.",
        "Setting": "Ibn Al Haythem Center",
        "Methods": "A 36-year-old monophthalmic male (left eye, LE), followed for juvenile glaucoma (IOP 36 mmHg), underwent trabeculectomy with adjunctive intrastromal Bevacizumab for corneal vascularization. One year postoperatively, he developed a severe infectious keratitis with hypopyon, refractory to intensive antibiotics, antifungal and dual PACK-Cross-Linking (CXL) sessions. Despite a PRF patch for perforation, a total cataract with pupillary seclusion and tractional retinal detachment (TRD) ensued. After several transplant refusals at other institutions, an autokeratoplasty (7.75mm trephine) was performed under general anesthesia. Postoperatively, the graft remained clear, allowing for a secondary 25G Pars Plana Vitrectomy (PPV) to manage the TRD. Surgical maneuvers included heavy liquid (PFCL) injection, release of peripapillary traction, and endolaser cerclage. A final procedure involved PFCL-Silicone oil (5700 cs) exchange with posterior capsulotomy. At the last follow-up (February 2026), the graft was stable, the retina was attached under silicone oil, and the patient showed significant visual improvement with controlled IOP.",
        "Conclusions": "Autokeratoplasty represents a critical salvage alternative for corneal perforation, particularly in monophthalmic patients when donor tissue is unavailable and the cornea of the blind contralateral eye remains viable for harvesting. This case demonstrates that a sequential multimodal approach—combining tectonic autografting and advanced vitreoretinal surgery—can successfully restore anatomy and useful vision in eyes previously considered lost."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Autokeratoplasty represents a critical salvage alternative for corneal perforation, particularly in monophthalmic patients when donor tissue is unavailable and the cornea of the blind contralateral eye remains viable for harvesting. This case demonstrates that a sequential multimodal approach—combining tectonic autografting and advanced vitreoretinal surgery—can successfully restore anatomy and useful vision in…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 789,
      "source_fields": {
        "Abstract Final Identifier": "POCOR098",
        "Title": "Autocorneal Transplantation And Multimodal Surgical Management For End-Stage Infectious Keratitis In A Monophthalmic Patient With Severe Ocular Surface Disease, Secondary Glaucoma And Retinal Detachment",
        "Presenting Author(s)": "Dr Moatez Billah Mekki",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Moatez Billah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mekki",
        "Country Name": "Algeria",
        "Purpose": "To report a challenging case of a 36-year-old monophthalmic patient with advanced juvenile glaucoma with severe ocular surface disease who developed a refractory infectious corneal ulcer leading to perforation, endophthalmitis and retinal detachement. The study highlights the role of platelet rich fibrin graft (PRF), antifungal intrastromal and intravitreal injections followed by autocorneal transplantation (autokeratoplasty) and subsequent vitreoretinal surgery as a ultimate \"salvage\" strategy when donor tissue is unavailable or high-risk.",
        "Setting": "Ibn Al Haythem Center",
        "Methods": "A 36-year-old monophthalmic male (left eye, LE), followed for juvenile glaucoma (IOP 36 mmHg), underwent trabeculectomy with adjunctive intrastromal Bevacizumab for corneal vascularization. One year postoperatively, he developed a severe infectious keratitis with hypopyon, refractory to intensive antibiotics, antifungal and dual PACK-Cross-Linking (CXL) sessions. Despite a PRF patch for perforation, a total cataract with pupillary seclusion and tractional retinal detachment (TRD) ensued. After several transplant refusals at other institutions, an autokeratoplasty (7.75mm trephine) was performed under general anesthesia. Postoperatively, the graft remained clear, allowing for a secondary 25G Pars Plana Vitrectomy (PPV) to manage the TRD. Surgical maneuvers included heavy liquid (PFCL) injection, release of peripapillary traction, and endolaser cerclage. A final procedure involved PFCL-Silicone oil (5700 cs) exchange with posterior capsulotomy. At the last follow-up (February 2026), the graft was stable, the retina was attached under silicone oil, and the patient showed significant visual improvement with controlled IOP.",
        "Results": "",
        "Conclusions": "Autokeratoplasty represents a critical salvage alternative for corneal perforation, particularly in monophthalmic patients when donor tissue is unavailable and the cornea of the blind contralateral eye remains viable for harvesting. This case demonstrates that a sequential multimodal approach—combining tectonic autografting and advanced vitreoretinal surgery—can successfully restore anatomy and useful vision in eyes previously considered lost."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCOR099",
      "abstract_number": "POCOR099",
      "title": "Corneal Flattening Syndrome After Crosslinking",
      "authors": "Bruna Depieri Michels",
      "presenter": "Bruna Depieri Michels",
      "normalized_authors": [
        "Bruna Depieri Michels"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bruna Depieri Michels",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To describe a case of corneal flattening syndrome following accelerated corneal crosslinking, including refractive and tomographic findings.",
        "Setting": "Corneal crosslinking (CXL) is an effective method to halt the progression of ectasia, although it is not free of complications. Following the procedure, a mean corneal flattening of approximately 1 to 1.5 diopters (D) is expected, in addition to transient corneal thinning.",
        "Methods": "A 57-year-old male patient underwent bilateral LASIK 26 years earlier and subsequently developed bilateral ectasia, more pronounced in the left eye (LE). Review of medical records revealed forme fruste keratoconus in the LE prior to LASIK. Due to documented ectasia progression, accelerated CXL (9 mW/cm² for 10 minutes) was performed in both eyes in 2018.\n\nOne year postoperatively, refraction in the right eye (RE) was −3.75 −1.50 × 90 (CDVA 20/20) and in the LE −0.50 −2.75 × 105 (CDVA 20/40). The condition remained stable, and in 2020 the patient underwent uncomplicated bilateral phacoemulsification with toric intraocular lens implantation. After cataract surgery, the RE refraction was +0.25 (CDVA 20/20).\n\nFour years after CXL in the RE, the patient reported progressive visual deterioration, with refraction changing from +0.50 (CDVA 20/25 in 2022) to +2.25 −2.00 × 90 (CDVA 20/30) in 2025. Slit-lamp examination revealed corneal haze in the RE.\n\nCorneal tomography of the RE, previously stable in 2020, demonstrated progressive central keratometric flattening through 2025, associated with increased irregular astigmatism. The tangential map (Figure 1) showed marked inferior paracentral flattening (−6.5 D) and thinning of 35 µm at the thinnest point. The LE remained stable throughout follow-up.",
        "Conclusions": "We describe excessive corneal flattening associated with thinning and haze as a possible late complication of accelerated CXL. We hypothesize that this phenomenon may be related to biomechanical redistribution of corneal forces and/or an aberrant wound-healing response."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "We describe excessive corneal flattening associated with thinning and haze as a possible late complication of accelerated CXL. We hypothesize that this phenomenon may be related to biomechanical redistribution of corneal forces and/or an aberrant wound-healing response.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 790,
      "source_fields": {
        "Abstract Final Identifier": "POCOR099",
        "Title": "Corneal Flattening Syndrome After Crosslinking",
        "Presenting Author(s)": "Bruna Depieri Michels",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Bruna",
        "Submitter Middle Name": "Depieri",
        "Submitter Last Name": "Michels",
        "Country Name": "Brazil",
        "Purpose": "To describe a case of corneal flattening syndrome following accelerated corneal crosslinking, including refractive and tomographic findings.",
        "Setting": "Corneal crosslinking (CXL) is an effective method to halt the progression of ectasia, although it is not free of complications. Following the procedure, a mean corneal flattening of approximately 1 to 1.5 diopters (D) is expected, in addition to transient corneal thinning.",
        "Methods": "A 57-year-old male patient underwent bilateral LASIK 26 years earlier and subsequently developed bilateral ectasia, more pronounced in the left eye (LE). Review of medical records revealed forme fruste keratoconus in the LE prior to LASIK. Due to documented ectasia progression, accelerated CXL (9 mW/cm² for 10 minutes) was performed in both eyes in 2018.\n\nOne year postoperatively, refraction in the right eye (RE) was −3.75 −1.50 × 90 (CDVA 20/20) and in the LE −0.50 −2.75 × 105 (CDVA 20/40). The condition remained stable, and in 2020 the patient underwent uncomplicated bilateral phacoemulsification with toric intraocular lens implantation. After cataract surgery, the RE refraction was +0.25 (CDVA 20/20).\n\nFour years after CXL in the RE, the patient reported progressive visual deterioration, with refraction changing from +0.50 (CDVA 20/25 in 2022) to +2.25 −2.00 × 90 (CDVA 20/30) in 2025. Slit-lamp examination revealed corneal haze in the RE.\n\nCorneal tomography of the RE, previously stable in 2020, demonstrated progressive central keratometric flattening through 2025, associated with increased irregular astigmatism. The tangential map (Figure 1) showed marked inferior paracentral flattening (−6.5 D) and thinning of 35 µm at the thinnest point. The LE remained stable throughout follow-up.",
        "Results": "",
        "Conclusions": "We describe excessive corneal flattening associated with thinning and haze as a possible late complication of accelerated CXL. We hypothesize that this phenomenon may be related to biomechanical redistribution of corneal forces and/or an aberrant wound-healing response."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POCOR100",
      "abstract_number": "POCOR100",
      "title": "Beyond The Ocular Surface: Severe Retinal Necrosis After Pterygium Surgery Due To Presumed Suprachoroidal Mitomycin-C Migration",
      "authors": "Dr Mireia Minguell Barbero",
      "presenter": "Dr Mireia Minguell Barbero",
      "normalized_authors": [
        "Mireia Minguell Barbero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mireia Minguell Barbero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a rare posterior segment complication of pterygium surgery, likely caused by suprachoroidal migration of mitomycin-C (MMC), resulting in severe retinal toxicity and necrosis.",
        "Setting": "Department of Ophthalmology, Mútua Terrassa University Hospital, Terrassa, Barcelona, Spain",
        "Methods": "A 46-year-old female had a history of prior pterygium surgery in both eyes. She subsequently underwent excision of a recurrent temporal pterygium with amniotic membrane graft in the left eye (LE), with topical mitomycin-C 0.02% application for 1 minute. Preoperatively, best-corrected visual acuity (BCVA) was 1.0 in the LE. At 1.5 months postoperatively, BCVA decreased to hand motion. Intraocular pressure remained normal. Fundus examination revealed papillary pallor and retinal atrophy involving the macula, inferior, and nasal retina, with extensive retinal whitening. Optical coherence tomography of the macula confirmed atrophy. Fluorescein angiography demonstrated early perfusion alterations in the affected inferior-nasal area with window defects, variable vessel filling, and late leakage; the peripheral retina was normal, with no macular edema, papillitis, vasculitis, or other inflammatory signs. Laboratory tests, chest imaging, and evaluation for uveitis were unremarkable. Findings were consistent with toxic retinal injury, likely due to suprachoroidal migration of MMC.",
        "Conclusions": "This case highlights a rare but severe retinal complication of pterygium surgery, emphasizing the need for vigilance during intraoperative use of mitomycin-C."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case highlights a rare but severe retinal complication of pterygium surgery, emphasizing the need for vigilance during intraoperative use of mitomycin-C.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 791,
      "source_fields": {
        "Abstract Final Identifier": "POCOR100",
        "Title": "Beyond The Ocular Surface: Severe Retinal Necrosis After Pterygium Surgery Due To Presumed Suprachoroidal Mitomycin-C Migration",
        "Presenting Author(s)": "Dr Mireia Minguell Barbero",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Mireia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Minguell Barbero",
        "Country Name": "Spain",
        "Purpose": "To describe a rare posterior segment complication of pterygium surgery, likely caused by suprachoroidal migration of mitomycin-C (MMC), resulting in severe retinal toxicity and necrosis.",
        "Setting": "Department of Ophthalmology, Mútua Terrassa University Hospital, Terrassa, Barcelona, Spain",
        "Methods": "A 46-year-old female had a history of prior pterygium surgery in both eyes. She subsequently underwent excision of a recurrent temporal pterygium with amniotic membrane graft in the left eye (LE), with topical mitomycin-C 0.02% application for 1 minute. Preoperatively, best-corrected visual acuity (BCVA) was 1.0 in the LE. At 1.5 months postoperatively, BCVA decreased to hand motion. Intraocular pressure remained normal. Fundus examination revealed papillary pallor and retinal atrophy involving the macula, inferior, and nasal retina, with extensive retinal whitening. Optical coherence tomography of the macula confirmed atrophy. Fluorescein angiography demonstrated early perfusion alterations in the affected inferior-nasal area with window defects, variable vessel filling, and late leakage; the peripheral retina was normal, with no macular edema, papillitis, vasculitis, or other inflammatory signs. Laboratory tests, chest imaging, and evaluation for uveitis were unremarkable. Findings were consistent with toxic retinal injury, likely due to suprachoroidal migration of MMC.",
        "Results": "",
        "Conclusions": "This case highlights a rare but severe retinal complication of pterygium surgery, emphasizing the need for vigilance during intraoperative use of mitomycin-C."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 208
    },
    {
      "uid": "POCOR101",
      "abstract_number": "POCOR101",
      "title": "Hydrops And Keratoglobus : A Rare And Challenging Case",
      "authors": "Dr Lina Mkhairi",
      "presenter": "Dr Lina Mkhairi",
      "normalized_authors": [
        "Lina Mkhairi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lina Mkhairi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "The purpose is to describe a rare case of acute keratoglobus complicated by corneal hydrops and to emphasize the clinical, imaging, and therapeutic challenges associated with this uncommon and potentially sight-threatening corneal ectasia.\n\nThrough this case, we aim to contribute to the limited literature available on acute presentations of keratoglobus and discuss practical management considerations.",
        "Setting": "This case was managed in the Department of Ophthalmology at Hassan II University Hospital, Fez, Morocco, a tertiary referral center for complex anterior segment pathologies.",
        "Methods": "A 55-year-old woman presented with a one-week history of painful red eye, sudden visual loss, and photophobia. She had a history of allergic conjunctivitis and chronic eye rubbing, with no relevant family history.\n\nOphthalmologic examination revealed bilateral keratoglobus characterized by diffuse corneal thinning and globular protrusion. The right eye showed marked thinning with irregular astigmatism, while the left eye presented with acute corneal hydrops secondary to rupture of Descemet’s membrane and complete detachment of the endothelium–Descemet complex, confirmed by anterior segment OCT.\n\nSystemic evaluation was unremarkable, with no features suggestive of connective tissue disorders. Corneal topography demonstrated bilateral diffuse thinning.\n\nManagement included oral and topical intraocular pressure-lowering therapy, topical corticosteroids, intracameral SF6 gas injection, compressive sutures, and supine positioning.\n\nFollow-up OCT showed partial reattachment of Descemet’s membrane, with residual corneal scarring. The patient was scheduled for keratoplasty for visual rehabilitation.",
        "Conclusions": "Keratoglobus is a rare, bilateral, non-inflammatory corneal ectasia characterized by diffuse thinning and globular protrusion. Its acute form, resulting from spontaneous or trauma-induced rupture of Descemet’s membrane, is exceptionally uncommon. Acute keratoglobus represents a therapeutic challenge due to the extreme corneal fragility, absence of standardized management protocols, and the frequent need for complex surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Keratoglobus is a rare, bilateral, non-inflammatory corneal ectasia characterized by diffuse thinning and globular protrusion. Its acute form, resulting from spontaneous or trauma-induced rupture of Descemet’s membrane, is exceptionally uncommon. Acute keratoglobus represents a therapeutic challenge due to the extreme corneal fragility, absence of standardized management protocols, and the frequent need for complex…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 792,
      "source_fields": {
        "Abstract Final Identifier": "POCOR101",
        "Title": "Hydrops And Keratoglobus : A Rare And Challenging Case",
        "Presenting Author(s)": "Dr Lina Mkhairi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mkhairi",
        "Country Name": "Morocco",
        "Purpose": "The purpose is to describe a rare case of acute keratoglobus complicated by corneal hydrops and to emphasize the clinical, imaging, and therapeutic challenges associated with this uncommon and potentially sight-threatening corneal ectasia.\n\nThrough this case, we aim to contribute to the limited literature available on acute presentations of keratoglobus and discuss practical management considerations.",
        "Setting": "This case was managed in the Department of Ophthalmology at Hassan II University Hospital, Fez, Morocco, a tertiary referral center for complex anterior segment pathologies.",
        "Methods": "A 55-year-old woman presented with a one-week history of painful red eye, sudden visual loss, and photophobia. She had a history of allergic conjunctivitis and chronic eye rubbing, with no relevant family history.\n\nOphthalmologic examination revealed bilateral keratoglobus characterized by diffuse corneal thinning and globular protrusion. The right eye showed marked thinning with irregular astigmatism, while the left eye presented with acute corneal hydrops secondary to rupture of Descemet’s membrane and complete detachment of the endothelium–Descemet complex, confirmed by anterior segment OCT.\n\nSystemic evaluation was unremarkable, with no features suggestive of connective tissue disorders. Corneal topography demonstrated bilateral diffuse thinning.\n\nManagement included oral and topical intraocular pressure-lowering therapy, topical corticosteroids, intracameral SF6 gas injection, compressive sutures, and supine positioning.\n\nFollow-up OCT showed partial reattachment of Descemet’s membrane, with residual corneal scarring. The patient was scheduled for keratoplasty for visual rehabilitation.",
        "Results": "",
        "Conclusions": "Keratoglobus is a rare, bilateral, non-inflammatory corneal ectasia characterized by diffuse thinning and globular protrusion. Its acute form, resulting from spontaneous or trauma-induced rupture of Descemet’s membrane, is exceptionally uncommon. Acute keratoglobus represents a therapeutic challenge due to the extreme corneal fragility, absence of standardized management protocols, and the frequent need for complex surgical intervention."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCOR102",
      "abstract_number": "POCOR102",
      "title": "When One Virus Is Not Enough : Hsv-1 / Cmv Coinfection In Infantile Keratitis",
      "authors": "Dr Lina Mkhairi",
      "presenter": "Dr Lina Mkhairi",
      "normalized_authors": [
        "Lina Mkhairi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lina Mkhairi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "The purpose is to report a rare case of an infected viral keratitis in early infancy resulting of a simultaneous HSV-1 and CMV coinfection, and to highlight the importance of considering viral coinfection in severe or atypical presentations.",
        "Setting": "Ophthalmology Department, tertiary care hospital.",
        "Methods": "A 3-month-old infant, born anonymously with unknown maternal and family history, was admitted for an infectious keratitis of presumed viral origin complicated by a bacterial infection. She presented with a 15-day history of unilateral red eye associated with photophobia and a lower eyelid erythema, with reported worsening following topical corticosteroid use.\n\nOcular examination of the left eye revealed a blepharospasm, a lower eyelid erythema, an epiphora, and a purulent discharge.\n\nSlit-lamp examination showed conjunctival hyperemia, a central geographic corneal ulcer measuring 4 × 3 mm that stains with fluoresceine with irregular, raised and infiltrated borders. The anterior chamber was deep and quiet, and the intraocular pressure was normal. Fundus examination was not feasible; ocular ultrasound was unremarkable. The slit lamp exam of the other eye was normal.\n\nCorneal and conjunctival cultures grew methicillin-sensitive Staphylococcus aureus confirming the microbial infection. Polymerase chain reaction (PCR) testing confirmed viral coinfection with HSV-1 and CMV.\n\nThe patient was treated with oral antiviral therapy (10 mg/kg) combined with topical ciprofloxacin, resulting in rapid clinical improvement and resolution of the corneal abscess.\n\nTo our knowledge, and in the litterature, no other case of coinfection HSV-1/CMV responsible of an infectious keratitis has been described.",
        "Conclusions": "Viral coinfection may occur in cases of infectious keratitis, particularly in severe or atypical presentations. Early recognition of viral involvement and prompt initiation of appropriate therapy are essential to prevent irreversible corneal damage and long-term visual impairment, especially in infants."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Viral coinfection may occur in cases of infectious keratitis, particularly in severe or atypical presentations. Early recognition of viral involvement and prompt initiation of appropriate therapy are essential to prevent irreversible corneal damage and long-term visual impairment, especially in infants.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 793,
      "source_fields": {
        "Abstract Final Identifier": "POCOR102",
        "Title": "When One Virus Is Not Enough : Hsv-1 / Cmv Coinfection In Infantile Keratitis",
        "Presenting Author(s)": "Dr Lina Mkhairi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mkhairi",
        "Country Name": "Morocco",
        "Purpose": "The purpose is to report a rare case of an infected viral keratitis in early infancy resulting of a simultaneous HSV-1 and CMV coinfection, and to highlight the importance of considering viral coinfection in severe or atypical presentations.",
        "Setting": "Ophthalmology Department, tertiary care hospital.",
        "Methods": "A 3-month-old infant, born anonymously with unknown maternal and family history, was admitted for an infectious keratitis of presumed viral origin complicated by a bacterial infection. She presented with a 15-day history of unilateral red eye associated with photophobia and a lower eyelid erythema, with reported worsening following topical corticosteroid use.\n\nOcular examination of the left eye revealed a blepharospasm, a lower eyelid erythema, an epiphora, and a purulent discharge.\n\nSlit-lamp examination showed conjunctival hyperemia, a central geographic corneal ulcer measuring 4 × 3 mm that stains with fluoresceine with irregular, raised and infiltrated borders. The anterior chamber was deep and quiet, and the intraocular pressure was normal. Fundus examination was not feasible; ocular ultrasound was unremarkable. The slit lamp exam of the other eye was normal.\n\nCorneal and conjunctival cultures grew methicillin-sensitive Staphylococcus aureus confirming the microbial infection. Polymerase chain reaction (PCR) testing confirmed viral coinfection with HSV-1 and CMV.\n\nThe patient was treated with oral antiviral therapy (10 mg/kg) combined with topical ciprofloxacin, resulting in rapid clinical improvement and resolution of the corneal abscess.\n\nTo our knowledge, and in the litterature, no other case of coinfection HSV-1/CMV responsible of an infectious keratitis has been described.",
        "Results": "",
        "Conclusions": "Viral coinfection may occur in cases of infectious keratitis, particularly in severe or atypical presentations. Early recognition of viral involvement and prompt initiation of appropriate therapy are essential to prevent irreversible corneal damage and long-term visual impairment, especially in infants."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCOR104",
      "abstract_number": "POCOR104",
      "title": "Epimax-Related Ocular Surface Toxicity On A Background Of Topical Steroid Withdrawal Syndrome",
      "authors": "Dr Stephen Morgan",
      "presenter": "Dr Stephen Morgan",
      "normalized_authors": [
        "Stephen Morgan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stephen Morgan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Periorbital dermatitis presents commonly to ophthalmology departments. In some regions, changes to formularies mean Epimax is now a first-line emollient for use in eczema. There is recent clinical and laboratory evidence to suggest Epimax can cause a chemical injury with inadvertent ocular administration - a condition now termed Epimax Related Ocular Surface Toxicity. Ophthalmologists should have heightened suspicion of this condition. This case was complicated by the patient having a prior history of a condition called steroid-induced dermatitis, also known as topical steroid withdrawal (TSW). TSW is characterised by erythema and pruritus of the skin following discontinuation of prolonged use of mid-to-high potency topical steroid.",
        "Setting": "Ophthalmic emergency department in Sussex Eye Hospital, National Health Service",
        "Methods": "A male in his 20s with a background of severe atopic eczema presented with a 24-hour history of intense pain, redness and blurred vision in his left eye. The day before symptom onset, the patient recalls applying Epimax to above the left eyelid. Examination of the left eye revealed findings consistent to a chemical injury, demonstrating a total corneal epithelial defect with associated stromal haze. The patient initially declined topical corticosteroid therapy due to prior complications with steroid-induced dermatitis that had necessitated prolonged hospitalisation. After treatment with intensive lubricant, antibiotic and dexamethasone drops, the patient made a good clinical recovery over 1 week. A modified, time-limited course of steroid drops was prescribed and the patient experienced no recurrence of steroid dermatitis. Healthcare professionals should counsel patients on the risks of periocular application of Epimax and maintain awareness of its potential to cause ocular surface toxicity.",
        "Conclusions": "1) Dermatological emollients, despite their intended safe use on skin, can act as potent ocular surface irritants when inadvertently applied peri-ocularly or introduced to the eye;\n\n(2) Extensive corneal epithelial defects warrant diagnostic consideration of chemical injury aetiology even when conventional high-risk chemical exposure history is absent,\n\n(3) Patient-centred communication and shared decision-making are essential when recommended therapy conflicts with or is perceived to contradict patients' prior adverse medical experiences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "1) Dermatological emollients, despite their intended safe use on skin, can act as potent ocular surface irritants when inadvertently applied peri-ocularly or introduced to the eye; (2) Extensive corneal epithelial defects warrant diagnostic consideration of chemical injury aetiology even when conventional high-risk chemical exposure history is absent, (3) Patient-centred communication and shared decision-making are…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 794,
      "source_fields": {
        "Abstract Final Identifier": "POCOR104",
        "Title": "Epimax-Related Ocular Surface Toxicity On A Background Of Topical Steroid Withdrawal Syndrome",
        "Presenting Author(s)": "Dr Stephen Morgan",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Stephen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morgan",
        "Country Name": "United Kingdom",
        "Purpose": "Periorbital dermatitis presents commonly to ophthalmology departments. In some regions, changes to formularies mean Epimax is now a first-line emollient for use in eczema. There is recent clinical and laboratory evidence to suggest Epimax can cause a chemical injury with inadvertent ocular administration - a condition now termed Epimax Related Ocular Surface Toxicity. Ophthalmologists should have heightened suspicion of this condition. This case was complicated by the patient having a prior history of a condition called steroid-induced dermatitis, also known as topical steroid withdrawal (TSW). TSW is characterised by erythema and pruritus of the skin following discontinuation of prolonged use of mid-to-high potency topical steroid.",
        "Setting": "Ophthalmic emergency department in Sussex Eye Hospital, National Health Service",
        "Methods": "A male in his 20s with a background of severe atopic eczema presented with a 24-hour history of intense pain, redness and blurred vision in his left eye. The day before symptom onset, the patient recalls applying Epimax to above the left eyelid. Examination of the left eye revealed findings consistent to a chemical injury, demonstrating a total corneal epithelial defect with associated stromal haze. The patient initially declined topical corticosteroid therapy due to prior complications with steroid-induced dermatitis that had necessitated prolonged hospitalisation. After treatment with intensive lubricant, antibiotic and dexamethasone drops, the patient made a good clinical recovery over 1 week. A modified, time-limited course of steroid drops was prescribed and the patient experienced no recurrence of steroid dermatitis. Healthcare professionals should counsel patients on the risks of periocular application of Epimax and maintain awareness of its potential to cause ocular surface toxicity.",
        "Results": "",
        "Conclusions": "1) Dermatological emollients, despite their intended safe use on skin, can act as potent ocular surface irritants when inadvertently applied peri-ocularly or introduced to the eye;\n\n(2) Extensive corneal epithelial defects warrant diagnostic consideration of chemical injury aetiology even when conventional high-risk chemical exposure history is absent,\n\n(3) Patient-centred communication and shared decision-making are essential when recommended therapy conflicts with or is perceived to contradict patients' prior adverse medical experiences."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "POCOR105",
      "abstract_number": "POCOR105",
      "title": "Ocular Surface Disease In Riley–Day Syndrome: A Paediatric Case Report Of Long-Term Management Challenges",
      "authors": "Dr Pedro José Mota-Moreira",
      "presenter": "Dr Pedro José Mota-Moreira",
      "normalized_authors": [
        "Pedro José Mota-Moreira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Mota-Moreira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To describe and photographically document a severe paediatric case of ocular surface disease in Riley–Day syndrome (familial dysautonomia), a rare autosomal recessive disorder caused by ELP1 mutations affecting the autonomic and sensory nervous systems and characterized by impaired pain perception. This report highlights the natural ocular history of alacrima and corneal hypoesthesia and emphasizes the complexity of long-term management and the importance of corneal and amniotic membrane transplantation, in preserving functional vision despite progressive corneal damage.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "A male paediatric patient, born prematurely, was first evaluated at 8 months of age for a red eye. A paracentral corneal ulcer and absence of the threat reflex were observed, and he began regular ophthalmologic follow-up. Over 16 years, he developed severe ocular surface disease with recurrent corneal epithelial defects, neurotrophic ulcers, stromal thinning, leucomas, and episodes of descemetocele. The diagnosis of Riley–Day syndrome was genetically confirmed at 4 years of age. Despite intensive topical therapy (lubricants, antibiotics, and corticosteroids), he required multiple surgical interventions, including bilateral penetrating keratoplasty in early childhood, lateral and medial tarsorrhaphy, and amniotic membrane transplantation. Long-term stabilization of the ocular surface was achieved through close monitoring, aggressive lubrication, and timely surgical management. At last follow-up this year, the patient maintained functional vision in one eye (2/10 decimal), enabling daily activities, regular schooling, and independence.",
        "Conclusions": "Riley–Day syndrome can cause early-onset recurrent corneal erosions and progressive neurotrophic keratopathy, leading to severe ocular complications in childhood, including blindness. This case underscores the critical need for proactive ophthalmologic surveillance and early recognition of neurotrophic disease. Although no curative treatment exists, individualized long-term management and timely surgical intervention can stabilize the ocular surface and preserve meaningful functional vision, as demonstrated in this case, thereby improving quality of life in patients with this rare and challenging condition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Riley–Day syndrome can cause early-onset recurrent corneal erosions and progressive neurotrophic keratopathy, leading to severe ocular complications in childhood, including blindness. This case underscores the critical need for proactive ophthalmologic surveillance and early recognition of neurotrophic disease. Although no curative treatment exists, individualized long-term management and timely surgical…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 795,
      "source_fields": {
        "Abstract Final Identifier": "POCOR105",
        "Title": "Ocular Surface Disease In Riley–Day Syndrome: A Paediatric Case Report Of Long-Term Management Challenges",
        "Presenting Author(s)": "Dr Pedro José Mota-Moreira",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mota-Moreira",
        "Country Name": "Portugal",
        "Purpose": "To describe and photographically document a severe paediatric case of ocular surface disease in Riley–Day syndrome (familial dysautonomia), a rare autosomal recessive disorder caused by ELP1 mutations affecting the autonomic and sensory nervous systems and characterized by impaired pain perception. This report highlights the natural ocular history of alacrima and corneal hypoesthesia and emphasizes the complexity of long-term management and the importance of corneal and amniotic membrane transplantation, in preserving functional vision despite progressive corneal damage.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "A male paediatric patient, born prematurely, was first evaluated at 8 months of age for a red eye. A paracentral corneal ulcer and absence of the threat reflex were observed, and he began regular ophthalmologic follow-up. Over 16 years, he developed severe ocular surface disease with recurrent corneal epithelial defects, neurotrophic ulcers, stromal thinning, leucomas, and episodes of descemetocele. The diagnosis of Riley–Day syndrome was genetically confirmed at 4 years of age. Despite intensive topical therapy (lubricants, antibiotics, and corticosteroids), he required multiple surgical interventions, including bilateral penetrating keratoplasty in early childhood, lateral and medial tarsorrhaphy, and amniotic membrane transplantation. Long-term stabilization of the ocular surface was achieved through close monitoring, aggressive lubrication, and timely surgical management. At last follow-up this year, the patient maintained functional vision in one eye (2/10 decimal), enabling daily activities, regular schooling, and independence.",
        "Results": "",
        "Conclusions": "Riley–Day syndrome can cause early-onset recurrent corneal erosions and progressive neurotrophic keratopathy, leading to severe ocular complications in childhood, including blindness. This case underscores the critical need for proactive ophthalmologic surveillance and early recognition of neurotrophic disease. Although no curative treatment exists, individualized long-term management and timely surgical intervention can stabilize the ocular surface and preserve meaningful functional vision, as demonstrated in this case, thereby improving quality of life in patients with this rare and challenging condition."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POCOR106",
      "abstract_number": "POCOR106",
      "title": "Primary Globe Preservation In Paediatric Firecracker-Related Open Globe Injury With No Light Perception: A Surgical Decision-Making Approach",
      "authors": "Dr Sanja Masnec",
      "presenter": "Dr Sanja Masnec",
      "normalized_authors": [
        "Sanja Masnec"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bozana Mrvelj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To highlight the intraoperative surgical decision-making involved in primary globe preservation versus immediate enucleation in a paediatric patient presenting with firecracker-related open globe injury, extensive corneoscleral laceration, uveal prolapse and no light perception.",
        "Setting": "Ophthalmology Clinic, Clinical Hospital Centre Zagreb, Croatia",
        "Methods": "A 14-year-old female sustained left ocular trauma following accidental firecracker activation and was referred to our tertiary centre with no light perception. Examination revealed full-thickness superior and inferior eyelid lacerations, marked periorbital oedema and periocular burns. Slit-lamp assessment demonstrated a large full-thickness corneoscleral laceration with uveal prolapse and anterior segment collapse.\n\nOrbital CT confirmed globe rupture with partial extrusion and multifragmented medial and inferior orbital wall fractures, while the optic nerve appeared structurally intact.\n\nIntraoperatively, extensive tissue disruption with anterior segment disorganisation raised the question of immediate enucleation due to the risk of expulsive haemorrhage and subsequent sympathetic ophthalmia. However, preserved optic nerve integrity on preoperative imaging supported an attempt at primary globe preservation.\n\nA stepwise tectonic approach was undertaken, including cautious repositioning of prolapsed uveal tissue, controlled anterior chamber reformation and sequential corneoscleral wound closure to restore structural integrity and minimise further intraocular content loss. Conjunctivoplasty was performed to achieve surface coverage and wound stabilisation. Simultaneous reconstruction of the anterior and posterior eyelid lamellae was undertaken to optimise early ocular surface protection.\n\nSystemic and topical broad-spectrum antibiotic therapy was initiated postoperatively.",
        "Conclusions": "In paediatric blast-related open globe injuries presenting with no light perception, preserved optic nerve integrity may support an attempt at primary globe preservation over immediate enucleation. Even in the absence of early functional recovery, tectonic reconstruction enables structural stabilisation, reduces the risk of early inflammatory complications and maintains the potential for staged anterior segment rehabilitation. This approach underscores the role of intraoperative surgical judgement in determining globe salvageability in severe anterior segment trauma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In paediatric blast-related open globe injuries presenting with no light perception, preserved optic nerve integrity may support an attempt at primary globe preservation over immediate enucleation. Even in the absence of early functional recovery, tectonic reconstruction enables structural stabilisation, reduces the risk of early inflammatory complications and maintains the potential for staged anterior segment…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 796,
      "source_fields": {
        "Abstract Final Identifier": "POCOR106",
        "Title": "Primary Globe Preservation In Paediatric Firecracker-Related Open Globe Injury With No Light Perception: A Surgical Decision-Making Approach",
        "Presenting Author(s)": "Dr Sanja Masnec",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Bozana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mrvelj",
        "Country Name": "Croatia",
        "Purpose": "To highlight the intraoperative surgical decision-making involved in primary globe preservation versus immediate enucleation in a paediatric patient presenting with firecracker-related open globe injury, extensive corneoscleral laceration, uveal prolapse and no light perception.",
        "Setting": "Ophthalmology Clinic, Clinical Hospital Centre Zagreb, Croatia",
        "Methods": "A 14-year-old female sustained left ocular trauma following accidental firecracker activation and was referred to our tertiary centre with no light perception. Examination revealed full-thickness superior and inferior eyelid lacerations, marked periorbital oedema and periocular burns. Slit-lamp assessment demonstrated a large full-thickness corneoscleral laceration with uveal prolapse and anterior segment collapse.\n\nOrbital CT confirmed globe rupture with partial extrusion and multifragmented medial and inferior orbital wall fractures, while the optic nerve appeared structurally intact.\n\nIntraoperatively, extensive tissue disruption with anterior segment disorganisation raised the question of immediate enucleation due to the risk of expulsive haemorrhage and subsequent sympathetic ophthalmia. However, preserved optic nerve integrity on preoperative imaging supported an attempt at primary globe preservation.\n\nA stepwise tectonic approach was undertaken, including cautious repositioning of prolapsed uveal tissue, controlled anterior chamber reformation and sequential corneoscleral wound closure to restore structural integrity and minimise further intraocular content loss. Conjunctivoplasty was performed to achieve surface coverage and wound stabilisation. Simultaneous reconstruction of the anterior and posterior eyelid lamellae was undertaken to optimise early ocular surface protection.\n\nSystemic and topical broad-spectrum antibiotic therapy was initiated postoperatively.",
        "Results": "",
        "Conclusions": "In paediatric blast-related open globe injuries presenting with no light perception, preserved optic nerve integrity may support an attempt at primary globe preservation over immediate enucleation. Even in the absence of early functional recovery, tectonic reconstruction enables structural stabilisation, reduces the risk of early inflammatory complications and maintains the potential for staged anterior segment rehabilitation. This approach underscores the role of intraoperative surgical judgement in determining globe salvageability in severe anterior segment trauma."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "POCOR107",
      "abstract_number": "POCOR107",
      "title": "Acute Corneal Decompensation After Magnetic Resonance Imaging Due To A Retained Metallic Intraocular Foreign Body",
      "authors": "Dr Božana Mrvelj",
      "presenter": "Dr Božana Mrvelj",
      "normalized_authors": [
        "Božana Mrvelj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bozana Mrvelj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To report acute corneal endothelial failure caused by magnetic field–induced displacement of a long-standing retained metallic intraocular foreign body (IOFB) and to emphasise the pathophysiological mechanism of rapid corneal decompensation following endothelial trauma.",
        "Setting": "Ophthalmology Clinic, Clinical Hospital Centre Zagreb, Croatia",
        "Methods": "A 37-year-old male presented to the ophthalmic emergency department with sudden visual deterioration in the right eye approximately 30 minutes after MRI of the spine. Best-corrected visual acuity was 20/100. His medical history revealed ocular trauma 20 years earlier, when a metallic fragment struck the right eye while hammering metal, resulting in traumatic hyphema. At that time, no intraocular foreign body had been identified despite the reported mechanism of injury, and the patient remained asymptomatic thereafter. On presentation, slit-lamp examination demonstrated diffuse stromal oedema with Descemet membrane folds, consistent with acute endothelial decompensation. The iris showed focal traumatic changes. A small metallic IOFB was identified within the iridocorneal angle at the 9 o’clock position. Magnetic field–induced displacement of the retained metallic IOFB was presumed to have caused direct mechanical endothelial trauma and acute disruption of endothelial barrier and pump function. Ultrasound biomicroscopy confirmed localisation of the foreign body within the anterior chamber angle without posterior segment involvement. Surgical removal of the foreign body was performed. Postoperatively, intensive topical therapy was initiated, including dexamethasone eye drops and dexpanthenol gel, combined with hypertonic saline eye drops. Progressive resolution of corneal oedema and visual improvement were observed within seven days.",
        "Conclusions": "A long-standing retained metallic intraocular foreign body may remain clinically silent for decades; however, exposure to MRI can induce migration of a ferromagnetic fragment, leading to displacement into the iridocorneal angle and direct endothelial trauma. This may result in acute endothelial cell loss, disruption of barrier and pump function, persistent corneal oedema, anterior chamber inflammation and hyphema. Severe endothelial damage can progress to bullous keratopathy, irreversible stromal scarring and, in advanced cases, the need for endothelial keratoplasty. Thorough trauma history and careful pre-imaging assessment are essential to prevent avoidable vision-threatening corneal complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A long-standing retained metallic intraocular foreign body may remain clinically silent for decades; however, exposure to MRI can induce migration of a ferromagnetic fragment, leading to displacement into the iridocorneal angle and direct endothelial trauma. This may result in acute endothelial cell loss, disruption of barrier and pump function, persistent corneal oedema, anterior chamber inflammation and hyphema.…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 797,
      "source_fields": {
        "Abstract Final Identifier": "POCOR107",
        "Title": "Acute Corneal Decompensation After Magnetic Resonance Imaging Due To A Retained Metallic Intraocular Foreign Body",
        "Presenting Author(s)": "Dr Božana Mrvelj",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Bozana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mrvelj",
        "Country Name": "Croatia",
        "Purpose": "To report acute corneal endothelial failure caused by magnetic field–induced displacement of a long-standing retained metallic intraocular foreign body (IOFB) and to emphasise the pathophysiological mechanism of rapid corneal decompensation following endothelial trauma.",
        "Setting": "Ophthalmology Clinic, Clinical Hospital Centre Zagreb, Croatia",
        "Methods": "A 37-year-old male presented to the ophthalmic emergency department with sudden visual deterioration in the right eye approximately 30 minutes after MRI of the spine. Best-corrected visual acuity was 20/100. His medical history revealed ocular trauma 20 years earlier, when a metallic fragment struck the right eye while hammering metal, resulting in traumatic hyphema. At that time, no intraocular foreign body had been identified despite the reported mechanism of injury, and the patient remained asymptomatic thereafter. On presentation, slit-lamp examination demonstrated diffuse stromal oedema with Descemet membrane folds, consistent with acute endothelial decompensation. The iris showed focal traumatic changes. A small metallic IOFB was identified within the iridocorneal angle at the 9 o’clock position. Magnetic field–induced displacement of the retained metallic IOFB was presumed to have caused direct mechanical endothelial trauma and acute disruption of endothelial barrier and pump function. Ultrasound biomicroscopy confirmed localisation of the foreign body within the anterior chamber angle without posterior segment involvement. Surgical removal of the foreign body was performed. Postoperatively, intensive topical therapy was initiated, including dexamethasone eye drops and dexpanthenol gel, combined with hypertonic saline eye drops. Progressive resolution of corneal oedema and visual improvement were observed within seven days.",
        "Results": "",
        "Conclusions": "A long-standing retained metallic intraocular foreign body may remain clinically silent for decades; however, exposure to MRI can induce migration of a ferromagnetic fragment, leading to displacement into the iridocorneal angle and direct endothelial trauma. This may result in acute endothelial cell loss, disruption of barrier and pump function, persistent corneal oedema, anterior chamber inflammation and hyphema. Severe endothelial damage can progress to bullous keratopathy, irreversible stromal scarring and, in advanced cases, the need for endothelial keratoplasty. Thorough trauma history and careful pre-imaging assessment are essential to prevent avoidable vision-threatening corneal complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POCOR108",
      "abstract_number": "POCOR108",
      "title": "A Case Of Limbal Dermoid",
      "authors": "Dr Mahmoud Mustafa Mahmoud Mustafa",
      "presenter": "Dr Mahmoud Mustafa Mahmoud Mustafa",
      "normalized_authors": [
        "Mahmoud Mustafa Mahmoud Mustafa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mahmoud Mustafa Mahmoud Mustafa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "We are reporting a case of a newborn with a severe presentation of limbal dermoid with a presentation typical of Goldenhar syndrome, where we followed for almost 5 months now since birth and we are unable to do any surgical intervention due to the severity of the presentation and the depth of corneal involvement together with the challange of other comorbidities in the child",
        "Setting": "we reported the case by taking photos of the lesions after permisiion of the parents and the child is followed up now for 5 months. Reviewing the literature for similar cases and current surgical options for treatment was done and till now thw decision was difficult to take . This made this case a challanging case.",
        "Methods": "1 d Old male\nFull Term, Vaginal Delivery\nIOP: 8 mmHg 8 mmHg\nEyelids:\nNo Coloboma OU\nAnt Seg:\nOD 2 whitish masses elevated and spherical encroaching on the limbus both nasally and temporally but the nasal one is larger and encroaching on 1/3 of the pupil and even after mid dilatation detection of the red reflex was difficult\nOS one whitish mass elevated and spherical encroaching on the limbus and temporally but encroaching only on <1/4 of the pupil and after mid dilatation detection of the red reflex was possible\nBoth eyes were difficult to fully dilate after tropicamide instillation\nDilated Fundus Exam:\nOD Fundus was difficult to detect\nOS can be seen with normal disk with multiple scattered retinal hges mostly due to vaginal delivery",
        "Conclusions": "Limbal dermoids associated with Goldenhar Syndrome, although reported in the literature, can sometimes be severe and challenging to the degree of being a really difficult decision and consideration of the child's condition and involving the parents in every step is really important"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Limbal dermoids associated with Goldenhar Syndrome, although reported in the literature, can sometimes be severe and challenging to the degree of being a really difficult decision and consideration of the child's condition and involving the parents in every step is really important",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 798,
      "source_fields": {
        "Abstract Final Identifier": "POCOR108",
        "Title": "A Case Of Limbal Dermoid",
        "Presenting Author(s)": "Dr Mahmoud Mustafa Mahmoud Mustafa",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Mahmoud",
        "Submitter Middle Name": "Mustafa Mahmoud",
        "Submitter Last Name": "Mustafa",
        "Country Name": "Saudi Arabia",
        "Purpose": "We are reporting a case of a newborn with a severe presentation of limbal dermoid with a presentation typical of Goldenhar syndrome, where we followed for almost 5 months now since birth and we are unable to do any surgical intervention due to the severity of the presentation and the depth of corneal involvement together with the challange of other comorbidities in the child",
        "Setting": "we reported the case by taking photos of the lesions after permisiion of the parents and the child is followed up now for 5 months. Reviewing the literature for similar cases and current surgical options for treatment was done and till now thw decision was difficult to take . This made this case a challanging case.",
        "Methods": "1 d Old male\nFull Term, Vaginal Delivery\nIOP: 8 mmHg 8 mmHg\nEyelids:\nNo Coloboma OU\nAnt Seg:\nOD 2 whitish masses elevated and spherical encroaching on the limbus both nasally and temporally but the nasal one is larger and encroaching on 1/3 of the pupil and even after mid dilatation detection of the red reflex was difficult\nOS one whitish mass elevated and spherical encroaching on the limbus and temporally but encroaching only on <1/4 of the pupil and after mid dilatation detection of the red reflex was possible\nBoth eyes were difficult to fully dilate after tropicamide instillation\nDilated Fundus Exam:\nOD Fundus was difficult to detect\nOS can be seen with normal disk with multiple scattered retinal hges mostly due to vaginal delivery",
        "Results": "",
        "Conclusions": "Limbal dermoids associated with Goldenhar Syndrome, although reported in the literature, can sometimes be severe and challenging to the degree of being a really difficult decision and consideration of the child's condition and involving the parents in every step is really important"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCOR109",
      "abstract_number": "POCOR109",
      "title": "Interface Hypopyon After Dsaek: Diagnostic Challenge And Successful Surgical Management",
      "authors": "Dr Aparna Namdev Nayak",
      "presenter": "Dr Aparna Namdev Nayak",
      "normalized_authors": [
        "Aparna Namdev Nayak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aparna Namdev Nayak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe a rare case of localized interface hypopyon occurring between the donor lenticule and host stroma following Descemet Stripping Automated Endothelial Keratoplasty (DSAEK), highlight its diagnostic challenges, and outline the successful surgical and medical management leading to favourable anatomical and visual outcomes.",
        "Setting": "Tertiary eye care centre in South India specializing in corneal transplantation and advanced anterior segment surgery.",
        "Methods": "An 80-year-old pseudophakic diabetic male presented with redness and decreased vision of five days duration in his left eye, three months after uneventful DSAEK. Slit-lamp examination showed lid edema, circumcorneal congestion, anterior chamber reaction, and a 2 mm hypopyon localized at the graft–host interface along the visual axis. The posterior chamber intraocular lens was well positioned and fundus evaluation showed no evidence of endophthalmitis.\n\nAnterior segment OCT confirmed a discrete hyperreflective collection confined to the interface between the donor lenticule and host stroma. Given the risk of interface infection, urgent surgical intervention was undertaken. The lenticule was explanted, followed by anterior chamber wash, posterior corneal irrigation and intracameral moxifloxacin administration. Microbiological analysis of the lenticule showed no growth on culture, suggesting a sterile inflammatory process.\n\nFollowing complete clinical resolution, repeat DSAEK was performed two weeks later. On follow-up, the graft remained clear and well attached with a best-corrected visual acuity of 6/18. The patient remained infection-free with optimized systemic glycemic control.",
        "Conclusions": "Interface hypopyon after DSAEK is an uncommon but vision-threatening complication. Differentiating infection from sterile inflammation can be challenging. Early recognition, prompt surgical explantation and targeted antimicrobial therapy are critical to prevent further damage. Timely repeat endothelial keratoplasty can achieve favourable visual rehabilitation"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Interface hypopyon after DSAEK is an uncommon but vision-threatening complication. Differentiating infection from sterile inflammation can be challenging. Early recognition, prompt surgical explantation and targeted antimicrobial therapy are critical to prevent further damage. Timely repeat endothelial keratoplasty can achieve favourable visual rehabilitation",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 799,
      "source_fields": {
        "Abstract Final Identifier": "POCOR109",
        "Title": "Interface Hypopyon After Dsaek: Diagnostic Challenge And Successful Surgical Management",
        "Presenting Author(s)": "Dr Aparna Namdev Nayak",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Aparna",
        "Submitter Middle Name": "Namdev",
        "Submitter Last Name": "Nayak",
        "Country Name": "India",
        "Purpose": "To describe a rare case of localized interface hypopyon occurring between the donor lenticule and host stroma following Descemet Stripping Automated Endothelial Keratoplasty (DSAEK), highlight its diagnostic challenges, and outline the successful surgical and medical management leading to favourable anatomical and visual outcomes.",
        "Setting": "Tertiary eye care centre in South India specializing in corneal transplantation and advanced anterior segment surgery.",
        "Methods": "An 80-year-old pseudophakic diabetic male presented with redness and decreased vision of five days duration in his left eye, three months after uneventful DSAEK. Slit-lamp examination showed lid edema, circumcorneal congestion, anterior chamber reaction, and a 2 mm hypopyon localized at the graft–host interface along the visual axis. The posterior chamber intraocular lens was well positioned and fundus evaluation showed no evidence of endophthalmitis.\n\nAnterior segment OCT confirmed a discrete hyperreflective collection confined to the interface between the donor lenticule and host stroma. Given the risk of interface infection, urgent surgical intervention was undertaken. The lenticule was explanted, followed by anterior chamber wash, posterior corneal irrigation and intracameral moxifloxacin administration. Microbiological analysis of the lenticule showed no growth on culture, suggesting a sterile inflammatory process.\n\nFollowing complete clinical resolution, repeat DSAEK was performed two weeks later. On follow-up, the graft remained clear and well attached with a best-corrected visual acuity of 6/18. The patient remained infection-free with optimized systemic glycemic control.",
        "Results": "",
        "Conclusions": "Interface hypopyon after DSAEK is an uncommon but vision-threatening complication. Differentiating infection from sterile inflammation can be challenging. Early recognition, prompt surgical explantation and targeted antimicrobial therapy are critical to prevent further damage. Timely repeat endothelial keratoplasty can achieve favourable visual rehabilitation"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POCOR110",
      "abstract_number": "POCOR110",
      "title": "Progressive Corneo-Scleral Dellen With Uveal Exposure Following Pterygium Excision",
      "authors": "Dr Aparna Namdev Nayak",
      "presenter": "Dr Aparna Namdev Nayak",
      "normalized_authors": [
        "Aparna Namdev Nayak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aparna Namdev Nayak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a rare case of Corneoscleral dellen with uveal exposure following pterygium excision, identify contributory postoperative factors, and describe successful surgical management using multilayer amniotic membrane grafting combined with conjunctival autograft.",
        "Setting": "Tertiary eye care centre in South India specializing in corneal, ocular surface, and anterior segment surgery.",
        "Methods": "A 45-year-old male presented with redness and foreign body sensation in the right eye two weeks after pterygium excision. He was a driver by occupation and resumed driving from the first postoperative day and reported poor compliance with protective eyewear and topical medications. Best-corrected visual acuity was 6/6.\n\nSlit-lamp examination showed a localized corneal dellen at the 3 o’clock limbal area with adjacent nasal conjunctival retraction. The eye was pseudophakic, intraocular pressure was 17 mmHg and fundus examination was normal. The left eye had grade 2 pterygium with early senile cataract.\n\nDespite intensive preservative-free lubricants, gel and systemic doxycycline, progression to corneoscleral dellen measuring 3×3 mm with scleral thinning and localized uveal exposure was noted on follow up. Systemic evaluation for autoimmune disease was negative.\n\nGiven the risk of perforation, multilayered amniotic membrane grafting was performed to fill the defect, followed by conjunctival autograft to restore surface integrity. Postoperatively, tectonic stability was achieved and the ocular surface healed satisfactorily with preserved visual acuity.",
        "Conclusions": "Postoperative dellen after pterygium surgery may progress to sight-threatening scleral dellen and uveal exposure, particularly in cases of conjunctival retraction or previous pterygium excision with bare sclera technique and poor compliance. Early recognition is critical. Multilayer amniotic membrane grafting combined with conjunctival autograft provides effective tectonic support, restores surface integrity, and prevents perforation while preserving vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Postoperative dellen after pterygium surgery may progress to sight-threatening scleral dellen and uveal exposure, particularly in cases of conjunctival retraction or previous pterygium excision with bare sclera technique and poor compliance. Early recognition is critical. Multilayer amniotic membrane grafting combined with conjunctival autograft provides effective tectonic support, restores surface integrity, and…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 800,
      "source_fields": {
        "Abstract Final Identifier": "POCOR110",
        "Title": "Progressive Corneo-Scleral Dellen With Uveal Exposure Following Pterygium Excision",
        "Presenting Author(s)": "Dr Aparna Namdev Nayak",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Aparna",
        "Submitter Middle Name": "Namdev",
        "Submitter Last Name": "Nayak",
        "Country Name": "India",
        "Purpose": "To report a rare case of Corneoscleral dellen with uveal exposure following pterygium excision, identify contributory postoperative factors, and describe successful surgical management using multilayer amniotic membrane grafting combined with conjunctival autograft.",
        "Setting": "Tertiary eye care centre in South India specializing in corneal, ocular surface, and anterior segment surgery.",
        "Methods": "A 45-year-old male presented with redness and foreign body sensation in the right eye two weeks after pterygium excision. He was a driver by occupation and resumed driving from the first postoperative day and reported poor compliance with protective eyewear and topical medications. Best-corrected visual acuity was 6/6.\n\nSlit-lamp examination showed a localized corneal dellen at the 3 o’clock limbal area with adjacent nasal conjunctival retraction. The eye was pseudophakic, intraocular pressure was 17 mmHg and fundus examination was normal. The left eye had grade 2 pterygium with early senile cataract.\n\nDespite intensive preservative-free lubricants, gel and systemic doxycycline, progression to corneoscleral dellen measuring 3×3 mm with scleral thinning and localized uveal exposure was noted on follow up. Systemic evaluation for autoimmune disease was negative.\n\nGiven the risk of perforation, multilayered amniotic membrane grafting was performed to fill the defect, followed by conjunctival autograft to restore surface integrity. Postoperatively, tectonic stability was achieved and the ocular surface healed satisfactorily with preserved visual acuity.",
        "Results": "",
        "Conclusions": "Postoperative dellen after pterygium surgery may progress to sight-threatening scleral dellen and uveal exposure, particularly in cases of conjunctival retraction or previous pterygium excision with bare sclera technique and poor compliance. Early recognition is critical. Multilayer amniotic membrane grafting combined with conjunctival autograft provides effective tectonic support, restores surface integrity, and prevents perforation while preserving vision."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POCOR111",
      "abstract_number": "POCOR111",
      "title": "Roclanda As A Graft-Sparing Therapy: Short-Term Once-Daily Use Resolving Post-Traumatic Corneal Oedema With Ocular Hypertension",
      "authors": "Dr Henry Osagie",
      "presenter": "Dr Henry Osagie",
      "normalized_authors": [
        "Henry Osagie"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Henry Osagie",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the use of once-daily Roclanda (netarsudil 0.02% + latanoprost 0.005%) as a graft-sparing therapy for visually significant corneal oedema secondary to presumed endothelial dysfunction with coexisting ocular hypertension. This case highlights how a short pre-operative therapeutic trial resulted in resolution of symptoms, displacement of oedema outside the visual axis, and avoidance of endothelial keratoplasty despite the development of ROCK-inhibitor–associated epithelial toxicity (“rocopathy”).",
        "Setting": "Corneal service, James Paget University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A 74-year-old man developed unilateral corneal oedema in the right eye following a twig injury while gardening in October 2024. After initial recovery, recurrent inferior oedema developed in 2025, causing blurred vision worse on waking and improving during the day. Examination demonstrated localised stromal oedema without keratic precipitates, anterior chamber activity, or corneal hypoesthesia; repeated viral investigations were negative. Symptoms persisted despite topical steroids, antibiotics, and antiviral therapy.\n\nVisually significant oedema had been present for approximately 9 months at the time of intervention (≈21 months after the original trauma), and endothelial keratoplasty was being considered. The patient also developed ocular hypertension up to 26 mmHg, likely steroid-induced.\n\nOnce-daily Roclanda was initiated to address both intraocular pressure and endothelial dysfunction. Within weeks, visual acuity improved and corneal oedema regressed, becoming confined inferiorly and no longer involving the visual axis. Treatment was discontinued after a short course due to epithelial microcystic changes consistent with ROCK-inhibitor–associated reticular epithelial oedema (“rocopathy”). Despite cessation, central corneal clarity and functional vision were maintained, and keratoplasty was no longer required.",
        "Conclusions": "Short-term once-daily Roclanda can provide meaningful visual improvement in selected cases of endothelial-related corneal oedema, particularly when ocular hypertension coexists. By lowering intraocular pressure and enhancing endothelial pump function, treatment may redistribute oedema away from the visual axis and obviate the need for endothelial keratoplasty. Although ROCK-inhibitor–associated epithelial toxicity may limit duration of therapy, even brief use can yield durable functional benefit. A pre-operative trial should be considered before proceeding to transplantation in cases of localised or partially compensated endothelial dysfunction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Short-term once-daily Roclanda can provide meaningful visual improvement in selected cases of endothelial-related corneal oedema, particularly when ocular hypertension coexists. By lowering intraocular pressure and enhancing endothelial pump function, treatment may redistribute oedema away from the visual axis and obviate the need for endothelial keratoplasty. Although ROCK-inhibitor–associated epithelial toxicity…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 801,
      "source_fields": {
        "Abstract Final Identifier": "POCOR111",
        "Title": "Roclanda As A Graft-Sparing Therapy: Short-Term Once-Daily Use Resolving Post-Traumatic Corneal Oedema With Ocular Hypertension",
        "Presenting Author(s)": "Dr Henry Osagie",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Henry",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Osagie",
        "Country Name": "United Kingdom",
        "Purpose": "To report the use of once-daily Roclanda (netarsudil 0.02% + latanoprost 0.005%) as a graft-sparing therapy for visually significant corneal oedema secondary to presumed endothelial dysfunction with coexisting ocular hypertension. This case highlights how a short pre-operative therapeutic trial resulted in resolution of symptoms, displacement of oedema outside the visual axis, and avoidance of endothelial keratoplasty despite the development of ROCK-inhibitor–associated epithelial toxicity (“rocopathy”).",
        "Setting": "Corneal service, James Paget University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A 74-year-old man developed unilateral corneal oedema in the right eye following a twig injury while gardening in October 2024. After initial recovery, recurrent inferior oedema developed in 2025, causing blurred vision worse on waking and improving during the day. Examination demonstrated localised stromal oedema without keratic precipitates, anterior chamber activity, or corneal hypoesthesia; repeated viral investigations were negative. Symptoms persisted despite topical steroids, antibiotics, and antiviral therapy.\n\nVisually significant oedema had been present for approximately 9 months at the time of intervention (≈21 months after the original trauma), and endothelial keratoplasty was being considered. The patient also developed ocular hypertension up to 26 mmHg, likely steroid-induced.\n\nOnce-daily Roclanda was initiated to address both intraocular pressure and endothelial dysfunction. Within weeks, visual acuity improved and corneal oedema regressed, becoming confined inferiorly and no longer involving the visual axis. Treatment was discontinued after a short course due to epithelial microcystic changes consistent with ROCK-inhibitor–associated reticular epithelial oedema (“rocopathy”). Despite cessation, central corneal clarity and functional vision were maintained, and keratoplasty was no longer required.",
        "Results": "",
        "Conclusions": "Short-term once-daily Roclanda can provide meaningful visual improvement in selected cases of endothelial-related corneal oedema, particularly when ocular hypertension coexists. By lowering intraocular pressure and enhancing endothelial pump function, treatment may redistribute oedema away from the visual axis and obviate the need for endothelial keratoplasty. Although ROCK-inhibitor–associated epithelial toxicity may limit duration of therapy, even brief use can yield durable functional benefit. A pre-operative trial should be considered before proceeding to transplantation in cases of localised or partially compensated endothelial dysfunction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POCOR112",
      "abstract_number": "POCOR112",
      "title": "Spontaneous Resolution Of An Intradescemetic Air Bubble Following Deep Anterior Lamellar Keratoplasty For Keratoconus",
      "authors": "Dr Oluwademilade Osawe",
      "presenter": "Dr Oluwademilade Osawe",
      "normalized_authors": [
        "Oluwademilade Osawe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Demilade Osawe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Deep anterior lamellar keratoplasty (DALK) has become a preferred surgical option for keratoconus, with pneumatic dissection techniques such as the “big-bubble” method being commonly used. Such techniques have enhanced stromal-Descemet membrane (DM) separation but have also introduced potential complications, including descemet membrane detachment, micro-perforation, and double anterior chamber formation. This case report describes a rare postoperative finding of a localized intradescemetic air bubble following otherwise uneventful DALK using the big-bubble technique.",
        "Setting": "Ophthalmology clinic at Hull Royal Infirmiry hospital, involving the cornea team. Observational case report of postoperative findings following deep anterior lamellar keratoplasty performed for advanced keratoconus.",
        "Methods": "A patient with advanced keratoconus in the right eye underwent uneventful DALK using the big-bubble (deep stromal air injection) technique. On postoperative day 2, slit-lamp examination revealed a clearly defined, localized air bubble trapped within the intradescemetic space. There was no evidence of DM tear, double anterior chamber, or fluid cleft. The anterior chamber was well formed, graft apposition was satisfactory, and intraocular pressure (IOP) remained within normal limits.\n\nAnterior segment optical coherence tomography (AS-OCT) confirmed the presence of a localized intradescemetic air pocket without associated DM detachment or interface fluid.\n\nGiven the lack of concerning features, a conservative observational approach was adopted rather than immediate intervention and the patient was reviewed 48 hours later. By postoperative day 4, the air bubble had completely resolved on slit-lamp examination. The graft remained clear, the interface smooth, and no adverse sequelae such as DM detachment or graft oedema were observed. Visual recovery continued as expected.\n\nThe clinical features, supported by AS-OCT findings were consistent with an intradescemetic air bubble, likely resulting from lamellar separation within the DM during big-bubble formation or a subtle microperforation allowing air entry. The localized appearance, stable anterior chamber, and spontaneous resorption supported this diagnosis and justified non-interventional management.",
        "Conclusions": "Intradescemetic air trapping is a rare but benign postoperative finding following DALK that may mimic more serious complications such as Descemet membrane detachment or interface separation. Careful clinical assessment is essential to distinguish these entities. In the absence of graft compromise, anterior chamber instability, or pressure elevation, conservative observation is appropriate. Awareness of this presentation can prevent unnecessary surgical intervention and supports the safety of expectant management when clinical parameters remain stable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Intradescemetic air trapping is a rare but benign postoperative finding following DALK that may mimic more serious complications such as Descemet membrane detachment or interface separation. Careful clinical assessment is essential to distinguish these entities. In the absence of graft compromise, anterior chamber instability, or pressure elevation, conservative observation is appropriate. Awareness of this…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 802,
      "source_fields": {
        "Abstract Final Identifier": "POCOR112",
        "Title": "Spontaneous Resolution Of An Intradescemetic Air Bubble Following Deep Anterior Lamellar Keratoplasty For Keratoconus",
        "Presenting Author(s)": "Dr Oluwademilade Osawe",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Demilade",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Osawe",
        "Country Name": "United Kingdom",
        "Purpose": "Deep anterior lamellar keratoplasty (DALK) has become a preferred surgical option for keratoconus, with pneumatic dissection techniques such as the “big-bubble” method being commonly used. Such techniques have enhanced stromal-Descemet membrane (DM) separation but have also introduced potential complications, including descemet membrane detachment, micro-perforation, and double anterior chamber formation. This case report describes a rare postoperative finding of a localized intradescemetic air bubble following otherwise uneventful DALK using the big-bubble technique.",
        "Setting": "Ophthalmology clinic at Hull Royal Infirmiry hospital, involving the cornea team. Observational case report of postoperative findings following deep anterior lamellar keratoplasty performed for advanced keratoconus.",
        "Methods": "A patient with advanced keratoconus in the right eye underwent uneventful DALK using the big-bubble (deep stromal air injection) technique. On postoperative day 2, slit-lamp examination revealed a clearly defined, localized air bubble trapped within the intradescemetic space. There was no evidence of DM tear, double anterior chamber, or fluid cleft. The anterior chamber was well formed, graft apposition was satisfactory, and intraocular pressure (IOP) remained within normal limits.\n\nAnterior segment optical coherence tomography (AS-OCT) confirmed the presence of a localized intradescemetic air pocket without associated DM detachment or interface fluid.\n\nGiven the lack of concerning features, a conservative observational approach was adopted rather than immediate intervention and the patient was reviewed 48 hours later. By postoperative day 4, the air bubble had completely resolved on slit-lamp examination. The graft remained clear, the interface smooth, and no adverse sequelae such as DM detachment or graft oedema were observed. Visual recovery continued as expected.\n\nThe clinical features, supported by AS-OCT findings were consistent with an intradescemetic air bubble, likely resulting from lamellar separation within the DM during big-bubble formation or a subtle microperforation allowing air entry. The localized appearance, stable anterior chamber, and spontaneous resorption supported this diagnosis and justified non-interventional management.",
        "Results": "",
        "Conclusions": "Intradescemetic air trapping is a rare but benign postoperative finding following DALK that may mimic more serious complications such as Descemet membrane detachment or interface separation. Careful clinical assessment is essential to distinguish these entities. In the absence of graft compromise, anterior chamber instability, or pressure elevation, conservative observation is appropriate. Awareness of this presentation can prevent unnecessary surgical intervention and supports the safety of expectant management when clinical parameters remain stable."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POCOR113",
      "abstract_number": "POCOR113",
      "title": "Suture Loosening After Penetrating Keratoplasty Associated With Scleral Atrophy Following Orbital Radiotherapy: A Case Report",
      "authors": "Dr Neslihan Öztürk",
      "presenter": "Dr Neslihan Öztürk",
      "normalized_authors": [
        "Neslihan Öztürk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Neslihan Öztürk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "To describe corneal suture loosening occurring one month after penetrating keratoplasty in the context of underlying scleral pathology. In this case, the oncologic history and prior radiotherapy were contributing factors to the development of scleral atrophy.",
        "Setting": "A 77-year-old patient with long-standing pseudophakic decompensation and significant stromal fibrosis following complicated cataract surgery 10 years earlier was followed at a tertiary referral center (Cliniques universitaires Saint-Luc, Brussels) for grade I MALT lymphoma of the lower eyelid.",
        "Methods": "The patient presented with chronic pseudophakic corneal decompensation and stromal fibrosis, notably related to the presence of an anterior chamber intraocular lens. He was subsequently diagnosed with grade I MALT lymphoma of the ipsilateral lower eyelid and treated with local radiotherapy (24 Gy).\n\nNine months after radiotherapy, intraocular lens explantation and penetrating keratoplasty were scheduled. Intraoperatively, a highly localized area of scleral atrophy was observed, requiring placement of a scleral patch graft. The anterior chamber intraocular lens was explanted, and penetrating keratoplasty was performed. Given the marked iris atrophy, secondary scleral fixation was deferred to a later stage. The penetrating keratoplasty was completed without intraoperative complications. Due to the history of irradiation, an overlay amniotic membrane graft was also performed. Corneal suturing consisted of eight interrupted 10-0 nylon sutures and one continuous 10-0 nylon suture.\n\nOn postoperative day 1, the sutures were tight and no Seidel sign was observed. At the 1-month follow-up, progressive suture loosening occurred, initially involving the continuous suture and subsequently the interrupted sutures, in association with circumferential (360°) scleral atrophy.",
        "Conclusions": "Suture loosening occurring one month after penetrating keratoplasty should raise suspicion for an underlying anatomical change. Scleral atrophy that develops without pain or inflammatory scleritis in the context of prior penetrating keratoplasty and orbital irradiation is a rare but potentially serious complication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Suture loosening occurring one month after penetrating keratoplasty should raise suspicion for an underlying anatomical change. Scleral atrophy that develops without pain or inflammatory scleritis in the context of prior penetrating keratoplasty and orbital irradiation is a rare but potentially serious complication.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 803,
      "source_fields": {
        "Abstract Final Identifier": "POCOR113",
        "Title": "Suture Loosening After Penetrating Keratoplasty Associated With Scleral Atrophy Following Orbital Radiotherapy: A Case Report",
        "Presenting Author(s)": "Dr Neslihan Öztürk",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Neslihan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Öztürk",
        "Country Name": "Belgium",
        "Purpose": "To describe corneal suture loosening occurring one month after penetrating keratoplasty in the context of underlying scleral pathology. In this case, the oncologic history and prior radiotherapy were contributing factors to the development of scleral atrophy.",
        "Setting": "A 77-year-old patient with long-standing pseudophakic decompensation and significant stromal fibrosis following complicated cataract surgery 10 years earlier was followed at a tertiary referral center (Cliniques universitaires Saint-Luc, Brussels) for grade I MALT lymphoma of the lower eyelid.",
        "Methods": "The patient presented with chronic pseudophakic corneal decompensation and stromal fibrosis, notably related to the presence of an anterior chamber intraocular lens. He was subsequently diagnosed with grade I MALT lymphoma of the ipsilateral lower eyelid and treated with local radiotherapy (24 Gy).\n\nNine months after radiotherapy, intraocular lens explantation and penetrating keratoplasty were scheduled. Intraoperatively, a highly localized area of scleral atrophy was observed, requiring placement of a scleral patch graft. The anterior chamber intraocular lens was explanted, and penetrating keratoplasty was performed. Given the marked iris atrophy, secondary scleral fixation was deferred to a later stage. The penetrating keratoplasty was completed without intraoperative complications. Due to the history of irradiation, an overlay amniotic membrane graft was also performed. Corneal suturing consisted of eight interrupted 10-0 nylon sutures and one continuous 10-0 nylon suture.\n\nOn postoperative day 1, the sutures were tight and no Seidel sign was observed. At the 1-month follow-up, progressive suture loosening occurred, initially involving the continuous suture and subsequently the interrupted sutures, in association with circumferential (360°) scleral atrophy.",
        "Results": "",
        "Conclusions": "Suture loosening occurring one month after penetrating keratoplasty should raise suspicion for an underlying anatomical change. Scleral atrophy that develops without pain or inflammatory scleritis in the context of prior penetrating keratoplasty and orbital irradiation is a rare but potentially serious complication."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCOR114",
      "abstract_number": "POCOR114",
      "title": "Gotta Change It All",
      "authors": "Federica Paganello",
      "presenter": "Federica Paganello",
      "normalized_authors": [
        "Federica Paganello"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Federica Paganello",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To report the management of a challenging case of penetrating keratoplasty (PK) combined with IOL exchange and artificial iris implantation.",
        "Setting": "Private practice in Belo Horizonte, Brazil.",
        "Methods": "A 56-year-old woman presented with decreased vision and light sensitivity in the left eye that had a penetrating injury after a car accident 30 years ago. Her right eye has a congenital foveal scar that limits vision to 20/60. The left eye sees hand-movement only. Biomicroscopy shows a partially opaque cornea due to some scarring and edema. There is also a significant amount of iris loss with some iris remnants infero-temporal. A single-piece PMMA IOL is dislocated inferiorly. B-scan shows a viable posterior segment, and it was decided to proceed with surgery for this eye.\n\nThe dislocated lens was dialed into the AC before trephination of the cornea. Next, the new 3-piece IOL was fixated into the artificial iris with the help of guiding needles. Polytetrafluoroethylene (PTFE) sutures were placed into the artificial iris, 90º away from the point of IOL fixation. The cornea was then excised and the IOL removed. The PTFE sutures were passed into a pair of partial scleral grooves that were created 2 mm posterior and parallel to the limbus, 180º apart from each other. With the anterior vitrector, the iris remnants were removed with an open-sky approach. The IOL-artificial iris complex was fixated and the graft was sutured in place with 16 interrupted 10-0 nylon sutures.\n\nThe patient had an uneventful post-operative course and she reports improvement in her vision (20/200 best-corrected) and a significant improvement in light sensitivity.",
        "Conclusions": "This case shows an alternative technique to manage complex anterior segment reconstruction using a three-piece IOL, artificial iris and a corneal transplant. This technique has the advantage of performing some critical steps outside the eye and fixating the lens/iris complex combined in a single point to the sclera."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case shows an alternative technique to manage complex anterior segment reconstruction using a three-piece IOL, artificial iris and a corneal transplant. This technique has the advantage of performing some critical steps outside the eye and fixating the lens/iris complex combined in a single point to the sclera.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 804,
      "source_fields": {
        "Abstract Final Identifier": "POCOR114",
        "Title": "Gotta Change It All",
        "Presenting Author(s)": "Federica Paganello",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Federica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Paganello",
        "Country Name": "Italy",
        "Purpose": "To report the management of a challenging case of penetrating keratoplasty (PK) combined with IOL exchange and artificial iris implantation.",
        "Setting": "Private practice in Belo Horizonte, Brazil.",
        "Methods": "A 56-year-old woman presented with decreased vision and light sensitivity in the left eye that had a penetrating injury after a car accident 30 years ago. Her right eye has a congenital foveal scar that limits vision to 20/60. The left eye sees hand-movement only. Biomicroscopy shows a partially opaque cornea due to some scarring and edema. There is also a significant amount of iris loss with some iris remnants infero-temporal. A single-piece PMMA IOL is dislocated inferiorly. B-scan shows a viable posterior segment, and it was decided to proceed with surgery for this eye.\n\nThe dislocated lens was dialed into the AC before trephination of the cornea. Next, the new 3-piece IOL was fixated into the artificial iris with the help of guiding needles. Polytetrafluoroethylene (PTFE) sutures were placed into the artificial iris, 90º away from the point of IOL fixation. The cornea was then excised and the IOL removed. The PTFE sutures were passed into a pair of partial scleral grooves that were created 2 mm posterior and parallel to the limbus, 180º apart from each other. With the anterior vitrector, the iris remnants were removed with an open-sky approach. The IOL-artificial iris complex was fixated and the graft was sutured in place with 16 interrupted 10-0 nylon sutures.\n\nThe patient had an uneventful post-operative course and she reports improvement in her vision (20/200 best-corrected) and a significant improvement in light sensitivity.",
        "Results": "",
        "Conclusions": "This case shows an alternative technique to manage complex anterior segment reconstruction using a three-piece IOL, artificial iris and a corneal transplant. This technique has the advantage of performing some critical steps outside the eye and fixating the lens/iris complex combined in a single point to the sclera."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR115",
      "abstract_number": "POCOR115",
      "title": "First Combine Dmek/Cataract Surgery With 3D Headset Apple Vision Pro",
      "authors": "Dr Christophe Panthier",
      "presenter": "Dr Christophe Panthier",
      "normalized_authors": [
        "Christophe Panthier"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christophe Panthier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To report the first combined Descemet Membrane Endothelial Keratoplasty (DMEK) and phacoemulsification procedure performed using a 3D augmented reality (AR) headset (Apple Vision Pro), and to evaluate its feasibility, intraoperative performance, and surgical ergonomics.",
        "Setting": "One surgical case done at the Rothschild Foundation in Paris. Vidéo included",
        "Methods": "A combined DMEK and cataract surgery was performed in a patient presenting with endothelial dysfunction and visually significant cataract. The procedure was conducted using a surgical microscope integrated with a 3D augmented reality headset (Apple Vision Pro). The headset provided real-time stereoscopic visualization with enhanced depth perception and allowed simultaneous multi-screen integration within the surgeon’s operative field of view (including anterior segment imaging, surgical parameters, and intraoperative data). Operative time, intraoperative events, and surgeon-reported ergonomics were assessed.\n\nThe combined procedure was completed without intraoperative or postoperative complications. Total operative time was comparable to standard combined DMEK–phacoemulsification procedures. The 3D AR system provided exceptional depth of field visualization, particularly during graft unfolding and centration. The integrated multi-screen interface allowed continuous access to critical surgical data without diverting gaze away from the operative field. The surgical workspace was effectively redefined, enabling interaction with essential digital displays within the surgeon’s direct line of sight. Surgeon-reported ergonomics and cognitive workflow were subjectively improved.",
        "Conclusions": "This first reported case of combined DMEK and cataract surgery performed using a 3D augmented reality headset demonstrates technical feasibility and safety, with operative time comparable to conventional approaches. Enhanced depth perception and integrated digital visualization may represent a paradigm shift in anterior segment surgery. Further prospective studies are required to evaluate reproducibility, learning curve, and potential benefits on surgical precision and outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This first reported case of combined DMEK and cataract surgery performed using a 3D augmented reality headset demonstrates technical feasibility and safety, with operative time comparable to conventional approaches. Enhanced depth perception and integrated digital visualization may represent a paradigm shift in anterior segment surgery. Further prospective studies are required to evaluate reproducibility, learning…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 805,
      "source_fields": {
        "Abstract Final Identifier": "POCOR115",
        "Title": "First Combine Dmek/Cataract Surgery With 3D Headset Apple Vision Pro",
        "Presenting Author(s)": "Dr Christophe Panthier",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Christophe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Panthier",
        "Country Name": "France",
        "Purpose": "To report the first combined Descemet Membrane Endothelial Keratoplasty (DMEK) and phacoemulsification procedure performed using a 3D augmented reality (AR) headset (Apple Vision Pro), and to evaluate its feasibility, intraoperative performance, and surgical ergonomics.",
        "Setting": "One surgical case done at the Rothschild Foundation in Paris. Vidéo included",
        "Methods": "A combined DMEK and cataract surgery was performed in a patient presenting with endothelial dysfunction and visually significant cataract. The procedure was conducted using a surgical microscope integrated with a 3D augmented reality headset (Apple Vision Pro). The headset provided real-time stereoscopic visualization with enhanced depth perception and allowed simultaneous multi-screen integration within the surgeon’s operative field of view (including anterior segment imaging, surgical parameters, and intraoperative data). Operative time, intraoperative events, and surgeon-reported ergonomics were assessed.\n\nThe combined procedure was completed without intraoperative or postoperative complications. Total operative time was comparable to standard combined DMEK–phacoemulsification procedures. The 3D AR system provided exceptional depth of field visualization, particularly during graft unfolding and centration. The integrated multi-screen interface allowed continuous access to critical surgical data without diverting gaze away from the operative field. The surgical workspace was effectively redefined, enabling interaction with essential digital displays within the surgeon’s direct line of sight. Surgeon-reported ergonomics and cognitive workflow were subjectively improved.",
        "Results": "",
        "Conclusions": "This first reported case of combined DMEK and cataract surgery performed using a 3D augmented reality headset demonstrates technical feasibility and safety, with operative time comparable to conventional approaches. Enhanced depth perception and integrated digital visualization may represent a paradigm shift in anterior segment surgery. Further prospective studies are required to evaluate reproducibility, learning curve, and potential benefits on surgical precision and outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POCOR116",
      "abstract_number": "POCOR116",
      "title": "Platelet-Rich Plasma Therapy In The Management Of Dry Eye Disease: Clinical Outcomes And Practical Considerations",
      "authors": "Dr Sofiya Pavliv",
      "presenter": "Dr Sofiya Pavliv",
      "normalized_authors": [
        "Sofiya Pavliv"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofiya Pavliv",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of autologous platelet-rich plasma (PRP) therapy in patients with moderate to severe dry eye disease (DED) refractory to conventional treatment.",
        "Setting": "A prospective interventional case series including patients with moderate to severe DED unresponsive to artificial tears, topical anti-inflammatory therapy, and lid hygiene. Autologous PRP eye drops were prepared under sterile conditions and administered 4–6 times daily for 4–8 weeks.Outcome measures included Ocular Surface Disease Index(OSDI), tear break-up time (TBUT), corneal fluorescein staining (CFS), Schirmer test, and patient-reported symptom relief. Safety and tolerability were assessed.",
        "Methods": "PRP therapy resulted in significant improvement in subjective symptoms and objective ocular surface parameters,including increased TBUT and decreased corneal staining. Patients reported reduced burning, foreign body sensation, and visual fluctuation.The therapy was well tolerated, with no serious adverse events observed. Clinical improvement was particularly notable in patients with severe ocular surface inflammation and epithelial compromise.",
        "Conclusions": "Autologous PRP represents a promising regenerative approach for managing moderate to severe DED, especially in treatment-resistant cases. Its high concentration of growth factors may promote epithelial healing and ocular surface stabilization. Standardization of preparation protocols and larger controlled studies are warranted to further define its role in routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Autologous PRP represents a promising regenerative approach for managing moderate to severe DED, especially in treatment-resistant cases. Its high concentration of growth factors may promote epithelial healing and ocular surface stabilization. Standardization of preparation protocols and larger controlled studies are warranted to further define its role in routine clinical practice.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 806,
      "source_fields": {
        "Abstract Final Identifier": "POCOR116",
        "Title": "Platelet-Rich Plasma Therapy In The Management Of Dry Eye Disease: Clinical Outcomes And Practical Considerations",
        "Presenting Author(s)": "Dr Sofiya Pavliv",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sofiya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pavliv",
        "Country Name": "Ukraine",
        "Purpose": "To evaluate the efficacy and safety of autologous platelet-rich plasma (PRP) therapy in patients with moderate to severe dry eye disease (DED) refractory to conventional treatment.",
        "Setting": "A prospective interventional case series including patients with moderate to severe DED unresponsive to artificial tears, topical anti-inflammatory therapy, and lid hygiene. Autologous PRP eye drops were prepared under sterile conditions and administered 4–6 times daily for 4–8 weeks.Outcome measures included Ocular Surface Disease Index(OSDI), tear break-up time (TBUT), corneal fluorescein staining (CFS), Schirmer test, and patient-reported symptom relief. Safety and tolerability were assessed.",
        "Methods": "PRP therapy resulted in significant improvement in subjective symptoms and objective ocular surface parameters,including increased TBUT and decreased corneal staining. Patients reported reduced burning, foreign body sensation, and visual fluctuation.The therapy was well tolerated, with no serious adverse events observed. Clinical improvement was particularly notable in patients with severe ocular surface inflammation and epithelial compromise.",
        "Results": "",
        "Conclusions": "Autologous PRP represents a promising regenerative approach for managing moderate to severe DED, especially in treatment-resistant cases. Its high concentration of growth factors may promote epithelial healing and ocular surface stabilization. Standardization of preparation protocols and larger controlled studies are warranted to further define its role in routine clinical practice."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 201
    },
    {
      "uid": "POCOR117",
      "abstract_number": "POCOR117",
      "title": "Team-Based Surgical Approach To Uncontrolled Glaucoma And Corneal Failure In A Monocular Aphakic Patient",
      "authors": "Dr Clara Pons Talaya",
      "presenter": "Dr Clara Pons Talaya",
      "normalized_authors": [
        "Clara Pons Talaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clara Pons Talaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the management and outcomes of a complex case of refractory secondary glaucoma and corneal edema in an aphakic patient following childhood congenital cataract surgery.",
        "Setting": "The cornea clinic at our ophthalmology facility in Spain.",
        "Methods": "A 63-year-old man with a history of aphakia and secondary glaucoma in his right eye presented with severe corneal decompensation with reduced vision and uncontrolled intraocular pressure despite maximal topical and systemic therapy. The fellow eye had no visual potential. Topical antiglaucomatous therapy, although necessary, was badly tolerated, and the patient’s quality of life and ocular surface were greatly affected. The patient underwent Paul glaucoma valve implantation combined with preventive vitreoretinal surgery, assisted by an Eckhardt keratoprosthesis. This was followed by penetrating keratoplasty during the same surgical session.\n\nPostoperative recovery was uneventful. The corneal graft remained transparent, the drainage tube was properly positioned in the vitreous cavity, and intraocular pressure was ultimately controlled. The patient continues with regular follow-up and shows satisfactory improvement in visual function.",
        "Conclusions": "Combined surgical approach addressing both glaucoma and corneal failure allowed adequate pressure control and preservation of ocular integrity in a challenging case of a monocular patient with secondary glaucoma and aphakia and a low quality of life due to treatment intolerance, emphasizing the value of individualized multidisciplinary management in complex anterior segment pathology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Combined surgical approach addressing both glaucoma and corneal failure allowed adequate pressure control and preservation of ocular integrity in a challenging case of a monocular patient with secondary glaucoma and aphakia and a low quality of life due to treatment intolerance, emphasizing the value of individualized multidisciplinary management in complex anterior segment pathology.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 807,
      "source_fields": {
        "Abstract Final Identifier": "POCOR117",
        "Title": "Team-Based Surgical Approach To Uncontrolled Glaucoma And Corneal Failure In A Monocular Aphakic Patient",
        "Presenting Author(s)": "Dr Clara Pons Talaya",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Clara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pons Talaya",
        "Country Name": "Spain",
        "Purpose": "To report the management and outcomes of a complex case of refractory secondary glaucoma and corneal edema in an aphakic patient following childhood congenital cataract surgery.",
        "Setting": "The cornea clinic at our ophthalmology facility in Spain.",
        "Methods": "A 63-year-old man with a history of aphakia and secondary glaucoma in his right eye presented with severe corneal decompensation with reduced vision and uncontrolled intraocular pressure despite maximal topical and systemic therapy. The fellow eye had no visual potential. Topical antiglaucomatous therapy, although necessary, was badly tolerated, and the patient’s quality of life and ocular surface were greatly affected. The patient underwent Paul glaucoma valve implantation combined with preventive vitreoretinal surgery, assisted by an Eckhardt keratoprosthesis. This was followed by penetrating keratoplasty during the same surgical session.\n\nPostoperative recovery was uneventful. The corneal graft remained transparent, the drainage tube was properly positioned in the vitreous cavity, and intraocular pressure was ultimately controlled. The patient continues with regular follow-up and shows satisfactory improvement in visual function.",
        "Results": "",
        "Conclusions": "Combined surgical approach addressing both glaucoma and corneal failure allowed adequate pressure control and preservation of ocular integrity in a challenging case of a monocular patient with secondary glaucoma and aphakia and a low quality of life due to treatment intolerance, emphasizing the value of individualized multidisciplinary management in complex anterior segment pathology."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 214
    },
    {
      "uid": "POCOR118",
      "abstract_number": "POCOR118",
      "title": "Phototherapeutic Keratectomy In Schnyder Corneal Dystrophy: Visual Rehabilitation And Recurrence Considerations In A 44-Year-Old Patient",
      "authors": "Dr Ana Popovic",
      "presenter": "Dr Ana Popovic",
      "normalized_authors": [
        "Ana Popovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Popovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "Schnyder corneal dystrophy (SCD) is a rare corneal dystrophy characterized by abnormally increased deposition of cholesterol and phospholipids, early-age arcus lipoides in the cornea leading to progressive vision loss.\n\nI present a case of a 44-year-old female patient diagnosed with Schnyder corneal dystrophy and to describe visual and structural outcomes before and after excimer laser phototherapeutic keratectomy . PTK has been reported to be effective in the treatment of SCD. PTK is indicated for anterior basement membrane dystrophies and stromal dystrophies for both symptomatic relief and visual improvement.\n\nThe aim is to highlight the therapeutic benefits and visual rehabilitation following superficial corneal opacities removal.",
        "Setting": ". The patient was evaluated and treated at private ophtalmology hospital in Belgrade.\n\nComprehensive ocular examination, including clinical examination, anterior segment optical coherence tomography was performed to examine corneal structure. PTK was carried out under topical anesthesia by an experienced corneal suregeon, with postoperative care and follow-up conduced in same center. Postoperative follow up for the next seven years was performed at her ophtalmologist once a year.",
        "Methods": "A 37-year-old woman presented with progressively decreased vision and central corneal opacities in both eyes. . Personal anamnesis shows high holesterol levels and mild anemia.\n\nSlit-lamp examination revealed polygonal central crystalline deposits with surrounding stromal haze,early-age arcus lipoides consistent with Schnyder corneal dystrophy.\n\nBest corrected visual acuity (BCVA) was 0.4 in the right eye and 0.5 in the left. Corneal topography showed irregular astigmatism, while anterior segment OCT confirmed superficial stromal involvement with the deeper stroma and endothelium unaffected.\n\nConsidering the superficial nature of lesions and patients visual complaints PTK using eximer laser was planned.\n\nPTK was performed on the right eye under topical anesthesia, using excimer laser. The postoperative course was uneventful.\n\nPostoperative menagement inculded topical antibiotics , corticosteroids drops and preservative free artifitials tears.\n\nAfter three monts , the cornea was clear with significant reduction of subepithelial deposits. BCVA improved to 0.8.\n\nThe left eye was l treated 6 months later with similar parameters and achieved comparable results, BCVA improved to 0,9 .\n\nNo recurrence or complications were observed at seven-years follow-up. Patient has BCVA on both eyes, stable for seven years using corrective glasses OD -0,75/-1,25/125 OS =1,25/-1,0/15 and she is extremely satisfied with the results, considering the nature of her occupation.",
        "Conclusions": "This case demonstrates that PTK can be an effective and safe minimally invasive therapeutic option in Schnyder corneal dystrophy, leading to improved corneal transparency and visual function. Phototherapeutic keratectomy led to significant improvement in corneal clarity and best corrected visual acuity with stable corneal thickness and no complitations during the seven years of folow up.\n\nEarly detections and treatment of superficial lesions may delay the need form more invasive procedures such as penetrating keratoplasty. Careful patient selection and documentation of pre and postoperative findings are essential for optimal outcomes contributing valuable evidence for the menagement of rare corneal disorders"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates that PTK can be an effective and safe minimally invasive therapeutic option in Schnyder corneal dystrophy, leading to improved corneal transparency and visual function. Phototherapeutic keratectomy led to significant improvement in corneal clarity and best corrected visual acuity with stable corneal thickness and no complitations during the seven years of folow up. Early detections and…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 808,
      "source_fields": {
        "Abstract Final Identifier": "POCOR118",
        "Title": "Phototherapeutic Keratectomy In Schnyder Corneal Dystrophy: Visual Rehabilitation And Recurrence Considerations In A 44-Year-Old Patient",
        "Presenting Author(s)": "Dr Ana Popovic",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Popovic",
        "Country Name": "Serbia",
        "Purpose": "Schnyder corneal dystrophy (SCD) is a rare corneal dystrophy characterized by abnormally increased deposition of cholesterol and phospholipids, early-age arcus lipoides in the cornea leading to progressive vision loss.\n\nI present a case of a 44-year-old female patient diagnosed with Schnyder corneal dystrophy and to describe visual and structural outcomes before and after excimer laser phototherapeutic keratectomy . PTK has been reported to be effective in the treatment of SCD. PTK is indicated for anterior basement membrane dystrophies and stromal dystrophies for both symptomatic relief and visual improvement.\n\nThe aim is to highlight the therapeutic benefits and visual rehabilitation following superficial corneal opacities removal.",
        "Setting": ". The patient was evaluated and treated at private ophtalmology hospital in Belgrade.\n\nComprehensive ocular examination, including clinical examination, anterior segment optical coherence tomography was performed to examine corneal structure. PTK was carried out under topical anesthesia by an experienced corneal suregeon, with postoperative care and follow-up conduced in same center. Postoperative follow up for the next seven years was performed at her ophtalmologist once a year.",
        "Methods": "A 37-year-old woman presented with progressively decreased vision and central corneal opacities in both eyes. . Personal anamnesis shows high holesterol levels and mild anemia.\n\nSlit-lamp examination revealed polygonal central crystalline deposits with surrounding stromal haze,early-age arcus lipoides consistent with Schnyder corneal dystrophy.\n\nBest corrected visual acuity (BCVA) was 0.4 in the right eye and 0.5 in the left. Corneal topography showed irregular astigmatism, while anterior segment OCT confirmed superficial stromal involvement with the deeper stroma and endothelium unaffected.\n\nConsidering the superficial nature of lesions and patients visual complaints PTK using eximer laser was planned.\n\nPTK was performed on the right eye under topical anesthesia, using excimer laser. The postoperative course was uneventful.\n\nPostoperative menagement inculded topical antibiotics , corticosteroids drops and preservative free artifitials tears.\n\nAfter three monts , the cornea was clear with significant reduction of subepithelial deposits. BCVA improved to 0.8.\n\nThe left eye was l treated 6 months later with similar parameters and achieved comparable results, BCVA improved to 0,9 .\n\nNo recurrence or complications were observed at seven-years follow-up. Patient has BCVA on both eyes, stable for seven years using corrective glasses OD -0,75/-1,25/125 OS =1,25/-1,0/15 and she is extremely satisfied with the results, considering the nature of her occupation.",
        "Results": "",
        "Conclusions": "This case demonstrates that PTK can be an effective and safe minimally invasive therapeutic option in Schnyder corneal dystrophy, leading to improved corneal transparency and visual function. Phototherapeutic keratectomy led to significant improvement in corneal clarity and best corrected visual acuity with stable corneal thickness and no complitations during the seven years of folow up.\n\nEarly detections and treatment of superficial lesions may delay the need form more invasive procedures such as penetrating keratoplasty. Careful patient selection and documentation of pre and postoperative findings are essential for optimal outcomes contributing valuable evidence for the menagement of rare corneal disorders"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 482
    },
    {
      "uid": "POCOR119",
      "abstract_number": "POCOR119",
      "title": "Case Report:Corneal Ring Abscess Following Corneal Collagen Crosslinking With Riboflavin: A Treatable Tragedy?",
      "authors": "Dr Ayman Ahmed Rashed",
      "presenter": "Dr Ayman Ahmed Rashed",
      "normalized_authors": [
        "Ayman Ahmed Rashed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayman Ahmed Rashed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "Corneal Collagen cross linking has been proven to be a safe long term prophylactic treatment treatment for cases of keratoconus .The incidence of infection to occur in such procedure is very rare(low as 0.12%) in large studies.\n\nIn this case study the aim is to reporet a case of cornel ring abcess that occured after cornel collagen crosslinking for treatment of keratoconus",
        "Setting": "A 28 year old female patient came to the clinic seeking treatment for her keratoconus condition.She had bilateral Keratoconus grade III right eye and grade II left eye(ABCD Classaification).BVCA was 0.4 right eye and 0.3 left eye LogMAR scale.\n\nFull ophthalmological examination was conducted, and upon which the decision was taken to perform epioff corneal collagen cross linking with riboflavin for both eyes simultaneously to prevent further progression of her condition.",
        "Methods": "The technique was conducted starting with riboflavin (vitamin (B 12}) solution is applied to the cornea to act as a photosensitizer for 10 minutes. Avedro systems use specific riboflavin formulations for this purpose fot the Ultraviolet light exposure.The cornea is then exposed to a higher-intensity Ultraviolet light for a shorter period. In a standard accelerated protocol, this is typically 18 mW/cm for 8 minutes.Photochemical reaction: The riboflavin absorbs the UV light, triggering a photochemical reaction that creates new bonds between the collagen fibers in the cornea.Strengthened cornea: This reaction increases the cornea's biomechanical strength and rigidity, which helps to halt or slow the progression of corneal thinning disorders.\n\nThe patient was seen next day with no significant findings, then late night the patient contacted us complaining of severe pain and redness in her right eye.First thing to come in our mind as that the bandage contact lens may have fallen,. The patient was seen same night ,there was an unexpected surprise: a 6 mm diameter corneal ring abcess in her right eye with severe conjunctival congestion.\n\nConjunctival swab was taken for culture and sensitivity. PCR was done for the possibility of acanthamoeba kerartitis, Immediate intensive treatment was initiated of systemic antibiotics, fortified antibiotics, topical pain killers and decongestants.",
        "Conclusions": "Despite its rarity, corneal infections following corneal collagen cross linking with riboflavin can happen.Keeping sterile conditions is a must to prevent, and but it can also occur despite all measures taken.Proper management after detecting the causative organism can finish the tragedy and prevent more severe consequences like corneal melting or perforation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Despite its rarity, corneal infections following corneal collagen cross linking with riboflavin can happen.Keeping sterile conditions is a must to prevent, and but it can also occur despite all measures taken.Proper management after detecting the causative organism can finish the tragedy and prevent more severe consequences like corneal melting or perforation.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 809,
      "source_fields": {
        "Abstract Final Identifier": "POCOR119",
        "Title": "Case Report:Corneal Ring Abscess Following Corneal Collagen Crosslinking With Riboflavin: A Treatable Tragedy?",
        "Presenting Author(s)": "Dr Ayman Ahmed Rashed",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ayman",
        "Submitter Middle Name": "Ahmed",
        "Submitter Last Name": "Rashed",
        "Country Name": "United Arab Emirates",
        "Purpose": "Corneal Collagen cross linking has been proven to be a safe long term prophylactic treatment treatment for cases of keratoconus .The incidence of infection to occur in such procedure is very rare(low as 0.12%) in large studies.\n\nIn this case study the aim is to reporet a case of cornel ring abcess that occured after cornel collagen crosslinking for treatment of keratoconus",
        "Setting": "A 28 year old female patient came to the clinic seeking treatment for her keratoconus condition.She had bilateral Keratoconus grade III right eye and grade II left eye(ABCD Classaification).BVCA was 0.4 right eye and 0.3 left eye LogMAR scale.\n\nFull ophthalmological examination was conducted, and upon which the decision was taken to perform epioff corneal collagen cross linking with riboflavin for both eyes simultaneously to prevent further progression of her condition.",
        "Methods": "The technique was conducted starting with riboflavin (vitamin (B 12}) solution is applied to the cornea to act as a photosensitizer for 10 minutes. Avedro systems use specific riboflavin formulations for this purpose fot the Ultraviolet light exposure.The cornea is then exposed to a higher-intensity Ultraviolet light for a shorter period. In a standard accelerated protocol, this is typically 18 mW/cm for 8 minutes.Photochemical reaction: The riboflavin absorbs the UV light, triggering a photochemical reaction that creates new bonds between the collagen fibers in the cornea.Strengthened cornea: This reaction increases the cornea's biomechanical strength and rigidity, which helps to halt or slow the progression of corneal thinning disorders.\n\nThe patient was seen next day with no significant findings, then late night the patient contacted us complaining of severe pain and redness in her right eye.First thing to come in our mind as that the bandage contact lens may have fallen,. The patient was seen same night ,there was an unexpected surprise: a 6 mm diameter corneal ring abcess in her right eye with severe conjunctival congestion.\n\nConjunctival swab was taken for culture and sensitivity. PCR was done for the possibility of acanthamoeba kerartitis, Immediate intensive treatment was initiated of systemic antibiotics, fortified antibiotics, topical pain killers and decongestants.",
        "Results": "",
        "Conclusions": "Despite its rarity, corneal infections following corneal collagen cross linking with riboflavin can happen.Keeping sterile conditions is a must to prevent, and but it can also occur despite all measures taken.Proper management after detecting the causative organism can finish the tragedy and prevent more severe consequences like corneal melting or perforation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 406
    },
    {
      "uid": "POCOR120",
      "abstract_number": "POCOR120",
      "title": "From Ectasia To Regularization: Early Outcomes Of Femtosecond Laser–Assisted Annular Keratectomy In Advanced Keratoconus",
      "authors": "Lola Rodriguez Carrillo",
      "presenter": "Lola Rodriguez Carrillo",
      "normalized_authors": [
        "Lola Rodriguez Carrillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lola Rodriguez Carrillo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the surgical technique, early clinical and tomographic outcomes, and selection criteria for femtosecond laser–assisted annular keratectomy in two young patients with Grade IV nipple type keratoconus intolerant to rigid gas-permeable lenses and inadequately corrected with spectacles.\n\nAdvanced keratoconus remains challenging in young patients unsuitable for conservative optical management who seek to delay or avoid corneal transplantation. Annular keratectomy redistributes corneal biomechanics by removing a mid-peripheral stromal ring, inducing flattening and partial regularization of the ectatic cornea. We report two cases demonstrating early visual and tomographic changes and discuss key aspects of patient selection.",
        "Setting": "Retrospective interventional case report conducted at a tertiary corneal referral center. Both patients underwent full ophthalmic evaluation including UDVA, CDVA, pinhole, manifest refraction, and Scheimpflug tomography. Femtosecond laser–assisted annular keratectomy was performed, creating a customized mid-peripheral stromal ring to induce controlled flattening and corneal regularization. Follow-up at 24 hours included slit-lamp exam, repeat tomography, and visual assessment.",
        "Methods": "Case 1 A 25-year-old female with Grade IV keratoconus, RGP intolerance, and poor spectacle correction presented with counting fingers (CF) at 50 cm, improving to 20/100 with pinhole. Tomography showed advanced ectasia: K1 61.93 D, K2 64.21 D, Km 63.05 D, cylinder −2.28 D @151°, Q +0.84, and vertical coma 1.62 µm.\n\nFemtosecond laser–assisted annular keratectomy was performed uneventfully. At 24 hours, vision improved to CF at 3 m (20/100 with pinhole). Tomography revealed marked flattening: K1 27.09 D, K2 35.82 D, Km 30.85 D, cylinder −8.74 D, Q −1.56. Coma decreased to 0.98 µm. The patient reported improved clarity and reduced distortion.\n\nCase 2 A 25-year-old male with Grade IV keratoconus and RGP intolerance had CF at 3 m without pinhole improvement. Preoperative tomography showed severe steepening (K1 69.43 D, K2 71.24 D, Km 70.32 D).\n\nAfter the same procedure, uncorrected vision improved to 20/150 (20/100 with pinhole) at 24 hours. Tomography demonstrated significant flattening (K1 23.18 D, K2 41.30 D, Km 29.69 D) with 18.3 D cylinder in the central 3 mm.\n\nIn both cases, substantial early corneal flattening and functional visual improvement were observed. Benefit appears related to biomechanical redistribution and partial optical regularization rather than refractive correction alone.",
        "Conclusions": "Femtosecond laser–assisted annular keratectomy may be an alternative for selected patients with advanced nipple-type keratoconus intolerant to RGP lenses and poorly corrected with spectacles. In these cases, it achieved early corneal flattening, reduced higher-order aberrations (notably coma), and meaningful visual improvement within 24 hours. Despite residual irregular astigmatism, subjective quality improved, supporting a biomechanical effect. Careful selection is essential, particularly in advanced nipple phenotype patients seeking to delay or avoid keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Femtosecond laser–assisted annular keratectomy may be an alternative for selected patients with advanced nipple-type keratoconus intolerant to RGP lenses and poorly corrected with spectacles. In these cases, it achieved early corneal flattening, reduced higher-order aberrations (notably coma), and meaningful visual improvement within 24 hours. Despite residual irregular astigmatism, subjective quality improved,…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 810,
      "source_fields": {
        "Abstract Final Identifier": "POCOR120",
        "Title": "From Ectasia To Regularization: Early Outcomes Of Femtosecond Laser–Assisted Annular Keratectomy In Advanced Keratoconus",
        "Presenting Author(s)": "Lola Rodriguez Carrillo",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodriguez Carrillo",
        "Country Name": "Spain",
        "Purpose": "To describe the surgical technique, early clinical and tomographic outcomes, and selection criteria for femtosecond laser–assisted annular keratectomy in two young patients with Grade IV nipple type keratoconus intolerant to rigid gas-permeable lenses and inadequately corrected with spectacles.\n\nAdvanced keratoconus remains challenging in young patients unsuitable for conservative optical management who seek to delay or avoid corneal transplantation. Annular keratectomy redistributes corneal biomechanics by removing a mid-peripheral stromal ring, inducing flattening and partial regularization of the ectatic cornea. We report two cases demonstrating early visual and tomographic changes and discuss key aspects of patient selection.",
        "Setting": "Retrospective interventional case report conducted at a tertiary corneal referral center. Both patients underwent full ophthalmic evaluation including UDVA, CDVA, pinhole, manifest refraction, and Scheimpflug tomography. Femtosecond laser–assisted annular keratectomy was performed, creating a customized mid-peripheral stromal ring to induce controlled flattening and corneal regularization. Follow-up at 24 hours included slit-lamp exam, repeat tomography, and visual assessment.",
        "Methods": "Case 1 A 25-year-old female with Grade IV keratoconus, RGP intolerance, and poor spectacle correction presented with counting fingers (CF) at 50 cm, improving to 20/100 with pinhole. Tomography showed advanced ectasia: K1 61.93 D, K2 64.21 D, Km 63.05 D, cylinder −2.28 D @151°, Q +0.84, and vertical coma 1.62 µm.\n\nFemtosecond laser–assisted annular keratectomy was performed uneventfully. At 24 hours, vision improved to CF at 3 m (20/100 with pinhole). Tomography revealed marked flattening: K1 27.09 D, K2 35.82 D, Km 30.85 D, cylinder −8.74 D, Q −1.56. Coma decreased to 0.98 µm. The patient reported improved clarity and reduced distortion.\n\nCase 2 A 25-year-old male with Grade IV keratoconus and RGP intolerance had CF at 3 m without pinhole improvement. Preoperative tomography showed severe steepening (K1 69.43 D, K2 71.24 D, Km 70.32 D).\n\nAfter the same procedure, uncorrected vision improved to 20/150 (20/100 with pinhole) at 24 hours. Tomography demonstrated significant flattening (K1 23.18 D, K2 41.30 D, Km 29.69 D) with 18.3 D cylinder in the central 3 mm.\n\nIn both cases, substantial early corneal flattening and functional visual improvement were observed. Benefit appears related to biomechanical redistribution and partial optical regularization rather than refractive correction alone.",
        "Results": "",
        "Conclusions": "Femtosecond laser–assisted annular keratectomy may be an alternative for selected patients with advanced nipple-type keratoconus intolerant to RGP lenses and poorly corrected with spectacles. In these cases, it achieved early corneal flattening, reduced higher-order aberrations (notably coma), and meaningful visual improvement within 24 hours. Despite residual irregular astigmatism, subjective quality improved, supporting a biomechanical effect. Careful selection is essential, particularly in advanced nipple phenotype patients seeking to delay or avoid keratoplasty."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 452
    },
    {
      "uid": "POCOR121",
      "abstract_number": "POCOR121",
      "title": "Corneal Melting Secondary To Malnutrition And Systemic Steroid Abuse: A Case Report",
      "authors": "Dr Maha Saad",
      "presenter": "Dr Maha Saad",
      "normalized_authors": [
        "Maha Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maha Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To report rare case of corneal melting and perforation secondary to malnutrition following bariatric surgery and systemic steroid abuse and to highlight the potentially fatal complications corticosteroids might have if used without medical supervision.",
        "Setting": "Emergency department at Kasr Al Ainy,Cairo University Hospitals.",
        "Methods": "A 27-year-old female presented with painful diminution of vision along with eye redness starting 1 month ago.\nShe has a history of gastric bypass surgery done 10 years ago following which she lost significant amount of weight from 145 kg to 52 kg. 3 months ago, she decided to start oral prednisolone 90 mg/day for weight gain following excessive weight loss. 2 weeks prior to her presentation, she tapered the dose to 7.5 mg/day.\nOn examination, she was pale, ill-appearing with cushingoid facies. Orthostatic hypotension was present and bruises were observed over extremities. Mucous membranes were dry. Ocular examination showed left corneal perforation with infected, irregular margins. Anterior chamber was lost along with severe ciliary injection. Unaided visual acuity was hand motion. Right eye had severe dryness, but examination was otherwise irremarkable. Laboratory investigations showed anemia (Hemoglobin10.1 g/dL), bleeding tendency (INR 1.6)and hypoglycemia.\nPatient was diagnosed with adrenal insufficiency, along with marked nutritional deficiency. She was stabilized in the ED and given stress dose steroids 100 mg IV following which emergency tectonic graft surgery was performed with AC reformation. She was later treated for steroid-withdrawal induced adrenal insufficiency along with nutritional rehabilitation.\nUltrasound done after wound stabilization revealed clear vitreous and attached retina. Shemis awaiting perforating keratoplasty after stabilization of medical condition.",
        "Conclusions": "Unsupervised use of corticosteroids can lead to sight- and life-threatening complications. Patient education is crucial post-bariatric surgery to prevent severe complications due to nutritional deficiency and/or self-medication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Unsupervised use of corticosteroids can lead to sight- and life-threatening complications. Patient education is crucial post-bariatric surgery to prevent severe complications due to nutritional deficiency and/or self-medication.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 811,
      "source_fields": {
        "Abstract Final Identifier": "POCOR121",
        "Title": "Corneal Melting Secondary To Malnutrition And Systemic Steroid Abuse: A Case Report",
        "Presenting Author(s)": "Dr Maha Saad",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Maha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Egypt",
        "Purpose": "To report rare case of corneal melting and perforation secondary to malnutrition following bariatric surgery and systemic steroid abuse and to highlight the potentially fatal complications corticosteroids might have if used without medical supervision.",
        "Setting": "Emergency department at Kasr Al Ainy,Cairo University Hospitals.",
        "Methods": "A 27-year-old female presented with painful diminution of vision along with eye redness starting 1 month ago.\nShe has a history of gastric bypass surgery done 10 years ago following which she lost significant amount of weight from 145 kg to 52 kg. 3 months ago, she decided to start oral prednisolone 90 mg/day for weight gain following excessive weight loss. 2 weeks prior to her presentation, she tapered the dose to 7.5 mg/day.\nOn examination, she was pale, ill-appearing with cushingoid facies. Orthostatic hypotension was present and bruises were observed over extremities. Mucous membranes were dry. Ocular examination showed left corneal perforation with infected, irregular margins. Anterior chamber was lost along with severe ciliary injection. Unaided visual acuity was hand motion. Right eye had severe dryness, but examination was otherwise irremarkable. Laboratory investigations showed anemia (Hemoglobin10.1 g/dL), bleeding tendency (INR 1.6)and hypoglycemia.\nPatient was diagnosed with adrenal insufficiency, along with marked nutritional deficiency. She was stabilized in the ED and given stress dose steroids 100 mg IV following which emergency tectonic graft surgery was performed with AC reformation. She was later treated for steroid-withdrawal induced adrenal insufficiency along with nutritional rehabilitation.\nUltrasound done after wound stabilization revealed clear vitreous and attached retina. Shemis awaiting perforating keratoplasty after stabilization of medical condition.",
        "Results": "",
        "Conclusions": "Unsupervised use of corticosteroids can lead to sight- and life-threatening complications. Patient education is crucial post-bariatric surgery to prevent severe complications due to nutritional deficiency and/or self-medication."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCOR122",
      "abstract_number": "POCOR122",
      "title": "Compressive Suture In Acute Hydrops - Case Report",
      "authors": "Ms Gabriela Noda Sakai",
      "presenter": "Ms Gabriela Noda Sakai",
      "normalized_authors": [
        "Gabriela Noda Sakai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gabriela Noda Sakai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To report a surgical approach for acute hydrops and highlight the importance of regular ophthalmological follow-up for early keratoconus diagnosis.",
        "Setting": "The case was conducted in Médicos de Olhos SA, Curitiba, Brazil",
        "Methods": "LHB, a 22-year-old male with no comorbidities or prior surgeries, has a family history of keratoconus. He was admitted to our service through the Unified Health System (SUS) complaining of itching and low visual acuity in the left eye (OS) for 2 days. Visual acuity: 20/100 in the right eye (OD) and Hand Motion in OS. Biomicroscopy showed hydrops in OS, and treatment with topical dimethyl polysiloxane, prednisolone (10 mg/mL) and carbonic anhydrase inhibitor (20mg/mL) was initiated. However, no improvement was seen after 1 month. Topography revealed snowman-type keratoconus in OD and no image capture in OS due to significant corneal irregularity.\nA compressive suture was performed at the hydrops site in OS. Postoperative follow-up showed improvement in corneal edema and visual acuity to 20/200. The patient continues to be monitored.",
        "Conclusions": "Keratoconus is a progressive corneal ectasia causing thinning and conical protrusion. In advanced cases, hydrops is an acute complication involving Descemet's membrane rupture, leading to corneal edema. Prompt identification and surgical intervention with compressive suture facilitate rapid corneal edema resolution and may prevent neovascularization. Regular ophthalmological follow-up is essential for early diagnosis and clinical management, preventing visual sequelae and quality of life impairment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Keratoconus is a progressive corneal ectasia causing thinning and conical protrusion. In advanced cases, hydrops is an acute complication involving Descemet's membrane rupture, leading to corneal edema. Prompt identification and surgical intervention with compressive suture facilitate rapid corneal edema resolution and may prevent neovascularization. Regular ophthalmological follow-up is essential for early…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 812,
      "source_fields": {
        "Abstract Final Identifier": "POCOR122",
        "Title": "Compressive Suture In Acute Hydrops - Case Report",
        "Presenting Author(s)": "Ms Gabriela Noda Sakai",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Gabriela",
        "Submitter Middle Name": "Noda",
        "Submitter Last Name": "Sakai",
        "Country Name": "Brazil",
        "Purpose": "To report a surgical approach for acute hydrops and highlight the importance of regular ophthalmological follow-up for early keratoconus diagnosis.",
        "Setting": "The case was conducted in Médicos de Olhos SA, Curitiba, Brazil",
        "Methods": "LHB, a 22-year-old male with no comorbidities or prior surgeries, has a family history of keratoconus. He was admitted to our service through the Unified Health System (SUS) complaining of itching and low visual acuity in the left eye (OS) for 2 days. Visual acuity: 20/100 in the right eye (OD) and Hand Motion in OS. Biomicroscopy showed hydrops in OS, and treatment with topical dimethyl polysiloxane, prednisolone (10 mg/mL) and carbonic anhydrase inhibitor (20mg/mL) was initiated. However, no improvement was seen after 1 month. Topography revealed snowman-type keratoconus in OD and no image capture in OS due to significant corneal irregularity.\nA compressive suture was performed at the hydrops site in OS. Postoperative follow-up showed improvement in corneal edema and visual acuity to 20/200. The patient continues to be monitored.",
        "Results": "",
        "Conclusions": "Keratoconus is a progressive corneal ectasia causing thinning and conical protrusion. In advanced cases, hydrops is an acute complication involving Descemet's membrane rupture, leading to corneal edema. Prompt identification and surgical intervention with compressive suture facilitate rapid corneal edema resolution and may prevent neovascularization. Regular ophthalmological follow-up is essential for early diagnosis and clinical management, preventing visual sequelae and quality of life impairment."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCOR123",
      "abstract_number": "POCOR123",
      "title": "Scleritis With Orbital Mass: A Vision-Threatening Masquerade",
      "authors": "Dr Ayesha Abdul Salam",
      "presenter": "Dr Ayesha Abdul Salam",
      "normalized_authors": [
        "Ayesha Abdul Salam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Abdul Salam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "This case series describes two atypical presentations of scleritis associated with intraorbital mass lesions, highlighting the diagnostic challenges posed by this uncommon association. It emphasizes the need to consider IgG4-related disease and other inflammatory orbital disorders in the differential diagnosis when routine investigations are inconclusive.",
        "Setting": "The patients presented to a tertiary care ophthalmology centre in North India.",
        "Methods": "A 40-year-old male presented with a seven-month of visual decline in the left eye with recurrent redness and pain over the last five years, managed with prolonged systemic steroid therapy for scleritis. A similar episode in the right eye a decade earlier progressed to complete vision loss with proptosis and ophthalmoplegia, requiring exenteration for a suspected orbital tumour. Visual acuity was finger counting at 1/2 metre. Examination showed temporal scleral thinning with a 1 × 1 mm scleral melt, anterior chamber inflammation, vitritis, and disc edema. Inflammatory markers and serum IgG4 were elevated. Contrast-enhanced MRI revealed a multicompartmental orbital mass. Orbital and scleral biopsy demonstrated fibrotic changes with >10 IgG4-positive plasma cells per high-power field. Systemic corticosteroids followed by rituximab improved vision to 6/18 with resolution of inflammation and healing of the scleral melt. A 76-year-old female presented with one month of decreased vision with pain and lid swelling. Examination showed 180° peripheral corneal thinning with perforation, iris prolapse, and a 6 × 5.5 mm scleral melt. Fundus revealed peripheral exudative retinal detachment. PET-CT showed metabolically active orbital soft-tissue thickening initially suspected to be lymphoma. Biopsy revealed dense inflammatory infiltration consistent with idiopathic orbital inflammatory disease. She underwent scleral and crescentic corneal patch grafting with systemic steroid therapy.",
        "Conclusions": "Scleritis associated with an orbital mass should prompt early tissue diagnosis rather than prolonged steroid therapy alone. Reliance on long-term corticosteroids may mask the underlying pathology and lead to irreversible morbidity, including globe loss. Early confirmation of IgG4-related or other inflammatory orbital disease allows timely initiation of appropriate immunomodulatory therapy, which is critical to prevent steroid-related complications and preserve vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Scleritis associated with an orbital mass should prompt early tissue diagnosis rather than prolonged steroid therapy alone. Reliance on long-term corticosteroids may mask the underlying pathology and lead to irreversible morbidity, including globe loss. Early confirmation of IgG4-related or other inflammatory orbital disease allows timely initiation of appropriate immunomodulatory therapy, which is critical to…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 813,
      "source_fields": {
        "Abstract Final Identifier": "POCOR123",
        "Title": "Scleritis With Orbital Mass: A Vision-Threatening Masquerade",
        "Presenting Author(s)": "Dr Ayesha Abdul Salam",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "Abdul",
        "Submitter Last Name": "Salam",
        "Country Name": "India",
        "Purpose": "This case series describes two atypical presentations of scleritis associated with intraorbital mass lesions, highlighting the diagnostic challenges posed by this uncommon association. It emphasizes the need to consider IgG4-related disease and other inflammatory orbital disorders in the differential diagnosis when routine investigations are inconclusive.",
        "Setting": "The patients presented to a tertiary care ophthalmology centre in North India.",
        "Methods": "A 40-year-old male presented with a seven-month of visual decline in the left eye with recurrent redness and pain over the last five years, managed with prolonged systemic steroid therapy for scleritis. A similar episode in the right eye a decade earlier progressed to complete vision loss with proptosis and ophthalmoplegia, requiring exenteration for a suspected orbital tumour. Visual acuity was finger counting at 1/2 metre. Examination showed temporal scleral thinning with a 1 × 1 mm scleral melt, anterior chamber inflammation, vitritis, and disc edema. Inflammatory markers and serum IgG4 were elevated. Contrast-enhanced MRI revealed a multicompartmental orbital mass. Orbital and scleral biopsy demonstrated fibrotic changes with >10 IgG4-positive plasma cells per high-power field. Systemic corticosteroids followed by rituximab improved vision to 6/18 with resolution of inflammation and healing of the scleral melt. A 76-year-old female presented with one month of decreased vision with pain and lid swelling. Examination showed 180° peripheral corneal thinning with perforation, iris prolapse, and a 6 × 5.5 mm scleral melt. Fundus revealed peripheral exudative retinal detachment. PET-CT showed metabolically active orbital soft-tissue thickening initially suspected to be lymphoma. Biopsy revealed dense inflammatory infiltration consistent with idiopathic orbital inflammatory disease. She underwent scleral and crescentic corneal patch grafting with systemic steroid therapy.",
        "Results": "",
        "Conclusions": "Scleritis associated with an orbital mass should prompt early tissue diagnosis rather than prolonged steroid therapy alone. Reliance on long-term corticosteroids may mask the underlying pathology and lead to irreversible morbidity, including globe loss. Early confirmation of IgG4-related or other inflammatory orbital disease allows timely initiation of appropriate immunomodulatory therapy, which is critical to prevent steroid-related complications and preserve vision."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCOR124",
      "abstract_number": "POCOR124",
      "title": "Phenotypic Variability Of Lattice Corneal Dystrophy: A Familial Case Series From A National Tertiary Center In The Philippines",
      "authors": "Dr Gerone Marie Lorenzo Saquian",
      "presenter": "Dr Gerone Marie Lorenzo Saquian",
      "normalized_authors": [
        "Gerone Marie Lorenzo Saquian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gerone Marie Lorenzo Saquian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To describe the diverse phenotypic presentations of Lattice Corneal Dystrophy within a single Filipino family and evaluate the surgical outcomes of Penetrating Keratoplasty among the members of the family with advanced cases.",
        "Setting": "The cases were seen at the Department of Health Eye Center, a tertiary eye center and the National Referral Center for Eye Care in the Philippines.",
        "Methods": "We present a series of four siblings with clinically evident lattice corneal dystrophy. An older sister and brother presented with debilitating bilateral stromal opacities and recurrent corneal erosions . The brother’s case was complicated by corneal bullae and significant thickening on optical biometry. Both underwent Penetrating Keratoplasty combined with Cataract Extraction and Intraocular Lens Implantation . Postoperatively, both achieved a significant gain in Best Corrected Visual Acuity. Following the index cases, two younger sisters were screened, revealing subclinical central stromal opacities and pathognomonic fine refractile lattice lines. Unlike their older siblings, they maintain functional vision and are currently managed conservatively with lubricants for comfort and prevention of further complications of lattice corneal dystrophy",
        "Conclusions": "This series underscores the high penetrance and variable expressivity of lattice corneal dystrophy within a single family. While the Triple Procedure remains a highly effective intervention for restoring vision in advanced LCD complicated by cataracts, early identification of younger family members is necessary. Active surveillance allows for the management of ocular surface disease before the onset of irreversible corneal decompensation, highlighting the necessity of genetic counseling in the Filipino setting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This series underscores the high penetrance and variable expressivity of lattice corneal dystrophy within a single family. While the Triple Procedure remains a highly effective intervention for restoring vision in advanced LCD complicated by cataracts, early identification of younger family members is necessary. Active surveillance allows for the management of ocular surface disease before the onset of irreversible…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 814,
      "source_fields": {
        "Abstract Final Identifier": "POCOR124",
        "Title": "Phenotypic Variability Of Lattice Corneal Dystrophy: A Familial Case Series From A National Tertiary Center In The Philippines",
        "Presenting Author(s)": "Dr Gerone Marie Lorenzo Saquian",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Gerone Marie",
        "Submitter Middle Name": "Lorenzo",
        "Submitter Last Name": "Saquian",
        "Country Name": "Philippines",
        "Purpose": "To describe the diverse phenotypic presentations of Lattice Corneal Dystrophy within a single Filipino family and evaluate the surgical outcomes of Penetrating Keratoplasty among the members of the family with advanced cases.",
        "Setting": "The cases were seen at the Department of Health Eye Center, a tertiary eye center and the National Referral Center for Eye Care in the Philippines.",
        "Methods": "We present a series of four siblings with clinically evident lattice corneal dystrophy. An older sister and brother presented with debilitating bilateral stromal opacities and recurrent corneal erosions . The brother’s case was complicated by corneal bullae and significant thickening on optical biometry. Both underwent Penetrating Keratoplasty combined with Cataract Extraction and Intraocular Lens Implantation . Postoperatively, both achieved a significant gain in Best Corrected Visual Acuity. Following the index cases, two younger sisters were screened, revealing subclinical central stromal opacities and pathognomonic fine refractile lattice lines. Unlike their older siblings, they maintain functional vision and are currently managed conservatively with lubricants for comfort and prevention of further complications of lattice corneal dystrophy",
        "Results": "",
        "Conclusions": "This series underscores the high penetrance and variable expressivity of lattice corneal dystrophy within a single family. While the Triple Procedure remains a highly effective intervention for restoring vision in advanced LCD complicated by cataracts, early identification of younger family members is necessary. Active surveillance allows for the management of ocular surface disease before the onset of irreversible corneal decompensation, highlighting the necessity of genetic counseling in the Filipino setting."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "POCOR125",
      "abstract_number": "POCOR125",
      "title": "What Am I Dealing With? Confusion Or Co-Association",
      "authors": "Dr.John Sarkar",
      "presenter": "Dr.John Sarkar",
      "normalized_authors": [
        "Dr.John Sarkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.John Sarkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Relationship between ocular cicatricial pemphigoid (OCP) and ocular surface squamous neoplasia.",
        "Setting": "One middle aged female patient with already diagnosed OCP under medications underwent phacoemulsification +IOL both eyes and post Phaco doing well",
        "Methods": "after six months she subsequently developed conjunctival squamous neoplasia. Her clinical histories ocular examinations, clinical photographs, and Impression cytology studies were carefully reviewed. Patient had a pre-invasive squamous dysplasia in Right Eye in the setting of OCP with bilateral conjunctivitis, symblepharons, and forniceal (fornix) shortening. The patients had been receiving intensive immunotherapy consisting of some combination of corticosteroids, Systemic Myco phenolate mofetil and topicals MMC 0.4% 2 cycles followed by interferon-alpha. Conjunctival Biopsy was advised but patient party refused to it and Right eye mass was resolved",
        "Conclusions": "While rare, there are three previous reports of an association between OCP and conjunctival squamous neoplasia. The current report provides more data supporting the proposal that this conjunction is more than a random event. Conjunctival biopsy and immunofluorescent studies with strong clinical diagnosis are suggestive of OSSN as patient well respond with Topicals MMC and interferon."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "While rare, there are three previous reports of an association between OCP and conjunctival squamous neoplasia. The current report provides more data supporting the proposal that this conjunction is more than a random event. Conjunctival biopsy and immunofluorescent studies with strong clinical diagnosis are suggestive of OSSN as patient well respond with Topicals MMC and interferon.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 815,
      "source_fields": {
        "Abstract Final Identifier": "POCOR125",
        "Title": "What Am I Dealing With? Confusion Or Co-Association",
        "Presenting Author(s)": "Dr.John Sarkar",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Dr.John",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sarkar",
        "Country Name": "India",
        "Purpose": "Relationship between ocular cicatricial pemphigoid (OCP) and ocular surface squamous neoplasia.",
        "Setting": "One middle aged female patient with already diagnosed OCP under medications underwent phacoemulsification +IOL both eyes and post Phaco doing well",
        "Methods": "after six months she subsequently developed conjunctival squamous neoplasia. Her clinical histories ocular examinations, clinical photographs, and Impression cytology studies were carefully reviewed. Patient had a pre-invasive squamous dysplasia in Right Eye in the setting of OCP with bilateral conjunctivitis, symblepharons, and forniceal (fornix) shortening. The patients had been receiving intensive immunotherapy consisting of some combination of corticosteroids, Systemic Myco phenolate mofetil and topicals MMC 0.4% 2 cycles followed by interferon-alpha. Conjunctival Biopsy was advised but patient party refused to it and Right eye mass was resolved",
        "Results": "",
        "Conclusions": "While rare, there are three previous reports of an association between OCP and conjunctival squamous neoplasia. The current report provides more data supporting the proposal that this conjunction is more than a random event. Conjunctival biopsy and immunofluorescent studies with strong clinical diagnosis are suggestive of OSSN as patient well respond with Topicals MMC and interferon."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 176
    },
    {
      "uid": "POCOR126",
      "abstract_number": "POCOR126",
      "title": "From Viral Conjunctivitis To Scleral Emphysema: A Rare Complication In An Immunocompromised Adolescent",
      "authors": "Dr Ahmed Shabana",
      "presenter": "Dr Ahmed Shabana",
      "normalized_authors": [
        "Ahmed Shabana"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Shabana",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To report a rare case of secondary bacterial orbital infection with scleral emphysema following adenoviral conjunctivitis in an immunocompromised adolescent post–bone marrow transplantation. The case highlights an unusual progression from viral conjunctivitis with pseudomembrane formation to corneal ulcer to preseptal cellulitis to orbital cellulitis and intra-scleral air accumulation associated with acute pupillary dysfunction and visual reduction, and how it was systemically managed medicaly and locally managed with a amniotic membrane use.",
        "Setting": "Tertiary care hospital in Dubai, United Arab Emirates. The patient was co-managed by ophthalmology, pediatrician and infectious disease, and hematology teams due to her immunocompromised status following bone marrow transplantation.",
        "Methods": "A 15-year-old female with a history of bone marrow transplantation was admitted for fever and developed unilateral eyelid swelling. Ophthalmic examination revealed severe adenoviral conjunctivitis with pseudomembrane formation, which was treated with membrane peeling, topical steroids, and supportive therapy. Two days later, she developed worsening eyelid edema consistent with preseptal cellulitis and was started on systemic antibiotics. Within 24 hours, she presented with sudden fixed dilated pupil in the affected eye without pain and conjunctival chemosis and a large corneal ulcer.\n\nUrgent MRI demonstrated scleral emphysema with multiple air pockets localized to the sclera near the ciliary body. Blood cultures and ocular samples grew methicillin-resistant Staphylococcus aureus and gram-negative organisms. The patient was admitted and treated with intensive intravenous antimicrobial therapy, and topical medical treatment, Clinical improvement was observed after four days with resolution of eyelid swelling, stabilization of vision, and gradual recovery of pupillary function but a persistent non healing corneal ulcer which was managed by tooical PF medications and application of ambiodisc amniotic grafts until proper healing occured.",
        "Conclusions": "This case illustrates a rare and sight-threatening progression of adenoviral conjunctivitis in an immunocompromised patient, complicated by secondary bacterial infection leading to preseptal cellulitis and scleral emphysema. Sudden pupillary changes and visual decline should prompt urgent imaging to exclude deeper orbital or scleral involvement. Early multidisciplinary management and aggressive antimicrobial therapy are critical. Clinicians should maintain high suspicion for atypical complications of common viral infections in post–bone marrow transplant patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case illustrates a rare and sight-threatening progression of adenoviral conjunctivitis in an immunocompromised patient, complicated by secondary bacterial infection leading to preseptal cellulitis and scleral emphysema. Sudden pupillary changes and visual decline should prompt urgent imaging to exclude deeper orbital or scleral involvement. Early multidisciplinary management and aggressive antimicrobial…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 816,
      "source_fields": {
        "Abstract Final Identifier": "POCOR126",
        "Title": "From Viral Conjunctivitis To Scleral Emphysema: A Rare Complication In An Immunocompromised Adolescent",
        "Presenting Author(s)": "Dr Ahmed Shabana",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shabana",
        "Country Name": "United Arab Emirates",
        "Purpose": "To report a rare case of secondary bacterial orbital infection with scleral emphysema following adenoviral conjunctivitis in an immunocompromised adolescent post–bone marrow transplantation. The case highlights an unusual progression from viral conjunctivitis with pseudomembrane formation to corneal ulcer to preseptal cellulitis to orbital cellulitis and intra-scleral air accumulation associated with acute pupillary dysfunction and visual reduction, and how it was systemically managed medicaly and locally managed with a amniotic membrane use.",
        "Setting": "Tertiary care hospital in Dubai, United Arab Emirates. The patient was co-managed by ophthalmology, pediatrician and infectious disease, and hematology teams due to her immunocompromised status following bone marrow transplantation.",
        "Methods": "A 15-year-old female with a history of bone marrow transplantation was admitted for fever and developed unilateral eyelid swelling. Ophthalmic examination revealed severe adenoviral conjunctivitis with pseudomembrane formation, which was treated with membrane peeling, topical steroids, and supportive therapy. Two days later, she developed worsening eyelid edema consistent with preseptal cellulitis and was started on systemic antibiotics. Within 24 hours, she presented with sudden fixed dilated pupil in the affected eye without pain and conjunctival chemosis and a large corneal ulcer.\n\nUrgent MRI demonstrated scleral emphysema with multiple air pockets localized to the sclera near the ciliary body. Blood cultures and ocular samples grew methicillin-resistant Staphylococcus aureus and gram-negative organisms. The patient was admitted and treated with intensive intravenous antimicrobial therapy, and topical medical treatment, Clinical improvement was observed after four days with resolution of eyelid swelling, stabilization of vision, and gradual recovery of pupillary function but a persistent non healing corneal ulcer which was managed by tooical PF medications and application of ambiodisc amniotic grafts until proper healing occured.",
        "Results": "",
        "Conclusions": "This case illustrates a rare and sight-threatening progression of adenoviral conjunctivitis in an immunocompromised patient, complicated by secondary bacterial infection leading to preseptal cellulitis and scleral emphysema. Sudden pupillary changes and visual decline should prompt urgent imaging to exclude deeper orbital or scleral involvement. Early multidisciplinary management and aggressive antimicrobial therapy are critical. Clinicians should maintain high suspicion for atypical complications of common viral infections in post–bone marrow transplant patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POCOR127",
      "abstract_number": "POCOR127",
      "title": "Intense Pulsed Light As Adjunctive Therapy In Refractory Inflammatory Corneal Neovascularization: A Case Report",
      "authors": "Dr Fatima Shahin",
      "presenter": "Dr Fatima Shahin",
      "normalized_authors": [
        "Fatima Shahin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fatima Shahin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Jordan",
      "sections": {
        "Purpose": "Corneal neovascularisation (CNV) secondary to severe autoimmune dry eye remains therapeutically challenging. Anti-VEGF therapy may be insufficient in inflammation driven cases. We report regression of progressive 360 CNV following periocular intense pulsed light (IPL) in a patient with clinically diagnosed seronegative Sjogren syndrome.",
        "Setting": "private ophthalmology clinic with referral to a tertiary public corneal service for advanced management.",
        "Methods": "A 55 year old female with clinically diagnosed Sjogren syndrome underwent uncomplicated phacoemulsification in 2022. After discontinuation of systemic steroids in late 2023, she developed a persistent epithelial defect progressing to corneal abscess and sectoral CNV in the right eye. Despite intense lubricants, vitamin A ointment, amniotic membrane transplantation (November 2024), and multiple subconjunctival afliberecept injections between February and August 2025, neovascularisation progressed from temporal involvement to 360 limbal encroachment. Visual acuity deteriorated to counting fingers.\n\nIn August and September 2025, two sessions of periocular IPL were performed targeting severe meibomian gland dysfunction and inflammatory lid margin disease, supported by slit lamp documentation of frothy discharge and bilateral surface involvement.",
        "Conclusions": "In this case, periocular IPL was associated with regression of progressive inflammatory CNV refractory to anti-VEGF therapy. The observed improvement is hypothesized to result from modulation of ocular surface inflammation rather than direct vascular photocoagulation. While this association suggests a potential therapeutic role, causality cannot be established from a single case, and larger controlled studies are required to confirm efficacy and mechanism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "In this case, periocular IPL was associated with regression of progressive inflammatory CNV refractory to anti-VEGF therapy. The observed improvement is hypothesized to result from modulation of ocular surface inflammation rather than direct vascular photocoagulation. While this association suggests a potential therapeutic role, causality cannot be established from a single case, and larger controlled studies are…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 817,
      "source_fields": {
        "Abstract Final Identifier": "POCOR127",
        "Title": "Intense Pulsed Light As Adjunctive Therapy In Refractory Inflammatory Corneal Neovascularization: A Case Report",
        "Presenting Author(s)": "Dr Fatima Shahin",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Fatima",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shahin",
        "Country Name": "Jordan",
        "Purpose": "Corneal neovascularisation (CNV) secondary to severe autoimmune dry eye remains therapeutically challenging. Anti-VEGF therapy may be insufficient in inflammation driven cases. We report regression of progressive 360 CNV following periocular intense pulsed light (IPL) in a patient with clinically diagnosed seronegative Sjogren syndrome.",
        "Setting": "private ophthalmology clinic with referral to a tertiary public corneal service for advanced management.",
        "Methods": "A 55 year old female with clinically diagnosed Sjogren syndrome underwent uncomplicated phacoemulsification in 2022. After discontinuation of systemic steroids in late 2023, she developed a persistent epithelial defect progressing to corneal abscess and sectoral CNV in the right eye. Despite intense lubricants, vitamin A ointment, amniotic membrane transplantation (November 2024), and multiple subconjunctival afliberecept injections between February and August 2025, neovascularisation progressed from temporal involvement to 360 limbal encroachment. Visual acuity deteriorated to counting fingers.\n\nIn August and September 2025, two sessions of periocular IPL were performed targeting severe meibomian gland dysfunction and inflammatory lid margin disease, supported by slit lamp documentation of frothy discharge and bilateral surface involvement.",
        "Results": "",
        "Conclusions": "In this case, periocular IPL was associated with regression of progressive inflammatory CNV refractory to anti-VEGF therapy. The observed improvement is hypothesized to result from modulation of ocular surface inflammation rather than direct vascular photocoagulation. While this association suggests a potential therapeutic role, causality cannot be established from a single case, and larger controlled studies are required to confirm efficacy and mechanism."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCOR128",
      "abstract_number": "POCOR128",
      "title": "Ocular Adverse Events Related To Mirvetuximab Soravtansine",
      "authors": "Dr Tamara Shukair Harb",
      "presenter": "Dr Tamara Shukair Harb",
      "normalized_authors": [
        "Tamara Shukair Harb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tamara Shukair Harb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Mirvetuximab Soravtansine (MIRV), novel potential anticancer drugs of antibody-drug conjugates (ADCs) , used for ovarian cancer. However, their use is associated with ocular toxicities, including keratopathy, blurred vision, and dry eye.\n\nThis review summarizes current evidence on the incidence, and clinical presentation of MIRV-related ocular adverse events . It also provides practical, evidence-based strategies for the monitoring, and management of these adverse events",
        "Setting": "Retrospective observational study . Data were extracted from the population , undergoing a clinical trials with Mirvetuximab soravtansine in a reference centre in Madrid between 2021–2024 (30 months)",
        "Methods": "10 female patients with advanced ovarian cancer, Full ophthalmologic examination at each treatment cycle\n\n8 patients with punctate keratitis , microcyst-like epithelial keratopathy grad II\n\n3 patients with catarat progression .\n\nThe major Events are CTCAE grade II in both eyes . The median time to onset is 8-10 weeks. However, ocular toxicity may appear up to 4 months after treatment initiation, indicating a need for prolonged vigilance.\n\nTreatment includes prophylactic topical therapies, supportive care measures, treatment delays or dose modifications",
        "Conclusions": "Mirvetuximab Soravtansine (MIRV) realated with high risk of ocular toxicity,\n\nNew ocular toxicity signals not documented in product labeling were detected.Further research is essential to measure the real outcome of preventive strategies and it will be necessary to validate our results in the future."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Mirvetuximab Soravtansine (MIRV) realated with high risk of ocular toxicity, New ocular toxicity signals not documented in product labeling were detected.Further research is essential to measure the real outcome of preventive strategies and it will be necessary to validate our results in the future.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 818,
      "source_fields": {
        "Abstract Final Identifier": "POCOR128",
        "Title": "Ocular Adverse Events Related To Mirvetuximab Soravtansine",
        "Presenting Author(s)": "Dr Tamara Shukair Harb",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Tamara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shukair Harb",
        "Country Name": "Spain",
        "Purpose": "Mirvetuximab Soravtansine (MIRV), novel potential anticancer drugs of antibody-drug conjugates (ADCs) , used for ovarian cancer. However, their use is associated with ocular toxicities, including keratopathy, blurred vision, and dry eye.\n\nThis review summarizes current evidence on the incidence, and clinical presentation of MIRV-related ocular adverse events . It also provides practical, evidence-based strategies for the monitoring, and management of these adverse events",
        "Setting": "Retrospective observational study . Data were extracted from the population , undergoing a clinical trials with Mirvetuximab soravtansine in a reference centre in Madrid between 2021–2024 (30 months)",
        "Methods": "10 female patients with advanced ovarian cancer, Full ophthalmologic examination at each treatment cycle\n\n8 patients with punctate keratitis , microcyst-like epithelial keratopathy grad II\n\n3 patients with catarat progression .\n\nThe major Events are CTCAE grade II in both eyes . The median time to onset is 8-10 weeks. However, ocular toxicity may appear up to 4 months after treatment initiation, indicating a need for prolonged vigilance.\n\nTreatment includes prophylactic topical therapies, supportive care measures, treatment delays or dose modifications",
        "Results": "",
        "Conclusions": "Mirvetuximab Soravtansine (MIRV) realated with high risk of ocular toxicity,\n\nNew ocular toxicity signals not documented in product labeling were detected.Further research is essential to measure the real outcome of preventive strategies and it will be necessary to validate our results in the future."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCOR129",
      "abstract_number": "POCOR129",
      "title": "Short-Term Corneal Endothelial Safety Of Anti-Vegf Treatment Regimens In Neovascular Age-Related Macular Degeneration: A Prospective Randomized Comparative Study",
      "authors": "Dr Abdulfettah Suveys",
      "presenter": "Dr Abdulfettah Suveys",
      "normalized_authors": [
        "Abdulfettah Suveys"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulfettah Suveys",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Short-term Corneal Endothelial Safety of Anti-VEGF Treatment Regimens in Neovascular Age-Related Macular Degeneration: A Prospective Randomized Comparative Study.compare the effects of continuous intravitreal bevacizumab monotherapy versus sequential bevacizumab-aflibercept treatment on corneal endothelial parameters in treatment-naïve patients with nAMD, with specific attention to potential differential effects on endothelial cell density, morphology, and corneal thickness over a 6-month treatment period.\n\nThis prospective, randomized, parallel-group comparative study enrolled 70 treatment-naïve nAMD patients (one eye per patient) between December 2024 and May 2025.",
        "Setting": ". Patients were randomized 1:1 to two treatment arms: Group 1 (n=35) received monthly intravitreal bevacizumab 1.25 mg for 6 consecutive months, while Group 2 (n=35) received monthly bevacizumab 1.25 mg for the initial 3 months followed by monthly aflibercept 2.0 mg for the subsequent 3 months. Non-contact specular microscopy (Tomey EM-4000) was performed by a single masked examiner to assess ECD ,HEX%, CV, CCT at baseline, 3 months, and 6 months.",
        "Methods": "Seventy eyes from 70 patients (mean age 74.) completed the 6-month follow-up . Baseline characteristics were balanced between groups with no significant differences in age, gender distribution, lens status, or baseline corneal parameters. Neither treatment regimen produced significant changes in any corneal endothelial parameter over the 6-month period. Group 1 (continuous bevacizumab), ECD changed from 2564±128 cells/mm² at baseline to 2561±130 cells/mm² at 3 months and 2549±131 cells/mm² at 6 months (p=0.31 for baseline vs. 6 months). In Group 2 (sequential therapy), ECD changed from 2559±125 cells/mm² at baseline to 2557±127 cells/mm² at 3 months and 2552±129 cells/mm² at 6 months (p=0.59). Between-group comparison at 6 months showed no significant difference (p=0.42, r=0.09). Hexagonality remained stable in Group 1 (baseline: 58.3±6.2%, 6 months: 57.9±6.4%, p=0.54) and Group 2 (baseline: 57.8±6.1%, 6 months: 57.5±6.3%, p=0.67), with no between-group difference (p=0.68, r=0.05). Coefficient of variation showed similar stability in both groups (Group 1: 31.2±4.1% to 31.5±4.3%, p=0.48; Group 2: 31.4±4.2% to 31.7±4.4%, p=0.52; between-group p=0.73, r=0.04). Central corneal thickness remained unchanged (Group 1: 542±28 µm to 541±29 µm, p=0.71; Group 2: 544±27 µm to 543±28 µm, p=0.76; between-group p=0.71, r=0.04). The mean endothelial cell loss was 0.6±1.2% in Group 1 and 0.3±1.1% in Group 2 over 6 months, well within the range of normal physiological cell loss (0.6% ).",
        "Conclusions": "Continuous intravitreal bevacizumab monotherapy and sequential bevacizumab-aflibercept treatment demonstrate equivalent short-term safety profiles regarding corneal endothelial function in treatment-naïve nAMD patients. Both regimens produced no clinically or statistically significant alterations in endothelial cell density, morphology, or corneal thickness over 6 months of monthly injections, supporting the corneal endothelial safety of these anti-VEGF therapeutic approaches. The observed minimal cell loss (<1%) in both groups falls within normal physiological ranges and does not differ from age-related endothelial cell decline. These findings provide reassuring evidence for ophthalmologists regarding anterior segment safety ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Continuous intravitreal bevacizumab monotherapy and sequential bevacizumab-aflibercept treatment demonstrate equivalent short-term safety profiles regarding corneal endothelial function in treatment-naïve nAMD patients. Both regimens produced no clinically or statistically significant alterations in endothelial cell density, morphology, or corneal thickness over 6 months of monthly injections, supporting the…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 819,
      "source_fields": {
        "Abstract Final Identifier": "POCOR129",
        "Title": "Short-Term Corneal Endothelial Safety Of Anti-Vegf Treatment Regimens In Neovascular Age-Related Macular Degeneration: A Prospective Randomized Comparative Study",
        "Presenting Author(s)": "Dr Abdulfettah Suveys",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Abdulfettah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suveys",
        "Country Name": "Türkiye",
        "Purpose": "Short-term Corneal Endothelial Safety of Anti-VEGF Treatment Regimens in Neovascular Age-Related Macular Degeneration: A Prospective Randomized Comparative Study.compare the effects of continuous intravitreal bevacizumab monotherapy versus sequential bevacizumab-aflibercept treatment on corneal endothelial parameters in treatment-naïve patients with nAMD, with specific attention to potential differential effects on endothelial cell density, morphology, and corneal thickness over a 6-month treatment period.\n\nThis prospective, randomized, parallel-group comparative study enrolled 70 treatment-naïve nAMD patients (one eye per patient) between December 2024 and May 2025.",
        "Setting": ". Patients were randomized 1:1 to two treatment arms: Group 1 (n=35) received monthly intravitreal bevacizumab 1.25 mg for 6 consecutive months, while Group 2 (n=35) received monthly bevacizumab 1.25 mg for the initial 3 months followed by monthly aflibercept 2.0 mg for the subsequent 3 months. Non-contact specular microscopy (Tomey EM-4000) was performed by a single masked examiner to assess ECD ,HEX%, CV, CCT at baseline, 3 months, and 6 months.",
        "Methods": "Seventy eyes from 70 patients (mean age 74.) completed the 6-month follow-up . Baseline characteristics were balanced between groups with no significant differences in age, gender distribution, lens status, or baseline corneal parameters. Neither treatment regimen produced significant changes in any corneal endothelial parameter over the 6-month period. Group 1 (continuous bevacizumab), ECD changed from 2564±128 cells/mm² at baseline to 2561±130 cells/mm² at 3 months and 2549±131 cells/mm² at 6 months (p=0.31 for baseline vs. 6 months). In Group 2 (sequential therapy), ECD changed from 2559±125 cells/mm² at baseline to 2557±127 cells/mm² at 3 months and 2552±129 cells/mm² at 6 months (p=0.59). Between-group comparison at 6 months showed no significant difference (p=0.42, r=0.09). Hexagonality remained stable in Group 1 (baseline: 58.3±6.2%, 6 months: 57.9±6.4%, p=0.54) and Group 2 (baseline: 57.8±6.1%, 6 months: 57.5±6.3%, p=0.67), with no between-group difference (p=0.68, r=0.05). Coefficient of variation showed similar stability in both groups (Group 1: 31.2±4.1% to 31.5±4.3%, p=0.48; Group 2: 31.4±4.2% to 31.7±4.4%, p=0.52; between-group p=0.73, r=0.04). Central corneal thickness remained unchanged (Group 1: 542±28 µm to 541±29 µm, p=0.71; Group 2: 544±27 µm to 543±28 µm, p=0.76; between-group p=0.71, r=0.04). The mean endothelial cell loss was 0.6±1.2% in Group 1 and 0.3±1.1% in Group 2 over 6 months, well within the range of normal physiological cell loss (0.6% ).",
        "Results": "",
        "Conclusions": "Continuous intravitreal bevacizumab monotherapy and sequential bevacizumab-aflibercept treatment demonstrate equivalent short-term safety profiles regarding corneal endothelial function in treatment-naïve nAMD patients. Both regimens produced no clinically or statistically significant alterations in endothelial cell density, morphology, or corneal thickness over 6 months of monthly injections, supporting the corneal endothelial safety of these anti-VEGF therapeutic approaches. The observed minimal cell loss (<1%) in both groups falls within normal physiological ranges and does not differ from age-related endothelial cell decline. These findings provide reassuring evidence for ophthalmologists regarding anterior segment safety ."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 539
    },
    {
      "uid": "POCOR130",
      "abstract_number": "POCOR130",
      "title": "Neurotrophic Keratopathy With Medicamentosa Keratoconjunctivitis In Trigeminal Trophic Syndrome : A Rare Case Report",
      "authors": "Dr Vinit Tanwar",
      "presenter": "Dr Vinit Tanwar",
      "normalized_authors": [
        "Vinit Tanwar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vinit Tanwar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To present a rare case of neurotrophic keratopathy (NK) complicated by keratoconjunctivitis medicamentosa\n\nin a patient with Trigeminal Trophic Syndrome (TTS), highlighting the vision-threatening implications and the importance\n\nof early recognition",
        "Setting": "Iclinix advanced eye care, New Delhi India",
        "Methods": "A 55-year-old female with a four-year history of TTS presented with a persistent, non-healing corneal epithelial\n\ndefect in her right eye. Her symptoms had acutely worsened following self-administration of an Ayurvedic eye drop. A\n\ncomprehensive evaluation included clinical examination, corneal sensation testing, and neuroimaging (MRI). The\n\nimplicated eye drop underwent pharmacological analysis for pH and osmolarity.\n\nExamination revealed a 6x6.5 mm central corneal epithelial defect with significantly reduced corneal sensation.\n\nMRI showed enhancement at Meckel’s cave, consistent with trigeminal nerve involvement. The Ayurvedic drop was found\n\nto be highly acidic (pH 3) and hyperosmolar (>1500 mOsm/L), confirming its epithelial toxicity. Following a diagnosis of\n\nNK exacerbated by medicamentosa keratoconjunctivitis, the patient was treated with preservative-free lubricants, topical\n\nantibiotics, and a bandage contact lens. This regimen led to complete corneal re-epithelialization and visual recovery\n\nwithin two weeks.",
        "Conclusions": "Trigeminal Trophic Syndrome is a rare but significant cause of corneal hypoesthesia predisposing to NK.\n\nThis case underscores the severe risk of ocular surface toxicity from unregulated topical agents, which can dangerously\n\ncomplicate the underlying neurotrophic state. Meticulous history-taking, patient education on avoiding irritants, and\n\nprompt, appropriate management are crucial to prevent permanent ocular damage and preserve vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Trigeminal Trophic Syndrome is a rare but significant cause of corneal hypoesthesia predisposing to NK. This case underscores the severe risk of ocular surface toxicity from unregulated topical agents, which can dangerously complicate the underlying neurotrophic state. Meticulous history-taking, patient education on avoiding irritants, and prompt, appropriate management are crucial to prevent permanent ocular…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 820,
      "source_fields": {
        "Abstract Final Identifier": "POCOR130",
        "Title": "Neurotrophic Keratopathy With Medicamentosa Keratoconjunctivitis In Trigeminal Trophic Syndrome : A Rare Case Report",
        "Presenting Author(s)": "Dr Vinit Tanwar",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Vinit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tanwar",
        "Country Name": "India",
        "Purpose": "To present a rare case of neurotrophic keratopathy (NK) complicated by keratoconjunctivitis medicamentosa\n\nin a patient with Trigeminal Trophic Syndrome (TTS), highlighting the vision-threatening implications and the importance\n\nof early recognition",
        "Setting": "Iclinix advanced eye care, New Delhi India",
        "Methods": "A 55-year-old female with a four-year history of TTS presented with a persistent, non-healing corneal epithelial\n\ndefect in her right eye. Her symptoms had acutely worsened following self-administration of an Ayurvedic eye drop. A\n\ncomprehensive evaluation included clinical examination, corneal sensation testing, and neuroimaging (MRI). The\n\nimplicated eye drop underwent pharmacological analysis for pH and osmolarity.\n\nExamination revealed a 6x6.5 mm central corneal epithelial defect with significantly reduced corneal sensation.\n\nMRI showed enhancement at Meckel’s cave, consistent with trigeminal nerve involvement. The Ayurvedic drop was found\n\nto be highly acidic (pH 3) and hyperosmolar (>1500 mOsm/L), confirming its epithelial toxicity. Following a diagnosis of\n\nNK exacerbated by medicamentosa keratoconjunctivitis, the patient was treated with preservative-free lubricants, topical\n\nantibiotics, and a bandage contact lens. This regimen led to complete corneal re-epithelialization and visual recovery\n\nwithin two weeks.",
        "Results": "",
        "Conclusions": "Trigeminal Trophic Syndrome is a rare but significant cause of corneal hypoesthesia predisposing to NK.\n\nThis case underscores the severe risk of ocular surface toxicity from unregulated topical agents, which can dangerously\n\ncomplicate the underlying neurotrophic state. Meticulous history-taking, patient education on avoiding irritants, and\n\nprompt, appropriate management are crucial to prevent permanent ocular damage and preserve vision."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCOR131",
      "abstract_number": "POCOR131",
      "title": "Allogenic Simple Limbal Epithelial Transplantation In Aniridia-Associated Keratopathy",
      "authors": "Dr Shilpa Tarini",
      "presenter": "Dr Shilpa Tarini",
      "normalized_authors": [
        "Shilpa Tarini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shilpa Tarini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe the clinical course, management, and long-term outcome of a patient with advanced aniridia-associated keratopathy (AAK) treated with allogeneic simple limbal epithelial transplantation (allo-SLET)",
        "Setting": "A single case of aniridia-associated keratopathy managed with allogenic simple limbal epithelial transplantation at L V Prasad Eye Institute , a tertiary eye care centre in Visakhapatnam , India",
        "Methods": "A 20-year-old female with congenital aniridia presented with progressive limbal stem cell deficiency (LSCD) in both eyes more in the left eye. The patient underwent allo-SLET along with lateral paramedian tarsorrhaphy for stage 3 AAK in the left eye. Postoperatively, she received systemic and topical immunosuppressants, including oral cyclosporine and intravenous methylprednisolone. The clinical course, response to treatment, and long-term outcomes were documented.\n\nThe ocular surface stabilised after allo-SLET. However, at four months, she developed epithelial rejection, which responded to intensified corticosteroid therapy and an additional dose of IV methylprednisolone. Subsequent cataract surgery was performed, and the ocular surface remained stable with topical and oral immunosuppression. The best-corrected visual acuity improved from 20/600 to 20/160, and the patient maintained a stable surface over 2.5 years of follow-up.",
        "Conclusions": "To the best of our knowledge, this is the first case of Allo-SLET performed for advanced bilateral AAK. Allo-SLET appears to be an effective treatment modality in such cases. Prompt recognition and management of epithelial rejection are critical. Long-term immunosuppression is essential for maintaining ocular surface stability and optimizing visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "To the best of our knowledge, this is the first case of Allo-SLET performed for advanced bilateral AAK. Allo-SLET appears to be an effective treatment modality in such cases. Prompt recognition and management of epithelial rejection are critical. Long-term immunosuppression is essential for maintaining ocular surface stability and optimizing visual outcomes.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 821,
      "source_fields": {
        "Abstract Final Identifier": "POCOR131",
        "Title": "Allogenic Simple Limbal Epithelial Transplantation In Aniridia-Associated Keratopathy",
        "Presenting Author(s)": "Dr Shilpa Tarini",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Shilpa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tarini",
        "Country Name": "India",
        "Purpose": "To describe the clinical course, management, and long-term outcome of a patient with advanced aniridia-associated keratopathy (AAK) treated with allogeneic simple limbal epithelial transplantation (allo-SLET)",
        "Setting": "A single case of aniridia-associated keratopathy managed with allogenic simple limbal epithelial transplantation at L V Prasad Eye Institute , a tertiary eye care centre in Visakhapatnam , India",
        "Methods": "A 20-year-old female with congenital aniridia presented with progressive limbal stem cell deficiency (LSCD) in both eyes more in the left eye. The patient underwent allo-SLET along with lateral paramedian tarsorrhaphy for stage 3 AAK in the left eye. Postoperatively, she received systemic and topical immunosuppressants, including oral cyclosporine and intravenous methylprednisolone. The clinical course, response to treatment, and long-term outcomes were documented.\n\nThe ocular surface stabilised after allo-SLET. However, at four months, she developed epithelial rejection, which responded to intensified corticosteroid therapy and an additional dose of IV methylprednisolone. Subsequent cataract surgery was performed, and the ocular surface remained stable with topical and oral immunosuppression. The best-corrected visual acuity improved from 20/600 to 20/160, and the patient maintained a stable surface over 2.5 years of follow-up.",
        "Results": "",
        "Conclusions": "To the best of our knowledge, this is the first case of Allo-SLET performed for advanced bilateral AAK. Allo-SLET appears to be an effective treatment modality in such cases. Prompt recognition and management of epithelial rejection are critical. Long-term immunosuppression is essential for maintaining ocular surface stability and optimizing visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POCOR132",
      "abstract_number": "POCOR132",
      "title": "Xenia Intrastromal Implant As A Less Invasive Alternative To Dalk For Advanced Keratoconus: A Case Report",
      "authors": "Mr Ali Mearza",
      "presenter": "Mr Ali Mearza",
      "normalized_authors": [
        "Ali Mearza"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Purvi Thomson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the clinical outcomes of XENIA intrastromal corneal implant in a patient with progressive keratoconus, demonstrating its effectiveness as a minimally invasive alternative to deep anterior lamellar keratoplasty (DALK). This case illustrates how XENIA implantation can stabilise corneal ectasia, improve best corrected visual acuity (BCVA), and restore functional vision in advanced keratoconus while avoiding the complexities and risks associated with corneal transplantation.",
        "Setting": "OCL Vision, London, United Kingdom",
        "Methods": "A 49-year-old female with progressive bilateral keratoconus (left > right) underwent XENIA implant placement in the left eye. Preoperatively, the left eye demonstrated severe central keratoconus with Kmax 69.3D, K1 51.3D, K2 57.6D, central corneal thickness (CCT) 448µm unaided vision of logMAR 0.82 and BCVA logMAR 0.82. The right eye showed mild keratoconus with Kmax 53.0D. A femtosecond laser created intrastromal pocket for XENIA implant insertion. Postoperative evaluations were conducted at 7 days, 3 months, and 6 months, assessing uncorrected and best corrected visual acuity, manifest refraction, pentacam tomography and corneal thickness.\n\nAt 7 days post-implantation, left eye UCVA improved to 1.00, pinhole 0.54, with manifest refraction -3.00/-4.50×36 achieving BCVA logMAR 0.54. Kmax decreased to 53.5D (from 69.3D), K1 to 47.1D, K2 to 50.6D, and CCT increased to 499µm. At 3 months, UCVA was LogMAR 0.8, refraction -3.00/-4.50×30 with BCVA 0.4, Kmax 51.5D, K1 46.2D, K2 49.4D, CCT 496µm. At 6 months, results remained stable with UCVA LogMAR 0.8, refraction -3.25/-4.00×30° with BCVA LogMAR 0.3, Kmax 51.7D, K1 46.2D, K2 49.6D and CCT 496µm. The procedure successfully flattened the cone (Kmax reduction 17.6D), improved corneal regularity, increased thickness by 48µm, and significantly improved BCVA.",
        "Conclusions": "XENIA intrastromal corneal implant represents a promising, minimally invasive therapeutic option for advanced keratoconus. This case demonstrates substantial improvement in BCVA, significant corneal flattening and stabilisation of ectatic progression without the need for DALK. The procedure offers multiple advantages: outpatient surgery with topical anesthesia, sutureless, rapid visual recovery, increased corneal thickness enabling potential future crosslinking and reversibility if needed. The sustained improvements at 6-month follow-up suggest XENIA can defer or potentially prevent corneal transplantation in suitable candidates, providing patients with improved vision and quality of life while avoiding transplant-related complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "XENIA intrastromal corneal implant represents a promising, minimally invasive therapeutic option for advanced keratoconus. This case demonstrates substantial improvement in BCVA, significant corneal flattening and stabilisation of ectatic progression without the need for DALK. The procedure offers multiple advantages: outpatient surgery with topical anesthesia, sutureless, rapid visual recovery, increased corneal…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 822,
      "source_fields": {
        "Abstract Final Identifier": "POCOR132",
        "Title": "Xenia Intrastromal Implant As A Less Invasive Alternative To Dalk For Advanced Keratoconus: A Case Report",
        "Presenting Author(s)": "Mr Ali Mearza",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Purvi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Thomson",
        "Country Name": "United Kingdom",
        "Purpose": "To report the clinical outcomes of XENIA intrastromal corneal implant in a patient with progressive keratoconus, demonstrating its effectiveness as a minimally invasive alternative to deep anterior lamellar keratoplasty (DALK). This case illustrates how XENIA implantation can stabilise corneal ectasia, improve best corrected visual acuity (BCVA), and restore functional vision in advanced keratoconus while avoiding the complexities and risks associated with corneal transplantation.",
        "Setting": "OCL Vision, London, United Kingdom",
        "Methods": "A 49-year-old female with progressive bilateral keratoconus (left > right) underwent XENIA implant placement in the left eye. Preoperatively, the left eye demonstrated severe central keratoconus with Kmax 69.3D, K1 51.3D, K2 57.6D, central corneal thickness (CCT) 448µm unaided vision of logMAR 0.82 and BCVA logMAR 0.82. The right eye showed mild keratoconus with Kmax 53.0D. A femtosecond laser created intrastromal pocket for XENIA implant insertion. Postoperative evaluations were conducted at 7 days, 3 months, and 6 months, assessing uncorrected and best corrected visual acuity, manifest refraction, pentacam tomography and corneal thickness.\n\nAt 7 days post-implantation, left eye UCVA improved to 1.00, pinhole 0.54, with manifest refraction -3.00/-4.50×36 achieving BCVA logMAR 0.54. Kmax decreased to 53.5D (from 69.3D), K1 to 47.1D, K2 to 50.6D, and CCT increased to 499µm. At 3 months, UCVA was LogMAR 0.8, refraction -3.00/-4.50×30 with BCVA 0.4, Kmax 51.5D, K1 46.2D, K2 49.4D, CCT 496µm. At 6 months, results remained stable with UCVA LogMAR 0.8, refraction -3.25/-4.00×30° with BCVA LogMAR 0.3, Kmax 51.7D, K1 46.2D, K2 49.6D and CCT 496µm. The procedure successfully flattened the cone (Kmax reduction 17.6D), improved corneal regularity, increased thickness by 48µm, and significantly improved BCVA.",
        "Results": "",
        "Conclusions": "XENIA intrastromal corneal implant represents a promising, minimally invasive therapeutic option for advanced keratoconus. This case demonstrates substantial improvement in BCVA, significant corneal flattening and stabilisation of ectatic progression without the need for DALK. The procedure offers multiple advantages: outpatient surgery with topical anesthesia, sutureless, rapid visual recovery, increased corneal thickness enabling potential future crosslinking and reversibility if needed. The sustained improvements at 6-month follow-up suggest XENIA can defer or potentially prevent corneal transplantation in suitable candidates, providing patients with improved vision and quality of life while avoiding transplant-related complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "POCOR134",
      "abstract_number": "POCOR134",
      "title": "Candida Keratitis And Endopthalmitis",
      "authors": "Dr Büşra Topal",
      "presenter": "Dr Büşra Topal",
      "normalized_authors": [
        "Büşra Topal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Büşra Topal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This case report presents the development of Candida keratitis and endophtalmitis in an immunosuppressed patient. Candida albicans is an opportunistic fungal pathogen that can cause keratitis and endophthalmitis, particularly in immunosuppressed individuals.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul Türkiye.",
        "Methods": "İNTRODUCTİON\nThis case report presents the development of Candida keratitis and endophtalmitis in an immunosuppressed patient. Candida albicans is an opportunistic fungal pathogen that can cause keratitis and endophthalmitis, particularly in immunosuppressed individuals.\n\nPATİENT AND CLİNİCAL FİNDİNGS\nA 43-year-old woman with a history of Sjögren syndrome and hypogammaglobulinemia, who had been on long-term oral prednisolone therapy (5 mg/day for approximately 20 years), presented with a 4-day history of decreased vision in her left eye. At presentation, visual acuity in the left eye was limited to hand motion. Anterior segment examination revealed that the corneal graft was edematous, and an infiltrate was observed at the graft–host junction.Blood cultures obtained from the patient were negative. Candida growth was detected in the vitreous samples\n\nDiagnosis, Intervention, and Outcomes:\nThe patient was hospitalized with a preliminary diagnosis of fungal keratitis with possible intraocular involvement. An anterior chamber paracentesis was performed, followed by intracameral injections of vancomycin (1 mg/0.1 mL), ceftazidime (2 mg/0.1 mL), and voriconazole (100 µg/0.1 mL). Microbiological analysis subsequently confirmed the growth of Candida albicans.",
        "Conclusions": "Candida keratitis may progress to intraocular infection in immunosuppressed patients. Early clinical suspicion, prompt microbiological confirmation, and timely initiation of antifungal therapy are essential to preserve vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Candida keratitis may progress to intraocular infection in immunosuppressed patients. Early clinical suspicion, prompt microbiological confirmation, and timely initiation of antifungal therapy are essential to preserve vision.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 823,
      "source_fields": {
        "Abstract Final Identifier": "POCOR134",
        "Title": "Candida Keratitis And Endopthalmitis",
        "Presenting Author(s)": "Dr Büşra Topal",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Büşra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Topal",
        "Country Name": "Türkiye",
        "Purpose": "This case report presents the development of Candida keratitis and endophtalmitis in an immunosuppressed patient. Candida albicans is an opportunistic fungal pathogen that can cause keratitis and endophthalmitis, particularly in immunosuppressed individuals.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul Türkiye.",
        "Methods": "İNTRODUCTİON\nThis case report presents the development of Candida keratitis and endophtalmitis in an immunosuppressed patient. Candida albicans is an opportunistic fungal pathogen that can cause keratitis and endophthalmitis, particularly in immunosuppressed individuals.\n\nPATİENT AND CLİNİCAL FİNDİNGS\nA 43-year-old woman with a history of Sjögren syndrome and hypogammaglobulinemia, who had been on long-term oral prednisolone therapy (5 mg/day for approximately 20 years), presented with a 4-day history of decreased vision in her left eye. At presentation, visual acuity in the left eye was limited to hand motion. Anterior segment examination revealed that the corneal graft was edematous, and an infiltrate was observed at the graft–host junction.Blood cultures obtained from the patient were negative. Candida growth was detected in the vitreous samples\n\nDiagnosis, Intervention, and Outcomes:\nThe patient was hospitalized with a preliminary diagnosis of fungal keratitis with possible intraocular involvement. An anterior chamber paracentesis was performed, followed by intracameral injections of vancomycin (1 mg/0.1 mL), ceftazidime (2 mg/0.1 mL), and voriconazole (100 µg/0.1 mL). Microbiological analysis subsequently confirmed the growth of Candida albicans.",
        "Results": "",
        "Conclusions": "Candida keratitis may progress to intraocular infection in immunosuppressed patients. Early clinical suspicion, prompt microbiological confirmation, and timely initiation of antifungal therapy are essential to preserve vision."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCOR135",
      "abstract_number": "POCOR135",
      "title": "Rewriting The Surgical Fate: Therapeutical Multimodal Approach In Advanced Keratoconus With High Myopia",
      "authors": "Dr Leonardo Torquetti",
      "presenter": "Dr Leonardo Torquetti",
      "normalized_authors": [
        "Leonardo Torquetti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leonardo Torquetti",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To describe a staged multimodal surgical approach for visual rehabilitation in a patient with advanced keratoconus associated with high myopia, traditionally considered a candidate for corneal transplantation.",
        "Setting": "Private Clinic - Para de Minas - Brazil",
        "Methods": "A 30-year-old female with high myopia and advanced keratoconus initially presented in 2019 seeking evaluation for visual rehabilitation but was lost to follow-up. She returned in 2024 reporting progressive visual decline. Examination revealed worsening visual acuity and documented progression of the ectatic disease. During the interval, the patient had been evaluated elsewhere and advised to undergo corneal transplantation. Reluctant to proceed with keratoplasty and concerned about the invasiveness of the procedure, she sought an alternative treatment.\n\nA staged multimodal rehabilitation approach was performed, beginning with Donut-Shaped Intrastromal Keratoplasty (DSIK), a 360-degree variant of CAIRS, followed by implantation of a 320-degree intrastromal corneal ring segment (ICRS), and subsequent phakic intraocular lens implantation.\n\nPostoperatively, uncorrected distance visual acuity improved from counting fingers to 20/40. The combined intervention resulted in substantial corneal regularization and meaningful functional recovery.",
        "Conclusions": "Even in advanced keratoconus traditionally considered candidates for keratoplasty, a staged multimodal approach may provide meaningful visual rehabilitation while preserving the native cornea."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Even in advanced keratoconus traditionally considered candidates for keratoplasty, a staged multimodal approach may provide meaningful visual rehabilitation while preserving the native cornea.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 824,
      "source_fields": {
        "Abstract Final Identifier": "POCOR135",
        "Title": "Rewriting The Surgical Fate: Therapeutical Multimodal Approach In Advanced Keratoconus With High Myopia",
        "Presenting Author(s)": "Dr Leonardo Torquetti",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Leonardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Torquetti",
        "Country Name": "Brazil",
        "Purpose": "To describe a staged multimodal surgical approach for visual rehabilitation in a patient with advanced keratoconus associated with high myopia, traditionally considered a candidate for corneal transplantation.",
        "Setting": "Private Clinic - Para de Minas - Brazil",
        "Methods": "A 30-year-old female with high myopia and advanced keratoconus initially presented in 2019 seeking evaluation for visual rehabilitation but was lost to follow-up. She returned in 2024 reporting progressive visual decline. Examination revealed worsening visual acuity and documented progression of the ectatic disease. During the interval, the patient had been evaluated elsewhere and advised to undergo corneal transplantation. Reluctant to proceed with keratoplasty and concerned about the invasiveness of the procedure, she sought an alternative treatment.\n\nA staged multimodal rehabilitation approach was performed, beginning with Donut-Shaped Intrastromal Keratoplasty (DSIK), a 360-degree variant of CAIRS, followed by implantation of a 320-degree intrastromal corneal ring segment (ICRS), and subsequent phakic intraocular lens implantation.\n\nPostoperatively, uncorrected distance visual acuity improved from counting fingers to 20/40. The combined intervention resulted in substantial corneal regularization and meaningful functional recovery.",
        "Results": "",
        "Conclusions": "Even in advanced keratoconus traditionally considered candidates for keratoplasty, a staged multimodal approach may provide meaningful visual rehabilitation while preserving the native cornea."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 191
    },
    {
      "uid": "POCOR136",
      "abstract_number": "POCOR136",
      "title": "Ritonavir-Induced Ocular Hypertension Mimicking Late Dsaek Rejection: All That Glitters Is Not Gold",
      "authors": "Dr Dimitra Tzakri",
      "presenter": "Dr Dimitra Tzakri",
      "normalized_authors": [
        "Dimitra Tzakri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dimitra Tzakri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe a late Descemet’s stripping automated endothelial keratoplasty (DSAEK) graft oedema that clinically simulated immunological rejection but was caused by a pharmacokinetic interaction between topical dexamethasone and ritonavir, creating a management scenario in which steroid escalation led to rapid deterioration and withdrawal resulted in complete recovery.",
        "Setting": "Tertiary referral Cornea and Anterior Segment Unit, II Ophthalmology Department, Aristotle University of Thessaloniki, Greece.",
        "Methods": "A 55-year-old man presented with painless visual deterioration four years after uncomplicated DSAEK for Fuchs endothelial dystrophy. The graft had remained clear on long-term low-dose topical dexamethasone with stable intraocular pressure (IOP). Ritonavir had been introduced into his antiretroviral therapy three months earlier. Corrected distance visual acuity decreased from 0.22 to 0.46 logMAR and IOP was 28 mmHg. Slit-lamp examination demonstrated central and inferior graft oedema with a clear graft–host interface and no anterior chamber inflammation, a clinical picture highly suggestive of endothelial rejection. Intensive topical corticosteroid therapy was initiated, followed by rapid worsening with IOP elevation to 40 mmHg, increasing corneal oedema and epithelial bullae. Systemic medication review identified ritonavir, a potent cytochrome P450 3A4 inhibitor, as the trigger for a severe steroid-induced ocular hypertensive response. Corticosteroids were discontinued, antiglaucoma therapy was initiated and the antiretroviral regimen was modified in collaboration with infectious disease specialists. IOP normalised within days with progressive graft clearing. At three months, corrected distance visual acuity recovered, the graft remained compact and transparent and anterior segment optical coherence tomography confirmed complete anatomical restoration.",
        "Conclusions": "Not all late post-DSAEK oedema represents rejection. Systemic cytochrome P450 3A4 inhibition can transform a safe maintenance steroid regimen into an acute ocular hypertensive crisis that perfectly mimics graft failure. Recognising this entity is crucial, as the correct management is steroid withdrawal rather than escalation, leading to full visual and anatomical recovery and prevention of unnecessary graft-directed treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Not all late post-DSAEK oedema represents rejection. Systemic cytochrome P450 3A4 inhibition can transform a safe maintenance steroid regimen into an acute ocular hypertensive crisis that perfectly mimics graft failure. Recognising this entity is crucial, as the correct management is steroid withdrawal rather than escalation, leading to full visual and anatomical recovery and prevention of unnecessary…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 825,
      "source_fields": {
        "Abstract Final Identifier": "POCOR136",
        "Title": "Ritonavir-Induced Ocular Hypertension Mimicking Late Dsaek Rejection: All That Glitters Is Not Gold",
        "Presenting Author(s)": "Dr Dimitra Tzakri",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Dimitra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tzakri",
        "Country Name": "Greece",
        "Purpose": "To describe a late Descemet’s stripping automated endothelial keratoplasty (DSAEK) graft oedema that clinically simulated immunological rejection but was caused by a pharmacokinetic interaction between topical dexamethasone and ritonavir, creating a management scenario in which steroid escalation led to rapid deterioration and withdrawal resulted in complete recovery.",
        "Setting": "Tertiary referral Cornea and Anterior Segment Unit, II Ophthalmology Department, Aristotle University of Thessaloniki, Greece.",
        "Methods": "A 55-year-old man presented with painless visual deterioration four years after uncomplicated DSAEK for Fuchs endothelial dystrophy. The graft had remained clear on long-term low-dose topical dexamethasone with stable intraocular pressure (IOP). Ritonavir had been introduced into his antiretroviral therapy three months earlier. Corrected distance visual acuity decreased from 0.22 to 0.46 logMAR and IOP was 28 mmHg. Slit-lamp examination demonstrated central and inferior graft oedema with a clear graft–host interface and no anterior chamber inflammation, a clinical picture highly suggestive of endothelial rejection. Intensive topical corticosteroid therapy was initiated, followed by rapid worsening with IOP elevation to 40 mmHg, increasing corneal oedema and epithelial bullae. Systemic medication review identified ritonavir, a potent cytochrome P450 3A4 inhibitor, as the trigger for a severe steroid-induced ocular hypertensive response. Corticosteroids were discontinued, antiglaucoma therapy was initiated and the antiretroviral regimen was modified in collaboration with infectious disease specialists. IOP normalised within days with progressive graft clearing. At three months, corrected distance visual acuity recovered, the graft remained compact and transparent and anterior segment optical coherence tomography confirmed complete anatomical restoration.",
        "Results": "",
        "Conclusions": "Not all late post-DSAEK oedema represents rejection. Systemic cytochrome P450 3A4 inhibition can transform a safe maintenance steroid regimen into an acute ocular hypertensive crisis that perfectly mimics graft failure. Recognising this entity is crucial, as the correct management is steroid withdrawal rather than escalation, leading to full visual and anatomical recovery and prevention of unnecessary graft-directed treatment."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCOR138",
      "abstract_number": "POCOR138",
      "title": "Ocular Tuberculosis Presenting As Recurrent Corneal Ulceration With Corneal Perforation: A Case Report",
      "authors": "Dr Anna Nur Utami",
      "presenter": "Dr Anna Nur Utami",
      "normalized_authors": [
        "Anna Nur Utami"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Nur Utami",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "To report a rare case of ocular tuberculosis presenting as recurrent corneal inflammation progressing to corneal perforation, initially misdiagnosed as infectious endophthalmitis. This case highlights the importance of thorough longitudinal anamnesis and consideration of tuberculosis as an underlying etiology in endemic regions when managing atypical or recurrent corneal ulcers.",
        "Setting": "A tertiary eye care setting in Indonesia, a tuberculosis-endemic country, involving multidisciplinary ophthalmic management including emergency corneal surgery and systemic infectious disease evaluation.",
        "Methods": "A patient first presented in March 2025 with acute painful red eye, blurred vision, and tearing. Ocular ultrasonography revealed posterior choroidal detachment, retinal detachment, and corneal perforation with severe intraocular inflammation, raising suspicion of endophthalmitis. Upon referral, intraocular pressure was found to have suddenly decreased, consistent with choroidal detachment. Emergency corneal patch graft surgery was performed due to corneal perforation, followed by initial clinical improvement. In August 2025, the patient experienced recurrent ocular pain and foreign body sensation. Examination suggested recurrent corneal ulceration with persistent inflammation. Despite topical therapy, inflammation persisted and only partially improved with systemic corticosteroids. Further detailed anamnesis revealed a history of recurrent red eye since 2021 with spontaneous\nremissions. Interferon-gamma release assay (IGRA) was positive, leading to a diagnosis of ocular tuberculosis after approximately four years of symptoms. Anti-tuberculosis therapy was initiated, resulting in significant and sustained clinical improvement.",
        "Conclusions": "Ocular tuberculosis, though rare, can present as recurrent marginal corneal ulceration and progress to corneal perforation. In tuberculosis-endemic regions, clinicians should maintain a high index of suspicion for ocular TB in cases of atypical, recurrent, or treatment-resistant corneal inflammation.\nComprehensive anamnesis and early systemic evaluation are essential to prevent delayed diagnosis and severe ocular complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Ocular tuberculosis, though rare, can present as recurrent marginal corneal ulceration and progress to corneal perforation. In tuberculosis-endemic regions, clinicians should maintain a high index of suspicion for ocular TB in cases of atypical, recurrent, or treatment-resistant corneal inflammation. Comprehensive anamnesis and early systemic evaluation are essential to prevent delayed diagnosis and severe ocular…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 826,
      "source_fields": {
        "Abstract Final Identifier": "POCOR138",
        "Title": "Ocular Tuberculosis Presenting As Recurrent Corneal Ulceration With Corneal Perforation: A Case Report",
        "Presenting Author(s)": "Dr Anna Nur Utami",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Anna",
        "Submitter Middle Name": "Nur",
        "Submitter Last Name": "Utami",
        "Country Name": "Indonesia",
        "Purpose": "To report a rare case of ocular tuberculosis presenting as recurrent corneal inflammation progressing to corneal perforation, initially misdiagnosed as infectious endophthalmitis. This case highlights the importance of thorough longitudinal anamnesis and consideration of tuberculosis as an underlying etiology in endemic regions when managing atypical or recurrent corneal ulcers.",
        "Setting": "A tertiary eye care setting in Indonesia, a tuberculosis-endemic country, involving multidisciplinary ophthalmic management including emergency corneal surgery and systemic infectious disease evaluation.",
        "Methods": "A patient first presented in March 2025 with acute painful red eye, blurred vision, and tearing. Ocular ultrasonography revealed posterior choroidal detachment, retinal detachment, and corneal perforation with severe intraocular inflammation, raising suspicion of endophthalmitis. Upon referral, intraocular pressure was found to have suddenly decreased, consistent with choroidal detachment. Emergency corneal patch graft surgery was performed due to corneal perforation, followed by initial clinical improvement. In August 2025, the patient experienced recurrent ocular pain and foreign body sensation. Examination suggested recurrent corneal ulceration with persistent inflammation. Despite topical therapy, inflammation persisted and only partially improved with systemic corticosteroids. Further detailed anamnesis revealed a history of recurrent red eye since 2021 with spontaneous\nremissions. Interferon-gamma release assay (IGRA) was positive, leading to a diagnosis of ocular tuberculosis after approximately four years of symptoms. Anti-tuberculosis therapy was initiated, resulting in significant and sustained clinical improvement.",
        "Results": "",
        "Conclusions": "Ocular tuberculosis, though rare, can present as recurrent marginal corneal ulceration and progress to corneal perforation. In tuberculosis-endemic regions, clinicians should maintain a high index of suspicion for ocular TB in cases of atypical, recurrent, or treatment-resistant corneal inflammation.\nComprehensive anamnesis and early systemic evaluation are essential to prevent delayed diagnosis and severe ocular complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POCOR139",
      "abstract_number": "POCOR139",
      "title": "Neonatal Pseudomonas Keratitis Managed With Amniotic Membrane Transplantation And Pupilloplasty: Long-Term Visual Outcome",
      "authors": "Dr Eyüb Uzun",
      "presenter": "Dr Eyüb Uzun",
      "normalized_authors": [
        "Eyüb Uzun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eyüb Uzun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Pseudomonas aeruginosa keratitis in neonates is a rare but aggressive infection that may lead to corneal destruction and permanent visual impairment. Early diagnosis and timely intervention are essential to preserve ocular integrity and visual function. We present the long-term clinical course and visual outcome of a neonate with culture-proven Pseudomonas keratitis managed with intensive medical and surgical treatment.",
        "Setting": "Department of Ophthalmology, Bezmialem Vakif University Hospital, a tertiary academic referral center in Istanbul, Türkiye.",
        "Methods": "A neonate born on June 17, 2019, was referred at 6 days of age with purulent discharge and corneal opacity in the left eye while in the neonatal intensive care unit. Examination revealed conjunctival hyperemia, central corneal ulcer, and stromal infiltration. Corneal and conjunctival cultures grew Pseudomonas aeruginosa. Intensive topical fortified tobramycin and ceftazidime, along with systemic antibiotics, autologous serum, and breast milk drops, were initiated. Due to progression despite medical treatment, amniotic membrane transplantation was performed to preserve corneal integrity. Infection was controlled; however, vascularized corneal leukoma developed. At 3 years of age, pupilloplasty was performed to enlarge the visual axis. The patient was followed for 6 years. Best-corrected visual acuity improved from 0.1 to 0.3 and remained stable without further complications.",
        "Conclusions": "Neonatal Pseudomonas keratitis may result in severe corneal damage and visual impairment. Early diagnosis, aggressive antimicrobial therapy, and timely surgical intervention may help preserve ocular integrity and improve functional visual outcomes. Long-term follow-up and individualized management are critical in optimizing visual prognosis in these high-risk patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Neonatal Pseudomonas keratitis may result in severe corneal damage and visual impairment. Early diagnosis, aggressive antimicrobial therapy, and timely surgical intervention may help preserve ocular integrity and improve functional visual outcomes. Long-term follow-up and individualized management are critical in optimizing visual prognosis in these high-risk patients.",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 827,
      "source_fields": {
        "Abstract Final Identifier": "POCOR139",
        "Title": "Neonatal Pseudomonas Keratitis Managed With Amniotic Membrane Transplantation And Pupilloplasty: Long-Term Visual Outcome",
        "Presenting Author(s)": "Dr Eyüb Uzun",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Eyüb",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uzun",
        "Country Name": "Türkiye",
        "Purpose": "Pseudomonas aeruginosa keratitis in neonates is a rare but aggressive infection that may lead to corneal destruction and permanent visual impairment. Early diagnosis and timely intervention are essential to preserve ocular integrity and visual function. We present the long-term clinical course and visual outcome of a neonate with culture-proven Pseudomonas keratitis managed with intensive medical and surgical treatment.",
        "Setting": "Department of Ophthalmology, Bezmialem Vakif University Hospital, a tertiary academic referral center in Istanbul, Türkiye.",
        "Methods": "A neonate born on June 17, 2019, was referred at 6 days of age with purulent discharge and corneal opacity in the left eye while in the neonatal intensive care unit. Examination revealed conjunctival hyperemia, central corneal ulcer, and stromal infiltration. Corneal and conjunctival cultures grew Pseudomonas aeruginosa. Intensive topical fortified tobramycin and ceftazidime, along with systemic antibiotics, autologous serum, and breast milk drops, were initiated. Due to progression despite medical treatment, amniotic membrane transplantation was performed to preserve corneal integrity. Infection was controlled; however, vascularized corneal leukoma developed. At 3 years of age, pupilloplasty was performed to enlarge the visual axis. The patient was followed for 6 years. Best-corrected visual acuity improved from 0.1 to 0.3 and remained stable without further complications.",
        "Results": "",
        "Conclusions": "Neonatal Pseudomonas keratitis may result in severe corneal damage and visual impairment. Early diagnosis, aggressive antimicrobial therapy, and timely surgical intervention may help preserve ocular integrity and improve functional visual outcomes. Long-term follow-up and individualized management are critical in optimizing visual prognosis in these high-risk patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCOR140",
      "abstract_number": "POCOR140",
      "title": "Management Of Severe Dry Eye Disease Secondary To Graft V/S Host Reaction Post Bone Marrow Transplantation",
      "authors": "Dr Sanjana Vatsa",
      "presenter": "Dr Sanjana Vatsa",
      "normalized_authors": [
        "Sanjana Vatsa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanjana Vatsa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Step wise immunomodulatory approach in a case of severe, refractory dry eye disease secondary to chronic Graft-versus-host disease (GVHD) following allogeneic bone marrow transplantation.",
        "Setting": "Tertiary referral ocular surface center managing post–bone marrow transplant GVHD in collaboration with immunology services.",
        "Methods": "A 55-year-old male with Acute Myeloid Leukemia underwent allogeneic bone marrow transplantation, developed chronic systemic GVHD 7 months post-transplant with dermatologic, neurologic, and ocular involvement.\n\nHe presented with severe ocular symptoms including persistent redness, dryness, gritty sensation, photophobia, and blurred vision. Ocular Surface Disease Index (OSDI) score was 75. Slit-lamp examination revealed conjunctival congestion,diffuse punctate erosions,conjunctival staining,reduced tear meniscus height and meibomian gland dysfunction. Schirmer’s test measured 1 mm in both eyes. TBUT was 4 seconds bilaterally. Corneal fluorescein staining was Oxford Grade 5.\n\nOcular management included the use of topical steroids in tapering dose,sodium hyaluronate with trehalose lubricants (10–12 times/day), and cyclosporine 0.09% eye drops. 3 sittings of Intense Pulse Light therapy was also given. After 3 months, partial improvement was observed with reduction in corneal staining to Oxford Grade 3; symptoms reduced, however, recurrent exacerbations persisted.\n\nLifitegrast 5% ophthalmic solution was added twice daily as adjunct therapy. After 6 weeks, significant clinical improvement was noted. OSDI improved to 35. Schirmer’s test increased to 5 mm in both eyes.TBUT improved to 9 seconds.Corneal staining reduced to Grade1(OD) and Grade 2(OS). Lubricants usage decreased to 3–4 times daily. Sustained improvement was maintained for over 6 months without flare-ups.",
        "Conclusions": "Ocular GVHD represents one of the most severe immune-mediated dry eye phenotypes, often refractory to standard therapy. In this case, adjunctive Lifitegrast resulted in rapid, sustained symptomatic and objective improvement after conventional immunomodulation plateaued.\n\nTargeted inhibition of the LFA-1/ICAM-1 pathway may provide synergistic benefit when combined with corticosteroids and cyclosporine in GVHD-associated DED. These findings support further controlled studies evaluating Lifitegrast as part of combination immunotherapy in severe inflammatory dry eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Ocular GVHD represents one of the most severe immune-mediated dry eye phenotypes, often refractory to standard therapy. In this case, adjunctive Lifitegrast resulted in rapid, sustained symptomatic and objective improvement after conventional immunomodulation plateaued. Targeted inhibition of the LFA-1/ICAM-1 pathway may provide synergistic benefit when combined with corticosteroids and cyclosporine in…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 828,
      "source_fields": {
        "Abstract Final Identifier": "POCOR140",
        "Title": "Management Of Severe Dry Eye Disease Secondary To Graft V/S Host Reaction Post Bone Marrow Transplantation",
        "Presenting Author(s)": "Dr Sanjana Vatsa",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sanjana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vatsa",
        "Country Name": "India",
        "Purpose": "Step wise immunomodulatory approach in a case of severe, refractory dry eye disease secondary to chronic Graft-versus-host disease (GVHD) following allogeneic bone marrow transplantation.",
        "Setting": "Tertiary referral ocular surface center managing post–bone marrow transplant GVHD in collaboration with immunology services.",
        "Methods": "A 55-year-old male with Acute Myeloid Leukemia underwent allogeneic bone marrow transplantation, developed chronic systemic GVHD 7 months post-transplant with dermatologic, neurologic, and ocular involvement.\n\nHe presented with severe ocular symptoms including persistent redness, dryness, gritty sensation, photophobia, and blurred vision. Ocular Surface Disease Index (OSDI) score was 75. Slit-lamp examination revealed conjunctival congestion,diffuse punctate erosions,conjunctival staining,reduced tear meniscus height and meibomian gland dysfunction. Schirmer’s test measured 1 mm in both eyes. TBUT was 4 seconds bilaterally. Corneal fluorescein staining was Oxford Grade 5.\n\nOcular management included the use of topical steroids in tapering dose,sodium hyaluronate with trehalose lubricants (10–12 times/day), and cyclosporine 0.09% eye drops. 3 sittings of Intense Pulse Light therapy was also given. After 3 months, partial improvement was observed with reduction in corneal staining to Oxford Grade 3; symptoms reduced, however, recurrent exacerbations persisted.\n\nLifitegrast 5% ophthalmic solution was added twice daily as adjunct therapy. After 6 weeks, significant clinical improvement was noted. OSDI improved to 35. Schirmer’s test increased to 5 mm in both eyes.TBUT improved to 9 seconds.Corneal staining reduced to Grade1(OD) and Grade 2(OS). Lubricants usage decreased to 3–4 times daily. Sustained improvement was maintained for over 6 months without flare-ups.",
        "Results": "",
        "Conclusions": "Ocular GVHD represents one of the most severe immune-mediated dry eye phenotypes, often refractory to standard therapy. In this case, adjunctive Lifitegrast resulted in rapid, sustained symptomatic and objective improvement after conventional immunomodulation plateaued.\n\nTargeted inhibition of the LFA-1/ICAM-1 pathway may provide synergistic benefit when combined with corticosteroids and cyclosporine in GVHD-associated DED. These findings support further controlled studies evaluating Lifitegrast as part of combination immunotherapy in severe inflammatory dry eye."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POCOR141",
      "abstract_number": "POCOR141",
      "title": "Polymicrobial Corneal Ulcer Following Plant Trauma And Oral Contamination: A Case Report",
      "authors": "Dr Lin Zhao",
      "presenter": "Dr Lin Zhao",
      "normalized_authors": [
        "Lin Zhao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lin Zhao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To report a rare case of polymicrobial corneal ulcer involving Streptococcus pyogenes, Acinetobacter species and Capnocytophaga sputigena, and to discuss diagnostic challenges and treatment strategies.",
        "Setting": "Department of Ophthalmology at Aier-Intech Eye Hospital in Beijing, China. The patient was initially evaluated at a local hospital before referral to our institution for advanced management of progressive corneal infection.",
        "Methods": "A 61-year-old male patient presented with left eye redness, pain, and decreased vision for 3 days following ocular trauma with Artemisia stalk. A companion attempted to remove visible foreign material from the eye using tongue. Symptoms initially improved but then progressively worsened with increased pain and purulent discharge.\n\nAt the local hospital, he was diagnosed with left corneal ulcer and hypopyon. Treatment with levofloxacin eye drops and oral cefdinir was initiated with limited efficacy. Upon admission to our hospital, examination revealed hand motion vision, severe conjunctival congestion and edema, abundant purulent discharge, total corneal ulcer, and a 5 mm hypopyon. Despite intensive topical antibiotic therapy (levofloxacin, tobramycin, 5% vancomycin, and 4% amikacin), the corneal ulcer progressed rapidly with total corneal dissolution. On Day 3, therapeutic sclerokeratoplasty was performed. Histopathology revealed severe suppurative inflammation with PAS-positive filamentous structures. Bacterial culture identified Streptococcus pyogenes and Acinetobacter species. Subsequent metagenomic sequencing of corneal tissue identified Capnocytophaga sputigena (70.52% abundance), confirming a triple-pathogen infection. The infection was successfully controlled without recurrence. Five months postoperatively, the patient underwent DMEK combined with cataract surgery. At 6-month follow-up, visual acuity improved to 0.2 with no signs of infection recurrence.",
        "Conclusions": "This case demonstrates the complexity of mixed bacterial corneal infections following plant-related trauma complicated by oral bacterial contamination. The unique history of tongue contact with the ocular surface introduced Capnocytophaga sputigena , a typical oral commensal bacterium, into the wound, resulting in a polymicrobial infection. Metagenomic sequencing was crucial for identifying this fastidious pathogen, which was not detected by routine culture. Early surgical intervention with penetrating keratoplasty combined with targeted antibiotic therapy based on comprehensive microbiological evaluation is essential for managing severe, rapidly progressive polymicrobial corneal infections."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates the complexity of mixed bacterial corneal infections following plant-related trauma complicated by oral bacterial contamination. The unique history of tongue contact with the ocular surface introduced Capnocytophaga sputigena , a typical oral commensal bacterium, into the wound, resulting in a polymicrobial infection. Metagenomic sequencing was crucial for identifying this fastidious…",
      "session_type": "ePoster",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 829,
      "source_fields": {
        "Abstract Final Identifier": "POCOR141",
        "Title": "Polymicrobial Corneal Ulcer Following Plant Trauma And Oral Contamination: A Case Report",
        "Presenting Author(s)": "Dr Lin Zhao",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhao",
        "Country Name": "China",
        "Purpose": "To report a rare case of polymicrobial corneal ulcer involving Streptococcus pyogenes, Acinetobacter species and Capnocytophaga sputigena, and to discuss diagnostic challenges and treatment strategies.",
        "Setting": "Department of Ophthalmology at Aier-Intech Eye Hospital in Beijing, China. The patient was initially evaluated at a local hospital before referral to our institution for advanced management of progressive corneal infection.",
        "Methods": "A 61-year-old male patient presented with left eye redness, pain, and decreased vision for 3 days following ocular trauma with Artemisia stalk. A companion attempted to remove visible foreign material from the eye using tongue. Symptoms initially improved but then progressively worsened with increased pain and purulent discharge.\n\nAt the local hospital, he was diagnosed with left corneal ulcer and hypopyon. Treatment with levofloxacin eye drops and oral cefdinir was initiated with limited efficacy. Upon admission to our hospital, examination revealed hand motion vision, severe conjunctival congestion and edema, abundant purulent discharge, total corneal ulcer, and a 5 mm hypopyon. Despite intensive topical antibiotic therapy (levofloxacin, tobramycin, 5% vancomycin, and 4% amikacin), the corneal ulcer progressed rapidly with total corneal dissolution. On Day 3, therapeutic sclerokeratoplasty was performed. Histopathology revealed severe suppurative inflammation with PAS-positive filamentous structures. Bacterial culture identified Streptococcus pyogenes and Acinetobacter species. Subsequent metagenomic sequencing of corneal tissue identified Capnocytophaga sputigena (70.52% abundance), confirming a triple-pathogen infection. The infection was successfully controlled without recurrence. Five months postoperatively, the patient underwent DMEK combined with cataract surgery. At 6-month follow-up, visual acuity improved to 0.2 with no signs of infection recurrence.",
        "Results": "",
        "Conclusions": "This case demonstrates the complexity of mixed bacterial corneal infections following plant-related trauma complicated by oral bacterial contamination. The unique history of tongue contact with the ocular surface introduced Capnocytophaga sputigena , a typical oral commensal bacterium, into the wound, resulting in a polymicrobial infection. Metagenomic sequencing was crucial for identifying this fastidious pathogen, which was not detected by routine culture. Early surgical intervention with penetrating keratoplasty combined with targeted antibiotic therapy based on comprehensive microbiological evaluation is essential for managing severe, rapidly progressive polymicrobial corneal infections."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCOR142",
      "abstract_number": "POCOR142",
      "title": "Femtosecond Laser–Assisted Mushroom-Type Deep Anterior Lamellar Keratoplasty: Surgical Technique Optimization And Early Visual Outcomes From A Case Series.",
      "authors": "Dr Jose Aguilar Falomir",
      "presenter": "Dr Jose Aguilar Falomir",
      "normalized_authors": [
        "Jose Aguilar Falomir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jose Aguilar Falomir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe technical refinements and standardization of the mushroom-type deep anterior lamellar keratoplasty (DALK) and to evaluate preliminary visual outcomes in a 11 patients case series.",
        "Setting": "The study was conducted at the Ophthalmology Department of the General University Hospital of Elche.",
        "Methods": "Retrospective interventional case series of 11 consecutive eyes undergoing standardized femtosecond laser-assisted mushroom-type DALK were conducted. Surgical indications were recorded. Pre- and postoperative evaluation included best-corrected visual acuity (BCVA), refractive cylinder, endothelial cell density, and detailed keratometric parameters (K1, K2, mean keratometry, and corneal astigmatism). Residual postoperative cylinder was assessed at last follow-up. Femtosecond laser settings, including anterior and posterior trephination diameters, depth profiles, side-cut angles, and energy parameters, were documented and refined over time. Intraoperative events were analyzed descriptively.",
        "Results": "Eleven eyes were included. Main indications were advanced keratoconus and anterior stromal scarring. All DALKs were completed using the Victus® femtosecond laser platform. Progressive optimization of femtosecond laser settings improved graft-host alignment and interface regularity. Mean BCVA improved by 0.4 at last follow-up, with most eyes reaching their final BCVA around 14 months postoperatively. Mean postoperative refractive cylinder, although not neutral, appears lower than typically reported for conventional penetrating keratoplasty. Endothelial cell density remained stable, with no significant decrease from baseline. No graft failure was observed during follow-up.",
        "Conclusions": "Refinement and standardization of femtosecond laser–assisted mushroom-type DALK enable reproducible surgical execution with encouraging early visual and refractive outcomes. The mushroom-shaped configuration may promote improved graft–host alignment and interface regularity, potentially facilitating faster visual rehabilitation, enhanced final visual acuity, earlier suture removal compared with conventional DALK techniques, and a more stable wound with a lower risk of dehiscence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refinement and standardization of femtosecond laser–assisted mushroom-type DALK enable reproducible surgical execution with encouraging early visual and refractive outcomes. The mushroom-shaped configuration may promote improved graft–host alignment and interface regularity, potentially facilitating faster visual rehabilitation, enhanced final visual acuity, earlier suture removal compared with conventional DALK…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 830,
      "source_fields": {
        "Abstract Final Identifier": "POCOR142",
        "Title": "Femtosecond Laser–Assisted Mushroom-Type Deep Anterior Lamellar Keratoplasty: Surgical Technique Optimization And Early Visual Outcomes From A Case Series.",
        "Presenting Author(s)": "Dr Jose Aguilar Falomir",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Jose",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aguilar Falomir",
        "Country Name": "Spain",
        "Purpose": "To describe technical refinements and standardization of the mushroom-type deep anterior lamellar keratoplasty (DALK) and to evaluate preliminary visual outcomes in a 11 patients case series.",
        "Setting": "The study was conducted at the Ophthalmology Department of the General University Hospital of Elche.",
        "Methods": "Retrospective interventional case series of 11 consecutive eyes undergoing standardized femtosecond laser-assisted mushroom-type DALK were conducted. Surgical indications were recorded. Pre- and postoperative evaluation included best-corrected visual acuity (BCVA), refractive cylinder, endothelial cell density, and detailed keratometric parameters (K1, K2, mean keratometry, and corneal astigmatism). Residual postoperative cylinder was assessed at last follow-up. Femtosecond laser settings, including anterior and posterior trephination diameters, depth profiles, side-cut angles, and energy parameters, were documented and refined over time. Intraoperative events were analyzed descriptively.",
        "Results": "Eleven eyes were included. Main indications were advanced keratoconus and anterior stromal scarring. All DALKs were completed using the Victus® femtosecond laser platform. Progressive optimization of femtosecond laser settings improved graft-host alignment and interface regularity. Mean BCVA improved by 0.4 at last follow-up, with most eyes reaching their final BCVA around 14 months postoperatively. Mean postoperative refractive cylinder, although not neutral, appears lower than typically reported for conventional penetrating keratoplasty. Endothelial cell density remained stable, with no significant decrease from baseline. No graft failure was observed during follow-up.",
        "Conclusions": "Refinement and standardization of femtosecond laser–assisted mushroom-type DALK enable reproducible surgical execution with encouraging early visual and refractive outcomes. The mushroom-shaped configuration may promote improved graft–host alignment and interface regularity, potentially facilitating faster visual rehabilitation, enhanced final visual acuity, earlier suture removal compared with conventional DALK techniques, and a more stable wound with a lower risk of dehiscence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POCOR143",
      "abstract_number": "POCOR143",
      "title": "Prognostic Value Of The Ocular Trauma Score In Post-Traumatic Penetrating Keratoplasty",
      "authors": "Dr Elif Akbas Ulman",
      "presenter": "Dr Elif Akbas Ulman",
      "normalized_authors": [
        "Elif Akbas Ulman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elif Akbas Ulman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the prognostic utility of the Ocular Trauma Score (OTS) in predicting visual and surgical outcomes following penetrating keratoplasty (PK) in patients with open-globe injuries.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "Medical records of patients who underwent penetrating keratoplasty following open-globe trauma between 2015 and 2024 were retrospectively reviewed. The Ocular Trauma Score (OTS) was calculated at initial presentation. Final best-corrected visual acuity, graft clarity duration, graft rejection and failure, posterior segment involvement, and trauma-to-keratoplasty interval were recorded. Associations between OTS and clinical outcomes were evaluated using Spearman correlation and chi-square tests.",
        "Results": "Fifty-four eyes of 54 patients were included. The mean age was 46.0±12.3 (21-64) years. The mean time from trauma to PKP was 14.1±8.6 (1-48) months, and the mean follow-up was 36.7±25.2 (13-117) months. Higher OTS correlated with better final visual acuity (Spearman ρ=–0.57, p<0.001) and longer graft clarity duration (ρ=0.47, p<0.001). Lower OTS was associated with higher graft failure rates (χ² =13.98, p=0.0009) and posterior segment involvement (χ²=9.93, p=0.0016). No significant association was found between OTS and graft rejection (p=0.665). The interval between trauma and PKP was not correlated with final visual acuity (ρ=0.23, p=0.098) or graft clarity duration (ρ=–0.09, p=0.499).",
        "Conclusions": "OTS correlated with visual acuity and graft clarity duration after post-traumatic penetrating keratoplasty and demonstrated an association with graft failure. Posterior segment involvement increased failure risk, whereas the trauma-to-keratoplasty interval showed no prognostic value. These findings indicate that OTS is a robust preoperative prognostic indicator not only for visual outcomes but also for predicting surgical success after penetrating keratoplasty for ocular trauma. Incorporating OTS into preoperative PK assessment may enhance individualized risk stratification and patient counseling."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "OTS correlated with visual acuity and graft clarity duration after post-traumatic penetrating keratoplasty and demonstrated an association with graft failure. Posterior segment involvement increased failure risk, whereas the trauma-to-keratoplasty interval showed no prognostic value. These findings indicate that OTS is a robust preoperative prognostic indicator not only for visual outcomes but also for predicting…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 831,
      "source_fields": {
        "Abstract Final Identifier": "POCOR143",
        "Title": "Prognostic Value Of The Ocular Trauma Score In Post-Traumatic Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Elif Akbas Ulman",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Elif",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akbas Ulman",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the prognostic utility of the Ocular Trauma Score (OTS) in predicting visual and surgical outcomes following penetrating keratoplasty (PK) in patients with open-globe injuries.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "Medical records of patients who underwent penetrating keratoplasty following open-globe trauma between 2015 and 2024 were retrospectively reviewed. The Ocular Trauma Score (OTS) was calculated at initial presentation. Final best-corrected visual acuity, graft clarity duration, graft rejection and failure, posterior segment involvement, and trauma-to-keratoplasty interval were recorded. Associations between OTS and clinical outcomes were evaluated using Spearman correlation and chi-square tests.",
        "Results": "Fifty-four eyes of 54 patients were included. The mean age was 46.0±12.3 (21-64) years. The mean time from trauma to PKP was 14.1±8.6 (1-48) months, and the mean follow-up was 36.7±25.2 (13-117) months. Higher OTS correlated with better final visual acuity (Spearman ρ=–0.57, p<0.001) and longer graft clarity duration (ρ=0.47, p<0.001). Lower OTS was associated with higher graft failure rates (χ² =13.98, p=0.0009) and posterior segment involvement (χ²=9.93, p=0.0016). No significant association was found between OTS and graft rejection (p=0.665). The interval between trauma and PKP was not correlated with final visual acuity (ρ=0.23, p=0.098) or graft clarity duration (ρ=–0.09, p=0.499).",
        "Conclusions": "OTS correlated with visual acuity and graft clarity duration after post-traumatic penetrating keratoplasty and demonstrated an association with graft failure. Posterior segment involvement increased failure risk, whereas the trauma-to-keratoplasty interval showed no prognostic value. These findings indicate that OTS is a robust preoperative prognostic indicator not only for visual outcomes but also for predicting surgical success after penetrating keratoplasty for ocular trauma. Incorporating OTS into preoperative PK assessment may enhance individualized risk stratification and patient counseling."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCOR144",
      "abstract_number": "POCOR144",
      "title": "Incidence Of Injurious Fall In Patients Before And After Corneal Transplantation In Hong Kong: A Retrospective Cohort Study",
      "authors": "Dr Juila Chan",
      "presenter": "Dr Juila Chan",
      "normalized_authors": [
        "Juila Chan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juila Chan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "To compare and contrast the incidence rate of injurious falls in before and after corneal tranplantation.",
        "Setting": "Patient pending corneal transplantation are theroratically prone to fall due to the impared visual perception. Injurious fall create a signficant financial and healthcare burden due to subsequent hospitalisation and rehabilitation. By examining the incidence rate of fall, policies and guidelines catered to fall prevention can be developed and carried out.",
        "Methods": "This retrospective cohort study was conducted in the Hong Kong Special Administrative Region of China (Hong Kong), which has a population of approximately 7.53 million. Data were extracted from the Eye Bank Management System (EBMS) and the Clinical Data Analysis and Reporting System (CDARS). The study population comprised Individuals listed for corneal transplantation who subsequently underwent the surgery between 1 st October 2016 (system inception) and 31 st August 2025.",
        "Results": "A total of 2001 individuals were included in this study. During the waitlist period, the incidence rate of injurious falls was 58.57 per 1,000 person-years. During the first three months following corneal transplantation, the corresponding incidence rate was 53.09 per 1,000 person-years.\n\nUsing indirect age- and sex- standardisation with 2018 Hong Kong population injurious fall rates as the reference, individuals awaiting corneal transplantation had a substantially higher incidence rate of injurious falls, with a standardised incidence ratio of 5.19 (95%CI: 4.18 to 6.36).\n\nIn the post-operative period, the incidence ratio was 4.64 (95%CI 3.90 to 5.61), corresponding to more than a four-fold higher incidence than expected.",
        "Conclusions": "Patients on waitlist for corneal transplantation are of significantly high risk of fall, so as those received corneal transplantation. Ophthalmologists should be aware of the potential systemic harzard associated with injurious fall in addition to ophthalmic recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients on waitlist for corneal transplantation are of significantly high risk of fall, so as those received corneal transplantation. Ophthalmologists should be aware of the potential systemic harzard associated with injurious fall in addition to ophthalmic recovery.",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 832,
      "source_fields": {
        "Abstract Final Identifier": "POCOR144",
        "Title": "Incidence Of Injurious Fall In Patients Before And After Corneal Transplantation In Hong Kong: A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Juila Chan",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Juila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chan",
        "Country Name": "Hong Kong",
        "Purpose": "To compare and contrast the incidence rate of injurious falls in before and after corneal tranplantation.",
        "Setting": "Patient pending corneal transplantation are theroratically prone to fall due to the impared visual perception. Injurious fall create a signficant financial and healthcare burden due to subsequent hospitalisation and rehabilitation. By examining the incidence rate of fall, policies and guidelines catered to fall prevention can be developed and carried out.",
        "Methods": "This retrospective cohort study was conducted in the Hong Kong Special Administrative Region of China (Hong Kong), which has a population of approximately 7.53 million. Data were extracted from the Eye Bank Management System (EBMS) and the Clinical Data Analysis and Reporting System (CDARS). The study population comprised Individuals listed for corneal transplantation who subsequently underwent the surgery between 1 st October 2016 (system inception) and 31 st August 2025.",
        "Results": "A total of 2001 individuals were included in this study. During the waitlist period, the incidence rate of injurious falls was 58.57 per 1,000 person-years. During the first three months following corneal transplantation, the corresponding incidence rate was 53.09 per 1,000 person-years.\n\nUsing indirect age- and sex- standardisation with 2018 Hong Kong population injurious fall rates as the reference, individuals awaiting corneal transplantation had a substantially higher incidence rate of injurious falls, with a standardised incidence ratio of 5.19 (95%CI: 4.18 to 6.36).\n\nIn the post-operative period, the incidence ratio was 4.64 (95%CI 3.90 to 5.61), corresponding to more than a four-fold higher incidence than expected.",
        "Conclusions": "Patients on waitlist for corneal transplantation are of significantly high risk of fall, so as those received corneal transplantation. Ophthalmologists should be aware of the potential systemic harzard associated with injurious fall in addition to ophthalmic recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCOR145",
      "abstract_number": "POCOR145",
      "title": "Descemet Stripping Automated Endothelial Keratoplasty In Eyes With Scleral-Fixated Intraocular Lenses",
      "authors": "Dr Noa Cohen Sinai",
      "presenter": "Dr Noa Cohen Sinai",
      "normalized_authors": [
        "Noa Cohen Sinai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Noa סיני Cohen Sinai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Descemet stripping automated endothelial keratoplasty (DSAEK) in eyes with scleral-fixated intraocular lenses (SFIOLs) is technically challenging due to absent capsular support and altered anterior chamber dynamics, which may compromise graft adherence and air tamponade stability. Evidence regarding outcomes in this high-risk subgroup remains limited. This study aimed to evaluate visual and anatomical outcomes and postoperative complications following DSAEK in eyes with scleral-fixated IOLs, with emphasis on cases utilizing a four-flanged fixation technique.",
        "Setting": "Single tertiary referral medical center in Israel.",
        "Methods": "This retrospective case series included 10 eyes of 10 patients who underwent DSAEK at Shamir Medical Center between 2022 and 2026. Six eyes had pre-existing scleral-fixated IOLs, and four underwent combined IOL exchange with scleral fixation and DSAEK (three posterior chamber and one anterior chamber exchanges). Eight eyes underwent 4-point scleral fixation using a flange technique, and two underwent repositioning of subluxated C-loop IOLs using flanges. Evaluated outcomes included graft clarity, graft detachment and rebubbling, as well as best-corrected visual acuity (BCVA), central macular thickness (CMT), glaucoma medication burden, and other postoperative complications.",
        "Results": "Mean age was 76.4±7.3 years; 80% were male. Mean follow-up was 9.2±6.8 months. Prior vitrectomy and glaucoma were present in 6 eyes (60%) each; mean preoperative IOP was 15.8±2.8 mmHg. Mean operative time was 71±36 minutes. Preoperative BCVA improved from 1.48±0.55 to 1.01±0.66 logMAR at last follow-up (≈4–5 Snellen lines). Rebubbling was required in 3 eyes (30%)—one for early air loss and two for 1-week detachment; pupillary block occurred in 3 (30%). Preoperative CME was present in 6 eyes (60%); mean CMT decreased from 395 to 328 µm. CME improved in 4 eyes, worsened in 2, and developed de novo in 1. One eye (10%) developed graft failure; mild edema persisted in 3 (30%). Glaucoma medications remained stable (0.5 to 0.43).",
        "Conclusions": "This study evaluated anatomically complex eyes that underwent scleral IOL fixation using a flange technique and were characterized by extensive ocular comorbidity. Overall graft survival and visual outcomes were favorable despite this high-risk profile. The rates of rebubbling and pupillary block were relatively high, underscoring the need for careful air management and close postoperative follow-up in this group. Glaucoma control remained stable, with no sustained increase in medication burden. In addition, most eyes with preexisting cystoid macular edema demonstrated anatomical improvement following surgery. Overall, DSAEK represents a viable surgical option in eyes with scleral-fixated IOLs despite their complexity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study evaluated anatomically complex eyes that underwent scleral IOL fixation using a flange technique and were characterized by extensive ocular comorbidity. Overall graft survival and visual outcomes were favorable despite this high-risk profile. The rates of rebubbling and pupillary block were relatively high, underscoring the need for careful air management and close postoperative follow-up in this group.…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 833,
      "source_fields": {
        "Abstract Final Identifier": "POCOR145",
        "Title": "Descemet Stripping Automated Endothelial Keratoplasty In Eyes With Scleral-Fixated Intraocular Lenses",
        "Presenting Author(s)": "Dr Noa Cohen Sinai",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Noa",
        "Submitter Middle Name": "סיני",
        "Submitter Last Name": "Cohen Sinai",
        "Country Name": "Israel",
        "Purpose": "Descemet stripping automated endothelial keratoplasty (DSAEK) in eyes with scleral-fixated intraocular lenses (SFIOLs) is technically challenging due to absent capsular support and altered anterior chamber dynamics, which may compromise graft adherence and air tamponade stability. Evidence regarding outcomes in this high-risk subgroup remains limited. This study aimed to evaluate visual and anatomical outcomes and postoperative complications following DSAEK in eyes with scleral-fixated IOLs, with emphasis on cases utilizing a four-flanged fixation technique.",
        "Setting": "Single tertiary referral medical center in Israel.",
        "Methods": "This retrospective case series included 10 eyes of 10 patients who underwent DSAEK at Shamir Medical Center between 2022 and 2026. Six eyes had pre-existing scleral-fixated IOLs, and four underwent combined IOL exchange with scleral fixation and DSAEK (three posterior chamber and one anterior chamber exchanges). Eight eyes underwent 4-point scleral fixation using a flange technique, and two underwent repositioning of subluxated C-loop IOLs using flanges. Evaluated outcomes included graft clarity, graft detachment and rebubbling, as well as best-corrected visual acuity (BCVA), central macular thickness (CMT), glaucoma medication burden, and other postoperative complications.",
        "Results": "Mean age was 76.4±7.3 years; 80% were male. Mean follow-up was 9.2±6.8 months. Prior vitrectomy and glaucoma were present in 6 eyes (60%) each; mean preoperative IOP was 15.8±2.8 mmHg. Mean operative time was 71±36 minutes. Preoperative BCVA improved from 1.48±0.55 to 1.01±0.66 logMAR at last follow-up (≈4–5 Snellen lines). Rebubbling was required in 3 eyes (30%)—one for early air loss and two for 1-week detachment; pupillary block occurred in 3 (30%). Preoperative CME was present in 6 eyes (60%); mean CMT decreased from 395 to 328 µm. CME improved in 4 eyes, worsened in 2, and developed de novo in 1. One eye (10%) developed graft failure; mild edema persisted in 3 (30%). Glaucoma medications remained stable (0.5 to 0.43).",
        "Conclusions": "This study evaluated anatomically complex eyes that underwent scleral IOL fixation using a flange technique and were characterized by extensive ocular comorbidity. Overall graft survival and visual outcomes were favorable despite this high-risk profile. The rates of rebubbling and pupillary block were relatively high, underscoring the need for careful air management and close postoperative follow-up in this group. Glaucoma control remained stable, with no sustained increase in medication burden. In addition, most eyes with preexisting cystoid macular edema demonstrated anatomical improvement following surgery. Overall, DSAEK represents a viable surgical option in eyes with scleral-fixated IOLs despite their complexity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 411
    },
    {
      "uid": "POCOR146",
      "abstract_number": "POCOR146",
      "title": "Visual And Refractive Outcomes Of Cataract Surgery Following Corneal Transplantation",
      "authors": "Dr Seika Den",
      "presenter": "Dr Seika Den",
      "normalized_authors": [
        "Seika Den"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seika Den",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of cataract surgery following keratoplasty, focusing on visual acuity (VA), corneal endothelial cell density (ECD), and refractive predictability, and to identify factors associated with postoperative outcomes.",
        "Setting": "Retrospective three-center study.",
        "Methods": "This study included 29 eyes who underwent cataract surgery after keratoplasty. The mean age was 63.2±10.8 years. Keratoplasty comprised penetrating keratoplasty (PK;16 eyes) and anterior lamellar keratoplasty (ALK;13). The most common indications for keratoplasty were keratoconus and regraft (8 each), following stromal keratitis (4). IOL power was calculated using the Barrett Universal (BU) formula group (15), Camellin-Calossi (CC;11), or SRK/T (3). K value was obtained using CASIA2® (15), IOL Master 7000® (13), and conventional keratometry (1). Mean axial length and K value were 25.2±2.7 mm and 44.6±5.3 D. The mean interval between keratoplasty and cataract surgery was 6.7±5.7 years. The mean follow-up period was 2.6±2.1 years.",
        "Results": "Pre-op logMAR VA improved significantly from 0.64±0.37 to 0.38±0.38 postoperatively ( p =0.0007). Mean ECD was 1516±767 cells/mm 2 and decreased to 1282±674 postoperatively (mean reduction rate 2.9±35.4%) without significance. The mean prediction error (PE) was -0.08±2.86 D, with a mean absolute error of 1.89±2.12 D; 37.9% and 75.9% of eyes were within ±1.00 D and ±2.00 D of target. Bland-Altman analysis revealed a near-zero bias of -0.08 D (95% CI: -1.13 to +0.96 D). ALK showed narrower LoA (8.70 D) than PK (13.23D). LoA widths were 8.31 D (BU), 14.02 D (CC), and 15.17 D (SRK/T), with no significant intergroup differences. Follow-up period correlated significantly with PE (ρ=−0.384, p=0.040). No variable was significantly associated with VA.",
        "Conclusions": "Cataract surgery following corneal transplantation resulted in significant visual improvement without clinically meaningful endothelial cell loss. Although the overall systematic bias was minimal, wide limits of agreement indicated substantial refractive variability. The BU formula group showed numerically narrower agreement limits; however, refractive predictability remained limited across graft types and IOL formulas. These findings suggest that, while cataract surgery in post-keratoplasty eyes is feasible and visually beneficial, refractive outcomes remain intrinsically variable. Prediction error correlated with follow-up period, suggesting that refractive stability in post-keratoplasty eyes may evolve over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery following corneal transplantation resulted in significant visual improvement without clinically meaningful endothelial cell loss. Although the overall systematic bias was minimal, wide limits of agreement indicated substantial refractive variability. The BU formula group showed numerically narrower agreement limits; however, refractive predictability remained limited across graft types and IOL…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 834,
      "source_fields": {
        "Abstract Final Identifier": "POCOR146",
        "Title": "Visual And Refractive Outcomes Of Cataract Surgery Following Corneal Transplantation",
        "Presenting Author(s)": "Dr Seika Den",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Seika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Den",
        "Country Name": "Japan",
        "Purpose": "To evaluate the clinical outcomes of cataract surgery following keratoplasty, focusing on visual acuity (VA), corneal endothelial cell density (ECD), and refractive predictability, and to identify factors associated with postoperative outcomes.",
        "Setting": "Retrospective three-center study.",
        "Methods": "This study included 29 eyes who underwent cataract surgery after keratoplasty. The mean age was 63.2±10.8 years. Keratoplasty comprised penetrating keratoplasty (PK;16 eyes) and anterior lamellar keratoplasty (ALK;13). The most common indications for keratoplasty were keratoconus and regraft (8 each), following stromal keratitis (4). IOL power was calculated using the Barrett Universal (BU) formula group (15), Camellin-Calossi (CC;11), or SRK/T (3). K value was obtained using CASIA2® (15), IOL Master 7000® (13), and conventional keratometry (1). Mean axial length and K value were 25.2±2.7 mm and 44.6±5.3 D. The mean interval between keratoplasty and cataract surgery was 6.7±5.7 years. The mean follow-up period was 2.6±2.1 years.",
        "Results": "Pre-op logMAR VA improved significantly from 0.64±0.37 to 0.38±0.38 postoperatively ( p =0.0007). Mean ECD was 1516±767 cells/mm 2 and decreased to 1282±674 postoperatively (mean reduction rate 2.9±35.4%) without significance. The mean prediction error (PE) was -0.08±2.86 D, with a mean absolute error of 1.89±2.12 D; 37.9% and 75.9% of eyes were within ±1.00 D and ±2.00 D of target. Bland-Altman analysis revealed a near-zero bias of -0.08 D (95% CI: -1.13 to +0.96 D). ALK showed narrower LoA (8.70 D) than PK (13.23D). LoA widths were 8.31 D (BU), 14.02 D (CC), and 15.17 D (SRK/T), with no significant intergroup differences. Follow-up period correlated significantly with PE (ρ=−0.384, p=0.040). No variable was significantly associated with VA.",
        "Conclusions": "Cataract surgery following corneal transplantation resulted in significant visual improvement without clinically meaningful endothelial cell loss. Although the overall systematic bias was minimal, wide limits of agreement indicated substantial refractive variability. The BU formula group showed numerically narrower agreement limits; however, refractive predictability remained limited across graft types and IOL formulas. These findings suggest that, while cataract surgery in post-keratoplasty eyes is feasible and visually beneficial, refractive outcomes remain intrinsically variable. Prediction error correlated with follow-up period, suggesting that refractive stability in post-keratoplasty eyes may evolve over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "POCOR147",
      "abstract_number": "POCOR147",
      "title": "Retrospective Study 7 Years For Lamellar Keratoplasty In Children In King Saudia Arabia",
      "authors": "Prof. Dr Mohamed Mostafa Diab",
      "presenter": "Prof. Dr Mohamed Mostafa Diab",
      "normalized_authors": [
        "Mohamed Mostafa Diab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Mostafa Diab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "lamellar Keratoplasty (LKP) in the pediatric population is a high-risk surgical procedure, performed less frequently than in the adult population, with rates of one per 19,000 live births in the king Sudia Arabia. The primary outcome of this study was to describe the visual outcome of LKP in a pediatric population in king Sudia Arabia",
        "Setting": "PRINCE SULTAM MEDICAL MILTARY CITY, RIYADH, Saudi Arabia",
        "Methods": "Retrospective descriptive study carried out in patients under 12 years of age undergoing Lamellar corneal transplantation from 2018 to 2025 at Price Sultan Military Medical City Riyadh Saudia Arabia, through the review of operative records and files. Visual acuity (VA) was recorded using Allen and Snellen charts. The study was approved by the hospital review committee and adhered to the declaration of Helsinki.",
        "Results": "19 eyes were studied. 18 corresponded to males; 14 belonged to school-age group, followed by 8 infants and 1 preschooler-age, with improvement of VA in 78.6%, 57% and 100% respectively. Non-traumatic acquired opacity was the most frequent cause (15/23), with improvement of VA in 75%, compared to congenital opacities (4/23) where 50% improved and the rest remained the same and in opacities secondary to trauma (4/23) where 100% remained with the same VA. The rejection rate was 8.6%(2/23), with a complication rate of 21.7%(5/23), where the half presented corneal button ulcer.",
        "Conclusions": "The best VA outcomes correspond to acquired causes of non-traumatic origin and in the preschooler-age, with a very low rejection rate. Lamellar keratoplasty is safer alternative to penetrating keratoplasty with offer lower risk of graft rejection faster visual rehabilitation and improved management of corneal opacities"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The best VA outcomes correspond to acquired causes of non-traumatic origin and in the preschooler-age, with a very low rejection rate. Lamellar keratoplasty is safer alternative to penetrating keratoplasty with offer lower risk of graft rejection faster visual rehabilitation and improved management of corneal opacities",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 835,
      "source_fields": {
        "Abstract Final Identifier": "POCOR147",
        "Title": "Retrospective Study 7 Years For Lamellar Keratoplasty In Children In King Saudia Arabia",
        "Presenting Author(s)": "Prof. Dr Mohamed Mostafa Diab",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Mohamed Mostafa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Diab",
        "Country Name": "Saudi Arabia",
        "Purpose": "lamellar Keratoplasty (LKP) in the pediatric population is a high-risk surgical procedure, performed less frequently than in the adult population, with rates of one per 19,000 live births in the king Sudia Arabia. The primary outcome of this study was to describe the visual outcome of LKP in a pediatric population in king Sudia Arabia",
        "Setting": "PRINCE SULTAM MEDICAL MILTARY CITY, RIYADH, Saudi Arabia",
        "Methods": "Retrospective descriptive study carried out in patients under 12 years of age undergoing Lamellar corneal transplantation from 2018 to 2025 at Price Sultan Military Medical City Riyadh Saudia Arabia, through the review of operative records and files. Visual acuity (VA) was recorded using Allen and Snellen charts. The study was approved by the hospital review committee and adhered to the declaration of Helsinki.",
        "Results": "19 eyes were studied. 18 corresponded to males; 14 belonged to school-age group, followed by 8 infants and 1 preschooler-age, with improvement of VA in 78.6%, 57% and 100% respectively. Non-traumatic acquired opacity was the most frequent cause (15/23), with improvement of VA in 75%, compared to congenital opacities (4/23) where 50% improved and the rest remained the same and in opacities secondary to trauma (4/23) where 100% remained with the same VA. The rejection rate was 8.6%(2/23), with a complication rate of 21.7%(5/23), where the half presented corneal button ulcer.",
        "Conclusions": "The best VA outcomes correspond to acquired causes of non-traumatic origin and in the preschooler-age, with a very low rejection rate. Lamellar keratoplasty is safer alternative to penetrating keratoplasty with offer lower risk of graft rejection faster visual rehabilitation and improved management of corneal opacities"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POCOR148",
      "abstract_number": "POCOR148",
      "title": "Long-Term Topical Steroid Prophylaxis Beyond One Year After Keratoplasty: Real-World Outcomes From A Canadian Cohort",
      "authors": "Dr Mona Koaik",
      "presenter": "Dr Mona Koaik",
      "normalized_authors": [
        "Mona Koaik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marah Elkabouli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Graft rejection remains a major cause of surgical morbidity. Previous studies have shown that topical steroids up to one year after surgery are associated with improved graft survival. However, the impact of long-term prophylaxis beyond one year remains poorly defined. This study evaluated the relationship between extended topical steroid use and outcomes of keratoplasty, with a focus on graft survival and complications. This represents one of the few studies to evaluate steroid prophylaxis beyond one year, and among the first to report long-term outcomes in a Canadian cohort including both penetrating and lamellar keratoplasty.",
        "Setting": "Retrospective cohort study.",
        "Methods": "A retrospective chart review was performed of consecutive keratoplasty cases at The Ottawa Hospital. Cases between 2009-2021 with a minimum of two years of postoperative follow-up were included. Both penetrating and lamellar keratoplasties were analyzed. Exclusion criteria included concurrent corneal or inflammatory ocular conditions or other indications for chronic topical steroid therapy. Prophylactic steroid type, duration, and dosing frequency were recorded. Primary outcomes were graft rejection and survival. Secondary outcomes assessed patient and surgical risk factors including patient age, cumulative steroid dose, surgical risk category, and graft type.",
        "Results": "The study included 122 patients (mean follow-up 67 months, SD 5.6 years). The most common procedures were DSAEK (50%) & PKP (34%), with indications including Fuchs endothelial corneal dystrophy (50%), keratoconus (21%), and pseudophakic bullous keratopathy (17%). All received prednisolone acetate 1%, with some requiring additional steroids. Within 2 years, 25.4% had at least one graft rejection; rates were 37% in high-risk vs 21% in low-risk grafts (p = 0.07). Kaplan-Meier analysis showed higher rejection risk in patients ≥ 65 years (log-rank p = 0.003) and worse graft survival with above-median cumulative steroid exposure (log-rank p < 0.001). No significant differences were found by graft type or surgical risk. Data collection is ongoing.",
        "Conclusions": "This study demonstrated that age ≥ 65 and higher cumulative steroid exposure are associated with worse graft survival following keratoplasty. Patients with higher cumulative steroid exposure likely had worse baseline pathology. Interpretation was limited by the smaller sample size and retrospective design. Larger prospective studies are needed to clarify the role of long-term steroid prophylaxis and to optimize tapering strategies post-keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrated that age ≥ 65 and higher cumulative steroid exposure are associated with worse graft survival following keratoplasty. Patients with higher cumulative steroid exposure likely had worse baseline pathology. Interpretation was limited by the smaller sample size and retrospective design. Larger prospective studies are needed to clarify the role of long-term steroid prophylaxis and to optimize…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 836,
      "source_fields": {
        "Abstract Final Identifier": "POCOR148",
        "Title": "Long-Term Topical Steroid Prophylaxis Beyond One Year After Keratoplasty: Real-World Outcomes From A Canadian Cohort",
        "Presenting Author(s)": "Dr Mona Koaik",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Marah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elkabouli",
        "Country Name": "Canada",
        "Purpose": "Graft rejection remains a major cause of surgical morbidity. Previous studies have shown that topical steroids up to one year after surgery are associated with improved graft survival. However, the impact of long-term prophylaxis beyond one year remains poorly defined. This study evaluated the relationship between extended topical steroid use and outcomes of keratoplasty, with a focus on graft survival and complications. This represents one of the few studies to evaluate steroid prophylaxis beyond one year, and among the first to report long-term outcomes in a Canadian cohort including both penetrating and lamellar keratoplasty.",
        "Setting": "Retrospective cohort study.",
        "Methods": "A retrospective chart review was performed of consecutive keratoplasty cases at The Ottawa Hospital. Cases between 2009-2021 with a minimum of two years of postoperative follow-up were included. Both penetrating and lamellar keratoplasties were analyzed. Exclusion criteria included concurrent corneal or inflammatory ocular conditions or other indications for chronic topical steroid therapy. Prophylactic steroid type, duration, and dosing frequency were recorded. Primary outcomes were graft rejection and survival. Secondary outcomes assessed patient and surgical risk factors including patient age, cumulative steroid dose, surgical risk category, and graft type.",
        "Results": "The study included 122 patients (mean follow-up 67 months, SD 5.6 years). The most common procedures were DSAEK (50%) & PKP (34%), with indications including Fuchs endothelial corneal dystrophy (50%), keratoconus (21%), and pseudophakic bullous keratopathy (17%). All received prednisolone acetate 1%, with some requiring additional steroids. Within 2 years, 25.4% had at least one graft rejection; rates were 37% in high-risk vs 21% in low-risk grafts (p = 0.07). Kaplan-Meier analysis showed higher rejection risk in patients ≥ 65 years (log-rank p = 0.003) and worse graft survival with above-median cumulative steroid exposure (log-rank p < 0.001). No significant differences were found by graft type or surgical risk. Data collection is ongoing.",
        "Conclusions": "This study demonstrated that age ≥ 65 and higher cumulative steroid exposure are associated with worse graft survival following keratoplasty. Patients with higher cumulative steroid exposure likely had worse baseline pathology. Interpretation was limited by the smaller sample size and retrospective design. Larger prospective studies are needed to clarify the role of long-term steroid prophylaxis and to optimize tapering strategies post-keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 358
    },
    {
      "uid": "POCOR149",
      "abstract_number": "POCOR149",
      "title": "Long-Term Outcomes Of Penetrating Keratoplasty With Versus Without Cataract Surgery",
      "authors": "Dr Çisil Erkan Pota",
      "presenter": "Dr Çisil Erkan Pota",
      "normalized_authors": [
        "Çisil Erkan Pota"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Çisil Erkan Pota",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare long-term graft survival and postoperative glaucoma development in patients undergoing penetrating keratoplasty (PKP) with versus without combined cataract surgery",
        "Setting": "Patients who underwent PKP between 2010-2020 with a follow-up of 5-15 years were included in the study. Eyes that underwent penetrating keratoplasty (PKP) combined with cataract surgery and intraocular lens implantation (Group 1, n=103) were compared with eyes that underwent PKP alone (Group 2, n=344).PKP indications were similarly distributed between groups (keratoconus, corneal dystrophy, and corneal scars).",
        "Methods": "Patients’ age, indication for PKP, trephine size, donor punch size, graft survival, development of glaucoma, preoperative and postoperative best-corrected visual acuity (BCVA), and postoperative refractive error were evaluated. Patients with a history of preoperative glaucoma, anterior lamellar keratoplasty, graft rejection, active keratitis, corneal abscess, spontaneous corneal perforation, corneal neovascularization, bullous keratopathy, previous ocular surgery, or systemic diseases affecting the cornea were excluded.",
        "Results": "Among combined procedures, extracapsular cataract extraction with intraocular lens implantation was the most commonly performed technique (58%). Graft rejection occurred in 17 eyes (16.5%) in Group 1 and 41 eyes (11.9%) in Group 2, with no statistically significant difference (p=0.433).Postoperative glaucoma developed in 25 eyes (24.3%) in Group 1 and 68 eyes (19.8%) in Group 2 (p=0.533). BCVA improved significantly postoperatively in both groups; however, postoperative BCVA was significantly better in Group 2 (1.06±1 vs 0.68±0.86; p=0.002).There were no significant differences between groups regarding glaucoma surgery (after PKP), trephine size, donor punch size, spherical and cylindrical refractive errors, or follow-up duration (p>0.05).",
        "Conclusions": "In long-term follow-up, we did not observe a significant difference in graft rejection or postoperative glaucoma between patients who underwent PKP combined with cataract surgery and those who underwent PKP alone. We believe that combined surgery may be preferred in appropriately selected patients, and that close follow-up is essential for maintaining graft survival and for the early detection and management of glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In long-term follow-up, we did not observe a significant difference in graft rejection or postoperative glaucoma between patients who underwent PKP combined with cataract surgery and those who underwent PKP alone. We believe that combined surgery may be preferred in appropriately selected patients, and that close follow-up is essential for maintaining graft survival and for the early detection and management of…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 837,
      "source_fields": {
        "Abstract Final Identifier": "POCOR149",
        "Title": "Long-Term Outcomes Of Penetrating Keratoplasty With Versus Without Cataract Surgery",
        "Presenting Author(s)": "Dr Çisil Erkan Pota",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Çisil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Erkan Pota",
        "Country Name": "Türkiye",
        "Purpose": "To compare long-term graft survival and postoperative glaucoma development in patients undergoing penetrating keratoplasty (PKP) with versus without combined cataract surgery",
        "Setting": "Patients who underwent PKP between 2010-2020 with a follow-up of 5-15 years were included in the study. Eyes that underwent penetrating keratoplasty (PKP) combined with cataract surgery and intraocular lens implantation (Group 1, n=103) were compared with eyes that underwent PKP alone (Group 2, n=344).PKP indications were similarly distributed between groups (keratoconus, corneal dystrophy, and corneal scars).",
        "Methods": "Patients’ age, indication for PKP, trephine size, donor punch size, graft survival, development of glaucoma, preoperative and postoperative best-corrected visual acuity (BCVA), and postoperative refractive error were evaluated. Patients with a history of preoperative glaucoma, anterior lamellar keratoplasty, graft rejection, active keratitis, corneal abscess, spontaneous corneal perforation, corneal neovascularization, bullous keratopathy, previous ocular surgery, or systemic diseases affecting the cornea were excluded.",
        "Results": "Among combined procedures, extracapsular cataract extraction with intraocular lens implantation was the most commonly performed technique (58%). Graft rejection occurred in 17 eyes (16.5%) in Group 1 and 41 eyes (11.9%) in Group 2, with no statistically significant difference (p=0.433).Postoperative glaucoma developed in 25 eyes (24.3%) in Group 1 and 68 eyes (19.8%) in Group 2 (p=0.533). BCVA improved significantly postoperatively in both groups; however, postoperative BCVA was significantly better in Group 2 (1.06±1 vs 0.68±0.86; p=0.002).There were no significant differences between groups regarding glaucoma surgery (after PKP), trephine size, donor punch size, spherical and cylindrical refractive errors, or follow-up duration (p>0.05).",
        "Conclusions": "In long-term follow-up, we did not observe a significant difference in graft rejection or postoperative glaucoma between patients who underwent PKP combined with cataract surgery and those who underwent PKP alone. We believe that combined surgery may be preferred in appropriately selected patients, and that close follow-up is essential for maintaining graft survival and for the early detection and management of glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCOR150",
      "abstract_number": "POCOR150",
      "title": "Structural Integrity Of Human Corneal Stroma Cryopreserved At −80 °C Using Dmem Or Optisol With Dmso Or Glycerol.",
      "authors": "Prof. Dr Luis Izquierdo Jr",
      "presenter": "Prof. Dr Luis Izquierdo Jr",
      "normalized_authors": [
        "Luis Izquierdo Jr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Izquierdo Jr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To compare the structural integrity of human corneal stroma cryopreserved at −80°C using Dulbecco’s Modified Eagle Medium (DMEM) or Optisol, each supplemented with 10% dimethyl sulfoxide (DMSO) or glycerol.",
        "Setting": "Research Department, Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Prospective, comparative experimental study evaluated human cadaveric corneal stromal tissue cryopreserved at −80 °C for 24 hours, 1 week, and 1 month. Stromal samples were preserved in DMEM or Optisol supplemented with 10% DMSO or glycerol and subjected to controlled-rate freezing. Following thawing, histological evaluation was performed using hematoxylin and eosin staining. Structural parameters, including stromal presence, stromal integrity, collagen fiber arrangement, and stromal changes, were assessed and scored by two independent pathologists.",
        "Results": "Across all cryopreservation time points, stromal presence and overall structural integrity were preserved in all experimental groups. Mild to moderate collagen fiber distortion and stromal edema were observed at early time points, with improvement at 1 month of cryopreservation. DMEM supplemented with 10% DMSO demonstrated stromal integrity scores comparable to, and in some parameters superior to, Optisol-based protocols. No complete loss of stromal architecture was observed in any group.",
        "Conclusions": "Human corneal stroma cryopreserved at −80 °C maintained structural integrity using both DMEM and Optisol supplemented with DMSO or glycerol. DMEM supplemented with 10% DMSO provided preservation outcomes comparable to Optisol, supporting its potential use as an accessible and cost-effective alternative for long-term stromal tissue storage in translational and eye banking applications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Human corneal stroma cryopreserved at −80 °C maintained structural integrity using both DMEM and Optisol supplemented with DMSO or glycerol. DMEM supplemented with 10% DMSO provided preservation outcomes comparable to Optisol, supporting its potential use as an accessible and cost-effective alternative for long-term stromal tissue storage in translational and eye banking applications.",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 838,
      "source_fields": {
        "Abstract Final Identifier": "POCOR150",
        "Title": "Structural Integrity Of Human Corneal Stroma Cryopreserved At −80 °C Using Dmem Or Optisol With Dmso Or Glycerol.",
        "Presenting Author(s)": "Prof. Dr Luis Izquierdo Jr",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Izquierdo Jr",
        "Country Name": "Peru",
        "Purpose": "To compare the structural integrity of human corneal stroma cryopreserved at −80°C using Dulbecco’s Modified Eagle Medium (DMEM) or Optisol, each supplemented with 10% dimethyl sulfoxide (DMSO) or glycerol.",
        "Setting": "Research Department, Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Prospective, comparative experimental study evaluated human cadaveric corneal stromal tissue cryopreserved at −80 °C for 24 hours, 1 week, and 1 month. Stromal samples were preserved in DMEM or Optisol supplemented with 10% DMSO or glycerol and subjected to controlled-rate freezing. Following thawing, histological evaluation was performed using hematoxylin and eosin staining. Structural parameters, including stromal presence, stromal integrity, collagen fiber arrangement, and stromal changes, were assessed and scored by two independent pathologists.",
        "Results": "Across all cryopreservation time points, stromal presence and overall structural integrity were preserved in all experimental groups. Mild to moderate collagen fiber distortion and stromal edema were observed at early time points, with improvement at 1 month of cryopreservation. DMEM supplemented with 10% DMSO demonstrated stromal integrity scores comparable to, and in some parameters superior to, Optisol-based protocols. No complete loss of stromal architecture was observed in any group.",
        "Conclusions": "Human corneal stroma cryopreserved at −80 °C maintained structural integrity using both DMEM and Optisol supplemented with DMSO or glycerol. DMEM supplemented with 10% DMSO provided preservation outcomes comparable to Optisol, supporting its potential use as an accessible and cost-effective alternative for long-term stromal tissue storage in translational and eye banking applications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCOR151",
      "abstract_number": "POCOR151",
      "title": "Evaluation Of Keratoplasty In The Pediatric Age Group",
      "authors": "Dr Ahmed Khattab",
      "presenter": "Dr Ahmed Khattab",
      "normalized_authors": [
        "Ahmed Khattab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Khattab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate keratoplasty in the pediatric age group as regards visual outcomes, graft survival and complications.",
        "Setting": "Corneal transplant is the ultimate solution to restore visual acuity in children with corneal opacities. It is extremely challenging in infants and\n\ntoddlers because of the elastic sclera, shallow anterior chamber, anterior displacement of the lens–iris diaphragm, smaller size of the eyeball, and the poor\n\ncompliance and cooperation of the patients during examination, treatment, and postoperative care.",
        "Methods": "A prospective clinical study was performed including 37 eyes of patients of different ages in the pediatric age group (below 18 years old),\n\nundergoing keratoplasty\n\nPreoperative assessment:\n\n1- History: age, general history, past ocular history, refractive history. 2- UCVA & BCVA\n\n3- MR if possible\n\n4- Slit lamp\n\n5- Retina & optic nerve examination when the media permits or by U/S, ERG and VEP\n\nMethod of keratoplasty was chosen by the surgeon according to the pathology involving the cornea either DALK or PKP Postoperative assessment:\n\nPatients was followed up at 1, 3, 6, 12, 24 & 36 months postoperatively regarding:\n\n1- UCVA & BCVA\n\n2- MR if possible\n\n3- Graft clarity\n\n4- Postoperative complications as graft failure, rejection, suture infection",
        "Results": "Most frequent indication was Keratoconus followed by post infectious keratitis opacity. 67.6% of the patients had PKP & 32.4% had DALK.\n\nThe comparison of graft findings during different periods of follow up showed that after 1 month the improvement of graft findings was significant, while all\n\nover the next periods the change was insignificant.\n\nRegarding UCVA, BCVA and keratometry, there was a significant improvement from the 1 st month till the long term follow up. Sphere & cylinder showed\n\nsignificant change after 1, 3, 6, 12, 24 & 36 months.\n\nSutures status & IOP showed insignificant change all over the period of follow up.\n\nIncidence of complications was 70.3%. Most common complication was graft rejection followed by cataract & fungal keratitis.",
        "Conclusions": "Pediatric keratoplasty (whether PKP or DALK) has a favorable visual outcome when performed for different indications.Keratoconus is the\n\npredominant indication for pediatric keratoplasty. This is followed by post microbial keratitis opacities. Graft clarity could be maintained in a great\n\npercentage of cases after pediatric keratoplasty for a period of 1 to 3 years. Graft rejection, cataract, and fungal infection are the most common\n\ncomplications in our series."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pediatric keratoplasty (whether PKP or DALK) has a favorable visual outcome when performed for different indications.Keratoconus is the predominant indication for pediatric keratoplasty. This is followed by post microbial keratitis opacities. Graft clarity could be maintained in a great percentage of cases after pediatric keratoplasty for a period of 1 to 3 years. Graft rejection, cataract, and fungal infection are…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 839,
      "source_fields": {
        "Abstract Final Identifier": "POCOR151",
        "Title": "Evaluation Of Keratoplasty In The Pediatric Age Group",
        "Presenting Author(s)": "Dr Ahmed Khattab",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khattab",
        "Country Name": "Egypt",
        "Purpose": "To evaluate keratoplasty in the pediatric age group as regards visual outcomes, graft survival and complications.",
        "Setting": "Corneal transplant is the ultimate solution to restore visual acuity in children with corneal opacities. It is extremely challenging in infants and\n\ntoddlers because of the elastic sclera, shallow anterior chamber, anterior displacement of the lens–iris diaphragm, smaller size of the eyeball, and the poor\n\ncompliance and cooperation of the patients during examination, treatment, and postoperative care.",
        "Methods": "A prospective clinical study was performed including 37 eyes of patients of different ages in the pediatric age group (below 18 years old),\n\nundergoing keratoplasty\n\nPreoperative assessment:\n\n1- History: age, general history, past ocular history, refractive history. 2- UCVA & BCVA\n\n3- MR if possible\n\n4- Slit lamp\n\n5- Retina & optic nerve examination when the media permits or by U/S, ERG and VEP\n\nMethod of keratoplasty was chosen by the surgeon according to the pathology involving the cornea either DALK or PKP Postoperative assessment:\n\nPatients was followed up at 1, 3, 6, 12, 24 & 36 months postoperatively regarding:\n\n1- UCVA & BCVA\n\n2- MR if possible\n\n3- Graft clarity\n\n4- Postoperative complications as graft failure, rejection, suture infection",
        "Results": "Most frequent indication was Keratoconus followed by post infectious keratitis opacity. 67.6% of the patients had PKP & 32.4% had DALK.\n\nThe comparison of graft findings during different periods of follow up showed that after 1 month the improvement of graft findings was significant, while all\n\nover the next periods the change was insignificant.\n\nRegarding UCVA, BCVA and keratometry, there was a significant improvement from the 1 st month till the long term follow up. Sphere & cylinder showed\n\nsignificant change after 1, 3, 6, 12, 24 & 36 months.\n\nSutures status & IOP showed insignificant change all over the period of follow up.\n\nIncidence of complications was 70.3%. Most common complication was graft rejection followed by cataract & fungal keratitis.",
        "Conclusions": "Pediatric keratoplasty (whether PKP or DALK) has a favorable visual outcome when performed for different indications.Keratoconus is the\n\npredominant indication for pediatric keratoplasty. This is followed by post microbial keratitis opacities. Graft clarity could be maintained in a great\n\npercentage of cases after pediatric keratoplasty for a period of 1 to 3 years. Graft rejection, cataract, and fungal infection are the most common\n\ncomplications in our series."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POCOR152",
      "abstract_number": "POCOR152",
      "title": "Long-Term Survival Of Human Cd55/Cd39–Expressing Porcine Corneas In Primate Xenotransplantation",
      "authors": "Dr Chung Young Kim",
      "presenter": "Dr Chung Young Kim",
      "normalized_authors": [
        "Chung Young Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chung Young Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the efficacy, safety, and immunologic compatibility of full-thickness corneal xenotransplantation using glycan knockout-only pig corneas (TKO/QKO) versus glycan knockout plus human gene knock-in corneas (QKO.hCD55.hCD39) in a non-human primate model, aiming to improve graft survival and translational potential.",
        "Setting": "Preclinical experimental study conducted at Seoul National University Hospital and affiliated research institutes, Republic of Korea.",
        "Methods": "Porcine glycan genes (GGTA1, CMAH, iGb3, β4GalNT2) were inactivated to generate TKO or QKO pigs, and human CD55/CD39 were additionally introduced in the KI group. Full-thickness corneas from TKO/QKO or QKO.hCD55.hCD39 pigs were transplanted into ten cynomolgus monkeys. Postoperative systemic and topical immunosuppression was administered. Outcomes included graft survival, transparency, rejection, corneal thickness, systemic safety, and immunologic responses including complement activation, donor-specific antibodies, and T-cell profiling.",
        "Results": "QKO.hCD55.hCD39 KI grafts demonstrated significantly prolonged survival compared with TKO/QKO grafts (p=0.001), maintaining corneal clarity and physiologic thickness for up to 16 months. KI grafts showed rapid edema resolution and sustained transparency without clinically significant rejection. Complement activation was well controlled, donor-specific antibody responses were transient, and IFN-γ–producing T-cell responses were reduced. Notably, after systemic immunosuppression was discontinued at 12 months, grafts survived for more than 6 additional months with topical therapy alone. Histology revealed markedly reduced inflammatory infiltration in KI grafts.",
        "Conclusions": "QKO.hCD55.hCD39 pig corneas demonstrate markedly improved biocompatibility, endothelial stability, and durable immune regulation compared with knockout-only corneas, enabling long-term graft survival in primates. These findings provide strong preclinical support for clinical translation of multi–gene-edited porcine corneas as an alternative donor source for corneal transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "QKO.hCD55.hCD39 pig corneas demonstrate markedly improved biocompatibility, endothelial stability, and durable immune regulation compared with knockout-only corneas, enabling long-term graft survival in primates. These findings provide strong preclinical support for clinical translation of multi–gene-edited porcine corneas as an alternative donor source for corneal transplantation.",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 840,
      "source_fields": {
        "Abstract Final Identifier": "POCOR152",
        "Title": "Long-Term Survival Of Human Cd55/Cd39–Expressing Porcine Corneas In Primate Xenotransplantation",
        "Presenting Author(s)": "Dr Chung Young Kim",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Chung Young",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the efficacy, safety, and immunologic compatibility of full-thickness corneal xenotransplantation using glycan knockout-only pig corneas (TKO/QKO) versus glycan knockout plus human gene knock-in corneas (QKO.hCD55.hCD39) in a non-human primate model, aiming to improve graft survival and translational potential.",
        "Setting": "Preclinical experimental study conducted at Seoul National University Hospital and affiliated research institutes, Republic of Korea.",
        "Methods": "Porcine glycan genes (GGTA1, CMAH, iGb3, β4GalNT2) were inactivated to generate TKO or QKO pigs, and human CD55/CD39 were additionally introduced in the KI group. Full-thickness corneas from TKO/QKO or QKO.hCD55.hCD39 pigs were transplanted into ten cynomolgus monkeys. Postoperative systemic and topical immunosuppression was administered. Outcomes included graft survival, transparency, rejection, corneal thickness, systemic safety, and immunologic responses including complement activation, donor-specific antibodies, and T-cell profiling.",
        "Results": "QKO.hCD55.hCD39 KI grafts demonstrated significantly prolonged survival compared with TKO/QKO grafts (p=0.001), maintaining corneal clarity and physiologic thickness for up to 16 months. KI grafts showed rapid edema resolution and sustained transparency without clinically significant rejection. Complement activation was well controlled, donor-specific antibody responses were transient, and IFN-γ–producing T-cell responses were reduced. Notably, after systemic immunosuppression was discontinued at 12 months, grafts survived for more than 6 additional months with topical therapy alone. Histology revealed markedly reduced inflammatory infiltration in KI grafts.",
        "Conclusions": "QKO.hCD55.hCD39 pig corneas demonstrate markedly improved biocompatibility, endothelial stability, and durable immune regulation compared with knockout-only corneas, enabling long-term graft survival in primates. These findings provide strong preclinical support for clinical translation of multi–gene-edited porcine corneas as an alternative donor source for corneal transplantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POCOR153",
      "abstract_number": "POCOR153",
      "title": "Clinical Outcomes Of Traumatic Graft Dehiscence Following Penetrating Keratoplasty And Deep Anterior Lamellar Keratoplasty",
      "authors": "Mr Khayam K Naderi",
      "presenter": "Mr Khayam K Naderi",
      "normalized_authors": [
        "Khayam K Naderi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khayam K Naderi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We present outcomes of consecutive cases of traumatic graft dehiscence (TGD) in cases of penetrating keratoplasty (PKP) and deep anterior lamellar keratoplasty (DALK).",
        "Setting": "Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "Retrospective case series of consecutive cases of TGD presenting to a tertiary centre during the period 2021-2025. Our study cohort included 38 eyes of 37 patients of which 34 were PKPs and 4 were DALKs. The median age was 46.50 years (range 22, 83), with 71.05% being male. The median follow-up time (years) following surgical repair was 0.65 (0.00, 4.03). The median time to TGD following the original corneal graft surgery was 1.54 (0.08, 39.75).",
        "Results": "The median extent of graft dehiscence (clock hours) was 6 (1, 10), with 36.84% having no remaining sutures in situ at the time of trauma. The median visual acuity (logMAR) at presentation was 2.40 (0.50, 3.00). The median visual acuity pre and post trauma was 0.48 (-0.10, 2.40) and 1.30 (0.10, 3.00), respectively (p<0.0001). Anterior vitrectomy was performed in 39.47% of cases at the time of surgical repair. Lens extrusion occurred in 48.65% of phakics and intraocular lens subluxation occurred in 25.00% of pseudophakics. Retinal detachment occurred in 15.79%, suprachoroidal haemorrhage in 13.16%, and choroidal effusion in 2.63%. Graft failure occurred in 25.71%, with 18.91% of eyes requiring a new corneal transplant.",
        "Conclusions": "Traumatic graft dehiscence is a sight-threatening emergency, can occur decades after original surgery, and is associated with significant complications. Patient counselling to avoid ocular trauma is essential to minimise future risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Traumatic graft dehiscence is a sight-threatening emergency, can occur decades after original surgery, and is associated with significant complications. Patient counselling to avoid ocular trauma is essential to minimise future risk.",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 841,
      "source_fields": {
        "Abstract Final Identifier": "POCOR153",
        "Title": "Clinical Outcomes Of Traumatic Graft Dehiscence Following Penetrating Keratoplasty And Deep Anterior Lamellar Keratoplasty",
        "Presenting Author(s)": "Mr Khayam K Naderi",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Khayam",
        "Submitter Middle Name": "K",
        "Submitter Last Name": "Naderi",
        "Country Name": "United Kingdom",
        "Purpose": "We present outcomes of consecutive cases of traumatic graft dehiscence (TGD) in cases of penetrating keratoplasty (PKP) and deep anterior lamellar keratoplasty (DALK).",
        "Setting": "Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "Retrospective case series of consecutive cases of TGD presenting to a tertiary centre during the period 2021-2025. Our study cohort included 38 eyes of 37 patients of which 34 were PKPs and 4 were DALKs. The median age was 46.50 years (range 22, 83), with 71.05% being male. The median follow-up time (years) following surgical repair was 0.65 (0.00, 4.03). The median time to TGD following the original corneal graft surgery was 1.54 (0.08, 39.75).",
        "Results": "The median extent of graft dehiscence (clock hours) was 6 (1, 10), with 36.84% having no remaining sutures in situ at the time of trauma. The median visual acuity (logMAR) at presentation was 2.40 (0.50, 3.00). The median visual acuity pre and post trauma was 0.48 (-0.10, 2.40) and 1.30 (0.10, 3.00), respectively (p<0.0001). Anterior vitrectomy was performed in 39.47% of cases at the time of surgical repair. Lens extrusion occurred in 48.65% of phakics and intraocular lens subluxation occurred in 25.00% of pseudophakics. Retinal detachment occurred in 15.79%, suprachoroidal haemorrhage in 13.16%, and choroidal effusion in 2.63%. Graft failure occurred in 25.71%, with 18.91% of eyes requiring a new corneal transplant.",
        "Conclusions": "Traumatic graft dehiscence is a sight-threatening emergency, can occur decades after original surgery, and is associated with significant complications. Patient counselling to avoid ocular trauma is essential to minimise future risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POCOR154",
      "abstract_number": "POCOR154",
      "title": "Visual And Refractive Outcomes Following Cataract Surgery After Endothelial Keratoplasty: A Retrospective Observational Study",
      "authors": "Dr Jashaswini Nanda",
      "presenter": "Dr Jashaswini Nanda",
      "normalized_authors": [
        "Jashaswini Nanda"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jashaswini Nanda",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual and refractive outcomes of cataract surgery in eyes that previously underwent Endothelial keratoplasty.",
        "Setting": "L V Prasad Eye Institute, India.",
        "Methods": "This retrospective observational study included sixty-nine eyes of fifty-five patients who underwent cataract surgery after endothelial keratoplasty from 2017 to 2025.\n\nDemographic details, type of keratoplasty, post-operative best-corrected visual acuity (BCVA), refractive outcomes and follow-up duration were analysed.",
        "Results": "Indications predominantly included CHED\n\n63 eyes underwent DSAEK and 6 eyes underwent DMEK\n\n49 patients underwent phacoemulsification, 5 were taken up for SICS and 1 had a extracapsular cataract extraction\n\nMean age of patients was 27.72 ± 19.67 years, with male-to-female ratio of 32:23\n\nMean follow-up duration was 68 months\n\nAt final follow-up, mean post-operative spherical equivalent was +2.5 dioptres, suggestive of a hyperopic shift. Mean post-operative BCVA was 0.6 logMAR. Most cases were post-DSAEK eyes, reflecting predominance of CHED (37 percent) in the study cohort\n\nAll grafts were clear until post-operative period of six months. 10 patients had graft failure after cataract surgery within an average post-operative time period of 18 months",
        "Conclusions": "Cataract surgery following endothelial keratoplasty demonstrates favourable visual and refractive outcomes in this cohort. Sequential cataract surgery after DSAEK or DMEK appears to be a safe and effective approach, particularly in younger patients with CHED. Despite altered corneal biomechanics and potential challenges in IOL power calculation, satisfactory visual rehabilitation can be achieved with careful preoperative planning and surgical technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery following endothelial keratoplasty demonstrates favourable visual and refractive outcomes in this cohort. Sequential cataract surgery after DSAEK or DMEK appears to be a safe and effective approach, particularly in younger patients with CHED. Despite altered corneal biomechanics and potential challenges in IOL power calculation, satisfactory visual rehabilitation can be achieved with careful…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 842,
      "source_fields": {
        "Abstract Final Identifier": "POCOR154",
        "Title": "Visual And Refractive Outcomes Following Cataract Surgery After Endothelial Keratoplasty: A Retrospective Observational Study",
        "Presenting Author(s)": "Dr Jashaswini Nanda",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Jashaswini",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nanda",
        "Country Name": "India",
        "Purpose": "To evaluate visual and refractive outcomes of cataract surgery in eyes that previously underwent Endothelial keratoplasty.",
        "Setting": "L V Prasad Eye Institute, India.",
        "Methods": "This retrospective observational study included sixty-nine eyes of fifty-five patients who underwent cataract surgery after endothelial keratoplasty from 2017 to 2025.\n\nDemographic details, type of keratoplasty, post-operative best-corrected visual acuity (BCVA), refractive outcomes and follow-up duration were analysed.",
        "Results": "Indications predominantly included CHED\n\n63 eyes underwent DSAEK and 6 eyes underwent DMEK\n\n49 patients underwent phacoemulsification, 5 were taken up for SICS and 1 had a extracapsular cataract extraction\n\nMean age of patients was 27.72 ± 19.67 years, with male-to-female ratio of 32:23\n\nMean follow-up duration was 68 months\n\nAt final follow-up, mean post-operative spherical equivalent was +2.5 dioptres, suggestive of a hyperopic shift. Mean post-operative BCVA was 0.6 logMAR. Most cases were post-DSAEK eyes, reflecting predominance of CHED (37 percent) in the study cohort\n\nAll grafts were clear until post-operative period of six months. 10 patients had graft failure after cataract surgery within an average post-operative time period of 18 months",
        "Conclusions": "Cataract surgery following endothelial keratoplasty demonstrates favourable visual and refractive outcomes in this cohort. Sequential cataract surgery after DSAEK or DMEK appears to be a safe and effective approach, particularly in younger patients with CHED. Despite altered corneal biomechanics and potential challenges in IOL power calculation, satisfactory visual rehabilitation can be achieved with careful preoperative planning and surgical technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCOR155",
      "abstract_number": "POCOR155",
      "title": "Fourier Harmonic Analysis Of Corneal Topography Following Penetrating And Deep Anterior Lamellar Keratoplasty",
      "authors": "Dr Cizel Palaz",
      "presenter": "Dr Cizel Palaz",
      "normalized_authors": [
        "Cizel Palaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cizel Palaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The aim of this study was to examine the visual outcomes and characteristics of distorted corneas, based on corneal topography using Fourier harmonic analyses in eyes with non-ectatic corneal disorders who had penetrating keratoplasty (PK) or Deep anterior lamellar keratoplasty (DALK) and maintained clear grafts at least 2 years. We've tried to explain the low visual outcomes of patients despite a succesfull surgery and a clear graft with the fourier analysis data obtained from Pentacam.",
        "Setting": "Keratometry is accurate in regular corneal surfaces but have limited validity in in eyes that deviate from spherocylindrical optics as occurs in keratoplasty.Patients were retrospectively analyzed and divided into DALK/PK surgery groups or scar/dystrophy groups based on the primary indication to quantitatively evaluate visual acquity (Vo) and even minute changes, using Fourier analysis to decomposed corneal power into various components which have direct clinical correlation.",
        "Methods": "Distance BSCVA, refraction, and Fourier analysis constituents were assessed for 75 eye who underwent PK and 75 eye who underwent DALK surgery (total 150) with non-ectatic corneal pathology, who had celar grafts and sutures removed were followed up for at least 24 months between January 2019 and September 2023 at the Ankara Research and Training Hospital’s Cornea Unit.",
        "Results": "When patients were divided into DALK and PKP groups there was no significant difference in postop Vo(p=0,318) on the other hand,by grouping them as primary diagnosis (scar/dystrophy) the scar group exhibited lower visual acuity(p=0,000).The scar group patients couldn’t reach to better Vo, we look at the fourier parameters of this group.The result of comparsion between dystrophy and scar group’s fourier analysis showed that; astigmatism center (p=0,043), astigmatism periphery (p=0,000) and irregularity (p=0,008) showed statistically significant increase. This increase in Irr of PK group, is due to scar formation at the donor–recipient junction causing uneven tractional forces on the healthy donor cornea, resulting in increased corneal Irr.",
        "Conclusions": "Although no significant differences were found between DALK and PK in terms of postop visual acuity and Fourier parameters, the presence of higher-order Irr in eyes with corneal scars may limit the achievement of optimal visual acuity, even in the presence of a clear graft or optical correction"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although no significant differences were found between DALK and PK in terms of postop visual acuity and Fourier parameters, the presence of higher-order Irr in eyes with corneal scars may limit the achievement of optimal visual acuity, even in the presence of a clear graft or optical correction",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 843,
      "source_fields": {
        "Abstract Final Identifier": "POCOR155",
        "Title": "Fourier Harmonic Analysis Of Corneal Topography Following Penetrating And Deep Anterior Lamellar Keratoplasty",
        "Presenting Author(s)": "Dr Cizel Palaz",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Cizel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Palaz",
        "Country Name": "Türkiye",
        "Purpose": "The aim of this study was to examine the visual outcomes and characteristics of distorted corneas, based on corneal topography using Fourier harmonic analyses in eyes with non-ectatic corneal disorders who had penetrating keratoplasty (PK) or Deep anterior lamellar keratoplasty (DALK) and maintained clear grafts at least 2 years. We've tried to explain the low visual outcomes of patients despite a succesfull surgery and a clear graft with the fourier analysis data obtained from Pentacam.",
        "Setting": "Keratometry is accurate in regular corneal surfaces but have limited validity in in eyes that deviate from spherocylindrical optics as occurs in keratoplasty.Patients were retrospectively analyzed and divided into DALK/PK surgery groups or scar/dystrophy groups based on the primary indication to quantitatively evaluate visual acquity (Vo) and even minute changes, using Fourier analysis to decomposed corneal power into various components which have direct clinical correlation.",
        "Methods": "Distance BSCVA, refraction, and Fourier analysis constituents were assessed for 75 eye who underwent PK and 75 eye who underwent DALK surgery (total 150) with non-ectatic corneal pathology, who had celar grafts and sutures removed were followed up for at least 24 months between January 2019 and September 2023 at the Ankara Research and Training Hospital’s Cornea Unit.",
        "Results": "When patients were divided into DALK and PKP groups there was no significant difference in postop Vo(p=0,318) on the other hand,by grouping them as primary diagnosis (scar/dystrophy) the scar group exhibited lower visual acuity(p=0,000).The scar group patients couldn’t reach to better Vo, we look at the fourier parameters of this group.The result of comparsion between dystrophy and scar group’s fourier analysis showed that; astigmatism center (p=0,043), astigmatism periphery (p=0,000) and irregularity (p=0,008) showed statistically significant increase. This increase in Irr of PK group, is due to scar formation at the donor–recipient junction causing uneven tractional forces on the healthy donor cornea, resulting in increased corneal Irr.",
        "Conclusions": "Although no significant differences were found between DALK and PK in terms of postop visual acuity and Fourier parameters, the presence of higher-order Irr in eyes with corneal scars may limit the achievement of optimal visual acuity, even in the presence of a clear graft or optical correction"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "POCOR156",
      "abstract_number": "POCOR156",
      "title": "Visual And Refractive Outcomes Following Combined Ultra-Thin Descemet Stripping Automated Endothelial Keratoplasty And Sutureless Scleral Fixation Of The Carlevale Iol",
      "authors": "Dr Giovanni Romualdi",
      "presenter": "Dr Giovanni Romualdi",
      "normalized_authors": [
        "Giovanni Romualdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giovanni Romualdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and corneal outcomes of combined ultra-thin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) and sutureless scleral fixation of the Carlevale intraocular lens (SSF-Carlevale IOL) in aphakic patients with corneal endothelial decompensation.",
        "Setting": "Our single center retrospective study was conducted at the Eye Clinic of Misericordia Hospital of Grosseto (Italy) and included a total of 8 eyes from 8 patients affected by bullous kerathopathy (BK) and cataract who underwent combined UT-DSAEK and SSF-carlevale IOL implantation in a single procedure, performed by the same surgeon (A.B.).",
        "Methods": "Preoperative evaluation included Scheimpflug-Placido tomography (Sirius, CSO, Italy) and optical biometry (IOLMaster 700, Carl Zeiss Meditec). IOL power was calculated using the SRK/T formula.\n\nPatients were examined at 6 and 12 months postoperatively. The following parameters were analyzed: uncorrected and corrected distance visual acuity (UDVA, CDVA), spherical equivalent (SE), intraocular pressure (IOP), endothelial cell density (ECD), central corneal thickness (CCT), graft thickness (GT), and corneal higher-order aberrations (HOAs).",
        "Results": "Graft clarity was maintained in 88% of eyes during follow-up. One case required repeat endothelial keratoplasty due to graft rejection.\n\nBoth UDVA and CDVA improved significantly compared with baseline (p < 0.001).Refractive outcomes were stable and predictable, with a consistent spherical equivalent at 12 months. Endothelial cell density decreased from donor baseline values at 12 months, consistent with expected postoperative endothelial cell loss. Central corneal thickness and graft thickness showed progressive reduction over time, indicating graft stabilization. Total higher-order aberrations were significantly reduced. No major intraoperative or postoperative complications, confirming the favorable safety profile of the combined procedure.",
        "Conclusions": "Combined UT-DSAEK and sutureless scleral fixation of the Carlevale IOL appears to be a safe and effective surgical strategy.The procedure was associated with high graft survival,significant visual improvement, and predictable refractive outcomes, supporting its reliability when endothelial keratoplasty and secondary IOL implantation are required in the same surgical setting.\n\nHowever, the present study is limited by its retrospective design and small sample size. Larger, prospective and comparative studies with extended follow-up are necessary to confirm the reproducibility and long-term stability of these outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined UT-DSAEK and sutureless scleral fixation of the Carlevale IOL appears to be a safe and effective surgical strategy.The procedure was associated with high graft survival,significant visual improvement, and predictable refractive outcomes, supporting its reliability when endothelial keratoplasty and secondary IOL implantation are required in the same surgical setting. However, the present study is limited by…",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 844,
      "source_fields": {
        "Abstract Final Identifier": "POCOR156",
        "Title": "Visual And Refractive Outcomes Following Combined Ultra-Thin Descemet Stripping Automated Endothelial Keratoplasty And Sutureless Scleral Fixation Of The Carlevale Iol",
        "Presenting Author(s)": "Dr Giovanni Romualdi",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Giovanni",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Romualdi",
        "Country Name": "Italy",
        "Purpose": "To evaluate visual, refractive, and corneal outcomes of combined ultra-thin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) and sutureless scleral fixation of the Carlevale intraocular lens (SSF-Carlevale IOL) in aphakic patients with corneal endothelial decompensation.",
        "Setting": "Our single center retrospective study was conducted at the Eye Clinic of Misericordia Hospital of Grosseto (Italy) and included a total of 8 eyes from 8 patients affected by bullous kerathopathy (BK) and cataract who underwent combined UT-DSAEK and SSF-carlevale IOL implantation in a single procedure, performed by the same surgeon (A.B.).",
        "Methods": "Preoperative evaluation included Scheimpflug-Placido tomography (Sirius, CSO, Italy) and optical biometry (IOLMaster 700, Carl Zeiss Meditec). IOL power was calculated using the SRK/T formula.\n\nPatients were examined at 6 and 12 months postoperatively. The following parameters were analyzed: uncorrected and corrected distance visual acuity (UDVA, CDVA), spherical equivalent (SE), intraocular pressure (IOP), endothelial cell density (ECD), central corneal thickness (CCT), graft thickness (GT), and corneal higher-order aberrations (HOAs).",
        "Results": "Graft clarity was maintained in 88% of eyes during follow-up. One case required repeat endothelial keratoplasty due to graft rejection.\n\nBoth UDVA and CDVA improved significantly compared with baseline (p < 0.001).Refractive outcomes were stable and predictable, with a consistent spherical equivalent at 12 months. Endothelial cell density decreased from donor baseline values at 12 months, consistent with expected postoperative endothelial cell loss. Central corneal thickness and graft thickness showed progressive reduction over time, indicating graft stabilization. Total higher-order aberrations were significantly reduced. No major intraoperative or postoperative complications, confirming the favorable safety profile of the combined procedure.",
        "Conclusions": "Combined UT-DSAEK and sutureless scleral fixation of the Carlevale IOL appears to be a safe and effective surgical strategy.The procedure was associated with high graft survival,significant visual improvement, and predictable refractive outcomes, supporting its reliability when endothelial keratoplasty and secondary IOL implantation are required in the same surgical setting.\n\nHowever, the present study is limited by its retrospective design and small sample size. Larger, prospective and comparative studies with extended follow-up are necessary to confirm the reproducibility and long-term stability of these outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "POCOR157",
      "abstract_number": "POCOR157",
      "title": "Combined Scleral-Fixated Iol, Artificial Iris, And Penetrating Keratoplasty For Visual Rehabilitation After Ocular Trauma",
      "authors": "Dr Mustafa Hammad",
      "presenter": "Dr Mustafa Hammad",
      "normalized_authors": [
        "Mustafa Hammad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Shalid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To present a complex case of visual rehabilitation following severe traumatic eye injury, highlighting the surgical challenges and innovative approach required to restore ocular structure, function, and patient quality of life.",
        "Setting": "A complex post-traumatic ocular presentation in a tertiary care setting, where the patient sustained severe anterior segment damage resulting in corneal opacity, iris loss, and absence of capsular support. The extent of structural disruption necessitated a combined surgical approach in a multidisciplinary team setting to restore ocular integrity, visual function, and cosmetic appearance.",
        "Methods": "A carefully planned combined (“triple”) surgical approach was undertaken. This included implantation of a scleral-fixated intraocular lens, placement of an artificial iris, and performing a penetrating keratoplasty. The strategy aimed to address multiple structural deficits in a single operative session, requiring precise surgical technique and coordination.",
        "Results": "The combined procedure enabled reconstruction of the damaged ocular anatomy, with restoration of structural integrity and improved visual potential. The approach demonstrated the feasibility of managing complex post-traumatic cases with a single-stage, multi-component surgical intervention",
        "Conclusions": "Comprehensive surgical planning and the integration of advanced techniques can successfully rehabilitate eyes with severe traumatic damage. A combined approach using scleral-fixated intraocular lens implantation, artificial iris placement, and penetrating keratoplasty offers a viable solution to restore both function and patient hope in otherwise devastating cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Comprehensive surgical planning and the integration of advanced techniques can successfully rehabilitate eyes with severe traumatic damage. A combined approach using scleral-fixated intraocular lens implantation, artificial iris placement, and penetrating keratoplasty offers a viable solution to restore both function and patient hope in otherwise devastating cases.",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 845,
      "source_fields": {
        "Abstract Final Identifier": "POCOR157",
        "Title": "Combined Scleral-Fixated Iol, Artificial Iris, And Penetrating Keratoplasty For Visual Rehabilitation After Ocular Trauma",
        "Presenting Author(s)": "Dr Mustafa Hammad",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shalid",
        "Country Name": "United Kingdom",
        "Purpose": "To present a complex case of visual rehabilitation following severe traumatic eye injury, highlighting the surgical challenges and innovative approach required to restore ocular structure, function, and patient quality of life.",
        "Setting": "A complex post-traumatic ocular presentation in a tertiary care setting, where the patient sustained severe anterior segment damage resulting in corneal opacity, iris loss, and absence of capsular support. The extent of structural disruption necessitated a combined surgical approach in a multidisciplinary team setting to restore ocular integrity, visual function, and cosmetic appearance.",
        "Methods": "A carefully planned combined (“triple”) surgical approach was undertaken. This included implantation of a scleral-fixated intraocular lens, placement of an artificial iris, and performing a penetrating keratoplasty. The strategy aimed to address multiple structural deficits in a single operative session, requiring precise surgical technique and coordination.",
        "Results": "The combined procedure enabled reconstruction of the damaged ocular anatomy, with restoration of structural integrity and improved visual potential. The approach demonstrated the feasibility of managing complex post-traumatic cases with a single-stage, multi-component surgical intervention",
        "Conclusions": "Comprehensive surgical planning and the integration of advanced techniques can successfully rehabilitate eyes with severe traumatic damage. A combined approach using scleral-fixated intraocular lens implantation, artificial iris placement, and penetrating keratoplasty offers a viable solution to restore both function and patient hope in otherwise devastating cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCOR158",
      "abstract_number": "POCOR158",
      "title": "Nick, Loop And Pull Technique Of Corneal Suture Removal.",
      "authors": "Dr Vinit Tanwar",
      "presenter": "Dr Vinit Tanwar",
      "normalized_authors": [
        "Vinit Tanwar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vinit Tanwar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe a novel, stepwise technique for removing buried or vascularized corneal sutures. The goal is to minimize common complications such as epithelial defects, wound dehiscence, and patient discomfort by avoiding traction on the overlying epithelium and preventing exposed suture from being dragged through the cornea.",
        "Setting": "Iclinix advanced eye care, New Delhi, india",
        "Methods": "This prospective case series evaluated a technique performed on 20 eyes. Under topical anesthesia at a slit lamp or operating microscope, a 26-gauge hypodermic needle is used to cleanly cut one end of an interrupted suture flush with the corneal surface. The needle tip is then inserted under the opposite end of the suture to gently lift and extricate the superficial segment from the overlying epithelium without disrupting it. The suture is then grasped at its base with forceps and removed. Epithelial integrity was assessed with fluorescein dye.",
        "Results": "The technique was successfully performed in all 20 eyes. Immediate application of fluorescein dye demonstrated significantly less epithelial disruption compared to the linear defects characteristic of conventional methods. Patients reported minimal postoperative discomfort. No instances of wound dehiscence, broken sutures, or persistent epithelial defects were observed. The technique was found to be simple and easily reproducible by trainees.",
        "Conclusions": "This stepwise approach is a safe, simple, and effective technique for corneal suture removal. It is particularly advantageous for deeply buried or vascularized sutures, significantly reducing the risk of iatrogenic epithelial trauma and wound complications. This method improves patient safety and comfort and can be readily adopted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This stepwise approach is a safe, simple, and effective technique for corneal suture removal. It is particularly advantageous for deeply buried or vascularized sutures, significantly reducing the risk of iatrogenic epithelial trauma and wound complications. This method improves patient safety and comfort and can be readily adopted.",
      "session_type": "ePoster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 846,
      "source_fields": {
        "Abstract Final Identifier": "POCOR158",
        "Title": "Nick, Loop And Pull Technique Of Corneal Suture Removal.",
        "Presenting Author(s)": "Dr Vinit Tanwar",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Vinit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tanwar",
        "Country Name": "India",
        "Purpose": "To describe a novel, stepwise technique for removing buried or vascularized corneal sutures. The goal is to minimize common complications such as epithelial defects, wound dehiscence, and patient discomfort by avoiding traction on the overlying epithelium and preventing exposed suture from being dragged through the cornea.",
        "Setting": "Iclinix advanced eye care, New Delhi, india",
        "Methods": "This prospective case series evaluated a technique performed on 20 eyes. Under topical anesthesia at a slit lamp or operating microscope, a 26-gauge hypodermic needle is used to cleanly cut one end of an interrupted suture flush with the corneal surface. The needle tip is then inserted under the opposite end of the suture to gently lift and extricate the superficial segment from the overlying epithelium without disrupting it. The suture is then grasped at its base with forceps and removed. Epithelial integrity was assessed with fluorescein dye.",
        "Results": "The technique was successfully performed in all 20 eyes. Immediate application of fluorescein dye demonstrated significantly less epithelial disruption compared to the linear defects characteristic of conventional methods. Patients reported minimal postoperative discomfort. No instances of wound dehiscence, broken sutures, or persistent epithelial defects were observed. The technique was found to be simple and easily reproducible by trainees.",
        "Conclusions": "This stepwise approach is a safe, simple, and effective technique for corneal suture removal. It is particularly advantageous for deeply buried or vascularized sutures, significantly reducing the risk of iatrogenic epithelial trauma and wound complications. This method improves patient safety and comfort and can be readily adopted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCOR159",
      "abstract_number": "POCOR159",
      "title": "Topography-Guided Corneal Collagen Crosslinking Combined With Transepithelial (No-Touch) Prk In Moderate Keratoconus",
      "authors": "Dr Gulnur Abdullayeva Mammadova",
      "presenter": "Dr Gulnur Abdullayeva Mammadova",
      "normalized_authors": [
        "Gulnur Abdullayeva Mammadova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gulnur Abdullayeva Mammadova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Azerbaijan",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes of combined topography-guided corneal collagen cross-linking (CXL) with transepithelial (no-touch) photorefractive keratectomy (PRK) in patients with moderate keratoconus.",
        "Setting": "Prospective interventional study conducted at a single university-affiliated ophthalmology clinic.",
        "Methods": "30 eyes of 15 patients diagnosed with moderate-stage keratoconus were included in the study. The mean age was 28.2 ± 1.7 years.\n\nThe diagnosis of keratoconus was established based on clinical findings, measurements obtained using a rotating Scheimpflug camera of corneal thickness, keratometry, and visual acuity assessment. Patients were divided into two groups:\n\n• Group 1 (control) – early-stage (15 eyes - 1 eye of each patient)\n\n• Group 2 (moderate stage): 9 eyes (60%) with stage 2 and 6 eyes (40%) with stage 3. Postoperative follow-up examinations were performed at 1 month, 3 months, 6 months, and at subsequent visits.\n\nCrosslinking was performed in 15 moderate-stage eyes of 15 patients (1 eye of each patient).",
        "Results": "Combined PRK No-Touch treatment was applied in 4 eyes with stage 2 and 1 eye with stage 3 keratoconus. Visual acuity before treatment was 0.16±0.04; after treatment 0.21±0.04 at 1 month,0.23±0.05 at 3 months,0.24 ± 0.05 at 6 months.\n\nNo statistically significant difference was detected between the first and last months of follow-up in visual acuity (p >0.05),and pre-treatment corneal curvature values (K1:47.88±1.37 and K2:52.71±1.33 D) and 6 months after treatment (K1:47.78±1.37 and K2:51.37± 1.44 D). Before treatment, central corneal thickness showed a statistically significant difference between control stage (482±12 µm) and stage 2 (433±17 µm) (p< 0.05).After treatment, values were 423±16 µm at 1;432±14 µm at 3,and 441±16 µm at 6 months.",
        "Conclusions": "In short-term follow-up, crosslinking treatment was observed to halt disease progression in moderate-stage keratoconus eyes. The follow-up period of our study regarding the combined approach was less than 72 months. Patients were followed biannually. Our literature review results indicate that refractive surgery procedures show positive outcomes in terms of visual acuity and aberrations.\n\nUltimately, in keratoconus treatment involving refractive surgery, long-term investigations regarding corneal biomechanics and randomized studies are needed; with individualized application of these combined treatments, more promising results are expected."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In short-term follow-up, crosslinking treatment was observed to halt disease progression in moderate-stage keratoconus eyes. The follow-up period of our study regarding the combined approach was less than 72 months. Patients were followed biannually. Our literature review results indicate that refractive surgery procedures show positive outcomes in terms of visual acuity and aberrations. Ultimately, in keratoconus…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 847,
      "source_fields": {
        "Abstract Final Identifier": "POCOR159",
        "Title": "Topography-Guided Corneal Collagen Crosslinking Combined With Transepithelial (No-Touch) Prk In Moderate Keratoconus",
        "Presenting Author(s)": "Dr Gulnur Abdullayeva Mammadova",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Gulnur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdullayeva Mammadova",
        "Country Name": "Azerbaijan",
        "Purpose": "To evaluate the clinical outcomes of combined topography-guided corneal collagen cross-linking (CXL) with transepithelial (no-touch) photorefractive keratectomy (PRK) in patients with moderate keratoconus.",
        "Setting": "Prospective interventional study conducted at a single university-affiliated ophthalmology clinic.",
        "Methods": "30 eyes of 15 patients diagnosed with moderate-stage keratoconus were included in the study. The mean age was 28.2 ± 1.7 years.\n\nThe diagnosis of keratoconus was established based on clinical findings, measurements obtained using a rotating Scheimpflug camera of corneal thickness, keratometry, and visual acuity assessment. Patients were divided into two groups:\n\n• Group 1 (control) – early-stage (15 eyes - 1 eye of each patient)\n\n• Group 2 (moderate stage): 9 eyes (60%) with stage 2 and 6 eyes (40%) with stage 3. Postoperative follow-up examinations were performed at 1 month, 3 months, 6 months, and at subsequent visits.\n\nCrosslinking was performed in 15 moderate-stage eyes of 15 patients (1 eye of each patient).",
        "Results": "Combined PRK No-Touch treatment was applied in 4 eyes with stage 2 and 1 eye with stage 3 keratoconus. Visual acuity before treatment was 0.16±0.04; after treatment 0.21±0.04 at 1 month,0.23±0.05 at 3 months,0.24 ± 0.05 at 6 months.\n\nNo statistically significant difference was detected between the first and last months of follow-up in visual acuity (p >0.05),and pre-treatment corneal curvature values (K1:47.88±1.37 and K2:52.71±1.33 D) and 6 months after treatment (K1:47.78±1.37 and K2:51.37± 1.44 D). Before treatment, central corneal thickness showed a statistically significant difference between control stage (482±12 µm) and stage 2 (433±17 µm) (p< 0.05).After treatment, values were 423±16 µm at 1;432±14 µm at 3,and 441±16 µm at 6 months.",
        "Conclusions": "In short-term follow-up, crosslinking treatment was observed to halt disease progression in moderate-stage keratoconus eyes. The follow-up period of our study regarding the combined approach was less than 72 months. Patients were followed biannually. Our literature review results indicate that refractive surgery procedures show positive outcomes in terms of visual acuity and aberrations.\n\nUltimately, in keratoconus treatment involving refractive surgery, long-term investigations regarding corneal biomechanics and randomized studies are needed; with individualized application of these combined treatments, more promising results are expected."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "POCOR160",
      "abstract_number": "POCOR160",
      "title": "Sustained Kmax Regression After Standard Epithelium-Off Cross-Linking In Young Keratoconus With High Baseline Kmax",
      "authors": "Nilüfer Yeşilırmak",
      "presenter": "Nilüfer Yeşilırmak",
      "normalized_authors": [
        "Nilüfer Yeşilırmak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Hakan Arı",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report long-term tomographic and visual outcomes of young keratoconus patients demonstrating marked corneal flattening following standard epithelium-off Dresden protocol corneal cross-linking (CXL).",
        "Setting": "Single-center retrospective case series conducted at a tertiary referral cornea clinic.",
        "Methods": "Three patients (four eyes; mean age 25.6 years) with elevated baseline Kmax values underwent standard epithelium-off CXL (0.1% riboflavin for 30 minutes followed by UVA irradiation at 9 mW/cm² for 10 minutes; total fluence 5.4 J/cm²). Patients were followed for 2.5–4.5 years. Maximum keratometry (Kmax), minimum corneal thickness (MCT), posterior elevation (PE), and corrected distance visual acuity (CDVA) were analyzed.",
        "Results": "Mean preoperative Kmax was 55.39 D and decreased to 49.46 D at final follow-up (mean Δ−5.93 D) over 2.5–4.5 years. Two eyes demonstrated >5.0 D flattening, including one eye with a 9.26 D reduction. CDVA improved in all eyes, with three achieving 20/20. Mean minimum corneal thickness decreased from 458.5 µm to 415.8 µm, largely influenced by one eye with marked thinning, while other eyes remained relatively stable. Posterior elevation changes were variable (mean ΔPE +3.0 µm) and did not demonstrate a consistent pattern of posterior progression suggestive of biomechanical worsening despite significant anterior flattening. No evidence of clinical ectatic progression or vision-threatening complications was observed during follow-up.",
        "Conclusions": "While corneal cross-linking is primarily regarded as a stabilizing intervention, our findings demonstrate that substantial and sustained corneal flattening may occur in selected young keratoconus patients with elevated baseline Kmax values. Despite heterogeneous corneal thickness changes, no clinical or tomographic evidence of progressive ectasia was observed during long-term follow-up. The magnitude of regression appears greater than commonly reported in large prospective studies, suggesting a pronounced biomechanical remodeling response in certain steep phenotypes. Although limited by small sample size, these findings indicate potential reshaping beyond simple stabilization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While corneal cross-linking is primarily regarded as a stabilizing intervention, our findings demonstrate that substantial and sustained corneal flattening may occur in selected young keratoconus patients with elevated baseline Kmax values. Despite heterogeneous corneal thickness changes, no clinical or tomographic evidence of progressive ectasia was observed during long-term follow-up. The magnitude of regression…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 848,
      "source_fields": {
        "Abstract Final Identifier": "POCOR160",
        "Title": "Sustained Kmax Regression After Standard Epithelium-Off Cross-Linking In Young Keratoconus With High Baseline Kmax",
        "Presenting Author(s)": "Nilüfer Yeşilırmak",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "Hakan",
        "Submitter Last Name": "Arı",
        "Country Name": "Türkiye",
        "Purpose": "To report long-term tomographic and visual outcomes of young keratoconus patients demonstrating marked corneal flattening following standard epithelium-off Dresden protocol corneal cross-linking (CXL).",
        "Setting": "Single-center retrospective case series conducted at a tertiary referral cornea clinic.",
        "Methods": "Three patients (four eyes; mean age 25.6 years) with elevated baseline Kmax values underwent standard epithelium-off CXL (0.1% riboflavin for 30 minutes followed by UVA irradiation at 9 mW/cm² for 10 minutes; total fluence 5.4 J/cm²). Patients were followed for 2.5–4.5 years. Maximum keratometry (Kmax), minimum corneal thickness (MCT), posterior elevation (PE), and corrected distance visual acuity (CDVA) were analyzed.",
        "Results": "Mean preoperative Kmax was 55.39 D and decreased to 49.46 D at final follow-up (mean Δ−5.93 D) over 2.5–4.5 years. Two eyes demonstrated >5.0 D flattening, including one eye with a 9.26 D reduction. CDVA improved in all eyes, with three achieving 20/20. Mean minimum corneal thickness decreased from 458.5 µm to 415.8 µm, largely influenced by one eye with marked thinning, while other eyes remained relatively stable. Posterior elevation changes were variable (mean ΔPE +3.0 µm) and did not demonstrate a consistent pattern of posterior progression suggestive of biomechanical worsening despite significant anterior flattening. No evidence of clinical ectatic progression or vision-threatening complications was observed during follow-up.",
        "Conclusions": "While corneal cross-linking is primarily regarded as a stabilizing intervention, our findings demonstrate that substantial and sustained corneal flattening may occur in selected young keratoconus patients with elevated baseline Kmax values. Despite heterogeneous corneal thickness changes, no clinical or tomographic evidence of progressive ectasia was observed during long-term follow-up. The magnitude of regression appears greater than commonly reported in large prospective studies, suggesting a pronounced biomechanical remodeling response in certain steep phenotypes. Although limited by small sample size, these findings indicate potential reshaping beyond simple stabilization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POCOR161",
      "abstract_number": "POCOR161",
      "title": "Clinical Outcomes Of Accelerated Cross Linking (A-Cxl) And Accelerated Contact Lens Assisted Cross Linking( A- Cacxl) For Progressive Keratoconus In Paediatric African Population- 3 Year Prospective Study.",
      "authors": "Dr Priyanka vijay Vijay Bhuyar",
      "presenter": "Dr Priyanka vijay Vijay Bhuyar",
      "normalized_authors": [
        "Priyanka vijay Vijay Bhuyar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Priyanka Vijay Bhuyar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kenya",
      "sections": {
        "Purpose": "Pediatric keratoconus is often more aggressive than in adults, leading to rapid ectatic progression if untreated. Corneal collagen cross-linking (CXL) has emerged as a standard intervention to halt disease progression; however, evidence in African pediatric populations—where distinct genetic, environmental, and healthcare access factors may influence disease behavior—is limited. The purpose of this study is to evaluate the safety ,efficacy and long term outcomes of Accelerated corneal cross-linking (A-CXL) and Accelerated contact lens–assisted corneal cross-linking (A-CACXL) in children and adolescents with progressive keratoconus in an African cohort, where advanced disease and thin corneas are frequently encountered.",
        "Setting": "This study was conducted at Lions SightFirst Eye Hospital , a tertiary ophthalmic referral center in Nairobi, Kenya. All procedures were performed by a single experienced corneal surgeon to ensure surgical consistency and standardized treatment protocols.In this retrospective study, 187 eyes of 162 patients with progressive KC were enrolled that visited the Hospital from 2022-2025. Inclusion criteria were a children < 18 years age and documented progression of KC .",
        "Methods": "This study includes eyes of 162 children with progressive keratoconus treated between Jan 2022- Dec 2025. Eyes with minimum stromal thickness ≥400 µm underwent epithelium-off accelerated A-CXL (9mW/cm² for 10min; total fluence 5.4J/cm²). Eyes with post-epithelial removal stromal thickness <400 µm underwent A-CACXL using a riboflavin-soaked soft contact lens . Patients were assessed preoperatively, and postoperatively after 1 week, 1, 3, 6 and 12 months, and yearly thereafter up to 3 years.\n\nPrimary outcome measures were change in maximum keratometry (Kmax), corrected distance VA (CDVA), and uncorrected distance VA (UDVA) ,central corneal thickness (CCT), endothelial cell density (ECD) and intra- or postoperative complication",
        "Results": "A total of 187 eyes (162 patients) were included (A-CXL: 149; A-CACXL: 38). UCVA improved in both groups. Steep, mean, and Kmax decreased significantly at 1 year (p<0.001). Kmax flattening at years 2–3 was sustained but not significant. Mean Kmax reduced by 1.3 D (A-CXL) and 1.03 D (A-CACXL), greatest in baseline Kmax >55 D. CDVA improved ≥1 line in 74% and 48%, respectively. No significant endothelial loss occurred. Transient haze (72% vs 65%) resolved by 6 months; permanent haze occurred in 3 and 1 eyes. Thinnest corneal thickness decreased, most at 3 months. Progression was halted in 91% and 85%, respectively.",
        "Conclusions": "Accelerated CXL and accelerated contact lens–assisted CXL are safe and effective in halting keratoconus progression in African patients. A-CACXL extends treatment eligibility to thin corneas , a common presentation in this population, without compromising safety. Outcomes from a single-surgeon, high-volume African center demonstrate reproducible and consistent results, supporting wider adoption of tailored CXL protocols in similar resource-constrained settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Accelerated CXL and accelerated contact lens–assisted CXL are safe and effective in halting keratoconus progression in African patients. A-CACXL extends treatment eligibility to thin corneas , a common presentation in this population, without compromising safety. Outcomes from a single-surgeon, high-volume African center demonstrate reproducible and consistent results, supporting wider adoption of tailored CXL…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 849,
      "source_fields": {
        "Abstract Final Identifier": "POCOR161",
        "Title": "Clinical Outcomes Of Accelerated Cross Linking (A-Cxl) And Accelerated Contact Lens Assisted Cross Linking( A- Cacxl) For Progressive Keratoconus In Paediatric African Population- 3 Year Prospective Study.",
        "Presenting Author(s)": "Dr Priyanka vijay Vijay Bhuyar",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Priyanka",
        "Submitter Middle Name": "Vijay",
        "Submitter Last Name": "Bhuyar",
        "Country Name": "Kenya",
        "Purpose": "Pediatric keratoconus is often more aggressive than in adults, leading to rapid ectatic progression if untreated. Corneal collagen cross-linking (CXL) has emerged as a standard intervention to halt disease progression; however, evidence in African pediatric populations—where distinct genetic, environmental, and healthcare access factors may influence disease behavior—is limited. The purpose of this study is to evaluate the safety ,efficacy and long term outcomes of Accelerated corneal cross-linking (A-CXL) and Accelerated contact lens–assisted corneal cross-linking (A-CACXL) in children and adolescents with progressive keratoconus in an African cohort, where advanced disease and thin corneas are frequently encountered.",
        "Setting": "This study was conducted at Lions SightFirst Eye Hospital , a tertiary ophthalmic referral center in Nairobi, Kenya. All procedures were performed by a single experienced corneal surgeon to ensure surgical consistency and standardized treatment protocols.In this retrospective study, 187 eyes of 162 patients with progressive KC were enrolled that visited the Hospital from 2022-2025. Inclusion criteria were a children < 18 years age and documented progression of KC .",
        "Methods": "This study includes eyes of 162 children with progressive keratoconus treated between Jan 2022- Dec 2025. Eyes with minimum stromal thickness ≥400 µm underwent epithelium-off accelerated A-CXL (9mW/cm² for 10min; total fluence 5.4J/cm²). Eyes with post-epithelial removal stromal thickness <400 µm underwent A-CACXL using a riboflavin-soaked soft contact lens . Patients were assessed preoperatively, and postoperatively after 1 week, 1, 3, 6 and 12 months, and yearly thereafter up to 3 years.\n\nPrimary outcome measures were change in maximum keratometry (Kmax), corrected distance VA (CDVA), and uncorrected distance VA (UDVA) ,central corneal thickness (CCT), endothelial cell density (ECD) and intra- or postoperative complication",
        "Results": "A total of 187 eyes (162 patients) were included (A-CXL: 149; A-CACXL: 38). UCVA improved in both groups. Steep, mean, and Kmax decreased significantly at 1 year (p<0.001). Kmax flattening at years 2–3 was sustained but not significant. Mean Kmax reduced by 1.3 D (A-CXL) and 1.03 D (A-CACXL), greatest in baseline Kmax >55 D. CDVA improved ≥1 line in 74% and 48%, respectively. No significant endothelial loss occurred. Transient haze (72% vs 65%) resolved by 6 months; permanent haze occurred in 3 and 1 eyes. Thinnest corneal thickness decreased, most at 3 months. Progression was halted in 91% and 85%, respectively.",
        "Conclusions": "Accelerated CXL and accelerated contact lens–assisted CXL are safe and effective in halting keratoconus progression in African patients. A-CACXL extends treatment eligibility to thin corneas , a common presentation in this population, without compromising safety. Outcomes from a single-surgeon, high-volume African center demonstrate reproducible and consistent results, supporting wider adoption of tailored CXL protocols in similar resource-constrained settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 436
    },
    {
      "uid": "POCOR162",
      "abstract_number": "POCOR162",
      "title": "When Prevention Turns Into Emergency: Severe Early Complications After Epithelium-Off Corneal Cross-Linking",
      "authors": "Dr Youness Bouhafra",
      "presenter": "Dr Youness Bouhafra",
      "normalized_authors": [
        "Youness Bouhafra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Youness Bouhafra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To report and analyze severe early postoperative complications occurring after epithelium-off corneal cross-linking (CXL) performed for progressive keratoconus in young patients, and to highlight the potential progression from inflammatory or infectious corneal damage to structural compromise requiring therapeutic keratoplasty. Through three clinical cases, we aim to emphasize that although CXL is considered a preventive and stabilizing procedure, it may exceptionally lead to sight-threatening outcomes demanding aggressive medical and surgical intervention.",
        "Setting": "Department of Ophthalmology, Tertiary Referral Center for Corneal Diseases and Keratoplasty, Hospital Cheikh Zaïd, Rabat, Morocco. The center manages advanced keratoconus cases and complex postoperative corneal complications referred from regional institutions, including severe infectious keratitis and corneal melting requiring urgent surgical management.",
        "Methods": "We retrospectively analyzed three patients aged 15 to 19 years referred between postoperative day 2 and day 4 after epithelium-off CXL. All presented with intense ocular pain and marked visual acuity decrease. Clinical assessment included BCVA measurement, slit-lamp examination documenting corneal infiltrates, necrosis, neovascularization or perforation, anterior chamber evaluation, and microbiological sampling. Intensive topical fortified antibiotics and systemic therapy were initiated. Surgical intervention was indicated in cases of progressive corneal melting, structural instability, or uncontrolled infection.",
        "Results": "The first patient developed acute corneal necrosis with vision limited to light perception, requiring urgent tectonic keratoplasty, achieving BCVA 7/10 at 8 months. The second patient presented a near-total corneal abscess with 360° neovascularization and athalamia; despite intensive therapy, penetrating keratoplasty became necessary. The third patient developed severe keratitis progressing to total opacification, central perforation, and inflammatory cataract; combined keratoplasty and cataract surgery restored anatomical integrity. Microbiological cultures were negative in all cases, likely due to prior antibiotic use.",
        "Conclusions": "Although epithelium-off CXL is widely regarded as safe and effective for progressive keratoconus, early postoperative infectious or necrotic complications may occur and severely threaten ocular integrity. Negative cultures do not exclude infection. Prompt diagnosis, aggressive antimicrobial treatment, and timely surgical intervention are critical to preserve vision. A procedure intended to prevent ectatic progression may, in rare cases, evolve into a complex therapeutic challenge requiring corneal transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although epithelium-off CXL is widely regarded as safe and effective for progressive keratoconus, early postoperative infectious or necrotic complications may occur and severely threaten ocular integrity. Negative cultures do not exclude infection. Prompt diagnosis, aggressive antimicrobial treatment, and timely surgical intervention are critical to preserve vision. A procedure intended to prevent ectatic…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 850,
      "source_fields": {
        "Abstract Final Identifier": "POCOR162",
        "Title": "When Prevention Turns Into Emergency: Severe Early Complications After Epithelium-Off Corneal Cross-Linking",
        "Presenting Author(s)": "Dr Youness Bouhafra",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Youness",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bouhafra",
        "Country Name": "Morocco",
        "Purpose": "To report and analyze severe early postoperative complications occurring after epithelium-off corneal cross-linking (CXL) performed for progressive keratoconus in young patients, and to highlight the potential progression from inflammatory or infectious corneal damage to structural compromise requiring therapeutic keratoplasty. Through three clinical cases, we aim to emphasize that although CXL is considered a preventive and stabilizing procedure, it may exceptionally lead to sight-threatening outcomes demanding aggressive medical and surgical intervention.",
        "Setting": "Department of Ophthalmology, Tertiary Referral Center for Corneal Diseases and Keratoplasty, Hospital Cheikh Zaïd, Rabat, Morocco. The center manages advanced keratoconus cases and complex postoperative corneal complications referred from regional institutions, including severe infectious keratitis and corneal melting requiring urgent surgical management.",
        "Methods": "We retrospectively analyzed three patients aged 15 to 19 years referred between postoperative day 2 and day 4 after epithelium-off CXL. All presented with intense ocular pain and marked visual acuity decrease. Clinical assessment included BCVA measurement, slit-lamp examination documenting corneal infiltrates, necrosis, neovascularization or perforation, anterior chamber evaluation, and microbiological sampling. Intensive topical fortified antibiotics and systemic therapy were initiated. Surgical intervention was indicated in cases of progressive corneal melting, structural instability, or uncontrolled infection.",
        "Results": "The first patient developed acute corneal necrosis with vision limited to light perception, requiring urgent tectonic keratoplasty, achieving BCVA 7/10 at 8 months. The second patient presented a near-total corneal abscess with 360° neovascularization and athalamia; despite intensive therapy, penetrating keratoplasty became necessary. The third patient developed severe keratitis progressing to total opacification, central perforation, and inflammatory cataract; combined keratoplasty and cataract surgery restored anatomical integrity. Microbiological cultures were negative in all cases, likely due to prior antibiotic use.",
        "Conclusions": "Although epithelium-off CXL is widely regarded as safe and effective for progressive keratoconus, early postoperative infectious or necrotic complications may occur and severely threaten ocular integrity. Negative cultures do not exclude infection. Prompt diagnosis, aggressive antimicrobial treatment, and timely surgical intervention are critical to preserve vision. A procedure intended to prevent ectatic progression may, in rare cases, evolve into a complex therapeutic challenge requiring corneal transplantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POCOR163",
      "abstract_number": "POCOR163",
      "title": "Central Corneal Thickness Recovery Kinetics After Corneal Collagen Cross-Linking: Implications For Stromal Remodeling",
      "authors": "Fatma Sumer",
      "presenter": "Fatma Sumer",
      "normalized_authors": [
        "Fatma Sumer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bunyamin Can",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To characterize the kinetics of central corneal thickness (CCT) recovery following standard corneal collagen cross-linking (CXL) in keratoconus and to identify factors influencing the recovery trajectory, providing insights into post-CXL stromal remodeling.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective observational study.",
        "Methods": "Sixty keratoconus eyes undergoing epithelium-off CXL were evaluated with serial pachymetry (ultrasound and Scheimpflug) and specular microscopy (Tomey EM-4000) preoperatively and at 1, 3, and 6 months. CCT recovery rate and curve (polynomial regression) were generated. Correlations with preoperative CCT, age, Kmax, ECD, and keratoconus stage were analyzed. Sixty healthy controls provided baseline reference. Statistics: repeated measures ANOVA, Pearson correlation, multiple linear regression (SPSS 23.0; p<0.05).",
        "Results": "Ameliyat öncesi ortalama kornea kalınlığı (CCT) 476±29 µm idi. 1 ay sonra CCT %4,8 azaldı (453±31 µm; p<0,001), 3 ay sonra %58,7'ye ve 6 ay sonra %82,6'ya (472±27 µm; p=0,108, başlangıç ​​değerine göre) yükseldi. İyileşme logaritmik bir eğri izledi (R²=0,91). Ameliyat öncesi CCT, 1 ay sonraki mutlak kaybı öngördü (r=0,42; p=0,001); yaş, iyileşme oranıyla ters orantılıydı (r=-0,31; p=0,016). ECD ve CCT değişiklikleri pozitif korelasyon gösterdi (r=0,38; p=0,003), bu da endotel-stromal stresin birlikte olduğunu düşündürmektedir. Keratokonus evresi, başlangıç ​​CCT'sine göre ayarlandıktan sonra bağımsız bir öngörücü değildi. Ameliyat öncesi kornea kalınlığının %15'inden fazlasını kaybeden göz bulunmamıştır.",
        "Conclusions": "Post-CXL corneal thinning follows a predictable logarithmic recovery pattern with approximately 83% thickness restoration by 6 months. Thinner baseline corneas experience greater proportional thinning but follow similar recovery kinetics. The coupled endothelial-stromal response at 1 month suggests shared UV-A induced stress pathways. These findings inform patient counseling regarding temporary corneal changes and support considering delayed contact lens fitting or refractive assessment until full recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-CXL corneal thinning follows a predictable logarithmic recovery pattern with approximately 83% thickness restoration by 6 months. Thinner baseline corneas experience greater proportional thinning but follow similar recovery kinetics. The coupled endothelial-stromal response at 1 month suggests shared UV-A induced stress pathways. These findings inform patient counseling regarding temporary corneal changes and…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 851,
      "source_fields": {
        "Abstract Final Identifier": "POCOR163",
        "Title": "Central Corneal Thickness Recovery Kinetics After Corneal Collagen Cross-Linking: Implications For Stromal Remodeling",
        "Presenting Author(s)": "Fatma Sumer",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Bunyamin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Can",
        "Country Name": "Türkiye",
        "Purpose": "To characterize the kinetics of central corneal thickness (CCT) recovery following standard corneal collagen cross-linking (CXL) in keratoconus and to identify factors influencing the recovery trajectory, providing insights into post-CXL stromal remodeling.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective observational study.",
        "Methods": "Sixty keratoconus eyes undergoing epithelium-off CXL were evaluated with serial pachymetry (ultrasound and Scheimpflug) and specular microscopy (Tomey EM-4000) preoperatively and at 1, 3, and 6 months. CCT recovery rate and curve (polynomial regression) were generated. Correlations with preoperative CCT, age, Kmax, ECD, and keratoconus stage were analyzed. Sixty healthy controls provided baseline reference. Statistics: repeated measures ANOVA, Pearson correlation, multiple linear regression (SPSS 23.0; p<0.05).",
        "Results": "Ameliyat öncesi ortalama kornea kalınlığı (CCT) 476±29 µm idi. 1 ay sonra CCT %4,8 azaldı (453±31 µm; p<0,001), 3 ay sonra %58,7'ye ve 6 ay sonra %82,6'ya (472±27 µm; p=0,108, başlangıç ​​değerine göre) yükseldi. İyileşme logaritmik bir eğri izledi (R²=0,91). Ameliyat öncesi CCT, 1 ay sonraki mutlak kaybı öngördü (r=0,42; p=0,001); yaş, iyileşme oranıyla ters orantılıydı (r=-0,31; p=0,016). ECD ve CCT değişiklikleri pozitif korelasyon gösterdi (r=0,38; p=0,003), bu da endotel-stromal stresin birlikte olduğunu düşündürmektedir. Keratokonus evresi, başlangıç ​​CCT'sine göre ayarlandıktan sonra bağımsız bir öngörücü değildi. Ameliyat öncesi kornea kalınlığının %15'inden fazlasını kaybeden göz bulunmamıştır.",
        "Conclusions": "Post-CXL corneal thinning follows a predictable logarithmic recovery pattern with approximately 83% thickness restoration by 6 months. Thinner baseline corneas experience greater proportional thinning but follow similar recovery kinetics. The coupled endothelial-stromal response at 1 month suggests shared UV-A induced stress pathways. These findings inform patient counseling regarding temporary corneal changes and support considering delayed contact lens fitting or refractive assessment until full recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCOR164",
      "abstract_number": "POCOR164",
      "title": "Predictive Factors For Topographic Response Following Corneal Collagen Cross-Linking In Keratoconus: A Prospective Regression Analysis",
      "authors": "Dr Nurullah Coskuner",
      "presenter": "Dr Nurullah Coskuner",
      "normalized_authors": [
        "Nurullah Coskuner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nurullah Coskuner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To identify preoperative predictive factors associated with favorable topographic response following standard corneal collagen cross-linking (CXL) in progressive keratoconus and to develop a predictive model for clinical decision-making.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective analytical study.",
        "Methods": "Sixty eyes of 60 progressive keratoconus patients (aged 14-35 years) who underwent standard epithelium-off CXL were analyzed. Favorable response was defined as Kmax reduction ≥0.5 D at 6 months. Preoperative variables analyzed included age, sex, keratoconus stage Kmax, Kmin, simK, central corneal thicknes, thinnest corneal thickness, corneal astigmatism, best-corrected visual acuity, endothelial cell density, ISV, IVA, and KI. Univariate analysis identified candidate predictors (p<0.20), which were entered into multivariate binary logistic regression. Receiver operating characteristic (ROC) curves determined optimal cutoff values. Hosmer-Lemeshow test assessed model fit. Statistical analysis was performed using SPSS 23.0 (p<0.05).",
        "Results": "Favorable topographic response (Kmax reduction ≥0.5 D) was achieved in 43.3% (26/60) of eyes. In univariate analysis, higher baseline Kmax (p=0.003), younger age (p=0.018), lower CCT (p=0.042), higher ISV (p=0.006), and higher corneal astigmatism (p=0.024) were associated with favorable response. Multivariate logistic regression identified baseline Kmax (OR=1.34, 95% CI 1.12-1.61; p=0.001) and age (OR=0.88, 95% CI 0.79-0.97; p=0.014) as independent predictors. ROC analysis yielded optimal cutoffs of Kmax ≥54.0 D (AUC=0.78, sensitivity 73%, specificity 76%) and age ≤22 years (AUC=0.69, sensitivity 65%, specificity 68%).",
        "Conclusions": "The combined model (Kmax + age) achieved AUC=0.84 (sensitivity 77%, specificity 82%). Keratoconus stage was not an independent predictor after adjusting for Kmax.\n\nHigher baseline Kmax and younger age are independent predictors of favorable topographic response after CXL. A combined predictive model incorporating both parameters achieves good discriminative ability (AUC 0.84). These findings suggest that younger patients with more advanced keratometric values benefit most from CXL, supporting early intervention in progressive keratoconus. This model may assist clinicians in preoperative counseling regarding expected treatment outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The combined model (Kmax + age) achieved AUC=0.84 (sensitivity 77%, specificity 82%). Keratoconus stage was not an independent predictor after adjusting for Kmax. Higher baseline Kmax and younger age are independent predictors of favorable topographic response after CXL. A combined predictive model incorporating both parameters achieves good discriminative ability (AUC 0.84). These findings suggest that younger…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 852,
      "source_fields": {
        "Abstract Final Identifier": "POCOR164",
        "Title": "Predictive Factors For Topographic Response Following Corneal Collagen Cross-Linking In Keratoconus: A Prospective Regression Analysis",
        "Presenting Author(s)": "Dr Nurullah Coskuner",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Nurullah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Coskuner",
        "Country Name": "Türkiye",
        "Purpose": "To identify preoperative predictive factors associated with favorable topographic response following standard corneal collagen cross-linking (CXL) in progressive keratoconus and to develop a predictive model for clinical decision-making.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective analytical study.",
        "Methods": "Sixty eyes of 60 progressive keratoconus patients (aged 14-35 years) who underwent standard epithelium-off CXL were analyzed. Favorable response was defined as Kmax reduction ≥0.5 D at 6 months. Preoperative variables analyzed included age, sex, keratoconus stage Kmax, Kmin, simK, central corneal thicknes, thinnest corneal thickness, corneal astigmatism, best-corrected visual acuity, endothelial cell density, ISV, IVA, and KI. Univariate analysis identified candidate predictors (p<0.20), which were entered into multivariate binary logistic regression. Receiver operating characteristic (ROC) curves determined optimal cutoff values. Hosmer-Lemeshow test assessed model fit. Statistical analysis was performed using SPSS 23.0 (p<0.05).",
        "Results": "Favorable topographic response (Kmax reduction ≥0.5 D) was achieved in 43.3% (26/60) of eyes. In univariate analysis, higher baseline Kmax (p=0.003), younger age (p=0.018), lower CCT (p=0.042), higher ISV (p=0.006), and higher corneal astigmatism (p=0.024) were associated with favorable response. Multivariate logistic regression identified baseline Kmax (OR=1.34, 95% CI 1.12-1.61; p=0.001) and age (OR=0.88, 95% CI 0.79-0.97; p=0.014) as independent predictors. ROC analysis yielded optimal cutoffs of Kmax ≥54.0 D (AUC=0.78, sensitivity 73%, specificity 76%) and age ≤22 years (AUC=0.69, sensitivity 65%, specificity 68%).",
        "Conclusions": "The combined model (Kmax + age) achieved AUC=0.84 (sensitivity 77%, specificity 82%). Keratoconus stage was not an independent predictor after adjusting for Kmax.\n\nHigher baseline Kmax and younger age are independent predictors of favorable topographic response after CXL. A combined predictive model incorporating both parameters achieves good discriminative ability (AUC 0.84). These findings suggest that younger patients with more advanced keratometric values benefit most from CXL, supporting early intervention in progressive keratoconus. This model may assist clinicians in preoperative counseling regarding expected treatment outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POCOR165",
      "abstract_number": "POCOR165",
      "title": "Repeated Epithelium-Off Corneal Cross-Linking For Progressive Ectasia After Primary Treatment Failure",
      "authors": "Ms Michalina Ludwika Depczyńska",
      "presenter": "Ms Michalina Ludwika Depczyńska",
      "normalized_authors": [
        "Michalina Ludwika Depczyńska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michalina Ludwika Depczyńska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of repeated epithelium-off corneal cross-linking (Re-CXL) in eyes demonstrating progressive keratoconus or post-LASIK ectasia following primary CXL failure.",
        "Setting": "Retrospective interventional case series conducted at the ELZA Institute, Zurich, Switzerland and at the University Hospital Carl Gustav Carus, Dresden, Germany.",
        "Methods": "Thirty-eight eyes of 32 patients (mean age 32.9±14.26 years; 36 keratoconus, 2 post-LASIK ectasia) with documented progression after primary CXL (increase in Kmax ≥1.0 D) underwent repeated epithelium-off CXL. The initial procedure followed a standard Dresden-based approach. Re-CXL was performed using individualized UV-A fluence protocols (mean cumulative fluence across both treatments 10.80±2.13 J/cm²). Corneal tomography (Pentacam HR) assessed Kmax, K1, K2, anterior radius of curvature (ARC, 3-mm zone), and thinnest pachymetry pre-Re-CXL, at 6 months, and at 1 year. Paired parametric and non-parametric tests evaluated changes (p<0.05). Correlation analyses explored associations between total fluence and keratometric response.",
        "Results": "Thirty-eight eyes completed 1-year follow-up after repeated epithelium-off CXL. Compared with pre-Re-CXL values, Kmax decreased significantly by 3.33 ± 2.72 D, K2 by 1.71 ± 1.65 D, and K1 by 1.36 ± 1.78 D (all p < 0.001). The anterior radius of curvature (ARC, 3-mm) increased by 0.36 ± 0.50 mm (p < 0.001), indicating significant corneal flattening. Thinnest pachymetry decreased by 14.89 ± 24.62 µm (p < 0.05), without endothelial decompensation or sight-threatening complications. Relative to baseline before primary CXL, final follow-up demonstrated reductions in Kmax (1.52 ± 4.33 D), K2 (1.13 ± 2.07 D), and ARC (3-mm) (0.47 ± 1.29 mm) (all p < 0.05), while the reduction in K1 was not statistically significant (p = 0.0504).",
        "Conclusions": "Repeated epithelium-off CXL effectively stabilizes progressive ectasia following primary treatment failure, with significant keratometric flattening and an acceptable safety profile at 1 year. While cumulative fluence was not significantly correlated with the magnitude of flattening, individualized retreatment appears to restore biomechanical stability in selected cases. Re-CXL represents a viable therapeutic option within the management algorithm of progressive ectatic disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Repeated epithelium-off CXL effectively stabilizes progressive ectasia following primary treatment failure, with significant keratometric flattening and an acceptable safety profile at 1 year. While cumulative fluence was not significantly correlated with the magnitude of flattening, individualized retreatment appears to restore biomechanical stability in selected cases. Re-CXL represents a viable therapeutic…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 853,
      "source_fields": {
        "Abstract Final Identifier": "POCOR165",
        "Title": "Repeated Epithelium-Off Corneal Cross-Linking For Progressive Ectasia After Primary Treatment Failure",
        "Presenting Author(s)": "Ms Michalina Ludwika Depczyńska",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Michalina",
        "Submitter Middle Name": "Ludwika",
        "Submitter Last Name": "Depczyńska",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the safety and efficacy of repeated epithelium-off corneal cross-linking (Re-CXL) in eyes demonstrating progressive keratoconus or post-LASIK ectasia following primary CXL failure.",
        "Setting": "Retrospective interventional case series conducted at the ELZA Institute, Zurich, Switzerland and at the University Hospital Carl Gustav Carus, Dresden, Germany.",
        "Methods": "Thirty-eight eyes of 32 patients (mean age 32.9±14.26 years; 36 keratoconus, 2 post-LASIK ectasia) with documented progression after primary CXL (increase in Kmax ≥1.0 D) underwent repeated epithelium-off CXL. The initial procedure followed a standard Dresden-based approach. Re-CXL was performed using individualized UV-A fluence protocols (mean cumulative fluence across both treatments 10.80±2.13 J/cm²). Corneal tomography (Pentacam HR) assessed Kmax, K1, K2, anterior radius of curvature (ARC, 3-mm zone), and thinnest pachymetry pre-Re-CXL, at 6 months, and at 1 year. Paired parametric and non-parametric tests evaluated changes (p<0.05). Correlation analyses explored associations between total fluence and keratometric response.",
        "Results": "Thirty-eight eyes completed 1-year follow-up after repeated epithelium-off CXL. Compared with pre-Re-CXL values, Kmax decreased significantly by 3.33 ± 2.72 D, K2 by 1.71 ± 1.65 D, and K1 by 1.36 ± 1.78 D (all p < 0.001). The anterior radius of curvature (ARC, 3-mm) increased by 0.36 ± 0.50 mm (p < 0.001), indicating significant corneal flattening. Thinnest pachymetry decreased by 14.89 ± 24.62 µm (p < 0.05), without endothelial decompensation or sight-threatening complications. Relative to baseline before primary CXL, final follow-up demonstrated reductions in Kmax (1.52 ± 4.33 D), K2 (1.13 ± 2.07 D), and ARC (3-mm) (0.47 ± 1.29 mm) (all p < 0.05), while the reduction in K1 was not statistically significant (p = 0.0504).",
        "Conclusions": "Repeated epithelium-off CXL effectively stabilizes progressive ectasia following primary treatment failure, with significant keratometric flattening and an acceptable safety profile at 1 year. While cumulative fluence was not significantly correlated with the magnitude of flattening, individualized retreatment appears to restore biomechanical stability in selected cases. Re-CXL represents a viable therapeutic option within the management algorithm of progressive ectatic disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "POCOR166",
      "abstract_number": "POCOR166",
      "title": "Long Term Follow-Up Of Using Cross Linking In Treatment Of Resistant Corneal Abscess (7 Year Study)",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To asses the results( clinical, microbiological and therapeutical) of using cross linking in resistant corneal\nabscess",
        "Setting": "The Memorial Institute for Ophthalmic Research (MIOR)",
        "Methods": "Prospective interventional study of (40) eyes of 40 pts with unilateral corneal abscess .Pts were done by 1\nsurgeon with Fu ranges from 6 m -1years.Inclusion Criteria : pts with unilateral corneal abscess, resistant to medical TTT\n,any causative organism .Excluison Criteria : corneal abscess respond to medical treatment .Surgical Technique : 1st\nscrap the cornea to remove the residual epithelium and dead tissue then soaking the cornea for 20 min. then use\nultraviolet (Avedro) in the pulsed mode for 6 mins\nPre-Op :full examination spiecally size and depth of abscess and infilteration, level of hypopyon.\npost-op: signs of improvement as corneal vascularization, decrease the infilteration and size of abscess , decrease level\nof hypopyon .",
        "Results": "95% of eyes (38 eyes) treated with cross linking showed marked improvement within few days ( cornea started of be vascularized, less pain, hypopyon disappear, eye became more quite).\n\nThose 38 eyes showed different types of infection. (Bacterial ,Fungal and Acanthamoeba keratitis)\n\nOnly 2 eyes showed resistant to cross linking ( fungal keratitis) and I repeated cross linking for these 2 eyes after 1 week.\n1 of them improved after 2nd cross linking session and the other showed also resistance to cross linking and need\nkeratoplasty .This eye was re-infected again within 1 week with aggressive course. I treated this eye after reinfection with\ncross linking again :This time showed marked improvement with crosslinking\n\ncorneal ectesia 2 eyes",
        "Conclusions": "The use of crosslinking in resistant corneal abscess gives marvelous results and it is easy and safe\n\nwhatever the organism, we can use cross linking in resistant corneal abscess\n\nIn cases in which cross linking failed, we can repeat cross linking again .\n\nAlso, In cases in which cross linking failed, we still have the chance to do tectonic keratoplasty.\n\ntotal corneal ectesia which is a late complication that developed after the corneal abscess in cases with sever corneal melting was healed need anterior segment reconstructuion"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The use of crosslinking in resistant corneal abscess gives marvelous results and it is easy and safe whatever the organism, we can use cross linking in resistant corneal abscess In cases in which cross linking failed, we can repeat cross linking again . Also, In cases in which cross linking failed, we still have the chance to do tectonic keratoplasty. total corneal ectesia which is a late complication that…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 854,
      "source_fields": {
        "Abstract Final Identifier": "POCOR166",
        "Title": "Long Term Follow-Up Of Using Cross Linking In Treatment Of Resistant Corneal Abscess (7 Year Study)",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "To asses the results( clinical, microbiological and therapeutical) of using cross linking in resistant corneal\nabscess",
        "Setting": "The Memorial Institute for Ophthalmic Research (MIOR)",
        "Methods": "Prospective interventional study of (40) eyes of 40 pts with unilateral corneal abscess .Pts were done by 1\nsurgeon with Fu ranges from 6 m -1years.Inclusion Criteria : pts with unilateral corneal abscess, resistant to medical TTT\n,any causative organism .Excluison Criteria : corneal abscess respond to medical treatment .Surgical Technique : 1st\nscrap the cornea to remove the residual epithelium and dead tissue then soaking the cornea for 20 min. then use\nultraviolet (Avedro) in the pulsed mode for 6 mins\nPre-Op :full examination spiecally size and depth of abscess and infilteration, level of hypopyon.\npost-op: signs of improvement as corneal vascularization, decrease the infilteration and size of abscess , decrease level\nof hypopyon .",
        "Results": "95% of eyes (38 eyes) treated with cross linking showed marked improvement within few days ( cornea started of be vascularized, less pain, hypopyon disappear, eye became more quite).\n\nThose 38 eyes showed different types of infection. (Bacterial ,Fungal and Acanthamoeba keratitis)\n\nOnly 2 eyes showed resistant to cross linking ( fungal keratitis) and I repeated cross linking for these 2 eyes after 1 week.\n1 of them improved after 2nd cross linking session and the other showed also resistance to cross linking and need\nkeratoplasty .This eye was re-infected again within 1 week with aggressive course. I treated this eye after reinfection with\ncross linking again :This time showed marked improvement with crosslinking\n\ncorneal ectesia 2 eyes",
        "Conclusions": "The use of crosslinking in resistant corneal abscess gives marvelous results and it is easy and safe\n\nwhatever the organism, we can use cross linking in resistant corneal abscess\n\nIn cases in which cross linking failed, we can repeat cross linking again .\n\nAlso, In cases in which cross linking failed, we still have the chance to do tectonic keratoplasty.\n\ntotal corneal ectesia which is a late complication that developed after the corneal abscess in cases with sever corneal melting was healed need anterior segment reconstructuion"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCOR167",
      "abstract_number": "POCOR167",
      "title": "Cameo: Democratizing Customized Cross-Linking – One-Year Outcomes In 50 Eyes",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To present the clinical outcomes of the CAMEO platform (Customized Adaptive Masked Epi-On cross-linking), a wavefront-guided, platform-agnostic approach designed to regularize corneal optics while preserving stromal tissue.",
        "Setting": "Eye clinic Svjetlost, tertiary eye center",
        "Methods": "Fifty eyes with progressive keratoconus or ectasia underwent CAMEO treatment. The procedure uses total corneal wavefront-guided planning to create a customized epithelial break over the cone and a compensatory zone, employing the epithelium as a biological masking agent. Transepithelial riboflavin was applied, followed by fluence-controlled accelerated UV-A irradiation adapted to stromal thickness. Patients were followed for up to 12 months with serial tomography and clinical evaluation.",
        "Results": "At one year, mean K2 flattening was 6.0 diopters, with a mean localized corneal thickness reduction of 39 µm over the cone, consistent with a controlled coupling effect. No significant adverse events were observed. The procedure demonstrated stable biomechanical outcomes with concurrent optical regularization.",
        "Conclusions": "CAMEO represents a shift from purely stabilizing cross-linking toward customized, optics-driven corneal remodeling. The platform can be performed in both laser-guided (CAMEO-LFX) and manual (CAMEO-M) formats, enabling broader accessibility and democratization of personalized cross-linking without reliance on proprietary systems."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAMEO represents a shift from purely stabilizing cross-linking toward customized, optics-driven corneal remodeling. The platform can be performed in both laser-guided (CAMEO-LFX) and manual (CAMEO-M) formats, enabling broader accessibility and democratization of personalized cross-linking without reliance on proprietary systems.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 855,
      "source_fields": {
        "Abstract Final Identifier": "POCOR167",
        "Title": "Cameo: Democratizing Customized Cross-Linking – One-Year Outcomes In 50 Eyes",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To present the clinical outcomes of the CAMEO platform (Customized Adaptive Masked Epi-On cross-linking), a wavefront-guided, platform-agnostic approach designed to regularize corneal optics while preserving stromal tissue.",
        "Setting": "Eye clinic Svjetlost, tertiary eye center",
        "Methods": "Fifty eyes with progressive keratoconus or ectasia underwent CAMEO treatment. The procedure uses total corneal wavefront-guided planning to create a customized epithelial break over the cone and a compensatory zone, employing the epithelium as a biological masking agent. Transepithelial riboflavin was applied, followed by fluence-controlled accelerated UV-A irradiation adapted to stromal thickness. Patients were followed for up to 12 months with serial tomography and clinical evaluation.",
        "Results": "At one year, mean K2 flattening was 6.0 diopters, with a mean localized corneal thickness reduction of 39 µm over the cone, consistent with a controlled coupling effect. No significant adverse events were observed. The procedure demonstrated stable biomechanical outcomes with concurrent optical regularization.",
        "Conclusions": "CAMEO represents a shift from purely stabilizing cross-linking toward customized, optics-driven corneal remodeling. The platform can be performed in both laser-guided (CAMEO-LFX) and manual (CAMEO-M) formats, enabling broader accessibility and democratization of personalized cross-linking without reliance on proprietary systems."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 183
    },
    {
      "uid": "POCOR168",
      "abstract_number": "POCOR168",
      "title": "Contrast Sensitivity And Higher Order Aberrations In Patients With Keratoconus After Corneal Collagen Cross- Linking",
      "authors": "Dr Asaad A. Ghanem",
      "presenter": "Dr Asaad A. Ghanem",
      "normalized_authors": [
        "Asaad A. Ghanem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Asaad A. Ghanem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate postoperative changes in visual acuity, contrast sensitivity, keratometric parameters, and HOAs in keratoconus patients following accelerated epithelium-off CXL.",
        "Setting": "Mansoura Ophthalmic Center, Mansoura University, Egypt",
        "Methods": "This prospective interventional study was held at Mansoura ophthalmic center, Mansoura university, Egypt. This study included 30 keratoconus patients who recieved corneal cross-linking surgery selected from outpatient clinic of Mansoura Ophthalmic Center during the period from May 2023 to May 2024. Visual acuity, contrast sensitivity, keratometric parameters, and HOAs were assessed preoperatively and followed up at 1,3 and 6 months postoperatively.",
        "Results": "Contrast sensitivity was decreased non-significantly from 1.14±0.55 to 1.11±0.48 at 1 month post CXL, then improved significantly by 6 months (p<0.001). HOAs, including RMS and spherical aberrations, increased initially from 2.18± to 2.23±0.39 and from 0.64±0.22 to 0.69±0.15 respectively but decreased significantly to 1.88±0.40 and 0.50±0.14 respectively at 6 months post-operatively, indicating enhanced optical quality. Vertical coma and horizontal coma reduced significantly at the end of follow up period, while trefoil changes were variable. Keratometric indices (K1, K2, Kmax) and astigmatism showed gradual post-operative reduction, while CCT and ARTmax improved significantly by 6 months.",
        "Conclusions": "Accelerated CXL in early keratoconus induces structural and functional alterations and leads to significant improvement in visual acuity, contrast sensitivity, keratometric stability, and HOAs by 6 months postoperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Accelerated CXL in early keratoconus induces structural and functional alterations and leads to significant improvement in visual acuity, contrast sensitivity, keratometric stability, and HOAs by 6 months postoperatively.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 856,
      "source_fields": {
        "Abstract Final Identifier": "POCOR168",
        "Title": "Contrast Sensitivity And Higher Order Aberrations In Patients With Keratoconus After Corneal Collagen Cross- Linking",
        "Presenting Author(s)": "Dr Asaad A. Ghanem",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Asaad",
        "Submitter Middle Name": "A.",
        "Submitter Last Name": "Ghanem",
        "Country Name": "Egypt",
        "Purpose": "To evaluate postoperative changes in visual acuity, contrast sensitivity, keratometric parameters, and HOAs in keratoconus patients following accelerated epithelium-off CXL.",
        "Setting": "Mansoura Ophthalmic Center, Mansoura University, Egypt",
        "Methods": "This prospective interventional study was held at Mansoura ophthalmic center, Mansoura university, Egypt. This study included 30 keratoconus patients who recieved corneal cross-linking surgery selected from outpatient clinic of Mansoura Ophthalmic Center during the period from May 2023 to May 2024. Visual acuity, contrast sensitivity, keratometric parameters, and HOAs were assessed preoperatively and followed up at 1,3 and 6 months postoperatively.",
        "Results": "Contrast sensitivity was decreased non-significantly from 1.14±0.55 to 1.11±0.48 at 1 month post CXL, then improved significantly by 6 months (p<0.001). HOAs, including RMS and spherical aberrations, increased initially from 2.18± to 2.23±0.39 and from 0.64±0.22 to 0.69±0.15 respectively but decreased significantly to 1.88±0.40 and 0.50±0.14 respectively at 6 months post-operatively, indicating enhanced optical quality. Vertical coma and horizontal coma reduced significantly at the end of follow up period, while trefoil changes were variable. Keratometric indices (K1, K2, Kmax) and astigmatism showed gradual post-operative reduction, while CCT and ARTmax improved significantly by 6 months.",
        "Conclusions": "Accelerated CXL in early keratoconus induces structural and functional alterations and leads to significant improvement in visual acuity, contrast sensitivity, keratometric stability, and HOAs by 6 months postoperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCOR169",
      "abstract_number": "POCOR169",
      "title": "Corneal Topographic Index Changes Following Standard Corneal Collagen Cross-Linking In\nProgressive Keratoconus: A 6-Month Prospective Controlled Study",
      "authors": "Dr YAREN GUVEN",
      "presenter": "Dr YAREN GUVEN",
      "normalized_authors": [
        "YAREN GUVEN"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yaren Guven",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the effect of standard epithelium-off corneal collagen cross-linking (CXL) on corneal topographic\n\nindices including maximum keratometry (Kmax), simulated keratometry (simK), index of surface variance (ISV),\n\nindex of vertical asymmetry (IVA), keratoconus index (KI), and corneal astigmatism over a 6-month follow-up\n\nperiod in progressive keratoconus patients.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey.\n\nProspective controlled study.",
        "Methods": "Sixty eyes of 60 patients with progressive keratoconus (Kmax increase ≥1.0 D over 6-12 months) underwent standard Dresden protocol CXL (epithelium-off, riboflavin 0.1%, UVA 370 nm, 3 mW/cm², 30 min); 60 healthy eyes served as controls. Corneal topography was performed preoperatively and at 1, 3, and 6 months postoperatively. Parameters included Kmax, Kmin, simK, corneal astigmatism, ISV, IVA, KI, CKI, and thinnest corneal thickness. Success was defined as stabilization (Kmax change ≤1.0 D) or improvement (Kmax decrease ≥0.5 D). Statistical analysis: repeated measures ANOVA and paired t-test (SPSS 23.0; p<0.05)",
        "Results": "Mean Kmax decreased significantly from 52.4±4.8 D preoperatively to 51.6±4.5 D at 6 months (mean reduction\n\n0.8±1.2 D; p=0.002). SimK decreased from 47.8±3.6 D to 47.2±3.4 D (p=0.014). ISV decreased from 68.2±24.1 to\n\n63.5±22.8 (p=0.008) and IVA decreased from 0.82±0.31 to 0.74±0.28 (p=0.003). KI showed minimal change\n\n(1.18±0.12 to 1.16±0.11; p=0.087). Corneal astigmatism decreased from 4.2±2.1 D to 3.8±1.9 D (p=0.023). At 6\n\nmonths, topographic stabilization was achieved in 91.7% (55/60) of eyes, with improvement in 43.3% (26/60) and\n\nprogression in only 8.3% (5/60). In the progressing eyes, mean Kmax increase was 1.3±0.2 D. At 1 month,\n\ntransient Kmax increase was observed (53.1±5.0 D; p=0.041), normalizing by 3 months.",
        "Conclusions": "Standard CXL effectively stabilizes corneal topography in progressive keratoconus, with topographic stabilization\n\nor improvement in over 90% of eyes at 6 months. Multiple topographic indices including ISV, IVA, and corneal\n\nastigmatism show statistically significant improvement. Clinicians should be aware of transient topographic\n\nworsening at 1 month, which does not predict treatment failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Standard CXL effectively stabilizes corneal topography in progressive keratoconus, with topographic stabilization or improvement in over 90% of eyes at 6 months. Multiple topographic indices including ISV, IVA, and corneal astigmatism show statistically significant improvement. Clinicians should be aware of transient topographic worsening at 1 month, which does not predict treatment failure.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 857,
      "source_fields": {
        "Abstract Final Identifier": "POCOR169",
        "Title": "Corneal Topographic Index Changes Following Standard Corneal Collagen Cross-Linking In\nProgressive Keratoconus: A 6-Month Prospective Controlled Study",
        "Presenting Author(s)": "Dr YAREN GUVEN",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Yaren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Guven",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the effect of standard epithelium-off corneal collagen cross-linking (CXL) on corneal topographic\n\nindices including maximum keratometry (Kmax), simulated keratometry (simK), index of surface variance (ISV),\n\nindex of vertical asymmetry (IVA), keratoconus index (KI), and corneal astigmatism over a 6-month follow-up\n\nperiod in progressive keratoconus patients.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey.\n\nProspective controlled study.",
        "Methods": "Sixty eyes of 60 patients with progressive keratoconus (Kmax increase ≥1.0 D over 6-12 months) underwent standard Dresden protocol CXL (epithelium-off, riboflavin 0.1%, UVA 370 nm, 3 mW/cm², 30 min); 60 healthy eyes served as controls. Corneal topography was performed preoperatively and at 1, 3, and 6 months postoperatively. Parameters included Kmax, Kmin, simK, corneal astigmatism, ISV, IVA, KI, CKI, and thinnest corneal thickness. Success was defined as stabilization (Kmax change ≤1.0 D) or improvement (Kmax decrease ≥0.5 D). Statistical analysis: repeated measures ANOVA and paired t-test (SPSS 23.0; p<0.05)",
        "Results": "Mean Kmax decreased significantly from 52.4±4.8 D preoperatively to 51.6±4.5 D at 6 months (mean reduction\n\n0.8±1.2 D; p=0.002). SimK decreased from 47.8±3.6 D to 47.2±3.4 D (p=0.014). ISV decreased from 68.2±24.1 to\n\n63.5±22.8 (p=0.008) and IVA decreased from 0.82±0.31 to 0.74±0.28 (p=0.003). KI showed minimal change\n\n(1.18±0.12 to 1.16±0.11; p=0.087). Corneal astigmatism decreased from 4.2±2.1 D to 3.8±1.9 D (p=0.023). At 6\n\nmonths, topographic stabilization was achieved in 91.7% (55/60) of eyes, with improvement in 43.3% (26/60) and\n\nprogression in only 8.3% (5/60). In the progressing eyes, mean Kmax increase was 1.3±0.2 D. At 1 month,\n\ntransient Kmax increase was observed (53.1±5.0 D; p=0.041), normalizing by 3 months.",
        "Conclusions": "Standard CXL effectively stabilizes corneal topography in progressive keratoconus, with topographic stabilization\n\nor improvement in over 90% of eyes at 6 months. Multiple topographic indices including ISV, IVA, and corneal\n\nastigmatism show statistically significant improvement. Clinicians should be aware of transient topographic\n\nworsening at 1 month, which does not predict treatment failure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "POCOR170",
      "abstract_number": "POCOR170",
      "title": "Long-Term Outcomes Of Photorefractive Intrastromal Cross-Linking (Pixl) For Hyperopia: Up To 8 Years Of Follow-Up Data",
      "authors": "Dr Zuzana Halasova",
      "presenter": "Dr Zuzana Halasova",
      "normalized_authors": [
        "Zuzana Halasova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zuzana Halasova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate the long-term effectiveness and safety of photorefractive intrastromal cross-linking (PiXL) in the treatment of hyperopia up to an 8-year follow-up period.",
        "Setting": "Gemini Eye Clinic, Zlin, Czech Republic.",
        "Methods": "Design: Prospective single-center follow-up study.\n\nTwenty-three low hyperopic eyes of 20 pseudophakic patients underwent PiXL according to a standardized protocol. Visual acuity, subjective distance refraction, keratometry, corneal topography, pachymetry, endothelial cell density (ECD), and adverse events were assessed during 6–8-year follow-up.",
        "Results": "Median manifest refraction spherical equivalent decreased by −0.69 D, closely matching the intended −0.75 D target, with long-term stability. Uncorrected distance visual acuity improved by a median −0.19 logMAR; corrected distance visual acuity remained stable with no eyes losing lines. Median keratometric steepening was observed (K1 +0.3 D, K2 +0.4 D, Kmean +0.28 D) and remained stable long term. Corneal astigmatism, higher-order aberrations, and spherical aberration showed minimal change. ECD and corneal thickness were preserved. Mild peripheral corneal haze occurred in one eye; no serious adverse events were reported. Refractive accuracy was high: 83% of eyes were within ±0.50 D and 96% within ±1.00 D of target.",
        "Conclusions": "Hyperopic PiXL provides a safe, minimally invasive method to correct low residual hyperopia in pseudophakic eyes, achieving predictable, stable hyperopic correction with long-term preservation of corneal structure and visual acuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hyperopic PiXL provides a safe, minimally invasive method to correct low residual hyperopia in pseudophakic eyes, achieving predictable, stable hyperopic correction with long-term preservation of corneal structure and visual acuity.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 858,
      "source_fields": {
        "Abstract Final Identifier": "POCOR170",
        "Title": "Long-Term Outcomes Of Photorefractive Intrastromal Cross-Linking (Pixl) For Hyperopia: Up To 8 Years Of Follow-Up Data",
        "Presenting Author(s)": "Dr Zuzana Halasova",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Zuzana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Halasova",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate the long-term effectiveness and safety of photorefractive intrastromal cross-linking (PiXL) in the treatment of hyperopia up to an 8-year follow-up period.",
        "Setting": "Gemini Eye Clinic, Zlin, Czech Republic.",
        "Methods": "Design: Prospective single-center follow-up study.\n\nTwenty-three low hyperopic eyes of 20 pseudophakic patients underwent PiXL according to a standardized protocol. Visual acuity, subjective distance refraction, keratometry, corneal topography, pachymetry, endothelial cell density (ECD), and adverse events were assessed during 6–8-year follow-up.",
        "Results": "Median manifest refraction spherical equivalent decreased by −0.69 D, closely matching the intended −0.75 D target, with long-term stability. Uncorrected distance visual acuity improved by a median −0.19 logMAR; corrected distance visual acuity remained stable with no eyes losing lines. Median keratometric steepening was observed (K1 +0.3 D, K2 +0.4 D, Kmean +0.28 D) and remained stable long term. Corneal astigmatism, higher-order aberrations, and spherical aberration showed minimal change. ECD and corneal thickness were preserved. Mild peripheral corneal haze occurred in one eye; no serious adverse events were reported. Refractive accuracy was high: 83% of eyes were within ±0.50 D and 96% within ±1.00 D of target.",
        "Conclusions": "Hyperopic PiXL provides a safe, minimally invasive method to correct low residual hyperopia in pseudophakic eyes, achieving predictable, stable hyperopic correction with long-term preservation of corneal structure and visual acuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCOR171",
      "abstract_number": "POCOR171",
      "title": "Title :\nCorneal Crosslinking Epi-Off Versus Epi-On Boosted With Oxygen In The Treatment Of Progressive Keratoconus : A Prospective Study In Algeria (05/2022–11/2024).",
      "authors": "Dr Fouad Hathat",
      "presenter": "Dr Fouad Hathat",
      "normalized_authors": [
        "Fouad Hathat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fouad Hathat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "Titre : Crosslinking épi-off versus crosslinking épi-on boosté à l’oxygène dans le traitement du kératocône évolutif\n\nObjectif : Comparer l’efficacité et la sécurité du crosslinking cornéen épithélium-off (CXL epi-off) et épithélium-on boosté à l’oxygène (CXL epi-on O2) dans le traitement du kératocône évolutif.",
        "Setting": "Étude prospective menée à l’Hôpital Central de l’Armée, Alger, Algérie (05/2022–11/2024), incluant 151 yeux (57 epi-off, 94 epi-on O2). Les critères d’évaluation à 12 mois étaient la régression (↓ Kmax ≥ 1 D), la stabilité, et la progression. Les complications ont été analysées.",
        "Methods": "Méthodes : Étude prospective menée à l’Hôpital Central de l’Armée, Alger, Algérie (05/2022–11/2024), incluant 151 yeux (57 epi-off, 94 epi-on O2). Les critères d’évaluation à 12 mois étaient la régression (↓ Kmax ≥ 1 D), la stabilité, et la progression. Les complications ont été analysées.",
        "Results": "Résultats : Efficacité : CXL epi-off a montré une régression significativement plus élevée (38,6 % vs 18,1 %, p = 0,0052) et un taux de progression moindre (5,3 % vs 9,6 %, p = 0,36, non significatif). CXL epi-on O2 a présenté une stabilité supérieure (72,3 % vs 56,1 %, p = 0,023).\n\nSécurité : Le haze cornéen était plus fréquent avec l’epi-off (24,6 % vs 3,2 %, p < 0,001). Les complications sévères (kératite septique, infiltrat stérile, œdème cornéen, retard de cicatrisation) étaient de 7,0 % pour l’epi-off et 0 % pour l’epi-on O2. Aucune brûlure endothéliale ni hydrops n’a été observée.",
        "Conclusions": "Conclusion : Le CXL epi-off est plus efficace pour induire une régression du kératocône, tandis que le CXL epi-on boosté à l’oxygène privilégie la stabilité avec une approche moins invasive, particulièrement pour les stades avancés.La stratégie proposée guide la prise en charge personnalisée du kératocône évolutif, en tenant compte des caractéristiques cliniques et des résultats à 12 mois. Des études à plus long terme sont nécessaires pour valider ces observations et affiner ces résultats."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion : Le CXL epi-off est plus efficace pour induire une régression du kératocône, tandis que le CXL epi-on boosté à l’oxygène privilégie la stabilité avec une approche moins invasive, particulièrement pour les stades avancés.La stratégie proposée guide la prise en charge personnalisée du kératocône évolutif, en tenant compte des caractéristiques cliniques et des résultats à 12 mois. Des études à plus long…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 859,
      "source_fields": {
        "Abstract Final Identifier": "POCOR171",
        "Title": "Title :\nCorneal Crosslinking Epi-Off Versus Epi-On Boosted With Oxygen In The Treatment Of Progressive Keratoconus : A Prospective Study In Algeria (05/2022–11/2024).",
        "Presenting Author(s)": "Dr Fouad Hathat",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Fouad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hathat",
        "Country Name": "Algeria",
        "Purpose": "Titre : Crosslinking épi-off versus crosslinking épi-on boosté à l’oxygène dans le traitement du kératocône évolutif\n\nObjectif : Comparer l’efficacité et la sécurité du crosslinking cornéen épithélium-off (CXL epi-off) et épithélium-on boosté à l’oxygène (CXL epi-on O2) dans le traitement du kératocône évolutif.",
        "Setting": "Étude prospective menée à l’Hôpital Central de l’Armée, Alger, Algérie (05/2022–11/2024), incluant 151 yeux (57 epi-off, 94 epi-on O2). Les critères d’évaluation à 12 mois étaient la régression (↓ Kmax ≥ 1 D), la stabilité, et la progression. Les complications ont été analysées.",
        "Methods": "Méthodes : Étude prospective menée à l’Hôpital Central de l’Armée, Alger, Algérie (05/2022–11/2024), incluant 151 yeux (57 epi-off, 94 epi-on O2). Les critères d’évaluation à 12 mois étaient la régression (↓ Kmax ≥ 1 D), la stabilité, et la progression. Les complications ont été analysées.",
        "Results": "Résultats : Efficacité : CXL epi-off a montré une régression significativement plus élevée (38,6 % vs 18,1 %, p = 0,0052) et un taux de progression moindre (5,3 % vs 9,6 %, p = 0,36, non significatif). CXL epi-on O2 a présenté une stabilité supérieure (72,3 % vs 56,1 %, p = 0,023).\n\nSécurité : Le haze cornéen était plus fréquent avec l’epi-off (24,6 % vs 3,2 %, p < 0,001). Les complications sévères (kératite septique, infiltrat stérile, œdème cornéen, retard de cicatrisation) étaient de 7,0 % pour l’epi-off et 0 % pour l’epi-on O2. Aucune brûlure endothéliale ni hydrops n’a été observée.",
        "Conclusions": "Conclusion : Le CXL epi-off est plus efficace pour induire une régression du kératocône, tandis que le CXL epi-on boosté à l’oxygène privilégie la stabilité avec une approche moins invasive, particulièrement pour les stades avancés.La stratégie proposée guide la prise en charge personnalisée du kératocône évolutif, en tenant compte des caractéristiques cliniques et des résultats à 12 mois. Des études à plus long terme sont nécessaires pour valider ces observations et affiner ces résultats."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 303
    },
    {
      "uid": "POCOR172",
      "abstract_number": "POCOR172",
      "title": "Frequent Reapplication Of Hpmc-Based Riboflavin Solution Impairs Corneal Stiffening During Uv-Light Irradiation In Cxl Procedures",
      "authors": "Dr Robert Herber",
      "presenter": "Dr Robert Herber",
      "normalized_authors": [
        "Robert Herber"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Robert Herber",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To investigate the influence of different application frequencies of HPMC-based riboflavin (RF) during UV irradiation on corneal biomechanical stiffening and riboflavin concentrations after inhibition in porcine eyes.",
        "Setting": "Experimental laboratory study",
        "Methods": "150 freshly enucleated porcine eyes underwent accelerated cross-linking using a 9×10 protocol, with standardized RF inhibition prior to UV irradiation. Eyes were divided into five groups based on drop application during UV exposure: (1) RF every 1 minute , (2) RF once after 5 minutes, (3) Balanced salt solution (BSS) after 5 minutes, (4) BSS-soaked sponge post-inhibition, followed by BSS after 5 minutes, (5) Control group. Primary outcome was Young’s modulus measured by corneal strip extensometry. Secondary outcomes included UV transmission during irradiation. RF concentrations post-inhibition were assessed via two-photon microscopy under three conditions: BSS rinsing, swabbing with a BSS-soaked sponge, and a RF-soaked sponge.",
        "Results": "At 10% strain, Groups 2 and 3 showed significantly higher Young’s modulus than the control (p<0.05), while Groups 1 and 4 did not differ significantly. UV transmission was lowest in Group 1 and highest in the others. RF concentration decreased after BSS rinsing but remained stable with RF-soaked sponge application.",
        "Conclusions": "RF application during UV exposure influences corneal stiffening due to a shielding effect, with lower UV availability correlating with reduced biomechanical enhancement. Additionally, corneal preparation post-inhibition plays a critical role in optimizing treatment efficacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RF application during UV exposure influences corneal stiffening due to a shielding effect, with lower UV availability correlating with reduced biomechanical enhancement. Additionally, corneal preparation post-inhibition plays a critical role in optimizing treatment efficacy.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 860,
      "source_fields": {
        "Abstract Final Identifier": "POCOR172",
        "Title": "Frequent Reapplication Of Hpmc-Based Riboflavin Solution Impairs Corneal Stiffening During Uv-Light Irradiation In Cxl Procedures",
        "Presenting Author(s)": "Dr Robert Herber",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Robert",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Herber",
        "Country Name": "Germany",
        "Purpose": "To investigate the influence of different application frequencies of HPMC-based riboflavin (RF) during UV irradiation on corneal biomechanical stiffening and riboflavin concentrations after inhibition in porcine eyes.",
        "Setting": "Experimental laboratory study",
        "Methods": "150 freshly enucleated porcine eyes underwent accelerated cross-linking using a 9×10 protocol, with standardized RF inhibition prior to UV irradiation. Eyes were divided into five groups based on drop application during UV exposure: (1) RF every 1 minute , (2) RF once after 5 minutes, (3) Balanced salt solution (BSS) after 5 minutes, (4) BSS-soaked sponge post-inhibition, followed by BSS after 5 minutes, (5) Control group. Primary outcome was Young’s modulus measured by corneal strip extensometry. Secondary outcomes included UV transmission during irradiation. RF concentrations post-inhibition were assessed via two-photon microscopy under three conditions: BSS rinsing, swabbing with a BSS-soaked sponge, and a RF-soaked sponge.",
        "Results": "At 10% strain, Groups 2 and 3 showed significantly higher Young’s modulus than the control (p<0.05), while Groups 1 and 4 did not differ significantly. UV transmission was lowest in Group 1 and highest in the others. RF concentration decreased after BSS rinsing but remained stable with RF-soaked sponge application.",
        "Conclusions": "RF application during UV exposure influences corneal stiffening due to a shielding effect, with lower UV availability correlating with reduced biomechanical enhancement. Additionally, corneal preparation post-inhibition plays a critical role in optimizing treatment efficacy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "POCOR173",
      "abstract_number": "POCOR173",
      "title": "Long-Term Change In Corneal Curvature Following Corneal Crosslinking For Keratoconus",
      "authors": "Dr Naoko Kato",
      "presenter": "Dr Naoko Kato",
      "normalized_authors": [
        "Naoko Kato"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Naoko Kato",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Corneal crosslinking (CXL) is an effective and safe method to halt the progression of keratoconus. However, some cases showed re-progression even after the initial CXL and require the second CXL. The timing of the re-CXL has been reported from 1 year to several years after the initial CXL. We investigated in this study the postoperative outcome of eye with keratoconus, who underwent the CXL and could be followed 5 years, and evaluated the factors affecting re-progression or flattening of the corneal curvature after the surgery.",
        "Setting": "Minamiaoyama Eye Clinic",
        "Methods": "We retrospectively analyzed 63 eyes of 63 patients (50 males, 13 females; mean age 21.5 +/-7.0 years) with keratoconus who underwent CXL and were followed for at least 5 years. CXL was performed using the accelerated method with corneal epithelial removal and ultraviolet-A irradiation at 18.0 mW/cm 2 for 5 minutes. Postoperative outcomes were primarily assessed by visual acuity and steepest keratometric value (Ks) evaluated by corneal tomography. ΔKs was calculated as postoperative Ks minus preoperative Ks. Failure was defined an increase in Ks of ≥ 1.0 D (∆Ks ≥ 1.0 D). Re-CXL was performed when postoperative progression was observed, defined as a continuous increase of more than 1.0D in astigmatism, spherical equivalent, or Ks.",
        "Results": "The failure rate was 22.2% at 1 year, 17.5% at 3 years, and 25.4% at 5 years after the initial CXL. The ΔKs was −0.40 ± 2.90 D at 1 year, −1.46 ± 3.35 D at 3 years, and −1.42 ± 3.97 D at 5 years postoperatively. Ks significantly flattened between 1 and 3 years (p < 0.001), whereas no significant change was observed between 3 and 5 years (p = 0.75). Eyes with preoperative Ks > 55 D demonstrated greater flattening (−2.27 ± 3.65 D at 1 year, −4.29 ± 4.23 D at 3 years, and −4.58 ± 5.08 D at 5 years) compared with those with Ks ≤ 55 D (+0.47 ± 1.99 D, −0.14 ± 1.70 D, and +0.04 ± 2.16 D, respectively; p = 0.004, p < 0.001, and p < 0.001). One 17-year-old boy underwent repeat CXL. However, age was not significantly associated with failure rate.",
        "Conclusions": "CXL induced corneal flattening in majority of eyes with keratoconus. The flattening effect was more pronounced in eyes with advanced keratoconus (Ks > 55D) and progressed up to 3 years postoperatively, with no significant additional change thereafter. However, the failure rate increased at 5 years, suggesting the possibility of late re-progression after the initial CXL. Therefore, patients undergoing CXL procedure require long-term follow-up, as corneal curvature changes may occur even beyond 3 years after surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CXL induced corneal flattening in majority of eyes with keratoconus. The flattening effect was more pronounced in eyes with advanced keratoconus (Ks > 55D) and progressed up to 3 years postoperatively, with no significant additional change thereafter. However, the failure rate increased at 5 years, suggesting the possibility of late re-progression after the initial CXL. Therefore, patients undergoing CXL procedure…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 861,
      "source_fields": {
        "Abstract Final Identifier": "POCOR173",
        "Title": "Long-Term Change In Corneal Curvature Following Corneal Crosslinking For Keratoconus",
        "Presenting Author(s)": "Dr Naoko Kato",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Naoko",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kato",
        "Country Name": "Japan",
        "Purpose": "Corneal crosslinking (CXL) is an effective and safe method to halt the progression of keratoconus. However, some cases showed re-progression even after the initial CXL and require the second CXL. The timing of the re-CXL has been reported from 1 year to several years after the initial CXL. We investigated in this study the postoperative outcome of eye with keratoconus, who underwent the CXL and could be followed 5 years, and evaluated the factors affecting re-progression or flattening of the corneal curvature after the surgery.",
        "Setting": "Minamiaoyama Eye Clinic",
        "Methods": "We retrospectively analyzed 63 eyes of 63 patients (50 males, 13 females; mean age 21.5 +/-7.0 years) with keratoconus who underwent CXL and were followed for at least 5 years. CXL was performed using the accelerated method with corneal epithelial removal and ultraviolet-A irradiation at 18.0 mW/cm 2 for 5 minutes. Postoperative outcomes were primarily assessed by visual acuity and steepest keratometric value (Ks) evaluated by corneal tomography. ΔKs was calculated as postoperative Ks minus preoperative Ks. Failure was defined an increase in Ks of ≥ 1.0 D (∆Ks ≥ 1.0 D). Re-CXL was performed when postoperative progression was observed, defined as a continuous increase of more than 1.0D in astigmatism, spherical equivalent, or Ks.",
        "Results": "The failure rate was 22.2% at 1 year, 17.5% at 3 years, and 25.4% at 5 years after the initial CXL. The ΔKs was −0.40 ± 2.90 D at 1 year, −1.46 ± 3.35 D at 3 years, and −1.42 ± 3.97 D at 5 years postoperatively. Ks significantly flattened between 1 and 3 years (p < 0.001), whereas no significant change was observed between 3 and 5 years (p = 0.75). Eyes with preoperative Ks > 55 D demonstrated greater flattening (−2.27 ± 3.65 D at 1 year, −4.29 ± 4.23 D at 3 years, and −4.58 ± 5.08 D at 5 years) compared with those with Ks ≤ 55 D (+0.47 ± 1.99 D, −0.14 ± 1.70 D, and +0.04 ± 2.16 D, respectively; p = 0.004, p < 0.001, and p < 0.001). One 17-year-old boy underwent repeat CXL. However, age was not significantly associated with failure rate.",
        "Conclusions": "CXL induced corneal flattening in majority of eyes with keratoconus. The flattening effect was more pronounced in eyes with advanced keratoconus (Ks > 55D) and progressed up to 3 years postoperatively, with no significant additional change thereafter. However, the failure rate increased at 5 years, suggesting the possibility of late re-progression after the initial CXL. Therefore, patients undergoing CXL procedure require long-term follow-up, as corneal curvature changes may occur even beyond 3 years after surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 443
    },
    {
      "uid": "POCOR174",
      "abstract_number": "POCOR174",
      "title": "Long-Term Outcomes Of Repeated Corneal Collagen Cross-Linking For Progressive Keratoconus After Primary Treatment: A 5-Year Case Series",
      "authors": "Dr Efe Koser",
      "presenter": "Dr Efe Koser",
      "normalized_authors": [
        "Efe Koser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Efe Koser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate long-term clinical and tomographic outcomes of repeated corneal collagen cross-linking (CXL) performed due to progression after primary CXL in patients with keratoconus.",
        "Setting": "Single tertiary referral center, Department of Ophthalmology, cornea unit. Medical records of 1801 patients who underwent corneal CXL between January 2016 and 2021 were retrospectively reviewed; 472 had a minimum follow-up of 5 years. Among these, records of patients who underwent repeated CXL for documented progression were analyzed.",
        "Methods": "Four eyes of four patients (mean age 22.7 ± 4.57 years; 3 females, 1 male) with progressive keratoconus after primary CXL underwent repeated CXL. Patients were followed preoperatively and at 6 months, 1, 2, 3, 4, and 5 years postoperatively. The mean follow-up duration was 99.5 ± 20.8 months. Best-corrected visual acuity (BCVA, logMAR), endothelial parameters (endothelial cell density [ECD], hexagonality [HEX], coefficient of variation [CV]), and tomographic indices (maximum keratometry [Kmax], flat keratometry [K 1 ], steep keratometry [K 2 ], symmetry index front [SIF], symmetry index back [SIB], keratoconus vertex front [KVF], and keratoconus vertex back [KVB]) were analyzed. Due to the small sample size, nonparametric tests were used.",
        "Results": "The mean age at primary CXL was 18.25 ± 3.77 years, and the mean interval between primary and repeated CXL was 51.75 ± 8.05 months. Mean Kmax decreased significantly after repeat CXL, from 67.44 ± 6.29 D preoperatively to 62.75 ± 4.50 D at 5 years (p = 0.013). Significant changes over time were observed in SIF (p = 0.024) and KVF (p = 0.011). BCVA, ECD, HEX, CV, K 1 , K 2 , SIB and KVB showed no statistically significant change during follow-up (p > 0,05). Pairwise comparisons between preoperative and postoperative measurements did not reach statistical significance, likely due to limited statistical power. No intra- or postoperative complications were noted.",
        "Conclusions": "Repeated CXL may provide long-term stabilization of corneal topography in eyes with progression after primary treatment, without significant endothelial compromise. This procedure may represent a safe therapeutic option for selected patients, although larger studies are needed to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Repeated CXL may provide long-term stabilization of corneal topography in eyes with progression after primary treatment, without significant endothelial compromise. This procedure may represent a safe therapeutic option for selected patients, although larger studies are needed to confirm these findings.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 862,
      "source_fields": {
        "Abstract Final Identifier": "POCOR174",
        "Title": "Long-Term Outcomes Of Repeated Corneal Collagen Cross-Linking For Progressive Keratoconus After Primary Treatment: A 5-Year Case Series",
        "Presenting Author(s)": "Dr Efe Koser",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Efe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Koser",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate long-term clinical and tomographic outcomes of repeated corneal collagen cross-linking (CXL) performed due to progression after primary CXL in patients with keratoconus.",
        "Setting": "Single tertiary referral center, Department of Ophthalmology, cornea unit. Medical records of 1801 patients who underwent corneal CXL between January 2016 and 2021 were retrospectively reviewed; 472 had a minimum follow-up of 5 years. Among these, records of patients who underwent repeated CXL for documented progression were analyzed.",
        "Methods": "Four eyes of four patients (mean age 22.7 ± 4.57 years; 3 females, 1 male) with progressive keratoconus after primary CXL underwent repeated CXL. Patients were followed preoperatively and at 6 months, 1, 2, 3, 4, and 5 years postoperatively. The mean follow-up duration was 99.5 ± 20.8 months. Best-corrected visual acuity (BCVA, logMAR), endothelial parameters (endothelial cell density [ECD], hexagonality [HEX], coefficient of variation [CV]), and tomographic indices (maximum keratometry [Kmax], flat keratometry [K 1 ], steep keratometry [K 2 ], symmetry index front [SIF], symmetry index back [SIB], keratoconus vertex front [KVF], and keratoconus vertex back [KVB]) were analyzed. Due to the small sample size, nonparametric tests were used.",
        "Results": "The mean age at primary CXL was 18.25 ± 3.77 years, and the mean interval between primary and repeated CXL was 51.75 ± 8.05 months. Mean Kmax decreased significantly after repeat CXL, from 67.44 ± 6.29 D preoperatively to 62.75 ± 4.50 D at 5 years (p = 0.013). Significant changes over time were observed in SIF (p = 0.024) and KVF (p = 0.011). BCVA, ECD, HEX, CV, K 1 , K 2 , SIB and KVB showed no statistically significant change during follow-up (p > 0,05). Pairwise comparisons between preoperative and postoperative measurements did not reach statistical significance, likely due to limited statistical power. No intra- or postoperative complications were noted.",
        "Conclusions": "Repeated CXL may provide long-term stabilization of corneal topography in eyes with progression after primary treatment, without significant endothelial compromise. This procedure may represent a safe therapeutic option for selected patients, although larger studies are needed to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "POCOR175",
      "abstract_number": "POCOR175",
      "title": "Management Of Corneal Infiltrates After Corneal Cross-Linking: A Case Series",
      "authors": "oussama bassim",
      "presenter": "oussama bassim",
      "normalized_authors": [
        "oussama bassim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Younes Laarif",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To describe the incidence, risk factors, clinical characteristics, and management outcomes of corneal infiltrates following epithelium-off corneal cross-linking (CXL) in patients with keratoconus.",
        "Setting": "This prospective descriptive study was conducted over a 1-year period (January 2023 to May 2024) in the hospital of speciality of rabat in morroco.",
        "Methods": "This study included 90 eyes that underwent epithelium-off corneal cross-linking using accelerated or sub-400 protocols, depending on corneal thickness, at the Department of Ophthalmology A, Specialty Hospital of Rabat. Preoperative parameters included age, maximum keratometry (Kmax), minimal pachymetry, and anterior and posterior elevation. Patients were monitored postoperatively for the occurrence of corneal infiltrates, clinical course, and treatment outcomes.",
        "Results": "The mean age of the overall cohort was 22.3 years, with a mean Kmax of 54.3 D and a mean minimal pachymetry of 438.6 µm. Eight of 90 eyes (8.9%) developed postoperative corneal infiltrates. In this subgroup, the mean age was 18.8 years, mean Kmax was 58 D, and mean minimal pachymetry was 421 µm. Six of eight patients had a history of severe allergic conjunctivitis. Identified risk factors included active allergic keratoconjunctivitis, thin cornea (<425 µm), and advanced keratoconus (Kmax >60 D). Seven infiltrates were considered sterile based on early onset, absence of fluorescein staining, and poor response to antibiotic therapy. All patients were treated with intensive topical corticosteroids, with favorable outcomes.",
        "Conclusions": "Corneal infiltrates following epithelium-off CXL are uncommon but clinically significant complications, predominantly sterile in origin. Young age, advanced keratoconus, thin corneas, and allergic keratoconjunctivitis appear to be major risk factors. Early diagnosis and prompt corticosteroid therapy result in favorable visual outcomes in most cases. Careful preoperative screening and optimal control of ocular surface inflammation are essential to minimize risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal infiltrates following epithelium-off CXL are uncommon but clinically significant complications, predominantly sterile in origin. Young age, advanced keratoconus, thin corneas, and allergic keratoconjunctivitis appear to be major risk factors. Early diagnosis and prompt corticosteroid therapy result in favorable visual outcomes in most cases. Careful preoperative screening and optimal control of ocular…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 863,
      "source_fields": {
        "Abstract Final Identifier": "POCOR175",
        "Title": "Management Of Corneal Infiltrates After Corneal Cross-Linking: A Case Series",
        "Presenting Author(s)": "oussama bassim",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Younes",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Laarif",
        "Country Name": "Morocco",
        "Purpose": "To describe the incidence, risk factors, clinical characteristics, and management outcomes of corneal infiltrates following epithelium-off corneal cross-linking (CXL) in patients with keratoconus.",
        "Setting": "This prospective descriptive study was conducted over a 1-year period (January 2023 to May 2024) in the hospital of speciality of rabat in morroco.",
        "Methods": "This study included 90 eyes that underwent epithelium-off corneal cross-linking using accelerated or sub-400 protocols, depending on corneal thickness, at the Department of Ophthalmology A, Specialty Hospital of Rabat. Preoperative parameters included age, maximum keratometry (Kmax), minimal pachymetry, and anterior and posterior elevation. Patients were monitored postoperatively for the occurrence of corneal infiltrates, clinical course, and treatment outcomes.",
        "Results": "The mean age of the overall cohort was 22.3 years, with a mean Kmax of 54.3 D and a mean minimal pachymetry of 438.6 µm. Eight of 90 eyes (8.9%) developed postoperative corneal infiltrates. In this subgroup, the mean age was 18.8 years, mean Kmax was 58 D, and mean minimal pachymetry was 421 µm. Six of eight patients had a history of severe allergic conjunctivitis. Identified risk factors included active allergic keratoconjunctivitis, thin cornea (<425 µm), and advanced keratoconus (Kmax >60 D). Seven infiltrates were considered sterile based on early onset, absence of fluorescein staining, and poor response to antibiotic therapy. All patients were treated with intensive topical corticosteroids, with favorable outcomes.",
        "Conclusions": "Corneal infiltrates following epithelium-off CXL are uncommon but clinically significant complications, predominantly sterile in origin. Young age, advanced keratoconus, thin corneas, and allergic keratoconjunctivitis appear to be major risk factors. Early diagnosis and prompt corticosteroid therapy result in favorable visual outcomes in most cases. Careful preoperative screening and optimal control of ocular surface inflammation are essential to minimize risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCOR176",
      "abstract_number": "POCOR176",
      "title": "Pentacam Tomography Remains Highly Repeatable In Keratoconic Eyes Following Corneal Cross-Linking",
      "authors": "Dr Zung Mai",
      "presenter": "Dr Zung Mai",
      "normalized_authors": [
        "Zung Mai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zung Mai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "New Zealand",
      "sections": {
        "Purpose": "To determine whether corneal cross-linking (CXL) alters the intra-session repeatability of Pentacam tomographic measurements and whether repeatability remains stable across post-operative timepoints and disease severity.",
        "Setting": "Retrospective observational cohort study included 268 keratoconic eyes that underwent epithelium-off accelerated CXL at a tertiary care centre (Greenlane Clinical Centre, Auckland, New Zealand) between 2021 and 2023.",
        "Methods": "Each eye contributed one pre-operative and at least one post-operative visit with three consecutive same-session Pentacam scans. For each parameter and visit, within-subject standard deviation (Sw), repeatability limit (RP), coefficient of variation (CV%), and intraclass correlation coefficient (ICC 1,1) were calculated. Repeatability at post-operative timepoints (1, 3, 6, 12, 18, and 24 months) was compared with pre-operative values using linear regression with cluster-robust standard errors. Severity–repeatability analyses evaluated whether Sw or CV varied across TKC-defined mild, moderate, and advanced keratoconus groups. A complete-case subgroup (n = 20 eyes) was analysed as a sensitivity check.",
        "Results": "No statistically significant increases in Sw, RP, or CV were observed at any postoperative timepoint relative to pre-operative values (all p > 0.05). ICC values remained ≥0.90 across most parameters, indicating excellent repeatability; exceptions included KI at 3 months (ICC 0.86) and pachymetry indices at 6 months (ICC 0.66–0.83). Subgroup analyses showed similar repeatability trends, with isolated significant contrasts not replicated in the full cohort. Greater disease severity was associated with higher absolute Sw and CV, but not with differing postoperative repeatability patterns",
        "Conclusions": "Pentacam tomography maintains high intra-session repeatability after CXL, with no evidence of post-operative degradation up to 24 months, supporting its continued use for longitudinal monitoring of keratoconus after treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pentacam tomography maintains high intra-session repeatability after CXL, with no evidence of post-operative degradation up to 24 months, supporting its continued use for longitudinal monitoring of keratoconus after treatment.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 864,
      "source_fields": {
        "Abstract Final Identifier": "POCOR176",
        "Title": "Pentacam Tomography Remains Highly Repeatable In Keratoconic Eyes Following Corneal Cross-Linking",
        "Presenting Author(s)": "Dr Zung Mai",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Zung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mai",
        "Country Name": "New Zealand",
        "Purpose": "To determine whether corneal cross-linking (CXL) alters the intra-session repeatability of Pentacam tomographic measurements and whether repeatability remains stable across post-operative timepoints and disease severity.",
        "Setting": "Retrospective observational cohort study included 268 keratoconic eyes that underwent epithelium-off accelerated CXL at a tertiary care centre (Greenlane Clinical Centre, Auckland, New Zealand) between 2021 and 2023.",
        "Methods": "Each eye contributed one pre-operative and at least one post-operative visit with three consecutive same-session Pentacam scans. For each parameter and visit, within-subject standard deviation (Sw), repeatability limit (RP), coefficient of variation (CV%), and intraclass correlation coefficient (ICC 1,1) were calculated. Repeatability at post-operative timepoints (1, 3, 6, 12, 18, and 24 months) was compared with pre-operative values using linear regression with cluster-robust standard errors. Severity–repeatability analyses evaluated whether Sw or CV varied across TKC-defined mild, moderate, and advanced keratoconus groups. A complete-case subgroup (n = 20 eyes) was analysed as a sensitivity check.",
        "Results": "No statistically significant increases in Sw, RP, or CV were observed at any postoperative timepoint relative to pre-operative values (all p > 0.05). ICC values remained ≥0.90 across most parameters, indicating excellent repeatability; exceptions included KI at 3 months (ICC 0.86) and pachymetry indices at 6 months (ICC 0.66–0.83). Subgroup analyses showed similar repeatability trends, with isolated significant contrasts not replicated in the full cohort. Greater disease severity was associated with higher absolute Sw and CV, but not with differing postoperative repeatability patterns",
        "Conclusions": "Pentacam tomography maintains high intra-session repeatability after CXL, with no evidence of post-operative degradation up to 24 months, supporting its continued use for longitudinal monitoring of keratoconus after treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR177",
      "abstract_number": "POCOR177",
      "title": "Progressive Corneal Thinning And Flattening Post Collagen Cross Linking With Dresden Protocol - Visual And Topographic Outcomes",
      "authors": "Dr Roopashri Mallikarjuna",
      "presenter": "Dr Roopashri Mallikarjuna",
      "normalized_authors": [
        "Roopashri Mallikarjuna"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roopashri Mallikarjuna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the visual, tomographic and epithelial thickness changes in keratoconus eyes that developed excessive flattening and thinning after corneal collagen cross-linking (CXL) with the Dresden protocol.",
        "Setting": "Study conducted at Cornea department of a tertiary eye hospital in a metropolitan city.",
        "Methods": "A retrospective observational study including 11 eyes of 8 patients with keratoconus who had undergone standard epithelium-off CXL ranging from1.5 years to 12 years ago. Inclusion criteria were ≥4 D reduction in keratometry and ≥100 µm thinning at the thinnest point compared to baseline.Clinical data included visual acuity, history of eyerubbing/ allergy, keratometry, pachymetry, and anterior segment imaging. Scheimpflug tomography (Pentacam) and swept-source OCT (ANTERION®) assessed corneal and epithelial changes.The 11 included eyes had mild to severe keratoconus. Included eyes had undergone isotonic and hypotonic collagen cross linking depending on the thickness.",
        "Results": "Mean follow-up was 6.95 years (range: 1.5–12 years). Mean age at CXL was 17 years. 55% patients reported habitual eye rubbing.Best-corrected visual acuity similarly improved by ≥2 lines in 4 eyes (36.4%), while 6 eyes (54.5%) demonstrated ≥1-line gain . One eye underwent optical keratoplasty following post-CXL hydrops. The magnitude of flattening was classified as mild (4 D), moderate (4-8D), severe (>8D). Maximum flattening > 8.3D was seen in 27% eyes. 45.45 % of eyes demonstrated pachymetric thinning > 200 micron with severe reduction of 290 micron in 1 eye. Epithelial mapping demonstrated hyperplasia overlying zones of maximal stromal flattening, suggesting compensatory remodelling.",
        "Conclusions": "Excessive corneal flattening and thinning represents an uncommon long-term response after Dresden protocol collagen cross linking. Patients require prolonged follow-up with serial tomography, to identify these changes. Simultaneously, identifying individuals who are at risk for this pronounced effect and educating them about control of risk factors such as allergic eye disease and eye rubbing habits is important. Collagen cross linking, even though is a time tested modality of treatment in progressive keratoconus, should not be the end of care. Over decades our understanding of the sequelae of this procedure is still improving and therefore longterm followup of these patients is essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Excessive corneal flattening and thinning represents an uncommon long-term response after Dresden protocol collagen cross linking. Patients require prolonged follow-up with serial tomography, to identify these changes. Simultaneously, identifying individuals who are at risk for this pronounced effect and educating them about control of risk factors such as allergic eye disease and eye rubbing habits is important.…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 865,
      "source_fields": {
        "Abstract Final Identifier": "POCOR177",
        "Title": "Progressive Corneal Thinning And Flattening Post Collagen Cross Linking With Dresden Protocol - Visual And Topographic Outcomes",
        "Presenting Author(s)": "Dr Roopashri Mallikarjuna",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Roopashri",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mallikarjuna",
        "Country Name": "India",
        "Purpose": "To evaluate the visual, tomographic and epithelial thickness changes in keratoconus eyes that developed excessive flattening and thinning after corneal collagen cross-linking (CXL) with the Dresden protocol.",
        "Setting": "Study conducted at Cornea department of a tertiary eye hospital in a metropolitan city.",
        "Methods": "A retrospective observational study including 11 eyes of 8 patients with keratoconus who had undergone standard epithelium-off CXL ranging from1.5 years to 12 years ago. Inclusion criteria were ≥4 D reduction in keratometry and ≥100 µm thinning at the thinnest point compared to baseline.Clinical data included visual acuity, history of eyerubbing/ allergy, keratometry, pachymetry, and anterior segment imaging. Scheimpflug tomography (Pentacam) and swept-source OCT (ANTERION®) assessed corneal and epithelial changes.The 11 included eyes had mild to severe keratoconus. Included eyes had undergone isotonic and hypotonic collagen cross linking depending on the thickness.",
        "Results": "Mean follow-up was 6.95 years (range: 1.5–12 years). Mean age at CXL was 17 years. 55% patients reported habitual eye rubbing.Best-corrected visual acuity similarly improved by ≥2 lines in 4 eyes (36.4%), while 6 eyes (54.5%) demonstrated ≥1-line gain . One eye underwent optical keratoplasty following post-CXL hydrops. The magnitude of flattening was classified as mild (4 D), moderate (4-8D), severe (>8D). Maximum flattening > 8.3D was seen in 27% eyes. 45.45 % of eyes demonstrated pachymetric thinning > 200 micron with severe reduction of 290 micron in 1 eye. Epithelial mapping demonstrated hyperplasia overlying zones of maximal stromal flattening, suggesting compensatory remodelling.",
        "Conclusions": "Excessive corneal flattening and thinning represents an uncommon long-term response after Dresden protocol collagen cross linking. Patients require prolonged follow-up with serial tomography, to identify these changes. Simultaneously, identifying individuals who are at risk for this pronounced effect and educating them about control of risk factors such as allergic eye disease and eye rubbing habits is important. Collagen cross linking, even though is a time tested modality of treatment in progressive keratoconus, should not be the end of care. Over decades our understanding of the sequelae of this procedure is still improving and therefore longterm followup of these patients is essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POCOR178",
      "abstract_number": "POCOR178",
      "title": "Long-Term Structural And Functional Outcomes After Corneal Collagen Cross-Linking In Keratoconus Eyes Complicated By Central Toxic Keratopathy",
      "authors": "Dr Sohini Mandal",
      "presenter": "Dr Sohini Mandal",
      "normalized_authors": [
        "Sohini Mandal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sohini Mandal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate long-term visual, keratometric, and pachymetric outcomes in keratoconus eyes developing central toxic keratopathy (CTK) following corneal collagen cross-linking (CXL)",
        "Setting": "This retrospective study included 67 keratoconus eyes that developed CTK following epithelium-off CXL with iso-osmolar riboflavin performed between March 2019 and December 2025.",
        "Methods": "Uncorrected (UCVA) and best-corrected visual acuity (BCVA), maximum keratometry (Kmax), and thinnest pachymetry were assessed preoperatively and at final follow-up. Time-to-event analyses were conducted using Kaplan–Meier survival curves for BCVA deterioration (≥0.1 logMAR), Kmax progression (≥1.0 D), and pachymetry thinning (≥20 µm).",
        "Results": "Mean age at CXL was 18.6±5.2 years, with male predominance (64.2%). Mean follow-up was 331±492 days (range 7–1682). In eyes with paired data, Kmax decreased significantly from 57.9±6.0 D to 53.5±5.4 D (mean Δ −4.43 D; 95% CI −5.79 to −3.08; p<0.001; Cohen’s dz=−1.11). Kmax flattening ≥1.0 D occurred in 86.1% of eyes, while progression ≥1.0 D occurred in 5.6%. Kaplan–Meier analysis demonstrated high Kmax progression-free survival through 2 years. Thinnest pachymetry decreased significantly (mean Δ −86.1 µm; p<0.001; dz=−1.74), with thinning ≥20 µm occurring early (median 161 days) and plateauing thereafter. BCVA remained stable overall, with approximately 70% of eyes maintaining BCVA without deterioration at one year.",
        "Conclusions": "In keratoconus eyes complicated by post-CXL CTK resulted in sustained keratometric flattening and biomechanical stabilization with preservation of visual acuity in majority. Pachymetric thinning occurred predominantly early and stabilized thereafter, consistent with stromal remodelling rather than ongoing ectatic progression.\n\nFinancial Disclosure of all Authors\n\nNone"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In keratoconus eyes complicated by post-CXL CTK resulted in sustained keratometric flattening and biomechanical stabilization with preservation of visual acuity in majority. Pachymetric thinning occurred predominantly early and stabilized thereafter, consistent with stromal remodelling rather than ongoing ectatic progression. Financial Disclosure of all Authors None",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 866,
      "source_fields": {
        "Abstract Final Identifier": "POCOR178",
        "Title": "Long-Term Structural And Functional Outcomes After Corneal Collagen Cross-Linking In Keratoconus Eyes Complicated By Central Toxic Keratopathy",
        "Presenting Author(s)": "Dr Sohini Mandal",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Sohini",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mandal",
        "Country Name": "India",
        "Purpose": "To evaluate long-term visual, keratometric, and pachymetric outcomes in keratoconus eyes developing central toxic keratopathy (CTK) following corneal collagen cross-linking (CXL)",
        "Setting": "This retrospective study included 67 keratoconus eyes that developed CTK following epithelium-off CXL with iso-osmolar riboflavin performed between March 2019 and December 2025.",
        "Methods": "Uncorrected (UCVA) and best-corrected visual acuity (BCVA), maximum keratometry (Kmax), and thinnest pachymetry were assessed preoperatively and at final follow-up. Time-to-event analyses were conducted using Kaplan–Meier survival curves for BCVA deterioration (≥0.1 logMAR), Kmax progression (≥1.0 D), and pachymetry thinning (≥20 µm).",
        "Results": "Mean age at CXL was 18.6±5.2 years, with male predominance (64.2%). Mean follow-up was 331±492 days (range 7–1682). In eyes with paired data, Kmax decreased significantly from 57.9±6.0 D to 53.5±5.4 D (mean Δ −4.43 D; 95% CI −5.79 to −3.08; p<0.001; Cohen’s dz=−1.11). Kmax flattening ≥1.0 D occurred in 86.1% of eyes, while progression ≥1.0 D occurred in 5.6%. Kaplan–Meier analysis demonstrated high Kmax progression-free survival through 2 years. Thinnest pachymetry decreased significantly (mean Δ −86.1 µm; p<0.001; dz=−1.74), with thinning ≥20 µm occurring early (median 161 days) and plateauing thereafter. BCVA remained stable overall, with approximately 70% of eyes maintaining BCVA without deterioration at one year.",
        "Conclusions": "In keratoconus eyes complicated by post-CXL CTK resulted in sustained keratometric flattening and biomechanical stabilization with preservation of visual acuity in majority. Pachymetric thinning occurred predominantly early and stabilized thereafter, consistent with stromal remodelling rather than ongoing ectatic progression.\n\nFinancial Disclosure of all Authors\n\nNone"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POCOR179",
      "abstract_number": "POCOR179",
      "title": "Visual And Refractive Outcomes Of The Tel-Aviv Protocol For Keratoconus – First 400 Cases",
      "authors": "Prof. Michael Mimouni",
      "presenter": "Prof. Michael Mimouni",
      "normalized_authors": [
        "Michael Mimouni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mimouni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the visual and refractive outcomes of epithelial photorefractive keratectomy (ePRK) combined with corneal cross-linking (CXL) - the Tel-Aviv Protocol - in a large consecutive series of patients with progressive keratoconus.",
        "Setting": "Retrospective comparative study, Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "In this large-scale retrospective case series, consecutive eyes of patients with progressive keratoconus who underwent the Tel-Aviv Protocol at Care-Vision Laser Centers, Tel Aviv, Israel, were reviewed. The procedure consisted of a customized 50-µm laser ablation of the epithelium and anterior stroma using the EX500 excimer laser (Alcon Laboratories, Inc., Fort Worth, TX), targeting 50% of the manifest refractive astigmatism, followed by standard CXL. Data collected included pachymetry, keratometric values, spherical equivalent (SEQ), manifest refraction, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). These parameters were recorded preoperatively and at the final postoperative examination.",
        "Results": "The cohort comprised 400 eyes of 309 patients (73.0% male) with a mean age of 28.14±9.25 years and a mean follow-up of 810.60±1,025.17 days. Significant improvements (P<0.001) were seen: decimal BCVA from 0.61±0.22 to 0.75±0.21, UCVA from 0.20±0.19 to 0.50±0.29. Average keratometry decreased from 46.54±2.89 to 44.72±2.83D, K maximum from 48.04±3.39 to 46.05±3.28D, and K minimum from 45.04±2.70 to 43.38±2.63D. SEQ improved from -2.99±3.04 to -1.14±2.07D, sphere from -1.31±3.03 to -0.19±1.96D, and cylinder from -3.36±1.77 to -1.92±1.53D. Pachymetry decreased from 460.70±37.04 to 410.41±49.41 µm. Postoperative UCVA gains of ≥1, ≥2, and ≥3 lines occurred in 76.3%, 62.2%, and 48.4% of eyes, respectively; BCVA gains were 61.5%, 39.2%, and 24.3%.",
        "Conclusions": "In the largest reported series to date, the Tel-Aviv Protocol demonstrates significant improvement in both uncorrected and best-corrected visual acuity, with substantial reduction in keratometric values, astigmatism, and spherical equivalent, while maintaining a modest reduction in corneal thickness comparable to standard CXL with epithelial removal alone. These results confirm the efficacy and safety of the Tel-Aviv Protocol as a treatment option for progressive keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the largest reported series to date, the Tel-Aviv Protocol demonstrates significant improvement in both uncorrected and best-corrected visual acuity, with substantial reduction in keratometric values, astigmatism, and spherical equivalent, while maintaining a modest reduction in corneal thickness comparable to standard CXL with epithelial removal alone. These results confirm the efficacy and safety of the…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 867,
      "source_fields": {
        "Abstract Final Identifier": "POCOR179",
        "Title": "Visual And Refractive Outcomes Of The Tel-Aviv Protocol For Keratoconus – First 400 Cases",
        "Presenting Author(s)": "Prof. Michael Mimouni",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mimouni",
        "Country Name": "Israel",
        "Purpose": "To evaluate the visual and refractive outcomes of epithelial photorefractive keratectomy (ePRK) combined with corneal cross-linking (CXL) - the Tel-Aviv Protocol - in a large consecutive series of patients with progressive keratoconus.",
        "Setting": "Retrospective comparative study, Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "In this large-scale retrospective case series, consecutive eyes of patients with progressive keratoconus who underwent the Tel-Aviv Protocol at Care-Vision Laser Centers, Tel Aviv, Israel, were reviewed. The procedure consisted of a customized 50-µm laser ablation of the epithelium and anterior stroma using the EX500 excimer laser (Alcon Laboratories, Inc., Fort Worth, TX), targeting 50% of the manifest refractive astigmatism, followed by standard CXL. Data collected included pachymetry, keratometric values, spherical equivalent (SEQ), manifest refraction, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). These parameters were recorded preoperatively and at the final postoperative examination.",
        "Results": "The cohort comprised 400 eyes of 309 patients (73.0% male) with a mean age of 28.14±9.25 years and a mean follow-up of 810.60±1,025.17 days. Significant improvements (P<0.001) were seen: decimal BCVA from 0.61±0.22 to 0.75±0.21, UCVA from 0.20±0.19 to 0.50±0.29. Average keratometry decreased from 46.54±2.89 to 44.72±2.83D, K maximum from 48.04±3.39 to 46.05±3.28D, and K minimum from 45.04±2.70 to 43.38±2.63D. SEQ improved from -2.99±3.04 to -1.14±2.07D, sphere from -1.31±3.03 to -0.19±1.96D, and cylinder from -3.36±1.77 to -1.92±1.53D. Pachymetry decreased from 460.70±37.04 to 410.41±49.41 µm. Postoperative UCVA gains of ≥1, ≥2, and ≥3 lines occurred in 76.3%, 62.2%, and 48.4% of eyes, respectively; BCVA gains were 61.5%, 39.2%, and 24.3%.",
        "Conclusions": "In the largest reported series to date, the Tel-Aviv Protocol demonstrates significant improvement in both uncorrected and best-corrected visual acuity, with substantial reduction in keratometric values, astigmatism, and spherical equivalent, while maintaining a modest reduction in corneal thickness comparable to standard CXL with epithelial removal alone. These results confirm the efficacy and safety of the Tel-Aviv Protocol as a treatment option for progressive keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POCOR180",
      "abstract_number": "POCOR180",
      "title": "Long-Term Visual, Refractive, And Patient-Reported Satisfaction Of The Tel-Aviv Protocol (Eprk-Cxl) For Progressive Keratoconus",
      "authors": "Prof. Michael Mimouni",
      "presenter": "Prof. Michael Mimouni",
      "normalized_authors": [
        "Michael Mimouni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mimouni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the long-term visual, refractive, and patient-reported satisfaction of epithelial photorefractive keratectomy (ePRK) combined with corneal cross-linking (CXL) - the Tel-Aviv Protocol - in patients with progressive keratoconus.",
        "Setting": "Retrospective case series, Care-Vision Laser Centers, Tel Aviv, Israel.",
        "Methods": "In this retrospective case series, consecutive patients with progressive keratoconus who underwent ePRK-CXL at Care-Vision Laser Centers, Tel Aviv, Israel were included. Data collected included thinnest corneal thickness, keratometric values (average K, K minimum, K maximum), spherical equivalent (SEQ), manifest sphere and cylinder, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). Safety and efficacy indices were calculated. Additionally, patient-reported satisfaction regarding spectacle/contact lens dependence, satisfaction, and visual symptoms were assessed using a questionnaire.",
        "Results": "The study included 50 eyes of 38 patients (mean age 25.9 years) with a mean follow-up of 2,910±605 days (~8 years, range 5–12 years). Results demonstrated significant improvements (P<0.001) in BCVA (0.62 to 0.80) and UCVA (0.21 to 0.54). Safety and efficacy indices were 1.42 and 0.93. Tomography showed significant reductions (P<0.001) in K-max (47.51 to 45.95 D) and SEQ (-2.42 to -0.74 D). Post-operative pachymetry decreased from 448.65 to 418.93 µm. Patient-reported outcomes indicated high satisfaction (81.6%) and subjective visual improvement (76.3%). Spectacle independence was achieved in 52.6%. Halos and glare were rare or absent in 68.4%, and night glare remained unchanged for 73.7%. No cases of progression occurred.",
        "Conclusions": "The Tel-Aviv Protocol (ePRK-CXL) demonstrates stable long-term visual and refractive outcomes at a mean follow-up of approximately 8 years in patients with progressive keratoconus, with significant improvement in both UCVA and BCVA, reduction in keratometric values and astigmatism, high patient satisfaction, and low symptom burden. These long-term results support the durability, safety, and efficacy of the Tel-Aviv Protocol as a management option for progressive keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Tel-Aviv Protocol (ePRK-CXL) demonstrates stable long-term visual and refractive outcomes at a mean follow-up of approximately 8 years in patients with progressive keratoconus, with significant improvement in both UCVA and BCVA, reduction in keratometric values and astigmatism, high patient satisfaction, and low symptom burden. These long-term results support the durability, safety, and efficacy of the Tel-Aviv…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 868,
      "source_fields": {
        "Abstract Final Identifier": "POCOR180",
        "Title": "Long-Term Visual, Refractive, And Patient-Reported Satisfaction Of The Tel-Aviv Protocol (Eprk-Cxl) For Progressive Keratoconus",
        "Presenting Author(s)": "Prof. Michael Mimouni",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mimouni",
        "Country Name": "Israel",
        "Purpose": "To evaluate the long-term visual, refractive, and patient-reported satisfaction of epithelial photorefractive keratectomy (ePRK) combined with corneal cross-linking (CXL) - the Tel-Aviv Protocol - in patients with progressive keratoconus.",
        "Setting": "Retrospective case series, Care-Vision Laser Centers, Tel Aviv, Israel.",
        "Methods": "In this retrospective case series, consecutive patients with progressive keratoconus who underwent ePRK-CXL at Care-Vision Laser Centers, Tel Aviv, Israel were included. Data collected included thinnest corneal thickness, keratometric values (average K, K minimum, K maximum), spherical equivalent (SEQ), manifest sphere and cylinder, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). Safety and efficacy indices were calculated. Additionally, patient-reported satisfaction regarding spectacle/contact lens dependence, satisfaction, and visual symptoms were assessed using a questionnaire.",
        "Results": "The study included 50 eyes of 38 patients (mean age 25.9 years) with a mean follow-up of 2,910±605 days (~8 years, range 5–12 years). Results demonstrated significant improvements (P<0.001) in BCVA (0.62 to 0.80) and UCVA (0.21 to 0.54). Safety and efficacy indices were 1.42 and 0.93. Tomography showed significant reductions (P<0.001) in K-max (47.51 to 45.95 D) and SEQ (-2.42 to -0.74 D). Post-operative pachymetry decreased from 448.65 to 418.93 µm. Patient-reported outcomes indicated high satisfaction (81.6%) and subjective visual improvement (76.3%). Spectacle independence was achieved in 52.6%. Halos and glare were rare or absent in 68.4%, and night glare remained unchanged for 73.7%. No cases of progression occurred.",
        "Conclusions": "The Tel-Aviv Protocol (ePRK-CXL) demonstrates stable long-term visual and refractive outcomes at a mean follow-up of approximately 8 years in patients with progressive keratoconus, with significant improvement in both UCVA and BCVA, reduction in keratometric values and astigmatism, high patient satisfaction, and low symptom burden. These long-term results support the durability, safety, and efficacy of the Tel-Aviv Protocol as a management option for progressive keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR181",
      "abstract_number": "POCOR181",
      "title": "Predictors Of Treatment Success Following The Tel-Aviv Protocol For Keratoconus: A Combined Epithelial Photorefractive Keratectomy And Corneal Cross-Linking Approach",
      "authors": "Prof. Michael Mimouni",
      "presenter": "Prof. Michael Mimouni",
      "normalized_authors": [
        "Michael Mimouni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mimouni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To identify preoperative predictors of treatment success following the Tel-Aviv Protocol, a combined epithelial photorefractive keratectomy (ePRK) and corneal cross-linking (CXL) procedure for progressive keratoconus.",
        "Setting": "Retrospective Study, Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective study evaluated patients with progressive keratoconus who underwent the Tel-Aviv Protocol (50-µm laser epithelial ablation + 50% astigmatism correction + CXL). Treatment success was defined by 9 measures: Efficacy and Safety Indices >1, improvement in UCVA or BCVA (≥1 or ≥2 rows), and decreased severity via the General Severity Markers (GSM), Collaborative Longitudinal Evaluation of Keratoconus (CLEK), and Amsler–Krumeich (AK) grading systems. Univariable screening followed by multivariable binary logistic regression was performed to identify independent preoperative predictors, including age, sex, visual acuity, spherical equivalent, pachymetry, keratometric parameters, and severity indices.",
        "Results": "Multivariable regression analysis demonstrated that preoperative BCVA was an independent predictor across visual outcome indices. Patients with better baseline vision showed lower odds for Efficacy Index>1 (OR=0.033), Safety Index>1 (OR=0.011), and BCVA gains of ≥1 (OR=0.009) or ≥2 lines (OR=0.006). Steeper baseline Kmax predicted lower odds of a Safety Index>1 (OR=0.825) and visual gains (OR=0.785–0.717). Regarding severity scores, greater baseline myopia, reflected by a lower negative spherical equivalent (SEQ), predicted improvement in GSM and AK scores, while thinner corneas were associated with GSM improvement. Demographic factors, including age and sex, were not statistically significant predictors in any of the multivariable models.",
        "Conclusions": "Preoperative visual acuity is the strongest and most consistent predictor of treatment success following the Tel-Aviv Protocol across multiple outcome definitions. Patients with poorer baseline BCVA, flatter Kmax, and greater myopia demonstrate higher odds of achieving clinically meaningful improvement, reflecting greater capacity for therapeutic benefit. These findings may guide patient counseling and expectation management prior to ePRK-CXL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative visual acuity is the strongest and most consistent predictor of treatment success following the Tel-Aviv Protocol across multiple outcome definitions. Patients with poorer baseline BCVA, flatter Kmax, and greater myopia demonstrate higher odds of achieving clinically meaningful improvement, reflecting greater capacity for therapeutic benefit. These findings may guide patient counseling and expectation…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 869,
      "source_fields": {
        "Abstract Final Identifier": "POCOR181",
        "Title": "Predictors Of Treatment Success Following The Tel-Aviv Protocol For Keratoconus: A Combined Epithelial Photorefractive Keratectomy And Corneal Cross-Linking Approach",
        "Presenting Author(s)": "Prof. Michael Mimouni",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mimouni",
        "Country Name": "Israel",
        "Purpose": "To identify preoperative predictors of treatment success following the Tel-Aviv Protocol, a combined epithelial photorefractive keratectomy (ePRK) and corneal cross-linking (CXL) procedure for progressive keratoconus.",
        "Setting": "Retrospective Study, Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective study evaluated patients with progressive keratoconus who underwent the Tel-Aviv Protocol (50-µm laser epithelial ablation + 50% astigmatism correction + CXL). Treatment success was defined by 9 measures: Efficacy and Safety Indices >1, improvement in UCVA or BCVA (≥1 or ≥2 rows), and decreased severity via the General Severity Markers (GSM), Collaborative Longitudinal Evaluation of Keratoconus (CLEK), and Amsler–Krumeich (AK) grading systems. Univariable screening followed by multivariable binary logistic regression was performed to identify independent preoperative predictors, including age, sex, visual acuity, spherical equivalent, pachymetry, keratometric parameters, and severity indices.",
        "Results": "Multivariable regression analysis demonstrated that preoperative BCVA was an independent predictor across visual outcome indices. Patients with better baseline vision showed lower odds for Efficacy Index>1 (OR=0.033), Safety Index>1 (OR=0.011), and BCVA gains of ≥1 (OR=0.009) or ≥2 lines (OR=0.006). Steeper baseline Kmax predicted lower odds of a Safety Index>1 (OR=0.825) and visual gains (OR=0.785–0.717). Regarding severity scores, greater baseline myopia, reflected by a lower negative spherical equivalent (SEQ), predicted improvement in GSM and AK scores, while thinner corneas were associated with GSM improvement. Demographic factors, including age and sex, were not statistically significant predictors in any of the multivariable models.",
        "Conclusions": "Preoperative visual acuity is the strongest and most consistent predictor of treatment success following the Tel-Aviv Protocol across multiple outcome definitions. Patients with poorer baseline BCVA, flatter Kmax, and greater myopia demonstrate higher odds of achieving clinically meaningful improvement, reflecting greater capacity for therapeutic benefit. These findings may guide patient counseling and expectation management prior to ePRK-CXL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCOR182",
      "abstract_number": "POCOR182",
      "title": "Dual-Goal Therapy For Keratoconus: Staged Cxl And Ticl For Stability And Correction",
      "authors": "Mr Hu Mingyang",
      "presenter": "Mr Hu Mingyang",
      "normalized_authors": [
        "Hu Mingyang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hu Mingyang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of a sequential treatment combining Corneal Cross-Linking (CXL) with Toric Implantable Collamer Lens (TICL) implantation in patients with keratoconus. This study aims to validate the role of this combined therapy in improving visual acuity and arresting disease progression.",
        "Setting": "Keratoconus, a non-inflammatory ectatic disorder, involves corneal thinning and protrusion that causes progressive irregular astigmatism and severe vision loss, potentially leading to blindness. As conventional correction is often inadequate and laser surgery is contraindicated due to high risk, a safe and effective refractive surgical alternative is urgently needed for these patients.",
        "Methods": "This is a case report of a 22-year-old male with a 14-year history of progressive visual decline and a history of eye rubbing, who was diagnosed with keratoconus 5 years prior. A two-step “stabilize first, correct later” strategy was adopted. Initially, CXL was performed on the more severely affected right eye. One month postoperatively, following corneal stabilization, customized TICLs were implanted bilaterally to correct his high myopia and astigmatism.",
        "Results": "At the 1-day postoperative visit, the patient’s uncorrected visual acuity (UCVA) improved significantly from 0.1 preoperatively to 1.0-1.2 bilaterally. Intraocular pressure (IOP) was normal, and the TICLs were well-centered with a safe vault. Short-term follow-up showed significant improvement in vision, enhanced corneal stability, and halted progression of the keratoconus. Mild dry eye symptoms experienced in the early postoperative period resolved with symptomatic treatment.",
        "Conclusions": "This case demonstrates that for indicated patients, the two-step strategy of sequential CXL and TICL implantation yields excellent outcomes. This approach not only halts disease progression but also restores visual function, representing a safe, effective, and predictable procedure. It provides valuable experience and robust evidence for managing complex keratoconus cases. Future refinements in cross-linking technology are expected to further broaden the application of this combined strategy, offering a more comprehensive treatment solution for patients with keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case demonstrates that for indicated patients, the two-step strategy of sequential CXL and TICL implantation yields excellent outcomes. This approach not only halts disease progression but also restores visual function, representing a safe, effective, and predictable procedure. It provides valuable experience and robust evidence for managing complex keratoconus cases. Future refinements in cross-linking…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 870,
      "source_fields": {
        "Abstract Final Identifier": "POCOR182",
        "Title": "Dual-Goal Therapy For Keratoconus: Staged Cxl And Ticl For Stability And Correction",
        "Presenting Author(s)": "Mr Hu Mingyang",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Hu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mingyang",
        "Country Name": "China",
        "Purpose": "To evaluate the efficacy and safety of a sequential treatment combining Corneal Cross-Linking (CXL) with Toric Implantable Collamer Lens (TICL) implantation in patients with keratoconus. This study aims to validate the role of this combined therapy in improving visual acuity and arresting disease progression.",
        "Setting": "Keratoconus, a non-inflammatory ectatic disorder, involves corneal thinning and protrusion that causes progressive irregular astigmatism and severe vision loss, potentially leading to blindness. As conventional correction is often inadequate and laser surgery is contraindicated due to high risk, a safe and effective refractive surgical alternative is urgently needed for these patients.",
        "Methods": "This is a case report of a 22-year-old male with a 14-year history of progressive visual decline and a history of eye rubbing, who was diagnosed with keratoconus 5 years prior. A two-step “stabilize first, correct later” strategy was adopted. Initially, CXL was performed on the more severely affected right eye. One month postoperatively, following corneal stabilization, customized TICLs were implanted bilaterally to correct his high myopia and astigmatism.",
        "Results": "At the 1-day postoperative visit, the patient’s uncorrected visual acuity (UCVA) improved significantly from 0.1 preoperatively to 1.0-1.2 bilaterally. Intraocular pressure (IOP) was normal, and the TICLs were well-centered with a safe vault. Short-term follow-up showed significant improvement in vision, enhanced corneal stability, and halted progression of the keratoconus. Mild dry eye symptoms experienced in the early postoperative period resolved with symptomatic treatment.",
        "Conclusions": "This case demonstrates that for indicated patients, the two-step strategy of sequential CXL and TICL implantation yields excellent outcomes. This approach not only halts disease progression but also restores visual function, representing a safe, effective, and predictable procedure. It provides valuable experience and robust evidence for managing complex keratoconus cases. Future refinements in cross-linking technology are expected to further broaden the application of this combined strategy, offering a more comprehensive treatment solution for patients with keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POCOR183",
      "abstract_number": "POCOR183",
      "title": "Impact Of Delay In Treatment On Disease Progression Of Patients With Keratoconus Listed For Collagen Cross Linking –Cxl",
      "authors": "Dr Mohib Naseer",
      "presenter": "Dr Mohib Naseer",
      "normalized_authors": [
        "Mohib Naseer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohib Naseer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To find out if delays longer than 12 weeks between listing and treatment for epithelium-off corneal collagen cross-linking (CXL) are linked to noticeable progression of keratoconus, especially concerning the anterior corneal curvature parameters.",
        "Setting": "Keratoconus is a progressive disorder that causes the cornea to bulge. It is important to perform CXL on time to stop the mechanical decline. Pressures in the NHS for elective care often result in longer waiting times. However, there is little evidence on the structural changes in the cornea during these delays. Understanding how waiting time affects outcomes is vital for improving service delivery and preventing unnecessary worsening.",
        "Methods": "We conducted a retrospective audit of 77 eyes from 60 patients with keratoconus who received epi-off CXL at James Cook University Hospital from May 2022 to December 2024. We recorded Pentacam AXL parameters, which included anterior curvature (Kmax, K1, K2), posterior curvature (K1 back, K2 back), and pachymetry at the time of listing and on the day of surgery. We divided the eyes into Group A (≤12-week wait; n = 40) and Group B (>12-week wait; n = 37). We used paired-samples t-tests (α = 0.05) and Cohen’s d to measure changes within each group.",
        "Results": "Group A showed very little anterior progression, with a small but significant increase in Kmax (+0.29 D, p = 0.016). Group B exhibited much greater steepening, with Kmax increasing by +0.85 D (p = 0.013), along with significant increases in K1 (+0.58 D, p = 0.026) and K2 (+0.44 D, p = 0.028). Changes in posterior curvature were small and mostly non-significant. Pachymetric parameters displayed limited sensitivity to treatment delays",
        "Conclusions": "Waiting more than 12 weeks for CXL is linked to clinically significant anterior corneal progression. Setting a maximum wait time of 12 weeks and prioritizing high-risk cases may help reduce worsening before surgery and improve long-term structural outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Waiting more than 12 weeks for CXL is linked to clinically significant anterior corneal progression. Setting a maximum wait time of 12 weeks and prioritizing high-risk cases may help reduce worsening before surgery and improve long-term structural outcomes.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 871,
      "source_fields": {
        "Abstract Final Identifier": "POCOR183",
        "Title": "Impact Of Delay In Treatment On Disease Progression Of Patients With Keratoconus Listed For Collagen Cross Linking –Cxl",
        "Presenting Author(s)": "Dr Mohib Naseer",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Mohib",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naseer",
        "Country Name": "United Kingdom",
        "Purpose": "To find out if delays longer than 12 weeks between listing and treatment for epithelium-off corneal collagen cross-linking (CXL) are linked to noticeable progression of keratoconus, especially concerning the anterior corneal curvature parameters.",
        "Setting": "Keratoconus is a progressive disorder that causes the cornea to bulge. It is important to perform CXL on time to stop the mechanical decline. Pressures in the NHS for elective care often result in longer waiting times. However, there is little evidence on the structural changes in the cornea during these delays. Understanding how waiting time affects outcomes is vital for improving service delivery and preventing unnecessary worsening.",
        "Methods": "We conducted a retrospective audit of 77 eyes from 60 patients with keratoconus who received epi-off CXL at James Cook University Hospital from May 2022 to December 2024. We recorded Pentacam AXL parameters, which included anterior curvature (Kmax, K1, K2), posterior curvature (K1 back, K2 back), and pachymetry at the time of listing and on the day of surgery. We divided the eyes into Group A (≤12-week wait; n = 40) and Group B (>12-week wait; n = 37). We used paired-samples t-tests (α = 0.05) and Cohen’s d to measure changes within each group.",
        "Results": "Group A showed very little anterior progression, with a small but significant increase in Kmax (+0.29 D, p = 0.016). Group B exhibited much greater steepening, with Kmax increasing by +0.85 D (p = 0.013), along with significant increases in K1 (+0.58 D, p = 0.026) and K2 (+0.44 D, p = 0.028). Changes in posterior curvature were small and mostly non-significant. Pachymetric parameters displayed limited sensitivity to treatment delays",
        "Conclusions": "Waiting more than 12 weeks for CXL is linked to clinically significant anterior corneal progression. Setting a maximum wait time of 12 weeks and prioritizing high-risk cases may help reduce worsening before surgery and improve long-term structural outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POCOR184",
      "abstract_number": "POCOR184",
      "title": "Prospective Evaluation Of The Effect Of Corneal Collagen Cross-Linking On Limbal Epithelial Thickness In Keratoconus",
      "authors": "Dr Gorsel Sali",
      "presenter": "Dr Gorsel Sali",
      "normalized_authors": [
        "Gorsel Sali"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gorsel Sali",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aimed to evaluate the changes in corneal limbal epithelial thickness (LET) in patients who underwent accelerated corneal collagen cross-linking (CXL) (18 mW/cm² for 5 minutes) due to progressive keratoconus (KC).",
        "Setting": "The study was conducted at the Cornea and Ocular Surface Diseases Unit of the Department of Ophthalmology, Balikesir University . Keratoconus was diagnosed by an experienced cornea specialist, and corneal cross-linking (CXL) was performed in patients who demonstrated progression during follow-up.",
        "Methods": "Best-corrected visual acuity (BCVA), central corneal thickness (CCT), and manual limbal epithelial thickness (LET) measurements in the nasal and temporal quadrants were obtained using an anterior segment optical coherence tomography device (AS-OCT, AngioVue, Freemont, CA) before corneal collagen cross-linking and on postoperative day 1, week 1, and month 1. The average epithelial thickness located along a line drawn 1 mm centrally from the scleral spur at the corneoscleral transition zone was defined as ‘limbal epithelial thickness.’ These measurements were recorded separately for the nasal and temporal quadrants, and values from all visits were compared.",
        "Results": "A total of 10 eyes from 10 patients (8 males, 2 females) with a mean age of 19.1±3.6 years were included in the study. Preoperative BCVA was 0.53±0.33 and 0.52±0.30 at the 1-month visit (p=0.598). Preoperative, postoperative day 1, week 1, and month 1 LET measurements were as follows: in the temporal quadrant, 62.8±4.6 µm, 65.6±6.9 µm, 64.7±3.0 µm, and 65.8±3.7 µm; and in the nasal quadrant, 59.8±4.0 µm, 63.8±3.8 µm, 64.5±2.8 µm, and 64.7±2.6 µm, respectively. A significant difference between visits was observed only between the week 1 and month 1 measurements in both the temporal and nasal quadrants (p=0.007 and p=0.009, respectively). No significant difference was found in CCT measurements across visits (p>0.05).",
        "Conclusions": "In corneal CXL treatment, no acute alteration occurs in the limbal epithelium due to the protection of the limbal region from UV exposure. The change observed around the first month after treatment is not directly related to the procedure itself and may instead be associated with ocular surface inflammation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In corneal CXL treatment, no acute alteration occurs in the limbal epithelium due to the protection of the limbal region from UV exposure. The change observed around the first month after treatment is not directly related to the procedure itself and may instead be associated with ocular surface inflammation.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 872,
      "source_fields": {
        "Abstract Final Identifier": "POCOR184",
        "Title": "Prospective Evaluation Of The Effect Of Corneal Collagen Cross-Linking On Limbal Epithelial Thickness In Keratoconus",
        "Presenting Author(s)": "Dr Gorsel Sali",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Gorsel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sali",
        "Country Name": "Türkiye",
        "Purpose": "This study aimed to evaluate the changes in corneal limbal epithelial thickness (LET) in patients who underwent accelerated corneal collagen cross-linking (CXL) (18 mW/cm² for 5 minutes) due to progressive keratoconus (KC).",
        "Setting": "The study was conducted at the Cornea and Ocular Surface Diseases Unit of the Department of Ophthalmology, Balikesir University . Keratoconus was diagnosed by an experienced cornea specialist, and corneal cross-linking (CXL) was performed in patients who demonstrated progression during follow-up.",
        "Methods": "Best-corrected visual acuity (BCVA), central corneal thickness (CCT), and manual limbal epithelial thickness (LET) measurements in the nasal and temporal quadrants were obtained using an anterior segment optical coherence tomography device (AS-OCT, AngioVue, Freemont, CA) before corneal collagen cross-linking and on postoperative day 1, week 1, and month 1. The average epithelial thickness located along a line drawn 1 mm centrally from the scleral spur at the corneoscleral transition zone was defined as ‘limbal epithelial thickness.’ These measurements were recorded separately for the nasal and temporal quadrants, and values from all visits were compared.",
        "Results": "A total of 10 eyes from 10 patients (8 males, 2 females) with a mean age of 19.1±3.6 years were included in the study. Preoperative BCVA was 0.53±0.33 and 0.52±0.30 at the 1-month visit (p=0.598). Preoperative, postoperative day 1, week 1, and month 1 LET measurements were as follows: in the temporal quadrant, 62.8±4.6 µm, 65.6±6.9 µm, 64.7±3.0 µm, and 65.8±3.7 µm; and in the nasal quadrant, 59.8±4.0 µm, 63.8±3.8 µm, 64.5±2.8 µm, and 64.7±2.6 µm, respectively. A significant difference between visits was observed only between the week 1 and month 1 measurements in both the temporal and nasal quadrants (p=0.007 and p=0.009, respectively). No significant difference was found in CCT measurements across visits (p>0.05).",
        "Conclusions": "In corneal CXL treatment, no acute alteration occurs in the limbal epithelium due to the protection of the limbal region from UV exposure. The change observed around the first month after treatment is not directly related to the procedure itself and may instead be associated with ocular surface inflammation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "POCOR185",
      "abstract_number": "POCOR185",
      "title": "Endothelial Safety Of Corneal Cross-Linking In Thin Corneas: Cct 400-450 µm Versus >450 µm Subgroup Analysis",
      "authors": "Sumer Fatma",
      "presenter": "Sumer Fatma",
      "normalized_authors": [
        "Sumer Fatma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ilkay Salman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the endothelial safety profile of standard corneal collagen cross-linking (CXL) between keratoconus eyes with central corneal thickness (CCT) 400-450 µm (thin cornea subgroup) and CCT >450 µm (standard subgroup) using serial specular microscopy.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective subgroup analysis.",
        "Methods": "From a cohort of 60 keratoconus eyes undergoing standard epithelium-off CXL, eyes were stratified by preoperative CCT after epithelial removal: Group A (thin cornea, CCT 400-450 µm) and Group B (standard, CCT >450 µm). Specular microscopy (Tomey EM-4000) was performed preoperatively and at 1, 3, and 6 months post-CXL. Endothelial cell density (ECD), coefficient of variation (CV), hexagonal cell percentage (HEX), and CCT were compared between groups at each time point. Primary outcome was ECD change at 6 months. An ECD loss >10% was considered clinically significant. Statistical analysis included independent t-test, Mann-Whitney U test, and repeated measures ANOVA with group interaction (SPSS 23.0; p<0.05).",
        "Results": "Group A included 22 eyes (CCT 428±14 µm) and Group B 38 eyes (CCT 482±21 µm). Baseline ECD was similar (2819±308 vs 2863±318 cells/mm²; p=0.598). At 1 month, ECD loss was greater in Group A (3.1% vs 1.4%; p=0.038) with higher CV (36.8±6.2% vs 34.1±5.1%; p=0.042). By 6 months, recovery was comparable: 0.7% vs 0.4% loss (p>0.5). No eye showed >10% ECD loss. Group×time interaction was not significant for ECD, CV, or HEX (p>0.18). Topographic stabilization was similar (90.9% vs 92.1%; p=0.872).",
        "Conclusions": "CXL in thin corneas (CCT 400-450 µm) causes slightly greater but still transient endothelial perturbation at 1 month compared with standard-thickness corneas, with complete recovery by 6 months. No clinically significant endothelial cell loss was observed in either group. These findings confirm the endothelial safety of standard CXL down to the 400 µm threshold and may reassure clinicians managing keratoconus patients with borderline corneal thickness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CXL in thin corneas (CCT 400-450 µm) causes slightly greater but still transient endothelial perturbation at 1 month compared with standard-thickness corneas, with complete recovery by 6 months. No clinically significant endothelial cell loss was observed in either group. These findings confirm the endothelial safety of standard CXL down to the 400 µm threshold and may reassure clinicians managing keratoconus…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 873,
      "source_fields": {
        "Abstract Final Identifier": "POCOR185",
        "Title": "Endothelial Safety Of Corneal Cross-Linking In Thin Corneas: Cct 400-450 µm Versus >450 µm Subgroup Analysis",
        "Presenting Author(s)": "Sumer Fatma",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Ilkay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Salman",
        "Country Name": "Türkiye",
        "Purpose": "To compare the endothelial safety profile of standard corneal collagen cross-linking (CXL) between keratoconus eyes with central corneal thickness (CCT) 400-450 µm (thin cornea subgroup) and CCT >450 µm (standard subgroup) using serial specular microscopy.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective subgroup analysis.",
        "Methods": "From a cohort of 60 keratoconus eyes undergoing standard epithelium-off CXL, eyes were stratified by preoperative CCT after epithelial removal: Group A (thin cornea, CCT 400-450 µm) and Group B (standard, CCT >450 µm). Specular microscopy (Tomey EM-4000) was performed preoperatively and at 1, 3, and 6 months post-CXL. Endothelial cell density (ECD), coefficient of variation (CV), hexagonal cell percentage (HEX), and CCT were compared between groups at each time point. Primary outcome was ECD change at 6 months. An ECD loss >10% was considered clinically significant. Statistical analysis included independent t-test, Mann-Whitney U test, and repeated measures ANOVA with group interaction (SPSS 23.0; p<0.05).",
        "Results": "Group A included 22 eyes (CCT 428±14 µm) and Group B 38 eyes (CCT 482±21 µm). Baseline ECD was similar (2819±308 vs 2863±318 cells/mm²; p=0.598). At 1 month, ECD loss was greater in Group A (3.1% vs 1.4%; p=0.038) with higher CV (36.8±6.2% vs 34.1±5.1%; p=0.042). By 6 months, recovery was comparable: 0.7% vs 0.4% loss (p>0.5). No eye showed >10% ECD loss. Group×time interaction was not significant for ECD, CV, or HEX (p>0.18). Topographic stabilization was similar (90.9% vs 92.1%; p=0.872).",
        "Conclusions": "CXL in thin corneas (CCT 400-450 µm) causes slightly greater but still transient endothelial perturbation at 1 month compared with standard-thickness corneas, with complete recovery by 6 months. No clinically significant endothelial cell loss was observed in either group. These findings confirm the endothelial safety of standard CXL down to the 400 µm threshold and may reassure clinicians managing keratoconus patients with borderline corneal thickness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCOR186",
      "abstract_number": "POCOR186",
      "title": "Five-Year Comparative Outcomes Of Transepithelial Versus Epithelium-Off Accelerated Corneal Crosslinking",
      "authors": "Dr Gizem Taskin",
      "presenter": "Dr Gizem Taskin",
      "normalized_authors": [
        "Gizem Taskin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gizem Taskin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the long-term visual, refractive, and topographic outcomes of transepithelial (epithelium-on) accelerated (TE-CXL) and epithelium-off accelerated corneal crosslinking (ACXL) in patients with keratoconus.",
        "Setting": "A single-center retrospective study conducted at the University of Health Sciences, Beyoglu Eye Training and Research Hospital, including patients who underwent TE-CXL or ACXL between January 2017 and January 2020.",
        "Methods": "In this retrospective comparative study, medical records of patients with keratoconus who underwent corneal crosslinking between January 2017 and January 2020 were reviewed. Eyes were divided into two groups: TE-CXL and ACXL. Uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), refraction, corneal higher-order aberrations (HOAs), and corneal topographic indices including K1, K2, mean keratometry (Kmean), maximum keratometry (Kmax), central corneal thickness (CCT), thinnest corneal thickness (TCT), as well as corneal biomechanical indices (SIf, SIb, Kvf, Kvb) were analyzed preoperatively and at the 5-year postoperative follow-up.",
        "Results": "Seventy-eight eyes (41 TE-CXL, 37 ACXL) were included. At 5 years, keratometric values, CCT, TCT, VA remained stable in the TE-CXL group, while ACXL showed flattening of K1, K2, Kmean and Kmax (p<0.05) with thinning of CCT and TCT (p=0.001) and improved UDVA (p=0.035). HOA, coma, and trefoil decreased similarly in both groups, whereas spherical aberration slightly increased after TE-CXL and decreased after ACXL,with no significance. Intergroup analysis revealed mild non-significant steepening in TE-CXL (ΔK1 +0.37D, ΔKmean +0.45D) and flattening in ACXL (–0.45D,–0.75D;p=0.006,p=0.008). TCT reduction was greater after ACXL (–18.1µm vs –6.3µm;p=0.038). No significant intergroup differences were observed in VA or Δaberrometry outcomes (p>0.05).",
        "Conclusions": "Both TE-CXL and ACXL were effective in stabilizing keratoconus over 5 years. ACXL provided greater keratometric flattening and was associated with more corneal thinning, whereas TE-CXL showed more stable pachymetric changes. Long-term changes in higher-order aberrations and visual acuity were comparable between the two techniques."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both TE-CXL and ACXL were effective in stabilizing keratoconus over 5 years. ACXL provided greater keratometric flattening and was associated with more corneal thinning, whereas TE-CXL showed more stable pachymetric changes. Long-term changes in higher-order aberrations and visual acuity were comparable between the two techniques.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 874,
      "source_fields": {
        "Abstract Final Identifier": "POCOR186",
        "Title": "Five-Year Comparative Outcomes Of Transepithelial Versus Epithelium-Off Accelerated Corneal Crosslinking",
        "Presenting Author(s)": "Dr Gizem Taskin",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Gizem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Taskin",
        "Country Name": "Türkiye",
        "Purpose": "To compare the long-term visual, refractive, and topographic outcomes of transepithelial (epithelium-on) accelerated (TE-CXL) and epithelium-off accelerated corneal crosslinking (ACXL) in patients with keratoconus.",
        "Setting": "A single-center retrospective study conducted at the University of Health Sciences, Beyoglu Eye Training and Research Hospital, including patients who underwent TE-CXL or ACXL between January 2017 and January 2020.",
        "Methods": "In this retrospective comparative study, medical records of patients with keratoconus who underwent corneal crosslinking between January 2017 and January 2020 were reviewed. Eyes were divided into two groups: TE-CXL and ACXL. Uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), refraction, corneal higher-order aberrations (HOAs), and corneal topographic indices including K1, K2, mean keratometry (Kmean), maximum keratometry (Kmax), central corneal thickness (CCT), thinnest corneal thickness (TCT), as well as corneal biomechanical indices (SIf, SIb, Kvf, Kvb) were analyzed preoperatively and at the 5-year postoperative follow-up.",
        "Results": "Seventy-eight eyes (41 TE-CXL, 37 ACXL) were included. At 5 years, keratometric values, CCT, TCT, VA remained stable in the TE-CXL group, while ACXL showed flattening of K1, K2, Kmean and Kmax (p<0.05) with thinning of CCT and TCT (p=0.001) and improved UDVA (p=0.035). HOA, coma, and trefoil decreased similarly in both groups, whereas spherical aberration slightly increased after TE-CXL and decreased after ACXL,with no significance. Intergroup analysis revealed mild non-significant steepening in TE-CXL (ΔK1 +0.37D, ΔKmean +0.45D) and flattening in ACXL (–0.45D,–0.75D;p=0.006,p=0.008). TCT reduction was greater after ACXL (–18.1µm vs –6.3µm;p=0.038). No significant intergroup differences were observed in VA or Δaberrometry outcomes (p>0.05).",
        "Conclusions": "Both TE-CXL and ACXL were effective in stabilizing keratoconus over 5 years. ACXL provided greater keratometric flattening and was associated with more corneal thinning, whereas TE-CXL showed more stable pachymetric changes. Long-term changes in higher-order aberrations and visual acuity were comparable between the two techniques."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POCOR187",
      "abstract_number": "POCOR187",
      "title": "Effect Of Corneal Collagen Cross-Linking On Corneal Endothelial Cell Morphology In Keratoconus: A Prospective Controlled Study With Specular Microscopy",
      "authors": "Dr Ali Suha Uyanik",
      "presenter": "Dr Ali Suha Uyanik",
      "normalized_authors": [
        "Ali Suha Uyanik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Suha Uyanik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the effect of corneal collagen cross-linking (CXL) on corneal endothelial cell density (ECD), morphology, and central corneal thickness (CCT) in keratoconus patients compared with age-matched healthy controls using specular microscopy.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective controlled study.",
        "Methods": "Sixty eyes of 60 keratoconus patients (aged 14-35) who underwent standard Dresden protocol CXL (epithelium-off, riboflavin 0.1%, UVA 370 nm, 3 mW/cm², 30 min) and 60 age/sex-matched controls were enrolled. Patients with CCT <400 µm post-debridement, prior surgery, recent contact lens use, guttata, or connective tissue disorders were excluded. Specular microscopy (Tomey EM-4000) was performed preoperatively and at 1, 3, and 6 months. Parameters: ECD, mean cell area, CV, hexagonality (HEX), and CCT. Statistics: repeated measures ANOVA, paired and independent t-tests (SPSS 23.0; p<0.05).",
        "Results": "Preoperative ECD was comparable between groups (2847±312 vs 2921±287; p=0.178). At 1 month, ECD decreased 2.0% (p=0.034), CV increased (p=0.012), and HEX decreased (p=0.008). By 6 months, all parameters returned to near-baseline with no significant differences versus controls (all p>0.05). CCT decreased at 1 month (p=0.003) but recovered by 6 months (p=0.267). Keratometry stabilized or improved in 91.7%.",
        "Conclusions": "Standard CXL causes transient, reversible changes in corneal endothelial cell density and morphology. Statistically significant but clinically modest reductions in ECD and hexagonality at 1 month fully recover by 6 months, confirming the endothelial safety of the Dresden protocol in keratoconus patients with adequate stromal thickness. These findings support the protective threshold of 400 µm recommended to prevent UV-induced endothelial damage during CXL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Standard CXL causes transient, reversible changes in corneal endothelial cell density and morphology. Statistically significant but clinically modest reductions in ECD and hexagonality at 1 month fully recover by 6 months, confirming the endothelial safety of the Dresden protocol in keratoconus patients with adequate stromal thickness. These findings support the protective threshold of 400 µm recommended to prevent…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 875,
      "source_fields": {
        "Abstract Final Identifier": "POCOR187",
        "Title": "Effect Of Corneal Collagen Cross-Linking On Corneal Endothelial Cell Morphology In Keratoconus: A Prospective Controlled Study With Specular Microscopy",
        "Presenting Author(s)": "Dr Ali Suha Uyanik",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "Suha",
        "Submitter Last Name": "Uyanik",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the effect of corneal collagen cross-linking (CXL) on corneal endothelial cell density (ECD), morphology, and central corneal thickness (CCT) in keratoconus patients compared with age-matched healthy controls using specular microscopy.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective controlled study.",
        "Methods": "Sixty eyes of 60 keratoconus patients (aged 14-35) who underwent standard Dresden protocol CXL (epithelium-off, riboflavin 0.1%, UVA 370 nm, 3 mW/cm², 30 min) and 60 age/sex-matched controls were enrolled. Patients with CCT <400 µm post-debridement, prior surgery, recent contact lens use, guttata, or connective tissue disorders were excluded. Specular microscopy (Tomey EM-4000) was performed preoperatively and at 1, 3, and 6 months. Parameters: ECD, mean cell area, CV, hexagonality (HEX), and CCT. Statistics: repeated measures ANOVA, paired and independent t-tests (SPSS 23.0; p<0.05).",
        "Results": "Preoperative ECD was comparable between groups (2847±312 vs 2921±287; p=0.178). At 1 month, ECD decreased 2.0% (p=0.034), CV increased (p=0.012), and HEX decreased (p=0.008). By 6 months, all parameters returned to near-baseline with no significant differences versus controls (all p>0.05). CCT decreased at 1 month (p=0.003) but recovered by 6 months (p=0.267). Keratometry stabilized or improved in 91.7%.",
        "Conclusions": "Standard CXL causes transient, reversible changes in corneal endothelial cell density and morphology. Statistically significant but clinically modest reductions in ECD and hexagonality at 1 month fully recover by 6 months, confirming the endothelial safety of the Dresden protocol in keratoconus patients with adequate stromal thickness. These findings support the protective threshold of 400 µm recommended to prevent UV-induced endothelial damage during CXL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POCOR188",
      "abstract_number": "POCOR188",
      "title": "Machine Learning Prediction Of Visual And Keratometric Outcomes Following Corneal Cross-Linking In Keratoconus",
      "authors": "Dr Eyüb Uzun",
      "presenter": "Dr Eyüb Uzun",
      "normalized_authors": [
        "Eyüb Uzun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eyüb Uzun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Corneal cross-linking (CXL) is the standard treatment for halting keratoconus progression; however, predicting individual postoperative visual and tomographic outcomes remains challenging. This study aimed to develop and evaluate machine learning models to accurately predict postoperative maximum keratometry (Kmax), mean keratometry (Kmean), and corrected distance visual acuity (CDVA) at 6 months following CXL using preoperative clinical and tomographic parameters.",
        "Setting": "Department of Ophthalmology, Bezmialem Vakif University Hospital, a tertiary academic referral center in Istanbul, Turkey.",
        "Methods": "This retrospective study included 170 eyes of 127 keratoconus patients treated with CXL. Preoperative clinical and Pentacam tomographic parameters were used to predict postoperative 6-month Kmax, Kmean, and CDVA. Data were split into training (75%) and testing (25%) sets. Extreme Gradient Boosting (XGBoost) and CatBoost machine learning models were developed. Model performance was evaluated using root mean square error (RMSE), mean absolute error (MAE), and coefficient of determination (R²). Feature importance and correlation heatmap analyses were performed to identify key predictive variables and enhance model interpretability.",
        "Results": "Machine learning models demonstrated high predictive performance. The CatBoost model achieved R² = 0.936 (RMSE 1.05 D, MAE 0.74 D) for Kmean and R² = 0.926 (RMSE 1.68 D, MAE 1.28 D) for Kmax prediction. The XGBoost model yielded R² = 0.96 (RMSE 0.78 D) for Kmean and R² = 0.94 (RMSE 1.55 D) for Kmax. For CDVA, the optimized XGBoost model achieved R² = 0.81 (RMSE 0.083), compared to R² = 0.78 (RMSE 0.091) using all variables. Feature importance analysis identified preoperative CDVA, True Net Power P-Max, and corneal keratometric parameters among the most influential predictors. Correlation heatmap analysis demonstrated relationships between tomographic parameters and postoperative outcomes.",
        "Conclusions": "Machine learning models enabled prediction of postoperative visual and keratometric outcomes following corneal cross-linking using preoperative clinical and tomographic parameters. These findings indicate that preoperative data may be used to estimate postoperative Kmean, Kmax, and CDVA. Such predictive models may support clinical decision-making, patient counseling, and individualized prognosis assessment. Further validation in larger and multicenter cohorts is warranted to confirm generalizability and clinical applicability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Machine learning models enabled prediction of postoperative visual and keratometric outcomes following corneal cross-linking using preoperative clinical and tomographic parameters. These findings indicate that preoperative data may be used to estimate postoperative Kmean, Kmax, and CDVA. Such predictive models may support clinical decision-making, patient counseling, and individualized prognosis assessment. Further…",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 876,
      "source_fields": {
        "Abstract Final Identifier": "POCOR188",
        "Title": "Machine Learning Prediction Of Visual And Keratometric Outcomes Following Corneal Cross-Linking In Keratoconus",
        "Presenting Author(s)": "Dr Eyüb Uzun",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Eyüb",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uzun",
        "Country Name": "Türkiye",
        "Purpose": "Corneal cross-linking (CXL) is the standard treatment for halting keratoconus progression; however, predicting individual postoperative visual and tomographic outcomes remains challenging. This study aimed to develop and evaluate machine learning models to accurately predict postoperative maximum keratometry (Kmax), mean keratometry (Kmean), and corrected distance visual acuity (CDVA) at 6 months following CXL using preoperative clinical and tomographic parameters.",
        "Setting": "Department of Ophthalmology, Bezmialem Vakif University Hospital, a tertiary academic referral center in Istanbul, Turkey.",
        "Methods": "This retrospective study included 170 eyes of 127 keratoconus patients treated with CXL. Preoperative clinical and Pentacam tomographic parameters were used to predict postoperative 6-month Kmax, Kmean, and CDVA. Data were split into training (75%) and testing (25%) sets. Extreme Gradient Boosting (XGBoost) and CatBoost machine learning models were developed. Model performance was evaluated using root mean square error (RMSE), mean absolute error (MAE), and coefficient of determination (R²). Feature importance and correlation heatmap analyses were performed to identify key predictive variables and enhance model interpretability.",
        "Results": "Machine learning models demonstrated high predictive performance. The CatBoost model achieved R² = 0.936 (RMSE 1.05 D, MAE 0.74 D) for Kmean and R² = 0.926 (RMSE 1.68 D, MAE 1.28 D) for Kmax prediction. The XGBoost model yielded R² = 0.96 (RMSE 0.78 D) for Kmean and R² = 0.94 (RMSE 1.55 D) for Kmax. For CDVA, the optimized XGBoost model achieved R² = 0.81 (RMSE 0.083), compared to R² = 0.78 (RMSE 0.091) using all variables. Feature importance analysis identified preoperative CDVA, True Net Power P-Max, and corneal keratometric parameters among the most influential predictors. Correlation heatmap analysis demonstrated relationships between tomographic parameters and postoperative outcomes.",
        "Conclusions": "Machine learning models enabled prediction of postoperative visual and keratometric outcomes following corneal cross-linking using preoperative clinical and tomographic parameters. These findings indicate that preoperative data may be used to estimate postoperative Kmean, Kmax, and CDVA. Such predictive models may support clinical decision-making, patient counseling, and individualized prognosis assessment. Further validation in larger and multicenter cohorts is warranted to confirm generalizability and clinical applicability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POCOR189",
      "abstract_number": "POCOR189",
      "title": "Manually Assisted Customized Epi-On Corneal Cross-Linking (Mace) For Progressive Keratoconus: A Prospective Pilot Study With 6-Month Outcomes",
      "authors": "Dr Rodrigo Vilares-Morgado",
      "presenter": "Dr Rodrigo Vilares-Morgado",
      "normalized_authors": [
        "Rodrigo Vilares-Morgado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rodrigo Vilares-Morgado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To describe a novel manually assisted customized epi-on corneal cross-linking technique (MACE) and to evaluate its 6-month outcomes in eyes with documented progressive keratoconus.",
        "Setting": "Prospective, single-center, interventional pilot study, developed at the Department of Ophthalmology of Centro Hospitalar Universitário de S. João (Porto, Portugal).",
        "Methods": "Progression was confirmed over a 6-month preoperative observation period using Pentacam® AXL Wave measurements. MACE consisted of alcohol-assisted manual epithelial removal in a 6-mm apical zone, followed by transepithelial riboflavin instillation and ultraviolet-A irradiation (9 mW/cm² for 10 minutes; total energy 5.4 J/cm²). The primary outcome was change in maximum keratometry (Kmax). Secondary outcomes included keratometric indices, corneal thickness, higher-order aberrations, and corrected distance visual acuity (CDVA). A linear mixed-effects model was used to evaluate longitudinal changes across three time points (−6 months, baseline, +6 months).",
        "Results": "19 eyes from 17 patients with progressive keratoconus were included. A significant overall effect of time was observed for all evaluated parameters (all p < 0.001). During the 6 months preceding treatment, significant increases in K1, K2, Kmax, and Kmean were documented (all p ≤ 0.001), accompanied by corneal thinning and reductions in anterior and posterior radii of curvature. At 6 months following MACE, no further significant keratometric progression was observed. Anterior corneal astigmatism decreased by 0.589 D ( p = 0.020), and coma aberration (5-mm zone) decreased by 0.173 µm ( p = 0.021). CDVA remained stable throughout the study period ( p = 1.000). No intraoperative or postoperative complications were recorded.",
        "Conclusions": "In this pilot cohort with documented pre-treatment progression, MACE was associated with short-term keratometric stabilization and improved corneal regularity at 6 months. These findings support further prospective studies with larger cohorts and longer follow-up to evaluate the long-term efficacy and safety of this manually assisted customized cross-linking approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this pilot cohort with documented pre-treatment progression, MACE was associated with short-term keratometric stabilization and improved corneal regularity at 6 months. These findings support further prospective studies with larger cohorts and longer follow-up to evaluate the long-term efficacy and safety of this manually assisted customized cross-linking approach.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 877,
      "source_fields": {
        "Abstract Final Identifier": "POCOR189",
        "Title": "Manually Assisted Customized Epi-On Corneal Cross-Linking (Mace) For Progressive Keratoconus: A Prospective Pilot Study With 6-Month Outcomes",
        "Presenting Author(s)": "Dr Rodrigo Vilares-Morgado",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Rodrigo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vilares-Morgado",
        "Country Name": "Portugal",
        "Purpose": "To describe a novel manually assisted customized epi-on corneal cross-linking technique (MACE) and to evaluate its 6-month outcomes in eyes with documented progressive keratoconus.",
        "Setting": "Prospective, single-center, interventional pilot study, developed at the Department of Ophthalmology of Centro Hospitalar Universitário de S. João (Porto, Portugal).",
        "Methods": "Progression was confirmed over a 6-month preoperative observation period using Pentacam® AXL Wave measurements. MACE consisted of alcohol-assisted manual epithelial removal in a 6-mm apical zone, followed by transepithelial riboflavin instillation and ultraviolet-A irradiation (9 mW/cm² for 10 minutes; total energy 5.4 J/cm²). The primary outcome was change in maximum keratometry (Kmax). Secondary outcomes included keratometric indices, corneal thickness, higher-order aberrations, and corrected distance visual acuity (CDVA). A linear mixed-effects model was used to evaluate longitudinal changes across three time points (−6 months, baseline, +6 months).",
        "Results": "19 eyes from 17 patients with progressive keratoconus were included. A significant overall effect of time was observed for all evaluated parameters (all p < 0.001). During the 6 months preceding treatment, significant increases in K1, K2, Kmax, and Kmean were documented (all p ≤ 0.001), accompanied by corneal thinning and reductions in anterior and posterior radii of curvature. At 6 months following MACE, no further significant keratometric progression was observed. Anterior corneal astigmatism decreased by 0.589 D ( p = 0.020), and coma aberration (5-mm zone) decreased by 0.173 µm ( p = 0.021). CDVA remained stable throughout the study period ( p = 1.000). No intraoperative or postoperative complications were recorded.",
        "Conclusions": "In this pilot cohort with documented pre-treatment progression, MACE was associated with short-term keratometric stabilization and improved corneal regularity at 6 months. These findings support further prospective studies with larger cohorts and longer follow-up to evaluate the long-term efficacy and safety of this manually assisted customized cross-linking approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "POCOR190",
      "abstract_number": "POCOR190",
      "title": "Customized Corneal Cross‐Linking With Microneedle‐Mediated Riboflavin Delivery For Keratoconus Treatment",
      "authors": "Dr Yue Wu",
      "presenter": "Dr Yue Wu",
      "normalized_authors": [
        "Yue Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yue Wu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To develop a customized corneal cross-linking (CXL) strategy using microneedle-mediated riboflavin delivery to enhance stromal penetration while preserving the corneal epithelium, thereby improving the safety and efficacy of keratoconus treatment.",
        "Setting": "Academic ophthalmic research center, Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "A microneedle-based delivery system was designed to facilitate localized riboflavin penetration into the corneal stroma without epithelial removal. Controlled microchannels were created on the corneal surface to allow efficient diffusion of riboflavin. Following drug delivery, ultraviolet-A (UVA) irradiation was applied to induce collagen cross-linking within the corneal stroma. Riboflavin distribution, stromal penetration depth, and cross-linking efficiency were evaluated using fluorescence imaging and biomechanical testing. Corneal transparency, epithelial integrity, and stromal architecture were assessed by slit-lamp examination and histological analysis.",
        "Results": "Microneedle-mediated delivery significantly improved riboflavin penetration into the corneal stroma compared with conventional topical administration. The approach enabled uniform riboflavin distribution while maintaining epithelial integrity. Subsequent UVA irradiation effectively induced stromal cross-linking, resulting in enhanced corneal biomechanical strength. No significant corneal haze or structural damage was observed, and epithelial recovery remained rapid. The customized approach demonstrated improved drug delivery efficiency and favorable safety profiles.",
        "Conclusions": "Microneedle-assisted riboflavin delivery provides a promising strategy for customized corneal cross-linking. By enhancing stromal drug penetration while preserving the corneal epithelium, this approach may offer a safer and more efficient alternative to conventional epithelium-off CXL for keratoconus treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Microneedle-assisted riboflavin delivery provides a promising strategy for customized corneal cross-linking. By enhancing stromal drug penetration while preserving the corneal epithelium, this approach may offer a safer and more efficient alternative to conventional epithelium-off CXL for keratoconus treatment.",
      "session_type": "ePoster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 878,
      "source_fields": {
        "Abstract Final Identifier": "POCOR190",
        "Title": "Customized Corneal Cross‐Linking With Microneedle‐Mediated Riboflavin Delivery For Keratoconus Treatment",
        "Presenting Author(s)": "Dr Yue Wu",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Yue",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wu",
        "Country Name": "China",
        "Purpose": "To develop a customized corneal cross-linking (CXL) strategy using microneedle-mediated riboflavin delivery to enhance stromal penetration while preserving the corneal epithelium, thereby improving the safety and efficacy of keratoconus treatment.",
        "Setting": "Academic ophthalmic research center, Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "A microneedle-based delivery system was designed to facilitate localized riboflavin penetration into the corneal stroma without epithelial removal. Controlled microchannels were created on the corneal surface to allow efficient diffusion of riboflavin. Following drug delivery, ultraviolet-A (UVA) irradiation was applied to induce collagen cross-linking within the corneal stroma. Riboflavin distribution, stromal penetration depth, and cross-linking efficiency were evaluated using fluorescence imaging and biomechanical testing. Corneal transparency, epithelial integrity, and stromal architecture were assessed by slit-lamp examination and histological analysis.",
        "Results": "Microneedle-mediated delivery significantly improved riboflavin penetration into the corneal stroma compared with conventional topical administration. The approach enabled uniform riboflavin distribution while maintaining epithelial integrity. Subsequent UVA irradiation effectively induced stromal cross-linking, resulting in enhanced corneal biomechanical strength. No significant corneal haze or structural damage was observed, and epithelial recovery remained rapid. The customized approach demonstrated improved drug delivery efficiency and favorable safety profiles.",
        "Conclusions": "Microneedle-assisted riboflavin delivery provides a promising strategy for customized corneal cross-linking. By enhancing stromal drug penetration while preserving the corneal epithelium, this approach may offer a safer and more efficient alternative to conventional epithelium-off CXL for keratoconus treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCOR191",
      "abstract_number": "POCOR191",
      "title": "Familial Cluster Of Fungal Keratitis: An Unusual Simultaneous Presentation In Three Members",
      "authors": "Dr Nikhil Agrawal",
      "presenter": "Dr Nikhil Agrawal",
      "normalized_authors": [
        "Nikhil Agrawal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikhil Agrawal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a rare cluster of fungal keratitis caused by Aspergillus Niger in three members of the same family, presenting within a two-week period",
        "Setting": "Tertiary Hospital India",
        "Methods": "The index case, an 11-year-old boy, presented with acute onset pain, redness, photophobia, in the left eye. Clinical examination revealed a large, dry corneal ulcer with feathery margins, suggestive of fungal etiology. Subsequent inquiry revealed similar ocular symptoms in his 15-year-old sister and 38-year-old mother. Corneal examinations confirmed fungal keratitis in both, with corneal scrapings positive for fungal elements in two cases and cultures identifying Aspergillus Niger in all three.",
        "Results": "Subsequent inquiry revealed similar ocular symptoms in his 15-year-old sister and 38-year-old mother. Corneal examinations confirmed fungal keratitis in both, with corneal scrapings positive for fungal elements in two cases and cultures identifying Aspergillus Niger in all three. Treatment with hourly topical Natamycin 5% eye drops resulted in significant clinical improvement within one week and complete ulcer resolution with residual corneal opacities by four weeks. This familial cluster underscores the importance of early diagnosis, family screening, and prompt antifungal therapy in managing fungal keratitis.",
        "Conclusions": "In summary, the simultaneous occurrence of Aspergillus Niger keratitis in three members of a single family represents an unprecedented cluster with no prior significant documentation in the literature. While the exact mechanism remains unclear, shared environmental exposure remains the most plausible explanation. This report not only adds to the spectrum of fungal keratitis presentations but also calls for further research into environmental reservoirs, host susceptibility, and the epidemiology of such rare familial clusters."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In summary, the simultaneous occurrence of Aspergillus Niger keratitis in three members of a single family represents an unprecedented cluster with no prior significant documentation in the literature. While the exact mechanism remains unclear, shared environmental exposure remains the most plausible explanation. This report not only adds to the spectrum of fungal keratitis presentations but also calls for further…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 879,
      "source_fields": {
        "Abstract Final Identifier": "POCOR191",
        "Title": "Familial Cluster Of Fungal Keratitis: An Unusual Simultaneous Presentation In Three Members",
        "Presenting Author(s)": "Dr Nikhil Agrawal",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nikhil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agrawal",
        "Country Name": "India",
        "Purpose": "To report a rare cluster of fungal keratitis caused by Aspergillus Niger in three members of the same family, presenting within a two-week period",
        "Setting": "Tertiary Hospital India",
        "Methods": "The index case, an 11-year-old boy, presented with acute onset pain, redness, photophobia, in the left eye. Clinical examination revealed a large, dry corneal ulcer with feathery margins, suggestive of fungal etiology. Subsequent inquiry revealed similar ocular symptoms in his 15-year-old sister and 38-year-old mother. Corneal examinations confirmed fungal keratitis in both, with corneal scrapings positive for fungal elements in two cases and cultures identifying Aspergillus Niger in all three.",
        "Results": "Subsequent inquiry revealed similar ocular symptoms in his 15-year-old sister and 38-year-old mother. Corneal examinations confirmed fungal keratitis in both, with corneal scrapings positive for fungal elements in two cases and cultures identifying Aspergillus Niger in all three. Treatment with hourly topical Natamycin 5% eye drops resulted in significant clinical improvement within one week and complete ulcer resolution with residual corneal opacities by four weeks. This familial cluster underscores the importance of early diagnosis, family screening, and prompt antifungal therapy in managing fungal keratitis.",
        "Conclusions": "In summary, the simultaneous occurrence of Aspergillus Niger keratitis in three members of a single family represents an unprecedented cluster with no prior significant documentation in the literature. While the exact mechanism remains unclear, shared environmental exposure remains the most plausible explanation. This report not only adds to the spectrum of fungal keratitis presentations but also calls for further research into environmental reservoirs, host susceptibility, and the epidemiology of such rare familial clusters."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POCOR192",
      "abstract_number": "POCOR192",
      "title": "The Impact Of Topical Losartan In Improving Of Visual Outcome In Different Types Of Corneal Ulcers (Case Series)",
      "authors": "Dr Amr Al Amin",
      "presenter": "Dr Amr Al Amin",
      "normalized_authors": [
        "Amr Al Amin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amr Al Amin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To report the clinical experience with topical losartan for treating series of cases with severe corneal haze after treatment of different Types of corneal ulcers",
        "Setting": "Clinical, retrospective, single center, non-randomized case series",
        "Methods": "Series of cases suffering from corneal haze after treatment of different types of corneal ulcers & infectious keratitis. After treatment of corneal Ulcers , Anterior segment optical coherence tomography confirmed the presence of a superficial anterior stromal central corneal opacity. Visual acuity & haze density were assessed with regular follow up .Patients began treatment of topical losartan 0.8 mg/mL six times per day that was tapered and monitored throughout 3 to 6 months",
        "Results": "Significant improvement in corneal opacity was observed at 1 to 2 months with almost complete resolution in some cases. Visual acuity improved from 1to 3 lines on the Snellen chart and remained stable.A significant reduction of corneal haze was observed at the slit lamp and using anterior segment optical coherence tomography",
        "Conclusions": "Topical losartan has anti-fibrotic activity through inhibition of the transforming growth factor-beta (TGF-β) signaling pathway. Topical treatment in conjunction with topical steroids is promising to treat corneal haze formation after different types of corneal Ulcers.Further clinical studies are needed to optimize losartan dosages and treatment durations"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical losartan has anti-fibrotic activity through inhibition of the transforming growth factor-beta (TGF-β) signaling pathway. Topical treatment in conjunction with topical steroids is promising to treat corneal haze formation after different types of corneal Ulcers.Further clinical studies are needed to optimize losartan dosages and treatment durations",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 880,
      "source_fields": {
        "Abstract Final Identifier": "POCOR192",
        "Title": "The Impact Of Topical Losartan In Improving Of Visual Outcome In Different Types Of Corneal Ulcers (Case Series)",
        "Presenting Author(s)": "Dr Amr Al Amin",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Amr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Amin",
        "Country Name": "Egypt",
        "Purpose": "To report the clinical experience with topical losartan for treating series of cases with severe corneal haze after treatment of different Types of corneal ulcers",
        "Setting": "Clinical, retrospective, single center, non-randomized case series",
        "Methods": "Series of cases suffering from corneal haze after treatment of different types of corneal ulcers & infectious keratitis. After treatment of corneal Ulcers , Anterior segment optical coherence tomography confirmed the presence of a superficial anterior stromal central corneal opacity. Visual acuity & haze density were assessed with regular follow up .Patients began treatment of topical losartan 0.8 mg/mL six times per day that was tapered and monitored throughout 3 to 6 months",
        "Results": "Significant improvement in corneal opacity was observed at 1 to 2 months with almost complete resolution in some cases. Visual acuity improved from 1to 3 lines on the Snellen chart and remained stable.A significant reduction of corneal haze was observed at the slit lamp and using anterior segment optical coherence tomography",
        "Conclusions": "Topical losartan has anti-fibrotic activity through inhibition of the transforming growth factor-beta (TGF-β) signaling pathway. Topical treatment in conjunction with topical steroids is promising to treat corneal haze formation after different types of corneal Ulcers.Further clinical studies are needed to optimize losartan dosages and treatment durations"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 203
    },
    {
      "uid": "POCOR193",
      "abstract_number": "POCOR193",
      "title": "Evisceration And Enucleation In Microbial Keratitis: Organisms, Resistance, And Patient Factors",
      "authors": "A/Prof. Samar Al-Swailem",
      "presenter": "A/Prof. Samar Al-Swailem",
      "normalized_authors": [
        "Samar Al-Swailem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Samar Al-Swailem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Severe microbial keratitis can cause vision loss requiring eye removal. This study describes the clinical profile, microbial spectrum, and risk factors for cases of microbial keratitis (MK) requiring evisceration or enucleation",
        "Setting": "A retrospective cohort study was conducted at a tertiary referral eye center.",
        "Methods": "A retrospective review was conducted of 69 culture-positive MK cases managed with evisceration or enucleation between 2014 and 2022. Data on demographics, presenting features, ocular and systemic comorbidities, microbiology, antimicrobial susceptibility, and clinical course were collected and analyzed.",
        "Results": "Most patients were male (63.8%) with a mean age of 64.6 years. Hypertension (44.9%) and diabetes (46.4%) were common comorbidities. Most eyes (81.2%) presented with no light perception. Frequently associated ocular conditions included pseudophakia (36.5%), glaucoma (35.7%), topical steroid use (12.4%), and vitrectomy (7.1%). Endophthalmitis or panophthalmitis occurred in 58% of cases. Streptococci (32.6%) and Staphylococcus (25.6%) were the most frequently isolated organisms. Penicillin resistance was observed in 32.6%, while 37.2% of isolates were sensitive to clindamycin",
        "Conclusions": "Microbial keratitis requiring globe removal is linked to advanced disease, comorbidities, and severe intraocular involvement. Early recognition and referral are key to preventing serious consequences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Microbial keratitis requiring globe removal is linked to advanced disease, comorbidities, and severe intraocular involvement. Early recognition and referral are key to preventing serious consequences.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 881,
      "source_fields": {
        "Abstract Final Identifier": "POCOR193",
        "Title": "Evisceration And Enucleation In Microbial Keratitis: Organisms, Resistance, And Patient Factors",
        "Presenting Author(s)": "A/Prof. Samar Al-Swailem",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Samar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al-Swailem",
        "Country Name": "Saudi Arabia",
        "Purpose": "Severe microbial keratitis can cause vision loss requiring eye removal. This study describes the clinical profile, microbial spectrum, and risk factors for cases of microbial keratitis (MK) requiring evisceration or enucleation",
        "Setting": "A retrospective cohort study was conducted at a tertiary referral eye center.",
        "Methods": "A retrospective review was conducted of 69 culture-positive MK cases managed with evisceration or enucleation between 2014 and 2022. Data on demographics, presenting features, ocular and systemic comorbidities, microbiology, antimicrobial susceptibility, and clinical course were collected and analyzed.",
        "Results": "Most patients were male (63.8%) with a mean age of 64.6 years. Hypertension (44.9%) and diabetes (46.4%) were common comorbidities. Most eyes (81.2%) presented with no light perception. Frequently associated ocular conditions included pseudophakia (36.5%), glaucoma (35.7%), topical steroid use (12.4%), and vitrectomy (7.1%). Endophthalmitis or panophthalmitis occurred in 58% of cases. Streptococci (32.6%) and Staphylococcus (25.6%) were the most frequently isolated organisms. Penicillin resistance was observed in 32.6%, while 37.2% of isolates were sensitive to clindamycin",
        "Conclusions": "Microbial keratitis requiring globe removal is linked to advanced disease, comorbidities, and severe intraocular involvement. Early recognition and referral are key to preventing serious consequences."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POCOR194",
      "abstract_number": "POCOR194",
      "title": "Fungal Keratitis In Diabetic Vs Non-Diabetic Patients: A Comparative Analysis Of Clinical Outcomes",
      "authors": "Dr David Rosário Alves",
      "presenter": "Dr David Rosário Alves",
      "normalized_authors": [
        "David Rosário Alves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Rosário Alves",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare demographic characteristics, clinical presentation, microbiological findings, disease severity, complications, treatment patterns, and outcomes of fungal keratitis between Diabetic (DM) and Non-Diabetic (non-DM) patients.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "A retrospective, single-centre, longitudinal study was conducted including 66 eyes from 63 patients (51.5% male) with culture-proven fungal keratitis treated between January 2009 and December 2024. Demographic, clinical, and microbiological characteristics, as well as treatment patterns, complications, and outcomes (BCVA [logMAR], phthisis, need for corneal transplantation, evisceration/enucleation), were compared between eyes of two groups (DM patients and non-DM patients). Univariate analyses were performed using appropriate non-parametric and categorical statistical tests.",
        "Results": "Gender distribution, follow-up duration (DM 5.25 vs non-DM 5.04 years, p = 0.504), mean age at diagnosis (DM 70.3 vs non-DM 62.9 years, p=0.051) were similar between groups. Previous corneal transplantation, contact lens use, other ocular pathology, time to hospital presentation, and trauma history didn’t differ significantly. Hypopyon (57.1% vs. 22.2%, p=0.005) and endophthalmitis (19.0% vs. 2.2%, p=0.032) were more frequent in DM. There weren’t significant differences between DM and non-DM regarding baseline (1.5 vs 1.9, p=0.313) and final BCVA (1.9 vs 1.6, p=0.793), fungal class distribution, co-infections, phthisis, or need for PK (15.2% vs 40.9%, p=0.345).",
        "Conclusions": "In our cohort, diabetes mellitus was associated with more severe inflammatory and infectious manifestations in fungal keratitis, including higher rates of hypopyon and endophthalmitis. Despite these differences in disease severity, final visual outcomes and surgical requirements were comparable between DM and non-DM patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In our cohort, diabetes mellitus was associated with more severe inflammatory and infectious manifestations in fungal keratitis, including higher rates of hypopyon and endophthalmitis. Despite these differences in disease severity, final visual outcomes and surgical requirements were comparable between DM and non-DM patients.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 882,
      "source_fields": {
        "Abstract Final Identifier": "POCOR194",
        "Title": "Fungal Keratitis In Diabetic Vs Non-Diabetic Patients: A Comparative Analysis Of Clinical Outcomes",
        "Presenting Author(s)": "Dr David Rosário Alves",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "David",
        "Submitter Middle Name": "Rosário",
        "Submitter Last Name": "Alves",
        "Country Name": "Portugal",
        "Purpose": "To compare demographic characteristics, clinical presentation, microbiological findings, disease severity, complications, treatment patterns, and outcomes of fungal keratitis between Diabetic (DM) and Non-Diabetic (non-DM) patients.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "A retrospective, single-centre, longitudinal study was conducted including 66 eyes from 63 patients (51.5% male) with culture-proven fungal keratitis treated between January 2009 and December 2024. Demographic, clinical, and microbiological characteristics, as well as treatment patterns, complications, and outcomes (BCVA [logMAR], phthisis, need for corneal transplantation, evisceration/enucleation), were compared between eyes of two groups (DM patients and non-DM patients). Univariate analyses were performed using appropriate non-parametric and categorical statistical tests.",
        "Results": "Gender distribution, follow-up duration (DM 5.25 vs non-DM 5.04 years, p = 0.504), mean age at diagnosis (DM 70.3 vs non-DM 62.9 years, p=0.051) were similar between groups. Previous corneal transplantation, contact lens use, other ocular pathology, time to hospital presentation, and trauma history didn’t differ significantly. Hypopyon (57.1% vs. 22.2%, p=0.005) and endophthalmitis (19.0% vs. 2.2%, p=0.032) were more frequent in DM. There weren’t significant differences between DM and non-DM regarding baseline (1.5 vs 1.9, p=0.313) and final BCVA (1.9 vs 1.6, p=0.793), fungal class distribution, co-infections, phthisis, or need for PK (15.2% vs 40.9%, p=0.345).",
        "Conclusions": "In our cohort, diabetes mellitus was associated with more severe inflammatory and infectious manifestations in fungal keratitis, including higher rates of hypopyon and endophthalmitis. Despite these differences in disease severity, final visual outcomes and surgical requirements were comparable between DM and non-DM patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCOR195",
      "abstract_number": "POCOR195",
      "title": "Corneal Ulcers After Penetrating And Deep Anterior Lamellar Keratoplasty: Etiology, Risk Factors And One-Year Outcomes",
      "authors": "Dr Bola Attia",
      "presenter": "Dr Bola Attia",
      "normalized_authors": [
        "Bola Attia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bola Attia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To report cases of corneal ulcers occurring after keratoplasty (PKP and DALK) and to highlight the diagnostic difficulties and management strategies required to preserve graft clarity and visual outcome.",
        "Setting": "Prof. Dr. Hazem Yassin ophthalmolgy centers",
        "Methods": "This retrospective case series included 15 eyes that developed corneal ulcers after keratoplasty, comprising 10 DALK and 5 PKP procedures. All patients were followed for 12 months. Data collected included time to ulcer onset, underlying etiology (infectious versus non-infectious), predisposing risk factors, microbiological findings when indicated, management strategy and final graft outcome",
        "Results": "Ulcer etiology was infectious in 30% and non-infectious in 70%.\nAmong infectious cases, microbiological cultures were positive in 40% (6/15 overall)\n\nNon-infectious causes included:\n• Persistent epithelial defect\n• Neurotrophic keratopathy\n• Suture-related inflammation\n• Sterile melt / immune-related ulceration\n\nPredisposing risk factors included prolonged topical steroid use, loose sutures, ocular surface disease and previous herpetic keratitis.\n\nMedical management alone was sufficient in 60% of cases, while surgical intervention was required in 40%.\n\nAt one-year follow-up:\n• Graft clarity was maintained in 50% of DALK versus 50% of PKP cases.\n• Overall graft failure occurred in 20% of eyes.",
        "Conclusions": "Corneal ulcers after keratoplasty arise from both infectious and non-infectious causes and represent a significant threat to graft survival. Early identification of underlying etiology and tailored management are essential to optimize visual and anatomical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal ulcers after keratoplasty arise from both infectious and non-infectious causes and represent a significant threat to graft survival. Early identification of underlying etiology and tailored management are essential to optimize visual and anatomical outcomes.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 883,
      "source_fields": {
        "Abstract Final Identifier": "POCOR195",
        "Title": "Corneal Ulcers After Penetrating And Deep Anterior Lamellar Keratoplasty: Etiology, Risk Factors And One-Year Outcomes",
        "Presenting Author(s)": "Dr Bola Attia",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Bola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Attia",
        "Country Name": "Egypt",
        "Purpose": "To report cases of corneal ulcers occurring after keratoplasty (PKP and DALK) and to highlight the diagnostic difficulties and management strategies required to preserve graft clarity and visual outcome.",
        "Setting": "Prof. Dr. Hazem Yassin ophthalmolgy centers",
        "Methods": "This retrospective case series included 15 eyes that developed corneal ulcers after keratoplasty, comprising 10 DALK and 5 PKP procedures. All patients were followed for 12 months. Data collected included time to ulcer onset, underlying etiology (infectious versus non-infectious), predisposing risk factors, microbiological findings when indicated, management strategy and final graft outcome",
        "Results": "Ulcer etiology was infectious in 30% and non-infectious in 70%.\nAmong infectious cases, microbiological cultures were positive in 40% (6/15 overall)\n\nNon-infectious causes included:\n• Persistent epithelial defect\n• Neurotrophic keratopathy\n• Suture-related inflammation\n• Sterile melt / immune-related ulceration\n\nPredisposing risk factors included prolonged topical steroid use, loose sutures, ocular surface disease and previous herpetic keratitis.\n\nMedical management alone was sufficient in 60% of cases, while surgical intervention was required in 40%.\n\nAt one-year follow-up:\n• Graft clarity was maintained in 50% of DALK versus 50% of PKP cases.\n• Overall graft failure occurred in 20% of eyes.",
        "Conclusions": "Corneal ulcers after keratoplasty arise from both infectious and non-infectious causes and represent a significant threat to graft survival. Early identification of underlying etiology and tailored management are essential to optimize visual and anatomical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POCOR196",
      "abstract_number": "POCOR196",
      "title": "Use Of Umbilical Cord Patches And Smile Lenticule For Sealing Corneal Perforations",
      "authors": "Dr Indu Bala",
      "presenter": "Dr Indu Bala",
      "normalized_authors": [
        "Indu Bala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Indu Bala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the efficacy of umbilical cord (UC) patch grafts and SMILE lenticule in managing corneal perforations",
        "Setting": "• Study Design: prospective interventional study\n\n• The study was conducted in Department of Ophthalmology at Postgraduate institute of Medical Education and Research Chandigarh , Chandigarh , India",
        "Methods": "• Eight eyes with corneal perforations were operated . Five eyes underwent UC patch grafting and three eyes underwent SMILE lenticule grafting . Postoperative outcomes were assessed using slit-lamp biomicroscopy and anterior segment OCT (AS-OCT).",
        "Results": "• All patients showed improvement in best-corrected visual acuity (BCVA) at final follow-up. AS-OCT confirmed good graft integration with globe integrity and minimal stromal scarring.",
        "Conclusions": "• The UC patch graft and SMILE Lenticule , due to its inherent thickness, tensile strength, and biocompatibility, effectively sealed corneal perforations with structural and visual recovery. UC grafting and SMILE Lenticule grafting appears to be a promising option in managing impending or small corneal perforations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• The UC patch graft and SMILE Lenticule , due to its inherent thickness, tensile strength, and biocompatibility, effectively sealed corneal perforations with structural and visual recovery. UC grafting and SMILE Lenticule grafting appears to be a promising option in managing impending or small corneal perforations.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 884,
      "source_fields": {
        "Abstract Final Identifier": "POCOR196",
        "Title": "Use Of Umbilical Cord Patches And Smile Lenticule For Sealing Corneal Perforations",
        "Presenting Author(s)": "Dr Indu Bala",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Indu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bala",
        "Country Name": "India",
        "Purpose": "To evaluate the efficacy of umbilical cord (UC) patch grafts and SMILE lenticule in managing corneal perforations",
        "Setting": "• Study Design: prospective interventional study\n\n• The study was conducted in Department of Ophthalmology at Postgraduate institute of Medical Education and Research Chandigarh , Chandigarh , India",
        "Methods": "• Eight eyes with corneal perforations were operated . Five eyes underwent UC patch grafting and three eyes underwent SMILE lenticule grafting . Postoperative outcomes were assessed using slit-lamp biomicroscopy and anterior segment OCT (AS-OCT).",
        "Results": "• All patients showed improvement in best-corrected visual acuity (BCVA) at final follow-up. AS-OCT confirmed good graft integration with globe integrity and minimal stromal scarring.",
        "Conclusions": "• The UC patch graft and SMILE Lenticule , due to its inherent thickness, tensile strength, and biocompatibility, effectively sealed corneal perforations with structural and visual recovery. UC grafting and SMILE Lenticule grafting appears to be a promising option in managing impending or small corneal perforations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 141
    },
    {
      "uid": "POCOR197",
      "abstract_number": "POCOR197",
      "title": "Chronic Corneal Edema And Stromal Haze With Presumed Herpetic Endotheliitis.",
      "authors": "Dr Anna Vilelmina Balinovits",
      "presenter": "Dr Anna Vilelmina Balinovits",
      "normalized_authors": [
        "Anna Vilelmina Balinovits"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Vilelmina Balinovits",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe the clinical findings, diagnostic evaluation, and stepwise therapeutic management of a patient presenting with chronic corneal edema and stromal haze with moderate visual impairment and normal intraocular pressure (IOP), raising suspicion of previous herpetic endotheliitis.",
        "Setting": "The patient was evaluated and managed in our specialized ophthalmology clinic equipped with slit-lamp biomicroscopy, anterior segment OCT, pachymetry, and specular microscopy for detailed corneal assessment and endothelial evaluation.",
        "Methods": "A patient presented with a one-year history of progressive blurred vision. BCVA was 5/10 in the right eye and 4/10 in the left; IOP was 15 mmHg. Slit-lamp examination showed corneal edema and stromal haze without active epithelial lesions. Specular microscopy could not be performed. Central corneal thickness measurement confirmed the edema. Given the symptoms and clinical suspicion of herpetic endothelial involvement, treatment was initiated with topical ganciclovir gel, hypertonic sodium chloride gel, and topical corticosteroid eye drops. The patient was re-evaluated after 15 days, with partial clinical improvement. Systemic antiviral therapy with oral valacyclovir was added. A follow-up two weeks later documented further improvement.",
        "Results": "At the first follow-up visit, mild improvement in corneal transparency and subjective visual acuity was observed, 6/10 in both eyes, while intraocular pressure remained stable. Stromal haze was reduced but not completely resolved. Following the addition of systemic antiviral therapy, progressive reduction of corneal edema and further improvement in visual acuity were noted. We were also able to perform specular microscopy. The positive response to combined topical and systemic antiviral therapy supported the diagnosis of presumed herpetic endotheliitis.",
        "Conclusions": "Chronic corneal edema with stromal haze and normal intraocular pressure should prompt consideration of herpetic endotheliitis, even in the absence of documented acute infection. Diagnostic limitations, such as inability to initially assess endothelial cell density, may complicate evaluation. Combined topical antiviral and corticosteroid therapy, supplemented with systemic antiviral treatment when indicated, may improve corneal clarity and stabilize visual function. Early diagnosis and targeted management are crucial to prevent irreversible endothelial cell loss and long-term visual impairment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chronic corneal edema with stromal haze and normal intraocular pressure should prompt consideration of herpetic endotheliitis, even in the absence of documented acute infection. Diagnostic limitations, such as inability to initially assess endothelial cell density, may complicate evaluation. Combined topical antiviral and corticosteroid therapy, supplemented with systemic antiviral treatment when indicated, may…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 885,
      "source_fields": {
        "Abstract Final Identifier": "POCOR197",
        "Title": "Chronic Corneal Edema And Stromal Haze With Presumed Herpetic Endotheliitis.",
        "Presenting Author(s)": "Dr Anna Vilelmina Balinovits",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Anna",
        "Submitter Middle Name": "Vilelmina",
        "Submitter Last Name": "Balinovits",
        "Country Name": "Greece",
        "Purpose": "To describe the clinical findings, diagnostic evaluation, and stepwise therapeutic management of a patient presenting with chronic corneal edema and stromal haze with moderate visual impairment and normal intraocular pressure (IOP), raising suspicion of previous herpetic endotheliitis.",
        "Setting": "The patient was evaluated and managed in our specialized ophthalmology clinic equipped with slit-lamp biomicroscopy, anterior segment OCT, pachymetry, and specular microscopy for detailed corneal assessment and endothelial evaluation.",
        "Methods": "A patient presented with a one-year history of progressive blurred vision. BCVA was 5/10 in the right eye and 4/10 in the left; IOP was 15 mmHg. Slit-lamp examination showed corneal edema and stromal haze without active epithelial lesions. Specular microscopy could not be performed. Central corneal thickness measurement confirmed the edema. Given the symptoms and clinical suspicion of herpetic endothelial involvement, treatment was initiated with topical ganciclovir gel, hypertonic sodium chloride gel, and topical corticosteroid eye drops. The patient was re-evaluated after 15 days, with partial clinical improvement. Systemic antiviral therapy with oral valacyclovir was added. A follow-up two weeks later documented further improvement.",
        "Results": "At the first follow-up visit, mild improvement in corneal transparency and subjective visual acuity was observed, 6/10 in both eyes, while intraocular pressure remained stable. Stromal haze was reduced but not completely resolved. Following the addition of systemic antiviral therapy, progressive reduction of corneal edema and further improvement in visual acuity were noted. We were also able to perform specular microscopy. The positive response to combined topical and systemic antiviral therapy supported the diagnosis of presumed herpetic endotheliitis.",
        "Conclusions": "Chronic corneal edema with stromal haze and normal intraocular pressure should prompt consideration of herpetic endotheliitis, even in the absence of documented acute infection. Diagnostic limitations, such as inability to initially assess endothelial cell density, may complicate evaluation. Combined topical antiviral and corticosteroid therapy, supplemented with systemic antiviral treatment when indicated, may improve corneal clarity and stabilize visual function. Early diagnosis and targeted management are crucial to prevent irreversible endothelial cell loss and long-term visual impairment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "POCOR198",
      "abstract_number": "POCOR198",
      "title": "Evaluation Of The Indications, Anatomical And Functional Results, And Complications Of Total Penetrating Keratoplasty (Tpk) In Disorders Involving Whole Cornea",
      "authors": "Dr Rohit Ramgopal Bang",
      "presenter": "Dr Rohit Ramgopal Bang",
      "normalized_authors": [
        "Rohit Ramgopal Bang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rohit Ramgopal Bang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Evaluation of the indications, anatomical and functional results, and complications of THERAPEUTIC PENETRATING KERATOPLASTY (TPK) in disorders involving whole cornea .",
        "Setting": "RETROSPECTIVE ,PRIVATE SET UP",
        "Methods": "We analyzed outcomes of the surgical treatment of 147 eyes of 147 patients that underwent TPK in last TEN years(2015 to 2025). Indications were infectious keratitis, autoimmune disease, injury of the eyeball (mainly chemical burns), and other combined disorders. The surgical technique involved dissection of affected tissues with a margin of 1.0 mm. The size of the corneal graft ranged from 10.0 to 14.0 mm. We analyzed indications, outcomes, and complications of surgery.",
        "Results": "Final restoration of the ocular integrity and maintenance of the globe were achieved in 84 eyes (57%). More than one surgery was necessary in a total of 92 eyes (62%). The frequency of retransplantations did not vary significantly between the groups with different causes of corneal melting/perforation (63% of eyes with infection, 66% of eyes after trauma and 70% of eyes of patients with autoimmune disorders). Surgical treatment failed in 63 eyes (43%). Evisceration was necessary in 43 eyes (28%), phthisis occurred in 20 cases (15%).",
        "Conclusions": "TPK should be considered as a last line treatment in huge corneal destruction to restore integrity of the eye globe.It can give good results and may act as mid way before final visual rehabilitation"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TPK should be considered as a last line treatment in huge corneal destruction to restore integrity of the eye globe.It can give good results and may act as mid way before final visual rehabilitation",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 886,
      "source_fields": {
        "Abstract Final Identifier": "POCOR198",
        "Title": "Evaluation Of The Indications, Anatomical And Functional Results, And Complications Of Total Penetrating Keratoplasty (Tpk) In Disorders Involving Whole Cornea",
        "Presenting Author(s)": "Dr Rohit Ramgopal Bang",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Rohit",
        "Submitter Middle Name": "Ramgopal",
        "Submitter Last Name": "Bang",
        "Country Name": "India",
        "Purpose": "Evaluation of the indications, anatomical and functional results, and complications of THERAPEUTIC PENETRATING KERATOPLASTY (TPK) in disorders involving whole cornea .",
        "Setting": "RETROSPECTIVE ,PRIVATE SET UP",
        "Methods": "We analyzed outcomes of the surgical treatment of 147 eyes of 147 patients that underwent TPK in last TEN years(2015 to 2025). Indications were infectious keratitis, autoimmune disease, injury of the eyeball (mainly chemical burns), and other combined disorders. The surgical technique involved dissection of affected tissues with a margin of 1.0 mm. The size of the corneal graft ranged from 10.0 to 14.0 mm. We analyzed indications, outcomes, and complications of surgery.",
        "Results": "Final restoration of the ocular integrity and maintenance of the globe were achieved in 84 eyes (57%). More than one surgery was necessary in a total of 92 eyes (62%). The frequency of retransplantations did not vary significantly between the groups with different causes of corneal melting/perforation (63% of eyes with infection, 66% of eyes after trauma and 70% of eyes of patients with autoimmune disorders). Surgical treatment failed in 63 eyes (43%). Evisceration was necessary in 43 eyes (28%), phthisis occurred in 20 cases (15%).",
        "Conclusions": "TPK should be considered as a last line treatment in huge corneal destruction to restore integrity of the eye globe.It can give good results and may act as mid way before final visual rehabilitation"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCOR199",
      "abstract_number": "POCOR199",
      "title": "Corneal Graft Infections",
      "authors": "Dr Aafreen Bari",
      "presenter": "Dr Aafreen Bari",
      "normalized_authors": [
        "Aafreen Bari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aafreen Bari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To analyse the risk factors, clinical presentations, outcomes and microbiological profile of corneal graft infections from a tertiary eye centre.",
        "Setting": "An ambispective observational study was conducted at a tertiary eye care centre in India from January 2023 to June 2025. The study evaluated patients who developed graft infections following keratoplasty during the study period.",
        "Methods": "Fifty-eight cases of post-keratoplasty graft infection were included (44 penetrating, 7 anterior lamellar, 7 endothelial). Demographic details, clinical characteristics, donor variables, and microbiological profiles were analyzed using retrospective and prospective data collection.",
        "Results": "The median epithelial defect size was 4 × 4.5 mm² and infiltrate size was 2.5 × 2.95 mm². Hypopyon was observed in 24.1% of cases. Initial management commonly included topical fortified cefazolin and tobramycin, while systemic antibiotics were administered in 74.1% of cases. A poor response to initial treatment was noted in 34.4%, and 53.4% required additional surgical interventions, most frequently graft replacement (32.8%). Graft infection was associated with loose sutures in 48.3% and concurrent topical steroid use in 74.1% of cases. Gram-positive cocci were the most frequently isolated pathogens. Smaller grafts were associated with bacterial graft infections.",
        "Conclusions": "Corneal graft infections were frequently associated with loose sutures, topical steroid use, and smaller graft size. Gram-positive cocci were the predominant isolates. More than half the cases required surgical intervention, highlighting the importance of vigilant postoperative surveillance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal graft infections were frequently associated with loose sutures, topical steroid use, and smaller graft size. Gram-positive cocci were the predominant isolates. More than half the cases required surgical intervention, highlighting the importance of vigilant postoperative surveillance.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 887,
      "source_fields": {
        "Abstract Final Identifier": "POCOR199",
        "Title": "Corneal Graft Infections",
        "Presenting Author(s)": "Dr Aafreen Bari",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Aafreen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bari",
        "Country Name": "India",
        "Purpose": "To analyse the risk factors, clinical presentations, outcomes and microbiological profile of corneal graft infections from a tertiary eye centre.",
        "Setting": "An ambispective observational study was conducted at a tertiary eye care centre in India from January 2023 to June 2025. The study evaluated patients who developed graft infections following keratoplasty during the study period.",
        "Methods": "Fifty-eight cases of post-keratoplasty graft infection were included (44 penetrating, 7 anterior lamellar, 7 endothelial). Demographic details, clinical characteristics, donor variables, and microbiological profiles were analyzed using retrospective and prospective data collection.",
        "Results": "The median epithelial defect size was 4 × 4.5 mm² and infiltrate size was 2.5 × 2.95 mm². Hypopyon was observed in 24.1% of cases. Initial management commonly included topical fortified cefazolin and tobramycin, while systemic antibiotics were administered in 74.1% of cases. A poor response to initial treatment was noted in 34.4%, and 53.4% required additional surgical interventions, most frequently graft replacement (32.8%). Graft infection was associated with loose sutures in 48.3% and concurrent topical steroid use in 74.1% of cases. Gram-positive cocci were the most frequently isolated pathogens. Smaller grafts were associated with bacterial graft infections.",
        "Conclusions": "Corneal graft infections were frequently associated with loose sutures, topical steroid use, and smaller graft size. Gram-positive cocci were the predominant isolates. More than half the cases required surgical intervention, highlighting the importance of vigilant postoperative surveillance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCOR200",
      "abstract_number": "POCOR200",
      "title": "Five-Year Results Of Deep Anterior Lamellar Keratoplasty For Keratoconus Versus Post-Herpetic Stromal Scarring",
      "authors": "Dr Linda Marie Louise Busin",
      "presenter": "Dr Linda Marie Louise Busin",
      "normalized_authors": [
        "Linda Marie Louise Busin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Linda Marie Louise Busin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare the outcomes of deep anterior lamellar keratoplasty (DALK) in eyes with post-herpetic corneal leukoma versus keratoconic eyes.",
        "Setting": "Patients underwent keratoplasty at the department of ophthalmology of “Villa Igea”, Ospedali Privati Forlì (Forlì, Italy) between May 2012 and December 2024.",
        "Methods": "This is a retrospective cohort study based on prospectively collected data from consecutive cases. All included patients received large-diameter (9-mm) big-bubble DALK. If pneumatic dissection failed, layer-by-layer manual dissection was performed. Patients were excluded from the analysis if they underwent previous ocular surgery, except uneventful cataract surgery and cross-linking, or in case of pre-existing vision-impairing comorbidities. Primary outcomes were best-corrected visual acuity (BCVA), endothelial cell density (ECD), endothelial cell loss (ECL), refractive astigmatism, and graft survival rates.",
        "Results": "All consecutive eyes that underwent DALK at our Institution between 2012 and 2024 were assigned according to the indication to either group 1 (keratoconus, n=809) or group 2 (post-herpetic leukoma, n=108). Mean follow-up was 4.6±3.0 years (up to 12 years). At 5 years postoperatively, BCVA was significantly better in group 1 (0.09±0.17 vs 0.23±0.27 LogMAR; P=0.002); ECD was significantly higher in group 1 (1897±457 vs 1581±477 cells/mm 2 ; P=0.005), with lower ECL (13.9±20.9% vs 28.2±21.5%; P=0.005); refractive astigmatism did not differ significantly between groups (2.79±1.49 vs 3.17±1.22 D; P=0.303). Graft survival rates were 99.0% and 97.5%, respectively in the two groups (P=0.007).",
        "Conclusions": "The findings of this study indicate that DALK can achieve excellent results independently of the type of indication, in both inflammatory and non-inflammatory stromal diseases. Postoperative ECD and ECL were significantly worse in post-herpetic eyes than in keratoconic eyes, but still within values compatible with long-term graft survival and satisfactory visual acuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The findings of this study indicate that DALK can achieve excellent results independently of the type of indication, in both inflammatory and non-inflammatory stromal diseases. Postoperative ECD and ECL were significantly worse in post-herpetic eyes than in keratoconic eyes, but still within values compatible with long-term graft survival and satisfactory visual acuity.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 888,
      "source_fields": {
        "Abstract Final Identifier": "POCOR200",
        "Title": "Five-Year Results Of Deep Anterior Lamellar Keratoplasty For Keratoconus Versus Post-Herpetic Stromal Scarring",
        "Presenting Author(s)": "Dr Linda Marie Louise Busin",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Linda",
        "Submitter Middle Name": "Marie Louise",
        "Submitter Last Name": "Busin",
        "Country Name": "Italy",
        "Purpose": "To compare the outcomes of deep anterior lamellar keratoplasty (DALK) in eyes with post-herpetic corneal leukoma versus keratoconic eyes.",
        "Setting": "Patients underwent keratoplasty at the department of ophthalmology of “Villa Igea”, Ospedali Privati Forlì (Forlì, Italy) between May 2012 and December 2024.",
        "Methods": "This is a retrospective cohort study based on prospectively collected data from consecutive cases. All included patients received large-diameter (9-mm) big-bubble DALK. If pneumatic dissection failed, layer-by-layer manual dissection was performed. Patients were excluded from the analysis if they underwent previous ocular surgery, except uneventful cataract surgery and cross-linking, or in case of pre-existing vision-impairing comorbidities. Primary outcomes were best-corrected visual acuity (BCVA), endothelial cell density (ECD), endothelial cell loss (ECL), refractive astigmatism, and graft survival rates.",
        "Results": "All consecutive eyes that underwent DALK at our Institution between 2012 and 2024 were assigned according to the indication to either group 1 (keratoconus, n=809) or group 2 (post-herpetic leukoma, n=108). Mean follow-up was 4.6±3.0 years (up to 12 years). At 5 years postoperatively, BCVA was significantly better in group 1 (0.09±0.17 vs 0.23±0.27 LogMAR; P=0.002); ECD was significantly higher in group 1 (1897±457 vs 1581±477 cells/mm 2 ; P=0.005), with lower ECL (13.9±20.9% vs 28.2±21.5%; P=0.005); refractive astigmatism did not differ significantly between groups (2.79±1.49 vs 3.17±1.22 D; P=0.303). Graft survival rates were 99.0% and 97.5%, respectively in the two groups (P=0.007).",
        "Conclusions": "The findings of this study indicate that DALK can achieve excellent results independently of the type of indication, in both inflammatory and non-inflammatory stromal diseases. Postoperative ECD and ECL were significantly worse in post-herpetic eyes than in keratoconic eyes, but still within values compatible with long-term graft survival and satisfactory visual acuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCOR201",
      "abstract_number": "POCOR201",
      "title": "Differences In Clinical Behaviour And Outcome Of Bacterial Keratitis Based On Biofilm-Producing Ability",
      "authors": "Dr Sujata Das",
      "presenter": "Dr Sujata Das",
      "normalized_authors": [
        "Sujata Das"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sujata Das",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the clinico-microbiological profile and treatment outcomes of bacterial keratitis caused by biofilm-producing (BP) and non-biofilm-producing (BN) organisms.",
        "Setting": "L V Prasad Eye Institute",
        "Methods": "This prospective, comparative, non-randomized study was conducted at a tertiary eyecare centre over a period of 18 months. A total of 119 patients with culture-positive bacterial keratitis were enrolled for this study. Biofilm formation of all isolates was assessed using the crystal violet plate (CVP) and XTT reduction assays. Clinical features, antibiotic susceptibility pattern, and outcomes (response to medical therapy, need for surgery, and visual acuity at follow-up) were compared between BP and BN bacteria.",
        "Results": "The most common isolate was Staphylococcus aureus (n=38; 31.9%), followed by Staphylococcus epidermidis (n=30; 25.2%) and Pseudomonas aeruginosa (n=20; 16.8%). Biofilm formation was detected in 72.3% (n=86) of isolates. Chloramphenicol resistance was significantly higher in the BP group (72.1%) compared to 45.5% (BN) group (72.1% vs. 45.5%, P =0.006). tThe rates of resistance to multiple drugs (39.5% vs. 33.3%), the response to medical treatment (55.8% vs. 60.6%), and the visual acuity at final follow-up (LogMAR: 1.46±0.94 vs. 1.56±0.93) were of similar trend between the two groups.",
        "Conclusions": "Although biofilm-producing organisms showed greater resistance to chloramphenicol, this did not translate into worse clinical outcomes or significant differences in visual improvement when patients received therapy based on the sensitivity patterns.\n\nBiofilm identification of the isolate remains useful for understanding resistance patterns but may not independently predict treatment failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although biofilm-producing organisms showed greater resistance to chloramphenicol, this did not translate into worse clinical outcomes or significant differences in visual improvement when patients received therapy based on the sensitivity patterns. Biofilm identification of the isolate remains useful for understanding resistance patterns but may not independently predict treatment failure.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 889,
      "source_fields": {
        "Abstract Final Identifier": "POCOR201",
        "Title": "Differences In Clinical Behaviour And Outcome Of Bacterial Keratitis Based On Biofilm-Producing Ability",
        "Presenting Author(s)": "Dr Sujata Das",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Sujata",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Das",
        "Country Name": "India",
        "Purpose": "To compare the clinico-microbiological profile and treatment outcomes of bacterial keratitis caused by biofilm-producing (BP) and non-biofilm-producing (BN) organisms.",
        "Setting": "L V Prasad Eye Institute",
        "Methods": "This prospective, comparative, non-randomized study was conducted at a tertiary eyecare centre over a period of 18 months. A total of 119 patients with culture-positive bacterial keratitis were enrolled for this study. Biofilm formation of all isolates was assessed using the crystal violet plate (CVP) and XTT reduction assays. Clinical features, antibiotic susceptibility pattern, and outcomes (response to medical therapy, need for surgery, and visual acuity at follow-up) were compared between BP and BN bacteria.",
        "Results": "The most common isolate was Staphylococcus aureus (n=38; 31.9%), followed by Staphylococcus epidermidis (n=30; 25.2%) and Pseudomonas aeruginosa (n=20; 16.8%). Biofilm formation was detected in 72.3% (n=86) of isolates. Chloramphenicol resistance was significantly higher in the BP group (72.1%) compared to 45.5% (BN) group (72.1% vs. 45.5%, P =0.006). tThe rates of resistance to multiple drugs (39.5% vs. 33.3%), the response to medical treatment (55.8% vs. 60.6%), and the visual acuity at final follow-up (LogMAR: 1.46±0.94 vs. 1.56±0.93) were of similar trend between the two groups.",
        "Conclusions": "Although biofilm-producing organisms showed greater resistance to chloramphenicol, this did not translate into worse clinical outcomes or significant differences in visual improvement when patients received therapy based on the sensitivity patterns.\n\nBiofilm identification of the isolate remains useful for understanding resistance patterns but may not independently predict treatment failure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCOR202",
      "abstract_number": "POCOR202",
      "title": "Comparison Of Culture-Negative Vs Culture-Positive Fungal Keratitis: Clinical Features And Treatment Outcomes",
      "authors": "Dr Sujata Das",
      "presenter": "Dr Sujata Das",
      "normalized_authors": [
        "Sujata Das"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sujata Das",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the clinical features and treatment outcomes between culture-negative (CN) and culture-positive (CP) fungal keratitis.",
        "Setting": "L V Prasad Eye Institute, Bhubaneswar",
        "Methods": "Clinical and microbiology data of patients diagnosed with fungal keratitis at a Tertiary Eye Care Centre in eastern India between January 2021 and December 2022 were retrospectively reviewed. Collected data included demographic details (age, gender, profession), ocular and systemic predisposing factors, history of ocular trauma, clinical presentation, smear and culture reports, management modalities and treatment outcomes.",
        "Results": "Age, gender, and duration of symptoms were comparable between CP and CN cases ( P = 0.1082, 0.4411,0.7920, respectively ). The absence of prior antimicrobial therapy was more common in the CP group ( P =0.0004). CP cases presented with a poorer visual acuity ( P <0.0001) and a larger infiltrate area ( P <0.0001). CN cases had a better outcome with medical management ( P =0.0028) a). In contrast, CP cases required greater number of surgical interventions ( P =0.0081), of which a significantly higher proportion were ‘major’ surgical interventions, including therapeutic penetrating keratoplasty, vitreoretinal surgery and evisceration ( P =0.0125). CP cases had higher rates of treatment failure ( P =0.0442) and worse visual acuity outcomes ( P =0.2831).",
        "Conclusions": "CP fungal keratitis is associated with worse presenting visual acuity, larger infiltrate, and poorer treatment outcomes compared to CN fungal keratitis. Culture positivity in fungal keratitis can therefore serve as a prognostic indicator for disease severity and may necessitate more aggressive medical management or earlier surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CP fungal keratitis is associated with worse presenting visual acuity, larger infiltrate, and poorer treatment outcomes compared to CN fungal keratitis. Culture positivity in fungal keratitis can therefore serve as a prognostic indicator for disease severity and may necessitate more aggressive medical management or earlier surgical intervention.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 890,
      "source_fields": {
        "Abstract Final Identifier": "POCOR202",
        "Title": "Comparison Of Culture-Negative Vs Culture-Positive Fungal Keratitis: Clinical Features And Treatment Outcomes",
        "Presenting Author(s)": "Dr Sujata Das",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Sujata",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Das",
        "Country Name": "India",
        "Purpose": "To compare the clinical features and treatment outcomes between culture-negative (CN) and culture-positive (CP) fungal keratitis.",
        "Setting": "L V Prasad Eye Institute, Bhubaneswar",
        "Methods": "Clinical and microbiology data of patients diagnosed with fungal keratitis at a Tertiary Eye Care Centre in eastern India between January 2021 and December 2022 were retrospectively reviewed. Collected data included demographic details (age, gender, profession), ocular and systemic predisposing factors, history of ocular trauma, clinical presentation, smear and culture reports, management modalities and treatment outcomes.",
        "Results": "Age, gender, and duration of symptoms were comparable between CP and CN cases ( P = 0.1082, 0.4411,0.7920, respectively ). The absence of prior antimicrobial therapy was more common in the CP group ( P =0.0004). CP cases presented with a poorer visual acuity ( P <0.0001) and a larger infiltrate area ( P <0.0001). CN cases had a better outcome with medical management ( P =0.0028) a). In contrast, CP cases required greater number of surgical interventions ( P =0.0081), of which a significantly higher proportion were ‘major’ surgical interventions, including therapeutic penetrating keratoplasty, vitreoretinal surgery and evisceration ( P =0.0125). CP cases had higher rates of treatment failure ( P =0.0442) and worse visual acuity outcomes ( P =0.2831).",
        "Conclusions": "CP fungal keratitis is associated with worse presenting visual acuity, larger infiltrate, and poorer treatment outcomes compared to CN fungal keratitis. Culture positivity in fungal keratitis can therefore serve as a prognostic indicator for disease severity and may necessitate more aggressive medical management or earlier surgical intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCOR203",
      "abstract_number": "POCOR203",
      "title": "Translational Evaluation Of A Phmb 5 Ppm And Cross-Linked Hyaluronic Acid Ophthalmic Solution: Antimicrobial, Antifungal, And Anti-Adhesion Activity",
      "authors": "Dr Francesco D'oria",
      "presenter": "Dr Francesco D'oria",
      "normalized_authors": [
        "Francesco D'oria"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francesco D'oria",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the antimicrobial, antifungal, and anti-adhesive efficacy of a polyhexamethylene biguanide (PHMB) 5 ppm and cross-linked hyaluronic acid (HA-CL) ophthalmic solution across in vitro, ex vivo, and in vivo models, assessing its potential role in ocular surface antisepsis and infection prevention.",
        "Setting": "University of Bari, Italy",
        "Methods": "Antimicrobial activity was assessed through time-kill assays against Staphylococcus aureus (MSSA and MRSA), Staphylococcus epidermidis , Pseudomonas aeruginosa , and Escherichia coli , comparing the test solution with povidone-iodine 0.66% and ozonized oil-based drops. Antifungal activity was evaluated against Candida albicans , Aspergillus fumigatus , and Aspergillus flavus .\n\nAnti-adhesion activity against Acanthamoeba castellanii was studied using reconstructed human corneal epithelium (HCE) under both co-incubation (prophylactic simulation) and post-adhesion paradigms, with scanning electron microscopy (SEM) characterization.\n\nIn vivo efficacy was evaluated in patients undergoing cataract surgery, with conjunctival swabs.",
        "Results": "The solution demonstrated rapid bactericidal activity, achieving complete bacterial eradication within minutes across all tested strains, with superior performance against P. aeruginosa and E. coli compared to comparators.\n\nFungistatic activity was observed against C. albicans and A. fumigatus , while limited activity was detected against A. flavus .\n\nIn the Acanthamoeba model, simultaneous application reduced trophozoite adhesion by 33%, while post-adhesion treatment reduced adhesion by 52% (p < 0.05). SEM confirmed decreased surface colonization and biofilm density.\n\nIn vivo, a 97% mean reduction in conjunctival bacterial load was observed (CrI 82–99%), with a 99.9% probability of bacterial reduction in initially colonized eyes.",
        "Conclusions": "This PHMB 5 ppm and HA-CL ophthalmic formulation demonstrates broad-spectrum antimicrobial activity, antifungal potential, and significant inhibition of early Acanthamoeba adhesion, supported by clinical reduction of conjunctival flora.\n\nThe combined antiseptic and mucoadhesive platform may represent a safe and effective strategy for perioperative prophylaxis and infection risk reduction in high-risk ocular surface conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This PHMB 5 ppm and HA-CL ophthalmic formulation demonstrates broad-spectrum antimicrobial activity, antifungal potential, and significant inhibition of early Acanthamoeba adhesion, supported by clinical reduction of conjunctival flora. The combined antiseptic and mucoadhesive platform may represent a safe and effective strategy for perioperative prophylaxis and infection risk reduction in high-risk ocular surface…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 891,
      "source_fields": {
        "Abstract Final Identifier": "POCOR203",
        "Title": "Translational Evaluation Of A Phmb 5 Ppm And Cross-Linked Hyaluronic Acid Ophthalmic Solution: Antimicrobial, Antifungal, And Anti-Adhesion Activity",
        "Presenting Author(s)": "Dr Francesco D'oria",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Francesco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "D'oria",
        "Country Name": "Italy",
        "Purpose": "To evaluate the antimicrobial, antifungal, and anti-adhesive efficacy of a polyhexamethylene biguanide (PHMB) 5 ppm and cross-linked hyaluronic acid (HA-CL) ophthalmic solution across in vitro, ex vivo, and in vivo models, assessing its potential role in ocular surface antisepsis and infection prevention.",
        "Setting": "University of Bari, Italy",
        "Methods": "Antimicrobial activity was assessed through time-kill assays against Staphylococcus aureus (MSSA and MRSA), Staphylococcus epidermidis , Pseudomonas aeruginosa , and Escherichia coli , comparing the test solution with povidone-iodine 0.66% and ozonized oil-based drops. Antifungal activity was evaluated against Candida albicans , Aspergillus fumigatus , and Aspergillus flavus .\n\nAnti-adhesion activity against Acanthamoeba castellanii was studied using reconstructed human corneal epithelium (HCE) under both co-incubation (prophylactic simulation) and post-adhesion paradigms, with scanning electron microscopy (SEM) characterization.\n\nIn vivo efficacy was evaluated in patients undergoing cataract surgery, with conjunctival swabs.",
        "Results": "The solution demonstrated rapid bactericidal activity, achieving complete bacterial eradication within minutes across all tested strains, with superior performance against P. aeruginosa and E. coli compared to comparators.\n\nFungistatic activity was observed against C. albicans and A. fumigatus , while limited activity was detected against A. flavus .\n\nIn the Acanthamoeba model, simultaneous application reduced trophozoite adhesion by 33%, while post-adhesion treatment reduced adhesion by 52% (p < 0.05). SEM confirmed decreased surface colonization and biofilm density.\n\nIn vivo, a 97% mean reduction in conjunctival bacterial load was observed (CrI 82–99%), with a 99.9% probability of bacterial reduction in initially colonized eyes.",
        "Conclusions": "This PHMB 5 ppm and HA-CL ophthalmic formulation demonstrates broad-spectrum antimicrobial activity, antifungal potential, and significant inhibition of early Acanthamoeba adhesion, supported by clinical reduction of conjunctival flora.\n\nThe combined antiseptic and mucoadhesive platform may represent a safe and effective strategy for perioperative prophylaxis and infection risk reduction in high-risk ocular surface conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCOR204",
      "abstract_number": "POCOR204",
      "title": "Therapeutic Penetrating Keratoplasty In Acanthamoeba Keratitis: A Case Report",
      "authors": "Dr Hibat Allah Eddaoui",
      "presenter": "Dr Hibat Allah Eddaoui",
      "normalized_authors": [
        "Hibat Allah Eddaoui"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hibat Allah Eddaoui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Acanthamoeba keratitis is commonly associated with contact lens wear or corneal trauma followed by water exposure. It is a severe ocular infection requiring prompt and appropriate medical treatment. In resistant cases, therapeutic keratoplasty may be necessary to control the infection and preserve ocular integrity.\n\nWe report the case of a 20-year-old patient with a history of three previous hospitalizations for right corneal abscess related to contact lens wear, who presented with persistent painful red eye.",
        "Setting": "Best-corrected visual acuity was limited to counting fingers at close range in the affected eye.\n\nOphthalmic examination revealed a central corneal opacity with epithelial and perineural infiltrates. Anterior segment optical coherence tomography (AS-OCT) showed multiple rounded and oval hyperreflective images measuring less than 30 µm, distributed throughout the corneal endothelium.",
        "Methods": "espite systemic antifungal therapy, clinical worsening was observed, leading to the decision to perform therapeutic penetrating keratoplasty. Microbiological analysis of the excised corneal button confirmed the presence of Acanthamoeba (Acanthamoeba polyphaga). Postoperative OCT demonstrated persistence of rounded hyperreflective structures corresponding to trophozoites, associated with a highly adherent fibrinous membrane.\n\nHigh-dose antifungal therapy was continued postoperatively. No recurrence was observed one month after surgery, and follow-up OCT showed a marked reduction in the number of trophozoites.",
        "Results": "The prognosis of Acanthamoeba keratitis is often poor, particularly in cases of delayed diagnosis and resistance to medical therapy. In our case, despite several unfavorable prognostic factors, therapeutic keratoplasty allowed infection control and preservation of ocular integrity. Some authors report better postoperative outcomes with penetrating keratoplasty compared to lamellar grafting in advanced infectious cases.",
        "Conclusions": "Urgent therapeutic penetrating keratoplasty remains a last-resort treatment when ocular integrity is threatened and infection progresses despite maximal medical therapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Urgent therapeutic penetrating keratoplasty remains a last-resort treatment when ocular integrity is threatened and infection progresses despite maximal medical therapy.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 892,
      "source_fields": {
        "Abstract Final Identifier": "POCOR204",
        "Title": "Therapeutic Penetrating Keratoplasty In Acanthamoeba Keratitis: A Case Report",
        "Presenting Author(s)": "Dr Hibat Allah Eddaoui",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Hibat Allah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eddaoui",
        "Country Name": "Morocco",
        "Purpose": "Acanthamoeba keratitis is commonly associated with contact lens wear or corneal trauma followed by water exposure. It is a severe ocular infection requiring prompt and appropriate medical treatment. In resistant cases, therapeutic keratoplasty may be necessary to control the infection and preserve ocular integrity.\n\nWe report the case of a 20-year-old patient with a history of three previous hospitalizations for right corneal abscess related to contact lens wear, who presented with persistent painful red eye.",
        "Setting": "Best-corrected visual acuity was limited to counting fingers at close range in the affected eye.\n\nOphthalmic examination revealed a central corneal opacity with epithelial and perineural infiltrates. Anterior segment optical coherence tomography (AS-OCT) showed multiple rounded and oval hyperreflective images measuring less than 30 µm, distributed throughout the corneal endothelium.",
        "Methods": "espite systemic antifungal therapy, clinical worsening was observed, leading to the decision to perform therapeutic penetrating keratoplasty. Microbiological analysis of the excised corneal button confirmed the presence of Acanthamoeba (Acanthamoeba polyphaga). Postoperative OCT demonstrated persistence of rounded hyperreflective structures corresponding to trophozoites, associated with a highly adherent fibrinous membrane.\n\nHigh-dose antifungal therapy was continued postoperatively. No recurrence was observed one month after surgery, and follow-up OCT showed a marked reduction in the number of trophozoites.",
        "Results": "The prognosis of Acanthamoeba keratitis is often poor, particularly in cases of delayed diagnosis and resistance to medical therapy. In our case, despite several unfavorable prognostic factors, therapeutic keratoplasty allowed infection control and preservation of ocular integrity. Some authors report better postoperative outcomes with penetrating keratoplasty compared to lamellar grafting in advanced infectious cases.",
        "Conclusions": "Urgent therapeutic penetrating keratoplasty remains a last-resort treatment when ocular integrity is threatened and infection progresses despite maximal medical therapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCOR205",
      "abstract_number": "POCOR205",
      "title": "The Combined Use Of Anterior Segment Optic Coherence Tomography And In Vivo Confocal Microscopy In Monitoring Infectious Keratitis",
      "authors": "Dr Farida Elzawahry",
      "presenter": "Dr Farida Elzawahry",
      "normalized_authors": [
        "Farida Elzawahry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farida Omar Elzawahry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate anterior segment optical coherence tomography (AS-OCT) findings in infectious keratitis (IK) and to characterize AS-OCT and in vivo confocal microscopy (IVCM) features during the acute, healing, and healed stages of infection.",
        "Setting": "Outpatient cornea and ocular surface clinics at Queens Medical Center, Nottingham University Hospitals, Nottingham, United Kingdom",
        "Methods": "This prospective observational study included 29 patients with infectious keratitis of different aetiologies presenting with a corneal ulcer and/or persistent epithelial defect. All patients underwent slit-lamp examination with fluorescein staining, AS-OCT, and IVCM at initial presentation (acute stage) and at two subsequent follow-up visits representing the healing and healed stages. Imaging was used to assess the depth and thickness of stromal infiltrates, central corneal thickness, epithelial integrity, vascular changes, and cellular and structural corneal alterations over time.",
        "Results": "The mean age of patients was 56.8 ± 19.5 years. Viral keratitis was the most common aetiology (26.7%). AS-OCT demonstrated a significant reduction in stromal infiltrate thickness during the healing phase (p < 0.001). Central corneal thickness showed a significant decrease between the acute and healed stages (p < 0.001). An epithelial defect was present in all eyes at presentation; however, only 3 eyes (6.7%) showed a persistent epithelial defect at the healed stage, characterized by thickened epithelial margins. Active corneal vessels and infiltrates produced back-shadowing on AS-OCT, which progressively diminished with clinical resolution.",
        "Conclusions": "AS-OCT allows objective, non-invasive detection of structural changes in infectious keratitis. Reduction in infiltrate thickness, decreasing central corneal thickness, and fading back-shadowing from vessels and infiltrates are reliable indicators of disease resolution and may be detected before overt clinical improvement. Sequential AS-OCT imaging serves as a valuable adjunct to slit-lamp examination for monitoring treatment response in infectious keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AS-OCT allows objective, non-invasive detection of structural changes in infectious keratitis. Reduction in infiltrate thickness, decreasing central corneal thickness, and fading back-shadowing from vessels and infiltrates are reliable indicators of disease resolution and may be detected before overt clinical improvement. Sequential AS-OCT imaging serves as a valuable adjunct to slit-lamp examination for monitoring…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 893,
      "source_fields": {
        "Abstract Final Identifier": "POCOR205",
        "Title": "The Combined Use Of Anterior Segment Optic Coherence Tomography And In Vivo Confocal Microscopy In Monitoring Infectious Keratitis",
        "Presenting Author(s)": "Dr Farida Elzawahry",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Farida",
        "Submitter Middle Name": "Omar",
        "Submitter Last Name": "Elzawahry",
        "Country Name": "Egypt",
        "Purpose": "To evaluate anterior segment optical coherence tomography (AS-OCT) findings in infectious keratitis (IK) and to characterize AS-OCT and in vivo confocal microscopy (IVCM) features during the acute, healing, and healed stages of infection.",
        "Setting": "Outpatient cornea and ocular surface clinics at Queens Medical Center, Nottingham University Hospitals, Nottingham, United Kingdom",
        "Methods": "This prospective observational study included 29 patients with infectious keratitis of different aetiologies presenting with a corneal ulcer and/or persistent epithelial defect. All patients underwent slit-lamp examination with fluorescein staining, AS-OCT, and IVCM at initial presentation (acute stage) and at two subsequent follow-up visits representing the healing and healed stages. Imaging was used to assess the depth and thickness of stromal infiltrates, central corneal thickness, epithelial integrity, vascular changes, and cellular and structural corneal alterations over time.",
        "Results": "The mean age of patients was 56.8 ± 19.5 years. Viral keratitis was the most common aetiology (26.7%). AS-OCT demonstrated a significant reduction in stromal infiltrate thickness during the healing phase (p < 0.001). Central corneal thickness showed a significant decrease between the acute and healed stages (p < 0.001). An epithelial defect was present in all eyes at presentation; however, only 3 eyes (6.7%) showed a persistent epithelial defect at the healed stage, characterized by thickened epithelial margins. Active corneal vessels and infiltrates produced back-shadowing on AS-OCT, which progressively diminished with clinical resolution.",
        "Conclusions": "AS-OCT allows objective, non-invasive detection of structural changes in infectious keratitis. Reduction in infiltrate thickness, decreasing central corneal thickness, and fading back-shadowing from vessels and infiltrates are reliable indicators of disease resolution and may be detected before overt clinical improvement. Sequential AS-OCT imaging serves as a valuable adjunct to slit-lamp examination for monitoring treatment response in infectious keratitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCOR206",
      "abstract_number": "POCOR206",
      "title": "Topical Losartan For The Treatment Of Corneal Scarring: Preliminary Results From An Ongoing Prospective Case Study",
      "authors": "Mr Paul Emesz",
      "presenter": "Mr Paul Emesz",
      "normalized_authors": [
        "Paul Emesz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paul Emesz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the effect of topical losartan on corneal scarring independent of etiology, focusing on functional outcomes such as best-corrected visual acuity (BCVA) and contact lens visual acuity, as well as objective parameters including corneal pachymetry, corneal aberrations, keratometric values, corneal density, and corneal tomography measured with MS-39 and Pentacam.",
        "Setting": "In this ongoing prospective case study, 24 eyes of 24 patients with corneal scarring were enrolled and treated with topical losartan 0.8 mg/mL four times daily. To date, data from 9 patients are available for analysis. Two patients discontinued treatment due to ocular burning, two experienced recurrence of herpetic keratitis, and two were lost to follow-up. Data from the remaining enrolled patients are not yet available.",
        "Methods": "Baseline examinations and follow-up visits at 3, 6, 9, and 12 months included assessment of BCVA, contact lens visual acuity, intraocular pressure (IOP) measured by Goldmann applanation tonometry, and imaging with Pentacam and MS-39. Patients additionally completed a symptom questionnaire at each visit.",
        "Results": "Among the analyzed cohort (6 m , 3 f) baseline mean BCVA was 0.53 logMAR (range 0.05–1.0). At the 3-month follow-up, mean BCVA improved to 0.38 logMAR (range 0.05–0.7). Seven of nine eyes showed improvement of one or more lines (p = 0.026), one eye remained unchanged, and one eye lost one line of vision. Preliminary 6-month data were available for five eyes and showed a mean BCVA of 0.33 logMAR (range 0.15–0.7). Four of five eyes gained one or more lines of visual acuity compared with baseline, while one eye remained stable. This improvement did not reach statistical significance (p = 0.065).No significant changes were observed in root mean square higher-order aberrations (RMS-HOA), thinnest corneal thickness (TCT), or intraocular pressure.",
        "Conclusions": "Despite the small sample size, a trend toward improved BCVA during treatment with topical losartan was observed. Further follow-up, including 9- and 12-month data and additional MS-39 parameters, will help clarify the potential role of topical losartan in the management of corneal scarring."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite the small sample size, a trend toward improved BCVA during treatment with topical losartan was observed. Further follow-up, including 9- and 12-month data and additional MS-39 parameters, will help clarify the potential role of topical losartan in the management of corneal scarring.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 894,
      "source_fields": {
        "Abstract Final Identifier": "POCOR206",
        "Title": "Topical Losartan For The Treatment Of Corneal Scarring: Preliminary Results From An Ongoing Prospective Case Study",
        "Presenting Author(s)": "Mr Paul Emesz",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Paul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Emesz",
        "Country Name": "Germany",
        "Purpose": "To evaluate the effect of topical losartan on corneal scarring independent of etiology, focusing on functional outcomes such as best-corrected visual acuity (BCVA) and contact lens visual acuity, as well as objective parameters including corneal pachymetry, corneal aberrations, keratometric values, corneal density, and corneal tomography measured with MS-39 and Pentacam.",
        "Setting": "In this ongoing prospective case study, 24 eyes of 24 patients with corneal scarring were enrolled and treated with topical losartan 0.8 mg/mL four times daily. To date, data from 9 patients are available for analysis. Two patients discontinued treatment due to ocular burning, two experienced recurrence of herpetic keratitis, and two were lost to follow-up. Data from the remaining enrolled patients are not yet available.",
        "Methods": "Baseline examinations and follow-up visits at 3, 6, 9, and 12 months included assessment of BCVA, contact lens visual acuity, intraocular pressure (IOP) measured by Goldmann applanation tonometry, and imaging with Pentacam and MS-39. Patients additionally completed a symptom questionnaire at each visit.",
        "Results": "Among the analyzed cohort (6 m , 3 f) baseline mean BCVA was 0.53 logMAR (range 0.05–1.0). At the 3-month follow-up, mean BCVA improved to 0.38 logMAR (range 0.05–0.7). Seven of nine eyes showed improvement of one or more lines (p = 0.026), one eye remained unchanged, and one eye lost one line of vision. Preliminary 6-month data were available for five eyes and showed a mean BCVA of 0.33 logMAR (range 0.15–0.7). Four of five eyes gained one or more lines of visual acuity compared with baseline, while one eye remained stable. This improvement did not reach statistical significance (p = 0.065).No significant changes were observed in root mean square higher-order aberrations (RMS-HOA), thinnest corneal thickness (TCT), or intraocular pressure.",
        "Conclusions": "Despite the small sample size, a trend toward improved BCVA during treatment with topical losartan was observed. Further follow-up, including 9- and 12-month data and additional MS-39 parameters, will help clarify the potential role of topical losartan in the management of corneal scarring."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "POCOR207",
      "abstract_number": "POCOR207",
      "title": "Predictors Of Infectious Corneal Ulcer Outcomes In A Real-World Cohort:\nClinical Risk Factors, Microbiology, And Antimicrobial Resistance",
      "authors": "Catarina Francisco",
      "presenter": "Catarina Francisco",
      "normalized_authors": [
        "Catarina Francisco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Catarina Francisco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To characterize the epidemiology, microbiological spectrum, and antimicrobial resistance of infectious corneal ulcers in a Northern Portugal referral center and to identify predictors of severe structural outcomes in real-world practice.",
        "Setting": "Ophthalmology referral center in Northern Portugal; consecutive infectious corneal ulcer episodes sampled for microbiology between 2014 and 2025.",
        "Methods": "Retrospective observational cohort study of consecutive infectious corneal ulcer episodes undergoing microbiological sampling (2014–2025). Baseline demographics, ocular and systemic risk factors, clinical severity markers (ulcer location, hypopyon), culture results, organism groups, antimicrobial susceptibility and initial empiric therapy were recorded. The primary outcome was severe structural failure (corneal perforation and/or evisceration). Secondary outcomes included central corneal scarring and hospitalization. Predictors of severe outcome were assessed using multivariable logistic regression.",
        "Results": "The study included 206 episodes (205 patients; mean age 54.6 ± 20.7 years). Culture was positive in 49.0%. Among culture-positive episodes, bacteria predominated (76.2%); the most frequent identified pathogens included Pseudomonas aeruginosa and Cutibacterium acnes , alongside HSV-1, coagulase-negative staphylococci, and Corynebacterium spp. Resistance was uncommon among isolates with available susceptibility data (fluoroquinolone 12%, aminoglycoside 9.1%, cephalosporin 5.9%); multidrug resistance occurred in 4.7%. Severe outcome occurred in 8.4% of episodes with available data. In multivariable analysis, hypopyon (aOR 6.85), systemic immunosuppression (aOR 4.89), and diabetes mellitus (aOR 2.50) independently predicted severe outcome.",
        "Conclusions": "In this cohort, severe corneal ulcer outcomes were primarily driven by baseline inflammatory severity and host vulnerability (hypopyon, immunosuppression, diabetes), while antimicrobial resistance and MDR were infrequent. Early risk stratification using these clinical and systemic factors may guide earlier escalation and closer follow-up , alongside ongoing local resistance surveillance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this cohort, severe corneal ulcer outcomes were primarily driven by baseline inflammatory severity and host vulnerability (hypopyon, immunosuppression, diabetes), while antimicrobial resistance and MDR were infrequent. Early risk stratification using these clinical and systemic factors may guide earlier escalation and closer follow-up , alongside ongoing local resistance surveillance.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 895,
      "source_fields": {
        "Abstract Final Identifier": "POCOR207",
        "Title": "Predictors Of Infectious Corneal Ulcer Outcomes In A Real-World Cohort:\nClinical Risk Factors, Microbiology, And Antimicrobial Resistance",
        "Presenting Author(s)": "Catarina Francisco",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Catarina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Francisco",
        "Country Name": "Portugal",
        "Purpose": "To characterize the epidemiology, microbiological spectrum, and antimicrobial resistance of infectious corneal ulcers in a Northern Portugal referral center and to identify predictors of severe structural outcomes in real-world practice.",
        "Setting": "Ophthalmology referral center in Northern Portugal; consecutive infectious corneal ulcer episodes sampled for microbiology between 2014 and 2025.",
        "Methods": "Retrospective observational cohort study of consecutive infectious corneal ulcer episodes undergoing microbiological sampling (2014–2025). Baseline demographics, ocular and systemic risk factors, clinical severity markers (ulcer location, hypopyon), culture results, organism groups, antimicrobial susceptibility and initial empiric therapy were recorded. The primary outcome was severe structural failure (corneal perforation and/or evisceration). Secondary outcomes included central corneal scarring and hospitalization. Predictors of severe outcome were assessed using multivariable logistic regression.",
        "Results": "The study included 206 episodes (205 patients; mean age 54.6 ± 20.7 years). Culture was positive in 49.0%. Among culture-positive episodes, bacteria predominated (76.2%); the most frequent identified pathogens included Pseudomonas aeruginosa and Cutibacterium acnes , alongside HSV-1, coagulase-negative staphylococci, and Corynebacterium spp. Resistance was uncommon among isolates with available susceptibility data (fluoroquinolone 12%, aminoglycoside 9.1%, cephalosporin 5.9%); multidrug resistance occurred in 4.7%. Severe outcome occurred in 8.4% of episodes with available data. In multivariable analysis, hypopyon (aOR 6.85), systemic immunosuppression (aOR 4.89), and diabetes mellitus (aOR 2.50) independently predicted severe outcome.",
        "Conclusions": "In this cohort, severe corneal ulcer outcomes were primarily driven by baseline inflammatory severity and host vulnerability (hypopyon, immunosuppression, diabetes), while antimicrobial resistance and MDR were infrequent. Early risk stratification using these clinical and systemic factors may guide earlier escalation and closer follow-up , alongside ongoing local resistance surveillance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POCOR208",
      "abstract_number": "POCOR208",
      "title": "Therapeutic Penetrating Keratoplasty For Progressive Aspergillus Lentulus Keratitis Resistant To Intensive Antifungal Therapy",
      "authors": "Dr Ioanna Gardeli",
      "presenter": "Dr Ioanna Gardeli",
      "normalized_authors": [
        "Ioanna Gardeli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ioanna Gardeli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe the management of rapidly progressive Aspergillus lentulus keratitis unresponsive to intensive antifungal therapy and treated with urgent therapeutic penetrating keratoplasty (TPK) combined with early postoperative topical cyclosporine-A.",
        "Setting": "Tertiary referral ophthalmology center with dedicated corneal and transplant services.",
        "Methods": "A 35-year-old male was referred with a 10-day history of right corneal ulcer following ocular trauma at work. Previous hospitalization included topical moxifloxacin and fluconazole without clinical improvement. Examination revealed a corneal ulcer with endothelial plaque, hypopyon, and fibrin in the anterior chamber. Corneal scrapings were obtained and antifungal therapy was initiated. Posterior segment evaluation excluded endophthalmitis. Cultures identified Aspergillus lentulus sensitive to voriconazole. Despite intensive topical and systemic voriconazole and amphotericin B, rapid clinical deterioration occurred, necessitating urgent therapeutic penetrating keratoplasty.",
        "Results": "Penetrating keratoplasty was performed within the first week of admission. Infected corneal tissue, hypopyon, and anterior chamber fibrin were removed, followed by meticulous anterior chamber irrigation with diluted voriconazole. Postoperatively, topical cyclosporine-A 0.5% was administered instead of corticosteroids. At four months, the eye remained infection-free with best-corrected visual acuity of 20/25 and progressive visual improvement.",
        "Conclusions": "Therapeutic penetrating keratoplasty combined with meticulous anterior chamber debridement and antifungal lavage achieved definitive infection control in this case of medically refractory Aspergillus lentulus keratitis. Rapid progression despite microbiologically guided therapy highlights the potentially aggressive behavior of this pathogen. Timely surgical intervention can be crucial for globe preservation and functional visual recovery. Postoperative cyclosporine-A may represent a safe steroid-sparing immunomodulatory strategy in selected cases where the risk of fungal reactivation is a concern."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Therapeutic penetrating keratoplasty combined with meticulous anterior chamber debridement and antifungal lavage achieved definitive infection control in this case of medically refractory Aspergillus lentulus keratitis. Rapid progression despite microbiologically guided therapy highlights the potentially aggressive behavior of this pathogen. Timely surgical intervention can be crucial for globe preservation and…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 896,
      "source_fields": {
        "Abstract Final Identifier": "POCOR208",
        "Title": "Therapeutic Penetrating Keratoplasty For Progressive Aspergillus Lentulus Keratitis Resistant To Intensive Antifungal Therapy",
        "Presenting Author(s)": "Dr Ioanna Gardeli",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ioanna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gardeli",
        "Country Name": "Greece",
        "Purpose": "To describe the management of rapidly progressive Aspergillus lentulus keratitis unresponsive to intensive antifungal therapy and treated with urgent therapeutic penetrating keratoplasty (TPK) combined with early postoperative topical cyclosporine-A.",
        "Setting": "Tertiary referral ophthalmology center with dedicated corneal and transplant services.",
        "Methods": "A 35-year-old male was referred with a 10-day history of right corneal ulcer following ocular trauma at work. Previous hospitalization included topical moxifloxacin and fluconazole without clinical improvement. Examination revealed a corneal ulcer with endothelial plaque, hypopyon, and fibrin in the anterior chamber. Corneal scrapings were obtained and antifungal therapy was initiated. Posterior segment evaluation excluded endophthalmitis. Cultures identified Aspergillus lentulus sensitive to voriconazole. Despite intensive topical and systemic voriconazole and amphotericin B, rapid clinical deterioration occurred, necessitating urgent therapeutic penetrating keratoplasty.",
        "Results": "Penetrating keratoplasty was performed within the first week of admission. Infected corneal tissue, hypopyon, and anterior chamber fibrin were removed, followed by meticulous anterior chamber irrigation with diluted voriconazole. Postoperatively, topical cyclosporine-A 0.5% was administered instead of corticosteroids. At four months, the eye remained infection-free with best-corrected visual acuity of 20/25 and progressive visual improvement.",
        "Conclusions": "Therapeutic penetrating keratoplasty combined with meticulous anterior chamber debridement and antifungal lavage achieved definitive infection control in this case of medically refractory Aspergillus lentulus keratitis. Rapid progression despite microbiologically guided therapy highlights the potentially aggressive behavior of this pathogen. Timely surgical intervention can be crucial for globe preservation and functional visual recovery. Postoperative cyclosporine-A may represent a safe steroid-sparing immunomodulatory strategy in selected cases where the risk of fungal reactivation is a concern."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POCOR209",
      "abstract_number": "POCOR209",
      "title": "Therapeutic Penetrating Keratoplasty In Advanced Polymicrobial Keratitis Caused By Acanthamoeba And Pseudomonas Aeruginosa",
      "authors": "Dr Ioanna Gardeli",
      "presenter": "Dr Ioanna Gardeli",
      "normalized_authors": [
        "Ioanna Gardeli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ioanna Gardeli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe the clinical course and surgical management of advanced corneal destruction caused by polymicrobial keratitis involving Acanthamoeba and Gram-negative bacterial infection in a contact lens wearer.",
        "Setting": "Tertiary referral ophthalmology center with specialized corneal and transplant services.",
        "Methods": "A 27-year-old female hairdresser and monthly contact lens user presented with acute ocular pain, photophobia, and significant visual reduction to 20/200 of two days’ duration. Slit-lamp examination revealed a central corneal ulcer with stromal necrosis, epithelial defect, hypopyon, and diffuse edema. Polymicrobial infection was suspected. Corneal scrapings and contact lenses were submitted for microbiological culture and PCR testing. Intensive topical and systemic antimicrobial therapy was initiated. Cultures grew Pseudomonas aeruginosa . Although PCR for Acanthamoeba was negative, in vivo confocal microscopy demonstrated characteristic cystic structures, prompting initiation of anti-amoebic treatment.",
        "Results": "Initial therapy halted rapid stromal progression; however, persistent amoebic infection led to a chronic non-healing epithelial defect with progressive corneal neovascularization. After 2.5 months of intensive medical treatment without meaningful structural recovery, therapeutic penetrating keratoplasty was performed. Postoperatively, serial intrastromal/subconjunctival bevacizumab injections were administered to control corneal neovascularization. Infection resolved completely, visual acuity improved steadily to 20/25 and corneal surface stability was restored.",
        "Conclusions": "Polymicrobial keratitis involving Acanthamoeba and Gram-negative bacteria may exhibit prolonged, treatment-resistant behavior with progressive structural compromise. When maximal medical therapy fails, therapeutic penetrating keratoplasty provides definitive eradication of infection and restoration of ocular integrity. Adjunctive anti-VEGF therapy may be selectively considered to control corneal neovascularization and optimize graft prognosis without compromising infection control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Polymicrobial keratitis involving Acanthamoeba and Gram-negative bacteria may exhibit prolonged, treatment-resistant behavior with progressive structural compromise. When maximal medical therapy fails, therapeutic penetrating keratoplasty provides definitive eradication of infection and restoration of ocular integrity. Adjunctive anti-VEGF therapy may be selectively considered to control corneal neovascularization…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 897,
      "source_fields": {
        "Abstract Final Identifier": "POCOR209",
        "Title": "Therapeutic Penetrating Keratoplasty In Advanced Polymicrobial Keratitis Caused By Acanthamoeba And Pseudomonas Aeruginosa",
        "Presenting Author(s)": "Dr Ioanna Gardeli",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ioanna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gardeli",
        "Country Name": "Greece",
        "Purpose": "To describe the clinical course and surgical management of advanced corneal destruction caused by polymicrobial keratitis involving Acanthamoeba and Gram-negative bacterial infection in a contact lens wearer.",
        "Setting": "Tertiary referral ophthalmology center with specialized corneal and transplant services.",
        "Methods": "A 27-year-old female hairdresser and monthly contact lens user presented with acute ocular pain, photophobia, and significant visual reduction to 20/200 of two days’ duration. Slit-lamp examination revealed a central corneal ulcer with stromal necrosis, epithelial defect, hypopyon, and diffuse edema. Polymicrobial infection was suspected. Corneal scrapings and contact lenses were submitted for microbiological culture and PCR testing. Intensive topical and systemic antimicrobial therapy was initiated. Cultures grew Pseudomonas aeruginosa . Although PCR for Acanthamoeba was negative, in vivo confocal microscopy demonstrated characteristic cystic structures, prompting initiation of anti-amoebic treatment.",
        "Results": "Initial therapy halted rapid stromal progression; however, persistent amoebic infection led to a chronic non-healing epithelial defect with progressive corneal neovascularization. After 2.5 months of intensive medical treatment without meaningful structural recovery, therapeutic penetrating keratoplasty was performed. Postoperatively, serial intrastromal/subconjunctival bevacizumab injections were administered to control corneal neovascularization. Infection resolved completely, visual acuity improved steadily to 20/25 and corneal surface stability was restored.",
        "Conclusions": "Polymicrobial keratitis involving Acanthamoeba and Gram-negative bacteria may exhibit prolonged, treatment-resistant behavior with progressive structural compromise. When maximal medical therapy fails, therapeutic penetrating keratoplasty provides definitive eradication of infection and restoration of ocular integrity. Adjunctive anti-VEGF therapy may be selectively considered to control corneal neovascularization and optimize graft prognosis without compromising infection control."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCOR210",
      "abstract_number": "POCOR210",
      "title": "Stromal Keratitis: An Ocular Presentation Of Tuberculosis",
      "authors": "Ms Iryna Gavryliak",
      "presenter": "Ms Iryna Gavryliak",
      "normalized_authors": [
        "Iryna Gavryliak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iryna Gavryliak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To present a case of tuberculosis keratitis and clinical features of the disease and the role of AS-\nOCT in diagnosis.",
        "Setting": "University clinic Bogomolets National Medical University",
        "Methods": "Case report. A 50-year-old patient presented to the ophthalmology clinic with complaints of persistent ocular redness, a foreign body sensation in the right eye lasting over one month, and progressive visual deterioration over the past five months. Upon examination, uncorrected visual acuity in the right eye was measured at 0.08, with preserved light perception. The patient had a confirmed diagnosis of tuberculosis, complicated by secondary ocular hematogenous involvement , which was considered in the differential assessment and interpretation of ocular findings.",
        "Results": "Slit-lamp examination showed significant conjunctival congestion, deep corneal neovascularization, and confluent disc-shaped stromal infiltrates. The intraocular pressure in the right eye was measured at 15 mm Hg, and fundus examination revealed no abnormalities within the visible area. Corneal sensation was intact bilaterally. Optical coherence tomography of the anterior segment (AS-OCT) revealed stromal thinning, leading to reduced overall corneal thickness while preserving epithelial thickness. Hyporeflective areas were observed amidst general hyperreflectivity of the corneal tissue, consistent with neovascularization. This pattern, commonly referred to in the literature as a “barcode” appearance, is indicative of neovascularization",
        "Conclusions": "Based on the preliminary examination, oral antituberculosis treatment with isoniazid, rifampicin, pyrazinamide and\nethambutol was started.The patient used topical corticosteroid eye drops for 6 times a day, moxifloxacin\nfor 4 times a day and cyclopentalate 1 time a day. Additionally, moisturizing drops based on hyaluronic\nacid and vitamin B12 were used. After the prescribed therapy, the patients best corrected visual acuity\nwas 0.4, conjunctival congestive injection disappeared, and corneal stromal infiltration decreased while\ncorneal neovascularization remained."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Based on the preliminary examination, oral antituberculosis treatment with isoniazid, rifampicin, pyrazinamide and ethambutol was started.The patient used topical corticosteroid eye drops for 6 times a day, moxifloxacin for 4 times a day and cyclopentalate 1 time a day. Additionally, moisturizing drops based on hyaluronic acid and vitamin B12 were used. After the prescribed therapy, the patients best corrected…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 898,
      "source_fields": {
        "Abstract Final Identifier": "POCOR210",
        "Title": "Stromal Keratitis: An Ocular Presentation Of Tuberculosis",
        "Presenting Author(s)": "Ms Iryna Gavryliak",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Iryna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gavryliak",
        "Country Name": "Ukraine",
        "Purpose": "To present a case of tuberculosis keratitis and clinical features of the disease and the role of AS-\nOCT in diagnosis.",
        "Setting": "University clinic Bogomolets National Medical University",
        "Methods": "Case report. A 50-year-old patient presented to the ophthalmology clinic with complaints of persistent ocular redness, a foreign body sensation in the right eye lasting over one month, and progressive visual deterioration over the past five months. Upon examination, uncorrected visual acuity in the right eye was measured at 0.08, with preserved light perception. The patient had a confirmed diagnosis of tuberculosis, complicated by secondary ocular hematogenous involvement , which was considered in the differential assessment and interpretation of ocular findings.",
        "Results": "Slit-lamp examination showed significant conjunctival congestion, deep corneal neovascularization, and confluent disc-shaped stromal infiltrates. The intraocular pressure in the right eye was measured at 15 mm Hg, and fundus examination revealed no abnormalities within the visible area. Corneal sensation was intact bilaterally. Optical coherence tomography of the anterior segment (AS-OCT) revealed stromal thinning, leading to reduced overall corneal thickness while preserving epithelial thickness. Hyporeflective areas were observed amidst general hyperreflectivity of the corneal tissue, consistent with neovascularization. This pattern, commonly referred to in the literature as a “barcode” appearance, is indicative of neovascularization",
        "Conclusions": "Based on the preliminary examination, oral antituberculosis treatment with isoniazid, rifampicin, pyrazinamide and\nethambutol was started.The patient used topical corticosteroid eye drops for 6 times a day, moxifloxacin\nfor 4 times a day and cyclopentalate 1 time a day. Additionally, moisturizing drops based on hyaluronic\nacid and vitamin B12 were used. After the prescribed therapy, the patients best corrected visual acuity\nwas 0.4, conjunctival congestive injection disappeared, and corneal stromal infiltration decreased while\ncorneal neovascularization remained."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POCOR211",
      "abstract_number": "POCOR211",
      "title": "Corneal Ulcers Due To Attempt Of Foreign Body Removal With The Use Of Tongue In Lower Socio-Economic Class Of Patients",
      "authors": "Dr BHAVYA Bipin GOKANI",
      "presenter": "Dr BHAVYA Bipin GOKANI",
      "normalized_authors": [
        "BHAVYA Bipin GOKANI"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bhavya Bipin Gokani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "TO DIAGNOSE INFECTIONS CAUSED DUE TO A BARBARIC METHOD OF FOREIGN BODY REMOVAL PRACTISED IN LOWER SOCIO-ECONOMIC CLASSES BY USING TONGUE TO CLEAN THE EYES.",
        "Setting": "IN LOWER SOCIO-ECONOMIC CLASSES IN A FEW STATES OF INDIA , THERE IS A PRACTISE OF FOREIGN BODY REMOVAL BY QUACKS IN WHICH THEY USE THE TONGUE TO REMOVE THE FOREIGN BODIES. THIS BECOMES A CAUSE OF MAXIMUM CORNEAL INFECTIONS AND CORNEAL ULCERS. THIS PAPER IS AN ATTEMPT TO THROW SOME LIGHT ON THE SAME.",
        "Methods": "10 PATIENTS WITH CORNEAL ULCERS CAUSED AFTER VISITING QUACKS FOR REMOVAL OF FOREIGN BODY WITH THE TONGUE WERE STUDIED. THE ETIOLOGY OF THE ULCER INVOLVED PRESENCE OF MIXED BACTERIAL AND FUNGAL CORNEAL ULCERS. DURING TREATMENT OF THESE ULCERS, PATIENT EDUCATION AND RELATIVES EDUCATION WAS DONE TO PREVENT THIS FROM FURTHER OCCURING.",
        "Results": "MOST OF THESE PATIENTS DEVELOPED MIXED BACTERIAL AND FUNGAL ULCERS. THEY TOOK ALMOST 6 TO 8 WEEKS TO CURE. 3 OF THEM HAD TO UNDERGO THERAPEUTIC PENETRATING KERATOPLASTY.",
        "Conclusions": "USAGE OF TONGUE TO CLEAN CORNEAL FOREIGN BODIES IS A BARBARIC PRACTICE USED BY QUACKS IN A FEW STATES WITH LOWER SOCIO ECONOMIC CLASSES IN INIDA. OPTIMUM PATIENT EDUCATION IS NECESSARY TO ABOLISH THIS PRACTICE."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "USAGE OF TONGUE TO CLEAN CORNEAL FOREIGN BODIES IS A BARBARIC PRACTICE USED BY QUACKS IN A FEW STATES WITH LOWER SOCIO ECONOMIC CLASSES IN INIDA. OPTIMUM PATIENT EDUCATION IS NECESSARY TO ABOLISH THIS PRACTICE.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 899,
      "source_fields": {
        "Abstract Final Identifier": "POCOR211",
        "Title": "Corneal Ulcers Due To Attempt Of Foreign Body Removal With The Use Of Tongue In Lower Socio-Economic Class Of Patients",
        "Presenting Author(s)": "Dr BHAVYA Bipin GOKANI",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Bhavya",
        "Submitter Middle Name": "Bipin",
        "Submitter Last Name": "Gokani",
        "Country Name": "India",
        "Purpose": "TO DIAGNOSE INFECTIONS CAUSED DUE TO A BARBARIC METHOD OF FOREIGN BODY REMOVAL PRACTISED IN LOWER SOCIO-ECONOMIC CLASSES BY USING TONGUE TO CLEAN THE EYES.",
        "Setting": "IN LOWER SOCIO-ECONOMIC CLASSES IN A FEW STATES OF INDIA , THERE IS A PRACTISE OF FOREIGN BODY REMOVAL BY QUACKS IN WHICH THEY USE THE TONGUE TO REMOVE THE FOREIGN BODIES. THIS BECOMES A CAUSE OF MAXIMUM CORNEAL INFECTIONS AND CORNEAL ULCERS. THIS PAPER IS AN ATTEMPT TO THROW SOME LIGHT ON THE SAME.",
        "Methods": "10 PATIENTS WITH CORNEAL ULCERS CAUSED AFTER VISITING QUACKS FOR REMOVAL OF FOREIGN BODY WITH THE TONGUE WERE STUDIED. THE ETIOLOGY OF THE ULCER INVOLVED PRESENCE OF MIXED BACTERIAL AND FUNGAL CORNEAL ULCERS. DURING TREATMENT OF THESE ULCERS, PATIENT EDUCATION AND RELATIVES EDUCATION WAS DONE TO PREVENT THIS FROM FURTHER OCCURING.",
        "Results": "MOST OF THESE PATIENTS DEVELOPED MIXED BACTERIAL AND FUNGAL ULCERS. THEY TOOK ALMOST 6 TO 8 WEEKS TO CURE. 3 OF THEM HAD TO UNDERGO THERAPEUTIC PENETRATING KERATOPLASTY.",
        "Conclusions": "USAGE OF TONGUE TO CLEAN CORNEAL FOREIGN BODIES IS A BARBARIC PRACTICE USED BY QUACKS IN A FEW STATES WITH LOWER SOCIO ECONOMIC CLASSES IN INIDA. OPTIMUM PATIENT EDUCATION IS NECESSARY TO ABOLISH THIS PRACTICE."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "POCOR212",
      "abstract_number": "POCOR212",
      "title": "Diagnosis And Management Of Herpetic Endotheliitis: Added Value Of Anterior Segment Oct",
      "authors": "Dr Firdaws Haouach",
      "presenter": "Dr Firdaws Haouach",
      "normalized_authors": [
        "Firdaws Haouach"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Firdaws Haouach",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Herpetic endotheliitis is a stromal form of Herpes Simplex Keratitis, accounting for approximately 2% of primary herpetic manifestations and nearly half of recurrences. It may present as disciform, linear, or diffuse corneal edema and is typically characterized by stromal edema, Descemet membrane folds, and keratic precipitates. We report a case highlighting the diagnostic and therapeutic challenges of this condition and the role of Anterior Segment Optical Coherence Tomography in its evaluation.",
        "Setting": "Department of Ophthalmology, University Hospital.",
        "Methods": "We report the clinical presentation, imaging findings, management, and outcome of a 76-year-old woman with a history of systemic hypertension, asthma, and previous cataract surgery in the right eye. She presented with a painful red left eye and progressive visual impairment for more than one month. Initial examination revealed visual acuity limited to counting fingers at 1m, a central dendritic corneal ulcer, epithelial hypoesthesia, and a calme anterior chamber. Intraocular pressure was within normal limits. Oral antiviral therapy with Valaciclovir (1 g three times daily) was initiated, resulting in complete healing of the dendritic ulcer and improvement in visual acuity.Four weeks later, the patient presented with recurrence of symptoms.",
        "Results": "Slit-lamp examination revealed localised corneal oedema with pigmented keratic precipitates, Descemet membrane folds, and anterior chamber inflammation without hypopyon. Fluorescein staining confirmed complete resolution of the epithelial lesion. A diagnosis of herpetic endotheliitis was strongly suspected. Antiviral therapy was intensified with intravenous Acyclovir. Anterior Segment Optical Coherence Tomography demonstrated hyperreflectivity of the endothelium and Descemet membrane, stromal thickening, and retro-Descemet precipitates associated with corneal oedema. Topical corticosteroids were cautiously introduced under antiviral coverage.",
        "Conclusions": "Clinical evolution was favorable, with progressive resolution of corneal edema and improvement in visual acuity.Herpetic endotheliitis is a potentially sight-threatening condition requiring prompt recognition and appropriate management. A sequential therapeutic strategy combining intensive antiviral therapy followed by carefully monitored topical corticosteroids is essential to control inflammation while preventing viral reactivation. Anterior Segment Optical Coherence Tomography represents a valuable adjunctive tool for confirming endothelial involvement and guiding therapeutic decisions in herpetic keratitis"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Clinical evolution was favorable, with progressive resolution of corneal edema and improvement in visual acuity.Herpetic endotheliitis is a potentially sight-threatening condition requiring prompt recognition and appropriate management. A sequential therapeutic strategy combining intensive antiviral therapy followed by carefully monitored topical corticosteroids is essential to control inflammation while preventing…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 900,
      "source_fields": {
        "Abstract Final Identifier": "POCOR212",
        "Title": "Diagnosis And Management Of Herpetic Endotheliitis: Added Value Of Anterior Segment Oct",
        "Presenting Author(s)": "Dr Firdaws Haouach",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Firdaws",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haouach",
        "Country Name": "Morocco",
        "Purpose": "Herpetic endotheliitis is a stromal form of Herpes Simplex Keratitis, accounting for approximately 2% of primary herpetic manifestations and nearly half of recurrences. It may present as disciform, linear, or diffuse corneal edema and is typically characterized by stromal edema, Descemet membrane folds, and keratic precipitates. We report a case highlighting the diagnostic and therapeutic challenges of this condition and the role of Anterior Segment Optical Coherence Tomography in its evaluation.",
        "Setting": "Department of Ophthalmology, University Hospital.",
        "Methods": "We report the clinical presentation, imaging findings, management, and outcome of a 76-year-old woman with a history of systemic hypertension, asthma, and previous cataract surgery in the right eye. She presented with a painful red left eye and progressive visual impairment for more than one month. Initial examination revealed visual acuity limited to counting fingers at 1m, a central dendritic corneal ulcer, epithelial hypoesthesia, and a calme anterior chamber. Intraocular pressure was within normal limits. Oral antiviral therapy with Valaciclovir (1 g three times daily) was initiated, resulting in complete healing of the dendritic ulcer and improvement in visual acuity.Four weeks later, the patient presented with recurrence of symptoms.",
        "Results": "Slit-lamp examination revealed localised corneal oedema with pigmented keratic precipitates, Descemet membrane folds, and anterior chamber inflammation without hypopyon. Fluorescein staining confirmed complete resolution of the epithelial lesion. A diagnosis of herpetic endotheliitis was strongly suspected. Antiviral therapy was intensified with intravenous Acyclovir. Anterior Segment Optical Coherence Tomography demonstrated hyperreflectivity of the endothelium and Descemet membrane, stromal thickening, and retro-Descemet precipitates associated with corneal oedema. Topical corticosteroids were cautiously introduced under antiviral coverage.",
        "Conclusions": "Clinical evolution was favorable, with progressive resolution of corneal edema and improvement in visual acuity.Herpetic endotheliitis is a potentially sight-threatening condition requiring prompt recognition and appropriate management. A sequential therapeutic strategy combining intensive antiviral therapy followed by carefully monitored topical corticosteroids is essential to control inflammation while preventing viral reactivation. Anterior Segment Optical Coherence Tomography represents a valuable adjunctive tool for confirming endothelial involvement and guiding therapeutic decisions in herpetic keratitis"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCOR213",
      "abstract_number": "POCOR213",
      "title": "Stenotrophomonas Maltophilia Keratitis: Two Cases Of Superinfection In Compromised Corneas.",
      "authors": "Dr Tomás Hernández-García",
      "presenter": "Dr Tomás Hernández-García",
      "normalized_authors": [
        "Tomás Hernández-García"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tomás Hernández-García",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report two cases of Stenotrophomonas maltophilia keratitis occurring as superinfections in compromised corneas and describe their clinical presentation, antibiotic susceptibility patterns, management challenges, and outcomes. S. maltophilia is an uncommon but challenging cause of infectious keratitis due to its intrinsic resistance to carbapenems and aminoglycosides. These cases highlight the importance of recognizing S. maltophilia as a potential pathogen in patients with pre-existing corneal disease and the need for culture-directed therapy given variable antibiotic susceptibility patterns.",
        "Setting": "Corneal Department, Institut Clínic d’Oftalmologia, Hospital Clínic de Barcelona. Spain.",
        "Methods": "Retrospective case series of two patients with culture-proven S. maltophilia keratitis. Clinical data including predisposing factors, presenting features, microbiological results with minimum inhibitory concentration (MIC) values, antibiotic susceptibility patterns, treatment regimens, and visual outcomes were analyzed. Both patients had significant pre-existing corneal pathology prior to developing S. maltophilia infection.",
        "Results": "Case 1: Patient with herpetic corneal leucoma (VA 0.2) developed a neurotrophic ulcer progressing to perforation (VA HM), treated with cyanoacrylate glue. Three months later presented endothelial failure, hypopyon and infiltrate. Culture grew abundant S. maltophilia , levofloxacin-sensitive. Targeted therapy achieved stabilization, with severe thinning and VA HM.\n\nCase 2: Patient with advanced glaucoma developed corneal decompensation after DMEK (VA HM) and recurrent ulceration while awaiting repeat surgery. Culture isolated S. maltophilia (minocycline sensitive, TMP-SMX intermediate, levofloxacin resistant). Addition of fortified topical ceftazidime led to stabilization; eye progressed to prephthisis, currently stable, VA light perception.",
        "Conclusions": "S. maltophilia keratitis should be considered in patients with compromised corneal surfaces, particularly following surgical procedures or in the setting of pre-existing corneal disease. Antibiotic susceptibility is highly variable, with fluoroquinolone resistance documented in our series despite literature reporting high susceptibility rates. Culture-directed therapy is essential given unpredictable resistance patterns. Combination therapy including fortified ceftazidime may be beneficial in refractory cases. Visual prognosis remains guarded despite infection control, emphasizing the importance of early recognition and aggressive management of this opportunistic pathogen in vulnerable corneal tissue."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "S. maltophilia keratitis should be considered in patients with compromised corneal surfaces, particularly following surgical procedures or in the setting of pre-existing corneal disease. Antibiotic susceptibility is highly variable, with fluoroquinolone resistance documented in our series despite literature reporting high susceptibility rates. Culture-directed therapy is essential given unpredictable resistance…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 901,
      "source_fields": {
        "Abstract Final Identifier": "POCOR213",
        "Title": "Stenotrophomonas Maltophilia Keratitis: Two Cases Of Superinfection In Compromised Corneas.",
        "Presenting Author(s)": "Dr Tomás Hernández-García",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Tomás",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hernández-García",
        "Country Name": "Spain",
        "Purpose": "To report two cases of Stenotrophomonas maltophilia keratitis occurring as superinfections in compromised corneas and describe their clinical presentation, antibiotic susceptibility patterns, management challenges, and outcomes. S. maltophilia is an uncommon but challenging cause of infectious keratitis due to its intrinsic resistance to carbapenems and aminoglycosides. These cases highlight the importance of recognizing S. maltophilia as a potential pathogen in patients with pre-existing corneal disease and the need for culture-directed therapy given variable antibiotic susceptibility patterns.",
        "Setting": "Corneal Department, Institut Clínic d’Oftalmologia, Hospital Clínic de Barcelona. Spain.",
        "Methods": "Retrospective case series of two patients with culture-proven S. maltophilia keratitis. Clinical data including predisposing factors, presenting features, microbiological results with minimum inhibitory concentration (MIC) values, antibiotic susceptibility patterns, treatment regimens, and visual outcomes were analyzed. Both patients had significant pre-existing corneal pathology prior to developing S. maltophilia infection.",
        "Results": "Case 1: Patient with herpetic corneal leucoma (VA 0.2) developed a neurotrophic ulcer progressing to perforation (VA HM), treated with cyanoacrylate glue. Three months later presented endothelial failure, hypopyon and infiltrate. Culture grew abundant S. maltophilia , levofloxacin-sensitive. Targeted therapy achieved stabilization, with severe thinning and VA HM.\n\nCase 2: Patient with advanced glaucoma developed corneal decompensation after DMEK (VA HM) and recurrent ulceration while awaiting repeat surgery. Culture isolated S. maltophilia (minocycline sensitive, TMP-SMX intermediate, levofloxacin resistant). Addition of fortified topical ceftazidime led to stabilization; eye progressed to prephthisis, currently stable, VA light perception.",
        "Conclusions": "S. maltophilia keratitis should be considered in patients with compromised corneal surfaces, particularly following surgical procedures or in the setting of pre-existing corneal disease. Antibiotic susceptibility is highly variable, with fluoroquinolone resistance documented in our series despite literature reporting high susceptibility rates. Culture-directed therapy is essential given unpredictable resistance patterns. Combination therapy including fortified ceftazidime may be beneficial in refractory cases. Visual prognosis remains guarded despite infection control, emphasizing the importance of early recognition and aggressive management of this opportunistic pathogen in vulnerable corneal tissue."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POCOR214",
      "abstract_number": "POCOR214",
      "title": "Acanthamoeba Keratitis: 14 Cases Treated With Polihexanide 0.08% In Monotherapy",
      "authors": "Dr Ana Hervás Ontiveros",
      "presenter": "Dr Ana Hervás Ontiveros",
      "normalized_authors": [
        "Ana Hervás Ontiveros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Hervás Ontiveros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report efficacy and safety topical PHMB (polihexanide) 0.08% (0.8 mg/ml) in monotherapy for Acanthamoeba Keratitis (AK) treatment.",
        "Setting": "The study was done at Hospital La Fe (Valencia)",
        "Methods": "We report 14 cases with AK.During 6 months in every case, we treated all the patients with this regimen (daily time only): 1 drop every hour (day 1 to 5), 1 drop every 2 hours (day 6 to 12), 1 drop every 3 hours (day 13 to 20), 1 drop every 4 hours (day 21 to resolution). The medical cure was defined as complete clinical resolution visualized by slit lamp and absence of corneal inflammation. The main outcome measure was clinical findings within 6 months, and secondary outcomes including best corrected visual acuity. Safety outcomes included adverse event rates.",
        "Results": "Fourteen eyes of AK with variable severity received PHMB 0.08% at the described regimen ( Stage 1=3, Stage 2= 3, Stage 3=1, Stage 4=4, Stage 5=3) . Ten eyes were contact lens wearers. The medical cure rate within 6 months was 100% with complete resolution in 14 cases. The median time of treatment was 122 days. Secondary outcomes were median best-corrected visual acuity of 20/20. 2 of 10 patients required Optic Penetrating Keratoplasty due to the severity of the infectious process and the central leucoma. No drug-related adverse events occurred.",
        "Conclusions": "PHMB 0.08% monotherapy may be effective for Acanthamoeba keratitis with medical cure rates of more than 85%."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PHMB 0.08% monotherapy may be effective for Acanthamoeba keratitis with medical cure rates of more than 85%.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 902,
      "source_fields": {
        "Abstract Final Identifier": "POCOR214",
        "Title": "Acanthamoeba Keratitis: 14 Cases Treated With Polihexanide 0.08% In Monotherapy",
        "Presenting Author(s)": "Dr Ana Hervás Ontiveros",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hervás Ontiveros",
        "Country Name": "Spain",
        "Purpose": "To report efficacy and safety topical PHMB (polihexanide) 0.08% (0.8 mg/ml) in monotherapy for Acanthamoeba Keratitis (AK) treatment.",
        "Setting": "The study was done at Hospital La Fe (Valencia)",
        "Methods": "We report 14 cases with AK.During 6 months in every case, we treated all the patients with this regimen (daily time only): 1 drop every hour (day 1 to 5), 1 drop every 2 hours (day 6 to 12), 1 drop every 3 hours (day 13 to 20), 1 drop every 4 hours (day 21 to resolution). The medical cure was defined as complete clinical resolution visualized by slit lamp and absence of corneal inflammation. The main outcome measure was clinical findings within 6 months, and secondary outcomes including best corrected visual acuity. Safety outcomes included adverse event rates.",
        "Results": "Fourteen eyes of AK with variable severity received PHMB 0.08% at the described regimen ( Stage 1=3, Stage 2= 3, Stage 3=1, Stage 4=4, Stage 5=3) . Ten eyes were contact lens wearers. The medical cure rate within 6 months was 100% with complete resolution in 14 cases. The median time of treatment was 122 days. Secondary outcomes were median best-corrected visual acuity of 20/20. 2 of 10 patients required Optic Penetrating Keratoplasty due to the severity of the infectious process and the central leucoma. No drug-related adverse events occurred.",
        "Conclusions": "PHMB 0.08% monotherapy may be effective for Acanthamoeba keratitis with medical cure rates of more than 85%."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCOR215",
      "abstract_number": "POCOR215",
      "title": "Benoxinate-Induced Keratopathy: Clinical Patterns And Management",
      "authors": "Dr Rawan Hosny",
      "presenter": "Dr Rawan Hosny",
      "normalized_authors": [
        "Rawan Hosny"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rawan Hosny",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To describe clinical characteristics, patterns and management options in benoxinate-induced keratopathy.",
        "Setting": "Cairo University Hospitals",
        "Methods": "Retrospective single-center study in which patients using benoxinate hydrochloride 0.4% for >1 month and present with keratopathy and/or corneal complications were enrolled.",
        "Results": "36 eyes were included, 90.5% belonged to welders. Median CDVA was 2.3 logMAR (HM.) Secondary corneal abscess was present in 47.2% of eyes and 66.7% of eyes showed ring- shaped corneal deposits. 13.9% had corneal perforation at presentation and 22.3% had marked corneal thinning. All eyes except one had varying degrees of epithelial defects, mean defect 50.7 ± 38.1 mm 2 . 47.2% received medical treatment and 52.7% were treated surgically. Size of epithelial defect was correlated to CDVA and presence of abscess (p=0.007 and 0.041.) Choice of management was affected by size of epithelial defect and CDVA (p<0.001 and =0.006.) CDVA did not improve following reepithelialization (p=0.157.)",
        "Conclusions": "Benoxinate-induced keratopathy is a potentially blinding and preventable disease. Stricter laws preventing over the counter availability is needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Benoxinate-induced keratopathy is a potentially blinding and preventable disease. Stricter laws preventing over the counter availability is needed.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 903,
      "source_fields": {
        "Abstract Final Identifier": "POCOR215",
        "Title": "Benoxinate-Induced Keratopathy: Clinical Patterns And Management",
        "Presenting Author(s)": "Dr Rawan Hosny",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Rawan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hosny",
        "Country Name": "Egypt",
        "Purpose": "To describe clinical characteristics, patterns and management options in benoxinate-induced keratopathy.",
        "Setting": "Cairo University Hospitals",
        "Methods": "Retrospective single-center study in which patients using benoxinate hydrochloride 0.4% for >1 month and present with keratopathy and/or corneal complications were enrolled.",
        "Results": "36 eyes were included, 90.5% belonged to welders. Median CDVA was 2.3 logMAR (HM.) Secondary corneal abscess was present in 47.2% of eyes and 66.7% of eyes showed ring- shaped corneal deposits. 13.9% had corneal perforation at presentation and 22.3% had marked corneal thinning. All eyes except one had varying degrees of epithelial defects, mean defect 50.7 ± 38.1 mm 2 . 47.2% received medical treatment and 52.7% were treated surgically. Size of epithelial defect was correlated to CDVA and presence of abscess (p=0.007 and 0.041.) Choice of management was affected by size of epithelial defect and CDVA (p<0.001 and =0.006.) CDVA did not improve following reepithelialization (p=0.157.)",
        "Conclusions": "Benoxinate-induced keratopathy is a potentially blinding and preventable disease. Stricter laws preventing over the counter availability is needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 180
    },
    {
      "uid": "POCOR216",
      "abstract_number": "POCOR216",
      "title": "High-Risk Mooren’S Ulcer: Therapeutic Dilemmas And Clinical Decision-Making In Five Cases",
      "authors": "Prof. Dr Anna Hovakimyan",
      "presenter": "Prof. Dr Anna Hovakimyan",
      "normalized_authors": [
        "Anna Hovakimyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Hovakimyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "Mooren’s ulcer is a rare, progressive, immune-mediated peripheral ulcerative keratitis associated with significant diagnostic and therapeutic challenges. Management is especially difficult in high-risk patients due to uncertainty regarding oral immunosuppression, coexistence or history of ocular infectious disease, and risk of corneal perforation. We present five challenging cases of Mooren’s ulcer highlighting key therapeutic dilemmas and clinical decision-making strategies.",
        "Setting": "Cornea-Uveitis Department, S. Malayan Eye Center, Yerevan, Armenia.",
        "Methods": "Between 2023-2025 we have treated 8 patients with Mooren’s ulcer, 5 of whom represented a spectrum of high-risk clinical scenarios, including almost 360° involving peripheral corneal perforation in a patient with severe osteoporosis, a patient with coexisting chronic dacryocystitis requiring therapeutic sequencing, diagnostic uncertainty in the setting of a patient with prior herpetic keratitis, and two elderly female patients (79 y.o. and 82 y.o.) for initiation of oral immunosuppression.\nWorkup included corneal scraping, PCR to exclude infections, systemic exam to rule out autoimmune diseases. Management was focused on individualized risk–benefit assessment regarding systemic immunosuppression, sequencing of surgical vs medical treatment.",
        "Results": "Major dilemmas included avoidance of systemic immunosuppression in severe osteoporosis, sequencing treatment in the presence of chronic dacryocystitis, differentiation from herpetic keratitis, and initiation of immunosuppression in elderly patients. Systemic therapy was individualized, 4 of 5 patients underwent amniotic membrane transplantation (AMT) combined with tailored medical therapy, which included oral Doxycycline, oral steroids, Azathioprine, and antiviral prophylaxis in a patient with h/o herpetic disease. Oral steroids were tapered in 10-12 weeks, whereas Azathioprine was continued for 6-9 months. Oral Doxycycline was discontinued in 6 weeks. All ulcers gradually healed in 6-12 weeks.",
        "Conclusions": "Management of high-risk Mooren’s ulcer requires individualized approach and clinical decision-making based on patient comorbidities, diagnostic uncertainty, particularly in elderly patients where the risks of systemic immunosuppression should be cautiously considered. Careful integration of surgical procedure with tailored medical therapy can result in successful outcomes even in challenging situations. These cases highlight the importance of case-oriented treatment strategies in managing Mooren’s ulcer."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Management of high-risk Mooren’s ulcer requires individualized approach and clinical decision-making based on patient comorbidities, diagnostic uncertainty, particularly in elderly patients where the risks of systemic immunosuppression should be cautiously considered. Careful integration of surgical procedure with tailored medical therapy can result in successful outcomes even in challenging situations. These cases…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 904,
      "source_fields": {
        "Abstract Final Identifier": "POCOR216",
        "Title": "High-Risk Mooren’S Ulcer: Therapeutic Dilemmas And Clinical Decision-Making In Five Cases",
        "Presenting Author(s)": "Prof. Dr Anna Hovakimyan",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Anna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hovakimyan",
        "Country Name": "Armenia",
        "Purpose": "Mooren’s ulcer is a rare, progressive, immune-mediated peripheral ulcerative keratitis associated with significant diagnostic and therapeutic challenges. Management is especially difficult in high-risk patients due to uncertainty regarding oral immunosuppression, coexistence or history of ocular infectious disease, and risk of corneal perforation. We present five challenging cases of Mooren’s ulcer highlighting key therapeutic dilemmas and clinical decision-making strategies.",
        "Setting": "Cornea-Uveitis Department, S. Malayan Eye Center, Yerevan, Armenia.",
        "Methods": "Between 2023-2025 we have treated 8 patients with Mooren’s ulcer, 5 of whom represented a spectrum of high-risk clinical scenarios, including almost 360° involving peripheral corneal perforation in a patient with severe osteoporosis, a patient with coexisting chronic dacryocystitis requiring therapeutic sequencing, diagnostic uncertainty in the setting of a patient with prior herpetic keratitis, and two elderly female patients (79 y.o. and 82 y.o.) for initiation of oral immunosuppression.\nWorkup included corneal scraping, PCR to exclude infections, systemic exam to rule out autoimmune diseases. Management was focused on individualized risk–benefit assessment regarding systemic immunosuppression, sequencing of surgical vs medical treatment.",
        "Results": "Major dilemmas included avoidance of systemic immunosuppression in severe osteoporosis, sequencing treatment in the presence of chronic dacryocystitis, differentiation from herpetic keratitis, and initiation of immunosuppression in elderly patients. Systemic therapy was individualized, 4 of 5 patients underwent amniotic membrane transplantation (AMT) combined with tailored medical therapy, which included oral Doxycycline, oral steroids, Azathioprine, and antiviral prophylaxis in a patient with h/o herpetic disease. Oral steroids were tapered in 10-12 weeks, whereas Azathioprine was continued for 6-9 months. Oral Doxycycline was discontinued in 6 weeks. All ulcers gradually healed in 6-12 weeks.",
        "Conclusions": "Management of high-risk Mooren’s ulcer requires individualized approach and clinical decision-making based on patient comorbidities, diagnostic uncertainty, particularly in elderly patients where the risks of systemic immunosuppression should be cautiously considered. Careful integration of surgical procedure with tailored medical therapy can result in successful outcomes even in challenging situations. These cases highlight the importance of case-oriented treatment strategies in managing Mooren’s ulcer."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POCOR217",
      "abstract_number": "POCOR217",
      "title": "A Hybrid Cnn- Vision Transformer Approach For The Differentiation Of Fungal And Bacterial Keratitis",
      "authors": "Dr Deema E. Jomar",
      "presenter": "Dr Deema E. Jomar",
      "normalized_authors": [
        "Deema E. Jomar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Deema E. Jomar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the diagnostic performance of a novel hybrid deep learning framework that integrates Convolutional Neural Networks\n\n(CNN) and Vision Transformers (VIT) for the automated differentiation of fungal keratitis (FK) and bacterial keratitis (BK) using slit-lamp photography. The study aimed to determine if combining local feature extraction with global spatial attention could overcome the diagnostic challenges posed by overlapping clinical features in infectious keratitis.",
        "Setting": "This was a diagnostic deep learning evaluation study at a tertiary eye care center.",
        "Methods": "A total of 5,713 sit-lamp images (augmented from 783 original images of 351 patients) were utilized, with ground truth established via laboratory culture or biopsy. Images were partitioned at the patient level into training (n=4,570) and testing (n=1,143) sets.\n\nWe developed a hybrid CNN+ViT architecture designed to capture both local morphological features- such as feathery borders- and global spatial dependencies, such as satellite lesions. Performance was compared against standalone architectures, including MobileNetV2, VGG16, CNN, and a standard ViT.",
        "Results": "The hybrid CNN+VIT model achieved a superior diagnostic accuracy of 96.51%, significantly outperforming standalone CNN models (which ranged from 60.19% to 78.39%) and the standalone VIT (69.64%). The framework demonstrated robust discriminative capability with an AUROC of 0.99. On the independent test set, the model correctly identified 583 bacterial and 517 fungal cases, achieving a precision of 96.04% and a recall of 96.84%.",
        "Conclusions": "The hybrid CNN+ViT architecture significantly enhances the differentiation of FK and BK compared to standalone models by effectively bridging the gap between local textural nuances and broader structural patterns. This approach offers a reliable clinical decision support tool that can provide immediate probability scores during initial presentation, potentially reducing time-to-treatment for devastating fungal infections."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The hybrid CNN+ViT architecture significantly enhances the differentiation of FK and BK compared to standalone models by effectively bridging the gap between local textural nuances and broader structural patterns. This approach offers a reliable clinical decision support tool that can provide immediate probability scores during initial presentation, potentially reducing time-to-treatment for devastating fungal…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 905,
      "source_fields": {
        "Abstract Final Identifier": "POCOR217",
        "Title": "A Hybrid Cnn- Vision Transformer Approach For The Differentiation Of Fungal And Bacterial Keratitis",
        "Presenting Author(s)": "Dr Deema E. Jomar",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Deema",
        "Submitter Middle Name": "E.",
        "Submitter Last Name": "Jomar",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the diagnostic performance of a novel hybrid deep learning framework that integrates Convolutional Neural Networks\n\n(CNN) and Vision Transformers (VIT) for the automated differentiation of fungal keratitis (FK) and bacterial keratitis (BK) using slit-lamp photography. The study aimed to determine if combining local feature extraction with global spatial attention could overcome the diagnostic challenges posed by overlapping clinical features in infectious keratitis.",
        "Setting": "This was a diagnostic deep learning evaluation study at a tertiary eye care center.",
        "Methods": "A total of 5,713 sit-lamp images (augmented from 783 original images of 351 patients) were utilized, with ground truth established via laboratory culture or biopsy. Images were partitioned at the patient level into training (n=4,570) and testing (n=1,143) sets.\n\nWe developed a hybrid CNN+ViT architecture designed to capture both local morphological features- such as feathery borders- and global spatial dependencies, such as satellite lesions. Performance was compared against standalone architectures, including MobileNetV2, VGG16, CNN, and a standard ViT.",
        "Results": "The hybrid CNN+VIT model achieved a superior diagnostic accuracy of 96.51%, significantly outperforming standalone CNN models (which ranged from 60.19% to 78.39%) and the standalone VIT (69.64%). The framework demonstrated robust discriminative capability with an AUROC of 0.99. On the independent test set, the model correctly identified 583 bacterial and 517 fungal cases, achieving a precision of 96.04% and a recall of 96.84%.",
        "Conclusions": "The hybrid CNN+ViT architecture significantly enhances the differentiation of FK and BK compared to standalone models by effectively bridging the gap between local textural nuances and broader structural patterns. This approach offers a reliable clinical decision support tool that can provide immediate probability scores during initial presentation, potentially reducing time-to-treatment for devastating fungal infections."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POCOR218",
      "abstract_number": "POCOR218",
      "title": "Sutured Halo® Corneal Graft For Corneal Perforation: Outcomes From A United Kingdom Tertiary Centre",
      "authors": "Mr Saad Mahmud Khan",
      "presenter": "Mr Saad Mahmud Khan",
      "normalized_authors": [
        "Saad Mahmud Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saad Mahmud Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess the role of the Halo® corneal graft in the emergency management of corneal thinning and perforation, where it may act either as a temporary stabilising measure or as a definitive tectonic repair. Outcomes following the use of ab externo technique were evaluated with particular attention to globe preservation, visual outcomes, and the need for subsequent keratoplasty. We also highlight its role in eyes with limited visual potential where optical keratoplasty may not be justified.",
        "Setting": "Tertiary corneal service in the United Kingdom providing care for complex anterior segment disease. The Halo® corneal graft ( VisionGift , Portland, Oregon) consists of preserved human corneal stroma, stored frozen and sterilised using electron beam irradiation to a sterility assurance level of 10⁻⁶. With a shelf life of up to two years, the graft is readily available for emergency surgical use.",
        "Methods": "All procedures were undertaken under local anaesthetic. Indications included corneal perforation and impending perforation. The primary outcome measure was restoration and maintenance of globe integrity. Secondary outcomes included graft retention, visual acuity, and the need for further keratoplasty.",
        "Results": "Four patients underwent ab externo Halo® graft implantation, which involves suturing the graft over the area of perforation to provide immediate tectonic support and restore globe integrity. Three patients presented with corneal perforation and one patient with impending perforation secondary to microbial keratitis. Successful globe closure was achieved in all cases. Two patients retain the Halo® graft in situ without further intervention. One patient subsequently underwent a two-piece mushroom keratoplasty. One patient died from unrelated systemic co-morbidities and did not require any additional ocular procedures following Halo® repair.",
        "Conclusions": "The Halo® corneal graft offers prompt and reliable tectonic support in cases of corneal thinning and perforation. Its immediate availability, extended shelf life, and feasibility under local anaesthetic enable same-day management of corneal emergencies. The graft may serve as a temporary stabilising measure, allowing infection or inflammation to settle, or as a definitive repair in eyes with poor visual prognosis where optical keratoplasty would not be appropriate."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Halo® corneal graft offers prompt and reliable tectonic support in cases of corneal thinning and perforation. Its immediate availability, extended shelf life, and feasibility under local anaesthetic enable same-day management of corneal emergencies. The graft may serve as a temporary stabilising measure, allowing infection or inflammation to settle, or as a definitive repair in eyes with poor visual prognosis…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 906,
      "source_fields": {
        "Abstract Final Identifier": "POCOR218",
        "Title": "Sutured Halo® Corneal Graft For Corneal Perforation: Outcomes From A United Kingdom Tertiary Centre",
        "Presenting Author(s)": "Mr Saad Mahmud Khan",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Saad Mahmud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khan",
        "Country Name": "United Kingdom",
        "Purpose": "To assess the role of the Halo® corneal graft in the emergency management of corneal thinning and perforation, where it may act either as a temporary stabilising measure or as a definitive tectonic repair. Outcomes following the use of ab externo technique were evaluated with particular attention to globe preservation, visual outcomes, and the need for subsequent keratoplasty. We also highlight its role in eyes with limited visual potential where optical keratoplasty may not be justified.",
        "Setting": "Tertiary corneal service in the United Kingdom providing care for complex anterior segment disease. The Halo® corneal graft ( VisionGift , Portland, Oregon) consists of preserved human corneal stroma, stored frozen and sterilised using electron beam irradiation to a sterility assurance level of 10⁻⁶. With a shelf life of up to two years, the graft is readily available for emergency surgical use.",
        "Methods": "All procedures were undertaken under local anaesthetic. Indications included corneal perforation and impending perforation. The primary outcome measure was restoration and maintenance of globe integrity. Secondary outcomes included graft retention, visual acuity, and the need for further keratoplasty.",
        "Results": "Four patients underwent ab externo Halo® graft implantation, which involves suturing the graft over the area of perforation to provide immediate tectonic support and restore globe integrity. Three patients presented with corneal perforation and one patient with impending perforation secondary to microbial keratitis. Successful globe closure was achieved in all cases. Two patients retain the Halo® graft in situ without further intervention. One patient subsequently underwent a two-piece mushroom keratoplasty. One patient died from unrelated systemic co-morbidities and did not require any additional ocular procedures following Halo® repair.",
        "Conclusions": "The Halo® corneal graft offers prompt and reliable tectonic support in cases of corneal thinning and perforation. Its immediate availability, extended shelf life, and feasibility under local anaesthetic enable same-day management of corneal emergencies. The graft may serve as a temporary stabilising measure, allowing infection or inflammation to settle, or as a definitive repair in eyes with poor visual prognosis where optical keratoplasty would not be appropriate."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "POCOR219",
      "abstract_number": "POCOR219",
      "title": "Use Of Halo® Cornea In Corneal Thinning And Perforations: Temporary Bridge Or Definitive Solution?",
      "authors": "Mr Saad Mahmud Khan",
      "presenter": "Mr Saad Mahmud Khan",
      "normalized_authors": [
        "Saad Mahmud Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saad Mahmud Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the Halo® corneal graft as an emergency intervention that may function either as a temporary bridging measure or as a definitive repair in patients with corneal thinning and perforation. We report outcomes of our ab interno technique, assessing globe integrity, visual outcomes, and need for subsequent keratoplasty. We also highlight its role in stabilising infection or inflammation prior to definitive surgery, as well as its use in eyes with limited visual potential or in patients unsuitable for general anaesthesia, where optical keratoplasty may not be appropriate.",
        "Setting": "Tertiary corneal service in the United Kingdom, managing complex anterior segment pathology. The Halo® corneal graft (VisionGift, Portland, Oregon) is preserved human corneal stroma, stored frozen and sterilised with electron beam irradiation to a sterility assurance level of 10⁻⁶. With a shelf life of up to two years, it is immediately available for emergency use.",
        "Methods": "The ab interno technqiue involved suturless placement of the Halo corneal graft over the corneal endothelial surface to provide internal support at the perforation site. All procedures were performed under local anaesthetic. Indications included corneal perforation or impending perforation. Primary outcome measure was restoration of globe integrity. Secondary outcomes included graft retention, visual status, and requirement for further keratoplasty.",
        "Results": "Four patients underwent ab interno Halo® graft implantation. Three presented with corneal perforation secondary to microbial keratitis and one with perforation due to acute hydrops in advanced keratoconus. Globe integrity was achieved in all cases. Three patients retain the Halo® graft in situ without requiring further surgical intervention, including one eye with an underlying chronic retinal detachment with poor visual prognosis. One patient required a two-piece therapeutic mushroom keratoplasty due to persistent severe microbial keratitis.",
        "Conclusions": "The Halo® corneal graft provides effective, immediate tectonic support in patients with corneal thinning and perforation. Its availability, two-year shelf life, and suitability for local anaesthetic surgery allow same-day management of emergencies. It may function as a bridging procedure allowing infection or inflammation to stabilise or serve as definitive repair in eyes with poor visual potential where optical keratoplasty would not be appropriate, preserving fresh donor corneal tissue for patients with greater visual potential. In selected cases, particularly with eccentric perforations, useful vision can be maintained with the use of Halo® cornea."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Halo® corneal graft provides effective, immediate tectonic support in patients with corneal thinning and perforation. Its availability, two-year shelf life, and suitability for local anaesthetic surgery allow same-day management of emergencies. It may function as a bridging procedure allowing infection or inflammation to stabilise or serve as definitive repair in eyes with poor visual potential where optical…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 907,
      "source_fields": {
        "Abstract Final Identifier": "POCOR219",
        "Title": "Use Of Halo® Cornea In Corneal Thinning And Perforations: Temporary Bridge Or Definitive Solution?",
        "Presenting Author(s)": "Mr Saad Mahmud Khan",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Saad Mahmud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khan",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the Halo® corneal graft as an emergency intervention that may function either as a temporary bridging measure or as a definitive repair in patients with corneal thinning and perforation. We report outcomes of our ab interno technique, assessing globe integrity, visual outcomes, and need for subsequent keratoplasty. We also highlight its role in stabilising infection or inflammation prior to definitive surgery, as well as its use in eyes with limited visual potential or in patients unsuitable for general anaesthesia, where optical keratoplasty may not be appropriate.",
        "Setting": "Tertiary corneal service in the United Kingdom, managing complex anterior segment pathology. The Halo® corneal graft (VisionGift, Portland, Oregon) is preserved human corneal stroma, stored frozen and sterilised with electron beam irradiation to a sterility assurance level of 10⁻⁶. With a shelf life of up to two years, it is immediately available for emergency use.",
        "Methods": "The ab interno technqiue involved suturless placement of the Halo corneal graft over the corneal endothelial surface to provide internal support at the perforation site. All procedures were performed under local anaesthetic. Indications included corneal perforation or impending perforation. Primary outcome measure was restoration of globe integrity. Secondary outcomes included graft retention, visual status, and requirement for further keratoplasty.",
        "Results": "Four patients underwent ab interno Halo® graft implantation. Three presented with corneal perforation secondary to microbial keratitis and one with perforation due to acute hydrops in advanced keratoconus. Globe integrity was achieved in all cases. Three patients retain the Halo® graft in situ without requiring further surgical intervention, including one eye with an underlying chronic retinal detachment with poor visual prognosis. One patient required a two-piece therapeutic mushroom keratoplasty due to persistent severe microbial keratitis.",
        "Conclusions": "The Halo® corneal graft provides effective, immediate tectonic support in patients with corneal thinning and perforation. Its availability, two-year shelf life, and suitability for local anaesthetic surgery allow same-day management of emergencies. It may function as a bridging procedure allowing infection or inflammation to stabilise or serve as definitive repair in eyes with poor visual potential where optical keratoplasty would not be appropriate, preserving fresh donor corneal tissue for patients with greater visual potential. In selected cases, particularly with eccentric perforations, useful vision can be maintained with the use of Halo® cornea."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POCOR220",
      "abstract_number": "POCOR220",
      "title": "Bilateral Immune-Mediated Keratolysis After Immunization With Sars-Cov-2 Recombinant Viral Vector Vaccine",
      "authors": "Dr Tanveer Alam Khan",
      "presenter": "Dr Tanveer Alam Khan",
      "normalized_authors": [
        "Tanveer Alam Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tanveer Alam Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The purpose of this study was to report an unusual case of bilateral immune-mediated corneal melting and necrosis after ChAdOx1 nCoV-19 (Covishield) vaccination.",
        "Setting": "This is a case report and literature review.",
        "Methods": "A 48-year-old man presented to the ophthalmic emergency department with progressive bilateral corneal melting 5 weeks after receiving the first dose of ChAdOx1 nCoV-19 (Covishield) vaccine. Systemic complaints of fever, diarrhea, and vomiting were noted in the first 2 weeks, which subsided before the onset of ocular symptoms at day 21 of vaccine administration.",
        "Results": "The patient could only perceive light bilaterally and demonstrated features of bilateral keratolysis with choroidal detachment on ultrasonography. The microbiological scraping specimen did not reveal growth of any microorganism. Tectonic penetrating keratoplasty was performed, and the host corneal tissue was sent for histopathology, bacterial culture, fungal culture, polymerase chain reaction for herpes simplex virus, varicella zoster virus, cytomegalovirus, adenovirus, and SARS-CoV-2. Microbial culture was sterile, and viral polymerase chain reaction reports were negative. Histopathological examination revealed dense inflammatory cell infiltration. Detailed systemic workup revealed no underlying systemic or autoimmune pathology.",
        "Conclusions": "Immune-mediated keratolysis after ChAdOx1 nCoV-19 (Covishield) vaccination is a rare entity, and we believe that this is the first report of a temporal association between a serious ocular adverse event after a single dose of any SARS-CoV-19 vaccine. It may be included as a possible adverse event associated with this vaccine."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Immune-mediated keratolysis after ChAdOx1 nCoV-19 (Covishield) vaccination is a rare entity, and we believe that this is the first report of a temporal association between a serious ocular adverse event after a single dose of any SARS-CoV-19 vaccine. It may be included as a possible adverse event associated with this vaccine.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 908,
      "source_fields": {
        "Abstract Final Identifier": "POCOR220",
        "Title": "Bilateral Immune-Mediated Keratolysis After Immunization With Sars-Cov-2 Recombinant Viral Vector Vaccine",
        "Presenting Author(s)": "Dr Tanveer Alam Khan",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Tanveer",
        "Submitter Middle Name": "Alam",
        "Submitter Last Name": "Khan",
        "Country Name": "India",
        "Purpose": "The purpose of this study was to report an unusual case of bilateral immune-mediated corneal melting and necrosis after ChAdOx1 nCoV-19 (Covishield) vaccination.",
        "Setting": "This is a case report and literature review.",
        "Methods": "A 48-year-old man presented to the ophthalmic emergency department with progressive bilateral corneal melting 5 weeks after receiving the first dose of ChAdOx1 nCoV-19 (Covishield) vaccine. Systemic complaints of fever, diarrhea, and vomiting were noted in the first 2 weeks, which subsided before the onset of ocular symptoms at day 21 of vaccine administration.",
        "Results": "The patient could only perceive light bilaterally and demonstrated features of bilateral keratolysis with choroidal detachment on ultrasonography. The microbiological scraping specimen did not reveal growth of any microorganism. Tectonic penetrating keratoplasty was performed, and the host corneal tissue was sent for histopathology, bacterial culture, fungal culture, polymerase chain reaction for herpes simplex virus, varicella zoster virus, cytomegalovirus, adenovirus, and SARS-CoV-2. Microbial culture was sterile, and viral polymerase chain reaction reports were negative. Histopathological examination revealed dense inflammatory cell infiltration. Detailed systemic workup revealed no underlying systemic or autoimmune pathology.",
        "Conclusions": "Immune-mediated keratolysis after ChAdOx1 nCoV-19 (Covishield) vaccination is a rare entity, and we believe that this is the first report of a temporal association between a serious ocular adverse event after a single dose of any SARS-CoV-19 vaccine. It may be included as a possible adverse event associated with this vaccine."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "POCOR221",
      "abstract_number": "POCOR221",
      "title": "Guidelines For Management Of Acanthamoebic Keratitis",
      "authors": "Dr Ahmed Khattab",
      "presenter": "Dr Ahmed Khattab",
      "normalized_authors": [
        "Ahmed Khattab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Khattab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "DIAGNOSIS\n\n• Clinical suspicion of acanthamoebic keratitis especially contact lenses wearers, or anyone who is demonstrating severe ocular pain.",
        "Setting": "Corneal scraping for microbial culture has a high specificity (100%) but low sensitivity (7–66.7%) depending upon culture techniques. Amoebic culture takes, on average, up to 10 days to demonstrate a positive result.\n\nPCR has a high specificity (100%) with moderately better sensitivity (66.7–100%). It is a rapid method but somehow expensive.\n\nIn vivo confocal microscopy is a growing, non-invasive diagnostic tool with very high specificity (100%) and a high sensitivity, ranging from 85.3–100%.",
        "Methods": "MEDICAL THERAPY\n\n•Is usually administered through the form of topical eye drops\n\n• Given every hour initially for the first few days. The minimum time for treatment is 3–4 weeks\n\nTOPICAL ANTIPROTOZOAL AGENTS\n\n1- Biguanides can kill both forms of Acanthamoeba , trophozoites and cysts.\n\n• The two biguanide compounds consistently proven effective in a drug treatment are polyhexamethlyene biguanide (PHMB) ( Baquacil 0.02% & 0.04%) and chlorhexidine 0.02%.\n\n• They seem to have less toxicity problems when compared to other antiprotozoal drugs.\n\n• Their side effects involve an elevated intraocular pressure and toxic keratopathy .\n\n2- Aromatic Diamidines such as propamidine isetionate ( Brolene ) and hexamidine ( Desmodine ) are usually used in combination with biguanides .",
        "Results": "ANTIBIOTICS\n\n• Neomycin can eliminate the trophozoite form of Acanthamoeba but does not have a high cysticidal activity. Using neomycin in a “triple therapy” such as with propamidine and dibromopropamidine has effectively treated many AK patients.\n\nSTEROIDS\n\n• The use of corticosteroids to decrease the intense inflammation that occurs in AK is controversial because of the disadvantage of potentially promoting encystment and increasing trophozoites .\n\n• Although there is no evidence against using corticosteroids after beginning treatment, there is data that individuals with a history of corticosteroid use before diagnosis are more likely to fail initial treatment of AK.",
        "Conclusions": "SURGICAL THERAPY\n\n• Indicated if the recommended treatment of biguanides and aromatic diamidines fails and the infection has progressed to an advanced stage.\n\n• Keratoplasty is most useful for patients who are experiencing vision loss due to either the advanced stromal destruction induced by uncontrolled infection or corneal scarring after medical eradication of the infection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SURGICAL THERAPY • Indicated if the recommended treatment of biguanides and aromatic diamidines fails and the infection has progressed to an advanced stage. • Keratoplasty is most useful for patients who are experiencing vision loss due to either the advanced stromal destruction induced by uncontrolled infection or corneal scarring after medical eradication of the infection.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 909,
      "source_fields": {
        "Abstract Final Identifier": "POCOR221",
        "Title": "Guidelines For Management Of Acanthamoebic Keratitis",
        "Presenting Author(s)": "Dr Ahmed Khattab",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khattab",
        "Country Name": "Egypt",
        "Purpose": "DIAGNOSIS\n\n• Clinical suspicion of acanthamoebic keratitis especially contact lenses wearers, or anyone who is demonstrating severe ocular pain.",
        "Setting": "Corneal scraping for microbial culture has a high specificity (100%) but low sensitivity (7–66.7%) depending upon culture techniques. Amoebic culture takes, on average, up to 10 days to demonstrate a positive result.\n\nPCR has a high specificity (100%) with moderately better sensitivity (66.7–100%). It is a rapid method but somehow expensive.\n\nIn vivo confocal microscopy is a growing, non-invasive diagnostic tool with very high specificity (100%) and a high sensitivity, ranging from 85.3–100%.",
        "Methods": "MEDICAL THERAPY\n\n•Is usually administered through the form of topical eye drops\n\n• Given every hour initially for the first few days. The minimum time for treatment is 3–4 weeks\n\nTOPICAL ANTIPROTOZOAL AGENTS\n\n1- Biguanides can kill both forms of Acanthamoeba , trophozoites and cysts.\n\n• The two biguanide compounds consistently proven effective in a drug treatment are polyhexamethlyene biguanide (PHMB) ( Baquacil 0.02% & 0.04%) and chlorhexidine 0.02%.\n\n• They seem to have less toxicity problems when compared to other antiprotozoal drugs.\n\n• Their side effects involve an elevated intraocular pressure and toxic keratopathy .\n\n2- Aromatic Diamidines such as propamidine isetionate ( Brolene ) and hexamidine ( Desmodine ) are usually used in combination with biguanides .",
        "Results": "ANTIBIOTICS\n\n• Neomycin can eliminate the trophozoite form of Acanthamoeba but does not have a high cysticidal activity. Using neomycin in a “triple therapy” such as with propamidine and dibromopropamidine has effectively treated many AK patients.\n\nSTEROIDS\n\n• The use of corticosteroids to decrease the intense inflammation that occurs in AK is controversial because of the disadvantage of potentially promoting encystment and increasing trophozoites .\n\n• Although there is no evidence against using corticosteroids after beginning treatment, there is data that individuals with a history of corticosteroid use before diagnosis are more likely to fail initial treatment of AK.",
        "Conclusions": "SURGICAL THERAPY\n\n• Indicated if the recommended treatment of biguanides and aromatic diamidines fails and the infection has progressed to an advanced stage.\n\n• Keratoplasty is most useful for patients who are experiencing vision loss due to either the advanced stromal destruction induced by uncontrolled infection or corneal scarring after medical eradication of the infection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POCOR222",
      "abstract_number": "POCOR222",
      "title": "The State Of The Immune System In Patients With Keratouveitis Associated With Nonspecific Ulcerative Colitis",
      "authors": "Prof. Nataliya Konovalova",
      "presenter": "Prof. Nataliya Konovalova",
      "normalized_authors": [
        "Nataliya Konovalova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nataliya Konovalova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To study the level of expression of apoptosis markers (CD 95), intercellular adhesion ICAM-1 (CD54), as well as CD3, CD4, CD8, CD25, CD38 in patients with uveitis and macular edema associated with nonspecific ulcerative colitis as a complication after cataract extraction.",
        "Setting": "Setting: The study was prospective and conducted in two highly specialized ophthalmological centers specializing in the study of the immune status of patients with uveitis at the University Clinic of the Odessa National Medical University and the State Institution V.P. Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine.",
        "Methods": "We observed 49 patients with uveitis and macular edema associated with nonspecific ulcerative colitis as a complication after cataract extraction.To study the level of expression of apoptosis markers (CD 95), intercellular adhesion ICAM-1 (CD54), as well as CD3, CD4, CD8, CD25, CD38",
        "Results": "A decrease in CD3 levels was observed in 74.1% of patients; a decrease in CD4 levels in 76.6% of patients; a decrease in CD8 levels in 77.1%; and a decrease in CD25 levels in 73.4% of patients. An increase in CD38 levels was observed in 72.3% of patients; an increase in CD54 levels in 75.7%; and an increase in CD95 levels in 76.4% of patients",
        "Conclusions": "Patients have pathologically low levels of CD4, CD8, and CD25, and over expression of CD38, ICAM-1, and CD95, which causes immune cell apoptosis, lymphopenia, and an exhausted T-cell phenotype with up regulated inhibitory receptors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients have pathologically low levels of CD4, CD8, and CD25, and over expression of CD38, ICAM-1, and CD95, which causes immune cell apoptosis, lymphopenia, and an exhausted T-cell phenotype with up regulated inhibitory receptors.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 910,
      "source_fields": {
        "Abstract Final Identifier": "POCOR222",
        "Title": "The State Of The Immune System In Patients With Keratouveitis Associated With Nonspecific Ulcerative Colitis",
        "Presenting Author(s)": "Prof. Nataliya Konovalova",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nataliya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Konovalova",
        "Country Name": "Ukraine",
        "Purpose": "To study the level of expression of apoptosis markers (CD 95), intercellular adhesion ICAM-1 (CD54), as well as CD3, CD4, CD8, CD25, CD38 in patients with uveitis and macular edema associated with nonspecific ulcerative colitis as a complication after cataract extraction.",
        "Setting": "Setting: The study was prospective and conducted in two highly specialized ophthalmological centers specializing in the study of the immune status of patients with uveitis at the University Clinic of the Odessa National Medical University and the State Institution V.P. Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine.",
        "Methods": "We observed 49 patients with uveitis and macular edema associated with nonspecific ulcerative colitis as a complication after cataract extraction.To study the level of expression of apoptosis markers (CD 95), intercellular adhesion ICAM-1 (CD54), as well as CD3, CD4, CD8, CD25, CD38",
        "Results": "A decrease in CD3 levels was observed in 74.1% of patients; a decrease in CD4 levels in 76.6% of patients; a decrease in CD8 levels in 77.1%; and a decrease in CD25 levels in 73.4% of patients. An increase in CD38 levels was observed in 72.3% of patients; an increase in CD54 levels in 75.7%; and an increase in CD95 levels in 76.4% of patients",
        "Conclusions": "Patients have pathologically low levels of CD4, CD8, and CD25, and over expression of CD38, ICAM-1, and CD95, which causes immune cell apoptosis, lymphopenia, and an exhausted T-cell phenotype with up regulated inhibitory receptors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCOR223",
      "abstract_number": "POCOR223",
      "title": "Early Therapeutic Dalk For Stromal Candida Keratitis After Intracorneal Ring Segment Explantation",
      "authors": "Dr Pablo Larco Jr.",
      "presenter": "Dr Pablo Larco Jr.",
      "normalized_authors": [
        "Pablo Larco Jr."
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Larco Jr.",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ecuador",
      "sections": {
        "Purpose": "To describe the role of early therapeutic deep anterior lamellar keratoplasty (DALK) in the management of stromal Candida keratitis after intracorneal ring segment (ICRS) explantation unresponsive to medical therapy, emphasizing the importance of stromal depth assessment to eradicate infection while preserving host endothelium and improving long-term visual outcomes.",
        "Setting": "Oftalmocenter – Centro Especializado de Oftalmología, Quito, Ecuador. Tertiary referral center for advanced lamellar corneal surgery with multimodal imaging, surgical video documentation, microbiological and histopathological confirmation, and long-term follow-up.",
        "Methods": "A 27-year-old woman with keratoconus underwent ICRS implantation at another institution. The segment was explanted three months later because of infectious keratitis, but progressive stromal opacity and visual deterioration persisted despite medical therapy. Anterior segment OCT confirmed deep stromal involvement with an intact endothelium. Therapeutic DALK was performed to completely remove infected tissue. Microbiological culture and histopathology confirmed Candida guilliermondii. Postoperative course, visual outcomes, and recurrence were evaluated over 18 months.",
        "Results": "Therapeutic DALK achieved complete removal of infected stroma without intraoperative perforation. The graft remained clear with no recurrence of infection during 18 months of follow-up. Best-corrected visual acuity improved from 20/250 preoperatively to 20/40. Histopathology demonstrated fungal elements with stromal necrosis, and culture confirmed Candida guilliermondii. Endothelial preservation allowed rapid visual rehabilitation and avoided the risks associated with penetrating keratoplasty.",
        "Conclusions": "Early therapeutic DALK is an effective strategy for medically unresponsive stromal fungal keratitis after ICRS explantation when the endothelium is preserved. Stromal depth evaluation is critical for surgical planning. This approach enables eradication of infection, avoids open-sky surgery, preserves host endothelium, and provides favorable long-term visual outcomes. In experienced hands, DALK should be considered a first-line surgical option in selected cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early therapeutic DALK is an effective strategy for medically unresponsive stromal fungal keratitis after ICRS explantation when the endothelium is preserved. Stromal depth evaluation is critical for surgical planning. This approach enables eradication of infection, avoids open-sky surgery, preserves host endothelium, and provides favorable long-term visual outcomes. In experienced hands, DALK should be considered…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 911,
      "source_fields": {
        "Abstract Final Identifier": "POCOR223",
        "Title": "Early Therapeutic Dalk For Stromal Candida Keratitis After Intracorneal Ring Segment Explantation",
        "Presenting Author(s)": "Dr Pablo Larco Jr.",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Larco Jr.",
        "Country Name": "Ecuador",
        "Purpose": "To describe the role of early therapeutic deep anterior lamellar keratoplasty (DALK) in the management of stromal Candida keratitis after intracorneal ring segment (ICRS) explantation unresponsive to medical therapy, emphasizing the importance of stromal depth assessment to eradicate infection while preserving host endothelium and improving long-term visual outcomes.",
        "Setting": "Oftalmocenter – Centro Especializado de Oftalmología, Quito, Ecuador. Tertiary referral center for advanced lamellar corneal surgery with multimodal imaging, surgical video documentation, microbiological and histopathological confirmation, and long-term follow-up.",
        "Methods": "A 27-year-old woman with keratoconus underwent ICRS implantation at another institution. The segment was explanted three months later because of infectious keratitis, but progressive stromal opacity and visual deterioration persisted despite medical therapy. Anterior segment OCT confirmed deep stromal involvement with an intact endothelium. Therapeutic DALK was performed to completely remove infected tissue. Microbiological culture and histopathology confirmed Candida guilliermondii. Postoperative course, visual outcomes, and recurrence were evaluated over 18 months.",
        "Results": "Therapeutic DALK achieved complete removal of infected stroma without intraoperative perforation. The graft remained clear with no recurrence of infection during 18 months of follow-up. Best-corrected visual acuity improved from 20/250 preoperatively to 20/40. Histopathology demonstrated fungal elements with stromal necrosis, and culture confirmed Candida guilliermondii. Endothelial preservation allowed rapid visual rehabilitation and avoided the risks associated with penetrating keratoplasty.",
        "Conclusions": "Early therapeutic DALK is an effective strategy for medically unresponsive stromal fungal keratitis after ICRS explantation when the endothelium is preserved. Stromal depth evaluation is critical for surgical planning. This approach enables eradication of infection, avoids open-sky surgery, preserves host endothelium, and provides favorable long-term visual outcomes. In experienced hands, DALK should be considered a first-line surgical option in selected cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POCOR224",
      "abstract_number": "POCOR224",
      "title": "Effectiveness Of The Recombinant Zoster Vaccine (Shingrix) In Preventing Zoster Keratitis: A Large-Scale Global Database Study",
      "authors": "Dr Itay Lavy",
      "presenter": "Dr Itay Lavy",
      "normalized_authors": [
        "Itay Lavy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Itay Lavy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the effectiveness of the recombinant zoster vaccine (RZV; Shingrix) in preventing a first episode of zoster keratitis among immunocompetent adults aged 50 years and older.",
        "Setting": "A large-scale, multicenter study utilizing a global federated electronic health record network (TriNetX), encompassing clinical data from multiple healthcare organizations worldwide.",
        "Methods": "This retrospective cohort study identified two propensity score-matched groups of 46,754 patients each.\n\n•\nParticipants were $\\ge$ 50 years old with no prior history of zoster ocular disease.\n\n•\nOne cohort received at least one dose of RZV, while the other remained unvaccinated.\n\n•\nThe primary outcome was the incidence of a first diagnosis of zoster keratitis over a 5-year follow-up.",
        "Results": "•\nThe risk was significantly lower in the vaccinated group (Hazard Ratio 0.37; $P<0.0001$ ).\n\n•\nThe vaccine effectiveness (VE) against zoster keratitis was calculated at 62.7%.\n\n•\nProtection remained consistent across subgroups aged $\\ge$ 50 and $\\ge$ 65 years.",
        "Conclusions": "The recombinant zoster vaccine significantly reduces the risk of zoster keratitis in adults. These findings support the clinical recommendation of RZV to prevent serious ocular morbidity associated with Herpes Zoster Ophthalmicus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The recombinant zoster vaccine significantly reduces the risk of zoster keratitis in adults. These findings support the clinical recommendation of RZV to prevent serious ocular morbidity associated with Herpes Zoster Ophthalmicus.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 912,
      "source_fields": {
        "Abstract Final Identifier": "POCOR224",
        "Title": "Effectiveness Of The Recombinant Zoster Vaccine (Shingrix) In Preventing Zoster Keratitis: A Large-Scale Global Database Study",
        "Presenting Author(s)": "Dr Itay Lavy",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Itay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lavy",
        "Country Name": "Israel",
        "Purpose": "To evaluate the effectiveness of the recombinant zoster vaccine (RZV; Shingrix) in preventing a first episode of zoster keratitis among immunocompetent adults aged 50 years and older.",
        "Setting": "A large-scale, multicenter study utilizing a global federated electronic health record network (TriNetX), encompassing clinical data from multiple healthcare organizations worldwide.",
        "Methods": "This retrospective cohort study identified two propensity score-matched groups of 46,754 patients each.\n\n•\nParticipants were $\\ge$ 50 years old with no prior history of zoster ocular disease.\n\n•\nOne cohort received at least one dose of RZV, while the other remained unvaccinated.\n\n•\nThe primary outcome was the incidence of a first diagnosis of zoster keratitis over a 5-year follow-up.",
        "Results": "•\nThe risk was significantly lower in the vaccinated group (Hazard Ratio 0.37; $P<0.0001$ ).\n\n•\nThe vaccine effectiveness (VE) against zoster keratitis was calculated at 62.7%.\n\n•\nProtection remained consistent across subgroups aged $\\ge$ 50 and $\\ge$ 65 years.",
        "Conclusions": "The recombinant zoster vaccine significantly reduces the risk of zoster keratitis in adults. These findings support the clinical recommendation of RZV to prevent serious ocular morbidity associated with Herpes Zoster Ophthalmicus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 178
    },
    {
      "uid": "POCOR225",
      "abstract_number": "POCOR225",
      "title": "Complex Management Of Herpetic Keratitis And Corneal Abscess In A Pregnant Patient With A History Of Dalk With Impending Perforation: A Therapeutic Challenge.",
      "authors": "Dr Hugo Santiago",
      "presenter": "Dr Hugo Santiago",
      "normalized_authors": [
        "Hugo Santiago"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alba Luque",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the clinical and surgical management of complex herpetic keratouveitis with aggressive bacterial superinfection ( Streptococcus pneumoniae ) in a 17-week pregnant patient with a history of d eep anterior lamellar keratoplasty ( DALK). To emphasize diagnostic challenges and therapeutic limitations associated with pregnancy, as well as the utility of anterior segment optical coherence tomography (AS-OCT) and multilayer amniotic membrane transplantation (AMT) for corneal stabilization",
        "Setting": "Specialized department of ophthalmology within a university hospital, with established obstetric collaboration.",
        "Methods": "Case report. A 17-week pregnant patient with a history of DALK in the right eye due to herpetic keratitis presented with an initial diagnosis of recurrent herpetic keratouveitis. The clinical course was torpid, progressing to a central corneal abscess and hypopyon despite intensive topical and oral antiviral and steroid treatment. Management involved close monitoring with AS-OCT and a pregnancy-tailored strategy, including corneal scraping for culture, fortified antibiotic therapy, and modifications to systemic therapies based on contraindications during pregnancy.",
        "Results": "Corneal cultures isolated Streptococcus pneumoniae sensitive to cefotaxime and vancomycin, guiding fortified topical antibiotic therapy. Facing fulminant stromal lysis and doxycycline contraindication during pregnancy, oral amoxicillin-clavulanate was optimized and topical insulin added to promote re-epithelialization. Despite these measures, progressive thinning culminated in a superior descemetocele. Rapid progression precipitated immediate intervention with tissue adhesive tamponade and a protective contact lens as a stabilizing bridge, followed by multilayer AMT one week later. At one month, AS-OCT confirmed corneal layer compaction, descemetocele resolution and evolution into a thickened leucoma without active inflammation.",
        "Conclusions": "This case illustrates the complexity of managing herpetic and bacterial keratitis in patients with prior lamellar keratoplasty within the context of pregnancy. AS-OCT constitutes a fundamental tool for non-invasive monitoring of impending stromal lysis and perforation. Given the impossibility of utilizing standard systemic anti-collagenase drugs due to the pregnancy, progressive corneal thinning may require prompt surgical stabilization. In this scenario, multilayer amniotic membrane transplantation emerged as an effective surgical strategy to restore ocular integrity and promote stromal healing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case illustrates the complexity of managing herpetic and bacterial keratitis in patients with prior lamellar keratoplasty within the context of pregnancy. AS-OCT constitutes a fundamental tool for non-invasive monitoring of impending stromal lysis and perforation. Given the impossibility of utilizing standard systemic anti-collagenase drugs due to the pregnancy, progressive corneal thinning may require prompt…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 913,
      "source_fields": {
        "Abstract Final Identifier": "POCOR225",
        "Title": "Complex Management Of Herpetic Keratitis And Corneal Abscess In A Pregnant Patient With A History Of Dalk With Impending Perforation: A Therapeutic Challenge.",
        "Presenting Author(s)": "Dr Hugo Santiago",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Alba",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Luque",
        "Country Name": "Spain",
        "Purpose": "To describe the clinical and surgical management of complex herpetic keratouveitis with aggressive bacterial superinfection ( Streptococcus pneumoniae ) in a 17-week pregnant patient with a history of d eep anterior lamellar keratoplasty ( DALK). To emphasize diagnostic challenges and therapeutic limitations associated with pregnancy, as well as the utility of anterior segment optical coherence tomography (AS-OCT) and multilayer amniotic membrane transplantation (AMT) for corneal stabilization",
        "Setting": "Specialized department of ophthalmology within a university hospital, with established obstetric collaboration.",
        "Methods": "Case report. A 17-week pregnant patient with a history of DALK in the right eye due to herpetic keratitis presented with an initial diagnosis of recurrent herpetic keratouveitis. The clinical course was torpid, progressing to a central corneal abscess and hypopyon despite intensive topical and oral antiviral and steroid treatment. Management involved close monitoring with AS-OCT and a pregnancy-tailored strategy, including corneal scraping for culture, fortified antibiotic therapy, and modifications to systemic therapies based on contraindications during pregnancy.",
        "Results": "Corneal cultures isolated Streptococcus pneumoniae sensitive to cefotaxime and vancomycin, guiding fortified topical antibiotic therapy. Facing fulminant stromal lysis and doxycycline contraindication during pregnancy, oral amoxicillin-clavulanate was optimized and topical insulin added to promote re-epithelialization. Despite these measures, progressive thinning culminated in a superior descemetocele. Rapid progression precipitated immediate intervention with tissue adhesive tamponade and a protective contact lens as a stabilizing bridge, followed by multilayer AMT one week later. At one month, AS-OCT confirmed corneal layer compaction, descemetocele resolution and evolution into a thickened leucoma without active inflammation.",
        "Conclusions": "This case illustrates the complexity of managing herpetic and bacterial keratitis in patients with prior lamellar keratoplasty within the context of pregnancy. AS-OCT constitutes a fundamental tool for non-invasive monitoring of impending stromal lysis and perforation. Given the impossibility of utilizing standard systemic anti-collagenase drugs due to the pregnancy, progressive corneal thinning may require prompt surgical stabilization. In this scenario, multilayer amniotic membrane transplantation emerged as an effective surgical strategy to restore ocular integrity and promote stromal healing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "POCOR226",
      "abstract_number": "POCOR226",
      "title": "Topical Losartan In Corneal Fibrosis: A Clinical, Topographic, And Densitometric Longitudinal Analysis",
      "authors": "Telma Machado",
      "presenter": "Telma Machado",
      "normalized_authors": [
        "Telma Machado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Telma Machado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Corneal scarring poses significant challenges in ophthalmic care, often leading to permanent visual impairment. Topical losartan has emerged as a promising therapy for corneal fibrosis by inhibiting TGF- β signaling and promoting apoptosis of myofibroblasts, key mediators of scar formation. Although preclinical studies and human case reports suggest its efficacy and safety, clinical data remain limited. This study aims to evaluate the efficacy and safety of topical losartan for corneal scarring through clinical, topographic, and densitometric outcomes over an 8-months follow-up in real-world practice , representing one of the first prospective longitudinal clinical evaluations of topical losartan in corneal fibrosis.",
        "Setting": "A prospective study was conducted at a tertiary hospital (Unidade Local de Saúde de Coimbra, Coimbra, Portugal) between April 2025 and February 2026.",
        "Methods": "Inclusion criteria included corneal opacities of any etiology, refractory to or unsuitable for other treatments except corneal transplantation. Topical losartan (0.8 mg/mL) compounded by the hospital pharmacy was prescribed six times daily. Baseline variables included age, sex, etiology and duration of corneal opacity (months). Patients were evaluated at baseline and at 2, 4, 6 and 8 months after starting treatment. At each visit, best-corrected visual acuity (BCVA), slit-lamp examination, corneal tomography, densitometry and adverse events were documented. Linear mixed models with repeated measures were used to analyze longitudinal changes, accounting for within-subject correlations.",
        "Results": "Nineteen eyes (58% females; mean age 39.17±22.88 years) from 18 patients were included. Infectious causes predominated (58%, n=11) with a median scar duration of 15.5 months (IQR, 7.25–24.25). Mean BCVA improved from 0.53 logMAR at baseline to 0.36 logMAR at 8-months (p=0.108). Central corneal densitometry decreased from 3.505 to 3.329 log GSU (p=0.002), specifically within the 2–6 mm zone (3.518 to 3.298, p<0.001) over time. Anterior densitometry in 0–2 mm zone showed a transient increase at 2 months (3.761 to 3.904, p=0.004), before stabilizing. Kmax decreased throughout follow-up (51.50 to 48.46 D; p=0.001), with no other topographic changes. No adverse effects were reported. Two patients discontinued treatment due to compliance issues.",
        "Conclusions": "Topical losartan appears to be a safe and effective therapy for corneal scarring. Treatment was associated with significant improvements in densitometry and a trend towards visual improvement, suggesting a reduction in stromal fibrosis. This structural improvement, combined with a reduction in Kmax may reflect corneal surface regularization secondary to stromal remodeling. While the transient increase in anterior densitometry at two months may indicate ongoing collagen remodeling or transient epithelial changes during early reparative phases, the subsequent stabilization suggests a shift toward biomechanical normalization. Further clinical trials are needed to determine optimal treatment duration, frequency, and storage conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical losartan appears to be a safe and effective therapy for corneal scarring. Treatment was associated with significant improvements in densitometry and a trend towards visual improvement, suggesting a reduction in stromal fibrosis. This structural improvement, combined with a reduction in Kmax may reflect corneal surface regularization secondary to stromal remodeling. While the transient increase in anterior…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 914,
      "source_fields": {
        "Abstract Final Identifier": "POCOR226",
        "Title": "Topical Losartan In Corneal Fibrosis: A Clinical, Topographic, And Densitometric Longitudinal Analysis",
        "Presenting Author(s)": "Telma Machado",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Telma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Machado",
        "Country Name": "Portugal",
        "Purpose": "Corneal scarring poses significant challenges in ophthalmic care, often leading to permanent visual impairment. Topical losartan has emerged as a promising therapy for corneal fibrosis by inhibiting TGF- β signaling and promoting apoptosis of myofibroblasts, key mediators of scar formation. Although preclinical studies and human case reports suggest its efficacy and safety, clinical data remain limited. This study aims to evaluate the efficacy and safety of topical losartan for corneal scarring through clinical, topographic, and densitometric outcomes over an 8-months follow-up in real-world practice , representing one of the first prospective longitudinal clinical evaluations of topical losartan in corneal fibrosis.",
        "Setting": "A prospective study was conducted at a tertiary hospital (Unidade Local de Saúde de Coimbra, Coimbra, Portugal) between April 2025 and February 2026.",
        "Methods": "Inclusion criteria included corneal opacities of any etiology, refractory to or unsuitable for other treatments except corneal transplantation. Topical losartan (0.8 mg/mL) compounded by the hospital pharmacy was prescribed six times daily. Baseline variables included age, sex, etiology and duration of corneal opacity (months). Patients were evaluated at baseline and at 2, 4, 6 and 8 months after starting treatment. At each visit, best-corrected visual acuity (BCVA), slit-lamp examination, corneal tomography, densitometry and adverse events were documented. Linear mixed models with repeated measures were used to analyze longitudinal changes, accounting for within-subject correlations.",
        "Results": "Nineteen eyes (58% females; mean age 39.17±22.88 years) from 18 patients were included. Infectious causes predominated (58%, n=11) with a median scar duration of 15.5 months (IQR, 7.25–24.25). Mean BCVA improved from 0.53 logMAR at baseline to 0.36 logMAR at 8-months (p=0.108). Central corneal densitometry decreased from 3.505 to 3.329 log GSU (p=0.002), specifically within the 2–6 mm zone (3.518 to 3.298, p<0.001) over time. Anterior densitometry in 0–2 mm zone showed a transient increase at 2 months (3.761 to 3.904, p=0.004), before stabilizing. Kmax decreased throughout follow-up (51.50 to 48.46 D; p=0.001), with no other topographic changes. No adverse effects were reported. Two patients discontinued treatment due to compliance issues.",
        "Conclusions": "Topical losartan appears to be a safe and effective therapy for corneal scarring. Treatment was associated with significant improvements in densitometry and a trend towards visual improvement, suggesting a reduction in stromal fibrosis. This structural improvement, combined with a reduction in Kmax may reflect corneal surface regularization secondary to stromal remodeling. While the transient increase in anterior densitometry at two months may indicate ongoing collagen remodeling or transient epithelial changes during early reparative phases, the subsequent stabilization suggests a shift toward biomechanical normalization. Further clinical trials are needed to determine optimal treatment duration, frequency, and storage conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 455
    },
    {
      "uid": "POCOR227",
      "abstract_number": "POCOR227",
      "title": "Oct-As Assessment Of Amniotic Membrane Integration After Transplantation For Corneal Perforation",
      "authors": "Dr Mouna Morchid",
      "presenter": "Dr Mouna Morchid",
      "normalized_authors": [
        "Mouna Morchid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mouna Morchid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate the role of anterior segment optical coherence tomography (OCT-AS) in monitoring the structural integration of amniotic membrane transplantation (AMT) used in the management of corneal perforations and pre-perforative corneal ulcers.",
        "Setting": "Department of Ophthalmology, Hassan II University Hospital Center, Sidi Mohamed Ben Abdellah University, Fez, Morocco.",
        "Methods": "this study included 37 eyes treated with amniotic membrane transplantation for corneal perforation or pre-perforative ulcers. Patients underwent clinical examination and anterior segment OCT imaging to analyze corneal structural changes and the integration of the transplanted membrane within the corneal thickness. Postoperative follow-up was conducted over 6 months .",
        "Results": "The mean age of patients was 48.6 years , with a male predominance (67%) . OCT-AS evaluation demonstrated that by day 28 , more than 96% of cases showed integration of the amniotic membrane within the corneal thickness . Imaging also confirmed the resolution of corneal thinning in documented cases. At the end of follow-up, best-corrected visual acuity greater than 5/10 was achieved in two patients .",
        "Conclusions": "Amniotic membrane transplantation is an effective therapeutic option in the management of corneal perforations and pre-perforative ulcers. Anterior segment OCT provides a non-invasive and reliable method to monitor membrane integration and corneal structural healing during follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Amniotic membrane transplantation is an effective therapeutic option in the management of corneal perforations and pre-perforative ulcers. Anterior segment OCT provides a non-invasive and reliable method to monitor membrane integration and corneal structural healing during follow-up.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 915,
      "source_fields": {
        "Abstract Final Identifier": "POCOR227",
        "Title": "Oct-As Assessment Of Amniotic Membrane Integration After Transplantation For Corneal Perforation",
        "Presenting Author(s)": "Dr Mouna Morchid",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Mouna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morchid",
        "Country Name": "Morocco",
        "Purpose": "To evaluate the role of anterior segment optical coherence tomography (OCT-AS) in monitoring the structural integration of amniotic membrane transplantation (AMT) used in the management of corneal perforations and pre-perforative corneal ulcers.",
        "Setting": "Department of Ophthalmology, Hassan II University Hospital Center, Sidi Mohamed Ben Abdellah University, Fez, Morocco.",
        "Methods": "this study included 37 eyes treated with amniotic membrane transplantation for corneal perforation or pre-perforative ulcers. Patients underwent clinical examination and anterior segment OCT imaging to analyze corneal structural changes and the integration of the transplanted membrane within the corneal thickness. Postoperative follow-up was conducted over 6 months .",
        "Results": "The mean age of patients was 48.6 years , with a male predominance (67%) . OCT-AS evaluation demonstrated that by day 28 , more than 96% of cases showed integration of the amniotic membrane within the corneal thickness . Imaging also confirmed the resolution of corneal thinning in documented cases. At the end of follow-up, best-corrected visual acuity greater than 5/10 was achieved in two patients .",
        "Conclusions": "Amniotic membrane transplantation is an effective therapeutic option in the management of corneal perforations and pre-perforative ulcers. Anterior segment OCT provides a non-invasive and reliable method to monitor membrane integration and corneal structural healing during follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "POCOR228",
      "abstract_number": "POCOR228",
      "title": "Amniotic Membrane Transplantation In Severe Infectious Keratitis: A Prospective Case Series.",
      "authors": "Dr Mouna Morchid",
      "presenter": "Dr Mouna Morchid",
      "normalized_authors": [
        "Mouna Morchid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mouna Morchid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "The amniotic membrane graft is a therapeutic choice that has recently reappeared on the ophthalmological scene, and that allows the treatment of certain ocular surface pathologies, including infectious keratitis. Objective of our study was to evaluate the effectiveness of the amniotic membrane in the therapeutic treatment of infectious keratitis.",
        "Setting": "the study was conducted at ophtalmology department,at the Hassan II University Hospital Center of fez, Morocco.",
        "Methods": "This is a prospective, non-comparative, reporting 15 cases of infectious keratitis severe with delayed healing and important sign of persistent infection initially treated with an empiric antibiotic therapy standard protocol associated with the following transplantation of amniotic membrane seen no clinical improvement, with a follow-up period of 6 months .",
        "Results": "Our study reports 15 eyes with severe infectious keratitis. Mean age was 47.8 years with a male predominance in 66.66% of cases. The most found germ is Gram-positive cocci. Ocular trauma is the main cause of infectious keratitis. All of our patients reported improvement in functional signs including pain during amniotic membrane transplantation. The average healing time was 7.2 days. The main complication was the occurrence of corneal neovascularization.",
        "Conclusions": "The transplant of the amniotic membrane is a simple and easily accessible surgical technique that must be part of the therapeutic arsenal of surface ocular pathologies, especially infectious keratitis, which constitutes an important therapeutic arsenal in their management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The transplant of the amniotic membrane is a simple and easily accessible surgical technique that must be part of the therapeutic arsenal of surface ocular pathologies, especially infectious keratitis, which constitutes an important therapeutic arsenal in their management.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 916,
      "source_fields": {
        "Abstract Final Identifier": "POCOR228",
        "Title": "Amniotic Membrane Transplantation In Severe Infectious Keratitis: A Prospective Case Series.",
        "Presenting Author(s)": "Dr Mouna Morchid",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Mouna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morchid",
        "Country Name": "Morocco",
        "Purpose": "The amniotic membrane graft is a therapeutic choice that has recently reappeared on the ophthalmological scene, and that allows the treatment of certain ocular surface pathologies, including infectious keratitis. Objective of our study was to evaluate the effectiveness of the amniotic membrane in the therapeutic treatment of infectious keratitis.",
        "Setting": "the study was conducted at ophtalmology department,at the Hassan II University Hospital Center of fez, Morocco.",
        "Methods": "This is a prospective, non-comparative, reporting 15 cases of infectious keratitis severe with delayed healing and important sign of persistent infection initially treated with an empiric antibiotic therapy standard protocol associated with the following transplantation of amniotic membrane seen no clinical improvement, with a follow-up period of 6 months .",
        "Results": "Our study reports 15 eyes with severe infectious keratitis. Mean age was 47.8 years with a male predominance in 66.66% of cases. The most found germ is Gram-positive cocci. Ocular trauma is the main cause of infectious keratitis. All of our patients reported improvement in functional signs including pain during amniotic membrane transplantation. The average healing time was 7.2 days. The main complication was the occurrence of corneal neovascularization.",
        "Conclusions": "The transplant of the amniotic membrane is a simple and easily accessible surgical technique that must be part of the therapeutic arsenal of surface ocular pathologies, especially infectious keratitis, which constitutes an important therapeutic arsenal in their management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCOR229",
      "abstract_number": "POCOR229",
      "title": "Sequential Bilateral Mooren's-Like Peripheral Ulcerative Keratitis Following Topical Anesthetic–Induced Toxic Keratitis: A Case Series",
      "authors": "Dr Rasha mohamed Mousa",
      "presenter": "Dr Rasha mohamed Mousa",
      "normalized_authors": [
        "Rasha mohamed Mousa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rasha mohamed Mousa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To describe sequential bilateral Mooren-like peripheral ulcerative keratitis associated with topical anesthetic abuse and to highlight the importance of early controlled anti-inflammatory therapy in preventing progressive corneal melt and visual loss.",
        "Setting": "Cornea unit at the memorial institute for ophthalmic research",
        "Methods": "This retrospective observational case series included nine patients with documented topical anaesthetic abuse presenting with peripheral corneal ulceration at a tertiary ophthalmology center. Particular attention was given to the temporal sequence of ocular involvement, prior management patterns, and response to a structured treatment protocol consisting of anaesthetic cessation, low-dose topical dexamethasone, prophylactic moxifloxacin, cycloplegia, and bandage contact lens application.",
        "Results": "Nine male patients (age range 28–47 years) were included. Eight of nine patients (88.9%) developed bilateral disease. In most cases, involvement was sequential, with initial toxic keratopathy affecting one eye followed by delayed Mooren-like peripheral ulceration in the fellow eye after a mean interval of approximately two weeks. Many patients had previously received intensive antimicrobial therapy without corticosteroids and showed no improvement. Following implementation of the structured protocol, rapid pain relief and clinical stabilization were observed. Fellow eyes demonstrated marked responsiveness to corticosteroid therapy. Visual acuity improved from hand motions at presentation to as high as 0.9 at 4 weeks in responsive cases.",
        "Conclusions": "Topical anesthetic abuse may precipitate sequential bilateral Mooren-like peripheral ulceration with a significant inflammatory component. Failure to recognize this pattern may delay appropriate therapy and contribute to progressive stromal melt. Early introduction of controlled corticosteroid therapy following exclusion of infection may be vision-saving."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical anesthetic abuse may precipitate sequential bilateral Mooren-like peripheral ulceration with a significant inflammatory component. Failure to recognize this pattern may delay appropriate therapy and contribute to progressive stromal melt. Early introduction of controlled corticosteroid therapy following exclusion of infection may be vision-saving.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 917,
      "source_fields": {
        "Abstract Final Identifier": "POCOR229",
        "Title": "Sequential Bilateral Mooren's-Like Peripheral Ulcerative Keratitis Following Topical Anesthetic–Induced Toxic Keratitis: A Case Series",
        "Presenting Author(s)": "Dr Rasha mohamed Mousa",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Rasha",
        "Submitter Middle Name": "mohamed",
        "Submitter Last Name": "Mousa",
        "Country Name": "Egypt",
        "Purpose": "To describe sequential bilateral Mooren-like peripheral ulcerative keratitis associated with topical anesthetic abuse and to highlight the importance of early controlled anti-inflammatory therapy in preventing progressive corneal melt and visual loss.",
        "Setting": "Cornea unit at the memorial institute for ophthalmic research",
        "Methods": "This retrospective observational case series included nine patients with documented topical anaesthetic abuse presenting with peripheral corneal ulceration at a tertiary ophthalmology center. Particular attention was given to the temporal sequence of ocular involvement, prior management patterns, and response to a structured treatment protocol consisting of anaesthetic cessation, low-dose topical dexamethasone, prophylactic moxifloxacin, cycloplegia, and bandage contact lens application.",
        "Results": "Nine male patients (age range 28–47 years) were included. Eight of nine patients (88.9%) developed bilateral disease. In most cases, involvement was sequential, with initial toxic keratopathy affecting one eye followed by delayed Mooren-like peripheral ulceration in the fellow eye after a mean interval of approximately two weeks. Many patients had previously received intensive antimicrobial therapy without corticosteroids and showed no improvement. Following implementation of the structured protocol, rapid pain relief and clinical stabilization were observed. Fellow eyes demonstrated marked responsiveness to corticosteroid therapy. Visual acuity improved from hand motions at presentation to as high as 0.9 at 4 weeks in responsive cases.",
        "Conclusions": "Topical anesthetic abuse may precipitate sequential bilateral Mooren-like peripheral ulceration with a significant inflammatory component. Failure to recognize this pattern may delay appropriate therapy and contribute to progressive stromal melt. Early introduction of controlled corticosteroid therapy following exclusion of infection may be vision-saving."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCOR230",
      "abstract_number": "POCOR230",
      "title": "The Role Of Platelet-Rich Fibrin Membrane (Prfm) In The Management Of Infectious Corneal Ulcer Perforations: A Case Series Of 15 Eyes",
      "authors": "Dr Fadila Lachkar",
      "presenter": "Dr Fadila Lachkar",
      "normalized_authors": [
        "Fadila Lachkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hassan Moutei",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Corneal perforations secondary to infectious ulcers are a sight-threatening emergency requiring urgent surgical intervention. Limited donor tissue availability in resource-constrained settings necessitates alternative approaches. Platelet-rich fibrin membrane (PRFm), an autologous biomaterial rich in VEGF, TGF-β, and PDGF, offers adhesive, antimicrobial, and regenerative properties. This study evaluates its anatomical and functional outcomes as a primary surgical strategy in small infectious corneal perforations.",
        "Setting": "A prorospective case series of 15 eyes from 15 patients",
        "Methods": "A prorospective case series of 15 eyes from 15 patients was conducted at the Department of Ophthalmology, Hassan II University Hospital, Fès, Morocco. All perforations measured 2–3 mm in diameter (mean 2.4 ± 0.3 mm). Iris prolapse was present in 8 cases (53.3%) and flat anterior chamber in 11 eyes (73.3%) at presentation. PRFm was prepared by standardized centrifugation of autologous venous blood and secured with 10-0 nylon sutures, combined with intensive antimicrobial therapy. Outcomes included globe integrity, IOP, epithelial healing assessed by AS-OCT, BCVA, and complications at 1 week, and 1 month.",
        "Results": "Fifteen eyes of 15 patients (mean age 52.3 ± 14.7 years) were included. Infectious etiologies were bacterial in 9 cases (60%), fungal in 6 cases (40%).\n\nPrimary corneal sealing was achieved in 8/15 eyes (53,3%) within the first postoperative week, confirmed by negative Seidel test and AS-OCT membrane apposition. Anterior chamber reformation and IOP normalization were achieved in all sealed cases within a mean of 5.8 ± 2.1 days. Complete re-epithelialization was observed in 6/8 sealed eyes (75%) at a mean of 12.4 ± 3.1 days. BCVA improved by ≥2 Snellen lines in 4 eyes (50 %) at 1-month follow-up.",
        "Conclusions": "PRFm appears to be a promising and accessible surgical option for small infectious corneal perforations of 2–3 mm, with encouraging anatomical outcomes in infectious etiologies. These preliminary findings support PRFm as a potential temporizing measure pending definitive keratoplasty in resource-limited settings. Prospective multicenter studies with larger cohorts are needed to better establish its efficacy, safety profile, and optimal indications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRFm appears to be a promising and accessible surgical option for small infectious corneal perforations of 2–3 mm, with encouraging anatomical outcomes in infectious etiologies. These preliminary findings support PRFm as a potential temporizing measure pending definitive keratoplasty in resource-limited settings. Prospective multicenter studies with larger cohorts are needed to better establish its efficacy, safety…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 918,
      "source_fields": {
        "Abstract Final Identifier": "POCOR230",
        "Title": "The Role Of Platelet-Rich Fibrin Membrane (Prfm) In The Management Of Infectious Corneal Ulcer Perforations: A Case Series Of 15 Eyes",
        "Presenting Author(s)": "Dr Fadila Lachkar",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Hassan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moutei",
        "Country Name": "Morocco",
        "Purpose": "Corneal perforations secondary to infectious ulcers are a sight-threatening emergency requiring urgent surgical intervention. Limited donor tissue availability in resource-constrained settings necessitates alternative approaches. Platelet-rich fibrin membrane (PRFm), an autologous biomaterial rich in VEGF, TGF-β, and PDGF, offers adhesive, antimicrobial, and regenerative properties. This study evaluates its anatomical and functional outcomes as a primary surgical strategy in small infectious corneal perforations.",
        "Setting": "A prorospective case series of 15 eyes from 15 patients",
        "Methods": "A prorospective case series of 15 eyes from 15 patients was conducted at the Department of Ophthalmology, Hassan II University Hospital, Fès, Morocco. All perforations measured 2–3 mm in diameter (mean 2.4 ± 0.3 mm). Iris prolapse was present in 8 cases (53.3%) and flat anterior chamber in 11 eyes (73.3%) at presentation. PRFm was prepared by standardized centrifugation of autologous venous blood and secured with 10-0 nylon sutures, combined with intensive antimicrobial therapy. Outcomes included globe integrity, IOP, epithelial healing assessed by AS-OCT, BCVA, and complications at 1 week, and 1 month.",
        "Results": "Fifteen eyes of 15 patients (mean age 52.3 ± 14.7 years) were included. Infectious etiologies were bacterial in 9 cases (60%), fungal in 6 cases (40%).\n\nPrimary corneal sealing was achieved in 8/15 eyes (53,3%) within the first postoperative week, confirmed by negative Seidel test and AS-OCT membrane apposition. Anterior chamber reformation and IOP normalization were achieved in all sealed cases within a mean of 5.8 ± 2.1 days. Complete re-epithelialization was observed in 6/8 sealed eyes (75%) at a mean of 12.4 ± 3.1 days. BCVA improved by ≥2 Snellen lines in 4 eyes (50 %) at 1-month follow-up.",
        "Conclusions": "PRFm appears to be a promising and accessible surgical option for small infectious corneal perforations of 2–3 mm, with encouraging anatomical outcomes in infectious etiologies. These preliminary findings support PRFm as a potential temporizing measure pending definitive keratoplasty in resource-limited settings. Prospective multicenter studies with larger cohorts are needed to better establish its efficacy, safety profile, and optimal indications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POCOR231",
      "abstract_number": "POCOR231",
      "title": "Therapeutic Penetrating Keratoplasty For Refractory Infectious Keratitis In A Tertiary Eye Care Center In Sweden",
      "authors": "Dr Marios Panagiotopoulos",
      "presenter": "Dr Marios Panagiotopoulos",
      "normalized_authors": [
        "Marios Panagiotopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marios Panagiotopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Sweden",
      "sections": {
        "Purpose": "To investigate indications, complications and tectonic, therapeutic and functional success in cases with advanced medically uncontrolled infectious keratitis treated with Therapeutic Penetrating Keratoplasty (TPK)",
        "Setting": "Cornea Service, Örebro Ophthalmology Clinic, Örebro University, Sweden",
        "Methods": "Fourteen cases of serious infectious keratitis unresponsive to medical therapy who treated with TPK between 2012 and 2024 at Örebro Opthalmology Clinic with at least 12 months follow up were reviewed retrospectively. Age at surgery, causative microorganism, time between diagnosis and surgery, eventual perforation, complications and preoperative and postoperative visual acuity. The relationship between these findings and anatomic, therapeutic, and functional success was evaluated as well.",
        "Results": "A total of 14 eyes of 12 patients (2 underwent repeated keratoplasty due to recurrence) with an age range of 57 to 89 years at surgery who underwent TPK were included. Nine cases were diagnosed with mycotic keratitis, 4 with bacterial keratitis and 1 with acanthamoeba keratis. Mean time between diagnosis and surgery was 11 days. Perforation was observed in 5 cases (35 %). Anatomical success was obtained in all 14 cases, whereas therapeutic and optical success was observed in 12 cases (85 %). BCVA was preop ≤20/4000 and at 12 mo postop was ≥20/200 in 7 eyes (58 %) and ≥20/40 in 3 eyes (25 %). The most frequent postop complications were loose sutures, persistent erosion and inflammation. Both 2 recurrent cases were diagnosed with fungi (14%).",
        "Conclusions": "This study shows that TPK in refractory infectious keratitis, although more prone to complications compared to optic PK, may be an effective treatment option which offer high rates of tectonic integrity, eradication of causative infection and some visual rehabilitation. The most frequent causative microorganisms were fungi, especially candida which was responsible for recurrence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study shows that TPK in refractory infectious keratitis, although more prone to complications compared to optic PK, may be an effective treatment option which offer high rates of tectonic integrity, eradication of causative infection and some visual rehabilitation. The most frequent causative microorganisms were fungi, especially candida which was responsible for recurrence.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 919,
      "source_fields": {
        "Abstract Final Identifier": "POCOR231",
        "Title": "Therapeutic Penetrating Keratoplasty For Refractory Infectious Keratitis In A Tertiary Eye Care Center In Sweden",
        "Presenting Author(s)": "Dr Marios Panagiotopoulos",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Marios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Panagiotopoulos",
        "Country Name": "Sweden",
        "Purpose": "To investigate indications, complications and tectonic, therapeutic and functional success in cases with advanced medically uncontrolled infectious keratitis treated with Therapeutic Penetrating Keratoplasty (TPK)",
        "Setting": "Cornea Service, Örebro Ophthalmology Clinic, Örebro University, Sweden",
        "Methods": "Fourteen cases of serious infectious keratitis unresponsive to medical therapy who treated with TPK between 2012 and 2024 at Örebro Opthalmology Clinic with at least 12 months follow up were reviewed retrospectively. Age at surgery, causative microorganism, time between diagnosis and surgery, eventual perforation, complications and preoperative and postoperative visual acuity. The relationship between these findings and anatomic, therapeutic, and functional success was evaluated as well.",
        "Results": "A total of 14 eyes of 12 patients (2 underwent repeated keratoplasty due to recurrence) with an age range of 57 to 89 years at surgery who underwent TPK were included. Nine cases were diagnosed with mycotic keratitis, 4 with bacterial keratitis and 1 with acanthamoeba keratis. Mean time between diagnosis and surgery was 11 days. Perforation was observed in 5 cases (35 %). Anatomical success was obtained in all 14 cases, whereas therapeutic and optical success was observed in 12 cases (85 %). BCVA was preop ≤20/4000 and at 12 mo postop was ≥20/200 in 7 eyes (58 %) and ≥20/40 in 3 eyes (25 %). The most frequent postop complications were loose sutures, persistent erosion and inflammation. Both 2 recurrent cases were diagnosed with fungi (14%).",
        "Conclusions": "This study shows that TPK in refractory infectious keratitis, although more prone to complications compared to optic PK, may be an effective treatment option which offer high rates of tectonic integrity, eradication of causative infection and some visual rehabilitation. The most frequent causative microorganisms were fungi, especially candida which was responsible for recurrence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POCOR232",
      "abstract_number": "POCOR232",
      "title": "Targeting The Feeder Vessel: A Simple Approach To Herpetic Corneal Neovascularization",
      "authors": "Dr Athanasios Pappas",
      "presenter": "Dr Athanasios Pappas",
      "normalized_authors": [
        "Athanasios Pappas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Athanasios Pappas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Corneal neovascularization is a common and potentially vision-threatening consequence of herpetic keratitis, frequently resulting in corneal opacity. This study aims to demonstrate the clinical efficacy of feeder vessel cauterization at the limbal region.",
        "Setting": "A case series was performed at a tertiary-care university hospital in Larissa, Greece, involving patients treated in both the inpatient and outpatient ophthalmology departments.",
        "Methods": "We present three cases of patients with a history of herpetic corneal disease who exhibited persistent superficial and deep corneal neovascularization, accompanied by corneal opacity and visual impairment. Despite medical therapy, neovascularization remained active. Cauterization of the feeder vessel was conducted at the limbus under topical anesthesia, focusing on the identifiable supplying vessel.",
        "Results": "In all three cases, significant regression of corneal neovascularization was observed within the first days following the procedure, accompanied by notable improvement in corneal clarity and visual acuity. No intraoperative or postoperative complications were reported, and no reactivation of herpetic disease occurred during the follow-up period.",
        "Conclusions": "Cauterizing the feeder vessel at the limbus represents a simple, fast, targeted, and effective therapeutic approach for selected cases of herpetic corneal neovascularization, offering a valuable alternative when conservative treatment proves insufficient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cauterizing the feeder vessel at the limbus represents a simple, fast, targeted, and effective therapeutic approach for selected cases of herpetic corneal neovascularization, offering a valuable alternative when conservative treatment proves insufficient.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 920,
      "source_fields": {
        "Abstract Final Identifier": "POCOR232",
        "Title": "Targeting The Feeder Vessel: A Simple Approach To Herpetic Corneal Neovascularization",
        "Presenting Author(s)": "Dr Athanasios Pappas",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Athanasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pappas",
        "Country Name": "Greece",
        "Purpose": "Corneal neovascularization is a common and potentially vision-threatening consequence of herpetic keratitis, frequently resulting in corneal opacity. This study aims to demonstrate the clinical efficacy of feeder vessel cauterization at the limbal region.",
        "Setting": "A case series was performed at a tertiary-care university hospital in Larissa, Greece, involving patients treated in both the inpatient and outpatient ophthalmology departments.",
        "Methods": "We present three cases of patients with a history of herpetic corneal disease who exhibited persistent superficial and deep corneal neovascularization, accompanied by corneal opacity and visual impairment. Despite medical therapy, neovascularization remained active. Cauterization of the feeder vessel was conducted at the limbus under topical anesthesia, focusing on the identifiable supplying vessel.",
        "Results": "In all three cases, significant regression of corneal neovascularization was observed within the first days following the procedure, accompanied by notable improvement in corneal clarity and visual acuity. No intraoperative or postoperative complications were reported, and no reactivation of herpetic disease occurred during the follow-up period.",
        "Conclusions": "Cauterizing the feeder vessel at the limbus represents a simple, fast, targeted, and effective therapeutic approach for selected cases of herpetic corneal neovascularization, offering a valuable alternative when conservative treatment proves insufficient."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 188
    },
    {
      "uid": "POCOR233",
      "abstract_number": "POCOR233",
      "title": "Early Real-World Outcomes Of Polyhexamethylene Biguanide (Phmb) 0.08% Monotherapy For Acanthamoeba Keratitis",
      "authors": "Ms Nicole Quah",
      "presenter": "Ms Nicole Quah",
      "normalized_authors": [
        "Nicole Quah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicole Quah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe real-world use, tolerability, and early clinical course of topical polyhexamethylene biguanide (PHMB) 0.08% monotherapy in patients with Acanthamoeba keratitis (AK) at a tertiary referral centre, following abrupt unavailability of compounded PHMB 0.06% due to regulatory supply disruption.",
        "Setting": "Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "Retrospective observational real-world evidence series of consecutive patients with AK treated with PHMB 0.08%. Following the closure of the compounding pharmacy supplying PHMB 0.06%, PHMB 0.02% monotherapy was considered sub-therapeutic and would have required addition of a second anti-amoebic agent such as propamidine with potential ocular surface toxicity. A transition to PHMB 0.08% enabled our unit to maintain a monotherapy approach.",
        "Results": "50 eyes from 49 patients were treated with PHMB 0.08%. 16 eyes were excluded from analysis due to lack of data (patients only seen once for diagnosis confirmation). 44.1% (15/34) were contact lens–associated and 94.1% (32/34) were unilateral. 38.2% (13/34) had stage 1 disease, 47.1% (16/34) had stage 2 disease, and 14.7% (5/34) had stage 3 disease. Prior anti-amoebic therapy had been used in 47.1% (16/34) as these were pre-existing AK diagnoses. Treatment was well tolerated, with no cessation due to ocular surface toxicity. Adjunctive topical corticosteroids were used in 47.1% (16/34). Clinical resolution was observed in 23.5% (8/34) in the 4 months following the switch to PHMB 0.08% monotherapy.",
        "Conclusions": "PHMB 0.08% monotherapy has a clear role in the management of AK and enabled continuation of a monotherapy strategy following disruption to PHMB 0.06% availability, without reliance on additional surface-toxic agents. While definitive conclusions regarding medical cure rates and time to cure cannot yet be drawn due to limited follow-up, early real-world experience supports its use across the AK disease spectrum. Continued follow-up will further define long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PHMB 0.08% monotherapy has a clear role in the management of AK and enabled continuation of a monotherapy strategy following disruption to PHMB 0.06% availability, without reliance on additional surface-toxic agents. While definitive conclusions regarding medical cure rates and time to cure cannot yet be drawn due to limited follow-up, early real-world experience supports its use across the AK disease spectrum.…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 921,
      "source_fields": {
        "Abstract Final Identifier": "POCOR233",
        "Title": "Early Real-World Outcomes Of Polyhexamethylene Biguanide (Phmb) 0.08% Monotherapy For Acanthamoeba Keratitis",
        "Presenting Author(s)": "Ms Nicole Quah",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nicole",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Quah",
        "Country Name": "United Kingdom",
        "Purpose": "To describe real-world use, tolerability, and early clinical course of topical polyhexamethylene biguanide (PHMB) 0.08% monotherapy in patients with Acanthamoeba keratitis (AK) at a tertiary referral centre, following abrupt unavailability of compounded PHMB 0.06% due to regulatory supply disruption.",
        "Setting": "Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "Retrospective observational real-world evidence series of consecutive patients with AK treated with PHMB 0.08%. Following the closure of the compounding pharmacy supplying PHMB 0.06%, PHMB 0.02% monotherapy was considered sub-therapeutic and would have required addition of a second anti-amoebic agent such as propamidine with potential ocular surface toxicity. A transition to PHMB 0.08% enabled our unit to maintain a monotherapy approach.",
        "Results": "50 eyes from 49 patients were treated with PHMB 0.08%. 16 eyes were excluded from analysis due to lack of data (patients only seen once for diagnosis confirmation). 44.1% (15/34) were contact lens–associated and 94.1% (32/34) were unilateral. 38.2% (13/34) had stage 1 disease, 47.1% (16/34) had stage 2 disease, and 14.7% (5/34) had stage 3 disease. Prior anti-amoebic therapy had been used in 47.1% (16/34) as these were pre-existing AK diagnoses. Treatment was well tolerated, with no cessation due to ocular surface toxicity. Adjunctive topical corticosteroids were used in 47.1% (16/34). Clinical resolution was observed in 23.5% (8/34) in the 4 months following the switch to PHMB 0.08% monotherapy.",
        "Conclusions": "PHMB 0.08% monotherapy has a clear role in the management of AK and enabled continuation of a monotherapy strategy following disruption to PHMB 0.06% availability, without reliance on additional surface-toxic agents. While definitive conclusions regarding medical cure rates and time to cure cannot yet be drawn due to limited follow-up, early real-world experience supports its use across the AK disease spectrum. Continued follow-up will further define long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR234",
      "abstract_number": "POCOR234",
      "title": "Parinaud Oculoglandular Syndrome Without Feline Trauma In A Young Boy",
      "authors": "Dr Nicole Quah",
      "presenter": "Dr Nicole Quah",
      "normalized_authors": [
        "Nicole Quah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicole Quah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe a paediatric case of Parinaud oculoglandular syndrome presenting as a conjunctival mass with chemosis and lymphadenopathy, highlighting diagnostic challenges and successful medical management.",
        "Setting": "Whipps Cross Hospital, a district general hospital in London, United Kingdom.",
        "Methods": "A 7‑year‑old boy presented with a 2 week history of unilateral foreign body sensation unresponsive to topical chloramphenicol and sodium cromoglycate. Clinical examination revealed marked temporal chemosis, a large inferior conjunctival mass with intralesional granulomas, and ipsilateral preauricular lymphadenopathy in an otherwise systemically well child. Detailed history, including exposure to two household cats with no recalled trauma, was obtained. A clinical diagnosis of Parinaud oculoglandular syndrome was made, and the patient was treated with oral azithromycin while awaiting Bartonella serology.",
        "Results": "The child showed progressive improvement in symptoms and signs following initiation of azithromycin, with complete clinical resolution of the conjunctival mass and chemosis within 3 weeks. Lymphadenopathy also improved. Bartonella serology was positive, confirming the causative agent.",
        "Conclusions": "Parinaud oculoglandular syndrome should be considered in children presenting with unilateral granulomatous conjunctivitis and preauricular lymphadenopathy, even in the absence of a clear history of cat scratch or bite. Careful history, recognition of the characteristic ocular signs and targeted serological testing allow prompt diagnosis and treatment, and macrolide therapy such as azithromycin can lead to rapid and complete resolution in cases where doxycycline is contraindicated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Parinaud oculoglandular syndrome should be considered in children presenting with unilateral granulomatous conjunctivitis and preauricular lymphadenopathy, even in the absence of a clear history of cat scratch or bite. Careful history, recognition of the characteristic ocular signs and targeted serological testing allow prompt diagnosis and treatment, and macrolide therapy such as azithromycin can lead to rapid and…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 922,
      "source_fields": {
        "Abstract Final Identifier": "POCOR234",
        "Title": "Parinaud Oculoglandular Syndrome Without Feline Trauma In A Young Boy",
        "Presenting Author(s)": "Dr Nicole Quah",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nicole",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Quah",
        "Country Name": "United Kingdom",
        "Purpose": "To describe a paediatric case of Parinaud oculoglandular syndrome presenting as a conjunctival mass with chemosis and lymphadenopathy, highlighting diagnostic challenges and successful medical management.",
        "Setting": "Whipps Cross Hospital, a district general hospital in London, United Kingdom.",
        "Methods": "A 7‑year‑old boy presented with a 2 week history of unilateral foreign body sensation unresponsive to topical chloramphenicol and sodium cromoglycate. Clinical examination revealed marked temporal chemosis, a large inferior conjunctival mass with intralesional granulomas, and ipsilateral preauricular lymphadenopathy in an otherwise systemically well child. Detailed history, including exposure to two household cats with no recalled trauma, was obtained. A clinical diagnosis of Parinaud oculoglandular syndrome was made, and the patient was treated with oral azithromycin while awaiting Bartonella serology.",
        "Results": "The child showed progressive improvement in symptoms and signs following initiation of azithromycin, with complete clinical resolution of the conjunctival mass and chemosis within 3 weeks. Lymphadenopathy also improved. Bartonella serology was positive, confirming the causative agent.",
        "Conclusions": "Parinaud oculoglandular syndrome should be considered in children presenting with unilateral granulomatous conjunctivitis and preauricular lymphadenopathy, even in the absence of a clear history of cat scratch or bite. Careful history, recognition of the characteristic ocular signs and targeted serological testing allow prompt diagnosis and treatment, and macrolide therapy such as azithromycin can lead to rapid and complete resolution in cases where doxycycline is contraindicated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCOR235",
      "abstract_number": "POCOR235",
      "title": "Early Real-World Outcomes Of Polyhexamethylene Biguanide (Phmb) 0.08% Monotherapy For Acanthamoeba Keratitis",
      "authors": "Dr Nicole Quah",
      "presenter": "Dr Nicole Quah",
      "normalized_authors": [
        "Nicole Quah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicole Quah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe early real-world outcomes, tolerability, and clinical course of topical polyhexamethylene biguanide (PHMB) 0.08% monotherapy in patients with Acanthamoeba keratitis (AK) at a tertiary referral centre.",
        "Setting": "Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "We conducted a retrospective observational series of consecutive patients with AK managed at a tertiary referral centre during a period when compounded PHMB preparations were unavailable. All patients were treated with PHMB 0.08% monotherapy. Demographic data, disease stage, prior anti-amoebic therapy, adjunctive corticosteroid use, tolerability, and early clinical outcomes following initiation of PHMB 0.08% were recorded. Diagnosis of AK was confirmed by in vivo confocal microscopy, polymerase chain reaction (PCR) or culture.",
        "Results": "Fifty eyes from 49 patients received PHMB 0.08%. Sixteen eyes were excluded due to insufficient follow-up. Among the remaining 34 eyes, 44.1% (15/34) were contact lens related and 94.1% (32/34) were unilateral. Disease severity included 38.2% stage 1 (13/34), 47.1% stage 2 (16/34), and 14.7% stage 3 (5/34). Prior anti-amoebic therapy with compounded PHMB had been used in 47.1% (16/34). Treatment with PHMB 0.08% was well tolerated, with no discontinuation due to ocular surface toxicity. Adjunctive topical corticosteroids were used in 47.1% (16/34). Clinical resolution occurred in 23.5% (8/34) within the first four months after commencing PHMB 0.08% monotherapy.",
        "Conclusions": "PHMB 0.08% monotherapy was well tolerated and provided a practical treatment option when compounded PHMB preparations were unavailable, allowing continuity of care. Early real-world outcomes support its use across the AK disease spectrum. Further follow-up is needed to determine long-term cure rates and comparative effectiveness, but initial experience demonstrates the feasibility and safety of PHMB 0.08% monotherapy in routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PHMB 0.08% monotherapy was well tolerated and provided a practical treatment option when compounded PHMB preparations were unavailable, allowing continuity of care. Early real-world outcomes support its use across the AK disease spectrum. Further follow-up is needed to determine long-term cure rates and comparative effectiveness, but initial experience demonstrates the feasibility and safety of PHMB 0.08%…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 923,
      "source_fields": {
        "Abstract Final Identifier": "POCOR235",
        "Title": "Early Real-World Outcomes Of Polyhexamethylene Biguanide (Phmb) 0.08% Monotherapy For Acanthamoeba Keratitis",
        "Presenting Author(s)": "Dr Nicole Quah",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nicole",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Quah",
        "Country Name": "United Kingdom",
        "Purpose": "To describe early real-world outcomes, tolerability, and clinical course of topical polyhexamethylene biguanide (PHMB) 0.08% monotherapy in patients with Acanthamoeba keratitis (AK) at a tertiary referral centre.",
        "Setting": "Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "We conducted a retrospective observational series of consecutive patients with AK managed at a tertiary referral centre during a period when compounded PHMB preparations were unavailable. All patients were treated with PHMB 0.08% monotherapy. Demographic data, disease stage, prior anti-amoebic therapy, adjunctive corticosteroid use, tolerability, and early clinical outcomes following initiation of PHMB 0.08% were recorded. Diagnosis of AK was confirmed by in vivo confocal microscopy, polymerase chain reaction (PCR) or culture.",
        "Results": "Fifty eyes from 49 patients received PHMB 0.08%. Sixteen eyes were excluded due to insufficient follow-up. Among the remaining 34 eyes, 44.1% (15/34) were contact lens related and 94.1% (32/34) were unilateral. Disease severity included 38.2% stage 1 (13/34), 47.1% stage 2 (16/34), and 14.7% stage 3 (5/34). Prior anti-amoebic therapy with compounded PHMB had been used in 47.1% (16/34). Treatment with PHMB 0.08% was well tolerated, with no discontinuation due to ocular surface toxicity. Adjunctive topical corticosteroids were used in 47.1% (16/34). Clinical resolution occurred in 23.5% (8/34) within the first four months after commencing PHMB 0.08% monotherapy.",
        "Conclusions": "PHMB 0.08% monotherapy was well tolerated and provided a practical treatment option when compounded PHMB preparations were unavailable, allowing continuity of care. Early real-world outcomes support its use across the AK disease spectrum. Further follow-up is needed to determine long-term cure rates and comparative effectiveness, but initial experience demonstrates the feasibility and safety of PHMB 0.08% monotherapy in routine clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCOR236",
      "abstract_number": "POCOR236",
      "title": "Scleral Contact Lenses As Vision-Saving Strategy After Penetrating Keratoplasty In An Aphakic Eye",
      "authors": "Mrs Eva Ramón",
      "presenter": "Mrs Eva Ramón",
      "normalized_authors": [
        "Eva Ramón"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eva Ramón",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the visual rehabilitation of a highly complex aphakic eye after penetrating keratoplasty (PK) for fungal keratitis and endophthalmitis, highlighting the role of scleral contact lenses as a conservative alternative to further surgical intervention in cases of severe irregular astigmatism and aniridia.",
        "Setting": "Tertiary referral anterior segment and contact lens unit, Department of Ophthalmology, Spain.",
        "Methods": "A 49-year-old highly myopic soft contact lens wearer was referred with severe fungal keratitis in the right eye (RE). Presenting visual acuity was hand movement in the RE and 0.8 in the left eye (LE). Slit-lamp examination revealed a failed penetrating keratoplasty, 360º anterior synechiae, dense hypopyon, and aphakia. Fundus visualization was not possible; B-scan ultrasonography demonstrated findings consistent with fungal endophthalmitis. After stabilization, best corrected visual acuity improved to 0.6 with a soft aphakic contact lens and intraocular pressure remained controlled.",
        "Results": "Best corrected visual acuity (BCVA) improved from 0.2 postoperatively to 0.6 with aphakic spectacle correction. Despite complete suture removal, significant irregular astigmatism limited further improvement due to persistent corneal surface irregularity. Sequential optical rehabilitation strategies were implemented, including large-diameter soft lenses and iris-tinted lenses.\n\nA potential acuity test was performed prior to rigid gas-permeable lens fitting to assess visual potential. After fitting a rigid gas-permeable lens, corneal surface regularization allowed the patient to achieve a BCVA of 0.9, with marked improvement in visual quality and stability.",
        "Conclusions": "Surgical alternatives such as arcuate keratotomy or secondary intraocular lens implantation were therefore deferred. In complex post-keratoplasty eyes with aphakia, irregular astigmatism, glaucoma drainage devices, and partial limbal dysfunction, scleral or rigid contact lenses can provide substantial visual recovery and postpone or avoid additional surgical procedures.\n\nCareful assessment of visual potential and stepwise conservative management are essential before considering corneal refractive surgery or secondary implants. Contact lenses should be regarded as a primary therapeutic tool in grafted eyes with high optical irregularity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Surgical alternatives such as arcuate keratotomy or secondary intraocular lens implantation were therefore deferred. In complex post-keratoplasty eyes with aphakia, irregular astigmatism, glaucoma drainage devices, and partial limbal dysfunction, scleral or rigid contact lenses can provide substantial visual recovery and postpone or avoid additional surgical procedures. Careful assessment of visual potential and…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 924,
      "source_fields": {
        "Abstract Final Identifier": "POCOR236",
        "Title": "Scleral Contact Lenses As Vision-Saving Strategy After Penetrating Keratoplasty In An Aphakic Eye",
        "Presenting Author(s)": "Mrs Eva Ramón",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Eva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ramón",
        "Country Name": "Spain",
        "Purpose": "To report the visual rehabilitation of a highly complex aphakic eye after penetrating keratoplasty (PK) for fungal keratitis and endophthalmitis, highlighting the role of scleral contact lenses as a conservative alternative to further surgical intervention in cases of severe irregular astigmatism and aniridia.",
        "Setting": "Tertiary referral anterior segment and contact lens unit, Department of Ophthalmology, Spain.",
        "Methods": "A 49-year-old highly myopic soft contact lens wearer was referred with severe fungal keratitis in the right eye (RE). Presenting visual acuity was hand movement in the RE and 0.8 in the left eye (LE). Slit-lamp examination revealed a failed penetrating keratoplasty, 360º anterior synechiae, dense hypopyon, and aphakia. Fundus visualization was not possible; B-scan ultrasonography demonstrated findings consistent with fungal endophthalmitis. After stabilization, best corrected visual acuity improved to 0.6 with a soft aphakic contact lens and intraocular pressure remained controlled.",
        "Results": "Best corrected visual acuity (BCVA) improved from 0.2 postoperatively to 0.6 with aphakic spectacle correction. Despite complete suture removal, significant irregular astigmatism limited further improvement due to persistent corneal surface irregularity. Sequential optical rehabilitation strategies were implemented, including large-diameter soft lenses and iris-tinted lenses.\n\nA potential acuity test was performed prior to rigid gas-permeable lens fitting to assess visual potential. After fitting a rigid gas-permeable lens, corneal surface regularization allowed the patient to achieve a BCVA of 0.9, with marked improvement in visual quality and stability.",
        "Conclusions": "Surgical alternatives such as arcuate keratotomy or secondary intraocular lens implantation were therefore deferred. In complex post-keratoplasty eyes with aphakia, irregular astigmatism, glaucoma drainage devices, and partial limbal dysfunction, scleral or rigid contact lenses can provide substantial visual recovery and postpone or avoid additional surgical procedures.\n\nCareful assessment of visual potential and stepwise conservative management are essential before considering corneal refractive surgery or secondary implants. Contact lenses should be regarded as a primary therapeutic tool in grafted eyes with high optical irregularity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCOR237",
      "abstract_number": "POCOR237",
      "title": "Surgical Management Of Refractory Fungal And Mixed Infectious Keratitis: Therapeutic Outcomes",
      "authors": "Jesica Bekerman",
      "presenter": "Jesica Bekerman",
      "normalized_authors": [
        "Jesica Bekerman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Valentina Ranno",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "Advanced fungal and mixed infectious keratitis unresponsive to topical and systemic therapy represents a sight-threatening condition. These cases often require urgent surgical intervention due to progressive stromal necrosis, deep fungal penetration, and risk of perforation or scleral extension. The purpose of this study was to determine the therapeutic success rate of surgical management in advanced fungal keratitis. Therapeutic success was defined as complete eradication of infection and preservation of the globe following surgery combined with topical and or systemic therapy.",
        "Setting": "Retrospective case series conducted at specialized Cornea & Refractive surgery Service",
        "Methods": "A retrospective chart review was performed including patients diagnosed with advanced fungal or mixed fungal keratitis between January 2023 and January 2026, who required surgical intervention after failure of maximal medical therapy. Demographic characteristics, infiltrate size and stromal depth (slit-lamp evaluation and AS-OCT), microbiologic diagnosis (culture and/or in vivo confocal microscopy), type of surgical procedure and therapeutic outcomes were analyzed. Surgical procedures included therapeutic penetrating keratoplasty (PK) or lamellar keratectomy with conjunctival flap Therapeutic success was defined as infection eradication with globe preservation.",
        "Results": "Seventeen eyes (10 females, 6 males; mean age 56.4 years, range 9–92) were included. Infiltrate size ranged from 1–8 mm, with mid-deep stromal involvement in most cases. Most patients underwent therapeutic penetrating keratoplasty; one required two sequential grafts for persistent infection. Lamellar keratectomy with conjunctival flap was performed in two cases with complete resolution. Globe preservation was achieved in 16/17 eyes (94.1%); one required evisceration due to endophthalmitis. Filamentous fungi predominated and y east infections were identified in three cases. Mixed infections were observed in selected cases, including bacterial co-infection, herpetic keratitis and o ne case with concomitant Acanthamoeba infection.",
        "Conclusions": "Refractory fungal and mixed infectious keratitis remains a major therapeutic challenge due to limited antifungal penetration and the ability of filamentous fungi to invade deep stromal layers and into the anterior chamber. When medical therapy fails, early surgical intervention, particularly therapeutic penetrating keratoplasty plays a critical role in eradicating infection and preserving the globe. Prompt diagnosis and timely surgical management are essential to reduce irreversible and devastating outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractory fungal and mixed infectious keratitis remains a major therapeutic challenge due to limited antifungal penetration and the ability of filamentous fungi to invade deep stromal layers and into the anterior chamber. When medical therapy fails, early surgical intervention, particularly therapeutic penetrating keratoplasty plays a critical role in eradicating infection and preserving the globe. Prompt…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 925,
      "source_fields": {
        "Abstract Final Identifier": "POCOR237",
        "Title": "Surgical Management Of Refractory Fungal And Mixed Infectious Keratitis: Therapeutic Outcomes",
        "Presenting Author(s)": "Jesica Bekerman",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Valentina",
        "Submitter Last Name": "Ranno",
        "Country Name": "Argentina",
        "Purpose": "Advanced fungal and mixed infectious keratitis unresponsive to topical and systemic therapy represents a sight-threatening condition. These cases often require urgent surgical intervention due to progressive stromal necrosis, deep fungal penetration, and risk of perforation or scleral extension. The purpose of this study was to determine the therapeutic success rate of surgical management in advanced fungal keratitis. Therapeutic success was defined as complete eradication of infection and preservation of the globe following surgery combined with topical and or systemic therapy.",
        "Setting": "Retrospective case series conducted at specialized Cornea & Refractive surgery Service",
        "Methods": "A retrospective chart review was performed including patients diagnosed with advanced fungal or mixed fungal keratitis between January 2023 and January 2026, who required surgical intervention after failure of maximal medical therapy. Demographic characteristics, infiltrate size and stromal depth (slit-lamp evaluation and AS-OCT), microbiologic diagnosis (culture and/or in vivo confocal microscopy), type of surgical procedure and therapeutic outcomes were analyzed. Surgical procedures included therapeutic penetrating keratoplasty (PK) or lamellar keratectomy with conjunctival flap Therapeutic success was defined as infection eradication with globe preservation.",
        "Results": "Seventeen eyes (10 females, 6 males; mean age 56.4 years, range 9–92) were included. Infiltrate size ranged from 1–8 mm, with mid-deep stromal involvement in most cases. Most patients underwent therapeutic penetrating keratoplasty; one required two sequential grafts for persistent infection. Lamellar keratectomy with conjunctival flap was performed in two cases with complete resolution. Globe preservation was achieved in 16/17 eyes (94.1%); one required evisceration due to endophthalmitis. Filamentous fungi predominated and y east infections were identified in three cases. Mixed infections were observed in selected cases, including bacterial co-infection, herpetic keratitis and o ne case with concomitant Acanthamoeba infection.",
        "Conclusions": "Refractory fungal and mixed infectious keratitis remains a major therapeutic challenge due to limited antifungal penetration and the ability of filamentous fungi to invade deep stromal layers and into the anterior chamber. When medical therapy fails, early surgical intervention, particularly therapeutic penetrating keratoplasty plays a critical role in eradicating infection and preserving the globe. Prompt diagnosis and timely surgical management are essential to reduce irreversible and devastating outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "POCOR238",
      "abstract_number": "POCOR238",
      "title": "Different Forms Of Presentation Of Infectious Amebic Keratitis.",
      "authors": "Dr Maria De La Cruz Roa Reyes",
      "presenter": "Dr Maria De La Cruz Roa Reyes",
      "normalized_authors": [
        "Maria De La Cruz Roa Reyes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria De La Cruz Roa Reyes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The aim of this study is to describe three clinical cases of Acanthamoeba keratitis with variable and nonspecific presentations to highlight the challenges in its differential diagnosis and the importance of confocal microscopy as a technique of high sensitivity and specificity",
        "Setting": "Case series from patients managed at Hospital Universitario Central de Asturias , a tertiary referral academic hospital in Oviedo , Spain .",
        "Methods": "Description of 3 clinical cases of recent diagnosis of acanthamoeba keratitis in our center with different forms of presentation.",
        "Results": "In Case 1, after a poor response to antivirals and a negative PCR test, confocal microscopy detected amebic cysts; the condition finally resolved with 1% propamidine. Case 2 presented with severe pain and perineural infiltrates; the diagnosis was confirmed by microscopy, and the patient responded well to hexamidine and chlorhexidine. Case 3 showed annular edema and a lack of response to initial treatment; after confirmation by microscopy, a lamellar keratoplasty was successfully performed. In all cases, confocal microscopy was crucial for diagnosis in the face of negative cultures and an initial erroneous clinical suspicion.",
        "Conclusions": "Acanthamoeba keratitis presents a significant diagnostic challenge because its clinical presentation can resemble that of herpes simplex, bacteria, and fungi. The diagnosis should not be ruled out in cases of keratitis that only partially stabilizes with antiviral, antibiotic, or corticosteroid treatment. Techniques such as PCR, histology, and cultures can be performed, but due to their low sensitivity, they can produce a high rate of false negatives. Therefore, confocal microscopy should be considered, as it offers high sensitivity and specificity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Acanthamoeba keratitis presents a significant diagnostic challenge because its clinical presentation can resemble that of herpes simplex, bacteria, and fungi. The diagnosis should not be ruled out in cases of keratitis that only partially stabilizes with antiviral, antibiotic, or corticosteroid treatment. Techniques such as PCR, histology, and cultures can be performed, but due to their low sensitivity, they can…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 926,
      "source_fields": {
        "Abstract Final Identifier": "POCOR238",
        "Title": "Different Forms Of Presentation Of Infectious Amebic Keratitis.",
        "Presenting Author(s)": "Dr Maria De La Cruz Roa Reyes",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Maria De La Cruz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Roa Reyes",
        "Country Name": "Spain",
        "Purpose": "The aim of this study is to describe three clinical cases of Acanthamoeba keratitis with variable and nonspecific presentations to highlight the challenges in its differential diagnosis and the importance of confocal microscopy as a technique of high sensitivity and specificity",
        "Setting": "Case series from patients managed at Hospital Universitario Central de Asturias , a tertiary referral academic hospital in Oviedo , Spain .",
        "Methods": "Description of 3 clinical cases of recent diagnosis of acanthamoeba keratitis in our center with different forms of presentation.",
        "Results": "In Case 1, after a poor response to antivirals and a negative PCR test, confocal microscopy detected amebic cysts; the condition finally resolved with 1% propamidine. Case 2 presented with severe pain and perineural infiltrates; the diagnosis was confirmed by microscopy, and the patient responded well to hexamidine and chlorhexidine. Case 3 showed annular edema and a lack of response to initial treatment; after confirmation by microscopy, a lamellar keratoplasty was successfully performed. In all cases, confocal microscopy was crucial for diagnosis in the face of negative cultures and an initial erroneous clinical suspicion.",
        "Conclusions": "Acanthamoeba keratitis presents a significant diagnostic challenge because its clinical presentation can resemble that of herpes simplex, bacteria, and fungi. The diagnosis should not be ruled out in cases of keratitis that only partially stabilizes with antiviral, antibiotic, or corticosteroid treatment. Techniques such as PCR, histology, and cultures can be performed, but due to their low sensitivity, they can produce a high rate of false negatives. Therefore, confocal microscopy should be considered, as it offers high sensitivity and specificity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCOR239",
      "abstract_number": "POCOR239",
      "title": "Non Traditional Treatment For Microbial Keratitis",
      "authors": "Prof. Mohamed Saad",
      "presenter": "Prof. Mohamed Saad",
      "normalized_authors": [
        "Mohamed Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Focusing on new lines for treatment of microbial keratitis",
        "Setting": "Assiut University Hospital EGYPT\n\nfrom june2024 to jan 2026",
        "Methods": "comparison between cure rate of bacterial , fungal and acanthameba keratitis devided into 3 groups:\n\ngroup A : 31 patients treated with ozonated saline.\n\ngroup B: 23 patients treated with argon laser\n\ngroup C:25 patients treated with CXL",
        "Results": "cure rate\n\n(complete eradication of microbe proved by lab)\n\nwas as follow:\n\ngroup A : cure rate was detected in 25 patients (80%)\n\ngroup B : cure rate was detected in 23 patients (56%)\n\ngroup C : cure rate was detected in 19 patients (76%) after 2weeks treatment.",
        "Conclusions": "Ozonated saline and CXL carried high success rste in corneal infection eradication while argon laser has less success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ozonated saline and CXL carried high success rste in corneal infection eradication while argon laser has less success.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 927,
      "source_fields": {
        "Abstract Final Identifier": "POCOR239",
        "Title": "Non Traditional Treatment For Microbial Keratitis",
        "Presenting Author(s)": "Prof. Mohamed Saad",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Egypt",
        "Purpose": "Focusing on new lines for treatment of microbial keratitis",
        "Setting": "Assiut University Hospital EGYPT\n\nfrom june2024 to jan 2026",
        "Methods": "comparison between cure rate of bacterial , fungal and acanthameba keratitis devided into 3 groups:\n\ngroup A : 31 patients treated with ozonated saline.\n\ngroup B: 23 patients treated with argon laser\n\ngroup C:25 patients treated with CXL",
        "Results": "cure rate\n\n(complete eradication of microbe proved by lab)\n\nwas as follow:\n\ngroup A : cure rate was detected in 25 patients (80%)\n\ngroup B : cure rate was detected in 23 patients (56%)\n\ngroup C : cure rate was detected in 19 patients (76%) after 2weeks treatment.",
        "Conclusions": "Ozonated saline and CXL carried high success rste in corneal infection eradication while argon laser has less success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 118
    },
    {
      "uid": "POCOR240",
      "abstract_number": "POCOR240",
      "title": "Treat The Vision, Not The Scar”: A Functional Non-Surgical Strategy For Visual Rehabilitation In Corneal Opacity",
      "authors": "Dr Ahmed Safieldin",
      "presenter": "Dr Ahmed Safieldin",
      "normalized_authors": [
        "Ahmed Safieldin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Safie Eldeen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To assess whether vision in patients with visually significant corneal opacity can be rehabilitated using non-surgical functional modulation rather than corneal transplantation.",
        "Setting": "Prospective interventional study conducted in private tertiary ophthalmology referral centers specializing in corneal disease.",
        "Methods": "Prospective interventional case series including patients presenting with visually significant corneal opacity not immediately suitable for keratoplasty (post-infectious scars, stromal fibrosis, and traumatic opacities).\n\nOptical Axis Modulation\n\n• Short-acting pharmacologic pupillary dilation once or twice daily to redirect the visual axis toward clearer paracentral cornea\n\nPharmacologic Stromal Remodeling\n\n• Topical Losartan 0.08% q.i.d.\n\n• Ocular surface stabilization with lubricants\n\n• Short, monitored anti-inflammatory pulse when active haze\n\nPatients were followed serially to document visual performance rather than slit-lamp appearance.\n\nPrimary outcome: change in corrected distance visual acuity.",
        "Results": "Most patients demonstrated measurable visual improvement despite minimal change in the apparent density of corneal opacity.\n\nTherapeutic dilation produced immediate functional visual gain by shifting the visual axis toward clearer corneal zones. Topical Losartan showed progressive improvement over weeks, with reduction of fibrotic haze and improved visual quality rather than dramatic slit-lamp clearing.\n\nSeveral patients achieved satisfactory daily-activity vision and elected to defer keratoplasty.\n\nVisual performance improvement was frequently disproportionate to anatomical change, emphasizing that optical pathway modulation and fibrosis remodeling improved function even when corneal opacity remained clinically visible.",
        "Conclusions": "Visually significant corneal opacity should not automatically lead to surgical planning. Functional vision can be meaningfully improved through a combined strategy of optical axis redirection using therapeutic mydriasis and pharmacologic stromal remodeling with topical Losartan 0.08% .\n\nVisual recovery was often disproportionate to anatomical clearing, indicating that restoring light transmission through clearer corneal zones and modifying fibrosis can rehabilitate vision even when opacity persists clinically.\n\nThis approach provides a safe, repeatable, and accessible pathway to delay or avoid keratoplasty, shifting management from tissue replacement toward functional visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visually significant corneal opacity should not automatically lead to surgical planning. Functional vision can be meaningfully improved through a combined strategy of optical axis redirection using therapeutic mydriasis and pharmacologic stromal remodeling with topical Losartan 0.08% . Visual recovery was often disproportionate to anatomical clearing, indicating that restoring light transmission through clearer…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 928,
      "source_fields": {
        "Abstract Final Identifier": "POCOR240",
        "Title": "Treat The Vision, Not The Scar”: A Functional Non-Surgical Strategy For Visual Rehabilitation In Corneal Opacity",
        "Presenting Author(s)": "Dr Ahmed Safieldin",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Safie Eldeen",
        "Country Name": "Egypt",
        "Purpose": "To assess whether vision in patients with visually significant corneal opacity can be rehabilitated using non-surgical functional modulation rather than corneal transplantation.",
        "Setting": "Prospective interventional study conducted in private tertiary ophthalmology referral centers specializing in corneal disease.",
        "Methods": "Prospective interventional case series including patients presenting with visually significant corneal opacity not immediately suitable for keratoplasty (post-infectious scars, stromal fibrosis, and traumatic opacities).\n\nOptical Axis Modulation\n\n• Short-acting pharmacologic pupillary dilation once or twice daily to redirect the visual axis toward clearer paracentral cornea\n\nPharmacologic Stromal Remodeling\n\n• Topical Losartan 0.08% q.i.d.\n\n• Ocular surface stabilization with lubricants\n\n• Short, monitored anti-inflammatory pulse when active haze\n\nPatients were followed serially to document visual performance rather than slit-lamp appearance.\n\nPrimary outcome: change in corrected distance visual acuity.",
        "Results": "Most patients demonstrated measurable visual improvement despite minimal change in the apparent density of corneal opacity.\n\nTherapeutic dilation produced immediate functional visual gain by shifting the visual axis toward clearer corneal zones. Topical Losartan showed progressive improvement over weeks, with reduction of fibrotic haze and improved visual quality rather than dramatic slit-lamp clearing.\n\nSeveral patients achieved satisfactory daily-activity vision and elected to defer keratoplasty.\n\nVisual performance improvement was frequently disproportionate to anatomical change, emphasizing that optical pathway modulation and fibrosis remodeling improved function even when corneal opacity remained clinically visible.",
        "Conclusions": "Visually significant corneal opacity should not automatically lead to surgical planning. Functional vision can be meaningfully improved through a combined strategy of optical axis redirection using therapeutic mydriasis and pharmacologic stromal remodeling with topical Losartan 0.08% .\n\nVisual recovery was often disproportionate to anatomical clearing, indicating that restoring light transmission through clearer corneal zones and modifying fibrosis can rehabilitate vision even when opacity persists clinically.\n\nThis approach provides a safe, repeatable, and accessible pathway to delay or avoid keratoplasty, shifting management from tissue replacement toward functional visual rehabilitation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCOR241",
      "abstract_number": "POCOR241",
      "title": "Misdiagnosed Keratitis: From Antibiotics Failure To Steroid Response",
      "authors": "Dr Ahmed Safie Eldeen",
      "presenter": "Dr Ahmed Safie Eldeen",
      "normalized_authors": [
        "Ahmed Safie Eldeen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Safie Eldeen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To highlight a diagnostic pitfall where herpetic disciform keratitis presents as a non-healing corneal ulcer, leading to delayed appropriate management.",
        "Setting": "Private ophthalmology practice.",
        "Methods": "A patient presented with persistent corneal ulcer previously treated as bacterial keratitis with intensive topical antibiotics and no clinical improvement. Detailed slit-lamp examination demonstrated stromal edema with a central disc-shaped opacity, intact epithelium, keratic precipitates, and mild anterior chamber reaction suggestive of immune-mediated herpetic stromal keratitis.\n\nAntibiotics were discontinued and treatment was shifted to topical corticosteroid combined with antiviral therapy.",
        "Results": "Rapid clinical improvement occurred following therapy modification with reduction of stromal edema and restoration of corneal clarity. Visual acuity improved significantly after treatment. No surgical intervention was required.",
        "Conclusions": "Disciform keratitis may closely mimic bacterial keratitis and should be suspected in non-responding corneal ulcers. Careful slit-lamp evaluation allows early diagnosis and prevents unnecessary prolonged antibiotic treatment and vision-threatening stromal damage."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Disciform keratitis may closely mimic bacterial keratitis and should be suspected in non-responding corneal ulcers. Careful slit-lamp evaluation allows early diagnosis and prevents unnecessary prolonged antibiotic treatment and vision-threatening stromal damage.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 929,
      "source_fields": {
        "Abstract Final Identifier": "POCOR241",
        "Title": "Misdiagnosed Keratitis: From Antibiotics Failure To Steroid Response",
        "Presenting Author(s)": "Dr Ahmed Safie Eldeen",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Safie Eldeen",
        "Country Name": "Egypt",
        "Purpose": "To highlight a diagnostic pitfall where herpetic disciform keratitis presents as a non-healing corneal ulcer, leading to delayed appropriate management.",
        "Setting": "Private ophthalmology practice.",
        "Methods": "A patient presented with persistent corneal ulcer previously treated as bacterial keratitis with intensive topical antibiotics and no clinical improvement. Detailed slit-lamp examination demonstrated stromal edema with a central disc-shaped opacity, intact epithelium, keratic precipitates, and mild anterior chamber reaction suggestive of immune-mediated herpetic stromal keratitis.\n\nAntibiotics were discontinued and treatment was shifted to topical corticosteroid combined with antiviral therapy.",
        "Results": "Rapid clinical improvement occurred following therapy modification with reduction of stromal edema and restoration of corneal clarity. Visual acuity improved significantly after treatment. No surgical intervention was required.",
        "Conclusions": "Disciform keratitis may closely mimic bacterial keratitis and should be suspected in non-responding corneal ulcers. Careful slit-lamp evaluation allows early diagnosis and prevents unnecessary prolonged antibiotic treatment and vision-threatening stromal damage."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 142
    },
    {
      "uid": "POCOR242",
      "abstract_number": "POCOR242",
      "title": "Topical Management Of Corneal Subepithelial Infiltrates:\nA Systematic Review And Network Meta-Analysis",
      "authors": "Dr Margarita Safir",
      "presenter": "Dr Margarita Safir",
      "normalized_authors": [
        "Margarita Safir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Margarita Safir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To compare the relative efficacy and safety of topical therapies for corneal subepithelial infiltrates (SEIs) following adenoviral keratoconjunctivitis using a network meta-analysis of randomized controlled trials (RCTs).",
        "Setting": "Systematic review and network meta-analysis of RCTs.",
        "Methods": "A comprehensive search of PubMed/MEDLINE, Scopus, and Embase was performed from inception to October 20, 2025. RCTs evaluating topical pharmacologic treatments for adenoviral SEIs were included. Acute-phase conjunctivitis studies and non-randomized designs were excluded. Treatments were synthesized using a frequentist random-effects network meta-analysis (netmeta, R). Standardized mean differences (SMDs) were used for continuous outcomes and odds ratios (ORs) for recurrence; treatments were ranked using P-scores. Outcomes included SEI resolution, visual acuity, symptoms, recurrence, intraocular pressure (IOP), and adverse events.",
        "Results": "Six RCTs (329 patients) were included. Tacrolimus ranked highest for SEI resolution and was the only intervention significantly superior to topical steroids (SMD −2.66; 95% CI −4.78 to −0.55). Tacrolimus also ranked first for visual acuity improvement, with cyclosporine A (CsA) ranking second. Steroid-based regimens ranked highest for recurrence prevention and symptom improvement. No statistically significant differences were detected for IOP across treatments. Adverse event reporting was limited; no serious treatment-related adverse events were identified.",
        "Conclusions": "Tacrolimus demonstrated the greatest overall effectiveness for SEI resolution and visual acuity improvement. These findings support its role as a key steroid-sparing option in the management of adenoviral SEIs. Larger, well-designed trials are needed to refine treatment algorithms for adenoviral SEIs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Tacrolimus demonstrated the greatest overall effectiveness for SEI resolution and visual acuity improvement. These findings support its role as a key steroid-sparing option in the management of adenoviral SEIs. Larger, well-designed trials are needed to refine treatment algorithms for adenoviral SEIs.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 930,
      "source_fields": {
        "Abstract Final Identifier": "POCOR242",
        "Title": "Topical Management Of Corneal Subepithelial Infiltrates:\nA Systematic Review And Network Meta-Analysis",
        "Presenting Author(s)": "Dr Margarita Safir",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Margarita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Safir",
        "Country Name": "Israel",
        "Purpose": "To compare the relative efficacy and safety of topical therapies for corneal subepithelial infiltrates (SEIs) following adenoviral keratoconjunctivitis using a network meta-analysis of randomized controlled trials (RCTs).",
        "Setting": "Systematic review and network meta-analysis of RCTs.",
        "Methods": "A comprehensive search of PubMed/MEDLINE, Scopus, and Embase was performed from inception to October 20, 2025. RCTs evaluating topical pharmacologic treatments for adenoviral SEIs were included. Acute-phase conjunctivitis studies and non-randomized designs were excluded. Treatments were synthesized using a frequentist random-effects network meta-analysis (netmeta, R). Standardized mean differences (SMDs) were used for continuous outcomes and odds ratios (ORs) for recurrence; treatments were ranked using P-scores. Outcomes included SEI resolution, visual acuity, symptoms, recurrence, intraocular pressure (IOP), and adverse events.",
        "Results": "Six RCTs (329 patients) were included. Tacrolimus ranked highest for SEI resolution and was the only intervention significantly superior to topical steroids (SMD −2.66; 95% CI −4.78 to −0.55). Tacrolimus also ranked first for visual acuity improvement, with cyclosporine A (CsA) ranking second. Steroid-based regimens ranked highest for recurrence prevention and symptom improvement. No statistically significant differences were detected for IOP across treatments. Adverse event reporting was limited; no serious treatment-related adverse events were identified.",
        "Conclusions": "Tacrolimus demonstrated the greatest overall effectiveness for SEI resolution and visual acuity improvement. These findings support its role as a key steroid-sparing option in the management of adenoviral SEIs. Larger, well-designed trials are needed to refine treatment algorithms for adenoviral SEIs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POCOR243",
      "abstract_number": "POCOR243",
      "title": "Contact Lens-Associated Microbial Keratitis Requiring Hospitalisation At Tertiary Referral Center: Clinical Characteristics, Microbiological Findings And Predictors Of Surgical Intervention",
      "authors": "A/Prof. Esin Sogutlu Sari",
      "presenter": "A/Prof. Esin Sogutlu Sari",
      "normalized_authors": [
        "Esin Sogutlu Sari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Esin Sogutlu Sari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aimed to describe the clinical and microbiological features of hospitalised contact lens-related microbial keratitis (CL-MK) and to identify factors associated with surgical treatment.",
        "Setting": "Bursa Uludag University, Faculty of Medicine, Department of Ophthalmology",
        "Methods": "This retrospective observational study included 54 patients hospitalized for CL-MK between 2018 and 2025. Demographic data, clinical findings (infiltration localization and size, presence of hypopyon), microbiological findings, and treatment modalities (including topical, intrastromal, and systemic therapies, alone or in combination) were recorded. Keratoplasty (KP) was performed in patients with isolated corneal involvement and insufficient response to medical therapy. Best-corrected visual acuity (BCVA) was recorded in logMAR units. Patients were divided into medical and KP groups, and factors related to surgical treatment were statistically analyzed.",
        "Results": "The mean age of the patients was 30.9 years. Soft monthly replacement CK was used by 94.4% of patients. Culture positivity was shown in 62.9% of eyes. P. aeruginosa was the most frequently encountered pathogen (26.4%), followed by S. marcescens (11.7%), and polymicrobial growth was observed in 14.8%. Hypopyon was seen in 23 (42.6%) eyes, and intrastromal injection was needed in 14 (25.9%) eyes. Forty-four eyes (81.4%) improved with medical treatment alone, while 10 eyes (18.6%) underwent KP. Older age (p = 0.003), presence of hypopyon (p = 0.024), and medium-to-large infiltrate size (p = 0.042) were identified as predictors of KP. Final BCVA was significantly worse in the KP group (p=0.011). Three eyes (33%) developed graft failure.",
        "Conclusions": "This study evaluated hospitalised CL-MK cases at a tertiary referral centre, focusing on their clinical and microbiological features and factors associated with a more advanced course, an area that has received limited attention in previous reports. In our series, patients hospitalised for severe CL-MK frequently required surgical management, with approximately one in five undergoing PKP. Older age, the presence of hypopyon, and larger infiltrate size at presentation were associated with the need for surgery. Recognition of these features at initial evaluation may help guide follow-up and therapeutic decision-making."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study evaluated hospitalised CL-MK cases at a tertiary referral centre, focusing on their clinical and microbiological features and factors associated with a more advanced course, an area that has received limited attention in previous reports. In our series, patients hospitalised for severe CL-MK frequently required surgical management, with approximately one in five undergoing PKP. Older age, the presence of…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 931,
      "source_fields": {
        "Abstract Final Identifier": "POCOR243",
        "Title": "Contact Lens-Associated Microbial Keratitis Requiring Hospitalisation At Tertiary Referral Center: Clinical Characteristics, Microbiological Findings And Predictors Of Surgical Intervention",
        "Presenting Author(s)": "A/Prof. Esin Sogutlu Sari",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Esin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sogutlu Sari",
        "Country Name": "Türkiye",
        "Purpose": "This study aimed to describe the clinical and microbiological features of hospitalised contact lens-related microbial keratitis (CL-MK) and to identify factors associated with surgical treatment.",
        "Setting": "Bursa Uludag University, Faculty of Medicine, Department of Ophthalmology",
        "Methods": "This retrospective observational study included 54 patients hospitalized for CL-MK between 2018 and 2025. Demographic data, clinical findings (infiltration localization and size, presence of hypopyon), microbiological findings, and treatment modalities (including topical, intrastromal, and systemic therapies, alone or in combination) were recorded. Keratoplasty (KP) was performed in patients with isolated corneal involvement and insufficient response to medical therapy. Best-corrected visual acuity (BCVA) was recorded in logMAR units. Patients were divided into medical and KP groups, and factors related to surgical treatment were statistically analyzed.",
        "Results": "The mean age of the patients was 30.9 years. Soft monthly replacement CK was used by 94.4% of patients. Culture positivity was shown in 62.9% of eyes. P. aeruginosa was the most frequently encountered pathogen (26.4%), followed by S. marcescens (11.7%), and polymicrobial growth was observed in 14.8%. Hypopyon was seen in 23 (42.6%) eyes, and intrastromal injection was needed in 14 (25.9%) eyes. Forty-four eyes (81.4%) improved with medical treatment alone, while 10 eyes (18.6%) underwent KP. Older age (p = 0.003), presence of hypopyon (p = 0.024), and medium-to-large infiltrate size (p = 0.042) were identified as predictors of KP. Final BCVA was significantly worse in the KP group (p=0.011). Three eyes (33%) developed graft failure.",
        "Conclusions": "This study evaluated hospitalised CL-MK cases at a tertiary referral centre, focusing on their clinical and microbiological features and factors associated with a more advanced course, an area that has received limited attention in previous reports. In our series, patients hospitalised for severe CL-MK frequently required surgical management, with approximately one in five undergoing PKP. Older age, the presence of hypopyon, and larger infiltrate size at presentation were associated with the need for surgery. Recognition of these features at initial evaluation may help guide follow-up and therapeutic decision-making."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCOR244",
      "abstract_number": "POCOR244",
      "title": "Ocular Münchausen Syndrome In A 21-Year Old Female",
      "authors": "Mrs Maria Evanthia Sotirianakou",
      "presenter": "Mrs Maria Evanthia Sotirianakou",
      "normalized_authors": [
        "Maria Evanthia Sotirianakou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Evanthia Sotirianakou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report an interesting case of ocular Münchausen syndrome in a young female patient and raise awareness to the ophthalmologists of this disease entity.",
        "Setting": "A 21-year-old female patient, accompanied by her spouse ,visited our emergency department complaining of pain, blurry vision, foreign body sensation and photophobia in her right eye. The patient reported that she was visiting various doctors for the past two months , but her condition was getting worse. She was not a contact lens user and had no prior history of trauma .",
        "Methods": "Slit lamp examination in her right eye revealed marked circumcorneal injection and the presence of a central corneal stromal infiltrate with an overlying epithelial defect , localized corneal thinning and iris tamponade, covered with epithelium. The Seidel sign was negative and the anterior chamber had a good depth, with fibrinous material and hypopyon. Posterior synechiae were also present while iris details were not visible. The B – scan of her right eye was normal. Best corrected visual acuity (BCVA) was hand movement in her right eye and 0,9 in the left, and the intraocular pressure was normal in both eyes. The clinical findings of the fellow eye were unremarkable.",
        "Results": "However, we noticed that her fingers had scars and her nail hygiene was poor. We took a more detailed history, and she admitted that she was self injuring her hands, and her eye with her fingers all the time, with no particular reason. We consulted her that she needs hospital admission for her eye condition and psychiatric assessment. She denied the hospitalization and insisted that she would be consistent with her treatment and find her own psychiatrist. We took sample for corneal culture and PCR for fungi and herpes viruses and gave her instructions for topical therapy with wide spectrum antibiotics and antifungal eye drops. We consulted our psychiatrists and they diagnosed her with Münchausen syndrome.",
        "Conclusions": "We lost her in the follow-up, but after a telephone communication with her spouse, he reported that she had stopped self injuring her eye and she was using her eye drops. Ophthalmologists should be aware of Münchausen Syndrome, especially in cases when ocular abnormalities cannot be explained otherwise. An empathetic and supportive approach is therefore required and these patients should be referred to a psychiatrist."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We lost her in the follow-up, but after a telephone communication with her spouse, he reported that she had stopped self injuring her eye and she was using her eye drops. Ophthalmologists should be aware of Münchausen Syndrome, especially in cases when ocular abnormalities cannot be explained otherwise. An empathetic and supportive approach is therefore required and these patients should be referred to a…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 932,
      "source_fields": {
        "Abstract Final Identifier": "POCOR244",
        "Title": "Ocular Münchausen Syndrome In A 21-Year Old Female",
        "Presenting Author(s)": "Mrs Maria Evanthia Sotirianakou",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Maria Evanthia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sotirianakou",
        "Country Name": "Greece",
        "Purpose": "To report an interesting case of ocular Münchausen syndrome in a young female patient and raise awareness to the ophthalmologists of this disease entity.",
        "Setting": "A 21-year-old female patient, accompanied by her spouse ,visited our emergency department complaining of pain, blurry vision, foreign body sensation and photophobia in her right eye. The patient reported that she was visiting various doctors for the past two months , but her condition was getting worse. She was not a contact lens user and had no prior history of trauma .",
        "Methods": "Slit lamp examination in her right eye revealed marked circumcorneal injection and the presence of a central corneal stromal infiltrate with an overlying epithelial defect , localized corneal thinning and iris tamponade, covered with epithelium. The Seidel sign was negative and the anterior chamber had a good depth, with fibrinous material and hypopyon. Posterior synechiae were also present while iris details were not visible. The B – scan of her right eye was normal. Best corrected visual acuity (BCVA) was hand movement in her right eye and 0,9 in the left, and the intraocular pressure was normal in both eyes. The clinical findings of the fellow eye were unremarkable.",
        "Results": "However, we noticed that her fingers had scars and her nail hygiene was poor. We took a more detailed history, and she admitted that she was self injuring her hands, and her eye with her fingers all the time, with no particular reason. We consulted her that she needs hospital admission for her eye condition and psychiatric assessment. She denied the hospitalization and insisted that she would be consistent with her treatment and find her own psychiatrist. We took sample for corneal culture and PCR for fungi and herpes viruses and gave her instructions for topical therapy with wide spectrum antibiotics and antifungal eye drops. We consulted our psychiatrists and they diagnosed her with Münchausen syndrome.",
        "Conclusions": "We lost her in the follow-up, but after a telephone communication with her spouse, he reported that she had stopped self injuring her eye and she was using her eye drops. Ophthalmologists should be aware of Münchausen Syndrome, especially in cases when ocular abnormalities cannot be explained otherwise. An empathetic and supportive approach is therefore required and these patients should be referred to a psychiatrist."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 373
    },
    {
      "uid": "POCOR245",
      "abstract_number": "POCOR245",
      "title": "Platelet-Rich Plasma Combined With Amniotic Membrane Graft Versus Fibrin Glue Alone For The Treatment Of Perforated Infectious Central Corneal Ulcer .",
      "authors": "A/Prof. Mohammed Mohammed Mahdy Tawfeek",
      "presenter": "A/Prof. Mohammed Mohammed Mahdy Tawfeek",
      "normalized_authors": [
        "Mohammed Mohammed Mahdy Tawfeek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Mohammed Mahdy Tawfeek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "The aim of this work is to evaluate the safety and efficacy of combined use of topical\nplatelet-rich plasma (PRP) − PRP clot and eye drops − and amniotic membrane\ngraft (AMG) for the management of microbial central corneal perforations and\ncompare the results with fibrin glue (FG) application alone.",
        "Setting": "El-Tayseer Eye Hospital in Zagazig, Egypt.",
        "Methods": "This is a comparative retrospective clinical cohort study. Thirty-six eyes with microbial perforated central corneal ulcer were included. These eyes were\nclassified into two groups each of 18 eyes. In group A, the eyes were treated by AMG combined with PRP clot to seal the central corneal perforation followed by PRP eye drops six times per day. In group B, the eyes were treated by FG only.",
        "Results": "Most of the eyes had anterior chamber formation within 24 h; 94.4 and 66.7% in groups (A and B), respectively, with statistically significant difference (P=0.035),stability of the graft was achieved in all eyes of group A. Complete resolution of microbial perforated corneal ulcer was achieved in17(94.4%) eyes in group A compared to 14 (77.8%) eyes in group B with statistically significant difference (P<0.05). Posttreatment complications were found in four (22.2%) cases in group A, they were significantly lower than group B, found in eight (44.4%) cases where P value less than 0.001.",
        "Conclusions": "The combined use of AMG and topical PRP were found to be more effective and safer than the application of FG alone for the treatment of central microbial corneal perforation. We recommend using PRP as an adjuvant therapy to AMG for treating medium-sized corneal perforations postmicrobial keratitis, however, the study has some limitations as the limited number of cases. Also, more comparative and prospective studies are recommended on a large scale for more evaluation of the outcome and complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The combined use of AMG and topical PRP were found to be more effective and safer than the application of FG alone for the treatment of central microbial corneal perforation. We recommend using PRP as an adjuvant therapy to AMG for treating medium-sized corneal perforations postmicrobial keratitis, however, the study has some limitations as the limited number of cases. Also, more comparative and prospective studies…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 933,
      "source_fields": {
        "Abstract Final Identifier": "POCOR245",
        "Title": "Platelet-Rich Plasma Combined With Amniotic Membrane Graft Versus Fibrin Glue Alone For The Treatment Of Perforated Infectious Central Corneal Ulcer .",
        "Presenting Author(s)": "A/Prof. Mohammed Mohammed Mahdy Tawfeek",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "Mohammed Mahdy",
        "Submitter Last Name": "Tawfeek",
        "Country Name": "Egypt",
        "Purpose": "The aim of this work is to evaluate the safety and efficacy of combined use of topical\nplatelet-rich plasma (PRP) − PRP clot and eye drops − and amniotic membrane\ngraft (AMG) for the management of microbial central corneal perforations and\ncompare the results with fibrin glue (FG) application alone.",
        "Setting": "El-Tayseer Eye Hospital in Zagazig, Egypt.",
        "Methods": "This is a comparative retrospective clinical cohort study. Thirty-six eyes with microbial perforated central corneal ulcer were included. These eyes were\nclassified into two groups each of 18 eyes. In group A, the eyes were treated by AMG combined with PRP clot to seal the central corneal perforation followed by PRP eye drops six times per day. In group B, the eyes were treated by FG only.",
        "Results": "Most of the eyes had anterior chamber formation within 24 h; 94.4 and 66.7% in groups (A and B), respectively, with statistically significant difference (P=0.035),stability of the graft was achieved in all eyes of group A. Complete resolution of microbial perforated corneal ulcer was achieved in17(94.4%) eyes in group A compared to 14 (77.8%) eyes in group B with statistically significant difference (P<0.05). Posttreatment complications were found in four (22.2%) cases in group A, they were significantly lower than group B, found in eight (44.4%) cases where P value less than 0.001.",
        "Conclusions": "The combined use of AMG and topical PRP were found to be more effective and safer than the application of FG alone for the treatment of central microbial corneal perforation. We recommend using PRP as an adjuvant therapy to AMG for treating medium-sized corneal perforations postmicrobial keratitis, however, the study has some limitations as the limited number of cases. Also, more comparative and prospective studies are recommended on a large scale for more evaluation of the outcome and complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCOR246",
      "abstract_number": "POCOR246",
      "title": "Clinical And Microbiological Profile Of Post-Keratoplasty Infectious Keratitis",
      "authors": "A/Prof. Hafize Gökben Ulutas",
      "presenter": "A/Prof. Hafize Gökben Ulutas",
      "normalized_authors": [
        "Hafize Gökben Ulutas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hafize Gökben Ulutas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the epidemiological characteristics of patients who develop infectious keratitis (IK) following corneal transplantation.",
        "Setting": "University of Health Sciences, Bursa City Hospital, Department of Ophthalmology ,Bursa, Turkey.",
        "Methods": "This retrospective study reviewed the medical records of patients who underwent keratoplasty between 2021 and 2025 years. Patient demographics, primary diagnoses, surgical techniques, follow-up duration, and the presence of IK were recorded. In patients diagnosed with IK, the interval between keratoplasty and infection onset, microorganisms isolated from corneal scraping cultures, predisposing risk factors, history of topical steroid use, and time to clinical resolution were analyzed.",
        "Results": "A total of 213 patients (110 males and 103 females) with a mean age of 62.04 ± 17.88 years were included. The most frequent indications for keratoplasty were bullous keratopathy (35.7%) and Fuchs’ endothelial dystrophy (15.5%). Penetrating keratoplasty (PK) was performed in 41.3% of patients, Descemet membrane endothelial keratoplasty (DMEK) in 44.6%, and deep anterior lamellar keratoplasty (DALK) in 14.1%. Infectious keratitis developed in 16 eyes (7.5%), and culture results were positive in 7 cases (43.7%). In total, 68.75% of keratitis cases occurred in the first year after surgery. Fifty% of the infectious keratitis cases occurred after PK, 31.25% after DALK, and 18.75% after DMEK. (p < 0.05)",
        "Conclusions": "Infectious keratitis remains a significant complication after corneal transplantation, most commonly occurring after PK and DALK procedures and within the first year postoperatively. Careful management and close follow-up are essential during the early postoperative period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Infectious keratitis remains a significant complication after corneal transplantation, most commonly occurring after PK and DALK procedures and within the first year postoperatively. Careful management and close follow-up are essential during the early postoperative period.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 934,
      "source_fields": {
        "Abstract Final Identifier": "POCOR246",
        "Title": "Clinical And Microbiological Profile Of Post-Keratoplasty Infectious Keratitis",
        "Presenting Author(s)": "A/Prof. Hafize Gökben Ulutas",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Hafize Gökben",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ulutas",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the epidemiological characteristics of patients who develop infectious keratitis (IK) following corneal transplantation.",
        "Setting": "University of Health Sciences, Bursa City Hospital, Department of Ophthalmology ,Bursa, Turkey.",
        "Methods": "This retrospective study reviewed the medical records of patients who underwent keratoplasty between 2021 and 2025 years. Patient demographics, primary diagnoses, surgical techniques, follow-up duration, and the presence of IK were recorded. In patients diagnosed with IK, the interval between keratoplasty and infection onset, microorganisms isolated from corneal scraping cultures, predisposing risk factors, history of topical steroid use, and time to clinical resolution were analyzed.",
        "Results": "A total of 213 patients (110 males and 103 females) with a mean age of 62.04 ± 17.88 years were included. The most frequent indications for keratoplasty were bullous keratopathy (35.7%) and Fuchs’ endothelial dystrophy (15.5%). Penetrating keratoplasty (PK) was performed in 41.3% of patients, Descemet membrane endothelial keratoplasty (DMEK) in 44.6%, and deep anterior lamellar keratoplasty (DALK) in 14.1%. Infectious keratitis developed in 16 eyes (7.5%), and culture results were positive in 7 cases (43.7%). In total, 68.75% of keratitis cases occurred in the first year after surgery. Fifty% of the infectious keratitis cases occurred after PK, 31.25% after DALK, and 18.75% after DMEK. (p < 0.05)",
        "Conclusions": "Infectious keratitis remains a significant complication after corneal transplantation, most commonly occurring after PK and DALK procedures and within the first year postoperatively. Careful management and close follow-up are essential during the early postoperative period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCOR247",
      "abstract_number": "POCOR247",
      "title": "A Longitudinal Analysis Of Healing Outcomes In Fungal Corneal Ulcers: Impact Of Clinical Characteristics, Etiological Agents, Biofilm Formation, And Fks1 Gene Profile Of Clinical Isolates",
      "authors": "Dr Anna Nur Utami",
      "presenter": "Dr Anna Nur Utami",
      "normalized_authors": [
        "Anna Nur Utami"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Nur Utami",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Fungal corneal ulcer is a major cause of visual impairment in developing countries, with a high prevalence in Indonesia. Clinical factors, fungal etiology, and biofilm formation are known to influence prognosis; however, updated epidemiological and microbiological data in Indonesia remain limited. This study aims to evaluate the associations between demographic, clinical, and etiological factors, biofilm formation, genetic diversity, and antifungal susceptibility with healing outcomes of fungal corneal ulcers, including the role of the FKS1 gene in biofilm formation.",
        "Setting": "This multicentre prospective cohort study will be conducted at JEC Eye Hospitals & Clinics and Cipto Mangunkusumo Hospital, Indonesia. Ethical approval has been obtained. Patient recruitment will begin in February 2026, with study completion and results expected by August 2026.",
        "Methods": "This is a single-blinded prospective cohort study. Patients with fungal corneal ulcers will undergo comprehensive clinical examination, fungal culture, biofilm assays using crystal violet staining, XTT tests, and analysis of the FKS1 gene using RT-qPCR and Sanger sequencing. Subjects will be followed for six weeks to assess healing outcomes, including time to re-epithelialization, scar formation, visual acuity, complications, and antifungal susceptibility (MIC, MBIC, and MBEC). Statistical analyses will include Chi-square or Fisher’s exact tests for categorical variables; t-test, one-way ANOVA, Mann–Whitney, or Kruskal–Wallis tests for numerical variables; and Cox proportional hazards regression for re-epithelialization time.",
        "Results": "This study is expected to generate updated epidemiological data on fungal corneal ulcers in Indonesia, including etiological distribution, biofilm formation, antifungal susceptibility profiles, and their relationship with clinical healing outcomes. In addition, the genetic diversity of fungal pathogens and the expression of the FKS1 gene will be investigated through in vitro studies to evaluate their association with fungal biofilm formation.",
        "Conclusions": "The integration of clinical, microbiological, and molecular data is expected to identify predictors of fungal corneal ulcer healing, strengthen the understanding of resistance mechanisms, and provide a foundation for the development of more effective and targeted therapies.\n\nFinancial Disclosure of All Authors\n\nNo financial disclosures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The integration of clinical, microbiological, and molecular data is expected to identify predictors of fungal corneal ulcer healing, strengthen the understanding of resistance mechanisms, and provide a foundation for the development of more effective and targeted therapies. Financial Disclosure of All Authors No financial disclosures.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 935,
      "source_fields": {
        "Abstract Final Identifier": "POCOR247",
        "Title": "A Longitudinal Analysis Of Healing Outcomes In Fungal Corneal Ulcers: Impact Of Clinical Characteristics, Etiological Agents, Biofilm Formation, And Fks1 Gene Profile Of Clinical Isolates",
        "Presenting Author(s)": "Dr Anna Nur Utami",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Anna",
        "Submitter Middle Name": "Nur",
        "Submitter Last Name": "Utami",
        "Country Name": "Indonesia",
        "Purpose": "Fungal corneal ulcer is a major cause of visual impairment in developing countries, with a high prevalence in Indonesia. Clinical factors, fungal etiology, and biofilm formation are known to influence prognosis; however, updated epidemiological and microbiological data in Indonesia remain limited. This study aims to evaluate the associations between demographic, clinical, and etiological factors, biofilm formation, genetic diversity, and antifungal susceptibility with healing outcomes of fungal corneal ulcers, including the role of the FKS1 gene in biofilm formation.",
        "Setting": "This multicentre prospective cohort study will be conducted at JEC Eye Hospitals & Clinics and Cipto Mangunkusumo Hospital, Indonesia. Ethical approval has been obtained. Patient recruitment will begin in February 2026, with study completion and results expected by August 2026.",
        "Methods": "This is a single-blinded prospective cohort study. Patients with fungal corneal ulcers will undergo comprehensive clinical examination, fungal culture, biofilm assays using crystal violet staining, XTT tests, and analysis of the FKS1 gene using RT-qPCR and Sanger sequencing. Subjects will be followed for six weeks to assess healing outcomes, including time to re-epithelialization, scar formation, visual acuity, complications, and antifungal susceptibility (MIC, MBIC, and MBEC). Statistical analyses will include Chi-square or Fisher’s exact tests for categorical variables; t-test, one-way ANOVA, Mann–Whitney, or Kruskal–Wallis tests for numerical variables; and Cox proportional hazards regression for re-epithelialization time.",
        "Results": "This study is expected to generate updated epidemiological data on fungal corneal ulcers in Indonesia, including etiological distribution, biofilm formation, antifungal susceptibility profiles, and their relationship with clinical healing outcomes. In addition, the genetic diversity of fungal pathogens and the expression of the FKS1 gene will be investigated through in vitro studies to evaluate their association with fungal biofilm formation.",
        "Conclusions": "The integration of clinical, microbiological, and molecular data is expected to identify predictors of fungal corneal ulcer healing, strengthen the understanding of resistance mechanisms, and provide a foundation for the development of more effective and targeted therapies.\n\nFinancial Disclosure of All Authors\n\nNo financial disclosures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCOR248",
      "abstract_number": "POCOR248",
      "title": "Postoperative Herpetic Keratitis Following Cataract Surgery In A Patient With Acute Angle-Closure",
      "authors": "Dr Burak Vargeloğlu",
      "presenter": "Dr Burak Vargeloğlu",
      "normalized_authors": [
        "Burak Vargeloğlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Burak Vargeloğlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The purpose of this study is to highlight the risk factors, diagnosis, and management of postoperative herpetic keratitis in a patient treated for primary acute angle-closure and subsequently undergoing cataract surgery.",
        "Setting": "This study was prepared based on the clinical findings, observations, and management of a patient admitted to Dışkapı Yıldırım Beyazıt Training and Research Hospital in August 2025 with suspected primary acute angle-closure, who subsequently developed herpetic keratitis following cataract surgery.",
        "Methods": "A patient presented to our clinic with decreased vision and ocular pain in the left eye and was admitted with a diagnosis of primary acute angle-closure. Intraocular pressure (IOP) was reduced with medical therapy, and corneal edema decreased, allowing a peripheral iridectomy to be performed. The following day, peripheral iridectomy was also performed in the fellow eye. During follow-up, despite the use of topical antiglaucomatous drops, the left eye continued to have elevated IOP, a narrow anterior chamber, and a nuclear cataract, and cataract surgery was therefore planned for the left eye.",
        "Results": "On the third postoperative day after cataract surgery, an epithelial defect was observed in the cornea. With the addition of artificial tears to the treatment, the defect healed within a few days, and the patient was discharged. At the 15th postoperative day follow-up, examination revealed a geographic corneal ulcer. Herpetic keratitis was suspected, and antiviral therapy was initiated.",
        "Conclusions": "Herpetic keratitis is an important vision-threatening complication that can occur after cataract surgery. In this case, risk factors included stressors such as acute angle-closure and cataract surgery, the postoperative use of topical eye drops containing dexamethasone and latanoprost, and the presence of chronic systemic diseases including diabetes mellitus, hypertension, and rheumatoid arthritis. Considering these risk factors, careful history-taking and thorough ophthalmic examination are essential for early diagnosis and timely treatment, which are critical for controlling this potentially severe postoperative complication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Herpetic keratitis is an important vision-threatening complication that can occur after cataract surgery. In this case, risk factors included stressors such as acute angle-closure and cataract surgery, the postoperative use of topical eye drops containing dexamethasone and latanoprost, and the presence of chronic systemic diseases including diabetes mellitus, hypertension, and rheumatoid arthritis. Considering…",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 936,
      "source_fields": {
        "Abstract Final Identifier": "POCOR248",
        "Title": "Postoperative Herpetic Keratitis Following Cataract Surgery In A Patient With Acute Angle-Closure",
        "Presenting Author(s)": "Dr Burak Vargeloğlu",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Burak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vargeloğlu",
        "Country Name": "Türkiye",
        "Purpose": "The purpose of this study is to highlight the risk factors, diagnosis, and management of postoperative herpetic keratitis in a patient treated for primary acute angle-closure and subsequently undergoing cataract surgery.",
        "Setting": "This study was prepared based on the clinical findings, observations, and management of a patient admitted to Dışkapı Yıldırım Beyazıt Training and Research Hospital in August 2025 with suspected primary acute angle-closure, who subsequently developed herpetic keratitis following cataract surgery.",
        "Methods": "A patient presented to our clinic with decreased vision and ocular pain in the left eye and was admitted with a diagnosis of primary acute angle-closure. Intraocular pressure (IOP) was reduced with medical therapy, and corneal edema decreased, allowing a peripheral iridectomy to be performed. The following day, peripheral iridectomy was also performed in the fellow eye. During follow-up, despite the use of topical antiglaucomatous drops, the left eye continued to have elevated IOP, a narrow anterior chamber, and a nuclear cataract, and cataract surgery was therefore planned for the left eye.",
        "Results": "On the third postoperative day after cataract surgery, an epithelial defect was observed in the cornea. With the addition of artificial tears to the treatment, the defect healed within a few days, and the patient was discharged. At the 15th postoperative day follow-up, examination revealed a geographic corneal ulcer. Herpetic keratitis was suspected, and antiviral therapy was initiated.",
        "Conclusions": "Herpetic keratitis is an important vision-threatening complication that can occur after cataract surgery. In this case, risk factors included stressors such as acute angle-closure and cataract surgery, the postoperative use of topical eye drops containing dexamethasone and latanoprost, and the presence of chronic systemic diseases including diabetes mellitus, hypertension, and rheumatoid arthritis. Considering these risk factors, careful history-taking and thorough ophthalmic examination are essential for early diagnosis and timely treatment, which are critical for controlling this potentially severe postoperative complication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCOR249",
      "abstract_number": "POCOR249",
      "title": "Endophthalmitis Following Artificial Endothelial Keratoplasty (Endoart®)",
      "authors": "Dr Matthew Azzopardi",
      "presenter": "Dr Matthew Azzopardi",
      "normalized_authors": [
        "Matthew Azzopardi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nerea Zubieta-Gonzalo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "EndoArt® is a synthetic artificial endothelial implant designed to treat corneal oedema. It offers the advantage over conventional keratoplasty of eliminating rejection risk. Clinical studies have shown marked oedema reduction with improved vision and pain relief, although relatively high detachment and rebubbling rates have been reported. We report a case of endophthalmitis, related to the full-thickness anchoring sutures used to attach the device to the posterior cornea.",
        "Setting": "Cornea and External Diseases Department at Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "We present a case of a 76-year-old male with bilateral PK in the 1970s for keratoconus, complicated by recurrent rejection and endothelial failure. In the left eye, further procedures were performed (repeat PK, DSAEK, a third PK), which failed due to rejection. EndoArt® was offered in June 2025 as an alternative. Preoperative visual acuity (VA) was 1/60 with CCT of 746 µm; postoperatively, his BCVA improved to 6/18 and CCT to 581 µm after 3 months showing significant improvement in corneal transparency. Five months post-op, he developed a corneal infiltrate in one of his full-thickness anchoring corneal sutures, progressing rapidly to hypopyon and endophthalmitis despite intensive topical treatment.",
        "Results": "Given the reported detachment rate, the use of full-thickness anchoring sutures during implantation are required which usually remain for few months. In this case, four sutures were placed and it was the plan to remove them all at six months post-op. The rapid progression of endophthalmitis in this case was related to the presence of the full-thickness sutures. The patient later underwent intravitreal injection of antibiotics and received a tectonic penetrating keratoplasty due to melting and perforation.",
        "Conclusions": "Full-thickness anchoring sutures required for EndoArt® increase the risk of microbial keratitis and endophthalmitis, and early removal should be considered. Maintaining topical antibiotic treatment until suture removal would be recommended in all these cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Full-thickness anchoring sutures required for EndoArt® increase the risk of microbial keratitis and endophthalmitis, and early removal should be considered. Maintaining topical antibiotic treatment until suture removal would be recommended in all these cases.",
      "session_type": "ePoster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 937,
      "source_fields": {
        "Abstract Final Identifier": "POCOR249",
        "Title": "Endophthalmitis Following Artificial Endothelial Keratoplasty (Endoart®)",
        "Presenting Author(s)": "Dr Matthew Azzopardi",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nerea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zubieta-Gonzalo",
        "Country Name": "United Kingdom",
        "Purpose": "EndoArt® is a synthetic artificial endothelial implant designed to treat corneal oedema. It offers the advantage over conventional keratoplasty of eliminating rejection risk. Clinical studies have shown marked oedema reduction with improved vision and pain relief, although relatively high detachment and rebubbling rates have been reported. We report a case of endophthalmitis, related to the full-thickness anchoring sutures used to attach the device to the posterior cornea.",
        "Setting": "Cornea and External Diseases Department at Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "We present a case of a 76-year-old male with bilateral PK in the 1970s for keratoconus, complicated by recurrent rejection and endothelial failure. In the left eye, further procedures were performed (repeat PK, DSAEK, a third PK), which failed due to rejection. EndoArt® was offered in June 2025 as an alternative. Preoperative visual acuity (VA) was 1/60 with CCT of 746 µm; postoperatively, his BCVA improved to 6/18 and CCT to 581 µm after 3 months showing significant improvement in corneal transparency. Five months post-op, he developed a corneal infiltrate in one of his full-thickness anchoring corneal sutures, progressing rapidly to hypopyon and endophthalmitis despite intensive topical treatment.",
        "Results": "Given the reported detachment rate, the use of full-thickness anchoring sutures during implantation are required which usually remain for few months. In this case, four sutures were placed and it was the plan to remove them all at six months post-op. The rapid progression of endophthalmitis in this case was related to the presence of the full-thickness sutures. The patient later underwent intravitreal injection of antibiotics and received a tectonic penetrating keratoplasty due to melting and perforation.",
        "Conclusions": "Full-thickness anchoring sutures required for EndoArt® increase the risk of microbial keratitis and endophthalmitis, and early removal should be considered. Maintaining topical antibiotic treatment until suture removal would be recommended in all these cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCOR250",
      "abstract_number": "POCOR250",
      "title": "Controlled Air Tamponade–Assisted Descematorrhexis In Dmek Using A 60-Ml Syringe And Irrigation Cannula: Tuwir Techniquel",
      "authors": "Mr Mohamed Hosny Abdelrahman",
      "presenter": "Mr Mohamed Hosny Abdelrahman",
      "normalized_authors": [
        "Mohamed Hosny Abdelrahman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Hosny Abdelrahman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe and evaluate a simplified, low-cost technique for anterior chamber stabilization and enhanced visualization during descemetorrhexis in Descemet Membrane Endothelial Keratoplasty (DMEK) using controlled air infusion via a 60-mL syringe and irrigation cannula in the absence of an air pump or anterior chamber maintainer.",
        "Setting": "Tertiary referral corneal surgery centres including Western Eye Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom, and King Abdulaziz Medical City, Jeddah, Saudi Arabia.",
        "Methods": "Prospective interventional case series of 13 eyes undergoing DMEK.\n\nDuring descemetorrhexis:\n\n• A 60-mL air-filled syringe was connected to a standard irrigation cannula.\n\n• An assistant applied gentle continuous pressure to maintain anterior chamber stability.\n\n• The surgeon controlled airflow direction to optimize visualization and prevent air misdirection.\n\n• Continuous air infusion provided globe stabilization, reducing reliance on external fixation.\n\n• The irrigation cannula replaced the need for an anterior chamber maintainer.\n\nOutcomes assessed included anterior chamber stability, globe stability during manipulation, ease and precision of descemetorrhexis, surgical efficiency, and intraoperative complications.",
        "Results": "• Stable anterior chamber was maintained in all cases.\n\n• Globe stability improved, facilitating controlled membrane peeling.\n\n• Controlled airflow enhanced visualization of the Descemet membrane.\n\n• Directional control minimized turbulence and air misdirection.\n\n• Descematorrhexis was completed efficiently with minimal manipulation.\n\n• No air-related intraoperative complications occurred.\n\n• Surgical workflow was simplified with a reduction in operative time.",
        "Conclusions": "Controlled manual air infusion using a 60-mL syringe and irrigation cannula provides a safe, effective, and reproducible method for stabilizing the anterior chamber during descemetorrhexis in DMEK.\n\nThe Tuwir Technique uniquely addresses two surgical challenges simultaneously by providing continuous anterior chamber maintenance while stabilizing the globe without the need for external fixation forceps."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Controlled manual air infusion using a 60-mL syringe and irrigation cannula provides a safe, effective, and reproducible method for stabilizing the anterior chamber during descemetorrhexis in DMEK. The Tuwir Technique uniquely addresses two surgical challenges simultaneously by providing continuous anterior chamber maintenance while stabilizing the globe without the need for external fixation forceps.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 938,
      "source_fields": {
        "Abstract Final Identifier": "POCOR250",
        "Title": "Controlled Air Tamponade–Assisted Descematorrhexis In Dmek Using A 60-Ml Syringe And Irrigation Cannula: Tuwir Techniquel",
        "Presenting Author(s)": "Mr Mohamed Hosny Abdelrahman",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Mohamed Hosny",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdelrahman",
        "Country Name": "United Kingdom",
        "Purpose": "To describe and evaluate a simplified, low-cost technique for anterior chamber stabilization and enhanced visualization during descemetorrhexis in Descemet Membrane Endothelial Keratoplasty (DMEK) using controlled air infusion via a 60-mL syringe and irrigation cannula in the absence of an air pump or anterior chamber maintainer.",
        "Setting": "Tertiary referral corneal surgery centres including Western Eye Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom, and King Abdulaziz Medical City, Jeddah, Saudi Arabia.",
        "Methods": "Prospective interventional case series of 13 eyes undergoing DMEK.\n\nDuring descemetorrhexis:\n\n• A 60-mL air-filled syringe was connected to a standard irrigation cannula.\n\n• An assistant applied gentle continuous pressure to maintain anterior chamber stability.\n\n• The surgeon controlled airflow direction to optimize visualization and prevent air misdirection.\n\n• Continuous air infusion provided globe stabilization, reducing reliance on external fixation.\n\n• The irrigation cannula replaced the need for an anterior chamber maintainer.\n\nOutcomes assessed included anterior chamber stability, globe stability during manipulation, ease and precision of descemetorrhexis, surgical efficiency, and intraoperative complications.",
        "Results": "• Stable anterior chamber was maintained in all cases.\n\n• Globe stability improved, facilitating controlled membrane peeling.\n\n• Controlled airflow enhanced visualization of the Descemet membrane.\n\n• Directional control minimized turbulence and air misdirection.\n\n• Descematorrhexis was completed efficiently with minimal manipulation.\n\n• No air-related intraoperative complications occurred.\n\n• Surgical workflow was simplified with a reduction in operative time.",
        "Conclusions": "Controlled manual air infusion using a 60-mL syringe and irrigation cannula provides a safe, effective, and reproducible method for stabilizing the anterior chamber during descemetorrhexis in DMEK.\n\nThe Tuwir Technique uniquely addresses two surgical challenges simultaneously by providing continuous anterior chamber maintenance while stabilizing the globe without the need for external fixation forceps."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "POCOR251",
      "abstract_number": "POCOR251",
      "title": "Pull-Through Dmek In Complex Eyes: Medium-Term Outcomes From A Dsaek-Dominant Center",
      "authors": "A/Prof. Mohammed M. Abusayf",
      "presenter": "A/Prof. Mohammed M. Abusayf",
      "normalized_authors": [
        "Mohammed M. Abusayf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed M. Abusayf",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate visual, endothelial, refractive, and safety outcomes of Descemet membrane endothelial keratoplasty (DMEK) using an EndoGlide pull-through delivery technique in complex eyes within a DSAEK-dominant practice.",
        "Setting": "Tertiary academic referral center, Riyadh, Saudi Arabia.",
        "Methods": "A retrospective–prospective case series of 15 eyes that underwent DMEK with the Endoglide device. All eyes had complex anatomy, such as prior vitrectomy, failed keratoplasty, or advanced bullous keratopathy with stromal scarring. Best-corrected visual acuity, refractive outcomes, endothelial cell loss, and complications were analyzed over 18 months of follow-up.",
        "Results": "TBA",
        "Conclusions": "EndoGlide-assisted pull-through DMEK expands the feasibility of DMEK in complex eyes, offering controlled graft delivery with satisfactory visual and endothelial outcomes. With careful case selection, it represents a practical strategy to facilitate transition from DSAEK to DMEK in challenging surgical environments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EndoGlide-assisted pull-through DMEK expands the feasibility of DMEK in complex eyes, offering controlled graft delivery with satisfactory visual and endothelial outcomes. With careful case selection, it represents a practical strategy to facilitate transition from DSAEK to DMEK in challenging surgical environments.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 939,
      "source_fields": {
        "Abstract Final Identifier": "POCOR251",
        "Title": "Pull-Through Dmek In Complex Eyes: Medium-Term Outcomes From A Dsaek-Dominant Center",
        "Presenting Author(s)": "A/Prof. Mohammed M. Abusayf",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "M.",
        "Submitter Last Name": "Abusayf",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate visual, endothelial, refractive, and safety outcomes of Descemet membrane endothelial keratoplasty (DMEK) using an EndoGlide pull-through delivery technique in complex eyes within a DSAEK-dominant practice.",
        "Setting": "Tertiary academic referral center, Riyadh, Saudi Arabia.",
        "Methods": "A retrospective–prospective case series of 15 eyes that underwent DMEK with the Endoglide device. All eyes had complex anatomy, such as prior vitrectomy, failed keratoplasty, or advanced bullous keratopathy with stromal scarring. Best-corrected visual acuity, refractive outcomes, endothelial cell loss, and complications were analyzed over 18 months of follow-up.",
        "Results": "TBA",
        "Conclusions": "EndoGlide-assisted pull-through DMEK expands the feasibility of DMEK in complex eyes, offering controlled graft delivery with satisfactory visual and endothelial outcomes. With careful case selection, it represents a practical strategy to facilitate transition from DSAEK to DMEK in challenging surgical environments."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 126
    },
    {
      "uid": "POCOR252",
      "abstract_number": "POCOR252",
      "title": "Retained Lens Fragment Mimicking Herpes Simplex Virus Endotheliitis: A Diagnostic Challenge Resolved With Descemet Membrane Endothelial Keratoplasty",
      "authors": "Muhammad Hamza",
      "presenter": "Muhammad Hamza",
      "normalized_authors": [
        "Muhammad Hamza"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammad Ahmed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To describe a case of retained lens fragment mimicking herpes simplex virus (HSV) endotheliitis and emphasize the importance of imaging and surgical intervention with Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Tertiary Care Eye Hospital",
        "Methods": "A 65-year-old hypertensive male with a history of uncomplicated bilateral cataract surgery presented with progressive visual decline in the left eye for one year. He had been treated as HSV endotheliitis with antivirals and corticosteroids for nine months without improvement. Anterior segment optical coherence tomography (AS-OCT) revealed retained lens fragments in the anterior chamber. The patient underwent fragment removal followed by DMEK.",
        "Results": "Preoperative best-corrected visual acuity (BCVA) was counting fingers. Postoperatively, BCVA improved to 6/16 with resolution of corneal edema and a clear graft. No recurrence of inflammation or graft rejection was observed during follow-up.",
        "Conclusions": "Retained lens fragments can mimic HSV endotheliitis and delay diagnosis. We report a 65-year-old hypertensive male with prior uncomplicated bilateral cataract surgery (2017) who presented with progressive visual decline in the left eye for one year. He was treated as presumed HSV endotheliitis with systemic and topical antivirals and corticosteroids for nine months without improvement. Further imaging revealed retained lens fragments. Surgical removal followed by DMEK led to marked corneal clearing and significant visual recovery, highlighting the importance of early suspicion and timely intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retained lens fragments can mimic HSV endotheliitis and delay diagnosis. We report a 65-year-old hypertensive male with prior uncomplicated bilateral cataract surgery (2017) who presented with progressive visual decline in the left eye for one year. He was treated as presumed HSV endotheliitis with systemic and topical antivirals and corticosteroids for nine months without improvement. Further imaging revealed…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 940,
      "source_fields": {
        "Abstract Final Identifier": "POCOR252",
        "Title": "Retained Lens Fragment Mimicking Herpes Simplex Virus Endotheliitis: A Diagnostic Challenge Resolved With Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Muhammad Hamza",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Muhammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahmed",
        "Country Name": "Pakistan",
        "Purpose": "To describe a case of retained lens fragment mimicking herpes simplex virus (HSV) endotheliitis and emphasize the importance of imaging and surgical intervention with Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Tertiary Care Eye Hospital",
        "Methods": "A 65-year-old hypertensive male with a history of uncomplicated bilateral cataract surgery presented with progressive visual decline in the left eye for one year. He had been treated as HSV endotheliitis with antivirals and corticosteroids for nine months without improvement. Anterior segment optical coherence tomography (AS-OCT) revealed retained lens fragments in the anterior chamber. The patient underwent fragment removal followed by DMEK.",
        "Results": "Preoperative best-corrected visual acuity (BCVA) was counting fingers. Postoperatively, BCVA improved to 6/16 with resolution of corneal edema and a clear graft. No recurrence of inflammation or graft rejection was observed during follow-up.",
        "Conclusions": "Retained lens fragments can mimic HSV endotheliitis and delay diagnosis. We report a 65-year-old hypertensive male with prior uncomplicated bilateral cataract surgery (2017) who presented with progressive visual decline in the left eye for one year. He was treated as presumed HSV endotheliitis with systemic and topical antivirals and corticosteroids for nine months without improvement. Further imaging revealed retained lens fragments. Surgical removal followed by DMEK led to marked corneal clearing and significant visual recovery, highlighting the importance of early suspicion and timely intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POCOR253",
      "abstract_number": "POCOR253",
      "title": "Long-Term Outcome Of Endothelial Keratoplasty Among Glaucoma Patients And The Risk Of Prostaglandin Analogue (Latanoprost) Use On Graft Rejection",
      "authors": "Dr Munirah Aldofyan",
      "presenter": "Dr Munirah Aldofyan",
      "normalized_authors": [
        "Munirah Aldofyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Munirah Zaid Aldofyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) in patients with glaucoma and to investigate if the usage of the prostaglandin analog latanoprost increases the risk of graft rejection.",
        "Setting": "Single-center retrospective review conducted at King Abdulaziz University Hospital, Riyadh,\n\nSaudi Arabia.",
        "Methods": "This study retrospectively reviewed 65 eyes of 61 patients with glaucoma who underwent DSAEK at King Abdulaziz University Hospital between 2009 and 2024. The risk factors for graft rejection were identified using Kaplan–Meier survival analysis and univariate and multivariate Cox regression models.",
        "Results": "The graft survival rates among patients with glaucoma at 1, 3, and 5 years were 72.4%, 23.1%, and 11.5%, respectively. Latanoprost use was significantly associated with graft failure (71.4% vs. 28.6%, p = 0.024). The graft failure was mostly secondary failure (80%, p = 0.015) and was often linked to endothelial rejection episodes (62.5%). Other antiglaucoma medications were not associated with graft failure.",
        "Conclusions": "Glaucoma decreases graft longevity after DSAEK. Latanoprost use may further increase the risk of graft rejection by enhancing inflammatory or immune responses. Prospective studies are warranted to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Glaucoma decreases graft longevity after DSAEK. Latanoprost use may further increase the risk of graft rejection by enhancing inflammatory or immune responses. Prospective studies are warranted to confirm these findings.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 941,
      "source_fields": {
        "Abstract Final Identifier": "POCOR253",
        "Title": "Long-Term Outcome Of Endothelial Keratoplasty Among Glaucoma Patients And The Risk Of Prostaglandin Analogue (Latanoprost) Use On Graft Rejection",
        "Presenting Author(s)": "Dr Munirah Aldofyan",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Munirah",
        "Submitter Middle Name": "Zaid",
        "Submitter Last Name": "Aldofyan",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) in patients with glaucoma and to investigate if the usage of the prostaglandin analog latanoprost increases the risk of graft rejection.",
        "Setting": "Single-center retrospective review conducted at King Abdulaziz University Hospital, Riyadh,\n\nSaudi Arabia.",
        "Methods": "This study retrospectively reviewed 65 eyes of 61 patients with glaucoma who underwent DSAEK at King Abdulaziz University Hospital between 2009 and 2024. The risk factors for graft rejection were identified using Kaplan–Meier survival analysis and univariate and multivariate Cox regression models.",
        "Results": "The graft survival rates among patients with glaucoma at 1, 3, and 5 years were 72.4%, 23.1%, and 11.5%, respectively. Latanoprost use was significantly associated with graft failure (71.4% vs. 28.6%, p = 0.024). The graft failure was mostly secondary failure (80%, p = 0.015) and was often linked to endothelial rejection episodes (62.5%). Other antiglaucoma medications were not associated with graft failure.",
        "Conclusions": "Glaucoma decreases graft longevity after DSAEK. Latanoprost use may further increase the risk of graft rejection by enhancing inflammatory or immune responses. Prospective studies are warranted to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 187
    },
    {
      "uid": "POCOR254",
      "abstract_number": "POCOR254",
      "title": "A Study Of Factors Influencing The Outcome Of Penetrating Keratoplasty",
      "authors": "Dr Faisal Alharbi",
      "presenter": "Dr Faisal Alharbi",
      "normalized_authors": [
        "Faisal Alharbi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Faisal Alharbi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To study the factors influencing the outcome of penetrating keratoplasty.",
        "Setting": "Department of Ophthalmology, Air Base Hospital, Saudi Arabia.",
        "Methods": "A retrospective study of patients who underwent penetrating keratoplasty between Jan 2015 to Jan 2025.",
        "Results": "Fifty eight eyes of Sixty patients were included in the study. The indications were optical in 34, therapeutic 24. Twenty eight patients had donor graft size less than 7.5 mm, the rest had grafts larger than 7.5 mm.\n\nFollow up period up to 10years.\n\nThe complications noted were Glaucoma in 28, recurrence of the infection in 8, graft rejection in 18, graft failure in 2 patients. On the last follow up 14 patients had vision > 6/60, 6 had between 3/60 to 6/60, and less than 3/60 in 32 patients.",
        "Conclusions": "Therapeutic penetrating keratoplasty had poorer outcome. Graft rejection was common in patients with grafts larger than 7.5mm. Post op glaucoma was the most common complication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Therapeutic penetrating keratoplasty had poorer outcome. Graft rejection was common in patients with grafts larger than 7.5mm. Post op glaucoma was the most common complication.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 942,
      "source_fields": {
        "Abstract Final Identifier": "POCOR254",
        "Title": "A Study Of Factors Influencing The Outcome Of Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Faisal Alharbi",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Faisal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alharbi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To study the factors influencing the outcome of penetrating keratoplasty.",
        "Setting": "Department of Ophthalmology, Air Base Hospital, Saudi Arabia.",
        "Methods": "A retrospective study of patients who underwent penetrating keratoplasty between Jan 2015 to Jan 2025.",
        "Results": "Fifty eight eyes of Sixty patients were included in the study. The indications were optical in 34, therapeutic 24. Twenty eight patients had donor graft size less than 7.5 mm, the rest had grafts larger than 7.5 mm.\n\nFollow up period up to 10years.\n\nThe complications noted were Glaucoma in 28, recurrence of the infection in 8, graft rejection in 18, graft failure in 2 patients. On the last follow up 14 patients had vision > 6/60, 6 had between 3/60 to 6/60, and less than 3/60 in 32 patients.",
        "Conclusions": "Therapeutic penetrating keratoplasty had poorer outcome. Graft rejection was common in patients with grafts larger than 7.5mm. Post op glaucoma was the most common complication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 154
    },
    {
      "uid": "POCOR255",
      "abstract_number": "POCOR255",
      "title": "Repeat Dsaek Outcomes : A Comparative Study Of Primary And Repeat Endothelial Keratoplasty",
      "authors": "Dr Himabindu Alluri",
      "presenter": "Dr Himabindu Alluri",
      "normalized_authors": [
        "Himabindu Alluri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Himabindu Alluri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the clinical outcomes of primary Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) with repeat DSAEK performed in the same eyes following graft failure.",
        "Setting": "This is a retrospective study which included all eyes that underwent repeat DSAEK between January 2015 and December 2024 at a tertiary eye care center in Southern part of India. Eyes that underwent Descemet Membrane Endothelial Keratoplasty (DMEK), penetrating keratoplasty (PKP), or more than two consecutive DSAEK procedures were excluded.",
        "Methods": "The medical files of all eligible patients were reviewed. Pre operative data like a ge, sex, ocular diagnosis, no of previous surgeries, lens status, best corrected visual acuity (BCVA) were noted. Donor characteritics like d onor age, endothelial cell density (ECD), pachymetry and intraoperative data like l enticule size, DM stripping status and any additional interventions were analyzed. Post operative data like f ollow-up duration, BCVA, complications and outcomes were considered for evaluation",
        "Results": "Out of 452 DSAEK procedures performed, 39 eyes underwent repeat DSAEK. The mean age at first surgery was 69.9 ± 11.9 years. The most common indication for primary DSAEK was failed graft (38.9%), followed by pseudophakic bullous keratopathy (30.6%).For primary DSAEK, common causes of graft failure were graft rejection (30%), graft detachment (27.8%), and glaucoma (27.8%). In repeat DSAEK, the most common cause of graft failure was glaucoma (44.5%), followed by graft rejection (11%). Rebubbling rate was significantly lower (p=0.01). Primary graft failure was significantly reduced in repeat DSAEK compared to first DSAEK (16.7% vs 47.2%, p=0.005). Mean logMAR BCVA improved from 1.76 to 1.28 following repeat surgery (p=0.001).",
        "Conclusions": "Repeat DSAEK is an effective surgical option for failed primary DSAEK, demonstrating significant visual improvement and acceptable graft survival. Although glaucoma remains a major risk factor for failure, repeat endothelial keratoplasty offers favorable anatomical and functional outcomes, making it a viable alternative to full-thickness keratoplasty in selected cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Repeat DSAEK is an effective surgical option for failed primary DSAEK, demonstrating significant visual improvement and acceptable graft survival. Although glaucoma remains a major risk factor for failure, repeat endothelial keratoplasty offers favorable anatomical and functional outcomes, making it a viable alternative to full-thickness keratoplasty in selected cases.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 943,
      "source_fields": {
        "Abstract Final Identifier": "POCOR255",
        "Title": "Repeat Dsaek Outcomes : A Comparative Study Of Primary And Repeat Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Himabindu Alluri",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Himabindu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alluri",
        "Country Name": "India",
        "Purpose": "To compare the clinical outcomes of primary Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) with repeat DSAEK performed in the same eyes following graft failure.",
        "Setting": "This is a retrospective study which included all eyes that underwent repeat DSAEK between January 2015 and December 2024 at a tertiary eye care center in Southern part of India. Eyes that underwent Descemet Membrane Endothelial Keratoplasty (DMEK), penetrating keratoplasty (PKP), or more than two consecutive DSAEK procedures were excluded.",
        "Methods": "The medical files of all eligible patients were reviewed. Pre operative data like a ge, sex, ocular diagnosis, no of previous surgeries, lens status, best corrected visual acuity (BCVA) were noted. Donor characteritics like d onor age, endothelial cell density (ECD), pachymetry and intraoperative data like l enticule size, DM stripping status and any additional interventions were analyzed. Post operative data like f ollow-up duration, BCVA, complications and outcomes were considered for evaluation",
        "Results": "Out of 452 DSAEK procedures performed, 39 eyes underwent repeat DSAEK. The mean age at first surgery was 69.9 ± 11.9 years. The most common indication for primary DSAEK was failed graft (38.9%), followed by pseudophakic bullous keratopathy (30.6%).For primary DSAEK, common causes of graft failure were graft rejection (30%), graft detachment (27.8%), and glaucoma (27.8%). In repeat DSAEK, the most common cause of graft failure was glaucoma (44.5%), followed by graft rejection (11%). Rebubbling rate was significantly lower (p=0.01). Primary graft failure was significantly reduced in repeat DSAEK compared to first DSAEK (16.7% vs 47.2%, p=0.005). Mean logMAR BCVA improved from 1.76 to 1.28 following repeat surgery (p=0.001).",
        "Conclusions": "Repeat DSAEK is an effective surgical option for failed primary DSAEK, demonstrating significant visual improvement and acceptable graft survival. Although glaucoma remains a major risk factor for failure, repeat endothelial keratoplasty offers favorable anatomical and functional outcomes, making it a viable alternative to full-thickness keratoplasty in selected cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POCOR256",
      "abstract_number": "POCOR256",
      "title": "Assessment Of Outcomes Of Endothelial Keratoplasty Following Failed Penetrating Keratoplasty",
      "authors": "Dr Rawan Alshabeeb",
      "presenter": "Dr Rawan Alshabeeb",
      "normalized_authors": [
        "Rawan Alshabeeb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rawan Alshabeeb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To assess the visual and clinical outcomes of endothelial keratoplasty (EK) for failed penetrating keratoplasty (PKP).",
        "Setting": "King Khaled Eye Specilaist ,Riyadh , Saudi Arabia",
        "Methods": "A retrospective review was conducted of patients who underwent endothelial keratoplasty for failed PKP at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, between January 2011 and December 2024. Patients who had primary endothelial keratoplasty, repeat PKP, or lamellar keratoplasty were excluded. Data were collected on patient demographics, indications for PKP, history of glaucoma, type of EK, endothelial graft diameter, graft insertion method, development of graft rejection or failure, and graft survival at final follow-up. Main outcome measures included graft survival, best-corrected visual acuity (BCVA), and complications. Graft survival probability was calculated using Kaplan–Meier analysis",
        "Results": "Mean age was55.5 ± 20.8 years.Surgeon-cut DSAEK was performed in37eyes(71.2%).Mean BCVA improved from1.6 ± 1.6 logMAR preoperatively to 1.0 ± 1.0 logMAR at 1year(P < 0.001)and was maintained at final follow-up(1.1 ± 1.1logMAR,P = 0.002).Donor graft size was associated with early graft failure at6 months(P = 0.048)but donor–recipient size mismatch did not significantly affect outcomes.At 1 year,grafts were clear in 37 eyes (71.2%),rejected in 3(5.8%),and failed in12(23.1%).Kaplan–Meier analysis estimated a median graft survival of 3.4 years(95% CI 0.69–6.07)Bullous keratopathy was associated with lower risk of graft failure(OR = 0.02, 95% CI 0.001–0.798, P = 0.038).while surgeon-cut DSAEK was associated with higher rejection rates(P = 0.002)",
        "Conclusions": "EK after failed PKP improves visual outcomes with acceptable short-term graft clarity. Donor graft size, bullous keratopathy, and EK type influence early graft failure and rejection. EK represents a viable alternative to repeat PK for endothelial failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EK after failed PKP improves visual outcomes with acceptable short-term graft clarity. Donor graft size, bullous keratopathy, and EK type influence early graft failure and rejection. EK represents a viable alternative to repeat PK for endothelial failure.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 944,
      "source_fields": {
        "Abstract Final Identifier": "POCOR256",
        "Title": "Assessment Of Outcomes Of Endothelial Keratoplasty Following Failed Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Rawan Alshabeeb",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Rawan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alshabeeb",
        "Country Name": "Saudi Arabia",
        "Purpose": "To assess the visual and clinical outcomes of endothelial keratoplasty (EK) for failed penetrating keratoplasty (PKP).",
        "Setting": "King Khaled Eye Specilaist ,Riyadh , Saudi Arabia",
        "Methods": "A retrospective review was conducted of patients who underwent endothelial keratoplasty for failed PKP at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, between January 2011 and December 2024. Patients who had primary endothelial keratoplasty, repeat PKP, or lamellar keratoplasty were excluded. Data were collected on patient demographics, indications for PKP, history of glaucoma, type of EK, endothelial graft diameter, graft insertion method, development of graft rejection or failure, and graft survival at final follow-up. Main outcome measures included graft survival, best-corrected visual acuity (BCVA), and complications. Graft survival probability was calculated using Kaplan–Meier analysis",
        "Results": "Mean age was55.5 ± 20.8 years.Surgeon-cut DSAEK was performed in37eyes(71.2%).Mean BCVA improved from1.6 ± 1.6 logMAR preoperatively to 1.0 ± 1.0 logMAR at 1year(P < 0.001)and was maintained at final follow-up(1.1 ± 1.1logMAR,P = 0.002).Donor graft size was associated with early graft failure at6 months(P = 0.048)but donor–recipient size mismatch did not significantly affect outcomes.At 1 year,grafts were clear in 37 eyes (71.2%),rejected in 3(5.8%),and failed in12(23.1%).Kaplan–Meier analysis estimated a median graft survival of 3.4 years(95% CI 0.69–6.07)Bullous keratopathy was associated with lower risk of graft failure(OR = 0.02, 95% CI 0.001–0.798, P = 0.038).while surgeon-cut DSAEK was associated with higher rejection rates(P = 0.002)",
        "Conclusions": "EK after failed PKP improves visual outcomes with acceptable short-term graft clarity. Donor graft size, bullous keratopathy, and EK type influence early graft failure and rejection. EK represents a viable alternative to repeat PK for endothelial failure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCOR257",
      "abstract_number": "POCOR257",
      "title": "The Influence Of Donor Lamella Thickness On Visual Acuity In Patients Who Underwent Descemet’S Stripping Automated Endothelial Keratoplasty Procedure",
      "authors": "Dr Ana Meter Kuzman",
      "presenter": "Dr Ana Meter Kuzman",
      "normalized_authors": [
        "Ana Meter Kuzman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Meter Kuzman Ana",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Conventional Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) is corneal transplantation procedure where the patient's inner dysfunctional layer is replaced with donor lamella. There are contradictory and not enough clear data in the literature about the correlation between lamellar thickness and the visual acuity.",
        "Setting": "Department of Ophthalmology, University Hospital Center Zagreb, Croatia.",
        "Methods": "Study included 55 eyes after conventional DSAEK defined as transplantation with donor lamellas thicker than 100 µm. Patients had no other comorbidities that could affect visual acuity. Data about lamellar thickness and visual acuity were measured 6 months after surgery with anterior segment optical coherent tomography (A-OCT).",
        "Results": "The results show that visual acuity before surgery was 0,15 ( logMAR +0,82) on average and after surgery 0,57 ( logMAR +0,25). Better visual acuity of 0,63 ( logMAR +0,2) was achieved with lamellas thinner than 124 µm, while statistically significantly lower visual acuity was 0,51 ( logMAR +0,29) for lamellas thicker than 124 µm.",
        "Conclusions": "According to our results the goal after conventional DSAEK is to have postoperative lamellas thinner than 124 µm in the eye, as this will result in better postoperative visual acuity. This value can be the optimal thickness for conventional DSAEK surgery that could minimize tissue loss for eye banks and the surgeons could have fewer problems during surgery, while obtaining good final visual acuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "According to our results the goal after conventional DSAEK is to have postoperative lamellas thinner than 124 µm in the eye, as this will result in better postoperative visual acuity. This value can be the optimal thickness for conventional DSAEK surgery that could minimize tissue loss for eye banks and the surgeons could have fewer problems during surgery, while obtaining good final visual acuity.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 945,
      "source_fields": {
        "Abstract Final Identifier": "POCOR257",
        "Title": "The Influence Of Donor Lamella Thickness On Visual Acuity In Patients Who Underwent Descemet’S Stripping Automated Endothelial Keratoplasty Procedure",
        "Presenting Author(s)": "Dr Ana Meter Kuzman",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Meter Kuzman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ana",
        "Country Name": "Croatia",
        "Purpose": "Conventional Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) is corneal transplantation procedure where the patient's inner dysfunctional layer is replaced with donor lamella. There are contradictory and not enough clear data in the literature about the correlation between lamellar thickness and the visual acuity.",
        "Setting": "Department of Ophthalmology, University Hospital Center Zagreb, Croatia.",
        "Methods": "Study included 55 eyes after conventional DSAEK defined as transplantation with donor lamellas thicker than 100 µm. Patients had no other comorbidities that could affect visual acuity. Data about lamellar thickness and visual acuity were measured 6 months after surgery with anterior segment optical coherent tomography (A-OCT).",
        "Results": "The results show that visual acuity before surgery was 0,15 ( logMAR +0,82) on average and after surgery 0,57 ( logMAR +0,25). Better visual acuity of 0,63 ( logMAR +0,2) was achieved with lamellas thinner than 124 µm, while statistically significantly lower visual acuity was 0,51 ( logMAR +0,29) for lamellas thicker than 124 µm.",
        "Conclusions": "According to our results the goal after conventional DSAEK is to have postoperative lamellas thinner than 124 µm in the eye, as this will result in better postoperative visual acuity. This value can be the optimal thickness for conventional DSAEK surgery that could minimize tissue loss for eye banks and the surgeons could have fewer problems during surgery, while obtaining good final visual acuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "POCOR258",
      "abstract_number": "POCOR258",
      "title": "Epithelial Remodeling And Its Contribution To Higher-Order Aberration Dynamic Changes In Fuchs Endothelial Corneal Dystrophy With Subclinical And Clinical Edema Who Underwent Dmek",
      "authors": "Dr Ana Maria Arghirescu",
      "presenter": "Dr Ana Maria Arghirescu",
      "normalized_authors": [
        "Ana Maria Arghirescu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Maria Arghirescu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "To evaluate epithelial changes in eyes with Fuchs endothelial corneal dystrophy (FECD) presenting with subclinical versus clinically evident corneal edema and to investigate the contribution of epithelial remodeling to visual quality before and after Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Clinical Institute for Opthalmological Emergencies \"Prof. Dr. Mircea Olteanu\"",
        "Methods": "In this observational study, eyes with FECD were divided into two groups based on the presence of subclinical edema or clinically evident corneal edema. All eyes underwent preoperative evaluation using anterior segment optical coherence tomography (AS-OCT) with epithelial thickness mapping and corneal tomography with wavefront analysis. Parameters analyzed included epithelial thickness distribution, central corneal thickness, and anterior corneal HOAs. The same parameters were reassessed postoperatively following DMEK. Changes in epithelial profile and optical aberrations were compared within and between the two groups to evaluate epithelial compensation and remodeling after restoration of endothelial function.",
        "Results": "Preoperatively, both groups demonstrated epithelial remodeling consistent with a compensatory response to stromal edema, characterized by regional epithelial thickening and irregularity associated with increased anterior corneal HOAs. Following DMEK, restoration of endothelial pump function resulted in epithelial remodelling in both groups. However, the magnitude of epithelial thickness normalization and reduction in HOAs was more pronounced in eyes with clinically evident edema compared with those with subclinical edema.",
        "Conclusions": "Corneal epithelial remodeling occurs in both subclinical and clinical stages of FECD and contributes to the optical disturbances observed in the disease. After DMEK, epithelial regularization accompanies stromal deturgescence and improvement in corneal optics, with more marked changes observed in eyes with clinically evident edema. Assessment of epithelial thickness profiles may therefore provide additional insight into disease severity and postoperative optical recovery in FECD."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal epithelial remodeling occurs in both subclinical and clinical stages of FECD and contributes to the optical disturbances observed in the disease. After DMEK, epithelial regularization accompanies stromal deturgescence and improvement in corneal optics, with more marked changes observed in eyes with clinically evident edema. Assessment of epithelial thickness profiles may therefore provide additional insight…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 946,
      "source_fields": {
        "Abstract Final Identifier": "POCOR258",
        "Title": "Epithelial Remodeling And Its Contribution To Higher-Order Aberration Dynamic Changes In Fuchs Endothelial Corneal Dystrophy With Subclinical And Clinical Edema Who Underwent Dmek",
        "Presenting Author(s)": "Dr Ana Maria Arghirescu",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ana Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arghirescu",
        "Country Name": "Romania",
        "Purpose": "To evaluate epithelial changes in eyes with Fuchs endothelial corneal dystrophy (FECD) presenting with subclinical versus clinically evident corneal edema and to investigate the contribution of epithelial remodeling to visual quality before and after Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Clinical Institute for Opthalmological Emergencies \"Prof. Dr. Mircea Olteanu\"",
        "Methods": "In this observational study, eyes with FECD were divided into two groups based on the presence of subclinical edema or clinically evident corneal edema. All eyes underwent preoperative evaluation using anterior segment optical coherence tomography (AS-OCT) with epithelial thickness mapping and corneal tomography with wavefront analysis. Parameters analyzed included epithelial thickness distribution, central corneal thickness, and anterior corneal HOAs. The same parameters were reassessed postoperatively following DMEK. Changes in epithelial profile and optical aberrations were compared within and between the two groups to evaluate epithelial compensation and remodeling after restoration of endothelial function.",
        "Results": "Preoperatively, both groups demonstrated epithelial remodeling consistent with a compensatory response to stromal edema, characterized by regional epithelial thickening and irregularity associated with increased anterior corneal HOAs. Following DMEK, restoration of endothelial pump function resulted in epithelial remodelling in both groups. However, the magnitude of epithelial thickness normalization and reduction in HOAs was more pronounced in eyes with clinically evident edema compared with those with subclinical edema.",
        "Conclusions": "Corneal epithelial remodeling occurs in both subclinical and clinical stages of FECD and contributes to the optical disturbances observed in the disease. After DMEK, epithelial regularization accompanies stromal deturgescence and improvement in corneal optics, with more marked changes observed in eyes with clinically evident edema. Assessment of epithelial thickness profiles may therefore provide additional insight into disease severity and postoperative optical recovery in FECD."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POCOR259",
      "abstract_number": "POCOR259",
      "title": "The Impact Of Overlooked Fuchs Endothelial Corneal Dystrophy: Postoperative Results Following Intraocular Interventions",
      "authors": "Dr Teslime Aydemir Sali",
      "presenter": "Dr Teslime Aydemir Sali",
      "normalized_authors": [
        "Teslime Aydemir Sali"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Teslime Aydemir Sali",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate postoperative outcomes in patients with previously unrecognized Fuchs endothelial corneal dystrophy (FECD) following intraocular surgery and to identify clinical, endothelial, and tomographic features associated with delayed diagnosis and corneal decompensation.",
        "Setting": "The study was conducted by an experienced cornea specialist at the Cornea and Ocular Surface Diseases Unit of the Department of Ophthalmology, Balikesir University .",
        "Methods": "This retrospective observational study included patients who underwent intraocular surgery without a preoperative diagnosis of FECD and were subsequently referred for persistent postoperative corneal edema. Demographic data, surgical history, best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were recorded. Endothelial cell parameters were assessed using non-contact specular microscopy, and corneal morphology was evaluated with Scheimpflug-based tomography, including pachymetric distribution, posterior corneal elevation, and higher-order aberrations.",
        "Results": "Forty-five eyes of 39 patients (mean age 69.8 ± 10.5 years; 86% female) were analyzed. Phacoemulsification was the most common prior procedure (91.1%), with a mean interval of 33.4 ± 24.1 months before FECD diagnosis. Mean BCVA increased from 0.18 ± 0.07 to 0.36 ± 0.19 (p = 0.090), while IOP remained stable. Specular microscopy showed reduced endothelial cell density (1146.7 ± 467.7 cells/mm²), increased polymegathism (CV:33.8 ± 14.9%), and decreased hexagonality (17.5 ± 29.9%).Mean CCT measured 588.0 ± 83.6 µm (specular) and 636.0 ± 105.5 µm (tomography). Tomography revealed increased CCT, loss of isopachs (90%),posterior elevation (66.7%), and elevated posterior HOAs (3.93 ± 4.01 µm RMS). Endothelial keratoplasty was recommended in 84.4%.",
        "Conclusions": "Previously unrecognized FECD may predispose patients to postoperative corneal decompensation after intraocular surgery, and comprehensive endothelial and tomographic assessment may facilitate earlier diagnosis, improved risk stratification, and reduced postoperative corneal morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Previously unrecognized FECD may predispose patients to postoperative corneal decompensation after intraocular surgery, and comprehensive endothelial and tomographic assessment may facilitate earlier diagnosis, improved risk stratification, and reduced postoperative corneal morbidity.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 947,
      "source_fields": {
        "Abstract Final Identifier": "POCOR259",
        "Title": "The Impact Of Overlooked Fuchs Endothelial Corneal Dystrophy: Postoperative Results Following Intraocular Interventions",
        "Presenting Author(s)": "Dr Teslime Aydemir Sali",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Teslime",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aydemir Sali",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate postoperative outcomes in patients with previously unrecognized Fuchs endothelial corneal dystrophy (FECD) following intraocular surgery and to identify clinical, endothelial, and tomographic features associated with delayed diagnosis and corneal decompensation.",
        "Setting": "The study was conducted by an experienced cornea specialist at the Cornea and Ocular Surface Diseases Unit of the Department of Ophthalmology, Balikesir University .",
        "Methods": "This retrospective observational study included patients who underwent intraocular surgery without a preoperative diagnosis of FECD and were subsequently referred for persistent postoperative corneal edema. Demographic data, surgical history, best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were recorded. Endothelial cell parameters were assessed using non-contact specular microscopy, and corneal morphology was evaluated with Scheimpflug-based tomography, including pachymetric distribution, posterior corneal elevation, and higher-order aberrations.",
        "Results": "Forty-five eyes of 39 patients (mean age 69.8 ± 10.5 years; 86% female) were analyzed. Phacoemulsification was the most common prior procedure (91.1%), with a mean interval of 33.4 ± 24.1 months before FECD diagnosis. Mean BCVA increased from 0.18 ± 0.07 to 0.36 ± 0.19 (p = 0.090), while IOP remained stable. Specular microscopy showed reduced endothelial cell density (1146.7 ± 467.7 cells/mm²), increased polymegathism (CV:33.8 ± 14.9%), and decreased hexagonality (17.5 ± 29.9%).Mean CCT measured 588.0 ± 83.6 µm (specular) and 636.0 ± 105.5 µm (tomography). Tomography revealed increased CCT, loss of isopachs (90%),posterior elevation (66.7%), and elevated posterior HOAs (3.93 ± 4.01 µm RMS). Endothelial keratoplasty was recommended in 84.4%.",
        "Conclusions": "Previously unrecognized FECD may predispose patients to postoperative corneal decompensation after intraocular surgery, and comprehensive endothelial and tomographic assessment may facilitate earlier diagnosis, improved risk stratification, and reduced postoperative corneal morbidity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POCOR260",
      "abstract_number": "POCOR260",
      "title": "Anterior Segment Oct Detachment Metrics And Their Role In Predicting Rebubbling After Dmek Surgery",
      "authors": "Dr Seyfi Aydin",
      "presenter": "Dr Seyfi Aydin",
      "normalized_authors": [
        "Seyfi Aydin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seyfi Aydin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To determine whether quantitative anterior segment optical coherence tomography (AS-OCT) graft detachment metrics can predict the need for postoperative rebubbling after Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Single tertiary referral eye centre (Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey).",
        "Methods": "Prospective single-centre study of 50 eyes undergoing DMEK for endothelial failure at our clinic between July 2024 and July 2025. BCVA (logMAR), IOP were recorded preoperatively and at months 1, 3 and 6 postoperatively. AS-OCT was performed postoperatively and graft detachment was quantified using ImageJ (NIH): maximum detachment height and detachment area were measured, and normalised ratios (detachment area/cornea area and detachment area/graft area) were calculated. Eyes were stratified by rebubbling requirement. Rebubbling was performed when clinically indicated; ROC analysis determined cut-offs predicting rebubbling.",
        "Results": "BCVA improved from 1.3±0.6 logMAR to 0.4±0.4 at postoperative 6 months (p<0.001). Graft detachment occurred in 32/50 eyes (64%); 19/50 (38%) required rebubbling. Detachment height and area were higher in rebubbled eyes(n:19) than in non-rebubbled eyes(n:13). ROC cut-offs; detachment height 167 um (AUC 0.923), detachment area 108000 um2 (AUC 0.976), area/cornea 6.50% (AUC 0.927), area/graft 20.42% (AUC 0.915).",
        "Conclusions": "Early postoperative AS-OCT-derived detachment metrics accurately predict rebubbling requirement after DMEK. ROC-derived cut-offs may help standardise follow-up and guide timely intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early postoperative AS-OCT-derived detachment metrics accurately predict rebubbling requirement after DMEK. ROC-derived cut-offs may help standardise follow-up and guide timely intervention.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 948,
      "source_fields": {
        "Abstract Final Identifier": "POCOR260",
        "Title": "Anterior Segment Oct Detachment Metrics And Their Role In Predicting Rebubbling After Dmek Surgery",
        "Presenting Author(s)": "Dr Seyfi Aydin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Seyfi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aydin",
        "Country Name": "Türkiye",
        "Purpose": "To determine whether quantitative anterior segment optical coherence tomography (AS-OCT) graft detachment metrics can predict the need for postoperative rebubbling after Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Single tertiary referral eye centre (Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey).",
        "Methods": "Prospective single-centre study of 50 eyes undergoing DMEK for endothelial failure at our clinic between July 2024 and July 2025. BCVA (logMAR), IOP were recorded preoperatively and at months 1, 3 and 6 postoperatively. AS-OCT was performed postoperatively and graft detachment was quantified using ImageJ (NIH): maximum detachment height and detachment area were measured, and normalised ratios (detachment area/cornea area and detachment area/graft area) were calculated. Eyes were stratified by rebubbling requirement. Rebubbling was performed when clinically indicated; ROC analysis determined cut-offs predicting rebubbling.",
        "Results": "BCVA improved from 1.3±0.6 logMAR to 0.4±0.4 at postoperative 6 months (p<0.001). Graft detachment occurred in 32/50 eyes (64%); 19/50 (38%) required rebubbling. Detachment height and area were higher in rebubbled eyes(n:19) than in non-rebubbled eyes(n:13). ROC cut-offs; detachment height 167 um (AUC 0.923), detachment area 108000 um2 (AUC 0.976), area/cornea 6.50% (AUC 0.927), area/graft 20.42% (AUC 0.915).",
        "Conclusions": "Early postoperative AS-OCT-derived detachment metrics accurately predict rebubbling requirement after DMEK. ROC-derived cut-offs may help standardise follow-up and guide timely intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "POCOR261",
      "abstract_number": "POCOR261",
      "title": "Diurnal Changes In Best-Corrected Visual Acuity And Corneal Parameters In Fuchs Endothelial Corneal Dystrophy",
      "authors": "Dr İbrahim Azimli",
      "presenter": "Dr İbrahim Azimli",
      "normalized_authors": [
        "İbrahim Azimli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ibrahim Azimli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate diurnal changes in clinical, topographic and specular microscopic parameters in patients with Fuchs Endothelial Corneal Dystrophy (FECD).",
        "Setting": "This study was conducted at İzmir City hospital and patients followed with Fuchs endothelial dystrophy during June 2024 and June 2025 were included in the study.",
        "Methods": "Thirty-three patients diagnosed with FECD and 44 eyes were included, along with 33 healthy patients matched for age and gender. Patients were staged according to the Krachmer classification. Parameters were measured at three different time points in all participants: baseline (T0), first time point (T1), and second time point (T2). Best corrected visual acuity (BCVA), intraocular pressure (IOP), pachymetric measurements, specular microscopy, topography, single-session OCT measurements for glaucoma, and a single-session gonioscopic examination with iridocorneal angle measurement. Statistical analyses employed linear mixed-effects models and nested linear mixed-effects models. The significance level was set at p < 0.05.",
        "Results": "Visual acuity in the FECD group showed statistically significant changes over time, whereas no significant changes were observed in the control group. In the intergroup comparison, visual acuity values in the FECD group were found to be significantly lower than those in the control group at all time points (p < 0.001). Although no significant difference was observed between the groups in terms of intraocular pressure, statistically significant changes were observed over time in the FECD group. No significant differences were found between the groups in terms of anatomical parameters (axial length, anterior chamber depth, and iridocorneal angle).",
        "Conclusions": "FECD is essentially a progressive dystrophy limited to the corneal endothelium, and measurements taken at a single point in time may not be sufficient for clinical evaluation. The stage of the disease and temporal changes should be evaluated together. Regular follow-up is particularly important in the early stages."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FECD is essentially a progressive dystrophy limited to the corneal endothelium, and measurements taken at a single point in time may not be sufficient for clinical evaluation. The stage of the disease and temporal changes should be evaluated together. Regular follow-up is particularly important in the early stages.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 949,
      "source_fields": {
        "Abstract Final Identifier": "POCOR261",
        "Title": "Diurnal Changes In Best-Corrected Visual Acuity And Corneal Parameters In Fuchs Endothelial Corneal Dystrophy",
        "Presenting Author(s)": "Dr İbrahim Azimli",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ibrahim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Azimli",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate diurnal changes in clinical, topographic and specular microscopic parameters in patients with Fuchs Endothelial Corneal Dystrophy (FECD).",
        "Setting": "This study was conducted at İzmir City hospital and patients followed with Fuchs endothelial dystrophy during June 2024 and June 2025 were included in the study.",
        "Methods": "Thirty-three patients diagnosed with FECD and 44 eyes were included, along with 33 healthy patients matched for age and gender. Patients were staged according to the Krachmer classification. Parameters were measured at three different time points in all participants: baseline (T0), first time point (T1), and second time point (T2). Best corrected visual acuity (BCVA), intraocular pressure (IOP), pachymetric measurements, specular microscopy, topography, single-session OCT measurements for glaucoma, and a single-session gonioscopic examination with iridocorneal angle measurement. Statistical analyses employed linear mixed-effects models and nested linear mixed-effects models. The significance level was set at p < 0.05.",
        "Results": "Visual acuity in the FECD group showed statistically significant changes over time, whereas no significant changes were observed in the control group. In the intergroup comparison, visual acuity values in the FECD group were found to be significantly lower than those in the control group at all time points (p < 0.001). Although no significant difference was observed between the groups in terms of intraocular pressure, statistically significant changes were observed over time in the FECD group. No significant differences were found between the groups in terms of anatomical parameters (axial length, anterior chamber depth, and iridocorneal angle).",
        "Conclusions": "FECD is essentially a progressive dystrophy limited to the corneal endothelium, and measurements taken at a single point in time may not be sufficient for clinical evaluation. The stage of the disease and temporal changes should be evaluated together. Regular follow-up is particularly important in the early stages."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POCOR262",
      "abstract_number": "POCOR262",
      "title": "Results Of Ultrathin Descemet's Stripping Endothelial Keratoplasty Using Pre-Cut Donor Tissue From N H S B T",
      "authors": "Ms Ramendra Bakshi",
      "presenter": "Ms Ramendra Bakshi",
      "normalized_authors": [
        "Ramendra Bakshi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramendra Bakshi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the results of Ultrathin Descemet's Stripping Endothelial Keratoplasty (UT-DSAEK) using pre-cut Donor Tissue from NHSBT.",
        "Setting": "Retrospective review of 16 eyes of 16 patients who underwent UT-DSAEK at Queens Hospital Burton between November 2023 to May 2025.",
        "Methods": "All UT-DSAEK surgeries were performed by the same surgeon RB. Pre-op Endothelial Cell Density and Donor tissue thickness were recorded. Pre and post op Corneal thickness, vision, IOP and post op graft clarity were documented. Insertion technique using the Busin glide was performed in all cases. 20% SF6 gas was used for tamponading the graft.\n\nThere were 8 males and 8 females. Mean age was 77.4+/-7.54 years. Indications were; Fuchs Endothelial Dystrophy in 7, Pseudophakic Bullous Keratopathy in 4, Decompensated Cornea in 2 and Failed Endothelial Keratoplasty in 3 patients.7 patients underwent combined UT-DSAEK with cataract surgery.",
        "Results": "Mean follow up was 12.75+/-13.58 months. Mean preop BCVA was 1.44+/-0.69 logmar which improved to 0.49+/-0.29 logmar. Mean preop corneal thickness was 705+/-33.58 microns which reduced to 593+/-22.91 microns. Mean pre op Endothelial Cell Density was 2507+/-123.07. Mean preop donor lenticule thickness was 98+/-7.81 microns.14 patients (87.5%) had clear grafts at last follow up. Re-bubbling was needed in 5 patients(31.25%) within the first 4 weeks postop. Intraoperative Hyphaema and superior small iridodialysis was noted in 1 patient. Co-existing Herpes simplex keratitis and retained viscoelastic leading to graft detachment were causes of graft failure in 2 patients.",
        "Conclusions": "Conclusions: UT-DSAEK is a safe and effective technique for visual rehabilitation in patients with Endothelial decompensation due to various causes. Minimal complications and a high success rate were noted in our series. UT-DSAEK can be performed in all types of eyes, even in those with complicated anatomy or poor anterior chamber visualization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: UT-DSAEK is a safe and effective technique for visual rehabilitation in patients with Endothelial decompensation due to various causes. Minimal complications and a high success rate were noted in our series. UT-DSAEK can be performed in all types of eyes, even in those with complicated anatomy or poor anterior chamber visualization.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 950,
      "source_fields": {
        "Abstract Final Identifier": "POCOR262",
        "Title": "Results Of Ultrathin Descemet's Stripping Endothelial Keratoplasty Using Pre-Cut Donor Tissue From N H S B T",
        "Presenting Author(s)": "Ms Ramendra Bakshi",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ramendra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bakshi",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the results of Ultrathin Descemet's Stripping Endothelial Keratoplasty (UT-DSAEK) using pre-cut Donor Tissue from NHSBT.",
        "Setting": "Retrospective review of 16 eyes of 16 patients who underwent UT-DSAEK at Queens Hospital Burton between November 2023 to May 2025.",
        "Methods": "All UT-DSAEK surgeries were performed by the same surgeon RB. Pre-op Endothelial Cell Density and Donor tissue thickness were recorded. Pre and post op Corneal thickness, vision, IOP and post op graft clarity were documented. Insertion technique using the Busin glide was performed in all cases. 20% SF6 gas was used for tamponading the graft.\n\nThere were 8 males and 8 females. Mean age was 77.4+/-7.54 years. Indications were; Fuchs Endothelial Dystrophy in 7, Pseudophakic Bullous Keratopathy in 4, Decompensated Cornea in 2 and Failed Endothelial Keratoplasty in 3 patients.7 patients underwent combined UT-DSAEK with cataract surgery.",
        "Results": "Mean follow up was 12.75+/-13.58 months. Mean preop BCVA was 1.44+/-0.69 logmar which improved to 0.49+/-0.29 logmar. Mean preop corneal thickness was 705+/-33.58 microns which reduced to 593+/-22.91 microns. Mean pre op Endothelial Cell Density was 2507+/-123.07. Mean preop donor lenticule thickness was 98+/-7.81 microns.14 patients (87.5%) had clear grafts at last follow up. Re-bubbling was needed in 5 patients(31.25%) within the first 4 weeks postop. Intraoperative Hyphaema and superior small iridodialysis was noted in 1 patient. Co-existing Herpes simplex keratitis and retained viscoelastic leading to graft detachment were causes of graft failure in 2 patients.",
        "Conclusions": "Conclusions: UT-DSAEK is a safe and effective technique for visual rehabilitation in patients with Endothelial decompensation due to various causes. Minimal complications and a high success rate were noted in our series. UT-DSAEK can be performed in all types of eyes, even in those with complicated anatomy or poor anterior chamber visualization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCOR263",
      "abstract_number": "POCOR263",
      "title": "Outcomes Of Dsaek In Complex Corneal Cases: A Resident’S Perspective",
      "authors": "Dr Akshaya Balaji",
      "presenter": "Dr Akshaya Balaji",
      "normalized_authors": [
        "Akshaya Balaji"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akshaya Balaji",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK) has become a preferred technique for endothelial dysfunction, offering faster recovery and better tectonic stability compared to penetrating keratoplasty (PKP).However, performing DSAEK in complex cases such as post-PKP eyes, aphakic eyes, and corneal decompensation following Toxic Anterior Segment Syndrome (TASS) — presents unique surgical challenges including irregular anatomy, poor anterior chamber stability, and compromised host tissues.This case series aims to evaluate the feasibility, visual outcomes, and complications of DSAEK in such high-risk eyes.",
        "Setting": "Retrospective interventional case series in a tertiary care centre",
        "Methods": "Sample Size: 6 eyes of 6 patients were include\n\n• Standard DSAEK with microkeratome-prepared donor tissue was performed by single trainee surgeon\n\n• Donor insertion was done using Busin glide under fluid using anterior chamber maintainer\n\n• Air or gas tamponade with 80–90% anterior chamber fill was done\n\n• Microscope integrated OCT aided in identifying interface fluid and intraoperative graft attachment\n\n• Modifications such as non scoring of host Descemet membrane in Post PKP cases, removal of membrane from angle of anterior chamber in TASS related cases and additional anterior vitrectomy with suture aided graft attachment was done in aphakic case.\n\nMean duration of followup was 9 months",
        "Results": "Results: Anatomical success (graft attachment) was achieved in all 6 cases. Second surgical intervention -rebubbling for partial graft detachment was required in one case (Aphakic decompensation). All patients who underwent DSAEK had significant improvement in visual acuity compared to their preoperative visual acuity. Secondary glaucoma was noticed in two TASS related decompensation cases. The intraoperative modifications were based on the complexity of these cases.",
        "Conclusions": "Preoperative planning and anticipation of challenges with timely modification if steps in DSAEK of such complex cases helps achieve anatomical and functional success even in trainee surgeons.Intraoperative challenges such as poor visibility, incomplete removal of host Descemet membrane, unstable anterior chamber, peripheral anterior synechiae, fibrin membrane at the angle of AC, unstable intraocular lens, poor wounds of previous surgery and hypotony are to be kept in mind during preoperative planning.Anatomical and functional success is achievable by trainee surgeons in such complex cases with prior planning and modification of routine steps of DSAEK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative planning and anticipation of challenges with timely modification if steps in DSAEK of such complex cases helps achieve anatomical and functional success even in trainee surgeons.Intraoperative challenges such as poor visibility, incomplete removal of host Descemet membrane, unstable anterior chamber, peripheral anterior synechiae, fibrin membrane at the angle of AC, unstable intraocular lens, poor…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 951,
      "source_fields": {
        "Abstract Final Identifier": "POCOR263",
        "Title": "Outcomes Of Dsaek In Complex Corneal Cases: A Resident’S Perspective",
        "Presenting Author(s)": "Dr Akshaya Balaji",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Akshaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Balaji",
        "Country Name": "India",
        "Purpose": "Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK) has become a preferred technique for endothelial dysfunction, offering faster recovery and better tectonic stability compared to penetrating keratoplasty (PKP).However, performing DSAEK in complex cases such as post-PKP eyes, aphakic eyes, and corneal decompensation following Toxic Anterior Segment Syndrome (TASS) — presents unique surgical challenges including irregular anatomy, poor anterior chamber stability, and compromised host tissues.This case series aims to evaluate the feasibility, visual outcomes, and complications of DSAEK in such high-risk eyes.",
        "Setting": "Retrospective interventional case series in a tertiary care centre",
        "Methods": "Sample Size: 6 eyes of 6 patients were include\n\n• Standard DSAEK with microkeratome-prepared donor tissue was performed by single trainee surgeon\n\n• Donor insertion was done using Busin glide under fluid using anterior chamber maintainer\n\n• Air or gas tamponade with 80–90% anterior chamber fill was done\n\n• Microscope integrated OCT aided in identifying interface fluid and intraoperative graft attachment\n\n• Modifications such as non scoring of host Descemet membrane in Post PKP cases, removal of membrane from angle of anterior chamber in TASS related cases and additional anterior vitrectomy with suture aided graft attachment was done in aphakic case.\n\nMean duration of followup was 9 months",
        "Results": "Results: Anatomical success (graft attachment) was achieved in all 6 cases. Second surgical intervention -rebubbling for partial graft detachment was required in one case (Aphakic decompensation). All patients who underwent DSAEK had significant improvement in visual acuity compared to their preoperative visual acuity. Secondary glaucoma was noticed in two TASS related decompensation cases. The intraoperative modifications were based on the complexity of these cases.",
        "Conclusions": "Preoperative planning and anticipation of challenges with timely modification if steps in DSAEK of such complex cases helps achieve anatomical and functional success even in trainee surgeons.Intraoperative challenges such as poor visibility, incomplete removal of host Descemet membrane, unstable anterior chamber, peripheral anterior synechiae, fibrin membrane at the angle of AC, unstable intraocular lens, poor wounds of previous surgery and hypotony are to be kept in mind during preoperative planning.Anatomical and functional success is achievable by trainee surgeons in such complex cases with prior planning and modification of routine steps of DSAEK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 351
    },
    {
      "uid": "POCOR264",
      "abstract_number": "POCOR264",
      "title": "To Compare Objective And Subjective Outcomes After Descemet Membrane Endothelial Keratoplasty (Dmek) And Descemet Stripping Automated Endothelial Keratoplasty (Dsaek) In The Fellow Eye Of The Same Patients",
      "authors": "Dr Rohit Ramgopal Bang",
      "presenter": "Dr Rohit Ramgopal Bang",
      "normalized_authors": [
        "Rohit Ramgopal Bang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rohit Ramgopal Bang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare objective and subjective outcomes after Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK) in the fellow eye of the same patients",
        "Setting": ": Single-center, retrospective case series",
        "Methods": "Seventeen patients with bilateral Fuchs endothelial dystrophy who underwent DSAEK earlier in 1 eye, and later underwent DMEK in the contralateral eye, Outcome measures included best spectacle-corrected visual acuity (BSCVA) and endothelial cell density (ECD)",
        "Results": "Preoperative BSCVA (logMAR) was similar in both groups, 0.66 ± 0.4 in DMEK and 0.59 ± 0.4 in DSAEK (P [ .6).The DMEK group showed better BSCVA than the DSAEK group at the 6-month time point (0.25 ± 0.1 and 0.39 ± 0.1, for DMEK and DSAEK, respectively,P[ .02). Preoperative ECD (cells/mm2 ) was similar in both groups (2647 ± 249 and 2768 ± 404, P [ .3) in DMEK and DSAEK, respectively. There was statistically significant difference found in ECD at 6 months (2227 ± 565 for DMEK and 1780 ± 433 for DSAEK, P [ .049). Subjective level of average satisfaction after DMEK was 6 and after DSAEK was 4.87 ± 1.19 (P [ .002)",
        "Conclusions": "DMEK provided better visual outcome and lower endothelial cell loss than DSAEK and a higher level of patient satisfaction when assessed at 6 months after surgery. Our results comparing the 2 procedures in the same patients support the benefits of DMEK"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DMEK provided better visual outcome and lower endothelial cell loss than DSAEK and a higher level of patient satisfaction when assessed at 6 months after surgery. Our results comparing the 2 procedures in the same patients support the benefits of DMEK",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 952,
      "source_fields": {
        "Abstract Final Identifier": "POCOR264",
        "Title": "To Compare Objective And Subjective Outcomes After Descemet Membrane Endothelial Keratoplasty (Dmek) And Descemet Stripping Automated Endothelial Keratoplasty (Dsaek) In The Fellow Eye Of The Same Patients",
        "Presenting Author(s)": "Dr Rohit Ramgopal Bang",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Rohit",
        "Submitter Middle Name": "Ramgopal",
        "Submitter Last Name": "Bang",
        "Country Name": "India",
        "Purpose": "To compare objective and subjective outcomes after Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK) in the fellow eye of the same patients",
        "Setting": ": Single-center, retrospective case series",
        "Methods": "Seventeen patients with bilateral Fuchs endothelial dystrophy who underwent DSAEK earlier in 1 eye, and later underwent DMEK in the contralateral eye, Outcome measures included best spectacle-corrected visual acuity (BSCVA) and endothelial cell density (ECD)",
        "Results": "Preoperative BSCVA (logMAR) was similar in both groups, 0.66 ± 0.4 in DMEK and 0.59 ± 0.4 in DSAEK (P [ .6).The DMEK group showed better BSCVA than the DSAEK group at the 6-month time point (0.25 ± 0.1 and 0.39 ± 0.1, for DMEK and DSAEK, respectively,P[ .02). Preoperative ECD (cells/mm2 ) was similar in both groups (2647 ± 249 and 2768 ± 404, P [ .3) in DMEK and DSAEK, respectively. There was statistically significant difference found in ECD at 6 months (2227 ± 565 for DMEK and 1780 ± 433 for DSAEK, P [ .049). Subjective level of average satisfaction after DMEK was 6 and after DSAEK was 4.87 ± 1.19 (P [ .002)",
        "Conclusions": "DMEK provided better visual outcome and lower endothelial cell loss than DSAEK and a higher level of patient satisfaction when assessed at 6 months after surgery. Our results comparing the 2 procedures in the same patients support the benefits of DMEK"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCOR265",
      "abstract_number": "POCOR265",
      "title": "The Influence Of Endothelial Graft Implantation Method And Lactoferrin Content In Lacrimal Fluid On Surgical Outcomes In Dsaek",
      "authors": "Dr Kamilla Bazarbaeva",
      "presenter": "Dr Kamilla Bazarbaeva",
      "normalized_authors": [
        "Kamilla Bazarbaeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kamilla Bazarbaeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To evaluate the influence of endothelial graft implantation method and lactoferrin content in lacrimal fluid on surgical outcomes in DSAEK (Descemet's Stripping Automated Endothelial Keratoplasty).",
        "Setting": "Republican Specialized Scientific-Practical Medical Center for Eye Microsurgery, Tashkent, Uzbekistan. Tertiary referral center specializing in corneal transplantation and anterior segment surgery.",
        "Methods": "Case Presentation:\n\n• Patient: 48-year-old male with Fuchs' endothelial dystrophy\n\n• Eye treated: Right eye\n\n• Pre-operative BCVA: 0.15 (20/133)\n\n• Pre-operative CCT: 812 µm\n\n• Pre-operative ECC: 764 cells/mm²\n\n• Pre-operative lactoferrin: 1.5 mg/mL\n\nSurgical Technique:\n\n• Procedure: DSAEK using TransplantREADY™ pre-loaded donor graft system\n\n• Donor tissue: 8.0 mm pre-cut endothelial graft\n\n• Approach: 3.2 mm temporal clear corneal incision\n\n• Insertion method: Minimal manipulation cartridge delivery without forceps\n\nFollow-up Protocol:\n\n• Clinical examinations: Day 1, Week 1, Month 3, Month 6\n\n• Measurements: BCVA, CCT, IOP, endothelial cell count, specular microscopy\n\n• Biomarker analysis: Tear film lactoferrin levels measured by ELISA at baseline, 3 months, 6 months",
        "Results": "Visual Outcomes:\n\nDay 1: BCVA 0.2\n\nWeek 1: BCVA 0.3\n\nMonth 3: BCVA 0.5\n\nMonth 6: BCVA 0.7\n\nAnatomical Outcomes:\n\nMonth 3 CCT: 614 µm (24% reduction from baseline)\n\nMonth 6 CCT: 598 µm (26% reduction from baseline)\n\nCorneal densitometry: 54 GSU (3 months) → 40 GSU (6 months)\n\nEndothelial Cell Analysis:\n\nDonor ECC pre-op: 2,764 cells/mm²\n\nMonth 3 ECC: 2,603 cells/mm² (5.8% loss)\n\nMonth 6 ECC: 2,542 cells/mm² (8.0% total loss)\n\nCell morphology: Hexagonal pattern well-preserved (CV: 32%)\n\nPolymegathism: Minimal (within normal range)\n\nLactoferrin Biomarker Analysis:\n\nBaseline: 1.5 mg/mL\n\nMonth 3: 1.3 mg/mL (13% decrease - surgical stress phase)\n\nMonth 6: 1.7 mg/mL (13% increase from baseline - complete recovery)\n\nCorrelation with visual acuity: Strong positive (r = 0.87, p < 0.01)",
        "Conclusions": "The pre-loaded cartridge delivery system minimized surgical trauma to the donor tissue, resulting in better cell preservation and faster visual recovery. Tear film lactoferrin levels proved useful for monitoring recovery. The patient's pre-operative level of 1.5 mg/mL temporarily decreased to 1.3 mg/mL at 3 months (reflecting the normal post-surgical healing process), then increased to 1.7 mg/mL by 6 months - indicating complete ocular surface recovery. This biomarker showed strong correlation with visual outcomes and may help predict which patients will do well after surgery.The TransplantREADY™ system offers a safer, more predictable approach to DSAEK with less cell damage and better visual results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The pre-loaded cartridge delivery system minimized surgical trauma to the donor tissue, resulting in better cell preservation and faster visual recovery. Tear film lactoferrin levels proved useful for monitoring recovery. The patient's pre-operative level of 1.5 mg/mL temporarily decreased to 1.3 mg/mL at 3 months (reflecting the normal post-surgical healing process), then increased to 1.7 mg/mL by 6 months -…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 953,
      "source_fields": {
        "Abstract Final Identifier": "POCOR265",
        "Title": "The Influence Of Endothelial Graft Implantation Method And Lactoferrin Content In Lacrimal Fluid On Surgical Outcomes In Dsaek",
        "Presenting Author(s)": "Dr Kamilla Bazarbaeva",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Kamilla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bazarbaeva",
        "Country Name": "Uzbekistan",
        "Purpose": "To evaluate the influence of endothelial graft implantation method and lactoferrin content in lacrimal fluid on surgical outcomes in DSAEK (Descemet's Stripping Automated Endothelial Keratoplasty).",
        "Setting": "Republican Specialized Scientific-Practical Medical Center for Eye Microsurgery, Tashkent, Uzbekistan. Tertiary referral center specializing in corneal transplantation and anterior segment surgery.",
        "Methods": "Case Presentation:\n\n• Patient: 48-year-old male with Fuchs' endothelial dystrophy\n\n• Eye treated: Right eye\n\n• Pre-operative BCVA: 0.15 (20/133)\n\n• Pre-operative CCT: 812 µm\n\n• Pre-operative ECC: 764 cells/mm²\n\n• Pre-operative lactoferrin: 1.5 mg/mL\n\nSurgical Technique:\n\n• Procedure: DSAEK using TransplantREADY™ pre-loaded donor graft system\n\n• Donor tissue: 8.0 mm pre-cut endothelial graft\n\n• Approach: 3.2 mm temporal clear corneal incision\n\n• Insertion method: Minimal manipulation cartridge delivery without forceps\n\nFollow-up Protocol:\n\n• Clinical examinations: Day 1, Week 1, Month 3, Month 6\n\n• Measurements: BCVA, CCT, IOP, endothelial cell count, specular microscopy\n\n• Biomarker analysis: Tear film lactoferrin levels measured by ELISA at baseline, 3 months, 6 months",
        "Results": "Visual Outcomes:\n\nDay 1: BCVA 0.2\n\nWeek 1: BCVA 0.3\n\nMonth 3: BCVA 0.5\n\nMonth 6: BCVA 0.7\n\nAnatomical Outcomes:\n\nMonth 3 CCT: 614 µm (24% reduction from baseline)\n\nMonth 6 CCT: 598 µm (26% reduction from baseline)\n\nCorneal densitometry: 54 GSU (3 months) → 40 GSU (6 months)\n\nEndothelial Cell Analysis:\n\nDonor ECC pre-op: 2,764 cells/mm²\n\nMonth 3 ECC: 2,603 cells/mm² (5.8% loss)\n\nMonth 6 ECC: 2,542 cells/mm² (8.0% total loss)\n\nCell morphology: Hexagonal pattern well-preserved (CV: 32%)\n\nPolymegathism: Minimal (within normal range)\n\nLactoferrin Biomarker Analysis:\n\nBaseline: 1.5 mg/mL\n\nMonth 3: 1.3 mg/mL (13% decrease - surgical stress phase)\n\nMonth 6: 1.7 mg/mL (13% increase from baseline - complete recovery)\n\nCorrelation with visual acuity: Strong positive (r = 0.87, p < 0.01)",
        "Conclusions": "The pre-loaded cartridge delivery system minimized surgical trauma to the donor tissue, resulting in better cell preservation and faster visual recovery. Tear film lactoferrin levels proved useful for monitoring recovery. The patient's pre-operative level of 1.5 mg/mL temporarily decreased to 1.3 mg/mL at 3 months (reflecting the normal post-surgical healing process), then increased to 1.7 mg/mL by 6 months - indicating complete ocular surface recovery. This biomarker showed strong correlation with visual outcomes and may help predict which patients will do well after surgery.The TransplantREADY™ system offers a safer, more predictable approach to DSAEK with less cell damage and better visual results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "POCOR266",
      "abstract_number": "POCOR266",
      "title": "Early Graft Attachment And 12-Month Outcomes Of Imported Preloaded Vs. Surgeon-Cut Descemet's Stripping Automated Endothelial Keratoplasty",
      "authors": "Dr Halah Bin Helayel",
      "presenter": "Dr Halah Bin Helayel",
      "normalized_authors": [
        "Halah Bin Helayel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Halah Bin Helayel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare early graft attachment and graft survival between preloaded and surgeon-cut Descemet stripping automated endothelial keratoplasty (DSAEK) using imported donor tissue",
        "Setting": "Tertiary referral ophthamic center.",
        "Methods": "Retrospective comparative study of 131 DSAEK procedures performed between 2021 and 2025 using either preloaded (n=78) or surgeon-cut (n=53) grafts. Visual acuity, graft detachment, rebubbling, donor and graft characteristics, and graft failure were analyzed.",
        "Results": "Early graft detachment occurred exclusively in surgeon-cut grafts (13.2%) and not in any preloaded grafts (P=0.001). Surgeon-cut grafts were significantly thicker and had longer storage times (both P<0.001). Preloaded grafts demonstrated faster early visual recovery, though long-term visual outcomes at 12 months were similar. At 12 months, graft survival did not differ significantly between techniques. Early graft detachment was the dominant determinant of poor visual outcome and subsequent graft failure.",
        "Conclusions": "In an import-dependent setting, preloaded and surgeon-cut DSAEK yield comparable long-term outcomes when evaluated at fixed time points. The graft preparation technique impacted early postoperative attachment but was not associated with long-term graft failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In an import-dependent setting, preloaded and surgeon-cut DSAEK yield comparable long-term outcomes when evaluated at fixed time points. The graft preparation technique impacted early postoperative attachment but was not associated with long-term graft failure.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 954,
      "source_fields": {
        "Abstract Final Identifier": "POCOR266",
        "Title": "Early Graft Attachment And 12-Month Outcomes Of Imported Preloaded Vs. Surgeon-Cut Descemet's Stripping Automated Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Halah Bin Helayel",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Halah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bin Helayel",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare early graft attachment and graft survival between preloaded and surgeon-cut Descemet stripping automated endothelial keratoplasty (DSAEK) using imported donor tissue",
        "Setting": "Tertiary referral ophthamic center.",
        "Methods": "Retrospective comparative study of 131 DSAEK procedures performed between 2021 and 2025 using either preloaded (n=78) or surgeon-cut (n=53) grafts. Visual acuity, graft detachment, rebubbling, donor and graft characteristics, and graft failure were analyzed.",
        "Results": "Early graft detachment occurred exclusively in surgeon-cut grafts (13.2%) and not in any preloaded grafts (P=0.001). Surgeon-cut grafts were significantly thicker and had longer storage times (both P<0.001). Preloaded grafts demonstrated faster early visual recovery, though long-term visual outcomes at 12 months were similar. At 12 months, graft survival did not differ significantly between techniques. Early graft detachment was the dominant determinant of poor visual outcome and subsequent graft failure.",
        "Conclusions": "In an import-dependent setting, preloaded and surgeon-cut DSAEK yield comparable long-term outcomes when evaluated at fixed time points. The graft preparation technique impacted early postoperative attachment but was not associated with long-term graft failure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 171
    },
    {
      "uid": "POCOR267",
      "abstract_number": "POCOR267",
      "title": "One Disease, Three Outcomes: Individualized Management In Herpetic Endotheliitis",
      "authors": "Dr Youness Bouhafra",
      "presenter": "Dr Youness Bouhafra",
      "normalized_authors": [
        "Youness Bouhafra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Youness Bouhafra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To emphasize the heterogeneous clinical course of herpetic endotheliitis and to demonstrate that therapeutic management must be individualized according to the stage of endothelial damage. Through three clinical scenarios, we aimed to illustrate the spectrum of evolution ranging from reversible inflammatory endothelial dysfunction responsive to antiviral therapy, to irreversible endothelial failure requiring Descemet Membrane Endothelial Keratoplasty (DMEK), and finally to postoperative viral recurrence occurring on an initially successful graft.",
        "Setting": "Department of Ophthalmology, Tertiary Referral Center for Corneal Diseases and Endothelial Keratoplasty, Hospital Cheikh Zaïd, Rabat, Morocco, a national referral center managing complex viral corneal pathologies and advanced endothelial surgical procedures.",
        "Methods": "We report a descriptive series of three patients aged 50, 41, and 63 years followed for recurrent herpetic endotheliitis. Baseline evaluation included best-corrected visual acuity (BCVA), intraocular pressure measurement, slit-lamp biomicroscopy documenting corneal edema and inflammatory signs, and anterior segment OCT assessing endothelial decompensation. All patients received systemic antiviral therapy combined with adjusted topical corticosteroids. In cases of persistent stromal edema, reduced vision, and OCT-confirmed irreversible endothelial failure despite optimized medical treatment, DMEK was performed. Long-term antiviral prophylaxis and close postoperative surveillance were systematically implemented.",
        "Results": "The first patient presented acute inflammatory endotheliitis with stromal edema and a Khodadoust line; medical therapy alone resulted in complete resolution and BCVA improvement from 4/10 to 8/10. The second patient developed progressive central corneal edema unresponsive to antivirals, evolving toward irreversible endothelial failure; DMEK achieved rapid corneal clarity and significant visual recovery. The third patient, pseudophakic, presented diffuse edema and ocular hypertension requiring DMEK; although initial graft attachment and transparency were satisfactory, postoperative herpetic recurrence led to renewed corneal edema, necessitating intensified antiviral treatment.",
        "Conclusions": "Herpetic endotheliitis exhibits unpredictable and stage-dependent progression. Management must be tailored to the severity of endothelial involvement. While early inflammatory dysfunction may be reversible under medical therapy, advanced decompensation requires endothelial keratoplasty. However, surgical replacement of the endothelium does not eliminate viral latency, and recurrence on a clear graft remains a significant risk factor for long-term graft survival, highlighting the necessity of prolonged antiviral prophylaxis and strict follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Herpetic endotheliitis exhibits unpredictable and stage-dependent progression. Management must be tailored to the severity of endothelial involvement. While early inflammatory dysfunction may be reversible under medical therapy, advanced decompensation requires endothelial keratoplasty. However, surgical replacement of the endothelium does not eliminate viral latency, and recurrence on a clear graft remains a…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 955,
      "source_fields": {
        "Abstract Final Identifier": "POCOR267",
        "Title": "One Disease, Three Outcomes: Individualized Management In Herpetic Endotheliitis",
        "Presenting Author(s)": "Dr Youness Bouhafra",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Youness",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bouhafra",
        "Country Name": "Morocco",
        "Purpose": "To emphasize the heterogeneous clinical course of herpetic endotheliitis and to demonstrate that therapeutic management must be individualized according to the stage of endothelial damage. Through three clinical scenarios, we aimed to illustrate the spectrum of evolution ranging from reversible inflammatory endothelial dysfunction responsive to antiviral therapy, to irreversible endothelial failure requiring Descemet Membrane Endothelial Keratoplasty (DMEK), and finally to postoperative viral recurrence occurring on an initially successful graft.",
        "Setting": "Department of Ophthalmology, Tertiary Referral Center for Corneal Diseases and Endothelial Keratoplasty, Hospital Cheikh Zaïd, Rabat, Morocco, a national referral center managing complex viral corneal pathologies and advanced endothelial surgical procedures.",
        "Methods": "We report a descriptive series of three patients aged 50, 41, and 63 years followed for recurrent herpetic endotheliitis. Baseline evaluation included best-corrected visual acuity (BCVA), intraocular pressure measurement, slit-lamp biomicroscopy documenting corneal edema and inflammatory signs, and anterior segment OCT assessing endothelial decompensation. All patients received systemic antiviral therapy combined with adjusted topical corticosteroids. In cases of persistent stromal edema, reduced vision, and OCT-confirmed irreversible endothelial failure despite optimized medical treatment, DMEK was performed. Long-term antiviral prophylaxis and close postoperative surveillance were systematically implemented.",
        "Results": "The first patient presented acute inflammatory endotheliitis with stromal edema and a Khodadoust line; medical therapy alone resulted in complete resolution and BCVA improvement from 4/10 to 8/10. The second patient developed progressive central corneal edema unresponsive to antivirals, evolving toward irreversible endothelial failure; DMEK achieved rapid corneal clarity and significant visual recovery. The third patient, pseudophakic, presented diffuse edema and ocular hypertension requiring DMEK; although initial graft attachment and transparency were satisfactory, postoperative herpetic recurrence led to renewed corneal edema, necessitating intensified antiviral treatment.",
        "Conclusions": "Herpetic endotheliitis exhibits unpredictable and stage-dependent progression. Management must be tailored to the severity of endothelial involvement. While early inflammatory dysfunction may be reversible under medical therapy, advanced decompensation requires endothelial keratoplasty. However, surgical replacement of the endothelium does not eliminate viral latency, and recurrence on a clear graft remains a significant risk factor for long-term graft survival, highlighting the necessity of prolonged antiviral prophylaxis and strict follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "POCOR268",
      "abstract_number": "POCOR268",
      "title": "Early Clinical Outcomes Using Eye Bank–Prepared Pre-Peeled Dmek Tissue: First Uk Experience",
      "authors": "Mr George Castle",
      "presenter": "Mr George Castle",
      "normalized_authors": [
        "George Castle"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "George Castle",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate early clinical outcomes following the first use of pre-peeled Descemet membrane endothelial keratoplasty (DMEK) tissue prepared by NHS Blood and Transplant.",
        "Setting": "Norfolk and Norwich Univeristy Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "Prospective consecutive case series of five eyes undergoing DMEK using eye bank–prepared pre-peeled tissue. Procedures included standalone DMEK and combined phacoemulsification with intraocular lens implantation. Postoperative assessment was performed at day 1, week 1, and month 1. Outcome measures included best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber inflammation, and central corneal thickness (CCT) measured by anterior segment OCT.",
        "Results": "All eyes demonstrated rapid corneal deturgescence. Day-1 CCT ranged from 512–904 µm, reducing by week 1 to 505–589 µm in four eyes and 678 µm in one eye. Visual acuity improved in all cases; by one month, three eyes achieved BCVA ≥6/9 and all were ≥6/18 with pinhole. One combined phaco-DMEK eye had transient IOP elevation (26 mmHg) resolving with topical timolol; two further eyes required topical therapy for raised IOP during follow-up. Mild anterior chamber inflammation in one eye resolved with short-term steroid intensification. No primary graft failure, graft detachment requiring rebubbling, or intraoperative complications occurred.",
        "Conclusions": "Eye bank–prepared pre-peeled DMEK tissue demonstrated favourable early anatomical and visual outcomes with an acceptable safety profile. This approach may reduce intraoperative tissue handling and facilitate broader adoption of DMEK. Larger studies with longer follow-up are required to evaluate endothelial cell survival and cost-effectiveness within routine practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eye bank–prepared pre-peeled DMEK tissue demonstrated favourable early anatomical and visual outcomes with an acceptable safety profile. This approach may reduce intraoperative tissue handling and facilitate broader adoption of DMEK. Larger studies with longer follow-up are required to evaluate endothelial cell survival and cost-effectiveness within routine practice.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 956,
      "source_fields": {
        "Abstract Final Identifier": "POCOR268",
        "Title": "Early Clinical Outcomes Using Eye Bank–Prepared Pre-Peeled Dmek Tissue: First Uk Experience",
        "Presenting Author(s)": "Mr George Castle",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "George",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Castle",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate early clinical outcomes following the first use of pre-peeled Descemet membrane endothelial keratoplasty (DMEK) tissue prepared by NHS Blood and Transplant.",
        "Setting": "Norfolk and Norwich Univeristy Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "Prospective consecutive case series of five eyes undergoing DMEK using eye bank–prepared pre-peeled tissue. Procedures included standalone DMEK and combined phacoemulsification with intraocular lens implantation. Postoperative assessment was performed at day 1, week 1, and month 1. Outcome measures included best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber inflammation, and central corneal thickness (CCT) measured by anterior segment OCT.",
        "Results": "All eyes demonstrated rapid corneal deturgescence. Day-1 CCT ranged from 512–904 µm, reducing by week 1 to 505–589 µm in four eyes and 678 µm in one eye. Visual acuity improved in all cases; by one month, three eyes achieved BCVA ≥6/9 and all were ≥6/18 with pinhole. One combined phaco-DMEK eye had transient IOP elevation (26 mmHg) resolving with topical timolol; two further eyes required topical therapy for raised IOP during follow-up. Mild anterior chamber inflammation in one eye resolved with short-term steroid intensification. No primary graft failure, graft detachment requiring rebubbling, or intraoperative complications occurred.",
        "Conclusions": "Eye bank–prepared pre-peeled DMEK tissue demonstrated favourable early anatomical and visual outcomes with an acceptable safety profile. This approach may reduce intraoperative tissue handling and facilitate broader adoption of DMEK. Larger studies with longer follow-up are required to evaluate endothelial cell survival and cost-effectiveness within routine practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POCOR269",
      "abstract_number": "POCOR269",
      "title": "Outcomes Of Endoart® Implantation In Patients At High Risk For Human Graft Rejection",
      "authors": "Dr Ofer Daphna",
      "presenter": "Dr Ofer Daphna",
      "normalized_authors": [
        "Ofer Daphna"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ofer Daphna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To report twelve months safety and efficacy outcomes of implantation of an impermeable artificial lamella (EndoArt®) on the posterior surface of the cornea of adult patients suffering from chronic corneal edema who were at high risk for human graft rejection.",
        "Setting": "The EndoArt® (EyeYon Medical, Ness Ziona, Israel) was implanted in 76 high- risk patients. Fifty-three (53) of the 76 were operated as part of a clinical trial, 16 were compassionate cases and additional 7 patients were implanted with EndoArt® following CE approval.",
        "Methods": "The EndoArt® (EyeYon Medical, Ness Ziona, Israel) was implanted in 76 high- risk patients. These patients either failed multiple keratoplasties or had a condition placing them at risk for human graft failure. Safety and efficacy data, including central corneal thickness (CCT), best corrected visual acuity (BCVA) and pain score (measured by visual analogue scale, VAS) are presented for the first 12 months post implantation.",
        "Results": "Central corneal thickness (CCT) decreased significantly from 762 ± 159 µm at baseline (n=76) to 562 ± 128 µm at 6 months and 562 ± 141 µm at 12-month follow-up (p ≪ 0.05).Patient-reported pain scores (VAS/NRS) were markedly reduced from 18 ± 19 preoperatively (n=58) to 5 ± 11 at 12 months post-implantation (p < 0.05).Despite limited baseline visual potential and significant co-morbidities, best-corrected visual acuity (BCVA) improved significantly from 1.72 ± 0.52 logMAR preoperatively to 1.30 ± 0.64 logMAR at 12 months. In eyes with visual potential, BCVA reached up to 6/9.\n\nNo long-term infections or inflammatory complications related to EndoArt® implantation were reported.",
        "Conclusions": "T he implant demonstrated safety and efficacy in treating chronic corneal edema in high-risk patients prone to graft rejection, leading to reduced edema and pain while improving vision in most cases. Comparison with lower-risk patients showed similar trends of CCT, pain and vision improvement, though re-bubbling rate was lower in the lower-risk group. As EndoArt® is not subject to rejection, it may offer a durable long-term solution for high-risk patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "T he implant demonstrated safety and efficacy in treating chronic corneal edema in high-risk patients prone to graft rejection, leading to reduced edema and pain while improving vision in most cases. Comparison with lower-risk patients showed similar trends of CCT, pain and vision improvement, though re-bubbling rate was lower in the lower-risk group. As EndoArt® is not subject to rejection, it may offer a durable…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 957,
      "source_fields": {
        "Abstract Final Identifier": "POCOR269",
        "Title": "Outcomes Of Endoart® Implantation In Patients At High Risk For Human Graft Rejection",
        "Presenting Author(s)": "Dr Ofer Daphna",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ofer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Daphna",
        "Country Name": "Israel",
        "Purpose": "To report twelve months safety and efficacy outcomes of implantation of an impermeable artificial lamella (EndoArt®) on the posterior surface of the cornea of adult patients suffering from chronic corneal edema who were at high risk for human graft rejection.",
        "Setting": "The EndoArt® (EyeYon Medical, Ness Ziona, Israel) was implanted in 76 high- risk patients. Fifty-three (53) of the 76 were operated as part of a clinical trial, 16 were compassionate cases and additional 7 patients were implanted with EndoArt® following CE approval.",
        "Methods": "The EndoArt® (EyeYon Medical, Ness Ziona, Israel) was implanted in 76 high- risk patients. These patients either failed multiple keratoplasties or had a condition placing them at risk for human graft failure. Safety and efficacy data, including central corneal thickness (CCT), best corrected visual acuity (BCVA) and pain score (measured by visual analogue scale, VAS) are presented for the first 12 months post implantation.",
        "Results": "Central corneal thickness (CCT) decreased significantly from 762 ± 159 µm at baseline (n=76) to 562 ± 128 µm at 6 months and 562 ± 141 µm at 12-month follow-up (p ≪ 0.05).Patient-reported pain scores (VAS/NRS) were markedly reduced from 18 ± 19 preoperatively (n=58) to 5 ± 11 at 12 months post-implantation (p < 0.05).Despite limited baseline visual potential and significant co-morbidities, best-corrected visual acuity (BCVA) improved significantly from 1.72 ± 0.52 logMAR preoperatively to 1.30 ± 0.64 logMAR at 12 months. In eyes with visual potential, BCVA reached up to 6/9.\n\nNo long-term infections or inflammatory complications related to EndoArt® implantation were reported.",
        "Conclusions": "T he implant demonstrated safety and efficacy in treating chronic corneal edema in high-risk patients prone to graft rejection, leading to reduced edema and pain while improving vision in most cases. Comparison with lower-risk patients showed similar trends of CCT, pain and vision improvement, though re-bubbling rate was lower in the lower-risk group. As EndoArt® is not subject to rejection, it may offer a durable long-term solution for high-risk patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POCOR270",
      "abstract_number": "POCOR270",
      "title": "Outcomes Of Repeat Endothelial Keratoplasty: A 20-Year Single-Centre Experience Comparing Descemet Membrane Endothelial Keratoplasty And Descemet Stripping Endothelial Keratoplasty",
      "authors": "Dr Panagiotis Dervenis",
      "presenter": "Dr Panagiotis Dervenis",
      "normalized_authors": [
        "Panagiotis Dervenis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Panagiotis Dervenis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Repeat endothelial keratoplasty remains a technically demanding procedure with limited long-term outcome data, particularly in the context of modern Descemet membrane endothelial keratoplasty (DMEK). This study aims to evaluate the long-term visual, endothelial, and surgical outcomes of repeat endothelial keratoplasty over a 20-year period at a tertiary referral centre, and to compare the efficacy and safety of DMEK versus Descemet stripping endothelial keratoplasty (DSEK) in this challenging operative setting.",
        "Setting": "This retrospective consecutive case series was conducted at the Corneal Service, King's College Hospital NHS Foundation Trust, London, United Kingdom - a major tertiary referral centre serving a large and ethnically diverse South London population. All repeat endothelial keratoplasty procedures performed between 2006 and 2026 were captured from a prospectively maintained institutional surgical database, encompassing cases performed by multiple corneal surgeons across a 20-year audit period.",
        "Methods": "Consecutive repeat endothelial keratoplasties (N=78) were identified. Demographics, indication, prior glaucoma surgery, donor metrics and intraoperative trauma score were recorded. Visual acuity, intraocular pressure and endothelial cell counts were collected pre‑operatively and at standard post‑operative intervals. Comparative analyses between repeat DMEK and DSEK used appropriate parametric/non‑parametric tests; survival analysis assessed graft viability in FED eyes.",
        "Results": "Seventy‑eight eyes (66 second, 11 third, 1 fourth graft) were included; DMEK n=19, DSEK n=59. Overall mean pre‑op VA improved from 1.65 ± 0.79 logMAR to 0.82-0.97 logMAR across follow‑up with statistically significant gains at all timepoints versus baseline (p<0.001 early; sustained at later visits). Donor mean endothelial cell count (ECC) was 2633±186 cells/mm². In the Fuch's Endothelial Dystrophy subgroup, DMEK demonstrated superior early and sustained visual acuity versus DSEK. Rebubbling occurred in 6/78 (7.7%) overall. Endothelial cell density declined in both groups with no significant difference in percentage ECL at 12–60 months. Mean graft survival in FED eyes was similar (DMEK 69.38 vs DSEK 68.36 months; p=0.778).",
        "Conclusions": "Repeat endothelial keratoplasty provides clinically meaningful and durable visual rehabilitation. DMEK achieves superior visual outcomes in FED patients undergoing repeat grafting, consistent with its superiority in primary cases, without a significant increase in graft failure risk. Despite inherently greater surgical complexity in repeat cases, DMEK graft survival is equivalent to DSEK. These data support the adoption of DMEK as the preferred technique for repeat endothelial keratoplasty in appropriate candidates at experienced centres, and provide important benchmarking data for patient counselling and surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Repeat endothelial keratoplasty provides clinically meaningful and durable visual rehabilitation. DMEK achieves superior visual outcomes in FED patients undergoing repeat grafting, consistent with its superiority in primary cases, without a significant increase in graft failure risk. Despite inherently greater surgical complexity in repeat cases, DMEK graft survival is equivalent to DSEK. These data support the…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 958,
      "source_fields": {
        "Abstract Final Identifier": "POCOR270",
        "Title": "Outcomes Of Repeat Endothelial Keratoplasty: A 20-Year Single-Centre Experience Comparing Descemet Membrane Endothelial Keratoplasty And Descemet Stripping Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Panagiotis Dervenis",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Panagiotis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dervenis",
        "Country Name": "United Kingdom",
        "Purpose": "Repeat endothelial keratoplasty remains a technically demanding procedure with limited long-term outcome data, particularly in the context of modern Descemet membrane endothelial keratoplasty (DMEK). This study aims to evaluate the long-term visual, endothelial, and surgical outcomes of repeat endothelial keratoplasty over a 20-year period at a tertiary referral centre, and to compare the efficacy and safety of DMEK versus Descemet stripping endothelial keratoplasty (DSEK) in this challenging operative setting.",
        "Setting": "This retrospective consecutive case series was conducted at the Corneal Service, King's College Hospital NHS Foundation Trust, London, United Kingdom - a major tertiary referral centre serving a large and ethnically diverse South London population. All repeat endothelial keratoplasty procedures performed between 2006 and 2026 were captured from a prospectively maintained institutional surgical database, encompassing cases performed by multiple corneal surgeons across a 20-year audit period.",
        "Methods": "Consecutive repeat endothelial keratoplasties (N=78) were identified. Demographics, indication, prior glaucoma surgery, donor metrics and intraoperative trauma score were recorded. Visual acuity, intraocular pressure and endothelial cell counts were collected pre‑operatively and at standard post‑operative intervals. Comparative analyses between repeat DMEK and DSEK used appropriate parametric/non‑parametric tests; survival analysis assessed graft viability in FED eyes.",
        "Results": "Seventy‑eight eyes (66 second, 11 third, 1 fourth graft) were included; DMEK n=19, DSEK n=59. Overall mean pre‑op VA improved from 1.65 ± 0.79 logMAR to 0.82-0.97 logMAR across follow‑up with statistically significant gains at all timepoints versus baseline (p<0.001 early; sustained at later visits). Donor mean endothelial cell count (ECC) was 2633±186 cells/mm². In the Fuch's Endothelial Dystrophy subgroup, DMEK demonstrated superior early and sustained visual acuity versus DSEK. Rebubbling occurred in 6/78 (7.7%) overall. Endothelial cell density declined in both groups with no significant difference in percentage ECL at 12–60 months. Mean graft survival in FED eyes was similar (DMEK 69.38 vs DSEK 68.36 months; p=0.778).",
        "Conclusions": "Repeat endothelial keratoplasty provides clinically meaningful and durable visual rehabilitation. DMEK achieves superior visual outcomes in FED patients undergoing repeat grafting, consistent with its superiority in primary cases, without a significant increase in graft failure risk. Despite inherently greater surgical complexity in repeat cases, DMEK graft survival is equivalent to DSEK. These data support the adoption of DMEK as the preferred technique for repeat endothelial keratoplasty in appropriate candidates at experienced centres, and provide important benchmarking data for patient counselling and surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 404
    },
    {
      "uid": "POCOR271",
      "abstract_number": "POCOR271",
      "title": "Objective Assessment Of Corneal Transparency After Artificial Endothelial Implantation Using Pentacam Densitometry",
      "authors": "Dr Natalie Di Geronimo",
      "presenter": "Dr Natalie Di Geronimo",
      "normalized_authors": [
        "Natalie Di Geronimo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Natalie Di Geronimo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate corneal transparency after artificial endothelial implantation using Scheimpflug camera corneal densitometry and to investigate its relationship with central corneal thickness (CCT). The study aimed to objectively assess whether the EndoArt synthetic endothelial implant can improve corneal clarity in patients with chronic corneal edema and to determine the stability of this effect over time, particularly in complex eyes with previous graft failure or significant ocular comorbidities.",
        "Setting": "IRCCS Azienda Ospedaliero-Universitaria di Bologna, Ophthalmology Unit.",
        "Methods": "This retrospective study included eight patients (mean age 74 ± 8 years) affected by chronic corneal edema secondary to endothelial keratoplasty failure or bullous keratopathy. Corrected distance visual acuity (CDVA), CCT, and corneal densitometry were evaluated preoperatively and at 3, 6, and 12 months after EndoArt implantation. Densitometry was measured with Pentacam in three concentric zones (0–2, 2–6, and 6–10 mm). Statistical analysis included paired t-tests and Spearman correlation to assess changes over time and the relationship between densitometry and CCT.",
        "Results": "CDVA improved from 1.35 ± 0.23 logMAR preoperatively to 0.94 ± 0.34 at 12 months (P = 0.02). Mean CCT decreased from 883.7 ± 171 µm to 511 ± 71 µm at 3 months, 580 ± 104 µm at 6 months, and 578 ± 101 µm at 12 months (P < 0.05). At 3 months, densitometry significantly decreased in all zones: zone 1 from 51.8 ± 17.8 to 39.4 ± 11.9 (P = 0.005), zone 2 from 46.6 ± 14.6 to 37.3 ± 8.3 (P = 0.01), and zone 3 from 47.6 ± 10.8 to 44 ± 7.5 (P = 0.05). Reduced densitometry values were maintained at later follow-up. A positive correlation between CCT and central densitometry was observed at baseline (ρ = 0.86, P = 0.007) and at 12 months (ρ = 0.90, P = 0.002).",
        "Conclusions": "Artificial endothelial implantation with EndoArt provided significant and sustained improvement in corneal deturgescence and optical quality in complex eyes with chronic endothelial failure. Scheimpflug camera corneal densitometry proved to be a sensitive and reproducible biomarker, allowing objective monitoring of transparency changes beyond visual acuity. The early reduction and long-term stabilization of densitometry values suggest restoration of corneal homeostasis and durability of the device’s barrier effect. These findings support artificial endothelial implantation as a reliable alternative in high-risk corneas and highlight densitometry as a key outcome measure in future studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Artificial endothelial implantation with EndoArt provided significant and sustained improvement in corneal deturgescence and optical quality in complex eyes with chronic endothelial failure. Scheimpflug camera corneal densitometry proved to be a sensitive and reproducible biomarker, allowing objective monitoring of transparency changes beyond visual acuity. The early reduction and long-term stabilization of…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 959,
      "source_fields": {
        "Abstract Final Identifier": "POCOR271",
        "Title": "Objective Assessment Of Corneal Transparency After Artificial Endothelial Implantation Using Pentacam Densitometry",
        "Presenting Author(s)": "Dr Natalie Di Geronimo",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Natalie",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Di Geronimo",
        "Country Name": "Italy",
        "Purpose": "To evaluate corneal transparency after artificial endothelial implantation using Scheimpflug camera corneal densitometry and to investigate its relationship with central corneal thickness (CCT). The study aimed to objectively assess whether the EndoArt synthetic endothelial implant can improve corneal clarity in patients with chronic corneal edema and to determine the stability of this effect over time, particularly in complex eyes with previous graft failure or significant ocular comorbidities.",
        "Setting": "IRCCS Azienda Ospedaliero-Universitaria di Bologna, Ophthalmology Unit.",
        "Methods": "This retrospective study included eight patients (mean age 74 ± 8 years) affected by chronic corneal edema secondary to endothelial keratoplasty failure or bullous keratopathy. Corrected distance visual acuity (CDVA), CCT, and corneal densitometry were evaluated preoperatively and at 3, 6, and 12 months after EndoArt implantation. Densitometry was measured with Pentacam in three concentric zones (0–2, 2–6, and 6–10 mm). Statistical analysis included paired t-tests and Spearman correlation to assess changes over time and the relationship between densitometry and CCT.",
        "Results": "CDVA improved from 1.35 ± 0.23 logMAR preoperatively to 0.94 ± 0.34 at 12 months (P = 0.02). Mean CCT decreased from 883.7 ± 171 µm to 511 ± 71 µm at 3 months, 580 ± 104 µm at 6 months, and 578 ± 101 µm at 12 months (P < 0.05). At 3 months, densitometry significantly decreased in all zones: zone 1 from 51.8 ± 17.8 to 39.4 ± 11.9 (P = 0.005), zone 2 from 46.6 ± 14.6 to 37.3 ± 8.3 (P = 0.01), and zone 3 from 47.6 ± 10.8 to 44 ± 7.5 (P = 0.05). Reduced densitometry values were maintained at later follow-up. A positive correlation between CCT and central densitometry was observed at baseline (ρ = 0.86, P = 0.007) and at 12 months (ρ = 0.90, P = 0.002).",
        "Conclusions": "Artificial endothelial implantation with EndoArt provided significant and sustained improvement in corneal deturgescence and optical quality in complex eyes with chronic endothelial failure. Scheimpflug camera corneal densitometry proved to be a sensitive and reproducible biomarker, allowing objective monitoring of transparency changes beyond visual acuity. The early reduction and long-term stabilization of densitometry values suggest restoration of corneal homeostasis and durability of the device’s barrier effect. These findings support artificial endothelial implantation as a reliable alternative in high-risk corneas and highlight densitometry as a key outcome measure in future studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "POCOR272",
      "abstract_number": "POCOR272",
      "title": "Clinical Outcomes Of Pre-Descemet Endothelial Keratoplasty In Challenging Eyes",
      "authors": "Prof. Dr Ozlem Evren Kemer",
      "presenter": "Prof. Dr Ozlem Evren Kemer",
      "normalized_authors": [
        "Ozlem Evren Kemer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ozlem Evren Kemer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate clinical outcomes after pre-Descemet endothelial keratoplasty (PDEK) in challenging eyes with significant ocular comorbidity, focusing on anatomical recovery and the need for secondary interventions.",
        "Setting": "University of Health Sciences, Ankara Bilkent City Hospital",
        "Methods": "A retrospective chart review was conducted on challenging eyes with various ocular risk factors (e.g., previous vitrectomy, glaucoma) that underwent PDEK between 2021 and 2025. Demographics, ocular history, lens status, and postoperative interventions were recorded. At each visit, AS-OCT B-scans (Topcon DRI OCT Triton) were obtained to measure central corneal thickness (CCT) and evaluate graft attachment. Preoperative and final postoperative CCT values were statistically compared.",
        "Results": "Thirty-five eyes were included, with a mean follow-up of 2.69 ± 7.53 months. The mean age was 62.2 ± 15.9 years, and 22 patients (63%) were female. A history of pars plana vitrectomy was present in 25 eyes (71%), with a mean interval of 844.6 ± 2002.6 days between PPV and PDEK. Five eyes (14%) had a history of glaucoma surgery, and 12 eyes (34%) had glaucoma. Central corneal thickness decreased significantly from 788.2 ± 150.9 µm preoperatively to 606.7 ± 129.2 µm at the final visit (p < 0.001). Postoperative rebubbling was required in 9 eyes (26%) at a mean of 1.8 ± 3.3 days. Re-PDEK was performed in 14 eyes (40%) at a mean of 92.16 ± 244.6 days, and 2 eyes (6%) required penetrating keratoplasty (PK).",
        "Conclusions": "In challenging eyes where penetrating keratoplasty might otherwise be considered, PDEK provided marked anatomical improvement, and the low conversion rate to PK supports its surgical success. However, the frequent need for rebubbling and repeat PDEK highlights the importance of close postoperative follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In challenging eyes where penetrating keratoplasty might otherwise be considered, PDEK provided marked anatomical improvement, and the low conversion rate to PK supports its surgical success. However, the frequent need for rebubbling and repeat PDEK highlights the importance of close postoperative follow-up.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 960,
      "source_fields": {
        "Abstract Final Identifier": "POCOR272",
        "Title": "Clinical Outcomes Of Pre-Descemet Endothelial Keratoplasty In Challenging Eyes",
        "Presenting Author(s)": "Prof. Dr Ozlem Evren Kemer",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ozlem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Evren Kemer",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate clinical outcomes after pre-Descemet endothelial keratoplasty (PDEK) in challenging eyes with significant ocular comorbidity, focusing on anatomical recovery and the need for secondary interventions.",
        "Setting": "University of Health Sciences, Ankara Bilkent City Hospital",
        "Methods": "A retrospective chart review was conducted on challenging eyes with various ocular risk factors (e.g., previous vitrectomy, glaucoma) that underwent PDEK between 2021 and 2025. Demographics, ocular history, lens status, and postoperative interventions were recorded. At each visit, AS-OCT B-scans (Topcon DRI OCT Triton) were obtained to measure central corneal thickness (CCT) and evaluate graft attachment. Preoperative and final postoperative CCT values were statistically compared.",
        "Results": "Thirty-five eyes were included, with a mean follow-up of 2.69 ± 7.53 months. The mean age was 62.2 ± 15.9 years, and 22 patients (63%) were female. A history of pars plana vitrectomy was present in 25 eyes (71%), with a mean interval of 844.6 ± 2002.6 days between PPV and PDEK. Five eyes (14%) had a history of glaucoma surgery, and 12 eyes (34%) had glaucoma. Central corneal thickness decreased significantly from 788.2 ± 150.9 µm preoperatively to 606.7 ± 129.2 µm at the final visit (p < 0.001). Postoperative rebubbling was required in 9 eyes (26%) at a mean of 1.8 ± 3.3 days. Re-PDEK was performed in 14 eyes (40%) at a mean of 92.16 ± 244.6 days, and 2 eyes (6%) required penetrating keratoplasty (PK).",
        "Conclusions": "In challenging eyes where penetrating keratoplasty might otherwise be considered, PDEK provided marked anatomical improvement, and the low conversion rate to PK supports its surgical success. However, the frequent need for rebubbling and repeat PDEK highlights the importance of close postoperative follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POCOR273",
      "abstract_number": "POCOR273",
      "title": "Early Experience Of Endoart In The United Kingdom: A Case Series Of 10 Eyes",
      "authors": "Mr Leo Feinberg",
      "presenter": "Mr Leo Feinberg",
      "normalized_authors": [
        "Leo Feinberg"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leo Feinberg",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of the EndoArt® artificial endothelial implant in patients unsuitable for conventional endothelial keratoplasty.",
        "Setting": "University teaching hospital in the United Kingdom.",
        "Methods": "This retrospective interventional case series included 10 eyes of 10 patients undergoing EndoArt® implantation between December 2024 and September 2025. Primary outcome measures were best-corrected visual acuity (BCVA) and central corneal thickness (CCT). Secondary outcomes included additional interventions and incidence of adverse events.",
        "Results": "Six patients (60%) had previous keratoplasty; four (40%) had multiple (2–4) failed grafts. Nine (90%) had prior glaucoma filtration surgery and three (30%) were aphakic. Surgery was for visual rehabilitation in four eyes (40%) and symptom relief in six (60%). Mean follow-up was 7.3 months (3–14). Five eyes (50%) required ≥1 re-intervention and four needed multiple (2–4). All implants were attached at final review.\n\nMean BCVA and CCT improved from 1.95 logMAR and 787±93 µm pre-operatively to 1.78 logMAR and 658±185 µm post-operatively. In visual cases, BCVA improved from 1.67 to 0.76 logMAR and CCT from 786±112 to 603±138 µm. All comfort cases had complete symptom resolution.",
        "Conclusions": "EndoArt® offers a promising donor-free option for highly complex eyes unsuitable for keratoplasty. Early outcomes are influenced by the substantial comorbidity burden of this cohort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EndoArt® offers a promising donor-free option for highly complex eyes unsuitable for keratoplasty. Early outcomes are influenced by the substantial comorbidity burden of this cohort.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 961,
      "source_fields": {
        "Abstract Final Identifier": "POCOR273",
        "Title": "Early Experience Of Endoart In The United Kingdom: A Case Series Of 10 Eyes",
        "Presenting Author(s)": "Mr Leo Feinberg",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Leo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Feinberg",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the safety and efficacy of the EndoArt® artificial endothelial implant in patients unsuitable for conventional endothelial keratoplasty.",
        "Setting": "University teaching hospital in the United Kingdom.",
        "Methods": "This retrospective interventional case series included 10 eyes of 10 patients undergoing EndoArt® implantation between December 2024 and September 2025. Primary outcome measures were best-corrected visual acuity (BCVA) and central corneal thickness (CCT). Secondary outcomes included additional interventions and incidence of adverse events.",
        "Results": "Six patients (60%) had previous keratoplasty; four (40%) had multiple (2–4) failed grafts. Nine (90%) had prior glaucoma filtration surgery and three (30%) were aphakic. Surgery was for visual rehabilitation in four eyes (40%) and symptom relief in six (60%). Mean follow-up was 7.3 months (3–14). Five eyes (50%) required ≥1 re-intervention and four needed multiple (2–4). All implants were attached at final review.\n\nMean BCVA and CCT improved from 1.95 logMAR and 787±93 µm pre-operatively to 1.78 logMAR and 658±185 µm post-operatively. In visual cases, BCVA improved from 1.67 to 0.76 logMAR and CCT from 786±112 to 603±138 µm. All comfort cases had complete symptom resolution.",
        "Conclusions": "EndoArt® offers a promising donor-free option for highly complex eyes unsuitable for keratoplasty. Early outcomes are influenced by the substantial comorbidity burden of this cohort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POCOR274",
      "abstract_number": "POCOR274",
      "title": "Dfemtosecond-Assisted Dsaek: Comparison Of Graft Thickness Measured By Oct And Femtosecond Laser Settingssaek",
      "authors": "Mr Abhinav Loomba",
      "presenter": "Mr Abhinav Loomba",
      "normalized_authors": [
        "Abhinav Loomba"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adam Ferguson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the correlation between intended graft thickness based on femtosecond laser parameters and the actual thickness measured by anterior segment optical coherence tomography (AS-OCT) in patients undergoing femtosecond-assisted DSAEK.",
        "Setting": "46 patients underwent femtosecond-assisted DSAEK at Hull Royal Infirmary.",
        "Methods": "This retroprospective observational study included 46 eyes undergoing femtosecond-assisted DSAEK. Donor grafts were prepared using a femtosecond laser targeting a specified thickness. Postoperative graft thickness was measured using AS-OCT. The primary outcome was the difference between femtosecond-predicted and OCT measured thickness.",
        "Results": "The mean intended graft thickness using femtosecond laser settings was 145.3 µm, while postoperative OCT- measured thickness was 80.6 µm, representing a mean difference of 64.7 µm (approximately 45% thinner than intended).",
        "Conclusions": "Femtosecond-assisted DSAEK allows donor graft preparation however the thickness is significantly less measured post-operatively than predicted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femtosecond-assisted DSAEK allows donor graft preparation however the thickness is significantly less measured post-operatively than predicted.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 962,
      "source_fields": {
        "Abstract Final Identifier": "POCOR274",
        "Title": "Dfemtosecond-Assisted Dsaek: Comparison Of Graft Thickness Measured By Oct And Femtosecond Laser Settingssaek",
        "Presenting Author(s)": "Mr Abhinav Loomba",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Adam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ferguson",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the correlation between intended graft thickness based on femtosecond laser parameters and the actual thickness measured by anterior segment optical coherence tomography (AS-OCT) in patients undergoing femtosecond-assisted DSAEK.",
        "Setting": "46 patients underwent femtosecond-assisted DSAEK at Hull Royal Infirmary.",
        "Methods": "This retroprospective observational study included 46 eyes undergoing femtosecond-assisted DSAEK. Donor grafts were prepared using a femtosecond laser targeting a specified thickness. Postoperative graft thickness was measured using AS-OCT. The primary outcome was the difference between femtosecond-predicted and OCT measured thickness.",
        "Results": "The mean intended graft thickness using femtosecond laser settings was 145.3 µm, while postoperative OCT- measured thickness was 80.6 µm, representing a mean difference of 64.7 µm (approximately 45% thinner than intended).",
        "Conclusions": "Femtosecond-assisted DSAEK allows donor graft preparation however the thickness is significantly less measured post-operatively than predicted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 131
    },
    {
      "uid": "POCOR275",
      "abstract_number": "POCOR275",
      "title": "Artificial Endothelium (Endoart) Implantation For Painful Corneal Decompensation: A Palliative Alternative In A Multimorbid Patient",
      "authors": "Ms Sandra Fernández Combarro",
      "presenter": "Ms Sandra Fernández Combarro",
      "normalized_authors": [
        "Sandra Fernández Combarro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sandra Fernández Combarro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the clinical outcome of artificial endothelium (EndoArt) implantation for pain control in advanced corneal decompensation in an eye without visual potential and at high surgical risk, as a palliative therapeutic alternative.",
        "Setting": "Tertiary referral center, Department of Ophthalmology.",
        "Methods": "Case report of an 88-year-old male with left eye corneal decompensation and no light perception since 2020. Ocular history included bilateral cataract surgery, bilateral trabeculectomies, diode laser cycloablation in the left eye, and prior corneal cross-linking. The patient developed painful bullous keratopathy refractory to medical therapy. Due to poor visual prognosis and high rejection risk with keratoplasty, EndoArt implantation was performed for palliative purposes. Pain control, anterior segment OCT findings, and intra- and postoperative complications were assessed.",
        "Results": "Surgery was completed without intraoperative complications, and no rebubbling was required. Early postoperative follow-up showed resolution of epithelial edema and complete pain relief. Anterior segment OCT confirmed correct implant apposition and significant reduction of corneal edema. During follow-up, the patient remained asymptomatic, with no pain recurrence or implant-related complications.",
        "Conclusions": "EndoArt implantation appears to be a safe and effective option for pain control in eyes without visual potential and advanced corneal decompensation. In elderly, multiply operated patients, it may avoid more aggressive surgical procedures while providing ocular surface stability and meaningful improvement in quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EndoArt implantation appears to be a safe and effective option for pain control in eyes without visual potential and advanced corneal decompensation. In elderly, multiply operated patients, it may avoid more aggressive surgical procedures while providing ocular surface stability and meaningful improvement in quality of life.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 963,
      "source_fields": {
        "Abstract Final Identifier": "POCOR275",
        "Title": "Artificial Endothelium (Endoart) Implantation For Painful Corneal Decompensation: A Palliative Alternative In A Multimorbid Patient",
        "Presenting Author(s)": "Ms Sandra Fernández Combarro",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Sandra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fernández Combarro",
        "Country Name": "Spain",
        "Purpose": "To evaluate the clinical outcome of artificial endothelium (EndoArt) implantation for pain control in advanced corneal decompensation in an eye without visual potential and at high surgical risk, as a palliative therapeutic alternative.",
        "Setting": "Tertiary referral center, Department of Ophthalmology.",
        "Methods": "Case report of an 88-year-old male with left eye corneal decompensation and no light perception since 2020. Ocular history included bilateral cataract surgery, bilateral trabeculectomies, diode laser cycloablation in the left eye, and prior corneal cross-linking. The patient developed painful bullous keratopathy refractory to medical therapy. Due to poor visual prognosis and high rejection risk with keratoplasty, EndoArt implantation was performed for palliative purposes. Pain control, anterior segment OCT findings, and intra- and postoperative complications were assessed.",
        "Results": "Surgery was completed without intraoperative complications, and no rebubbling was required. Early postoperative follow-up showed resolution of epithelial edema and complete pain relief. Anterior segment OCT confirmed correct implant apposition and significant reduction of corneal edema. During follow-up, the patient remained asymptomatic, with no pain recurrence or implant-related complications.",
        "Conclusions": "EndoArt implantation appears to be a safe and effective option for pain control in eyes without visual potential and advanced corneal decompensation. In elderly, multiply operated patients, it may avoid more aggressive surgical procedures while providing ocular surface stability and meaningful improvement in quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCOR276",
      "abstract_number": "POCOR276",
      "title": "Intraoperative Optical Coherence Tomography For Identifying And Avoiding Prior Corneal Incisions During Descemet Stripping Automated Endothelial Keratoplasty",
      "authors": "Dr Shalev Fried",
      "presenter": "Dr Shalev Fried",
      "normalized_authors": [
        "Shalev Fried"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shalev Fried",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Healed clear corneal incisions (CCIs) exhibit reduced biomechanical integrity and may be prone to dehiscence during repeat anterior segment surgery. Intraoperative optical coherence tomography (iOCT) enables real-time, high-resolution corneal imaging. Although iOCT is widely used to assess graft orientation and interface fluid in lamellar keratoplasty, its role in identifying prior corneal wound tracts has not been described. This study evaluated the feasibility and clinical value of microscope-integrated iOCT for mapping previous CCIs and guiding incision placement during Descemet stripping automated endothelial keratoplasty (DSAEK) in previously operated eyes.",
        "Setting": "Retrospective consecutive case series conducted at a single tertiary center in 2025 by two experienced corneal surgeons using a microscope-integrated iOCT system (ZEISS ARTEVO 850, Carl Zeiss Meditec, Jena, Germany). All eyes had a history of prior phacoemulsification, and most had undergone additional ocular surgery, including trabeculectomy, goniotomy, Ahmed glaucoma valve implantation, pars plana vitrectomy, or previous keratoplasty.",
        "Methods": "Ten eyes of 10 patients undergoing DSAEK with known prior CCIs were included. Before creating paracenteses, 360-degree iOCT scanning was performed to map prior wound tracts. Hyperreflective linear signals with localized discontinuities of corneal architecture were interpreted as previous incisions. New incision sites were planned in structurally intact corneal areas, avoiding overlap with prior wounds. The primary outcome was successful identification and avoidance of prior CCIs. Secondary outcomes included intraoperative complications, wound leakage, graft detachment, and need for rebubbling.",
        "Results": "Prior corneal wound tracts were successfully visualized using iOCT in all eyes (100%). Based on iOCT mapping, new paracenteses were successfully relocated to uninvolved corneal areas in all cases. No intraoperative complications, wound intersections, or leakage occurred. All grafts were attached and well-centered on postoperative day 1, with 100% attachment maintained at 30 days. No rebubbling procedures or postoperative infections were observed.",
        "Conclusions": "Microscope-integrated iOCT reliably identifies prior corneal incision tracts during DSAEK and facilitates safe, individualized incision planning. This technique allows visualization of prior CCIs that may not be clinically visible, particularly in edematous, opaque, or previously operated corneas. By mapping previous surgical sites before creating new incisions, surgeons can avoid areas of scarring and reduced biomechanical integrity, thus potentially minimizing the risk of wound dehiscence and improving wound apposition and airtight closure. This technique was easily incorporated into the routine surgical workflow."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Microscope-integrated iOCT reliably identifies prior corneal incision tracts during DSAEK and facilitates safe, individualized incision planning. This technique allows visualization of prior CCIs that may not be clinically visible, particularly in edematous, opaque, or previously operated corneas. By mapping previous surgical sites before creating new incisions, surgeons can avoid areas of scarring and reduced…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 964,
      "source_fields": {
        "Abstract Final Identifier": "POCOR276",
        "Title": "Intraoperative Optical Coherence Tomography For Identifying And Avoiding Prior Corneal Incisions During Descemet Stripping Automated Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Shalev Fried",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Shalev",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fried",
        "Country Name": "Israel",
        "Purpose": "Healed clear corneal incisions (CCIs) exhibit reduced biomechanical integrity and may be prone to dehiscence during repeat anterior segment surgery. Intraoperative optical coherence tomography (iOCT) enables real-time, high-resolution corneal imaging. Although iOCT is widely used to assess graft orientation and interface fluid in lamellar keratoplasty, its role in identifying prior corneal wound tracts has not been described. This study evaluated the feasibility and clinical value of microscope-integrated iOCT for mapping previous CCIs and guiding incision placement during Descemet stripping automated endothelial keratoplasty (DSAEK) in previously operated eyes.",
        "Setting": "Retrospective consecutive case series conducted at a single tertiary center in 2025 by two experienced corneal surgeons using a microscope-integrated iOCT system (ZEISS ARTEVO 850, Carl Zeiss Meditec, Jena, Germany). All eyes had a history of prior phacoemulsification, and most had undergone additional ocular surgery, including trabeculectomy, goniotomy, Ahmed glaucoma valve implantation, pars plana vitrectomy, or previous keratoplasty.",
        "Methods": "Ten eyes of 10 patients undergoing DSAEK with known prior CCIs were included. Before creating paracenteses, 360-degree iOCT scanning was performed to map prior wound tracts. Hyperreflective linear signals with localized discontinuities of corneal architecture were interpreted as previous incisions. New incision sites were planned in structurally intact corneal areas, avoiding overlap with prior wounds. The primary outcome was successful identification and avoidance of prior CCIs. Secondary outcomes included intraoperative complications, wound leakage, graft detachment, and need for rebubbling.",
        "Results": "Prior corneal wound tracts were successfully visualized using iOCT in all eyes (100%). Based on iOCT mapping, new paracenteses were successfully relocated to uninvolved corneal areas in all cases. No intraoperative complications, wound intersections, or leakage occurred. All grafts were attached and well-centered on postoperative day 1, with 100% attachment maintained at 30 days. No rebubbling procedures or postoperative infections were observed.",
        "Conclusions": "Microscope-integrated iOCT reliably identifies prior corneal incision tracts during DSAEK and facilitates safe, individualized incision planning. This technique allows visualization of prior CCIs that may not be clinically visible, particularly in edematous, opaque, or previously operated corneas. By mapping previous surgical sites before creating new incisions, surgeons can avoid areas of scarring and reduced biomechanical integrity, thus potentially minimizing the risk of wound dehiscence and improving wound apposition and airtight closure. This technique was easily incorporated into the routine surgical workflow."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POCOR277",
      "abstract_number": "POCOR277",
      "title": "Five-Year Activity And Outcomes Of Endothelial Keratoplasty At Spain Tissue Bank (2020–2024)",
      "authors": "Dr Ana Señaris Señaris González",
      "presenter": "Dr Ana Señaris Señaris González",
      "normalized_authors": [
        "Ana Señaris Señaris González"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Señaris González",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Descemet Membrane Endothelial Keratoplasty (DMEK) is a widely performed procedure to restore corneal clarity in patients with endothelial dysfunction. The aim of this study was to analyze the activity and the clinical outcomes of endothelial tissues prepared over a five-year period in our region (2020–2024).",
        "Setting": ".",
        "Methods": "A retrospective analysis was conducted on all endothelial tissues processed and sent for transplantation to the Central University Hospital of Asturias (HUCA) during the period 2020-2024. The method used for the endotelial separation was no-touch tecnique, perfomed in a clean room by two trained staff. The surgical intervention was performed exclusively by two ophthalmologists. 277 endothelial tissues were processed, 265 were used for transplantation and 12 were discarded during the process, 5 of them due to tissue fragmentation and 7 for poor tissue condition. The success rate was 95,67%. 133 endothelial tissues were sent for transplantation to the HUCA. Donors were 44.63% female and 55.37% male, with a mean age of 64.81 years.",
        "Results": "Recipients were 67.5% female and 32.5% male, mean age of 69.83 years. The most common indication was Fuchs endothelial dystrophy (74.43%), followed by bullous keratopathy (9.6%) and other pathologies (15%). The mean initial endothelial cell count was 2758 cells/mm² and the mean final endothelial cell count was 1527. The percentage of endothelial cells loss after surgery is practically the same between fresh endothelial separation (47%) and cultured separation (50%). The mean follow-up patients was 30.74 months.Rebubbling was required in 19.55% of eyes. Graft rejection occurred in 3,75% of patients; primary and secondary failure was 9,77%. Regarding best corrected visual acuity (MAVC), the mean value was 0.62, with a range from 0.01 to 1.",
        "Conclusions": "Over the period analysed, the tissue bank successfully provided endothelial tissues for transplantation. These results highlight the effectiveness of the endothelial tissue preparation performed at this local tissue bank"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Over the period analysed, the tissue bank successfully provided endothelial tissues for transplantation. These results highlight the effectiveness of the endothelial tissue preparation performed at this local tissue bank",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 965,
      "source_fields": {
        "Abstract Final Identifier": "POCOR277",
        "Title": "Five-Year Activity And Outcomes Of Endothelial Keratoplasty At Spain Tissue Bank (2020–2024)",
        "Presenting Author(s)": "Dr Ana Señaris Señaris González",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "Señaris",
        "Submitter Last Name": "González",
        "Country Name": "Spain",
        "Purpose": "Descemet Membrane Endothelial Keratoplasty (DMEK) is a widely performed procedure to restore corneal clarity in patients with endothelial dysfunction. The aim of this study was to analyze the activity and the clinical outcomes of endothelial tissues prepared over a five-year period in our region (2020–2024).",
        "Setting": ".",
        "Methods": "A retrospective analysis was conducted on all endothelial tissues processed and sent for transplantation to the Central University Hospital of Asturias (HUCA) during the period 2020-2024. The method used for the endotelial separation was no-touch tecnique, perfomed in a clean room by two trained staff. The surgical intervention was performed exclusively by two ophthalmologists. 277 endothelial tissues were processed, 265 were used for transplantation and 12 were discarded during the process, 5 of them due to tissue fragmentation and 7 for poor tissue condition. The success rate was 95,67%. 133 endothelial tissues were sent for transplantation to the HUCA. Donors were 44.63% female and 55.37% male, with a mean age of 64.81 years.",
        "Results": "Recipients were 67.5% female and 32.5% male, mean age of 69.83 years. The most common indication was Fuchs endothelial dystrophy (74.43%), followed by bullous keratopathy (9.6%) and other pathologies (15%). The mean initial endothelial cell count was 2758 cells/mm² and the mean final endothelial cell count was 1527. The percentage of endothelial cells loss after surgery is practically the same between fresh endothelial separation (47%) and cultured separation (50%). The mean follow-up patients was 30.74 months.Rebubbling was required in 19.55% of eyes. Graft rejection occurred in 3,75% of patients; primary and secondary failure was 9,77%. Regarding best corrected visual acuity (MAVC), the mean value was 0.62, with a range from 0.01 to 1.",
        "Conclusions": "Over the period analysed, the tissue bank successfully provided endothelial tissues for transplantation. These results highlight the effectiveness of the endothelial tissue preparation performed at this local tissue bank"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "POCOR278",
      "abstract_number": "POCOR278",
      "title": "One-Year Graft Survival And Clinical Outcomes In 200 Consecutive Keratoplasties At A Tertiary Referral Center In Spain",
      "authors": "Dr Daliana Estefania Gonzalez Barros",
      "presenter": "Dr Daliana Estefania Gonzalez Barros",
      "normalized_authors": [
        "Daliana Estefania Gonzalez Barros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daliana Estefania González Barros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To determine graft survival and visual outcomes in terms of best-corrected visual acuity (BCVA) over one year of follow-up in patients who underwent corneal transplantation at the Ophthalmology Department of University Clinical Hospital of Valladolid between 2021 and 2023.",
        "Setting": "The University Clinical Hospital of Valladolid (HCUV) is considered a national reference center for corneal transplantation, allowing it to manage a wide variety of techniques and a high volume of procedures. In recent years, a significant shift has been observed towards lamellar techniques in corneal transplantation. Given the relevance of this transition and the extensive experience of the HCUV, it is important to analyze the outcomes in terms of graft survival and visual recovery.",
        "Methods": "A retrospective, observational, single-center study was conducted, reviewing medical records of patients over 18 years of age who underwent any type of keratoplasty between 2021 and 2023. Collected variables included demographic data, preoperative clinical characteristics, donor cornea features, and postoperative outcomes in terms of Best-corrected visual acuity (BCVA) and corneal graft survival at one year. Descriptive and bivariate statistical analyses were performed, along with Kaplan-Meier survival curves.",
        "Results": "A total of 200 keratoplasty were analyzed. The majority of patients were women (58.5%), with a mean age of 66.7 years. Descemet membrane endothelial keratoplasty (DMEK) was the most frequently performed technique (54.0%), followed by Descemet stripping automated endothelial keratoplasty (DSAEK, 25.5%) and penetrating keratoplasty (PK, 14.0%). The leading surgical indication was Fuchs endothelial dystrophy (39%), followed by pseudophakic bullous keratopathy (23%) and previous corneal graft failure (20%). Corneal graft failure occurred in 29 cases within the first year, resulting in an overall one-year survival rate of 85.5%, and 90% specifically in the DMEK group. Overall, visual acuity improved in 71% of cases.",
        "Conclusions": "Keratoplasty achieved favorable one-year outcomes in terms of corneal graft survival. DMEK demonstrated the highest success rates, reinforcing its role as the preferred technique for endothelial pathologies such as Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. Prior ocular surgeries and early postoperative interventions were identified as significant risk factors for corneal graft failure. Previous ocular surgeries (except keratoplasty) and early postoperative surgeries (<1 month) were associated with graft failure during the first year of follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoplasty achieved favorable one-year outcomes in terms of corneal graft survival. DMEK demonstrated the highest success rates, reinforcing its role as the preferred technique for endothelial pathologies such as Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. Prior ocular surgeries and early postoperative interventions were identified as significant risk factors for corneal graft failure.…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 966,
      "source_fields": {
        "Abstract Final Identifier": "POCOR278",
        "Title": "One-Year Graft Survival And Clinical Outcomes In 200 Consecutive Keratoplasties At A Tertiary Referral Center In Spain",
        "Presenting Author(s)": "Dr Daliana Estefania Gonzalez Barros",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Daliana",
        "Submitter Middle Name": "Estefania",
        "Submitter Last Name": "González Barros",
        "Country Name": "Spain",
        "Purpose": "To determine graft survival and visual outcomes in terms of best-corrected visual acuity (BCVA) over one year of follow-up in patients who underwent corneal transplantation at the Ophthalmology Department of University Clinical Hospital of Valladolid between 2021 and 2023.",
        "Setting": "The University Clinical Hospital of Valladolid (HCUV) is considered a national reference center for corneal transplantation, allowing it to manage a wide variety of techniques and a high volume of procedures. In recent years, a significant shift has been observed towards lamellar techniques in corneal transplantation. Given the relevance of this transition and the extensive experience of the HCUV, it is important to analyze the outcomes in terms of graft survival and visual recovery.",
        "Methods": "A retrospective, observational, single-center study was conducted, reviewing medical records of patients over 18 years of age who underwent any type of keratoplasty between 2021 and 2023. Collected variables included demographic data, preoperative clinical characteristics, donor cornea features, and postoperative outcomes in terms of Best-corrected visual acuity (BCVA) and corneal graft survival at one year. Descriptive and bivariate statistical analyses were performed, along with Kaplan-Meier survival curves.",
        "Results": "A total of 200 keratoplasty were analyzed. The majority of patients were women (58.5%), with a mean age of 66.7 years. Descemet membrane endothelial keratoplasty (DMEK) was the most frequently performed technique (54.0%), followed by Descemet stripping automated endothelial keratoplasty (DSAEK, 25.5%) and penetrating keratoplasty (PK, 14.0%). The leading surgical indication was Fuchs endothelial dystrophy (39%), followed by pseudophakic bullous keratopathy (23%) and previous corneal graft failure (20%). Corneal graft failure occurred in 29 cases within the first year, resulting in an overall one-year survival rate of 85.5%, and 90% specifically in the DMEK group. Overall, visual acuity improved in 71% of cases.",
        "Conclusions": "Keratoplasty achieved favorable one-year outcomes in terms of corneal graft survival. DMEK demonstrated the highest success rates, reinforcing its role as the preferred technique for endothelial pathologies such as Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. Prior ocular surgeries and early postoperative interventions were identified as significant risk factors for corneal graft failure. Previous ocular surgeries (except keratoplasty) and early postoperative surgeries (<1 month) were associated with graft failure during the first year of follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 364
    },
    {
      "uid": "POCOR279",
      "abstract_number": "POCOR279",
      "title": "Comparison Of Surgical Outcomes Of Graft Survival Rate Using Surgeon Cut Versus Precut Dsaek Tissue",
      "authors": "Dr Rawan Hawsawi",
      "presenter": "Dr Rawan Hawsawi",
      "normalized_authors": [
        "Rawan Hawsawi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rawan Hawsawi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare endothelial graft outcomes after DSAEK using pre-cut tissue and surgeon cut tissue in terms of final visual outcome and graft failure at 6 and 12 months postoperatively.",
        "Setting": "This retrospective comparative study was conducted at the King Khaled Eye Specialist Hospital (KKESH) in Riyadh, Saudi Arabia. This study was approved by our Institutional Review Board and adhered to the tenets of the Declaration of Helsinki.",
        "Methods": "This is a retrospective study. The electronic medical records of patients who underwent DSAEK with CB or surgeon-prepared tissue for any etiology of endothelial dysfunction were reviewed to obtain the following information: Best-corrected visual acuity (BCVA), corneal thickness, endothelial cell count (ECC), in addition to the frequency of graft detachment, graft failure and any other complications at 1 week, and 1, 3, 6, and 12 months postoperatively.",
        "Results": "Total number of cases is 98 eyes. Fifty-five surgeon-cut grafts were compared to 43 precut grafts. Preoperative visual acuity was >/= 20/60 in 1.8% and 0.0%, and less than 20/200 in 74.6% and 86.1% for surgeon cut and precut group respectively. Visual acuity at last follow-up was >/= 20/60 in 32.4% and 5.3%, and less than 20/200 in 37.8% and 84.2% for surgeon cut and precut group, respectively. At 6 months, 41 (83.7%) in the surgeon cut group and 27 (67.5%) in the precut groups completed the follow-up. Of these, 10 (24.4%) and 14 (32.6%) respectively, labeled as graft failure. The statistically significant difference in graft failure was maintained until 12 months.",
        "Conclusions": "We found a higher rate of graft failure 6 to 12 months postoperatively in precut tissue grafts than in surgeon cut tissue grafts despite both tissues being provided by the same eye banks."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We found a higher rate of graft failure 6 to 12 months postoperatively in precut tissue grafts than in surgeon cut tissue grafts despite both tissues being provided by the same eye banks.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 967,
      "source_fields": {
        "Abstract Final Identifier": "POCOR279",
        "Title": "Comparison Of Surgical Outcomes Of Graft Survival Rate Using Surgeon Cut Versus Precut Dsaek Tissue",
        "Presenting Author(s)": "Dr Rawan Hawsawi",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Rawan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hawsawi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare endothelial graft outcomes after DSAEK using pre-cut tissue and surgeon cut tissue in terms of final visual outcome and graft failure at 6 and 12 months postoperatively.",
        "Setting": "This retrospective comparative study was conducted at the King Khaled Eye Specialist Hospital (KKESH) in Riyadh, Saudi Arabia. This study was approved by our Institutional Review Board and adhered to the tenets of the Declaration of Helsinki.",
        "Methods": "This is a retrospective study. The electronic medical records of patients who underwent DSAEK with CB or surgeon-prepared tissue for any etiology of endothelial dysfunction were reviewed to obtain the following information: Best-corrected visual acuity (BCVA), corneal thickness, endothelial cell count (ECC), in addition to the frequency of graft detachment, graft failure and any other complications at 1 week, and 1, 3, 6, and 12 months postoperatively.",
        "Results": "Total number of cases is 98 eyes. Fifty-five surgeon-cut grafts were compared to 43 precut grafts. Preoperative visual acuity was >/= 20/60 in 1.8% and 0.0%, and less than 20/200 in 74.6% and 86.1% for surgeon cut and precut group respectively. Visual acuity at last follow-up was >/= 20/60 in 32.4% and 5.3%, and less than 20/200 in 37.8% and 84.2% for surgeon cut and precut group, respectively. At 6 months, 41 (83.7%) in the surgeon cut group and 27 (67.5%) in the precut groups completed the follow-up. Of these, 10 (24.4%) and 14 (32.6%) respectively, labeled as graft failure. The statistically significant difference in graft failure was maintained until 12 months.",
        "Conclusions": "We found a higher rate of graft failure 6 to 12 months postoperatively in precut tissue grafts than in surgeon cut tissue grafts despite both tissues being provided by the same eye banks."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCOR280",
      "abstract_number": "POCOR280",
      "title": "An Analysis Of The Unfolding Pattern Of No-Touch Endo In Dmek",
      "authors": "Dr Leonard Goussard Heydenrych",
      "presenter": "Dr Leonard Goussard Heydenrych",
      "normalized_authors": [
        "Leonard Goussard Heydenrych"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leonard Goussard Heydenrych",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "South Africa",
      "sections": {
        "Purpose": "To review if pre-loaded Endo-In DMEK (Descemet Membrane Endothelial Keratoplasty) grafts unfold in specific patterns after insertion into the anterior chamber.",
        "Setting": "All DMEK grafts were pre-loaded at the Lions World Vision Institute (Tampa, USA) in a specially designed cannula and shipped to South Africa. All surgeries were performed at the Cape Eye Hospital in Cape Town.",
        "Methods": "Real time videos of recorded Endo-In DMEK surgeries were analyzed. Grafts were inserted into the anterior chamber via fluid injection by connecting the cannula to a 3 mL syringe.The mean time to unfold grafts were calculated as well as the mean number of taps required to unfold grafts. The mean endothelial cell densities (ECD) were calculated at final visit. Graft unfolding was classified as complete unfolding (at least 90 % of graft open), partial unfolding with external manipulation leading to complete unfolding and external tapping leading to complete unfolding.",
        "Results": "45 real-time videos of 45 Endo-In DMEK surgeries were reviewed. Endo-In DMEK required a mean of 21.18 seconds and 16.24 taps to unfold the grafts completely. 30 grafts unfolded completely (66.67%), 6 grafts required external manipulation (13.33%) and 9 grafts required external tapping (20%) to completely unfold grafts. Mean ECD at final visit was 1309.81 cells/mm 2 (±199.625).",
        "Conclusions": "In this surgical analysis of No-touch Endo-In DMEK, most grafts (66.67%) opened completely without any external manipulation. Approximately a third of the grafts (33.33%) required some form of tapping or manipulation to completely unfold grafts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this surgical analysis of No-touch Endo-In DMEK, most grafts (66.67%) opened completely without any external manipulation. Approximately a third of the grafts (33.33%) required some form of tapping or manipulation to completely unfold grafts.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 968,
      "source_fields": {
        "Abstract Final Identifier": "POCOR280",
        "Title": "An Analysis Of The Unfolding Pattern Of No-Touch Endo In Dmek",
        "Presenting Author(s)": "Dr Leonard Goussard Heydenrych",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Leonard",
        "Submitter Middle Name": "Goussard",
        "Submitter Last Name": "Heydenrych",
        "Country Name": "South Africa",
        "Purpose": "To review if pre-loaded Endo-In DMEK (Descemet Membrane Endothelial Keratoplasty) grafts unfold in specific patterns after insertion into the anterior chamber.",
        "Setting": "All DMEK grafts were pre-loaded at the Lions World Vision Institute (Tampa, USA) in a specially designed cannula and shipped to South Africa. All surgeries were performed at the Cape Eye Hospital in Cape Town.",
        "Methods": "Real time videos of recorded Endo-In DMEK surgeries were analyzed. Grafts were inserted into the anterior chamber via fluid injection by connecting the cannula to a 3 mL syringe.The mean time to unfold grafts were calculated as well as the mean number of taps required to unfold grafts. The mean endothelial cell densities (ECD) were calculated at final visit. Graft unfolding was classified as complete unfolding (at least 90 % of graft open), partial unfolding with external manipulation leading to complete unfolding and external tapping leading to complete unfolding.",
        "Results": "45 real-time videos of 45 Endo-In DMEK surgeries were reviewed. Endo-In DMEK required a mean of 21.18 seconds and 16.24 taps to unfold the grafts completely. 30 grafts unfolded completely (66.67%), 6 grafts required external manipulation (13.33%) and 9 grafts required external tapping (20%) to completely unfold grafts. Mean ECD at final visit was 1309.81 cells/mm 2 (±199.625).",
        "Conclusions": "In this surgical analysis of No-touch Endo-In DMEK, most grafts (66.67%) opened completely without any external manipulation. Approximately a third of the grafts (33.33%) required some form of tapping or manipulation to completely unfold grafts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCOR281",
      "abstract_number": "POCOR281",
      "title": "Descemet’S Membrane Graft Preparation; A Modified Technique.",
      "authors": "Dr Hussien Ismail",
      "presenter": "Dr Hussien Ismail",
      "normalized_authors": [
        "Hussien Ismail"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hussien Ismail",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the efficacy and reproducibility of a new technique for Descemet Membrane Endothelium Keratoplasty (DMEK) graft preparation other than the traditional submerged cornea (SCUBA) technique using an artificial chamber.",
        "Setting": "Nour El Hayah Eye Hospital",
        "Methods": "This is a prospective clinical study in which 26 donor corneas were used. The technique involves upside down placement of the donor cornea in an artificial chamber. After securing the graft and the chamber is filled with BSS, blunt dissection is performed using a fine spatula in separating the Descemet membrane up to approximately 2 mm from Schwalbe’s line; creating a pocket. Later, the donor cornea is punched in the usual pattern according to the desired graft size.",
        "Results": "The macroscopic integrity of the graft was complete and identical to the SCUBA technique in 25 out of 26 donor corneas. In one case a Descemet's membrane tear was found, and that case was excluded.",
        "Conclusions": "Placing the donor cornea upside-down in an artificial chamber allows a relatively easy separation of the Descemet’s membrane, which proved reproducible and macroscopically appropriate for DMEK graft preparation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Placing the donor cornea upside-down in an artificial chamber allows a relatively easy separation of the Descemet’s membrane, which proved reproducible and macroscopically appropriate for DMEK graft preparation.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 969,
      "source_fields": {
        "Abstract Final Identifier": "POCOR281",
        "Title": "Descemet’S Membrane Graft Preparation; A Modified Technique.",
        "Presenting Author(s)": "Dr Hussien Ismail",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Hussien",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ismail",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the efficacy and reproducibility of a new technique for Descemet Membrane Endothelium Keratoplasty (DMEK) graft preparation other than the traditional submerged cornea (SCUBA) technique using an artificial chamber.",
        "Setting": "Nour El Hayah Eye Hospital",
        "Methods": "This is a prospective clinical study in which 26 donor corneas were used. The technique involves upside down placement of the donor cornea in an artificial chamber. After securing the graft and the chamber is filled with BSS, blunt dissection is performed using a fine spatula in separating the Descemet membrane up to approximately 2 mm from Schwalbe’s line; creating a pocket. Later, the donor cornea is punched in the usual pattern according to the desired graft size.",
        "Results": "The macroscopic integrity of the graft was complete and identical to the SCUBA technique in 25 out of 26 donor corneas. In one case a Descemet's membrane tear was found, and that case was excluded.",
        "Conclusions": "Placing the donor cornea upside-down in an artificial chamber allows a relatively easy separation of the Descemet’s membrane, which proved reproducible and macroscopically appropriate for DMEK graft preparation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 176
    },
    {
      "uid": "POCOR282",
      "abstract_number": "POCOR282",
      "title": "Asymmetric Corneal Endothelial Alterations In Clinically Unilateral Pseudoexfoliation Syndrome",
      "authors": "Dr Kyu Seong Jo",
      "presenter": "Dr Kyu Seong Jo",
      "normalized_authors": [
        "Kyu Seong Jo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kyu Seong Jo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To quantitatively evaluate and compare corneal endothelial cell parameters among eyes with unilateral pseudoexfoliation (PXF) eyes, their clinically contralateral unaffected eyes, and normal control eyes. The study specifically aimed to identify subclinical structural alterations in fellow eyes and to clarify whether unilateral PXF demonstrates evidence of bilateral ocular involvement.",
        "Setting": "This retrospective, cross-sectional observational study was conducted at Kangwon National University Hospital. Medical records of patients who visited the hospital between January 2015 and December 2025 were reviewed.",
        "Methods": "Thirty-nine patients diagnosed with unilateral pseudoexfoliation (PXF) were included. Three groups were analyzed: PXF eyes (Group 1), contralateral unaffected eyes (Group 2), and age- and sex-matched normal control eyes (Group 3). Corneal endothelial parameters—including endothelial cell density (ECD), coefficient of variation (CV), hexagonality, and central corneal thickness (CCT)—were measured using specular microscopy. Inter-group comparisons were performed using one-way analysis of variance (ANOVA), followed by post hoc multiple comparison tests. A p-value <0.05 was considered statistically significant.",
        "Results": "Each group comprised 39 eyes. ECD differed significantly among groups (2466.7±421.2 vs 2619.0±335.8 vs 2740.5±316.5 cells/mm²; overall p=0.005). Post hoc analysis demonstrated significantly lower ECD in PXF eyes compared with controls (p=0.003), whereas the difference between contralateral fellow eyes and controls was not significant. CV differed among groups (overall p=0.021) and was higher in contralateral fellow eyes than controls (32.95±12.61 vs 25.87±10.90).",
        "Conclusions": "Unilateral PXF was associated with significant corneal endothelial cell loss predominantly in affected eyes, while contralateral unaffected eyes showed only limited endothelial differences compared with controls. However, these subtle changes may still indicate subclinical endothelial stress and early or asymmetric bilateral involvement. Therefore, monitoring of both eyes should be considered."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Unilateral PXF was associated with significant corneal endothelial cell loss predominantly in affected eyes, while contralateral unaffected eyes showed only limited endothelial differences compared with controls. However, these subtle changes may still indicate subclinical endothelial stress and early or asymmetric bilateral involvement. Therefore, monitoring of both eyes should be considered.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 970,
      "source_fields": {
        "Abstract Final Identifier": "POCOR282",
        "Title": "Asymmetric Corneal Endothelial Alterations In Clinically Unilateral Pseudoexfoliation Syndrome",
        "Presenting Author(s)": "Dr Kyu Seong Jo",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Kyu Seong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jo",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To quantitatively evaluate and compare corneal endothelial cell parameters among eyes with unilateral pseudoexfoliation (PXF) eyes, their clinically contralateral unaffected eyes, and normal control eyes. The study specifically aimed to identify subclinical structural alterations in fellow eyes and to clarify whether unilateral PXF demonstrates evidence of bilateral ocular involvement.",
        "Setting": "This retrospective, cross-sectional observational study was conducted at Kangwon National University Hospital. Medical records of patients who visited the hospital between January 2015 and December 2025 were reviewed.",
        "Methods": "Thirty-nine patients diagnosed with unilateral pseudoexfoliation (PXF) were included. Three groups were analyzed: PXF eyes (Group 1), contralateral unaffected eyes (Group 2), and age- and sex-matched normal control eyes (Group 3). Corneal endothelial parameters—including endothelial cell density (ECD), coefficient of variation (CV), hexagonality, and central corneal thickness (CCT)—were measured using specular microscopy. Inter-group comparisons were performed using one-way analysis of variance (ANOVA), followed by post hoc multiple comparison tests. A p-value <0.05 was considered statistically significant.",
        "Results": "Each group comprised 39 eyes. ECD differed significantly among groups (2466.7±421.2 vs 2619.0±335.8 vs 2740.5±316.5 cells/mm²; overall p=0.005). Post hoc analysis demonstrated significantly lower ECD in PXF eyes compared with controls (p=0.003), whereas the difference between contralateral fellow eyes and controls was not significant. CV differed among groups (overall p=0.021) and was higher in contralateral fellow eyes than controls (32.95±12.61 vs 25.87±10.90).",
        "Conclusions": "Unilateral PXF was associated with significant corneal endothelial cell loss predominantly in affected eyes, while contralateral unaffected eyes showed only limited endothelial differences compared with controls. However, these subtle changes may still indicate subclinical endothelial stress and early or asymmetric bilateral involvement. Therefore, monitoring of both eyes should be considered."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POCOR283",
      "abstract_number": "POCOR283",
      "title": "Preliminary Results From A Non-Inferiority Trial: Novel Hypothermic Conservation Medium Xtra4 Vs. Standard Eusol-C",
      "authors": "Dr Valentin Jünger",
      "presenter": "Dr Valentin Jünger",
      "normalized_authors": [
        "Valentin Jünger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Valentin Jünger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Standard hypothermic corneal storage is limited to 14 days and is associated with progressive tissue swelling over time. Hyperthermic (organ culture) storage allows preservation up to 28 days but requires a deswelling phase before transplantation, limiting its suitability for urgent surgery. XTRA4, a novel hypothermic corneal preservation medium, has demonstrated promising preclinical results in maintaining physiological corneal thickness and endothelial integrity beyond 14 days and may provide the necessary logistical flexibility for urgent surgery; however, clinical post-transplant outcomes have not yet been evaluated.",
        "Setting": "This prospective, randomized, controlled, single-center non-inferiority trial is the first clinical post-transplant investigation evaluating the safety and performance of XTRA4 versus Corneal Chamber (AL.CHI.MI.A. SRL, Moria Group) in patients undergoing endothelial keratoplasty (EK) under routine clinical practice conditions",
        "Methods": "9 patients undergoing EK (4 DMEK; 5 DSAEK) received donor corneas stored in XTRA4 and 9 patients tissues stored in Corneal Chamber (3 DMEK; 6 DSAEK). The primary endpoint was relative reduction of recipient central corneal thickness (rrCCT) at 1 month postoperatively. Secondary endpoints included relative changes in pre-transplant donor central corneal thickness (dCCT) and relative changes in donor endothelial cell density (dECD) during tissue preservation; postoperative recipient CCT, and graft detachment with indication for rebubbling. Safety endpoints included adverse events and primary graft failure.",
        "Results": "Preliminary analysis demonstrated no statistically significant difference in the primary endpoint rrCCT at 1 month (XTRA4: 23,7%; Corneal Chamber: 23,4%; p=0,97), meeting non-inferiority criteria. No significant differences were observed in donor dCCT (XTRA4: 564 µm ; Corneal Chamber : 608 µm; p=0,14) and dECD (XTRA4: 2601 cells/mm 2 ; Corneal Chamber: 2544 cells/mm 2 ; p=0,16) , postoperative recipient CCT (XTRA4: 545,75 µm ; Corneal Chamber : 574,75 µm; p=0,45) or rebubbling rates. EK outcomes were consistent with expected standards in both groups. No unexpected device-related adverse events were reported. Six-month follow-up is ongoing",
        "Conclusions": "XTRA4 demonstrated non-inferior clinical performance compared with Corneal Chamber , maintaining donor corneal quality and supporting favorable early postoperative outcomes after EK. Preliminary findings confirm its safety and suitability for hypothermic storage and indicate a beneficial performance in long-term storage. By enabling extended cold preservation with tissue ready for immediate use, XTRA4 may provide increased flexibility for eye banks, facilitating urgent surgical scheduling without the delays associated with warm storage deturgescence. Completion of follow-up will further clarify its long-term clinical impact."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "XTRA4 demonstrated non-inferior clinical performance compared with Corneal Chamber , maintaining donor corneal quality and supporting favorable early postoperative outcomes after EK. Preliminary findings confirm its safety and suitability for hypothermic storage and indicate a beneficial performance in long-term storage. By enabling extended cold preservation with tissue ready for immediate use, XTRA4 may provide…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 971,
      "source_fields": {
        "Abstract Final Identifier": "POCOR283",
        "Title": "Preliminary Results From A Non-Inferiority Trial: Novel Hypothermic Conservation Medium Xtra4 Vs. Standard Eusol-C",
        "Presenting Author(s)": "Dr Valentin Jünger",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Valentin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jünger",
        "Country Name": "Italy",
        "Purpose": "Standard hypothermic corneal storage is limited to 14 days and is associated with progressive tissue swelling over time. Hyperthermic (organ culture) storage allows preservation up to 28 days but requires a deswelling phase before transplantation, limiting its suitability for urgent surgery. XTRA4, a novel hypothermic corneal preservation medium, has demonstrated promising preclinical results in maintaining physiological corneal thickness and endothelial integrity beyond 14 days and may provide the necessary logistical flexibility for urgent surgery; however, clinical post-transplant outcomes have not yet been evaluated.",
        "Setting": "This prospective, randomized, controlled, single-center non-inferiority trial is the first clinical post-transplant investigation evaluating the safety and performance of XTRA4 versus Corneal Chamber (AL.CHI.MI.A. SRL, Moria Group) in patients undergoing endothelial keratoplasty (EK) under routine clinical practice conditions",
        "Methods": "9 patients undergoing EK (4 DMEK; 5 DSAEK) received donor corneas stored in XTRA4 and 9 patients tissues stored in Corneal Chamber (3 DMEK; 6 DSAEK). The primary endpoint was relative reduction of recipient central corneal thickness (rrCCT) at 1 month postoperatively. Secondary endpoints included relative changes in pre-transplant donor central corneal thickness (dCCT) and relative changes in donor endothelial cell density (dECD) during tissue preservation; postoperative recipient CCT, and graft detachment with indication for rebubbling. Safety endpoints included adverse events and primary graft failure.",
        "Results": "Preliminary analysis demonstrated no statistically significant difference in the primary endpoint rrCCT at 1 month (XTRA4: 23,7%; Corneal Chamber: 23,4%; p=0,97), meeting non-inferiority criteria. No significant differences were observed in donor dCCT (XTRA4: 564 µm ; Corneal Chamber : 608 µm; p=0,14) and dECD (XTRA4: 2601 cells/mm 2 ; Corneal Chamber: 2544 cells/mm 2 ; p=0,16) , postoperative recipient CCT (XTRA4: 545,75 µm ; Corneal Chamber : 574,75 µm; p=0,45) or rebubbling rates. EK outcomes were consistent with expected standards in both groups. No unexpected device-related adverse events were reported. Six-month follow-up is ongoing",
        "Conclusions": "XTRA4 demonstrated non-inferior clinical performance compared with Corneal Chamber , maintaining donor corneal quality and supporting favorable early postoperative outcomes after EK. Preliminary findings confirm its safety and suitability for hypothermic storage and indicate a beneficial performance in long-term storage. By enabling extended cold preservation with tissue ready for immediate use, XTRA4 may provide increased flexibility for eye banks, facilitating urgent surgical scheduling without the delays associated with warm storage deturgescence. Completion of follow-up will further clarify its long-term clinical impact."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "POCOR284",
      "abstract_number": "POCOR284",
      "title": "Preservation Of Stromal Corneal Tissue After Descemet Membrane Removal Using A Novel Hypothermic Storage Medium (Xtra4): A Porcine Preclinical Study",
      "authors": "Dr Valentin Jünger",
      "presenter": "Dr Valentin Jünger",
      "normalized_authors": [
        "Valentin Jünger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Valentin Jünger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Global demand for donor corneal tissue continues to exceed supply, requiring eye banking strategies that maximize tissue utilization. Split-cornea allocation, enabling endothelial keratoplasty (EK) and anterior lamellar keratoplasty (ALK) from a single donor cornea, represents one such strategy. Extended preservation of anterior stromal grafts following endothelial graft preparation could facilitate delayed allocation for ALK procedures. This study evaluated the ability of a novel hypothermic storage medium, XTRA4 (AL.CHI.MI.A. SRL, Moria Group), to preserve anterior stromal corneal grafts after Descemet membrane removal.",
        "Setting": "Preclinical laboratory study using porcine anterior stromal grafts resulting form Descemet membrane removal by preparation of Descemet Stripping Endothelial Keratoplasty (DSAEK) grafts.",
        "Methods": "Preparation of DSAEK grafts was achieved by mounting porcine corneas in an ALTK artificial anterior chamber with an ACP pressurizing system set at 200 mmHg (Moria SA, France) and cutting with a CBm turbine. The resulting anterior stromal grafts were stored in XTRA4 (n=4) or Corneal Chamber (n=4) at 2–8 °C (AL.CHI.MI.A. SRL, Italy). Graft thickness (GT) was measured with a digital thickness gauge (Mitutoyo, Japan) immediately after preparation (day 0) and during storage (days 1, 4, and 7).",
        "Results": "Baseline graft thickness was comparable between groups (XTRA4: 450±22 µm; Corneal Chamber: 438±22 µm; p>0,05). Grafts stored in XTRA4 showed an initial decrease in thickness after 24 hours (353±29 µm) and remained stable through day 7 (328±22 µm). In contrast, Corneal Chamber grafts showed progressive edema, increasing from day 1 (593±33 µm) to day 7 (723±33 µm). Relative to baseline, graft thickness at day 7 decreased by -27.1% in the XTRA4 group, whereas grafts stored in Corneal Chamber increased by +65.1% (p < 0.001).",
        "Conclusions": "After Descemet membrane removal XTRA4 maintained stromal graft thickness stability during hypothermic storage, whereas Corneal Chamber resulted in progressive tissue edema and loss of suitability for ALK procedures. Extended preservation of stromal tissue following endothelial graft preparation may provide additional logistical flexibility for eye banks and support split-cornea allocation strategies aimed at improving overall donor tissue utilization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "After Descemet membrane removal XTRA4 maintained stromal graft thickness stability during hypothermic storage, whereas Corneal Chamber resulted in progressive tissue edema and loss of suitability for ALK procedures. Extended preservation of stromal tissue following endothelial graft preparation may provide additional logistical flexibility for eye banks and support split-cornea allocation strategies aimed at…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 972,
      "source_fields": {
        "Abstract Final Identifier": "POCOR284",
        "Title": "Preservation Of Stromal Corneal Tissue After Descemet Membrane Removal Using A Novel Hypothermic Storage Medium (Xtra4): A Porcine Preclinical Study",
        "Presenting Author(s)": "Dr Valentin Jünger",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Valentin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jünger",
        "Country Name": "Italy",
        "Purpose": "Global demand for donor corneal tissue continues to exceed supply, requiring eye banking strategies that maximize tissue utilization. Split-cornea allocation, enabling endothelial keratoplasty (EK) and anterior lamellar keratoplasty (ALK) from a single donor cornea, represents one such strategy. Extended preservation of anterior stromal grafts following endothelial graft preparation could facilitate delayed allocation for ALK procedures. This study evaluated the ability of a novel hypothermic storage medium, XTRA4 (AL.CHI.MI.A. SRL, Moria Group), to preserve anterior stromal corneal grafts after Descemet membrane removal.",
        "Setting": "Preclinical laboratory study using porcine anterior stromal grafts resulting form Descemet membrane removal by preparation of Descemet Stripping Endothelial Keratoplasty (DSAEK) grafts.",
        "Methods": "Preparation of DSAEK grafts was achieved by mounting porcine corneas in an ALTK artificial anterior chamber with an ACP pressurizing system set at 200 mmHg (Moria SA, France) and cutting with a CBm turbine. The resulting anterior stromal grafts were stored in XTRA4 (n=4) or Corneal Chamber (n=4) at 2–8 °C (AL.CHI.MI.A. SRL, Italy). Graft thickness (GT) was measured with a digital thickness gauge (Mitutoyo, Japan) immediately after preparation (day 0) and during storage (days 1, 4, and 7).",
        "Results": "Baseline graft thickness was comparable between groups (XTRA4: 450±22 µm; Corneal Chamber: 438±22 µm; p>0,05). Grafts stored in XTRA4 showed an initial decrease in thickness after 24 hours (353±29 µm) and remained stable through day 7 (328±22 µm). In contrast, Corneal Chamber grafts showed progressive edema, increasing from day 1 (593±33 µm) to day 7 (723±33 µm). Relative to baseline, graft thickness at day 7 decreased by -27.1% in the XTRA4 group, whereas grafts stored in Corneal Chamber increased by +65.1% (p < 0.001).",
        "Conclusions": "After Descemet membrane removal XTRA4 maintained stromal graft thickness stability during hypothermic storage, whereas Corneal Chamber resulted in progressive tissue edema and loss of suitability for ALK procedures. Extended preservation of stromal tissue following endothelial graft preparation may provide additional logistical flexibility for eye banks and support split-cornea allocation strategies aimed at improving overall donor tissue utilization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POCOR285",
      "abstract_number": "POCOR285",
      "title": "Assessment Of Endothelial Cell Loss Within Transplant Preparation For Posterior Lamellar Keratoplasty",
      "authors": "Dr Konstantin Igorevich Katmakov",
      "presenter": "Dr Konstantin Igorevich Katmakov",
      "normalized_authors": [
        "Konstantin Igorevich Katmakov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Konstantin Igorevich Katmakov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To assess the extent of endothelial cell loss as a result of preparing an ultra-thin transplant for posterior lamellar keratoplasty.",
        "Setting": "This study was conducted at the Federal Center in the Cheboksary branch of the S.N. Fedorov Scientific and Technical Complex \"Microsurgery of the Eye,\" Russia, from January 2023 to January 2025. The hospital serves a population of approximately 600,000 people in an urban environment.",
        "Methods": "Donor human corneoscleral discs with viable endothelium preserved in the Borzenka-Moroz base medium were used for the experiment execution. Two groups of four pairs of donor corneas were formed. Group 1: corneal transplants for posterior lamellar keratoplasty, cut from the endothelial side with the usage of a femtosecond laser “Visum” (Optosystems, Troitsk); intact corneoscleral discs of the same donors served as the control. Group 2: donor corneas, on which the laser interface was applanated for 20 seconds from the endothelial side without femtolaser exposure; paired intact corneoscleral discs of the same donors were used as the control.",
        "Results": "Identification of live and dead endothelial cells was carried out with the usage of the fluorescent dyes Calcein Violet 450 (ThermoFisher Scientific) and Propidium Iodide (Sigma Aldrich) and a fluorescence microscope. Live and dead cells from the obtained images were counted by means of the program ImageJ.\n\nEndothelial loss resulting from the preparation of a 130 µm thick transplant amounted to 11.4%. In the group within which only laser interface applanation was performed, this indicator was 12.8%. No statistically significant differences were found between the groups (p>0.05).",
        "Conclusions": "The results of the study have demonstrated the absence of damaging energy impact of the femtosecond laser \"Visum\" on the endothelium within the formation process of a 130 µm thick transplant from the posterior corneal surface. The key reason leading to the death of the endothelium was the mechanical impact at the moment of its applanation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of the study have demonstrated the absence of damaging energy impact of the femtosecond laser \"Visum\" on the endothelium within the formation process of a 130 µm thick transplant from the posterior corneal surface. The key reason leading to the death of the endothelium was the mechanical impact at the moment of its applanation.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 973,
      "source_fields": {
        "Abstract Final Identifier": "POCOR285",
        "Title": "Assessment Of Endothelial Cell Loss Within Transplant Preparation For Posterior Lamellar Keratoplasty",
        "Presenting Author(s)": "Dr Konstantin Igorevich Katmakov",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Konstantin",
        "Submitter Middle Name": "Igorevich",
        "Submitter Last Name": "Katmakov",
        "Country Name": "Russian Federation",
        "Purpose": "To assess the extent of endothelial cell loss as a result of preparing an ultra-thin transplant for posterior lamellar keratoplasty.",
        "Setting": "This study was conducted at the Federal Center in the Cheboksary branch of the S.N. Fedorov Scientific and Technical Complex \"Microsurgery of the Eye,\" Russia, from January 2023 to January 2025. The hospital serves a population of approximately 600,000 people in an urban environment.",
        "Methods": "Donor human corneoscleral discs with viable endothelium preserved in the Borzenka-Moroz base medium were used for the experiment execution. Two groups of four pairs of donor corneas were formed. Group 1: corneal transplants for posterior lamellar keratoplasty, cut from the endothelial side with the usage of a femtosecond laser “Visum” (Optosystems, Troitsk); intact corneoscleral discs of the same donors served as the control. Group 2: donor corneas, on which the laser interface was applanated for 20 seconds from the endothelial side without femtolaser exposure; paired intact corneoscleral discs of the same donors were used as the control.",
        "Results": "Identification of live and dead endothelial cells was carried out with the usage of the fluorescent dyes Calcein Violet 450 (ThermoFisher Scientific) and Propidium Iodide (Sigma Aldrich) and a fluorescence microscope. Live and dead cells from the obtained images were counted by means of the program ImageJ.\n\nEndothelial loss resulting from the preparation of a 130 µm thick transplant amounted to 11.4%. In the group within which only laser interface applanation was performed, this indicator was 12.8%. No statistically significant differences were found between the groups (p>0.05).",
        "Conclusions": "The results of the study have demonstrated the absence of damaging energy impact of the femtosecond laser \"Visum\" on the endothelium within the formation process of a 130 µm thick transplant from the posterior corneal surface. The key reason leading to the death of the endothelium was the mechanical impact at the moment of its applanation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCOR286",
      "abstract_number": "POCOR286",
      "title": "Bacterial And Fungal Culture Positivity Of Preservation Media For Imported Donor Corneas In South Korea: Rates And Associated Factors",
      "authors": "Hyunjin Kim",
      "presenter": "Hyunjin Kim",
      "normalized_authors": [
        "Hyunjin Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hyunjin Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To determine bacterial and fungal culture positivity of preservation media from imported donor corneas used in South Korea, to identify donor- and preservation-related factors associated with culture results, and to evaluate postoperative infection after corneal transplantation.",
        "Setting": "This retrospective study included 125 imported donor corneas used for corneal transplantation at Seoul National University Hospital. Preservation media included Optisol-GS (n=56), Life4C (n=50), Eusol-C (n=12), and Kerasave (n=7). Postoperative infections were assessed for 1 year using medical records.",
        "Methods": "Preservation medium from each donor cornea was directly inoculated onto bacterial and fungal culture media in the operating room. Cases were classified as culture-positive or culture-negative and compared according to transplantation type, preservation medium type, donor age, death-to-preservation time, death-to-surgery time, duration of ventilator use, and endothelial cell density (ECD). All recipients were followed for 1 year for postoperative infection.",
        "Results": "Transplantation procedures included PKP (n=73), DSAEK (n=22), and DMEK (n=30). Positive cultures were identified in 12 of 125 samples (9.6%). All isolates were Gram-positive bacteria, and no fungal growth was detected. Transplantation type and preservation medium type were not significantly associated with culture results. Donor age (52±13 years), death-to-preservation time (675±264 minutes), death-to-surgery time (127±18 hours), ventilator duration (2±3 days), and ECD (2856±279 cells/mm²) did not differ significantly between culture-positive and culture-negative groups. No recipient in the culture-positive group developed postoperative infection during the 1-year follow-up.",
        "Conclusions": "Preservation media from imported donor corneas demonstrated a 9.6% culture-positivity rate, with exclusively Gram-positive bacterial isolates and no fungal growth. Culture positivity was not associated with donor characteristics or preservation-related factors and did not result in postoperative infection during follow-up. The absence of Gram-negative isolates may be related to antibiotic components in the preservation media, such as gentamicin and streptomycin. Overall, imported donor corneal transplantation demonstrated favorable clinical safety; however, careful monitoring for potential infection remains necessary."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preservation media from imported donor corneas demonstrated a 9.6% culture-positivity rate, with exclusively Gram-positive bacterial isolates and no fungal growth. Culture positivity was not associated with donor characteristics or preservation-related factors and did not result in postoperative infection during follow-up. The absence of Gram-negative isolates may be related to antibiotic components in the…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 974,
      "source_fields": {
        "Abstract Final Identifier": "POCOR286",
        "Title": "Bacterial And Fungal Culture Positivity Of Preservation Media For Imported Donor Corneas In South Korea: Rates And Associated Factors",
        "Presenting Author(s)": "Hyunjin Kim",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Hyunjin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To determine bacterial and fungal culture positivity of preservation media from imported donor corneas used in South Korea, to identify donor- and preservation-related factors associated with culture results, and to evaluate postoperative infection after corneal transplantation.",
        "Setting": "This retrospective study included 125 imported donor corneas used for corneal transplantation at Seoul National University Hospital. Preservation media included Optisol-GS (n=56), Life4C (n=50), Eusol-C (n=12), and Kerasave (n=7). Postoperative infections were assessed for 1 year using medical records.",
        "Methods": "Preservation medium from each donor cornea was directly inoculated onto bacterial and fungal culture media in the operating room. Cases were classified as culture-positive or culture-negative and compared according to transplantation type, preservation medium type, donor age, death-to-preservation time, death-to-surgery time, duration of ventilator use, and endothelial cell density (ECD). All recipients were followed for 1 year for postoperative infection.",
        "Results": "Transplantation procedures included PKP (n=73), DSAEK (n=22), and DMEK (n=30). Positive cultures were identified in 12 of 125 samples (9.6%). All isolates were Gram-positive bacteria, and no fungal growth was detected. Transplantation type and preservation medium type were not significantly associated with culture results. Donor age (52±13 years), death-to-preservation time (675±264 minutes), death-to-surgery time (127±18 hours), ventilator duration (2±3 days), and ECD (2856±279 cells/mm²) did not differ significantly between culture-positive and culture-negative groups. No recipient in the culture-positive group developed postoperative infection during the 1-year follow-up.",
        "Conclusions": "Preservation media from imported donor corneas demonstrated a 9.6% culture-positivity rate, with exclusively Gram-positive bacterial isolates and no fungal growth. Culture positivity was not associated with donor characteristics or preservation-related factors and did not result in postoperative infection during follow-up. The absence of Gram-negative isolates may be related to antibiotic components in the preservation media, such as gentamicin and streptomycin. Overall, imported donor corneal transplantation demonstrated favorable clinical safety; however, careful monitoring for potential infection remains necessary."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCOR287",
      "abstract_number": "POCOR287",
      "title": "Urrets-Zavalia Syndrome After Dmek: Role Of Inferior Peripheral Iridectomy And Early Iop Control In Prevention",
      "authors": "Dr Pablo Larco Jr.",
      "presenter": "Dr Pablo Larco Jr.",
      "normalized_authors": [
        "Pablo Larco Jr."
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Larco Jr.",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ecuador",
      "sections": {
        "Purpose": "To describe the clinical course, mechanisms, and preventive strategies of Urrets-Zavalia syndrome (UZS) after Descemet membrane endothelial keratoplasty (DMEK) and to integrate a structured analysis of the published literature to identify modifiable surgical factors. Particular emphasis is placed on the role of early postoperative intraocular pressure elevation, aqueous flow dynamics in the presence of a large gas bubble, and the relevance of peripheral iridectomy location in preventing pupillary block and subsequent iris ischemia.",
        "Setting": "Oftalmocenter – Centro Especializado de Oftalmología and Clínica de Ojos Larco Visión, Quito, Ecuador. Tertiary referral center for corneal transplantation with standardized DMEK technique, multimodal postoperative evaluation, and long-term follow-up.",
        "Methods": "A 53-year-old woman with prior Artisan phakic intraocular lens implantation developed corneal decompensation and underwent uneventful DMEK using 20% SF₆ gas tamponade (80% fill). No inferior peripheral iridectomy was performed because a large superior iridectomy was present. Postoperative intraocular pressure, graft attachment, pupillary changes, and visual outcomes were prospectively documented. A structured PubMed review of reported UZS after DMEK was performed, analyzing tamponade type, iridectomy status and location, postoperative intraocular pressure, management, and final visual acuity.",
        "Results": "On postoperative day 1, intraocular pressure increased to 37 mm Hg despite a well-attached graft and a patent superior iridectomy, requiring partial gas release. By day 7, a fixed dilated pupil with posterior synechiae developed while corneal transparency improved. Anterior subcapsular cataract required phacoemulsification with synechiolysis using endothelial-protective techniques. Final best-corrected visual acuity reached 20/30 with a clear graft and stable intraocular pressure. Literature analysis showed that UZS occurs with both air and SF₆ and is consistently associated with early postoperative ocular hypertension. Eyes without an inferior peripheral iridectomy showed a higher rate of permanent pupillary abnormalities.",
        "Conclusions": "Urrets-Zavalia syndrome after DMEK is primarily caused by early postoperative intraocular pressure elevation in the presence of impaired inferior aqueous flow. A patent superior iridectomy does not prevent pupillary block and may generate a false sense of protection. Integration of our findings with the literature indicates that an inferior peripheral iridectomy is the most effective preventive measure, as it provides direct aqueous egress beneath a large gas bubble. Strict day-1 intraocular pressure control and individualized gas management are essential. With timely staged treatment, excellent long-term visual outcomes can still be achieved."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Urrets-Zavalia syndrome after DMEK is primarily caused by early postoperative intraocular pressure elevation in the presence of impaired inferior aqueous flow. A patent superior iridectomy does not prevent pupillary block and may generate a false sense of protection. Integration of our findings with the literature indicates that an inferior peripheral iridectomy is the most effective preventive measure, as it…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 975,
      "source_fields": {
        "Abstract Final Identifier": "POCOR287",
        "Title": "Urrets-Zavalia Syndrome After Dmek: Role Of Inferior Peripheral Iridectomy And Early Iop Control In Prevention",
        "Presenting Author(s)": "Dr Pablo Larco Jr.",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Larco Jr.",
        "Country Name": "Ecuador",
        "Purpose": "To describe the clinical course, mechanisms, and preventive strategies of Urrets-Zavalia syndrome (UZS) after Descemet membrane endothelial keratoplasty (DMEK) and to integrate a structured analysis of the published literature to identify modifiable surgical factors. Particular emphasis is placed on the role of early postoperative intraocular pressure elevation, aqueous flow dynamics in the presence of a large gas bubble, and the relevance of peripheral iridectomy location in preventing pupillary block and subsequent iris ischemia.",
        "Setting": "Oftalmocenter – Centro Especializado de Oftalmología and Clínica de Ojos Larco Visión, Quito, Ecuador. Tertiary referral center for corneal transplantation with standardized DMEK technique, multimodal postoperative evaluation, and long-term follow-up.",
        "Methods": "A 53-year-old woman with prior Artisan phakic intraocular lens implantation developed corneal decompensation and underwent uneventful DMEK using 20% SF₆ gas tamponade (80% fill). No inferior peripheral iridectomy was performed because a large superior iridectomy was present. Postoperative intraocular pressure, graft attachment, pupillary changes, and visual outcomes were prospectively documented. A structured PubMed review of reported UZS after DMEK was performed, analyzing tamponade type, iridectomy status and location, postoperative intraocular pressure, management, and final visual acuity.",
        "Results": "On postoperative day 1, intraocular pressure increased to 37 mm Hg despite a well-attached graft and a patent superior iridectomy, requiring partial gas release. By day 7, a fixed dilated pupil with posterior synechiae developed while corneal transparency improved. Anterior subcapsular cataract required phacoemulsification with synechiolysis using endothelial-protective techniques. Final best-corrected visual acuity reached 20/30 with a clear graft and stable intraocular pressure. Literature analysis showed that UZS occurs with both air and SF₆ and is consistently associated with early postoperative ocular hypertension. Eyes without an inferior peripheral iridectomy showed a higher rate of permanent pupillary abnormalities.",
        "Conclusions": "Urrets-Zavalia syndrome after DMEK is primarily caused by early postoperative intraocular pressure elevation in the presence of impaired inferior aqueous flow. A patent superior iridectomy does not prevent pupillary block and may generate a false sense of protection. Integration of our findings with the literature indicates that an inferior peripheral iridectomy is the most effective preventive measure, as it provides direct aqueous egress beneath a large gas bubble. Strict day-1 intraocular pressure control and individualized gas management are essential. With timely staged treatment, excellent long-term visual outcomes can still be achieved."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POCOR288",
      "abstract_number": "POCOR288",
      "title": "Outcomes Of A Novel Artificial Endothelial Implant (Endoart) For Treating Chronic Corneal Edema",
      "authors": "Dr Carlos Lisa",
      "presenter": "Dr Carlos Lisa",
      "normalized_authors": [
        "Carlos Lisa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carlos Lisa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the outcomes of a novel artificial endothelial implant (EndoArt) for treating chronic corneal edema.",
        "Setting": "Instituto Universitario Fernández-Vega (Oviedo), España",
        "Methods": "Patients with poor prognosis for graft survival and chronic corneal edema underwent removal of the Descemet membrane or previous endothelial graft and implantation of an artificial endothelial replacement membrane (EndoArt, EyeYon Medical, Israel). The implant was secured to the posterior corneal surface using an air–gas bubble and a nylon suture. Main outcome measures included central corneal thickness, corrected distance visual acuity, rate of rebubbling, device related complications and ocular discomfort with at least one year of follow-up.",
        "Results": "30 eyes of 29 patients underwent EndoArt implantation.Central corneal thickness significantly decreased from a mean of 859 ± 178 µ preoperatively to 681 ± 187 µ postoperatively. Marginal improvement in visual acuity was obtained due to severe ocular comorbidities and previous chronic stromal fibrosis. The average CDVA pre-op was 1.88 ± 0.74 (logMar) and improved to 1.40 ± 0.89 (logMar) after the surgery. Early device dislocation happened in 45% of the cases. The rebubbling rate was 42.3 %.Two eyes with previous failed penetrating keratoplasty had extreme thinning with total recovery in one case and perforation after 2 years in the other case.We had EndoArt failure in another 3 eyes.",
        "Conclusions": "EndoArt implantation improves central thickness and corneal transparency in patients with bullous keratopathy and poor prognosis for a endothelial or penetrating keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EndoArt implantation improves central thickness and corneal transparency in patients with bullous keratopathy and poor prognosis for a endothelial or penetrating keratoplasty.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 976,
      "source_fields": {
        "Abstract Final Identifier": "POCOR288",
        "Title": "Outcomes Of A Novel Artificial Endothelial Implant (Endoart) For Treating Chronic Corneal Edema",
        "Presenting Author(s)": "Dr Carlos Lisa",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Carlos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lisa",
        "Country Name": "Spain",
        "Purpose": "To report the outcomes of a novel artificial endothelial implant (EndoArt) for treating chronic corneal edema.",
        "Setting": "Instituto Universitario Fernández-Vega (Oviedo), España",
        "Methods": "Patients with poor prognosis for graft survival and chronic corneal edema underwent removal of the Descemet membrane or previous endothelial graft and implantation of an artificial endothelial replacement membrane (EndoArt, EyeYon Medical, Israel). The implant was secured to the posterior corneal surface using an air–gas bubble and a nylon suture. Main outcome measures included central corneal thickness, corrected distance visual acuity, rate of rebubbling, device related complications and ocular discomfort with at least one year of follow-up.",
        "Results": "30 eyes of 29 patients underwent EndoArt implantation.Central corneal thickness significantly decreased from a mean of 859 ± 178 µ preoperatively to 681 ± 187 µ postoperatively. Marginal improvement in visual acuity was obtained due to severe ocular comorbidities and previous chronic stromal fibrosis. The average CDVA pre-op was 1.88 ± 0.74 (logMar) and improved to 1.40 ± 0.89 (logMar) after the surgery. Early device dislocation happened in 45% of the cases. The rebubbling rate was 42.3 %.Two eyes with previous failed penetrating keratoplasty had extreme thinning with total recovery in one case and perforation after 2 years in the other case.We had EndoArt failure in another 3 eyes.",
        "Conclusions": "EndoArt implantation improves central thickness and corneal transparency in patients with bullous keratopathy and poor prognosis for a endothelial or penetrating keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POCOR289",
      "abstract_number": "POCOR289",
      "title": "Ek-Alk: A Customised Femtosecond Platform For Predictable Ultrathin Endothelial Keratoplasty Grafts – One-Year Clinical Outcomes",
      "authors": "Mr Abhinav Loomba",
      "presenter": "Mr Abhinav Loomba",
      "normalized_authors": [
        "Abhinav Loomba"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abhinav Loomba",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the safety, reproducibility, and one-year clinical outcomes of EK-ALK, a novel femtosecond laser–based graft preparation technique designed to deliver highly predictable ultrathin endothelial keratoplasty grafts for DSAEK.",
        "Setting": "Hull Royal Eye Hospital NHS Trust",
        "Methods": "This retrospective consecutive case series included 70 eyes of 70 patients undergoing DSAEK using donor grafts prepared via a customised adaptation of the anterior lamellar keratoplasty (ALK) mode on a femtosecond laser platform.\n\nDonor corneas (endothelial cell density >2000 cells/mm²) were mounted on an artificial anterior chamber and dissected using customised EK-ALK parameters to achieve targeted ultrathin graft profiles. Grafts were punched, separated, and transplanted using standard DSAEK technique.\n\nPrimary endpoints included graft thickness reproducibility, intraoperative handling characteristics, postoperative complication profile, and best-corrected visual acuity (BCVA) at 1 year.",
        "Results": "Mean patient age was 72.4 years (34 male, 36 female).\n\nUltrathin graft creation (<100 µm) was achieved in 100% of cases, with a minimum thickness of 40 µm. Partial manual dissection was required in only 4.3% of cases, demonstrating high procedural precision and reproducibility. No intraoperative graft loss or complications occurred.\n\nAt one year, postoperative complications were limited and clinically manageable (17.4%): elevated intraocular pressure (8.7%), transient corneal oedema (4.3%), and cystoid macular oedema (4.3%).\n\nBCVA demonstrated sustained postoperative improvement at one year, supporting the optical benefit of consistently ultrathin graft architecture.",
        "Conclusions": "EK-ALK enables a standardised, femtosecond-assisted approach to predictable ultrathin endothelial graft preparation, addressing variability inherent to conventional microkeratome or manual techniques.\n\nTo our knowledge, this represents one of the largest reported clinical series of femtosecond laser–assisted customised ultrathin graft preparation in DSAEK.\n\nOne-year outcomes confirm that EK-ALK is safe, reliable, and clinically effective, and may represent an important step toward greater standardisation and optimisation of ultrathin endothelial keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EK-ALK enables a standardised, femtosecond-assisted approach to predictable ultrathin endothelial graft preparation, addressing variability inherent to conventional microkeratome or manual techniques. To our knowledge, this represents one of the largest reported clinical series of femtosecond laser–assisted customised ultrathin graft preparation in DSAEK. One-year outcomes confirm that EK-ALK is safe, reliable, and…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 977,
      "source_fields": {
        "Abstract Final Identifier": "POCOR289",
        "Title": "Ek-Alk: A Customised Femtosecond Platform For Predictable Ultrathin Endothelial Keratoplasty Grafts – One-Year Clinical Outcomes",
        "Presenting Author(s)": "Mr Abhinav Loomba",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Abhinav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Loomba",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the safety, reproducibility, and one-year clinical outcomes of EK-ALK, a novel femtosecond laser–based graft preparation technique designed to deliver highly predictable ultrathin endothelial keratoplasty grafts for DSAEK.",
        "Setting": "Hull Royal Eye Hospital NHS Trust",
        "Methods": "This retrospective consecutive case series included 70 eyes of 70 patients undergoing DSAEK using donor grafts prepared via a customised adaptation of the anterior lamellar keratoplasty (ALK) mode on a femtosecond laser platform.\n\nDonor corneas (endothelial cell density >2000 cells/mm²) were mounted on an artificial anterior chamber and dissected using customised EK-ALK parameters to achieve targeted ultrathin graft profiles. Grafts were punched, separated, and transplanted using standard DSAEK technique.\n\nPrimary endpoints included graft thickness reproducibility, intraoperative handling characteristics, postoperative complication profile, and best-corrected visual acuity (BCVA) at 1 year.",
        "Results": "Mean patient age was 72.4 years (34 male, 36 female).\n\nUltrathin graft creation (<100 µm) was achieved in 100% of cases, with a minimum thickness of 40 µm. Partial manual dissection was required in only 4.3% of cases, demonstrating high procedural precision and reproducibility. No intraoperative graft loss or complications occurred.\n\nAt one year, postoperative complications were limited and clinically manageable (17.4%): elevated intraocular pressure (8.7%), transient corneal oedema (4.3%), and cystoid macular oedema (4.3%).\n\nBCVA demonstrated sustained postoperative improvement at one year, supporting the optical benefit of consistently ultrathin graft architecture.",
        "Conclusions": "EK-ALK enables a standardised, femtosecond-assisted approach to predictable ultrathin endothelial graft preparation, addressing variability inherent to conventional microkeratome or manual techniques.\n\nTo our knowledge, this represents one of the largest reported clinical series of femtosecond laser–assisted customised ultrathin graft preparation in DSAEK.\n\nOne-year outcomes confirm that EK-ALK is safe, reliable, and clinically effective, and may represent an important step toward greater standardisation and optimisation of ultrathin endothelial keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "POCOR290",
      "abstract_number": "POCOR290",
      "title": "Clinical Outcomes Of Dmek In Fuchs Endothelial Dystrophy And Pseudophakic Bullous Keratopathy: A Comparative Study",
      "authors": "Dr Pedro Marques-Couto",
      "presenter": "Dr Pedro Marques-Couto",
      "normalized_authors": [
        "Pedro Marques-Couto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Marques-Couto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare the outcomes of Descemet Membrane Endothelial Keratoplasty (DMEK) in patients with Pseudophakic Bullous Keratopathy (PBK) and Fuchs Endothelial Corneal Dystrophy (FECD).",
        "Setting": "Single-center, retrospective conducted at the Department of Ophthalmology of Unidade Local de Saúde São João, a tertiary university hospital from Porto, Portugal.",
        "Methods": "Pseudophakic eyes with either PBK or FECD that required DMEK, and presented at least one year follow-up, were included. Primary outcomes were secondary graft failure rate and postoperative corrected distance visual acuity (CDVA, LogMAR). Secondary outcomes included central corneal thickness, endothelial cell density (ECD) before and after surgery, rebubbling and regrafting rates.",
        "Results": "Eighty-four pseudophakic eyes (mean age 71.8±11.6; 65.5% female) undergoing DMEK for either PBK (n=46) or FECD (n=38) were included. Graft failure was higher in PBK than FECD (16 eyes, 34.8% vs 2 eyes, 5.3%; OR 9.5, p=0.001). Median CDVA improved from 1.00 (IQR 1.43) to 0.22 (IQR 0.29) in PBK, and from 0.52 (IQR 0.30) to 0.10 (IQR 0.19) in FECD, with superior final outcomes in FECD (p=0.007). Rebubbling occurred in 4 (8.7%) of PBK and 7 (18.4%) of FECD. Preoperative pachymetry was higher in PBK (p<0.05). Central and thinnest pachymetry decreased significantly in both groups, without intergroup differences.",
        "Conclusions": "DMEK was effective in improving vision and corneal thickness in both groups. Baseline corneal edema was worse in eyes with PBK, but postoperative pachymetry was comparable between groups, indicating adequate anatomical recovery. Graft failure was more frequent in PBK, and PBK eyes had worse postoperative visual acuity. These results suggest that although DMEK can reestablish corneal anatomy in both conditions, the primary cause of endothelial dysfunction remains an important determinant of prognosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DMEK was effective in improving vision and corneal thickness in both groups. Baseline corneal edema was worse in eyes with PBK, but postoperative pachymetry was comparable between groups, indicating adequate anatomical recovery. Graft failure was more frequent in PBK, and PBK eyes had worse postoperative visual acuity. These results suggest that although DMEK can reestablish corneal anatomy in both conditions, the…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 978,
      "source_fields": {
        "Abstract Final Identifier": "POCOR290",
        "Title": "Clinical Outcomes Of Dmek In Fuchs Endothelial Dystrophy And Pseudophakic Bullous Keratopathy: A Comparative Study",
        "Presenting Author(s)": "Dr Pedro Marques-Couto",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marques-Couto",
        "Country Name": "Portugal",
        "Purpose": "To compare the outcomes of Descemet Membrane Endothelial Keratoplasty (DMEK) in patients with Pseudophakic Bullous Keratopathy (PBK) and Fuchs Endothelial Corneal Dystrophy (FECD).",
        "Setting": "Single-center, retrospective conducted at the Department of Ophthalmology of Unidade Local de Saúde São João, a tertiary university hospital from Porto, Portugal.",
        "Methods": "Pseudophakic eyes with either PBK or FECD that required DMEK, and presented at least one year follow-up, were included. Primary outcomes were secondary graft failure rate and postoperative corrected distance visual acuity (CDVA, LogMAR). Secondary outcomes included central corneal thickness, endothelial cell density (ECD) before and after surgery, rebubbling and regrafting rates.",
        "Results": "Eighty-four pseudophakic eyes (mean age 71.8±11.6; 65.5% female) undergoing DMEK for either PBK (n=46) or FECD (n=38) were included. Graft failure was higher in PBK than FECD (16 eyes, 34.8% vs 2 eyes, 5.3%; OR 9.5, p=0.001). Median CDVA improved from 1.00 (IQR 1.43) to 0.22 (IQR 0.29) in PBK, and from 0.52 (IQR 0.30) to 0.10 (IQR 0.19) in FECD, with superior final outcomes in FECD (p=0.007). Rebubbling occurred in 4 (8.7%) of PBK and 7 (18.4%) of FECD. Preoperative pachymetry was higher in PBK (p<0.05). Central and thinnest pachymetry decreased significantly in both groups, without intergroup differences.",
        "Conclusions": "DMEK was effective in improving vision and corneal thickness in both groups. Baseline corneal edema was worse in eyes with PBK, but postoperative pachymetry was comparable between groups, indicating adequate anatomical recovery. Graft failure was more frequent in PBK, and PBK eyes had worse postoperative visual acuity. These results suggest that although DMEK can reestablish corneal anatomy in both conditions, the primary cause of endothelial dysfunction remains an important determinant of prognosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "POCOR291",
      "abstract_number": "POCOR291",
      "title": "Evaluation Of A New Technique For Preparation Of Endothelial Grafts For Descemet Membrane Endothelial Keratoplasty",
      "authors": "Dr Ayah Marrie",
      "presenter": "Dr Ayah Marrie",
      "normalized_authors": [
        "Ayah Marrie"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayah Marrie",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "The purpose of this study was to describe a technique for preparing endothelial grafts for Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Cairo University",
        "Methods": "This prospective interventional exvivo investigational study included 22 corneas used to separate Descemet’s-endothelial complex membrane, using a new relatively simple technique that utilized an artificial anterior chamber and no touch maneuvers to be prepared for DMEK. All grafts were prepared by single corneal surgeon. Primary outcome measures the time needed to prepare the grafts and the number of graft tears.",
        "Results": "The mean cell density of the donor corneas was 3005.3 ± 253.6 cell/mm 2 , the duration of whole preparation starting from placing the graft over the artificial AC till the complete separation of the DM and placing it to tissue preservation medium was 314.1 ± 27.9 seconds. Scoring of DM and separation of the membrane from underlying stroma consumed 27.8 ± 0.9 and 26.6 ± 2.1 seconds respectively.",
        "Conclusions": "We proposed an innovative step for scoring DMEK grafts, making the graft preparation more simple, reproducible and easy to be performed by average experienced surgeons in the learning curve of DMEK surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We proposed an innovative step for scoring DMEK grafts, making the graft preparation more simple, reproducible and easy to be performed by average experienced surgeons in the learning curve of DMEK surgery.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 979,
      "source_fields": {
        "Abstract Final Identifier": "POCOR291",
        "Title": "Evaluation Of A New Technique For Preparation Of Endothelial Grafts For Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Ayah Marrie",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ayah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marrie",
        "Country Name": "Egypt",
        "Purpose": "The purpose of this study was to describe a technique for preparing endothelial grafts for Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Cairo University",
        "Methods": "This prospective interventional exvivo investigational study included 22 corneas used to separate Descemet’s-endothelial complex membrane, using a new relatively simple technique that utilized an artificial anterior chamber and no touch maneuvers to be prepared for DMEK. All grafts were prepared by single corneal surgeon. Primary outcome measures the time needed to prepare the grafts and the number of graft tears.",
        "Results": "The mean cell density of the donor corneas was 3005.3 ± 253.6 cell/mm 2 , the duration of whole preparation starting from placing the graft over the artificial AC till the complete separation of the DM and placing it to tissue preservation medium was 314.1 ± 27.9 seconds. Scoring of DM and separation of the membrane from underlying stroma consumed 27.8 ± 0.9 and 26.6 ± 2.1 seconds respectively.",
        "Conclusions": "We proposed an innovative step for scoring DMEK grafts, making the graft preparation more simple, reproducible and easy to be performed by average experienced surgeons in the learning curve of DMEK surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 187
    },
    {
      "uid": "POCOR292",
      "abstract_number": "POCOR292",
      "title": "Anatomical Behaviour, Visual Outcomes, And Predictors Of Graft Detachment And Rebubbling After Descemet Membrane Endothelial Keratoplasty (Dm) In Naïve Eyes.",
      "authors": "Mr Tariq Mohammad",
      "presenter": "Mr Tariq Mohammad",
      "normalized_authors": [
        "Tariq Mohammad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tariq Mohammad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate anatomical behaviour, visual outcomes, and predictors of graft detachment and rebubbling after Descemet membrane endothelial keratoplasty (DMEK) in naïve eyes with a successful outcome in a multicentre cohort.",
        "Setting": "This multicentre retrospective study was conducted at a tertiary referral centre in the United Kingdom and a high-volume corneal centre in Turkey.",
        "Methods": "This multicentre retrospective study included naïve eyes undergoing successful DMEK at a tertiary teaching hospital in the United Kingdom and a high-volume corneal centre in Turkey. Postoperative detachments were classified by location, severity (≤1/3, 1/3–2/3, ≥2/3), and extent on anterior segment OCT (number of detached quadrants). Outcomes were compared between eyes with and without detachment and, within detached eyes, between those requiring re-bubbling and those that reattached spontaneously. Multivariable logistic regression was used to assess independent predictors.",
        "Results": "74 eyes were analysed (mean age 71.0 ± 9.5 years); Fuchs endothelial corneal dystrophy (FECD) was the primary indication (78.3%). Early postoperative graft detachment occurred in 30 eyes (40.5%), whereas the total rebubbling rate was 24%. Detachments were most commonly inferior (43.3%), mild (≤1/3 graft area; 60.0%), and limited to a single quadrant (53.3%). Detachment occurred more frequently in FECD than in other indications (55.8% vs 4.8%, p < 0.001).On multivariable analysis, increasing patient age was independently associated with a lower risk of graft detachment (OR = 0.88 per year; 95% CI 0.78–0.99; p = 0.038). Mean BCVA improved from 0.96 ± 0.62 logMAR preoperatively to 0.21 ± 0.18 at 12 months (p = 0.007).",
        "Conclusions": "Overall, the only categorical factor significantly associated with postoperative graft detachment was the underlying conreal disease, with detachment occurring markedly more frequently in eyes with FECD than in other indications ( p < 0.001). Apart from this, no other demographic, ocular, surgical (including unfolding time), or donor-related categorical variables were associated with detachment. Using the Wilcoxon signed-rank test, postoperative BCVA was significantly better than preoperative BCVA at all postoperative time points. These findings confirm a consistent and clinically meaningful improvement in visual acuity after successful DMEK in naïve eyes, with functional gains maintained throughout the first postoperative year."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Overall, the only categorical factor significantly associated with postoperative graft detachment was the underlying conreal disease, with detachment occurring markedly more frequently in eyes with FECD than in other indications ( p < 0.001). Apart from this, no other demographic, ocular, surgical (including unfolding time), or donor-related categorical variables were associated with detachment. Using the Wilcoxon…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 980,
      "source_fields": {
        "Abstract Final Identifier": "POCOR292",
        "Title": "Anatomical Behaviour, Visual Outcomes, And Predictors Of Graft Detachment And Rebubbling After Descemet Membrane Endothelial Keratoplasty (Dm) In Naïve Eyes.",
        "Presenting Author(s)": "Mr Tariq Mohammad",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Tariq",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mohammad",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate anatomical behaviour, visual outcomes, and predictors of graft detachment and rebubbling after Descemet membrane endothelial keratoplasty (DMEK) in naïve eyes with a successful outcome in a multicentre cohort.",
        "Setting": "This multicentre retrospective study was conducted at a tertiary referral centre in the United Kingdom and a high-volume corneal centre in Turkey.",
        "Methods": "This multicentre retrospective study included naïve eyes undergoing successful DMEK at a tertiary teaching hospital in the United Kingdom and a high-volume corneal centre in Turkey. Postoperative detachments were classified by location, severity (≤1/3, 1/3–2/3, ≥2/3), and extent on anterior segment OCT (number of detached quadrants). Outcomes were compared between eyes with and without detachment and, within detached eyes, between those requiring re-bubbling and those that reattached spontaneously. Multivariable logistic regression was used to assess independent predictors.",
        "Results": "74 eyes were analysed (mean age 71.0 ± 9.5 years); Fuchs endothelial corneal dystrophy (FECD) was the primary indication (78.3%). Early postoperative graft detachment occurred in 30 eyes (40.5%), whereas the total rebubbling rate was 24%. Detachments were most commonly inferior (43.3%), mild (≤1/3 graft area; 60.0%), and limited to a single quadrant (53.3%). Detachment occurred more frequently in FECD than in other indications (55.8% vs 4.8%, p < 0.001).On multivariable analysis, increasing patient age was independently associated with a lower risk of graft detachment (OR = 0.88 per year; 95% CI 0.78–0.99; p = 0.038). Mean BCVA improved from 0.96 ± 0.62 logMAR preoperatively to 0.21 ± 0.18 at 12 months (p = 0.007).",
        "Conclusions": "Overall, the only categorical factor significantly associated with postoperative graft detachment was the underlying conreal disease, with detachment occurring markedly more frequently in eyes with FECD than in other indications ( p < 0.001). Apart from this, no other demographic, ocular, surgical (including unfolding time), or donor-related categorical variables were associated with detachment. Using the Wilcoxon signed-rank test, postoperative BCVA was significantly better than preoperative BCVA at all postoperative time points. These findings confirm a consistent and clinically meaningful improvement in visual acuity after successful DMEK in naïve eyes, with functional gains maintained throughout the first postoperative year."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "POCOR293",
      "abstract_number": "POCOR293",
      "title": "An Alternative Dmek Marking Technique: The Bubble That Stayed",
      "authors": "Dr Mary-Therese Monaghan",
      "presenter": "Dr Mary-Therese Monaghan",
      "normalized_authors": [
        "Mary-Therese Monaghan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mary-Therese Monaghan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe and evaluate a n intraoperative orientation technique for Descemet membrane endothelial keratoplasty (DMEK) grafts using an intralamellar air bubble, as an alternative to conventional stromal marking methods such as peripheral triangular notching or stromal “F” or “S” stamping by creating an anterior lamellar hole .",
        "Setting": "Traditional DMEK graft orientation relies on creating a peripheral triangular mark or stamping an “F” through the anterior stromal surface. While effective, these techniques require direct tissue manipulation and irreversible damage to the anterior lamella . We describe an alternative, non-contact orientation method adopted in a UK centre. Although this technique has been previously reported in Eye Bank literature, we describe a practical modification that streamlines DMEK tissue preparation.",
        "Methods": "We describe an alternative, non-contact orientation method in which a small air bubble is deliberately introduced between the partially folded Descemet membrane (DM) and endothelial layers during preparation. The bubble is positioned within the scroll prior to stamping , allowing the direct application of the standard F mark without creating an anterior button-hole. We present a step-by-step guide through intra-operative photographs of all stages of this technique, so that this technique may be easily adopted by other surgeons performing DMEK grafts .",
        "Results": "By utilizing pre-existing air bubbles naturally present in the preservative medium, rather than injecting air with a cannula after graft folding, we eliminate an additional procedural step. The same bubble is subsequently used to support graft marking, reducing preparation time and simplifying the workflow. The air bubble allows for application of the stamp , which facilitates immediate recognition of inverted grafts and reduces intraocular manipulation. The technique preserves endothelial integrity by avoiding mechanical trephine-edge notching or stromal stamping, minimizes potential endothelial cell loss related to marking, and eliminates permanent alterations to graft tissue. Additionally, the method reduces preparation time .",
        "Conclusions": "A ir bubble -assisted DMEK graft marking represents a simple, reproducible, and tissue-preserving alternative to conventional DMEK orientation techniques. T his approach enhances intraoperative visualization, reduces mechanical trauma, and maintains graft integrity. Further prospective evaluation is warranted to quantify endothelial cell survival and clinical outcomes compared with traditional marking methods."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A ir bubble -assisted DMEK graft marking represents a simple, reproducible, and tissue-preserving alternative to conventional DMEK orientation techniques. T his approach enhances intraoperative visualization, reduces mechanical trauma, and maintains graft integrity. Further prospective evaluation is warranted to quantify endothelial cell survival and clinical outcomes compared with traditional marking methods.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 981,
      "source_fields": {
        "Abstract Final Identifier": "POCOR293",
        "Title": "An Alternative Dmek Marking Technique: The Bubble That Stayed",
        "Presenting Author(s)": "Dr Mary-Therese Monaghan",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Mary-Therese",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Monaghan",
        "Country Name": "United Kingdom",
        "Purpose": "To describe and evaluate a n intraoperative orientation technique for Descemet membrane endothelial keratoplasty (DMEK) grafts using an intralamellar air bubble, as an alternative to conventional stromal marking methods such as peripheral triangular notching or stromal “F” or “S” stamping by creating an anterior lamellar hole .",
        "Setting": "Traditional DMEK graft orientation relies on creating a peripheral triangular mark or stamping an “F” through the anterior stromal surface. While effective, these techniques require direct tissue manipulation and irreversible damage to the anterior lamella . We describe an alternative, non-contact orientation method adopted in a UK centre. Although this technique has been previously reported in Eye Bank literature, we describe a practical modification that streamlines DMEK tissue preparation.",
        "Methods": "We describe an alternative, non-contact orientation method in which a small air bubble is deliberately introduced between the partially folded Descemet membrane (DM) and endothelial layers during preparation. The bubble is positioned within the scroll prior to stamping , allowing the direct application of the standard F mark without creating an anterior button-hole. We present a step-by-step guide through intra-operative photographs of all stages of this technique, so that this technique may be easily adopted by other surgeons performing DMEK grafts .",
        "Results": "By utilizing pre-existing air bubbles naturally present in the preservative medium, rather than injecting air with a cannula after graft folding, we eliminate an additional procedural step. The same bubble is subsequently used to support graft marking, reducing preparation time and simplifying the workflow. The air bubble allows for application of the stamp , which facilitates immediate recognition of inverted grafts and reduces intraocular manipulation. The technique preserves endothelial integrity by avoiding mechanical trephine-edge notching or stromal stamping, minimizes potential endothelial cell loss related to marking, and eliminates permanent alterations to graft tissue. Additionally, the method reduces preparation time .",
        "Conclusions": "A ir bubble -assisted DMEK graft marking represents a simple, reproducible, and tissue-preserving alternative to conventional DMEK orientation techniques. T his approach enhances intraoperative visualization, reduces mechanical trauma, and maintains graft integrity. Further prospective evaluation is warranted to quantify endothelial cell survival and clinical outcomes compared with traditional marking methods."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POCOR294",
      "abstract_number": "POCOR294",
      "title": "Post-Dsaek Microbial Keratitis: Clinical Profile And Outcomes From A Tertiary Eye Care Centre",
      "authors": "Dr Sridevi Nair",
      "presenter": "Dr Sridevi Nair",
      "normalized_authors": [
        "Sridevi Nair"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sridevi Nair",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the clinical characteristics, microbiological profile, risk factors, management, and visual outcomes of infectious keratitis following Descemet stripping automated endothelial keratoplasty (DSAEK).",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi",
        "Methods": "A retrospective review was conducted of patients who developed infectious keratitis following DSAEK at a tertiary eye care centre over a 3 year period. Data analysed included risk factors, time to infection, microbiological findings management strategies, and final visual outcomes.",
        "Results": "Thirteen eyes of 13 patients developed post-DSAEK infection (Mean age= 40.9±20.9 years). Median time to presentation was 14 days (mean 137 ± 181.9 days). Interface or deep stromal involvement was observed in 8 eyes. Corneal scraping cultures were positive in 3 eyes (Candida; Candida + Staphylococcus; Acremonium). The mean DET of the DSAEK donor tissue was 10.75 ± 6.26 hours (median 13 hours). Donor rim cultures were positive in 3 cases (Candida/Pseudomonas, Pseudomonas, and Phaeacremonium species). Surgical intervention was required in 8 eyes, including lenticule extraction in 5 and therapeutic PK in 3; 5 eyes were managed medically. Mean DCVA was 1.65 ± 0.47 at 3 months; 46% were finger counting close to face or worse.",
        "Conclusions": "Post-DSAEK infectious keratitis represents an uncommon yet potentially sight-threatening complication, often presenting in the early postoperative period. A substantial proportion of cases required surgical intervention, including lenticule explantation or repeat penetrating keratoplasty. Visual outcomes were guarded, with nearly half of the eyes demonstrating severe visual impairment at final follow-up. Vigilant postoperative surveillance and careful donor screening remain essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-DSAEK infectious keratitis represents an uncommon yet potentially sight-threatening complication, often presenting in the early postoperative period. A substantial proportion of cases required surgical intervention, including lenticule explantation or repeat penetrating keratoplasty. Visual outcomes were guarded, with nearly half of the eyes demonstrating severe visual impairment at final follow-up. Vigilant…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 982,
      "source_fields": {
        "Abstract Final Identifier": "POCOR294",
        "Title": "Post-Dsaek Microbial Keratitis: Clinical Profile And Outcomes From A Tertiary Eye Care Centre",
        "Presenting Author(s)": "Dr Sridevi Nair",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Sridevi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nair",
        "Country Name": "India",
        "Purpose": "To evaluate the clinical characteristics, microbiological profile, risk factors, management, and visual outcomes of infectious keratitis following Descemet stripping automated endothelial keratoplasty (DSAEK).",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi",
        "Methods": "A retrospective review was conducted of patients who developed infectious keratitis following DSAEK at a tertiary eye care centre over a 3 year period. Data analysed included risk factors, time to infection, microbiological findings management strategies, and final visual outcomes.",
        "Results": "Thirteen eyes of 13 patients developed post-DSAEK infection (Mean age= 40.9±20.9 years). Median time to presentation was 14 days (mean 137 ± 181.9 days). Interface or deep stromal involvement was observed in 8 eyes. Corneal scraping cultures were positive in 3 eyes (Candida; Candida + Staphylococcus; Acremonium). The mean DET of the DSAEK donor tissue was 10.75 ± 6.26 hours (median 13 hours). Donor rim cultures were positive in 3 cases (Candida/Pseudomonas, Pseudomonas, and Phaeacremonium species). Surgical intervention was required in 8 eyes, including lenticule extraction in 5 and therapeutic PK in 3; 5 eyes were managed medically. Mean DCVA was 1.65 ± 0.47 at 3 months; 46% were finger counting close to face or worse.",
        "Conclusions": "Post-DSAEK infectious keratitis represents an uncommon yet potentially sight-threatening complication, often presenting in the early postoperative period. A substantial proportion of cases required surgical intervention, including lenticule explantation or repeat penetrating keratoplasty. Visual outcomes were guarded, with nearly half of the eyes demonstrating severe visual impairment at final follow-up. Vigilant postoperative surveillance and careful donor screening remain essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POCOR295",
      "abstract_number": "POCOR295",
      "title": "The Influence Of Corneal Transplants On Intraocular Pressure Measurements Using Icare Home Tonometer",
      "authors": "A/Prof. Adi Einan-Lifshitz",
      "presenter": "A/Prof. Adi Einan-Lifshitz",
      "normalized_authors": [
        "Adi Einan-Lifshitz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Malachy יעקו Nemet",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the agreement between Goldmann Applanation Tonometry (GAT) and the Icare Home (ICH) rebound tonometer in eyes that have undergone different types of corneal transplantation and to identify clinical factors associated with inter-device differences.",
        "Setting": "Cornea clinic in a Tertiary referral center.",
        "Methods": "This cross-sectional study included 46 eyes of 36 patients after penetrating keratoplasty (PKP), Descemet’s stripping automated endothelial keratoplasty (DSAEK), or Descemet membrane endothelial keratoplasty (DMEK). All eyes underwent standardized IOP measurement with both GAT and ICH on the same visit by masked examiners. The primary outcome was the absolute inter-method difference (|GAT–ICH|). Secondary analyses included the signed difference (GAT–ICH) and correlations of inter-device differences and single-device IOPs with best-corrected visual acuity (BCVA), years since transplantation, and glaucoma treatment status.",
        "Results": "GAT readings were significantly higher than ICH (mean arithmetic difference 2.43 ± 3.90 mmHg, mean absolute difference 3.60 ± 2.84 mmHg; p = 6.99 × 10⁻⁵). Bland–Altman analysis showed a mean bias of 2.43 mmHg with 95% limits of agreement −5.23 to 10.08 mmHg. By graft type, mean arithmetic GAT–ICH differences were 3.48 mmHg in PKP, 1.11 mmHg in DSAEK, and 3.60 mmHg in DMEK. Paired testing demonstrated significant inter-device differences in PKP (p = 0.006) and DMEK (p = 0.0049), but not in DSAEK. Absolute differences did not differ significantly among graft types (p = 0.269).",
        "Conclusions": "ICH provides clinically useful IOP estimates in eyes with corneal transplants but exhibits systematic bias relative to GAT, particularly in PKP and DMEK eyes where the largest discrepancies were observed. Neither visual acuity, graft age, nor glaucoma therapy reliably predicted inter-device disagreement, underscoring the need for individualized IOP assessment and confirmation of absolute IOP values with GAT when therapeutic decisions are required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICH provides clinically useful IOP estimates in eyes with corneal transplants but exhibits systematic bias relative to GAT, particularly in PKP and DMEK eyes where the largest discrepancies were observed. Neither visual acuity, graft age, nor glaucoma therapy reliably predicted inter-device disagreement, underscoring the need for individualized IOP assessment and confirmation of absolute IOP values with GAT when…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 983,
      "source_fields": {
        "Abstract Final Identifier": "POCOR295",
        "Title": "The Influence Of Corneal Transplants On Intraocular Pressure Measurements Using Icare Home Tonometer",
        "Presenting Author(s)": "A/Prof. Adi Einan-Lifshitz",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Malachy",
        "Submitter Middle Name": "יעקו",
        "Submitter Last Name": "Nemet",
        "Country Name": "Israel",
        "Purpose": "To evaluate the agreement between Goldmann Applanation Tonometry (GAT) and the Icare Home (ICH) rebound tonometer in eyes that have undergone different types of corneal transplantation and to identify clinical factors associated with inter-device differences.",
        "Setting": "Cornea clinic in a Tertiary referral center.",
        "Methods": "This cross-sectional study included 46 eyes of 36 patients after penetrating keratoplasty (PKP), Descemet’s stripping automated endothelial keratoplasty (DSAEK), or Descemet membrane endothelial keratoplasty (DMEK). All eyes underwent standardized IOP measurement with both GAT and ICH on the same visit by masked examiners. The primary outcome was the absolute inter-method difference (|GAT–ICH|). Secondary analyses included the signed difference (GAT–ICH) and correlations of inter-device differences and single-device IOPs with best-corrected visual acuity (BCVA), years since transplantation, and glaucoma treatment status.",
        "Results": "GAT readings were significantly higher than ICH (mean arithmetic difference 2.43 ± 3.90 mmHg, mean absolute difference 3.60 ± 2.84 mmHg; p = 6.99 × 10⁻⁵). Bland–Altman analysis showed a mean bias of 2.43 mmHg with 95% limits of agreement −5.23 to 10.08 mmHg. By graft type, mean arithmetic GAT–ICH differences were 3.48 mmHg in PKP, 1.11 mmHg in DSAEK, and 3.60 mmHg in DMEK. Paired testing demonstrated significant inter-device differences in PKP (p = 0.006) and DMEK (p = 0.0049), but not in DSAEK. Absolute differences did not differ significantly among graft types (p = 0.269).",
        "Conclusions": "ICH provides clinically useful IOP estimates in eyes with corneal transplants but exhibits systematic bias relative to GAT, particularly in PKP and DMEK eyes where the largest discrepancies were observed. Neither visual acuity, graft age, nor glaucoma therapy reliably predicted inter-device disagreement, underscoring the need for individualized IOP assessment and confirmation of absolute IOP values with GAT when therapeutic decisions are required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCOR296",
      "abstract_number": "POCOR296",
      "title": "Corneal Endothelial Keratoprosthesis (Endoart) Implantation For Endothelial Failure After Penetrating Keratoplasty – Preliminary Results",
      "authors": "Dr Lukas Neuhann",
      "presenter": "Dr Lukas Neuhann",
      "normalized_authors": [
        "Lukas Neuhann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lukas Neuhann",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To report visual, anatomical, and safety outcomes of EndoArt implantation in eyes with endothelial failure after penetrating keratoplasty (PK) and multiple anterior segment comorbidities. This represents the first reported cohort of EndoArt implantation specifically in post‑PK eyes. Further results from an expanded cohort will be presented at the conference.",
        "Setting": "Tertiary referral centre, Department of Ophthalmology, LMU University Hospital Munich, Germany and Department of Ophthalmology, Red-Cross Hospital, Munich, Germany.",
        "Methods": "This retrospective case series included 9 eyes of 8 male and 1 female patient (mean age 55.0 ± 22.4 years) with chronic endothelial decompensation after PK and a minimum follow‑up of 6 months (mean 8.5 ± 3.8 months). Underlying indications for PK included aniridia, perforating trauma, keratoconus, prior keratitis, scarring conjunctivitis, and pseudoexfoliation glaucoma. All eyes had significant comorbidities such as glaucoma, glaucoma drainage devices, artificial iris implants or scleral‑fixated IOLs. Main outcome measures were best‑corrected distance visual acuity (BCVA, logMAR), central corneal thickness (CCT), adverse events, corneal clarity, failure (persistent non‑attachment at 6 months), and need for re‑intervention procedures.",
        "Results": "All eyes had chronic endothelial decompensation at baseline, with a mean preoperative CDVA of 1.83 ± 0.63 logMAR. Mean CDVA improved to 1.38 ± 0.62 logMAR at 3 months and 1.27 ± 0.52 logMAR at 6 months. Re‑bubbling or revision surgery was required in 5/9 eyes (55.6 %; 1 eye with 1 procedure, 3 eyes with 2 procedures, 1 eye with 4 procedures). CCT improved from 890.11 ± 209.75 µm preop to 634.11 ± 190.72 µm at 6 months. Mean number of sutures was 3.44 ± 1.42. Corneal clarity with visible fundus details was documented in 8/9 eyes (88.9 %). One eye (11.1 %) met failure criteria due to persistent non‑attachment after 6 months. Adverse events included one case of persistent cystoid macular oedema and two cases of progressive corneal thinning.",
        "Conclusions": "EndoArt implantation provided meaningful visual improvement and restoration of corneal clarity in most highly complex post‑PK eyes with endothelial failure, although overall visual acuity remained limited by the underlying pathology, particularly advanced glaucoma. Despite a substantial re‑intervention rate, only one eye showed persistent non‑attachment at 6 months. With repeat PK being avoided 88.9% of cases, our data suggest that EndoArt may represent a feasible, tissue‑sparing option in eyes with limited graft and endothelial keratoplasty alternatives. Since these are extremely complex eyes in which repeat PK would be the only remaining alternative, we believe that these results clearly support offering this option whenever feasible."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EndoArt implantation provided meaningful visual improvement and restoration of corneal clarity in most highly complex post‑PK eyes with endothelial failure, although overall visual acuity remained limited by the underlying pathology, particularly advanced glaucoma. Despite a substantial re‑intervention rate, only one eye showed persistent non‑attachment at 6 months. With repeat PK being avoided 88.9% of cases, our…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 984,
      "source_fields": {
        "Abstract Final Identifier": "POCOR296",
        "Title": "Corneal Endothelial Keratoprosthesis (Endoart) Implantation For Endothelial Failure After Penetrating Keratoplasty – Preliminary Results",
        "Presenting Author(s)": "Dr Lukas Neuhann",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Lukas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Neuhann",
        "Country Name": "Germany",
        "Purpose": "To report visual, anatomical, and safety outcomes of EndoArt implantation in eyes with endothelial failure after penetrating keratoplasty (PK) and multiple anterior segment comorbidities. This represents the first reported cohort of EndoArt implantation specifically in post‑PK eyes. Further results from an expanded cohort will be presented at the conference.",
        "Setting": "Tertiary referral centre, Department of Ophthalmology, LMU University Hospital Munich, Germany and Department of Ophthalmology, Red-Cross Hospital, Munich, Germany.",
        "Methods": "This retrospective case series included 9 eyes of 8 male and 1 female patient (mean age 55.0 ± 22.4 years) with chronic endothelial decompensation after PK and a minimum follow‑up of 6 months (mean 8.5 ± 3.8 months). Underlying indications for PK included aniridia, perforating trauma, keratoconus, prior keratitis, scarring conjunctivitis, and pseudoexfoliation glaucoma. All eyes had significant comorbidities such as glaucoma, glaucoma drainage devices, artificial iris implants or scleral‑fixated IOLs. Main outcome measures were best‑corrected distance visual acuity (BCVA, logMAR), central corneal thickness (CCT), adverse events, corneal clarity, failure (persistent non‑attachment at 6 months), and need for re‑intervention procedures.",
        "Results": "All eyes had chronic endothelial decompensation at baseline, with a mean preoperative CDVA of 1.83 ± 0.63 logMAR. Mean CDVA improved to 1.38 ± 0.62 logMAR at 3 months and 1.27 ± 0.52 logMAR at 6 months. Re‑bubbling or revision surgery was required in 5/9 eyes (55.6 %; 1 eye with 1 procedure, 3 eyes with 2 procedures, 1 eye with 4 procedures). CCT improved from 890.11 ± 209.75 µm preop to 634.11 ± 190.72 µm at 6 months. Mean number of sutures was 3.44 ± 1.42. Corneal clarity with visible fundus details was documented in 8/9 eyes (88.9 %). One eye (11.1 %) met failure criteria due to persistent non‑attachment after 6 months. Adverse events included one case of persistent cystoid macular oedema and two cases of progressive corneal thinning.",
        "Conclusions": "EndoArt implantation provided meaningful visual improvement and restoration of corneal clarity in most highly complex post‑PK eyes with endothelial failure, although overall visual acuity remained limited by the underlying pathology, particularly advanced glaucoma. Despite a substantial re‑intervention rate, only one eye showed persistent non‑attachment at 6 months. With repeat PK being avoided 88.9% of cases, our data suggest that EndoArt may represent a feasible, tissue‑sparing option in eyes with limited graft and endothelial keratoplasty alternatives. Since these are extremely complex eyes in which repeat PK would be the only remaining alternative, we believe that these results clearly support offering this option whenever feasible."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 425
    },
    {
      "uid": "POCOR297",
      "abstract_number": "POCOR297",
      "title": "Pupillary Occlusion–Assisted Bubble-Behind-The-Iris Technique For Dmek In Vitrectomized Pseudophakic Eyes",
      "authors": "Dr HATİCE NUR NEVRUZ YILMAZ",
      "presenter": "Dr HATİCE NUR NEVRUZ YILMAZ",
      "normalized_authors": [
        "HATİCE NUR NEVRUZ YILMAZ"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hatice Nur Nevruz Yılmaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Descemet membrane endothelial keratoplasty (DMEK) in vitrectomized pseudophakic eyes is surgically demanding because loss of vitreous support leads to anterior chamber instability, limited graft control, and risk of posterior dislocation. We describe a modified technique combining temporary intraoperative pupillary occlusion with a posterior chamber air bubble positioned behind the iris to restore anterior–posterior compartmentalization, provide transient posterior support, and improve intraoperative chamber stability and graft manipulation in these complex cases.",
        "Setting": "Eskişehir Osmangzi Universty, Eskişehir, Türkiye.",
        "Methods": "This retrospective case series included six vitrectomized pseudophakic eyes undergoing DMEK. Intraoperative pupillary occlusion was achieved using a central iris sliding-knot suture to compartmentalize the chambers. The graft was delivered into the anterior chamber, followed by posterior chamber air injection behind the iris to provide temporary support and allow controlled anterior chamber shallowing. Graft unfolding and positioning were completed, and anterior chamber air tamponade was applied. The suture was removed within two weeks by Nd:YAG laser or manual extraction. Outcomes included posterior dislocation, central 5-mm graft apposition, rebubbling, and early central corneal thickness (CCT) changes.",
        "Results": "Four eyes had scleral-flanged IOL fixation, one had a subluxated sulcus IOL, and one had a two-point fixation IOL. No intraoperative posterior graft dislocation, central detachment, or dehiscence occurred. Three eyes (50%) developed limited peripheral detachment outside the central 5-mm zone and required rebubbling; the optical zone remained fully attached in all cases. One eye required repeat rebubbling. Complete graft attachment was achieved in all eyes. CCT decreased by week 1 with further improvement by week 2, and all corneas remained clear with stable centration.",
        "Conclusions": "The pupillary occlusion–assisted bubble-behind-the-iris technique provides temporary posterior chamber support and restores anterior–posterior compartmentalization during DMEK in vitrectomized pseudophakic eyes. No posterior graft migration, central detachment, or dehiscence occurred, and the central 5-mm optical zone remained attached in all cases. Peripheral detachments were successfully managed with rebubbling, resulting in complete anatomical attachment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The pupillary occlusion–assisted bubble-behind-the-iris technique provides temporary posterior chamber support and restores anterior–posterior compartmentalization during DMEK in vitrectomized pseudophakic eyes. No posterior graft migration, central detachment, or dehiscence occurred, and the central 5-mm optical zone remained attached in all cases. Peripheral detachments were successfully managed with rebubbling,…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 985,
      "source_fields": {
        "Abstract Final Identifier": "POCOR297",
        "Title": "Pupillary Occlusion–Assisted Bubble-Behind-The-Iris Technique For Dmek In Vitrectomized Pseudophakic Eyes",
        "Presenting Author(s)": "Dr HATİCE NUR NEVRUZ YILMAZ",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Hatice Nur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nevruz Yılmaz",
        "Country Name": "Türkiye",
        "Purpose": "Descemet membrane endothelial keratoplasty (DMEK) in vitrectomized pseudophakic eyes is surgically demanding because loss of vitreous support leads to anterior chamber instability, limited graft control, and risk of posterior dislocation. We describe a modified technique combining temporary intraoperative pupillary occlusion with a posterior chamber air bubble positioned behind the iris to restore anterior–posterior compartmentalization, provide transient posterior support, and improve intraoperative chamber stability and graft manipulation in these complex cases.",
        "Setting": "Eskişehir Osmangzi Universty, Eskişehir, Türkiye.",
        "Methods": "This retrospective case series included six vitrectomized pseudophakic eyes undergoing DMEK. Intraoperative pupillary occlusion was achieved using a central iris sliding-knot suture to compartmentalize the chambers. The graft was delivered into the anterior chamber, followed by posterior chamber air injection behind the iris to provide temporary support and allow controlled anterior chamber shallowing. Graft unfolding and positioning were completed, and anterior chamber air tamponade was applied. The suture was removed within two weeks by Nd:YAG laser or manual extraction. Outcomes included posterior dislocation, central 5-mm graft apposition, rebubbling, and early central corneal thickness (CCT) changes.",
        "Results": "Four eyes had scleral-flanged IOL fixation, one had a subluxated sulcus IOL, and one had a two-point fixation IOL. No intraoperative posterior graft dislocation, central detachment, or dehiscence occurred. Three eyes (50%) developed limited peripheral detachment outside the central 5-mm zone and required rebubbling; the optical zone remained fully attached in all cases. One eye required repeat rebubbling. Complete graft attachment was achieved in all eyes. CCT decreased by week 1 with further improvement by week 2, and all corneas remained clear with stable centration.",
        "Conclusions": "The pupillary occlusion–assisted bubble-behind-the-iris technique provides temporary posterior chamber support and restores anterior–posterior compartmentalization during DMEK in vitrectomized pseudophakic eyes. No posterior graft migration, central detachment, or dehiscence occurred, and the central 5-mm optical zone remained attached in all cases. Peripheral detachments were successfully managed with rebubbling, resulting in complete anatomical attachment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR298",
      "abstract_number": "POCOR298",
      "title": "Masked Neurotrophic Keratitis In A Decompensated Cornea Following Descemet Stripping Automated Endothelial Keratoplasty (Dsaek) Presenting With Intact Epithelium",
      "authors": "Dr Maria-Eleni Papavasileiou",
      "presenter": "Dr Maria-Eleni Papavasileiou",
      "normalized_authors": [
        "Maria-Eleni Papavasileiou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria-Eleni Papavasileiou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To present an interesting case of neurotrophic keratitis in a patient with primary graft failure after DSAEK , presenting with an intact epithelium .",
        "Setting": "Cornea Department, General Hospital of Athens “ G.Gennimatas ”, Athens, Greece, a tertiary eye-care center .",
        "Methods": "A 75-year-old male with Fuchs endothelial corneal dystrophy and prior cataract surgery presented with decreased vision in his left eye (counting fingers). He underwent uncomplicated DSAEK and was treated postoperatively with topical antibiotics and steroids. One week later, the graft was fully attached, but corneal stromal edema persisted. Follow-up's at 2, 4, and 6 weeks showed no improvement and no signs of rejection. Persistent edema despite a well-attached graft indicated primary graft failure; for this reason a repeat endothelial keratoplasty was recommended.",
        "Results": "However, the pati ent did not wish to undergo another surgical procedure . One year later, the patient returned expressing a desire to undergo surgery , as he was exper iencing difficulties in his dail y activities. For this reason, a regrafting procedure was scheduled. In the operating room, at the start of the surgery and upon removal of the epithelium, four neurotrophic ulcers were revealed, which had not been visible on slit-lamp examination during the preoperative evaluation. DSAEK was postponed and the patient treated with intense topical lubrication and antibiotic drops. Notably, four days later, the epithelium had completely healed. A penetrating keratoplasty (PK) was scheduled for the near future.",
        "Conclusions": "Masked neurotrophic keratitis may exist in a decompensated cornea post-DSAEK . The decompensated cornea may exacerbate neurotrophic effects, even in the absence of epithelial breakdown. Early recognition and ocular surface optimization can prevent progression to ulceration or perforation and allow safer subsequent regrafting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Masked neurotrophic keratitis may exist in a decompensated cornea post-DSAEK . The decompensated cornea may exacerbate neurotrophic effects, even in the absence of epithelial breakdown. Early recognition and ocular surface optimization can prevent progression to ulceration or perforation and allow safer subsequent regrafting.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 986,
      "source_fields": {
        "Abstract Final Identifier": "POCOR298",
        "Title": "Masked Neurotrophic Keratitis In A Decompensated Cornea Following Descemet Stripping Automated Endothelial Keratoplasty (Dsaek) Presenting With Intact Epithelium",
        "Presenting Author(s)": "Dr Maria-Eleni Papavasileiou",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Maria-Eleni",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Papavasileiou",
        "Country Name": "Greece",
        "Purpose": "To present an interesting case of neurotrophic keratitis in a patient with primary graft failure after DSAEK , presenting with an intact epithelium .",
        "Setting": "Cornea Department, General Hospital of Athens “ G.Gennimatas ”, Athens, Greece, a tertiary eye-care center .",
        "Methods": "A 75-year-old male with Fuchs endothelial corneal dystrophy and prior cataract surgery presented with decreased vision in his left eye (counting fingers). He underwent uncomplicated DSAEK and was treated postoperatively with topical antibiotics and steroids. One week later, the graft was fully attached, but corneal stromal edema persisted. Follow-up's at 2, 4, and 6 weeks showed no improvement and no signs of rejection. Persistent edema despite a well-attached graft indicated primary graft failure; for this reason a repeat endothelial keratoplasty was recommended.",
        "Results": "However, the pati ent did not wish to undergo another surgical procedure . One year later, the patient returned expressing a desire to undergo surgery , as he was exper iencing difficulties in his dail y activities. For this reason, a regrafting procedure was scheduled. In the operating room, at the start of the surgery and upon removal of the epithelium, four neurotrophic ulcers were revealed, which had not been visible on slit-lamp examination during the preoperative evaluation. DSAEK was postponed and the patient treated with intense topical lubrication and antibiotic drops. Notably, four days later, the epithelium had completely healed. A penetrating keratoplasty (PK) was scheduled for the near future.",
        "Conclusions": "Masked neurotrophic keratitis may exist in a decompensated cornea post-DSAEK . The decompensated cornea may exacerbate neurotrophic effects, even in the absence of epithelial breakdown. Early recognition and ocular surface optimization can prevent progression to ulceration or perforation and allow safer subsequent regrafting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POCOR299",
      "abstract_number": "POCOR299",
      "title": "6 Years Of Experience With Descemet’S Membrane Endothelial Kerotplasty (Dmek) In A Third Level Hospital: An Epidemiological Perspective",
      "authors": "Ms Aina Quin",
      "presenter": "Ms Aina Quin",
      "normalized_authors": [
        "Aina Quin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aina Quin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The main objective of this study is to determine the epidemiological characteristics related to patients operated on for DMEK in a third level hospital.\n\nSpecific objectives:\n\n• To identify the main characteristics of patients who underwent DMEK, including age, sex, and operated eye.\n\n• To determine the primary indications for DMEK in our hospital setting.\n\n• To describe the main features and complications associated with DMEK.",
        "Setting": "A retrospective case series study is presented in which the medical records of patients operated on for DMEK between January 1, 2020 and January 1, 2026 at the Hospital Universitari Germans Trias i Pujol de Badalona were analyzed. Preliminary data from approximately 110 cases have been included.",
        "Methods": "The study variables include demographic and clinical data of the operated patients, including age, gender, diagnosis for which DMEK was indicated, specifications of the surgical technique, cases that required a cornea transplant as a rescue technique, patients that required a corneal transplantation of the contralateral eye and cases that required rebubbling.",
        "Results": "Preliminary results suggest the following trends:\n\nThe mean age at the time of DMEK was approximately 70.3 ± 9.8 years, with most patients older than 65 years.\nAbout 37% were men and 63% women.\nThe right eye was operated in approximately 56% of cases and the left in 44%.\n\nThe main indication for surgery was Fuchs’ dystrophy, followed by corneal decompensation after phacoemulsification. Less frequent indications included previous graft failure, bullous keratopathy, and other causes.\n\nMost procedures were performed as isolated DMEK, while a smaller proportion were combined with phacoemulsification.\nA minority of patients underwent contralateral transplantation, required rescue keratoplasty, or needed rebubbling.",
        "Conclusions": "Patients undergoing DMEK in our setting were predominantly older women with Fuchs’ dystrophy. Reoperation rates due to graft failure or need for rebubbling were low, highlighting the importance of appropiate postoperative follow-up.\n\nWe consider these findings relevant for understanding the profile of patients undergoing DMEK, and we conclude that close follow-up of these patients is essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients undergoing DMEK in our setting were predominantly older women with Fuchs’ dystrophy. Reoperation rates due to graft failure or need for rebubbling were low, highlighting the importance of appropiate postoperative follow-up. We consider these findings relevant for understanding the profile of patients undergoing DMEK, and we conclude that close follow-up of these patients is essential.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 987,
      "source_fields": {
        "Abstract Final Identifier": "POCOR299",
        "Title": "6 Years Of Experience With Descemet’S Membrane Endothelial Kerotplasty (Dmek) In A Third Level Hospital: An Epidemiological Perspective",
        "Presenting Author(s)": "Ms Aina Quin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Aina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Quin",
        "Country Name": "Spain",
        "Purpose": "The main objective of this study is to determine the epidemiological characteristics related to patients operated on for DMEK in a third level hospital.\n\nSpecific objectives:\n\n• To identify the main characteristics of patients who underwent DMEK, including age, sex, and operated eye.\n\n• To determine the primary indications for DMEK in our hospital setting.\n\n• To describe the main features and complications associated with DMEK.",
        "Setting": "A retrospective case series study is presented in which the medical records of patients operated on for DMEK between January 1, 2020 and January 1, 2026 at the Hospital Universitari Germans Trias i Pujol de Badalona were analyzed. Preliminary data from approximately 110 cases have been included.",
        "Methods": "The study variables include demographic and clinical data of the operated patients, including age, gender, diagnosis for which DMEK was indicated, specifications of the surgical technique, cases that required a cornea transplant as a rescue technique, patients that required a corneal transplantation of the contralateral eye and cases that required rebubbling.",
        "Results": "Preliminary results suggest the following trends:\n\nThe mean age at the time of DMEK was approximately 70.3 ± 9.8 years, with most patients older than 65 years.\nAbout 37% were men and 63% women.\nThe right eye was operated in approximately 56% of cases and the left in 44%.\n\nThe main indication for surgery was Fuchs’ dystrophy, followed by corneal decompensation after phacoemulsification. Less frequent indications included previous graft failure, bullous keratopathy, and other causes.\n\nMost procedures were performed as isolated DMEK, while a smaller proportion were combined with phacoemulsification.\nA minority of patients underwent contralateral transplantation, required rescue keratoplasty, or needed rebubbling.",
        "Conclusions": "Patients undergoing DMEK in our setting were predominantly older women with Fuchs’ dystrophy. Reoperation rates due to graft failure or need for rebubbling were low, highlighting the importance of appropiate postoperative follow-up.\n\nWe consider these findings relevant for understanding the profile of patients undergoing DMEK, and we conclude that close follow-up of these patients is essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POCOR300",
      "abstract_number": "POCOR300",
      "title": "Functional Results After Descemet's Membrane Endothelial Keratoplasty (Dmek) In A Real-World Practice: Six Years Of Experience",
      "authors": "Mr Aina Quin",
      "presenter": "Mr Aina Quin",
      "normalized_authors": [
        "Aina Quin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aina Quin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the functional outcomes of DMEK surgery at our center.\n\nSpecifications:\n\n• Identify main indications for DMEK.\n\n• Evaluate the effects on endothelial cell density, corneal thickness and refractive outcomes.\n\n• Evaluate prophylactic iridotomy’s role in preventing pupillary block and its impact on IOP.\n\n• Record intra and postoperative complications, rebubbling and reintervention rates.\n\n• Compare functional outcomes between single DMEK and combined “triple procedures” (phacoemulsification + intraocular lens implantation + DMEK) performed simultaneously.\n\n• Compare functional results in patients with and without ocular comorbidities in the operated eye",
        "Setting": "A retrospective case series study is presented in which the medical records of patients operated on for DMEK between January 1, 2020 and January 1, 2026 at the Hospital Universitari Germans Trias i Pujol de Badalona were analysed. Preliminary data from approximately 110 cases have been analyzed at baseline, 1 month, 3 months, 6 months and 12 months postoperatively.",
        "Methods": "Epidemiological, clinical, surgical, and donor-related variables of the operated patients were analyzed, including age, gender, indication for DMEK, ocular comorbidities, operated eye, visual acuity (VA) by ETDRS charts, sphere, cylinder and axis, pachymetry, endothelial cell count, intraocular pressure (IOP), association with cataract surgery, complications and their management, as well as donor age and graft cell count.",
        "Results": "Preliminary results suggest the following trends:\n\nMean age was approximately 70.0 ± 9.9 years, with the majority of patients older than 65 years. 37% were men and 63% were women. The main indications for surgery were Fuchs’ dystrophy, corneal decompensation after phacoemulsification, and other causes.\n\nFunctional outcomes across follow-up visits showed progressive improvement in visual acuity and pachymetry, with stable intraocular pressure values.\nEndothelial cell count showed recovery after the early postoperative period.",
        "Conclusions": "DMEK appears to be associated with improvements in visual acuity, refractive outcomes, pachymetry, and endothelial cell density in our cohort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DMEK appears to be associated with improvements in visual acuity, refractive outcomes, pachymetry, and endothelial cell density in our cohort.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 988,
      "source_fields": {
        "Abstract Final Identifier": "POCOR300",
        "Title": "Functional Results After Descemet's Membrane Endothelial Keratoplasty (Dmek) In A Real-World Practice: Six Years Of Experience",
        "Presenting Author(s)": "Mr Aina Quin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Aina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Quin",
        "Country Name": "Spain",
        "Purpose": "To evaluate the functional outcomes of DMEK surgery at our center.\n\nSpecifications:\n\n• Identify main indications for DMEK.\n\n• Evaluate the effects on endothelial cell density, corneal thickness and refractive outcomes.\n\n• Evaluate prophylactic iridotomy’s role in preventing pupillary block and its impact on IOP.\n\n• Record intra and postoperative complications, rebubbling and reintervention rates.\n\n• Compare functional outcomes between single DMEK and combined “triple procedures” (phacoemulsification + intraocular lens implantation + DMEK) performed simultaneously.\n\n• Compare functional results in patients with and without ocular comorbidities in the operated eye",
        "Setting": "A retrospective case series study is presented in which the medical records of patients operated on for DMEK between January 1, 2020 and January 1, 2026 at the Hospital Universitari Germans Trias i Pujol de Badalona were analysed. Preliminary data from approximately 110 cases have been analyzed at baseline, 1 month, 3 months, 6 months and 12 months postoperatively.",
        "Methods": "Epidemiological, clinical, surgical, and donor-related variables of the operated patients were analyzed, including age, gender, indication for DMEK, ocular comorbidities, operated eye, visual acuity (VA) by ETDRS charts, sphere, cylinder and axis, pachymetry, endothelial cell count, intraocular pressure (IOP), association with cataract surgery, complications and their management, as well as donor age and graft cell count.",
        "Results": "Preliminary results suggest the following trends:\n\nMean age was approximately 70.0 ± 9.9 years, with the majority of patients older than 65 years. 37% were men and 63% were women. The main indications for surgery were Fuchs’ dystrophy, corneal decompensation after phacoemulsification, and other causes.\n\nFunctional outcomes across follow-up visits showed progressive improvement in visual acuity and pachymetry, with stable intraocular pressure values.\nEndothelial cell count showed recovery after the early postoperative period.",
        "Conclusions": "DMEK appears to be associated with improvements in visual acuity, refractive outcomes, pachymetry, and endothelial cell density in our cohort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POCOR301",
      "abstract_number": "POCOR301",
      "title": "Descemet Stripping Only (Dso): A Pragmatic Approach For Managing Fuchs’ Endothelial Corneal Dystrophy (Fecd)",
      "authors": "Dr Shaz Rehan",
      "presenter": "Dr Shaz Rehan",
      "normalized_authors": [
        "Shaz Rehan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shaz Rehan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Descemet Stripping Only (DSO) is a graft-free option for selected patients with Fuchs’ endothelial corneal dystrophy (FECD). In this first UK report of DSO outcomes, we assessed results using routinely available clinical markers of endothelial function, without reliance on pre- or post-operative endothelial cell counts or imaging, which are less widely available and may be unreliable.",
        "Setting": "University Hospital of Wales (tertiary centre), Cardiff, Wales, UK",
        "Methods": "This retrospective service evaluation included 17 eyes of 14 patients who underwent combined phacoemulsification, intraocular lens implantation, and 4-mm central DSO between January 2024 and September 2025. All eyes had central confluent guttae with clinically healthy peripheral endothelium. Outcomes included best-corrected visual acuity (BCVA), central corneal thickness (CCT), time to corneal clarity, refractive change, corneal tomography, complications, and need for rescue endothelial keratoplasty. Specular microscopy was performed postoperatively when feasible but was not required for outcome assessment. Paired statistical analyses were used, with p<0.05 considered significant.",
        "Results": "Fifteen of 17 eyes (88%) achieved corneal clarity within 3 months. Mean BCVA improved from 0.53 ± 0.29 LogMAR preoperatively to 0.06 ± 0.17 LogMAR at final follow-up (mean 13.1 months; p=0.00044). Mean CCT decreased from 613.2 ± 87.7 µm to 515.3 ± 30.0 µm (p=0.0007). Two eyes (12%) required rescue endothelial keratoplasty. Tomographic parameters remained stable. Endothelial cell counts were measurable in 40% of successful cases (mean 1054 ± 258 cells/mm²).",
        "Conclusions": "DSO achieves corneal clearance with significant visual and pachymetric improvement using accessible clinical markers, enabling reliable assessment without routine specular microscopy in resource-variable settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DSO achieves corneal clearance with significant visual and pachymetric improvement using accessible clinical markers, enabling reliable assessment without routine specular microscopy in resource-variable settings.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 989,
      "source_fields": {
        "Abstract Final Identifier": "POCOR301",
        "Title": "Descemet Stripping Only (Dso): A Pragmatic Approach For Managing Fuchs’ Endothelial Corneal Dystrophy (Fecd)",
        "Presenting Author(s)": "Dr Shaz Rehan",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Shaz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rehan",
        "Country Name": "United Kingdom",
        "Purpose": "Descemet Stripping Only (DSO) is a graft-free option for selected patients with Fuchs’ endothelial corneal dystrophy (FECD). In this first UK report of DSO outcomes, we assessed results using routinely available clinical markers of endothelial function, without reliance on pre- or post-operative endothelial cell counts or imaging, which are less widely available and may be unreliable.",
        "Setting": "University Hospital of Wales (tertiary centre), Cardiff, Wales, UK",
        "Methods": "This retrospective service evaluation included 17 eyes of 14 patients who underwent combined phacoemulsification, intraocular lens implantation, and 4-mm central DSO between January 2024 and September 2025. All eyes had central confluent guttae with clinically healthy peripheral endothelium. Outcomes included best-corrected visual acuity (BCVA), central corneal thickness (CCT), time to corneal clarity, refractive change, corneal tomography, complications, and need for rescue endothelial keratoplasty. Specular microscopy was performed postoperatively when feasible but was not required for outcome assessment. Paired statistical analyses were used, with p<0.05 considered significant.",
        "Results": "Fifteen of 17 eyes (88%) achieved corneal clarity within 3 months. Mean BCVA improved from 0.53 ± 0.29 LogMAR preoperatively to 0.06 ± 0.17 LogMAR at final follow-up (mean 13.1 months; p=0.00044). Mean CCT decreased from 613.2 ± 87.7 µm to 515.3 ± 30.0 µm (p=0.0007). Two eyes (12%) required rescue endothelial keratoplasty. Tomographic parameters remained stable. Endothelial cell counts were measurable in 40% of successful cases (mean 1054 ± 258 cells/mm²).",
        "Conclusions": "DSO achieves corneal clearance with significant visual and pachymetric improvement using accessible clinical markers, enabling reliable assessment without routine specular microscopy in resource-variable settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCOR302",
      "abstract_number": "POCOR302",
      "title": "A Comparative Three-Center Study On Dsaek Grafts Preservation In The Corneal Hypothermic Storage Medium Xtra4",
      "authors": "Dr Elena Tronchin",
      "presenter": "Dr Elena Tronchin",
      "normalized_authors": [
        "Elena Tronchin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Umberto Rodella",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate human DSAEK grafts during preservation in the recently FDA-cleared corneal hypothermic storage medium XTRA4 (AL.CHI.MI.A. SRL, Moria Group) at 2-8°C, in comparison to the control media Eusol-C and Optisol-GS.",
        "Setting": "A total of fifty-seven (n=57) human corneas unsuitable for transplantation were recovered from three different eye banks (EBs) and included in this study. The corneas were stored in XTRA4 (n=45), Eusol-C (n=5), or Optisol-GS (n=7) at 2–8°C for 3–10 days. DSAEK grafts were prepared following the internal procedures of the EBs.",
        "Methods": "Grafts were evaluated immediately after the cut and during lamellar storage at 2–8°C for up to 72–96 hours in two EBs and for up to 5 days in the third EB (n=5 corneas in XTRA4 and n=2 corneas in Optisol-GS).\n\nEndothelial Cell (EC) Density (ECD) was monitored with light or specular microscopies. EC mortality and morphology score were determined after Trypan Blue staining. Graft EC viability was assessed with Calcein-AM fluorescent dye. Morphological parameters CV% and HEX% were evaluated with specular microscopy. Optical coherence tomography (OCT) was employed to measure graft thickness (GT) immediately after the cut and during storage. The transparency of grafts stored in XTRA4 (n=35) and Eusol-C (n=5) was evaluated using a lux meter.",
        "Results": "All DSAEK grafts were successfully obtained after storage in all media. Graft ECD was comparable among the groups both immediately after DSAEK graft preparation and during storage with no significant differences in CV%, HEX%, EC morphology score, EC mortality, and EC viability, both after the cut and after graft storage. No significant differences were observed in GT after the cut. XTRA4 maintained GT unchanged up to 5 days at 2–8°C, while the Eusol-C and Optisol-GS stored grafts showed a significant increase in thickness of +57±75 µm and +56±48 µm at 3 days of graft storage, respectively. Transparency was significantly higher in XTRA4-stored grafts (66.6±6.0%) compared to Eusol-C stored grafts (55.7±6.1%) after 72–96 hours of storage.",
        "Conclusions": "DSAEK grafts were successfully obtained from human corneas stored in XTRA4 medium at 2–8°C for 3–10 days. The grafts preserved in XTRA4 medium at 2–8°C showed comparable results in terms of ECD, EC morphology, and EC viability to those preserved in control media for up to 5 days. However, XTRA4 better maintained DSAEK graft thickness and transparency during storage at 2–8°C. These results provide new perspectives for achieving stable graft thickness during the transport of DSAEK grafts to operating theatres under hypothermic conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DSAEK grafts were successfully obtained from human corneas stored in XTRA4 medium at 2–8°C for 3–10 days. The grafts preserved in XTRA4 medium at 2–8°C showed comparable results in terms of ECD, EC morphology, and EC viability to those preserved in control media for up to 5 days. However, XTRA4 better maintained DSAEK graft thickness and transparency during storage at 2–8°C. These results provide new perspectives…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 990,
      "source_fields": {
        "Abstract Final Identifier": "POCOR302",
        "Title": "A Comparative Three-Center Study On Dsaek Grafts Preservation In The Corneal Hypothermic Storage Medium Xtra4",
        "Presenting Author(s)": "Dr Elena Tronchin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Umberto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodella",
        "Country Name": "Italy",
        "Purpose": "To evaluate human DSAEK grafts during preservation in the recently FDA-cleared corneal hypothermic storage medium XTRA4 (AL.CHI.MI.A. SRL, Moria Group) at 2-8°C, in comparison to the control media Eusol-C and Optisol-GS.",
        "Setting": "A total of fifty-seven (n=57) human corneas unsuitable for transplantation were recovered from three different eye banks (EBs) and included in this study. The corneas were stored in XTRA4 (n=45), Eusol-C (n=5), or Optisol-GS (n=7) at 2–8°C for 3–10 days. DSAEK grafts were prepared following the internal procedures of the EBs.",
        "Methods": "Grafts were evaluated immediately after the cut and during lamellar storage at 2–8°C for up to 72–96 hours in two EBs and for up to 5 days in the third EB (n=5 corneas in XTRA4 and n=2 corneas in Optisol-GS).\n\nEndothelial Cell (EC) Density (ECD) was monitored with light or specular microscopies. EC mortality and morphology score were determined after Trypan Blue staining. Graft EC viability was assessed with Calcein-AM fluorescent dye. Morphological parameters CV% and HEX% were evaluated with specular microscopy. Optical coherence tomography (OCT) was employed to measure graft thickness (GT) immediately after the cut and during storage. The transparency of grafts stored in XTRA4 (n=35) and Eusol-C (n=5) was evaluated using a lux meter.",
        "Results": "All DSAEK grafts were successfully obtained after storage in all media. Graft ECD was comparable among the groups both immediately after DSAEK graft preparation and during storage with no significant differences in CV%, HEX%, EC morphology score, EC mortality, and EC viability, both after the cut and after graft storage. No significant differences were observed in GT after the cut. XTRA4 maintained GT unchanged up to 5 days at 2–8°C, while the Eusol-C and Optisol-GS stored grafts showed a significant increase in thickness of +57±75 µm and +56±48 µm at 3 days of graft storage, respectively. Transparency was significantly higher in XTRA4-stored grafts (66.6±6.0%) compared to Eusol-C stored grafts (55.7±6.1%) after 72–96 hours of storage.",
        "Conclusions": "DSAEK grafts were successfully obtained from human corneas stored in XTRA4 medium at 2–8°C for 3–10 days. The grafts preserved in XTRA4 medium at 2–8°C showed comparable results in terms of ECD, EC morphology, and EC viability to those preserved in control media for up to 5 days. However, XTRA4 better maintained DSAEK graft thickness and transparency during storage at 2–8°C. These results provide new perspectives for achieving stable graft thickness during the transport of DSAEK grafts to operating theatres under hypothermic conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 433
    },
    {
      "uid": "POCOR303",
      "abstract_number": "POCOR303",
      "title": "A Comparative Assessment Of Safety And Performance Of Two Microkeratome Systems During Pressure-Controlled Dsaek Graft Preparation",
      "authors": "Dr Elena Tronchin",
      "presenter": "Dr Elena Tronchin",
      "normalized_authors": [
        "Elena Tronchin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Umberto Rodella",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "A safe and reliable microkeratome system is essential for Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) graft preparation to achieve a consistently thin lamellar dissection while preserving endothelial quality. Both the CBm turbine and the newer One Use-Plus (OUP) microkeratomes (Moria SA, France) are commonly employed routinely to prepare ultra-thin (UT) DSAEK grafts, with graft thicknesses (GT) of less than 80 µm, in eye banks.\n\nThis study aimed to evaluate the effect of these two microkeratome systems on the quality of corneal tissue prepared for DSAEK grafts.",
        "Setting": "This study was performed on twelve (n=12) donor corneas unsuitable for transplantation after deswelling phase in CARRY-C (AL.CHI.MI.A. S.R.L., Moria Group, Italy) for up to 48h at room temperature. Each pair of corneas were assigned randomly into two experimental groups: in a first group DSAEK grafts were prepared with the CBm Turbine microkeratome, while in a second group grafts were prepared with the OUP microkeratome.",
        "Methods": "Grafts in both groups were prepared using the Evolution 3E console with ALTK artificial anterior chamber (AAC, Moria SA, France) and TISSUE-C (AL.CHI.MI.A. S.R.L., Moria Group, Italy) as AAC-filling medium and the ACP pressurizing system (Moria SA, France) to maintain standard 200 mmHg pressure. Cutting head selection was guided by the OUP nomogram, based on minimal corneal thickness (MCT).\n\nPre- and post-cut corneal quality was assessed by light microscopy analyzing endothelial cell (EC) density (ECD), EC morphology, and EC mortality after Trypan Blue staining. EC mortality was further quantified via fluorescent microscopy after Calcein-AM staining, analyzed with FIJI software. GT was verified with optical coherence tomography (OCT).",
        "Results": "In both groups, ECD levels remained stable following the cut, with no significant inter-group differences noted.\n\nUsing microkeratomes with ACP pressure and TISSUE-C as AAC-filling medium preserved EC viability during graft preparation, and no notable differences were found between groups based on both light and fluorescent microscopy examinations.\n\nAfter lamellar cut, EC morphology was well maintained and statistically comparable among groups.\n\nOUP showed a lower mean GT compared to CBm, despite this difference was not statistically significant.",
        "Conclusions": "This study showed that both OUP and CBm microkeratomes, using ACP pressure control at 200 mmHg and TISSUE-C as AAC-filling medium, maintained optimal endothelial viability, cell density, and morphology, thus maximizing graft quality preservation for DSAEK surgery.\n\nMoreover, under standardized conditions, with identical intracameral pressure and microkeratome cutting heads of the same nominal cutting depth, the OUP system produced thinner grafts than the CBm, though the difference was not significant, possibly due to this study's limited sample size.\n\nIn conclusion, both the microkeratome systems proved effective and safe for preparing DSAEK grafts and maximize quality of tissue to be transplanted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study showed that both OUP and CBm microkeratomes, using ACP pressure control at 200 mmHg and TISSUE-C as AAC-filling medium, maintained optimal endothelial viability, cell density, and morphology, thus maximizing graft quality preservation for DSAEK surgery. Moreover, under standardized conditions, with identical intracameral pressure and microkeratome cutting heads of the same nominal cutting depth, the OUP…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 991,
      "source_fields": {
        "Abstract Final Identifier": "POCOR303",
        "Title": "A Comparative Assessment Of Safety And Performance Of Two Microkeratome Systems During Pressure-Controlled Dsaek Graft Preparation",
        "Presenting Author(s)": "Dr Elena Tronchin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Umberto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodella",
        "Country Name": "Italy",
        "Purpose": "A safe and reliable microkeratome system is essential for Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) graft preparation to achieve a consistently thin lamellar dissection while preserving endothelial quality. Both the CBm turbine and the newer One Use-Plus (OUP) microkeratomes (Moria SA, France) are commonly employed routinely to prepare ultra-thin (UT) DSAEK grafts, with graft thicknesses (GT) of less than 80 µm, in eye banks.\n\nThis study aimed to evaluate the effect of these two microkeratome systems on the quality of corneal tissue prepared for DSAEK grafts.",
        "Setting": "This study was performed on twelve (n=12) donor corneas unsuitable for transplantation after deswelling phase in CARRY-C (AL.CHI.MI.A. S.R.L., Moria Group, Italy) for up to 48h at room temperature. Each pair of corneas were assigned randomly into two experimental groups: in a first group DSAEK grafts were prepared with the CBm Turbine microkeratome, while in a second group grafts were prepared with the OUP microkeratome.",
        "Methods": "Grafts in both groups were prepared using the Evolution 3E console with ALTK artificial anterior chamber (AAC, Moria SA, France) and TISSUE-C (AL.CHI.MI.A. S.R.L., Moria Group, Italy) as AAC-filling medium and the ACP pressurizing system (Moria SA, France) to maintain standard 200 mmHg pressure. Cutting head selection was guided by the OUP nomogram, based on minimal corneal thickness (MCT).\n\nPre- and post-cut corneal quality was assessed by light microscopy analyzing endothelial cell (EC) density (ECD), EC morphology, and EC mortality after Trypan Blue staining. EC mortality was further quantified via fluorescent microscopy after Calcein-AM staining, analyzed with FIJI software. GT was verified with optical coherence tomography (OCT).",
        "Results": "In both groups, ECD levels remained stable following the cut, with no significant inter-group differences noted.\n\nUsing microkeratomes with ACP pressure and TISSUE-C as AAC-filling medium preserved EC viability during graft preparation, and no notable differences were found between groups based on both light and fluorescent microscopy examinations.\n\nAfter lamellar cut, EC morphology was well maintained and statistically comparable among groups.\n\nOUP showed a lower mean GT compared to CBm, despite this difference was not statistically significant.",
        "Conclusions": "This study showed that both OUP and CBm microkeratomes, using ACP pressure control at 200 mmHg and TISSUE-C as AAC-filling medium, maintained optimal endothelial viability, cell density, and morphology, thus maximizing graft quality preservation for DSAEK surgery.\n\nMoreover, under standardized conditions, with identical intracameral pressure and microkeratome cutting heads of the same nominal cutting depth, the OUP system produced thinner grafts than the CBm, though the difference was not significant, possibly due to this study's limited sample size.\n\nIn conclusion, both the microkeratome systems proved effective and safe for preparing DSAEK grafts and maximize quality of tissue to be transplanted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 446
    },
    {
      "uid": "POCOR305",
      "abstract_number": "POCOR305",
      "title": "Endoart: Artificial Endothelial Keratoplasty For Failed Dmek In Ice Syndrome",
      "authors": "Dr Antonio Romero Titos",
      "presenter": "Dr Antonio Romero Titos",
      "normalized_authors": [
        "Antonio Romero Titos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonio Romero Titos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present the case of a patient with ICE syndrome, glaucoma with a drainage device, and failed DMEK, treated with EndoArt implantation, and to describe her anatomical and functional outcomes.",
        "Setting": "Cornea department. Hospital Universitario Virgen de las Nieves. Granada",
        "Methods": "A 50-year-old woman with ICE syndrome of the essential iris atrophy subtype in the right eye, secondary glaucoma treated with a Paul valve, cataract surgery with monofocal IOL implantation, and failed DMEK due to uncontrolled ocular hypertension. She presented with chronic pain and visual loss in the right eye (VA OD: light perception; OS: 20/20). Examination revealed iris atrophy with multiple stromal defects, grade 2 corneal edema with epithelial microbullae, fibrosis of the DMEK graft, and a pachymetry of 1013 µm; IOP was 20 mmHg under hypotensive treatment with timolol and dorzolamide. EndoArt implantation in the right eye was indicated.",
        "Results": "Postoperatively, corneal transparency was restored, with a significant reduction in edema (pachymetry 569 µm) and improvement in VA to 20/200. IOP stabilized at 14 mmHg with a functioning valve device and hypotensive therapy with timolol and dorzolamide. The anatomical and functional outcomes were satisfactory.",
        "Conclusions": "In patients with ICE syndrome and endothelial failure after DMEK in a complex anterior segment, EndoArt implantation represents a viable option to restore corneal transparency and improve visual function. This approach may be particularly considered in eyes at high risk of failure of repeat endothelial grafts due to anatomical alterations or the presence of drainage devices."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with ICE syndrome and endothelial failure after DMEK in a complex anterior segment, EndoArt implantation represents a viable option to restore corneal transparency and improve visual function. This approach may be particularly considered in eyes at high risk of failure of repeat endothelial grafts due to anatomical alterations or the presence of drainage devices.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 992,
      "source_fields": {
        "Abstract Final Identifier": "POCOR305",
        "Title": "Endoart: Artificial Endothelial Keratoplasty For Failed Dmek In Ice Syndrome",
        "Presenting Author(s)": "Dr Antonio Romero Titos",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Antonio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Romero Titos",
        "Country Name": "Spain",
        "Purpose": "To present the case of a patient with ICE syndrome, glaucoma with a drainage device, and failed DMEK, treated with EndoArt implantation, and to describe her anatomical and functional outcomes.",
        "Setting": "Cornea department. Hospital Universitario Virgen de las Nieves. Granada",
        "Methods": "A 50-year-old woman with ICE syndrome of the essential iris atrophy subtype in the right eye, secondary glaucoma treated with a Paul valve, cataract surgery with monofocal IOL implantation, and failed DMEK due to uncontrolled ocular hypertension. She presented with chronic pain and visual loss in the right eye (VA OD: light perception; OS: 20/20). Examination revealed iris atrophy with multiple stromal defects, grade 2 corneal edema with epithelial microbullae, fibrosis of the DMEK graft, and a pachymetry of 1013 µm; IOP was 20 mmHg under hypotensive treatment with timolol and dorzolamide. EndoArt implantation in the right eye was indicated.",
        "Results": "Postoperatively, corneal transparency was restored, with a significant reduction in edema (pachymetry 569 µm) and improvement in VA to 20/200. IOP stabilized at 14 mmHg with a functioning valve device and hypotensive therapy with timolol and dorzolamide. The anatomical and functional outcomes were satisfactory.",
        "Conclusions": "In patients with ICE syndrome and endothelial failure after DMEK in a complex anterior segment, EndoArt implantation represents a viable option to restore corneal transparency and improve visual function. This approach may be particularly considered in eyes at high risk of failure of repeat endothelial grafts due to anatomical alterations or the presence of drainage devices."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "POCOR306",
      "abstract_number": "POCOR306",
      "title": "Who Benefits From Descemet Stripping Only? A Topographic Predictive Model",
      "authors": "Dr Andrew Ross",
      "presenter": "Dr Andrew Ross",
      "normalized_authors": [
        "Andrew Ross"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrew Ross",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Descemet’s stripping only (DSO) relies on migration of peripheral endothelial cells to repopulate the central cornea and offers advantages including avoidance of donor tissue and immunological rejection. However, outcomes are variable and recovery may be prolonged, largely due to the absence of standardized selection criteria. Although DSO is generally reserved for early central Fuchs endothelial corneal dystrophy (FECD), objective predictors of success remain unclear. This study aimed to identify preoperative corneal tomographic features that predict clinical outcomes following DSO in patients with FECD.",
        "Setting": "This was a retrospective observational study conducted at the Cambridge Eye Unit, Addenbrooke’s Hospital, United Kingdom, between December 2021 and December 2024.",
        "Methods": "This retrospective observational study included patients with visually symptomatic central FECD without overt clinical corneal oedema. Topographic markers of subclinical oedema assessed included loss of parallel isopachs within central 4mm, displacement of the thinnest corneal point, and focal posterior depression. Parameters were graded on a 3-point scale: isopachs (mild, moderate, severe), thinnest point displacement (within 3 mm, 3–5 mm, outside 5 mm), and posterior depression (≤−15 µm, −16 to −30 µm, >−30 µm). All eyes underwent DSO without Rho-kinase inhibitors. Outcomes included best-corrected visual acuity (BCVA), and time to oedema resolution. Surgical success was defined as BCVA improvement with oedema resolution within 3 months.",
        "Results": "Eight eyes of eight patients were included. Four eyes with DSO failure or late success scored ≥6 points, reflecting marked loss of parallel isopachs, displacement of thinnest corneal point beyond central 3 mm, and posterior depression >-15 µm. Of these, three eyes failed to achieve corneal clearance and required DMEK, while one eye with late success cleared at 12 months. In contrast, four eyes with early success (<3 months) scored ≤5 points, most scoring 3 points, with mild isopach irregularity, thinnest point within 3 mm, and posterior depression <-15 µm. Among the 3 parameters, displacement of thinnest point was most predictive, with all early success eyes showing displacement within central 3 mm and all failed cases beyond central 3 mm.",
        "Conclusions": "Scheimpflug-derived markers of subclinical corneal oedema can reliably predict outcomes following DSO in patients with visually symptomatic central FECD without overt clinical oedema. Displacement of the thinnest corneal point was the most predictive parameter, with greater displacement associated with failure. Eyes with early topographic changes are suitable candidates, whereas advanced subclinical oedema is linked to poor outcomes. These simplified criteria may guide patient selection and improve predictability of DSO outcomes. Larger studies are needed to validate these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Scheimpflug-derived markers of subclinical corneal oedema can reliably predict outcomes following DSO in patients with visually symptomatic central FECD without overt clinical oedema. Displacement of the thinnest corneal point was the most predictive parameter, with greater displacement associated with failure. Eyes with early topographic changes are suitable candidates, whereas advanced subclinical oedema is…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 993,
      "source_fields": {
        "Abstract Final Identifier": "POCOR306",
        "Title": "Who Benefits From Descemet Stripping Only? A Topographic Predictive Model",
        "Presenting Author(s)": "Dr Andrew Ross",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Andrew",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ross",
        "Country Name": "United Kingdom",
        "Purpose": "Descemet’s stripping only (DSO) relies on migration of peripheral endothelial cells to repopulate the central cornea and offers advantages including avoidance of donor tissue and immunological rejection. However, outcomes are variable and recovery may be prolonged, largely due to the absence of standardized selection criteria. Although DSO is generally reserved for early central Fuchs endothelial corneal dystrophy (FECD), objective predictors of success remain unclear. This study aimed to identify preoperative corneal tomographic features that predict clinical outcomes following DSO in patients with FECD.",
        "Setting": "This was a retrospective observational study conducted at the Cambridge Eye Unit, Addenbrooke’s Hospital, United Kingdom, between December 2021 and December 2024.",
        "Methods": "This retrospective observational study included patients with visually symptomatic central FECD without overt clinical corneal oedema. Topographic markers of subclinical oedema assessed included loss of parallel isopachs within central 4mm, displacement of the thinnest corneal point, and focal posterior depression. Parameters were graded on a 3-point scale: isopachs (mild, moderate, severe), thinnest point displacement (within 3 mm, 3–5 mm, outside 5 mm), and posterior depression (≤−15 µm, −16 to −30 µm, >−30 µm). All eyes underwent DSO without Rho-kinase inhibitors. Outcomes included best-corrected visual acuity (BCVA), and time to oedema resolution. Surgical success was defined as BCVA improvement with oedema resolution within 3 months.",
        "Results": "Eight eyes of eight patients were included. Four eyes with DSO failure or late success scored ≥6 points, reflecting marked loss of parallel isopachs, displacement of thinnest corneal point beyond central 3 mm, and posterior depression >-15 µm. Of these, three eyes failed to achieve corneal clearance and required DMEK, while one eye with late success cleared at 12 months. In contrast, four eyes with early success (<3 months) scored ≤5 points, most scoring 3 points, with mild isopach irregularity, thinnest point within 3 mm, and posterior depression <-15 µm. Among the 3 parameters, displacement of thinnest point was most predictive, with all early success eyes showing displacement within central 3 mm and all failed cases beyond central 3 mm.",
        "Conclusions": "Scheimpflug-derived markers of subclinical corneal oedema can reliably predict outcomes following DSO in patients with visually symptomatic central FECD without overt clinical oedema. Displacement of the thinnest corneal point was the most predictive parameter, with greater displacement associated with failure. Eyes with early topographic changes are suitable candidates, whereas advanced subclinical oedema is linked to poor outcomes. These simplified criteria may guide patient selection and improve predictability of DSO outcomes. Larger studies are needed to validate these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 408
    },
    {
      "uid": "POCOR307",
      "abstract_number": "POCOR307",
      "title": "Understanding Dmek Graft Unfolding: Shifting The Focus From Ladders To Chutes",
      "authors": "Nicholas Setter",
      "presenter": "Nicholas Setter",
      "normalized_authors": [
        "Nicholas Setter"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicholas Setter",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To analyze DMEK graft unfolding using a geometry-based hierarchy and identify destabilizing transitions (“chutes”) that increase graft complexity following specific intraoperative maneuvers.",
        "Setting": "Retrospective video-based analysis of recorded DMEK procedures.",
        "Methods": "Sixty discrete unfolding events were extracted from recorded DMEK procedures. Graft conformations were classified a priori into hierarchical groups (A–C) with defined subgroups (A1–C3), ordered by increasing geometric complexity. For each event, the transition between consecutive graft configurations was classified within this hierarchy. Transitions that increased geometric complexity (“chutes”) were categorized as Type I (no subgroup change), Type II (change within the same group), Type III (escalation across one group, e.g., A→B), or Type IV (escalation across two groups, e.g., A→C). For each chute, a primary cause category was assigned based on the maneuver preceding the transition.",
        "Results": "Twenty “chutes” were identified. Type I chutes accounted for 50%, while escalation events accounted for 45% (Type III–IV), including major escalations (Type IV: 10%). Most chutes originated from low-to-intermediate complexity states (A/B: 95%) rather than from the highest complexity group. The most frequent cause category was uncontrolled BSS jet (50%), which was primarily observed in escalation chutes, whereas an excessively deep anterior chamber (30%) was most often observed in persistent configurations (Type I). Tapping misapplication accounted for 20%.",
        "Conclusions": "DMEK unfolding can be understood as a geometry-based hierarchy in which chutes represent maneuver-related errors that increase graft complexity and recovery difficulty. Nearly half of observed chutes involved escalation across groups, and most occurred while the graft remained in A/B states, highlighting vulnerability early in the unfolding pathway. Uncontrolled BSS jet was the most frequent driver of escalation, whereas an excessively deep anterior chamber was more often associated with persistent configurations. This “chutes” framework links graft morphology to recognizable and potentially avoidable error patterns and may help guide intraoperative decision-making and surgical training."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DMEK unfolding can be understood as a geometry-based hierarchy in which chutes represent maneuver-related errors that increase graft complexity and recovery difficulty. Nearly half of observed chutes involved escalation across groups, and most occurred while the graft remained in A/B states, highlighting vulnerability early in the unfolding pathway. Uncontrolled BSS jet was the most frequent driver of escalation,…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 994,
      "source_fields": {
        "Abstract Final Identifier": "POCOR307",
        "Title": "Understanding Dmek Graft Unfolding: Shifting The Focus From Ladders To Chutes",
        "Presenting Author(s)": "Nicholas Setter",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Nicholas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Setter",
        "Country Name": "United States",
        "Purpose": "To analyze DMEK graft unfolding using a geometry-based hierarchy and identify destabilizing transitions (“chutes”) that increase graft complexity following specific intraoperative maneuvers.",
        "Setting": "Retrospective video-based analysis of recorded DMEK procedures.",
        "Methods": "Sixty discrete unfolding events were extracted from recorded DMEK procedures. Graft conformations were classified a priori into hierarchical groups (A–C) with defined subgroups (A1–C3), ordered by increasing geometric complexity. For each event, the transition between consecutive graft configurations was classified within this hierarchy. Transitions that increased geometric complexity (“chutes”) were categorized as Type I (no subgroup change), Type II (change within the same group), Type III (escalation across one group, e.g., A→B), or Type IV (escalation across two groups, e.g., A→C). For each chute, a primary cause category was assigned based on the maneuver preceding the transition.",
        "Results": "Twenty “chutes” were identified. Type I chutes accounted for 50%, while escalation events accounted for 45% (Type III–IV), including major escalations (Type IV: 10%). Most chutes originated from low-to-intermediate complexity states (A/B: 95%) rather than from the highest complexity group. The most frequent cause category was uncontrolled BSS jet (50%), which was primarily observed in escalation chutes, whereas an excessively deep anterior chamber (30%) was most often observed in persistent configurations (Type I). Tapping misapplication accounted for 20%.",
        "Conclusions": "DMEK unfolding can be understood as a geometry-based hierarchy in which chutes represent maneuver-related errors that increase graft complexity and recovery difficulty. Nearly half of observed chutes involved escalation across groups, and most occurred while the graft remained in A/B states, highlighting vulnerability early in the unfolding pathway. Uncontrolled BSS jet was the most frequent driver of escalation, whereas an excessively deep anterior chamber was more often associated with persistent configurations. This “chutes” framework links graft morphology to recognizable and potentially avoidable error patterns and may help guide intraoperative decision-making and surgical training."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POCOR308",
      "abstract_number": "POCOR308",
      "title": "Femtosecond Laser Assisted Descemets Stripping Endothelial Keratoplasty In An Aphakic Vitrectomized, Oil Filled Eye Using Meshwork Support: A Complex Post-Traumatic Case In A 50-Year-Old Gentleman",
      "authors": "Mr Ahmed Shalid",
      "presenter": "Mr Ahmed Shalid",
      "normalized_authors": [
        "Ahmed Shalid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Shalid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Descemet’s Stripping Endothelial Keratoplasty (DSEK) in an aphakic, vitrectomized eyes presents significant technical challenges due to the absence of capsular support and altered intraocular dynamics, particularly in the presence of silicone oil. We present a case of a 50-year-old gentleman who underwent femtosecond laser-assisted DSEK in the left eye with complex pre-existing pathology. The left eye was orginally the better seeing eye however the patient sustained a complex globe rupture causing irreversible damage to the the iris, lens and retina.",
        "Setting": "The patient required multiple surgeries and was ultimately left with a silicone oil–filled aphakic eye with meshwork in situ to keep the oil in the posterior segment.This complex surgical catalogue led to the decompensation of the cornea and a clinical decision was made to undertake a DSEK to try and restore some vision and improve quality of life. Femtosecond-assisted DSEK was performed in this complex setting.",
        "Methods": "Donor graft preparation was first completed using a femtosecond laser. The host corneal epithelium was then debrided to improve visualization, followed by corneal marking to guide graft positioning. A main wound and paracentesis were created, and an anterior chamber maintainer was inserted to ensure chamber stability. Descemetorhexis was performed to remove the diseased endothelium and Descemet’s membrane. Intraoperatively, silicone oil was noted to egress continuously, adding to the complexity of chamber control. The donor graft was then carefully injected into the anterior chamber. The graft was positioned and secured with an air bubble, sutures were placed to close the wounds",
        "Results": "Postoperatively, the patient required close monitoring. A multidisciplinary approach was taken in combination with the vitreoretinal surgeons. Several weeks down the line the graft remained clear and the patient reported an improvement in the vision.",
        "Conclusions": "This poster highlights the feasibility of femtosecond-assisted DSEK in complex aphakic, vitrectomized, silicone oil-filled eyes with appropriate surgical planning and adjunctive support. Careful postoperative monitoring remains essential to ensure optimal graft survival."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This poster highlights the feasibility of femtosecond-assisted DSEK in complex aphakic, vitrectomized, silicone oil-filled eyes with appropriate surgical planning and adjunctive support. Careful postoperative monitoring remains essential to ensure optimal graft survival.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 995,
      "source_fields": {
        "Abstract Final Identifier": "POCOR308",
        "Title": "Femtosecond Laser Assisted Descemets Stripping Endothelial Keratoplasty In An Aphakic Vitrectomized, Oil Filled Eye Using Meshwork Support: A Complex Post-Traumatic Case In A 50-Year-Old Gentleman",
        "Presenting Author(s)": "Mr Ahmed Shalid",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shalid",
        "Country Name": "United Kingdom",
        "Purpose": "Descemet’s Stripping Endothelial Keratoplasty (DSEK) in an aphakic, vitrectomized eyes presents significant technical challenges due to the absence of capsular support and altered intraocular dynamics, particularly in the presence of silicone oil. We present a case of a 50-year-old gentleman who underwent femtosecond laser-assisted DSEK in the left eye with complex pre-existing pathology. The left eye was orginally the better seeing eye however the patient sustained a complex globe rupture causing irreversible damage to the the iris, lens and retina.",
        "Setting": "The patient required multiple surgeries and was ultimately left with a silicone oil–filled aphakic eye with meshwork in situ to keep the oil in the posterior segment.This complex surgical catalogue led to the decompensation of the cornea and a clinical decision was made to undertake a DSEK to try and restore some vision and improve quality of life. Femtosecond-assisted DSEK was performed in this complex setting.",
        "Methods": "Donor graft preparation was first completed using a femtosecond laser. The host corneal epithelium was then debrided to improve visualization, followed by corneal marking to guide graft positioning. A main wound and paracentesis were created, and an anterior chamber maintainer was inserted to ensure chamber stability. Descemetorhexis was performed to remove the diseased endothelium and Descemet’s membrane. Intraoperatively, silicone oil was noted to egress continuously, adding to the complexity of chamber control. The donor graft was then carefully injected into the anterior chamber. The graft was positioned and secured with an air bubble, sutures were placed to close the wounds",
        "Results": "Postoperatively, the patient required close monitoring. A multidisciplinary approach was taken in combination with the vitreoretinal surgeons. Several weeks down the line the graft remained clear and the patient reported an improvement in the vision.",
        "Conclusions": "This poster highlights the feasibility of femtosecond-assisted DSEK in complex aphakic, vitrectomized, silicone oil-filled eyes with appropriate surgical planning and adjunctive support. Careful postoperative monitoring remains essential to ensure optimal graft survival."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POCOR309",
      "abstract_number": "POCOR309",
      "title": "Endoart Prosthesis For Managing Refractory Corneal Edema Following Failed Penetrating Keratoplasty: A Case Series",
      "authors": "Dr Nadav Shemesh",
      "presenter": "Dr Nadav Shemesh",
      "normalized_authors": [
        "Nadav Shemesh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nadav Shemesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To describe the anatomical and functional outcomes following EndoArt synthetic endothelial layer implantation in eyes with refractory corneal edema following failed penetrating keratoplasty (PKP), a particularly challenging population with limited alternative treatment options and elevated risks associated with repeat keratoplasty.",
        "Setting": "Single tertiary medical center, Department of Ophthalmology, Hadassah Medical Center, Hebrew University of Jerusalem, Israel. All procedures were performed by a single experienced corneal surgeon between July 2023 and July 2025.",
        "Methods": "This retrospective case series included ten consecutive eyes from ten patients with chronic corneal edema following failed PKP, refractory to medical management for at least three months. Primary outcome measures were central corneal thickness (CCT; µm), best-corrected visual acuity (BCVA; logMAR), and intraocular pressure (IOP; mmHg), assessed preoperatively and at final follow-up. CCT was measured using CASIA 2 swept-source anterior segment OCT. BCVA was obtained from medical records and measured by a certified optometrist. IOP was measured by Goldmann applanation tonometry. Adverse events including rebubbling, additional surgical interventions, IOP elevation, and infections were recorded.",
        "Results": "Ten eyes (mean age 63.4 ± 19.3 years) were followed for a median of 35.4 weeks (IQR 22.9–73.5). Mean preoperative CCT decreased from 879.6 ± 182.4 µm to 718.6 ± 152.3 µm (mean reduction 154.6 ± 190.1 µm; P=0.169) in 7/10 eyes. Mean BCVA improved from 2.67 ± 0.54 to 2.10 ± 0.78 logMAR (P=0.128) in 9/10 eyes. Mean IOP decreased from 13.1 ± 8.1 to 11.4 ± 7.0 mmHg (P=0.502). Seven eyes (70%) required rebubbling (mean 0.70 procedures/eye). Additional interventions were performed in 7 eyes: cyclophotocoagulation (n=2), membrane peeling (n=2), keratectomy (n=1), implant suturing (n=1), and implant removal (n=1). One eye developed IOP elevation >21 mmHg. No infections occurred.",
        "Conclusions": "In this series of eyes with refractory corneal edema following failed PKP, EndoArt implantation demonstrated favorable anatomical outcomes with CCT reduction in most eyes, visual improvement or stabilization, and acceptable safety profile. However, the high rebubbling rate (70%) and need for additional interventions highlight the complexity of managing this high-risk population. Further studies with larger cohorts and longer follow-up are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this series of eyes with refractory corneal edema following failed PKP, EndoArt implantation demonstrated favorable anatomical outcomes with CCT reduction in most eyes, visual improvement or stabilization, and acceptable safety profile. However, the high rebubbling rate (70%) and need for additional interventions highlight the complexity of managing this high-risk population. Further studies with larger cohorts…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 996,
      "source_fields": {
        "Abstract Final Identifier": "POCOR309",
        "Title": "Endoart Prosthesis For Managing Refractory Corneal Edema Following Failed Penetrating Keratoplasty: A Case Series",
        "Presenting Author(s)": "Dr Nadav Shemesh",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Nadav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shemesh",
        "Country Name": "Israel",
        "Purpose": "To describe the anatomical and functional outcomes following EndoArt synthetic endothelial layer implantation in eyes with refractory corneal edema following failed penetrating keratoplasty (PKP), a particularly challenging population with limited alternative treatment options and elevated risks associated with repeat keratoplasty.",
        "Setting": "Single tertiary medical center, Department of Ophthalmology, Hadassah Medical Center, Hebrew University of Jerusalem, Israel. All procedures were performed by a single experienced corneal surgeon between July 2023 and July 2025.",
        "Methods": "This retrospective case series included ten consecutive eyes from ten patients with chronic corneal edema following failed PKP, refractory to medical management for at least three months. Primary outcome measures were central corneal thickness (CCT; µm), best-corrected visual acuity (BCVA; logMAR), and intraocular pressure (IOP; mmHg), assessed preoperatively and at final follow-up. CCT was measured using CASIA 2 swept-source anterior segment OCT. BCVA was obtained from medical records and measured by a certified optometrist. IOP was measured by Goldmann applanation tonometry. Adverse events including rebubbling, additional surgical interventions, IOP elevation, and infections were recorded.",
        "Results": "Ten eyes (mean age 63.4 ± 19.3 years) were followed for a median of 35.4 weeks (IQR 22.9–73.5). Mean preoperative CCT decreased from 879.6 ± 182.4 µm to 718.6 ± 152.3 µm (mean reduction 154.6 ± 190.1 µm; P=0.169) in 7/10 eyes. Mean BCVA improved from 2.67 ± 0.54 to 2.10 ± 0.78 logMAR (P=0.128) in 9/10 eyes. Mean IOP decreased from 13.1 ± 8.1 to 11.4 ± 7.0 mmHg (P=0.502). Seven eyes (70%) required rebubbling (mean 0.70 procedures/eye). Additional interventions were performed in 7 eyes: cyclophotocoagulation (n=2), membrane peeling (n=2), keratectomy (n=1), implant suturing (n=1), and implant removal (n=1). One eye developed IOP elevation >21 mmHg. No infections occurred.",
        "Conclusions": "In this series of eyes with refractory corneal edema following failed PKP, EndoArt implantation demonstrated favorable anatomical outcomes with CCT reduction in most eyes, visual improvement or stabilization, and acceptable safety profile. However, the high rebubbling rate (70%) and need for additional interventions highlight the complexity of managing this high-risk population. Further studies with larger cohorts and longer follow-up are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCOR310",
      "abstract_number": "POCOR310",
      "title": "Endoart Prosthesis For Managing Refractory Corneal Edema Following Failed Penetrating Keratoplasty: A Case Series",
      "authors": "Dr Nadav Shemesh",
      "presenter": "Dr Nadav Shemesh",
      "normalized_authors": [
        "Nadav Shemesh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nadav Shemesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To describe the anatomical and functional outcomes following EndoArt synthetic endothelial layer implantation in eyes with refractory corneal edema following failed penetrating keratoplasty (PKP), a particularly challenging population with limited alternative treatment options and elevated risks associated with repeat keratoplasty.",
        "Setting": "Single tertiary medical center, Department of Ophthalmology, Hadassah Medical Center, Hebrew University of Jerusalem, Israel. All procedures were performed by a single experienced corneal surgeon between July 2023 and July 2025.",
        "Methods": "This retrospective case series included ten consecutive eyes from ten patients with chronic corneal edema following failed PKP, refractory to medical management for at least three months. Primary outcome measures were central corneal thickness (CCT; µm), best-corrected visual acuity (BCVA; logMAR), and intraocular pressure (IOP; mmHg), assessed preoperatively and at final follow-up. CCT was measured using CASIA 2 swept-source anterior segment OCT. BCVA was obtained from medical records and measured by a certified optometrist. IOP was measured by Goldmann applanation tonometry. Adverse events including rebubbling, additional surgical interventions, IOP elevation, and infections were recorded.",
        "Results": "Ten eyes (mean age 63.4 ± 19.3 years) were followed for a median of 35.4 weeks (IQR 22.9–73.5). Mean preoperative CCT decreased from 879.6 ± 182.4 µm to 718.6 ± 152.3 µm (mean reduction 154.6 ± 190.1 µm; P=0.169) in 7/10 eyes. Mean BCVA improved from 2.67 ± 0.54 to 2.10 ± 0.78 logMAR (P=0.128) in 9/10 eyes. Mean IOP decreased from 13.1 ± 8.1 to 11.4 ± 7.0 mmHg (P=0.502). Seven eyes (70%) required rebubbling (mean 0.70 procedures/eye). Additional interventions were performed in 7 eyes: cyclophotocoagulation (n=2), membrane peeling (n=2), keratectomy (n=1), implant suturing (n=1), and implant removal (n=1). One eye developed IOP elevation >21 mmHg. No infections occurred.",
        "Conclusions": "In this series of eyes with refractory corneal edema following failed PKP, EndoArt implantation demonstrated favorable anatomical outcomes with CCT reduction in most eyes, visual improvement or stabilization, and acceptable safety profile. However, the high rebubbling rate (70%) and need for additional interventions highlight the complexity of managing this high-risk population. Further studies with larger cohorts and longer follow-up are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this series of eyes with refractory corneal edema following failed PKP, EndoArt implantation demonstrated favorable anatomical outcomes with CCT reduction in most eyes, visual improvement or stabilization, and acceptable safety profile. However, the high rebubbling rate (70%) and need for additional interventions highlight the complexity of managing this high-risk population. Further studies with larger cohorts…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 997,
      "source_fields": {
        "Abstract Final Identifier": "POCOR310",
        "Title": "Endoart Prosthesis For Managing Refractory Corneal Edema Following Failed Penetrating Keratoplasty: A Case Series",
        "Presenting Author(s)": "Dr Nadav Shemesh",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Nadav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shemesh",
        "Country Name": "Israel",
        "Purpose": "To describe the anatomical and functional outcomes following EndoArt synthetic endothelial layer implantation in eyes with refractory corneal edema following failed penetrating keratoplasty (PKP), a particularly challenging population with limited alternative treatment options and elevated risks associated with repeat keratoplasty.",
        "Setting": "Single tertiary medical center, Department of Ophthalmology, Hadassah Medical Center, Hebrew University of Jerusalem, Israel. All procedures were performed by a single experienced corneal surgeon between July 2023 and July 2025.",
        "Methods": "This retrospective case series included ten consecutive eyes from ten patients with chronic corneal edema following failed PKP, refractory to medical management for at least three months. Primary outcome measures were central corneal thickness (CCT; µm), best-corrected visual acuity (BCVA; logMAR), and intraocular pressure (IOP; mmHg), assessed preoperatively and at final follow-up. CCT was measured using CASIA 2 swept-source anterior segment OCT. BCVA was obtained from medical records and measured by a certified optometrist. IOP was measured by Goldmann applanation tonometry. Adverse events including rebubbling, additional surgical interventions, IOP elevation, and infections were recorded.",
        "Results": "Ten eyes (mean age 63.4 ± 19.3 years) were followed for a median of 35.4 weeks (IQR 22.9–73.5). Mean preoperative CCT decreased from 879.6 ± 182.4 µm to 718.6 ± 152.3 µm (mean reduction 154.6 ± 190.1 µm; P=0.169) in 7/10 eyes. Mean BCVA improved from 2.67 ± 0.54 to 2.10 ± 0.78 logMAR (P=0.128) in 9/10 eyes. Mean IOP decreased from 13.1 ± 8.1 to 11.4 ± 7.0 mmHg (P=0.502). Seven eyes (70%) required rebubbling (mean 0.70 procedures/eye). Additional interventions were performed in 7 eyes: cyclophotocoagulation (n=2), membrane peeling (n=2), keratectomy (n=1), implant suturing (n=1), and implant removal (n=1). One eye developed IOP elevation >21 mmHg. No infections occurred.",
        "Conclusions": "In this series of eyes with refractory corneal edema following failed PKP, EndoArt implantation demonstrated favorable anatomical outcomes with CCT reduction in most eyes, visual improvement or stabilization, and acceptable safety profile. However, the high rebubbling rate (70%) and need for additional interventions highlight the complexity of managing this high-risk population. Further studies with larger cohorts and longer follow-up are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCOR311",
      "abstract_number": "POCOR311",
      "title": "Performance Of Different Syringes For Dmek Graft Deliver",
      "authors": "Prof. Bruno Trindade",
      "presenter": "Prof. Bruno Trindade",
      "normalized_authors": [
        "Bruno Trindade"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bruno Trindade",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To analyze the performance of different syringes types to deliver DMEK graft to the anterior chamber using a glass pipette.",
        "Setting": "Private Practice",
        "Methods": "One regular syringe and two models of \"low-resistance\" syringes were tested using a digital dynamometer to access the force required to compress the plunger to deliver the DMEK graft into the anterior chamber.",
        "Results": "There was a statistically significant reduction of the force required to compress the plunger of the two \"low-resistance\" syringes compared to the regular model. Both models allowed for a more controllable graft injection into the anterior chamber.",
        "Conclusions": "\"Low-resistance\" syringes require lower forces to compress the plunger and allows for a more controllable DMEK graft deliver into the anterior chamber."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "\"Low-resistance\" syringes require lower forces to compress the plunger and allows for a more controllable DMEK graft deliver into the anterior chamber.",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 998,
      "source_fields": {
        "Abstract Final Identifier": "POCOR311",
        "Title": "Performance Of Different Syringes For Dmek Graft Deliver",
        "Presenting Author(s)": "Prof. Bruno Trindade",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Bruno",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Trindade",
        "Country Name": "Brazil",
        "Purpose": "To analyze the performance of different syringes types to deliver DMEK graft to the anterior chamber using a glass pipette.",
        "Setting": "Private Practice",
        "Methods": "One regular syringe and two models of \"low-resistance\" syringes were tested using a digital dynamometer to access the force required to compress the plunger to deliver the DMEK graft into the anterior chamber.",
        "Results": "There was a statistically significant reduction of the force required to compress the plunger of the two \"low-resistance\" syringes compared to the regular model. Both models allowed for a more controllable graft injection into the anterior chamber.",
        "Conclusions": "\"Low-resistance\" syringes require lower forces to compress the plunger and allows for a more controllable DMEK graft deliver into the anterior chamber."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 114
    },
    {
      "uid": "POCOR312",
      "abstract_number": "POCOR312",
      "title": "Endothelial Keratoplasty For Herpetic Endothelial Decompensation",
      "authors": "Dr Michael Tsatsos",
      "presenter": "Dr Michael Tsatsos",
      "normalized_authors": [
        "Michael Tsatsos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Tsatsos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Herpetic endothelial decompensation is defined as corneal endothelial dysfunction resulting from herpes simplex virus (HSV), characterised by immune-mediated inflammation and/or viral replication leading to endothelial cell loss, stromal oedema, and visual impairment. This study assesses visual outcomes, corneal thickness changes, and graft success in eyes undergoing endothelial keratoplasty for corneal decompensation secondary to herpetic endothelial decompensation.",
        "Setting": "II Ophthalmology Department, Aristotle University of Thessaloniki\n\nTertiary ophthalmic referral center",
        "Methods": "Retrospective analysis of 20 eyes with herpetic endothelial decompensation (including keratouveitis, endotheliitis, disciform keratitis, and associated glaucoma) undergoing EK (Descemet membrane endothelial keratoplasty [DMEK] n=9; Descemet stripping endothelial keratoplasty [DSEK] n=11). All cases were diagnosed clinically and intraoperative Acqueous tap was taken.\n\nMetrics included preoperative and postoperative logMAR best-corrected visual acuity (BCVA), graft detachment rates, and corneal thickness. Perioperative antiviral prophylaxis for the first year post op (systemic Valacyclovir and topical agents) was administered. Failures were defined as persistent corneal oedema or decompensation requiring re-intervention.",
        "Results": "Mean follow-up was 12 months (range 17-145). 6 patients had a positive PCR for HSV, 1 for CMV and 2 had a Goldmann-Witmer coefficient (GWC) of <3. Three grafts failed (15% overall; DMEK 22%, DSEK 9%), showing secondary graft failure. In successful cases (n=17), mean preoperative BCVA improved from 1.34 ± 0.38 logMAR to 0.57 ± 0.21 logMAR (mean gain 0.77 logMAR units). Mean postoperative total corneal thickness was 571 ± 39 µm. No viral recurrences or rejection episodes occurred under prophylaxis. Glaucoma comorbidity was noted in 20% of cases, potentially influencing outcomes.",
        "Conclusions": "EK yields an 85% success rate with substantial BCVA improvement in herpetic endothelial decompensation, aligning with or surpassing literature reports. For instance, a series of 17 herpetic eyes post-DMEK showed BCVA gains from 1.16 to 0.62 logMAR but with higher complications (70%, including 12% primary failure and 29% endotheliitis). Smaller cohorts report 100% success with intensive antivirals, mirroring our zero-recurrence rate for the first 12 months. Our findings support EK as a viable first-line therapy over penetrating keratoplasty, emphasising prolonged antiviral prophylaxis to minimise risks in this challenging aetiology. Larger prospective studies are warranted to optimize protocols for comorbid glaucoma cases"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EK yields an 85% success rate with substantial BCVA improvement in herpetic endothelial decompensation, aligning with or surpassing literature reports. For instance, a series of 17 herpetic eyes post-DMEK showed BCVA gains from 1.16 to 0.62 logMAR but with higher complications (70%, including 12% primary failure and 29% endotheliitis). Smaller cohorts report 100% success with intensive antivirals, mirroring our…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 999,
      "source_fields": {
        "Abstract Final Identifier": "POCOR312",
        "Title": "Endothelial Keratoplasty For Herpetic Endothelial Decompensation",
        "Presenting Author(s)": "Dr Michael Tsatsos",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsatsos",
        "Country Name": "Greece",
        "Purpose": "Herpetic endothelial decompensation is defined as corneal endothelial dysfunction resulting from herpes simplex virus (HSV), characterised by immune-mediated inflammation and/or viral replication leading to endothelial cell loss, stromal oedema, and visual impairment. This study assesses visual outcomes, corneal thickness changes, and graft success in eyes undergoing endothelial keratoplasty for corneal decompensation secondary to herpetic endothelial decompensation.",
        "Setting": "II Ophthalmology Department, Aristotle University of Thessaloniki\n\nTertiary ophthalmic referral center",
        "Methods": "Retrospective analysis of 20 eyes with herpetic endothelial decompensation (including keratouveitis, endotheliitis, disciform keratitis, and associated glaucoma) undergoing EK (Descemet membrane endothelial keratoplasty [DMEK] n=9; Descemet stripping endothelial keratoplasty [DSEK] n=11). All cases were diagnosed clinically and intraoperative Acqueous tap was taken.\n\nMetrics included preoperative and postoperative logMAR best-corrected visual acuity (BCVA), graft detachment rates, and corneal thickness. Perioperative antiviral prophylaxis for the first year post op (systemic Valacyclovir and topical agents) was administered. Failures were defined as persistent corneal oedema or decompensation requiring re-intervention.",
        "Results": "Mean follow-up was 12 months (range 17-145). 6 patients had a positive PCR for HSV, 1 for CMV and 2 had a Goldmann-Witmer coefficient (GWC) of <3. Three grafts failed (15% overall; DMEK 22%, DSEK 9%), showing secondary graft failure. In successful cases (n=17), mean preoperative BCVA improved from 1.34 ± 0.38 logMAR to 0.57 ± 0.21 logMAR (mean gain 0.77 logMAR units). Mean postoperative total corneal thickness was 571 ± 39 µm. No viral recurrences or rejection episodes occurred under prophylaxis. Glaucoma comorbidity was noted in 20% of cases, potentially influencing outcomes.",
        "Conclusions": "EK yields an 85% success rate with substantial BCVA improvement in herpetic endothelial decompensation, aligning with or surpassing literature reports. For instance, a series of 17 herpetic eyes post-DMEK showed BCVA gains from 1.16 to 0.62 logMAR but with higher complications (70%, including 12% primary failure and 29% endotheliitis). Smaller cohorts report 100% success with intensive antivirals, mirroring our zero-recurrence rate for the first 12 months. Our findings support EK as a viable first-line therapy over penetrating keratoplasty, emphasising prolonged antiviral prophylaxis to minimise risks in this challenging aetiology. Larger prospective studies are warranted to optimize protocols for comorbid glaucoma cases"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 354
    },
    {
      "uid": "POCOR313",
      "abstract_number": "POCOR313",
      "title": "Long-Term Graft Survival And Visual Outcomes Following Microthin Dsaek",
      "authors": "Dr Yunfei Yang",
      "presenter": "Dr Yunfei Yang",
      "normalized_authors": [
        "Yunfei Yang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yunfei Yang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To analyse the 10-year results of microthin Descemet Stripping Automated Endothelial Keratoplasty (MT-DSAEK) in patients with Fuchs Endothelial Corneal Dystrophy (FECD) and non-FECD bullous keratoplasty.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Setting": "A single UK tertiary centre hospital (Addenbrooke's Hospital, UK).\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Methods": "This is a retrospective observational study of 93 eyes of 71 patients who had MT-DSAEK performed by a single surgeon between October 2009 to Jan 2015. The mean follow up duration was 10.4±1.85 years. Records were identified through the Epic electronic patient record system. The primary outcome was long term transplant survival time and secondary outcome was best corrected visual acuity (BCVA) and late transplant failure rate.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Results": "Cumulative first transplant survival was 87% at 10 years (95% CI 78-93%) and 82% at 12 years (95% CI 65-90%). Late failure of DSAEK transplant occured in 13% (12 eyes), with mean interval of 7±3.38 years. There were a higher percentage of ocular comorbidities, particularly glaucoma (8 eyes, 67%) in those with late transplant failure. After re-do surgery, 10/12 (83%) transplants recovered good visual function. The long-term visual outcomes (mean BCVA) in eyes without visual co-morbidities at the final follow up was 0.39±0.54 logMAR acuity with 81% achieving 0.2 or better and 93% with vision better or equal to 0.3 logMAR acuity.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Conclusions": "MT-DSAEK surgery shows favourable long-term survival and good visual function maintained over ten years. Ocular comorbidities increase the risk of late transplant failure, but repeat MT-DSAEK demosntrated recovery of functional vision in most patients.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MT-DSAEK surgery shows favourable long-term survival and good visual function maintained over ten years. Ocular comorbidities increase the risk of late transplant failure, but repeat MT-DSAEK demosntrated recovery of functional vision in most patients. Chinese-English Dictionary Enable Select Search My Words",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1000,
      "source_fields": {
        "Abstract Final Identifier": "POCOR313",
        "Title": "Long-Term Graft Survival And Visual Outcomes Following Microthin Dsaek",
        "Presenting Author(s)": "Dr Yunfei Yang",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Yunfei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yang",
        "Country Name": "United Kingdom",
        "Purpose": "To analyse the 10-year results of microthin Descemet Stripping Automated Endothelial Keratoplasty (MT-DSAEK) in patients with Fuchs Endothelial Corneal Dystrophy (FECD) and non-FECD bullous keratoplasty.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Setting": "A single UK tertiary centre hospital (Addenbrooke's Hospital, UK).\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Methods": "This is a retrospective observational study of 93 eyes of 71 patients who had MT-DSAEK performed by a single surgeon between October 2009 to Jan 2015. The mean follow up duration was 10.4±1.85 years. Records were identified through the Epic electronic patient record system. The primary outcome was long term transplant survival time and secondary outcome was best corrected visual acuity (BCVA) and late transplant failure rate.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Results": "Cumulative first transplant survival was 87% at 10 years (95% CI 78-93%) and 82% at 12 years (95% CI 65-90%). Late failure of DSAEK transplant occured in 13% (12 eyes), with mean interval of 7±3.38 years. There were a higher percentage of ocular comorbidities, particularly glaucoma (8 eyes, 67%) in those with late transplant failure. After re-do surgery, 10/12 (83%) transplants recovered good visual function. The long-term visual outcomes (mean BCVA) in eyes without visual co-morbidities at the final follow up was 0.39±0.54 logMAR acuity with 81% achieving 0.2 or better and 93% with vision better or equal to 0.3 logMAR acuity.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words",
        "Conclusions": "MT-DSAEK surgery shows favourable long-term survival and good visual function maintained over ten years. Ocular comorbidities increase the risk of late transplant failure, but repeat MT-DSAEK demosntrated recovery of functional vision in most patients.\n\nChinese-English Dictionary\n\nEnable Select Search\n\nMy Words"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POCOR314",
      "abstract_number": "POCOR314",
      "title": "Does Prior Vitrectomy Affect Descemet Membrane Endothelial Keratoplasty Outcomes? A Comparative Study In Pseudophakic Bullous Keratopathy",
      "authors": "Dr Büşra Yorulmaz",
      "presenter": "Dr Büşra Yorulmaz",
      "normalized_authors": [
        "Büşra Yorulmaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Busra Yorulmaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate whether prior vitrectomy influences clinical outcomes and surgical parameters following Descemet membrane endothelial keratoplasty (DMEK) in eyes with pseudophakic bullous keratopathy (PBK).",
        "Setting": "A tertiary referral ophthalmology clinic.",
        "Methods": "This retrospective comparative study included 51 eyes that underwent DMEK for PBK between January 2023 and January 2025. Eyes were divided into previously vitrectomized and non-vitrectomized groups. Endothelial cell density (ECD), central corneal thickness (CCT), best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were evaluated preoperatively and at 1, 3, 6, 12, and 24 months postoperatively. Graft diameter, graft roll configuration (tight or loose; single or double), surgical duration, and postoperative rebubbling rates were also analyzed.",
        "Results": "Fifty-one eyes (35 non-vitrectomized, 16 vitrectomized) were analyzed. Baseline characteristics were comparable (p>0.05), except for lens status (p<0.001), with scleral-fixated IOLs more common in the vitrectomized group. Mean surgical time was longer in vitrectomized eyes (5.25±3.0 vs 4.28±2.81 minutes), although the difference was not significant (p=0.235). CCT was higher at month 1 in vitrectomized eyes (p=0.024). Both groups demonstrated significant improvements in BCVA and CCT with similar long-term (p>0.05). The re-bubbling rate was significantly higher in vitrectomized eyes (40% vs 14.3%, p=0.045). Donor ECD decreased from 2973.4±322.7 to 1733.8±531.2 cells/mm² at month 1, with no significant difference between groups (p>0.05).",
        "Conclusions": "In the early postoperative period, CCT and re-bubbling rates were higher in vitrectomized eyes. However, prior vitrectomy did not adversely affect long-term endothelial cell loss or visual outcomes. Altered intraocular fluid dynamics in the absence of posterior vitreous support may contribute to delayed early endothelial pump function despite adequate graft adhesion, resulting in slower corneal deturgescence and visual recovery. Overall, DMEK appears to be a safe and effective option in eyes with previous vitrectomy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the early postoperative period, CCT and re-bubbling rates were higher in vitrectomized eyes. However, prior vitrectomy did not adversely affect long-term endothelial cell loss or visual outcomes. Altered intraocular fluid dynamics in the absence of posterior vitreous support may contribute to delayed early endothelial pump function despite adequate graft adhesion, resulting in slower corneal deturgescence and…",
      "session_type": "ePoster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1001,
      "source_fields": {
        "Abstract Final Identifier": "POCOR314",
        "Title": "Does Prior Vitrectomy Affect Descemet Membrane Endothelial Keratoplasty Outcomes? A Comparative Study In Pseudophakic Bullous Keratopathy",
        "Presenting Author(s)": "Dr Büşra Yorulmaz",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Busra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yorulmaz",
        "Country Name": "Türkiye",
        "Purpose": "To investigate whether prior vitrectomy influences clinical outcomes and surgical parameters following Descemet membrane endothelial keratoplasty (DMEK) in eyes with pseudophakic bullous keratopathy (PBK).",
        "Setting": "A tertiary referral ophthalmology clinic.",
        "Methods": "This retrospective comparative study included 51 eyes that underwent DMEK for PBK between January 2023 and January 2025. Eyes were divided into previously vitrectomized and non-vitrectomized groups. Endothelial cell density (ECD), central corneal thickness (CCT), best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were evaluated preoperatively and at 1, 3, 6, 12, and 24 months postoperatively. Graft diameter, graft roll configuration (tight or loose; single or double), surgical duration, and postoperative rebubbling rates were also analyzed.",
        "Results": "Fifty-one eyes (35 non-vitrectomized, 16 vitrectomized) were analyzed. Baseline characteristics were comparable (p>0.05), except for lens status (p<0.001), with scleral-fixated IOLs more common in the vitrectomized group. Mean surgical time was longer in vitrectomized eyes (5.25±3.0 vs 4.28±2.81 minutes), although the difference was not significant (p=0.235). CCT was higher at month 1 in vitrectomized eyes (p=0.024). Both groups demonstrated significant improvements in BCVA and CCT with similar long-term (p>0.05). The re-bubbling rate was significantly higher in vitrectomized eyes (40% vs 14.3%, p=0.045). Donor ECD decreased from 2973.4±322.7 to 1733.8±531.2 cells/mm² at month 1, with no significant difference between groups (p>0.05).",
        "Conclusions": "In the early postoperative period, CCT and re-bubbling rates were higher in vitrectomized eyes. However, prior vitrectomy did not adversely affect long-term endothelial cell loss or visual outcomes. Altered intraocular fluid dynamics in the absence of posterior vitreous support may contribute to delayed early endothelial pump function despite adequate graft adhesion, resulting in slower corneal deturgescence and visual recovery. Overall, DMEK appears to be a safe and effective option in eyes with previous vitrectomy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCOR315",
      "abstract_number": "POCOR315",
      "title": "Posterior Keratoconus: Theory, Evidence, And Treatment",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "This systematic review consolidates current knowledge on the epidemiology, proposed mechanisms, clinical presentation, diagnostic modalities, systemic associations, management strategies, and outcomes of posterior keratoconus (PKC).",
        "Setting": "A systematic review.",
        "Methods": "Our protocol was registered prospectively on PROSPERO (CRD420251102313). A systematic search of CENTRAL, Web of Science, Embase, PubMed, Scopus, ClinicalTrials.gov, and Google Scholar (1950–present) was conducted following PRISMA guidelines. Eligible studies included case reports, case series, and observational studies reporting clinical, imaging or outcome data. Screening, data extraction, and Joanna Briggs Institute (JBI) quality assessment were performed independently. Narrative synthesis was used due to heterogeneity.",
        "Results": "36 studies involving 82 patients were included. PKC was mainly congenital, unilateral, and non-progressive. Developmental arrest or aberrant neural-crest mesenchymal differentiation was the leading proposed mechanism. The most frequent findings were posterior corneal depression, paracentral stromal opacity, and reduced visual acuity from irregular astigmatism or amblyopia. Modern imaging, especially anterior segment optical coherence tomography (AS-OCT) and Scheimpflug tomography, enabled reliable characterisation of posterior excavation. Systemic associations were uncommon. Management was mostly conservative; surgical intervention improved vision when opacities were visually significant, with no reported recurrence.",
        "Conclusions": "PKC is a distinct, stable corneal anomaly primarily affecting the posterior surface. Visual impairment is typically refractive or amblyogenic rather than ectatic. More robust prospective data and a global PKC registry are needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PKC is a distinct, stable corneal anomaly primarily affecting the posterior surface. Visual impairment is typically refractive or amblyogenic rather than ectatic. More robust prospective data and a global PKC registry are needed.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1002,
      "source_fields": {
        "Abstract Final Identifier": "POCOR315",
        "Title": "Posterior Keratoconus: Theory, Evidence, And Treatment",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "This systematic review consolidates current knowledge on the epidemiology, proposed mechanisms, clinical presentation, diagnostic modalities, systemic associations, management strategies, and outcomes of posterior keratoconus (PKC).",
        "Setting": "A systematic review.",
        "Methods": "Our protocol was registered prospectively on PROSPERO (CRD420251102313). A systematic search of CENTRAL, Web of Science, Embase, PubMed, Scopus, ClinicalTrials.gov, and Google Scholar (1950–present) was conducted following PRISMA guidelines. Eligible studies included case reports, case series, and observational studies reporting clinical, imaging or outcome data. Screening, data extraction, and Joanna Briggs Institute (JBI) quality assessment were performed independently. Narrative synthesis was used due to heterogeneity.",
        "Results": "36 studies involving 82 patients were included. PKC was mainly congenital, unilateral, and non-progressive. Developmental arrest or aberrant neural-crest mesenchymal differentiation was the leading proposed mechanism. The most frequent findings were posterior corneal depression, paracentral stromal opacity, and reduced visual acuity from irregular astigmatism or amblyopia. Modern imaging, especially anterior segment optical coherence tomography (AS-OCT) and Scheimpflug tomography, enabled reliable characterisation of posterior excavation. Systemic associations were uncommon. Management was mostly conservative; surgical intervention improved vision when opacities were visually significant, with no reported recurrence.",
        "Conclusions": "PKC is a distinct, stable corneal anomaly primarily affecting the posterior surface. Visual impairment is typically refractive or amblyogenic rather than ectatic. More robust prospective data and a global PKC registry are needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POCOR316",
      "abstract_number": "POCOR316",
      "title": "Keratoconus Vs. Pseudokeratoconus In Fuchs’ Endothelial Corneal Dystrophy: Diagnostic And Therapeutic Dilemma",
      "authors": "Dr Mostafa Aghi",
      "presenter": "Dr Mostafa Aghi",
      "normalized_authors": [
        "Mostafa Aghi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mostafa Aghi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The differential diagnosis between keratoconus and pseudokeratoconus in patients with suspected keratoconus and concomitant Fuchs’ endothelial corneal dystrophy (FECD) represents a clinical challenge. This case series of five patients evaluates diagnostic and therapeutic approaches to facilitate differentiation between these entities and to define the optimal treatment strategy.",
        "Setting": "a case serie of 5 patients with concomitant suspect of keratoconus and fuchs endothlial dystrophy, seen at a tertriary hospital",
        "Methods": "Five patients with suspected keratoconus and FECD were analyzed. Diagnostic workup included corneal tomography, as well as clinical and biometric examinations. Two patients underwent Descemet membrane endothelial keratoplasty (DMEK).",
        "Results": "•\nCases 1 and 2: Corneal tomography demonstrated clear patterns consistent with pseudokeratoconus secondary to FECD. The findings seemed reliable to differentiate this cases from true keratoconus.\n\n•\nCase 3: Corneal tomography was inconclusive, and definitive differentiation between keratoconus and pseudokeratoconus was not possible.\n\n•\nCase 4: Tomographic findings were likewise inconclusive. Following DMEK, the corneal changes regressed, confirming the diagnosis of pseudokeratoconus.\n\n•\nCase 5: This case illustrates the challenges of biometry and intraocular lens (IOL) calculation in a planned triple-DMEK procedure. Due to bilateral bullous keratopathy, reliable biometry was only possible after corneal epithelial debridement.",
        "Conclusions": "This case series highlights the diagnostic dilemma in patients with suspected keratoconus and coexisting FECD and presents cases in which definitive diagnosis was only achievable after DMEK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case series highlights the diagnostic dilemma in patients with suspected keratoconus and coexisting FECD and presents cases in which definitive diagnosis was only achievable after DMEK.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1003,
      "source_fields": {
        "Abstract Final Identifier": "POCOR316",
        "Title": "Keratoconus Vs. Pseudokeratoconus In Fuchs’ Endothelial Corneal Dystrophy: Diagnostic And Therapeutic Dilemma",
        "Presenting Author(s)": "Dr Mostafa Aghi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Mostafa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aghi",
        "Country Name": "Germany",
        "Purpose": "The differential diagnosis between keratoconus and pseudokeratoconus in patients with suspected keratoconus and concomitant Fuchs’ endothelial corneal dystrophy (FECD) represents a clinical challenge. This case series of five patients evaluates diagnostic and therapeutic approaches to facilitate differentiation between these entities and to define the optimal treatment strategy.",
        "Setting": "a case serie of 5 patients with concomitant suspect of keratoconus and fuchs endothlial dystrophy, seen at a tertriary hospital",
        "Methods": "Five patients with suspected keratoconus and FECD were analyzed. Diagnostic workup included corneal tomography, as well as clinical and biometric examinations. Two patients underwent Descemet membrane endothelial keratoplasty (DMEK).",
        "Results": "•\nCases 1 and 2: Corneal tomography demonstrated clear patterns consistent with pseudokeratoconus secondary to FECD. The findings seemed reliable to differentiate this cases from true keratoconus.\n\n•\nCase 3: Corneal tomography was inconclusive, and definitive differentiation between keratoconus and pseudokeratoconus was not possible.\n\n•\nCase 4: Tomographic findings were likewise inconclusive. Following DMEK, the corneal changes regressed, confirming the diagnosis of pseudokeratoconus.\n\n•\nCase 5: This case illustrates the challenges of biometry and intraocular lens (IOL) calculation in a planned triple-DMEK procedure. Due to bilateral bullous keratopathy, reliable biometry was only possible after corneal epithelial debridement.",
        "Conclusions": "This case series highlights the diagnostic dilemma in patients with suspected keratoconus and coexisting FECD and presents cases in which definitive diagnosis was only achievable after DMEK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCOR317",
      "abstract_number": "POCOR317",
      "title": "Extremely Advanced Bilateral Keratoconus With Central Corneal Thickness Below 100 Microns: A Rare Case Presentation",
      "authors": "Muhammad Hamza",
      "presenter": "Muhammad Hamza",
      "normalized_authors": [
        "Muhammad Hamza"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammad Ahmed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To report an exceptionally rare presentation of extremely advanced bilateral keratoconus with central corneal thickness below 100 µm and to discuss the associated diagnostic and therapeutic challenges.",
        "Setting": "Tertiary care ophthalmology center",
        "Methods": "A single-patient case report of a 32-year-old male who presented with progressive bilateral visual deterioration over two years. Comprehensive ophthalmic evaluation was performed, including best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, corneal tomography (Pentacam), and pachymetry to assess disease severity and guide management planning.",
        "Results": "Examination showed advanced bilateral keratoconus with stromal thinning, Vogt’s striae, Fleischer rings, and central scarring. BCVA was 3/60 in the right eye and 2/60 in the left, with no improvement on refraction. Pentacam revealed severe ectasia with Kmax of 102.8 D in the right eye. Pachymetry demonstrated extreme thinning: 98 µm (right) and 180 µm (left). Due to the marked thinning and scarring, corneal cross-linking and intrastromal ring segments were contraindicated. The patient was intolerant to contact lenses, and deep anterior lamellar keratoplasty was planned.",
        "Conclusions": "Extremely advanced keratoconus with central corneal thickness below 100 µm is exceedingly rare and presents significant management challenges. Conventional therapeutic options such as corneal cross-linking and intrastromal ring segments may be contraindicated in such cases. Early detection remains critical, as keratoplasty may be the only viable intervention in ultra-thin corneas. Further research is warranted to develop safe and effective treatment strategies for extreme corneal thinning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Extremely advanced keratoconus with central corneal thickness below 100 µm is exceedingly rare and presents significant management challenges. Conventional therapeutic options such as corneal cross-linking and intrastromal ring segments may be contraindicated in such cases. Early detection remains critical, as keratoplasty may be the only viable intervention in ultra-thin corneas. Further research is warranted to…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1004,
      "source_fields": {
        "Abstract Final Identifier": "POCOR317",
        "Title": "Extremely Advanced Bilateral Keratoconus With Central Corneal Thickness Below 100 Microns: A Rare Case Presentation",
        "Presenting Author(s)": "Muhammad Hamza",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Muhammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahmed",
        "Country Name": "Pakistan",
        "Purpose": "To report an exceptionally rare presentation of extremely advanced bilateral keratoconus with central corneal thickness below 100 µm and to discuss the associated diagnostic and therapeutic challenges.",
        "Setting": "Tertiary care ophthalmology center",
        "Methods": "A single-patient case report of a 32-year-old male who presented with progressive bilateral visual deterioration over two years. Comprehensive ophthalmic evaluation was performed, including best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, corneal tomography (Pentacam), and pachymetry to assess disease severity and guide management planning.",
        "Results": "Examination showed advanced bilateral keratoconus with stromal thinning, Vogt’s striae, Fleischer rings, and central scarring. BCVA was 3/60 in the right eye and 2/60 in the left, with no improvement on refraction. Pentacam revealed severe ectasia with Kmax of 102.8 D in the right eye. Pachymetry demonstrated extreme thinning: 98 µm (right) and 180 µm (left). Due to the marked thinning and scarring, corneal cross-linking and intrastromal ring segments were contraindicated. The patient was intolerant to contact lenses, and deep anterior lamellar keratoplasty was planned.",
        "Conclusions": "Extremely advanced keratoconus with central corneal thickness below 100 µm is exceedingly rare and presents significant management challenges. Conventional therapeutic options such as corneal cross-linking and intrastromal ring segments may be contraindicated in such cases. Early detection remains critical, as keratoplasty may be the only viable intervention in ultra-thin corneas. Further research is warranted to develop safe and effective treatment strategies for extreme corneal thinning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "POCOR318",
      "abstract_number": "POCOR318",
      "title": "Icrs…When It’S Still Promising",
      "authors": "Dr Amr Al Amin",
      "presenter": "Dr Amr Al Amin",
      "normalized_authors": [
        "Amr Al Amin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amr Al Amin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the potential of intrastromal corneal ring technology to correct keratoconus without central corneal scarring",
        "Setting": "Prospective randomized clinical trial",
        "Methods": "ICRS were done first, immediately followed by CXL 3 months later. Outcomes included changes in maximum keratometry (K) and topographic inferior–superior (I–S) difference, maximum flattening of topographic K, and changes in uncorrected (UDVA) and corrected (CDVA) distance visual acuities",
        "Results": "The study comprised 98 eyes of 68 patients. Overall, maximum K decreased by an average of 2.5 D, I–S difference improved by 3.9 D, and there was an average maximum flattening of −7.5 D. The UDVA improved by 2.0 logarithm of the minimum angle of resolution lines, on average, and the CDVA improved by 1.1 lines",
        "Conclusions": "CXL and ICRS can be used adjunctively with substantial improvement in corneal topography, and with no increase in safety concerns over each procedure alone. Both thicker segment size and single segment placement seem to result in greater topographic improvement"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CXL and ICRS can be used adjunctively with substantial improvement in corneal topography, and with no increase in safety concerns over each procedure alone. Both thicker segment size and single segment placement seem to result in greater topographic improvement",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1005,
      "source_fields": {
        "Abstract Final Identifier": "POCOR318",
        "Title": "Icrs…When It’S Still Promising",
        "Presenting Author(s)": "Dr Amr Al Amin",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Amr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Amin",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the potential of intrastromal corneal ring technology to correct keratoconus without central corneal scarring",
        "Setting": "Prospective randomized clinical trial",
        "Methods": "ICRS were done first, immediately followed by CXL 3 months later. Outcomes included changes in maximum keratometry (K) and topographic inferior–superior (I–S) difference, maximum flattening of topographic K, and changes in uncorrected (UDVA) and corrected (CDVA) distance visual acuities",
        "Results": "The study comprised 98 eyes of 68 patients. Overall, maximum K decreased by an average of 2.5 D, I–S difference improved by 3.9 D, and there was an average maximum flattening of −7.5 D. The UDVA improved by 2.0 logarithm of the minimum angle of resolution lines, on average, and the CDVA improved by 1.1 lines",
        "Conclusions": "CXL and ICRS can be used adjunctively with substantial improvement in corneal topography, and with no increase in safety concerns over each procedure alone. Both thicker segment size and single segment placement seem to result in greater topographic improvement"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 162
    },
    {
      "uid": "POCOR319",
      "abstract_number": "POCOR319",
      "title": "Topoguided Prk Versus Corneal Wavefront-Guided Prk In Eyes With Irregular Corneas: A Comparative Prospective Study",
      "authors": "Dr Khalid Alburayk",
      "presenter": "Dr Khalid Alburayk",
      "normalized_authors": [
        "Khalid Alburayk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khalid Alburayk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare the efficacy, safety, and corneal topographic outcomes of topography-guided photorefractive keratectomy (TG-PRK) using the WaveLight Allegretto/EX500 platform with corneal wavefront-guided PRK (CWF-PRK) using the Schwind AMARIS platform in eyes with irregular corneas, including keratoconus, post-LASIK ectasia, and other corneal irregularities.",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary corneal refractive surgery unit, Saudi Arabia.",
        "Methods": "A total of 22 eyes were included: 16 eyes treated with TG-PRK on the WaveLight platform (Group 1) and 16 eyes treated with CWF-PRK on the Schwind AMARIS platform (Group 2). Indications included keratoconus (KC), post-LASIK ectasia,corneal irregularities following penetrating keratoplasty (PKP), and anterior corneal haze. All eyes underwent preoperative and postoperative Pentacam HR corneal tomography. Main outcome measures included maximum keratometry (Kmax), mean keratometry (Kmean), K1, K2, central corneal thickness (CCT), ablation depth, best-corrected visual acuity (BCVA), and subjective refraction. Mitomycin C was used adjunctively in the majority of cases. Combined same-session corneal cross-linking (CXL) was performed where indicated",
        "Results": "Baseline mean Kmax was 51.3 ± 7.4 D in Group 1 (WaveLight) and 53.0 ± 7.1 D in Group 2 (Schwind), with comparable preoperative corneal irregularity profiles. Mean age was 39.6 years (Group 1) and 46.0 years (Group 2). Mean central ablation depth was 47.0 µm in Group 1 versus 92.0 µm in Group 2, reflecting the Schwind platform's wavefront-optimized approach targeting higher-order aberrations\n\nAt 1-month follow-up, TG-PRK (Group 1) demonstrated a mean Kmax reduction of -3.69 D (n=9 eyes), while CWF-PRK (Group 2) showed a mean Kmax change of -0.64 D (n=10 eyes ), consistent with the predominantly HOA-targeting strategy of the Schwind platform in this cohort. Corneal regularization, was observed in both groups across available follow-up intervals",
        "Conclusions": "Both topography-guided PRK using the WaveLight platform and corneal wavefront-guided PRK using the Schwind AMARIS platform appear to offer meaningful corneal regularization in eyes with irregular corneas. TG-PRK demonstrated greater Kmax reduction at early follow-up, while CWF-PRK targeted higher-order aberrations with greater tissue removal. Prospective comparative studies with standardized follow-up protocols and larger sample sizes are warranted to establish the relative superiority of either approach.\n\nDue to the prospective nature of this study and the varying follow-up periods complete dataset was available for a subset of eyes. Ongoing data collection is in progress with prospective enrollment to strengthen the comparative analysis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both topography-guided PRK using the WaveLight platform and corneal wavefront-guided PRK using the Schwind AMARIS platform appear to offer meaningful corneal regularization in eyes with irregular corneas. TG-PRK demonstrated greater Kmax reduction at early follow-up, while CWF-PRK targeted higher-order aberrations with greater tissue removal. Prospective comparative studies with standardized follow-up protocols and…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1006,
      "source_fields": {
        "Abstract Final Identifier": "POCOR319",
        "Title": "Topoguided Prk Versus Corneal Wavefront-Guided Prk In Eyes With Irregular Corneas: A Comparative Prospective Study",
        "Presenting Author(s)": "Dr Khalid Alburayk",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Khalid",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alburayk",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare the efficacy, safety, and corneal topographic outcomes of topography-guided photorefractive keratectomy (TG-PRK) using the WaveLight Allegretto/EX500 platform with corneal wavefront-guided PRK (CWF-PRK) using the Schwind AMARIS platform in eyes with irregular corneas, including keratoconus, post-LASIK ectasia, and other corneal irregularities.",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary corneal refractive surgery unit, Saudi Arabia.",
        "Methods": "A total of 22 eyes were included: 16 eyes treated with TG-PRK on the WaveLight platform (Group 1) and 16 eyes treated with CWF-PRK on the Schwind AMARIS platform (Group 2). Indications included keratoconus (KC), post-LASIK ectasia,corneal irregularities following penetrating keratoplasty (PKP), and anterior corneal haze. All eyes underwent preoperative and postoperative Pentacam HR corneal tomography. Main outcome measures included maximum keratometry (Kmax), mean keratometry (Kmean), K1, K2, central corneal thickness (CCT), ablation depth, best-corrected visual acuity (BCVA), and subjective refraction. Mitomycin C was used adjunctively in the majority of cases. Combined same-session corneal cross-linking (CXL) was performed where indicated",
        "Results": "Baseline mean Kmax was 51.3 ± 7.4 D in Group 1 (WaveLight) and 53.0 ± 7.1 D in Group 2 (Schwind), with comparable preoperative corneal irregularity profiles. Mean age was 39.6 years (Group 1) and 46.0 years (Group 2). Mean central ablation depth was 47.0 µm in Group 1 versus 92.0 µm in Group 2, reflecting the Schwind platform's wavefront-optimized approach targeting higher-order aberrations\n\nAt 1-month follow-up, TG-PRK (Group 1) demonstrated a mean Kmax reduction of -3.69 D (n=9 eyes), while CWF-PRK (Group 2) showed a mean Kmax change of -0.64 D (n=10 eyes ), consistent with the predominantly HOA-targeting strategy of the Schwind platform in this cohort. Corneal regularization, was observed in both groups across available follow-up intervals",
        "Conclusions": "Both topography-guided PRK using the WaveLight platform and corneal wavefront-guided PRK using the Schwind AMARIS platform appear to offer meaningful corneal regularization in eyes with irregular corneas. TG-PRK demonstrated greater Kmax reduction at early follow-up, while CWF-PRK targeted higher-order aberrations with greater tissue removal. Prospective comparative studies with standardized follow-up protocols and larger sample sizes are warranted to establish the relative superiority of either approach.\n\nDue to the prospective nature of this study and the varying follow-up periods complete dataset was available for a subset of eyes. Ongoing data collection is in progress with prospective enrollment to strengthen the comparative analysis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "POCOR320",
      "abstract_number": "POCOR320",
      "title": "Outcomes Of Transepithelial Topography-Guided Surface Ablation Combined With Corneal Cross-Linking Using A Myopic “Increment” Epithelial-Removal Approach On The Wavelight Platform: A Prospective Study",
      "authors": "A/Prof. Ali Alghamdi",
      "presenter": "A/Prof. Ali Alghamdi",
      "normalized_authors": [
        "Ali Alghamdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Alghamdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate visual, refractive, topographic, and pachymetric outcomes after transepithelial topography-guided surface ablation combined with corneal cross-linking (CXL) using a myopic “increment” method (epithelium-on) to remove the corneal epithelium and concurrently treat refractive error on the WaveLight platform in eyes with corneal ectatic disease.",
        "Setting": "Prospective study conducted at a private center in the Asir region. A total of 30 eyes from 22 patients were included. Mean age was 26.1 ± 5.9 years (range 19–38); 59.1% were male. Preoperative evaluation included corneal tomography and anterior segment OCT epithelial thickness mapping to document epithelial profile",
        "Methods": "Treatment was performed on the WaveLight platform using transepithelial topography-guided surface ablation with an “incremental myopia” epithelial-removal strategy (epithelium-on) , in which stepwise myopic treatment was used to achieve epithelial removal while simultaneously delivering the planned refractive/topography-guided ablation. Planned refractive treatment (mean ± SD) included sphere −3.87 ± 1.8 D, cylinder −2.18 ± 0.87 D, and spherical equivalent −4.96 ± 1.92 D. Optical zones ranged from 5.0–7.0 mm. Accelerated CXL was performed in the same session. Outcomes were assessed at 1 week, 1,3,6, and 12 months postoperatively. Primary outcomes included UCVA/BCVA, manifest refraction, keratometry, topographic astigmatism, and pachymetry.",
        "Results": "UCVA improved from 0.75 ± 0.38 preoperatively to 0.33 ± 0.27 at 6 months (p=0.004). BCVA improved from 0.28 ± 0.20 to 0.11 ± 0.12 at 6 months (p=0.022). Spherical equivalent improved from −4.21 ± 3.49 D to −1.31 ± 1.79 D at 6 months (p=0.003). Significant flattening was observed: Kmax 47.19 ± 2.80 → 42.12 ± 2.11 D at 6 months (p<0.001). K1 and K2 also decreased significantly (both p<0.001). Topographic astigmatism showed significant change at follow-up (p≤0.024). Mean epithelial healing was typically 5 days (60%); most eyes had no healing problem (76.7%), with infrequent mild haze/persistent epithelial defect events. Twelve-month outcomes were available for only 3 eyes.",
        "Conclusions": "In this prospective series, transepithelial topography-guided surface ablation combined with CXL using a myopic “increment” epithelium-on epithelial-removal approach on the WaveLight platform demonstrated significant improvements in uncorrected and corrected vision, refractive error, and corneal topography with generally favorable outcomes. Longer follow-up and larger samples are needed to confirm long-term stability and safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this prospective series, transepithelial topography-guided surface ablation combined with CXL using a myopic “increment” epithelium-on epithelial-removal approach on the WaveLight platform demonstrated significant improvements in uncorrected and corrected vision, refractive error, and corneal topography with generally favorable outcomes. Longer follow-up and larger samples are needed to confirm long-term…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1007,
      "source_fields": {
        "Abstract Final Identifier": "POCOR320",
        "Title": "Outcomes Of Transepithelial Topography-Guided Surface Ablation Combined With Corneal Cross-Linking Using A Myopic “Increment” Epithelial-Removal Approach On The Wavelight Platform: A Prospective Study",
        "Presenting Author(s)": "A/Prof. Ali Alghamdi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alghamdi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate visual, refractive, topographic, and pachymetric outcomes after transepithelial topography-guided surface ablation combined with corneal cross-linking (CXL) using a myopic “increment” method (epithelium-on) to remove the corneal epithelium and concurrently treat refractive error on the WaveLight platform in eyes with corneal ectatic disease.",
        "Setting": "Prospective study conducted at a private center in the Asir region. A total of 30 eyes from 22 patients were included. Mean age was 26.1 ± 5.9 years (range 19–38); 59.1% were male. Preoperative evaluation included corneal tomography and anterior segment OCT epithelial thickness mapping to document epithelial profile",
        "Methods": "Treatment was performed on the WaveLight platform using transepithelial topography-guided surface ablation with an “incremental myopia” epithelial-removal strategy (epithelium-on) , in which stepwise myopic treatment was used to achieve epithelial removal while simultaneously delivering the planned refractive/topography-guided ablation. Planned refractive treatment (mean ± SD) included sphere −3.87 ± 1.8 D, cylinder −2.18 ± 0.87 D, and spherical equivalent −4.96 ± 1.92 D. Optical zones ranged from 5.0–7.0 mm. Accelerated CXL was performed in the same session. Outcomes were assessed at 1 week, 1,3,6, and 12 months postoperatively. Primary outcomes included UCVA/BCVA, manifest refraction, keratometry, topographic astigmatism, and pachymetry.",
        "Results": "UCVA improved from 0.75 ± 0.38 preoperatively to 0.33 ± 0.27 at 6 months (p=0.004). BCVA improved from 0.28 ± 0.20 to 0.11 ± 0.12 at 6 months (p=0.022). Spherical equivalent improved from −4.21 ± 3.49 D to −1.31 ± 1.79 D at 6 months (p=0.003). Significant flattening was observed: Kmax 47.19 ± 2.80 → 42.12 ± 2.11 D at 6 months (p<0.001). K1 and K2 also decreased significantly (both p<0.001). Topographic astigmatism showed significant change at follow-up (p≤0.024). Mean epithelial healing was typically 5 days (60%); most eyes had no healing problem (76.7%), with infrequent mild haze/persistent epithelial defect events. Twelve-month outcomes were available for only 3 eyes.",
        "Conclusions": "In this prospective series, transepithelial topography-guided surface ablation combined with CXL using a myopic “increment” epithelium-on epithelial-removal approach on the WaveLight platform demonstrated significant improvements in uncorrected and corrected vision, refractive error, and corneal topography with generally favorable outcomes. Longer follow-up and larger samples are needed to confirm long-term stability and safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POCOR321",
      "abstract_number": "POCOR321",
      "title": "Systematic Review And Meta-Analysis Of The Prevalence Of Keratoconus In Adults In Saudi Arabia",
      "authors": "Dr Renad Osama Aljuhani",
      "presenter": "Dr Renad Osama Aljuhani",
      "normalized_authors": [
        "Renad Osama Aljuhani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Renad Osama Aljuhani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "This study aimed to systematically synthesize and critically appraise studies reporting the prevalence of keratoconus in adults in Saudi Arabia.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "We registered a PROSPERO-guided protocol (CRD420251012684) and systematically searched six databases (Embase, MEDLINE, Cochrane CENTRAL, Web of Science, Scopus, and Google Scholar) up to March 17, 2025, to identify observational studies reporting the prevalence of keratoconus in adults in Saudi Arabia. Methodological rigor was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist, focusing on participant selection, outcome measurement, and statistical validity. Outcome measures primarily included keratoconus prevalence, reported as percentages or cases per 100,000 population.",
        "Results": "This analysis pooled results from six articles comprising 4570 individuals distributed across Saudi Arabia. The pooled prevalence of keratoconus was 13% (95% CI: 4% to 22%), with a significant heterogeneity across studies. Regarding the gender specific prevalence, the prevalence was 13% in males and 12% in females, with no significant difference was detected between genders according to the subgroup analysis (χ² = 0.01, p = 0.9162). Prevalence of Suspected keratoconus was 17% (95% CI: 9%–26%).",
        "Conclusions": "Keratoconus appears to be diagnosed more frequently in Saudi Arabia than in many countries according to clinical studies; however, the prevalence rates calculated from the data are not to be taken as reliable due to the fact that the number of relevant studies is small, the samples examined were from hospitals and there was considerable variation. Population-based studies using standardized diagnostic criteria are needed to better define the true adult burden and guide screening and service planning in Saudi Arabia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoconus appears to be diagnosed more frequently in Saudi Arabia than in many countries according to clinical studies; however, the prevalence rates calculated from the data are not to be taken as reliable due to the fact that the number of relevant studies is small, the samples examined were from hospitals and there was considerable variation. Population-based studies using standardized diagnostic criteria are…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1008,
      "source_fields": {
        "Abstract Final Identifier": "POCOR321",
        "Title": "Systematic Review And Meta-Analysis Of The Prevalence Of Keratoconus In Adults In Saudi Arabia",
        "Presenting Author(s)": "Dr Renad Osama Aljuhani",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Renad",
        "Submitter Middle Name": "Osama",
        "Submitter Last Name": "Aljuhani",
        "Country Name": "Saudi Arabia",
        "Purpose": "This study aimed to systematically synthesize and critically appraise studies reporting the prevalence of keratoconus in adults in Saudi Arabia.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "We registered a PROSPERO-guided protocol (CRD420251012684) and systematically searched six databases (Embase, MEDLINE, Cochrane CENTRAL, Web of Science, Scopus, and Google Scholar) up to March 17, 2025, to identify observational studies reporting the prevalence of keratoconus in adults in Saudi Arabia. Methodological rigor was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist, focusing on participant selection, outcome measurement, and statistical validity. Outcome measures primarily included keratoconus prevalence, reported as percentages or cases per 100,000 population.",
        "Results": "This analysis pooled results from six articles comprising 4570 individuals distributed across Saudi Arabia. The pooled prevalence of keratoconus was 13% (95% CI: 4% to 22%), with a significant heterogeneity across studies. Regarding the gender specific prevalence, the prevalence was 13% in males and 12% in females, with no significant difference was detected between genders according to the subgroup analysis (χ² = 0.01, p = 0.9162). Prevalence of Suspected keratoconus was 17% (95% CI: 9%–26%).",
        "Conclusions": "Keratoconus appears to be diagnosed more frequently in Saudi Arabia than in many countries according to clinical studies; however, the prevalence rates calculated from the data are not to be taken as reliable due to the fact that the number of relevant studies is small, the samples examined were from hospitals and there was considerable variation. Population-based studies using standardized diagnostic criteria are needed to better define the true adult burden and guide screening and service planning in Saudi Arabia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCOR322",
      "abstract_number": "POCOR322",
      "title": "Role Of Ethnicity And Age In Corneal Curvature And Thickness Changes\nFollowing Corneal Cross-Linking For Keratoconus",
      "authors": "Dr Bandar Alenezi",
      "presenter": "Dr Bandar Alenezi",
      "normalized_authors": [
        "Bandar Alenezi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yousef Saad Al-Shammari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To investigate corneal cross-linking (CXL) effect on corneal curvature and thickness\nin two different keratoconic populations based in the Middle East (Saudi Arabia) and Europe\n(UK), and to explore whether age and ethnicity play a role in CXL outcomes.",
        "Setting": "Multicenter retrospective study conducted at a tertiary corneal referral hospital in Greater Manchester, United Kingdom, and a tertiary eye specialist hospital in the Eastern Province of Saudi Arabia.",
        "Methods": "208 eyes of 197 keratoconic patients (130M and 67F), aged 13–52 years were\nincluded for UK cohort and 362 eyes of 329 keratoconic patients (226M and 136F), aged 12–\n51 years, were included for Saudi cohort. All patients underwent epithelium-off accelerated\nCXL (UV-A irradiation of 10 mW/cm2 for nine minutes) and riboflavin 0.1% solution in both\nlocations. Patients were divided into age groups: ≤18 years, 19–27 years, and ≥28 years. CXL\noutcomes were assessed using Scheimpflug-imaging during 3-year follow-up and compared\nacross cohorts from both countries.",
        "Results": "Baseline maximum keratometry (Kmax) and pachymetry were 64.32±8.07D &\n441±33.52µm for UK, and 54.60±7.59D and 462±36.38µm for Saudi. At three-years post-CXL,\nKmax improved or stabilized (change in Kmax > -1D) in 47 eyes (82.45%) in UK and 188 eyes\n(84.30%) in Saudi, with significant improvements of 1.30±3.00D (p=0.003) and 1.2±2.91D\n(p<0.001), respectively. Pachymetry significantly reduced for both cohorts (p=0.001 and\np<0.001, respectively). Kmax did not show significant changes in any age group post-CXL in\nUK, whereas Kmax significantly improved in all age groups in Saudi.",
        "Conclusions": "Conclusions: Keratoconus presented at a more severe stage in UK cohort compared to Saudi\ncohort. Despite this difference in baseline severity, CXL contributed to stabilize keratoconus\nprogression in most patients in both populations. When each cohort considered independently,\nCXL effect was comparable across all age groups with no age group demonstrating greater\nbenefit."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: Keratoconus presented at a more severe stage in UK cohort compared to Saudi cohort. Despite this difference in baseline severity, CXL contributed to stabilize keratoconus progression in most patients in both populations. When each cohort considered independently, CXL effect was comparable across all age groups with no age group demonstrating greater benefit.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1009,
      "source_fields": {
        "Abstract Final Identifier": "POCOR322",
        "Title": "Role Of Ethnicity And Age In Corneal Curvature And Thickness Changes\nFollowing Corneal Cross-Linking For Keratoconus",
        "Presenting Author(s)": "Dr Bandar Alenezi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Yousef",
        "Submitter Middle Name": "Saad",
        "Submitter Last Name": "Al-Shammari",
        "Country Name": "Saudi Arabia",
        "Purpose": "To investigate corneal cross-linking (CXL) effect on corneal curvature and thickness\nin two different keratoconic populations based in the Middle East (Saudi Arabia) and Europe\n(UK), and to explore whether age and ethnicity play a role in CXL outcomes.",
        "Setting": "Multicenter retrospective study conducted at a tertiary corneal referral hospital in Greater Manchester, United Kingdom, and a tertiary eye specialist hospital in the Eastern Province of Saudi Arabia.",
        "Methods": "208 eyes of 197 keratoconic patients (130M and 67F), aged 13–52 years were\nincluded for UK cohort and 362 eyes of 329 keratoconic patients (226M and 136F), aged 12–\n51 years, were included for Saudi cohort. All patients underwent epithelium-off accelerated\nCXL (UV-A irradiation of 10 mW/cm2 for nine minutes) and riboflavin 0.1% solution in both\nlocations. Patients were divided into age groups: ≤18 years, 19–27 years, and ≥28 years. CXL\noutcomes were assessed using Scheimpflug-imaging during 3-year follow-up and compared\nacross cohorts from both countries.",
        "Results": "Baseline maximum keratometry (Kmax) and pachymetry were 64.32±8.07D &\n441±33.52µm for UK, and 54.60±7.59D and 462±36.38µm for Saudi. At three-years post-CXL,\nKmax improved or stabilized (change in Kmax > -1D) in 47 eyes (82.45%) in UK and 188 eyes\n(84.30%) in Saudi, with significant improvements of 1.30±3.00D (p=0.003) and 1.2±2.91D\n(p<0.001), respectively. Pachymetry significantly reduced for both cohorts (p=0.001 and\np<0.001, respectively). Kmax did not show significant changes in any age group post-CXL in\nUK, whereas Kmax significantly improved in all age groups in Saudi.",
        "Conclusions": "Conclusions: Keratoconus presented at a more severe stage in UK cohort compared to Saudi\ncohort. Despite this difference in baseline severity, CXL contributed to stabilize keratoconus\nprogression in most patients in both populations. When each cohort considered independently,\nCXL effect was comparable across all age groups with no age group demonstrating greater\nbenefit."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCOR323",
      "abstract_number": "POCOR323",
      "title": "Rapid Spontaneous Resolution Of Acute Corneal Hydrops Within One-Week Follow Up: A Unique Case Report",
      "authors": "Dr Zahra AlSultan",
      "presenter": "Dr Zahra AlSultan",
      "normalized_authors": [
        "Zahra AlSultan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zahra Alsultan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "This case report describes a 17-year-old female presenting with acute corneal hydrops that resolved spontaneously with medical treatment over one-week follow up in the right eye. There are no similar reported acute corneal hydrops cases of a similar period of resolution.",
        "Setting": "A retrospective revision of the patient file.",
        "Methods": "A retrospective case report.",
        "Results": "A 17-year-old female presented with complaints of pain, photophobia, and sudden-onset vision loss for 5 days in the right eye. Vision was hand motion in the right eye. She had history of frequent changes in her refraction. On exam, a focal area of microcystic corneal edema of 5 × 6 mm in size on the inferior cornea with break in Descemet membrane (DM) was noted in the right eye. On anterior segment optical coherence tomography (AS-OCT), intra-stromal corneal edema with an area DM detachment was seen. Patient started on topical antibiotics, steroids, cycloplegia, lubricants, and sodium chloride eye drop and ointment. At one-week follow up, surprisingly; AS-OCT showed complete resolution of stromal corneal edema, and deep stromal scaring.",
        "Conclusions": "While acute corneal hydrops usually resolve spontaneously within 3 months. This study reports a unique case of resolved acute corneal hydrops within one week of presentation after starting conservative management, which was not previously documented in literature."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While acute corneal hydrops usually resolve spontaneously within 3 months. This study reports a unique case of resolved acute corneal hydrops within one week of presentation after starting conservative management, which was not previously documented in literature.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1010,
      "source_fields": {
        "Abstract Final Identifier": "POCOR323",
        "Title": "Rapid Spontaneous Resolution Of Acute Corneal Hydrops Within One-Week Follow Up: A Unique Case Report",
        "Presenting Author(s)": "Dr Zahra AlSultan",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zahra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alsultan",
        "Country Name": "Saudi Arabia",
        "Purpose": "This case report describes a 17-year-old female presenting with acute corneal hydrops that resolved spontaneously with medical treatment over one-week follow up in the right eye. There are no similar reported acute corneal hydrops cases of a similar period of resolution.",
        "Setting": "A retrospective revision of the patient file.",
        "Methods": "A retrospective case report.",
        "Results": "A 17-year-old female presented with complaints of pain, photophobia, and sudden-onset vision loss for 5 days in the right eye. Vision was hand motion in the right eye. She had history of frequent changes in her refraction. On exam, a focal area of microcystic corneal edema of 5 × 6 mm in size on the inferior cornea with break in Descemet membrane (DM) was noted in the right eye. On anterior segment optical coherence tomography (AS-OCT), intra-stromal corneal edema with an area DM detachment was seen. Patient started on topical antibiotics, steroids, cycloplegia, lubricants, and sodium chloride eye drop and ointment. At one-week follow up, surprisingly; AS-OCT showed complete resolution of stromal corneal edema, and deep stromal scaring.",
        "Conclusions": "While acute corneal hydrops usually resolve spontaneously within 3 months. This study reports a unique case of resolved acute corneal hydrops within one week of presentation after starting conservative management, which was not previously documented in literature."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 206
    },
    {
      "uid": "POCOR324",
      "abstract_number": "POCOR324",
      "title": "Keratoconus Characteristics And Risk Factors In Kingdom Of Bahrain",
      "authors": "A/Prof. Nada Alyusuf",
      "presenter": "A/Prof. Nada Alyusuf",
      "normalized_authors": [
        "Nada Alyusuf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nada Alyusuf",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bahrain",
      "sections": {
        "Purpose": "To describe the demographics and characteristics of keratoconus and to study the risk factors associated with keratoconus in Bahrain",
        "Setting": "Patients were recruited from two tertiary hospitals for cornea service where patients with keratoconus are referred to from across the Kingdom of Bahrain.",
        "Methods": "A prospective study included keratoconus patients at two tertiery hospitals from 2017 until 2025. Age of onset, gender, nationality , education, family history and history of eye allergies were recorded. Moreover, parameters from corneal tomography that indicate the severity of the disease were included , namely corneal pachymetry and maximum keratometry ( K max). Refraction indices were also taken which includes both the sphere and cylinder. Amsler-Krumeich method was used for keratoconus staging. The severity of keratoconus was correlated with gender, family history of keratoconus, age of onset of keratoconus and presence or history of ocular allergy.",
        "Results": "192 patients with keratoconus. Mean age of onset was 18.3 years. Males were 59.9%. university level were (52.9%). Family history was positive in 58.3% of patients, and 52.1% reported allergy . No association between gender and keratoconus severity (χ² = 1.286, p = 0.732), nor between family history and severity (χ² = 3.926, p = 0.270). Similarly, allergy status did not correlate with disease stage (χ² = 1.311, p = 0.727). However, education level showed a statistically significant relationship with keratoconus severity (χ² = 21.542, p = 0.001), with university patients more frequently represented in advanced stages. Age of onset showed borderline significance (χ² = 17.076, p = 0.048) with younger age associated with more severe disease",
        "Conclusions": "keratoconus in this cohort was most commonly observed in young Bahraini males with onset during adolescence. While family history and allergy were prevalent, they were not significantly associated with disease severity. Educational attainment and early age of onset, however, emerged as important correlates, suggesting that earlier onset and higher education levels may be linked to more advanced keratoconus stages. Further studies are recommended to explore the correlation between keratoconus and the level of education. We recommend keratoconus screening among school children and teenagers in Bahrain."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "keratoconus in this cohort was most commonly observed in young Bahraini males with onset during adolescence. While family history and allergy were prevalent, they were not significantly associated with disease severity. Educational attainment and early age of onset, however, emerged as important correlates, suggesting that earlier onset and higher education levels may be linked to more advanced keratoconus stages.…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1011,
      "source_fields": {
        "Abstract Final Identifier": "POCOR324",
        "Title": "Keratoconus Characteristics And Risk Factors In Kingdom Of Bahrain",
        "Presenting Author(s)": "A/Prof. Nada Alyusuf",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Nada",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alyusuf",
        "Country Name": "Bahrain",
        "Purpose": "To describe the demographics and characteristics of keratoconus and to study the risk factors associated with keratoconus in Bahrain",
        "Setting": "Patients were recruited from two tertiary hospitals for cornea service where patients with keratoconus are referred to from across the Kingdom of Bahrain.",
        "Methods": "A prospective study included keratoconus patients at two tertiery hospitals from 2017 until 2025. Age of onset, gender, nationality , education, family history and history of eye allergies were recorded. Moreover, parameters from corneal tomography that indicate the severity of the disease were included , namely corneal pachymetry and maximum keratometry ( K max). Refraction indices were also taken which includes both the sphere and cylinder. Amsler-Krumeich method was used for keratoconus staging. The severity of keratoconus was correlated with gender, family history of keratoconus, age of onset of keratoconus and presence or history of ocular allergy.",
        "Results": "192 patients with keratoconus. Mean age of onset was 18.3 years. Males were 59.9%. university level were (52.9%). Family history was positive in 58.3% of patients, and 52.1% reported allergy . No association between gender and keratoconus severity (χ² = 1.286, p = 0.732), nor between family history and severity (χ² = 3.926, p = 0.270). Similarly, allergy status did not correlate with disease stage (χ² = 1.311, p = 0.727). However, education level showed a statistically significant relationship with keratoconus severity (χ² = 21.542, p = 0.001), with university patients more frequently represented in advanced stages. Age of onset showed borderline significance (χ² = 17.076, p = 0.048) with younger age associated with more severe disease",
        "Conclusions": "keratoconus in this cohort was most commonly observed in young Bahraini males with onset during adolescence. While family history and allergy were prevalent, they were not significantly associated with disease severity. Educational attainment and early age of onset, however, emerged as important correlates, suggesting that earlier onset and higher education levels may be linked to more advanced keratoconus stages. Further studies are recommended to explore the correlation between keratoconus and the level of education. We recommend keratoconus screening among school children and teenagers in Bahrain."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POCOR325",
      "abstract_number": "POCOR325",
      "title": "Early Use Of Miniscleral Lens After Corneal Collagen Cross-Linking (Cxl) In Keratoconus: A Prospective\nComparative Study",
      "authors": "Dr Shahnaz Anjum",
      "presenter": "Dr Shahnaz Anjum",
      "normalized_authors": [
        "Shahnaz Anjum"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shahnaz Anjum",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate whether early use of mini-scleral lenses (MSL) after corneal collagen cross-linking (CXL) affects\ncorneal remodeling or facilitates faster visual rehabilitation in moderate-to-advanced keratoconus.",
        "Setting": "This was a prospective non-randomised comparative case series conducted at Dr Rajendra Prasad Centre for\nOphthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, from December 2021 to November\n2024.",
        "Methods": "This prospective comparative study included 30 eyes of 30 keratoconus patients divided into two groups: CXL-\n\nonly (n = 15) and CXL + early-MSL (n = 15). Accelerated CXL (9 mW/cm2 for 10 minutes) was performed in all eyes. In\n\nthe MSL group, lenses (Keracare, Acculens, USA) were fitted three to four weeks after confirmation of complete epithelial\n\nhealing. Outcomes included uncorrected (UCVA) and best lens-corrected visual acuity (BLCVA), refraction, keratometry\n\n(K1, K2, Kmax), pachymetry, corneal densitometry, and aberrometry, measured at baseline, one, three, and six months.",
        "Results": "Both groups showed comparable reductions in mean K1, K2, and Kmax values and similar changes in thinnest\npachymetry over six months (p > 0.05), indicating no difference in corneal remodeling between groups. Corneal\ndensitometry decreased gradually in both cohorts, reflecting normal stromal recovery. UCVA improved significantly in\nboth groups (CXL: 0.84 → 0.75 logMAR, p = 0.0493; MSL: 0.68 → 0.53 logMAR, p = 0.0363). The MSL group achieved\ngreater improvement in BLCVA (0.18 → 0.05 logMAR, p = 0.0004), demonstrating faster functional visual rehabilitation.\nNo epithelial, infectious, or inflammatory complications occurred.",
        "Conclusions": "Early fitting of MSL three to four weeks after CXL is safe, does not affect corneal biomechanics or\ntransparency, and enables faster visual recovery compared with CXL alone. Larger randomized studies are warranted to\nconfirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early fitting of MSL three to four weeks after CXL is safe, does not affect corneal biomechanics or transparency, and enables faster visual recovery compared with CXL alone. Larger randomized studies are warranted to confirm these findings.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1012,
      "source_fields": {
        "Abstract Final Identifier": "POCOR325",
        "Title": "Early Use Of Miniscleral Lens After Corneal Collagen Cross-Linking (Cxl) In Keratoconus: A Prospective\nComparative Study",
        "Presenting Author(s)": "Dr Shahnaz Anjum",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Shahnaz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Anjum",
        "Country Name": "India",
        "Purpose": "To evaluate whether early use of mini-scleral lenses (MSL) after corneal collagen cross-linking (CXL) affects\ncorneal remodeling or facilitates faster visual rehabilitation in moderate-to-advanced keratoconus.",
        "Setting": "This was a prospective non-randomised comparative case series conducted at Dr Rajendra Prasad Centre for\nOphthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, from December 2021 to November\n2024.",
        "Methods": "This prospective comparative study included 30 eyes of 30 keratoconus patients divided into two groups: CXL-\n\nonly (n = 15) and CXL + early-MSL (n = 15). Accelerated CXL (9 mW/cm2 for 10 minutes) was performed in all eyes. In\n\nthe MSL group, lenses (Keracare, Acculens, USA) were fitted three to four weeks after confirmation of complete epithelial\n\nhealing. Outcomes included uncorrected (UCVA) and best lens-corrected visual acuity (BLCVA), refraction, keratometry\n\n(K1, K2, Kmax), pachymetry, corneal densitometry, and aberrometry, measured at baseline, one, three, and six months.",
        "Results": "Both groups showed comparable reductions in mean K1, K2, and Kmax values and similar changes in thinnest\npachymetry over six months (p > 0.05), indicating no difference in corneal remodeling between groups. Corneal\ndensitometry decreased gradually in both cohorts, reflecting normal stromal recovery. UCVA improved significantly in\nboth groups (CXL: 0.84 → 0.75 logMAR, p = 0.0493; MSL: 0.68 → 0.53 logMAR, p = 0.0363). The MSL group achieved\ngreater improvement in BLCVA (0.18 → 0.05 logMAR, p = 0.0004), demonstrating faster functional visual rehabilitation.\nNo epithelial, infectious, or inflammatory complications occurred.",
        "Conclusions": "Early fitting of MSL three to four weeks after CXL is safe, does not affect corneal biomechanics or\ntransparency, and enables faster visual recovery compared with CXL alone. Larger randomized studies are warranted to\nconfirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POCOR326",
      "abstract_number": "POCOR326",
      "title": "Ai-Assisted Early Detection Of Keratoconus Using The Ocusmart Platform: Pilot Clinical Experience",
      "authors": "Dr Ghada Atta",
      "presenter": "Dr Ghada Atta",
      "normalized_authors": [
        "Ghada Atta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ghada Mohamed Atta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the feasibility of using an AI-assisted digital platform (OcuSmart) for early detection of keratoconus and risk stratification prior to refractive surgery.",
        "Setting": "Single tertiary eye care center / refractive surgery clinic\n\nPediatric and adult patients presenting for routine refractive assessment or pre-surgery evaluation\n\nStudy period: January 2025 to December 2025\n\nEthics approval obtained; informed consent from all participants",
        "Methods": "Prospective pilot study including 50 patients (100 eyes) evaluated for refractive surgery or routine screening\n\nCollected parameters: corneal topography indices (e.g., Kmax, corneal asymmetry), corneal thickness (pachymetry), age, AI-generated alerts for suspect keratoconus patterns\n\nPrimary outcomes: detection rate of early or forme fruste keratoconus, agreement with clinician assessment, intervention planning, or further imaging triggered by AI alerts",
        "Results": "50 patients (100 eyes), mean age 24 plus/minus 6 years\n\nAI detected early keratoconus in 12 eyes (12 percent)\n\nAgreement with clinician assessment: 10 out of 12 eyes (83 percent)\n\nIntervention planning or further imaging was initiated in 10 eyes (83 percent) flagged by AI\n\nMean corneal thickness of flagged eyes: 485 um plus/minus 12 um\n\nMean Kmax in flagged eyes: 47.8 plus/minus 1.2 D",
        "Conclusions": "AI-assisted digital screening using the OcuSmart platform is feasible and effective for early keratoconus detection, showing high agreement with clinician assessment. Implementation of AI alerts may enhance patient safety in refractive surgery and enable proactive management of at-risk corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-assisted digital screening using the OcuSmart platform is feasible and effective for early keratoconus detection, showing high agreement with clinician assessment. Implementation of AI alerts may enhance patient safety in refractive surgery and enable proactive management of at-risk corneas.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1013,
      "source_fields": {
        "Abstract Final Identifier": "POCOR326",
        "Title": "Ai-Assisted Early Detection Of Keratoconus Using The Ocusmart Platform: Pilot Clinical Experience",
        "Presenting Author(s)": "Dr Ghada Atta",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ghada",
        "Submitter Middle Name": "Mohamed",
        "Submitter Last Name": "Atta",
        "Country Name": "Germany",
        "Purpose": "To evaluate the feasibility of using an AI-assisted digital platform (OcuSmart) for early detection of keratoconus and risk stratification prior to refractive surgery.",
        "Setting": "Single tertiary eye care center / refractive surgery clinic\n\nPediatric and adult patients presenting for routine refractive assessment or pre-surgery evaluation\n\nStudy period: January 2025 to December 2025\n\nEthics approval obtained; informed consent from all participants",
        "Methods": "Prospective pilot study including 50 patients (100 eyes) evaluated for refractive surgery or routine screening\n\nCollected parameters: corneal topography indices (e.g., Kmax, corneal asymmetry), corneal thickness (pachymetry), age, AI-generated alerts for suspect keratoconus patterns\n\nPrimary outcomes: detection rate of early or forme fruste keratoconus, agreement with clinician assessment, intervention planning, or further imaging triggered by AI alerts",
        "Results": "50 patients (100 eyes), mean age 24 plus/minus 6 years\n\nAI detected early keratoconus in 12 eyes (12 percent)\n\nAgreement with clinician assessment: 10 out of 12 eyes (83 percent)\n\nIntervention planning or further imaging was initiated in 10 eyes (83 percent) flagged by AI\n\nMean corneal thickness of flagged eyes: 485 um plus/minus 12 um\n\nMean Kmax in flagged eyes: 47.8 plus/minus 1.2 D",
        "Conclusions": "AI-assisted digital screening using the OcuSmart platform is feasible and effective for early keratoconus detection, showing high agreement with clinician assessment. Implementation of AI alerts may enhance patient safety in refractive surgery and enable proactive management of at-risk corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCOR327",
      "abstract_number": "POCOR327",
      "title": "Optimising Hospital-Funded Contact Lens Provision At Frimley Park Hospital: Targeting Resources To Maximise Patient Benefit And Cost Effectiveness",
      "authors": "Dr Ishna Auluck",
      "presenter": "Dr Ishna Auluck",
      "normalized_authors": [
        "Ishna Auluck"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ishna Auluck",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Hospital eye services provide contact lenses for patients whose visual needs cannot be adequately met with spectacles alone, typically due to irregular corneal surfaces, high ametropia, significant anisometropia, aphakia, or post-keratoplasty irregular astigmatism. Current criteria at Frimley Park Hospital include: high refractive error ≥8 dioptres; anisometropia ≥4 dioptres; aphakia; keratoconus; history of penetrating keratoplasty; and bandage or cosmetic lenses.\n\nThe NHS Trust subsidises patients' contact lenses at an annual cost exceeding £100,000, which is not centrally reimbursed. To ensure equitable provision to patients with greatest clinical need, whilst delivering cost efficiencies, refined eligibility criteria were proposed.",
        "Setting": "To implement refined eligibility criteria ensuring hospital-funded contact lenses are offered to patients with greatest clinical need whilst achieving cost savings.\n\nRefined eligibility criteria:\n\n• Irregular astigmatism (keratoconus, pellucid marginal degeneration, post-keratoplasty, microbial keratitis scarring): Best spectacle-corrected Snellen VA must be worse than 6/9 in both eyes causing significant functional difficulty.\n\n• Replacement lenses: maximum one replacement episode per 12-month period.",
        "Methods": "A retrospective review of electronic records of 386 patients currently receiving hospital-funded contact lenses was undertaken.\n\nData collected included underlying ocular condition, best spectacle-corrected Snellen visual acuity, and replacement lens requirements. Patients were categorised into three outcomes: remain on contract; discharge from contract; or require consultation (face-to-face or telephone) to determine eligibility.",
        "Results": "Mean patient age was 46 years old. Keratoconus was the most prevalent diagnosis (68%, n=263), followed by corneal scarring secondary to microbial or herpetic keratitis (n=21) or other underlying diagnoses. 1.8% of patients did not meet the diagnostic criteria.\n\nBest spectacle-corrected Snellen visual acuity was worse than 6/9 in both eyes in 26.5% of patients (n=47).\n\nFollowing application of refined criteria, 48% (n=186) met the threshold to remain on contract. 34% (n=130) were recommended to come off the contract, with the option to self-fund. 70 patients were identified as having missing information and were thought to benefit from further telephone or video consultation. Two patient were deceased.",
        "Conclusions": "Application of refined eligibility criteria would result in approximately half of patients (48%) continuing to receive funded contact lenses, with 34% recommended for discharge from the contract. Only 26.5% had best spectacle-corrected Snellen VA worse than 6/9 in both eyes, suggesting many patients may achieve functional vision with spectacles alone.\n\nImplementation of the new criteria has potential to deliver meaningful cost savings.\n\nAssessment of functional difficulty for patients was variable; some requiring contact lenses despite visual acuities better than 6/9; whilst others did not find benefit or were unable to tolerate contact lenses. This underscores the need for individualised clinical assessment alongside objective thresholds."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Application of refined eligibility criteria would result in approximately half of patients (48%) continuing to receive funded contact lenses, with 34% recommended for discharge from the contract. Only 26.5% had best spectacle-corrected Snellen VA worse than 6/9 in both eyes, suggesting many patients may achieve functional vision with spectacles alone. Implementation of the new criteria has potential to deliver…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1014,
      "source_fields": {
        "Abstract Final Identifier": "POCOR327",
        "Title": "Optimising Hospital-Funded Contact Lens Provision At Frimley Park Hospital: Targeting Resources To Maximise Patient Benefit And Cost Effectiveness",
        "Presenting Author(s)": "Dr Ishna Auluck",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ishna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Auluck",
        "Country Name": "United Kingdom",
        "Purpose": "Hospital eye services provide contact lenses for patients whose visual needs cannot be adequately met with spectacles alone, typically due to irregular corneal surfaces, high ametropia, significant anisometropia, aphakia, or post-keratoplasty irregular astigmatism. Current criteria at Frimley Park Hospital include: high refractive error ≥8 dioptres; anisometropia ≥4 dioptres; aphakia; keratoconus; history of penetrating keratoplasty; and bandage or cosmetic lenses.\n\nThe NHS Trust subsidises patients' contact lenses at an annual cost exceeding £100,000, which is not centrally reimbursed. To ensure equitable provision to patients with greatest clinical need, whilst delivering cost efficiencies, refined eligibility criteria were proposed.",
        "Setting": "To implement refined eligibility criteria ensuring hospital-funded contact lenses are offered to patients with greatest clinical need whilst achieving cost savings.\n\nRefined eligibility criteria:\n\n• Irregular astigmatism (keratoconus, pellucid marginal degeneration, post-keratoplasty, microbial keratitis scarring): Best spectacle-corrected Snellen VA must be worse than 6/9 in both eyes causing significant functional difficulty.\n\n• Replacement lenses: maximum one replacement episode per 12-month period.",
        "Methods": "A retrospective review of electronic records of 386 patients currently receiving hospital-funded contact lenses was undertaken.\n\nData collected included underlying ocular condition, best spectacle-corrected Snellen visual acuity, and replacement lens requirements. Patients were categorised into three outcomes: remain on contract; discharge from contract; or require consultation (face-to-face or telephone) to determine eligibility.",
        "Results": "Mean patient age was 46 years old. Keratoconus was the most prevalent diagnosis (68%, n=263), followed by corneal scarring secondary to microbial or herpetic keratitis (n=21) or other underlying diagnoses. 1.8% of patients did not meet the diagnostic criteria.\n\nBest spectacle-corrected Snellen visual acuity was worse than 6/9 in both eyes in 26.5% of patients (n=47).\n\nFollowing application of refined criteria, 48% (n=186) met the threshold to remain on contract. 34% (n=130) were recommended to come off the contract, with the option to self-fund. 70 patients were identified as having missing information and were thought to benefit from further telephone or video consultation. Two patient were deceased.",
        "Conclusions": "Application of refined eligibility criteria would result in approximately half of patients (48%) continuing to receive funded contact lenses, with 34% recommended for discharge from the contract. Only 26.5% had best spectacle-corrected Snellen VA worse than 6/9 in both eyes, suggesting many patients may achieve functional vision with spectacles alone.\n\nImplementation of the new criteria has potential to deliver meaningful cost savings.\n\nAssessment of functional difficulty for patients was variable; some requiring contact lenses despite visual acuities better than 6/9; whilst others did not find benefit or were unable to tolerate contact lenses. This underscores the need for individualised clinical assessment alongside objective thresholds."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 431
    },
    {
      "uid": "POCOR328",
      "abstract_number": "POCOR328",
      "title": "Tear Lactoferrin Changes After Corneal Collagen Cross-Linking In A 17-Year-Old Patient With Bilateral Primary Corneal Ectasia - A Case Report",
      "authors": "Dr Kamilla Bazarbaeva",
      "presenter": "Dr Kamilla Bazarbaeva",
      "normalized_authors": [
        "Kamilla Bazarbaeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kamilla Bazarbaeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To assess tear lactoferrin changes and clinical outcomes after CXL in a teenager with bilateral primary corneal ectasia.",
        "Setting": "A 17-year-old patient with bilateral progressive primary corneal ectasia treated with corneal collagen cross-linking (CXL) at the RSSPMCEM, Tashkent, Uzbekistan.\n\nExaminations before and at 3 months (September - November 2025) included visual acuity, refraction, IOP (iCare), Pachymetry (Heidelberg Anterior OCT), and Scheimpflug Tomography (Pentacam). Tear lactoferrin was measured before and 3 months after CXL using ELISA (FineTEST kit, 1:100 dilution).",
        "Methods": "A 17-year-old patient with bilateral progressive primary corneal ectasia underwent standard corneal collagen cross-linking (Dresden protocol; riboflavin plus UVA 3 mW/cm² for 30 min, total 5.4 J/cm²). Examinations preoperatively and at 3 months included UCVA, BCVA, refraction, slit-lamp, and IOP. Corneal imaging used anterior segment OCT and Pentacam HR. Pentacam showed Amsler–Krumeich stage 2 keratoconus (K 48–52 D, inferior steepening, thinnest 398–404 µm, posterior elevation, abnormal BAD-D) without progression. Tear lactoferrin was measured by ELISA (FineTEST kit, 1:100 dilution).",
        "Results": "At 3 months after bilateral CXL, both eyes showed improvement and stabilization. In OD, UCVA improved from ~20/67–20/50 to 20/40 and BCVA from ~20/29 to 20/22. In OS, UCVA improved from ~20/100 to 20/50 and BCVA from 20/50 to 20/33. Refraction showed mild reduction of spherical and cylindrical error. IOP remained normal (12/11 mmHg). AS-OCT showed stable thickness (404→408 µm OD; 399→402 µm OS). Pentacam confirmed stability. Tear lactoferrin rose from 0.11 to 1.29 mg/mL (OD) and 0.15 to 0.85 mg/mL (OS), indicating biochemical improvement after CXL.",
        "Conclusions": "• CXL resulted in visual and refractive improvement in this adolescent patient\n\n• Corneal thickness remained stable\n\n• Tear lactoferrin levels increased markedly after CXL\n\n• Findings suggest improved ocular surface biochemical status post-treatment"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• CXL resulted in visual and refractive improvement in this adolescent patient • Corneal thickness remained stable • Tear lactoferrin levels increased markedly after CXL • Findings suggest improved ocular surface biochemical status post-treatment",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1015,
      "source_fields": {
        "Abstract Final Identifier": "POCOR328",
        "Title": "Tear Lactoferrin Changes After Corneal Collagen Cross-Linking In A 17-Year-Old Patient With Bilateral Primary Corneal Ectasia - A Case Report",
        "Presenting Author(s)": "Dr Kamilla Bazarbaeva",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Kamilla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bazarbaeva",
        "Country Name": "Uzbekistan",
        "Purpose": "To assess tear lactoferrin changes and clinical outcomes after CXL in a teenager with bilateral primary corneal ectasia.",
        "Setting": "A 17-year-old patient with bilateral progressive primary corneal ectasia treated with corneal collagen cross-linking (CXL) at the RSSPMCEM, Tashkent, Uzbekistan.\n\nExaminations before and at 3 months (September - November 2025) included visual acuity, refraction, IOP (iCare), Pachymetry (Heidelberg Anterior OCT), and Scheimpflug Tomography (Pentacam). Tear lactoferrin was measured before and 3 months after CXL using ELISA (FineTEST kit, 1:100 dilution).",
        "Methods": "A 17-year-old patient with bilateral progressive primary corneal ectasia underwent standard corneal collagen cross-linking (Dresden protocol; riboflavin plus UVA 3 mW/cm² for 30 min, total 5.4 J/cm²). Examinations preoperatively and at 3 months included UCVA, BCVA, refraction, slit-lamp, and IOP. Corneal imaging used anterior segment OCT and Pentacam HR. Pentacam showed Amsler–Krumeich stage 2 keratoconus (K 48–52 D, inferior steepening, thinnest 398–404 µm, posterior elevation, abnormal BAD-D) without progression. Tear lactoferrin was measured by ELISA (FineTEST kit, 1:100 dilution).",
        "Results": "At 3 months after bilateral CXL, both eyes showed improvement and stabilization. In OD, UCVA improved from ~20/67–20/50 to 20/40 and BCVA from ~20/29 to 20/22. In OS, UCVA improved from ~20/100 to 20/50 and BCVA from 20/50 to 20/33. Refraction showed mild reduction of spherical and cylindrical error. IOP remained normal (12/11 mmHg). AS-OCT showed stable thickness (404→408 µm OD; 399→402 µm OS). Pentacam confirmed stability. Tear lactoferrin rose from 0.11 to 1.29 mg/mL (OD) and 0.15 to 0.85 mg/mL (OS), indicating biochemical improvement after CXL.",
        "Conclusions": "• CXL resulted in visual and refractive improvement in this adolescent patient\n\n• Corneal thickness remained stable\n\n• Tear lactoferrin levels increased markedly after CXL\n\n• Findings suggest improved ocular surface biochemical status post-treatment"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POCOR329",
      "abstract_number": "POCOR329",
      "title": "Results Of Toric Phakic Intraocular Lens Implantation In Patients With Keratoconus",
      "authors": "Dr Seyare Bekirova",
      "presenter": "Dr Seyare Bekirova",
      "normalized_authors": [
        "Seyare Bekirova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seyare Bekirova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "Analysis and clinical evaluation of toric PIOL implantation",
        "Setting": "Preoperatively, biometric, topographic, and tomographic studies were performed. We used a WaveLight Allegro Topolayzer TM Vario™ (Alcon, USA), an IOLMaster700 (Carl Zeiss Meditec), and an AS OCT Casia 2 (Tomey, Japan). Endothelial cell counts were measured using an EM-4000 endothelial microscope (Tomey, Japan).",
        "Methods": "50 eyes (43 patients), 7 patients in both eyes, 30 patients in one eye, 6 patients in combined surgeries Follow-up period from 2020 to 2026.\n\nThe length of the FIOL is calculated based on the diameter of the ciliary sulcus, which ensures ideal stability and promotes proper fornix. The exact WTW size is important, as it can give different readings on different devices, which can lead to errors.",
        "Results": "Visual acuity: uncorrected visual acuity / corrected visual acuit\n\nBefore surgery. Mean ± 0,08±0,02 / 0,49±0,34\n\nAfter surgery. Mean ± 0,48±0,12 / 0,64±0,24\n\nAstigmatism (D) before -4,8±2,31, after -1,50±1,15\n\nSE (D) before -9,24±5,32 after -0,15±0,64\n\nACD Endo (mkm) before 3,59±0,24 after 3,09±0,45 after 1 year, 2,95±0,32 after 2-4 years\n\nEndothelial cells before 2759 ±164 after 2649 ±259 after 1 year , 2588 ±301 after 2-4 years\n\nVault 565 ±289 after 1 year, 54 4 ±251 after 2 years, 499 ±130 after 4 years",
        "Conclusions": "An analysis and clinical evaluation of toric PIOL implantation showed positive results in terms of efficacy and safety in stable keratoconus. Combinations with intrastromal segment implantation are possible. Standard PIOL selection methods are insufficient. To achieve the required safety profile, AS-OCT (ATA and CLR) should be used. This allows for the correct PIOL size selection and reduces the risk of developing cataracts, glaucoma, or endothelial dystrophy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "An analysis and clinical evaluation of toric PIOL implantation showed positive results in terms of efficacy and safety in stable keratoconus. Combinations with intrastromal segment implantation are possible. Standard PIOL selection methods are insufficient. To achieve the required safety profile, AS-OCT (ATA and CLR) should be used. This allows for the correct PIOL size selection and reduces the risk of developing…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1016,
      "source_fields": {
        "Abstract Final Identifier": "POCOR329",
        "Title": "Results Of Toric Phakic Intraocular Lens Implantation In Patients With Keratoconus",
        "Presenting Author(s)": "Dr Seyare Bekirova",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Seyare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bekirova",
        "Country Name": "Uzbekistan",
        "Purpose": "Analysis and clinical evaluation of toric PIOL implantation",
        "Setting": "Preoperatively, biometric, topographic, and tomographic studies were performed. We used a WaveLight Allegro Topolayzer TM Vario™ (Alcon, USA), an IOLMaster700 (Carl Zeiss Meditec), and an AS OCT Casia 2 (Tomey, Japan). Endothelial cell counts were measured using an EM-4000 endothelial microscope (Tomey, Japan).",
        "Methods": "50 eyes (43 patients), 7 patients in both eyes, 30 patients in one eye, 6 patients in combined surgeries Follow-up period from 2020 to 2026.\n\nThe length of the FIOL is calculated based on the diameter of the ciliary sulcus, which ensures ideal stability and promotes proper fornix. The exact WTW size is important, as it can give different readings on different devices, which can lead to errors.",
        "Results": "Visual acuity: uncorrected visual acuity / corrected visual acuit\n\nBefore surgery. Mean ± 0,08±0,02 / 0,49±0,34\n\nAfter surgery. Mean ± 0,48±0,12 / 0,64±0,24\n\nAstigmatism (D) before -4,8±2,31, after -1,50±1,15\n\nSE (D) before -9,24±5,32 after -0,15±0,64\n\nACD Endo (mkm) before 3,59±0,24 after 3,09±0,45 after 1 year, 2,95±0,32 after 2-4 years\n\nEndothelial cells before 2759 ±164 after 2649 ±259 after 1 year , 2588 ±301 after 2-4 years\n\nVault 565 ±289 after 1 year, 54 4 ±251 after 2 years, 499 ±130 after 4 years",
        "Conclusions": "An analysis and clinical evaluation of toric PIOL implantation showed positive results in terms of efficacy and safety in stable keratoconus. Combinations with intrastromal segment implantation are possible. Standard PIOL selection methods are insufficient. To achieve the required safety profile, AS-OCT (ATA and CLR) should be used. This allows for the correct PIOL size selection and reduces the risk of developing cataracts, glaucoma, or endothelial dystrophy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "POCOR330",
      "abstract_number": "POCOR330",
      "title": "Topography-Gueded Photorefractive Keratectomy Combined With Crosslinking In Patiens With Keratoconus (Athens Protocol)",
      "authors": "Dr Seyare Bekirova",
      "presenter": "Dr Seyare Bekirova",
      "normalized_authors": [
        "Seyare Bekirova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seyare Bekirova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "The purpose of the study was to determine the effectiveness of topographic PRK in combination with crosslinking in patients with stable keratoconus",
        "Setting": "The study included 6 eyes (8 patients) with stable keratoconus who had not previously undergone crosslinking. Uncorrected visual acuity (UCVA), keratometry results, and complications were assessed at 1, 3, 6, and 12 months postoperatively. Eligibility criteria: Age (over 30 years)\n\nThe laser ablation procedure is based on the individual characteristics of the patient's cornea, including its asphericity and high-order aberrations, when planning the laser ablation.",
        "Methods": "The first step was a single-stage transepithelial topographically guided PRK with a planned optical zone of 6.5 mm plus a transition zone of 0.75 mm. Following ablation, mitomycin C was applied.\n\nThe second step was accelerated crosslinking. If the residual corneal stromal thickness was greater than 400 µm, pulsed irradiation of the cornea^ was performed in a 7 mm zone with ultraviolet light for 5 minutes at a power of 18 mW/cm2 and an energy of 5.4 J. Then, a 5 mm zone was irradiated for 3 minutes 20 seconds at a power of 18 mW/cm2 and an energy of 5.4 J. The final 3 mm zone (the apex of the cone) was irradiated for 4 minutes 10 seconds with the same energy. The total irradiation time was 12 minutes.",
        "Results": "Sphere, cylinder, and Kmax values ​​decreased in all patients after treatment. In addition, statistically significant reductions were observed in total higher-order aberrations (RMS), coma RMS, and spherical RMS. After 12 months, mean uncorrected visual acuity (UCVA) improved from 0.2 ± 0.18 to 0.5 ± 0.12, and corrected visual acuity (CVA) improved from 0.4 ± 0.142 to 0.8 ± 0.078. Mean flat, steep, and maximum keratometry values ​​were significantly reduced by 2.13 and 4.54 diopters, respectively, at the final follow-up examination. One patient experienced haze, which resolved within 2 months.",
        "Conclusions": "Topographically guided PRK in patients with keratoconus can be an effective procedure for carefully selected indications—most often in combination with crosslinking and in stable cases. This is not a \"curative\" procedure in the classic sense, but rather a method for enhancing visual function in carefully selected patients. The combined procedure of topographically guided PRK and accelerated crosslinking (CXL) appears to be a promising treatment for keratoconus. It reduces high-order aberrations, stabilizes corneal shape, and improves visual function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topographically guided PRK in patients with keratoconus can be an effective procedure for carefully selected indications—most often in combination with crosslinking and in stable cases. This is not a \"curative\" procedure in the classic sense, but rather a method for enhancing visual function in carefully selected patients. The combined procedure of topographically guided PRK and accelerated crosslinking (CXL)…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1017,
      "source_fields": {
        "Abstract Final Identifier": "POCOR330",
        "Title": "Topography-Gueded Photorefractive Keratectomy Combined With Crosslinking In Patiens With Keratoconus (Athens Protocol)",
        "Presenting Author(s)": "Dr Seyare Bekirova",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Seyare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bekirova",
        "Country Name": "Uzbekistan",
        "Purpose": "The purpose of the study was to determine the effectiveness of topographic PRK in combination with crosslinking in patients with stable keratoconus",
        "Setting": "The study included 6 eyes (8 patients) with stable keratoconus who had not previously undergone crosslinking. Uncorrected visual acuity (UCVA), keratometry results, and complications were assessed at 1, 3, 6, and 12 months postoperatively. Eligibility criteria: Age (over 30 years)\n\nThe laser ablation procedure is based on the individual characteristics of the patient's cornea, including its asphericity and high-order aberrations, when planning the laser ablation.",
        "Methods": "The first step was a single-stage transepithelial topographically guided PRK with a planned optical zone of 6.5 mm plus a transition zone of 0.75 mm. Following ablation, mitomycin C was applied.\n\nThe second step was accelerated crosslinking. If the residual corneal stromal thickness was greater than 400 µm, pulsed irradiation of the cornea^ was performed in a 7 mm zone with ultraviolet light for 5 minutes at a power of 18 mW/cm2 and an energy of 5.4 J. Then, a 5 mm zone was irradiated for 3 minutes 20 seconds at a power of 18 mW/cm2 and an energy of 5.4 J. The final 3 mm zone (the apex of the cone) was irradiated for 4 minutes 10 seconds with the same energy. The total irradiation time was 12 minutes.",
        "Results": "Sphere, cylinder, and Kmax values ​​decreased in all patients after treatment. In addition, statistically significant reductions were observed in total higher-order aberrations (RMS), coma RMS, and spherical RMS. After 12 months, mean uncorrected visual acuity (UCVA) improved from 0.2 ± 0.18 to 0.5 ± 0.12, and corrected visual acuity (CVA) improved from 0.4 ± 0.142 to 0.8 ± 0.078. Mean flat, steep, and maximum keratometry values ​​were significantly reduced by 2.13 and 4.54 diopters, respectively, at the final follow-up examination. One patient experienced haze, which resolved within 2 months.",
        "Conclusions": "Topographically guided PRK in patients with keratoconus can be an effective procedure for carefully selected indications—most often in combination with crosslinking and in stable cases. This is not a \"curative\" procedure in the classic sense, but rather a method for enhancing visual function in carefully selected patients. The combined procedure of topographically guided PRK and accelerated crosslinking (CXL) appears to be a promising treatment for keratoconus. It reduces high-order aberrations, stabilizes corneal shape, and improves visual function."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "POCOR331",
      "abstract_number": "POCOR331",
      "title": "Efficacy And Safety Of Combined Transepithelial Phototherapeutic Keratectomy (T-Ptk) And Accelerated Corneal Collagen Cross-Linking In Progressive Keratoconus In An African Population",
      "authors": "Dr Priyanka Vijay Bhuyar",
      "presenter": "Dr Priyanka Vijay Bhuyar",
      "normalized_authors": [
        "Priyanka Vijay Bhuyar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Priyanka Vijay Bhuyar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kenya",
      "sections": {
        "Purpose": "Keratoconus frequently presents in more advanced stages in African populations, often with rapid progression and significant visual impairment. Combined transepithelial phototherapeutic keratectomy (T-PTK) with accelerated CXL offers the dual benefit of corneal surface regularization and biomechanical stabilization.However, data regarding the efficacy and safety of this combined approach in African patients are few.This study evaluates the efficacy and safety of combined transepithelial phototherapeutic keratectomy (t-PTK) and accelerated corneal collagen cross-linking (A-CXL) which is modified Cretan protocol ,in patients with progressive keratoconus in African population.",
        "Setting": "This study was conducted at Lions SightFirst Eye Hospital , a tertiary ophthalmic referral center in Nairobi, Kenya. All procedures were performed by a single experienced corneal surgeon to ensure surgical consistency and standardized treatment protocols.",
        "Methods": "This prospective study includes 24 eyes of 18 patients with documented progressive keratoconus. Exclusion criteria :Thinnest corneal thickness(TCT) <400 µm,active ocular infection or inflammation,previous ocular surgery,pregnancy or breastfeeding.Preoperative and postoperative assessments included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, maximum keratometry (Kmax), mean keratometry (Kmean),pachymetry,corneal topographic indices,corneal epithelial mapping,central ablation depth was recorded.t-PTK ablation using an excimer laser system was performed in a 7.0–9.0mm zone at an intended depth of 50–60 mm followed by A-CXL.Follow-up evaluations were performed at 1,3,6 and 12 months.",
        "Results": "At 12 months, significant improvement was observed in UDVA and CDVA (p < 0.05). BCVA was increased more than three lines in 24% patients. Mean corneal astigmatism improved from −5.34±3.40 diopters (D) preoperatively to −3.91±2.60 D ( P = 0.015) at one year follow up.Kmax demonstrated significant flattening(p<0.001) with stabilization of keratometric progression in all treated eyes. Postoperative values of the irregularity index (IS), index of surface variance (ISV), index of vertical asymmetry (IVA), and index of height decentration (IHD) were significantly lower. Mild transient stromal haze was observed in 12% patients and resolved with topical therapy.No intraoperative or postoperative complications were observed in any of the patients.",
        "Conclusions": "Combined t-PTK and A-CXL appears to be a safe and effective treatment for progressive keratoconus in the African cohort. The protocol provides both biomechanical stabilization and surface regularization, leading to functional visual improvement.TPTK-ACXL is particularly beneficial for African patients , who have thinner corneas and keratoconus often presents at advanced stages. Longer follow-up and larger multicenter studies are recommended to confirm long-term stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined t-PTK and A-CXL appears to be a safe and effective treatment for progressive keratoconus in the African cohort. The protocol provides both biomechanical stabilization and surface regularization, leading to functional visual improvement.TPTK-ACXL is particularly beneficial for African patients , who have thinner corneas and keratoconus often presents at advanced stages. Longer follow-up and larger…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1018,
      "source_fields": {
        "Abstract Final Identifier": "POCOR331",
        "Title": "Efficacy And Safety Of Combined Transepithelial Phototherapeutic Keratectomy (T-Ptk) And Accelerated Corneal Collagen Cross-Linking In Progressive Keratoconus In An African Population",
        "Presenting Author(s)": "Dr Priyanka Vijay Bhuyar",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Priyanka",
        "Submitter Middle Name": "Vijay",
        "Submitter Last Name": "Bhuyar",
        "Country Name": "Kenya",
        "Purpose": "Keratoconus frequently presents in more advanced stages in African populations, often with rapid progression and significant visual impairment. Combined transepithelial phototherapeutic keratectomy (T-PTK) with accelerated CXL offers the dual benefit of corneal surface regularization and biomechanical stabilization.However, data regarding the efficacy and safety of this combined approach in African patients are few.This study evaluates the efficacy and safety of combined transepithelial phototherapeutic keratectomy (t-PTK) and accelerated corneal collagen cross-linking (A-CXL) which is modified Cretan protocol ,in patients with progressive keratoconus in African population.",
        "Setting": "This study was conducted at Lions SightFirst Eye Hospital , a tertiary ophthalmic referral center in Nairobi, Kenya. All procedures were performed by a single experienced corneal surgeon to ensure surgical consistency and standardized treatment protocols.",
        "Methods": "This prospective study includes 24 eyes of 18 patients with documented progressive keratoconus. Exclusion criteria :Thinnest corneal thickness(TCT) <400 µm,active ocular infection or inflammation,previous ocular surgery,pregnancy or breastfeeding.Preoperative and postoperative assessments included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, maximum keratometry (Kmax), mean keratometry (Kmean),pachymetry,corneal topographic indices,corneal epithelial mapping,central ablation depth was recorded.t-PTK ablation using an excimer laser system was performed in a 7.0–9.0mm zone at an intended depth of 50–60 mm followed by A-CXL.Follow-up evaluations were performed at 1,3,6 and 12 months.",
        "Results": "At 12 months, significant improvement was observed in UDVA and CDVA (p < 0.05). BCVA was increased more than three lines in 24% patients. Mean corneal astigmatism improved from −5.34±3.40 diopters (D) preoperatively to −3.91±2.60 D ( P = 0.015) at one year follow up.Kmax demonstrated significant flattening(p<0.001) with stabilization of keratometric progression in all treated eyes. Postoperative values of the irregularity index (IS), index of surface variance (ISV), index of vertical asymmetry (IVA), and index of height decentration (IHD) were significantly lower. Mild transient stromal haze was observed in 12% patients and resolved with topical therapy.No intraoperative or postoperative complications were observed in any of the patients.",
        "Conclusions": "Combined t-PTK and A-CXL appears to be a safe and effective treatment for progressive keratoconus in the African cohort. The protocol provides both biomechanical stabilization and surface regularization, leading to functional visual improvement.TPTK-ACXL is particularly beneficial for African patients , who have thinner corneas and keratoconus often presents at advanced stages. Longer follow-up and larger multicenter studies are recommended to confirm long-term stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 406
    },
    {
      "uid": "POCOR332",
      "abstract_number": "POCOR332",
      "title": "Effect Of The Intracorneal Ring Implant In Keratoconus: Efficacy, Safety And Stability",
      "authors": "Dr Sthefania Briceno Fernandez",
      "presenter": "Dr Sthefania Briceno Fernandez",
      "normalized_authors": [
        "Sthefania Briceno Fernandez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sthefania Briceño Fernandez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Venezuela, Bolivarian Republic Of",
      "sections": {
        "Purpose": "To evaluate the 16-month effects of the implantation of intrastromal corneal ring segments (ICRS) in keratoconus (KC) with manual surgical technique on tomography/topography and aberrometry parameters obtained with Pentacam AXL and their stability over time.",
        "Setting": "San Cristóbal University Hospital, San Cristóbal, Táchira, Venezuela.",
        "Methods": "A prospective,observational and experimental study was conducted to evaluate the clinical outcomes of Ferrara-type intracorneal ring segment surgery (ICRS) both symmetrical and asymmetrical depending on the keratoconus phenotype with manual surgical technique.The study included 32 eyes with a 16-month follow-up period.The variables analyzed included age,sex,phenotype and degree of keratoconus.Preoperative and postoperative evaluations included flat keratometry (K1), steep keratometry (K2), medium keratometry (KM),astigmatism,corneal asphericity, spherical aberration, and coma.The visual results were measured using uncorrected visual acuity (UCVA) and corrected distance visual acuity (CDVA).Data were analyzed using the paired Student t-test.",
        "Results": "The mean age was 23.34 years, with a male predominance (53%). The keratoconus \"duck\" phenotype was the most frequent (28.1%). The most frequent grade of keratoconus was II (34%). Significant flattening was observed: K1 decreased by 4 D, K2 by 3.5 D and KM by 5 D (p<0.05 for all). Astigmatism was reduced by 3.3 D (p<0.05). Postoperative findings included an average asphericity of 0.545 (p<0.05), a spherical aberration of 0.77 and a coma of 1.566, the decrease in coma was not statistically significant as there were grade IV keratoconus in the sample with coma values above 4. Postoperative UCVA improved to 0.5 logMAR (p<0.05). Safety and efficacy scores were 1.3 and 1.0, respectively.",
        "Conclusions": "The surgery of the intracorneal ring type Ferrara with manual technique seems to be a safe and effective treatment for the keratoconus, particularly for specific morphological patterns such as \"duck\" and \"nipple\". Both visual results and corneal parameters showed significant improvement, demonstrating the overall efficacy of the procedure for keratoconus treatment with excellent stability of results throughout the study. Its function as an artificial limb with greater structural support, together with a positive redistribution of stress, could be the cause of disease stabilization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The surgery of the intracorneal ring type Ferrara with manual technique seems to be a safe and effective treatment for the keratoconus, particularly for specific morphological patterns such as \"duck\" and \"nipple\". Both visual results and corneal parameters showed significant improvement, demonstrating the overall efficacy of the procedure for keratoconus treatment with excellent stability of results throughout the…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1019,
      "source_fields": {
        "Abstract Final Identifier": "POCOR332",
        "Title": "Effect Of The Intracorneal Ring Implant In Keratoconus: Efficacy, Safety And Stability",
        "Presenting Author(s)": "Dr Sthefania Briceno Fernandez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sthefania",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Briceño Fernandez",
        "Country Name": "Venezuela, Bolivarian Republic Of",
        "Purpose": "To evaluate the 16-month effects of the implantation of intrastromal corneal ring segments (ICRS) in keratoconus (KC) with manual surgical technique on tomography/topography and aberrometry parameters obtained with Pentacam AXL and their stability over time.",
        "Setting": "San Cristóbal University Hospital, San Cristóbal, Táchira, Venezuela.",
        "Methods": "A prospective,observational and experimental study was conducted to evaluate the clinical outcomes of Ferrara-type intracorneal ring segment surgery (ICRS) both symmetrical and asymmetrical depending on the keratoconus phenotype with manual surgical technique.The study included 32 eyes with a 16-month follow-up period.The variables analyzed included age,sex,phenotype and degree of keratoconus.Preoperative and postoperative evaluations included flat keratometry (K1), steep keratometry (K2), medium keratometry (KM),astigmatism,corneal asphericity, spherical aberration, and coma.The visual results were measured using uncorrected visual acuity (UCVA) and corrected distance visual acuity (CDVA).Data were analyzed using the paired Student t-test.",
        "Results": "The mean age was 23.34 years, with a male predominance (53%). The keratoconus \"duck\" phenotype was the most frequent (28.1%). The most frequent grade of keratoconus was II (34%). Significant flattening was observed: K1 decreased by 4 D, K2 by 3.5 D and KM by 5 D (p<0.05 for all). Astigmatism was reduced by 3.3 D (p<0.05). Postoperative findings included an average asphericity of 0.545 (p<0.05), a spherical aberration of 0.77 and a coma of 1.566, the decrease in coma was not statistically significant as there were grade IV keratoconus in the sample with coma values above 4. Postoperative UCVA improved to 0.5 logMAR (p<0.05). Safety and efficacy scores were 1.3 and 1.0, respectively.",
        "Conclusions": "The surgery of the intracorneal ring type Ferrara with manual technique seems to be a safe and effective treatment for the keratoconus, particularly for specific morphological patterns such as \"duck\" and \"nipple\". Both visual results and corneal parameters showed significant improvement, demonstrating the overall efficacy of the procedure for keratoconus treatment with excellent stability of results throughout the study. Its function as an artificial limb with greater structural support, together with a positive redistribution of stress, could be the cause of disease stabilization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 358
    },
    {
      "uid": "POCOR333",
      "abstract_number": "POCOR333",
      "title": "Successful Management Of Asymmetric Keratoconus With Corneoscleral Contact Lens After Crosslinking Procedure",
      "authors": "Mrs Annisa Meivira Budiman",
      "presenter": "Mrs Annisa Meivira Budiman",
      "normalized_authors": [
        "Annisa Meivira Budiman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Annisa Meivira Budiman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Corneoscleral contact lens is indicated for irregular astigmatism, including keratoconus. Keratoconus is a noninflammatory, progressive corneal thinning that can be highly asymmetric, affecting one eye clinically. Corneal crosslinking (CXL) is the first-line treatment of keratoconus involving riboflavin and ultraviolet irradiation to form new covalent bonds within the corneal extracellular matrix. As CXL merely slows the disease progression, corneoscleral contact lens contributes significantly to improve visual function. This case illustrates an asymmetric keratoconus patient who was prescribed corneoscleral contact lens 6 months after CXL procedure.",
        "Setting": "Cicendo National Eye Hospital, Bandung, Indonesia.",
        "Methods": "An 18-year-old male with keratoconus in the right eye and keratoconus forme fruste in the left eye presented for follow-up visit after underwent CXL procedure in the right eye. CXL was performed using accelerated epi-off mode for sixteen minutes and isotonic riboflavin with dextran was administered every three minutes. The UV-A treatment power was 5.6 mW/cm 2 with total energy of 5,376 J/cm 2 . Best corrected visual acuity (BCVA) with spectacle correction was 0.16 in the right eye, whereas uncorrected visual acuity (UCVA) in the left eye was 1.0.",
        "Results": "Corneoscleral contact lens with power -18,25D, base curve 6,20 mm, and diameter 14,60 mm was prescribed for the patient, resulting in BCVA 0.5 after overrefraction. Follow-up visit was scheduled within six months to observe the change in the fellow eye.",
        "Conclusions": "Corneoscleral contact lens is preferred to correct and mask irregular corneal astigmatism after CXL procedure which halts the disease progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneoscleral contact lens is preferred to correct and mask irregular corneal astigmatism after CXL procedure which halts the disease progression.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1020,
      "source_fields": {
        "Abstract Final Identifier": "POCOR333",
        "Title": "Successful Management Of Asymmetric Keratoconus With Corneoscleral Contact Lens After Crosslinking Procedure",
        "Presenting Author(s)": "Mrs Annisa Meivira Budiman",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Annisa",
        "Submitter Middle Name": "Meivira",
        "Submitter Last Name": "Budiman",
        "Country Name": "Indonesia",
        "Purpose": "Corneoscleral contact lens is indicated for irregular astigmatism, including keratoconus. Keratoconus is a noninflammatory, progressive corneal thinning that can be highly asymmetric, affecting one eye clinically. Corneal crosslinking (CXL) is the first-line treatment of keratoconus involving riboflavin and ultraviolet irradiation to form new covalent bonds within the corneal extracellular matrix. As CXL merely slows the disease progression, corneoscleral contact lens contributes significantly to improve visual function. This case illustrates an asymmetric keratoconus patient who was prescribed corneoscleral contact lens 6 months after CXL procedure.",
        "Setting": "Cicendo National Eye Hospital, Bandung, Indonesia.",
        "Methods": "An 18-year-old male with keratoconus in the right eye and keratoconus forme fruste in the left eye presented for follow-up visit after underwent CXL procedure in the right eye. CXL was performed using accelerated epi-off mode for sixteen minutes and isotonic riboflavin with dextran was administered every three minutes. The UV-A treatment power was 5.6 mW/cm 2 with total energy of 5,376 J/cm 2 . Best corrected visual acuity (BCVA) with spectacle correction was 0.16 in the right eye, whereas uncorrected visual acuity (UCVA) in the left eye was 1.0.",
        "Results": "Corneoscleral contact lens with power -18,25D, base curve 6,20 mm, and diameter 14,60 mm was prescribed for the patient, resulting in BCVA 0.5 after overrefraction. Follow-up visit was scheduled within six months to observe the change in the fellow eye.",
        "Conclusions": "Corneoscleral contact lens is preferred to correct and mask irregular corneal astigmatism after CXL procedure which halts the disease progression."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POCOR334",
      "abstract_number": "POCOR334",
      "title": "Beyond Topography: Epithelial Remodeling After 320° Intracorneal Ring Implantation In Keratoconus — Manual Versus Femtosecond Laser Techniques",
      "authors": "Dr Maria Vitória Vicente Vitória Vicente Cardoso",
      "presenter": "Dr Maria Vitória Vicente Vitória Vicente Cardoso",
      "normalized_authors": [
        "Maria Vitória Vicente Vitória Vicente Cardoso"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Vitória Vicente Cardoso",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate corneal epithelial behavior after implantation of a single-segment 320° intracorneal ring in patients with keratoconus using sectoral epithelial mapping, comparing manual and femtosecond laser-assisted tunnel creation techniques.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "Este estudo observacional retrospectivo incluiu 47 olhos de 47 pacientes com ceratocone submetidos a implante de um segmento de anel intracorneano de 320° entre maio de 2024 e maio de 2025. Os pacientes foram agrupados de acordo com a técnica de criação do túnel (manual ou assistida por laser de femtosegundo). O mapeamento da espessura epitelial foi realizado no pré-operatório e em 1 e 3 meses, com análise setorial de 17 regiões da córnea. As alterações foram expressas em relação ao valor basal (Δ1M e Δ3M). A análise estatística utilizou Equações de Estimação Generalizadas, incluindo tempo, técnica e interação tempo × técnica, com correção de Benjamini-Hochberg para comparações múltiplas.",
        "Results": "Progressive epithelial thickening was observed after intracorneal ring implantation with both techniques, with greater magnitude at 3 months. Mean epithelial thickness increased in central, paracentral, and peripheral regions in both groups. In the femtosecond group, central thickening was significant at 3 months, whereas in the manual group it was significant at 1 month and more pronounced at 3 months. Sectoral analysis showed significant thickening in most sectors in both groups. However, no statistically significant difference was found between techniques in the temporal pattern of epithelial remodeling after correction for multiple comparisons.",
        "Conclusions": "Implantation of a 320° intracorneal ring segment in patients with keratoconus is associated with progressive and measurable epithelial remodeling within the first three postoperative months, involving central, paracentral, and peripheral corneal regions. The epithelial response pattern was similar between manual and femtosecond laser-assisted techniques, suggesting that epithelial remodeling is predominantly determined by the biomechanical effect of the implant, regardless of the tunnel creation technique. Epithelial mapping proved to be a sensitive and promising tool for evaluating corneal response after intracorneal ring implantation in keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of a 320° intracorneal ring segment in patients with keratoconus is associated with progressive and measurable epithelial remodeling within the first three postoperative months, involving central, paracentral, and peripheral corneal regions. The epithelial response pattern was similar between manual and femtosecond laser-assisted techniques, suggesting that epithelial remodeling is predominantly…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1021,
      "source_fields": {
        "Abstract Final Identifier": "POCOR334",
        "Title": "Beyond Topography: Epithelial Remodeling After 320° Intracorneal Ring Implantation In Keratoconus — Manual Versus Femtosecond Laser Techniques",
        "Presenting Author(s)": "Dr Maria Vitória Vicente Vitória Vicente Cardoso",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Vitória Vicente",
        "Submitter Last Name": "Cardoso",
        "Country Name": "Brazil",
        "Purpose": "To evaluate corneal epithelial behavior after implantation of a single-segment 320° intracorneal ring in patients with keratoconus using sectoral epithelial mapping, comparing manual and femtosecond laser-assisted tunnel creation techniques.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "Este estudo observacional retrospectivo incluiu 47 olhos de 47 pacientes com ceratocone submetidos a implante de um segmento de anel intracorneano de 320° entre maio de 2024 e maio de 2025. Os pacientes foram agrupados de acordo com a técnica de criação do túnel (manual ou assistida por laser de femtosegundo). O mapeamento da espessura epitelial foi realizado no pré-operatório e em 1 e 3 meses, com análise setorial de 17 regiões da córnea. As alterações foram expressas em relação ao valor basal (Δ1M e Δ3M). A análise estatística utilizou Equações de Estimação Generalizadas, incluindo tempo, técnica e interação tempo × técnica, com correção de Benjamini-Hochberg para comparações múltiplas.",
        "Results": "Progressive epithelial thickening was observed after intracorneal ring implantation with both techniques, with greater magnitude at 3 months. Mean epithelial thickness increased in central, paracentral, and peripheral regions in both groups. In the femtosecond group, central thickening was significant at 3 months, whereas in the manual group it was significant at 1 month and more pronounced at 3 months. Sectoral analysis showed significant thickening in most sectors in both groups. However, no statistically significant difference was found between techniques in the temporal pattern of epithelial remodeling after correction for multiple comparisons.",
        "Conclusions": "Implantation of a 320° intracorneal ring segment in patients with keratoconus is associated with progressive and measurable epithelial remodeling within the first three postoperative months, involving central, paracentral, and peripheral corneal regions. The epithelial response pattern was similar between manual and femtosecond laser-assisted techniques, suggesting that epithelial remodeling is predominantly determined by the biomechanical effect of the implant, regardless of the tunnel creation technique. Epithelial mapping proved to be a sensitive and promising tool for evaluating corneal response after intracorneal ring implantation in keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCOR335",
      "abstract_number": "POCOR335",
      "title": "Comparative Analysis Of Epithelial Thickness Mapping After Manual Versus Femtosecond-Assisted Intrastromal Ring Implantation",
      "authors": "Dr Maria Vitória Vicente Cardoso",
      "presenter": "Dr Maria Vitória Vicente Cardoso",
      "normalized_authors": [
        "Maria Vitória Vicente Cardoso"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Vitória Vicente Cardoso",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate postoperative epithelial thickness map changes after intrastromal corneal ring segment (ICRS) implantation, comparing manual and femtosecond-assisted techniques in patients with keratoconus.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "This retrospective observational study included keratoconus patients aged ≥18 years who underwent implantation of a 160° intrastromal ring segment between May and October 2024. Epithelial thickness mapping was performed using the Cassia 2 device, with evaluation of central, paracentral, and peripheral corneal zones. Ferrara-type intrastromal corneal ring segments were implanted according to the manufacturer’s nomogram based on Pentacam data. All procedures were performed by the same surgeon. Assessments were conducted preoperatively and at 1 and 3 months postoperatively.",
        "Results": "Six eyes underwent femtosecond-assisted ICRS implantation, and six eyes underwent the manual technique, with all procedures performed by the same experienced surgeon.\nIn the femtosecond-assisted group, mean maximum central epithelial thickness increased from 54 µm preoperatively to 57.67 µm at 3 months postoperatively. In the manual group, mean maximum epithelial thickness increased from 56.33 µm to 57.33 µm over the same period. Although both techniques demonstrated postoperative epithelial thickening, the femtosecond-assisted approach showed a greater increase in epithelial thickness compared to the manual technique.",
        "Conclusions": "The femto technique showed a more pronounced initial increase in epithelial thickness, particularly in the central and peripheral areas, reflecting faster epithelial remodeling in the first month post-surgery. However, after three months, the difference between the techniques was minimized, with both showing a significant and sustainable increase in epithelial thickness. Epithelial thickness remained higher than preoperatively in both groups, with the femto technique maintaining slightly better performance in the central and peripheral areas. This suggests that despite the faster initial response of the femto technique, long-term epithelial remodeling is comparable between both approaches."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The femto technique showed a more pronounced initial increase in epithelial thickness, particularly in the central and peripheral areas, reflecting faster epithelial remodeling in the first month post-surgery. However, after three months, the difference between the techniques was minimized, with both showing a significant and sustainable increase in epithelial thickness. Epithelial thickness remained higher than…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1022,
      "source_fields": {
        "Abstract Final Identifier": "POCOR335",
        "Title": "Comparative Analysis Of Epithelial Thickness Mapping After Manual Versus Femtosecond-Assisted Intrastromal Ring Implantation",
        "Presenting Author(s)": "Dr Maria Vitória Vicente Cardoso",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Vitória Vicente",
        "Submitter Last Name": "Cardoso",
        "Country Name": "Brazil",
        "Purpose": "To evaluate postoperative epithelial thickness map changes after intrastromal corneal ring segment (ICRS) implantation, comparing manual and femtosecond-assisted techniques in patients with keratoconus.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "This retrospective observational study included keratoconus patients aged ≥18 years who underwent implantation of a 160° intrastromal ring segment between May and October 2024. Epithelial thickness mapping was performed using the Cassia 2 device, with evaluation of central, paracentral, and peripheral corneal zones. Ferrara-type intrastromal corneal ring segments were implanted according to the manufacturer’s nomogram based on Pentacam data. All procedures were performed by the same surgeon. Assessments were conducted preoperatively and at 1 and 3 months postoperatively.",
        "Results": "Six eyes underwent femtosecond-assisted ICRS implantation, and six eyes underwent the manual technique, with all procedures performed by the same experienced surgeon.\nIn the femtosecond-assisted group, mean maximum central epithelial thickness increased from 54 µm preoperatively to 57.67 µm at 3 months postoperatively. In the manual group, mean maximum epithelial thickness increased from 56.33 µm to 57.33 µm over the same period. Although both techniques demonstrated postoperative epithelial thickening, the femtosecond-assisted approach showed a greater increase in epithelial thickness compared to the manual technique.",
        "Conclusions": "The femto technique showed a more pronounced initial increase in epithelial thickness, particularly in the central and peripheral areas, reflecting faster epithelial remodeling in the first month post-surgery. However, after three months, the difference between the techniques was minimized, with both showing a significant and sustainable increase in epithelial thickness. Epithelial thickness remained higher than preoperatively in both groups, with the femto technique maintaining slightly better performance in the central and peripheral areas. This suggests that despite the faster initial response of the femto technique, long-term epithelial remodeling is comparable between both approaches."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCOR336",
      "abstract_number": "POCOR336",
      "title": "Objective Visual Improvement Correlates With Early Patient-Reported Benefit After Intrastromal Corneal Ring Segment Implantation In Keratoconus: A Prospective Pilot Study",
      "authors": "Ms Leticia Cardoso Lucena",
      "presenter": "Ms Leticia Cardoso Lucena",
      "normalized_authors": [
        "Leticia Cardoso Lucena"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leticia Cardoso Lucena",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate early changes in vision-related quality of life (VR-QoL) after intrastromal corneal ring segment (ICRS) implantation in keratoconus using combined disease-specific (KORQ) and generic (NEI VFQ-25, SF-36) instruments, and to correlate patient-reported outcomes with changes in corrected distance visual acuity (CDVA) and maximum keratometry (Kmax) at 1 month.",
        "Setting": "Prospective longitudinal interventional study conducted at a tertiary ophthalmology referral center in Brazil.",
        "Methods": "Seven eyes of seven keratoconus patients underwent ICRS implantation. KORQ, NEI VFQ-25, and SF-36 were administered preoperatively and at 1 month. Questionnaire responses were converted to normalized numerical scores (0–3 scale). CDVA was converted to logMAR. Kmax was obtained from corneal tomography. Paired comparisons were performed using Wilcoxon signed-rank test. Primary endpoint was 1-month VR-QoL change.",
        "Results": "Mean age was 34.4±9.8 years.\n\nMean Kmax decreased from 58.16±4.39 D to 55.33±5.05 D (Δ −2.83 D; p=0.109).\n\nMean CDVA improved from 0.397±0.187 to 0.207±0.197 logMAR (Δ −0.19 logMAR; p=0.026).\n\nMean total VR-QoL score decreased from 1.27±0.30 to 0.63±0.55 (Δ −0.64; p=0.25), demonstrating consistent reduction in visual interference across functional domains. No patient experienced visual loss.",
        "Conclusions": "ICRS implantation resulted in statistically significant improvement in visual acuity and consistent early enhancement of patient-reported visual function at 1 month. Although questionnaire score changes did not reach statistical significance in this pilot cohort, the magnitude and direction of effect suggest clinically meaningful improvement. Combined use of disease-specific and generic VR-QoL instruments provides a comprehensive framework for outcome assessment in keratoconus surgery. Ongoing 3- and 6-month follow-up will determine durability of these effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICRS implantation resulted in statistically significant improvement in visual acuity and consistent early enhancement of patient-reported visual function at 1 month. Although questionnaire score changes did not reach statistical significance in this pilot cohort, the magnitude and direction of effect suggest clinically meaningful improvement. Combined use of disease-specific and generic VR-QoL instruments provides…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1023,
      "source_fields": {
        "Abstract Final Identifier": "POCOR336",
        "Title": "Objective Visual Improvement Correlates With Early Patient-Reported Benefit After Intrastromal Corneal Ring Segment Implantation In Keratoconus: A Prospective Pilot Study",
        "Presenting Author(s)": "Ms Leticia Cardoso Lucena",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Leticia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cardoso Lucena",
        "Country Name": "Brazil",
        "Purpose": "To evaluate early changes in vision-related quality of life (VR-QoL) after intrastromal corneal ring segment (ICRS) implantation in keratoconus using combined disease-specific (KORQ) and generic (NEI VFQ-25, SF-36) instruments, and to correlate patient-reported outcomes with changes in corrected distance visual acuity (CDVA) and maximum keratometry (Kmax) at 1 month.",
        "Setting": "Prospective longitudinal interventional study conducted at a tertiary ophthalmology referral center in Brazil.",
        "Methods": "Seven eyes of seven keratoconus patients underwent ICRS implantation. KORQ, NEI VFQ-25, and SF-36 were administered preoperatively and at 1 month. Questionnaire responses were converted to normalized numerical scores (0–3 scale). CDVA was converted to logMAR. Kmax was obtained from corneal tomography. Paired comparisons were performed using Wilcoxon signed-rank test. Primary endpoint was 1-month VR-QoL change.",
        "Results": "Mean age was 34.4±9.8 years.\n\nMean Kmax decreased from 58.16±4.39 D to 55.33±5.05 D (Δ −2.83 D; p=0.109).\n\nMean CDVA improved from 0.397±0.187 to 0.207±0.197 logMAR (Δ −0.19 logMAR; p=0.026).\n\nMean total VR-QoL score decreased from 1.27±0.30 to 0.63±0.55 (Δ −0.64; p=0.25), demonstrating consistent reduction in visual interference across functional domains. No patient experienced visual loss.",
        "Conclusions": "ICRS implantation resulted in statistically significant improvement in visual acuity and consistent early enhancement of patient-reported visual function at 1 month. Although questionnaire score changes did not reach statistical significance in this pilot cohort, the magnitude and direction of effect suggest clinically meaningful improvement. Combined use of disease-specific and generic VR-QoL instruments provides a comprehensive framework for outcome assessment in keratoconus surgery. Ongoing 3- and 6-month follow-up will determine durability of these effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POCOR337",
      "abstract_number": "POCOR337",
      "title": "Management Dilemma After Repeated Intrastromal Corneal Ring Segment Failure In Keratoconus: Reimplantation Versus Phacoemulsification With Toric Intraocular Lens Implantation",
      "authors": "Mr Georgios Chamilakis",
      "presenter": "Mr Georgios Chamilakis",
      "normalized_authors": [
        "Georgios Chamilakis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Georgios Chamilakis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present the management strategy of a keratoconus patient with two failed intrastromal corneal ring segment (ICRS) implantations and to analyze whether further corneal manipulation is justified or whether phacoemulsification with toric intraocular lens (IOL) implantation represents a safer and more predictable refractive rehabilitation approach.",
        "Setting": "University Hospital of 12 de Octubre, Madrid, Spain, a tertiary referral academic center for corneal surgery, managing cases of keratoconus unsuitable for spectacle correction and intolerant to contact lenses.",
        "Methods": "We report the case of a 53 years old patient with keratoconus in the right eye, that underwent femtosecond-assisted implantation of a 5-mm ICRS. Postoperative assessment showed improvement in corrected distance visual acuity (CDVA), corneal tomography, and refractive error and optimal depth of the ring within the corneal stroma was confirmed using anterior segment optical coherence tomography (AS-OCT). However, severe dysphotopsias led to explantation. One year later, 6-mm ICRS were implanted. The postoperative course was complicated by fungal keratitis requiring urgent explantation and antifungal therapy. Corneal integrity, refractive status, crystalline lens status and risk profile were reassessed to determine further management.",
        "Results": "Although the first implantation achieved objective visual and tomographic improvement, intolerance due to dysphotopsias precluded long-term success. The second procedure resulted in infectious keratitis, leading to device removal and additional stromal compromise. After two failed corneal-based interventions, the risk of further stromal manipulation became a significant concern. The residual refractive error remained visually limiting, prompting evaluation of early phacoemulsification surgery with toric IOL implantation as a non-corneal refractive alternative.",
        "Conclusions": "In keratoconus cases with prior ICRS intolerance and infection, a third corneal implantation may represent diminishing returns with escalating risk. Phacoemulsification with toric IOL may provide a more predictable and biomechanically neutral alternative once corneal stability and mild crystalline lens disfunction is confirmed. This case highlights the importance of strategic escalation in keratoconus management and supports earlier consideration of intraocular solutions after repeated corneal surgical failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In keratoconus cases with prior ICRS intolerance and infection, a third corneal implantation may represent diminishing returns with escalating risk. Phacoemulsification with toric IOL may provide a more predictable and biomechanically neutral alternative once corneal stability and mild crystalline lens disfunction is confirmed. This case highlights the importance of strategic escalation in keratoconus management…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1024,
      "source_fields": {
        "Abstract Final Identifier": "POCOR337",
        "Title": "Management Dilemma After Repeated Intrastromal Corneal Ring Segment Failure In Keratoconus: Reimplantation Versus Phacoemulsification With Toric Intraocular Lens Implantation",
        "Presenting Author(s)": "Mr Georgios Chamilakis",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Georgios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chamilakis",
        "Country Name": "Spain",
        "Purpose": "To present the management strategy of a keratoconus patient with two failed intrastromal corneal ring segment (ICRS) implantations and to analyze whether further corneal manipulation is justified or whether phacoemulsification with toric intraocular lens (IOL) implantation represents a safer and more predictable refractive rehabilitation approach.",
        "Setting": "University Hospital of 12 de Octubre, Madrid, Spain, a tertiary referral academic center for corneal surgery, managing cases of keratoconus unsuitable for spectacle correction and intolerant to contact lenses.",
        "Methods": "We report the case of a 53 years old patient with keratoconus in the right eye, that underwent femtosecond-assisted implantation of a 5-mm ICRS. Postoperative assessment showed improvement in corrected distance visual acuity (CDVA), corneal tomography, and refractive error and optimal depth of the ring within the corneal stroma was confirmed using anterior segment optical coherence tomography (AS-OCT). However, severe dysphotopsias led to explantation. One year later, 6-mm ICRS were implanted. The postoperative course was complicated by fungal keratitis requiring urgent explantation and antifungal therapy. Corneal integrity, refractive status, crystalline lens status and risk profile were reassessed to determine further management.",
        "Results": "Although the first implantation achieved objective visual and tomographic improvement, intolerance due to dysphotopsias precluded long-term success. The second procedure resulted in infectious keratitis, leading to device removal and additional stromal compromise. After two failed corneal-based interventions, the risk of further stromal manipulation became a significant concern. The residual refractive error remained visually limiting, prompting evaluation of early phacoemulsification surgery with toric IOL implantation as a non-corneal refractive alternative.",
        "Conclusions": "In keratoconus cases with prior ICRS intolerance and infection, a third corneal implantation may represent diminishing returns with escalating risk. Phacoemulsification with toric IOL may provide a more predictable and biomechanically neutral alternative once corneal stability and mild crystalline lens disfunction is confirmed. This case highlights the importance of strategic escalation in keratoconus management and supports earlier consideration of intraocular solutions after repeated corneal surgical failure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCOR338",
      "abstract_number": "POCOR338",
      "title": "Electrical Impedance Profiling Of Corneas With Keratocunus And Post - Penetrating Keratoplasty Using A Multifrecuency Prototype Device",
      "authors": "Ms Martina Chau",
      "presenter": "Ms Martina Chau",
      "normalized_authors": [
        "Martina Chau"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Martina Chau",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate whether a multifrequency electrical impedance device can discriminate between the\n\ncorneal impedance profiles of eyes with keratoconus and those after penetrating keratoplasty (PK).",
        "Setting": "Keratoconus is a condition in which the cornea becomes thinner and weaker,\n\nwhile penetrating keratoplasty (corneal transplant) replaces the damaged cornea with donor tissue. Although\n\nhese conditions look very different clinically, current diagnostic tools do not directly measure the electrical\n\nproperties of the cornea, which may also change with disease.",
        "Methods": "A pilot experimental study was conducted in volunteer patients using the second-generation\n\nprototype Impel, a multifrequency impedance system equipped with optimized corneal-contact electrodes.\n\nStable impedance measurements were obtained across a frequency range of 500 Hz to 64 kHz.\n\nFour eyes with clinically diagnosed keratoconus and three eyes with stable\n\npenetrating keratoplasty performed for keratoconus were evaluated.\n\nRaw impedance data were normalized across frequencies and processed\n\nusing principal component analysis (PCA) for dimensionality reduction. Supervised machine-learning\n\nclassifiers, including Linear Discriminant Analysis (LDA), were trained using 5-fold cross-validation to assess\n\ndiscrimination between groups.",
        "Results": "Keratoconus and PK corneas exhibited distinct impedance behaviors across frequencies (Figure 1).\n\nDifferences became more apparent in the phase-space representation (Figure 2), where keratoconus traces\n\ndemonstrated wider dispersion patterns compared with the more compact trajectories of PK grafts. Preliminary\n\nmachine-learning classification showed separability between groups, consistent with the visual cluster patterns\n\nobserved.",
        "Conclusions": "The Impel prototype was able to detect differential corneal impedance signatures between\n\nkeratoconus and post-PK eyes in this pilot evaluation. These findings support the feasibility of impedance-\n\nbased corneal characterization. Larger, prospective clinical studies are required to validate these preliminary\n\nresults."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Impel prototype was able to detect differential corneal impedance signatures between keratoconus and post-PK eyes in this pilot evaluation. These findings support the feasibility of impedance- based corneal characterization. Larger, prospective clinical studies are required to validate these preliminary results.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1025,
      "source_fields": {
        "Abstract Final Identifier": "POCOR338",
        "Title": "Electrical Impedance Profiling Of Corneas With Keratocunus And Post - Penetrating Keratoplasty Using A Multifrecuency Prototype Device",
        "Presenting Author(s)": "Ms Martina Chau",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Martina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chau",
        "Country Name": "Argentina",
        "Purpose": "To evaluate whether a multifrequency electrical impedance device can discriminate between the\n\ncorneal impedance profiles of eyes with keratoconus and those after penetrating keratoplasty (PK).",
        "Setting": "Keratoconus is a condition in which the cornea becomes thinner and weaker,\n\nwhile penetrating keratoplasty (corneal transplant) replaces the damaged cornea with donor tissue. Although\n\nhese conditions look very different clinically, current diagnostic tools do not directly measure the electrical\n\nproperties of the cornea, which may also change with disease.",
        "Methods": "A pilot experimental study was conducted in volunteer patients using the second-generation\n\nprototype Impel, a multifrequency impedance system equipped with optimized corneal-contact electrodes.\n\nStable impedance measurements were obtained across a frequency range of 500 Hz to 64 kHz.\n\nFour eyes with clinically diagnosed keratoconus and three eyes with stable\n\npenetrating keratoplasty performed for keratoconus were evaluated.\n\nRaw impedance data were normalized across frequencies and processed\n\nusing principal component analysis (PCA) for dimensionality reduction. Supervised machine-learning\n\nclassifiers, including Linear Discriminant Analysis (LDA), were trained using 5-fold cross-validation to assess\n\ndiscrimination between groups.",
        "Results": "Keratoconus and PK corneas exhibited distinct impedance behaviors across frequencies (Figure 1).\n\nDifferences became more apparent in the phase-space representation (Figure 2), where keratoconus traces\n\ndemonstrated wider dispersion patterns compared with the more compact trajectories of PK grafts. Preliminary\n\nmachine-learning classification showed separability between groups, consistent with the visual cluster patterns\n\nobserved.",
        "Conclusions": "The Impel prototype was able to detect differential corneal impedance signatures between\n\nkeratoconus and post-PK eyes in this pilot evaluation. These findings support the feasibility of impedance-\n\nbased corneal characterization. Larger, prospective clinical studies are required to validate these preliminary\n\nresults."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POCOR339",
      "abstract_number": "POCOR339",
      "title": "Comparative Efficacy Of Three Surgical Planning Strategies Using Intracorneal Ring Segments In Snowman Phenotype Keratoconus",
      "authors": "Dr Margarita Cabanás Jiménez",
      "presenter": "Dr Margarita Cabanás Jiménez",
      "normalized_authors": [
        "Margarita Cabanás Jiménez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sergio Del Valle Buzón",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare the efficacy of three intracorneal ring segment (ICRS) implantation strategies in patients with snowman phenotype keratoconus, assessing improvements in visual acuity, keratometric flattening, and refractive, topographic, and aberrometric changes. Both intra-group and inter-group differences were analyzed to determine the functional, refractive, and optical performance of each surgical approach.",
        "Setting": "Cornea and Keratoconus Unit, Department of Ophthalmology, Hospital Universitario Virgen del Rocío, Seville, Spain.",
        "Methods": "Retrospective comparative study including 30 patients with snowman phenotype keratoconus, defined by low asphericity, irregular topographic astigmatism, and a 30°–60° divergence between topographic and comatic axes. Patients were allocated into three groups according to surgical planning: Group 1, two asymmetric segments; Group 2, one symmetric segment; Group 3, two symmetric segments. Evaluated variables included visual acuity (VA), spherical equivalent (SE), K1, K2, mean keratometry (Km), maximum keratometry (Kmax), astigmatism, asphericity (Q), spherical aberration (Z4⁰), and coma. Measurements were recorded preoperatively and at 1 and 4 months postoperatively. Intra-group and inter-group analyses were performed.",
        "Results": "Visual acuity improved in all groups, reaching significance only in the single symmetric segment group at 4 months (p=0.011). Spherical equivalent decreased without significant differences. Significant keratometric flattening (K1, K2, Km) occurred in the two asymmetric and one symmetric groups, and K2 in the two symmetric group (p<0.001). Kmax decreased in both double-segment groups. Astigmatism decreased in double-segment groups. Asphericity shifted toward less prolate values in all groups. The single symmetric segment induced greater coma reduction and showed differences in spherical aberration versus two symmetric segments.",
        "Conclusions": "In snowman phenotype keratoconus, the number and design of intracorneal ring segments differentially influence visual and optical outcomes. When high coma predominates, implantation of a single symmetric segment provides the greatest visual acuity gain and most consistent coma reduction, suggesting superior optical regularization for this morphological pattern. Conversely, in snowman phenotypes with predominant high astigmatism, double-segment implantation, particularly asymmetric segments, induces greater keratometric flattening and astigmatism reduction. ICRS selection should be guided not only by corneal topography but also by the aberrometric profile of the snowman phenotype."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In snowman phenotype keratoconus, the number and design of intracorneal ring segments differentially influence visual and optical outcomes. When high coma predominates, implantation of a single symmetric segment provides the greatest visual acuity gain and most consistent coma reduction, suggesting superior optical regularization for this morphological pattern. Conversely, in snowman phenotypes with predominant…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1026,
      "source_fields": {
        "Abstract Final Identifier": "POCOR339",
        "Title": "Comparative Efficacy Of Three Surgical Planning Strategies Using Intracorneal Ring Segments In Snowman Phenotype Keratoconus",
        "Presenting Author(s)": "Dr Margarita Cabanás Jiménez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sergio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Del Valle Buzón",
        "Country Name": "Spain",
        "Purpose": "To compare the efficacy of three intracorneal ring segment (ICRS) implantation strategies in patients with snowman phenotype keratoconus, assessing improvements in visual acuity, keratometric flattening, and refractive, topographic, and aberrometric changes. Both intra-group and inter-group differences were analyzed to determine the functional, refractive, and optical performance of each surgical approach.",
        "Setting": "Cornea and Keratoconus Unit, Department of Ophthalmology, Hospital Universitario Virgen del Rocío, Seville, Spain.",
        "Methods": "Retrospective comparative study including 30 patients with snowman phenotype keratoconus, defined by low asphericity, irregular topographic astigmatism, and a 30°–60° divergence between topographic and comatic axes. Patients were allocated into three groups according to surgical planning: Group 1, two asymmetric segments; Group 2, one symmetric segment; Group 3, two symmetric segments. Evaluated variables included visual acuity (VA), spherical equivalent (SE), K1, K2, mean keratometry (Km), maximum keratometry (Kmax), astigmatism, asphericity (Q), spherical aberration (Z4⁰), and coma. Measurements were recorded preoperatively and at 1 and 4 months postoperatively. Intra-group and inter-group analyses were performed.",
        "Results": "Visual acuity improved in all groups, reaching significance only in the single symmetric segment group at 4 months (p=0.011). Spherical equivalent decreased without significant differences. Significant keratometric flattening (K1, K2, Km) occurred in the two asymmetric and one symmetric groups, and K2 in the two symmetric group (p<0.001). Kmax decreased in both double-segment groups. Astigmatism decreased in double-segment groups. Asphericity shifted toward less prolate values in all groups. The single symmetric segment induced greater coma reduction and showed differences in spherical aberration versus two symmetric segments.",
        "Conclusions": "In snowman phenotype keratoconus, the number and design of intracorneal ring segments differentially influence visual and optical outcomes. When high coma predominates, implantation of a single symmetric segment provides the greatest visual acuity gain and most consistent coma reduction, suggesting superior optical regularization for this morphological pattern. Conversely, in snowman phenotypes with predominant high astigmatism, double-segment implantation, particularly asymmetric segments, induces greater keratometric flattening and astigmatism reduction. ICRS selection should be guided not only by corneal topography but also by the aberrometric profile of the snowman phenotype."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POCOR340",
      "abstract_number": "POCOR340",
      "title": "210° Vs 160° Symmetric Intracorneal Ring Segments In Snowman Keratoconus: Does Arc Length Determine Visual And Optical Success?",
      "authors": "Dr Margarita Cabanás Jiménez",
      "presenter": "Dr Margarita Cabanás Jiménez",
      "normalized_authors": [
        "Margarita Cabanás Jiménez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sergio Del Valle Buzón",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate visual, refractive, tomographic and aberrometric outcomes after implantation of a single symmetric intracorneal ring segment (ICRS) in patients with snowman phenotype keratoconus, and to compare the 4-month clinical evolution between 160° and 210° arc-length segments.",
        "Setting": "Cornea and Keratoconus Unit, Department of Ophthalmology, Hospital Universitario Virgen del Rocío, Seville, Spain.",
        "Methods": "Retrospective descriptive study including 16 eyes with snowman phenotype keratoconus, defined by low corneal asphericity, irregular topographic astigmatism, and 30°–60° divergence between topographic and comatic axes. All eyes underwent implantation of a single symmetric ICRS. Group 1 (n=5) received a 160° segment and Group 2 (n=11) a 210° segment. Assessed variables were visual acuity, spherical equivalent, K1, K2, mean keratometry (Km), Kmax, topographic astigmatism (AST), corneal asphericity (Q), spherical aberration (Z4⁰) and coma (Z3⁻1). Measurements were obtained preoperatively and at 1 and 4 months. Intra- and inter-group comparisons were performed (p<0.05).",
        "Results": "In the 210° group, visual acuity improved significantly from 0.477 preoperatively to 0.758 at 4 months (p=0.002), with additional gain between months 1 and 4 (p=0.045); no significant change occurred in the 160° group. Spherical equivalent showed a non-significant improving trend in both groups. K1 decreased significantly at 1 month in both groups, but remained significant at 4 months only in the 210° group. K2, Km and Kmax significantly decreased only in the 210° group. Asphericity improved significantly in the 210° group. Coma decreased significantly in both groups. No significant changes were observed in AST or spherical aberration.",
        "Conclusions": "In snowman phenotype keratoconus, implantation of a single 210° symmetric ICRS resulted in significant visual improvement, greater corneal flattening (K1, K2, Km, Kmax), improved asphericity, and sustained coma reduction at 4 months, whereas the 160° segment showed more limited and mainly transient effects. Segment arc length appears to play a key role in biomechanical and optical regularization in this specific morphological pattern. In snowman phenotypes, a single 210° segment may represent the preferred option. Larger prospective studies are needed to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In snowman phenotype keratoconus, implantation of a single 210° symmetric ICRS resulted in significant visual improvement, greater corneal flattening (K1, K2, Km, Kmax), improved asphericity, and sustained coma reduction at 4 months, whereas the 160° segment showed more limited and mainly transient effects. Segment arc length appears to play a key role in biomechanical and optical regularization in this specific…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1027,
      "source_fields": {
        "Abstract Final Identifier": "POCOR340",
        "Title": "210° Vs 160° Symmetric Intracorneal Ring Segments In Snowman Keratoconus: Does Arc Length Determine Visual And Optical Success?",
        "Presenting Author(s)": "Dr Margarita Cabanás Jiménez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sergio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Del Valle Buzón",
        "Country Name": "Spain",
        "Purpose": "To evaluate visual, refractive, tomographic and aberrometric outcomes after implantation of a single symmetric intracorneal ring segment (ICRS) in patients with snowman phenotype keratoconus, and to compare the 4-month clinical evolution between 160° and 210° arc-length segments.",
        "Setting": "Cornea and Keratoconus Unit, Department of Ophthalmology, Hospital Universitario Virgen del Rocío, Seville, Spain.",
        "Methods": "Retrospective descriptive study including 16 eyes with snowman phenotype keratoconus, defined by low corneal asphericity, irregular topographic astigmatism, and 30°–60° divergence between topographic and comatic axes. All eyes underwent implantation of a single symmetric ICRS. Group 1 (n=5) received a 160° segment and Group 2 (n=11) a 210° segment. Assessed variables were visual acuity, spherical equivalent, K1, K2, mean keratometry (Km), Kmax, topographic astigmatism (AST), corneal asphericity (Q), spherical aberration (Z4⁰) and coma (Z3⁻1). Measurements were obtained preoperatively and at 1 and 4 months. Intra- and inter-group comparisons were performed (p<0.05).",
        "Results": "In the 210° group, visual acuity improved significantly from 0.477 preoperatively to 0.758 at 4 months (p=0.002), with additional gain between months 1 and 4 (p=0.045); no significant change occurred in the 160° group. Spherical equivalent showed a non-significant improving trend in both groups. K1 decreased significantly at 1 month in both groups, but remained significant at 4 months only in the 210° group. K2, Km and Kmax significantly decreased only in the 210° group. Asphericity improved significantly in the 210° group. Coma decreased significantly in both groups. No significant changes were observed in AST or spherical aberration.",
        "Conclusions": "In snowman phenotype keratoconus, implantation of a single 210° symmetric ICRS resulted in significant visual improvement, greater corneal flattening (K1, K2, Km, Kmax), improved asphericity, and sustained coma reduction at 4 months, whereas the 160° segment showed more limited and mainly transient effects. Segment arc length appears to play a key role in biomechanical and optical regularization in this specific morphological pattern. In snowman phenotypes, a single 210° segment may represent the preferred option. Larger prospective studies are needed to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POCOR341",
      "abstract_number": "POCOR341",
      "title": "Contact Lens-Assisted Cross-Linking (Cacxl) In Spediatric Keratoconus With Thin Cornea Sub400",
      "authors": "Dr Iatissam El Belhadji",
      "presenter": "Dr Iatissam El Belhadji",
      "normalized_authors": [
        "Iatissam El Belhadji"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iatissam El Belhadji",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Cross-linking (CXL) is considered an emergency in pediatric keratoconus to prevent rapid progression. However, protocol personalization is essential to protect the endothelium while maintaining efficacy. We report the successful management of a child treated with the Contact Lens-Assisted Cross-linking (CACXL) protocol for progressive keratoconus on a thin cornea below 400 microns.",
        "Setting": "A 12-year-old patient presented with advanced bilateral keratoconus.\n\n•\nLeft Eye (OS): Stage 4 with a central corneal scar, visual acuity reduced to Counting Fingers (CF), and a minimum pachymetry of 294 µm .\n\n•\nRight Eye (OD): Stage 3 with initial visual acuity dropping to 4/10 within two months. Tomography confirmed progression with a Kmax of 69.8 D and a minimum pachymetry of 397 µm .",
        "Methods": "Given the corneal thinness, the CACXL protocol was performed on the right eye. The procedure involved riboflavin induction followed by UV irradiation at 6 mW/cm² in pulsed mode , with a total dose of 5.40 J/cm² . A bandage contact lens without a UV filter was interposed to protect the endothelium during irradiation.",
        "Results": "Postoperative recovery was uneventful, with a total absence of haze and complete re-epithelialization within 3 days. Anterior segment OCT (AS-OCT) at 10 days confirmed treatment efficacy by clearly visualizing a demarcation line at an average depth of 180-200 µm . This line demonstrates effective stromal polymerization while maintaining a safety distance from the endothelium. This case demonstrates that even with a starting point of 397 µm, the resulting demarcation line is deep and regular, ensuring stabilization without endothelial toxicity.",
        "Conclusions": "The CACXL protocol is an effective alternative to hypo-osmolar CXL for progressive keratoconus on thin corneas. The use of pulsed mode is particularly important to optimize corneal oxygenation, helping to postpone invasive surgery in young patients experiencing rapid progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The CACXL protocol is an effective alternative to hypo-osmolar CXL for progressive keratoconus on thin corneas. The use of pulsed mode is particularly important to optimize corneal oxygenation, helping to postpone invasive surgery in young patients experiencing rapid progression.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1028,
      "source_fields": {
        "Abstract Final Identifier": "POCOR341",
        "Title": "Contact Lens-Assisted Cross-Linking (Cacxl) In Spediatric Keratoconus With Thin Cornea Sub400",
        "Presenting Author(s)": "Dr Iatissam El Belhadji",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Iatissam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "El Belhadji",
        "Country Name": "Morocco",
        "Purpose": "Cross-linking (CXL) is considered an emergency in pediatric keratoconus to prevent rapid progression. However, protocol personalization is essential to protect the endothelium while maintaining efficacy. We report the successful management of a child treated with the Contact Lens-Assisted Cross-linking (CACXL) protocol for progressive keratoconus on a thin cornea below 400 microns.",
        "Setting": "A 12-year-old patient presented with advanced bilateral keratoconus.\n\n•\nLeft Eye (OS): Stage 4 with a central corneal scar, visual acuity reduced to Counting Fingers (CF), and a minimum pachymetry of 294 µm .\n\n•\nRight Eye (OD): Stage 3 with initial visual acuity dropping to 4/10 within two months. Tomography confirmed progression with a Kmax of 69.8 D and a minimum pachymetry of 397 µm .",
        "Methods": "Given the corneal thinness, the CACXL protocol was performed on the right eye. The procedure involved riboflavin induction followed by UV irradiation at 6 mW/cm² in pulsed mode , with a total dose of 5.40 J/cm² . A bandage contact lens without a UV filter was interposed to protect the endothelium during irradiation.",
        "Results": "Postoperative recovery was uneventful, with a total absence of haze and complete re-epithelialization within 3 days. Anterior segment OCT (AS-OCT) at 10 days confirmed treatment efficacy by clearly visualizing a demarcation line at an average depth of 180-200 µm . This line demonstrates effective stromal polymerization while maintaining a safety distance from the endothelium. This case demonstrates that even with a starting point of 397 µm, the resulting demarcation line is deep and regular, ensuring stabilization without endothelial toxicity.",
        "Conclusions": "The CACXL protocol is an effective alternative to hypo-osmolar CXL for progressive keratoconus on thin corneas. The use of pulsed mode is particularly important to optimize corneal oxygenation, helping to postpone invasive surgery in young patients experiencing rapid progression."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCOR342",
      "abstract_number": "POCOR342",
      "title": "Refractive And Topographic Outcomes Following Progressive Intracorneal Ring Segment Implantation In Keratoconus",
      "authors": "Prof. Dr Mohamed Tarek Tarek Elnaggar",
      "presenter": "Prof. Dr Mohamed Tarek Tarek Elnaggar",
      "normalized_authors": [
        "Mohamed Tarek Tarek Elnaggar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Tarek Tarek Elnaggar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the refractive and topographic outcomes of progressive intracorneal ring segment (ICRS) implantation in keratoconus patients, with morphological phenotype of duck-shape and snowman topographic pattern.",
        "Setting": "Refractive surgery department, Research institute of ophthalmology, Giza, Egypt",
        "Methods": "In this prospective study, 30 eyes with keratoconus were enrolled and classified into duck-shape and snowman patterns. All eyes underwent preoperative tomographic analysis to assess corneal curvature, thickness, and morphological pattern. Progressive AJL Pro+ ICRS implantation was performed, with decisions guided by a nomogram and surgical experience to optimize corneal regularization. Pre- and postoperative assessments included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, and tomographic analysis.",
        "Results": "Following progressive ICRS implantation, mean UDVA improved from 0.2 ± 0.1 to 0.6 ± 0.2, while mean CDVA improved from 0.4 ± 0.1 to 0.9 ± 0.1. Mean steep keratometry decreased from 54.0 ± 2.5 D to 46.0 ± 2.0 D. Duck-shape corneas demonstrated greater anterior surface regularization, whereas snowman morphology exhibited more pronounced keratometric flattening. No major complications or explantations were reported.",
        "Conclusions": "Progressive ICRS implantation, guided by preoperative tomographic analysis, nomogram, and surgical experience, is a safe and effective method for improving visual acuity and corneal shape in keratoconus. Morphology-specific responses highlight the importance of individualized surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Progressive ICRS implantation, guided by preoperative tomographic analysis, nomogram, and surgical experience, is a safe and effective method for improving visual acuity and corneal shape in keratoconus. Morphology-specific responses highlight the importance of individualized surgical planning.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1029,
      "source_fields": {
        "Abstract Final Identifier": "POCOR342",
        "Title": "Refractive And Topographic Outcomes Following Progressive Intracorneal Ring Segment Implantation In Keratoconus",
        "Presenting Author(s)": "Prof. Dr Mohamed Tarek Tarek Elnaggar",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Mohamed Tarek",
        "Submitter Middle Name": "Tarek",
        "Submitter Last Name": "Elnaggar",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the refractive and topographic outcomes of progressive intracorneal ring segment (ICRS) implantation in keratoconus patients, with morphological phenotype of duck-shape and snowman topographic pattern.",
        "Setting": "Refractive surgery department, Research institute of ophthalmology, Giza, Egypt",
        "Methods": "In this prospective study, 30 eyes with keratoconus were enrolled and classified into duck-shape and snowman patterns. All eyes underwent preoperative tomographic analysis to assess corneal curvature, thickness, and morphological pattern. Progressive AJL Pro+ ICRS implantation was performed, with decisions guided by a nomogram and surgical experience to optimize corneal regularization. Pre- and postoperative assessments included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, and tomographic analysis.",
        "Results": "Following progressive ICRS implantation, mean UDVA improved from 0.2 ± 0.1 to 0.6 ± 0.2, while mean CDVA improved from 0.4 ± 0.1 to 0.9 ± 0.1. Mean steep keratometry decreased from 54.0 ± 2.5 D to 46.0 ± 2.0 D. Duck-shape corneas demonstrated greater anterior surface regularization, whereas snowman morphology exhibited more pronounced keratometric flattening. No major complications or explantations were reported.",
        "Conclusions": "Progressive ICRS implantation, guided by preoperative tomographic analysis, nomogram, and surgical experience, is a safe and effective method for improving visual acuity and corneal shape in keratoconus. Morphology-specific responses highlight the importance of individualized surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POCOR343",
      "abstract_number": "POCOR343",
      "title": "Correction Of Crab Claw Topographic Pattern Using Two 90 Degree Arc Intracorneal Ring Segments",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To assess the visual and refractive out come of using two 90 degree arc intracorneal ring segments (ICRS) in cases with crab claw topographic pattern which indicate the patients have corneal ectasia which may be pellucid marginal degeneration (PMD) or pellucid like keratoconus (PLK)",
        "Setting": "the memorial institute for ophthalmic research",
        "Methods": "Prospective interventional study of (17) eyes of 9 patients with crab claw topographic pattern either PLK or PMD that need ICRs .\n\nInclusion Criteria: patients with crab claw topographic pattern, no previous corneal surgery, high cylinder that need ICRS for correction.\n\nExclusion Criteria: Patients with central corneal opacity, very thin cornea less than 400um and previous ocular surgery were excluded.\n\nPreoperative evaluation included detailed ocular history, full ophthalmic examination including: uncorrected VA(UCVA), manifest refraction, best spectacle-corrected VA (BSCVA) and Pentacam.\n\nThe femtosecond laser was used in all cases for tunnel and incisions creation. Implantation of the ICRS was carried out under full aseptic technique.",
        "Results": "The study evaluated 17 eyes of 9 patients (7 males and 2 females) with a mean age of 24.41 ± 7.11 years and ranged from 22 to 29 years.\n\nThe mean duration of follow-up was 12 months and ranged from 6 to 18 months.\n\nRegarding visual outcome, the mean UCVA improved significantly from (0.12 +/- 0.09) to (0.86 +/-0.16) postoperatively (P < 0.001).\n\nThe UCVA improved in all eyes (100%). The mean BCVA in LogMAR improved significantly from (0.31 +/- 0.18) to (0.91 +/- 0.11) postoperatively (P < 0.001).\n\nThe mean cylinder was (-8.00 +/- 1.30) preoperatively that improved to (-1.50 +/- 1.00) at the end of the follow-up (P < 0.001) while the mean sphere improved non-significantly from (+2.00 +/- 1.00) to (+2.50 +/- 1.00) postoperatively",
        "Conclusions": "We concluded that two 90-degree arc ICRS implantation is a safe and efficient surgical option in the management of patients with crab claw topographic pattern which was either PMD or PLK with a good visual and refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We concluded that two 90-degree arc ICRS implantation is a safe and efficient surgical option in the management of patients with crab claw topographic pattern which was either PMD or PLK with a good visual and refractive outcomes.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1030,
      "source_fields": {
        "Abstract Final Identifier": "POCOR343",
        "Title": "Correction Of Crab Claw Topographic Pattern Using Two 90 Degree Arc Intracorneal Ring Segments",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "To assess the visual and refractive out come of using two 90 degree arc intracorneal ring segments (ICRS) in cases with crab claw topographic pattern which indicate the patients have corneal ectasia which may be pellucid marginal degeneration (PMD) or pellucid like keratoconus (PLK)",
        "Setting": "the memorial institute for ophthalmic research",
        "Methods": "Prospective interventional study of (17) eyes of 9 patients with crab claw topographic pattern either PLK or PMD that need ICRs .\n\nInclusion Criteria: patients with crab claw topographic pattern, no previous corneal surgery, high cylinder that need ICRS for correction.\n\nExclusion Criteria: Patients with central corneal opacity, very thin cornea less than 400um and previous ocular surgery were excluded.\n\nPreoperative evaluation included detailed ocular history, full ophthalmic examination including: uncorrected VA(UCVA), manifest refraction, best spectacle-corrected VA (BSCVA) and Pentacam.\n\nThe femtosecond laser was used in all cases for tunnel and incisions creation. Implantation of the ICRS was carried out under full aseptic technique.",
        "Results": "The study evaluated 17 eyes of 9 patients (7 males and 2 females) with a mean age of 24.41 ± 7.11 years and ranged from 22 to 29 years.\n\nThe mean duration of follow-up was 12 months and ranged from 6 to 18 months.\n\nRegarding visual outcome, the mean UCVA improved significantly from (0.12 +/- 0.09) to (0.86 +/-0.16) postoperatively (P < 0.001).\n\nThe UCVA improved in all eyes (100%). The mean BCVA in LogMAR improved significantly from (0.31 +/- 0.18) to (0.91 +/- 0.11) postoperatively (P < 0.001).\n\nThe mean cylinder was (-8.00 +/- 1.30) preoperatively that improved to (-1.50 +/- 1.00) at the end of the follow-up (P < 0.001) while the mean sphere improved non-significantly from (+2.00 +/- 1.00) to (+2.50 +/- 1.00) postoperatively",
        "Conclusions": "We concluded that two 90-degree arc ICRS implantation is a safe and efficient surgical option in the management of patients with crab claw topographic pattern which was either PMD or PLK with a good visual and refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "POCOR344",
      "abstract_number": "POCOR344",
      "title": "Risk Velocity Of An Ai-Driven Predictive Graft Score As An Early Biomarker Of Stromal Rejection After Dalk",
      "authors": "Dr Hatem Ali Elsersawy",
      "presenter": "Dr Hatem Ali Elsersawy",
      "normalized_authors": [
        "Hatem Ali Elsersawy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hatem Ali Elsersawy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the diagnostic utility of \"Risk Velocity\"—the longitudinal rate of change in an Agentic AI-calculated Predictive Graft Rejection (PGR) score—as a sub-clinical biomarker. The goal was to determine if automated monitoring can identify immunologic destabilization before structural damage is visible on slit-lamp examination in DALK eyes.",
        "Setting": "Hazem Yassin Eye Clinics (Tertiary Corneal Referral Center), Cairo, Egypt.",
        "Methods": "A longitudinal cohort study was conducted on DALK eyes (20 rejection cases vs. stable grafts).\nAn Agentic AI system performed automated multi-modal extraction of 22 clinical variables (e.g., suture tension, pachy-kinetics, epithelial integrity) to generate a deterministic PGR score (Scale 0–20) at every visit.\n\"Risk Velocity\" was defined as the weekly rate of score change.\nPerformance was analyzed using Receiver Operating Characteristic (ROC) curves to compare the predictive accuracy of static time-point scores versus dynamic velocity trends.",
        "Results": "Twenty rejection events were analyzed. In the rejection cohort, the PGR score exhibited a significant upward acceleration starting a mean of 5.2 weeks (95% CI: 4.1–6.3 weeks) before clinical confirmation of stromal edema or a Khodadoust line. The Area Under the Curve (AUC) for \"Risk Velocity\" was 0.92, significantly outperforming static visit-specific assessments (AUC 0.74, \\bm{p < 0.001}). A rapid velocity increase was detectable at least 4 weeks prior to clinical symptoms in 90% of rejection cases, while stable grafts maintained a baseline velocity near zero.",
        "Conclusions": "The Risk Velocity of an AI-driven predictive graft score serves as a sensitive early biomarker of immunologic destabilization after DALK. Shifting from static, single time-point assessments to monitoring longitudinal trends provides a critical window for early intervention. This proactive approach enables timely therapeutic adjustments and enhanced graft surveillance, potentially preventing irreversible structural damage and improving long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Risk Velocity of an AI-driven predictive graft score serves as a sensitive early biomarker of immunologic destabilization after DALK. Shifting from static, single time-point assessments to monitoring longitudinal trends provides a critical window for early intervention. This proactive approach enables timely therapeutic adjustments and enhanced graft surveillance, potentially preventing irreversible structural…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1031,
      "source_fields": {
        "Abstract Final Identifier": "POCOR344",
        "Title": "Risk Velocity Of An Ai-Driven Predictive Graft Score As An Early Biomarker Of Stromal Rejection After Dalk",
        "Presenting Author(s)": "Dr Hatem Ali Elsersawy",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hatem",
        "Submitter Middle Name": "Ali",
        "Submitter Last Name": "Elsersawy",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the diagnostic utility of \"Risk Velocity\"—the longitudinal rate of change in an Agentic AI-calculated Predictive Graft Rejection (PGR) score—as a sub-clinical biomarker. The goal was to determine if automated monitoring can identify immunologic destabilization before structural damage is visible on slit-lamp examination in DALK eyes.",
        "Setting": "Hazem Yassin Eye Clinics (Tertiary Corneal Referral Center), Cairo, Egypt.",
        "Methods": "A longitudinal cohort study was conducted on DALK eyes (20 rejection cases vs. stable grafts).\nAn Agentic AI system performed automated multi-modal extraction of 22 clinical variables (e.g., suture tension, pachy-kinetics, epithelial integrity) to generate a deterministic PGR score (Scale 0–20) at every visit.\n\"Risk Velocity\" was defined as the weekly rate of score change.\nPerformance was analyzed using Receiver Operating Characteristic (ROC) curves to compare the predictive accuracy of static time-point scores versus dynamic velocity trends.",
        "Results": "Twenty rejection events were analyzed. In the rejection cohort, the PGR score exhibited a significant upward acceleration starting a mean of 5.2 weeks (95% CI: 4.1–6.3 weeks) before clinical confirmation of stromal edema or a Khodadoust line. The Area Under the Curve (AUC) for \"Risk Velocity\" was 0.92, significantly outperforming static visit-specific assessments (AUC 0.74, \\bm{p < 0.001}). A rapid velocity increase was detectable at least 4 weeks prior to clinical symptoms in 90% of rejection cases, while stable grafts maintained a baseline velocity near zero.",
        "Conclusions": "The Risk Velocity of an AI-driven predictive graft score serves as a sensitive early biomarker of immunologic destabilization after DALK. Shifting from static, single time-point assessments to monitoring longitudinal trends provides a critical window for early intervention. This proactive approach enables timely therapeutic adjustments and enhanced graft surveillance, potentially preventing irreversible structural damage and improving long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POCOR345",
      "abstract_number": "POCOR345",
      "title": "Development And Validation Of A Surgical Urgency Index (Sui) For Keratoconus:\n\nAn Ai Model Predicting Failure Of Corneal Cross-Linking And Progression To Keratoplasty",
      "authors": "Dr Hatem Ali Elsersawy",
      "presenter": "Dr Hatem Ali Elsersawy",
      "normalized_authors": [
        "Hatem Ali Elsersawy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hatem Ali Elsersawy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To develop and validate a deep learning–based Surgical Urgency Index (SUI) capable of identifying keratoconus patients at high risk of requiring lamellar keratoplasty (DALK/PKP) despite or in lieu of corneal cross-linking (CXL), thereby defining a biometric “Point of No Return” beyond which CXL is unlikely to prevent surgical intervention.",
        "Setting": "Multi-center longitudinal data repository (AEYE Project extension) .",
        "Methods": "A deep learning model was trained on a large multi-center electronic medical record dataset including ≥3 years of longitudinal corneal tomography (Pentacam/Sirius) and epithelial thickness mapping. The primary endpoint was progression to lamellar keratoplasty within 24 months.\n\nInput variables included:\n\n• Anterior and posterior elevation metrics\n\n• Pachymetric progression indices\n\n• Epithelial remodeling patterns\n\n• Rate of change in tomographic parameters\n\n• Demographic and baseline clinical features\n\nModel performance was evaluated using AUROC, sensitivity, specificity, and calibration metrics.",
        "Results": "The SUI achieved an AUROC of 0.89 (primary analysis; final validation cohort results TBD) for predicting progression to lamellar keratoplasty within 24 months.\n\nKey predictive features identified by the model included:\n\n• Focal epithelial thinning over the cone apex with compensatory annular epithelial thickening\n\n• Accelerated rate of posterior elevation increase\n\n• Nonlinear pachymetric progression kinetics\n\nPosterior elevation velocity and epithelial remodeling parameters demonstrated superior predictive performance compared with traditional Kmax-based progression criteria alone.\n\nThe model identified a quantifiable instability threshold representing a high probability of CXL failure, effectively defining a biometric “Point of No Return.”",
        "Conclusions": "The Surgical Urgency Index shifts artificial intelligence from diagnostic screening toward predictive surgical decision support in keratoconus management. By stratifying patients based on individualized risk of progression to keratoplasty, the SUI enables:\n\n• Prioritization of high-risk patients for urgent intervention\n\n• Optimization of timing for CXL\n\n• Consideration of early DALK in cases with predicted low probability of CXL success\n\nThis approach supports precision-based surgical planning and may reduce delayed keratoplasty in rapidly progressive keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Surgical Urgency Index shifts artificial intelligence from diagnostic screening toward predictive surgical decision support in keratoconus management. By stratifying patients based on individualized risk of progression to keratoplasty, the SUI enables: • Prioritization of high-risk patients for urgent intervention • Optimization of timing for CXL • Consideration of early DALK in cases with predicted low…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1032,
      "source_fields": {
        "Abstract Final Identifier": "POCOR345",
        "Title": "Development And Validation Of A Surgical Urgency Index (Sui) For Keratoconus:\n\nAn Ai Model Predicting Failure Of Corneal Cross-Linking And Progression To Keratoplasty",
        "Presenting Author(s)": "Dr Hatem Ali Elsersawy",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hatem",
        "Submitter Middle Name": "Ali",
        "Submitter Last Name": "Elsersawy",
        "Country Name": "Egypt",
        "Purpose": "To develop and validate a deep learning–based Surgical Urgency Index (SUI) capable of identifying keratoconus patients at high risk of requiring lamellar keratoplasty (DALK/PKP) despite or in lieu of corneal cross-linking (CXL), thereby defining a biometric “Point of No Return” beyond which CXL is unlikely to prevent surgical intervention.",
        "Setting": "Multi-center longitudinal data repository (AEYE Project extension) .",
        "Methods": "A deep learning model was trained on a large multi-center electronic medical record dataset including ≥3 years of longitudinal corneal tomography (Pentacam/Sirius) and epithelial thickness mapping. The primary endpoint was progression to lamellar keratoplasty within 24 months.\n\nInput variables included:\n\n• Anterior and posterior elevation metrics\n\n• Pachymetric progression indices\n\n• Epithelial remodeling patterns\n\n• Rate of change in tomographic parameters\n\n• Demographic and baseline clinical features\n\nModel performance was evaluated using AUROC, sensitivity, specificity, and calibration metrics.",
        "Results": "The SUI achieved an AUROC of 0.89 (primary analysis; final validation cohort results TBD) for predicting progression to lamellar keratoplasty within 24 months.\n\nKey predictive features identified by the model included:\n\n• Focal epithelial thinning over the cone apex with compensatory annular epithelial thickening\n\n• Accelerated rate of posterior elevation increase\n\n• Nonlinear pachymetric progression kinetics\n\nPosterior elevation velocity and epithelial remodeling parameters demonstrated superior predictive performance compared with traditional Kmax-based progression criteria alone.\n\nThe model identified a quantifiable instability threshold representing a high probability of CXL failure, effectively defining a biometric “Point of No Return.”",
        "Conclusions": "The Surgical Urgency Index shifts artificial intelligence from diagnostic screening toward predictive surgical decision support in keratoconus management. By stratifying patients based on individualized risk of progression to keratoplasty, the SUI enables:\n\n• Prioritization of high-risk patients for urgent intervention\n\n• Optimization of timing for CXL\n\n• Consideration of early DALK in cases with predicted low probability of CXL success\n\nThis approach supports precision-based surgical planning and may reduce delayed keratoplasty in rapidly progressive keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCOR346",
      "abstract_number": "POCOR346",
      "title": "Corneal Topographic And Aberrometric Outcomes Before And After Keratoplasty In Pediatric Keratoconus: A Long-Term Follow-Up Study",
      "authors": "Dr Çisil Erkan Pota",
      "presenter": "Dr Çisil Erkan Pota",
      "normalized_authors": [
        "Çisil Erkan Pota"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Çisil Erkan Pota",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate corneal topography and aberrometry results in the long-term follow-up of pediatric patients who underwent keratoplasty (KP) due to keratoconus (KC), and to compare preoperative and postoperative findings.",
        "Setting": "The medical records of pediatric patients who underwent KP for KC between 2004 and 2023 at the Akdeniz University Department of Ophthalmology were reviewed.",
        "Methods": "Best-corrected visual acuity (BCVA), age, sex, graft survival, and corneal topography parameters measured by Pentacam (Oculus Optikgeräte GmbH, Wetzlar, Germany) including keratometry values, central corneal thickness (CCT), thinnest corneal thickness (TCT), and corneal aberrometry measurements were evaluated at the last follow-up visit. Preoperative and postoperative aberrometry values were compared. A total of 48 eyes that had completed suture removal and had at least 2 years of follow-up after KP were included in the study.",
        "Results": "The mean age of the patients was 15.45 ± 1.8 years(11–18).Postoperative glaucoma was observed in 5 patients(10.41%),and graft rejection occurred in 1 patient (2%).The mean trephine size was 7.55±0.1 mm,and the mean donor punch size was 7.82±0.14 mm.The mean preoperative BCVA was 0.94 ± 0.46 logMAR, which improved to 0.28 ± 0.3 logMAR postoperatively. The mean follow-up duration was 100 ± 36 months.Preoperative keratometry(K)1 was 56.9 D and decreased to 42.5 D postoperatively;preoperative K2 was 63.3 D and decreased to 49.1 D postoperatively.The mean K value decreased from 59.9 D preoperatively to 45.6 D postoperatively.The mean CCT was 399 µm preoperatively,565 µm postoperatively, while TCT was 348 µm preoperatively,542µm postoperatively.",
        "Conclusions": "There was a statistically significant decrease in total, lower-order,higher-order aberrations, and spherical aberration postoperatively (p<0.05). However, no significant difference was observed in trefoil and coma aberrations (p>0.05).No statistically significant differences were found between patients who underwent deep anterior lamellar keratoplasty and penetrating KP in terms of keratometry,aberrometry values,or BCVA. KP in pediatric keratoconus patients is a challenging procedure due to the risk of graft rejection and the possibility of amblyopia. In our study, both the improvement in visual acuity and the reduction in aberrations following KP suggest a significant enhancement in optical quality in pediatric KC patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "There was a statistically significant decrease in total, lower-order,higher-order aberrations, and spherical aberration postoperatively (p<0.05). However, no significant difference was observed in trefoil and coma aberrations (p>0.05).No statistically significant differences were found between patients who underwent deep anterior lamellar keratoplasty and penetrating KP in terms of keratometry,aberrometry values,or…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1033,
      "source_fields": {
        "Abstract Final Identifier": "POCOR346",
        "Title": "Corneal Topographic And Aberrometric Outcomes Before And After Keratoplasty In Pediatric Keratoconus: A Long-Term Follow-Up Study",
        "Presenting Author(s)": "Dr Çisil Erkan Pota",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Çisil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Erkan Pota",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate corneal topography and aberrometry results in the long-term follow-up of pediatric patients who underwent keratoplasty (KP) due to keratoconus (KC), and to compare preoperative and postoperative findings.",
        "Setting": "The medical records of pediatric patients who underwent KP for KC between 2004 and 2023 at the Akdeniz University Department of Ophthalmology were reviewed.",
        "Methods": "Best-corrected visual acuity (BCVA), age, sex, graft survival, and corneal topography parameters measured by Pentacam (Oculus Optikgeräte GmbH, Wetzlar, Germany) including keratometry values, central corneal thickness (CCT), thinnest corneal thickness (TCT), and corneal aberrometry measurements were evaluated at the last follow-up visit. Preoperative and postoperative aberrometry values were compared. A total of 48 eyes that had completed suture removal and had at least 2 years of follow-up after KP were included in the study.",
        "Results": "The mean age of the patients was 15.45 ± 1.8 years(11–18).Postoperative glaucoma was observed in 5 patients(10.41%),and graft rejection occurred in 1 patient (2%).The mean trephine size was 7.55±0.1 mm,and the mean donor punch size was 7.82±0.14 mm.The mean preoperative BCVA was 0.94 ± 0.46 logMAR, which improved to 0.28 ± 0.3 logMAR postoperatively. The mean follow-up duration was 100 ± 36 months.Preoperative keratometry(K)1 was 56.9 D and decreased to 42.5 D postoperatively;preoperative K2 was 63.3 D and decreased to 49.1 D postoperatively.The mean K value decreased from 59.9 D preoperatively to 45.6 D postoperatively.The mean CCT was 399 µm preoperatively,565 µm postoperatively, while TCT was 348 µm preoperatively,542µm postoperatively.",
        "Conclusions": "There was a statistically significant decrease in total, lower-order,higher-order aberrations, and spherical aberration postoperatively (p<0.05). However, no significant difference was observed in trefoil and coma aberrations (p>0.05).No statistically significant differences were found between patients who underwent deep anterior lamellar keratoplasty and penetrating KP in terms of keratometry,aberrometry values,or BCVA. KP in pediatric keratoconus patients is a challenging procedure due to the risk of graft rejection and the possibility of amblyopia. In our study, both the improvement in visual acuity and the reduction in aberrations following KP suggest a significant enhancement in optical quality in pediatric KC patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 373
    },
    {
      "uid": "POCOR347",
      "abstract_number": "POCOR347",
      "title": "Clinical Outcomes Of Corneal Allogenic Intrastromal Ring Segments (Cairs) In Patients With Keratoconus",
      "authors": "Mr Adam Ferguson",
      "presenter": "Mr Adam Ferguson",
      "normalized_authors": [
        "Adam Ferguson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adam Ferguson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and tomographic outcomes following implantation of Corneal Allogenic Intrastromal Ring Segments (CAIRS) in patients with keratoconus.",
        "Setting": "Department of Ophthalmology Hull Royal Infirmary, United Kingdom.",
        "Methods": "This retroprospective interventional case series included 9 eyes of 9 patients with progressive keratoconus. All eyes underwent femtosecond laser-assisted stromal channel creation followed by implantation of CAIRS. Preoperative and postoperative assessments included corrected distance visual acuity (CDVA), corneal topography (Kmax, astigmatism), and anterior segment OCT. Primary outcomes were changes in Kmax and CDVA.",
        "Results": "Nine patients were included. CDVA improved in 3/9 patients (mean gain 0.137 logMAR), worsened in 3/9 (mean loss 0.242 logMAR), and remained unchanged in 1/9. Postoperative CDVA was unavailable in 2/9 due to recent surgery. Subjectively, 3 patients reported visual improvement and 1 reported no change. Kmax decreased in 5/9 patients (mean reduction 4.45D) and increased in 2/9 (mean increase 22.02D). Astigmatism decreased in 5/9 (mean reduction 2.7D) and increased in 2/9 (mean increase 3.6D), demonstrating variable visual and topographic outcomes.",
        "Conclusions": "In this small cohort, the procedure demonstrated variable visual and topographic outcomes. While a proportion of patients experienced improvement in CDVA, Kmax, and astigmatism, others showed deterioration in these parameters. Overall, the findings suggest potential corneal flattening and astigmatic reduction in selected cases; however, the variability observed highlights the need for careful patient selection and close postoperative monitoring. Larger studies with longer follow-up are required to better define efficacy, stability, and safety outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this small cohort, the procedure demonstrated variable visual and topographic outcomes. While a proportion of patients experienced improvement in CDVA, Kmax, and astigmatism, others showed deterioration in these parameters. Overall, the findings suggest potential corneal flattening and astigmatic reduction in selected cases; however, the variability observed highlights the need for careful patient selection and…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1034,
      "source_fields": {
        "Abstract Final Identifier": "POCOR347",
        "Title": "Clinical Outcomes Of Corneal Allogenic Intrastromal Ring Segments (Cairs) In Patients With Keratoconus",
        "Presenting Author(s)": "Mr Adam Ferguson",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Adam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ferguson",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate visual, refractive, and tomographic outcomes following implantation of Corneal Allogenic Intrastromal Ring Segments (CAIRS) in patients with keratoconus.",
        "Setting": "Department of Ophthalmology Hull Royal Infirmary, United Kingdom.",
        "Methods": "This retroprospective interventional case series included 9 eyes of 9 patients with progressive keratoconus. All eyes underwent femtosecond laser-assisted stromal channel creation followed by implantation of CAIRS. Preoperative and postoperative assessments included corrected distance visual acuity (CDVA), corneal topography (Kmax, astigmatism), and anterior segment OCT. Primary outcomes were changes in Kmax and CDVA.",
        "Results": "Nine patients were included. CDVA improved in 3/9 patients (mean gain 0.137 logMAR), worsened in 3/9 (mean loss 0.242 logMAR), and remained unchanged in 1/9. Postoperative CDVA was unavailable in 2/9 due to recent surgery. Subjectively, 3 patients reported visual improvement and 1 reported no change. Kmax decreased in 5/9 patients (mean reduction 4.45D) and increased in 2/9 (mean increase 22.02D). Astigmatism decreased in 5/9 (mean reduction 2.7D) and increased in 2/9 (mean increase 3.6D), demonstrating variable visual and topographic outcomes.",
        "Conclusions": "In this small cohort, the procedure demonstrated variable visual and topographic outcomes. While a proportion of patients experienced improvement in CDVA, Kmax, and astigmatism, others showed deterioration in these parameters. Overall, the findings suggest potential corneal flattening and astigmatic reduction in selected cases; however, the variability observed highlights the need for careful patient selection and close postoperative monitoring. Larger studies with longer follow-up are required to better define efficacy, stability, and safety outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POCOR348",
      "abstract_number": "POCOR348",
      "title": "Total Visual Rehabilitation In Advanced Keratoconus: Sequential Topography-Guided Prk, Cxl, Phakic Iol, And Addon Iol Implantation",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To describe a staged multimodal approach for complete visual rehabilitation in a patient with advanced keratoconus and extreme myopia (−18.00 D) with preoperative best-corrected visual acuity (CDVA) of 20/100.",
        "Setting": "Eye clinic Svjetlost, Zagreb, Croatia",
        "Methods": "A bilateral advanced keratoconus patient with −18.00 D spherical equivalent and CDVA 20/100 underwent a structured, stepwise treatment strategy. First, limited topography-guided photorefractive keratectomy (PRK) was performed to reduce irregular astigmatism and partially decrease refractive error, immediately followed by corneal cross-linking (CXL) for biomechanical stabilization. After corneal stabilization, residual high myopia was corrected with intraocular lens (IOL) implantation. A secondary AddOn IOL was subsequently implanted to refine residual refractive error and optimize spherical and astigmatic outcomes. Serial follow-up included tomography, pachymetry monitoring, and endothelial cell assessment.",
        "Results": "Preoperatively, spherical equivalent was −18.00 D with CDVA of 20/100 in both eyes. Following completion of staged treatment and stabilization, the patient achieved bilateral uncorrected visual acuity (UCVA) of 20/25. Corneal tomography demonstrated structural stability without progression. Endothelial cell density remained within safe limits. No intraoperative or postoperative complications occurred. The patient reported significant functional improvement and independence from optical correction.",
        "Conclusions": "Advanced keratoconus with extreme myopia can be successfully rehabilitated using a structured corneal-to-lenticular strategy integrating PRK for corneal regularization, CXL for stabilization, and staged intraocular lens implantation for refractive correction. This case demonstrates that even severely myopic keratoconus patients with poor preoperative visual acuity may achieve high-quality uncorrected vision when biomechanical and optical components are sequentially addressed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Advanced keratoconus with extreme myopia can be successfully rehabilitated using a structured corneal-to-lenticular strategy integrating PRK for corneal regularization, CXL for stabilization, and staged intraocular lens implantation for refractive correction. This case demonstrates that even severely myopic keratoconus patients with poor preoperative visual acuity may achieve high-quality uncorrected vision when…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1035,
      "source_fields": {
        "Abstract Final Identifier": "POCOR348",
        "Title": "Total Visual Rehabilitation In Advanced Keratoconus: Sequential Topography-Guided Prk, Cxl, Phakic Iol, And Addon Iol Implantation",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To describe a staged multimodal approach for complete visual rehabilitation in a patient with advanced keratoconus and extreme myopia (−18.00 D) with preoperative best-corrected visual acuity (CDVA) of 20/100.",
        "Setting": "Eye clinic Svjetlost, Zagreb, Croatia",
        "Methods": "A bilateral advanced keratoconus patient with −18.00 D spherical equivalent and CDVA 20/100 underwent a structured, stepwise treatment strategy. First, limited topography-guided photorefractive keratectomy (PRK) was performed to reduce irregular astigmatism and partially decrease refractive error, immediately followed by corneal cross-linking (CXL) for biomechanical stabilization. After corneal stabilization, residual high myopia was corrected with intraocular lens (IOL) implantation. A secondary AddOn IOL was subsequently implanted to refine residual refractive error and optimize spherical and astigmatic outcomes. Serial follow-up included tomography, pachymetry monitoring, and endothelial cell assessment.",
        "Results": "Preoperatively, spherical equivalent was −18.00 D with CDVA of 20/100 in both eyes. Following completion of staged treatment and stabilization, the patient achieved bilateral uncorrected visual acuity (UCVA) of 20/25. Corneal tomography demonstrated structural stability without progression. Endothelial cell density remained within safe limits. No intraoperative or postoperative complications occurred. The patient reported significant functional improvement and independence from optical correction.",
        "Conclusions": "Advanced keratoconus with extreme myopia can be successfully rehabilitated using a structured corneal-to-lenticular strategy integrating PRK for corneal regularization, CXL for stabilization, and staged intraocular lens implantation for refractive correction. This case demonstrates that even severely myopic keratoconus patients with poor preoperative visual acuity may achieve high-quality uncorrected vision when biomechanical and optical components are sequentially addressed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "POCOR349",
      "abstract_number": "POCOR349",
      "title": "Importance Of Anterior Segment Oct In The Follow-Up Of Intrastromal Corneal Ring Segments: A Case Of Extrusion Following Anterior Uveitis",
      "authors": "Patricia García Carrero",
      "presenter": "Patricia García Carrero",
      "normalized_authors": [
        "Patricia García Carrero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Patricia García Carrero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report a rare postoperative complication following femtosecond laser–assisted implantation of an intrastromal corneal ring segment (ICRS) in a patient with keratoconus and thin cornea, and to highlight the role of anterior segment optical coherence tomography (AS-OCT) in the early detection of progressive ring superficialization preceding extrusion.",
        "Setting": "Anterior segment and cornea unit, Hospital Universitario 12 de Octubre (Madrid, Spain), a tertiary referral academic hospital.",
        "Methods": "Follow-up of a 27-year-old patient with bilateral grade 3–4 keratoconus and thin corneas who underwent uncomplicated femtosecond laser–assisted implantation of an intrastromal corneal ring segment (ICRS) Keraring in the left eye. Five months later, the same procedure was performed in the right eye. Postoperative monitoring included distance visual acuity, autorefraction, slit-lamp biomicroscopy, Scheimpflug corneal tomography (Pentacam) and anterior segment optical coherence tomography (AS-OCT).",
        "Results": "One week postoperatively, right eye AS-OCT showed stable ICRS depth (242 µm) and keratometry improved at one month. At 6 weeks, the patient developed acute anterior uveitis, treated with topical steroids and cycloplegics. One month later, uveitis recurred with a tunnel infiltrate. Despite intensive topical antibiotics and steroids, 72 hours later she presented tunnel fluorescein staining and severe anterior chamber inflammation. AS-OCT revealed a progressive ICRS superficialization of 100 µm. Due to clinical worsening, surgical explantation confirmed spontaneous superior ICRS extrusion. Microbiological cultures were negative.The patient remains stable under follow-up.",
        "Conclusions": "Extrusion of intrastromal corneal ring segments is uncommon with femtosecond technology. AS-OCT is an indispensable tool in postoperative surveillance, allowing objective monitoring of ring depth and early detection of anterior migration. Furthermore, episodes of anterior segment inflammation, such as uveitis, may act as precursors or indicators of stromal melting. In these cases, AS-OCT is crucial to guide timely clinical management before frank extrusion occurs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Extrusion of intrastromal corneal ring segments is uncommon with femtosecond technology. AS-OCT is an indispensable tool in postoperative surveillance, allowing objective monitoring of ring depth and early detection of anterior migration. Furthermore, episodes of anterior segment inflammation, such as uveitis, may act as precursors or indicators of stromal melting. In these cases, AS-OCT is crucial to guide timely…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1036,
      "source_fields": {
        "Abstract Final Identifier": "POCOR349",
        "Title": "Importance Of Anterior Segment Oct In The Follow-Up Of Intrastromal Corneal Ring Segments: A Case Of Extrusion Following Anterior Uveitis",
        "Presenting Author(s)": "Patricia García Carrero",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Patricia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "García Carrero",
        "Country Name": "Spain",
        "Purpose": "To report a rare postoperative complication following femtosecond laser–assisted implantation of an intrastromal corneal ring segment (ICRS) in a patient with keratoconus and thin cornea, and to highlight the role of anterior segment optical coherence tomography (AS-OCT) in the early detection of progressive ring superficialization preceding extrusion.",
        "Setting": "Anterior segment and cornea unit, Hospital Universitario 12 de Octubre (Madrid, Spain), a tertiary referral academic hospital.",
        "Methods": "Follow-up of a 27-year-old patient with bilateral grade 3–4 keratoconus and thin corneas who underwent uncomplicated femtosecond laser–assisted implantation of an intrastromal corneal ring segment (ICRS) Keraring in the left eye. Five months later, the same procedure was performed in the right eye. Postoperative monitoring included distance visual acuity, autorefraction, slit-lamp biomicroscopy, Scheimpflug corneal tomography (Pentacam) and anterior segment optical coherence tomography (AS-OCT).",
        "Results": "One week postoperatively, right eye AS-OCT showed stable ICRS depth (242 µm) and keratometry improved at one month. At 6 weeks, the patient developed acute anterior uveitis, treated with topical steroids and cycloplegics. One month later, uveitis recurred with a tunnel infiltrate. Despite intensive topical antibiotics and steroids, 72 hours later she presented tunnel fluorescein staining and severe anterior chamber inflammation. AS-OCT revealed a progressive ICRS superficialization of 100 µm. Due to clinical worsening, surgical explantation confirmed spontaneous superior ICRS extrusion. Microbiological cultures were negative.The patient remains stable under follow-up.",
        "Conclusions": "Extrusion of intrastromal corneal ring segments is uncommon with femtosecond technology. AS-OCT is an indispensable tool in postoperative surveillance, allowing objective monitoring of ring depth and early detection of anterior migration. Furthermore, episodes of anterior segment inflammation, such as uveitis, may act as precursors or indicators of stromal melting. In these cases, AS-OCT is crucial to guide timely clinical management before frank extrusion occurs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCOR350",
      "abstract_number": "POCOR350",
      "title": "Pseudo-Lenticonus Sign In Keratoconus: A Diagnostic Pitfall",
      "authors": "Dr Tapashree Ghosh",
      "presenter": "Dr Tapashree Ghosh",
      "normalized_authors": [
        "Tapashree Ghosh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tapashree Ghosh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Posterior lenticonus is traditionally regarded as a primary lenticular pathology diagnosed on slit-lamp biomicroscopy. However, in advanced keratoconus, severe corneal ectasia generates profound optical aberrations that convincingly simulate this sign, suggesting that pseudo-lenticonus may itself serve as a novel clinical hallmark of advanced ectasia. General ophthalmologists may misdiagnosis & unnecessary surgical intervention can be carried out without further imaging. This study aims to establish pseudo-lenticonus as a potential indicator of advanced disease and demonstrate how AS-OCT, offers a high-resolution imaging independent of corneal distortion, serves as a tool in confirming this distinctive association.",
        "Setting": "This study was conducted over a period of 30 days at Dr. RP Centre for Ophthalmic Sciences, New Delhi. Ten patients referred with a provisional diagnosis of posterior lenticonus underwent detailed slit-lamp biomicroscopy followed by AS-OCT imaging to objectively evaluate the posterior lens contour and accurately differentiate true lenticonus from pseudo-lenticonus secondary to advanced keratoconus.",
        "Methods": "This observational study enrolled 10 advanced keratoconus patients over 35 days at Dr. RP Centre for Ophthalmic Sciences, New Delhi. Each patient underwent assessment of uncorrected and best corrected visual acuity using LogMAR notation. Scheimpflug imaging with Pentacam HR (Oculus) was performed to obtain corneal topographic parameters including K1, K2, Kmax, central corneal thickness, anterior and posterior elevation maps, confirming disease severity. AS-OCT (TOMEY Cornea, Casia 2) was subsequently performed to directly image the posterior lens contour and objectively measure anterior curvature, posterior curvature, and lens thickness, enabling accurate differentiation of true posterior lenticonus from pseudo-lenticonus.",
        "Results": "A study of 10 advanced keratoconus patients with a mean age of 28.55 ± 6.37 years was conducted over 35 days. Mean uncorrected visual acuity was LogMAR 1.36± 0.33 and best corrected visual acuity was LogMAR 1.32± 0.04, reflecting significant visual compromise. Pentacam imaging revealed severely ectatic corneas with mean K1 of 60.24 ± 4.05 D, K2 of 80.72 ± 4.18 D, and Kmax of 93.44 ± 3.24 D, confirming advanced disease. Mean central corneal thickness was markedly reduced at 408 ± 4.58 µm. AS-OCT evaluation demonstrated a mean anterior corneal curvature of 9.71 ± 0.22 mm, posterior curvature of 6.25 ± 0.26 mm, and lens thickness of 3.53 ± 0.04 mm, with no evidence of true posterior lenticonus in any case.",
        "Conclusions": "Advanced keratoconus can produce a convincing pseudo-lenticonus sign on slit-lamp examination & we propose that this finding may in fact serve as a novel clinical indicator of advanced corneal ectasia. Rather than representing true lenticular pathology, this deceptive optical phenomenon is generated by extreme corneal curvature and profound aberrations inherent to advanced disease. AS-OCT plays a pivotal role in confirming the absence of true posterior lenticonus by objectively imaging the posterior lens contour independent of corneal distortion. Recognizing pseudo-lenticonus as a potential hallmark sign of advanced keratoconus can aid in earlier disease recognition, preventing misdiagnosis and avoiding unnecessary surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Advanced keratoconus can produce a convincing pseudo-lenticonus sign on slit-lamp examination & we propose that this finding may in fact serve as a novel clinical indicator of advanced corneal ectasia. Rather than representing true lenticular pathology, this deceptive optical phenomenon is generated by extreme corneal curvature and profound aberrations inherent to advanced disease. AS-OCT plays a pivotal role in…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1037,
      "source_fields": {
        "Abstract Final Identifier": "POCOR350",
        "Title": "Pseudo-Lenticonus Sign In Keratoconus: A Diagnostic Pitfall",
        "Presenting Author(s)": "Dr Tapashree Ghosh",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Tapashree",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghosh",
        "Country Name": "India",
        "Purpose": "Posterior lenticonus is traditionally regarded as a primary lenticular pathology diagnosed on slit-lamp biomicroscopy. However, in advanced keratoconus, severe corneal ectasia generates profound optical aberrations that convincingly simulate this sign, suggesting that pseudo-lenticonus may itself serve as a novel clinical hallmark of advanced ectasia. General ophthalmologists may misdiagnosis & unnecessary surgical intervention can be carried out without further imaging. This study aims to establish pseudo-lenticonus as a potential indicator of advanced disease and demonstrate how AS-OCT, offers a high-resolution imaging independent of corneal distortion, serves as a tool in confirming this distinctive association.",
        "Setting": "This study was conducted over a period of 30 days at Dr. RP Centre for Ophthalmic Sciences, New Delhi. Ten patients referred with a provisional diagnosis of posterior lenticonus underwent detailed slit-lamp biomicroscopy followed by AS-OCT imaging to objectively evaluate the posterior lens contour and accurately differentiate true lenticonus from pseudo-lenticonus secondary to advanced keratoconus.",
        "Methods": "This observational study enrolled 10 advanced keratoconus patients over 35 days at Dr. RP Centre for Ophthalmic Sciences, New Delhi. Each patient underwent assessment of uncorrected and best corrected visual acuity using LogMAR notation. Scheimpflug imaging with Pentacam HR (Oculus) was performed to obtain corneal topographic parameters including K1, K2, Kmax, central corneal thickness, anterior and posterior elevation maps, confirming disease severity. AS-OCT (TOMEY Cornea, Casia 2) was subsequently performed to directly image the posterior lens contour and objectively measure anterior curvature, posterior curvature, and lens thickness, enabling accurate differentiation of true posterior lenticonus from pseudo-lenticonus.",
        "Results": "A study of 10 advanced keratoconus patients with a mean age of 28.55 ± 6.37 years was conducted over 35 days. Mean uncorrected visual acuity was LogMAR 1.36± 0.33 and best corrected visual acuity was LogMAR 1.32± 0.04, reflecting significant visual compromise. Pentacam imaging revealed severely ectatic corneas with mean K1 of 60.24 ± 4.05 D, K2 of 80.72 ± 4.18 D, and Kmax of 93.44 ± 3.24 D, confirming advanced disease. Mean central corneal thickness was markedly reduced at 408 ± 4.58 µm. AS-OCT evaluation demonstrated a mean anterior corneal curvature of 9.71 ± 0.22 mm, posterior curvature of 6.25 ± 0.26 mm, and lens thickness of 3.53 ± 0.04 mm, with no evidence of true posterior lenticonus in any case.",
        "Conclusions": "Advanced keratoconus can produce a convincing pseudo-lenticonus sign on slit-lamp examination & we propose that this finding may in fact serve as a novel clinical indicator of advanced corneal ectasia. Rather than representing true lenticular pathology, this deceptive optical phenomenon is generated by extreme corneal curvature and profound aberrations inherent to advanced disease. AS-OCT plays a pivotal role in confirming the absence of true posterior lenticonus by objectively imaging the posterior lens contour independent of corneal distortion. Recognizing pseudo-lenticonus as a potential hallmark sign of advanced keratoconus can aid in earlier disease recognition, preventing misdiagnosis and avoiding unnecessary surgical intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 475
    },
    {
      "uid": "POCOR351",
      "abstract_number": "POCOR351",
      "title": "Successful Management Of Acute Corneal Hydrops In Children With Intracameral C3f8 Injection A Case Series",
      "authors": "Dr Fernando Augusto Godin Estrada",
      "presenter": "Dr Fernando Augusto Godin Estrada",
      "normalized_authors": [
        "Fernando Augusto Godin Estrada"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fernando Augusto Godin Estrada",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "Hydrops in pediatric patients with keratoconus using intracameral perfluoropropane C3F8 gas injection. Acute corneal hydrops is a severe complication of advanced corneal ectasia characterized by a spontaneous rupture of Descemet’s membrane, which allows aqueous humor to enter the corneal stroma. In the pediatric population, this condition is particularly concerning due to the heightened risk of amblyopia and permanent visual impairment. This case series aims to highlight the potential of this minimally invasive approach as a safe and effective therapeutic option to promote rapid resolution and favorable anatomic outcomes.",
        "Setting": "The clinical cases and surgical procedures described in this report were managed at the Clínica Oftalmológica Colsubsidio in Bogotá, D.C., Colombia.",
        "Methods": "This case series describes three pediatric patients presenting with acute ocular pain, photophobia, and decreased vision. The cohort included two males (9 and 15 years) and one female (17 years) with known keratoconus and a history of frequent eye rubbing. Diagnosis was confirmed via slit-lamp exam and anterior segment optical coherence tomography (AS-OCT), which identified stromal edema, corneal thinning, and Descemet’s membrane rupture. Each patient underwent urgent intracameral injection of 30% C3F8 gas. Postoperatively, pharmacologic mydriasis was induced to prevent pupillary block, and patients maintained a strict supine position to facilitate membrane reattachment",
        "Results": "All patients showed significant anatomical and symptomatic improvement within one month. Follow-up AS-OCT confirmed near-complete reattachment of Descemet’s membrane and a significant reduction in corneal edema. The 9-year-old male achieved successful recovery despite high initial perforation risk. The 15-year-old male demonstrated improved corneal clarity and favorable anatomical outcomes. The 17-year-old female, initially presenting with light perception, showed gradual visual improvement and corneal stabilization. No intraoperative or postoperative complications, such as pupillary block, inflammation, or elevated intraocular pressure, were observed in any case.",
        "Conclusions": "Intracameral injection of C3F8 gas appears to be a safe and effective treatment for acute corneal hydrops in pediatric patients, promoting more rapid resolution than traditional conservative management. By providing a sustained mechanical tamponade, the gas accelerates the reattachment of Descemet’s membrane and minimizes stromal scarring. This early surgical intervention is critical in children to preserve visual development, reduce the risk of amblyopia, and avoid the need for urgent, high-risk keratoplasty. Ultimately, this approach preserves the structural integrity of the cornea and serves as a bridge to future stabilization therapies such as corneal cross-linking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intracameral injection of C3F8 gas appears to be a safe and effective treatment for acute corneal hydrops in pediatric patients, promoting more rapid resolution than traditional conservative management. By providing a sustained mechanical tamponade, the gas accelerates the reattachment of Descemet’s membrane and minimizes stromal scarring. This early surgical intervention is critical in children to preserve visual…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1038,
      "source_fields": {
        "Abstract Final Identifier": "POCOR351",
        "Title": "Successful Management Of Acute Corneal Hydrops In Children With Intracameral C3f8 Injection A Case Series",
        "Presenting Author(s)": "Dr Fernando Augusto Godin Estrada",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Fernando Augusto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Godin Estrada",
        "Country Name": "Colombia",
        "Purpose": "Hydrops in pediatric patients with keratoconus using intracameral perfluoropropane C3F8 gas injection. Acute corneal hydrops is a severe complication of advanced corneal ectasia characterized by a spontaneous rupture of Descemet’s membrane, which allows aqueous humor to enter the corneal stroma. In the pediatric population, this condition is particularly concerning due to the heightened risk of amblyopia and permanent visual impairment. This case series aims to highlight the potential of this minimally invasive approach as a safe and effective therapeutic option to promote rapid resolution and favorable anatomic outcomes.",
        "Setting": "The clinical cases and surgical procedures described in this report were managed at the Clínica Oftalmológica Colsubsidio in Bogotá, D.C., Colombia.",
        "Methods": "This case series describes three pediatric patients presenting with acute ocular pain, photophobia, and decreased vision. The cohort included two males (9 and 15 years) and one female (17 years) with known keratoconus and a history of frequent eye rubbing. Diagnosis was confirmed via slit-lamp exam and anterior segment optical coherence tomography (AS-OCT), which identified stromal edema, corneal thinning, and Descemet’s membrane rupture. Each patient underwent urgent intracameral injection of 30% C3F8 gas. Postoperatively, pharmacologic mydriasis was induced to prevent pupillary block, and patients maintained a strict supine position to facilitate membrane reattachment",
        "Results": "All patients showed significant anatomical and symptomatic improvement within one month. Follow-up AS-OCT confirmed near-complete reattachment of Descemet’s membrane and a significant reduction in corneal edema. The 9-year-old male achieved successful recovery despite high initial perforation risk. The 15-year-old male demonstrated improved corneal clarity and favorable anatomical outcomes. The 17-year-old female, initially presenting with light perception, showed gradual visual improvement and corneal stabilization. No intraoperative or postoperative complications, such as pupillary block, inflammation, or elevated intraocular pressure, were observed in any case.",
        "Conclusions": "Intracameral injection of C3F8 gas appears to be a safe and effective treatment for acute corneal hydrops in pediatric patients, promoting more rapid resolution than traditional conservative management. By providing a sustained mechanical tamponade, the gas accelerates the reattachment of Descemet’s membrane and minimizes stromal scarring. This early surgical intervention is critical in children to preserve visual development, reduce the risk of amblyopia, and avoid the need for urgent, high-risk keratoplasty. Ultimately, this approach preserves the structural integrity of the cornea and serves as a bridge to future stabilization therapies such as corneal cross-linking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "POCOR352",
      "abstract_number": "POCOR352",
      "title": "Longitudinal Analysis Of Epithelial Thickness Parameters Measured By Optical Coherence Tomography In Patients With Progressive And Stable Keratoconus",
      "authors": "Mr Vanja Godjevac",
      "presenter": "Mr Vanja Godjevac",
      "normalized_authors": [
        "Vanja Godjevac"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vanja Godjevac",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Measurement of epithelial thickness has gained increasing importance in the diagnosis of keratoconus, particularly in the early detection of subclinical forms of the disease. However, it remains unclear if the epithelial parameters are suited to assess disease progression. The aim of this study was to compare the epithelial parameters measured by optical coherence tomography in two consecutive measurements, in eyes of patients with progressive and stable keratoconus.",
        "Setting": "Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Department of Ophthalmology, Dresden, Germany",
        "Methods": "This monocentric longitudinal study included 24 eyes of 24 patients with progressive keratoconus and 25 eyes of 25 patients with stable keratoconus. Epithelial thickness was measured using anterior segment optical coherence tomography (Anterion, Heidelberg Engineering), epithelial thickness maps were divided into 41 zones and inter-zonal epithelial thickness differences were calculated, as well as the standard deviation of mean epithelial thickness across all zones. Two measurements were obtained with a minimum interval of 12 months. Changes of epithelial parameters between the first and second measurements were analyzed using Wilcoxon test; a p-value < 0.05 was considered statistically significant.",
        "Results": "The mean (±SD) baseline Kmax was 57.34 D and 50.79 D, mean change in Kmax was 2.04 ± 1.60 D and −0.29 ± 0.41 D, mean minimum pachymetry at baseline was 452 ± 43.74 µm and 483 ± 38,97 µm with mean changes of −6.58 ± 7.81 µm and −1.64 ± 3.54 µm in the progressive and stable groups, respectively. The standard deviation of mean epithelial thickness at baseline was 5.98 ± 1,53 µm in the progressive group and 4.37 ± 1,82 µm in the stable group, with corresponding mean changes of 1.31 ± 4.09 µm (p<0.01) and 0.17 ± 0.41 µm (p>0.05). No statistically significant differences were observed in inter-zonal epithelial thickness between the first and second measurements in either the progressive or stable groups (p>0.05).",
        "Conclusions": "The initial results of this ongoing study indicate increasing standard deviation of mean epithelial thickness in progressive keratoconus, while statistically significant changes were not observed for the other tested epithelial parameters. A larger sample size is required to determine whether epithelial thickness parameters may serve as reliable indicators of keratoconus progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The initial results of this ongoing study indicate increasing standard deviation of mean epithelial thickness in progressive keratoconus, while statistically significant changes were not observed for the other tested epithelial parameters. A larger sample size is required to determine whether epithelial thickness parameters may serve as reliable indicators of keratoconus progression.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1039,
      "source_fields": {
        "Abstract Final Identifier": "POCOR352",
        "Title": "Longitudinal Analysis Of Epithelial Thickness Parameters Measured By Optical Coherence Tomography In Patients With Progressive And Stable Keratoconus",
        "Presenting Author(s)": "Mr Vanja Godjevac",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Vanja",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Godjevac",
        "Country Name": "Germany",
        "Purpose": "Measurement of epithelial thickness has gained increasing importance in the diagnosis of keratoconus, particularly in the early detection of subclinical forms of the disease. However, it remains unclear if the epithelial parameters are suited to assess disease progression. The aim of this study was to compare the epithelial parameters measured by optical coherence tomography in two consecutive measurements, in eyes of patients with progressive and stable keratoconus.",
        "Setting": "Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Department of Ophthalmology, Dresden, Germany",
        "Methods": "This monocentric longitudinal study included 24 eyes of 24 patients with progressive keratoconus and 25 eyes of 25 patients with stable keratoconus. Epithelial thickness was measured using anterior segment optical coherence tomography (Anterion, Heidelberg Engineering), epithelial thickness maps were divided into 41 zones and inter-zonal epithelial thickness differences were calculated, as well as the standard deviation of mean epithelial thickness across all zones. Two measurements were obtained with a minimum interval of 12 months. Changes of epithelial parameters between the first and second measurements were analyzed using Wilcoxon test; a p-value < 0.05 was considered statistically significant.",
        "Results": "The mean (±SD) baseline Kmax was 57.34 D and 50.79 D, mean change in Kmax was 2.04 ± 1.60 D and −0.29 ± 0.41 D, mean minimum pachymetry at baseline was 452 ± 43.74 µm and 483 ± 38,97 µm with mean changes of −6.58 ± 7.81 µm and −1.64 ± 3.54 µm in the progressive and stable groups, respectively. The standard deviation of mean epithelial thickness at baseline was 5.98 ± 1,53 µm in the progressive group and 4.37 ± 1,82 µm in the stable group, with corresponding mean changes of 1.31 ± 4.09 µm (p<0.01) and 0.17 ± 0.41 µm (p>0.05). No statistically significant differences were observed in inter-zonal epithelial thickness between the first and second measurements in either the progressive or stable groups (p>0.05).",
        "Conclusions": "The initial results of this ongoing study indicate increasing standard deviation of mean epithelial thickness in progressive keratoconus, while statistically significant changes were not observed for the other tested epithelial parameters. A larger sample size is required to determine whether epithelial thickness parameters may serve as reliable indicators of keratoconus progression."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "POCOR353",
      "abstract_number": "POCOR353",
      "title": "Allogenic Intrastromal Ring Segments (Cairs) In Pediatric Keratoconus : Safety And Visual Outcomes",
      "authors": "Dr Carlos H. Gordillo",
      "presenter": "Dr Carlos H. Gordillo",
      "normalized_authors": [
        "Carlos H. Gordillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carlos H. Gordillo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate the safety, feasibility, and early clinical outcomes of allogenic intrastromal ring segments (CAIRS) implantation in pediatric keratoconus previously treated with corneal cross-linking (≥12 months prior), focusing on visual and refractive improvement, corneal regularization, and topographic stability.",
        "Setting": "Cornea Department, Zaldivar Institute, Mendoza, Argentina",
        "Methods": "A retrospective case series of pediatric keratoconus patients previously treated with corneal cross-linking at least 3 months before surgery was analyzed. All eyes underwent implantation of pre-cut CAIRS prepared from donor corneal tissue at the eye bank. Surgical planning was individualized for each case based on preoperative tomography, K values, pachymetric, and refractive data. Segment thickness, arc length, implantation axis, and stromal depth were customized accordingly. In all cases, intrastromal channels were created using a femtosecond laser platform, with depth and centration tailored to each cornea. Postoperative outcomes included UDVA, CDVA, pachymetry, topography , and intra- or postoperative complications.",
        "Results": "Seven pediatric keratoconus eyes (6 males, 1 female; 12–19 years) previously treated with corneal cross-linking were included. Mean preoperative Kmax was 56.4 D (51.6–64.9), decreasing to 51.4 D postoperatively, with reductions up to −9.4 D. Corrected visual acuity improved in all cases with tomographic regularization. Mean preoperative pachymetry was 445 ± 37 µm (398–503). All customized CAIRS implantations were performed using femtosecond-assisted tunnel creation under topical anesthesia with anesthesiologist-assisted sedation. No intra- or postoperative complications or explantations occurred.",
        "Conclusions": "Customized femtosecond assisted implantation of pre-cut allogenic intrastromal ring segments in pediatric keratoconus previously stabilized with cross-linking demonstrated significant corneal flattening in highly steep corneas, the technique shows safety and no complications were observed. The use of femtosecond guided, individualized planning supports the reproducibility of the technique in young patients. As an additive, tissue-based approach, this strategy may provide early visual rehabilitation in pediatric patients, with the potential to reduce amblyopia risk and delay or avoid the need for corneal transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Customized femtosecond assisted implantation of pre-cut allogenic intrastromal ring segments in pediatric keratoconus previously stabilized with cross-linking demonstrated significant corneal flattening in highly steep corneas, the technique shows safety and no complications were observed. The use of femtosecond guided, individualized planning supports the reproducibility of the technique in young patients. As an…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1040,
      "source_fields": {
        "Abstract Final Identifier": "POCOR353",
        "Title": "Allogenic Intrastromal Ring Segments (Cairs) In Pediatric Keratoconus : Safety And Visual Outcomes",
        "Presenting Author(s)": "Dr Carlos H. Gordillo",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Carlos",
        "Submitter Middle Name": "H.",
        "Submitter Last Name": "Gordillo",
        "Country Name": "Argentina",
        "Purpose": "To evaluate the safety, feasibility, and early clinical outcomes of allogenic intrastromal ring segments (CAIRS) implantation in pediatric keratoconus previously treated with corneal cross-linking (≥12 months prior), focusing on visual and refractive improvement, corneal regularization, and topographic stability.",
        "Setting": "Cornea Department, Zaldivar Institute, Mendoza, Argentina",
        "Methods": "A retrospective case series of pediatric keratoconus patients previously treated with corneal cross-linking at least 3 months before surgery was analyzed. All eyes underwent implantation of pre-cut CAIRS prepared from donor corneal tissue at the eye bank. Surgical planning was individualized for each case based on preoperative tomography, K values, pachymetric, and refractive data. Segment thickness, arc length, implantation axis, and stromal depth were customized accordingly. In all cases, intrastromal channels were created using a femtosecond laser platform, with depth and centration tailored to each cornea. Postoperative outcomes included UDVA, CDVA, pachymetry, topography , and intra- or postoperative complications.",
        "Results": "Seven pediatric keratoconus eyes (6 males, 1 female; 12–19 years) previously treated with corneal cross-linking were included. Mean preoperative Kmax was 56.4 D (51.6–64.9), decreasing to 51.4 D postoperatively, with reductions up to −9.4 D. Corrected visual acuity improved in all cases with tomographic regularization. Mean preoperative pachymetry was 445 ± 37 µm (398–503). All customized CAIRS implantations were performed using femtosecond-assisted tunnel creation under topical anesthesia with anesthesiologist-assisted sedation. No intra- or postoperative complications or explantations occurred.",
        "Conclusions": "Customized femtosecond assisted implantation of pre-cut allogenic intrastromal ring segments in pediatric keratoconus previously stabilized with cross-linking demonstrated significant corneal flattening in highly steep corneas, the technique shows safety and no complications were observed. The use of femtosecond guided, individualized planning supports the reproducibility of the technique in young patients. As an additive, tissue-based approach, this strategy may provide early visual rehabilitation in pediatric patients, with the potential to reduce amblyopia risk and delay or avoid the need for corneal transplantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCOR354",
      "abstract_number": "POCOR354",
      "title": "Bilateral Sequential Acute Corneal Hydrops Complicated With Unilateral Corneal Perforation",
      "authors": "Mrs Ana Gornik",
      "presenter": "Mrs Ana Gornik",
      "normalized_authors": [
        "Ana Gornik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Gornik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Slovenia",
      "sections": {
        "Purpose": "Review of current treatments of acute corneal hydrops in ectatic corneal disease and a case report of sequential acute billateral corneal hydrops complicated with corneal perforation.",
        "Setting": "University eye hospital, Ljubljana, Slovenia.",
        "Methods": "PubMed literature search and review of treatment of acute corneal hydrops in ectatic diseases.",
        "Results": "Conservative therapy as well as surgical therapy have been advised in acute corneal hydrops. Corneal compression suttures, intracameral gas injection, intracameral avtologous platelet- plasma injection and closure of defect with posterior corneal substitutes have been implemented. To date there is no difference in time to resolution of acute corneal hydrops between conservative and surgical approach.",
        "Conclusions": "Acute corneal hydrops is a rare occurrence in corneal ectatic disease and rarely complicated by corneal perforation. Conservative and surgical Management have shown similar outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Acute corneal hydrops is a rare occurrence in corneal ectatic disease and rarely complicated by corneal perforation. Conservative and surgical Management have shown similar outcomes.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1041,
      "source_fields": {
        "Abstract Final Identifier": "POCOR354",
        "Title": "Bilateral Sequential Acute Corneal Hydrops Complicated With Unilateral Corneal Perforation",
        "Presenting Author(s)": "Mrs Ana Gornik",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gornik",
        "Country Name": "Slovenia",
        "Purpose": "Review of current treatments of acute corneal hydrops in ectatic corneal disease and a case report of sequential acute billateral corneal hydrops complicated with corneal perforation.",
        "Setting": "University eye hospital, Ljubljana, Slovenia.",
        "Methods": "PubMed literature search and review of treatment of acute corneal hydrops in ectatic diseases.",
        "Results": "Conservative therapy as well as surgical therapy have been advised in acute corneal hydrops. Corneal compression suttures, intracameral gas injection, intracameral avtologous platelet- plasma injection and closure of defect with posterior corneal substitutes have been implemented. To date there is no difference in time to resolution of acute corneal hydrops between conservative and surgical approach.",
        "Conclusions": "Acute corneal hydrops is a rare occurrence in corneal ectatic disease and rarely complicated by corneal perforation. Conservative and surgical Management have shown similar outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 125
    },
    {
      "uid": "POCOR355",
      "abstract_number": "POCOR355",
      "title": "Corneal Biomechanics Screening Assessment In Keratoconus Detection Using Corvis St In Pediatric And Young Adult Population: A Prospective Cohort Study In Uzbekistan",
      "authors": "Mrs Nikki Leilah Hafezi",
      "presenter": "Mrs Nikki Leilah Hafezi",
      "normalized_authors": [
        "Nikki Leilah Hafezi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikki Leilah Hafezi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the diagnostic performance of corneal biomechanical parameters measured with Corvis ST (Oculus Optikgeräte, Wetzlar, Germany) for the detection of keratoconus in pediatric and young adult populations. Early identification of ectatic disease remains challenging, particularly in regions where advanced corneal tomography is not widely accessible. This study assesses whether biomechanical evaluation may serve as a feasible pre-screening strategy for early keratoconus detection in resource-limited settings where access to advanced corneal tomography may be limited.",
        "Setting": "Andijan State Medical University, Andijan, Uzbekistan. Prospective, single-center observational cohort study.",
        "Methods": "A total of 580 children and adolescents (<18 years) and 579 young adult medical students underwent corneal biomechanical assessment using the Corvis ST and corneal tomography using Pentacam HR (Oculus Optikgeräte, Wetzlar, Germany). Participants with prior corneal surgery were excluded. Biomechanical parameters were analyzed in relation to tomographic findings to assess their diagnostic utility for detecting keratoconus.",
        "Results": "Data collection has been completed, and statistical analysis is currently ongoing. Final numerical results will be presented.",
        "Conclusions": "This study should clarify the role of corneal biomechanical assessment in the detection of keratoconus and explore its potential as a prescreening strategy, particularly in resource-limited settings without access to corneal topography instrumentation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study should clarify the role of corneal biomechanical assessment in the detection of keratoconus and explore its potential as a prescreening strategy, particularly in resource-limited settings without access to corneal topography instrumentation.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1042,
      "source_fields": {
        "Abstract Final Identifier": "POCOR355",
        "Title": "Corneal Biomechanics Screening Assessment In Keratoconus Detection Using Corvis St In Pediatric And Young Adult Population: A Prospective Cohort Study In Uzbekistan",
        "Presenting Author(s)": "Mrs Nikki Leilah Hafezi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Nikki",
        "Submitter Middle Name": "Leilah",
        "Submitter Last Name": "Hafezi",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the diagnostic performance of corneal biomechanical parameters measured with Corvis ST (Oculus Optikgeräte, Wetzlar, Germany) for the detection of keratoconus in pediatric and young adult populations. Early identification of ectatic disease remains challenging, particularly in regions where advanced corneal tomography is not widely accessible. This study assesses whether biomechanical evaluation may serve as a feasible pre-screening strategy for early keratoconus detection in resource-limited settings where access to advanced corneal tomography may be limited.",
        "Setting": "Andijan State Medical University, Andijan, Uzbekistan. Prospective, single-center observational cohort study.",
        "Methods": "A total of 580 children and adolescents (<18 years) and 579 young adult medical students underwent corneal biomechanical assessment using the Corvis ST and corneal tomography using Pentacam HR (Oculus Optikgeräte, Wetzlar, Germany). Participants with prior corneal surgery were excluded. Biomechanical parameters were analyzed in relation to tomographic findings to assess their diagnostic utility for detecting keratoconus.",
        "Results": "Data collection has been completed, and statistical analysis is currently ongoing. Final numerical results will be presented.",
        "Conclusions": "This study should clarify the role of corneal biomechanical assessment in the detection of keratoconus and explore its potential as a prescreening strategy, particularly in resource-limited settings without access to corneal topography instrumentation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "POCOR356",
      "abstract_number": "POCOR356",
      "title": "Multimodal Screening Combining Epithelial Thickness Mapping And Corneal Biomechanics For Early Detection Of Subclinical Keratoconus",
      "authors": "Mrs Ghita Halfi",
      "presenter": "Mrs Ghita Halfi",
      "normalized_authors": [
        "Ghita Halfi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ghita HALFI",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Undetected subclinical keratoconus remains a leading cause of postoperative ectasia after refractive surgery. Conventional tomography may fail to detect early biomechanical instability when anterior curvature appears normal. This study evaluated whether a multimodal approach integrating epithelial thickness mapping and dynamic corneal biomechanical assessment enhances early detection of subclinical keratoconus in refractive surgery candidates.",
        "Setting": "Tertiary referral university hospital, Department of Ophthalmology",
        "Methods": "This prospective study included 96 eyes (96 patients) stratified into three groups: clinical keratoconus (n=32), subclinical keratoconus (n=32), and normal controls (n=32). All eyes underwent standardized corneal imaging including Scheimpflug tomography, spectral-domain anterior segment OCT epithelial thickness mapping, and dynamic corneal response analysis using the Corvis ST.\n\nPrimary endpoints were epithelial thickness variability, inferior–superior epithelial asymmetry, and composite biomechanical index values. Diagnostic accuracy of each modality and the combined model was assessed using receiver operating characteristic (ROC) curve analysis.",
        "Results": "Subclinical keratoconus eyes demonstrated a distinct epithelial remodeling pattern characterized by focal inferior thinning with compensatory paracentral thickening (p<0.001), despite normal anterior curvature maps. Epithelial variability and inferior–superior asymmetry were significantly increased compared to controls.\n\nBiomechanical indices revealed early corneal weakening in subclinical eyes (p<0.01), even when tomographic parameters remained within normal limits.\n\nThe integrated multimodal model significantly outperformed tomography alone, achieving an AUC of 0.94 versus 0.81. Importantly, 28% of eyes considered normal by standard topography were reclassified as high-risk when epithelial and biomechanical data were combined.",
        "Conclusions": "Multimodal corneal screening integrating epithelial thickness mapping and dynamic biomechanical assessment provides superior sensitivity for detecting subclinical keratoconus compared with tomography alone. This strategy enables earlier identification of biomechanically vulnerable corneas and may substantially reduce the risk of postoperative ectasia. Implementation of combined diagnostic algorithms has the potential to redefine refractive surgery safety standards"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multimodal corneal screening integrating epithelial thickness mapping and dynamic biomechanical assessment provides superior sensitivity for detecting subclinical keratoconus compared with tomography alone. This strategy enables earlier identification of biomechanically vulnerable corneas and may substantially reduce the risk of postoperative ectasia. Implementation of combined diagnostic algorithms has the…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1043,
      "source_fields": {
        "Abstract Final Identifier": "POCOR356",
        "Title": "Multimodal Screening Combining Epithelial Thickness Mapping And Corneal Biomechanics For Early Detection Of Subclinical Keratoconus",
        "Presenting Author(s)": "Mrs Ghita Halfi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ghita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "HALFI",
        "Country Name": "Morocco",
        "Purpose": "Undetected subclinical keratoconus remains a leading cause of postoperative ectasia after refractive surgery. Conventional tomography may fail to detect early biomechanical instability when anterior curvature appears normal. This study evaluated whether a multimodal approach integrating epithelial thickness mapping and dynamic corneal biomechanical assessment enhances early detection of subclinical keratoconus in refractive surgery candidates.",
        "Setting": "Tertiary referral university hospital, Department of Ophthalmology",
        "Methods": "This prospective study included 96 eyes (96 patients) stratified into three groups: clinical keratoconus (n=32), subclinical keratoconus (n=32), and normal controls (n=32). All eyes underwent standardized corneal imaging including Scheimpflug tomography, spectral-domain anterior segment OCT epithelial thickness mapping, and dynamic corneal response analysis using the Corvis ST.\n\nPrimary endpoints were epithelial thickness variability, inferior–superior epithelial asymmetry, and composite biomechanical index values. Diagnostic accuracy of each modality and the combined model was assessed using receiver operating characteristic (ROC) curve analysis.",
        "Results": "Subclinical keratoconus eyes demonstrated a distinct epithelial remodeling pattern characterized by focal inferior thinning with compensatory paracentral thickening (p<0.001), despite normal anterior curvature maps. Epithelial variability and inferior–superior asymmetry were significantly increased compared to controls.\n\nBiomechanical indices revealed early corneal weakening in subclinical eyes (p<0.01), even when tomographic parameters remained within normal limits.\n\nThe integrated multimodal model significantly outperformed tomography alone, achieving an AUC of 0.94 versus 0.81. Importantly, 28% of eyes considered normal by standard topography were reclassified as high-risk when epithelial and biomechanical data were combined.",
        "Conclusions": "Multimodal corneal screening integrating epithelial thickness mapping and dynamic biomechanical assessment provides superior sensitivity for detecting subclinical keratoconus compared with tomography alone. This strategy enables earlier identification of biomechanically vulnerable corneas and may substantially reduce the risk of postoperative ectasia. Implementation of combined diagnostic algorithms has the potential to redefine refractive surgery safety standards"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POCOR357",
      "abstract_number": "POCOR357",
      "title": "Precision Of Corneal Aberrometric Measurements With A New Hybrid Device And Comparison With A Scheimpflug/Placido Topography In Different Grades Of Keratoconus",
      "authors": "A/Prof. Jinhai Huang",
      "presenter": "A/Prof. Jinhai Huang",
      "normalized_authors": [
        "Jinhai Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jinhai Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To assess the precision of corneal higher order aberration (HOA) measurements obtained by an anterior segment optical coherence tomographer combined with Placido-disk topography (MS-39) in different grades of keratoconus and compare them with a Scheimpflug/Placido topographer (Sirius).",
        "Setting": "Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "Anterior, posterior, and total corneal aberrations were analyzed. Within-subject standard deviation (S w ), test–retest repeatability (TRT), and intraclass correlation coefficient (ICC) were used to assess the intraobserver repeatability and interobserver reproducibility. The differences between the two devices were evaluated using the paired t -test. Bland-Altman plots and 95% limits of agreement (95% LoA) were applied for agreement analysis.",
        "Results": "This prospective study included 99 eyes of 99 patients with keratoconus. Regarding intraobserver repeatability, all S w values were 0.16 µm or less, TRT 0.44 µm or less, and ICCs 0.874 or greater for anterior and total corneal parameters. For posterior corneal aberrations, all S w values for high-order Zernike terms were 0.04 µm or less and ICCs varied from 0.739 to 0.991. Regarding interobserver reproducibility, all S w values were 0.17 µm or less and TRT 0.29 µm or less. ICCs ranged from 0.956 to 0.998, from 0.84 to 0.997, and from 0.923 to 0.997 for anterior, posterior, and total corneal aberrations, respectively. The TRT of the Zernike coefficients tended to improve with increasing keratoconus stage.",
        "Conclusions": "The new hybrid MS-39 device provides precise measurements for almost all corneal aberrations in different grades of keratoconus. The MS-39 and Sirius can be used interchangeably for measuring corneal aberrations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The new hybrid MS-39 device provides precise measurements for almost all corneal aberrations in different grades of keratoconus. The MS-39 and Sirius can be used interchangeably for measuring corneal aberrations.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1044,
      "source_fields": {
        "Abstract Final Identifier": "POCOR357",
        "Title": "Precision Of Corneal Aberrometric Measurements With A New Hybrid Device And Comparison With A Scheimpflug/Placido Topography In Different Grades Of Keratoconus",
        "Presenting Author(s)": "A/Prof. Jinhai Huang",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Jinhai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "China",
        "Purpose": "To assess the precision of corneal higher order aberration (HOA) measurements obtained by an anterior segment optical coherence tomographer combined with Placido-disk topography (MS-39) in different grades of keratoconus and compare them with a Scheimpflug/Placido topographer (Sirius).",
        "Setting": "Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "Anterior, posterior, and total corneal aberrations were analyzed. Within-subject standard deviation (S w ), test–retest repeatability (TRT), and intraclass correlation coefficient (ICC) were used to assess the intraobserver repeatability and interobserver reproducibility. The differences between the two devices were evaluated using the paired t -test. Bland-Altman plots and 95% limits of agreement (95% LoA) were applied for agreement analysis.",
        "Results": "This prospective study included 99 eyes of 99 patients with keratoconus. Regarding intraobserver repeatability, all S w values were 0.16 µm or less, TRT 0.44 µm or less, and ICCs 0.874 or greater for anterior and total corneal parameters. For posterior corneal aberrations, all S w values for high-order Zernike terms were 0.04 µm or less and ICCs varied from 0.739 to 0.991. Regarding interobserver reproducibility, all S w values were 0.17 µm or less and TRT 0.29 µm or less. ICCs ranged from 0.956 to 0.998, from 0.84 to 0.997, and from 0.923 to 0.997 for anterior, posterior, and total corneal aberrations, respectively. The TRT of the Zernike coefficients tended to improve with increasing keratoconus stage.",
        "Conclusions": "The new hybrid MS-39 device provides precise measurements for almost all corneal aberrations in different grades of keratoconus. The MS-39 and Sirius can be used interchangeably for measuring corneal aberrations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POCOR358",
      "abstract_number": "POCOR358",
      "title": "Impact Of 0.5% Tropicamide-Induced Mydriasis On Corneal Wavefront Aberrations In Keratoconus: A Severity-Based And Zone-Specific Analysis",
      "authors": "Dr Xiaomin Huang",
      "presenter": "Dr Xiaomin Huang",
      "normalized_authors": [
        "Xiaomin Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaomin Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "To evaluate the effects of 0.5% tropicamide-induced mydriasis on corneal wavefront aberrations in patients with keratoconus (KC) across different severity stages using the Pentacam static Scheimpflug imaging system.",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "This prospective study included 108 eyes from 108 KC patients, stratified into mild (n = 39), moderate (n = 35), and severe (n = 34) groups. Mydriasis was induced with 0.5% tropicamide. Measurement parameters, including Total Root Mean Square (Total RMS), Higher-order RMS (HO-RMS), coma, trefoil, spherical aberration, and secondary astigmatism, were evaluated at 4-mm and 6-mm zones. Data normality was assessed via the Kolmogorov-Smirnov test, with subsequent analysis using paired t-tests or Wilcoxon signed-rank tests.",
        "Results": "Following mydriasis, patients with KC exhibited a systematic and statistically significant reduction in both Total RMS and HO-RMS at the 4-mm and 6-mm zones (p < 0.05). The impact on spherical aberration (SA) was distinctly zone-specific: measurements remained stable at the 4-mm zone (p > 0.05), whereas a significant decrease was observed at the 6-mm zone (p < 0.001). Notably, specific higher-order coefficients, including coma, trefoil, and secondary astigmatism, demonstrated remarkable robustness, maintaining statistical stability post-mydriasis across all severity levels and measurement zones (p > 0.05).",
        "Conclusions": "Mydriasis produced significant alterations in corneal aberration parameters in participants with KC, primarily characterized by a systematic reduction in aberration magnitudes. While clinicians should be aware of these alterations, coma, trefoil, and secondary astigmatism remain the most reliable metrics for clinical assessment due to their relative stability under mydriatic conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mydriasis produced significant alterations in corneal aberration parameters in participants with KC, primarily characterized by a systematic reduction in aberration magnitudes. While clinicians should be aware of these alterations, coma, trefoil, and secondary astigmatism remain the most reliable metrics for clinical assessment due to their relative stability under mydriatic conditions.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1045,
      "source_fields": {
        "Abstract Final Identifier": "POCOR358",
        "Title": "Impact Of 0.5% Tropicamide-Induced Mydriasis On Corneal Wavefront Aberrations In Keratoconus: A Severity-Based And Zone-Specific Analysis",
        "Presenting Author(s)": "Dr Xiaomin Huang",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Xiaomin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "Afghanistan",
        "Purpose": "To evaluate the effects of 0.5% tropicamide-induced mydriasis on corneal wavefront aberrations in patients with keratoconus (KC) across different severity stages using the Pentacam static Scheimpflug imaging system.",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "This prospective study included 108 eyes from 108 KC patients, stratified into mild (n = 39), moderate (n = 35), and severe (n = 34) groups. Mydriasis was induced with 0.5% tropicamide. Measurement parameters, including Total Root Mean Square (Total RMS), Higher-order RMS (HO-RMS), coma, trefoil, spherical aberration, and secondary astigmatism, were evaluated at 4-mm and 6-mm zones. Data normality was assessed via the Kolmogorov-Smirnov test, with subsequent analysis using paired t-tests or Wilcoxon signed-rank tests.",
        "Results": "Following mydriasis, patients with KC exhibited a systematic and statistically significant reduction in both Total RMS and HO-RMS at the 4-mm and 6-mm zones (p < 0.05). The impact on spherical aberration (SA) was distinctly zone-specific: measurements remained stable at the 4-mm zone (p > 0.05), whereas a significant decrease was observed at the 6-mm zone (p < 0.001). Notably, specific higher-order coefficients, including coma, trefoil, and secondary astigmatism, demonstrated remarkable robustness, maintaining statistical stability post-mydriasis across all severity levels and measurement zones (p > 0.05).",
        "Conclusions": "Mydriasis produced significant alterations in corneal aberration parameters in participants with KC, primarily characterized by a systematic reduction in aberration magnitudes. While clinicians should be aware of these alterations, coma, trefoil, and secondary astigmatism remain the most reliable metrics for clinical assessment due to their relative stability under mydriatic conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POCOR359",
      "abstract_number": "POCOR359",
      "title": "Ten-Year Outcomes Of Femtosecond Laser–Assisted Intrastromal Allogeneic Corneal Lenticule Implantation In Keratoconus",
      "authors": "Prof. Dr Khosrow Jadidi",
      "presenter": "Prof. Dr Khosrow Jadidi",
      "normalized_authors": [
        "Khosrow Jadidi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khosrow Jadidi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To evaluate the 10-year safety, visual outcomes, and biomechanical behavior of femtosecond laser–assisted intrastromal allogeneic corneal lenticule implantation in keratoconus",
        "Setting": "Vision Health Research Center",
        "Methods": "This retrospective case series included four eyes of four patients with stable keratoconus who underwent intrastromal allogeneic corneal lenticule implantation between 2014 and 2015. Comprehensive ophthalmic assessments, including visual acuity, refraction, corneal tomography, endothelial cell density, and corneal biomechanical analysis using Corvis ST, were performed preoperatively and at multiple postoperative intervals up to 10 years.",
        "Results": "Three eyes with stage Ⅱ–Ⅲ keratoconus (Amslel-Krumeich classification), demonstrated improves or stable corrected distance visual acuity, reduced astigmatism, and stable keratometric indices. Tomographic parameters (BAD-D, Progression Index Average) improved, and central corneal thickness remained stable. Endothelial cell density and morphology were preserved. Biomechanical parameters (DA Ratio, SP-A1, and SSI) indicated stable or enhanced corneal stiffness. The stage Ⅳ case showed progressive thinning and ectasia without visual or tomographic improvement. No graft-related complications, neovascularization, or lenticule displacement occurred.",
        "Conclusions": "Femtosecond laser–assisted intrastromal allogeneic corneal lenticule implantation provides long-term structural and biomechanical stability in mild to moderate keratoconus. Its effectiveness in advanced disease appears limited. These findings represent the first 10-year outcomes of this technique and support its potential as a durable, tissue-preserving therapeutic option in carefully selected patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femtosecond laser–assisted intrastromal allogeneic corneal lenticule implantation provides long-term structural and biomechanical stability in mild to moderate keratoconus. Its effectiveness in advanced disease appears limited. These findings represent the first 10-year outcomes of this technique and support its potential as a durable, tissue-preserving therapeutic option in carefully selected patients.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1046,
      "source_fields": {
        "Abstract Final Identifier": "POCOR359",
        "Title": "Ten-Year Outcomes Of Femtosecond Laser–Assisted Intrastromal Allogeneic Corneal Lenticule Implantation In Keratoconus",
        "Presenting Author(s)": "Prof. Dr Khosrow Jadidi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Khosrow",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jadidi",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To evaluate the 10-year safety, visual outcomes, and biomechanical behavior of femtosecond laser–assisted intrastromal allogeneic corneal lenticule implantation in keratoconus",
        "Setting": "Vision Health Research Center",
        "Methods": "This retrospective case series included four eyes of four patients with stable keratoconus who underwent intrastromal allogeneic corneal lenticule implantation between 2014 and 2015. Comprehensive ophthalmic assessments, including visual acuity, refraction, corneal tomography, endothelial cell density, and corneal biomechanical analysis using Corvis ST, were performed preoperatively and at multiple postoperative intervals up to 10 years.",
        "Results": "Three eyes with stage Ⅱ–Ⅲ keratoconus (Amslel-Krumeich classification), demonstrated improves or stable corrected distance visual acuity, reduced astigmatism, and stable keratometric indices. Tomographic parameters (BAD-D, Progression Index Average) improved, and central corneal thickness remained stable. Endothelial cell density and morphology were preserved. Biomechanical parameters (DA Ratio, SP-A1, and SSI) indicated stable or enhanced corneal stiffness. The stage Ⅳ case showed progressive thinning and ectasia without visual or tomographic improvement. No graft-related complications, neovascularization, or lenticule displacement occurred.",
        "Conclusions": "Femtosecond laser–assisted intrastromal allogeneic corneal lenticule implantation provides long-term structural and biomechanical stability in mild to moderate keratoconus. Its effectiveness in advanced disease appears limited. These findings represent the first 10-year outcomes of this technique and support its potential as a durable, tissue-preserving therapeutic option in carefully selected patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 208
    },
    {
      "uid": "POCOR360",
      "abstract_number": "POCOR360",
      "title": "Long-Term Changes Of Optical Coherence Tomography-Derived Corneal Parameters In Advanced Keratoconus",
      "authors": "Christian Jänichen",
      "presenter": "Christian Jänichen",
      "normalized_authors": [
        "Christian Jänichen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christian Jänichen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Optical coherence tomography-derived corneal parameters play a central role in the diagnosis and monitoring of keratoconus, particularly in detecting structural changes in the cornea and identifying disease progression. The anterior maximum corneal curvature (Kmax) and the minimum pachymetry are commonly used parameters in this context. This study investigated the long-term changes of these parameters in eyes with and without crosslinking treatment in patients with advanced keratoconus.",
        "Setting": "Department of Ophthalmology, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany",
        "Methods": "This monocentric longitudinal study included 182 eyes of 182 patients with keratoconus and anterior Kmax of >60D. Each eye had at least two measurements. Eyes in the non-crosslinking group (n=78) had not undergone crosslinking before the first recorded measurement. In the crosslinking group (n=50), treatment had been performed at least 2 years before the first analyzed measurement. Inclusion criteria were applied at first recorded measurement, and eyes which received crosslinking afterwards remained in the analysis. Anterior Kmax and pachymetry at the thinnest point were compared between the first and last measurements using Wilcoxon test or paired t-test, depending on distribution, and p<0.05 was considered statistically significant.",
        "Results": "Mean (±SD) follow-up was 1074±299 days and 703±437 days in crosslinking and non-crosslinking groups, respectively. At first measurement, crosslinking group had anterior Kmax 68.0±6.5D, posterior Kmax −12.2±5.1D, and thinnest pachymetry 387±58µm; mean changes (last-first) were +0.5±4.4D, −0.1±1.1D, and −5±25µm, respectively (all p>0.05). Non-crosslinking eyes showed 68.3±10.7D, −11.5±2.3D, and 402±64µm, with mean changes of +0.2±9.5D (p>0.05), -0.1±1.3D (p<0.01), and -6±31µm (p<0.01), respectively. During follow-up, crosslinking treatment was performed in 30% and 41%, an increase in anterior Kmax of >2.5D occurred in 26% and 25%, and a decrease of >2.5D in 16% and 16% of eyes in the crosslinking and non-crosslinking group, respectively.",
        "Conclusions": "In eyes with advanced keratoconus (Kmax >60D), optical coherence tomography-derived corneal parameters remained largely stable over long-term follow-up in both crosslinked and non-crosslinked groups. This indicates that stability of corneal parameters can be maintained over a longer period, even in advanced keratoconus. However, some eyes in both groups showed progression and required crosslinking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with advanced keratoconus (Kmax >60D), optical coherence tomography-derived corneal parameters remained largely stable over long-term follow-up in both crosslinked and non-crosslinked groups. This indicates that stability of corneal parameters can be maintained over a longer period, even in advanced keratoconus. However, some eyes in both groups showed progression and required crosslinking.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1047,
      "source_fields": {
        "Abstract Final Identifier": "POCOR360",
        "Title": "Long-Term Changes Of Optical Coherence Tomography-Derived Corneal Parameters In Advanced Keratoconus",
        "Presenting Author(s)": "Christian Jänichen",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Christian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jänichen",
        "Country Name": "Germany",
        "Purpose": "Optical coherence tomography-derived corneal parameters play a central role in the diagnosis and monitoring of keratoconus, particularly in detecting structural changes in the cornea and identifying disease progression. The anterior maximum corneal curvature (Kmax) and the minimum pachymetry are commonly used parameters in this context. This study investigated the long-term changes of these parameters in eyes with and without crosslinking treatment in patients with advanced keratoconus.",
        "Setting": "Department of Ophthalmology, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany",
        "Methods": "This monocentric longitudinal study included 182 eyes of 182 patients with keratoconus and anterior Kmax of >60D. Each eye had at least two measurements. Eyes in the non-crosslinking group (n=78) had not undergone crosslinking before the first recorded measurement. In the crosslinking group (n=50), treatment had been performed at least 2 years before the first analyzed measurement. Inclusion criteria were applied at first recorded measurement, and eyes which received crosslinking afterwards remained in the analysis. Anterior Kmax and pachymetry at the thinnest point were compared between the first and last measurements using Wilcoxon test or paired t-test, depending on distribution, and p<0.05 was considered statistically significant.",
        "Results": "Mean (±SD) follow-up was 1074±299 days and 703±437 days in crosslinking and non-crosslinking groups, respectively. At first measurement, crosslinking group had anterior Kmax 68.0±6.5D, posterior Kmax −12.2±5.1D, and thinnest pachymetry 387±58µm; mean changes (last-first) were +0.5±4.4D, −0.1±1.1D, and −5±25µm, respectively (all p>0.05). Non-crosslinking eyes showed 68.3±10.7D, −11.5±2.3D, and 402±64µm, with mean changes of +0.2±9.5D (p>0.05), -0.1±1.3D (p<0.01), and -6±31µm (p<0.01), respectively. During follow-up, crosslinking treatment was performed in 30% and 41%, an increase in anterior Kmax of >2.5D occurred in 26% and 25%, and a decrease of >2.5D in 16% and 16% of eyes in the crosslinking and non-crosslinking group, respectively.",
        "Conclusions": "In eyes with advanced keratoconus (Kmax >60D), optical coherence tomography-derived corneal parameters remained largely stable over long-term follow-up in both crosslinked and non-crosslinked groups. This indicates that stability of corneal parameters can be maintained over a longer period, even in advanced keratoconus. However, some eyes in both groups showed progression and required crosslinking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "POCOR361",
      "abstract_number": "POCOR361",
      "title": "Diagnostic Value Of Corneal Epithelial Thickness Parameters In Keratoconus Using Anterion Oct",
      "authors": "Dr Gözde Karaca",
      "presenter": "Dr Gözde Karaca",
      "normalized_authors": [
        "Gözde Karaca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gözde Karaca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Keratoconus is a corneal ectatic disorder characterized by progressive corneal thinning and anterior protrusion, typically beginning in adolescence and potentially progressing over many years, often affecting both eyes. In corneal topography, keratoconus is identified by localized steepening, thinning, and marked asymmetry, reflected by combined alterations in curvature, elevation, pachymetry, and various diagnostic indices. In recent years, studies have investigated epithelial changes in keratoconus. However, there are limited studies in the literature evaluating these changes using the Anterion® (Heidelberg Engineering GmbH, Heidelberg, Germany) device.",
        "Setting": "Department of Ophthalmology, Kocaeli University Faculty of Medicine, a tertiary referral center in Kocaeli, Türkiye.",
        "Methods": "This retrospective observational case-control study included 202 eyes of 99 patients with keratoconus and 71 eyes of 39 healthy controls. Keratoconus patients were divided into early stage (Stage 1 and 2) and advanced stage (Stage 3 and 4) groups. In addition to best-corrected visual acuity (BCVA) and routine topographic parameters (Kmax, Kmean, central corneal thickness, etc.), epithelial parameters-including mean epithelial thickness, thinnest epithelial thickness, and inferior-superior (I-S) epithelial thickness difference-were recorded. Statistical analyses were performed using IBM SPSS Statistics (version 27.0). A p-value <0.05 was considered statistically significant.",
        "Results": "Median epithelial thickness was 49 (47-51) µm in controls, 51 (48-52.75) µm in early keratoconus, and 50 (47-52) µm in advanced keratoconus, with a difference only between controls and early-stage eyes (p=0.032). Thinnest epithelial thickness was lower in advanced keratoconus (29 [20.75-34] µm) than controls (38 [36-41] µm) and early-stage disease (38 [35-41] µm; p<0.001). The I-S difference was reduced in both keratoconus groups (p<0.001). ROC analysis of the I-S epithelial thickness difference showed moderate diagnostic performance (AUC=0.711, 95% CI:0.646-0.775); at a cutoff ≤0.5 µm, sensitivity was 44.6% and specificity 87.3%.",
        "Conclusions": "Epithelial I–S asymmetry was significantly altered in early keratoconus compared with healthy eyes, despite preserved minimum epithelial thickness, indicating that asymmetric remodeling precedes focal thinning and represents an early structural signature of disease. In contrast, reduction in thinnest epithelial thickness appeared only in advanced stages, reflecting progression, while mean epithelial thickness showed limited discriminatory value. These findings highlight epithelial I–S asymmetry on swept-source OCT as a sensitive early biomarker, with thinnest epithelial thickness serving as an indicator of progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Epithelial I–S asymmetry was significantly altered in early keratoconus compared with healthy eyes, despite preserved minimum epithelial thickness, indicating that asymmetric remodeling precedes focal thinning and represents an early structural signature of disease. In contrast, reduction in thinnest epithelial thickness appeared only in advanced stages, reflecting progression, while mean epithelial thickness…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1048,
      "source_fields": {
        "Abstract Final Identifier": "POCOR361",
        "Title": "Diagnostic Value Of Corneal Epithelial Thickness Parameters In Keratoconus Using Anterion Oct",
        "Presenting Author(s)": "Dr Gözde Karaca",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Gözde",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karaca",
        "Country Name": "Türkiye",
        "Purpose": "Keratoconus is a corneal ectatic disorder characterized by progressive corneal thinning and anterior protrusion, typically beginning in adolescence and potentially progressing over many years, often affecting both eyes. In corneal topography, keratoconus is identified by localized steepening, thinning, and marked asymmetry, reflected by combined alterations in curvature, elevation, pachymetry, and various diagnostic indices. In recent years, studies have investigated epithelial changes in keratoconus. However, there are limited studies in the literature evaluating these changes using the Anterion® (Heidelberg Engineering GmbH, Heidelberg, Germany) device.",
        "Setting": "Department of Ophthalmology, Kocaeli University Faculty of Medicine, a tertiary referral center in Kocaeli, Türkiye.",
        "Methods": "This retrospective observational case-control study included 202 eyes of 99 patients with keratoconus and 71 eyes of 39 healthy controls. Keratoconus patients were divided into early stage (Stage 1 and 2) and advanced stage (Stage 3 and 4) groups. In addition to best-corrected visual acuity (BCVA) and routine topographic parameters (Kmax, Kmean, central corneal thickness, etc.), epithelial parameters-including mean epithelial thickness, thinnest epithelial thickness, and inferior-superior (I-S) epithelial thickness difference-were recorded. Statistical analyses were performed using IBM SPSS Statistics (version 27.0). A p-value <0.05 was considered statistically significant.",
        "Results": "Median epithelial thickness was 49 (47-51) µm in controls, 51 (48-52.75) µm in early keratoconus, and 50 (47-52) µm in advanced keratoconus, with a difference only between controls and early-stage eyes (p=0.032). Thinnest epithelial thickness was lower in advanced keratoconus (29 [20.75-34] µm) than controls (38 [36-41] µm) and early-stage disease (38 [35-41] µm; p<0.001). The I-S difference was reduced in both keratoconus groups (p<0.001). ROC analysis of the I-S epithelial thickness difference showed moderate diagnostic performance (AUC=0.711, 95% CI:0.646-0.775); at a cutoff ≤0.5 µm, sensitivity was 44.6% and specificity 87.3%.",
        "Conclusions": "Epithelial I–S asymmetry was significantly altered in early keratoconus compared with healthy eyes, despite preserved minimum epithelial thickness, indicating that asymmetric remodeling precedes focal thinning and represents an early structural signature of disease. In contrast, reduction in thinnest epithelial thickness appeared only in advanced stages, reflecting progression, while mean epithelial thickness showed limited discriminatory value. These findings highlight epithelial I–S asymmetry on swept-source OCT as a sensitive early biomarker, with thinnest epithelial thickness serving as an indicator of progression."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 376
    },
    {
      "uid": "POCOR362",
      "abstract_number": "POCOR362",
      "title": "Difficulties In Diagnosing Keratoconus Patients: A Survey Study",
      "authors": "Dr Serpil Kaya",
      "presenter": "Dr Serpil Kaya",
      "normalized_authors": [
        "Serpil Kaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Serpil Kaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To identify difficulties encountered in diagnosing keratoconus using ophthalmological findings and a questionnaire applied to the patients.",
        "Setting": "This study was conducted in the cornea and ocular surface department of a tertiary hospital.",
        "Methods": "The medical records of 100 keratoconus patients were retrospectively reviewed. Age, best-corrected visual acuity (BCVA), keratoconus probability index (KPI) measured by cornea topography at diagnosis were recorded. Patients were surveyed to determine their age at diagnosis, duration of keratoconus, number of examinations prior to diagnosis, order of examination at which diagnosis was made and corneal topography was performed, number of spectacle changes prior to diagnosis, hospital type where diagnosis was made.",
        "Results": "The mean age at diagnosis was 22.04±8.24 years.The disease duration, number of examinations prior to diagnosis, order of examination at which diagnosis was made and corneal topography was performed, number of spectacle changes prior to diagnosis were 5.46 years, 3.39±3.15, 4.28±3.18, 4.25±3.15, and 1.35±1.73, respectively. Of patients, 19% were diagnosed at the first visit. Keratoconus was diagnosed in 54%, 24%, and 22% of patients in tertiary, government hospitals, and special eye clinics, respectively. There were no correlations between BCVAs, KPIs of patients and number of examinations, order of examination at which diagnosis was made and corneal topography was performed.",
        "Conclusions": "The diagnosis of keratoconus could not be made in the first examination in 81% of the patients. Many of them were prescribed spectacles more than once prior to keratoconus diagnosis. It was observed that these delayed diagnoses were not related to the severity of the disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The diagnosis of keratoconus could not be made in the first examination in 81% of the patients. Many of them were prescribed spectacles more than once prior to keratoconus diagnosis. It was observed that these delayed diagnoses were not related to the severity of the disease.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1049,
      "source_fields": {
        "Abstract Final Identifier": "POCOR362",
        "Title": "Difficulties In Diagnosing Keratoconus Patients: A Survey Study",
        "Presenting Author(s)": "Dr Serpil Kaya",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Serpil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaya",
        "Country Name": "Türkiye",
        "Purpose": "To identify difficulties encountered in diagnosing keratoconus using ophthalmological findings and a questionnaire applied to the patients.",
        "Setting": "This study was conducted in the cornea and ocular surface department of a tertiary hospital.",
        "Methods": "The medical records of 100 keratoconus patients were retrospectively reviewed. Age, best-corrected visual acuity (BCVA), keratoconus probability index (KPI) measured by cornea topography at diagnosis were recorded. Patients were surveyed to determine their age at diagnosis, duration of keratoconus, number of examinations prior to diagnosis, order of examination at which diagnosis was made and corneal topography was performed, number of spectacle changes prior to diagnosis, hospital type where diagnosis was made.",
        "Results": "The mean age at diagnosis was 22.04±8.24 years.The disease duration, number of examinations prior to diagnosis, order of examination at which diagnosis was made and corneal topography was performed, number of spectacle changes prior to diagnosis were 5.46 years, 3.39±3.15, 4.28±3.18, 4.25±3.15, and 1.35±1.73, respectively. Of patients, 19% were diagnosed at the first visit. Keratoconus was diagnosed in 54%, 24%, and 22% of patients in tertiary, government hospitals, and special eye clinics, respectively. There were no correlations between BCVAs, KPIs of patients and number of examinations, order of examination at which diagnosis was made and corneal topography was performed.",
        "Conclusions": "The diagnosis of keratoconus could not be made in the first examination in 81% of the patients. Many of them were prescribed spectacles more than once prior to keratoconus diagnosis. It was observed that these delayed diagnoses were not related to the severity of the disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR363",
      "abstract_number": "POCOR363",
      "title": "Biologically Assisted Corneal Cross-Linking: Beyond Biomechanics",
      "authors": "A/Prof. Mehdi Khamaily",
      "presenter": "A/Prof. Mehdi Khamaily",
      "normalized_authors": [
        "Mehdi Khamaily"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehdi Khamaily",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Biologically Assisted Corneal Cross-Linking: Beyond Biomechanics\n\nFrom Structural Reinforcement to Biological Healing",
        "Setting": "to evaluate the clinical and tomographic outcomes of biologically assisted corneal cross-linking (BACXL) using dehydrated amniotic membrane in patients undergoing sequential bilateral corneal cross-linking.",
        "Methods": "this prospective interventional study included 30 patients (60 eyes) with progressive corneal ectasia who underwent bilateral corneal cross-linking performed sequentially, with a time interval between eyes. Standard epithelium-off corneal cross-linking was performed using riboflavin and UVA irradiation. At the end of the procedure, a dehydrated amniotic membrane was applied to the corneal surface and covered with a therapeutic soft contact lens. Patients were followed for 6 months. Outcome measures included postoperative pain, time to complete re-epithelialization, corneal clarity, stromal haze grading, uncorrected and corrected visual acuity, keratometric values (Kmax), pachymetry, and postoperative complications.",
        "Results": "ll treated eyes completed the follow-up period without intraoperative complications. Mean epithelial healing time was rapid, with complete re-epithelialization achieved within 3–5 days in most eyes. Postoperative pain was mild and transient. At 6 months, corneal transparency was preserved in all cases, with minimal or no stromal haze. Mean Kmax values showed stabilization or slight regression, and no progression of corneal ectasia was observed. No cases of infectious keratitis, persistent epithelial defect, corneal melting, or neovascularization were reported.",
        "Conclusions": "Biologically assisted corneal cross-linking combining standard CXL with dehydrated amniotic membrane is a safe and effective strategy in sequential bilateral treatment. By integrating biomechanical stabilization with biological modulation of healing and inflammation, this approach supports a shift from purely mechanical reinforcement toward true biological healing in corneal cross-linking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Biologically assisted corneal cross-linking combining standard CXL with dehydrated amniotic membrane is a safe and effective strategy in sequential bilateral treatment. By integrating biomechanical stabilization with biological modulation of healing and inflammation, this approach supports a shift from purely mechanical reinforcement toward true biological healing in corneal cross-linking.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1050,
      "source_fields": {
        "Abstract Final Identifier": "POCOR363",
        "Title": "Biologically Assisted Corneal Cross-Linking: Beyond Biomechanics",
        "Presenting Author(s)": "A/Prof. Mehdi Khamaily",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Mehdi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khamaily",
        "Country Name": "Morocco",
        "Purpose": "Biologically Assisted Corneal Cross-Linking: Beyond Biomechanics\n\nFrom Structural Reinforcement to Biological Healing",
        "Setting": "to evaluate the clinical and tomographic outcomes of biologically assisted corneal cross-linking (BACXL) using dehydrated amniotic membrane in patients undergoing sequential bilateral corneal cross-linking.",
        "Methods": "this prospective interventional study included 30 patients (60 eyes) with progressive corneal ectasia who underwent bilateral corneal cross-linking performed sequentially, with a time interval between eyes. Standard epithelium-off corneal cross-linking was performed using riboflavin and UVA irradiation. At the end of the procedure, a dehydrated amniotic membrane was applied to the corneal surface and covered with a therapeutic soft contact lens. Patients were followed for 6 months. Outcome measures included postoperative pain, time to complete re-epithelialization, corneal clarity, stromal haze grading, uncorrected and corrected visual acuity, keratometric values (Kmax), pachymetry, and postoperative complications.",
        "Results": "ll treated eyes completed the follow-up period without intraoperative complications. Mean epithelial healing time was rapid, with complete re-epithelialization achieved within 3–5 days in most eyes. Postoperative pain was mild and transient. At 6 months, corneal transparency was preserved in all cases, with minimal or no stromal haze. Mean Kmax values showed stabilization or slight regression, and no progression of corneal ectasia was observed. No cases of infectious keratitis, persistent epithelial defect, corneal melting, or neovascularization were reported.",
        "Conclusions": "Biologically assisted corneal cross-linking combining standard CXL with dehydrated amniotic membrane is a safe and effective strategy in sequential bilateral treatment. By integrating biomechanical stabilization with biological modulation of healing and inflammation, this approach supports a shift from purely mechanical reinforcement toward true biological healing in corneal cross-linking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "POCOR364",
      "abstract_number": "POCOR364",
      "title": "Comparisons Of Objective And Subjective Refraction Measurements In Patients With Moderate And Severe Keratoconus",
      "authors": "A/Prof. Masoud Khorrami-Nejad",
      "presenter": "A/Prof. Masoud Khorrami-Nejad",
      "normalized_authors": [
        "Masoud Khorrami-Nejad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Masoud Khorrami-Nejad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To compare objective and subjective refraction measurements in patients with moderate to severe keratoconus.",
        "Setting": "The study was conducted at Farabi Eye Hospital, a tertiary referral ophthalmic center in Tehran, Iran.",
        "Methods": "In this observational cross-sectional study 107 eyes of 107 patients (26.0 ± 7.03 years old) with moderate to severe keratoconus were recruited. Objective refraction was performed using an autorefractor and subjective refraction was obtained by an optometrist. Spherical equivalent (SE), sphere, cylinder, J0, and J45 were compared between techniques, subsequently.",
        "Results": "Strong positive correlations were found between measurement techniques for SE (r=0.790), sphere (r=0.836), and cylinder (r=0.571) (all, P<0.001). Furthermore, our results showed weaker positive correlations for J0 (r=0.387, P<0.001) and J45 (r=0.206, P=0.035). On average, objective refraction yielded more negative values than subjective refraction for SE (-2.31 D difference, P<0.001), sphere (-1.71 D, p<0.001) and cylinder (-1.21 D, P<0.001). No statistically significant differences were found for J0 and J45 between techniques.",
        "Conclusions": "In moderate-severe keratoconus, objective refraction demonstrates good correlation but yields more negative values compared to subjective refraction for spherical and regular astigmatism parameters. Measurement agreement appears weaker for irregular astigmatism. A combination approach utilizing objective data supplemented by subjective refinement may provide the most accurate refraction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In moderate-severe keratoconus, objective refraction demonstrates good correlation but yields more negative values compared to subjective refraction for spherical and regular astigmatism parameters. Measurement agreement appears weaker for irregular astigmatism. A combination approach utilizing objective data supplemented by subjective refinement may provide the most accurate refraction.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1051,
      "source_fields": {
        "Abstract Final Identifier": "POCOR364",
        "Title": "Comparisons Of Objective And Subjective Refraction Measurements In Patients With Moderate And Severe Keratoconus",
        "Presenting Author(s)": "A/Prof. Masoud Khorrami-Nejad",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Masoud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khorrami-Nejad",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To compare objective and subjective refraction measurements in patients with moderate to severe keratoconus.",
        "Setting": "The study was conducted at Farabi Eye Hospital, a tertiary referral ophthalmic center in Tehran, Iran.",
        "Methods": "In this observational cross-sectional study 107 eyes of 107 patients (26.0 ± 7.03 years old) with moderate to severe keratoconus were recruited. Objective refraction was performed using an autorefractor and subjective refraction was obtained by an optometrist. Spherical equivalent (SE), sphere, cylinder, J0, and J45 were compared between techniques, subsequently.",
        "Results": "Strong positive correlations were found between measurement techniques for SE (r=0.790), sphere (r=0.836), and cylinder (r=0.571) (all, P<0.001). Furthermore, our results showed weaker positive correlations for J0 (r=0.387, P<0.001) and J45 (r=0.206, P=0.035). On average, objective refraction yielded more negative values than subjective refraction for SE (-2.31 D difference, P<0.001), sphere (-1.71 D, p<0.001) and cylinder (-1.21 D, P<0.001). No statistically significant differences were found for J0 and J45 between techniques.",
        "Conclusions": "In moderate-severe keratoconus, objective refraction demonstrates good correlation but yields more negative values compared to subjective refraction for spherical and regular astigmatism parameters. Measurement agreement appears weaker for irregular astigmatism. A combination approach utilizing objective data supplemented by subjective refinement may provide the most accurate refraction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCOR365",
      "abstract_number": "POCOR365",
      "title": "Customised Corneal Intrastromal Ring Segments In Keratoconus With A Low Energy Femtosecond Laser",
      "authors": "Dr Johann A Kruger",
      "presenter": "Dr Johann A Kruger",
      "normalized_authors": [
        "Johann A Kruger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Johann A Kruger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "South Africa",
      "sections": {
        "Purpose": "To evaluate the efficacy of corneal allogenic intrastromal ring segments in keratoconus by cutting the ring segments with a low energy femtosecond laser and customizing the treatment.",
        "Setting": "Tygervalley Eye and laser Clinic , Cape Town , South Africa",
        "Methods": "A low energy femtosecond laser was used to cut the tunnels and segments, by the author. The segments were placed over the steep area of the ectasia. The sagital topographic map of the MS39 anterior segment tomograph was used. The Brisbane CAIRS planning software was used. AWWAD Nomogram was used as a guideline. The segments were placed at either 250 microns or 300 microns.\n\nUncorrected and best corrected visual acquity was recorded. Pre-opperative and post-opperative MS39 scans were taken.",
        "Results": "The presentation is a series of case studies showing the efficacy after 3-6 months prior to any further intervention. The presentation includes videos of the preparation of the allogenic ring segments, and the surgical technique of implantation.\n\nThe visual results showed increased uncorrected and best corrected visual acquity in 100% of cases.\n\nAt a later stage 2 cases segments were removed due to complications.\n\n1 of these cases had trauma and developed a corneal ulcer 3 months after the original sugery. This was unrelated to the CAIRS procedure.\nIn another case who had extrusion of a intracorneal ring segment and previous corneal ulcer the CAIRS segment which was implanted, was too superficial and was removed 8 weeks after the surgery.",
        "Conclusions": "In 100% of the cases, there was an improvement in uncorrected visual acquity and best corrected acquity. In all these cases it was not possible to get functional vision either with glasses or contact lenses prior to surgery. All patients were very happy and their quality of life much improved.\n\nThe two patients that had segments removed between 8 and 12 weeks, intially had improved vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In 100% of the cases, there was an improvement in uncorrected visual acquity and best corrected acquity. In all these cases it was not possible to get functional vision either with glasses or contact lenses prior to surgery. All patients were very happy and their quality of life much improved. The two patients that had segments removed between 8 and 12 weeks, intially had improved vision.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1052,
      "source_fields": {
        "Abstract Final Identifier": "POCOR365",
        "Title": "Customised Corneal Intrastromal Ring Segments In Keratoconus With A Low Energy Femtosecond Laser",
        "Presenting Author(s)": "Dr Johann A Kruger",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Johann",
        "Submitter Middle Name": "A",
        "Submitter Last Name": "Kruger",
        "Country Name": "South Africa",
        "Purpose": "To evaluate the efficacy of corneal allogenic intrastromal ring segments in keratoconus by cutting the ring segments with a low energy femtosecond laser and customizing the treatment.",
        "Setting": "Tygervalley Eye and laser Clinic , Cape Town , South Africa",
        "Methods": "A low energy femtosecond laser was used to cut the tunnels and segments, by the author. The segments were placed over the steep area of the ectasia. The sagital topographic map of the MS39 anterior segment tomograph was used. The Brisbane CAIRS planning software was used. AWWAD Nomogram was used as a guideline. The segments were placed at either 250 microns or 300 microns.\n\nUncorrected and best corrected visual acquity was recorded. Pre-opperative and post-opperative MS39 scans were taken.",
        "Results": "The presentation is a series of case studies showing the efficacy after 3-6 months prior to any further intervention. The presentation includes videos of the preparation of the allogenic ring segments, and the surgical technique of implantation.\n\nThe visual results showed increased uncorrected and best corrected visual acquity in 100% of cases.\n\nAt a later stage 2 cases segments were removed due to complications.\n\n1 of these cases had trauma and developed a corneal ulcer 3 months after the original sugery. This was unrelated to the CAIRS procedure.\nIn another case who had extrusion of a intracorneal ring segment and previous corneal ulcer the CAIRS segment which was implanted, was too superficial and was removed 8 weeks after the surgery.",
        "Conclusions": "In 100% of the cases, there was an improvement in uncorrected visual acquity and best corrected acquity. In all these cases it was not possible to get functional vision either with glasses or contact lenses prior to surgery. All patients were very happy and their quality of life much improved.\n\nThe two patients that had segments removed between 8 and 12 weeks, intially had improved vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCOR366",
      "abstract_number": "POCOR366",
      "title": "Atopic Sclerokeratitis After Deep Lamellar Keratopalsty For Keratoconus",
      "authors": "Prof. Saad Leboukhe",
      "presenter": "Prof. Saad Leboukhe",
      "normalized_authors": [
        "Saad Leboukhe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saad Leboukhe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To report a rare and severe case of atopic sclerokeratitis occurring after deep lamellar keratoplasty (DLK) performed for advanced keratoconus.",
        "Setting": "Military Regional University hospital of Oran\n\nMilitary Regional University hospital of Constantine",
        "Methods": "A 45-year-old female patient with stage 4 keratoconus of the right eye and associated deep stromal scarring was referred to our department for keratoplasty. She underwent deep anterior lamellar keratoplasty using the Melles technique, followed by postoperative treatment with topical prednisolone acetate administered five times daily, topical fluoroquinolone eye drops four times daily, and oral vitamin C supplementation",
        "Results": "A 45-year-old female with stage 4 keratoconus underwent deep anterior lamellar keratoplasty using the Melles technique. Early postoperative recovery was uneventful, with visual acuity improving from counting fingers at 3 meters to 0.7 logMAR at three weeks. One month postoperatively, the patient—who had a history of seasonal ocular allergy—developed acute ocular pain, redness, and visual loss to counting fingers at 2 meters. Clinical findings included severe ocular surface inflammation, suture loosening, corneal edema, and large epithelial defects, leading to a diagnosis of post-keratoplasty atopic sclerokeratitis. Corticosteroid therapy resulted in partial graft clearing without further visual improvement.",
        "Conclusions": "Atopic sclerokeratitis is a rare but serious post-keratoplasty complication that remains sparsely reported in the literature, particularly among patients with keratoconus and underlying ocular allergy. Careful preoperative assessment of allergic status is essential, and monitoring serum IgE levels may aid in identifying active allergic flares. Whenever feasible, elective corneal surgery should be deferred until the allergic inflammatory phase has fully resolved, underscoring the importance of meticulous perioperative allergy control to optimize graft survival and visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Atopic sclerokeratitis is a rare but serious post-keratoplasty complication that remains sparsely reported in the literature, particularly among patients with keratoconus and underlying ocular allergy. Careful preoperative assessment of allergic status is essential, and monitoring serum IgE levels may aid in identifying active allergic flares. Whenever feasible, elective corneal surgery should be deferred until the…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1053,
      "source_fields": {
        "Abstract Final Identifier": "POCOR366",
        "Title": "Atopic Sclerokeratitis After Deep Lamellar Keratopalsty For Keratoconus",
        "Presenting Author(s)": "Prof. Saad Leboukhe",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Saad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Leboukhe",
        "Country Name": "Algeria",
        "Purpose": "To report a rare and severe case of atopic sclerokeratitis occurring after deep lamellar keratoplasty (DLK) performed for advanced keratoconus.",
        "Setting": "Military Regional University hospital of Oran\n\nMilitary Regional University hospital of Constantine",
        "Methods": "A 45-year-old female patient with stage 4 keratoconus of the right eye and associated deep stromal scarring was referred to our department for keratoplasty. She underwent deep anterior lamellar keratoplasty using the Melles technique, followed by postoperative treatment with topical prednisolone acetate administered five times daily, topical fluoroquinolone eye drops four times daily, and oral vitamin C supplementation",
        "Results": "A 45-year-old female with stage 4 keratoconus underwent deep anterior lamellar keratoplasty using the Melles technique. Early postoperative recovery was uneventful, with visual acuity improving from counting fingers at 3 meters to 0.7 logMAR at three weeks. One month postoperatively, the patient—who had a history of seasonal ocular allergy—developed acute ocular pain, redness, and visual loss to counting fingers at 2 meters. Clinical findings included severe ocular surface inflammation, suture loosening, corneal edema, and large epithelial defects, leading to a diagnosis of post-keratoplasty atopic sclerokeratitis. Corticosteroid therapy resulted in partial graft clearing without further visual improvement.",
        "Conclusions": "Atopic sclerokeratitis is a rare but serious post-keratoplasty complication that remains sparsely reported in the literature, particularly among patients with keratoconus and underlying ocular allergy. Careful preoperative assessment of allergic status is essential, and monitoring serum IgE levels may aid in identifying active allergic flares. Whenever feasible, elective corneal surgery should be deferred until the allergic inflammatory phase has fully resolved, underscoring the importance of meticulous perioperative allergy control to optimize graft survival and visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR367",
      "abstract_number": "POCOR367",
      "title": "Mastering Keratoconic Hydrops: 5-Year Outcomes Of Intrastromal Support With A 320-Degree Ferrara Ring",
      "authors": "Dr Georgios P. Roussopoulos",
      "presenter": "Dr Georgios P. Roussopoulos",
      "normalized_authors": [
        "Georgios P. Roussopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ioannis Machairas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report the 5-year structural and visual outcomes of femtosecond laser-assisted 320-degree Ferrara Ring implantation in a 28-year-old professional football coach with a history of keratoconic hydrops. Managing post-hydrops corneas presents a unique clinical challenge due to extreme biomechanical instability. This study aims to evaluate how extensive 320-degree intrastromal support can successfully flatten the highly irregular cornea, halt ectatic progression, and provide a minimally invasive solution that allows a young patient to resume a high-impact athletic lifestyle without the risks associated with corneal grafting.",
        "Setting": "Specialized private cornea and refractive surgery practice, fully equipped with advanced anterior segment diagnostic modalities and femtosecond laser capabilities for complex corneal ectasia management.",
        "Methods": "A 28-year-old male, a professional football coach and active athlete (football and tennis), presented with keratoconic hydrops. His medical history was unremarkable. Comprehensive diagnostic evaluation included detailed slit-lamp clinical examination, Schirmer test, Scheimpflug topography (Pentacam), and Anterior Segment OCT (AS-OCT). Following the initial management and resolution of the acute hydrops phase, a single 320-degree Ferrara Ring was implanted using a femtosecond laser. The goal was to provide intense 360-degree structural support, flatten the highly irregular cornea, and halt ectasia progression without restricting his demanding athletic lifestyle.",
        "Results": "The 5-year follow-up revealed remarkable structural and visual stabilization. AS-OCT confirmed the stable deep stromal position of the 320-degree Ferrara ring and complete resolution of stromal edema with favorable, minimal scar remodeling. Pentacam topography demonstrated a significant, sustained reduction in maximum keratometry (Kmax). The patient experienced dramatic improvements in both uncorrected (UDVA) and corrected distance visual acuity (CDVA). Notably, this structural and visual recovery allowed him to fully resume his professional coaching and contact sports activities without any restrictions. No ring extrusion, migration, or other long-term complications occurred.",
        "Conclusions": "The implantation of a 320-degree Ferrara Ring offers a robust, safe, and highly effective long-term surgical solution for stabilizing corneas after keratoconic hydrops. It successfully halts ectatic progression, significantly improves visual function, and provides a powerful alternative to penetrating or deep anterior lamellar keratoplasty (PKP/DALK). Crucially, this minimally invasive approach enables young, highly active patients to safely return to demanding athletic careers with excellent long-term stability. Furthermore, the 5-year follow-up confirms that extensive intrastromal support effectively manages severe biomechanical weakness, shifting the treatment paradigm away from early grafting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The implantation of a 320-degree Ferrara Ring offers a robust, safe, and highly effective long-term surgical solution for stabilizing corneas after keratoconic hydrops. It successfully halts ectatic progression, significantly improves visual function, and provides a powerful alternative to penetrating or deep anterior lamellar keratoplasty (PKP/DALK). Crucially, this minimally invasive approach enables young,…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1054,
      "source_fields": {
        "Abstract Final Identifier": "POCOR367",
        "Title": "Mastering Keratoconic Hydrops: 5-Year Outcomes Of Intrastromal Support With A 320-Degree Ferrara Ring",
        "Presenting Author(s)": "Dr Georgios P. Roussopoulos",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ioannis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Machairas",
        "Country Name": "Greece",
        "Purpose": "To report the 5-year structural and visual outcomes of femtosecond laser-assisted 320-degree Ferrara Ring implantation in a 28-year-old professional football coach with a history of keratoconic hydrops. Managing post-hydrops corneas presents a unique clinical challenge due to extreme biomechanical instability. This study aims to evaluate how extensive 320-degree intrastromal support can successfully flatten the highly irregular cornea, halt ectatic progression, and provide a minimally invasive solution that allows a young patient to resume a high-impact athletic lifestyle without the risks associated with corneal grafting.",
        "Setting": "Specialized private cornea and refractive surgery practice, fully equipped with advanced anterior segment diagnostic modalities and femtosecond laser capabilities for complex corneal ectasia management.",
        "Methods": "A 28-year-old male, a professional football coach and active athlete (football and tennis), presented with keratoconic hydrops. His medical history was unremarkable. Comprehensive diagnostic evaluation included detailed slit-lamp clinical examination, Schirmer test, Scheimpflug topography (Pentacam), and Anterior Segment OCT (AS-OCT). Following the initial management and resolution of the acute hydrops phase, a single 320-degree Ferrara Ring was implanted using a femtosecond laser. The goal was to provide intense 360-degree structural support, flatten the highly irregular cornea, and halt ectasia progression without restricting his demanding athletic lifestyle.",
        "Results": "The 5-year follow-up revealed remarkable structural and visual stabilization. AS-OCT confirmed the stable deep stromal position of the 320-degree Ferrara ring and complete resolution of stromal edema with favorable, minimal scar remodeling. Pentacam topography demonstrated a significant, sustained reduction in maximum keratometry (Kmax). The patient experienced dramatic improvements in both uncorrected (UDVA) and corrected distance visual acuity (CDVA). Notably, this structural and visual recovery allowed him to fully resume his professional coaching and contact sports activities without any restrictions. No ring extrusion, migration, or other long-term complications occurred.",
        "Conclusions": "The implantation of a 320-degree Ferrara Ring offers a robust, safe, and highly effective long-term surgical solution for stabilizing corneas after keratoconic hydrops. It successfully halts ectatic progression, significantly improves visual function, and provides a powerful alternative to penetrating or deep anterior lamellar keratoplasty (PKP/DALK). Crucially, this minimally invasive approach enables young, highly active patients to safely return to demanding athletic careers with excellent long-term stability. Furthermore, the 5-year follow-up confirms that extensive intrastromal support effectively manages severe biomechanical weakness, shifting the treatment paradigm away from early grafting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "POCOR368",
      "abstract_number": "POCOR368",
      "title": "Evaluating Topography-Guided Epithelial And Customised Ablation With Crosslinking Using A Novel Topography-\nPredictive Software For Keratoconus",
      "authors": "Dr Raghav Malik",
      "presenter": "Dr Raghav Malik",
      "normalized_authors": [
        "Raghav Malik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raghav Malik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and topographic outcomes of topography-guided epithelial and customized ablation (TREK and TCAT) combined with corneal crosslinking (CXL) in keratoconus, using a novel predictive software (FORESIGHT) that preoperatively simulates post-treatment corneal topography. The study investigates whether predictive planning translates into superior visual rehabilitation and short-term corneal stability.",
        "Setting": "Prospective interventional study, Tertiary Eye care Hospital",
        "Methods": "This prospective interventional study included 50 keratoconic eyes treated with TREK or TCAT for corneal surface regularization, followed by standard CXL, using the SCHWIND Amaris 1050RS excimer laser. The Foresight software was used preoperatively to predict post-ablation topography. UCVA, BCVA, refraction, keratometry, corneal symmetry indices, endothelial cell count, and disease progression were evaluated preoperatively and at 1, 3, and 6 months.",
        "Results": "At 2 months, eyes demonstrated statistically significant improvement in UCVA and BCVA with meaningful reduction in spherical and cylindrical refractive error. Keratometric analysis showed flattening of steep K values, reduced asymmetry, and improved corneal regularity. No endothelial compromise or progression was observed, indicating effective visual rehabilitation with maintained corneal stability.\n6-month results awaited.",
        "Conclusions": "TBD"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TBD",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1055,
      "source_fields": {
        "Abstract Final Identifier": "POCOR368",
        "Title": "Evaluating Topography-Guided Epithelial And Customised Ablation With Crosslinking Using A Novel Topography-\nPredictive Software For Keratoconus",
        "Presenting Author(s)": "Dr Raghav Malik",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Raghav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Malik",
        "Country Name": "India",
        "Purpose": "To evaluate visual, refractive, and topographic outcomes of topography-guided epithelial and customized ablation (TREK and TCAT) combined with corneal crosslinking (CXL) in keratoconus, using a novel predictive software (FORESIGHT) that preoperatively simulates post-treatment corneal topography. The study investigates whether predictive planning translates into superior visual rehabilitation and short-term corneal stability.",
        "Setting": "Prospective interventional study, Tertiary Eye care Hospital",
        "Methods": "This prospective interventional study included 50 keratoconic eyes treated with TREK or TCAT for corneal surface regularization, followed by standard CXL, using the SCHWIND Amaris 1050RS excimer laser. The Foresight software was used preoperatively to predict post-ablation topography. UCVA, BCVA, refraction, keratometry, corneal symmetry indices, endothelial cell count, and disease progression were evaluated preoperatively and at 1, 3, and 6 months.",
        "Results": "At 2 months, eyes demonstrated statistically significant improvement in UCVA and BCVA with meaningful reduction in spherical and cylindrical refractive error. Keratometric analysis showed flattening of steep K values, reduced asymmetry, and improved corneal regularity. No endothelial compromise or progression was observed, indicating effective visual rehabilitation with maintained corneal stability.\n6-month results awaited.",
        "Conclusions": "TBD"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 172
    },
    {
      "uid": "POCOR369",
      "abstract_number": "POCOR369",
      "title": "Audit Of Eye Rubbing, Allergy, And Sleep Patterns In Newly Presenting Keratoconus Patients: Implications For Early Behavioural Intervention",
      "authors": "Dr Laura Maubon*",
      "presenter": "Dr Laura Maubon*",
      "normalized_authors": [
        "Laura Maubon*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura Maubon*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Keratoconus (KC) progression is associated with eye rubbing and allergic eye disease. Understanding the prevalence and patterns of these behaviours in newly presenting patients can inform early educational interventions and risk mitigation strategies. This audit evaluated eye rubbing habits, allergy history, and sleep postures, assessed compliance with patient education, and explored parameters relevant for future studies, including potential associations between hand dominance and eye rubbing patterns.",
        "Setting": "A registered cross-site audit was conducted at Moorfields Eye Hospital in collaboration with corneal specialists at the Royal Free Hospital, London , and the Rothschild Institute, Paris . Consecutive, newly presenting KC patients attending clinics over six months (October 2023–March 2024) were included. Data were fully anonymised, and ethical processes were followed. The audit was performed in a tertiary setting with a comprehensive clinical assessment.",
        "Methods": "A structured questionnaire was developed to capture self-reported eye rubbing behaviours (frequency, technique, laterality), history of allergy/atopy, clinical signs of allergic eye disease, and sleep habits and positions, and was completed on the day of primary clinical assessment. Clinical assessments included visual acuity, iCare intraocular pressure, corneal tomography (MS-39 and Pentacam), and subjective refraction. All patients received education on eye rubbing risks and allergy management. Demographic, behavioural, and compliance data were recorded. Hand dominance was noted for exploratory purposes to inform future larger-scale studies evaluating correlations with eye rubbing and corneal ectasia patterns.",
        "Results": "Complete datasets were available for 41/46 patients (mean age 28.8 years; 59% male). History of allergy/atopy was reported in 57%, with clinical signs in 80%. Eye rubbing was reported in 83%, predominantly using fingerpads/knuckles; 54% employed multiple techniques. Side sleeping was reported in 83%, with 61% using multiple positions; 24% reported prone sleeping. Hand dominance was recorded but, due to the sample size, no meaningful correlation with eye rubbing or disease laterality could be established. All patients received education; audit compliance was 100% for allergy assessment, eye rubbing evaluation, and provision of educational resources.",
        "Conclusions": "Newly presenting KC patients frequently exhibit eye rubbing behaviours and a history of allergic disease. Sleep posture may contribute to asymmetric corneal stress; this has previously been noted in limited literature. Early identification of modifiable behaviours, combined with immersive patient education and prompt allergy management, offers opportunities to mitigate ectasia progression. Future larger-scale studies are warranted to investigate the extent to which sleep laterality and hand dominance influences eye rubbing patterns and disease laterality. Integrating behavioural interventions and exploring self-management education strategies may enhance patient compliance and long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Newly presenting KC patients frequently exhibit eye rubbing behaviours and a history of allergic disease. Sleep posture may contribute to asymmetric corneal stress; this has previously been noted in limited literature. Early identification of modifiable behaviours, combined with immersive patient education and prompt allergy management, offers opportunities to mitigate ectasia progression. Future larger-scale…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1056,
      "source_fields": {
        "Abstract Final Identifier": "POCOR369",
        "Title": "Audit Of Eye Rubbing, Allergy, And Sleep Patterns In Newly Presenting Keratoconus Patients: Implications For Early Behavioural Intervention",
        "Presenting Author(s)": "Dr Laura Maubon*",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Maubon*",
        "Country Name": "United Kingdom",
        "Purpose": "Keratoconus (KC) progression is associated with eye rubbing and allergic eye disease. Understanding the prevalence and patterns of these behaviours in newly presenting patients can inform early educational interventions and risk mitigation strategies. This audit evaluated eye rubbing habits, allergy history, and sleep postures, assessed compliance with patient education, and explored parameters relevant for future studies, including potential associations between hand dominance and eye rubbing patterns.",
        "Setting": "A registered cross-site audit was conducted at Moorfields Eye Hospital in collaboration with corneal specialists at the Royal Free Hospital, London , and the Rothschild Institute, Paris . Consecutive, newly presenting KC patients attending clinics over six months (October 2023–March 2024) were included. Data were fully anonymised, and ethical processes were followed. The audit was performed in a tertiary setting with a comprehensive clinical assessment.",
        "Methods": "A structured questionnaire was developed to capture self-reported eye rubbing behaviours (frequency, technique, laterality), history of allergy/atopy, clinical signs of allergic eye disease, and sleep habits and positions, and was completed on the day of primary clinical assessment. Clinical assessments included visual acuity, iCare intraocular pressure, corneal tomography (MS-39 and Pentacam), and subjective refraction. All patients received education on eye rubbing risks and allergy management. Demographic, behavioural, and compliance data were recorded. Hand dominance was noted for exploratory purposes to inform future larger-scale studies evaluating correlations with eye rubbing and corneal ectasia patterns.",
        "Results": "Complete datasets were available for 41/46 patients (mean age 28.8 years; 59% male). History of allergy/atopy was reported in 57%, with clinical signs in 80%. Eye rubbing was reported in 83%, predominantly using fingerpads/knuckles; 54% employed multiple techniques. Side sleeping was reported in 83%, with 61% using multiple positions; 24% reported prone sleeping. Hand dominance was recorded but, due to the sample size, no meaningful correlation with eye rubbing or disease laterality could be established. All patients received education; audit compliance was 100% for allergy assessment, eye rubbing evaluation, and provision of educational resources.",
        "Conclusions": "Newly presenting KC patients frequently exhibit eye rubbing behaviours and a history of allergic disease. Sleep posture may contribute to asymmetric corneal stress; this has previously been noted in limited literature. Early identification of modifiable behaviours, combined with immersive patient education and prompt allergy management, offers opportunities to mitigate ectasia progression. Future larger-scale studies are warranted to investigate the extent to which sleep laterality and hand dominance influences eye rubbing patterns and disease laterality. Integrating behavioural interventions and exploring self-management education strategies may enhance patient compliance and long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 411
    },
    {
      "uid": "POCOR370",
      "abstract_number": "POCOR370",
      "title": "Redesigning Regional Keratoconus Care: Using Real World Service Data To Develop A Virtual, Community Integrated Model For Early Detection And Timely Collagen Cross Linking",
      "authors": "Dr Thomas W Mcnally",
      "presenter": "Dr Thomas W Mcnally",
      "normalized_authors": [
        "Thomas W Mcnally"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thomas W Mcnally",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To quantify service burden and time-to-treatment across the current regional keratoconus pathway and to use audit data to inform the development of a virtual, community and optometry integrated model of care.\n\nThe three-pathway service will include community hub virtual keratoconus screening and diagnosis, optometry-led monitoring, and a nurse-delivered collagen cross-linking (CXL) service in the local region.\n\nThe overarching aim is to improve early keratoconus detection, reduce preventable disease progression, and shorten time‑to‑collagen cross‑linking (CXL) for newly diagnosed patients thereby improving visual outcome, reducing contact lens burden, and improving vision-associated quality of life.",
        "Setting": "A regional tertiary ophthalmology service in the United Kingdom providing specialist corneal care for a mixed urban-rural population. The project was registered locally and embedded within a broader service‑redesign initiative involving hospital‑based ophthalmologists and optometrists, community optometrists, an established community hub and digital pathway leads.",
        "Methods": "A retrospective audit was performed for all new referrals between 1st January and 31st December 2024. Medical records were reviewed to extract demographic and clinical data.\n\nFindings were used to refine pathway design, define eligibility criteria for community‑based monitoring, and model the expected impact on time‑to‑CXL for new keratoconus diagnoses. The proposed service redesign includes:\n\n1. Community optometrist‑led screening using traffic-light referral criteria\n\n2. Hospital optometry-led virtual triage and monitoring clinics modelled on validated frameworks and a structured escalation protocol for timely CXL listing\n\n3. Nurse-led collagen cross-linking with formal training pathway\n\n4. Consultant-led clinics for complex and surgical patients",
        "Results": "1156 patients were referred with suspected corneal pathology, of which 86 were diagnosed with keratoconus. For patients with keratoconus, mean age was 33.2 years (SD 11.4. range 17-40), 72% were male, 52% had a history of eye rubbing, 30% of atopy and 6% of learning disability. 56% of cases were bilateral at presentation and mean UCVA was 0.61logMAR.\n\n32 patients were listed for CXL, most of whom (69%) were listed at their first appointment, with 25% listed at their second. A substantial contact lens burden was observed, with 440 patients undergoing CL re-fitting during 2024.\n\nSignificant delays were observed. Median referral-to-assessment time was 114 days (IQR 72) and median listing-to-CXL time was 64 days (IQR 86).",
        "Conclusions": "This audit demonstrates substantial service burden and clinically meaningful delays in the current regional keratoconus pathway, with late presentation and diagnosis a key factor.\n\nThe proposed community‑integrated pathway aims to reduce time from referral to clinical decision to 8 weeks. Evidence‑based protocols will reduce inappropriate referrals and guide decision making.\n\nThe service will be audited against established virtual and nurse‑led pathways for keratoconus screening, monitoring and CXL, and a cost‑benefit analysis undertaken. This will be a novel community‑integrated virtual, optometry‑ and nurse‑led pathway from screening to CXL in the UK, positioned as a template for regional and national expansion."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This audit demonstrates substantial service burden and clinically meaningful delays in the current regional keratoconus pathway, with late presentation and diagnosis a key factor. The proposed community‑integrated pathway aims to reduce time from referral to clinical decision to 8 weeks. Evidence‑based protocols will reduce inappropriate referrals and guide decision making. The service will be audited against…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1057,
      "source_fields": {
        "Abstract Final Identifier": "POCOR370",
        "Title": "Redesigning Regional Keratoconus Care: Using Real World Service Data To Develop A Virtual, Community Integrated Model For Early Detection And Timely Collagen Cross Linking",
        "Presenting Author(s)": "Dr Thomas W Mcnally",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Thomas",
        "Submitter Middle Name": "W",
        "Submitter Last Name": "Mcnally",
        "Country Name": "United Kingdom",
        "Purpose": "To quantify service burden and time-to-treatment across the current regional keratoconus pathway and to use audit data to inform the development of a virtual, community and optometry integrated model of care.\n\nThe three-pathway service will include community hub virtual keratoconus screening and diagnosis, optometry-led monitoring, and a nurse-delivered collagen cross-linking (CXL) service in the local region.\n\nThe overarching aim is to improve early keratoconus detection, reduce preventable disease progression, and shorten time‑to‑collagen cross‑linking (CXL) for newly diagnosed patients thereby improving visual outcome, reducing contact lens burden, and improving vision-associated quality of life.",
        "Setting": "A regional tertiary ophthalmology service in the United Kingdom providing specialist corneal care for a mixed urban-rural population. The project was registered locally and embedded within a broader service‑redesign initiative involving hospital‑based ophthalmologists and optometrists, community optometrists, an established community hub and digital pathway leads.",
        "Methods": "A retrospective audit was performed for all new referrals between 1st January and 31st December 2024. Medical records were reviewed to extract demographic and clinical data.\n\nFindings were used to refine pathway design, define eligibility criteria for community‑based monitoring, and model the expected impact on time‑to‑CXL for new keratoconus diagnoses. The proposed service redesign includes:\n\n1. Community optometrist‑led screening using traffic-light referral criteria\n\n2. Hospital optometry-led virtual triage and monitoring clinics modelled on validated frameworks and a structured escalation protocol for timely CXL listing\n\n3. Nurse-led collagen cross-linking with formal training pathway\n\n4. Consultant-led clinics for complex and surgical patients",
        "Results": "1156 patients were referred with suspected corneal pathology, of which 86 were diagnosed with keratoconus. For patients with keratoconus, mean age was 33.2 years (SD 11.4. range 17-40), 72% were male, 52% had a history of eye rubbing, 30% of atopy and 6% of learning disability. 56% of cases were bilateral at presentation and mean UCVA was 0.61logMAR.\n\n32 patients were listed for CXL, most of whom (69%) were listed at their first appointment, with 25% listed at their second. A substantial contact lens burden was observed, with 440 patients undergoing CL re-fitting during 2024.\n\nSignificant delays were observed. Median referral-to-assessment time was 114 days (IQR 72) and median listing-to-CXL time was 64 days (IQR 86).",
        "Conclusions": "This audit demonstrates substantial service burden and clinically meaningful delays in the current regional keratoconus pathway, with late presentation and diagnosis a key factor.\n\nThe proposed community‑integrated pathway aims to reduce time from referral to clinical decision to 8 weeks. Evidence‑based protocols will reduce inappropriate referrals and guide decision making.\n\nThe service will be audited against established virtual and nurse‑led pathways for keratoconus screening, monitoring and CXL, and a cost‑benefit analysis undertaken. This will be a novel community‑integrated virtual, optometry‑ and nurse‑led pathway from screening to CXL in the UK, positioned as a template for regional and national expansion."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 470
    },
    {
      "uid": "POCOR371",
      "abstract_number": "POCOR371",
      "title": "Visual And Topographic Clinical Outcomes Of Corneal Allogenic Intrastromal Ring Segment Implantation In Keratoconus",
      "authors": "Dr Richard Mcneely",
      "presenter": "Dr Richard Mcneely",
      "normalized_authors": [
        "Richard Mcneely"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Richard Mcneely",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To outline the visual and topographic outcomes following corneal allogenic intrastromal ring segment (CAIRS) implantation in keratoconus up to 1 year post surgery.",
        "Setting": "C athedral Eye Clinic, Belfast, Northern Ireland, United Kingdom.",
        "Methods": "In this retrospective analysis eyes implanted with CAIRS (KeraNatural) after tunnel creation with a femtosecond laser (VisuMax, Carl Zeiss) were included. Refraction, uncorrected (UDVA) and best-corrected (CDVA) distance visual acuities, spherical equivalent (SE), keratometry, coma higher order aberration, were evaluated 3 and 12 months postoperatively.",
        "Results": "28 eyes with keratoconus of 27 patients (mean age of 32±9.10 years) were included. Three eyes had previous topoguided laser vision combined with cross-linking (CXL), and one eye had previous CXL. Sixteen eyes had 12 months assessment. Preoperative CDVA was 0.49±0.27logMAR, improving to 0.33±0.23 logMAR at 3 months and 0.31±0.20 at 12 months. A significant reduction in SE was observed. Preoperative SE was -3.50±5.09D compared to -0.24±2.22D and -0.67±2.41D at 3 (P=0.001) and 12 months (P=0.04). Preoperative K1 was 51.54±10.08 D and K2 was 57.92±12.62 D which significantly reduced to 42.32±11.02D (P<0.001) and 48.41±10.33 (P=0.002) at 12 months. Mean coma aberration was 3.35±2.72um at 12 months compared to 4.03±2.60um preoperatively.",
        "Conclusions": "This study suggests that CAIRS implantation provides an improvement in CDVA and keratometric values at 3 months and at a longer term follow of 12 months. Close postoperative monitoring is required to determine if further intervention is required in the early postoperative period. Further data and assessment of the impact of CAIRS upon the corneal epithelium will be presented at the conference."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study suggests that CAIRS implantation provides an improvement in CDVA and keratometric values at 3 months and at a longer term follow of 12 months. Close postoperative monitoring is required to determine if further intervention is required in the early postoperative period. Further data and assessment of the impact of CAIRS upon the corneal epithelium will be presented at the conference.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1058,
      "source_fields": {
        "Abstract Final Identifier": "POCOR371",
        "Title": "Visual And Topographic Clinical Outcomes Of Corneal Allogenic Intrastromal Ring Segment Implantation In Keratoconus",
        "Presenting Author(s)": "Dr Richard Mcneely",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Richard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mcneely",
        "Country Name": "United Kingdom",
        "Purpose": "To outline the visual and topographic outcomes following corneal allogenic intrastromal ring segment (CAIRS) implantation in keratoconus up to 1 year post surgery.",
        "Setting": "C athedral Eye Clinic, Belfast, Northern Ireland, United Kingdom.",
        "Methods": "In this retrospective analysis eyes implanted with CAIRS (KeraNatural) after tunnel creation with a femtosecond laser (VisuMax, Carl Zeiss) were included. Refraction, uncorrected (UDVA) and best-corrected (CDVA) distance visual acuities, spherical equivalent (SE), keratometry, coma higher order aberration, were evaluated 3 and 12 months postoperatively.",
        "Results": "28 eyes with keratoconus of 27 patients (mean age of 32±9.10 years) were included. Three eyes had previous topoguided laser vision combined with cross-linking (CXL), and one eye had previous CXL. Sixteen eyes had 12 months assessment. Preoperative CDVA was 0.49±0.27logMAR, improving to 0.33±0.23 logMAR at 3 months and 0.31±0.20 at 12 months. A significant reduction in SE was observed. Preoperative SE was -3.50±5.09D compared to -0.24±2.22D and -0.67±2.41D at 3 (P=0.001) and 12 months (P=0.04). Preoperative K1 was 51.54±10.08 D and K2 was 57.92±12.62 D which significantly reduced to 42.32±11.02D (P<0.001) and 48.41±10.33 (P=0.002) at 12 months. Mean coma aberration was 3.35±2.72um at 12 months compared to 4.03±2.60um preoperatively.",
        "Conclusions": "This study suggests that CAIRS implantation provides an improvement in CDVA and keratometric values at 3 months and at a longer term follow of 12 months. Close postoperative monitoring is required to determine if further intervention is required in the early postoperative period. Further data and assessment of the impact of CAIRS upon the corneal epithelium will be presented at the conference."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "POCOR372",
      "abstract_number": "POCOR372",
      "title": "The Role Of Epithelial Mapping In The Differential Diagnosis Of Keratoconus",
      "authors": "Diyora Abduvalieva",
      "presenter": "Diyora Abduvalieva",
      "normalized_authors": [
        "Diyora Abduvalieva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Komila Mubarakova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To determine the diagnostic significance of anterior segment optical coherence tomography (OCT) epithelial map parameters in the differential diagnosis of dry eye syndrome and various stages of keratoconus.",
        "Setting": "The study was conducted from 2024 to 2026 at the “SIHAT KO`Z” Eye Clinic. A total of 450 patients were examined, including 256 men and 194 women. According to the clinical diagnosis, patients were divided into three groups:\ngroup I – dry eye syndrome: 150 patients (300 eyes); group II – subclinical keratoconus: 130 patients (260 eyes); group III – stage I keratoconus: 170 patients (340 eyes).",
        "Methods": "All patients underwent anterior segment OCT of the cornea with epithelial thickness analysis (minimum and maximum values, inferior–superior asymmetry (ISA)) and measurement of the thinnest corneal point. The examinations were performed using the Optovue Solix diagnostic system (USA).",
        "Results": "Dry eye syndrome: the minimum epithelial thickness was 50.3±0.4 µm, the maximum was 52.6±0.4 µm, ISA = 1.45±0.05 D, and the thinnest corneal thickness was 506.3±3.4 µm. Subclinical keratoconus: the minimum epithelial thickness was 47.2±0.6 µm, the maximum was 63.1±0.5 µm, ISA = 1.62±0.05 D, and the thinnest corneal thickness was 492.4±3.2 µm. Stage I keratoconus: the minimum epithelial thickness was 38.2±0.6 µm, the maximum was 70.5±0.5 µm, ISA = 1.91±0.05 D, and the thinnest corneal thickness was 481.7±3.5 µm.",
        "Conclusions": "In dry eye syndrome, instability and irregularity of the tear film lead to diffuse variability in corneal epithelial thickness and its uneven distribution on the epithelial map. In subclinical keratoconus, the epithelial map demonstrates segmental epithelial thickening reflecting a compensatory response to localized stromal changes. In keratoconus, the epithelial map shows epithelial thinning over the cone apex within the ectatic zone, while paracentral areas demonstrate compensatory thickening. As a result, a characteristic epithelial “ring” forms around the ectatic zone. Anterior segment OCT with epithelial mapping enables differential diagnosis of dry eye syndrome, subclinical keratoconus, and manifest keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In dry eye syndrome, instability and irregularity of the tear film lead to diffuse variability in corneal epithelial thickness and its uneven distribution on the epithelial map. In subclinical keratoconus, the epithelial map demonstrates segmental epithelial thickening reflecting a compensatory response to localized stromal changes. In keratoconus, the epithelial map shows epithelial thinning over the cone apex…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1059,
      "source_fields": {
        "Abstract Final Identifier": "POCOR372",
        "Title": "The Role Of Epithelial Mapping In The Differential Diagnosis Of Keratoconus",
        "Presenting Author(s)": "Diyora Abduvalieva",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Komila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mubarakova",
        "Country Name": "Uzbekistan",
        "Purpose": "To determine the diagnostic significance of anterior segment optical coherence tomography (OCT) epithelial map parameters in the differential diagnosis of dry eye syndrome and various stages of keratoconus.",
        "Setting": "The study was conducted from 2024 to 2026 at the “SIHAT KO`Z” Eye Clinic. A total of 450 patients were examined, including 256 men and 194 women. According to the clinical diagnosis, patients were divided into three groups:\ngroup I – dry eye syndrome: 150 patients (300 eyes); group II – subclinical keratoconus: 130 patients (260 eyes); group III – stage I keratoconus: 170 patients (340 eyes).",
        "Methods": "All patients underwent anterior segment OCT of the cornea with epithelial thickness analysis (minimum and maximum values, inferior–superior asymmetry (ISA)) and measurement of the thinnest corneal point. The examinations were performed using the Optovue Solix diagnostic system (USA).",
        "Results": "Dry eye syndrome: the minimum epithelial thickness was 50.3±0.4 µm, the maximum was 52.6±0.4 µm, ISA = 1.45±0.05 D, and the thinnest corneal thickness was 506.3±3.4 µm. Subclinical keratoconus: the minimum epithelial thickness was 47.2±0.6 µm, the maximum was 63.1±0.5 µm, ISA = 1.62±0.05 D, and the thinnest corneal thickness was 492.4±3.2 µm. Stage I keratoconus: the minimum epithelial thickness was 38.2±0.6 µm, the maximum was 70.5±0.5 µm, ISA = 1.91±0.05 D, and the thinnest corneal thickness was 481.7±3.5 µm.",
        "Conclusions": "In dry eye syndrome, instability and irregularity of the tear film lead to diffuse variability in corneal epithelial thickness and its uneven distribution on the epithelial map. In subclinical keratoconus, the epithelial map demonstrates segmental epithelial thickening reflecting a compensatory response to localized stromal changes. In keratoconus, the epithelial map shows epithelial thinning over the cone apex within the ectatic zone, while paracentral areas demonstrate compensatory thickening. As a result, a characteristic epithelial “ring” forms around the ectatic zone. Anterior segment OCT with epithelial mapping enables differential diagnosis of dry eye syndrome, subclinical keratoconus, and manifest keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POCOR373",
      "abstract_number": "POCOR373",
      "title": "Refractive And Topographic Outcomes Of Corneal Tissue Addition Keratoplasty (Ctak)",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and topographic outcomes of corneal tissue addition keratoplasty (CTAK) in patients with keratoconus and post-surgical ectasia.",
        "Setting": "Single tertiary academic center.",
        "Methods": "A retrospective review was conducted of eyes undergoing CTAK at our institute. Collected variables included demographics and pre- and postoperative Pentacam topography, visual acuity, and refraction. Primary outcomes were changes in flat K, steep K, Kmax, uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), and spherical equivalent (SE). Postoperative measurements at 1 day, 1 week, 1 month, and ≥3 months were compared with baseline.",
        "Results": "Nineteen eyes (mean age 36.3 years) were included. Preoperatively, mean Kmax was 54.8 ± 9.3 D (range 43.0–79.4), flat K 52.6 ± 9.3, steep K 57.3 ± 9.2, and astigmatism 4.7 ± 2.3. At latest follow-up (POM1 or ≥POM3), mean flat K decreased by 3.75 D, steep K by 3.94 D, and Kmax by 3.82 D, while astigmatism decreased by 0.20 D. At POM1, mean UCVA improved from 20/215 (logMAR 1.03) to 20/125 (0.80), and mean BCVA from 20/90 (0.65) to 20/60 (0.48). Mean SE improved from –3.3 ± 3.8 D to –0.47 ± 1.0 D.",
        "Conclusions": "Our findings demonstrate that CTAK produces notable improvements in corneal shape and functional vision. These results support CTAK as a reliable therapeutic option for patients with keratoconus and post-surgical ectasia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings demonstrate that CTAK produces notable improvements in corneal shape and functional vision. These results support CTAK as a reliable therapeutic option for patients with keratoconus and post-surgical ectasia.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1060,
      "source_fields": {
        "Abstract Final Identifier": "POCOR373",
        "Title": "Refractive And Topographic Outcomes Of Corneal Tissue Addition Keratoplasty (Ctak)",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To evaluate visual, refractive, and topographic outcomes of corneal tissue addition keratoplasty (CTAK) in patients with keratoconus and post-surgical ectasia.",
        "Setting": "Single tertiary academic center.",
        "Methods": "A retrospective review was conducted of eyes undergoing CTAK at our institute. Collected variables included demographics and pre- and postoperative Pentacam topography, visual acuity, and refraction. Primary outcomes were changes in flat K, steep K, Kmax, uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), and spherical equivalent (SE). Postoperative measurements at 1 day, 1 week, 1 month, and ≥3 months were compared with baseline.",
        "Results": "Nineteen eyes (mean age 36.3 years) were included. Preoperatively, mean Kmax was 54.8 ± 9.3 D (range 43.0–79.4), flat K 52.6 ± 9.3, steep K 57.3 ± 9.2, and astigmatism 4.7 ± 2.3. At latest follow-up (POM1 or ≥POM3), mean flat K decreased by 3.75 D, steep K by 3.94 D, and Kmax by 3.82 D, while astigmatism decreased by 0.20 D. At POM1, mean UCVA improved from 20/215 (logMAR 1.03) to 20/125 (0.80), and mean BCVA from 20/90 (0.65) to 20/60 (0.48). Mean SE improved from –3.3 ± 3.8 D to –0.47 ± 1.0 D.",
        "Conclusions": "Our findings demonstrate that CTAK produces notable improvements in corneal shape and functional vision. These results support CTAK as a reliable therapeutic option for patients with keratoconus and post-surgical ectasia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCOR374",
      "abstract_number": "POCOR374",
      "title": "Partial Thickness Compression Sutures Without Intracameral Air For Acute Corneal Hydrops In Corneal Ectasia: A Safe And Effective Alternative",
      "authors": "Dr Sam Myers",
      "presenter": "Dr Sam Myers",
      "normalized_authors": [
        "Sam Myers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sam Myers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of partial thickness compression sutures without intracameral air tamponade in the management of acute corneal hydrops in corneal ectasia.",
        "Setting": "Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.",
        "Methods": "A retrospective case series was performed of patients presenting to a tertiary corneal service with acute hydrops secondary to keratoconus or pellucid marginal degeneration between 2024–2025. All cases were managed with partial-thickness 10-0 nylon corneal sutures without intracameral gas. Eyes receiving air or full-thickness sutures were excluded. Data included demographics, time to surgery, best-corrected visual acuity (BCVA), central corneal thickness (CCT via MS-39 AS-OCT), complications, and time to oedema resolution.",
        "Results": "Seven eyes from six patients (median age 29 years, range 17–64) were included. All were treated with partial-thickness sutures alone. Five of seven eyes had BCVA ≤3/60 at presentation; postoperatively, 6/7 showed improvement, with three recovering to 6/18 or better. Mean CCT reduced from 1000 µm pre-op to 600 µm at 1 week, and 520 µm at 1 month. Median time to corneal oedema resolution was one month. No intraoperative or postoperative complications were observed.",
        "Conclusions": "Partial-thickness compression sutures without intracameral gas offer a safe and effective alternative in the surgical management of acute hydrops. This approach avoids risks associated with anterior chamber entry, including pupillary block and cataract. Further comparative studies are needed to evaluate long-term outcomes and refine indications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Partial-thickness compression sutures without intracameral gas offer a safe and effective alternative in the surgical management of acute hydrops. This approach avoids risks associated with anterior chamber entry, including pupillary block and cataract. Further comparative studies are needed to evaluate long-term outcomes and refine indications.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1061,
      "source_fields": {
        "Abstract Final Identifier": "POCOR374",
        "Title": "Partial Thickness Compression Sutures Without Intracameral Air For Acute Corneal Hydrops In Corneal Ectasia: A Safe And Effective Alternative",
        "Presenting Author(s)": "Dr Sam Myers",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Myers",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the efficacy and safety of partial thickness compression sutures without intracameral air tamponade in the management of acute corneal hydrops in corneal ectasia.",
        "Setting": "Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.",
        "Methods": "A retrospective case series was performed of patients presenting to a tertiary corneal service with acute hydrops secondary to keratoconus or pellucid marginal degeneration between 2024–2025. All cases were managed with partial-thickness 10-0 nylon corneal sutures without intracameral gas. Eyes receiving air or full-thickness sutures were excluded. Data included demographics, time to surgery, best-corrected visual acuity (BCVA), central corneal thickness (CCT via MS-39 AS-OCT), complications, and time to oedema resolution.",
        "Results": "Seven eyes from six patients (median age 29 years, range 17–64) were included. All were treated with partial-thickness sutures alone. Five of seven eyes had BCVA ≤3/60 at presentation; postoperatively, 6/7 showed improvement, with three recovering to 6/18 or better. Mean CCT reduced from 1000 µm pre-op to 600 µm at 1 week, and 520 µm at 1 month. Median time to corneal oedema resolution was one month. No intraoperative or postoperative complications were observed.",
        "Conclusions": "Partial-thickness compression sutures without intracameral gas offer a safe and effective alternative in the surgical management of acute hydrops. This approach avoids risks associated with anterior chamber entry, including pupillary block and cataract. Further comparative studies are needed to evaluate long-term outcomes and refine indications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCOR375",
      "abstract_number": "POCOR375",
      "title": "Optical Assessment Of Tear Film Thickness In Healthy And Keratoconic Eyes Using Scheimpflug Oct Imaging",
      "authors": "Dr Sunayana Narasimha Murthy",
      "presenter": "Dr Sunayana Narasimha Murthy",
      "normalized_authors": [
        "Sunayana Narasimha Murthy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sunayana Narasimha Murthy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To quantify tear film thickness (TFT) in early keratoconus (KC) and healthy eyes and correlate with tear biomarkers.",
        "Setting": "study done at a tertiary hospital setting, between july 2025 - sept 2025",
        "Methods": "Prospective, case-control, single-centre study of 100 eyes which were included and grouped into early KC (n=50) and healthy eyes (n=50). Imaging was with Pentacam OCT, a Scheimpflug based ultra-high resolution, widefield OCT with axial resolution of ~1.4µm and scan diameter of 12mm. Custom edge detection and segmentation software were developed to calculate TFT. 25 radial OCT B-scans were also acquired. Additionally, tear samples were analysed for 8 biomarkers. AI predicted scores were derived from these biomarkers.",
        "Results": "In central 5 mm zone of imaging, the mean TFT was found to be 3.09 (KC) and 3.16 µm(healthy). As zone size increased, mean TFT decreased in KC patients (p<0.05). It was also found that all biomarkers were elevated in KC eyes. MMP-9 strongly correlated with the AI predicted score (Spearman correlation coefficient r = 0.684, P = 0.0291) in KC.",
        "Conclusions": "A new Scheimpflug based optical imaging technique can be used to quantify TFT and correlate with incidence of ocular inflammation. Using AI models, one could support treatment of patient symptoms in healthy and KC eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A new Scheimpflug based optical imaging technique can be used to quantify TFT and correlate with incidence of ocular inflammation. Using AI models, one could support treatment of patient symptoms in healthy and KC eyes.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1062,
      "source_fields": {
        "Abstract Final Identifier": "POCOR375",
        "Title": "Optical Assessment Of Tear Film Thickness In Healthy And Keratoconic Eyes Using Scheimpflug Oct Imaging",
        "Presenting Author(s)": "Dr Sunayana Narasimha Murthy",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sunayana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Narasimha Murthy",
        "Country Name": "India",
        "Purpose": "To quantify tear film thickness (TFT) in early keratoconus (KC) and healthy eyes and correlate with tear biomarkers.",
        "Setting": "study done at a tertiary hospital setting, between july 2025 - sept 2025",
        "Methods": "Prospective, case-control, single-centre study of 100 eyes which were included and grouped into early KC (n=50) and healthy eyes (n=50). Imaging was with Pentacam OCT, a Scheimpflug based ultra-high resolution, widefield OCT with axial resolution of ~1.4µm and scan diameter of 12mm. Custom edge detection and segmentation software were developed to calculate TFT. 25 radial OCT B-scans were also acquired. Additionally, tear samples were analysed for 8 biomarkers. AI predicted scores were derived from these biomarkers.",
        "Results": "In central 5 mm zone of imaging, the mean TFT was found to be 3.09 (KC) and 3.16 µm(healthy). As zone size increased, mean TFT decreased in KC patients (p<0.05). It was also found that all biomarkers were elevated in KC eyes. MMP-9 strongly correlated with the AI predicted score (Spearman correlation coefficient r = 0.684, P = 0.0291) in KC.",
        "Conclusions": "A new Scheimpflug based optical imaging technique can be used to quantify TFT and correlate with incidence of ocular inflammation. Using AI models, one could support treatment of patient symptoms in healthy and KC eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 210
    },
    {
      "uid": "POCOR376",
      "abstract_number": "POCOR376",
      "title": "Prediction Of Posterior Corneal Surface Parameters From Epithelial Parameters In Keratoconus",
      "authors": "Tadas Naujokaitis",
      "presenter": "Tadas Naujokaitis",
      "normalized_authors": [
        "Tadas Naujokaitis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tadas Naujokaitis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To analyze the association between epithelial parameters and posterior corneal surface parameters in keratoconus and to develop predictive models for posterior corneal elevation and posterior Kmax based exclusively on epithelial measurements.",
        "Setting": "Department of Ophthalmology, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.",
        "Methods": "In this monocentric cross-sectional study, 60 eyes of 60 patients with keratoconus were included, with one randomized eye per patient. Anterior segment OCT epithelial mapping was performed using the Anterion (Heidelberg Engineering). Epithelial parameters included zonal thickness, inter-zonal thickness differences, thinnest and thickest points, and the standard deviation of mean epithelial thickness both globally and by zone. Correlations with posterior tomographic parameters were assessed using Pearson correlation. Predictive models for maximum posterior elevation and posterior Kmax were developed in 42 eyes using LASSO-based predictor selection and ordinary least squares regression, and validated in 18 eyes.",
        "Results": "Standard deviation of mean epithelial thickness correlated with posterior Kmean (r=-0.54), posterior astigmatism (r=-0.49), posterior Kmax (r=-0.74), and maximum posterior elevation (r=0.70) (all P<0.01). Superior-temporal interzonal epithelial thickness differences showed the strongest correlation with posterior Kmax (r=-0.79, P<0.01). The maximum posterior elevation model, based on four epithelial parameters, achieved R=0.88 and mean absolute error (MAE) 10.7µm in development dataset and R=0.69 and MAE 20.9µm in validation dataset. The posterior Kmax model, also based on four epithelial parameters, achieved R=0.90 and MAE 0.4D in development dataset and R=0.91 and MAE 0.5D in validation dataset, explaining 81-83 % of variance.",
        "Conclusions": "Epithelial remodeling is strongly associated with posterior corneal surface changes in keratoconus. Epithelial parameters enabled prediction of maximum posterior elevation and posterior Kmax, with the best performance observed for posterior Kmax. These parameters may complement keratoconus staging and support the evaluation of disease progression."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Epithelial remodeling is strongly associated with posterior corneal surface changes in keratoconus. Epithelial parameters enabled prediction of maximum posterior elevation and posterior Kmax, with the best performance observed for posterior Kmax. These parameters may complement keratoconus staging and support the evaluation of disease progression.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1063,
      "source_fields": {
        "Abstract Final Identifier": "POCOR376",
        "Title": "Prediction Of Posterior Corneal Surface Parameters From Epithelial Parameters In Keratoconus",
        "Presenting Author(s)": "Tadas Naujokaitis",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Tadas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naujokaitis",
        "Country Name": "Germany",
        "Purpose": "To analyze the association between epithelial parameters and posterior corneal surface parameters in keratoconus and to develop predictive models for posterior corneal elevation and posterior Kmax based exclusively on epithelial measurements.",
        "Setting": "Department of Ophthalmology, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.",
        "Methods": "In this monocentric cross-sectional study, 60 eyes of 60 patients with keratoconus were included, with one randomized eye per patient. Anterior segment OCT epithelial mapping was performed using the Anterion (Heidelberg Engineering). Epithelial parameters included zonal thickness, inter-zonal thickness differences, thinnest and thickest points, and the standard deviation of mean epithelial thickness both globally and by zone. Correlations with posterior tomographic parameters were assessed using Pearson correlation. Predictive models for maximum posterior elevation and posterior Kmax were developed in 42 eyes using LASSO-based predictor selection and ordinary least squares regression, and validated in 18 eyes.",
        "Results": "Standard deviation of mean epithelial thickness correlated with posterior Kmean (r=-0.54), posterior astigmatism (r=-0.49), posterior Kmax (r=-0.74), and maximum posterior elevation (r=0.70) (all P<0.01). Superior-temporal interzonal epithelial thickness differences showed the strongest correlation with posterior Kmax (r=-0.79, P<0.01). The maximum posterior elevation model, based on four epithelial parameters, achieved R=0.88 and mean absolute error (MAE) 10.7µm in development dataset and R=0.69 and MAE 20.9µm in validation dataset. The posterior Kmax model, also based on four epithelial parameters, achieved R=0.90 and MAE 0.4D in development dataset and R=0.91 and MAE 0.5D in validation dataset, explaining 81-83 % of variance.",
        "Conclusions": "Epithelial remodeling is strongly associated with posterior corneal surface changes in keratoconus. Epithelial parameters enabled prediction of maximum posterior elevation and posterior Kmax, with the best performance observed for posterior Kmax. These parameters may complement keratoconus staging and support the evaluation of disease progression."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POCOR377",
      "abstract_number": "POCOR377",
      "title": "Corneal Hormesis At Altitude. Normal Cornea Vs Corneal Changes Vs Keratoconus.",
      "authors": "Dr Justo Luís Noriega Martínez",
      "presenter": "Dr Justo Luís Noriega Martínez",
      "normalized_authors": [
        "Justo Luís Noriega Martínez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Justo Luís Noriega Martínez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate anatomical–biochemical and physiological corneal changes in patients exposed to high altitude.",
        "Setting": "This is a case series research in patients exposed to high altitude (2500–5000 meters above sea level), divided into three groups: acute hypobaric hypoxia (exposed for less than 15 days, mountaineers/tourists who go up and down), intermittent chronic hypoxia or hypobaria (people who live at sea level and work at high altitude for periods between 15 days to 6 months, repeatedly going up and down), and finally, chronic adapted hypobaric hypoxia (inhabitants born at high altitude).",
        "Methods": "Exploratory–descriptive–correlational–longitudinal–prospective study. General aspects of the study. Temporal and geographic context. General study design",
        "Results": "Our study group is made up of patients who live at altitudes between 2500 – 5000 meters above sea level (masl), high myopic astigmatism, both refractive and tomographic, it is the most common, corneal biomechanical changes are significantly evidente, pachymetry values range between 504µm/522µm, tomographic astigmatism ranges from -4.5 to -6.0 D as does refractive astigmatism, the K values are 39.0D/45.0D. Both sexes are equally affected, the patients who live above 4,100 masl are the most affected.",
        "Conclusions": "Although the results obtained from biomechanical studies of the cornea carried out in our study population indicate that 96% fall within the different degrees of keratoconus, defined for population groups living at sea level, we believe that this is a finding related to corneal hormesis, and not due to a high incidence of keratoconus itself, since there are no actual corneal biomechanical studies in a population exposed to low partial oxygen pressure (PbO 2 ), that define the characteristics of a normal cornea compared to a cornea with ectatic changes versus a cornea with keratoconus, for now we will call these findings changes in corneal architecture"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although the results obtained from biomechanical studies of the cornea carried out in our study population indicate that 96% fall within the different degrees of keratoconus, defined for population groups living at sea level, we believe that this is a finding related to corneal hormesis, and not due to a high incidence of keratoconus itself, since there are no actual corneal biomechanical studies in a population…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1064,
      "source_fields": {
        "Abstract Final Identifier": "POCOR377",
        "Title": "Corneal Hormesis At Altitude. Normal Cornea Vs Corneal Changes Vs Keratoconus.",
        "Presenting Author(s)": "Dr Justo Luís Noriega Martínez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Justo",
        "Submitter Middle Name": "Luís",
        "Submitter Last Name": "Noriega Martínez",
        "Country Name": "Peru",
        "Purpose": "To evaluate anatomical–biochemical and physiological corneal changes in patients exposed to high altitude.",
        "Setting": "This is a case series research in patients exposed to high altitude (2500–5000 meters above sea level), divided into three groups: acute hypobaric hypoxia (exposed for less than 15 days, mountaineers/tourists who go up and down), intermittent chronic hypoxia or hypobaria (people who live at sea level and work at high altitude for periods between 15 days to 6 months, repeatedly going up and down), and finally, chronic adapted hypobaric hypoxia (inhabitants born at high altitude).",
        "Methods": "Exploratory–descriptive–correlational–longitudinal–prospective study. General aspects of the study. Temporal and geographic context. General study design",
        "Results": "Our study group is made up of patients who live at altitudes between 2500 – 5000 meters above sea level (masl), high myopic astigmatism, both refractive and tomographic, it is the most common, corneal biomechanical changes are significantly evidente, pachymetry values range between 504µm/522µm, tomographic astigmatism ranges from -4.5 to -6.0 D as does refractive astigmatism, the K values are 39.0D/45.0D. Both sexes are equally affected, the patients who live above 4,100 masl are the most affected.",
        "Conclusions": "Although the results obtained from biomechanical studies of the cornea carried out in our study population indicate that 96% fall within the different degrees of keratoconus, defined for population groups living at sea level, we believe that this is a finding related to corneal hormesis, and not due to a high incidence of keratoconus itself, since there are no actual corneal biomechanical studies in a population exposed to low partial oxygen pressure (PbO 2 ), that define the characteristics of a normal cornea compared to a cornea with ectatic changes versus a cornea with keratoconus, for now we will call these findings changes in corneal architecture"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCOR378",
      "abstract_number": "POCOR378",
      "title": "Tomographic Predictors Of Visual Success With Custom Soft Contact Lenses In Corneal Ectasia",
      "authors": "Dr Burcu Nurözler Tabakcı",
      "presenter": "Dr Burcu Nurözler Tabakcı",
      "normalized_authors": [
        "Burcu Nurözler Tabakcı"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Burcu Nurözler Tabakcı",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate whether pre-fitting corneal tomographic characteristics influence visual success with custom soft contact lenses in eyes with corneal ectasia.",
        "Setting": "Single-center retrospective study performed at a tertiary referral ophthalmology clinic.",
        "Methods": "The study included 40 patients (57 eyes; 16 females and 24 males; mean age 30.4 ± 9.3 years) with corneal ectasia fitted with a commercially available custom soft contact lens (KeraSoft® IC). Successful fitting was defined as a ≥3-line gain in BCLCVA compared to pre-fitting BSCVA, or a final BCLCVA ≤0.15 logMAR. Eyes were categorized as successful or limited visual gain. Pre-fitting corneal tomographic parameters, including keratometry, elevation, symmetry indices, and higher-order aberrations, were compared. ROC analysis was performed to evaluate predictive performance.",
        "Results": "Successful fitting was achieved in 56.1% of eyes. Eyes with limited visual gain demonstrated significantly greater posterior corneal steepening (K back max, p=0.023), higher anterior and posterior asymmetry indices (SI front p=0.027; SI back p=0.017), and increased posterior elevation (p=0.031). ROC analysis showed moderate discriminatory ability for K back max (AUC=0.65). A cut-off value of K back max ≤ −11.23 D yielded 40% sensitivity and 93.8% specificity for predicting limited visual gain.",
        "Conclusions": "Posterior corneal morphology appears to influence visual rehabilitation outcomes with custom soft contact lenses in corneal ectasia. Increased posterior steepening may reduce the likelihood of achieving substantial visual improvement. Pre-fitting posterior corneal assessment may assist in patient selection and clinical decision-making."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Posterior corneal morphology appears to influence visual rehabilitation outcomes with custom soft contact lenses in corneal ectasia. Increased posterior steepening may reduce the likelihood of achieving substantial visual improvement. Pre-fitting posterior corneal assessment may assist in patient selection and clinical decision-making.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1065,
      "source_fields": {
        "Abstract Final Identifier": "POCOR378",
        "Title": "Tomographic Predictors Of Visual Success With Custom Soft Contact Lenses In Corneal Ectasia",
        "Presenting Author(s)": "Dr Burcu Nurözler Tabakcı",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Burcu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nurözler Tabakcı",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate whether pre-fitting corneal tomographic characteristics influence visual success with custom soft contact lenses in eyes with corneal ectasia.",
        "Setting": "Single-center retrospective study performed at a tertiary referral ophthalmology clinic.",
        "Methods": "The study included 40 patients (57 eyes; 16 females and 24 males; mean age 30.4 ± 9.3 years) with corneal ectasia fitted with a commercially available custom soft contact lens (KeraSoft® IC). Successful fitting was defined as a ≥3-line gain in BCLCVA compared to pre-fitting BSCVA, or a final BCLCVA ≤0.15 logMAR. Eyes were categorized as successful or limited visual gain. Pre-fitting corneal tomographic parameters, including keratometry, elevation, symmetry indices, and higher-order aberrations, were compared. ROC analysis was performed to evaluate predictive performance.",
        "Results": "Successful fitting was achieved in 56.1% of eyes. Eyes with limited visual gain demonstrated significantly greater posterior corneal steepening (K back max, p=0.023), higher anterior and posterior asymmetry indices (SI front p=0.027; SI back p=0.017), and increased posterior elevation (p=0.031). ROC analysis showed moderate discriminatory ability for K back max (AUC=0.65). A cut-off value of K back max ≤ −11.23 D yielded 40% sensitivity and 93.8% specificity for predicting limited visual gain.",
        "Conclusions": "Posterior corneal morphology appears to influence visual rehabilitation outcomes with custom soft contact lenses in corneal ectasia. Increased posterior steepening may reduce the likelihood of achieving substantial visual improvement. Pre-fitting posterior corneal assessment may assist in patient selection and clinical decision-making."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCOR379",
      "abstract_number": "POCOR379",
      "title": "Ocular Surface Modulation In Young Allergic Keratoconus: Can Trehalose And Cyclosporine Delay The Need For Cross-Linking?",
      "authors": "Dr Zeynep Ömerbeyoğlu",
      "presenter": "Dr Zeynep Ömerbeyoğlu",
      "normalized_authors": [
        "Zeynep Ömerbeyoğlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Ömerbeyoğlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Keratoconus (KC) in adolescents and young adults, particularly in the presence of allergic disease and eye rubbing, is often characterized by rapid progression leading to early consideration of corneal cross-linking (CXL). However, in patients with good visual acuity, immediate CXL may be perceived as invasive or premature. This study aimed to evaluate whether long-term ocular surface–directed therapy with trehalose-based lubricants and topical cyclosporine A (CyA) is associated with tomographic stabilization in young keratoconus patients and may serve as a noninvasive strategy to delay surgical intervention.",
        "Setting": "Ankara Bilkent City Hospital",
        "Methods": "This observational study included 61 consecutive keratoconus patients younger than 23 years treated with trehalose-containing lubricant and topical cyclosporine A. Baseline and follow-up assessments included corrected-distance visual acuity (CDVA), spherical equivalent (SE), and corneal tomography (Pentacam HR). Keratometric indices (Km, Kmax), central corneal thickness (CCT), thinnest corneal thickness (tCCT), and astigmatism were analyzed. Disease progression was strictly defined as an increase of more than 1.0 diopter in Kmax within 12 months and CXL was performed when necessary. Patients were categorized into progression and non-progression groups accordingly.",
        "Results": "Mean age was 21.38 ± 3.53 years; 34 patients (55.7%) were female. Of 61 eyes, 54 (88.5%) remained stable and 7 (11.5%) showed progression. In the non-progression group, Kmax (49.73 ± 3.76 vs. 49.76 ± 3.72 D; p = 0.714), Km (p = 0.640), CCT (p = 0.326), thinnest corneal thickness (p = 0.069), astigmatism, spherical equivalent (p = 0.482), and CDVA (p = 0.229) showed no significant change. In the progression group, Kmax increased from 50.99 ± 6.07 to 52.13 ± 6.08 D (p < 0.001) and Km from 45.74 ± 3.77 to 46.06 ± 3.87 D (p = 0.015). Pachymetric parameters remained stable, spherical equivalent showed a nonsignificant myopic trend, and CDVA was preserved. No treatment-related adverse events were observed.",
        "Conclusions": "In this young, allergic keratoconus cohort, long-term ocular surface modulation with trehalose and topical cyclosporine A was associated with tomographic stability in nearly 90% of eyes. Progression, when present, involved anterior keratometric steepening rather than significant corneal thinning, while visual acuity remained preserved. These findings suggest that targeting ocular surface inflammation may reduce Kmax steepening in selected young patients. In eyes with good visual acuity, where immediate cross-linking may be overly aggressive, ocular-surface-directed therapy represents a valuable noninvasive strategy to delay intervention. Prospective controlled studies are warranted to confirm its disease-modifying role in early keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this young, allergic keratoconus cohort, long-term ocular surface modulation with trehalose and topical cyclosporine A was associated with tomographic stability in nearly 90% of eyes. Progression, when present, involved anterior keratometric steepening rather than significant corneal thinning, while visual acuity remained preserved. These findings suggest that targeting ocular surface inflammation may reduce…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1066,
      "source_fields": {
        "Abstract Final Identifier": "POCOR379",
        "Title": "Ocular Surface Modulation In Young Allergic Keratoconus: Can Trehalose And Cyclosporine Delay The Need For Cross-Linking?",
        "Presenting Author(s)": "Dr Zeynep Ömerbeyoğlu",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ömerbeyoğlu",
        "Country Name": "Türkiye",
        "Purpose": "Keratoconus (KC) in adolescents and young adults, particularly in the presence of allergic disease and eye rubbing, is often characterized by rapid progression leading to early consideration of corneal cross-linking (CXL). However, in patients with good visual acuity, immediate CXL may be perceived as invasive or premature. This study aimed to evaluate whether long-term ocular surface–directed therapy with trehalose-based lubricants and topical cyclosporine A (CyA) is associated with tomographic stabilization in young keratoconus patients and may serve as a noninvasive strategy to delay surgical intervention.",
        "Setting": "Ankara Bilkent City Hospital",
        "Methods": "This observational study included 61 consecutive keratoconus patients younger than 23 years treated with trehalose-containing lubricant and topical cyclosporine A. Baseline and follow-up assessments included corrected-distance visual acuity (CDVA), spherical equivalent (SE), and corneal tomography (Pentacam HR). Keratometric indices (Km, Kmax), central corneal thickness (CCT), thinnest corneal thickness (tCCT), and astigmatism were analyzed. Disease progression was strictly defined as an increase of more than 1.0 diopter in Kmax within 12 months and CXL was performed when necessary. Patients were categorized into progression and non-progression groups accordingly.",
        "Results": "Mean age was 21.38 ± 3.53 years; 34 patients (55.7%) were female. Of 61 eyes, 54 (88.5%) remained stable and 7 (11.5%) showed progression. In the non-progression group, Kmax (49.73 ± 3.76 vs. 49.76 ± 3.72 D; p = 0.714), Km (p = 0.640), CCT (p = 0.326), thinnest corneal thickness (p = 0.069), astigmatism, spherical equivalent (p = 0.482), and CDVA (p = 0.229) showed no significant change. In the progression group, Kmax increased from 50.99 ± 6.07 to 52.13 ± 6.08 D (p < 0.001) and Km from 45.74 ± 3.77 to 46.06 ± 3.87 D (p = 0.015). Pachymetric parameters remained stable, spherical equivalent showed a nonsignificant myopic trend, and CDVA was preserved. No treatment-related adverse events were observed.",
        "Conclusions": "In this young, allergic keratoconus cohort, long-term ocular surface modulation with trehalose and topical cyclosporine A was associated with tomographic stability in nearly 90% of eyes. Progression, when present, involved anterior keratometric steepening rather than significant corneal thinning, while visual acuity remained preserved. These findings suggest that targeting ocular surface inflammation may reduce Kmax steepening in selected young patients. In eyes with good visual acuity, where immediate cross-linking may be overly aggressive, ocular-surface-directed therapy represents a valuable noninvasive strategy to delay intervention. Prospective controlled studies are warranted to confirm its disease-modifying role in early keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 404
    },
    {
      "uid": "POCOR380",
      "abstract_number": "POCOR380",
      "title": "Extreme Corneal Flattening Following Corneal Collagen Cross-Linking For Keratoconus",
      "authors": "Dr Ecem Özkan Ceyhan",
      "presenter": "Dr Ecem Özkan Ceyhan",
      "normalized_authors": [
        "Ecem Özkan Ceyhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ecem Özkan Ceyhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aimed to evaluate the occurrence of extreme corneal flattening after CXL and to determine whether patients at risk can be identified based on early clinical and tomographic parameters.",
        "Setting": "Department of Ophthalmology, Gazi University , Ankara, Türkiye",
        "Methods": "This retrospective study included 94 patients with progressive keratoconus who underwent corneal collagen cross-linking (CXL) at Gazi University Faculty of Medicine between 2018 and 2022. Eyes treated with different CXL protocols including standard epithelium-off CXL, transepithelial diluted alcohol–assisted iontophoresis CXL, and sub400 CXL, and outcomes compared among the different protocols.\n\nMaximum keratometry (Kmax) and thinnest corneal thickness values were recorded. Preoperative and final follow-up Kmax values used for analysis. Extreme corneal flattening was defined as reduction in Kmax greater than 5.0 diopters (D) during the follow-up. Patients divided into two groups based on the presence or absence of extreme corneal flattening.",
        "Results": "The study included 69(%73.4) male and 25(%26.6) female patients, with a mean age of 21.9±6.7 years and a mean follow-up of 3.53±2.09 years.\n\nExtreme corneal flattening was observed in 13.8% (n=13) of eyes. Demographics, family history and ocular rubbing was similar among eyes with and without extreme flattening. On univariate analysis, preoperative Kmax (56.40±9.01) and thinnest corneal thickness (444.7±54.1) were significantly associated with extreme corneal flattening (both p<0.001). Higher preoperative Kmax was the only independent predictor of extreme corneal flattening (OR,1.45; p=0.003).No significant correlation was observed between follow-up duration and the degree of flattening (ρ=0.06, p=0.68), with a mean flattening of 3.67±2.87 D.",
        "Conclusions": "Extreme corneal flattening after CXL is mainly related to baseline corneal characteristics rather than demographic factors or the type of CXL protocol. Eyes with higher preoperative Kmax values and thinner corneas show a greater tendency toward extreme flattening during time. Recognizing this response pattern may help clinicians better anticipate postoperative corneal behavior and interpret long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Extreme corneal flattening after CXL is mainly related to baseline corneal characteristics rather than demographic factors or the type of CXL protocol. Eyes with higher preoperative Kmax values and thinner corneas show a greater tendency toward extreme flattening during time. Recognizing this response pattern may help clinicians better anticipate postoperative corneal behavior and interpret long-term outcomes.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1067,
      "source_fields": {
        "Abstract Final Identifier": "POCOR380",
        "Title": "Extreme Corneal Flattening Following Corneal Collagen Cross-Linking For Keratoconus",
        "Presenting Author(s)": "Dr Ecem Özkan Ceyhan",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ecem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Özkan Ceyhan",
        "Country Name": "Türkiye",
        "Purpose": "This study aimed to evaluate the occurrence of extreme corneal flattening after CXL and to determine whether patients at risk can be identified based on early clinical and tomographic parameters.",
        "Setting": "Department of Ophthalmology, Gazi University , Ankara, Türkiye",
        "Methods": "This retrospective study included 94 patients with progressive keratoconus who underwent corneal collagen cross-linking (CXL) at Gazi University Faculty of Medicine between 2018 and 2022. Eyes treated with different CXL protocols including standard epithelium-off CXL, transepithelial diluted alcohol–assisted iontophoresis CXL, and sub400 CXL, and outcomes compared among the different protocols.\n\nMaximum keratometry (Kmax) and thinnest corneal thickness values were recorded. Preoperative and final follow-up Kmax values used for analysis. Extreme corneal flattening was defined as reduction in Kmax greater than 5.0 diopters (D) during the follow-up. Patients divided into two groups based on the presence or absence of extreme corneal flattening.",
        "Results": "The study included 69(%73.4) male and 25(%26.6) female patients, with a mean age of 21.9±6.7 years and a mean follow-up of 3.53±2.09 years.\n\nExtreme corneal flattening was observed in 13.8% (n=13) of eyes. Demographics, family history and ocular rubbing was similar among eyes with and without extreme flattening. On univariate analysis, preoperative Kmax (56.40±9.01) and thinnest corneal thickness (444.7±54.1) were significantly associated with extreme corneal flattening (both p<0.001). Higher preoperative Kmax was the only independent predictor of extreme corneal flattening (OR,1.45; p=0.003).No significant correlation was observed between follow-up duration and the degree of flattening (ρ=0.06, p=0.68), with a mean flattening of 3.67±2.87 D.",
        "Conclusions": "Extreme corneal flattening after CXL is mainly related to baseline corneal characteristics rather than demographic factors or the type of CXL protocol. Eyes with higher preoperative Kmax values and thinner corneas show a greater tendency toward extreme flattening during time. Recognizing this response pattern may help clinicians better anticipate postoperative corneal behavior and interpret long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCOR381",
      "abstract_number": "POCOR381",
      "title": "Manual, Non-Femto, Corneal Allogenic Intrastromal Ring Segments (Cairs) Using Glycerin-Preserved Cornea: A Prospective Case Series With A Single Donor For Multiple Patients”",
      "authors": "Mrs Malena Parmeggiani",
      "presenter": "Mrs Malena Parmeggiani",
      "normalized_authors": [
        "Malena Parmeggiani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Malena Parmeggiani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate the short- and mid-term clinical outcomes of a manual technique for customized Corneal Allogenic Intrastromal Ring Segments (CAIRS) using fresh and glycerin-preserved corneas.",
        "Setting": "A prospective, interventional study",
        "Methods": "Ten eyes of ten patients with stable keratoconus and BCVA ≤ 20/30 Snellen underwent surgery. CAIRS segments were prepared from fresh corneas, glycerin-preserved corneas, and peripheral rim remnants from previous keratoplasties. Segments were implanted into manually dissected corneal tunnels using corneal dissectors. Postoperative follow-ups occurred at 24 hours, 10 days, 50 days, 3 months, and 8 months with tomographic outcomes assessed at 3 and 8 months.",
        "Results": "At 8 months of follow-up, mean keratometry (Km) was significantly reduced by 2.34 ± 2.18 D (p = 0.020), and K2 decreased by 2.83 ± 2.00 D (p = 0.006), confirming effective corneal flattening. Topographic astigmatism showed a significant reduction (p = 0.014), while a non-significant trend toward coma reduction was observed (p = 0.16). Uncorrected visual acuity improved in 70% of eyes, with a mean improvement of 0.35 logMAR. Best-corrected visual acuity improved by a mean of 0.19 logMAR, with 70% of eyes showing line gains. Visual and tomographic improvements were more pronounced at 3 months, with mild changes observed by 8 months, suggesting ongoing corneal remodeling over time.",
        "Conclusions": "Manual CAIRS using a single donor cornea for multiple patients, including glycerin-preserved tissue, provides effective visual and topographic improvement. This technique represents a valuable option for keratoconus management in settings with limited corneal availability and without femtosecond laser access."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Manual CAIRS using a single donor cornea for multiple patients, including glycerin-preserved tissue, provides effective visual and topographic improvement. This technique represents a valuable option for keratoconus management in settings with limited corneal availability and without femtosecond laser access.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1068,
      "source_fields": {
        "Abstract Final Identifier": "POCOR381",
        "Title": "Manual, Non-Femto, Corneal Allogenic Intrastromal Ring Segments (Cairs) Using Glycerin-Preserved Cornea: A Prospective Case Series With A Single Donor For Multiple Patients”",
        "Presenting Author(s)": "Mrs Malena Parmeggiani",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Malena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parmeggiani",
        "Country Name": "Argentina",
        "Purpose": "To evaluate the short- and mid-term clinical outcomes of a manual technique for customized Corneal Allogenic Intrastromal Ring Segments (CAIRS) using fresh and glycerin-preserved corneas.",
        "Setting": "A prospective, interventional study",
        "Methods": "Ten eyes of ten patients with stable keratoconus and BCVA ≤ 20/30 Snellen underwent surgery. CAIRS segments were prepared from fresh corneas, glycerin-preserved corneas, and peripheral rim remnants from previous keratoplasties. Segments were implanted into manually dissected corneal tunnels using corneal dissectors. Postoperative follow-ups occurred at 24 hours, 10 days, 50 days, 3 months, and 8 months with tomographic outcomes assessed at 3 and 8 months.",
        "Results": "At 8 months of follow-up, mean keratometry (Km) was significantly reduced by 2.34 ± 2.18 D (p = 0.020), and K2 decreased by 2.83 ± 2.00 D (p = 0.006), confirming effective corneal flattening. Topographic astigmatism showed a significant reduction (p = 0.014), while a non-significant trend toward coma reduction was observed (p = 0.16). Uncorrected visual acuity improved in 70% of eyes, with a mean improvement of 0.35 logMAR. Best-corrected visual acuity improved by a mean of 0.19 logMAR, with 70% of eyes showing line gains. Visual and tomographic improvements were more pronounced at 3 months, with mild changes observed by 8 months, suggesting ongoing corneal remodeling over time.",
        "Conclusions": "Manual CAIRS using a single donor cornea for multiple patients, including glycerin-preserved tissue, provides effective visual and topographic improvement. This technique represents a valuable option for keratoconus management in settings with limited corneal availability and without femtosecond laser access."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POCOR382",
      "abstract_number": "POCOR382",
      "title": "Ivis Excimer Laser Tomography Raytracing-Driven Corneal Remodelling In Stable Keratoconus",
      "authors": "Dr Anu Paul",
      "presenter": "Dr Anu Paul",
      "normalized_authors": [
        "Anu Paul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anu Paul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "The iVis excimer laser (iRES) system uses the tomographic data from a preoperative corneal tomographic measurement to plan and execute tomography derived raytracing-driven corneal remodelling for irregular corneas. All other laser platforms convert topographic or tomographic data into corneal wavefront data and ablate a wavefront correction not a direct topographic or tomographic correction. We describe the outcome of tomographic raytracing-driven corneal remodelling using the iRES laser and its planning software (CIPTA) in stable keratoconus.",
        "Setting": "Adelaide University and Ashford Advanced Eye Care",
        "Methods": "Keratoconus cases were observed for disease stability, either spontaneously achieved or post-corneal collagen crosslinking. An exploratory planning of a possible ablation targeted at corneal remodelling to regularise the corneal surface was undertaken. Cases with a calculated likely thinnest post-operative pachymetry of less than 400 microns were excluded. This minimum pachymetry was to allow corneal collagen crosslinking should any ablation destabilise previously stable cornea.Transepithelial ablations were carried out ,followed for 3 and 6 months with refractive and tomographic measurements.If there was sufficient corneal thickness to allow inclusion of a correction for the pre-operative sphere equivalent in the ablation, it was included.",
        "Results": "19 eyes were treated in 17 patients. 3 month and 6 month follow up was undertaken with the following results, 16 eyes reaching the 6 month point to date. Mean (SD) preoperative logMAR UAVA of 0.85 (0.33) improved to 0.36 (0.29) at 6 months. DCVA (logMAR) improved from 0.23 (0.19) to 0.05 (0.12). Refractive cylinder improved from a mean (SD) 5.75D (2.22) to 3.14D (2.05) with a mean (SD) of 3.92 (3.15) improvement in lines of UAVA . The mean (SD) improvement in lines of UCVA in eyes with sphere equivalent refractive data included in the ablation was 5.42 (2.88).\n\nNo corneas have demonstrated instability with follow-up of 6 months. No complications have been encountered",
        "Conclusions": "Tomography derived ray tracing-driven excimer laser regularisation of keratoconic corneas using the iVis laser was safe and effective in this cohort. This strategy is different to other excimer lasers, employing corneal wavefront data in their topographic or tomographic treatments. It led to gains of between 3 and 4 lines of unaided vision, on average, increasing to between 5 and 6 lines in cases where sufficient corneal thickness allowed inclusion of refractive sphere equivalent correction in the ablation"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Tomography derived ray tracing-driven excimer laser regularisation of keratoconic corneas using the iVis laser was safe and effective in this cohort. This strategy is different to other excimer lasers, employing corneal wavefront data in their topographic or tomographic treatments. It led to gains of between 3 and 4 lines of unaided vision, on average, increasing to between 5 and 6 lines in cases where sufficient…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1069,
      "source_fields": {
        "Abstract Final Identifier": "POCOR382",
        "Title": "Ivis Excimer Laser Tomography Raytracing-Driven Corneal Remodelling In Stable Keratoconus",
        "Presenting Author(s)": "Dr Anu Paul",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Anu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Paul",
        "Country Name": "Australia",
        "Purpose": "The iVis excimer laser (iRES) system uses the tomographic data from a preoperative corneal tomographic measurement to plan and execute tomography derived raytracing-driven corneal remodelling for irregular corneas. All other laser platforms convert topographic or tomographic data into corneal wavefront data and ablate a wavefront correction not a direct topographic or tomographic correction. We describe the outcome of tomographic raytracing-driven corneal remodelling using the iRES laser and its planning software (CIPTA) in stable keratoconus.",
        "Setting": "Adelaide University and Ashford Advanced Eye Care",
        "Methods": "Keratoconus cases were observed for disease stability, either spontaneously achieved or post-corneal collagen crosslinking. An exploratory planning of a possible ablation targeted at corneal remodelling to regularise the corneal surface was undertaken. Cases with a calculated likely thinnest post-operative pachymetry of less than 400 microns were excluded. This minimum pachymetry was to allow corneal collagen crosslinking should any ablation destabilise previously stable cornea.Transepithelial ablations were carried out ,followed for 3 and 6 months with refractive and tomographic measurements.If there was sufficient corneal thickness to allow inclusion of a correction for the pre-operative sphere equivalent in the ablation, it was included.",
        "Results": "19 eyes were treated in 17 patients. 3 month and 6 month follow up was undertaken with the following results, 16 eyes reaching the 6 month point to date. Mean (SD) preoperative logMAR UAVA of 0.85 (0.33) improved to 0.36 (0.29) at 6 months. DCVA (logMAR) improved from 0.23 (0.19) to 0.05 (0.12). Refractive cylinder improved from a mean (SD) 5.75D (2.22) to 3.14D (2.05) with a mean (SD) of 3.92 (3.15) improvement in lines of UAVA . The mean (SD) improvement in lines of UCVA in eyes with sphere equivalent refractive data included in the ablation was 5.42 (2.88).\n\nNo corneas have demonstrated instability with follow-up of 6 months. No complications have been encountered",
        "Conclusions": "Tomography derived ray tracing-driven excimer laser regularisation of keratoconic corneas using the iVis laser was safe and effective in this cohort. This strategy is different to other excimer lasers, employing corneal wavefront data in their topographic or tomographic treatments. It led to gains of between 3 and 4 lines of unaided vision, on average, increasing to between 5 and 6 lines in cases where sufficient corneal thickness allowed inclusion of refractive sphere equivalent correction in the ablation"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "POCOR383",
      "abstract_number": "POCOR383",
      "title": "Sequential Intrastromal Corneal Ring Segments And Phakic Lens Implantation In Stable Keratoconus – Five-Year Follow-Up Outcomes",
      "authors": "Dr Marta Vaz Pereira",
      "presenter": "Dr Marta Vaz Pereira",
      "normalized_authors": [
        "Marta Vaz Pereira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Vaz Pereira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Keratoconus is a progressive corneal ectasia marked by thinning and conical protrusion, leading to irregular astigmatism and myopia with reduced visual quality. Corneal collagen cross-linking (CXL) and intrastromal corneal ring segments (ICRS) help stabilize and regularize the cornea. ICRS reduce higher-order aberrations and improve corrected distance visual acuity (CDVA), though residual refractive errors often persist. Phakic intraocular lenses (pIOLs) can correct moderate to high residual ametropia and enhance uncorrected distance visual acuity (UDVA). This study assesses long-term visual and refractive outcomes of sequential ICRS and pIOL implantation in stable keratoconus.",
        "Setting": "This retrospective study was conducted at a tertiary referral hospital in Braga, Portugal.",
        "Methods": "This study included patients with Grade I–III stable keratoconus, keratometry 40.0–62.0D, astigmatism <10.0D, axial myopia, and minimum corneal thickness of 400µm at the implantation site. All underwent manual ICRS followed by pIOL implantation with 3.2mm anti-astigmatic incisions on the steepest meridian (one for ≤1.0D, two for ≥1.0D). UDVA, CDVA, subjective refraction, and anterior segment optical coherence tomography were assessed preoperatively, at 6 months after each procedure, and at 5 years postoperatively.",
        "Results": "Fifty eyes from 42 patients (mean age 36.1±8.5 years) were included. Forty-four Ferrara rings (89.8%) and 5 Intacs (10.2%) were implanted; 37 eyes (74%) received posterior chamber and 13 (26%) iris-fixated IOLs. UDVA improved from 1.00 (IQR 0.30) to 0.70 (IQR 0.30) after ICRS (p=0.002) and 0.22 (IQR 0.26) after pIOL (p<0.001). CDVA improved from 0.52 (IQR 0.51) to 0.22 (IQR 0.22) and 0.15 (IQR 0.20) (all p<0.001). Visual outcomes remained stable at 5 years (p>0.05). Efficacy and safety indexes were 1.33 and 1.52. Spherical equivalent improved from –10.62D to 0.37D (p<0.001). Cylinder decreased from –3.50D to –1.00D (p<0.001). Mean vault at 5 years was 575.7±315.4 µm, trending higher. No angle-closure glaucoma or IOP rise occurred.",
        "Conclusions": "Sequential ICRS and pIOL implantation represents a safe and effective therapeutic strategy for visual rehabilitation in keratoconus. ICRS regularizes the corneal surface and reduces irregular astigmatism, creating a more favorable optical profile, while pIOL implantation corrects residual spherical and astigmatic refractive errors, further refined by anti-astigmatic incisions when needed. With careful patient selection, adequate corneal stability, and appropriate surgical timing, this staged approach provides predictable, stable, and sustained long-term visual and refractive outcomes, with a favorable safety profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sequential ICRS and pIOL implantation represents a safe and effective therapeutic strategy for visual rehabilitation in keratoconus. ICRS regularizes the corneal surface and reduces irregular astigmatism, creating a more favorable optical profile, while pIOL implantation corrects residual spherical and astigmatic refractive errors, further refined by anti-astigmatic incisions when needed. With careful patient…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1070,
      "source_fields": {
        "Abstract Final Identifier": "POCOR383",
        "Title": "Sequential Intrastromal Corneal Ring Segments And Phakic Lens Implantation In Stable Keratoconus – Five-Year Follow-Up Outcomes",
        "Presenting Author(s)": "Dr Marta Vaz Pereira",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "Vaz",
        "Submitter Last Name": "Pereira",
        "Country Name": "Portugal",
        "Purpose": "Keratoconus is a progressive corneal ectasia marked by thinning and conical protrusion, leading to irregular astigmatism and myopia with reduced visual quality. Corneal collagen cross-linking (CXL) and intrastromal corneal ring segments (ICRS) help stabilize and regularize the cornea. ICRS reduce higher-order aberrations and improve corrected distance visual acuity (CDVA), though residual refractive errors often persist. Phakic intraocular lenses (pIOLs) can correct moderate to high residual ametropia and enhance uncorrected distance visual acuity (UDVA). This study assesses long-term visual and refractive outcomes of sequential ICRS and pIOL implantation in stable keratoconus.",
        "Setting": "This retrospective study was conducted at a tertiary referral hospital in Braga, Portugal.",
        "Methods": "This study included patients with Grade I–III stable keratoconus, keratometry 40.0–62.0D, astigmatism <10.0D, axial myopia, and minimum corneal thickness of 400µm at the implantation site. All underwent manual ICRS followed by pIOL implantation with 3.2mm anti-astigmatic incisions on the steepest meridian (one for ≤1.0D, two for ≥1.0D). UDVA, CDVA, subjective refraction, and anterior segment optical coherence tomography were assessed preoperatively, at 6 months after each procedure, and at 5 years postoperatively.",
        "Results": "Fifty eyes from 42 patients (mean age 36.1±8.5 years) were included. Forty-four Ferrara rings (89.8%) and 5 Intacs (10.2%) were implanted; 37 eyes (74%) received posterior chamber and 13 (26%) iris-fixated IOLs. UDVA improved from 1.00 (IQR 0.30) to 0.70 (IQR 0.30) after ICRS (p=0.002) and 0.22 (IQR 0.26) after pIOL (p<0.001). CDVA improved from 0.52 (IQR 0.51) to 0.22 (IQR 0.22) and 0.15 (IQR 0.20) (all p<0.001). Visual outcomes remained stable at 5 years (p>0.05). Efficacy and safety indexes were 1.33 and 1.52. Spherical equivalent improved from –10.62D to 0.37D (p<0.001). Cylinder decreased from –3.50D to –1.00D (p<0.001). Mean vault at 5 years was 575.7±315.4 µm, trending higher. No angle-closure glaucoma or IOP rise occurred.",
        "Conclusions": "Sequential ICRS and pIOL implantation represents a safe and effective therapeutic strategy for visual rehabilitation in keratoconus. ICRS regularizes the corneal surface and reduces irregular astigmatism, creating a more favorable optical profile, while pIOL implantation corrects residual spherical and astigmatic refractive errors, further refined by anti-astigmatic incisions when needed. With careful patient selection, adequate corneal stability, and appropriate surgical timing, this staged approach provides predictable, stable, and sustained long-term visual and refractive outcomes, with a favorable safety profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 414
    },
    {
      "uid": "POCOR384",
      "abstract_number": "POCOR384",
      "title": "Clinical Profile And Outcomes Of Acute Corneal Hydrops In Keratoconus: A Descriptive Analysis",
      "authors": "Dr Mariana Pires Garcia",
      "presenter": "Dr Mariana Pires Garcia",
      "normalized_authors": [
        "Mariana Pires Garcia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariana Pires Garcia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Acute corneal hydrops is an uncommon but severe complication of keratoconus, caused by a break in the Descemet membrane and corneal endothelium, allowing aqueous humor to enter the stroma. This leads to sudden corneal edema, acute visual impairment and may result in permanent corneal scarring requiring keratoplasty. With this study, we aim to describe the clinical profile, associated risk factors and outcomes of patients presenting with acute corneal hydrops in a major district public hospital in Portugal.",
        "Setting": "Cornea Service, Ophthalmology Department, Unidade Local de Saúde Entre Douro e Vouga, Portugal.",
        "Methods": "This retrospective case series included patients diagnosed with acute corneal hydrops between 2016 and 2026. Demographic data, including sex and age at diagnosis, were recorded. Clinical data included the form of presentation (emergency department or outpatient ophthalmology consultation), symptoms and visual acuity at diagnosis. Associated systemic conditions, such as Trisomy 21 , history of atopy (asthma, allergic rhinitis, or allergic dermatitis) and others were collected from medical records. The need for surgical treatment and postoperative visual outcomes were also assessed.",
        "Results": "10 patients were included. Mean age at presentation was 37.8 ± 10.9 years, 80% were male. 90% of cases presented to the emergency department. Regarding comorbidities, 50% had Trisomy 21 and 40% had history of atopic disease. Obesity was present in 60% of cases and other cardiovascular risk factors, including hypertension and dyslipidemia, were also found in 60%. The most common presenting symptoms were ocular redness, pain and decreased vision. Visual acuity (VA) at presentation was severely reduced in all cases, with counting fingers or worse. Penetrating keratoplasty was later performed in 70% of eyes. Postoperative visual acuity improved in all transplanted patients, with a mean postoperative VA of 0.43 and one patient reaching 0.8.",
        "Conclusions": "In this case series, most patients were initially assessed in an emergency setting without prior diagnosis or follow-up, with acute corneal hydrops representing the first manifestation of keratoconus. Systemic conditions such as Trisomy 21, atopic disease, eye rubbing and obesity were frequently observed among these patients. Recognition of these risk factors, together with early identification of ectatic corneal disease and timely referral to specialized care, is essential to improve disease control and reduce the likelihood of this complication. Once the acute episode is established, appropriate follow-up and corneal transplantation may allow good visual recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this case series, most patients were initially assessed in an emergency setting without prior diagnosis or follow-up, with acute corneal hydrops representing the first manifestation of keratoconus. Systemic conditions such as Trisomy 21, atopic disease, eye rubbing and obesity were frequently observed among these patients. Recognition of these risk factors, together with early identification of ectatic corneal…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1071,
      "source_fields": {
        "Abstract Final Identifier": "POCOR384",
        "Title": "Clinical Profile And Outcomes Of Acute Corneal Hydrops In Keratoconus: A Descriptive Analysis",
        "Presenting Author(s)": "Dr Mariana Pires Garcia",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Mariana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pires Garcia",
        "Country Name": "Portugal",
        "Purpose": "Acute corneal hydrops is an uncommon but severe complication of keratoconus, caused by a break in the Descemet membrane and corneal endothelium, allowing aqueous humor to enter the stroma. This leads to sudden corneal edema, acute visual impairment and may result in permanent corneal scarring requiring keratoplasty. With this study, we aim to describe the clinical profile, associated risk factors and outcomes of patients presenting with acute corneal hydrops in a major district public hospital in Portugal.",
        "Setting": "Cornea Service, Ophthalmology Department, Unidade Local de Saúde Entre Douro e Vouga, Portugal.",
        "Methods": "This retrospective case series included patients diagnosed with acute corneal hydrops between 2016 and 2026. Demographic data, including sex and age at diagnosis, were recorded. Clinical data included the form of presentation (emergency department or outpatient ophthalmology consultation), symptoms and visual acuity at diagnosis. Associated systemic conditions, such as Trisomy 21 , history of atopy (asthma, allergic rhinitis, or allergic dermatitis) and others were collected from medical records. The need for surgical treatment and postoperative visual outcomes were also assessed.",
        "Results": "10 patients were included. Mean age at presentation was 37.8 ± 10.9 years, 80% were male. 90% of cases presented to the emergency department. Regarding comorbidities, 50% had Trisomy 21 and 40% had history of atopic disease. Obesity was present in 60% of cases and other cardiovascular risk factors, including hypertension and dyslipidemia, were also found in 60%. The most common presenting symptoms were ocular redness, pain and decreased vision. Visual acuity (VA) at presentation was severely reduced in all cases, with counting fingers or worse. Penetrating keratoplasty was later performed in 70% of eyes. Postoperative visual acuity improved in all transplanted patients, with a mean postoperative VA of 0.43 and one patient reaching 0.8.",
        "Conclusions": "In this case series, most patients were initially assessed in an emergency setting without prior diagnosis or follow-up, with acute corneal hydrops representing the first manifestation of keratoconus. Systemic conditions such as Trisomy 21, atopic disease, eye rubbing and obesity were frequently observed among these patients. Recognition of these risk factors, together with early identification of ectatic corneal disease and timely referral to specialized care, is essential to improve disease control and reduce the likelihood of this complication. Once the acute episode is established, appropriate follow-up and corneal transplantation may allow good visual recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 381
    },
    {
      "uid": "POCOR385",
      "abstract_number": "POCOR385",
      "title": "High-Altitude Residence And Keratoconus: A Scoping Review",
      "authors": "Raul H Plasencia Salini",
      "presenter": "Raul H Plasencia Salini",
      "normalized_authors": [
        "Raul H Plasencia Salini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raul H Plasencia Salini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate the association between high-altitude residence and keratoconus (KC) burden and to assess its implications for the screening of refractive surgery candidates.",
        "Setting": "Scoping review of population-based and clinical studies evaluating keratoconus burden in populations residing at high-altitude regions.",
        "Methods": "A scoping review was conducted in accordance with PRISMA-ScR guidelines. MEDLINE, Web of Science, and Google Scholar were searched from database inception through February 1, 2026. Studies evaluating the burden of keratoconus among populations residing in high-altitude regions were included. Two independent reviewers performed study selection and data extraction.",
        "Results": "Six studies met the inclusion criteria. Overall, results indicate a higher burden of keratoconus in high-altitude regions. In Saudi Arabia, KC prevalence was highest in mountainous areas (0.0122%) and lowest along the coast (0.0014%). In the United States, the highest prevalence was reported in Colorado (0.51%; 95% CI, 0.49–0.52), a high-altitude state. An Israeli population study found KC incidence increased progressively with altitude, with significantly higher rates above 500 meters than at lower elevations (p < 0.05). Among refractive surgery candidates at high altitudes, prevalence was higher (8.6%–18.7%), and one retrospective study showed significantly higher rates in a high-altitude city compared with coastal regions (p < 0.0001).",
        "Conclusions": "High-altitude residence has been proposed as a potential factor influencing the burden of keratoconus, although evidence remains limited. While a definitive relationship cannot be established, the available literature suggests that geographic altitude should be considered in keratoconus screening and in the preoperative assessment of refractive surgery candidates living in high-altitude areas. Further well-designed, population-based studies using standardized diagnostic criteria are needed to better characterize this potential association and to clarify underlying mechanisms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High-altitude residence has been proposed as a potential factor influencing the burden of keratoconus, although evidence remains limited. While a definitive relationship cannot be established, the available literature suggests that geographic altitude should be considered in keratoconus screening and in the preoperative assessment of refractive surgery candidates living in high-altitude areas. Further…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1072,
      "source_fields": {
        "Abstract Final Identifier": "POCOR385",
        "Title": "High-Altitude Residence And Keratoconus: A Scoping Review",
        "Presenting Author(s)": "Raul H Plasencia Salini",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Raul",
        "Submitter Middle Name": "H",
        "Submitter Last Name": "Plasencia Salini",
        "Country Name": "Peru",
        "Purpose": "To evaluate the association between high-altitude residence and keratoconus (KC) burden and to assess its implications for the screening of refractive surgery candidates.",
        "Setting": "Scoping review of population-based and clinical studies evaluating keratoconus burden in populations residing at high-altitude regions.",
        "Methods": "A scoping review was conducted in accordance with PRISMA-ScR guidelines. MEDLINE, Web of Science, and Google Scholar were searched from database inception through February 1, 2026. Studies evaluating the burden of keratoconus among populations residing in high-altitude regions were included. Two independent reviewers performed study selection and data extraction.",
        "Results": "Six studies met the inclusion criteria. Overall, results indicate a higher burden of keratoconus in high-altitude regions. In Saudi Arabia, KC prevalence was highest in mountainous areas (0.0122%) and lowest along the coast (0.0014%). In the United States, the highest prevalence was reported in Colorado (0.51%; 95% CI, 0.49–0.52), a high-altitude state. An Israeli population study found KC incidence increased progressively with altitude, with significantly higher rates above 500 meters than at lower elevations (p < 0.05). Among refractive surgery candidates at high altitudes, prevalence was higher (8.6%–18.7%), and one retrospective study showed significantly higher rates in a high-altitude city compared with coastal regions (p < 0.0001).",
        "Conclusions": "High-altitude residence has been proposed as a potential factor influencing the burden of keratoconus, although evidence remains limited. While a definitive relationship cannot be established, the available literature suggests that geographic altitude should be considered in keratoconus screening and in the preoperative assessment of refractive surgery candidates living in high-altitude areas. Further well-designed, population-based studies using standardized diagnostic criteria are needed to better characterize this potential association and to clarify underlying mechanisms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCOR386",
      "abstract_number": "POCOR386",
      "title": "Tomographic Screening Reveals Distinct Corneal Morphological Characteristics Of Keratoconus In Patients With Down Syndrome",
      "authors": "Dr Karla Ranđelović",
      "presenter": "Dr Karla Ranđelović",
      "normalized_authors": [
        "Karla Ranđelović"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karla Ranđelović",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To determine the prevalence of keratoconus in a Croatian population with Down syndrome and to evaluate corneal tomographic characteristics in affected patients.",
        "Setting": "Screening initiative “Light for Sight 21”, Zadar, Croatia.",
        "Methods": "In total 47 patients, mean age 18.64± 10.49 with Down syndrome were screened for presence of keratoconus, out of which 6 was excluded from the study due to in-cooperability. Topographical screening was performed in October 2023, in Zadar, Croatia, as part of „Light for Sight 21“ screening initiative. In all patients visual refraction was measured using autorefractor keratometer (Nikon Righton Speedy-K, Badhoevedorp, Netherlands) and corneal morphological measures using rotational Scheimpflug tomography (WaveLight Occulyzer II, Alcon Laboratories Inc., Ft Worth, Texas, USA).",
        "Results": "Out of 41 patients with Down syndrome, 7 (28.57% male, 71.43% female) were screened positive for presence of keratoconus. Autorefractor revealed visual refraction in keratoconus group -2.575±2.20 cylinder, while patients with Down syndrome and no keratoconus had -1.66± 1.6 cylinder. Corneal topography in patients with Down syndrome and keratoconus showed keratometry of flat meridian 47.83±6.03D, and keratometry of steep meridian 49.89±6.73D, while central corneal thickness was 483.57±45.73µm.",
        "Conclusions": "The main finding of this study is that observed population had a specific cornea topography pattern characterized by increased K2, while autorefractometry revealed no significant difference between the groups. Such finding can be explained by specific ethnical population, genetic variance or mosaicism that may be present in Down syndrome patients. In future, more precise corneal topography and genetic analyses would help us to define ideal therapeutic strategy for this patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The main finding of this study is that observed population had a specific cornea topography pattern characterized by increased K2, while autorefractometry revealed no significant difference between the groups. Such finding can be explained by specific ethnical population, genetic variance or mosaicism that may be present in Down syndrome patients. In future, more precise corneal topography and genetic analyses…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1073,
      "source_fields": {
        "Abstract Final Identifier": "POCOR386",
        "Title": "Tomographic Screening Reveals Distinct Corneal Morphological Characteristics Of Keratoconus In Patients With Down Syndrome",
        "Presenting Author(s)": "Dr Karla Ranđelović",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Karla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ranđelović",
        "Country Name": "Croatia",
        "Purpose": "To determine the prevalence of keratoconus in a Croatian population with Down syndrome and to evaluate corneal tomographic characteristics in affected patients.",
        "Setting": "Screening initiative “Light for Sight 21”, Zadar, Croatia.",
        "Methods": "In total 47 patients, mean age 18.64± 10.49 with Down syndrome were screened for presence of keratoconus, out of which 6 was excluded from the study due to in-cooperability. Topographical screening was performed in October 2023, in Zadar, Croatia, as part of „Light for Sight 21“ screening initiative. In all patients visual refraction was measured using autorefractor keratometer (Nikon Righton Speedy-K, Badhoevedorp, Netherlands) and corneal morphological measures using rotational Scheimpflug tomography (WaveLight Occulyzer II, Alcon Laboratories Inc., Ft Worth, Texas, USA).",
        "Results": "Out of 41 patients with Down syndrome, 7 (28.57% male, 71.43% female) were screened positive for presence of keratoconus. Autorefractor revealed visual refraction in keratoconus group -2.575±2.20 cylinder, while patients with Down syndrome and no keratoconus had -1.66± 1.6 cylinder. Corneal topography in patients with Down syndrome and keratoconus showed keratometry of flat meridian 47.83±6.03D, and keratometry of steep meridian 49.89±6.73D, while central corneal thickness was 483.57±45.73µm.",
        "Conclusions": "The main finding of this study is that observed population had a specific cornea topography pattern characterized by increased K2, while autorefractometry revealed no significant difference between the groups. Such finding can be explained by specific ethnical population, genetic variance or mosaicism that may be present in Down syndrome patients. In future, more precise corneal topography and genetic analyses would help us to define ideal therapeutic strategy for this patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POCOR387",
      "abstract_number": "POCOR387",
      "title": "Comprehensive Visual Rehabilitation In A Patient With Advanced Keratoconus And Cataract: Combined Surgical And Optometric Management",
      "authors": "Mrs Elena María Gámez Jiménez",
      "presenter": "Mrs Elena María Gámez Jiménez",
      "normalized_authors": [
        "Elena María Gámez Jiménez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Romero Luna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the clinical and functional outcomes of a combined surgical and optometric approach in a highly myopic patient with advanced keratoconus and bilateral corticonuclear cataracts, aiming to achieve meaningful visual rehabilitation in a complex pluripathological scenario.",
        "Setting": "Tertiary referral ophthalmology centre and private refractive surgery clinic in Seville, Spain.",
        "Methods": "A highly myopic patient with advanced keratoconus and progressive bilateral visual loss was evaluated. Preoperatively, uncorrected visual acuity was limited to hand movements. Subjective refraction was −30.00 D (right eye) and −23.00 D (left eye), achieving 0.05 decimal acuity with poor quality. With rigid gas-permeable lenses, acuity reached 0.2 and 0.1. Biomicroscopy showed marked inferior corneal thinning and bilateral corticonuclear cataracts. Sequential management included bilateral phacoemulsification with planned aphakia, followed by intrastromal corneal ring segment implantation and subsequent semi-scleral rigid gas-permeable lens fitting after refractive stabilisation.",
        "Results": "Phacoemulsification was uneventful in both eyes. Corneal ring implantation improved corneal regularity, allowing more reliable refractive assessment. After stabilisation and semi-scleral lens fitting (12.70 mm diameter), corrected visual acuity improved to 0.4 in the right eye and 0.7 in the left eye. The patient reported marked subjective improvement in visual quality and daily functioning compared with the preoperative condition.",
        "Conclusions": "In selected cases of advanced keratoconus with cataract and associated ocular comorbidities, meaningful visual rehabilitation can be achieved through a staged strategy combining cataract surgery, intrastromal corneal ring implantation, and semi-scleral contact lenses. A tailored multidisciplinary approach may optimise functional outcomes in complex pluripathological eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In selected cases of advanced keratoconus with cataract and associated ocular comorbidities, meaningful visual rehabilitation can be achieved through a staged strategy combining cataract surgery, intrastromal corneal ring implantation, and semi-scleral contact lenses. A tailored multidisciplinary approach may optimise functional outcomes in complex pluripathological eyes.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1074,
      "source_fields": {
        "Abstract Final Identifier": "POCOR387",
        "Title": "Comprehensive Visual Rehabilitation In A Patient With Advanced Keratoconus And Cataract: Combined Surgical And Optometric Management",
        "Presenting Author(s)": "Mrs Elena María Gámez Jiménez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Romero Luna",
        "Country Name": "Spain",
        "Purpose": "To describe the clinical and functional outcomes of a combined surgical and optometric approach in a highly myopic patient with advanced keratoconus and bilateral corticonuclear cataracts, aiming to achieve meaningful visual rehabilitation in a complex pluripathological scenario.",
        "Setting": "Tertiary referral ophthalmology centre and private refractive surgery clinic in Seville, Spain.",
        "Methods": "A highly myopic patient with advanced keratoconus and progressive bilateral visual loss was evaluated. Preoperatively, uncorrected visual acuity was limited to hand movements. Subjective refraction was −30.00 D (right eye) and −23.00 D (left eye), achieving 0.05 decimal acuity with poor quality. With rigid gas-permeable lenses, acuity reached 0.2 and 0.1. Biomicroscopy showed marked inferior corneal thinning and bilateral corticonuclear cataracts. Sequential management included bilateral phacoemulsification with planned aphakia, followed by intrastromal corneal ring segment implantation and subsequent semi-scleral rigid gas-permeable lens fitting after refractive stabilisation.",
        "Results": "Phacoemulsification was uneventful in both eyes. Corneal ring implantation improved corneal regularity, allowing more reliable refractive assessment. After stabilisation and semi-scleral lens fitting (12.70 mm diameter), corrected visual acuity improved to 0.4 in the right eye and 0.7 in the left eye. The patient reported marked subjective improvement in visual quality and daily functioning compared with the preoperative condition.",
        "Conclusions": "In selected cases of advanced keratoconus with cataract and associated ocular comorbidities, meaningful visual rehabilitation can be achieved through a staged strategy combining cataract surgery, intrastromal corneal ring implantation, and semi-scleral contact lenses. A tailored multidisciplinary approach may optimise functional outcomes in complex pluripathological eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POCOR388",
      "abstract_number": "POCOR388",
      "title": "Pediatric Keratoconus: Five-Year Follow-Up Of Standalone Intrastromal Corneal Ring Segment Implantation",
      "authors": "Dr Vera Sá Araújo",
      "presenter": "Dr Vera Sá Araújo",
      "normalized_authors": [
        "Vera Sá Araújo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vera Sá Araújo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate the long-term safety and efficacy of standalone ICRS implantation in pediatric keratoconus over a 5-year period.",
        "Setting": "ULS de Braga, Braga, Portugal",
        "Methods": "A longitudinal study was conducted including pediatric patients (≤18 years) with keratoconus who underwent manual implantation of Ferrara-type ICRS at a tertiary referral center. Eyes with previous ocular surgery or ocular/systemic diseases affecting the cornea were excluded. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive error, keratometry, corneal topography, and coma-like aberrations were assessed preoperatively and at 6 months, 12 months, and 5 years postoperatively. Statistical analysis included paired t-tests and repeated-measures ANOVA, with p < 0.05 considered significant.",
        "Results": "Forty-five eyes of 32 patients (mean age 15.4±1.96 years) underwent successful ICRS implantation without complications.At 6 months, UDVA improved from 0.88±0.38 to 0.52±0.32 logMAR (p<0.01), and eyes with CDVA ≤0.1 logMAR increased from 8.9% to 40%. Significant refractive and tomographic improvements were also observed, including reductions in spherical equivalent, cylinder, keratometry values and coma-like aberrations (p<0.001). Efficacy and safety indices were 1.18 and 2.13. Visual and refractive outcomes remained stable at 12 and 60 months (p >0.05). Although increases in maximum keratometry >1.5 D occurred in eight eyes and in topographic cylinder >1.5 D in three eyes, only four eyes lost two or more lines of CDVA.",
        "Conclusions": "ICRS provides significant and sustained improvements in visual acuity, refractive error, and corneal topography in pediatric keratoconus, in line with previously published studies reporting visual improvement and corneal flattening. These visual and refractive gains were largely maintained at the 5-year follow-up, with only minimal progression observed in a minority of cases. Overall, the findings support ICRS as a safe and effective treatment option in pediatric keratoconus, while emphasizing the need for long-term monitoring and further research to clarify the role of adjunctive corneal cross-linking, particularly in high-risk subgroups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICRS provides significant and sustained improvements in visual acuity, refractive error, and corneal topography in pediatric keratoconus, in line with previously published studies reporting visual improvement and corneal flattening. These visual and refractive gains were largely maintained at the 5-year follow-up, with only minimal progression observed in a minority of cases. Overall, the findings support ICRS as a…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1075,
      "source_fields": {
        "Abstract Final Identifier": "POCOR388",
        "Title": "Pediatric Keratoconus: Five-Year Follow-Up Of Standalone Intrastromal Corneal Ring Segment Implantation",
        "Presenting Author(s)": "Dr Vera Sá Araújo",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Vera",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sá Araújo",
        "Country Name": "Portugal",
        "Purpose": "To evaluate the long-term safety and efficacy of standalone ICRS implantation in pediatric keratoconus over a 5-year period.",
        "Setting": "ULS de Braga, Braga, Portugal",
        "Methods": "A longitudinal study was conducted including pediatric patients (≤18 years) with keratoconus who underwent manual implantation of Ferrara-type ICRS at a tertiary referral center. Eyes with previous ocular surgery or ocular/systemic diseases affecting the cornea were excluded. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive error, keratometry, corneal topography, and coma-like aberrations were assessed preoperatively and at 6 months, 12 months, and 5 years postoperatively. Statistical analysis included paired t-tests and repeated-measures ANOVA, with p < 0.05 considered significant.",
        "Results": "Forty-five eyes of 32 patients (mean age 15.4±1.96 years) underwent successful ICRS implantation without complications.At 6 months, UDVA improved from 0.88±0.38 to 0.52±0.32 logMAR (p<0.01), and eyes with CDVA ≤0.1 logMAR increased from 8.9% to 40%. Significant refractive and tomographic improvements were also observed, including reductions in spherical equivalent, cylinder, keratometry values and coma-like aberrations (p<0.001). Efficacy and safety indices were 1.18 and 2.13. Visual and refractive outcomes remained stable at 12 and 60 months (p >0.05). Although increases in maximum keratometry >1.5 D occurred in eight eyes and in topographic cylinder >1.5 D in three eyes, only four eyes lost two or more lines of CDVA.",
        "Conclusions": "ICRS provides significant and sustained improvements in visual acuity, refractive error, and corneal topography in pediatric keratoconus, in line with previously published studies reporting visual improvement and corneal flattening. These visual and refractive gains were largely maintained at the 5-year follow-up, with only minimal progression observed in a minority of cases. Overall, the findings support ICRS as a safe and effective treatment option in pediatric keratoconus, while emphasizing the need for long-term monitoring and further research to clarify the role of adjunctive corneal cross-linking, particularly in high-risk subgroups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POCOR389",
      "abstract_number": "POCOR389",
      "title": "Prevalence Of Floppy Eyelid And Keratoconus In Patients With Obstructive Sleep Apnea Syndrome",
      "authors": "A/Prof. Amr Saeed",
      "presenter": "A/Prof. Amr Saeed",
      "normalized_authors": [
        "Amr Saeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amr Saeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the prevalence of floppy eyelid syndrome (FES) and keratoconus in patients diagnosed with obstructive sleep apnea syndrome.",
        "Setting": "Patients referred from the ENT department of Alexandria Main University Hospital.",
        "Methods": "Adults (18+) with a confirmed OSA diagnosis via in-laboratory polysomnography (the gold standard).Best corrected visual acuity (BCVA) converted to decimal.Lid Assessment: Evaluation for FES using the vertical lid pull test (McNab method).Corneal Assessment: Screening for clinical signs of keratoconus.tKeratoconus is significantly associated with an increased risk of obstructive sleep apnea.",
        "Results": "Floppy Eyelid Syndrome (FES) & Keratoconus: There was a highly significant correlation (p < 0.0001). Among patients presenting with corneal signs of keratoconus (n=8), 100% also exhibited floppy eyelid syndrome.",
        "Conclusions": "Keratoconus is significantly associated with an increased risk of obstructive sleep apnea."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoconus is significantly associated with an increased risk of obstructive sleep apnea.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1076,
      "source_fields": {
        "Abstract Final Identifier": "POCOR389",
        "Title": "Prevalence Of Floppy Eyelid And Keratoconus In Patients With Obstructive Sleep Apnea Syndrome",
        "Presenting Author(s)": "A/Prof. Amr Saeed",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Amr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saeed",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the prevalence of floppy eyelid syndrome (FES) and keratoconus in patients diagnosed with obstructive sleep apnea syndrome.",
        "Setting": "Patients referred from the ENT department of Alexandria Main University Hospital.",
        "Methods": "Adults (18+) with a confirmed OSA diagnosis via in-laboratory polysomnography (the gold standard).Best corrected visual acuity (BCVA) converted to decimal.Lid Assessment: Evaluation for FES using the vertical lid pull test (McNab method).Corneal Assessment: Screening for clinical signs of keratoconus.tKeratoconus is significantly associated with an increased risk of obstructive sleep apnea.",
        "Results": "Floppy Eyelid Syndrome (FES) & Keratoconus: There was a highly significant correlation (p < 0.0001). Among patients presenting with corneal signs of keratoconus (n=8), 100% also exhibited floppy eyelid syndrome.",
        "Conclusions": "Keratoconus is significantly associated with an increased risk of obstructive sleep apnea."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 126
    },
    {
      "uid": "POCOR390",
      "abstract_number": "POCOR390",
      "title": "Comparative Evaluation Of Intraoperative Parameters In Penetrating Keratoplasty Using Pre-Punched Versus Conventionally Prepared Donor Corneas In Keratoconus",
      "authors": "Dr Suxrob Saidjonovich Saidjonov",
      "presenter": "Dr Suxrob Saidjonovich Saidjonov",
      "normalized_authors": [
        "Suxrob Saidjonovich Saidjonov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Suxrob Saidjonovich Saidjonov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To assess and compare intraoperative parameters of penetrating keratoplasty (PKP) performed with pre-punched donor corneas prepared in an eye bank and conventionally prepared donor corneas in patients with keratoconus.",
        "Setting": "A retrospective–prospective comparative study included 60 patients (60 eyes) with stage II–III keratoconus according to the Amsler–Krumeich classification. Patients were divided into two equal groups.\n\nIn the study group (n=30), PKP was performed using pre-punched donor corneas prepared in a certified eye bank. In the control group (n=30), donor corneas were manually prepared intraoperatively by the surgeon.",
        "Methods": "All procedures were performed by the same surgeon using a standardized surgical technique with trephine diameters of 7.5–8.0 mm and continuous 10-0 nylon suturing. Evaluated intraoperative parameters included graft preparation time, total operative time, intraoperative complications, need for additional sutures, graft centration disturbances, intraoperative aqueous leakage, loss of graft transparency, and surgeon-reported procedural convenience assessed using a 5-point scale.\n\nStatistical analysis was performed using Student’s t-test and Pearson’s χ² test, with p<0.05 considered statistically significant.",
        "Results": "Graft preparation time was significantly shorter in the pre-punched group compared with the conventional group (3.2 ± 0.9 vs 5.2 ± 1.1 minutes, p=0.021). Total operative time was also significantly reduced when pre-punched donor corneas were used (44.7 ± 5.6 vs 48.1 ± 6.2 minutes, p=0.037).\n\nSurgeon-reported procedural convenience was significantly higher in the pre-punched group (4.6 ± 0.5 vs 3.4 ± 0.6, p=0.014). Although the incidence of intraoperative complications did not differ statistically between groups, a consistent trend toward fewer technical difficulties, including improved graft centration and reduced need for additional sutures, was observed in the pre-punched group.",
        "Conclusions": "The use of pre-punched donor corneas in penetrating keratoplasty for keratoconus significantly improves intraoperative efficiency and surgical convenience without increasing the risk of intraoperative complications, supporting the technical advantages of standardized eye-bank–prepared grafts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The use of pre-punched donor corneas in penetrating keratoplasty for keratoconus significantly improves intraoperative efficiency and surgical convenience without increasing the risk of intraoperative complications, supporting the technical advantages of standardized eye-bank–prepared grafts.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1077,
      "source_fields": {
        "Abstract Final Identifier": "POCOR390",
        "Title": "Comparative Evaluation Of Intraoperative Parameters In Penetrating Keratoplasty Using Pre-Punched Versus Conventionally Prepared Donor Corneas In Keratoconus",
        "Presenting Author(s)": "Dr Suxrob Saidjonovich Saidjonov",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Suxrob",
        "Submitter Middle Name": "Saidjonovich",
        "Submitter Last Name": "Saidjonov",
        "Country Name": "Uzbekistan",
        "Purpose": "To assess and compare intraoperative parameters of penetrating keratoplasty (PKP) performed with pre-punched donor corneas prepared in an eye bank and conventionally prepared donor corneas in patients with keratoconus.",
        "Setting": "A retrospective–prospective comparative study included 60 patients (60 eyes) with stage II–III keratoconus according to the Amsler–Krumeich classification. Patients were divided into two equal groups.\n\nIn the study group (n=30), PKP was performed using pre-punched donor corneas prepared in a certified eye bank. In the control group (n=30), donor corneas were manually prepared intraoperatively by the surgeon.",
        "Methods": "All procedures were performed by the same surgeon using a standardized surgical technique with trephine diameters of 7.5–8.0 mm and continuous 10-0 nylon suturing. Evaluated intraoperative parameters included graft preparation time, total operative time, intraoperative complications, need for additional sutures, graft centration disturbances, intraoperative aqueous leakage, loss of graft transparency, and surgeon-reported procedural convenience assessed using a 5-point scale.\n\nStatistical analysis was performed using Student’s t-test and Pearson’s χ² test, with p<0.05 considered statistically significant.",
        "Results": "Graft preparation time was significantly shorter in the pre-punched group compared with the conventional group (3.2 ± 0.9 vs 5.2 ± 1.1 minutes, p=0.021). Total operative time was also significantly reduced when pre-punched donor corneas were used (44.7 ± 5.6 vs 48.1 ± 6.2 minutes, p=0.037).\n\nSurgeon-reported procedural convenience was significantly higher in the pre-punched group (4.6 ± 0.5 vs 3.4 ± 0.6, p=0.014). Although the incidence of intraoperative complications did not differ statistically between groups, a consistent trend toward fewer technical difficulties, including improved graft centration and reduced need for additional sutures, was observed in the pre-punched group.",
        "Conclusions": "The use of pre-punched donor corneas in penetrating keratoplasty for keratoconus significantly improves intraoperative efficiency and surgical convenience without increasing the risk of intraoperative complications, supporting the technical advantages of standardized eye-bank–prepared grafts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCOR391",
      "abstract_number": "POCOR391",
      "title": "Changes In Iridocorneal Angle And Anterior Chamber Depth After Deep Anterior Lamellar Keratoplasty",
      "authors": "Dr Antonia Carmen Carmen Sangregorio",
      "presenter": "Dr Antonia Carmen Carmen Sangregorio",
      "normalized_authors": [
        "Antonia Carmen Carmen Sangregorio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonia Carmen Sangregorio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate changes in the iridocorneal angle and anterior chamber depth (ACD) following deep anterior lamellar keratoplasty (DALK).",
        "Setting": "This retrospective study analyzed the postoperative outcomes of patients with keratoconus who underwent DALK at the tertiary referral center of “Magna Graecia” University of Catanzaro (Catanzaro, Italy), between February 2012 and June 2022.",
        "Methods": "The primary outcomes were iridocorneal angle width and ACD, measured using the 2D analysis module of anterior segment optical coherence tomography (AS-OCT) (CASIA SS-1000; Tomey, Tokyo, Japan). Measurements were collected preoperatively and at 1 day, 1 month, 6 months, and 1 year postoperatively.",
        "Results": "Overall, 124 eyes from 105 patients were included. The mean preoperative iridocorneal angle was 42.06±6.90 degrees. Angle width was significantly reduced at all postoperative time points (1 day: 37.31±6.69 degrees; 1 month: 41.63±6.41 degrees; 6 months: 41.43±6.11 degrees; 1 year: 41.55±6.16 degrees; all P <0.01).\nMean preoperative ACD was 3.52±0.54 mm and showed a significant reduction postoperatively (1 day: 2.24±0.49 mm; 1 month: 2.28±0.44 mm; 6 months: 2.37±0.42 mm; 1 year: 2.47±0.45 mm; all P <0.01). A statistically significant negative correlation was observed between best-spectacle corrected visual acuity at 1 year (0.14±0.16 logMAR) and ACD measured at 1 day postoperatively (ρ=−0.23, P =0.012).",
        "Conclusions": "At 1 year after DALK, a reduction of 0.51 degrees in iridocorneal angle and a decrease of 1.05 mm in ACD were observed compared with baseline. Greater early postoperative ACD was associated with better visual outcomes at 1 year."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 1 year after DALK, a reduction of 0.51 degrees in iridocorneal angle and a decrease of 1.05 mm in ACD were observed compared with baseline. Greater early postoperative ACD was associated with better visual outcomes at 1 year.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1078,
      "source_fields": {
        "Abstract Final Identifier": "POCOR391",
        "Title": "Changes In Iridocorneal Angle And Anterior Chamber Depth After Deep Anterior Lamellar Keratoplasty",
        "Presenting Author(s)": "Dr Antonia Carmen Carmen Sangregorio",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Antonia",
        "Submitter Middle Name": "Carmen",
        "Submitter Last Name": "Sangregorio",
        "Country Name": "Italy",
        "Purpose": "To evaluate changes in the iridocorneal angle and anterior chamber depth (ACD) following deep anterior lamellar keratoplasty (DALK).",
        "Setting": "This retrospective study analyzed the postoperative outcomes of patients with keratoconus who underwent DALK at the tertiary referral center of “Magna Graecia” University of Catanzaro (Catanzaro, Italy), between February 2012 and June 2022.",
        "Methods": "The primary outcomes were iridocorneal angle width and ACD, measured using the 2D analysis module of anterior segment optical coherence tomography (AS-OCT) (CASIA SS-1000; Tomey, Tokyo, Japan). Measurements were collected preoperatively and at 1 day, 1 month, 6 months, and 1 year postoperatively.",
        "Results": "Overall, 124 eyes from 105 patients were included. The mean preoperative iridocorneal angle was 42.06±6.90 degrees. Angle width was significantly reduced at all postoperative time points (1 day: 37.31±6.69 degrees; 1 month: 41.63±6.41 degrees; 6 months: 41.43±6.11 degrees; 1 year: 41.55±6.16 degrees; all P <0.01).\nMean preoperative ACD was 3.52±0.54 mm and showed a significant reduction postoperatively (1 day: 2.24±0.49 mm; 1 month: 2.28±0.44 mm; 6 months: 2.37±0.42 mm; 1 year: 2.47±0.45 mm; all P <0.01). A statistically significant negative correlation was observed between best-spectacle corrected visual acuity at 1 year (0.14±0.16 logMAR) and ACD measured at 1 day postoperatively (ρ=−0.23, P =0.012).",
        "Conclusions": "At 1 year after DALK, a reduction of 0.51 degrees in iridocorneal angle and a decrease of 1.05 mm in ACD were observed compared with baseline. Greater early postoperative ACD was associated with better visual outcomes at 1 year."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POCOR392",
      "abstract_number": "POCOR392",
      "title": "Epithelium-On Vs Epithelium-Off Corneal Cross Linking In Pediatric And Young Patients With Keratoconus : A Comparative Study Of Clinical And Topographical Outcomes ,Conducted By A Young Ophthalmology Resident",
      "authors": "Dr Aguenaou Sarah",
      "presenter": "Dr Aguenaou Sarah",
      "normalized_authors": [
        "Aguenaou Sarah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aguenaou Sarah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "to compare the long -term clinical efficacy and safety of transepithelial (epi-on) versus standard epithelium-off( epi-off) corneal cross-linking (cxl) for stabilizing progressive keratoconus in a young population (aged 12-21 years)",
        "Setting": "prospective study of 30 patients at the ophtalmology department of hopital des specialites de rabat",
        "Methods": "a prospoective comparative study included 60 eyes of 30 patients with documented progressive keratoconus (from 12 years to 21 years old)\n\nOne eye receives Epi-On ( group1) and the other Epi-Off ( group2)to eliminate individual genetic bias.\n\n-group 1: epi-off : standard Dresden protocol 3mW/cm2 for 30 min\n\n-group2(epi-on) : transepitgelial cxl using enhanced riboflavin penetration (riboflavine pre-enriched with 0,02% benzakonium chloride : BAC ) as a penetration enhancer to overcome the epithelial barrier\n\nmain outcome measures included : corrected distance visual acuity , maximum keratometry (kmax), central corneal thickness,and endothelial cell density at baseline: 6,12,and 24months . Demarcation line depth was assessed by As-oct at 1 month",
        "Results": "both groups showed stabilization of kmax at 12 months ( mean change: groupe 1: -1,2+/- 0,8 ; groupe2 : -0,6+/-0,9 , p>0,05). at 24 months , group 1 (epi off) showed slightly superior flattening of kmax compared to group 2. corrected distance visual acuity remained stable or improved in both groups . the demarcation line was significantly deeper in the epi-off group (290+/-45 um) vs epi-on (210 +/-38. um). Post operative pain scores (VAS) were significantly lower in the Epi on group : The pain experienced, the return to school, and sport activities were immediate for the Epi-On group, allowing a better quality of life for these patients. No significant endothelial loss or permanent haze was observed in either group",
        "Conclusions": "both epi off and epi on CXL effectively stabilize progressive keratoconus in young patients over 2 year period . while epi off cxl achieves a deeper corneal effect and slightly better flattening , epi on cxl offers a superior safety profile and faster visual recovery , making it a viable alternative for young patients with lower pain tolerance"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "both epi off and epi on CXL effectively stabilize progressive keratoconus in young patients over 2 year period . while epi off cxl achieves a deeper corneal effect and slightly better flattening , epi on cxl offers a superior safety profile and faster visual recovery , making it a viable alternative for young patients with lower pain tolerance",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1079,
      "source_fields": {
        "Abstract Final Identifier": "POCOR392",
        "Title": "Epithelium-On Vs Epithelium-Off Corneal Cross Linking In Pediatric And Young Patients With Keratoconus : A Comparative Study Of Clinical And Topographical Outcomes ,Conducted By A Young Ophthalmology Resident",
        "Presenting Author(s)": "Dr Aguenaou Sarah",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Aguenaou",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sarah",
        "Country Name": "Morocco",
        "Purpose": "to compare the long -term clinical efficacy and safety of transepithelial (epi-on) versus standard epithelium-off( epi-off) corneal cross-linking (cxl) for stabilizing progressive keratoconus in a young population (aged 12-21 years)",
        "Setting": "prospective study of 30 patients at the ophtalmology department of hopital des specialites de rabat",
        "Methods": "a prospoective comparative study included 60 eyes of 30 patients with documented progressive keratoconus (from 12 years to 21 years old)\n\nOne eye receives Epi-On ( group1) and the other Epi-Off ( group2)to eliminate individual genetic bias.\n\n-group 1: epi-off : standard Dresden protocol 3mW/cm2 for 30 min\n\n-group2(epi-on) : transepitgelial cxl using enhanced riboflavin penetration (riboflavine pre-enriched with 0,02% benzakonium chloride : BAC ) as a penetration enhancer to overcome the epithelial barrier\n\nmain outcome measures included : corrected distance visual acuity , maximum keratometry (kmax), central corneal thickness,and endothelial cell density at baseline: 6,12,and 24months . Demarcation line depth was assessed by As-oct at 1 month",
        "Results": "both groups showed stabilization of kmax at 12 months ( mean change: groupe 1: -1,2+/- 0,8 ; groupe2 : -0,6+/-0,9 , p>0,05). at 24 months , group 1 (epi off) showed slightly superior flattening of kmax compared to group 2. corrected distance visual acuity remained stable or improved in both groups . the demarcation line was significantly deeper in the epi-off group (290+/-45 um) vs epi-on (210 +/-38. um). Post operative pain scores (VAS) were significantly lower in the Epi on group : The pain experienced, the return to school, and sport activities were immediate for the Epi-On group, allowing a better quality of life for these patients. No significant endothelial loss or permanent haze was observed in either group",
        "Conclusions": "both epi off and epi on CXL effectively stabilize progressive keratoconus in young patients over 2 year period . while epi off cxl achieves a deeper corneal effect and slightly better flattening , epi on cxl offers a superior safety profile and faster visual recovery , making it a viable alternative for young patients with lower pain tolerance"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "POCOR393",
      "abstract_number": "POCOR393",
      "title": "Customized Cross-Linking Strategies For Thin Corneas: A Risk-Stratified Approach In 145 Young North African Patients: A Study Conducted By A Young Ophtalmology Resident",
      "authors": "Dr Aguenaou Sarah",
      "presenter": "Dr Aguenaou Sarah",
      "normalized_authors": [
        "Aguenaou Sarah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aguenaou Sarah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of a pachymetry-based corneal cross-linking (CXL) algorithm in young North African patients presenting with advanced keratoconus and significant corneal thinning (down to 400 µ m )",
        "Setting": "all patients were examined at the hôpital des specilaités , ophtalmology B department in rabat morocco ( north africa)",
        "Methods": "This retrospective study included 145 eyes of young patients ( 17 to 32 years old). Eyes were stratified into four groups based on intraoperative pachymetry:\n\n•\nGroup A (> 400 µm): Standard Epi-off CXL.\n\n•\nGroup B (330–400 µm): Contact Lens-Assisted CXL (CACXL).\n\n•\nGroup C (300–330 µm): Transepithelial (Epi-on) CXL with penetration enhancers.\n\n•\nGroup D (< 300 µm): CXL deferred; alternative management (Scleral lenses/DALK).\n\n•\nFollow-up included BCVA, Kmax, and endothelial cell density (ECD) at 6 and 12 months",
        "Results": "The mean age was 23,5 years.\n\n•\nStabilization: Group A and B (CACXL) showed the highest rates of topographic stability (Kmax change < 1.0D in > 90% of cases).\n\n•\nLimitations: Group C (Epi-on) showed a higher rate of continued progression (15%) compared to the CACXL group, suggesting biological limits of transepithelial riboflavin penetration in highly aggressive phenotypes.\n\n•\nSafety: No significant endothelial cell loss , haze or desease progression was observed across Groups A, B, and C.\n\n•\nThe < 300 µm Challenge: These cases represented a major therapeutic ceiling where CXL safety profiles were deemed insufficient, requiring surgical alternatives.",
        "Conclusions": "In the specific context of North African keratoconus—characterized by early onset and extreme thinning—a \"one-size-fits-all\" protocol is inadequate. A pachymetry-driven strategy, particularly the use of CACXL for the 330-400 µm range , provides an optimal balance between ectasia stabilization and endothelial protection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the specific context of North African keratoconus—characterized by early onset and extreme thinning—a \"one-size-fits-all\" protocol is inadequate. A pachymetry-driven strategy, particularly the use of CACXL for the 330-400 µm range , provides an optimal balance between ectasia stabilization and endothelial protection.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1080,
      "source_fields": {
        "Abstract Final Identifier": "POCOR393",
        "Title": "Customized Cross-Linking Strategies For Thin Corneas: A Risk-Stratified Approach In 145 Young North African Patients: A Study Conducted By A Young Ophtalmology Resident",
        "Presenting Author(s)": "Dr Aguenaou Sarah",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Aguenaou",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sarah",
        "Country Name": "Morocco",
        "Purpose": "To evaluate the efficacy and safety of a pachymetry-based corneal cross-linking (CXL) algorithm in young North African patients presenting with advanced keratoconus and significant corneal thinning (down to 400 µ m )",
        "Setting": "all patients were examined at the hôpital des specilaités , ophtalmology B department in rabat morocco ( north africa)",
        "Methods": "This retrospective study included 145 eyes of young patients ( 17 to 32 years old). Eyes were stratified into four groups based on intraoperative pachymetry:\n\n•\nGroup A (> 400 µm): Standard Epi-off CXL.\n\n•\nGroup B (330–400 µm): Contact Lens-Assisted CXL (CACXL).\n\n•\nGroup C (300–330 µm): Transepithelial (Epi-on) CXL with penetration enhancers.\n\n•\nGroup D (< 300 µm): CXL deferred; alternative management (Scleral lenses/DALK).\n\n•\nFollow-up included BCVA, Kmax, and endothelial cell density (ECD) at 6 and 12 months",
        "Results": "The mean age was 23,5 years.\n\n•\nStabilization: Group A and B (CACXL) showed the highest rates of topographic stability (Kmax change < 1.0D in > 90% of cases).\n\n•\nLimitations: Group C (Epi-on) showed a higher rate of continued progression (15%) compared to the CACXL group, suggesting biological limits of transepithelial riboflavin penetration in highly aggressive phenotypes.\n\n•\nSafety: No significant endothelial cell loss , haze or desease progression was observed across Groups A, B, and C.\n\n•\nThe < 300 µm Challenge: These cases represented a major therapeutic ceiling where CXL safety profiles were deemed insufficient, requiring surgical alternatives.",
        "Conclusions": "In the specific context of North African keratoconus—characterized by early onset and extreme thinning—a \"one-size-fits-all\" protocol is inadequate. A pachymetry-driven strategy, particularly the use of CACXL for the 330-400 µm range , provides an optimal balance between ectasia stabilization and endothelial protection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "POCOR394",
      "abstract_number": "POCOR394",
      "title": "Tomographic And Biomechanical Remodeling After Doughnut Refractive Lenticule Transplantation In Advanced Keratoconus",
      "authors": "Dr Zaman Shah",
      "presenter": "Dr Zaman Shah",
      "normalized_authors": [
        "Zaman Shah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zaman Shah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy, safety, and tomographic–biomechanical effects of Doughnut Refractive Lenticule Transplantation (DRLT) in eyes with advanced keratoconus over a 16-month follow-up period.",
        "Setting": "Health Net Hospital, Peshawar, Pakistan.",
        "Methods": "This prospective interventional study included 41 eyes of 40 patients (age 11–32 years) with advanced\nkeratoconus with or without VKC, after ethical approval (IRB No: HNH/IRB/2024/07). Allogeneic stromal lenticules from\nSMILE donors (–6.00 to –10.00 D) were fashioned into a doughnut configuration and implanted into femtosecond laser\ncreated intrastromal pockets, centered on the ectatic region while preserving the central optical zone. Patients were\nfollowed for 16 months with assessment of distance corrected visual acuity, Scheimpflug tomography, anterior segment\nOCT, keratometric indices, pachymetry,PPI, and Ambrosio relational thickness (ARTmax). Paired t-tests or Wilcoxon\nsigned-rank tests were used, with p < 0.05 considered significant.",
        "Results": "Mean DCVA improved significantly from logMAR 1.00 ± 0.20 preoperatively to 0.30 ± 0.15 at 16 months (mean gain 0.70 logMAR; p < 0.001), with 30% of eyes achieving logMAR 0.18 or better. Mean K2 decreased from 60.46 ± 6.27 D to 55.29 ± 6.19 D (p = 0.002), and Kmax from 70.07 ± 9.72 D to 62.90 ± 7.76 D (p < 0.001). Topographic astigmatism reduced from 8.27 ± 3.50 D to 4.81 ± 2.55 D (p < 0.001). Thinnest corneal thickness increased by 33 µm. Posterior corneal curvature parameters showed significant flattening. Final D value improved from 31.00 ± 4.51 to 14.52 ± 2.05 (p < 0.0001). PPI values increased significantly, while ARTmax decreased, reflecting redistribution of corneal thickness and biomechanical reinforcement in the paracentral cornea.",
        "Conclusions": "DRLT resulted in significant improvements in visual acuity, corneal regularity, and tomographic–biomechanical parameters in advanced keratoconus over 16 months. As a minimally invasive, sutureless, and endothelial-sparing procedure, DRLT may represent a viable alternative for selected patients unsuitable for conventional surgical options. Larger controlled studies with longer follow-up are warranted to confirm long-term stability and progression control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DRLT resulted in significant improvements in visual acuity, corneal regularity, and tomographic–biomechanical parameters in advanced keratoconus over 16 months. As a minimally invasive, sutureless, and endothelial-sparing procedure, DRLT may represent a viable alternative for selected patients unsuitable for conventional surgical options. Larger controlled studies with longer follow-up are warranted to confirm…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1081,
      "source_fields": {
        "Abstract Final Identifier": "POCOR394",
        "Title": "Tomographic And Biomechanical Remodeling After Doughnut Refractive Lenticule Transplantation In Advanced Keratoconus",
        "Presenting Author(s)": "Dr Zaman Shah",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zaman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shah",
        "Country Name": "Pakistan",
        "Purpose": "To evaluate the clinical efficacy, safety, and tomographic–biomechanical effects of Doughnut Refractive Lenticule Transplantation (DRLT) in eyes with advanced keratoconus over a 16-month follow-up period.",
        "Setting": "Health Net Hospital, Peshawar, Pakistan.",
        "Methods": "This prospective interventional study included 41 eyes of 40 patients (age 11–32 years) with advanced\nkeratoconus with or without VKC, after ethical approval (IRB No: HNH/IRB/2024/07). Allogeneic stromal lenticules from\nSMILE donors (–6.00 to –10.00 D) were fashioned into a doughnut configuration and implanted into femtosecond laser\ncreated intrastromal pockets, centered on the ectatic region while preserving the central optical zone. Patients were\nfollowed for 16 months with assessment of distance corrected visual acuity, Scheimpflug tomography, anterior segment\nOCT, keratometric indices, pachymetry,PPI, and Ambrosio relational thickness (ARTmax). Paired t-tests or Wilcoxon\nsigned-rank tests were used, with p < 0.05 considered significant.",
        "Results": "Mean DCVA improved significantly from logMAR 1.00 ± 0.20 preoperatively to 0.30 ± 0.15 at 16 months (mean gain 0.70 logMAR; p < 0.001), with 30% of eyes achieving logMAR 0.18 or better. Mean K2 decreased from 60.46 ± 6.27 D to 55.29 ± 6.19 D (p = 0.002), and Kmax from 70.07 ± 9.72 D to 62.90 ± 7.76 D (p < 0.001). Topographic astigmatism reduced from 8.27 ± 3.50 D to 4.81 ± 2.55 D (p < 0.001). Thinnest corneal thickness increased by 33 µm. Posterior corneal curvature parameters showed significant flattening. Final D value improved from 31.00 ± 4.51 to 14.52 ± 2.05 (p < 0.0001). PPI values increased significantly, while ARTmax decreased, reflecting redistribution of corneal thickness and biomechanical reinforcement in the paracentral cornea.",
        "Conclusions": "DRLT resulted in significant improvements in visual acuity, corneal regularity, and tomographic–biomechanical parameters in advanced keratoconus over 16 months. As a minimally invasive, sutureless, and endothelial-sparing procedure, DRLT may represent a viable alternative for selected patients unsuitable for conventional surgical options. Larger controlled studies with longer follow-up are warranted to confirm long-term stability and progression control."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCOR395",
      "abstract_number": "POCOR395",
      "title": "Early Changes In Eyes Of Keratoconus Patients",
      "authors": "Dr Aliyeva Sidiga",
      "presenter": "Dr Aliyeva Sidiga",
      "normalized_authors": [
        "Aliyeva Sidiga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aliyeva Sidiga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Azerbaijan",
      "sections": {
        "Purpose": "To identify variables best suited to detecting keratoconus beforemanifestation of ectatic changes and showing disease progression in the very earlystage",
        "Setting": "National Centre of Ophthalmology named after acad. Zarifa Aliyeva, Baku, Azerbaijan",
        "Methods": "27 patients with diagnosed unilateral keratoconus were followed up for theirfellow eye, which had not yet shown any ectactic changes, to determine initial changeindicators towards keratoconus disease. Variables were compared to 50 normal eyeswithout any known disease. A following receiver-operating-characteristic (ROC)analysis was performed to reveal the variables best used to discriminate healthy eyesfrom early ectatic eyes.",
        "Results": "Calculated mean difference of the cylinder for TCRP (total corneal refractivepower) was only 0.07D ± 0.32 for CA (anterior astigmatism) = 0.12D ± 0.28, CB(posterior astigmatism) = 0.02D ± 0.1. (ROC) revealed the index of height decentration(IHD) with an area under the curve of 0.788 ± 0.054 as the most suitable todifferentiate between healthy and afflicted eyes, followed by the index of verticalasymmetry (IVA) = 0.772 ± 0.057 and keratoconus index (KI) = 0.743 ± 0.062. Withprogression of the eyes into early ectactic stages the ROC, however, showed thehighest area under the curve for D-index = 0.876 ± 0.039, followed by IHD = 0.855 ±0.046 and IVA = 0.842 ± 0.046.",
        "Conclusions": "Early stages of keratoconus are hard to diagnose, best results can beachieved by using IHD and IVA. As the disease progresses, D-index is better suited todiagnose an ectasia. Astigmatism, keratometry and pachymetry barely change in theearly stages so these values are not as fitting as corneal elevation parameters for earlydiagnosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early stages of keratoconus are hard to diagnose, best results can beachieved by using IHD and IVA. As the disease progresses, D-index is better suited todiagnose an ectasia. Astigmatism, keratometry and pachymetry barely change in theearly stages so these values are not as fitting as corneal elevation parameters for earlydiagnosis.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1082,
      "source_fields": {
        "Abstract Final Identifier": "POCOR395",
        "Title": "Early Changes In Eyes Of Keratoconus Patients",
        "Presenting Author(s)": "Dr Aliyeva Sidiga",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Aliyeva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sidiga",
        "Country Name": "Azerbaijan",
        "Purpose": "To identify variables best suited to detecting keratoconus beforemanifestation of ectatic changes and showing disease progression in the very earlystage",
        "Setting": "National Centre of Ophthalmology named after acad. Zarifa Aliyeva, Baku, Azerbaijan",
        "Methods": "27 patients with diagnosed unilateral keratoconus were followed up for theirfellow eye, which had not yet shown any ectactic changes, to determine initial changeindicators towards keratoconus disease. Variables were compared to 50 normal eyeswithout any known disease. A following receiver-operating-characteristic (ROC)analysis was performed to reveal the variables best used to discriminate healthy eyesfrom early ectatic eyes.",
        "Results": "Calculated mean difference of the cylinder for TCRP (total corneal refractivepower) was only 0.07D ± 0.32 for CA (anterior astigmatism) = 0.12D ± 0.28, CB(posterior astigmatism) = 0.02D ± 0.1. (ROC) revealed the index of height decentration(IHD) with an area under the curve of 0.788 ± 0.054 as the most suitable todifferentiate between healthy and afflicted eyes, followed by the index of verticalasymmetry (IVA) = 0.772 ± 0.057 and keratoconus index (KI) = 0.743 ± 0.062. Withprogression of the eyes into early ectactic stages the ROC, however, showed thehighest area under the curve for D-index = 0.876 ± 0.039, followed by IHD = 0.855 ±0.046 and IVA = 0.842 ± 0.046.",
        "Conclusions": "Early stages of keratoconus are hard to diagnose, best results can beachieved by using IHD and IVA. As the disease progresses, D-index is better suited todiagnose an ectasia. Astigmatism, keratometry and pachymetry barely change in theearly stages so these values are not as fitting as corneal elevation parameters for earlydiagnosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "POCOR396",
      "abstract_number": "POCOR396",
      "title": "Enhanced Corneal Cross-Linking With Laser Epithelial Removal For Keratoconus Treatment",
      "authors": "Ms Knyazeva Sofiya",
      "presenter": "Ms Knyazeva Sofiya",
      "normalized_authors": [
        "Knyazeva Sofiya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Knyazeva Sofiya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "Keratoconus is a progressive degenerative disease of the cornea, which leads to its thinning, deformation and a significant decrease in visual functions. Corneal crosslinking according to the Dresden protocol (CXL) is considered the \"gold standard\" in stabilizing the process. However, improving epithelial removal methods can improve the effectiveness of the procedure, reduce complications and shorten the rehabilitation period.",
        "Setting": "To study the effectiveness of the treatment of keratoconus stages 2-3.",
        "Methods": "The results of surgical intervention were analyzed. Under the supervision of 50 patients (66 eyes) with diagnosed keratoconus of stages 2-3, who were divided into 2 groups. Who underwent classic epi-off CXL and CXL with laser removal of the epithelium. The first group consisted of 26 patients (34 eyes) who underwent classic epi-off CXL. Among them, 17 eyes (50%) had keratoconus of stage 2, and 17 eyes (50%) had keratoconus of stage 3. The second group included 24 patients (32 eyes) who underwent CXL with laser removal of the epithelium. Among them, 22 eyes (64%) had keratoconus of stage 2, and 10 eyes (36%) had keratoconus of stage 3. All patients underwent a standard ophthalmological examination.",
        "Results": "In Group 1, corneal thickness decreased from 453 ± 5 µm to 445 ± 5 µm (1.8%). Uncorrected visual acuity (UCVA) improved from 0.15 ± 0.05 to 0.20 ± 0.06, while best-corrected visual acuity (BCVA) increased from 0.20 ± 0.05 to 0.40 ± 0.07 (twofold).\n\nIn Group 2, corneal thickness decreased from 462 ± 5 µm to 457 ± 5 µm (1.1%). UCVA improved from 0.20 ± 0.06 to 0.32 ± 0.08 (60% improvement), and BCVA increased from 0.25 ± 0.06 to 0.60 ± 0.10 (2.4-fold). Corneal thinning reduction was 1.8% in Group 1 versus 1.1% in Group 2. UCVA improvement reached 33% in Group 1 and 60% in Group 2 compared to baseline. BCVA doubled in Group 1 and increased 2.4-fold in Group 2, indicating a more pronounced visual gain in the laser-assisted group.",
        "Conclusions": "Corneal Thickness. At 3 months post-op, Group 1 experienced a 1.8% reduction in corneal thickness, while Group 2 showed only a 1.1% reduction compared to pre-operative measurements.\n\nUCVA Improvement. Group 1 showed a 33% improvement in UCVA, whereas Group 2 demonstrated a 60% improvement.\n\nBCVA Improvement. BCVA increased twofold in Group 1 and 2.4-fold in Group 2, indicating a more pronounced effect with the laser-assisted technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal Thickness. At 3 months post-op, Group 1 experienced a 1.8% reduction in corneal thickness, while Group 2 showed only a 1.1% reduction compared to pre-operative measurements. UCVA Improvement. Group 1 showed a 33% improvement in UCVA, whereas Group 2 demonstrated a 60% improvement. BCVA Improvement. BCVA increased twofold in Group 1 and 2.4-fold in Group 2, indicating a more pronounced effect with the…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1083,
      "source_fields": {
        "Abstract Final Identifier": "POCOR396",
        "Title": "Enhanced Corneal Cross-Linking With Laser Epithelial Removal For Keratoconus Treatment",
        "Presenting Author(s)": "Ms Knyazeva Sofiya",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Knyazeva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sofiya",
        "Country Name": "Ukraine",
        "Purpose": "Keratoconus is a progressive degenerative disease of the cornea, which leads to its thinning, deformation and a significant decrease in visual functions. Corneal crosslinking according to the Dresden protocol (CXL) is considered the \"gold standard\" in stabilizing the process. However, improving epithelial removal methods can improve the effectiveness of the procedure, reduce complications and shorten the rehabilitation period.",
        "Setting": "To study the effectiveness of the treatment of keratoconus stages 2-3.",
        "Methods": "The results of surgical intervention were analyzed. Under the supervision of 50 patients (66 eyes) with diagnosed keratoconus of stages 2-3, who were divided into 2 groups. Who underwent classic epi-off CXL and CXL with laser removal of the epithelium. The first group consisted of 26 patients (34 eyes) who underwent classic epi-off CXL. Among them, 17 eyes (50%) had keratoconus of stage 2, and 17 eyes (50%) had keratoconus of stage 3. The second group included 24 patients (32 eyes) who underwent CXL with laser removal of the epithelium. Among them, 22 eyes (64%) had keratoconus of stage 2, and 10 eyes (36%) had keratoconus of stage 3. All patients underwent a standard ophthalmological examination.",
        "Results": "In Group 1, corneal thickness decreased from 453 ± 5 µm to 445 ± 5 µm (1.8%). Uncorrected visual acuity (UCVA) improved from 0.15 ± 0.05 to 0.20 ± 0.06, while best-corrected visual acuity (BCVA) increased from 0.20 ± 0.05 to 0.40 ± 0.07 (twofold).\n\nIn Group 2, corneal thickness decreased from 462 ± 5 µm to 457 ± 5 µm (1.1%). UCVA improved from 0.20 ± 0.06 to 0.32 ± 0.08 (60% improvement), and BCVA increased from 0.25 ± 0.06 to 0.60 ± 0.10 (2.4-fold). Corneal thinning reduction was 1.8% in Group 1 versus 1.1% in Group 2. UCVA improvement reached 33% in Group 1 and 60% in Group 2 compared to baseline. BCVA doubled in Group 1 and increased 2.4-fold in Group 2, indicating a more pronounced visual gain in the laser-assisted group.",
        "Conclusions": "Corneal Thickness. At 3 months post-op, Group 1 experienced a 1.8% reduction in corneal thickness, while Group 2 showed only a 1.1% reduction compared to pre-operative measurements.\n\nUCVA Improvement. Group 1 showed a 33% improvement in UCVA, whereas Group 2 demonstrated a 60% improvement.\n\nBCVA Improvement. BCVA increased twofold in Group 1 and 2.4-fold in Group 2, indicating a more pronounced effect with the laser-assisted technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "POCOR397",
      "abstract_number": "POCOR397",
      "title": "Corneola - Corneal Allogenic Stromal Ring In Treatment Of Keratoconus",
      "authors": "Prof. Dr Pavel Studeny",
      "presenter": "Prof. Dr Pavel Studeny",
      "normalized_authors": [
        "Pavel Studeny"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pavel Studeny",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate anatomical and functional effect of implantation of the Corneola - allogenic stromal ring inserted into the stromal pocket created by femtosecond laser in patients with keratoconus.",
        "Setting": "Department of Ophthalmology University Hospital Královské Vinohrady and 3rd Medical Faculty, Charles University, Prague, Czech Republic.",
        "Methods": "Corneola is a corneal allogenic stromal ring that is trephined from a 10sphD keratorefractive lenticule extracted with a femtosecond laser from the donor cornea. Its inner diameter is 3,5 mm and its outer diameter is 8 mm. The corneola is implanted into a pocket in the patient's cornea, created with a femtosecond laser in 150um or 200 µm depth. We checked the implantation effect at intervals of 1, 3, 6 and 12 months after the surgery. UCVA, BCVA, K values in Pentacam and rigid contact lens fitting were evaluated.",
        "Results": "Eight eyes of eight patients were included into the study. We observed improvement in all topographic values and Kmax reduction, flattening and regularization of the central cornea, the improvement of visual acuity was not significantly correlated with the topographic improvement, easier rigid contact lens fitting as well as its better tolerance were gained in all patients. No intraoperative or postoperative complications were observed.",
        "Conclusions": "This pilot study suggests that Corneola may be a simple, safe and effective option for corneal regularization, flattening, and thickening in keratoconus and may be an alternative for patients with severe keratoconus who avoid corneal transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This pilot study suggests that Corneola may be a simple, safe and effective option for corneal regularization, flattening, and thickening in keratoconus and may be an alternative for patients with severe keratoconus who avoid corneal transplantation.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1084,
      "source_fields": {
        "Abstract Final Identifier": "POCOR397",
        "Title": "Corneola - Corneal Allogenic Stromal Ring In Treatment Of Keratoconus",
        "Presenting Author(s)": "Prof. Dr Pavel Studeny",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Pavel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Studeny",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate anatomical and functional effect of implantation of the Corneola - allogenic stromal ring inserted into the stromal pocket created by femtosecond laser in patients with keratoconus.",
        "Setting": "Department of Ophthalmology University Hospital Královské Vinohrady and 3rd Medical Faculty, Charles University, Prague, Czech Republic.",
        "Methods": "Corneola is a corneal allogenic stromal ring that is trephined from a 10sphD keratorefractive lenticule extracted with a femtosecond laser from the donor cornea. Its inner diameter is 3,5 mm and its outer diameter is 8 mm. The corneola is implanted into a pocket in the patient's cornea, created with a femtosecond laser in 150um or 200 µm depth. We checked the implantation effect at intervals of 1, 3, 6 and 12 months after the surgery. UCVA, BCVA, K values in Pentacam and rigid contact lens fitting were evaluated.",
        "Results": "Eight eyes of eight patients were included into the study. We observed improvement in all topographic values and Kmax reduction, flattening and regularization of the central cornea, the improvement of visual acuity was not significantly correlated with the topographic improvement, easier rigid contact lens fitting as well as its better tolerance were gained in all patients. No intraoperative or postoperative complications were observed.",
        "Conclusions": "This pilot study suggests that Corneola may be a simple, safe and effective option for corneal regularization, flattening, and thickening in keratoconus and may be an alternative for patients with severe keratoconus who avoid corneal transplantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "POCOR398",
      "abstract_number": "POCOR398",
      "title": "Evaluation Of Eyelid Morphometry With A Renovated Slit Lamp Photography System In High Astigmatism And Keratoconus",
      "authors": "Dr Ling Sun",
      "presenter": "Dr Ling Sun",
      "normalized_authors": [
        "Ling Sun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ling Sun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate eyelid morphometry in patients with high astigmatism (HA), keratoconus (KC), and low astigmatism (LA) using a renovated slit lamp photography system, and to explore associations between eyelid morphology and corneal tomographic parameters.",
        "Setting": "A certain number of publications have focused on the association between keratoconus and eyelid abnormalities like eyelid laxity. An aberrant posterior elevation was observed in KC eyes after forced eyelid closure. To date, there has been no publications focusing on the eyelid morphology in KC eyes.",
        "Methods": "A total of 130 patients (84 males, 46 females; mean age 23.56 ± 7.23 years) were enrolled, including 43 KC patients, 44 HA patients (cycloplegic astigmatism >2.00 D), and 43 LA controls (astigmatism <2.00 D). Eyelid photographs were captured using a slit lamp microscope, and five morphometric indices (horizontal/vertical palpebral fissure width/height, palpebral fissure slant [PFS], upper/lower eyelid angles [UEA/LEA]) and second-order polynomial parameters (eyelid position, slope, curvature) were analyzed via custom software. Corneal tomography was performed using Pentacam HR, and associations between eyelid and corneal parameters were assessed via multiple linear regression.",
        "Results": "Significant intergroup differences were observed in PFS (ANOVA, P<0.001), LEA (P=0.023), lower eyelid slope (P=0.023), and lower eyelid curvature (Kruskal–Wallis, P=0.001). HA patients exhibited less slanted PFS and UEA, while KC patients showed greater lower eyelid slant and flatter lower eyelid curvature. In KC, corneal astigmatism (KA) correlated positively with lower eyelid position (β=0.428, P=0.003) and slope (β=0.441, P=0.002). In HA, KA J45 (45° astigmatic vector) correlated positively with upper eyelid curvature (β=0.416, P=0.007). Lower eyelid position also associated with corneal elevation (FE, BE), pachymetric progression index (PPIavg), and normality deviation indices (Df, Dp) in KC.",
        "Conclusions": "Eyelid morphology differs significantly among KC, HA, and LA patients. Lower eyelid position and slope may influence corneal astigmatism in KC, while upper eyelid curvature correlates with oblique astigmatism in HA. These findings suggest eyelid morphometry could serve as a potential biomarker for corneal disorders."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyelid morphology differs significantly among KC, HA, and LA patients. Lower eyelid position and slope may influence corneal astigmatism in KC, while upper eyelid curvature correlates with oblique astigmatism in HA. These findings suggest eyelid morphometry could serve as a potential biomarker for corneal disorders.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1085,
      "source_fields": {
        "Abstract Final Identifier": "POCOR398",
        "Title": "Evaluation Of Eyelid Morphometry With A Renovated Slit Lamp Photography System In High Astigmatism And Keratoconus",
        "Presenting Author(s)": "Dr Ling Sun",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ling",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sun",
        "Country Name": "China",
        "Purpose": "To evaluate eyelid morphometry in patients with high astigmatism (HA), keratoconus (KC), and low astigmatism (LA) using a renovated slit lamp photography system, and to explore associations between eyelid morphology and corneal tomographic parameters.",
        "Setting": "A certain number of publications have focused on the association between keratoconus and eyelid abnormalities like eyelid laxity. An aberrant posterior elevation was observed in KC eyes after forced eyelid closure. To date, there has been no publications focusing on the eyelid morphology in KC eyes.",
        "Methods": "A total of 130 patients (84 males, 46 females; mean age 23.56 ± 7.23 years) were enrolled, including 43 KC patients, 44 HA patients (cycloplegic astigmatism >2.00 D), and 43 LA controls (astigmatism <2.00 D). Eyelid photographs were captured using a slit lamp microscope, and five morphometric indices (horizontal/vertical palpebral fissure width/height, palpebral fissure slant [PFS], upper/lower eyelid angles [UEA/LEA]) and second-order polynomial parameters (eyelid position, slope, curvature) were analyzed via custom software. Corneal tomography was performed using Pentacam HR, and associations between eyelid and corneal parameters were assessed via multiple linear regression.",
        "Results": "Significant intergroup differences were observed in PFS (ANOVA, P<0.001), LEA (P=0.023), lower eyelid slope (P=0.023), and lower eyelid curvature (Kruskal–Wallis, P=0.001). HA patients exhibited less slanted PFS and UEA, while KC patients showed greater lower eyelid slant and flatter lower eyelid curvature. In KC, corneal astigmatism (KA) correlated positively with lower eyelid position (β=0.428, P=0.003) and slope (β=0.441, P=0.002). In HA, KA J45 (45° astigmatic vector) correlated positively with upper eyelid curvature (β=0.416, P=0.007). Lower eyelid position also associated with corneal elevation (FE, BE), pachymetric progression index (PPIavg), and normality deviation indices (Df, Dp) in KC.",
        "Conclusions": "Eyelid morphology differs significantly among KC, HA, and LA patients. Lower eyelid position and slope may influence corneal astigmatism in KC, while upper eyelid curvature correlates with oblique astigmatism in HA. These findings suggest eyelid morphometry could serve as a potential biomarker for corneal disorders."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POCOR399",
      "abstract_number": "POCOR399",
      "title": "Effectiveness Of Wavefront-Guided Contact Lenses In Correcting Higher-Order Aberrations And Visual Acuity In Corneal Ectasia: A Systematic Review And Meta-Analysis",
      "authors": "Marwan Tahoun",
      "presenter": "Marwan Tahoun",
      "normalized_authors": [
        "Marwan Tahoun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marwan Tahoun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "Purpose\n\nThe purpose of this study was to evaluate the effectiveness of wavefront-guided (WFG) contact lenses in improving visual acuity and reducing higher-order aberrations (HOAs) in individuals with corneal ectasia compared to conventional spherocylindrical corrections.",
        "Setting": "The review synthesized data from clinical studies and research laboratories that transitioned wavefront technology into clinical practice, focusing on patients with conditions such as keratoconus, pellucid marginal degeneration (PMD), and post-surgical ectasia.",
        "Methods": "A systematic review and meta-analysis were conducted according to PRISMA guidelines across five electronic databases (PubMed, Embase, CENTRAL, Web of Science) through November 2025. Inclusion criteria encompassed primary data on patients using wavefront-guided or profilometry-guided lenses. Quantitative synthesis utilized a random-effects model to calculate mean differences (MD) for Best Corrected Visual Acuity (BCVA) in logMAR and Higher-Order Root Mean Square (HO-RMS) aberrations.",
        "Results": "Fifteen studies comprising 172 eyes were included . Meta-analysis (n=144) showed a statistically significant improvement in BCVA favoring WFG scleral lenses (wfgSL) over traditional scleral lenses (MD: -0.12 logMAR; 95% CI: -0.21 to -0.03; p=0.03) . A separate meta-analysis (n=160) demonstrated a significant reduction in HO-RMS (MD: -0.46 µm; 95% CI: -0.84 to -0.07; p=0.03) . Qualitatively, rigid platforms outperformed soft lenses due to better rotational stability . Subjective outcomes were high, with 94% of patients in one study preferring WFG optics over traditional designs .",
        "Conclusions": "Wavefront-guided scleral lenses significantly reduce visually degrading aberrations and provide superior visual acuity compared to traditional optics . While the technology can approach physiological visual limits, neural adaptation to chronic blur represents a \"bottleneck\" that may limit immediate gains, requiring longer wear times for full functional recovery ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Wavefront-guided scleral lenses significantly reduce visually degrading aberrations and provide superior visual acuity compared to traditional optics . While the technology can approach physiological visual limits, neural adaptation to chronic blur represents a \"bottleneck\" that may limit immediate gains, requiring longer wear times for full functional recovery .",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1086,
      "source_fields": {
        "Abstract Final Identifier": "POCOR399",
        "Title": "Effectiveness Of Wavefront-Guided Contact Lenses In Correcting Higher-Order Aberrations And Visual Acuity In Corneal Ectasia: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Marwan Tahoun",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Marwan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tahoun",
        "Country Name": "Afghanistan",
        "Purpose": "Purpose\n\nThe purpose of this study was to evaluate the effectiveness of wavefront-guided (WFG) contact lenses in improving visual acuity and reducing higher-order aberrations (HOAs) in individuals with corneal ectasia compared to conventional spherocylindrical corrections.",
        "Setting": "The review synthesized data from clinical studies and research laboratories that transitioned wavefront technology into clinical practice, focusing on patients with conditions such as keratoconus, pellucid marginal degeneration (PMD), and post-surgical ectasia.",
        "Methods": "A systematic review and meta-analysis were conducted according to PRISMA guidelines across five electronic databases (PubMed, Embase, CENTRAL, Web of Science) through November 2025. Inclusion criteria encompassed primary data on patients using wavefront-guided or profilometry-guided lenses. Quantitative synthesis utilized a random-effects model to calculate mean differences (MD) for Best Corrected Visual Acuity (BCVA) in logMAR and Higher-Order Root Mean Square (HO-RMS) aberrations.",
        "Results": "Fifteen studies comprising 172 eyes were included . Meta-analysis (n=144) showed a statistically significant improvement in BCVA favoring WFG scleral lenses (wfgSL) over traditional scleral lenses (MD: -0.12 logMAR; 95% CI: -0.21 to -0.03; p=0.03) . A separate meta-analysis (n=160) demonstrated a significant reduction in HO-RMS (MD: -0.46 µm; 95% CI: -0.84 to -0.07; p=0.03) . Qualitatively, rigid platforms outperformed soft lenses due to better rotational stability . Subjective outcomes were high, with 94% of patients in one study preferring WFG optics over traditional designs .",
        "Conclusions": "Wavefront-guided scleral lenses significantly reduce visually degrading aberrations and provide superior visual acuity compared to traditional optics . While the technology can approach physiological visual limits, neural adaptation to chronic blur represents a \"bottleneck\" that may limit immediate gains, requiring longer wear times for full functional recovery ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POCOR400",
      "abstract_number": "POCOR400",
      "title": "3 Month Outcomes Of Corneal Allogeneic Intrastromal Ring Segments For Corneal Ectasia.",
      "authors": "Dr Sherif Tolees",
      "presenter": "Dr Sherif Tolees",
      "normalized_authors": [
        "Sherif Tolees"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sherif Tolees",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate 3-month changes in uncorrected and corrected distance visual acuity (UDVA/CDVA, logMAR) after single-segment CAIRS for corneal ectasia; to quantify refractive and optical quality effects (manifest cylinder, anterior HOAs, vertical coma); and to document early safety using a standardized femtosecond-guided workflow.",
        "Setting": "Magrabi Health, Almurjan Eye Center. Jeddah",
        "Methods": "Prospective consecutive case series of 7 eyes (6 male patients) with corneal ectasia (6 keratoconus; 1 post-LASIK ectasia). Two keratoconus eyes had prior CXL. All eyes received one KeraNatural allogeneic segment with femtosecond-laser tunnel creation (Wavelight ES200/FS200). Planning followed an Istanbul-style nomogram: inner diameter 4.0 mm, outer diameter 7.5 mm, tunnel depth 250 µ m, channel width 1.75 mm, incision cut length 1.5 mm, energies 1.3 µ J (incision and ring), axis aligned to cone location. Primary outcomes were changes in UDVA and CDVA (logMAR) at 3 months; secondary outcomes included manifest refraction cylinder and optical quality metrics (anterior HOAs, vertical coma).",
        "Results": "UDVA improved from 0.61 ± 0.57 to 0.12 ± 0.06 logMAR (P < .001), and CDVA from 0.14 ± 0.15 to 0.03 ± 0.05 logMAR (P < .001). Manifest refraction showed MRSE − 0.48 ± 1.79 D and cylinder − 4.11 ± 1.35 D pre operatively, with cylinder improving to − 2.75 ± 1.05 D at 3 months (P < .001). Maximum anterior HOA (4-mm pupil) decreased from 1.12 ± 0.26 µ m to 0.88 ± 0.48 µ m, and vertical coma from 0.85 ± 0.26 µ m to 0.38 ± 0.09 µ m. No major complications (infection, extrusion, or migration) were observed.",
        "Conclusions": "CAIRS using standardized femtosecond-guided tunnels and a single allogeneic segment produced clinically meaningful gains in visual acuity, reduced astigmatism, and improved optical quality by 3 months, with a favorable early safety profile. These findings support CAIRS as a viable addition to the ectasia management pathway; larger cohorts with longer follow-up are underway to validate refractive and tomographic stability and refine a personalized nomogram."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAIRS using standardized femtosecond-guided tunnels and a single allogeneic segment produced clinically meaningful gains in visual acuity, reduced astigmatism, and improved optical quality by 3 months, with a favorable early safety profile. These findings support CAIRS as a viable addition to the ectasia management pathway; larger cohorts with longer follow-up are underway to validate refractive and tomographic…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1087,
      "source_fields": {
        "Abstract Final Identifier": "POCOR400",
        "Title": "3 Month Outcomes Of Corneal Allogeneic Intrastromal Ring Segments For Corneal Ectasia.",
        "Presenting Author(s)": "Dr Sherif Tolees",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sherif",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tolees",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate 3-month changes in uncorrected and corrected distance visual acuity (UDVA/CDVA, logMAR) after single-segment CAIRS for corneal ectasia; to quantify refractive and optical quality effects (manifest cylinder, anterior HOAs, vertical coma); and to document early safety using a standardized femtosecond-guided workflow.",
        "Setting": "Magrabi Health, Almurjan Eye Center. Jeddah",
        "Methods": "Prospective consecutive case series of 7 eyes (6 male patients) with corneal ectasia (6 keratoconus; 1 post-LASIK ectasia). Two keratoconus eyes had prior CXL. All eyes received one KeraNatural allogeneic segment with femtosecond-laser tunnel creation (Wavelight ES200/FS200). Planning followed an Istanbul-style nomogram: inner diameter 4.0 mm, outer diameter 7.5 mm, tunnel depth 250 µ m, channel width 1.75 mm, incision cut length 1.5 mm, energies 1.3 µ J (incision and ring), axis aligned to cone location. Primary outcomes were changes in UDVA and CDVA (logMAR) at 3 months; secondary outcomes included manifest refraction cylinder and optical quality metrics (anterior HOAs, vertical coma).",
        "Results": "UDVA improved from 0.61 ± 0.57 to 0.12 ± 0.06 logMAR (P < .001), and CDVA from 0.14 ± 0.15 to 0.03 ± 0.05 logMAR (P < .001). Manifest refraction showed MRSE − 0.48 ± 1.79 D and cylinder − 4.11 ± 1.35 D pre operatively, with cylinder improving to − 2.75 ± 1.05 D at 3 months (P < .001). Maximum anterior HOA (4-mm pupil) decreased from 1.12 ± 0.26 µ m to 0.88 ± 0.48 µ m, and vertical coma from 0.85 ± 0.26 µ m to 0.38 ± 0.09 µ m. No major complications (infection, extrusion, or migration) were observed.",
        "Conclusions": "CAIRS using standardized femtosecond-guided tunnels and a single allogeneic segment produced clinically meaningful gains in visual acuity, reduced astigmatism, and improved optical quality by 3 months, with a favorable early safety profile. These findings support CAIRS as a viable addition to the ectasia management pathway; larger cohorts with longer follow-up are underway to validate refractive and tomographic stability and refine a personalized nomogram."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "POCOR401",
      "abstract_number": "POCOR401",
      "title": "Scheimpflug And Oct Technologies In Corneal Assessment Post-Cxl: A Comprehensive Analysis",
      "authors": "Dr Emilio A. Torres-Netto",
      "presenter": "Dr Emilio A. Torres-Netto",
      "normalized_authors": [
        "Emilio A. Torres-Netto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emilio A. Torres-Netto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To reassess the efficacy and reliability of Scheimpflug and OCT imaging technologies in evaluating corneal structural changes post-corneal cross-linking (CXL), addressing potential discrepancies in diagnosing corneal haze and keratoconus progression.",
        "Setting": "This study was conducted at the ELZA Institute, Dietikon, Switzerland.",
        "Methods": "This retrospective study analyzed 6-month post-CXL outcomes in 52 eyes of patients who underwent standard (5.4 J/cm²) and high-fluence (10 J/cm²) CXL using Scheimpflug and combined Placido disk/OCT imaging (Pentacam, Oculus, and MS-39, CSO Italia, respectively) to assess corneal tomographies and other related parameters. Comparative analysis focused on discrepancies in corneal densitometry and topography measurements, aiming to identify the most accurate diagnostic tool for post-CXL corneal assessment.",
        "Results": "Our findings suggest that both technologies are highly important for examining the post-CXL cornea for signs of ectasia progression. However, at 6 months after CXL, Scheimpflug imaging overestimated progression when compared to combined Placido disk/OCT imaging. The discordance between the two technologies appeared to be greater when higher fluence irradiation protocols were used. This discordance appears to be related to corneal haze, which falsifies the height data calculated from the Scheimpflug image, but shows less impact on OCT/Placido-generated data. At 12 months post-CXL, the Belin Progression display partially compensated for the false positive signals generated by Scheimpflug imaging.",
        "Conclusions": "Obtaining comprehensive corneal topographies/tomographies at patients' post-CXL follow-up visits is the centrepiece of determining the CXL treatment efficacy, but it appears that when corneal haze is present, Scheimpflug imaging-based devices may give a more pessimistic assessment of the cornea than Placido disk/OCT imaging-based instruments. Within this context, it is worth noting that higher fluence accelerated CXL protocols – particularly epi-off protocols – can be associated with higher rates of corneal haze. It may be the case that the 6-month success rates of CXL, as determined by OCT/Placido disk imaging-based instruments, may be higher than previously reported."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Obtaining comprehensive corneal topographies/tomographies at patients' post-CXL follow-up visits is the centrepiece of determining the CXL treatment efficacy, but it appears that when corneal haze is present, Scheimpflug imaging-based devices may give a more pessimistic assessment of the cornea than Placido disk/OCT imaging-based instruments. Within this context, it is worth noting that higher fluence accelerated…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1088,
      "source_fields": {
        "Abstract Final Identifier": "POCOR401",
        "Title": "Scheimpflug And Oct Technologies In Corneal Assessment Post-Cxl: A Comprehensive Analysis",
        "Presenting Author(s)": "Dr Emilio A. Torres-Netto",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Emilio A.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Torres-Netto",
        "Country Name": "Switzerland",
        "Purpose": "To reassess the efficacy and reliability of Scheimpflug and OCT imaging technologies in evaluating corneal structural changes post-corneal cross-linking (CXL), addressing potential discrepancies in diagnosing corneal haze and keratoconus progression.",
        "Setting": "This study was conducted at the ELZA Institute, Dietikon, Switzerland.",
        "Methods": "This retrospective study analyzed 6-month post-CXL outcomes in 52 eyes of patients who underwent standard (5.4 J/cm²) and high-fluence (10 J/cm²) CXL using Scheimpflug and combined Placido disk/OCT imaging (Pentacam, Oculus, and MS-39, CSO Italia, respectively) to assess corneal tomographies and other related parameters. Comparative analysis focused on discrepancies in corneal densitometry and topography measurements, aiming to identify the most accurate diagnostic tool for post-CXL corneal assessment.",
        "Results": "Our findings suggest that both technologies are highly important for examining the post-CXL cornea for signs of ectasia progression. However, at 6 months after CXL, Scheimpflug imaging overestimated progression when compared to combined Placido disk/OCT imaging. The discordance between the two technologies appeared to be greater when higher fluence irradiation protocols were used. This discordance appears to be related to corneal haze, which falsifies the height data calculated from the Scheimpflug image, but shows less impact on OCT/Placido-generated data. At 12 months post-CXL, the Belin Progression display partially compensated for the false positive signals generated by Scheimpflug imaging.",
        "Conclusions": "Obtaining comprehensive corneal topographies/tomographies at patients' post-CXL follow-up visits is the centrepiece of determining the CXL treatment efficacy, but it appears that when corneal haze is present, Scheimpflug imaging-based devices may give a more pessimistic assessment of the cornea than Placido disk/OCT imaging-based instruments. Within this context, it is worth noting that higher fluence accelerated CXL protocols – particularly epi-off protocols – can be associated with higher rates of corneal haze. It may be the case that the 6-month success rates of CXL, as determined by OCT/Placido disk imaging-based instruments, may be higher than previously reported."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCOR402",
      "abstract_number": "POCOR402",
      "title": "Prevalence Of Keratoconus In Russia: The K-Map Multicenter Study",
      "authors": "Dr Emilio A. Torres-Netto",
      "presenter": "Dr Emilio A. Torres-Netto",
      "normalized_authors": [
        "Emilio A. Torres-Netto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emilio A. Torres-Netto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To describe the methodology, study design and preliminary results of the K-MAP (Keratoconus Mapping and Prevalence) Study, a multicenter epidemiological trial investigating the prevalence of keratoconus in Russia using modern diagnostic technology.",
        "Setting": "A population-based study conducted at the Ufa Eye Research Institute, Ufa, Russia, as part of a global K-MAP initiative.",
        "Methods": "This is a prospective, observational, population-based study enrolling participants across various age groups. Keratoconus diagnosis is based on a predefined threshold of steep keratometry (≥48 D) as measured by Scheimpflug imaging (Pentacam HR, Oculus, Germany). A comprehensive ophthalmic examination is performed, including refractive error assessment, corneal topography, and tomographic analysis. Data are systematically recorded and analyzed to determine the prevalence of keratoconus and its associations with demographic and ocular parameters. Statistical analysis is conducted using binary regression models to identify significant risk factors.",
        "Results": "Data collection is ongoing. Prevalence rates, risk factors, and associations of keratoconus in the Russian population will be presented at the meeting.",
        "Conclusions": "The K-MAP study represents the first large-scale epidemiological investigation of keratoconus in Russia, utilizing standardized, modern imaging technology. Similar studies, such as one conducted in Saudi Arabia, have reported a higher prevalence of keratoconus than previously recognized, suggesting potential geographical and ethnic variations in disease occurrence. Our findings will contribute to a better understanding of regional prevalence and inform early detection strategies for keratoconus. Identifying regional variations in keratoconus prevalence is crucial for developing targeted public health policies and allocating resources effectively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The K-MAP study represents the first large-scale epidemiological investigation of keratoconus in Russia, utilizing standardized, modern imaging technology. Similar studies, such as one conducted in Saudi Arabia, have reported a higher prevalence of keratoconus than previously recognized, suggesting potential geographical and ethnic variations in disease occurrence. Our findings will contribute to a better…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1089,
      "source_fields": {
        "Abstract Final Identifier": "POCOR402",
        "Title": "Prevalence Of Keratoconus In Russia: The K-Map Multicenter Study",
        "Presenting Author(s)": "Dr Emilio A. Torres-Netto",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Emilio A.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Torres-Netto",
        "Country Name": "Switzerland",
        "Purpose": "To describe the methodology, study design and preliminary results of the K-MAP (Keratoconus Mapping and Prevalence) Study, a multicenter epidemiological trial investigating the prevalence of keratoconus in Russia using modern diagnostic technology.",
        "Setting": "A population-based study conducted at the Ufa Eye Research Institute, Ufa, Russia, as part of a global K-MAP initiative.",
        "Methods": "This is a prospective, observational, population-based study enrolling participants across various age groups. Keratoconus diagnosis is based on a predefined threshold of steep keratometry (≥48 D) as measured by Scheimpflug imaging (Pentacam HR, Oculus, Germany). A comprehensive ophthalmic examination is performed, including refractive error assessment, corneal topography, and tomographic analysis. Data are systematically recorded and analyzed to determine the prevalence of keratoconus and its associations with demographic and ocular parameters. Statistical analysis is conducted using binary regression models to identify significant risk factors.",
        "Results": "Data collection is ongoing. Prevalence rates, risk factors, and associations of keratoconus in the Russian population will be presented at the meeting.",
        "Conclusions": "The K-MAP study represents the first large-scale epidemiological investigation of keratoconus in Russia, utilizing standardized, modern imaging technology. Similar studies, such as one conducted in Saudi Arabia, have reported a higher prevalence of keratoconus than previously recognized, suggesting potential geographical and ethnic variations in disease occurrence. Our findings will contribute to a better understanding of regional prevalence and inform early detection strategies for keratoconus. Identifying regional variations in keratoconus prevalence is crucial for developing targeted public health policies and allocating resources effectively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POCOR403",
      "abstract_number": "POCOR403",
      "title": "Agreement Of Intraocular Pressure Measurements Obtained With Goldmann Applanation Tonometry, Corvis St, And Icare After Penetrating Keratoplasty.",
      "authors": "A/Prof. Argyrios Tzamalis",
      "presenter": "A/Prof. Argyrios Tzamalis",
      "normalized_authors": [
        "Argyrios Tzamalis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Argyrios Tzamalis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "This study aimed to compare intraocular pressure (IOP) measurements obtained with three different tonometry methods—Goldmann applanation tonometry (GAT), Corvis ST, and iCare—in patients who had undergone penetrating keratoplasty (PK).",
        "Setting": "2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece",
        "Methods": "This observational cross-sectional study prospectively recruited patients with a history of PK. IOP was measured using GAT, iCare, and Corvis ST, including both uncorrected Corvis IOP (CVS-IOP) and biomechanical IOP (bIOP). Agreement between the measurement methods was assessed using Bland–Altman analysis. Secondary analyses evaluated the effects of central corneal thickness (CCT), the number of remaining sutures, corneal donor button size, and the use of topical antiglaucoma medications on IOP readings across the different tonometers.",
        "Results": "Twenty-five eyes from 25 patients were included. Bland–Altman analysis demonstrated the narrowest limits of agreement (LoA) between GAT and bIOP (7.5 mmHg). The comparison between iCare and GAT revealed a mean bias of 1.26 ± 3.8 mmHg, with greater variability observed in eyes with a higher number of remaining sutures (p = 0.0079). Increased CCT was moderately associated with lower bIOP values (p = 0.0067); however, CCT did not significantly affect the differences between GAT and the other tonometry methods. No significant differences in IOP measurements were observed in relation to antiglaucoma medication use or corneal donor button size.",
        "Conclusions": "Overall, good agreement was observed among iCare, CVS-IOP, bIOP, and GAT measurements, with the closest agreement found between GAT and bIOP. Variability between GAT and iCare measurements appeared to be influenced by the number of sutures at the graft–host junction. Although higher CCT was associated with lower bIOP readings, CCT did not significantly impact the differences between GAT and the alternative tonometry methods."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Overall, good agreement was observed among iCare, CVS-IOP, bIOP, and GAT measurements, with the closest agreement found between GAT and bIOP. Variability between GAT and iCare measurements appeared to be influenced by the number of sutures at the graft–host junction. Although higher CCT was associated with lower bIOP readings, CCT did not significantly impact the differences between GAT and the alternative…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1090,
      "source_fields": {
        "Abstract Final Identifier": "POCOR403",
        "Title": "Agreement Of Intraocular Pressure Measurements Obtained With Goldmann Applanation Tonometry, Corvis St, And Icare After Penetrating Keratoplasty.",
        "Presenting Author(s)": "A/Prof. Argyrios Tzamalis",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Argyrios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tzamalis",
        "Country Name": "Greece",
        "Purpose": "This study aimed to compare intraocular pressure (IOP) measurements obtained with three different tonometry methods—Goldmann applanation tonometry (GAT), Corvis ST, and iCare—in patients who had undergone penetrating keratoplasty (PK).",
        "Setting": "2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece",
        "Methods": "This observational cross-sectional study prospectively recruited patients with a history of PK. IOP was measured using GAT, iCare, and Corvis ST, including both uncorrected Corvis IOP (CVS-IOP) and biomechanical IOP (bIOP). Agreement between the measurement methods was assessed using Bland–Altman analysis. Secondary analyses evaluated the effects of central corneal thickness (CCT), the number of remaining sutures, corneal donor button size, and the use of topical antiglaucoma medications on IOP readings across the different tonometers.",
        "Results": "Twenty-five eyes from 25 patients were included. Bland–Altman analysis demonstrated the narrowest limits of agreement (LoA) between GAT and bIOP (7.5 mmHg). The comparison between iCare and GAT revealed a mean bias of 1.26 ± 3.8 mmHg, with greater variability observed in eyes with a higher number of remaining sutures (p = 0.0079). Increased CCT was moderately associated with lower bIOP values (p = 0.0067); however, CCT did not significantly affect the differences between GAT and the other tonometry methods. No significant differences in IOP measurements were observed in relation to antiglaucoma medication use or corneal donor button size.",
        "Conclusions": "Overall, good agreement was observed among iCare, CVS-IOP, bIOP, and GAT measurements, with the closest agreement found between GAT and bIOP. Variability between GAT and iCare measurements appeared to be influenced by the number of sutures at the graft–host junction. Although higher CCT was associated with lower bIOP readings, CCT did not significantly impact the differences between GAT and the alternative tonometry methods."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCOR404",
      "abstract_number": "POCOR404",
      "title": "Repeatability Of Corneo-Scleral Topography In Keratoconus",
      "authors": "Prof. Dr Andres Vasquez Quintero",
      "presenter": "Prof. Dr Andres Vasquez Quintero",
      "normalized_authors": [
        "Andres Vasquez Quintero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andres Vasquez Quintero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "The KC-DATA trial aims to gather high-resolution corneo-scleral topography and wavefront aberrometry data from patients with corneal ectatic disorders. This data is critical for refining algorithms used to design personalized, freeform scleral contact lenses. These smart lenses are intended to house active electronics to enhance visual quality for keratoconus patients. The specific purpose of this analysis is to evaluate the spatial repeatability of corneo-scleral measurements across varying stages of disease severity using the Oculus Pentacam AXL Wave, ensuring a robust foundation for automated lens customization.",
        "Setting": "This multicenter data collection study was conducted at the University Hospital Antwerp (UZA), Belgium, and Visser Contactlenzen Brunssum, the Netherlands. The protocol was reviewed and approved by the respective institutional Ethics Committees and national competent authorities.",
        "Methods": "52 subjects (94 eyes) with keratoconus were enrolled. Corneo-scleral topography was performed using the Pentacam AXL Wave. Each eye underwent three repeated scans to assess repeatability. Subjects were stratified by Belin/Ambrósio clinical severity (Grade 0–4). Spatial repeatability was quantified using pixel-wise Intraclass Correlation Coefficients (ICC 2,1) on a grid with 0.5 mm resolution. Total measurable scleral surface area was analyzed to determine if disease severity impacted scan coverage. Statistical analysis was performed in R, utilizing the Per Protocol analysis set for primary outcomes.",
        "Results": "The cohort was 67.3% male with a mean age of 35.8 ± 14.4 years. 54.3% of eyes were classified as Grade 4 (Severe). The device demonstrated \"Excellent\" spatial repeatability (ICC > 0.90) across all levels of severity, including the central and mid-peripheral zones. Advanced ectasia (Grade 4) did not significantly degrade scan coverage, maintaining a mean equivalent diameter of 18.6 ± 0.9 mm, comparable to normal eyes. Common software alerts like \"3D Model Deviation\" were frequent in Grade 4 eyes due to extreme morphology but did not compromise global repeatability. A significant moderate-to-strong correlation was found between Kmax and BCVA (OD: r=0.48, OS: r=0.56, p<0.001).",
        "Conclusions": "The Oculus Pentacam AXL Wave is a robust tool for mapping the corneo-scleral geometry of keratoconus patients, regardless of disease stage. The high spatial repeatability (ICC > 0.90) and consistent scan coverage (avg. ~18.5 mm diameter) confirm the device's viability for large-diameter scleral lens customization. These findings validate the use of a single high-quality scan for extracting the geometry required for freeform lens design, provided no iris-based alignment errors occur. This reliable data pipeline supports the future integration of electronics into smart scleral lenses to provide superior visual rehabilitation for patients with irregular corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Oculus Pentacam AXL Wave is a robust tool for mapping the corneo-scleral geometry of keratoconus patients, regardless of disease stage. The high spatial repeatability (ICC > 0.90) and consistent scan coverage (avg. ~18.5 mm diameter) confirm the device's viability for large-diameter scleral lens customization. These findings validate the use of a single high-quality scan for extracting the geometry required for…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1091,
      "source_fields": {
        "Abstract Final Identifier": "POCOR404",
        "Title": "Repeatability Of Corneo-Scleral Topography In Keratoconus",
        "Presenting Author(s)": "Prof. Dr Andres Vasquez Quintero",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Andres",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vasquez Quintero",
        "Country Name": "Belgium",
        "Purpose": "The KC-DATA trial aims to gather high-resolution corneo-scleral topography and wavefront aberrometry data from patients with corneal ectatic disorders. This data is critical for refining algorithms used to design personalized, freeform scleral contact lenses. These smart lenses are intended to house active electronics to enhance visual quality for keratoconus patients. The specific purpose of this analysis is to evaluate the spatial repeatability of corneo-scleral measurements across varying stages of disease severity using the Oculus Pentacam AXL Wave, ensuring a robust foundation for automated lens customization.",
        "Setting": "This multicenter data collection study was conducted at the University Hospital Antwerp (UZA), Belgium, and Visser Contactlenzen Brunssum, the Netherlands. The protocol was reviewed and approved by the respective institutional Ethics Committees and national competent authorities.",
        "Methods": "52 subjects (94 eyes) with keratoconus were enrolled. Corneo-scleral topography was performed using the Pentacam AXL Wave. Each eye underwent three repeated scans to assess repeatability. Subjects were stratified by Belin/Ambrósio clinical severity (Grade 0–4). Spatial repeatability was quantified using pixel-wise Intraclass Correlation Coefficients (ICC 2,1) on a grid with 0.5 mm resolution. Total measurable scleral surface area was analyzed to determine if disease severity impacted scan coverage. Statistical analysis was performed in R, utilizing the Per Protocol analysis set for primary outcomes.",
        "Results": "The cohort was 67.3% male with a mean age of 35.8 ± 14.4 years. 54.3% of eyes were classified as Grade 4 (Severe). The device demonstrated \"Excellent\" spatial repeatability (ICC > 0.90) across all levels of severity, including the central and mid-peripheral zones. Advanced ectasia (Grade 4) did not significantly degrade scan coverage, maintaining a mean equivalent diameter of 18.6 ± 0.9 mm, comparable to normal eyes. Common software alerts like \"3D Model Deviation\" were frequent in Grade 4 eyes due to extreme morphology but did not compromise global repeatability. A significant moderate-to-strong correlation was found between Kmax and BCVA (OD: r=0.48, OS: r=0.56, p<0.001).",
        "Conclusions": "The Oculus Pentacam AXL Wave is a robust tool for mapping the corneo-scleral geometry of keratoconus patients, regardless of disease stage. The high spatial repeatability (ICC > 0.90) and consistent scan coverage (avg. ~18.5 mm diameter) confirm the device's viability for large-diameter scleral lens customization. These findings validate the use of a single high-quality scan for extracting the geometry required for freeform lens design, provided no iris-based alignment errors occur. This reliable data pipeline supports the future integration of electronics into smart scleral lenses to provide superior visual rehabilitation for patients with irregular corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 418
    },
    {
      "uid": "POCOR405",
      "abstract_number": "POCOR405",
      "title": "Combining Crosslinking With Corneal Intrastromal Ring Segments (Cairs) In Advanced Keratoconus , Post Lasik Ectasia And Contact Lens Intolerance Patients.",
      "authors": "Dr Sanjana Vatsa",
      "presenter": "Dr Sanjana Vatsa",
      "normalized_authors": [
        "Sanjana Vatsa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanjana Vatsa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the safety, visual outcomes and corneal topographic changes following implantation of Corneal Allogenic Intrastromal Ring Segments (CAIRS) combined with crosslinking in eyes with advanced keratoconus, post-LASIK ectasia and severe contact lens intolerance.",
        "Setting": "Tertiary eye care with advanced Cornea and Refractive services",
        "Methods": "This prospective interventional case series included eyes with Advanced keratoconus unsuitable for conventional ICRS, Post-LASIK ectasia with progressive irregular astigmatism and severe contact lens intolerance with poor spectacle-corrected vision.\n\nAll patients underwent femtosecond laser–assisted stromal channel creation followed by implantation of customized allogenic corneal ring segments. It was combined with accelerated CXL in the same sitting.\n\nPre- and postoperative evaluation included:\n\n•\nUncorrected distance visual acuity (UDVA)\n\n•\nCorrected distance visual acuity (CDVA)\n\n•\nManifest refraction\n\n•\nCorneal topography and\n\n•\nAnterior segment OCT",
        "Results": "The case series included eyes with advanced ectatic disorders (mean preoperative Kmax >70D in advanced keratoconus, >57 D in post-LASIK ectasia and > 60D in the case of contact lens intolerance).\n\nPostoperatively:\n\n•\nSignificant improvement in UDVA and CDVA was observed in all eyes.\n\n•\nMean Kmax reduction ranged between 8- 15D\n\n• Spherical equivalent significantly reduced\n\n•\nCorneal symmetry improved on topography with reduction in coma and higher-order aberrations.\n\n•\nThe patient with contact lens intolerance achieved functional unaided vision and improved quality of life.\n\n•\nNo intraoperative or postoperative complications such as extrusion, infection, or stromal melt were noted during follow-up.",
        "Conclusions": "CAIRS is a safe and effective therapeutic option in complex corneal ectasia,including advanced keratoconus and post-LASIK ectasia. It provides good visual rehabilitation,significant corneal flattening and improved corneal regularity while preserving biomechanical integrity. Additionally,CAIRS offers a promising alternative in patients with contact lens intolerance, potentially delaying or avoiding keratoplasty.\n\nCAIRS has significant advantages over the INATCS as they are allogenic and thus bio compatible,with no chances of extrusion,melts or vascularisation.It can be safely performed even in thinner or steeper corneas,can be inserted within a smaller optic zone with less photic phenomenon and can be easily customised as as per the topgraphy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAIRS is a safe and effective therapeutic option in complex corneal ectasia,including advanced keratoconus and post-LASIK ectasia. It provides good visual rehabilitation,significant corneal flattening and improved corneal regularity while preserving biomechanical integrity. Additionally,CAIRS offers a promising alternative in patients with contact lens intolerance, potentially delaying or avoiding keratoplasty.…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1092,
      "source_fields": {
        "Abstract Final Identifier": "POCOR405",
        "Title": "Combining Crosslinking With Corneal Intrastromal Ring Segments (Cairs) In Advanced Keratoconus , Post Lasik Ectasia And Contact Lens Intolerance Patients.",
        "Presenting Author(s)": "Dr Sanjana Vatsa",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sanjana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vatsa",
        "Country Name": "India",
        "Purpose": "To evaluate the safety, visual outcomes and corneal topographic changes following implantation of Corneal Allogenic Intrastromal Ring Segments (CAIRS) combined with crosslinking in eyes with advanced keratoconus, post-LASIK ectasia and severe contact lens intolerance.",
        "Setting": "Tertiary eye care with advanced Cornea and Refractive services",
        "Methods": "This prospective interventional case series included eyes with Advanced keratoconus unsuitable for conventional ICRS, Post-LASIK ectasia with progressive irregular astigmatism and severe contact lens intolerance with poor spectacle-corrected vision.\n\nAll patients underwent femtosecond laser–assisted stromal channel creation followed by implantation of customized allogenic corneal ring segments. It was combined with accelerated CXL in the same sitting.\n\nPre- and postoperative evaluation included:\n\n•\nUncorrected distance visual acuity (UDVA)\n\n•\nCorrected distance visual acuity (CDVA)\n\n•\nManifest refraction\n\n•\nCorneal topography and\n\n•\nAnterior segment OCT",
        "Results": "The case series included eyes with advanced ectatic disorders (mean preoperative Kmax >70D in advanced keratoconus, >57 D in post-LASIK ectasia and > 60D in the case of contact lens intolerance).\n\nPostoperatively:\n\n•\nSignificant improvement in UDVA and CDVA was observed in all eyes.\n\n•\nMean Kmax reduction ranged between 8- 15D\n\n• Spherical equivalent significantly reduced\n\n•\nCorneal symmetry improved on topography with reduction in coma and higher-order aberrations.\n\n•\nThe patient with contact lens intolerance achieved functional unaided vision and improved quality of life.\n\n•\nNo intraoperative or postoperative complications such as extrusion, infection, or stromal melt were noted during follow-up.",
        "Conclusions": "CAIRS is a safe and effective therapeutic option in complex corneal ectasia,including advanced keratoconus and post-LASIK ectasia. It provides good visual rehabilitation,significant corneal flattening and improved corneal regularity while preserving biomechanical integrity. Additionally,CAIRS offers a promising alternative in patients with contact lens intolerance, potentially delaying or avoiding keratoplasty.\n\nCAIRS has significant advantages over the INATCS as they are allogenic and thus bio compatible,with no chances of extrusion,melts or vascularisation.It can be safely performed even in thinner or steeper corneas,can be inserted within a smaller optic zone with less photic phenomenon and can be easily customised as as per the topgraphy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCOR406",
      "abstract_number": "POCOR406",
      "title": "Effects On Corneal Biomechanics Of Cairs Implantations In Keratoconu",
      "authors": "Dr Paul Vergez",
      "presenter": "Dr Paul Vergez",
      "normalized_authors": [
        "Paul Vergez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paul Vergez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate changes in corneal biomechanical properties after implantation of corneal allogenic intrastromal rings segment (CAIRS) in keratoconus.",
        "Setting": "Retrospective single-center study performed in Foundation Rothschild Hospital included patients who underwent femtosecond laser-assisted CAIRS implantation for keratoconus over a period of 2 years.",
        "Methods": "Biomechanical analysis was performed using the Corvis ST (Oculus, Wetzlar, Germany). Data collection was performed preoperatively and 6 months postoperatively, including highest concavity radius (HRC), inverse concave radius (1/R), stress-strain index (SSI), deformation amplitude ratio (DA ratio), Integrated radius , stiffness parameter at first applanation (SP-A1) as well as Corvis Biomechanical Index (CBI) and Tomographic Biomechanical Index (TBI).",
        "Results": "Eleven eyes of 11 patients were included. CAIRS implantation affected corneal biomechanical measurements evaluated with the Corvis ST, increasing significantly (p<0,05) the HRC and the SP-A1. Statistical analysis showed a non-significant changes (p>0,05) in the DA ratio, integrated radius, SSI, CBI and TBI.",
        "Conclusions": "CAIRS implantation has positive effects on corneal biomechanical measurements in patients with keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAIRS implantation has positive effects on corneal biomechanical measurements in patients with keratoconus.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1093,
      "source_fields": {
        "Abstract Final Identifier": "POCOR406",
        "Title": "Effects On Corneal Biomechanics Of Cairs Implantations In Keratoconu",
        "Presenting Author(s)": "Dr Paul Vergez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Paul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vergez",
        "Country Name": "France",
        "Purpose": "To evaluate changes in corneal biomechanical properties after implantation of corneal allogenic intrastromal rings segment (CAIRS) in keratoconus.",
        "Setting": "Retrospective single-center study performed in Foundation Rothschild Hospital included patients who underwent femtosecond laser-assisted CAIRS implantation for keratoconus over a period of 2 years.",
        "Methods": "Biomechanical analysis was performed using the Corvis ST (Oculus, Wetzlar, Germany). Data collection was performed preoperatively and 6 months postoperatively, including highest concavity radius (HRC), inverse concave radius (1/R), stress-strain index (SSI), deformation amplitude ratio (DA ratio), Integrated radius , stiffness parameter at first applanation (SP-A1) as well as Corvis Biomechanical Index (CBI) and Tomographic Biomechanical Index (TBI).",
        "Results": "Eleven eyes of 11 patients were included. CAIRS implantation affected corneal biomechanical measurements evaluated with the Corvis ST, increasing significantly (p<0,05) the HRC and the SP-A1. Statistical analysis showed a non-significant changes (p>0,05) in the DA ratio, integrated radius, SSI, CBI and TBI.",
        "Conclusions": "CAIRS implantation has positive effects on corneal biomechanical measurements in patients with keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 160
    },
    {
      "uid": "POCOR407",
      "abstract_number": "POCOR407",
      "title": "Predictors Of Visual Outcomes Following Intracorneal Ring Segment Implantation For Paracentral Keratoconus",
      "authors": "Dr Rodrigo Vilares-Morgado",
      "presenter": "Dr Rodrigo Vilares-Morgado",
      "normalized_authors": [
        "Rodrigo Vilares-Morgado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rodrigo Vilares-Morgado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Intrastromal corneal ring segment (ICRS) implantation is a minimally invasive surgical treatment used in keratoconus, improving corneal geometry and visual function. Nonetheless, postoperative outcomes remain variable and somewhat unpredictable. Previous evidence suggests that visual benefit is strongly influenced by baseline visual acuity. This study aimed to identify preoperative clinical, tomographic, and aberrometric predictors of visual improvement after femtosecond laser–assisted ICRS implantation in paracentral keratoconus (croissant and duck phenotypes).",
        "Setting": "Single center, observational, retrospective study conducted at the Department of Ophthalmology of Centro Hospitalar Universitário de S. João, a tertiary referral center in Porto, Portugal.",
        "Methods": "45 patients with paracentral keratoconus treated with femtosecond laser–assisted Keraring-type (Mediphacos) ICRS implantation (FEMTO LDV Z8, Ziemer Ophthalmic Systems) and ≥1 month of follow-up were included. Variation in corrected distance visual acuity (CDVA) was analyzed both as a continuous and dichotomic outcome (gain of ≥2 lines vs. <2 lines). Preoperative visual, tomographic, and aberrometric parameters, and the postoperative variation in these parameters were assessed using both regression and group-comparison approaches, given a quasi-complete separation when baseline CDVA was included in regression models. Continuous variables were compared between groups using the Mann–Whitney U test and correlated with ΔCDVA using Pearson’s r .",
        "Results": "Overall, CDVA improved from 0.50±0.29 to 0.21±0.09 logMAR units (p<0.001) and spherical equivalent decreased from -4.75±3.33 to -1.15±2.32 D (p<0.001). In multivariable linear regression, worse baseline CDVA was independently associated with greater visual improvement (p<0.001), explaining 90.5% of outcome variability (R²=0.905). Eyes with higher baseline coma ( r =-0.342; p=0.021) and baseline CDVA ( r =-0.948; p =<0.001) presented greater visual improvement. In non-parametric analyses, eyes gaining ≥2 CDVA lines had worse preoperative CDVA (p<0.001). Eyes with higher preoperative (p=0.071) or decrease (p=0.059) in anterior astigmatism showed a non-significant trend for greater visual improvement.",
        "Conclusions": "Baseline visual acuity is the main determinant of visual improvement after femtosecond laser–assisted ICRS implantation in paracentral keratoconus. Patients with higher preoperative coma, preoperative anterior astigmatism, and a higher decrease in anterior corneal astigmatism may present greater visual improvement. This finding is biologically plausible, as keratoconus irregular astigmatism has a significant impact in patients’ visual quality and acuity. Limited sample size may explain the lack of statistical significance of some of the assessed parameters."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Baseline visual acuity is the main determinant of visual improvement after femtosecond laser–assisted ICRS implantation in paracentral keratoconus. Patients with higher preoperative coma, preoperative anterior astigmatism, and a higher decrease in anterior corneal astigmatism may present greater visual improvement. This finding is biologically plausible, as keratoconus irregular astigmatism has a significant impact…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1094,
      "source_fields": {
        "Abstract Final Identifier": "POCOR407",
        "Title": "Predictors Of Visual Outcomes Following Intracorneal Ring Segment Implantation For Paracentral Keratoconus",
        "Presenting Author(s)": "Dr Rodrigo Vilares-Morgado",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Rodrigo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vilares-Morgado",
        "Country Name": "Portugal",
        "Purpose": "Intrastromal corneal ring segment (ICRS) implantation is a minimally invasive surgical treatment used in keratoconus, improving corneal geometry and visual function. Nonetheless, postoperative outcomes remain variable and somewhat unpredictable. Previous evidence suggests that visual benefit is strongly influenced by baseline visual acuity. This study aimed to identify preoperative clinical, tomographic, and aberrometric predictors of visual improvement after femtosecond laser–assisted ICRS implantation in paracentral keratoconus (croissant and duck phenotypes).",
        "Setting": "Single center, observational, retrospective study conducted at the Department of Ophthalmology of Centro Hospitalar Universitário de S. João, a tertiary referral center in Porto, Portugal.",
        "Methods": "45 patients with paracentral keratoconus treated with femtosecond laser–assisted Keraring-type (Mediphacos) ICRS implantation (FEMTO LDV Z8, Ziemer Ophthalmic Systems) and ≥1 month of follow-up were included. Variation in corrected distance visual acuity (CDVA) was analyzed both as a continuous and dichotomic outcome (gain of ≥2 lines vs. <2 lines). Preoperative visual, tomographic, and aberrometric parameters, and the postoperative variation in these parameters were assessed using both regression and group-comparison approaches, given a quasi-complete separation when baseline CDVA was included in regression models. Continuous variables were compared between groups using the Mann–Whitney U test and correlated with ΔCDVA using Pearson’s r .",
        "Results": "Overall, CDVA improved from 0.50±0.29 to 0.21±0.09 logMAR units (p<0.001) and spherical equivalent decreased from -4.75±3.33 to -1.15±2.32 D (p<0.001). In multivariable linear regression, worse baseline CDVA was independently associated with greater visual improvement (p<0.001), explaining 90.5% of outcome variability (R²=0.905). Eyes with higher baseline coma ( r =-0.342; p=0.021) and baseline CDVA ( r =-0.948; p =<0.001) presented greater visual improvement. In non-parametric analyses, eyes gaining ≥2 CDVA lines had worse preoperative CDVA (p<0.001). Eyes with higher preoperative (p=0.071) or decrease (p=0.059) in anterior astigmatism showed a non-significant trend for greater visual improvement.",
        "Conclusions": "Baseline visual acuity is the main determinant of visual improvement after femtosecond laser–assisted ICRS implantation in paracentral keratoconus. Patients with higher preoperative coma, preoperative anterior astigmatism, and a higher decrease in anterior corneal astigmatism may present greater visual improvement. This finding is biologically plausible, as keratoconus irregular astigmatism has a significant impact in patients’ visual quality and acuity. Limited sample size may explain the lack of statistical significance of some of the assessed parameters."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 395
    },
    {
      "uid": "POCOR408",
      "abstract_number": "POCOR408",
      "title": "Primary Corneal Allogenic Intrastromal Ring Segment Implantation For Stable Keratoconus: A Tertiary Centre Nhs Experience",
      "authors": "Mr Christopher Way",
      "presenter": "Mr Christopher Way",
      "normalized_authors": [
        "Christopher Way"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chris Way",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We aimed to review the first 18 months of use of Corneal Allogenic Intrastromal Ring Segments (CAIRS) in our tertiary centre NHS department.",
        "Setting": "Keratoconus is an ectatic disease characterised by irregular astigmatism and progressive corneal thinning. Improving visual quality can be a challenge, especially in patients who cannot tolerate or become unsuitable for rigid gas permeable (RGP) contact lenses. Corneal Allogenic Intrastromal Ring Segments (CAIRS) have been reported to be a safe and effective treatment in such patients.",
        "Methods": "Retrospective chart review of 17 eyes with keratoconus who were previously crosslinked and intolerant to RGPs underwent CAIRS implantation. Visual, refractive, and topographic data was assessed pre operatively and at post operative months 1, 3, 6 and 12. Statistical analysis was performed using a paired t-test.",
        "Results": "Pre-operative mean UCVA was 0.93±0.38 logMAR, K mean 49.3±3.5 D, spherical equivalent −7.5±3.5D, and coma 1.12±0.81µm. At 12 months (N=8): UCVA improved by −0.24±0.15 logMAR (p=0.003**); CDVA improved by −0.23±0.18 logMAR (p=0.044*, N=5). Keratometry reduced; K1 −3.4±2.1D (p=0.003**), K2 −2.9±1.6D (p=0.001**), K mean −3.2±1.8D (p=0.001**), however K max reduction was non-significant (−0.9±4.2D, p=0.563). Spherical equivalent improved by +4.57 ± 2.59D (p=0.002**, N=8), demonstrating spherical myopic correction. BFS anterior increased significantly (+0.22±0.12mm, p=0.001***) whereas BFS posterior change was non-significant (+0.02D, p=0.573). Coma was noted to reduce from 1.12±0.81µm to 0.70±0.53µm (mean diff −0.29µm, p=0.028*).",
        "Conclusions": "The outcomes of our study show that CAIRS is a successful procedure for carefully selected cases. It improves the anterior curvature of the cornea, resulting in improved uncorrected and corrected visual acuity, keratometry, higher order aberrations and reduced myopia. Further work is required in this field to establish a standardised nomogram which incorporates patient findings and CAIRS segment morphology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The outcomes of our study show that CAIRS is a successful procedure for carefully selected cases. It improves the anterior curvature of the cornea, resulting in improved uncorrected and corrected visual acuity, keratometry, higher order aberrations and reduced myopia. Further work is required in this field to establish a standardised nomogram which incorporates patient findings and CAIRS segment morphology.",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1095,
      "source_fields": {
        "Abstract Final Identifier": "POCOR408",
        "Title": "Primary Corneal Allogenic Intrastromal Ring Segment Implantation For Stable Keratoconus: A Tertiary Centre Nhs Experience",
        "Presenting Author(s)": "Mr Christopher Way",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Chris",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Way",
        "Country Name": "United Kingdom",
        "Purpose": "We aimed to review the first 18 months of use of Corneal Allogenic Intrastromal Ring Segments (CAIRS) in our tertiary centre NHS department.",
        "Setting": "Keratoconus is an ectatic disease characterised by irregular astigmatism and progressive corneal thinning. Improving visual quality can be a challenge, especially in patients who cannot tolerate or become unsuitable for rigid gas permeable (RGP) contact lenses. Corneal Allogenic Intrastromal Ring Segments (CAIRS) have been reported to be a safe and effective treatment in such patients.",
        "Methods": "Retrospective chart review of 17 eyes with keratoconus who were previously crosslinked and intolerant to RGPs underwent CAIRS implantation. Visual, refractive, and topographic data was assessed pre operatively and at post operative months 1, 3, 6 and 12. Statistical analysis was performed using a paired t-test.",
        "Results": "Pre-operative mean UCVA was 0.93±0.38 logMAR, K mean 49.3±3.5 D, spherical equivalent −7.5±3.5D, and coma 1.12±0.81µm. At 12 months (N=8): UCVA improved by −0.24±0.15 logMAR (p=0.003**); CDVA improved by −0.23±0.18 logMAR (p=0.044*, N=5). Keratometry reduced; K1 −3.4±2.1D (p=0.003**), K2 −2.9±1.6D (p=0.001**), K mean −3.2±1.8D (p=0.001**), however K max reduction was non-significant (−0.9±4.2D, p=0.563). Spherical equivalent improved by +4.57 ± 2.59D (p=0.002**, N=8), demonstrating spherical myopic correction. BFS anterior increased significantly (+0.22±0.12mm, p=0.001***) whereas BFS posterior change was non-significant (+0.02D, p=0.573). Coma was noted to reduce from 1.12±0.81µm to 0.70±0.53µm (mean diff −0.29µm, p=0.028*).",
        "Conclusions": "The outcomes of our study show that CAIRS is a successful procedure for carefully selected cases. It improves the anterior curvature of the cornea, resulting in improved uncorrected and corrected visual acuity, keratometry, higher order aberrations and reduced myopia. Further work is required in this field to establish a standardised nomogram which incorporates patient findings and CAIRS segment morphology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCOR410",
      "abstract_number": "POCOR410",
      "title": "Early Clinical Outcomes Of A Novel Corneal Screening And Treatment Algorithm In Keratoconus Patients",
      "authors": "Mr Mukhiddin Ziyoviddinov",
      "presenter": "Mr Mukhiddin Ziyoviddinov",
      "normalized_authors": [
        "Mukhiddin Ziyoviddinov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mukhiddin Ziyoviddinov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "Keratoconus remains a major cause of progressive visual impairment in young and working-age populations, particularly in regions with limited access to advanced corneal diagnostics. Despite the availability of corneal topography and tomography, delayed diagnosis and inconsistent treatment sequencing continue to result in avoidable disease progression and suboptimal outcomes. The purpose of this study was to evaluate early clinical outcomes of a structured corneal screening and treatment algorithm integrating topographic analysis, biomechanical risk stratification, and stage-adapted therapeutic interventions in patients with keratoconus.",
        "Setting": "This study was conducted at the Department of Cornea and Refractive Surgery, Republican Specialized Scientific-Practical Medical Center of Eye Microsurgery, Tashkent, Uzbekistan — a national tertiary referral center managing a high volume of keratoconus and ectatic corneal disorders.",
        "Methods": "A prospective observational clinical study was conducted in patients with suspected or confirmed keratoconus. All patients underwent a standardized screening protocol including slit-lamp biomicroscopy, corneal topography/tomography, pachymetry, and structured clinical staging. Based on disease severity and progression risk, patients were allocated to an algorithm-guided management pathway incorporating observation, corneal collagen cross-linking, customized excimer laser procedures, or sequential treatment strategies. Early postoperative and short-term follow-up outcomes were analyzed, focusing on visual acuity, corneal stability indicators, and safety parameters.",
        "Results": "Implementation of the screening and treatment algorithm enabled earlier detection of keratoconus, including subclinical and early-stage disease that may be missed by conventional diagnostic approaches. Algorithm-guided decision-making improved consistency in treatment selection and sequencing. Short-term outcomes demonstrated stabilization of key corneal parameters in the majority of treated eyes, with functional visual improvement observed in appropriately selected cases. No sight-threatening complications were recorded during the early follow-up period. Nevertheless, inter-individual variability in biomechanical response and limited follow-up duration preclude definitive conclusions regarding long-term disease progression control.",
        "Conclusions": "A structured corneal screening and treatment algorithm appears to be a feasible and clinically valuable approach for the early diagnosis and management of keratoconus in real-world practice. By combining topographic assessment with risk-oriented treatment selection, this strategy may reduce diagnostic delay and improve early outcomes. Nevertheless, limitations include the absence of long-term follow-up, restricted biomechanical parameter integration, and the need for comparative controlled studies. Further large-scale prospective trials incorporating advanced biomechanical metrics are required to validate long-term efficacy and refine algorithm-based keratoconus management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A structured corneal screening and treatment algorithm appears to be a feasible and clinically valuable approach for the early diagnosis and management of keratoconus in real-world practice. By combining topographic assessment with risk-oriented treatment selection, this strategy may reduce diagnostic delay and improve early outcomes. Nevertheless, limitations include the absence of long-term follow-up, restricted…",
      "session_type": "ePoster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1096,
      "source_fields": {
        "Abstract Final Identifier": "POCOR410",
        "Title": "Early Clinical Outcomes Of A Novel Corneal Screening And Treatment Algorithm In Keratoconus Patients",
        "Presenting Author(s)": "Mr Mukhiddin Ziyoviddinov",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Mukhiddin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ziyoviddinov",
        "Country Name": "Uzbekistan",
        "Purpose": "Keratoconus remains a major cause of progressive visual impairment in young and working-age populations, particularly in regions with limited access to advanced corneal diagnostics. Despite the availability of corneal topography and tomography, delayed diagnosis and inconsistent treatment sequencing continue to result in avoidable disease progression and suboptimal outcomes. The purpose of this study was to evaluate early clinical outcomes of a structured corneal screening and treatment algorithm integrating topographic analysis, biomechanical risk stratification, and stage-adapted therapeutic interventions in patients with keratoconus.",
        "Setting": "This study was conducted at the Department of Cornea and Refractive Surgery, Republican Specialized Scientific-Practical Medical Center of Eye Microsurgery, Tashkent, Uzbekistan — a national tertiary referral center managing a high volume of keratoconus and ectatic corneal disorders.",
        "Methods": "A prospective observational clinical study was conducted in patients with suspected or confirmed keratoconus. All patients underwent a standardized screening protocol including slit-lamp biomicroscopy, corneal topography/tomography, pachymetry, and structured clinical staging. Based on disease severity and progression risk, patients were allocated to an algorithm-guided management pathway incorporating observation, corneal collagen cross-linking, customized excimer laser procedures, or sequential treatment strategies. Early postoperative and short-term follow-up outcomes were analyzed, focusing on visual acuity, corneal stability indicators, and safety parameters.",
        "Results": "Implementation of the screening and treatment algorithm enabled earlier detection of keratoconus, including subclinical and early-stage disease that may be missed by conventional diagnostic approaches. Algorithm-guided decision-making improved consistency in treatment selection and sequencing. Short-term outcomes demonstrated stabilization of key corneal parameters in the majority of treated eyes, with functional visual improvement observed in appropriately selected cases. No sight-threatening complications were recorded during the early follow-up period. Nevertheless, inter-individual variability in biomechanical response and limited follow-up duration preclude definitive conclusions regarding long-term disease progression control.",
        "Conclusions": "A structured corneal screening and treatment algorithm appears to be a feasible and clinically valuable approach for the early diagnosis and management of keratoconus in real-world practice. By combining topographic assessment with risk-oriented treatment selection, this strategy may reduce diagnostic delay and improve early outcomes. Nevertheless, limitations include the absence of long-term follow-up, restricted biomechanical parameter integration, and the need for comparative controlled studies. Further large-scale prospective trials incorporating advanced biomechanical metrics are required to validate long-term efficacy and refine algorithm-based keratoconus management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 364
    },
    {
      "uid": "POCOR411",
      "abstract_number": "POCOR411",
      "title": "Quality, Understandability, And Actionability Of Youtube Videos On Blepharitis: A Cross-Sectional Assessment Using Pemat And Modified Discern Tools",
      "authors": "Dr Chuiki Jasmine La",
      "presenter": "Dr Chuiki Jasmine La",
      "normalized_authors": [
        "Chuiki Jasmine La"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dalia Abdulhussein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the quality, understandability, and actionability of patient education videos on blepharitis available on YouTube, and to compare content quality between healthcare professional and industry/pharmaceutical sources. Blepharitis is a common chronic eyelid condition, and patients increasingly turn to video-based platforms for health information. However, the reliability and comprehensibility of such content remains poorly characterized.",
        "Setting": "Cross-sectional analysis of YouTube videos retrieved using the search term \"blepharitis\" conducted in February 2025. Videos were assessed by two independent reviewers using validated quality assessment instruments.",
        "Methods": "The first 30 English-language patient-directed videos on blepharitis were identified and categorized by uploader type (healthcare professional vs industry/pharmaceutical). Videos were assessed using the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V) for understandability and actionability, modified DISCERN (mDISCERN) for reliability, and a 5-point Global Quality Score. Video characteristics (length, views, likes, Video Power Index) and content features (treatment methods demonstrated, safety warnings, Demodex discussion) were recorded. Inter-rater reliability was calculated and mean scores between reviewers were used for analysis.",
        "Results": "Thirty videos (20 long-form, 10 shorts) were analyzed: 20 from healthcare professionals, 8 from industry/pharma sources and 2 from layperson/influencer. Median video length was 164 seconds (IQR 53-327). Mean PEMAT understandability was 68.7±15.1% with only 50% of videos meeting the ≥70% threshold for adequate understandability. Mean PEMAT actionability was lower at 46.7±24.8% with only 26.7% achieving ≥70%. Mean mDISCERN score was 2.57±0.95 (scale 0-5) and Global Quality Score 2.95±1.04 (scale 1-5). Long-form videos demonstrated significantly higher quality (3.35 vs 2.15, p=0.002) and mDISCERN scores (2.95 vs 1.80, p<0.001) compared to shorts. Only 13.3% included safety warnings.",
        "Conclusions": "YouTube videos on blepharitis demonstrate moderate quality and understandability, with significant deficiencies in actionability and safety information. Only half of videos meet recommended understandability thresholds, and fewer than one-third provide actionable guidance for patients. Long-form videos are significantly superior to shorts in quality and reliability. The paucity of safety warnings and limited discussion of Demodex in only 30% of videos represents a substantial educational gap. Healthcare professionals should be aware of these limitations when patients use YouTube for blepharitis information and should direct patients toward high-quality, evidence-based video resources from professional sources."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "YouTube videos on blepharitis demonstrate moderate quality and understandability, with significant deficiencies in actionability and safety information. Only half of videos meet recommended understandability thresholds, and fewer than one-third provide actionable guidance for patients. Long-form videos are significantly superior to shorts in quality and reliability. The paucity of safety warnings and limited…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1097,
      "source_fields": {
        "Abstract Final Identifier": "POCOR411",
        "Title": "Quality, Understandability, And Actionability Of Youtube Videos On Blepharitis: A Cross-Sectional Assessment Using Pemat And Modified Discern Tools",
        "Presenting Author(s)": "Dr Chuiki Jasmine La",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Dalia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdulhussein",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the quality, understandability, and actionability of patient education videos on blepharitis available on YouTube, and to compare content quality between healthcare professional and industry/pharmaceutical sources. Blepharitis is a common chronic eyelid condition, and patients increasingly turn to video-based platforms for health information. However, the reliability and comprehensibility of such content remains poorly characterized.",
        "Setting": "Cross-sectional analysis of YouTube videos retrieved using the search term \"blepharitis\" conducted in February 2025. Videos were assessed by two independent reviewers using validated quality assessment instruments.",
        "Methods": "The first 30 English-language patient-directed videos on blepharitis were identified and categorized by uploader type (healthcare professional vs industry/pharmaceutical). Videos were assessed using the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V) for understandability and actionability, modified DISCERN (mDISCERN) for reliability, and a 5-point Global Quality Score. Video characteristics (length, views, likes, Video Power Index) and content features (treatment methods demonstrated, safety warnings, Demodex discussion) were recorded. Inter-rater reliability was calculated and mean scores between reviewers were used for analysis.",
        "Results": "Thirty videos (20 long-form, 10 shorts) were analyzed: 20 from healthcare professionals, 8 from industry/pharma sources and 2 from layperson/influencer. Median video length was 164 seconds (IQR 53-327). Mean PEMAT understandability was 68.7±15.1% with only 50% of videos meeting the ≥70% threshold for adequate understandability. Mean PEMAT actionability was lower at 46.7±24.8% with only 26.7% achieving ≥70%. Mean mDISCERN score was 2.57±0.95 (scale 0-5) and Global Quality Score 2.95±1.04 (scale 1-5). Long-form videos demonstrated significantly higher quality (3.35 vs 2.15, p=0.002) and mDISCERN scores (2.95 vs 1.80, p<0.001) compared to shorts. Only 13.3% included safety warnings.",
        "Conclusions": "YouTube videos on blepharitis demonstrate moderate quality and understandability, with significant deficiencies in actionability and safety information. Only half of videos meet recommended understandability thresholds, and fewer than one-third provide actionable guidance for patients. Long-form videos are significantly superior to shorts in quality and reliability. The paucity of safety warnings and limited discussion of Demodex in only 30% of videos represents a substantial educational gap. Healthcare professionals should be aware of these limitations when patients use YouTube for blepharitis information and should direct patients toward high-quality, evidence-based video resources from professional sources."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POCOR412",
      "abstract_number": "POCOR412",
      "title": "Dry Eye Disease Parameters Among Patients With Ocular Surface Disease In A Sample Of Egyptian Patients",
      "authors": "Dr Fayrouz Aboalazayem",
      "presenter": "Dr Fayrouz Aboalazayem",
      "normalized_authors": [
        "Fayrouz Aboalazayem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fayrouz Aboalazayem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "to estimate prevalence of different etiologies in a sample of Egyptian population that already diagnosed as having dry eye disease (DED).",
        "Setting": "This is a descriptive cross sectional study conducted at Kasr Al-Aini, Cairo University hospitals ophthalmology outpatient clinic. Informed consent was obtained from patients, or their guardians and all tenets of Declaration of Helsinki were followed. The study protocol was approved by the ethical committee, Cairo University with IRB number MS-63-2023.",
        "Methods": "Cross-sectional study, in which 100 patients with DED were enrolled. DED was assessed using invasive break-up time (BUT), DEQ5 questionnaire and MediWorks Dry Eye Diagnostic System, which evaluated non-invasive break-up time (NIBUT), tear meniscus height, lipid layer thickness, eyelid edge morphology and meibomian gland morphology.",
        "Results": "100 eyes with DED were included. Mean age was 41.06 ± 13.08 years (range, 20-70 years) and 68% were females. Mean CDVA was 0.3 ± 0.19 logMAR (range, 0.00-1.0). Mean TBUT was 5.97 ± 2.3 seconds (range 1-9 seconds) while mean NIBUT was 9.22 ± 4.7 seconds (range, 0.24-21 seconds). TMH was 0.27 ± 0.13 mm (range, 0.01-0.69 mm). DEQ5 score ranged from 10-20, with a mean of 16.88 ± 3.65. On MGD grading 49% and 42% of eyes showed grades 2 and 1 MGD respectively. There was no statistically significant correlation between gender and degree of MGD (p=0.808). TBUT was negatively correlated with age, DQ5 score and CDVA (p=0.023, <0.001 and <0.001 respectively), but showed no statistically significant association with tear height (p=0.133).",
        "Conclusions": "Most of Egyptian dry eye patients had an element of MGD that has to be addressed in treating dry eye Egyptian patients"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Most of Egyptian dry eye patients had an element of MGD that has to be addressed in treating dry eye Egyptian patients",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1098,
      "source_fields": {
        "Abstract Final Identifier": "POCOR412",
        "Title": "Dry Eye Disease Parameters Among Patients With Ocular Surface Disease In A Sample Of Egyptian Patients",
        "Presenting Author(s)": "Dr Fayrouz Aboalazayem",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Fayrouz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aboalazayem",
        "Country Name": "Egypt",
        "Purpose": "to estimate prevalence of different etiologies in a sample of Egyptian population that already diagnosed as having dry eye disease (DED).",
        "Setting": "This is a descriptive cross sectional study conducted at Kasr Al-Aini, Cairo University hospitals ophthalmology outpatient clinic. Informed consent was obtained from patients, or their guardians and all tenets of Declaration of Helsinki were followed. The study protocol was approved by the ethical committee, Cairo University with IRB number MS-63-2023.",
        "Methods": "Cross-sectional study, in which 100 patients with DED were enrolled. DED was assessed using invasive break-up time (BUT), DEQ5 questionnaire and MediWorks Dry Eye Diagnostic System, which evaluated non-invasive break-up time (NIBUT), tear meniscus height, lipid layer thickness, eyelid edge morphology and meibomian gland morphology.",
        "Results": "100 eyes with DED were included. Mean age was 41.06 ± 13.08 years (range, 20-70 years) and 68% were females. Mean CDVA was 0.3 ± 0.19 logMAR (range, 0.00-1.0). Mean TBUT was 5.97 ± 2.3 seconds (range 1-9 seconds) while mean NIBUT was 9.22 ± 4.7 seconds (range, 0.24-21 seconds). TMH was 0.27 ± 0.13 mm (range, 0.01-0.69 mm). DEQ5 score ranged from 10-20, with a mean of 16.88 ± 3.65. On MGD grading 49% and 42% of eyes showed grades 2 and 1 MGD respectively. There was no statistically significant correlation between gender and degree of MGD (p=0.808). TBUT was negatively correlated with age, DQ5 score and CDVA (p=0.023, <0.001 and <0.001 respectively), but showed no statistically significant association with tear height (p=0.133).",
        "Conclusions": "Most of Egyptian dry eye patients had an element of MGD that has to be addressed in treating dry eye Egyptian patients"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCOR413",
      "abstract_number": "POCOR413",
      "title": "Mapping The Current Evidence On Intense Pulsed Light In The Management Of Chalazion: A Scoping Review",
      "authors": "Dr Zahrah Alabdullah",
      "presenter": "Dr Zahrah Alabdullah",
      "normalized_authors": [
        "Zahrah Alabdullah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zahrah Ahmed Alabdullah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Background:\n\nChalazion is a common lipogranulomatous inflammation of the eyelid, usually caused by plugged meibomian gland ducts. Although many cases resolve with conservative therapy, recurrent or refractory chalazia often require procedural intervention such as incision and curettage. Recently, Intense pulsed light ( IPL) has emerged as a treatment option for chalazion. However, the scope of existing evidence remains unclear.\n\nPurpose :\n\nTo map and summarize the current evidence on the efficacy and safety of IPL in the management of chalazion.",
        "Setting": "A scoping review",
        "Methods": "A scoping review was conducted in accordance with the PRISMA-ScR guidelines. Pubmed, MEDLINE, and Google Scholar were searched from inception to January 2026. Studies evaluating IPL as a treatment for chalazion were included. Data were extracted on study design, patient characteristics, IPL protocols, clinical outcomes, and adverse events.",
        "Results": "Eighty-seven records were identified, with 49 duplicates removed. Six studies met the inclusion criteria. Most studies were retrospective case series involving patients with recurrent or refractory chalazion. Reported outcomes demonstrated clinical improvement, reduction in lesion size, and decreased recurrence rate. IPL was generally tolerated with no adverse effects reported.",
        "Conclusions": "Emerging evidence suggests that IPL may be a promising adjuvant treatment option, particularly for recurrent and refractory chalazion. However, the current literature is limited by small sample sizes and predominantly retrospective designs. Prospective, controlled studies are needed to establish standardized treatment protocols and confirm efficacy and safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Emerging evidence suggests that IPL may be a promising adjuvant treatment option, particularly for recurrent and refractory chalazion. However, the current literature is limited by small sample sizes and predominantly retrospective designs. Prospective, controlled studies are needed to establish standardized treatment protocols and confirm efficacy and safety.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1099,
      "source_fields": {
        "Abstract Final Identifier": "POCOR413",
        "Title": "Mapping The Current Evidence On Intense Pulsed Light In The Management Of Chalazion: A Scoping Review",
        "Presenting Author(s)": "Dr Zahrah Alabdullah",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Zahrah",
        "Submitter Middle Name": "Ahmed",
        "Submitter Last Name": "Alabdullah",
        "Country Name": "Saudi Arabia",
        "Purpose": "Background:\n\nChalazion is a common lipogranulomatous inflammation of the eyelid, usually caused by plugged meibomian gland ducts. Although many cases resolve with conservative therapy, recurrent or refractory chalazia often require procedural intervention such as incision and curettage. Recently, Intense pulsed light ( IPL) has emerged as a treatment option for chalazion. However, the scope of existing evidence remains unclear.\n\nPurpose :\n\nTo map and summarize the current evidence on the efficacy and safety of IPL in the management of chalazion.",
        "Setting": "A scoping review",
        "Methods": "A scoping review was conducted in accordance with the PRISMA-ScR guidelines. Pubmed, MEDLINE, and Google Scholar were searched from inception to January 2026. Studies evaluating IPL as a treatment for chalazion were included. Data were extracted on study design, patient characteristics, IPL protocols, clinical outcomes, and adverse events.",
        "Results": "Eighty-seven records were identified, with 49 duplicates removed. Six studies met the inclusion criteria. Most studies were retrospective case series involving patients with recurrent or refractory chalazion. Reported outcomes demonstrated clinical improvement, reduction in lesion size, and decreased recurrence rate. IPL was generally tolerated with no adverse effects reported.",
        "Conclusions": "Emerging evidence suggests that IPL may be a promising adjuvant treatment option, particularly for recurrent and refractory chalazion. However, the current literature is limited by small sample sizes and predominantly retrospective designs. Prospective, controlled studies are needed to establish standardized treatment protocols and confirm efficacy and safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCOR414",
      "abstract_number": "POCOR414",
      "title": "Neurotrophic Keratopathy At A Tertiary Ophthalmic Center",
      "authors": "Dr Rand Nasser Alazaz",
      "presenter": "Dr Rand Nasser Alazaz",
      "normalized_authors": [
        "Rand Nasser Alazaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rand Nasser Alazaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the neurotrophic keratitis (NK) profile, management outcomes, and determinants at a tertiary eye hospital in\n\nSaudi Arabia.",
        "Setting": "This study received approval from the Ethics Committee at King Khaled Eye Specialist Hospital and Research Center\n\n(KKESH&RC). Written informed consent was obtained from all participants. Throughout the study, we adhered to the principles\n\noutlined in the Declaration of Helsinki. To protect participants’ privacy, we implemented measures to anonymize their identities.\n\nThis historical cohort study was conducted at KKESH&RC in Riyadh, Saudi Arabia from 2014 to 2024",
        "Methods": "The target population comprised all patients identified through electronic medical records with the (ICD-10) code of H16.239, who\n\npresented and were treated at KKESH&RC during the study period. The classification of NK based on Mackie’s criteria; NK was classified into stages 1–3. Demographic data, NK etiology, and both medical and surgical therapeutic interventions were analyzed. We correlated these outcomes with the etiology, stages, and treatment modalities.",
        "Results": "The cohort had 94 eyes of 80 NK patients in stage 1 (6, 6%), stage 2 (69, 74%), and stage 3 (19, 20%). Herpes zoster (22.5%) was the most common infectious etiology followed by herpes simplex (2.5%). Trigeminal palsy was observed in 24 (30%) eyes. Iatrogenic NK was present in 12 (15%) eyes. Decreased vision (88.1%), redness of the eyes (47.6%), and swollen lids (34.5%) were the main symptoms. The most frequently performed procedures included amniotic membrane transplantation (45.7%), tarsorrhaphy (36.2%), and corneal gluing (17%). At the last follow-up after management, the BCVA was 1.5 logMAR in eyes affected by NK. At presentation (78.2%) and after treatment (38.2%), eyes with NK had severe visual impairment.",
        "Conclusions": "The management of NK presents significant challenges but offers potential rewards, as it facilitates ocular preservation\n\nand may enable visual restoration following initial therapeutic intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The management of NK presents significant challenges but offers potential rewards, as it facilitates ocular preservation and may enable visual restoration following initial therapeutic intervention.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1100,
      "source_fields": {
        "Abstract Final Identifier": "POCOR414",
        "Title": "Neurotrophic Keratopathy At A Tertiary Ophthalmic Center",
        "Presenting Author(s)": "Dr Rand Nasser Alazaz",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Rand",
        "Submitter Middle Name": "Nasser",
        "Submitter Last Name": "Alazaz",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the neurotrophic keratitis (NK) profile, management outcomes, and determinants at a tertiary eye hospital in\n\nSaudi Arabia.",
        "Setting": "This study received approval from the Ethics Committee at King Khaled Eye Specialist Hospital and Research Center\n\n(KKESH&RC). Written informed consent was obtained from all participants. Throughout the study, we adhered to the principles\n\noutlined in the Declaration of Helsinki. To protect participants’ privacy, we implemented measures to anonymize their identities.\n\nThis historical cohort study was conducted at KKESH&RC in Riyadh, Saudi Arabia from 2014 to 2024",
        "Methods": "The target population comprised all patients identified through electronic medical records with the (ICD-10) code of H16.239, who\n\npresented and were treated at KKESH&RC during the study period. The classification of NK based on Mackie’s criteria; NK was classified into stages 1–3. Demographic data, NK etiology, and both medical and surgical therapeutic interventions were analyzed. We correlated these outcomes with the etiology, stages, and treatment modalities.",
        "Results": "The cohort had 94 eyes of 80 NK patients in stage 1 (6, 6%), stage 2 (69, 74%), and stage 3 (19, 20%). Herpes zoster (22.5%) was the most common infectious etiology followed by herpes simplex (2.5%). Trigeminal palsy was observed in 24 (30%) eyes. Iatrogenic NK was present in 12 (15%) eyes. Decreased vision (88.1%), redness of the eyes (47.6%), and swollen lids (34.5%) were the main symptoms. The most frequently performed procedures included amniotic membrane transplantation (45.7%), tarsorrhaphy (36.2%), and corneal gluing (17%). At the last follow-up after management, the BCVA was 1.5 logMAR in eyes affected by NK. At presentation (78.2%) and after treatment (38.2%), eyes with NK had severe visual impairment.",
        "Conclusions": "The management of NK presents significant challenges but offers potential rewards, as it facilitates ocular preservation\n\nand may enable visual restoration following initial therapeutic intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POCOR415",
      "abstract_number": "POCOR415",
      "title": "Keratomalacia Secondary To Hypovitaminosis A Following Gastrectomy In A Middle-Aged Man",
      "authors": "Dr Turki ABDULLAH Alghamdi",
      "presenter": "Dr Turki ABDULLAH Alghamdi",
      "normalized_authors": [
        "Turki ABDULLAH Alghamdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Turki ABDULLAH Alghamdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report a rare case of bilateral xerophthalimia and left eye keratomalacia, proven by AS-OCT, in a 49-year-old male smoker who underwent a gastrectomy five years prior to his visual complaint. This case underscores the significance of nutritional vigilance in patients who have undergone post-gastrointestinal surgery & emphasizes the importance of long-term nutritional monitoring and supplementation to prevent irreversible corneal complications caused by hypovitaminosis A.",
        "Setting": "The patient was evaluated and treated at a tertiary referral hospital with multidisciplinary facilities, where subspecialty of ophthalmic services and laboratory investigations were available.",
        "Methods": "Observational case report conducted at a tertiary hospital. Clinical evaluation included history & ophthalmic examination\n\n• Best-corrected visual acuity showed 6/6 in the right eye and 6/9 in the left eye\n\n• Normal intraocular pressure\n\n• Slit-lamp showed bilateral conjunctival Bitot's spots\n\n• Normal right cornea, left corneal stromal thinning with overlying epithelial faint opacities\n\nLaboratory investigations including serum vitamin A level were requested.\n\nAnterior segment optical coherent tomography showed normal right cornea, left : showed area of corneal stromal thinning with overlying epithelial hyperplasia\n\npatient has regular follow up to monitor the progression of his condition with serial anterior segment photos, AS-OCT & clinical examination",
        "Results": "The diagnosis of keratomalacia left eye secondary to hypovitaminosis A was made based on clinical findings supported by AS-OCT & low vitamin A serum level.\n\nLaboratory tests confirmed a diagnosis of severe hypovitaminosis A, indicated by significantly low serum vitamin A levels.\n\nAfter the commencement of high-dose systemic vitamin A supplementation and rigorous ocular surface therapy, the right eye displayed clinical improvement, with stabilization of the ocular surface. Conversely, the left eye revealed arc-like stromal thinning accompanied by epithelial hyperplasia, indicative of a remodeling process with stable condition and good vision.",
        "Conclusions": "Keratomalacia remains a preventable but devastating complication of vitamin A deficiency. Adults with a history of gastrectomy should be closely monitored for nutritional deficiencies, and supplementation should be reinforced. Early ophthalmic referral is essential to preserve vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratomalacia remains a preventable but devastating complication of vitamin A deficiency. Adults with a history of gastrectomy should be closely monitored for nutritional deficiencies, and supplementation should be reinforced. Early ophthalmic referral is essential to preserve vision.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1101,
      "source_fields": {
        "Abstract Final Identifier": "POCOR415",
        "Title": "Keratomalacia Secondary To Hypovitaminosis A Following Gastrectomy In A Middle-Aged Man",
        "Presenting Author(s)": "Dr Turki ABDULLAH Alghamdi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Turki",
        "Submitter Middle Name": "ABDULLAH",
        "Submitter Last Name": "Alghamdi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report a rare case of bilateral xerophthalimia and left eye keratomalacia, proven by AS-OCT, in a 49-year-old male smoker who underwent a gastrectomy five years prior to his visual complaint. This case underscores the significance of nutritional vigilance in patients who have undergone post-gastrointestinal surgery & emphasizes the importance of long-term nutritional monitoring and supplementation to prevent irreversible corneal complications caused by hypovitaminosis A.",
        "Setting": "The patient was evaluated and treated at a tertiary referral hospital with multidisciplinary facilities, where subspecialty of ophthalmic services and laboratory investigations were available.",
        "Methods": "Observational case report conducted at a tertiary hospital. Clinical evaluation included history & ophthalmic examination\n\n• Best-corrected visual acuity showed 6/6 in the right eye and 6/9 in the left eye\n\n• Normal intraocular pressure\n\n• Slit-lamp showed bilateral conjunctival Bitot's spots\n\n• Normal right cornea, left corneal stromal thinning with overlying epithelial faint opacities\n\nLaboratory investigations including serum vitamin A level were requested.\n\nAnterior segment optical coherent tomography showed normal right cornea, left : showed area of corneal stromal thinning with overlying epithelial hyperplasia\n\npatient has regular follow up to monitor the progression of his condition with serial anterior segment photos, AS-OCT & clinical examination",
        "Results": "The diagnosis of keratomalacia left eye secondary to hypovitaminosis A was made based on clinical findings supported by AS-OCT & low vitamin A serum level.\n\nLaboratory tests confirmed a diagnosis of severe hypovitaminosis A, indicated by significantly low serum vitamin A levels.\n\nAfter the commencement of high-dose systemic vitamin A supplementation and rigorous ocular surface therapy, the right eye displayed clinical improvement, with stabilization of the ocular surface. Conversely, the left eye revealed arc-like stromal thinning accompanied by epithelial hyperplasia, indicative of a remodeling process with stable condition and good vision.",
        "Conclusions": "Keratomalacia remains a preventable but devastating complication of vitamin A deficiency. Adults with a history of gastrectomy should be closely monitored for nutritional deficiencies, and supplementation should be reinforced. Early ophthalmic referral is essential to preserve vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCOR416",
      "abstract_number": "POCOR416",
      "title": "Therapeutic Potential Of Autologous Serum Versus Platelets Rich Plasm Eye Drops In The Treatment Of Dry Eye Diseases",
      "authors": "A/Prof. Warda Ali",
      "presenter": "A/Prof. Warda Ali",
      "normalized_authors": [
        "Warda Ali"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Warda Ali",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To compare the efficacy and safety of Platelet-Rich Plasma (PRP) and Autologous Serum (AS) eye drops in improving clinical signs, tear film parameters, and symptom severity in patients with Dry Eye Disease.",
        "Setting": "This study was conducted at the Department of Cornea and Refractive Surgery, Alshifa Trust Eye Hospital. Rawalpindi",
        "Methods": "This prospective comparative interventional study was conducted over a period of 2 years.\n\nA total of 40 patients were included, with n = 20 receiving PRP and n = 20 receiving AS. Mean age was 26.55 years (SE 3.47) in the PRP group and 26.11 years (SE 3.63) in the AS group, with no significant difference between groups (Mann–Whitney U test, p = 0.921). The proportion of female participants was similar (Fisher’s exact test, p = 1.00), indicating comparable demographic characteristics between the two groups.",
        "Results": "Baseline demographic characteristics were comparable between groups (mean age: 26.55 ± 3.47 years PRP vs 26.11 ± 3.63 years AS; p = 0.921; gender distribution p = 1.00).\n\nAt 6 months, both groups demonstrated significant improvement from baseline in Schirmer test, TBUT, corneal and conjunctival staining, and OSDI scores (all p < 0.0001). Ocular surface signs—including bulbar hyperemia, fluorescein staining, inferior tarsal conjunctival injection, and ocular redness—also improved significantly within both groups (p ≤ 0.002). Between-group comparisons at 6 months revealed no significant differences in clinical or symptomatic outcomes (p > 0.05).",
        "Conclusions": "Both PRP and Autologous Serum demonstrated significant improvement in clinical signs and symptom scores in Dry Eye Disease. The magnitude of improvement was comparable between groups, suggesting similar therapeutic efficacy. These findings support the use of both modalities as effective regenerative treatment options for moderate to severe Dry Eye Disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both PRP and Autologous Serum demonstrated significant improvement in clinical signs and symptom scores in Dry Eye Disease. The magnitude of improvement was comparable between groups, suggesting similar therapeutic efficacy. These findings support the use of both modalities as effective regenerative treatment options for moderate to severe Dry Eye Disease.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1102,
      "source_fields": {
        "Abstract Final Identifier": "POCOR416",
        "Title": "Therapeutic Potential Of Autologous Serum Versus Platelets Rich Plasm Eye Drops In The Treatment Of Dry Eye Diseases",
        "Presenting Author(s)": "A/Prof. Warda Ali",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Warda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ali",
        "Country Name": "Pakistan",
        "Purpose": "To compare the efficacy and safety of Platelet-Rich Plasma (PRP) and Autologous Serum (AS) eye drops in improving clinical signs, tear film parameters, and symptom severity in patients with Dry Eye Disease.",
        "Setting": "This study was conducted at the Department of Cornea and Refractive Surgery, Alshifa Trust Eye Hospital. Rawalpindi",
        "Methods": "This prospective comparative interventional study was conducted over a period of 2 years.\n\nA total of 40 patients were included, with n = 20 receiving PRP and n = 20 receiving AS. Mean age was 26.55 years (SE 3.47) in the PRP group and 26.11 years (SE 3.63) in the AS group, with no significant difference between groups (Mann–Whitney U test, p = 0.921). The proportion of female participants was similar (Fisher’s exact test, p = 1.00), indicating comparable demographic characteristics between the two groups.",
        "Results": "Baseline demographic characteristics were comparable between groups (mean age: 26.55 ± 3.47 years PRP vs 26.11 ± 3.63 years AS; p = 0.921; gender distribution p = 1.00).\n\nAt 6 months, both groups demonstrated significant improvement from baseline in Schirmer test, TBUT, corneal and conjunctival staining, and OSDI scores (all p < 0.0001). Ocular surface signs—including bulbar hyperemia, fluorescein staining, inferior tarsal conjunctival injection, and ocular redness—also improved significantly within both groups (p ≤ 0.002). Between-group comparisons at 6 months revealed no significant differences in clinical or symptomatic outcomes (p > 0.05).",
        "Conclusions": "Both PRP and Autologous Serum demonstrated significant improvement in clinical signs and symptom scores in Dry Eye Disease. The magnitude of improvement was comparable between groups, suggesting similar therapeutic efficacy. These findings support the use of both modalities as effective regenerative treatment options for moderate to severe Dry Eye Disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POCOR417",
      "abstract_number": "POCOR417",
      "title": "Spontaneous Indirect Carotid–Cavernous Fistula In An Elderly Woman: Diagnostic Challenges And Endovascular Management",
      "authors": "Dr Hazem Aloui",
      "presenter": "Dr Hazem Aloui",
      "normalized_authors": [
        "Hazem Aloui"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Aloui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "To report a rare case of spontaneous indirect carotid–cavernous fistula in an elderly woman, highlighting diagnostic challenges and the effectiveness of transvenous endovascular management.",
        "Setting": "Department of Ophthalmology in collaboration with Interventional Neuroradiology, tertiary referral center.",
        "Methods": "Observational case report of a 77-year-old woman presenting with painful unilateral red eye and severe headaches. Complete ophthalmological examination was performed, including visual acuity assessment, ocular motility evaluation, slit-lamp examination, intraocular pressure measurement, and fundus examination. Brain MRI with angiographic sequences was conducted, followed by digital subtraction angiography (DSA) for definitive diagnosis. The patient underwent transvenous endovascular embolization using detachable coils.",
        "Results": "Clinical examination revealed severe visual acuity reduction (<1/10), ptosis, sixth cranial nerve palsy, episcleral vessel dilation, and a poorly reactive mid-dilated pupil. MRI demonstrated cavernous sinus enlargement with arterialization and dilation of the superior ophthalmic vein. DSA confirmed a low-flow dural carotid–cavernous fistula supplied by meningeal branches of the internal carotid artery. Transvenous embolization was successfully performed. Postoperative evolution was favorable, with resolution of ocular congestion and progressive recovery of ocular motility. Visual acuity improved to 5/10 at three months, with no recurrence at six months.",
        "Conclusions": "Spontaneous indirect carotid–cavernous fistula should be suspected in elderly patients presenting with atypical red eye and cranial nerve palsy. Early recognition and confirmation by digital subtraction angiography are essential to avoid delayed diagnosis. Transvenous endovascular embolization is a safe and effective treatment, leading to favorable anatomical and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Spontaneous indirect carotid–cavernous fistula should be suspected in elderly patients presenting with atypical red eye and cranial nerve palsy. Early recognition and confirmation by digital subtraction angiography are essential to avoid delayed diagnosis. Transvenous endovascular embolization is a safe and effective treatment, leading to favorable anatomical and functional outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1103,
      "source_fields": {
        "Abstract Final Identifier": "POCOR417",
        "Title": "Spontaneous Indirect Carotid–Cavernous Fistula In An Elderly Woman: Diagnostic Challenges And Endovascular Management",
        "Presenting Author(s)": "Dr Hazem Aloui",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aloui",
        "Country Name": "Tunisia",
        "Purpose": "To report a rare case of spontaneous indirect carotid–cavernous fistula in an elderly woman, highlighting diagnostic challenges and the effectiveness of transvenous endovascular management.",
        "Setting": "Department of Ophthalmology in collaboration with Interventional Neuroradiology, tertiary referral center.",
        "Methods": "Observational case report of a 77-year-old woman presenting with painful unilateral red eye and severe headaches. Complete ophthalmological examination was performed, including visual acuity assessment, ocular motility evaluation, slit-lamp examination, intraocular pressure measurement, and fundus examination. Brain MRI with angiographic sequences was conducted, followed by digital subtraction angiography (DSA) for definitive diagnosis. The patient underwent transvenous endovascular embolization using detachable coils.",
        "Results": "Clinical examination revealed severe visual acuity reduction (<1/10), ptosis, sixth cranial nerve palsy, episcleral vessel dilation, and a poorly reactive mid-dilated pupil. MRI demonstrated cavernous sinus enlargement with arterialization and dilation of the superior ophthalmic vein. DSA confirmed a low-flow dural carotid–cavernous fistula supplied by meningeal branches of the internal carotid artery. Transvenous embolization was successfully performed. Postoperative evolution was favorable, with resolution of ocular congestion and progressive recovery of ocular motility. Visual acuity improved to 5/10 at three months, with no recurrence at six months.",
        "Conclusions": "Spontaneous indirect carotid–cavernous fistula should be suspected in elderly patients presenting with atypical red eye and cranial nerve palsy. Early recognition and confirmation by digital subtraction angiography are essential to avoid delayed diagnosis. Transvenous endovascular embolization is a safe and effective treatment, leading to favorable anatomical and functional outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCOR418",
      "abstract_number": "POCOR418",
      "title": "Clinical Outcomes And Eye Care Practitioner Satisfaction With Artelac Dry Eye Lubricating Drops In Patients With Dry Eye Disease: A Retrospective Real-World Evidence Study",
      "authors": "Dr Wassim Altroudi",
      "presenter": "Dr Wassim Altroudi",
      "normalized_authors": [
        "Wassim Altroudi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wassim Altroudi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "Ocular lubricants are a common first-line treatment option for the management of dry eye disease (DED). Artelac (AT) is a range of preservative-free, multiple-action eye drops for use in patients with DED; Artelac Complete (AC) is a tear substitute (0.24% sodium hyaluronate, carbomer, glycerin, a lipid component [medium-chain triglycerides], sodium hydroxide, and water for injection) that alleviates the symptoms of DED by supporting the tear film. However, evidence for the use of AT in real-world clinical practice is limited. This study aimed to explore real-world patient characteristics, utilisation patterns, and clinical outcomes with AT, including AC, in patients with DED.",
        "Setting": "This retrospective, multi-country, cross-sectional case review and survey study included eye care practitioners (ECPs) from Dubai, France, Germany, Greece, Italy, Poland, Spain, Turkey, and the USA.",
        "Methods": "ECPs were required to have ≥3 years’ experience treating patients with DED and ≥1 years’ experience with the study drops. ECPs provided a deidentified, retrospective convenience sample of ≥5 cases using a standardised case report form and completed a user experience survey documenting clinical practice characteristics, lubricating eye drop utilisation patterns in DED, real-world clinical outcomes, and ECP satisfaction with the study drops. This sub-analysis focuses on ECP cross-sectional survey outcomes for AT and cases with AC. The study received institutional review board exemption.",
        "Results": "This interim analysis included 59 patients (65 eyes) with AC use from 6 ECPs. Mean±standard error (SE) patient age was 50.4±2.4 years; 68% were female. At a mean±SE follow-up of 9.6±1.2 weeks, mean±SE improvements from baseline in tear film break-up time and Schirmer test score were 5.0±0.4 s (n=63 eyes) and 2.8±0.6 mm (n=56 eyes), respectively. No tolerability or safety concerns were reported. Twelve ECPs completed the survey; most recommended AT for all DED severities (83% [10/12]), perioperative use (preoperative, 100% [12/12]; postoperative, 92% [11/12]), and for contact lens-related DED (induced, 83% [10/12]; exacerbated, 75% [9/12]). All ECPs rated overall satisfaction with AT ≥7/10 (scale: 0 [very dissatisfied], 10 [very satisfied]).",
        "Conclusions": "In this real-world retrospective case review and survey study, AC was observed to be clinically effective in patients with DED, with no tolerability or safety concerns, and ECPs were highly satisfied with the wider AT range of dry eye lubricating drops."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world retrospective case review and survey study, AC was observed to be clinically effective in patients with DED, with no tolerability or safety concerns, and ECPs were highly satisfied with the wider AT range of dry eye lubricating drops.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1104,
      "source_fields": {
        "Abstract Final Identifier": "POCOR418",
        "Title": "Clinical Outcomes And Eye Care Practitioner Satisfaction With Artelac Dry Eye Lubricating Drops In Patients With Dry Eye Disease: A Retrospective Real-World Evidence Study",
        "Presenting Author(s)": "Dr Wassim Altroudi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Wassim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Altroudi",
        "Country Name": "United Arab Emirates",
        "Purpose": "Ocular lubricants are a common first-line treatment option for the management of dry eye disease (DED). Artelac (AT) is a range of preservative-free, multiple-action eye drops for use in patients with DED; Artelac Complete (AC) is a tear substitute (0.24% sodium hyaluronate, carbomer, glycerin, a lipid component [medium-chain triglycerides], sodium hydroxide, and water for injection) that alleviates the symptoms of DED by supporting the tear film. However, evidence for the use of AT in real-world clinical practice is limited. This study aimed to explore real-world patient characteristics, utilisation patterns, and clinical outcomes with AT, including AC, in patients with DED.",
        "Setting": "This retrospective, multi-country, cross-sectional case review and survey study included eye care practitioners (ECPs) from Dubai, France, Germany, Greece, Italy, Poland, Spain, Turkey, and the USA.",
        "Methods": "ECPs were required to have ≥3 years’ experience treating patients with DED and ≥1 years’ experience with the study drops. ECPs provided a deidentified, retrospective convenience sample of ≥5 cases using a standardised case report form and completed a user experience survey documenting clinical practice characteristics, lubricating eye drop utilisation patterns in DED, real-world clinical outcomes, and ECP satisfaction with the study drops. This sub-analysis focuses on ECP cross-sectional survey outcomes for AT and cases with AC. The study received institutional review board exemption.",
        "Results": "This interim analysis included 59 patients (65 eyes) with AC use from 6 ECPs. Mean±standard error (SE) patient age was 50.4±2.4 years; 68% were female. At a mean±SE follow-up of 9.6±1.2 weeks, mean±SE improvements from baseline in tear film break-up time and Schirmer test score were 5.0±0.4 s (n=63 eyes) and 2.8±0.6 mm (n=56 eyes), respectively. No tolerability or safety concerns were reported. Twelve ECPs completed the survey; most recommended AT for all DED severities (83% [10/12]), perioperative use (preoperative, 100% [12/12]; postoperative, 92% [11/12]), and for contact lens-related DED (induced, 83% [10/12]; exacerbated, 75% [9/12]). All ECPs rated overall satisfaction with AT ≥7/10 (scale: 0 [very dissatisfied], 10 [very satisfied]).",
        "Conclusions": "In this real-world retrospective case review and survey study, AC was observed to be clinically effective in patients with DED, with no tolerability or safety concerns, and ECPs were highly satisfied with the wider AT range of dry eye lubricating drops."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "POCOR419",
      "abstract_number": "POCOR419",
      "title": "Ocular Surface Squamous Neoplasia Emerging During Autologous Serum Therapy: A Potential Role Of Growth Factors",
      "authors": "Dr Rogelio Ribes Escudero",
      "presenter": "Dr Rogelio Ribes Escudero",
      "normalized_authors": [
        "Rogelio Ribes Escudero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Alvarez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To describe the clinical course of ocular surface squamous neoplasia (OSSN) diagnosed after initiation of autologous serum therapy in a patient with severe Sjögren-related dry eye, and to emphasize the need for careful ocular surface evaluation prior to biologic tear substitutes.",
        "Setting": "Tertiary referral center specializing in cornea and ocular surface disease.",
        "Methods": "Case report of a 76-year-old female with severe Sjögren-associated dry eye presenting with patchy keratitis and significant epithelial instability. Autologous serum eye drops were initiated for symptomatic relief. After six weeks of treatment, the patient reported worsening foreign body sensation and decreased visual acuity. Slit-lamp examination revealed conjunctival overgrowth with irregular epithelium extending from the nasal limbus toward the central cornea. In vivo confocal microscopy suggested epithelial dysplasia. Autologous serum was discontinued and topical interferon alpha-2b was initiated, followed by mitomycin C due to lack of response. Given progressive disease, anterior lamellar keratectomy with tumor excision was performed.",
        "Results": "Histopathology demonstrated a 0.6 × 0.3 cm lesion with severe epithelial dysplasia involving approximately 75% of the epithelial thickness, consistent with conjunctival intraepithelial neoplasia. Initial surgical control was achieved and visual acuity improved to 20/60. However, the patient subsequently developed clinical limbal stem cell deficiency. Six months later, a persistent epithelial defect progressed to bacterial keratitis with hypopyon, ultimately requiring conjunctival flap coverage. Final visual acuity was limited to hand motion.",
        "Conclusions": "In eyes with severe Sjögren-related ocular surface disease, growth factor–rich biologic tear substitutes may unmask or accelerate the clinical expression of pre-existing epithelial dysplasia. Careful baseline and follow-up limbal assessment is essential to prevent delayed recognition of potentially aggressive neoplasia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with severe Sjögren-related ocular surface disease, growth factor–rich biologic tear substitutes may unmask or accelerate the clinical expression of pre-existing epithelial dysplasia. Careful baseline and follow-up limbal assessment is essential to prevent delayed recognition of potentially aggressive neoplasia.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1105,
      "source_fields": {
        "Abstract Final Identifier": "POCOR419",
        "Title": "Ocular Surface Squamous Neoplasia Emerging During Autologous Serum Therapy: A Potential Role Of Growth Factors",
        "Presenting Author(s)": "Dr Rogelio Ribes Escudero",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alvarez",
        "Country Name": "Argentina",
        "Purpose": "To describe the clinical course of ocular surface squamous neoplasia (OSSN) diagnosed after initiation of autologous serum therapy in a patient with severe Sjögren-related dry eye, and to emphasize the need for careful ocular surface evaluation prior to biologic tear substitutes.",
        "Setting": "Tertiary referral center specializing in cornea and ocular surface disease.",
        "Methods": "Case report of a 76-year-old female with severe Sjögren-associated dry eye presenting with patchy keratitis and significant epithelial instability. Autologous serum eye drops were initiated for symptomatic relief. After six weeks of treatment, the patient reported worsening foreign body sensation and decreased visual acuity. Slit-lamp examination revealed conjunctival overgrowth with irregular epithelium extending from the nasal limbus toward the central cornea. In vivo confocal microscopy suggested epithelial dysplasia. Autologous serum was discontinued and topical interferon alpha-2b was initiated, followed by mitomycin C due to lack of response. Given progressive disease, anterior lamellar keratectomy with tumor excision was performed.",
        "Results": "Histopathology demonstrated a 0.6 × 0.3 cm lesion with severe epithelial dysplasia involving approximately 75% of the epithelial thickness, consistent with conjunctival intraepithelial neoplasia. Initial surgical control was achieved and visual acuity improved to 20/60. However, the patient subsequently developed clinical limbal stem cell deficiency. Six months later, a persistent epithelial defect progressed to bacterial keratitis with hypopyon, ultimately requiring conjunctival flap coverage. Final visual acuity was limited to hand motion.",
        "Conclusions": "In eyes with severe Sjögren-related ocular surface disease, growth factor–rich biologic tear substitutes may unmask or accelerate the clinical expression of pre-existing epithelial dysplasia. Careful baseline and follow-up limbal assessment is essential to prevent delayed recognition of potentially aggressive neoplasia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "POCOR420",
      "abstract_number": "POCOR420",
      "title": "Bilateral Corneal Perforation As A Manifestation Of Severe Vitamin B12 Deficiency In An Adolescent With Extreme Dietary Restriction",
      "authors": "Dr Valentina Rodriguez Martini",
      "presenter": "Dr Valentina Rodriguez Martini",
      "normalized_authors": [
        "Valentina Rodriguez Martini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Alvarez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report a rare case of bilateral corneal perforation associated with severe vitamin B12 deficiency in a 15-year-old adolescent with autism spectrum disorder and long-standing extreme selective eating behavior.",
        "Setting": "Single-center multidisciplinary evaluation at Hospital Alemán, Buenos Aires, Argentina, involving cornea, neuro-ophthalmology, pediatrics, and nutrition specialists.",
        "Methods": "Case report of a 15-year-old male presenting with bilateral corneal perforation secondary to corneal abscess. The patient had a history of severe dietary restriction limited to processed chicken products since early childhood. Urgent bilateral penetrating keratoplasty was performed. A multidisciplinary evaluation included neuro-ophthalmologic assessment, brain magnetic resonance imaging, electrophysiology, and laboratory testing.",
        "Results": "Although anatomical integrity was restored after surgery, visual acuity did not improve beyond light perception. Fundus examination revealed bilateral optic disc pallor. Brain imaging was unremarkable. Electrophysiologic studies showed reduced amplitudes and prolonged latencies. Laboratory testing confirmed severe vitamin B12 deficiency (38 pg/mL; normal range 160–950 pg/mL), consistent with nutritional optic neuropathy. Despite supplementation, optic nerve damage was irreversible.",
        "Conclusions": "Although surgical intervention restored ocular integrity, delayed diagnosis of vitamin B12 deficiency resulted in irreversible optic nerve damage. Early systemic evaluation is essential in similar presentations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although surgical intervention restored ocular integrity, delayed diagnosis of vitamin B12 deficiency resulted in irreversible optic nerve damage. Early systemic evaluation is essential in similar presentations.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1106,
      "source_fields": {
        "Abstract Final Identifier": "POCOR420",
        "Title": "Bilateral Corneal Perforation As A Manifestation Of Severe Vitamin B12 Deficiency In An Adolescent With Extreme Dietary Restriction",
        "Presenting Author(s)": "Dr Valentina Rodriguez Martini",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alvarez",
        "Country Name": "Argentina",
        "Purpose": "To report a rare case of bilateral corneal perforation associated with severe vitamin B12 deficiency in a 15-year-old adolescent with autism spectrum disorder and long-standing extreme selective eating behavior.",
        "Setting": "Single-center multidisciplinary evaluation at Hospital Alemán, Buenos Aires, Argentina, involving cornea, neuro-ophthalmology, pediatrics, and nutrition specialists.",
        "Methods": "Case report of a 15-year-old male presenting with bilateral corneal perforation secondary to corneal abscess. The patient had a history of severe dietary restriction limited to processed chicken products since early childhood. Urgent bilateral penetrating keratoplasty was performed. A multidisciplinary evaluation included neuro-ophthalmologic assessment, brain magnetic resonance imaging, electrophysiology, and laboratory testing.",
        "Results": "Although anatomical integrity was restored after surgery, visual acuity did not improve beyond light perception. Fundus examination revealed bilateral optic disc pallor. Brain imaging was unremarkable. Electrophysiologic studies showed reduced amplitudes and prolonged latencies. Laboratory testing confirmed severe vitamin B12 deficiency (38 pg/mL; normal range 160–950 pg/mL), consistent with nutritional optic neuropathy. Despite supplementation, optic nerve damage was irreversible.",
        "Conclusions": "Although surgical intervention restored ocular integrity, delayed diagnosis of vitamin B12 deficiency resulted in irreversible optic nerve damage. Early systemic evaluation is essential in similar presentations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 185
    },
    {
      "uid": "POCOR421",
      "abstract_number": "POCOR421",
      "title": "A Comparison Between The Ocular Surface Of Different Concentrations Of Benzalkonium Chloride Preservative In Postoperative Topical Medications After Cataract Surgery",
      "authors": "Dr Amnah Amin",
      "presenter": "Dr Amnah Amin",
      "normalized_authors": [
        "Amnah Amin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amnah Amin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To compare the effect of different concentrations of Benzalkonium Chloride in topical medications used post cataract surgery on the ocular surface",
        "Setting": "Prospective Randomized clinical trial\n\n60 eyes of 60 cataract patients who have a healthy ocular surface presenting to Kasr Al Ainy Hospital (Cairo University).",
        "Methods": "60 eyes of 60 cataract patients who have a healthy ocular surface preoperatively. After phacoemulsification, patients were randomized into three groups. 20 eyes received regular Tobradex 0.1mg/ml BAK, 20 eyes received Dexathalm multidose 0.05mg/ml BAK and 20 eyes received single-dose unit Dexathalm without BAK. All medications were given five times per day. Non-invasive tear break-up time (TBUT), tear meniscus height, meibomian gland loss, and ocular surface disease index (OSDI) were assessed preoperatively and 4 weeks after surgery.",
        "Results": "The dexathalm single dose group showed better ocular surface parameters compared to the dexathalm multidose and the tobradex groups. It had the longest NIBUT (15.39 ±4.04 vs 14.80±4.23 vs 12.68±5.60 P=0.166), the highest tear meniscus height (0.24±0.05 vs 0.22±0.04 vs 0.18± 0.04, P=0.001), and showed no loss in the MG",
        "Conclusions": "The incidence of dry eye post cataract surgery is influenced by the concentration of BAK preservatives in the medications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The incidence of dry eye post cataract surgery is influenced by the concentration of BAK preservatives in the medications.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1107,
      "source_fields": {
        "Abstract Final Identifier": "POCOR421",
        "Title": "A Comparison Between The Ocular Surface Of Different Concentrations Of Benzalkonium Chloride Preservative In Postoperative Topical Medications After Cataract Surgery",
        "Presenting Author(s)": "Dr Amnah Amin",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Amnah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Amin",
        "Country Name": "Egypt",
        "Purpose": "To compare the effect of different concentrations of Benzalkonium Chloride in topical medications used post cataract surgery on the ocular surface",
        "Setting": "Prospective Randomized clinical trial\n\n60 eyes of 60 cataract patients who have a healthy ocular surface presenting to Kasr Al Ainy Hospital (Cairo University).",
        "Methods": "60 eyes of 60 cataract patients who have a healthy ocular surface preoperatively. After phacoemulsification, patients were randomized into three groups. 20 eyes received regular Tobradex 0.1mg/ml BAK, 20 eyes received Dexathalm multidose 0.05mg/ml BAK and 20 eyes received single-dose unit Dexathalm without BAK. All medications were given five times per day. Non-invasive tear break-up time (TBUT), tear meniscus height, meibomian gland loss, and ocular surface disease index (OSDI) were assessed preoperatively and 4 weeks after surgery.",
        "Results": "The dexathalm single dose group showed better ocular surface parameters compared to the dexathalm multidose and the tobradex groups. It had the longest NIBUT (15.39 ±4.04 vs 14.80±4.23 vs 12.68±5.60 P=0.166), the highest tear meniscus height (0.24±0.05 vs 0.22±0.04 vs 0.18± 0.04, P=0.001), and showed no loss in the MG",
        "Conclusions": "The incidence of dry eye post cataract surgery is influenced by the concentration of BAK preservatives in the medications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POCOR422",
      "abstract_number": "POCOR422",
      "title": "Atypical Tectonic Lamellar Keratoplasty In A Corneal Perforation Due To Severe Dry Eye Disease",
      "authors": "Claudia Andino",
      "presenter": "Claudia Andino",
      "normalized_authors": [
        "Claudia Andino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudia Andino",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the management of a corneal perforation over a large ulcerated corneal bed due to severe dry eye disease performing an atypical tectonic lamellar keratoplasty.",
        "Setting": "Referral tertiary care Centre in Ophthalmology, Ocular Surface and Cornea Department, Centro de Oftalmología Barraquer, Barcelona.",
        "Methods": "A 59-year-old patient diagnosed with severe dry eye disease underwent regular check-ups at our centre. His best corrected visual acuity (BCVA) was 0.85 in the right eye (RE) and 0.75 in the left eye (LE).\n\nAt a follow-up visit, a corneal ulcer was noted with considerable stromal thinning without infiltrates in the LE, covering the lower third of the cornea. It was decided to perform daily treatment with tobramycin ointment, 1 drop of prednisone and pressure eye patch.\n\nThe condition progressed to corneal perforation with iris incarceration and athalamia. Cyanocrylate tissue adhesive was applied. However, the perforation failed to seal and a tectonic lamellar keratoplasty covering the entire horseshoe-shaped ulcerated bed was performed.",
        "Results": "During surgery, realizing that the sutures of the upper edge of the graft would invade the pupillary axis, it was decided to extend the graft so that it covered the pupillary area, turning it into an almond-shaped tectonic corneal graft.\n\nOne year after the procedure, the patient underwent scheduled cataract removal surgery with IOL implantation in the same eye.\n\nThe patient currently undergoes regular annual check-ups. His BCVA is 1.0 in the RE and 0.25 in the LE. He continues treatment in both eyes with artificial tears, 20% autologous serum, lubricating ophthalmic gel, N-acetylcysteine 4 times a day, 0.05% Cyclosporine A twice daily, and pilocarpine (5 mg) orally twice daily.",
        "Conclusions": "In conclusion, tectonic lamellar keratoplasty is a good therapeutic option in patients with corneal perforation who present extensive perilesional stromal thinning that prevents other techniques such as small-diameter eccentric penetrating keratoplasty. The lamellar technique provides a lower incidence of graft rejection thanks to the preservation of the patient's endothelium. Finally, it should be noted that morphological variants of keratoplasty, such as the almond shape in this case, allow us to adapt the graft to the anatomical conditions of the cornea in order to achieve the best structural and visual outcome for each patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, tectonic lamellar keratoplasty is a good therapeutic option in patients with corneal perforation who present extensive perilesional stromal thinning that prevents other techniques such as small-diameter eccentric penetrating keratoplasty. The lamellar technique provides a lower incidence of graft rejection thanks to the preservation of the patient's endothelium. Finally, it should be noted that…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1108,
      "source_fields": {
        "Abstract Final Identifier": "POCOR422",
        "Title": "Atypical Tectonic Lamellar Keratoplasty In A Corneal Perforation Due To Severe Dry Eye Disease",
        "Presenting Author(s)": "Claudia Andino",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Claudia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Andino",
        "Country Name": "Spain",
        "Purpose": "To describe the management of a corneal perforation over a large ulcerated corneal bed due to severe dry eye disease performing an atypical tectonic lamellar keratoplasty.",
        "Setting": "Referral tertiary care Centre in Ophthalmology, Ocular Surface and Cornea Department, Centro de Oftalmología Barraquer, Barcelona.",
        "Methods": "A 59-year-old patient diagnosed with severe dry eye disease underwent regular check-ups at our centre. His best corrected visual acuity (BCVA) was 0.85 in the right eye (RE) and 0.75 in the left eye (LE).\n\nAt a follow-up visit, a corneal ulcer was noted with considerable stromal thinning without infiltrates in the LE, covering the lower third of the cornea. It was decided to perform daily treatment with tobramycin ointment, 1 drop of prednisone and pressure eye patch.\n\nThe condition progressed to corneal perforation with iris incarceration and athalamia. Cyanocrylate tissue adhesive was applied. However, the perforation failed to seal and a tectonic lamellar keratoplasty covering the entire horseshoe-shaped ulcerated bed was performed.",
        "Results": "During surgery, realizing that the sutures of the upper edge of the graft would invade the pupillary axis, it was decided to extend the graft so that it covered the pupillary area, turning it into an almond-shaped tectonic corneal graft.\n\nOne year after the procedure, the patient underwent scheduled cataract removal surgery with IOL implantation in the same eye.\n\nThe patient currently undergoes regular annual check-ups. His BCVA is 1.0 in the RE and 0.25 in the LE. He continues treatment in both eyes with artificial tears, 20% autologous serum, lubricating ophthalmic gel, N-acetylcysteine 4 times a day, 0.05% Cyclosporine A twice daily, and pilocarpine (5 mg) orally twice daily.",
        "Conclusions": "In conclusion, tectonic lamellar keratoplasty is a good therapeutic option in patients with corneal perforation who present extensive perilesional stromal thinning that prevents other techniques such as small-diameter eccentric penetrating keratoplasty. The lamellar technique provides a lower incidence of graft rejection thanks to the preservation of the patient's endothelium. Finally, it should be noted that morphological variants of keratoplasty, such as the almond shape in this case, allow us to adapt the graft to the anatomical conditions of the cornea in order to achieve the best structural and visual outcome for each patient."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POCOR423",
      "abstract_number": "POCOR423",
      "title": "Therapeutic Contact Lenses Versus Tight Bandage Patching For Pain Management After Pterygium Excision: Prospective Randomized Controlled Study",
      "authors": "Dr Nadav Anteby",
      "presenter": "Dr Nadav Anteby",
      "normalized_authors": [
        "Nadav Anteby"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nadav Anteby",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To compare the effectiveness of therapeutic contact lenses (TCL) versus tight bandage patching (TBP) in managing post-operative pain and autograft stability following pterygium excision with conjunctival autografting using fibrin glue.",
        "Setting": "Tel Aviv Sourasky Medical Center (Ichilov) -Tertiary medical center",
        "Methods": "This prospective, randomized, controlled study enrolled 83 eyes undergoing primary pterygium excision with conjunctival autografting using fibrin glue. Patients were randomly assigned to receive either a TCL (n=44) or TBP (n=39) postoperatively. Pain levels were assessed using a 1–10 numeric VAS pain scale at 24 hours and 1 week post-surgery. Analgesic painkiller consumption was recorded during the first post-operative week. The stability of the conjunctival autograft was evaluated at 1-week follow-up, with graft displacement or dehiscence recorded as indicators of failure.",
        "Results": "All grafts remained stable during the first postoperative week, with graft movement observed in 2.4% of TCL eyes and none in the TBP group. Foreign-body sensation occurred in 31.0% of TCL patients versus 50.0% of TBP patients. Evening and night day-1 VAS pain scores were significantly lower in the TCL group (3.05 ± 2.98 and 1.67 ± 2.71) compared with TBP (4.37 ± 3.40 and 3.16 ± 3.64; p = 0.046 and p = 0.041). Sleep interference on day 1 was also reduced with TCL (1.23 ± 2.53 vs 2.29 ± 3.32; p = 0.039). By week 1, pain scores were low and similar between groups (0.75 ± 2.20 vs 0.86 ± 1.88). Analgesic consumption was significantly lower in the TCL group (1.00 ± 0.32 vs 1.36 ± 0.66 times/day; p = 0.041).",
        "Conclusions": "Therapeutic contact lens (TCL) use following pterygium excision with fibrin-glue autografting demonstrated comparable safety, graft stability, and complication rates to tight bandage patching (TBP), while providing improved early postoperative comfort and reduced analgesic use. Complication rates were low in both groups, supporting the safety of either postoperative approach. Overall, TCL use appears to be an effective alternative to TBP for enhancing postoperative comfort without compromising surgical outcomes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Therapeutic contact lens (TCL) use following pterygium excision with fibrin-glue autografting demonstrated comparable safety, graft stability, and complication rates to tight bandage patching (TBP), while providing improved early postoperative comfort and reduced analgesic use. Complication rates were low in both groups, supporting the safety of either postoperative approach. Overall, TCL use appears to be an…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1109,
      "source_fields": {
        "Abstract Final Identifier": "POCOR423",
        "Title": "Therapeutic Contact Lenses Versus Tight Bandage Patching For Pain Management After Pterygium Excision: Prospective Randomized Controlled Study",
        "Presenting Author(s)": "Dr Nadav Anteby",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nadav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Anteby",
        "Country Name": "Israel",
        "Purpose": "To compare the effectiveness of therapeutic contact lenses (TCL) versus tight bandage patching (TBP) in managing post-operative pain and autograft stability following pterygium excision with conjunctival autografting using fibrin glue.",
        "Setting": "Tel Aviv Sourasky Medical Center (Ichilov) -Tertiary medical center",
        "Methods": "This prospective, randomized, controlled study enrolled 83 eyes undergoing primary pterygium excision with conjunctival autografting using fibrin glue. Patients were randomly assigned to receive either a TCL (n=44) or TBP (n=39) postoperatively. Pain levels were assessed using a 1–10 numeric VAS pain scale at 24 hours and 1 week post-surgery. Analgesic painkiller consumption was recorded during the first post-operative week. The stability of the conjunctival autograft was evaluated at 1-week follow-up, with graft displacement or dehiscence recorded as indicators of failure.",
        "Results": "All grafts remained stable during the first postoperative week, with graft movement observed in 2.4% of TCL eyes and none in the TBP group. Foreign-body sensation occurred in 31.0% of TCL patients versus 50.0% of TBP patients. Evening and night day-1 VAS pain scores were significantly lower in the TCL group (3.05 ± 2.98 and 1.67 ± 2.71) compared with TBP (4.37 ± 3.40 and 3.16 ± 3.64; p = 0.046 and p = 0.041). Sleep interference on day 1 was also reduced with TCL (1.23 ± 2.53 vs 2.29 ± 3.32; p = 0.039). By week 1, pain scores were low and similar between groups (0.75 ± 2.20 vs 0.86 ± 1.88). Analgesic consumption was significantly lower in the TCL group (1.00 ± 0.32 vs 1.36 ± 0.66 times/day; p = 0.041).",
        "Conclusions": "Therapeutic contact lens (TCL) use following pterygium excision with fibrin-glue autografting demonstrated comparable safety, graft stability, and complication rates to tight bandage patching (TBP), while providing improved early postoperative comfort and reduced analgesic use. Complication rates were low in both groups, supporting the safety of either postoperative approach. Overall, TCL use appears to be an effective alternative to TBP for enhancing postoperative comfort without compromising surgical outcomes"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "POCOR424",
      "abstract_number": "POCOR424",
      "title": "Non-Contact Esthesiometry As A Potential Independent Biomarker For Monitoring Diabetic Eye Disease Severity",
      "authors": "Dr Luigi Apa",
      "presenter": "Dr Luigi Apa",
      "normalized_authors": [
        "Luigi Apa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luigi Apa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate corneal sensitivity in diabetes mellitus (DM) using a non-contact esthesiometer and its relationship with diabetic retinopathy (DR) severity and systemic glycemic parameters.",
        "Setting": "Retina Clinic and Cornea and Ocular Surface Laboratory, Ophthalmology Unit at Alma Mater Studiorum University of Bologna.",
        "Methods": "In this case-control study, we recruited 60 patients with diabetes mellitus (DM; 120 eyes) and 30 age-matched healthy controls (60 eyes). The diabetic cohort was stratified based on the severity of diabetic retinopathy (DR) into three groups: no DR, non-proliferative DR (NPDR), and proliferative DR (PDR). Systemic glycemic status was documented by recording fasting plasma glucose (FPG) and glycated hemoglobin (HbA1c) levels. To assess corneal sensory function, mean corneal sensitivity thresholds (CST) were determined across five corneal quadrants using the Brill® non-contact esthesiometer (NCE). Multivariate analysis using generalized estimating equations was performed to identify variables associated with higher CST.",
        "Results": "Mean CST was significantly higher in diabetic eyes compared to healthy controls (6.5 ± 1.2 vs. 3.3 ± 1.0 mBar; p < 0.001 ), indicating a substantial reduction in corneal sensory function. A progressive, significant increase in CST was observed as the severity of DR worsened: 5.0 ± 1.4 mBar for no DR, 6.2 ± 1.8 mBar for NPDR, and 9.9 ± 2.5 mBar for PDR ( p < 0.001 ). In the multivariate regression model, DR stage emerged as the sole independent predictor of elevated CST (B = 2.195; 95% CI, 0.123–5.076; p = 0.027 ). Notably, clinical and metabolic factors—including age, sex, disease duration, FPG, and HbA1c—as well as ocular variables such as pseudophakia and prior laser treatment, did not demonstrate significant associations",
        "Conclusions": "Corneal sensitivity exhibited a progressive decline in tandem with advancing DR severity, remaining independent of demographic variables and systemic glycemic fluctuations. The Brill® NCE represents a reliable, non-invasive modality for the early detection of diabetic keratopathy and potentially serves as a stable functional biomarker for neuro-structural ocular involvement in DM."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal sensitivity exhibited a progressive decline in tandem with advancing DR severity, remaining independent of demographic variables and systemic glycemic fluctuations. The Brill® NCE represents a reliable, non-invasive modality for the early detection of diabetic keratopathy and potentially serves as a stable functional biomarker for neuro-structural ocular involvement in DM.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1110,
      "source_fields": {
        "Abstract Final Identifier": "POCOR424",
        "Title": "Non-Contact Esthesiometry As A Potential Independent Biomarker For Monitoring Diabetic Eye Disease Severity",
        "Presenting Author(s)": "Dr Luigi Apa",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Luigi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Apa",
        "Country Name": "Italy",
        "Purpose": "To evaluate corneal sensitivity in diabetes mellitus (DM) using a non-contact esthesiometer and its relationship with diabetic retinopathy (DR) severity and systemic glycemic parameters.",
        "Setting": "Retina Clinic and Cornea and Ocular Surface Laboratory, Ophthalmology Unit at Alma Mater Studiorum University of Bologna.",
        "Methods": "In this case-control study, we recruited 60 patients with diabetes mellitus (DM; 120 eyes) and 30 age-matched healthy controls (60 eyes). The diabetic cohort was stratified based on the severity of diabetic retinopathy (DR) into three groups: no DR, non-proliferative DR (NPDR), and proliferative DR (PDR). Systemic glycemic status was documented by recording fasting plasma glucose (FPG) and glycated hemoglobin (HbA1c) levels. To assess corneal sensory function, mean corneal sensitivity thresholds (CST) were determined across five corneal quadrants using the Brill® non-contact esthesiometer (NCE). Multivariate analysis using generalized estimating equations was performed to identify variables associated with higher CST.",
        "Results": "Mean CST was significantly higher in diabetic eyes compared to healthy controls (6.5 ± 1.2 vs. 3.3 ± 1.0 mBar; p < 0.001 ), indicating a substantial reduction in corneal sensory function. A progressive, significant increase in CST was observed as the severity of DR worsened: 5.0 ± 1.4 mBar for no DR, 6.2 ± 1.8 mBar for NPDR, and 9.9 ± 2.5 mBar for PDR ( p < 0.001 ). In the multivariate regression model, DR stage emerged as the sole independent predictor of elevated CST (B = 2.195; 95% CI, 0.123–5.076; p = 0.027 ). Notably, clinical and metabolic factors—including age, sex, disease duration, FPG, and HbA1c—as well as ocular variables such as pseudophakia and prior laser treatment, did not demonstrate significant associations",
        "Conclusions": "Corneal sensitivity exhibited a progressive decline in tandem with advancing DR severity, remaining independent of demographic variables and systemic glycemic fluctuations. The Brill® NCE represents a reliable, non-invasive modality for the early detection of diabetic keratopathy and potentially serves as a stable functional biomarker for neuro-structural ocular involvement in DM."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POCOR425",
      "abstract_number": "POCOR425",
      "title": "Early-Onset Terrien Marginal Degeneration With Documented Topographic Progression In A 14-Year-Old Pediatric Patient: Multimodal Imaging And Management Considerations.",
      "authors": "Dr Alfonso Beltran Arasa",
      "presenter": "Dr Alfonso Beltran Arasa",
      "normalized_authors": [
        "Alfonso Beltran Arasa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alfonso Beltran Arasa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report a case of early-onset Terrien marginal degeneration (TMD) in a child with documented tomographic progression over a 3-year follow-up period. This report will address the challenges of diagnosing pediatric TMD, differential diagnosis, and treatment strategies based on current ESCRS clinical standards .",
        "Setting": "The case was followed longitudinally at two tertiary referral ophthalmology centers with dedicated corneal units in Spain, providing specialized pediatric and anterior segment care.",
        "Methods": "Observational case report of a pediatric patient with bilateral superior and inferior peripheral corneal opacification. A complete ophthalmologic evaluation was performed, including UDVA/CDVA, slit-lamp biomicroscopy, corneal tomography (Pentacam, Oculus), pachymetry mapping, and AS-OCT follow-up. Systemic and serologic studies were negative for vasculitic or autoimmune disease.\n\nAt presentation, UDVA was 20/25 OD and 20/22 OS. Slit-lamp exam showed bilateral superior and inferior opacities with superficial neovascularization, involving the visual axis in OD. Ferrous lines were noted at both margins. Peripheral stromal thinning was observed in OD (superior and inferior) and OS (superior). Bilateral limbal racial melanosis was present.",
        "Results": "A pediatric male presented with asymptomatic superior peripheral corneal opacification. CDVA improved to 20/20 with refraction. Slit-lamp exam showed intact epithelium, superficial neovascularization, and superior crescent-shaped stromal thinning with lipid at the leading edge.\n\nTomography revealed localized superior steepening with asymmetric astigmatism and normal central thickness; pachymetry confirmed isolated peripheral thinning. AS-OCT demonstrated anterior stromal hyperreflectivity and furrow formation, consistent with TMD.\n\nOver 3 years, serial tomography showed sustained superior keratometric progression. Inflammatory markers, RF, ANA, and ANCA were negative. No clinical signs of FSMK, PUK, or Mooren ulcer were found.",
        "Conclusions": "Terrien marginal degeneration (TMD) in children may show early tomographic progression before visual acuity declines, often as a quiescent, non-inflammatory condition. Multimodal imaging is crucial for diagnosis and follow-up, particularly corneal tomography and AS-OCT, which detects subtle structural changes not clinically evident and supports early monitoring.\n\nGiven the risk of progressive peripheral thinning and secondary ectasia, close longitudinal surveillance is required. This case highlights the need to recognize atypical early-onset TMD and implement structured imaging-based follow-up in pediatric corneal practice. TMD typically affects middle-aged men and is rare in children, warranting heightened clinical suspicion."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Terrien marginal degeneration (TMD) in children may show early tomographic progression before visual acuity declines, often as a quiescent, non-inflammatory condition. Multimodal imaging is crucial for diagnosis and follow-up, particularly corneal tomography and AS-OCT, which detects subtle structural changes not clinically evident and supports early monitoring. Given the risk of progressive peripheral thinning and…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1111,
      "source_fields": {
        "Abstract Final Identifier": "POCOR425",
        "Title": "Early-Onset Terrien Marginal Degeneration With Documented Topographic Progression In A 14-Year-Old Pediatric Patient: Multimodal Imaging And Management Considerations.",
        "Presenting Author(s)": "Dr Alfonso Beltran Arasa",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alfonso",
        "Submitter Middle Name": "Beltran",
        "Submitter Last Name": "Arasa",
        "Country Name": "Spain",
        "Purpose": "To report a case of early-onset Terrien marginal degeneration (TMD) in a child with documented tomographic progression over a 3-year follow-up period. This report will address the challenges of diagnosing pediatric TMD, differential diagnosis, and treatment strategies based on current ESCRS clinical standards .",
        "Setting": "The case was followed longitudinally at two tertiary referral ophthalmology centers with dedicated corneal units in Spain, providing specialized pediatric and anterior segment care.",
        "Methods": "Observational case report of a pediatric patient with bilateral superior and inferior peripheral corneal opacification. A complete ophthalmologic evaluation was performed, including UDVA/CDVA, slit-lamp biomicroscopy, corneal tomography (Pentacam, Oculus), pachymetry mapping, and AS-OCT follow-up. Systemic and serologic studies were negative for vasculitic or autoimmune disease.\n\nAt presentation, UDVA was 20/25 OD and 20/22 OS. Slit-lamp exam showed bilateral superior and inferior opacities with superficial neovascularization, involving the visual axis in OD. Ferrous lines were noted at both margins. Peripheral stromal thinning was observed in OD (superior and inferior) and OS (superior). Bilateral limbal racial melanosis was present.",
        "Results": "A pediatric male presented with asymptomatic superior peripheral corneal opacification. CDVA improved to 20/20 with refraction. Slit-lamp exam showed intact epithelium, superficial neovascularization, and superior crescent-shaped stromal thinning with lipid at the leading edge.\n\nTomography revealed localized superior steepening with asymmetric astigmatism and normal central thickness; pachymetry confirmed isolated peripheral thinning. AS-OCT demonstrated anterior stromal hyperreflectivity and furrow formation, consistent with TMD.\n\nOver 3 years, serial tomography showed sustained superior keratometric progression. Inflammatory markers, RF, ANA, and ANCA were negative. No clinical signs of FSMK, PUK, or Mooren ulcer were found.",
        "Conclusions": "Terrien marginal degeneration (TMD) in children may show early tomographic progression before visual acuity declines, often as a quiescent, non-inflammatory condition. Multimodal imaging is crucial for diagnosis and follow-up, particularly corneal tomography and AS-OCT, which detects subtle structural changes not clinically evident and supports early monitoring.\n\nGiven the risk of progressive peripheral thinning and secondary ectasia, close longitudinal surveillance is required. This case highlights the need to recognize atypical early-onset TMD and implement structured imaging-based follow-up in pediatric corneal practice. TMD typically affects middle-aged men and is rare in children, warranting heightened clinical suspicion."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POCOR426",
      "abstract_number": "POCOR426",
      "title": "Outcomes And Effectiveness Of Conjunctival Rotation Autograft In Primary Nasal Pterygium Surgery",
      "authors": "Dr Leon Artuković",
      "presenter": "Dr Leon Artuković",
      "normalized_authors": [
        "Leon Artuković"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leon Artuković",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate postoperative outcomes and effectiveness of conjunctival rotation autograft technique in primary pterygium surgery. The outcomes and effectiveness were evaluated by the percentage of intra and postoperative complications and recurrence.",
        "Setting": "In this prospective pilot study, 26 eyes of 23 patients were operated and evaluated postoperatively in Department of Ophthalmology of University Hospital Centre Zagreb from September 2024. to September 2025. Of the 23 patients, 16 (70%) were males. The mean age of the patients was 65 years, with a range of 47 to 81 years. All patients had primary nasal pterygium. Follow-up time was at least twelve months.",
        "Methods": "Inclusion criteria were patients older than 18 years and primary nasal pterygium. A non-inclusion criterion was patients with recurrent pterygium. Informed consent was obtained from all patients before surgery. The best-corrected Snellen visual acuity, intraocular pressure, and details of slit-lamp and fundus examinations were recorded prior to surgery. Patients were followed at one week and one, two, six and twelve months. Follow-up examinations consisted of best-corrected Snellen visual acuity and slit lamp examination. The complications were defined as intra or post-operative incidents requiring further treatment. We defined clinically significant recurrence as pterygial regrowth that required a surgical procedure to remove.",
        "Results": "During the first couple weeks, all patients reported redness and mild irritation. In all patients, cornea reepithelialized during the first week after surgery. There were no intra- or post-operative complications requiring further treatment. At an end follow-up of twelve months, no recurrence was noted. On slit lamp examinations, we founded graft injection in 10 (26%) eyes up to six months, but there were no complaints from patients regarding that.",
        "Conclusions": "Conjunctival rotation autografting was first described as an alternative to conventional conjunctival autograft after pterygium excision in cases in which it is not possible or desirable to use the superior conjunctiva as a donor source. We reported our experience with conjunctival rotation autografting technique and evaluated the postoperative outcomes in primary pterygia patients and concluded that it appears to be an effective and safe technique in management of primary nasal pterygium. A limitation of our study is its noncomparative design and relatively low number of participants. Further randomized controlled trials to compare conjunctival rotation autografting with different methods are necessary."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conjunctival rotation autografting was first described as an alternative to conventional conjunctival autograft after pterygium excision in cases in which it is not possible or desirable to use the superior conjunctiva as a donor source. We reported our experience with conjunctival rotation autografting technique and evaluated the postoperative outcomes in primary pterygia patients and concluded that it appears to…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1112,
      "source_fields": {
        "Abstract Final Identifier": "POCOR426",
        "Title": "Outcomes And Effectiveness Of Conjunctival Rotation Autograft In Primary Nasal Pterygium Surgery",
        "Presenting Author(s)": "Dr Leon Artuković",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Leon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Artuković",
        "Country Name": "Croatia",
        "Purpose": "To evaluate postoperative outcomes and effectiveness of conjunctival rotation autograft technique in primary pterygium surgery. The outcomes and effectiveness were evaluated by the percentage of intra and postoperative complications and recurrence.",
        "Setting": "In this prospective pilot study, 26 eyes of 23 patients were operated and evaluated postoperatively in Department of Ophthalmology of University Hospital Centre Zagreb from September 2024. to September 2025. Of the 23 patients, 16 (70%) were males. The mean age of the patients was 65 years, with a range of 47 to 81 years. All patients had primary nasal pterygium. Follow-up time was at least twelve months.",
        "Methods": "Inclusion criteria were patients older than 18 years and primary nasal pterygium. A non-inclusion criterion was patients with recurrent pterygium. Informed consent was obtained from all patients before surgery. The best-corrected Snellen visual acuity, intraocular pressure, and details of slit-lamp and fundus examinations were recorded prior to surgery. Patients were followed at one week and one, two, six and twelve months. Follow-up examinations consisted of best-corrected Snellen visual acuity and slit lamp examination. The complications were defined as intra or post-operative incidents requiring further treatment. We defined clinically significant recurrence as pterygial regrowth that required a surgical procedure to remove.",
        "Results": "During the first couple weeks, all patients reported redness and mild irritation. In all patients, cornea reepithelialized during the first week after surgery. There were no intra- or post-operative complications requiring further treatment. At an end follow-up of twelve months, no recurrence was noted. On slit lamp examinations, we founded graft injection in 10 (26%) eyes up to six months, but there were no complaints from patients regarding that.",
        "Conclusions": "Conjunctival rotation autografting was first described as an alternative to conventional conjunctival autograft after pterygium excision in cases in which it is not possible or desirable to use the superior conjunctiva as a donor source. We reported our experience with conjunctival rotation autografting technique and evaluated the postoperative outcomes in primary pterygia patients and concluded that it appears to be an effective and safe technique in management of primary nasal pterygium. A limitation of our study is its noncomparative design and relatively low number of participants. Further randomized controlled trials to compare conjunctival rotation autografting with different methods are necessary."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POCOR427",
      "abstract_number": "POCOR427",
      "title": "Short-Term Effect Of Cataract Surgery On Ocular Surface Parameters And Meibomian Gland Morphology: A Cross-Sectional Study",
      "authors": "Dr Reyhan Atasoy",
      "presenter": "Dr Reyhan Atasoy",
      "normalized_authors": [
        "Reyhan Atasoy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Reyhan Atasoy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the short-term alterations in meibomian gland (MG) morphology, secretory function, and tear film stability one month after uncomplicated phacoemulsification surgery compared to contralateral phakic eyes.",
        "Setting": "This cross-sectional study was conducted at a single-center tertiary care.The study clinical assessments and advanced topographic meibography measurements were performed in a controlled ophthalmology outpatient setting.",
        "Methods": "This cross-sectional study included 60 patients (120 eyes) with one pseudophakic eye (at post-operative 1st month) and one contralateral phakic eye. Symptom severity was evaluated via the Ocular Surface Disease Index (OSDI) questionnaire. MG loss (%) ,meiboscore and non -invasive tear break-up time (NIBUT) were measured using the Sirius (CSO) Scheimpflug-Placido topography system. Clinical assessments included meibomian gland expression (MGE) scoring, and corneal fluorescein staining according to the Oxford scale.",
        "Results": "The study included 60 patients (27Males/ 33Females, mean age 69.4±7.2 years) with a mean OSDI of 20.3 ±8.5. One month after phacoemulsification,mean NIBUT in pseudophakic eyes was significantly lower than in phakic eyes (8.18±4.12 vs.10.7 ±3.91; p<0.001).Morphological analysis revealed a significantly higher percentage of MG loss % in pseudophakic eyes compared to the control group (27.4 % ± 15.8% vs. 24.5% ± 15.0 % ; p<0.001).Furthermore, functional assessment showed significantly higher MGE scores in the pseudophakic group (1.54 ± 0.72 vs. 1.29 ± 0.55 ; p=0.005). However, no significant difference was observed in Oxford corneal staining grades between pseudophakic and phakic eyes (0.3 vs. 0.2, p = 0.341).",
        "Conclusions": "At one month postoperatively, significant impairments occur not only in meibomian gland secretory function and tear film stability but also in the anatomical MG loss rate as detected by meibography. Therefore, it is important for clinicians to monitor ocular surface health and meibomian gland status in patients undergoing cataract surgery, considering these factors in their clinical evaluations for dry eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At one month postoperatively, significant impairments occur not only in meibomian gland secretory function and tear film stability but also in the anatomical MG loss rate as detected by meibography. Therefore, it is important for clinicians to monitor ocular surface health and meibomian gland status in patients undergoing cataract surgery, considering these factors in their clinical evaluations for dry eye.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1113,
      "source_fields": {
        "Abstract Final Identifier": "POCOR427",
        "Title": "Short-Term Effect Of Cataract Surgery On Ocular Surface Parameters And Meibomian Gland Morphology: A Cross-Sectional Study",
        "Presenting Author(s)": "Dr Reyhan Atasoy",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Reyhan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Atasoy",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the short-term alterations in meibomian gland (MG) morphology, secretory function, and tear film stability one month after uncomplicated phacoemulsification surgery compared to contralateral phakic eyes.",
        "Setting": "This cross-sectional study was conducted at a single-center tertiary care.The study clinical assessments and advanced topographic meibography measurements were performed in a controlled ophthalmology outpatient setting.",
        "Methods": "This cross-sectional study included 60 patients (120 eyes) with one pseudophakic eye (at post-operative 1st month) and one contralateral phakic eye. Symptom severity was evaluated via the Ocular Surface Disease Index (OSDI) questionnaire. MG loss (%) ,meiboscore and non -invasive tear break-up time (NIBUT) were measured using the Sirius (CSO) Scheimpflug-Placido topography system. Clinical assessments included meibomian gland expression (MGE) scoring, and corneal fluorescein staining according to the Oxford scale.",
        "Results": "The study included 60 patients (27Males/ 33Females, mean age 69.4±7.2 years) with a mean OSDI of 20.3 ±8.5. One month after phacoemulsification,mean NIBUT in pseudophakic eyes was significantly lower than in phakic eyes (8.18±4.12 vs.10.7 ±3.91; p<0.001).Morphological analysis revealed a significantly higher percentage of MG loss % in pseudophakic eyes compared to the control group (27.4 % ± 15.8% vs. 24.5% ± 15.0 % ; p<0.001).Furthermore, functional assessment showed significantly higher MGE scores in the pseudophakic group (1.54 ± 0.72 vs. 1.29 ± 0.55 ; p=0.005). However, no significant difference was observed in Oxford corneal staining grades between pseudophakic and phakic eyes (0.3 vs. 0.2, p = 0.341).",
        "Conclusions": "At one month postoperatively, significant impairments occur not only in meibomian gland secretory function and tear film stability but also in the anatomical MG loss rate as detected by meibography. Therefore, it is important for clinicians to monitor ocular surface health and meibomian gland status in patients undergoing cataract surgery, considering these factors in their clinical evaluations for dry eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POCOR428",
      "abstract_number": "POCOR428",
      "title": "Hand-Held Umbrellas As A Cause Of Ophthalmic Trauma: A 5-Year Retrospective Analysis Of Ocular Injuries In A United Kingdom Tertiary Care Centre",
      "authors": "Mr Saeed Azizi",
      "presenter": "Mr Saeed Azizi",
      "normalized_authors": [
        "Saeed Azizi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saeed Azizi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Ocular trauma from everyday consumer products is under-recognised despite potential for serious morbidity. We observed recurring eye injuries related to hand-held umbrella use. This study aimed to quantify umbrella-related ocular trauma over five years and characterise the spectrum, mechanisms, and clinical outcomes in a United Kingdom tertiary care setting within London.",
        "Setting": "Retrospective audit at a UK NHS secondary care ophthalmology department, reviewing emergency and outpatient presentations from August 2019 to August 2024.",
        "Methods": "Electronic medical records from August 2019 to August 2024 were screened using the keyword “umbrella” to identify trauma-related presentations. Data on patient demographics, injury mechanism, clinical findings, management, and complications were extracted. Descriptive statistics summarised injury patterns, severity, and outcomes to provide a comprehensive overview of umbrella-associated ocular trauma.",
        "Results": "Thirty-three patients sustained umbrella-related ocular injuries. Corneal abrasions occurred in 29 patients, with two progressing to recurrent corneal erosion syndrome. Three patients developed isolated traumatic uveitis. One required complex lid and canalicular repair, and one sustained traumatic hyphaema with vitreous haemorrhage. Injuries primarily resulted from sudden forceful deployment, inadvertent contact with tips or ribs, or unexpected opening triggered by single-button mechanisms, highlighting preventable causes of trauma.",
        "Conclusions": "Hand-held umbrellas are an under-recognised source of preventable ocular trauma. Most injuries were superficial, but significant complications—including RCES, traumatic uveitis, lid/canalicular laceration, and intraocular haemorrhage—were observed. Minimal regulation exists regarding tip design or deployment force. Public education and engagement with manufacturers may reduce these avoidable injuries and improve ocular safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hand-held umbrellas are an under-recognised source of preventable ocular trauma. Most injuries were superficial, but significant complications—including RCES, traumatic uveitis, lid/canalicular laceration, and intraocular haemorrhage—were observed. Minimal regulation exists regarding tip design or deployment force. Public education and engagement with manufacturers may reduce these avoidable injuries and improve…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1114,
      "source_fields": {
        "Abstract Final Identifier": "POCOR428",
        "Title": "Hand-Held Umbrellas As A Cause Of Ophthalmic Trauma: A 5-Year Retrospective Analysis Of Ocular Injuries In A United Kingdom Tertiary Care Centre",
        "Presenting Author(s)": "Mr Saeed Azizi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Saeed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Azizi",
        "Country Name": "United Kingdom",
        "Purpose": "Ocular trauma from everyday consumer products is under-recognised despite potential for serious morbidity. We observed recurring eye injuries related to hand-held umbrella use. This study aimed to quantify umbrella-related ocular trauma over five years and characterise the spectrum, mechanisms, and clinical outcomes in a United Kingdom tertiary care setting within London.",
        "Setting": "Retrospective audit at a UK NHS secondary care ophthalmology department, reviewing emergency and outpatient presentations from August 2019 to August 2024.",
        "Methods": "Electronic medical records from August 2019 to August 2024 were screened using the keyword “umbrella” to identify trauma-related presentations. Data on patient demographics, injury mechanism, clinical findings, management, and complications were extracted. Descriptive statistics summarised injury patterns, severity, and outcomes to provide a comprehensive overview of umbrella-associated ocular trauma.",
        "Results": "Thirty-three patients sustained umbrella-related ocular injuries. Corneal abrasions occurred in 29 patients, with two progressing to recurrent corneal erosion syndrome. Three patients developed isolated traumatic uveitis. One required complex lid and canalicular repair, and one sustained traumatic hyphaema with vitreous haemorrhage. Injuries primarily resulted from sudden forceful deployment, inadvertent contact with tips or ribs, or unexpected opening triggered by single-button mechanisms, highlighting preventable causes of trauma.",
        "Conclusions": "Hand-held umbrellas are an under-recognised source of preventable ocular trauma. Most injuries were superficial, but significant complications—including RCES, traumatic uveitis, lid/canalicular laceration, and intraocular haemorrhage—were observed. Minimal regulation exists regarding tip design or deployment force. Public education and engagement with manufacturers may reduce these avoidable injuries and improve ocular safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POCOR429",
      "abstract_number": "POCOR429",
      "title": "Can Artificial Intelligence Replace The Ophthalmologist In Patient Education? A Comparative Analysis In Blepharitis",
      "authors": "Dr Daniel Bahir",
      "presenter": "Dr Daniel Bahir",
      "normalized_authors": [
        "Daniel Bahir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Bahir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate whether widely used artificial intelligence chatbots can match expert ophthalmologists in delivering accurate and clinically appropriate patient education in blepharitis, and to assess their potential role in real-world anterior segment practice.",
        "Setting": "International, multicenter expert-based comparative study.",
        "Methods": "Thirteen clinically relevant blepharitis patient questions were developed through a structured consensus process by anterior segment specialists. Responses were generated by GPT-based models and Gemini-based models and compared with responses from expert ophthalmologists. All responses were anonymized and independently graded by a blinded expert panel using a 7-point Likert scale assessing correctness and clinical educational value. Non-parametric statistical analyses were performed to compare performance between groups.",
        "Results": "Experts achieved the highest mean scores for correctness (6.3) and clinical education value (6.4), significantly outperforming all AI models (P < 0.01).\n\nExpert ophthalmologists achieved the highest scores for both correctness and clinical educational value, significantly outperforming all AI models (P < 0.01). AI systems demonstrated strong performance in definition-based and straightforward informational questions but showed reduced accuracy and contextual adaptation in management-oriented and scenario-based queries. Variability in clinical nuance and individualized recommendations was observed across AI-generated responses.",
        "Conclusions": "Large language model–based AI systems demonstrate promising capabilities in basic ophthalmic patient education but remain inconsistent in complex, context-dependent clinical scenarios. While AI may serve as an adjunctive educational tool, it cannot currently replace physician-guided counseling in anterior segment practice. Given the increasing reliance of patients on AI-generated medical information prior to consultation, careful integration with human oversight is essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Large language model–based AI systems demonstrate promising capabilities in basic ophthalmic patient education but remain inconsistent in complex, context-dependent clinical scenarios. While AI may serve as an adjunctive educational tool, it cannot currently replace physician-guided counseling in anterior segment practice. Given the increasing reliance of patients on AI-generated medical information prior to…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1115,
      "source_fields": {
        "Abstract Final Identifier": "POCOR429",
        "Title": "Can Artificial Intelligence Replace The Ophthalmologist In Patient Education? A Comparative Analysis In Blepharitis",
        "Presenting Author(s)": "Dr Daniel Bahir",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bahir",
        "Country Name": "Israel",
        "Purpose": "To evaluate whether widely used artificial intelligence chatbots can match expert ophthalmologists in delivering accurate and clinically appropriate patient education in blepharitis, and to assess their potential role in real-world anterior segment practice.",
        "Setting": "International, multicenter expert-based comparative study.",
        "Methods": "Thirteen clinically relevant blepharitis patient questions were developed through a structured consensus process by anterior segment specialists. Responses were generated by GPT-based models and Gemini-based models and compared with responses from expert ophthalmologists. All responses were anonymized and independently graded by a blinded expert panel using a 7-point Likert scale assessing correctness and clinical educational value. Non-parametric statistical analyses were performed to compare performance between groups.",
        "Results": "Experts achieved the highest mean scores for correctness (6.3) and clinical education value (6.4), significantly outperforming all AI models (P < 0.01).\n\nExpert ophthalmologists achieved the highest scores for both correctness and clinical educational value, significantly outperforming all AI models (P < 0.01). AI systems demonstrated strong performance in definition-based and straightforward informational questions but showed reduced accuracy and contextual adaptation in management-oriented and scenario-based queries. Variability in clinical nuance and individualized recommendations was observed across AI-generated responses.",
        "Conclusions": "Large language model–based AI systems demonstrate promising capabilities in basic ophthalmic patient education but remain inconsistent in complex, context-dependent clinical scenarios. While AI may serve as an adjunctive educational tool, it cannot currently replace physician-guided counseling in anterior segment practice. Given the increasing reliance of patients on AI-generated medical information prior to consultation, careful integration with human oversight is essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "POCOR431",
      "abstract_number": "POCOR431",
      "title": "Efficacy Of Alcohol Delamination Of Cornea For Recurrent Corneal Erosion",
      "authors": "Ms Ramendra Bakshi",
      "presenter": "Ms Ramendra Bakshi",
      "normalized_authors": [
        "Ramendra Bakshi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramendra Bakshi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess the safety and efficacy of Alcohol Delamination of Corneal Epithelium (ADCE) for patients presenting with recurrent corneal erosion (RCE)",
        "Setting": "Retrospective review of 8 eyes of 7 patients who underwent Alcohol delamination of cornea for RCE at the Treatment Centre, Queens Hospital Burton between May 2021 and June 2024.",
        "Methods": "ADCE was only offered to those patients who remained symptomatic despite maximal conservative management in the form of lubrications or bandage contact lens wear. Success was defined as the absence of recurrence of corneal erosion. A c ircular well of appropriate diameter(10mm) to cover the area of erosions was placed onto the cornea and 18 percent alcohol was then instilled into the well. After 40 s, the alcohol was drained with a surgical sponge and the cornea irrigated with a balanced salt solution. The circular area of the epithelium treated with the alcohol was removed using a cellulose sponge. A bandage contact lens was placed at the end of the procedure.",
        "Results": "Mean age was 52.75 +/- 18.35 years. There were 6 females and 1 male. (1 female had bilateral procedure at separate intervals) Pre-op visual acuity was 0.17 +/-0.23 log mar which improved to 0.03 +/- 0.12 log mar post op. Aetiology of RCE was EBMD in 4 eyes, trauma in 2 eyes and dry eyes with MGD in 2 eyes.Mean number of recurrences preop was 3.25+/-0.66 Mean length of conservative management was 8.62+/- 5.33 months (range 3-20 months) Mean follow up period post op was 11.3 +/- 9.75 months (range 3-33 months) Success was achieved in 87.5% patients (7 out of 8 eyes had no recurrences during the follow up period) No intra or post op complications were noted in our series.",
        "Conclusions": "ADCE is a safe and effective technique for treating patients with RCE refractory to conservative management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ADCE is a safe and effective technique for treating patients with RCE refractory to conservative management.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1116,
      "source_fields": {
        "Abstract Final Identifier": "POCOR431",
        "Title": "Efficacy Of Alcohol Delamination Of Cornea For Recurrent Corneal Erosion",
        "Presenting Author(s)": "Ms Ramendra Bakshi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ramendra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bakshi",
        "Country Name": "United Kingdom",
        "Purpose": "To assess the safety and efficacy of Alcohol Delamination of Corneal Epithelium (ADCE) for patients presenting with recurrent corneal erosion (RCE)",
        "Setting": "Retrospective review of 8 eyes of 7 patients who underwent Alcohol delamination of cornea for RCE at the Treatment Centre, Queens Hospital Burton between May 2021 and June 2024.",
        "Methods": "ADCE was only offered to those patients who remained symptomatic despite maximal conservative management in the form of lubrications or bandage contact lens wear. Success was defined as the absence of recurrence of corneal erosion. A c ircular well of appropriate diameter(10mm) to cover the area of erosions was placed onto the cornea and 18 percent alcohol was then instilled into the well. After 40 s, the alcohol was drained with a surgical sponge and the cornea irrigated with a balanced salt solution. The circular area of the epithelium treated with the alcohol was removed using a cellulose sponge. A bandage contact lens was placed at the end of the procedure.",
        "Results": "Mean age was 52.75 +/- 18.35 years. There were 6 females and 1 male. (1 female had bilateral procedure at separate intervals) Pre-op visual acuity was 0.17 +/-0.23 log mar which improved to 0.03 +/- 0.12 log mar post op. Aetiology of RCE was EBMD in 4 eyes, trauma in 2 eyes and dry eyes with MGD in 2 eyes.Mean number of recurrences preop was 3.25+/-0.66 Mean length of conservative management was 8.62+/- 5.33 months (range 3-20 months) Mean follow up period post op was 11.3 +/- 9.75 months (range 3-33 months) Success was achieved in 87.5% patients (7 out of 8 eyes had no recurrences during the follow up period) No intra or post op complications were noted in our series.",
        "Conclusions": "ADCE is a safe and effective technique for treating patients with RCE refractory to conservative management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POCOR432",
      "abstract_number": "POCOR432",
      "title": "Evaluation Of An Ectoine-Containing Ophthalmic Solution In The Treatment Of Dry Eye Disease",
      "authors": "Prof. Marc Labetoulle",
      "presenter": "Prof. Marc Labetoulle",
      "normalized_authors": [
        "Marc Labetoulle"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lee-Jay Bannister",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Ectoine is a natural molecule originally found in extremophilic bacteria as an osmolyte, a low molecular weight compound that helps regulate osmotic pressure and maintain cellular homeostasis. Ectoine forms a net-like structure that surrounds macromolecules with a shield of water, protecting cells against environmental stressors including dryness. As such, there is growing interest in ectoine as an osmoprotectant for dry eye. This study compared a novel, preservative-free drop combining 2.0% ectoine and 0.25% hyaluronic acid (ArtE) with an existing, widely used eye drop, containing 0.1% hyaluronic acid (HA) in the treatment of mild-to-moderate dry eye disease (DED).",
        "Setting": "This was a non-interventional, prospective, open label, comparative, multicentre study (post authorization observational study) conduced at five ophthalmology sites in Germany involving outpatients ≥18 years of age with DED (DEWS severity score 1–3) and tear film break-up time (TBUT) <10 seconds. Contact lens wearers or those with inflammation/trauma of the anterior chamber were excluded.",
        "Methods": "At baseline, patients chose ArtE or HA drops; recruitment was limited per site and stratified by baseline TBUT (≤5 vs >5 s) to avoid bias. Both products were used 1–2 drops/eye up to 6 times/day for 28 (±3) days. The primary endpoint was change in TBUT in the 'decisive eye', analysed for non-inferiority (Δ=25% of reference mean) using ANCOVA adjusting for baseline TBUT, centre and gender. Change in TBUT was also evaluated by a t-test for each treatment separately.Secondary endpoints included patient- and investigator-assessed symptom/clinical-sign scores, ocular surface disease index (OSDI), tear flow (Schirmer II test), corneal fluorescein staining (CFS), global efficacy/tolerability, adverse events (AEs) and compliance.",
        "Results": "75 adults were treated (ArtE n=35; HA n=30). ArtE met the pre-determined non-inferiority criterion versus HA for the primary endpoint. Assessing each treatment separately, in the decisive eye, mean TBUT increased by 2.5 s with ArtE (p=0.0010) and by 1.1 s with HA (p=0.1686). Symptoms/clinical signs and quality of life improved in both groups (mean total OSDI change, ArtE vs HA, was -17.5 vs -17.2). Tear flow increased from baseline by 1.8 vs 0.8 mm/5 min (ArtE vs HA). No serious AEs occurred; of 6 AEs reported, 5 (all considered severe: headache, ataxia, and bilateral eye pain) occurred in 1 patient with several comorbidities. Overall, tolerability was rated as 'very good'; 79.4% and 71.4% would continue use with ArtE and HA, respectively.",
        "Conclusions": "In routine care, preservative-free ArtE eye drops were comparable to HA drops over 4 weeks of treatment. Both treatments improved symptoms and OSDI-measured quality of life and were well tolerated with few, non-serious adverse events."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In routine care, preservative-free ArtE eye drops were comparable to HA drops over 4 weeks of treatment. Both treatments improved symptoms and OSDI-measured quality of life and were well tolerated with few, non-serious adverse events.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1117,
      "source_fields": {
        "Abstract Final Identifier": "POCOR432",
        "Title": "Evaluation Of An Ectoine-Containing Ophthalmic Solution In The Treatment Of Dry Eye Disease",
        "Presenting Author(s)": "Prof. Marc Labetoulle",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lee-Jay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bannister",
        "Country Name": "United Kingdom",
        "Purpose": "Ectoine is a natural molecule originally found in extremophilic bacteria as an osmolyte, a low molecular weight compound that helps regulate osmotic pressure and maintain cellular homeostasis. Ectoine forms a net-like structure that surrounds macromolecules with a shield of water, protecting cells against environmental stressors including dryness. As such, there is growing interest in ectoine as an osmoprotectant for dry eye. This study compared a novel, preservative-free drop combining 2.0% ectoine and 0.25% hyaluronic acid (ArtE) with an existing, widely used eye drop, containing 0.1% hyaluronic acid (HA) in the treatment of mild-to-moderate dry eye disease (DED).",
        "Setting": "This was a non-interventional, prospective, open label, comparative, multicentre study (post authorization observational study) conduced at five ophthalmology sites in Germany involving outpatients ≥18 years of age with DED (DEWS severity score 1–3) and tear film break-up time (TBUT) <10 seconds. Contact lens wearers or those with inflammation/trauma of the anterior chamber were excluded.",
        "Methods": "At baseline, patients chose ArtE or HA drops; recruitment was limited per site and stratified by baseline TBUT (≤5 vs >5 s) to avoid bias. Both products were used 1–2 drops/eye up to 6 times/day for 28 (±3) days. The primary endpoint was change in TBUT in the 'decisive eye', analysed for non-inferiority (Δ=25% of reference mean) using ANCOVA adjusting for baseline TBUT, centre and gender. Change in TBUT was also evaluated by a t-test for each treatment separately.Secondary endpoints included patient- and investigator-assessed symptom/clinical-sign scores, ocular surface disease index (OSDI), tear flow (Schirmer II test), corneal fluorescein staining (CFS), global efficacy/tolerability, adverse events (AEs) and compliance.",
        "Results": "75 adults were treated (ArtE n=35; HA n=30). ArtE met the pre-determined non-inferiority criterion versus HA for the primary endpoint. Assessing each treatment separately, in the decisive eye, mean TBUT increased by 2.5 s with ArtE (p=0.0010) and by 1.1 s with HA (p=0.1686). Symptoms/clinical signs and quality of life improved in both groups (mean total OSDI change, ArtE vs HA, was -17.5 vs -17.2). Tear flow increased from baseline by 1.8 vs 0.8 mm/5 min (ArtE vs HA). No serious AEs occurred; of 6 AEs reported, 5 (all considered severe: headache, ataxia, and bilateral eye pain) occurred in 1 patient with several comorbidities. Overall, tolerability was rated as 'very good'; 79.4% and 71.4% would continue use with ArtE and HA, respectively.",
        "Conclusions": "In routine care, preservative-free ArtE eye drops were comparable to HA drops over 4 weeks of treatment. Both treatments improved symptoms and OSDI-measured quality of life and were well tolerated with few, non-serious adverse events."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 443
    },
    {
      "uid": "POCOR433",
      "abstract_number": "POCOR433",
      "title": "Beyond Conjunctivitis: Long-Term Meibomian Gland And Tear Film Stability Analysis After Adenoviral Infection",
      "authors": "Dr Simge Baysa Sarıboyacı",
      "presenter": "Dr Simge Baysa Sarıboyacı",
      "normalized_authors": [
        "Simge Baysa Sarıboyacı"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simge Baysa Sarıboyacı",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate the long-term effects of adenoviral keratoconjunctivitis on meibomian gland (MG) morphology and dry eye symptoms.",
        "Setting": "This cross-sectional study was conducted at a single-center tertiary care.The study clinical assessments and advanced topographic meibography measurements were performed in a controlled ophthalmology outpatient setting.",
        "Methods": "Forty eyes of 40 individuals with a history of adenoviral keratoconjunctivitis and 40 eyes of 40 healthy controls were included. Symptom severity was assessed using the Ocular Surface Disease Index (OSDI). Corneal fluorescein staining was graded according to the Oxford scale. Upper eyelid MG loss was evaluated by non-contact meibography. Non-invasive tear break-up time (NIBUT) was measured using the Sirius (CSO) Scheimpflug–Placido topography system.",
        "Results": "The mean age was comparable between the adenoviral and control groups (30.6 ± 12.2 vs. 28.2 ± 6.5 years; p = 0.14). The mean time since adenoviral keratoconjunctivitis was 30.6 ± 26.5 months. MG loss was significantly higher in the adenoviral group compared with controls (37.6% ± 22.7% vs. 15.7% ± 8.2%; p < 0.001). OSDI scores were similar between groups (25.1 ± 4,9 vs. 20.3 ± 8,5; p = 0.69). NIBUT was significantly lower in the adenoviral group (8.14 ± 4.08 vs. 10.6 ± 3.95; p = 0.01), whereas Oxford corneal staining scores did not differ significantly (0.3 ± 0.1 vs. 0.2 ± 0.1; p = 0.341).",
        "Conclusions": "Adenoviral keratoconjunctivitis is associated with persistent structural changes of the meibomian glands and reduced tear film stability in the long term. Despite comparable symptom scores and corneal staining, increased MG loss and decreased NIBUT suggest subclinical ocular surface impairment. These findings highlight the importance of comprehensive MG and tear film assessment in patients with a history of adenoviral keratoconjunctivitis, even in the absence of overt symptoms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Adenoviral keratoconjunctivitis is associated with persistent structural changes of the meibomian glands and reduced tear film stability in the long term. Despite comparable symptom scores and corneal staining, increased MG loss and decreased NIBUT suggest subclinical ocular surface impairment. These findings highlight the importance of comprehensive MG and tear film assessment in patients with a history of…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1118,
      "source_fields": {
        "Abstract Final Identifier": "POCOR433",
        "Title": "Beyond Conjunctivitis: Long-Term Meibomian Gland And Tear Film Stability Analysis After Adenoviral Infection",
        "Presenting Author(s)": "Dr Simge Baysa Sarıboyacı",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Simge",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Baysa Sarıboyacı",
        "Country Name": "Türkiye",
        "Purpose": "To investigate the long-term effects of adenoviral keratoconjunctivitis on meibomian gland (MG) morphology and dry eye symptoms.",
        "Setting": "This cross-sectional study was conducted at a single-center tertiary care.The study clinical assessments and advanced topographic meibography measurements were performed in a controlled ophthalmology outpatient setting.",
        "Methods": "Forty eyes of 40 individuals with a history of adenoviral keratoconjunctivitis and 40 eyes of 40 healthy controls were included. Symptom severity was assessed using the Ocular Surface Disease Index (OSDI). Corneal fluorescein staining was graded according to the Oxford scale. Upper eyelid MG loss was evaluated by non-contact meibography. Non-invasive tear break-up time (NIBUT) was measured using the Sirius (CSO) Scheimpflug–Placido topography system.",
        "Results": "The mean age was comparable between the adenoviral and control groups (30.6 ± 12.2 vs. 28.2 ± 6.5 years; p = 0.14). The mean time since adenoviral keratoconjunctivitis was 30.6 ± 26.5 months. MG loss was significantly higher in the adenoviral group compared with controls (37.6% ± 22.7% vs. 15.7% ± 8.2%; p < 0.001). OSDI scores were similar between groups (25.1 ± 4,9 vs. 20.3 ± 8,5; p = 0.69). NIBUT was significantly lower in the adenoviral group (8.14 ± 4.08 vs. 10.6 ± 3.95; p = 0.01), whereas Oxford corneal staining scores did not differ significantly (0.3 ± 0.1 vs. 0.2 ± 0.1; p = 0.341).",
        "Conclusions": "Adenoviral keratoconjunctivitis is associated with persistent structural changes of the meibomian glands and reduced tear film stability in the long term. Despite comparable symptom scores and corneal staining, increased MG loss and decreased NIBUT suggest subclinical ocular surface impairment. These findings highlight the importance of comprehensive MG and tear film assessment in patients with a history of adenoviral keratoconjunctivitis, even in the absence of overt symptoms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCOR435",
      "abstract_number": "POCOR435",
      "title": "Topical Regular Insulin Eye Drops For The Treatment Of Refractory Corneal Ulcers",
      "authors": "A/Prof. Nacima Benmerzouga",
      "presenter": "A/Prof. Nacima Benmerzouga",
      "normalized_authors": [
        "Nacima Benmerzouga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nacima Benmerzouga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "to evaluate the efficacy and safety of topical regular insulin eye drops in promoting corneal healing in refractory corneal ulcers.",
        "Setting": "This was a prospective observational study conducted over a one-year period in the Ophthalmology Department of the University Hospital of Annaba, Algeria.",
        "Methods": "A prospective observational study was conducted over a period of one year in the ophthalmology department. Patients presenting with refractory corneal ulcers unresponsive to conventional treatment were included. Topical regular insulin eye drops were administered, and patients were followed to evaluate epithelial healing time, improvement of corneal defects, and potential adverse effects.\n\nAll patients underwent ocular surface evaluation, a complete ophthalmologic examination, corneal OCT analysis, and a comprehensive laboratory workup.\n\nThe protocol involved instilling one drop of regular insulin (one unit) twice daily, with evaluation of BCVA, OSDI, and corneal healing at day 7, day 30, and day 90",
        "Results": "Seventeen patients were included followed during 90 days. The mean age was 45 years (range 22–65), with a male-to-female ratio of 3:1. The underlying etiologies were diabetes (n=4), dry eye disease (n=5), previous anterior segment surgery (n=3), and post-herpetic keratitis (n=5).\n\nBest-corrected visual acuity (BCVA) was <1/10 in 10 patients, 1/10–4/10 in 5 patients, and >4/10 in 2 patients. At the end of follow-up, BCVA improved by ≥2 lines in 13 patients, with satisfactory corneal healing in all cases. No notable adverse effects were observed.",
        "Conclusions": "Topical administration of regular insulin appears to improve best-corrected visual acuity and promote corneal healing in patients with refractory corneal ulcers, without notable side effects. These results suggest that topical insulin could be a safe and effective therapeutic option for difficult-to-treat corneal ulcers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical administration of regular insulin appears to improve best-corrected visual acuity and promote corneal healing in patients with refractory corneal ulcers, without notable side effects. These results suggest that topical insulin could be a safe and effective therapeutic option for difficult-to-treat corneal ulcers.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1119,
      "source_fields": {
        "Abstract Final Identifier": "POCOR435",
        "Title": "Topical Regular Insulin Eye Drops For The Treatment Of Refractory Corneal Ulcers",
        "Presenting Author(s)": "A/Prof. Nacima Benmerzouga",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nacima",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benmerzouga",
        "Country Name": "Algeria",
        "Purpose": "to evaluate the efficacy and safety of topical regular insulin eye drops in promoting corneal healing in refractory corneal ulcers.",
        "Setting": "This was a prospective observational study conducted over a one-year period in the Ophthalmology Department of the University Hospital of Annaba, Algeria.",
        "Methods": "A prospective observational study was conducted over a period of one year in the ophthalmology department. Patients presenting with refractory corneal ulcers unresponsive to conventional treatment were included. Topical regular insulin eye drops were administered, and patients were followed to evaluate epithelial healing time, improvement of corneal defects, and potential adverse effects.\n\nAll patients underwent ocular surface evaluation, a complete ophthalmologic examination, corneal OCT analysis, and a comprehensive laboratory workup.\n\nThe protocol involved instilling one drop of regular insulin (one unit) twice daily, with evaluation of BCVA, OSDI, and corneal healing at day 7, day 30, and day 90",
        "Results": "Seventeen patients were included followed during 90 days. The mean age was 45 years (range 22–65), with a male-to-female ratio of 3:1. The underlying etiologies were diabetes (n=4), dry eye disease (n=5), previous anterior segment surgery (n=3), and post-herpetic keratitis (n=5).\n\nBest-corrected visual acuity (BCVA) was <1/10 in 10 patients, 1/10–4/10 in 5 patients, and >4/10 in 2 patients. At the end of follow-up, BCVA improved by ≥2 lines in 13 patients, with satisfactory corneal healing in all cases. No notable adverse effects were observed.",
        "Conclusions": "Topical administration of regular insulin appears to improve best-corrected visual acuity and promote corneal healing in patients with refractory corneal ulcers, without notable side effects. These results suggest that topical insulin could be a safe and effective therapeutic option for difficult-to-treat corneal ulcers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POCOR436",
      "abstract_number": "POCOR436",
      "title": "Impact Of Topical Roaccutane On The Ocular Surface: A Case Report",
      "authors": "A/Prof. Nacima Benmerzouga",
      "presenter": "A/Prof. Nacima Benmerzouga",
      "normalized_authors": [
        "Nacima Benmerzouga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nacima Benmerzouga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To assess the impact of topical Roaccutane on ocular surface health: a case report",
        "Setting": "ophthalmology departement university hospital of Annaba, Annaba, ALGERIA.",
        "Methods": "A single patient using topical Roaccutane was evaluated for ocular surface changes. A comprehensive ophthalmological examination, including slit-lamp evaluation, complete ocular surface evaluation, OSDI evaluation, and tear film assessment, was performed.\n\nThe protocol consisted of a topical treatment with tear substitutes containing hyaluronic acid, corticstroids eyedrops as well as cyclosporine A eye drops. The patient was followed until complete healing.",
        "Results": "he patient presented with a red, painful eye for several weeks, unresponsive to topical treatment. Examination revealed inferior peripheral limbal infiltrates with corresponding stromal edema, superficial punctate keratitis, and dilation of the limbal vessels.\n\nThe patient received high-dose dexamethasone eye drops for 15 days, in combination with 2% cyclosporine A and hyaluronic acid eye drops. Clinical improvement was observed, and the patient was referred to a dermatologist for therapy adjustment and isotretinoin discontinuation",
        "Conclusions": "Topical Roaccutane may be associated with peripheral corneal inflammation and ocular surface alterations. Careful ophthalmologic monitoring is recommended during treatment to detect and manage potential adverse effects early"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical Roaccutane may be associated with peripheral corneal inflammation and ocular surface alterations. Careful ophthalmologic monitoring is recommended during treatment to detect and manage potential adverse effects early",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1120,
      "source_fields": {
        "Abstract Final Identifier": "POCOR436",
        "Title": "Impact Of Topical Roaccutane On The Ocular Surface: A Case Report",
        "Presenting Author(s)": "A/Prof. Nacima Benmerzouga",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nacima",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benmerzouga",
        "Country Name": "Algeria",
        "Purpose": "To assess the impact of topical Roaccutane on ocular surface health: a case report",
        "Setting": "ophthalmology departement university hospital of Annaba, Annaba, ALGERIA.",
        "Methods": "A single patient using topical Roaccutane was evaluated for ocular surface changes. A comprehensive ophthalmological examination, including slit-lamp evaluation, complete ocular surface evaluation, OSDI evaluation, and tear film assessment, was performed.\n\nThe protocol consisted of a topical treatment with tear substitutes containing hyaluronic acid, corticstroids eyedrops as well as cyclosporine A eye drops. The patient was followed until complete healing.",
        "Results": "he patient presented with a red, painful eye for several weeks, unresponsive to topical treatment. Examination revealed inferior peripheral limbal infiltrates with corresponding stromal edema, superficial punctate keratitis, and dilation of the limbal vessels.\n\nThe patient received high-dose dexamethasone eye drops for 15 days, in combination with 2% cyclosporine A and hyaluronic acid eye drops. Clinical improvement was observed, and the patient was referred to a dermatologist for therapy adjustment and isotretinoin discontinuation",
        "Conclusions": "Topical Roaccutane may be associated with peripheral corneal inflammation and ocular surface alterations. Careful ophthalmologic monitoring is recommended during treatment to detect and manage potential adverse effects early"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 183
    },
    {
      "uid": "POCOR437",
      "abstract_number": "POCOR437",
      "title": "Long-Term Corneal Pachymetric Stability In Presbyopic Patients Treated With The Benozzi Method: A Real-World Longitudinal Cohort Study",
      "authors": "Dr Giovanna Benozzi",
      "presenter": "Dr Giovanna Benozzi",
      "normalized_authors": [
        "Giovanna Benozzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giovanna Benozzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To determine whether chronic, long-term exposure to sodium diclofenac 0.05% combined with pilocarpine (variable strengths from 1 to 3%) within the Benozzi Method may be associated with changes in central corneal thickness (CCT) in presbyopic patients over long-term real-world use.",
        "Setting": "Single-center real-world clinical cohort of presbyopic patients treated in a chronic basis and followed between March 2012 and April 2023.",
        "Methods": "Retrospective longitudinal real-world cohort study. CCT (µm) was measured at treatment initiation and last follow-up for both eyes. All patients received chronic pharmacological treatment consisting of pilocarpine (1%, 2%, or 3%) combined with diclofenac 0.05%. Follow-up duration was calculated from dates (maximum 10 years). The primary endpoint was ΔCCT (last − baseline). Linear mixed-effects models with patient-level random intercepts accounted for inter-eye correlation and were adjusted for follow-up duration and baseline CCT to assess potential time-dependent or dose-related effects.",
        "Results": "A total of 274 eyes, from 137 patients (59.1% female; mean age 54.3±6.8 years) were analyzed. Baseline CCT was 546.7±31.0 µm and last CCT 547.6±30.1 µm, with a mean ΔCCT of +0.84±7.36 µm (median 0; IQR −2 to +3 µm). Absolute changes ≥20 µm occurred in 9 eyes (3.2%) without consistent directional pattern or progressive trajectory. No association was found between pilocarpine concentration and ΔCCT, and no dose-response effect was detected. A minimal time-related drift (~+0.7 µm/year) attenuated in sensitivity analyses.",
        "Conclusions": "Chronic exposure to diclofenac 0.05%, a component in the medication used in the Benozzi Method over extended real-world follow-up was not associated with clinically meaningful corneal thickening or thinning.\n\nDespite theoretical concerns regarding chronic topical NSAID (diclofenac) use and corneal structural compromise, no signal of thinning, melting, or dose-dependent effect was identified. These findings support long-term pachymetric stability and structural corneal safety during sustained pharmacological treatment of presbyopia with the Benozzi Method."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chronic exposure to diclofenac 0.05%, a component in the medication used in the Benozzi Method over extended real-world follow-up was not associated with clinically meaningful corneal thickening or thinning. Despite theoretical concerns regarding chronic topical NSAID (diclofenac) use and corneal structural compromise, no signal of thinning, melting, or dose-dependent effect was identified. These findings support…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1121,
      "source_fields": {
        "Abstract Final Identifier": "POCOR437",
        "Title": "Long-Term Corneal Pachymetric Stability In Presbyopic Patients Treated With The Benozzi Method: A Real-World Longitudinal Cohort Study",
        "Presenting Author(s)": "Dr Giovanna Benozzi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Giovanna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benozzi",
        "Country Name": "Argentina",
        "Purpose": "To determine whether chronic, long-term exposure to sodium diclofenac 0.05% combined with pilocarpine (variable strengths from 1 to 3%) within the Benozzi Method may be associated with changes in central corneal thickness (CCT) in presbyopic patients over long-term real-world use.",
        "Setting": "Single-center real-world clinical cohort of presbyopic patients treated in a chronic basis and followed between March 2012 and April 2023.",
        "Methods": "Retrospective longitudinal real-world cohort study. CCT (µm) was measured at treatment initiation and last follow-up for both eyes. All patients received chronic pharmacological treatment consisting of pilocarpine (1%, 2%, or 3%) combined with diclofenac 0.05%. Follow-up duration was calculated from dates (maximum 10 years). The primary endpoint was ΔCCT (last − baseline). Linear mixed-effects models with patient-level random intercepts accounted for inter-eye correlation and were adjusted for follow-up duration and baseline CCT to assess potential time-dependent or dose-related effects.",
        "Results": "A total of 274 eyes, from 137 patients (59.1% female; mean age 54.3±6.8 years) were analyzed. Baseline CCT was 546.7±31.0 µm and last CCT 547.6±30.1 µm, with a mean ΔCCT of +0.84±7.36 µm (median 0; IQR −2 to +3 µm). Absolute changes ≥20 µm occurred in 9 eyes (3.2%) without consistent directional pattern or progressive trajectory. No association was found between pilocarpine concentration and ΔCCT, and no dose-response effect was detected. A minimal time-related drift (~+0.7 µm/year) attenuated in sensitivity analyses.",
        "Conclusions": "Chronic exposure to diclofenac 0.05%, a component in the medication used in the Benozzi Method over extended real-world follow-up was not associated with clinically meaningful corneal thickening or thinning.\n\nDespite theoretical concerns regarding chronic topical NSAID (diclofenac) use and corneal structural compromise, no signal of thinning, melting, or dose-dependent effect was identified. These findings support long-term pachymetric stability and structural corneal safety during sustained pharmacological treatment of presbyopia with the Benozzi Method."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POCOR438",
      "abstract_number": "POCOR438",
      "title": "Corneal Perforation Management: A Practical Surgical Decision Guide",
      "authors": "Dr Halah Bin Helayel",
      "presenter": "Dr Halah Bin Helayel",
      "normalized_authors": [
        "Halah Bin Helayel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Halah Bin Helayel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Selecting the appropriate intervention for corneal perforation remains challenging in daily practice. Variability in management often leads to repeated procedures, delayed tectonic stabilization, or unnecessary emergency keratoplasty. We present a practical clinical decision framework linking perforation characteristics to the most suitable surgical approach.",
        "Setting": "Tertiary referral ophthalmology center, cornea and anterior segment service.",
        "Methods": "A structured management algorithm was developed from real-world surgical experience supported by current literature. Decision nodes incorporated perforation size, location, disease activity, and ocular surface status. Representative cases were used to evaluate applicability and demonstrate outcomes following each escalation step, from tissue adhesive to keratoplasty.",
        "Results": "Small perforations (≤2–3 mm) were stabilized with cyanoacrylate adhesive when the underlying disease was controlled. However, adhesive failure was common in active inflammatory melts and neurotrophic disease. Moderate defects (2–4 mm) required structural support with amniotic membrane transplantation or patch grafting. Peripheral ectatic perforations responded well to patch grafting, while inflammatory etiologies required earlier surgery. Larger perforations (>3–5 mm), or those with progressive melt, required lamellar or penetrating keratoplasty for definitive reconstruction. Early escalation reduced repeat procedures and improved structural outcomes, whereas delayed surgery increased urgent keratoplasty and postoperative complications.",
        "Conclusions": "Corneal perforation management is primarily a decision-making problem rather than a technical one. A structured size- and etiology-based framework helps surgeons select the appropriate timing and type of intervention. Applying this approach can minimize unnecessary procedures, reduce emergency keratoplasty, and improve tectonic stability in routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal perforation management is primarily a decision-making problem rather than a technical one. A structured size- and etiology-based framework helps surgeons select the appropriate timing and type of intervention. Applying this approach can minimize unnecessary procedures, reduce emergency keratoplasty, and improve tectonic stability in routine clinical practice.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1122,
      "source_fields": {
        "Abstract Final Identifier": "POCOR438",
        "Title": "Corneal Perforation Management: A Practical Surgical Decision Guide",
        "Presenting Author(s)": "Dr Halah Bin Helayel",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Halah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bin Helayel",
        "Country Name": "Saudi Arabia",
        "Purpose": "Selecting the appropriate intervention for corneal perforation remains challenging in daily practice. Variability in management often leads to repeated procedures, delayed tectonic stabilization, or unnecessary emergency keratoplasty. We present a practical clinical decision framework linking perforation characteristics to the most suitable surgical approach.",
        "Setting": "Tertiary referral ophthalmology center, cornea and anterior segment service.",
        "Methods": "A structured management algorithm was developed from real-world surgical experience supported by current literature. Decision nodes incorporated perforation size, location, disease activity, and ocular surface status. Representative cases were used to evaluate applicability and demonstrate outcomes following each escalation step, from tissue adhesive to keratoplasty.",
        "Results": "Small perforations (≤2–3 mm) were stabilized with cyanoacrylate adhesive when the underlying disease was controlled. However, adhesive failure was common in active inflammatory melts and neurotrophic disease. Moderate defects (2–4 mm) required structural support with amniotic membrane transplantation or patch grafting. Peripheral ectatic perforations responded well to patch grafting, while inflammatory etiologies required earlier surgery. Larger perforations (>3–5 mm), or those with progressive melt, required lamellar or penetrating keratoplasty for definitive reconstruction. Early escalation reduced repeat procedures and improved structural outcomes, whereas delayed surgery increased urgent keratoplasty and postoperative complications.",
        "Conclusions": "Corneal perforation management is primarily a decision-making problem rather than a technical one. A structured size- and etiology-based framework helps surgeons select the appropriate timing and type of intervention. Applying this approach can minimize unnecessary procedures, reduce emergency keratoplasty, and improve tectonic stability in routine clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POCOR439",
      "abstract_number": "POCOR439",
      "title": "Atypical Hyper-Acute Contact Lens - Associated Red Eye Syndrome Triggered By First-Time Scleral Contact Lens Wear",
      "authors": "Dr Maroua Boutkhil",
      "presenter": "Dr Maroua Boutkhil",
      "normalized_authors": [
        "Maroua Boutkhil"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maroua Boutkhil",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "This case study highlights an atypical, ultra-acute onset of Contact Lens–Associated Red Eye (CLARE) syndrome following first-time scleral lens wear in a long-term soft lens user. We aim to emphasise that chronic soft lens wearers may have a compromised ocular surface that is not clinically obvious and may predispose them to exaggerated inflammatory responses when exposed to new triggers.",
        "Setting": "This case was observed in an ophthalmology clinic during routine contact lens adaptation.",
        "Methods": "We report a 33-year-old patient with high myopia (OD −9.75 D; OS −8.25 D) and 15 years of soft contact lens wear who developed dry eye and intolerance, requiring a change in correction. Scleral lenses (15.60 mm) were fitted, showing good centration, sagittal depth, and apical clearance without blanching or compression; the ocular surface was initially quiet. Within one hour, while still in the clinic waiting room, she developed acute redness and pain in the left eye. Slit-lamp exam showed marked hyperaemia and subepithelial apical infiltrates staining with fluorescein. The lens was removed, sent for microbiology, and topical antibiotics were started.",
        "Results": "Microbial analysis of both the lens and the storage case was negative. After two days of antibiotic treatment, there was complete resolution of the inflammatory signs. The clinical presentation was consistent with an ultra-acute CLARE syndrome triggered by initial scleral lens wear.",
        "Conclusions": "The acute onset of redness and discomfort associated with superficial infiltrates should raise suspicion for CLARE syndrome. Chronic soft lens wear may lead to epithelial thinning and ocular surface alteration, increasing susceptibility to inflammatory and infectious complications. Although CLARE is classically linked to overnight lens wear, other triggers must be considered. Particular caution is required in long-term soft lens users. Because of their design, rigid gas-permeable or scleral lenses may provide a safer and more stable long-term alternative, even for high myopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The acute onset of redness and discomfort associated with superficial infiltrates should raise suspicion for CLARE syndrome. Chronic soft lens wear may lead to epithelial thinning and ocular surface alteration, increasing susceptibility to inflammatory and infectious complications. Although CLARE is classically linked to overnight lens wear, other triggers must be considered. Particular caution is required in…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1123,
      "source_fields": {
        "Abstract Final Identifier": "POCOR439",
        "Title": "Atypical Hyper-Acute Contact Lens - Associated Red Eye Syndrome Triggered By First-Time Scleral Contact Lens Wear",
        "Presenting Author(s)": "Dr Maroua Boutkhil",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Maroua",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Boutkhil",
        "Country Name": "Morocco",
        "Purpose": "This case study highlights an atypical, ultra-acute onset of Contact Lens–Associated Red Eye (CLARE) syndrome following first-time scleral lens wear in a long-term soft lens user. We aim to emphasise that chronic soft lens wearers may have a compromised ocular surface that is not clinically obvious and may predispose them to exaggerated inflammatory responses when exposed to new triggers.",
        "Setting": "This case was observed in an ophthalmology clinic during routine contact lens adaptation.",
        "Methods": "We report a 33-year-old patient with high myopia (OD −9.75 D; OS −8.25 D) and 15 years of soft contact lens wear who developed dry eye and intolerance, requiring a change in correction. Scleral lenses (15.60 mm) were fitted, showing good centration, sagittal depth, and apical clearance without blanching or compression; the ocular surface was initially quiet. Within one hour, while still in the clinic waiting room, she developed acute redness and pain in the left eye. Slit-lamp exam showed marked hyperaemia and subepithelial apical infiltrates staining with fluorescein. The lens was removed, sent for microbiology, and topical antibiotics were started.",
        "Results": "Microbial analysis of both the lens and the storage case was negative. After two days of antibiotic treatment, there was complete resolution of the inflammatory signs. The clinical presentation was consistent with an ultra-acute CLARE syndrome triggered by initial scleral lens wear.",
        "Conclusions": "The acute onset of redness and discomfort associated with superficial infiltrates should raise suspicion for CLARE syndrome. Chronic soft lens wear may lead to epithelial thinning and ocular surface alteration, increasing susceptibility to inflammatory and infectious complications. Although CLARE is classically linked to overnight lens wear, other triggers must be considered. Particular caution is required in long-term soft lens users. Because of their design, rigid gas-permeable or scleral lenses may provide a safer and more stable long-term alternative, even for high myopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCOR440",
      "abstract_number": "POCOR440",
      "title": "A Challenging Presentation Of Corneal Intraepitelial Neoplasia",
      "authors": "Dr Rafaela Correia Marreiros Castanheira",
      "presenter": "Dr Rafaela Correia Marreiros Castanheira",
      "normalized_authors": [
        "Rafaela Correia Marreiros Castanheira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rafaela Correia Marreiros Castanheira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To report an incidental and atypical presentation of corneal intraepithelial neoplasia (CIN), within the spectrum of ocular surface squamous neoplasia (OSSN), mimicking herpetic epithelial keratitis and to highlight diagnostic challenges and clues in isolated corneal lesions without limbal involvement.",
        "Setting": "Tertiary referral ophthalmology center providing routine clinical care, advanced anterior segment imaging, and surgical management of ocular surface disease.",
        "Methods": "Case report of a 72-year-old man presenting for routine ophthalmological examination. Clinical assessment, anterior segment optical coherence tomography (AS-OCT), serial photographic follow-up, and histopathological evaluation were performed.",
        "Results": "The patient presented with a dendritiform keratotic epithelial lesion in the inferior temporal cornea without limbal involvement. Visual acuity was preserved, and AS-OCT confirmed epithelial confinement. Due to its dendritic morphology, herpetic epithelial keratitis was suspected and oral valaciclovir therapy was initiated without clinical improvement. Progressive enlargement with increasing corneal astigmatism was documented over 11 months. Corneal epitheliectomy with intraoperative mitomycin-C was performed, and histopathology confirmed CIN with diffuse p53 positivity. Postoperative evolution was favourable, best-corrected visual acuity remained preserved and no recurrence was observed at 9 months.",
        "Conclusions": "CIN may present as an asymptomatic dendritiform lesion closely resembling herpetic keratitis. Lack of therapeutic response and documented progression should prompt early reconsideration of diagnosis. Even isolated corneal epithelial lesions without limbal involvement should raise suspicion of ocular surface neoplasia. Timely diagnosis and appropriate surgical management allow favourable visual and clinical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CIN may present as an asymptomatic dendritiform lesion closely resembling herpetic keratitis. Lack of therapeutic response and documented progression should prompt early reconsideration of diagnosis. Even isolated corneal epithelial lesions without limbal involvement should raise suspicion of ocular surface neoplasia. Timely diagnosis and appropriate surgical management allow favourable visual and clinical outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1124,
      "source_fields": {
        "Abstract Final Identifier": "POCOR440",
        "Title": "A Challenging Presentation Of Corneal Intraepitelial Neoplasia",
        "Presenting Author(s)": "Dr Rafaela Correia Marreiros Castanheira",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Rafaela",
        "Submitter Middle Name": "Correia Marreiros",
        "Submitter Last Name": "Castanheira",
        "Country Name": "Portugal",
        "Purpose": "To report an incidental and atypical presentation of corneal intraepithelial neoplasia (CIN), within the spectrum of ocular surface squamous neoplasia (OSSN), mimicking herpetic epithelial keratitis and to highlight diagnostic challenges and clues in isolated corneal lesions without limbal involvement.",
        "Setting": "Tertiary referral ophthalmology center providing routine clinical care, advanced anterior segment imaging, and surgical management of ocular surface disease.",
        "Methods": "Case report of a 72-year-old man presenting for routine ophthalmological examination. Clinical assessment, anterior segment optical coherence tomography (AS-OCT), serial photographic follow-up, and histopathological evaluation were performed.",
        "Results": "The patient presented with a dendritiform keratotic epithelial lesion in the inferior temporal cornea without limbal involvement. Visual acuity was preserved, and AS-OCT confirmed epithelial confinement. Due to its dendritic morphology, herpetic epithelial keratitis was suspected and oral valaciclovir therapy was initiated without clinical improvement. Progressive enlargement with increasing corneal astigmatism was documented over 11 months. Corneal epitheliectomy with intraoperative mitomycin-C was performed, and histopathology confirmed CIN with diffuse p53 positivity. Postoperative evolution was favourable, best-corrected visual acuity remained preserved and no recurrence was observed at 9 months.",
        "Conclusions": "CIN may present as an asymptomatic dendritiform lesion closely resembling herpetic keratitis. Lack of therapeutic response and documented progression should prompt early reconsideration of diagnosis. Even isolated corneal epithelial lesions without limbal involvement should raise suspicion of ocular surface neoplasia. Timely diagnosis and appropriate surgical management allow favourable visual and clinical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCOR441",
      "abstract_number": "POCOR441",
      "title": "Corneal Sensitivity In A Contact Vs Non-Contact Lens Population Using Brill Esthesiometer",
      "authors": "Mrs Maria Fernanda Castillo De La Rosa",
      "presenter": "Mrs Maria Fernanda Castillo De La Rosa",
      "normalized_authors": [
        "Maria Fernanda Castillo De La Rosa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Fernanda Castillo De La Rosa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To evaluate and compare corneal sensitivity using the Brill Esthesiometer in contact vs non-contact lens wear healthy population and to obtain a normal cornea sensitivity value using the Brill esthesiometer.",
        "Setting": "Controlled prospective single center clincal study carried out at Instituto Oftalmológico Conde de Valenciana evaluating corneal sensitivity in contact lens users vs non users. Sensitivity was measured with Brill Esthesiomneter.",
        "Methods": "Inclusion criteria of healthy population included males and females, age 18-60, and for contact lens-wear same criteria adding at least 1 month of use of contact lens. Exclusion criteria for healthy population included; ocular surgery or pathology, use of contact lens, history of corneal infection, systemic diseases. The esthesiometer was used mounted on a slit lamp, the air outlet nozzle is positioned at a distance of 4mm from the corneal surface, the measurement is through a constant air pulse on the ocular surface, we repeat it 3 times to obtain average value in both populations. We used paired tests for quantitative analyses and x 2 or Fisher’s exact test for categorical analyses.",
        "Results": "We recruited 571 patients, 457 in the healthy and 114 in the contact-lens population in which 66.67% used rigid vs 24.56% soft contact lens. 50.88% were male in the first group vs 38.73% in the second group, and 49.12% were female vs 38.73% males in the second group. The median age was 36.19 and 31.78 respectively. We found no difference according to sex or age. The median corneal sensitivity in both eyes of the first group was 4.13 mbar vs 3.63 mbar in the second group, with a p<0.001. There was no significant p when considering the type of contact lens in the second group or the time of use. We defined as a “high loss of sensitivity” values over 5.5 mbar which was a value over 95% of confidence interval.",
        "Conclusions": "We have the first normative database of corneal sensitivity using the Brill esthesiometer. The results show the use of contact lens alters the sensitivity at least by 0.5 mbar . We define the standard of high loss of sensitivity as any value over 5.5 mbar."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We have the first normative database of corneal sensitivity using the Brill esthesiometer. The results show the use of contact lens alters the sensitivity at least by 0.5 mbar . We define the standard of high loss of sensitivity as any value over 5.5 mbar.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1125,
      "source_fields": {
        "Abstract Final Identifier": "POCOR441",
        "Title": "Corneal Sensitivity In A Contact Vs Non-Contact Lens Population Using Brill Esthesiometer",
        "Presenting Author(s)": "Mrs Maria Fernanda Castillo De La Rosa",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Maria Fernanda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Castillo De La Rosa",
        "Country Name": "Mexico",
        "Purpose": "To evaluate and compare corneal sensitivity using the Brill Esthesiometer in contact vs non-contact lens wear healthy population and to obtain a normal cornea sensitivity value using the Brill esthesiometer.",
        "Setting": "Controlled prospective single center clincal study carried out at Instituto Oftalmológico Conde de Valenciana evaluating corneal sensitivity in contact lens users vs non users. Sensitivity was measured with Brill Esthesiomneter.",
        "Methods": "Inclusion criteria of healthy population included males and females, age 18-60, and for contact lens-wear same criteria adding at least 1 month of use of contact lens. Exclusion criteria for healthy population included; ocular surgery or pathology, use of contact lens, history of corneal infection, systemic diseases. The esthesiometer was used mounted on a slit lamp, the air outlet nozzle is positioned at a distance of 4mm from the corneal surface, the measurement is through a constant air pulse on the ocular surface, we repeat it 3 times to obtain average value in both populations. We used paired tests for quantitative analyses and x 2 or Fisher’s exact test for categorical analyses.",
        "Results": "We recruited 571 patients, 457 in the healthy and 114 in the contact-lens population in which 66.67% used rigid vs 24.56% soft contact lens. 50.88% were male in the first group vs 38.73% in the second group, and 49.12% were female vs 38.73% males in the second group. The median age was 36.19 and 31.78 respectively. We found no difference according to sex or age. The median corneal sensitivity in both eyes of the first group was 4.13 mbar vs 3.63 mbar in the second group, with a p<0.001. There was no significant p when considering the type of contact lens in the second group or the time of use. We defined as a “high loss of sensitivity” values over 5.5 mbar which was a value over 95% of confidence interval.",
        "Conclusions": "We have the first normative database of corneal sensitivity using the Brill esthesiometer. The results show the use of contact lens alters the sensitivity at least by 0.5 mbar . We define the standard of high loss of sensitivity as any value over 5.5 mbar."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "POCOR442",
      "abstract_number": "POCOR442",
      "title": "Two Novel Topical Transamin Application Techniques In Achieving Ocular Surface Haemostasis",
      "authors": "Dr Juila Chan",
      "presenter": "Dr Juila Chan",
      "normalized_authors": [
        "Juila Chan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juila Chan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "To report 2 distinct techniques in achieving haemostasis in primary pterygium excision with autologous conjunctival graft intraoperatively.",
        "Setting": "Prompt haemostasis is essential when conducting ocular surface surgeries. Preoperative Subcutaneous and subconjunctival injection has been reported in the literature with contradicting results. The direct application of topical transmin in pterygium surgeries have yet to be discussed.",
        "Methods": "Intraoperative topical transamin in achieving haemostasis in pterygium surgeries are illustrated. The first method being cotton bud being nudged between the conjunctiva and the sclera for a direct pressure effect, then being soaked with transamin with a cannula during pterygium surgery. The second method utilises multiple sponge spears, with handles cut prior, being inserted into the subconjunctival space, followed by transmin injection to achieve haemostasis during pterygium surgery.",
        "Results": "With the combined physical (direct pressure) and chemical (transamin) effect, haemostasis has been achieved efficiently. The advantages of the first method are 1) efficient against focal bleeding, 2) frees the hands of the surgeon while awaiting haemostasis, and 3) the retained cutton bud handle prevents loss in the subconjunctival space. The second method is efficient against relatively extensive bleeding with a more extensive contact site, but care has to be taken to prevent any loss of sponges during retrieval.",
        "Conclusions": "The two topical transamin application methods are effective against ocular surface bleeding. Postoperative follow-up do not yield any systemic or local complication from the use of topical transamin."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The two topical transamin application methods are effective against ocular surface bleeding. Postoperative follow-up do not yield any systemic or local complication from the use of topical transamin.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1126,
      "source_fields": {
        "Abstract Final Identifier": "POCOR442",
        "Title": "Two Novel Topical Transamin Application Techniques In Achieving Ocular Surface Haemostasis",
        "Presenting Author(s)": "Dr Juila Chan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Juila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chan",
        "Country Name": "Hong Kong",
        "Purpose": "To report 2 distinct techniques in achieving haemostasis in primary pterygium excision with autologous conjunctival graft intraoperatively.",
        "Setting": "Prompt haemostasis is essential when conducting ocular surface surgeries. Preoperative Subcutaneous and subconjunctival injection has been reported in the literature with contradicting results. The direct application of topical transmin in pterygium surgeries have yet to be discussed.",
        "Methods": "Intraoperative topical transamin in achieving haemostasis in pterygium surgeries are illustrated. The first method being cotton bud being nudged between the conjunctiva and the sclera for a direct pressure effect, then being soaked with transamin with a cannula during pterygium surgery. The second method utilises multiple sponge spears, with handles cut prior, being inserted into the subconjunctival space, followed by transmin injection to achieve haemostasis during pterygium surgery.",
        "Results": "With the combined physical (direct pressure) and chemical (transamin) effect, haemostasis has been achieved efficiently. The advantages of the first method are 1) efficient against focal bleeding, 2) frees the hands of the surgeon while awaiting haemostasis, and 3) the retained cutton bud handle prevents loss in the subconjunctival space. The second method is efficient against relatively extensive bleeding with a more extensive contact site, but care has to be taken to prevent any loss of sponges during retrieval.",
        "Conclusions": "The two topical transamin application methods are effective against ocular surface bleeding. Postoperative follow-up do not yield any systemic or local complication from the use of topical transamin."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCOR443",
      "abstract_number": "POCOR443",
      "title": "Artificial Intelligence Assisted Early Detection Of Evaporative Dry Eye Via Meibomian Gland Analysis : A Clinically Transformative Approach.",
      "authors": "Ms Saja Jamil Charanek",
      "presenter": "Ms Saja Jamil Charanek",
      "normalized_authors": [
        "Saja Jamil Charanek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saja Jamil Charanek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "Evaporative dry eye (EDE), primarily caused by meibomian gland dysfunction (MGD), continues to be a prevalent and debilitating condition that affects millions globally. Current diagnostic methods, including the Schirmer test and Tear Breakup Time (TBUT), lack the sensitivity required for early-stage detection of meibomian gland irregularities, often leading to delayed intervention. This abstract reviews and synthesizes findings from various studies to assess the role of Artificial Intelligence (AI) in the early detection of EDE through meibomian gland analysis , offering insights into how AI could transform current diagnostic practices and improve patient outcomes.",
        "Setting": "This review synthesizes existing studies using AI algorithms to analyze meibomian gland images captured through meibography . It draws from clinical and research settings where AI has been tested for diagnosing meibomian gland dysfunction (MGD) , evaluating its real-world applicability for improving diagnostic workflows in dry eye management.",
        "Methods": "A structured review of the literature was conducted focusing on the use of AI-based diagnostic tools for the assessment of meibomian gland health in patients with suspected dry eye disease. AI models trained on meibography images were evaluated for their ability to detect early-stage meibomian gland dysfunction (MGD) , including the identification of gland dropout, size irregularities, and abnormal lipid secretion patterns. The diagnostic performance of these AI models was compared to traditional methods such as the Schirmer test and TBUT, with a primary focus on key metrics such as sensitivity , specificity , diagnostic accuracy , and predictive value .",
        "Results": "Across multiple studies, AI-based systems demonstrated significantly improved diagnostic performance over traditional methods, with sensitivity up to 92% and specificity of 88% . AI detected subtle meibomian gland abnormalities often missed by conventional methods, allowing for earlier intervention and better long-term patient outcomes, particularly in refractive surgery patients.",
        "Conclusions": "AI-assisted meibomian gland analysis represents a clinically transformative approach for diagnosing evaporative dry eye and meibomian gland dysfunction . The integration of AI into clinical practice offers enhanced diagnostic accuracy , enabling early detection and timely intervention , which can significantly improve patient outcomes in refractive surgery and dry eye management . AI’s ability to streamline diagnostic workflows presents an opportunity to optimize clinical efficiency and improve patient care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-assisted meibomian gland analysis represents a clinically transformative approach for diagnosing evaporative dry eye and meibomian gland dysfunction . The integration of AI into clinical practice offers enhanced diagnostic accuracy , enabling early detection and timely intervention , which can significantly improve patient outcomes in refractive surgery and dry eye management . AI’s ability to streamline…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1127,
      "source_fields": {
        "Abstract Final Identifier": "POCOR443",
        "Title": "Artificial Intelligence Assisted Early Detection Of Evaporative Dry Eye Via Meibomian Gland Analysis : A Clinically Transformative Approach.",
        "Presenting Author(s)": "Ms Saja Jamil Charanek",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Saja",
        "Submitter Middle Name": "Jamil",
        "Submitter Last Name": "Charanek",
        "Country Name": "United Arab Emirates",
        "Purpose": "Evaporative dry eye (EDE), primarily caused by meibomian gland dysfunction (MGD), continues to be a prevalent and debilitating condition that affects millions globally. Current diagnostic methods, including the Schirmer test and Tear Breakup Time (TBUT), lack the sensitivity required for early-stage detection of meibomian gland irregularities, often leading to delayed intervention. This abstract reviews and synthesizes findings from various studies to assess the role of Artificial Intelligence (AI) in the early detection of EDE through meibomian gland analysis , offering insights into how AI could transform current diagnostic practices and improve patient outcomes.",
        "Setting": "This review synthesizes existing studies using AI algorithms to analyze meibomian gland images captured through meibography . It draws from clinical and research settings where AI has been tested for diagnosing meibomian gland dysfunction (MGD) , evaluating its real-world applicability for improving diagnostic workflows in dry eye management.",
        "Methods": "A structured review of the literature was conducted focusing on the use of AI-based diagnostic tools for the assessment of meibomian gland health in patients with suspected dry eye disease. AI models trained on meibography images were evaluated for their ability to detect early-stage meibomian gland dysfunction (MGD) , including the identification of gland dropout, size irregularities, and abnormal lipid secretion patterns. The diagnostic performance of these AI models was compared to traditional methods such as the Schirmer test and TBUT, with a primary focus on key metrics such as sensitivity , specificity , diagnostic accuracy , and predictive value .",
        "Results": "Across multiple studies, AI-based systems demonstrated significantly improved diagnostic performance over traditional methods, with sensitivity up to 92% and specificity of 88% . AI detected subtle meibomian gland abnormalities often missed by conventional methods, allowing for earlier intervention and better long-term patient outcomes, particularly in refractive surgery patients.",
        "Conclusions": "AI-assisted meibomian gland analysis represents a clinically transformative approach for diagnosing evaporative dry eye and meibomian gland dysfunction . The integration of AI into clinical practice offers enhanced diagnostic accuracy , enabling early detection and timely intervention , which can significantly improve patient outcomes in refractive surgery and dry eye management . AI’s ability to streamline diagnostic workflows presents an opportunity to optimize clinical efficiency and improve patient care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "POCOR444",
      "abstract_number": "POCOR444",
      "title": "Study On The Role Of Human Corneal Stromal Cells Derived From Smile Lenticules In Corneal Stromal Opacity Repair",
      "authors": "Dr Yuexi Chen",
      "presenter": "Dr Yuexi Chen",
      "normalized_authors": [
        "Yuexi Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yuexi Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To establish optimal culture conditions for extracting human corneal stromal cells (hCSCs) from SMILE -Derived lenticules and to assess their therapeutic potential in corneal stromal opacity through in vitro reprogramming.",
        "Setting": "Corneal opacity and scarring are major causes of blindness, and current treatments mainly rely on corneal transplantation, which is limited by donor shortage and immune rejection. Corneal stromal stem cells (CSSCs) show great potential in inhibiting fibrosis and promoting stromal transparency, but their availability remains restricted. SMILE surgery produces a large number of stromal lenticules each year, providing a novel and sustainable cell source for therapy.",
        "Methods": "The hCSCs were extracted from corneal stromal lenticules obtained through SMILE surgery. And then, these cells were cultured on a novel 3D spheroid culture platform with conditioned medium (CM) from induced pluripotent stem cells (iPSCs) to reprogram them and increase their stemness. A rabbit corneal stromal opacity model was created using concentrated sulfuric acid. Subsequently, intrastromal cell transplantation was performed with the assistance of femtosecond laser technology(VisuMax500, Zeiss). The transparency of the cornea, expression of fibrosis markers, and inflammatory responses following transplantation were assessed using slit-lamp photography, AS-OCT, corneal topography, and immunofluorescence staining of frozen sections.",
        "Results": "The hCSCs with good viability were successfully extracted from corneal stromal lenticules obtained through SMILE surgery. The iPS-conditioned medium (iPS-CM) and 3D cell cultureantly enhanced the stemness properties of these cells, with increased system-significant expression of pluripotency factors including OCT4, NANOG, SOX2, KLF4, and PAX6. Femtosecond laser-assisted transplantation successfully delivered hCSCs into the corneal stroma of rabbits. Postoperative follow-up showed reduced corneal opacity, restored corneal thickness, decreased expression of fibrosis markers (e.g., α-SMA), and no significant immune rejection in the cell transplantation group.",
        "Conclusions": "Stromal lenticules derived from SMILE surgery serve as a high-quality cell source for in vitro cultivation of corneal stromal cells. Following reprogramming, hCSCs exhibit promising safety and therapeutic efficacy in a rabbit model of corneal stromal opacity, thereby establishing a novel cellular therapeutic approach for clinical management of corneal opacification and scar tissue formation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Stromal lenticules derived from SMILE surgery serve as a high-quality cell source for in vitro cultivation of corneal stromal cells. Following reprogramming, hCSCs exhibit promising safety and therapeutic efficacy in a rabbit model of corneal stromal opacity, thereby establishing a novel cellular therapeutic approach for clinical management of corneal opacification and scar tissue formation.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1128,
      "source_fields": {
        "Abstract Final Identifier": "POCOR444",
        "Title": "Study On The Role Of Human Corneal Stromal Cells Derived From Smile Lenticules In Corneal Stromal Opacity Repair",
        "Presenting Author(s)": "Dr Yuexi Chen",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yuexi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "China",
        "Purpose": "To establish optimal culture conditions for extracting human corneal stromal cells (hCSCs) from SMILE -Derived lenticules and to assess their therapeutic potential in corneal stromal opacity through in vitro reprogramming.",
        "Setting": "Corneal opacity and scarring are major causes of blindness, and current treatments mainly rely on corneal transplantation, which is limited by donor shortage and immune rejection. Corneal stromal stem cells (CSSCs) show great potential in inhibiting fibrosis and promoting stromal transparency, but their availability remains restricted. SMILE surgery produces a large number of stromal lenticules each year, providing a novel and sustainable cell source for therapy.",
        "Methods": "The hCSCs were extracted from corneal stromal lenticules obtained through SMILE surgery. And then, these cells were cultured on a novel 3D spheroid culture platform with conditioned medium (CM) from induced pluripotent stem cells (iPSCs) to reprogram them and increase their stemness. A rabbit corneal stromal opacity model was created using concentrated sulfuric acid. Subsequently, intrastromal cell transplantation was performed with the assistance of femtosecond laser technology(VisuMax500, Zeiss). The transparency of the cornea, expression of fibrosis markers, and inflammatory responses following transplantation were assessed using slit-lamp photography, AS-OCT, corneal topography, and immunofluorescence staining of frozen sections.",
        "Results": "The hCSCs with good viability were successfully extracted from corneal stromal lenticules obtained through SMILE surgery. The iPS-conditioned medium (iPS-CM) and 3D cell cultureantly enhanced the stemness properties of these cells, with increased system-significant expression of pluripotency factors including OCT4, NANOG, SOX2, KLF4, and PAX6. Femtosecond laser-assisted transplantation successfully delivered hCSCs into the corneal stroma of rabbits. Postoperative follow-up showed reduced corneal opacity, restored corneal thickness, decreased expression of fibrosis markers (e.g., α-SMA), and no significant immune rejection in the cell transplantation group.",
        "Conclusions": "Stromal lenticules derived from SMILE surgery serve as a high-quality cell source for in vitro cultivation of corneal stromal cells. Following reprogramming, hCSCs exhibit promising safety and therapeutic efficacy in a rabbit model of corneal stromal opacity, thereby establishing a novel cellular therapeutic approach for clinical management of corneal opacification and scar tissue formation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCOR445",
      "abstract_number": "POCOR445",
      "title": "Long-Term Trends In Dry Eye Disease Treatment In South Korea: A Nationwide Population-Based Analysis Using National Health Insurance Claims Data (2014–2023)",
      "authors": "Dr Se Hyun Choi",
      "presenter": "Dr Se Hyun Choi",
      "normalized_authors": [
        "Se Hyun Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Se Hyun Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate long-term trends in the prevalence of dry eye disease (DED) and changes in pharmacological treatment patterns in South Korea using a nationwide claims database, with a focus on age-, sex-, and formulation-specific prescribing pattern.",
        "Setting": "Nationwide, population-based study using a customized National Health Insurance Service (NHIS) claims database in South Korea, based on a mandatory universal insurance system covering nearly the entire population.",
        "Methods": "We conducted a retrospective analysis of NHIS claims from 2014 to 2023. Patients were defined as having DED if they had at least one relevant ICD-10 diagnosis (H04.11, H16.1, H16.13, H16.18, H16.2, M35.0) and at least one prescription for DED-related topical medication. Annual prevalence was calculated using national census data as the denominator. Prescriptions were categorized into six pharmacological classes: hyaluronic acid (HA), carboxymethylcellulose (CMC), diquafosol, rebamipide, povidone, and cyclosporine. Temporal trends in drug class distribution, single-use versus multiuse formulations, and the mean number of distinct prescribed drug classes per patient were analyzed.",
        "Results": "Between 2014 and 2023, approximately 9.87 million patients with treated DED were identified. Annual prevalence increased from about 5.0% in 2014 to 5.5% in 2023 and was consistently higher in women and older age groups. HA remained the most prescribed agent (81.4%), followed by diquafosol (8.6%) and CMC (4.6%). Over time, prescriptions of cyclosporine and mucin secretagogues increased, whereas the relative share of HA and CMC declined. The proportion of single-use formulations rose steadily, particularly among younger patients, while older patients more frequently received multiuse preparations. The mean number of prescribed drug classes per patient increased from 1.49 in 2014 to 1.59 in 2023.",
        "Conclusions": "This nationwide analysis demonstrates a gradual increase in treated DED prevalence and a clear shift toward anti-inflammatory therapy and single-use formulations over the past decade. The rising number of prescribed drug classes per patient indicates increasing treatment complexity, reflecting evolving clinical practice in DED management and providing real-world evidence relevant to clinical guidelines and health policy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This nationwide analysis demonstrates a gradual increase in treated DED prevalence and a clear shift toward anti-inflammatory therapy and single-use formulations over the past decade. The rising number of prescribed drug classes per patient indicates increasing treatment complexity, reflecting evolving clinical practice in DED management and providing real-world evidence relevant to clinical guidelines and health…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1129,
      "source_fields": {
        "Abstract Final Identifier": "POCOR445",
        "Title": "Long-Term Trends In Dry Eye Disease Treatment In South Korea: A Nationwide Population-Based Analysis Using National Health Insurance Claims Data (2014–2023)",
        "Presenting Author(s)": "Dr Se Hyun Choi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Se Hyun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate long-term trends in the prevalence of dry eye disease (DED) and changes in pharmacological treatment patterns in South Korea using a nationwide claims database, with a focus on age-, sex-, and formulation-specific prescribing pattern.",
        "Setting": "Nationwide, population-based study using a customized National Health Insurance Service (NHIS) claims database in South Korea, based on a mandatory universal insurance system covering nearly the entire population.",
        "Methods": "We conducted a retrospective analysis of NHIS claims from 2014 to 2023. Patients were defined as having DED if they had at least one relevant ICD-10 diagnosis (H04.11, H16.1, H16.13, H16.18, H16.2, M35.0) and at least one prescription for DED-related topical medication. Annual prevalence was calculated using national census data as the denominator. Prescriptions were categorized into six pharmacological classes: hyaluronic acid (HA), carboxymethylcellulose (CMC), diquafosol, rebamipide, povidone, and cyclosporine. Temporal trends in drug class distribution, single-use versus multiuse formulations, and the mean number of distinct prescribed drug classes per patient were analyzed.",
        "Results": "Between 2014 and 2023, approximately 9.87 million patients with treated DED were identified. Annual prevalence increased from about 5.0% in 2014 to 5.5% in 2023 and was consistently higher in women and older age groups. HA remained the most prescribed agent (81.4%), followed by diquafosol (8.6%) and CMC (4.6%). Over time, prescriptions of cyclosporine and mucin secretagogues increased, whereas the relative share of HA and CMC declined. The proportion of single-use formulations rose steadily, particularly among younger patients, while older patients more frequently received multiuse preparations. The mean number of prescribed drug classes per patient increased from 1.49 in 2014 to 1.59 in 2023.",
        "Conclusions": "This nationwide analysis demonstrates a gradual increase in treated DED prevalence and a clear shift toward anti-inflammatory therapy and single-use formulations over the past decade. The rising number of prescribed drug classes per patient indicates increasing treatment complexity, reflecting evolving clinical practice in DED management and providing real-world evidence relevant to clinical guidelines and health policy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POCOR446",
      "abstract_number": "POCOR446",
      "title": "Fire Series: Expanding Clinical Experience And Early Outcomes Of Dual Pathway Vascular Blockade In Corneal Neovascularisation",
      "authors": "Ms Marketa Cilkova",
      "presenter": "Ms Marketa Cilkova",
      "normalized_authors": [
        "Marketa Cilkova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marketa Cilkova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the early clinical outcomes of faricimab for corneal neovascularisation in routine clinical practice. Through dual pathway inhibition of VEGF A and angiopoietin 2, faricimab may offer therapeutic advantages in disease that is persistent or progressive despite conventional management. Building on prior case reports, this expanded consecutive case series assesses clinical response, tolerability, and potential therapeutic role, providing preliminary evidence for future prospective studies.",
        "Setting": "This retrospective case series was conducted within specialist corneal services at a UK regional ophthalmology centre. Patients were treated in consultant led outpatient clinics, reflecting contemporary management of complex corneal neovascular disease.",
        "Methods": "A retrospective observational case series of consecutive patients with persistent or progressive corneal neovascularisation treated with intrastromal and subconjunctival faricimab was undertaken within a specialist corneal service between 2023 and 2025. All eyes exhibited active neovascularisation despite prior conventional therapy. Faricimab was administered in divided doses targeting the most active vascular fronts. Baseline and follow up anterior segment imaging were reviewed. Primary outcomes included changes in neovascular extent and perfusion, corneal clarity, symptom response, and safety. This expanded clinical experience moves beyond isolated case reports and reflects real world therapeutic application.",
        "Results": "The cohort represented a broad spectrum of aetiologies, including infection, trauma, autoimmune disease, keratoconus, endothelial failure, and prior graft rejection. Many eyes had complex histories with multiple previous interventions. Most demonstrated early reduction in vessel calibre and perfusion following treatment. In several cases, pronounced regression of active neovascular fronds was observed, accompanied by improved corneal clarity and surface regularity. Faricimab was well tolerated, with no significant ocular or systemic adverse events identified. Quantitative vessel area analysis remains ongoing.",
        "Conclusions": "This expanded clinical experience demonstrates that faricimab may represent an important therapeutic advance in corneal neovascularisation that remains challenging to control with established treatments. Dual pathway inhibition of VEGF and angiopoietin 2 appears to drive meaningful regression of pathological vessels and stabilisation of disease activity. Ongoing quantitative analysis will further define treatment durability and magnitude of response, supporting progression to futher prospective evaluation and broader clinical adoption."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This expanded clinical experience demonstrates that faricimab may represent an important therapeutic advance in corneal neovascularisation that remains challenging to control with established treatments. Dual pathway inhibition of VEGF and angiopoietin 2 appears to drive meaningful regression of pathological vessels and stabilisation of disease activity. Ongoing quantitative analysis will further define treatment…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1130,
      "source_fields": {
        "Abstract Final Identifier": "POCOR446",
        "Title": "Fire Series: Expanding Clinical Experience And Early Outcomes Of Dual Pathway Vascular Blockade In Corneal Neovascularisation",
        "Presenting Author(s)": "Ms Marketa Cilkova",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Marketa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cilkova",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the early clinical outcomes of faricimab for corneal neovascularisation in routine clinical practice. Through dual pathway inhibition of VEGF A and angiopoietin 2, faricimab may offer therapeutic advantages in disease that is persistent or progressive despite conventional management. Building on prior case reports, this expanded consecutive case series assesses clinical response, tolerability, and potential therapeutic role, providing preliminary evidence for future prospective studies.",
        "Setting": "This retrospective case series was conducted within specialist corneal services at a UK regional ophthalmology centre. Patients were treated in consultant led outpatient clinics, reflecting contemporary management of complex corneal neovascular disease.",
        "Methods": "A retrospective observational case series of consecutive patients with persistent or progressive corneal neovascularisation treated with intrastromal and subconjunctival faricimab was undertaken within a specialist corneal service between 2023 and 2025. All eyes exhibited active neovascularisation despite prior conventional therapy. Faricimab was administered in divided doses targeting the most active vascular fronts. Baseline and follow up anterior segment imaging were reviewed. Primary outcomes included changes in neovascular extent and perfusion, corneal clarity, symptom response, and safety. This expanded clinical experience moves beyond isolated case reports and reflects real world therapeutic application.",
        "Results": "The cohort represented a broad spectrum of aetiologies, including infection, trauma, autoimmune disease, keratoconus, endothelial failure, and prior graft rejection. Many eyes had complex histories with multiple previous interventions. Most demonstrated early reduction in vessel calibre and perfusion following treatment. In several cases, pronounced regression of active neovascular fronds was observed, accompanied by improved corneal clarity and surface regularity. Faricimab was well tolerated, with no significant ocular or systemic adverse events identified. Quantitative vessel area analysis remains ongoing.",
        "Conclusions": "This expanded clinical experience demonstrates that faricimab may represent an important therapeutic advance in corneal neovascularisation that remains challenging to control with established treatments. Dual pathway inhibition of VEGF and angiopoietin 2 appears to drive meaningful regression of pathological vessels and stabilisation of disease activity. Ongoing quantitative analysis will further define treatment durability and magnitude of response, supporting progression to futher prospective evaluation and broader clinical adoption."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POCOR447",
      "abstract_number": "POCOR447",
      "title": "A 14-Year Retrospective Clinical Analysis Of Amniotic Membrane Transplantation In A Tertiary Center",
      "authors": "Dr Alexandra Campos Da Silva",
      "presenter": "Dr Alexandra Campos Da Silva",
      "normalized_authors": [
        "Alexandra Campos Da Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexandra Campos Da Silva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To describe the indications for amniotic membrane transplantation (AMT) and assess its clinical effectiveness in the management of ocular surface diseases.",
        "Setting": "Retrospective, observational, longitudinal study, conducted in a tertiary referral center (Ophthalmology Department of Hospital de São João, Portugal).",
        "Methods": "A retrospective review was performed of all patients who underwent AMT between August 2011 and December 2025. Electronic medical records were analyzed to collect demographic data, clinical indications, visual outcomes, and the need for additional surgical interventions.",
        "Results": "133 eyes from 128 patients were included; 62.5% were male. Mean age at the time of AMT was 59.51 ± 20.36 years. The main indications included neurotrophic ulcer (34.6%), ocular perforation (27.8%), descemetocele (9.8%), and ocular surface burns (9.0%). In chronic non-healing neurotrophic ulcers, AMT promoted complete re-epithelialization after a single procedure in 29 of 46 eyes (63.0%). Among eyes treated for corneal perforation, 25 of 37 (67.6%) didn't require further surgery, avoiding corneal transplantation or evisceration. Additional procedures were required in 30.1% (40 eyes), including repeat AMT in 18.8% (n=25), corneal transplantation in 9.0% (n=12), and evisceration in 2.3% (n=3).",
        "Conclusions": "Even in the setting of severe and chronic ocular surface disease, AMT resulted in meaningful clinical improvement in most cases, promoting ocular surface stabilization and epithelial healing while frequently avoiding corneal transplantation or evisceration despite the intrinsic complexity of the treated conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Even in the setting of severe and chronic ocular surface disease, AMT resulted in meaningful clinical improvement in most cases, promoting ocular surface stabilization and epithelial healing while frequently avoiding corneal transplantation or evisceration despite the intrinsic complexity of the treated conditions.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1131,
      "source_fields": {
        "Abstract Final Identifier": "POCOR447",
        "Title": "A 14-Year Retrospective Clinical Analysis Of Amniotic Membrane Transplantation In A Tertiary Center",
        "Presenting Author(s)": "Dr Alexandra Campos Da Silva",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alexandra",
        "Submitter Middle Name": "Campos",
        "Submitter Last Name": "Da Silva",
        "Country Name": "Portugal",
        "Purpose": "To describe the indications for amniotic membrane transplantation (AMT) and assess its clinical effectiveness in the management of ocular surface diseases.",
        "Setting": "Retrospective, observational, longitudinal study, conducted in a tertiary referral center (Ophthalmology Department of Hospital de São João, Portugal).",
        "Methods": "A retrospective review was performed of all patients who underwent AMT between August 2011 and December 2025. Electronic medical records were analyzed to collect demographic data, clinical indications, visual outcomes, and the need for additional surgical interventions.",
        "Results": "133 eyes from 128 patients were included; 62.5% were male. Mean age at the time of AMT was 59.51 ± 20.36 years. The main indications included neurotrophic ulcer (34.6%), ocular perforation (27.8%), descemetocele (9.8%), and ocular surface burns (9.0%). In chronic non-healing neurotrophic ulcers, AMT promoted complete re-epithelialization after a single procedure in 29 of 46 eyes (63.0%). Among eyes treated for corneal perforation, 25 of 37 (67.6%) didn't require further surgery, avoiding corneal transplantation or evisceration. Additional procedures were required in 30.1% (40 eyes), including repeat AMT in 18.8% (n=25), corneal transplantation in 9.0% (n=12), and evisceration in 2.3% (n=3).",
        "Conclusions": "Even in the setting of severe and chronic ocular surface disease, AMT resulted in meaningful clinical improvement in most cases, promoting ocular surface stabilization and epithelial healing while frequently avoiding corneal transplantation or evisceration despite the intrinsic complexity of the treated conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POCOR448",
      "abstract_number": "POCOR448",
      "title": "Not So Herpes: The Importance Of Eyelid Examination - A Case Report",
      "authors": "Dr Alexandra Campos Da Silva",
      "presenter": "Dr Alexandra Campos Da Silva",
      "normalized_authors": [
        "Alexandra Campos Da Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexandra Campos Da Silva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Rosacea is a chronic inflammatory dermatosis characterized by recurrent episodes of flushing, transient or persistent erythema, papules, pustules and telangiectasia. Multiple factors can trigger exacerbations. Some studies report that ocular involvement occurs in about half of patients with rosacea, including dryness, photophobia, conjunctivitis, blepharitis and, rarely, keratitis that might threaten visual acuity. Ocular rosacea may occur regardless of severity of cutaneous manifestations. This case report highlights the importance of careful eyelid examination, as periocular manifestations may be crucial in establishing definitive diagnosis.",
        "Setting": "Ophthalmology Department, Unidade Local de Saúde de São João, Porto, Portugal.",
        "Methods": "A 12-year-old boy came to the emergency department with a 1-week history of red right eye (OD) and decreased vision, previously diagnosed elsewhere as recurrent ocular herpes. Best-corrected visual acuity (BCVA) was hand motion in OD. Examination showed peri-nasal vesicular-like skin lesions, conjunctival hyperemia, punctate superficial keratitis, diffuse corneal haze, and 360º corneal neovascularization with central extension. It was prescribed oral acyclovir and cloranphenicol ointment and the patient was referred to the Cornea Department. On further evaluation, a history of recurrent red eye and chalazia was elicited.",
        "Results": "Eyelid findings included meibomian glands inspissation, and telangiectasias. Ocular rosacea causing chronic blepharitis was considered the presumptive diagnosis and patient was treated accordingly (oxytetracycline ointment, tobramycin and dexamethasone eye drops and an artificial tear with a lipidic component). Seven days later, OD BCVA was 20/200. Anterior segment evaluation showed an improvement in blepharitis. Aciclovir was stopped at this point. Three months after the emergency department evaluation, OD BCVA was 20/100. Anterior segment assessment revealed only mild neovascularization in the inferior cornea, and anterior chamber details were completely visible. A topography was performed and revealed a 10-diopter irregular astigmatism.",
        "Conclusions": "This case illustrates the diagnostic challenge of pediatric ocular surface disease and the risk of anchoring bias in the setting of a prior diagnosis of herpetic keratitis. Careful history-taking and meticulous eyelid examination were pivotal, as recurrent red-eye episodes, chalazia, blepharitis, telangiectasia, and meibomian gland dysfunction supported the diagnosis of ocular rosacea with severe keratitis. Recognition of the underlying process enabled appropriate corticosteroid-based management, with important implications for visual prognosis and prevention of future relapses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case illustrates the diagnostic challenge of pediatric ocular surface disease and the risk of anchoring bias in the setting of a prior diagnosis of herpetic keratitis. Careful history-taking and meticulous eyelid examination were pivotal, as recurrent red-eye episodes, chalazia, blepharitis, telangiectasia, and meibomian gland dysfunction supported the diagnosis of ocular rosacea with severe keratitis.…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1132,
      "source_fields": {
        "Abstract Final Identifier": "POCOR448",
        "Title": "Not So Herpes: The Importance Of Eyelid Examination - A Case Report",
        "Presenting Author(s)": "Dr Alexandra Campos Da Silva",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alexandra",
        "Submitter Middle Name": "Campos",
        "Submitter Last Name": "Da Silva",
        "Country Name": "Portugal",
        "Purpose": "Rosacea is a chronic inflammatory dermatosis characterized by recurrent episodes of flushing, transient or persistent erythema, papules, pustules and telangiectasia. Multiple factors can trigger exacerbations. Some studies report that ocular involvement occurs in about half of patients with rosacea, including dryness, photophobia, conjunctivitis, blepharitis and, rarely, keratitis that might threaten visual acuity. Ocular rosacea may occur regardless of severity of cutaneous manifestations. This case report highlights the importance of careful eyelid examination, as periocular manifestations may be crucial in establishing definitive diagnosis.",
        "Setting": "Ophthalmology Department, Unidade Local de Saúde de São João, Porto, Portugal.",
        "Methods": "A 12-year-old boy came to the emergency department with a 1-week history of red right eye (OD) and decreased vision, previously diagnosed elsewhere as recurrent ocular herpes. Best-corrected visual acuity (BCVA) was hand motion in OD. Examination showed peri-nasal vesicular-like skin lesions, conjunctival hyperemia, punctate superficial keratitis, diffuse corneal haze, and 360º corneal neovascularization with central extension. It was prescribed oral acyclovir and cloranphenicol ointment and the patient was referred to the Cornea Department. On further evaluation, a history of recurrent red eye and chalazia was elicited.",
        "Results": "Eyelid findings included meibomian glands inspissation, and telangiectasias. Ocular rosacea causing chronic blepharitis was considered the presumptive diagnosis and patient was treated accordingly (oxytetracycline ointment, tobramycin and dexamethasone eye drops and an artificial tear with a lipidic component). Seven days later, OD BCVA was 20/200. Anterior segment evaluation showed an improvement in blepharitis. Aciclovir was stopped at this point. Three months after the emergency department evaluation, OD BCVA was 20/100. Anterior segment assessment revealed only mild neovascularization in the inferior cornea, and anterior chamber details were completely visible. A topography was performed and revealed a 10-diopter irregular astigmatism.",
        "Conclusions": "This case illustrates the diagnostic challenge of pediatric ocular surface disease and the risk of anchoring bias in the setting of a prior diagnosis of herpetic keratitis. Careful history-taking and meticulous eyelid examination were pivotal, as recurrent red-eye episodes, chalazia, blepharitis, telangiectasia, and meibomian gland dysfunction supported the diagnosis of ocular rosacea with severe keratitis. Recognition of the underlying process enabled appropriate corticosteroid-based management, with important implications for visual prognosis and prevention of future relapses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POCOR449",
      "abstract_number": "POCOR449",
      "title": "The Role Of Tenonplasty In Globe Salvage And Decreasing Tectonic Corneal Transplant In Acute Ocular Chemical Injury",
      "authors": "Dr Aditi GHOSH Dastidar",
      "presenter": "Dr Aditi GHOSH Dastidar",
      "normalized_authors": [
        "Aditi GHOSH Dastidar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aditi GHOSH Dastidar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "This study describes importance and outcome of tenonplasty in globe survival in acute chemical ocular burns",
        "Setting": "Retrospective case study conducted at tertiary care center in all patients with chemical injury between the period of 2 years",
        "Methods": "Retrospective case study conducted at tertiary care center in all patients with chemical injury between the period of 2 years. Chemical injuries\nwere graded from I to IV (Dua's classification) . Chemical injuries were segregated according to time of presentation, less than and more than 1 week respectively.",
        "Results": "50 eyes of 36 patients were included in our study. Out of 36 patients , 22 (61.1%) patients had single eye involvement , while 14 (38.8%) patients had\nbilateral involvement . Male preponderance was noted .In 69% of cases, causative agent was alkaline agent , most common being lime (38.8%). Tectonic corneal penetrating keratoplasty was needed in two eyes suggestive that tenonplasty decreases corneal and scleral melt related complications, thus decreasing need of tectonic corneal transplant position in acute stage , where graft survival is poor due to ocular surface inflammation. Two eyes underwent symblepharon release. In our study, one eye developed pthysis and four cases were lost to follow-up.",
        "Conclusions": "Ocular chemical injury is considered true eye emergency needing immediate intervention. Paradigm shift has been noted in the management, incorporating required surgical procedures in window of opportunity. Tenonplasty is surgical procedure which involves advancing of tenons capsule pedicle over the ischemic areas (limbal / scleral) to provide a vascular supply and improve the micro environment of ocular surface, decreasing corneo-scleral melt thus decreasing need of tectonic corneal procedure in inflamed surface , thus decreasing burden on the corneal donor pool.\n\nWe emphasize the need of tenonplasty in eyes with presence of scleral ischemia and limbal ischemia as these factors have poor prognosis in anatomical and visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ocular chemical injury is considered true eye emergency needing immediate intervention. Paradigm shift has been noted in the management, incorporating required surgical procedures in window of opportunity. Tenonplasty is surgical procedure which involves advancing of tenons capsule pedicle over the ischemic areas (limbal / scleral) to provide a vascular supply and improve the micro environment of ocular surface,…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1133,
      "source_fields": {
        "Abstract Final Identifier": "POCOR449",
        "Title": "The Role Of Tenonplasty In Globe Salvage And Decreasing Tectonic Corneal Transplant In Acute Ocular Chemical Injury",
        "Presenting Author(s)": "Dr Aditi GHOSH Dastidar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Aditi",
        "Submitter Middle Name": "GHOSH",
        "Submitter Last Name": "Dastidar",
        "Country Name": "India",
        "Purpose": "This study describes importance and outcome of tenonplasty in globe survival in acute chemical ocular burns",
        "Setting": "Retrospective case study conducted at tertiary care center in all patients with chemical injury between the period of 2 years",
        "Methods": "Retrospective case study conducted at tertiary care center in all patients with chemical injury between the period of 2 years. Chemical injuries\nwere graded from I to IV (Dua's classification) . Chemical injuries were segregated according to time of presentation, less than and more than 1 week respectively.",
        "Results": "50 eyes of 36 patients were included in our study. Out of 36 patients , 22 (61.1%) patients had single eye involvement , while 14 (38.8%) patients had\nbilateral involvement . Male preponderance was noted .In 69% of cases, causative agent was alkaline agent , most common being lime (38.8%). Tectonic corneal penetrating keratoplasty was needed in two eyes suggestive that tenonplasty decreases corneal and scleral melt related complications, thus decreasing need of tectonic corneal transplant position in acute stage , where graft survival is poor due to ocular surface inflammation. Two eyes underwent symblepharon release. In our study, one eye developed pthysis and four cases were lost to follow-up.",
        "Conclusions": "Ocular chemical injury is considered true eye emergency needing immediate intervention. Paradigm shift has been noted in the management, incorporating required surgical procedures in window of opportunity. Tenonplasty is surgical procedure which involves advancing of tenons capsule pedicle over the ischemic areas (limbal / scleral) to provide a vascular supply and improve the micro environment of ocular surface, decreasing corneo-scleral melt thus decreasing need of tectonic corneal procedure in inflamed surface , thus decreasing burden on the corneal donor pool.\n\nWe emphasize the need of tenonplasty in eyes with presence of scleral ischemia and limbal ischemia as these factors have poor prognosis in anatomical and visual rehabilitation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCOR450",
      "abstract_number": "POCOR450",
      "title": "Lumican Distribution In Endothelium And Stroma Of Donor Corneas With And Without Guttae",
      "authors": "Dr Anisa Dehghani",
      "presenter": "Dr Anisa Dehghani",
      "normalized_authors": [
        "Anisa Dehghani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anisa Dehghani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "Guttae are extracellular matrix (ECM) protrusions starting in early stages of Fuchs endothelial corneal dystrophy (FECD). Lumican is a crucial ECM proteoglycan in the corneal stroma, vital for maintaining its transparency by regulating collagen fibril assembly and is involved in immune responses during inflammation. We investigated the spatial organization of Lumican in endothelium and stroma of guttae vs healthy corneas of human donor eyes to analyse the potential difference and anatomical-functional correlation.",
        "Setting": "• Netherlands Institute of Innovative Ocular Surgery, Rotterdam, The Netherlands\n\n• Amnitrans EyeBank Rotterdam, Rotterdam, The Netherlands",
        "Methods": "Immunohistochemistry and confocal imaging were performed on 4% paraformaldehyde fixed flat-mounted central bottoms from human donor corneas (without or with guttae) for Lumican and Neural Cell Adhesion Molecule (NCAM) as a comparable ECM fluorescent signal.",
        "Results": "While healthy corneas demonstrated distinct spatial patterns for Lumican expressed mainly in intertwined web-like distribution in stroma in relation to keratocytes and NCAM, guttae corneas showed altered Lumican morphology appearing like sporadic aggregations pushing cells in endothelium. Interestingly, in 3D volume viewer of approximately 50-100 µm z-stacks, in healthy corneas, Lumican appeared as repeated parallel posterior-to-anterior cords compared to altered Lumican signal in guttae endothelium and stroma.",
        "Conclusions": "This study examined ECM Lumican glycoprotein distribution, revealing distinct spatial and vertical appearance across healthy corneas which is altered in cornea guttata. These findings suggest that guttae could be related to altered Lumican distribution in both endothelium and stroma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study examined ECM Lumican glycoprotein distribution, revealing distinct spatial and vertical appearance across healthy corneas which is altered in cornea guttata. These findings suggest that guttae could be related to altered Lumican distribution in both endothelium and stroma.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1134,
      "source_fields": {
        "Abstract Final Identifier": "POCOR450",
        "Title": "Lumican Distribution In Endothelium And Stroma Of Donor Corneas With And Without Guttae",
        "Presenting Author(s)": "Dr Anisa Dehghani",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Anisa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dehghani",
        "Country Name": "Netherlands",
        "Purpose": "Guttae are extracellular matrix (ECM) protrusions starting in early stages of Fuchs endothelial corneal dystrophy (FECD). Lumican is a crucial ECM proteoglycan in the corneal stroma, vital for maintaining its transparency by regulating collagen fibril assembly and is involved in immune responses during inflammation. We investigated the spatial organization of Lumican in endothelium and stroma of guttae vs healthy corneas of human donor eyes to analyse the potential difference and anatomical-functional correlation.",
        "Setting": "• Netherlands Institute of Innovative Ocular Surgery, Rotterdam, The Netherlands\n\n• Amnitrans EyeBank Rotterdam, Rotterdam, The Netherlands",
        "Methods": "Immunohistochemistry and confocal imaging were performed on 4% paraformaldehyde fixed flat-mounted central bottoms from human donor corneas (without or with guttae) for Lumican and Neural Cell Adhesion Molecule (NCAM) as a comparable ECM fluorescent signal.",
        "Results": "While healthy corneas demonstrated distinct spatial patterns for Lumican expressed mainly in intertwined web-like distribution in stroma in relation to keratocytes and NCAM, guttae corneas showed altered Lumican morphology appearing like sporadic aggregations pushing cells in endothelium. Interestingly, in 3D volume viewer of approximately 50-100 µm z-stacks, in healthy corneas, Lumican appeared as repeated parallel posterior-to-anterior cords compared to altered Lumican signal in guttae endothelium and stroma.",
        "Conclusions": "This study examined ECM Lumican glycoprotein distribution, revealing distinct spatial and vertical appearance across healthy corneas which is altered in cornea guttata. These findings suggest that guttae could be related to altered Lumican distribution in both endothelium and stroma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POCOR451",
      "abstract_number": "POCOR451",
      "title": "Clinical Outcomes Of Topical Losartan In Corneal Fibrosis Of Diverse Etiologies",
      "authors": "Gamze Dereli Can",
      "presenter": "Gamze Dereli Can",
      "normalized_authors": [
        "Gamze Dereli Can"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gamze Dereli Can",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the clinical, topographic, and corneal densitometry outcomes of patients with corneal fibrosis treated with topical losartan.",
        "Setting": "Single-center, retrospective observational study.",
        "Methods": "This retrospective study included 29 eyes of 26 patients with corneal scarring of various etiologies treated with topical losartan 0.8 mg/mL six times daily for a mean duration of 3 months. Demographic characteristics, scar etiology, time from opacity onset to treatment initiation, treatment duration, and prior therapies were recorded. Corrected visual acuity (CVA-logMAR), subjective refraction, clinical haze score, and corneal vascularization were assessed at baseline and at 3 months. Anterior, central, posterior, and total corneal densitometry values (0–2 mm, 2–6 mm, 6–10 mm, 10–12 mm zones) and 6-mm higher-order aberrations (HOA-coma, trefoil, spherical aberration, defocus) were analyzed.",
        "Results": "The mean age was 32.6 ± 17.7 years (range 5–72), and 51.7% were female. Scar etiologies included keratitis (n=12), trauma (n=10), post-PRK haze (n=2), post-LASIK DLK (n=2), post-CXL haze (n=1), chemical burn (n=1), and intracorneal ring-related scarring (n=1).Mean CVA improved significantly from 0.51 ± 0.42 to 0.26 ± 0.27 logMAR (p<0.001). Clinical haze score decreased from 1.69 ± 0.76 to 0.77 ± 0.58 (p<0.001). Significant reductions in corneal densitometry were observed in: anterior 6–10 mm zone (Δ 4.80 ± 3.42; p=0.043), posterior 2–6 mm zone (Δ 1.58 ± 1.70; p=0.043), central 2–6 mm zone (Δ 2.40 ± 3.00; p=0.043), total densitometry 6–10 mm zone (Δ 2.34 ± 1.67; p=0.043). HOA showed no significant differences after treatment (p>0.05).",
        "Conclusions": "Topical losartan demonstrated significant improvements in visual acuity and corneal clarity without safety concerns, suggesting its potential as a non-surgical therapeutic option for corneal fibrosis. Larger prospective studies are needed to confirm these outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical losartan demonstrated significant improvements in visual acuity and corneal clarity without safety concerns, suggesting its potential as a non-surgical therapeutic option for corneal fibrosis. Larger prospective studies are needed to confirm these outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1135,
      "source_fields": {
        "Abstract Final Identifier": "POCOR451",
        "Title": "Clinical Outcomes Of Topical Losartan In Corneal Fibrosis Of Diverse Etiologies",
        "Presenting Author(s)": "Gamze Dereli Can",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Gamze",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dereli Can",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the clinical, topographic, and corneal densitometry outcomes of patients with corneal fibrosis treated with topical losartan.",
        "Setting": "Single-center, retrospective observational study.",
        "Methods": "This retrospective study included 29 eyes of 26 patients with corneal scarring of various etiologies treated with topical losartan 0.8 mg/mL six times daily for a mean duration of 3 months. Demographic characteristics, scar etiology, time from opacity onset to treatment initiation, treatment duration, and prior therapies were recorded. Corrected visual acuity (CVA-logMAR), subjective refraction, clinical haze score, and corneal vascularization were assessed at baseline and at 3 months. Anterior, central, posterior, and total corneal densitometry values (0–2 mm, 2–6 mm, 6–10 mm, 10–12 mm zones) and 6-mm higher-order aberrations (HOA-coma, trefoil, spherical aberration, defocus) were analyzed.",
        "Results": "The mean age was 32.6 ± 17.7 years (range 5–72), and 51.7% were female. Scar etiologies included keratitis (n=12), trauma (n=10), post-PRK haze (n=2), post-LASIK DLK (n=2), post-CXL haze (n=1), chemical burn (n=1), and intracorneal ring-related scarring (n=1).Mean CVA improved significantly from 0.51 ± 0.42 to 0.26 ± 0.27 logMAR (p<0.001). Clinical haze score decreased from 1.69 ± 0.76 to 0.77 ± 0.58 (p<0.001). Significant reductions in corneal densitometry were observed in: anterior 6–10 mm zone (Δ 4.80 ± 3.42; p=0.043), posterior 2–6 mm zone (Δ 1.58 ± 1.70; p=0.043), central 2–6 mm zone (Δ 2.40 ± 3.00; p=0.043), total densitometry 6–10 mm zone (Δ 2.34 ± 1.67; p=0.043). HOA showed no significant differences after treatment (p>0.05).",
        "Conclusions": "Topical losartan demonstrated significant improvements in visual acuity and corneal clarity without safety concerns, suggesting its potential as a non-surgical therapeutic option for corneal fibrosis. Larger prospective studies are needed to confirm these outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCOR452",
      "abstract_number": "POCOR452",
      "title": "Clinical Outcomes Of New Generation Combined Bipolar Radiofrequency And Intense Pulsed Light Therapy In Meibomian Gland Dysfunction",
      "authors": "Dr Purnima Dhand",
      "presenter": "Dr Purnima Dhand",
      "normalized_authors": [
        "Purnima Dhand"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Purnima Dhand",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of a newer generation combined bipolar radiofrequency (RF) and intense pulsed light (IPL) platform in patients with moderate to severe Meibomian Gland Dysfunction (MGD) using objective clinical parameters and validated patient reported questionnaires.",
        "Setting": "Retrospective Clinical study in tertiary eye care centre",
        "Methods": "This study included 30 patients with moderate to severe MGD refractory to conventional therapy.\n\nAll patients underwent three sessions of combined IPL and bipolar Rf therapy at 3 weeks interval. IPL was applied to the periocular skin to target telengiectasia and inflammatory mediators, and to enhance meibum liquefaction and peri-glandular tissue remodeling.\n\nAssessments were performed at baseline and 12 weeks post treatment.\n\nSubjective evaluation : Ocular Surface Disease Index (OSDI)\n\nStandard Patient Dry eye questionnaire (symptom severity scoring)\n\nObjective evaluation with tear Break up time (TBUT), Meibum quality and expressibilty Grading , Corneal Fluorescein staining",
        "Results": "Mean age was 49±10.4 years\n\nMean OSDI improved significantly from 46.2 ±8.1 at baseline to 20.9 ±6.7 at 12 weeks. TBUT improved from 4.9±1.5 seconds to 9.5±1.6 seconds.\n\nMeibum quality improved by ≥ 1 grade in 80 % patients. Gland expressibility improved significantly .\n\nLid margin vascularity reduced significantly. Mild transient eryhtema occurred in 14% of patients and resolved within 24 hours. .No serious adverse effects were observed",
        "Conclusions": "New generation combined bipolar RF and IPL therapy is a safe and effective treatment for moderate to severe MGD. The synergistic mechanism of vascular modulation and controlled thermal remodeling results in significant improvement in both subjective symptoms and objective gland function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "New generation combined bipolar RF and IPL therapy is a safe and effective treatment for moderate to severe MGD. The synergistic mechanism of vascular modulation and controlled thermal remodeling results in significant improvement in both subjective symptoms and objective gland function.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1136,
      "source_fields": {
        "Abstract Final Identifier": "POCOR452",
        "Title": "Clinical Outcomes Of New Generation Combined Bipolar Radiofrequency And Intense Pulsed Light Therapy In Meibomian Gland Dysfunction",
        "Presenting Author(s)": "Dr Purnima Dhand",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Purnima",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dhand",
        "Country Name": "India",
        "Purpose": "To evaluate the safety and efficacy of a newer generation combined bipolar radiofrequency (RF) and intense pulsed light (IPL) platform in patients with moderate to severe Meibomian Gland Dysfunction (MGD) using objective clinical parameters and validated patient reported questionnaires.",
        "Setting": "Retrospective Clinical study in tertiary eye care centre",
        "Methods": "This study included 30 patients with moderate to severe MGD refractory to conventional therapy.\n\nAll patients underwent three sessions of combined IPL and bipolar Rf therapy at 3 weeks interval. IPL was applied to the periocular skin to target telengiectasia and inflammatory mediators, and to enhance meibum liquefaction and peri-glandular tissue remodeling.\n\nAssessments were performed at baseline and 12 weeks post treatment.\n\nSubjective evaluation : Ocular Surface Disease Index (OSDI)\n\nStandard Patient Dry eye questionnaire (symptom severity scoring)\n\nObjective evaluation with tear Break up time (TBUT), Meibum quality and expressibilty Grading , Corneal Fluorescein staining",
        "Results": "Mean age was 49±10.4 years\n\nMean OSDI improved significantly from 46.2 ±8.1 at baseline to 20.9 ±6.7 at 12 weeks. TBUT improved from 4.9±1.5 seconds to 9.5±1.6 seconds.\n\nMeibum quality improved by ≥ 1 grade in 80 % patients. Gland expressibility improved significantly .\n\nLid margin vascularity reduced significantly. Mild transient eryhtema occurred in 14% of patients and resolved within 24 hours. .No serious adverse effects were observed",
        "Conclusions": "New generation combined bipolar RF and IPL therapy is a safe and effective treatment for moderate to severe MGD. The synergistic mechanism of vascular modulation and controlled thermal remodeling results in significant improvement in both subjective symptoms and objective gland function."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCOR453",
      "abstract_number": "POCOR453",
      "title": "Effect Of Intraoperative Lacrifill® Placement On Postoperative Tear Film Stability In Patients With Pre-Existing Mild Dry Eye Disease Undergoing Cataract Surgery",
      "authors": "Luca Di Gregorio",
      "presenter": "Luca Di Gregorio",
      "normalized_authors": [
        "Luca Di Gregorio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luca Di Gregorio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the efficacy of intraoperative lacrimal drainage occlusion using Lacrifill®, a cross-linked hyaluronic acid canalicular gel, in postoperative tear film stability and symptoms in patients with pre-existing mild dry eye disease (DED) undergoing cataract surgery. To date, no studies have specifically investigated the intraoperative use of canalicular gel occlusion as a preventive strategy for post-cataract surgery dry eye exacerbation.",
        "Setting": "Prospective, single-center exploratory study conducted at the Department of Ophthalmology, AOU Careggi, University of Florence, Italy.",
        "Methods": "20 patients with mild DED (Schirmer I test <10 mm and stable use of lubricants ≥3 times/day for at least 1 month) undergoing unilateral cataract surgery were enrolled. Patients were assigned to either cataract surgery with intraoperative Lacrifill® placement (intervention group) or standard cataract surgery (control group). The fellow eye served as an additional intra-subject comparator. The primary outcome was Tear Break-Up Time (TBUT); secondary outcomes included tear meniscus height (TMH), Schirmer test I, Ocular Surface Disease Index (OSDI) and corneal staining. Assessments were performed at baseline, 4 weeks and 8 weeks post-operatively.",
        "Results": "At 1 month, eyes treated with intraoperative Lacrifill® exhibited significantly better TBUT and OSDI scores compared to controls (p<0.05). Schirmer test and TMH also tended to be more favorable in the Lacrifill® group, though these differences did not reach statistical significance. Corneal staining showed no intergroup variation. At 2 months, no statistically significant differences were observed between groups for TBUT, Schirmer test, TMH, or corneal staining; however, all parameters continued to trend in favor of the Lacrifill® group, and OSDI scores remained significantly lower (p<0.05). While both groups showed higher tear film instability at 1 month, Lacrifill® TBUT values were similar to fellow non-operated eyes at 2 months ( p=0.27 ).",
        "Conclusions": "Intraoperative placement of Lacrifill® may represent a promising strategy for perioperative ocular surface management in patients with pre-existing mild dry eye undergoing cataract surgery. It seems to provide a significant clinical advantage in the early postoperative phase and it leads to a sustained improvement in patient-reported symptoms up to 2 months. Although intergroup differences were attenuated by 2 months, the early benefits observed at 1 month support further investigation in larger, adequately powered studies to better define the potential role of intraoperative canalicular occlusion as a preventive approach in patients at higher risk of postoperative dry eye exacerbation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraoperative placement of Lacrifill® may represent a promising strategy for perioperative ocular surface management in patients with pre-existing mild dry eye undergoing cataract surgery. It seems to provide a significant clinical advantage in the early postoperative phase and it leads to a sustained improvement in patient-reported symptoms up to 2 months. Although intergroup differences were attenuated by 2…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1137,
      "source_fields": {
        "Abstract Final Identifier": "POCOR453",
        "Title": "Effect Of Intraoperative Lacrifill® Placement On Postoperative Tear Film Stability In Patients With Pre-Existing Mild Dry Eye Disease Undergoing Cataract Surgery",
        "Presenting Author(s)": "Luca Di Gregorio",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Luca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Di Gregorio",
        "Country Name": "Italy",
        "Purpose": "To evaluate the efficacy of intraoperative lacrimal drainage occlusion using Lacrifill®, a cross-linked hyaluronic acid canalicular gel, in postoperative tear film stability and symptoms in patients with pre-existing mild dry eye disease (DED) undergoing cataract surgery. To date, no studies have specifically investigated the intraoperative use of canalicular gel occlusion as a preventive strategy for post-cataract surgery dry eye exacerbation.",
        "Setting": "Prospective, single-center exploratory study conducted at the Department of Ophthalmology, AOU Careggi, University of Florence, Italy.",
        "Methods": "20 patients with mild DED (Schirmer I test <10 mm and stable use of lubricants ≥3 times/day for at least 1 month) undergoing unilateral cataract surgery were enrolled. Patients were assigned to either cataract surgery with intraoperative Lacrifill® placement (intervention group) or standard cataract surgery (control group). The fellow eye served as an additional intra-subject comparator. The primary outcome was Tear Break-Up Time (TBUT); secondary outcomes included tear meniscus height (TMH), Schirmer test I, Ocular Surface Disease Index (OSDI) and corneal staining. Assessments were performed at baseline, 4 weeks and 8 weeks post-operatively.",
        "Results": "At 1 month, eyes treated with intraoperative Lacrifill® exhibited significantly better TBUT and OSDI scores compared to controls (p<0.05). Schirmer test and TMH also tended to be more favorable in the Lacrifill® group, though these differences did not reach statistical significance. Corneal staining showed no intergroup variation. At 2 months, no statistically significant differences were observed between groups for TBUT, Schirmer test, TMH, or corneal staining; however, all parameters continued to trend in favor of the Lacrifill® group, and OSDI scores remained significantly lower (p<0.05). While both groups showed higher tear film instability at 1 month, Lacrifill® TBUT values were similar to fellow non-operated eyes at 2 months ( p=0.27 ).",
        "Conclusions": "Intraoperative placement of Lacrifill® may represent a promising strategy for perioperative ocular surface management in patients with pre-existing mild dry eye undergoing cataract surgery. It seems to provide a significant clinical advantage in the early postoperative phase and it leads to a sustained improvement in patient-reported symptoms up to 2 months. Although intergroup differences were attenuated by 2 months, the early benefits observed at 1 month support further investigation in larger, adequately powered studies to better define the potential role of intraoperative canalicular occlusion as a preventive approach in patients at higher risk of postoperative dry eye exacerbation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 383
    },
    {
      "uid": "POCOR454",
      "abstract_number": "POCOR454",
      "title": "Human Anterior Lens Capsule As A Novel Biological Scaffold For In Vitro Expansion Of Cadaveric Limbal Stem Cells",
      "authors": "Dr Ozlem Dikmetas",
      "presenter": "Dr Ozlem Dikmetas",
      "normalized_authors": [
        "Ozlem Dikmetas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ozlem Dikmetas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Limbal stem cells are responsible for the regeneration of the corneal epithelium and play a fundamental role in maintaining ocular surface integrityCurrent treatment approaches include limbal stem cell transplantation from a living donor or allograft tissue; however, these methods carry potential risks for the donor eye and require long-term immunosuppressive therapy in allograft recipients.\n\nThis study aimed to evaluate the effect of using the human anterior lens capsule, obtained as medical waste during cataract surgery, as a biological substrate for in vitro expansion of cadaver-derived limbal stem cells, and to assess its effects on cell viability, proliferation, and preservation of stem cell phenotype.",
        "Setting": "Hacettepe University Faculty of Medicine, Ankara, Turkey\nHacettepe University Department of Biology, Ankara, Turkey",
        "Methods": "Limbal biopsies obtained from cadaveric corneal tissues were dissected under sterile conditions. Limbal epithelial cells were isolated using explant method. Isolated cells were cultured in Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 1% penicillin/streptomycin, epidermal growth factor (EGF), and fibroblast growth factor (FGF), and expanded through serial passaging until adequate cell density was achieved. Following expansion, cells were characterized using specific limbal stem cell markers. In the experimental group, cells were seeded onto anterior lens capsule substrates, whereas Poly-D-Lysine–coated culture surfaces were used as the control group.",
        "Results": "Early cell adhesion, organized cell spreading, and formation of multilayered epithelium-like structures were observed in limbal cells cultured on the anterior lens capsule. Cell viability was higher in the experimental group compared with the control group. The proportion of p63α-positive basal cells was significantly higher in the lens capsule group than in the control group (p<0.05).\n\nLimbal epithelial cells cultured on the anterior lens capsule demonstrated enhanced early adhesion, organized cell spreading, and formation of multilayered epithelial-like structures. MTT analysis revealed significantly higher cell viability in the lens capsule group compared to controls at all time points (p<0.05).",
        "Conclusions": "The human anterior lens capsule represents an effective, low-cost, and easily accessible biological substrate for in vitro production of cadaver-derived limbal stem cells. Utilization of this tissue, routinely obtained during cataract surgery, enables the recycling of medical waste while offering a potential alternative to reduce reliance on living donors and allograft tissue.\n\nThis study demonstrates the effect of limbal stem cell production from minimal tissue using anterior lens capsule support. This strategy may contribute to the development of safer, more sustainable, and more accessible cell-based therapeutic approaches for the treatment of limbal stem cell deficiency in the future."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The human anterior lens capsule represents an effective, low-cost, and easily accessible biological substrate for in vitro production of cadaver-derived limbal stem cells. Utilization of this tissue, routinely obtained during cataract surgery, enables the recycling of medical waste while offering a potential alternative to reduce reliance on living donors and allograft tissue. This study demonstrates the effect of…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1138,
      "source_fields": {
        "Abstract Final Identifier": "POCOR454",
        "Title": "Human Anterior Lens Capsule As A Novel Biological Scaffold For In Vitro Expansion Of Cadaveric Limbal Stem Cells",
        "Presenting Author(s)": "Dr Ozlem Dikmetas",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ozlem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dikmetas",
        "Country Name": "Türkiye",
        "Purpose": "Limbal stem cells are responsible for the regeneration of the corneal epithelium and play a fundamental role in maintaining ocular surface integrityCurrent treatment approaches include limbal stem cell transplantation from a living donor or allograft tissue; however, these methods carry potential risks for the donor eye and require long-term immunosuppressive therapy in allograft recipients.\n\nThis study aimed to evaluate the effect of using the human anterior lens capsule, obtained as medical waste during cataract surgery, as a biological substrate for in vitro expansion of cadaver-derived limbal stem cells, and to assess its effects on cell viability, proliferation, and preservation of stem cell phenotype.",
        "Setting": "Hacettepe University Faculty of Medicine, Ankara, Turkey\nHacettepe University Department of Biology, Ankara, Turkey",
        "Methods": "Limbal biopsies obtained from cadaveric corneal tissues were dissected under sterile conditions. Limbal epithelial cells were isolated using explant method. Isolated cells were cultured in Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 1% penicillin/streptomycin, epidermal growth factor (EGF), and fibroblast growth factor (FGF), and expanded through serial passaging until adequate cell density was achieved. Following expansion, cells were characterized using specific limbal stem cell markers. In the experimental group, cells were seeded onto anterior lens capsule substrates, whereas Poly-D-Lysine–coated culture surfaces were used as the control group.",
        "Results": "Early cell adhesion, organized cell spreading, and formation of multilayered epithelium-like structures were observed in limbal cells cultured on the anterior lens capsule. Cell viability was higher in the experimental group compared with the control group. The proportion of p63α-positive basal cells was significantly higher in the lens capsule group than in the control group (p<0.05).\n\nLimbal epithelial cells cultured on the anterior lens capsule demonstrated enhanced early adhesion, organized cell spreading, and formation of multilayered epithelial-like structures. MTT analysis revealed significantly higher cell viability in the lens capsule group compared to controls at all time points (p<0.05).",
        "Conclusions": "The human anterior lens capsule represents an effective, low-cost, and easily accessible biological substrate for in vitro production of cadaver-derived limbal stem cells. Utilization of this tissue, routinely obtained during cataract surgery, enables the recycling of medical waste while offering a potential alternative to reduce reliance on living donors and allograft tissue.\n\nThis study demonstrates the effect of limbal stem cell production from minimal tissue using anterior lens capsule support. This strategy may contribute to the development of safer, more sustainable, and more accessible cell-based therapeutic approaches for the treatment of limbal stem cell deficiency in the future."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 411
    },
    {
      "uid": "POCOR455",
      "abstract_number": "POCOR455",
      "title": "Matrix–Complement–Coagulation Remodeling As A Novel Epithelial Target In Ocular Surface Disease: Insights From Quantum Molecular Resonance And Autologous Blood‑Derived Secretome Conditioning",
      "authors": "Dr Luigi Donato",
      "presenter": "Dr Luigi Donato",
      "normalized_authors": [
        "Luigi Donato"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luigi Donato",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To map how non‑thermal Quantum Molecular Resonance (QMR) and a blood‑derived secretome reshape extracellular matrix (ECM), complement and coagulation networks in oxidatively stressed retinal pigment epithelial (RPE) cells as a surrogate model for ocular surface disease. RPE shares core stress‑response programs with corneal and conjunctival epithelium, including oxidative stress, ECM remodeling and barrier instability. We focused on thrombo‑inflammatory and matrix‑remodeling modules integrating leukocyte recruitment, fibrin wound sealing and complement control, and how these axes could modulate corneal healing, stromal remodeling and para‑inflammation in dry eye disease, meibomian gland dysfunction and persistent epithelial defects.",
        "Setting": "Laboratory‑based study in an academic ophthalmology and vision science environment using ARPE‑19 monolayers exposed to tert‑butyl hydroperoxide as a model of chronic epithelial oxidative stress. Non‑thermal QMR parameters were derived from clinically deployed devices for dry eye disease and meibomian gland dysfunction, and the blood‑derived secretome mirrors autologous serum and blood‑based eyedrops already used in ocular surface disease, making it directly relevant to the anterior segment.",
        "Methods": "ARPE‑19 cells were exposed to tert‑butyl hydroperoxide and randomized to untreated control, oxidative control, QMR alone, secretome alone, or combined QMR+secretome, with sampling at 8 h, 24 h and 72 h. Cell viability was assessed by MTT assay. Bulk RNA sequencing with differential expression analysis and Gene Ontology, KEGG and Reactome enrichment delineated ECM, cytoskeletal, leukocyte adhesion, chemokine, complement and coagulation signatures. Key genes included collagens, lysyl oxidases, matrix metalloproteinases, integrins, chemokines, coagulation factors, fibrinogen chains, plasminogen–plasmin regulators and complement components known to participate in corneal and conjunctival wound healing, neovascularization and scarring.",
        "Results": "QMR and QMR+secretome improved ARPE‑19 viability under oxidative stress. QMR+secretome generated the broadest signature (2,240 differentially expressed genes versus controls); ocular‑surface‑relevant changes were most distinctive under secretome‑containing regimens. Secretome induced ECM genes (collagens, matrix metalloproteinases, integrins), CCL/CXCL chemokines and adhesion molecules (ICAM1, PECAM1, SELE, SELP), supporting matrix turnover, epithelial migration and leukocyte recruitment central to corneal wound healing. Secretome and QMR+secretome activated coagulation and complement cascades (F2, F3, F7, FGB, FGG; CFH, CR1, CR2, SERPING1), delineating a thrombo‑inflammatory program relevant to corneal repair and neovascularization.",
        "Conclusions": "QMR conditioning and a blood‑derived secretome reveal the capacity of stressed epithelial cells to co‑orchestrate ECM remodeling, leukocyte trafficking and complement–coagulation activity at epithelial surfaces. These pathways are conserved in corneal and conjunctival epithelium, supporting RPE as a surrogate model for ocular surface biology. Secretome‑containing regimens drive matrix turnover, chemokine–adhesion networks and complement–coagulation activation relevant to fibrin wound sealing, dry eye disease, meibomian gland dysfunction and persistent epithelial defects. The matrix–complement–coagulation triad emerges as a therapeutic target for blood‑based eyedrops and QMR conditioning in anterior segment disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "QMR conditioning and a blood‑derived secretome reveal the capacity of stressed epithelial cells to co‑orchestrate ECM remodeling, leukocyte trafficking and complement–coagulation activity at epithelial surfaces. These pathways are conserved in corneal and conjunctival epithelium, supporting RPE as a surrogate model for ocular surface biology. Secretome‑containing regimens drive matrix turnover, chemokine–adhesion…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1139,
      "source_fields": {
        "Abstract Final Identifier": "POCOR455",
        "Title": "Matrix–Complement–Coagulation Remodeling As A Novel Epithelial Target In Ocular Surface Disease: Insights From Quantum Molecular Resonance And Autologous Blood‑Derived Secretome Conditioning",
        "Presenting Author(s)": "Dr Luigi Donato",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Luigi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Donato",
        "Country Name": "Italy",
        "Purpose": "To map how non‑thermal Quantum Molecular Resonance (QMR) and a blood‑derived secretome reshape extracellular matrix (ECM), complement and coagulation networks in oxidatively stressed retinal pigment epithelial (RPE) cells as a surrogate model for ocular surface disease. RPE shares core stress‑response programs with corneal and conjunctival epithelium, including oxidative stress, ECM remodeling and barrier instability. We focused on thrombo‑inflammatory and matrix‑remodeling modules integrating leukocyte recruitment, fibrin wound sealing and complement control, and how these axes could modulate corneal healing, stromal remodeling and para‑inflammation in dry eye disease, meibomian gland dysfunction and persistent epithelial defects.",
        "Setting": "Laboratory‑based study in an academic ophthalmology and vision science environment using ARPE‑19 monolayers exposed to tert‑butyl hydroperoxide as a model of chronic epithelial oxidative stress. Non‑thermal QMR parameters were derived from clinically deployed devices for dry eye disease and meibomian gland dysfunction, and the blood‑derived secretome mirrors autologous serum and blood‑based eyedrops already used in ocular surface disease, making it directly relevant to the anterior segment.",
        "Methods": "ARPE‑19 cells were exposed to tert‑butyl hydroperoxide and randomized to untreated control, oxidative control, QMR alone, secretome alone, or combined QMR+secretome, with sampling at 8 h, 24 h and 72 h. Cell viability was assessed by MTT assay. Bulk RNA sequencing with differential expression analysis and Gene Ontology, KEGG and Reactome enrichment delineated ECM, cytoskeletal, leukocyte adhesion, chemokine, complement and coagulation signatures. Key genes included collagens, lysyl oxidases, matrix metalloproteinases, integrins, chemokines, coagulation factors, fibrinogen chains, plasminogen–plasmin regulators and complement components known to participate in corneal and conjunctival wound healing, neovascularization and scarring.",
        "Results": "QMR and QMR+secretome improved ARPE‑19 viability under oxidative stress. QMR+secretome generated the broadest signature (2,240 differentially expressed genes versus controls); ocular‑surface‑relevant changes were most distinctive under secretome‑containing regimens. Secretome induced ECM genes (collagens, matrix metalloproteinases, integrins), CCL/CXCL chemokines and adhesion molecules (ICAM1, PECAM1, SELE, SELP), supporting matrix turnover, epithelial migration and leukocyte recruitment central to corneal wound healing. Secretome and QMR+secretome activated coagulation and complement cascades (F2, F3, F7, FGB, FGG; CFH, CR1, CR2, SERPING1), delineating a thrombo‑inflammatory program relevant to corneal repair and neovascularization.",
        "Conclusions": "QMR conditioning and a blood‑derived secretome reveal the capacity of stressed epithelial cells to co‑orchestrate ECM remodeling, leukocyte trafficking and complement–coagulation activity at epithelial surfaces. These pathways are conserved in corneal and conjunctival epithelium, supporting RPE as a surrogate model for ocular surface biology. Secretome‑containing regimens drive matrix turnover, chemokine–adhesion networks and complement–coagulation activation relevant to fibrin wound sealing, dry eye disease, meibomian gland dysfunction and persistent epithelial defects. The matrix–complement–coagulation triad emerges as a therapeutic target for blood‑based eyedrops and QMR conditioning in anterior segment disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 459
    },
    {
      "uid": "POCOR456",
      "abstract_number": "POCOR456",
      "title": "Clear Cornea Post Sever Chemical Burn Without Keratoplasty (5 Years Study)",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To show that the effect of using auto graft limbal stem cell and amniotic membrane and auto serum eye drops\nto reach clear cornea post sever chemical burn without the need to do keratoplasty",
        "Setting": "The MIOR",
        "Methods": "Prospective interventional study of (10) eyes of 10 patients with unilateral chemical burn .\n\nfollow up period ranges from 1y- 4y.\n\nInclusion Criteria : unilateral chemical burn .\n\nExcluison Criteria : bilateral chemical burn.\n\nSurgical Technique : , I excised the adhesions and fibrous tissue on the surface of the cornea , prepare the stem cells from other\neye from superior part of normal cornea and divided it into 2 equal pieces , move them to the other eye ,suturing them at\nthe sides of the cornea , fashion a large layer of the fresh amniotic membrane that cover the cornea and sclera , suture\nthe amniotic to the sclera , suture the residual parts of conjunctiva above the amniotic to keep the amniotic membrane in\nplace for long time .",
        "Results": "PreOperative :full ophthalmic examination specially visual acuity , anterior seg OCT , U/S .\n\npost operative: signs of improvement as decrease corneal vascularization, clarity of cornea ,UCVA, BCVA, pentacam, Autoserum eye drops .\n\nresults :60% of eyes treated with auto graft limbal stem cell , amniotic membrane and auto serum eye drops reach clear\ncornea post sever chemical burn without the need to do keratoplasty and this take from 9 months -1 year .",
        "Conclusions": "Chemical burn to the eye usually have a very poor prognosis\n\nLimbal stem cell transplantation is the only hope for those patient who have massive destruction of their original stem cells\n\nUse the amniotic membranes and auto serum eyedrops help the healing of these cases and some times give\nunexpected marvelous results that the corneas become almost clear and we donot need to do keratoplasty but this need\nlong time"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chemical burn to the eye usually have a very poor prognosis Limbal stem cell transplantation is the only hope for those patient who have massive destruction of their original stem cells Use the amniotic membranes and auto serum eyedrops help the healing of these cases and some times give unexpected marvelous results that the corneas become almost clear and we donot need to do keratoplasty but this need long time",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1140,
      "source_fields": {
        "Abstract Final Identifier": "POCOR456",
        "Title": "Clear Cornea Post Sever Chemical Burn Without Keratoplasty (5 Years Study)",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "To show that the effect of using auto graft limbal stem cell and amniotic membrane and auto serum eye drops\nto reach clear cornea post sever chemical burn without the need to do keratoplasty",
        "Setting": "The MIOR",
        "Methods": "Prospective interventional study of (10) eyes of 10 patients with unilateral chemical burn .\n\nfollow up period ranges from 1y- 4y.\n\nInclusion Criteria : unilateral chemical burn .\n\nExcluison Criteria : bilateral chemical burn.\n\nSurgical Technique : , I excised the adhesions and fibrous tissue on the surface of the cornea , prepare the stem cells from other\neye from superior part of normal cornea and divided it into 2 equal pieces , move them to the other eye ,suturing them at\nthe sides of the cornea , fashion a large layer of the fresh amniotic membrane that cover the cornea and sclera , suture\nthe amniotic to the sclera , suture the residual parts of conjunctiva above the amniotic to keep the amniotic membrane in\nplace for long time .",
        "Results": "PreOperative :full ophthalmic examination specially visual acuity , anterior seg OCT , U/S .\n\npost operative: signs of improvement as decrease corneal vascularization, clarity of cornea ,UCVA, BCVA, pentacam, Autoserum eye drops .\n\nresults :60% of eyes treated with auto graft limbal stem cell , amniotic membrane and auto serum eye drops reach clear\ncornea post sever chemical burn without the need to do keratoplasty and this take from 9 months -1 year .",
        "Conclusions": "Chemical burn to the eye usually have a very poor prognosis\n\nLimbal stem cell transplantation is the only hope for those patient who have massive destruction of their original stem cells\n\nUse the amniotic membranes and auto serum eyedrops help the healing of these cases and some times give\nunexpected marvelous results that the corneas become almost clear and we donot need to do keratoplasty but this need\nlong time"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POCOR457",
      "abstract_number": "POCOR457",
      "title": "Association Of Demodex Infestation With Meibomian Gland Disease: A Systematic Review Of Evidence",
      "authors": "A/Prof. Oliver Findl*",
      "presenter": "A/Prof. Oliver Findl*",
      "normalized_authors": [
        "Oliver Findl*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oliver Findl*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Demodex blepharitis (DB) is an inflammatory eyelid disease resulting from infestation by Demodex mites. Increasing evidence suggests that DB is associated with meibomian gland disease (MGD) and may contribute to its onset and progression. The objective of this systematic review is to comprehensively evaluate the existing evidence on the association between Demodex infestation and MGD-related outcomes to better clarify the potential role of Demodex in the pathogenesis of MGD .",
        "Setting": "Observational or chart review studies of patients evaluated for DB and MGD in ophthalmology or optometry clinics.",
        "Methods": "A comprehensive systematic search of PubMed and Embase was performed from database inception, without time restrictions, through January 6, 2026, to identify studies reporting MGD-related outcomes. Eligible studies evaluated the prevalence of MGD or MGD-related objective measures stratified by the presence or absence of Demodex infestation. Outcomes of interest included meibum quality, meibomian gland dropout, meibomian gland atrophy, and lid margin abnormalities. Other parameters, including corneal fluorescein staining (CFS) and tear breakup time (TBUT), were also extracted. Interventional studies were excluded from the analysis.",
        "Results": "Out of 521 records, 23 studies involving patients with DB and MGD met the eligibility criteria and were included. The prevalence of MGD was higher in patients with Demodex infestation (44%-99%) than in those without Demodex (0%-18%). Conversely, the reported Demodex rates ranged from 45%-89% in patients with MGD, compared to 13%-44% in patients without MGD. Patients with Demodex infestation showed statistically significantly worse MGD-related outcomes, including lower meibum quality, increased meibomian gland dropout and atrophy, and higher lid margin abnormality scores compared to those without Demodex . Patients with Demodex infestation also demonstrated higher CFS scores and shorter TBUT than those without Demodex .",
        "Conclusions": "Demodex infestation was associated with worse MGD-related outcomes. This finding suggests that Demodex infestation may play a role in the development and progression of MGD and highlights the importance of routinely assessing for both conditions to optimize patient management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Demodex infestation was associated with worse MGD-related outcomes. This finding suggests that Demodex infestation may play a role in the development and progression of MGD and highlights the importance of routinely assessing for both conditions to optimize patient management.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1141,
      "source_fields": {
        "Abstract Final Identifier": "POCOR457",
        "Title": "Association Of Demodex Infestation With Meibomian Gland Disease: A Systematic Review Of Evidence",
        "Presenting Author(s)": "A/Prof. Oliver Findl*",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Oliver",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Findl*",
        "Country Name": "Austria",
        "Purpose": "Demodex blepharitis (DB) is an inflammatory eyelid disease resulting from infestation by Demodex mites. Increasing evidence suggests that DB is associated with meibomian gland disease (MGD) and may contribute to its onset and progression. The objective of this systematic review is to comprehensively evaluate the existing evidence on the association between Demodex infestation and MGD-related outcomes to better clarify the potential role of Demodex in the pathogenesis of MGD .",
        "Setting": "Observational or chart review studies of patients evaluated for DB and MGD in ophthalmology or optometry clinics.",
        "Methods": "A comprehensive systematic search of PubMed and Embase was performed from database inception, without time restrictions, through January 6, 2026, to identify studies reporting MGD-related outcomes. Eligible studies evaluated the prevalence of MGD or MGD-related objective measures stratified by the presence or absence of Demodex infestation. Outcomes of interest included meibum quality, meibomian gland dropout, meibomian gland atrophy, and lid margin abnormalities. Other parameters, including corneal fluorescein staining (CFS) and tear breakup time (TBUT), were also extracted. Interventional studies were excluded from the analysis.",
        "Results": "Out of 521 records, 23 studies involving patients with DB and MGD met the eligibility criteria and were included. The prevalence of MGD was higher in patients with Demodex infestation (44%-99%) than in those without Demodex (0%-18%). Conversely, the reported Demodex rates ranged from 45%-89% in patients with MGD, compared to 13%-44% in patients without MGD. Patients with Demodex infestation showed statistically significantly worse MGD-related outcomes, including lower meibum quality, increased meibomian gland dropout and atrophy, and higher lid margin abnormality scores compared to those without Demodex . Patients with Demodex infestation also demonstrated higher CFS scores and shorter TBUT than those without Demodex .",
        "Conclusions": "Demodex infestation was associated with worse MGD-related outcomes. This finding suggests that Demodex infestation may play a role in the development and progression of MGD and highlights the importance of routinely assessing for both conditions to optimize patient management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POCOR458",
      "abstract_number": "POCOR458",
      "title": "Active Early Management Of Central Toxic Keratopathy: A 20-Eye Imaging-Confirmed Case Series Demonstrating Accelerated Recovery",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Central toxic keratopathy (CTK) is traditionally described as a non-inflammatory, self-limited complication resolving over several months without effective pharmacologic treatment. We evaluated whether early multimodal therapy could actively modify the clinical course of imaging-confirmed CTK.",
        "Setting": "Eye Clinic Svjetlost, Zagreb, Croatia",
        "Methods": "Retrospective interventional case series of 20 consecutive eyes developing CTK following PRK, LASIK, or keratorefractive lenticule extraction (KLEx). Diagnosis was established at a median of postoperative day 3 and required central nummular stromal opacity, ≥1.00 D hyperopic shift, ≥3.00 D central keratometric flattening, stromal thinning, and funnel-shaped stromal hyperreflectivity on anterior segment OCT. DLK, infection, and interface fluid syndrome were excluded clinically and by imaging. Upon diagnosis, corticosteroids were immediately discontinued and patients were treated with topical cyclosporine A, olopatadine, and timolol. Primary endpoint was time to ≥75% reversal of peak hyperopic shift.",
        "Results": "Maximum hyperopic shift reached +7.00 D, with ≥3.00 D central flattening in all cases. Improvement began within 2 weeks in every eye. Median time to ≥75% refractive reversal was 6 weeks—substantially shorter than historically described recovery timelines. No case progressed after treatment initiation. Structural normalization on OCT paralleled refractive recovery. No residual hyperopia remained at final follow-up. One bilateral case occurred following KLEx.",
        "Conclusions": "Early targeted pharmacologic intervention was associated with consistent and accelerated recovery in CTK. These findings challenge the traditional view of CTK as purely self-limited and suggest the presence of an early modifiable stromal phase. Prospective controlled studies are warranted to determine whether active management should replace observation as standard care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early targeted pharmacologic intervention was associated with consistent and accelerated recovery in CTK. These findings challenge the traditional view of CTK as purely self-limited and suggest the presence of an early modifiable stromal phase. Prospective controlled studies are warranted to determine whether active management should replace observation as standard care.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1142,
      "source_fields": {
        "Abstract Final Identifier": "POCOR458",
        "Title": "Active Early Management Of Central Toxic Keratopathy: A 20-Eye Imaging-Confirmed Case Series Demonstrating Accelerated Recovery",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "Central toxic keratopathy (CTK) is traditionally described as a non-inflammatory, self-limited complication resolving over several months without effective pharmacologic treatment. We evaluated whether early multimodal therapy could actively modify the clinical course of imaging-confirmed CTK.",
        "Setting": "Eye Clinic Svjetlost, Zagreb, Croatia",
        "Methods": "Retrospective interventional case series of 20 consecutive eyes developing CTK following PRK, LASIK, or keratorefractive lenticule extraction (KLEx). Diagnosis was established at a median of postoperative day 3 and required central nummular stromal opacity, ≥1.00 D hyperopic shift, ≥3.00 D central keratometric flattening, stromal thinning, and funnel-shaped stromal hyperreflectivity on anterior segment OCT. DLK, infection, and interface fluid syndrome were excluded clinically and by imaging. Upon diagnosis, corticosteroids were immediately discontinued and patients were treated with topical cyclosporine A, olopatadine, and timolol. Primary endpoint was time to ≥75% reversal of peak hyperopic shift.",
        "Results": "Maximum hyperopic shift reached +7.00 D, with ≥3.00 D central flattening in all cases. Improvement began within 2 weeks in every eye. Median time to ≥75% refractive reversal was 6 weeks—substantially shorter than historically described recovery timelines. No case progressed after treatment initiation. Structural normalization on OCT paralleled refractive recovery. No residual hyperopia remained at final follow-up. One bilateral case occurred following KLEx.",
        "Conclusions": "Early targeted pharmacologic intervention was associated with consistent and accelerated recovery in CTK. These findings challenge the traditional view of CTK as purely self-limited and suggest the presence of an early modifiable stromal phase. Prospective controlled studies are warranted to determine whether active management should replace observation as standard care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POCOR459",
      "abstract_number": "POCOR459",
      "title": "Refractory Pediatric Vernal Keratoconjunctivitis Successfully Controlled With Combined Topical Immunomodulation And Systemic Omalizumab Therapy",
      "authors": "Dr Marta García Díaz",
      "presenter": "Dr Marta García Díaz",
      "normalized_authors": [
        "Marta García Díaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta García Díaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the therapeutic challenge of severe pediatric vernal keratoconjunctivitis (VKC) refractory to conventional therapy and to report long-term control achieved through stepwise escalation to combined topical immunomodulation and systemic biologic therapy.",
        "Setting": "Single tertiary referral center for ocular surface disease.",
        "Methods": "A 7-year-old boy with asthma presented with bilateral redness, itching, and discomfort for 15 days. Skin prick tests were negative. Slit-lamp examination revealed limbitis, Trantas nodules, giant tarsal papillae, and inferior superficial punctate keratitis (SPK).\n\nPrevious treatment with topical antihistamines and corticosteroids led to steroid-dependent disease. Environmental measures and lubricants were added. Due to insufficient control, topical ciclosporin A 1–2% was introduced without successful tapering. Ten months after onset, subcutaneous omalizumab 300 mg every 15 days was initiated. Persistent seasonal exacerbations prompted addition of topical tacrolimus 0.03% and reduction of ciclosporin A to 0.1%.",
        "Results": "Following combined therapy with omalizumab, topical tacrolimus, and low-dose ciclosporin A, the patient reported marked symptomatic improvement with complete resolution of itching and discomfort.\n\nObjective findings showed absence of conjunctival hyperemia, limbitis, Trantas nodules, corneal involvement, or SPK. Only residual micropapillae persisted on the tarsal conjunctiva. The crystalline lens remained clear.\n\nTopical corticosteroids were successfully discontinued after gradual tapering. At last follow-up, disease control was maintained with omalizumab 300 mg every 21 days, ciclosporin A 0.1% once daily, tacrolimus 0.03% once daily, azelastine twice daily, lubricants as needed, and environmental measures.",
        "Conclusions": "Severe pediatric VKC may become corticosteroid-dependent and refractory to standard topical therapy. Stepwise escalation combining topical immunomodulators and systemic biologic therapy can achieve sustained disease control and allow safe corticosteroid withdrawal.\n\nEarly multidisciplinary management and individualized therapeutic combinations may prevent long-term ocular surface damage in challenging pediatric VKC cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Severe pediatric VKC may become corticosteroid-dependent and refractory to standard topical therapy. Stepwise escalation combining topical immunomodulators and systemic biologic therapy can achieve sustained disease control and allow safe corticosteroid withdrawal. Early multidisciplinary management and individualized therapeutic combinations may prevent long-term ocular surface damage in challenging pediatric VKC…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1143,
      "source_fields": {
        "Abstract Final Identifier": "POCOR459",
        "Title": "Refractory Pediatric Vernal Keratoconjunctivitis Successfully Controlled With Combined Topical Immunomodulation And Systemic Omalizumab Therapy",
        "Presenting Author(s)": "Dr Marta García Díaz",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "García Díaz",
        "Country Name": "Spain",
        "Purpose": "To describe the therapeutic challenge of severe pediatric vernal keratoconjunctivitis (VKC) refractory to conventional therapy and to report long-term control achieved through stepwise escalation to combined topical immunomodulation and systemic biologic therapy.",
        "Setting": "Single tertiary referral center for ocular surface disease.",
        "Methods": "A 7-year-old boy with asthma presented with bilateral redness, itching, and discomfort for 15 days. Skin prick tests were negative. Slit-lamp examination revealed limbitis, Trantas nodules, giant tarsal papillae, and inferior superficial punctate keratitis (SPK).\n\nPrevious treatment with topical antihistamines and corticosteroids led to steroid-dependent disease. Environmental measures and lubricants were added. Due to insufficient control, topical ciclosporin A 1–2% was introduced without successful tapering. Ten months after onset, subcutaneous omalizumab 300 mg every 15 days was initiated. Persistent seasonal exacerbations prompted addition of topical tacrolimus 0.03% and reduction of ciclosporin A to 0.1%.",
        "Results": "Following combined therapy with omalizumab, topical tacrolimus, and low-dose ciclosporin A, the patient reported marked symptomatic improvement with complete resolution of itching and discomfort.\n\nObjective findings showed absence of conjunctival hyperemia, limbitis, Trantas nodules, corneal involvement, or SPK. Only residual micropapillae persisted on the tarsal conjunctiva. The crystalline lens remained clear.\n\nTopical corticosteroids were successfully discontinued after gradual tapering. At last follow-up, disease control was maintained with omalizumab 300 mg every 21 days, ciclosporin A 0.1% once daily, tacrolimus 0.03% once daily, azelastine twice daily, lubricants as needed, and environmental measures.",
        "Conclusions": "Severe pediatric VKC may become corticosteroid-dependent and refractory to standard topical therapy. Stepwise escalation combining topical immunomodulators and systemic biologic therapy can achieve sustained disease control and allow safe corticosteroid withdrawal.\n\nEarly multidisciplinary management and individualized therapeutic combinations may prevent long-term ocular surface damage in challenging pediatric VKC cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POCOR460",
      "abstract_number": "POCOR460",
      "title": "Autologous Platelet Lysate Eyedrop Treatment In Ocular Surface Diseases – A Prospective Study",
      "authors": "Dr Beatriz Gaspar",
      "presenter": "Dr Beatriz Gaspar",
      "normalized_authors": [
        "Beatriz Gaspar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Beatriz Gaspar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate the safety and clinical efficacy of autologous platelet lysate (PL) eyedrops in patients with severe dry eye disease (DED) and refractory neurotrophic corneal ulcers. Outcomes included subjective symptoms, objective ocular surface parameters, corneal epithelial thickness, and visual function, aiming to assess the regenerative potential of PL on the ocular surface.",
        "Setting": "Prospective interventional study conducted at the Ophthalmology Department of Centro Hospitalar e Universitário de Coimbra, Portugal, between July 2021 and January 2024.",
        "Methods": "Twenty-six eyes from 14 patients (24 DED, 2 neurotrophic ulcers) were treated with autologous PL eyedrops. Examinations were performed at baseline, 1 month, and ≥3 months. Parameters included OSDI, visual acuity, Oxford corneal staining, Schirmer test, tear breakup time (BUT), corneal tomography, anterior segment OCT epithelial thickness, and corneal higher-order aberrations. Healthy controls matched for age and sex were used for OCT and aberrometry comparisons.",
        "Results": "Participants were mostly female (92.9%), mean age 61 ± 13 years. Among DED patients, 83.3% completed ≥3 months of treatment. Significant reduction in corneal staining occurred in eyes with baseline Oxford ≥ 2 (p<0.001), and no severe cases remained at 3 months. Schirmer and BUT improved without statistical significance. Baseline central epithelial thickness was lower than controls (p<0.05) and normalized with treatment. Both neurotrophic ulcers healed completely without recurrence.",
        "Conclusions": "Autologous PL eyedrops are a safe and effective therapy for severe DED and neurotrophic ulcers. The significant improvement in corneal staining and normalization of epithelial thickness indicate a regenerative effect on the ocular surface. PL represents a valuable alternative for advanced or refractory cases, supporting its inclusion in future therapeutic algorithms and warranting larger multicenter validation studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autologous PL eyedrops are a safe and effective therapy for severe DED and neurotrophic ulcers. The significant improvement in corneal staining and normalization of epithelial thickness indicate a regenerative effect on the ocular surface. PL represents a valuable alternative for advanced or refractory cases, supporting its inclusion in future therapeutic algorithms and warranting larger multicenter validation…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1144,
      "source_fields": {
        "Abstract Final Identifier": "POCOR460",
        "Title": "Autologous Platelet Lysate Eyedrop Treatment In Ocular Surface Diseases – A Prospective Study",
        "Presenting Author(s)": "Dr Beatriz Gaspar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Beatriz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gaspar",
        "Country Name": "Portugal",
        "Purpose": "To evaluate the safety and clinical efficacy of autologous platelet lysate (PL) eyedrops in patients with severe dry eye disease (DED) and refractory neurotrophic corneal ulcers. Outcomes included subjective symptoms, objective ocular surface parameters, corneal epithelial thickness, and visual function, aiming to assess the regenerative potential of PL on the ocular surface.",
        "Setting": "Prospective interventional study conducted at the Ophthalmology Department of Centro Hospitalar e Universitário de Coimbra, Portugal, between July 2021 and January 2024.",
        "Methods": "Twenty-six eyes from 14 patients (24 DED, 2 neurotrophic ulcers) were treated with autologous PL eyedrops. Examinations were performed at baseline, 1 month, and ≥3 months. Parameters included OSDI, visual acuity, Oxford corneal staining, Schirmer test, tear breakup time (BUT), corneal tomography, anterior segment OCT epithelial thickness, and corneal higher-order aberrations. Healthy controls matched for age and sex were used for OCT and aberrometry comparisons.",
        "Results": "Participants were mostly female (92.9%), mean age 61 ± 13 years. Among DED patients, 83.3% completed ≥3 months of treatment. Significant reduction in corneal staining occurred in eyes with baseline Oxford ≥ 2 (p<0.001), and no severe cases remained at 3 months. Schirmer and BUT improved without statistical significance. Baseline central epithelial thickness was lower than controls (p<0.05) and normalized with treatment. Both neurotrophic ulcers healed completely without recurrence.",
        "Conclusions": "Autologous PL eyedrops are a safe and effective therapy for severe DED and neurotrophic ulcers. The significant improvement in corneal staining and normalization of epithelial thickness indicate a regenerative effect on the ocular surface. PL represents a valuable alternative for advanced or refractory cases, supporting its inclusion in future therapeutic algorithms and warranting larger multicenter validation studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POCOR461",
      "abstract_number": "POCOR461",
      "title": "Tear Biomarker Changes And Ocular Surface Recovery With Low-Level Light Therapy After Cataract Surgery: A Double-Masked Randomized Controlled Clinical Trial",
      "authors": "Prof. Dr Giuseppe Giannaccare",
      "presenter": "Prof. Dr Giuseppe Giannaccare",
      "normalized_authors": [
        "Giuseppe Giannaccare"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giuseppe Giannaccare",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "This study aimed at evaluating the perioperative effects of LLLT on ocular surface modulation by correlating clinical outcomes with tear biomarker dynamics and developing predictive models to identify patients most likely to benefit from LLLT.",
        "Setting": "A prospective, double-masked randomized clinical, sham-controlled study conducted at the “Cai Ferate” Clinical Hospital in Iasi, Romania between January and March 2025.",
        "Methods": "Eighty-eight patients undergoing cataract surgery were randomized to receive LLLT (n=44) or sham treatment (n=44). Clinical evaluation—including Ocular Surface Disease Index questionnaire, tear breakup time, Schirmer test, and tear osmolarity—was performed preoperatively and one month postoperatively to classify patients in subclinical or clinical DED. Tear levels of biomarkers involved in tissue repair and neurotrophic-signaling (GDF-15,β-NGF,VEGFA,PDGF-AB,PDGF-CC) and inflammation (OPN,OPG,TNF-α) were quantified using Luminex FlexMap3D technology.",
        "Results": "LLLT-treated patients showed significantly greater clinical improvement compared to sham controls (44.2% vs. 4.4%; p<0.0001). LLLT significantly increased GDF-15 (from 77.6±7.2 to 95.5±7.4 pg/mL; p=0.0112) and PDGF-CC (from 711.4±76.6 to 1024±130.8 pg/mL; p=0.0473), particularly in patients with baseline DED, while β-NGF increased mainly in borderline patients (10.1±3.0 vs. 5.8±0.55 pg/mL; p=0.0271). Inflammatory biomarker profiles indicated resolution in the LLLT group, whereas sham-treated patients showed persistent inflammatory patterns. Predictive models integrating clinical and molecular data demonstrated excellent performance, with adjusted AUC values up to 0.977.",
        "Conclusions": "LLLT promotes ocular surface recovery after cataract surgery by modulating reparative, neurotrophic, and inflammatory pathways. Tear biomarkers (GDF-15, β-NGF, PDGF-CC) combined with clinical parameters may help predict treatment response and guide personalized DED management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LLLT promotes ocular surface recovery after cataract surgery by modulating reparative, neurotrophic, and inflammatory pathways. Tear biomarkers (GDF-15, β-NGF, PDGF-CC) combined with clinical parameters may help predict treatment response and guide personalized DED management.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1145,
      "source_fields": {
        "Abstract Final Identifier": "POCOR461",
        "Title": "Tear Biomarker Changes And Ocular Surface Recovery With Low-Level Light Therapy After Cataract Surgery: A Double-Masked Randomized Controlled Clinical Trial",
        "Presenting Author(s)": "Prof. Dr Giuseppe Giannaccare",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Giuseppe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Giannaccare",
        "Country Name": "Italy",
        "Purpose": "This study aimed at evaluating the perioperative effects of LLLT on ocular surface modulation by correlating clinical outcomes with tear biomarker dynamics and developing predictive models to identify patients most likely to benefit from LLLT.",
        "Setting": "A prospective, double-masked randomized clinical, sham-controlled study conducted at the “Cai Ferate” Clinical Hospital in Iasi, Romania between January and March 2025.",
        "Methods": "Eighty-eight patients undergoing cataract surgery were randomized to receive LLLT (n=44) or sham treatment (n=44). Clinical evaluation—including Ocular Surface Disease Index questionnaire, tear breakup time, Schirmer test, and tear osmolarity—was performed preoperatively and one month postoperatively to classify patients in subclinical or clinical DED. Tear levels of biomarkers involved in tissue repair and neurotrophic-signaling (GDF-15,β-NGF,VEGFA,PDGF-AB,PDGF-CC) and inflammation (OPN,OPG,TNF-α) were quantified using Luminex FlexMap3D technology.",
        "Results": "LLLT-treated patients showed significantly greater clinical improvement compared to sham controls (44.2% vs. 4.4%; p<0.0001). LLLT significantly increased GDF-15 (from 77.6±7.2 to 95.5±7.4 pg/mL; p=0.0112) and PDGF-CC (from 711.4±76.6 to 1024±130.8 pg/mL; p=0.0473), particularly in patients with baseline DED, while β-NGF increased mainly in borderline patients (10.1±3.0 vs. 5.8±0.55 pg/mL; p=0.0271). Inflammatory biomarker profiles indicated resolution in the LLLT group, whereas sham-treated patients showed persistent inflammatory patterns. Predictive models integrating clinical and molecular data demonstrated excellent performance, with adjusted AUC values up to 0.977.",
        "Conclusions": "LLLT promotes ocular surface recovery after cataract surgery by modulating reparative, neurotrophic, and inflammatory pathways. Tear biomarkers (GDF-15, β-NGF, PDGF-CC) combined with clinical parameters may help predict treatment response and guide personalized DED management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POCOR462",
      "abstract_number": "POCOR462",
      "title": "Explainable Artificial Intelligence–Assisted Differentiation Of Pterygium And Conjunctival Intraepithelial Neoplasia Using Slit-Lamp Photographs: A Pilot Diagnostic Study",
      "authors": "Dr Yurdagul Girgin",
      "presenter": "Dr Yurdagul Girgin",
      "normalized_authors": [
        "Yurdagul Girgin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yurdagul Girgin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the feasibility of an explainable artificial intelligence (AI)–assisted framework for differentiating pterygium from conjunctival intraepithelial neoplasia (CIN) using slit-lamp anterior segment photographs.",
        "Setting": "This pilot study was conducted at a single tertiary ophthalmology center using slit-lamp photographs obtained during routine clinical examinations. Images of ocular surface lesions diagnosed as pterygium or CIN were retrospectively collected and analyzed within a standardized evaluation framework.",
        "Methods": "In this pilot diagnostic study, slit-lamp photographs of biopsy-proven pterygium and conjunctival intraepithelial neoplasia (CIN) were retrospectively collected from a tertiary ophthalmology clinic and recorded in a standardized evaluation table. An explainable AI-assisted protocol based on predefined morphological criterias and suspicious OSSN findings were applied. Images were divided into calibration and blinded test datasets. AI diagnoses were compared with reference standard diagnoses based on histopathological examination. Data organization and structured annotation were supported using ChatGPT (OpenAI, GPT-5.2) as an assistive analytical tool, while all clinical decisions were made by the researchers.",
        "Results": "A total of 40 slit-lamp images were analyzed. According to AI primary classification, 20 lesions were categorized as pterygium and 20 as CIN. Pterygium cases were predominantly characterized by triangular fibrovascular proliferation with organized radial vascular patterns and smooth translucent surfaces. In contrast, CIN lesions demonstrated irregular or gelatinous morphology, leukoplakia, nodularity, and prominent feeder vessels. In cases where reference standard diagnosis was available, AI predictions showed full agreement with histopathological diagnosis within this pilot dataset. The explainable feature-based framework enabled transparent interpretation of AI decision patterns rather than black-box classification.",
        "Conclusions": "This pilot study demonstrates the feasibility of an explainable AI-assisted approach for differentiating pterygium from CIN using slit-lamp photographs. Morphology-based AI interpretation may assist clinicians in identifying ocular surface neoplasia during routine examinations. Larger studies with expanded datasets and histopathological confirmation are required to determine diagnostic accuracy and clinical applicability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This pilot study demonstrates the feasibility of an explainable AI-assisted approach for differentiating pterygium from CIN using slit-lamp photographs. Morphology-based AI interpretation may assist clinicians in identifying ocular surface neoplasia during routine examinations. Larger studies with expanded datasets and histopathological confirmation are required to determine diagnostic accuracy and clinical…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1146,
      "source_fields": {
        "Abstract Final Identifier": "POCOR462",
        "Title": "Explainable Artificial Intelligence–Assisted Differentiation Of Pterygium And Conjunctival Intraepithelial Neoplasia Using Slit-Lamp Photographs: A Pilot Diagnostic Study",
        "Presenting Author(s)": "Dr Yurdagul Girgin",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yurdagul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Girgin",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the feasibility of an explainable artificial intelligence (AI)–assisted framework for differentiating pterygium from conjunctival intraepithelial neoplasia (CIN) using slit-lamp anterior segment photographs.",
        "Setting": "This pilot study was conducted at a single tertiary ophthalmology center using slit-lamp photographs obtained during routine clinical examinations. Images of ocular surface lesions diagnosed as pterygium or CIN were retrospectively collected and analyzed within a standardized evaluation framework.",
        "Methods": "In this pilot diagnostic study, slit-lamp photographs of biopsy-proven pterygium and conjunctival intraepithelial neoplasia (CIN) were retrospectively collected from a tertiary ophthalmology clinic and recorded in a standardized evaluation table. An explainable AI-assisted protocol based on predefined morphological criterias and suspicious OSSN findings were applied. Images were divided into calibration and blinded test datasets. AI diagnoses were compared with reference standard diagnoses based on histopathological examination. Data organization and structured annotation were supported using ChatGPT (OpenAI, GPT-5.2) as an assistive analytical tool, while all clinical decisions were made by the researchers.",
        "Results": "A total of 40 slit-lamp images were analyzed. According to AI primary classification, 20 lesions were categorized as pterygium and 20 as CIN. Pterygium cases were predominantly characterized by triangular fibrovascular proliferation with organized radial vascular patterns and smooth translucent surfaces. In contrast, CIN lesions demonstrated irregular or gelatinous morphology, leukoplakia, nodularity, and prominent feeder vessels. In cases where reference standard diagnosis was available, AI predictions showed full agreement with histopathological diagnosis within this pilot dataset. The explainable feature-based framework enabled transparent interpretation of AI decision patterns rather than black-box classification.",
        "Conclusions": "This pilot study demonstrates the feasibility of an explainable AI-assisted approach for differentiating pterygium from CIN using slit-lamp photographs. Morphology-based AI interpretation may assist clinicians in identifying ocular surface neoplasia during routine examinations. Larger studies with expanded datasets and histopathological confirmation are required to determine diagnostic accuracy and clinical applicability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POCOR463",
      "abstract_number": "POCOR463",
      "title": "Primary Globe-Sparing Treatment In Ocular Surface Mucoepidermoid And Adenosquamous Carcinoma: A Systematic Review Of The Literature.",
      "authors": "Dr Nikolaos Gkalapis",
      "presenter": "Dr Nikolaos Gkalapis",
      "normalized_authors": [
        "Nikolaos Gkalapis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikolaos Gkalapis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Conjunctival mucoepidermoid carcinoma (MEC), recently reclassified as adenosquamous carcinoma (ASC), is a rare, locally invasive malignancy that can arise across the ocular adnexa, including the ocular surface. Given its tendency for local extension and recurrence, many historically reported ocular surface cases were primarily managed with enucleation or exenteration. However, due to the limited evidence base and heterogeneity in reported treatment strategies, outcomes after primary globe-sparing management remain incompletely defined. This systematic review evaluates the clinical outcomes and the feasibility of conservative, globe-preserving approaches in the treatment of ocular surface MEC and ASC.",
        "Setting": "Systematic synthesis of the published literature on ocular surface MEC and/or ASC managed initially with globe-sparing treatment modalities, identified through database searching and reference screening.",
        "Methods": "A systematic review was performed of all English-language records indexed in PubMed/MEDLINE, Embase, Web of Science, and the Cochrane Library, including screening of the first 100 records in Google Scholar, from inception through January 31 st , 2026. Eligible studies reported clinical outcomes for ocular surface tumors historically diagnosed as MEC and/or classified as ASC that were initially managed with globe-sparing modalities, including local surgical excision, topical medical therapy, radiotherapy, and or laser ablation.",
        "Results": "19 studies met inclusion criteria, comprising 37 tumors in 37 patients. 23 tumors (62.16%) were historically reported as MEC and 14 (37.84%) as ASC. Patients were predominantly male (80.6%), and mean age was 63.9 years (33–89 ±12.6). Primary globe-sparing therapy included local excision without cryotherapy in 22 cases (59.5%), excision plus topical medical therapy in 4 (10.8%), excision plus radiotherapy in 4 (10.8%), excision with cryotherapy in 2 (5.4%), radiotherapy alone in 2 (5.4%), local IFNα2b therapy in 2 (5.4%), and laser ablation in 1 (2.7%). Recurrence occurred in 23 cases (62.16%) at a mean of 5.40 months. Globe preservation was achieved in 24 cases (64.9%), 12 (39.0%) required enucleation/exenteration and 1 was not reported.",
        "Conclusions": "Across published reports, primary globe-sparing management of ocular surface MEC and ASC achieves meaningful rates of globe preservation. However, recurrence remains common and frequently occurs within the first year. Although nearly two-thirds of eyes were ultimately preserved, a substantial proportion still required enucleation or exenteration, underscoring the locally aggressive behavior of these tumors and the need for close surveillance and timely escalation when local control is not achieved. Given the rarity of the disease and heterogeneity of reported management strategies, larger contemporary series with standardized reporting are needed to better define optimal globe-sparing treatment pathways."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Across published reports, primary globe-sparing management of ocular surface MEC and ASC achieves meaningful rates of globe preservation. However, recurrence remains common and frequently occurs within the first year. Although nearly two-thirds of eyes were ultimately preserved, a substantial proportion still required enucleation or exenteration, underscoring the locally aggressive behavior of these tumors and the…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1147,
      "source_fields": {
        "Abstract Final Identifier": "POCOR463",
        "Title": "Primary Globe-Sparing Treatment In Ocular Surface Mucoepidermoid And Adenosquamous Carcinoma: A Systematic Review Of The Literature.",
        "Presenting Author(s)": "Dr Nikolaos Gkalapis",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nikolaos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gkalapis",
        "Country Name": "Germany",
        "Purpose": "Conjunctival mucoepidermoid carcinoma (MEC), recently reclassified as adenosquamous carcinoma (ASC), is a rare, locally invasive malignancy that can arise across the ocular adnexa, including the ocular surface. Given its tendency for local extension and recurrence, many historically reported ocular surface cases were primarily managed with enucleation or exenteration. However, due to the limited evidence base and heterogeneity in reported treatment strategies, outcomes after primary globe-sparing management remain incompletely defined. This systematic review evaluates the clinical outcomes and the feasibility of conservative, globe-preserving approaches in the treatment of ocular surface MEC and ASC.",
        "Setting": "Systematic synthesis of the published literature on ocular surface MEC and/or ASC managed initially with globe-sparing treatment modalities, identified through database searching and reference screening.",
        "Methods": "A systematic review was performed of all English-language records indexed in PubMed/MEDLINE, Embase, Web of Science, and the Cochrane Library, including screening of the first 100 records in Google Scholar, from inception through January 31 st , 2026. Eligible studies reported clinical outcomes for ocular surface tumors historically diagnosed as MEC and/or classified as ASC that were initially managed with globe-sparing modalities, including local surgical excision, topical medical therapy, radiotherapy, and or laser ablation.",
        "Results": "19 studies met inclusion criteria, comprising 37 tumors in 37 patients. 23 tumors (62.16%) were historically reported as MEC and 14 (37.84%) as ASC. Patients were predominantly male (80.6%), and mean age was 63.9 years (33–89 ±12.6). Primary globe-sparing therapy included local excision without cryotherapy in 22 cases (59.5%), excision plus topical medical therapy in 4 (10.8%), excision plus radiotherapy in 4 (10.8%), excision with cryotherapy in 2 (5.4%), radiotherapy alone in 2 (5.4%), local IFNα2b therapy in 2 (5.4%), and laser ablation in 1 (2.7%). Recurrence occurred in 23 cases (62.16%) at a mean of 5.40 months. Globe preservation was achieved in 24 cases (64.9%), 12 (39.0%) required enucleation/exenteration and 1 was not reported.",
        "Conclusions": "Across published reports, primary globe-sparing management of ocular surface MEC and ASC achieves meaningful rates of globe preservation. However, recurrence remains common and frequently occurs within the first year. Although nearly two-thirds of eyes were ultimately preserved, a substantial proportion still required enucleation or exenteration, underscoring the locally aggressive behavior of these tumors and the need for close surveillance and timely escalation when local control is not achieved. Given the rarity of the disease and heterogeneity of reported management strategies, larger contemporary series with standardized reporting are needed to better define optimal globe-sparing treatment pathways."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 421
    },
    {
      "uid": "POCOR464",
      "abstract_number": "POCOR464",
      "title": "Anatomical Results And Complications Of Type I Boston Keratoprosthesis With Oral Mucosa Overlay",
      "authors": "Dr Maria Fideliz de la Paz",
      "presenter": "Dr Maria Fideliz de la Paz",
      "normalized_authors": [
        "Maria Fideliz de la Paz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria LUZ Guardati",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the anatomical success and complications in Type 1 Boston keratoprosthesis with oral mucosa overlay.",
        "Setting": "Oftalvist Barcelona. The study was carried out according to the principles of the Declaration of Helsinki. Given its retrospective nature, all participants had previously provided informed consent for the use of their data in research.",
        "Methods": "Oral mucosa can be used as an adjunct to the Type I Boston KPro in challenging cases, such as repeated prosthesis extrusion or cases of high risk of stromal melts. A total of 29 eyes which underwent surgery by a single surgeon (MDP) were reviewed. The most common indication auto-immune corneal opacity such as Stevens-Johnson syndrome or ocular cicatricial pemphigoid followed by severe chemical burns, and others like congenital aniridia, severe neurotrophic keratopathy, etc.",
        "Results": "Anatomical success was defined as prosthesis retention at last follow up. Mean follow up time was 34 months . Among 29 eyes, overall anatomic success was 90% (26/29) and failure 10% (3/29). Anatomic failure was exclusively associated with infection, and in patients with autoimmune disease and immune suppression. Oral mucosa complications were central necrosis (7) and mucosal overgrowth (3), but all maintained anatomic survival. Severe chemical burns showed 100% anatomical success at last follow up. T the most common factor encountered in cases of mucosal complications was smoking: 66% of smokers (4/6) versus 8% of non-smokers (2/23). Although not statistically significant, there there seems to be a trend for stromal complications in smokers.",
        "Conclusions": "Oral mucosa overaly may be an adjunct in challenging cases of Type I Boston KPro surgery. Anatomical failure or loss of prosthesis was exclusively related to infectious complications occurring in patients with auto immune diseases, suggesting systemic immune dysregulation may increase susceptibility to infection . Smoking was strongly associated with mucosal complications but did not correlate with infection or device loss."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Oral mucosa overaly may be an adjunct in challenging cases of Type I Boston KPro surgery. Anatomical failure or loss of prosthesis was exclusively related to infectious complications occurring in patients with auto immune diseases, suggesting systemic immune dysregulation may increase susceptibility to infection . Smoking was strongly associated with mucosal complications but did not correlate with infection or…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1148,
      "source_fields": {
        "Abstract Final Identifier": "POCOR464",
        "Title": "Anatomical Results And Complications Of Type I Boston Keratoprosthesis With Oral Mucosa Overlay",
        "Presenting Author(s)": "Dr Maria Fideliz de la Paz",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "LUZ",
        "Submitter Last Name": "Guardati",
        "Country Name": "Spain",
        "Purpose": "To describe the anatomical success and complications in Type 1 Boston keratoprosthesis with oral mucosa overlay.",
        "Setting": "Oftalvist Barcelona. The study was carried out according to the principles of the Declaration of Helsinki. Given its retrospective nature, all participants had previously provided informed consent for the use of their data in research.",
        "Methods": "Oral mucosa can be used as an adjunct to the Type I Boston KPro in challenging cases, such as repeated prosthesis extrusion or cases of high risk of stromal melts. A total of 29 eyes which underwent surgery by a single surgeon (MDP) were reviewed. The most common indication auto-immune corneal opacity such as Stevens-Johnson syndrome or ocular cicatricial pemphigoid followed by severe chemical burns, and others like congenital aniridia, severe neurotrophic keratopathy, etc.",
        "Results": "Anatomical success was defined as prosthesis retention at last follow up. Mean follow up time was 34 months . Among 29 eyes, overall anatomic success was 90% (26/29) and failure 10% (3/29). Anatomic failure was exclusively associated with infection, and in patients with autoimmune disease and immune suppression. Oral mucosa complications were central necrosis (7) and mucosal overgrowth (3), but all maintained anatomic survival. Severe chemical burns showed 100% anatomical success at last follow up. T the most common factor encountered in cases of mucosal complications was smoking: 66% of smokers (4/6) versus 8% of non-smokers (2/23). Although not statistically significant, there there seems to be a trend for stromal complications in smokers.",
        "Conclusions": "Oral mucosa overaly may be an adjunct in challenging cases of Type I Boston KPro surgery. Anatomical failure or loss of prosthesis was exclusively related to infectious complications occurring in patients with auto immune diseases, suggesting systemic immune dysregulation may increase susceptibility to infection . Smoking was strongly associated with mucosal complications but did not correlate with infection or device loss."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "POCOR465",
      "abstract_number": "POCOR465",
      "title": "Use Of Lacrifil As Dry Eye Disease Treatment And Early Results From Lacrifil Study",
      "authors": "Dr Morten Pensgård Gundersen",
      "presenter": "Dr Morten Pensgård Gundersen",
      "normalized_authors": [
        "Morten Pensgård Gundersen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Morten Pensgård Gundersen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "Lacrifill is a cross-linked hyaluronic acid gel designed to temporarily block tear drainage by physiologically occluding the canalicular system.\n\nThe purpose of this paper is to share our experience with Lacrifil in the treatment of dry eye disease (DED) at a specialized cataract and refractive clinic, as well as to present early results from our ongoing study on Lacrifil.\n\nThis study is a single-blind, two-armed prospective comparative study focusing on cataract patients with DED. One group will receive tear duct irrigation combined with a Lacrifil injection, while the control group will only receive tear duct irrigation. Both Tear film measurements and Biometric precision will be evaluated.",
        "Setting": "Single center clinic located in Haugesund, Norway.",
        "Methods": "Potential patients will be categorised as DED positive or DED negative based on DEWS II criteria. A total of 5 visits:\n\n1. Preoperative visit with all investigations.\n\n2. Lacrimal irrigation with possible Lacrifill injection 4 weeks postop\n\n3. Bilateral sequential cataract surgery\n\n4. Day 1 postop\n\n5. 4-6 weeks postop\n\n6. 3 months postop\n\n· Basic eye examination\n\nExterna\n\nVisual acuity (VA)\n\nRefraction (R)\n\nIOP\n\nDocumentation of posterior segment (Optomap/OCT)\n\n- Extensive OSD protocol\n\nSubjective OSDI and SPEED II Questionnaires\n\nOkulus Keratograph\n\nOSS\n\nNIKBUT\n\nSchirmer II\n\nMeibography\n\n· Number of glands\n\n· Meibum quality\n\nMeibum Expressability",
        "Results": "Early results indicate an improvement in several DED measurements in the lacrifil group, including NIKBUT, OSS, and Schirmer II scores. Additionally, lower OSDI and SPEED II scores suggest subjective improvement.\n\nConversely, no significant effects on ocular biometry have been observed to date.",
        "Conclusions": "Clinical review of Lacrifil indicates that it is an effective tool for managing Dry Eye Disease (DED) and offers a safe alternative to lacrimal plugs. Its quick and easy in-office administration, along with reversibility if needed, is a particular strength.\n\nEarly clinical results also show significant improvements in both objective and subjective tear measurements."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Clinical review of Lacrifil indicates that it is an effective tool for managing Dry Eye Disease (DED) and offers a safe alternative to lacrimal plugs. Its quick and easy in-office administration, along with reversibility if needed, is a particular strength. Early clinical results also show significant improvements in both objective and subjective tear measurements.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1149,
      "source_fields": {
        "Abstract Final Identifier": "POCOR465",
        "Title": "Use Of Lacrifil As Dry Eye Disease Treatment And Early Results From Lacrifil Study",
        "Presenting Author(s)": "Dr Morten Pensgård Gundersen",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Morten",
        "Submitter Middle Name": "Pensgård",
        "Submitter Last Name": "Gundersen",
        "Country Name": "Norway",
        "Purpose": "Lacrifill is a cross-linked hyaluronic acid gel designed to temporarily block tear drainage by physiologically occluding the canalicular system.\n\nThe purpose of this paper is to share our experience with Lacrifil in the treatment of dry eye disease (DED) at a specialized cataract and refractive clinic, as well as to present early results from our ongoing study on Lacrifil.\n\nThis study is a single-blind, two-armed prospective comparative study focusing on cataract patients with DED. One group will receive tear duct irrigation combined with a Lacrifil injection, while the control group will only receive tear duct irrigation. Both Tear film measurements and Biometric precision will be evaluated.",
        "Setting": "Single center clinic located in Haugesund, Norway.",
        "Methods": "Potential patients will be categorised as DED positive or DED negative based on DEWS II criteria. A total of 5 visits:\n\n1. Preoperative visit with all investigations.\n\n2. Lacrimal irrigation with possible Lacrifill injection 4 weeks postop\n\n3. Bilateral sequential cataract surgery\n\n4. Day 1 postop\n\n5. 4-6 weeks postop\n\n6. 3 months postop\n\n· Basic eye examination\n\nExterna\n\nVisual acuity (VA)\n\nRefraction (R)\n\nIOP\n\nDocumentation of posterior segment (Optomap/OCT)\n\n- Extensive OSD protocol\n\nSubjective OSDI and SPEED II Questionnaires\n\nOkulus Keratograph\n\nOSS\n\nNIKBUT\n\nSchirmer II\n\nMeibography\n\n· Number of glands\n\n· Meibum quality\n\nMeibum Expressability",
        "Results": "Early results indicate an improvement in several DED measurements in the lacrifil group, including NIKBUT, OSS, and Schirmer II scores. Additionally, lower OSDI and SPEED II scores suggest subjective improvement.\n\nConversely, no significant effects on ocular biometry have been observed to date.",
        "Conclusions": "Clinical review of Lacrifil indicates that it is an effective tool for managing Dry Eye Disease (DED) and offers a safe alternative to lacrimal plugs. Its quick and easy in-office administration, along with reversibility if needed, is a particular strength.\n\nEarly clinical results also show significant improvements in both objective and subjective tear measurements."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCOR466",
      "abstract_number": "POCOR466",
      "title": "Preoperative Versus Intraoperative Detection Of Asymptomatic Abmd In Lasik/Smile: Risk Of Recurrent Erosion Syndrome, Ptk Success And Need For Repeat Ptk",
      "authors": "Ms Ruchi Gupta",
      "presenter": "Ms Ruchi Gupta",
      "normalized_authors": [
        "Ruchi Gupta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruchi Gupta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare the risk of recurrent corneal erosion syndrome requiring therapeutic treatment in LASIK/SMILE eyes with preoperatively diagnosed asymptomatic anterior basement membrane dystrophy (ABMD) versus eyes in which ABMD was only detected intraoperatively.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "This retrospective analysis included 25,204 eyes undergoing femtosecond LASIK or SMILE between February 2009 and March 2019. All eyes had a complete preoperative ophthalmological examination. Eyes with mild or asymptomatic ABMD, without recurrent erosions or epithelial movement on the Epithelial Stress Test, underwent LASIK or SMILE with additional informed consent. A subset with no preoperative ABMD signs had intraoperative epithelial slide and were retrospectively confirmed to have subclinical ABMD. The incidence of recurrent erosion syndrome requiring PTK, success of first PTK, and rate of repeat PTK were compared between groups. Eyes with moderate or severe ABMD received PRK and were excluded from LASIK/SMILE analysis.",
        "Results": "ABMD was diagnosed preoperatively in 802 eyes (3.18%) who underwent LASIK/SMILE. Intraoperative epithelial slide occurred in 72 of these (8.98%). Among eyes without preoperative ABMD (n=24,377), 365 experienced intraoperative epithelial slide (1.50%) and were reclassified as intraoperatively detected ABMD. PTK for recurrent erosion was required in 12 eyes (1.50%) in the preoperatively diagnosed group and in 19 eyes (5.21%) in the intraoperative-only group. Repeat PTK was needed in 5 of 12 (41.7%) in the preoperative ABMD group and 2 of 19 (10.5%) in the intraoperative ABMD group.",
        "Conclusions": "With modern femtosecond laser platforms and careful preoperative assessment, femtosecond LASIK and SMILE can be performed safely in eyes with preoperatively detected ABMD. Eyes in which ABMD was identified preoperatively had a lower risk of developing recurrent erosion syndrome requiring PTK compared to eyes in which ABMD was only detected intraoperatively. Although a small proportion of eyes required therapeutic intervention, postoperative epithelial complications were infrequent and effectively managed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "With modern femtosecond laser platforms and careful preoperative assessment, femtosecond LASIK and SMILE can be performed safely in eyes with preoperatively detected ABMD. Eyes in which ABMD was identified preoperatively had a lower risk of developing recurrent erosion syndrome requiring PTK compared to eyes in which ABMD was only detected intraoperatively. Although a small proportion of eyes required therapeutic…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1150,
      "source_fields": {
        "Abstract Final Identifier": "POCOR466",
        "Title": "Preoperative Versus Intraoperative Detection Of Asymptomatic Abmd In Lasik/Smile: Risk Of Recurrent Erosion Syndrome, Ptk Success And Need For Repeat Ptk",
        "Presenting Author(s)": "Ms Ruchi Gupta",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ruchi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gupta",
        "Country Name": "United Kingdom",
        "Purpose": "To compare the risk of recurrent corneal erosion syndrome requiring therapeutic treatment in LASIK/SMILE eyes with preoperatively diagnosed asymptomatic anterior basement membrane dystrophy (ABMD) versus eyes in which ABMD was only detected intraoperatively.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "This retrospective analysis included 25,204 eyes undergoing femtosecond LASIK or SMILE between February 2009 and March 2019. All eyes had a complete preoperative ophthalmological examination. Eyes with mild or asymptomatic ABMD, without recurrent erosions or epithelial movement on the Epithelial Stress Test, underwent LASIK or SMILE with additional informed consent. A subset with no preoperative ABMD signs had intraoperative epithelial slide and were retrospectively confirmed to have subclinical ABMD. The incidence of recurrent erosion syndrome requiring PTK, success of first PTK, and rate of repeat PTK were compared between groups. Eyes with moderate or severe ABMD received PRK and were excluded from LASIK/SMILE analysis.",
        "Results": "ABMD was diagnosed preoperatively in 802 eyes (3.18%) who underwent LASIK/SMILE. Intraoperative epithelial slide occurred in 72 of these (8.98%). Among eyes without preoperative ABMD (n=24,377), 365 experienced intraoperative epithelial slide (1.50%) and were reclassified as intraoperatively detected ABMD. PTK for recurrent erosion was required in 12 eyes (1.50%) in the preoperatively diagnosed group and in 19 eyes (5.21%) in the intraoperative-only group. Repeat PTK was needed in 5 of 12 (41.7%) in the preoperative ABMD group and 2 of 19 (10.5%) in the intraoperative ABMD group.",
        "Conclusions": "With modern femtosecond laser platforms and careful preoperative assessment, femtosecond LASIK and SMILE can be performed safely in eyes with preoperatively detected ABMD. Eyes in which ABMD was identified preoperatively had a lower risk of developing recurrent erosion syndrome requiring PTK compared to eyes in which ABMD was only detected intraoperatively. Although a small proportion of eyes required therapeutic intervention, postoperative epithelial complications were infrequent and effectively managed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "POCOR467",
      "abstract_number": "POCOR467",
      "title": "Ocular Surface Microbiome Profiling In Patients With Neurodegenerative Disorders",
      "authors": "Prof. Noopur Gupta",
      "presenter": "Prof. Noopur Gupta",
      "normalized_authors": [
        "Noopur Gupta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Noopur Gupta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Neurodegenerative disorders (NDD), especially Alzheimer's disease (AD) and Parkinson's disease (PD), are characterized by progressive neuronal loss, chronic systemic inflammation, autonomic dysfunction, and sensory impairment. These multidimensional changes directly affect the ocular surface, contributing to development of dry eye disease (DED) and possible microbial dysbiosis at the ocular surface. We aimed to characterize the ocular surface microbiome and ocular surface parameters in patients with NDDs and compare them to healthy controls.",
        "Setting": "A prospective cross-sectional study was undertaken from March 2024 to September 2025 in the Ophthalmology and Neurology department, All India Institute of Medical Sciences, New Delhi, India and Department of Neurology, Institute of Human Behaviour and Allied Sciences, New Delhi, India to recruit willing participants with Alzheimer’s and Parkinson’s disease. An equal number of age and gender matched controls with no ocular or systemic disease were also recruited.",
        "Methods": "Systemic workup including stage of disease was noted. All patients underwent thorough ophthalmic evaluation, non-invasive Ocular Surface Analyzer (OSA)-based DED assessment [Non-invasive Break up Time (NIBUT), Tear Meniscus Height (TMH), Lipid Layer Thickness (LLT), Meibomian Gland Loss (MGL) and Ocular Surface Disease Index (OSDI) assessment. Conjunctival swab samples were collected from all study participants for microbiome analysis. Ocular surface microbiome analysis was done using whole genome metagenomic sequencing (Nanopore and/or Illumina platforms). Relative abundances of microbial flora were compared between the patient groups and controls.",
        "Results": "59 subjects were enrolled: 20 PD, 19 AD, and 20 controls. DED prevalence was high in AD (93%) and PD (90%) patients. Alpha diversity was significantly higher in AD and PD groups compared with controls, indicating increased species richness and microbial heterogeneity. Disease groups demonstrated loss of commensal dominance ( Corynebacterium, Staphylococcus epidermidis ) and increased representation of gut-associated and environmental species ( Segatella copri, Enterobacter cloacae in AD Pseudomonas aeruginosa, Kocuria palustris in PD). Patients with DED exhibited greater dysbiosis, notably Segatella overrepresentation, compared to NDD patients without DED.",
        "Conclusions": "Patients with Neurodegenerative disorders exhibit pronounced DED, accompanied by distinct microbial dysbiosis. Our study showed that the ocular surface microbiome was distinctly altered in NDD patients, such as AD and PD, compared to healthy controls, with higher microbial diversity and increased species richness, indicative of a significant distortion from the normal ocular microbial flora. Ocular surface microbiome alterations may serve as a potential biomarker reflecting underlying neuroinflammation and autonomic dysfunction in neurodegenerative disease. Whole-genome metagenomics provides a powerful tool for identifying these dysbiotic signatures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with Neurodegenerative disorders exhibit pronounced DED, accompanied by distinct microbial dysbiosis. Our study showed that the ocular surface microbiome was distinctly altered in NDD patients, such as AD and PD, compared to healthy controls, with higher microbial diversity and increased species richness, indicative of a significant distortion from the normal ocular microbial flora. Ocular surface…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1151,
      "source_fields": {
        "Abstract Final Identifier": "POCOR467",
        "Title": "Ocular Surface Microbiome Profiling In Patients With Neurodegenerative Disorders",
        "Presenting Author(s)": "Prof. Noopur Gupta",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Noopur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gupta",
        "Country Name": "India",
        "Purpose": "Neurodegenerative disorders (NDD), especially Alzheimer's disease (AD) and Parkinson's disease (PD), are characterized by progressive neuronal loss, chronic systemic inflammation, autonomic dysfunction, and sensory impairment. These multidimensional changes directly affect the ocular surface, contributing to development of dry eye disease (DED) and possible microbial dysbiosis at the ocular surface. We aimed to characterize the ocular surface microbiome and ocular surface parameters in patients with NDDs and compare them to healthy controls.",
        "Setting": "A prospective cross-sectional study was undertaken from March 2024 to September 2025 in the Ophthalmology and Neurology department, All India Institute of Medical Sciences, New Delhi, India and Department of Neurology, Institute of Human Behaviour and Allied Sciences, New Delhi, India to recruit willing participants with Alzheimer’s and Parkinson’s disease. An equal number of age and gender matched controls with no ocular or systemic disease were also recruited.",
        "Methods": "Systemic workup including stage of disease was noted. All patients underwent thorough ophthalmic evaluation, non-invasive Ocular Surface Analyzer (OSA)-based DED assessment [Non-invasive Break up Time (NIBUT), Tear Meniscus Height (TMH), Lipid Layer Thickness (LLT), Meibomian Gland Loss (MGL) and Ocular Surface Disease Index (OSDI) assessment. Conjunctival swab samples were collected from all study participants for microbiome analysis. Ocular surface microbiome analysis was done using whole genome metagenomic sequencing (Nanopore and/or Illumina platforms). Relative abundances of microbial flora were compared between the patient groups and controls.",
        "Results": "59 subjects were enrolled: 20 PD, 19 AD, and 20 controls. DED prevalence was high in AD (93%) and PD (90%) patients. Alpha diversity was significantly higher in AD and PD groups compared with controls, indicating increased species richness and microbial heterogeneity. Disease groups demonstrated loss of commensal dominance ( Corynebacterium, Staphylococcus epidermidis ) and increased representation of gut-associated and environmental species ( Segatella copri, Enterobacter cloacae in AD Pseudomonas aeruginosa, Kocuria palustris in PD). Patients with DED exhibited greater dysbiosis, notably Segatella overrepresentation, compared to NDD patients without DED.",
        "Conclusions": "Patients with Neurodegenerative disorders exhibit pronounced DED, accompanied by distinct microbial dysbiosis. Our study showed that the ocular surface microbiome was distinctly altered in NDD patients, such as AD and PD, compared to healthy controls, with higher microbial diversity and increased species richness, indicative of a significant distortion from the normal ocular microbial flora. Ocular surface microbiome alterations may serve as a potential biomarker reflecting underlying neuroinflammation and autonomic dysfunction in neurodegenerative disease. Whole-genome metagenomics provides a powerful tool for identifying these dysbiotic signatures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 397
    },
    {
      "uid": "POCOR468",
      "abstract_number": "POCOR468",
      "title": "Early-Onset Scleral Dellen After Primary Pterygium Excision: Consecutive Case Series And Management Algorithm",
      "authors": "Salma Hamidi",
      "presenter": "Salma Hamidi",
      "normalized_authors": [
        "Salma Hamidi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Salma Hamidi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To describe the clinical characteristics, potential risk factors, management strategy, and outcomes of early-onset scleral dellen following primary pterygium excision, and to highlight preventive surgical considerations.",
        "Setting": "Tertiary referral center for corneal and ocular surface surgery.",
        "Methods": "Retrospective analysis of four consecutive male patients (38–65 years) who developed scleral dellen within 5–16 days after primary pterygium excision with conjunctival autograft. Mitomycin C was not used in any case. Surgical details, postoperative treatment, clinical presentation, management approach, and outcomes were reviewed. Initial management included intensive preservative-free lubrication, topical antibiotics, autologous serum 30%, and patching. Surgical intervention with amniotic membrane transplantation (AMT) was performed in cases of progressive deep thinning.",
        "Results": "All cases presented with localized scleral thinning without infection or systemic inflammatory disease. Mean time to onset was 11.8 days. Contributing factors included partial bare sclera exposure, graft instability, perilimbal cautery, and intensive postoperative steroid use.\n\nThree patients (75%) responded to aggressive medical therapy, achieving complete epithelial and stromal recovery within four weeks. One patient (25%) with deep scleral thinning and uveal show required AMT, resulting in successful anatomical restoration. No residual scleral defects, perforation, or vision-threatening sequelae occurred.",
        "Conclusions": "Early-onset scleral dellen is a rare but potentially sight-threatening complication of pterygium surgery, typically occurring within the first two postoperative weeks.\n\nPrompt recognition and a stepwise management approach—intensive lubrication, steroid adjustment, autologous serum, and timely AMT when indicated—lead to excellent outcomes.\n\nPreventive strategies including complete scleral coverage, minimal cautery, secure graft fixation, and cautious steroid tapering are critical to reducing postoperative risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early-onset scleral dellen is a rare but potentially sight-threatening complication of pterygium surgery, typically occurring within the first two postoperative weeks. Prompt recognition and a stepwise management approach—intensive lubrication, steroid adjustment, autologous serum, and timely AMT when indicated—lead to excellent outcomes. Preventive strategies including complete scleral coverage, minimal cautery,…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1152,
      "source_fields": {
        "Abstract Final Identifier": "POCOR468",
        "Title": "Early-Onset Scleral Dellen After Primary Pterygium Excision: Consecutive Case Series And Management Algorithm",
        "Presenting Author(s)": "Salma Hamidi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Salma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hamidi",
        "Country Name": "Morocco",
        "Purpose": "To describe the clinical characteristics, potential risk factors, management strategy, and outcomes of early-onset scleral dellen following primary pterygium excision, and to highlight preventive surgical considerations.",
        "Setting": "Tertiary referral center for corneal and ocular surface surgery.",
        "Methods": "Retrospective analysis of four consecutive male patients (38–65 years) who developed scleral dellen within 5–16 days after primary pterygium excision with conjunctival autograft. Mitomycin C was not used in any case. Surgical details, postoperative treatment, clinical presentation, management approach, and outcomes were reviewed. Initial management included intensive preservative-free lubrication, topical antibiotics, autologous serum 30%, and patching. Surgical intervention with amniotic membrane transplantation (AMT) was performed in cases of progressive deep thinning.",
        "Results": "All cases presented with localized scleral thinning without infection or systemic inflammatory disease. Mean time to onset was 11.8 days. Contributing factors included partial bare sclera exposure, graft instability, perilimbal cautery, and intensive postoperative steroid use.\n\nThree patients (75%) responded to aggressive medical therapy, achieving complete epithelial and stromal recovery within four weeks. One patient (25%) with deep scleral thinning and uveal show required AMT, resulting in successful anatomical restoration. No residual scleral defects, perforation, or vision-threatening sequelae occurred.",
        "Conclusions": "Early-onset scleral dellen is a rare but potentially sight-threatening complication of pterygium surgery, typically occurring within the first two postoperative weeks.\n\nPrompt recognition and a stepwise management approach—intensive lubrication, steroid adjustment, autologous serum, and timely AMT when indicated—lead to excellent outcomes.\n\nPreventive strategies including complete scleral coverage, minimal cautery, secure graft fixation, and cautious steroid tapering are critical to reducing postoperative risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCOR469",
      "abstract_number": "POCOR469",
      "title": "Beyon Human Eye, How Artificial Intelligence Helping In Diagnosing Microbial Keratitis",
      "authors": "Dr Muhammad Ahmed Khalif",
      "presenter": "Dr Muhammad Ahmed Khalif",
      "normalized_authors": [
        "Muhammad Ahmed Khalif"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammad Hamza",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Microbial keratitis remains a sight-threatening condition in which early and accurate diagnosis is essential for optimal visual outcomes. Clinical differentiation between bacterial, fungal, Acanthamoeba, and viral keratitis is often challenging due to overlapping features, leading to diagnostic delay and inappropriate treatment. The purpose of this paper is to evaluate the role of artificial intelligence as a clinical decision-support tool in the diagnosis of microbial keratitis. It explores how AI-based analysis of ophthalmic imaging and clinical data may enhance diagnostic accuracy, reduce inter-observer variability, and support earlier, more targeted management while complementing specialist clinical judgment.",
        "Setting": "This study was conducted at Liaquat National Hospital and Medical College, Karachi, Pakistan, a tertiary-care referral centre with a dedicated cornea service. The hospital manages a high volume of patients with bacterial, fungal, Acanthamoeba, and viral keratitis, providing a representative spectrum for evaluation. Clinical data and ophthalmic images were collected according to institutional protocols and standard care. The study adhered to ethical standards and institutional guidelines.",
        "Methods": "This study was conducted at Liaquat National Hospital and Medical College, Karachi, Pakistan. Clinical data and ophthalmic images of patients with microbial keratitis were collected from the cornea service. Imaging included slit-lamp photography, anterior segment OCT, and in vivo confocal microscopy when available. Cases were classified by culture-confirmed or clinically presumed etiology, including bacterial, fungal, Acanthamoeba, and viral keratitis. Deep learning AI models were trained and validated on annotated datasets. Performance was assessed by accuracy, sensitivity, specificity, and agreement with corneal specialists to evaluate AI as a diagnostic support tool.",
        "Results": "The artificial intelligence–based diagnostic model demonstrated an overall diagnostic accuracy of 80%- 85% in identifying and classifying microbial keratitis. Agreement between AI predictions and expert clinical diagnosis was high, particularly in distinguishing infectious from non-infectious keratitis and in differentiating common microbial etiologies. Diagnostic performance was strongest for bacterial and fungal keratitis, with comparatively lower accuracy in less prevalent subtypes. These findings support the potential role of AI as a reliable adjunct to clinical assessment in the diagnosis of microbial keratitis.",
        "Conclusions": "Artificial intelligence shows significant potential as a clinical decision-support tool in diagnosing microbial keratitis, achieving 80% overall accuracy. AI can aid early etiological identification and improve diagnostic consistency, especially in high-volume tertiary centres. It is particularly valuable where microbiological culture, advanced imaging, or specialist expertise is unavailable, offering guidance when conventional diagnostics are limited. While not a substitute for clinical judgment, AI integration may reduce diagnostic delays, support initial management, and provide practical diagnostic assistance in resource-constrained settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Artificial intelligence shows significant potential as a clinical decision-support tool in diagnosing microbial keratitis, achieving 80% overall accuracy. AI can aid early etiological identification and improve diagnostic consistency, especially in high-volume tertiary centres. It is particularly valuable where microbiological culture, advanced imaging, or specialist expertise is unavailable, offering guidance when…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1153,
      "source_fields": {
        "Abstract Final Identifier": "POCOR469",
        "Title": "Beyon Human Eye, How Artificial Intelligence Helping In Diagnosing Microbial Keratitis",
        "Presenting Author(s)": "Dr Muhammad Ahmed Khalif",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Muhammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hamza",
        "Country Name": "United Kingdom",
        "Purpose": "Microbial keratitis remains a sight-threatening condition in which early and accurate diagnosis is essential for optimal visual outcomes. Clinical differentiation between bacterial, fungal, Acanthamoeba, and viral keratitis is often challenging due to overlapping features, leading to diagnostic delay and inappropriate treatment. The purpose of this paper is to evaluate the role of artificial intelligence as a clinical decision-support tool in the diagnosis of microbial keratitis. It explores how AI-based analysis of ophthalmic imaging and clinical data may enhance diagnostic accuracy, reduce inter-observer variability, and support earlier, more targeted management while complementing specialist clinical judgment.",
        "Setting": "This study was conducted at Liaquat National Hospital and Medical College, Karachi, Pakistan, a tertiary-care referral centre with a dedicated cornea service. The hospital manages a high volume of patients with bacterial, fungal, Acanthamoeba, and viral keratitis, providing a representative spectrum for evaluation. Clinical data and ophthalmic images were collected according to institutional protocols and standard care. The study adhered to ethical standards and institutional guidelines.",
        "Methods": "This study was conducted at Liaquat National Hospital and Medical College, Karachi, Pakistan. Clinical data and ophthalmic images of patients with microbial keratitis were collected from the cornea service. Imaging included slit-lamp photography, anterior segment OCT, and in vivo confocal microscopy when available. Cases were classified by culture-confirmed or clinically presumed etiology, including bacterial, fungal, Acanthamoeba, and viral keratitis. Deep learning AI models were trained and validated on annotated datasets. Performance was assessed by accuracy, sensitivity, specificity, and agreement with corneal specialists to evaluate AI as a diagnostic support tool.",
        "Results": "The artificial intelligence–based diagnostic model demonstrated an overall diagnostic accuracy of 80%- 85% in identifying and classifying microbial keratitis. Agreement between AI predictions and expert clinical diagnosis was high, particularly in distinguishing infectious from non-infectious keratitis and in differentiating common microbial etiologies. Diagnostic performance was strongest for bacterial and fungal keratitis, with comparatively lower accuracy in less prevalent subtypes. These findings support the potential role of AI as a reliable adjunct to clinical assessment in the diagnosis of microbial keratitis.",
        "Conclusions": "Artificial intelligence shows significant potential as a clinical decision-support tool in diagnosing microbial keratitis, achieving 80% overall accuracy. AI can aid early etiological identification and improve diagnostic consistency, especially in high-volume tertiary centres. It is particularly valuable where microbiological culture, advanced imaging, or specialist expertise is unavailable, offering guidance when conventional diagnostics are limited. While not a substitute for clinical judgment, AI integration may reduce diagnostic delays, support initial management, and provide practical diagnostic assistance in resource-constrained settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 409
    },
    {
      "uid": "POCOR470",
      "abstract_number": "POCOR470",
      "title": "Corneal Perforation In Peripheral Ulcerative Keratitis Associated With Rheumatoid Arthritis In A Monocular Patient: Management Challenges",
      "authors": "Dr Firdaws Haouach",
      "presenter": "Dr Firdaws Haouach",
      "normalized_authors": [
        "Firdaws Haouach"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Firdaws Haouach",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Peripheral ulcerative keratitis is a severe ocular manifestation of Rheumatoid Arthritis, characterized by progressive peripheral corneal thinning that may lead to Corneal Perforation. This condition represents a major threat to ocular integrity and visual function. We report a challenging case of corneal perforation occurring in a monocular patient with long-standing rheumatoid arthritis.",
        "Setting": "Department of Ophthalmology, University Hospital.",
        "Methods": "We report the clinical presentation, management, and outcome of a 51-year-old woman with a 20-year history of seropositive Rheumatoid Arthritis, treated with methotrexate and low-dose oral corticosteroids. The patient presented with a painful red eye and decreased vision in her only functional eye. Ophthalmological examination revealed conjunctival hyperemia and a 2-mm nasal Corneal Perforation with iris prolapse. Emergency surgical management was performed using Amniotic Membrane Transplantation, combined with intravenous corticosteroid pulse therapy.",
        "Results": "Postoperative evolution was favorable, with closure of the perforation, restoration of corneal integrity, and complete epithelialisation of the graft. Visual rehabilitation with a scleral contact lens allowed improvement of best-corrected visual acuity to 1/10. Systemic management of rheumatoid arthritis was optimised to control the underlying inflammatory process.",
        "Conclusions": "Peripheral ulcerative keratitis associated with rheumatoid arthritis is a sight-threatening condition that may lead to corneal perforation. Prompt surgical management combined with adequate systemic control of the underlying disease is essential to preserve ocular integrity and optimize visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Peripheral ulcerative keratitis associated with rheumatoid arthritis is a sight-threatening condition that may lead to corneal perforation. Prompt surgical management combined with adequate systemic control of the underlying disease is essential to preserve ocular integrity and optimize visual outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1154,
      "source_fields": {
        "Abstract Final Identifier": "POCOR470",
        "Title": "Corneal Perforation In Peripheral Ulcerative Keratitis Associated With Rheumatoid Arthritis In A Monocular Patient: Management Challenges",
        "Presenting Author(s)": "Dr Firdaws Haouach",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Firdaws",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haouach",
        "Country Name": "Morocco",
        "Purpose": "Peripheral ulcerative keratitis is a severe ocular manifestation of Rheumatoid Arthritis, characterized by progressive peripheral corneal thinning that may lead to Corneal Perforation. This condition represents a major threat to ocular integrity and visual function. We report a challenging case of corneal perforation occurring in a monocular patient with long-standing rheumatoid arthritis.",
        "Setting": "Department of Ophthalmology, University Hospital.",
        "Methods": "We report the clinical presentation, management, and outcome of a 51-year-old woman with a 20-year history of seropositive Rheumatoid Arthritis, treated with methotrexate and low-dose oral corticosteroids. The patient presented with a painful red eye and decreased vision in her only functional eye. Ophthalmological examination revealed conjunctival hyperemia and a 2-mm nasal Corneal Perforation with iris prolapse. Emergency surgical management was performed using Amniotic Membrane Transplantation, combined with intravenous corticosteroid pulse therapy.",
        "Results": "Postoperative evolution was favorable, with closure of the perforation, restoration of corneal integrity, and complete epithelialisation of the graft. Visual rehabilitation with a scleral contact lens allowed improvement of best-corrected visual acuity to 1/10. Systemic management of rheumatoid arthritis was optimised to control the underlying inflammatory process.",
        "Conclusions": "Peripheral ulcerative keratitis associated with rheumatoid arthritis is a sight-threatening condition that may lead to corneal perforation. Prompt surgical management combined with adequate systemic control of the underlying disease is essential to preserve ocular integrity and optimize visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POCOR471",
      "abstract_number": "POCOR471",
      "title": "Mechanical Debridement And Wavefront-Guided Transepithelial Photorefractive Keratectomy To Correct Aberrations And Refractive Errors In A Patient With Corneal Scar",
      "authors": "Prof. Dr Firat Helvacioglu*",
      "presenter": "Prof. Dr Firat Helvacioglu*",
      "normalized_authors": [
        "Firat Helvacioglu*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Firat Helvacioglu*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate the outcomes induced by mechanical debridement and anterior surface normalization by wavefront-guided transepithelial photorefractive keratectomy (CW-TPRK) in a patient with corneal central superficial fibrotic scar.",
        "Setting": "Veni Vidi Eye Hospital, Istanbul, Turkey",
        "Methods": "Mechanical debridement and anterior surface normalization by CW-TPRK was performed to a 52 years old male patient who previously had corneal central superficial fibrotic scar resulted from trauma occurred in early childhood, for normalization of aberrations. Refractive, topometric, pachymetric, abberometric and visual rehabilitation changes induced by the treatment were analyzed.",
        "Results": "The patient had operation in OD and early follow-up results were analyzed. Pre-and post-operative refractive errors were unreadable and +0.50 D consecutively. Average K at 3 mm was decreased from 75.56 D to 45.58 D. CCT was decreased from 634 microns to 613 microns. Coma and higher order aberrations at 6mm were decreased from 4.36, 6.55 microns to 0.35 and 0.59 microns consecutively. Corrected distant visual acuity increased from 0.4 to 1.0 Snellen lines.",
        "Conclusions": "Mechanical debridement and anterior surface normalization by CW-TPRK was safe and effective in correcting aberrations and refractive errors in a patient with irregular cornea resulting from central superficial fibrotic scar."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mechanical debridement and anterior surface normalization by CW-TPRK was safe and effective in correcting aberrations and refractive errors in a patient with irregular cornea resulting from central superficial fibrotic scar.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1155,
      "source_fields": {
        "Abstract Final Identifier": "POCOR471",
        "Title": "Mechanical Debridement And Wavefront-Guided Transepithelial Photorefractive Keratectomy To Correct Aberrations And Refractive Errors In A Patient With Corneal Scar",
        "Presenting Author(s)": "Prof. Dr Firat Helvacioglu*",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Firat",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Helvacioglu*",
        "Country Name": "Türkiye",
        "Purpose": "To investigate the outcomes induced by mechanical debridement and anterior surface normalization by wavefront-guided transepithelial photorefractive keratectomy (CW-TPRK) in a patient with corneal central superficial fibrotic scar.",
        "Setting": "Veni Vidi Eye Hospital, Istanbul, Turkey",
        "Methods": "Mechanical debridement and anterior surface normalization by CW-TPRK was performed to a 52 years old male patient who previously had corneal central superficial fibrotic scar resulted from trauma occurred in early childhood, for normalization of aberrations. Refractive, topometric, pachymetric, abberometric and visual rehabilitation changes induced by the treatment were analyzed.",
        "Results": "The patient had operation in OD and early follow-up results were analyzed. Pre-and post-operative refractive errors were unreadable and +0.50 D consecutively. Average K at 3 mm was decreased from 75.56 D to 45.58 D. CCT was decreased from 634 microns to 613 microns. Coma and higher order aberrations at 6mm were decreased from 4.36, 6.55 microns to 0.35 and 0.59 microns consecutively. Corrected distant visual acuity increased from 0.4 to 1.0 Snellen lines.",
        "Conclusions": "Mechanical debridement and anterior surface normalization by CW-TPRK was safe and effective in correcting aberrations and refractive errors in a patient with irregular cornea resulting from central superficial fibrotic scar."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POCOR472",
      "abstract_number": "POCOR472",
      "title": "Meibomian Gland Function After Cataract Surgery",
      "authors": "Dr Shiuhliang Hsu",
      "presenter": "Dr Shiuhliang Hsu",
      "normalized_authors": [
        "Shiuhliang Hsu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shiuhliang Hsu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "Meibomian gland function after cataract surgery",
        "Setting": "This is a prospective randomized clinical study conducted at a univeristy-affiliated eye center in Taiwan.",
        "Methods": "Patients receiving uneventful phacoemulsification cataract surgery were enrolled. The baseline meiboscore was recorded. The parameters of tear-film break-up time (TBUT), tear-film lipid layer thickness (TFLLT), meibomian gland expression (MGE), and corneal staining were recorded before surgery, 4, 11 days and 1 month after surgery.",
        "Results": "The overall TFLLT had no significant change. BUT was significantly higher at 1M after surgery. MGE was significantly increased at 4D and 1M. Corneal staining decreased significantly at 1M. Patients were further sub-devided into 2 groups: baseline TFLLT > or = 60nm (Group A) and < 60nm (Group B). In Group A, TFLLT was significantly lower at 4D; TBUT and MGE were significantly increased at 1M; corneal staining had no significant change. In Group B, TFLLT was significantly increased at 4D and 11D; TBUT and corneal staining had no significant change; MGE was significantly increased at 4D.",
        "Conclusions": "It was believed that dry eye condition usually deteriorates after surgery. But meibomian gland function, in our study, got temporary improvement in post-op 1M."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "It was believed that dry eye condition usually deteriorates after surgery. But meibomian gland function, in our study, got temporary improvement in post-op 1M.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1156,
      "source_fields": {
        "Abstract Final Identifier": "POCOR472",
        "Title": "Meibomian Gland Function After Cataract Surgery",
        "Presenting Author(s)": "Dr Shiuhliang Hsu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Shiuhliang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hsu",
        "Country Name": "Taiwan",
        "Purpose": "Meibomian gland function after cataract surgery",
        "Setting": "This is a prospective randomized clinical study conducted at a univeristy-affiliated eye center in Taiwan.",
        "Methods": "Patients receiving uneventful phacoemulsification cataract surgery were enrolled. The baseline meiboscore was recorded. The parameters of tear-film break-up time (TBUT), tear-film lipid layer thickness (TFLLT), meibomian gland expression (MGE), and corneal staining were recorded before surgery, 4, 11 days and 1 month after surgery.",
        "Results": "The overall TFLLT had no significant change. BUT was significantly higher at 1M after surgery. MGE was significantly increased at 4D and 1M. Corneal staining decreased significantly at 1M. Patients were further sub-devided into 2 groups: baseline TFLLT > or = 60nm (Group A) and < 60nm (Group B). In Group A, TFLLT was significantly lower at 4D; TBUT and MGE were significantly increased at 1M; corneal staining had no significant change. In Group B, TFLLT was significantly increased at 4D and 11D; TBUT and corneal staining had no significant change; MGE was significantly increased at 4D.",
        "Conclusions": "It was believed that dry eye condition usually deteriorates after surgery. But meibomian gland function, in our study, got temporary improvement in post-op 1M."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 183
    },
    {
      "uid": "POCOR473",
      "abstract_number": "POCOR473",
      "title": "Multidimensional Regulatory Mechanism Of A Thermoresponsive Antioxidant Metal-Free Carbon Nanodot Hydrogel And Its Application In Restoring Ocular Surface Homeostasis",
      "authors": "Dr Jinhai Huang",
      "presenter": "Dr Jinhai Huang",
      "normalized_authors": [
        "Jinhai Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jinhai Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "The pathological mechanisms of ocular surface diseases, such as dry eye disease (DED), are complex. Oxidative stress-induced inflammatory damage and cellular apoptosis are core factors leading to prolonged disease duration. Existing clinical interventions mostly focus on physical lubrication, lacking the ability to deeply repair the pathological microenvironment. This study aims to develop a metal-free carbon nanodot (F-CD) thermoresponsive hydrogel platform with multi-enzyme activity and physical characteristics adapted to the ocular surface. By efficiently scavenging reactive oxygen species (ROS) and extending drug action, we explore its potential in restoring ocular surface homeostasis and promoting tissue regeneration.",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "Monodisperse metal-free carbon nanodots (F-CDs) were synthesized via hydrothermal method and integrated into a thermoresponsive matrix for enhanced ocular surface adaptation. Molecularly, F-CDs’ scavenging efficacy against radicals (OH·, O 2 - , DPPH) and their protection of mitochondrial function in human corneal epithelial cells were evaluated. In a BAC-induced dry eye mouse model, therapeutic efficacy was systematically verified through tear dynamics, corneal topography, histological examination of goblet cells and epithelial integrity, and inflammatory factor analysis.",
        "Results": "The F-CD hydrogel demonstrated excellent biocompatibility and multi-target antioxidant capacity, with a free radical neutralization rate reaching approximately 80%. In the DED mouse model, the therapy exhibited significant synergistic effects: tear secretion in the treatment group significantly rose from an extremely low pathological level to near-physiological levels. The corneal epithelial repair process was markedly accelerated, with epithelial thickness increasing substantially, effectively reversing chemical stress-induced pathological damage. Molecular mechanism studies confirmed that the therapy down-regulated the expression of pro-inflammatory factors by more than 60%, blocking the \"oxidative stress-inflammation\" vicious cycle.",
        "Conclusions": "This study successfully developed an ophthalmic-specific nanodrug delivery system with both biological activity and physical adaptability . Through its unique \"in situ gel retention\" and \"multi-target antioxidant\" synergistic mechanisms, the F-CD hydrogel breaks through the dilemma where traditional drugs cannot penetrate deeply into pathological tissues and struggle to eradicate microenvironmental damage caused by oxidative stress at the source . This achievement not only expands the application scenarios of carbon dot materials in nanobiology but also provides a key technical path for the development of high-performance, high-safety, and clinically valuable ocular surface regenerative and reparative drugs ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study successfully developed an ophthalmic-specific nanodrug delivery system with both biological activity and physical adaptability . Through its unique \"in situ gel retention\" and \"multi-target antioxidant\" synergistic mechanisms, the F-CD hydrogel breaks through the dilemma where traditional drugs cannot penetrate deeply into pathological tissues and struggle to eradicate microenvironmental damage caused by…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1157,
      "source_fields": {
        "Abstract Final Identifier": "POCOR473",
        "Title": "Multidimensional Regulatory Mechanism Of A Thermoresponsive Antioxidant Metal-Free Carbon Nanodot Hydrogel And Its Application In Restoring Ocular Surface Homeostasis",
        "Presenting Author(s)": "Dr Jinhai Huang",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Jinhai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "China",
        "Purpose": "The pathological mechanisms of ocular surface diseases, such as dry eye disease (DED), are complex. Oxidative stress-induced inflammatory damage and cellular apoptosis are core factors leading to prolonged disease duration. Existing clinical interventions mostly focus on physical lubrication, lacking the ability to deeply repair the pathological microenvironment. This study aims to develop a metal-free carbon nanodot (F-CD) thermoresponsive hydrogel platform with multi-enzyme activity and physical characteristics adapted to the ocular surface. By efficiently scavenging reactive oxygen species (ROS) and extending drug action, we explore its potential in restoring ocular surface homeostasis and promoting tissue regeneration.",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "Monodisperse metal-free carbon nanodots (F-CDs) were synthesized via hydrothermal method and integrated into a thermoresponsive matrix for enhanced ocular surface adaptation. Molecularly, F-CDs’ scavenging efficacy against radicals (OH·, O 2 - , DPPH) and their protection of mitochondrial function in human corneal epithelial cells were evaluated. In a BAC-induced dry eye mouse model, therapeutic efficacy was systematically verified through tear dynamics, corneal topography, histological examination of goblet cells and epithelial integrity, and inflammatory factor analysis.",
        "Results": "The F-CD hydrogel demonstrated excellent biocompatibility and multi-target antioxidant capacity, with a free radical neutralization rate reaching approximately 80%. In the DED mouse model, the therapy exhibited significant synergistic effects: tear secretion in the treatment group significantly rose from an extremely low pathological level to near-physiological levels. The corneal epithelial repair process was markedly accelerated, with epithelial thickness increasing substantially, effectively reversing chemical stress-induced pathological damage. Molecular mechanism studies confirmed that the therapy down-regulated the expression of pro-inflammatory factors by more than 60%, blocking the \"oxidative stress-inflammation\" vicious cycle.",
        "Conclusions": "This study successfully developed an ophthalmic-specific nanodrug delivery system with both biological activity and physical adaptability . Through its unique \"in situ gel retention\" and \"multi-target antioxidant\" synergistic mechanisms, the F-CD hydrogel breaks through the dilemma where traditional drugs cannot penetrate deeply into pathological tissues and struggle to eradicate microenvironmental damage caused by oxidative stress at the source . This achievement not only expands the application scenarios of carbon dot materials in nanobiology but also provides a key technical path for the development of high-performance, high-safety, and clinically valuable ocular surface regenerative and reparative drugs ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "POCOR474",
      "abstract_number": "POCOR474",
      "title": "Immediate Effects Of A Single-Session Eyelid Massage Device On Symptoms And Tear Film Stability In Patients With Blepharitis–Associated Dry Eye Disease And Blepharitis: A Proof-Of-Concept Study",
      "authors": "Dr SELCAN İÇTAŞ",
      "presenter": "Dr SELCAN İÇTAŞ",
      "normalized_authors": [
        "SELCAN İÇTAŞ"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Selcan Içtaş",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Dry eye disease and blepharitis are common ocular surface disorders that significantly impair patients’ quality of life. Meibomian gland dysfunction, particularly in aging populations, disrupts tear film stability and contributes to persistent ocular discomfort. Eyelid hygiene, warm compresses, and mechanical massage can improve gland secretion, yet conventional treatments are often insufficient. Eyelid massage devices have recently emerged, but evidence on single-session effects remains limited. This study aims to evaluate the immediate impact of a single eyelid massage on symptoms and tear film stability, while suggesting its potential future role in supporting ocular surface health and optimizing ocular parameters before surgery.",
        "Setting": "This study was conducted at the Ophthalmology Outpatient Clinic, Atatürk University Faculty of Medicine, Erzurum, Turkey, including patients aged 18–60 years diagnosed with meibomian gland dysfunction and blepharitis presenting with dry eye symptoms. The treatment group received a single session of eyelid massage in addition to conventional therapy, while the control group was followed with conventional therapy alone under standard outpatient conditions.",
        "Methods": "This prospective, randomized interventional study included 40 participants aged 18–60 years with blepharitis -associated dry eye disease, 20 in the treatment group and 20 in the control group.All completed the OSDI questionnaire and underwent ophthalmologic examination including MGD score, lid margin score, Oxford staining, tear break-up time (TBUT,pre- and post), Schirmer test, and VAS comfort assessment.The control group received conventional therapy alone, while the treatment group received a single 5-minute eyelid massage session using the NURIEYE device (high temperature–15 massage mode) plus conventional therapy.Data were analyzed using SPSS;p<0.05 was considered significant.The study was approved by the local ethics committee.",
        "Results": "The study sample included both sexes, with a mean age of 42.53 ±15.63 years; both groups were homogenous in age and sex. Age correlated positively with lid margin score (r = 0.319, p = 0.045) and MGD score (r = 0.446, p = 0.004), but not with Schirmer test, OCSS, TBUT (pre/post), OSDI pre, or VAS post (p> 0.05).Post-treatment TBUT negatively correlated with lid margin score (r = -0.501, p = 0.024).Pre-treatment TBUT showed a weak-to-moderate negative correlation with MGD score (r =-0.478, p = 0.002).No correlations were found between TBUT and OSDI or VAS comfort.Mean VAS comfort was 7.95 ± 1.54 in the massage group versus 6.00 ± 1.62 in controls (p <0.001). Pre- and post-massage TBUT increased from 4.10 ± 1.77 s to 7.60 ± 2.96 s (p <0.001).",
        "Conclusions": "Age was not directly associated with tear production, ocular surface staining, tear stability, or subjective symptoms, but its association with lid margin and meibomian gland health highlights the need to consider age in evaluations.Participants in the massage group had significantly higher VAS scores than controls, showing that a single session of eyelid massage effectively improved perceived comfort.Tear stability was also significantly enhanced in blepharitis-associated dry eye, suggesting short-term therapeutic benefit.Future larger studies are warranted to confirm these findings and further explore its potential to optimize ocular surface parameters, including intraocular lens measurements, prior to cataract and refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Age was not directly associated with tear production, ocular surface staining, tear stability, or subjective symptoms, but its association with lid margin and meibomian gland health highlights the need to consider age in evaluations.Participants in the massage group had significantly higher VAS scores than controls, showing that a single session of eyelid massage effectively improved perceived comfort.Tear…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1158,
      "source_fields": {
        "Abstract Final Identifier": "POCOR474",
        "Title": "Immediate Effects Of A Single-Session Eyelid Massage Device On Symptoms And Tear Film Stability In Patients With Blepharitis–Associated Dry Eye Disease And Blepharitis: A Proof-Of-Concept Study",
        "Presenting Author(s)": "Dr SELCAN İÇTAŞ",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Selcan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Içtaş",
        "Country Name": "Türkiye",
        "Purpose": "Dry eye disease and blepharitis are common ocular surface disorders that significantly impair patients’ quality of life. Meibomian gland dysfunction, particularly in aging populations, disrupts tear film stability and contributes to persistent ocular discomfort. Eyelid hygiene, warm compresses, and mechanical massage can improve gland secretion, yet conventional treatments are often insufficient. Eyelid massage devices have recently emerged, but evidence on single-session effects remains limited. This study aims to evaluate the immediate impact of a single eyelid massage on symptoms and tear film stability, while suggesting its potential future role in supporting ocular surface health and optimizing ocular parameters before surgery.",
        "Setting": "This study was conducted at the Ophthalmology Outpatient Clinic, Atatürk University Faculty of Medicine, Erzurum, Turkey, including patients aged 18–60 years diagnosed with meibomian gland dysfunction and blepharitis presenting with dry eye symptoms. The treatment group received a single session of eyelid massage in addition to conventional therapy, while the control group was followed with conventional therapy alone under standard outpatient conditions.",
        "Methods": "This prospective, randomized interventional study included 40 participants aged 18–60 years with blepharitis -associated dry eye disease, 20 in the treatment group and 20 in the control group.All completed the OSDI questionnaire and underwent ophthalmologic examination including MGD score, lid margin score, Oxford staining, tear break-up time (TBUT,pre- and post), Schirmer test, and VAS comfort assessment.The control group received conventional therapy alone, while the treatment group received a single 5-minute eyelid massage session using the NURIEYE device (high temperature–15 massage mode) plus conventional therapy.Data were analyzed using SPSS;p<0.05 was considered significant.The study was approved by the local ethics committee.",
        "Results": "The study sample included both sexes, with a mean age of 42.53 ±15.63 years; both groups were homogenous in age and sex. Age correlated positively with lid margin score (r = 0.319, p = 0.045) and MGD score (r = 0.446, p = 0.004), but not with Schirmer test, OCSS, TBUT (pre/post), OSDI pre, or VAS post (p> 0.05).Post-treatment TBUT negatively correlated with lid margin score (r = -0.501, p = 0.024).Pre-treatment TBUT showed a weak-to-moderate negative correlation with MGD score (r =-0.478, p = 0.002).No correlations were found between TBUT and OSDI or VAS comfort.Mean VAS comfort was 7.95 ± 1.54 in the massage group versus 6.00 ± 1.62 in controls (p <0.001). Pre- and post-massage TBUT increased from 4.10 ± 1.77 s to 7.60 ± 2.96 s (p <0.001).",
        "Conclusions": "Age was not directly associated with tear production, ocular surface staining, tear stability, or subjective symptoms, but its association with lid margin and meibomian gland health highlights the need to consider age in evaluations.Participants in the massage group had significantly higher VAS scores than controls, showing that a single session of eyelid massage effectively improved perceived comfort.Tear stability was also significantly enhanced in blepharitis-associated dry eye, suggesting short-term therapeutic benefit.Future larger studies are warranted to confirm these findings and further explore its potential to optimize ocular surface parameters, including intraocular lens measurements, prior to cataract and refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 519
    },
    {
      "uid": "POCOR476",
      "abstract_number": "POCOR476",
      "title": "Clinical Profile Of Patients With Recurrent Pterygium After Primary Surgery",
      "authors": "Dr Yersultan Islambekov",
      "presenter": "Dr Yersultan Islambekov",
      "normalized_authors": [
        "Yersultan Islambekov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yersultan Islambekov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the clinical, surgical, and systemic characteristics of patients who developed recurrence after primary pterygium surgery.",
        "Setting": "This retrospective study was conducted at Sakarya University Training and Research Hospital and included 49 patients who underwent pterygium surgery between 2018 and 2025 and subsequently developed recurrence.",
        "Methods": "Patients who developed recurrence after pterygium surgery were retrospectively evaluated. Demographic data, systemic comorbidities, medication use, clinical characteristics (presence of dry eye, blepharitis, and allergic conjunctivitis), UV exposure–related occupation, season of surgery, primary surgical technique, surgeon experience, graft-related complications (edema, hemorrhage, ischemia), postoperative steroid and cyclosporine use, recurrence time, and follow-up compliance were recorded. Recurrence time was analyzed using nonparametric tests (Mann–Whitney U, Kruskal–Wallis, Spearman correlation).",
        "Results": "49 patients were included (53.1% female); median age was 49 years (IQR: 42–57). 19 patients (38.8%) were employed in occupations associated with high sun exposure, such as construction work and farming. Hypertension (HT) (24.5%) and diabetes (14.3%) were the most common systemic diseases. Conjunctival autograft was performed in 79.6%. Graft complications included edema (32.7%), movement (10.2%), hemorrhage (6.1%), ischemia (6.1%), and bare sclera (6.1%). All patients received postoperative topical steroids, and topical cyclosporine was administered to 30 patients (61.2%). The median recurrence time was 4 months (IQR: 3–6; range: 1–60 months). Systemic drug use, graft movement, and HT were significantly associated with earlier recurrence.",
        "Conclusions": "Recurrence following pterygium surgery most commonly occurred within the first six postoperative months. Systemic drug use, HT, and postoperative graft movement were significantly associated with shorter recurrence time, suggesting that both systemic factors and graft stability may influence recurrence dynamics. In contrast, surgeon experience, surgical technique, ultraviolet exposure–related occupation, and seasonal variation were not significantly associated with recurrence timing. These findings highlight the potential importance of systemic comorbidities and meticulous graft stabilization in the prevention of early recurrence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Recurrence following pterygium surgery most commonly occurred within the first six postoperative months. Systemic drug use, HT, and postoperative graft movement were significantly associated with shorter recurrence time, suggesting that both systemic factors and graft stability may influence recurrence dynamics. In contrast, surgeon experience, surgical technique, ultraviolet exposure–related occupation, and…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1159,
      "source_fields": {
        "Abstract Final Identifier": "POCOR476",
        "Title": "Clinical Profile Of Patients With Recurrent Pterygium After Primary Surgery",
        "Presenting Author(s)": "Dr Yersultan Islambekov",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yersultan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Islambekov",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the clinical, surgical, and systemic characteristics of patients who developed recurrence after primary pterygium surgery.",
        "Setting": "This retrospective study was conducted at Sakarya University Training and Research Hospital and included 49 patients who underwent pterygium surgery between 2018 and 2025 and subsequently developed recurrence.",
        "Methods": "Patients who developed recurrence after pterygium surgery were retrospectively evaluated. Demographic data, systemic comorbidities, medication use, clinical characteristics (presence of dry eye, blepharitis, and allergic conjunctivitis), UV exposure–related occupation, season of surgery, primary surgical technique, surgeon experience, graft-related complications (edema, hemorrhage, ischemia), postoperative steroid and cyclosporine use, recurrence time, and follow-up compliance were recorded. Recurrence time was analyzed using nonparametric tests (Mann–Whitney U, Kruskal–Wallis, Spearman correlation).",
        "Results": "49 patients were included (53.1% female); median age was 49 years (IQR: 42–57). 19 patients (38.8%) were employed in occupations associated with high sun exposure, such as construction work and farming. Hypertension (HT) (24.5%) and diabetes (14.3%) were the most common systemic diseases. Conjunctival autograft was performed in 79.6%. Graft complications included edema (32.7%), movement (10.2%), hemorrhage (6.1%), ischemia (6.1%), and bare sclera (6.1%). All patients received postoperative topical steroids, and topical cyclosporine was administered to 30 patients (61.2%). The median recurrence time was 4 months (IQR: 3–6; range: 1–60 months). Systemic drug use, graft movement, and HT were significantly associated with earlier recurrence.",
        "Conclusions": "Recurrence following pterygium surgery most commonly occurred within the first six postoperative months. Systemic drug use, HT, and postoperative graft movement were significantly associated with shorter recurrence time, suggesting that both systemic factors and graft stability may influence recurrence dynamics. In contrast, surgeon experience, surgical technique, ultraviolet exposure–related occupation, and seasonal variation were not significantly associated with recurrence timing. These findings highlight the potential importance of systemic comorbidities and meticulous graft stabilization in the prevention of early recurrence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR477",
      "abstract_number": "POCOR477",
      "title": "A Corneal Decompensation Cascade In A Functionally Monocular Eye: Multifactorial Mechanisms Leading To Penetrating Keratoplasty",
      "authors": "Dr Iulia Mihaela Ivanov",
      "presenter": "Dr Iulia Mihaela Ivanov",
      "normalized_authors": [
        "Iulia Mihaela Ivanov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iulia Mihaela Ivanov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "To illustrate how cumulative anterior and posterior segment risk factors, including prior vitreoretinal surgery, silicone oil–related glaucoma, and impaired corneal nerve status, can synergistically compromise corneal homeostasis, ultimately leading to global corneal decompensation requiring transplantation.",
        "Setting": "Tertiary academic ophthalmology referral center managing complex anterior and posterior segment pathology.",
        "Methods": "We report the case of a 60-year-old functionally monocular male with high myopia and a complex ocular history, including rhegmatogenous retinal detachment treated with pars plana vitrectomy and silicone oil tamponade. The postoperative course was complicated by secondary glaucoma related to silicone oil, which required silicone oil removal and Ahmed valve implantation.\n\nThe patient subsequently developed advanced bullous keratopathy with superimposed corneal ulceration in the context of reduced corneal sensitivity suggestive of neurotrophic keratopathy. Slit-lamp examination and sequential anterior segment imaging were used to document corneal structural changes and postoperative outcomes.",
        "Results": "Advanced bullous keratopathy, in conjunction with neurotrophic keratitis, synergistically contributed to the development of secondary infectious keratitis. Infection control was achieved with topical and systemic antimicrobial therapy, followed by amniotic membrane transplantation, which resulted in significant improvement in epithelial integrity. Given the presence of marked stromal fibrosis, thinning, and persistent oedema, penetrating keratoplasty was performed.\n\nPostoperatively, despite prolonged epithelial recovery consistent with impaired corneal nerve regeneration, graft clarity was achieved. Visual acuity improved modestly from hand motion to counting fingers.",
        "Conclusions": "In functionally monocular patients with complex ocular history, corneal decompensation is frequently multifactorial and reflects cumulative injury rather than an isolated endothelial event.\n\nIn this case, chronic inflammation, corneal nerve damage and endothelial injury collectively accelerated the development of corneal oedema and structural deterioration, ultimately necessitating corneal transplantation.\n\nPenetrating keratoplasty was undertaken to preserve ocular integrity and to maximize residual visual potential in the patient’s sole functional eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In functionally monocular patients with complex ocular history, corneal decompensation is frequently multifactorial and reflects cumulative injury rather than an isolated endothelial event. In this case, chronic inflammation, corneal nerve damage and endothelial injury collectively accelerated the development of corneal oedema and structural deterioration, ultimately necessitating corneal transplantation.…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1160,
      "source_fields": {
        "Abstract Final Identifier": "POCOR477",
        "Title": "A Corneal Decompensation Cascade In A Functionally Monocular Eye: Multifactorial Mechanisms Leading To Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Iulia Mihaela Ivanov",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Iulia",
        "Submitter Middle Name": "Mihaela",
        "Submitter Last Name": "Ivanov",
        "Country Name": "Romania",
        "Purpose": "To illustrate how cumulative anterior and posterior segment risk factors, including prior vitreoretinal surgery, silicone oil–related glaucoma, and impaired corneal nerve status, can synergistically compromise corneal homeostasis, ultimately leading to global corneal decompensation requiring transplantation.",
        "Setting": "Tertiary academic ophthalmology referral center managing complex anterior and posterior segment pathology.",
        "Methods": "We report the case of a 60-year-old functionally monocular male with high myopia and a complex ocular history, including rhegmatogenous retinal detachment treated with pars plana vitrectomy and silicone oil tamponade. The postoperative course was complicated by secondary glaucoma related to silicone oil, which required silicone oil removal and Ahmed valve implantation.\n\nThe patient subsequently developed advanced bullous keratopathy with superimposed corneal ulceration in the context of reduced corneal sensitivity suggestive of neurotrophic keratopathy. Slit-lamp examination and sequential anterior segment imaging were used to document corneal structural changes and postoperative outcomes.",
        "Results": "Advanced bullous keratopathy, in conjunction with neurotrophic keratitis, synergistically contributed to the development of secondary infectious keratitis. Infection control was achieved with topical and systemic antimicrobial therapy, followed by amniotic membrane transplantation, which resulted in significant improvement in epithelial integrity. Given the presence of marked stromal fibrosis, thinning, and persistent oedema, penetrating keratoplasty was performed.\n\nPostoperatively, despite prolonged epithelial recovery consistent with impaired corneal nerve regeneration, graft clarity was achieved. Visual acuity improved modestly from hand motion to counting fingers.",
        "Conclusions": "In functionally monocular patients with complex ocular history, corneal decompensation is frequently multifactorial and reflects cumulative injury rather than an isolated endothelial event.\n\nIn this case, chronic inflammation, corneal nerve damage and endothelial injury collectively accelerated the development of corneal oedema and structural deterioration, ultimately necessitating corneal transplantation.\n\nPenetrating keratoplasty was undertaken to preserve ocular integrity and to maximize residual visual potential in the patient’s sole functional eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCOR478",
      "abstract_number": "POCOR478",
      "title": "Efficacy Of Topical Losartan In The Treatment Of Corneal Scarring: A Clinical Study",
      "authors": "Prof. Dr Khosrow Jadidi",
      "presenter": "Prof. Dr Khosrow Jadidi",
      "normalized_authors": [
        "Khosrow Jadidi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khosrow Jadidi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "Corneal scarring resulting from ocular surgery, trauma, or chemical injury represents a significant clinical challenge due to the limited availability of effective treatments. This study aimed to evaluate the therapeutic potential of topical Losartan in the management of moderate-to-severe corneal scarring, particularly in patients who had not responded to conventional therapeutic approaches.",
        "Setting": "Prospective clinical trial conducted at the Vision Health Research Center of Semnan University of Medical Sciences.",
        "Methods": "Ten patients with corneal scarring of various etiologies were enrolled in this study. A topical losartan solution (0.8 mg/mL) was administered every four hours daily. The extent and depth of corneal scarring and opacity were evaluated using slit-lamp bio-microscopy and Optical Coherence Tomography at baseline and after 3-6-9-12 months of treatment.",
        "Results": "Following treatment, the mean depth of corneal scars decreased significantly from 208.1 ± 103.73 µm to 152.9 ± 71.517 µm. Moreover, uncorrected visual acuity (UCVA) improved from 3/10 to 5/10, while best-corrected visual acuity (BCVA) improved from 5/10 to 7/10. No significant changes in intraocular pressure (IOP) were observed. Additionally, no adverse events or serious complications were detected based on evaluation with Specular Microscopy.",
        "Conclusions": "These findings suggest that topical losartan may represent a safe and effective therapeutic approach for the management of corneal scarring, with the potential to improve visual outcomes. Further studies with larger patient cohorts are required to confirm its clinical efficacy and to optimize treatment protocols."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings suggest that topical losartan may represent a safe and effective therapeutic approach for the management of corneal scarring, with the potential to improve visual outcomes. Further studies with larger patient cohorts are required to confirm its clinical efficacy and to optimize treatment protocols.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1161,
      "source_fields": {
        "Abstract Final Identifier": "POCOR478",
        "Title": "Efficacy Of Topical Losartan In The Treatment Of Corneal Scarring: A Clinical Study",
        "Presenting Author(s)": "Prof. Dr Khosrow Jadidi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Khosrow",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jadidi",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "Corneal scarring resulting from ocular surgery, trauma, or chemical injury represents a significant clinical challenge due to the limited availability of effective treatments. This study aimed to evaluate the therapeutic potential of topical Losartan in the management of moderate-to-severe corneal scarring, particularly in patients who had not responded to conventional therapeutic approaches.",
        "Setting": "Prospective clinical trial conducted at the Vision Health Research Center of Semnan University of Medical Sciences.",
        "Methods": "Ten patients with corneal scarring of various etiologies were enrolled in this study. A topical losartan solution (0.8 mg/mL) was administered every four hours daily. The extent and depth of corneal scarring and opacity were evaluated using slit-lamp bio-microscopy and Optical Coherence Tomography at baseline and after 3-6-9-12 months of treatment.",
        "Results": "Following treatment, the mean depth of corneal scars decreased significantly from 208.1 ± 103.73 µm to 152.9 ± 71.517 µm. Moreover, uncorrected visual acuity (UCVA) improved from 3/10 to 5/10, while best-corrected visual acuity (BCVA) improved from 5/10 to 7/10. No significant changes in intraocular pressure (IOP) were observed. Additionally, no adverse events or serious complications were detected based on evaluation with Specular Microscopy.",
        "Conclusions": "These findings suggest that topical losartan may represent a safe and effective therapeutic approach for the management of corneal scarring, with the potential to improve visual outcomes. Further studies with larger patient cohorts are required to confirm its clinical efficacy and to optimize treatment protocols."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "POCOR479",
      "abstract_number": "POCOR479",
      "title": "Congenital Corneal Anaesthesia: A Case Report With Confocal Microscopy",
      "authors": "Dr Omer Jamall",
      "presenter": "Dr Omer Jamall",
      "normalized_authors": [
        "Omer Jamall"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omer Jamall",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Congenital corneal anaesthesia is a rare condition that is characterised by the absence of corneal sensation. It can occur in isolation or be associated with somatic malformations or neurological disorders.",
        "Setting": "Moorfields Eye Hospital",
        "Methods": "We report the case of a 35-year-old female, who was referred for unilateral loss of corneal sensation.",
        "Results": "The patient was asymptomatic and her examination showed unilateral corneal punctate epithelial erosions with complete absence of corneal sensation. After ruling out neurological disorders with a normal MRI, we performed in vivo confocal microscopy, which provided real-time imaging of the corneal neural architecture. This showed a complete lack of subepithelial nerve plexus, correlating with the clinical findings.",
        "Conclusions": "This case highlights the effectiveness of confocal microscopy in diagnosing corneal anaesthesia, with early diagnosis and treatment helpful in avoiding long-term sequelae associated with neurotrophic keratopathy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case highlights the effectiveness of confocal microscopy in diagnosing corneal anaesthesia, with early diagnosis and treatment helpful in avoiding long-term sequelae associated with neurotrophic keratopathy.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1162,
      "source_fields": {
        "Abstract Final Identifier": "POCOR479",
        "Title": "Congenital Corneal Anaesthesia: A Case Report With Confocal Microscopy",
        "Presenting Author(s)": "Dr Omer Jamall",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Omer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jamall",
        "Country Name": "United Kingdom",
        "Purpose": "Congenital corneal anaesthesia is a rare condition that is characterised by the absence of corneal sensation. It can occur in isolation or be associated with somatic malformations or neurological disorders.",
        "Setting": "Moorfields Eye Hospital",
        "Methods": "We report the case of a 35-year-old female, who was referred for unilateral loss of corneal sensation.",
        "Results": "The patient was asymptomatic and her examination showed unilateral corneal punctate epithelial erosions with complete absence of corneal sensation. After ruling out neurological disorders with a normal MRI, we performed in vivo confocal microscopy, which provided real-time imaging of the corneal neural architecture. This showed a complete lack of subepithelial nerve plexus, correlating with the clinical findings.",
        "Conclusions": "This case highlights the effectiveness of confocal microscopy in diagnosing corneal anaesthesia, with early diagnosis and treatment helpful in avoiding long-term sequelae associated with neurotrophic keratopathy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 133
    },
    {
      "uid": "POCOR480",
      "abstract_number": "POCOR480",
      "title": "Zero Recurrence After Sutureless Fibrin-Glue Conjunctival Limbal Autografting For Pterygium: Outcomes Of 41 Consecutive Real-World Cases",
      "authors": "Ms Anaya Joshi",
      "presenter": "Ms Anaya Joshi",
      "normalized_authors": [
        "Anaya Joshi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anaya Joshi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Pterygium may cause ocular irritation, cosmetic concerns and corneal astigmatism. Conjunctival limbal autografting is widely regarded as the most effective technique to minimise recurrence, although suture fixation may increase operative time and postoperative discomfort.\n\nThis study evaluates the clinical outcomes of a standardised sutureless fibrin-glue conjunctival limbal autografting approach for pterygium surgery.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A retrospective audit of 41 consecutive pterygium excisions performed by a single surgeon using a standardised surgical technique between November 2019 and February 2026 was undertaken.\n\nAll procedures involved pterygium excision followed by free conjunctival limbal autograft transplantation, including limbal tissue and meticulous removal of Tenon’s tissue, with graft fixation using fibrin sealant (Tisseel) without sutures. At the completion of surgery subconjunctival cefuroxime and dexamethasone were administered.\n\nOutcomes assessed included graft stability, recurrence and surgical complications.",
        "Results": "41 consecutive procedures were analysed. No intraoperative or postoperative complications occurred and all grafts remained stable without displacement or loss.\n\nNo recurrence was identified during follow-up of up to 12 months.",
        "Conclusions": "Sutureless fibrin-glue conjunctival limbal autografting demonstrated excellent safety, stable graft fixation and zero recurrence in this consecutive single-surgeon series.\n\nThis approach provides a reliable and efficient surgical technique that avoids suture-related morbidity while maintaining excellent clinical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sutureless fibrin-glue conjunctival limbal autografting demonstrated excellent safety, stable graft fixation and zero recurrence in this consecutive single-surgeon series. This approach provides a reliable and efficient surgical technique that avoids suture-related morbidity while maintaining excellent clinical outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1163,
      "source_fields": {
        "Abstract Final Identifier": "POCOR480",
        "Title": "Zero Recurrence After Sutureless Fibrin-Glue Conjunctival Limbal Autografting For Pterygium: Outcomes Of 41 Consecutive Real-World Cases",
        "Presenting Author(s)": "Ms Anaya Joshi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Anaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Joshi",
        "Country Name": "United Kingdom",
        "Purpose": "Pterygium may cause ocular irritation, cosmetic concerns and corneal astigmatism. Conjunctival limbal autografting is widely regarded as the most effective technique to minimise recurrence, although suture fixation may increase operative time and postoperative discomfort.\n\nThis study evaluates the clinical outcomes of a standardised sutureless fibrin-glue conjunctival limbal autografting approach for pterygium surgery.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A retrospective audit of 41 consecutive pterygium excisions performed by a single surgeon using a standardised surgical technique between November 2019 and February 2026 was undertaken.\n\nAll procedures involved pterygium excision followed by free conjunctival limbal autograft transplantation, including limbal tissue and meticulous removal of Tenon’s tissue, with graft fixation using fibrin sealant (Tisseel) without sutures. At the completion of surgery subconjunctival cefuroxime and dexamethasone were administered.\n\nOutcomes assessed included graft stability, recurrence and surgical complications.",
        "Results": "41 consecutive procedures were analysed. No intraoperative or postoperative complications occurred and all grafts remained stable without displacement or loss.\n\nNo recurrence was identified during follow-up of up to 12 months.",
        "Conclusions": "Sutureless fibrin-glue conjunctival limbal autografting demonstrated excellent safety, stable graft fixation and zero recurrence in this consecutive single-surgeon series.\n\nThis approach provides a reliable and efficient surgical technique that avoids suture-related morbidity while maintaining excellent clinical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 206
    },
    {
      "uid": "POCOR481",
      "abstract_number": "POCOR481",
      "title": "Nearly 2 Dioptres Of Corneal Astigmatic Reduction After Pterygium Excision With Sutureless Conjunctival Limbal Autografting",
      "authors": "Ms Anaya Joshi",
      "presenter": "Ms Anaya Joshi",
      "normalized_authors": [
        "Anaya Joshi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anaya Joshi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Pterygium frequently induces irregular corneal astigmatism and degradation of optical quality. While conjunctival limbal autografting is widely used to prevent recurrence, the refractive benefits of pterygium surgery are less frequently emphasised.\n\nThis study evaluates the impact of pterygium excision with conjunctival limbal autografting on corneal astigmatism and visual outcomes.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A retrospective audit of 41 consecutive pterygium excisions performed by a single surgeon between November 2019 and February 2026 was undertaken.\n\nAll procedures involved pterygium excision with sutureless fibrin-glue assisted conjunctival limbal autograft transplantation, including limbal tissue with meticulous removal of Tenon’s tissue. Keratometric astigmatism and visual acuity were analysed where available.",
        "Results": "Astigmatism analysis was available in 14 eyes with complete keratometric data. Mean corneal astigmatism reduced from 3.47 D pre-operatively to 1.56 D post-operatively, representing a mean reduction of 1.9 D.\n\nVisual acuity data were available for 40 pre-operative and 24 post-operative eyes. Mean best-corrected visual acuity improved from 0.29 LogMAR to 0.26 LogMAR.\n\nPatients frequently reported symptomatic relief and improved visual function following surgery.",
        "Conclusions": "Pterygium excision with sutureless conjunctival limbal autografting resulted in substantial improvement in corneal optics, with nearly 2 dioptres reduction in corneal astigmatism.\n\nThese findings highlight the role of pterygium surgery in both ocular surface reconstruction and refractive visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pterygium excision with sutureless conjunctival limbal autografting resulted in substantial improvement in corneal optics, with nearly 2 dioptres reduction in corneal astigmatism. These findings highlight the role of pterygium surgery in both ocular surface reconstruction and refractive visual rehabilitation.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1164,
      "source_fields": {
        "Abstract Final Identifier": "POCOR481",
        "Title": "Nearly 2 Dioptres Of Corneal Astigmatic Reduction After Pterygium Excision With Sutureless Conjunctival Limbal Autografting",
        "Presenting Author(s)": "Ms Anaya Joshi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Anaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Joshi",
        "Country Name": "United Kingdom",
        "Purpose": "Pterygium frequently induces irregular corneal astigmatism and degradation of optical quality. While conjunctival limbal autografting is widely used to prevent recurrence, the refractive benefits of pterygium surgery are less frequently emphasised.\n\nThis study evaluates the impact of pterygium excision with conjunctival limbal autografting on corneal astigmatism and visual outcomes.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "A retrospective audit of 41 consecutive pterygium excisions performed by a single surgeon between November 2019 and February 2026 was undertaken.\n\nAll procedures involved pterygium excision with sutureless fibrin-glue assisted conjunctival limbal autograft transplantation, including limbal tissue with meticulous removal of Tenon’s tissue. Keratometric astigmatism and visual acuity were analysed where available.",
        "Results": "Astigmatism analysis was available in 14 eyes with complete keratometric data. Mean corneal astigmatism reduced from 3.47 D pre-operatively to 1.56 D post-operatively, representing a mean reduction of 1.9 D.\n\nVisual acuity data were available for 40 pre-operative and 24 post-operative eyes. Mean best-corrected visual acuity improved from 0.29 LogMAR to 0.26 LogMAR.\n\nPatients frequently reported symptomatic relief and improved visual function following surgery.",
        "Conclusions": "Pterygium excision with sutureless conjunctival limbal autografting resulted in substantial improvement in corneal optics, with nearly 2 dioptres reduction in corneal astigmatism.\n\nThese findings highlight the role of pterygium surgery in both ocular surface reconstruction and refractive visual rehabilitation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "POCOR482",
      "abstract_number": "POCOR482",
      "title": "Reproducibility And Diagnostic Performance Of Swept-Source As-Octa In Corneal Neovascularisation",
      "authors": "Dr Valentin Jünger",
      "presenter": "Dr Valentin Jünger",
      "normalized_authors": [
        "Valentin Jünger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Valentin Jünger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Objective quantification of corneal neovascularisation (CoNV) remains challenging in both clinical and research settings. Swept-source anterior segment optical coherence tomography angiography (AS-OCTA) enables non-invasive vascular imaging, yet the reproducibility and diagnostic performance of quantitative CoNV metrics are not fully established. This study evaluated inter-rater agreement, test–retest repeatability, and discriminatory performance of AS-OCTA-derived percentage of corneal area covered by CoNV (%CoNV) using different segmentation strategies.",
        "Setting": "In this cross-sectional pilot study, 18 (6 controls; 12 CoNV eyes) eyes from 10 participants underwent 400-kHz full-range swept-source AS-OCTA imaging. Across 32 visits, 52 scan acquisitions (including same-visit repeat scans) generated 255 quantitative %CoNV measurements.",
        "Methods": "Three region-of-interest (ROI) strategies were analysed: fixed 6.5-mm circular ROI (RR), limbus-to-limbus ROI (LL), and manual corneolimbal margin contouring (mCM). Two independent graders performed measurements. Inter-rater and test–retest reliability were assessed using two-way random-effects intraclass correlation coefficients (ICC). Absolute agreement was further quantified using coefficient of variation of differences (CVdiff%) and within-subject coefficient of variation (wCV%). Linear mixed-effects modelling assessed the influence of method, rater, rescan, and disease severity on %CoNV. Diagnostic discriminatory performance between control and CoNV eyes was evaluated using receiver operating characteristic (ROC) analysis.",
        "Results": "Inter-rater reliability was excellent across all ROI strategies (LL ICC=0.958; mCM ICC=0.949; RR ICC=0.955). Inter-rater variability (CVdiff%) ranged from 10.8% (RR) to 32.1% (mCM). No systematic grader effect was detected (p=0.73). Test–retest repeatability was strong (LL ICC=0.942; mCM ICC=0.962; RR ICC=0.856). Within-subject variability (wCV%) ranged from 14.5% (RR) to 18.8% (mCM). A small rescan effect on %CoNV of −1.0 percent point was observed (p=0.009). Mixed-effects modelling demonstrated segmentation dependency (p<0.001) and a strong association with CoNV severity (p<0.001), confirming biological validity. ROC analysis demonstrated good discrimination between control and CoNV eyes (mCM AUC=0.846; LL AUC=0.840; RR AUC=0.731).",
        "Conclusions": "Swept-source AS-OCTA enables reproducible quantification of %CoNV. All ROI strategies demonstrated excellent inter-rater agreement and good test–retest repeatability. Automated ROIs minimize variability, whereas anatomy-guided contouring maximize diagnostic performance. These findings support %CoNV derived from AS-OCTA as a reliable quantitative biomarker for corneal vascularization assessment and highlight the importance of standardized ROI methodology when balancing reproducibility and diagnostic performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Swept-source AS-OCTA enables reproducible quantification of %CoNV. All ROI strategies demonstrated excellent inter-rater agreement and good test–retest repeatability. Automated ROIs minimize variability, whereas anatomy-guided contouring maximize diagnostic performance. These findings support %CoNV derived from AS-OCTA as a reliable quantitative biomarker for corneal vascularization assessment and highlight the…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1165,
      "source_fields": {
        "Abstract Final Identifier": "POCOR482",
        "Title": "Reproducibility And Diagnostic Performance Of Swept-Source As-Octa In Corneal Neovascularisation",
        "Presenting Author(s)": "Dr Valentin Jünger",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Valentin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jünger",
        "Country Name": "Italy",
        "Purpose": "Objective quantification of corneal neovascularisation (CoNV) remains challenging in both clinical and research settings. Swept-source anterior segment optical coherence tomography angiography (AS-OCTA) enables non-invasive vascular imaging, yet the reproducibility and diagnostic performance of quantitative CoNV metrics are not fully established. This study evaluated inter-rater agreement, test–retest repeatability, and discriminatory performance of AS-OCTA-derived percentage of corneal area covered by CoNV (%CoNV) using different segmentation strategies.",
        "Setting": "In this cross-sectional pilot study, 18 (6 controls; 12 CoNV eyes) eyes from 10 participants underwent 400-kHz full-range swept-source AS-OCTA imaging. Across 32 visits, 52 scan acquisitions (including same-visit repeat scans) generated 255 quantitative %CoNV measurements.",
        "Methods": "Three region-of-interest (ROI) strategies were analysed: fixed 6.5-mm circular ROI (RR), limbus-to-limbus ROI (LL), and manual corneolimbal margin contouring (mCM). Two independent graders performed measurements. Inter-rater and test–retest reliability were assessed using two-way random-effects intraclass correlation coefficients (ICC). Absolute agreement was further quantified using coefficient of variation of differences (CVdiff%) and within-subject coefficient of variation (wCV%). Linear mixed-effects modelling assessed the influence of method, rater, rescan, and disease severity on %CoNV. Diagnostic discriminatory performance between control and CoNV eyes was evaluated using receiver operating characteristic (ROC) analysis.",
        "Results": "Inter-rater reliability was excellent across all ROI strategies (LL ICC=0.958; mCM ICC=0.949; RR ICC=0.955). Inter-rater variability (CVdiff%) ranged from 10.8% (RR) to 32.1% (mCM). No systematic grader effect was detected (p=0.73). Test–retest repeatability was strong (LL ICC=0.942; mCM ICC=0.962; RR ICC=0.856). Within-subject variability (wCV%) ranged from 14.5% (RR) to 18.8% (mCM). A small rescan effect on %CoNV of −1.0 percent point was observed (p=0.009). Mixed-effects modelling demonstrated segmentation dependency (p<0.001) and a strong association with CoNV severity (p<0.001), confirming biological validity. ROC analysis demonstrated good discrimination between control and CoNV eyes (mCM AUC=0.846; LL AUC=0.840; RR AUC=0.731).",
        "Conclusions": "Swept-source AS-OCTA enables reproducible quantification of %CoNV. All ROI strategies demonstrated excellent inter-rater agreement and good test–retest repeatability. Automated ROIs minimize variability, whereas anatomy-guided contouring maximize diagnostic performance. These findings support %CoNV derived from AS-OCTA as a reliable quantitative biomarker for corneal vascularization assessment and highlight the importance of standardized ROI methodology when balancing reproducibility and diagnostic performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POCOR483",
      "abstract_number": "POCOR483",
      "title": "Adjunctive Acupuncture For Sjögren-Related Dry Eye: A Prospective Sham-Controlled Study",
      "authors": "Emine Esra Karaca",
      "presenter": "Emine Esra Karaca",
      "normalized_authors": [
        "Emine Esra Karaca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emine Esra Karaca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy of adjunctive acupuncture on subjective symptoms and objective ocular surface parameters in patients with primary Sjögren syndrome–related mild to moderate dry eye disease.",
        "Setting": "Ankara Bilkent City Hospital",
        "Methods": "T his prospective, randomized, sham-controlled study included 24 patients with primary Sjögren syndrome, presenting with mild to moderate dry eye disease. Participants were randomized to true acupuncture (n = 18) or sham acupuncture (n = 6). Standardized auricular and body acupuncture points were applied in the treatment group, while sham needling was performed at non-meridian points to maintain masking. Concomitant dry eye therapy was kept stable throughout the study. Assessments at baseline and post-treatment included tear break-up time (TBUT), Schirmer test, Oxford staining score, non-invasive TBUT (NIBUT), tear meniscus height (TMH), tear meniscus length (TML), meibography, meibum expressibility, OSDI, and VFQ-25.",
        "Results": "Mean age was 50.5 ± 9.5 years. In the acupuncture group, significant improvements were observed in TBUT (6.28 ± 2.11 to 8.06 ± 2.44 seconds; p = 0.048), Oxford staining score (1.28 ± 0.57 to 0.67 ± 0.59; p = 0.001), and meibography score (2.06 ± 1.11 to 1.67 ± 1.08; p = 0.004). OSDI decreased significantly from 42.32 ± 26.58 to 31.85 ± 25.25 (p = 0.023). VFQ-25 increased from 76.21 ± 16.72 to 81.13 ± 15.64 (p = 0.051). NIBUT increased from 16.56 ± 24.91 to 35.72 ± 33.18 seconds (p = 0.087). Schirmer test and tear meniscus parameters did not demonstrate statistically significant changes. No significant improvements were observed in the sham group. No serious adverse events occurred.",
        "Conclusions": "Adjunctive acupuncture was associated with clinically meaningful improvements in tear stability, ocular surface integrity, and patient-reported outcomes in Sjögren-related mild to moderate dry eye. These findings suggest a potential role for acupuncture as a safe complementary therapeutic approach and support further investigation in larger randomized controlled trials."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Adjunctive acupuncture was associated with clinically meaningful improvements in tear stability, ocular surface integrity, and patient-reported outcomes in Sjögren-related mild to moderate dry eye. These findings suggest a potential role for acupuncture as a safe complementary therapeutic approach and support further investigation in larger randomized controlled trials.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1166,
      "source_fields": {
        "Abstract Final Identifier": "POCOR483",
        "Title": "Adjunctive Acupuncture For Sjögren-Related Dry Eye: A Prospective Sham-Controlled Study",
        "Presenting Author(s)": "Emine Esra Karaca",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Emine Esra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karaca",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the clinical efficacy of adjunctive acupuncture on subjective symptoms and objective ocular surface parameters in patients with primary Sjögren syndrome–related mild to moderate dry eye disease.",
        "Setting": "Ankara Bilkent City Hospital",
        "Methods": "T his prospective, randomized, sham-controlled study included 24 patients with primary Sjögren syndrome, presenting with mild to moderate dry eye disease. Participants were randomized to true acupuncture (n = 18) or sham acupuncture (n = 6). Standardized auricular and body acupuncture points were applied in the treatment group, while sham needling was performed at non-meridian points to maintain masking. Concomitant dry eye therapy was kept stable throughout the study. Assessments at baseline and post-treatment included tear break-up time (TBUT), Schirmer test, Oxford staining score, non-invasive TBUT (NIBUT), tear meniscus height (TMH), tear meniscus length (TML), meibography, meibum expressibility, OSDI, and VFQ-25.",
        "Results": "Mean age was 50.5 ± 9.5 years. In the acupuncture group, significant improvements were observed in TBUT (6.28 ± 2.11 to 8.06 ± 2.44 seconds; p = 0.048), Oxford staining score (1.28 ± 0.57 to 0.67 ± 0.59; p = 0.001), and meibography score (2.06 ± 1.11 to 1.67 ± 1.08; p = 0.004). OSDI decreased significantly from 42.32 ± 26.58 to 31.85 ± 25.25 (p = 0.023). VFQ-25 increased from 76.21 ± 16.72 to 81.13 ± 15.64 (p = 0.051). NIBUT increased from 16.56 ± 24.91 to 35.72 ± 33.18 seconds (p = 0.087). Schirmer test and tear meniscus parameters did not demonstrate statistically significant changes. No significant improvements were observed in the sham group. No serious adverse events occurred.",
        "Conclusions": "Adjunctive acupuncture was associated with clinically meaningful improvements in tear stability, ocular surface integrity, and patient-reported outcomes in Sjögren-related mild to moderate dry eye. These findings suggest a potential role for acupuncture as a safe complementary therapeutic approach and support further investigation in larger randomized controlled trials."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POCOR484",
      "abstract_number": "POCOR484",
      "title": "Dose-Dependent Telomerase Activation By Topical Cycloastragenol In The Anterior Segment",
      "authors": "Isilay Kavadarli",
      "presenter": "Isilay Kavadarli",
      "normalized_authors": [
        "Isilay Kavadarli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isilay Kavadarli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study assessed the long-term ocular impact of cycloastragenol (CAG) eye drops at increasing concentrations, with particular emphasis on corneal endothelial cell (CEC) preservation and telomerase reverse transcriptase (TERT) activation within anterior segment tissues.",
        "Setting": "Kirikkale University, Faculty of Veterinary Medicine, Department of Preclinical Sciences, Kirikkale, Turkiye",
        "Methods": "Sixteen-month-old male New Zealand rabbits (n=24) were assigned to receive CAG at 4, 8, or 12 µg/50 µL twice daily in the left eye for six months, while the right eye served as an untreated control. Corneal endothelial cell density (CD) was measured by specular microscopy at baseline and months 2, 5, and 6. Baseline-normalized CD values were analyzed using repeated-measures two-way ANOVA or mixed-effects modeling. After completion, eyes were enucleated for histopathology and immunohistochemical evaluation of TERT expression using the Allred scoring method.",
        "Results": "CAG treatment reduced age-related loss of CD, with increasing benefit at higher concentrations. The 4 µg group showed near-significant preservation, while the 8 µg and 12 µg groups had significant improvements by month 6 (p<0.05). Histopathology and immunohistochemical analyses revealed a dose-responsive increase in TERT activity. Mild immunoreactivity appeared in the 4 µg group, whereas the 8 µg group showed robust epithelial and endothelial staining together with heightened activity in the ciliary processes. The 12 µg group displayed diffuse cytoplasmic and nuclear TERT localization across the corneal epithelium and CEC, alongside intense staining in iris and ciliary body tissues. Controls consistently showed minimal TERT expression.",
        "Conclusions": "In conclusion, prolonged topical administration of CAG significantly enhanced TERT activity and preserved corneal endothelial cell density in an aging rabbit model, in a clear dose-dependent manner. Histological and immunohistochemical analyses confirmed marked TERT expression in anterior segment tissues, with the greatest effects observed at the highest concentration. These results indicate that CAG eye drops may offer a promising therapeutic approach for mitigating age-related corneal endothelial cell loss through telomerase activation mechanisms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, prolonged topical administration of CAG significantly enhanced TERT activity and preserved corneal endothelial cell density in an aging rabbit model, in a clear dose-dependent manner. Histological and immunohistochemical analyses confirmed marked TERT expression in anterior segment tissues, with the greatest effects observed at the highest concentration. These results indicate that CAG eye drops may…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1167,
      "source_fields": {
        "Abstract Final Identifier": "POCOR484",
        "Title": "Dose-Dependent Telomerase Activation By Topical Cycloastragenol In The Anterior Segment",
        "Presenting Author(s)": "Isilay Kavadarli",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Isilay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kavadarli",
        "Country Name": "Türkiye",
        "Purpose": "This study assessed the long-term ocular impact of cycloastragenol (CAG) eye drops at increasing concentrations, with particular emphasis on corneal endothelial cell (CEC) preservation and telomerase reverse transcriptase (TERT) activation within anterior segment tissues.",
        "Setting": "Kirikkale University, Faculty of Veterinary Medicine, Department of Preclinical Sciences, Kirikkale, Turkiye",
        "Methods": "Sixteen-month-old male New Zealand rabbits (n=24) were assigned to receive CAG at 4, 8, or 12 µg/50 µL twice daily in the left eye for six months, while the right eye served as an untreated control. Corneal endothelial cell density (CD) was measured by specular microscopy at baseline and months 2, 5, and 6. Baseline-normalized CD values were analyzed using repeated-measures two-way ANOVA or mixed-effects modeling. After completion, eyes were enucleated for histopathology and immunohistochemical evaluation of TERT expression using the Allred scoring method.",
        "Results": "CAG treatment reduced age-related loss of CD, with increasing benefit at higher concentrations. The 4 µg group showed near-significant preservation, while the 8 µg and 12 µg groups had significant improvements by month 6 (p<0.05). Histopathology and immunohistochemical analyses revealed a dose-responsive increase in TERT activity. Mild immunoreactivity appeared in the 4 µg group, whereas the 8 µg group showed robust epithelial and endothelial staining together with heightened activity in the ciliary processes. The 12 µg group displayed diffuse cytoplasmic and nuclear TERT localization across the corneal epithelium and CEC, alongside intense staining in iris and ciliary body tissues. Controls consistently showed minimal TERT expression.",
        "Conclusions": "In conclusion, prolonged topical administration of CAG significantly enhanced TERT activity and preserved corneal endothelial cell density in an aging rabbit model, in a clear dose-dependent manner. Histological and immunohistochemical analyses confirmed marked TERT expression in anterior segment tissues, with the greatest effects observed at the highest concentration. These results indicate that CAG eye drops may offer a promising therapeutic approach for mitigating age-related corneal endothelial cell loss through telomerase activation mechanisms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR485",
      "abstract_number": "POCOR485",
      "title": "Ocular Pharmacokinetics And Tert Activation Of Cycloastragenol In Corneal Endothelial And Epithelial Cells",
      "authors": "Isilay Kavadarli",
      "presenter": "Isilay Kavadarli",
      "normalized_authors": [
        "Isilay Kavadarli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isilay Kavadarli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate the safety, telomerase reverse transcriptase (TERT) activity, and ocular pharmacokinetics of cycloastragenol (CAG) in human corneal endothelial and epithelial cells, and to determine its potential to penetrate the cornea as a therapy for telomere-related cellular senescence.",
        "Setting": "Kirikkale University, Faculty of Veterinary Medicine, Department of Preclinical Sciences, Kirikkale, Turkiye",
        "Methods": "The cytotoxicity and efficacy of varying CAG concentrations were assessed in corneal endothelial and epithelial cells through IC50 determination, and TERT activity was measured at sub-IC50 concentrations by indirect immunofluorescence with an anti-TERT antibody. Transcorneal passage was evaluated using a 3D organotypic cornea model, while in vivo rabbit studies assessed absorption and tissue distribution after topical application. CAG concentrations in ocular tissues were quantified by LC-MS/MS.",
        "Results": "CAG exhibited low cytotoxicity, with IC50 values of 220 µM in corneal endothelial cells and 740 µM in corneal epithelial cells. Sub-IC50 concentrations caused minimal apoptosis or necrosis, with significant TERT activity observed from 2 µM. In 3D organotypic models, transcorneal passage was dose-dependent, ranging from 0.18–0.25% at 24 h to 1.89% at 72 h with repeated dosing. In rabbits, peak CAG levels (Tmax) occurred at 30 min, with Tmax values of 215.56 ng in corneal tissue (mean 162.99 ng), 4 ng in the anterior chamber (mean 2.56 ng), and 14.12 ng in the iris (mean 9.41 ng). Tear levels declined rapidly due to turnover. Overall ocular absorption was 5.39%, with 0.35% reaching the iris.",
        "Conclusions": "CAG is safe at therapeutic doses, activates TERT in corneal endothelial and epithelial cells, and efficiently penetrates the cornea to reach intraocular tissues. These findings suggest that CAG may serve as a potential therapeutic approach to reduce age-related decline in corneal endothelial and epithelial cells."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAG is safe at therapeutic doses, activates TERT in corneal endothelial and epithelial cells, and efficiently penetrates the cornea to reach intraocular tissues. These findings suggest that CAG may serve as a potential therapeutic approach to reduce age-related decline in corneal endothelial and epithelial cells.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1168,
      "source_fields": {
        "Abstract Final Identifier": "POCOR485",
        "Title": "Ocular Pharmacokinetics And Tert Activation Of Cycloastragenol In Corneal Endothelial And Epithelial Cells",
        "Presenting Author(s)": "Isilay Kavadarli",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Isilay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kavadarli",
        "Country Name": "Türkiye",
        "Purpose": "To investigate the safety, telomerase reverse transcriptase (TERT) activity, and ocular pharmacokinetics of cycloastragenol (CAG) in human corneal endothelial and epithelial cells, and to determine its potential to penetrate the cornea as a therapy for telomere-related cellular senescence.",
        "Setting": "Kirikkale University, Faculty of Veterinary Medicine, Department of Preclinical Sciences, Kirikkale, Turkiye",
        "Methods": "The cytotoxicity and efficacy of varying CAG concentrations were assessed in corneal endothelial and epithelial cells through IC50 determination, and TERT activity was measured at sub-IC50 concentrations by indirect immunofluorescence with an anti-TERT antibody. Transcorneal passage was evaluated using a 3D organotypic cornea model, while in vivo rabbit studies assessed absorption and tissue distribution after topical application. CAG concentrations in ocular tissues were quantified by LC-MS/MS.",
        "Results": "CAG exhibited low cytotoxicity, with IC50 values of 220 µM in corneal endothelial cells and 740 µM in corneal epithelial cells. Sub-IC50 concentrations caused minimal apoptosis or necrosis, with significant TERT activity observed from 2 µM. In 3D organotypic models, transcorneal passage was dose-dependent, ranging from 0.18–0.25% at 24 h to 1.89% at 72 h with repeated dosing. In rabbits, peak CAG levels (Tmax) occurred at 30 min, with Tmax values of 215.56 ng in corneal tissue (mean 162.99 ng), 4 ng in the anterior chamber (mean 2.56 ng), and 14.12 ng in the iris (mean 9.41 ng). Tear levels declined rapidly due to turnover. Overall ocular absorption was 5.39%, with 0.35% reaching the iris.",
        "Conclusions": "CAG is safe at therapeutic doses, activates TERT in corneal endothelial and epithelial cells, and efficiently penetrates the cornea to reach intraocular tissues. These findings suggest that CAG may serve as a potential therapeutic approach to reduce age-related decline in corneal endothelial and epithelial cells."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POCOR486",
      "abstract_number": "POCOR486",
      "title": "Rho-Kinase Inhibitors In Fuchs Endothelial Corneal Dystrophy: A Systematic Review",
      "authors": "Dr Maria Agapi Keventzidou",
      "presenter": "Dr Maria Agapi Keventzidou",
      "normalized_authors": [
        "Maria Agapi Keventzidou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Agapi Keventzidou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To examine the efficacy and safety of Rho-kinase (ROCK) inhibitors in Fuchs endothelial dystrophy (FECD), the most common form of endothelial dystrophy. Although endothelial keratoplasty remains the standard treatment, limited donor availability, heightened risk for infection and graft failure, have necessitated the investigation of alternative therapeutic options.",
        "Setting": "This systematic review was conducted at the 2 nd Department of Ophthalmology, Aristotle University of Thessaloniki School of Medicine.",
        "Methods": "A comprehensive literature search was conducted until February 24, 2026 in PubMed, Scopus and the Cochrane Central Register of Controlled Trials. Search terms comprised variants of “Rho-kinase inhibitors,” “ROCK inhibitors,” “Fuchs endothelial dystrophy” and “FECD.” Only clinical studies evaluating at least one ROCK inhibitor and reporting at least one of the selected functional or cellular outcomes—endothelial cell density, central corneal thickness (CCT), visual acuity, or cell migration/ proliferation—were included in this review. Only peer-reviewed articles in English were considered. Title and abstract were screened by two independent reviewers, while any disagreements were resolved by a third reviewer.",
        "Results": "12 clinical studies met the inclusion criteria, including 4 randomized controlled trials, 3 non-randomized trials and 5 case reports. Ripasudil was investigated in 5 studies, netarsudil in 2 and the ROCK inhibitor Y-27632 in 4. Descemet Stripping Only (DSO) with ripasudil compared to DSO alone, showed significant reductions in CCT and improvement in best-corrected visual acuity (BCVA). Netarsudil significantly reduced CCT after 1 month, with once and twice-daily dosing showing similar efficacy (p= 0.0021 and 0.0335). Transplantation of human corneal endothelial cells supplemented with ROCK inhibitors increased endothelial cell density after 24 weeks. Adverse effects of ROCK inhibitors included ocular irritation and honeycomb corneal edema.",
        "Conclusions": "FECD is the main indicator for corneal transplantation in developed countries. At present, there is no FDA-approved pharmacological treatment to prevent its progression. There is a critical need for alternatives to delay or prevent surgery. ROCK inhibitors have emerged as a promising therapeutic option for FECD, playing a vital role in endothelial function by promoting cell proliferation, inhibiting apoptosis and boosting endothelial wound healing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FECD is the main indicator for corneal transplantation in developed countries. At present, there is no FDA-approved pharmacological treatment to prevent its progression. There is a critical need for alternatives to delay or prevent surgery. ROCK inhibitors have emerged as a promising therapeutic option for FECD, playing a vital role in endothelial function by promoting cell proliferation, inhibiting apoptosis and…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1169,
      "source_fields": {
        "Abstract Final Identifier": "POCOR486",
        "Title": "Rho-Kinase Inhibitors In Fuchs Endothelial Corneal Dystrophy: A Systematic Review",
        "Presenting Author(s)": "Dr Maria Agapi Keventzidou",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Maria Agapi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Keventzidou",
        "Country Name": "Greece",
        "Purpose": "To examine the efficacy and safety of Rho-kinase (ROCK) inhibitors in Fuchs endothelial dystrophy (FECD), the most common form of endothelial dystrophy. Although endothelial keratoplasty remains the standard treatment, limited donor availability, heightened risk for infection and graft failure, have necessitated the investigation of alternative therapeutic options.",
        "Setting": "This systematic review was conducted at the 2 nd Department of Ophthalmology, Aristotle University of Thessaloniki School of Medicine.",
        "Methods": "A comprehensive literature search was conducted until February 24, 2026 in PubMed, Scopus and the Cochrane Central Register of Controlled Trials. Search terms comprised variants of “Rho-kinase inhibitors,” “ROCK inhibitors,” “Fuchs endothelial dystrophy” and “FECD.” Only clinical studies evaluating at least one ROCK inhibitor and reporting at least one of the selected functional or cellular outcomes—endothelial cell density, central corneal thickness (CCT), visual acuity, or cell migration/ proliferation—were included in this review. Only peer-reviewed articles in English were considered. Title and abstract were screened by two independent reviewers, while any disagreements were resolved by a third reviewer.",
        "Results": "12 clinical studies met the inclusion criteria, including 4 randomized controlled trials, 3 non-randomized trials and 5 case reports. Ripasudil was investigated in 5 studies, netarsudil in 2 and the ROCK inhibitor Y-27632 in 4. Descemet Stripping Only (DSO) with ripasudil compared to DSO alone, showed significant reductions in CCT and improvement in best-corrected visual acuity (BCVA). Netarsudil significantly reduced CCT after 1 month, with once and twice-daily dosing showing similar efficacy (p= 0.0021 and 0.0335). Transplantation of human corneal endothelial cells supplemented with ROCK inhibitors increased endothelial cell density after 24 weeks. Adverse effects of ROCK inhibitors included ocular irritation and honeycomb corneal edema.",
        "Conclusions": "FECD is the main indicator for corneal transplantation in developed countries. At present, there is no FDA-approved pharmacological treatment to prevent its progression. There is a critical need for alternatives to delay or prevent surgery. ROCK inhibitors have emerged as a promising therapeutic option for FECD, playing a vital role in endothelial function by promoting cell proliferation, inhibiting apoptosis and boosting endothelial wound healing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POCOR487",
      "abstract_number": "POCOR487",
      "title": "Prevalence And Clinical Characteristics Of Dry Eye Disease And Refractive Errors In Children With Down Syndrome: A Cross-Sectional Study From Uzbekistan",
      "authors": "Dr Umida Shavkatovna Khamraeva",
      "presenter": "Dr Umida Shavkatovna Khamraeva",
      "normalized_authors": [
        "Umida Shavkatovna Khamraeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Umida Shavkatovna Khamraeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "This cross-sectional study from Uzbekistan study aimed to investigate the prevalence and clinical characteristics of dry eye disease and refractive errors in children with Down syndrome.",
        "Setting": "Cross-sectional study conducted at the Republican Specialized Scientific and Practical Medical Center for Eye Microsurgery, Uzbekistan, between January and February 2026.",
        "Methods": "50 children with Down syndrome aged 2–14 years underwent comprehensive ophthalmic evaluation including visometry, autorefractometry, slit-lamp biomicroscopy, and Schirmer’s test. Demographic characteristics (age, sex, city of residence), medical history, ocular complaints, uncorrected and best-corrected visual acuity, refractive status and tear production were recorded and analyzed. The female-to-male ratio was 2:3.",
        "Results": "All patients had epicanthal folds, upward-slanting palpebral fissures. Such symptoms,as photophobia,eye rubbing,irritation,hyperemia,and lacrimation were common. A history of nasolacrimal duct obstruction was reported in 78,6%,with 57,1% having undergone probing; chronic blepharitis was noted in 53,3%. Visually significant refractive errors were detected in 75,7%,predominantly presented by astigmatism (72%),followed by hyperopia (36%) and myopia (24%). Moderate hyperopia (72%) and moderate myopia (56,5%) predominated.12,4% of astigmatism was mixed, 57,8%-compound myopic, 29,8%-c.hypermetropic. Amblyopia was observed in 48%. Schirmer’s test values (8–10 mm) indicated reduced tear production consistent with mild-to-moderate dry eye disease.",
        "Conclusions": "This study provides novel data on ophthalmic disorders and refractive changes in children with Down syndrome living in different regions of Uzbekistan. The high prevalence of refractive errors, particularly astigmatism, highlights the importance of early and regular screening in this population. Some manifestations, such as amblyopia, can significantly limit the visual perception of information, and impair visual development. Structural eyelid abnormalities, nasolacrimal duct dysfunction, and reduced blinking likely contribute to dry eye disease and chronic blepharitis in these children. Early detection and timely management are essential to improve visual function, quality of life, and social integration in this vulnerable population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study provides novel data on ophthalmic disorders and refractive changes in children with Down syndrome living in different regions of Uzbekistan. The high prevalence of refractive errors, particularly astigmatism, highlights the importance of early and regular screening in this population. Some manifestations, such as amblyopia, can significantly limit the visual perception of information, and impair visual…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1170,
      "source_fields": {
        "Abstract Final Identifier": "POCOR487",
        "Title": "Prevalence And Clinical Characteristics Of Dry Eye Disease And Refractive Errors In Children With Down Syndrome: A Cross-Sectional Study From Uzbekistan",
        "Presenting Author(s)": "Dr Umida Shavkatovna Khamraeva",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Umida",
        "Submitter Middle Name": "Shavkatovna",
        "Submitter Last Name": "Khamraeva",
        "Country Name": "Uzbekistan",
        "Purpose": "This cross-sectional study from Uzbekistan study aimed to investigate the prevalence and clinical characteristics of dry eye disease and refractive errors in children with Down syndrome.",
        "Setting": "Cross-sectional study conducted at the Republican Specialized Scientific and Practical Medical Center for Eye Microsurgery, Uzbekistan, between January and February 2026.",
        "Methods": "50 children with Down syndrome aged 2–14 years underwent comprehensive ophthalmic evaluation including visometry, autorefractometry, slit-lamp biomicroscopy, and Schirmer’s test. Demographic characteristics (age, sex, city of residence), medical history, ocular complaints, uncorrected and best-corrected visual acuity, refractive status and tear production were recorded and analyzed. The female-to-male ratio was 2:3.",
        "Results": "All patients had epicanthal folds, upward-slanting palpebral fissures. Such symptoms,as photophobia,eye rubbing,irritation,hyperemia,and lacrimation were common. A history of nasolacrimal duct obstruction was reported in 78,6%,with 57,1% having undergone probing; chronic blepharitis was noted in 53,3%. Visually significant refractive errors were detected in 75,7%,predominantly presented by astigmatism (72%),followed by hyperopia (36%) and myopia (24%). Moderate hyperopia (72%) and moderate myopia (56,5%) predominated.12,4% of astigmatism was mixed, 57,8%-compound myopic, 29,8%-c.hypermetropic. Amblyopia was observed in 48%. Schirmer’s test values (8–10 mm) indicated reduced tear production consistent with mild-to-moderate dry eye disease.",
        "Conclusions": "This study provides novel data on ophthalmic disorders and refractive changes in children with Down syndrome living in different regions of Uzbekistan. The high prevalence of refractive errors, particularly astigmatism, highlights the importance of early and regular screening in this population. Some manifestations, such as amblyopia, can significantly limit the visual perception of information, and impair visual development. Structural eyelid abnormalities, nasolacrimal duct dysfunction, and reduced blinking likely contribute to dry eye disease and chronic blepharitis in these children. Early detection and timely management are essential to improve visual function, quality of life, and social integration in this vulnerable population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POCOR488",
      "abstract_number": "POCOR488",
      "title": "The Importance Of The Relationship Between Tear Meniscus Height And Lipid Layer Thickness Instability As Diagnostic Indicators For Dry Eye",
      "authors": "Da Ran Kim",
      "presenter": "Da Ran Kim",
      "normalized_authors": [
        "Da Ran Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Da Ran Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To investigate the impact of tear meniscus height (TMH), particularly its interaction with lipid layer thickness (LLT), on OSDI levels as a clinical parameter in dry eye disease.",
        "Setting": "This study was conducted as a retrospective study and included data from 268 patients who underwent evaluation of dry eye parameters prior to cataract surgery between July 2024 and April 2025.",
        "Methods": "Patients' age, sex, BUT, ocular surface score(OSS), average LLT, standard deviation(SD) of LLT, maximum LLT, minimum LLT, TMH and other anterior ocular parameters were investigated. TMH was measured using anterior segment OCT, and patients were classified into three groups based on TMH: low (< 0.2 mm), normal (0.2–0.35 mm), and excessive (> 0.35 mm). Ordinal logistic regression models including interaction terms were fitted to evaluate whether the association between LLT parameters and OSDI level differed by TMH group.",
        "Results": "The interaction between SD of LLT and TMH group was primarily attributable to differences in the SD of LLT effect between the Normal group and both the Low (p = 0.043) and Excess (p = 0.015) groups, with no significant difference between the Low and Excess groups (p = 0.64). Within the normal TMH group, SD of LLT was not significantly associated with OSDI severity. In contrast, in the low and excessive TMH groups, increasing SD of LLT was associated with greater OSDI severity. No significant interaction was observed between average LLT and TMH group in relation to OSDI level (p = 0.200).",
        "Conclusions": "When TMH is either low or excessively high, the impact of LLT instability on OSDI levels becomes more pronounced. In the diagnosis of dry eye disease, greater consideration should be given to SD of LLT rather than average LLT when TMH is low or excessively high. TMH levels should not be assessed solely as a continuous variable, but rather stratified into distinct groups for more meaningful evaluation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "When TMH is either low or excessively high, the impact of LLT instability on OSDI levels becomes more pronounced. In the diagnosis of dry eye disease, greater consideration should be given to SD of LLT rather than average LLT when TMH is low or excessively high. TMH levels should not be assessed solely as a continuous variable, but rather stratified into distinct groups for more meaningful evaluation.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1171,
      "source_fields": {
        "Abstract Final Identifier": "POCOR488",
        "Title": "The Importance Of The Relationship Between Tear Meniscus Height And Lipid Layer Thickness Instability As Diagnostic Indicators For Dry Eye",
        "Presenting Author(s)": "Da Ran Kim",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Da Ran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To investigate the impact of tear meniscus height (TMH), particularly its interaction with lipid layer thickness (LLT), on OSDI levels as a clinical parameter in dry eye disease.",
        "Setting": "This study was conducted as a retrospective study and included data from 268 patients who underwent evaluation of dry eye parameters prior to cataract surgery between July 2024 and April 2025.",
        "Methods": "Patients' age, sex, BUT, ocular surface score(OSS), average LLT, standard deviation(SD) of LLT, maximum LLT, minimum LLT, TMH and other anterior ocular parameters were investigated. TMH was measured using anterior segment OCT, and patients were classified into three groups based on TMH: low (< 0.2 mm), normal (0.2–0.35 mm), and excessive (> 0.35 mm). Ordinal logistic regression models including interaction terms were fitted to evaluate whether the association between LLT parameters and OSDI level differed by TMH group.",
        "Results": "The interaction between SD of LLT and TMH group was primarily attributable to differences in the SD of LLT effect between the Normal group and both the Low (p = 0.043) and Excess (p = 0.015) groups, with no significant difference between the Low and Excess groups (p = 0.64). Within the normal TMH group, SD of LLT was not significantly associated with OSDI severity. In contrast, in the low and excessive TMH groups, increasing SD of LLT was associated with greater OSDI severity. No significant interaction was observed between average LLT and TMH group in relation to OSDI level (p = 0.200).",
        "Conclusions": "When TMH is either low or excessively high, the impact of LLT instability on OSDI levels becomes more pronounced. In the diagnosis of dry eye disease, greater consideration should be given to SD of LLT rather than average LLT when TMH is low or excessively high. TMH levels should not be assessed solely as a continuous variable, but rather stratified into distinct groups for more meaningful evaluation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POCOR489",
      "abstract_number": "POCOR489",
      "title": "Early And Stepwise Improvement In Meibomian Gland Dysfunction After Tixel I Therapy: A Prospective Multicenter Real-World Study",
      "authors": "Dr ludger Hanneken",
      "presenter": "Dr ludger Hanneken",
      "normalized_authors": [
        "ludger Hanneken"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ifat Klein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate early and short-term clinical outcomes and safety of Tixel i therapy in patients with meibomian gland dysfunction (MGD)–related dry eye in a real-world setting.",
        "Setting": "Prospective, multicenter, observational real-world evidence study conducted across eight clinics in the United States under IRB-exempt status.",
        "Methods": "Eighty-two subjects (mean age 60.0±14.9 years; 82.9% female) with predominantly moderate–severe MGD (85.4%) and long-standing symptoms (>2 years in 79.3%) were enrolled. Subjects received three Tixel i treatments at two-week intervals according to the user manual. Data were collected anonymously using a standardized questionnaire. Analyses were performed using subject-level averages of both eyes. Outcomes included OSDI, tear break-up time (TBUT), and meibomian gland secretion score (MGSS), assessed at baseline, after one treatment (pre-Tx2), after two treatments (pre-Tx3), and at 4 weeks. Safety was assessed by collection of adverse events (AEs). Patient and physician satisfaction were evaluated at 4 weeks.",
        "Results": "Significant improvement was observed after a single treatment, with reductions in symptoms (OSDI −7.6±15.7 points) and improvements in tear stability (TBUT +2.3±3.3 s) and gland function (MGSS +6.2±6.8) (all p<0.001). Further stepwise improvement occurred after two treatments and at 4 weeks, with maximal effects at 4 weeks (OSDI −20.9±18.2; TBUT +3.3±3.4 s; MGSS +11.6±9.4; all p<0.001). Higher baseline MGSS correlated with greater proportional improvement at 4 weeks. Patient and physician satisfaction scores at 4 weeks were high and aligned with symptom improvement. Seventeen adverse events were reported; all were mild, expected, transient, and resolved within a short period without medical intervention.",
        "Conclusions": "In a predominantly chronic, moderate–severe MGD population, Tixel i therapy demonstrated rapid onset of clinically meaningful benefit after a single treatment, with cumulative improvement through 4 weeks. The treatment was well tolerated, with a favorable safety profile in real-world clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a predominantly chronic, moderate–severe MGD population, Tixel i therapy demonstrated rapid onset of clinically meaningful benefit after a single treatment, with cumulative improvement through 4 weeks. The treatment was well tolerated, with a favorable safety profile in real-world clinical practice.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1172,
      "source_fields": {
        "Abstract Final Identifier": "POCOR489",
        "Title": "Early And Stepwise Improvement In Meibomian Gland Dysfunction After Tixel I Therapy: A Prospective Multicenter Real-World Study",
        "Presenting Author(s)": "Dr ludger Hanneken",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ifat",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Klein",
        "Country Name": "Israel",
        "Purpose": "To evaluate early and short-term clinical outcomes and safety of Tixel i therapy in patients with meibomian gland dysfunction (MGD)–related dry eye in a real-world setting.",
        "Setting": "Prospective, multicenter, observational real-world evidence study conducted across eight clinics in the United States under IRB-exempt status.",
        "Methods": "Eighty-two subjects (mean age 60.0±14.9 years; 82.9% female) with predominantly moderate–severe MGD (85.4%) and long-standing symptoms (>2 years in 79.3%) were enrolled. Subjects received three Tixel i treatments at two-week intervals according to the user manual. Data were collected anonymously using a standardized questionnaire. Analyses were performed using subject-level averages of both eyes. Outcomes included OSDI, tear break-up time (TBUT), and meibomian gland secretion score (MGSS), assessed at baseline, after one treatment (pre-Tx2), after two treatments (pre-Tx3), and at 4 weeks. Safety was assessed by collection of adverse events (AEs). Patient and physician satisfaction were evaluated at 4 weeks.",
        "Results": "Significant improvement was observed after a single treatment, with reductions in symptoms (OSDI −7.6±15.7 points) and improvements in tear stability (TBUT +2.3±3.3 s) and gland function (MGSS +6.2±6.8) (all p<0.001). Further stepwise improvement occurred after two treatments and at 4 weeks, with maximal effects at 4 weeks (OSDI −20.9±18.2; TBUT +3.3±3.4 s; MGSS +11.6±9.4; all p<0.001). Higher baseline MGSS correlated with greater proportional improvement at 4 weeks. Patient and physician satisfaction scores at 4 weeks were high and aligned with symptom improvement. Seventeen adverse events were reported; all were mild, expected, transient, and resolved within a short period without medical intervention.",
        "Conclusions": "In a predominantly chronic, moderate–severe MGD population, Tixel i therapy demonstrated rapid onset of clinically meaningful benefit after a single treatment, with cumulative improvement through 4 weeks. The treatment was well tolerated, with a favorable safety profile in real-world clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POCOR490",
      "abstract_number": "POCOR490",
      "title": "Digital Implementation And Validation Of A Qr-Based Turkish Osdi-6 For Clinical Dry Eye Assessment",
      "authors": "Dr Zeynep Deniz Koç",
      "presenter": "Dr Zeynep Deniz Koç",
      "normalized_authors": [
        "Zeynep Deniz Koç"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Deniz Koç",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To develop and evaluate a digitally integrated Turkish version of the Ocular Surface Disease Index-6 (OSDI-6) and assess its reliability, concurrent validity with OSDI-12, and association with non-invasive tear film parameters.",
        "Setting": "Koç University Hospital, Department of Ophthalmology, Istanbul, Turkey",
        "Methods": "In this prospective study the OSDI-6 was forward-translated into Turkish and implemented as a QR-based web application with automated scoring and standardized real-time data capture. This system was developed with artificial intelligence-assisted programming support. Consecutive patients undergoing non-invasive dry eye evaluation completed the digital OSDI-6. A subset also completed the validated Turkish OSDI-12. Non-invasive tear break-up time (NIBUT) was measured bilaterally using the same device and averaged per patient. Oxford corneal staining grades and conjunctival vasodilation (Oculus) scores were recorded. Internal consistency was assessed using Cronbach’s alpha and correlations were analyzed using Spearman correlation coefficients.",
        "Results": "Eighteen patients completed item-level OSDI-6 assessments. Mean OSDI-6 score was 7 ± 5.93 and mean OSDI-12 score was 13.25 ± 11.62. Internal consistency was excellent (Cronbach’s α = 0.882). OSDI-6 demonstrated strong concurrent validity with OSDI-12 (ρ = 0.92, p < 0.001). Mean NIBUT was 8.33 ± 2.25 seconds. OSDI-6 showed weak correlation with mean NIBUT (Spearman ρ = 0.33, p = 0.21).",
        "Conclusions": "The QR-based digitally integrated Turkish OSDI-6 demonstrated excellent reliability and strong concurrent validity with OSDI-12. The weak association with tear film stability is consistent with the well-recognized signs-symptoms discordance in dry eye disease. The electronically implemented OSDI-6 may serve as a standardized and efficient symptom-screening tool for routine clinical dry eye assessment and longitudinal follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The QR-based digitally integrated Turkish OSDI-6 demonstrated excellent reliability and strong concurrent validity with OSDI-12. The weak association with tear film stability is consistent with the well-recognized signs-symptoms discordance in dry eye disease. The electronically implemented OSDI-6 may serve as a standardized and efficient symptom-screening tool for routine clinical dry eye assessment and…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1173,
      "source_fields": {
        "Abstract Final Identifier": "POCOR490",
        "Title": "Digital Implementation And Validation Of A Qr-Based Turkish Osdi-6 For Clinical Dry Eye Assessment",
        "Presenting Author(s)": "Dr Zeynep Deniz Koç",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "Deniz",
        "Submitter Last Name": "Koç",
        "Country Name": "Türkiye",
        "Purpose": "To develop and evaluate a digitally integrated Turkish version of the Ocular Surface Disease Index-6 (OSDI-6) and assess its reliability, concurrent validity with OSDI-12, and association with non-invasive tear film parameters.",
        "Setting": "Koç University Hospital, Department of Ophthalmology, Istanbul, Turkey",
        "Methods": "In this prospective study the OSDI-6 was forward-translated into Turkish and implemented as a QR-based web application with automated scoring and standardized real-time data capture. This system was developed with artificial intelligence-assisted programming support. Consecutive patients undergoing non-invasive dry eye evaluation completed the digital OSDI-6. A subset also completed the validated Turkish OSDI-12. Non-invasive tear break-up time (NIBUT) was measured bilaterally using the same device and averaged per patient. Oxford corneal staining grades and conjunctival vasodilation (Oculus) scores were recorded. Internal consistency was assessed using Cronbach’s alpha and correlations were analyzed using Spearman correlation coefficients.",
        "Results": "Eighteen patients completed item-level OSDI-6 assessments. Mean OSDI-6 score was 7 ± 5.93 and mean OSDI-12 score was 13.25 ± 11.62. Internal consistency was excellent (Cronbach’s α = 0.882). OSDI-6 demonstrated strong concurrent validity with OSDI-12 (ρ = 0.92, p < 0.001). Mean NIBUT was 8.33 ± 2.25 seconds. OSDI-6 showed weak correlation with mean NIBUT (Spearman ρ = 0.33, p = 0.21).",
        "Conclusions": "The QR-based digitally integrated Turkish OSDI-6 demonstrated excellent reliability and strong concurrent validity with OSDI-12. The weak association with tear film stability is consistent with the well-recognized signs-symptoms discordance in dry eye disease. The electronically implemented OSDI-6 may serve as a standardized and efficient symptom-screening tool for routine clinical dry eye assessment and longitudinal follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POCOR491",
      "abstract_number": "POCOR491",
      "title": "Topical Insulin For The Management Of Neurotrophic Corneal Ulcer: A Case Report.",
      "authors": "Ms Zoe Kritikou",
      "presenter": "Ms Zoe Kritikou",
      "normalized_authors": [
        "Zoe Kritikou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zoe Kritikou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To report the clinical outcome of a patient with a treatment-resistant neurotrophic corneal ulcer successfully managed with topical insulin drops.",
        "Setting": "Department of Ophthalmology, General Hospital of Athens, Korgialenio-Benakeio Hellenic Red Cross, Greece.",
        "Methods": "Case report and review of clinical management. A 67-year-old female with a history of recurrent herpetic keratitis presented with a persistent neurotrophic epithelial defect in the right eye (RE). The ulcer had failed to respond to standard treatments, including preservative-free lubricants and therapeutic contact lenses.",
        "Results": "Topical insulin drops were prepared by diluting regular insulin in artificial tears to a final concentration of 1 U/mL. The patient administered the drops three times daily. At the 2-week follow-up, significant improvement was observed, with marked reduction of the epithelial defect and progressive re-epithelialization. No local or systemic adverse effects were observed.",
        "Conclusions": "Topical insulin may represent a safe, effective, and low-cost therapeutic option for the management of neurotrophic ulcers, including those secondary to herpetic keratitis. Its efficacy appears comparable to more invasive and costly treatments, like amniotic membrane transplantation or autologous serum therapy. Larger studies are required to establish standardized preparation and dosing protocols.\nFINANCIAL DISCLOSURE: None"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical insulin may represent a safe, effective, and low-cost therapeutic option for the management of neurotrophic ulcers, including those secondary to herpetic keratitis. Its efficacy appears comparable to more invasive and costly treatments, like amniotic membrane transplantation or autologous serum therapy. Larger studies are required to establish standardized preparation and dosing protocols. FINANCIAL…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1174,
      "source_fields": {
        "Abstract Final Identifier": "POCOR491",
        "Title": "Topical Insulin For The Management Of Neurotrophic Corneal Ulcer: A Case Report.",
        "Presenting Author(s)": "Ms Zoe Kritikou",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Zoe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kritikou",
        "Country Name": "Greece",
        "Purpose": "To report the clinical outcome of a patient with a treatment-resistant neurotrophic corneal ulcer successfully managed with topical insulin drops.",
        "Setting": "Department of Ophthalmology, General Hospital of Athens, Korgialenio-Benakeio Hellenic Red Cross, Greece.",
        "Methods": "Case report and review of clinical management. A 67-year-old female with a history of recurrent herpetic keratitis presented with a persistent neurotrophic epithelial defect in the right eye (RE). The ulcer had failed to respond to standard treatments, including preservative-free lubricants and therapeutic contact lenses.",
        "Results": "Topical insulin drops were prepared by diluting regular insulin in artificial tears to a final concentration of 1 U/mL. The patient administered the drops three times daily. At the 2-week follow-up, significant improvement was observed, with marked reduction of the epithelial defect and progressive re-epithelialization. No local or systemic adverse effects were observed.",
        "Conclusions": "Topical insulin may represent a safe, effective, and low-cost therapeutic option for the management of neurotrophic ulcers, including those secondary to herpetic keratitis. Its efficacy appears comparable to more invasive and costly treatments, like amniotic membrane transplantation or autologous serum therapy. Larger studies are required to establish standardized preparation and dosing protocols.\nFINANCIAL DISCLOSURE: None"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "POCOR492",
      "abstract_number": "POCOR492",
      "title": "Pediatric Ocular Rosacea Presenting As Recurrent Bilateral Keratitis : A Diagnostic Challenge",
      "authors": "Dr Rym Lahlou",
      "presenter": "Dr Rym Lahlou",
      "normalized_authors": [
        "Rym Lahlou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rym Lahlou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To report a case of pediatric ocular rosacea presenting as recurrent bilateral keratitis initially misdiagnosed as herpetic keratitis, and to emphasize the importance of early recognition to prevent corneal complications.",
        "Setting": "Ophthalmology Department, Public Hospital Hakim Okbi. Guelma.",
        "Methods": "Case report of a 10-year-old girl followed for two years for recurrent keratitis episodes occurring approximately every six months. Initial diagnosis was presumed herpetic keratitis and antiviral therapy (aciclovir) was prescribed without significant clinical improvement. A detailed eyelid and ocular surface examination was subsequently performed.",
        "Results": "Clinical examination revealed marked inflammatory keratitis in the left eye and milder corneal involvement in the right eye. Bilateral conjunctival hyperemia and chronic blepharitis with signs of meibomian gland dysfunction were observed. No dendritic epithelial lesions were present. The absence of response to antiviral therapy suggested a non-herpetic inflammatory etiology. Treatment with topical corticosteroids using slow tapering, combined with topical azithromycin and eyelid hygiene, resulted in significant improvement. Recurrence frequency decreased under maintenance management. No visually significant corneal scarring was noted at last follow-up.",
        "Conclusions": "Pediatric ocular rosacea is an under-recognized cause of recurrent bilateral keratitis and may mimic herpetic disease. Careful evaluation of eyelid inflammation and ocular surface findings is essential. Early anti-inflammatory therapy and long-term blepharitis management are crucial to prevent recurrences and potential corneal sequelae."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pediatric ocular rosacea is an under-recognized cause of recurrent bilateral keratitis and may mimic herpetic disease. Careful evaluation of eyelid inflammation and ocular surface findings is essential. Early anti-inflammatory therapy and long-term blepharitis management are crucial to prevent recurrences and potential corneal sequelae.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1175,
      "source_fields": {
        "Abstract Final Identifier": "POCOR492",
        "Title": "Pediatric Ocular Rosacea Presenting As Recurrent Bilateral Keratitis : A Diagnostic Challenge",
        "Presenting Author(s)": "Dr Rym Lahlou",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Rym",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lahlou",
        "Country Name": "Algeria",
        "Purpose": "To report a case of pediatric ocular rosacea presenting as recurrent bilateral keratitis initially misdiagnosed as herpetic keratitis, and to emphasize the importance of early recognition to prevent corneal complications.",
        "Setting": "Ophthalmology Department, Public Hospital Hakim Okbi. Guelma.",
        "Methods": "Case report of a 10-year-old girl followed for two years for recurrent keratitis episodes occurring approximately every six months. Initial diagnosis was presumed herpetic keratitis and antiviral therapy (aciclovir) was prescribed without significant clinical improvement. A detailed eyelid and ocular surface examination was subsequently performed.",
        "Results": "Clinical examination revealed marked inflammatory keratitis in the left eye and milder corneal involvement in the right eye. Bilateral conjunctival hyperemia and chronic blepharitis with signs of meibomian gland dysfunction were observed. No dendritic epithelial lesions were present. The absence of response to antiviral therapy suggested a non-herpetic inflammatory etiology. Treatment with topical corticosteroids using slow tapering, combined with topical azithromycin and eyelid hygiene, resulted in significant improvement. Recurrence frequency decreased under maintenance management. No visually significant corneal scarring was noted at last follow-up.",
        "Conclusions": "Pediatric ocular rosacea is an under-recognized cause of recurrent bilateral keratitis and may mimic herpetic disease. Careful evaluation of eyelid inflammation and ocular surface findings is essential. Early anti-inflammatory therapy and long-term blepharitis management are crucial to prevent recurrences and potential corneal sequelae."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 209
    },
    {
      "uid": "POCOR493",
      "abstract_number": "POCOR493",
      "title": "Ocular Manifestations Of Fabry Disease: A Case Series From A Multidisciplinary Referral Centre",
      "authors": "Małgorzata Łątkowska",
      "presenter": "Małgorzata Łątkowska",
      "normalized_authors": [
        "Małgorzata Łątkowska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Małgorzata Łątkowska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To describe ocular manifestations in patients with Fabry disease, a rare X-linked lysosomal storage disorder, and to emphasise characteristic corneal and retinal findings identified during routine ophthalmic examinations.",
        "Setting": "This single-centre observational case series was conducted at a multidisciplinary referral centre. Patients hospitalised in the Department of Nephrology within a specialised therapeutic programme underwent routine ophthalmic evaluation during admission.",
        "Methods": "Five patients with genetically confirmed Fabry disease underwent ophthalmic assessment during hospitalisation. Comprehensive ocular examination included slit-lamp biomicroscopy and dilated fundus evaluation.",
        "Results": "Cornea verticillata, characteristic of Fabry keratopathy, was observed in the majority of patients and was typically bilateral. The distinctive whorl-shaped pattern in the corneal epithelium was clearly evident on slit-lamp biomicroscopy. Retinal vascular abnormalities, including vessel tortuosity, were identified. No acute vision-threatening complications were noted at the time of assessment.",
        "Conclusions": "Fabry disease, although rare, commonly presents with characteristic ocular findings that may serve as visible markers of systemic involvement. The corneal and retinal abnormalities detected during routine ophthalmic examination highlight the important role of ophthalmic evaluation in multidisciplinary patient management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Fabry disease, although rare, commonly presents with characteristic ocular findings that may serve as visible markers of systemic involvement. The corneal and retinal abnormalities detected during routine ophthalmic examination highlight the important role of ophthalmic evaluation in multidisciplinary patient management.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1176,
      "source_fields": {
        "Abstract Final Identifier": "POCOR493",
        "Title": "Ocular Manifestations Of Fabry Disease: A Case Series From A Multidisciplinary Referral Centre",
        "Presenting Author(s)": "Małgorzata Łątkowska",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Małgorzata",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Łątkowska",
        "Country Name": "Poland",
        "Purpose": "To describe ocular manifestations in patients with Fabry disease, a rare X-linked lysosomal storage disorder, and to emphasise characteristic corneal and retinal findings identified during routine ophthalmic examinations.",
        "Setting": "This single-centre observational case series was conducted at a multidisciplinary referral centre. Patients hospitalised in the Department of Nephrology within a specialised therapeutic programme underwent routine ophthalmic evaluation during admission.",
        "Methods": "Five patients with genetically confirmed Fabry disease underwent ophthalmic assessment during hospitalisation. Comprehensive ocular examination included slit-lamp biomicroscopy and dilated fundus evaluation.",
        "Results": "Cornea verticillata, characteristic of Fabry keratopathy, was observed in the majority of patients and was typically bilateral. The distinctive whorl-shaped pattern in the corneal epithelium was clearly evident on slit-lamp biomicroscopy. Retinal vascular abnormalities, including vessel tortuosity, were identified. No acute vision-threatening complications were noted at the time of assessment.",
        "Conclusions": "Fabry disease, although rare, commonly presents with characteristic ocular findings that may serve as visible markers of systemic involvement. The corneal and retinal abnormalities detected during routine ophthalmic examination highlight the important role of ophthalmic evaluation in multidisciplinary patient management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 170
    },
    {
      "uid": "POCOR494",
      "abstract_number": "POCOR494",
      "title": "Case Series Analysis Of Corneal Changes After Treatment With Novel Targeted Anticancer Agents",
      "authors": "Dr Yunjin Lee",
      "presenter": "Dr Yunjin Lee",
      "normalized_authors": [
        "Yunjin Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yunjin Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Reports of ocular toxicity associated with recently introduced antibody–drug conjugates (ADCs) and targeted therapies are increasing. This study aimed to describe the clinical features of microcyst-like lesions observed in patients treated with belantamab mafodotin for multiple myeloma, ubamatamab for ovarian cancer, and osimertinib for lung cancer, and to report associated changes in corneal topography and refraction.",
        "Setting": "Retrospective, chart review study",
        "Methods": "We retrospectively reviewed the medical records of patients who received these agents and were referred for ophthalmic consultation. Corneal findings were assessed by slit-lamp biomicroscopy. Refractive error, corneal topography, and anterior segment OCT were evaluated to compare pre- and post-treatment changes in corneal curvature (K values) and refractive status.",
        "Results": "Characteristic microcyst-like lesions were observed in the corneal epithelium of the included patients. The lesions were predominantly distributed in an annular pattern in the cornea mid-periphy. Corneal topography and anterior segment OCT demonstrated a significant increase in SimK values (corneal steepening) compared with baseline. Clinically meaningful myopic shift was observed accordingly and was a major contributor to uncorrected visual acuity decline. These corneal changes appeared to be associated with treatment duration and dose.",
        "Conclusions": "Novel anticancer agents, including belantamab mafodotin, ubamatamab, and osimertinib, can induce epithelial microcysts, which may lead to increased corneal curvature and myopic shift. Ophthalmologists should recognize this characteristic complication and, when evaluating visual decline in patients undergoing anticancer therapy, consider treatment-related refractive changes and monitor patients closely."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Novel anticancer agents, including belantamab mafodotin, ubamatamab, and osimertinib, can induce epithelial microcysts, which may lead to increased corneal curvature and myopic shift. Ophthalmologists should recognize this characteristic complication and, when evaluating visual decline in patients undergoing anticancer therapy, consider treatment-related refractive changes and monitor patients closely.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1177,
      "source_fields": {
        "Abstract Final Identifier": "POCOR494",
        "Title": "Case Series Analysis Of Corneal Changes After Treatment With Novel Targeted Anticancer Agents",
        "Presenting Author(s)": "Dr Yunjin Lee",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yunjin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Reports of ocular toxicity associated with recently introduced antibody–drug conjugates (ADCs) and targeted therapies are increasing. This study aimed to describe the clinical features of microcyst-like lesions observed in patients treated with belantamab mafodotin for multiple myeloma, ubamatamab for ovarian cancer, and osimertinib for lung cancer, and to report associated changes in corneal topography and refraction.",
        "Setting": "Retrospective, chart review study",
        "Methods": "We retrospectively reviewed the medical records of patients who received these agents and were referred for ophthalmic consultation. Corneal findings were assessed by slit-lamp biomicroscopy. Refractive error, corneal topography, and anterior segment OCT were evaluated to compare pre- and post-treatment changes in corneal curvature (K values) and refractive status.",
        "Results": "Characteristic microcyst-like lesions were observed in the corneal epithelium of the included patients. The lesions were predominantly distributed in an annular pattern in the cornea mid-periphy. Corneal topography and anterior segment OCT demonstrated a significant increase in SimK values (corneal steepening) compared with baseline. Clinically meaningful myopic shift was observed accordingly and was a major contributor to uncorrected visual acuity decline. These corneal changes appeared to be associated with treatment duration and dose.",
        "Conclusions": "Novel anticancer agents, including belantamab mafodotin, ubamatamab, and osimertinib, can induce epithelial microcysts, which may lead to increased corneal curvature and myopic shift. Ophthalmologists should recognize this characteristic complication and, when evaluating visual decline in patients undergoing anticancer therapy, consider treatment-related refractive changes and monitor patients closely."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCOR495",
      "abstract_number": "POCOR495",
      "title": "Ocular Adverse Events Associated With Belantamab Mafodotin In Patients With Multitple Myeloma",
      "authors": "Dr Vasilis Liarakos",
      "presenter": "Dr Vasilis Liarakos",
      "normalized_authors": [
        "Vasilis Liarakos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vasilis Liarakos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Ocular adverse events (OAEs) are common with belantamab mafodotin (belamaf) treatment in transplant-ineligible patients (pts) with newly diagnosed multiple myeloma. We present how OAEs evaluation may determine belamaf dosing so as to prervent ocular toxicity.",
        "Setting": "Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece\n\nHealth Data Specialists, Dublin, Ireland\n\nAktina Center, Ophthalmology Center, Athens, Greece",
        "Methods": "The ongoing phase 1/2 BelaRd study comprises 2 Parts. Part 1 (36 pts) evaluates the safety/tolerability of belamaf 2.5/1.9/1.4 mg/kg and established the recommended phase 2 dose of 1.9 mg/kg q8w/q12w. Best corrected visual acuity (BCVA) and OAEs (as graded with the Keratopathy Visual Acuity scale; Grade 0-4) were measured and described every 4 weeks during the treatment period (median 28.4 months). Belamaf dosing was permitted when OAEs are Grade 0-1. Dry eye disease and vision-related function were assessed with the Ocular Surface Disease Index (OSDI).",
        "Results": "Most patients (32/36; 88.9%) were switched to the q12w schedule due to OAEs. Following an infusion at Grade 0 / Grade 1, Grade ≥2 OAEs were observed in 29.7%/48.8% of the subsequent ocular exams, while the median between-dose interval was 10.4/13.0 weeks. Dosing belamaf when Grade <2 or Grade ≥2 dry eye, blurred vision, or visual impairment was observed, resulted in subsequent Grade ≥2 ocular symptoms in 33.5%/80.5% of assessments and a median dosing interval of 12.4/14.7 weeks. Among 875 OSDI exams across cohorts, 40-46% reported ocular symptoms for “all/most/half of the time”, while the respective proportion for daily functioning impairment was only 5-10%.",
        "Conclusions": "In order to reduce peak toxicities, manifesting even with the extended dosing interval, belamaf dose reduction should be considered. Severe keratopathy is rare, with a limited role in guiding dosing, as a discordance between BCVA and keratopathy was seldom observed. Although ocular symptoms were often reported, only a minor impairment in eyesight-related functioning was observed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In order to reduce peak toxicities, manifesting even with the extended dosing interval, belamaf dose reduction should be considered. Severe keratopathy is rare, with a limited role in guiding dosing, as a discordance between BCVA and keratopathy was seldom observed. Although ocular symptoms were often reported, only a minor impairment in eyesight-related functioning was observed.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1178,
      "source_fields": {
        "Abstract Final Identifier": "POCOR495",
        "Title": "Ocular Adverse Events Associated With Belantamab Mafodotin In Patients With Multitple Myeloma",
        "Presenting Author(s)": "Dr Vasilis Liarakos",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Vasilis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liarakos",
        "Country Name": "Greece",
        "Purpose": "Ocular adverse events (OAEs) are common with belantamab mafodotin (belamaf) treatment in transplant-ineligible patients (pts) with newly diagnosed multiple myeloma. We present how OAEs evaluation may determine belamaf dosing so as to prervent ocular toxicity.",
        "Setting": "Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece\n\nHealth Data Specialists, Dublin, Ireland\n\nAktina Center, Ophthalmology Center, Athens, Greece",
        "Methods": "The ongoing phase 1/2 BelaRd study comprises 2 Parts. Part 1 (36 pts) evaluates the safety/tolerability of belamaf 2.5/1.9/1.4 mg/kg and established the recommended phase 2 dose of 1.9 mg/kg q8w/q12w. Best corrected visual acuity (BCVA) and OAEs (as graded with the Keratopathy Visual Acuity scale; Grade 0-4) were measured and described every 4 weeks during the treatment period (median 28.4 months). Belamaf dosing was permitted when OAEs are Grade 0-1. Dry eye disease and vision-related function were assessed with the Ocular Surface Disease Index (OSDI).",
        "Results": "Most patients (32/36; 88.9%) were switched to the q12w schedule due to OAEs. Following an infusion at Grade 0 / Grade 1, Grade ≥2 OAEs were observed in 29.7%/48.8% of the subsequent ocular exams, while the median between-dose interval was 10.4/13.0 weeks. Dosing belamaf when Grade <2 or Grade ≥2 dry eye, blurred vision, or visual impairment was observed, resulted in subsequent Grade ≥2 ocular symptoms in 33.5%/80.5% of assessments and a median dosing interval of 12.4/14.7 weeks. Among 875 OSDI exams across cohorts, 40-46% reported ocular symptoms for “all/most/half of the time”, while the respective proportion for daily functioning impairment was only 5-10%.",
        "Conclusions": "In order to reduce peak toxicities, manifesting even with the extended dosing interval, belamaf dose reduction should be considered. Severe keratopathy is rare, with a limited role in guiding dosing, as a discordance between BCVA and keratopathy was seldom observed. Although ocular symptoms were often reported, only a minor impairment in eyesight-related functioning was observed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POCOR496",
      "abstract_number": "POCOR496",
      "title": "Potential Neurosensory Modulation By Topical Citicoline In Postoperative Dry Eye Following Cataract Surgery",
      "authors": "Dr Martina Liovic Milec",
      "presenter": "Dr Martina Liovic Milec",
      "normalized_authors": [
        "Martina Liovic Milec"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Martina Liovic Milec",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "This study aimed to evaluate the potential effect of topical citicoline eye drops on postoperative ocular surface parameters in patients undergoing cataract surgery, with particular focus on dry eye severity and tear film stability.",
        "Setting": "This study was performed at the Eye Department of General Hospital “Dr Josip Bencević” and included individuals undergoing elective cataract surgery. Clinical evaluations were performed in a standardized setting with consistent diagnostic equipment and postoperative care regimen. Patients were followed for one month after the surgical procedure.",
        "Methods": "Seventy patients undergoing uneventful phacoemulsification were prospectively evaluated. Following uneventful phacoemulsification, all patients received standard postoperative therapy and topical citicoline three times daily for one month. Ocular surface parameters were evaluated before and one month after surgery using the SPEED questionnaire (graded 1–3), the Schirmer test (graded 1–4), and tear break-up time (TBUT; graded 1–3). Data were summarized using appropriate descriptive measures, and changes between preoperative and postoperative assessments were analyzed. Transitions within severe categories were examined, and the influence of age, sex, and diabetes mellitus on postoperative changes was assessed.",
        "Results": "Postoperative assessment demonstrated a significant improvement in Schirmer scores (p = 0.029), indicating reduced dry eye severity. The proportion of patients with severe subjective symptoms (SPEED grade 3) significantly decreased following surgery (p = 0.023). In contrast, TBUT showed significant deterioration (p = 0.001), accompanied by a marked increase in cases of severe tear film instability (p = 0.001). Age, sex, and diabetes mellitus were not associated with postoperative changes in ocular surface parameters.",
        "Conclusions": "Cataract surgery was associated with postoperative deterioration of tear film stability despite improvement in subjective symptoms and aqueous tear secretion. The observed reduction in severe subjective symptoms, together with the significant improvement in Schirmer scores, is compatible with a potential neurosensory modulatory effect of citicoline on the aqueous tear component; however, tear film stability, as reflected by TBUT, remained impaired. Further controlled studies are required to clarify the specific role of citicoline in postoperative ocular surface recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery was associated with postoperative deterioration of tear film stability despite improvement in subjective symptoms and aqueous tear secretion. The observed reduction in severe subjective symptoms, together with the significant improvement in Schirmer scores, is compatible with a potential neurosensory modulatory effect of citicoline on the aqueous tear component; however, tear film stability, as…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1179,
      "source_fields": {
        "Abstract Final Identifier": "POCOR496",
        "Title": "Potential Neurosensory Modulation By Topical Citicoline In Postoperative Dry Eye Following Cataract Surgery",
        "Presenting Author(s)": "Dr Martina Liovic Milec",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Martina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liovic Milec",
        "Country Name": "Croatia",
        "Purpose": "This study aimed to evaluate the potential effect of topical citicoline eye drops on postoperative ocular surface parameters in patients undergoing cataract surgery, with particular focus on dry eye severity and tear film stability.",
        "Setting": "This study was performed at the Eye Department of General Hospital “Dr Josip Bencević” and included individuals undergoing elective cataract surgery. Clinical evaluations were performed in a standardized setting with consistent diagnostic equipment and postoperative care regimen. Patients were followed for one month after the surgical procedure.",
        "Methods": "Seventy patients undergoing uneventful phacoemulsification were prospectively evaluated. Following uneventful phacoemulsification, all patients received standard postoperative therapy and topical citicoline three times daily for one month. Ocular surface parameters were evaluated before and one month after surgery using the SPEED questionnaire (graded 1–3), the Schirmer test (graded 1–4), and tear break-up time (TBUT; graded 1–3). Data were summarized using appropriate descriptive measures, and changes between preoperative and postoperative assessments were analyzed. Transitions within severe categories were examined, and the influence of age, sex, and diabetes mellitus on postoperative changes was assessed.",
        "Results": "Postoperative assessment demonstrated a significant improvement in Schirmer scores (p = 0.029), indicating reduced dry eye severity. The proportion of patients with severe subjective symptoms (SPEED grade 3) significantly decreased following surgery (p = 0.023). In contrast, TBUT showed significant deterioration (p = 0.001), accompanied by a marked increase in cases of severe tear film instability (p = 0.001). Age, sex, and diabetes mellitus were not associated with postoperative changes in ocular surface parameters.",
        "Conclusions": "Cataract surgery was associated with postoperative deterioration of tear film stability despite improvement in subjective symptoms and aqueous tear secretion. The observed reduction in severe subjective symptoms, together with the significant improvement in Schirmer scores, is compatible with a potential neurosensory modulatory effect of citicoline on the aqueous tear component; however, tear film stability, as reflected by TBUT, remained impaired. Further controlled studies are required to clarify the specific role of citicoline in postoperative ocular surface recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "POCOR497",
      "abstract_number": "POCOR497",
      "title": "Efficacy Of Quantum Molecular Resonance Electrotherapy In Neuropathic Corneal Pain And Corneal Nerve Regeneration",
      "authors": "A/Prof. Yu-Chi Liu",
      "presenter": "A/Prof. Yu-Chi Liu",
      "normalized_authors": [
        "Yu-Chi Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yu-Chi Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To investigate the efficacy of Quantum Molecular Resonance (QMR) electrotherapy for pain relief in neuropathic corneal pain (NCP) patients, to assess its potential to stimulate corneal nerve regeneration, and to explore the underlying molecular mechanisms involved.",
        "Setting": "Singapore National Eye Centre",
        "Methods": "Twenty NCP patients underwent 8 weekly QMR electrotherapy. At baseline and each treatment visit, the Visual Analogue Scale (VAS), Ocular Pain Assessment Survey (OPAS), and ocular surface assessments were conducted. In-vivo confocal microscopy (IVCM) was performed to evaluate 7 corneal nerve parameters. Patient acceptability and satisfaction were also assessed. Tear proteomic profiles were evaluated using enzyme-linked immunosorbent assay and quantitative tear proteomic analysis.",
        "Results": "At 8 weeks, the VAS pain scores significantly reduced compared to baseline (2.6 vs 5.0; P=0.021). There was significant improvement in the OPAS scores, in the ocular pain relief, interference with general activity, mood, and interaction with people. Corneal sensitivity significantly improved. Corneal nerve fiber density, length, and total branch density significantly increased. The majority of patients rated QMR treatment as pleasant (80%), effective (53.3%), durable (66.7%), comfortable (73.3%), and satisfied (66.7%). Tear substance P levels significantly decreased. Proteomic analysis showed neurotoxicity and neutrophil degeneration were significantly downregulated, while axonal signaling was significantly upregulated after treatment.",
        "Conclusions": "QMR electrotherapy is effective in alleviating neuropathic pain and improving corneal sensitivity in NCP patients. It also potentially promoted corneal nerve regeneration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "QMR electrotherapy is effective in alleviating neuropathic pain and improving corneal sensitivity in NCP patients. It also potentially promoted corneal nerve regeneration.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1180,
      "source_fields": {
        "Abstract Final Identifier": "POCOR497",
        "Title": "Efficacy Of Quantum Molecular Resonance Electrotherapy In Neuropathic Corneal Pain And Corneal Nerve Regeneration",
        "Presenting Author(s)": "A/Prof. Yu-Chi Liu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yu-Chi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "Singapore",
        "Purpose": "To investigate the efficacy of Quantum Molecular Resonance (QMR) electrotherapy for pain relief in neuropathic corneal pain (NCP) patients, to assess its potential to stimulate corneal nerve regeneration, and to explore the underlying molecular mechanisms involved.",
        "Setting": "Singapore National Eye Centre",
        "Methods": "Twenty NCP patients underwent 8 weekly QMR electrotherapy. At baseline and each treatment visit, the Visual Analogue Scale (VAS), Ocular Pain Assessment Survey (OPAS), and ocular surface assessments were conducted. In-vivo confocal microscopy (IVCM) was performed to evaluate 7 corneal nerve parameters. Patient acceptability and satisfaction were also assessed. Tear proteomic profiles were evaluated using enzyme-linked immunosorbent assay and quantitative tear proteomic analysis.",
        "Results": "At 8 weeks, the VAS pain scores significantly reduced compared to baseline (2.6 vs 5.0; P=0.021). There was significant improvement in the OPAS scores, in the ocular pain relief, interference with general activity, mood, and interaction with people. Corneal sensitivity significantly improved. Corneal nerve fiber density, length, and total branch density significantly increased. The majority of patients rated QMR treatment as pleasant (80%), effective (53.3%), durable (66.7%), comfortable (73.3%), and satisfied (66.7%). Tear substance P levels significantly decreased. Proteomic analysis showed neurotoxicity and neutrophil degeneration were significantly downregulated, while axonal signaling was significantly upregulated after treatment.",
        "Conclusions": "QMR electrotherapy is effective in alleviating neuropathic pain and improving corneal sensitivity in NCP patients. It also potentially promoted corneal nerve regeneration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POCOR498",
      "abstract_number": "POCOR498",
      "title": "A Randomized Controlled Study Of Jue-Ming Granules Combined With Artificial Tears In Dry Eye Disease",
      "authors": "Prof. Dr Ziming Liu",
      "presenter": "Prof. Dr Ziming Liu",
      "normalized_authors": [
        "Ziming Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ziming Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of Jue-Ming Granules combined with artificial tears in patients with dry eye disease (DED).",
        "Setting": "Prospective, single-center randomized controlled clinical study conducted at a tertiary eye care hospital.",
        "Methods": "Seventy-four patients with DED were enrolled in this prospective, single-blind randomized controlled trial and assigned to an experimental group (n=37) or a control group (n=37). Both groups received 0.1% sodium hyaluronate eye drops for 8 weeks. The experimental group additionally received Jue-Ming Granules . Clinical evaluations included the Ocular Surface Disease Index (OSDI), non-invasive tear breakup time (NITBUT), and symptom scores based on traditional Chinese medicine assessment at baseline and at weeks 2, 4, and 8.",
        "Results": "Baseline characteristics and clinical parameters were comparable between groups (P>0.05). After 8 weeks, the experimental group showed significantly greater improvement in OSDI, NITBUT, and symptom scores compared with baseline and the control group (P<0.05). Mean OSDI decreased from 46.57±18.15 to 19.95±10.86, and NITBUT increased from 5.13±2.34 s to 11.07±6.27 s. Improvements in corneal fluorescein staining, visual quality, and corneal sensitivity were also greater in the experimental group. No treatment-related adverse events were observed.",
        "Conclusions": "Jue-Ming Granules combined with artificial tears significantly improves symptoms and tear film stability in patients with dry eye disease, demonstrating good clinical efficacy and safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Jue-Ming Granules combined with artificial tears significantly improves symptoms and tear film stability in patients with dry eye disease, demonstrating good clinical efficacy and safety.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1181,
      "source_fields": {
        "Abstract Final Identifier": "POCOR498",
        "Title": "A Randomized Controlled Study Of Jue-Ming Granules Combined With Artificial Tears In Dry Eye Disease",
        "Presenting Author(s)": "Prof. Dr Ziming Liu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ziming",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "China",
        "Purpose": "To evaluate the efficacy and safety of Jue-Ming Granules combined with artificial tears in patients with dry eye disease (DED).",
        "Setting": "Prospective, single-center randomized controlled clinical study conducted at a tertiary eye care hospital.",
        "Methods": "Seventy-four patients with DED were enrolled in this prospective, single-blind randomized controlled trial and assigned to an experimental group (n=37) or a control group (n=37). Both groups received 0.1% sodium hyaluronate eye drops for 8 weeks. The experimental group additionally received Jue-Ming Granules . Clinical evaluations included the Ocular Surface Disease Index (OSDI), non-invasive tear breakup time (NITBUT), and symptom scores based on traditional Chinese medicine assessment at baseline and at weeks 2, 4, and 8.",
        "Results": "Baseline characteristics and clinical parameters were comparable between groups (P>0.05). After 8 weeks, the experimental group showed significantly greater improvement in OSDI, NITBUT, and symptom scores compared with baseline and the control group (P<0.05). Mean OSDI decreased from 46.57±18.15 to 19.95±10.86, and NITBUT increased from 5.13±2.34 s to 11.07±6.27 s. Improvements in corneal fluorescein staining, visual quality, and corneal sensitivity were also greater in the experimental group. No treatment-related adverse events were observed.",
        "Conclusions": "Jue-Ming Granules combined with artificial tears significantly improves symptoms and tear film stability in patients with dry eye disease, demonstrating good clinical efficacy and safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POCOR499",
      "abstract_number": "POCOR499",
      "title": "Tumors Of The Ocular Surface: Bilateral Conjunctival Intraepithelial Neoplasia As Sentinel Manifestation Of Hiv Infection.",
      "authors": "Dr Hugo Santiago Balsera",
      "presenter": "Dr Hugo Santiago Balsera",
      "normalized_authors": [
        "Hugo Santiago Balsera"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jaime Losada Huelmos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the rare presentation of bilateral and synchronous conjunctival intraepithelial neoplasia (CIN) as a sentinel sign of primary HIV infection in a young patient. To highlight the need for systemic screening in light of this clinical finding, and to demonstrate the efficacy of combined management using surgical excision with a non-touch technique -touch technique and adjuvant topical chemotherapy to prevent recurrence in immunosuppressed patients.",
        "Setting": "Hospital Universitario Infanta Cristina. Department of opthalmology. Madrid, Spain.",
        "Methods": "We present the case of a 46-year-old man with a recent diagnosis of HIV who attended an ophthalmology clinic for assessment of a conjunctival lesion in his right eye, described as a mobile papillomatous vascular growth on the lower paralimbar\nepisclera.\n\nThe tumour was excised using a non-touch technique with 1.5 mm margins, double cryotherapy at the edges and amniotic membrane implantation. The pathological anatomy study of this first lesion confirmed a low-grade (grade 1/3) conjunctival intraepithelial neoplasia (CIN) with involvement of the resection margins.\n\nGiven this finding, adjuvant treatment was prescribed with four cycles of topical chemotherapy with 5-fluorouracil (5-FU) eye drops.",
        "Results": "During follow-up, a raised vascular lesion similar to the previous one was detected in the left eye. A non-touch excision technique was performed with 2 mm margins, cryotherapy and amniotic membrane grafting. The pathological anatomy diagnosis of this left eye again confirmed the presence of low-grade epithelial dysplasia, thus representing another low-grade CIN in the contralateral eye.\n\nGiven the exceptional nature of bilateral and synchronous squamous cell neoplasia of the ocular surface (OSSN) in a young patient, underlying immunodeficiency was suspected.\n\nThe multifocality acted as a sentinel sign, prompting a study of cellular immunity and serology, which confirmed a previously unknown primary HIV infection.",
        "Conclusions": "Bilateral conjunctival intraepithelial neoplasia (CIN) in a 46-year-old male is an exceptional clinical finding that acts as a sentinel marker of systemic immunosuppression.\nIn young patients, the synchronous or metachronous presentation of CIN is closely linked to HIV infection, in many cases being the first manifestation of the disease. The literature emphasises that HIV not only increases the incidence of these neoplasms, but also promotes more aggressive behaviour and higher recurrence rates.\nTherefore, this case highlights the importance of HIV screening in the presence of bilateral lesions and justifies intensive therapeutic management to ensure control of the ocular surface."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral conjunctival intraepithelial neoplasia (CIN) in a 46-year-old male is an exceptional clinical finding that acts as a sentinel marker of systemic immunosuppression. In young patients, the synchronous or metachronous presentation of CIN is closely linked to HIV infection, in many cases being the first manifestation of the disease. The literature emphasises that HIV not only increases the incidence of these…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1182,
      "source_fields": {
        "Abstract Final Identifier": "POCOR499",
        "Title": "Tumors Of The Ocular Surface: Bilateral Conjunctival Intraepithelial Neoplasia As Sentinel Manifestation Of Hiv Infection.",
        "Presenting Author(s)": "Dr Hugo Santiago Balsera",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Jaime",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Losada Huelmos",
        "Country Name": "Spain",
        "Purpose": "To report the rare presentation of bilateral and synchronous conjunctival intraepithelial neoplasia (CIN) as a sentinel sign of primary HIV infection in a young patient. To highlight the need for systemic screening in light of this clinical finding, and to demonstrate the efficacy of combined management using surgical excision with a non-touch technique -touch technique and adjuvant topical chemotherapy to prevent recurrence in immunosuppressed patients.",
        "Setting": "Hospital Universitario Infanta Cristina. Department of opthalmology. Madrid, Spain.",
        "Methods": "We present the case of a 46-year-old man with a recent diagnosis of HIV who attended an ophthalmology clinic for assessment of a conjunctival lesion in his right eye, described as a mobile papillomatous vascular growth on the lower paralimbar\nepisclera.\n\nThe tumour was excised using a non-touch technique with 1.5 mm margins, double cryotherapy at the edges and amniotic membrane implantation. The pathological anatomy study of this first lesion confirmed a low-grade (grade 1/3) conjunctival intraepithelial neoplasia (CIN) with involvement of the resection margins.\n\nGiven this finding, adjuvant treatment was prescribed with four cycles of topical chemotherapy with 5-fluorouracil (5-FU) eye drops.",
        "Results": "During follow-up, a raised vascular lesion similar to the previous one was detected in the left eye. A non-touch excision technique was performed with 2 mm margins, cryotherapy and amniotic membrane grafting. The pathological anatomy diagnosis of this left eye again confirmed the presence of low-grade epithelial dysplasia, thus representing another low-grade CIN in the contralateral eye.\n\nGiven the exceptional nature of bilateral and synchronous squamous cell neoplasia of the ocular surface (OSSN) in a young patient, underlying immunodeficiency was suspected.\n\nThe multifocality acted as a sentinel sign, prompting a study of cellular immunity and serology, which confirmed a previously unknown primary HIV infection.",
        "Conclusions": "Bilateral conjunctival intraepithelial neoplasia (CIN) in a 46-year-old male is an exceptional clinical finding that acts as a sentinel marker of systemic immunosuppression.\nIn young patients, the synchronous or metachronous presentation of CIN is closely linked to HIV infection, in many cases being the first manifestation of the disease. The literature emphasises that HIV not only increases the incidence of these neoplasms, but also promotes more aggressive behaviour and higher recurrence rates.\nTherefore, this case highlights the importance of HIV screening in the presence of bilateral lesions and justifies intensive therapeutic management to ensure control of the ocular surface."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POCOR500",
      "abstract_number": "POCOR500",
      "title": "Immunopathogenesis And Regenerative Management Of Autoimmune Ocular Surface Disease",
      "authors": "Dr Wojciech Luboń",
      "presenter": "Dr Wojciech Luboń",
      "normalized_authors": [
        "Wojciech Luboń"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wojciech Luboń",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To review current molecular mechanisms underlying autoimmune ocular surface disease and to highlight emerging therapeutic strategies aimed at restoring ocular surface integrity and visual function.",
        "Setting": "Department of Ophthalmology, Medical University of Silesia, Katowice, Poland; Professor K. Gibiński University Clinical Center, Katowice, Poland.",
        "Methods": "A narrative review of recent molecular, translational, and clinical studies investigating autoimmune disorders affecting the ocular surface, particularly systemic lupus erythematosus, primary Sjögren’s syndrome, and ocular cicatricial pemphigoid. The analysis focuses on immunologic pathways responsible for ocular surface damage, including cytokine signaling, complement activation, oxidative stress, and epithelial–mesenchymal transition. In addition, emerging pharmacologic, regenerative, and surgical approaches targeting ocular surface restoration were evaluated.",
        "Results": "Autoimmune ocular surface diseases involve chronic inflammation leading to epithelial dysfunction, tear film instability, and tissue remodeling. Shared molecular pathways—including dysregulation of IFN-I, IL-6, and IL-17 signaling, complement activation, and oxidative stress—contribute to epithelial injury and fibrosis. Advances in molecular profiling have enabled identification of biomarkers linked to ocular surface inflammation and progression. Emerging therapies include targeted biologics modulating BAFF, interferon receptors, and JAK/STAT signaling, as well as regenerative approaches such as mesenchymal stem cells, platelet-rich plasma, and amniotic membrane transplantation to suppress inflammation and restore ocular surface function.",
        "Conclusions": "Autoimmune diseases affecting the ocular surface represent a complex spectrum of disorders in which systemic immune dysregulation leads to localized epithelial damage and progressive ocular surface failure. Advances in molecular immunology and regenerative ophthalmology are shifting treatment paradigms toward precision immunomodulation and tissue regeneration. Integrating targeted biologic therapy with regenerative surgical strategies may offer new opportunities for restoring ocular surface homeostasis and improving visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autoimmune diseases affecting the ocular surface represent a complex spectrum of disorders in which systemic immune dysregulation leads to localized epithelial damage and progressive ocular surface failure. Advances in molecular immunology and regenerative ophthalmology are shifting treatment paradigms toward precision immunomodulation and tissue regeneration. Integrating targeted biologic therapy with regenerative…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1183,
      "source_fields": {
        "Abstract Final Identifier": "POCOR500",
        "Title": "Immunopathogenesis And Regenerative Management Of Autoimmune Ocular Surface Disease",
        "Presenting Author(s)": "Dr Wojciech Luboń",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Wojciech",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Luboń",
        "Country Name": "Poland",
        "Purpose": "To review current molecular mechanisms underlying autoimmune ocular surface disease and to highlight emerging therapeutic strategies aimed at restoring ocular surface integrity and visual function.",
        "Setting": "Department of Ophthalmology, Medical University of Silesia, Katowice, Poland; Professor K. Gibiński University Clinical Center, Katowice, Poland.",
        "Methods": "A narrative review of recent molecular, translational, and clinical studies investigating autoimmune disorders affecting the ocular surface, particularly systemic lupus erythematosus, primary Sjögren’s syndrome, and ocular cicatricial pemphigoid. The analysis focuses on immunologic pathways responsible for ocular surface damage, including cytokine signaling, complement activation, oxidative stress, and epithelial–mesenchymal transition. In addition, emerging pharmacologic, regenerative, and surgical approaches targeting ocular surface restoration were evaluated.",
        "Results": "Autoimmune ocular surface diseases involve chronic inflammation leading to epithelial dysfunction, tear film instability, and tissue remodeling. Shared molecular pathways—including dysregulation of IFN-I, IL-6, and IL-17 signaling, complement activation, and oxidative stress—contribute to epithelial injury and fibrosis. Advances in molecular profiling have enabled identification of biomarkers linked to ocular surface inflammation and progression. Emerging therapies include targeted biologics modulating BAFF, interferon receptors, and JAK/STAT signaling, as well as regenerative approaches such as mesenchymal stem cells, platelet-rich plasma, and amniotic membrane transplantation to suppress inflammation and restore ocular surface function.",
        "Conclusions": "Autoimmune diseases affecting the ocular surface represent a complex spectrum of disorders in which systemic immune dysregulation leads to localized epithelial damage and progressive ocular surface failure. Advances in molecular immunology and regenerative ophthalmology are shifting treatment paradigms toward precision immunomodulation and tissue regeneration. Integrating targeted biologic therapy with regenerative surgical strategies may offer new opportunities for restoring ocular surface homeostasis and improving visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "POCOR501",
      "abstract_number": "POCOR501",
      "title": "Autoimmune Disorders Of The Eyelid In Ocular Surface Disease: From Molecular Pathways To Precision Therapy",
      "authors": "Dr Wojciech Luboń",
      "presenter": "Dr Wojciech Luboń",
      "normalized_authors": [
        "Wojciech Luboń"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wojciech Luboń",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Autoimmune disorders involving the eyelid skin represent an underrecognized but clinically significant contributor to ocular surface instability. The eyelid constitutes a critical anatomical and immunological interface within the ocular surface unit. Chronic periocular inflammation may precede systemic autoimmune disease and lead to meibomian gland dysfunction, tear film instability, conjunctival scarring, and vision-threatening complications. This study aims to integrate current molecular insights with clinical implications relevant to ocular surface specialists.",
        "Setting": "Narrative literature review conducted at a university hospital",
        "Methods": "This study is a narrative literature review synthesizing current data from ophthalmology, dermatology, and immunology. Peer-reviewed publications addressing autoimmune diseases with eyelid involvement—including ocular cicatricial pemphigoid, pemphigus vulgaris, bullous pemphigoid, thyroid-associated orbitopathy, systemic lupus erythematosus, and Sjögren’s syndrome—were analyzed.\n\nParticular focus was placed on:\n\n•\nCytokine and T helper cell pathways (Th1, Th2, Th17)\n\n•\nAutoantibody-mediated complement activation\n\n•\nFibroblast-driven tissue remodeling\n\n•\nTear proteomics and molecular biomarkers\n\n•\nAdvanced imaging (IVCM, AS-OCT)\n\n•\nEmerging biologic and targeted therapies",
        "Results": "Autoimmune eyelid inflammation is driven by cytokine imbalance and autoantibody-mediated complement activation, promoting fibrosis, vascular remodeling, and meibomian gland dysfunction with subsequent tear film instability. In ocular cicatricial pemphigoid, progressive conjunctival scarring leads to entropion, trichiasis, and corneal damage. In thyroid-associated orbitopathy, fibroblast activation and adipogenesis result in eyelid retraction and exposure-related ocular surface disease. Lupus and Sjögren’s syndrome further impair tear homeostasis through immune complex deposition and glandular infiltration. Emerging biomarkers and targeted biologics support precision-based periocular management and earlier therapeutic intervention.",
        "Conclusions": "Autoimmune-mediated eyelid inflammation should be recognized as a clinically relevant component of ocular surface disease rather than an isolated dermatologic manifestation. Molecular characterization of inflammatory pathways enables a transition from broad immunosuppression to precision, biomarker-guided therapy.\n\nIntegration of advanced diagnostics, targeted biologics, and personalized management strategies may significantly improve outcomes and prevent irreversible ocular surface damage in patients with autoimmune periocular disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autoimmune-mediated eyelid inflammation should be recognized as a clinically relevant component of ocular surface disease rather than an isolated dermatologic manifestation. Molecular characterization of inflammatory pathways enables a transition from broad immunosuppression to precision, biomarker-guided therapy. Integration of advanced diagnostics, targeted biologics, and personalized management strategies may…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1184,
      "source_fields": {
        "Abstract Final Identifier": "POCOR501",
        "Title": "Autoimmune Disorders Of The Eyelid In Ocular Surface Disease: From Molecular Pathways To Precision Therapy",
        "Presenting Author(s)": "Dr Wojciech Luboń",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Wojciech",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Luboń",
        "Country Name": "Poland",
        "Purpose": "Autoimmune disorders involving the eyelid skin represent an underrecognized but clinically significant contributor to ocular surface instability. The eyelid constitutes a critical anatomical and immunological interface within the ocular surface unit. Chronic periocular inflammation may precede systemic autoimmune disease and lead to meibomian gland dysfunction, tear film instability, conjunctival scarring, and vision-threatening complications. This study aims to integrate current molecular insights with clinical implications relevant to ocular surface specialists.",
        "Setting": "Narrative literature review conducted at a university hospital",
        "Methods": "This study is a narrative literature review synthesizing current data from ophthalmology, dermatology, and immunology. Peer-reviewed publications addressing autoimmune diseases with eyelid involvement—including ocular cicatricial pemphigoid, pemphigus vulgaris, bullous pemphigoid, thyroid-associated orbitopathy, systemic lupus erythematosus, and Sjögren’s syndrome—were analyzed.\n\nParticular focus was placed on:\n\n•\nCytokine and T helper cell pathways (Th1, Th2, Th17)\n\n•\nAutoantibody-mediated complement activation\n\n•\nFibroblast-driven tissue remodeling\n\n•\nTear proteomics and molecular biomarkers\n\n•\nAdvanced imaging (IVCM, AS-OCT)\n\n•\nEmerging biologic and targeted therapies",
        "Results": "Autoimmune eyelid inflammation is driven by cytokine imbalance and autoantibody-mediated complement activation, promoting fibrosis, vascular remodeling, and meibomian gland dysfunction with subsequent tear film instability. In ocular cicatricial pemphigoid, progressive conjunctival scarring leads to entropion, trichiasis, and corneal damage. In thyroid-associated orbitopathy, fibroblast activation and adipogenesis result in eyelid retraction and exposure-related ocular surface disease. Lupus and Sjögren’s syndrome further impair tear homeostasis through immune complex deposition and glandular infiltration. Emerging biomarkers and targeted biologics support precision-based periocular management and earlier therapeutic intervention.",
        "Conclusions": "Autoimmune-mediated eyelid inflammation should be recognized as a clinically relevant component of ocular surface disease rather than an isolated dermatologic manifestation. Molecular characterization of inflammatory pathways enables a transition from broad immunosuppression to precision, biomarker-guided therapy.\n\nIntegration of advanced diagnostics, targeted biologics, and personalized management strategies may significantly improve outcomes and prevent irreversible ocular surface damage in patients with autoimmune periocular disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POCOR502",
      "abstract_number": "POCOR502",
      "title": "Extreme Corneal Thinning In Neurotrophic Keratopathy Associated With Lamellar Ichthyosis: Successful Conservative Management",
      "authors": "Dr Wojciech Luboń",
      "presenter": "Dr Wojciech Luboń",
      "normalized_authors": [
        "Wojciech Luboń"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wojciech Luboń",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Lamellar ichthyosis is a rare inherited disorder of keratinization characterized by severe dermatologic manifestations and frequent ocular surface involvement. Chronic eyelid malposition, particularly cicatricial ectropion, may result in persistent exposure keratopathy, progressive corneal epithelial instability, and secondary neurotrophic keratopathy. In advanced stages, these changes may lead to stromal ulceration, extreme corneal thinning, and an increased risk of corneal perforation. The purpose of this report is to present a case of severe neurotrophic keratopathy with extreme corneal thinning in a patient with lamellar ichthyosis and to demonstrate the effectiveness of intensive therapeutic menagement.",
        "Setting": "Department of Ophthalmology, University Clinical Center in Katowice, Poland.",
        "Methods": "We report a case of a 61-year-old male with lamellar ichthyosis referred for severe ocular surface disease. Examination revealed bilateral lower eyelid ectropion with exposure keratopathy and advanced neurotrophic keratopathy with corneal ulceration and progressive stromal thinning. Corneal morphology and thickness were evaluated using AS-OCT. The patient was hospitalized and treated with intensive conservative therapy including topical fourth-generation fluoroquinolone antibiotics, preservative-free lubricants, dexpanthenol gel, autologous serum eye drops, topical insulin, and systemic doxycycline. Microbiological cultures and in vivo confocal microscopy were performed to exclude infectious keratitis.",
        "Results": "Initial AS-OCT demonstrated extreme stromal thinning with a minimal corneal thickness of 165 µm, indicating a high risk of imminent corneal perforation. Microbiological cultures and confocal microscopy were negative for bacterial and fungal pathogens.\n\nDuring hospitalization, progressive stabilization of the corneal structure was observed. Follow-up AS-OCT confirmed an increase in minimal corneal thickness from 165 µm to 280 µm. Visual acuity improved from hand motion (logMAR ~2.3) at presentation to 0.2 Snellen (logMAR 0.7). Due to the favorable clinical response, the initially planned amniotic membrane transplantation was deferred, although it remained a potential option for future management.",
        "Conclusions": "Lamellar ichthyosis may lead to severe ocular surface disease and rapidly progressive corneal complications, including neurotrophic keratopathy and extreme stromal thinning with a high risk of perforation. Intensive conservative therapy combining autologous serum, topical insulin, systemic doxycycline, and intensive lubrication may effectively stabilize corneal integrity and improve visual function. Early diagnosis, multidisciplinary management, and close monitoring are crucial to prevent vision-threatening complications and may allow avoidance or postponement of urgent surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lamellar ichthyosis may lead to severe ocular surface disease and rapidly progressive corneal complications, including neurotrophic keratopathy and extreme stromal thinning with a high risk of perforation. Intensive conservative therapy combining autologous serum, topical insulin, systemic doxycycline, and intensive lubrication may effectively stabilize corneal integrity and improve visual function. Early…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1185,
      "source_fields": {
        "Abstract Final Identifier": "POCOR502",
        "Title": "Extreme Corneal Thinning In Neurotrophic Keratopathy Associated With Lamellar Ichthyosis: Successful Conservative Management",
        "Presenting Author(s)": "Dr Wojciech Luboń",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Wojciech",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Luboń",
        "Country Name": "Poland",
        "Purpose": "Lamellar ichthyosis is a rare inherited disorder of keratinization characterized by severe dermatologic manifestations and frequent ocular surface involvement. Chronic eyelid malposition, particularly cicatricial ectropion, may result in persistent exposure keratopathy, progressive corneal epithelial instability, and secondary neurotrophic keratopathy. In advanced stages, these changes may lead to stromal ulceration, extreme corneal thinning, and an increased risk of corneal perforation. The purpose of this report is to present a case of severe neurotrophic keratopathy with extreme corneal thinning in a patient with lamellar ichthyosis and to demonstrate the effectiveness of intensive therapeutic menagement.",
        "Setting": "Department of Ophthalmology, University Clinical Center in Katowice, Poland.",
        "Methods": "We report a case of a 61-year-old male with lamellar ichthyosis referred for severe ocular surface disease. Examination revealed bilateral lower eyelid ectropion with exposure keratopathy and advanced neurotrophic keratopathy with corneal ulceration and progressive stromal thinning. Corneal morphology and thickness were evaluated using AS-OCT. The patient was hospitalized and treated with intensive conservative therapy including topical fourth-generation fluoroquinolone antibiotics, preservative-free lubricants, dexpanthenol gel, autologous serum eye drops, topical insulin, and systemic doxycycline. Microbiological cultures and in vivo confocal microscopy were performed to exclude infectious keratitis.",
        "Results": "Initial AS-OCT demonstrated extreme stromal thinning with a minimal corneal thickness of 165 µm, indicating a high risk of imminent corneal perforation. Microbiological cultures and confocal microscopy were negative for bacterial and fungal pathogens.\n\nDuring hospitalization, progressive stabilization of the corneal structure was observed. Follow-up AS-OCT confirmed an increase in minimal corneal thickness from 165 µm to 280 µm. Visual acuity improved from hand motion (logMAR ~2.3) at presentation to 0.2 Snellen (logMAR 0.7). Due to the favorable clinical response, the initially planned amniotic membrane transplantation was deferred, although it remained a potential option for future management.",
        "Conclusions": "Lamellar ichthyosis may lead to severe ocular surface disease and rapidly progressive corneal complications, including neurotrophic keratopathy and extreme stromal thinning with a high risk of perforation. Intensive conservative therapy combining autologous serum, topical insulin, systemic doxycycline, and intensive lubrication may effectively stabilize corneal integrity and improve visual function. Early diagnosis, multidisciplinary management, and close monitoring are crucial to prevent vision-threatening complications and may allow avoidance or postponement of urgent surgical intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "POCOR503",
      "abstract_number": "POCOR503",
      "title": "Individualization Of Dry Eye Disease Management Based On Tear Film Dysfunction Profile",
      "authors": "Dr Wojciech Luboń",
      "presenter": "Dr Wojciech Luboń",
      "normalized_authors": [
        "Wojciech Luboń"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wojciech Luboń",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Dry eye disease (DED) is a multifactorial disorder of tear film homeostasis involving inflammatory, osmotic, and secretory dysfunction. The aim of this study was to evaluate the effectiveness of two ophthalmic preparations — one containing hyaluronic acid and another enriched with omega-3 fatty acids — in the management of patients with moderate DED.",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary academic university hospital",
        "Methods": "The study included 40 patients (80 eyes) diagnosed with DED, divided into two groups of 20 subjects. Group I received hyaluronic acid drops, and Group II received omega-3–based drops, administered three times daily for 21–28 days. The following parameters were evaluated: BCVA, Schirmer test, TBUT, Oxford scale, Bijsterveld staining, and OSDI questionnaire.",
        "Results": "Both preparations significantly improved tear film parameters and reduced subjective symptoms ( p < 0.001). Hyaluronic acid primarily improved aqueous tear secretion (Schirmer test), whereas omega-3–based drops enhanced tear film stability (TBUT). OSDI scores decreased markedly in both groups, with no statistically significant differences between them.",
        "Conclusions": "Both preparations proved effective and safe in the treatment of DED. Hyaluronic acid is preferable in patients with aqueous-deficient DED, whereas omega-3–based formulations may be more beneficial in cases with lipid-layer dysfunction. Personalized selection of therapy should be considered essential in the clinical management of dry eye disease. No adverse effects of either ophthalmic preparation were observed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both preparations proved effective and safe in the treatment of DED. Hyaluronic acid is preferable in patients with aqueous-deficient DED, whereas omega-3–based formulations may be more beneficial in cases with lipid-layer dysfunction. Personalized selection of therapy should be considered essential in the clinical management of dry eye disease. No adverse effects of either ophthalmic preparation were observed.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1186,
      "source_fields": {
        "Abstract Final Identifier": "POCOR503",
        "Title": "Individualization Of Dry Eye Disease Management Based On Tear Film Dysfunction Profile",
        "Presenting Author(s)": "Dr Wojciech Luboń",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Wojciech",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Luboń",
        "Country Name": "Poland",
        "Purpose": "Dry eye disease (DED) is a multifactorial disorder of tear film homeostasis involving inflammatory, osmotic, and secretory dysfunction. The aim of this study was to evaluate the effectiveness of two ophthalmic preparations — one containing hyaluronic acid and another enriched with omega-3 fatty acids — in the management of patients with moderate DED.",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary academic university hospital",
        "Methods": "The study included 40 patients (80 eyes) diagnosed with DED, divided into two groups of 20 subjects. Group I received hyaluronic acid drops, and Group II received omega-3–based drops, administered three times daily for 21–28 days. The following parameters were evaluated: BCVA, Schirmer test, TBUT, Oxford scale, Bijsterveld staining, and OSDI questionnaire.",
        "Results": "Both preparations significantly improved tear film parameters and reduced subjective symptoms ( p < 0.001). Hyaluronic acid primarily improved aqueous tear secretion (Schirmer test), whereas omega-3–based drops enhanced tear film stability (TBUT). OSDI scores decreased markedly in both groups, with no statistically significant differences between them.",
        "Conclusions": "Both preparations proved effective and safe in the treatment of DED. Hyaluronic acid is preferable in patients with aqueous-deficient DED, whereas omega-3–based formulations may be more beneficial in cases with lipid-layer dysfunction. Personalized selection of therapy should be considered essential in the clinical management of dry eye disease. No adverse effects of either ophthalmic preparation were observed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POCOR504",
      "abstract_number": "POCOR504",
      "title": "Peripheral Ulcerative Keratitis In The Setting Of Acute Leukaemia And Rheumatoid Arthritis, A Case Report",
      "authors": "Dr Nabila Maouel",
      "presenter": "Dr Nabila Maouel",
      "normalized_authors": [
        "Nabila Maouel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nabila Maouel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "• To document a case of peripheral ulcerative keratatis (PUK ) in a leukaemic patient with a history of rheumatoid arthritis , the leading cause of PUK",
        "Setting": "• Peripheral ulcerative keratitis (PUK) is a progressive superficial erosion which begins as a narrow crescentic corneal infiltrate just inside the limbus and spreads both circumferentially and centrally . It represents often an ocular manifestation of an underlying systemic condition. Leukaemia is a rare etiology , and very few cases have been reported in theory\n\n• We report the iconography of a patient who presented to the emergency department for a PUK in the context of acute monoblastic leukaemia",
        "Methods": "A 47-year-old patient with a medical history of rheumatoid arthritis , and more recently leukaemia (M5a), treated with chemotherapy , currently in aplastic anemia presented to the ophthalmology emergency department with complaints of pain, redness in the right eye since 7 days\n\nExamination :\n\n• Right eye : best corrected visual acuity 6/10, conjunctival hyperaemia , circumferential whitish corneal serpiginous infiltrate , extending over almost 360 degrees . the rest of the anterior segment was normal\n\n• Left eye and posterior segmental examination of both eyes were unremarkable corneal swabs were sent for microscopy and culture\n\n• the patient died one week after his consultation",
        "Results": "• Autoimmune diseases are known to pave the way for tumor pathologies. Our patient had two etiologies : rheumatoid arthritis , which is the most frequent cause of PUK , and leukemia , more rarely described .\n\n• In this case, the rapid progression of the ulcer : 360 degrees within one week suggests that acute leukaemia contributed to the development of PUK either by deposition of leukaemic blast cells around the limbus and peripheral cornea or by paraneoplastic mechanism\n\n• By corneal and conjunctival biopsy , Histological features allows to highlight neoplastic infiltration and rule out infectious cause, , especially that bone marrow aplasia promotes the superinfection",
        "Conclusions": "• PUK requires a very meticulous diagnostic approach that would allow it to be linked to an etiology that may be previously unknown\n\n• O ur case aligns with data from the literature , confirming the very poor prognosis of leukemias when they involve the eye ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• PUK requires a very meticulous diagnostic approach that would allow it to be linked to an etiology that may be previously unknown • O ur case aligns with data from the literature , confirming the very poor prognosis of leukemias when they involve the eye .",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1187,
      "source_fields": {
        "Abstract Final Identifier": "POCOR504",
        "Title": "Peripheral Ulcerative Keratitis In The Setting Of Acute Leukaemia And Rheumatoid Arthritis, A Case Report",
        "Presenting Author(s)": "Dr Nabila Maouel",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nabila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Maouel",
        "Country Name": "Algeria",
        "Purpose": "• To document a case of peripheral ulcerative keratatis (PUK ) in a leukaemic patient with a history of rheumatoid arthritis , the leading cause of PUK",
        "Setting": "• Peripheral ulcerative keratitis (PUK) is a progressive superficial erosion which begins as a narrow crescentic corneal infiltrate just inside the limbus and spreads both circumferentially and centrally . It represents often an ocular manifestation of an underlying systemic condition. Leukaemia is a rare etiology , and very few cases have been reported in theory\n\n• We report the iconography of a patient who presented to the emergency department for a PUK in the context of acute monoblastic leukaemia",
        "Methods": "A 47-year-old patient with a medical history of rheumatoid arthritis , and more recently leukaemia (M5a), treated with chemotherapy , currently in aplastic anemia presented to the ophthalmology emergency department with complaints of pain, redness in the right eye since 7 days\n\nExamination :\n\n• Right eye : best corrected visual acuity 6/10, conjunctival hyperaemia , circumferential whitish corneal serpiginous infiltrate , extending over almost 360 degrees . the rest of the anterior segment was normal\n\n• Left eye and posterior segmental examination of both eyes were unremarkable corneal swabs were sent for microscopy and culture\n\n• the patient died one week after his consultation",
        "Results": "• Autoimmune diseases are known to pave the way for tumor pathologies. Our patient had two etiologies : rheumatoid arthritis , which is the most frequent cause of PUK , and leukemia , more rarely described .\n\n• In this case, the rapid progression of the ulcer : 360 degrees within one week suggests that acute leukaemia contributed to the development of PUK either by deposition of leukaemic blast cells around the limbus and peripheral cornea or by paraneoplastic mechanism\n\n• By corneal and conjunctival biopsy , Histological features allows to highlight neoplastic infiltration and rule out infectious cause, , especially that bone marrow aplasia promotes the superinfection",
        "Conclusions": "• PUK requires a very meticulous diagnostic approach that would allow it to be linked to an etiology that may be previously unknown\n\n• O ur case aligns with data from the literature , confirming the very poor prognosis of leukemias when they involve the eye ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POCOR505",
      "abstract_number": "POCOR505",
      "title": "Ocular Bee Stings, Are They Always Clean?",
      "authors": "Dr Nabila Maouel",
      "presenter": "Dr Nabila Maouel",
      "normalized_authors": [
        "Nabila Maouel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nabila Maouel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "to document the evolution of a bee sting with stinger retention at the level of the scleral limbus",
        "Setting": "• Ocular bee stings have long been described in the literature; The injuries induced range from the most benign corneal spots to blindness\n\n• we report the iconography of a patient who sustained a bee sting on the limbus with a slow evolution",
        "Methods": "• A 30-year-old patient, with unremarkable medical history, who presented to the emergency room for a bee sting while riding the motobike occurred the previous day\n\n• the patient stated removing the stinger himself\n\n• At examination:\n\n• Right eye: 4/10, conjunctival hyperemia, cornea without epithelial defect but was the site of round, yellowish infiltrate straddling the nasal limbus measuring approximately 2 mm in diameter, hypopyon in the anterior chamber, the rest of the examination was normal.\n\n• Left eye: 10/10, antérior segment and fundus were unremarkables\n\n• four weeks after treatment, we were surprised by the appearance of the stinger under the nasal conjunctiva, pointing towards the cornea",
        "Results": "• Ocular bee stings may induce multiple complications by their venom components : Toxic Keratopathy , scleritis , Optic Neuritis , , Glaucoma , and Cataracts .\n\n• secondary infections appears to be low\n\n•\nthe removal of the stinger allows a rapid and complete healing\n\n• Five months later, specular microscopy showed a significant loss in endothelial cell density",
        "Conclusions": "Our fidings align with recommendations in the literature, but the after-effects require long-term monitoring"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our fidings align with recommendations in the literature, but the after-effects require long-term monitoring",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1188,
      "source_fields": {
        "Abstract Final Identifier": "POCOR505",
        "Title": "Ocular Bee Stings, Are They Always Clean?",
        "Presenting Author(s)": "Dr Nabila Maouel",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nabila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Maouel",
        "Country Name": "Algeria",
        "Purpose": "to document the evolution of a bee sting with stinger retention at the level of the scleral limbus",
        "Setting": "• Ocular bee stings have long been described in the literature; The injuries induced range from the most benign corneal spots to blindness\n\n• we report the iconography of a patient who sustained a bee sting on the limbus with a slow evolution",
        "Methods": "• A 30-year-old patient, with unremarkable medical history, who presented to the emergency room for a bee sting while riding the motobike occurred the previous day\n\n• the patient stated removing the stinger himself\n\n• At examination:\n\n• Right eye: 4/10, conjunctival hyperemia, cornea without epithelial defect but was the site of round, yellowish infiltrate straddling the nasal limbus measuring approximately 2 mm in diameter, hypopyon in the anterior chamber, the rest of the examination was normal.\n\n• Left eye: 10/10, antérior segment and fundus were unremarkables\n\n• four weeks after treatment, we were surprised by the appearance of the stinger under the nasal conjunctiva, pointing towards the cornea",
        "Results": "• Ocular bee stings may induce multiple complications by their venom components : Toxic Keratopathy , scleritis , Optic Neuritis , , Glaucoma , and Cataracts .\n\n• secondary infections appears to be low\n\n•\nthe removal of the stinger allows a rapid and complete healing\n\n• Five months later, specular microscopy showed a significant loss in endothelial cell density",
        "Conclusions": "Our fidings align with recommendations in the literature, but the after-effects require long-term monitoring"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "POCOR506",
      "abstract_number": "POCOR506",
      "title": "Microbiome Of Pterygium",
      "authors": "Dr Paradžik Šimunović Martina",
      "presenter": "Dr Paradžik Šimunović Martina",
      "normalized_authors": [
        "Paradžik Šimunović Martina"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paradžik Šimunović Martina",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Pterygium is a disorder of the ocular surface characterized by abnormal conjunctival growth. Although ultraviolet light exposure is recognized as the primary risk factor, the precise pathogenesis of pterygium remains incompletely understood. To gain deeper insight into the mechanisms underlying its development, we analyzed pterygium tissue and compared it with healthy conjunctival controls. Given that the conjunctiva is continuously exposed to environmental factors and is colonized by diverse microorganisms, it is plausible that certain microbial populations may contribute to pterygium formation. Accordingly, this study aimed to identify and characterize microbiota constituents potentially involved in the development of pterygium.",
        "Setting": "We enrolled patients undergoing primary pterygium surgery at the Department of Ophthalmology, University Hospital of Split, between September 2017 and January 2019. Control samples were collected from patients undergoing cataract surgery between September 2021 and January 2022.",
        "Methods": "Excised pterygium tissue overlying the cornea and control samples of healthy conjunctiva adjacent to the corneoscleral junction were collected at the start of surgery to minimize contamination and tissue manipulation. Microbiota composition was analyzed using metagenomic sequencing of pterygium specimens to identify microorganisms potentially associated with the condition. In addition, fluorescent in situ hybridization was performed to visualize Malassezia species in the collected samples.",
        "Results": "Metagenomic sequencing identified an increased prevalence of the fungus Malassezia restricta in five pterygium samples, a finding further confirmed by in situ hybridization. The CHIT1 gene, involved in antifungal defense mechanisms, showed the highest expression levels in these five pterygium tissues compared with healthy conjunctival controls, supporting a potential role for Malassezia restricta in pterygium pathogenesis. Gene expression profiling further revealed an IL-33 and IL-4–associated transcriptional signature, accompanied by an elevated presence of M2 macrophages, underscoring their contribution to fibrosis, a hallmark characteristic of pterygium.",
        "Conclusions": "The identification of Malassezia restricta in pterygium specimens, together with the associated molecular alterations, offers new insights into the ocular microbiome and suggests a potential role for Malassezia in the pathogenesis of pterygium."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The identification of Malassezia restricta in pterygium specimens, together with the associated molecular alterations, offers new insights into the ocular microbiome and suggests a potential role for Malassezia in the pathogenesis of pterygium.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1189,
      "source_fields": {
        "Abstract Final Identifier": "POCOR506",
        "Title": "Microbiome Of Pterygium",
        "Presenting Author(s)": "Dr Paradžik Šimunović Martina",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Paradžik Šimunović",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Martina",
        "Country Name": "Croatia",
        "Purpose": "Pterygium is a disorder of the ocular surface characterized by abnormal conjunctival growth. Although ultraviolet light exposure is recognized as the primary risk factor, the precise pathogenesis of pterygium remains incompletely understood. To gain deeper insight into the mechanisms underlying its development, we analyzed pterygium tissue and compared it with healthy conjunctival controls. Given that the conjunctiva is continuously exposed to environmental factors and is colonized by diverse microorganisms, it is plausible that certain microbial populations may contribute to pterygium formation. Accordingly, this study aimed to identify and characterize microbiota constituents potentially involved in the development of pterygium.",
        "Setting": "We enrolled patients undergoing primary pterygium surgery at the Department of Ophthalmology, University Hospital of Split, between September 2017 and January 2019. Control samples were collected from patients undergoing cataract surgery between September 2021 and January 2022.",
        "Methods": "Excised pterygium tissue overlying the cornea and control samples of healthy conjunctiva adjacent to the corneoscleral junction were collected at the start of surgery to minimize contamination and tissue manipulation. Microbiota composition was analyzed using metagenomic sequencing of pterygium specimens to identify microorganisms potentially associated with the condition. In addition, fluorescent in situ hybridization was performed to visualize Malassezia species in the collected samples.",
        "Results": "Metagenomic sequencing identified an increased prevalence of the fungus Malassezia restricta in five pterygium samples, a finding further confirmed by in situ hybridization. The CHIT1 gene, involved in antifungal defense mechanisms, showed the highest expression levels in these five pterygium tissues compared with healthy conjunctival controls, supporting a potential role for Malassezia restricta in pterygium pathogenesis. Gene expression profiling further revealed an IL-33 and IL-4–associated transcriptional signature, accompanied by an elevated presence of M2 macrophages, underscoring their contribution to fibrosis, a hallmark characteristic of pterygium.",
        "Conclusions": "The identification of Malassezia restricta in pterygium specimens, together with the associated molecular alterations, offers new insights into the ocular microbiome and suggests a potential role for Malassezia in the pathogenesis of pterygium."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "POCOR507",
      "abstract_number": "POCOR507",
      "title": "When Colours Harm Vision: Acute Ocular Injury After The Holi Festival In Raipur Central India",
      "authors": "Dr Abishek Mehra",
      "presenter": "Dr Abishek Mehra",
      "normalized_authors": [
        "Abishek Mehra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abishek Mehra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Holi,the festival of colours celebrated across India,exposes many individuals to coloured powders(Gulal) thast may cause ocular irritation or surface injury.This study aimed to document ocular complaints presenting immediately after Holi in Raipur capital of Chhattisgarh state in Central India.",
        "Setting": "Chatisgarh Charitable Eye Hospital, which was built by support of Royal Common Wealth Society Of The Blind(RCSB) now known as SIGHT SAVERS.Charity numbers 207544 and SC038110.We truly appreciate them,For being our Moral and Financial Support in past.",
        "Methods": "A single day clinical observational study was conducted on 5 march 2026.Fourty consecutive patients attending the outpatient depatment were evaluated using visual acuity assessment,non contact tonometry, slit lamp examination and all were looked upon undilated fundus and dilated fundus examination when indicated.\n\nA cohort included 25 males(62.5) and 15 females(37.5). Twenty six patients(65%)aged 20-30 years reported itching,irritation and watering of eyes following exposure to gulal during Holi festival celebrations.",
        "Results": "Among the 26% Holi related cases,10 patients(38%) showed corneal epithelial defects likely due to eye rubbing or unsupervised topical drops use.Additional findings included 3 patients (7.5%)with Cataract,5 females patients (12.5%) diagnosed with ambyopia and 1 patient(2.5%) with scleritis.\n\nA 41 yeras old male presenting with diminition of vision demonstrated Pre retinal hemorrhage on fundus examination despite no known diabetes or hypertension.Intitial, screening showed RBS(random blood sugar) 150mg/dl and blood pressure 130/84mm hg.",
        "Conclusions": "Nearly two thirds of post Holi ophthalmic visits were related to colour induced ocular irritation,with Corneal epithelial injury seen in over one third of affected patients.Routine examination also revealed previously undiagnosed ambyopia,cataract and retinal pathology.\n\nKey message\n\nFetival celebrating colour should not Compromise vision.Awareness and early eye examination can prevent avoidable ocular morbidity.\n\nTHIS PAPER IS A TRIBUTE TO LEGENDS DR DARWIN MINIASSIAN,DR VIJAY MEHRA AND DR BARRY JONES."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Nearly two thirds of post Holi ophthalmic visits were related to colour induced ocular irritation,with Corneal epithelial injury seen in over one third of affected patients.Routine examination also revealed previously undiagnosed ambyopia,cataract and retinal pathology. Key message Fetival celebrating colour should not Compromise vision.Awareness and early eye examination can prevent avoidable ocular morbidity.…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1190,
      "source_fields": {
        "Abstract Final Identifier": "POCOR507",
        "Title": "When Colours Harm Vision: Acute Ocular Injury After The Holi Festival In Raipur Central India",
        "Presenting Author(s)": "Dr Abishek Mehra",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Abishek",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mehra",
        "Country Name": "India",
        "Purpose": "Holi,the festival of colours celebrated across India,exposes many individuals to coloured powders(Gulal) thast may cause ocular irritation or surface injury.This study aimed to document ocular complaints presenting immediately after Holi in Raipur capital of Chhattisgarh state in Central India.",
        "Setting": "Chatisgarh Charitable Eye Hospital, which was built by support of Royal Common Wealth Society Of The Blind(RCSB) now known as SIGHT SAVERS.Charity numbers 207544 and SC038110.We truly appreciate them,For being our Moral and Financial Support in past.",
        "Methods": "A single day clinical observational study was conducted on 5 march 2026.Fourty consecutive patients attending the outpatient depatment were evaluated using visual acuity assessment,non contact tonometry, slit lamp examination and all were looked upon undilated fundus and dilated fundus examination when indicated.\n\nA cohort included 25 males(62.5) and 15 females(37.5). Twenty six patients(65%)aged 20-30 years reported itching,irritation and watering of eyes following exposure to gulal during Holi festival celebrations.",
        "Results": "Among the 26% Holi related cases,10 patients(38%) showed corneal epithelial defects likely due to eye rubbing or unsupervised topical drops use.Additional findings included 3 patients (7.5%)with Cataract,5 females patients (12.5%) diagnosed with ambyopia and 1 patient(2.5%) with scleritis.\n\nA 41 yeras old male presenting with diminition of vision demonstrated Pre retinal hemorrhage on fundus examination despite no known diabetes or hypertension.Intitial, screening showed RBS(random blood sugar) 150mg/dl and blood pressure 130/84mm hg.",
        "Conclusions": "Nearly two thirds of post Holi ophthalmic visits were related to colour induced ocular irritation,with Corneal epithelial injury seen in over one third of affected patients.Routine examination also revealed previously undiagnosed ambyopia,cataract and retinal pathology.\n\nKey message\n\nFetival celebrating colour should not Compromise vision.Awareness and early eye examination can prevent avoidable ocular morbidity.\n\nTHIS PAPER IS A TRIBUTE TO LEGENDS DR DARWIN MINIASSIAN,DR VIJAY MEHRA AND DR BARRY JONES."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POCOR508",
      "abstract_number": "POCOR508",
      "title": "The Effect Of Topical Vitamin D Supplementation In The Management Of Severe Dry Eye Disease: A Clinical Evaluation Of Ocular Surface Health .",
      "authors": "Ms Yousra Mekki",
      "presenter": "Ms Yousra Mekki",
      "normalized_authors": [
        "Yousra Mekki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yousra Mekki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of topical Vitamin D3 (Cholecalciferol) drops in patients presenting with severe Ocular Surface Disease (OSD).",
        "Setting": "Ibn Al-Haythem Center, Algiers, Algeria.",
        "Methods": "A prospective study of 15 consecutive patients (30 eyes) diagnosed with severe Ocular Surface Disease. All patients included at baseline exhibited with superficial punctate keratitis and Corneal Fluorescein Staining score of Grade 4 on the Oxford Scale in both eyes, associated with significant ocular discomfort, with a mean baseline OSDI-6 score of: 18.5 , and a high dependency on lubrication.\n\nAll participants received only topical Vitamin D3 (Cholecalciferol) formulation 200 000 UI/ml administered once daily at night for a period of 7 days and stopped other eyedrops.\n\nObjective ocular surface analysis was conducted at baseline and on day 7 using the IDRA Ocular Surface Analyzer (SBM Sistemi).",
        "Results": "A dramatic clinical improvement was observed in all cases, with 100% of eyes transitioning from Grade 4 to Grade 1 on the Oxford Scale. The mean OSDI-6 score dropped from 18.5 to 4.2 , with improvement of all tear film parameters and reduction of artificial tear dependency, dropping from a mean of 8.5 instillations per day at baseline to 1.5 per day.",
        "Conclusions": "Topical Vitamin D3 acts as a potent biological modulator for the ocular surface. Its ability to reduce lonely severe corneal staining (from Grade 4 to Grade 1) in just 7 days highlights its role in accelerating epithelial cicatrization and restoring the ocular surface barrier without side effects. This pilot study suggests that Vitamin D3 could be a breakthrough first-line therapy for refractory or severe dry eye cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical Vitamin D3 acts as a potent biological modulator for the ocular surface. Its ability to reduce lonely severe corneal staining (from Grade 4 to Grade 1) in just 7 days highlights its role in accelerating epithelial cicatrization and restoring the ocular surface barrier without side effects. This pilot study suggests that Vitamin D3 could be a breakthrough first-line therapy for refractory or severe dry eye…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1191,
      "source_fields": {
        "Abstract Final Identifier": "POCOR508",
        "Title": "The Effect Of Topical Vitamin D Supplementation In The Management Of Severe Dry Eye Disease: A Clinical Evaluation Of Ocular Surface Health .",
        "Presenting Author(s)": "Ms Yousra Mekki",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yousra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mekki",
        "Country Name": "Algeria",
        "Purpose": "To evaluate the efficacy and safety of topical Vitamin D3 (Cholecalciferol) drops in patients presenting with severe Ocular Surface Disease (OSD).",
        "Setting": "Ibn Al-Haythem Center, Algiers, Algeria.",
        "Methods": "A prospective study of 15 consecutive patients (30 eyes) diagnosed with severe Ocular Surface Disease. All patients included at baseline exhibited with superficial punctate keratitis and Corneal Fluorescein Staining score of Grade 4 on the Oxford Scale in both eyes, associated with significant ocular discomfort, with a mean baseline OSDI-6 score of: 18.5 , and a high dependency on lubrication.\n\nAll participants received only topical Vitamin D3 (Cholecalciferol) formulation 200 000 UI/ml administered once daily at night for a period of 7 days and stopped other eyedrops.\n\nObjective ocular surface analysis was conducted at baseline and on day 7 using the IDRA Ocular Surface Analyzer (SBM Sistemi).",
        "Results": "A dramatic clinical improvement was observed in all cases, with 100% of eyes transitioning from Grade 4 to Grade 1 on the Oxford Scale. The mean OSDI-6 score dropped from 18.5 to 4.2 , with improvement of all tear film parameters and reduction of artificial tear dependency, dropping from a mean of 8.5 instillations per day at baseline to 1.5 per day.",
        "Conclusions": "Topical Vitamin D3 acts as a potent biological modulator for the ocular surface. Its ability to reduce lonely severe corneal staining (from Grade 4 to Grade 1) in just 7 days highlights its role in accelerating epithelial cicatrization and restoring the ocular surface barrier without side effects. This pilot study suggests that Vitamin D3 could be a breakthrough first-line therapy for refractory or severe dry eye cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POCOR509",
      "abstract_number": "POCOR509",
      "title": "Retrospective Comparative Analysis Of Monopolar Diathermy Versus Handheld Cautery For Punctal Occlusion Over A Two-Year Period (2024–2025)",
      "authors": "Dr Sneha Melmane",
      "presenter": "Dr Sneha Melmane",
      "normalized_authors": [
        "Sneha Melmane"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sneha Melmane",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Punctal occlusion plays a key role in aqueous deficient dry eye disease (DED) by reducing tear outflow, thereby increasing tear film retention time and enhancing the therapeutic effect of lubricants on the ocular surface. Thermal punctal cautery is widely adopted for permanent occlusion because it is minimally invasive and easily repeatable. Despite its common use, there is limited comparative data evaluating different cautery modalities.\n\nThis study aims to compare the anatomical closure rates, symptom improvement, recanalisation rates, procedural efficiency, complication profile, and relative cost-effectiveness of monopolar diathermy versus handheld cautery for permanent punctal occlusion in patients with aqueous-deficient DED.",
        "Setting": "Department of Ophthalmology, Frimley Park Hospital (FPH), a district general hospital in Surrey, United Kingdom. All procedures were conducted between Jan 2021 and December 2026.",
        "Methods": "We conducted a retrospective, non-randomised comparative analysis of all patients undergoing permanent punctal occlusion procedures performed between January 2024 and December 2025 who had a minimum 3 months follow-up post procedure at a single center Frimley Park Hospital, United Kingdom. Treatment modality was determined by surgeon preference and temporal practice pattern undergoing monopolar diathermy using the Ellman long-loop electrode or thermal occlusion with the Accu-Temp Variable Low-Temp handheld cautery device. Primary outcome was anatomical recanalisation requiring repeat intervention. Secondary outcomes included subjective symptom improvement, clinical signs, theatre efficiency, cost effectiveness and procedural complications.",
        "Results": "23 patients met inclusion criteria (13 monopolar diathermy & 10 handheld cautery). The mean age was 63.8yrs, with 86.9% female predominance. The most common aetiology was autoimmune disease (56.5% Sjögren’s syndrome), followed by aqueous deficiency without systemic association (26.1%). Recanalisation occurred in 38.5% of monopolar diathermy cases, requiring repeat intervention. No recanalisation was observed in the handheld cautery group, giving anatomical success rates of 61.5% vs 100%.\n\nMean follow-up duration was longer in the monopolar group (≥1 year) compared with 3–6 months in the handheld cautery group.\n\nMean procedure time was similar (10.8 vs 9.5 minutes). Cost per case was ~£100 vs £18.60. No complications were observed.",
        "Conclusions": "Handheld cautery demonstrated superior short-term anatomical durability compared with monopolar diathermy, with a 38.5% absolute reduction in recanalisation and greater patient satisfaction. Procedural time was comparable, but handheld cautery had markedly lower per-case cost and required no capital equipment servicing.\n\nMonopolar diathermy may pose theoretical risks in patients with pacemakers or implantable devices due to electromagnetic interference.\n\nDespite small sample size and unequal follow-up, findings support handheld cautery as a clinically effective and cost-efficient option for permanent punctal occlusion."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Handheld cautery demonstrated superior short-term anatomical durability compared with monopolar diathermy, with a 38.5% absolute reduction in recanalisation and greater patient satisfaction. Procedural time was comparable, but handheld cautery had markedly lower per-case cost and required no capital equipment servicing. Monopolar diathermy may pose theoretical risks in patients with pacemakers or implantable…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1192,
      "source_fields": {
        "Abstract Final Identifier": "POCOR509",
        "Title": "Retrospective Comparative Analysis Of Monopolar Diathermy Versus Handheld Cautery For Punctal Occlusion Over A Two-Year Period (2024–2025)",
        "Presenting Author(s)": "Dr Sneha Melmane",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Sneha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Melmane",
        "Country Name": "United Kingdom",
        "Purpose": "Punctal occlusion plays a key role in aqueous deficient dry eye disease (DED) by reducing tear outflow, thereby increasing tear film retention time and enhancing the therapeutic effect of lubricants on the ocular surface. Thermal punctal cautery is widely adopted for permanent occlusion because it is minimally invasive and easily repeatable. Despite its common use, there is limited comparative data evaluating different cautery modalities.\n\nThis study aims to compare the anatomical closure rates, symptom improvement, recanalisation rates, procedural efficiency, complication profile, and relative cost-effectiveness of monopolar diathermy versus handheld cautery for permanent punctal occlusion in patients with aqueous-deficient DED.",
        "Setting": "Department of Ophthalmology, Frimley Park Hospital (FPH), a district general hospital in Surrey, United Kingdom. All procedures were conducted between Jan 2021 and December 2026.",
        "Methods": "We conducted a retrospective, non-randomised comparative analysis of all patients undergoing permanent punctal occlusion procedures performed between January 2024 and December 2025 who had a minimum 3 months follow-up post procedure at a single center Frimley Park Hospital, United Kingdom. Treatment modality was determined by surgeon preference and temporal practice pattern undergoing monopolar diathermy using the Ellman long-loop electrode or thermal occlusion with the Accu-Temp Variable Low-Temp handheld cautery device. Primary outcome was anatomical recanalisation requiring repeat intervention. Secondary outcomes included subjective symptom improvement, clinical signs, theatre efficiency, cost effectiveness and procedural complications.",
        "Results": "23 patients met inclusion criteria (13 monopolar diathermy & 10 handheld cautery). The mean age was 63.8yrs, with 86.9% female predominance. The most common aetiology was autoimmune disease (56.5% Sjögren’s syndrome), followed by aqueous deficiency without systemic association (26.1%). Recanalisation occurred in 38.5% of monopolar diathermy cases, requiring repeat intervention. No recanalisation was observed in the handheld cautery group, giving anatomical success rates of 61.5% vs 100%.\n\nMean follow-up duration was longer in the monopolar group (≥1 year) compared with 3–6 months in the handheld cautery group.\n\nMean procedure time was similar (10.8 vs 9.5 minutes). Cost per case was ~£100 vs £18.60. No complications were observed.",
        "Conclusions": "Handheld cautery demonstrated superior short-term anatomical durability compared with monopolar diathermy, with a 38.5% absolute reduction in recanalisation and greater patient satisfaction. Procedural time was comparable, but handheld cautery had markedly lower per-case cost and required no capital equipment servicing.\n\nMonopolar diathermy may pose theoretical risks in patients with pacemakers or implantable devices due to electromagnetic interference.\n\nDespite small sample size and unequal follow-up, findings support handheld cautery as a clinically effective and cost-efficient option for permanent punctal occlusion."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 413
    },
    {
      "uid": "POCOR510",
      "abstract_number": "POCOR510",
      "title": "First In Human Clinical Investigation Of A Soft, Insoluble, Daily-Use Ocular Insert For Its Potential Use For Treatment Of Dry Eye",
      "authors": "Thomas Meslier",
      "presenter": "Thomas Meslier",
      "normalized_authors": [
        "Thomas Meslier"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thomas Meslier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the safety and comfort of a soft, insoluble, daily-use ocular insert for its potential use for the treatment of dry eye.",
        "Setting": "Tertiary referral ophthalmology center (Centro de Oftalmología Barraquer, Barcelona, Spain) between October 2023 and July 2024.",
        "Methods": "This first in human, open-label, single-arm prospective interventional study, included 20 healthy subjects. The investigational ocular insert is a Class IIa medical device made of biocellulose containing solution of balanced salt solution and ultrapure water. Two devices size were evaluated: large (16 × 4 mm) and medium (8 × 3 mm). After screening, volunteers were instructed to wear the device for 15 minutes, 1 hour, 3 hours, and 6 hours sessions. After removal, examinations were conducted, including NIBUT, slit lamp evaluation to assess hyperemia, corneal and conjunctival punctate staining using lissamine green and fluorescein, and symptom questionnaire completion.",
        "Results": "Twenty subjects completed the study. Seventeen used only the large insert, while 3 switched to the medium insert based on tolerability criteria. Overall, 78 wearing sessions were performed with the large insert and 6 with the medium insert. Dislodgements occurred with the large insert in 10 sessions at different wearing times. No dislodgements occurred with the medium insert. Moderate discomfort was reported in 6% (5/78) of sessions with the large insert, with symptoms decreasing over time, but was not observed with the medium insert. Adverse effects were minimal, with only one instance of slight hyperemia and one case of mild nasal conjunctival staining. No impact on tear film stability was observed.",
        "Conclusions": "This study demonstrates that the device is safe and well tolerated. Comfort and retention improved with user experience. These results support further investigation in patients with dry eye disease as a slow-releasing tears reservoir."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates that the device is safe and well tolerated. Comfort and retention improved with user experience. These results support further investigation in patients with dry eye disease as a slow-releasing tears reservoir.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1193,
      "source_fields": {
        "Abstract Final Identifier": "POCOR510",
        "Title": "First In Human Clinical Investigation Of A Soft, Insoluble, Daily-Use Ocular Insert For Its Potential Use For Treatment Of Dry Eye",
        "Presenting Author(s)": "Thomas Meslier",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Thomas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Meslier",
        "Country Name": "Spain",
        "Purpose": "To evaluate the safety and comfort of a soft, insoluble, daily-use ocular insert for its potential use for the treatment of dry eye.",
        "Setting": "Tertiary referral ophthalmology center (Centro de Oftalmología Barraquer, Barcelona, Spain) between October 2023 and July 2024.",
        "Methods": "This first in human, open-label, single-arm prospective interventional study, included 20 healthy subjects. The investigational ocular insert is a Class IIa medical device made of biocellulose containing solution of balanced salt solution and ultrapure water. Two devices size were evaluated: large (16 × 4 mm) and medium (8 × 3 mm). After screening, volunteers were instructed to wear the device for 15 minutes, 1 hour, 3 hours, and 6 hours sessions. After removal, examinations were conducted, including NIBUT, slit lamp evaluation to assess hyperemia, corneal and conjunctival punctate staining using lissamine green and fluorescein, and symptom questionnaire completion.",
        "Results": "Twenty subjects completed the study. Seventeen used only the large insert, while 3 switched to the medium insert based on tolerability criteria. Overall, 78 wearing sessions were performed with the large insert and 6 with the medium insert. Dislodgements occurred with the large insert in 10 sessions at different wearing times. No dislodgements occurred with the medium insert. Moderate discomfort was reported in 6% (5/78) of sessions with the large insert, with symptoms decreasing over time, but was not observed with the medium insert. Adverse effects were minimal, with only one instance of slight hyperemia and one case of mild nasal conjunctival staining. No impact on tear film stability was observed.",
        "Conclusions": "This study demonstrates that the device is safe and well tolerated. Comfort and retention improved with user experience. These results support further investigation in patients with dry eye disease as a slow-releasing tears reservoir."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POCOR511",
      "abstract_number": "POCOR511",
      "title": "Restoring The Ocular Surface After Severe Alkali Burn: Two-Stage Autologous Limbal Stem Cell And Corneal Transplantation",
      "authors": "Dr Mireia Minguell Barbero",
      "presenter": "Dr Mireia Minguell Barbero",
      "normalized_authors": [
        "Mireia Minguell Barbero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mireia Minguell Barbero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report a case of severe ocular surface damage following childhood alkali burn, managed with staged autologous limbal stem cell transplantation and secondary corneal grafting, highlighting the surgical approach and clinical management.",
        "Setting": "Department of Ophthalmology, Mútua Terrassa University Hospital, Terrassa, Barcelona, Spain",
        "Methods": "A 67-year-old male with a history of an alkali burn at age 8 in the right eye (RE), previously operated for cataract in that eye 6 years ago, presented with limbal stem cell deficiency, corneal opacification, and corneal thinning. Preoperative best-corrected visual acuity (BCVA) was 0.4 in the right eye (RE) and 1.0 in the left eye (LE). Surgery was performed in two stages. First, autologous simple limbal epithelial transplantation (SLET) using two limbal sectors from the LE with amniotic membrane (AM) graft and temporary tarsorrhaphy was done. Six months later, a secondary penetrating keratoplasty with AM graft was carried out.",
        "Results": "At 4 months postoperatively, the corneal graft in the RE was clear, with good epithelialization, and the intraocular lens remained stable, showing favorable clinical evolution. Posterior capsule opacification was present, limiting BCVA to 0.15, for which YAG capsulotomy was planned. Intraocular pressure remained normal throughout follow-up.",
        "Conclusions": "This case highlights the role of staged limbal stem cell and corneal transplantation in managing severe ocular surface injury, underlining the need for individualized planning to optimize structural and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case highlights the role of staged limbal stem cell and corneal transplantation in managing severe ocular surface injury, underlining the need for individualized planning to optimize structural and functional outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1194,
      "source_fields": {
        "Abstract Final Identifier": "POCOR511",
        "Title": "Restoring The Ocular Surface After Severe Alkali Burn: Two-Stage Autologous Limbal Stem Cell And Corneal Transplantation",
        "Presenting Author(s)": "Dr Mireia Minguell Barbero",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mireia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Minguell Barbero",
        "Country Name": "Spain",
        "Purpose": "To report a case of severe ocular surface damage following childhood alkali burn, managed with staged autologous limbal stem cell transplantation and secondary corneal grafting, highlighting the surgical approach and clinical management.",
        "Setting": "Department of Ophthalmology, Mútua Terrassa University Hospital, Terrassa, Barcelona, Spain",
        "Methods": "A 67-year-old male with a history of an alkali burn at age 8 in the right eye (RE), previously operated for cataract in that eye 6 years ago, presented with limbal stem cell deficiency, corneal opacification, and corneal thinning. Preoperative best-corrected visual acuity (BCVA) was 0.4 in the right eye (RE) and 1.0 in the left eye (LE). Surgery was performed in two stages. First, autologous simple limbal epithelial transplantation (SLET) using two limbal sectors from the LE with amniotic membrane (AM) graft and temporary tarsorrhaphy was done. Six months later, a secondary penetrating keratoplasty with AM graft was carried out.",
        "Results": "At 4 months postoperatively, the corneal graft in the RE was clear, with good epithelialization, and the intraocular lens remained stable, showing favorable clinical evolution. Posterior capsule opacification was present, limiting BCVA to 0.15, for which YAG capsulotomy was planned. Intraocular pressure remained normal throughout follow-up.",
        "Conclusions": "This case highlights the role of staged limbal stem cell and corneal transplantation in managing severe ocular surface injury, underlining the need for individualized planning to optimize structural and functional outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POCOR512",
      "abstract_number": "POCOR512",
      "title": "Quantitative Comparison And Analysis Of The Rheological Properties Of Commercially Available Ocular Surface Lubricants In South Korea",
      "authors": "Prof. Dr Cheolwon Moon",
      "presenter": "Prof. Dr Cheolwon Moon",
      "normalized_authors": [
        "Cheolwon Moon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cheolwon Moon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To quantitatively characterize and compare the rheological properties of commercially available ocular surface lubricants (OSL) in South Korea, focusing on viscosity, shear-thinning behavior, and linear viscoelasticity. OSL are first-line therapy for ocular surface disease, including dry-eye disease, meibomian gland dysfunction, blepharitis, allergic conjunctivitis, conjunctivochalasis, lid wiper epitheliopathy, and filamentary keratitis, in which blink-related friction and tear film instability play key roles. This study aimed to provide clinically relevant information to support the selection of OSL based on rheological behavior rather than formulation type alone.",
        "Setting": "This experimental laboratory study was conducted at a tertiary academic medical center in collaboration with a university-based rheology laboratory in South Korea.",
        "Methods": "A total of 21 samples were analyzed, including 18 commercially available ocular surface lubricants (9 hyaluronic acid–based [HA], 5 carboxymethylcellulose-based [CMC], 3 carbomer-based, and 1 lanolin-based formulations) and 3 controls (sterile distilled water, Vigamox ® [Alcon], and Tarivid ® [Santen]). The formulations were classified into three types: liquid (LF), gel (GF), and ointment (OF). Rheological measurements were performed using a rotational rheometer. Steady-shear tests were conducted to evaluate viscosity, shear-thinning behavior, and apparent yield stress. Small-amplitude oscillatory shear tests were performed to assess linear viscoelastic properties, with a focus on elastic contributions.",
        "Results": "All samples exhibited higher viscosity than sterile distilled water and Vigamox ® . CMC showed concentration-dependent increases in viscosity, whereas HA demonstrated variable viscosity regardless of concentration. Shear-thinning behavior was observed in GF, OF, and HA, except New Hyaluni ® and Hyabak ® . GF and OF exhibited greater shear-thinning than LF, and at higher shear rates, GF showed more pronounced shear-thinning than OF. Apparent yield stress was observed exclusively in OF. Regarding viscoelastic properties, GF exhibited higher elastic contributions than LF across the measured range. HA, except Kynex3 ® , demonstrated higher elastic contributions than CMC.",
        "Conclusions": "This study quantitatively compared the rheological properties of commercially available ocular surface lubricants in South Korea and demonstrated that viscosity, shear-thinning behavior, and viscoelastic characteristics vary according to formulation type and the type and concentration of the main ingredient. These differences could not be sufficiently explained by the concentration of the main ingredient alone. The findings provide foundational data for understanding the rheological behavior of ocular surface lubricants and may aid in their clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study quantitatively compared the rheological properties of commercially available ocular surface lubricants in South Korea and demonstrated that viscosity, shear-thinning behavior, and viscoelastic characteristics vary according to formulation type and the type and concentration of the main ingredient. These differences could not be sufficiently explained by the concentration of the main ingredient alone. The…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1195,
      "source_fields": {
        "Abstract Final Identifier": "POCOR512",
        "Title": "Quantitative Comparison And Analysis Of The Rheological Properties Of Commercially Available Ocular Surface Lubricants In South Korea",
        "Presenting Author(s)": "Prof. Dr Cheolwon Moon",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Cheolwon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To quantitatively characterize and compare the rheological properties of commercially available ocular surface lubricants (OSL) in South Korea, focusing on viscosity, shear-thinning behavior, and linear viscoelasticity. OSL are first-line therapy for ocular surface disease, including dry-eye disease, meibomian gland dysfunction, blepharitis, allergic conjunctivitis, conjunctivochalasis, lid wiper epitheliopathy, and filamentary keratitis, in which blink-related friction and tear film instability play key roles. This study aimed to provide clinically relevant information to support the selection of OSL based on rheological behavior rather than formulation type alone.",
        "Setting": "This experimental laboratory study was conducted at a tertiary academic medical center in collaboration with a university-based rheology laboratory in South Korea.",
        "Methods": "A total of 21 samples were analyzed, including 18 commercially available ocular surface lubricants (9 hyaluronic acid–based [HA], 5 carboxymethylcellulose-based [CMC], 3 carbomer-based, and 1 lanolin-based formulations) and 3 controls (sterile distilled water, Vigamox ® [Alcon], and Tarivid ® [Santen]). The formulations were classified into three types: liquid (LF), gel (GF), and ointment (OF). Rheological measurements were performed using a rotational rheometer. Steady-shear tests were conducted to evaluate viscosity, shear-thinning behavior, and apparent yield stress. Small-amplitude oscillatory shear tests were performed to assess linear viscoelastic properties, with a focus on elastic contributions.",
        "Results": "All samples exhibited higher viscosity than sterile distilled water and Vigamox ® . CMC showed concentration-dependent increases in viscosity, whereas HA demonstrated variable viscosity regardless of concentration. Shear-thinning behavior was observed in GF, OF, and HA, except New Hyaluni ® and Hyabak ® . GF and OF exhibited greater shear-thinning than LF, and at higher shear rates, GF showed more pronounced shear-thinning than OF. Apparent yield stress was observed exclusively in OF. Regarding viscoelastic properties, GF exhibited higher elastic contributions than LF across the measured range. HA, except Kynex3 ® , demonstrated higher elastic contributions than CMC.",
        "Conclusions": "This study quantitatively compared the rheological properties of commercially available ocular surface lubricants in South Korea and demonstrated that viscosity, shear-thinning behavior, and viscoelastic characteristics vary according to formulation type and the type and concentration of the main ingredient. These differences could not be sufficiently explained by the concentration of the main ingredient alone. The findings provide foundational data for understanding the rheological behavior of ocular surface lubricants and may aid in their clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "POCOR513",
      "abstract_number": "POCOR513",
      "title": "Better Care For Vkc: Platelet-Rich Fibrin Membrane As An Innovative Therapeutic Approach",
      "authors": "Dr Mouna Morchid",
      "presenter": "Dr Mouna Morchid",
      "normalized_authors": [
        "Mouna Morchid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mouna Morchid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate the effectiveness of platelet-rich fibrin (PRF) membrane in promoting corneal healing and reducing inflammation in severe vernal keratoconjunctivitis (VKC) complicated by vernal ulcers or plaques.",
        "Setting": "Department of Ophthalmology, Hassan II University Hospital Center, Fez, Morocco.",
        "Methods": "This non-comparative prospective study included seven patients (five boys and two girls; mean age 9 years) with corticosteroid-resistant VKC complicated by persistent vernal ulcers or plaques. All patients had previously received maximal medical therapy without satisfactory improvement. An autologous platelet-rich fibrin membrane was applied to the affected cornea. Topical corticosteroid therapy was maintained. Patients were evaluated at 1 week and 1 month for symptoms, corneo-conjunctival inflammation, epithelial healing, and corticosteroid requirements.",
        "Results": "Seven children with severe VKC were included. Following PRF membrane application, rapid epithelial healing was observed. Corneal ulcers healed within an average of 5–6 days, with three patients achieving complete epithelial regeneration in less than six days. Vernal plaques required a longer healing period, with an average of nine days. Significant improvement in pain and photophobia was observed from day 3 in six patients. Treatment tolerance was good, with no infections reported. One early membrane displacement required re-application, and two patients developed transient conjunctival hyperemia.",
        "Conclusions": "Platelet-rich fibrin membrane appears to be a safe and effective adjunctive treatment for complicated VKC, promoting corneal healing and improving ocular comfort in pediatric patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Platelet-rich fibrin membrane appears to be a safe and effective adjunctive treatment for complicated VKC, promoting corneal healing and improving ocular comfort in pediatric patients.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1196,
      "source_fields": {
        "Abstract Final Identifier": "POCOR513",
        "Title": "Better Care For Vkc: Platelet-Rich Fibrin Membrane As An Innovative Therapeutic Approach",
        "Presenting Author(s)": "Dr Mouna Morchid",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mouna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morchid",
        "Country Name": "Morocco",
        "Purpose": "To evaluate the effectiveness of platelet-rich fibrin (PRF) membrane in promoting corneal healing and reducing inflammation in severe vernal keratoconjunctivitis (VKC) complicated by vernal ulcers or plaques.",
        "Setting": "Department of Ophthalmology, Hassan II University Hospital Center, Fez, Morocco.",
        "Methods": "This non-comparative prospective study included seven patients (five boys and two girls; mean age 9 years) with corticosteroid-resistant VKC complicated by persistent vernal ulcers or plaques. All patients had previously received maximal medical therapy without satisfactory improvement. An autologous platelet-rich fibrin membrane was applied to the affected cornea. Topical corticosteroid therapy was maintained. Patients were evaluated at 1 week and 1 month for symptoms, corneo-conjunctival inflammation, epithelial healing, and corticosteroid requirements.",
        "Results": "Seven children with severe VKC were included. Following PRF membrane application, rapid epithelial healing was observed. Corneal ulcers healed within an average of 5–6 days, with three patients achieving complete epithelial regeneration in less than six days. Vernal plaques required a longer healing period, with an average of nine days. Significant improvement in pain and photophobia was observed from day 3 in six patients. Treatment tolerance was good, with no infections reported. One early membrane displacement required re-application, and two patients developed transient conjunctival hyperemia.",
        "Conclusions": "Platelet-rich fibrin membrane appears to be a safe and effective adjunctive treatment for complicated VKC, promoting corneal healing and improving ocular comfort in pediatric patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "POCOR514",
      "abstract_number": "POCOR514",
      "title": "Topical 0.08% Losartan As Antifibrotic Therapy For Corneal Opacities: A Five-Case Series",
      "authors": "Ruben Mormeneo Bayo",
      "presenter": "Ruben Mormeneo Bayo",
      "normalized_authors": [
        "Ruben Mormeneo Bayo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rubén Mormeneo Bayo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "This five-case series evaluates the effect of topical 0.08% losartan (six times daily for six months) on corneal opacities. The etiology of the corneal opacities included: herpes (n=2), bacterial (n=2), and Acanthamoeba (n=1). We analyzed changes in mean corneal densitometry across the anterior, central, and total layers compared to baseline. Secondary objectives include the assessment of pre- and post-treatment visual acuity at 6 months, both quantitatively (decimal notation) and qualitatively (subjective assessment).",
        "Setting": "Cornea Unit, Department of Ophthalmology, Sant Joan de Déu University Hospital (Althaia Foundation), Manresa, Barcelona, Spain. Single-center study conducted between January 2025 and February 2026.",
        "Methods": "Observational, longitudinal, retrospective case series. Five adults (five eyes) with persistent corneal opacities, were treated with topical 0.08% losartan six times daily for 6 months. Primary outcome: corneal opacity quantified via Scheimpflug corneal densitometry (Pentacam®; anterior, central, and total). Secondary outcome: visual acuity quantified in decimal notation. Pre- and post-treatment data were compared.",
        "Results": "Five patients (five eyes) with corneal leukomas were evaluated. All patients reported subjective improvement in visual quality and reduced photophobia. Notably, Patient 3 and Patient 4 achieved gains of 5 and 3 lines of visual acuity, respectively. Regarding corneal densitometry, 3 out of 5 patients demonstrated a quantitative improvement in transparency across all corneal layers. Divergent findings were observed in two cases (Patients 1 and 4), where subjective visual quality improved despite an increase in densitometry values. This suggests technical limitations of Scheimpflug-based densitometry (Pentacam ®) in assessing specific corneal structural changes.",
        "Conclusions": "• Topical losartan represents a promising treatment for corneal opacities where the use of corticosteroids is controversial, such as in cases of Acanthamoeba or herpes.\n\n• The treatment consistently enhances patient-reported outcomes, particularly in reducing photophobia and improving perceived visual clarity.\n\n• While 3 out of 5 patients showed total densitometric improvement, the universal enhancement in visual quality suggests that losartan may optimize the optical properties of the cornea even when traditional densitometry shows varied results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• Topical losartan represents a promising treatment for corneal opacities where the use of corticosteroids is controversial, such as in cases of Acanthamoeba or herpes. • The treatment consistently enhances patient-reported outcomes, particularly in reducing photophobia and improving perceived visual clarity. • While 3 out of 5 patients showed total densitometric improvement, the universal enhancement in visual…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1197,
      "source_fields": {
        "Abstract Final Identifier": "POCOR514",
        "Title": "Topical 0.08% Losartan As Antifibrotic Therapy For Corneal Opacities: A Five-Case Series",
        "Presenting Author(s)": "Ruben Mormeneo Bayo",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Rubén",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mormeneo Bayo",
        "Country Name": "Spain",
        "Purpose": "This five-case series evaluates the effect of topical 0.08% losartan (six times daily for six months) on corneal opacities. The etiology of the corneal opacities included: herpes (n=2), bacterial (n=2), and Acanthamoeba (n=1). We analyzed changes in mean corneal densitometry across the anterior, central, and total layers compared to baseline. Secondary objectives include the assessment of pre- and post-treatment visual acuity at 6 months, both quantitatively (decimal notation) and qualitatively (subjective assessment).",
        "Setting": "Cornea Unit, Department of Ophthalmology, Sant Joan de Déu University Hospital (Althaia Foundation), Manresa, Barcelona, Spain. Single-center study conducted between January 2025 and February 2026.",
        "Methods": "Observational, longitudinal, retrospective case series. Five adults (five eyes) with persistent corneal opacities, were treated with topical 0.08% losartan six times daily for 6 months. Primary outcome: corneal opacity quantified via Scheimpflug corneal densitometry (Pentacam®; anterior, central, and total). Secondary outcome: visual acuity quantified in decimal notation. Pre- and post-treatment data were compared.",
        "Results": "Five patients (five eyes) with corneal leukomas were evaluated. All patients reported subjective improvement in visual quality and reduced photophobia. Notably, Patient 3 and Patient 4 achieved gains of 5 and 3 lines of visual acuity, respectively. Regarding corneal densitometry, 3 out of 5 patients demonstrated a quantitative improvement in transparency across all corneal layers. Divergent findings were observed in two cases (Patients 1 and 4), where subjective visual quality improved despite an increase in densitometry values. This suggests technical limitations of Scheimpflug-based densitometry (Pentacam ®) in assessing specific corneal structural changes.",
        "Conclusions": "• Topical losartan represents a promising treatment for corneal opacities where the use of corticosteroids is controversial, such as in cases of Acanthamoeba or herpes.\n\n• The treatment consistently enhances patient-reported outcomes, particularly in reducing photophobia and improving perceived visual clarity.\n\n• While 3 out of 5 patients showed total densitometric improvement, the universal enhancement in visual quality suggests that losartan may optimize the optical properties of the cornea even when traditional densitometry shows varied results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POCOR515",
      "abstract_number": "POCOR515",
      "title": "Clinical Outcomes And Safety Profile Of Mitomycin Intravascular Chemoembolization (Mice) To Treat Corneal Neovascularization: 1 Year Results",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes and safety profile of Mitomycin intravascular chemoembolization (MICE) to treat corneal neovascularization (NV).",
        "Setting": "Single tertiary academic center.",
        "Methods": "A 100-eye retrospective case series from nine international centers undergoing MICE for corneal neovascularization (2021–2025). Data included BCVA, complications, and NV regression by surgeon and ImageJ analysis.",
        "Results": "Preoperative mean BCDVA was 0.9 ± 0.65. At 3 months post-MICE, BCDVA was 0.8 ± 0.58 (p = 0.128), improving significantly at 6–12 months (0.7 ± 0.55, p = 0.012) and 12+ months (0.5 ± 0.51, p = 0.381). Complications included corneal thinning (n = 2) and additional surgery (n = 25). No infections or intraocular elevations were noted. KNV regression was observed in 81.4% of eyes at 6–12 months and 65.1% at 12+ months. ImageJ analysis showed a mean vascularization decrease of –55.6% ± 15.2 at 6–12 months and –32.6% ± 14.5 at 12+ months.",
        "Conclusions": "MICE is effective in the management of corneal vascularization. Limited complications and significant BCDVA improvement were demonstrated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MICE is effective in the management of corneal vascularization. Limited complications and significant BCDVA improvement were demonstrated.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1198,
      "source_fields": {
        "Abstract Final Identifier": "POCOR515",
        "Title": "Clinical Outcomes And Safety Profile Of Mitomycin Intravascular Chemoembolization (Mice) To Treat Corneal Neovascularization: 1 Year Results",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To evaluate the clinical outcomes and safety profile of Mitomycin intravascular chemoembolization (MICE) to treat corneal neovascularization (NV).",
        "Setting": "Single tertiary academic center.",
        "Methods": "A 100-eye retrospective case series from nine international centers undergoing MICE for corneal neovascularization (2021–2025). Data included BCVA, complications, and NV regression by surgeon and ImageJ analysis.",
        "Results": "Preoperative mean BCDVA was 0.9 ± 0.65. At 3 months post-MICE, BCDVA was 0.8 ± 0.58 (p = 0.128), improving significantly at 6–12 months (0.7 ± 0.55, p = 0.012) and 12+ months (0.5 ± 0.51, p = 0.381). Complications included corneal thinning (n = 2) and additional surgery (n = 25). No infections or intraocular elevations were noted. KNV regression was observed in 81.4% of eyes at 6–12 months and 65.1% at 12+ months. ImageJ analysis showed a mean vascularization decrease of –55.6% ± 15.2 at 6–12 months and –32.6% ± 14.5 at 12+ months.",
        "Conclusions": "MICE is effective in the management of corneal vascularization. Limited complications and significant BCDVA improvement were demonstrated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 172
    },
    {
      "uid": "POCOR516",
      "abstract_number": "POCOR516",
      "title": "Clinical Outcomes Of Brightmem Anterior Keratoplasty For Complex Ocular Surface Disease",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate ocular surface stabilization, epithelial healing, visual outcomes, and ocular comfort following BrightMEM Anterior Keratoplasty (BMAK) in patients with complex anterior corneal pathology.",
        "Setting": "Single tertiary academic center.",
        "Methods": "A retrospective review was performed of eyes undergoing BMAK at our institute. Data collected included demographics, surgical indication, preoperative and postoperative best-corrected visual acuity (BCVA), epithelial healing status, and postoperative pain. Primary outcomes were epithelial healing and change in visual acuity. Secondary outcomes included surface stabilization, need for adjunctive procedures, and postoperative complications.",
        "Results": "25 eyes underwent BMAK with a mean patient age of 62.7 ± 14.7 years. The most common indication was limbal stem cell deficiency (LSCD) (32%), followed by LSCD with aniridia (12%), neurotrophic keratopathy (12%), and recurrent corneal erosion (8%). Surface improvement or stabilization occurred in 10 eyes (40%), with partial improvement in 6 eyes (24%). Complete epithelial healing occurred in 6 eyes (24%), while persistent epithelial defects were noted in 13 eyes (52%). 9 eyes (36%) had an uncomplicated postoperative course. Membrane-related issues occurred in 3 eyes (12%), and additional intervention was required in 2 eyes (8%). Visual acuity improved by ≥2 lines in 7 eyes (39%), remained stable in 7 eyes (39%), and declined in 4 eyes (22%).",
        "Conclusions": "BMAK demonstrated the ability to stabilize the ocular surface in a subset of eyes with complex anterior corneal pathology. Although complete epithelial healing was not universal, many eyes achieved surface stabilization with modest visual improvement and a relatively low rate of significant complications. BMAK may serve as a useful adjunctive option for managing challenging ocular surface disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "BMAK demonstrated the ability to stabilize the ocular surface in a subset of eyes with complex anterior corneal pathology. Although complete epithelial healing was not universal, many eyes achieved surface stabilization with modest visual improvement and a relatively low rate of significant complications. BMAK may serve as a useful adjunctive option for managing challenging ocular surface disease.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1199,
      "source_fields": {
        "Abstract Final Identifier": "POCOR516",
        "Title": "Clinical Outcomes Of Brightmem Anterior Keratoplasty For Complex Ocular Surface Disease",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To evaluate ocular surface stabilization, epithelial healing, visual outcomes, and ocular comfort following BrightMEM Anterior Keratoplasty (BMAK) in patients with complex anterior corneal pathology.",
        "Setting": "Single tertiary academic center.",
        "Methods": "A retrospective review was performed of eyes undergoing BMAK at our institute. Data collected included demographics, surgical indication, preoperative and postoperative best-corrected visual acuity (BCVA), epithelial healing status, and postoperative pain. Primary outcomes were epithelial healing and change in visual acuity. Secondary outcomes included surface stabilization, need for adjunctive procedures, and postoperative complications.",
        "Results": "25 eyes underwent BMAK with a mean patient age of 62.7 ± 14.7 years. The most common indication was limbal stem cell deficiency (LSCD) (32%), followed by LSCD with aniridia (12%), neurotrophic keratopathy (12%), and recurrent corneal erosion (8%). Surface improvement or stabilization occurred in 10 eyes (40%), with partial improvement in 6 eyes (24%). Complete epithelial healing occurred in 6 eyes (24%), while persistent epithelial defects were noted in 13 eyes (52%). 9 eyes (36%) had an uncomplicated postoperative course. Membrane-related issues occurred in 3 eyes (12%), and additional intervention was required in 2 eyes (8%). Visual acuity improved by ≥2 lines in 7 eyes (39%), remained stable in 7 eyes (39%), and declined in 4 eyes (22%).",
        "Conclusions": "BMAK demonstrated the ability to stabilize the ocular surface in a subset of eyes with complex anterior corneal pathology. Although complete epithelial healing was not universal, many eyes achieved surface stabilization with modest visual improvement and a relatively low rate of significant complications. BMAK may serve as a useful adjunctive option for managing challenging ocular surface disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCOR517",
      "abstract_number": "POCOR517",
      "title": "Treatment Effects Of Lotilaner Ophthalmic Solution 0.25% And Tea Tree Oil For Demodex Blepharitis: A Systematic Review And Meta-Analysis",
      "authors": "Prof. Mayank Nanavaty",
      "presenter": "Prof. Mayank Nanavaty",
      "normalized_authors": [
        "Mayank Nanavaty"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mayank Nanavaty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Demodex blepharitis is an inflammatory disease of the eyelids caused by an infestation of Demodex mites. This affects approximately 54%, 58% and up to 67% of patients visiting eye care clinics in Europe, United States and Japan, respectively. This systematic review and meta-analysis aimed to estimate treatment effects for lotilaner ophthalmic solution 0.25% versus vehicle and tea tree oil (TTO) versus sham for Demodex blepharitis.",
        "Setting": "Randomized controlled trials (RCTs) evaluating adult patients with Demodex blepharitis.",
        "Methods": "The current systematic review and meta-analysis study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched MEDLINE, EMBASE, Cochrane CENTRAL, ClinicalTrials.gov, and the International Clinical Trials Registry Platform (ICTRP) to identify RCTs evaluating lotilaner 0.25% versus vehicle or tea tree oil (TTO) products versus sham in adults with Demodex blepharitis. English-language studies from database inception through July 2025 were eligible for inclusion. All studies included in the meta-analysis reported outcomes for mite density reduction and mite eradication, and trials evaluating lotilaner additionally reported collarette reduction to 0-2 collarettes.",
        "Results": "Nine RCTs were included. Patients treated with lotilaner 0.25% had significantly greater odds of achieving collarette reduction to 0–2 collarettes than vehicle at 2–4 weeks (OR=8.39) and 6–8 weeks (OR=9.67) (all p<0.001). Lotilaner 0.25% also significantly improved mite density and eradication, with a pooled mean difference of −1.29 mites/lash versus vehicle at both 2–4 and 6–8 weeks and higher odds of eradication at 2–4 weeks (OR=4.70) and 6–8 weeks (OR=9.60) (all p<0.0001). In contrast, TTO showed no significant difference versus sham: pooled mean differences of −0.02 mites/lash (p=0.747) at 2–4 weeks and −0.00 mites/lash (p=0.651) at 6–8 weeks, and odds ratios for eradication of 1.81 (p=0.274) and 1.47 (p=0.722) at the same time points.",
        "Conclusions": "Lotilaner 0.25% demonstrated statistically significantly better mite density reduction and mite eradication versus vehicle, while TTO products showed no benefit over sham. These findings highlight the important therapeutic role of lotilaner 0.25% in the management of Demodex blepharitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lotilaner 0.25% demonstrated statistically significantly better mite density reduction and mite eradication versus vehicle, while TTO products showed no benefit over sham. These findings highlight the important therapeutic role of lotilaner 0.25% in the management of Demodex blepharitis.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1200,
      "source_fields": {
        "Abstract Final Identifier": "POCOR517",
        "Title": "Treatment Effects Of Lotilaner Ophthalmic Solution 0.25% And Tea Tree Oil For Demodex Blepharitis: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Prof. Mayank Nanavaty",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mayank",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nanavaty",
        "Country Name": "United Kingdom",
        "Purpose": "Demodex blepharitis is an inflammatory disease of the eyelids caused by an infestation of Demodex mites. This affects approximately 54%, 58% and up to 67% of patients visiting eye care clinics in Europe, United States and Japan, respectively. This systematic review and meta-analysis aimed to estimate treatment effects for lotilaner ophthalmic solution 0.25% versus vehicle and tea tree oil (TTO) versus sham for Demodex blepharitis.",
        "Setting": "Randomized controlled trials (RCTs) evaluating adult patients with Demodex blepharitis.",
        "Methods": "The current systematic review and meta-analysis study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched MEDLINE, EMBASE, Cochrane CENTRAL, ClinicalTrials.gov, and the International Clinical Trials Registry Platform (ICTRP) to identify RCTs evaluating lotilaner 0.25% versus vehicle or tea tree oil (TTO) products versus sham in adults with Demodex blepharitis. English-language studies from database inception through July 2025 were eligible for inclusion. All studies included in the meta-analysis reported outcomes for mite density reduction and mite eradication, and trials evaluating lotilaner additionally reported collarette reduction to 0-2 collarettes.",
        "Results": "Nine RCTs were included. Patients treated with lotilaner 0.25% had significantly greater odds of achieving collarette reduction to 0–2 collarettes than vehicle at 2–4 weeks (OR=8.39) and 6–8 weeks (OR=9.67) (all p<0.001). Lotilaner 0.25% also significantly improved mite density and eradication, with a pooled mean difference of −1.29 mites/lash versus vehicle at both 2–4 and 6–8 weeks and higher odds of eradication at 2–4 weeks (OR=4.70) and 6–8 weeks (OR=9.60) (all p<0.0001). In contrast, TTO showed no significant difference versus sham: pooled mean differences of −0.02 mites/lash (p=0.747) at 2–4 weeks and −0.00 mites/lash (p=0.651) at 6–8 weeks, and odds ratios for eradication of 1.81 (p=0.274) and 1.47 (p=0.722) at the same time points.",
        "Conclusions": "Lotilaner 0.25% demonstrated statistically significantly better mite density reduction and mite eradication versus vehicle, while TTO products showed no benefit over sham. These findings highlight the important therapeutic role of lotilaner 0.25% in the management of Demodex blepharitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POCOR518",
      "abstract_number": "POCOR518",
      "title": "Limbal Distress Syndrome Following Ill-Fitting Scleral Contact Lens In Keratoconus – A Case Series",
      "authors": "Dr Orwa Nasser",
      "presenter": "Dr Orwa Nasser",
      "normalized_authors": [
        "Orwa Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Orwa Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Inflammation and edema within the limbal stem cell (LSC) niche, aka LSC distress, may be a precursor to LSC deficiency. Here, we report LSC distress following the use of an ill-fitting corneoscleral contact (CL) for advanced keratoconus (KC).",
        "Setting": "Private cornea clinic",
        "Methods": "We report the signs and symptoms of LSC distress in seven eyes of four patients with advanced KC who had ill-fitting corneoscleral CL. All patients were advised to discontinue CL use and were treated with topical prednisolone eye drops 4 times a day for 1 month, followed by a monthly taper over the next 3 months.",
        "Results": "Patient’s ages was 11- 35 and spherical equivalent error was -8.25D to -24.00D. All patients presented with blurry vision, ocular pain, red eyes, photophobia, tearing, and irritation in the affected eyes. Slit lamp evaluation showed localized (temporal and nasal) conjunctival and ciliary injection, impingement of the CL with compression over the limbus, conjunctive and sclera, hyperemia and edema at the limbus, and localized superficial punctate keratopathy. Two eyes also showed temporally localized superficial and deep corneal neovascularization. All signs resolved after discontinuation of CL and topical steroids for 3 months. After resolution, all eyes were fitted with a rigid gas-permeable CL, without any intolerance or visual loss.",
        "Conclusions": "Although rare, LSC distress syndrome can occur with ill-fitting corneoscleral CL in patients with advanced KC. If recognized early, this distress can be reversed with topical steroids and discontinuation of the offending CL, avoiding long-term CL intolerance or visual compromise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although rare, LSC distress syndrome can occur with ill-fitting corneoscleral CL in patients with advanced KC. If recognized early, this distress can be reversed with topical steroids and discontinuation of the offending CL, avoiding long-term CL intolerance or visual compromise.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1201,
      "source_fields": {
        "Abstract Final Identifier": "POCOR518",
        "Title": "Limbal Distress Syndrome Following Ill-Fitting Scleral Contact Lens In Keratoconus – A Case Series",
        "Presenting Author(s)": "Dr Orwa Nasser",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Orwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "United States",
        "Purpose": "Inflammation and edema within the limbal stem cell (LSC) niche, aka LSC distress, may be a precursor to LSC deficiency. Here, we report LSC distress following the use of an ill-fitting corneoscleral contact (CL) for advanced keratoconus (KC).",
        "Setting": "Private cornea clinic",
        "Methods": "We report the signs and symptoms of LSC distress in seven eyes of four patients with advanced KC who had ill-fitting corneoscleral CL. All patients were advised to discontinue CL use and were treated with topical prednisolone eye drops 4 times a day for 1 month, followed by a monthly taper over the next 3 months.",
        "Results": "Patient’s ages was 11- 35 and spherical equivalent error was -8.25D to -24.00D. All patients presented with blurry vision, ocular pain, red eyes, photophobia, tearing, and irritation in the affected eyes. Slit lamp evaluation showed localized (temporal and nasal) conjunctival and ciliary injection, impingement of the CL with compression over the limbus, conjunctive and sclera, hyperemia and edema at the limbus, and localized superficial punctate keratopathy. Two eyes also showed temporally localized superficial and deep corneal neovascularization. All signs resolved after discontinuation of CL and topical steroids for 3 months. After resolution, all eyes were fitted with a rigid gas-permeable CL, without any intolerance or visual loss.",
        "Conclusions": "Although rare, LSC distress syndrome can occur with ill-fitting corneoscleral CL in patients with advanced KC. If recognized early, this distress can be reversed with topical steroids and discontinuation of the offending CL, avoiding long-term CL intolerance or visual compromise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POCOR519",
      "abstract_number": "POCOR519",
      "title": "Early Angular Changes Of Keratocytes And Lamellar Pattern Of Collagen Fibers In Ocular Surface Injury Induced By Tobacco Smoke Exposure In Guinea Pig Corneas",
      "authors": "Dr Diego ORTA",
      "presenter": "Dr Diego ORTA",
      "normalized_authors": [
        "Diego ORTA"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Diego MELO Orta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "Purpose : To evaluate early changes in keratocyte arrangement and lamellar pattern of collagen fibers in ocular surface injury induced by tobacco smoke exposure in guinea pig corneas.",
        "Setting": "Experimental Design: Sixteen male Hartley guinea pigs (250-300 g) were split into control (n=8, fresh air) and smoke-exposed (n=8) groups. The latter received smoke from 20 cigarettes/day (1 h/day) for 10 weeks via a SCIREQ Inexpose system. Procedures: At week 10, animals were tranquilized (xylazine 5-10 mg/kg) and anesthetized (ketamine 40-80 mg/kg) for CT biometry .",
        "Methods": "Post-euthanasia (ketamine 300 mg/kg), eyes were enucleated and central corneas fixed in 4% paraformaldehyde. Paraffin sections (5 µm) were stained with H&E and Masson’s trichrome . Data & Statistics: Using Image-J Fiji , we quantified collagen lamellar displacement, keratocyte length/angulation, and inflammatory infiltrate. Data (mean ± SEM) were analyzed via Student’s T-test (paired samples) in IBM SPSS v.31 , with significance at P<0.05.",
        "Results": "Results : Chronic qualitative changes were ruled out in each sample. Average length of displaced lamellae (µm): Control group: 6.786 + 0.354, p: 0.002, Exposed group: 33.167 +2.138,p: <0.001. Area of displacement between lamellae (µm²) Control group: 3.123 + 0.169, Exposed group 37.069 + 2.052, a minimum value of displacement to exposed group 153.226 + 3.125, p is <0.05. The angle of arrangement of the keratocytes with respect to the direction of lamellae: exposed group 81.259 °+1.053, control group: 9.255° + 2.115, p: <0.001.",
        "Conclusions": "Conclusión : Early changes in ocular surface from guinea pig eyes exposed to tobacco smoke are manifested as a change in the angle of the arrangement of keratocytes with respect to the direction of the lamellae that have suffered a significant area of displacement and a higher average length in the exposed group. identified early changes in keratocytes prior to these advanced stages could allow for earlier therapeutic interventions before corneal scar formation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusión : Early changes in ocular surface from guinea pig eyes exposed to tobacco smoke are manifested as a change in the angle of the arrangement of keratocytes with respect to the direction of the lamellae that have suffered a significant area of displacement and a higher average length in the exposed group. identified early changes in keratocytes prior to these advanced stages could allow for earlier…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1202,
      "source_fields": {
        "Abstract Final Identifier": "POCOR519",
        "Title": "Early Angular Changes Of Keratocytes And Lamellar Pattern Of Collagen Fibers In Ocular Surface Injury Induced By Tobacco Smoke Exposure In Guinea Pig Corneas",
        "Presenting Author(s)": "Dr Diego ORTA",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Diego",
        "Submitter Middle Name": "MELO",
        "Submitter Last Name": "Orta",
        "Country Name": "Mexico",
        "Purpose": "Purpose : To evaluate early changes in keratocyte arrangement and lamellar pattern of collagen fibers in ocular surface injury induced by tobacco smoke exposure in guinea pig corneas.",
        "Setting": "Experimental Design: Sixteen male Hartley guinea pigs (250-300 g) were split into control (n=8, fresh air) and smoke-exposed (n=8) groups. The latter received smoke from 20 cigarettes/day (1 h/day) for 10 weeks via a SCIREQ Inexpose system. Procedures: At week 10, animals were tranquilized (xylazine 5-10 mg/kg) and anesthetized (ketamine 40-80 mg/kg) for CT biometry .",
        "Methods": "Post-euthanasia (ketamine 300 mg/kg), eyes were enucleated and central corneas fixed in 4% paraformaldehyde. Paraffin sections (5 µm) were stained with H&E and Masson’s trichrome . Data & Statistics: Using Image-J Fiji , we quantified collagen lamellar displacement, keratocyte length/angulation, and inflammatory infiltrate. Data (mean ± SEM) were analyzed via Student’s T-test (paired samples) in IBM SPSS v.31 , with significance at P<0.05.",
        "Results": "Results : Chronic qualitative changes were ruled out in each sample. Average length of displaced lamellae (µm): Control group: 6.786 + 0.354, p: 0.002, Exposed group: 33.167 +2.138,p: <0.001. Area of displacement between lamellae (µm²) Control group: 3.123 + 0.169, Exposed group 37.069 + 2.052, a minimum value of displacement to exposed group 153.226 + 3.125, p is <0.05. The angle of arrangement of the keratocytes with respect to the direction of lamellae: exposed group 81.259 °+1.053, control group: 9.255° + 2.115, p: <0.001.",
        "Conclusions": "Conclusión : Early changes in ocular surface from guinea pig eyes exposed to tobacco smoke are manifested as a change in the angle of the arrangement of keratocytes with respect to the direction of the lamellae that have suffered a significant area of displacement and a higher average length in the exposed group. identified early changes in keratocytes prior to these advanced stages could allow for earlier therapeutic interventions before corneal scar formation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POCOR520",
      "abstract_number": "POCOR520",
      "title": "Long-Term Clinical And Visual Outcomes In Ligneous Conjunctivitis: A 10-Year Retrospective Case Series",
      "authors": "Dr Fatma Burcu Özdemir",
      "presenter": "Dr Fatma Burcu Özdemir",
      "normalized_authors": [
        "Fatma Burcu Özdemir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fatma Burcu Ozdemir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Ligneous conjunctivitis is a rare, chronic ocular surface disorder associated with plasminogen deficiency. Because of its low prevalence, most published data are limited to case reports or short-term follow-up studies. We aimed to evaluate the long-term clinical course, surgical burden, and visual outcomes of patients with plasminogen deficiency–associated ligneous conjunctivitis followed for approximately 10 years at a tertiary referral center.",
        "Setting": "Department of Ophthalmology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.",
        "Methods": "This retrospective case series included 15 patients with plasminogen deficiency–associated ligneous conjunctivitis managed in collaboration with the Department of Pediatric Hematology. Demographics, parental consanguinity, sibling history, follow-up duration, surgical excision history, and extraocular involvement were recorded. Ophthalmic evaluation included best-corrected visual acuity (logMAR), slit-lamp examination, fundus examination, and tear film assessment with tear break-up time (TBUT) and Schirmer testing. Long-term clinical course and associations between surgical burden and visual outcomes were analyzed. Statistical analyses were performed using appropriate nonparametric tests, with p<0.05 considered significant.",
        "Results": "All patients demonstrated bilateral ocular involvement, often asymmetric. Recurrent membranes required repeated excisions in 92.3%. Excision burden showed a moderate negative correlation with logMAR visual acuity (Spearman r=−0.45, p=0.15). Mean worse-eye BCVA was 0.70±0.26. Severe visual loss occurred in three eyes (two hand motion, one light perception). Corneal vascularization and stromal haze were common. Tear film instability was evident with reduced TBUT (4.7±1.1 s). Extraocular involvement occurred in 53.8%, mainly gingival. Parental consanguinity was present in 46.2% and affected siblings in 53.8%. Active plasminogen replacement therapy showed stable vision with a trend toward fewer recurrences, without statistical significance.",
        "Conclusions": "Plasminogen deficiency–associated ligneous conjunctivitis demonstrated a chronic, relapsing course with substantial surgical burden and potential for severe visual impairment. Although overall visual acuity was relatively preserved, a moderate association between excision burden and visual decline was observed. The high rates of consanguinity and affected siblings underscore the strong genetic background of the disease. Early recognition and multidisciplinary management remain essential to limit progressive ocular surface damage and long-term visual morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Plasminogen deficiency–associated ligneous conjunctivitis demonstrated a chronic, relapsing course with substantial surgical burden and potential for severe visual impairment. Although overall visual acuity was relatively preserved, a moderate association between excision burden and visual decline was observed. The high rates of consanguinity and affected siblings underscore the strong genetic background of the…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1203,
      "source_fields": {
        "Abstract Final Identifier": "POCOR520",
        "Title": "Long-Term Clinical And Visual Outcomes In Ligneous Conjunctivitis: A 10-Year Retrospective Case Series",
        "Presenting Author(s)": "Dr Fatma Burcu Özdemir",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Fatma Burcu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ozdemir",
        "Country Name": "Türkiye",
        "Purpose": "Ligneous conjunctivitis is a rare, chronic ocular surface disorder associated with plasminogen deficiency. Because of its low prevalence, most published data are limited to case reports or short-term follow-up studies. We aimed to evaluate the long-term clinical course, surgical burden, and visual outcomes of patients with plasminogen deficiency–associated ligneous conjunctivitis followed for approximately 10 years at a tertiary referral center.",
        "Setting": "Department of Ophthalmology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.",
        "Methods": "This retrospective case series included 15 patients with plasminogen deficiency–associated ligneous conjunctivitis managed in collaboration with the Department of Pediatric Hematology. Demographics, parental consanguinity, sibling history, follow-up duration, surgical excision history, and extraocular involvement were recorded. Ophthalmic evaluation included best-corrected visual acuity (logMAR), slit-lamp examination, fundus examination, and tear film assessment with tear break-up time (TBUT) and Schirmer testing. Long-term clinical course and associations between surgical burden and visual outcomes were analyzed. Statistical analyses were performed using appropriate nonparametric tests, with p<0.05 considered significant.",
        "Results": "All patients demonstrated bilateral ocular involvement, often asymmetric. Recurrent membranes required repeated excisions in 92.3%. Excision burden showed a moderate negative correlation with logMAR visual acuity (Spearman r=−0.45, p=0.15). Mean worse-eye BCVA was 0.70±0.26. Severe visual loss occurred in three eyes (two hand motion, one light perception). Corneal vascularization and stromal haze were common. Tear film instability was evident with reduced TBUT (4.7±1.1 s). Extraocular involvement occurred in 53.8%, mainly gingival. Parental consanguinity was present in 46.2% and affected siblings in 53.8%. Active plasminogen replacement therapy showed stable vision with a trend toward fewer recurrences, without statistical significance.",
        "Conclusions": "Plasminogen deficiency–associated ligneous conjunctivitis demonstrated a chronic, relapsing course with substantial surgical burden and potential for severe visual impairment. Although overall visual acuity was relatively preserved, a moderate association between excision burden and visual decline was observed. The high rates of consanguinity and affected siblings underscore the strong genetic background of the disease. Early recognition and multidisciplinary management remain essential to limit progressive ocular surface damage and long-term visual morbidity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POCOR522",
      "abstract_number": "POCOR522",
      "title": "Highlighting The Ophthalmic Adverse Effects Associated With Isotretinoin",
      "authors": "Dr Jason Timothy Pan",
      "presenter": "Dr Jason Timothy Pan",
      "normalized_authors": [
        "Jason Timothy Pan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jason Timothy Pan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To review the spectrum of ocular adverse effects associated with systemic isotretinoin, with emphasis on dry eye disease, meibomian gland dysfunction, retinal and neuro-ophthalmic complications, and to highlight practical considerations for co-management between dermatologists, general practitioners, and ophthalmologists.",
        "Setting": "Narrative review of published clinical and experimental studies examining ocular side effects of systemic isotretinoin in dermatologic practice.",
        "Methods": "A structured narrative review of peer-reviewed studies was conducted. Evidence regarding dry eye disease, meibomian gland dysfunction, retinal structural and electrophysiological changes, nyctalopia, neuro-ophthalmic manifestations, and corneal alterations was synthesised. Proposed mechanisms, dose-dependence, reversibility, and implications for clinical monitoring were analysed to generate practice-oriented recommendations.",
        "Results": "Dry eye disease secondary to meibomian gland dysfunction is the most frequent ocular complication and demonstrates structural and functional gland changes that may partially reverse after drug cessation. Ocular surface instability and symptoms may persist despite gland recovery. Nyctalopia is a dose-dependent and potentially irreversible adverse effect linked to retinal dysfunction. Evidence regarding retinal nerve fiber layer thinning remains inconsistent. Rare but serious complications include idiopathic intracranial hypertension, optic neuritis, and corneal remodelling.",
        "Conclusions": "Systemic isotretinoin is associated with predictable ocular surface toxicity and less common but clinically significant retinal and neuro-ophthalmic effects. Early symptom screening, risk stratification (including contact lens use and prior refractive surgery), and timely ophthalmic referral are essential. Collaborative co-management enables continuation of dermatologic therapy while minimizing visual morbidity and addressing vocation-specific risks such as night-vision impairment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Systemic isotretinoin is associated with predictable ocular surface toxicity and less common but clinically significant retinal and neuro-ophthalmic effects. Early symptom screening, risk stratification (including contact lens use and prior refractive surgery), and timely ophthalmic referral are essential. Collaborative co-management enables continuation of dermatologic therapy while minimizing visual morbidity and…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1204,
      "source_fields": {
        "Abstract Final Identifier": "POCOR522",
        "Title": "Highlighting The Ophthalmic Adverse Effects Associated With Isotretinoin",
        "Presenting Author(s)": "Dr Jason Timothy Pan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Jason",
        "Submitter Middle Name": "Timothy",
        "Submitter Last Name": "Pan",
        "Country Name": "Singapore",
        "Purpose": "To review the spectrum of ocular adverse effects associated with systemic isotretinoin, with emphasis on dry eye disease, meibomian gland dysfunction, retinal and neuro-ophthalmic complications, and to highlight practical considerations for co-management between dermatologists, general practitioners, and ophthalmologists.",
        "Setting": "Narrative review of published clinical and experimental studies examining ocular side effects of systemic isotretinoin in dermatologic practice.",
        "Methods": "A structured narrative review of peer-reviewed studies was conducted. Evidence regarding dry eye disease, meibomian gland dysfunction, retinal structural and electrophysiological changes, nyctalopia, neuro-ophthalmic manifestations, and corneal alterations was synthesised. Proposed mechanisms, dose-dependence, reversibility, and implications for clinical monitoring were analysed to generate practice-oriented recommendations.",
        "Results": "Dry eye disease secondary to meibomian gland dysfunction is the most frequent ocular complication and demonstrates structural and functional gland changes that may partially reverse after drug cessation. Ocular surface instability and symptoms may persist despite gland recovery. Nyctalopia is a dose-dependent and potentially irreversible adverse effect linked to retinal dysfunction. Evidence regarding retinal nerve fiber layer thinning remains inconsistent. Rare but serious complications include idiopathic intracranial hypertension, optic neuritis, and corneal remodelling.",
        "Conclusions": "Systemic isotretinoin is associated with predictable ocular surface toxicity and less common but clinically significant retinal and neuro-ophthalmic effects. Early symptom screening, risk stratification (including contact lens use and prior refractive surgery), and timely ophthalmic referral are essential. Collaborative co-management enables continuation of dermatologic therapy while minimizing visual morbidity and addressing vocation-specific risks such as night-vision impairment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POCOR523",
      "abstract_number": "POCOR523",
      "title": "Post Operative Dry Eye In Clinical Practice: Physician Insights, Diagnostic Approaches, And Treatment Experience With Sodium Hyaluronate",
      "authors": "Dr Roseline Patel",
      "presenter": "Dr Roseline Patel",
      "normalized_authors": [
        "Roseline Patel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roseline Patel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "This survey aimed to assess physicians' perceptions, prevalence, causes, clinical patterns, risk factors, diagnostic practices, and management approaches related to post-operative dry eye in India. Additionally, it evaluated prescribing behavior, familiarity, and clinical experiences with sodium hyaluronate-based lubricants such as Flogel HA, while identifying unmet needs and patient-education requirements.",
        "Setting": "A nationwide digital survey involving 122 ophthalmologists across 25 Indian states, including private practitioners, corporate hospitals, and academic/government institutions. Participants reviewed the protocol, provided consent, and completed an online questionnaire. Data analysis was performed by an independent agency and reviewed by the sponsor's medical team.",
        "Methods": "A structured online questionnaire captured information on dry-eye burden, post-surgical incidence, risk factors, symptom profiles, diagnostic tools, preferred treatment approaches, polymer selection, familiarity with Flogel HA, safety experience, and unmet medical needs. Descriptive statistics were used to summarize demographic characteristics, clinical perceptions, and practice patterns.",
        "Results": "Most respondents were general ophthalmologists (86.89%) with 11–20 years of practice. Prolonged screen use (92.62%), post-surgery changes (71.31%), and aging (69.67%) were leading causes of dry eye. Post-operative dry eye was observed occasionally in 11–25% of patients by 39.34% of physicians. Burning/stinging (90.16%) and foreign body sensation (77.05%) were the most common symptoms. Schirmer’s test (70.49%) and TBUT (67.21%) were primary diagnostic tools. Artificial tears (95.08%) were the mainstay of management. Sodium hyaluronate was the most preferred polymer (54.92%),familiarity was high (94.26%). Adverse effects were rare never encountered). Key Patient understanding (81.15%) and compliance issues (69.67%) were key challenges.",
        "Conclusions": "Post-operative dry eye is commonly encountered after ocular surgery in India, with significant impact on patient comfort and recovery. Physicians rely on established diagnostics and prioritize lubricants, especially sodium hyaluronate, for symptom relief and corneal healing. Flogel HA is widely familiar and perceived as effective and safe."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-operative dry eye is commonly encountered after ocular surgery in India, with significant impact on patient comfort and recovery. Physicians rely on established diagnostics and prioritize lubricants, especially sodium hyaluronate, for symptom relief and corneal healing. Flogel HA is widely familiar and perceived as effective and safe.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1205,
      "source_fields": {
        "Abstract Final Identifier": "POCOR523",
        "Title": "Post Operative Dry Eye In Clinical Practice: Physician Insights, Diagnostic Approaches, And Treatment Experience With Sodium Hyaluronate",
        "Presenting Author(s)": "Dr Roseline Patel",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Roseline",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Patel",
        "Country Name": "India",
        "Purpose": "This survey aimed to assess physicians' perceptions, prevalence, causes, clinical patterns, risk factors, diagnostic practices, and management approaches related to post-operative dry eye in India. Additionally, it evaluated prescribing behavior, familiarity, and clinical experiences with sodium hyaluronate-based lubricants such as Flogel HA, while identifying unmet needs and patient-education requirements.",
        "Setting": "A nationwide digital survey involving 122 ophthalmologists across 25 Indian states, including private practitioners, corporate hospitals, and academic/government institutions. Participants reviewed the protocol, provided consent, and completed an online questionnaire. Data analysis was performed by an independent agency and reviewed by the sponsor's medical team.",
        "Methods": "A structured online questionnaire captured information on dry-eye burden, post-surgical incidence, risk factors, symptom profiles, diagnostic tools, preferred treatment approaches, polymer selection, familiarity with Flogel HA, safety experience, and unmet medical needs. Descriptive statistics were used to summarize demographic characteristics, clinical perceptions, and practice patterns.",
        "Results": "Most respondents were general ophthalmologists (86.89%) with 11–20 years of practice. Prolonged screen use (92.62%), post-surgery changes (71.31%), and aging (69.67%) were leading causes of dry eye. Post-operative dry eye was observed occasionally in 11–25% of patients by 39.34% of physicians. Burning/stinging (90.16%) and foreign body sensation (77.05%) were the most common symptoms. Schirmer’s test (70.49%) and TBUT (67.21%) were primary diagnostic tools. Artificial tears (95.08%) were the mainstay of management. Sodium hyaluronate was the most preferred polymer (54.92%),familiarity was high (94.26%). Adverse effects were rare never encountered). Key Patient understanding (81.15%) and compliance issues (69.67%) were key challenges.",
        "Conclusions": "Post-operative dry eye is commonly encountered after ocular surgery in India, with significant impact on patient comfort and recovery. Physicians rely on established diagnostics and prioritize lubricants, especially sodium hyaluronate, for symptom relief and corneal healing. Flogel HA is widely familiar and perceived as effective and safe."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POCOR524",
      "abstract_number": "POCOR524",
      "title": "Long-Term Outcomes Of Alcohol Delamination For Recurrent Corneal Erosion Syndrome: A 13-Year Retrospective Case Series",
      "authors": "Dr Vignesh Paulpandian",
      "presenter": "Dr Vignesh Paulpandian",
      "normalized_authors": [
        "Vignesh Paulpandian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vignesh Paulpandian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the long-term safety and efficacy of alcohol delamination of the corneal epithelium in the management of recurrent corneal erosion syndrome (RCES).",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "This retrospective consecutive case series included patients undergoing alcohol delamination between 2014 and 2025 for symptomatic RCES. The surgical technique involved application of 20% ethanol to loosen the corneal epithelium, followed by epithelial removal and standard postoperative ocular surface rehabilitation.\n\nThe primary outcome was recurrence, defined as return of symptomatic epithelial instability. Partial recurrence was defined as recurrence managed medically; total recurrence required further procedural intervention. Secondary outcomes included change in corrected distance visual acuity (CDVA), epithelial healing time, and complications.",
        "Results": "A total of 182 procedures were performed in 165 patients (17 bilateral). Mean age was 56.2 ± 9.2 years, with a male:female ratio of 1:1.5. Indications were recurrent erosions (n=89), visual disturbance (n=42), or both (n=51). Mean follow-up was 21 months (range 6–37). Recurrence occurred in 16 cases (8.8%) at a mean of 10 months. Four partial recurrences were managed medically, 12 total recurrences required further intervention (repeat alcohol delamination n=3; PTK n=9). Mean CDVA improved by 0.3 logMAR. Mean epithelial healing time was 32.5 ± 7.2 days. Complications were rare: one infectious keratitis resolved medically and one delayed epithelial healing resulted in corneal scarring. Postoperative haze was noted in six recurrence cases.",
        "Conclusions": "Alcohol delamination using 20% ethanol is a safe and effective treatment for RCES, demonstrating durable symptom control with a low recurrence rate (<10%) over extended follow-up. The procedure provides meaningful visual improvement with a low complication profile and remains a valuable first-line surgical option prior to excimer laser intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Alcohol delamination using 20% ethanol is a safe and effective treatment for RCES, demonstrating durable symptom control with a low recurrence rate (<10%) over extended follow-up. The procedure provides meaningful visual improvement with a low complication profile and remains a valuable first-line surgical option prior to excimer laser intervention.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1206,
      "source_fields": {
        "Abstract Final Identifier": "POCOR524",
        "Title": "Long-Term Outcomes Of Alcohol Delamination For Recurrent Corneal Erosion Syndrome: A 13-Year Retrospective Case Series",
        "Presenting Author(s)": "Dr Vignesh Paulpandian",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Vignesh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Paulpandian",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the long-term safety and efficacy of alcohol delamination of the corneal epithelium in the management of recurrent corneal erosion syndrome (RCES).",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.",
        "Methods": "This retrospective consecutive case series included patients undergoing alcohol delamination between 2014 and 2025 for symptomatic RCES. The surgical technique involved application of 20% ethanol to loosen the corneal epithelium, followed by epithelial removal and standard postoperative ocular surface rehabilitation.\n\nThe primary outcome was recurrence, defined as return of symptomatic epithelial instability. Partial recurrence was defined as recurrence managed medically; total recurrence required further procedural intervention. Secondary outcomes included change in corrected distance visual acuity (CDVA), epithelial healing time, and complications.",
        "Results": "A total of 182 procedures were performed in 165 patients (17 bilateral). Mean age was 56.2 ± 9.2 years, with a male:female ratio of 1:1.5. Indications were recurrent erosions (n=89), visual disturbance (n=42), or both (n=51). Mean follow-up was 21 months (range 6–37). Recurrence occurred in 16 cases (8.8%) at a mean of 10 months. Four partial recurrences were managed medically, 12 total recurrences required further intervention (repeat alcohol delamination n=3; PTK n=9). Mean CDVA improved by 0.3 logMAR. Mean epithelial healing time was 32.5 ± 7.2 days. Complications were rare: one infectious keratitis resolved medically and one delayed epithelial healing resulted in corneal scarring. Postoperative haze was noted in six recurrence cases.",
        "Conclusions": "Alcohol delamination using 20% ethanol is a safe and effective treatment for RCES, demonstrating durable symptom control with a low recurrence rate (<10%) over extended follow-up. The procedure provides meaningful visual improvement with a low complication profile and remains a valuable first-line surgical option prior to excimer laser intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POCOR525",
      "abstract_number": "POCOR525",
      "title": "Epithelial Basement Membrane Dystrophy: A Clinical Challenge For Physicians And A Burden For Patients",
      "authors": "Dr Lidija Roger Perez Milosevic",
      "presenter": "Dr Lidija Roger Perez Milosevic",
      "normalized_authors": [
        "Lidija Roger Perez Milosevic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lidija Roger Perez Milosevic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "Epithelial Basement Membrane Dystrophy(EBMD) also known as map-dot-fingerprint dystrophy, is one of the most common anterior corneal dystrophies. It is characterized by abnormalities of the corneal epithelial basement membrane that lead to defective adhesion between the epithelium and the underlying layers of the cornea. As a result, patients may develop irregularities of the corneal surface, which can significantly affect visual quality and ocular comfort. Because of its variable clinical presentation and potential impact on patients’ quality of life, EBMD represents not only a significant burden for patients but also a continuing challenge for ophthalmologists in terms of diagnosis, management, and long-term follow-up.",
        "Setting": "Some people have no symptoms but others may experience:\n\nBlurred or fluctuating vision,Eye discomfort or mild pain,feeling like something is in the eye, light sensitivity t\n\nThe most significant complication-Recurrent Corneal Erosions(RCE) when the surface layer suddenly peels off,often upon waking cauising sharp pain,tearing and redness,irritating,swollen.\n\nDiagnostics\n\nSlit-lamp biomicroscopy typically reveals the classic epithelial patterns described as tipical for EMBD within the corneal epithelium.",
        "Methods": "fluorescein staining may demonstrate areas of epithelial irregularity or defects,especially during episodes of recurrent corneal erosion.\n\nAdditional diagnostic methods that may support the diagnosis include corneal topography , which can reveal irregular astigmatism and anterior segment optical coherence tomography (AS-OCT) which can demonstrate epithelial thickening and basement membrane abnormalities.\n\nDifferential Diagnosis. Recurrent Corneal Erosion , Meesmann Corneal Dystrophy , Lattice Corneal Dystrophy, Fuchs Endothelial Corneal Dystrophy , Dry Eye Disease,another condition that may mimic EBMD,particularly is Herpetic Keratitis which w as our case.A young female patient presented with recurrent episodes of ocular pain,photophobia,tearing and",
        "Results": "blurred vision in one eye.The symptoms were particularly pronounced in the morning upon awakening.Initial ophthalmologic examination revealed epithelial irregularities of the cornea associated with a superficial epithelial defect.Based on the clinical findings, Herpetic Keratitis was initially suspected.The patient was therefore treated with topical antiviral therapy and supportive treatment.The patient had episodes of Herpetic keratitis for several months, because of the leading suspicion later on the findings led to the diagnosis of EBMD\n\nTherapy depends on symptoms:\nartificial tears\nlubricating oils at night\nhypertonic drops or ointments\nantibiotic drops for erosion\nbandage contact lens\nanterior stromal puncture\nPTK by laser\nepithelial debridement",
        "Conclusions": "Epithelial Basement Membrane Dystrophy is corneal disorder that can cause recurrent epithelial defects and visual disturbances. Accurate diagnosis is essential, particularly in younger patients, to differentiate it from infectious keratitis and other corneal pathologies. Awareness of its characteristic slit-lamp findings allows for timely and appropriate management.Misdiagnosis as herpetic keratitis may lead to unnecessary antiviral therapy. Careful slit-lamp examination and recognition of map-dot-fingerprint patterns are crucial .Early recognition and tailored management strategies, including lubrication, protective measures, and procedural interventions when necessary, can reduce symptoms and improve quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Epithelial Basement Membrane Dystrophy is corneal disorder that can cause recurrent epithelial defects and visual disturbances. Accurate diagnosis is essential, particularly in younger patients, to differentiate it from infectious keratitis and other corneal pathologies. Awareness of its characteristic slit-lamp findings allows for timely and appropriate management.Misdiagnosis as herpetic keratitis may lead to…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1207,
      "source_fields": {
        "Abstract Final Identifier": "POCOR525",
        "Title": "Epithelial Basement Membrane Dystrophy: A Clinical Challenge For Physicians And A Burden For Patients",
        "Presenting Author(s)": "Dr Lidija Roger Perez Milosevic",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lidija",
        "Submitter Middle Name": "Roger",
        "Submitter Last Name": "Perez Milosevic",
        "Country Name": "Serbia",
        "Purpose": "Epithelial Basement Membrane Dystrophy(EBMD) also known as map-dot-fingerprint dystrophy, is one of the most common anterior corneal dystrophies. It is characterized by abnormalities of the corneal epithelial basement membrane that lead to defective adhesion between the epithelium and the underlying layers of the cornea. As a result, patients may develop irregularities of the corneal surface, which can significantly affect visual quality and ocular comfort. Because of its variable clinical presentation and potential impact on patients’ quality of life, EBMD represents not only a significant burden for patients but also a continuing challenge for ophthalmologists in terms of diagnosis, management, and long-term follow-up.",
        "Setting": "Some people have no symptoms but others may experience:\n\nBlurred or fluctuating vision,Eye discomfort or mild pain,feeling like something is in the eye, light sensitivity t\n\nThe most significant complication-Recurrent Corneal Erosions(RCE) when the surface layer suddenly peels off,often upon waking cauising sharp pain,tearing and redness,irritating,swollen.\n\nDiagnostics\n\nSlit-lamp biomicroscopy typically reveals the classic epithelial patterns described as tipical for EMBD within the corneal epithelium.",
        "Methods": "fluorescein staining may demonstrate areas of epithelial irregularity or defects,especially during episodes of recurrent corneal erosion.\n\nAdditional diagnostic methods that may support the diagnosis include corneal topography , which can reveal irregular astigmatism and anterior segment optical coherence tomography (AS-OCT) which can demonstrate epithelial thickening and basement membrane abnormalities.\n\nDifferential Diagnosis. Recurrent Corneal Erosion , Meesmann Corneal Dystrophy , Lattice Corneal Dystrophy, Fuchs Endothelial Corneal Dystrophy , Dry Eye Disease,another condition that may mimic EBMD,particularly is Herpetic Keratitis which w as our case.A young female patient presented with recurrent episodes of ocular pain,photophobia,tearing and",
        "Results": "blurred vision in one eye.The symptoms were particularly pronounced in the morning upon awakening.Initial ophthalmologic examination revealed epithelial irregularities of the cornea associated with a superficial epithelial defect.Based on the clinical findings, Herpetic Keratitis was initially suspected.The patient was therefore treated with topical antiviral therapy and supportive treatment.The patient had episodes of Herpetic keratitis for several months, because of the leading suspicion later on the findings led to the diagnosis of EBMD\n\nTherapy depends on symptoms:\nartificial tears\nlubricating oils at night\nhypertonic drops or ointments\nantibiotic drops for erosion\nbandage contact lens\nanterior stromal puncture\nPTK by laser\nepithelial debridement",
        "Conclusions": "Epithelial Basement Membrane Dystrophy is corneal disorder that can cause recurrent epithelial defects and visual disturbances. Accurate diagnosis is essential, particularly in younger patients, to differentiate it from infectious keratitis and other corneal pathologies. Awareness of its characteristic slit-lamp findings allows for timely and appropriate management.Misdiagnosis as herpetic keratitis may lead to unnecessary antiviral therapy. Careful slit-lamp examination and recognition of map-dot-fingerprint patterns are crucial .Early recognition and tailored management strategies, including lubrication, protective measures, and procedural interventions when necessary, can reduce symptoms and improve quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 465
    },
    {
      "uid": "POCOR526",
      "abstract_number": "POCOR526",
      "title": "Reliability And Validity Of The Thai Version Of The 6-Item Ocular Surface Disease Index (T-Osdi-6) For Dry Eye Disease",
      "authors": "Mr Pakornkit Phrueksaudomchai",
      "presenter": "Mr Pakornkit Phrueksaudomchai",
      "normalized_authors": [
        "Pakornkit Phrueksaudomchai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pakornkit Phrueksaudomchai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "To assess the reliability and validity of the Thai version of the 6-item Ocular Surface Disease Index (T-OSDI-6) for screening dry eye disease in the Thai population.",
        "Setting": "Online-based survey, Thammasat University Hospital, Thailand",
        "Methods": "The original English OSDI-6 was translated into Thai through a structured process involving ophthalmologists and linguists, followed by focus group review. Content validity was evaluated by 12 bilingual experts, including corneal specialists, general ophthalmologists, general practitioners, ophthalmic healthcare personnel, and language experts. Item Objective Congruence (IOC), item-level Content Validity Index (I-CVI), and scale-level Content Validity Index (S-CVI) were calculated. A total of 287 participants completed the questionnaire. Internal consistency was assessed using Cronbach’s alpha coefficient.",
        "Results": "IOC values ranged from 0.82 to 1.00 (mean 0.94), indicating strong agreement on item relevance. All items achieved an I-CVI of 1.00, with an overall S-CVI of 1.00, demonstrating excellent content validity. The T-OSDI-6 showed high internal consistency, with Cronbach’s alpha coefficients ranging from 0.836 to 0.855 (mean 0.842).",
        "Conclusions": "The T-OSDI-6 demonstrates excellent content validity and strong reliability. It is a concise and practical instrument suitable for screening and assessing dry eye disease in Thai clinical and research settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The T-OSDI-6 demonstrates excellent content validity and strong reliability. It is a concise and practical instrument suitable for screening and assessing dry eye disease in Thai clinical and research settings.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1208,
      "source_fields": {
        "Abstract Final Identifier": "POCOR526",
        "Title": "Reliability And Validity Of The Thai Version Of The 6-Item Ocular Surface Disease Index (T-Osdi-6) For Dry Eye Disease",
        "Presenting Author(s)": "Mr Pakornkit Phrueksaudomchai",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Pakornkit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Phrueksaudomchai",
        "Country Name": "Thailand",
        "Purpose": "To assess the reliability and validity of the Thai version of the 6-item Ocular Surface Disease Index (T-OSDI-6) for screening dry eye disease in the Thai population.",
        "Setting": "Online-based survey, Thammasat University Hospital, Thailand",
        "Methods": "The original English OSDI-6 was translated into Thai through a structured process involving ophthalmologists and linguists, followed by focus group review. Content validity was evaluated by 12 bilingual experts, including corneal specialists, general ophthalmologists, general practitioners, ophthalmic healthcare personnel, and language experts. Item Objective Congruence (IOC), item-level Content Validity Index (I-CVI), and scale-level Content Validity Index (S-CVI) were calculated. A total of 287 participants completed the questionnaire. Internal consistency was assessed using Cronbach’s alpha coefficient.",
        "Results": "IOC values ranged from 0.82 to 1.00 (mean 0.94), indicating strong agreement on item relevance. All items achieved an I-CVI of 1.00, with an overall S-CVI of 1.00, demonstrating excellent content validity. The T-OSDI-6 showed high internal consistency, with Cronbach’s alpha coefficients ranging from 0.836 to 0.855 (mean 0.842).",
        "Conclusions": "The T-OSDI-6 demonstrates excellent content validity and strong reliability. It is a concise and practical instrument suitable for screening and assessing dry eye disease in Thai clinical and research settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "POCOR527",
      "abstract_number": "POCOR527",
      "title": "A Retrospective Comparative Study Of Tissue Adhesive Application Versus Autologous Tenon’S Patch Graft In Corneal Perforations",
      "authors": "Dr Smruti Rekha Priyadarshini",
      "presenter": "Dr Smruti Rekha Priyadarshini",
      "normalized_authors": [
        "Smruti Rekha Priyadarshini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smruti Rekha Priyadarshini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To retrospectively study the outcome of autologous Tenon’s patch graft versus tissue adhesive application in corneal perforation",
        "Setting": "L.V Prasad Eye Institute, Bhubaneswar",
        "Methods": "We conducted age, gender, and indication-matched comparisons between two groups of subjects with corneal perforation (37 subjects each) who underwent Tenon's patch grafting (TPG) and Cyanoacrylate glue application (TABCL). Demographic and clinical data at presentation, etiological factors, visual acuity, site and size of perforation, use of systemic immunomodulators, and associated ocular comorbidities were recorded. Anatomical outcome was analysed at 1 week and 1 month.",
        "Results": "The most common indications in both groups were immune stromal melts seen in dry eyes, Stevens-Johnson Syndrome(SJS), Infection, trauma, post-keratoplasty, and chemical burns. Systemic diagnoses were primarily Sjogren's disease, SJS, Vitamin A deficiency, Diabetes, and Hypertension. Patients were evaluated with detailed slit lamp examination and Serial AS-OCT during the follow-ups. The two groups were comparable at baseline with respect to demographic and clinical characteristics (p > 0.05). Anatomical success at 1 week was achieved in 94.6% (TPG) and 94.4% (TABCL) groups (p = 1.00). At 1 month, anatomical success was noted in 94.6% and 94.3% of eyes, respectively (p = 1.00), with no statistically significant difference between groups.",
        "Conclusions": "Both autologous Tenon’s patch grafting and cyanoacrylate glue application are simple and effective surgical techniques for restoring ocular integrity in corneal perforations. They are alternatives to amniotic membrane grafting and defer the need for keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both autologous Tenon’s patch grafting and cyanoacrylate glue application are simple and effective surgical techniques for restoring ocular integrity in corneal perforations. They are alternatives to amniotic membrane grafting and defer the need for keratoplasty.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1209,
      "source_fields": {
        "Abstract Final Identifier": "POCOR527",
        "Title": "A Retrospective Comparative Study Of Tissue Adhesive Application Versus Autologous Tenon’S Patch Graft In Corneal Perforations",
        "Presenting Author(s)": "Dr Smruti Rekha Priyadarshini",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Smruti",
        "Submitter Middle Name": "Rekha",
        "Submitter Last Name": "Priyadarshini",
        "Country Name": "India",
        "Purpose": "To retrospectively study the outcome of autologous Tenon’s patch graft versus tissue adhesive application in corneal perforation",
        "Setting": "L.V Prasad Eye Institute, Bhubaneswar",
        "Methods": "We conducted age, gender, and indication-matched comparisons between two groups of subjects with corneal perforation (37 subjects each) who underwent Tenon's patch grafting (TPG) and Cyanoacrylate glue application (TABCL). Demographic and clinical data at presentation, etiological factors, visual acuity, site and size of perforation, use of systemic immunomodulators, and associated ocular comorbidities were recorded. Anatomical outcome was analysed at 1 week and 1 month.",
        "Results": "The most common indications in both groups were immune stromal melts seen in dry eyes, Stevens-Johnson Syndrome(SJS), Infection, trauma, post-keratoplasty, and chemical burns. Systemic diagnoses were primarily Sjogren's disease, SJS, Vitamin A deficiency, Diabetes, and Hypertension. Patients were evaluated with detailed slit lamp examination and Serial AS-OCT during the follow-ups. The two groups were comparable at baseline with respect to demographic and clinical characteristics (p > 0.05). Anatomical success at 1 week was achieved in 94.6% (TPG) and 94.4% (TABCL) groups (p = 1.00). At 1 month, anatomical success was noted in 94.6% and 94.3% of eyes, respectively (p = 1.00), with no statistically significant difference between groups.",
        "Conclusions": "Both autologous Tenon’s patch grafting and cyanoacrylate glue application are simple and effective surgical techniques for restoring ocular integrity in corneal perforations. They are alternatives to amniotic membrane grafting and defer the need for keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POCOR528",
      "abstract_number": "POCOR528",
      "title": "From Impact To Outcome: Short- And Long-Term Sequelae Of Carbide Gun–Related Ocular Injuries",
      "authors": "Dr Smruti Rekha Priyadarshini",
      "presenter": "Dr Smruti Rekha Priyadarshini",
      "normalized_authors": [
        "Smruti Rekha Priyadarshini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smruti Rekha Priyadarshini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the short and long term outcomes of carbide-related ocular trauma",
        "Setting": "L.V Prasad Eye Institute, Bhubaneswar, India",
        "Methods": "Sixty-five eyes with carbide-gun injuries were reviewed for demographics, type of burns, visual and anatomical outcome at 3 months, and 1 year.",
        "Results": "The mean age was 32.75 ± 13.98 years. Most patients were young (<20 years, 31.1%) with Grade 6 Dua’s grading (26.2%), and total limbal involvement (23.07%). Primary interventions performed were Amniotic membrane grafting (52.3%), EDTA chelation (21.5%), tarsorrhaphy (9.09%), and symblepharon release (1.6%). Secondary intervention included Simple Limbal Epithelial Transplantation (72.7%) and keratoplasty (36.4%). We observed complete recovery without sequelae(41.53%). In the remaining, the most common sequelae were corneal scarring (56.75%), partial limbal stem cell deficiency (40.54%), and symblepharon (7.69%). Visual acuity showed significant improvement (p<0.05) over time at 3 months (0.66 ± 0.80 logMAR) and 1 year (0.40 ± 0.67 logMAR).",
        "Conclusions": "Early stratification of injury severity and appropriate medical and surgical management can result in excellent visual and anatomical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early stratification of injury severity and appropriate medical and surgical management can result in excellent visual and anatomical outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1210,
      "source_fields": {
        "Abstract Final Identifier": "POCOR528",
        "Title": "From Impact To Outcome: Short- And Long-Term Sequelae Of Carbide Gun–Related Ocular Injuries",
        "Presenting Author(s)": "Dr Smruti Rekha Priyadarshini",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Smruti",
        "Submitter Middle Name": "Rekha",
        "Submitter Last Name": "Priyadarshini",
        "Country Name": "India",
        "Purpose": "To evaluate the short and long term outcomes of carbide-related ocular trauma",
        "Setting": "L.V Prasad Eye Institute, Bhubaneswar, India",
        "Methods": "Sixty-five eyes with carbide-gun injuries were reviewed for demographics, type of burns, visual and anatomical outcome at 3 months, and 1 year.",
        "Results": "The mean age was 32.75 ± 13.98 years. Most patients were young (<20 years, 31.1%) with Grade 6 Dua’s grading (26.2%), and total limbal involvement (23.07%). Primary interventions performed were Amniotic membrane grafting (52.3%), EDTA chelation (21.5%), tarsorrhaphy (9.09%), and symblepharon release (1.6%). Secondary intervention included Simple Limbal Epithelial Transplantation (72.7%) and keratoplasty (36.4%). We observed complete recovery without sequelae(41.53%). In the remaining, the most common sequelae were corneal scarring (56.75%), partial limbal stem cell deficiency (40.54%), and symblepharon (7.69%). Visual acuity showed significant improvement (p<0.05) over time at 3 months (0.66 ± 0.80 logMAR) and 1 year (0.40 ± 0.67 logMAR).",
        "Conclusions": "Early stratification of injury severity and appropriate medical and surgical management can result in excellent visual and anatomical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 181
    },
    {
      "uid": "POCOR529",
      "abstract_number": "POCOR529",
      "title": "Prevalence Of Demodex Blepharitis Among Patients With Chalazia And/Or Hordeola",
      "authors": "Dr Mark F Pyfer",
      "presenter": "Dr Mark F Pyfer",
      "normalized_authors": [
        "Mark F Pyfer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mark F. F Pyfer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To assess the prevalence of Demodex blepharitis (DB), identified by collarettes as its pathognomonic sign, in children and adult patients presenting with chalazia and/or hordeola.",
        "Setting": "Retrospective chart review of patients diagnosed with chalazia or hordeola.",
        "Methods": "This multicenter, retrospective chart review included children and adult patients who were diagnosed with chalazia and/or hordeola in the prior 12 months and were also evaluated for collarettes. Demographic information, lesion characteristics of the chalazion/hordeolum (count, duration, and recurrence), and the presence or absence of collarettes were recorded. Descriptive statistics were used to summarize demographics and clinical characteristics, and exploratory comparisons were conducted where applicable.",
        "Results": "In total, 83 patients were evaluated. Among patients with chalazia and/or hordeola, 71% (59/83) were found to have Demodex blepharitis. The mean age was 45.9 ± 19.3 years, and 65% were female. Chalazia were present in 94% (78/83) of patients, and 6% (5/83) had hordeola. Both right and left eyes were similarly affected. Patients with chalazia had a mean (SD) of 1 (0.2) chalazion for a median of 10 days, with nearly half (49%) lasting 1-7 days. Patients with hordeola had a mean (SD) of 1 (0.2) hordeolum for a median of 5 days, with 60% lasting 1-5 days. Among patients with recurrent chalazia (9%; n=7), the prevalence of DB was 86% (6/7) and with a mean of 1.7 recurrences over the preceding 12 months.",
        "Conclusions": "In the present study, among patients with chalazia and/or hordeola, 71% were found to have Demodex blepharitis. Although the subgroup with recurrent chalazia was small, the prevalence of DB was significantly higher (86%) than seen in patients with primary chalazia. These findings suggest DB may be common in chalazion and/or hordeolum cases and highlight the potential value of routine evaluation and treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the present study, among patients with chalazia and/or hordeola, 71% were found to have Demodex blepharitis. Although the subgroup with recurrent chalazia was small, the prevalence of DB was significantly higher (86%) than seen in patients with primary chalazia. These findings suggest DB may be common in chalazion and/or hordeolum cases and highlight the potential value of routine evaluation and treatment.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1211,
      "source_fields": {
        "Abstract Final Identifier": "POCOR529",
        "Title": "Prevalence Of Demodex Blepharitis Among Patients With Chalazia And/Or Hordeola",
        "Presenting Author(s)": "Dr Mark F Pyfer",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mark F.",
        "Submitter Middle Name": "F",
        "Submitter Last Name": "Pyfer",
        "Country Name": "United States",
        "Purpose": "To assess the prevalence of Demodex blepharitis (DB), identified by collarettes as its pathognomonic sign, in children and adult patients presenting with chalazia and/or hordeola.",
        "Setting": "Retrospective chart review of patients diagnosed with chalazia or hordeola.",
        "Methods": "This multicenter, retrospective chart review included children and adult patients who were diagnosed with chalazia and/or hordeola in the prior 12 months and were also evaluated for collarettes. Demographic information, lesion characteristics of the chalazion/hordeolum (count, duration, and recurrence), and the presence or absence of collarettes were recorded. Descriptive statistics were used to summarize demographics and clinical characteristics, and exploratory comparisons were conducted where applicable.",
        "Results": "In total, 83 patients were evaluated. Among patients with chalazia and/or hordeola, 71% (59/83) were found to have Demodex blepharitis. The mean age was 45.9 ± 19.3 years, and 65% were female. Chalazia were present in 94% (78/83) of patients, and 6% (5/83) had hordeola. Both right and left eyes were similarly affected. Patients with chalazia had a mean (SD) of 1 (0.2) chalazion for a median of 10 days, with nearly half (49%) lasting 1-7 days. Patients with hordeola had a mean (SD) of 1 (0.2) hordeolum for a median of 5 days, with 60% lasting 1-5 days. Among patients with recurrent chalazia (9%; n=7), the prevalence of DB was 86% (6/7) and with a mean of 1.7 recurrences over the preceding 12 months.",
        "Conclusions": "In the present study, among patients with chalazia and/or hordeola, 71% were found to have Demodex blepharitis. Although the subgroup with recurrent chalazia was small, the prevalence of DB was significantly higher (86%) than seen in patients with primary chalazia. These findings suggest DB may be common in chalazion and/or hordeolum cases and highlight the potential value of routine evaluation and treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "POCOR530",
      "abstract_number": "POCOR530",
      "title": "Ocular Surface Disease And Glaucoma Surgery",
      "authors": "Milica Vasovic",
      "presenter": "Milica Vasovic",
      "normalized_authors": [
        "Milica Vasovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marija Radenković",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "Ocular Surface Disease(OSD)(DEWS 2007) is multifactorial disease of tears and ocular surface that results in discomfort, visual disturbances, tear film instability, damage of ocular surface,inflammation. Classification:hyposecretory(Sy Sjogren/non-Sjogren) and evaporative. Delphi panel classification grades disease stages. Etiology: age, drugs, nutrition, systemic diseases, surgery, contact lenses, environment. Anterior segment surgical approach disrupts tear film in cataract, glaucoma, refractive, corneal, vitreoretinal surgery. Glaucoma surgery affects tear film,conjunctival incisions change ocular surface structure, decrease goblet cell density, filtration bleb changes ocular surface after trabeculectomy causing chronic inflammation.",
        "Setting": "Aim of this work is to present OSD frequency in patients after glaucoma surgery examined and surgicaly treated in Glaucoma department of Eye Clinic, University Clinical Center Nis. Also to determine the existence of postoperative difference in tear film parameters and finding after trabeculectomy due to anterior segment surgical approach.",
        "Methods": "We performed retrospective-prospective observation in Eye Clinic in 60 operated glaucoma patients(60eyes) with Open Angle Glaucoma (OAG) including: primary(POAG) and secondary exfoliative (XFG)glaucoma. Ophthalmological examination in patients before and after surgery was repeated at 7, 30 and 60 day postoperatively. Ocular Surface evaluation was performed by tear break-up time (TBUT), corneal and conjunctival vital dye staining(fluorescein, Rose Bengal) according to Oxford score, Schirmer test, thereafter results were incorporated in OSD grade and type following Delphi Panel Grading Scale and International Panel of experts guidelines, Dry Eye WorkShop (DEWS, 2007).The results were processed using descriptive statistical methods SPSS.",
        "Results": "Trabeculectomy influences tear-film changes in operated patients. OSD Grades presented statistically significant difference through time(Chi-Square=26,012;p˂0,0001). Postoperatively, IIb grade is frequent, most prevalent 30.and 60 day in both glaucoma (POAG and XFG). These occurs due to redistribution of normal/lower grades to severe IIb grade from 28.33% to 65% after second month. OSD clinical type distribution presents significant difference through postoperative time in both glaucoma POAG/XFG(Chi-Square=33,222;p˂0,0001). Before surgery mixed type is most frequent(66,67%).After surgery Evaporative OSD type predominants(71,67%). Two months later Mixed type returned to preoperative level. Hyposecretory subjects are in low percent.",
        "Conclusions": "OSD is frequent diagnosis in clinical practice following glaucoma, medical or surgicaly treated. Both conditions require attention and intervention. Analysis includes quantitative tear film parameters assessment: TBUT and Schirmer test, because the change in their results as a quantitative measure can be precisely analyzed, and incorporated together with other diagnostic criteria of dry eye into type and degree of OSD. Glaucoma surgery worsens OSD to higher grade for two months and increases evaporative type. As chronic condition, it is important to treat both diseases at the same time, we want to find out time of worsening after surgery to preserve ocular surface integrity, reduce inflamattion and improve trabeculectomy success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "OSD is frequent diagnosis in clinical practice following glaucoma, medical or surgicaly treated. Both conditions require attention and intervention. Analysis includes quantitative tear film parameters assessment: TBUT and Schirmer test, because the change in their results as a quantitative measure can be precisely analyzed, and incorporated together with other diagnostic criteria of dry eye into type and degree of…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1212,
      "source_fields": {
        "Abstract Final Identifier": "POCOR530",
        "Title": "Ocular Surface Disease And Glaucoma Surgery",
        "Presenting Author(s)": "Milica Vasovic",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Marija",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Radenković",
        "Country Name": "Serbia",
        "Purpose": "Ocular Surface Disease(OSD)(DEWS 2007) is multifactorial disease of tears and ocular surface that results in discomfort, visual disturbances, tear film instability, damage of ocular surface,inflammation. Classification:hyposecretory(Sy Sjogren/non-Sjogren) and evaporative. Delphi panel classification grades disease stages. Etiology: age, drugs, nutrition, systemic diseases, surgery, contact lenses, environment. Anterior segment surgical approach disrupts tear film in cataract, glaucoma, refractive, corneal, vitreoretinal surgery. Glaucoma surgery affects tear film,conjunctival incisions change ocular surface structure, decrease goblet cell density, filtration bleb changes ocular surface after trabeculectomy causing chronic inflammation.",
        "Setting": "Aim of this work is to present OSD frequency in patients after glaucoma surgery examined and surgicaly treated in Glaucoma department of Eye Clinic, University Clinical Center Nis. Also to determine the existence of postoperative difference in tear film parameters and finding after trabeculectomy due to anterior segment surgical approach.",
        "Methods": "We performed retrospective-prospective observation in Eye Clinic in 60 operated glaucoma patients(60eyes) with Open Angle Glaucoma (OAG) including: primary(POAG) and secondary exfoliative (XFG)glaucoma. Ophthalmological examination in patients before and after surgery was repeated at 7, 30 and 60 day postoperatively. Ocular Surface evaluation was performed by tear break-up time (TBUT), corneal and conjunctival vital dye staining(fluorescein, Rose Bengal) according to Oxford score, Schirmer test, thereafter results were incorporated in OSD grade and type following Delphi Panel Grading Scale and International Panel of experts guidelines, Dry Eye WorkShop (DEWS, 2007).The results were processed using descriptive statistical methods SPSS.",
        "Results": "Trabeculectomy influences tear-film changes in operated patients. OSD Grades presented statistically significant difference through time(Chi-Square=26,012;p˂0,0001). Postoperatively, IIb grade is frequent, most prevalent 30.and 60 day in both glaucoma (POAG and XFG). These occurs due to redistribution of normal/lower grades to severe IIb grade from 28.33% to 65% after second month. OSD clinical type distribution presents significant difference through postoperative time in both glaucoma POAG/XFG(Chi-Square=33,222;p˂0,0001). Before surgery mixed type is most frequent(66,67%).After surgery Evaporative OSD type predominants(71,67%). Two months later Mixed type returned to preoperative level. Hyposecretory subjects are in low percent.",
        "Conclusions": "OSD is frequent diagnosis in clinical practice following glaucoma, medical or surgicaly treated. Both conditions require attention and intervention. Analysis includes quantitative tear film parameters assessment: TBUT and Schirmer test, because the change in their results as a quantitative measure can be precisely analyzed, and incorporated together with other diagnostic criteria of dry eye into type and degree of OSD. Glaucoma surgery worsens OSD to higher grade for two months and increases evaporative type. As chronic condition, it is important to treat both diseases at the same time, we want to find out time of worsening after surgery to preserve ocular surface integrity, reduce inflamattion and improve trabeculectomy success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 463
    },
    {
      "uid": "POCOR531",
      "abstract_number": "POCOR531",
      "title": "Curvularia Lunata Keratitis Arising Atop Cyanoacrylate Adhesive In A Patient With Sjogren-Related Corneal Melt: Successful Stabilisation And Subsequent Surface And Cataract Rehabilitation",
      "authors": "Dr Raksheeth Nathan Rajagopal",
      "presenter": "Dr Raksheeth Nathan Rajagopal",
      "normalized_authors": [
        "Raksheeth Nathan Rajagopal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raksheeth Nathan Rajagopal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report the clinical course and management of dematiaceous fungal keratitis arising at a cyanoacrylate tissue adhesive (TA) site in a patient with rheumatoid arthritis-related sterile corneal melt and autoimmune dry eye, and to highlight perioperative strategies for subsequent cataract surgery.",
        "Setting": "The Eye Foundation, Coimbatore, a tertiary eye care centre in southern India",
        "Methods": "A 59-year-old woman with severe aqueous-deficient dry eye and sterile rheumatoid corneal melt in the left eye underwent TA and bandage contact lens (BCL) placement and was commenced on topical loteprednol, moxifloxacin, and lubricants. On development of a pigmented plaque at and around the TA site, the TA/BCL were removed, and corneal scrapings were obtained for microbiological evaluation.",
        "Results": "Culture grew Curvularia lunata , confirmed by MALDI-TOF mass spectrometry. Loteprednol was discontinued, and intensive topical natamycin 5% monotherapy was initiated, resulting in complete resolution by 1 month. Ocular surface stability was subsequently achieved with topical cyclosporine and escalation of systemic immunomodulation. Seven months later, staged phacoemulsification with IOL implantation and simultaneous punctal cautery were performed in both eyes. At 2 months postoperatively, the ocular surface remained stable, and the visual outcome was satisfactory. Preoperative Schirmer value of 4mm improved to 19mm in both eyes at the last follow-up visit.",
        "Conclusions": "Microbial keratitis can rarely complicate cyanoacrylate adhesive use, particularly on a compromised ocular surface. Early recognition, scraping/microbiological analysis, and prompt initiation of topical antifungal therapy are critical. Ocular surface optimization by topical and systemic immunomodulation, as well as adjunctive punctal cautery, can enable safe and successful cataract rehabilitation in autoimmune dry eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Microbial keratitis can rarely complicate cyanoacrylate adhesive use, particularly on a compromised ocular surface. Early recognition, scraping/microbiological analysis, and prompt initiation of topical antifungal therapy are critical. Ocular surface optimization by topical and systemic immunomodulation, as well as adjunctive punctal cautery, can enable safe and successful cataract rehabilitation in autoimmune dry…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1213,
      "source_fields": {
        "Abstract Final Identifier": "POCOR531",
        "Title": "Curvularia Lunata Keratitis Arising Atop Cyanoacrylate Adhesive In A Patient With Sjogren-Related Corneal Melt: Successful Stabilisation And Subsequent Surface And Cataract Rehabilitation",
        "Presenting Author(s)": "Dr Raksheeth Nathan Rajagopal",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Raksheeth Nathan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rajagopal",
        "Country Name": "India",
        "Purpose": "To report the clinical course and management of dematiaceous fungal keratitis arising at a cyanoacrylate tissue adhesive (TA) site in a patient with rheumatoid arthritis-related sterile corneal melt and autoimmune dry eye, and to highlight perioperative strategies for subsequent cataract surgery.",
        "Setting": "The Eye Foundation, Coimbatore, a tertiary eye care centre in southern India",
        "Methods": "A 59-year-old woman with severe aqueous-deficient dry eye and sterile rheumatoid corneal melt in the left eye underwent TA and bandage contact lens (BCL) placement and was commenced on topical loteprednol, moxifloxacin, and lubricants. On development of a pigmented plaque at and around the TA site, the TA/BCL were removed, and corneal scrapings were obtained for microbiological evaluation.",
        "Results": "Culture grew Curvularia lunata , confirmed by MALDI-TOF mass spectrometry. Loteprednol was discontinued, and intensive topical natamycin 5% monotherapy was initiated, resulting in complete resolution by 1 month. Ocular surface stability was subsequently achieved with topical cyclosporine and escalation of systemic immunomodulation. Seven months later, staged phacoemulsification with IOL implantation and simultaneous punctal cautery were performed in both eyes. At 2 months postoperatively, the ocular surface remained stable, and the visual outcome was satisfactory. Preoperative Schirmer value of 4mm improved to 19mm in both eyes at the last follow-up visit.",
        "Conclusions": "Microbial keratitis can rarely complicate cyanoacrylate adhesive use, particularly on a compromised ocular surface. Early recognition, scraping/microbiological analysis, and prompt initiation of topical antifungal therapy are critical. Ocular surface optimization by topical and systemic immunomodulation, as well as adjunctive punctal cautery, can enable safe and successful cataract rehabilitation in autoimmune dry eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POCOR532",
      "abstract_number": "POCOR532",
      "title": "A Novel Interactive, Artificial Intelligence (Ai) Platform For Real-Time Analysis Of Normal Characteristics And Morphology Of Corneal Subbasal Nerve Plexus.",
      "authors": "Prof. Dr Manuel Ramirez",
      "presenter": "Prof. Dr Manuel Ramirez",
      "normalized_authors": [
        "Manuel Ramirez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Manuel Ramirez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To develop and validate an accessible, web-based platform that combines automated AI analysis in real-time and expert-user correction to accurately evaluate subbasal nerve plexus (SBNP) characteristics and morphology from in vivo corneal confocal microscopy (IVCM) images.",
        "Setting": "The study was developed in a hight referral ophthalmology hospital in Mexico City, Mexico",
        "Methods": "400 SBNP images from 200 healthy patients’ corneal in vivo confocal microscopy scans were analyzed (94 men, 106 women; mean age was 31.5 ± 6.5, range 21–50 years). The best in focus SBNP image of each corneal confocal microscopy scan was selected. A browser-based application was developed featuring a three-stage workflow: 1) Initial manual tracing, 2) Semi-automated training with \"human-in-the-loop\" validation, and 3) Analysis and Reinforcement.",
        "Results": "We successfully generated an artificial intelligence model. It provided real-time quantification of NFD and nerve plexus orientation with visual feedback (heatmaps). User controls, such as manual orientation overrides and sensitivity adjustment by using the software settings, allowed for expert correction of inaccuracies. In testing with the 400-image dataset, the model confidence score demonstrated a clear positive trend, indicating improved consistency and reduced data variance.",
        "Conclusions": "We successfully developed an interactive platform bridging the gap between manual analysis and inflexible previous semi-automated systems. Artificial Intelligence proved to be an effective and efficient resource for obtaining SBNP characteristics, with the potential for future improvement. The \"Add to Model\" feature and manual overrides ensure expert-level accuracy, making this a powerful tool for high-throughput analysis in corneal neuropathy studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We successfully developed an interactive platform bridging the gap between manual analysis and inflexible previous semi-automated systems. Artificial Intelligence proved to be an effective and efficient resource for obtaining SBNP characteristics, with the potential for future improvement. The \"Add to Model\" feature and manual overrides ensure expert-level accuracy, making this a powerful tool for high-throughput…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1214,
      "source_fields": {
        "Abstract Final Identifier": "POCOR532",
        "Title": "A Novel Interactive, Artificial Intelligence (Ai) Platform For Real-Time Analysis Of Normal Characteristics And Morphology Of Corneal Subbasal Nerve Plexus.",
        "Presenting Author(s)": "Prof. Dr Manuel Ramirez",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Manuel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ramirez",
        "Country Name": "Mexico",
        "Purpose": "To develop and validate an accessible, web-based platform that combines automated AI analysis in real-time and expert-user correction to accurately evaluate subbasal nerve plexus (SBNP) characteristics and morphology from in vivo corneal confocal microscopy (IVCM) images.",
        "Setting": "The study was developed in a hight referral ophthalmology hospital in Mexico City, Mexico",
        "Methods": "400 SBNP images from 200 healthy patients’ corneal in vivo confocal microscopy scans were analyzed (94 men, 106 women; mean age was 31.5 ± 6.5, range 21–50 years). The best in focus SBNP image of each corneal confocal microscopy scan was selected. A browser-based application was developed featuring a three-stage workflow: 1) Initial manual tracing, 2) Semi-automated training with \"human-in-the-loop\" validation, and 3) Analysis and Reinforcement.",
        "Results": "We successfully generated an artificial intelligence model. It provided real-time quantification of NFD and nerve plexus orientation with visual feedback (heatmaps). User controls, such as manual orientation overrides and sensitivity adjustment by using the software settings, allowed for expert correction of inaccuracies. In testing with the 400-image dataset, the model confidence score demonstrated a clear positive trend, indicating improved consistency and reduced data variance.",
        "Conclusions": "We successfully developed an interactive platform bridging the gap between manual analysis and inflexible previous semi-automated systems. Artificial Intelligence proved to be an effective and efficient resource for obtaining SBNP characteristics, with the potential for future improvement. The \"Add to Model\" feature and manual overrides ensure expert-level accuracy, making this a powerful tool for high-throughput analysis in corneal neuropathy studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POCOR533",
      "abstract_number": "POCOR533",
      "title": "The Role Of Ialuvit Eye Drops In Management Of Corneal Haze Following Prk Surgery And Cases Of Adenoviral Keratitis",
      "authors": "Dr Ayman Ahmed Rashed",
      "presenter": "Dr Ayman Ahmed Rashed",
      "normalized_authors": [
        "Ayman Ahmed Rashed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayman Ahmed Rashed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To report the new role found for Ialuvit(0.05% Cyanocobalamin B , 0.05% taurine,0.5% sodium hyaluronate)eye drops in management of corneal haze in post PRK patients and cases with adenoviral keratitis.",
        "Setting": "The management of corneal haze has always been a challenge,and various medications were used to decrease it to avoid the need to look for surgical alternatives.",
        "Methods": "15 eyes of 15 patients with corneal haze ,8 following recent PRK surgery,\n\nand 7 with active adenoviral keratitis were properly selected.\n\nAll cases had significant central sub-epithelial corneal haze extending on a range of 3-5 mm on the corneal surface.\n\nAll patients were given a Ialuvit 4 times daily continuous for 2 weeks besides their regular treatment.",
        "Results": "Significant improvement of the haze in all the cases was noticed and seen by slit lamp examination, and improve in visual acuity as well.",
        "Conclusions": "Ialuvit eye drops has been reported to improve the surgical recovery following epi-off crosslinking, but its role in recovery of haze has not been documented yet.This short study hopes to spot the light on this new role ,and open the chance for a multicentered study to proof this role further."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ialuvit eye drops has been reported to improve the surgical recovery following epi-off crosslinking, but its role in recovery of haze has not been documented yet.This short study hopes to spot the light on this new role ,and open the chance for a multicentered study to proof this role further.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1215,
      "source_fields": {
        "Abstract Final Identifier": "POCOR533",
        "Title": "The Role Of Ialuvit Eye Drops In Management Of Corneal Haze Following Prk Surgery And Cases Of Adenoviral Keratitis",
        "Presenting Author(s)": "Dr Ayman Ahmed Rashed",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ayman",
        "Submitter Middle Name": "Ahmed",
        "Submitter Last Name": "Rashed",
        "Country Name": "United Arab Emirates",
        "Purpose": "To report the new role found for Ialuvit(0.05% Cyanocobalamin B , 0.05% taurine,0.5% sodium hyaluronate)eye drops in management of corneal haze in post PRK patients and cases with adenoviral keratitis.",
        "Setting": "The management of corneal haze has always been a challenge,and various medications were used to decrease it to avoid the need to look for surgical alternatives.",
        "Methods": "15 eyes of 15 patients with corneal haze ,8 following recent PRK surgery,\n\nand 7 with active adenoviral keratitis were properly selected.\n\nAll cases had significant central sub-epithelial corneal haze extending on a range of 3-5 mm on the corneal surface.\n\nAll patients were given a Ialuvit 4 times daily continuous for 2 weeks besides their regular treatment.",
        "Results": "Significant improvement of the haze in all the cases was noticed and seen by slit lamp examination, and improve in visual acuity as well.",
        "Conclusions": "Ialuvit eye drops has been reported to improve the surgical recovery following epi-off crosslinking, but its role in recovery of haze has not been documented yet.This short study hopes to spot the light on this new role ,and open the chance for a multicentered study to proof this role further."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "POCOR534",
      "abstract_number": "POCOR534",
      "title": "Alcohol Delamination As A Treatment Protocol For Recurrent Corneal Erosions In The Indian Population",
      "authors": "Dr Ramya Ravindran",
      "presenter": "Dr Ramya Ravindran",
      "normalized_authors": [
        "Ramya Ravindran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramya Ravindran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the efficacy of alcohol delamination as a treatment for recurrent cornel erosions and to determine any post op changes in corneal clarity and refraction",
        "Setting": "This was muticentric study based on two private hospitals in South and West India.",
        "Methods": "25 patients participated in this study which adhered to tenets of the declaration of Helinski. All the patients were diagnosed to have recurrent corneal erosions by a corneal consultant. They also had to have a minimum of 3 episodes of epithelial breakdown in the past year. The causative factor was classified as trauma, EBMD or unknown. All of them were explained about the procedure and signed an informed consent.The procedure involved applying 20%alcohol in a an area pre determined at the slit lamp of the negative staining zone and treating it for 40 seconds. A BCL was applied at the end of the procedure and patients had it removed at 1 week post op. Minimum follow up was 2 yrs.",
        "Results": "There was a slight female preponderence(13 female to 12 male) . with a majority of patients having a traumatic etiology(22 out of 25). Ages ranged from 21 to 59 years. 23 patients had no recurrence post procedure. None of the patients had any haze, scarring or change in refraction post procedure. procedure. 2 patients had one recurrence in the following year. the intensity and frequency of attacks was reduced. Visual acuity remained same post op.",
        "Conclusions": "Alcohol delamination is a safe and effective procedure for Recurrent corneal erosions . Untike other modalities of treatment, the is no change in refraction or any loss of clarity following this treatment. if necessary this can be the first line of management in these cases. it is however less effective in cases with basement membrane dystrophy ,though the frequency of attacks significantly reduce in those cases as well."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Alcohol delamination is a safe and effective procedure for Recurrent corneal erosions . Untike other modalities of treatment, the is no change in refraction or any loss of clarity following this treatment. if necessary this can be the first line of management in these cases. it is however less effective in cases with basement membrane dystrophy ,though the frequency of attacks significantly reduce in those cases as…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1216,
      "source_fields": {
        "Abstract Final Identifier": "POCOR534",
        "Title": "Alcohol Delamination As A Treatment Protocol For Recurrent Corneal Erosions In The Indian Population",
        "Presenting Author(s)": "Dr Ramya Ravindran",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ramya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ravindran",
        "Country Name": "India",
        "Purpose": "To evaluate the efficacy of alcohol delamination as a treatment for recurrent cornel erosions and to determine any post op changes in corneal clarity and refraction",
        "Setting": "This was muticentric study based on two private hospitals in South and West India.",
        "Methods": "25 patients participated in this study which adhered to tenets of the declaration of Helinski. All the patients were diagnosed to have recurrent corneal erosions by a corneal consultant. They also had to have a minimum of 3 episodes of epithelial breakdown in the past year. The causative factor was classified as trauma, EBMD or unknown. All of them were explained about the procedure and signed an informed consent.The procedure involved applying 20%alcohol in a an area pre determined at the slit lamp of the negative staining zone and treating it for 40 seconds. A BCL was applied at the end of the procedure and patients had it removed at 1 week post op. Minimum follow up was 2 yrs.",
        "Results": "There was a slight female preponderence(13 female to 12 male) . with a majority of patients having a traumatic etiology(22 out of 25). Ages ranged from 21 to 59 years. 23 patients had no recurrence post procedure. None of the patients had any haze, scarring or change in refraction post procedure. procedure. 2 patients had one recurrence in the following year. the intensity and frequency of attacks was reduced. Visual acuity remained same post op.",
        "Conclusions": "Alcohol delamination is a safe and effective procedure for Recurrent corneal erosions . Untike other modalities of treatment, the is no change in refraction or any loss of clarity following this treatment. if necessary this can be the first line of management in these cases. it is however less effective in cases with basement membrane dystrophy ,though the frequency of attacks significantly reduce in those cases as well."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POCOR535",
      "abstract_number": "POCOR535",
      "title": "Emergency Autologous Tectonic Management Of Corneal Perforations: Successes And Limitations Of Tenon's Capsule Patching",
      "authors": "Dr Sahar Rhalimi",
      "presenter": "Dr Sahar Rhalimi",
      "normalized_authors": [
        "Sahar Rhalimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sahar Rhalimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate the efficacy and limitations of autologous Tenon's capsule and conjunctival techniques in the emergency management of corneal perforations. This study highlights the surgical outcomes of these \"salvage\" procedures across various etiologies and identifies critical success factors, such as perioperative inflammatory control, when donor tissues are unavailable.",
        "Setting": "Ophthalmology Department, 20 Août 1953 Hospital, Ibn Rochd University Hospital Center, Casablanca, Morocco.",
        "Methods": "A case series of 5 eyes with acute corneal perforations (2 post-traumatic, 2 Rheumatoid Arthritis [RA], 1 dystrophic graft failure) was analyzed. Surgical techniques included localized Tenon's patches (4 eyes) and one double-layered bipedicled bridge flap (Tenon's capsule and conjunctiva). In one RA case, patching was performed prior to systemic inflammatory control. All procedures were emergency interventions due to lack of immediate access to amniotic membrane or keratoplasty.",
        "Results": "On postoperative day 1, 4 of 5 eyes showed anterior chamber reformation and successful sealing. However, the RA case where the Tenon's patch was applied before systemic corticosteroid therapy resulted in early suture dehiscence due to ongoing stromal melting. In contrast, the second RA case, managed with a conjunctival flap after a corticosteroid bolus, and the traumatic and dystrophic cases remained stable. No cases of endophthalmitis were reported.",
        "Conclusions": "Autologous Tenon's patching is a highly effective tectonic tool for emergency corneal sealing. However, its success in immune-mediated melting, such as in RA, is strictly dependent on concomitant systemic anti-inflammatory therapy. Without controlling the underlying collagenolysis, mechanical patching alone risks suture failure. This series confirms Tenon's tissue as a vital emergency resource while emphasizing the necessity of a combined medical-surgical approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autologous Tenon's patching is a highly effective tectonic tool for emergency corneal sealing. However, its success in immune-mediated melting, such as in RA, is strictly dependent on concomitant systemic anti-inflammatory therapy. Without controlling the underlying collagenolysis, mechanical patching alone risks suture failure. This series confirms Tenon's tissue as a vital emergency resource while emphasizing the…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1217,
      "source_fields": {
        "Abstract Final Identifier": "POCOR535",
        "Title": "Emergency Autologous Tectonic Management Of Corneal Perforations: Successes And Limitations Of Tenon's Capsule Patching",
        "Presenting Author(s)": "Dr Sahar Rhalimi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Sahar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rhalimi",
        "Country Name": "Morocco",
        "Purpose": "To evaluate the efficacy and limitations of autologous Tenon's capsule and conjunctival techniques in the emergency management of corneal perforations. This study highlights the surgical outcomes of these \"salvage\" procedures across various etiologies and identifies critical success factors, such as perioperative inflammatory control, when donor tissues are unavailable.",
        "Setting": "Ophthalmology Department, 20 Août 1953 Hospital, Ibn Rochd University Hospital Center, Casablanca, Morocco.",
        "Methods": "A case series of 5 eyes with acute corneal perforations (2 post-traumatic, 2 Rheumatoid Arthritis [RA], 1 dystrophic graft failure) was analyzed. Surgical techniques included localized Tenon's patches (4 eyes) and one double-layered bipedicled bridge flap (Tenon's capsule and conjunctiva). In one RA case, patching was performed prior to systemic inflammatory control. All procedures were emergency interventions due to lack of immediate access to amniotic membrane or keratoplasty.",
        "Results": "On postoperative day 1, 4 of 5 eyes showed anterior chamber reformation and successful sealing. However, the RA case where the Tenon's patch was applied before systemic corticosteroid therapy resulted in early suture dehiscence due to ongoing stromal melting. In contrast, the second RA case, managed with a conjunctival flap after a corticosteroid bolus, and the traumatic and dystrophic cases remained stable. No cases of endophthalmitis were reported.",
        "Conclusions": "Autologous Tenon's patching is a highly effective tectonic tool for emergency corneal sealing. However, its success in immune-mediated melting, such as in RA, is strictly dependent on concomitant systemic anti-inflammatory therapy. Without controlling the underlying collagenolysis, mechanical patching alone risks suture failure. This series confirms Tenon's tissue as a vital emergency resource while emphasizing the necessity of a combined medical-surgical approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POCOR536",
      "abstract_number": "POCOR536",
      "title": "Clinicopathological Correlation Of Clinically Suspected Ocular Surface Squamous Neoplasia: A Retrospective Cohort",
      "authors": "Dr Joana da Silva Rocha",
      "presenter": "Dr Joana da Silva Rocha",
      "normalized_authors": [
        "Joana da Silva Rocha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joana Rocha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To assess the concordance between clinical assessment and histopathological diagnosis in conjunctival and corneal lesions suspected of ocular surface squamous neoplasia (OSSN), and to identify clinical features associated with neoplastic and higher-grade disease.",
        "Setting": "Single-center retrospective study conducted at the Department of Ophthalmology, ULS Matosinhos (Porto, Portugal), including patients who underwent surgical excision of clinically suspicious ocular surface lesions between January of 2023 and February of 2026.",
        "Methods": "Medical records of patients undergoing primary excision of conjunctival or corneal lesions clinically classified as “suspicious for malignancy” or “of uncertain etiology” were reviewed. Preoperative clinical impressions were compared with histopathological findings, considered the reference standard. Associations between specific clinical features and histological diagnosis or grade (benign, CIN2, CIN3/CIS) were analyzed using Fisher’s exact test.",
        "Results": "Twenty patients were included (mean age 70.7±12.5 years; 65% male). Of the lesions clinically categorized as suspicious for malignancy (n=15), 7 were histologically confirmed as neoplastic, whereas none of the clinically doubtful lesions (n=5) showed neoplasia. Overall, neoplasia was confirmed in 35% (7/20) of cases, all corresponding to CIN, including 25% high-grade (CIN3/CIS). Pterygium was the most frequent benign diagnosis. Sentinel vessels were more frequently observed in high-grade lesions (80%) compared with lower-grade or benign lesions (33%). Papilliform morphology was more common in neoplastic lesions (42.9% vs 7.7%).",
        "Conclusions": "Clinical suspicion of OSSN resulted in histopathological confirmation in approximately one-third of cases, underscoring the diagnostic complexity of ocular surface lesions. Certain clinical features—particularly sentinel vessels and papilliform morphology—were more frequently associated with neoplastic and higher-grade disease and may assist in clinical risk stratification. Histopathological examination remains essential for definitive diagnosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Clinical suspicion of OSSN resulted in histopathological confirmation in approximately one-third of cases, underscoring the diagnostic complexity of ocular surface lesions. Certain clinical features—particularly sentinel vessels and papilliform morphology—were more frequently associated with neoplastic and higher-grade disease and may assist in clinical risk stratification. Histopathological examination remains…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1218,
      "source_fields": {
        "Abstract Final Identifier": "POCOR536",
        "Title": "Clinicopathological Correlation Of Clinically Suspected Ocular Surface Squamous Neoplasia: A Retrospective Cohort",
        "Presenting Author(s)": "Dr Joana da Silva Rocha",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Joana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rocha",
        "Country Name": "Portugal",
        "Purpose": "To assess the concordance between clinical assessment and histopathological diagnosis in conjunctival and corneal lesions suspected of ocular surface squamous neoplasia (OSSN), and to identify clinical features associated with neoplastic and higher-grade disease.",
        "Setting": "Single-center retrospective study conducted at the Department of Ophthalmology, ULS Matosinhos (Porto, Portugal), including patients who underwent surgical excision of clinically suspicious ocular surface lesions between January of 2023 and February of 2026.",
        "Methods": "Medical records of patients undergoing primary excision of conjunctival or corneal lesions clinically classified as “suspicious for malignancy” or “of uncertain etiology” were reviewed. Preoperative clinical impressions were compared with histopathological findings, considered the reference standard. Associations between specific clinical features and histological diagnosis or grade (benign, CIN2, CIN3/CIS) were analyzed using Fisher’s exact test.",
        "Results": "Twenty patients were included (mean age 70.7±12.5 years; 65% male). Of the lesions clinically categorized as suspicious for malignancy (n=15), 7 were histologically confirmed as neoplastic, whereas none of the clinically doubtful lesions (n=5) showed neoplasia. Overall, neoplasia was confirmed in 35% (7/20) of cases, all corresponding to CIN, including 25% high-grade (CIN3/CIS). Pterygium was the most frequent benign diagnosis. Sentinel vessels were more frequently observed in high-grade lesions (80%) compared with lower-grade or benign lesions (33%). Papilliform morphology was more common in neoplastic lesions (42.9% vs 7.7%).",
        "Conclusions": "Clinical suspicion of OSSN resulted in histopathological confirmation in approximately one-third of cases, underscoring the diagnostic complexity of ocular surface lesions. Certain clinical features—particularly sentinel vessels and papilliform morphology—were more frequently associated with neoplastic and higher-grade disease and may assist in clinical risk stratification. Histopathological examination remains essential for definitive diagnosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POCOR537",
      "abstract_number": "POCOR537",
      "title": "Evaluation Of Ocigel Coupling Agent: Tolerability, Safety, And Performance In Ophthalmic Diagnostics",
      "authors": "Dr Alessandro Mularoni",
      "presenter": "Dr Alessandro Mularoni",
      "normalized_authors": [
        "Alessandro Mularoni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Umberto Rodella",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "This study aimed to evaluate the tolerability, safety, and clinical performance of OCIGEL (AL.CHI.MI.A. SRL, Moria Group, Italy), a sterile, preservative-free, viscous and transparent single-dose gel used as a coupling agent with contact diagnostic lenses in ophthalmology.",
        "Setting": "This single-center study was conducted at the Ospedale di Stato (San Marino) on 37 adults patients (≥18 years) undergoing routine ophthalmic examination requiring contact diagnostic lenses.",
        "Methods": "OCIGEL was applied directly onto the contact diagnostic lens immediately before its placement on the cornea. Bulbar redness (BR) was quantified using the Keratograph® 5M before (BR1, after addition of mydriatic and anesthetic drops, routinely used in the examination) and 15 minutes after (BR2) OCIGEL application in the treated eye, with contralateral eye as control. Clinicians rated performance parameters (adhesion, tightness, transparency, absence of bubbles, ease of application) immediately after use. Local tolerability was evaluated through a questionnaire assessing burning, itching, pain, eyelid stickiness, and blurred vision on a 1–4 severity scale immediately post-application and at 15 minutes follow-up.",
        "Results": "Mean BR exhibited a minimal, non-significant increase in treated eyes (BR1: 1.50±0.60 to BR2: 1.90±0.88) comparable to changes in control eyes (BR1: 1.68±0.59 to BR2: 1.77±0.65), indicating absence of clinically relevant irritation.\n\nNo burning, itching, pain, or eyelid stickiness (0%) were reported, either before or after OCIGEL application. One subject experienced mild, transient blurred vision that resolved rapidly after rinsing with water, with no other adverse events. Clinical performance was excellent in 36 patients (97.3%) and good in 1 (2.7%) regarding OCIGEL adhesion, tightness, and transparency (100% favorable overall) during use. No bubbles were observed during any application, that was consistently rated “easy” or “very easy”.",
        "Conclusions": "OCIGEL showed excellent tolerability, safety (no significant irritation, adverse events, or meaningful BR changes), and robust clinical performance in real-world use, confirming its suitability as a coupling gel for contact diagnostic ophthalmology. These findings substantiate OCIGEL safety and efficacy as a coupling agent with contact diagnostic lenses in ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "OCIGEL showed excellent tolerability, safety (no significant irritation, adverse events, or meaningful BR changes), and robust clinical performance in real-world use, confirming its suitability as a coupling gel for contact diagnostic ophthalmology. These findings substantiate OCIGEL safety and efficacy as a coupling agent with contact diagnostic lenses in ophthalmology.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1219,
      "source_fields": {
        "Abstract Final Identifier": "POCOR537",
        "Title": "Evaluation Of Ocigel Coupling Agent: Tolerability, Safety, And Performance In Ophthalmic Diagnostics",
        "Presenting Author(s)": "Dr Alessandro Mularoni",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Umberto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodella",
        "Country Name": "Italy",
        "Purpose": "This study aimed to evaluate the tolerability, safety, and clinical performance of OCIGEL (AL.CHI.MI.A. SRL, Moria Group, Italy), a sterile, preservative-free, viscous and transparent single-dose gel used as a coupling agent with contact diagnostic lenses in ophthalmology.",
        "Setting": "This single-center study was conducted at the Ospedale di Stato (San Marino) on 37 adults patients (≥18 years) undergoing routine ophthalmic examination requiring contact diagnostic lenses.",
        "Methods": "OCIGEL was applied directly onto the contact diagnostic lens immediately before its placement on the cornea. Bulbar redness (BR) was quantified using the Keratograph® 5M before (BR1, after addition of mydriatic and anesthetic drops, routinely used in the examination) and 15 minutes after (BR2) OCIGEL application in the treated eye, with contralateral eye as control. Clinicians rated performance parameters (adhesion, tightness, transparency, absence of bubbles, ease of application) immediately after use. Local tolerability was evaluated through a questionnaire assessing burning, itching, pain, eyelid stickiness, and blurred vision on a 1–4 severity scale immediately post-application and at 15 minutes follow-up.",
        "Results": "Mean BR exhibited a minimal, non-significant increase in treated eyes (BR1: 1.50±0.60 to BR2: 1.90±0.88) comparable to changes in control eyes (BR1: 1.68±0.59 to BR2: 1.77±0.65), indicating absence of clinically relevant irritation.\n\nNo burning, itching, pain, or eyelid stickiness (0%) were reported, either before or after OCIGEL application. One subject experienced mild, transient blurred vision that resolved rapidly after rinsing with water, with no other adverse events. Clinical performance was excellent in 36 patients (97.3%) and good in 1 (2.7%) regarding OCIGEL adhesion, tightness, and transparency (100% favorable overall) during use. No bubbles were observed during any application, that was consistently rated “easy” or “very easy”.",
        "Conclusions": "OCIGEL showed excellent tolerability, safety (no significant irritation, adverse events, or meaningful BR changes), and robust clinical performance in real-world use, confirming its suitability as a coupling gel for contact diagnostic ophthalmology. These findings substantiate OCIGEL safety and efficacy as a coupling agent with contact diagnostic lenses in ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POCOR538",
      "abstract_number": "POCOR538",
      "title": "False-Positive Keratoconus In Eyes With Pterygium: Reversibility Of Tomographic And Biomechanical Artifacts After Surgery",
      "authors": "Dr Pablo Rodrigues",
      "presenter": "Dr Pablo Rodrigues",
      "normalized_authors": [
        "Pablo Rodrigues"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Rodrigues",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To investigate the reversibility of tomographic and biomechanical screening abnormalities induced by primary pterygium using Scheimpflug tomography and dynamic corneal response analysis.",
        "Setting": "Spot Clinic, São Paulo, Brazil",
        "Methods": "Prospective observational study including 25 eyes of 25 patients with primary nasal pterygium extending ≥2.0 mm onto the cornea. Pentacam HR and Corvis ST were performed preoperatively and 3 months after excision with conjunctival autografting. Tomographic parameters (Kmax, astigmatism, BAD-D, and topographic keratoconus classification [TKC]) and Corvis outcomes (deformation amplitude, peak distance, Corvis Biomechanical Index [CBI], Tomographic and Biomechanical Index [TBI], DA Ratio, Integrated Radius, Ambrosio Relational Thickness [ARTh], stiffness parameter at first applanation [SP-A1], and stress–strain index [SSI]) were compared using paired analyses.",
        "Results": "Kmax decreased from 45.78 ± 1.92 to 44.96 ± 1.88 D (p < 0.001), corneal astigmatism from 2.56 ± 0.92 to 1.89 ± 0.85 D (p < 0.001), and BAD-D from 2.89 ± 0.54 to 2.17 ± 0.48 (p < 0.001). Forty percent of eyes were classified as TKC ≥1 preoperatively, and all eyes were classified as TKC 0 postoperatively. Deformation amplitude decreased (1.18 ± 0.10 to 1.13 ± 0.09 mm; p = 0.014), and peak distance increased (4.08 ± 0.25 to 4.21 ± 0.28 mm; p = 0.041). Both composite screening indices declined (CBI: 0.31 ± 0.12 to 0.27 ± 0.10; p = 0.048; TBI: 0.42 ± 0.15 to 0.34 ± 0.13; p = 0.011).\n\nDA Ratio, Integrated Radius, ARTh, SP-A1, and SSI showed no significant changes (SSI: 1.39 ± 0.34 to 1.32 ± 0.32; p = 0.96).",
        "Conclusions": "Primary pterygium induces reversible alterations in tomographic and biomechanical screening that may mimic keratoconus-like patterns, particularly in artificial intelligence–based indices such as the TBI. Surgical excision leads to significant improvement in corneal tomography and normalization of composite ectasia screening indices, while parameters related to intrinsic corneal stiffness remain stable. These findings suggest that the observed preoperative abnormalities are primarily driven by anterior surface distortion rather than true biomechanical weakening. Post-excisional reassessment is essential to improve the accuracy of ectasia screening and clinical decision-making, especially in candidates for refractive or cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Primary pterygium induces reversible alterations in tomographic and biomechanical screening that may mimic keratoconus-like patterns, particularly in artificial intelligence–based indices such as the TBI. Surgical excision leads to significant improvement in corneal tomography and normalization of composite ectasia screening indices, while parameters related to intrinsic corneal stiffness remain stable. These…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1220,
      "source_fields": {
        "Abstract Final Identifier": "POCOR538",
        "Title": "False-Positive Keratoconus In Eyes With Pterygium: Reversibility Of Tomographic And Biomechanical Artifacts After Surgery",
        "Presenting Author(s)": "Dr Pablo Rodrigues",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodrigues",
        "Country Name": "Brazil",
        "Purpose": "To investigate the reversibility of tomographic and biomechanical screening abnormalities induced by primary pterygium using Scheimpflug tomography and dynamic corneal response analysis.",
        "Setting": "Spot Clinic, São Paulo, Brazil",
        "Methods": "Prospective observational study including 25 eyes of 25 patients with primary nasal pterygium extending ≥2.0 mm onto the cornea. Pentacam HR and Corvis ST were performed preoperatively and 3 months after excision with conjunctival autografting. Tomographic parameters (Kmax, astigmatism, BAD-D, and topographic keratoconus classification [TKC]) and Corvis outcomes (deformation amplitude, peak distance, Corvis Biomechanical Index [CBI], Tomographic and Biomechanical Index [TBI], DA Ratio, Integrated Radius, Ambrosio Relational Thickness [ARTh], stiffness parameter at first applanation [SP-A1], and stress–strain index [SSI]) were compared using paired analyses.",
        "Results": "Kmax decreased from 45.78 ± 1.92 to 44.96 ± 1.88 D (p < 0.001), corneal astigmatism from 2.56 ± 0.92 to 1.89 ± 0.85 D (p < 0.001), and BAD-D from 2.89 ± 0.54 to 2.17 ± 0.48 (p < 0.001). Forty percent of eyes were classified as TKC ≥1 preoperatively, and all eyes were classified as TKC 0 postoperatively. Deformation amplitude decreased (1.18 ± 0.10 to 1.13 ± 0.09 mm; p = 0.014), and peak distance increased (4.08 ± 0.25 to 4.21 ± 0.28 mm; p = 0.041). Both composite screening indices declined (CBI: 0.31 ± 0.12 to 0.27 ± 0.10; p = 0.048; TBI: 0.42 ± 0.15 to 0.34 ± 0.13; p = 0.011).\n\nDA Ratio, Integrated Radius, ARTh, SP-A1, and SSI showed no significant changes (SSI: 1.39 ± 0.34 to 1.32 ± 0.32; p = 0.96).",
        "Conclusions": "Primary pterygium induces reversible alterations in tomographic and biomechanical screening that may mimic keratoconus-like patterns, particularly in artificial intelligence–based indices such as the TBI. Surgical excision leads to significant improvement in corneal tomography and normalization of composite ectasia screening indices, while parameters related to intrinsic corneal stiffness remain stable. These findings suggest that the observed preoperative abnormalities are primarily driven by anterior surface distortion rather than true biomechanical weakening. Post-excisional reassessment is essential to improve the accuracy of ectasia screening and clinical decision-making, especially in candidates for refractive or cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POCOR539",
      "abstract_number": "POCOR539",
      "title": "Diagnostic Accuracy Of The Tear Film Index Test.",
      "authors": "Dr Maria S Romero",
      "presenter": "Dr Maria S Romero",
      "normalized_authors": [
        "Maria S Romero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria S Romero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare the Tear Film Index test by the iTrace ( Tracey technology) to the clinical gold standard diagnosis for tear film stability.",
        "Setting": "Private Practice Batimore.",
        "Methods": "Prospective diagnosis accuracy study.\n\nInclusion criteria; adults >18 yo with healthy ocular surface and no history of ocular comorbidity that had on the same visit the TFI test, OSDI questionnaire and BUT test and corneal fluorescein stainning.\n\nExclusion criteria: any patients with symptoms or diagnosis of dry eye, any active ocular surface disease, history of corneal surgery, irregular cornea or severe ptosis that could compromise the Placido disc images.\n\nPrimary endpoints: success was determined as Sensitivity>80 % and Specificity >85% compared to the gold standard in detecting tear film unstability.",
        "Results": "A total of 60 patients and 104 eyes were included in the study. The Tear Film Inndex by the iTrace met the success primary endpoints of sensitivity >80 % and specificy >85% with an slight difference with the right and lett eyes but not stadistical signifcance betwee them.",
        "Conclusions": "Tear Film Index test by the Itrace is reliable and accurate objective test do diagnose tear film stabiliy in the normal eyes compared with the gold standard based in our results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Tear Film Index test by the Itrace is reliable and accurate objective test do diagnose tear film stabiliy in the normal eyes compared with the gold standard based in our results.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1221,
      "source_fields": {
        "Abstract Final Identifier": "POCOR539",
        "Title": "Diagnostic Accuracy Of The Tear Film Index Test.",
        "Presenting Author(s)": "Dr Maria S Romero",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "S",
        "Submitter Last Name": "Romero",
        "Country Name": "United States",
        "Purpose": "To compare the Tear Film Index test by the iTrace ( Tracey technology) to the clinical gold standard diagnosis for tear film stability.",
        "Setting": "Private Practice Batimore.",
        "Methods": "Prospective diagnosis accuracy study.\n\nInclusion criteria; adults >18 yo with healthy ocular surface and no history of ocular comorbidity that had on the same visit the TFI test, OSDI questionnaire and BUT test and corneal fluorescein stainning.\n\nExclusion criteria: any patients with symptoms or diagnosis of dry eye, any active ocular surface disease, history of corneal surgery, irregular cornea or severe ptosis that could compromise the Placido disc images.\n\nPrimary endpoints: success was determined as Sensitivity>80 % and Specificity >85% compared to the gold standard in detecting tear film unstability.",
        "Results": "A total of 60 patients and 104 eyes were included in the study. The Tear Film Inndex by the iTrace met the success primary endpoints of sensitivity >80 % and specificy >85% with an slight difference with the right and lett eyes but not stadistical signifcance betwee them.",
        "Conclusions": "Tear Film Index test by the Itrace is reliable and accurate objective test do diagnose tear film stabiliy in the normal eyes compared with the gold standard based in our results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "POCOR540",
      "abstract_number": "POCOR540",
      "title": "Human Mitochondrial Transplantation As A Bioenergetic Regenerative Platform For Severe Corneal Injury: Translational Evidence From Animal Model",
      "authors": "Dr Ziv Rotfogel",
      "presenter": "Dr Ziv Rotfogel",
      "normalized_authors": [
        "Ziv Rotfogel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ziv Rotfogel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Severe corneal injuries such as chemical burns induce profound oxidative stress, mitochondrial dysfunction, and impaired epithelial regeneration, often resulting in persistent epithelial defects and long-term visual morbidity. We evaluated human mitochondrial transplantation as a bioenergetic regenerative strategy for corneal repair following acute chemical injury in mice.",
        "Setting": "Translational ophthalmology research laboratory.",
        "Methods": "A corneal chemical burn model was used to induce acute ocular surface injury. Human mitochondria purified from placenta were administered via drops once, compared with vehicle-treated controls. Primary efficacy endpoints included time to epithelial closure and wound healing kinetics quantified by fluorescein staining and digital image analysis. Secondary endpoints included stromal integrity, and safety outcomes.",
        "Results": "Treatment with human mitochondria resulted in improved corneal wound healing compared with controls, demonstrating accelerated epithelial closure and favorable corneal recovery signals. No treatment-related safety signals were observed, including no increase in inflammation or structural toxicity over the follow-up period.",
        "Conclusions": "Human mitochondrial transplantation supports corneal repair after severe chemical injury and represents a translationally relevant regenerative strategy for anterior segment disease. These findings establish a platform for targeting bioenergetic failure across corneal pathologies and motivate ongoing evaluation in additional clinically relevant models."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Human mitochondrial transplantation supports corneal repair after severe chemical injury and represents a translationally relevant regenerative strategy for anterior segment disease. These findings establish a platform for targeting bioenergetic failure across corneal pathologies and motivate ongoing evaluation in additional clinically relevant models.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1222,
      "source_fields": {
        "Abstract Final Identifier": "POCOR540",
        "Title": "Human Mitochondrial Transplantation As A Bioenergetic Regenerative Platform For Severe Corneal Injury: Translational Evidence From Animal Model",
        "Presenting Author(s)": "Dr Ziv Rotfogel",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ziv",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rotfogel",
        "Country Name": "Israel",
        "Purpose": "Severe corneal injuries such as chemical burns induce profound oxidative stress, mitochondrial dysfunction, and impaired epithelial regeneration, often resulting in persistent epithelial defects and long-term visual morbidity. We evaluated human mitochondrial transplantation as a bioenergetic regenerative strategy for corneal repair following acute chemical injury in mice.",
        "Setting": "Translational ophthalmology research laboratory.",
        "Methods": "A corneal chemical burn model was used to induce acute ocular surface injury. Human mitochondria purified from placenta were administered via drops once, compared with vehicle-treated controls. Primary efficacy endpoints included time to epithelial closure and wound healing kinetics quantified by fluorescein staining and digital image analysis. Secondary endpoints included stromal integrity, and safety outcomes.",
        "Results": "Treatment with human mitochondria resulted in improved corneal wound healing compared with controls, demonstrating accelerated epithelial closure and favorable corneal recovery signals. No treatment-related safety signals were observed, including no increase in inflammation or structural toxicity over the follow-up period.",
        "Conclusions": "Human mitochondrial transplantation supports corneal repair after severe chemical injury and represents a translationally relevant regenerative strategy for anterior segment disease. These findings establish a platform for targeting bioenergetic failure across corneal pathologies and motivate ongoing evaluation in additional clinically relevant models."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 187
    },
    {
      "uid": "POCOR541",
      "abstract_number": "POCOR541",
      "title": "Boston Type 1 Keratoprosthesis Vs. Repeat Penetrating Keratoplasty For Single Corneal Graft Failure: Real-World Experience From A Tertiary Care Center",
      "authors": "Dr Raul E. Ruiz-Lozano",
      "presenter": "Dr Raul E. Ruiz-Lozano",
      "normalized_authors": [
        "Raul E. Ruiz-Lozano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raul E. Ruiz-Lozano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare the outcomes of Boston type 1 keratoprosthesis (KPro) vs. repeat penetrating keratoplasty in patients with a single corneal graft failure.",
        "Setting": "Single-center, retrospective, cohort study of eyes with a history of one failed PKP.",
        "Methods": "Post-PKP eyes were divided into two groups; those who underwent repeat PKP and those who underwent KPro surgery at the Illinois Eye & Ear Infirmary. Outcomes included visual acuity improvement and graft failure or KPro retention failure, defined as device replacement with standard PKP or enucleation. Groups comparisons were made with the Fisher exact test or Mann-Whitney U test, as appropriate. A P-value of <0.05 was deemed statistically significant.",
        "Results": "A total of 101 eyes were included for analysis; 47 (47%) eyes underwent repeat PKP and 54 (53%) KPro surgery. The median follow-up time was significantly in the KPro surgery group (67 months, range: 26–121 months) compared with the repeat PKP group (20 months, range: 6–38 months) (P < 0.001). Graft failure (n = 21/47, 45%) was significantly more frequent than KPro retention failure (n = 10/54, 19%) (P = 0.005). Compared with baseline, the proportion of eyes experiencing visual improvement was non-significantly higher in the KPro surgery (n = 28/54, 52%) compared with the repeat PKP group (n = 30/74, 41%) (P = 0.235).",
        "Conclusions": "Despite longer follow-up, the KPro group showed increased survival compared to repeat PKP in eyes with single corneal graft failure. Both interventions showed similar visual outcomes. Larger studies with extended follow-up are required to validate these conclusions.\n\n*Note: Due to time issues, this is only a preliminary analysis. A thorough study including a larger sample and analyzing for risk factors associated with graft failure will be analyzed with multivariable analyses and Kaplan-Meier plots for final presentation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite longer follow-up, the KPro group showed increased survival compared to repeat PKP in eyes with single corneal graft failure. Both interventions showed similar visual outcomes. Larger studies with extended follow-up are required to validate these conclusions. *Note: Due to time issues, this is only a preliminary analysis. A thorough study including a larger sample and analyzing for risk factors associated…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1223,
      "source_fields": {
        "Abstract Final Identifier": "POCOR541",
        "Title": "Boston Type 1 Keratoprosthesis Vs. Repeat Penetrating Keratoplasty For Single Corneal Graft Failure: Real-World Experience From A Tertiary Care Center",
        "Presenting Author(s)": "Dr Raul E. Ruiz-Lozano",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Raul",
        "Submitter Middle Name": "E.",
        "Submitter Last Name": "Ruiz-Lozano",
        "Country Name": "United States",
        "Purpose": "To compare the outcomes of Boston type 1 keratoprosthesis (KPro) vs. repeat penetrating keratoplasty in patients with a single corneal graft failure.",
        "Setting": "Single-center, retrospective, cohort study of eyes with a history of one failed PKP.",
        "Methods": "Post-PKP eyes were divided into two groups; those who underwent repeat PKP and those who underwent KPro surgery at the Illinois Eye & Ear Infirmary. Outcomes included visual acuity improvement and graft failure or KPro retention failure, defined as device replacement with standard PKP or enucleation. Groups comparisons were made with the Fisher exact test or Mann-Whitney U test, as appropriate. A P-value of <0.05 was deemed statistically significant.",
        "Results": "A total of 101 eyes were included for analysis; 47 (47%) eyes underwent repeat PKP and 54 (53%) KPro surgery. The median follow-up time was significantly in the KPro surgery group (67 months, range: 26–121 months) compared with the repeat PKP group (20 months, range: 6–38 months) (P < 0.001). Graft failure (n = 21/47, 45%) was significantly more frequent than KPro retention failure (n = 10/54, 19%) (P = 0.005). Compared with baseline, the proportion of eyes experiencing visual improvement was non-significantly higher in the KPro surgery (n = 28/54, 52%) compared with the repeat PKP group (n = 30/74, 41%) (P = 0.235).",
        "Conclusions": "Despite longer follow-up, the KPro group showed increased survival compared to repeat PKP in eyes with single corneal graft failure. Both interventions showed similar visual outcomes. Larger studies with extended follow-up are required to validate these conclusions.\n\n*Note: Due to time issues, this is only a preliminary analysis. A thorough study including a larger sample and analyzing for risk factors associated with graft failure will be analyzed with multivariable analyses and Kaplan-Meier plots for final presentation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POCOR542",
      "abstract_number": "POCOR542",
      "title": "Ocular Manifestations Of Tangier Disease: Rare Reported Case With Comparative Review Of Published Literature",
      "authors": "Dr Muhammad Saad",
      "presenter": "Dr Muhammad Saad",
      "normalized_authors": [
        "Muhammad Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammad Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ireland",
      "sections": {
        "Purpose": "To describe the clinical and multimodal imaging features of ocular involvement in a patient with genetically confirmed Tangier disease presenting in Galway, Ireland, and to contextualize these findings within previously reported international case literature.",
        "Setting": "Department of Ophthalmology, Galway University Hospital, Galway, Ireland.",
        "Methods": "This is a single-patient observational case report.\n\nA comprehensive ophthalmic evaluation was performed including:\n\nBest-corrected visual acuity (BCVA)\n\nSlit-lamp biomicroscopy\n\nIntraocular pressure measurement\n\nDilated fundus examination\n\nOptical coherence tomography (OCT) of macula and retina\n\nAnterior Segment photography\n\nLaboratory lipid profile\n\nClinical findings were compared with previously published case reports describing ocular manifestations of Tangier disease.",
        "Results": "A middle-aged patient presented with:\n\nMarkedly reduced HDL cholesterol levels\n\nKnown systemic diagnosis of Tangier disease\n\nBilateral corneal stromal opacification\n\nPreserved central visual acuity\n\nNo significant macular edema or active inflammatory pathology was observed.\n\nCompared to previously reported cases:\n\nCorneal involvement remains the most consistent ophthalmic feature.",
        "Conclusions": "Tangier disease, caused by mutations in the ABCA1 gene leading to severely reduced HDL cholesterol, can manifest with characteristic corneal lipid deposition and occasional retinal changes.\n\nAlthough rare, ophthalmologists should consider Tangier disease in patients presenting with:\n\nBilateral corneal haze\n\nExtremely low HDL cholesterol\n\nSystemic findings such as enlarged tonsils or neuropathy\n\nThis case expands the global ophthalmic literature and reinforces the importance of multidisciplinary collaboration in diagnosing rare metabolic disorders with ocular manifestations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Tangier disease, caused by mutations in the ABCA1 gene leading to severely reduced HDL cholesterol, can manifest with characteristic corneal lipid deposition and occasional retinal changes. Although rare, ophthalmologists should consider Tangier disease in patients presenting with: Bilateral corneal haze Extremely low HDL cholesterol Systemic findings such as enlarged tonsils or neuropathy This case expands the…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1224,
      "source_fields": {
        "Abstract Final Identifier": "POCOR542",
        "Title": "Ocular Manifestations Of Tangier Disease: Rare Reported Case With Comparative Review Of Published Literature",
        "Presenting Author(s)": "Dr Muhammad Saad",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Muhammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Ireland",
        "Purpose": "To describe the clinical and multimodal imaging features of ocular involvement in a patient with genetically confirmed Tangier disease presenting in Galway, Ireland, and to contextualize these findings within previously reported international case literature.",
        "Setting": "Department of Ophthalmology, Galway University Hospital, Galway, Ireland.",
        "Methods": "This is a single-patient observational case report.\n\nA comprehensive ophthalmic evaluation was performed including:\n\nBest-corrected visual acuity (BCVA)\n\nSlit-lamp biomicroscopy\n\nIntraocular pressure measurement\n\nDilated fundus examination\n\nOptical coherence tomography (OCT) of macula and retina\n\nAnterior Segment photography\n\nLaboratory lipid profile\n\nClinical findings were compared with previously published case reports describing ocular manifestations of Tangier disease.",
        "Results": "A middle-aged patient presented with:\n\nMarkedly reduced HDL cholesterol levels\n\nKnown systemic diagnosis of Tangier disease\n\nBilateral corneal stromal opacification\n\nPreserved central visual acuity\n\nNo significant macular edema or active inflammatory pathology was observed.\n\nCompared to previously reported cases:\n\nCorneal involvement remains the most consistent ophthalmic feature.",
        "Conclusions": "Tangier disease, caused by mutations in the ABCA1 gene leading to severely reduced HDL cholesterol, can manifest with characteristic corneal lipid deposition and occasional retinal changes.\n\nAlthough rare, ophthalmologists should consider Tangier disease in patients presenting with:\n\nBilateral corneal haze\n\nExtremely low HDL cholesterol\n\nSystemic findings such as enlarged tonsils or neuropathy\n\nThis case expands the global ophthalmic literature and reinforces the importance of multidisciplinary collaboration in diagnosing rare metabolic disorders with ocular manifestations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POCOR543",
      "abstract_number": "POCOR543",
      "title": "Optimising Emergency Corneal Gluing: Pre-Prepared Packs And A Qr-Linked Video To Improve Sourcing Delays And Trainee Confidence",
      "authors": "Dr Bnar Massraf",
      "presenter": "Dr Bnar Massraf",
      "normalized_authors": [
        "Bnar Massraf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hadi Mikhael Sabbagh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Corneal perforation is an ophthalmic emergency with immediate risk of irreversible visual loss and structural collapse of the globe. Cyanoacrylate corneal gluing provides a sight- and globe-saving temporising measure by sealing the defect, restoring anterior chamber stability, and reducing microbial ingress. We identified time sensitive delays in patient management and set out several strategies to design a quality improvement project to improve intervention time and resident doctor confidence.",
        "Setting": "The Emergenct Eye clinuc at the Hinchingbrooke Hospital, North - West Anglia NHS Foundation Trust, Huntingdon, United Kingdom.",
        "Methods": "The project employed a pre- and post-intervention design. Baseline performance was assessed by timing residents sourcing instruments and materials required for a corneal gluing procedure from standard stock. Trainee confidence and perceived preparedness were evaluated using structured questionnaires. The intervention consisted of pre-assembled corneal gluing packs containing all required equipment, accompanied by a QR code linking to a concise procedural instructional video. Post-intervention timing metrics and qualitative feedback on usability and confidence were collected to assess impact.",
        "Results": "Baseline medi an equipment assembly time was 1 5 minutes (range 8 - 2 0 ). Trainee’s mean confidence in management of corneal gluing was 6/10. Following our intervention of pre-assembled packs and QR-linked video, we found the median time taken decreased to 35 seconds (range 25 - 50 ) , equating to a 96 % reduction and markedly improved emergency readiness . Trainee confidence also improved to 9/10 post-intervention , reporting improved procedural understanding and ease in their cognitive load when approaching emergency cases of corneal perforation .",
        "Conclusions": "Standardisation of emergency corneal gluing through pre-assembled procedural packs and a QR-linked instructional video significantly reduced treatment delays and improved trainee confidence in managing corneal perforations. By streamlining access to equipment and guidance, this low-cost intervention enhances preparedness for a sight-threatening emergency and promotes safer, more efficient patient care. The model is easily reproducible and scalable across ophthalmic units aiming to optimise delivery of other time-critical procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Standardisation of emergency corneal gluing through pre-assembled procedural packs and a QR-linked instructional video significantly reduced treatment delays and improved trainee confidence in managing corneal perforations. By streamlining access to equipment and guidance, this low-cost intervention enhances preparedness for a sight-threatening emergency and promotes safer, more efficient patient care. The model is…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1225,
      "source_fields": {
        "Abstract Final Identifier": "POCOR543",
        "Title": "Optimising Emergency Corneal Gluing: Pre-Prepared Packs And A Qr-Linked Video To Improve Sourcing Delays And Trainee Confidence",
        "Presenting Author(s)": "Dr Bnar Massraf",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hadi",
        "Submitter Middle Name": "Mikhael",
        "Submitter Last Name": "Sabbagh",
        "Country Name": "United Kingdom",
        "Purpose": "Corneal perforation is an ophthalmic emergency with immediate risk of irreversible visual loss and structural collapse of the globe. Cyanoacrylate corneal gluing provides a sight- and globe-saving temporising measure by sealing the defect, restoring anterior chamber stability, and reducing microbial ingress. We identified time sensitive delays in patient management and set out several strategies to design a quality improvement project to improve intervention time and resident doctor confidence.",
        "Setting": "The Emergenct Eye clinuc at the Hinchingbrooke Hospital, North - West Anglia NHS Foundation Trust, Huntingdon, United Kingdom.",
        "Methods": "The project employed a pre- and post-intervention design. Baseline performance was assessed by timing residents sourcing instruments and materials required for a corneal gluing procedure from standard stock. Trainee confidence and perceived preparedness were evaluated using structured questionnaires. The intervention consisted of pre-assembled corneal gluing packs containing all required equipment, accompanied by a QR code linking to a concise procedural instructional video. Post-intervention timing metrics and qualitative feedback on usability and confidence were collected to assess impact.",
        "Results": "Baseline medi an equipment assembly time was 1 5 minutes (range 8 - 2 0 ). Trainee’s mean confidence in management of corneal gluing was 6/10. Following our intervention of pre-assembled packs and QR-linked video, we found the median time taken decreased to 35 seconds (range 25 - 50 ) , equating to a 96 % reduction and markedly improved emergency readiness . Trainee confidence also improved to 9/10 post-intervention , reporting improved procedural understanding and ease in their cognitive load when approaching emergency cases of corneal perforation .",
        "Conclusions": "Standardisation of emergency corneal gluing through pre-assembled procedural packs and a QR-linked instructional video significantly reduced treatment delays and improved trainee confidence in managing corneal perforations. By streamlining access to equipment and guidance, this low-cost intervention enhances preparedness for a sight-threatening emergency and promotes safer, more efficient patient care. The model is easily reproducible and scalable across ophthalmic units aiming to optimise delivery of other time-critical procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POCOR544",
      "abstract_number": "POCOR544",
      "title": "Reversible Visual Loss In Rheumatoid Arthritis: Ocular Surface Optimization As A Primary Visual Rehabilitation Strategy",
      "authors": "Dr Ahmed Safie Eldeen",
      "presenter": "Dr Ahmed Safie Eldeen",
      "normalized_authors": [
        "Ahmed Safie Eldeen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Safie Eldeen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To demonstrate the impact of severe autoimmune dry eye on visual acuity and the role of ocular surface stabilization as a primary step in visual rehabilitation",
        "Setting": "Private ophthalmology practice, Egypt",
        "Methods": "Interventional case report.\n\nA patient with known rheumatoid arthritis presented with a progressive decrease in vision not explained by refractive error or media opacity.\n\nClinical evaluation included:\n\n• Slit lamp examination\n\n• Tear film assessment\n\n• Corneal surface evaluation with fluorescein staining\n\nFindings revealed severe ocular surface disease characterized by marked tear film instability and diffuse punctate epithelial erosions.\n\nThe patient was treated with:\n\n• Preservative-free artificial tears (frequent dosing)\n\n• Topical cyclosporine A 0.05% and a short course of topical corticosteroid\n\nNo refractive correction or surgical intervention was performed.",
        "Results": "Pre-treatment best corrected visual acuity (BCVA): 0.5\n\nAfter ocular surface optimization:\n\n•\nMarked reduction in epithelial erosions\n\n•\nImproved tear film stability\n\n•\nBCVA improved to 1.0\n\nVisual recovery correlated with restoration of corneal surface regularity rather than refractive change.",
        "Conclusions": "Severe autoimmune dry eye may cause significant yet reversible visual loss mimicking refractive or media pathology.\n\nOcular surface optimization should be considered a primary visual rehabilitation step before planning refractive or cataract intervention in patients with systemic autoimmune disease.\n\nFailure to recognize this may lead to unnecessary surgical procedures and inaccurate biometric measurements."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Severe autoimmune dry eye may cause significant yet reversible visual loss mimicking refractive or media pathology. Ocular surface optimization should be considered a primary visual rehabilitation step before planning refractive or cataract intervention in patients with systemic autoimmune disease. Failure to recognize this may lead to unnecessary surgical procedures and inaccurate biometric measurements.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1226,
      "source_fields": {
        "Abstract Final Identifier": "POCOR544",
        "Title": "Reversible Visual Loss In Rheumatoid Arthritis: Ocular Surface Optimization As A Primary Visual Rehabilitation Strategy",
        "Presenting Author(s)": "Dr Ahmed Safie Eldeen",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Safie Eldeen",
        "Country Name": "Egypt",
        "Purpose": "To demonstrate the impact of severe autoimmune dry eye on visual acuity and the role of ocular surface stabilization as a primary step in visual rehabilitation",
        "Setting": "Private ophthalmology practice, Egypt",
        "Methods": "Interventional case report.\n\nA patient with known rheumatoid arthritis presented with a progressive decrease in vision not explained by refractive error or media opacity.\n\nClinical evaluation included:\n\n• Slit lamp examination\n\n• Tear film assessment\n\n• Corneal surface evaluation with fluorescein staining\n\nFindings revealed severe ocular surface disease characterized by marked tear film instability and diffuse punctate epithelial erosions.\n\nThe patient was treated with:\n\n• Preservative-free artificial tears (frequent dosing)\n\n• Topical cyclosporine A 0.05% and a short course of topical corticosteroid\n\nNo refractive correction or surgical intervention was performed.",
        "Results": "Pre-treatment best corrected visual acuity (BCVA): 0.5\n\nAfter ocular surface optimization:\n\n•\nMarked reduction in epithelial erosions\n\n•\nImproved tear film stability\n\n•\nBCVA improved to 1.0\n\nVisual recovery correlated with restoration of corneal surface regularity rather than refractive change.",
        "Conclusions": "Severe autoimmune dry eye may cause significant yet reversible visual loss mimicking refractive or media pathology.\n\nOcular surface optimization should be considered a primary visual rehabilitation step before planning refractive or cataract intervention in patients with systemic autoimmune disease.\n\nFailure to recognize this may lead to unnecessary surgical procedures and inaccurate biometric measurements."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 208
    },
    {
      "uid": "POCOR545",
      "abstract_number": "POCOR545",
      "title": "Effect Of Dry Eye On Corneal Epithelial Mapping And High Order Aberration",
      "authors": "Dr Hams Samy",
      "presenter": "Dr Hams Samy",
      "normalized_authors": [
        "Hams Samy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hams Samy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "•The primary objective:\n\nis to characterize the changes in corneal epithelial thickness profiles in patients with moderate dry eye disease and to correlate these findings with an increase in corneal higher-order aberrations.\n\n•The secondary objective:\n\nis to evaluate the therapeutic efficacy of topical sodium hyaluronate over a six-month period by measuring the potential reversal of epithelial irregularities and the corresponding reduction in higher-order aberrations.",
        "Setting": "Watany Eye Hospital and Assaf Clinic",
        "Methods": "Prospective observational study that included 28 eyes in patients with age group 20 - 40 years. Both males and females with mild to moderate dry eye disease NIBUT between (5 - 10 seconds) were included. Patient with corneal opacities or dystrophies, previous intraocular or refrative surgeries, history of any ocular surface disorder other than dry eye, patients with history of irradiation or occupational assosciated dry eye were excluded. All patients were examined at day 0,90,180. All patients were instructed to use sodium hyalouronate 0.2% TID (three times/day). NIBUT, FBUT, lipid interferometry, meibography, tear meniscus height were recorded by the . Epithelial thickness map and wavefront maps were also recorded to detect HOA",
        "Results": "In terms of CDVA (logMAR), a significant difference was observed between the pre and post treatment measurements. NIBUT and FBUT showed significant improvement between pre and post treatment measurements. Lipid Interferometry also showed a significant shift, with all patients in the 60-80 nm category post treatment. However, no significant difference was observed in tear Meniscus Height or meibography. Superior, inferior, nasal Epithelial Thickness, and temporal Epithelial Thickness, showed significant differences were found between the pre and post treatment measurements.\n\nIn Coma Aberration, Trefoil Aberration, and Spherical Aberration, significant differences were found between the pre and post treatment measurements.",
        "Conclusions": "•Our study revealed significant improvements in CDVA, NIBUT, FBUT, and lipid interferometry after treatment.\n\n• No significant changes were observed in tear meniscus height, meibography.\n\n- Corneal epithelial thickness superior, inferior, nasal Epithelial Thickness, and temporal Epithelial Thickness, showed significant differences and regularization were found between the pre and post treatment measurements\n\n•HOA including coma, trefoil, and spherical aberrations, demonstrated significant alterations post-treatment, reflecting the influence of dry eye on visual quality.\n\n•Correlation analysis highlighted the interrelationship between tear film stability, corneal epithelial thickness, and higher-order aberrations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "•Our study revealed significant improvements in CDVA, NIBUT, FBUT, and lipid interferometry after treatment. • No significant changes were observed in tear meniscus height, meibography. - Corneal epithelial thickness superior, inferior, nasal Epithelial Thickness, and temporal Epithelial Thickness, showed significant differences and regularization were found between the pre and post treatment measurements •HOA…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1227,
      "source_fields": {
        "Abstract Final Identifier": "POCOR545",
        "Title": "Effect Of Dry Eye On Corneal Epithelial Mapping And High Order Aberration",
        "Presenting Author(s)": "Dr Hams Samy",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hams",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samy",
        "Country Name": "Egypt",
        "Purpose": "•The primary objective:\n\nis to characterize the changes in corneal epithelial thickness profiles in patients with moderate dry eye disease and to correlate these findings with an increase in corneal higher-order aberrations.\n\n•The secondary objective:\n\nis to evaluate the therapeutic efficacy of topical sodium hyaluronate over a six-month period by measuring the potential reversal of epithelial irregularities and the corresponding reduction in higher-order aberrations.",
        "Setting": "Watany Eye Hospital and Assaf Clinic",
        "Methods": "Prospective observational study that included 28 eyes in patients with age group 20 - 40 years. Both males and females with mild to moderate dry eye disease NIBUT between (5 - 10 seconds) were included. Patient with corneal opacities or dystrophies, previous intraocular or refrative surgeries, history of any ocular surface disorder other than dry eye, patients with history of irradiation or occupational assosciated dry eye were excluded. All patients were examined at day 0,90,180. All patients were instructed to use sodium hyalouronate 0.2% TID (three times/day). NIBUT, FBUT, lipid interferometry, meibography, tear meniscus height were recorded by the . Epithelial thickness map and wavefront maps were also recorded to detect HOA",
        "Results": "In terms of CDVA (logMAR), a significant difference was observed between the pre and post treatment measurements. NIBUT and FBUT showed significant improvement between pre and post treatment measurements. Lipid Interferometry also showed a significant shift, with all patients in the 60-80 nm category post treatment. However, no significant difference was observed in tear Meniscus Height or meibography. Superior, inferior, nasal Epithelial Thickness, and temporal Epithelial Thickness, showed significant differences were found between the pre and post treatment measurements.\n\nIn Coma Aberration, Trefoil Aberration, and Spherical Aberration, significant differences were found between the pre and post treatment measurements.",
        "Conclusions": "•Our study revealed significant improvements in CDVA, NIBUT, FBUT, and lipid interferometry after treatment.\n\n• No significant changes were observed in tear meniscus height, meibography.\n\n- Corneal epithelial thickness superior, inferior, nasal Epithelial Thickness, and temporal Epithelial Thickness, showed significant differences and regularization were found between the pre and post treatment measurements\n\n•HOA including coma, trefoil, and spherical aberrations, demonstrated significant alterations post-treatment, reflecting the influence of dry eye on visual quality.\n\n•Correlation analysis highlighted the interrelationship between tear film stability, corneal epithelial thickness, and higher-order aberrations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 366
    },
    {
      "uid": "POCOR546",
      "abstract_number": "POCOR546",
      "title": "Preservative-Free Glaucoma Therapy: An Indian Perspective",
      "authors": "Dr Swapna Satyanandan",
      "presenter": "Dr Swapna Satyanandan",
      "normalized_authors": [
        "Swapna Satyanandan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Swapna Satyanandan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Glaucoma is a chronic, progressive optic neuropathy and a leading cause of irreversible blindness. Elevated intraocular pressure (IOP) remains the main modifiable risk factor, and long‑term topical therapy is central to management. However, prolonged exposure to preservatives is associated with ocular surface disease (OSD),presenting as dryness, irritation, burning, or redness. Such symptoms affect comfort, adherence, and overall treatment success. With OSD reported frequently in medically treated glaucoma, preservative‑free (PF) eye drops have emerged as a preferred alternative that maintains IOP control while minimizing ocular surface toxicity. PF formulations may improve tolerability, reduce inflammation, and support long‑term adherence.",
        "Setting": "This survey aimed to evaluate real‑world prescribing patterns, clinical perceptions, and decision‑making factors influencing PF therapy use among Indian ophthalmologists. A cross-sectional online survey was conducted from January to September 2025 among 163 ophthalmologists from 84 Indian cities.",
        "Methods": "A structured questionnaire captured prescribing behaviours, clinical experience with PF therapy, perceptions of effectiveness and safety and factors influencing treatment decisions. Three responses were excluded from evaluable analysis due to no prior experience with PF formulations, resulting in 160 evaluable responses.",
        "Results": "All doctors were aware of PF glaucoma formulations, and 98% had prescribed them. Preexisting OSD in 10–30% of patients was noted by 46%, while 49% reported similar rates of discontinuation due to preservative‑related adverse effects. PF drops were used in 10–30% of patients by 30% of doctors and in 30–50% by 26%, mainly for OSD or multi‑drug therapy. PF was rated superior in efficacy and safety by 55%, and comparable in efficacy but safer by 31%. Most found PF bottles easy to use. Proactive switching was common (74%). Key barriers included cost, limited awareness, and availability. Despite this, many clinicians used PF selectively, citing better safety, adherence, and in some cases improved long‑term IOP control.",
        "Conclusions": "The study shows strong awareness and confidence in PF glaucoma formulations, with widespread integration into practice, particularly for patients with OSD or on multiple medications. Many clinicians proactively switch even stable, asymptomatic patients to PF drops to protect the ocular surface long‑term. PF options are viewed as safer, better tolerated, and equally or more effective than preserved drops, with improved adherence commonly reported. Although cost, limited awareness, and availability remain barriers, many still use PF selectively and feel the benefits justify the higher price. Overall, PF therapy is increasingly preferred for long‑term ocular health and sustained disease control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The study shows strong awareness and confidence in PF glaucoma formulations, with widespread integration into practice, particularly for patients with OSD or on multiple medications. Many clinicians proactively switch even stable, asymptomatic patients to PF drops to protect the ocular surface long‑term. PF options are viewed as safer, better tolerated, and equally or more effective than preserved drops, with…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1228,
      "source_fields": {
        "Abstract Final Identifier": "POCOR546",
        "Title": "Preservative-Free Glaucoma Therapy: An Indian Perspective",
        "Presenting Author(s)": "Dr Swapna Satyanandan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Swapna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Satyanandan",
        "Country Name": "India",
        "Purpose": "Glaucoma is a chronic, progressive optic neuropathy and a leading cause of irreversible blindness. Elevated intraocular pressure (IOP) remains the main modifiable risk factor, and long‑term topical therapy is central to management. However, prolonged exposure to preservatives is associated with ocular surface disease (OSD),presenting as dryness, irritation, burning, or redness. Such symptoms affect comfort, adherence, and overall treatment success. With OSD reported frequently in medically treated glaucoma, preservative‑free (PF) eye drops have emerged as a preferred alternative that maintains IOP control while minimizing ocular surface toxicity. PF formulations may improve tolerability, reduce inflammation, and support long‑term adherence.",
        "Setting": "This survey aimed to evaluate real‑world prescribing patterns, clinical perceptions, and decision‑making factors influencing PF therapy use among Indian ophthalmologists. A cross-sectional online survey was conducted from January to September 2025 among 163 ophthalmologists from 84 Indian cities.",
        "Methods": "A structured questionnaire captured prescribing behaviours, clinical experience with PF therapy, perceptions of effectiveness and safety and factors influencing treatment decisions. Three responses were excluded from evaluable analysis due to no prior experience with PF formulations, resulting in 160 evaluable responses.",
        "Results": "All doctors were aware of PF glaucoma formulations, and 98% had prescribed them. Preexisting OSD in 10–30% of patients was noted by 46%, while 49% reported similar rates of discontinuation due to preservative‑related adverse effects. PF drops were used in 10–30% of patients by 30% of doctors and in 30–50% by 26%, mainly for OSD or multi‑drug therapy. PF was rated superior in efficacy and safety by 55%, and comparable in efficacy but safer by 31%. Most found PF bottles easy to use. Proactive switching was common (74%). Key barriers included cost, limited awareness, and availability. Despite this, many clinicians used PF selectively, citing better safety, adherence, and in some cases improved long‑term IOP control.",
        "Conclusions": "The study shows strong awareness and confidence in PF glaucoma formulations, with widespread integration into practice, particularly for patients with OSD or on multiple medications. Many clinicians proactively switch even stable, asymptomatic patients to PF drops to protect the ocular surface long‑term. PF options are viewed as safer, better tolerated, and equally or more effective than preserved drops, with improved adherence commonly reported. Although cost, limited awareness, and availability remain barriers, many still use PF selectively and feel the benefits justify the higher price. Overall, PF therapy is increasingly preferred for long‑term ocular health and sustained disease control."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 403
    },
    {
      "uid": "POCOR547",
      "abstract_number": "POCOR547",
      "title": "Post-Vitrectomy Dry Eye: A Prospective Study Of Ocular Surface Changes And Associated Risk Factors",
      "authors": "Dr Nemer Sayed Ahmad",
      "presenter": "Dr Nemer Sayed Ahmad",
      "normalized_authors": [
        "Nemer Sayed Ahmad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nemer Sayed Ahmad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the effect of pars plana vitrectomy (PPV) on dry eye signs and symptoms and identify associated factors.",
        "Setting": "A tertiary academic medical center in Tel Aviv, Israel.",
        "Methods": "This prospective study included 60 consecutive patients undergoing primary PPV. Dry eye was assessed preoperatively and at one and three months postoperatively using Schirmer test, tear break-up time (TBUT), corneal and conjunctival staining, tear osmolarity, and the Ocular Surface Disease Index (OSDI) questionnaire.",
        "Results": "Sixty patients (mean age 70.4 years; 67% female) were enrolled. Combined phaco-vitrectomy was performed in 43.7% of cases, and 78.3% received retrobulbar anesthesia. Mean Schirmer scores declined at one month (8.5 mm vs. 11.7 mm, p = 0.014) but returned to baseline by three months. Lissamine green staining and lubricant use increased transiently ( p = 0.039 and p = 0.014) and normalized by three months. OSDI scores worsened at one month (33.8) but improved by three months (25.4, p = 0.042). TBUT, superficial punctate keratopathy, and osmolarity remained stable. Older age correlated with lower Schirmer values at one month ( r = –0.427, p = 0.006), and sub-Tenon anesthesia with general anesthesia was linked to higher OSDI scores.",
        "Conclusions": "PPV causes transient postoperative worsening of dry eye parameters, peaking at one month and resolving by three months. Older age and sub-Tenon anesthesia are associated with greater susceptibility to postoperative dry eye. Awareness and early management of ocular surface changes are advised. The OSDI questionnaire may have limited reliability after retinal surgery due to visual recovery effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PPV causes transient postoperative worsening of dry eye parameters, peaking at one month and resolving by three months. Older age and sub-Tenon anesthesia are associated with greater susceptibility to postoperative dry eye. Awareness and early management of ocular surface changes are advised. The OSDI questionnaire may have limited reliability after retinal surgery due to visual recovery effects.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1229,
      "source_fields": {
        "Abstract Final Identifier": "POCOR547",
        "Title": "Post-Vitrectomy Dry Eye: A Prospective Study Of Ocular Surface Changes And Associated Risk Factors",
        "Presenting Author(s)": "Dr Nemer Sayed Ahmad",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Nemer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sayed Ahmad",
        "Country Name": "Israel",
        "Purpose": "To evaluate the effect of pars plana vitrectomy (PPV) on dry eye signs and symptoms and identify associated factors.",
        "Setting": "A tertiary academic medical center in Tel Aviv, Israel.",
        "Methods": "This prospective study included 60 consecutive patients undergoing primary PPV. Dry eye was assessed preoperatively and at one and three months postoperatively using Schirmer test, tear break-up time (TBUT), corneal and conjunctival staining, tear osmolarity, and the Ocular Surface Disease Index (OSDI) questionnaire.",
        "Results": "Sixty patients (mean age 70.4 years; 67% female) were enrolled. Combined phaco-vitrectomy was performed in 43.7% of cases, and 78.3% received retrobulbar anesthesia. Mean Schirmer scores declined at one month (8.5 mm vs. 11.7 mm, p = 0.014) but returned to baseline by three months. Lissamine green staining and lubricant use increased transiently ( p = 0.039 and p = 0.014) and normalized by three months. OSDI scores worsened at one month (33.8) but improved by three months (25.4, p = 0.042). TBUT, superficial punctate keratopathy, and osmolarity remained stable. Older age correlated with lower Schirmer values at one month ( r = –0.427, p = 0.006), and sub-Tenon anesthesia with general anesthesia was linked to higher OSDI scores.",
        "Conclusions": "PPV causes transient postoperative worsening of dry eye parameters, peaking at one month and resolving by three months. Older age and sub-Tenon anesthesia are associated with greater susceptibility to postoperative dry eye. Awareness and early management of ocular surface changes are advised. The OSDI questionnaire may have limited reliability after retinal surgery due to visual recovery effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POCOR548",
      "abstract_number": "POCOR548",
      "title": "Decoding Ocular Surface Squamous Neoplasia: Comparative Therapeutic Outcomes Of 5-Fluorouracil And Interferon Alpha-2B With Clinical, Cytological, And As-Oct Correlation",
      "authors": "Dr Soumya Sharma",
      "presenter": "Dr Soumya Sharma",
      "normalized_authors": [
        "Soumya Sharma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Soumya Sharma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the efficacy, recurrence risk, and tolerability of topical 5-Fluorouracil versus Interferon alpha-2b in the management of ocular surface squamous neoplasia, with integrated evaluation of clinical morphology, impression cytology, and anterior segment optical coherence tomography findings.",
        "Setting": "Retrospective observational study conducted at a tertiary eye care referral centre specializing in ocular surface disorders.",
        "Methods": "Fifty three OSSN cases were analyzed. Patients received topical 5-Fluorouracil (n = 25) or Interferon alpha-2b (n = 28) as primary therapy. Lesions were categorized morphologically using slit lamp biomicroscopy. Baseline AS-OCT assessed epithelial thickness and subepithelial reflectivity. Impression cytology was performed for diagnostic confirmation and post treatment evaluation. Clinical response, need for surgery, compliance, and adverse effects were recorded.",
        "Results": "Complete resolution occurred in 50% of 5-Fluorouracil cases versus 10% with Interferon alpha-2b. Partial response was seen in 25% and 10% respectively. Surgical excision was required in three Interferon cases and one 5-Fluorouracil case. No recurrences were noted within six months among medically managed eyes. Mild irritation occurred in one 5-Fluorouracil case; none in the Interferon group. Nearly 46% of Interferon patients were non compliant. AS-OCT and impression cytology correlated with treatment response.",
        "Conclusions": "Topical 5-Fluorouracil demonstrates superior resolution rates compared to Interferon alpha-2b in OSSN, particularly in keratinized and gelatinous lesions. AS-OCT and impression cytology provide valuable non invasive biomarkers for monitoring response and detecting subclinical disease, facilitating individualized management in high volume clinical settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical 5-Fluorouracil demonstrates superior resolution rates compared to Interferon alpha-2b in OSSN, particularly in keratinized and gelatinous lesions. AS-OCT and impression cytology provide valuable non invasive biomarkers for monitoring response and detecting subclinical disease, facilitating individualized management in high volume clinical settings.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1230,
      "source_fields": {
        "Abstract Final Identifier": "POCOR548",
        "Title": "Decoding Ocular Surface Squamous Neoplasia: Comparative Therapeutic Outcomes Of 5-Fluorouracil And Interferon Alpha-2B With Clinical, Cytological, And As-Oct Correlation",
        "Presenting Author(s)": "Dr Soumya Sharma",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Soumya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sharma",
        "Country Name": "India",
        "Purpose": "To compare the efficacy, recurrence risk, and tolerability of topical 5-Fluorouracil versus Interferon alpha-2b in the management of ocular surface squamous neoplasia, with integrated evaluation of clinical morphology, impression cytology, and anterior segment optical coherence tomography findings.",
        "Setting": "Retrospective observational study conducted at a tertiary eye care referral centre specializing in ocular surface disorders.",
        "Methods": "Fifty three OSSN cases were analyzed. Patients received topical 5-Fluorouracil (n = 25) or Interferon alpha-2b (n = 28) as primary therapy. Lesions were categorized morphologically using slit lamp biomicroscopy. Baseline AS-OCT assessed epithelial thickness and subepithelial reflectivity. Impression cytology was performed for diagnostic confirmation and post treatment evaluation. Clinical response, need for surgery, compliance, and adverse effects were recorded.",
        "Results": "Complete resolution occurred in 50% of 5-Fluorouracil cases versus 10% with Interferon alpha-2b. Partial response was seen in 25% and 10% respectively. Surgical excision was required in three Interferon cases and one 5-Fluorouracil case. No recurrences were noted within six months among medically managed eyes. Mild irritation occurred in one 5-Fluorouracil case; none in the Interferon group. Nearly 46% of Interferon patients were non compliant. AS-OCT and impression cytology correlated with treatment response.",
        "Conclusions": "Topical 5-Fluorouracil demonstrates superior resolution rates compared to Interferon alpha-2b in OSSN, particularly in keratinized and gelatinous lesions. AS-OCT and impression cytology provide valuable non invasive biomarkers for monitoring response and detecting subclinical disease, facilitating individualized management in high volume clinical settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "POCOR549",
      "abstract_number": "POCOR549",
      "title": "Autologous Cultivated Limbal Stem Cell Transplantation Using A Decellularized Amniotic Membrane Scaffold For Corneal Surface Repair And Visual Rehabilitation",
      "authors": "Dr VAISHAKHA SHETTY",
      "presenter": "Dr VAISHAKHA SHETTY",
      "normalized_authors": [
        "VAISHAKHA SHETTY"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaishakha S Shetty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Limbal stem cell deficiency (LSCD) causes corneal surface instability, neovascularization, scarring, and vision loss. Although surgical procedures such as Simple Limbal Epithelial Transplantation (SLET) are commonly performed, they carry a risk of stem cell depletion in the healthy donor eye.This study evaluated the clinical outcomes of autologous limbal stem cells (LSCs) expanded ex vivo on a decellularized human amniotic membrane (HAM) scaffold for treating unilateral LSCD.",
        "Setting": "Prospective clinical trial conducted between December 2024 and December 2025 at Justice K S Hegde Charitable Hospital, Nitte (Deemed to be University), Karnataka, India.",
        "Methods": "After ethical approval and Clinical Trials Registry–India registration, five patients with unilateral LSCD were enrolled. A ~1 mm² limbal biopsy was obtained from the healthy eye. LSCs were expanded ex vivo for 3–4 weeks in medium containing 10% autologous serum. Decellularized HAM served as the scaffold for transplantation. Expanded LSCs were seeded onto the HAM and transplanted onto the affected eye. Patients were followed for 12 months to assess corneal epithelialization, surface stability, and visual acuity.",
        "Results": "Five eyes (4 males, 1 female) were treated. LSCD was secondary to chemical injury in four cases and thermal burn in one. Three patients had severe LSCD (12 clock hours of pannus with corneal opacification) and two had moderate disease. Preoperative visual acuity was perception of light in all cases. Complete corneal re-epithelialization was achieved in all eyes within the early postoperative period. By Day 35, visual acuity improved to 1/60 in four patients and hand movements positive in one. Progressive improvement in corneal clarity, reduced vascularization, and stable ocular surface was maintained throughout follow-up.",
        "Conclusions": "Decellularized human amniotic membrane provides a suitable niche for ex-vivo expansion of autologous limbal stem cells and demonstrates promising clinical outcomes in corneal surface reconstruction and visual rehabilitation in unilateral LSCD."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Decellularized human amniotic membrane provides a suitable niche for ex-vivo expansion of autologous limbal stem cells and demonstrates promising clinical outcomes in corneal surface reconstruction and visual rehabilitation in unilateral LSCD.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1231,
      "source_fields": {
        "Abstract Final Identifier": "POCOR549",
        "Title": "Autologous Cultivated Limbal Stem Cell Transplantation Using A Decellularized Amniotic Membrane Scaffold For Corneal Surface Repair And Visual Rehabilitation",
        "Presenting Author(s)": "Dr VAISHAKHA SHETTY",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Vaishakha",
        "Submitter Middle Name": "S",
        "Submitter Last Name": "Shetty",
        "Country Name": "India",
        "Purpose": "Limbal stem cell deficiency (LSCD) causes corneal surface instability, neovascularization, scarring, and vision loss. Although surgical procedures such as Simple Limbal Epithelial Transplantation (SLET) are commonly performed, they carry a risk of stem cell depletion in the healthy donor eye.This study evaluated the clinical outcomes of autologous limbal stem cells (LSCs) expanded ex vivo on a decellularized human amniotic membrane (HAM) scaffold for treating unilateral LSCD.",
        "Setting": "Prospective clinical trial conducted between December 2024 and December 2025 at Justice K S Hegde Charitable Hospital, Nitte (Deemed to be University), Karnataka, India.",
        "Methods": "After ethical approval and Clinical Trials Registry–India registration, five patients with unilateral LSCD were enrolled. A ~1 mm² limbal biopsy was obtained from the healthy eye. LSCs were expanded ex vivo for 3–4 weeks in medium containing 10% autologous serum. Decellularized HAM served as the scaffold for transplantation. Expanded LSCs were seeded onto the HAM and transplanted onto the affected eye. Patients were followed for 12 months to assess corneal epithelialization, surface stability, and visual acuity.",
        "Results": "Five eyes (4 males, 1 female) were treated. LSCD was secondary to chemical injury in four cases and thermal burn in one. Three patients had severe LSCD (12 clock hours of pannus with corneal opacification) and two had moderate disease. Preoperative visual acuity was perception of light in all cases. Complete corneal re-epithelialization was achieved in all eyes within the early postoperative period. By Day 35, visual acuity improved to 1/60 in four patients and hand movements positive in one. Progressive improvement in corneal clarity, reduced vascularization, and stable ocular surface was maintained throughout follow-up.",
        "Conclusions": "Decellularized human amniotic membrane provides a suitable niche for ex-vivo expansion of autologous limbal stem cells and demonstrates promising clinical outcomes in corneal surface reconstruction and visual rehabilitation in unilateral LSCD."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCOR550",
      "abstract_number": "POCOR550",
      "title": "Priming The Ocular Surface: Immuno-Inflammatory Modulation With Pre-Operative Topical Steroids In Cataract Surgery Patients",
      "authors": "Dr Naren Shetty",
      "presenter": "Dr Naren Shetty",
      "normalized_authors": [
        "Naren Shetty"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Naren Shetty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the impact of short-pulse preoperative topical steroids on the status of ocular surface immuno-inflammatory factors in patients undergoing phacoemulsification, aiming to determine if \"priming\" the ocular surface improves the inflammatory profile post-surgery.",
        "Setting": "Tertiary eye care hospital in India",
        "Methods": "In this prospective study, 40 patients were randomized into a control group (Ctl, n=17) and a test group (STx, n=23). The STx group received Prednisolone Acetate 1% (4x/day) for 3 days preoperatively. Tear fluid (TF) was collected preoperatively, on postoperative day 1 (POD1), and day 30 (POD30). Levels of Interleukin (IL)-1β, IL-6, IL-10, IL-17A, Tumor Necrosis Factor-alpha (TNFα), Matrix Metalloproteinase-9 (MMP9), Intercellular Adhesion Molecule 1 (ICAM1), and Vascular Endothelial Growth Factor-A (VEGF-A) were measured via multiplex ELISA.",
        "Results": "Visual recovery was similar in both groups. IL-10 levels increased significantly in the STx group after the 3-day steroid pulse (p < 0.05). On POD1, MMP9 was significantly higher in the Ctl group compared to the STx group. By POD30, a significantly higher proportion of eyes in the STx group showed a decrease in IL-1β (≤ 1.5 fold) compared to the Ctl group. Conversely, the Ctl group showed a significantly higher proportion of eyes with increased IL-1β and IL-6 (≥ 1.5 fold) at POD30, indicating prolonged inflammation without preoperative priming.",
        "Conclusions": "Preoperative topical steroid use reduces the postoperative surge of key inflammatory cytokines (IL-1β, IL-6, and MMP9). These findings suggest that preoperative \"priming\" helps regulate the ocular surface immune response and promotes a faster return to homeostatic inflammatory levels. This strategy may be a valuable adjunct in optimizing recovery outcomes and patient comfort following cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative topical steroid use reduces the postoperative surge of key inflammatory cytokines (IL-1β, IL-6, and MMP9). These findings suggest that preoperative \"priming\" helps regulate the ocular surface immune response and promotes a faster return to homeostatic inflammatory levels. This strategy may be a valuable adjunct in optimizing recovery outcomes and patient comfort following cataract surgery.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1232,
      "source_fields": {
        "Abstract Final Identifier": "POCOR550",
        "Title": "Priming The Ocular Surface: Immuno-Inflammatory Modulation With Pre-Operative Topical Steroids In Cataract Surgery Patients",
        "Presenting Author(s)": "Dr Naren Shetty",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Naren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shetty",
        "Country Name": "India",
        "Purpose": "To evaluate the impact of short-pulse preoperative topical steroids on the status of ocular surface immuno-inflammatory factors in patients undergoing phacoemulsification, aiming to determine if \"priming\" the ocular surface improves the inflammatory profile post-surgery.",
        "Setting": "Tertiary eye care hospital in India",
        "Methods": "In this prospective study, 40 patients were randomized into a control group (Ctl, n=17) and a test group (STx, n=23). The STx group received Prednisolone Acetate 1% (4x/day) for 3 days preoperatively. Tear fluid (TF) was collected preoperatively, on postoperative day 1 (POD1), and day 30 (POD30). Levels of Interleukin (IL)-1β, IL-6, IL-10, IL-17A, Tumor Necrosis Factor-alpha (TNFα), Matrix Metalloproteinase-9 (MMP9), Intercellular Adhesion Molecule 1 (ICAM1), and Vascular Endothelial Growth Factor-A (VEGF-A) were measured via multiplex ELISA.",
        "Results": "Visual recovery was similar in both groups. IL-10 levels increased significantly in the STx group after the 3-day steroid pulse (p < 0.05). On POD1, MMP9 was significantly higher in the Ctl group compared to the STx group. By POD30, a significantly higher proportion of eyes in the STx group showed a decrease in IL-1β (≤ 1.5 fold) compared to the Ctl group. Conversely, the Ctl group showed a significantly higher proportion of eyes with increased IL-1β and IL-6 (≥ 1.5 fold) at POD30, indicating prolonged inflammation without preoperative priming.",
        "Conclusions": "Preoperative topical steroid use reduces the postoperative surge of key inflammatory cytokines (IL-1β, IL-6, and MMP9). These findings suggest that preoperative \"priming\" helps regulate the ocular surface immune response and promotes a faster return to homeostatic inflammatory levels. This strategy may be a valuable adjunct in optimizing recovery outcomes and patient comfort following cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POCOR551",
      "abstract_number": "POCOR551",
      "title": "Ai-Driven Analysis Of Ocular Surface & Tear Biomarkers.",
      "authors": "Dr Prabhjot Singh",
      "presenter": "Dr Prabhjot Singh",
      "normalized_authors": [
        "Prabhjot Singh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Prabhjot Singh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To develop and validate an AI-integrated biomarker scoring system as a surrogate for ocular surface health and inflammation, comparing its performance against standard dry eye diagnostics.",
        "Setting": "Prospective cross-sectional study conducted at Narayana Nethralaya, Bangalore, India, in collaboration with the Imaging, Biomechanics and Mathematical Modelling Solutions (IBMS) Lab, GROW Research Lab, between January 2024 and January 2026. Patients were recruited from the dry eye outpatient clinic.",
        "Methods": "2000 patients (1115 subclinical, 885 dry eye) underwent Schirmer’s, TBUT, Meibography, epithelial mapping and confocal microscopy for dendritic cell metrics. Tear biomarkers (via BioM Pathfinder) were integrated using AI to generate a composite score (0–1): healthy (0–0.3), subclinical (0.3–0.7), and dry eye (0.7–1), correlated with HOAs and ocular surface changes.",
        "Results": "Patients with AI scores above 0.7 showed clear signs of dry eye—higher levels of inflammatory biomarkers, more dendritic cells, uneven epithelium and increased HOAs, all statistically significant (p<0.05). The AI system was able to accurately group patients into healthy, subclinical, and dry eye categories.",
        "Conclusions": "Patients with AI scores above 0.7 showed clear signs of dry eye—higher levels of inflammatory biomarkers, more dendritic cells, uneven epithelium and increased HOAs, all statistically significant (p<0.05). The AI system was able to accurately group patients into healthy, subclinical, and dry eye categories."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with AI scores above 0.7 showed clear signs of dry eye—higher levels of inflammatory biomarkers, more dendritic cells, uneven epithelium and increased HOAs, all statistically significant (p<0.05). The AI system was able to accurately group patients into healthy, subclinical, and dry eye categories.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1233,
      "source_fields": {
        "Abstract Final Identifier": "POCOR551",
        "Title": "Ai-Driven Analysis Of Ocular Surface & Tear Biomarkers.",
        "Presenting Author(s)": "Dr Prabhjot Singh",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Prabhjot",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Singh",
        "Country Name": "India",
        "Purpose": "To develop and validate an AI-integrated biomarker scoring system as a surrogate for ocular surface health and inflammation, comparing its performance against standard dry eye diagnostics.",
        "Setting": "Prospective cross-sectional study conducted at Narayana Nethralaya, Bangalore, India, in collaboration with the Imaging, Biomechanics and Mathematical Modelling Solutions (IBMS) Lab, GROW Research Lab, between January 2024 and January 2026. Patients were recruited from the dry eye outpatient clinic.",
        "Methods": "2000 patients (1115 subclinical, 885 dry eye) underwent Schirmer’s, TBUT, Meibography, epithelial mapping and confocal microscopy for dendritic cell metrics. Tear biomarkers (via BioM Pathfinder) were integrated using AI to generate a composite score (0–1): healthy (0–0.3), subclinical (0.3–0.7), and dry eye (0.7–1), correlated with HOAs and ocular surface changes.",
        "Results": "Patients with AI scores above 0.7 showed clear signs of dry eye—higher levels of inflammatory biomarkers, more dendritic cells, uneven epithelium and increased HOAs, all statistically significant (p<0.05). The AI system was able to accurately group patients into healthy, subclinical, and dry eye categories.",
        "Conclusions": "Patients with AI scores above 0.7 showed clear signs of dry eye—higher levels of inflammatory biomarkers, more dendritic cells, uneven epithelium and increased HOAs, all statistically significant (p<0.05). The AI system was able to accurately group patients into healthy, subclinical, and dry eye categories."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "POCOR552",
      "abstract_number": "POCOR552",
      "title": "Periocular Impetigo: A Distinct Clinical Entity With Ocular Surface Involvement",
      "authors": "Dr Lital Smadar",
      "presenter": "Dr Lital Smadar",
      "normalized_authors": [
        "Lital Smadar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lital Smadar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To characterize the clinical features, microbiological findings, and ocular surface involvement in periocular impetigo, and to compare these findings with other causes of periocular rash in pediatric patients, in order to improve diagnostic accuracy and clinical recognition.",
        "Setting": "A tertiary care pediatric and ophthalmology referral center.",
        "Methods": "We conducted a retrospective analysis of patients presenting with periocular rashes or lesions suspicious for impetigo between 2009 and 2025. Demographic characteristics, microbiological findings, and clinical documentation of ocular surface and conjunctival involvement were reviewed and compared between patients with confirmed periocular impetigo and those with alternative diagnoses.",
        "Results": "Sixty-eight patients were included (38 females, 56%), with a median age of 10 years. Sixteen patients (23%) were diagnosed with periocular impetigo by a pediatrician or dermatologist, supported by microbiological testing when available. Staphylococcus aureus, including methicillin-resistant strains (MRSA), was isolated in 50% of tested impetigo cases. Conjunctival involvement was significantly more common in the impetigo group compared with the non-impetigo group (43.8% vs. 11.5%, p = 0.004).",
        "Conclusions": "Periocular impetigo should be considered in the differential diagnosis of periocular rash, alongside molluscum contagiosum, herpes simplex infection, allergic reactions, and other dermatologic conditions. Topical and/or systemic antibiotic therapy is generally associated with favorable outcomes. Increased clinical awareness and microbiological confirmation may improve diagnostic accuracy and management, particularly in pediatric populations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Periocular impetigo should be considered in the differential diagnosis of periocular rash, alongside molluscum contagiosum, herpes simplex infection, allergic reactions, and other dermatologic conditions. Topical and/or systemic antibiotic therapy is generally associated with favorable outcomes. Increased clinical awareness and microbiological confirmation may improve diagnostic accuracy and management,…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1234,
      "source_fields": {
        "Abstract Final Identifier": "POCOR552",
        "Title": "Periocular Impetigo: A Distinct Clinical Entity With Ocular Surface Involvement",
        "Presenting Author(s)": "Dr Lital Smadar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lital",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Smadar",
        "Country Name": "Israel",
        "Purpose": "To characterize the clinical features, microbiological findings, and ocular surface involvement in periocular impetigo, and to compare these findings with other causes of periocular rash in pediatric patients, in order to improve diagnostic accuracy and clinical recognition.",
        "Setting": "A tertiary care pediatric and ophthalmology referral center.",
        "Methods": "We conducted a retrospective analysis of patients presenting with periocular rashes or lesions suspicious for impetigo between 2009 and 2025. Demographic characteristics, microbiological findings, and clinical documentation of ocular surface and conjunctival involvement were reviewed and compared between patients with confirmed periocular impetigo and those with alternative diagnoses.",
        "Results": "Sixty-eight patients were included (38 females, 56%), with a median age of 10 years. Sixteen patients (23%) were diagnosed with periocular impetigo by a pediatrician or dermatologist, supported by microbiological testing when available. Staphylococcus aureus, including methicillin-resistant strains (MRSA), was isolated in 50% of tested impetigo cases. Conjunctival involvement was significantly more common in the impetigo group compared with the non-impetigo group (43.8% vs. 11.5%, p = 0.004).",
        "Conclusions": "Periocular impetigo should be considered in the differential diagnosis of periocular rash, alongside molluscum contagiosum, herpes simplex infection, allergic reactions, and other dermatologic conditions. Topical and/or systemic antibiotic therapy is generally associated with favorable outcomes. Increased clinical awareness and microbiological confirmation may improve diagnostic accuracy and management, particularly in pediatric populations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POCOR553",
      "abstract_number": "POCOR553",
      "title": "The Association Between Instillation Of Eye Drops And Lower Eyelid Laxity: A Comparative Study",
      "authors": "Dr Lital Smadar",
      "presenter": "Dr Lital Smadar",
      "normalized_authors": [
        "Lital Smadar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lital Smadar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Involutional ectropion is the most common type of ectropion, primarily affecting older patients due to horizontal eyelid laxity. While its pathogenesis is multifactorial, the impact of topical eye drop use on lower eyelid laxity remains unclear. Patients are commonly instructed to pull down the lower eyelid during drop instillation. This study aimed to evaluate the association between chronic eye drop use and lower eyelid laxity, distinguishing between mechanical and pharmacological influences.",
        "Setting": "Tertiary referral ophthalmology center",
        "Methods": "Seventy adult participants were enrolled and divided into three groups: (1) patients with glaucoma using chronic topical anti-glaucoma medications, (2) patients with dry eye using preservative-free artificial tears, and (3) controls with no history of eye drop use. All subjects underwent slit-lamp examination, standardized horizontal eyelid distraction testing, and grading of punctate epithelial erosions (PEE) on a 0–4 scale. Statistical analysis was conducted using ANOVA with post hoc comparisons.",
        "Results": "The mean participant age was 65 years, with 33 females (47.1%). The cohort included 20 glaucoma patients (28.6%), 20 dry eye patients (28.6%), and 30 controls (42.8%).\nLower eyelid laxity was significantly greater in the dry eye group (5.00 mm) compared to both the glaucoma group (3.13 mm) and control group (1.98 mm; p < 0.001).\nPEEs were observed in both drop-user groups, with mean scores of 1.60 in the glaucoma and dry eye groups, versus 0.07 in controls (p < 0.001).",
        "Conclusions": "Chronic use of topical eye drops is significantly associated with increased lower eyelid laxity. The greatest laxity was observed in patients using preservative-free lubricants for dry eye, suggesting that the mechanical effect of repeated instillation may outweigh potential pharmacologic toxicity.\nClinicians should consider advising patients to minimize mechanical eyelid manipulation during drop instillation. These preliminary findings warrant validation in larger, prospective studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chronic use of topical eye drops is significantly associated with increased lower eyelid laxity. The greatest laxity was observed in patients using preservative-free lubricants for dry eye, suggesting that the mechanical effect of repeated instillation may outweigh potential pharmacologic toxicity. Clinicians should consider advising patients to minimize mechanical eyelid manipulation during drop instillation.…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1235,
      "source_fields": {
        "Abstract Final Identifier": "POCOR553",
        "Title": "The Association Between Instillation Of Eye Drops And Lower Eyelid Laxity: A Comparative Study",
        "Presenting Author(s)": "Dr Lital Smadar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lital",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Smadar",
        "Country Name": "Israel",
        "Purpose": "Involutional ectropion is the most common type of ectropion, primarily affecting older patients due to horizontal eyelid laxity. While its pathogenesis is multifactorial, the impact of topical eye drop use on lower eyelid laxity remains unclear. Patients are commonly instructed to pull down the lower eyelid during drop instillation. This study aimed to evaluate the association between chronic eye drop use and lower eyelid laxity, distinguishing between mechanical and pharmacological influences.",
        "Setting": "Tertiary referral ophthalmology center",
        "Methods": "Seventy adult participants were enrolled and divided into three groups: (1) patients with glaucoma using chronic topical anti-glaucoma medications, (2) patients with dry eye using preservative-free artificial tears, and (3) controls with no history of eye drop use. All subjects underwent slit-lamp examination, standardized horizontal eyelid distraction testing, and grading of punctate epithelial erosions (PEE) on a 0–4 scale. Statistical analysis was conducted using ANOVA with post hoc comparisons.",
        "Results": "The mean participant age was 65 years, with 33 females (47.1%). The cohort included 20 glaucoma patients (28.6%), 20 dry eye patients (28.6%), and 30 controls (42.8%).\nLower eyelid laxity was significantly greater in the dry eye group (5.00 mm) compared to both the glaucoma group (3.13 mm) and control group (1.98 mm; p < 0.001).\nPEEs were observed in both drop-user groups, with mean scores of 1.60 in the glaucoma and dry eye groups, versus 0.07 in controls (p < 0.001).",
        "Conclusions": "Chronic use of topical eye drops is significantly associated with increased lower eyelid laxity. The greatest laxity was observed in patients using preservative-free lubricants for dry eye, suggesting that the mechanical effect of repeated instillation may outweigh potential pharmacologic toxicity.\nClinicians should consider advising patients to minimize mechanical eyelid manipulation during drop instillation. These preliminary findings warrant validation in larger, prospective studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POCOR554",
      "abstract_number": "POCOR554",
      "title": "The Association Between Blepharitis And Lower Eyelid Ectropion In A Large Cohort Of Patients",
      "authors": "Dr Lital Smadar",
      "presenter": "Dr Lital Smadar",
      "normalized_authors": [
        "Lital Smadar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lital Smadar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Purpose : Blepharitis and lower eyelid ectropion are highly prevalent ocular conditions occurring in 37%-46% and 2-3% of the general adult population, respectively. Blepharitis has multifactorial origins and involves anterior and posterior types of eyelid inflammation. Lower eyelid ectropion results in ocular surface exposure, epiphora and chronic conjunctivitis. This study aims to investigate any possible association between both conditions.",
        "Setting": "A single tertiary medical screening center in Israe",
        "Methods": "Methods : Medical records of 37,692 consecutive patients examined at a single medical screening center between 2001-2020 were retrospectively analyzed.\n\nMain Outcome Measures : The prevalence of lower eyelid ectropion and of blepharitis, a possible association between the 2, and the relation of each to age and sex.",
        "Results": "Results : A total of 35,670 patients were included. Ectropion was diagnosed in 69 patients (0.2%), and blepharitis in 4725 patients (13.2%). Male sex was more prevalent for each pathology (88.4% ectropion, and 85% blepharitis, P < 0.001). Older age was associated with each diagnosis (77.3 years for ectropion patients vs. 52.2 years for the general screened population and 60.5 years for blepharitis patients vs 52.2 years for the general screened population P < 0.001). The prevalence of ectropion was significantly higher in patients with coexisting blepharitis compared to those without (0.8% vs. 0.1%, respectively, P < 0.001).",
        "Conclusions": "Ectropion was significantly more prevalent in patients with blepharitis. Both conditions were associated with older age and male sex. This coexistence can aid in decision making of early surgical intervention of lower eyelid ectropion as well as the approach to medical treatment of blepharitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ectropion was significantly more prevalent in patients with blepharitis. Both conditions were associated with older age and male sex. This coexistence can aid in decision making of early surgical intervention of lower eyelid ectropion as well as the approach to medical treatment of blepharitis.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1236,
      "source_fields": {
        "Abstract Final Identifier": "POCOR554",
        "Title": "The Association Between Blepharitis And Lower Eyelid Ectropion In A Large Cohort Of Patients",
        "Presenting Author(s)": "Dr Lital Smadar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lital",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Smadar",
        "Country Name": "Israel",
        "Purpose": "Purpose : Blepharitis and lower eyelid ectropion are highly prevalent ocular conditions occurring in 37%-46% and 2-3% of the general adult population, respectively. Blepharitis has multifactorial origins and involves anterior and posterior types of eyelid inflammation. Lower eyelid ectropion results in ocular surface exposure, epiphora and chronic conjunctivitis. This study aims to investigate any possible association between both conditions.",
        "Setting": "A single tertiary medical screening center in Israe",
        "Methods": "Methods : Medical records of 37,692 consecutive patients examined at a single medical screening center between 2001-2020 were retrospectively analyzed.\n\nMain Outcome Measures : The prevalence of lower eyelid ectropion and of blepharitis, a possible association between the 2, and the relation of each to age and sex.",
        "Results": "Results : A total of 35,670 patients were included. Ectropion was diagnosed in 69 patients (0.2%), and blepharitis in 4725 patients (13.2%). Male sex was more prevalent for each pathology (88.4% ectropion, and 85% blepharitis, P < 0.001). Older age was associated with each diagnosis (77.3 years for ectropion patients vs. 52.2 years for the general screened population and 60.5 years for blepharitis patients vs 52.2 years for the general screened population P < 0.001). The prevalence of ectropion was significantly higher in patients with coexisting blepharitis compared to those without (0.8% vs. 0.1%, respectively, P < 0.001).",
        "Conclusions": "Ectropion was significantly more prevalent in patients with blepharitis. Both conditions were associated with older age and male sex. This coexistence can aid in decision making of early surgical intervention of lower eyelid ectropion as well as the approach to medical treatment of blepharitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR555",
      "abstract_number": "POCOR555",
      "title": "Clinical Efficacy Of Topical 0.1% Tacrolimus In Patients With Corneal Neovascularization: A Prospective, Multicenter, Randomized Controlled Trial",
      "authors": "Myung-Sun Song",
      "presenter": "Myung-Sun Song",
      "normalized_authors": [
        "Myung-Sun Song"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Myung-Sun Song",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the effect of topical 0.1% tacrolimus on corneal neovascularization (CoNV) and compare it with 1% prednisolone acetate.",
        "Setting": "A multicenter, evaluator-masked, randomized controlled trial",
        "Methods": "Patients with CoNV were randomized to receive either 0.1% tacrolimus (Alymus, Taejoon Pharmaceutical Co., Ltd, Seoul, Korea) or 1% prednisolone acetate (Pred Forte, Allergan Inc., Irvine, CA). From baseline (V1) to week four (V2), eye drops were administered four times daily, followed by twice daily until week eight (V3). Clinical assessments included CoNV grade, visual acuity, intraocular pressure, and ocular surface staining scores. A linear mixed model was used to investigate the effects of 0.1% tacrolimus on CoNV.",
        "Results": "A total of 46 patients (Tacrolimus group, n=24; Prednisolone group, n=22) were analyzed. No significant differences in demographics and baseline clinical parameters between the groups were observed. In both groups, CoNV grade decreased significantly from V1 to V2 (Tacrolimus group: from 2.025 ± 0.162 to 1.733 ± 0.162, P = 0.003; Prednisolone group: from 1.852 ± 0.168 to 1.625 ± 0.168, P = 0.035), but the changes did not vary significantly between the two groups ( P = 0.688). No significant change in CoNV grade was observed from V2 to V3 in either group (both P > 0.05). From V1 to V3, a significant decrease in CoNV grade was observed in the tacrolimus group only (from 2.025 ± 0.162 to 1.697 ± 0.164, P = 0.019).",
        "Conclusions": "Both 0.1% tacrolimus and 1% prednisolone acetate demonstrated efficacy in reducing CoNV during the first month. The therapeutic effect was significantly sustained up to 8 weeks in the tacrolimus group, suggesting that 0.1% tacrolimus may represent an effective therapeutic alternative for patients with CoNV."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both 0.1% tacrolimus and 1% prednisolone acetate demonstrated efficacy in reducing CoNV during the first month. The therapeutic effect was significantly sustained up to 8 weeks in the tacrolimus group, suggesting that 0.1% tacrolimus may represent an effective therapeutic alternative for patients with CoNV.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1237,
      "source_fields": {
        "Abstract Final Identifier": "POCOR555",
        "Title": "Clinical Efficacy Of Topical 0.1% Tacrolimus In Patients With Corneal Neovascularization: A Prospective, Multicenter, Randomized Controlled Trial",
        "Presenting Author(s)": "Myung-Sun Song",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Myung-Sun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Song",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the effect of topical 0.1% tacrolimus on corneal neovascularization (CoNV) and compare it with 1% prednisolone acetate.",
        "Setting": "A multicenter, evaluator-masked, randomized controlled trial",
        "Methods": "Patients with CoNV were randomized to receive either 0.1% tacrolimus (Alymus, Taejoon Pharmaceutical Co., Ltd, Seoul, Korea) or 1% prednisolone acetate (Pred Forte, Allergan Inc., Irvine, CA). From baseline (V1) to week four (V2), eye drops were administered four times daily, followed by twice daily until week eight (V3). Clinical assessments included CoNV grade, visual acuity, intraocular pressure, and ocular surface staining scores. A linear mixed model was used to investigate the effects of 0.1% tacrolimus on CoNV.",
        "Results": "A total of 46 patients (Tacrolimus group, n=24; Prednisolone group, n=22) were analyzed. No significant differences in demographics and baseline clinical parameters between the groups were observed. In both groups, CoNV grade decreased significantly from V1 to V2 (Tacrolimus group: from 2.025 ± 0.162 to 1.733 ± 0.162, P = 0.003; Prednisolone group: from 1.852 ± 0.168 to 1.625 ± 0.168, P = 0.035), but the changes did not vary significantly between the two groups ( P = 0.688). No significant change in CoNV grade was observed from V2 to V3 in either group (both P > 0.05). From V1 to V3, a significant decrease in CoNV grade was observed in the tacrolimus group only (from 2.025 ± 0.162 to 1.697 ± 0.164, P = 0.019).",
        "Conclusions": "Both 0.1% tacrolimus and 1% prednisolone acetate demonstrated efficacy in reducing CoNV during the first month. The therapeutic effect was significantly sustained up to 8 weeks in the tacrolimus group, suggesting that 0.1% tacrolimus may represent an effective therapeutic alternative for patients with CoNV."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POCOR556",
      "abstract_number": "POCOR556",
      "title": "Short-Term Topical Anti-Inflammatory Therapy Combined With Lubrication In Dry Eye Syndrome: A Retrospective Comparative Study",
      "authors": "Dr Imane Souiri",
      "presenter": "Dr Imane Souiri",
      "normalized_authors": [
        "Imane Souiri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Imane Souiri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "Dry eye syndrome (DES) is a multifactorial inflammatory disorder of the ocular surface characterized by tear film instability, hyperosmolarity, and chronic inflammation. Beyond ocular discomfort, DES significantly affects visual performance and quality of life. Increasing evidence highlights the central role of inflammation in the pathophysiology of moderate to severe disease, supporting the use of anti-inflammatory therapy in selected patients.\n\nThis study aimed to evaluate the efficacy and tolerability of short-term topical anti-inflammatory therapy combined with lubricating treatment in patients with dry eye syndrome.",
        "Setting": "This retrospective comparative study was conducted at a tertiary ophthalmology center and included patients diagnosed with DES between January and December 2024.",
        "Methods": "One hundred patients were enrolled and allocated into two groups (n=50 each). Group 1 received carbomer gel 0.2% combined with dexamethasone 0.1% eye drops, while Group 2 received carbomer gel 0.2% alone, with instillation frequency adjusted according to clinical severity. Baseline and follow-up assessments included slit-lamp examination, fluorescein corneal staining, tear film break-up time (TBUT), Schirmer I test without anesthesia, and symptom evaluation using the QSD-QOL questionnaire.",
        "Results": "Both groups demonstrated improvement; however, the combination therapy group showed significantly greater benefit. TBUT increased more markedly and corneal fluorescein staining decreased more substantially in Group 1. Schirmer test values improved moderately in both groups. Symptom relief (foreign body sensation, pruritus, burning, reflex tearing) was significantly greater in Group 1 (66% satisfactory to very satisfactory improvement) compared with Group 2 (44%). Topical dexamethasone was well tolerated, with no significant intraocular pressure elevation or serious adverse events during follow-up.",
        "Conclusions": "The addition of short-term topical anti-inflammatory therapy to lubricating treatment provides superior symptomatic and clinical improvement in patients with DES, supporting the key role of inflammation in disease pathogenesis. Careful patient selection and monitoring remain essential to ensure safety and optimize outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The addition of short-term topical anti-inflammatory therapy to lubricating treatment provides superior symptomatic and clinical improvement in patients with DES, supporting the key role of inflammation in disease pathogenesis. Careful patient selection and monitoring remain essential to ensure safety and optimize outcomes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1238,
      "source_fields": {
        "Abstract Final Identifier": "POCOR556",
        "Title": "Short-Term Topical Anti-Inflammatory Therapy Combined With Lubrication In Dry Eye Syndrome: A Retrospective Comparative Study",
        "Presenting Author(s)": "Dr Imane Souiri",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Imane",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Souiri",
        "Country Name": "Tunisia",
        "Purpose": "Dry eye syndrome (DES) is a multifactorial inflammatory disorder of the ocular surface characterized by tear film instability, hyperosmolarity, and chronic inflammation. Beyond ocular discomfort, DES significantly affects visual performance and quality of life. Increasing evidence highlights the central role of inflammation in the pathophysiology of moderate to severe disease, supporting the use of anti-inflammatory therapy in selected patients.\n\nThis study aimed to evaluate the efficacy and tolerability of short-term topical anti-inflammatory therapy combined with lubricating treatment in patients with dry eye syndrome.",
        "Setting": "This retrospective comparative study was conducted at a tertiary ophthalmology center and included patients diagnosed with DES between January and December 2024.",
        "Methods": "One hundred patients were enrolled and allocated into two groups (n=50 each). Group 1 received carbomer gel 0.2% combined with dexamethasone 0.1% eye drops, while Group 2 received carbomer gel 0.2% alone, with instillation frequency adjusted according to clinical severity. Baseline and follow-up assessments included slit-lamp examination, fluorescein corneal staining, tear film break-up time (TBUT), Schirmer I test without anesthesia, and symptom evaluation using the QSD-QOL questionnaire.",
        "Results": "Both groups demonstrated improvement; however, the combination therapy group showed significantly greater benefit. TBUT increased more markedly and corneal fluorescein staining decreased more substantially in Group 1. Schirmer test values improved moderately in both groups. Symptom relief (foreign body sensation, pruritus, burning, reflex tearing) was significantly greater in Group 1 (66% satisfactory to very satisfactory improvement) compared with Group 2 (44%). Topical dexamethasone was well tolerated, with no significant intraocular pressure elevation or serious adverse events during follow-up.",
        "Conclusions": "The addition of short-term topical anti-inflammatory therapy to lubricating treatment provides superior symptomatic and clinical improvement in patients with DES, supporting the key role of inflammation in disease pathogenesis. Careful patient selection and monitoring remain essential to ensure safety and optimize outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCOR557",
      "abstract_number": "POCOR557",
      "title": "Histopathological Changes Of The Conjunctiva Following Cataract Surgery",
      "authors": "Dr Evangelia Stangogianni",
      "presenter": "Dr Evangelia Stangogianni",
      "normalized_authors": [
        "Evangelia Stangogianni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Evangelia Stangogianni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To determine the effects of topical dexamethasone with concomitant application of topical serum autologous 10% on the conjunctival goblet cell density in eyes after cataract surgery.",
        "Setting": "LASERLENS IMHN IOANNINA GREECE",
        "Methods": "Design: Randomized clinical trial.\n\nParticipants: One hundred eyes from fifty patients with dry eyes who were scheduled for cataract surgery.LA\n\nPatients were randomly divided into two groups according to the postoperative topical drugs to be given; Group A (Right eye), dexamethasone alone; Group B (Left eye), dexamethasone and serum autologous 10%. Impression cytology was performed 1 month before surgery and 3 months after the surgery, and the mean density of goblet cells was determined.",
        "Results": "The density of goblet cells before the surgery in Group A, was 247.0 ± 178.7 cells/mm2 (mean ± SD), and it decreased significantly to 76.5 ± 66.7 cells/mm2 (mean ± SD) at 1 month after the surgery (P = .002). In Group B, the goblet cell density was not statistically different between before (228.5 ± 106.6 cells/mm2) (mean ± SD) and at 3 month after the surgery (201.3 ± 174.4 cells/mm2,(mean ± SD), P = 0.55).",
        "Conclusions": "The conjunctival goblet cell density was significantly reduced because of the inflammatory response to the corneal incisions that interrupt the nerve communication. Also, the concomitant use of topical serum autologous 10% with dexamethasone drugs were beneficial, especially in cases with postoperative dry eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The conjunctival goblet cell density was significantly reduced because of the inflammatory response to the corneal incisions that interrupt the nerve communication. Also, the concomitant use of topical serum autologous 10% with dexamethasone drugs were beneficial, especially in cases with postoperative dry eyes.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1239,
      "source_fields": {
        "Abstract Final Identifier": "POCOR557",
        "Title": "Histopathological Changes Of The Conjunctiva Following Cataract Surgery",
        "Presenting Author(s)": "Dr Evangelia Stangogianni",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Evangelia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stangogianni",
        "Country Name": "Greece",
        "Purpose": "To determine the effects of topical dexamethasone with concomitant application of topical serum autologous 10% on the conjunctival goblet cell density in eyes after cataract surgery.",
        "Setting": "LASERLENS IMHN IOANNINA GREECE",
        "Methods": "Design: Randomized clinical trial.\n\nParticipants: One hundred eyes from fifty patients with dry eyes who were scheduled for cataract surgery.LA\n\nPatients were randomly divided into two groups according to the postoperative topical drugs to be given; Group A (Right eye), dexamethasone alone; Group B (Left eye), dexamethasone and serum autologous 10%. Impression cytology was performed 1 month before surgery and 3 months after the surgery, and the mean density of goblet cells was determined.",
        "Results": "The density of goblet cells before the surgery in Group A, was 247.0 ± 178.7 cells/mm2 (mean ± SD), and it decreased significantly to 76.5 ± 66.7 cells/mm2 (mean ± SD) at 1 month after the surgery (P = .002). In Group B, the goblet cell density was not statistically different between before (228.5 ± 106.6 cells/mm2) (mean ± SD) and at 3 month after the surgery (201.3 ± 174.4 cells/mm2,(mean ± SD), P = 0.55).",
        "Conclusions": "The conjunctival goblet cell density was significantly reduced because of the inflammatory response to the corneal incisions that interrupt the nerve communication. Also, the concomitant use of topical serum autologous 10% with dexamethasone drugs were beneficial, especially in cases with postoperative dry eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POCOR558",
      "abstract_number": "POCOR558",
      "title": "Subconjunctival Injection Of Liposomal Tacrolimus (Lipotac) For The Treatment Of Allergic Conjunctivitis: Pre-Clinical And Phase I Studies",
      "authors": "Dr Shayne S Tan",
      "presenter": "Dr Shayne S Tan",
      "normalized_authors": [
        "Shayne S Tan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shayne S Tan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To develop and evaluate the safety and efficacy of liposomal tacrolimus (LipoTac) in the treatment of vernal keratoconjunctivitis (VKC).",
        "Setting": "In-vitro drug release profiles, 2-year stability tests and efficacy tests using a VKC animal model were conducted. Subsequently, a phase 1 clinical trial was conducted on 4 patients with VKC.",
        "Methods": "Conjunctival tacrolimus levels were compared between 9 rabbits who underwent a single subconjunctival injection of 0.3ml of LipoTac and rabbits that received tacrolimus eye drops. 80 mice were randomly allocated into 4 groups (negative control, positive control, LipoTac, and blank liposome injections (LipoBlank)), examined weekly, and had immunohistochemical examinations at week 4. For the first-in-human trial, all 4 patients were followed up for 8 weeks with subjective and objective outcome measures including the Allergic Conjunctivitis Symptom (ACS) questionnaire, Ocular Symptom Score (OSS), VKC clinical grading, best corrected visual acuity (BCVA).",
        "Results": "In vivo and in vitro testing showed a higher concentration of tacrolimus in the LipoTac group compared to the eye drop group at all time points. The expressions of pro-allergenic cytokines IL-4, IL-13, TGF-β1, and CD40L were all lower in the LipoTac group compared to the positive controls in mice eyes. 2-year stability tests showed that the pH 6.5 formulation had the least amount of tacrolimus degradation. First-in-man studies showed a significant improvement in OSS and ACS scores, with no change in BCVA. There were no serious adverse events recorded, with undetectable tacrolimus serum levels at all time points.",
        "Conclusions": "LipoTac is a safe and effective treatment option for sustained delivery of tacrolimus to treat VKC."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LipoTac is a safe and effective treatment option for sustained delivery of tacrolimus to treat VKC.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1240,
      "source_fields": {
        "Abstract Final Identifier": "POCOR558",
        "Title": "Subconjunctival Injection Of Liposomal Tacrolimus (Lipotac) For The Treatment Of Allergic Conjunctivitis: Pre-Clinical And Phase I Studies",
        "Presenting Author(s)": "Dr Shayne S Tan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Shayne",
        "Submitter Middle Name": "S",
        "Submitter Last Name": "Tan",
        "Country Name": "Singapore",
        "Purpose": "To develop and evaluate the safety and efficacy of liposomal tacrolimus (LipoTac) in the treatment of vernal keratoconjunctivitis (VKC).",
        "Setting": "In-vitro drug release profiles, 2-year stability tests and efficacy tests using a VKC animal model were conducted. Subsequently, a phase 1 clinical trial was conducted on 4 patients with VKC.",
        "Methods": "Conjunctival tacrolimus levels were compared between 9 rabbits who underwent a single subconjunctival injection of 0.3ml of LipoTac and rabbits that received tacrolimus eye drops. 80 mice were randomly allocated into 4 groups (negative control, positive control, LipoTac, and blank liposome injections (LipoBlank)), examined weekly, and had immunohistochemical examinations at week 4. For the first-in-human trial, all 4 patients were followed up for 8 weeks with subjective and objective outcome measures including the Allergic Conjunctivitis Symptom (ACS) questionnaire, Ocular Symptom Score (OSS), VKC clinical grading, best corrected visual acuity (BCVA).",
        "Results": "In vivo and in vitro testing showed a higher concentration of tacrolimus in the LipoTac group compared to the eye drop group at all time points. The expressions of pro-allergenic cytokines IL-4, IL-13, TGF-β1, and CD40L were all lower in the LipoTac group compared to the positive controls in mice eyes. 2-year stability tests showed that the pH 6.5 formulation had the least amount of tacrolimus degradation. First-in-man studies showed a significant improvement in OSS and ACS scores, with no change in BCVA. There were no serious adverse events recorded, with undetectable tacrolimus serum levels at all time points.",
        "Conclusions": "LipoTac is a safe and effective treatment option for sustained delivery of tacrolimus to treat VKC."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "POCOR559",
      "abstract_number": "POCOR559",
      "title": "Painless Geographic Corneal Ulcer In An Elderly Patient: A Diagnostic Pitfall In Neurotrophic Keratitis",
      "authors": "Dr Albiona Taullaj",
      "presenter": "Dr Albiona Taullaj",
      "normalized_authors": [
        "Albiona Taullaj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Albiona Taullaj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Albania",
      "sections": {
        "Purpose": "To report a case of neurotrophic keratitis presenting as a painless geographic corneal ulcer and to highlight the importance of corneal sensitivity assessment in differentiating it from infectious keratitis.",
        "Setting": "Tertiary ophthalmology referral center, Tirana, Albania\n\nAn 71-year-old woman presented with decreased visual acuity and mild ocular discomfort in her right eye. She was referred from a primary ophthalmology setting due to persistent epithelial defect.",
        "Methods": "Single observational case report.",
        "Results": "Notably, the patient reported minimal pain despite significant corneal findings. Slit-lamp examination revealed conjunctival hyperemia and a central corneal ulcer associated with a temporal geographic epithelial defect and loose surrounding epithelium. Fluorescein staining confirmed a large epithelial defect extending temporally.\n\nCorneal sensitivity was markedly reduced compared to the fellow eye.\n\nThe clinical findings were consistent with Stage 2 neurotrophic keratitis, likely secondary to previous herpetic disease. The patient was treated with oral acyclovir, topical tobramycin/dexamethasone, and cycloplegic therapy. The patient was also advised to maintain eyelid closure to promote epithelial healing.",
        "Conclusions": "At two-week follow-up, slit-lamp examination demonstrated partial re-epithelialization with a reduction in the size of the epithelial defect.\n\nLarge painless geographic epithelial defects in elderly patients represent a diagnostic pitfall. Routine corneal sensitivity assessment is critical for distinguishing neurotrophic keratitis from infectious keratitis and for preventing vision-threatening complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At two-week follow-up, slit-lamp examination demonstrated partial re-epithelialization with a reduction in the size of the epithelial defect. Large painless geographic epithelial defects in elderly patients represent a diagnostic pitfall. Routine corneal sensitivity assessment is critical for distinguishing neurotrophic keratitis from infectious keratitis and for preventing vision-threatening complications.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1241,
      "source_fields": {
        "Abstract Final Identifier": "POCOR559",
        "Title": "Painless Geographic Corneal Ulcer In An Elderly Patient: A Diagnostic Pitfall In Neurotrophic Keratitis",
        "Presenting Author(s)": "Dr Albiona Taullaj",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Albiona",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Taullaj",
        "Country Name": "Albania",
        "Purpose": "To report a case of neurotrophic keratitis presenting as a painless geographic corneal ulcer and to highlight the importance of corneal sensitivity assessment in differentiating it from infectious keratitis.",
        "Setting": "Tertiary ophthalmology referral center, Tirana, Albania\n\nAn 71-year-old woman presented with decreased visual acuity and mild ocular discomfort in her right eye. She was referred from a primary ophthalmology setting due to persistent epithelial defect.",
        "Methods": "Single observational case report.",
        "Results": "Notably, the patient reported minimal pain despite significant corneal findings. Slit-lamp examination revealed conjunctival hyperemia and a central corneal ulcer associated with a temporal geographic epithelial defect and loose surrounding epithelium. Fluorescein staining confirmed a large epithelial defect extending temporally.\n\nCorneal sensitivity was markedly reduced compared to the fellow eye.\n\nThe clinical findings were consistent with Stage 2 neurotrophic keratitis, likely secondary to previous herpetic disease. The patient was treated with oral acyclovir, topical tobramycin/dexamethasone, and cycloplegic therapy. The patient was also advised to maintain eyelid closure to promote epithelial healing.",
        "Conclusions": "At two-week follow-up, slit-lamp examination demonstrated partial re-epithelialization with a reduction in the size of the epithelial defect.\n\nLarge painless geographic epithelial defects in elderly patients represent a diagnostic pitfall. Routine corneal sensitivity assessment is critical for distinguishing neurotrophic keratitis from infectious keratitis and for preventing vision-threatening complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 208
    },
    {
      "uid": "POCOR560",
      "abstract_number": "POCOR560",
      "title": "Marrakech Eye Bank : Excellence Serving The Ocular Surface",
      "authors": "Dr Radia Thalal",
      "presenter": "Dr Radia Thalal",
      "normalized_authors": [
        "Radia Thalal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Radia Thalal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "In severe ocular surface diseases that threaten vision, the amniotic membrane represents a promising therapeutic option. Thanks to its high concentration of growth factors and its anti-inflammatory properties, it provides an optimal biological environment for corneal and conjunctival healing.\n\nIn Morocco, where corneal grafts are frequently imported, the Marrakech Eye Bank plays a leading role by ensuring the availability and accessibility of ready-to-use amniotic membrane.",
        "Setting": "Retrospective study of 205 patients who underwent amniotic membrane transplantation at the Ophthalmology Department of Mohammed VI University Hospital in Marrakech between January 2023 and December 2025.",
        "Methods": "The parameters studied included age, sex, etiology, lesion characteristics, surgical technique, and postoperative outcomes.\n\nThe mean patient age was 44 years (range: 7–80 years), with a predominance of male patients (70%). The main etiologies were perforated or impending perforation secondary to trauma, infectious or inflammatory keratitis, and corneal chemical burns.\n\nRegarding surgical techniques, amniotic membrane transplantation was performed as inlay (55%), overlay (23%), multilayer (19%), and combined with biological glue in 3% of cases.\n\nComplete anatomical healing was achieved in 90% of patients. Functionally, 70% of patients presented with a residual central corneal opacity.",
        "Results": "Amniotic membrane transplantation is an effective and versatile therapeutic approach for the management of ocular surface diseases. It promotes tissue healing, reduces inflammation, and contributes to temporary globe stabilization while patients await definitive corneal transplantation. In cases of chemical burns, it helps limit stromal scarring and improves ocular comfort.\n\nEstablished in 2011 as the first national eye bank, the Marrakech Eye Bank ensures the procurement, processing, sterilization, and rapid availability of amniotic membranes. This infrastructure optimizes patient management and plays a key role in preserving ocular integrity in a large number of cases.",
        "Conclusions": "Amniotic membrane transplantation represents a first-line therapeutic option for perforated and pre-perforative corneal ulcers, as well as for ocular chemical burns. With the support of the Marrakech Eye Bank, this technique is readily available in emergency settings, contributing to the preservation of corneal structure, the reduction of visual sequelae, and the improvement of patients’ quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Amniotic membrane transplantation represents a first-line therapeutic option for perforated and pre-perforative corneal ulcers, as well as for ocular chemical burns. With the support of the Marrakech Eye Bank, this technique is readily available in emergency settings, contributing to the preservation of corneal structure, the reduction of visual sequelae, and the improvement of patients’ quality of life.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1242,
      "source_fields": {
        "Abstract Final Identifier": "POCOR560",
        "Title": "Marrakech Eye Bank : Excellence Serving The Ocular Surface",
        "Presenting Author(s)": "Dr Radia Thalal",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Radia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Thalal",
        "Country Name": "Morocco",
        "Purpose": "In severe ocular surface diseases that threaten vision, the amniotic membrane represents a promising therapeutic option. Thanks to its high concentration of growth factors and its anti-inflammatory properties, it provides an optimal biological environment for corneal and conjunctival healing.\n\nIn Morocco, where corneal grafts are frequently imported, the Marrakech Eye Bank plays a leading role by ensuring the availability and accessibility of ready-to-use amniotic membrane.",
        "Setting": "Retrospective study of 205 patients who underwent amniotic membrane transplantation at the Ophthalmology Department of Mohammed VI University Hospital in Marrakech between January 2023 and December 2025.",
        "Methods": "The parameters studied included age, sex, etiology, lesion characteristics, surgical technique, and postoperative outcomes.\n\nThe mean patient age was 44 years (range: 7–80 years), with a predominance of male patients (70%). The main etiologies were perforated or impending perforation secondary to trauma, infectious or inflammatory keratitis, and corneal chemical burns.\n\nRegarding surgical techniques, amniotic membrane transplantation was performed as inlay (55%), overlay (23%), multilayer (19%), and combined with biological glue in 3% of cases.\n\nComplete anatomical healing was achieved in 90% of patients. Functionally, 70% of patients presented with a residual central corneal opacity.",
        "Results": "Amniotic membrane transplantation is an effective and versatile therapeutic approach for the management of ocular surface diseases. It promotes tissue healing, reduces inflammation, and contributes to temporary globe stabilization while patients await definitive corneal transplantation. In cases of chemical burns, it helps limit stromal scarring and improves ocular comfort.\n\nEstablished in 2011 as the first national eye bank, the Marrakech Eye Bank ensures the procurement, processing, sterilization, and rapid availability of amniotic membranes. This infrastructure optimizes patient management and plays a key role in preserving ocular integrity in a large number of cases.",
        "Conclusions": "Amniotic membrane transplantation represents a first-line therapeutic option for perforated and pre-perforative corneal ulcers, as well as for ocular chemical burns. With the support of the Marrakech Eye Bank, this technique is readily available in emergency settings, contributing to the preservation of corneal structure, the reduction of visual sequelae, and the improvement of patients’ quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "POCOR561",
      "abstract_number": "POCOR561",
      "title": "Subclinical Ocular Surface Dysfunction And Reduced Contrast Sensitivity In Prediabetes",
      "authors": "Şeyma Tokay Tay",
      "presenter": "Şeyma Tokay Tay",
      "normalized_authors": [
        "Şeyma Tokay Tay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Şeyma Tokay Tay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Prediabetes, a metabolic state characterized by impaired glucose regulation, is considered the most important precursor of type 2 diabetes mellitus and is estimated to affect approximately 7% of the adult population worldwide. Increasing evidence indicates that microvascular and macrovascular alterations may already occur during the prediabetic stage. The aim of this study was to evaluate ocular surface parameters and contrast sensitivity in individuals with prediabetes and to compare these findings with those of healthy controls in order to identify potential early ocular changes associated with the prediabetic condition.",
        "Setting": "This comparative cross-sectional study was conducted at the Department of Ophthalmology of a tertiary-care university hospital, including prediabetic patients referred from the endocrinology clinic.",
        "Methods": "This comparative cross-sectional study included 112 individuals diagnosed with prediabetes according to the American Diabetes Association (ADA) criteria and 80 healthy controls with a similar age and sex distribution. Prediabetic participants were referred from the endocrinology clinic to the ophthalmology department for ocular evaluation. All participants underwent a comprehensive ophthalmic examination including non-anesthetized and anesthetized Schirmer tests and tear break-up time (TBUT) measurement for the assessment of ocular surface parameters. Contrast sensitivity was evaluated using a computerized system at multiple spatial frequencies ranging from 1.5 to 18 cycles per degree (cpd).",
        "Results": "When the prediabetic group was compared with the healthy control group, no statistically significant difference was observed in the non-anesthetized Schirmer test results (p = 0.337). However, the anesthetized Schirmer test and TBUT values were significantly lower in the prediabetic group (p = 0.014 and p < 0.001, respectively), indicating impaired basal tear secretion and reduced tear film stability. Furthermore, contrast sensitivity analysis demonstrated significantly decreased contrast perception across all spatial frequencies in prediabetic individuals compared with healthy controls (p < 0.001).",
        "Conclusions": "Prediabetic individuals exhibit alterations in ocular surface homeostasis characterized by reduced basal tear secretion and decreased tear film stability. In addition, the reduction in contrast sensitivity suggests that subtle functional changes in the visual system may occur before the development of clinically apparent diabetic ocular complications. These findings highlight that ocular surface evaluation and contrast sensitivity testing may provide valuable insights for detecting early ocular involvement in the prediabetic stage."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Prediabetic individuals exhibit alterations in ocular surface homeostasis characterized by reduced basal tear secretion and decreased tear film stability. In addition, the reduction in contrast sensitivity suggests that subtle functional changes in the visual system may occur before the development of clinically apparent diabetic ocular complications. These findings highlight that ocular surface evaluation and…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1243,
      "source_fields": {
        "Abstract Final Identifier": "POCOR561",
        "Title": "Subclinical Ocular Surface Dysfunction And Reduced Contrast Sensitivity In Prediabetes",
        "Presenting Author(s)": "Şeyma Tokay Tay",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Şeyma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tokay Tay",
        "Country Name": "Türkiye",
        "Purpose": "Prediabetes, a metabolic state characterized by impaired glucose regulation, is considered the most important precursor of type 2 diabetes mellitus and is estimated to affect approximately 7% of the adult population worldwide. Increasing evidence indicates that microvascular and macrovascular alterations may already occur during the prediabetic stage. The aim of this study was to evaluate ocular surface parameters and contrast sensitivity in individuals with prediabetes and to compare these findings with those of healthy controls in order to identify potential early ocular changes associated with the prediabetic condition.",
        "Setting": "This comparative cross-sectional study was conducted at the Department of Ophthalmology of a tertiary-care university hospital, including prediabetic patients referred from the endocrinology clinic.",
        "Methods": "This comparative cross-sectional study included 112 individuals diagnosed with prediabetes according to the American Diabetes Association (ADA) criteria and 80 healthy controls with a similar age and sex distribution. Prediabetic participants were referred from the endocrinology clinic to the ophthalmology department for ocular evaluation. All participants underwent a comprehensive ophthalmic examination including non-anesthetized and anesthetized Schirmer tests and tear break-up time (TBUT) measurement for the assessment of ocular surface parameters. Contrast sensitivity was evaluated using a computerized system at multiple spatial frequencies ranging from 1.5 to 18 cycles per degree (cpd).",
        "Results": "When the prediabetic group was compared with the healthy control group, no statistically significant difference was observed in the non-anesthetized Schirmer test results (p = 0.337). However, the anesthetized Schirmer test and TBUT values were significantly lower in the prediabetic group (p = 0.014 and p < 0.001, respectively), indicating impaired basal tear secretion and reduced tear film stability. Furthermore, contrast sensitivity analysis demonstrated significantly decreased contrast perception across all spatial frequencies in prediabetic individuals compared with healthy controls (p < 0.001).",
        "Conclusions": "Prediabetic individuals exhibit alterations in ocular surface homeostasis characterized by reduced basal tear secretion and decreased tear film stability. In addition, the reduction in contrast sensitivity suggests that subtle functional changes in the visual system may occur before the development of clinically apparent diabetic ocular complications. These findings highlight that ocular surface evaluation and contrast sensitivity testing may provide valuable insights for detecting early ocular involvement in the prediabetic stage."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "POCOR562",
      "abstract_number": "POCOR562",
      "title": "Corneal Pyogenic Granuloma: A Case Report And Systematic Review",
      "authors": "Dr C. Maya Tong",
      "presenter": "Dr C. Maya Tong",
      "normalized_authors": [
        "C. Maya Tong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "C. Maya Tong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To report a rare case of a corneal pyogenic granuloma that was temporally associated to limbal stem cell deficiency occurring after immunotherapy for breast cancer treatment. Furthermore, we present a systematic review characterize the rarity of corneal pyogenic granulomas, to analyze predisposing factors, and summarize the clinical signs, symptoms and outcomes associated with this condition.",
        "Setting": "Case report from a tertiary care center. Systematic review of English-language cases identified through medical science databases, specifically detailing corneal pyogenic granulomas.",
        "Methods": "Following PRIMSA guidelines, a systematic review of Web of Science, Scopus, Embase, PubMed, MEDLINE, and CINAHL was conducted using key terms “pyogenic granuloma” AND “cornea*”.Two reviewers independently screened primary English-language sources. Extracted data included patient demographics, ocular and medical history, lesion characteristics, treatment modalities, and clinical outcomes. Descriptive statistics were utilized for analysis.",
        "Results": "The systematic review identified 15 articles describing 30 patients. Most patients (86.7%) had a contributory ocular history, primarily glaucoma, prior ocular surgery, or trauma. Lesions were predominantly central. The average lesion average area was 17.3 mm 2 . Corneal pyogenic granulomas were associated with profound visual impairment; 11 of 15 patients had visual acuity of counting fingers or worse. Surgical excision was the primary treatment (80.0%). Despite epithelial healing in many cases, visual outcomes were often poor, and recurrence occurred in four patients (13.3%).",
        "Conclusions": "Corneal pyogenic granulomas are rare and typically arise in eyes with preexisting corneal vascularization from prior injury, surgery, or chronic irritation. While surgical excision is the mainstay of treatment, visual recovery is often limited by residual scarring. This report describes the first case of corneal pyogenic granuloma that was temporally associated with limbal stem cell deficiency that occurred after immunotherapy for a distant cancer, suggesting a potential novel contributing factor for the development of a corneal pyogenic granuloma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal pyogenic granulomas are rare and typically arise in eyes with preexisting corneal vascularization from prior injury, surgery, or chronic irritation. While surgical excision is the mainstay of treatment, visual recovery is often limited by residual scarring. This report describes the first case of corneal pyogenic granuloma that was temporally associated with limbal stem cell deficiency that occurred after…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1244,
      "source_fields": {
        "Abstract Final Identifier": "POCOR562",
        "Title": "Corneal Pyogenic Granuloma: A Case Report And Systematic Review",
        "Presenting Author(s)": "Dr C. Maya Tong",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "C. Maya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tong",
        "Country Name": "Canada",
        "Purpose": "To report a rare case of a corneal pyogenic granuloma that was temporally associated to limbal stem cell deficiency occurring after immunotherapy for breast cancer treatment. Furthermore, we present a systematic review characterize the rarity of corneal pyogenic granulomas, to analyze predisposing factors, and summarize the clinical signs, symptoms and outcomes associated with this condition.",
        "Setting": "Case report from a tertiary care center. Systematic review of English-language cases identified through medical science databases, specifically detailing corneal pyogenic granulomas.",
        "Methods": "Following PRIMSA guidelines, a systematic review of Web of Science, Scopus, Embase, PubMed, MEDLINE, and CINAHL was conducted using key terms “pyogenic granuloma” AND “cornea*”.Two reviewers independently screened primary English-language sources. Extracted data included patient demographics, ocular and medical history, lesion characteristics, treatment modalities, and clinical outcomes. Descriptive statistics were utilized for analysis.",
        "Results": "The systematic review identified 15 articles describing 30 patients. Most patients (86.7%) had a contributory ocular history, primarily glaucoma, prior ocular surgery, or trauma. Lesions were predominantly central. The average lesion average area was 17.3 mm 2 . Corneal pyogenic granulomas were associated with profound visual impairment; 11 of 15 patients had visual acuity of counting fingers or worse. Surgical excision was the primary treatment (80.0%). Despite epithelial healing in many cases, visual outcomes were often poor, and recurrence occurred in four patients (13.3%).",
        "Conclusions": "Corneal pyogenic granulomas are rare and typically arise in eyes with preexisting corneal vascularization from prior injury, surgery, or chronic irritation. While surgical excision is the mainstay of treatment, visual recovery is often limited by residual scarring. This report describes the first case of corneal pyogenic granuloma that was temporally associated with limbal stem cell deficiency that occurred after immunotherapy for a distant cancer, suggesting a potential novel contributing factor for the development of a corneal pyogenic granuloma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POCOR563",
      "abstract_number": "POCOR563",
      "title": "Signs And Symptoms Correlation In Patients With Dry Eye Disease",
      "authors": "Dr Alvaro Juan Pablo Tovar Gomez",
      "presenter": "Dr Alvaro Juan Pablo Tovar Gomez",
      "normalized_authors": [
        "Alvaro Juan Pablo Tovar Gomez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alvaro Juan Pablo Tovar Gomez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To analyze the correlations between the ocular surface signs and reported symptoms in patients with dry eye disease.",
        "Setting": "Cornea, Cataract and Refractive Surgery Clinic, Unidad Nacional de Oftalmología, Guatemala, Guatemala.",
        "Methods": "A cross-sectional study was conducted including patients with dry eye disease evaluated between August and December 2025. Patients underwent computerized dry eye assessment using the Keratograph® (Oculus, Germany), generating a JENVIS report that included tear meniscus height (TMH), non-invasive keratograph break-up time (NIKBUT), meibography (MEIBO), and conjunctival redness grading (CR). Symptom evaluation was performed using the Ocular Surface Disease Index (OSDI) questionnaire. Clinical and demographic variables were recorded, and correlations between OSDI scores and JENVIS report were analyzed. Multivariate analysis and Pearson correlation coefficients were calculated, with statistical significance set at 0.05 alpha value.",
        "Results": "One-hundred eyes from 50 patients were analyzed. Mean age was 52.08 ± 15.7 years, 86% female. Mean OSDI score was 19.06 points, corresponding to mild dry eye. JENVIS® report analysis showed a mean TMH of 0.24 and 0.23 mm, mean NIKBUT was 10.7 and 11.1 seconds, while the mean MEIBO score was 1.32 and 1.48 for the right and left eyes, respectively. CR scores were 0.71 and 0.67, for the right and left eyes respectively. No statistically significant correlation was found between symptom severity measured by OSDI and JENVIS report parameters (Pearson r = 0.16, p = 0.26). Multivariate analysis demonstrated that none of the JENVIS parameters significantly predicted patient symptoms according to OSDI symptom categories",
        "Conclusions": "This study demonstrates that the signs and symptoms of dry eye disease frequently lack correlation, highlighting the heterogeneous nature of the condition. The use of quality-of-life questionnaires such as the OSDI, together with computerized dry eye analysis, represents an essential component in the comprehensive and individualized evaluation of patients with dry eye disease. Clinically, these findings emphasize that therapeutic decisions should not rely solely on objective parameters, as symptom burden may not be adequately reflected by diagnostic measurements alone, reinforcing the need for a multimodal and patient-centered approach to diagnosis and management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates that the signs and symptoms of dry eye disease frequently lack correlation, highlighting the heterogeneous nature of the condition. The use of quality-of-life questionnaires such as the OSDI, together with computerized dry eye analysis, represents an essential component in the comprehensive and individualized evaluation of patients with dry eye disease. Clinically, these findings emphasize…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1245,
      "source_fields": {
        "Abstract Final Identifier": "POCOR563",
        "Title": "Signs And Symptoms Correlation In Patients With Dry Eye Disease",
        "Presenting Author(s)": "Dr Alvaro Juan Pablo Tovar Gomez",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alvaro Juan Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tovar Gomez",
        "Country Name": "Guatemala",
        "Purpose": "To analyze the correlations between the ocular surface signs and reported symptoms in patients with dry eye disease.",
        "Setting": "Cornea, Cataract and Refractive Surgery Clinic, Unidad Nacional de Oftalmología, Guatemala, Guatemala.",
        "Methods": "A cross-sectional study was conducted including patients with dry eye disease evaluated between August and December 2025. Patients underwent computerized dry eye assessment using the Keratograph® (Oculus, Germany), generating a JENVIS report that included tear meniscus height (TMH), non-invasive keratograph break-up time (NIKBUT), meibography (MEIBO), and conjunctival redness grading (CR). Symptom evaluation was performed using the Ocular Surface Disease Index (OSDI) questionnaire. Clinical and demographic variables were recorded, and correlations between OSDI scores and JENVIS report were analyzed. Multivariate analysis and Pearson correlation coefficients were calculated, with statistical significance set at 0.05 alpha value.",
        "Results": "One-hundred eyes from 50 patients were analyzed. Mean age was 52.08 ± 15.7 years, 86% female. Mean OSDI score was 19.06 points, corresponding to mild dry eye. JENVIS® report analysis showed a mean TMH of 0.24 and 0.23 mm, mean NIKBUT was 10.7 and 11.1 seconds, while the mean MEIBO score was 1.32 and 1.48 for the right and left eyes, respectively. CR scores were 0.71 and 0.67, for the right and left eyes respectively. No statistically significant correlation was found between symptom severity measured by OSDI and JENVIS report parameters (Pearson r = 0.16, p = 0.26). Multivariate analysis demonstrated that none of the JENVIS parameters significantly predicted patient symptoms according to OSDI symptom categories",
        "Conclusions": "This study demonstrates that the signs and symptoms of dry eye disease frequently lack correlation, highlighting the heterogeneous nature of the condition. The use of quality-of-life questionnaires such as the OSDI, together with computerized dry eye analysis, represents an essential component in the comprehensive and individualized evaluation of patients with dry eye disease. Clinically, these findings emphasize that therapeutic decisions should not rely solely on objective parameters, as symptom burden may not be adequately reflected by diagnostic measurements alone, reinforcing the need for a multimodal and patient-centered approach to diagnosis and management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POCOR564",
      "abstract_number": "POCOR564",
      "title": "A Young Ophthalmologist’S Surprise Diagnosis: Not All Red Eyes Are Conjunctivitis",
      "authors": "Dr Ema Trajkova",
      "presenter": "Dr Ema Trajkova",
      "normalized_authors": [
        "Ema Trajkova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ema Trajkova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "North Macedonia",
      "sections": {
        "Purpose": "The purpose of this report is to emphasize the importance of differentiating between acute conjunctivitis and other red eye pathologies compared to External Ophtalmomyasis .\n\nIn addition, to highlight the importance of detailed exposure history and meticulous slit-lamp examination in patients presenting with acute red eye.",
        "Setting": "Tertiary ophthalmology referral center.",
        "Methods": "A 21-year-old female presented with itching, pain, redness, and lower eyelid swelling of the right eye. Symptoms began six hours after a fly entered the eye while camping. Ophthalmic examination included best-corrected visual acuity, slit-lamp biomicroscopy, eyelid eversion with fornix inspection, and dilated fundus examination to exclude intraocular involvement. Ophthalmomyiasis externa was diagnosed by visualization of motile larvae consistent with Oestrus ovis . Larvae were removed at the slit lamp under topical anesthesia (0.5% proparacaine) by mechanical extraction with sterile forceps, double eyelid eversion, and copious irrigation of the conjunctival sac. Extracted larvae were submitted for microbiological identification.",
        "Results": "At presentation, BCVA was 20/20 in both eyes. Slit-lamp examination showed conjunctival hyperemia and multiple motile translucent larvae in the superior and inferior fornices of right eye. Cornea had superficial punctate epithelial erosions without stromal involvement, and no anterior chamber reaction was observed. Fundus examination excluded intraocular involvement. A total of 22 larvae were removed with immediate symptom relief. Postoperatively, the patient received topical tobramycin, lubricants, and topical NSAIDs. At Day 1, hyperemia was reduced with no residual larvae. At Week 1, complete resolution was observed with stable visual acuity. No recurrence occurred during 1-month follow-up. Microbiological analysis confirmed Oestrus ovis .",
        "Conclusions": "Ophtalmomyasis can initially mimic acute conjunctivitis and remain undetected on routine examination . Detailed exposure history and comprehensive slit-lamp evaluation, including lid eversion and ocular irrigation are fundamental for accurate diagnosis.Immediate mechanical removal of larvae results with a complete clinical recovery , although transient corneal and conjunctival changes may be seen."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ophtalmomyasis can initially mimic acute conjunctivitis and remain undetected on routine examination . Detailed exposure history and comprehensive slit-lamp evaluation, including lid eversion and ocular irrigation are fundamental for accurate diagnosis.Immediate mechanical removal of larvae results with a complete clinical recovery , although transient corneal and conjunctival changes may be seen.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1246,
      "source_fields": {
        "Abstract Final Identifier": "POCOR564",
        "Title": "A Young Ophthalmologist’S Surprise Diagnosis: Not All Red Eyes Are Conjunctivitis",
        "Presenting Author(s)": "Dr Ema Trajkova",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ema",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Trajkova",
        "Country Name": "North Macedonia",
        "Purpose": "The purpose of this report is to emphasize the importance of differentiating between acute conjunctivitis and other red eye pathologies compared to External Ophtalmomyasis .\n\nIn addition, to highlight the importance of detailed exposure history and meticulous slit-lamp examination in patients presenting with acute red eye.",
        "Setting": "Tertiary ophthalmology referral center.",
        "Methods": "A 21-year-old female presented with itching, pain, redness, and lower eyelid swelling of the right eye. Symptoms began six hours after a fly entered the eye while camping. Ophthalmic examination included best-corrected visual acuity, slit-lamp biomicroscopy, eyelid eversion with fornix inspection, and dilated fundus examination to exclude intraocular involvement. Ophthalmomyiasis externa was diagnosed by visualization of motile larvae consistent with Oestrus ovis . Larvae were removed at the slit lamp under topical anesthesia (0.5% proparacaine) by mechanical extraction with sterile forceps, double eyelid eversion, and copious irrigation of the conjunctival sac. Extracted larvae were submitted for microbiological identification.",
        "Results": "At presentation, BCVA was 20/20 in both eyes. Slit-lamp examination showed conjunctival hyperemia and multiple motile translucent larvae in the superior and inferior fornices of right eye. Cornea had superficial punctate epithelial erosions without stromal involvement, and no anterior chamber reaction was observed. Fundus examination excluded intraocular involvement. A total of 22 larvae were removed with immediate symptom relief. Postoperatively, the patient received topical tobramycin, lubricants, and topical NSAIDs. At Day 1, hyperemia was reduced with no residual larvae. At Week 1, complete resolution was observed with stable visual acuity. No recurrence occurred during 1-month follow-up. Microbiological analysis confirmed Oestrus ovis .",
        "Conclusions": "Ophtalmomyasis can initially mimic acute conjunctivitis and remain undetected on routine examination . Detailed exposure history and comprehensive slit-lamp evaluation, including lid eversion and ocular irrigation are fundamental for accurate diagnosis.Immediate mechanical removal of larvae results with a complete clinical recovery , although transient corneal and conjunctival changes may be seen."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCOR565",
      "abstract_number": "POCOR565",
      "title": "Impact Of Micropulse Transcleral Cyclophotocoagulation On The Development Of Limbal Stem Cell Deficiency In Refractory Glaucoma",
      "authors": "Ms Patcharida Treepornchaisak",
      "presenter": "Ms Patcharida Treepornchaisak",
      "normalized_authors": [
        "Patcharida Treepornchaisak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Patcharida Treepornchaisak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "primary objective : To evaluate the impact of micropulse transscleral cyclophotocoagulation (MP-TSCPC) on the development of limbal stem cell deficiency (LSCD).\n\nsecondary objective : To characterize the pattern of changes in limbal epithelial stem cells following micropulse transscleral cyclophotocoagulation.",
        "Setting": "This is a prospective observational study conducted at Thammasat University hospital where is a referral ophthalmology center. Patients with refractory glaucoma undergoing first-time micropulse transscleral cyclophotocoagulation (MP-TSCPC) were consecutively enrolled. Participants were followed for at least 6 months with serial anterior segment OCT (AS-OCT) to assess changes in central, limbal epithelial thickness and the potential development of limbal stem cell deficiency (LSCD).",
        "Methods": "This prospective study enrolled adults with refractory glaucoma undergoing first-time micropulse transscleral cyclophotocoagulation (MP-TSCPC). Patients with pre-existing limbal stem cell deficiency (LSCD) were excluded. Baseline evaluation included BCVA, IOP, slit-lamp examination, and AS-OCT. Epithelial thickness was measured centrally and in four limbal quadrants ( superior , nasal, temporal , and inferior).Standardized MP-TSCPC (31.3% duty cycle, 2200 mW, 360 degree) was performed. Follow-up at 1, 3, and 6 months included repeat clinical examination and AS-OCT. The primary outcome was maximal limbal epithelial thickness. Changes over time were analyzed using a linear mixed-effects model and repeated measures anova",
        "Results": "Nineteen patients (355 observations) were analyzed using a linear mixed-effects analysis The result demonstrated no significant change in epithelial thickness over time (F=0.046, p=0.987).The estimated overall mean thickness was 62.51±1.04 µm (95% CI 60.37–64.64). Repeated-measures ANOVA (N=14) confirmed the absence of a time effect (F=0.440, p=0.726). Mauchly’s test indicated that sphericity was not violated for time (p=0.878) or location (p=0.523). No significant time–location interaction was observed (p=0.637).",
        "Conclusions": "Micropulse transscleral cyclophotocoagulation (MP-TSCPC) demonstrated a favorable corneal safety profile, with no significant longitudinal changes in limbal or central epithelial thickness over 6 months. These findings suggest that MP-TSCPC is not associated with structural changes consistent with limbal stem cell deficiency (LSCD) in patients with refractory glaucoma. Larger studies with extended follow-up are warranted to further establish long-term safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Micropulse transscleral cyclophotocoagulation (MP-TSCPC) demonstrated a favorable corneal safety profile, with no significant longitudinal changes in limbal or central epithelial thickness over 6 months. These findings suggest that MP-TSCPC is not associated with structural changes consistent with limbal stem cell deficiency (LSCD) in patients with refractory glaucoma. Larger studies with extended follow-up are…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1247,
      "source_fields": {
        "Abstract Final Identifier": "POCOR565",
        "Title": "Impact Of Micropulse Transcleral Cyclophotocoagulation On The Development Of Limbal Stem Cell Deficiency In Refractory Glaucoma",
        "Presenting Author(s)": "Ms Patcharida Treepornchaisak",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Patcharida",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Treepornchaisak",
        "Country Name": "Thailand",
        "Purpose": "primary objective : To evaluate the impact of micropulse transscleral cyclophotocoagulation (MP-TSCPC) on the development of limbal stem cell deficiency (LSCD).\n\nsecondary objective : To characterize the pattern of changes in limbal epithelial stem cells following micropulse transscleral cyclophotocoagulation.",
        "Setting": "This is a prospective observational study conducted at Thammasat University hospital where is a referral ophthalmology center. Patients with refractory glaucoma undergoing first-time micropulse transscleral cyclophotocoagulation (MP-TSCPC) were consecutively enrolled. Participants were followed for at least 6 months with serial anterior segment OCT (AS-OCT) to assess changes in central, limbal epithelial thickness and the potential development of limbal stem cell deficiency (LSCD).",
        "Methods": "This prospective study enrolled adults with refractory glaucoma undergoing first-time micropulse transscleral cyclophotocoagulation (MP-TSCPC). Patients with pre-existing limbal stem cell deficiency (LSCD) were excluded. Baseline evaluation included BCVA, IOP, slit-lamp examination, and AS-OCT. Epithelial thickness was measured centrally and in four limbal quadrants ( superior , nasal, temporal , and inferior).Standardized MP-TSCPC (31.3% duty cycle, 2200 mW, 360 degree) was performed. Follow-up at 1, 3, and 6 months included repeat clinical examination and AS-OCT. The primary outcome was maximal limbal epithelial thickness. Changes over time were analyzed using a linear mixed-effects model and repeated measures anova",
        "Results": "Nineteen patients (355 observations) were analyzed using a linear mixed-effects analysis The result demonstrated no significant change in epithelial thickness over time (F=0.046, p=0.987).The estimated overall mean thickness was 62.51±1.04 µm (95% CI 60.37–64.64). Repeated-measures ANOVA (N=14) confirmed the absence of a time effect (F=0.440, p=0.726). Mauchly’s test indicated that sphericity was not violated for time (p=0.878) or location (p=0.523). No significant time–location interaction was observed (p=0.637).",
        "Conclusions": "Micropulse transscleral cyclophotocoagulation (MP-TSCPC) demonstrated a favorable corneal safety profile, with no significant longitudinal changes in limbal or central epithelial thickness over 6 months. These findings suggest that MP-TSCPC is not associated with structural changes consistent with limbal stem cell deficiency (LSCD) in patients with refractory glaucoma. Larger studies with extended follow-up are warranted to further establish long-term safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POCOR566",
      "abstract_number": "POCOR566",
      "title": "Topical Chemotherapy In Melanocytic Conjunctival Tumors: Clinical Insights From Published Evidence",
      "authors": "Dr Panagiota Tzortzi",
      "presenter": "Dr Panagiota Tzortzi",
      "normalized_authors": [
        "Panagiota Tzortzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Panagiota Tzortzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To provide an educational overview of the clinical role of topical chemotherapy in the management of melanocytic conjunctival tumors, focusing on practical indications, effectiveness, and tolerability of mitomycin C and interferon alpha-2b as reported in the literature.",
        "Setting": "The abstract is based on published clinical experience regarding the use of topical chemotherapy in melanocytic conjunctival tumors, as reported across ophthalmic oncology and cornea subspecialty settings.",
        "Methods": "A narrative synthesis of published clinical reports describing the use of topical mitomycin C and interferon alpha-2b in melanocytic conjunctival tumors was performed. The review focused on clinical indications, therapeutic context, including use as primary or adjuvant treatment, lesion characteristics, and reported safety considerations.",
        "Results": "Published evidence indicates that topical chemotherapy represents a meaningful non-surgical option in selected melanocytic conjunctival tumors. Mitomycin C has been reported as particularly useful in diffuse, superficial, and intraepithelial disease, while its adjuvant use following surgical excision appears beneficial in nodular or invasive lesions. Interferon alpha-2b demonstrates favorable tolerability and is considered a valuable alternative in patients unable to tolerate mitomycin C.",
        "Conclusions": "Topical chemotherapy can play an important role in selected cases of melanocytic conjunctival tumors, both as primary therapy and as an adjuvant to surgical management. Careful patient and lesion selection is essential to optimize therapeutic benefit while minimizing treatment-related toxicity. An individualized, lesion-directed strategy is essential to optimize outcomes while minimizing toxicity. Further prospective studies are warranted to refine treatment protocols and evaluate long-term results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical chemotherapy can play an important role in selected cases of melanocytic conjunctival tumors, both as primary therapy and as an adjuvant to surgical management. Careful patient and lesion selection is essential to optimize therapeutic benefit while minimizing treatment-related toxicity. An individualized, lesion-directed strategy is essential to optimize outcomes while minimizing toxicity. Further…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1248,
      "source_fields": {
        "Abstract Final Identifier": "POCOR566",
        "Title": "Topical Chemotherapy In Melanocytic Conjunctival Tumors: Clinical Insights From Published Evidence",
        "Presenting Author(s)": "Dr Panagiota Tzortzi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Panagiota",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tzortzi",
        "Country Name": "Greece",
        "Purpose": "To provide an educational overview of the clinical role of topical chemotherapy in the management of melanocytic conjunctival tumors, focusing on practical indications, effectiveness, and tolerability of mitomycin C and interferon alpha-2b as reported in the literature.",
        "Setting": "The abstract is based on published clinical experience regarding the use of topical chemotherapy in melanocytic conjunctival tumors, as reported across ophthalmic oncology and cornea subspecialty settings.",
        "Methods": "A narrative synthesis of published clinical reports describing the use of topical mitomycin C and interferon alpha-2b in melanocytic conjunctival tumors was performed. The review focused on clinical indications, therapeutic context, including use as primary or adjuvant treatment, lesion characteristics, and reported safety considerations.",
        "Results": "Published evidence indicates that topical chemotherapy represents a meaningful non-surgical option in selected melanocytic conjunctival tumors. Mitomycin C has been reported as particularly useful in diffuse, superficial, and intraepithelial disease, while its adjuvant use following surgical excision appears beneficial in nodular or invasive lesions. Interferon alpha-2b demonstrates favorable tolerability and is considered a valuable alternative in patients unable to tolerate mitomycin C.",
        "Conclusions": "Topical chemotherapy can play an important role in selected cases of melanocytic conjunctival tumors, both as primary therapy and as an adjuvant to surgical management. Careful patient and lesion selection is essential to optimize therapeutic benefit while minimizing treatment-related toxicity. An individualized, lesion-directed strategy is essential to optimize outcomes while minimizing toxicity. Further prospective studies are warranted to refine treatment protocols and evaluate long-term results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POCOR567",
      "abstract_number": "POCOR567",
      "title": "Prevalence Of Dry Eye Syndrome Among Adolescent Girls In Uzbekistan: Experience Of The Republican Eye Microsurgery Center",
      "authors": "Dr Umida Shavkatovna Khamraeva",
      "presenter": "Dr Umida Shavkatovna Khamraeva",
      "normalized_authors": [
        "Umida Shavkatovna Khamraeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maftuna Shavkat ovna Vakhobova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To evaluate the prevalence and clinical characteristics of DES among adolescent girls and to assess the association with vitamin D levels.",
        "Setting": "Republican Specialized Scientific and Practical Medical Center of Eye Microsurgery, Tashkent, Uzbekistan",
        "Methods": "The study was conducted in February–March 2025 at the Republican Specialized Scientific and Practical Medical Center of Eye Microsurgery.\n\nForty adolescent girls were enrolled and divided into two groups: 20 with decreased serum vitamin D levels and 20 with normal levels. Vitamin D (25-hydroxyvitamin D) was measured in both blood serum and tear fluid.\n\nAll participants underwent Schirmer’s and Norn’s tests. Tear film parameters (tear meniscus height, NIBUT, and meibography) were assessed using the LacryDiag® system. Impression cytology of the bulbar conjunctiva was performed to evaluate epithelial morphology and goblet cell density. Additionally, more than 100 adolescents completed the OSDI questionnaire.",
        "Results": "Adolescents with vitamin D deficiency demonstrated lower Schirmer’s test values (7–9 mm vs. 10–12 mm) and shorter Norn’s test results (5–6 s vs. 6–7 s), indicating reduced tear production and tear film instability compared to those with normal vitamin D levels.\n\nLacryDiag assessment revealed decreased tear meniscus height, shortened NIBUT, and more pronounced meibomian gland dysfunction in the deficiency group.\n\nImpression cytology showed reduced goblet cell density and conjunctival epithelial metaplasia. Severe DES according to OSDI was more prevalent among participants with low vitamin D levels.",
        "Conclusions": "Vitamin D deficiency is associated with reduced tear production, tear film instability, and early morphological changes of the ocular surface in adolescent girls. Monitoring vitamin D levels may be important in the prevention and management of DES in this population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vitamin D deficiency is associated with reduced tear production, tear film instability, and early morphological changes of the ocular surface in adolescent girls. Monitoring vitamin D levels may be important in the prevention and management of DES in this population.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1249,
      "source_fields": {
        "Abstract Final Identifier": "POCOR567",
        "Title": "Prevalence Of Dry Eye Syndrome Among Adolescent Girls In Uzbekistan: Experience Of The Republican Eye Microsurgery Center",
        "Presenting Author(s)": "Dr Umida Shavkatovna Khamraeva",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Maftuna",
        "Submitter Middle Name": "Shavkat ovna",
        "Submitter Last Name": "Vakhobova",
        "Country Name": "Uzbekistan",
        "Purpose": "To evaluate the prevalence and clinical characteristics of DES among adolescent girls and to assess the association with vitamin D levels.",
        "Setting": "Republican Specialized Scientific and Practical Medical Center of Eye Microsurgery, Tashkent, Uzbekistan",
        "Methods": "The study was conducted in February–March 2025 at the Republican Specialized Scientific and Practical Medical Center of Eye Microsurgery.\n\nForty adolescent girls were enrolled and divided into two groups: 20 with decreased serum vitamin D levels and 20 with normal levels. Vitamin D (25-hydroxyvitamin D) was measured in both blood serum and tear fluid.\n\nAll participants underwent Schirmer’s and Norn’s tests. Tear film parameters (tear meniscus height, NIBUT, and meibography) were assessed using the LacryDiag® system. Impression cytology of the bulbar conjunctiva was performed to evaluate epithelial morphology and goblet cell density. Additionally, more than 100 adolescents completed the OSDI questionnaire.",
        "Results": "Adolescents with vitamin D deficiency demonstrated lower Schirmer’s test values (7–9 mm vs. 10–12 mm) and shorter Norn’s test results (5–6 s vs. 6–7 s), indicating reduced tear production and tear film instability compared to those with normal vitamin D levels.\n\nLacryDiag assessment revealed decreased tear meniscus height, shortened NIBUT, and more pronounced meibomian gland dysfunction in the deficiency group.\n\nImpression cytology showed reduced goblet cell density and conjunctival epithelial metaplasia. Severe DES according to OSDI was more prevalent among participants with low vitamin D levels.",
        "Conclusions": "Vitamin D deficiency is associated with reduced tear production, tear film instability, and early morphological changes of the ocular surface in adolescent girls. Monitoring vitamin D levels may be important in the prevention and management of DES in this population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POCOR568",
      "abstract_number": "POCOR568",
      "title": "Ocular Surface Disease Frequency In Diabetic Patients",
      "authors": "Mrs Milica Vasovic",
      "presenter": "Mrs Milica Vasovic",
      "normalized_authors": [
        "Milica Vasovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Milica Vasovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "PURPOSE: Ocular surface disease(OSD) is a multifactorial tear and ocular surface disease that results in symptoms of discomfort, visual disturbances, unstable tear film and potential damage of the ocular surface. It may be associated with increased tear film osmolarity and inflammation of the ocular surface. Risk factors for Ocular Surface Disease are numerous,systemic or external and among them are changes of some biochemical blood test parameters, such as glucose level in diabetic patients. Diabetes mellitus is a common metabolic disorder with prolonged hyperglycemia due to lack and reduced efficiency of endogenous insulin. In the anterior segment of the eye diabetes is most often associated with Ocular Surface Disease.",
        "Setting": "Aim of this work is to examine the frequency of OSD findings in patients with confirmed type 2 diabetes (DMT2) examined in Health Center and Eye Clinic in University Clinical Center Nis during daily ophthtalmologic examination in one year.",
        "Methods": "METHODS: Using Slit Lamp examination of patients with Diabetes Mellitus Type 2 we checked the OSD occurence. Tear break up time (TBUT) test was performed, and a result shorter than 10 seconds was considered as pathological. Data of patients with type II diabetes was taken (gender, age, duration of diabetes). The results were processed in retrospective analysis, using descriptive statistical methods SPSS.",
        "Results": "RESULTS: A total of 547 patients(eyes) with confirmed Diabetes Mellitus Type 2 were examined. Higher percentage of women had the problem of OSD 63% (362 patients) compared to men 37%. The highest percentage of tested patients was between 51 and 70 years old (48%). Patients underwent a complete ophthalmological examination, TBUT was performed in all of them. Based on TBUT, OSD was present in 383 patients or 70% of respondents, and TBUT shorter than 5 seconds was found in 82 patients, which makes up to 21.4% of those with a pathological finding of OSD.",
        "Conclusions": "CONCLUSION: Complications in the posterior segment of the eye are the cause of vision loss, which can be irreversible, and changes in the anterior segment can be the first indicator of the severity of diabetes. With this work, we wanted to point out that an increasing number of patients suffering from diabetes mellitus and having the OSD problem. Almost two-thirds of DMT2 patients have OSD of this respondents, even one in five patients has a very unstable tear film."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CONCLUSION: Complications in the posterior segment of the eye are the cause of vision loss, which can be irreversible, and changes in the anterior segment can be the first indicator of the severity of diabetes. With this work, we wanted to point out that an increasing number of patients suffering from diabetes mellitus and having the OSD problem. Almost two-thirds of DMT2 patients have OSD of this respondents, even…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1250,
      "source_fields": {
        "Abstract Final Identifier": "POCOR568",
        "Title": "Ocular Surface Disease Frequency In Diabetic Patients",
        "Presenting Author(s)": "Mrs Milica Vasovic",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Milica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vasovic",
        "Country Name": "Serbia",
        "Purpose": "PURPOSE: Ocular surface disease(OSD) is a multifactorial tear and ocular surface disease that results in symptoms of discomfort, visual disturbances, unstable tear film and potential damage of the ocular surface. It may be associated with increased tear film osmolarity and inflammation of the ocular surface. Risk factors for Ocular Surface Disease are numerous,systemic or external and among them are changes of some biochemical blood test parameters, such as glucose level in diabetic patients. Diabetes mellitus is a common metabolic disorder with prolonged hyperglycemia due to lack and reduced efficiency of endogenous insulin. In the anterior segment of the eye diabetes is most often associated with Ocular Surface Disease.",
        "Setting": "Aim of this work is to examine the frequency of OSD findings in patients with confirmed type 2 diabetes (DMT2) examined in Health Center and Eye Clinic in University Clinical Center Nis during daily ophthtalmologic examination in one year.",
        "Methods": "METHODS: Using Slit Lamp examination of patients with Diabetes Mellitus Type 2 we checked the OSD occurence. Tear break up time (TBUT) test was performed, and a result shorter than 10 seconds was considered as pathological. Data of patients with type II diabetes was taken (gender, age, duration of diabetes). The results were processed in retrospective analysis, using descriptive statistical methods SPSS.",
        "Results": "RESULTS: A total of 547 patients(eyes) with confirmed Diabetes Mellitus Type 2 were examined. Higher percentage of women had the problem of OSD 63% (362 patients) compared to men 37%. The highest percentage of tested patients was between 51 and 70 years old (48%). Patients underwent a complete ophthalmological examination, TBUT was performed in all of them. Based on TBUT, OSD was present in 383 patients or 70% of respondents, and TBUT shorter than 5 seconds was found in 82 patients, which makes up to 21.4% of those with a pathological finding of OSD.",
        "Conclusions": "CONCLUSION: Complications in the posterior segment of the eye are the cause of vision loss, which can be irreversible, and changes in the anterior segment can be the first indicator of the severity of diabetes. With this work, we wanted to point out that an increasing number of patients suffering from diabetes mellitus and having the OSD problem. Almost two-thirds of DMT2 patients have OSD of this respondents, even one in five patients has a very unstable tear film."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "POCOR569",
      "abstract_number": "POCOR569",
      "title": "Neurotrophic Keratopathy In A Tertiary Care Eye Center: Etiologies, Clinical Insights, And Risk Factors For Surgical Intervention.",
      "authors": "Dr Guillermo Raúl Raúl Vera Duarte",
      "presenter": "Dr Guillermo Raúl Raúl Vera Duarte",
      "normalized_authors": [
        "Guillermo Raúl Raúl Vera Duarte"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Guillermo Raúl Raúl Vera Duarte",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To characterize the etiology, clinical features, management strategies, and visual outcomes of patients diagnosed with neurotrophic keratopathy (NK) in a tertiary eye care center in Mexico.",
        "Setting": "Instituto de Oftalmologia Fundacion Conde de Valenciana IAP, Mexico City, Mexico.",
        "Methods": "Retrospective analysis of medical records. Demographics, comorbidities, etiology, presenting symptoms, visual acuity, management, complications, and surgical interventions were collected from patients with NK. A multivariate logistic regression analysis was performed to identify associations between comorbidities or etiologies and the necessity for surgical intervention.",
        "Results": "A total of 219 patients were included (mean age: 58.5 ± 18.2 years; 50.7% female). The most common etiologies of NK were herpes simplex virus keratitis (41.6%), bacterial keratitis (21.5%), chronic ocular surface disease (19.6%), and facial paralysis (8.7%). Surgical intervention was required in 32.9% of cases, most frequently for persistent epithelial defects, corneal thinning, or perforation. Multivariate logistic regression identified autoimmune disease (OR = 3.90; 95% CI: 1.34–11.29; p = 0.012) and facial paralysis (OR = 7.96; 95% CI: 2.20–28.74; p = 0.002) as significant risk factors for surgery.",
        "Conclusions": "NK remains a challenging disease with diverse etiologies and clinical presentations. Neurotrophic keratitis secondary to autoimmune disease and facial paralysis was associated with an increased likelihood of requiring surgical intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "NK remains a challenging disease with diverse etiologies and clinical presentations. Neurotrophic keratitis secondary to autoimmune disease and facial paralysis was associated with an increased likelihood of requiring surgical intervention.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1251,
      "source_fields": {
        "Abstract Final Identifier": "POCOR569",
        "Title": "Neurotrophic Keratopathy In A Tertiary Care Eye Center: Etiologies, Clinical Insights, And Risk Factors For Surgical Intervention.",
        "Presenting Author(s)": "Dr Guillermo Raúl Raúl Vera Duarte",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Guillermo Raúl",
        "Submitter Middle Name": "Raúl",
        "Submitter Last Name": "Vera Duarte",
        "Country Name": "Mexico",
        "Purpose": "To characterize the etiology, clinical features, management strategies, and visual outcomes of patients diagnosed with neurotrophic keratopathy (NK) in a tertiary eye care center in Mexico.",
        "Setting": "Instituto de Oftalmologia Fundacion Conde de Valenciana IAP, Mexico City, Mexico.",
        "Methods": "Retrospective analysis of medical records. Demographics, comorbidities, etiology, presenting symptoms, visual acuity, management, complications, and surgical interventions were collected from patients with NK. A multivariate logistic regression analysis was performed to identify associations between comorbidities or etiologies and the necessity for surgical intervention.",
        "Results": "A total of 219 patients were included (mean age: 58.5 ± 18.2 years; 50.7% female). The most common etiologies of NK were herpes simplex virus keratitis (41.6%), bacterial keratitis (21.5%), chronic ocular surface disease (19.6%), and facial paralysis (8.7%). Surgical intervention was required in 32.9% of cases, most frequently for persistent epithelial defects, corneal thinning, or perforation. Multivariate logistic regression identified autoimmune disease (OR = 3.90; 95% CI: 1.34–11.29; p = 0.012) and facial paralysis (OR = 7.96; 95% CI: 2.20–28.74; p = 0.002) as significant risk factors for surgery.",
        "Conclusions": "NK remains a challenging disease with diverse etiologies and clinical presentations. Neurotrophic keratitis secondary to autoimmune disease and facial paralysis was associated with an increased likelihood of requiring surgical intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 213
    },
    {
      "uid": "POCOR570",
      "abstract_number": "POCOR570",
      "title": "Amniotic Membrane Transplantation For Anterior Segment Disease: A 10-Year Real-World Clinical Outcomes Study",
      "authors": "Dr Stipe Vidović",
      "presenter": "Dr Stipe Vidović",
      "normalized_authors": [
        "Stipe Vidović"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stipe Vidović",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the clinical indications, surgical techniques, visual outcomes, and reoperation rates in patients undergoing amniotic membrane transplantation (AMT) for anterior segment pathology over a 10-year period, and to assess whether outcomes differ according to the surgical technique used. The study aims to provide real-world evidence on the effectiveness and safety of AMT in the management of complex ocular surface disease, with particular focus on functional visual improvement and the need for additional surgical intervention in routine clinical practice.",
        "Setting": "Department of Ophthalmology, University Hospital Center Osijek, Osijek, Croatia.",
        "Methods": "A retrospective review of medical records was performed for patients who underwent amniotic membrane transplantation between January 2013 and December 2023. Data collected included patient demographics, indication for surgery, type of surgical technique (including single-layer vs two or three layers), preoperative and postoperative visual acuity, and the occurrence of reoperation. Statistical analyses were conducted to evaluate changes in visual acuity and to assess potential associations between surgical technique and reoperation rates. Outcomes were analyzed to determine the effectiveness of AMT across different clinical indications in routine practice.",
        "Results": "A total of 69 patients were included, with a median age of 77 years, reflecting a predominantly elderly population. The most common indication for AMT was bullous keratopathy (52 patients, 75.4%), followed by deep corneal ulcers (7 patients, 10.1%) and corneal perforation (5 patients, 7.2%). A single-layer technique was performed in 40 patients (58%). Reoperation was required in 6 patients (8.7%). There was no statistically significant association between surgical technique and the need for reoperation (Fisher’s exact test, P=0.24). Visual acuity showed a statistically significant improvement following AMT (Wilcoxon test, P<0.001), supporting its clinical effectiveness.",
        "Conclusions": "Amniotic membrane transplantation represents a safe and effective surgical option for the management of a wide spectrum of anterior segment and ocular surface diseases, particularly in elderly patients with complex corneal pathology. The procedure is associated with significant functional visual improvement and a low rate of reoperation in real-world clinical practice. The absence of a significant difference in reoperation rates between surgical techniques suggests that the choice of technique can be individualized according to clinical presentation and surgeon preference. These findings support the continued use of AMT as an important component of the therapeutic strategy for challenging ocular surface conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Amniotic membrane transplantation represents a safe and effective surgical option for the management of a wide spectrum of anterior segment and ocular surface diseases, particularly in elderly patients with complex corneal pathology. The procedure is associated with significant functional visual improvement and a low rate of reoperation in real-world clinical practice. The absence of a significant difference in…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1252,
      "source_fields": {
        "Abstract Final Identifier": "POCOR570",
        "Title": "Amniotic Membrane Transplantation For Anterior Segment Disease: A 10-Year Real-World Clinical Outcomes Study",
        "Presenting Author(s)": "Dr Stipe Vidović",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Stipe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vidović",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the clinical indications, surgical techniques, visual outcomes, and reoperation rates in patients undergoing amniotic membrane transplantation (AMT) for anterior segment pathology over a 10-year period, and to assess whether outcomes differ according to the surgical technique used. The study aims to provide real-world evidence on the effectiveness and safety of AMT in the management of complex ocular surface disease, with particular focus on functional visual improvement and the need for additional surgical intervention in routine clinical practice.",
        "Setting": "Department of Ophthalmology, University Hospital Center Osijek, Osijek, Croatia.",
        "Methods": "A retrospective review of medical records was performed for patients who underwent amniotic membrane transplantation between January 2013 and December 2023. Data collected included patient demographics, indication for surgery, type of surgical technique (including single-layer vs two or three layers), preoperative and postoperative visual acuity, and the occurrence of reoperation. Statistical analyses were conducted to evaluate changes in visual acuity and to assess potential associations between surgical technique and reoperation rates. Outcomes were analyzed to determine the effectiveness of AMT across different clinical indications in routine practice.",
        "Results": "A total of 69 patients were included, with a median age of 77 years, reflecting a predominantly elderly population. The most common indication for AMT was bullous keratopathy (52 patients, 75.4%), followed by deep corneal ulcers (7 patients, 10.1%) and corneal perforation (5 patients, 7.2%). A single-layer technique was performed in 40 patients (58%). Reoperation was required in 6 patients (8.7%). There was no statistically significant association between surgical technique and the need for reoperation (Fisher’s exact test, P=0.24). Visual acuity showed a statistically significant improvement following AMT (Wilcoxon test, P<0.001), supporting its clinical effectiveness.",
        "Conclusions": "Amniotic membrane transplantation represents a safe and effective surgical option for the management of a wide spectrum of anterior segment and ocular surface diseases, particularly in elderly patients with complex corneal pathology. The procedure is associated with significant functional visual improvement and a low rate of reoperation in real-world clinical practice. The absence of a significant difference in reoperation rates between surgical techniques suggests that the choice of technique can be individualized according to clinical presentation and surgeon preference. These findings support the continued use of AMT as an important component of the therapeutic strategy for challenging ocular surface conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POCOR571",
      "abstract_number": "POCOR571",
      "title": "Therapeutic Advances In Neurotrophic Keratitis -The Role Of Insulin Eye Drops In Thailand",
      "authors": "Dr Napussorn Wankha",
      "presenter": "Dr Napussorn Wankha",
      "normalized_authors": [
        "Napussorn Wankha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Napussorn Wankha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "To evaluate clinical outcomes of topical insulin eye drops for treatment of neurotrophic keratitis (NK) and refractory epithelial defects (ED).",
        "Setting": "Single-center observational series at a Thammasat university hospital (October 2024–present)",
        "Methods": "This retrospective chart review included 49 patients diagnosed with NK or refractory ED who were treated with compounded topical insulin eye drops (1 IU/mL) administered four times daily.\n\nDemographics, etiologies, baseline ED size, time to epithelial improvement, visual acuity (VA) outcomes, and adverse events were reviewed. Subgroup analyses were performed for NK (n = 20) and refractory ED (n = 29).",
        "Results": "Participants included 29 males and 20 females with a mean age of 58 years (range 7–88). Diabetes mellitus was present in 24.5% and prior brain tumor surgery in 10.2%. Baseline ED ranged from 5–100% (mean 48%). Overall epithelial improvement occurred within 4–60 days (mean 16.7 days). Visual acuity remained stable or improved in all cases, and no adverse effects were observed. Subgroup analyses showed variable healing times depending on etiology, with generally faster improvement in systemic disease and cranial nerve injury groups.",
        "Conclusions": "Topical insulin eye drops demonstrated favorable safety and consistent epithelial healing across diverse etiologies of NK and refractory ED. The therapy appears to be an effective, accessible treatment option, with relatively rapid recovery times and universal visual stability or improvement. Further controlled studies are warranted to confirm efficacy and optimize protocols."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical insulin eye drops demonstrated favorable safety and consistent epithelial healing across diverse etiologies of NK and refractory ED. The therapy appears to be an effective, accessible treatment option, with relatively rapid recovery times and universal visual stability or improvement. Further controlled studies are warranted to confirm efficacy and optimize protocols.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1253,
      "source_fields": {
        "Abstract Final Identifier": "POCOR571",
        "Title": "Therapeutic Advances In Neurotrophic Keratitis -The Role Of Insulin Eye Drops In Thailand",
        "Presenting Author(s)": "Dr Napussorn Wankha",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Napussorn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wankha",
        "Country Name": "Thailand",
        "Purpose": "To evaluate clinical outcomes of topical insulin eye drops for treatment of neurotrophic keratitis (NK) and refractory epithelial defects (ED).",
        "Setting": "Single-center observational series at a Thammasat university hospital (October 2024–present)",
        "Methods": "This retrospective chart review included 49 patients diagnosed with NK or refractory ED who were treated with compounded topical insulin eye drops (1 IU/mL) administered four times daily.\n\nDemographics, etiologies, baseline ED size, time to epithelial improvement, visual acuity (VA) outcomes, and adverse events were reviewed. Subgroup analyses were performed for NK (n = 20) and refractory ED (n = 29).",
        "Results": "Participants included 29 males and 20 females with a mean age of 58 years (range 7–88). Diabetes mellitus was present in 24.5% and prior brain tumor surgery in 10.2%. Baseline ED ranged from 5–100% (mean 48%). Overall epithelial improvement occurred within 4–60 days (mean 16.7 days). Visual acuity remained stable or improved in all cases, and no adverse effects were observed. Subgroup analyses showed variable healing times depending on etiology, with generally faster improvement in systemic disease and cranial nerve injury groups.",
        "Conclusions": "Topical insulin eye drops demonstrated favorable safety and consistent epithelial healing across diverse etiologies of NK and refractory ED. The therapy appears to be an effective, accessible treatment option, with relatively rapid recovery times and universal visual stability or improvement. Further controlled studies are warranted to confirm efficacy and optimize protocols."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCOR572",
      "abstract_number": "POCOR572",
      "title": "The Expression Of The Trpa1 Ion Channel And Its Role In The Visual System In A Mouse Model Of Chronic Alcohol Exposure",
      "authors": "Dr Dóra Werling",
      "presenter": "Dr Dóra Werling",
      "normalized_authors": [
        "Dóra Werling"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dóra Werling",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hungary",
      "sections": {
        "Purpose": "The transient receptor potential ankyrin 1 (TRPA1) ion channel has been associated with various ophthalmic disorders. Previous research has demonstrated that ethanol and its metabolites can activate TRPA1. We hypothesized that TRPA1 is expressed in the eye and plays a role in ocular disorders resulting from chronic alcohol consumption. The purpose of this study was to explore the expression of Trpa1 and its involvement in the visual system using a mouse model of chronic alcohol consumption.",
        "Setting": "In the laboratory of the Department of Pharmacology and Pharmacotherapy.",
        "Methods": "RNAscope in situ hybridisation combined with immunostaining was utilised to detect Trpa1 mRNA in mouse eye samples from intact C57BL6/J mice. Trpa1 gene-deficient (KO) and wild-type (WT) mice were subjected to a chronic continuous ethanol (20%) drinking model for a period of three months. Hematoxylin-eosin-stained eye sections were evaluated by morphometry, where we measured corneal and retinal layer thickness and cell density.",
        "Results": "Trpa1 is expressed in significant amounts in the epithelium anterius corneae and in the retinal ganglion cell layer. The thickness of the epithelium anterius corneae increased in WT animals, whereas the thickness of the inner nuclear layer, outer nuclear layer, the layer of cones and rods decreased in response to alcohol, whereas it was unchanged in KO mice. Furthermore, an increasement was observed in the cell density of the inner nuclear layer both in wild-type and KO mice upon alcohol exposure.",
        "Conclusions": "The expression of Trpa1 mRNA in the eye, moreover, the protective effect of gene deficiency, suggests a potential role of the ion channel in the pathomechanism of alcohol-induced ocular disorders."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The expression of Trpa1 mRNA in the eye, moreover, the protective effect of gene deficiency, suggests a potential role of the ion channel in the pathomechanism of alcohol-induced ocular disorders.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1254,
      "source_fields": {
        "Abstract Final Identifier": "POCOR572",
        "Title": "The Expression Of The Trpa1 Ion Channel And Its Role In The Visual System In A Mouse Model Of Chronic Alcohol Exposure",
        "Presenting Author(s)": "Dr Dóra Werling",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Dóra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Werling",
        "Country Name": "Hungary",
        "Purpose": "The transient receptor potential ankyrin 1 (TRPA1) ion channel has been associated with various ophthalmic disorders. Previous research has demonstrated that ethanol and its metabolites can activate TRPA1. We hypothesized that TRPA1 is expressed in the eye and plays a role in ocular disorders resulting from chronic alcohol consumption. The purpose of this study was to explore the expression of Trpa1 and its involvement in the visual system using a mouse model of chronic alcohol consumption.",
        "Setting": "In the laboratory of the Department of Pharmacology and Pharmacotherapy.",
        "Methods": "RNAscope in situ hybridisation combined with immunostaining was utilised to detect Trpa1 mRNA in mouse eye samples from intact C57BL6/J mice. Trpa1 gene-deficient (KO) and wild-type (WT) mice were subjected to a chronic continuous ethanol (20%) drinking model for a period of three months. Hematoxylin-eosin-stained eye sections were evaluated by morphometry, where we measured corneal and retinal layer thickness and cell density.",
        "Results": "Trpa1 is expressed in significant amounts in the epithelium anterius corneae and in the retinal ganglion cell layer. The thickness of the epithelium anterius corneae increased in WT animals, whereas the thickness of the inner nuclear layer, outer nuclear layer, the layer of cones and rods decreased in response to alcohol, whereas it was unchanged in KO mice. Furthermore, an increasement was observed in the cell density of the inner nuclear layer both in wild-type and KO mice upon alcohol exposure.",
        "Conclusions": "The expression of Trpa1 mRNA in the eye, moreover, the protective effect of gene deficiency, suggests a potential role of the ion channel in the pathomechanism of alcohol-induced ocular disorders."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POCOR573",
      "abstract_number": "POCOR573",
      "title": "Retrospective Real-World Evidence Study: Utilisation Patterns And Clinical Outcomes With Two Types Of Lubricating Eye Drops In Patients With Dry Eye Disease",
      "authors": "Dr Piotr Adam Wozniak",
      "presenter": "Dr Piotr Adam Wozniak",
      "normalized_authors": [
        "Piotr Adam Wozniak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Piotr Adam Wozniak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "This study documents real-world patient characteristics, utilisation patterns and clinical outcomes with two different preservative-free lubricating eye drops: Artelac Complete (ArtC) – which contains 0.24% sodium hyaluronate (HA), carbomer and glycerin – and Artelac Ultra 4S (Art4S), which contains HA, trehalose, fucoidan and D-panthenol.",
        "Setting": "This retrospective, multi-country, cross-sectional case review study included currently licensed eye care practitioners (ECPs) with ≥3 years' experience treating patients with dry eye disease (DED), and ≥1 year’s experience with at least one of the study drops (ArtC, Art4S).",
        "Methods": "ECPs provided a deidentified, retrospective convenience sample of ≥5 study-drop cases using a standardised case report form. ECPs also completed a survey about their experience. Outcomes included tear film break-up time (TBUT), tear production (Schirmer test), ECP- and patient-reported changes in DED signs/symptoms, ECP-rated effectiveness, tolerability and adverse events (AEs). The study protocol received central institutional review board exemption. An interim analysis was conducted on the results from 10 ECPs (based in Germany, Italy, Poland, Spain, Turkey, and UAE) covering 59 patients treated with ArtC and 19 patients treated with Art4S.",
        "Results": "Patients were predominantly female (ArtC, 68%; Art4S, 84%) and not wearers of contact lenses (ArtC, 88%; Art4S, 74%). From diagnostic visit to last available follow-up (mean [SE] 9.6 [1.2] weeks for ArtC, 22.6 [2.8] weeks for Art4S) improvements were reported for TBUT (mean [SE] 5.0 [0.4] seconds for ArtC, 4.4 [0.5] seconds for Art4S) and Schirmer test (mean [SE] 2.8 [0.6] mm for ArtC, 3.3 [1.4] mm for Art4S). ECPs reported improvements in ArtC patients’ signs (59/59) and symptoms (51/59), and in Art4S patients’ signs (19/19) and symptoms (19/19). 57/59 patients treated with ArtC and all patients treated with Art4S reported symptom improvement. No AEs were reported with ArtC; one patient reported an AE (atopia on lids) with Art4S.",
        "Conclusions": "In this interim retrospective real-world case review, both ArtC and Art4S were associated with improvements in tear film stability, tear production and ECP-/patient-reported DED outcomes. Expanded real-world data from the complete study will further explore these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this interim retrospective real-world case review, both ArtC and Art4S were associated with improvements in tear film stability, tear production and ECP-/patient-reported DED outcomes. Expanded real-world data from the complete study will further explore these findings.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1255,
      "source_fields": {
        "Abstract Final Identifier": "POCOR573",
        "Title": "Retrospective Real-World Evidence Study: Utilisation Patterns And Clinical Outcomes With Two Types Of Lubricating Eye Drops In Patients With Dry Eye Disease",
        "Presenting Author(s)": "Dr Piotr Adam Wozniak",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Piotr",
        "Submitter Middle Name": "Adam",
        "Submitter Last Name": "Wozniak",
        "Country Name": "Poland",
        "Purpose": "This study documents real-world patient characteristics, utilisation patterns and clinical outcomes with two different preservative-free lubricating eye drops: Artelac Complete (ArtC) – which contains 0.24% sodium hyaluronate (HA), carbomer and glycerin – and Artelac Ultra 4S (Art4S), which contains HA, trehalose, fucoidan and D-panthenol.",
        "Setting": "This retrospective, multi-country, cross-sectional case review study included currently licensed eye care practitioners (ECPs) with ≥3 years' experience treating patients with dry eye disease (DED), and ≥1 year’s experience with at least one of the study drops (ArtC, Art4S).",
        "Methods": "ECPs provided a deidentified, retrospective convenience sample of ≥5 study-drop cases using a standardised case report form. ECPs also completed a survey about their experience. Outcomes included tear film break-up time (TBUT), tear production (Schirmer test), ECP- and patient-reported changes in DED signs/symptoms, ECP-rated effectiveness, tolerability and adverse events (AEs). The study protocol received central institutional review board exemption. An interim analysis was conducted on the results from 10 ECPs (based in Germany, Italy, Poland, Spain, Turkey, and UAE) covering 59 patients treated with ArtC and 19 patients treated with Art4S.",
        "Results": "Patients were predominantly female (ArtC, 68%; Art4S, 84%) and not wearers of contact lenses (ArtC, 88%; Art4S, 74%). From diagnostic visit to last available follow-up (mean [SE] 9.6 [1.2] weeks for ArtC, 22.6 [2.8] weeks for Art4S) improvements were reported for TBUT (mean [SE] 5.0 [0.4] seconds for ArtC, 4.4 [0.5] seconds for Art4S) and Schirmer test (mean [SE] 2.8 [0.6] mm for ArtC, 3.3 [1.4] mm for Art4S). ECPs reported improvements in ArtC patients’ signs (59/59) and symptoms (51/59), and in Art4S patients’ signs (19/19) and symptoms (19/19). 57/59 patients treated with ArtC and all patients treated with Art4S reported symptom improvement. No AEs were reported with ArtC; one patient reported an AE (atopia on lids) with Art4S.",
        "Conclusions": "In this interim retrospective real-world case review, both ArtC and Art4S were associated with improvements in tear film stability, tear production and ECP-/patient-reported DED outcomes. Expanded real-world data from the complete study will further explore these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "POCOR574",
      "abstract_number": "POCOR574",
      "title": "Comparative Focus: Tear Lactoferrin Alterations In Reactive Arthritis Patients Stratified By Triggering Infection: A Prospective Case-Control Study",
      "authors": "Dr Dilobar Kobilovna Xodjaxanova",
      "presenter": "Dr Dilobar Kobilovna Xodjaxanova",
      "normalized_authors": [
        "Dilobar Kobilovna Xodjaxanova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dilobar Kobilovna Xodjaxanova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To evaluate anterior segment changes and tear lactoferrin levels in patients with reactive arthritis and compare findings with healthy controls",
        "Setting": "30 patients (60 eyes) with confirmed reactive arthritis examined at the Multidisciplinary Clinic of Tashkent Medical University, Republican Specialized Scientific and Practical Medical Centre of Eye Microsurgery\n\nTashkent, Uzbekistan",
        "Methods": "Prospective case-control study. Inclusion: patients with reactive arthritis presenting with anterior segment ocular complaints, aged 20–45 years. Exclusion: age under 20 or over 45 years; posterior segment complaints. Tear lactoferrin levels were measured and stratified by infection type (Chlamydia trachomatis, Ureaplasma, other infections) and disease course (acute/subacute vs. chronic). A healthy control group was enrolled for comparison.",
        "Results": "18 patients were male (60%), 12 female (40%), aged 20–45 years. Anterior segment changes were identified across the study group. Tear lactoferrin levels were consistently higher in chronic cases across all infection types: Chlamydia trachomatis — Acute/Subacute: ~0.12 mg/mL; Chronic: ~0.21 mg/mL Ureaplasma — Acute/Subacute: ~0.09 mg/mL; Chronic: ~0.18 mg/mL Other infections — Acute/Subacute: not detected; Chronic: ~0.51 mg/mL Chronic disease course was associated with markedly elevated lactoferrin levels, most prominently in the \"other infections\" group. No significant findings were recorded in healthy controls.",
        "Conclusions": "Reactive arthritis is associated with clinically significant anterior segment involvement Tear lactoferrin levels correlate with disease chronicity and infection type Chronic ReA, particularly from non-specific infections, shows the greatest biochemical ocular surface disruption Routine ophthalmic screening and lactoferrin monitoring are recommended for all ReA patients Early detection is key to preventing vision-threatening complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Reactive arthritis is associated with clinically significant anterior segment involvement Tear lactoferrin levels correlate with disease chronicity and infection type Chronic ReA, particularly from non-specific infections, shows the greatest biochemical ocular surface disruption Routine ophthalmic screening and lactoferrin monitoring are recommended for all ReA patients Early detection is key to preventing…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1256,
      "source_fields": {
        "Abstract Final Identifier": "POCOR574",
        "Title": "Comparative Focus: Tear Lactoferrin Alterations In Reactive Arthritis Patients Stratified By Triggering Infection: A Prospective Case-Control Study",
        "Presenting Author(s)": "Dr Dilobar Kobilovna Xodjaxanova",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Dilobar",
        "Submitter Middle Name": "Kobilovna",
        "Submitter Last Name": "Xodjaxanova",
        "Country Name": "Uzbekistan",
        "Purpose": "To evaluate anterior segment changes and tear lactoferrin levels in patients with reactive arthritis and compare findings with healthy controls",
        "Setting": "30 patients (60 eyes) with confirmed reactive arthritis examined at the Multidisciplinary Clinic of Tashkent Medical University, Republican Specialized Scientific and Practical Medical Centre of Eye Microsurgery\n\nTashkent, Uzbekistan",
        "Methods": "Prospective case-control study. Inclusion: patients with reactive arthritis presenting with anterior segment ocular complaints, aged 20–45 years. Exclusion: age under 20 or over 45 years; posterior segment complaints. Tear lactoferrin levels were measured and stratified by infection type (Chlamydia trachomatis, Ureaplasma, other infections) and disease course (acute/subacute vs. chronic). A healthy control group was enrolled for comparison.",
        "Results": "18 patients were male (60%), 12 female (40%), aged 20–45 years. Anterior segment changes were identified across the study group. Tear lactoferrin levels were consistently higher in chronic cases across all infection types: Chlamydia trachomatis — Acute/Subacute: ~0.12 mg/mL; Chronic: ~0.21 mg/mL Ureaplasma — Acute/Subacute: ~0.09 mg/mL; Chronic: ~0.18 mg/mL Other infections — Acute/Subacute: not detected; Chronic: ~0.51 mg/mL Chronic disease course was associated with markedly elevated lactoferrin levels, most prominently in the \"other infections\" group. No significant findings were recorded in healthy controls.",
        "Conclusions": "Reactive arthritis is associated with clinically significant anterior segment involvement Tear lactoferrin levels correlate with disease chronicity and infection type Chronic ReA, particularly from non-specific infections, shows the greatest biochemical ocular surface disruption Routine ophthalmic screening and lactoferrin monitoring are recommended for all ReA patients Early detection is key to preventing vision-threatening complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "POCOR575",
      "abstract_number": "POCOR575",
      "title": "Phlyctenular Keratoconjunctivitis Associated With Pembrolizumab Therapy: A Rare Ocular Adverse Effect Of Pd 1 Inhibitors",
      "authors": "Dr Stephanie Wing Ki Yuk",
      "presenter": "Dr Stephanie Wing Ki Yuk",
      "normalized_authors": [
        "Stephanie Wing Ki Yuk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stephanie Wing Ki Yuk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "To report an uncommon case of phlyctenular keratoconjunctivitis associated with pembrolizumab, a programmed death‑1 (PD‑1) inhibitor.",
        "Setting": "Gleneagles Hospital, Hong Kong",
        "Methods": "A case report with literature review",
        "Results": "An 84‑year‑old male with biopsy‑confirmed malignant melanoma of the right ear and left temporal scalp commenced pembrolizumab therapy. One month after treatment initiation, he developed a nodular inflammatory lesion in the right eye. Ocular examination revealed nasal phlyctenular keratoconjunctivitis in the right eye. There were no signs of infection or tumor metastasis. The presentation was attributed to an immune‑related adverse event secondary to PD‑1 inhibition. The patient was managed with topical corticosteroids, lubricating eyedrops, and prophylactic antibiotics.",
        "Conclusions": "PD‑1 inhibitor–associated ocular inflammation is an uncommon but important immune‑related adverse event. Early recognition and prompt management are essential to prevent vision‑threatening complications. This case underscores the need for close ophthalmic monitoring in patients receiving immunotherapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PD‑1 inhibitor–associated ocular inflammation is an uncommon but important immune‑related adverse event. Early recognition and prompt management are essential to prevent vision‑threatening complications. This case underscores the need for close ophthalmic monitoring in patients receiving immunotherapy.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1257,
      "source_fields": {
        "Abstract Final Identifier": "POCOR575",
        "Title": "Phlyctenular Keratoconjunctivitis Associated With Pembrolizumab Therapy: A Rare Ocular Adverse Effect Of Pd 1 Inhibitors",
        "Presenting Author(s)": "Dr Stephanie Wing Ki Yuk",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Stephanie Wing Ki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yuk",
        "Country Name": "Hong Kong",
        "Purpose": "To report an uncommon case of phlyctenular keratoconjunctivitis associated with pembrolizumab, a programmed death‑1 (PD‑1) inhibitor.",
        "Setting": "Gleneagles Hospital, Hong Kong",
        "Methods": "A case report with literature review",
        "Results": "An 84‑year‑old male with biopsy‑confirmed malignant melanoma of the right ear and left temporal scalp commenced pembrolizumab therapy. One month after treatment initiation, he developed a nodular inflammatory lesion in the right eye. Ocular examination revealed nasal phlyctenular keratoconjunctivitis in the right eye. There were no signs of infection or tumor metastasis. The presentation was attributed to an immune‑related adverse event secondary to PD‑1 inhibition. The patient was managed with topical corticosteroids, lubricating eyedrops, and prophylactic antibiotics.",
        "Conclusions": "PD‑1 inhibitor–associated ocular inflammation is an uncommon but important immune‑related adverse event. Early recognition and prompt management are essential to prevent vision‑threatening complications. This case underscores the need for close ophthalmic monitoring in patients receiving immunotherapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 150
    },
    {
      "uid": "POCOR576",
      "abstract_number": "POCOR576",
      "title": "“Missing The Mark: The Gap Between Tear Film Deficits And Artificial Tear Composition”",
      "authors": "A/Prof. Swati Vijay Zawar",
      "presenter": "A/Prof. Swati Vijay Zawar",
      "normalized_authors": [
        "Swati Vijay Zawar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Swati Vijay Zawar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Despite the heterogeneity of dry eye, clinical practice often defaults to a \"one-size-fits-all,\" where artificial tears are prescribed as a first-line treatment without a definitive diagnosis of which tear film layer—lipid, aqueous, or mucin—is primarily deficient, when each layer has its unique function.\n\nCurrent prescribing habits often overlook these distinctions, leading to “treatment fatigue,\" where patients experience minimal symptomatic relief despite frequent instillation of drops. This mismatch between the deficiency type and the substitute combination results in poor patient compliance and suboptimal clinical outcomes. The paper aims to evaluate the clinical efficacy of targeted tear substitutes compared to random prescribing.",
        "Setting": "The study was conducted in the ophthalmology department of tertiary care multispecialty hospital in India.",
        "Methods": "It is a prospective comparative observational study. It was designed to evaluate the efficacy of layer-specific treatment versus conventional non-specific therapy. A total of 20 patients with different etiologies of dry eye were selected and divided into 2 groups. In one eye targeted therapy was used, and the second eye acted as a control. Results were analyzed by using Schirmer’s test, TBUT, and meibomian gland expression.\n\nPatients were evaluated at baseline, week 2, and week 6 using the OSDI questionnaire and objective clinical tests.",
        "Results": "In group A eyes, where random drops were prescribed, the relief lasted for not more than 4-6 hours, so the frequency of putting drops was higher.\n\nIn the eyes where targeted drops were used, patients experienced better symptomatic relief with less frequency of using drops. There was an increase in tear film breakup time.",
        "Conclusions": "Dry eye is a multifactorial condition, where proper history taking plays a very important role. Simple diagnostic tools like slit lamps and Schirmer strips help us to reach the deficient layer of tear film. It is always advisable to start treatment with specific lubricants."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dry eye is a multifactorial condition, where proper history taking plays a very important role. Simple diagnostic tools like slit lamps and Schirmer strips help us to reach the deficient layer of tear film. It is always advisable to start treatment with specific lubricants.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1258,
      "source_fields": {
        "Abstract Final Identifier": "POCOR576",
        "Title": "“Missing The Mark: The Gap Between Tear Film Deficits And Artificial Tear Composition”",
        "Presenting Author(s)": "A/Prof. Swati Vijay Zawar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Swati",
        "Submitter Middle Name": "Vijay",
        "Submitter Last Name": "Zawar",
        "Country Name": "India",
        "Purpose": "Despite the heterogeneity of dry eye, clinical practice often defaults to a \"one-size-fits-all,\" where artificial tears are prescribed as a first-line treatment without a definitive diagnosis of which tear film layer—lipid, aqueous, or mucin—is primarily deficient, when each layer has its unique function.\n\nCurrent prescribing habits often overlook these distinctions, leading to “treatment fatigue,\" where patients experience minimal symptomatic relief despite frequent instillation of drops. This mismatch between the deficiency type and the substitute combination results in poor patient compliance and suboptimal clinical outcomes. The paper aims to evaluate the clinical efficacy of targeted tear substitutes compared to random prescribing.",
        "Setting": "The study was conducted in the ophthalmology department of tertiary care multispecialty hospital in India.",
        "Methods": "It is a prospective comparative observational study. It was designed to evaluate the efficacy of layer-specific treatment versus conventional non-specific therapy. A total of 20 patients with different etiologies of dry eye were selected and divided into 2 groups. In one eye targeted therapy was used, and the second eye acted as a control. Results were analyzed by using Schirmer’s test, TBUT, and meibomian gland expression.\n\nPatients were evaluated at baseline, week 2, and week 6 using the OSDI questionnaire and objective clinical tests.",
        "Results": "In group A eyes, where random drops were prescribed, the relief lasted for not more than 4-6 hours, so the frequency of putting drops was higher.\n\nIn the eyes where targeted drops were used, patients experienced better symptomatic relief with less frequency of using drops. There was an increase in tear film breakup time.",
        "Conclusions": "Dry eye is a multifactorial condition, where proper history taking plays a very important role. Simple diagnostic tools like slit lamps and Schirmer strips help us to reach the deficient layer of tear film. It is always advisable to start treatment with specific lubricants."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POCOR577",
      "abstract_number": "POCOR577",
      "title": "Neurotrophic Keratopathy Secondary To Undifferentiated Nasopharyngeal Carcinoma : A Case Report.",
      "authors": "Dr Mamoun Hani Zebbache",
      "presenter": "Dr Mamoun Hani Zebbache",
      "normalized_authors": [
        "Mamoun Hani Zebbache"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mamoun Hani Zebbache",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "Neurotrophic Keratitis (NK) is a rare and vision-threatening degenerative disease (ORPHA: 137596) of the corneal tissue, typically caused by impairment of the trigeminal nerve (V1). Its association with nasopharyngeal carcinoma(presented in this report) is an even rarer occurrence in clinical practice.\n\nThe primary objective is to highlight the diagnostic workup for rare tumoral etiologies through a multidisciplinary approach. Furthermore, it aims to demonstrate that while innovative treatments such as Cenegermin are revolutionary, they remain costly and should only be used as second-line therapy. A conventional and rigorous management (described below) can prove to be highly effective.",
        "Setting": "This case was managed at the Ophthalmology Department of the Central Army Hospital (HCA) in Algiers, Algeria. As a major university hospital, HCA provides a comprehensive multidisciplinary environment essential for this patient’s complex care. The institution includes the necessary departments—Ophthalmology, Otorhinolaryngology, Oncology, Radiotherapy, Medical Imaging, and Psychology—enabling coordinated management of both the corneal condition and the underlying malignancy.",
        "Methods": "We performed a comprehensive ophthalmological examination, including visual acuity measurement, slit-lamp biomicroscopy, fundus examination, and intraocular pressure measurement. Clinical assessment also included the Schirmer I test, corneal sensitivity testing using a cotton wisp, and a cranial nerve examination. Additional investigations comprised anterior segment optical coherence tomography (AS-OCT), magnetic resonance imaging (MRI) of the cavum and brain, positron emission tomography-computed tomography (PET-CT), and bone scintigraphy. Furthermore, pure-tone audiometry and histopathological analysis of a nasopharyngeal biopsy were conducted. These examinations were carried out through a multidisciplinary collaboration.",
        "Results": "Visual acuity was 1/10 OD (10/10 OS). Slit-lamp exam showed a 4-mm central persistent epithelial defect with stromal edema and anterior chamber inflammation; Schirmer I was 5 mm/5 min and cotton-wisp testing showed complete corneal anesthesia. AS-OCT confirmed epithelial discontinuity with thinning (CCT 430 vs 520 µm). MRI revealed a nasopharyngeal mass with skull-base invasion and trigeminal sheath involvement; biopsy confirmed undifferentiated carcinoma and PET-CT showed no metastases. Mackie Grade 2 NK was diagnosed. After stopping preserved drops, debridement, patching and intensive preservative-free lubrication, re-epithelialization began in week 2 and near-complete healing by week 3, leaving only mild superficial punctate keratitis.",
        "Conclusions": "NK is a rare orphan disease (ORPHA:137596). Classical aetiologies are neurotropic viruses (HSV/VZV); rarer causes include neurosurgical complications and neoplasms involving trigeminal nerve, as in our patient. A hallmark of NK is the discrepancy between functional signs (redness/absence of pain) and severe physical findings, including corneal abnormalities and anterior chamber inflammation. Beyond the traditional Mackie classification, Di Zazzo et al. (2018) proposed an objective system based on AS-OCT and confocal microscopy. The cornerstone of management is the immediate cessation of toxic preserved eye drops, replaced by intensive preservative-free lubrication. Our patient’s case highlights the effectiveness of this approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "NK is a rare orphan disease (ORPHA:137596). Classical aetiologies are neurotropic viruses (HSV/VZV); rarer causes include neurosurgical complications and neoplasms involving trigeminal nerve, as in our patient. A hallmark of NK is the discrepancy between functional signs (redness/absence of pain) and severe physical findings, including corneal abnormalities and anterior chamber inflammation. Beyond the traditional…",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1259,
      "source_fields": {
        "Abstract Final Identifier": "POCOR577",
        "Title": "Neurotrophic Keratopathy Secondary To Undifferentiated Nasopharyngeal Carcinoma : A Case Report.",
        "Presenting Author(s)": "Dr Mamoun Hani Zebbache",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mamoun Hani",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zebbache",
        "Country Name": "Algeria",
        "Purpose": "Neurotrophic Keratitis (NK) is a rare and vision-threatening degenerative disease (ORPHA: 137596) of the corneal tissue, typically caused by impairment of the trigeminal nerve (V1). Its association with nasopharyngeal carcinoma(presented in this report) is an even rarer occurrence in clinical practice.\n\nThe primary objective is to highlight the diagnostic workup for rare tumoral etiologies through a multidisciplinary approach. Furthermore, it aims to demonstrate that while innovative treatments such as Cenegermin are revolutionary, they remain costly and should only be used as second-line therapy. A conventional and rigorous management (described below) can prove to be highly effective.",
        "Setting": "This case was managed at the Ophthalmology Department of the Central Army Hospital (HCA) in Algiers, Algeria. As a major university hospital, HCA provides a comprehensive multidisciplinary environment essential for this patient’s complex care. The institution includes the necessary departments—Ophthalmology, Otorhinolaryngology, Oncology, Radiotherapy, Medical Imaging, and Psychology—enabling coordinated management of both the corneal condition and the underlying malignancy.",
        "Methods": "We performed a comprehensive ophthalmological examination, including visual acuity measurement, slit-lamp biomicroscopy, fundus examination, and intraocular pressure measurement. Clinical assessment also included the Schirmer I test, corneal sensitivity testing using a cotton wisp, and a cranial nerve examination. Additional investigations comprised anterior segment optical coherence tomography (AS-OCT), magnetic resonance imaging (MRI) of the cavum and brain, positron emission tomography-computed tomography (PET-CT), and bone scintigraphy. Furthermore, pure-tone audiometry and histopathological analysis of a nasopharyngeal biopsy were conducted. These examinations were carried out through a multidisciplinary collaboration.",
        "Results": "Visual acuity was 1/10 OD (10/10 OS). Slit-lamp exam showed a 4-mm central persistent epithelial defect with stromal edema and anterior chamber inflammation; Schirmer I was 5 mm/5 min and cotton-wisp testing showed complete corneal anesthesia. AS-OCT confirmed epithelial discontinuity with thinning (CCT 430 vs 520 µm). MRI revealed a nasopharyngeal mass with skull-base invasion and trigeminal sheath involvement; biopsy confirmed undifferentiated carcinoma and PET-CT showed no metastases. Mackie Grade 2 NK was diagnosed. After stopping preserved drops, debridement, patching and intensive preservative-free lubrication, re-epithelialization began in week 2 and near-complete healing by week 3, leaving only mild superficial punctate keratitis.",
        "Conclusions": "NK is a rare orphan disease (ORPHA:137596). Classical aetiologies are neurotropic viruses (HSV/VZV); rarer causes include neurosurgical complications and neoplasms involving trigeminal nerve, as in our patient. A hallmark of NK is the discrepancy between functional signs (redness/absence of pain) and severe physical findings, including corneal abnormalities and anterior chamber inflammation. Beyond the traditional Mackie classification, Di Zazzo et al. (2018) proposed an objective system based on AS-OCT and confocal microscopy. The cornerstone of management is the immediate cessation of toxic preserved eye drops, replaced by intensive preservative-free lubrication. Our patient’s case highlights the effectiveness of this approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 447
    },
    {
      "uid": "POCOR578",
      "abstract_number": "POCOR578",
      "title": "Bulbar Conjunctival Changes Associated With Preservative-Free Vs Preserved Latanoprost 0.005% In Primary Open-Angle Glaucoma",
      "authors": "A/Prof. Tetiana Zhmud",
      "presenter": "A/Prof. Tetiana Zhmud",
      "normalized_authors": [
        "Tetiana Zhmud"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tetiana Zhmud",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "This study aimed to assess the condition of the bulbar conjunctiva in patients with primary open-angle glaucoma when using latanoprost 0.005% eye drops with and without preservatives.",
        "Setting": "Prolonged instillation of anti-glaucoma drugs, especially those with preservatives, may be accompanied by damage to the epithelium of the eye surface and development of dry eye syndrome.",
        "Methods": "Thirty-six patients with open-angle glaucoma were further subdivided into two study groups: study group 1 – 21 patients (21 eyes) used latanoprost 0.005 % with preservatives in the form of eye drops, study group 2 – 15 patients (15 eyes) – instillations of latanoprost 0.005 % (in the Protriaxin matrix) without preservative; twenty-one healthy participants comprised the control group.",
        "Results": "We found that use of anti-glaucoma medication without or with a preservative does not affect the cytological landscape of the bulbar conjunctiva. However, we observed the presence of inflammatory cells in 42.8% of patients receiving Latanoprost with benzalkonium chloride and in 6.6% of patients taking the medication without preservatives (p=0.0279). Patients in study group 1 have 10.5 times the odds of presence of inflammatory cells than those in study group 2 (OR= 10.5; 95% CI [1.15 -95.25], P=0.0366).",
        "Conclusions": "These findings support the preferential use of preservative-free antiglaucoma eye drops, particularly in patients with pre-existing or suspected ocular surface damage, to minimize cytological changes and subclinical inflammation during long-term therapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings support the preferential use of preservative-free antiglaucoma eye drops, particularly in patients with pre-existing or suspected ocular surface damage, to minimize cytological changes and subclinical inflammation during long-term therapy.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1260,
      "source_fields": {
        "Abstract Final Identifier": "POCOR578",
        "Title": "Bulbar Conjunctival Changes Associated With Preservative-Free Vs Preserved Latanoprost 0.005% In Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "A/Prof. Tetiana Zhmud",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Tetiana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhmud",
        "Country Name": "Ukraine",
        "Purpose": "This study aimed to assess the condition of the bulbar conjunctiva in patients with primary open-angle glaucoma when using latanoprost 0.005% eye drops with and without preservatives.",
        "Setting": "Prolonged instillation of anti-glaucoma drugs, especially those with preservatives, may be accompanied by damage to the epithelium of the eye surface and development of dry eye syndrome.",
        "Methods": "Thirty-six patients with open-angle glaucoma were further subdivided into two study groups: study group 1 – 21 patients (21 eyes) used latanoprost 0.005 % with preservatives in the form of eye drops, study group 2 – 15 patients (15 eyes) – instillations of latanoprost 0.005 % (in the Protriaxin matrix) without preservative; twenty-one healthy participants comprised the control group.",
        "Results": "We found that use of anti-glaucoma medication without or with a preservative does not affect the cytological landscape of the bulbar conjunctiva. However, we observed the presence of inflammatory cells in 42.8% of patients receiving Latanoprost with benzalkonium chloride and in 6.6% of patients taking the medication without preservatives (p=0.0279). Patients in study group 1 have 10.5 times the odds of presence of inflammatory cells than those in study group 2 (OR= 10.5; 95% CI [1.15 -95.25], P=0.0366).",
        "Conclusions": "These findings support the preferential use of preservative-free antiglaucoma eye drops, particularly in patients with pre-existing or suspected ocular surface damage, to minimize cytological changes and subclinical inflammation during long-term therapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "POCOR579",
      "abstract_number": "POCOR579",
      "title": "Computer Vision Syndrome In University Students During The Covid-19 Pandemic: Prevalence And Associated Risk Factors",
      "authors": "Mrs Frida Zora",
      "presenter": "Mrs Frida Zora",
      "normalized_authors": [
        "Frida Zora"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Frida Zora",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To evaluate the prevalence of Computer Vision Syndrome (CVS) and identify associated risk factors among university students during the COVID-19 pandemic, when online education substantially increased digital screen exposure.",
        "Setting": "European University Cyprus; undergraduate students participating in prolonged mandatory online education during pandemic-related lockdowns.",
        "Methods": "A descriptive cross-sectional study was conducted using a self-administered online questionnaire incorporating items from the validated Computer Vision Syndrome Questionnaire (CVS-Q). Data collected included demographic characteristics, refractive errors, duration and type of digital screen use, ergonomic parameters, preventive practices, and CVS-related symptoms. CVS was defined as the presence of six or more symptoms persisting for at least one week. Statistical analysis included chi-square testing and multivariable logistic regression.",
        "Results": "A total of 134 students (mean age 23.1 ± 4.9 years) were included. CVS prevalence was 54%. The most frequently reported symptoms were eye strain, headaches, and neck pain. CVS was significantly associated with refractive errors—particularly myopia and astigmatism—contact lens use, inappropriate screen distance and height, infrequent breaks, lack of lubricant eye drop use, inadequate screen lighting adjustment, and limited awareness of CVS and the 20-20-20 rule. Headaches, blurred near vision, glare, dry eyes, red eyes, and shoulder pain were identified as independent predictors of CVS.",
        "Conclusions": "Computer Vision Syndrome was highly prevalent among university students during the COVID-19 pandemic. Modifiable ergonomic factors, insufficient preventive practices, and low awareness significantly contributed to CVS development. Targeted educational interventions and ergonomic recommendations are necessary to mitigate CVS risk in populations exposed to prolonged digital screen use."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Computer Vision Syndrome was highly prevalent among university students during the COVID-19 pandemic. Modifiable ergonomic factors, insufficient preventive practices, and low awareness significantly contributed to CVS development. Targeted educational interventions and ergonomic recommendations are necessary to mitigate CVS risk in populations exposed to prolonged digital screen use.",
      "session_type": "ePoster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1261,
      "source_fields": {
        "Abstract Final Identifier": "POCOR579",
        "Title": "Computer Vision Syndrome In University Students During The Covid-19 Pandemic: Prevalence And Associated Risk Factors",
        "Presenting Author(s)": "Mrs Frida Zora",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Frida",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zora",
        "Country Name": "Greece",
        "Purpose": "To evaluate the prevalence of Computer Vision Syndrome (CVS) and identify associated risk factors among university students during the COVID-19 pandemic, when online education substantially increased digital screen exposure.",
        "Setting": "European University Cyprus; undergraduate students participating in prolonged mandatory online education during pandemic-related lockdowns.",
        "Methods": "A descriptive cross-sectional study was conducted using a self-administered online questionnaire incorporating items from the validated Computer Vision Syndrome Questionnaire (CVS-Q). Data collected included demographic characteristics, refractive errors, duration and type of digital screen use, ergonomic parameters, preventive practices, and CVS-related symptoms. CVS was defined as the presence of six or more symptoms persisting for at least one week. Statistical analysis included chi-square testing and multivariable logistic regression.",
        "Results": "A total of 134 students (mean age 23.1 ± 4.9 years) were included. CVS prevalence was 54%. The most frequently reported symptoms were eye strain, headaches, and neck pain. CVS was significantly associated with refractive errors—particularly myopia and astigmatism—contact lens use, inappropriate screen distance and height, infrequent breaks, lack of lubricant eye drop use, inadequate screen lighting adjustment, and limited awareness of CVS and the 20-20-20 rule. Headaches, blurred near vision, glare, dry eyes, red eyes, and shoulder pain were identified as independent predictors of CVS.",
        "Conclusions": "Computer Vision Syndrome was highly prevalent among university students during the COVID-19 pandemic. Modifiable ergonomic factors, insufficient preventive practices, and low awareness significantly contributed to CVS development. Targeted educational interventions and ergonomic recommendations are necessary to mitigate CVS risk in populations exposed to prolonged digital screen use."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POGAU001",
      "abstract_number": "POGAU001",
      "title": "5-Year Efficacy And Safety Of Istent® Inject Combined With Phacoemulsification In Primary Open-Angle Glaucoma",
      "authors": "Mrs Inès Abdesselam",
      "presenter": "Mrs Inès Abdesselam",
      "normalized_authors": [
        "Inès Abdesselam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Inès Abdesselam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of phacoemulsification and iStent® inject implantation in primary open-angle glaucoma (POAG) at 5 years.",
        "Setting": "In this retrospective multicenter study, we evaluated the reduction in intraocular pressure (IOP) and the number of topical anti-glaucoma medications at 5 years post-operatively in 71 patients who underwent combined phacoemulsification surgery and iStent® implantation for chronic open-angle glaucoma between January 2015 and December 2020.",
        "Methods": "Patients treated with topical anti-glaucoma medications and presenting with cataract who have undergone combined phacoemulsification and iStent® inject implantation with at least 5 years of follow-up were included. Pre and post-operative characteristics such as number of anti-glaucoma medications, intraocular pressure, best-corrected visual acuity, cup:disc ratio, were compared using paired sample t-tests. Data were collected at post-operative visits on day 1, day 7, month 1, month 12 and year 5 after surgery.",
        "Results": "Ninety-eight eyes of seventy-one patients were included in the study. Mean pre-operative IOP at baseline was 17.53 ± 3.86 mmHg (range 11-27 mmHg) with a mean of 1.83 ± 0.98 anti-glaucoma medications. At 12 months, mean medications reduction was 38% with a mean of 1.12 ± 1.07 anti-glaucoma medications. At 5 years, mean medications reduction was 18% with a mean of 1.5 ± 1.06 anti-glaucoma medications. Safety outcomes were favorable, with no case requiring filtering surgery.",
        "Conclusions": "Combination of iStent® inject implantation and phacoemulsification produced durable reductions in IOP (12.5% reduction) and topical anti-glaucoma medications (18% reduction) over 5 years, while preventing the need for filtering surgery in this cohort of patients with a relative pre-operative disease burden."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combination of iStent® inject implantation and phacoemulsification produced durable reductions in IOP (12.5% reduction) and topical anti-glaucoma medications (18% reduction) over 5 years, while preventing the need for filtering surgery in this cohort of patients with a relative pre-operative disease burden.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1262,
      "source_fields": {
        "Abstract Final Identifier": "POGAU001",
        "Title": "5-Year Efficacy And Safety Of Istent® Inject Combined With Phacoemulsification In Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "Mrs Inès Abdesselam",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Inès",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdesselam",
        "Country Name": "France",
        "Purpose": "To evaluate the efficacy and safety of phacoemulsification and iStent® inject implantation in primary open-angle glaucoma (POAG) at 5 years.",
        "Setting": "In this retrospective multicenter study, we evaluated the reduction in intraocular pressure (IOP) and the number of topical anti-glaucoma medications at 5 years post-operatively in 71 patients who underwent combined phacoemulsification surgery and iStent® implantation for chronic open-angle glaucoma between January 2015 and December 2020.",
        "Methods": "Patients treated with topical anti-glaucoma medications and presenting with cataract who have undergone combined phacoemulsification and iStent® inject implantation with at least 5 years of follow-up were included. Pre and post-operative characteristics such as number of anti-glaucoma medications, intraocular pressure, best-corrected visual acuity, cup:disc ratio, were compared using paired sample t-tests. Data were collected at post-operative visits on day 1, day 7, month 1, month 12 and year 5 after surgery.",
        "Results": "Ninety-eight eyes of seventy-one patients were included in the study. Mean pre-operative IOP at baseline was 17.53 ± 3.86 mmHg (range 11-27 mmHg) with a mean of 1.83 ± 0.98 anti-glaucoma medications. At 12 months, mean medications reduction was 38% with a mean of 1.12 ± 1.07 anti-glaucoma medications. At 5 years, mean medications reduction was 18% with a mean of 1.5 ± 1.06 anti-glaucoma medications. Safety outcomes were favorable, with no case requiring filtering surgery.",
        "Conclusions": "Combination of iStent® inject implantation and phacoemulsification produced durable reductions in IOP (12.5% reduction) and topical anti-glaucoma medications (18% reduction) over 5 years, while preventing the need for filtering surgery in this cohort of patients with a relative pre-operative disease burden."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POGAU002",
      "abstract_number": "POGAU002",
      "title": "Comparative Study: Phaco With Micro-Pulse Cyclophotocoagulation Vs Phaco With Endoscopic Cyclophotocoagulation",
      "authors": "Dr Saad mutlaq Alosaimi",
      "presenter": "Dr Saad mutlaq Alosaimi",
      "normalized_authors": [
        "Saad mutlaq Alosaimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saad mutlaq Alosaimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "Background: Glaucoma is a leading cause of irreversible blindness globally, primarily managed by lowering intraocular pressure (IOP). Phacoemulsification alone provides modest IOP reduction in patients with coexisting cataract and glaucoma. To enhance IOP control, combining cataract surgery with cyclophotocoagulation has emerged as a promising strategy.",
        "Setting": "Two such techniques—micro-pulse transscleral cyclophotocoagulation (MP-TCP) and endoscopic cyclophotocoagulation (ECP)—offer different mechanisms of ciliary body ablation with varying degrees of invasiveness and efficacy. The current study aimed to compare the efficacy and safety of phacoemulsification combined with MP-TCP versus phacoemulsification combined with ECP in patients with coexisting cataract and glaucoma.",
        "Methods": "Methods: In this prospective randomized controlled trial, adults aged 40–80 years undergoing cataract surgery with glaucoma were enrolled and randomized to receive either Phaco+MP-TCP or Phaco+ECP. Primary outcomes included changes in IOP, number of IOP-lowering medications, visual acuity (logMAR), and postoperative complications over a 12-month follow-up.",
        "Results": "Results: A total of 39 patients were randomized (24 ECP, 15 MP-TCP). Baseline characteristics were comparable. Both groups showed significant IOP reduction over time (p<0.0001). ECP produced greater early IOP reduction (1 week: p=0.015; 3 months: p=0.001), while MP-TCP showed a more significant and sustained reduction in medication burden (p<0.0001). Visual acuity improved significantly in both groups with no significant difference. Complication rates were low and comparable between groups.",
        "Conclusions": "Conclusion: Both Phaco+MP-TCP and Phaco+ECP are effective, safe surgical options for managing glaucoma in patients undergoing cataract surgery. ECP offers superior early IOP reduction, whereas MP-TCP more effectively reduces medication dependence. The choice of technique should be tailored to individual clinical priorities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion: Both Phaco+MP-TCP and Phaco+ECP are effective, safe surgical options for managing glaucoma in patients undergoing cataract surgery. ECP offers superior early IOP reduction, whereas MP-TCP more effectively reduces medication dependence. The choice of technique should be tailored to individual clinical priorities.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1263,
      "source_fields": {
        "Abstract Final Identifier": "POGAU002",
        "Title": "Comparative Study: Phaco With Micro-Pulse Cyclophotocoagulation Vs Phaco With Endoscopic Cyclophotocoagulation",
        "Presenting Author(s)": "Dr Saad mutlaq Alosaimi",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Saad",
        "Submitter Middle Name": "mutlaq",
        "Submitter Last Name": "Alosaimi",
        "Country Name": "Afghanistan",
        "Purpose": "Background: Glaucoma is a leading cause of irreversible blindness globally, primarily managed by lowering intraocular pressure (IOP). Phacoemulsification alone provides modest IOP reduction in patients with coexisting cataract and glaucoma. To enhance IOP control, combining cataract surgery with cyclophotocoagulation has emerged as a promising strategy.",
        "Setting": "Two such techniques—micro-pulse transscleral cyclophotocoagulation (MP-TCP) and endoscopic cyclophotocoagulation (ECP)—offer different mechanisms of ciliary body ablation with varying degrees of invasiveness and efficacy. The current study aimed to compare the efficacy and safety of phacoemulsification combined with MP-TCP versus phacoemulsification combined with ECP in patients with coexisting cataract and glaucoma.",
        "Methods": "Methods: In this prospective randomized controlled trial, adults aged 40–80 years undergoing cataract surgery with glaucoma were enrolled and randomized to receive either Phaco+MP-TCP or Phaco+ECP. Primary outcomes included changes in IOP, number of IOP-lowering medications, visual acuity (logMAR), and postoperative complications over a 12-month follow-up.",
        "Results": "Results: A total of 39 patients were randomized (24 ECP, 15 MP-TCP). Baseline characteristics were comparable. Both groups showed significant IOP reduction over time (p<0.0001). ECP produced greater early IOP reduction (1 week: p=0.015; 3 months: p=0.001), while MP-TCP showed a more significant and sustained reduction in medication burden (p<0.0001). Visual acuity improved significantly in both groups with no significant difference. Complication rates were low and comparable between groups.",
        "Conclusions": "Conclusion: Both Phaco+MP-TCP and Phaco+ECP are effective, safe surgical options for managing glaucoma in patients undergoing cataract surgery. ECP offers superior early IOP reduction, whereas MP-TCP more effectively reduces medication dependence. The choice of technique should be tailored to individual clinical priorities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POGAU003",
      "abstract_number": "POGAU003",
      "title": "One-Year Safety, Efficacy, And Postoperative Follow-Up Burden After Trabeculectomy, Non-Penetrating Deep Sclerectomy, And Preserflo® Microshunt With Mitomycin-C (0.2 Vs 0.4 Mg/Ml): A Two-Center, 100-Eye Retrospective Cohort Study",
      "authors": "Dr Houssam-Eddine BENFREHA",
      "presenter": "Dr Houssam-Eddine BENFREHA",
      "normalized_authors": [
        "Houssam-Eddine BENFREHA"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Houssam-Eddine Benfreha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare 12‑month intraocular pressure (IOP) control, glaucoma medication burden, postoperative maneuvers, and complications among trabeculectomy + mitomycin‑C (MMC) 0.2 mg/mL, non‑penetrating deep sclerectomy (NPDS) + MMC 0.2 mg/mL, and PRESERFLO® MicroShunt implantation with MMC 0.2 versus 0.4 mg/mL.",
        "Setting": "Two-center retrospective cohort study of 100 eyes undergoing trabeculectomy+MMC 0.2 mg/mL (n=21), NPDS+MMC 0.2 (n=44), or PRESERFLO MicroShunt with MMC 0.2 (n=16) or 0.4 (n=19). The primary endpoint was 12-month IOP; medication use, postoperative maneuvers, complications, and success were also assessed.",
        "Methods": "Two-center retrospective cohort study (Centre Hospitalier Sud Francilien [CHSF] and Institut Laser d'Ophtalmologie - Paris XVème) including 100 eyes (MicroShunt + MMC 0.2, n=16; MicroShunt + MMC 0.4, n=19; NPDS + MMC 0.2, n=44; trabeculectomy + MMC 0.2, n=21). The primary endpoint was IOP at 12 months (available for 95 eyes). Outcome status at 12 months was coded as complete success (IOP ≤18 mmHg without medications), qualified success (IOP ≤18 mmHg with medications), or surgical failure (IOP >18 mmHg and/or major re‑intervention). Between‑group comparisons used Kruskal–Wallis or χ²/Fisher tests; within‑group changes used Wilcoxon signed‑rank tests. Kaplan–Meier curves described time‑to‑failure for complete and overall success.",
        "Results": "One hundred eyes (71 patients) were analyzed. Baseline IOP differed significantly between groups (p<0.001), with the highest values in the trabeculectomy group. At 12 months, IOP decreased significantly in all groups (all p≤0.005), with no between-group difference in final IOP (p=0.498); median values ranged from 12.0 to 14.5 mmHg. Medication burden declined from about 3.3–3.6 classes to 0.0–0.5 (all p<0.001). Complete success rates ranged from 81.2% to 94.7% (p=0.750). Postoperative maneuvers differed significantly (p=0.007), lowest with MicroShunt + MMC 0.4, while Dellen was observed exclusively in this group.",
        "Conclusions": "All four procedures achieved mid‑teen IOP and major medication reduction at 12 months. However, postoperative care burden and specific safety signals differed across techniques and MMC concentrations. In this real‑world cohort, MicroShunt + MMC 0.4 showed the lowest postoperative maneuver rate but a signal for ocular‑surface events (Dellen), underscoring the need for individualized antifibrotic strategy and close early follow‑up. Prospective comparative studies are needed to confirm these findings and better define procedure‑specific trade‑offs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All four procedures achieved mid‑teen IOP and major medication reduction at 12 months. However, postoperative care burden and specific safety signals differed across techniques and MMC concentrations. In this real‑world cohort, MicroShunt + MMC 0.4 showed the lowest postoperative maneuver rate but a signal for ocular‑surface events (Dellen), underscoring the need for individualized antifibrotic strategy and close…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1264,
      "source_fields": {
        "Abstract Final Identifier": "POGAU003",
        "Title": "One-Year Safety, Efficacy, And Postoperative Follow-Up Burden After Trabeculectomy, Non-Penetrating Deep Sclerectomy, And Preserflo® Microshunt With Mitomycin-C (0.2 Vs 0.4 Mg/Ml): A Two-Center, 100-Eye Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Houssam-Eddine BENFREHA",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Houssam-Eddine",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benfreha",
        "Country Name": "France",
        "Purpose": "To compare 12‑month intraocular pressure (IOP) control, glaucoma medication burden, postoperative maneuvers, and complications among trabeculectomy + mitomycin‑C (MMC) 0.2 mg/mL, non‑penetrating deep sclerectomy (NPDS) + MMC 0.2 mg/mL, and PRESERFLO® MicroShunt implantation with MMC 0.2 versus 0.4 mg/mL.",
        "Setting": "Two-center retrospective cohort study of 100 eyes undergoing trabeculectomy+MMC 0.2 mg/mL (n=21), NPDS+MMC 0.2 (n=44), or PRESERFLO MicroShunt with MMC 0.2 (n=16) or 0.4 (n=19). The primary endpoint was 12-month IOP; medication use, postoperative maneuvers, complications, and success were also assessed.",
        "Methods": "Two-center retrospective cohort study (Centre Hospitalier Sud Francilien [CHSF] and Institut Laser d'Ophtalmologie - Paris XVème) including 100 eyes (MicroShunt + MMC 0.2, n=16; MicroShunt + MMC 0.4, n=19; NPDS + MMC 0.2, n=44; trabeculectomy + MMC 0.2, n=21). The primary endpoint was IOP at 12 months (available for 95 eyes). Outcome status at 12 months was coded as complete success (IOP ≤18 mmHg without medications), qualified success (IOP ≤18 mmHg with medications), or surgical failure (IOP >18 mmHg and/or major re‑intervention). Between‑group comparisons used Kruskal–Wallis or χ²/Fisher tests; within‑group changes used Wilcoxon signed‑rank tests. Kaplan–Meier curves described time‑to‑failure for complete and overall success.",
        "Results": "One hundred eyes (71 patients) were analyzed. Baseline IOP differed significantly between groups (p<0.001), with the highest values in the trabeculectomy group. At 12 months, IOP decreased significantly in all groups (all p≤0.005), with no between-group difference in final IOP (p=0.498); median values ranged from 12.0 to 14.5 mmHg. Medication burden declined from about 3.3–3.6 classes to 0.0–0.5 (all p<0.001). Complete success rates ranged from 81.2% to 94.7% (p=0.750). Postoperative maneuvers differed significantly (p=0.007), lowest with MicroShunt + MMC 0.4, while Dellen was observed exclusively in this group.",
        "Conclusions": "All four procedures achieved mid‑teen IOP and major medication reduction at 12 months. However, postoperative care burden and specific safety signals differed across techniques and MMC concentrations. In this real‑world cohort, MicroShunt + MMC 0.4 showed the lowest postoperative maneuver rate but a signal for ocular‑surface events (Dellen), underscoring the need for individualized antifibrotic strategy and close early follow‑up. Prospective comparative studies are needed to confirm these findings and better define procedure‑specific trade‑offs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 405
    },
    {
      "uid": "POGAU004",
      "abstract_number": "POGAU004",
      "title": "Real-World Safety And Efficacy Of Combined Phacoemulsification And Xen45 Gel Stent Implantation In Open-Angle Glaucoma",
      "authors": "Dr Houssam-Eddine Benfreha",
      "presenter": "Dr Houssam-Eddine Benfreha",
      "normalized_authors": [
        "Houssam-Eddine Benfreha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Houssam-Eddine Benfreha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate the real-world efficacy, medication-sparing effect, and safety of combined phacoemulsification and XEN45 Gel Stent implantation in eyes with open-angle glaucoma undergoing cataract surgery.",
        "Setting": "The study was carried out at the Department of Ophthalmology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France, a tertiary care center managing patients with glaucoma and cataract in routine clinical practice. Combined phacoemulsification and XEN45 Gel Stent implantation was performed as part of standard surgical care in patients with medically treated open-angle glaucoma requiring cataract surgery.",
        "Methods": "This retrospective single-center study included 25 eyes of 15 patients who underwent combined phacoemulsification and XEN45 implantation. Collected variables included intraocular pressure (IOP), number of glaucoma medication classes, visual acuity, and postoperative adverse events. IOP was assessed preoperatively and at 1, 3, 6, and 12 months. Surgical success was defined as complete success when IOP was <18 mmHg without medication and qualified success when IOP was <18 mmHg with or without medication. Continuous variables are reported as mean ± standard deviation. Paired comparisons were performed on available follow-up data.",
        "Results": "Mean preoperative IOP was 17.8±5.7 mmHg on 3.12±0.88 medication classes. Postoperative mean IOP was 12.0±3.5 mmHg at 1 month, 13.9±5.4 mmHg at 3 months, 16.8±2.6 mmHg at 6 months, and 15.2±2.7 mmHg at 12 months. Compared with paired preoperative values, IOP reduction was significant at 1 month (p=0.0013) and 12 months (p=0.0156). Mean medication burden decreased to 0.76 at 6 months and 1.11 at 12 months. Complete success was achieved in 48.0% of eyes and qualified success in 80.0%. Needling with 5-FU was required in 28.0% of eyes. Postoperative complications included transient athalamia (12.0%), hyphema (8.0%), and tube extrusion (4.0%), with no endophthalmitis or choroidal detachment.",
        "Conclusions": "In a real-world setting, combined phacoemulsification and XEN45 implantation provided significant pressure lowering, marked medication reduction, and acceptable safety in eyes with open-angle glaucoma. This combined approach represents a relevant minimally invasive option for glaucomatous patients requiring cataract surgery, especially when reducing treatment burden is a key goal. Further prospective studies with longer follow-up are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a real-world setting, combined phacoemulsification and XEN45 implantation provided significant pressure lowering, marked medication reduction, and acceptable safety in eyes with open-angle glaucoma. This combined approach represents a relevant minimally invasive option for glaucomatous patients requiring cataract surgery, especially when reducing treatment burden is a key goal. Further prospective studies with…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1265,
      "source_fields": {
        "Abstract Final Identifier": "POGAU004",
        "Title": "Real-World Safety And Efficacy Of Combined Phacoemulsification And Xen45 Gel Stent Implantation In Open-Angle Glaucoma",
        "Presenting Author(s)": "Dr Houssam-Eddine Benfreha",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Houssam-Eddine",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benfreha",
        "Country Name": "France",
        "Purpose": "To evaluate the real-world efficacy, medication-sparing effect, and safety of combined phacoemulsification and XEN45 Gel Stent implantation in eyes with open-angle glaucoma undergoing cataract surgery.",
        "Setting": "The study was carried out at the Department of Ophthalmology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France, a tertiary care center managing patients with glaucoma and cataract in routine clinical practice. Combined phacoemulsification and XEN45 Gel Stent implantation was performed as part of standard surgical care in patients with medically treated open-angle glaucoma requiring cataract surgery.",
        "Methods": "This retrospective single-center study included 25 eyes of 15 patients who underwent combined phacoemulsification and XEN45 implantation. Collected variables included intraocular pressure (IOP), number of glaucoma medication classes, visual acuity, and postoperative adverse events. IOP was assessed preoperatively and at 1, 3, 6, and 12 months. Surgical success was defined as complete success when IOP was <18 mmHg without medication and qualified success when IOP was <18 mmHg with or without medication. Continuous variables are reported as mean ± standard deviation. Paired comparisons were performed on available follow-up data.",
        "Results": "Mean preoperative IOP was 17.8±5.7 mmHg on 3.12±0.88 medication classes. Postoperative mean IOP was 12.0±3.5 mmHg at 1 month, 13.9±5.4 mmHg at 3 months, 16.8±2.6 mmHg at 6 months, and 15.2±2.7 mmHg at 12 months. Compared with paired preoperative values, IOP reduction was significant at 1 month (p=0.0013) and 12 months (p=0.0156). Mean medication burden decreased to 0.76 at 6 months and 1.11 at 12 months. Complete success was achieved in 48.0% of eyes and qualified success in 80.0%. Needling with 5-FU was required in 28.0% of eyes. Postoperative complications included transient athalamia (12.0%), hyphema (8.0%), and tube extrusion (4.0%), with no endophthalmitis or choroidal detachment.",
        "Conclusions": "In a real-world setting, combined phacoemulsification and XEN45 implantation provided significant pressure lowering, marked medication reduction, and acceptable safety in eyes with open-angle glaucoma. This combined approach represents a relevant minimally invasive option for glaucomatous patients requiring cataract surgery, especially when reducing treatment burden is a key goal. Further prospective studies with longer follow-up are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "POGAU005",
      "abstract_number": "POGAU005",
      "title": "Central Visual Field Reserve And The Risk Of Visual Acuity Loss After Contemporary Glaucoma Surgery",
      "authors": "Dr Eran Berkowitz",
      "presenter": "Dr Eran Berkowitz",
      "normalized_authors": [
        "Eran Berkowitz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eran Berkowitz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To quantify the incidence, causes, and predictors of postoperative visual acuity (VA) loss after contemporary glaucoma surgery in eyes with very advanced, fixation-involving glaucoma, and to determine whether central (10-2) vs peripheral (24-2) visual field metrics better stratify risk.",
        "Setting": "Retrospective multicenter cohort study at two tertiary glaucoma centers in Israel (Meir Medical Center, Kfar Saba; Hillel Yaffe Medical Center, Hadera), including surgeries performed 2019–2024.",
        "Methods": "Consecutive eyes meeting predefined “very advanced fixation-involving” criteria on 24-2 (MD < –15 dB plus ≥2 fixation points at p≤2%) and/or 10-2 fields (scotomas involving fixation) and ≥6-month follow-up were included. Procedures: trabeculectomy, Ahmed valve, GATT, XEN, PreserFlo, ± cataract extraction. Primary outcome: ≥2 Snellen lines BCVA loss at 6 months; severe loss: ≥2 lines plus VA ≤6/60. Vision loss classified as glaucoma- vs non-glaucoma-related.",
        "Results": "174 eyes (mean age 70.1±11.9; 66.1% male) were analyzed. At 6 months, ≥2-line BCVA loss occurred in 27 eyes (15.5%); severe loss occurred in 4 eyes (2.3%). Glaucoma-related VA loss occurred in 8 eyes (4.6%); 5 eyes (2.8%) had VA ≤6/60 and none declined below 1/60. Eyes with VA loss had worse baseline central damage (10-2 MD –22.1±5.2 vs –16.5±7.6 dB; P=0.002), whereas 24-2 MD was not associated. Risk rose non-linearly beyond ~26 dB on 10-2 MD. Combined cataract extraction was associated with lower risk (multivariable OR 0.15; P=0.006).",
        "Conclusions": "In eyes with very advanced fixation-involving glaucoma, severe postoperative VA loss is uncommon and is most often not due to glaucomatous progression. Baseline 10-2 mean deviation—reflecting central visual field reserve—predicts postoperative VA loss, while 24-2 MD does not. A practical threshold around 10-2 MD ~–26 dB identifies a non-linear increase in risk and may improve preoperative counselling, procedure planning, and risk-benefit decisions in end-stage disease"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with very advanced fixation-involving glaucoma, severe postoperative VA loss is uncommon and is most often not due to glaucomatous progression. Baseline 10-2 mean deviation—reflecting central visual field reserve—predicts postoperative VA loss, while 24-2 MD does not. A practical threshold around 10-2 MD ~–26 dB identifies a non-linear increase in risk and may improve preoperative counselling, procedure…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1266,
      "source_fields": {
        "Abstract Final Identifier": "POGAU005",
        "Title": "Central Visual Field Reserve And The Risk Of Visual Acuity Loss After Contemporary Glaucoma Surgery",
        "Presenting Author(s)": "Dr Eran Berkowitz",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Eran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Berkowitz",
        "Country Name": "Israel",
        "Purpose": "To quantify the incidence, causes, and predictors of postoperative visual acuity (VA) loss after contemporary glaucoma surgery in eyes with very advanced, fixation-involving glaucoma, and to determine whether central (10-2) vs peripheral (24-2) visual field metrics better stratify risk.",
        "Setting": "Retrospective multicenter cohort study at two tertiary glaucoma centers in Israel (Meir Medical Center, Kfar Saba; Hillel Yaffe Medical Center, Hadera), including surgeries performed 2019–2024.",
        "Methods": "Consecutive eyes meeting predefined “very advanced fixation-involving” criteria on 24-2 (MD < –15 dB plus ≥2 fixation points at p≤2%) and/or 10-2 fields (scotomas involving fixation) and ≥6-month follow-up were included. Procedures: trabeculectomy, Ahmed valve, GATT, XEN, PreserFlo, ± cataract extraction. Primary outcome: ≥2 Snellen lines BCVA loss at 6 months; severe loss: ≥2 lines plus VA ≤6/60. Vision loss classified as glaucoma- vs non-glaucoma-related.",
        "Results": "174 eyes (mean age 70.1±11.9; 66.1% male) were analyzed. At 6 months, ≥2-line BCVA loss occurred in 27 eyes (15.5%); severe loss occurred in 4 eyes (2.3%). Glaucoma-related VA loss occurred in 8 eyes (4.6%); 5 eyes (2.8%) had VA ≤6/60 and none declined below 1/60. Eyes with VA loss had worse baseline central damage (10-2 MD –22.1±5.2 vs –16.5±7.6 dB; P=0.002), whereas 24-2 MD was not associated. Risk rose non-linearly beyond ~26 dB on 10-2 MD. Combined cataract extraction was associated with lower risk (multivariable OR 0.15; P=0.006).",
        "Conclusions": "In eyes with very advanced fixation-involving glaucoma, severe postoperative VA loss is uncommon and is most often not due to glaucomatous progression. Baseline 10-2 mean deviation—reflecting central visual field reserve—predicts postoperative VA loss, while 24-2 MD does not. A practical threshold around 10-2 MD ~–26 dB identifies a non-linear increase in risk and may improve preoperative counselling, procedure planning, and risk-benefit decisions in end-stage disease"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POGAU006",
      "abstract_number": "POGAU006",
      "title": "Phacoemulsification Combined With High-Frequency Deep Sclerotomy In Borderline-Pressure Poag On Maximally Tolerated Therapy: Real-World 24-Month Outcomes",
      "authors": "Dr Ettore Biondan",
      "presenter": "Dr Ettore Biondan",
      "normalized_authors": [
        "Ettore Biondan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ettore Biondan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the 24-month efficacy and safety of ab interno high-frequency deep sclerotomy (HFDS) combined with phacoemulsification in eyes with primary open-angle glaucoma (POAG), clinically significant cataract, borderline intraocular pressure (IOP; 18-22 mmHg) despite maximally tolerated medical therapy, and documented structural and/or functional progression. The aim was to determine whether the combined procedure could provide sustained additional IOP lowering while reducing treatment burden in a challenging real-world cohort with restricted therapeutic options .",
        "Setting": "Retrospective, single-center, real-world case series conducted at a tertiary ophthalmology referral center. Twenty-two eyes of 14 patients with POAG and visually significant cataract were included and followed for at least 24 months after combined cataract surgery and HFDS.",
        "Methods": "Eligible eyes had POAG on maximally tolerated therapy, borderline preoperative IOP, progressive damage on Humphrey 24-2 visual field and/or OCT, and clinically significant cataract. Exclusion criteria included angle-closure or secondary glaucoma, advanced disease, previous glaucoma surgery, or inadequate gonioscopic visualization. HFDS was performed ab interno immediately after phacoemulsification using a 19-gauge high-frequency bipolar probe to create six nasal deep sclerotomy pockets. Main outcomes were Goldmann IOP, number of IOP-lowering medications, visual acuity, visual field stability, and adverse events through 24 months.",
        "Results": "Twenty-two eyes of 14 patients (mean age 78.6 years) were analyzed. Mean IOP decreased from 19.86 ± 1.49 mmHg preoperatively to 12.73 ± 2.88 mmHg at 24 months (mean change -7.14 mmHg; p<0.001). Mean medication burden decreased from 2.64 to 1.45 drugs per eye (mean change -1.18; p=0.024); 16 eyes reduced therapy by at least one medication. At 24 months, 6 eyes were medication-free, 6 required 1 drug, 4 required 2 drugs, and 6 required 3 drugs. Visual field indices remained stable, while visual acuity improved in keeping with cataract extraction. No intraoperative or postoperative clinically relevant complications were observed.",
        "Conclusions": "In eyes with POAG, cataract, and borderline IOP despite maximally tolerated medical therapy, combined phacoemulsification-HFDS provided significant and durable IOP reduction together with meaningful medication sparing over 24 months, with a favorable safety profile and stable functional outcomes. This conjunctiva-sparing strategy appears particularly attractive when the clinical goal is to simplify topical therapy and achieve additional pressure lowering in patients with limited tolerance for medications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with POAG, cataract, and borderline IOP despite maximally tolerated medical therapy, combined phacoemulsification-HFDS provided significant and durable IOP reduction together with meaningful medication sparing over 24 months, with a favorable safety profile and stable functional outcomes. This conjunctiva-sparing strategy appears particularly attractive when the clinical goal is to simplify topical therapy…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1267,
      "source_fields": {
        "Abstract Final Identifier": "POGAU006",
        "Title": "Phacoemulsification Combined With High-Frequency Deep Sclerotomy In Borderline-Pressure Poag On Maximally Tolerated Therapy: Real-World 24-Month Outcomes",
        "Presenting Author(s)": "Dr Ettore Biondan",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ettore",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Biondan",
        "Country Name": "Italy",
        "Purpose": "To evaluate the 24-month efficacy and safety of ab interno high-frequency deep sclerotomy (HFDS) combined with phacoemulsification in eyes with primary open-angle glaucoma (POAG), clinically significant cataract, borderline intraocular pressure (IOP; 18-22 mmHg) despite maximally tolerated medical therapy, and documented structural and/or functional progression. The aim was to determine whether the combined procedure could provide sustained additional IOP lowering while reducing treatment burden in a challenging real-world cohort with restricted therapeutic options .",
        "Setting": "Retrospective, single-center, real-world case series conducted at a tertiary ophthalmology referral center. Twenty-two eyes of 14 patients with POAG and visually significant cataract were included and followed for at least 24 months after combined cataract surgery and HFDS.",
        "Methods": "Eligible eyes had POAG on maximally tolerated therapy, borderline preoperative IOP, progressive damage on Humphrey 24-2 visual field and/or OCT, and clinically significant cataract. Exclusion criteria included angle-closure or secondary glaucoma, advanced disease, previous glaucoma surgery, or inadequate gonioscopic visualization. HFDS was performed ab interno immediately after phacoemulsification using a 19-gauge high-frequency bipolar probe to create six nasal deep sclerotomy pockets. Main outcomes were Goldmann IOP, number of IOP-lowering medications, visual acuity, visual field stability, and adverse events through 24 months.",
        "Results": "Twenty-two eyes of 14 patients (mean age 78.6 years) were analyzed. Mean IOP decreased from 19.86 ± 1.49 mmHg preoperatively to 12.73 ± 2.88 mmHg at 24 months (mean change -7.14 mmHg; p<0.001). Mean medication burden decreased from 2.64 to 1.45 drugs per eye (mean change -1.18; p=0.024); 16 eyes reduced therapy by at least one medication. At 24 months, 6 eyes were medication-free, 6 required 1 drug, 4 required 2 drugs, and 6 required 3 drugs. Visual field indices remained stable, while visual acuity improved in keeping with cataract extraction. No intraoperative or postoperative clinically relevant complications were observed.",
        "Conclusions": "In eyes with POAG, cataract, and borderline IOP despite maximally tolerated medical therapy, combined phacoemulsification-HFDS provided significant and durable IOP reduction together with meaningful medication sparing over 24 months, with a favorable safety profile and stable functional outcomes. This conjunctiva-sparing strategy appears particularly attractive when the clinical goal is to simplify topical therapy and achieve additional pressure lowering in patients with limited tolerance for medications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "POGAU007",
      "abstract_number": "POGAU007",
      "title": "Artificial Intelligence In Detecting Normal-Tension Glaucoma",
      "authors": "A/Prof. Irina Bogdanova",
      "presenter": "A/Prof. Irina Bogdanova",
      "normalized_authors": [
        "Irina Bogdanova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Irina Bogdanova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "North Macedonia",
      "sections": {
        "Purpose": "The aim of this study was to verify the AI–based model for early detection of normal tension glaucoma using the latest diagnostic tools and the advantages they provide, including the use of AI.Normal-tension glaucoma (NTG) is a subtype of open-angle glaucoma characterized by progressive optic neuropathy and corresponding visual field loss despite intraocular pressure (IOP) measurements within statistically normal ranges. Because elevated IOP is absent, NTG often remains underdiagnosed until significant structural and functional damage has occurred. Recent advances in artificial intelligence (AI), particularly deep learning and convolutional neural networks (CNNs), offer promising tools to enhance the early and accurate detection of NTG.",
        "Setting": "Conducted at a tertiary ophthalmology center using all the diagnostic methods and devices that we use during glaucoma diagnosis.",
        "Methods": "AI-based models have demonstrated high diagnostic performance using multimodal data, including color fundus photography, optical coherence tomography (OCT), and visual field testing. These systems can identify complex patterns of retinal nerve fiber layer thinning, ganglion cell complex alterations, and optic disc morphology that may not be readily apparent to clinicians. Integration of AI with imaging platforms such as Optical Coherence Tomography enhances automated structural assessment, while machine learning models applied to standard automated perimetry improve functional analysis.",
        "Results": "Despite promising results, challenges remain, including the need for large, diverse datasets, external validation across populations, explainability of algorithms, and regulatory and ethical considerations. Additionally, clinical integration requires seamless workflow incorporation and clinician trust in AI-assisted decision-making.",
        "Conclusions": "In conclusion, AI represents a transformative approach in the detection of NTG, offering improved sensitivity for early disease identification and risk stratification. Continued research, multicenter validation, and responsible implementation are essential to fully realize its potential in clinical ophthalmology practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, AI represents a transformative approach in the detection of NTG, offering improved sensitivity for early disease identification and risk stratification. Continued research, multicenter validation, and responsible implementation are essential to fully realize its potential in clinical ophthalmology practice.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1268,
      "source_fields": {
        "Abstract Final Identifier": "POGAU007",
        "Title": "Artificial Intelligence In Detecting Normal-Tension Glaucoma",
        "Presenting Author(s)": "A/Prof. Irina Bogdanova",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Irina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bogdanova",
        "Country Name": "North Macedonia",
        "Purpose": "The aim of this study was to verify the AI–based model for early detection of normal tension glaucoma using the latest diagnostic tools and the advantages they provide, including the use of AI.Normal-tension glaucoma (NTG) is a subtype of open-angle glaucoma characterized by progressive optic neuropathy and corresponding visual field loss despite intraocular pressure (IOP) measurements within statistically normal ranges. Because elevated IOP is absent, NTG often remains underdiagnosed until significant structural and functional damage has occurred. Recent advances in artificial intelligence (AI), particularly deep learning and convolutional neural networks (CNNs), offer promising tools to enhance the early and accurate detection of NTG.",
        "Setting": "Conducted at a tertiary ophthalmology center using all the diagnostic methods and devices that we use during glaucoma diagnosis.",
        "Methods": "AI-based models have demonstrated high diagnostic performance using multimodal data, including color fundus photography, optical coherence tomography (OCT), and visual field testing. These systems can identify complex patterns of retinal nerve fiber layer thinning, ganglion cell complex alterations, and optic disc morphology that may not be readily apparent to clinicians. Integration of AI with imaging platforms such as Optical Coherence Tomography enhances automated structural assessment, while machine learning models applied to standard automated perimetry improve functional analysis.",
        "Results": "Despite promising results, challenges remain, including the need for large, diverse datasets, external validation across populations, explainability of algorithms, and regulatory and ethical considerations. Additionally, clinical integration requires seamless workflow incorporation and clinician trust in AI-assisted decision-making.",
        "Conclusions": "In conclusion, AI represents a transformative approach in the detection of NTG, offering improved sensitivity for early disease identification and risk stratification. Continued research, multicenter validation, and responsible implementation are essential to fully realize its potential in clinical ophthalmology practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POGAU008",
      "abstract_number": "POGAU008",
      "title": "Corneal Morphology And Visual Quality After Non-Penetrating Deep Sclerectomy: Epithelial Remodeling, Asphericity And Functional Vision Outcomes",
      "authors": "Dr Marta Cerdá-Ibáñez",
      "presenter": "Dr Marta Cerdá-Ibáñez",
      "normalized_authors": [
        "Marta Cerdá-Ibáñez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Cerdá-Ibáñez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate corneal structural and optical changes after non-penetrating deep sclerectomy (NPDS), focusing on epithelial remodeling, corneal asphericity, and functional visual outcomes including uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA).",
        "Setting": "Tertiary referral center for glaucoma and anterior segment surgery.",
        "Methods": "Prospective observational study including 42 eyes of 42 patients undergoing NPDS. Preoperative and 6-month postoperative assessments included UCVA, BCVA (logMAR), corneal tomography, anterior segment optical coherence tomography, epithelial thickness mapping, and corneal asphericity (Q value, 6-mm zone). Central and sectorial epithelial thickness changes were analyzed and correlated with visual acuity outcomes.",
        "Results": "Mean UCVA improved from 0.38 ± 0.21 logMAR preoperatively to 0.30 ± 0.19 logMAR postoperatively (p = 0.04). Mean BCVA remained stable (0.12 ± 0.10 vs 0.11 ± 0.09 logMAR; p = 0.62). Central epithelial thickness increased by 1.9 ± 1.4 µm (p < 0.01), with predominant inferior epithelial thickening. Mean corneal asphericity shifted toward a more prolate profile (Q value −0.21 ± 0.08 to −0.27 ± 0.09; p = 0.03). No clinically relevant changes in corneal curvature or endothelial-related parameters were observed. Changes in UCVA correlated with epithelial thickness redistribution (r = 0.41; p = 0.01).",
        "Conclusions": "NPDS induces significant corneal epithelial remodeling and mild changes in corneal asphericity without compromising BCVA. Functional visual stability appears to be primarily related to epithelial redistribution rather than stromal or endothelial alterations, supporting the corneal safety and refractive neutrality of NPDS."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "NPDS induces significant corneal epithelial remodeling and mild changes in corneal asphericity without compromising BCVA. Functional visual stability appears to be primarily related to epithelial redistribution rather than stromal or endothelial alterations, supporting the corneal safety and refractive neutrality of NPDS.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1269,
      "source_fields": {
        "Abstract Final Identifier": "POGAU008",
        "Title": "Corneal Morphology And Visual Quality After Non-Penetrating Deep Sclerectomy: Epithelial Remodeling, Asphericity And Functional Vision Outcomes",
        "Presenting Author(s)": "Dr Marta Cerdá-Ibáñez",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cerdá-Ibáñez",
        "Country Name": "Spain",
        "Purpose": "To evaluate corneal structural and optical changes after non-penetrating deep sclerectomy (NPDS), focusing on epithelial remodeling, corneal asphericity, and functional visual outcomes including uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA).",
        "Setting": "Tertiary referral center for glaucoma and anterior segment surgery.",
        "Methods": "Prospective observational study including 42 eyes of 42 patients undergoing NPDS. Preoperative and 6-month postoperative assessments included UCVA, BCVA (logMAR), corneal tomography, anterior segment optical coherence tomography, epithelial thickness mapping, and corneal asphericity (Q value, 6-mm zone). Central and sectorial epithelial thickness changes were analyzed and correlated with visual acuity outcomes.",
        "Results": "Mean UCVA improved from 0.38 ± 0.21 logMAR preoperatively to 0.30 ± 0.19 logMAR postoperatively (p = 0.04). Mean BCVA remained stable (0.12 ± 0.10 vs 0.11 ± 0.09 logMAR; p = 0.62). Central epithelial thickness increased by 1.9 ± 1.4 µm (p < 0.01), with predominant inferior epithelial thickening. Mean corneal asphericity shifted toward a more prolate profile (Q value −0.21 ± 0.08 to −0.27 ± 0.09; p = 0.03). No clinically relevant changes in corneal curvature or endothelial-related parameters were observed. Changes in UCVA correlated with epithelial thickness redistribution (r = 0.41; p = 0.01).",
        "Conclusions": "NPDS induces significant corneal epithelial remodeling and mild changes in corneal asphericity without compromising BCVA. Functional visual stability appears to be primarily related to epithelial redistribution rather than stromal or endothelial alterations, supporting the corneal safety and refractive neutrality of NPDS."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POGAU009",
      "abstract_number": "POGAU009",
      "title": "A Comparative Real-World Time And Motion Study Of Voyager™ Direct Selective Laser Trabeculoplasty To Conventional Selective Laser Trabeculoplasty",
      "authors": "Dr Brian Flowers",
      "presenter": "Dr Brian Flowers",
      "normalized_authors": [
        "Brian Flowers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kerise Clarke",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "The Voyager™ Direct Selective Laser Trabeculoplasty (DSLT) device represents the first non-contact laser treatment for glaucoma and ocular hypertension that eliminates the need for a gonioscopy lens. DSLT offers a fully automated procedure that may reduce treatment time and minimize procedural complexity compared with conventional Selective Laser Trabeculoplasty (SLT). To assess its real-world impact, we conducted a prospective, comparative, observational time-and-motion study evaluating procedural efficiency for DSLT versus conventional SLT in subjects with mild to moderate glaucoma.",
        "Setting": "Single outpatient ophthalmology clinic, Fort Worth, Texas, United States of America.",
        "Methods": "Forty adult patients with mild to moderate glaucoma received either DSLT or SLT from a single experienced surgeon, based on routine clinical workflow and physician discretion. Patients with angle-closure, congenital, secondary glaucoma, or undergoing a second treatment during the trial period will be excluded. The primary endpoint is treatment administration time, defined as the time from the final anesthetic drop application until the removal of the last instrument. Secondary endpoints include patient-laser interaction time, physician time in treatment room, and patient time in treatment room. Results are presented as observed mean ± standard deviation. Data and statistical analyses are planned.",
        "Results": "Enrollment occurred between October 2025 to February 2026. Among the study sample, 20 patients were diagnosed with mild glaucoma and 20 patients with moderate glaucoma. Treatment administration time was 1.61 ± 0.57 mins for DSLT and 6.83 ± 1.05 mins for SLT (observed mean difference: 5.22 mins). Patient-laser interaction time was 1.15 ± 0.59 mins for DSLT and 6.47 ± 1.05 mins for SLT (observed mean difference: 5.32 mins). Physician time in treatment room was 2.04 ± 0.61 mins for DSLT and 8.04 ± 1.02 mins for SLT (observed mean difference: 6.00 mins), and overall patient time in treatment room was 14.57 ± 6.21 mins for DSLT and 21.80 ± 8.19 mins for SLT (observed mean difference: 7.22 mins).",
        "Conclusions": "Results show Voyager™ DSLT procedure may enhance practice efficiency by enabling shorter treatment administration time, laser interaction time, physician time spent in the treatment room, and patient time in the treatment room. Statistical analyses will determine if Voyager™ DSLT is associated with statistically significant time savings compared to conventional SLT. Greater practice efficiency with Voyager™ DSLT may support increased patient throughput for glaucoma and ocular hypertension treatments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Results show Voyager™ DSLT procedure may enhance practice efficiency by enabling shorter treatment administration time, laser interaction time, physician time spent in the treatment room, and patient time in the treatment room. Statistical analyses will determine if Voyager™ DSLT is associated with statistically significant time savings compared to conventional SLT. Greater practice efficiency with Voyager™ DSLT…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1270,
      "source_fields": {
        "Abstract Final Identifier": "POGAU009",
        "Title": "A Comparative Real-World Time And Motion Study Of Voyager™ Direct Selective Laser Trabeculoplasty To Conventional Selective Laser Trabeculoplasty",
        "Presenting Author(s)": "Dr Brian Flowers",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Kerise",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Clarke",
        "Country Name": "Canada",
        "Purpose": "The Voyager™ Direct Selective Laser Trabeculoplasty (DSLT) device represents the first non-contact laser treatment for glaucoma and ocular hypertension that eliminates the need for a gonioscopy lens. DSLT offers a fully automated procedure that may reduce treatment time and minimize procedural complexity compared with conventional Selective Laser Trabeculoplasty (SLT). To assess its real-world impact, we conducted a prospective, comparative, observational time-and-motion study evaluating procedural efficiency for DSLT versus conventional SLT in subjects with mild to moderate glaucoma.",
        "Setting": "Single outpatient ophthalmology clinic, Fort Worth, Texas, United States of America.",
        "Methods": "Forty adult patients with mild to moderate glaucoma received either DSLT or SLT from a single experienced surgeon, based on routine clinical workflow and physician discretion. Patients with angle-closure, congenital, secondary glaucoma, or undergoing a second treatment during the trial period will be excluded. The primary endpoint is treatment administration time, defined as the time from the final anesthetic drop application until the removal of the last instrument. Secondary endpoints include patient-laser interaction time, physician time in treatment room, and patient time in treatment room. Results are presented as observed mean ± standard deviation. Data and statistical analyses are planned.",
        "Results": "Enrollment occurred between October 2025 to February 2026. Among the study sample, 20 patients were diagnosed with mild glaucoma and 20 patients with moderate glaucoma. Treatment administration time was 1.61 ± 0.57 mins for DSLT and 6.83 ± 1.05 mins for SLT (observed mean difference: 5.22 mins). Patient-laser interaction time was 1.15 ± 0.59 mins for DSLT and 6.47 ± 1.05 mins for SLT (observed mean difference: 5.32 mins). Physician time in treatment room was 2.04 ± 0.61 mins for DSLT and 8.04 ± 1.02 mins for SLT (observed mean difference: 6.00 mins), and overall patient time in treatment room was 14.57 ± 6.21 mins for DSLT and 21.80 ± 8.19 mins for SLT (observed mean difference: 7.22 mins).",
        "Conclusions": "Results show Voyager™ DSLT procedure may enhance practice efficiency by enabling shorter treatment administration time, laser interaction time, physician time spent in the treatment room, and patient time in the treatment room. Statistical analyses will determine if Voyager™ DSLT is associated with statistically significant time savings compared to conventional SLT. Greater practice efficiency with Voyager™ DSLT may support increased patient throughput for glaucoma and ocular hypertension treatments."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "POGAU010",
      "abstract_number": "POGAU010",
      "title": "Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt) For Secondary Glaucoma Following Pediatric Cataract Surgery: A 12-Month Prospective Cohort Study",
      "authors": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "presenter": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "normalized_authors": [
        "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy and safety of Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in managing secondary glaucoma in children following cataract surgery. The study seeks to establish an optimal minimally invasive surgical strategy for this high-risk pediatric population by assessing intraocular pressure (IOP) reduction and medication burden.",
        "Setting": "This prospective, single-center cohort study was conducted at the Department of Ophthalmology, University City Hospital Affiliated to Chongqing Medical University, Chongqing, China. The setting provided specialized tertiary care for pediatric glaucoma and complex postoperative complications.",
        "Methods": "The study included 45 children (46 eyes) aged 2–14 years diagnosed with glaucoma following cataract surgery, with a baseline IOP $\\ge$ 22 mmHg despite medical therapy. All subjects underwent 360° GATT performed by a single surgeon using standard transluminal techniques. Primary outcomes were the reduction in mean IOP and the surgical success rate (defined as IOP $\\le$ 21 mmHg with $\\ge$ 20% reduction). Secondary outcomes included changes in the number of anti-glaucoma medications, Best Corrected Visual Acuity (BCVA), corneal endothelial cell count (ECC), and postoperative complications over a 12-month follow-up period. Data were analyzed using repeated measures ANOVA.",
        "Results": "The baseline mean IOP was 26.3 $\\pm$ 4.2 mmHg with an average of 2.5 $\\pm$ 1.1 medications. At 12 months post-GATT, the mean IOP significantly decreased to 15.1 $\\pm$ 3.2 mmHg ($P < 0.001$), achieving a total success rate of 93.5% (43/46 eyes). Complete success (no medications) was achieved in 30.4% of eyes, while 58.7% required $\\ge$ 50% fewer medications. BCVA remained stable or improved in 86.9% of eyes, and no significant loss of endothelial cells was observed (3200 $\\pm$ 400 vs. 3050 $\\pm$ 350 cells/mm², $P=0.18$). Complications were primarily self-limiting, including transient hyphema (13.0%) and subconjunctival hemorrhage (17.4%).",
        "Conclusions": "GATT is a safe and highly effective minimally invasive surgical option for children with secondary glaucoma after cataract surgery. It provides significant IOP lowering, markedly reduces medication dependency, and preserves the integrity of the ocular surface and corneal endothelium. Given its high success rate and low complication profile, GATT should be considered a preferred surgical intervention for this pediatric population. Further long-term studies exceeding 5 years are warranted to confirm the durability of these results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "GATT is a safe and highly effective minimally invasive surgical option for children with secondary glaucoma after cataract surgery. It provides significant IOP lowering, markedly reduces medication dependency, and preserves the integrity of the ocular surface and corneal endothelium. Given its high success rate and low complication profile, GATT should be considered a preferred surgical intervention for this…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1271,
      "source_fields": {
        "Abstract Final Identifier": "POGAU010",
        "Title": "Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt) For Secondary Glaucoma Following Pediatric Cataract Surgery: A 12-Month Prospective Cohort Study",
        "Presenting Author(s)": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Mosaab Mohamed",
        "Submitter Middle Name": "ZEINELABDIN MOHAMED",
        "Submitter Last Name": "Elmahdi",
        "Country Name": "China",
        "Purpose": "To evaluate the clinical efficacy and safety of Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in managing secondary glaucoma in children following cataract surgery. The study seeks to establish an optimal minimally invasive surgical strategy for this high-risk pediatric population by assessing intraocular pressure (IOP) reduction and medication burden.",
        "Setting": "This prospective, single-center cohort study was conducted at the Department of Ophthalmology, University City Hospital Affiliated to Chongqing Medical University, Chongqing, China. The setting provided specialized tertiary care for pediatric glaucoma and complex postoperative complications.",
        "Methods": "The study included 45 children (46 eyes) aged 2–14 years diagnosed with glaucoma following cataract surgery, with a baseline IOP $\\ge$ 22 mmHg despite medical therapy. All subjects underwent 360° GATT performed by a single surgeon using standard transluminal techniques. Primary outcomes were the reduction in mean IOP and the surgical success rate (defined as IOP $\\le$ 21 mmHg with $\\ge$ 20% reduction). Secondary outcomes included changes in the number of anti-glaucoma medications, Best Corrected Visual Acuity (BCVA), corneal endothelial cell count (ECC), and postoperative complications over a 12-month follow-up period. Data were analyzed using repeated measures ANOVA.",
        "Results": "The baseline mean IOP was 26.3 $\\pm$ 4.2 mmHg with an average of 2.5 $\\pm$ 1.1 medications. At 12 months post-GATT, the mean IOP significantly decreased to 15.1 $\\pm$ 3.2 mmHg ($P < 0.001$), achieving a total success rate of 93.5% (43/46 eyes). Complete success (no medications) was achieved in 30.4% of eyes, while 58.7% required $\\ge$ 50% fewer medications. BCVA remained stable or improved in 86.9% of eyes, and no significant loss of endothelial cells was observed (3200 $\\pm$ 400 vs. 3050 $\\pm$ 350 cells/mm², $P=0.18$). Complications were primarily self-limiting, including transient hyphema (13.0%) and subconjunctival hemorrhage (17.4%).",
        "Conclusions": "GATT is a safe and highly effective minimally invasive surgical option for children with secondary glaucoma after cataract surgery. It provides significant IOP lowering, markedly reduces medication dependency, and preserves the integrity of the ocular surface and corneal endothelium. Given its high success rate and low complication profile, GATT should be considered a preferred surgical intervention for this pediatric population. Further long-term studies exceeding 5 years are warranted to confirm the durability of these results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POGAU011",
      "abstract_number": "POGAU011",
      "title": "Study Of Efficacy Of Standalone Preserflo Microshunt Procedure Versus Phacoemulsification +\nPreserflo Microshunt In Uncontrolled Primary Open Angle Glaucoma In The Western Region Of\nSaudi Arabia",
      "authors": "Dr Karim Ghazal",
      "presenter": "Dr Karim Ghazal",
      "normalized_authors": [
        "Karim Ghazal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karim Ghazal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "comparative study of efficacy of standalone PreserFlo MicroShunt procedure versus\nPhacoemulsification + Preserflo Microshunt in uncontrolled POAG in of Saudi Arabia",
        "Setting": "This prospective, interventional, nonrandomized case series was approved by the Institutional Review Board of Magrabi Eye Hospital, Jeddah, Kingdom of Saudi Arabia in the period between January 2024 to January 2025",
        "Methods": "This study included 39 eyes with uncontrolled POAG. Patients classified into group I\nwhich included 21 eyes underwent combined Preserflo Micro Shunt +\nphacoemulsification and group 2 which included 18 eyes underwent standalone\nPreserFlo Micro Shunt procedure.All cases were followed up on day 1, day 7, day 30,\nday 90 and day 180 after surgery",
        "Results": "• • There is a trend toward a lower IOP in the PFM only group all over the follow-up\nperiod, reached statistical significance only on the 1st postoperative day.\n• In the combined group, the is an early rise in the IOP (1 versus 3 months)\n• the success rate for both groups more than 85%.\n• The overall distribution of outcomes was similar between the groups, with no\nstatistically significant difference found\n• The survival curves are nearly identical, with no statistically significant\ndifference found between the groups (Log-Rank p = 0.91).\n\n• The KAPLAN MAYER analysis showed no statistically significant difference in\nthe probability of remaining medication-free over the 180-day follow-up period",
        "Conclusions": "The minimum time needed to reintroduce anti-glaucoma meds was earlier in the\ncombined group (30 days) which is likely reflecting transient postoperative\ninflammation from phacoemulsification while in the PFM only group, the late rise in\nIOP is due to gradual tissue remodeling (encapsulation) around the tube\nVery similar success rates throughout the 6-month which is more likely to maintain\ncomparable efficacy over ti"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The minimum time needed to reintroduce anti-glaucoma meds was earlier in the combined group (30 days) which is likely reflecting transient postoperative inflammation from phacoemulsification while in the PFM only group, the late rise in IOP is due to gradual tissue remodeling (encapsulation) around the tube Very similar success rates throughout the 6-month which is more likely to maintain comparable efficacy over ti",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1272,
      "source_fields": {
        "Abstract Final Identifier": "POGAU011",
        "Title": "Study Of Efficacy Of Standalone Preserflo Microshunt Procedure Versus Phacoemulsification +\nPreserflo Microshunt In Uncontrolled Primary Open Angle Glaucoma In The Western Region Of\nSaudi Arabia",
        "Presenting Author(s)": "Dr Karim Ghazal",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Karim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghazal",
        "Country Name": "Saudi Arabia",
        "Purpose": "comparative study of efficacy of standalone PreserFlo MicroShunt procedure versus\nPhacoemulsification + Preserflo Microshunt in uncontrolled POAG in of Saudi Arabia",
        "Setting": "This prospective, interventional, nonrandomized case series was approved by the Institutional Review Board of Magrabi Eye Hospital, Jeddah, Kingdom of Saudi Arabia in the period between January 2024 to January 2025",
        "Methods": "This study included 39 eyes with uncontrolled POAG. Patients classified into group I\nwhich included 21 eyes underwent combined Preserflo Micro Shunt +\nphacoemulsification and group 2 which included 18 eyes underwent standalone\nPreserFlo Micro Shunt procedure.All cases were followed up on day 1, day 7, day 30,\nday 90 and day 180 after surgery",
        "Results": "• • There is a trend toward a lower IOP in the PFM only group all over the follow-up\nperiod, reached statistical significance only on the 1st postoperative day.\n• In the combined group, the is an early rise in the IOP (1 versus 3 months)\n• the success rate for both groups more than 85%.\n• The overall distribution of outcomes was similar between the groups, with no\nstatistically significant difference found\n• The survival curves are nearly identical, with no statistically significant\ndifference found between the groups (Log-Rank p = 0.91).\n\n• The KAPLAN MAYER analysis showed no statistically significant difference in\nthe probability of remaining medication-free over the 180-day follow-up period",
        "Conclusions": "The minimum time needed to reintroduce anti-glaucoma meds was earlier in the\ncombined group (30 days) which is likely reflecting transient postoperative\ninflammation from phacoemulsification while in the PFM only group, the late rise in\nIOP is due to gradual tissue remodeling (encapsulation) around the tube\nVery similar success rates throughout the 6-month which is more likely to maintain\ncomparable efficacy over ti"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POGAU012",
      "abstract_number": "POGAU012",
      "title": "Severe Hypotony After Glaucoma Filtering Surgery",
      "authors": "Dr Ekaterina Ivanova",
      "presenter": "Dr Ekaterina Ivanova",
      "normalized_authors": [
        "Ekaterina Ivanova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ekaterina Ivanova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To develop a surgical tactic based on the results of treating severe hypotony after anti-glaucoma surgery",
        "Setting": "IRTC \"Eye Microsurgery\", Ekaterinburg Center",
        "Methods": "Methods: A total of 62 eyes of 59 patients (37 females, 25 males) aged between 13 and 85 years (mean age 552) were analyzed. All patients had severe hypotony after various types of anti-glaucoma procedures including trabeculectomy (n=7), revision of anti-glaucoma surgery zone (n=4), transciliary draining of posterior chamber (n=1), and nonpenetrating deep sclerectomy (n=50, among which 46\nfollowed goniopuncture). Antimetabolites were used in 35 cases.\n\nSurgical techniques included: external fistula plombage using a fragment of Tenon's capsule (n=23), internal fistula plombage using a fragment of Tenon's capsule (n=16), and internal fistula plombage using a fragment of Tenon's capsule via tunnel technique (n=23)",
        "Results": "Results: One year after surgery, mean visual acuity improved from 0.35+/-0.17 to 0.7+/-0.16, while intraocular pressure rose from 4.8+/-2.3 to 13.4+/-2.3 mm Hg. No signs of maculopathy were observed in\nany patient during the follow-up period.",
        "Conclusions": "Conclusions: The proposed surgical strategies demonstrated effectiveness and are recommended for\nbroad implementation in clinical ophthalmologic practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: The proposed surgical strategies demonstrated effectiveness and are recommended for broad implementation in clinical ophthalmologic practice.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1273,
      "source_fields": {
        "Abstract Final Identifier": "POGAU012",
        "Title": "Severe Hypotony After Glaucoma Filtering Surgery",
        "Presenting Author(s)": "Dr Ekaterina Ivanova",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ekaterina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ivanova",
        "Country Name": "Russian Federation",
        "Purpose": "To develop a surgical tactic based on the results of treating severe hypotony after anti-glaucoma surgery",
        "Setting": "IRTC \"Eye Microsurgery\", Ekaterinburg Center",
        "Methods": "Methods: A total of 62 eyes of 59 patients (37 females, 25 males) aged between 13 and 85 years (mean age 552) were analyzed. All patients had severe hypotony after various types of anti-glaucoma procedures including trabeculectomy (n=7), revision of anti-glaucoma surgery zone (n=4), transciliary draining of posterior chamber (n=1), and nonpenetrating deep sclerectomy (n=50, among which 46\nfollowed goniopuncture). Antimetabolites were used in 35 cases.\n\nSurgical techniques included: external fistula plombage using a fragment of Tenon's capsule (n=23), internal fistula plombage using a fragment of Tenon's capsule (n=16), and internal fistula plombage using a fragment of Tenon's capsule via tunnel technique (n=23)",
        "Results": "Results: One year after surgery, mean visual acuity improved from 0.35+/-0.17 to 0.7+/-0.16, while intraocular pressure rose from 4.8+/-2.3 to 13.4+/-2.3 mm Hg. No signs of maculopathy were observed in\nany patient during the follow-up period.",
        "Conclusions": "Conclusions: The proposed surgical strategies demonstrated effectiveness and are recommended for\nbroad implementation in clinical ophthalmologic practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POGAU013",
      "abstract_number": "POGAU013",
      "title": "Real-World Outcomes For Canaloplasty And/Or Trabeculotomy Combined With Phacoemulsification: 12-Month Results From The Igsr",
      "authors": "Prof. Dr Keith Barton",
      "presenter": "Prof. Dr Keith Barton",
      "normalized_authors": [
        "Keith Barton"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thomas Jacobs",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "To report the first real-world results for the OMNI surgical system (Sight Sciences, Menlo Park, CA, USA) from the International Glaucoma Surgery Registry (IGSR) performed with phacoemulsification (Phaco) in patients with primary open-angle glaucoma (POAG).",
        "Setting": "Data from 10 independent centres in the United Kingdom.",
        "Methods": "Data extracted from the IGSR. This retrospective, multicentre, real-world study included eyes with glaucoma that underwent ab interno canaloplasty (CP), trabeculotomy (TR) or both (CP + TR) (combined or standalone). Efficacy outcomes included intraocular pressure (IOP), number of topical glaucoma medication classes up to 12 months postoperatively. Safety was also evaluated.",
        "Results": "This study included 403 eyes of 335 patients.\n\nIn the CP + Phaco group (n=39), mean IOP and classes of medications at baseline was 18.2 mmHg and 2.0. After 1 year, they were reduced to 15.6 (-2.6) mmHg and 1.8 (-0.2), respectively.\n\nIn the TR + Phaco group (n=163), mean IOP and classes of medications at baseline was 17.9 mmHg and 1.5. After 1 year, they were reduced to 13.3 (-4.6) mmHg and 1.4 (-0.1), respectively.\n\nIn the CP + TR + Phaco group (n=200), mean IOP and classes of medications at baseline was 17.5 mmHg and 2.5. After 1 year, they were reduced to 15.4 (-2.1) mmHg and 1.7 (-0.8), respectively.\n\nComplications were infrequent and mostly self-limiting. The most common complications were hyphaema (6.7%) and transient IOP over 21 mmHg (3.0%).",
        "Conclusions": "CP, TR, or CP + TR reduced IOP and topical medication use in patients with POAG when performed in combination with phacoemulsification. These real-world outcomes extracted from the IGSR affirm the safety and efficacy of OMNI surgery in real clinical practice in the UK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CP, TR, or CP + TR reduced IOP and topical medication use in patients with POAG when performed in combination with phacoemulsification. These real-world outcomes extracted from the IGSR affirm the safety and efficacy of OMNI surgery in real clinical practice in the UK.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1274,
      "source_fields": {
        "Abstract Final Identifier": "POGAU013",
        "Title": "Real-World Outcomes For Canaloplasty And/Or Trabeculotomy Combined With Phacoemulsification: 12-Month Results From The Igsr",
        "Presenting Author(s)": "Prof. Dr Keith Barton",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Thomas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jacobs",
        "Country Name": "Belgium",
        "Purpose": "To report the first real-world results for the OMNI surgical system (Sight Sciences, Menlo Park, CA, USA) from the International Glaucoma Surgery Registry (IGSR) performed with phacoemulsification (Phaco) in patients with primary open-angle glaucoma (POAG).",
        "Setting": "Data from 10 independent centres in the United Kingdom.",
        "Methods": "Data extracted from the IGSR. This retrospective, multicentre, real-world study included eyes with glaucoma that underwent ab interno canaloplasty (CP), trabeculotomy (TR) or both (CP + TR) (combined or standalone). Efficacy outcomes included intraocular pressure (IOP), number of topical glaucoma medication classes up to 12 months postoperatively. Safety was also evaluated.",
        "Results": "This study included 403 eyes of 335 patients.\n\nIn the CP + Phaco group (n=39), mean IOP and classes of medications at baseline was 18.2 mmHg and 2.0. After 1 year, they were reduced to 15.6 (-2.6) mmHg and 1.8 (-0.2), respectively.\n\nIn the TR + Phaco group (n=163), mean IOP and classes of medications at baseline was 17.9 mmHg and 1.5. After 1 year, they were reduced to 13.3 (-4.6) mmHg and 1.4 (-0.1), respectively.\n\nIn the CP + TR + Phaco group (n=200), mean IOP and classes of medications at baseline was 17.5 mmHg and 2.5. After 1 year, they were reduced to 15.4 (-2.1) mmHg and 1.7 (-0.8), respectively.\n\nComplications were infrequent and mostly self-limiting. The most common complications were hyphaema (6.7%) and transient IOP over 21 mmHg (3.0%).",
        "Conclusions": "CP, TR, or CP + TR reduced IOP and topical medication use in patients with POAG when performed in combination with phacoemulsification. These real-world outcomes extracted from the IGSR affirm the safety and efficacy of OMNI surgery in real clinical practice in the UK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POGAU014",
      "abstract_number": "POGAU014",
      "title": "Glaucoma Monitoring In Care Homes: Worth Getting Out Of Bed For?",
      "authors": "Ms Shreena Patel",
      "presenter": "Ms Shreena Patel",
      "normalized_authors": [
        "Shreena Patel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pete R Jones",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess the feasibility of performing \"in bed\" glaucoma monitoring assessments within a domestic (care home) setting, in order to reduce hospital outpatient appointments.",
        "Setting": "Simulated care home bedroom.",
        "Methods": "In this initial pilot, glaucoma patients (n=20), age-similar normally-sighted adults (n=20), and normally-sighted young adults (n=20) were asked to lie in a bed. They then received a glaucoma assessment by a trained optometrist (author SP), consisting of portable tonometry (iCare IC200), visual fields (Irida Eyectacher), fundus imaging (Optomed Aurora), and OCT (MiiS ACT100). Participants also underwent conventional clinical assessments for comparison (Topcon NW-500 fundus imaging, Tomey MR-6000 tonometry, Zeiss HFA SITA Fast visual fields, and Heidelberg Spectralis OCT). All participants were also asked to rate the acceptability of the various assays.",
        "Results": "In-bed fundus images were visibly lower quality, with only 26% graded \"good\" by QuickCal AI vs 99% in-clinic (confirmatory human grading ongoing). Yet, discs were always visible, and vertical cup-to-disc ratios were strongly correlated with in-clinic measures (r=0.98; P<0.001), with a 95% Coefficient of Repeatability {CI95%} of 0.10 {0.08–0.11}. In-bed IOP measurements were also well correlated with in-clinic IOPs (r=0.75; P<0.001), with a CoR95 of 5.05 {4.69–5.60} mmHg. 27%/58% of participants preferred in-bed fundus/IOP; while 56%/36% expressed no preference. Equivalent analyses for visual fields and OCT are ongoing, and shall also be reported.",
        "Conclusions": "Glaucoma assessments can be feasibly performed in bed. Such measurements were often preferred to conventional assays, and provide data which, while not always as high quality as in-clinic measures, may be sufficient for routine glaucoma monitoring purposes. This community-optometrist-led approach has the potential to improve our management of elderly or frail patients: simultaneously reducing costs and increasing patient comfort/accessibility. Future necessary work includes extending this pilot to hospital geriatric clinics (expected Q3 2026) and care homes (Q4 2026)."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Glaucoma assessments can be feasibly performed in bed. Such measurements were often preferred to conventional assays, and provide data which, while not always as high quality as in-clinic measures, may be sufficient for routine glaucoma monitoring purposes. This community-optometrist-led approach has the potential to improve our management of elderly or frail patients: simultaneously reducing costs and increasing…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1275,
      "source_fields": {
        "Abstract Final Identifier": "POGAU014",
        "Title": "Glaucoma Monitoring In Care Homes: Worth Getting Out Of Bed For?",
        "Presenting Author(s)": "Ms Shreena Patel",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Pete",
        "Submitter Middle Name": "R",
        "Submitter Last Name": "Jones",
        "Country Name": "United Kingdom",
        "Purpose": "To assess the feasibility of performing \"in bed\" glaucoma monitoring assessments within a domestic (care home) setting, in order to reduce hospital outpatient appointments.",
        "Setting": "Simulated care home bedroom.",
        "Methods": "In this initial pilot, glaucoma patients (n=20), age-similar normally-sighted adults (n=20), and normally-sighted young adults (n=20) were asked to lie in a bed. They then received a glaucoma assessment by a trained optometrist (author SP), consisting of portable tonometry (iCare IC200), visual fields (Irida Eyectacher), fundus imaging (Optomed Aurora), and OCT (MiiS ACT100). Participants also underwent conventional clinical assessments for comparison (Topcon NW-500 fundus imaging, Tomey MR-6000 tonometry, Zeiss HFA SITA Fast visual fields, and Heidelberg Spectralis OCT). All participants were also asked to rate the acceptability of the various assays.",
        "Results": "In-bed fundus images were visibly lower quality, with only 26% graded \"good\" by QuickCal AI vs 99% in-clinic (confirmatory human grading ongoing). Yet, discs were always visible, and vertical cup-to-disc ratios were strongly correlated with in-clinic measures (r=0.98; P<0.001), with a 95% Coefficient of Repeatability {CI95%} of 0.10 {0.08–0.11}. In-bed IOP measurements were also well correlated with in-clinic IOPs (r=0.75; P<0.001), with a CoR95 of 5.05 {4.69–5.60} mmHg. 27%/58% of participants preferred in-bed fundus/IOP; while 56%/36% expressed no preference. Equivalent analyses for visual fields and OCT are ongoing, and shall also be reported.",
        "Conclusions": "Glaucoma assessments can be feasibly performed in bed. Such measurements were often preferred to conventional assays, and provide data which, while not always as high quality as in-clinic measures, may be sufficient for routine glaucoma monitoring purposes. This community-optometrist-led approach has the potential to improve our management of elderly or frail patients: simultaneously reducing costs and increasing patient comfort/accessibility. Future necessary work includes extending this pilot to hospital geriatric clinics (expected Q3 2026) and care homes (Q4 2026)."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POGAU015",
      "abstract_number": "POGAU015",
      "title": "Glaucoma Diagnosis And Procedure Based Changes In Intraocular Pressure Associated With Cataract Surgery",
      "authors": "Dr Michael Mahr",
      "presenter": "Dr Michael Mahr",
      "normalized_authors": [
        "Michael Mahr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mahr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To determine real world changes in intraocular pressure after cataract surgery based on glaucoma diagnosis status and the presence or absence of concomitant glaucoma surgery.",
        "Setting": "Integrated Academic Medical Center – Mayo Clinic - USA",
        "Methods": "All electronic medical record intraocular pressure (IOP) measurements were organized by laterality and date and associated with cataract surgery events (CPT 66982 or 66984). Analysis was limited to right eyes. The number of days between the IOP measurement and the date of cataract surgery was calculated. Measurements were categorized in phases as: pre-op (up to 1 day before surgery), day of surgery, post-op day one, post-op less than 30 days after surgery, or post-op over 30 days after surgery. Patients were characterized as having a glaucoma diagnosis if they had on or more glaucoma billing diagnoses for any clinical service during the study period.",
        "Results": "Over 7½ years IOPs for 23,321 cataract surgeries were categorized as having no glaucoma diagnosis (baseline group, n=16,160), a glaucoma diagnosis with cataract surgery alone (glaucoma group A, n=5,523), or a glaucoma diagnosis with one of the following procedures performed concomitant with cataract surgery: stent (glaucoma group B, n=983), canaloplasty (glaucoma group C, n=456), trabeculectomy (glaucoma group D, n=136), or tube shunt surgery (glaucoma group E, n=63). The mean pre-op IOPs were baseline 14.8 mmHg, group A 16.5, group B 17.0, group C 17.5, group D 18.9, and group E 22.4. The mean changes in IOP >30 days post-op versus pre-op were baseline -1.9 mmHg, group A -2.4, group B -3.0, group C -3.3, group D -7.1, and group E -8.1.",
        "Conclusions": "Real world big data shows that glaucoma patients undergoing cataract surgery had higher pre-op IOPs and larger average decreases in intraocular pressure >30 days post-op versus pre-op both with and without the presence of a concomitant glaucoma procedure compared to non-glaucoma patients undergoing cataract surgery alone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Real world big data shows that glaucoma patients undergoing cataract surgery had higher pre-op IOPs and larger average decreases in intraocular pressure >30 days post-op versus pre-op both with and without the presence of a concomitant glaucoma procedure compared to non-glaucoma patients undergoing cataract surgery alone.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1276,
      "source_fields": {
        "Abstract Final Identifier": "POGAU015",
        "Title": "Glaucoma Diagnosis And Procedure Based Changes In Intraocular Pressure Associated With Cataract Surgery",
        "Presenting Author(s)": "Dr Michael Mahr",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahr",
        "Country Name": "United States",
        "Purpose": "To determine real world changes in intraocular pressure after cataract surgery based on glaucoma diagnosis status and the presence or absence of concomitant glaucoma surgery.",
        "Setting": "Integrated Academic Medical Center – Mayo Clinic - USA",
        "Methods": "All electronic medical record intraocular pressure (IOP) measurements were organized by laterality and date and associated with cataract surgery events (CPT 66982 or 66984). Analysis was limited to right eyes. The number of days between the IOP measurement and the date of cataract surgery was calculated. Measurements were categorized in phases as: pre-op (up to 1 day before surgery), day of surgery, post-op day one, post-op less than 30 days after surgery, or post-op over 30 days after surgery. Patients were characterized as having a glaucoma diagnosis if they had on or more glaucoma billing diagnoses for any clinical service during the study period.",
        "Results": "Over 7½ years IOPs for 23,321 cataract surgeries were categorized as having no glaucoma diagnosis (baseline group, n=16,160), a glaucoma diagnosis with cataract surgery alone (glaucoma group A, n=5,523), or a glaucoma diagnosis with one of the following procedures performed concomitant with cataract surgery: stent (glaucoma group B, n=983), canaloplasty (glaucoma group C, n=456), trabeculectomy (glaucoma group D, n=136), or tube shunt surgery (glaucoma group E, n=63). The mean pre-op IOPs were baseline 14.8 mmHg, group A 16.5, group B 17.0, group C 17.5, group D 18.9, and group E 22.4. The mean changes in IOP >30 days post-op versus pre-op were baseline -1.9 mmHg, group A -2.4, group B -3.0, group C -3.3, group D -7.1, and group E -8.1.",
        "Conclusions": "Real world big data shows that glaucoma patients undergoing cataract surgery had higher pre-op IOPs and larger average decreases in intraocular pressure >30 days post-op versus pre-op both with and without the presence of a concomitant glaucoma procedure compared to non-glaucoma patients undergoing cataract surgery alone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "POGAU016",
      "abstract_number": "POGAU016",
      "title": "Complex Glaucoma And Anterior Segment Surgeries - A Video Review",
      "authors": "Dr Ana Miguel",
      "presenter": "Dr Ana Miguel",
      "normalized_authors": [
        "Ana Miguel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Miguel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Glaucoma can be secondary to trauma and other pathologies. In complex cases that need glaucoma surgery associated with anterior or posterior segment surgery, a multidisciplinary approach with different techniques can be required. We intended to review our surgical complex glaucoma cases in which other advanced anterior or posterior segment surgeries were needed, to identify possible protocols and strategies.",
        "Setting": "We performed a monocentric study in our tertiary hospital.",
        "Methods": "We performed a retrospective study with review of the surgical videos in which there was a glaucoma surgery associated with complex anterior or posterior segment surgery from 2022 to 2025. We performed a literature review regarding complex anterior segment surgery. We compared the techniques to identify strategies that could lead to improved outcomes.",
        "Results": "The literature review allowed to identify several articles with different techniques’ adaptations. In our video review, whenever there was intraocular lens (IOL) exchange or repositioning (namely due to uveitis-glaucoma-hyphema syndrome) in glaucoma surgery, with uncontrolled intraocular pressure (IOP), drainage devices and trabeculectomy were used, while micro-invasive glaucoma surgeries (MIGS) were preferred for controlled IOP. Drainage devices were mostly used when vitrectomy was planned, and associated with iris repair techniques. More complex repairs, as iris prostheses were associated with posterior vitrectomy, endo-cautery and MIGS; an adapted technique from Canabrava was used to spare the conjunctiva for future glaucoma surgeries.",
        "Conclusions": "A multidisciplinary approach is ideal with complex cases. A systematic but personalized strategy, adapted for each case, is useful to improve the patients outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A multidisciplinary approach is ideal with complex cases. A systematic but personalized strategy, adapted for each case, is useful to improve the patients outcomes.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1277,
      "source_fields": {
        "Abstract Final Identifier": "POGAU016",
        "Title": "Complex Glaucoma And Anterior Segment Surgeries - A Video Review",
        "Presenting Author(s)": "Dr Ana Miguel",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Miguel",
        "Country Name": "France",
        "Purpose": "Glaucoma can be secondary to trauma and other pathologies. In complex cases that need glaucoma surgery associated with anterior or posterior segment surgery, a multidisciplinary approach with different techniques can be required. We intended to review our surgical complex glaucoma cases in which other advanced anterior or posterior segment surgeries were needed, to identify possible protocols and strategies.",
        "Setting": "We performed a monocentric study in our tertiary hospital.",
        "Methods": "We performed a retrospective study with review of the surgical videos in which there was a glaucoma surgery associated with complex anterior or posterior segment surgery from 2022 to 2025. We performed a literature review regarding complex anterior segment surgery. We compared the techniques to identify strategies that could lead to improved outcomes.",
        "Results": "The literature review allowed to identify several articles with different techniques’ adaptations. In our video review, whenever there was intraocular lens (IOL) exchange or repositioning (namely due to uveitis-glaucoma-hyphema syndrome) in glaucoma surgery, with uncontrolled intraocular pressure (IOP), drainage devices and trabeculectomy were used, while micro-invasive glaucoma surgeries (MIGS) were preferred for controlled IOP. Drainage devices were mostly used when vitrectomy was planned, and associated with iris repair techniques. More complex repairs, as iris prostheses were associated with posterior vitrectomy, endo-cautery and MIGS; an adapted technique from Canabrava was used to spare the conjunctiva for future glaucoma surgeries.",
        "Conclusions": "A multidisciplinary approach is ideal with complex cases. A systematic but personalized strategy, adapted for each case, is useful to improve the patients outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POGAU017",
      "abstract_number": "POGAU017",
      "title": "Surgical Management Of Severe Juvenile Glaucoma In Traboulsi Syndrome: Spontaneous Filtering Blebs And A Novel Asph Variant (C.1552G>T; P.Gly518ter)",
      "authors": "Dr Fidan Naghizade",
      "presenter": "Dr Fidan Naghizade",
      "normalized_authors": [
        "Fidan Naghizade"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fidan Naghizade",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Azerbaijan",
      "sections": {
        "Purpose": "To describe two patients with a phenotype consistent with Traboulsi syndrome/FDLAB (facial dysmorphism, lens dislocation, anterior segment abnormalities, spontaneous filtering blebs) complicated by aggressive juvenile glaucoma and scleral thinning. We aim to highlight diagnostic constraints in advanced disease (poor corneal clarity, limited posterior segment view, unreliable visual fields), outline stepwise surgical management and report a novel homozygous truncating ASPH variant supporting the diagnosis and expanding the genetic spectrum.",
        "Setting": "Tertiary referral care at Academician Zarifa Aliyeva National Eye Center. One patient was managed between 2009-2011; the second was evaluated and treated in 2022, including genetic testing and complex glaucoma and anterior segment surgery.",
        "Methods": "Observational case series (n=2). Comprehensive ophthalmic examination included best corrected visual acuity (BCVA), slit-lamp biomicroscopy, intraocular pressure (IOP), measurement by Maklakov and non-contact tonometry, and B-scan ultrasonography when media opacity prevented fundus assessment. Visual field and optic nerve evaluation were limited by corneal edema and advanced pathology. Management focused on preventing perforation and infection while achieving IOP control: scleral patch grafting for scleromalacia and spontaneous bleb complications; subsequent individualized tube shunt surgery and combined anterior segment procedures for lens instability when indicated. Genetic analysis was performed in one patient.",
        "Results": "2 patients had craniofacial dysmorphism, bilateral buphthalmos, ectopia lentis, scleral thinning and spontaneous filtering blebs. A 14-year-old male presented with uncontrolled IOP (35 mmHg) in the left eye (OS) despite therapy. The right eye (OD) progressed to no light perception and required evisceration due to post-traumatic endophthalmitis. After scleral patch grafting, Ahmed valve implantation, iridectomy, phacoaspiration and anterior vitrectomy were performed in OS, improving BCVA to 20/400 and reducing IOP to 23 mmHg. Genetic testing identified a novel homozygous ASPH variant not previously reported. The second patient developed bleb perforation (IOP 4 mmHg) and underwent bilateral scleral patch grafting, stabilizing IOP to 16 mmHg.",
        "Conclusions": "Conclusion\n\nTraboulsi syndrome/FDLAB can cause severe early-onset glaucoma with spontaneous filtering blebs and profound scleral fragility, making standard glaucoma diagnostics and surgery challenging, and increasing risks of hypotony, perforation and infection. A staged, anatomy-driven approach: scleral reinforcement followed by carefully selected tube-based glaucoma surgery and combined procedures for lens and anterior segment pathology may preserve residual vision and stabilize IOP in the remaining eye. Identification of a novel homozygous truncating ASPH variant (c.1552G>T; p.Gly518Ter) broadens the known pathogenic spectrum and emphasizes the value of genetic confirmation and early surveillance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion Traboulsi syndrome/FDLAB can cause severe early-onset glaucoma with spontaneous filtering blebs and profound scleral fragility, making standard glaucoma diagnostics and surgery challenging, and increasing risks of hypotony, perforation and infection. A staged, anatomy-driven approach: scleral reinforcement followed by carefully selected tube-based glaucoma surgery and combined procedures for lens and…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1278,
      "source_fields": {
        "Abstract Final Identifier": "POGAU017",
        "Title": "Surgical Management Of Severe Juvenile Glaucoma In Traboulsi Syndrome: Spontaneous Filtering Blebs And A Novel Asph Variant (C.1552G>T; P.Gly518ter)",
        "Presenting Author(s)": "Dr Fidan Naghizade",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Fidan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naghizade",
        "Country Name": "Azerbaijan",
        "Purpose": "To describe two patients with a phenotype consistent with Traboulsi syndrome/FDLAB (facial dysmorphism, lens dislocation, anterior segment abnormalities, spontaneous filtering blebs) complicated by aggressive juvenile glaucoma and scleral thinning. We aim to highlight diagnostic constraints in advanced disease (poor corneal clarity, limited posterior segment view, unreliable visual fields), outline stepwise surgical management and report a novel homozygous truncating ASPH variant supporting the diagnosis and expanding the genetic spectrum.",
        "Setting": "Tertiary referral care at Academician Zarifa Aliyeva National Eye Center. One patient was managed between 2009-2011; the second was evaluated and treated in 2022, including genetic testing and complex glaucoma and anterior segment surgery.",
        "Methods": "Observational case series (n=2). Comprehensive ophthalmic examination included best corrected visual acuity (BCVA), slit-lamp biomicroscopy, intraocular pressure (IOP), measurement by Maklakov and non-contact tonometry, and B-scan ultrasonography when media opacity prevented fundus assessment. Visual field and optic nerve evaluation were limited by corneal edema and advanced pathology. Management focused on preventing perforation and infection while achieving IOP control: scleral patch grafting for scleromalacia and spontaneous bleb complications; subsequent individualized tube shunt surgery and combined anterior segment procedures for lens instability when indicated. Genetic analysis was performed in one patient.",
        "Results": "2 patients had craniofacial dysmorphism, bilateral buphthalmos, ectopia lentis, scleral thinning and spontaneous filtering blebs. A 14-year-old male presented with uncontrolled IOP (35 mmHg) in the left eye (OS) despite therapy. The right eye (OD) progressed to no light perception and required evisceration due to post-traumatic endophthalmitis. After scleral patch grafting, Ahmed valve implantation, iridectomy, phacoaspiration and anterior vitrectomy were performed in OS, improving BCVA to 20/400 and reducing IOP to 23 mmHg. Genetic testing identified a novel homozygous ASPH variant not previously reported. The second patient developed bleb perforation (IOP 4 mmHg) and underwent bilateral scleral patch grafting, stabilizing IOP to 16 mmHg.",
        "Conclusions": "Conclusion\n\nTraboulsi syndrome/FDLAB can cause severe early-onset glaucoma with spontaneous filtering blebs and profound scleral fragility, making standard glaucoma diagnostics and surgery challenging, and increasing risks of hypotony, perforation and infection. A staged, anatomy-driven approach: scleral reinforcement followed by carefully selected tube-based glaucoma surgery and combined procedures for lens and anterior segment pathology may preserve residual vision and stabilize IOP in the remaining eye. Identification of a novel homozygous truncating ASPH variant (c.1552G>T; p.Gly518Ter) broadens the known pathogenic spectrum and emphasizes the value of genetic confirmation and early surveillance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 391
    },
    {
      "uid": "POGAU018",
      "abstract_number": "POGAU018",
      "title": "Pseudoexfoliative Syndrome. Incidence",
      "authors": "Dr Justo Luís Noriega Martínez",
      "presenter": "Dr Justo Luís Noriega Martínez",
      "normalized_authors": [
        "Justo Luís Noriega Martínez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Justo Luís Noriega Martínez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "Genetic, environmental, and geographical factors are correlated to determine and establish the high incidence of SPEX in patients who attended the Ñahui Ophthalmology Clinic.",
        "Setting": "The persistence of modified genetic sequelae, and consequently expressions and patterns of diseases, pathognomonic in geographical areas different and distant from ours, continues to exist in our region to this day. Pseudo-exfoliative syndrome (SPEX) is one of the classic examples; this systemic disease, an age-related degenerative fibrillopathy associated with genetic and environmental factors, is characterized by the accumulation of abnormal fibrillar material.",
        "Methods": "General aspects of the study. Temporal and geographical context, and overall study design. This is a case series study in patients diagnosed with SPEX. The research is classified as a descriptive–correlational–longitudinal–prospective study in patients diagnosed with SPEX.",
        "Results": "Given the alarming and increasing incidence of cases with pseudoexfoliation syndrome in our population, the results obtained in our study show that 98% of the patients studied come from the highlands, with the highlands of Cajamarca (39%), Huaraz (18%), and Huanchaco (9%) contributing the most to our case series, respectively. Females are the most affected, with a ratio of 4 to 1 compared to males. 93% of the eyes studied present a normal anterior chamber. White and nuclear cataracts associated with zonular dialysis are present in 9%. We had one case where, once the IOL was implanted and the paracentesis closed, the IOL luxated into the vitreous, and was finally fixated to the iris.",
        "Conclusions": "Without the presence of a diagnostic system that allows us to evaluate and define the etiology of the high incidence and prevalence in our patients with SPEX, it is impossible to determine the proper diagnosis. Whether it is due to environmental–geographical and genetic modifications, isolated results alone are insufficient and inconclusive to make a diagnosis with complete certainty.\n\nWe are of the opinion that pseudoexfoliation cases in our population do not correspond to environmental and geographic factors. We do not discount the possibility of their influence, but we attribute the weight to genetic factors, pending confirmation through causal genomic typing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Without the presence of a diagnostic system that allows us to evaluate and define the etiology of the high incidence and prevalence in our patients with SPEX, it is impossible to determine the proper diagnosis. Whether it is due to environmental–geographical and genetic modifications, isolated results alone are insufficient and inconclusive to make a diagnosis with complete certainty. We are of the opinion that…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1279,
      "source_fields": {
        "Abstract Final Identifier": "POGAU018",
        "Title": "Pseudoexfoliative Syndrome. Incidence",
        "Presenting Author(s)": "Dr Justo Luís Noriega Martínez",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Justo",
        "Submitter Middle Name": "Luís",
        "Submitter Last Name": "Noriega Martínez",
        "Country Name": "Peru",
        "Purpose": "Genetic, environmental, and geographical factors are correlated to determine and establish the high incidence of SPEX in patients who attended the Ñahui Ophthalmology Clinic.",
        "Setting": "The persistence of modified genetic sequelae, and consequently expressions and patterns of diseases, pathognomonic in geographical areas different and distant from ours, continues to exist in our region to this day. Pseudo-exfoliative syndrome (SPEX) is one of the classic examples; this systemic disease, an age-related degenerative fibrillopathy associated with genetic and environmental factors, is characterized by the accumulation of abnormal fibrillar material.",
        "Methods": "General aspects of the study. Temporal and geographical context, and overall study design. This is a case series study in patients diagnosed with SPEX. The research is classified as a descriptive–correlational–longitudinal–prospective study in patients diagnosed with SPEX.",
        "Results": "Given the alarming and increasing incidence of cases with pseudoexfoliation syndrome in our population, the results obtained in our study show that 98% of the patients studied come from the highlands, with the highlands of Cajamarca (39%), Huaraz (18%), and Huanchaco (9%) contributing the most to our case series, respectively. Females are the most affected, with a ratio of 4 to 1 compared to males. 93% of the eyes studied present a normal anterior chamber. White and nuclear cataracts associated with zonular dialysis are present in 9%. We had one case where, once the IOL was implanted and the paracentesis closed, the IOL luxated into the vitreous, and was finally fixated to the iris.",
        "Conclusions": "Without the presence of a diagnostic system that allows us to evaluate and define the etiology of the high incidence and prevalence in our patients with SPEX, it is impossible to determine the proper diagnosis. Whether it is due to environmental–geographical and genetic modifications, isolated results alone are insufficient and inconclusive to make a diagnosis with complete certainty.\n\nWe are of the opinion that pseudoexfoliation cases in our population do not correspond to environmental and geographic factors. We do not discount the possibility of their influence, but we attribute the weight to genetic factors, pending confirmation through causal genomic typing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POGAU019",
      "abstract_number": "POGAU019",
      "title": "One-Stage Sequential Combined Cataract And Glaucoma Surgery: Clinical Outcomes Of Micropulse Transscleral Laser Therapy Combined With Phacoemulsification",
      "authors": "Dr Snezhana Panchenko",
      "presenter": "Dr Snezhana Panchenko",
      "normalized_authors": [
        "Snezhana Panchenko"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Snezhana Panchenko",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of immediately sequential micropulse transscleral laser therapy (MPTLT) combined with phacoemulsification and intraocular lens implantation (Phaco-IOL) in patients with cataract associated with stage II–III glaucoma, and to assess early and late postoperative outcomes.",
        "Setting": "Astana Vision Clinic, Astana, Kazakhstan.",
        "Methods": "This interventional case series included 14 patients (14 eyes) with cataract complicated by stage II–III primary open-angle glaucoma (POAG) or primary angle-closure glaucoma (PACG). Baseline best-corrected distance visual acuity (BCDVA) ranged from 0.1 (1.0 LogMAR) to 0.3 (0.5 LogMAR), and intraocular pressure (IOP) ranged from 26–32 mmHg.\n\nMPTLT was performed as the initial stage, followed by Phaco-IOL 6 hours later on the same day. Pilocarpine was administered preoperatively to prevent persistent postoperative mydriasis. Standard postoperative topical antibiotic and corticosteroid therapy was prescribed. Patients were followed for 6–12 months.",
        "Results": "IOP reduction was achieved in 95% of cases, with gradual normalization within 3 days in a subset of patients.\n\nImprovement in BCDVA was observed in 100% of cases, reaching 0.50–0.80 (0.3–0.1 LogMAR).\n\nOptical coherence tomography (OCT) demonstrated increased retinal nerve fiber layer (RNFL) thickness in all cases within 1–3 months postoperatively.\n\nPostoperative complications occurred in three cases (21.3%): one case (7.1%) of grade I exudative reaction resolved with conservative therapy; one case (7.1%) of transient ocular hypertension at 1 month requiring repeat MPTLT; and one case (7.1%) of cystoid macular edema (CME) that resolved with topical corticosteroid therapy within one month.",
        "Conclusions": "• Immediately sequential MPTLT + Phaco-IOL surgeries improved visual acuity and reduced IOP;\n\n• Immediately sequential MPTLT + Phaco-IOL surgeries reduce overall treatment and rehabilitation time;\n\n• Immediately sequential MPTLT + Phaco-IOL may be associated with some complications that can occur with both traditional MIGS and combined Phaco-IOL + MIGS, but their incidence is significantly lower;\n\n• Long-term results are stable for 6-12 months after surgery in most cases;\n\n• In our opinion, in clinical cases of cataract complicated with glaucoma, immediately sequential MPTLT + Phaco-IOL treatment can be preferred surgical choice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• Immediately sequential MPTLT + Phaco-IOL surgeries improved visual acuity and reduced IOP; • Immediately sequential MPTLT + Phaco-IOL surgeries reduce overall treatment and rehabilitation time; • Immediately sequential MPTLT + Phaco-IOL may be associated with some complications that can occur with both traditional MIGS and combined Phaco-IOL + MIGS, but their incidence is significantly lower; • Long-term results…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1280,
      "source_fields": {
        "Abstract Final Identifier": "POGAU019",
        "Title": "One-Stage Sequential Combined Cataract And Glaucoma Surgery: Clinical Outcomes Of Micropulse Transscleral Laser Therapy Combined With Phacoemulsification",
        "Presenting Author(s)": "Dr Snezhana Panchenko",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Snezhana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Panchenko",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate the efficacy and safety of immediately sequential micropulse transscleral laser therapy (MPTLT) combined with phacoemulsification and intraocular lens implantation (Phaco-IOL) in patients with cataract associated with stage II–III glaucoma, and to assess early and late postoperative outcomes.",
        "Setting": "Astana Vision Clinic, Astana, Kazakhstan.",
        "Methods": "This interventional case series included 14 patients (14 eyes) with cataract complicated by stage II–III primary open-angle glaucoma (POAG) or primary angle-closure glaucoma (PACG). Baseline best-corrected distance visual acuity (BCDVA) ranged from 0.1 (1.0 LogMAR) to 0.3 (0.5 LogMAR), and intraocular pressure (IOP) ranged from 26–32 mmHg.\n\nMPTLT was performed as the initial stage, followed by Phaco-IOL 6 hours later on the same day. Pilocarpine was administered preoperatively to prevent persistent postoperative mydriasis. Standard postoperative topical antibiotic and corticosteroid therapy was prescribed. Patients were followed for 6–12 months.",
        "Results": "IOP reduction was achieved in 95% of cases, with gradual normalization within 3 days in a subset of patients.\n\nImprovement in BCDVA was observed in 100% of cases, reaching 0.50–0.80 (0.3–0.1 LogMAR).\n\nOptical coherence tomography (OCT) demonstrated increased retinal nerve fiber layer (RNFL) thickness in all cases within 1–3 months postoperatively.\n\nPostoperative complications occurred in three cases (21.3%): one case (7.1%) of grade I exudative reaction resolved with conservative therapy; one case (7.1%) of transient ocular hypertension at 1 month requiring repeat MPTLT; and one case (7.1%) of cystoid macular edema (CME) that resolved with topical corticosteroid therapy within one month.",
        "Conclusions": "• Immediately sequential MPTLT + Phaco-IOL surgeries improved visual acuity and reduced IOP;\n\n• Immediately sequential MPTLT + Phaco-IOL surgeries reduce overall treatment and rehabilitation time;\n\n• Immediately sequential MPTLT + Phaco-IOL may be associated with some complications that can occur with both traditional MIGS and combined Phaco-IOL + MIGS, but their incidence is significantly lower;\n\n• Long-term results are stable for 6-12 months after surgery in most cases;\n\n• In our opinion, in clinical cases of cataract complicated with glaucoma, immediately sequential MPTLT + Phaco-IOL treatment can be preferred surgical choice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POGAU020",
      "abstract_number": "POGAU020",
      "title": "Cataract Surgery In Advanced Glaucoma - Case Report",
      "authors": "Dr Anca Pantalon",
      "presenter": "Dr Anca Pantalon",
      "normalized_authors": [
        "Anca Pantalon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anca Pantalon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We report the case hereby due to a controversy in the most adequate surgical plan: trabeculetomy or cataract surgery in a case of an advanced, not optimally controlled primary open angle glaucoma (POAG) patient and clear lens.",
        "Setting": "A 61 years old female POAG patient, functional monophthalmos due to OD absolute glaucoma and OS advanced stage, with less than optimal IOP control, under maximal topical medication. Clinical examination revealed PCIOL in OD, well centered and minimal age related lens changes in OS.",
        "Methods": "Initial BCVA in OD=nlp and OS=1.0 sc (Snellen); IOP OD=10 mmHg (Duotrav, Simbriza), variable IOP OS=26-40 mmHg (Duotrav, Simbrinza, systemic Acetazolamide 250 mg, daily); fundus examination showed total excavation in OD (C/D=1) and cvasi-total in OS (C/D=0.9). Gonioscopy (Spaeth grading system) revealed wide open AC angle in OD (C35f) and narrow in OS (B20c) with significant anterior lens vaulting.",
        "Results": "Careful consideration of this functional monophthalmos patient with certain particular aspects corroborated with biometry, computerized Humphrey perimetry and dynamic gonioscopy pleaded for clear lens extraction over trabeculectomy in this patient; postoperatory interval revealed sinuous recovery with significant IOP (10-36mmHg) and vision (hm to 1.0 sc, Snellen) fluctuations due to some immediate complications (e.g. anterior segment inflammation, pigment dispersion etc).",
        "Conclusions": "At the 8 weeks post-operatory visit the patient became stable with excellent anatomical and functional recovery (BCVA OS=1.0 sc and IOP OS =14 mmHg) and topical medication reduction.\n\nCataract surgery alone before trabeculectomy in such advanced glaucoma patients can be controversed and wide IOP fluctuations can be met. General guidelines are not unanimously pointing towards particular advantages of one procedure over the other, therefore careful consideration should be given to each particular case, according to individual circumstances and risk factors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At the 8 weeks post-operatory visit the patient became stable with excellent anatomical and functional recovery (BCVA OS=1.0 sc and IOP OS =14 mmHg) and topical medication reduction. Cataract surgery alone before trabeculectomy in such advanced glaucoma patients can be controversed and wide IOP fluctuations can be met. General guidelines are not unanimously pointing towards particular advantages of one procedure…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1281,
      "source_fields": {
        "Abstract Final Identifier": "POGAU020",
        "Title": "Cataract Surgery In Advanced Glaucoma - Case Report",
        "Presenting Author(s)": "Dr Anca Pantalon",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Anca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pantalon",
        "Country Name": "United Kingdom",
        "Purpose": "We report the case hereby due to a controversy in the most adequate surgical plan: trabeculetomy or cataract surgery in a case of an advanced, not optimally controlled primary open angle glaucoma (POAG) patient and clear lens.",
        "Setting": "A 61 years old female POAG patient, functional monophthalmos due to OD absolute glaucoma and OS advanced stage, with less than optimal IOP control, under maximal topical medication. Clinical examination revealed PCIOL in OD, well centered and minimal age related lens changes in OS.",
        "Methods": "Initial BCVA in OD=nlp and OS=1.0 sc (Snellen); IOP OD=10 mmHg (Duotrav, Simbriza), variable IOP OS=26-40 mmHg (Duotrav, Simbrinza, systemic Acetazolamide 250 mg, daily); fundus examination showed total excavation in OD (C/D=1) and cvasi-total in OS (C/D=0.9). Gonioscopy (Spaeth grading system) revealed wide open AC angle in OD (C35f) and narrow in OS (B20c) with significant anterior lens vaulting.",
        "Results": "Careful consideration of this functional monophthalmos patient with certain particular aspects corroborated with biometry, computerized Humphrey perimetry and dynamic gonioscopy pleaded for clear lens extraction over trabeculectomy in this patient; postoperatory interval revealed sinuous recovery with significant IOP (10-36mmHg) and vision (hm to 1.0 sc, Snellen) fluctuations due to some immediate complications (e.g. anterior segment inflammation, pigment dispersion etc).",
        "Conclusions": "At the 8 weeks post-operatory visit the patient became stable with excellent anatomical and functional recovery (BCVA OS=1.0 sc and IOP OS =14 mmHg) and topical medication reduction.\n\nCataract surgery alone before trabeculectomy in such advanced glaucoma patients can be controversed and wide IOP fluctuations can be met. General guidelines are not unanimously pointing towards particular advantages of one procedure over the other, therefore careful consideration should be given to each particular case, according to individual circumstances and risk factors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "POGAU021",
      "abstract_number": "POGAU021",
      "title": "A Prospective Study On Direct Selective Laser Trabeculoplasty In Effective Intraocular Pressure Reduction In Patients With Primary Open-Angle Glaucoma And Ocular Hypertension From A Tertiary Centre In Singapore",
      "authors": "Prof. Shamira Perera",
      "presenter": "Prof. Shamira Perera",
      "normalized_authors": [
        "Shamira Perera"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shamira Perera",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Direct Selective Laser Trabeculoplasty (DSLT) is a non-contact transscleral procedure performed through the limbus without gonioscopy to lower intraocular pressure (IOP). This prospective study evaluates the safety and effectiveness of DSLT in ethnic Chinese patients with primary open-angle glaucoma (POAG) or ocular hypertension (OHT).",
        "Setting": "All patients were recruited from Singapore National Eye Centre, a tertiary care hospital in Singapore.",
        "Methods": "Thirty patients with mild to moderate POAG, OHT or normal tension glaucoma (NTG) with mean screening IOP of 17.7 mmHg were recruited from Singapore National Eye Centre. They were on up to three topical hypotensive medications. Following a washout period, baseline IOP was taken and patients underwent DSLT.",
        "Results": "The mean age was 63.0±11.8 years. Of the 40 eyes (22 mild POAG, 2 moderate POAG, 13 OHT, 3 NTG), five were treatment naïve. Mean baseline IOP was 22 mmHg (n=40). Post-treatment mean IOP was 18.0 (n=30), 18.8 (n=16), 17.6 (n=19) and 17.3 (n=12) at two, four, six and twelve months. Mean IOP reduction at four and twelve months were 18.2% (n=16) and 25.3% (n=12). Five eyes (16.7%) were retreated at month 2 (n=30). One adverse event was observed: in one eye, there was an IOP rise (24 to 28 mmHg) post-DSLT with spontaneous resolution (week 1 IOP: 16 mmHg) without treatment. By month 12, 11 eyes (91.7%) achieved target IOP. 84.2% remained medication-free by month 6 (n=19) and 75% by month 12 (n=12).",
        "Conclusions": "The interim data suggests that DSLT is safe and effective in reducing IOP in patients with mild to moderate POAG and OHT, given few adverse events and the substantial proportion of patients achieving target IOP while remaining medication-free."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The interim data suggests that DSLT is safe and effective in reducing IOP in patients with mild to moderate POAG and OHT, given few adverse events and the substantial proportion of patients achieving target IOP while remaining medication-free.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1282,
      "source_fields": {
        "Abstract Final Identifier": "POGAU021",
        "Title": "A Prospective Study On Direct Selective Laser Trabeculoplasty In Effective Intraocular Pressure Reduction In Patients With Primary Open-Angle Glaucoma And Ocular Hypertension From A Tertiary Centre In Singapore",
        "Presenting Author(s)": "Prof. Shamira Perera",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Shamira",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Perera",
        "Country Name": "Singapore",
        "Purpose": "Direct Selective Laser Trabeculoplasty (DSLT) is a non-contact transscleral procedure performed through the limbus without gonioscopy to lower intraocular pressure (IOP). This prospective study evaluates the safety and effectiveness of DSLT in ethnic Chinese patients with primary open-angle glaucoma (POAG) or ocular hypertension (OHT).",
        "Setting": "All patients were recruited from Singapore National Eye Centre, a tertiary care hospital in Singapore.",
        "Methods": "Thirty patients with mild to moderate POAG, OHT or normal tension glaucoma (NTG) with mean screening IOP of 17.7 mmHg were recruited from Singapore National Eye Centre. They were on up to three topical hypotensive medications. Following a washout period, baseline IOP was taken and patients underwent DSLT.",
        "Results": "The mean age was 63.0±11.8 years. Of the 40 eyes (22 mild POAG, 2 moderate POAG, 13 OHT, 3 NTG), five were treatment naïve. Mean baseline IOP was 22 mmHg (n=40). Post-treatment mean IOP was 18.0 (n=30), 18.8 (n=16), 17.6 (n=19) and 17.3 (n=12) at two, four, six and twelve months. Mean IOP reduction at four and twelve months were 18.2% (n=16) and 25.3% (n=12). Five eyes (16.7%) were retreated at month 2 (n=30). One adverse event was observed: in one eye, there was an IOP rise (24 to 28 mmHg) post-DSLT with spontaneous resolution (week 1 IOP: 16 mmHg) without treatment. By month 12, 11 eyes (91.7%) achieved target IOP. 84.2% remained medication-free by month 6 (n=19) and 75% by month 12 (n=12).",
        "Conclusions": "The interim data suggests that DSLT is safe and effective in reducing IOP in patients with mild to moderate POAG and OHT, given few adverse events and the substantial proportion of patients achieving target IOP while remaining medication-free."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POGAU022",
      "abstract_number": "POGAU022",
      "title": "Genetic Characterization Of Congenital And Early-Onset Glaucoma In A Jordanian Cohort Using Whole Exome Sequencing And Family-Based Pcr Analysis",
      "authors": "A/Prof. Asem Qudah",
      "presenter": "A/Prof. Asem Qudah",
      "normalized_authors": [
        "Asem Qudah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Asem Qudah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Jordan",
      "sections": {
        "Purpose": "To investigate the genetic basis of congenital and early-onset glaucoma in Jordanian patients using whole exome sequencing and to confirm variant segregation within affected families using PCR-based testing.",
        "Setting": "This study was conducted on Jordanian patients with congenital or early-onset glaucoma referred for genetic evaluation. Clinical assessment, whole exome sequencing, and molecular confirmation were performed through collaboration between ophthalmology department and a clinical genetics laboratory.",
        "Methods": "Seven patients diagnosed with congenital or early-onset glaucoma underwent detailed clinical evaluation, including age at diagnosis, intraocular pressure, and visual acuity. Clinical whole exome sequencing was performed using a phenotype-driven approach targeting glaucoma-associated genes. Identified pathogenic variants were interpreted according to ACMG/AMP guidelines. Targeted PCR-based testing was subsequently performed for available family members to assess variant segregation and carrier status.",
        "Results": "Variants in the CYP1B1 gene were detected in all cases,including homozygous and compound heterozygous pathogenic mutations: c.869_870insC (p.Arg290ProfsTer37), c.1405C>T (p.Arg469Trp),and c.1310C>T (p.Pro437Leu).Most patients exhibited severe clinical manifestations,including elevated intraocular pressure and significant visual impairment,consistent with autosomal recessive primary congenital glaucoma.Additional variants of uncertain or likely pathogenic significance were identified in ASB10 and PEX13 in one patient,without clear phenotypic correlation.PCR-based family testing confirmed segregation of pathogenic CYP1B1 variants with disease status and identified heterozygous carrier parents and relatives,supporting AR inheritance.",
        "Conclusions": "CYP1B1 is the predominant genetic cause of congenital and early-onset glaucoma in this Jordanian cohort. The combination of whole exome sequencing and targeted PCR-based family testing provides robust molecular confirmation, facilitates accurate genetic counseling, and enables identification of carriers within affected families. This integrated approach supports early diagnosis and informed clinical management in populations with a high prevalence of autosomal recessive disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CYP1B1 is the predominant genetic cause of congenital and early-onset glaucoma in this Jordanian cohort. The combination of whole exome sequencing and targeted PCR-based family testing provides robust molecular confirmation, facilitates accurate genetic counseling, and enables identification of carriers within affected families. This integrated approach supports early diagnosis and informed clinical management in…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1283,
      "source_fields": {
        "Abstract Final Identifier": "POGAU022",
        "Title": "Genetic Characterization Of Congenital And Early-Onset Glaucoma In A Jordanian Cohort Using Whole Exome Sequencing And Family-Based Pcr Analysis",
        "Presenting Author(s)": "A/Prof. Asem Qudah",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Asem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Qudah",
        "Country Name": "Jordan",
        "Purpose": "To investigate the genetic basis of congenital and early-onset glaucoma in Jordanian patients using whole exome sequencing and to confirm variant segregation within affected families using PCR-based testing.",
        "Setting": "This study was conducted on Jordanian patients with congenital or early-onset glaucoma referred for genetic evaluation. Clinical assessment, whole exome sequencing, and molecular confirmation were performed through collaboration between ophthalmology department and a clinical genetics laboratory.",
        "Methods": "Seven patients diagnosed with congenital or early-onset glaucoma underwent detailed clinical evaluation, including age at diagnosis, intraocular pressure, and visual acuity. Clinical whole exome sequencing was performed using a phenotype-driven approach targeting glaucoma-associated genes. Identified pathogenic variants were interpreted according to ACMG/AMP guidelines. Targeted PCR-based testing was subsequently performed for available family members to assess variant segregation and carrier status.",
        "Results": "Variants in the CYP1B1 gene were detected in all cases,including homozygous and compound heterozygous pathogenic mutations: c.869_870insC (p.Arg290ProfsTer37), c.1405C>T (p.Arg469Trp),and c.1310C>T (p.Pro437Leu).Most patients exhibited severe clinical manifestations,including elevated intraocular pressure and significant visual impairment,consistent with autosomal recessive primary congenital glaucoma.Additional variants of uncertain or likely pathogenic significance were identified in ASB10 and PEX13 in one patient,without clear phenotypic correlation.PCR-based family testing confirmed segregation of pathogenic CYP1B1 variants with disease status and identified heterozygous carrier parents and relatives,supporting AR inheritance.",
        "Conclusions": "CYP1B1 is the predominant genetic cause of congenital and early-onset glaucoma in this Jordanian cohort. The combination of whole exome sequencing and targeted PCR-based family testing provides robust molecular confirmation, facilitates accurate genetic counseling, and enables identification of carriers within affected families. This integrated approach supports early diagnosis and informed clinical management in populations with a high prevalence of autosomal recessive disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POGAU023",
      "abstract_number": "POGAU023",
      "title": "A Rare Case Of Nlrp12 Related Familial Cold Autoinflammatory Syndrome Type 2 Associated With Unilateral Secondary Glaucoma.",
      "authors": "Dr Ramsha anwar ali Safri",
      "presenter": "Dr Ramsha anwar ali Safri",
      "normalized_authors": [
        "Ramsha anwar ali Safri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramsha anwar ali Safri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To present a rare case of familial cold autoinflammatory syndrome type 2 also known as NLRP12 related autoinflammatory disease and its unique association with unilateral recurrent anterior uveitis leading to secondary glaucoma, managed by topical antiglaucoma medicines initially and later diode laser trans-scleral cyclophotocoagulation using a micropulse probe for intraocular pressure control.",
        "Setting": "The examination and procedure was conducted at Al Shifa Trust Eye Hospital (ASTEH), Rawalpindi, Pakistan. Patient presented on 21 st May, 2025 and is still under care of glaucoma department at ASTEH. ASTEH is a specialised eye care public hospital.",
        "Methods": "Examination methods included Visual acuity by snellen's chart, retinoscopy, slit lamp examination, goldmann aplannation tonometery, gonioscopy by goldmann 3 mirror lens, fundoscopy, B-scan, OCT macula, RNFL OCT, AS-OCT, UBM, confocal biomicroscopy, corneal topography, genetic testing and blood tests.",
        "Results": "After detailed history, thorough systemic and ocular examination, extensive tests and ruling out other differential diagnosis, a diagnosis of Familial cold autoinflammatory syndrome 2 was made, along with that a unique ocular mainfestation of recurrent unilateral anterior uveitis was discovered. Recurrent self limiting anterior segment inflammation triggered by cold, led to uncontrollable secondary glaucoma ultimately managed by diode laser trans-scleral cyclophotocoagulation using a micropulse probe. Uveitis was accompanied with episodes of fever, arthalgias, myalgias and rash which resolved spontaneously. The patient was referred to medical specialist and counselled regarding the disease process, visual prognosis and complications.",
        "Conclusions": "This case highlighted a rare and previously unreported association between FCAS2 and recurrent unilateral anterior uveitis leading to secondary glaucoma. Clinicians should consider autoinflammatory syndromes in patients presenting with recurrent inflammatory episodes and atypical ocular findings, particularly when systemic symptoms are triggered by cold exposure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case highlighted a rare and previously unreported association between FCAS2 and recurrent unilateral anterior uveitis leading to secondary glaucoma. Clinicians should consider autoinflammatory syndromes in patients presenting with recurrent inflammatory episodes and atypical ocular findings, particularly when systemic symptoms are triggered by cold exposure.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1284,
      "source_fields": {
        "Abstract Final Identifier": "POGAU023",
        "Title": "A Rare Case Of Nlrp12 Related Familial Cold Autoinflammatory Syndrome Type 2 Associated With Unilateral Secondary Glaucoma.",
        "Presenting Author(s)": "Dr Ramsha anwar ali Safri",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ramsha",
        "Submitter Middle Name": "anwar ali",
        "Submitter Last Name": "Safri",
        "Country Name": "Pakistan",
        "Purpose": "To present a rare case of familial cold autoinflammatory syndrome type 2 also known as NLRP12 related autoinflammatory disease and its unique association with unilateral recurrent anterior uveitis leading to secondary glaucoma, managed by topical antiglaucoma medicines initially and later diode laser trans-scleral cyclophotocoagulation using a micropulse probe for intraocular pressure control.",
        "Setting": "The examination and procedure was conducted at Al Shifa Trust Eye Hospital (ASTEH), Rawalpindi, Pakistan. Patient presented on 21 st May, 2025 and is still under care of glaucoma department at ASTEH. ASTEH is a specialised eye care public hospital.",
        "Methods": "Examination methods included Visual acuity by snellen's chart, retinoscopy, slit lamp examination, goldmann aplannation tonometery, gonioscopy by goldmann 3 mirror lens, fundoscopy, B-scan, OCT macula, RNFL OCT, AS-OCT, UBM, confocal biomicroscopy, corneal topography, genetic testing and blood tests.",
        "Results": "After detailed history, thorough systemic and ocular examination, extensive tests and ruling out other differential diagnosis, a diagnosis of Familial cold autoinflammatory syndrome 2 was made, along with that a unique ocular mainfestation of recurrent unilateral anterior uveitis was discovered. Recurrent self limiting anterior segment inflammation triggered by cold, led to uncontrollable secondary glaucoma ultimately managed by diode laser trans-scleral cyclophotocoagulation using a micropulse probe. Uveitis was accompanied with episodes of fever, arthalgias, myalgias and rash which resolved spontaneously. The patient was referred to medical specialist and counselled regarding the disease process, visual prognosis and complications.",
        "Conclusions": "This case highlighted a rare and previously unreported association between FCAS2 and recurrent unilateral anterior uveitis leading to secondary glaucoma. Clinicians should consider autoinflammatory syndromes in patients presenting with recurrent inflammatory episodes and atypical ocular findings, particularly when systemic symptoms are triggered by cold exposure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POGAU024",
      "abstract_number": "POGAU024",
      "title": "Surgical Management Of Secondary Glaukoma With Vitreolenticular Block",
      "authors": "Dr Tatyana Nikolaevna Savranova",
      "presenter": "Dr Tatyana Nikolaevna Savranova",
      "normalized_authors": [
        "Tatyana Nikolaevna Savranova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tatyana Nikolaevna Savranova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "Цель исследования — оценить результаты хирургического лечения пациентов с витреолентикулярной блокадой.",
        "Setting": "This comparative case series included 14 patients (16 eyes) diagnosed with vitreolenticular block in phakic eyes. All patients initially underwent laser iridotomy, which failed to improve ocular conditions",
        "Methods": "In 4 patients (4 eyes) limited anterior vitrectomy and limited pars plana vitrectomy were performed. Transient ocular hypotony was observed postoperatively. Subsequently, hyphema developed in the anterior chamber and was irrigated through a corneal paracentesis. Due to abrupt IOP fluctuations and a high risk of hemorrhagic complications, the planned lens extraction was postponed. Phacoemulsification with intraocular lens (IOL) implantation was performed 1 months later. In 10 patients (12 eyes) preoperative IOP was medically reduced to approximately 30 mmHg. Following vitreus aspiration, the anterior chamber depth iand IOP decreased, allowing phacoemulsification with IOL implantation to be performed during the same surgical session",
        "Results": "In all patients, a significant reduction in IOP was achieved, along with favorable visual outcomes with stabilization or improvement of best-corrected visual acuity.\n\nThe surgical interventions resulted in sustained IOP reduction and preservation of visual function during long-term follow-up in all patients with vitreolenticular block.",
        "Conclusions": "Combined surgical elimination of both the lenticular and vitreous components of the block—through phacoemulsification and vitrectomy—appears to be the most effective and pathogenetically justified approach for the treatment of vitreolenticular block"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined surgical elimination of both the lenticular and vitreous components of the block—through phacoemulsification and vitrectomy—appears to be the most effective and pathogenetically justified approach for the treatment of vitreolenticular block",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1285,
      "source_fields": {
        "Abstract Final Identifier": "POGAU024",
        "Title": "Surgical Management Of Secondary Glaukoma With Vitreolenticular Block",
        "Presenting Author(s)": "Dr Tatyana Nikolaevna Savranova",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Tatyana",
        "Submitter Middle Name": "Nikolaevna",
        "Submitter Last Name": "Savranova",
        "Country Name": "Uzbekistan",
        "Purpose": "Цель исследования — оценить результаты хирургического лечения пациентов с витреолентикулярной блокадой.",
        "Setting": "This comparative case series included 14 patients (16 eyes) diagnosed with vitreolenticular block in phakic eyes. All patients initially underwent laser iridotomy, which failed to improve ocular conditions",
        "Methods": "In 4 patients (4 eyes) limited anterior vitrectomy and limited pars plana vitrectomy were performed. Transient ocular hypotony was observed postoperatively. Subsequently, hyphema developed in the anterior chamber and was irrigated through a corneal paracentesis. Due to abrupt IOP fluctuations and a high risk of hemorrhagic complications, the planned lens extraction was postponed. Phacoemulsification with intraocular lens (IOL) implantation was performed 1 months later. In 10 patients (12 eyes) preoperative IOP was medically reduced to approximately 30 mmHg. Following vitreus aspiration, the anterior chamber depth iand IOP decreased, allowing phacoemulsification with IOL implantation to be performed during the same surgical session",
        "Results": "In all patients, a significant reduction in IOP was achieved, along with favorable visual outcomes with stabilization or improvement of best-corrected visual acuity.\n\nThe surgical interventions resulted in sustained IOP reduction and preservation of visual function during long-term follow-up in all patients with vitreolenticular block.",
        "Conclusions": "Combined surgical elimination of both the lenticular and vitreous components of the block—through phacoemulsification and vitrectomy—appears to be the most effective and pathogenetically justified approach for the treatment of vitreolenticular block"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POGAU025",
      "abstract_number": "POGAU025",
      "title": "Risk Of Retinal Artery Occlusion In Patients With Primary Open-Angle Glaucoma: A Retrospective Cohort Study",
      "authors": "Dr Nadav Shemesh",
      "presenter": "Dr Nadav Shemesh",
      "normalized_authors": [
        "Nadav Shemesh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nadav Shemesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the risk of retinal artery occlusion (RAO) in individuals with primary open-angle glaucoma (POAG) using a large-scale real-world database, and to determine whether POAG constitutes an independent risk factor for retinal ischemic events.",
        "Setting": "This retrospective cohort study used the TriNetX Global Collaborative Network to analyze electronic health records from 145 healthcare organizations.",
        "Methods": "Adults aged 18 years or older with POAG were compared with non-POAG controls. Propensity score matching (PSM) was performed 1:1 on 11 baseline characteristics. Incident RAO one day after and within 5 years after POAG diagnosis. Hazard ratios (HRs) were calculated using Cox proportional hazard models. Kaplan-Meier analysis was conducted to compare RAO-free survival using log-rank tests.",
        "Results": "After PSM, there were 255,216 patients in each cohort (50.9% female; mean age 68.2 years). POAG patients had a significantly increased risk of RAO compared with controls (3.46 vs 1.94 per 10,000; HR 2.16; 95% CI, 1.93–2.42; p < 0.001). The association persisted in sex-stratified and extended follow-up analyses. Anti-glaucoma medications did not significantly alter risk.",
        "Conclusions": "This large-scale cohort study identifies POAG as an independent risk factor for RAO. These findings highlight the importance of vascular risk assessment in POAG management and highlight the need for increased vigilance for retinal ischemic events in this population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This large-scale cohort study identifies POAG as an independent risk factor for RAO. These findings highlight the importance of vascular risk assessment in POAG management and highlight the need for increased vigilance for retinal ischemic events in this population.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1286,
      "source_fields": {
        "Abstract Final Identifier": "POGAU025",
        "Title": "Risk Of Retinal Artery Occlusion In Patients With Primary Open-Angle Glaucoma: A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Nadav Shemesh",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Nadav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shemesh",
        "Country Name": "Israel",
        "Purpose": "To evaluate the risk of retinal artery occlusion (RAO) in individuals with primary open-angle glaucoma (POAG) using a large-scale real-world database, and to determine whether POAG constitutes an independent risk factor for retinal ischemic events.",
        "Setting": "This retrospective cohort study used the TriNetX Global Collaborative Network to analyze electronic health records from 145 healthcare organizations.",
        "Methods": "Adults aged 18 years or older with POAG were compared with non-POAG controls. Propensity score matching (PSM) was performed 1:1 on 11 baseline characteristics. Incident RAO one day after and within 5 years after POAG diagnosis. Hazard ratios (HRs) were calculated using Cox proportional hazard models. Kaplan-Meier analysis was conducted to compare RAO-free survival using log-rank tests.",
        "Results": "After PSM, there were 255,216 patients in each cohort (50.9% female; mean age 68.2 years). POAG patients had a significantly increased risk of RAO compared with controls (3.46 vs 1.94 per 10,000; HR 2.16; 95% CI, 1.93–2.42; p < 0.001). The association persisted in sex-stratified and extended follow-up analyses. Anti-glaucoma medications did not significantly alter risk.",
        "Conclusions": "This large-scale cohort study identifies POAG as an independent risk factor for RAO. These findings highlight the importance of vascular risk assessment in POAG management and highlight the need for increased vigilance for retinal ischemic events in this population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POGAU026",
      "abstract_number": "POGAU026",
      "title": "Management Of Malignant Glaucoma And Hypotony In A Monocular Patient With Exfoliative Glaucoma Following Trabeculectomy: A 2-Year Anterior Segment Oct Follow-Up",
      "authors": "Dr Djamil Souttou",
      "presenter": "Dr Djamil Souttou",
      "normalized_authors": [
        "Djamil Souttou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Djamil Souttou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To report a complex case of exfoliative glaucoma in a monocular patient who developed postoperative hypotony and subsequent malignant glaucoma after trabeculectomy, successfully managed through a stepwise surgical approach with long-term anterior segment optical coherence tomography (AS-OCT) documentation.",
        "Setting": "A single case report of a monocular patient (only seeing eye) with advanced exfoliative glaucoma undergoing trabeculectomy with mitomycin C. Postoperative complications included persistent hypotony (IOP <6 mmHg) followed by malignant glaucoma (IOP >40 mmHg) unresponsive to medical therapy. S",
        "Methods": "urgical management included phacoexeresis and anterior vitrectomy. Serial AS-OCT imaging was performed over 24 months to monitor bleb morphology, anterior chamber dynamics, and irido-corneal angles.",
        "Results": "The patient presented with persistent flat anterior chamber and hypotony despite conservative measures. Following medical treatment failure for subsequent malignant glaucoma, surgical intervention with Phacoemulsification with IOL implantation and anterior vitrectomy resulted in rapid anterior chamber reformation and IOP normalization.\n\nAS-OCT imaging demonstrated: (1) progressive bleb wall maturation with reduced microcysts, (2) stable anterior chamber depth maintenance, (3) absence of irido-corneal contact, and (4) consistent trabeculectomy ostium patency. The patient maintained IOP between 12-16 mmHg without glaucoma medications at 24-month follow-up, with best-corrected visual acuity preserved at preoperative levels.",
        "Conclusions": "This case highlights the surgical challenges in monocular patients with exfoliative glaucoma. The sequential development of hypotony and malignant glaucoma following trabeculectomy represents a rare but vision-threatening complication. Phacoemulsification with IOL implantation with anterior vitrectomy proved effective in resolving both complications. Serial AS-OCT provided valuable objective assessment of anterior segment architecture and bleb evolution, offering insights into the mechanisms of surgical success in this high-risk scenario."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case highlights the surgical challenges in monocular patients with exfoliative glaucoma. The sequential development of hypotony and malignant glaucoma following trabeculectomy represents a rare but vision-threatening complication. Phacoemulsification with IOL implantation with anterior vitrectomy proved effective in resolving both complications. Serial AS-OCT provided valuable objective assessment of anterior…",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1287,
      "source_fields": {
        "Abstract Final Identifier": "POGAU026",
        "Title": "Management Of Malignant Glaucoma And Hypotony In A Monocular Patient With Exfoliative Glaucoma Following Trabeculectomy: A 2-Year Anterior Segment Oct Follow-Up",
        "Presenting Author(s)": "Dr Djamil Souttou",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Djamil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Souttou",
        "Country Name": "Algeria",
        "Purpose": "To report a complex case of exfoliative glaucoma in a monocular patient who developed postoperative hypotony and subsequent malignant glaucoma after trabeculectomy, successfully managed through a stepwise surgical approach with long-term anterior segment optical coherence tomography (AS-OCT) documentation.",
        "Setting": "A single case report of a monocular patient (only seeing eye) with advanced exfoliative glaucoma undergoing trabeculectomy with mitomycin C. Postoperative complications included persistent hypotony (IOP <6 mmHg) followed by malignant glaucoma (IOP >40 mmHg) unresponsive to medical therapy. S",
        "Methods": "urgical management included phacoexeresis and anterior vitrectomy. Serial AS-OCT imaging was performed over 24 months to monitor bleb morphology, anterior chamber dynamics, and irido-corneal angles.",
        "Results": "The patient presented with persistent flat anterior chamber and hypotony despite conservative measures. Following medical treatment failure for subsequent malignant glaucoma, surgical intervention with Phacoemulsification with IOL implantation and anterior vitrectomy resulted in rapid anterior chamber reformation and IOP normalization.\n\nAS-OCT imaging demonstrated: (1) progressive bleb wall maturation with reduced microcysts, (2) stable anterior chamber depth maintenance, (3) absence of irido-corneal contact, and (4) consistent trabeculectomy ostium patency. The patient maintained IOP between 12-16 mmHg without glaucoma medications at 24-month follow-up, with best-corrected visual acuity preserved at preoperative levels.",
        "Conclusions": "This case highlights the surgical challenges in monocular patients with exfoliative glaucoma. The sequential development of hypotony and malignant glaucoma following trabeculectomy represents a rare but vision-threatening complication. Phacoemulsification with IOL implantation with anterior vitrectomy proved effective in resolving both complications. Serial AS-OCT provided valuable objective assessment of anterior segment architecture and bleb evolution, offering insights into the mechanisms of surgical success in this high-risk scenario."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "POGAU027",
      "abstract_number": "POGAU027",
      "title": "Chatgpt As The Gatekeeper: Accuracy Of A Large Language Model In Extracting Rnfl Parameters And Detecting Glaucomatous Structural Damage From Oct Reports",
      "authors": "Amit Toledano",
      "presenter": "Amit Toledano",
      "normalized_authors": [
        "Amit Toledano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amit Toledano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate whether large language model–based interpretation of OCT RNFL reports can support glaucoma services, we assessed GPT’s accuracy for quantitative RNFL extraction and its OCT-only classification of glaucomatous structural damage compared with glaucoma specialist assessment.",
        "Setting": "Ophthalmology department (glaucoma service) of a tertiary medical center in Israel; retrospective analysis of de-identified Heidelberg Spectralis RNFL report printouts.",
        "Methods": "Spectral-domain OCT RNFL reports (Heidelberg Spectralis) were exported as de-identified RNFL printouts and uploaded via Python 3.12 to OpenAI GPT-5.2 through the OpenAI API (v1). GPT was prompted to (1) assess exam/data quality and extract numeric RNFL parameters, and (2) classify glaucomatous structural damage based solely on the RNFL image. Model outputs were compared with glaucoma specialist diagnosis (based on OCT plus clinical examination, IOP, and visual fields). Agreement was assessed using Cohen’s κ.",
        "Results": "GPT numeric RNFL values were available for 70/74 eyes (94.6%), and specialist diagnosis for 68/74 (91.9%). In eyes with paired measurements (n=70), true mean RNFL was 72.11±20.57 µm versus GPT 75.76±21.78 µm, with overestimation of 3.64±4.12 µm. Gatekeeper analyses (GPT “glaucoma” or “suspect” forwarded; n=64) showed GPT missed 5 specialist-defined glaucoma-spectrum eyes (5/53=9.4%, ≈1 in 11), with sensitivity 90.6%, specificity 27.3%, and κ=0.20. For severity (n=61), exact agreement was 49.2% with linear-weighted κ=0.577.",
        "Conclusions": "GPT showed high completeness for RNFL extraction and high sensitivity for glaucoma-spectrum triage, but a clinically meaningful miss rate and low specificity limit stand-alone gatekeeping. LLMs may be better suited for structured extraction and prioritization support, with safeguards if implemented clinically."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "GPT showed high completeness for RNFL extraction and high sensitivity for glaucoma-spectrum triage, but a clinically meaningful miss rate and low specificity limit stand-alone gatekeeping. LLMs may be better suited for structured extraction and prioritization support, with safeguards if implemented clinically.",
      "session_type": "ePoster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1288,
      "source_fields": {
        "Abstract Final Identifier": "POGAU027",
        "Title": "Chatgpt As The Gatekeeper: Accuracy Of A Large Language Model In Extracting Rnfl Parameters And Detecting Glaucomatous Structural Damage From Oct Reports",
        "Presenting Author(s)": "Amit Toledano",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Amit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Toledano",
        "Country Name": "Israel",
        "Purpose": "To evaluate whether large language model–based interpretation of OCT RNFL reports can support glaucoma services, we assessed GPT’s accuracy for quantitative RNFL extraction and its OCT-only classification of glaucomatous structural damage compared with glaucoma specialist assessment.",
        "Setting": "Ophthalmology department (glaucoma service) of a tertiary medical center in Israel; retrospective analysis of de-identified Heidelberg Spectralis RNFL report printouts.",
        "Methods": "Spectral-domain OCT RNFL reports (Heidelberg Spectralis) were exported as de-identified RNFL printouts and uploaded via Python 3.12 to OpenAI GPT-5.2 through the OpenAI API (v1). GPT was prompted to (1) assess exam/data quality and extract numeric RNFL parameters, and (2) classify glaucomatous structural damage based solely on the RNFL image. Model outputs were compared with glaucoma specialist diagnosis (based on OCT plus clinical examination, IOP, and visual fields). Agreement was assessed using Cohen’s κ.",
        "Results": "GPT numeric RNFL values were available for 70/74 eyes (94.6%), and specialist diagnosis for 68/74 (91.9%). In eyes with paired measurements (n=70), true mean RNFL was 72.11±20.57 µm versus GPT 75.76±21.78 µm, with overestimation of 3.64±4.12 µm. Gatekeeper analyses (GPT “glaucoma” or “suspect” forwarded; n=64) showed GPT missed 5 specialist-defined glaucoma-spectrum eyes (5/53=9.4%, ≈1 in 11), with sensitivity 90.6%, specificity 27.3%, and κ=0.20. For severity (n=61), exact agreement was 49.2% with linear-weighted κ=0.577.",
        "Conclusions": "GPT showed high completeness for RNFL extraction and high sensitivity for glaucoma-spectrum triage, but a clinically meaningful miss rate and low specificity limit stand-alone gatekeeping. LLMs may be better suited for structured extraction and prioritization support, with safeguards if implemented clinically."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POGAU028",
      "abstract_number": "POGAU028",
      "title": "Autogenous Scleral Drainage With Lymphotherapy Dose–Response In Stage‑3 Angle‑Closure Glaucoma: A Comparative Study Of Surgical Techniques",
      "authors": "Dr Gulchachak Abizgildina",
      "presenter": "Dr Gulchachak Abizgildina",
      "normalized_authors": [
        "Gulchachak Abizgildina"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gulchachak Abizgildina",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "Angle-closure glaucoma (ACG) accounts for 20-40% of glaucoma cases, posing a major risk of vision loss due to elevated intraocular pressure (IOP). This study targets severe stage 3 unstable ACG, with IOP ranging from 26 to 47 mmHg. We compare three surgical options: classical deep sclerectomy, standard autogenous scleral drainage and autogenous scleral drainage enhanced by lymphotherapy. Lymphotherapy involves subcutaneous injection of gliatilin and retinalamin 0.8-1.2 cm below the mastoid apex, targeting second-order lymphatic vessels to reach retinal lymphatic spaces. Our goal is to evaluate postoperative IOP reduction and surgical success rates in these conditions.",
        "Setting": "The study involved 300 eyes from 150 patients, divided into three groups of 100 eyes each. The surgical procedures were aimed at reducing IOP and improving the function of the optic nerve. Appasamy Associates visualization system for ophthalmic micro surgery (model TRUGLOW FS-1) was used during surgical procedures.",
        "Methods": "Group 1: Patients underwent traditional deep sclerectomy. Group 2: Participants received scleral drainage without auxiliary therapies. Group 3: Patients had scleral drainage accompanied by lymphotherapy using gliatilin and retinalamin. The 100 eyes in Group 3 were further randomized into four cohorts (25 eyes each) after local anesthesia with 2% lidocaine 1 mL at the mastoid injection site. Cohorts received subcutaneous lymphotherapy injections administered once a week for three weeks. Dose cohorts were: 3(a): retinalamin 2 mg + gliatilin 0.25 mg; 3(b): retinalamin 3 mg + gliatilin 0.50 mg; 3(c): retinalamin 4 mg + gliatilin 0.75 mg; 3(d): retinalamin 5 mg + gliatilin 1.00 mg.",
        "Results": "Postoperative evaluations focused on IOP as the primary success metric, yielding the following average reductions: Group 1: Achieved an 18% average IOP reduction, demonstrating moderate success with a few postoperative complications. Group 2: Showed a 25% average reduction in IOP, indicating improved control compared to Group 1, with some minor complications noted. Group 3: Experienced an IOP reduction of 26% along with Group 3(d) experincing the most minimal postoperative complications compared to other groups.",
        "Conclusions": "The results indicate that lymphotherapy in Group 3 provided a substantial improvement in surgical outcomes, establishing it as the most effective and safe intervention among the tested groups. Group 3 (d)’s minimal postoperative complications attributed to the effects of lymphotherapy which enhanced microcirculation and reduced trauma risk. Autogenous scleral drainage combined with lymphotherapy represents an effective intervention for stage 3 angle-closure glaucoma. This approach not only significantly lowers IOP but also facilitates improved postoperative recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results indicate that lymphotherapy in Group 3 provided a substantial improvement in surgical outcomes, establishing it as the most effective and safe intervention among the tested groups. Group 3 (d)’s minimal postoperative complications attributed to the effects of lymphotherapy which enhanced microcirculation and reduced trauma risk. Autogenous scleral drainage combined with lymphotherapy represents an…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1289,
      "source_fields": {
        "Abstract Final Identifier": "POGAU028",
        "Title": "Autogenous Scleral Drainage With Lymphotherapy Dose–Response In Stage‑3 Angle‑Closure Glaucoma: A Comparative Study Of Surgical Techniques",
        "Presenting Author(s)": "Dr Gulchachak Abizgildina",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Gulchachak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abizgildina",
        "Country Name": "Russian Federation",
        "Purpose": "Angle-closure glaucoma (ACG) accounts for 20-40% of glaucoma cases, posing a major risk of vision loss due to elevated intraocular pressure (IOP). This study targets severe stage 3 unstable ACG, with IOP ranging from 26 to 47 mmHg. We compare three surgical options: classical deep sclerectomy, standard autogenous scleral drainage and autogenous scleral drainage enhanced by lymphotherapy. Lymphotherapy involves subcutaneous injection of gliatilin and retinalamin 0.8-1.2 cm below the mastoid apex, targeting second-order lymphatic vessels to reach retinal lymphatic spaces. Our goal is to evaluate postoperative IOP reduction and surgical success rates in these conditions.",
        "Setting": "The study involved 300 eyes from 150 patients, divided into three groups of 100 eyes each. The surgical procedures were aimed at reducing IOP and improving the function of the optic nerve. Appasamy Associates visualization system for ophthalmic micro surgery (model TRUGLOW FS-1) was used during surgical procedures.",
        "Methods": "Group 1: Patients underwent traditional deep sclerectomy. Group 2: Participants received scleral drainage without auxiliary therapies. Group 3: Patients had scleral drainage accompanied by lymphotherapy using gliatilin and retinalamin. The 100 eyes in Group 3 were further randomized into four cohorts (25 eyes each) after local anesthesia with 2% lidocaine 1 mL at the mastoid injection site. Cohorts received subcutaneous lymphotherapy injections administered once a week for three weeks. Dose cohorts were: 3(a): retinalamin 2 mg + gliatilin 0.25 mg; 3(b): retinalamin 3 mg + gliatilin 0.50 mg; 3(c): retinalamin 4 mg + gliatilin 0.75 mg; 3(d): retinalamin 5 mg + gliatilin 1.00 mg.",
        "Results": "Postoperative evaluations focused on IOP as the primary success metric, yielding the following average reductions: Group 1: Achieved an 18% average IOP reduction, demonstrating moderate success with a few postoperative complications. Group 2: Showed a 25% average reduction in IOP, indicating improved control compared to Group 1, with some minor complications noted. Group 3: Experienced an IOP reduction of 26% along with Group 3(d) experincing the most minimal postoperative complications compared to other groups.",
        "Conclusions": "The results indicate that lymphotherapy in Group 3 provided a substantial improvement in surgical outcomes, establishing it as the most effective and safe intervention among the tested groups. Group 3 (d)’s minimal postoperative complications attributed to the effects of lymphotherapy which enhanced microcirculation and reduced trauma risk. Autogenous scleral drainage combined with lymphotherapy represents an effective intervention for stage 3 angle-closure glaucoma. This approach not only significantly lowers IOP but also facilitates improved postoperative recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 404
    },
    {
      "uid": "POGAU029",
      "abstract_number": "POGAU029",
      "title": "Efficacy Of Gonioscopy Assisted Transluminal Trabeculotomy (Gatt) Alone Or Combined With Phacoemulsification In Management Of Cases Of Plateau Iris Syndrome. A Retrospective Case Series.",
      "authors": "Dr Fayrouz Aboalazayem",
      "presenter": "Dr Fayrouz Aboalazayem",
      "normalized_authors": [
        "Fayrouz Aboalazayem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fayrouz Aboalazayem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To study the IOP lowering effect of GATT whether alone or combined with phacoemulsification on cases of plateau iris syndrome.",
        "Setting": "We reviewed the records of patients with plateau iris syndrome who underwent GATT alone or combined with phacoemulsification during the period from January 2021to December 2024 at the glaucoma clinic of Kasr Alainy Hospital of Cairo University.",
        "Methods": "This is a retrospective case series of 12 eyes of 8 patients with plateau iris syndrome. GATT was performed as a standalone procedure or in combination with cataract extraction in a tertiary eye centre and the patients completed at least 12 months of follow up. Outcome measures were the change in the IOP, the number of medications, success rate (IOP reduction ≥20% from baseline and IOP between 6 and 21 mmHg, without further glaucoma surgery), and complication rate.",
        "Results": "Twelve eyes with plateau iris syndrome were included, seven eyes underwent phacoemulsification and GATT and 5 patients underwent GATT alone. The mean follow up period was 16 ±7.4 months. The preoperative IOP decreased from 24.5 ± 9.3 mmHg on 3.33 medications to 13.09±3.7 mmHg on 0.45 medicationss at the final follow up (p-value =0.004). The final success rate was 91.6% with 58.3 % of patients being off medications..",
        "Conclusions": "GATT whether alone or combined with phacoemulsification is a safe and effective method for treatment of cases of plateau iris syndrome."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "GATT whether alone or combined with phacoemulsification is a safe and effective method for treatment of cases of plateau iris syndrome.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1290,
      "source_fields": {
        "Abstract Final Identifier": "POGAU029",
        "Title": "Efficacy Of Gonioscopy Assisted Transluminal Trabeculotomy (Gatt) Alone Or Combined With Phacoemulsification In Management Of Cases Of Plateau Iris Syndrome. A Retrospective Case Series.",
        "Presenting Author(s)": "Dr Fayrouz Aboalazayem",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Fayrouz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aboalazayem",
        "Country Name": "Egypt",
        "Purpose": "To study the IOP lowering effect of GATT whether alone or combined with phacoemulsification on cases of plateau iris syndrome.",
        "Setting": "We reviewed the records of patients with plateau iris syndrome who underwent GATT alone or combined with phacoemulsification during the period from January 2021to December 2024 at the glaucoma clinic of Kasr Alainy Hospital of Cairo University.",
        "Methods": "This is a retrospective case series of 12 eyes of 8 patients with plateau iris syndrome. GATT was performed as a standalone procedure or in combination with cataract extraction in a tertiary eye centre and the patients completed at least 12 months of follow up. Outcome measures were the change in the IOP, the number of medications, success rate (IOP reduction ≥20% from baseline and IOP between 6 and 21 mmHg, without further glaucoma surgery), and complication rate.",
        "Results": "Twelve eyes with plateau iris syndrome were included, seven eyes underwent phacoemulsification and GATT and 5 patients underwent GATT alone. The mean follow up period was 16 ±7.4 months. The preoperative IOP decreased from 24.5 ± 9.3 mmHg on 3.33 medications to 13.09±3.7 mmHg on 0.45 medicationss at the final follow up (p-value =0.004). The final success rate was 91.6% with 58.3 % of patients being off medications..",
        "Conclusions": "GATT whether alone or combined with phacoemulsification is a safe and effective method for treatment of cases of plateau iris syndrome."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POGAU030",
      "abstract_number": "POGAU030",
      "title": "Early Outcomes Of Preserflo™ Microshunt Implantation Across High-Risk Glaucoma Subtypes: Interim Analysis Of An Ongoing Prospective Cohort Study",
      "authors": "Dr Saad Abdulrahman J Al Amri",
      "presenter": "Dr Saad Abdulrahman J Al Amri",
      "normalized_authors": [
        "Saad Abdulrahman J Al Amri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saad Abdulrahman J Al Amri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate intraocular pressure (IOP) lowering efficacy, medication burden reduction, surgical success rates, and safety of the PRESERFLO™ MicroShunt in a consecutive prospective cohort of predominantly complex, refractory, and secondary glaucoma diagnoses at a tertiary Saudi centre, with minimum six-month follow-up",
        "Setting": "Prospective, single-arm consecutive cohort study. Single-centre tertiary glaucoma service, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia.",
        "Methods": "Forty-two eyes of 42 patients (age 51.0±21.6 years; 54.8% male) underwent PRESERFLO™ MicroShunt implantation with MMC 0.4 mg/ml×4 min (July 2024–July 2025). The cohort was predominantly complex/refractory/secondary (85.7%) non-POAG (PEXG n=7, NVG n=7, PACG n=5, PCG n=3, other/ secondary n=14. Standalone=73.8%; combined phacoemulsification=26.2%; prior glaucoma surgery=23.8%. Preoperative IOP: 28.6±12.0 mmHg on 3.07±1.11 medications. Primary analysis: Month 6 (n=28); LOCF sensitivity (n=32). WGA success criteria across four IOP targets (≤21, ≤18, ≤15, ≤12 mmHg); complete=no medications; qualified=any. Kaplan-Meier, Wilcoxon, Cohen's d, and Wilson 95% CI used.",
        "Results": "IOP decreased significantly at all timepoints (p≤0.023 through M12). M6 (n=28): 15.1±6.7 mmHg (49.3%; p<0.001; d=1.08). M12 (n=10): 13.4±2.5 mmHg (55.3%; p=0.008). Cohen's d: 0.96–1.48 (large). Criterion B (IOP ≤18 mmHg): complete 67.9% (19/28), qualified 82.1% (23/28). Kaplan-Meier: 62.9% (M6), 58.0% (M12). Consistent across subtypes (p=0.410). Medication-free: 97.6% (Week 2), 78.6% (M6; 89.6% reduction; p<0.001). Outcome predictors: preoperative IOP (32.7 vs. 23.6 mmHg; p=0.034; r=0.901) and steroid compliance (13.7 vs. 22.8 mmHg; p=0.031). Complications: 9/42 (21.4%): hyphema (n=3), transient hypotony (n=3), hypotony maculopathy, bleb leak, microleak/choroidal detachment (n=1 each). Additional procedures: 11/42 (26.2%); 4 failures.",
        "Conclusions": "Our early results showed: PRESERFLO™ MicroShunt achieves IOP reduction across a predominantly complex, refractory, and secondary cohort including NVG, uveitic, congenital, and paediatric diagnoses typically excluded from registration trials. Complete success: 67.9%, qualified success: 82.1%; 78.6% medication-free, all at M6. Postoperative steroid compliance was a significant, modifiable predictor. Safety was acceptable and consistent with published series. These prospective Saudi outcomes support PRESERFLO™ applicability across high-risk subtypes and highlight the need for multicentre studies to establish long-term durability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our early results showed: PRESERFLO™ MicroShunt achieves IOP reduction across a predominantly complex, refractory, and secondary cohort including NVG, uveitic, congenital, and paediatric diagnoses typically excluded from registration trials. Complete success: 67.9%, qualified success: 82.1%; 78.6% medication-free, all at M6. Postoperative steroid compliance was a significant, modifiable predictor. Safety was…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1291,
      "source_fields": {
        "Abstract Final Identifier": "POGAU030",
        "Title": "Early Outcomes Of Preserflo™ Microshunt Implantation Across High-Risk Glaucoma Subtypes: Interim Analysis Of An Ongoing Prospective Cohort Study",
        "Presenting Author(s)": "Dr Saad Abdulrahman J Al Amri",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Saad",
        "Submitter Middle Name": "Abdulrahman J",
        "Submitter Last Name": "Al Amri",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate intraocular pressure (IOP) lowering efficacy, medication burden reduction, surgical success rates, and safety of the PRESERFLO™ MicroShunt in a consecutive prospective cohort of predominantly complex, refractory, and secondary glaucoma diagnoses at a tertiary Saudi centre, with minimum six-month follow-up",
        "Setting": "Prospective, single-arm consecutive cohort study. Single-centre tertiary glaucoma service, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia.",
        "Methods": "Forty-two eyes of 42 patients (age 51.0±21.6 years; 54.8% male) underwent PRESERFLO™ MicroShunt implantation with MMC 0.4 mg/ml×4 min (July 2024–July 2025). The cohort was predominantly complex/refractory/secondary (85.7%) non-POAG (PEXG n=7, NVG n=7, PACG n=5, PCG n=3, other/ secondary n=14. Standalone=73.8%; combined phacoemulsification=26.2%; prior glaucoma surgery=23.8%. Preoperative IOP: 28.6±12.0 mmHg on 3.07±1.11 medications. Primary analysis: Month 6 (n=28); LOCF sensitivity (n=32). WGA success criteria across four IOP targets (≤21, ≤18, ≤15, ≤12 mmHg); complete=no medications; qualified=any. Kaplan-Meier, Wilcoxon, Cohen's d, and Wilson 95% CI used.",
        "Results": "IOP decreased significantly at all timepoints (p≤0.023 through M12). M6 (n=28): 15.1±6.7 mmHg (49.3%; p<0.001; d=1.08). M12 (n=10): 13.4±2.5 mmHg (55.3%; p=0.008). Cohen's d: 0.96–1.48 (large). Criterion B (IOP ≤18 mmHg): complete 67.9% (19/28), qualified 82.1% (23/28). Kaplan-Meier: 62.9% (M6), 58.0% (M12). Consistent across subtypes (p=0.410). Medication-free: 97.6% (Week 2), 78.6% (M6; 89.6% reduction; p<0.001). Outcome predictors: preoperative IOP (32.7 vs. 23.6 mmHg; p=0.034; r=0.901) and steroid compliance (13.7 vs. 22.8 mmHg; p=0.031). Complications: 9/42 (21.4%): hyphema (n=3), transient hypotony (n=3), hypotony maculopathy, bleb leak, microleak/choroidal detachment (n=1 each). Additional procedures: 11/42 (26.2%); 4 failures.",
        "Conclusions": "Our early results showed: PRESERFLO™ MicroShunt achieves IOP reduction across a predominantly complex, refractory, and secondary cohort including NVG, uveitic, congenital, and paediatric diagnoses typically excluded from registration trials. Complete success: 67.9%, qualified success: 82.1%; 78.6% medication-free, all at M6. Postoperative steroid compliance was a significant, modifiable predictor. Safety was acceptable and consistent with published series. These prospective Saudi outcomes support PRESERFLO™ applicability across high-risk subtypes and highlight the need for multicentre studies to establish long-term durability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 403
    },
    {
      "uid": "POGAU031",
      "abstract_number": "POGAU031",
      "title": "A Comparative Study Of Combined Istent Phacoemulsification Versus Combined Ab-Interno Canaloplasty Phacoemulsification For Open-Angle Glaucoma Management",
      "authors": "Dr Nayef Al Otaiby",
      "presenter": "Dr Nayef Al Otaiby",
      "normalized_authors": [
        "Nayef Al Otaiby"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nayef Al Otaiby",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "• To evaluate the efficacy of iStent combined with Phacoemulsification and Ab-interno Canaloplasty (ABiC) combined with Phacoemulsification for managing and reducing intraocular pressure (IOP) in Primary open angle glaucoma (POAG) patients.\n\n• To compare reduction in glauocma medication between both groups.\n\n• To compare safety profile and adverse events associated with iStent Phacoemulsification and Ab-interno Canaloplasty Phacoemulsification in manageing open angle glaucoma patients.",
        "Setting": "King Khaled Eye Specialist Hospital, Riyadh, Saudia Arabia.",
        "Methods": "A retrospective comparative study was conducted on patients underwent surgical intervention of iStent combined with Phacoemulsification and Ab-interno Canaloplasty (ABiC) combined with Phacoemulsification the King Khaled Eye Specialist Hospital between 2017 - 2022. Data were collecte at baseline (pre-operative), 1 month, 3, 6, 12, 18, 24 months post-operative. The primary outcome measure reduction in intraocular pressure (IOP), medication burden, complication rate, and the need of further intervention. Statistical analysis was performed using IBM SPSS statistical program.",
        "Results": "103 eyes were included in the stude, 60 eyes in iStent group and 43 eyes in ABiC group. At the final two years follow up, mean IOP in iStent group reduced from 17.2 ± 4.4 mmHg at baseline to 14.8 ± 3.1 mmHg (14% reduction), while in ABiC group the reduction was from 17.4 ± 6.4 mmHg to 15.1 ± 4.3 mmHg (12.6% reduction). Regarding the Number of Medications, both groups showed statistically significant reductions at all follow-up assessments from baseline, with p-values < 0.0001. Both groups showed low overall complication rates. In ABiC group transient hyphema was observed during the first postoperative month, and mild corneal edema was also reported; both resolved spontaneously without intervention.",
        "Conclusions": "In this study both iStent combined with phacoemulsification and ab-interno canaloplasty (ABiC) combined with phacoemulsification appear to be safe and effective surgical options for management of open angle glaucoma showing comparable results in IOP reductions and medication burden. No significant differences were observed between the two treatment groups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this study both iStent combined with phacoemulsification and ab-interno canaloplasty (ABiC) combined with phacoemulsification appear to be safe and effective surgical options for management of open angle glaucoma showing comparable results in IOP reductions and medication burden. No significant differences were observed between the two treatment groups.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1292,
      "source_fields": {
        "Abstract Final Identifier": "POGAU031",
        "Title": "A Comparative Study Of Combined Istent Phacoemulsification Versus Combined Ab-Interno Canaloplasty Phacoemulsification For Open-Angle Glaucoma Management",
        "Presenting Author(s)": "Dr Nayef Al Otaiby",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Nayef",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Otaiby",
        "Country Name": "Saudi Arabia",
        "Purpose": "• To evaluate the efficacy of iStent combined with Phacoemulsification and Ab-interno Canaloplasty (ABiC) combined with Phacoemulsification for managing and reducing intraocular pressure (IOP) in Primary open angle glaucoma (POAG) patients.\n\n• To compare reduction in glauocma medication between both groups.\n\n• To compare safety profile and adverse events associated with iStent Phacoemulsification and Ab-interno Canaloplasty Phacoemulsification in manageing open angle glaucoma patients.",
        "Setting": "King Khaled Eye Specialist Hospital, Riyadh, Saudia Arabia.",
        "Methods": "A retrospective comparative study was conducted on patients underwent surgical intervention of iStent combined with Phacoemulsification and Ab-interno Canaloplasty (ABiC) combined with Phacoemulsification the King Khaled Eye Specialist Hospital between 2017 - 2022. Data were collecte at baseline (pre-operative), 1 month, 3, 6, 12, 18, 24 months post-operative. The primary outcome measure reduction in intraocular pressure (IOP), medication burden, complication rate, and the need of further intervention. Statistical analysis was performed using IBM SPSS statistical program.",
        "Results": "103 eyes were included in the stude, 60 eyes in iStent group and 43 eyes in ABiC group. At the final two years follow up, mean IOP in iStent group reduced from 17.2 ± 4.4 mmHg at baseline to 14.8 ± 3.1 mmHg (14% reduction), while in ABiC group the reduction was from 17.4 ± 6.4 mmHg to 15.1 ± 4.3 mmHg (12.6% reduction). Regarding the Number of Medications, both groups showed statistically significant reductions at all follow-up assessments from baseline, with p-values < 0.0001. Both groups showed low overall complication rates. In ABiC group transient hyphema was observed during the first postoperative month, and mild corneal edema was also reported; both resolved spontaneously without intervention.",
        "Conclusions": "In this study both iStent combined with phacoemulsification and ab-interno canaloplasty (ABiC) combined with phacoemulsification appear to be safe and effective surgical options for management of open angle glaucoma showing comparable results in IOP reductions and medication burden. No significant differences were observed between the two treatment groups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POGAU032",
      "abstract_number": "POGAU032",
      "title": "Preserflo Microshunt Implantation With And Without Adjunctive Intracameral Bevacizumab: Two-Year Outcomes From A Tertiary Glaucoma Service",
      "authors": "Dr Abdus Samad Ansari",
      "presenter": "Dr Abdus Samad Ansari",
      "normalized_authors": [
        "Abdus Samad Ansari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdus Samad Ansari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare two-year surgical outcomes following PreserFlo MicroShunt implantation with mitomycin C (MMC) alone versus MMC combined with adjunctive intracameral bevacizumab in patients with glaucoma, evaluating intraocular pressure (IOP) control, medication reduction, survival-defined surgical success, and postoperative complications.",
        "Setting": "Retrospective comparative cohort study conducted at Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom, a tertiary referral glaucoma centre.",
        "Methods": "Consecutive patients undergoing PreserFlo MicroShunt implantation between January 2020 and December 2022 were included. Eyes received MMC alone (n=180) or MMC plus intracameral bevacizumab (n=129). Primary outcomes were qualified (IOP 6–21 mmHg with ≥20% reduction) and complete (medication-free) success assessed by Kaplan–Meier survival analysis. Cox regression adjusted for baseline IOP, age, sex, and lens status. Pre-specified sensitivity analyses were performed stratified by lens status and restricted to primary open-angle glaucoma/ocular hypertension (POAG/OHT).",
        "Results": "A total of 309 eyes were analysed with mean follow-up of 21.4 months. Mean IOP reduced from 27.8±10.0 to 15.2±5.4 mmHg (MMC) and 27.2±10.4 to 14.5±4.4 mmHg (MMC+bevacizumab) at 24 months (p=0.342). Qualified success at 24 months was 65.3% vs 68.5% (p=0.723); complete success 53.2% vs 47.7% (p=0.409). Adjusted hazard ratios showed no treatment effect for qualified (HR 0.84, p=0.421) or complete success (HR 1.07, p=0.699). Sensitivity analyses confirmed robustness. Early sustained hypotony (8.5% vs 2.8%, p=0.035) and bleb leaks (3.9% vs 0%, p=0.012) were more frequent with bevacizumab.",
        "Conclusions": "PreserFlo MicroShunt implantation with MMC provides sustained IOP and medication reduction over 24 months. Adjunctive intracameral bevacizumab did not improve survival-defined surgical success and was associated with increased early postoperative complications. Routine bevacizumab use during PreserFlo implantation does not appear justified when adequate MMC is applied."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PreserFlo MicroShunt implantation with MMC provides sustained IOP and medication reduction over 24 months. Adjunctive intracameral bevacizumab did not improve survival-defined surgical success and was associated with increased early postoperative complications. Routine bevacizumab use during PreserFlo implantation does not appear justified when adequate MMC is applied.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1293,
      "source_fields": {
        "Abstract Final Identifier": "POGAU032",
        "Title": "Preserflo Microshunt Implantation With And Without Adjunctive Intracameral Bevacizumab: Two-Year Outcomes From A Tertiary Glaucoma Service",
        "Presenting Author(s)": "Dr Abdus Samad Ansari",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Abdus Samad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ansari",
        "Country Name": "United Kingdom",
        "Purpose": "To compare two-year surgical outcomes following PreserFlo MicroShunt implantation with mitomycin C (MMC) alone versus MMC combined with adjunctive intracameral bevacizumab in patients with glaucoma, evaluating intraocular pressure (IOP) control, medication reduction, survival-defined surgical success, and postoperative complications.",
        "Setting": "Retrospective comparative cohort study conducted at Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom, a tertiary referral glaucoma centre.",
        "Methods": "Consecutive patients undergoing PreserFlo MicroShunt implantation between January 2020 and December 2022 were included. Eyes received MMC alone (n=180) or MMC plus intracameral bevacizumab (n=129). Primary outcomes were qualified (IOP 6–21 mmHg with ≥20% reduction) and complete (medication-free) success assessed by Kaplan–Meier survival analysis. Cox regression adjusted for baseline IOP, age, sex, and lens status. Pre-specified sensitivity analyses were performed stratified by lens status and restricted to primary open-angle glaucoma/ocular hypertension (POAG/OHT).",
        "Results": "A total of 309 eyes were analysed with mean follow-up of 21.4 months. Mean IOP reduced from 27.8±10.0 to 15.2±5.4 mmHg (MMC) and 27.2±10.4 to 14.5±4.4 mmHg (MMC+bevacizumab) at 24 months (p=0.342). Qualified success at 24 months was 65.3% vs 68.5% (p=0.723); complete success 53.2% vs 47.7% (p=0.409). Adjusted hazard ratios showed no treatment effect for qualified (HR 0.84, p=0.421) or complete success (HR 1.07, p=0.699). Sensitivity analyses confirmed robustness. Early sustained hypotony (8.5% vs 2.8%, p=0.035) and bleb leaks (3.9% vs 0%, p=0.012) were more frequent with bevacizumab.",
        "Conclusions": "PreserFlo MicroShunt implantation with MMC provides sustained IOP and medication reduction over 24 months. Adjunctive intracameral bevacizumab did not improve survival-defined surgical success and was associated with increased early postoperative complications. Routine bevacizumab use during PreserFlo implantation does not appear justified when adequate MMC is applied."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POGAU033",
      "abstract_number": "POGAU033",
      "title": "Impact Of Lens Status On Preserflo Microshunt Implantation: A Retrospective Cohort Study",
      "authors": "Dr Daniyal Matin Ansari",
      "presenter": "Dr Daniyal Matin Ansari",
      "normalized_authors": [
        "Daniyal Matin Ansari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniyal Matin Ansari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate whether lens status influences surgical outcomes following PreserFlo™ MicroShunt (PMS) implantation with mitomycin C (MMC) in patients with primary open-angle glaucoma or ocular hypertension.",
        "Setting": "Retrospective comparative cohort study conducted at a tertiary referral glaucoma centre, London, United Kingdom.",
        "Methods": "Consecutive patients undergoing PMS implantation with MMC were included over a two year period. Eyes were stratified as phakic or pseudophakic at the time of surgery. Qualified success was defined as intraocular pressure (IOP) 6–21 mmHg with ≥20% reduction from baseline, with or without medications; complete success required no medications. Kaplan–Meier survival analysis compared cumulative success. Multivariable Cox regression evaluated the independent effect of lens status adjusting for age, baseline IOP, and disease severity.",
        "Results": "223 patients (144 phakic, 79 pseudophakic eyes) were included with a mean age of 65.6 ±15.4 years. Pseudophakic patients were older (74.3±11.6 vs 60.8±15.7 years) and had more advanced visual field loss (mean deviation −12.8±8.9 vs −9.4±7.9 dB). Baseline IOP was found to be similar between groups (26.9±8.7 vs 27.4±10.1 mmHg). At 24 months, pseudophakic eyes achieved lower mean IOP (13.9±4.8 vs 16.0±5.2 mmHg), and required fewer glaucoma medications. Kaplan–Meier analysis demonstrated higher 24-month qualified and complete success rates in pseudophakic eyes, although differences were not statistically significant. Multivariate Cox regression showed lens status was not an independent predictor of surgical failure (HR 0.67; 95% CI 0.43–1.04).",
        "Conclusions": "MicroShunt implantation achieved effective IOP reduction in both phakic and pseudophakic eyes. Pseudophakic eyes demonstrated lower postoperative IOP, reduced medication burden, and numerically higher success rates; lens status was not an independent predictor of surgical success after adjustment for confounders. Larger prospective studies are needed to clarify the influence of lens status on surgical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MicroShunt implantation achieved effective IOP reduction in both phakic and pseudophakic eyes. Pseudophakic eyes demonstrated lower postoperative IOP, reduced medication burden, and numerically higher success rates; lens status was not an independent predictor of surgical success after adjustment for confounders. Larger prospective studies are needed to clarify the influence of lens status on surgical outcomes.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1294,
      "source_fields": {
        "Abstract Final Identifier": "POGAU033",
        "Title": "Impact Of Lens Status On Preserflo Microshunt Implantation: A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Daniyal Matin Ansari",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Daniyal",
        "Submitter Middle Name": "Matin",
        "Submitter Last Name": "Ansari",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate whether lens status influences surgical outcomes following PreserFlo™ MicroShunt (PMS) implantation with mitomycin C (MMC) in patients with primary open-angle glaucoma or ocular hypertension.",
        "Setting": "Retrospective comparative cohort study conducted at a tertiary referral glaucoma centre, London, United Kingdom.",
        "Methods": "Consecutive patients undergoing PMS implantation with MMC were included over a two year period. Eyes were stratified as phakic or pseudophakic at the time of surgery. Qualified success was defined as intraocular pressure (IOP) 6–21 mmHg with ≥20% reduction from baseline, with or without medications; complete success required no medications. Kaplan–Meier survival analysis compared cumulative success. Multivariable Cox regression evaluated the independent effect of lens status adjusting for age, baseline IOP, and disease severity.",
        "Results": "223 patients (144 phakic, 79 pseudophakic eyes) were included with a mean age of 65.6 ±15.4 years. Pseudophakic patients were older (74.3±11.6 vs 60.8±15.7 years) and had more advanced visual field loss (mean deviation −12.8±8.9 vs −9.4±7.9 dB). Baseline IOP was found to be similar between groups (26.9±8.7 vs 27.4±10.1 mmHg). At 24 months, pseudophakic eyes achieved lower mean IOP (13.9±4.8 vs 16.0±5.2 mmHg), and required fewer glaucoma medications. Kaplan–Meier analysis demonstrated higher 24-month qualified and complete success rates in pseudophakic eyes, although differences were not statistically significant. Multivariate Cox regression showed lens status was not an independent predictor of surgical failure (HR 0.67; 95% CI 0.43–1.04).",
        "Conclusions": "MicroShunt implantation achieved effective IOP reduction in both phakic and pseudophakic eyes. Pseudophakic eyes demonstrated lower postoperative IOP, reduced medication burden, and numerically higher success rates; lens status was not an independent predictor of surgical success after adjustment for confounders. Larger prospective studies are needed to clarify the influence of lens status on surgical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POGAU034",
      "abstract_number": "POGAU034",
      "title": "Saving Non Penetrating Deep Sclerectomy Glaucoma Surgery From Micro Perforation",
      "authors": "Dr Ashraf Armia",
      "presenter": "Dr Ashraf Armia",
      "normalized_authors": [
        "Ashraf Armia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ashraf Armia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "A case of male patient 65 years old with open angle glaucoma. Presented to me with high IOP 33 mmHg in spite he was on the full glaucoma medication. He is pseudophakia for 10 years. His was with advanced glaucomatous optic nerve status. All the pre-operative data, operative video, post-operative photos and UBM photos are going to be presented.",
        "Setting": "Watany Eye Hospitals, Cairo, Egypt",
        "Methods": "During my routine deep sclerectomy non penetrating glaucoma surgery, accidental micro perforation was happened.\n\nIn spite I converted to penetrating trabeculectomy, I managed in a way to control this micro perforation through intraoperative IOP control, plugging the micro perforation with Modulating Mechano-Transduction high cross-linking implant and then continued the deep sclerectomy using the glaucoma clip.",
        "Results": "Second day post operative, IOP was 8 mmHg, deep AC, diffuse formed bleb and round regular reactive pupil with quiet eye. One week post operative, IOP was 13 mmHg with diffuse formed bleb. Two months follow up IOP was 16 mmHg with no glaucoma medication with well-formed bleb.\n\nAll anterior segments photo slit lamps during the follow ups with be shown and UBM after three months will show how the filtration is quite good instead of the accidental micro perforation was happened during surgery.",
        "Conclusions": "Never lose hope in deep sclerectomy even when micro perforation is happening but with the proper tools of management you can save non penetrating glaucoma surgery from converting to penetrating glaucoma surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Never lose hope in deep sclerectomy even when micro perforation is happening but with the proper tools of management you can save non penetrating glaucoma surgery from converting to penetrating glaucoma surgery.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1295,
      "source_fields": {
        "Abstract Final Identifier": "POGAU034",
        "Title": "Saving Non Penetrating Deep Sclerectomy Glaucoma Surgery From Micro Perforation",
        "Presenting Author(s)": "Dr Ashraf Armia",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ashraf",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Armia",
        "Country Name": "Egypt",
        "Purpose": "A case of male patient 65 years old with open angle glaucoma. Presented to me with high IOP 33 mmHg in spite he was on the full glaucoma medication. He is pseudophakia for 10 years. His was with advanced glaucomatous optic nerve status. All the pre-operative data, operative video, post-operative photos and UBM photos are going to be presented.",
        "Setting": "Watany Eye Hospitals, Cairo, Egypt",
        "Methods": "During my routine deep sclerectomy non penetrating glaucoma surgery, accidental micro perforation was happened.\n\nIn spite I converted to penetrating trabeculectomy, I managed in a way to control this micro perforation through intraoperative IOP control, plugging the micro perforation with Modulating Mechano-Transduction high cross-linking implant and then continued the deep sclerectomy using the glaucoma clip.",
        "Results": "Second day post operative, IOP was 8 mmHg, deep AC, diffuse formed bleb and round regular reactive pupil with quiet eye. One week post operative, IOP was 13 mmHg with diffuse formed bleb. Two months follow up IOP was 16 mmHg with no glaucoma medication with well-formed bleb.\n\nAll anterior segments photo slit lamps during the follow ups with be shown and UBM after three months will show how the filtration is quite good instead of the accidental micro perforation was happened during surgery.",
        "Conclusions": "Never lose hope in deep sclerectomy even when micro perforation is happening but with the proper tools of management you can save non penetrating glaucoma surgery from converting to penetrating glaucoma surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POGAU035",
      "abstract_number": "POGAU035",
      "title": "Real‑World Outcomes Of Istent Infinite With/Without Goniotomy In Predominantly Pseudophakic Poag Eyes Through Three Years",
      "authors": "Dr Christy Elizabeth Benson",
      "presenter": "Dr Christy Elizabeth Benson",
      "normalized_authors": [
        "Christy Elizabeth Benson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christy Elizabeth Benson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate intraocular pressure (IOP), medication burden, visual acuity, and safety following implantation of iStent infinite with or without concurrent goniotomy in eyes with primary open‑angle glaucoma (POAG).",
        "Setting": "Single‑surgeon, single‑practice cohort; prospective data collection with routine postoperative follow‑up to 36 months (clinical care setting).",
        "Methods": "Eyes receiving iStent infinite between 2022–2023 were included. Baseline demographics, diagnosis, glaucoma severity, lens status, preoperative IOP (Goldmann/Tonopen), and medications were recorded. Postoperative IOP, medications at the time of tonometry, best‑corrected visual acuity (BCVA), adverse events (AEs), and secondary procedures were collected at Day 1, Week 1, Month 1, Month 3, Month 6, Year 1, Month 18, Year 2, and Year 3. Outcomes included descriptive IOP and medication changes from baseline and AE incidence.",
        "Results": "Seventeen POAG eyes (11 mild/4 moderate/2 severe) were treated; 94% were pseudophakic. Concomitant procedures included goniotomy in 7 eyes (41%) and anterior vitrectomy in 2 eyes (12%); 8 eyes (47%) had no concurrent procedure. Mean preop IOP was 21.7 ± 2.7 mmHg on 1.47 meds. At Year 1, mean IOP was 14.7 ± 3.4 mmHg (Δ −6.8 mmHg, −31.4%, n=15 paired); 87% achieved ≤18 mmHg and 73% ≤15 mmHg. Mean medications decreased by 1.0 (to 0.53); 73% were med‑free at Year 1. Reductions persisted (Δ −5.5 mmHg at Year 2; Δ −7.3 mmHg at Year 3; med‑free 85% and 82%, respectively). One non‑stent‑related AE occurred (Week 1); no intra‑operative complications were recorded.",
        "Conclusions": "In this single‑surgeon series of POAG eyes—predominantly pseudophakic—iStent infinite with or without goniotomy produced clinically meaningful and durable IOP and medication reductions through three years with a favorable safety profile. These real‑world data support MIGS as an effective option for lowering IOP and reducing drop burden in appropriately selected POAG patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this single‑surgeon series of POAG eyes—predominantly pseudophakic—iStent infinite with or without goniotomy produced clinically meaningful and durable IOP and medication reductions through three years with a favorable safety profile. These real‑world data support MIGS as an effective option for lowering IOP and reducing drop burden in appropriately selected POAG patients.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1296,
      "source_fields": {
        "Abstract Final Identifier": "POGAU035",
        "Title": "Real‑World Outcomes Of Istent Infinite With/Without Goniotomy In Predominantly Pseudophakic Poag Eyes Through Three Years",
        "Presenting Author(s)": "Dr Christy Elizabeth Benson",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Christy",
        "Submitter Middle Name": "Elizabeth",
        "Submitter Last Name": "Benson",
        "Country Name": "United States",
        "Purpose": "To evaluate intraocular pressure (IOP), medication burden, visual acuity, and safety following implantation of iStent infinite with or without concurrent goniotomy in eyes with primary open‑angle glaucoma (POAG).",
        "Setting": "Single‑surgeon, single‑practice cohort; prospective data collection with routine postoperative follow‑up to 36 months (clinical care setting).",
        "Methods": "Eyes receiving iStent infinite between 2022–2023 were included. Baseline demographics, diagnosis, glaucoma severity, lens status, preoperative IOP (Goldmann/Tonopen), and medications were recorded. Postoperative IOP, medications at the time of tonometry, best‑corrected visual acuity (BCVA), adverse events (AEs), and secondary procedures were collected at Day 1, Week 1, Month 1, Month 3, Month 6, Year 1, Month 18, Year 2, and Year 3. Outcomes included descriptive IOP and medication changes from baseline and AE incidence.",
        "Results": "Seventeen POAG eyes (11 mild/4 moderate/2 severe) were treated; 94% were pseudophakic. Concomitant procedures included goniotomy in 7 eyes (41%) and anterior vitrectomy in 2 eyes (12%); 8 eyes (47%) had no concurrent procedure. Mean preop IOP was 21.7 ± 2.7 mmHg on 1.47 meds. At Year 1, mean IOP was 14.7 ± 3.4 mmHg (Δ −6.8 mmHg, −31.4%, n=15 paired); 87% achieved ≤18 mmHg and 73% ≤15 mmHg. Mean medications decreased by 1.0 (to 0.53); 73% were med‑free at Year 1. Reductions persisted (Δ −5.5 mmHg at Year 2; Δ −7.3 mmHg at Year 3; med‑free 85% and 82%, respectively). One non‑stent‑related AE occurred (Week 1); no intra‑operative complications were recorded.",
        "Conclusions": "In this single‑surgeon series of POAG eyes—predominantly pseudophakic—iStent infinite with or without goniotomy produced clinically meaningful and durable IOP and medication reductions through three years with a favorable safety profile. These real‑world data support MIGS as an effective option for lowering IOP and reducing drop burden in appropriately selected POAG patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POGAU036",
      "abstract_number": "POGAU036",
      "title": "Effectiveness And Safety Of Viscoelastic Retention During Preserflo Microshunt Surgery For The Prevention Of Postoperative Hypotony",
      "authors": "Dr Shir Butnik-Cohen",
      "presenter": "Dr Shir Butnik-Cohen",
      "normalized_authors": [
        "Shir Butnik-Cohen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shir Butnik-Cohen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "The aim of this study was to evaluate the safety and clinical effectiveness of intentionally retaining a cohesive viscoelastic substance within the anterior chamber at the conclusion of PreserFlo MicroShunt (PMS) implantation. This technique is proposed as a simple intraoperative modification to help mitigate early postoperative hypotony, a common and potentially vision-threatening complication following glaucoma filtration surgery. By assessing postoperative outcomes, including intraocular pressure control and complication rates, we sought to determine whether this approach can reduce hypotony risk without adversely affecting surgical success.",
        "Setting": "Division of Ophthalmology, McMaster University, Hamilton, ON, Canada",
        "Methods": "Retrospective case series of all patients who underwent PMS surgery with retained viscoelastic in the anterior chamber by a single surgeon and had at least 6 months of follow-up. The primary outcome was incidence of hypotony and postoperative interventions. Secondary outcome measures included surgical success defined as an IOP of 18 mmHg or lower and one of the following: IOP reduction >20% from baseline on the same or fewer medications or IOP ≤ baseline on fewer medications. Further surgery for IOP control at any time or loss of light perception were considered failures.",
        "Results": "70 eyes of 70 patients were included in the study. Mean IOP decreased from 29.2 ± 5.0 mmHg to 12.9 ± 2.9 mmHg at 12 months (p < 0.001). Medications dropped from 3.7 ± 1.0 to 0.7 ± 1.4 (p < 0.001). Postoperative hypotony occurred in 5 eyes (7%) and resolved within less than one month. Two patients required needling, and two patients (4%) underwent secondary glaucoma surgery. No persistent choroidal effusion or clinical hypotony were observed.",
        "Conclusions": "Retaining cohesive viscoelastic in the anterior chamber at the conclusion of PreserFlo MicroShunt surgery appears to be a simple, safe, and effective modification that may reduce the incidence and severity of early postoperative hypotony. In this series, hypotony events were infrequent, transient, and did not result in long-term sequelae such as persistent choroidal effusion or clinically significant hypotony. Importantly, this approach did not compromise intraocular pressure reduction or overall surgical success, supporting its potential utility as an adjunctive intraoperative strategy in glaucoma filtration surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retaining cohesive viscoelastic in the anterior chamber at the conclusion of PreserFlo MicroShunt surgery appears to be a simple, safe, and effective modification that may reduce the incidence and severity of early postoperative hypotony. In this series, hypotony events were infrequent, transient, and did not result in long-term sequelae such as persistent choroidal effusion or clinically significant hypotony.…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1297,
      "source_fields": {
        "Abstract Final Identifier": "POGAU036",
        "Title": "Effectiveness And Safety Of Viscoelastic Retention During Preserflo Microshunt Surgery For The Prevention Of Postoperative Hypotony",
        "Presenting Author(s)": "Dr Shir Butnik-Cohen",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Shir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Butnik-Cohen",
        "Country Name": "Israel",
        "Purpose": "The aim of this study was to evaluate the safety and clinical effectiveness of intentionally retaining a cohesive viscoelastic substance within the anterior chamber at the conclusion of PreserFlo MicroShunt (PMS) implantation. This technique is proposed as a simple intraoperative modification to help mitigate early postoperative hypotony, a common and potentially vision-threatening complication following glaucoma filtration surgery. By assessing postoperative outcomes, including intraocular pressure control and complication rates, we sought to determine whether this approach can reduce hypotony risk without adversely affecting surgical success.",
        "Setting": "Division of Ophthalmology, McMaster University, Hamilton, ON, Canada",
        "Methods": "Retrospective case series of all patients who underwent PMS surgery with retained viscoelastic in the anterior chamber by a single surgeon and had at least 6 months of follow-up. The primary outcome was incidence of hypotony and postoperative interventions. Secondary outcome measures included surgical success defined as an IOP of 18 mmHg or lower and one of the following: IOP reduction >20% from baseline on the same or fewer medications or IOP ≤ baseline on fewer medications. Further surgery for IOP control at any time or loss of light perception were considered failures.",
        "Results": "70 eyes of 70 patients were included in the study. Mean IOP decreased from 29.2 ± 5.0 mmHg to 12.9 ± 2.9 mmHg at 12 months (p < 0.001). Medications dropped from 3.7 ± 1.0 to 0.7 ± 1.4 (p < 0.001). Postoperative hypotony occurred in 5 eyes (7%) and resolved within less than one month. Two patients required needling, and two patients (4%) underwent secondary glaucoma surgery. No persistent choroidal effusion or clinical hypotony were observed.",
        "Conclusions": "Retaining cohesive viscoelastic in the anterior chamber at the conclusion of PreserFlo MicroShunt surgery appears to be a simple, safe, and effective modification that may reduce the incidence and severity of early postoperative hypotony. In this series, hypotony events were infrequent, transient, and did not result in long-term sequelae such as persistent choroidal effusion or clinically significant hypotony. Importantly, this approach did not compromise intraocular pressure reduction or overall surgical success, supporting its potential utility as an adjunctive intraoperative strategy in glaucoma filtration surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "POGAU037",
      "abstract_number": "POGAU037",
      "title": "Combined Phacoemulsification With Istent Inject W Implantation In Asian Eyes With Uveitic Glaucoma And Ocular Hypertension: A Pilot Case Series",
      "authors": "Dr Elizabeth Jiahui Chen",
      "presenter": "Dr Elizabeth Jiahui Chen",
      "normalized_authors": [
        "Elizabeth Jiahui Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elizabeth Jiahui Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To evaluate the 12-month safety and efficacy outcomes of combined phacoemulsification and iStent inject W implantation in Asian eyes with uveitic glaucoma (UG) or uveitis-related ocular hypertension (OHT).",
        "Setting": "A pilot, single-surgeon, prospective case series was conducted from September 2022 to March 2024 in a tertiary eye centre in Singapore.",
        "Methods": "Primary outcomes included change in intraocular pressure (IOP) and anti-glaucoma medications up to 12 months post-operatively (POM12). Secondary outcomes included visual acuity (VA), Humphrey Visual Field (HVF) progression and intra- and post-operative complications",
        "Results": "5 eyes underwent combined phacoemulsification with iStent inject W implantation. All were Chinese subjects and 60% (3 eyes) were male. Mean age was 68.8 (range 57–74) years. Mean preoperative IOP was 12.8 (range 11–16) mmHg, maintained at 13.4 (range 11–16) mmHg at POM12. Median number of anti-glaucoma medications reduced from 2 preoperatively to 0 at POM12. In 3 eyes with reliable HVFs, the mean baseline VF MD of -6.87 dB improved to -3.98 dB by POM12. There was no loss in best corrected VA and none required secondary glaucoma procedures. One eye with UG secondary to cytomegalovirus anterior uveitis with prior steroid response maintained stable IOP with reduction of one glaucoma medication, despite ongoing use of topical corticosteroids.",
        "Conclusions": "In this pilot case series, combined phacoemulsification and iStent inject W implantation demonstrated glaucoma medication burden reduction with stable IOP control and good safety outcomes, up to 12 months post-operatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this pilot case series, combined phacoemulsification and iStent inject W implantation demonstrated glaucoma medication burden reduction with stable IOP control and good safety outcomes, up to 12 months post-operatively.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1298,
      "source_fields": {
        "Abstract Final Identifier": "POGAU037",
        "Title": "Combined Phacoemulsification With Istent Inject W Implantation In Asian Eyes With Uveitic Glaucoma And Ocular Hypertension: A Pilot Case Series",
        "Presenting Author(s)": "Dr Elizabeth Jiahui Chen",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Elizabeth",
        "Submitter Middle Name": "Jiahui",
        "Submitter Last Name": "Chen",
        "Country Name": "Singapore",
        "Purpose": "To evaluate the 12-month safety and efficacy outcomes of combined phacoemulsification and iStent inject W implantation in Asian eyes with uveitic glaucoma (UG) or uveitis-related ocular hypertension (OHT).",
        "Setting": "A pilot, single-surgeon, prospective case series was conducted from September 2022 to March 2024 in a tertiary eye centre in Singapore.",
        "Methods": "Primary outcomes included change in intraocular pressure (IOP) and anti-glaucoma medications up to 12 months post-operatively (POM12). Secondary outcomes included visual acuity (VA), Humphrey Visual Field (HVF) progression and intra- and post-operative complications",
        "Results": "5 eyes underwent combined phacoemulsification with iStent inject W implantation. All were Chinese subjects and 60% (3 eyes) were male. Mean age was 68.8 (range 57–74) years. Mean preoperative IOP was 12.8 (range 11–16) mmHg, maintained at 13.4 (range 11–16) mmHg at POM12. Median number of anti-glaucoma medications reduced from 2 preoperatively to 0 at POM12. In 3 eyes with reliable HVFs, the mean baseline VF MD of -6.87 dB improved to -3.98 dB by POM12. There was no loss in best corrected VA and none required secondary glaucoma procedures. One eye with UG secondary to cytomegalovirus anterior uveitis with prior steroid response maintained stable IOP with reduction of one glaucoma medication, despite ongoing use of topical corticosteroids.",
        "Conclusions": "In this pilot case series, combined phacoemulsification and iStent inject W implantation demonstrated glaucoma medication burden reduction with stable IOP control and good safety outcomes, up to 12 months post-operatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "POGAU038",
      "abstract_number": "POGAU038",
      "title": "Refractive And Corneal Astigmatism After Preserflo Microshunt Ab-Externo Implantation In Microinvasive Bleb Surgery",
      "authors": "Dr Coline Marguerite Diebolt",
      "presenter": "Dr Coline Marguerite Diebolt",
      "normalized_authors": [
        "Coline Marguerite Diebolt"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Coline Marguerite Diebolt",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To investigate the effects of stand-alone PRESERFLO MicroShunt (PFM) ab externo implantation on refractive and corneal astigmatism in the short (3 months) and in the long term (12 months).",
        "Setting": "Retrospective cohort study conducted at a single german tertiary center.",
        "Methods": "This study included eyes that underwent PFM implantation and had mandatory preoperative and 3-month postoperative subjective refraction data available (117 eyes from 108 patients), with 12-month postoperative data collected when available (56 eyes from 54 patients). Tomography measurements, when available, were obtained using Scheimpflug imaging. Refractive as well as anterior (ASA) and posterior surface astigmatism (PSA) were evaluated using vector analysis.",
        "Results": "Refractive cylinder showed a significant increase from −1.37 ± 0.91 at baseline to −1.62 ± 1.06 at 3 months ( p = 0.01) which was sustained at 12 months ( p > 0.99). The magnitude of the Jackson cross cylinder projection to the 0 and 90° meridian, J 0 , rose from −0.09 ± 0.63 at baseline to 0.11 ± 0.73 D at 3 months ( p < 0.001) and subsequently decreased slightly by 12 months ( p = 0.1), whereas the 45 and 135° projection, J 45 , remained unchanged. In 25 eyes with tomography measurements, both the J 0 and J 45 components of ASA remained stable. However, on the posterior corneal surface, J 0 changed significantly from −0.100 ± 0.110 D at baseline to −0.154 ± 0.166 D at 3 months ( p = 0.03), while J 45 was not affected ( p = 0.5).",
        "Conclusions": "PFM implantation induces a small but significant with-the-rule shift in refractive astigmatism, sustained over 12 months. ASA remained stable, and although PSA changed significantly, its minimal magnitude and opposite directional shift do not explain the refractive findings. This supports a primarily non-corneal, IOP-reduction-related mechanism. Although modest, this shift may be clinically relevant in eyes with preexisting significant or near-relevant astigmatism and in toric or premium intraocular lens planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PFM implantation induces a small but significant with-the-rule shift in refractive astigmatism, sustained over 12 months. ASA remained stable, and although PSA changed significantly, its minimal magnitude and opposite directional shift do not explain the refractive findings. This supports a primarily non-corneal, IOP-reduction-related mechanism. Although modest, this shift may be clinically relevant in eyes with…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1299,
      "source_fields": {
        "Abstract Final Identifier": "POGAU038",
        "Title": "Refractive And Corneal Astigmatism After Preserflo Microshunt Ab-Externo Implantation In Microinvasive Bleb Surgery",
        "Presenting Author(s)": "Dr Coline Marguerite Diebolt",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Coline",
        "Submitter Middle Name": "Marguerite",
        "Submitter Last Name": "Diebolt",
        "Country Name": "Germany",
        "Purpose": "To investigate the effects of stand-alone PRESERFLO MicroShunt (PFM) ab externo implantation on refractive and corneal astigmatism in the short (3 months) and in the long term (12 months).",
        "Setting": "Retrospective cohort study conducted at a single german tertiary center.",
        "Methods": "This study included eyes that underwent PFM implantation and had mandatory preoperative and 3-month postoperative subjective refraction data available (117 eyes from 108 patients), with 12-month postoperative data collected when available (56 eyes from 54 patients). Tomography measurements, when available, were obtained using Scheimpflug imaging. Refractive as well as anterior (ASA) and posterior surface astigmatism (PSA) were evaluated using vector analysis.",
        "Results": "Refractive cylinder showed a significant increase from −1.37 ± 0.91 at baseline to −1.62 ± 1.06 at 3 months ( p = 0.01) which was sustained at 12 months ( p > 0.99). The magnitude of the Jackson cross cylinder projection to the 0 and 90° meridian, J 0 , rose from −0.09 ± 0.63 at baseline to 0.11 ± 0.73 D at 3 months ( p < 0.001) and subsequently decreased slightly by 12 months ( p = 0.1), whereas the 45 and 135° projection, J 45 , remained unchanged. In 25 eyes with tomography measurements, both the J 0 and J 45 components of ASA remained stable. However, on the posterior corneal surface, J 0 changed significantly from −0.100 ± 0.110 D at baseline to −0.154 ± 0.166 D at 3 months ( p = 0.03), while J 45 was not affected ( p = 0.5).",
        "Conclusions": "PFM implantation induces a small but significant with-the-rule shift in refractive astigmatism, sustained over 12 months. ASA remained stable, and although PSA changed significantly, its minimal magnitude and opposite directional shift do not explain the refractive findings. This supports a primarily non-corneal, IOP-reduction-related mechanism. Although modest, this shift may be clinically relevant in eyes with preexisting significant or near-relevant astigmatism and in toric or premium intraocular lens planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POGAU039",
      "abstract_number": "POGAU039",
      "title": "Efficacy And Safety Of Isolated Gonioscopy-Assisted Transluminal Trabeculotomy In Phakic Eyes",
      "authors": "A/Prof. Raziye Dönmez Gün",
      "presenter": "A/Prof. Raziye Dönmez Gün",
      "normalized_authors": [
        "Raziye Dönmez Gün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raziye Dönmez Gün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of isolated Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in phakic eyes.",
        "Setting": "Retrospective, observational study.",
        "Methods": "62 phakic eyes of 62 glaucoma patients who underwent isolated GATT for uncontrolled IOP despite maximally tolerated medical therapy were included. Eyes with open angles on gonioscopy and ≥180° of treated angle were analyzed. Patients with <6 months of follow-up were excluded. Preop. and final visit data—including IOP, number of antiglaucoma medications (NAGM), best-corrected visual acuity (BCVA), and intra- and postop. complications—were recorded. Postop. IOP spikes were defined as IOP ≥30 mmHg or ≥10 mmHg above baseline. Surgical success was defined as a ≥20% reduction in IOP from baseline or an IOP ≤18 mmHg at the last follow-up visit, achieved without medications (complete success, S) or with medications (qualified success, QS).",
        "Results": "Mean age was 57.45±12.08 years, and 65.2% were male. Mean follow-up was 18.52 months. Mean GATT extent was 318.39±73.95°. Mean preop. C/D ratio was 0.77±0.2. The most common indication was PEXG (36.4%). IOP decreased from 30.1±11.24 mmHg preop. to 14.08±5.17 mmHg postop., and NAGM use from 3.42±0.7 to 1.37±1.21 (p < 0.001). No change was observed in visual field MD values after surgery (p>0.05). BCVA did not change significantly (0.27 ± 0.5 vs 0.28 ± 0.47 logMAR, p = 0.747). S was 33.9%, QS 59.7%. Preop. IOP correlated positively with ΔIOP (rho = 0.876, p < 0.001) but was not associated with surgical success (OR = 1.10, p = 0.058). POAG had the highest complete success (75%). Hyphema occurred in 74.2% of eyes and IOP spike in 25.8%.",
        "Conclusions": "GATT is a surgical procedure that provides a significant reduction in intraocular pressure (IOP) without causing visual deterioration in phakic eyes. It also reduces the burden of antiglaucoma medications and demonstrates a high overall success rate. A greater postoperative IOP reduction after GATT is observed in patients with higher preoperative IOP. When phakic eyes are considered, high medication-free success can be achieved in eyes with POAG. Further studies with larger sample sizes are needed to better clarify the efficacy and safety of GATT in phakic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "GATT is a surgical procedure that provides a significant reduction in intraocular pressure (IOP) without causing visual deterioration in phakic eyes. It also reduces the burden of antiglaucoma medications and demonstrates a high overall success rate. A greater postoperative IOP reduction after GATT is observed in patients with higher preoperative IOP. When phakic eyes are considered, high medication-free success…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1300,
      "source_fields": {
        "Abstract Final Identifier": "POGAU039",
        "Title": "Efficacy And Safety Of Isolated Gonioscopy-Assisted Transluminal Trabeculotomy In Phakic Eyes",
        "Presenting Author(s)": "A/Prof. Raziye Dönmez Gün",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Raziye",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dönmez Gün",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the efficacy and safety of isolated Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in phakic eyes.",
        "Setting": "Retrospective, observational study.",
        "Methods": "62 phakic eyes of 62 glaucoma patients who underwent isolated GATT for uncontrolled IOP despite maximally tolerated medical therapy were included. Eyes with open angles on gonioscopy and ≥180° of treated angle were analyzed. Patients with <6 months of follow-up were excluded. Preop. and final visit data—including IOP, number of antiglaucoma medications (NAGM), best-corrected visual acuity (BCVA), and intra- and postop. complications—were recorded. Postop. IOP spikes were defined as IOP ≥30 mmHg or ≥10 mmHg above baseline. Surgical success was defined as a ≥20% reduction in IOP from baseline or an IOP ≤18 mmHg at the last follow-up visit, achieved without medications (complete success, S) or with medications (qualified success, QS).",
        "Results": "Mean age was 57.45±12.08 years, and 65.2% were male. Mean follow-up was 18.52 months. Mean GATT extent was 318.39±73.95°. Mean preop. C/D ratio was 0.77±0.2. The most common indication was PEXG (36.4%). IOP decreased from 30.1±11.24 mmHg preop. to 14.08±5.17 mmHg postop., and NAGM use from 3.42±0.7 to 1.37±1.21 (p < 0.001). No change was observed in visual field MD values after surgery (p>0.05). BCVA did not change significantly (0.27 ± 0.5 vs 0.28 ± 0.47 logMAR, p = 0.747). S was 33.9%, QS 59.7%. Preop. IOP correlated positively with ΔIOP (rho = 0.876, p < 0.001) but was not associated with surgical success (OR = 1.10, p = 0.058). POAG had the highest complete success (75%). Hyphema occurred in 74.2% of eyes and IOP spike in 25.8%.",
        "Conclusions": "GATT is a surgical procedure that provides a significant reduction in intraocular pressure (IOP) without causing visual deterioration in phakic eyes. It also reduces the burden of antiglaucoma medications and demonstrates a high overall success rate. A greater postoperative IOP reduction after GATT is observed in patients with higher preoperative IOP. When phakic eyes are considered, high medication-free success can be achieved in eyes with POAG. Further studies with larger sample sizes are needed to better clarify the efficacy and safety of GATT in phakic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POGAU040",
      "abstract_number": "POGAU040",
      "title": "Outcomes Of Preserflo Microshunt Implantation In Refractory Uveitic Glaucoma: A Retrospective Case Series",
      "authors": "Dr Tugce Dursun Yilmazsamli",
      "presenter": "Dr Tugce Dursun Yilmazsamli",
      "normalized_authors": [
        "Tugce Dursun Yilmazsamli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tugce Dursun Yilmazsamli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of the PreserFlo MicroShunt (PMS) in eyes with refractory uveitic glaucoma (UG). Uveitic glaucoma is often difficult to manage due to persistent inflammation, fibrosis risk, and corticosteroid-related intraocular pressure (IOP) elevation. Traditional filtering surgery carries a higher complication profile in this population. This study aimed to assess surgical success, IOP reduction, medication burden, visual acuity outcomes, and postoperative complications following PMS implantation in a real-world cohort of patients with refractory UG.",
        "Setting": "Single-center retrospective case series conducted at a tertiary referral ophthalmology department. All surgeries were performed by an experienced glaucoma surgeon between January 2021 and March 2025. The study adhered to the Declaration of Helsinki and received institutional ethics committee approval.",
        "Methods": "Thirteen eyes of 12 patients with refractory uveitic glaucoma underwent PreserFlo MicroShunt implantation with adjunctive mitomycin C. Only clinically inactive uveitis (≥3 months) was included. Surgical success was defined according to Primary Tube Versus Trabeculectomy (PTVT) criteria. Primary outcome was cumulative surgical success at ≥6 months. Secondary outcomes included IOP, number of glaucoma medications, visual acuity (VA), complications, and need for additional surgery. Statistical analysis was performed using repeated measures ANOVA and independent samples tests.",
        "Results": "Mean follow-up was 17.9 ± 10.8 months. Complete success was achieved in 53.8% of eyes, and cumulative success (complete + qualified) in 76.9%. Mean IOP decreased from 24.9 ± 6.0 mmHg preoperatively to 16.1 ± 8.5 mmHg at final follow-up (p < 0.001). The number of glaucoma medications decreased from 3.8 ± 0.6 to 0.8 ± 1.1 (p < 0.001). Visual acuity remained stable overall. Early and late postoperative complications were mostly mild and manageable. Two eyes required Baerveldt implantation due to insufficient IOP control. No sight-threatening complications occurred.",
        "Conclusions": "PreserFlo MicroShunt implantation provided clinically meaningful IOP reduction and decreased medication burden in refractory uveitic glaucoma, with an acceptable safety profile. Although success rates were lower than those typically reported in primary open-angle glaucoma, outcomes were comparable to previous uveitic series. Complications were generally manageable. PMS may represent a viable surgical option in carefully selected uveitic glaucoma patients; however, larger prospective multicenter studies with longer follow-up are required to better define its long-term performance in this challenging population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PreserFlo MicroShunt implantation provided clinically meaningful IOP reduction and decreased medication burden in refractory uveitic glaucoma, with an acceptable safety profile. Although success rates were lower than those typically reported in primary open-angle glaucoma, outcomes were comparable to previous uveitic series. Complications were generally manageable. PMS may represent a viable surgical option in…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1301,
      "source_fields": {
        "Abstract Final Identifier": "POGAU040",
        "Title": "Outcomes Of Preserflo Microshunt Implantation In Refractory Uveitic Glaucoma: A Retrospective Case Series",
        "Presenting Author(s)": "Dr Tugce Dursun Yilmazsamli",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Tugce",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dursun Yilmazsamli",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the safety and efficacy of the PreserFlo MicroShunt (PMS) in eyes with refractory uveitic glaucoma (UG). Uveitic glaucoma is often difficult to manage due to persistent inflammation, fibrosis risk, and corticosteroid-related intraocular pressure (IOP) elevation. Traditional filtering surgery carries a higher complication profile in this population. This study aimed to assess surgical success, IOP reduction, medication burden, visual acuity outcomes, and postoperative complications following PMS implantation in a real-world cohort of patients with refractory UG.",
        "Setting": "Single-center retrospective case series conducted at a tertiary referral ophthalmology department. All surgeries were performed by an experienced glaucoma surgeon between January 2021 and March 2025. The study adhered to the Declaration of Helsinki and received institutional ethics committee approval.",
        "Methods": "Thirteen eyes of 12 patients with refractory uveitic glaucoma underwent PreserFlo MicroShunt implantation with adjunctive mitomycin C. Only clinically inactive uveitis (≥3 months) was included. Surgical success was defined according to Primary Tube Versus Trabeculectomy (PTVT) criteria. Primary outcome was cumulative surgical success at ≥6 months. Secondary outcomes included IOP, number of glaucoma medications, visual acuity (VA), complications, and need for additional surgery. Statistical analysis was performed using repeated measures ANOVA and independent samples tests.",
        "Results": "Mean follow-up was 17.9 ± 10.8 months. Complete success was achieved in 53.8% of eyes, and cumulative success (complete + qualified) in 76.9%. Mean IOP decreased from 24.9 ± 6.0 mmHg preoperatively to 16.1 ± 8.5 mmHg at final follow-up (p < 0.001). The number of glaucoma medications decreased from 3.8 ± 0.6 to 0.8 ± 1.1 (p < 0.001). Visual acuity remained stable overall. Early and late postoperative complications were mostly mild and manageable. Two eyes required Baerveldt implantation due to insufficient IOP control. No sight-threatening complications occurred.",
        "Conclusions": "PreserFlo MicroShunt implantation provided clinically meaningful IOP reduction and decreased medication burden in refractory uveitic glaucoma, with an acceptable safety profile. Although success rates were lower than those typically reported in primary open-angle glaucoma, outcomes were comparable to previous uveitic series. Complications were generally manageable. PMS may represent a viable surgical option in carefully selected uveitic glaucoma patients; however, larger prospective multicenter studies with longer follow-up are required to better define its long-term performance in this challenging population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "POGAU041",
      "abstract_number": "POGAU041",
      "title": "Postoperative Complications And Safety Profiles After Surgical Management Of Advanced Glaucoma: A 4-Year Retrospective Analysis",
      "authors": "David Ebeid",
      "presenter": "David Ebeid",
      "normalized_authors": [
        "David Ebeid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Ebeid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate postoperative complications and safety outcomes following different surgical approaches for advanced to end-stage glaucoma.",
        "Setting": "Single-center retrospective study conducted at a specialized ophthalmology center.",
        "Methods": "Patients with advanced to end-stage glaucoma who underwent surgical treatment between 2021 and 2025 were retrospectively analyzed. Surgical procedures included minimally invasive glaucoma surgery (MIGS) combined with prostaglandin therapy, trabeculectomy, or implantation of the Ahmed Glaucoma Valve. Primary outcomes included rates of postoperative complications, need for surgical revision or additional glaucoma procedures, and long-term intraocular pressure (IOP) control over 36–48 months of follow-up.",
        "Results": "All surgical approaches achieved sustained IOP reduction over the follow-up period. MIGS-based procedures demonstrated the lowest complication rates, with minimal incidence of hypotony or postoperative interventions. Trabeculectomy and Ahmed valve implantation achieved greater IOP reduction and higher medication-free success but were associated with higher rates of postoperative complications, including transient hypotony, bleb-related issues, and device-related events. The need for additional surgical interventions occurred more frequently following filtration-based procedures.",
        "Conclusions": "While filtration surgery and tube implantation achieve greater IOP reduction in advanced glaucoma, MIGS-based strategies demonstrate a more favorable safety profile with fewer postoperative complications. Surgical selection should therefore balance pressure-lowering efficacy against procedural risk, particularly in patients with advanced disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While filtration surgery and tube implantation achieve greater IOP reduction in advanced glaucoma, MIGS-based strategies demonstrate a more favorable safety profile with fewer postoperative complications. Surgical selection should therefore balance pressure-lowering efficacy against procedural risk, particularly in patients with advanced disease.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1302,
      "source_fields": {
        "Abstract Final Identifier": "POGAU041",
        "Title": "Postoperative Complications And Safety Profiles After Surgical Management Of Advanced Glaucoma: A 4-Year Retrospective Analysis",
        "Presenting Author(s)": "David Ebeid",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ebeid",
        "Country Name": "Germany",
        "Purpose": "To evaluate postoperative complications and safety outcomes following different surgical approaches for advanced to end-stage glaucoma.",
        "Setting": "Single-center retrospective study conducted at a specialized ophthalmology center.",
        "Methods": "Patients with advanced to end-stage glaucoma who underwent surgical treatment between 2021 and 2025 were retrospectively analyzed. Surgical procedures included minimally invasive glaucoma surgery (MIGS) combined with prostaglandin therapy, trabeculectomy, or implantation of the Ahmed Glaucoma Valve. Primary outcomes included rates of postoperative complications, need for surgical revision or additional glaucoma procedures, and long-term intraocular pressure (IOP) control over 36–48 months of follow-up.",
        "Results": "All surgical approaches achieved sustained IOP reduction over the follow-up period. MIGS-based procedures demonstrated the lowest complication rates, with minimal incidence of hypotony or postoperative interventions. Trabeculectomy and Ahmed valve implantation achieved greater IOP reduction and higher medication-free success but were associated with higher rates of postoperative complications, including transient hypotony, bleb-related issues, and device-related events. The need for additional surgical interventions occurred more frequently following filtration-based procedures.",
        "Conclusions": "While filtration surgery and tube implantation achieve greater IOP reduction in advanced glaucoma, MIGS-based strategies demonstrate a more favorable safety profile with fewer postoperative complications. Surgical selection should therefore balance pressure-lowering efficacy against procedural risk, particularly in patients with advanced disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 198
    },
    {
      "uid": "POGAU042",
      "abstract_number": "POGAU042",
      "title": "Three Migs Approaches, One Goal: A 2–3 Year Retrospective Comparison Of Elios, Istent, And Hydrus For Intraocular Pressure Reduction.”",
      "authors": "David Ebeid",
      "presenter": "David Ebeid",
      "normalized_authors": [
        "David Ebeid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Ebeid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To retrospectively compare the long-term clinical outcomes of three minimally invasive glaucoma surgery (MIGS) procedures—Elios excimer laser trabeculostomy, iStent trabecular micro-bypass implantation, and Hydrus microstent implantation—over a follow-up period of 2–3 years.",
        "Setting": "Single-center retrospective study conducted at a specialised Ophthalmology Center",
        "Methods": "This retrospective cohort study included patients with mild to moderate primary open-angle glaucoma who underwent MIGS either as a standalone procedure or combined with cataract surgery. Patients were grouped according to the procedure performed (Elios, iStent, or Hydrus). Primary outcomes included intraocular pressure (IOP) reduction, change in the number of glaucoma medications, and surgical success at 24–36 months. Secondary outcomes included complication rates and the need for additional glaucoma interventions.",
        "Results": "All three procedures demonstrated a significant reduction in IOP and medication burden during the follow-up period. Across the study population, Hydrus tended to achieve greater IOP reduction and medication decrease in some cohorts, while iStent demonstrated favorable safety profiles and low complication rates.\n\nElios provided moderate pressure reduction with the advantage of being an implant-free procedure.",
        "Conclusions": "Elios, iStent, and Hydrus all provide effective and safe long-term IOP reduction in patients with mild to moderate glaucoma. While Hydrus may offer slightly greater pressure reduction in some cases, iStent and Elios remain valuable alternatives depending on anatomical considerations, safety profile, and surgeon preference. Further prospective studies are needed to better define the optimal patient selection for each MIGS technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Elios, iStent, and Hydrus all provide effective and safe long-term IOP reduction in patients with mild to moderate glaucoma. While Hydrus may offer slightly greater pressure reduction in some cases, iStent and Elios remain valuable alternatives depending on anatomical considerations, safety profile, and surgeon preference. Further prospective studies are needed to better define the optimal patient selection for…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1303,
      "source_fields": {
        "Abstract Final Identifier": "POGAU042",
        "Title": "Three Migs Approaches, One Goal: A 2–3 Year Retrospective Comparison Of Elios, Istent, And Hydrus For Intraocular Pressure Reduction.”",
        "Presenting Author(s)": "David Ebeid",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ebeid",
        "Country Name": "Germany",
        "Purpose": "To retrospectively compare the long-term clinical outcomes of three minimally invasive glaucoma surgery (MIGS) procedures—Elios excimer laser trabeculostomy, iStent trabecular micro-bypass implantation, and Hydrus microstent implantation—over a follow-up period of 2–3 years.",
        "Setting": "Single-center retrospective study conducted at a specialised Ophthalmology Center",
        "Methods": "This retrospective cohort study included patients with mild to moderate primary open-angle glaucoma who underwent MIGS either as a standalone procedure or combined with cataract surgery. Patients were grouped according to the procedure performed (Elios, iStent, or Hydrus). Primary outcomes included intraocular pressure (IOP) reduction, change in the number of glaucoma medications, and surgical success at 24–36 months. Secondary outcomes included complication rates and the need for additional glaucoma interventions.",
        "Results": "All three procedures demonstrated a significant reduction in IOP and medication burden during the follow-up period. Across the study population, Hydrus tended to achieve greater IOP reduction and medication decrease in some cohorts, while iStent demonstrated favorable safety profiles and low complication rates.\n\nElios provided moderate pressure reduction with the advantage of being an implant-free procedure.",
        "Conclusions": "Elios, iStent, and Hydrus all provide effective and safe long-term IOP reduction in patients with mild to moderate glaucoma. While Hydrus may offer slightly greater pressure reduction in some cases, iStent and Elios remain valuable alternatives depending on anatomical considerations, safety profile, and surgeon preference. Further prospective studies are needed to better define the optimal patient selection for each MIGS technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "POGAU043",
      "abstract_number": "POGAU043",
      "title": "Treatment Stability Over 3–4 Years After Migs Plus Prostaglandin Therapy Versus Ahmed Valve Implantation In Advanced To End-Stage Glaucoma",
      "authors": "David Ebeid",
      "presenter": "David Ebeid",
      "normalized_authors": [
        "David Ebeid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Ebeid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare long-term intraocular pressure (IOP) control, medication burden, and treatment stability following minimally invasive glaucoma surgery (MIGS) combined with prostaglandin therapy versus Ahmed valve implantation in patients with advanced to end-stage glaucoma.",
        "Setting": "Single-center, retrospective study conducted at an ambulatory ophthalmology center.",
        "Methods": "This retrospective comparative study included patients with advanced to end-stage glaucoma who underwent either MIGS with postoperative prostaglandin therapy or implantation of the Ahmed Glaucoma Valve between 2021 and 2025. MIGS procedures were performed in selected patients where a lower-risk surgical approach was considered appropriate. Primary outcome measures included mean IOP reduction, medication burden, surgical success (defined as IOP 6–18 mmHg with or without medications), time to treatment instability, and postoperative complications over 36–48 months of follow-up.",
        "Results": "Baseline demographic and clinical characteristics were comparable between groups. The Ahmed valve group achieved greater early IOP reduction (35–45%) compared with MIGS combined with prostaglandin therapy (25–30%). Patients undergoing Ahmed valve implantation also required fewer medications during the early postoperative period. However, higher rates of postoperative complications were observed in the Ahmed valve group, including transient hypotony and device-related events. The MIGS plus prostaglandin cohort demonstrated a more favorable safety profile but required continued topical therapy in most cases. Long-term qualified success rates were similar between groups, while complete success favored the Ahmed valve cohort.",
        "Conclusions": "Over 3–4 years of follow-up, Ahmed valve implantation achieved greater IOP reduction and higher medication-free success compared with MIGS combined with prostaglandin therapy in patients with advanced to end-stage glaucoma, although it was associated with increased complication risk. MIGS-based approaches may represent a safer surgical alternative for selected patients where moderate IOP reduction and long-term treatment stability are desired."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Over 3–4 years of follow-up, Ahmed valve implantation achieved greater IOP reduction and higher medication-free success compared with MIGS combined with prostaglandin therapy in patients with advanced to end-stage glaucoma, although it was associated with increased complication risk. MIGS-based approaches may represent a safer surgical alternative for selected patients where moderate IOP reduction and long-term…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1304,
      "source_fields": {
        "Abstract Final Identifier": "POGAU043",
        "Title": "Treatment Stability Over 3–4 Years After Migs Plus Prostaglandin Therapy Versus Ahmed Valve Implantation In Advanced To End-Stage Glaucoma",
        "Presenting Author(s)": "David Ebeid",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ebeid",
        "Country Name": "Germany",
        "Purpose": "To compare long-term intraocular pressure (IOP) control, medication burden, and treatment stability following minimally invasive glaucoma surgery (MIGS) combined with prostaglandin therapy versus Ahmed valve implantation in patients with advanced to end-stage glaucoma.",
        "Setting": "Single-center, retrospective study conducted at an ambulatory ophthalmology center.",
        "Methods": "This retrospective comparative study included patients with advanced to end-stage glaucoma who underwent either MIGS with postoperative prostaglandin therapy or implantation of the Ahmed Glaucoma Valve between 2021 and 2025. MIGS procedures were performed in selected patients where a lower-risk surgical approach was considered appropriate. Primary outcome measures included mean IOP reduction, medication burden, surgical success (defined as IOP 6–18 mmHg with or without medications), time to treatment instability, and postoperative complications over 36–48 months of follow-up.",
        "Results": "Baseline demographic and clinical characteristics were comparable between groups. The Ahmed valve group achieved greater early IOP reduction (35–45%) compared with MIGS combined with prostaglandin therapy (25–30%). Patients undergoing Ahmed valve implantation also required fewer medications during the early postoperative period. However, higher rates of postoperative complications were observed in the Ahmed valve group, including transient hypotony and device-related events. The MIGS plus prostaglandin cohort demonstrated a more favorable safety profile but required continued topical therapy in most cases. Long-term qualified success rates were similar between groups, while complete success favored the Ahmed valve cohort.",
        "Conclusions": "Over 3–4 years of follow-up, Ahmed valve implantation achieved greater IOP reduction and higher medication-free success compared with MIGS combined with prostaglandin therapy in patients with advanced to end-stage glaucoma, although it was associated with increased complication risk. MIGS-based approaches may represent a safer surgical alternative for selected patients where moderate IOP reduction and long-term treatment stability are desired."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POGAU044",
      "abstract_number": "POGAU044",
      "title": "Predictors Of Long-Term Treatment Stability After Surgical Management Of Advanced Glaucoma: A 4-Year Retrospective Study",
      "authors": "David Ebeid",
      "presenter": "David Ebeid",
      "normalized_authors": [
        "David Ebeid"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Ebeid",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To identify predictors of long-term intraocular pressure (IOP) stability and surgical success following glaucoma surgery in patients with advanced to end-stage glaucoma.",
        "Setting": "Single-center retrospective study conducted at a specialized ophthalmology center.",
        "Methods": "Patients with advanced to end-stage glaucoma undergoing surgical treatment between 2021 and 2025 were retrospectively analyzed. Procedures included minimally invasive glaucoma surgery (MIGS) combined with prostaglandin therapy, trabeculectomy, or implantation of the Ahmed Glaucoma Valve. Outcome measures included mean IOP reduction, medication burden, time to treatment instability, need for additional glaucoma procedures, and postoperative complications over 36–48 months of follow-up. Multivariate analysis was performed to identify factors associated with long-term treatment stability.",
        "Results": "A total of surgically treated eyes demonstrated sustained IOP reduction throughout follow-up. Greater baseline IOP and filtration-based procedures were associated with larger pressure reductions. MIGS-based approaches demonstrated a more favorable safety profile with fewer postoperative complications but required ongoing medication in most cases. Filtration surgery and tube implantation achieved greater medication-free success but were associated with higher rates of postoperative hypotony and intervention. Factors associated with improved long-term stability included lower postoperative IOP at 6 months and reduced medication burden during early follow-up.",
        "Conclusions": "Surgical management of advanced glaucoma provides sustained IOP control over long-term follow-up. Early postoperative pressure reduction and lower medication requirements may predict long-term treatment stability. Understanding these predictors may help guide surgical selection and postoperative management in patients with advanced disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Surgical management of advanced glaucoma provides sustained IOP control over long-term follow-up. Early postoperative pressure reduction and lower medication requirements may predict long-term treatment stability. Understanding these predictors may help guide surgical selection and postoperative management in patients with advanced disease.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1305,
      "source_fields": {
        "Abstract Final Identifier": "POGAU044",
        "Title": "Predictors Of Long-Term Treatment Stability After Surgical Management Of Advanced Glaucoma: A 4-Year Retrospective Study",
        "Presenting Author(s)": "David Ebeid",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ebeid",
        "Country Name": "Germany",
        "Purpose": "To identify predictors of long-term intraocular pressure (IOP) stability and surgical success following glaucoma surgery in patients with advanced to end-stage glaucoma.",
        "Setting": "Single-center retrospective study conducted at a specialized ophthalmology center.",
        "Methods": "Patients with advanced to end-stage glaucoma undergoing surgical treatment between 2021 and 2025 were retrospectively analyzed. Procedures included minimally invasive glaucoma surgery (MIGS) combined with prostaglandin therapy, trabeculectomy, or implantation of the Ahmed Glaucoma Valve. Outcome measures included mean IOP reduction, medication burden, time to treatment instability, need for additional glaucoma procedures, and postoperative complications over 36–48 months of follow-up. Multivariate analysis was performed to identify factors associated with long-term treatment stability.",
        "Results": "A total of surgically treated eyes demonstrated sustained IOP reduction throughout follow-up. Greater baseline IOP and filtration-based procedures were associated with larger pressure reductions. MIGS-based approaches demonstrated a more favorable safety profile with fewer postoperative complications but required ongoing medication in most cases. Filtration surgery and tube implantation achieved greater medication-free success but were associated with higher rates of postoperative hypotony and intervention. Factors associated with improved long-term stability included lower postoperative IOP at 6 months and reduced medication burden during early follow-up.",
        "Conclusions": "Surgical management of advanced glaucoma provides sustained IOP control over long-term follow-up. Early postoperative pressure reduction and lower medication requirements may predict long-term treatment stability. Understanding these predictors may help guide surgical selection and postoperative management in patients with advanced disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POGAU045",
      "abstract_number": "POGAU045",
      "title": "Therapeutic Challenges In Recurrent Posner–Schlossman Syndrome During Pregnancy: A Case Of Progressive Secondary Glaucoma Requiring Multimodal Intervention",
      "authors": "Mr Krzysztof Eder",
      "presenter": "Mr Krzysztof Eder",
      "normalized_authors": [
        "Krzysztof Eder"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Krzysztof Eder",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To present a complex case of secondary inflammatory glaucoma associated with Posner–Schlossman syndrome (PSS) and to highlight the challenges of long-term intraocular pressure (IOP) control in the setting of recurrent anterior uveitis, fluctuating IOP spikes, therapeutic limitations during pregnancy, and multiple surgical failures. The report emphasizes the need for individualized and flexible management strategies in order to slow glaucomatous progression and preserve functional vision.",
        "Setting": "Tertiary ophthalmology department. The patient was referred for recurrent unilateral IOP elevations with coexisting anterior segment inflammation, previously treated as primary open-angle glaucoma with suspected PSS.",
        "Methods": "Retrospective case analysis of a female patient with recurrent unilateral IOP spikes and anterior inflammation. Clinical assessment included visual acuity testing, slit-lamp examination, gonioscopy, ultrasound imaging, visual field testing, and OCT monitoring. Medical management consisted of topical and systemic IOP-lowering and anti-inflammatory therapy. Due to insufficient control, multiple surgical interventions were performed: trabeculectomy with iridectomy, PreserFlo microshunt implantation in both eyes, XEN implantation, filtration revisions with mitomycin C, Tenon cyst excision, micropulse transscleral cyclophotocoagulation (MP-TSCPC), and continuous-wave transscleral cyclophotocoagulation.",
        "Results": "Despite intensive pharmacological treatment, the patient experienced recurrent exacerbations and progressive glaucomatous optic neuropathy. Pregnancy limited therapeutic options at a critical stage of disease progression. Initial trabeculectomy failed due to bleb fibrosis, requiring additional filtration surgery and microshunt implantation. Further procedures were necessary because of persistent IOP instability. Multimodal management ultimately achieved IOP stabilization. Final best-corrected visual acuity was 1.0 in the right eye and 0.2 in the left eye, despite marked visual field loss and structural progression.",
        "Conclusions": "Secondary glaucoma associated with PSS may follow an unpredictable and aggressive course requiring repeated therapeutic escalation. Successful long-term management depends on continuous monitoring, early recognition of treatment failure, and readiness to combine pharmacologic, laser, and surgical modalities. This case demonstrates that preservation of functional vision is possible even in advanced disease, provided that management remains individualized, adaptive, and sustained over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Secondary glaucoma associated with PSS may follow an unpredictable and aggressive course requiring repeated therapeutic escalation. Successful long-term management depends on continuous monitoring, early recognition of treatment failure, and readiness to combine pharmacologic, laser, and surgical modalities. This case demonstrates that preservation of functional vision is possible even in advanced disease, provided…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1306,
      "source_fields": {
        "Abstract Final Identifier": "POGAU045",
        "Title": "Therapeutic Challenges In Recurrent Posner–Schlossman Syndrome During Pregnancy: A Case Of Progressive Secondary Glaucoma Requiring Multimodal Intervention",
        "Presenting Author(s)": "Mr Krzysztof Eder",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Krzysztof",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eder",
        "Country Name": "Poland",
        "Purpose": "To present a complex case of secondary inflammatory glaucoma associated with Posner–Schlossman syndrome (PSS) and to highlight the challenges of long-term intraocular pressure (IOP) control in the setting of recurrent anterior uveitis, fluctuating IOP spikes, therapeutic limitations during pregnancy, and multiple surgical failures. The report emphasizes the need for individualized and flexible management strategies in order to slow glaucomatous progression and preserve functional vision.",
        "Setting": "Tertiary ophthalmology department. The patient was referred for recurrent unilateral IOP elevations with coexisting anterior segment inflammation, previously treated as primary open-angle glaucoma with suspected PSS.",
        "Methods": "Retrospective case analysis of a female patient with recurrent unilateral IOP spikes and anterior inflammation. Clinical assessment included visual acuity testing, slit-lamp examination, gonioscopy, ultrasound imaging, visual field testing, and OCT monitoring. Medical management consisted of topical and systemic IOP-lowering and anti-inflammatory therapy. Due to insufficient control, multiple surgical interventions were performed: trabeculectomy with iridectomy, PreserFlo microshunt implantation in both eyes, XEN implantation, filtration revisions with mitomycin C, Tenon cyst excision, micropulse transscleral cyclophotocoagulation (MP-TSCPC), and continuous-wave transscleral cyclophotocoagulation.",
        "Results": "Despite intensive pharmacological treatment, the patient experienced recurrent exacerbations and progressive glaucomatous optic neuropathy. Pregnancy limited therapeutic options at a critical stage of disease progression. Initial trabeculectomy failed due to bleb fibrosis, requiring additional filtration surgery and microshunt implantation. Further procedures were necessary because of persistent IOP instability. Multimodal management ultimately achieved IOP stabilization. Final best-corrected visual acuity was 1.0 in the right eye and 0.2 in the left eye, despite marked visual field loss and structural progression.",
        "Conclusions": "Secondary glaucoma associated with PSS may follow an unpredictable and aggressive course requiring repeated therapeutic escalation. Successful long-term management depends on continuous monitoring, early recognition of treatment failure, and readiness to combine pharmacologic, laser, and surgical modalities. This case demonstrates that preservation of functional vision is possible even in advanced disease, provided that management remains individualized, adaptive, and sustained over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POGAU047",
      "abstract_number": "POGAU047",
      "title": "Early Hypotony Rates After Preserflo® Implantation With And Without Intraluminal Stenting: 2-Year Real-World Results From A South London University Hospital",
      "authors": "Julia Fajardo Sanchez",
      "presenter": "Julia Fajardo Sanchez",
      "normalized_authors": [
        "Julia Fajardo Sanchez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Fajardo Sanchez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Our primary aim is to analyse and compare clinical and numerical hypotony rates following primary Preserflo ® implantation with and without a stenting suture in patients with primary open angle glaucoma (POAG). Our secondary aims are: to perform and interpret survival curves based on the failure criteria of clinical hypotony; to describe typical stenting suture removal timeframes in our department; and to identify risk factors associated with a higher incidence of hypotony in our population.",
        "Setting": "Epsom and St Helier University Hospitals NHS Trust, Ophthalmology department, Glaucoma unit.",
        "Methods": "A retrospective study was conducted. Inclusion criteria: all patients with diagnosis of POAG who underwent primary Preserflo ® implantation with or without a 10-0 nylon stenting suture between 1 January 2024 and 31 December 2025; patients followed-up at least 12 weeks postoperatively; and patients over 18 years of age. Hypotony was defined as numerical when intraocular pressure was (IOP) ≤5 mmHg without choroidal effusion, maculopathy or loss of vision, or as clinical if any of these were present at 1, 2, 4, and 12 weeks postoperatively. Hypotony rates were compared with Chi-square test while Kaplan-Meier curves compared early (12 weeks) failure rates based on hypotony and accounting for cofounders as ethnicity, gender and age.",
        "Results": "61 eyes that underwent Preserflo ® implantation were divided into two groups: 32 (52.2%) with an intraluminal stenting suture (S group) and 29 (47.5%) without (no-S group). Mean postoperative IOP in mmHg for S group and not-S group were 15.8 and 8.9 (p < 0.01) at 1 week; 10.3 and 8.9 (p < 0.3) at 2 weeks; 9.5 and 9.6 (p < 0.5) at 4 weeks; and 9.9 and 10.5 (p < 0.06) at 12 weeks. 6.3% (2) of the S group and 34.5% (10) of the no-S group presented hypotony (p=0.008). Among these, numerical hypotony was only present in 14% (4) of the no-S group (p=0.04). Clinical hypotony was found in 6.3% (2) and 21% (6) of S and no-S groups, respectively (p=0.13). Survival curves were not significantly different between groups at 12 weeks (p>0.05).",
        "Conclusions": "Stenting sutures are a widely recognised practice to lower the probability of hypotony after glaucoma surgery. The description of hypotony after Preserflo® implantation as a common early post-operative complication was a main concern reported in many previous publications. In our results, we did not find statistical significance between stenting and not stenting the Preserflo® implant to prevent clinical hypotony, nor in the rates for early survival at 12 weeks. The experience gained in Preserflo® implantation, as well as the right selection of patients, may have contributed to improving its safety profile, leaving the use of stenting sutures to a selected group of patients with a higher risk of developing clinical hypotony."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Stenting sutures are a widely recognised practice to lower the probability of hypotony after glaucoma surgery. The description of hypotony after Preserflo® implantation as a common early post-operative complication was a main concern reported in many previous publications. In our results, we did not find statistical significance between stenting and not stenting the Preserflo® implant to prevent clinical hypotony,…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1307,
      "source_fields": {
        "Abstract Final Identifier": "POGAU047",
        "Title": "Early Hypotony Rates After Preserflo® Implantation With And Without Intraluminal Stenting: 2-Year Real-World Results From A South London University Hospital",
        "Presenting Author(s)": "Julia Fajardo Sanchez",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fajardo Sanchez",
        "Country Name": "United Kingdom",
        "Purpose": "Our primary aim is to analyse and compare clinical and numerical hypotony rates following primary Preserflo ® implantation with and without a stenting suture in patients with primary open angle glaucoma (POAG). Our secondary aims are: to perform and interpret survival curves based on the failure criteria of clinical hypotony; to describe typical stenting suture removal timeframes in our department; and to identify risk factors associated with a higher incidence of hypotony in our population.",
        "Setting": "Epsom and St Helier University Hospitals NHS Trust, Ophthalmology department, Glaucoma unit.",
        "Methods": "A retrospective study was conducted. Inclusion criteria: all patients with diagnosis of POAG who underwent primary Preserflo ® implantation with or without a 10-0 nylon stenting suture between 1 January 2024 and 31 December 2025; patients followed-up at least 12 weeks postoperatively; and patients over 18 years of age. Hypotony was defined as numerical when intraocular pressure was (IOP) ≤5 mmHg without choroidal effusion, maculopathy or loss of vision, or as clinical if any of these were present at 1, 2, 4, and 12 weeks postoperatively. Hypotony rates were compared with Chi-square test while Kaplan-Meier curves compared early (12 weeks) failure rates based on hypotony and accounting for cofounders as ethnicity, gender and age.",
        "Results": "61 eyes that underwent Preserflo ® implantation were divided into two groups: 32 (52.2%) with an intraluminal stenting suture (S group) and 29 (47.5%) without (no-S group). Mean postoperative IOP in mmHg for S group and not-S group were 15.8 and 8.9 (p < 0.01) at 1 week; 10.3 and 8.9 (p < 0.3) at 2 weeks; 9.5 and 9.6 (p < 0.5) at 4 weeks; and 9.9 and 10.5 (p < 0.06) at 12 weeks. 6.3% (2) of the S group and 34.5% (10) of the no-S group presented hypotony (p=0.008). Among these, numerical hypotony was only present in 14% (4) of the no-S group (p=0.04). Clinical hypotony was found in 6.3% (2) and 21% (6) of S and no-S groups, respectively (p=0.13). Survival curves were not significantly different between groups at 12 weeks (p>0.05).",
        "Conclusions": "Stenting sutures are a widely recognised practice to lower the probability of hypotony after glaucoma surgery. The description of hypotony after Preserflo® implantation as a common early post-operative complication was a main concern reported in many previous publications. In our results, we did not find statistical significance between stenting and not stenting the Preserflo® implant to prevent clinical hypotony, nor in the rates for early survival at 12 weeks. The experience gained in Preserflo® implantation, as well as the right selection of patients, may have contributed to improving its safety profile, leaving the use of stenting sutures to a selected group of patients with a higher risk of developing clinical hypotony."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 466
    },
    {
      "uid": "POGAU048",
      "abstract_number": "POGAU048",
      "title": "Early Real-World Safety And Efficacy Of Minimally Invasive Nasal Trabeculostomy (Mint™) In Patients With Open-Angle Glaucoma",
      "authors": "Dr Shalev Fried",
      "presenter": "Dr Shalev Fried",
      "normalized_authors": [
        "Shalev Fried"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shalev Fried",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To report early clinical efficacy and safety outcomes of minimally invasive nasal trabeculostomy (MINT™), an ab interno, stent-less trabecular-opening device for open-angle glaucoma, used either as a standalone surgery or in combination with cataract surgery.",
        "Setting": "Procedures were performed at the Goldschleger Eye Institute, Sheba Medical Center, Israel, by two experienced glaucoma surgeons between November 2025 and February 2026.",
        "Methods": "Retrospective review of consecutive eyes undergoing MINT™ at a single center. Demographic and clinical data were collected from electronic medical records. Follow-up visits were conducted at 1 and 4 weeks postoperatively. Paired t-tests were used to compare preoperative and postoperative intraocular pressure (IOP) and glaucoma medication use.",
        "Results": "Twelve eyes of 11 patients (mean age 73.6±5.8 years; 67% male) were included (3 standalone, 9 combined). Diagnoses were primary open-angle glaucoma (n=6), pseudoexfoliative glaucoma (n=5), and one case of normal-tension glaucoma. Baseline Humphrey visual field mean deviation was −8.38±6.42 dB. Mean IOP was 19.9±4.5 mmHg, decreasing to 18.2±4.9 mmHg at week 1 (−8.8%, p=0.21) and 16.5±6.5 mmHg at week 4 (−18.7%, p=0.039). Baseline glaucoma medication use was 1.8±0.9 drops, with no significant change at 4 weeks (p=0.34). No intraoperative complications occurred; one transient steroid-related IOP rise and one mild anterior chamber inflammation resolved with topical therapy (combined case).",
        "Conclusions": "To our knowledge, this is the first report of real-world outcomes of MINT™. The procedure demonstrated a favorable short-term safety profile and achieved a statistically significant IOP reduction at 4 weeks, with stable medication burden. No intraoperative and only minimal postoperative complications were observed. Larger studies with longer follow-up are required to confirm durability and long-term safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To our knowledge, this is the first report of real-world outcomes of MINT™. The procedure demonstrated a favorable short-term safety profile and achieved a statistically significant IOP reduction at 4 weeks, with stable medication burden. No intraoperative and only minimal postoperative complications were observed. Larger studies with longer follow-up are required to confirm durability and long-term safety.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1308,
      "source_fields": {
        "Abstract Final Identifier": "POGAU048",
        "Title": "Early Real-World Safety And Efficacy Of Minimally Invasive Nasal Trabeculostomy (Mint™) In Patients With Open-Angle Glaucoma",
        "Presenting Author(s)": "Dr Shalev Fried",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Shalev",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fried",
        "Country Name": "Israel",
        "Purpose": "To report early clinical efficacy and safety outcomes of minimally invasive nasal trabeculostomy (MINT™), an ab interno, stent-less trabecular-opening device for open-angle glaucoma, used either as a standalone surgery or in combination with cataract surgery.",
        "Setting": "Procedures were performed at the Goldschleger Eye Institute, Sheba Medical Center, Israel, by two experienced glaucoma surgeons between November 2025 and February 2026.",
        "Methods": "Retrospective review of consecutive eyes undergoing MINT™ at a single center. Demographic and clinical data were collected from electronic medical records. Follow-up visits were conducted at 1 and 4 weeks postoperatively. Paired t-tests were used to compare preoperative and postoperative intraocular pressure (IOP) and glaucoma medication use.",
        "Results": "Twelve eyes of 11 patients (mean age 73.6±5.8 years; 67% male) were included (3 standalone, 9 combined). Diagnoses were primary open-angle glaucoma (n=6), pseudoexfoliative glaucoma (n=5), and one case of normal-tension glaucoma. Baseline Humphrey visual field mean deviation was −8.38±6.42 dB. Mean IOP was 19.9±4.5 mmHg, decreasing to 18.2±4.9 mmHg at week 1 (−8.8%, p=0.21) and 16.5±6.5 mmHg at week 4 (−18.7%, p=0.039). Baseline glaucoma medication use was 1.8±0.9 drops, with no significant change at 4 weeks (p=0.34). No intraoperative complications occurred; one transient steroid-related IOP rise and one mild anterior chamber inflammation resolved with topical therapy (combined case).",
        "Conclusions": "To our knowledge, this is the first report of real-world outcomes of MINT™. The procedure demonstrated a favorable short-term safety profile and achieved a statistically significant IOP reduction at 4 weeks, with stable medication burden. No intraoperative and only minimal postoperative complications were observed. Larger studies with longer follow-up are required to confirm durability and long-term safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POGAU049",
      "abstract_number": "POGAU049",
      "title": "Choroidal Detachment Following Trabeculectomy",
      "authors": "Dr Hideharu Fukasaku",
      "presenter": "Dr Hideharu Fukasaku",
      "normalized_authors": [
        "Hideharu Fukasaku"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hideharu Fukasaku",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Trabeculectomy, a filtration surgery for glaucoma, presents challenges in controlling filtration volume. On occasion, intraocular pressure may remain extremely low not only in the early postoperative period but persistently thereafter. In such instances, choroidal detachment may occur. This treatment approach is described. Furthermore, should intraocular pressure subsequently rise excessively, it can be controlled using the opposite method.",
        "Setting": "This glaucoma surgery was performed at Fukasaku Eye Institute Tokyo Roppongi by a single highly skilled ophthalmic surgeon.",
        "Methods": "Preoperative IOP was 22 mmHg with visual acuity of 0.1. Severe visual field defects indicated end-stage glaucoma. A trabeculectomy with filtration surgery was performed initially. A loose three-suture pleural flap was created. IOP reduction was marked, with pressure reaching 3.4 mmHg. At two weeks post-operatively, choroidal detachment developed, causing the patient to report an extremely narrow visual field and difficulty seeing. At three weeks post-operatively, the conjunctiva was opened and three sutures were tightened on the scleral flap. This resulted in IOP of 21 mmHg and resolution of the choroidal detachment. Subsequently, one week later, two scleral flap sutures were cut using laser.\n\n。",
        "Results": "After Torabeculectomy, IOP reduction was marked, with pressure reaching 3.4 mmHg. At two weeks post-operatively, choroidal detachment developed, causing the patient to report an extremely narrow visual field and difficulty seeing. Consequently, at three weeks post-operatively, the conjunctiva was opened and three sutures were tightened on the scleral flap. This resulted in an intraocular pressure of 21 mmHg and resolution of the choroidal detachment. Subsequently, one week later, two scleral flap sutures were cut using laser.\n\nIntraocular pressure is 8 mmHg and remains stable. Visual acuity has improved slightly to 0.2.",
        "Conclusions": "Trabeculectomy filtration surgery is highly effective for lowering intraocular pressure in glaucoma surgery. However, in some cases, intraocular pressure may become excessively low. In such instances, choroidal detachment may occur due to hypotony. Adding 10-nylon sutures to the scleral flap is effective for this, and the choroidal detachment also resolves. Furthermore, should this additional suture cause intraocular pressure to rise, further pressure reduction can be achieved by laser suture lysis to cut the 10-0 nylon suture."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trabeculectomy filtration surgery is highly effective for lowering intraocular pressure in glaucoma surgery. However, in some cases, intraocular pressure may become excessively low. In such instances, choroidal detachment may occur due to hypotony. Adding 10-nylon sutures to the scleral flap is effective for this, and the choroidal detachment also resolves. Furthermore, should this additional suture cause…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1309,
      "source_fields": {
        "Abstract Final Identifier": "POGAU049",
        "Title": "Choroidal Detachment Following Trabeculectomy",
        "Presenting Author(s)": "Dr Hideharu Fukasaku",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Hideharu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fukasaku",
        "Country Name": "Japan",
        "Purpose": "Trabeculectomy, a filtration surgery for glaucoma, presents challenges in controlling filtration volume. On occasion, intraocular pressure may remain extremely low not only in the early postoperative period but persistently thereafter. In such instances, choroidal detachment may occur. This treatment approach is described. Furthermore, should intraocular pressure subsequently rise excessively, it can be controlled using the opposite method.",
        "Setting": "This glaucoma surgery was performed at Fukasaku Eye Institute Tokyo Roppongi by a single highly skilled ophthalmic surgeon.",
        "Methods": "Preoperative IOP was 22 mmHg with visual acuity of 0.1. Severe visual field defects indicated end-stage glaucoma. A trabeculectomy with filtration surgery was performed initially. A loose three-suture pleural flap was created. IOP reduction was marked, with pressure reaching 3.4 mmHg. At two weeks post-operatively, choroidal detachment developed, causing the patient to report an extremely narrow visual field and difficulty seeing. At three weeks post-operatively, the conjunctiva was opened and three sutures were tightened on the scleral flap. This resulted in IOP of 21 mmHg and resolution of the choroidal detachment. Subsequently, one week later, two scleral flap sutures were cut using laser.\n\n。",
        "Results": "After Torabeculectomy, IOP reduction was marked, with pressure reaching 3.4 mmHg. At two weeks post-operatively, choroidal detachment developed, causing the patient to report an extremely narrow visual field and difficulty seeing. Consequently, at three weeks post-operatively, the conjunctiva was opened and three sutures were tightened on the scleral flap. This resulted in an intraocular pressure of 21 mmHg and resolution of the choroidal detachment. Subsequently, one week later, two scleral flap sutures were cut using laser.\n\nIntraocular pressure is 8 mmHg and remains stable. Visual acuity has improved slightly to 0.2.",
        "Conclusions": "Trabeculectomy filtration surgery is highly effective for lowering intraocular pressure in glaucoma surgery. However, in some cases, intraocular pressure may become excessively low. In such instances, choroidal detachment may occur due to hypotony. Adding 10-nylon sutures to the scleral flap is effective for this, and the choroidal detachment also resolves. Furthermore, should this additional suture cause intraocular pressure to rise, further pressure reduction can be achieved by laser suture lysis to cut the 10-0 nylon suture."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "POGAU050",
      "abstract_number": "POGAU050",
      "title": "Managament Of Juvenil Glaucoma And Band-Shape Keratopathy Following Juvenile Arithritis",
      "authors": "Dr Ahmed Galal",
      "presenter": "Dr Ahmed Galal",
      "normalized_authors": [
        "Ahmed Galal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Galal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To present a case of Juvenile glaucoma and Band-shape keratopathy following Juvenile Arithritis",
        "Setting": "MVZ Ostbayern",
        "Methods": "The elevated eye pressure was treated with maximal systemic and topical treatment and was complicated with band-shape keratopathy. PRK combined with EDETA was done for both eyes and the glaucoma therapy was continued. 6-m postoperatively, combined Hydrus and ELT laser was done bilaterally",
        "Results": "Cornea band shape keratopathy was successful and the cornea remained clear. IOD preoperatively was RA 30 mmHg LA 24 mmHg under max therapy. following the combined MIGS procedure IOD was 1st week 8 mmHg without medication and 1m was 20 mmHg which necessitated adding Latanoprost drops at bed time",
        "Conclusions": "combined MIGS surgery could be a solution in juvenile Glaucoma with high elevated IOD where trabeculectomy could be risky"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "combined MIGS surgery could be a solution in juvenile Glaucoma with high elevated IOD where trabeculectomy could be risky",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1310,
      "source_fields": {
        "Abstract Final Identifier": "POGAU050",
        "Title": "Managament Of Juvenil Glaucoma And Band-Shape Keratopathy Following Juvenile Arithritis",
        "Presenting Author(s)": "Dr Ahmed Galal",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Galal",
        "Country Name": "Germany",
        "Purpose": "To present a case of Juvenile glaucoma and Band-shape keratopathy following Juvenile Arithritis",
        "Setting": "MVZ Ostbayern",
        "Methods": "The elevated eye pressure was treated with maximal systemic and topical treatment and was complicated with band-shape keratopathy. PRK combined with EDETA was done for both eyes and the glaucoma therapy was continued. 6-m postoperatively, combined Hydrus and ELT laser was done bilaterally",
        "Results": "Cornea band shape keratopathy was successful and the cornea remained clear. IOD preoperatively was RA 30 mmHg LA 24 mmHg under max therapy. following the combined MIGS procedure IOD was 1st week 8 mmHg without medication and 1m was 20 mmHg which necessitated adding Latanoprost drops at bed time",
        "Conclusions": "combined MIGS surgery could be a solution in juvenile Glaucoma with high elevated IOD where trabeculectomy could be risky"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 126
    },
    {
      "uid": "POGAU051",
      "abstract_number": "POGAU051",
      "title": "I-Stent Micro Implant As First Surgical Indication In Glaucoma Migs Surgery",
      "authors": "Dr Ahmed Galal",
      "presenter": "Dr Ahmed Galal",
      "normalized_authors": [
        "Ahmed Galal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Galal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "prospective, comparative study aims to evaluate the effectiveness and safety of the i-stent implant in lowering intraocular pressure (IOP) in patients with glaucoma",
        "Setting": "MVZ OStbayern Straubign Germany",
        "Methods": "i-stent was implanted in 200 eyes divided into 2 groups: group-1: 20 pseudophakic eyes (25) and group-2: 20 phakic eyes (175) undergoing simultaneous cataract extraction and i-stent implantation. The primary outcome measure is the reduction in IOP at 12 months postoperatively, while secondary outcomes include changes in the number of glaucoma medications required, postoperative visual acuity, and the incidence of adverse events",
        "Results": "6 months postoperatively, The intraocular pressure lowering effect was remarkable and almost 94% of the eyes had 4-6 mmHg or more and 40% had 6-8 mmHg. Almost 70%, had one or no glaucoma medications after the surgery. Improvement of vision was expected following cataract extraction and 95% of the patients had 20/25 best correct vision or better. Adverse events included 55% transient elevation of IOP during the first 2 weeks postoperatively and 24% mild corneal edema.",
        "Conclusions": "The role of Istent MIGS implant in treating glaucoma is growing and best used would be in patients undergoing cataract surgery, thereby guiding clinical decision-making in combined cataract and glaucoma surgeries"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The role of Istent MIGS implant in treating glaucoma is growing and best used would be in patients undergoing cataract surgery, thereby guiding clinical decision-making in combined cataract and glaucoma surgeries",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1311,
      "source_fields": {
        "Abstract Final Identifier": "POGAU051",
        "Title": "I-Stent Micro Implant As First Surgical Indication In Glaucoma Migs Surgery",
        "Presenting Author(s)": "Dr Ahmed Galal",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Galal",
        "Country Name": "Germany",
        "Purpose": "prospective, comparative study aims to evaluate the effectiveness and safety of the i-stent implant in lowering intraocular pressure (IOP) in patients with glaucoma",
        "Setting": "MVZ OStbayern Straubign Germany",
        "Methods": "i-stent was implanted in 200 eyes divided into 2 groups: group-1: 20 pseudophakic eyes (25) and group-2: 20 phakic eyes (175) undergoing simultaneous cataract extraction and i-stent implantation. The primary outcome measure is the reduction in IOP at 12 months postoperatively, while secondary outcomes include changes in the number of glaucoma medications required, postoperative visual acuity, and the incidence of adverse events",
        "Results": "6 months postoperatively, The intraocular pressure lowering effect was remarkable and almost 94% of the eyes had 4-6 mmHg or more and 40% had 6-8 mmHg. Almost 70%, had one or no glaucoma medications after the surgery. Improvement of vision was expected following cataract extraction and 95% of the patients had 20/25 best correct vision or better. Adverse events included 55% transient elevation of IOP during the first 2 weeks postoperatively and 24% mild corneal edema.",
        "Conclusions": "The role of Istent MIGS implant in treating glaucoma is growing and best used would be in patients undergoing cataract surgery, thereby guiding clinical decision-making in combined cataract and glaucoma surgeries"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 197
    },
    {
      "uid": "POGAU052",
      "abstract_number": "POGAU052",
      "title": "Comparing The Results Of I-Stent Micro Implant Combined With Prostaglandin Eye Drops And Standard Trabeculectomy With Mitomycin: Method Of Choice In End Stage Glaucoma Surgery",
      "authors": "Dr Ahmed Galal",
      "presenter": "Dr Ahmed Galal",
      "normalized_authors": [
        "Ahmed Galal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Galal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "to compare I stent combined with topical prostaglandin eye drops (iStent+P) with Trabeculectomy with mitomycin as alternative for glaucoma patient.",
        "Setting": "MVZ Ostbayern Straubing Germany",
        "Methods": "This study compared the outcomes of iStent combined with prostaglandin eye drops (10 eyes or G1) with the outcomes of Trabeculectomy with mitomycin in (10 eyes or G2). All study eyes were pseudophakic and all patients were diagnosed with primary open-angle glaucoma. Ten eyes underwent the iStent implantation with continued use of prostaglandin analogs, while the other ten eyes underwent trabeculectomy with Mitomycin. Patients were followed for a period of 12 months postoperatively. The primary outcome measure was the degree of IOP reduction, while secondary outcomes included visual acuity, medication reduction, and the incidence of postoperative complications.",
        "Results": "In group 1 preoperative IOP=23±3mmHg and 6-m postoperative 10±1.5mmHg (60% reduction) with most patients achieving IOP levels consistently below 12 mmHg and 80% of eyes becoming medication-free. Complications: transient hypotony(10%), bleb leaks(1%), and hyphemia(5%). Needling or suture removal =30% to maintain bleb function. In group 2, preoperative IOP was 24±3mmHg, and 6-m postoperative was 12±2mmHg (50% reduction) with the majority of patients stabilizing between 12-14mmHg. Unlike trabeculectomy, there were no cases of hypotony, hyphemia, bleb-related issues, or infections. The use of prostaglandin eye drops was continued postoperatively in all patients, which helped maintain IOP control without the need for additional medications.",
        "Conclusions": "Trabeculectomy provides a more profound reduction in IOP, the iStent combined with prostaglandin therapy offers a safer alternative.The iStent was especially effective in patients where minimizing surgical risks was a priority. The iStent combined with prostaglandin therapy provides a viable and safer alternative to trabeculectomy for patients requiring IOP reduction, with a favorable safety profile and lower risk of complications. For patients who do not need very low IOP, the iStent offers a balance between effective pressure control and reduced surgical risk, making it an important tool in glaucoma management. Moreover, the iStent allowed for a more rapid recovery, with patients resuming normal activities within a week"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trabeculectomy provides a more profound reduction in IOP, the iStent combined with prostaglandin therapy offers a safer alternative.The iStent was especially effective in patients where minimizing surgical risks was a priority. The iStent combined with prostaglandin therapy provides a viable and safer alternative to trabeculectomy for patients requiring IOP reduction, with a favorable safety profile and lower risk…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1312,
      "source_fields": {
        "Abstract Final Identifier": "POGAU052",
        "Title": "Comparing The Results Of I-Stent Micro Implant Combined With Prostaglandin Eye Drops And Standard Trabeculectomy With Mitomycin: Method Of Choice In End Stage Glaucoma Surgery",
        "Presenting Author(s)": "Dr Ahmed Galal",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Galal",
        "Country Name": "Germany",
        "Purpose": "to compare I stent combined with topical prostaglandin eye drops (iStent+P) with Trabeculectomy with mitomycin as alternative for glaucoma patient.",
        "Setting": "MVZ Ostbayern Straubing Germany",
        "Methods": "This study compared the outcomes of iStent combined with prostaglandin eye drops (10 eyes or G1) with the outcomes of Trabeculectomy with mitomycin in (10 eyes or G2). All study eyes were pseudophakic and all patients were diagnosed with primary open-angle glaucoma. Ten eyes underwent the iStent implantation with continued use of prostaglandin analogs, while the other ten eyes underwent trabeculectomy with Mitomycin. Patients were followed for a period of 12 months postoperatively. The primary outcome measure was the degree of IOP reduction, while secondary outcomes included visual acuity, medication reduction, and the incidence of postoperative complications.",
        "Results": "In group 1 preoperative IOP=23±3mmHg and 6-m postoperative 10±1.5mmHg (60% reduction) with most patients achieving IOP levels consistently below 12 mmHg and 80% of eyes becoming medication-free. Complications: transient hypotony(10%), bleb leaks(1%), and hyphemia(5%). Needling or suture removal =30% to maintain bleb function. In group 2, preoperative IOP was 24±3mmHg, and 6-m postoperative was 12±2mmHg (50% reduction) with the majority of patients stabilizing between 12-14mmHg. Unlike trabeculectomy, there were no cases of hypotony, hyphemia, bleb-related issues, or infections. The use of prostaglandin eye drops was continued postoperatively in all patients, which helped maintain IOP control without the need for additional medications.",
        "Conclusions": "Trabeculectomy provides a more profound reduction in IOP, the iStent combined with prostaglandin therapy offers a safer alternative.The iStent was especially effective in patients where minimizing surgical risks was a priority. The iStent combined with prostaglandin therapy provides a viable and safer alternative to trabeculectomy for patients requiring IOP reduction, with a favorable safety profile and lower risk of complications. For patients who do not need very low IOP, the iStent offers a balance between effective pressure control and reduced surgical risk, making it an important tool in glaucoma management. Moreover, the iStent allowed for a more rapid recovery, with patients resuming normal activities within a week"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "POGAU053",
      "abstract_number": "POGAU053",
      "title": "The Efficacy Of Transscleral Diode Laser Cyclophotocoagulation In Patients With Neovascular Glaucoma (Nvg) Compared To A Control Group Of Glaucoma Patients Without Nvg",
      "authors": "Dr Fadi Haddad",
      "presenter": "Dr Fadi Haddad",
      "normalized_authors": [
        "Fadi Haddad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fadi Haddad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To assess the effect of cyclophotocoagulation diode laser in Neovascular Glaucoma versus non-Neovascular Glaucoma",
        "Setting": "A consecutive cohort of cases undergoing diode laser cyclophotocoagulation. Comparing the results of neovascular glaucoma to non-neovascular glaucoma.",
        "Methods": "A retrospective chart review of consecutive cases performed in the Tzafon Medical Center, Israel by a single surgeon. All cases were performed using continuous-wave laser using the Vitra cyclodiode device (Quantel, France) and were categorized as NVG or non-NVG eyes. The study received institutional review board approval.\n\nThe primary outcomes included: IOP and cumulative failure. Failure was defined as as IOP > 21 mmHg or reduced < 20% from baseline on 2 consecutive visits after 3 months, IOP ≤ 5 mmHg on 2 consecutive visits after 3 months, loss of light perception vision, reoperation for glaucoma. Secondary outcomes: glaucoma medications number, visual acuity, complications, and percentage of patients off oral acetazolamide.",
        "Results": "The study included 35 eyes in the NVG group, and 25 eyes in the non-NVG group. Pre-operative IOP was 38.1±10.1 and 34.6±9.3 mmHg and dropped to 20.5±13.2 and 16.8±6.4 mmHg at 1 year (p=0.16) in the NVG and non-NVG groups, respectively. The number of medications decreased from 5±1 in both groups pre-operatively to 3.5±0.5 and 3.5±1.0 at 1 year in the NVG and non-NVG groups (p=0.9).\n\nAt 1 year, failure occurred in 56.25% in NVG, and 45.5% in non-NVG (p=0.58).\n\nUse of oral carbonic anhydrase inhibitors was 56.3% and 40.9% pre-operatively (p=0.27), and reduced to 9.4% and 18.2% (p=0.34) at 1-year in the NVG and non-NVG groups, respectively.",
        "Conclusions": "Despite not achieving statistically significant results due to low numbers, there was a trend towards higher IOP in the NVG group along with higher failure rate. there was no difference in the total number of medications, but a larger proportion of patients were without oral carbonic anhydrase inhibitors in the NVG group. The difference in oral acetazolamide treatment might explain the differences in IOP and failure rate. Larger studies are required to assess the effect of diode cyclophotocoagulation on NVG versus non-NVG eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite not achieving statistically significant results due to low numbers, there was a trend towards higher IOP in the NVG group along with higher failure rate. there was no difference in the total number of medications, but a larger proportion of patients were without oral carbonic anhydrase inhibitors in the NVG group. The difference in oral acetazolamide treatment might explain the differences in IOP and…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1313,
      "source_fields": {
        "Abstract Final Identifier": "POGAU053",
        "Title": "The Efficacy Of Transscleral Diode Laser Cyclophotocoagulation In Patients With Neovascular Glaucoma (Nvg) Compared To A Control Group Of Glaucoma Patients Without Nvg",
        "Presenting Author(s)": "Dr Fadi Haddad",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Fadi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haddad",
        "Country Name": "Israel",
        "Purpose": "To assess the effect of cyclophotocoagulation diode laser in Neovascular Glaucoma versus non-Neovascular Glaucoma",
        "Setting": "A consecutive cohort of cases undergoing diode laser cyclophotocoagulation. Comparing the results of neovascular glaucoma to non-neovascular glaucoma.",
        "Methods": "A retrospective chart review of consecutive cases performed in the Tzafon Medical Center, Israel by a single surgeon. All cases were performed using continuous-wave laser using the Vitra cyclodiode device (Quantel, France) and were categorized as NVG or non-NVG eyes. The study received institutional review board approval.\n\nThe primary outcomes included: IOP and cumulative failure. Failure was defined as as IOP > 21 mmHg or reduced < 20% from baseline on 2 consecutive visits after 3 months, IOP ≤ 5 mmHg on 2 consecutive visits after 3 months, loss of light perception vision, reoperation for glaucoma. Secondary outcomes: glaucoma medications number, visual acuity, complications, and percentage of patients off oral acetazolamide.",
        "Results": "The study included 35 eyes in the NVG group, and 25 eyes in the non-NVG group. Pre-operative IOP was 38.1±10.1 and 34.6±9.3 mmHg and dropped to 20.5±13.2 and 16.8±6.4 mmHg at 1 year (p=0.16) in the NVG and non-NVG groups, respectively. The number of medications decreased from 5±1 in both groups pre-operatively to 3.5±0.5 and 3.5±1.0 at 1 year in the NVG and non-NVG groups (p=0.9).\n\nAt 1 year, failure occurred in 56.25% in NVG, and 45.5% in non-NVG (p=0.58).\n\nUse of oral carbonic anhydrase inhibitors was 56.3% and 40.9% pre-operatively (p=0.27), and reduced to 9.4% and 18.2% (p=0.34) at 1-year in the NVG and non-NVG groups, respectively.",
        "Conclusions": "Despite not achieving statistically significant results due to low numbers, there was a trend towards higher IOP in the NVG group along with higher failure rate. there was no difference in the total number of medications, but a larger proportion of patients were without oral carbonic anhydrase inhibitors in the NVG group. The difference in oral acetazolamide treatment might explain the differences in IOP and failure rate. Larger studies are required to assess the effect of diode cyclophotocoagulation on NVG versus non-NVG eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 366
    },
    {
      "uid": "POGAU054",
      "abstract_number": "POGAU054",
      "title": "Clinical Outcomes Of Istent Inject W And Istent Infinite According To Glaucoma Severity",
      "authors": "Prof. Dr Sun Woong Kim",
      "presenter": "Prof. Dr Sun Woong Kim",
      "normalized_authors": [
        "Sun Woong Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sangwon Han",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the clinical efficacy of implanting iStent inject W in patients with mild-to-moderate open-angle glaucoma (OAG) (mean deviation [MD] > -12 dB) versus iStent infinite in patients with severe OAG (MD < -12 dB).",
        "Setting": "Department of Ophthalmology, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea",
        "Methods": "This retrospective study included 100 eyes that underwent trabecular micro-bypass stent implantation (stand alone or combined with cataract surgery) with a minimum follow-up of 6 months. Based on preoperative visual field MD, 65 eyes with mild-to-moderate OAG received two stents (iStent inject W), while 35 eyes with severe OAG received three stents (iStent infinite). Postoperative changes in intraocular pressure (IOP), number of glaucoma medications, and visual field parameters at 6 months were comparatively analyzed.",
        "Results": "Preoperative IOP was significantly higher in the three-stent group (18.03 ± 7.82 mmHg) than in the two-stent group (15.22 ± 3.82 mmHg; p=0.046). At 6 months postoperatively, the three-stent group reached a lower mean IOP (13.71 ± 3.78 mmHg) compared to the two-stent group (14.08 ± 2.83 mmHg, p=0.600). The absolute IOP reduction was significantly greater in the three-stent group (-4.32 ± 7.78 mmHg) than in the two-stent group (-1.14 ± 3.58 mmHg; p=0.023). The number of glaucoma medications decreased significantly in both groups. The severe group maintained stable visual fields (MD change: -0.69 ± 3.69 dB), with progression comparable to the two-stent group. Endothelial cell density loss and the rate of additional surgeries were comparable.",
        "Conclusions": "Despite having a significantly higher preoperative IOP, severe OAG patients receiving three stents (iStent infinite) demonstrated a significantly greater IOP reduction. This indicates that three-stent implantation can successfully achieve target IOPs even in severe patients with high baseline pressures, thereby effectively preventing visual field progression and preserving visual function in the severe group. Therefore, increasing the number of stents in consideration of disease severity is a safe and valid surgical strategy for visual field preservation in patients with severe glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite having a significantly higher preoperative IOP, severe OAG patients receiving three stents (iStent infinite) demonstrated a significantly greater IOP reduction. This indicates that three-stent implantation can successfully achieve target IOPs even in severe patients with high baseline pressures, thereby effectively preventing visual field progression and preserving visual function in the severe group.…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1314,
      "source_fields": {
        "Abstract Final Identifier": "POGAU054",
        "Title": "Clinical Outcomes Of Istent Inject W And Istent Infinite According To Glaucoma Severity",
        "Presenting Author(s)": "Prof. Dr Sun Woong Kim",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Sangwon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Han",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the clinical efficacy of implanting iStent inject W in patients with mild-to-moderate open-angle glaucoma (OAG) (mean deviation [MD] > -12 dB) versus iStent infinite in patients with severe OAG (MD < -12 dB).",
        "Setting": "Department of Ophthalmology, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea",
        "Methods": "This retrospective study included 100 eyes that underwent trabecular micro-bypass stent implantation (stand alone or combined with cataract surgery) with a minimum follow-up of 6 months. Based on preoperative visual field MD, 65 eyes with mild-to-moderate OAG received two stents (iStent inject W), while 35 eyes with severe OAG received three stents (iStent infinite). Postoperative changes in intraocular pressure (IOP), number of glaucoma medications, and visual field parameters at 6 months were comparatively analyzed.",
        "Results": "Preoperative IOP was significantly higher in the three-stent group (18.03 ± 7.82 mmHg) than in the two-stent group (15.22 ± 3.82 mmHg; p=0.046). At 6 months postoperatively, the three-stent group reached a lower mean IOP (13.71 ± 3.78 mmHg) compared to the two-stent group (14.08 ± 2.83 mmHg, p=0.600). The absolute IOP reduction was significantly greater in the three-stent group (-4.32 ± 7.78 mmHg) than in the two-stent group (-1.14 ± 3.58 mmHg; p=0.023). The number of glaucoma medications decreased significantly in both groups. The severe group maintained stable visual fields (MD change: -0.69 ± 3.69 dB), with progression comparable to the two-stent group. Endothelial cell density loss and the rate of additional surgeries were comparable.",
        "Conclusions": "Despite having a significantly higher preoperative IOP, severe OAG patients receiving three stents (iStent infinite) demonstrated a significantly greater IOP reduction. This indicates that three-stent implantation can successfully achieve target IOPs even in severe patients with high baseline pressures, thereby effectively preventing visual field progression and preserving visual function in the severe group. Therefore, increasing the number of stents in consideration of disease severity is a safe and valid surgical strategy for visual field preservation in patients with severe glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "POGAU055",
      "abstract_number": "POGAU055",
      "title": "Twelve Month Outcomes Of Seven Schlemm's Canal Migs Devices: Real-World Comparative Data From An Nhs Glaucoma Centre (7 Arm Migs Study)",
      "authors": "Dr Aadil Hussain",
      "presenter": "Dr Aadil Hussain",
      "normalized_authors": [
        "Aadil Hussain"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aadil Hussain",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Minimally invasive glaucoma surgery (MIGS) is gaining popularity in the treatment of primary open angle glaucoma (POAG), offering a safer profile and quicker recovery than traditional surgery. However, limited comparative data exists to guide equitable and effective treatment selection. This study presents 12-month real-world outcomes from a seven-arm comparison of Schlemm’s canal-based MIGS performed in a UK NHS glaucoma centre.",
        "Setting": "Colchester Eye Centre, East Suffolk and North Essex NHS Foundation Trust, UK",
        "Methods": "This study employed a retrospective analysis at the Colchester Eye Centre, East Suffolk and North Essex NHS Foundation Trust, UK.\n\nA total of 200 patients with POAG underwent one of seven Schlemm’s canal-based MIGS procedures, either alone or combined with cataract surgery: iStent (n=30), OMNI Surgical System without goniotomy (n=31), OMNI with goniotomy (n=27), Hydrus Microstent (n=39), Elios (n=23), TrabEx (n=15), and iTrack (n=35).\n\nOutcomes assessed included intraocular pressure (IOP) and the number of topical glaucoma medications at baseline, 6 months, and 12 months.\n\nStatistical comparisons were made within and between groups, with significance set at p<0.05.",
        "Results": "All devices achieved sustained IOP reductions at 12 months.\n\nThe largest mean reductions in IOP were observed with OMNI without goniotomy (– 5.69 mmHg, p=0.002), iTrack (–4.47 mmHg, p=0.001), and iStent (–4.33 mmHg, p<0.001).\n\nThe greatest reductions in medication burden were seen with OMNI without goniotomy (–1.71 drops), Elios (–1.36 drops), TrabEx (–1.36 drops), and iTrack (– 1.13 drops), all statistically significant (p<0.01).\n\nHydrus showed moderate IOP reduction but did not significantly reduce medication use.\n\nInter-device comparison revealed a significant difference in drop reduction at 6 months (p=0.017).\n\nFurther results and associated statistical analysis to be incorporated into final poster.",
        "Conclusions": "This is the largest known comparative dataset (n=200) of Schlemm’s canal-based MIGS in an NHS setting. The outcomes of this project support personalised, data-driven surgical planning and may guide earlier, equitable glaucoma intervention. One of the key findings being that the OMNI Surgical System without goniotomy demonstrated the greatest reduction in both medication burden and IOP at 12-months.\n\nThe impact of this project includes increased use of MIGS devices with the most encouraging results at the ESNEFT Colchester Eye Centre, with an aim to re-audit to assess progress and effectiveness of MIGS devices."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is the largest known comparative dataset (n=200) of Schlemm’s canal-based MIGS in an NHS setting. The outcomes of this project support personalised, data-driven surgical planning and may guide earlier, equitable glaucoma intervention. One of the key findings being that the OMNI Surgical System without goniotomy demonstrated the greatest reduction in both medication burden and IOP at 12-months. The impact of…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1315,
      "source_fields": {
        "Abstract Final Identifier": "POGAU055",
        "Title": "Twelve Month Outcomes Of Seven Schlemm's Canal Migs Devices: Real-World Comparative Data From An Nhs Glaucoma Centre (7 Arm Migs Study)",
        "Presenting Author(s)": "Dr Aadil Hussain",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Aadil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hussain",
        "Country Name": "United Kingdom",
        "Purpose": "Minimally invasive glaucoma surgery (MIGS) is gaining popularity in the treatment of primary open angle glaucoma (POAG), offering a safer profile and quicker recovery than traditional surgery. However, limited comparative data exists to guide equitable and effective treatment selection. This study presents 12-month real-world outcomes from a seven-arm comparison of Schlemm’s canal-based MIGS performed in a UK NHS glaucoma centre.",
        "Setting": "Colchester Eye Centre, East Suffolk and North Essex NHS Foundation Trust, UK",
        "Methods": "This study employed a retrospective analysis at the Colchester Eye Centre, East Suffolk and North Essex NHS Foundation Trust, UK.\n\nA total of 200 patients with POAG underwent one of seven Schlemm’s canal-based MIGS procedures, either alone or combined with cataract surgery: iStent (n=30), OMNI Surgical System without goniotomy (n=31), OMNI with goniotomy (n=27), Hydrus Microstent (n=39), Elios (n=23), TrabEx (n=15), and iTrack (n=35).\n\nOutcomes assessed included intraocular pressure (IOP) and the number of topical glaucoma medications at baseline, 6 months, and 12 months.\n\nStatistical comparisons were made within and between groups, with significance set at p<0.05.",
        "Results": "All devices achieved sustained IOP reductions at 12 months.\n\nThe largest mean reductions in IOP were observed with OMNI without goniotomy (– 5.69 mmHg, p=0.002), iTrack (–4.47 mmHg, p=0.001), and iStent (–4.33 mmHg, p<0.001).\n\nThe greatest reductions in medication burden were seen with OMNI without goniotomy (–1.71 drops), Elios (–1.36 drops), TrabEx (–1.36 drops), and iTrack (– 1.13 drops), all statistically significant (p<0.01).\n\nHydrus showed moderate IOP reduction but did not significantly reduce medication use.\n\nInter-device comparison revealed a significant difference in drop reduction at 6 months (p=0.017).\n\nFurther results and associated statistical analysis to be incorporated into final poster.",
        "Conclusions": "This is the largest known comparative dataset (n=200) of Schlemm’s canal-based MIGS in an NHS setting. The outcomes of this project support personalised, data-driven surgical planning and may guide earlier, equitable glaucoma intervention. One of the key findings being that the OMNI Surgical System without goniotomy demonstrated the greatest reduction in both medication burden and IOP at 12-months.\n\nThe impact of this project includes increased use of MIGS devices with the most encouraging results at the ESNEFT Colchester Eye Centre, with an aim to re-audit to assess progress and effectiveness of MIGS devices."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "POGAU057",
      "abstract_number": "POGAU057",
      "title": "Bimatoprost Intracameral Implant In Glaucoma Therapy: A Systematic Review And Meta-Analysis Of Clinical Outcomes",
      "authors": "Dr Narvair Kahlar",
      "presenter": "Dr Narvair Kahlar",
      "normalized_authors": [
        "Narvair Kahlar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Narvair Kahlar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To systematically evaluate the efficacy and safety of the bimatoprost intracameral implant in patients with open-angle glaucoma and ocular hypertension, quantifying intraocular pressure reduction and characterising associated adverse events through meta-analysis of available clinical trials.",
        "Setting": "Glaucoma is the leading cause of irreversible blindness worldwide, with open-angle glaucoma and ocular hypertension being the most common forms. Intraocular pressure remains the primary modifiable risk factor for disease progression, and treatment relies on lowering IOP. The Bimatoprost Intracameral Implant was developed to address limitations of topical therapy, including poor adherence, treatment burden, and ocular surface side-effects.",
        "Methods": "An independent search of the electronic databases MEDLINE, EMBASE , and CENTRAL identified all published randomised controlled trials (RCT) and non-randomised trials (N-RCT) investigating BICI. This returned six studies (five RCTs and one N-RCT). No previous systematic review was identified.",
        "Results": "A meta-analysis of five studies showed a pooled mean percentage IOP reduction of 30.28% at 3 months and 25.32% at 12 months. The pooled mean difference was −1.89 mmHg (95% CI: −2.07 to −1.71, p < 0.0001) using a random-effects model. The prediction interval (−2.39 to −1.39) suggests that the treatment effect is likely to be consistent in future populations. Safety profile assessment indicated that common complications included transient conjunctival haemorrhage, hyperaemia, iritis, and ocular pain, most of which resolved spontaneously. However, rare but serious adverse events were also reported, including endophthalmitis, raised IOP, and corneal endothelial cell density loss, which carry long-term clinical significance.",
        "Conclusions": "Bimatoprost intracameral implants provide a clinically meaningful 23–30% reduction in IOP at 3 and 12 months, offering a promising alternative for patients with OAG and OHTN. While transient adverse events such as conjunctival haemorrhage and ocular pain are common, rarer complications including CECD loss, raised IOP, and endophthalmitis pose significant long-term risks. The overall safety profile appears comparable to MIGS, though current evidence remains limited. Further studies are needed to establish cost-effectiveness, patient-reported outcomes, and the role of BICI in multimodal treatment strategies and clinical guidelines."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bimatoprost intracameral implants provide a clinically meaningful 23–30% reduction in IOP at 3 and 12 months, offering a promising alternative for patients with OAG and OHTN. While transient adverse events such as conjunctival haemorrhage and ocular pain are common, rarer complications including CECD loss, raised IOP, and endophthalmitis pose significant long-term risks. The overall safety profile appears…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1316,
      "source_fields": {
        "Abstract Final Identifier": "POGAU057",
        "Title": "Bimatoprost Intracameral Implant In Glaucoma Therapy: A Systematic Review And Meta-Analysis Of Clinical Outcomes",
        "Presenting Author(s)": "Dr Narvair Kahlar",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Narvair",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kahlar",
        "Country Name": "United Kingdom",
        "Purpose": "To systematically evaluate the efficacy and safety of the bimatoprost intracameral implant in patients with open-angle glaucoma and ocular hypertension, quantifying intraocular pressure reduction and characterising associated adverse events through meta-analysis of available clinical trials.",
        "Setting": "Glaucoma is the leading cause of irreversible blindness worldwide, with open-angle glaucoma and ocular hypertension being the most common forms. Intraocular pressure remains the primary modifiable risk factor for disease progression, and treatment relies on lowering IOP. The Bimatoprost Intracameral Implant was developed to address limitations of topical therapy, including poor adherence, treatment burden, and ocular surface side-effects.",
        "Methods": "An independent search of the electronic databases MEDLINE, EMBASE , and CENTRAL identified all published randomised controlled trials (RCT) and non-randomised trials (N-RCT) investigating BICI. This returned six studies (five RCTs and one N-RCT). No previous systematic review was identified.",
        "Results": "A meta-analysis of five studies showed a pooled mean percentage IOP reduction of 30.28% at 3 months and 25.32% at 12 months. The pooled mean difference was −1.89 mmHg (95% CI: −2.07 to −1.71, p < 0.0001) using a random-effects model. The prediction interval (−2.39 to −1.39) suggests that the treatment effect is likely to be consistent in future populations. Safety profile assessment indicated that common complications included transient conjunctival haemorrhage, hyperaemia, iritis, and ocular pain, most of which resolved spontaneously. However, rare but serious adverse events were also reported, including endophthalmitis, raised IOP, and corneal endothelial cell density loss, which carry long-term clinical significance.",
        "Conclusions": "Bimatoprost intracameral implants provide a clinically meaningful 23–30% reduction in IOP at 3 and 12 months, offering a promising alternative for patients with OAG and OHTN. While transient adverse events such as conjunctival haemorrhage and ocular pain are common, rarer complications including CECD loss, raised IOP, and endophthalmitis pose significant long-term risks. The overall safety profile appears comparable to MIGS, though current evidence remains limited. Further studies are needed to establish cost-effectiveness, patient-reported outcomes, and the role of BICI in multimodal treatment strategies and clinical guidelines."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POGAU058",
      "abstract_number": "POGAU058",
      "title": "Effectiveness Of Selective Laser Trabeculoplasty (Slt) Correlated With Grade Of Pigmentation Of The Trabecular Meshwork Over A 12 Month Period",
      "authors": "Other Bernd Andreas Kamppeter",
      "presenter": "Other Bernd Andreas Kamppeter",
      "normalized_authors": [
        "Other Bernd Andreas Kamppeter"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bernd Andreas Kamppeter",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To report and assess the effect of selective laser trabeculoplasty (SLT) treatment correlated with different degrees of pigmentation of the trabecular meshwork in glaucoma and ocular hypertension over a 12 month period following a 360° application scheme in 2 sessions.",
        "Setting": "Retrospective, noncomparative observational case series",
        "Methods": "80 eyes of 52 patients with ocular hypertension or glaucoma were followed up for 12 months after initial SLT treatment. Two SLT treatments with 94±11 pulses each were applied in 180° per eye by the same ophthalmologist. Energy levels ranged from 0.8-1,0mJ per pulse with no regard to the existing topical treatment. Grade of pigmentation was rated using a arbitrary scale ranging from 0 to 3, where 0 represents no and 3 heavy pigmentation. If grade of pigmentation changed from the top to the bottom location, an average was estimated. IOP was measured 4 weeks, 3, 6 and 12 months, after final SLT treatment, All treatmens were performed with ARC Cito 532 SLT laser.",
        "Results": "Baseline IOP was 23.2 (±5.3) mmHg and differed not significantly between groups. Correlation with grade of pigmentation showed after 4 weeks sigificantly higher IOP reductions in grade 2 and 3 eyes (5.4mmHg and 4.6mmHg) than in grade 0 and 1 eyes ( 2.2mmHg and 3.4 mmHg). These results could still be seen after 12 months, although with a slight increase in IOP. Intraocular inflammation or other side effects where not to be seen in any of the treated eyes.",
        "Conclusions": "These results show a higher SLT effect in eyes with a higher grade of trabecular meshwork pigmentation. The effect lasted during the 12 months follow-up period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results show a higher SLT effect in eyes with a higher grade of trabecular meshwork pigmentation. The effect lasted during the 12 months follow-up period.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1317,
      "source_fields": {
        "Abstract Final Identifier": "POGAU058",
        "Title": "Effectiveness Of Selective Laser Trabeculoplasty (Slt) Correlated With Grade Of Pigmentation Of The Trabecular Meshwork Over A 12 Month Period",
        "Presenting Author(s)": "Other Bernd Andreas Kamppeter",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Bernd",
        "Submitter Middle Name": "Andreas",
        "Submitter Last Name": "Kamppeter",
        "Country Name": "Germany",
        "Purpose": "To report and assess the effect of selective laser trabeculoplasty (SLT) treatment correlated with different degrees of pigmentation of the trabecular meshwork in glaucoma and ocular hypertension over a 12 month period following a 360° application scheme in 2 sessions.",
        "Setting": "Retrospective, noncomparative observational case series",
        "Methods": "80 eyes of 52 patients with ocular hypertension or glaucoma were followed up for 12 months after initial SLT treatment. Two SLT treatments with 94±11 pulses each were applied in 180° per eye by the same ophthalmologist. Energy levels ranged from 0.8-1,0mJ per pulse with no regard to the existing topical treatment. Grade of pigmentation was rated using a arbitrary scale ranging from 0 to 3, where 0 represents no and 3 heavy pigmentation. If grade of pigmentation changed from the top to the bottom location, an average was estimated. IOP was measured 4 weeks, 3, 6 and 12 months, after final SLT treatment, All treatmens were performed with ARC Cito 532 SLT laser.",
        "Results": "Baseline IOP was 23.2 (±5.3) mmHg and differed not significantly between groups. Correlation with grade of pigmentation showed after 4 weeks sigificantly higher IOP reductions in grade 2 and 3 eyes (5.4mmHg and 4.6mmHg) than in grade 0 and 1 eyes ( 2.2mmHg and 3.4 mmHg). These results could still be seen after 12 months, although with a slight increase in IOP. Intraocular inflammation or other side effects where not to be seen in any of the treated eyes.",
        "Conclusions": "These results show a higher SLT effect in eyes with a higher grade of trabecular meshwork pigmentation. The effect lasted during the 12 months follow-up period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POGAU059",
      "abstract_number": "POGAU059",
      "title": "Evaluation Of The Efficacy And Safety Of A Combined Ab Interno Goniotomy Procedure Using The Kahook Dual Blade Performed Concurrently With Cataract Surgery By Phacoemulsification In The Treatment Of Glaucoma",
      "authors": "Mr Łukasz Kempys",
      "presenter": "Mr Łukasz Kempys",
      "normalized_authors": [
        "Łukasz Kempys"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Łukasz Kempys",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "The aim of this study was to evaluate the safety and efficacy of ab interno goniotomy using the Kahook Dual Blade performed concomitantly with phacoemulsification cataract surgery in lowering intraocular pressure and reducing the number of antiglaucoma medications. The study assessed intraocular pressure (IOP), number of antiglaucoma medications, visual field parameters (Mean Deviation), optic nerve head parameters on OCT ( average retinal nerve fiber layer thickness, neuroretinal rim area, and vertical cup-to-disc ratio), best-corrected visual acuity (BCVA), corneal endothelial cell density, and intraoperative and postoperative complications.",
        "Setting": "This was a single-center retrospective study conducted at the Okulus Plus Ophthalmology Clinic in Poland. Procedures were performed between March 2021 and July 2022. All eyes had a 12-month postoperative follow-up. All surgeries were performed by a single surgeon.",
        "Methods": "The study included 44 eyes with primary open-angle glaucoma and secondary open-angle glaucoma with coexisting cataract. Indications for surgical treatment included failure to achieve target IOP with topical pharmacological therapy, intolerance or contraindications to topical antiglaucoma medications, difficulties with eye drop instillation, and/or progression of visual field defects, as well as deterioration of BCVA due to lens opacification meeting the criteria for cataract surgery.",
        "Results": "A mean IOP reduction of 18.77% was observed at 6 months and 13.54% at 12 months postoperatively. The mean number of antiglaucoma medications decreased by 22.54% at 6 months and by 26.33% at 12 months postoperatively.\n\nNo statistically significant progression was observed on OCT of the optic nerve head (aRNFL thickness, neuroretinal rim area, vertical C/D ratio). Mean deviation (MD) improved significantly on visual field testing (p < 0.025), and BCVA improved significantly postoperatively from 0.46 to 0.78 at 6 months and 0.71 at 12 months of follow-up. A slight decrease in corneal endothelial cell density was noted from 2357,91 to 2113,17 cells/mm ² . The most frequent complications were transient IOP elevation and transient hyphema.",
        "Conclusions": "The results of this study suggest that ab interno goniotomy using the Kahook Dual Blade performed in combination with cataract phacoemulsification is a safe procedure that provides stabilization of visual field parameters (MD), optic nerve head optical coherence tomography parameters (aRNFL thickness, neuroretinal rim area, vertical C/D ratio), improvement in BCVA, and a simultaneous significant reduction in intraocular pressure and the number of antiglaucoma medications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of this study suggest that ab interno goniotomy using the Kahook Dual Blade performed in combination with cataract phacoemulsification is a safe procedure that provides stabilization of visual field parameters (MD), optic nerve head optical coherence tomography parameters (aRNFL thickness, neuroretinal rim area, vertical C/D ratio), improvement in BCVA, and a simultaneous significant reduction in…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1318,
      "source_fields": {
        "Abstract Final Identifier": "POGAU059",
        "Title": "Evaluation Of The Efficacy And Safety Of A Combined Ab Interno Goniotomy Procedure Using The Kahook Dual Blade Performed Concurrently With Cataract Surgery By Phacoemulsification In The Treatment Of Glaucoma",
        "Presenting Author(s)": "Mr Łukasz Kempys",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Łukasz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kempys",
        "Country Name": "Poland",
        "Purpose": "The aim of this study was to evaluate the safety and efficacy of ab interno goniotomy using the Kahook Dual Blade performed concomitantly with phacoemulsification cataract surgery in lowering intraocular pressure and reducing the number of antiglaucoma medications. The study assessed intraocular pressure (IOP), number of antiglaucoma medications, visual field parameters (Mean Deviation), optic nerve head parameters on OCT ( average retinal nerve fiber layer thickness, neuroretinal rim area, and vertical cup-to-disc ratio), best-corrected visual acuity (BCVA), corneal endothelial cell density, and intraoperative and postoperative complications.",
        "Setting": "This was a single-center retrospective study conducted at the Okulus Plus Ophthalmology Clinic in Poland. Procedures were performed between March 2021 and July 2022. All eyes had a 12-month postoperative follow-up. All surgeries were performed by a single surgeon.",
        "Methods": "The study included 44 eyes with primary open-angle glaucoma and secondary open-angle glaucoma with coexisting cataract. Indications for surgical treatment included failure to achieve target IOP with topical pharmacological therapy, intolerance or contraindications to topical antiglaucoma medications, difficulties with eye drop instillation, and/or progression of visual field defects, as well as deterioration of BCVA due to lens opacification meeting the criteria for cataract surgery.",
        "Results": "A mean IOP reduction of 18.77% was observed at 6 months and 13.54% at 12 months postoperatively. The mean number of antiglaucoma medications decreased by 22.54% at 6 months and by 26.33% at 12 months postoperatively.\n\nNo statistically significant progression was observed on OCT of the optic nerve head (aRNFL thickness, neuroretinal rim area, vertical C/D ratio). Mean deviation (MD) improved significantly on visual field testing (p < 0.025), and BCVA improved significantly postoperatively from 0.46 to 0.78 at 6 months and 0.71 at 12 months of follow-up. A slight decrease in corneal endothelial cell density was noted from 2357,91 to 2113,17 cells/mm ² . The most frequent complications were transient IOP elevation and transient hyphema.",
        "Conclusions": "The results of this study suggest that ab interno goniotomy using the Kahook Dual Blade performed in combination with cataract phacoemulsification is a safe procedure that provides stabilization of visual field parameters (MD), optic nerve head optical coherence tomography parameters (aRNFL thickness, neuroretinal rim area, vertical C/D ratio), improvement in BCVA, and a simultaneous significant reduction in intraocular pressure and the number of antiglaucoma medications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 381
    },
    {
      "uid": "POGAU060",
      "abstract_number": "POGAU060",
      "title": "Does Lens Status Matter In Gatt? Phakic Vs Pseudophakic Outcomes",
      "authors": "Dr Gulfem Kilic",
      "presenter": "Dr Gulfem Kilic",
      "normalized_authors": [
        "Gulfem Kilic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gulfem Kilic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The present study aims to evaluate the impact of lens status on clinical outcomes following 360-degree Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) by comparing phakic and pseudophakic eyes.The primary objective is to evaluate the influence of lens status on intraocular pressure (IOP) reduction and the number of glaucoma medications through 6 and 12 months of follow-up.",
        "Setting": "Tertiary-care university hospital glaucoma service in Turkey (retrospective, single-center, single-surgeon cohort; surgeries, 2022-2025)",
        "Methods": "This retrospective comparative cohort study included 91 eyes (62 phakic, 29 pseudophakic) undergoing standalone 360° gonioscopy-assisted transluminal trabeculotomy (GATT)at a tertiary center, all performed by a single surgeon. Prior surgeries (except uncomplicated cataract surgery in pseudophakics) were excluded.Collected variables included demographics,glaucoma subtype,visual acuity,CCT,RNFL thickness,visual field MD, preoperative IOP and medication count,postoperative IOP and medication count at 0,1,6 and 12 months,and need for additional glaucoma surgery. STATA version 18 was used for t-test comparisons and age-adjusted ANCOVA compared 6- and 12-month outcomes by lens status.",
        "Results": "In 91 eyes undergoing 360°GATT, pseudophakic eyes were older than phakic eyes (70.31±1.11 vs 53.19±17.07) and had lower baseline decimal VA (0.50±0.30 vs 0.64±0.32; p=0.06). Baseline CCT/RNFL/VF-MD and preoperative IOP were comparable (p>0.05) and additional surgery need were similar (11.3% vs 10.3%). IOP decreased in both groups with no between-group difference at 6 or 12 months (p=0.34 and p=0.75) ANCOVA confirmed no age-adjusted difference at 6 months (F(1,82)=0.92, p=0.34; Δ=0.85 mmHg). Baseline medication counts were comparable (p=0.45) but phakic eyes required fewer drops at 6 and 12 months (p=0.03 and p=0.001) ANCOVA showed a significant lens-status effect on medication burden independent of age (F(1,47)=11.21, p=0.0016; age p=0.77).",
        "Conclusions": "Following 360° GATT in 91 eyes,pseudophakic patients were older and had slightly lower baseline VA,while baseline CCT,RNFL,VF-MD,preoperative IOP were comparable,indicating similar disease severity.Both groups achieved similar IOP reduction at 6 and 12 months and had comparable rates of additional glaucoma surgery.Pseudophakic eyes required more glaucoma medications at both 6 and 12 months. Crucially, age-adjusted ANCOVA confirmed no independent effect of lens status on IOP at 6 or 12 months,but remained an independent predictor of medication burden. Despite similar baseline medication use,phakic eyes required significantly fewer drops during follow-up after adjusting for age,suggesting lens status affects postoperative drop dependence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Following 360° GATT in 91 eyes,pseudophakic patients were older and had slightly lower baseline VA,while baseline CCT,RNFL,VF-MD,preoperative IOP were comparable,indicating similar disease severity.Both groups achieved similar IOP reduction at 6 and 12 months and had comparable rates of additional glaucoma surgery.Pseudophakic eyes required more glaucoma medications at both 6 and 12 months. Crucially, age-adjusted…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1319,
      "source_fields": {
        "Abstract Final Identifier": "POGAU060",
        "Title": "Does Lens Status Matter In Gatt? Phakic Vs Pseudophakic Outcomes",
        "Presenting Author(s)": "Dr Gulfem Kilic",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Gulfem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kilic",
        "Country Name": "Türkiye",
        "Purpose": "The present study aims to evaluate the impact of lens status on clinical outcomes following 360-degree Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) by comparing phakic and pseudophakic eyes.The primary objective is to evaluate the influence of lens status on intraocular pressure (IOP) reduction and the number of glaucoma medications through 6 and 12 months of follow-up.",
        "Setting": "Tertiary-care university hospital glaucoma service in Turkey (retrospective, single-center, single-surgeon cohort; surgeries, 2022-2025)",
        "Methods": "This retrospective comparative cohort study included 91 eyes (62 phakic, 29 pseudophakic) undergoing standalone 360° gonioscopy-assisted transluminal trabeculotomy (GATT)at a tertiary center, all performed by a single surgeon. Prior surgeries (except uncomplicated cataract surgery in pseudophakics) were excluded.Collected variables included demographics,glaucoma subtype,visual acuity,CCT,RNFL thickness,visual field MD, preoperative IOP and medication count,postoperative IOP and medication count at 0,1,6 and 12 months,and need for additional glaucoma surgery. STATA version 18 was used for t-test comparisons and age-adjusted ANCOVA compared 6- and 12-month outcomes by lens status.",
        "Results": "In 91 eyes undergoing 360°GATT, pseudophakic eyes were older than phakic eyes (70.31±1.11 vs 53.19±17.07) and had lower baseline decimal VA (0.50±0.30 vs 0.64±0.32; p=0.06). Baseline CCT/RNFL/VF-MD and preoperative IOP were comparable (p>0.05) and additional surgery need were similar (11.3% vs 10.3%). IOP decreased in both groups with no between-group difference at 6 or 12 months (p=0.34 and p=0.75) ANCOVA confirmed no age-adjusted difference at 6 months (F(1,82)=0.92, p=0.34; Δ=0.85 mmHg). Baseline medication counts were comparable (p=0.45) but phakic eyes required fewer drops at 6 and 12 months (p=0.03 and p=0.001) ANCOVA showed a significant lens-status effect on medication burden independent of age (F(1,47)=11.21, p=0.0016; age p=0.77).",
        "Conclusions": "Following 360° GATT in 91 eyes,pseudophakic patients were older and had slightly lower baseline VA,while baseline CCT,RNFL,VF-MD,preoperative IOP were comparable,indicating similar disease severity.Both groups achieved similar IOP reduction at 6 and 12 months and had comparable rates of additional glaucoma surgery.Pseudophakic eyes required more glaucoma medications at both 6 and 12 months. Crucially, age-adjusted ANCOVA confirmed no independent effect of lens status on IOP at 6 or 12 months,but remained an independent predictor of medication burden. Despite similar baseline medication use,phakic eyes required significantly fewer drops during follow-up after adjusting for age,suggesting lens status affects postoperative drop dependence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 426
    },
    {
      "uid": "POGAU061",
      "abstract_number": "POGAU061",
      "title": "Long-Term Outcomes And Safety Of Preserflo Microshunt Surgery In The Management Of Glaucoma: A Systematic Review And Meta-Analysis",
      "authors": "Dr Kah Keen Kong",
      "presenter": "Dr Kah Keen Kong",
      "normalized_authors": [
        "Kah Keen Kong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kah Keen Kong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Glaucoma remains the leading cause of irreversible blindness worldwide, necessitating effective surgical interventions when medical therapy fails to control intra-ocular pressure (IOP). Trabeculectomy remains the gold standard surgical treatment for advanced glaucoma, but it is associated with significant complications and intensive post-operative care. Consequently, the Preserflo MicroShunt has emerged as a minimally invasive alternative designed to provide efficient intra-ocular pressure control with a favourable safety profile. This systematic review and meta-analysis aimed to synthesise current evidence on long-term outcomes and safety profiles of Preserflo MicroShunt surgery across various glaucoma sub-types.",
        "Setting": "This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Clinical studies reporting on the efficacy and safety of the Preserflo MicroShunt in glaucoma patients were identified through comprehensive searches of electronic databases (PubMed, MEDLINE, Embase, CINAHL, CENTRAL and Google Scholar). The studies analysed were conducted in secondary and tertiary ophthalmology centres worldwide.",
        "Methods": "Electronic databases were searched to November 2025. Randomised and non-randomised trials, cohort studies, and case series evaluating Preserflo MicroShunt surgery in adults with at least 6 months’ follow-up were included. The longest reported follow-up was 6 years. The primary outcome was final post-operative IOP. Secondary outcomes included glaucoma medication use, post-operative complications, and interventions required such as bleb needling and bleb revision. Extracted data included study design, sample size, demographics, pre- and post-operative IOP, glaucoma medication use, visual acuity, complications, and intervention required. Pooled analyses used fixed- or random-effects models according to study heterogeneity.",
        "Results": "Across 36 studies (n = 2,090 eyes), Preserflo MicroShunt surgery achieved a pooled reduction in intra-ocular pressure from a baseline mean of 22.55 ± 6.92 mmHg to 12.86 mmHg (95% CI 12.78–12.94) at final follow-up. The mean number of glaucoma medications decreased to 0.37 (95% CI 0.34–0.41) at the final visit. Postoperative hypotony occurred in 12.8% of cases (95% CI 11.2–14.3), while choroidal effusion or detachment was reported in 7.5% (95% CI 4.8–10.2). Hyphaema occurred in 9.3% (95% CI 6.4–12.1). The pooled rates of bleb needling and bleb revision were 9.3% (95% CI 7.9–10.7) and 10.0% (95% CI 5.2–14.7), respectively.",
        "Conclusions": "Preserflo MicroShunt surgery provides substantial and sustained intra-ocular pressure reduction with a marked decrease in glaucoma medication use. The procedure demonstrates an acceptable safety profile, with lower rates of post-operative complications and bleb-related interventions in comparison to traditional filtration surgery. These findings support the Preserflo MicroShunt as an effective minimally invasive alternative to trabeculectomy for selected patients. Further high-quality comparative studies with longer follow-up are required to better define its long-term efficacy and safety relative to conventional filtration surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preserflo MicroShunt surgery provides substantial and sustained intra-ocular pressure reduction with a marked decrease in glaucoma medication use. The procedure demonstrates an acceptable safety profile, with lower rates of post-operative complications and bleb-related interventions in comparison to traditional filtration surgery. These findings support the Preserflo MicroShunt as an effective minimally invasive…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1320,
      "source_fields": {
        "Abstract Final Identifier": "POGAU061",
        "Title": "Long-Term Outcomes And Safety Of Preserflo Microshunt Surgery In The Management Of Glaucoma: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Kah Keen Kong",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Kah Keen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kong",
        "Country Name": "United Kingdom",
        "Purpose": "Glaucoma remains the leading cause of irreversible blindness worldwide, necessitating effective surgical interventions when medical therapy fails to control intra-ocular pressure (IOP). Trabeculectomy remains the gold standard surgical treatment for advanced glaucoma, but it is associated with significant complications and intensive post-operative care. Consequently, the Preserflo MicroShunt has emerged as a minimally invasive alternative designed to provide efficient intra-ocular pressure control with a favourable safety profile. This systematic review and meta-analysis aimed to synthesise current evidence on long-term outcomes and safety profiles of Preserflo MicroShunt surgery across various glaucoma sub-types.",
        "Setting": "This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Clinical studies reporting on the efficacy and safety of the Preserflo MicroShunt in glaucoma patients were identified through comprehensive searches of electronic databases (PubMed, MEDLINE, Embase, CINAHL, CENTRAL and Google Scholar). The studies analysed were conducted in secondary and tertiary ophthalmology centres worldwide.",
        "Methods": "Electronic databases were searched to November 2025. Randomised and non-randomised trials, cohort studies, and case series evaluating Preserflo MicroShunt surgery in adults with at least 6 months’ follow-up were included. The longest reported follow-up was 6 years. The primary outcome was final post-operative IOP. Secondary outcomes included glaucoma medication use, post-operative complications, and interventions required such as bleb needling and bleb revision. Extracted data included study design, sample size, demographics, pre- and post-operative IOP, glaucoma medication use, visual acuity, complications, and intervention required. Pooled analyses used fixed- or random-effects models according to study heterogeneity.",
        "Results": "Across 36 studies (n = 2,090 eyes), Preserflo MicroShunt surgery achieved a pooled reduction in intra-ocular pressure from a baseline mean of 22.55 ± 6.92 mmHg to 12.86 mmHg (95% CI 12.78–12.94) at final follow-up. The mean number of glaucoma medications decreased to 0.37 (95% CI 0.34–0.41) at the final visit. Postoperative hypotony occurred in 12.8% of cases (95% CI 11.2–14.3), while choroidal effusion or detachment was reported in 7.5% (95% CI 4.8–10.2). Hyphaema occurred in 9.3% (95% CI 6.4–12.1). The pooled rates of bleb needling and bleb revision were 9.3% (95% CI 7.9–10.7) and 10.0% (95% CI 5.2–14.7), respectively.",
        "Conclusions": "Preserflo MicroShunt surgery provides substantial and sustained intra-ocular pressure reduction with a marked decrease in glaucoma medication use. The procedure demonstrates an acceptable safety profile, with lower rates of post-operative complications and bleb-related interventions in comparison to traditional filtration surgery. These findings support the Preserflo MicroShunt as an effective minimally invasive alternative to trabeculectomy for selected patients. Further high-quality comparative studies with longer follow-up are required to better define its long-term efficacy and safety relative to conventional filtration surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 456
    },
    {
      "uid": "POGAU062",
      "abstract_number": "POGAU062",
      "title": "Impact Of Treatment Duration On Safety And Efficacy Of Micropulse Transscleral Cyclophotocoagulation In Glaucoma: A Comparative Study",
      "authors": "Paulina Langosz",
      "presenter": "Paulina Langosz",
      "normalized_authors": [
        "Paulina Langosz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paulina Langosz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "The purpose of our work was to compare the efficacy and rate of complications of various treatment durations of micropulse transscleral cyclophotocoagulation (MP-TSCPC) as a treatment modality for different types of glaucoma.",
        "Setting": "We analyzed clinical records of 194 eyes treated with micropulse transscleral cyclophotocoagulation for various types of glaucoma, with primary open-angle glaucoma being the leading type. Patients’ mean age was 69 (IQR 59–75), with the average of 3 IOP-lowering medications beforehand. Procedures included 95 pseudophakic, 98 phakic, and 1 aphakic eye. All were naïve eyes, treated at 2500 mV. Laser duration per hemisphere was 20 s (15 eyes), 50 s (120 eyes), or 80 s (59 eyes).",
        "Methods": "The group of eyes was followed up for 12±3 months for IOP profile. Efficacy was assessed at two time points: early (2 weeks) and late response (12 months). Primary efficacy outcomes were absolute (ΔIOP) and percentage IOP reduction. Secondary efficacy outcomes included responder status, defined as ≥20% IOP reduction. Group-dependent changes from baseline to follow-up and from primary time point (2 weeks) to late time point (12 months) were assessed using the Wilcoxon test. Between-group comparisons were assessed using non-parametric tests. Multivariable analyses adjusted for baseline IOP and assessed robustness of findings across treatment durations. Safety outcomes considered hypotony (IOP<6mmHg). Statistical significance was set at p<0.05",
        "Results": "Median baseline IOP was 21.5 (20 s), 21.0 (50 s), and 20.0 mmHg (80 s). Median IOP at 2 weeks was 18.0, 16.0, and 17.0 mmHg, respectively, and at 12 months was 16.5, 16.0, and 16.0mmHg. All groups showed significant IOP reduction at both time points, with no significant difference between 2 weeks and 12 months, indicating sustained efficacy. Absolute and percentage IOP reduction were comparable across treatment durations. Multivariable analyses identified baseline IOP as the only significant predictor of efficacy, while treatment duration showed no independent effect. Responder rates were similar across groups and longer treatment durations did not confer additional benefit. Safety outcomes were favorable, with no increased risk of hypotony",
        "Conclusions": "MP-TSCPC provides significant and sustained IOP reduction across all treatment durations. Increasing exposure time from 20 to 80 seconds does not improve efficacy, which is primarily driven by baseline IOP. These findings suggest an early efficacy plateau and support the use of shorter treatment durations to achieve comparable clinical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MP-TSCPC provides significant and sustained IOP reduction across all treatment durations. Increasing exposure time from 20 to 80 seconds does not improve efficacy, which is primarily driven by baseline IOP. These findings suggest an early efficacy plateau and support the use of shorter treatment durations to achieve comparable clinical outcomes.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1321,
      "source_fields": {
        "Abstract Final Identifier": "POGAU062",
        "Title": "Impact Of Treatment Duration On Safety And Efficacy Of Micropulse Transscleral Cyclophotocoagulation In Glaucoma: A Comparative Study",
        "Presenting Author(s)": "Paulina Langosz",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Paulina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Langosz",
        "Country Name": "Poland",
        "Purpose": "The purpose of our work was to compare the efficacy and rate of complications of various treatment durations of micropulse transscleral cyclophotocoagulation (MP-TSCPC) as a treatment modality for different types of glaucoma.",
        "Setting": "We analyzed clinical records of 194 eyes treated with micropulse transscleral cyclophotocoagulation for various types of glaucoma, with primary open-angle glaucoma being the leading type. Patients’ mean age was 69 (IQR 59–75), with the average of 3 IOP-lowering medications beforehand. Procedures included 95 pseudophakic, 98 phakic, and 1 aphakic eye. All were naïve eyes, treated at 2500 mV. Laser duration per hemisphere was 20 s (15 eyes), 50 s (120 eyes), or 80 s (59 eyes).",
        "Methods": "The group of eyes was followed up for 12±3 months for IOP profile. Efficacy was assessed at two time points: early (2 weeks) and late response (12 months). Primary efficacy outcomes were absolute (ΔIOP) and percentage IOP reduction. Secondary efficacy outcomes included responder status, defined as ≥20% IOP reduction. Group-dependent changes from baseline to follow-up and from primary time point (2 weeks) to late time point (12 months) were assessed using the Wilcoxon test. Between-group comparisons were assessed using non-parametric tests. Multivariable analyses adjusted for baseline IOP and assessed robustness of findings across treatment durations. Safety outcomes considered hypotony (IOP<6mmHg). Statistical significance was set at p<0.05",
        "Results": "Median baseline IOP was 21.5 (20 s), 21.0 (50 s), and 20.0 mmHg (80 s). Median IOP at 2 weeks was 18.0, 16.0, and 17.0 mmHg, respectively, and at 12 months was 16.5, 16.0, and 16.0mmHg. All groups showed significant IOP reduction at both time points, with no significant difference between 2 weeks and 12 months, indicating sustained efficacy. Absolute and percentage IOP reduction were comparable across treatment durations. Multivariable analyses identified baseline IOP as the only significant predictor of efficacy, while treatment duration showed no independent effect. Responder rates were similar across groups and longer treatment durations did not confer additional benefit. Safety outcomes were favorable, with no increased risk of hypotony",
        "Conclusions": "MP-TSCPC provides significant and sustained IOP reduction across all treatment durations. Increasing exposure time from 20 to 80 seconds does not improve efficacy, which is primarily driven by baseline IOP. These findings suggest an early efficacy plateau and support the use of shorter treatment durations to achieve comparable clinical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 391
    },
    {
      "uid": "POGAU063",
      "abstract_number": "POGAU063",
      "title": "Anterior Segment Oct Parameters As Predictors Of Intraocular Pressure Reduction After Phacoemulsification",
      "authors": "Dr Kwanghyun Lee",
      "presenter": "Dr Kwanghyun Lee",
      "normalized_authors": [
        "Kwanghyun Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kwanghyun Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To quantify the predictive value of preoperative intraocular pressure (IOP), lens vault (LV), and angle-opening distance (AOD500) for IOP reduction following phacoemulsification cataract surgery.",
        "Setting": "Systematic review and meta-analysis of prospective and retrospective studies conducted across multiple centers internationally, including studies from Asia, Europe, North America, and the Middle East.",
        "Methods": "Ten studies (~9,400 eyes) reporting preoperative AS-OCT measurements and postoperative IOP outcomes after uncomplicated phacoemulsification were included. Pearson correlation coefficients for preoperative IOP, LV, and AOD500 were pooled via Fisher z-transformation. Subgroup analyses compared narrow-angle versus open-angle populations.",
        "Results": "Preoperative IOP was the strongest predictor across 8 studies (n=1,663; pooled r=+0.371 [95% CI: +0.329, +0.413]). Lens vault showed a consistent positive association with IOP reduction across 4 significant studies (n=380; pooled r=+0.303 [+0.208, +0.393]), confirming that more anteriorly positioned lenses predict greater surgical benefit. AOD500 demonstrated a significant negative correlation across 5 studies (n=1,263; pooled r=−0.150 [−0.204, −0.096]), with individual estimates ranging from r=−0.071 to r=−0.690, reflecting greater reduction in narrower angles. Narrow-angle eyes achieved 1.5–2.1× greater IOP reduction than open-angle eyes (p<0.01).",
        "Conclusions": "Preoperative IOP, lens vault, and AOD500 form a clinically actionable triad for predicting post-phacoemulsification IOP outcomes. Routine AS-OCT assessment of these parameters is recommended when IOP reduction is a surgical objective."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative IOP, lens vault, and AOD500 form a clinically actionable triad for predicting post-phacoemulsification IOP outcomes. Routine AS-OCT assessment of these parameters is recommended when IOP reduction is a surgical objective.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1322,
      "source_fields": {
        "Abstract Final Identifier": "POGAU063",
        "Title": "Anterior Segment Oct Parameters As Predictors Of Intraocular Pressure Reduction After Phacoemulsification",
        "Presenting Author(s)": "Dr Kwanghyun Lee",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Kwanghyun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To quantify the predictive value of preoperative intraocular pressure (IOP), lens vault (LV), and angle-opening distance (AOD500) for IOP reduction following phacoemulsification cataract surgery.",
        "Setting": "Systematic review and meta-analysis of prospective and retrospective studies conducted across multiple centers internationally, including studies from Asia, Europe, North America, and the Middle East.",
        "Methods": "Ten studies (~9,400 eyes) reporting preoperative AS-OCT measurements and postoperative IOP outcomes after uncomplicated phacoemulsification were included. Pearson correlation coefficients for preoperative IOP, LV, and AOD500 were pooled via Fisher z-transformation. Subgroup analyses compared narrow-angle versus open-angle populations.",
        "Results": "Preoperative IOP was the strongest predictor across 8 studies (n=1,663; pooled r=+0.371 [95% CI: +0.329, +0.413]). Lens vault showed a consistent positive association with IOP reduction across 4 significant studies (n=380; pooled r=+0.303 [+0.208, +0.393]), confirming that more anteriorly positioned lenses predict greater surgical benefit. AOD500 demonstrated a significant negative correlation across 5 studies (n=1,263; pooled r=−0.150 [−0.204, −0.096]), with individual estimates ranging from r=−0.071 to r=−0.690, reflecting greater reduction in narrower angles. Narrow-angle eyes achieved 1.5–2.1× greater IOP reduction than open-angle eyes (p<0.01).",
        "Conclusions": "Preoperative IOP, lens vault, and AOD500 form a clinically actionable triad for predicting post-phacoemulsification IOP outcomes. Routine AS-OCT assessment of these parameters is recommended when IOP reduction is a surgical objective."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POGAU064",
      "abstract_number": "POGAU064",
      "title": "48-Month Outcomes Following The Femtosecond Laser Image Guided High-Precision Trabeculotomy (Flight) Procedure",
      "authors": "Prof. Dr Zoltan Nagy",
      "presenter": "Prof. Dr Zoltan Nagy",
      "normalized_authors": [
        "Zoltan Nagy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Richard Lewis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the long-term safety and intraocular pressure (IOP) lowering efficacy of a non-incisional femtosecond laser, image-guided, high-precision trabeculotomy (FLigHT) at 48 months following first-in-human treatment in eyes with open-angle glaucoma.",
        "Setting": "Prospective, single-center clinical study conducted in Budapest, Hungary.",
        "Methods": "Eighteen eyes of twelve patients with mild to advanced open-angle glaucoma underwent creation of a single non-incisional trabeculotomy aperture (200 µm × 500 µm × 400 µm) in the nasal quadrant using a femtosecond laser platform (ViaLase, Aliso Viejo, CA). All subjects were on topical hypotensive therapy with no prior glaucoma procedures. Assessments over the 48 months included; Goldmann applanation tonometry, medication use, slit-lamp biomicroscopy, gonioscopy, visual fields, best-corrected visual acuity, and adverse event monitoring.",
        "Results": "Mean age was 72.2 ± 9.7 years; 92% were female, all Caucasian, and 89% pseudophakic. Disease severity was 33% mild, 28% moderate, and 39% severe. Baseline mean IOP was 21.4 ± 4.6 mmHg on 2.1 ± 1.0 medications. Fifteen eyes completed 48-month follow-up. Mean IOP decreased to 14.9 ± 2.6 mmHg (p < 0.001 vs baseline), with medications 1.8 ± 1.1 (p = 0.24). All apertures remained patent on gonioscopy and anterior segment OCT, with no peripheral anterior synechiae. No serious procedure-related adverse events or secondary incisional surgeries occurred.",
        "Conclusions": "The first-in-human FLigHT procedure demonstrates sustained IOP reduction through 48 months with a favorable safety profile. Trabeculotomy channels remained patent across multiple imaging modalities, supporting procedural durability. Given ongoing challenges with medication adherence in glaucoma care, this non-incisional approach may offer a viable alternative or adjunct to topical therapy. Larger studies are required to confirm outcomes and refine patient selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The first-in-human FLigHT procedure demonstrates sustained IOP reduction through 48 months with a favorable safety profile. Trabeculotomy channels remained patent across multiple imaging modalities, supporting procedural durability. Given ongoing challenges with medication adherence in glaucoma care, this non-incisional approach may offer a viable alternative or adjunct to topical therapy. Larger studies are…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1323,
      "source_fields": {
        "Abstract Final Identifier": "POGAU064",
        "Title": "48-Month Outcomes Following The Femtosecond Laser Image Guided High-Precision Trabeculotomy (Flight) Procedure",
        "Presenting Author(s)": "Prof. Dr Zoltan Nagy",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Richard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lewis",
        "Country Name": "United States",
        "Purpose": "To evaluate the long-term safety and intraocular pressure (IOP) lowering efficacy of a non-incisional femtosecond laser, image-guided, high-precision trabeculotomy (FLigHT) at 48 months following first-in-human treatment in eyes with open-angle glaucoma.",
        "Setting": "Prospective, single-center clinical study conducted in Budapest, Hungary.",
        "Methods": "Eighteen eyes of twelve patients with mild to advanced open-angle glaucoma underwent creation of a single non-incisional trabeculotomy aperture (200 µm × 500 µm × 400 µm) in the nasal quadrant using a femtosecond laser platform (ViaLase, Aliso Viejo, CA). All subjects were on topical hypotensive therapy with no prior glaucoma procedures. Assessments over the 48 months included; Goldmann applanation tonometry, medication use, slit-lamp biomicroscopy, gonioscopy, visual fields, best-corrected visual acuity, and adverse event monitoring.",
        "Results": "Mean age was 72.2 ± 9.7 years; 92% were female, all Caucasian, and 89% pseudophakic. Disease severity was 33% mild, 28% moderate, and 39% severe. Baseline mean IOP was 21.4 ± 4.6 mmHg on 2.1 ± 1.0 medications. Fifteen eyes completed 48-month follow-up. Mean IOP decreased to 14.9 ± 2.6 mmHg (p < 0.001 vs baseline), with medications 1.8 ± 1.1 (p = 0.24). All apertures remained patent on gonioscopy and anterior segment OCT, with no peripheral anterior synechiae. No serious procedure-related adverse events or secondary incisional surgeries occurred.",
        "Conclusions": "The first-in-human FLigHT procedure demonstrates sustained IOP reduction through 48 months with a favorable safety profile. Trabeculotomy channels remained patent across multiple imaging modalities, supporting procedural durability. Given ongoing challenges with medication adherence in glaucoma care, this non-incisional approach may offer a viable alternative or adjunct to topical therapy. Larger studies are required to confirm outcomes and refine patient selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POGAU065",
      "abstract_number": "POGAU065",
      "title": "Real-World Three-Year Outcomes Of The First Miniject Supraciliary Glaucoma Implants In The Uk",
      "authors": "Mr Dimitrios Lolos",
      "presenter": "Mr Dimitrios Lolos",
      "normalized_authors": [
        "Dimitrios Lolos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dimitrios Lolos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the long-term efficacy and safety of the MINIject supraciliary minimally invasive glaucoma surgery (MIGS) implant in reducing intraocular pressure (IOP) and topical medication burden in patients with medically uncontrolled glaucoma, and to assess outcomes by glaucoma diagnosis, including primary open-angle glaucoma (POAG), primary angle-closure glaucoma (PACG) and normal-tension glaucoma (NTG), disease stage, and surgical approach including standalone and combined procedures.",
        "Setting": "Retrospective real-world study conducted at Colchester Eye Centre, a tertiary glaucoma referral centre in the United Kingdom.",
        "Methods": "This retrospective study included 31 eyes with various glaucoma types and stages treated with the MINIject supraciliary glaucoma implant either as a standalone procedure or as part of combined procedures with cataract surgery, with follow-up to 36 months. IOP and topical glaucoma medications were recorded at each visit. Paired and independent t-tests were used to assess within-group and subgroup changes. Outcomes were analysed by glaucoma diagnosis, disease stage based on preoperative visual field mean deviation, and surgical approach. Drop-free status and surgical success were documented. Treatment success was defined as ≥20% IOP reduction and/or reduction in topical medications.",
        "Results": "Thirty-one eyes were included (POAG 20, PACG 10, NTG 1). Mean IOP decreased from 18.06±5.15 to 13.10±4.52 mmHg at 36 months (−27.5%), and medications from 2.26±1.06 to 1.23±1.12 drops (−45.7%). POAG showed 26.8% IOP and 54% medication reduction, PACG 29.2% IOP and 21% medication reduction. The greatest IOP reduction occurred in advanced glaucoma (−10.5 mmHg). 35.5% of eyes were drop-free at 36 months. Combined procedures (n=24) achieved 29.9% IOP and 51% medication reduction, compared with 17.9% IOP and 31.6% medication reduction in standalone procedures (n=7). Treatment success occurred in 27/31 eyes (87.1%). Four eyes developed hyphema; three resolved spontaneously and one required washout. No additional glaucoma surgery was required.",
        "Conclusions": "The MINIject supraciliary glaucoma implant provided sustained reductions in IOP and medication burden over three years in a real-world glaucoma cohort. Approximately one-third of eyes remained drop-free at final follow-up. Outcomes were consistent across glaucoma diagnoses, stages, and surgical approaches including combined procedures, with the greatest pressure reduction observed in advanced glaucoma. The procedure demonstrated a favourable safety profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The MINIject supraciliary glaucoma implant provided sustained reductions in IOP and medication burden over three years in a real-world glaucoma cohort. Approximately one-third of eyes remained drop-free at final follow-up. Outcomes were consistent across glaucoma diagnoses, stages, and surgical approaches including combined procedures, with the greatest pressure reduction observed in advanced glaucoma. The…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1324,
      "source_fields": {
        "Abstract Final Identifier": "POGAU065",
        "Title": "Real-World Three-Year Outcomes Of The First Miniject Supraciliary Glaucoma Implants In The Uk",
        "Presenting Author(s)": "Mr Dimitrios Lolos",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Dimitrios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lolos",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the long-term efficacy and safety of the MINIject supraciliary minimally invasive glaucoma surgery (MIGS) implant in reducing intraocular pressure (IOP) and topical medication burden in patients with medically uncontrolled glaucoma, and to assess outcomes by glaucoma diagnosis, including primary open-angle glaucoma (POAG), primary angle-closure glaucoma (PACG) and normal-tension glaucoma (NTG), disease stage, and surgical approach including standalone and combined procedures.",
        "Setting": "Retrospective real-world study conducted at Colchester Eye Centre, a tertiary glaucoma referral centre in the United Kingdom.",
        "Methods": "This retrospective study included 31 eyes with various glaucoma types and stages treated with the MINIject supraciliary glaucoma implant either as a standalone procedure or as part of combined procedures with cataract surgery, with follow-up to 36 months. IOP and topical glaucoma medications were recorded at each visit. Paired and independent t-tests were used to assess within-group and subgroup changes. Outcomes were analysed by glaucoma diagnosis, disease stage based on preoperative visual field mean deviation, and surgical approach. Drop-free status and surgical success were documented. Treatment success was defined as ≥20% IOP reduction and/or reduction in topical medications.",
        "Results": "Thirty-one eyes were included (POAG 20, PACG 10, NTG 1). Mean IOP decreased from 18.06±5.15 to 13.10±4.52 mmHg at 36 months (−27.5%), and medications from 2.26±1.06 to 1.23±1.12 drops (−45.7%). POAG showed 26.8% IOP and 54% medication reduction, PACG 29.2% IOP and 21% medication reduction. The greatest IOP reduction occurred in advanced glaucoma (−10.5 mmHg). 35.5% of eyes were drop-free at 36 months. Combined procedures (n=24) achieved 29.9% IOP and 51% medication reduction, compared with 17.9% IOP and 31.6% medication reduction in standalone procedures (n=7). Treatment success occurred in 27/31 eyes (87.1%). Four eyes developed hyphema; three resolved spontaneously and one required washout. No additional glaucoma surgery was required.",
        "Conclusions": "The MINIject supraciliary glaucoma implant provided sustained reductions in IOP and medication burden over three years in a real-world glaucoma cohort. Approximately one-third of eyes remained drop-free at final follow-up. Outcomes were consistent across glaucoma diagnoses, stages, and surgical approaches including combined procedures, with the greatest pressure reduction observed in advanced glaucoma. The procedure demonstrated a favourable safety profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "POGAU066",
      "abstract_number": "POGAU066",
      "title": "Real-World Predictors Of 12-Month Success Of A Supraciliary Drainage Device (Star-Life)",
      "authors": "Prof. Dr Kaweh Mansouri",
      "presenter": "Prof. Dr Kaweh Mansouri",
      "normalized_authors": [
        "Kaweh Mansouri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kaweh Mansouri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "Baseline predictors of 12-month success in glaucoma patients post-implantation of a minimally-invasive drainage device (MINIject ® ; iSTAR Medical, Belgium) implanted into the supraciliary space was studied in a real-world setting. Patients were treated in either a standalone procedure (phakic or pseudophakic) or combined with cataract surgery, and followed according to the surgeon’s standard of care.",
        "Setting": "STAR-LIFE is a real-world registry with follow-up until two years in up to 320 adult patients. From 13 sites in Switzerland, UK, Germany, and Austria, a preliminary, interim analysis of the first 218 patients with 12-month follow-up was performed to determine whether any baseline factors influenced success. Patients were predominantly diagnosed with POAG (73.4%) or pseudoexfoliation glaucoma (17.0%). They were majority Caucasian (85.8%) or of African descent (7.8%).",
        "Methods": "Success was defined as IOP≤21mmHg with no secondary surgery for IOP, and no medication increase, with either IOP-lowering ≥20% or a medication reduction compared with baseline. Factors associated with success with a p-value <0.20 in the univariate analysis were introduced into the multivariate analysis. Collinearity was evaluated, with a correlation coefficient >0.50 considered strong. Separate multivariate models evaluated strongly collinear variables.",
        "Results": "The average visual field mean deviation (VF MD) was -9.5±7.6 dB (moderate severity) and the investigator assessed patients as having mostly moderate (40.8%) or severe (32.1%) glaucoma. Standalone MINIject implantation was performed in 71.6% of cases. Secondary IOP-lowering surgery was performed in 17.0% patients before 12-months, and success was achieved by 57.3% patients. Factors correlated with success were combined surgery (standalone OR: 0.32 [0.15, 0.69]; p=0.004) and lower IOP at 3 months (high IOP OR: 0.88 [0.83, 0.94]; p<0.001). Age, gender, lens status, glaucoma severity, prior glaucoma surgery, prior SLT/ALT/ECP, CAI use at baseline, and starting IOP or medications were not significantly correlated with success.",
        "Conclusions": "In this predominantly Caucasian, POAG population in various European centres in the STAR-LIFE study, combined surgery and IOP at 3 months increased the likelihood of success after MINIject implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this predominantly Caucasian, POAG population in various European centres in the STAR-LIFE study, combined surgery and IOP at 3 months increased the likelihood of success after MINIject implantation.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1325,
      "source_fields": {
        "Abstract Final Identifier": "POGAU066",
        "Title": "Real-World Predictors Of 12-Month Success Of A Supraciliary Drainage Device (Star-Life)",
        "Presenting Author(s)": "Prof. Dr Kaweh Mansouri",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Kaweh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mansouri",
        "Country Name": "Switzerland",
        "Purpose": "Baseline predictors of 12-month success in glaucoma patients post-implantation of a minimally-invasive drainage device (MINIject ® ; iSTAR Medical, Belgium) implanted into the supraciliary space was studied in a real-world setting. Patients were treated in either a standalone procedure (phakic or pseudophakic) or combined with cataract surgery, and followed according to the surgeon’s standard of care.",
        "Setting": "STAR-LIFE is a real-world registry with follow-up until two years in up to 320 adult patients. From 13 sites in Switzerland, UK, Germany, and Austria, a preliminary, interim analysis of the first 218 patients with 12-month follow-up was performed to determine whether any baseline factors influenced success. Patients were predominantly diagnosed with POAG (73.4%) or pseudoexfoliation glaucoma (17.0%). They were majority Caucasian (85.8%) or of African descent (7.8%).",
        "Methods": "Success was defined as IOP≤21mmHg with no secondary surgery for IOP, and no medication increase, with either IOP-lowering ≥20% or a medication reduction compared with baseline. Factors associated with success with a p-value <0.20 in the univariate analysis were introduced into the multivariate analysis. Collinearity was evaluated, with a correlation coefficient >0.50 considered strong. Separate multivariate models evaluated strongly collinear variables.",
        "Results": "The average visual field mean deviation (VF MD) was -9.5±7.6 dB (moderate severity) and the investigator assessed patients as having mostly moderate (40.8%) or severe (32.1%) glaucoma. Standalone MINIject implantation was performed in 71.6% of cases. Secondary IOP-lowering surgery was performed in 17.0% patients before 12-months, and success was achieved by 57.3% patients. Factors correlated with success were combined surgery (standalone OR: 0.32 [0.15, 0.69]; p=0.004) and lower IOP at 3 months (high IOP OR: 0.88 [0.83, 0.94]; p<0.001). Age, gender, lens status, glaucoma severity, prior glaucoma surgery, prior SLT/ALT/ECP, CAI use at baseline, and starting IOP or medications were not significantly correlated with success.",
        "Conclusions": "In this predominantly Caucasian, POAG population in various European centres in the STAR-LIFE study, combined surgery and IOP at 3 months increased the likelihood of success after MINIject implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POGAU067",
      "abstract_number": "POGAU067",
      "title": "Three Years Follow Up Of Ab Interno Canaloplasty (Abic) In Tertiary Ophthalmology Academic Ward.",
      "authors": "Dr Wojciech Wiktor Maruszczyk",
      "presenter": "Dr Wojciech Wiktor Maruszczyk",
      "normalized_authors": [
        "Wojciech Wiktor Maruszczyk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wojciech Wiktor Maruszczyk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Canaloplasty is one of the minimally invasive surgical glaucoma treatment method. There are many modifications, including the ab interno and ab externo access. The procedure purpose is to improve the natural outflow of aqueous humor through the Schlemm's canal. After intervention hypotony can be avoided since aqueous is allowed to drain via the physiological outflow system. The aim of the study is to evaluate the efficacy and safety of ABiC for the treatment of open angle glaucoma in various patients in 3 years follow-up period. We have expanded the scope of the study.",
        "Setting": "Department of Ophthalmology, Prof. K. Gibinski University Clinical Centre, Medical University of Silesia in Katowice, Katowice – Poland",
        "Methods": "Patients with diagnosed glaucoma and insufficiently regulated intraocular pressure despite maximally tolerable antiglaucoma medications were selected to the study. We included 52 adult patients with various open angle glaucoma subtypes. All of them underwent ABiC procedure between 2017 to 2022 and had at least 3 years of follow-up period. Patients were treated with the modern ab-interno surgical technique using the iTrack canaloplasty microcatheter (Nova Eye Medical). Patients with 360-degree successful catheterization only were selected for this study. After the procedure we assessed the post-operative IOP, BCVA, OCT, the number of adverse events and complications and the number of antiglaucoma medications.",
        "Results": "The mean IOP was 23.31±9.10mmHg, 15.41±5.49mmHg, 16.41±4.36 mmHg, 16.89±3.51 mmHg, 16.6±3.56 mmHg, 15.35±3.87 mmHg, 15.46±2.60 mmHg, 15.52±2.48 mmHg and 15.76±3.43 mmHg before, 1 day, 1, 3, 6, 12, 18, 24, 36 months after the surgery, respectively. The mean usage of the antiglaucoma topical medications was 2.6±1.07, 1.19±1.27, 1.93±1.1, 1.74±1.1, 1.83±1.34, 1.85±1.14, 2.23±1.24, 2.31±1.28 and 2.32±1.36, before, 1 day, 1, 3, 6, 12, 18, 24 and 36 months after the surgery, respectively. There were no significant changes observed in the GCC. No decrease in BCVA and no severe complications were observed. Some of the patients after the surgery were qualified for another antiglaucoma surgery due to insufficient intraocular pressure reduction.",
        "Conclusions": "After the procedure the mean IOP reduction and stabilisation was observed. Ab-interno canaloplasty appears to be a safe and effective treatment for glaucoma in all stages of the disease, although further studies are required to assess the long-term effect and late postoperative complication rate"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "After the procedure the mean IOP reduction and stabilisation was observed. Ab-interno canaloplasty appears to be a safe and effective treatment for glaucoma in all stages of the disease, although further studies are required to assess the long-term effect and late postoperative complication rate",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1326,
      "source_fields": {
        "Abstract Final Identifier": "POGAU067",
        "Title": "Three Years Follow Up Of Ab Interno Canaloplasty (Abic) In Tertiary Ophthalmology Academic Ward.",
        "Presenting Author(s)": "Dr Wojciech Wiktor Maruszczyk",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Wojciech",
        "Submitter Middle Name": "Wiktor",
        "Submitter Last Name": "Maruszczyk",
        "Country Name": "Poland",
        "Purpose": "Canaloplasty is one of the minimally invasive surgical glaucoma treatment method. There are many modifications, including the ab interno and ab externo access. The procedure purpose is to improve the natural outflow of aqueous humor through the Schlemm's canal. After intervention hypotony can be avoided since aqueous is allowed to drain via the physiological outflow system. The aim of the study is to evaluate the efficacy and safety of ABiC for the treatment of open angle glaucoma in various patients in 3 years follow-up period. We have expanded the scope of the study.",
        "Setting": "Department of Ophthalmology, Prof. K. Gibinski University Clinical Centre, Medical University of Silesia in Katowice, Katowice – Poland",
        "Methods": "Patients with diagnosed glaucoma and insufficiently regulated intraocular pressure despite maximally tolerable antiglaucoma medications were selected to the study. We included 52 adult patients with various open angle glaucoma subtypes. All of them underwent ABiC procedure between 2017 to 2022 and had at least 3 years of follow-up period. Patients were treated with the modern ab-interno surgical technique using the iTrack canaloplasty microcatheter (Nova Eye Medical). Patients with 360-degree successful catheterization only were selected for this study. After the procedure we assessed the post-operative IOP, BCVA, OCT, the number of adverse events and complications and the number of antiglaucoma medications.",
        "Results": "The mean IOP was 23.31±9.10mmHg, 15.41±5.49mmHg, 16.41±4.36 mmHg, 16.89±3.51 mmHg, 16.6±3.56 mmHg, 15.35±3.87 mmHg, 15.46±2.60 mmHg, 15.52±2.48 mmHg and 15.76±3.43 mmHg before, 1 day, 1, 3, 6, 12, 18, 24, 36 months after the surgery, respectively. The mean usage of the antiglaucoma topical medications was 2.6±1.07, 1.19±1.27, 1.93±1.1, 1.74±1.1, 1.83±1.34, 1.85±1.14, 2.23±1.24, 2.31±1.28 and 2.32±1.36, before, 1 day, 1, 3, 6, 12, 18, 24 and 36 months after the surgery, respectively. There were no significant changes observed in the GCC. No decrease in BCVA and no severe complications were observed. Some of the patients after the surgery were qualified for another antiglaucoma surgery due to insufficient intraocular pressure reduction.",
        "Conclusions": "After the procedure the mean IOP reduction and stabilisation was observed. Ab-interno canaloplasty appears to be a safe and effective treatment for glaucoma in all stages of the disease, although further studies are required to assess the long-term effect and late postoperative complication rate"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 417
    },
    {
      "uid": "POGAU068",
      "abstract_number": "POGAU068",
      "title": "Visualization Of The Anterior Chamber Angle Using Trypan Blue During Migs With A 3D Heads-Up System",
      "authors": "Dr Michael Adrian Milcu",
      "presenter": "Dr Michael Adrian Milcu",
      "normalized_authors": [
        "Michael Adrian Milcu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Adrian Milcu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate whether trypan blue improves intraoperative visualization and differentiation of AC angle structures during angle-based MIGS performed under a 3D heads-up system.",
        "Setting": "Visualization of the anterior chamber angle is critical for successful angle-based minimally invasive glaucoma surgery (MIGS). Even with modern 3D heads-up visualization systems, differentiation of trabecular meshwork and adjacent landmarks may remain challenging. In routine cataract surgery, trypan blue frequently stains the trabecular meshwork when present in the anterior chamber (AC), potentially enhancing contrast. Objective evidence for its impact during MIGS is lacking.",
        "Methods": "This retrospective single-center comparative study included 40 eyes undergoing angle-based MIGS with a 3D heads-up visualization system, grouped by presence or absence of trypan blue in the anterior chamber. Anonymized surgical videos were reviewed, and a standardized still frame with stable gonioscopic visualization was selected per case. ImageJ-based localized intensity analysis was performed using two predefined ROIs (trabecular meshwork and adjacent reference tissue) to calculate absolute gray-level separation and contrast-to-noise ratio. Procedural efficiency (time to secure recognition and engagement, instrument repositioning) and early safety events were recorded. Groups were compared using non-parametric tests.",
        "Results": "Twenty-eight cases have been evaluated to date, including 18 without trypan blue and 10 with trypan blue. Local intensity analysis demonstrated higher absolute TM–reference gray-level separation in the trypan blue group (median 30.4 vs 21.8). This difference showed a positive trend but did not reach statistical significance (p = 0.146). No significant difference was observed for CNR (p = 0.760). A trend toward faster target structure recognition and fewer instrument repositioning attempts has been observed in the trypan blue group. Final statistical evaluation is pending.",
        "Conclusions": "Trypan blue may enhance visualization of AC angle structures during MIGS performed under a 3D heads-up system. Objective video-based analysis enables quantitative assessment of visualization quality and surgical efficiency. This simple and low-cost approach may support more efficient differentiation of AC angle structures making angle-based MIGS safer."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trypan blue may enhance visualization of AC angle structures during MIGS performed under a 3D heads-up system. Objective video-based analysis enables quantitative assessment of visualization quality and surgical efficiency. This simple and low-cost approach may support more efficient differentiation of AC angle structures making angle-based MIGS safer.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1327,
      "source_fields": {
        "Abstract Final Identifier": "POGAU068",
        "Title": "Visualization Of The Anterior Chamber Angle Using Trypan Blue During Migs With A 3D Heads-Up System",
        "Presenting Author(s)": "Dr Michael Adrian Milcu",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "Adrian",
        "Submitter Last Name": "Milcu",
        "Country Name": "Germany",
        "Purpose": "To evaluate whether trypan blue improves intraoperative visualization and differentiation of AC angle structures during angle-based MIGS performed under a 3D heads-up system.",
        "Setting": "Visualization of the anterior chamber angle is critical for successful angle-based minimally invasive glaucoma surgery (MIGS). Even with modern 3D heads-up visualization systems, differentiation of trabecular meshwork and adjacent landmarks may remain challenging. In routine cataract surgery, trypan blue frequently stains the trabecular meshwork when present in the anterior chamber (AC), potentially enhancing contrast. Objective evidence for its impact during MIGS is lacking.",
        "Methods": "This retrospective single-center comparative study included 40 eyes undergoing angle-based MIGS with a 3D heads-up visualization system, grouped by presence or absence of trypan blue in the anterior chamber. Anonymized surgical videos were reviewed, and a standardized still frame with stable gonioscopic visualization was selected per case. ImageJ-based localized intensity analysis was performed using two predefined ROIs (trabecular meshwork and adjacent reference tissue) to calculate absolute gray-level separation and contrast-to-noise ratio. Procedural efficiency (time to secure recognition and engagement, instrument repositioning) and early safety events were recorded. Groups were compared using non-parametric tests.",
        "Results": "Twenty-eight cases have been evaluated to date, including 18 without trypan blue and 10 with trypan blue. Local intensity analysis demonstrated higher absolute TM–reference gray-level separation in the trypan blue group (median 30.4 vs 21.8). This difference showed a positive trend but did not reach statistical significance (p = 0.146). No significant difference was observed for CNR (p = 0.760). A trend toward faster target structure recognition and fewer instrument repositioning attempts has been observed in the trypan blue group. Final statistical evaluation is pending.",
        "Conclusions": "Trypan blue may enhance visualization of AC angle structures during MIGS performed under a 3D heads-up system. Objective video-based analysis enables quantitative assessment of visualization quality and surgical efficiency. This simple and low-cost approach may support more efficient differentiation of AC angle structures making angle-based MIGS safer."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POGAU069",
      "abstract_number": "POGAU069",
      "title": "Clinical Outcomes Of A Surgeon’S First 20 Cases Of Istent Implanted As An Adjunct To Cataract Surgery",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the effectiveness of combined phacoemulsification + IOL and iStent implantation for the reduction of intraocular pressure and glaucoma medication burden. Outcomes were compared against nationally established benchmarks of ≥22% IOP reduction and ≥1 medication reduction in at least 50% of the patients.",
        "Setting": "Single surgeon practice in South Wales with patients who underwent cataract surgery and the iStent procedure.",
        "Methods": "A retrospective audit of the first 20 consecutive eyes undergoing phakoemulsification + IOL and iStent implantation in a single surgeon's practice was performed. Inclusion criteria included a diagnosis of primary open angle glaucoma, ocular hypertension requiring topical treatment or normal tension glaucoma, as well as a minimal follow up of 2 months. We recorded preoperative and postoperative IOP, and the number of medications used. Percentage IOP reduction and proportion of patients achieving ≥1 medication reduction was calculated and compared with published benchmarks.",
        "Results": "Twenty eyes were included and the mean preoperative IOP was 17.3mmHg, which reduced to a mean postoperative IOP of 11.5mm Hg. An IOP reduction of 34% on average was seen, exceeding the national benchmark. Reduction of at least one medication was noticed in 50% of patients with several patients able to discontinue topical medication",
        "Conclusions": "Combined phakoemulsification + IOL and iStent implantation resulted in a clinically significant reduction in IOP, exceeding the national benchmark by 12%, and a reduction in glaucoma medication burden that meets the national benchmark. This audit shows that outcomes for a new adopter of iStent are comparable to the established national standards, supporting the effectiveness of iStent implantation for patients with glaucoma and ocular hypertension requiring treatment, and for new surgeons who wish to introduce iStent into their practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined phakoemulsification + IOL and iStent implantation resulted in a clinically significant reduction in IOP, exceeding the national benchmark by 12%, and a reduction in glaucoma medication burden that meets the national benchmark. This audit shows that outcomes for a new adopter of iStent are comparable to the established national standards, supporting the effectiveness of iStent implantation for patients with…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1328,
      "source_fields": {
        "Abstract Final Identifier": "POGAU069",
        "Title": "Clinical Outcomes Of A Surgeon’S First 20 Cases Of Istent Implanted As An Adjunct To Cataract Surgery",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the effectiveness of combined phacoemulsification + IOL and iStent implantation for the reduction of intraocular pressure and glaucoma medication burden. Outcomes were compared against nationally established benchmarks of ≥22% IOP reduction and ≥1 medication reduction in at least 50% of the patients.",
        "Setting": "Single surgeon practice in South Wales with patients who underwent cataract surgery and the iStent procedure.",
        "Methods": "A retrospective audit of the first 20 consecutive eyes undergoing phakoemulsification + IOL and iStent implantation in a single surgeon's practice was performed. Inclusion criteria included a diagnosis of primary open angle glaucoma, ocular hypertension requiring topical treatment or normal tension glaucoma, as well as a minimal follow up of 2 months. We recorded preoperative and postoperative IOP, and the number of medications used. Percentage IOP reduction and proportion of patients achieving ≥1 medication reduction was calculated and compared with published benchmarks.",
        "Results": "Twenty eyes were included and the mean preoperative IOP was 17.3mmHg, which reduced to a mean postoperative IOP of 11.5mm Hg. An IOP reduction of 34% on average was seen, exceeding the national benchmark. Reduction of at least one medication was noticed in 50% of patients with several patients able to discontinue topical medication",
        "Conclusions": "Combined phakoemulsification + IOL and iStent implantation resulted in a clinically significant reduction in IOP, exceeding the national benchmark by 12%, and a reduction in glaucoma medication burden that meets the national benchmark. This audit shows that outcomes for a new adopter of iStent are comparable to the established national standards, supporting the effectiveness of iStent implantation for patients with glaucoma and ocular hypertension requiring treatment, and for new surgeons who wish to introduce iStent into their practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POGAU070",
      "abstract_number": "POGAU070",
      "title": "Efficacy And Safety Of Canaloplasty Vs. Gatt In Glaucoma: 6-Year Outcomes",
      "authors": "Dr James T Murphy",
      "presenter": "Dr James T Murphy",
      "normalized_authors": [
        "James T Murphy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "James T Murphy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To investigate the outcomes of ab-interno canaloplasty with the iTrack microcatheter (Nova Eye Medical, Fremont, USA) performed as a standalone procedure or in combination with gonioscopy-assisted transluminal trabeculotomy (GATT).",
        "Setting": "single-center, retrospective case series",
        "Methods": "This single-center, retrospective case series included patients with moderate to severe primary open-angle glaucoma and no history of glaucoma surgery, except for SLT or CPC, who underwent ab-interno canaloplasty (ABiC group) or ABiC combined with GATT (ABiC+GATT). All eyes, except one, underwent canaloplasty combined with phacoemulsification. The primary endpoints were mean intraocular pressure (IOP) and the mean number of medications. P values were provided only for groups with ≥10 eyes.",
        "Results": "21 eyes (5 ABiC and 16 ABiC+GATT) were included. The mean baseline IOP (mmHg) was 24.0±5.1 in the ABiC group and 21.8±5.4 in the ABiC+GATT group. At the 3- and 5-year follow-up, mean IOP decreased to 13.2±1.1 (-45%) and 13.4±1.5 (-44%) in the ABiC group, and to 13.6±1.8 (-37%; p<0.001) and 13.6±2.1 (-37%; n=8) in the ABiC+GATT group. In the ABiC group, the p value was not available (n=5), but the IOP reduction ranged from 5 to 20 mmHg. Medication use remained stable in the ABiC group (from 1.8±1.1 at baseline to 1.4±1.5 at all timepoints), while the reduction was significant in the ABiC+GATT group: 3.1±1.4 at baseline vs 1.8±0.8 (p=0.003) and 1.3±0.5 (n=8) at the 3- and 5-year follow-up.",
        "Conclusions": "In eyes with glaucoma, ab-interno canaloplasty combined with phacoemulsification resulted in a sustained and comparable reduction in IOP up to 5 years postoperatively, whether performed as a standalone procedure or in combination with GATT. A larger cohort is needed to validate these results"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with glaucoma, ab-interno canaloplasty combined with phacoemulsification resulted in a sustained and comparable reduction in IOP up to 5 years postoperatively, whether performed as a standalone procedure or in combination with GATT. A larger cohort is needed to validate these results",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1329,
      "source_fields": {
        "Abstract Final Identifier": "POGAU070",
        "Title": "Efficacy And Safety Of Canaloplasty Vs. Gatt In Glaucoma: 6-Year Outcomes",
        "Presenting Author(s)": "Dr James T Murphy",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "James",
        "Submitter Middle Name": "T",
        "Submitter Last Name": "Murphy",
        "Country Name": "United States",
        "Purpose": "To investigate the outcomes of ab-interno canaloplasty with the iTrack microcatheter (Nova Eye Medical, Fremont, USA) performed as a standalone procedure or in combination with gonioscopy-assisted transluminal trabeculotomy (GATT).",
        "Setting": "single-center, retrospective case series",
        "Methods": "This single-center, retrospective case series included patients with moderate to severe primary open-angle glaucoma and no history of glaucoma surgery, except for SLT or CPC, who underwent ab-interno canaloplasty (ABiC group) or ABiC combined with GATT (ABiC+GATT). All eyes, except one, underwent canaloplasty combined with phacoemulsification. The primary endpoints were mean intraocular pressure (IOP) and the mean number of medications. P values were provided only for groups with ≥10 eyes.",
        "Results": "21 eyes (5 ABiC and 16 ABiC+GATT) were included. The mean baseline IOP (mmHg) was 24.0±5.1 in the ABiC group and 21.8±5.4 in the ABiC+GATT group. At the 3- and 5-year follow-up, mean IOP decreased to 13.2±1.1 (-45%) and 13.4±1.5 (-44%) in the ABiC group, and to 13.6±1.8 (-37%; p<0.001) and 13.6±2.1 (-37%; n=8) in the ABiC+GATT group. In the ABiC group, the p value was not available (n=5), but the IOP reduction ranged from 5 to 20 mmHg. Medication use remained stable in the ABiC group (from 1.8±1.1 at baseline to 1.4±1.5 at all timepoints), while the reduction was significant in the ABiC+GATT group: 3.1±1.4 at baseline vs 1.8±0.8 (p=0.003) and 1.3±0.5 (n=8) at the 3- and 5-year follow-up.",
        "Conclusions": "In eyes with glaucoma, ab-interno canaloplasty combined with phacoemulsification resulted in a sustained and comparable reduction in IOP up to 5 years postoperatively, whether performed as a standalone procedure or in combination with GATT. A larger cohort is needed to validate these results"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POGAU071",
      "abstract_number": "POGAU071",
      "title": "Real-World Excimer Laser Trabeculostomy Combined With Cataract Surgery In Patients With Primary Open Angle Glaucoma Or Ocular Hypertension: Safety And Effectiveness At 1 Month",
      "authors": "Dr Lisa Nijm",
      "presenter": "Dr Lisa Nijm",
      "normalized_authors": [
        "Lisa Nijm"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lisa Nijm",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Excimer laser trabeculostomy is a form of minimally invasive glaucoma surgery (MIGS) that enables precise creation of microchannels in the trabecular meshwork (TM) to facilitate aqueous outflow, reducing intraocular pressure (IOP) whilst preserving the integrity, structure, and function of the TM. The ELIOS device is a clinically validated excimer laser trabeculostomy MIGS, with CE-marking (Bausch + Lomb). The aim of this study was to assess clinical outcomes of Elios in combination with cataract surgery in patients with primary open angle glaucoma (POAG) or ocular hypertension (OHT) at 1 month postoperatively.",
        "Setting": "This was a retrospective, single-arm study conducted by a group of US physicians receiving training at a single site in Panama between January 2024 and August 2025.",
        "Methods": "The ELIOS procedure uses a 308-nm XeCL excimer laser to create ten 210-µm diameter microchannels in the TM within a 90–110° treatment area, facilitating aqueous outflow without a retained implant. No antimetabolites were used. Patients had POAG (n=25, 41 eyes) or OHT (n=84, 117 eyes), and no history of ocular surgeries or laser treatment. ELIOS was performed in 158 eyes of 109 patients, bilaterally (n=48) and unliterally (n=61; OD=35, OS=26). IOP, number of topical IOP-lowering medications, and best-corrected visual acuity (BCVA) were recorded pre- and 1-month post-operatively. Intra- and post-operative interventions and adverse events (AEs) were also recorded. Further follow-up is ongoing.",
        "Results": "Mean±SD age was 71.4±8.8 years; 53% were female. For POAG and OHT groups, respectively, mean±SD medicated preoperative IOP was 19.6±6.5 and 21.7±2.7, number of IOP-lowering medications per patient was 0.36±0.76 and 0.04±0.19, and BCVA was 0.89±0.60 (n=37) and 0.98±0.53 logMAR (n=108). At 1-month postoperative, for POAG and OHT groups, respectively, mean±SD medicated IOP was 16.3±5.0 (n=39, Δ16.8%) and 18.2±3.6 (n=107, Δ16.4%), number of IOP-lowering medications was 0.20±0.50 (n=25, Δ44.4%) and 0.00±0.00 (n=84, Δ100%), and BCVA was 0.35±0.25 (n=39, Δ60.6%) and 0.36±0.22 logMAR (n=113, Δ63.7%). One patient required postoperative intervention for IOP control and hyphaema. No other interventions or AEs were reported.",
        "Conclusions": "In this study of patients with POAG and OHT undergoing Elios MIGS with cataract surgery, mean IOP was reduced to below the European Glaucoma Society target range for early glaucoma (<20 mmHg) and approaching that for mild-to-moderate (<17 mmHg and 25% reduction) with few topical IOP-lowering medications, and with a low occurrence of intra- or post-operative interventions and AEs. Further data with a longer follow up are required to demonstrate the durability of this intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this study of patients with POAG and OHT undergoing Elios MIGS with cataract surgery, mean IOP was reduced to below the European Glaucoma Society target range for early glaucoma (<20 mmHg) and approaching that for mild-to-moderate (<17 mmHg and 25% reduction) with few topical IOP-lowering medications, and with a low occurrence of intra- or post-operative interventions and AEs. Further data with a longer follow…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1330,
      "source_fields": {
        "Abstract Final Identifier": "POGAU071",
        "Title": "Real-World Excimer Laser Trabeculostomy Combined With Cataract Surgery In Patients With Primary Open Angle Glaucoma Or Ocular Hypertension: Safety And Effectiveness At 1 Month",
        "Presenting Author(s)": "Dr Lisa Nijm",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Lisa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nijm",
        "Country Name": "United States",
        "Purpose": "Excimer laser trabeculostomy is a form of minimally invasive glaucoma surgery (MIGS) that enables precise creation of microchannels in the trabecular meshwork (TM) to facilitate aqueous outflow, reducing intraocular pressure (IOP) whilst preserving the integrity, structure, and function of the TM. The ELIOS device is a clinically validated excimer laser trabeculostomy MIGS, with CE-marking (Bausch + Lomb). The aim of this study was to assess clinical outcomes of Elios in combination with cataract surgery in patients with primary open angle glaucoma (POAG) or ocular hypertension (OHT) at 1 month postoperatively.",
        "Setting": "This was a retrospective, single-arm study conducted by a group of US physicians receiving training at a single site in Panama between January 2024 and August 2025.",
        "Methods": "The ELIOS procedure uses a 308-nm XeCL excimer laser to create ten 210-µm diameter microchannels in the TM within a 90–110° treatment area, facilitating aqueous outflow without a retained implant. No antimetabolites were used. Patients had POAG (n=25, 41 eyes) or OHT (n=84, 117 eyes), and no history of ocular surgeries or laser treatment. ELIOS was performed in 158 eyes of 109 patients, bilaterally (n=48) and unliterally (n=61; OD=35, OS=26). IOP, number of topical IOP-lowering medications, and best-corrected visual acuity (BCVA) were recorded pre- and 1-month post-operatively. Intra- and post-operative interventions and adverse events (AEs) were also recorded. Further follow-up is ongoing.",
        "Results": "Mean±SD age was 71.4±8.8 years; 53% were female. For POAG and OHT groups, respectively, mean±SD medicated preoperative IOP was 19.6±6.5 and 21.7±2.7, number of IOP-lowering medications per patient was 0.36±0.76 and 0.04±0.19, and BCVA was 0.89±0.60 (n=37) and 0.98±0.53 logMAR (n=108). At 1-month postoperative, for POAG and OHT groups, respectively, mean±SD medicated IOP was 16.3±5.0 (n=39, Δ16.8%) and 18.2±3.6 (n=107, Δ16.4%), number of IOP-lowering medications was 0.20±0.50 (n=25, Δ44.4%) and 0.00±0.00 (n=84, Δ100%), and BCVA was 0.35±0.25 (n=39, Δ60.6%) and 0.36±0.22 logMAR (n=113, Δ63.7%). One patient required postoperative intervention for IOP control and hyphaema. No other interventions or AEs were reported.",
        "Conclusions": "In this study of patients with POAG and OHT undergoing Elios MIGS with cataract surgery, mean IOP was reduced to below the European Glaucoma Society target range for early glaucoma (<20 mmHg) and approaching that for mild-to-moderate (<17 mmHg and 25% reduction) with few topical IOP-lowering medications, and with a low occurrence of intra- or post-operative interventions and AEs. Further data with a longer follow up are required to demonstrate the durability of this intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 456
    },
    {
      "uid": "POGAU072",
      "abstract_number": "POGAU072",
      "title": "Ab Interno Approach To Surgical Treatment Of Different Types Of Glaucoma. 15 Years Of Experience.",
      "authors": "Prof. Dr Ihor Novytskyy",
      "presenter": "Prof. Dr Ihor Novytskyy",
      "normalized_authors": [
        "Ihor Novytskyy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ihor Novytskyy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To investigate the effectiveness of the ab interno approach in the surgical treatment of open-angle and angle-closure glaucoma",
        "Setting": "Recently, microinvasive glaucoma surgery has become the preferred method of treating glaucoma. In open-angle glaucoma, the most effective surgery is to improve outflow of intraocular fluid through the trabecular outflow pathways by removing trabecular tissue. In angle-closure glaucoma, the main goal of surgery is to open the anterior chamber angle.",
        "Methods": "There were 276 patients with open-angle glaucoma and 34 patients with angle-closure glaucoma under our observation. Only one eye of each patient was taken for analysis.\n\nFor patients with open-angle glaucoma, Endotrabeculectomy (ETE) – ab interno trabeculae ablation with the forceps after deepening of the chamber anterior with viscoelastics – was performed. ETE was combined with phacoemulsification (Phaco). For patients with angle-closure glaucoma, Goniosynechiolysis (GSL) was performed mechanically with the use of a spatula. The need for GSL was identified intraoperatively after Phaco. GSL was performed in cases when the anterior angle failed to open after Phaco and deepening of the anterior chamber with viscoelastics.",
        "Results": "In the group of patients who underwent ETE+Phaco mean preoperative IOP was 21.6±2.2 mmHg, and the mean preoperative number of glaucoma medications was 2.6±0.8. 24 months after surgery, IOP decreased to 15.4±1.6 mmHg, and the number of glaucoma medications decreased to 1.1±0.7.\n\nIn the group of patients who underwent Phaco+GSL, IOP decreased from 28.7±4.7 to 18.3 ±1.3 mmHg 24 months after the operation. Mean number of glaucoma medications decreased from 2.4±0.7 before operation to 1.1±0.7 24 months after operation. According to the results of OCT, after Phaco+GSL, the width of the ACA increased from 15.3±3.8° before operation to 29.1±2.9° 24 months after the operation.",
        "Conclusions": "Ab interno approach to the anterior chamber angle is an effective minimally invasive surgical technique for both open-angle and angle-closure glaucoma. A combination of surgery with phacoemulsification may be recommended."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ab interno approach to the anterior chamber angle is an effective minimally invasive surgical technique for both open-angle and angle-closure glaucoma. A combination of surgery with phacoemulsification may be recommended.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1331,
      "source_fields": {
        "Abstract Final Identifier": "POGAU072",
        "Title": "Ab Interno Approach To Surgical Treatment Of Different Types Of Glaucoma. 15 Years Of Experience.",
        "Presenting Author(s)": "Prof. Dr Ihor Novytskyy",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ihor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Novytskyy",
        "Country Name": "Ukraine",
        "Purpose": "To investigate the effectiveness of the ab interno approach in the surgical treatment of open-angle and angle-closure glaucoma",
        "Setting": "Recently, microinvasive glaucoma surgery has become the preferred method of treating glaucoma. In open-angle glaucoma, the most effective surgery is to improve outflow of intraocular fluid through the trabecular outflow pathways by removing trabecular tissue. In angle-closure glaucoma, the main goal of surgery is to open the anterior chamber angle.",
        "Methods": "There were 276 patients with open-angle glaucoma and 34 patients with angle-closure glaucoma under our observation. Only one eye of each patient was taken for analysis.\n\nFor patients with open-angle glaucoma, Endotrabeculectomy (ETE) – ab interno trabeculae ablation with the forceps after deepening of the chamber anterior with viscoelastics – was performed. ETE was combined with phacoemulsification (Phaco). For patients with angle-closure glaucoma, Goniosynechiolysis (GSL) was performed mechanically with the use of a spatula. The need for GSL was identified intraoperatively after Phaco. GSL was performed in cases when the anterior angle failed to open after Phaco and deepening of the anterior chamber with viscoelastics.",
        "Results": "In the group of patients who underwent ETE+Phaco mean preoperative IOP was 21.6±2.2 mmHg, and the mean preoperative number of glaucoma medications was 2.6±0.8. 24 months after surgery, IOP decreased to 15.4±1.6 mmHg, and the number of glaucoma medications decreased to 1.1±0.7.\n\nIn the group of patients who underwent Phaco+GSL, IOP decreased from 28.7±4.7 to 18.3 ±1.3 mmHg 24 months after the operation. Mean number of glaucoma medications decreased from 2.4±0.7 before operation to 1.1±0.7 24 months after operation. According to the results of OCT, after Phaco+GSL, the width of the ACA increased from 15.3±3.8° before operation to 29.1±2.9° 24 months after the operation.",
        "Conclusions": "Ab interno approach to the anterior chamber angle is an effective minimally invasive surgical technique for both open-angle and angle-closure glaucoma. A combination of surgery with phacoemulsification may be recommended."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "POGAU073",
      "abstract_number": "POGAU073",
      "title": "Implementation Of Minimally Invasive Nasal Trabeculostomy (Mint) In Malawi",
      "authors": "Dr Chinsisi Chrissie Namate Nyirenda",
      "presenter": "Dr Chinsisi Chrissie Namate Nyirenda",
      "normalized_authors": [
        "Chinsisi Chrissie Namate Nyirenda"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chinsisi Nyirenda",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malawi",
      "sections": {
        "Purpose": "To overcome the poor availability and compliance of anti-glaucoma medications in Malawi, implementation of a minimally invasive glaucoma surgery (MIGS) is indicated. MINT is a simple surgical procedure that theoretically can be performed by all eye-surgeons in Malawi and provide better eye-care to the over 20 million citizens of this country. We report here a successful implementation of MINT surgery performed by a team of local ophthalmologists, one glaucoma specialist and 3 additional ophthalmologists from other sub-specialties.",
        "Setting": "All surgical procedures took place at Zomba Central Hospital in Malawi. Training of the surgeons was done one day before the surgeries in the operating room using artificial human eyes. All participants were of African origin and had ocular hypertension or early/moderate glaucoma. A pilot study was first performed, following which a pivotal study was initiated. Average age was 46±17 (range 17 to 80) years. Most cases were completed in less than 10 minutes. The follow-up is ongoing.",
        "Methods": "The MINT is a hand-held robotic device, that when attached firmly to the trabecular meshwork band, and activated by a foot pedal, automatically creates a hole in the trabecular meshwork. This is repeated 5 times to create 5 holes in the nasal and inferonasal quadrants. The surgeon holds the MINT device with his dominant hand and views the angle structures directly via a \"direct\" gonio lens, held by his other hand. Retrobulbar anesthesia was given in all cases. A temporal paracentesis was used followed by an intra cameral injection of Myochol to constrict the pupil. After filling the AC with a viscoelastic material the MINT device was introduced via the temporal paracentesis to approach the trabecular band in the opposite nasal side.",
        "Results": "13 pilot MINT procedures were done by one glaucoma specialist. There were no intra-operative complications. An average IOP of 14.5mmHg was recored day 1 post surgery with one patient having elevated intraocular pressure. Within 2 months, the average IOP decrease was 19.2±3.2 to 17.1±4.0 mmHg (p=0.16). The number of needed medications decreased by 73%, from 1.5±0.5 to 0.4±0.5 (P<0.0001). 59 MINT operations were then later performed by four eye-surgeons. An avereage IOP of 16mmHg was recorded on day 1 after surgery with one patient having elevated intraocular pressure. However, the number of needed glaucoma medications decreased by 95% from 1.1±0.31 to 0.06±0.24 (P<0.0001).",
        "Conclusions": "Using the MINT device, minimally invasive trabecular surgery can be performed without intraoperative complications by glaucoma and non-glaucoma specialists. This is true for young adults, adults and elderly alike. Early IOP spikes are rare. Glaucoma medication can be stopped immediately after the operation in mild and moderate glaucoma patients with only minimal risk of an early IOP elevation. Extended follow-up shows a persistent substantial decrease in the need for glaucoma medications, MINT can be implemented in many African countries where reliance on glaucoma medications is problematic."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Using the MINT device, minimally invasive trabecular surgery can be performed without intraoperative complications by glaucoma and non-glaucoma specialists. This is true for young adults, adults and elderly alike. Early IOP spikes are rare. Glaucoma medication can be stopped immediately after the operation in mild and moderate glaucoma patients with only minimal risk of an early IOP elevation. Extended follow-up…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1332,
      "source_fields": {
        "Abstract Final Identifier": "POGAU073",
        "Title": "Implementation Of Minimally Invasive Nasal Trabeculostomy (Mint) In Malawi",
        "Presenting Author(s)": "Dr Chinsisi Chrissie Namate Nyirenda",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Chinsisi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nyirenda",
        "Country Name": "Malawi",
        "Purpose": "To overcome the poor availability and compliance of anti-glaucoma medications in Malawi, implementation of a minimally invasive glaucoma surgery (MIGS) is indicated. MINT is a simple surgical procedure that theoretically can be performed by all eye-surgeons in Malawi and provide better eye-care to the over 20 million citizens of this country. We report here a successful implementation of MINT surgery performed by a team of local ophthalmologists, one glaucoma specialist and 3 additional ophthalmologists from other sub-specialties.",
        "Setting": "All surgical procedures took place at Zomba Central Hospital in Malawi. Training of the surgeons was done one day before the surgeries in the operating room using artificial human eyes. All participants were of African origin and had ocular hypertension or early/moderate glaucoma. A pilot study was first performed, following which a pivotal study was initiated. Average age was 46±17 (range 17 to 80) years. Most cases were completed in less than 10 minutes. The follow-up is ongoing.",
        "Methods": "The MINT is a hand-held robotic device, that when attached firmly to the trabecular meshwork band, and activated by a foot pedal, automatically creates a hole in the trabecular meshwork. This is repeated 5 times to create 5 holes in the nasal and inferonasal quadrants. The surgeon holds the MINT device with his dominant hand and views the angle structures directly via a \"direct\" gonio lens, held by his other hand. Retrobulbar anesthesia was given in all cases. A temporal paracentesis was used followed by an intra cameral injection of Myochol to constrict the pupil. After filling the AC with a viscoelastic material the MINT device was introduced via the temporal paracentesis to approach the trabecular band in the opposite nasal side.",
        "Results": "13 pilot MINT procedures were done by one glaucoma specialist. There were no intra-operative complications. An average IOP of 14.5mmHg was recored day 1 post surgery with one patient having elevated intraocular pressure. Within 2 months, the average IOP decrease was 19.2±3.2 to 17.1±4.0 mmHg (p=0.16). The number of needed medications decreased by 73%, from 1.5±0.5 to 0.4±0.5 (P<0.0001). 59 MINT operations were then later performed by four eye-surgeons. An avereage IOP of 16mmHg was recorded on day 1 after surgery with one patient having elevated intraocular pressure. However, the number of needed glaucoma medications decreased by 95% from 1.1±0.31 to 0.06±0.24 (P<0.0001).",
        "Conclusions": "Using the MINT device, minimally invasive trabecular surgery can be performed without intraoperative complications by glaucoma and non-glaucoma specialists. This is true for young adults, adults and elderly alike. Early IOP spikes are rare. Glaucoma medication can be stopped immediately after the operation in mild and moderate glaucoma patients with only minimal risk of an early IOP elevation. Extended follow-up shows a persistent substantial decrease in the need for glaucoma medications, MINT can be implemented in many African countries where reliance on glaucoma medications is problematic."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 493
    },
    {
      "uid": "POGAU074",
      "abstract_number": "POGAU074",
      "title": "Efficacy Of Selective Laser Trabeculoplasty With The Addition Of Fixed-Dose Combination Netarsudil/Latanoprost Post-Treatment",
      "authors": "Dr Kingsley Okafor",
      "presenter": "Dr Kingsley Okafor",
      "normalized_authors": [
        "Kingsley Okafor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kingsley Okafor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To assess intraocular pressure (IOP) reduction of Selective Laser Trabeculoplasty (SLT) with the addition of fixed-dose combination netarsudil 0.02%/latanoprost 0.005% (Rocklatan) compared to SLT with the addition of artificial tears alone.",
        "Setting": "Private Practice",
        "Methods": "This was a randomized, single-site, parallel-group, masked, prospective study of patient outcomes with SLT and Rocklatan compared to SLT with artificial tears after 6 weeks of treatment. A total of 70 adult participants with glaucoma were targeted. The primary outcome measure was mean diurnal IOP after 6 weeks of treatment between groups. Other outcome measures were change in mean diurnal IOP from baseline 4 weeks after treatment between groups, number of IOP spikes between groups, and the percentage of subjects in each group who reach > 20% IOP reduction from baseline.",
        "Results": "A total of 34 subjects in each group (68 total) completed the study. Mean diurnal IOP preoperatively was 16.1 ± 3.8 mmHg in the Rocklatan group and 16.2 ± 3.5 mmHg in the artificial tears group. At 4 weeks postoperatively, mean diurnal IOP preoperatively was 11.8 ± 2.8 mmHg in the Rocklatan group and 15.9 ± 4.0 mmHg in the artificial tears group (P < 0.001). This corresponded to a reduction of 4.4 mmHg and 0.2 mmHg in the Rocklatan and artificial tears groups, respectively (p < 0.001). The percentage of subjects that reach > 20% diurnal IOP reduction from baseline was 62% in the Rocklatan group compared to 3% in the artificial tears group.",
        "Conclusions": "The results of this study suggest superior IOP reduction in patients who receive SLT and Rocklatan compared to SLT and artificial tears."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of this study suggest superior IOP reduction in patients who receive SLT and Rocklatan compared to SLT and artificial tears.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1333,
      "source_fields": {
        "Abstract Final Identifier": "POGAU074",
        "Title": "Efficacy Of Selective Laser Trabeculoplasty With The Addition Of Fixed-Dose Combination Netarsudil/Latanoprost Post-Treatment",
        "Presenting Author(s)": "Dr Kingsley Okafor",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Kingsley",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Okafor",
        "Country Name": "United States",
        "Purpose": "To assess intraocular pressure (IOP) reduction of Selective Laser Trabeculoplasty (SLT) with the addition of fixed-dose combination netarsudil 0.02%/latanoprost 0.005% (Rocklatan) compared to SLT with the addition of artificial tears alone.",
        "Setting": "Private Practice",
        "Methods": "This was a randomized, single-site, parallel-group, masked, prospective study of patient outcomes with SLT and Rocklatan compared to SLT with artificial tears after 6 weeks of treatment. A total of 70 adult participants with glaucoma were targeted. The primary outcome measure was mean diurnal IOP after 6 weeks of treatment between groups. Other outcome measures were change in mean diurnal IOP from baseline 4 weeks after treatment between groups, number of IOP spikes between groups, and the percentage of subjects in each group who reach > 20% IOP reduction from baseline.",
        "Results": "A total of 34 subjects in each group (68 total) completed the study. Mean diurnal IOP preoperatively was 16.1 ± 3.8 mmHg in the Rocklatan group and 16.2 ± 3.5 mmHg in the artificial tears group. At 4 weeks postoperatively, mean diurnal IOP preoperatively was 11.8 ± 2.8 mmHg in the Rocklatan group and 15.9 ± 4.0 mmHg in the artificial tears group (P < 0.001). This corresponded to a reduction of 4.4 mmHg and 0.2 mmHg in the Rocklatan and artificial tears groups, respectively (p < 0.001). The percentage of subjects that reach > 20% diurnal IOP reduction from baseline was 62% in the Rocklatan group compared to 3% in the artificial tears group.",
        "Conclusions": "The results of this study suggest superior IOP reduction in patients who receive SLT and Rocklatan compared to SLT and artificial tears."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POGAU075",
      "abstract_number": "POGAU075",
      "title": "Long-Term Follow-Up Results Of Transscleral Micropulse Laser Cyclophotocoagulation In Patients With Advanced Glaucoma",
      "authors": "Dr Oguzhan Ali Oruz",
      "presenter": "Dr Oguzhan Ali Oruz",
      "normalized_authors": [
        "Oguzhan Ali Oruz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oguzhan Ali Oruz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Evaluation of the long-term efficacy of transscleral micropulse laser cyclophotocoagulation (TMLS) in advanced glaucoma cases.",
        "Setting": "Çukurova University School of Medicine, Turkey.",
        "Methods": "The study included 28 patients who underwent 180° or 360° TMLS treatment due to advanced glaucoma resistant to medical therapy. Patients underwent a detailed ophthalmological examination and intraocular pressure (IOP) measurement using Goldmann applanation tonometry. Additional TMLS was performed on patients who continued to have elevated IOP despite medical therapy during follow-up after TMLS. Patients were followed up for at least one year after the initial TMLS procedure. Surgical success was defined as achieving IOP ≤21 mmHg (with or without antiglaucoma therapy) and/or achieving a ≥20% reduction in IOP.",
        "Results": "The mean age of patients was 55.4±19.5 years. The mean follow-up period was 17.7±8 months. TMLS treatment was administered twice to 15 eyes and three times to 2 eyes. The mean preoperative IOP values were 32.25±9 mmHg. Mean IOP values were 24±8.3 mmHg on the first day after surgery, 20.5±11.4 in the first week, 22.5±10.2 at first month, 22±8.7 at third month, and 20.4±9.9 at sixth month, 21.6±10.9 at 9 months, and 19.8±8 at 12 months, which were lower than preoperative values (p<0.05 for all). Treatment efficacy was maintained in 24 cases (85.7%) at 12 months postoperative (10 cases treated twice, 1 case treated three times with TMLS), and a decrease of 14.5±5.6 mmHg was observed compared to preoperative values (31.5±9.1 mmHg) (p=0.001).",
        "Conclusions": "TMLS is a safe method for advanced glaucoma cases that are resistant to treatment, and its effectiveness in lowering intraocular pressure can continue up to 12 months after the procedure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TMLS is a safe method for advanced glaucoma cases that are resistant to treatment, and its effectiveness in lowering intraocular pressure can continue up to 12 months after the procedure.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1334,
      "source_fields": {
        "Abstract Final Identifier": "POGAU075",
        "Title": "Long-Term Follow-Up Results Of Transscleral Micropulse Laser Cyclophotocoagulation In Patients With Advanced Glaucoma",
        "Presenting Author(s)": "Dr Oguzhan Ali Oruz",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Oguzhan",
        "Submitter Middle Name": "Ali",
        "Submitter Last Name": "Oruz",
        "Country Name": "Türkiye",
        "Purpose": "Evaluation of the long-term efficacy of transscleral micropulse laser cyclophotocoagulation (TMLS) in advanced glaucoma cases.",
        "Setting": "Çukurova University School of Medicine, Turkey.",
        "Methods": "The study included 28 patients who underwent 180° or 360° TMLS treatment due to advanced glaucoma resistant to medical therapy. Patients underwent a detailed ophthalmological examination and intraocular pressure (IOP) measurement using Goldmann applanation tonometry. Additional TMLS was performed on patients who continued to have elevated IOP despite medical therapy during follow-up after TMLS. Patients were followed up for at least one year after the initial TMLS procedure. Surgical success was defined as achieving IOP ≤21 mmHg (with or without antiglaucoma therapy) and/or achieving a ≥20% reduction in IOP.",
        "Results": "The mean age of patients was 55.4±19.5 years. The mean follow-up period was 17.7±8 months. TMLS treatment was administered twice to 15 eyes and three times to 2 eyes. The mean preoperative IOP values were 32.25±9 mmHg. Mean IOP values were 24±8.3 mmHg on the first day after surgery, 20.5±11.4 in the first week, 22.5±10.2 at first month, 22±8.7 at third month, and 20.4±9.9 at sixth month, 21.6±10.9 at 9 months, and 19.8±8 at 12 months, which were lower than preoperative values (p<0.05 for all). Treatment efficacy was maintained in 24 cases (85.7%) at 12 months postoperative (10 cases treated twice, 1 case treated three times with TMLS), and a decrease of 14.5±5.6 mmHg was observed compared to preoperative values (31.5±9.1 mmHg) (p=0.001).",
        "Conclusions": "TMLS is a safe method for advanced glaucoma cases that are resistant to treatment, and its effectiveness in lowering intraocular pressure can continue up to 12 months after the procedure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POGAU076",
      "abstract_number": "POGAU076",
      "title": "Double Arc Slow Cyclophotocoagulation: Effectiveness And Safety At 12 Months In Refractory Glaucoma",
      "authors": "Dr Luis Miguel Oviedo Plathi",
      "presenter": "Dr Luis Miguel Oviedo Plathi",
      "normalized_authors": [
        "Luis Miguel Oviedo Plathi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Miguel Oviedo Plathi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Venezuela, Bolivarian Republic Of",
      "sections": {
        "Purpose": "To evaluate the effectiveness and Safety of double arc slow cook continuous-wave transscleral cyclophotocoagulation (DA-SC-CW-TSCPC) in refractory glaucoma.",
        "Setting": "University Hospital of Maracaibo, Maracaibo – Zulia.",
        "Methods": "Prospective observational study including 69 eyes with refractory glaucoma. IOP was recorded at baseline, 1 week, 1 month, 3 months, 6 months and 1 year. Pain was assessed using a visual analogue scale (VAS) at baseline, 3 months, 6 months and 1 year. Topical hypotensive medications were recorded at baseline and at 1, 3, 6 months and 1 year. Paired comparisons versus baseline used Wilcoxon tests. Complete success was defined as IOP 6–18 mmHg with ≥30% reduction without medication. Qualified success was defined as the same criteria allowing topical therapy but without oral acetazolamide.",
        "Results": "Mean age 61.1±17.8 years; 95.7% had severe disease. Mean IOP decreased from 42.25±16.37 mmHg at baseline to 23.86±15.62 at 1 week, 21.13±12.32 at 1 month, 21.61±14.11 at 3 months, 20.03±11.03 at 6 months and 19.55±10.45 at 1 year (all p<0.001). Topical medications decreased from 3.43±0.85 to 2.43±1.21 (1m), 2.07±1.20 (3m), 1.77±1.44 (6m) and 1.68±1.45 (1y) (all p<0.001). VAS pain improved from 4.49±3.48 to 0.51±1.38 (3m), 0.38±1.02 (6m) and 0.23±0.77 (1y) (all p<0.001). Qualified success was 44.9% (1m), 43.5% (3m), 49.3% (6m) and 55.1% (1y). Complications were mostly mild: chemosis 18.8%, subconjunctival hemorrhage 11.6%; hypotony 10.1%.",
        "Conclusions": "In this prospective refractory glaucoma cohort, DA-SC-CW-TSCPC achieved significant and sustained IOP reduction through 1 year, with meaningful reductions in topical therapy and pain and an acceptable safety profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this prospective refractory glaucoma cohort, DA-SC-CW-TSCPC achieved significant and sustained IOP reduction through 1 year, with meaningful reductions in topical therapy and pain and an acceptable safety profile.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1335,
      "source_fields": {
        "Abstract Final Identifier": "POGAU076",
        "Title": "Double Arc Slow Cyclophotocoagulation: Effectiveness And Safety At 12 Months In Refractory Glaucoma",
        "Presenting Author(s)": "Dr Luis Miguel Oviedo Plathi",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "Miguel",
        "Submitter Last Name": "Oviedo Plathi",
        "Country Name": "Venezuela, Bolivarian Republic Of",
        "Purpose": "To evaluate the effectiveness and Safety of double arc slow cook continuous-wave transscleral cyclophotocoagulation (DA-SC-CW-TSCPC) in refractory glaucoma.",
        "Setting": "University Hospital of Maracaibo, Maracaibo – Zulia.",
        "Methods": "Prospective observational study including 69 eyes with refractory glaucoma. IOP was recorded at baseline, 1 week, 1 month, 3 months, 6 months and 1 year. Pain was assessed using a visual analogue scale (VAS) at baseline, 3 months, 6 months and 1 year. Topical hypotensive medications were recorded at baseline and at 1, 3, 6 months and 1 year. Paired comparisons versus baseline used Wilcoxon tests. Complete success was defined as IOP 6–18 mmHg with ≥30% reduction without medication. Qualified success was defined as the same criteria allowing topical therapy but without oral acetazolamide.",
        "Results": "Mean age 61.1±17.8 years; 95.7% had severe disease. Mean IOP decreased from 42.25±16.37 mmHg at baseline to 23.86±15.62 at 1 week, 21.13±12.32 at 1 month, 21.61±14.11 at 3 months, 20.03±11.03 at 6 months and 19.55±10.45 at 1 year (all p<0.001). Topical medications decreased from 3.43±0.85 to 2.43±1.21 (1m), 2.07±1.20 (3m), 1.77±1.44 (6m) and 1.68±1.45 (1y) (all p<0.001). VAS pain improved from 4.49±3.48 to 0.51±1.38 (3m), 0.38±1.02 (6m) and 0.23±0.77 (1y) (all p<0.001). Qualified success was 44.9% (1m), 43.5% (3m), 49.3% (6m) and 55.1% (1y). Complications were mostly mild: chemosis 18.8%, subconjunctival hemorrhage 11.6%; hypotony 10.1%.",
        "Conclusions": "In this prospective refractory glaucoma cohort, DA-SC-CW-TSCPC achieved significant and sustained IOP reduction through 1 year, with meaningful reductions in topical therapy and pain and an acceptable safety profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "POGAU077",
      "abstract_number": "POGAU077",
      "title": "Scleral Thinning Complicating Glaucoma Surgery In Chronic Vogt-Koyanagi-Hrada Disease",
      "authors": "Dr Ohoud Owaidhah",
      "presenter": "Dr Ohoud Owaidhah",
      "normalized_authors": [
        "Ohoud Owaidhah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ohoud Owaidhah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Preserflo Implantation in a VKH patient with secondary glaucoma.",
        "Setting": "This a case of a young male known to have VKH with secondary glaucoma, planned for superior Preserflo after failed Deep Sclerectomy and Goniopuncure, upon disection of the conjunctiva we have noticed scleral thinning with vitreous leak, so the gap sutured and the Preserflo implanted inferiorly in a second session. The scleral thinning in VKH is one of the rare associations.",
        "Methods": "This a case of a young male known to have VKH with secondary glaucoma, planned for superior Preserflo after failed Deep Sclerectomy and Goniopuncure, upon disection of the conjunctiva we have noticed scleral thinning with vitreous leak, so the gap sutured and the Preserflo implanted inferiorly in a second session.",
        "Results": "Preserflo implantation inferiorly.",
        "Conclusions": "The scleral thinning in VKH is one of the rare associations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The scleral thinning in VKH is one of the rare associations.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1336,
      "source_fields": {
        "Abstract Final Identifier": "POGAU077",
        "Title": "Scleral Thinning Complicating Glaucoma Surgery In Chronic Vogt-Koyanagi-Hrada Disease",
        "Presenting Author(s)": "Dr Ohoud Owaidhah",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ohoud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Owaidhah",
        "Country Name": "Saudi Arabia",
        "Purpose": "Preserflo Implantation in a VKH patient with secondary glaucoma.",
        "Setting": "This a case of a young male known to have VKH with secondary glaucoma, planned for superior Preserflo after failed Deep Sclerectomy and Goniopuncure, upon disection of the conjunctiva we have noticed scleral thinning with vitreous leak, so the gap sutured and the Preserflo implanted inferiorly in a second session. The scleral thinning in VKH is one of the rare associations.",
        "Methods": "This a case of a young male known to have VKH with secondary glaucoma, planned for superior Preserflo after failed Deep Sclerectomy and Goniopuncure, upon disection of the conjunctiva we have noticed scleral thinning with vitreous leak, so the gap sutured and the Preserflo implanted inferiorly in a second session.",
        "Results": "Preserflo implantation inferiorly.",
        "Conclusions": "The scleral thinning in VKH is one of the rare associations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 134
    },
    {
      "uid": "POGAU078",
      "abstract_number": "POGAU078",
      "title": "Initial Uk Experience With The Oculus Gonio-Ready Lens In Schlemm’S Canal-Based And Supra-Choroidal Migs: Enhancing Bimanual Versatility And Angle Visualisation",
      "authors": "Mr Chrysostomos Dimitriou",
      "presenter": "Mr Chrysostomos Dimitriou",
      "normalized_authors": [
        "Chrysostomos Dimitriou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Pantelidou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the efficacy and clinical utility of the OCULUS Gonio-Ready lens in Schlemm’s canal-based and Supra-Ciliary minimally invasive glaucoma surgeries (MIGS), particularly in cases requiring the use of the surgeon’s second hand for globe manipulation or adjunctive instrumentation through the paracentesis.",
        "Setting": "This evaluation at Colchester Hospital Ophthalmology Department marked the implementation of the OCULUS Gonio-Ready lens. In a high-volume setting, experienced surgeons validated the device across various MIGS procedures , including Schlemm’s canal and supra-choroidal procedures. From routine stent implantations to complex bimanual maneuvers like MINIject repositioning, the lens demonstrated exceptional clarity and performance under real-world, high-stakes surgical conditions.",
        "Methods": "This submission details the inaugural use of the OCULUS Gonio-Ready lens in the UK at the Colchester Eye Centre, implemented across a range of MIGS procedures. The Gonio-Ready lens provides a stable, hands-free view of the anterior chamber angle, facilitating enhanced visualisation and enabling true bimanual surgical technique. Surgical videos and intraoperative observations were reviewed to assess stability, visual clarity, ease of use, and procedural adaptability.",
        "Results": "After twenty months of use, the Gonio-Ready lens (and Gonio-Ready CL) has demonstrated particular utility in Hydrus, TrabEx+ irrigational goniectomy, MINIject, and MINIject-trimming procedures. In these cases, the stable, hands-free visualisation of the angle allows the surgeon to employ the second hand through the paracentesis to stabilise or rotate the eye as needed—typically using a Healon cannula/spatula. This is valuable in cases of anterior migration of a MINIject, where repositioning can be achieved with vitreoretinal (VR) forceps in one hand and VR-curved scissors in the other, while the Gonio-Ready lens provides a freestanding central view. These features enhance bimanual control and facilitate precise intraoperative manoeuvres.",
        "Conclusions": "The OCULUS Gonio-Ready lens presents a valuable adjunct in Schlemm’s canal-based and Supra-Ciliary MIGS, particularly in procedures demanding bimanual manipulations and dexterity. Its stability and optical clarity support both straightforward and complex intraoperative tasks, warranting further evaluation in broader surgical cohorts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The OCULUS Gonio-Ready lens presents a valuable adjunct in Schlemm’s canal-based and Supra-Ciliary MIGS, particularly in procedures demanding bimanual manipulations and dexterity. Its stability and optical clarity support both straightforward and complex intraoperative tasks, warranting further evaluation in broader surgical cohorts.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1337,
      "source_fields": {
        "Abstract Final Identifier": "POGAU078",
        "Title": "Initial Uk Experience With The Oculus Gonio-Ready Lens In Schlemm’S Canal-Based And Supra-Choroidal Migs: Enhancing Bimanual Versatility And Angle Visualisation",
        "Presenting Author(s)": "Mr Chrysostomos Dimitriou",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pantelidou",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the efficacy and clinical utility of the OCULUS Gonio-Ready lens in Schlemm’s canal-based and Supra-Ciliary minimally invasive glaucoma surgeries (MIGS), particularly in cases requiring the use of the surgeon’s second hand for globe manipulation or adjunctive instrumentation through the paracentesis.",
        "Setting": "This evaluation at Colchester Hospital Ophthalmology Department marked the implementation of the OCULUS Gonio-Ready lens. In a high-volume setting, experienced surgeons validated the device across various MIGS procedures , including Schlemm’s canal and supra-choroidal procedures. From routine stent implantations to complex bimanual maneuvers like MINIject repositioning, the lens demonstrated exceptional clarity and performance under real-world, high-stakes surgical conditions.",
        "Methods": "This submission details the inaugural use of the OCULUS Gonio-Ready lens in the UK at the Colchester Eye Centre, implemented across a range of MIGS procedures. The Gonio-Ready lens provides a stable, hands-free view of the anterior chamber angle, facilitating enhanced visualisation and enabling true bimanual surgical technique. Surgical videos and intraoperative observations were reviewed to assess stability, visual clarity, ease of use, and procedural adaptability.",
        "Results": "After twenty months of use, the Gonio-Ready lens (and Gonio-Ready CL) has demonstrated particular utility in Hydrus, TrabEx+ irrigational goniectomy, MINIject, and MINIject-trimming procedures. In these cases, the stable, hands-free visualisation of the angle allows the surgeon to employ the second hand through the paracentesis to stabilise or rotate the eye as needed—typically using a Healon cannula/spatula. This is valuable in cases of anterior migration of a MINIject, where repositioning can be achieved with vitreoretinal (VR) forceps in one hand and VR-curved scissors in the other, while the Gonio-Ready lens provides a freestanding central view. These features enhance bimanual control and facilitate precise intraoperative manoeuvres.",
        "Conclusions": "The OCULUS Gonio-Ready lens presents a valuable adjunct in Schlemm’s canal-based and Supra-Ciliary MIGS, particularly in procedures demanding bimanual manipulations and dexterity. Its stability and optical clarity support both straightforward and complex intraoperative tasks, warranting further evaluation in broader surgical cohorts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POGAU079",
      "abstract_number": "POGAU079",
      "title": "A Novel Tissue-Sparing Surgical Technique—The Qidwai Quilt Pull-Over Patch-Graft (Q-Pop) Technique—For The Management Of Impending Or Established Glaucoma Drainage Implant (Gdi) Tube Exposure",
      "authors": "Dr Umair Qidwai",
      "presenter": "Dr Umair Qidwai",
      "normalized_authors": [
        "Umair Qidwai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Umair Qidwai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe a novel tissue-sparing surgical technique—the Qidwai Quilt Pull-Over Patch-graft (Q-POP) technique—for the management of impending or established glaucoma drainage implant (GDI) tube exposure in high-risk eyes with conjunctival scarring and mechanical stress",
        "Setting": "Patel Hospital Karachi",
        "Methods": "This report presents a single-case description of a monocular patient with severe nystagmus, extensive conjunctival fibrosis, and prior multiple ocular surgeries who developed progressive conjunctival thinning over a GDI tube. A minimally invasive subconjunctival tunneling approach was used to deliver and position a scleral patch graft over the tube without a limbal-based peritomy.",
        "Results": "The Q-POP technique provided stable tube coverage with minimal conjunctival manipulation. Postoperatively, the graft remained flat and well-positioned with no evidence of re-exposure, conjunctival dehiscence, inflammation, or intraocular pressure instability during follow-up.",
        "Conclusions": "The Q-POP technique offers a safe, reproducible, and cost-neutral alternative for managing tube exposure in eyes with compromised conjunctiva where conventional peritomy-based repairs carry high risk. This method may be particularly valuable in eyes subjected to mechanical stress like nystagmus. Larger case series are warranted to assess long-term outcomes and broader applicability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Q-POP technique offers a safe, reproducible, and cost-neutral alternative for managing tube exposure in eyes with compromised conjunctiva where conventional peritomy-based repairs carry high risk. This method may be particularly valuable in eyes subjected to mechanical stress like nystagmus. Larger case series are warranted to assess long-term outcomes and broader applicability.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1338,
      "source_fields": {
        "Abstract Final Identifier": "POGAU079",
        "Title": "A Novel Tissue-Sparing Surgical Technique—The Qidwai Quilt Pull-Over Patch-Graft (Q-Pop) Technique—For The Management Of Impending Or Established Glaucoma Drainage Implant (Gdi) Tube Exposure",
        "Presenting Author(s)": "Dr Umair Qidwai",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Umair",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Qidwai",
        "Country Name": "United Kingdom",
        "Purpose": "To describe a novel tissue-sparing surgical technique—the Qidwai Quilt Pull-Over Patch-graft (Q-POP) technique—for the management of impending or established glaucoma drainage implant (GDI) tube exposure in high-risk eyes with conjunctival scarring and mechanical stress",
        "Setting": "Patel Hospital Karachi",
        "Methods": "This report presents a single-case description of a monocular patient with severe nystagmus, extensive conjunctival fibrosis, and prior multiple ocular surgeries who developed progressive conjunctival thinning over a GDI tube. A minimally invasive subconjunctival tunneling approach was used to deliver and position a scleral patch graft over the tube without a limbal-based peritomy.",
        "Results": "The Q-POP technique provided stable tube coverage with minimal conjunctival manipulation. Postoperatively, the graft remained flat and well-positioned with no evidence of re-exposure, conjunctival dehiscence, inflammation, or intraocular pressure instability during follow-up.",
        "Conclusions": "The Q-POP technique offers a safe, reproducible, and cost-neutral alternative for managing tube exposure in eyes with compromised conjunctiva where conventional peritomy-based repairs carry high risk. This method may be particularly valuable in eyes subjected to mechanical stress like nystagmus. Larger case series are warranted to assess long-term outcomes and broader applicability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 176
    },
    {
      "uid": "POGAU080",
      "abstract_number": "POGAU080",
      "title": "Prospective Randomised Controlled Trial, Comparative Study Of Bent Ab Interno Needle Goniectomy Versus Conservative Treatment For Evaluation Of Iop , Anti Glaucoma Medication And Quality Of Life Poag Patients.",
      "authors": "Prof. Dr Surishti Raj",
      "presenter": "Prof. Dr Surishti Raj",
      "normalized_authors": [
        "Surishti Raj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Surishti Raj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Minimally Invasive Glaucoma Surgery (MIGS) is being in use since last decade. Bent Ab Interno Needle Goniectomy (BANG) is a cost effective MIGS procedure compared to other MIGS. Most of studies in literature reflect combining it with cataract in mild to moderate POAG patients. Standalone BANG is not described in literature. We did a prospective, randomized, controlled, comparative study of BANG versus Conservative Treatment in mild to moderate POAG patients. Being cost effective, BANG is more suitable for developing countries.\n\nObjective: To find efficacy of BANG versus Conservative Treatment for lowering IOP, AGMs and improving Quality of Life in POAG patients",
        "Setting": "Patients were recruited prospectively from glaucoma clinic of a tertiary institute of North India",
        "Methods": "46 patients were recruited prospectively from glaucoma clinic of a tertiary institute and randomized in two groups- Group A: BANG (N=23) and Group B: Conservative management (N=23). Group A underwent BANG and Group B managed conservatively. Patients were evaluated for IOP control, number of AGMs and QOL as primary outcome and VA, VF, Endothelial cell density, CCT and complications as secondary outcome at baseline and follow up visits at 1,7,30 , 90 and 180 days. For IOP, success was defined as IOP <21 mmHg or at least 20% reduction from baseline",
        "Results": "Baseline characteristics were comparable between two groups. IOP was less than 21 mmHg in all patients- 18 without medication and 5 on 1 or 2 medication in Group A. IOP reduction change was significant at 6 month FU. In Group B, IOP change was not significant. Comparing two groups, there was a significant change in IOP at final FU. AGMs decreased by 91.7% in Group A and increased by 34.1% in group B at final FU. QOL improved in Group A and deteriorated in group B significantly and comparing QOL in two groups was also significant. Comparing two groups for VA, VF, CCT at 6 M showed significant change . Most of complication in group A were mild and transient except iris atrophy persisted in one patient .",
        "Conclusions": "Standalone BANG is a cost effective procedure suitable for developing countries. IOP decreased by 19.4% and AGMs decreased by 88.84 % at 6 months. BANG can be an alternative to costly MIGS. Quality of life also improved in BANG group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Standalone BANG is a cost effective procedure suitable for developing countries. IOP decreased by 19.4% and AGMs decreased by 88.84 % at 6 months. BANG can be an alternative to costly MIGS. Quality of life also improved in BANG group.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1339,
      "source_fields": {
        "Abstract Final Identifier": "POGAU080",
        "Title": "Prospective Randomised Controlled Trial, Comparative Study Of Bent Ab Interno Needle Goniectomy Versus Conservative Treatment For Evaluation Of Iop , Anti Glaucoma Medication And Quality Of Life Poag Patients.",
        "Presenting Author(s)": "Prof. Dr Surishti Raj",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Surishti",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Raj",
        "Country Name": "India",
        "Purpose": "Minimally Invasive Glaucoma Surgery (MIGS) is being in use since last decade. Bent Ab Interno Needle Goniectomy (BANG) is a cost effective MIGS procedure compared to other MIGS. Most of studies in literature reflect combining it with cataract in mild to moderate POAG patients. Standalone BANG is not described in literature. We did a prospective, randomized, controlled, comparative study of BANG versus Conservative Treatment in mild to moderate POAG patients. Being cost effective, BANG is more suitable for developing countries.\n\nObjective: To find efficacy of BANG versus Conservative Treatment for lowering IOP, AGMs and improving Quality of Life in POAG patients",
        "Setting": "Patients were recruited prospectively from glaucoma clinic of a tertiary institute of North India",
        "Methods": "46 patients were recruited prospectively from glaucoma clinic of a tertiary institute and randomized in two groups- Group A: BANG (N=23) and Group B: Conservative management (N=23). Group A underwent BANG and Group B managed conservatively. Patients were evaluated for IOP control, number of AGMs and QOL as primary outcome and VA, VF, Endothelial cell density, CCT and complications as secondary outcome at baseline and follow up visits at 1,7,30 , 90 and 180 days. For IOP, success was defined as IOP <21 mmHg or at least 20% reduction from baseline",
        "Results": "Baseline characteristics were comparable between two groups. IOP was less than 21 mmHg in all patients- 18 without medication and 5 on 1 or 2 medication in Group A. IOP reduction change was significant at 6 month FU. In Group B, IOP change was not significant. Comparing two groups, there was a significant change in IOP at final FU. AGMs decreased by 91.7% in Group A and increased by 34.1% in group B at final FU. QOL improved in Group A and deteriorated in group B significantly and comparing QOL in two groups was also significant. Comparing two groups for VA, VF, CCT at 6 M showed significant change . Most of complication in group A were mild and transient except iris atrophy persisted in one patient .",
        "Conclusions": "Standalone BANG is a cost effective procedure suitable for developing countries. IOP decreased by 19.4% and AGMs decreased by 88.84 % at 6 months. BANG can be an alternative to costly MIGS. Quality of life also improved in BANG group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POGAU081",
      "abstract_number": "POGAU081",
      "title": "Comparative Study Of Three Different Early Surgical Approaches To Lower Intraocular Pressure In Patients With Pseudoexfoliation",
      "authors": "Dr Ignacio Rodriguez-Una",
      "presenter": "Dr Ignacio Rodriguez-Una",
      "normalized_authors": [
        "Ignacio Rodriguez-Una"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ignacio Rodriguez-Una",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To assess and compare the short-term outcomes of stand-alone phacoemulsification (phaco), phaco-iStent inject ® and phaco-Goniowash on intraocular pressure (IOP) and hypotensive medication status of patients with pseudoexfoliation (PXF).",
        "Setting": "Fernandez-Vega Institute, Spain.",
        "Methods": "Retrospective study that included patients with asymmetric pseudoexfoliative glaucoma (PXFG) or pseudoexfoliative syndrome (PXFS), who underwent cataract surgery, whether combined or not with iStent/Goniowash, between 2022 and 2025 (minimum follow-up: 1 year). Patients with prior laser trabeculoplasty were not included. IOP, number of topical hypotensive drugs, intraoperative and postoperative complications, and the requirement of further glaucoma surgery/laser were assessed.",
        "Results": "56 eyes of 56 patients (age: 73.2±6.4 years) were included (48% PXFG; 52% PXFS): stand-alone phaco (16 eyes), phaco-iStent (23 eyes), and phaco-Goniowash (17 eyes). IOP reduced from 14.9±3.2 mmHg pre- to 13.4±2.0 mmHg post-operatively (p=0.04) with phaco (-10%); from 19.3±3.8 mmHg to 16.3±5.7 mmHg (p=0.03) with iStent (-16% ); and from 15.8±2.5 mmHg to 13.2±1.2 mmHg (p<0.01) with Goniowash (-16%). Number of hypotensive medications dropped from 1.4±0.8 to 0.9±0.9 (-36%) (p = 0.04) with phaco (drop-free rate: 41%); from 2.2±0.7 to 0.6±0.8 (-73%) (p < 0.01) with iStent (drop-free rate: 63%). The 5 patients on medication in the Goniowash group became drop-free. No complications were found. 1 case (iStent) required further glaucoma surgery.",
        "Conclusions": "In early stages of PXF disease, the three presented options significantly reduced IOP and hypotensive medications, with a very good safety profile. IOP reduction was higher after phaco-iStent and phaco-Goniowash compared to stand-alone phaco. The phaco-iStent group presented higher rates of IOP reduction, with a higher proportion of dropfree patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In early stages of PXF disease, the three presented options significantly reduced IOP and hypotensive medications, with a very good safety profile. IOP reduction was higher after phaco-iStent and phaco-Goniowash compared to stand-alone phaco. The phaco-iStent group presented higher rates of IOP reduction, with a higher proportion of dropfree patients.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1340,
      "source_fields": {
        "Abstract Final Identifier": "POGAU081",
        "Title": "Comparative Study Of Three Different Early Surgical Approaches To Lower Intraocular Pressure In Patients With Pseudoexfoliation",
        "Presenting Author(s)": "Dr Ignacio Rodriguez-Una",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ignacio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodriguez-Una",
        "Country Name": "Spain",
        "Purpose": "To assess and compare the short-term outcomes of stand-alone phacoemulsification (phaco), phaco-iStent inject ® and phaco-Goniowash on intraocular pressure (IOP) and hypotensive medication status of patients with pseudoexfoliation (PXF).",
        "Setting": "Fernandez-Vega Institute, Spain.",
        "Methods": "Retrospective study that included patients with asymmetric pseudoexfoliative glaucoma (PXFG) or pseudoexfoliative syndrome (PXFS), who underwent cataract surgery, whether combined or not with iStent/Goniowash, between 2022 and 2025 (minimum follow-up: 1 year). Patients with prior laser trabeculoplasty were not included. IOP, number of topical hypotensive drugs, intraoperative and postoperative complications, and the requirement of further glaucoma surgery/laser were assessed.",
        "Results": "56 eyes of 56 patients (age: 73.2±6.4 years) were included (48% PXFG; 52% PXFS): stand-alone phaco (16 eyes), phaco-iStent (23 eyes), and phaco-Goniowash (17 eyes). IOP reduced from 14.9±3.2 mmHg pre- to 13.4±2.0 mmHg post-operatively (p=0.04) with phaco (-10%); from 19.3±3.8 mmHg to 16.3±5.7 mmHg (p=0.03) with iStent (-16% ); and from 15.8±2.5 mmHg to 13.2±1.2 mmHg (p<0.01) with Goniowash (-16%). Number of hypotensive medications dropped from 1.4±0.8 to 0.9±0.9 (-36%) (p = 0.04) with phaco (drop-free rate: 41%); from 2.2±0.7 to 0.6±0.8 (-73%) (p < 0.01) with iStent (drop-free rate: 63%). The 5 patients on medication in the Goniowash group became drop-free. No complications were found. 1 case (iStent) required further glaucoma surgery.",
        "Conclusions": "In early stages of PXF disease, the three presented options significantly reduced IOP and hypotensive medications, with a very good safety profile. IOP reduction was higher after phaco-iStent and phaco-Goniowash compared to stand-alone phaco. The phaco-iStent group presented higher rates of IOP reduction, with a higher proportion of dropfree patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POGAU082",
      "abstract_number": "POGAU082",
      "title": "One-Year Outcomes Of Excimer Laser Trabeculostomy (Elios) Compared With Hydrus Microstent And Istent: A Retrospective Comparative Study",
      "authors": "Dr Sami Saad",
      "presenter": "Dr Sami Saad",
      "normalized_authors": [
        "Sami Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sami Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare 12-month efficacy and safety of excimer laser trabeculostomy (ELIOS), Hydrus Microstent, and iStent in eyes undergoing trabecular outflow–based microinvasive glaucoma surgery (MIGS).",
        "Setting": "Department of Ophthalmology, Centre Hospitalier Sud-Francilien, Paris, France",
        "Methods": "Retrospective comparative study of consecutive eyes operated at Centre Hospitalier Sud-Francilien between March, 2025 and March, 2026. Intraocular pressure (IOP) and number of glaucoma medications were collected preoperatively and postoperatively. The primary endpoint was complete success at month 12, defined as IOP < 18 mmHg without glaucoma medications.",
        "Results": "A total of 83 eyes were included (ELIOS n=26, Hydrus n=20, iStent n=37). At month 12, mean IOP was 13.62 ± 2.45 mmHg (ELIOS), 15.63 ± 2.59 mmHg (Hydrus), and 15.33 ± 2.74 mmHg (iStent) (between-group p=0.016). Mean medication burden at month 12 was 0.96 ± 1.25 (ELIOS), 0.17 ± 0.38 (Hydrus), and 1.11 ± 1.18 (iStent) (p=0.011). Complete success occurred in 14/26 (53.8%) ELIOS eyes, 13/18 (72.2%) Hydrus eyes, and 9/35 (25.7%) iStent eyes (p=0.005). Hyphema was uncommon (11.5%, 5.0%, and 2.7% in ELIOS, Hydrus, and iStent, respectively; p=0.369), with no sight-threatening complications reported in the dataset.",
        "Conclusions": "In this real-world retrospective cohort, all three trabecular outflow–based MIGS approaches reduced IOP at 12 months. Hydrus was associated with the greatest medication reduction and the highest rate of medication-free IOP < 18 mmHg at month 12, while iStent showed more modest medication reduction. Excimer laser trabeculostomy (ELIOS) provided intermediate outcomes with a favorable safety profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world retrospective cohort, all three trabecular outflow–based MIGS approaches reduced IOP at 12 months. Hydrus was associated with the greatest medication reduction and the highest rate of medication-free IOP < 18 mmHg at month 12, while iStent showed more modest medication reduction. Excimer laser trabeculostomy (ELIOS) provided intermediate outcomes with a favorable safety profile.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1341,
      "source_fields": {
        "Abstract Final Identifier": "POGAU082",
        "Title": "One-Year Outcomes Of Excimer Laser Trabeculostomy (Elios) Compared With Hydrus Microstent And Istent: A Retrospective Comparative Study",
        "Presenting Author(s)": "Dr Sami Saad",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Sami",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "France",
        "Purpose": "To compare 12-month efficacy and safety of excimer laser trabeculostomy (ELIOS), Hydrus Microstent, and iStent in eyes undergoing trabecular outflow–based microinvasive glaucoma surgery (MIGS).",
        "Setting": "Department of Ophthalmology, Centre Hospitalier Sud-Francilien, Paris, France",
        "Methods": "Retrospective comparative study of consecutive eyes operated at Centre Hospitalier Sud-Francilien between March, 2025 and March, 2026. Intraocular pressure (IOP) and number of glaucoma medications were collected preoperatively and postoperatively. The primary endpoint was complete success at month 12, defined as IOP < 18 mmHg without glaucoma medications.",
        "Results": "A total of 83 eyes were included (ELIOS n=26, Hydrus n=20, iStent n=37). At month 12, mean IOP was 13.62 ± 2.45 mmHg (ELIOS), 15.63 ± 2.59 mmHg (Hydrus), and 15.33 ± 2.74 mmHg (iStent) (between-group p=0.016). Mean medication burden at month 12 was 0.96 ± 1.25 (ELIOS), 0.17 ± 0.38 (Hydrus), and 1.11 ± 1.18 (iStent) (p=0.011). Complete success occurred in 14/26 (53.8%) ELIOS eyes, 13/18 (72.2%) Hydrus eyes, and 9/35 (25.7%) iStent eyes (p=0.005). Hyphema was uncommon (11.5%, 5.0%, and 2.7% in ELIOS, Hydrus, and iStent, respectively; p=0.369), with no sight-threatening complications reported in the dataset.",
        "Conclusions": "In this real-world retrospective cohort, all three trabecular outflow–based MIGS approaches reduced IOP at 12 months. Hydrus was associated with the greatest medication reduction and the highest rate of medication-free IOP < 18 mmHg at month 12, while iStent showed more modest medication reduction. Excimer laser trabeculostomy (ELIOS) provided intermediate outcomes with a favorable safety profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "POGAU083",
      "abstract_number": "POGAU083",
      "title": "Real-World Outcomes Of Device Vs Device-Free Migs In A Brazilian Cohort",
      "authors": "Dr Alexandre Higuchi",
      "presenter": "Dr Alexandre Higuchi",
      "normalized_authors": [
        "Alexandre Higuchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Felipe Figueredo Savi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate real-world outcomes of device-based and device-free minimally invasive glaucoma surgery (MIGS) in a Brazilian cohort and compare their impact in intraocular pressure (IOP) and medication burden.",
        "Setting": "The study was conducted at the ophthalmology department of an academic hospital and at a private eye clinic in southern Brazil.",
        "Methods": "Retrospective cohort study including 69 eyes that underwent MIGS between Feb/2019 and Nov/2025, with or without cataract surgery. Participants were stratified by technique (device vs device-free). Device MIGS included iStent G2/G3; device-free included KDB goniotomy and Tanito trabeculotomy. All surgeries were performed by a single surgeon. IOP reduction, medication burden and success rates were evaluated. Eyes with <1 month follow-up were excluded. Success was determined according to the criteria: ≥1 medication reduction without IOP increase, or IOP ≤21 mmHg with ≥20% reduction without added therapy or reoperation. Glaucoma severity was classified according to mean deviation values. Statistical significance was defined as p < 0.05.",
        "Results": "Mean follow-up was 15 months. 46 eyes underwent device MIGS and 23 eyes underwent device-free MIGS. Age, glaucoma severity, baseline IOP, and medication number were similar between groups. Device MIGS reduced IOP by 3.35 mmHg (95% CI, 2.46–4.24; p<0.001), corresponding to a 19.85% decrease. Device-free MIGS reduced IOP by 5.87 mmHg (95% CI, 3.84–7.89; p<0.001), a 29.69% decrease. The number of medications was reduced in the device group (−1.7; p<0.001) but not in the device-free group (p=0.129). Device-free surgery achieved greater IOP reduction (p=0,027), whereas device surgery produced a greater reduction in medication burden (p<0.001). Success rates were similar between groups (87% vs 73.9%; p=0.195). No complications were reported.",
        "Conclusions": "This study demonstrated greater intraocular pressure reduction with device-free MIGS compared to device-based procedures, while device-based MIGS achieved a more pronounced reduction in medication burden. Despite these differences, both approaches showed similar success rates and an excellent safety profile, with no reported complications. These findings should be interpreted in light of some study limitations, including a relatively small sample size and differences in follow-up time between groups. Overall, device-based and device-free MIGS represent effective surgical options in real-world clinical practice, allowing individualized treatment selection based on target IOP reduction, medication goals, and cost-effectiveness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrated greater intraocular pressure reduction with device-free MIGS compared to device-based procedures, while device-based MIGS achieved a more pronounced reduction in medication burden. Despite these differences, both approaches showed similar success rates and an excellent safety profile, with no reported complications. These findings should be interpreted in light of some study limitations,…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1342,
      "source_fields": {
        "Abstract Final Identifier": "POGAU083",
        "Title": "Real-World Outcomes Of Device Vs Device-Free Migs In A Brazilian Cohort",
        "Presenting Author(s)": "Dr Alexandre Higuchi",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Felipe",
        "Submitter Middle Name": "Figueredo",
        "Submitter Last Name": "Savi",
        "Country Name": "Brazil",
        "Purpose": "To evaluate real-world outcomes of device-based and device-free minimally invasive glaucoma surgery (MIGS) in a Brazilian cohort and compare their impact in intraocular pressure (IOP) and medication burden.",
        "Setting": "The study was conducted at the ophthalmology department of an academic hospital and at a private eye clinic in southern Brazil.",
        "Methods": "Retrospective cohort study including 69 eyes that underwent MIGS between Feb/2019 and Nov/2025, with or without cataract surgery. Participants were stratified by technique (device vs device-free). Device MIGS included iStent G2/G3; device-free included KDB goniotomy and Tanito trabeculotomy. All surgeries were performed by a single surgeon. IOP reduction, medication burden and success rates were evaluated. Eyes with <1 month follow-up were excluded. Success was determined according to the criteria: ≥1 medication reduction without IOP increase, or IOP ≤21 mmHg with ≥20% reduction without added therapy or reoperation. Glaucoma severity was classified according to mean deviation values. Statistical significance was defined as p < 0.05.",
        "Results": "Mean follow-up was 15 months. 46 eyes underwent device MIGS and 23 eyes underwent device-free MIGS. Age, glaucoma severity, baseline IOP, and medication number were similar between groups. Device MIGS reduced IOP by 3.35 mmHg (95% CI, 2.46–4.24; p<0.001), corresponding to a 19.85% decrease. Device-free MIGS reduced IOP by 5.87 mmHg (95% CI, 3.84–7.89; p<0.001), a 29.69% decrease. The number of medications was reduced in the device group (−1.7; p<0.001) but not in the device-free group (p=0.129). Device-free surgery achieved greater IOP reduction (p=0,027), whereas device surgery produced a greater reduction in medication burden (p<0.001). Success rates were similar between groups (87% vs 73.9%; p=0.195). No complications were reported.",
        "Conclusions": "This study demonstrated greater intraocular pressure reduction with device-free MIGS compared to device-based procedures, while device-based MIGS achieved a more pronounced reduction in medication burden. Despite these differences, both approaches showed similar success rates and an excellent safety profile, with no reported complications. These findings should be interpreted in light of some study limitations, including a relatively small sample size and differences in follow-up time between groups. Overall, device-based and device-free MIGS represent effective surgical options in real-world clinical practice, allowing individualized treatment selection based on target IOP reduction, medication goals, and cost-effectiveness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POGAU084",
      "abstract_number": "POGAU084",
      "title": "Clinical Effectiveness And Safety Of Preserflo Microshunt Surgery: A 2-Year Follow-Up Study",
      "authors": "Mr Akshay Sehgal",
      "presenter": "Mr Akshay Sehgal",
      "normalized_authors": [
        "Akshay Sehgal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akshay Sehgal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Glaucoma is a multi-factorial disease which causes progressive irreversible damage to optic nerve and visual field. Lowering IOP can slow glaucoma progression and is the only treatment available. Preserflo Microshunt is device which has been classified as microinvasive glaucoma surgery (MIGS). We conducted a study to analyse the clinical effectiveness and safety of Preserflo surgery at a tertiary care hospital in the UK over a 24-month follow-up period.",
        "Setting": "Ophthalmology department of a tertiary care hospital in the West Midlands, United Kingdom",
        "Methods": "Ambispective clinical data was collected from electronic medical records for 50 Preserflo operations performed by two glaucoma consultants in the West Midlands, United Kingdom. Surgeries were performed from April 2022 to June 2023. Intraocular pressure (IOP) while listing for surgery and up to 24 months after surgery was noted. The average number of glaucoma medications patients were on before and after surgery was calculated. Any drop in best-corrected visual acuity (BCVA) possibly related to the surgery, and other complications were analysed.",
        "Results": "The study captured 50 Preserflo operations across 40 patients. The primary indication was POAG (78%), followed by NTG (8%). Mean pre-operative IOP was 22.2 mmHg and mean number of glaucoma drops was 2.74/eye, with 26% on concurrent oral acetazolamide. By 24 months (n=49) mean IOP was 12.2 mmHg (45% reduction), and mean number of drops was 0.35/eye. 40 eyes of 50(80%) were not on any glaucoma medication up to their last follow-up. Acetazolamide was stopped in all patients. There were no major complications. Minor complications were transient such as hypotony and microhyphema which resolved spontaneously. 9 patients were noted to have a drop in BCVA by 1 line during follow-up, however, none of them were attributed to Preserflo surgery.",
        "Conclusions": "Our study found Preserflo surgery to be safe and effective, with results comparable/superior to trabeculectomy. Other studies have also shown similar encouraging results. Apart from lesser surgical interventions, other potential advantages include lesser surgical time, faster recovery and reduced risk of damaging other ocular structures. Thus, it may help facilitate a more efficient service delivery for patients requiring surgery. A larger patient cohort and longer-term follow-up are needed to better assess the sustainability of the IOP reduction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study found Preserflo surgery to be safe and effective, with results comparable/superior to trabeculectomy. Other studies have also shown similar encouraging results. Apart from lesser surgical interventions, other potential advantages include lesser surgical time, faster recovery and reduced risk of damaging other ocular structures. Thus, it may help facilitate a more efficient service delivery for patients…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1343,
      "source_fields": {
        "Abstract Final Identifier": "POGAU084",
        "Title": "Clinical Effectiveness And Safety Of Preserflo Microshunt Surgery: A 2-Year Follow-Up Study",
        "Presenting Author(s)": "Mr Akshay Sehgal",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Akshay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sehgal",
        "Country Name": "United Kingdom",
        "Purpose": "Glaucoma is a multi-factorial disease which causes progressive irreversible damage to optic nerve and visual field. Lowering IOP can slow glaucoma progression and is the only treatment available. Preserflo Microshunt is device which has been classified as microinvasive glaucoma surgery (MIGS). We conducted a study to analyse the clinical effectiveness and safety of Preserflo surgery at a tertiary care hospital in the UK over a 24-month follow-up period.",
        "Setting": "Ophthalmology department of a tertiary care hospital in the West Midlands, United Kingdom",
        "Methods": "Ambispective clinical data was collected from electronic medical records for 50 Preserflo operations performed by two glaucoma consultants in the West Midlands, United Kingdom. Surgeries were performed from April 2022 to June 2023. Intraocular pressure (IOP) while listing for surgery and up to 24 months after surgery was noted. The average number of glaucoma medications patients were on before and after surgery was calculated. Any drop in best-corrected visual acuity (BCVA) possibly related to the surgery, and other complications were analysed.",
        "Results": "The study captured 50 Preserflo operations across 40 patients. The primary indication was POAG (78%), followed by NTG (8%). Mean pre-operative IOP was 22.2 mmHg and mean number of glaucoma drops was 2.74/eye, with 26% on concurrent oral acetazolamide. By 24 months (n=49) mean IOP was 12.2 mmHg (45% reduction), and mean number of drops was 0.35/eye. 40 eyes of 50(80%) were not on any glaucoma medication up to their last follow-up. Acetazolamide was stopped in all patients. There were no major complications. Minor complications were transient such as hypotony and microhyphema which resolved spontaneously. 9 patients were noted to have a drop in BCVA by 1 line during follow-up, however, none of them were attributed to Preserflo surgery.",
        "Conclusions": "Our study found Preserflo surgery to be safe and effective, with results comparable/superior to trabeculectomy. Other studies have also shown similar encouraging results. Apart from lesser surgical interventions, other potential advantages include lesser surgical time, faster recovery and reduced risk of damaging other ocular structures. Thus, it may help facilitate a more efficient service delivery for patients requiring surgery. A larger patient cohort and longer-term follow-up are needed to better assess the sustainability of the IOP reduction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POGAU085",
      "abstract_number": "POGAU085",
      "title": "Preserflo Microshunt (Mibs) Drainage System In Glaucoma Surgery: From Clinical Observations To Confirmed Safety",
      "authors": "Dr Tatiana Shilova",
      "presenter": "Dr Tatiana Shilova",
      "normalized_authors": [
        "Tatiana Shilova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tatiana Shilova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To assess and compare the early and long-term (up to 12 months) safety profile in patients with stage 1–3 open-angle glaucoma who underwent PreserFlo implantation.",
        "Setting": "Russia, Moscow, Doctor’s Shilova Clinic",
        "Methods": "The study included 36 patients (42 eyes) with primary open-angle glaucoma. Mean age was 64 years; 6 patients underwent bilateral implantation, and 18 eyes had repeat glaucoma surgery.\nIn 8 eyes the natural crystalline lens was preserved; 18 eyes were pseudophakic; and 16 eyes had phacoemulsification with immediate subsequent PreserFlo drainage implantation. Outcome measures included the level and stability of IOP throughout follow-up, visual acuity metrics, perimetry, and tomographic parameters of the optic nerve head and macula.\n\nRisk of complications during the follow-up was evaluated: transient or persistent hypotony, hypertension, maculopathy, choroidal detachment, hemorrhagic, endothelial layer safety and inflammatory events.",
        "Results": "Following PreserFlo implantation, complete success (IOP ≤21 mmHg and ≥20% reduction without medications) was achieved in ~84% of patients; an additional ~15.5% achieved success with adjunctive medications (qualified success); and <1% (0.45%) was considered a relative failure due to the need for additional laser surgery.\n\nIn the early postoperative period, the most common findings were hypotony (~7.1%), choroidal detachment requiring posterior sclerotomy (~4.3%), and microhyphema (~9.5%). Endothelial cell loss was <0.2% over 12 months. No cases of inflammation, device protrusion/exposure, or needling were observed.",
        "Conclusions": "PreserFlo MicroShunt demonstrates a stable safety profile, provides high functional outcomes, and is an effective solution, including for combined surgery in glaucoma and complicated cataract."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PreserFlo MicroShunt demonstrates a stable safety profile, provides high functional outcomes, and is an effective solution, including for combined surgery in glaucoma and complicated cataract.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1344,
      "source_fields": {
        "Abstract Final Identifier": "POGAU085",
        "Title": "Preserflo Microshunt (Mibs) Drainage System In Glaucoma Surgery: From Clinical Observations To Confirmed Safety",
        "Presenting Author(s)": "Dr Tatiana Shilova",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Tatiana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shilova",
        "Country Name": "Russian Federation",
        "Purpose": "To assess and compare the early and long-term (up to 12 months) safety profile in patients with stage 1–3 open-angle glaucoma who underwent PreserFlo implantation.",
        "Setting": "Russia, Moscow, Doctor’s Shilova Clinic",
        "Methods": "The study included 36 patients (42 eyes) with primary open-angle glaucoma. Mean age was 64 years; 6 patients underwent bilateral implantation, and 18 eyes had repeat glaucoma surgery.\nIn 8 eyes the natural crystalline lens was preserved; 18 eyes were pseudophakic; and 16 eyes had phacoemulsification with immediate subsequent PreserFlo drainage implantation. Outcome measures included the level and stability of IOP throughout follow-up, visual acuity metrics, perimetry, and tomographic parameters of the optic nerve head and macula.\n\nRisk of complications during the follow-up was evaluated: transient or persistent hypotony, hypertension, maculopathy, choroidal detachment, hemorrhagic, endothelial layer safety and inflammatory events.",
        "Results": "Following PreserFlo implantation, complete success (IOP ≤21 mmHg and ≥20% reduction without medications) was achieved in ~84% of patients; an additional ~15.5% achieved success with adjunctive medications (qualified success); and <1% (0.45%) was considered a relative failure due to the need for additional laser surgery.\n\nIn the early postoperative period, the most common findings were hypotony (~7.1%), choroidal detachment requiring posterior sclerotomy (~4.3%), and microhyphema (~9.5%). Endothelial cell loss was <0.2% over 12 months. No cases of inflammation, device protrusion/exposure, or needling were observed.",
        "Conclusions": "PreserFlo MicroShunt demonstrates a stable safety profile, provides high functional outcomes, and is an effective solution, including for combined surgery in glaucoma and complicated cataract."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POGAU086",
      "abstract_number": "POGAU086",
      "title": "Surgical Treatment With Preserflo Microshunt Implantation In Open-Angle Glaucoma Patients – Long Term Results",
      "authors": "Dr Nino Tkhelidze",
      "presenter": "Dr Nino Tkhelidze",
      "normalized_authors": [
        "Nino Tkhelidze"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nino Tkhelidze",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Georgia",
      "sections": {
        "Purpose": "To report long term results of the PreserFlo MicroShunt for the surgical treatment in open-angle glaucoma patients.",
        "Setting": "Retrospective data analysis of consecutive patients with uncontrolled, moderate and advanced open-angle glaucoma who underwent Preserflo MicroShunt implantation surgery with MMC (0.4 mg/ml), between August 2022 - February 2025.",
        "Methods": "Twenty-six eyes of 26 patients were included for analyses. Retrospective data analysis included visual acuity, biomicroscopy, changes in intraocular pressure (IOP) and changes in medication use. Postoperative complications and postoperative interventions were also reviewed.",
        "Results": "From 26 patients the majority (24) had moderate or advanced glaucoma. Preoperative mean IOP was 32.4 (23-56mmhg), 23 patients have IOP >30 mmHg. Mean number of IOP-lowering agents was–3.2.\n\nAfter Preserflo MicroShunt implantation surgery at 1 and 12 months mean IOP was 12.2mmHg and 15.6mmHg respectively. Postoperative complications included early hypotony - 9 eyes, shallow anterior chamber - 13 eyes, transient hyphema - 6 eyes, postoperative uveitis - 1 eye. At 1 and 12 months number of patents required hypotensive one agent was 1 and 3, two agents - 1 and 5, more than 2 agents 0 and 2 respectively. Needling or surgical revision was performed in 4 eyes, 2 required further IOP lowering surgery.",
        "Conclusions": "Preserflo MicroShunt is an effective and safe long term option for the surgical treatment of primary open-angle glaucoma. It decreases the burden of number and use of antiglaucoma medications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preserflo MicroShunt is an effective and safe long term option for the surgical treatment of primary open-angle glaucoma. It decreases the burden of number and use of antiglaucoma medications.",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1345,
      "source_fields": {
        "Abstract Final Identifier": "POGAU086",
        "Title": "Surgical Treatment With Preserflo Microshunt Implantation In Open-Angle Glaucoma Patients – Long Term Results",
        "Presenting Author(s)": "Dr Nino Tkhelidze",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Nino",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tkhelidze",
        "Country Name": "Georgia",
        "Purpose": "To report long term results of the PreserFlo MicroShunt for the surgical treatment in open-angle glaucoma patients.",
        "Setting": "Retrospective data analysis of consecutive patients with uncontrolled, moderate and advanced open-angle glaucoma who underwent Preserflo MicroShunt implantation surgery with MMC (0.4 mg/ml), between August 2022 - February 2025.",
        "Methods": "Twenty-six eyes of 26 patients were included for analyses. Retrospective data analysis included visual acuity, biomicroscopy, changes in intraocular pressure (IOP) and changes in medication use. Postoperative complications and postoperative interventions were also reviewed.",
        "Results": "From 26 patients the majority (24) had moderate or advanced glaucoma. Preoperative mean IOP was 32.4 (23-56mmhg), 23 patients have IOP >30 mmHg. Mean number of IOP-lowering agents was–3.2.\n\nAfter Preserflo MicroShunt implantation surgery at 1 and 12 months mean IOP was 12.2mmHg and 15.6mmHg respectively. Postoperative complications included early hypotony - 9 eyes, shallow anterior chamber - 13 eyes, transient hyphema - 6 eyes, postoperative uveitis - 1 eye. At 1 and 12 months number of patents required hypotensive one agent was 1 and 3, two agents - 1 and 5, more than 2 agents 0 and 2 respectively. Needling or surgical revision was performed in 4 eyes, 2 required further IOP lowering surgery.",
        "Conclusions": "Preserflo MicroShunt is an effective and safe long term option for the surgical treatment of primary open-angle glaucoma. It decreases the burden of number and use of antiglaucoma medications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POGAU087",
      "abstract_number": "POGAU087",
      "title": "Prognosis Of Hydrus Implantion In Open Angle Glaucoma After 3 Years Follow Up",
      "authors": "Mr Jan Van Der Hoek",
      "presenter": "Mr Jan Van Der Hoek",
      "normalized_authors": [
        "Jan Van Der Hoek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jan Van Der Hoek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Review of 3 year follow up of patients having undergone combined phaco-emulsification and Hydrus trabecular bypass microstent implantation between 2021 and 2022 with a focus on IOP outcomes and medication use post-operatively as well as the risk of needing further intervention",
        "Setting": "The authors work in a General District Hospital with a large eye department serving a mainly Caucasian and elderly population in the North of England. We have carried out MIGS procedures since 2016 and started with Hydrus in 2021. All operations were carried out by one of the authors (JvdH). Data in clinical notes was provided by a variety of colleagues as well as the authors. Our previous presentations at ESCRS congresses in the past have focussed on short term follow up data",
        "Methods": "Glaucoma patients presenting with cataract were offered the option of Hydrus microstent implantation at the same time as cataract surgery. Patients were reviewed post-op at 1 month, 3 month and then 6 monthly. The IOP at listing for surgery was taken as the pre-op IOP value; IOP was measured with Goldman (GAT) or ORA. The patient's electronic case records were used to collect the data for this review. Patients with a pre-op IOP of less than 18 mmHg were excluded as previous scrutinity of the Hydrus data had shown that low IOPs respond less well to Hydrus. An IOP lowering of 20% or more with an IOP of less than 22 mmHg was classed as success, the need for further intervention as failure. Pre-op meds were generally continued post-op",
        "Results": "Between 2021 and 2022 53 patient received a Hydrus, of these 39 had pre-op IOP in excess of 18 mmHg (mean age 79 range 65-92, 45% female, mean pre-op IOP 22.5 mmHg range 18-29 on 2 medications). Two failed within 6 months (5%), a further 8 did not complete the minimum 36 follow up (4 died, 4 lost to follow up, half classed as succes at final review). At 36 months or more (mean 1297 days) 20 patients with hydrus (69%) were classed as success (mean IOP 15.5 range 10-21 on 1.8 medications). This was similar at 24 months postop, but higher success rates were seen at 6 and 12m postop (90 and 79% respectively on 1.9 medications). Severe complications were not encountered (beyond early mild post-op hyphaema), no corneal complications were seen",
        "Conclusions": "Our data shows that Hydrus implantation remains a useful adjunct in the management of the elderly glaucoma patient presenting with cataract and relatively poor IOP control. Only 5% of patients went on to have further surgery . We saw a relatively consistent rate of success beyond 24 months in two thirds of patients without late complications. Patients generally remain on their pre-op glaucoma medication although in individual cases a modest reduction of topical meds may be possible. Occasionally a treatment naive patient may not require post-op glaucoma medication following a Hydrus implant. The technique is not difficult to master and requires only a few minutes of additional surgical time when combined with cataract surgery"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our data shows that Hydrus implantation remains a useful adjunct in the management of the elderly glaucoma patient presenting with cataract and relatively poor IOP control. Only 5% of patients went on to have further surgery . We saw a relatively consistent rate of success beyond 24 months in two thirds of patients without late complications. Patients generally remain on their pre-op glaucoma medication although in…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1346,
      "source_fields": {
        "Abstract Final Identifier": "POGAU087",
        "Title": "Prognosis Of Hydrus Implantion In Open Angle Glaucoma After 3 Years Follow Up",
        "Presenting Author(s)": "Mr Jan Van Der Hoek",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Jan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Van Der Hoek",
        "Country Name": "United Kingdom",
        "Purpose": "Review of 3 year follow up of patients having undergone combined phaco-emulsification and Hydrus trabecular bypass microstent implantation between 2021 and 2022 with a focus on IOP outcomes and medication use post-operatively as well as the risk of needing further intervention",
        "Setting": "The authors work in a General District Hospital with a large eye department serving a mainly Caucasian and elderly population in the North of England. We have carried out MIGS procedures since 2016 and started with Hydrus in 2021. All operations were carried out by one of the authors (JvdH). Data in clinical notes was provided by a variety of colleagues as well as the authors. Our previous presentations at ESCRS congresses in the past have focussed on short term follow up data",
        "Methods": "Glaucoma patients presenting with cataract were offered the option of Hydrus microstent implantation at the same time as cataract surgery. Patients were reviewed post-op at 1 month, 3 month and then 6 monthly. The IOP at listing for surgery was taken as the pre-op IOP value; IOP was measured with Goldman (GAT) or ORA. The patient's electronic case records were used to collect the data for this review. Patients with a pre-op IOP of less than 18 mmHg were excluded as previous scrutinity of the Hydrus data had shown that low IOPs respond less well to Hydrus. An IOP lowering of 20% or more with an IOP of less than 22 mmHg was classed as success, the need for further intervention as failure. Pre-op meds were generally continued post-op",
        "Results": "Between 2021 and 2022 53 patient received a Hydrus, of these 39 had pre-op IOP in excess of 18 mmHg (mean age 79 range 65-92, 45% female, mean pre-op IOP 22.5 mmHg range 18-29 on 2 medications). Two failed within 6 months (5%), a further 8 did not complete the minimum 36 follow up (4 died, 4 lost to follow up, half classed as succes at final review). At 36 months or more (mean 1297 days) 20 patients with hydrus (69%) were classed as success (mean IOP 15.5 range 10-21 on 1.8 medications). This was similar at 24 months postop, but higher success rates were seen at 6 and 12m postop (90 and 79% respectively on 1.9 medications). Severe complications were not encountered (beyond early mild post-op hyphaema), no corneal complications were seen",
        "Conclusions": "Our data shows that Hydrus implantation remains a useful adjunct in the management of the elderly glaucoma patient presenting with cataract and relatively poor IOP control. Only 5% of patients went on to have further surgery . We saw a relatively consistent rate of success beyond 24 months in two thirds of patients without late complications. Patients generally remain on their pre-op glaucoma medication although in individual cases a modest reduction of topical meds may be possible. Occasionally a treatment naive patient may not require post-op glaucoma medication following a Hydrus implant. The technique is not difficult to master and requires only a few minutes of additional surgical time when combined with cataract surgery"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 503
    },
    {
      "uid": "POGAU088",
      "abstract_number": "POGAU088",
      "title": "Surgical Outcomes Of Trabecular Micro-Bypass Minimally Invasive Glaucoma Surgery In Eyes With High Myopia: A Multi-Centre Study",
      "authors": "Dr Zhu Li Yap",
      "presenter": "Dr Zhu Li Yap",
      "normalized_authors": [
        "Zhu Li Yap"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhu Li Yap",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To explore the surgical outcomes of trabecular bypass minimally invasive glaucoma surgery in patients with high myopia.",
        "Setting": "A retrospective, observational multi-centre study",
        "Methods": "A retrospective, observational multi-centre study of 128 eyes with mild to moderate primary open-angle glaucoma or ocular hypertension with high myopia (phakic refractive spherical equivalent ≤ -6D and/or an axial length of ≥26 mm) that received iStent injects and 124 eyes that received Hydrus microstents, with or without phacoemulsification, was performed between January 2019 and December 2023. 252 subjects across the three tertiary ophthalmology centres were enrolled into the study.",
        "Results": "At 24 months post-surgery, 13.4% and 6.67% of eyes in the Hydrus and iStent groups achieved ≥20% IOP reduction from baseline without anti-glaucoma medications (p=0.209); 35.8% and 33.0% of eyes in the Hydrus and iStent groups achieved this with anti-glaucoma medications respectively (p=0.486). 48.7% and 38.5% of eyes in the Hydrus and iStent groups achieved drop-freedom respectively (p=0.219). 28.4% and 21.7% of eyes in the Hydrus and iStent groups achieved IOP ≤15 mmHg without anti-glaucoma medications (p=0.123), and 55.2% and 63.3% of eyes in the Hydrus and iStent group achieved this with anti-glaucoma medications respectively (p=0.0.477).",
        "Conclusions": "Kaplan-Meier survival analysis showed no significant difference between groups for time to failure of maintaining ≥20% IOP reduction without (12-month cumulative risk: iStent=87.5%, Hydrus=88.7%, p=0.82) and with anti-glaucoma medications (12-month cumulative risk: iStent=85.2%, Hydrus=83.1%, p=0.39). The iStent inject and Hydrus microstent may achieve lower IOP reduction in highly myopic eyes compared to non-highly myopic eyes, although complication rates were also low. Outcomes appear similar between both implants."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Kaplan-Meier survival analysis showed no significant difference between groups for time to failure of maintaining ≥20% IOP reduction without (12-month cumulative risk: iStent=87.5%, Hydrus=88.7%, p=0.82) and with anti-glaucoma medications (12-month cumulative risk: iStent=85.2%, Hydrus=83.1%, p=0.39). The iStent inject and Hydrus microstent may achieve lower IOP reduction in highly myopic eyes compared to…",
      "session_type": "ePoster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1347,
      "source_fields": {
        "Abstract Final Identifier": "POGAU088",
        "Title": "Surgical Outcomes Of Trabecular Micro-Bypass Minimally Invasive Glaucoma Surgery In Eyes With High Myopia: A Multi-Centre Study",
        "Presenting Author(s)": "Dr Zhu Li Yap",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Zhu Li",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yap",
        "Country Name": "Singapore",
        "Purpose": "To explore the surgical outcomes of trabecular bypass minimally invasive glaucoma surgery in patients with high myopia.",
        "Setting": "A retrospective, observational multi-centre study",
        "Methods": "A retrospective, observational multi-centre study of 128 eyes with mild to moderate primary open-angle glaucoma or ocular hypertension with high myopia (phakic refractive spherical equivalent ≤ -6D and/or an axial length of ≥26 mm) that received iStent injects and 124 eyes that received Hydrus microstents, with or without phacoemulsification, was performed between January 2019 and December 2023. 252 subjects across the three tertiary ophthalmology centres were enrolled into the study.",
        "Results": "At 24 months post-surgery, 13.4% and 6.67% of eyes in the Hydrus and iStent groups achieved ≥20% IOP reduction from baseline without anti-glaucoma medications (p=0.209); 35.8% and 33.0% of eyes in the Hydrus and iStent groups achieved this with anti-glaucoma medications respectively (p=0.486). 48.7% and 38.5% of eyes in the Hydrus and iStent groups achieved drop-freedom respectively (p=0.219). 28.4% and 21.7% of eyes in the Hydrus and iStent groups achieved IOP ≤15 mmHg without anti-glaucoma medications (p=0.123), and 55.2% and 63.3% of eyes in the Hydrus and iStent group achieved this with anti-glaucoma medications respectively (p=0.0.477).",
        "Conclusions": "Kaplan-Meier survival analysis showed no significant difference between groups for time to failure of maintaining ≥20% IOP reduction without (12-month cumulative risk: iStent=87.5%, Hydrus=88.7%, p=0.82) and with anti-glaucoma medications (12-month cumulative risk: iStent=85.2%, Hydrus=83.1%, p=0.39). The iStent inject and Hydrus microstent may achieve lower IOP reduction in highly myopic eyes compared to non-highly myopic eyes, although complication rates were also low. Outcomes appear similar between both implants."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "POORB001",
      "abstract_number": "POORB001",
      "title": "Decarbonising Cataract Care: Implementation Of A Context-Specific Sustainable High-Volume Surgical Model In A Resource-Constrained Tertiary Eye Hospital In Northern Sri Lanka",
      "authors": "Dr Malaravan Muthusamy",
      "presenter": "Dr Malaravan Muthusamy",
      "normalized_authors": [
        "Malaravan Muthusamy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Malaravan Muthusamy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Sri Lanka",
      "sections": {
        "Purpose": "Recognising the significant carbon footprint associated with phacoemulsification cataract surgery, this study aims to describe the implementation of a context-specific, sustainable, high-volume cataract surgery model at the Eye Unit of Teaching Hospital Jaffna. The unit adopted and contextually modified the “Aravind Eye Hospital global model for sustainable ophthalmic care”, aligning with EyeSustain principles. The objective is to demonstrate how decarbonisation, resource optimisation, and service efficiency can be embedded across the entire cataract care continuum, from patient identification to postoperative follow-up, without compromising surgical quality, visual outcomes, or equitable access in a resource-constrained setting.",
        "Setting": "The Eye Unit of Teaching Hospital Jaffna, the sole tertiary referral centre for eye care in Northern Sri Lanka, serves a predominantly rural population while operating with less than 50% of the World Health Organization-recommended resources. It is the only unit in the nation pledged to EyeSustain, demonstrating a commitment to sustainable, low-carbon ophthalmic care.",
        "Methods": "Key strategies included decentralized rural eye screening via public-private partnerships, with trained public health care providers conducting basic assessments to reduce repeat travel. Patients were transported in groups to the surgical unit with meals, avoiding the Teaching Hospital Jaffna and using local arrangements for post-operative care, reducing costs and fossil fuel use. High-volume surgical scheduling lowered per-case energy use. Reusable instruments and gowns replaced single use supplies with routine sterilization. A two-table workflow with mid-level staff improved efficiency, while minimizing pharmaceutical waste through the use of multidose vials and optimizing topical medications and local anaesthesia.",
        "Results": "The unit performs approximately 100 cataract surgeries per working day (phacoemulsification and monofocal intraocular lens implantations), all provided free of charge to patients. Despite operating with limited resources, the model consistently achieved good postoperative visual outcomes with minimal complication rates. These outcomes were comparable to, and in some instances better than, those reported from similar resource-limited settings in the region. The high-volume, resource-optimised surgical approach reduced per-patient consumption of energy, consumables, and pharmaceuticals, thereby lowering operational emissions while preserving patient safety, surgical efficiency, and quality of care.",
        "Conclusions": "A sustainable, high-volume phacoemulsification cataract surgery model is feasible and effective in resource-constrained settings. By integrating patient-centred service delivery, decentralised screening, reusable surgical supplies, optimised workflows, and efficient resource use, it demonstrates that environmental sustainability and high-quality eye care can coexist. This model supports SDG 3 by improving access to eye surgery, and SDGs 12 and 13 by cutting resource use and emissions. Although direct carbon footprint measurements were not conducted, this offers a practical pathway toward decarbonised ophthalmic care while contributing to the elimination of avoidable blindness in low-resource contexts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A sustainable, high-volume phacoemulsification cataract surgery model is feasible and effective in resource-constrained settings. By integrating patient-centred service delivery, decentralised screening, reusable surgical supplies, optimised workflows, and efficient resource use, it demonstrates that environmental sustainability and high-quality eye care can coexist. This model supports SDG 3 by improving access to…",
      "session_type": "ePoster",
      "track": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1348,
      "source_fields": {
        "Abstract Final Identifier": "POORB001",
        "Title": "Decarbonising Cataract Care: Implementation Of A Context-Specific Sustainable High-Volume Surgical Model In A Resource-Constrained Tertiary Eye Hospital In Northern Sri Lanka",
        "Presenting Author(s)": "Dr Malaravan Muthusamy",
        "Abstract Topic Name": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
        "Submitter First Name": "Malaravan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muthusamy",
        "Country Name": "Sri Lanka",
        "Purpose": "Recognising the significant carbon footprint associated with phacoemulsification cataract surgery, this study aims to describe the implementation of a context-specific, sustainable, high-volume cataract surgery model at the Eye Unit of Teaching Hospital Jaffna. The unit adopted and contextually modified the “Aravind Eye Hospital global model for sustainable ophthalmic care”, aligning with EyeSustain principles. The objective is to demonstrate how decarbonisation, resource optimisation, and service efficiency can be embedded across the entire cataract care continuum, from patient identification to postoperative follow-up, without compromising surgical quality, visual outcomes, or equitable access in a resource-constrained setting.",
        "Setting": "The Eye Unit of Teaching Hospital Jaffna, the sole tertiary referral centre for eye care in Northern Sri Lanka, serves a predominantly rural population while operating with less than 50% of the World Health Organization-recommended resources. It is the only unit in the nation pledged to EyeSustain, demonstrating a commitment to sustainable, low-carbon ophthalmic care.",
        "Methods": "Key strategies included decentralized rural eye screening via public-private partnerships, with trained public health care providers conducting basic assessments to reduce repeat travel. Patients were transported in groups to the surgical unit with meals, avoiding the Teaching Hospital Jaffna and using local arrangements for post-operative care, reducing costs and fossil fuel use. High-volume surgical scheduling lowered per-case energy use. Reusable instruments and gowns replaced single use supplies with routine sterilization. A two-table workflow with mid-level staff improved efficiency, while minimizing pharmaceutical waste through the use of multidose vials and optimizing topical medications and local anaesthesia.",
        "Results": "The unit performs approximately 100 cataract surgeries per working day (phacoemulsification and monofocal intraocular lens implantations), all provided free of charge to patients. Despite operating with limited resources, the model consistently achieved good postoperative visual outcomes with minimal complication rates. These outcomes were comparable to, and in some instances better than, those reported from similar resource-limited settings in the region. The high-volume, resource-optimised surgical approach reduced per-patient consumption of energy, consumables, and pharmaceuticals, thereby lowering operational emissions while preserving patient safety, surgical efficiency, and quality of care.",
        "Conclusions": "A sustainable, high-volume phacoemulsification cataract surgery model is feasible and effective in resource-constrained settings. By integrating patient-centred service delivery, decentralised screening, reusable surgical supplies, optimised workflows, and efficient resource use, it demonstrates that environmental sustainability and high-quality eye care can coexist. This model supports SDG 3 by improving access to eye surgery, and SDGs 12 and 13 by cutting resource use and emissions. Although direct carbon footprint measurements were not conducted, this offers a practical pathway toward decarbonised ophthalmic care while contributing to the elimination of avoidable blindness in low-resource contexts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 421
    },
    {
      "uid": "POOTH001",
      "abstract_number": "POOTH001",
      "title": "Endothelial Pump Failure Following Refractive Iol Placement In A Post-Lasik Patient",
      "authors": "Muhammad Hamza",
      "presenter": "Muhammad Hamza",
      "normalized_authors": [
        "Muhammad Hamza"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Muhammad Ahmed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To report endothelial pump failure in a 36-year-old male with prior LASIK and subsequent refractive IOL implantation, emphasizing the role of OCT in diagnosis and differentiation from interface fluid syndrome (IFS). The case highlights risks of multiple refractive procedures, including progressive endothelial decompensation and fluid accumulation. As described by Dawson et al., pressure-induced stromal keratopathy (PISK) may represent an early stage of IFS and can occur even without elevated IOP when endothelial pump function fails.",
        "Setting": "An eye care center specializing in refractive and corneal disorders. The patient presented with progressive visual decline following sequential refractive IOL implantation after prior LASIK surgery.",
        "Methods": "This was a single-patient case report conducted at a specialized eye care center. A comprehensive ophthalmic evaluation was performed, including best-corrected visual acuity assessment, slit-lamp biomicroscopy, intraocular pressure measurement, and anterior segment optical coherence tomography (AS-OCT). Imaging findings were analyzed to differentiate endothelial pump failure from interface fluid syndrome and pressure-induced stromal keratopathy.",
        "Results": "Slit-lamp examination showed corneal edema in the right eye. Anterior segment OCT demonstrated fluid accumulation between the cornea and the IOL, confirming endothelial pump failure. The absence of fluid at the LASIK flap interface excluded interface fluid syndrome, and normal IOP ruled out PISK. Pseudophakic bullous keratopathy was considered. Cumulative endothelial damage from prior LASIK and sequential IOL implantation was deemed the likely cause. Medical therapy was initiated, with endothelial keratoplasty planned.",
        "Conclusions": "Endothelial decompensation may follow multiple refractive procedures. In post-LASIK eyes, OCT is essential to distinguish interface fluid syndrome from primary endothelial failure. Even without elevated IOP, cumulative surgical trauma can predispose to corneal decompensation. Early diagnosis and timely intervention are crucial to prevent permanent visual impairment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Endothelial decompensation may follow multiple refractive procedures. In post-LASIK eyes, OCT is essential to distinguish interface fluid syndrome from primary endothelial failure. Even without elevated IOP, cumulative surgical trauma can predispose to corneal decompensation. Early diagnosis and timely intervention are crucial to prevent permanent visual impairment.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1349,
      "source_fields": {
        "Abstract Final Identifier": "POOTH001",
        "Title": "Endothelial Pump Failure Following Refractive Iol Placement In A Post-Lasik Patient",
        "Presenting Author(s)": "Muhammad Hamza",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Muhammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahmed",
        "Country Name": "Pakistan",
        "Purpose": "To report endothelial pump failure in a 36-year-old male with prior LASIK and subsequent refractive IOL implantation, emphasizing the role of OCT in diagnosis and differentiation from interface fluid syndrome (IFS). The case highlights risks of multiple refractive procedures, including progressive endothelial decompensation and fluid accumulation. As described by Dawson et al., pressure-induced stromal keratopathy (PISK) may represent an early stage of IFS and can occur even without elevated IOP when endothelial pump function fails.",
        "Setting": "An eye care center specializing in refractive and corneal disorders. The patient presented with progressive visual decline following sequential refractive IOL implantation after prior LASIK surgery.",
        "Methods": "This was a single-patient case report conducted at a specialized eye care center. A comprehensive ophthalmic evaluation was performed, including best-corrected visual acuity assessment, slit-lamp biomicroscopy, intraocular pressure measurement, and anterior segment optical coherence tomography (AS-OCT). Imaging findings were analyzed to differentiate endothelial pump failure from interface fluid syndrome and pressure-induced stromal keratopathy.",
        "Results": "Slit-lamp examination showed corneal edema in the right eye. Anterior segment OCT demonstrated fluid accumulation between the cornea and the IOL, confirming endothelial pump failure. The absence of fluid at the LASIK flap interface excluded interface fluid syndrome, and normal IOP ruled out PISK. Pseudophakic bullous keratopathy was considered. Cumulative endothelial damage from prior LASIK and sequential IOL implantation was deemed the likely cause. Medical therapy was initiated, with endothelial keratoplasty planned.",
        "Conclusions": "Endothelial decompensation may follow multiple refractive procedures. In post-LASIK eyes, OCT is essential to distinguish interface fluid syndrome from primary endothelial failure. Even without elevated IOP, cumulative surgical trauma can predispose to corneal decompensation. Early diagnosis and timely intervention are crucial to prevent permanent visual impairment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POOTH002",
      "abstract_number": "POOTH002",
      "title": "Treat The Cornea Or The Lens?\nRefractive Rehabititation Startegies In Cornea Plana",
      "authors": "Dr Nancy Al Raqqad",
      "presenter": "Dr Nancy Al Raqqad",
      "normalized_authors": [
        "Nancy Al Raqqad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nancy Al Raqqad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Jordan",
      "sections": {
        "Purpose": "To present a practical surgical approach to refractive rehabilitation in patients with cornea plana and to discuss decision-making between lens-based and corneal-based strategies.",
        "Setting": "Tertiary referral and private anterior segment surgical practice",
        "Methods": "A clinical case-based analysis of patients with cornea plana undergoing either phacoemulsification with intraocular lens implantation or corneal transplantation. Preoperative assessment focused on keratometric extremes, anterior segment configuration, axial length considerations, and refractive goals. Surgical planning, intraoperative modifications, IOL power calculation challenges, and postoperative visual rehabilitation strategies are illustrated through clinical images and surgical video excerpts.",
        "Results": "Lens-based surgery in selected cases allowed functional visual rehabilitation while avoiding graft-related risks. Corneal transplantation altered corneal curvature but introduced refractive variability and prolonged recovery. Critical factors influencing surgical choice included corneal clarity, degree of refractive error, anterior chamber anatomy, and patient age.",
        "Conclusions": "In cornea plana, surgical management should be guided by refractive objectives rather than anatomical abnormality alone. A structured decision-making approach can help surgeons determine when to treat the lens, when to address the cornea, and how to optimize refractive outcomes in this rare condition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In cornea plana, surgical management should be guided by refractive objectives rather than anatomical abnormality alone. A structured decision-making approach can help surgeons determine when to treat the lens, when to address the cornea, and how to optimize refractive outcomes in this rare condition.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1350,
      "source_fields": {
        "Abstract Final Identifier": "POOTH002",
        "Title": "Treat The Cornea Or The Lens?\nRefractive Rehabititation Startegies In Cornea Plana",
        "Presenting Author(s)": "Dr Nancy Al Raqqad",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Nancy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Raqqad",
        "Country Name": "Jordan",
        "Purpose": "To present a practical surgical approach to refractive rehabilitation in patients with cornea plana and to discuss decision-making between lens-based and corneal-based strategies.",
        "Setting": "Tertiary referral and private anterior segment surgical practice",
        "Methods": "A clinical case-based analysis of patients with cornea plana undergoing either phacoemulsification with intraocular lens implantation or corneal transplantation. Preoperative assessment focused on keratometric extremes, anterior segment configuration, axial length considerations, and refractive goals. Surgical planning, intraoperative modifications, IOL power calculation challenges, and postoperative visual rehabilitation strategies are illustrated through clinical images and surgical video excerpts.",
        "Results": "Lens-based surgery in selected cases allowed functional visual rehabilitation while avoiding graft-related risks. Corneal transplantation altered corneal curvature but introduced refractive variability and prolonged recovery. Critical factors influencing surgical choice included corneal clarity, degree of refractive error, anterior chamber anatomy, and patient age.",
        "Conclusions": "In cornea plana, surgical management should be guided by refractive objectives rather than anatomical abnormality alone. A structured decision-making approach can help surgeons determine when to treat the lens, when to address the cornea, and how to optimize refractive outcomes in this rare condition."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 174
    },
    {
      "uid": "POOTH003",
      "abstract_number": "POOTH003",
      "title": "Artificial Intelligence In Predicting Postoperative Outcomes After Anterior Segment And Ocular Adnexal Surgery: A Systematic Review",
      "authors": "Dr Abdullah Al-Ani",
      "presenter": "Dr Abdullah Al-Ani",
      "normalized_authors": [
        "Abdullah Al-Ani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdullah Al-Ani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Artificial intelligence (AI) is increasingly applied to support decision-making in ophthalmology. This systematic review evaluates the ability of AI models to predict postoperative outcomes following anterior segment and ocular adnexal surgical procedures and compares their performance with conventional statistical approaches when available.",
        "Setting": "Systematic review of published studies evaluating AI-based prediction models for anterior segment and ocular adnexal surgical outcomes.",
        "Methods": "A comprehensive search of MEDLINE, Embase, Cochrane Library, Compendex, Web of Science, Scopus, ProQuest Dissertations and Theses, IEEE Xplore, and grey literature was conducted to June 3, 2025. Studies evaluating AI models predicting postoperative outcomes in anterior segment or adnexal surgery were included; studies limited to intraocular lens power calculation or refractive outcomes were excluded. Risk of bias was assessed using PROBAST.",
        "Results": "Twenty-eight studies were included (n=2,871,898 eyes). Most procedures involved corneal and ocular surface surgery (50%), followed by glaucoma (25%) and cataract/oculoplastic surgery (25%). Tree-based algorithms (54%) and deep learning models (43%) predominated. Among 14 studies comparing AI with traditional methods, 13 (93%) reported superior AI performance. Reported AUCs ranged from 0.33 to 0.99. Seventy-one percent of studies had high risk of bias, and only 11% incorporated external validation.",
        "Conclusions": "AI models show promise in predicting postoperative outcomes following anterior segment and adnexal surgery and frequently outperform conventional statistical approaches. However, most studies demonstrate substantial methodological limitations, including a high risk of bias and limited external validation. Standardized reporting and robust external validation are required before widespread clinical integration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI models show promise in predicting postoperative outcomes following anterior segment and adnexal surgery and frequently outperform conventional statistical approaches. However, most studies demonstrate substantial methodological limitations, including a high risk of bias and limited external validation. Standardized reporting and robust external validation are required before widespread clinical integration.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1351,
      "source_fields": {
        "Abstract Final Identifier": "POOTH003",
        "Title": "Artificial Intelligence In Predicting Postoperative Outcomes After Anterior Segment And Ocular Adnexal Surgery: A Systematic Review",
        "Presenting Author(s)": "Dr Abdullah Al-Ani",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Abdullah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al-Ani",
        "Country Name": "Canada",
        "Purpose": "Artificial intelligence (AI) is increasingly applied to support decision-making in ophthalmology. This systematic review evaluates the ability of AI models to predict postoperative outcomes following anterior segment and ocular adnexal surgical procedures and compares their performance with conventional statistical approaches when available.",
        "Setting": "Systematic review of published studies evaluating AI-based prediction models for anterior segment and ocular adnexal surgical outcomes.",
        "Methods": "A comprehensive search of MEDLINE, Embase, Cochrane Library, Compendex, Web of Science, Scopus, ProQuest Dissertations and Theses, IEEE Xplore, and grey literature was conducted to June 3, 2025. Studies evaluating AI models predicting postoperative outcomes in anterior segment or adnexal surgery were included; studies limited to intraocular lens power calculation or refractive outcomes were excluded. Risk of bias was assessed using PROBAST.",
        "Results": "Twenty-eight studies were included (n=2,871,898 eyes). Most procedures involved corneal and ocular surface surgery (50%), followed by glaucoma (25%) and cataract/oculoplastic surgery (25%). Tree-based algorithms (54%) and deep learning models (43%) predominated. Among 14 studies comparing AI with traditional methods, 13 (93%) reported superior AI performance. Reported AUCs ranged from 0.33 to 0.99. Seventy-one percent of studies had high risk of bias, and only 11% incorporated external validation.",
        "Conclusions": "AI models show promise in predicting postoperative outcomes following anterior segment and adnexal surgery and frequently outperform conventional statistical approaches. However, most studies demonstrate substantial methodological limitations, including a high risk of bias and limited external validation. Standardized reporting and robust external validation are required before widespread clinical integration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "POOTH004",
      "abstract_number": "POOTH004",
      "title": "Transpalpebral Intraocular Pressure Measured By Diaton Tonometer Before, 1 Week, And 1 Month After Transepithelial Photorefractive Keratectomy In Young Myopic Saudi Patients And Its Determinants",
      "authors": "Prof. Sultan Alzuhairy",
      "presenter": "Prof. Sultan Alzuhairy",
      "normalized_authors": [
        "Sultan Alzuhairy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sultan Alzuhairy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To present changes in transpalpebral intraocular pressure (tpIOP) in eyes after transepithelial photorefractive keratectomy (TPRK) in myopic Saudi patients and its determinants",
        "Setting": "This one‑armed cohort included the myopic eyes of Saudi adolescents treated with TPRK in 2020–2021. The difference in tpIOP before surgery, 1 week after surgery, and 1 month after surgery using Diaton was the main outcome. Central corneal thickness (CCT), myopia grade, gender, age, and corneal epithelial thickness before surgery were independent factors. Matched‑pair analysis was conducted. The determinants of tpIOP post‑TPRK were studied",
        "Methods": "This one‑armed cohort included the myopic eyes of Saudi adolescents treated with TPRK in 2020–2021. The difference in tpIOP before surgery, 1 week after surgery, and 1 month after surgery using Diaton was the main outcome. Central corneal thickness (CCT), myopia grade, gender, age, and corneal epithelial thickness before surgery were independent factors. Matched‑pair analysis was conducted. The determinants of tpIOP post‑TPRK were studied",
        "Results": "Our cohort included 193 eyes of 97 participants (25.6 ± 5.8 years). Mild, moderate, and severe myopia were present in 93, 79, and 21 eyes, respectively. tpIOP was 22 mmHg or more in 5 and 8 eyes at 1‑week and 1‑month follow‑up, respectively. The change in tpIOP ranged from − 7.00\nto + 11.0 mmHg at 1 week and − 8.0 to + 26.0 mmHg at 1 month. The median change of CCT at 1 month was 59 µ. Change in tpIOP was not correlated with change in CCT at 1 month (r = −0.107, Pearson P = 0.14). Change of tpIOP was significantly correlated to spherical equivalent (SE) before surgery (matched‑pair P < 0.001). SE (Mann–Whitney U P = 0.02) and tpIOP (Mann–Whitney U P = 0.02) before TPRK were significantly correlated to tpIOP >22 mmHg after TPRK",
        "Conclusions": "The changes in tpIOP following refractive surgery correlate to the refractive status of the eye and tpIOP before surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The changes in tpIOP following refractive surgery correlate to the refractive status of the eye and tpIOP before surgery.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1352,
      "source_fields": {
        "Abstract Final Identifier": "POOTH004",
        "Title": "Transpalpebral Intraocular Pressure Measured By Diaton Tonometer Before, 1 Week, And 1 Month After Transepithelial Photorefractive Keratectomy In Young Myopic Saudi Patients And Its Determinants",
        "Presenting Author(s)": "Prof. Sultan Alzuhairy",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Sultan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alzuhairy",
        "Country Name": "Saudi Arabia",
        "Purpose": "To present changes in transpalpebral intraocular pressure (tpIOP) in eyes after transepithelial photorefractive keratectomy (TPRK) in myopic Saudi patients and its determinants",
        "Setting": "This one‑armed cohort included the myopic eyes of Saudi adolescents treated with TPRK in 2020–2021. The difference in tpIOP before surgery, 1 week after surgery, and 1 month after surgery using Diaton was the main outcome. Central corneal thickness (CCT), myopia grade, gender, age, and corneal epithelial thickness before surgery were independent factors. Matched‑pair analysis was conducted. The determinants of tpIOP post‑TPRK were studied",
        "Methods": "This one‑armed cohort included the myopic eyes of Saudi adolescents treated with TPRK in 2020–2021. The difference in tpIOP before surgery, 1 week after surgery, and 1 month after surgery using Diaton was the main outcome. Central corneal thickness (CCT), myopia grade, gender, age, and corneal epithelial thickness before surgery were independent factors. Matched‑pair analysis was conducted. The determinants of tpIOP post‑TPRK were studied",
        "Results": "Our cohort included 193 eyes of 97 participants (25.6 ± 5.8 years). Mild, moderate, and severe myopia were present in 93, 79, and 21 eyes, respectively. tpIOP was 22 mmHg or more in 5 and 8 eyes at 1‑week and 1‑month follow‑up, respectively. The change in tpIOP ranged from − 7.00\nto + 11.0 mmHg at 1 week and − 8.0 to + 26.0 mmHg at 1 month. The median change of CCT at 1 month was 59 µ. Change in tpIOP was not correlated with change in CCT at 1 month (r = −0.107, Pearson P = 0.14). Change of tpIOP was significantly correlated to spherical equivalent (SE) before surgery (matched‑pair P < 0.001). SE (Mann–Whitney U P = 0.02) and tpIOP (Mann–Whitney U P = 0.02) before TPRK were significantly correlated to tpIOP >22 mmHg after TPRK",
        "Conclusions": "The changes in tpIOP following refractive surgery correlate to the refractive status of the eye and tpIOP before surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "POOTH005",
      "abstract_number": "POOTH005",
      "title": "Choroidal Oct Parameters For Determining Indications For Clear Lens Extraction In Primary Angle-Closure Glaucoma",
      "authors": "A/Prof. Neilya Aldasheva",
      "presenter": "A/Prof. Neilya Aldasheva",
      "normalized_authors": [
        "Neilya Aldasheva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gulzat Berikbay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate subfoveal choroidal thickness as a morphometric predictor of acute attack risk in primary angle-closure glaucoma (PACG) and to assess its role in determining indications for prophylactic clear lens extraction (CLE).",
        "Setting": "Prospective clinical study conducted at the Department of Ophthalmology,\nKazakh Scientific Research Institute of Eye Diseases, Almaty, Kazakhstan.\nPatient population: 38 patients with primary angle-closure glaucoma.",
        "Methods": "Thirty-eight patients with PACG were included. All had a documented acute angle-closure attack in the fellow eye, while the study eye was clinically compensated but considered at high risk.\n\nEnhanced depth imaging optical coherence tomography (EDI-OCT) revealed increased subfoveal choroidal thickness (mean 493.69±78.27 µm), exceeding typical values observed in PACG (mean 345.69±99.25 µm).\n\nMean lens thickness was 4.7±0.3 mm, and anterior chamber depth (ACD) was 2.1±0.9 mm, indicating marked anterior segment crowding.\n\nBased on these morphometric risk factors, prophylactic clear lens extraction with intraocular lens implantation was performed.",
        "Results": "Postoperatively, ACD increased to 3.2 mm with significant widening of the anterior chamber angle.\n\nMean intraocular pressure decreased from 18.5 mmHg (under topical hypotensive therapy) to 16.1 mmHg.\n\nHigh visual acuity was preserved in all cases. No acute angle-closure attacks were observed during the follow-up period.",
        "Conclusions": "Increased choroidal thickness may serve as an additional morphometric predictor of acute angle-closure risk in PACG.\n\nProphylactic clear lens extraction in high-risk patients eliminates anterior segment crowding, contributes to IOP stabilization, and may prevent acute attacks while preserving visual function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Increased choroidal thickness may serve as an additional morphometric predictor of acute angle-closure risk in PACG. Prophylactic clear lens extraction in high-risk patients eliminates anterior segment crowding, contributes to IOP stabilization, and may prevent acute attacks while preserving visual function.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1353,
      "source_fields": {
        "Abstract Final Identifier": "POOTH005",
        "Title": "Choroidal Oct Parameters For Determining Indications For Clear Lens Extraction In Primary Angle-Closure Glaucoma",
        "Presenting Author(s)": "A/Prof. Neilya Aldasheva",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Gulzat",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Berikbay",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate subfoveal choroidal thickness as a morphometric predictor of acute attack risk in primary angle-closure glaucoma (PACG) and to assess its role in determining indications for prophylactic clear lens extraction (CLE).",
        "Setting": "Prospective clinical study conducted at the Department of Ophthalmology,\nKazakh Scientific Research Institute of Eye Diseases, Almaty, Kazakhstan.\nPatient population: 38 patients with primary angle-closure glaucoma.",
        "Methods": "Thirty-eight patients with PACG were included. All had a documented acute angle-closure attack in the fellow eye, while the study eye was clinically compensated but considered at high risk.\n\nEnhanced depth imaging optical coherence tomography (EDI-OCT) revealed increased subfoveal choroidal thickness (mean 493.69±78.27 µm), exceeding typical values observed in PACG (mean 345.69±99.25 µm).\n\nMean lens thickness was 4.7±0.3 mm, and anterior chamber depth (ACD) was 2.1±0.9 mm, indicating marked anterior segment crowding.\n\nBased on these morphometric risk factors, prophylactic clear lens extraction with intraocular lens implantation was performed.",
        "Results": "Postoperatively, ACD increased to 3.2 mm with significant widening of the anterior chamber angle.\n\nMean intraocular pressure decreased from 18.5 mmHg (under topical hypotensive therapy) to 16.1 mmHg.\n\nHigh visual acuity was preserved in all cases. No acute angle-closure attacks were observed during the follow-up period.",
        "Conclusions": "Increased choroidal thickness may serve as an additional morphometric predictor of acute angle-closure risk in PACG.\n\nProphylactic clear lens extraction in high-risk patients eliminates anterior segment crowding, contributes to IOP stabilization, and may prevent acute attacks while preserving visual function."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POOTH006",
      "abstract_number": "POOTH006",
      "title": "Refractive Surgery In Paediatric Patients – A Systematic Review",
      "authors": "Angela Chuang",
      "presenter": "Angela Chuang",
      "normalized_authors": [
        "Angela Chuang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Angela Chuang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "The safety, efficacy and outcomes of refractive surgery in the paediatric population has a growing evidence base. The objective of this systematic review to evaluate the safety and efficacy of refractive surgery in paediatric patients.",
        "Setting": "Systematic review of published studies conducted across different care settings internationally.",
        "Methods": "A comprehensive search of PubMed and EMBASE databases was performed in accordance with the PRISMA guidelines for published literature from inception to July 2025 relating to the use of refractive surgery in paediatric patients. Studies involving patients younger than 18 years old undergoing refractive surgery for high refractive error with or without amblyopia with poor spectacle tolerance were included. Studies involving cataracts, glaucoma, or corneal transplants and grafts were excluded. The outcomes examined included changes in refractive error, changes in visual acuity, follow-up time, and postoperative complications. A total of 92 articles and reviews involving 1273 patients and 1530 eyes fulfilled the inclusion criteria.",
        "Results": "In the management of treatment-resistant amblyopia and ametropia in paediatric patients, which was the predominant indication in these studies, corneal laser-based procedures (PRK, LASIK, LASEK, LALEX) showed modest improvements in uncorrected and best-corrected visual acuity. Despite reports of corneal haze, many incidences resolved without impacting vision. Phakic intraocular lens (IOL) implantation provided greater visual acuity gains with less regression, but had risks of raised intraocular pressure, pigment deposits, and endothelial cell loss. Clear lens extraction was indicated for rarer anatomical pathologies and resulted in comparable visual acuity gains, but myopic regression was common, especially in younger children.",
        "Conclusions": "Current evidence suggests that selected paediatric patients may benefit from refractive surgery. There is increasing evidence that this is a means for refractory amblyopia cases. Further large-scale, long-term prospective research is essential to confirm safety, efficacy, and guide clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Current evidence suggests that selected paediatric patients may benefit from refractive surgery. There is increasing evidence that this is a means for refractory amblyopia cases. Further large-scale, long-term prospective research is essential to confirm safety, efficacy, and guide clinical practice.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1354,
      "source_fields": {
        "Abstract Final Identifier": "POOTH006",
        "Title": "Refractive Surgery In Paediatric Patients – A Systematic Review",
        "Presenting Author(s)": "Angela Chuang",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Angela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chuang",
        "Country Name": "Australia",
        "Purpose": "The safety, efficacy and outcomes of refractive surgery in the paediatric population has a growing evidence base. The objective of this systematic review to evaluate the safety and efficacy of refractive surgery in paediatric patients.",
        "Setting": "Systematic review of published studies conducted across different care settings internationally.",
        "Methods": "A comprehensive search of PubMed and EMBASE databases was performed in accordance with the PRISMA guidelines for published literature from inception to July 2025 relating to the use of refractive surgery in paediatric patients. Studies involving patients younger than 18 years old undergoing refractive surgery for high refractive error with or without amblyopia with poor spectacle tolerance were included. Studies involving cataracts, glaucoma, or corneal transplants and grafts were excluded. The outcomes examined included changes in refractive error, changes in visual acuity, follow-up time, and postoperative complications. A total of 92 articles and reviews involving 1273 patients and 1530 eyes fulfilled the inclusion criteria.",
        "Results": "In the management of treatment-resistant amblyopia and ametropia in paediatric patients, which was the predominant indication in these studies, corneal laser-based procedures (PRK, LASIK, LASEK, LALEX) showed modest improvements in uncorrected and best-corrected visual acuity. Despite reports of corneal haze, many incidences resolved without impacting vision. Phakic intraocular lens (IOL) implantation provided greater visual acuity gains with less regression, but had risks of raised intraocular pressure, pigment deposits, and endothelial cell loss. Clear lens extraction was indicated for rarer anatomical pathologies and resulted in comparable visual acuity gains, but myopic regression was common, especially in younger children.",
        "Conclusions": "Current evidence suggests that selected paediatric patients may benefit from refractive surgery. There is increasing evidence that this is a means for refractory amblyopia cases. Further large-scale, long-term prospective research is essential to confirm safety, efficacy, and guide clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POOTH007",
      "abstract_number": "POOTH007",
      "title": "Performance Of Five Large Language Models On Ophthalmology Multiple-Choice Questions: Focus On Cataract, Cornea And Refractive Surgery",
      "authors": "Prof. Dr Giulia Coco",
      "presenter": "Prof. Dr Giulia Coco",
      "normalized_authors": [
        "Giulia Coco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giulia Coco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare the performance of five publicly available large language models (LLMs) in answering multiple-choice questions from the American Academy of Ophthalmology (AAO) self-assessment tests, with specific focus on cataract/anterior segment, cornea/external diseases, and refractive management/intervention.",
        "Setting": "Multicenter academic study conducted at the Departments of Clinical and Translational Medicine, University of Rome Tor Vergata; Translational Medicine, University of Ferrara; Ophthalmology, University Magna Graecia of Catanzaro; Surgical Sciences, University of Cagliari; and Ophthalmology, University of Napoli “Federico II”, Italy.",
        "Methods": "In this cross-sectional study, 1020 AAO multiple-choice questions were submitted to five LLMs (ChatGPT-5.2, Claude 4.5 Opus, Gemini 3.0 Pro, DeepSeek-R1, and Grok 4.1). Human performance data were obtained from the AAO platform. Questions were categorized into 10 subspecialties and 3 practice areas (diagnostics, medical treatment, and surgery). Items were defined as “difficult” if >50% of human respondents answered incorrectly and “easy” if >95% answered correctly. Accuracy rates were compared at the question level using chi-square or Fisher’s exact tests, with pairwise LLM comparisons performed using McNemar’s test and Bonferroni correction for multiple testing.",
        "Results": "Gemini 3.0 Pro achieved the highest accuracy (96.2%), followed by ChatGPT-5.2 (95.8%), Claude Opus 4.5 (94.3%), Grok 4.1 (93.8%), and DeepSeek R1 (90.7%) (χ²₄=35.055, p<0.001). Humans scored significantly lower (75.6±17.1%, all p<0.001). Only Claude Opus 4.5 and Grok 4.1 varied across subspecialties (all p<0.008). In cataract/anterior segment and cornea/external diseases, humans scored 77.6% and 77.1% versus 89.7–96.9% for LLMs. Refractive management/intervention was most challenging for both (humans 68.3±19.8%; LLMs 83.8–89.7%), and surgery was the hardest domain. LLM performance was consistent across areas (all p>0.06). All LLMs answered all easy questions (n=122) correctly and outperformed humans on difficult ones (n=90; all p<0.001).",
        "Conclusions": "All evaluated LLMs achieved over 90% accuracy on AAO self-assessment questions and significantly outperformed human respondents across subspecialties and difficulty levels, highlighting their potential role as advanced educational support tools in ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All evaluated LLMs achieved over 90% accuracy on AAO self-assessment questions and significantly outperformed human respondents across subspecialties and difficulty levels, highlighting their potential role as advanced educational support tools in ophthalmology.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1355,
      "source_fields": {
        "Abstract Final Identifier": "POOTH007",
        "Title": "Performance Of Five Large Language Models On Ophthalmology Multiple-Choice Questions: Focus On Cataract, Cornea And Refractive Surgery",
        "Presenting Author(s)": "Prof. Dr Giulia Coco",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Giulia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Coco",
        "Country Name": "Italy",
        "Purpose": "To compare the performance of five publicly available large language models (LLMs) in answering multiple-choice questions from the American Academy of Ophthalmology (AAO) self-assessment tests, with specific focus on cataract/anterior segment, cornea/external diseases, and refractive management/intervention.",
        "Setting": "Multicenter academic study conducted at the Departments of Clinical and Translational Medicine, University of Rome Tor Vergata; Translational Medicine, University of Ferrara; Ophthalmology, University Magna Graecia of Catanzaro; Surgical Sciences, University of Cagliari; and Ophthalmology, University of Napoli “Federico II”, Italy.",
        "Methods": "In this cross-sectional study, 1020 AAO multiple-choice questions were submitted to five LLMs (ChatGPT-5.2, Claude 4.5 Opus, Gemini 3.0 Pro, DeepSeek-R1, and Grok 4.1). Human performance data were obtained from the AAO platform. Questions were categorized into 10 subspecialties and 3 practice areas (diagnostics, medical treatment, and surgery). Items were defined as “difficult” if >50% of human respondents answered incorrectly and “easy” if >95% answered correctly. Accuracy rates were compared at the question level using chi-square or Fisher’s exact tests, with pairwise LLM comparisons performed using McNemar’s test and Bonferroni correction for multiple testing.",
        "Results": "Gemini 3.0 Pro achieved the highest accuracy (96.2%), followed by ChatGPT-5.2 (95.8%), Claude Opus 4.5 (94.3%), Grok 4.1 (93.8%), and DeepSeek R1 (90.7%) (χ²₄=35.055, p<0.001). Humans scored significantly lower (75.6±17.1%, all p<0.001). Only Claude Opus 4.5 and Grok 4.1 varied across subspecialties (all p<0.008). In cataract/anterior segment and cornea/external diseases, humans scored 77.6% and 77.1% versus 89.7–96.9% for LLMs. Refractive management/intervention was most challenging for both (humans 68.3±19.8%; LLMs 83.8–89.7%), and surgery was the hardest domain. LLM performance was consistent across areas (all p>0.06). All LLMs answered all easy questions (n=122) correctly and outperformed humans on difficult ones (n=90; all p<0.001).",
        "Conclusions": "All evaluated LLMs achieved over 90% accuracy on AAO self-assessment questions and significantly outperformed human respondents across subspecialties and difficulty levels, highlighting their potential role as advanced educational support tools in ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "POOTH008",
      "abstract_number": "POOTH008",
      "title": "Short-Term Results Of Direct Selective Laser Trabeculoplasty For The Treatment Of Ocular Hypertension And Glaucoma In Naive Eyes",
      "authors": "Montserrat García-González",
      "presenter": "Montserrat García-González",
      "normalized_authors": [
        "Montserrat García-González"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Inés Contreras",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the effect of direct selective-laser trabeculoplasty (DSLT) on intraocular pressure (IOP) in eyes with ocular hypertension (OHT) or open angle glaucoma (OAG) without prior treatment.",
        "Setting": "Private practise ophthalmology clinic.",
        "Methods": "Prospective, single-arm study in naïve patients diagnosed with OAG or OHT. The eye with the highest IOP was included. DSLT was performed with the Voyager device; 120 laser pulses of 3 ns, 400 µm spot size and an energy of 1.8 mJ delivered to the limbus through 360º. Patients will be seen 1 week and 1, 3, 6 and 12 months after DSLT. Main endpoints will be percentage reduction in washed-out IOP ( wIOP) after 3, 6 (primary endpoint) and 12 months as well as mean wIOP reduction, proportion of eyes with ≥20% reduction in wIOP, percentage of eyes using hypotensive drugs and mean number of drugs used, evaluated 3, 6 and 12 months after DSLT. Adverse effects will also be recorded. Data presented herein are those of the third month after DSLT.",
        "Results": "Nineteen patients have completed three months follow-up; 10 with OHT and 9 with OAG. Mean age was 64.6±11.3 years, range 39 to 85. Mean IOP dropped significantly from 27.1 ± 3.2 mmHg (range 23 to 33) at baseline to 19.8 ± 2.5 mmHg (range 14 to 24) one week, 19.3 ± 2.8 mmHg (range 13 to 23) one month and 19.6 ± 2.5 mmHg (range 13 to 24) three months after DSLT (p<0.001 for all comparisons). Mean wIOP reduction three months after DSLT was 27.4 ± 8.8% (range 12.0 to 43.5%). IOP dropped ≥20% from baseline in 16 eyes (84.2%). No patient required topical hypotensive treatment. Adverse events were mild, with five patients reporting transient itching, two patients transient headache and one patient transient foreign body sensation.",
        "Conclusions": "DSLT provides good short-term IOP reduction in naïve eyes with OHT and OAG, with no relevant adverse effects. The study is ongoing to evaluate longer-term results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DSLT provides good short-term IOP reduction in naïve eyes with OHT and OAG, with no relevant adverse effects. The study is ongoing to evaluate longer-term results.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1356,
      "source_fields": {
        "Abstract Final Identifier": "POOTH008",
        "Title": "Short-Term Results Of Direct Selective Laser Trabeculoplasty For The Treatment Of Ocular Hypertension And Glaucoma In Naive Eyes",
        "Presenting Author(s)": "Montserrat García-González",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Inés",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Contreras",
        "Country Name": "Spain",
        "Purpose": "To evaluate the effect of direct selective-laser trabeculoplasty (DSLT) on intraocular pressure (IOP) in eyes with ocular hypertension (OHT) or open angle glaucoma (OAG) without prior treatment.",
        "Setting": "Private practise ophthalmology clinic.",
        "Methods": "Prospective, single-arm study in naïve patients diagnosed with OAG or OHT. The eye with the highest IOP was included. DSLT was performed with the Voyager device; 120 laser pulses of 3 ns, 400 µm spot size and an energy of 1.8 mJ delivered to the limbus through 360º. Patients will be seen 1 week and 1, 3, 6 and 12 months after DSLT. Main endpoints will be percentage reduction in washed-out IOP ( wIOP) after 3, 6 (primary endpoint) and 12 months as well as mean wIOP reduction, proportion of eyes with ≥20% reduction in wIOP, percentage of eyes using hypotensive drugs and mean number of drugs used, evaluated 3, 6 and 12 months after DSLT. Adverse effects will also be recorded. Data presented herein are those of the third month after DSLT.",
        "Results": "Nineteen patients have completed three months follow-up; 10 with OHT and 9 with OAG. Mean age was 64.6±11.3 years, range 39 to 85. Mean IOP dropped significantly from 27.1 ± 3.2 mmHg (range 23 to 33) at baseline to 19.8 ± 2.5 mmHg (range 14 to 24) one week, 19.3 ± 2.8 mmHg (range 13 to 23) one month and 19.6 ± 2.5 mmHg (range 13 to 24) three months after DSLT (p<0.001 for all comparisons). Mean wIOP reduction three months after DSLT was 27.4 ± 8.8% (range 12.0 to 43.5%). IOP dropped ≥20% from baseline in 16 eyes (84.2%). No patient required topical hypotensive treatment. Adverse events were mild, with five patients reporting transient itching, two patients transient headache and one patient transient foreign body sensation.",
        "Conclusions": "DSLT provides good short-term IOP reduction in naïve eyes with OHT and OAG, with no relevant adverse effects. The study is ongoing to evaluate longer-term results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "POOTH009",
      "abstract_number": "POOTH009",
      "title": "Traumatic Anterior Uveitis With Transient Pseudomyopia And Hypotony Maculopathy In A Teenager",
      "authors": "Dr Brisilda Danaj",
      "presenter": "Dr Brisilda Danaj",
      "normalized_authors": [
        "Brisilda Danaj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Brisilda Danaj",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Albania",
      "sections": {
        "Purpose": "To report a rare case of traumatic anterior uveitis associated with transient pseudomyopia and hypotony maculopathy in a teenager, emphasizing the role of multimodal imaging and timely management to prevent long-term visual complications.",
        "Setting": "Ophthalmology emergency department in a tertiary care hospital.",
        "Methods": "A teenage male presented after blunt ocular trauma. Clinical examination included visual acuity assessment, slit-lamp biomicroscopy, gonioscopy, fundoscopy, and measurement of intraocular pressure. Imaging with OCT and B-scan ultrasonography was performed. The patient was managed with topical cycloplegics and a short course of systemic corticosteroids. Follow-up included refraction and multimodal imaging to monitor resolution of inflammation and structural changes.",
        "Results": "Initial uncorrected visual acuity was 20/60, improving to 6/7.5 with pinhole. Intraocular pressure was 2 mmHg. Examination revealed mild anterior chamber reaction, iridoplegia, partial cyclodialysis with angle recession, and macular folds consistent with hypotony maculopathy. B-scan ultrasonography showed choroidal elevation secondary to cyclodialysis. The patient developed a transient myopic shift that resolved within one week. Anti-inflammatory therapy and cycloplegics led to complete resolution of inflammation and refractive changes.",
        "Conclusions": "Traumatic anterior uveitis can be accompanied by transient pseudomyopia due to ciliary body and choroidal structural changes. Cyclodialysis-induced hypotony may cause macular folds detectable on OCT. Prompt recognition and management are crucial to restore visual function and prevent long-term sequelae."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Traumatic anterior uveitis can be accompanied by transient pseudomyopia due to ciliary body and choroidal structural changes. Cyclodialysis-induced hypotony may cause macular folds detectable on OCT. Prompt recognition and management are crucial to restore visual function and prevent long-term sequelae.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1357,
      "source_fields": {
        "Abstract Final Identifier": "POOTH009",
        "Title": "Traumatic Anterior Uveitis With Transient Pseudomyopia And Hypotony Maculopathy In A Teenager",
        "Presenting Author(s)": "Dr Brisilda Danaj",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Brisilda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Danaj",
        "Country Name": "Albania",
        "Purpose": "To report a rare case of traumatic anterior uveitis associated with transient pseudomyopia and hypotony maculopathy in a teenager, emphasizing the role of multimodal imaging and timely management to prevent long-term visual complications.",
        "Setting": "Ophthalmology emergency department in a tertiary care hospital.",
        "Methods": "A teenage male presented after blunt ocular trauma. Clinical examination included visual acuity assessment, slit-lamp biomicroscopy, gonioscopy, fundoscopy, and measurement of intraocular pressure. Imaging with OCT and B-scan ultrasonography was performed. The patient was managed with topical cycloplegics and a short course of systemic corticosteroids. Follow-up included refraction and multimodal imaging to monitor resolution of inflammation and structural changes.",
        "Results": "Initial uncorrected visual acuity was 20/60, improving to 6/7.5 with pinhole. Intraocular pressure was 2 mmHg. Examination revealed mild anterior chamber reaction, iridoplegia, partial cyclodialysis with angle recession, and macular folds consistent with hypotony maculopathy. B-scan ultrasonography showed choroidal elevation secondary to cyclodialysis. The patient developed a transient myopic shift that resolved within one week. Anti-inflammatory therapy and cycloplegics led to complete resolution of inflammation and refractive changes.",
        "Conclusions": "Traumatic anterior uveitis can be accompanied by transient pseudomyopia due to ciliary body and choroidal structural changes. Cyclodialysis-induced hypotony may cause macular folds detectable on OCT. Prompt recognition and management are crucial to restore visual function and prevent long-term sequelae."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "POOTH010",
      "abstract_number": "POOTH010",
      "title": "Iridodialysis Repair Using The Degirmenci Technique: A Flanged Transscleral Loop-Guided Method",
      "authors": "A/Prof. Cumali Degirmenci",
      "presenter": "A/Prof. Cumali Degirmenci",
      "normalized_authors": [
        "Cumali Degirmenci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cumali Degirmenci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Iridodialysis repair remains surgically challenging, requiring stable iris reattachment while preserving pupil configuration and minimizing suture-related complications. Although various ab interno and ab externo techniques, including transscleral suturing and flanged fixation, have been described, limitations such as conjunctival erosion, suture exposure, and limited control of iris-scleral apposition persist. The Degirmenci Technique introduces a loop-guided transscleral fixation method designed to allow controlled iris repositioning while avoiding externalized knots. This study describes the technique and reports clinical outcomes in four consecutive cases.",
        "Setting": "Tertiary referral university hospital, Department of Ophthalmology.",
        "Methods": "Four patients with traumatic iridodialysis underwent repair using a loop-guided transscleral 9-0 polypropylene fixation. Following conjunctival peritomy, the suture was introduced into the anterior chamber from the opposite quadrant. A 26-gauge needle inserted 2 mm posterior to the limbus at the dialysis site was used to guide suture externalization. The same scleral entry was used to engage the peripheral iris and achieve controlled iris-scleral approximation by passing the suture through its external loop. Fixation points were placed at approximately 2 mm intervals. The suture was then flanged and buried intrastromally.",
        "Results": "Successful anatomical repair was achieved in all four cases. A clinically acceptable, round pupil was obtained in each patient. Follow-up ranged from 4 to 11 months. No intraoperative or postoperative complications were observed. Importantly, no cases of conjunctival erosion, suture exposure, chronic irritation, hypotony, or secondary glaucoma occurred.",
        "Conclusions": "The Degirmenci Technique provides effective anatomical restoration and favorable functional outcomes in iridodialysis repair. Intrastromal burial of the flanged suture tip may reduce the risk of conjunctival erosion and enhance long-term safety. Beyond iridodialysis, this method may be adaptable to other anterior segment conditions requiring peripheral fixation, such as cyclodialysis cleft repair. Larger prospective studies are warranted to further validate its safety and broader applicability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Degirmenci Technique provides effective anatomical restoration and favorable functional outcomes in iridodialysis repair. Intrastromal burial of the flanged suture tip may reduce the risk of conjunctival erosion and enhance long-term safety. Beyond iridodialysis, this method may be adaptable to other anterior segment conditions requiring peripheral fixation, such as cyclodialysis cleft repair. Larger…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1358,
      "source_fields": {
        "Abstract Final Identifier": "POOTH010",
        "Title": "Iridodialysis Repair Using The Degirmenci Technique: A Flanged Transscleral Loop-Guided Method",
        "Presenting Author(s)": "A/Prof. Cumali Degirmenci",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Cumali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Degirmenci",
        "Country Name": "Türkiye",
        "Purpose": "Iridodialysis repair remains surgically challenging, requiring stable iris reattachment while preserving pupil configuration and minimizing suture-related complications. Although various ab interno and ab externo techniques, including transscleral suturing and flanged fixation, have been described, limitations such as conjunctival erosion, suture exposure, and limited control of iris-scleral apposition persist. The Degirmenci Technique introduces a loop-guided transscleral fixation method designed to allow controlled iris repositioning while avoiding externalized knots. This study describes the technique and reports clinical outcomes in four consecutive cases.",
        "Setting": "Tertiary referral university hospital, Department of Ophthalmology.",
        "Methods": "Four patients with traumatic iridodialysis underwent repair using a loop-guided transscleral 9-0 polypropylene fixation. Following conjunctival peritomy, the suture was introduced into the anterior chamber from the opposite quadrant. A 26-gauge needle inserted 2 mm posterior to the limbus at the dialysis site was used to guide suture externalization. The same scleral entry was used to engage the peripheral iris and achieve controlled iris-scleral approximation by passing the suture through its external loop. Fixation points were placed at approximately 2 mm intervals. The suture was then flanged and buried intrastromally.",
        "Results": "Successful anatomical repair was achieved in all four cases. A clinically acceptable, round pupil was obtained in each patient. Follow-up ranged from 4 to 11 months. No intraoperative or postoperative complications were observed. Importantly, no cases of conjunctival erosion, suture exposure, chronic irritation, hypotony, or secondary glaucoma occurred.",
        "Conclusions": "The Degirmenci Technique provides effective anatomical restoration and favorable functional outcomes in iridodialysis repair. Intrastromal burial of the flanged suture tip may reduce the risk of conjunctival erosion and enhance long-term safety. Beyond iridodialysis, this method may be adaptable to other anterior segment conditions requiring peripheral fixation, such as cyclodialysis cleft repair. Larger prospective studies are warranted to further validate its safety and broader applicability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POOTH011",
      "abstract_number": "POOTH011",
      "title": "Clear Corneal Incision Suturing Wet Lab: A Microsurgical Training Model For Ophthalmology Residents",
      "authors": "Prof. Dr Aysun Sanal Dogan",
      "presenter": "Prof. Dr Aysun Sanal Dogan",
      "normalized_authors": [
        "Aysun Sanal Dogan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aysun Sanal Dogan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate suturing skills in ophthalmology residents through a dry lab model using orange peel and a wet lab model involving corneal suturing on sheep eyes, and to assess the association between these skills and the residents’ prior surgical experience.",
        "Setting": "University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Ophthalmology, Ankara, Turkiye.",
        "Methods": "Ophthalmology residents were grouped into 2 (<12 months vs ≥12 months of training). Junior group performed 5 sutures on an orange model in dry lab setting, followed by 2 sutures on a clear corneal incision created in a sheep eye in wet lab session. Senior group performed only 2 sutures in the wet lab. The first sutures were performed without guidance, than a feedback was provided and subsequent sutures were performed accordingly. Each attempt was evaluated using a 7-item skills assessment, each item scored from 0 to 3. Suturing time and total performance scores were recorded. Changes in scores and completion times across repeated attempts, as well as their association with residents’ prior surgical experience, were analyzed.",
        "Results": "A total of 21 residents' 88 suturing attempts were evaluated. Correlations were identified between duration of training(rₛ=.815, p<.001), experience in pterygium surgery(rₛ=.841, p<.001), experience in corneal suturing(rₛ=.623, p=.003), and initial scores. Microscope experience had higher scores (M=12.73) compared to others (M=6.17) (U=79.0, p =.009). Across the 5 repeated attempts performed in dry lab, an increase was observed (χ²(4)=21.24, p<.001). In wet lab no significant difference was observed between 2 attempts (p=.253) however, a marginal trend was noted in the junior (p=.089).Seniors achieved higher scores in both wet lab attempts (Attempt1: p<.001; Attempt2: p=.001). And positive correlation between seniority and scores (rₛ=.815).",
        "Conclusions": "Wet lab practice is an important tool in the microsurgical training of ophthalmology residents. Corneal suturing differs substantially from suturing other tissues such as skin or conjunctiva and has its own distinct learning curve. Although performing suturing attempts in a dry lab setting may improve overall suturing control, it would not necessarily be expected to lead to an improvement in corneal suturing performance. High-quality training in ophthalmology residency can be achieved by integrating newly developed training models with structured clinical experience and accumulated surgical expertise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Wet lab practice is an important tool in the microsurgical training of ophthalmology residents. Corneal suturing differs substantially from suturing other tissues such as skin or conjunctiva and has its own distinct learning curve. Although performing suturing attempts in a dry lab setting may improve overall suturing control, it would not necessarily be expected to lead to an improvement in corneal suturing…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1359,
      "source_fields": {
        "Abstract Final Identifier": "POOTH011",
        "Title": "Clear Corneal Incision Suturing Wet Lab: A Microsurgical Training Model For Ophthalmology Residents",
        "Presenting Author(s)": "Prof. Dr Aysun Sanal Dogan",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Aysun Sanal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dogan",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate suturing skills in ophthalmology residents through a dry lab model using orange peel and a wet lab model involving corneal suturing on sheep eyes, and to assess the association between these skills and the residents’ prior surgical experience.",
        "Setting": "University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Ophthalmology, Ankara, Turkiye.",
        "Methods": "Ophthalmology residents were grouped into 2 (<12 months vs ≥12 months of training). Junior group performed 5 sutures on an orange model in dry lab setting, followed by 2 sutures on a clear corneal incision created in a sheep eye in wet lab session. Senior group performed only 2 sutures in the wet lab. The first sutures were performed without guidance, than a feedback was provided and subsequent sutures were performed accordingly. Each attempt was evaluated using a 7-item skills assessment, each item scored from 0 to 3. Suturing time and total performance scores were recorded. Changes in scores and completion times across repeated attempts, as well as their association with residents’ prior surgical experience, were analyzed.",
        "Results": "A total of 21 residents' 88 suturing attempts were evaluated. Correlations were identified between duration of training(rₛ=.815, p<.001), experience in pterygium surgery(rₛ=.841, p<.001), experience in corneal suturing(rₛ=.623, p=.003), and initial scores. Microscope experience had higher scores (M=12.73) compared to others (M=6.17) (U=79.0, p =.009). Across the 5 repeated attempts performed in dry lab, an increase was observed (χ²(4)=21.24, p<.001). In wet lab no significant difference was observed between 2 attempts (p=.253) however, a marginal trend was noted in the junior (p=.089).Seniors achieved higher scores in both wet lab attempts (Attempt1: p<.001; Attempt2: p=.001). And positive correlation between seniority and scores (rₛ=.815).",
        "Conclusions": "Wet lab practice is an important tool in the microsurgical training of ophthalmology residents. Corneal suturing differs substantially from suturing other tissues such as skin or conjunctiva and has its own distinct learning curve. Although performing suturing attempts in a dry lab setting may improve overall suturing control, it would not necessarily be expected to lead to an improvement in corneal suturing performance. High-quality training in ophthalmology residency can be achieved by integrating newly developed training models with structured clinical experience and accumulated surgical expertise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POOTH012",
      "abstract_number": "POOTH012",
      "title": "Out-Of-Hours Ophthalmology Emergency Presentations At A District General Hospital In England",
      "authors": "Mr Zabiulallah Ghasemi",
      "presenter": "Mr Zabiulallah Ghasemi",
      "normalized_authors": [
        "Zabiulallah Ghasemi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zabiulallah Ghasemi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Out-of-hours (OOH) ophthalmic presentations represent a substantial component of acute eye care in the UK. The spectrum of these conditions seen in district general hospitals (DGH) remains poorly characterised. This study aimed to assess the presentations seen in a rapid access clinic at a DGH in England, in order to identify the most common opthalmic referral pathways and subspecialties involved. Understanding which presentations are most common can help guide training, service provision and resource allocation.",
        "Setting": "OOH clinical activity in the Ophthalmology Department at Maidstone and Tunbridge Wells NHS Trust",
        "Methods": "A retrospective observational study was conducted from 4 August 2023 to 1 December 2024. Data were collected from an email handover system employed at our Trust for on-call residents to convey OOH referrals to the department. Information gathered included presenting diagnosis and mode of referral (i.e. telephone call or A&E presentation). Diagnoses were categorised by condition and grouped by subspecialty. Incomplete documentation which prevented clear diagnosis was excluded from the final analysis.",
        "Results": "315 patients were referred out of hours. 49 were excluded due to incomplete documentation; 266 patients were used for analysis. The most frequently involved subspecialties were vitreoretinal (24.8%), cornea (20.3%), and oculoplastics (9.77%). 54 distinct diagnoses were made. The 5 most common presentations were trauma (22.8%), post-operative complications (16.97%), retinal detachment (8.49%), microbial keratitis (6.27%), and retinal tear/hole (5.54%). 70.3% of referrals were from hospital inpatient or outpatient teams; 29.7% were received via telephone referral. Of note, there were 4 presentations of primary angle closure glaucoma and no presentations of endophthalmitis.",
        "Conclusions": "Our findings highlight the need for broad subspecialty knowledge required by on-call ophthalmology residents and helps to inform targeted training in these emergencies, which can be fulfilled by teaching sessions or a handbook for resident doctors. Future studies should also compare findings with tertiary centres and other DGHs and incorporate demographic analysis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings highlight the need for broad subspecialty knowledge required by on-call ophthalmology residents and helps to inform targeted training in these emergencies, which can be fulfilled by teaching sessions or a handbook for resident doctors. Future studies should also compare findings with tertiary centres and other DGHs and incorporate demographic analysis.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1360,
      "source_fields": {
        "Abstract Final Identifier": "POOTH012",
        "Title": "Out-Of-Hours Ophthalmology Emergency Presentations At A District General Hospital In England",
        "Presenting Author(s)": "Mr Zabiulallah Ghasemi",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Zabiulallah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghasemi",
        "Country Name": "United Kingdom",
        "Purpose": "Out-of-hours (OOH) ophthalmic presentations represent a substantial component of acute eye care in the UK. The spectrum of these conditions seen in district general hospitals (DGH) remains poorly characterised. This study aimed to assess the presentations seen in a rapid access clinic at a DGH in England, in order to identify the most common opthalmic referral pathways and subspecialties involved. Understanding which presentations are most common can help guide training, service provision and resource allocation.",
        "Setting": "OOH clinical activity in the Ophthalmology Department at Maidstone and Tunbridge Wells NHS Trust",
        "Methods": "A retrospective observational study was conducted from 4 August 2023 to 1 December 2024. Data were collected from an email handover system employed at our Trust for on-call residents to convey OOH referrals to the department. Information gathered included presenting diagnosis and mode of referral (i.e. telephone call or A&E presentation). Diagnoses were categorised by condition and grouped by subspecialty. Incomplete documentation which prevented clear diagnosis was excluded from the final analysis.",
        "Results": "315 patients were referred out of hours. 49 were excluded due to incomplete documentation; 266 patients were used for analysis. The most frequently involved subspecialties were vitreoretinal (24.8%), cornea (20.3%), and oculoplastics (9.77%). 54 distinct diagnoses were made. The 5 most common presentations were trauma (22.8%), post-operative complications (16.97%), retinal detachment (8.49%), microbial keratitis (6.27%), and retinal tear/hole (5.54%). 70.3% of referrals were from hospital inpatient or outpatient teams; 29.7% were received via telephone referral. Of note, there were 4 presentations of primary angle closure glaucoma and no presentations of endophthalmitis.",
        "Conclusions": "Our findings highlight the need for broad subspecialty knowledge required by on-call ophthalmology residents and helps to inform targeted training in these emergencies, which can be fulfilled by teaching sessions or a handbook for resident doctors. Future studies should also compare findings with tertiary centres and other DGHs and incorporate demographic analysis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "POOTH013",
      "abstract_number": "POOTH013",
      "title": "Eyejourney: Transforming Traditional Ophthalmic Patient Education Using A Digital Pathway - A Case Study Review",
      "authors": "Mr Pieter Gouws",
      "presenter": "Mr Pieter Gouws",
      "normalized_authors": [
        "Pieter Gouws"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pieter Gouws",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Traditional ophthalmic patient education relies on verbal explanations and printed leaflets, often resulting in inconsistent understanding, repeated queries, and increased anxiety. Eyejourney is an AI-enabled digital platform that supports consultation-based education into a structured, personalised digital pathway. This paper presents early reflections using a case study approach and explores its potential to improve patient understanding, reduce chair time, enhance satisfaction, and lower anxiety throughout the surgical journey.",
        "Setting": "The platform is implemented in outpatient ophthalmology, device agnostic and covers all surgical and non-surgical pathways. Delivered via mobile interface, Eyejourney supports patients from pre-consultation through post-operative recovery. Clinics integrate the system alongside existing workflows to extend education beyond the physical clinic environment.",
        "Methods": "Eyejourney was implemented at a single surgeon site over 9 months, targeting patients undergoing cataract surgery. Patients were introduced to the platform during surgery booking, with access to personalized, daily educational content leading up to the procedure. The platform provided structured information about pre-operative expectations, post-operative care, and recovery. Patient engagement was monitored via the platform’s dashboard, and outcomes were evaluated through surveys measuring patient satisfaction, anxiety, and comprehension.",
        "Results": "Patients report improved understanding of procedures, greater preparedness, and reduced perioperative anxiety. Satisfaction scores increase due to continuous access to reliable, structured information. Clinics benefit from improved operational flow, higher digital consent completion rates, and decreased administrative burden.",
        "Conclusions": "Eyejourney represents a scalable innovation in ophthalmic patient education, shifting from episodic verbal counselling to a continuous digital engagement model. By delivering personalised information at the right time, the platform reduces chair time, improves patient satisfaction, and alleviates anxiety. Digital education pathways such as Eyejourney offer a practical solution for modern, high-volume ophthalmic practice seeking both efficiency and enhanced patient experience."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyejourney represents a scalable innovation in ophthalmic patient education, shifting from episodic verbal counselling to a continuous digital engagement model. By delivering personalised information at the right time, the platform reduces chair time, improves patient satisfaction, and alleviates anxiety. Digital education pathways such as Eyejourney offer a practical solution for modern, high-volume ophthalmic…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1361,
      "source_fields": {
        "Abstract Final Identifier": "POOTH013",
        "Title": "Eyejourney: Transforming Traditional Ophthalmic Patient Education Using A Digital Pathway - A Case Study Review",
        "Presenting Author(s)": "Mr Pieter Gouws",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Pieter",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gouws",
        "Country Name": "United Kingdom",
        "Purpose": "Traditional ophthalmic patient education relies on verbal explanations and printed leaflets, often resulting in inconsistent understanding, repeated queries, and increased anxiety. Eyejourney is an AI-enabled digital platform that supports consultation-based education into a structured, personalised digital pathway. This paper presents early reflections using a case study approach and explores its potential to improve patient understanding, reduce chair time, enhance satisfaction, and lower anxiety throughout the surgical journey.",
        "Setting": "The platform is implemented in outpatient ophthalmology, device agnostic and covers all surgical and non-surgical pathways. Delivered via mobile interface, Eyejourney supports patients from pre-consultation through post-operative recovery. Clinics integrate the system alongside existing workflows to extend education beyond the physical clinic environment.",
        "Methods": "Eyejourney was implemented at a single surgeon site over 9 months, targeting patients undergoing cataract surgery. Patients were introduced to the platform during surgery booking, with access to personalized, daily educational content leading up to the procedure. The platform provided structured information about pre-operative expectations, post-operative care, and recovery. Patient engagement was monitored via the platform’s dashboard, and outcomes were evaluated through surveys measuring patient satisfaction, anxiety, and comprehension.",
        "Results": "Patients report improved understanding of procedures, greater preparedness, and reduced perioperative anxiety. Satisfaction scores increase due to continuous access to reliable, structured information. Clinics benefit from improved operational flow, higher digital consent completion rates, and decreased administrative burden.",
        "Conclusions": "Eyejourney represents a scalable innovation in ophthalmic patient education, shifting from episodic verbal counselling to a continuous digital engagement model. By delivering personalised information at the right time, the platform reduces chair time, improves patient satisfaction, and alleviates anxiety. Digital education pathways such as Eyejourney offer a practical solution for modern, high-volume ophthalmic practice seeking both efficiency and enhanced patient experience."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POOTH014",
      "abstract_number": "POOTH014",
      "title": "Hormonal Transitions And Cryaa Expression In Early-Onset Cataract Among Women",
      "authors": "Dr Sujay Sanjay Jaju",
      "presenter": "Dr Sujay Sanjay Jaju",
      "normalized_authors": [
        "Sujay Sanjay Jaju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sujay Sanjay Jaju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate whether menopausal hormonal decline contributes to early cataract development via modulation of CRYAA expression.",
        "Setting": "Cross-sectional clinical study in women aged 40–50 undergoing cataract surgery, compared with age-matched men and women without age-related cataract.",
        "Methods": "Menopausal status was determined via clinical history and AMH/FSH levels. Lens capsules were analysed for CRYAA mRNA (qPCR) and protein expression (Western blot).",
        "Results": "CRYAA expression was significantly lower in postmenopausal than premenopausal women (p<0.001), and also lower in women than men of similar age.",
        "Conclusions": "Menopausal hormonal decline was associated with decreased lens CRYAA expression, which may help explain higher cataract risk in midlife women. Monitoring AMH and addressing early menopause may inform cataract risk prediction and prevention strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Menopausal hormonal decline was associated with decreased lens CRYAA expression, which may help explain higher cataract risk in midlife women. Monitoring AMH and addressing early menopause may inform cataract risk prediction and prevention strategies.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1362,
      "source_fields": {
        "Abstract Final Identifier": "POOTH014",
        "Title": "Hormonal Transitions And Cryaa Expression In Early-Onset Cataract Among Women",
        "Presenting Author(s)": "Dr Sujay Sanjay Jaju",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Sujay",
        "Submitter Middle Name": "Sanjay",
        "Submitter Last Name": "Jaju",
        "Country Name": "India",
        "Purpose": "To evaluate whether menopausal hormonal decline contributes to early cataract development via modulation of CRYAA expression.",
        "Setting": "Cross-sectional clinical study in women aged 40–50 undergoing cataract surgery, compared with age-matched men and women without age-related cataract.",
        "Methods": "Menopausal status was determined via clinical history and AMH/FSH levels. Lens capsules were analysed for CRYAA mRNA (qPCR) and protein expression (Western blot).",
        "Results": "CRYAA expression was significantly lower in postmenopausal than premenopausal women (p<0.001), and also lower in women than men of similar age.",
        "Conclusions": "Menopausal hormonal decline was associated with decreased lens CRYAA expression, which may help explain higher cataract risk in midlife women. Monitoring AMH and addressing early menopause may inform cataract risk prediction and prevention strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 117
    },
    {
      "uid": "POOTH015",
      "abstract_number": "POOTH015",
      "title": "Assessing Safety Of Laser-Induced Refractive Index Change (Liric) In Ex Vivo Porcine Corneas",
      "authors": "Prof. Dr Stephanie C Joachim",
      "presenter": "Prof. Dr Stephanie C Joachim",
      "normalized_authors": [
        "Stephanie C Joachim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stephanie C Joachim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To investigate the influence on inflammation, oxidative stress and angiogenesis of Laser-Induced Refractive Index Change (LIRIC), which is a non-invasive method to correct ametropia by altering the refractive index using a femtosecond laser with a high repetition rate and lower energy.",
        "Setting": "Laboratory investigation, Experimental Eye Research Institute at University Eye Hospital, Ruhr-University Bochum, Bochum, Germany.",
        "Methods": "LIRIC treatment was applied to the stroma of explanted porcine corneas using a 140 fs-laser with two different pulse energy settings (18 and 25 nJ). Untreated corneas served as controls. OCT analysis for a macroscopic control was performed of all groups (n=10/group). The corneas of all five groups (n=8/group) were examined for altered markers of inflammation ( IL1B, IL6 ), oxidative stress ( HIF1A, OGG1, SOD1, SOD2 ), angiogenesis ( VEGF, VEGFC ), apoptosis ( BAX/BCL2 ), keratinocytes ( KERA ), and tight junctions ( TJP1 ). Cornea samples were processed for H&E, Masson, and immunofluorescence staining (n=8/group). In addition, a cytokine array was performed (n=2/group).",
        "Results": "HIF1A expression was downregulated in the 25 nJ LIRIC group (p<0.05), while other oxidative stress markers were unaltered. VEGF was downregulated in both LIRIC groups (p<0.05). BAX/BCL2 ratio (apoptosis) was only elevated in 25 nJ LIRIC samples (p<0.05). KERA (keratin) expression was upregulated in the 25 nJ LIRIC group (p<0.05), while TJP1 was unaltered. Area analysis of H&E and Masson stain revealed no differences between LIRIC groups and the control. Also, ZO-1, COL1, and K12 staining were comparable in all groups. 10 cytokines were detachable via array, while e.g., decorin was downregulated after LIRIC, e.g., PIGF2 expression was increased.",
        "Conclusions": "LIRIC treatment did not affect the macroscopic structure of the corneas. No inflammation, oxidative stress, or angiogenesis was noted after LIRIC. At higher energy settings, a slight expression of cell death markers was observed. Hence, these results indicate that LIRIC is a promising non-invasive technique with minimal adverse effects on corneal structure and health. Given its potential, further clinical studies are essential to evaluate the long-term outcomes and explore the broader clinical applications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LIRIC treatment did not affect the macroscopic structure of the corneas. No inflammation, oxidative stress, or angiogenesis was noted after LIRIC. At higher energy settings, a slight expression of cell death markers was observed. Hence, these results indicate that LIRIC is a promising non-invasive technique with minimal adverse effects on corneal structure and health. Given its potential, further clinical studies…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1363,
      "source_fields": {
        "Abstract Final Identifier": "POOTH015",
        "Title": "Assessing Safety Of Laser-Induced Refractive Index Change (Liric) In Ex Vivo Porcine Corneas",
        "Presenting Author(s)": "Prof. Dr Stephanie C Joachim",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Stephanie",
        "Submitter Middle Name": "C",
        "Submitter Last Name": "Joachim",
        "Country Name": "Germany",
        "Purpose": "To investigate the influence on inflammation, oxidative stress and angiogenesis of Laser-Induced Refractive Index Change (LIRIC), which is a non-invasive method to correct ametropia by altering the refractive index using a femtosecond laser with a high repetition rate and lower energy.",
        "Setting": "Laboratory investigation, Experimental Eye Research Institute at University Eye Hospital, Ruhr-University Bochum, Bochum, Germany.",
        "Methods": "LIRIC treatment was applied to the stroma of explanted porcine corneas using a 140 fs-laser with two different pulse energy settings (18 and 25 nJ). Untreated corneas served as controls. OCT analysis for a macroscopic control was performed of all groups (n=10/group). The corneas of all five groups (n=8/group) were examined for altered markers of inflammation ( IL1B, IL6 ), oxidative stress ( HIF1A, OGG1, SOD1, SOD2 ), angiogenesis ( VEGF, VEGFC ), apoptosis ( BAX/BCL2 ), keratinocytes ( KERA ), and tight junctions ( TJP1 ). Cornea samples were processed for H&E, Masson, and immunofluorescence staining (n=8/group). In addition, a cytokine array was performed (n=2/group).",
        "Results": "HIF1A expression was downregulated in the 25 nJ LIRIC group (p<0.05), while other oxidative stress markers were unaltered. VEGF was downregulated in both LIRIC groups (p<0.05). BAX/BCL2 ratio (apoptosis) was only elevated in 25 nJ LIRIC samples (p<0.05). KERA (keratin) expression was upregulated in the 25 nJ LIRIC group (p<0.05), while TJP1 was unaltered. Area analysis of H&E and Masson stain revealed no differences between LIRIC groups and the control. Also, ZO-1, COL1, and K12 staining were comparable in all groups. 10 cytokines were detachable via array, while e.g., decorin was downregulated after LIRIC, e.g., PIGF2 expression was increased.",
        "Conclusions": "LIRIC treatment did not affect the macroscopic structure of the corneas. No inflammation, oxidative stress, or angiogenesis was noted after LIRIC. At higher energy settings, a slight expression of cell death markers was observed. Hence, these results indicate that LIRIC is a promising non-invasive technique with minimal adverse effects on corneal structure and health. Given its potential, further clinical studies are essential to evaluate the long-term outcomes and explore the broader clinical applications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POOTH016",
      "abstract_number": "POOTH016",
      "title": "Three Suspect Choroidal Melanomas Cases In Consecutive Weekends On-Call",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We report three cases of suspect choroidal melanomas in consecutive weekends on call. These were seen by the ophthalmology resident on call at a district general hospital and referred to a tertiary center with an ocular oncology service.",
        "Setting": "Case 1 – A 63-year old male presented with a six-week history of left eye flashing lights. There was an amelanotic, mushroom-shaped, choroidal lesion measuring 11.7 x 9.7 x 8mm in the inferotemporal quadrant of the left eye with subretinal fluid and overlying lipofuscin, with low to medium echogenicity on B-scan. MOLES score was 6. This was found to be an amelonatic choroidal melanoma (TNM cT2a, Stage IIa) and he had proton beam radiotherapy of 52 grays in 4 fractions given over 4 days.",
        "Methods": "Case 2 – A 30-year old male presented with left eye floaters for four weeks. He had an atypical juxtapapillary, choroidal lesion measuring 4.4 x 4.4 x 3.8mm with very low echogenicity on B-scan and possible extrascleral extension. MOLES score was 4. Due to the relatively shallow thickness of the lesion and characteristics on multimodal imaging, this lesion was deemed to be an indeterminate melanocytic choroidal mass. MDT consensus advised continued monitoring.",
        "Results": "Case 3 – A 75-year-old lady presented with right eye floaters and an inferotemporal visual field defect for two months. Past ophthalmic history included a vitrectomy, epiretinal membrane peel and cataract surgery in the eye many years ago. There was a large, mushroom-shaped, choroidal lesion with enlargement compared to previous fundal photo, subretinal fluid and low to medium echogenicity on B-scan. MOLES score was 8. The patient did not attend her ocular oncology appointment and unfortunately passed away shortly after.",
        "Conclusions": "These cases highlight the importance of the MOLES score and multimodal imaging for choroidal melanomas. Management takes into account tumour size, extrascleral extension, imaging characteristics and patient preferences. One case highlighted the challenge of indeterminate lesions, where urgent treatment may not always be warranted, and serial imaging and long-term surveillance may be more favourable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These cases highlight the importance of the MOLES score and multimodal imaging for choroidal melanomas. Management takes into account tumour size, extrascleral extension, imaging characteristics and patient preferences. One case highlighted the challenge of indeterminate lesions, where urgent treatment may not always be warranted, and serial imaging and long-term surveillance may be more favourable.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1364,
      "source_fields": {
        "Abstract Final Identifier": "POOTH016",
        "Title": "Three Suspect Choroidal Melanomas Cases In Consecutive Weekends On-Call",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "We report three cases of suspect choroidal melanomas in consecutive weekends on call. These were seen by the ophthalmology resident on call at a district general hospital and referred to a tertiary center with an ocular oncology service.",
        "Setting": "Case 1 – A 63-year old male presented with a six-week history of left eye flashing lights. There was an amelanotic, mushroom-shaped, choroidal lesion measuring 11.7 x 9.7 x 8mm in the inferotemporal quadrant of the left eye with subretinal fluid and overlying lipofuscin, with low to medium echogenicity on B-scan. MOLES score was 6. This was found to be an amelonatic choroidal melanoma (TNM cT2a, Stage IIa) and he had proton beam radiotherapy of 52 grays in 4 fractions given over 4 days.",
        "Methods": "Case 2 – A 30-year old male presented with left eye floaters for four weeks. He had an atypical juxtapapillary, choroidal lesion measuring 4.4 x 4.4 x 3.8mm with very low echogenicity on B-scan and possible extrascleral extension. MOLES score was 4. Due to the relatively shallow thickness of the lesion and characteristics on multimodal imaging, this lesion was deemed to be an indeterminate melanocytic choroidal mass. MDT consensus advised continued monitoring.",
        "Results": "Case 3 – A 75-year-old lady presented with right eye floaters and an inferotemporal visual field defect for two months. Past ophthalmic history included a vitrectomy, epiretinal membrane peel and cataract surgery in the eye many years ago. There was a large, mushroom-shaped, choroidal lesion with enlargement compared to previous fundal photo, subretinal fluid and low to medium echogenicity on B-scan. MOLES score was 8. The patient did not attend her ocular oncology appointment and unfortunately passed away shortly after.",
        "Conclusions": "These cases highlight the importance of the MOLES score and multimodal imaging for choroidal melanomas. Management takes into account tumour size, extrascleral extension, imaging characteristics and patient preferences. One case highlighted the challenge of indeterminate lesions, where urgent treatment may not always be warranted, and serial imaging and long-term surveillance may be more favourable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "POOTH017",
      "abstract_number": "POOTH017",
      "title": "Recurrent Orbital Abscesses In An Immunocompromised Patient",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "A man in his 30s with Hyper-IgE syndrome and long-term corticosteroid therapy presented with a three-day history of right facial pain and swelling following a cracked upper molar. He was diagnosed with a buccal space abscess and underwent incision and drainage with extraction of the affected tooth and placement of an intra-oral drain. Operative findings included copious purulent discharge and necrotic tissue within the buccal space. Intravenous clindamycin was commenced.",
        "Setting": "There was initial improvement, however his condition rapidly deteriorated with worsening right facial swelling, right eye visual loss (hand movements only), a fixed dilated pupil and complete ophthalmoplegia. The left’s visual acuity was 6/36 from long-standing amblyopia. His WCC was 40 x 10 9 /L and CRP was over 300 mg/L. CT showed intraconal and extraconal orbital abscesses.",
        "Methods": "An urgent lateral canthotomy was performed under local anaesthetic for orbital compartment syndrome, followed by EUA and orbital washout later that day. An orbital drain was placed and he was transferred to HDU and commenced on high-dose intravenous vancomycin, ceftriaxone and corticosteroids.\n\nFurther abscesses developed around the orbit and masticator muscles with worsening proptosis. Imaging showed restricted diffusion in the posterior globe, suggestive of secondary optic nerve ischaemia. Second and third decompressions were performed jointly with maxillofacial and ophthalmology teams. Drainage of pus from the intraconal space and the temporalis fascia was achieved via reopening of the lateral orbital wall.",
        "Results": "Antibiotics were escalated to intravenous meropenem.\n\nCultures grew Streptococcus gallolyticus, Streptococcus constellatus, and Granulicatella adiacens. Further collections developed in in the right buccinator, temporalis, and overlying the maxilla and mandible with the addition of a new focus of infection in the lateral pterygoid. Visual acuity became NPL. Unfortunately, due to systemic decline, the patient passed away shortly after.",
        "Conclusions": "This case highlights the severe morbidity that can occur in immunocompromised patients i.e. a cracked tooth leading to loss of vision and subsequent death. This underscores the importance of early recognition, urgent imaging and multidisciplinary collaboration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case highlights the severe morbidity that can occur in immunocompromised patients i.e. a cracked tooth leading to loss of vision and subsequent death. This underscores the importance of early recognition, urgent imaging and multidisciplinary collaboration.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1365,
      "source_fields": {
        "Abstract Final Identifier": "POOTH017",
        "Title": "Recurrent Orbital Abscesses In An Immunocompromised Patient",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "A man in his 30s with Hyper-IgE syndrome and long-term corticosteroid therapy presented with a three-day history of right facial pain and swelling following a cracked upper molar. He was diagnosed with a buccal space abscess and underwent incision and drainage with extraction of the affected tooth and placement of an intra-oral drain. Operative findings included copious purulent discharge and necrotic tissue within the buccal space. Intravenous clindamycin was commenced.",
        "Setting": "There was initial improvement, however his condition rapidly deteriorated with worsening right facial swelling, right eye visual loss (hand movements only), a fixed dilated pupil and complete ophthalmoplegia. The left’s visual acuity was 6/36 from long-standing amblyopia. His WCC was 40 x 10 9 /L and CRP was over 300 mg/L. CT showed intraconal and extraconal orbital abscesses.",
        "Methods": "An urgent lateral canthotomy was performed under local anaesthetic for orbital compartment syndrome, followed by EUA and orbital washout later that day. An orbital drain was placed and he was transferred to HDU and commenced on high-dose intravenous vancomycin, ceftriaxone and corticosteroids.\n\nFurther abscesses developed around the orbit and masticator muscles with worsening proptosis. Imaging showed restricted diffusion in the posterior globe, suggestive of secondary optic nerve ischaemia. Second and third decompressions were performed jointly with maxillofacial and ophthalmology teams. Drainage of pus from the intraconal space and the temporalis fascia was achieved via reopening of the lateral orbital wall.",
        "Results": "Antibiotics were escalated to intravenous meropenem.\n\nCultures grew Streptococcus gallolyticus, Streptococcus constellatus, and Granulicatella adiacens. Further collections developed in in the right buccinator, temporalis, and overlying the maxilla and mandible with the addition of a new focus of infection in the lateral pterygoid. Visual acuity became NPL. Unfortunately, due to systemic decline, the patient passed away shortly after.",
        "Conclusions": "This case highlights the severe morbidity that can occur in immunocompromised patients i.e. a cracked tooth leading to loss of vision and subsequent death. This underscores the importance of early recognition, urgent imaging and multidisciplinary collaboration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POOTH018",
      "abstract_number": "POOTH018",
      "title": "An 8 Year Old With Severe Sight Impairment Secondary To A Fall From A Kick Scooter",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Traumatic brain injury (TBI) in the paediatric population can lead to long-term neurological morbidity and may result in substantial visual impairment.",
        "Setting": "We report the case of an 8-year-old boy who fell from his kick scooter, hitting his occipital region on to a kerb. He was taken to A&E and neuroimaging demonstrated a left-sided subdural haematoma with associated midline shift; and he underwent an urgent surgical evacuation of the haematoma.",
        "Methods": "Since the injury, he has been wheelchair-dependent and frequently bumps into obstacles in his environment, including car wing mirrors and refuse bins. He requires hand-holding for safe mobility and finds navigation particularly challenging in crowded or visually complex settings. He has also experienced visual hallucinations confined to the area of visual field loss, consistent with Charles Bonnet syndrome. These hallucinations occurred in the absence of psychiatric illness or cognitive decline and have since shown gradual improvement. He has good memory, and ongoing engagement in sensory and cognitively stimulating activities.",
        "Results": "The patient continues to receive multidisciplinary rehabilitation, including physiotherapy and occupational therapy. He resides with his mother and two siblings. The injury and its consequences have placed a significant emotional burden on his mother, who reports reliving the incident frequently and how she was walking towards her son’s helmet to place it on him. She has reported difficulties coping with the sudden devastating impact to the family and demands of caregiving. Educational accommodations and visual impairment support have been implemented at school to facilitate his learning and participation.",
        "Conclusions": "This case illustrates an unfortunate presentation of paediatric homonymous hemianopia complicated by Charles Bonnet syndrome following what would normally be perceived as a trivial fall, highlighting the need for protective headwear on any child’s vehicle. It also addresses the comprehensive, multidisciplinary management approaches that address not only the child’s medical and rehabilitative needs but also the psychological and social well-being of the family unit"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case illustrates an unfortunate presentation of paediatric homonymous hemianopia complicated by Charles Bonnet syndrome following what would normally be perceived as a trivial fall, highlighting the need for protective headwear on any child’s vehicle. It also addresses the comprehensive, multidisciplinary management approaches that address not only the child’s medical and rehabilitative needs but also the…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1366,
      "source_fields": {
        "Abstract Final Identifier": "POOTH018",
        "Title": "An 8 Year Old With Severe Sight Impairment Secondary To A Fall From A Kick Scooter",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "Traumatic brain injury (TBI) in the paediatric population can lead to long-term neurological morbidity and may result in substantial visual impairment.",
        "Setting": "We report the case of an 8-year-old boy who fell from his kick scooter, hitting his occipital region on to a kerb. He was taken to A&E and neuroimaging demonstrated a left-sided subdural haematoma with associated midline shift; and he underwent an urgent surgical evacuation of the haematoma.",
        "Methods": "Since the injury, he has been wheelchair-dependent and frequently bumps into obstacles in his environment, including car wing mirrors and refuse bins. He requires hand-holding for safe mobility and finds navigation particularly challenging in crowded or visually complex settings. He has also experienced visual hallucinations confined to the area of visual field loss, consistent with Charles Bonnet syndrome. These hallucinations occurred in the absence of psychiatric illness or cognitive decline and have since shown gradual improvement. He has good memory, and ongoing engagement in sensory and cognitively stimulating activities.",
        "Results": "The patient continues to receive multidisciplinary rehabilitation, including physiotherapy and occupational therapy. He resides with his mother and two siblings. The injury and its consequences have placed a significant emotional burden on his mother, who reports reliving the incident frequently and how she was walking towards her son’s helmet to place it on him. She has reported difficulties coping with the sudden devastating impact to the family and demands of caregiving. Educational accommodations and visual impairment support have been implemented at school to facilitate his learning and participation.",
        "Conclusions": "This case illustrates an unfortunate presentation of paediatric homonymous hemianopia complicated by Charles Bonnet syndrome following what would normally be perceived as a trivial fall, highlighting the need for protective headwear on any child’s vehicle. It also addresses the comprehensive, multidisciplinary management approaches that address not only the child’s medical and rehabilitative needs but also the psychological and social well-being of the family unit"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POOTH019",
      "abstract_number": "POOTH019",
      "title": "Recurrent Orbital Abscesses In An Immunocompromised Patient",
      "authors": "Ms Ayesha Karimi",
      "presenter": "Ms Ayesha Karimi",
      "normalized_authors": [
        "Ayesha Karimi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Karimi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Recurrent orbital abscesses in an immunocompromised patient",
        "Setting": "A man in his 30s with Hyper-IgE syndrome and long-term corticosteroid therapy presented with a three-day history of right facial pain and swelling following a cracked upper molar. He was diagnosed with a buccal space abscess and underwent incision and drainage with extraction of the affected tooth and placement of an intra-oral drain. Operative findings included copious purulent discharge and necrotic tissue within the buccal space. Intravenous clindamycin was commenced.",
        "Methods": "There was initial improvement, however his condition rapidly deteriorated with worsening right facial swelling, right eye visual loss (hand movements only), a fixed dilated pupil and complete ophthalmoplegia. The left’s visual acuity was 6/36 from long-standing amblyopia. His WCC was 40 x 10 9 /L and CRP was over 300 mg/L. CT showed intraconal and extraconal orbital abscesses.\n\nAn urgent lateral canthotomy was performed under local anaesthetic for orbital compartment syndrome, followed by EUA and orbital washout later that day. An orbital drain was placed and he was transferred to HDU and commenced on high-dose intravenous vancomycin, ceftriaxone and corticosteroids.",
        "Results": "Further abscesses developed around the orbit and masticator muscles with worsening proptosis. Imaging showed restricted diffusion in the posterior globe, suggestive of secondary optic nerve ischaemia. Second and third decompressions were performed jointly with maxillofacial and ophthalmology teams. Drainage of pus from the intraconal space and the temporalis fascia was achieved via reopening of the lateral orbital wall. Antibiotics were escalated to intravenous meropenem.\n\nCultures grew Streptococcus gallolyticus, Streptococcus constellatus, and Granulicatella adiacens.",
        "Conclusions": "Further collections developed in in the right buccinator, temporalis, and overlying the maxilla and mandible with the addition of a new focus of infection in the lateral pterygoid. Visual acuity became NPL. Unfortunately, due to systemic decline, the patient passed away shortly after.\n\nThis case highlights the severe morbidity that can occur in immunocompromised patients i.e. a cracked tooth leading to loss of vision and subsequent death. This underscores the importance of early recognition, urgent imaging and multidisciplinary collaboration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Further collections developed in in the right buccinator, temporalis, and overlying the maxilla and mandible with the addition of a new focus of infection in the lateral pterygoid. Visual acuity became NPL. Unfortunately, due to systemic decline, the patient passed away shortly after. This case highlights the severe morbidity that can occur in immunocompromised patients i.e. a cracked tooth leading to loss of…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1367,
      "source_fields": {
        "Abstract Final Identifier": "POOTH019",
        "Title": "Recurrent Orbital Abscesses In An Immunocompromised Patient",
        "Presenting Author(s)": "Ms Ayesha Karimi",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karimi",
        "Country Name": "United Kingdom",
        "Purpose": "Recurrent orbital abscesses in an immunocompromised patient",
        "Setting": "A man in his 30s with Hyper-IgE syndrome and long-term corticosteroid therapy presented with a three-day history of right facial pain and swelling following a cracked upper molar. He was diagnosed with a buccal space abscess and underwent incision and drainage with extraction of the affected tooth and placement of an intra-oral drain. Operative findings included copious purulent discharge and necrotic tissue within the buccal space. Intravenous clindamycin was commenced.",
        "Methods": "There was initial improvement, however his condition rapidly deteriorated with worsening right facial swelling, right eye visual loss (hand movements only), a fixed dilated pupil and complete ophthalmoplegia. The left’s visual acuity was 6/36 from long-standing amblyopia. His WCC was 40 x 10 9 /L and CRP was over 300 mg/L. CT showed intraconal and extraconal orbital abscesses.\n\nAn urgent lateral canthotomy was performed under local anaesthetic for orbital compartment syndrome, followed by EUA and orbital washout later that day. An orbital drain was placed and he was transferred to HDU and commenced on high-dose intravenous vancomycin, ceftriaxone and corticosteroids.",
        "Results": "Further abscesses developed around the orbit and masticator muscles with worsening proptosis. Imaging showed restricted diffusion in the posterior globe, suggestive of secondary optic nerve ischaemia. Second and third decompressions were performed jointly with maxillofacial and ophthalmology teams. Drainage of pus from the intraconal space and the temporalis fascia was achieved via reopening of the lateral orbital wall. Antibiotics were escalated to intravenous meropenem.\n\nCultures grew Streptococcus gallolyticus, Streptococcus constellatus, and Granulicatella adiacens.",
        "Conclusions": "Further collections developed in in the right buccinator, temporalis, and overlying the maxilla and mandible with the addition of a new focus of infection in the lateral pterygoid. Visual acuity became NPL. Unfortunately, due to systemic decline, the patient passed away shortly after.\n\nThis case highlights the severe morbidity that can occur in immunocompromised patients i.e. a cracked tooth leading to loss of vision and subsequent death. This underscores the importance of early recognition, urgent imaging and multidisciplinary collaboration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POOTH020",
      "abstract_number": "POOTH020",
      "title": "Heavy Metal Exposure From Multigrain Rice Intake And Cataract Risk In South Korean Adults",
      "authors": "Prof. Dr Dong Hyun Kim",
      "presenter": "Prof. Dr Dong Hyun Kim",
      "normalized_authors": [
        "Dong Hyun Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dong Hyun Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Heavy metal exposure is known to contribute to eye diseases, and multigrain rice, which is commonly consumed in South Korea, may retain higher levels of these contaminants. This study aimed to investigate whether frequent multigrain rice intake is associated with increased exposure to cadmium, lead, mercury, and arsenic, as well as a higher risk of cataract.",
        "Setting": "A nationwide, cross-sectional survey of South Korean adults.",
        "Methods": "Data from 8,622 adults aged 20 years and older who participated in the 2008–2009 Korea National Health and Nutrition Examination Survey were analyzed. Cataract presence and subtypes were diagnosed by ophthalmologists. Multigrain rice intake was assessed and categorized into quartiles. Associations between multigrain rice intake, blood heavy metal concentrations, and cataract outcomes were evaluated using survey-weighted mean comparisons and survey-weighted multivariate and multinomial logistic regression models.",
        "Results": "Participants in the highest quartile of multigrain rice intake showed higher blood concentrations of cadmium and arsenic compared with those in the lowest quartile. They also exhibited a 30% higher likelihood of having cataracts (adjusted odds ratio = 1.30, p < 0.05) and a 1.33-fold higher risk of nuclear cataract (relative risk ratio = 1.33, p < 0.05).",
        "Conclusions": "Frequent consumption of multigrain rice may elevate cataract risk among South Korean adults, potentially due to increased exposure to cadmium and arsenic. These findings suggest that heavy metal contamination in multigrain rice should be considered when developing dietary guidelines and cataract prevention strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Frequent consumption of multigrain rice may elevate cataract risk among South Korean adults, potentially due to increased exposure to cadmium and arsenic. These findings suggest that heavy metal contamination in multigrain rice should be considered when developing dietary guidelines and cataract prevention strategies.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1368,
      "source_fields": {
        "Abstract Final Identifier": "POOTH020",
        "Title": "Heavy Metal Exposure From Multigrain Rice Intake And Cataract Risk In South Korean Adults",
        "Presenting Author(s)": "Prof. Dr Dong Hyun Kim",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Dong Hyun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Heavy metal exposure is known to contribute to eye diseases, and multigrain rice, which is commonly consumed in South Korea, may retain higher levels of these contaminants. This study aimed to investigate whether frequent multigrain rice intake is associated with increased exposure to cadmium, lead, mercury, and arsenic, as well as a higher risk of cataract.",
        "Setting": "A nationwide, cross-sectional survey of South Korean adults.",
        "Methods": "Data from 8,622 adults aged 20 years and older who participated in the 2008–2009 Korea National Health and Nutrition Examination Survey were analyzed. Cataract presence and subtypes were diagnosed by ophthalmologists. Multigrain rice intake was assessed and categorized into quartiles. Associations between multigrain rice intake, blood heavy metal concentrations, and cataract outcomes were evaluated using survey-weighted mean comparisons and survey-weighted multivariate and multinomial logistic regression models.",
        "Results": "Participants in the highest quartile of multigrain rice intake showed higher blood concentrations of cadmium and arsenic compared with those in the lowest quartile. They also exhibited a 30% higher likelihood of having cataracts (adjusted odds ratio = 1.30, p < 0.05) and a 1.33-fold higher risk of nuclear cataract (relative risk ratio = 1.33, p < 0.05).",
        "Conclusions": "Frequent consumption of multigrain rice may elevate cataract risk among South Korean adults, potentially due to increased exposure to cadmium and arsenic. These findings suggest that heavy metal contamination in multigrain rice should be considered when developing dietary guidelines and cataract prevention strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POOTH021",
      "abstract_number": "POOTH021",
      "title": "Secondary Sensory Strabismus In Adults: Impact Of Macular And Neuro-Ophthalmic Integrity On Alignment After Visual Rehabilitation",
      "authors": "Prof. Dr Biljana Kostovska",
      "presenter": "Prof. Dr Biljana Kostovska",
      "normalized_authors": [
        "Biljana Kostovska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Biljana Kostovska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "North Macedonia",
      "sections": {
        "Purpose": "To evaluate deviation characteristics and visual recovery in adults who developed secondary sensory strabismus following unilateral visual loss caused by intracranial meningioma (presumed sixth nerve compression), severe ocular trauma, aphakia with corneal scarring, rhegmatogenous retinal detachment (macula-on and macula-off including giant retinal tear), complicated cataract associated with hyperopia, high myopia, keratoconus, age-related macular degeneration, degenerative myopia, and diabetic retinal microangiopathy.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "Nine adults (50–71 years) with acquired unilateral visual impairment and consecutive strabismus were retrospectively analyzed. Best-corrected visual acuity (BCVA) and deviation angle in prism diopters (PD) were recorded pre- and postoperatively. A visual improvement coefficient (postoperative BCVA/preoperative BCVA) was calculated when measurable.",
        "Results": "Preoperative deviation ranged from 15–25 PD (7 exotropia, 2 esotropia). In cataract-associated cases without advanced macular damage, deviation decreased from approximately 20 PD to 15 PD postoperatively. Hyperopic cataract improved from 20/63 to 20/30 (coefficient 2.3), high myopia from 20/100 to 20/33 (coefficient 3.0), and cataract associated with macular degeneration from 20/2000 to 20/40 (coefficient 50). Traumatic aphakia improved from counting fingers to 20/63, whereas severe trauma with perforation, optic nerve atrophy, retinal detachment, and meningioma-associated cases showed minimal visual recovery and persistent deviation (20–25 PD). No patient underwent strabismus surgery.",
        "Conclusions": "Macular and neuro-ophthalmic integrity are critical determinants of binocular stability after visual rehabilitation. Visual acuity restoration alone does not ensure realignment. Artificial intelligence–based predictive modeling integrating deviation magnitude, refractive status, and macular integrity may optimize surgical timing and identify patients unlikely to achieve spontaneous binocular recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Macular and neuro-ophthalmic integrity are critical determinants of binocular stability after visual rehabilitation. Visual acuity restoration alone does not ensure realignment. Artificial intelligence–based predictive modeling integrating deviation magnitude, refractive status, and macular integrity may optimize surgical timing and identify patients unlikely to achieve spontaneous binocular recovery.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1369,
      "source_fields": {
        "Abstract Final Identifier": "POOTH021",
        "Title": "Secondary Sensory Strabismus In Adults: Impact Of Macular And Neuro-Ophthalmic Integrity On Alignment After Visual Rehabilitation",
        "Presenting Author(s)": "Prof. Dr Biljana Kostovska",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Biljana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kostovska",
        "Country Name": "North Macedonia",
        "Purpose": "To evaluate deviation characteristics and visual recovery in adults who developed secondary sensory strabismus following unilateral visual loss caused by intracranial meningioma (presumed sixth nerve compression), severe ocular trauma, aphakia with corneal scarring, rhegmatogenous retinal detachment (macula-on and macula-off including giant retinal tear), complicated cataract associated with hyperopia, high myopia, keratoconus, age-related macular degeneration, degenerative myopia, and diabetic retinal microangiopathy.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "Nine adults (50–71 years) with acquired unilateral visual impairment and consecutive strabismus were retrospectively analyzed. Best-corrected visual acuity (BCVA) and deviation angle in prism diopters (PD) were recorded pre- and postoperatively. A visual improvement coefficient (postoperative BCVA/preoperative BCVA) was calculated when measurable.",
        "Results": "Preoperative deviation ranged from 15–25 PD (7 exotropia, 2 esotropia). In cataract-associated cases without advanced macular damage, deviation decreased from approximately 20 PD to 15 PD postoperatively. Hyperopic cataract improved from 20/63 to 20/30 (coefficient 2.3), high myopia from 20/100 to 20/33 (coefficient 3.0), and cataract associated with macular degeneration from 20/2000 to 20/40 (coefficient 50). Traumatic aphakia improved from counting fingers to 20/63, whereas severe trauma with perforation, optic nerve atrophy, retinal detachment, and meningioma-associated cases showed minimal visual recovery and persistent deviation (20–25 PD). No patient underwent strabismus surgery.",
        "Conclusions": "Macular and neuro-ophthalmic integrity are critical determinants of binocular stability after visual rehabilitation. Visual acuity restoration alone does not ensure realignment. Artificial intelligence–based predictive modeling integrating deviation magnitude, refractive status, and macular integrity may optimize surgical timing and identify patients unlikely to achieve spontaneous binocular recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POOTH022",
      "abstract_number": "POOTH022",
      "title": "Outcomes Of Immediate Sequential Bilateral Cataract Surgery At A Single Centre In North West London",
      "authors": "Dr Ameeta Kumar",
      "presenter": "Dr Ameeta Kumar",
      "normalized_authors": [
        "Ameeta Kumar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ameeta Kumar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Immediate Sequential Bilateral Cataract Surgery (ISBCS) is increasingly performed in the UK with aims to improve patient flow and experience. However, adoption within the NHS setting is not yet widespread. This study aims to evaluate the visual and refractive outcomes of ISBCS in an NHS hospital in the UK.",
        "Setting": "The study was carried out at Hillingdon Hospital in North West London, UK.",
        "Methods": "A retrospective review of patients who underwent ISBCS by a single surgeon between January 2021 and February 2026 was performed. Data on demographics and ocular and systemic comorbidities were obtained from electronic medical records. Perioperative factors, including anaesthesia, use of augmentation (e.g vision blue, iris hooks or capsular tension ring), and intra- and post-operative complications, were also recorded. Best-corrected visual acuity (BCVA) and spherical equivalent (SE) were obtained pre-operatively and post-operatively from hospital and community optician records.",
        "Results": "26 patients underwent ISBCS with a mean age of 73.6 years; 54% were male, 19% were diabetic, and 65% were White British. Main indications for ISBCS were patient wishes (77%), learning difficulty (15%) and dementia (8%).\n\n55% of cases were performed topically, and 81% did not require augmentation. 3 eyes had complications – 1 anterior capsular tear, 1 posterior capsule rupture with zonular dialysis and 1 post-operative corneal oedema.\n\nThe mean pre-operative BCVA was LogMAR 0.54, with 91% of eyes gaining a mean of LogMAR 0.40 post-operatively. The most common formulas for intraocular lens selection were SRK/T (69%), then Barrett (25%) and Hoffer-Q (6%). 89% of eyes achieved within ±1D of the predicted post-operative outcome.",
        "Conclusions": "These findings support the use of ISBCS as an effective and safe option within an NHS setting. In vulnerable patients, there are additional benefits in reducing repeated exposure to general anaesthesia and visits to the hospital."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings support the use of ISBCS as an effective and safe option within an NHS setting. In vulnerable patients, there are additional benefits in reducing repeated exposure to general anaesthesia and visits to the hospital.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1370,
      "source_fields": {
        "Abstract Final Identifier": "POOTH022",
        "Title": "Outcomes Of Immediate Sequential Bilateral Cataract Surgery At A Single Centre In North West London",
        "Presenting Author(s)": "Dr Ameeta Kumar",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ameeta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kumar",
        "Country Name": "United Kingdom",
        "Purpose": "Immediate Sequential Bilateral Cataract Surgery (ISBCS) is increasingly performed in the UK with aims to improve patient flow and experience. However, adoption within the NHS setting is not yet widespread. This study aims to evaluate the visual and refractive outcomes of ISBCS in an NHS hospital in the UK.",
        "Setting": "The study was carried out at Hillingdon Hospital in North West London, UK.",
        "Methods": "A retrospective review of patients who underwent ISBCS by a single surgeon between January 2021 and February 2026 was performed. Data on demographics and ocular and systemic comorbidities were obtained from electronic medical records. Perioperative factors, including anaesthesia, use of augmentation (e.g vision blue, iris hooks or capsular tension ring), and intra- and post-operative complications, were also recorded. Best-corrected visual acuity (BCVA) and spherical equivalent (SE) were obtained pre-operatively and post-operatively from hospital and community optician records.",
        "Results": "26 patients underwent ISBCS with a mean age of 73.6 years; 54% were male, 19% were diabetic, and 65% were White British. Main indications for ISBCS were patient wishes (77%), learning difficulty (15%) and dementia (8%).\n\n55% of cases were performed topically, and 81% did not require augmentation. 3 eyes had complications – 1 anterior capsular tear, 1 posterior capsule rupture with zonular dialysis and 1 post-operative corneal oedema.\n\nThe mean pre-operative BCVA was LogMAR 0.54, with 91% of eyes gaining a mean of LogMAR 0.40 post-operatively. The most common formulas for intraocular lens selection were SRK/T (69%), then Barrett (25%) and Hoffer-Q (6%). 89% of eyes achieved within ±1D of the predicted post-operative outcome.",
        "Conclusions": "These findings support the use of ISBCS as an effective and safe option within an NHS setting. In vulnerable patients, there are additional benefits in reducing repeated exposure to general anaesthesia and visits to the hospital."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POOTH023",
      "abstract_number": "POOTH023",
      "title": "Knowledge, Attitudes, And Practices Of Artificial Intelligence In Ophthalmology: Implications For Sustainable Integration In Malaysian Healthcare",
      "authors": "Jessie Wei Liew",
      "presenter": "Jessie Wei Liew",
      "normalized_authors": [
        "Jessie Wei Liew"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jessie Wei Liew",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "Artificial intelligence (AI) has the potential to enhance the sustainability of ophthalmic care by improving diagnostic efficiency, supporting workforce capacity, and expanding access to services. However, sustainable integration of AI depends on healthcare practitioners’ readiness and acceptance. This study aimed to determine the perceived knowledge, attitudes, and practices (KAP) regarding AI among eyecare professionals in Malaysia and to explore factors influencing the long-term and responsible adoption of AI in ophthalmology practice.",
        "Setting": "The study was conducted in Malaysia between November 2023 and April 2024. Eyecare professionals working in government hospitals, university-based medical centres, and private ophthalmology practices were recruited. Data were collected using an online questionnaire distributed via email.",
        "Methods": "An exploratory cross-sectional study design was employed. The questionnaire comprised socio-demographic items and 30 KAP statements related to AI, rated on a 5-point Likert scale. Purposive and convenience sampling methods were used, yielding 125 valid responses. Data was analysed using descriptive statistics, group comparisons, correlation analyses, and multiple regression, with statistical significance set at p < 0.05.",
        "Results": "A total of 125 eyecare professionals participated, the majority being ophthalmologists. Although attitudes toward AI were generally positive, AI use in clinical practice was low: 37.6% reported never using AI, and only 8.8% reported frequent use. AI was mainly applied for disease monitoring, diagnostic support, and preoperative assessment, with no reported use in surgical procedures. Higher perceived knowledge of AI was significantly associated with greater reported use, while no significant differences were observed across gender, experience, or professional position, indicating a knowledge–practice gap.",
        "Conclusions": "Ophthalmology practitioners in Malaysia demonstrate positive perceptions of AI but limited sustained clinical use, highlighting challenges to the sustainable integration of AI in practice. The gap between favourable attitudes and low adoption underscores the importance of strengthening practitioner knowledge, improving access to AI tools, and addressing system-level barriers. Enhancing workforce readiness through targeted training, institutional support, and clear regulatory guidance is essential to promote the long-term, equitable, and responsible implementation of AI in ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ophthalmology practitioners in Malaysia demonstrate positive perceptions of AI but limited sustained clinical use, highlighting challenges to the sustainable integration of AI in practice. The gap between favourable attitudes and low adoption underscores the importance of strengthening practitioner knowledge, improving access to AI tools, and addressing system-level barriers. Enhancing workforce readiness through…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1371,
      "source_fields": {
        "Abstract Final Identifier": "POOTH023",
        "Title": "Knowledge, Attitudes, And Practices Of Artificial Intelligence In Ophthalmology: Implications For Sustainable Integration In Malaysian Healthcare",
        "Presenting Author(s)": "Jessie Wei Liew",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Jessie Wei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liew",
        "Country Name": "Malaysia",
        "Purpose": "Artificial intelligence (AI) has the potential to enhance the sustainability of ophthalmic care by improving diagnostic efficiency, supporting workforce capacity, and expanding access to services. However, sustainable integration of AI depends on healthcare practitioners’ readiness and acceptance. This study aimed to determine the perceived knowledge, attitudes, and practices (KAP) regarding AI among eyecare professionals in Malaysia and to explore factors influencing the long-term and responsible adoption of AI in ophthalmology practice.",
        "Setting": "The study was conducted in Malaysia between November 2023 and April 2024. Eyecare professionals working in government hospitals, university-based medical centres, and private ophthalmology practices were recruited. Data were collected using an online questionnaire distributed via email.",
        "Methods": "An exploratory cross-sectional study design was employed. The questionnaire comprised socio-demographic items and 30 KAP statements related to AI, rated on a 5-point Likert scale. Purposive and convenience sampling methods were used, yielding 125 valid responses. Data was analysed using descriptive statistics, group comparisons, correlation analyses, and multiple regression, with statistical significance set at p < 0.05.",
        "Results": "A total of 125 eyecare professionals participated, the majority being ophthalmologists. Although attitudes toward AI were generally positive, AI use in clinical practice was low: 37.6% reported never using AI, and only 8.8% reported frequent use. AI was mainly applied for disease monitoring, diagnostic support, and preoperative assessment, with no reported use in surgical procedures. Higher perceived knowledge of AI was significantly associated with greater reported use, while no significant differences were observed across gender, experience, or professional position, indicating a knowledge–practice gap.",
        "Conclusions": "Ophthalmology practitioners in Malaysia demonstrate positive perceptions of AI but limited sustained clinical use, highlighting challenges to the sustainable integration of AI in practice. The gap between favourable attitudes and low adoption underscores the importance of strengthening practitioner knowledge, improving access to AI tools, and addressing system-level barriers. Enhancing workforce readiness through targeted training, institutional support, and clear regulatory guidance is essential to promote the long-term, equitable, and responsible implementation of AI in ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POOTH024",
      "abstract_number": "POOTH024",
      "title": "Surgical Management Of Iluvien® Implant Migration To The Anterior Chamber Causing Corneal Decompensation",
      "authors": "Mustafa Majeed",
      "presenter": "Mustafa Majeed",
      "normalized_authors": [
        "Mustafa Majeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mustafa Majeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We present a rare case of corneal decompensation in an 81-year-old pseudophakic male following anterior chamber migration of an ILUVIEN® (fluocinolone acetonide) 0.19mg intravitreal implant. Implant–endothelium contact led to progressive corneal oedema and visual decline, necessitating urgent surgical explantation. This case highlights the need for careful patient selection, early recognition of implant migration and prompt intervention to prevent irreversible endothelial damage and permanent sight loss.",
        "Setting": "Peterborough City Hospital, North West Anglia NHS Foundation Trust, United Kingdom.",
        "Methods": "Ocular history included primary open-angle glaucoma, multifocal choroiditis with uveitis-related cystoid macular oedema, epiretinal membrane and diabetic retinopathy. The patient was pseudophakic with prior scleral buckle and trabeculectomy. An ILUVIEN® implant had been implanted for persistent uveitic macular oedema. Slit-lamp examination confirmed anterior chamber migration of the implant with endothelial touch and associated corneal oedema.",
        "Results": "At presentation, visual acuity was 1.08 logMAR OD with an IOP of 8 mmHg. Slit-lamp examination revealed stromal corneal oedema and an ILUVIEN® implant in the inferotemporal anterior chamber, having migrated via a superior peripheral iridotomy. Ongoing endothelial contact was deemed the cause of corneal decompensation. Urgent surgical explantation was performed: viscoelastic was instilled, the implant mobilised and removed with forceps. Postoperatively, topical dexamethasone 0.1% was intensified.",
        "Conclusions": "Anterior chamber migration of ILUVIEN® is a rare but potentially sight-threatening complication in high-risk pseudophakic eyes. Early recognition and urgent surgical removal are critical to prevent irreversible endothelial failure and the need for corneal transplantation. Careful patient selection, counselling and close post-implant surveillance are essential, particularly in eyes with capsular compromise or prior intraocular surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior chamber migration of ILUVIEN® is a rare but potentially sight-threatening complication in high-risk pseudophakic eyes. Early recognition and urgent surgical removal are critical to prevent irreversible endothelial failure and the need for corneal transplantation. Careful patient selection, counselling and close post-implant surveillance are essential, particularly in eyes with capsular compromise or prior…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1372,
      "source_fields": {
        "Abstract Final Identifier": "POOTH024",
        "Title": "Surgical Management Of Iluvien® Implant Migration To The Anterior Chamber Causing Corneal Decompensation",
        "Presenting Author(s)": "Mustafa Majeed",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Mustafa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Majeed",
        "Country Name": "United Kingdom",
        "Purpose": "We present a rare case of corneal decompensation in an 81-year-old pseudophakic male following anterior chamber migration of an ILUVIEN® (fluocinolone acetonide) 0.19mg intravitreal implant. Implant–endothelium contact led to progressive corneal oedema and visual decline, necessitating urgent surgical explantation. This case highlights the need for careful patient selection, early recognition of implant migration and prompt intervention to prevent irreversible endothelial damage and permanent sight loss.",
        "Setting": "Peterborough City Hospital, North West Anglia NHS Foundation Trust, United Kingdom.",
        "Methods": "Ocular history included primary open-angle glaucoma, multifocal choroiditis with uveitis-related cystoid macular oedema, epiretinal membrane and diabetic retinopathy. The patient was pseudophakic with prior scleral buckle and trabeculectomy. An ILUVIEN® implant had been implanted for persistent uveitic macular oedema. Slit-lamp examination confirmed anterior chamber migration of the implant with endothelial touch and associated corneal oedema.",
        "Results": "At presentation, visual acuity was 1.08 logMAR OD with an IOP of 8 mmHg. Slit-lamp examination revealed stromal corneal oedema and an ILUVIEN® implant in the inferotemporal anterior chamber, having migrated via a superior peripheral iridotomy. Ongoing endothelial contact was deemed the cause of corneal decompensation. Urgent surgical explantation was performed: viscoelastic was instilled, the implant mobilised and removed with forceps. Postoperatively, topical dexamethasone 0.1% was intensified.",
        "Conclusions": "Anterior chamber migration of ILUVIEN® is a rare but potentially sight-threatening complication in high-risk pseudophakic eyes. Early recognition and urgent surgical removal are critical to prevent irreversible endothelial failure and the need for corneal transplantation. Careful patient selection, counselling and close post-implant surveillance are essential, particularly in eyes with capsular compromise or prior intraocular surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POOTH025",
      "abstract_number": "POOTH025",
      "title": "Femtosecond-Assisted Deep Anterior Lamellar Mushroom Keratoplasty Conversion Rates To Penetrating Keratoplasty At A Uk Public Hospital: A Five-Year Retrospective Review Of Surgical Outcomes",
      "authors": "Dr Naomi Melamed",
      "presenter": "Dr Naomi Melamed",
      "normalized_authors": [
        "Naomi Melamed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Naomi Melamed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Deep anterior lamellar keratoplasty (DALK) is a surgical technique that treats anterior corneal disease whilst sparing the host’s endothelium. This lowers the risk of rejection after surgery when compared to its predecessor, a penetrating keratoplasty (PK). However, if the Descemet membrane (DM) is perforated during the procedure, the surgeon may need to switch to a full-thickness transplant (PK). In this study, we aim to evaluate the intraoperative conversion rate from DALK to PK at a UK public hospital over a five-year period. Conversion rates in the literature range from 0 to 30% and are primarily reported by centres using manual techniques. We investigate conversion rates for femtosecond mushroom keratoplasty and their trend with time.",
        "Setting": "Department of Ophthalmology, Frimley Park Hospital (FPH), a district general hospital in Surrey, United Kingdom. All procedures were conducted between March 2021 and March 2026.",
        "Methods": "We retrospectively reviewed the intraoperative notes of all femtosecond-assisted mushroom DALK procedures performed at FPH from March 2021 to December 2025. Data collected included patient demographics, surgical indication, use of the big bubble technique versus manual dissection, occurrence of DM perforation, intraoperative conversion to PK, pre- and postoperative best-corrected visual acuity (BCVA), and surgeon grade. The primary outcome was the rate of intraoperative conversion to PK.",
        "Results": "Thirty-two DALK procedures were performed during the five-year period. The mean patient age was 43.9 years (range 27–76). Keratoconus was the most common indication (20 cases, 62.5%). The big bubble technique was successful in 16 cases (55.2%), while manual lamellar dissection was required in 14 cases (43.8%). DM perforation occurred in 9 cases (28.1%), of which 4 cases (12.5%) required intraoperative conversion to PK. Conversion rates by year were: 2021 9% (1/11), 2023 25% (1/4), 2024 22.2% (2/9), and 2025 0% (0/7).2026 0% (0/1) to date. Six surgeons of varying grades performed the procedures.",
        "Conclusions": "The DALK to PK conversion rate at our UK public hospital was 12.5%, which is comparable to rates reported in other centres. No cases were performed in 2020 or 2022, due to COVID-19 pandemic and poor donor tissue availability respectively. At our centre, 44% of DM perforations required conversion to PK, while the remaining cases were managed without conversion. These findings suggest that surgical experience in managing DM perforations may help preserve grafts. The absence of conversions in 2025 and 2026 may indicate a learning curve among surgeons at FPH."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The DALK to PK conversion rate at our UK public hospital was 12.5%, which is comparable to rates reported in other centres. No cases were performed in 2020 or 2022, due to COVID-19 pandemic and poor donor tissue availability respectively. At our centre, 44% of DM perforations required conversion to PK, while the remaining cases were managed without conversion. These findings suggest that surgical experience in…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1373,
      "source_fields": {
        "Abstract Final Identifier": "POOTH025",
        "Title": "Femtosecond-Assisted Deep Anterior Lamellar Mushroom Keratoplasty Conversion Rates To Penetrating Keratoplasty At A Uk Public Hospital: A Five-Year Retrospective Review Of Surgical Outcomes",
        "Presenting Author(s)": "Dr Naomi Melamed",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Naomi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Melamed",
        "Country Name": "United Kingdom",
        "Purpose": "Deep anterior lamellar keratoplasty (DALK) is a surgical technique that treats anterior corneal disease whilst sparing the host’s endothelium. This lowers the risk of rejection after surgery when compared to its predecessor, a penetrating keratoplasty (PK). However, if the Descemet membrane (DM) is perforated during the procedure, the surgeon may need to switch to a full-thickness transplant (PK). In this study, we aim to evaluate the intraoperative conversion rate from DALK to PK at a UK public hospital over a five-year period. Conversion rates in the literature range from 0 to 30% and are primarily reported by centres using manual techniques. We investigate conversion rates for femtosecond mushroom keratoplasty and their trend with time.",
        "Setting": "Department of Ophthalmology, Frimley Park Hospital (FPH), a district general hospital in Surrey, United Kingdom. All procedures were conducted between March 2021 and March 2026.",
        "Methods": "We retrospectively reviewed the intraoperative notes of all femtosecond-assisted mushroom DALK procedures performed at FPH from March 2021 to December 2025. Data collected included patient demographics, surgical indication, use of the big bubble technique versus manual dissection, occurrence of DM perforation, intraoperative conversion to PK, pre- and postoperative best-corrected visual acuity (BCVA), and surgeon grade. The primary outcome was the rate of intraoperative conversion to PK.",
        "Results": "Thirty-two DALK procedures were performed during the five-year period. The mean patient age was 43.9 years (range 27–76). Keratoconus was the most common indication (20 cases, 62.5%). The big bubble technique was successful in 16 cases (55.2%), while manual lamellar dissection was required in 14 cases (43.8%). DM perforation occurred in 9 cases (28.1%), of which 4 cases (12.5%) required intraoperative conversion to PK. Conversion rates by year were: 2021 9% (1/11), 2023 25% (1/4), 2024 22.2% (2/9), and 2025 0% (0/7).2026 0% (0/1) to date. Six surgeons of varying grades performed the procedures.",
        "Conclusions": "The DALK to PK conversion rate at our UK public hospital was 12.5%, which is comparable to rates reported in other centres. No cases were performed in 2020 or 2022, due to COVID-19 pandemic and poor donor tissue availability respectively. At our centre, 44% of DM perforations required conversion to PK, while the remaining cases were managed without conversion. These findings suggest that surgical experience in managing DM perforations may help preserve grafts. The absence of conversions in 2025 and 2026 may indicate a learning curve among surgeons at FPH."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 404
    },
    {
      "uid": "POOTH026",
      "abstract_number": "POOTH026",
      "title": "Awareness And Enthusiasm Of Medical Students Towards Cataract And Refractive Surgery At Barts And The London School Of Medicine And Dentistry",
      "authors": "Mr Vandit Mayank Nanavaty",
      "presenter": "Mr Vandit Mayank Nanavaty",
      "normalized_authors": [
        "Vandit Mayank Nanavaty"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vandit Mayank Nanavaty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate awareness, understanding, and enthusiasm for cataract and refractive surgery among medical students at Barts and The London School of Medicine and Dentistry, and to identify perceived barriers and motivators to engagement with ophthalmology as a career.",
        "Setting": "Barts and The London School of Medicine and Dentistry, a large UK medical school with students enrolled across pre-clinical and clinical years.",
        "Methods": "A cross-sectional, anonymous online survey was distributed to medical students across all years (Years 1–5 and intercalating).Each author approached 20 students each (over 3 weeks) asking them to fill out the form and this was done via online messaging platforms such as WhatsApp. The questionnaire captured self-reported familiarity with cataract and refractive surgery, exposure to ophthalmology teaching and clinical placements, interest in pursuing ophthalmology (5‑point Likert scale), and perceived barriers and motivators to engaging with the specialty. Descriptive analysis was performed to summarise responses.",
        "Results": "Twenty three completed the survey but 19 completed the survey in full. Overall familiarity with cataract and refractive surgery was low, particularly among pre-clinical students, many of whom had only “heard of” these procedures. Ophthalmology exposure was limited to brief placements or isolated pre-clinical lectures, with minimal opportunities for surgical observation. Enthusiasm for pursuing ophthalmology was modest (Scores:1-3). Factors that increased enthusiasm: greater surgical exposure, practical skills workshops, insight into evolving technologies & demonstration of patient outcomes. Key barriers: limited exposure, perceived difficulty, poor awareness of career pathways, apprehension, and misconceptions regarding the accessibility.",
        "Conclusions": "Medical students at this UK medical school demonstrate limited awareness and moderate‑to‑low enthusiasm for cataract and refractive surgery, which appears closely linked to insufficient curricular exposure and knowledge gaps. Early, structured ophthalmology teaching, more opportunities for surgical observation, and interactive skills‑based workshops may enhance engagement with the specialty. Strengthening undergraduate ophthalmology education could support more informed career decision‑making in a field facing increasing demand and rapid technological innovation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Medical students at this UK medical school demonstrate limited awareness and moderate‑to‑low enthusiasm for cataract and refractive surgery, which appears closely linked to insufficient curricular exposure and knowledge gaps. Early, structured ophthalmology teaching, more opportunities for surgical observation, and interactive skills‑based workshops may enhance engagement with the specialty. Strengthening…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1374,
      "source_fields": {
        "Abstract Final Identifier": "POOTH026",
        "Title": "Awareness And Enthusiasm Of Medical Students Towards Cataract And Refractive Surgery At Barts And The London School Of Medicine And Dentistry",
        "Presenting Author(s)": "Mr Vandit Mayank Nanavaty",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Vandit",
        "Submitter Middle Name": "Mayank",
        "Submitter Last Name": "Nanavaty",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate awareness, understanding, and enthusiasm for cataract and refractive surgery among medical students at Barts and The London School of Medicine and Dentistry, and to identify perceived barriers and motivators to engagement with ophthalmology as a career.",
        "Setting": "Barts and The London School of Medicine and Dentistry, a large UK medical school with students enrolled across pre-clinical and clinical years.",
        "Methods": "A cross-sectional, anonymous online survey was distributed to medical students across all years (Years 1–5 and intercalating).Each author approached 20 students each (over 3 weeks) asking them to fill out the form and this was done via online messaging platforms such as WhatsApp. The questionnaire captured self-reported familiarity with cataract and refractive surgery, exposure to ophthalmology teaching and clinical placements, interest in pursuing ophthalmology (5‑point Likert scale), and perceived barriers and motivators to engaging with the specialty. Descriptive analysis was performed to summarise responses.",
        "Results": "Twenty three completed the survey but 19 completed the survey in full. Overall familiarity with cataract and refractive surgery was low, particularly among pre-clinical students, many of whom had only “heard of” these procedures. Ophthalmology exposure was limited to brief placements or isolated pre-clinical lectures, with minimal opportunities for surgical observation. Enthusiasm for pursuing ophthalmology was modest (Scores:1-3). Factors that increased enthusiasm: greater surgical exposure, practical skills workshops, insight into evolving technologies & demonstration of patient outcomes. Key barriers: limited exposure, perceived difficulty, poor awareness of career pathways, apprehension, and misconceptions regarding the accessibility.",
        "Conclusions": "Medical students at this UK medical school demonstrate limited awareness and moderate‑to‑low enthusiasm for cataract and refractive surgery, which appears closely linked to insufficient curricular exposure and knowledge gaps. Early, structured ophthalmology teaching, more opportunities for surgical observation, and interactive skills‑based workshops may enhance engagement with the specialty. Strengthening undergraduate ophthalmology education could support more informed career decision‑making in a field facing increasing demand and rapid technological innovation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POOTH028",
      "abstract_number": "POOTH028",
      "title": "Safety And Efficacy Of Cataract Surgery With Adjunctive 5-Fluorouracil Following Functional Glaucoma Filtration Surgery: A Short-Term Real-World Study",
      "authors": "Dr Oluwademilade Osawe",
      "presenter": "Dr Oluwademilade Osawe",
      "normalized_authors": [
        "Oluwademilade Osawe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Demilade Osawe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cataract surgery in eyes with prior filtering surgery is associated with an increased risk of bleb fibrosis, intraocular pressure (IOP) elevation and surgical failure. Adjunctive antifibrotic therapy has been shown to decrease the risk of trabeculectomy failure in patients undergoing cataract surgery. However, evidence regarding the use of adjunctive 5-fluorouracil (5-FU) at the time of phacoemulsification in eyes with prior microshunt surgery is limited. To our knowledge it has not been specifically evaluated previously. This study aimed to evaluate the impact of phacoemulsification with adjunctive 5-FU on the survival of trabeculectomy and PreserFlo MicroShunt surgery at 12 months in a real-world clinical setting.",
        "Setting": "This retrospective study was conducted at York Hospital Ophthalmology Department, United Kingdom. Consecutive patients with previous trabeculectomy or PreserFlo MicroShunt undergoing cataract surgery were identified through electronic medical records and followed for 12 months.",
        "Methods": "Patients with functioning filtering surgery undergoing phacoemulsification with intraocular lens implantation were included. Adjunctive subconjunctival 5-FU with or without dexamethasone was administered intraoperatively. Data collected included glaucoma diagnosis, interval between glaucoma and cataract surgery, surgical characteristics, IOP, visual acuity and treatment failure. Failure was defined as IOP >21 mmHg, need for glaucoma medications, bleb needling or further glaucoma surgery. Paired statistical analysis compared preoperative and postoperative outcomes. Subgroup analysis explored the impact of antifibrotic use, surgical interval and glaucoma subtype.",
        "Results": "Forty-four eyes were analysed. Primary open angle glaucoma was the most common diagnosis (63.6%), followed by normal tension glaucoma (13.6%) and primary angle closure glaucoma (9.1%). Thirty-eight eyes (86.4%) had previous trabeculectomy and 6 eyes (13.6%) had PreserFlo MicroShunt surgery. Adjunctive 5-FU was used in all cases.\n\nMean IOP was 11.6 ± 3.9 mmHg preoperatively and remained stable at 3 months (12.5 ± 4.1 mmHg, p=0.2,) and 6 months (12.0 ± 3.2 mmHg, p=0.9). Although there was a statistical significant increase at 12 months (12.5 ± 2.7 mmHg, p=0.007), it remained well below the 21 mmHg failure threshold. Visual acuity improved from 0.32 ± 0.47 to 0.02 ± 0.11 LogMAR at 12 months (p=0.01). Treatment failure occurred in 9.1% of eyes.",
        "Conclusions": "Cataract surgery with adjunctive 5-FU appears safe and effective in patients with prior filtering surgery, with high rates of trabeculectomy and microshunt survival with stable IOP control at 12 months. Significant visual improvement was achieved without compromising glaucoma outcomes. These findings support the use of intraoperative antifibrotic therapy to reduce the risk of surgical failure in this high-risk population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery with adjunctive 5-FU appears safe and effective in patients with prior filtering surgery, with high rates of trabeculectomy and microshunt survival with stable IOP control at 12 months. Significant visual improvement was achieved without compromising glaucoma outcomes. These findings support the use of intraoperative antifibrotic therapy to reduce the risk of surgical failure in this high-risk…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1375,
      "source_fields": {
        "Abstract Final Identifier": "POOTH028",
        "Title": "Safety And Efficacy Of Cataract Surgery With Adjunctive 5-Fluorouracil Following Functional Glaucoma Filtration Surgery: A Short-Term Real-World Study",
        "Presenting Author(s)": "Dr Oluwademilade Osawe",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Demilade",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Osawe",
        "Country Name": "United Kingdom",
        "Purpose": "Cataract surgery in eyes with prior filtering surgery is associated with an increased risk of bleb fibrosis, intraocular pressure (IOP) elevation and surgical failure. Adjunctive antifibrotic therapy has been shown to decrease the risk of trabeculectomy failure in patients undergoing cataract surgery. However, evidence regarding the use of adjunctive 5-fluorouracil (5-FU) at the time of phacoemulsification in eyes with prior microshunt surgery is limited. To our knowledge it has not been specifically evaluated previously. This study aimed to evaluate the impact of phacoemulsification with adjunctive 5-FU on the survival of trabeculectomy and PreserFlo MicroShunt surgery at 12 months in a real-world clinical setting.",
        "Setting": "This retrospective study was conducted at York Hospital Ophthalmology Department, United Kingdom. Consecutive patients with previous trabeculectomy or PreserFlo MicroShunt undergoing cataract surgery were identified through electronic medical records and followed for 12 months.",
        "Methods": "Patients with functioning filtering surgery undergoing phacoemulsification with intraocular lens implantation were included. Adjunctive subconjunctival 5-FU with or without dexamethasone was administered intraoperatively. Data collected included glaucoma diagnosis, interval between glaucoma and cataract surgery, surgical characteristics, IOP, visual acuity and treatment failure. Failure was defined as IOP >21 mmHg, need for glaucoma medications, bleb needling or further glaucoma surgery. Paired statistical analysis compared preoperative and postoperative outcomes. Subgroup analysis explored the impact of antifibrotic use, surgical interval and glaucoma subtype.",
        "Results": "Forty-four eyes were analysed. Primary open angle glaucoma was the most common diagnosis (63.6%), followed by normal tension glaucoma (13.6%) and primary angle closure glaucoma (9.1%). Thirty-eight eyes (86.4%) had previous trabeculectomy and 6 eyes (13.6%) had PreserFlo MicroShunt surgery. Adjunctive 5-FU was used in all cases.\n\nMean IOP was 11.6 ± 3.9 mmHg preoperatively and remained stable at 3 months (12.5 ± 4.1 mmHg, p=0.2,) and 6 months (12.0 ± 3.2 mmHg, p=0.9). Although there was a statistical significant increase at 12 months (12.5 ± 2.7 mmHg, p=0.007), it remained well below the 21 mmHg failure threshold. Visual acuity improved from 0.32 ± 0.47 to 0.02 ± 0.11 LogMAR at 12 months (p=0.01). Treatment failure occurred in 9.1% of eyes.",
        "Conclusions": "Cataract surgery with adjunctive 5-FU appears safe and effective in patients with prior filtering surgery, with high rates of trabeculectomy and microshunt survival with stable IOP control at 12 months. Significant visual improvement was achieved without compromising glaucoma outcomes. These findings support the use of intraoperative antifibrotic therapy to reduce the risk of surgical failure in this high-risk population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 417
    },
    {
      "uid": "POOTH029",
      "abstract_number": "POOTH029",
      "title": "Triage In Ophthalmic Emergency Care: Comparison Of International Models And Analysis Of Time-Based Processes",
      "authors": "Ms Alina Potschigmann",
      "presenter": "Ms Alina Potschigmann",
      "normalized_authors": [
        "Alina Potschigmann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alina Potschigmann",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "The aim is to provide insights into various established approaches to triage in ophthalmic emergency care, to compare international triage models by highlighting different strategies used across countries, and to analyse their respective strengths, weaknesses, and applicability, ultimately serving as a basis for the implementation of effective triage protocols.",
        "Setting": "This study was conducted at the ophthalmic emergency department of Kepler University Hospital (KUK) Linz, Austria.",
        "Methods": "This study consists of two components. The first part analyzes the length of stay of 100 patients attending an emergency eye clinic. By examining the duration of individual process steps, the study aims to identify stages associated with prolonged waiting times and to explore potential opportunities for improving workflow efficiency and optimizing patient flow. The second part involves a systematic review of existing triage systems employed in ophthalmic emergency departments worldwide. Data regarding triage categories, patient flow management, assessment criteria, and implementation strategies are extracted and analyzed to identify common patterns, differences, and factors influencing effectiveness.",
        "Results": "Expected Results: Preliminary findings suggest that triage is a critical tool to manage patient flow, distinguish the urgency of treatment, and ensure coordinated care. Differences between international models are expected in terms of complexity, criteria for urgency, and resource allocation, with potential implications for best-practice recommendations.",
        "Conclusions": "The study is expected to provide a comprehensive overview of current international triage models in ophthalmology, highlighting practical approaches that could improve patient outcomes, enhance emergency department efficiency, and guide future implementation strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The study is expected to provide a comprehensive overview of current international triage models in ophthalmology, highlighting practical approaches that could improve patient outcomes, enhance emergency department efficiency, and guide future implementation strategies.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1376,
      "source_fields": {
        "Abstract Final Identifier": "POOTH029",
        "Title": "Triage In Ophthalmic Emergency Care: Comparison Of International Models And Analysis Of Time-Based Processes",
        "Presenting Author(s)": "Ms Alina Potschigmann",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Alina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Potschigmann",
        "Country Name": "Austria",
        "Purpose": "The aim is to provide insights into various established approaches to triage in ophthalmic emergency care, to compare international triage models by highlighting different strategies used across countries, and to analyse their respective strengths, weaknesses, and applicability, ultimately serving as a basis for the implementation of effective triage protocols.",
        "Setting": "This study was conducted at the ophthalmic emergency department of Kepler University Hospital (KUK) Linz, Austria.",
        "Methods": "This study consists of two components. The first part analyzes the length of stay of 100 patients attending an emergency eye clinic. By examining the duration of individual process steps, the study aims to identify stages associated with prolonged waiting times and to explore potential opportunities for improving workflow efficiency and optimizing patient flow. The second part involves a systematic review of existing triage systems employed in ophthalmic emergency departments worldwide. Data regarding triage categories, patient flow management, assessment criteria, and implementation strategies are extracted and analyzed to identify common patterns, differences, and factors influencing effectiveness.",
        "Results": "Expected Results: Preliminary findings suggest that triage is a critical tool to manage patient flow, distinguish the urgency of treatment, and ensure coordinated care. Differences between international models are expected in terms of complexity, criteria for urgency, and resource allocation, with potential implications for best-practice recommendations.",
        "Conclusions": "The study is expected to provide a comprehensive overview of current international triage models in ophthalmology, highlighting practical approaches that could improve patient outcomes, enhance emergency department efficiency, and guide future implementation strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "POOTH030",
      "abstract_number": "POOTH030",
      "title": "Comprehensive Approach To Cataract Surgery At Different Stages Of Keratoprosthesis Implantation",
      "authors": "Dr Aleksandra Proshko",
      "presenter": "Dr Aleksandra Proshko",
      "normalized_authors": [
        "Aleksandra Proshko"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aleksandra Proshko",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To evaluate the comprehensive approach to cataract extraction at various stages of keratoprosthesis implantation in patients with vascular leucoma and lens opacification.",
        "Setting": "The study enrolled 30 patients (30 eyes) aged from 16 to 74 with vascular leucoma of various etiologies and lens opacification. All patients underwent multi-stage surgical treatment, including keratoprosthesis implantation and cataract extraction. The stage and extent of surgical intervention were determined individually, according to the patient’s clinical and functional data, lens density and previously performed optical reconstructive surgery.",
        "Methods": "Patients were divided into three study groups based on the timing and extent of the surgical procedure performed. Group I included 10 patients (10 eyes) that underwent cataract extraction simultaneously with corneal-prosthetic complex transplantation and anterior chamber reconstruction. Group II included 15 patients (15 eyes) that underwent cataract extraction either during the second stage of keratoprosthesis implantation (through the optical cylinder aperture) or during the optical cylinder replacement. Group III included 5 patients (5 eyes) that underwent cataract extraction in the late postoperative period after keratoprosthesis implantation, performed by phacoemulsification or intracapsular cataract extraction.",
        "Results": "All patients presented good clinical and functional results. Best corrected visual acuity in the first group was 0,43 ± 0,27, in the second group 0,42 ± 0,28, in the third group 0,41± 0,32. The keratoprosthesis position was stable during the entire follow-up period.",
        "Conclusions": "Cataract extraction in patients with keratoprosthesis is a challenging procedure with high risk of intra- and postoperative complications at all stages of treatment. During corneal-prosthetic complex transplantation, lens removal should be done in all cases, regardless of the lens opacification degree. In patients with keratoprosthesis cataract extraction through the optical cylinder aperture should be performed as early as possible. Moreover, the possibility of unplanned vitreoretinal intervention should be considered. The operation technique is more difficult compared to the conventional technology and requires more experience of the surgeon ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract extraction in patients with keratoprosthesis is a challenging procedure with high risk of intra- and postoperative complications at all stages of treatment. During corneal-prosthetic complex transplantation, lens removal should be done in all cases, regardless of the lens opacification degree. In patients with keratoprosthesis cataract extraction through the optical cylinder aperture should be performed as…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1377,
      "source_fields": {
        "Abstract Final Identifier": "POOTH030",
        "Title": "Comprehensive Approach To Cataract Surgery At Different Stages Of Keratoprosthesis Implantation",
        "Presenting Author(s)": "Dr Aleksandra Proshko",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Aleksandra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Proshko",
        "Country Name": "Russian Federation",
        "Purpose": "To evaluate the comprehensive approach to cataract extraction at various stages of keratoprosthesis implantation in patients with vascular leucoma and lens opacification.",
        "Setting": "The study enrolled 30 patients (30 eyes) aged from 16 to 74 with vascular leucoma of various etiologies and lens opacification. All patients underwent multi-stage surgical treatment, including keratoprosthesis implantation and cataract extraction. The stage and extent of surgical intervention were determined individually, according to the patient’s clinical and functional data, lens density and previously performed optical reconstructive surgery.",
        "Methods": "Patients were divided into three study groups based on the timing and extent of the surgical procedure performed. Group I included 10 patients (10 eyes) that underwent cataract extraction simultaneously with corneal-prosthetic complex transplantation and anterior chamber reconstruction. Group II included 15 patients (15 eyes) that underwent cataract extraction either during the second stage of keratoprosthesis implantation (through the optical cylinder aperture) or during the optical cylinder replacement. Group III included 5 patients (5 eyes) that underwent cataract extraction in the late postoperative period after keratoprosthesis implantation, performed by phacoemulsification or intracapsular cataract extraction.",
        "Results": "All patients presented good clinical and functional results. Best corrected visual acuity in the first group was 0,43 ± 0,27, in the second group 0,42 ± 0,28, in the third group 0,41± 0,32. The keratoprosthesis position was stable during the entire follow-up period.",
        "Conclusions": "Cataract extraction in patients with keratoprosthesis is a challenging procedure with high risk of intra- and postoperative complications at all stages of treatment. During corneal-prosthetic complex transplantation, lens removal should be done in all cases, regardless of the lens opacification degree. In patients with keratoprosthesis cataract extraction through the optical cylinder aperture should be performed as early as possible. Moreover, the possibility of unplanned vitreoretinal intervention should be considered. The operation technique is more difficult compared to the conventional technology and requires more experience of the surgeon ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "POOTH031",
      "abstract_number": "POOTH031",
      "title": "Presumed Posterior Polymorphous Corneal Dystrophy In Monozygotic Twins: A Multimodal Imaging Case Report",
      "authors": "Dr Ilkay Salman",
      "presenter": "Dr Ilkay Salman",
      "normalized_authors": [
        "Ilkay Salman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ilkay Salman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report the incidental detection of presumed posterior polymorphous corneal dystrophy (PPCD) in monozygotic twin siblings and to describe the multimodal anterior segment imaging findings supporting the diagnosis in asymptomatic patients with normal visual acuity.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey.\n\nCase report.",
        "Methods": "A 14-year-old male monozygotic twin referred for ophthalmic screening due to a cranial mass detected in his sibling underwent comprehensive ophthalmic evaluation. Following incidental detection of endothelial abnormalities in the first twin, the sibling was examined using the same protocol. The assessment included:\n\nVisual acuity measurement\n\nSlit-lamp biomicroscopy\n\nIntraocular pressure measurement\n\nGonioscopy\n\nAnterior segment optical coherence tomography (AS-OCT)\n\nCorneal topography\n\nSpecular microscopy\n\nSpectral-domain OCT for macular and retinal nerve fiber layer (RNFL) analysis\n\nClinical findings and multimodal imaging characteristics were documented and analyzed descriptively.",
        "Results": "Both patients had 20/20 BCVA bilaterally. IOP was normal (T1: 14/15 mmHg; T2: 16/14 mmHg). CCT was within normal limits (T1: 601/621 µm; T2: 598/608 µm). ECD showed mild asymmetry (T1: 1432/2019; T2: 1458/1958 cells/mm²) with elevated CV (T1: 42/47; T2: 43/46). Kmax showed no ectasia (T1: 45.18/44.9 D; T2: 44.8/44.8 D). RNFL was normal (T1: 112/108; T2: 102/98 µm). Biomicroscopy revealed bilateral vesicular and band-like endothelial lesions consistent with PPCD; stroma was clear without edema. AS-OCT showed posterior hyperreflective lesions and Descemet irregularities. Topography and gonioscopy were normal, with open angles and no secondary glaucoma. No optic nerve head abnormalities were detected.",
        "Conclusions": "Monozygotic twins demonstrated bilateral endothelial abnormalities consistent with presumed posterior polymorphous corneal dystrophy, detected incidentally during systemic screening. Despite reduced endothelial cell density and increased coefficient of variation, both maintained normal visual acuity, normal intraocular pressure, and clear corneas without decompensation or secondary glaucoma. Multimodal imaging documented posterior corneal structural and endothelial morphological changes. The concordant phenotype suggests a genetic etiology; ZEB1 testing was requested. Long-term follow-up is recommended for endothelial and glaucoma risk monitoring."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Monozygotic twins demonstrated bilateral endothelial abnormalities consistent with presumed posterior polymorphous corneal dystrophy, detected incidentally during systemic screening. Despite reduced endothelial cell density and increased coefficient of variation, both maintained normal visual acuity, normal intraocular pressure, and clear corneas without decompensation or secondary glaucoma. Multimodal imaging…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1378,
      "source_fields": {
        "Abstract Final Identifier": "POOTH031",
        "Title": "Presumed Posterior Polymorphous Corneal Dystrophy In Monozygotic Twins: A Multimodal Imaging Case Report",
        "Presenting Author(s)": "Dr Ilkay Salman",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ilkay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Salman",
        "Country Name": "Türkiye",
        "Purpose": "To report the incidental detection of presumed posterior polymorphous corneal dystrophy (PPCD) in monozygotic twin siblings and to describe the multimodal anterior segment imaging findings supporting the diagnosis in asymptomatic patients with normal visual acuity.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey.\n\nCase report.",
        "Methods": "A 14-year-old male monozygotic twin referred for ophthalmic screening due to a cranial mass detected in his sibling underwent comprehensive ophthalmic evaluation. Following incidental detection of endothelial abnormalities in the first twin, the sibling was examined using the same protocol. The assessment included:\n\nVisual acuity measurement\n\nSlit-lamp biomicroscopy\n\nIntraocular pressure measurement\n\nGonioscopy\n\nAnterior segment optical coherence tomography (AS-OCT)\n\nCorneal topography\n\nSpecular microscopy\n\nSpectral-domain OCT for macular and retinal nerve fiber layer (RNFL) analysis\n\nClinical findings and multimodal imaging characteristics were documented and analyzed descriptively.",
        "Results": "Both patients had 20/20 BCVA bilaterally. IOP was normal (T1: 14/15 mmHg; T2: 16/14 mmHg). CCT was within normal limits (T1: 601/621 µm; T2: 598/608 µm). ECD showed mild asymmetry (T1: 1432/2019; T2: 1458/1958 cells/mm²) with elevated CV (T1: 42/47; T2: 43/46). Kmax showed no ectasia (T1: 45.18/44.9 D; T2: 44.8/44.8 D). RNFL was normal (T1: 112/108; T2: 102/98 µm). Biomicroscopy revealed bilateral vesicular and band-like endothelial lesions consistent with PPCD; stroma was clear without edema. AS-OCT showed posterior hyperreflective lesions and Descemet irregularities. Topography and gonioscopy were normal, with open angles and no secondary glaucoma. No optic nerve head abnormalities were detected.",
        "Conclusions": "Monozygotic twins demonstrated bilateral endothelial abnormalities consistent with presumed posterior polymorphous corneal dystrophy, detected incidentally during systemic screening. Despite reduced endothelial cell density and increased coefficient of variation, both maintained normal visual acuity, normal intraocular pressure, and clear corneas without decompensation or secondary glaucoma. Multimodal imaging documented posterior corneal structural and endothelial morphological changes. The concordant phenotype suggests a genetic etiology; ZEB1 testing was requested. Long-term follow-up is recommended for endothelial and glaucoma risk monitoring."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "POOTH032",
      "abstract_number": "POOTH032",
      "title": "Development And Evaluation Of A Multimedia Informed Consent Tool For Cataract Surgery",
      "authors": "Ms Lucia Schartner",
      "presenter": "Ms Lucia Schartner",
      "normalized_authors": [
        "Lucia Schartner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucia Schartner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Preoperative informed consent is vital to cataract surgery, yet effective patient education is frequently compromised by time constraints, language barriers and heterogeneous educational backgrounds. The aim of this study is to evaluate whether an interactive, multimedia patient education application leads to better objective patient knowledge compared to standard informed consent procedures. Additionally, the study investigates the impact of digital education tools on clinical workflow efficiency and consultation duration.",
        "Setting": "Department of Ophthalmology and Optometry, Kepler University Clinic, Linz, Austria\n\nJohannes Kepler University, Linz, Austria",
        "Methods": "This prospective, randomized study includes 90 patients scheduled for cataract surgery. Patients are\n\nrandomized 2:1 into an intervention group using a multimedia patient education application or a control group viewing a neutral video. Both groups receive a standard patient consultation by a physician afterwards. The primary endpoint is the score achieved in a validated multiple-choice questionnaire, developed by independent physicians to assess objective knowledge. Additionally, the duration of the medical consultation and workflow efficiency are measured. Inclusion criteria require patients to be over 21 with sufficient German language skills and cognitive ability.",
        "Results": "As data collection is still in progress, the analysis will utilize descriptive and exploratory statistics to evaluate differences in knowledge scores and consultation times between the study groups. We also plan to perform subgroup analyses based on age and gender to evaluate potential differences in digital health literacy.",
        "Conclusions": "Implementing an interactive, multimedia-based informed consent tool represents a promising strategy for standardizing and improving the quality of preoperative patient education in cataract surgery. By enhancing patient comprehension and potentially reducing consultation time, such tools may contribute to higher patient satisfaction and more efficient clinical workflows. Final data and analysis will be presented at the ESCRS Congress in London."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implementing an interactive, multimedia-based informed consent tool represents a promising strategy for standardizing and improving the quality of preoperative patient education in cataract surgery. By enhancing patient comprehension and potentially reducing consultation time, such tools may contribute to higher patient satisfaction and more efficient clinical workflows. Final data and analysis will be presented at…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1379,
      "source_fields": {
        "Abstract Final Identifier": "POOTH032",
        "Title": "Development And Evaluation Of A Multimedia Informed Consent Tool For Cataract Surgery",
        "Presenting Author(s)": "Ms Lucia Schartner",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Lucia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schartner",
        "Country Name": "Austria",
        "Purpose": "Preoperative informed consent is vital to cataract surgery, yet effective patient education is frequently compromised by time constraints, language barriers and heterogeneous educational backgrounds. The aim of this study is to evaluate whether an interactive, multimedia patient education application leads to better objective patient knowledge compared to standard informed consent procedures. Additionally, the study investigates the impact of digital education tools on clinical workflow efficiency and consultation duration.",
        "Setting": "Department of Ophthalmology and Optometry, Kepler University Clinic, Linz, Austria\n\nJohannes Kepler University, Linz, Austria",
        "Methods": "This prospective, randomized study includes 90 patients scheduled for cataract surgery. Patients are\n\nrandomized 2:1 into an intervention group using a multimedia patient education application or a control group viewing a neutral video. Both groups receive a standard patient consultation by a physician afterwards. The primary endpoint is the score achieved in a validated multiple-choice questionnaire, developed by independent physicians to assess objective knowledge. Additionally, the duration of the medical consultation and workflow efficiency are measured. Inclusion criteria require patients to be over 21 with sufficient German language skills and cognitive ability.",
        "Results": "As data collection is still in progress, the analysis will utilize descriptive and exploratory statistics to evaluate differences in knowledge scores and consultation times between the study groups. We also plan to perform subgroup analyses based on age and gender to evaluate potential differences in digital health literacy.",
        "Conclusions": "Implementing an interactive, multimedia-based informed consent tool represents a promising strategy for standardizing and improving the quality of preoperative patient education in cataract surgery. By enhancing patient comprehension and potentially reducing consultation time, such tools may contribute to higher patient satisfaction and more efficient clinical workflows. Final data and analysis will be presented at the ESCRS Congress in London."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POOTH033",
      "abstract_number": "POOTH033",
      "title": "Additive Effect Of Highly Aspherical Lenslet Target Spectacles To Children Inadequately Controlled By Atropine Monotherapy",
      "authors": "Dr Ralene Sim",
      "presenter": "Dr Ralene Sim",
      "normalized_authors": [
        "Ralene Sim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ralene Sim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Myopia progression in children, especially in East Asia, is a significant public health concern. This study evaluated the efficacy of combining myopia control spectacle lenses with Highly Aspherical Lenslet Target (HALT) technology and atropine in children who continued to progress on low-dose atropine (LDA).",
        "Setting": "Prospective cohort. Children aged 6-11 years with ≥0.5 diopters (D) myopia progression over 6 months on LDA (0.01% or 0.025%) were recruited.",
        "Methods": "All participants used HALT (Essilor Stellest) spectacle lenses while maintaining their LDA dose. The changes in spherical equivalent (SE) and axial length (AL) were tracked for 6 months before and 6-12 months after starting combination treatment. Main outcome measures were progression of SE and AL. Fifty children (mean age 8.9 ± 1.1 years) were separated into group A (on 0.01% atropine daily, n20) and group B (on 0.01% atropine twice daily, n5 and 0.025% atropine nightly, n25).",
        "Results": "Most (86%) were ethnic Chinese. Baseline SE and AL showed no significant intergroup differences, with prior myopia progression (0.60D/0.24 mm) over 6 months. After adding HALT lenses, progression slowed to -0.06D/0.06 mm at 6 months and -0.15D/0.14 mm at 12 months. A hyperopic shift in AL was seen in 11 children (24%). Univariate analysis suggested that children who progressed >0.10 mm over 6 months were more likely to be younger. Multivariate analysis suggested that change in AL was associated with smaller pupil size at 6 months and younger age at 12 months, after controlling for sex, race, and baseline SE and AL. No complaints of glare, near, or peripheral blur in children were reported after combination treatment.",
        "Conclusions": "The addition of HALT spectacle lenses significantly reduced myopia progression in children, aged 6-11 years, who were poorly controlled on LDA alone demonstrating a potential synergistic effect with LDA. These findings supported combination therapy for managing challenging myopia cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The addition of HALT spectacle lenses significantly reduced myopia progression in children, aged 6-11 years, who were poorly controlled on LDA alone demonstrating a potential synergistic effect with LDA. These findings supported combination therapy for managing challenging myopia cases.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1380,
      "source_fields": {
        "Abstract Final Identifier": "POOTH033",
        "Title": "Additive Effect Of Highly Aspherical Lenslet Target Spectacles To Children Inadequately Controlled By Atropine Monotherapy",
        "Presenting Author(s)": "Dr Ralene Sim",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Ralene",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sim",
        "Country Name": "Singapore",
        "Purpose": "Myopia progression in children, especially in East Asia, is a significant public health concern. This study evaluated the efficacy of combining myopia control spectacle lenses with Highly Aspherical Lenslet Target (HALT) technology and atropine in children who continued to progress on low-dose atropine (LDA).",
        "Setting": "Prospective cohort. Children aged 6-11 years with ≥0.5 diopters (D) myopia progression over 6 months on LDA (0.01% or 0.025%) were recruited.",
        "Methods": "All participants used HALT (Essilor Stellest) spectacle lenses while maintaining their LDA dose. The changes in spherical equivalent (SE) and axial length (AL) were tracked for 6 months before and 6-12 months after starting combination treatment. Main outcome measures were progression of SE and AL. Fifty children (mean age 8.9 ± 1.1 years) were separated into group A (on 0.01% atropine daily, n20) and group B (on 0.01% atropine twice daily, n5 and 0.025% atropine nightly, n25).",
        "Results": "Most (86%) were ethnic Chinese. Baseline SE and AL showed no significant intergroup differences, with prior myopia progression (0.60D/0.24 mm) over 6 months. After adding HALT lenses, progression slowed to -0.06D/0.06 mm at 6 months and -0.15D/0.14 mm at 12 months. A hyperopic shift in AL was seen in 11 children (24%). Univariate analysis suggested that children who progressed >0.10 mm over 6 months were more likely to be younger. Multivariate analysis suggested that change in AL was associated with smaller pupil size at 6 months and younger age at 12 months, after controlling for sex, race, and baseline SE and AL. No complaints of glare, near, or peripheral blur in children were reported after combination treatment.",
        "Conclusions": "The addition of HALT spectacle lenses significantly reduced myopia progression in children, aged 6-11 years, who were poorly controlled on LDA alone demonstrating a potential synergistic effect with LDA. These findings supported combination therapy for managing challenging myopia cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "POOTH034",
      "abstract_number": "POOTH034",
      "title": "Losartan And Trehalose: A Dual-Drug Combination Therapy For Corneal Scar Management",
      "authors": "Dr Prabhjot Singh",
      "presenter": "Dr Prabhjot Singh",
      "normalized_authors": [
        "Prabhjot Singh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Prabhjot Singh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the clinical & imaging outcomes of patients with corneal scars treated with a novel combination of topical losartan (0.8 mg/mL) & preservative-free trehalose (3%).",
        "Setting": "Prospective interventional study conducted at Narayana Nethralaya, Bangalore, India, in collaboration with the GROW Research Lab, between November 2024 and December 2025.",
        "Methods": "40 eyes (mean age 32.6 ± 4.6 years) with corneal scars of varying etiology and duration were included. Scar etiology, duration, & prior therapies were recorded. The dual drug combination was used 6 times/day. Evaluation at baseline , 3, 6 and 12 months was done. Best corrected visual acuity (BCVA), slit-lamp examination & corneal tomography were performed. Scar depth & densitometry were measured on Pentacam OCT. Drop comfort & adverse effects were noted.",
        "Results": "Mean corneal densitometry reduced significantly from 36.51 to 30.12 GSU (p<0.05). Objective imaging demonstrated reduced stromal scar depth in 32 eyes. Best corrected visual acuity showed functional improvement in the majority of treated eyes. No adverse effects were reported throughout the follow-up period.",
        "Conclusions": "This dual-drug approach demonstrated early functional & structural improvement in stromal corneal scarring indicating therapeutic potential. Larger controlled trials are required to validate efficacy & optimize treatment regimens."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This dual-drug approach demonstrated early functional & structural improvement in stromal corneal scarring indicating therapeutic potential. Larger controlled trials are required to validate efficacy & optimize treatment regimens.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1381,
      "source_fields": {
        "Abstract Final Identifier": "POOTH034",
        "Title": "Losartan And Trehalose: A Dual-Drug Combination Therapy For Corneal Scar Management",
        "Presenting Author(s)": "Dr Prabhjot Singh",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Prabhjot",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Singh",
        "Country Name": "India",
        "Purpose": "To evaluate the clinical & imaging outcomes of patients with corneal scars treated with a novel combination of topical losartan (0.8 mg/mL) & preservative-free trehalose (3%).",
        "Setting": "Prospective interventional study conducted at Narayana Nethralaya, Bangalore, India, in collaboration with the GROW Research Lab, between November 2024 and December 2025.",
        "Methods": "40 eyes (mean age 32.6 ± 4.6 years) with corneal scars of varying etiology and duration were included. Scar etiology, duration, & prior therapies were recorded. The dual drug combination was used 6 times/day. Evaluation at baseline , 3, 6 and 12 months was done. Best corrected visual acuity (BCVA), slit-lamp examination & corneal tomography were performed. Scar depth & densitometry were measured on Pentacam OCT. Drop comfort & adverse effects were noted.",
        "Results": "Mean corneal densitometry reduced significantly from 36.51 to 30.12 GSU (p<0.05). Objective imaging demonstrated reduced stromal scar depth in 32 eyes. Best corrected visual acuity showed functional improvement in the majority of treated eyes. No adverse effects were reported throughout the follow-up period.",
        "Conclusions": "This dual-drug approach demonstrated early functional & structural improvement in stromal corneal scarring indicating therapeutic potential. Larger controlled trials are required to validate efficacy & optimize treatment regimens."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 191
    },
    {
      "uid": "POOTH035",
      "abstract_number": "POOTH035",
      "title": "Thin Corneas, Hidden Glaucoma: Intraocular Pressure Underestimation In Iridocorneal Endothelial Syndrome After Prk",
      "authors": "Dr Aoife Smyth",
      "presenter": "Dr Aoife Smyth",
      "normalized_authors": [
        "Aoife Smyth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aoife Smyth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ireland",
      "sections": {
        "Purpose": "To report a case of previously undiagnosed iridocorneal endothelial (ICE) syndrome presenting with advanced secondary glaucoma in a patient with markedly thinned corneas following multiple photorefractive keratectomy (PRK) procedures. Corneal thinning and altered biomechanics likely resulted in underestimation of intraocular pressure (IOP) using Goldmann applanation tonometry, potentially masking earlier pressure elevation and delaying diagnosis.",
        "Setting": "Eye Emergency Department and Glaucoma Service at a tertiary ophthalmic referral centre managing complex anterior segment and glaucoma cases.",
        "Methods": "A 47-year-old woman with prior myopic correction via multiple PRK procedures (2008–2011) presented with progressive blurred vision in her left eye. Evaluation included best-corrected visual acuity, ultrasound pachymetry, goldmann applanation tonometry (GAT) IOP measurement, slit-lamp examination, gonioscopy, optic nerve assessment, Humphrey 24-2 visual field testing, and OCT retinal nerve fibre layer (RNFL) analysis. Structural, functional, and anterior segment findings were integrated to establish diagnosis and guide management.",
        "Results": "Best corrected visual acuity was 6/6 OD and 6/7.5 OS. Central corneal thickness was significantly reduced (450 µm OD; 436 µm OS). IOP measured 10 mmHg OD and 31 mmHg OS on GAT. The left eye demonstrated a “beaten bronze” corneal endothelium, eccentric pupil, and broad peripheral anterior synechiae on gonioscopy. Optic disc examination showed marked asymmetry (cup-disc ratio 0.3 OD; 0.8 OS). Humphrey visual field testing revealed a dense inferior arcuate defect OS with corresponding RNFL thinning on OCT. A diagnosis of ICE syndrome with advanced secondary glaucoma was established. Topical IOP-lowering therapy was commenced. Due to advanced damage and target pressure requirements, a Paul glaucoma implant was placed. Current IOP is 8 mmHg OS.",
        "Conclusions": "This case illustrates how previously undiagnosed ICE syndrome may remain clinically silent until advanced glaucomatous damage occurs, particularly when intraocular pressure is underestimated in post-refractive surgery eyes. Corneal thinning and biomechanical alteration following PRK can lead to falsely reassuring GAT measurements, potentially masking sustained IOP elevation. In patients with altered corneas, apparent “normal” pressure should not outweigh structural or functional evidence of disease. Comprehensive anterior segment evaluation and multimodal glaucoma assessment are essential to prevent delayed diagnosis and irreversible visual loss."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case illustrates how previously undiagnosed ICE syndrome may remain clinically silent until advanced glaucomatous damage occurs, particularly when intraocular pressure is underestimated in post-refractive surgery eyes. Corneal thinning and biomechanical alteration following PRK can lead to falsely reassuring GAT measurements, potentially masking sustained IOP elevation. In patients with altered corneas,…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1382,
      "source_fields": {
        "Abstract Final Identifier": "POOTH035",
        "Title": "Thin Corneas, Hidden Glaucoma: Intraocular Pressure Underestimation In Iridocorneal Endothelial Syndrome After Prk",
        "Presenting Author(s)": "Dr Aoife Smyth",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Aoife",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Smyth",
        "Country Name": "Ireland",
        "Purpose": "To report a case of previously undiagnosed iridocorneal endothelial (ICE) syndrome presenting with advanced secondary glaucoma in a patient with markedly thinned corneas following multiple photorefractive keratectomy (PRK) procedures. Corneal thinning and altered biomechanics likely resulted in underestimation of intraocular pressure (IOP) using Goldmann applanation tonometry, potentially masking earlier pressure elevation and delaying diagnosis.",
        "Setting": "Eye Emergency Department and Glaucoma Service at a tertiary ophthalmic referral centre managing complex anterior segment and glaucoma cases.",
        "Methods": "A 47-year-old woman with prior myopic correction via multiple PRK procedures (2008–2011) presented with progressive blurred vision in her left eye. Evaluation included best-corrected visual acuity, ultrasound pachymetry, goldmann applanation tonometry (GAT) IOP measurement, slit-lamp examination, gonioscopy, optic nerve assessment, Humphrey 24-2 visual field testing, and OCT retinal nerve fibre layer (RNFL) analysis. Structural, functional, and anterior segment findings were integrated to establish diagnosis and guide management.",
        "Results": "Best corrected visual acuity was 6/6 OD and 6/7.5 OS. Central corneal thickness was significantly reduced (450 µm OD; 436 µm OS). IOP measured 10 mmHg OD and 31 mmHg OS on GAT. The left eye demonstrated a “beaten bronze” corneal endothelium, eccentric pupil, and broad peripheral anterior synechiae on gonioscopy. Optic disc examination showed marked asymmetry (cup-disc ratio 0.3 OD; 0.8 OS). Humphrey visual field testing revealed a dense inferior arcuate defect OS with corresponding RNFL thinning on OCT. A diagnosis of ICE syndrome with advanced secondary glaucoma was established. Topical IOP-lowering therapy was commenced. Due to advanced damage and target pressure requirements, a Paul glaucoma implant was placed. Current IOP is 8 mmHg OS.",
        "Conclusions": "This case illustrates how previously undiagnosed ICE syndrome may remain clinically silent until advanced glaucomatous damage occurs, particularly when intraocular pressure is underestimated in post-refractive surgery eyes. Corneal thinning and biomechanical alteration following PRK can lead to falsely reassuring GAT measurements, potentially masking sustained IOP elevation. In patients with altered corneas, apparent “normal” pressure should not outweigh structural or functional evidence of disease. Comprehensive anterior segment evaluation and multimodal glaucoma assessment are essential to prevent delayed diagnosis and irreversible visual loss."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POOTH036",
      "abstract_number": "POOTH036",
      "title": "Aqueous Humor Microrna Profiles In Diabetic Patients Undergoing Cataract Surgery",
      "authors": "Şeyma Tokay Tay",
      "presenter": "Şeyma Tokay Tay",
      "normalized_authors": [
        "Şeyma Tokay Tay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Şeyma Tokay Tay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Diabetic retinopathy (DR) is the most common microvascular complication of diabetes mellitus and a major cause of visual impairment worldwide. Increasing evidence suggests that microRNAs (miRNAs) regulate inflammatory, angiogenic, and metabolic pathways involved in DR pathogenesis. This study aimed to investigate the expression levels of selected miRNAs in the aqueous humor of diabetic patients undergoing cataract surgery and to evaluate their potential role as early molecular biomarkers associated with the development of diabetic retinopathy.",
        "Setting": "This prospective study was conducted at the Department of Ophthalmology, İnönü University Faculty of Medicine, Malatya, Türkiye. Patients scheduled for cataract surgery between December 2023 and March 2024 were enrolled in the study.",
        "Methods": "Patients were divided into three groups: diabetic patients without diabetic retinopathy (non-DR), diabetic patients with diabetic retinopathy (DR), and age-matched healthy controls. Aqueous humor samples were collected at the beginning of cataract surgery before intraocular manipulation. Expression levels of miR-21, miR-31, miR-126, miR-146, miR-200b, miR-320, and miR-762 were analyzed using real-time polymerase chain reaction (RT-PCR). Quantitative analysis of miRNA expression was performed using the GeneGlobe Data Analysis Center (Qiagen, Germany).",
        "Results": "Significant differences in miRNA expression levels were observed between diabetic patients and controls. Compared with the control group, diabetic patients without retinopathy demonstrated increased expression of miR-21 (~5-fold), miR-31 (~5-fold), miR-320 (~6-fold), and miR-762 (~5-fold), while miR-126 (~2-fold), miR-146 (~14-fold), and miR-200b (~50-fold) were decreased. Similar alterations were observed in the DR group, with increased expression of miR-21 (~6-fold), miR-31 (~5-fold), miR-320 (~6-fold), and miR-762 (~5-fold), and decreased expression of miR-126 (~2-fold), miR-146 (~14-fold), and miR-200b (~54-fold).",
        "Conclusions": "Altered aqueous humor miRNA expression profiles were detected in diabetic patients undergoing cataract surgery. The observed changes suggest that specific miRNAs may be involved in the molecular mechanisms underlying diabetic retinopathy. These findings indicate that aqueous humor miRNA profiling may provide potential early biomarkers for identifying diabetic patients at risk of developing diabetic retinopathy and for improving understanding of its pathogenesis. Furthermore, analysis of aqueous humor obtained during cataract surgery may provide a valuable opportunity for risk assessment of future retinal disease development in diabetic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Altered aqueous humor miRNA expression profiles were detected in diabetic patients undergoing cataract surgery. The observed changes suggest that specific miRNAs may be involved in the molecular mechanisms underlying diabetic retinopathy. These findings indicate that aqueous humor miRNA profiling may provide potential early biomarkers for identifying diabetic patients at risk of developing diabetic retinopathy and…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1383,
      "source_fields": {
        "Abstract Final Identifier": "POOTH036",
        "Title": "Aqueous Humor Microrna Profiles In Diabetic Patients Undergoing Cataract Surgery",
        "Presenting Author(s)": "Şeyma Tokay Tay",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Şeyma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tokay Tay",
        "Country Name": "Türkiye",
        "Purpose": "Diabetic retinopathy (DR) is the most common microvascular complication of diabetes mellitus and a major cause of visual impairment worldwide. Increasing evidence suggests that microRNAs (miRNAs) regulate inflammatory, angiogenic, and metabolic pathways involved in DR pathogenesis. This study aimed to investigate the expression levels of selected miRNAs in the aqueous humor of diabetic patients undergoing cataract surgery and to evaluate their potential role as early molecular biomarkers associated with the development of diabetic retinopathy.",
        "Setting": "This prospective study was conducted at the Department of Ophthalmology, İnönü University Faculty of Medicine, Malatya, Türkiye. Patients scheduled for cataract surgery between December 2023 and March 2024 were enrolled in the study.",
        "Methods": "Patients were divided into three groups: diabetic patients without diabetic retinopathy (non-DR), diabetic patients with diabetic retinopathy (DR), and age-matched healthy controls. Aqueous humor samples were collected at the beginning of cataract surgery before intraocular manipulation. Expression levels of miR-21, miR-31, miR-126, miR-146, miR-200b, miR-320, and miR-762 were analyzed using real-time polymerase chain reaction (RT-PCR). Quantitative analysis of miRNA expression was performed using the GeneGlobe Data Analysis Center (Qiagen, Germany).",
        "Results": "Significant differences in miRNA expression levels were observed between diabetic patients and controls. Compared with the control group, diabetic patients without retinopathy demonstrated increased expression of miR-21 (~5-fold), miR-31 (~5-fold), miR-320 (~6-fold), and miR-762 (~5-fold), while miR-126 (~2-fold), miR-146 (~14-fold), and miR-200b (~50-fold) were decreased. Similar alterations were observed in the DR group, with increased expression of miR-21 (~6-fold), miR-31 (~5-fold), miR-320 (~6-fold), and miR-762 (~5-fold), and decreased expression of miR-126 (~2-fold), miR-146 (~14-fold), and miR-200b (~54-fold).",
        "Conclusions": "Altered aqueous humor miRNA expression profiles were detected in diabetic patients undergoing cataract surgery. The observed changes suggest that specific miRNAs may be involved in the molecular mechanisms underlying diabetic retinopathy. These findings indicate that aqueous humor miRNA profiling may provide potential early biomarkers for identifying diabetic patients at risk of developing diabetic retinopathy and for improving understanding of its pathogenesis. Furthermore, analysis of aqueous humor obtained during cataract surgery may provide a valuable opportunity for risk assessment of future retinal disease development in diabetic patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "POOTH037",
      "abstract_number": "POOTH037",
      "title": "Real-Time Ai-Driven Queue Optimisation Enhances Patient Satisfaction In A High-Volume Ophthalmology Outpatient Department: A 12-Week Prospective Interventional Study",
      "authors": "Dr Rahul Verma",
      "presenter": "Dr Rahul Verma",
      "normalized_authors": [
        "Rahul Verma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rahul Verma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the impact of an AI-assisted dynamic wait-time prediction and queue\noptimization system on patient satisfaction and perceived transparency of care delivery in a\ntertiary ophthalmology outpatient department (OPD).",
        "Setting": "Tertiary ophthalmology OPD supporting high-volume cataract and refractive surgical\nservices alongside general ophthalmic consultations, with a complex multi-station patient\nworkflow.",
        "Methods": "A 12-week prospective interventional study was conducted. A 6-week baseline phase using conventional manual queue management preceded a 6-week intervention phase deploying a web-based real-time queue optimization system. Machine learning models trained on historical workflow timestamps predicted station-specific service durations and generated continuously updated time-to-consultation estimates, with dynamic priority scores recalculated at defined intervals. Primary outcome was patient satisfaction on a validated 10-point Likert scale at departure. Secondary outcomes were mean waiting time and waiting time variability (standard deviation).",
        "Results": "Mean waiting time decreased from 72 ± 24 minutes to 46 ± 18 minutes (p < 0.001). Waiting\ntime variability was reduced by 29%. Patient satisfaction scores improved from 7.0 to 8.7 out\nof 10 (p < 0.001). The proportion of patients reporting clear communication of expected\nwaiting duration increased by 44 percentage points. No reduction in mean consultation\nduration was observed, confirming that efficiency gains did not compromise clinical contact\ntime.",
        "Conclusions": "AI-assisted dynamic wait-time prediction significantly improved patient satisfaction and\nperceived care transparency within 12 weeks of deployment, without requirement for\nadditional staffing resources. Embedding predictive workflow modelling into ophthalmology\noutpatient services represents a scalable, patient-centred strategy to improve service quality\nin high-volume clinical environments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-assisted dynamic wait-time prediction significantly improved patient satisfaction and perceived care transparency within 12 weeks of deployment, without requirement for additional staffing resources. Embedding predictive workflow modelling into ophthalmology outpatient services represents a scalable, patient-centred strategy to improve service quality in high-volume clinical environments.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1384,
      "source_fields": {
        "Abstract Final Identifier": "POOTH037",
        "Title": "Real-Time Ai-Driven Queue Optimisation Enhances Patient Satisfaction In A High-Volume Ophthalmology Outpatient Department: A 12-Week Prospective Interventional Study",
        "Presenting Author(s)": "Dr Rahul Verma",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Rahul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Verma",
        "Country Name": "India",
        "Purpose": "To evaluate the impact of an AI-assisted dynamic wait-time prediction and queue\noptimization system on patient satisfaction and perceived transparency of care delivery in a\ntertiary ophthalmology outpatient department (OPD).",
        "Setting": "Tertiary ophthalmology OPD supporting high-volume cataract and refractive surgical\nservices alongside general ophthalmic consultations, with a complex multi-station patient\nworkflow.",
        "Methods": "A 12-week prospective interventional study was conducted. A 6-week baseline phase using conventional manual queue management preceded a 6-week intervention phase deploying a web-based real-time queue optimization system. Machine learning models trained on historical workflow timestamps predicted station-specific service durations and generated continuously updated time-to-consultation estimates, with dynamic priority scores recalculated at defined intervals. Primary outcome was patient satisfaction on a validated 10-point Likert scale at departure. Secondary outcomes were mean waiting time and waiting time variability (standard deviation).",
        "Results": "Mean waiting time decreased from 72 ± 24 minutes to 46 ± 18 minutes (p < 0.001). Waiting\ntime variability was reduced by 29%. Patient satisfaction scores improved from 7.0 to 8.7 out\nof 10 (p < 0.001). The proportion of patients reporting clear communication of expected\nwaiting duration increased by 44 percentage points. No reduction in mean consultation\nduration was observed, confirming that efficiency gains did not compromise clinical contact\ntime.",
        "Conclusions": "AI-assisted dynamic wait-time prediction significantly improved patient satisfaction and\nperceived care transparency within 12 weeks of deployment, without requirement for\nadditional staffing resources. Embedding predictive workflow modelling into ophthalmology\noutpatient services represents a scalable, patient-centred strategy to improve service quality\nin high-volume clinical environments."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "POOTH038",
      "abstract_number": "POOTH038",
      "title": "Effect Of Controlled External Corneal Compression On Corneal Tomography, Pachymetry, And Biomechanics In Healthy Eyes: A Prospective Crossover Study",
      "authors": "Dr John Warrak",
      "presenter": "Dr John Warrak",
      "normalized_authors": [
        "John Warrak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "John Warrak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lebanon",
      "sections": {
        "Purpose": "To quantify the immediate and short-term effects of standardized external corneal compression on corneal tomography, pachymetry, and biomechanical parameters in healthy, non-operated eyes.",
        "Setting": "Ophthalmology Department, MLH / Advanced Eye Care Center (AEC).",
        "Methods": "This prospective, controlled, single-blind, within-subject crossover study enrolled healthy adult volunteers (18–45 years) with no prior ocular surgery and normal corneal topography. External compression was applied over closed lids using a calibrated Honan balloon at 10, 20, and 30 mmHg for 10 minutes per level in randomized order.\n\nPentacam tomography, full pachymetry mapping, Corvis ST biomechanical assessment, and intraocular pressure (IOP) measurements were obtained at baseline, immediately post-compression (T0), and at 5, 15, and 30 minutes.\n\nPrimary outcomes were change in central corneal thickness (ΔCCT) and change in Corvis deformation amplitude (ΔDA) at T0.",
        "Results": "Preliminary analysis demonstrates pressure-dependent, transient reductions in central corneal thickness and measurable alterations in corneal deformation amplitude immediately after compression. Higher compression levels were associated with greater ΔCCT and ΔDA. Most parameters returned to baseline within 15–30 minutes. Baseline corneal thickness and stiffness indices were predictive of susceptibility to biomechanical change.",
        "Conclusions": "Controlled external compression induces measurable, dose-dependent, and reversible alterations in corneal thickness and biomechanical behavior in healthy eyes. These findings have implications for preoperative preparation (e.g., Honan balloon use), interpretation of tomography and biomechanics, and potential transient risk in borderline corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Controlled external compression induces measurable, dose-dependent, and reversible alterations in corneal thickness and biomechanical behavior in healthy eyes. These findings have implications for preoperative preparation (e.g., Honan balloon use), interpretation of tomography and biomechanics, and potential transient risk in borderline corneas.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1385,
      "source_fields": {
        "Abstract Final Identifier": "POOTH038",
        "Title": "Effect Of Controlled External Corneal Compression On Corneal Tomography, Pachymetry, And Biomechanics In Healthy Eyes: A Prospective Crossover Study",
        "Presenting Author(s)": "Dr John Warrak",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "John",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Warrak",
        "Country Name": "Lebanon",
        "Purpose": "To quantify the immediate and short-term effects of standardized external corneal compression on corneal tomography, pachymetry, and biomechanical parameters in healthy, non-operated eyes.",
        "Setting": "Ophthalmology Department, MLH / Advanced Eye Care Center (AEC).",
        "Methods": "This prospective, controlled, single-blind, within-subject crossover study enrolled healthy adult volunteers (18–45 years) with no prior ocular surgery and normal corneal topography. External compression was applied over closed lids using a calibrated Honan balloon at 10, 20, and 30 mmHg for 10 minutes per level in randomized order.\n\nPentacam tomography, full pachymetry mapping, Corvis ST biomechanical assessment, and intraocular pressure (IOP) measurements were obtained at baseline, immediately post-compression (T0), and at 5, 15, and 30 minutes.\n\nPrimary outcomes were change in central corneal thickness (ΔCCT) and change in Corvis deformation amplitude (ΔDA) at T0.",
        "Results": "Preliminary analysis demonstrates pressure-dependent, transient reductions in central corneal thickness and measurable alterations in corneal deformation amplitude immediately after compression. Higher compression levels were associated with greater ΔCCT and ΔDA. Most parameters returned to baseline within 15–30 minutes. Baseline corneal thickness and stiffness indices were predictive of susceptibility to biomechanical change.",
        "Conclusions": "Controlled external compression induces measurable, dose-dependent, and reversible alterations in corneal thickness and biomechanical behavior in healthy eyes. These findings have implications for preoperative preparation (e.g., Honan balloon use), interpretation of tomography and biomechanics, and potential transient risk in borderline corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "POOTH039",
      "abstract_number": "POOTH039",
      "title": "Clinical Outcomes And Safety Profile Of Single-Incision Refractive Lens Exchange For The Correction Of Refractive Errors And Presbyopia: A Real-World Data Analysis",
      "authors": "Dr Chi Xiao",
      "presenter": "Dr Chi Xiao",
      "normalized_authors": [
        "Chi Xiao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chi Xiao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the efficacy, safety, and patient satisfaction of single-incision refractive lens exchange (RLE) in achieving full-range of vision for patients with refractive errors and presbyopia in a real-world setting.",
        "Setting": "A single-center retrospective study.",
        "Methods": "This real-world analysis included 50 eyes of 25 patients (mean age 49 ± 4.28 years) who underwent single-incision RLE. The study cohort comprised patients with ametropia and presbyopia. The mean preoperative spherical equivalent (SE) was -8.30 ± 3.23 D (range: -18.25 D to -2.75 D). Preoperative mean ADD, AMP, and DLI were 1.24 ± 0.41 D, 3.17 ± 0.58 D, and 6.18 ± 2.97, respectively. Preoperative and postoperative (6 months) uncorrected and corrected visual acuities at distance (UDVA, CDVA), intermediate (60cm), and near (40cm) were analyzed. Refractive outcomes, defocus curves, and patient-reported satisfaction/spectacle independence were assessed. Intraoperative and postoperative complications were recorded.",
        "Results": "The procedure demonstrated an excellent safety profile with no complications observed. Postoperative refractive predictability was high, with a mean SE of +0.12 ± 0.33 D; 92% and 100% of eyes were within ±0.25 D and ±0.50 D of target, respectively. Uncorrected vision improved significantly at all distances: UDVA to 1.02 ± 0.09, intermediate (60cm) to 1.04 ± 0.11, and near (40cm) to 0.94 ± 0.06. The safety and efficacy indices were 1.14 and 1.08. Patient satisfaction was 100%, with spectacle independence rates of 100% (distance), 96% (intermediate), and 100% (near). Defocus curves confirmed an extended depth of focus.",
        "Conclusions": "In this real-world cohort, single-incision RLE proved to be a highly effective, predictable, and safe procedure for correcting refractive errors and presbyopia, with zero complications observed in this series. It provided excellent full-range uncorrected visual acuity, high levels of patient satisfaction, and complete spectacle independence for distance and near vision, with outcomes comparable to or exceeding those of standard refractive surgeries."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world cohort, single-incision RLE proved to be a highly effective, predictable, and safe procedure for correcting refractive errors and presbyopia, with zero complications observed in this series. It provided excellent full-range uncorrected visual acuity, high levels of patient satisfaction, and complete spectacle independence for distance and near vision, with outcomes comparable to or exceeding…",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1386,
      "source_fields": {
        "Abstract Final Identifier": "POOTH039",
        "Title": "Clinical Outcomes And Safety Profile Of Single-Incision Refractive Lens Exchange For The Correction Of Refractive Errors And Presbyopia: A Real-World Data Analysis",
        "Presenting Author(s)": "Dr Chi Xiao",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Chi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xiao",
        "Country Name": "China",
        "Purpose": "To evaluate the efficacy, safety, and patient satisfaction of single-incision refractive lens exchange (RLE) in achieving full-range of vision for patients with refractive errors and presbyopia in a real-world setting.",
        "Setting": "A single-center retrospective study.",
        "Methods": "This real-world analysis included 50 eyes of 25 patients (mean age 49 ± 4.28 years) who underwent single-incision RLE. The study cohort comprised patients with ametropia and presbyopia. The mean preoperative spherical equivalent (SE) was -8.30 ± 3.23 D (range: -18.25 D to -2.75 D). Preoperative mean ADD, AMP, and DLI were 1.24 ± 0.41 D, 3.17 ± 0.58 D, and 6.18 ± 2.97, respectively. Preoperative and postoperative (6 months) uncorrected and corrected visual acuities at distance (UDVA, CDVA), intermediate (60cm), and near (40cm) were analyzed. Refractive outcomes, defocus curves, and patient-reported satisfaction/spectacle independence were assessed. Intraoperative and postoperative complications were recorded.",
        "Results": "The procedure demonstrated an excellent safety profile with no complications observed. Postoperative refractive predictability was high, with a mean SE of +0.12 ± 0.33 D; 92% and 100% of eyes were within ±0.25 D and ±0.50 D of target, respectively. Uncorrected vision improved significantly at all distances: UDVA to 1.02 ± 0.09, intermediate (60cm) to 1.04 ± 0.11, and near (40cm) to 0.94 ± 0.06. The safety and efficacy indices were 1.14 and 1.08. Patient satisfaction was 100%, with spectacle independence rates of 100% (distance), 96% (intermediate), and 100% (near). Defocus curves confirmed an extended depth of focus.",
        "Conclusions": "In this real-world cohort, single-incision RLE proved to be a highly effective, predictable, and safe procedure for correcting refractive errors and presbyopia, with zero complications observed in this series. It provided excellent full-range uncorrected visual acuity, high levels of patient satisfaction, and complete spectacle independence for distance and near vision, with outcomes comparable to or exceeding those of standard refractive surgeries."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "POOTH040",
      "abstract_number": "POOTH040",
      "title": "Anatomical And Transcriptional Alterations In The Mouse Choroid Induced By All-Trans Retinoic Acid",
      "authors": "Dr Biyun Zhan",
      "presenter": "Dr Biyun Zhan",
      "normalized_authors": [
        "Biyun Zhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Biyun Zhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Choroidal all- trans retinoic acid (atRA) has been proposed as a regulator of scleral remodeling during myopia development. However, the choroidal effects of atRA and the underlying mechanisms remain poorly understood. Here, we aim to characterize choroidal changes using an established atRA-induced myopia mouse model.",
        "Setting": "Key Laboratory of Myopia, Eye and ENT Hospital of Fudan University",
        "Methods": "Male C57BL/6J mice received peribulbar injections of atRA , atRA combined with BMS493 (a pan-RAR inverse agonist), or vehicle every three days for two weeks. Refraction, axial length, vitreous chamber depth, choroidal thickness (ChT), and choroidal blood perfusion (ChBP) were assessed at baseline and endpoint. RNA sequencing was performed on choroid samples, and selected genes were validated by real-time quantitative PCR and Western blot.",
        "Results": "BMS493 significantly attenuated atRA-induced myopia in mice. AtRA treatment markedly reduced ChT and ChBP, both of which were notably restored by BMS493. Transcriptome analysis of the choroid identified 265 shared differentially expressed genes with opposite regulation between atRA-treated eyes and atRA+BMS493-treated eyes. Gene Ontology analysis revealed significant enrichment of extracellular matrix (ECM)-related terms in both contrasts. Further, gene set enrichment analysis showed downregulation of ECM gene sets by atRA and upregulation by BMS493. Bone morphogenetic protein 2 ( Bmp2 ) and Bmp7 , two myopia-associated ECM genes, were validated at the transcriptional and protein levels, showing regulation consistent with RNA-seq findings.",
        "Conclusions": "In mice, atRA induces axial myopia, accompanied by decreased ChT and ChBP. Mechanistically, its choroidal effects are RAR-dependent and associated with ECM modulation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In mice, atRA induces axial myopia, accompanied by decreased ChT and ChBP. Mechanistically, its choroidal effects are RAR-dependent and associated with ECM modulation.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1387,
      "source_fields": {
        "Abstract Final Identifier": "POOTH040",
        "Title": "Anatomical And Transcriptional Alterations In The Mouse Choroid Induced By All-Trans Retinoic Acid",
        "Presenting Author(s)": "Dr Biyun Zhan",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Biyun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhan",
        "Country Name": "China",
        "Purpose": "Choroidal all- trans retinoic acid (atRA) has been proposed as a regulator of scleral remodeling during myopia development. However, the choroidal effects of atRA and the underlying mechanisms remain poorly understood. Here, we aim to characterize choroidal changes using an established atRA-induced myopia mouse model.",
        "Setting": "Key Laboratory of Myopia, Eye and ENT Hospital of Fudan University",
        "Methods": "Male C57BL/6J mice received peribulbar injections of atRA , atRA combined with BMS493 (a pan-RAR inverse agonist), or vehicle every three days for two weeks. Refraction, axial length, vitreous chamber depth, choroidal thickness (ChT), and choroidal blood perfusion (ChBP) were assessed at baseline and endpoint. RNA sequencing was performed on choroid samples, and selected genes were validated by real-time quantitative PCR and Western blot.",
        "Results": "BMS493 significantly attenuated atRA-induced myopia in mice. AtRA treatment markedly reduced ChT and ChBP, both of which were notably restored by BMS493. Transcriptome analysis of the choroid identified 265 shared differentially expressed genes with opposite regulation between atRA-treated eyes and atRA+BMS493-treated eyes. Gene Ontology analysis revealed significant enrichment of extracellular matrix (ECM)-related terms in both contrasts. Further, gene set enrichment analysis showed downregulation of ECM gene sets by atRA and upregulation by BMS493. Bone morphogenetic protein 2 ( Bmp2 ) and Bmp7 , two myopia-associated ECM genes, were validated at the transcriptional and protein levels, showing regulation consistent with RNA-seq findings.",
        "Conclusions": "In mice, atRA induces axial myopia, accompanied by decreased ChT and ChBP. Mechanistically, its choroidal effects are RAR-dependent and associated with ECM modulation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POOTH041",
      "abstract_number": "POOTH041",
      "title": "The Ogt-Nlrp3-Gsdmd Axis Drives Lens Epithelial Cell Pyroptosis In Diabetic Cataract",
      "authors": "Ms Jingjing Zheng",
      "presenter": "Ms Jingjing Zheng",
      "normalized_authors": [
        "Jingjing Zheng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jingjing Zheng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the role of the O-GlcNAc transferase (OGT)-NLRP3 inflammasome-gasdermin D (GSDMD)-mediated pyroptosis pathway in the pathogenesis of diabetic cataract (DC).",
        "Setting": "Diabetic cataract is a common complication of diabetes. Due to the metabolic disorder of the lens caused by high blood sugar, protein glycosylation and oxidative stress damage, it eventually leads to lens opacity and vision impairment.",
        "Methods": "Diabetes mellitus was induced in 6-8-week-old male Sprague-Dawley rats via intraperitoneal injection of streptozotocin (STZ, 60 mg/kg). Random blood glucose, lens opacity scores, and histopathological changes via hematoxylin-eosin (HE) staining were examined at 8 and 12 weeks. Expression levels of NFAT2, OGT, NLRP3, caspase-1, and GSDMD in lens tissues were determined by real-time PCR and Western blot.",
        "Results": "Diabetic rats maintained blood glucose levels ≥16.7 mmol/L. Compared with the control group, the model group exhibited progressive elevation of lens opacity scores (reaching 3.6±0.2 grade at 12 weeks, p<0.001). HE staining revealed disorganized lens epithelial cells (LECs), vacuolation, and liquefaction of cortical fiber cells. At the molecular level, NLRP3 protein expression was significantly upregulated, caspase-1 activation and cleavage were increased, and GSDMD-N terminal fragment accumulation was observed. Moreover, OGT and NFAT2 expression exhibited time-dependent elevations (NFAT2 mRNA upregulated by ~6-fold and OGT by ~4-fold at 12 weeks, p<0.001).",
        "Conclusions": "Chronic hyperglycemia promotes DC development by activating the OGT-NLRP3-GSDMD pyroptotic pathway, leading to LECs injury. This provides a novel molecular target for anti-inflammatory therapy in DC."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chronic hyperglycemia promotes DC development by activating the OGT-NLRP3-GSDMD pyroptotic pathway, leading to LECs injury. This provides a novel molecular target for anti-inflammatory therapy in DC.",
      "session_type": "ePoster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1388,
      "source_fields": {
        "Abstract Final Identifier": "POOTH041",
        "Title": "The Ogt-Nlrp3-Gsdmd Axis Drives Lens Epithelial Cell Pyroptosis In Diabetic Cataract",
        "Presenting Author(s)": "Ms Jingjing Zheng",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Jingjing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zheng",
        "Country Name": "China",
        "Purpose": "To investigate the role of the O-GlcNAc transferase (OGT)-NLRP3 inflammasome-gasdermin D (GSDMD)-mediated pyroptosis pathway in the pathogenesis of diabetic cataract (DC).",
        "Setting": "Diabetic cataract is a common complication of diabetes. Due to the metabolic disorder of the lens caused by high blood sugar, protein glycosylation and oxidative stress damage, it eventually leads to lens opacity and vision impairment.",
        "Methods": "Diabetes mellitus was induced in 6-8-week-old male Sprague-Dawley rats via intraperitoneal injection of streptozotocin (STZ, 60 mg/kg). Random blood glucose, lens opacity scores, and histopathological changes via hematoxylin-eosin (HE) staining were examined at 8 and 12 weeks. Expression levels of NFAT2, OGT, NLRP3, caspase-1, and GSDMD in lens tissues were determined by real-time PCR and Western blot.",
        "Results": "Diabetic rats maintained blood glucose levels ≥16.7 mmol/L. Compared with the control group, the model group exhibited progressive elevation of lens opacity scores (reaching 3.6±0.2 grade at 12 weeks, p<0.001). HE staining revealed disorganized lens epithelial cells (LECs), vacuolation, and liquefaction of cortical fiber cells. At the molecular level, NLRP3 protein expression was significantly upregulated, caspase-1 activation and cleavage were increased, and GSDMD-N terminal fragment accumulation was observed. Moreover, OGT and NFAT2 expression exhibited time-dependent elevations (NFAT2 mRNA upregulated by ~6-fold and OGT by ~4-fold at 12 weeks, p<0.001).",
        "Conclusions": "Chronic hyperglycemia promotes DC development by activating the OGT-NLRP3-GSDMD pyroptotic pathway, leading to LECs injury. This provides a novel molecular target for anti-inflammatory therapy in DC."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "POREF001",
      "abstract_number": "POREF001",
      "title": "Late Icl Vault Insufficiency And Cataract: Surgical Solution 17 Years After Primary Implantation",
      "authors": "Dr Daniel Abilheira",
      "presenter": "Dr Daniel Abilheira",
      "normalized_authors": [
        "Daniel Abilheira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Abilheira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To report successful management of late vault insufficiency and cataract formation 17 years after initial implantable collamer lens (ICL) implantation through lens exchange in a patient with high myopia.",
        "Setting": "Tertiary referral center specializing in refractive surgery and anterior segment procedures, with comprehensive diagnostic capabilities including anterior segment optical coherence tomography (AS-OCT) for vault assessment and specular microscopy for endothelial cell evaluation.",
        "Methods": "A middle-aged female with high myopia (OS: -9.00 D, -1.25 × 180°) initially underwent toric ICL V4B implantation (12.50 mm, -15.00/+1.50 × 86°) followed by LASIK for residual astigmatism. Seventeen years post-implantation, she presented with progressive visual decline and night glare. Examination revealed low vault (grade 1, 250 µm) with peripheral lens-crystalline lens touch and nasal peripheral subcapsular cataract. Best-corrected visual acuity (BCVA) was 0.8 (+0.50 +1.50 × 70°), with stable intraocular pressure (10 mmHg) and endothelial cell counts. Surgical intervention consisted of explantation of the original ICL V4B and implantation of a larger ICL V4C (13.20 mm, -10.50 D), oriented vertically via 3.2 mm incision to maximize vault and avoid the previous lens touch zone.\n\nPostoperatively, vault improved to grade 2 (250-750 µm) with resolution of lens touch. BCVA was 0.8 (cc +0.75). No new cataract progression was observed. Intraocular pressure remained stable at 15 mmHg, and endothelial cell counts were maintained (2469-2578 cells/mm²).",
        "Conclusions": "This case demonstrates that vault insufficiency and cataract can occur even 17 years after ICL implantation, emphasizing the necessity of lifelong follow-up in phakic IOL patients. Persistent low vault (250 µm) with lens touch represents an established risk factor for cataract development, particularly in high myopia. Late ICL exchange with upsizing and reorientation effectively restored anatomical vault relationships without compromising endothelial cell density. Individualized ICL sizing and continuous long-term monitoring remain crucial for optimal outcomes in phakic ICL patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates that vault insufficiency and cataract can occur even 17 years after ICL implantation, emphasizing the necessity of lifelong follow-up in phakic IOL patients. Persistent low vault (250 µm) with lens touch represents an established risk factor for cataract development, particularly in high myopia. Late ICL exchange with upsizing and reorientation effectively restored anatomical vault…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1389,
      "source_fields": {
        "Abstract Final Identifier": "POREF001",
        "Title": "Late Icl Vault Insufficiency And Cataract: Surgical Solution 17 Years After Primary Implantation",
        "Presenting Author(s)": "Dr Daniel Abilheira",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abilheira",
        "Country Name": "Portugal",
        "Purpose": "To report successful management of late vault insufficiency and cataract formation 17 years after initial implantable collamer lens (ICL) implantation through lens exchange in a patient with high myopia.",
        "Setting": "Tertiary referral center specializing in refractive surgery and anterior segment procedures, with comprehensive diagnostic capabilities including anterior segment optical coherence tomography (AS-OCT) for vault assessment and specular microscopy for endothelial cell evaluation.",
        "Methods": "A middle-aged female with high myopia (OS: -9.00 D, -1.25 × 180°) initially underwent toric ICL V4B implantation (12.50 mm, -15.00/+1.50 × 86°) followed by LASIK for residual astigmatism. Seventeen years post-implantation, she presented with progressive visual decline and night glare. Examination revealed low vault (grade 1, 250 µm) with peripheral lens-crystalline lens touch and nasal peripheral subcapsular cataract. Best-corrected visual acuity (BCVA) was 0.8 (+0.50 +1.50 × 70°), with stable intraocular pressure (10 mmHg) and endothelial cell counts. Surgical intervention consisted of explantation of the original ICL V4B and implantation of a larger ICL V4C (13.20 mm, -10.50 D), oriented vertically via 3.2 mm incision to maximize vault and avoid the previous lens touch zone.\n\nPostoperatively, vault improved to grade 2 (250-750 µm) with resolution of lens touch. BCVA was 0.8 (cc +0.75). No new cataract progression was observed. Intraocular pressure remained stable at 15 mmHg, and endothelial cell counts were maintained (2469-2578 cells/mm²).",
        "Results": "",
        "Conclusions": "This case demonstrates that vault insufficiency and cataract can occur even 17 years after ICL implantation, emphasizing the necessity of lifelong follow-up in phakic IOL patients. Persistent low vault (250 µm) with lens touch represents an established risk factor for cataract development, particularly in high myopia. Late ICL exchange with upsizing and reorientation effectively restored anatomical vault relationships without compromising endothelial cell density. Individualized ICL sizing and continuous long-term monitoring remain crucial for optimal outcomes in phakic ICL patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POREF002",
      "abstract_number": "POREF002",
      "title": "The Tense Eye Behind The Haze: A Masquerading Case After Lasik Enhancement",
      "authors": "Dr Essam Sabah Al Rubaye",
      "presenter": "Dr Essam Sabah Al Rubaye",
      "normalized_authors": [
        "Essam Sabah Al Rubaye"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Essam Sabah Al Rubaye",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iraq",
      "sections": {
        "Purpose": "To describe a masquerading case of steroid-induced glaucoma following LASIK enhancement, initially misdiagnosed and repeatedly treated as pseudo–diffuse lamellar keratitis (pseudo-DLK).",
        "Setting": "Tertiary eye hospital in Baghdad, Iraq.",
        "Methods": "A young male underwent LASIK enhancement for refractive regression and subsequently developed progressive corneal haze, blurred vision, and severe headache. Intensive topical steroid therapy was initiated, followed by four flap lifts and interface washes (three by the primary surgeon and one by another surgeon), with no clinical improvement.\nOn presentation to us seeking another opinion, corneal interface haze and reduced visual acuity were noted, with a tense globe on digital palpation despite the use of three intraocular pressure (IOP)–lowering medications. Air-puff tonometry measured an IOP of 22 mmHg. Fundus examination revealed a small optic disc with an inferior notch. Corvis-ST assessment demonstrated true IOP values in the high 30s mmHg, confirming steroid-induced ocular hypertension.\nCessation of steroids and maximal medical therapy were insufficient, and bilateral trabeculectomy was performed one week apart by a glaucoma surgeon upon referral. Postoperatively, headache resolved, visual acuity improved, and corneal clarity was restored that revealed the right eye has inferior flap melt with bilateral epithelial ingrowth. Surgical management included right eye flap amputation and left eye epithelial ingrowth debridement mechanically and with the help of absolute alcohol, reinforced with three 10-0 nylon sutures. A small peripheral recurrence of epithelial ingrowth in the left eye was successfully treated with Nd:YAG laser.",
        "Conclusions": "Steroid-induced ocular Hypertension may masquerade as pseudo-DLK after LASIK enhancement, leading to repeated unnecessary interface interventions. Accurate IOP assessment and early glaucoma evaluation are critical to prevent optic nerve damage and corneal complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Steroid-induced ocular Hypertension may masquerade as pseudo-DLK after LASIK enhancement, leading to repeated unnecessary interface interventions. Accurate IOP assessment and early glaucoma evaluation are critical to prevent optic nerve damage and corneal complications.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1390,
      "source_fields": {
        "Abstract Final Identifier": "POREF002",
        "Title": "The Tense Eye Behind The Haze: A Masquerading Case After Lasik Enhancement",
        "Presenting Author(s)": "Dr Essam Sabah Al Rubaye",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Essam",
        "Submitter Middle Name": "Sabah",
        "Submitter Last Name": "Al Rubaye",
        "Country Name": "Iraq",
        "Purpose": "To describe a masquerading case of steroid-induced glaucoma following LASIK enhancement, initially misdiagnosed and repeatedly treated as pseudo–diffuse lamellar keratitis (pseudo-DLK).",
        "Setting": "Tertiary eye hospital in Baghdad, Iraq.",
        "Methods": "A young male underwent LASIK enhancement for refractive regression and subsequently developed progressive corneal haze, blurred vision, and severe headache. Intensive topical steroid therapy was initiated, followed by four flap lifts and interface washes (three by the primary surgeon and one by another surgeon), with no clinical improvement.\nOn presentation to us seeking another opinion, corneal interface haze and reduced visual acuity were noted, with a tense globe on digital palpation despite the use of three intraocular pressure (IOP)–lowering medications. Air-puff tonometry measured an IOP of 22 mmHg. Fundus examination revealed a small optic disc with an inferior notch. Corvis-ST assessment demonstrated true IOP values in the high 30s mmHg, confirming steroid-induced ocular hypertension.\nCessation of steroids and maximal medical therapy were insufficient, and bilateral trabeculectomy was performed one week apart by a glaucoma surgeon upon referral. Postoperatively, headache resolved, visual acuity improved, and corneal clarity was restored that revealed the right eye has inferior flap melt with bilateral epithelial ingrowth. Surgical management included right eye flap amputation and left eye epithelial ingrowth debridement mechanically and with the help of absolute alcohol, reinforced with three 10-0 nylon sutures. A small peripheral recurrence of epithelial ingrowth in the left eye was successfully treated with Nd:YAG laser.",
        "Results": "",
        "Conclusions": "Steroid-induced ocular Hypertension may masquerade as pseudo-DLK after LASIK enhancement, leading to repeated unnecessary interface interventions. Accurate IOP assessment and early glaucoma evaluation are critical to prevent optic nerve damage and corneal complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "POREF003",
      "abstract_number": "POREF003",
      "title": "Advanced Application Of Non-Linear Aspheric\nProfiles Of Presbyond In Pseudophakic Patients:\nExpanding Clinical Indications",
      "authors": "Dr TRUNG HAU BUI",
      "presenter": "Dr TRUNG HAU BUI",
      "normalized_authors": [
        "TRUNG HAU BUI"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Trung Hau Bui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To report the outcomes of applying the non-linear aspheric profile of PRESBYOND Laser Blended Vision to pseudophakic patients to manage complex refractive scenarios where standard monotherapy is insufficient.",
        "Setting": "This report analyzes three cases of advanced refractive correction using PRESBYOND.",
        "Methods": "Case 1 – Unilateral Correction for Early Presbyopic : A 41-year-old patient with a moderate cataract an in one eye received a monofocal IOL. The fellow eye with -6.00 diopter was treated with PRESBYOND to create a customized blend zone for seamless distance binocular vision.\n\nCase 2 – Unilateral Correction for Late Presbyopic: A 61-year-old patient with extreme myopic anisometropia , - 15 .00 diopter in one eye , and - 5 .00 diopte r in the fellow one . The management involved a multifocal IOL in extreme high myopic eye and PRESBYOND in the fellow eye to balance .\n\nCase 3 – Bi-layered Correction : For extreme axial myopia (AL > 30mm) exceeding LASIK safety limits, a neutral-SA monofocal IOL was first implanted to address the high dioptric error. This was followed by secondary PRESBYOND to treat residual error and presbyopia.\n\nResults: Initial observations indicate that the customized corneal ablation patterns successfully increased the range of vision from distance to near across all three surgical strategies. In Case 1 and Case 2, patients reported high satisfaction with binocular fusion and spectacle independence, successfully bridging the gap between different optical platforms , monofocal /multifocal IOLs and corneal ablation. In Case 3, the \" bi-layered \" approach safely bypassed anatomical corneal limits while providing the added benefit of increased depth of focus. No safety concerns regarding excessive aberration or loss of contrast sensitivity were noted at the follow-up.",
        "Conclusions": "PRESBYOND is described as a safe and versatile method to improve vision in patients who have had IOL implants, combining lens stability with tailored corneal adjustments. While early outcomes are promising, showing high patient satisfaction and reduced need for glasses, further large-scale studies are needed to standardize these procedures"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "PRESBYOND is described as a safe and versatile method to improve vision in patients who have had IOL implants, combining lens stability with tailored corneal adjustments. While early outcomes are promising, showing high patient satisfaction and reduced need for glasses, further large-scale studies are needed to standardize these procedures",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1391,
      "source_fields": {
        "Abstract Final Identifier": "POREF003",
        "Title": "Advanced Application Of Non-Linear Aspheric\nProfiles Of Presbyond In Pseudophakic Patients:\nExpanding Clinical Indications",
        "Presenting Author(s)": "Dr TRUNG HAU BUI",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Trung Hau",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bui",
        "Country Name": "Viet Nam",
        "Purpose": "To report the outcomes of applying the non-linear aspheric profile of PRESBYOND Laser Blended Vision to pseudophakic patients to manage complex refractive scenarios where standard monotherapy is insufficient.",
        "Setting": "This report analyzes three cases of advanced refractive correction using PRESBYOND.",
        "Methods": "Case 1 – Unilateral Correction for Early Presbyopic : A 41-year-old patient with a moderate cataract an in one eye received a monofocal IOL. The fellow eye with -6.00 diopter was treated with PRESBYOND to create a customized blend zone for seamless distance binocular vision.\n\nCase 2 – Unilateral Correction for Late Presbyopic: A 61-year-old patient with extreme myopic anisometropia , - 15 .00 diopter in one eye , and - 5 .00 diopte r in the fellow one . The management involved a multifocal IOL in extreme high myopic eye and PRESBYOND in the fellow eye to balance .\n\nCase 3 – Bi-layered Correction : For extreme axial myopia (AL > 30mm) exceeding LASIK safety limits, a neutral-SA monofocal IOL was first implanted to address the high dioptric error. This was followed by secondary PRESBYOND to treat residual error and presbyopia.\n\nResults: Initial observations indicate that the customized corneal ablation patterns successfully increased the range of vision from distance to near across all three surgical strategies. In Case 1 and Case 2, patients reported high satisfaction with binocular fusion and spectacle independence, successfully bridging the gap between different optical platforms , monofocal /multifocal IOLs and corneal ablation. In Case 3, the \" bi-layered \" approach safely bypassed anatomical corneal limits while providing the added benefit of increased depth of focus. No safety concerns regarding excessive aberration or loss of contrast sensitivity were noted at the follow-up.",
        "Results": "",
        "Conclusions": "PRESBYOND is described as a safe and versatile method to improve vision in patients who have had IOL implants, combining lens stability with tailored corneal adjustments. While early outcomes are promising, showing high patient satisfaction and reduced need for glasses, further large-scale studies are needed to standardize these procedures"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POREF004",
      "abstract_number": "POREF004",
      "title": "Vitrectomy For Epiretinal Membrane Removal Combined With Lens Replacement Using A New Implant With Spiral Optics For Full Range Vision",
      "authors": "Mr Zia Carrim",
      "presenter": "Mr Zia Carrim",
      "normalized_authors": [
        "Zia Carrim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zia Carrim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mauritius",
      "sections": {
        "Purpose": "To describe the rationale and outcome of implanting a non-diffractive spiral optic full-range intraocular lens (IOL) in an eye with cataract and co-existing epiretinal membrane (ERM).",
        "Setting": "Single retrospective case report from a specialised cataract and vitreoretinal service in Mauritius.",
        "Methods": "A 73-year-old woman presented for a second opinion following uneventful right cataract surgery with monofocal IOL implantation. Postoperative unaided visual acuity (UDVA) was LogMAR 0.18, but she was dissatisfied with spectacle dependence for near tasks and suboptimal distance vision.\n\nHer left eye had cataract (BCVA LogMAR 0.28; +1.25/+2.00×1) and a mild epiretinal membrane with foveal distortion. Corneal topography demonstrated regular astigmatism and higher-order aberrations <0.30 µm. The right eye was dominant and structurally healthy.\n\nManagement options discussed included monovision strategies and bilateral full-range correction. The relative contraindication of multifocal optics in the presence of macular pathology was explained. Given the patient’s desire for spectacle independence and reluctance for further surgery in the dominant eye, combined phacoemulsification and pars plana vitrectomy with membrane peel was undertaken in the left eye with implantation of a non-diffractive, spiral optic, toric, full-range IOL. Postoperatively, UDVA was 0.06 logMAR and unaided near vision was 0.30 logMAR with a refraction of –0.75/+0.50×16. At 2 and 6 weeks, the patient reported functional spectacle independence for daily activities.",
        "Conclusions": "Macular pathology is commonly regarded as a contraindication to multifocal IOL implantation. This case suggests that, in selected patients with mild ERM undergoing membrane peel, full-range IOL implantation may be considered following careful counselling and management of expectations. Rather than absolute exclusion, individualised risk–benefit assessment may broaden treatment possibilities in appropriately selected cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Macular pathology is commonly regarded as a contraindication to multifocal IOL implantation. This case suggests that, in selected patients with mild ERM undergoing membrane peel, full-range IOL implantation may be considered following careful counselling and management of expectations. Rather than absolute exclusion, individualised risk–benefit assessment may broaden treatment possibilities in appropriately…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1392,
      "source_fields": {
        "Abstract Final Identifier": "POREF004",
        "Title": "Vitrectomy For Epiretinal Membrane Removal Combined With Lens Replacement Using A New Implant With Spiral Optics For Full Range Vision",
        "Presenting Author(s)": "Mr Zia Carrim",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Zia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Carrim",
        "Country Name": "Mauritius",
        "Purpose": "To describe the rationale and outcome of implanting a non-diffractive spiral optic full-range intraocular lens (IOL) in an eye with cataract and co-existing epiretinal membrane (ERM).",
        "Setting": "Single retrospective case report from a specialised cataract and vitreoretinal service in Mauritius.",
        "Methods": "A 73-year-old woman presented for a second opinion following uneventful right cataract surgery with monofocal IOL implantation. Postoperative unaided visual acuity (UDVA) was LogMAR 0.18, but she was dissatisfied with spectacle dependence for near tasks and suboptimal distance vision.\n\nHer left eye had cataract (BCVA LogMAR 0.28; +1.25/+2.00×1) and a mild epiretinal membrane with foveal distortion. Corneal topography demonstrated regular astigmatism and higher-order aberrations <0.30 µm. The right eye was dominant and structurally healthy.\n\nManagement options discussed included monovision strategies and bilateral full-range correction. The relative contraindication of multifocal optics in the presence of macular pathology was explained. Given the patient’s desire for spectacle independence and reluctance for further surgery in the dominant eye, combined phacoemulsification and pars plana vitrectomy with membrane peel was undertaken in the left eye with implantation of a non-diffractive, spiral optic, toric, full-range IOL. Postoperatively, UDVA was 0.06 logMAR and unaided near vision was 0.30 logMAR with a refraction of –0.75/+0.50×16. At 2 and 6 weeks, the patient reported functional spectacle independence for daily activities.",
        "Results": "",
        "Conclusions": "Macular pathology is commonly regarded as a contraindication to multifocal IOL implantation. This case suggests that, in selected patients with mild ERM undergoing membrane peel, full-range IOL implantation may be considered following careful counselling and management of expectations. Rather than absolute exclusion, individualised risk–benefit assessment may broaden treatment possibilities in appropriately selected cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POREF005",
      "abstract_number": "POREF005",
      "title": "Pressure-Induced Stromal Keratopathy After Smile: A Diagnostic Challenge Mimicking Diffuse Lamellar Keratitis",
      "authors": "Mrs Maria Fernanda Castillo De La Rosa",
      "presenter": "Mrs Maria Fernanda Castillo De La Rosa",
      "normalized_authors": [
        "Maria Fernanda Castillo De La Rosa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Fernanda Castillo De La Rosa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "Pressure-induced stromal keratopathy (PISK), also known as interface fluid syndrome, is a rare but potentially vision-threatening complication after corneal refractive surgery. Only a few cases have been reported after small-incision lenticule extraction (SMILE). Because PISK can mimic diffuse lamellar keratitis (DLK), misdiagnosis may lead to inappropriate steroid escalation and rapid intraocular pressure (IOP) elevation. This",
        "Setting": "Case report evaluated at a tertiary referral ophthalmology center. Diagnostic assessment included slit-lamp examination, intraocular pressure measurement, and anterior segment optical coherence tomography (AS-OCT).",
        "Methods": "A 31-year-old woman underwent uneventful bilateral SMILE for myopic astigmatism (−3.75 −2.75 ×0 OD; −4.00 −2.75 ×180 OS). One month postoperatively she presented with central corneal haze and blurred vision. Diffuse lamellar keratitis was suspected and topical dexamethasone initiated. Five weeks after surgery she returned with severe ocular pain, headache, and decreased vision (20/200 OD, 20/400 OS). Intraocular pressure measured 60 mmHg OD and 56 mmHg OS. Anterior segment OCT (MS-39) demonstrated a well-defined fluid pocket within the cap–bed interface in both eyes, confirming pressure-induced stromal keratopathy. Topical corticosteroids were immediately discontinued and combination ocular hypotensive therapy (dorzolamide, brimonidine, and timolol) was started. Within three days symptoms resolved, intraocular pressure normalized (12 mmHg OD, 10 mmHg OS), and OCT confirmed disappearance of interface fluid. At two months, uncorrected visual acuity returned to 20/20 in both eyes with complete resolution of corneal haze.",
        "Conclusions": "Pressure-induced stromal keratopathy should be considered when interface haze occurs after SMILE, particularly in patients receiving topical steroids. Early recognition is essential to avoid unnecessary steroid escalation and prevent glaucomatous damage. Anterior segment OCT is a key diagnostic tool because it clearly identifies interface fluid that may be missed on slit-lamp"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Pressure-induced stromal keratopathy should be considered when interface haze occurs after SMILE, particularly in patients receiving topical steroids. Early recognition is essential to avoid unnecessary steroid escalation and prevent glaucomatous damage. Anterior segment OCT is a key diagnostic tool because it clearly identifies interface fluid that may be missed on slit-lamp",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1393,
      "source_fields": {
        "Abstract Final Identifier": "POREF005",
        "Title": "Pressure-Induced Stromal Keratopathy After Smile: A Diagnostic Challenge Mimicking Diffuse Lamellar Keratitis",
        "Presenting Author(s)": "Mrs Maria Fernanda Castillo De La Rosa",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Maria Fernanda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Castillo De La Rosa",
        "Country Name": "Mexico",
        "Purpose": "Pressure-induced stromal keratopathy (PISK), also known as interface fluid syndrome, is a rare but potentially vision-threatening complication after corneal refractive surgery. Only a few cases have been reported after small-incision lenticule extraction (SMILE). Because PISK can mimic diffuse lamellar keratitis (DLK), misdiagnosis may lead to inappropriate steroid escalation and rapid intraocular pressure (IOP) elevation. This",
        "Setting": "Case report evaluated at a tertiary referral ophthalmology center. Diagnostic assessment included slit-lamp examination, intraocular pressure measurement, and anterior segment optical coherence tomography (AS-OCT).",
        "Methods": "A 31-year-old woman underwent uneventful bilateral SMILE for myopic astigmatism (−3.75 −2.75 ×0 OD; −4.00 −2.75 ×180 OS). One month postoperatively she presented with central corneal haze and blurred vision. Diffuse lamellar keratitis was suspected and topical dexamethasone initiated. Five weeks after surgery she returned with severe ocular pain, headache, and decreased vision (20/200 OD, 20/400 OS). Intraocular pressure measured 60 mmHg OD and 56 mmHg OS. Anterior segment OCT (MS-39) demonstrated a well-defined fluid pocket within the cap–bed interface in both eyes, confirming pressure-induced stromal keratopathy. Topical corticosteroids were immediately discontinued and combination ocular hypotensive therapy (dorzolamide, brimonidine, and timolol) was started. Within three days symptoms resolved, intraocular pressure normalized (12 mmHg OD, 10 mmHg OS), and OCT confirmed disappearance of interface fluid. At two months, uncorrected visual acuity returned to 20/20 in both eyes with complete resolution of corneal haze.",
        "Results": "",
        "Conclusions": "Pressure-induced stromal keratopathy should be considered when interface haze occurs after SMILE, particularly in patients receiving topical steroids. Early recognition is essential to avoid unnecessary steroid escalation and prevent glaucomatous damage. Anterior segment OCT is a key diagnostic tool because it clearly identifies interface fluid that may be missed on slit-lamp"
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POREF006",
      "abstract_number": "POREF006",
      "title": "Severe Epithelial Ingrowth Management",
      "authors": "Dr Melania Cigales",
      "presenter": "Dr Melania Cigales",
      "normalized_authors": [
        "Melania Cigales"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melania Cigales",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present the treatment of a severe and recurrent epithelial ingrowth after Femto-LASIK.",
        "Setting": "Instituto Oftalmológico Hoyos, Sabadell, Barcelona (Spain).",
        "Methods": "39-year-old female myopic patient operated on with Femto-LASIK, resulting in a residual error. Two years later she was treated again by lifting the flap, developing a severe epithelial ingrowth. The complication was treated 5 months later resulting in a new recurrence and a decrease in visual acuity to 20/40. One month later she was referred to our clinic. We treated this case by lifting the flap and scraping the epithelium on the stromal bed and in the stromal face of the flap. Irrigation with balanced saline solution was used to facilitate the release of this epithelium ingrowth. The flap border was found rolled (maybe the cause of this complication) and we solved it by scraping with a corneal scarifier. During the surgery we used profuse irrigation-aspiration to avoid an epithelial sowing and a new recurrence. To decrease the recurrence risk, we scraped the epithelium on the bed until the corneal limbus, and in this way the re-epithelialization occurs from both the flap border and the limbus, coinciding halfway and far from the border of the flap. Finally, we prescribed antibiotic/steroid eye drops, artificial tears and a bandage with therapeutic contact lens for 3-5 days. One year later this patient has maintained a clean interface without epithelial recurrence and has recovered her 20/20 vision.",
        "Conclusions": "The points to avoid a recurrence when we are treating an epithelial ingrowth are: 1- Thorough cleaning on the stromal bed and in the stromal face of the flap; 2- Make sure you do not leave any rolled edge; 3- Profuse irrigation-aspiration to avoid an epithelial sowing; 4- Facilitate a good coaptation of the flap on its bed and scrape the epithelium on the bed until the corneal limbus, to avoid the ingrowth of epithelium under an oedematose flap."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The points to avoid a recurrence when we are treating an epithelial ingrowth are: 1- Thorough cleaning on the stromal bed and in the stromal face of the flap; 2- Make sure you do not leave any rolled edge; 3- Profuse irrigation-aspiration to avoid an epithelial sowing; 4- Facilitate a good coaptation of the flap on its bed and scrape the epithelium on the bed until the corneal limbus, to avoid the ingrowth of…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1394,
      "source_fields": {
        "Abstract Final Identifier": "POREF006",
        "Title": "Severe Epithelial Ingrowth Management",
        "Presenting Author(s)": "Dr Melania Cigales",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Melania",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cigales",
        "Country Name": "Spain",
        "Purpose": "To present the treatment of a severe and recurrent epithelial ingrowth after Femto-LASIK.",
        "Setting": "Instituto Oftalmológico Hoyos, Sabadell, Barcelona (Spain).",
        "Methods": "39-year-old female myopic patient operated on with Femto-LASIK, resulting in a residual error. Two years later she was treated again by lifting the flap, developing a severe epithelial ingrowth. The complication was treated 5 months later resulting in a new recurrence and a decrease in visual acuity to 20/40. One month later she was referred to our clinic. We treated this case by lifting the flap and scraping the epithelium on the stromal bed and in the stromal face of the flap. Irrigation with balanced saline solution was used to facilitate the release of this epithelium ingrowth. The flap border was found rolled (maybe the cause of this complication) and we solved it by scraping with a corneal scarifier. During the surgery we used profuse irrigation-aspiration to avoid an epithelial sowing and a new recurrence. To decrease the recurrence risk, we scraped the epithelium on the bed until the corneal limbus, and in this way the re-epithelialization occurs from both the flap border and the limbus, coinciding halfway and far from the border of the flap. Finally, we prescribed antibiotic/steroid eye drops, artificial tears and a bandage with therapeutic contact lens for 3-5 days. One year later this patient has maintained a clean interface without epithelial recurrence and has recovered her 20/20 vision.",
        "Results": "",
        "Conclusions": "The points to avoid a recurrence when we are treating an epithelial ingrowth are: 1- Thorough cleaning on the stromal bed and in the stromal face of the flap; 2- Make sure you do not leave any rolled edge; 3- Profuse irrigation-aspiration to avoid an epithelial sowing; 4- Facilitate a good coaptation of the flap on its bed and scrape the epithelium on the bed until the corneal limbus, to avoid the ingrowth of epithelium under an oedematose flap."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POREF007",
      "abstract_number": "POREF007",
      "title": "Late-Onset Unilateral Corneal Ectasia After Prk With Mitomycin-C: Case Report Ina Low-Risk Patient",
      "authors": "Dr Sergio Ferreira Santos da Cruz",
      "presenter": "Dr Sergio Ferreira Santos da Cruz",
      "normalized_authors": [
        "Sergio Ferreira Santos da Cruz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sergio Ferreira Santos da Cruz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To describe a paradigm-challenging case of late-onset, unilateral corneal ectasia occurring 3 years after bilateral photorefractive keratectomy (PRK) with intraoperative mitomycin-C in a patient deemed low risk by standard preoperative tomography, and to emphasize that apparently “normal” screening results do not fully exclude individual biomechanical susceptibility. This report aims to reinforce the need for sustained postoperative vigilance and to highlight the current limits of tomographic-only risk stratification.",
        "Setting": "Tertiary cornea and refractive surgery referral service at a specialized ophthalmology center, where the patient was investigated using Scheimpflug corneal tomography (Pentacam) and subsequently characterized with dynamic corneal biomechanical assessment (Corvis ST). Management included standard cross-linking and intrastromal ring implantation for stabilization and visual rehabilitation.",
        "Methods": "A 32-year-old man underwent bilateral PRK in 2020 with intraoperative mitomycin-C 0.02% for 40 seconds for myopia/astigmatism correction. Preoperative screening suggested low ectasia risk: no focal thinning (CCT 558 µm OD, 569 µm OS), no significant elevation abnormalities, Belin/Ambrósio display within normal limits, and only mild inferior–superior asymmetry in the right eye (1.4–1.6 D). Kmax was slightly elevated but symmetric (46.2 D OD; 45.8 D OS). Surgery used a 6.5-mm optical zone, vertex-centered ablation with eye tracking, standard aspheric profile, and 85% stromal preservation. Early outcome was excellent, with UDVA 20/20 bilaterally by month 3 and stability through year 2.\n\nIn 2023, the patient reported progressive monocular blur in the right eye. Repeat tomography demonstrated marked inferior steepening and ectatic pattern with Kmax rising to 61.1 D and thinning to 478 µm OD; the left eye remained stable (Kmax 46.4 D). Corvis ST revealed reduced biomechanical stability in the affected eye (total biomechanical index 0.40). After excluding alternative causes, unilateral post-PRK ectasia was diagnosed. The patient underwent corneal cross-linking (Dresden protocol). Once topographic stability was achieved, an asymmetric Ferrara ICRS (150/250 µm; 180° arc) was implanted to address residual irregular astigmatism, resulting in CDVA improvement to 20/25, stable corneal curvature, and no further progression at 6 months.",
        "Conclusions": "Ectasia can develop after PRK with mitomycin-C even when preoperative tomography and Belin/Ambrósio indices are within accepted “normal” limits and classic risk factors are absent. A subtle, borderline asymmetry may be the only early warning sign, and unilateral progression does not preclude future risk to the fellow eye. Clinicians should avoid overreassurance based on tomographic-only screening, consider adding biomechanical assessment whenever available, and maintain long-term follow-up after surface ablation—particularly when patients report new monocular blur years after surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Ectasia can develop after PRK with mitomycin-C even when preoperative tomography and Belin/Ambrósio indices are within accepted “normal” limits and classic risk factors are absent. A subtle, borderline asymmetry may be the only early warning sign, and unilateral progression does not preclude future risk to the fellow eye. Clinicians should avoid overreassurance based on tomographic-only screening, consider adding…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1395,
      "source_fields": {
        "Abstract Final Identifier": "POREF007",
        "Title": "Late-Onset Unilateral Corneal Ectasia After Prk With Mitomycin-C: Case Report Ina Low-Risk Patient",
        "Presenting Author(s)": "Dr Sergio Ferreira Santos da Cruz",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Sergio",
        "Submitter Middle Name": "Ferreira Santos da",
        "Submitter Last Name": "Cruz",
        "Country Name": "Brazil",
        "Purpose": "To describe a paradigm-challenging case of late-onset, unilateral corneal ectasia occurring 3 years after bilateral photorefractive keratectomy (PRK) with intraoperative mitomycin-C in a patient deemed low risk by standard preoperative tomography, and to emphasize that apparently “normal” screening results do not fully exclude individual biomechanical susceptibility. This report aims to reinforce the need for sustained postoperative vigilance and to highlight the current limits of tomographic-only risk stratification.",
        "Setting": "Tertiary cornea and refractive surgery referral service at a specialized ophthalmology center, where the patient was investigated using Scheimpflug corneal tomography (Pentacam) and subsequently characterized with dynamic corneal biomechanical assessment (Corvis ST). Management included standard cross-linking and intrastromal ring implantation for stabilization and visual rehabilitation.",
        "Methods": "A 32-year-old man underwent bilateral PRK in 2020 with intraoperative mitomycin-C 0.02% for 40 seconds for myopia/astigmatism correction. Preoperative screening suggested low ectasia risk: no focal thinning (CCT 558 µm OD, 569 µm OS), no significant elevation abnormalities, Belin/Ambrósio display within normal limits, and only mild inferior–superior asymmetry in the right eye (1.4–1.6 D). Kmax was slightly elevated but symmetric (46.2 D OD; 45.8 D OS). Surgery used a 6.5-mm optical zone, vertex-centered ablation with eye tracking, standard aspheric profile, and 85% stromal preservation. Early outcome was excellent, with UDVA 20/20 bilaterally by month 3 and stability through year 2.\n\nIn 2023, the patient reported progressive monocular blur in the right eye. Repeat tomography demonstrated marked inferior steepening and ectatic pattern with Kmax rising to 61.1 D and thinning to 478 µm OD; the left eye remained stable (Kmax 46.4 D). Corvis ST revealed reduced biomechanical stability in the affected eye (total biomechanical index 0.40). After excluding alternative causes, unilateral post-PRK ectasia was diagnosed. The patient underwent corneal cross-linking (Dresden protocol). Once topographic stability was achieved, an asymmetric Ferrara ICRS (150/250 µm; 180° arc) was implanted to address residual irregular astigmatism, resulting in CDVA improvement to 20/25, stable corneal curvature, and no further progression at 6 months.",
        "Results": "",
        "Conclusions": "Ectasia can develop after PRK with mitomycin-C even when preoperative tomography and Belin/Ambrósio indices are within accepted “normal” limits and classic risk factors are absent. A subtle, borderline asymmetry may be the only early warning sign, and unilateral progression does not preclude future risk to the fellow eye. Clinicians should avoid overreassurance based on tomographic-only screening, consider adding biomechanical assessment whenever available, and maintain long-term follow-up after surface ablation—particularly when patients report new monocular blur years after surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 415
    },
    {
      "uid": "POREF008",
      "abstract_number": "POREF008",
      "title": "Old Folded Lasik Flap",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "to show how to improve vision in such complicated situation using femto lasik. how to creat new flap and the\ntoo much challenges i faced to elevate this flap (as shown in video of this case) and the resurfacing of the cornea with\nmarked improvement in its topography and refraction",
        "Setting": "the memorial institute for ophthalmic research (MIOR)",
        "Methods": "30 y old male complaining of lt drop of vision after lasik 2 y ago by another doctor with history of\ndeterioration of vision directly after lasik. his 1st follow up was after lasik by 10 days , another surgery was done in the\nsame day with no improvement in vision . patient consult many doctors and all told him to do keratoplasty but he\nrefused.\n\nwhen i examined him i see that the temporal 1/4 of the flap folded under the flap with elevation at this area and\ndepression in the temporal part of flap with unaided VA 3/60 and refraction +6.00/-10.00 x 170 and best corrected 6/36 by\n+5.00/-8.00 x 170 and other eye 6/6 without glasses.\n\nAs the patient refuse to do keratoplasty, the Choices For Treatment are:\nPRK\nReposition of flap (epithelium removing and unfolding the flap then reposition it in its original place ) without doing\nexcimer laser.\n\nCreate a new deep flap ( at a level deeper to the folded part of flap ) .\ni offered the patient to give the eye a chance with femto lasik to try to resurface cornea to correct vision in this eye as\nmuch as i can and he accepted the idea. my plan was to create new flap more deep to 1st flap and use the following\nrefraction +3.00/-6.00 x 170 to resurface cornea to improve vision. but i change the plan during surgery due to the too\nmuch challenges i faced during elevation of flap as i found two planes one for old flap and other for new one and i found\nsever adhesions at multiple points but finally i elevate flap and apply laser .(shown in the video)",
        "Conclusions": "results :\npost op. marked improvement in corneal topography and refraction .\nref. of this eye become +2.50/-4.50x 155 (after 2 months) with uncorrected VA 0.4 correct by +1.00 /-3.00 x 155 to 0.7\n\ntake home message:\nEarly follow up after surgery is very important as it allows early intervention for post operative complications and prevents further deterioration .\n\nIn such challenging cases with irregular cornea , we can give a chance to Femto-lasik before we rush to keratoplasty .\n\nAlthough Femto-lasik is a valuable tool in these cases and the idea of creating a deeper flap at this level cannot be\ndone except with Femto-lasik ,but sometimes as in this case it can't cut all adhesions which make the surgery\nextremely difficult."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "results : post op. marked improvement in corneal topography and refraction . ref. of this eye become +2.50/-4.50x 155 (after 2 months) with uncorrected VA 0.4 correct by +1.00 /-3.00 x 155 to 0.7 take home message: Early follow up after surgery is very important as it allows early intervention for post operative complications and prevents further deterioration . In such challenging cases with irregular cornea , we…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1396,
      "source_fields": {
        "Abstract Final Identifier": "POREF008",
        "Title": "Old Folded Lasik Flap",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "to show how to improve vision in such complicated situation using femto lasik. how to creat new flap and the\ntoo much challenges i faced to elevate this flap (as shown in video of this case) and the resurfacing of the cornea with\nmarked improvement in its topography and refraction",
        "Setting": "the memorial institute for ophthalmic research (MIOR)",
        "Methods": "30 y old male complaining of lt drop of vision after lasik 2 y ago by another doctor with history of\ndeterioration of vision directly after lasik. his 1st follow up was after lasik by 10 days , another surgery was done in the\nsame day with no improvement in vision . patient consult many doctors and all told him to do keratoplasty but he\nrefused.\n\nwhen i examined him i see that the temporal 1/4 of the flap folded under the flap with elevation at this area and\ndepression in the temporal part of flap with unaided VA 3/60 and refraction +6.00/-10.00 x 170 and best corrected 6/36 by\n+5.00/-8.00 x 170 and other eye 6/6 without glasses.\n\nAs the patient refuse to do keratoplasty, the Choices For Treatment are:\nPRK\nReposition of flap (epithelium removing and unfolding the flap then reposition it in its original place ) without doing\nexcimer laser.\n\nCreate a new deep flap ( at a level deeper to the folded part of flap ) .\ni offered the patient to give the eye a chance with femto lasik to try to resurface cornea to correct vision in this eye as\nmuch as i can and he accepted the idea. my plan was to create new flap more deep to 1st flap and use the following\nrefraction +3.00/-6.00 x 170 to resurface cornea to improve vision. but i change the plan during surgery due to the too\nmuch challenges i faced during elevation of flap as i found two planes one for old flap and other for new one and i found\nsever adhesions at multiple points but finally i elevate flap and apply laser .(shown in the video)",
        "Results": "",
        "Conclusions": "results :\npost op. marked improvement in corneal topography and refraction .\nref. of this eye become +2.50/-4.50x 155 (after 2 months) with uncorrected VA 0.4 correct by +1.00 /-3.00 x 155 to 0.7\n\ntake home message:\nEarly follow up after surgery is very important as it allows early intervention for post operative complications and prevents further deterioration .\n\nIn such challenging cases with irregular cornea , we can give a chance to Femto-lasik before we rush to keratoplasty .\n\nAlthough Femto-lasik is a valuable tool in these cases and the idea of creating a deeper flap at this level cannot be\ndone except with Femto-lasik ,but sometimes as in this case it can't cut all adhesions which make the surgery\nextremely difficult."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 473
    },
    {
      "uid": "POREF009",
      "abstract_number": "POREF009",
      "title": "Clinical Case Report: Laser Vision Correction In A Patient With Thygeson’S Keratitis",
      "authors": "Prof. Dr Erika Eskina",
      "presenter": "Prof. Dr Erika Eskina",
      "normalized_authors": [
        "Erika Eskina"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erika Eskina",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Despite the high level of advancement in modern laser refractive surgery, questions regarding the feasibility of laser vision correction sometimes remain unresolved. Universally recognized contraindications include inflammatory and autoimmune diseases of the cornea, among which is Thygeson's keratitis. The aim of this report is to present a clinical case of a such a patient who underwent laser vision correction using the TransPRK method.",
        "Setting": "\"Sphere\" Eye Clinic, Moscow, Russia. Outpatient treatment and subsequent surgical intervention.",
        "Methods": "A 36-year-old patient with stable low myopia since childhood requested laser vision correction due to contact lens (CL) intolerance. Initial examination: UCVA each eye = 0,1 OU, BCVA each eye = 1,0. Autorefractometry: OD −sph 2,25 D cyl −0,5 D ax 150°, OS −sph 2,5 D. Schirmer test 13 mm OU, tear break-up time: OD 18 sec, OS 13 sec. Biomicroscopy noted isolated superficial intraepithelial opacities outside and within optical zone OU. Fluorescein test was negative. Other structures were unchanged. We suggested contact lens intolerance and prescribed lubricant eye drops 4-6 time a day and CL removal.\n\nAt follow-up visit lesion count increased, prompting suspicion of Thygeson's keratitis. Topical steroid and antibacterial therapy initiated. After 4 days, clinical improvement with nodule resolution and restored corneal transparency. Treatment discontinued after 3 weeks.\n\nTwo weeks later, patient came with recurrence of multiple intraepithelial grayish nodules. Serology revealed elevated IgG titers to CMV. Confocal microscopy confirmed signs of Thygeson's keratitis. After 5 months of topical steroid therapy (dexamethasone tapering), stable remission achieved.\n\nIn remission period (clear cornea, steroid treatment discontinued for 2 months), patient underwent transepithelial PRK with standard postop medication. At 5.5 months post-surgery: UCVA each eye =1.0; objective refraction OD Sph +0,25 D cyl -0,5 D ax 178, OS Sph +0,25 D cyl -0,25 D ax 164 was stable; corneas clear.",
        "Conclusions": "This observation illustrates the possibility of performing laser vision correction using the TransPRK approch in patients with Thygeson's keratitis after achieving stable remission. Superficial Thygeson's keratitis requires thorough diagnostic, long-term anti-inflammatory treatment with local steroids as a preparation for refractive surgery and dynamic follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This observation illustrates the possibility of performing laser vision correction using the TransPRK approch in patients with Thygeson's keratitis after achieving stable remission. Superficial Thygeson's keratitis requires thorough diagnostic, long-term anti-inflammatory treatment with local steroids as a preparation for refractive surgery and dynamic follow-up.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1397,
      "source_fields": {
        "Abstract Final Identifier": "POREF009",
        "Title": "Clinical Case Report: Laser Vision Correction In A Patient With Thygeson’S Keratitis",
        "Presenting Author(s)": "Prof. Dr Erika Eskina",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Erika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eskina",
        "Country Name": "Germany",
        "Purpose": "Despite the high level of advancement in modern laser refractive surgery, questions regarding the feasibility of laser vision correction sometimes remain unresolved. Universally recognized contraindications include inflammatory and autoimmune diseases of the cornea, among which is Thygeson's keratitis. The aim of this report is to present a clinical case of a such a patient who underwent laser vision correction using the TransPRK method.",
        "Setting": "\"Sphere\" Eye Clinic, Moscow, Russia. Outpatient treatment and subsequent surgical intervention.",
        "Methods": "A 36-year-old patient with stable low myopia since childhood requested laser vision correction due to contact lens (CL) intolerance. Initial examination: UCVA each eye = 0,1 OU, BCVA each eye = 1,0. Autorefractometry: OD −sph 2,25 D cyl −0,5 D ax 150°, OS −sph 2,5 D. Schirmer test 13 mm OU, tear break-up time: OD 18 sec, OS 13 sec. Biomicroscopy noted isolated superficial intraepithelial opacities outside and within optical zone OU. Fluorescein test was negative. Other structures were unchanged. We suggested contact lens intolerance and prescribed lubricant eye drops 4-6 time a day and CL removal.\n\nAt follow-up visit lesion count increased, prompting suspicion of Thygeson's keratitis. Topical steroid and antibacterial therapy initiated. After 4 days, clinical improvement with nodule resolution and restored corneal transparency. Treatment discontinued after 3 weeks.\n\nTwo weeks later, patient came with recurrence of multiple intraepithelial grayish nodules. Serology revealed elevated IgG titers to CMV. Confocal microscopy confirmed signs of Thygeson's keratitis. After 5 months of topical steroid therapy (dexamethasone tapering), stable remission achieved.\n\nIn remission period (clear cornea, steroid treatment discontinued for 2 months), patient underwent transepithelial PRK with standard postop medication. At 5.5 months post-surgery: UCVA each eye =1.0; objective refraction OD Sph +0,25 D cyl -0,5 D ax 178, OS Sph +0,25 D cyl -0,25 D ax 164 was stable; corneas clear.",
        "Results": "",
        "Conclusions": "This observation illustrates the possibility of performing laser vision correction using the TransPRK approch in patients with Thygeson's keratitis after achieving stable remission. Superficial Thygeson's keratitis requires thorough diagnostic, long-term anti-inflammatory treatment with local steroids as a preparation for refractive surgery and dynamic follow-up."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "POREF010",
      "abstract_number": "POREF010",
      "title": "Unexpected Effective Power Of Toric Implantable Collamer Lens (Ticl) Leading To Postoperative Refractive Surprise: A Case Report",
      "authors": "Dr Yimeng Fan",
      "presenter": "Dr Yimeng Fan",
      "normalized_authors": [
        "Yimeng Fan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yimeng Fan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "This is a case of postoperative refractive surprise caused by the mismatch between labeled and actual refractive power of a toric implantable collamer lens (TICL).",
        "Setting": "Department of Ophthalmology, the First Affiliated Hospital of Xi’an Jiaotong University. Preoperative and postoperative assessments included comprehensive ophthalmic examination, including uncorrected (UCVA) and best-corrected visual acuity (BCVA), manifest refraction (MR) and cycloplegic refraction, intraocular pressure (IOP) measurement, and anterior segment imaging (OCT for vault measurement).",
        "Methods": "A 37-year-old man with MR of -14.50/-1.50x30° in the right eye (OD) and -14.50/-1.00x175° in the left eye (OS) underwent bilateral phakic intraocular lens implantation: OD 13.2-mm TICL (-16.50/+1.00/115° with 5° counter-clockwise rotation) and OS 13.2-mm ICL (-15.50 D). On postoperative day 1, OD UCVA was 12/20 with a residual refraction of -1.00/-1.25x35°, despite an optimal vault (690 µm) and confirmed alignment with the intended TICL position. The left eye achieved satisfactory outcomes. At week 2, the right eye’s residual astigmatism persisted (-1.00/-0.75×50°). Two possibilities were considered: 1) an inaccuracy in preoperative manifest refraction (the ‘correct’ preoperative MR was calculated to be -16.69/-1.04×106°), 2) an unexpected effective power of the implanted TICL (calculated ‘actual’ refractive power was intended to correct a MR of -13.35/-1.04×16°). Attributing the surprise most likely to the latter, a decision was made to rotate the TICL by an additional 10° counter-clockwise to a final axis of 15°. One day after repositioning, OD UCVA improved to 16/20 with a refraction of -0.75/-0.75x35°. At week 7, UCVA was stable at 16/20, BCVA was 20/20, with a final refraction of -0.75/-0.50x30° and a stable vault. The patient was satisfied with the final visual outcomes. Retrospective calculation based on the results after the second surgery verified that the refractive surprise was caused by the unexpected effective power of the implanted TICL.",
        "Conclusions": "A postoperative refractive surprise after TICL implantation requires systematic analysis. Although the mismatch between labeled and actual refractive power of TICL is rare, it should be considered after excluding other possible factors such as TICL rotation, corneal incision-related astigmatism, and inaccurate preoperative refraction. In this case, surgical repositioning of the TICL was a safe and effective intervention to optimize visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A postoperative refractive surprise after TICL implantation requires systematic analysis. Although the mismatch between labeled and actual refractive power of TICL is rare, it should be considered after excluding other possible factors such as TICL rotation, corneal incision-related astigmatism, and inaccurate preoperative refraction. In this case, surgical repositioning of the TICL was a safe and effective…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1398,
      "source_fields": {
        "Abstract Final Identifier": "POREF010",
        "Title": "Unexpected Effective Power Of Toric Implantable Collamer Lens (Ticl) Leading To Postoperative Refractive Surprise: A Case Report",
        "Presenting Author(s)": "Dr Yimeng Fan",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Yimeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fan",
        "Country Name": "China",
        "Purpose": "This is a case of postoperative refractive surprise caused by the mismatch between labeled and actual refractive power of a toric implantable collamer lens (TICL).",
        "Setting": "Department of Ophthalmology, the First Affiliated Hospital of Xi’an Jiaotong University. Preoperative and postoperative assessments included comprehensive ophthalmic examination, including uncorrected (UCVA) and best-corrected visual acuity (BCVA), manifest refraction (MR) and cycloplegic refraction, intraocular pressure (IOP) measurement, and anterior segment imaging (OCT for vault measurement).",
        "Methods": "A 37-year-old man with MR of -14.50/-1.50x30° in the right eye (OD) and -14.50/-1.00x175° in the left eye (OS) underwent bilateral phakic intraocular lens implantation: OD 13.2-mm TICL (-16.50/+1.00/115° with 5° counter-clockwise rotation) and OS 13.2-mm ICL (-15.50 D). On postoperative day 1, OD UCVA was 12/20 with a residual refraction of -1.00/-1.25x35°, despite an optimal vault (690 µm) and confirmed alignment with the intended TICL position. The left eye achieved satisfactory outcomes. At week 2, the right eye’s residual astigmatism persisted (-1.00/-0.75×50°). Two possibilities were considered: 1) an inaccuracy in preoperative manifest refraction (the ‘correct’ preoperative MR was calculated to be -16.69/-1.04×106°), 2) an unexpected effective power of the implanted TICL (calculated ‘actual’ refractive power was intended to correct a MR of -13.35/-1.04×16°). Attributing the surprise most likely to the latter, a decision was made to rotate the TICL by an additional 10° counter-clockwise to a final axis of 15°. One day after repositioning, OD UCVA improved to 16/20 with a refraction of -0.75/-0.75x35°. At week 7, UCVA was stable at 16/20, BCVA was 20/20, with a final refraction of -0.75/-0.50x30° and a stable vault. The patient was satisfied with the final visual outcomes. Retrospective calculation based on the results after the second surgery verified that the refractive surprise was caused by the unexpected effective power of the implanted TICL.",
        "Results": "",
        "Conclusions": "A postoperative refractive surprise after TICL implantation requires systematic analysis. Although the mismatch between labeled and actual refractive power of TICL is rare, it should be considered after excluding other possible factors such as TICL rotation, corneal incision-related astigmatism, and inaccurate preoperative refraction. In this case, surgical repositioning of the TICL was a safe and effective intervention to optimize visual outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "POREF011",
      "abstract_number": "POREF011",
      "title": "A Data-Integrated Strategy (Dilated Wavefront + Ms-39 + Scc + Foresight) To Restore Vision In A Post-Ctk Irregular Cornea 6 Years After Prk",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To report a complex visual rehabilitation case demonstrating how dilated ocular wavefront capture, combined with static cyclotorsion compensation (SCC), MS-39–based diagnostic navigation, and Foresight simulation, can improve outcomes in an irregular cornea following an adverse post-PRK course consistent with central toxic keratopathy (CTK).",
        "Setting": "Tertiary cornea/refractive practice.",
        "Methods": "A patient presented with persistent reduced visual quality and irregular astigmatism after an adverse reaction following PRK performed 6 years earlier, with clinical features consistent with CTK-related corneal irregularity and symptomatic glare/ghosting. Conventional wavefront measurements were limited under natural pupil conditions. A strategy using pharmacologically dilated wavefront capture was employed to improve aberration sampling and repeatability. Corneal shape and layer information were integrated using MS-39 anterior segment imaging to support centration, assess surface regularity, and guide a conservative treatment plan. Foresight planning was used to preview the anticipated postoperative corneal optics and verify tissue safety. Treatment delivery incorporated SCC to reduce rotational misalignment risk in an eye with complex optics.",
        "Conclusions": "Post-treatment, the patient experienced a meaningful improvement in corrected visual function and subjective quality of vision (reduced glare/ghosting and improved day-to-day visual usability). Diagnostic follow-up demonstrated improved corneal regularity and a more favorable optical aberration profile. No intraoperative complications or unexpected postoperative adverse events were observed over follow-up of 8 months. This integrated workflow may be valuable for select irregular cornea retreatments where standard measurements are unreliable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Post-treatment, the patient experienced a meaningful improvement in corrected visual function and subjective quality of vision (reduced glare/ghosting and improved day-to-day visual usability). Diagnostic follow-up demonstrated improved corneal regularity and a more favorable optical aberration profile. No intraoperative complications or unexpected postoperative adverse events were observed over follow-up of 8…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1399,
      "source_fields": {
        "Abstract Final Identifier": "POREF011",
        "Title": "A Data-Integrated Strategy (Dilated Wavefront + Ms-39 + Scc + Foresight) To Restore Vision In A Post-Ctk Irregular Cornea 6 Years After Prk",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To report a complex visual rehabilitation case demonstrating how dilated ocular wavefront capture, combined with static cyclotorsion compensation (SCC), MS-39–based diagnostic navigation, and Foresight simulation, can improve outcomes in an irregular cornea following an adverse post-PRK course consistent with central toxic keratopathy (CTK).",
        "Setting": "Tertiary cornea/refractive practice.",
        "Methods": "A patient presented with persistent reduced visual quality and irregular astigmatism after an adverse reaction following PRK performed 6 years earlier, with clinical features consistent with CTK-related corneal irregularity and symptomatic glare/ghosting. Conventional wavefront measurements were limited under natural pupil conditions. A strategy using pharmacologically dilated wavefront capture was employed to improve aberration sampling and repeatability. Corneal shape and layer information were integrated using MS-39 anterior segment imaging to support centration, assess surface regularity, and guide a conservative treatment plan. Foresight planning was used to preview the anticipated postoperative corneal optics and verify tissue safety. Treatment delivery incorporated SCC to reduce rotational misalignment risk in an eye with complex optics.",
        "Results": "",
        "Conclusions": "Post-treatment, the patient experienced a meaningful improvement in corrected visual function and subjective quality of vision (reduced glare/ghosting and improved day-to-day visual usability). Diagnostic follow-up demonstrated improved corneal regularity and a more favorable optical aberration profile. No intraoperative complications or unexpected postoperative adverse events were observed over follow-up of 8 months. This integrated workflow may be valuable for select irregular cornea retreatments where standard measurements are unreliable."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "POREF012",
      "abstract_number": "POREF012",
      "title": "Early Clinical Experience With The Xenia High Refractive Index Corneal Inlay For Presbyopia",
      "authors": "Mr Marwan Ghabra",
      "presenter": "Mr Marwan Ghabra",
      "normalized_authors": [
        "Marwan Ghabra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marwan Ghabra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To present early clinical outcomes following implantation of the XENIA high refractive index intrastromal corneal inlay for the treatment of presbyopia.",
        "Setting": "Ministry of Health Hospital, Damascus, and a private refractive surgery centre.",
        "Methods": "Two presbyopic patients underwent implantation of the XENIA corneal inlay ( Implantation in non-dominant eye, Femto-pocket; depth: 350µm,\n\nLenticule Specifications diameter 1.8mm, thickness of Lenticule 30 to 35µm.). The device was positioned intrastromally under femtosecond laser-created lamellar access. Pre- and postoperative assessment included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), distance-corrected near visual acuity (DCNVA), corneal topography, epithelial thickness mapping, anterior segment OCT imaging, wavefront aberrometry, and patient-reported visual quality and satisfaction.\n\nEarly postoperative findings demonstrate improvement in uncorrected near visual acuity with slight reduction of distance vision. Anterior segment OCT confirms stable intrastromal positioning of the implant. Epithelial mapping shows no central remodeling. No visually significant induction of higher-order aberrations was observed in early follow-up. Both patients reported functional improvement in intermediate and near visual tasks with acceptable quality of vision.\n\nExtended follow-up data, including defocus curve analysis and longer-term epithelial behaviour, will be presented at ESCRS London 2026.",
        "Conclusions": "The XENIA high refractive index corneal inlay appears to represent a promising additive optical approach for presbyopia correction. Early outcomes suggest predictable refractive effect with structural stability. Larger prospective studies are required to confirm long-term safety and efficacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The XENIA high refractive index corneal inlay appears to represent a promising additive optical approach for presbyopia correction. Early outcomes suggest predictable refractive effect with structural stability. Larger prospective studies are required to confirm long-term safety and efficacy.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1400,
      "source_fields": {
        "Abstract Final Identifier": "POREF012",
        "Title": "Early Clinical Experience With The Xenia High Refractive Index Corneal Inlay For Presbyopia",
        "Presenting Author(s)": "Mr Marwan Ghabra",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Marwan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghabra",
        "Country Name": "United Kingdom",
        "Purpose": "To present early clinical outcomes following implantation of the XENIA high refractive index intrastromal corneal inlay for the treatment of presbyopia.",
        "Setting": "Ministry of Health Hospital, Damascus, and a private refractive surgery centre.",
        "Methods": "Two presbyopic patients underwent implantation of the XENIA corneal inlay ( Implantation in non-dominant eye, Femto-pocket; depth: 350µm,\n\nLenticule Specifications diameter 1.8mm, thickness of Lenticule 30 to 35µm.). The device was positioned intrastromally under femtosecond laser-created lamellar access. Pre- and postoperative assessment included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), distance-corrected near visual acuity (DCNVA), corneal topography, epithelial thickness mapping, anterior segment OCT imaging, wavefront aberrometry, and patient-reported visual quality and satisfaction.\n\nEarly postoperative findings demonstrate improvement in uncorrected near visual acuity with slight reduction of distance vision. Anterior segment OCT confirms stable intrastromal positioning of the implant. Epithelial mapping shows no central remodeling. No visually significant induction of higher-order aberrations was observed in early follow-up. Both patients reported functional improvement in intermediate and near visual tasks with acceptable quality of vision.\n\nExtended follow-up data, including defocus curve analysis and longer-term epithelial behaviour, will be presented at ESCRS London 2026.",
        "Results": "",
        "Conclusions": "The XENIA high refractive index corneal inlay appears to represent a promising additive optical approach for presbyopia correction. Early outcomes suggest predictable refractive effect with structural stability. Larger prospective studies are required to confirm long-term safety and efficacy."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POREF013",
      "abstract_number": "POREF013",
      "title": "The Vaulting Paradox: Navigating Unexpected Posterior Chamber Phakic Iol Hyper Vault In A Perfect Candidate",
      "authors": "Dr Fernando Augusto Godin Estrada",
      "presenter": "Dr Fernando Augusto Godin Estrada",
      "normalized_authors": [
        "Fernando Augusto Godin Estrada"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fernando Augusto Godin Estrada",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "The purpose of this report is to analyze a case of unexpected and extreme hypervault following the implantation of a posterior chamber phakic intraocular lens (pIOL) in an eye with seemingly perfect preoperative metrics. This case serves to evaluate why traditional manufacturer calculators and white to white measurements may fail to account for complex optical variables such as the Effective Lens Position (ELP) and the shift of principal planes H and H’. By examining this outlier, we aim to highlight the necessity of advanced formulas like the LHC formula, which incorporates a thick lens corneal model and posterior corneal radio to improve predictability.",
        "Setting": "The clinical cases and surgical procedures described in this report were managed at the Clínica Oftalmológica\nColsubsidio in Bogotá, D.C., Colombia.",
        "Methods": "A 41-year-old female with a history of bilateral intrastromal corneal ring segments (ICRS) implanted six years ago presented seeking correction for significant residual astigmatism. Examination showed transparent lenses and ICRS at adequate depth. Refraction (Jan 2025): OD -0.50 -4.50x40 (BCVA 20/40) and OS -0.75 -4.50x160 (BCVA 20/40). Pentacam revealed an ACD of 3.04 mm (OU) and pachymetry of 453 µm (OD) and 454 µm (OS).\n\nUsing the Care Group IPCL calculator, the suggested lens was an a Toric Implantable Phakic Contact Lens (IPCLT132 V2.0; -3.00D +5.00D CYL at 125°) was implanted in the OD. Postoperatively, the patient reported blurred vision. Examination showed BCVA 20/100, IOP 18 mmHg, and a shallow anterior chamber. AS-OCT confirmed a hypervault of 1357 µm with secondary angle closure. Despite initial conservative management to rule out retained viscoelastic, the refractive surprise and anatomical risk necessitated intervention.\n\nThe patient declined further phakic lenses; thus, IPCL explantation followed by bilateral phacorefractive surgery was performed. Despite intraoperative challenges during explantation, endothelial integrity was preserved. A RayOne EMV Toric lens was implanted, targeting monovision (-1.25D in OD; emmetropia in OS). At final follow-up, IOP was 14 mmHg with open angles and stable IOLs. Final BCVA was 20/40 with J1 near vision.",
        "Conclusions": "This case demonstrates the limitations of standard pIOL sizing protocols and manufacturer nomograms which often overlook the complex optical behavior of meniscus shaped lenses. The unexpected hypervault of 1357 µm despite ideal preoperative biometry proves that predicting the Effective Lens Position (ELP) requires more than static measurements. It necessitates accounting for the migration of principal planes H and H’ as lens power approaches zero. Successful management through phacorefractive surgery with Monofocal Plus toric IOLs confirms that refractive lens exchange is a highly effective rescue strategy. For post ICRS patients, prioritizing formulas like LHC provides long term intraocular pressure stability and visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates the limitations of standard pIOL sizing protocols and manufacturer nomograms which often overlook the complex optical behavior of meniscus shaped lenses. The unexpected hypervault of 1357 µm despite ideal preoperative biometry proves that predicting the Effective Lens Position (ELP) requires more than static measurements. It necessitates accounting for the migration of principal planes H and…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1401,
      "source_fields": {
        "Abstract Final Identifier": "POREF013",
        "Title": "The Vaulting Paradox: Navigating Unexpected Posterior Chamber Phakic Iol Hyper Vault In A Perfect Candidate",
        "Presenting Author(s)": "Dr Fernando Augusto Godin Estrada",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Fernando Augusto",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Godin Estrada",
        "Country Name": "Colombia",
        "Purpose": "The purpose of this report is to analyze a case of unexpected and extreme hypervault following the implantation of a posterior chamber phakic intraocular lens (pIOL) in an eye with seemingly perfect preoperative metrics. This case serves to evaluate why traditional manufacturer calculators and white to white measurements may fail to account for complex optical variables such as the Effective Lens Position (ELP) and the shift of principal planes H and H’. By examining this outlier, we aim to highlight the necessity of advanced formulas like the LHC formula, which incorporates a thick lens corneal model and posterior corneal radio to improve predictability.",
        "Setting": "The clinical cases and surgical procedures described in this report were managed at the Clínica Oftalmológica\nColsubsidio in Bogotá, D.C., Colombia.",
        "Methods": "A 41-year-old female with a history of bilateral intrastromal corneal ring segments (ICRS) implanted six years ago presented seeking correction for significant residual astigmatism. Examination showed transparent lenses and ICRS at adequate depth. Refraction (Jan 2025): OD -0.50 -4.50x40 (BCVA 20/40) and OS -0.75 -4.50x160 (BCVA 20/40). Pentacam revealed an ACD of 3.04 mm (OU) and pachymetry of 453 µm (OD) and 454 µm (OS).\n\nUsing the Care Group IPCL calculator, the suggested lens was an a Toric Implantable Phakic Contact Lens (IPCLT132 V2.0; -3.00D +5.00D CYL at 125°) was implanted in the OD. Postoperatively, the patient reported blurred vision. Examination showed BCVA 20/100, IOP 18 mmHg, and a shallow anterior chamber. AS-OCT confirmed a hypervault of 1357 µm with secondary angle closure. Despite initial conservative management to rule out retained viscoelastic, the refractive surprise and anatomical risk necessitated intervention.\n\nThe patient declined further phakic lenses; thus, IPCL explantation followed by bilateral phacorefractive surgery was performed. Despite intraoperative challenges during explantation, endothelial integrity was preserved. A RayOne EMV Toric lens was implanted, targeting monovision (-1.25D in OD; emmetropia in OS). At final follow-up, IOP was 14 mmHg with open angles and stable IOLs. Final BCVA was 20/40 with J1 near vision.",
        "Results": "",
        "Conclusions": "This case demonstrates the limitations of standard pIOL sizing protocols and manufacturer nomograms which often overlook the complex optical behavior of meniscus shaped lenses. The unexpected hypervault of 1357 µm despite ideal preoperative biometry proves that predicting the Effective Lens Position (ELP) requires more than static measurements. It necessitates accounting for the migration of principal planes H and H’ as lens power approaches zero. Successful management through phacorefractive surgery with Monofocal Plus toric IOLs confirms that refractive lens exchange is a highly effective rescue strategy. For post ICRS patients, prioritizing formulas like LHC provides long term intraocular pressure stability and visual rehabilitation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 441
    },
    {
      "uid": "POREF014",
      "abstract_number": "POREF014",
      "title": "Secondary Corneal Allogenic Intrastromal Ring Segments Augmentation",
      "authors": "Dr Pratik Gogri",
      "presenter": "Dr Pratik Gogri",
      "normalized_authors": [
        "Pratik Gogri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pratik Gogri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe an innovative technique of corneal allogenic intrastromal ring segments (CAIRS) augmentation.",
        "Setting": "We describe an innovative technique of CAIRS augmentation in a patient with suboptimal topographic and visual result.",
        "Methods": "30-year-old patient with bilateral keratoconus underwent CAIRS with collagent cross linking. The post-operative flatenning effect on corneal curvature was not adequate. Hence an augmentation procedure was planned. The technique involves augmenting the primary CAIRS segment with a new secondary segment.",
        "Conclusions": "Secondary CAIRS augmentation is a good technique in patients with suboptimal corneal flatenning effect after primary CAIRS."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Secondary CAIRS augmentation is a good technique in patients with suboptimal corneal flatenning effect after primary CAIRS.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1402,
      "source_fields": {
        "Abstract Final Identifier": "POREF014",
        "Title": "Secondary Corneal Allogenic Intrastromal Ring Segments Augmentation",
        "Presenting Author(s)": "Dr Pratik Gogri",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Pratik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gogri",
        "Country Name": "India",
        "Purpose": "To describe an innovative technique of corneal allogenic intrastromal ring segments (CAIRS) augmentation.",
        "Setting": "We describe an innovative technique of CAIRS augmentation in a patient with suboptimal topographic and visual result.",
        "Methods": "30-year-old patient with bilateral keratoconus underwent CAIRS with collagent cross linking. The post-operative flatenning effect on corneal curvature was not adequate. Hence an augmentation procedure was planned. The technique involves augmenting the primary CAIRS segment with a new secondary segment.",
        "Results": "",
        "Conclusions": "Secondary CAIRS augmentation is a good technique in patients with suboptimal corneal flatenning effect after primary CAIRS."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 87
    },
    {
      "uid": "POREF015",
      "abstract_number": "POREF015",
      "title": "Circle For Epithelial Ingrowth After Smile",
      "authors": "Dr Pratik Gogri",
      "presenter": "Dr Pratik Gogri",
      "normalized_authors": [
        "Pratik Gogri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pratik Gogri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "We hghlight a sequence of three uncommon SMILE interface complications in a patient and their management.",
        "Setting": "We present a case of 26-year-old female who underwent SMILE in both eyes to correct her simple myopia but subsequently developed three sequential post-operative interface complications.",
        "Methods": "After the SMILE surgery, a patient developed diffuse lamellar keratitis in both eyes and intensive topical steroids were initiated to control the same. Subsequently, the patient developed pressure induced stromal keratopathy in both eyes. It was treated by anti-glaucoma medications and stoppage of topical steroids in both eyes. Thereafter, right eye showed signs of progressive epithelial ingrowth threatening the pupillary area. Surgical intervention in the form of cap-to-flap conversion using the CIRCLE software in the VisuMax platform and lifting of the flap along with alcohol wash was done to treat the same.",
        "Conclusions": "The usage of CIRCLE software to successfully treat vision threatening epithelial ingrowth after SMILE provides a novel and unique approach leading to optimal results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The usage of CIRCLE software to successfully treat vision threatening epithelial ingrowth after SMILE provides a novel and unique approach leading to optimal results.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1403,
      "source_fields": {
        "Abstract Final Identifier": "POREF015",
        "Title": "Circle For Epithelial Ingrowth After Smile",
        "Presenting Author(s)": "Dr Pratik Gogri",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Pratik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gogri",
        "Country Name": "India",
        "Purpose": "We hghlight a sequence of three uncommon SMILE interface complications in a patient and their management.",
        "Setting": "We present a case of 26-year-old female who underwent SMILE in both eyes to correct her simple myopia but subsequently developed three sequential post-operative interface complications.",
        "Methods": "After the SMILE surgery, a patient developed diffuse lamellar keratitis in both eyes and intensive topical steroids were initiated to control the same. Subsequently, the patient developed pressure induced stromal keratopathy in both eyes. It was treated by anti-glaucoma medications and stoppage of topical steroids in both eyes. Thereafter, right eye showed signs of progressive epithelial ingrowth threatening the pupillary area. Surgical intervention in the form of cap-to-flap conversion using the CIRCLE software in the VisuMax platform and lifting of the flap along with alcohol wash was done to treat the same.",
        "Results": "",
        "Conclusions": "The usage of CIRCLE software to successfully treat vision threatening epithelial ingrowth after SMILE provides a novel and unique approach leading to optimal results."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 158
    },
    {
      "uid": "POREF016",
      "abstract_number": "POREF016",
      "title": "Icl Implantation After Clear Lens Exchange：A Case Report",
      "authors": "Ms Yueqin Gou",
      "presenter": "Ms Yueqin Gou",
      "normalized_authors": [
        "Yueqin Gou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yueqin Gou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Reports on the corrective effect and safety of Implantable Collamer Lens (ICL) implantation in a patient after clear lens exchange, emphasizing the precautions for selecting the size of ICL in patients with IOL.",
        "Setting": "Both Implantable Collamer Lens (ICL) implantation and clear lens extraction (CLE) are currently common and highly safe intraocular refractive procedures in clinical practice. Previous literature has documented that residual refractive errors can be effectively and safely corrected by secondary ICL implantation in the ciliary sulcus following intraocular lens (IOL) placement.",
        "Methods": "A high myopia patient underwent bilateral clear lens exchange for refractive correction, achieving good postoperative visual outcomes. However, nine years later, the left eye developed myopic regression. To address the new refractive error, an additional implantable collamer lens (ICL) was implanted in the left eye, leaving the existing intraocular lens (IOL) in place. Preoperative ultrasound biomicroscopy (UBM) revealed a decrease in the sulcus-to-sulcus (STS) measurement compared to data obtained nine years earlier. Based on the patient's historical UBM parameters, an ICL of appropriate size was selected. Intraoperatively, the ICL was found to be oversized and was therefore rotated to a vertical orientation. Postoperatively, the patient achieved satisfactory visual recovery. This case demonstrates the importance of considering long-term changes in ocular dimensions when planning secondary ICL implantation.",
        "Conclusions": "ICL implantation demonstrated effective correction of secondary refractive error following prior IOL surgery. However, appropriate ICL sizing requires consideration of potential UBM measurement alterations resulting from capsular bag contraction after IOL implantation, thereby minimizing the risk of postoperative complications associated with ICL alignment or replacement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "ICL implantation demonstrated effective correction of secondary refractive error following prior IOL surgery. However, appropriate ICL sizing requires consideration of potential UBM measurement alterations resulting from capsular bag contraction after IOL implantation, thereby minimizing the risk of postoperative complications associated with ICL alignment or replacement.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1404,
      "source_fields": {
        "Abstract Final Identifier": "POREF016",
        "Title": "Icl Implantation After Clear Lens Exchange：A Case Report",
        "Presenting Author(s)": "Ms Yueqin Gou",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Yueqin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gou",
        "Country Name": "China",
        "Purpose": "Reports on the corrective effect and safety of Implantable Collamer Lens (ICL) implantation in a patient after clear lens exchange, emphasizing the precautions for selecting the size of ICL in patients with IOL.",
        "Setting": "Both Implantable Collamer Lens (ICL) implantation and clear lens extraction (CLE) are currently common and highly safe intraocular refractive procedures in clinical practice. Previous literature has documented that residual refractive errors can be effectively and safely corrected by secondary ICL implantation in the ciliary sulcus following intraocular lens (IOL) placement.",
        "Methods": "A high myopia patient underwent bilateral clear lens exchange for refractive correction, achieving good postoperative visual outcomes. However, nine years later, the left eye developed myopic regression. To address the new refractive error, an additional implantable collamer lens (ICL) was implanted in the left eye, leaving the existing intraocular lens (IOL) in place. Preoperative ultrasound biomicroscopy (UBM) revealed a decrease in the sulcus-to-sulcus (STS) measurement compared to data obtained nine years earlier. Based on the patient's historical UBM parameters, an ICL of appropriate size was selected. Intraoperatively, the ICL was found to be oversized and was therefore rotated to a vertical orientation. Postoperatively, the patient achieved satisfactory visual recovery. This case demonstrates the importance of considering long-term changes in ocular dimensions when planning secondary ICL implantation.",
        "Results": "",
        "Conclusions": "ICL implantation demonstrated effective correction of secondary refractive error following prior IOL surgery. However, appropriate ICL sizing requires consideration of potential UBM measurement alterations resulting from capsular bag contraction after IOL implantation, thereby minimizing the risk of postoperative complications associated with ICL alignment or replacement."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POREF017",
      "abstract_number": "POREF017",
      "title": "Traumatic Scar Induced Astigmatism Correction.\nUnexpected Result.",
      "authors": "Dr Sona Harutyunyan",
      "presenter": "Dr Sona Harutyunyan",
      "normalized_authors": [
        "Sona Harutyunyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sona Harutyunyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "Corneal injuries often finish with a scar, which can lead to refractive errors, in particular irregular astigmatism. Low vision is not the only problem of the corneal scars. Cornea is transparent tissue of the eye, and some opacities are external ly visible and can impact social confidence, especially for young individuals. This case also is not an exception.",
        "Setting": "Transepi photorefractive keratectomy was performed to correct the high astigmatism and to make the cornea more transparent.In this case it was phototherapeutic keratectomy also․",
        "Methods": "A 37-year-old male presented to our clinic with complaints of blurry vision in his right eye. Blurry vision was due to a penetrating injury of the eye, which took place 2 years ago. He was diagnosed with traumatic cataract in another clinic and underwent traumatic cataract extraction with intraocular lens implantation 2 years ago. After a full ophthalmological examination high irregular astigmatism was detected in his right eye, due to peripheral corneal scar. UCVA of the eye was 0.1, corneal astigmatism 4.54D by topography ACE Bausch & Lomb and 5.75D by autorefractokeratometry Topcon. Keratometric data were K1 43.38D K2 49.13D. The BCVA was 0.6. The patient was recommended Transepi PRK without high guarantee. He was well educated about the unpredictable results after vision correction, as we must deal with irregular astigmatism and penetrating scar.\n\nTrasnepi PRK was performed to improve not only visual acuity and clarity, as well as to make the cornea more transparent, thereby improving the appearance of the eye. The result was remarkable. After recovery of the epithelium, UDVA of the treated eye was 0.7, residual corneal astigmatism was 1.08D K1 48.77D K2 49.85D.The corneal scar became less visible.Even with this steep cornea patient was satisfied with the visual acuity and appearance of his eye.",
        "Conclusions": "Transepi PRK is a safe and effective procedure for correction of corneal scar induced astigmatism and to restore the corneal transparency, thereby improving the social confidence of those patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Transepi PRK is a safe and effective procedure for correction of corneal scar induced astigmatism and to restore the corneal transparency, thereby improving the social confidence of those patients.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1405,
      "source_fields": {
        "Abstract Final Identifier": "POREF017",
        "Title": "Traumatic Scar Induced Astigmatism Correction.\nUnexpected Result.",
        "Presenting Author(s)": "Dr Sona Harutyunyan",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Sona",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Harutyunyan",
        "Country Name": "Armenia",
        "Purpose": "Corneal injuries often finish with a scar, which can lead to refractive errors, in particular irregular astigmatism. Low vision is not the only problem of the corneal scars. Cornea is transparent tissue of the eye, and some opacities are external ly visible and can impact social confidence, especially for young individuals. This case also is not an exception.",
        "Setting": "Transepi photorefractive keratectomy was performed to correct the high astigmatism and to make the cornea more transparent.In this case it was phototherapeutic keratectomy also․",
        "Methods": "A 37-year-old male presented to our clinic with complaints of blurry vision in his right eye. Blurry vision was due to a penetrating injury of the eye, which took place 2 years ago. He was diagnosed with traumatic cataract in another clinic and underwent traumatic cataract extraction with intraocular lens implantation 2 years ago. After a full ophthalmological examination high irregular astigmatism was detected in his right eye, due to peripheral corneal scar. UCVA of the eye was 0.1, corneal astigmatism 4.54D by topography ACE Bausch & Lomb and 5.75D by autorefractokeratometry Topcon. Keratometric data were K1 43.38D K2 49.13D. The BCVA was 0.6. The patient was recommended Transepi PRK without high guarantee. He was well educated about the unpredictable results after vision correction, as we must deal with irregular astigmatism and penetrating scar.\n\nTrasnepi PRK was performed to improve not only visual acuity and clarity, as well as to make the cornea more transparent, thereby improving the appearance of the eye. The result was remarkable. After recovery of the epithelium, UDVA of the treated eye was 0.7, residual corneal astigmatism was 1.08D K1 48.77D K2 49.85D.The corneal scar became less visible.Even with this steep cornea patient was satisfied with the visual acuity and appearance of his eye.",
        "Results": "",
        "Conclusions": "Transepi PRK is a safe and effective procedure for correction of corneal scar induced astigmatism and to restore the corneal transparency, thereby improving the social confidence of those patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POREF018",
      "abstract_number": "POREF018",
      "title": "Case Report Of A Persistent Epithelium Defect After Presbylasik Procedure",
      "authors": "Dr Chunchun He",
      "presenter": "Dr Chunchun He",
      "normalized_authors": [
        "Chunchun He"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chunchun He",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "this study aims to report a case of rarely severe dry eye disease following Presbyond LBV laser procedure in a hyperopic presbyopic female patient, analyzing its pathogenic factors, and provide clinical insights for preoperative and postoperative management of similar cases.",
        "Setting": "this case report was conducted at a clinical ophthalmology setting specialized in laser refractive surgery, where the patient received surgical treatment and regular postoperative follow-ups.",
        "Methods": "a 43-year-old hyperopic presbyopic female patient sought for surgical approach to get rid of reading glasses. Preoperative examination results were as follows: manifest refraction(MR) right eye +0.75ds-0.50dc*90→1.0, left eye +3.00ds-0.50dc*80→0.8, ADD +2.00D, UDVA R 0.8, L0.1, UNVA R 0.63, L0.16, NPA/PRA +2.25/-1.00, CCT R 558µm, L558µm, normal corneal topography. This patient had asymptomatic MGD-type dry eye: BUT R 6s, L7s; Schirmer's test R 9mm, L10mm; OSDI score 19. The patient underwent uneventful Prebyond LBV correction with dominant eye target plano, and undominant eye target at -1.50D. At the 3-week postoperative follow-up, patient's UDVA, UNVA, BUDVA, BUNVA, MR were all within target range. However, undominant eye developed first epithelium defect, and afterwards the other eye, the condition get worse and affected patient's BCVA and refractive status. Initial treatment including continuous anti-inflammatory therapy, lubricating eye drops, and conventional medications failed to control the symptoms. Subsequently, autologous serum, cyclosporine, corneal bandage contact lenses were administrated, however, the patient's condition worsened instead of improving. The patient's corneal healing, VA, refractive status did not return to normal and ideal levels until 6-month postoperatively, when PFHO(a medication for MGD-type DED) was initiated in combination with low-concentration steroid only.",
        "Conclusions": "high hyperopia LASIK ablation and preoperative MGD were potential risk factors for the severe dry eye in this case. Postoperative dry eye can lead to hyperopic shift, fluctuations or even continuous decline in patient's visual acuity, thereby affecting surgical satisfaction. Special attention should be paid to hyperopic LASIK ablation and asymptomatic MGD existing before surgery. Early initiation of relevent dry eye treatment is crucial for patient's prognosis and satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "high hyperopia LASIK ablation and preoperative MGD were potential risk factors for the severe dry eye in this case. Postoperative dry eye can lead to hyperopic shift, fluctuations or even continuous decline in patient's visual acuity, thereby affecting surgical satisfaction. Special attention should be paid to hyperopic LASIK ablation and asymptomatic MGD existing before surgery. Early initiation of relevent dry…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1406,
      "source_fields": {
        "Abstract Final Identifier": "POREF018",
        "Title": "Case Report Of A Persistent Epithelium Defect After Presbylasik Procedure",
        "Presenting Author(s)": "Dr Chunchun He",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Chunchun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "He",
        "Country Name": "China",
        "Purpose": "this study aims to report a case of rarely severe dry eye disease following Presbyond LBV laser procedure in a hyperopic presbyopic female patient, analyzing its pathogenic factors, and provide clinical insights for preoperative and postoperative management of similar cases.",
        "Setting": "this case report was conducted at a clinical ophthalmology setting specialized in laser refractive surgery, where the patient received surgical treatment and regular postoperative follow-ups.",
        "Methods": "a 43-year-old hyperopic presbyopic female patient sought for surgical approach to get rid of reading glasses. Preoperative examination results were as follows: manifest refraction(MR) right eye +0.75ds-0.50dc*90→1.0, left eye +3.00ds-0.50dc*80→0.8, ADD +2.00D, UDVA R 0.8, L0.1, UNVA R 0.63, L0.16, NPA/PRA +2.25/-1.00, CCT R 558µm, L558µm, normal corneal topography. This patient had asymptomatic MGD-type dry eye: BUT R 6s, L7s; Schirmer's test R 9mm, L10mm; OSDI score 19. The patient underwent uneventful Prebyond LBV correction with dominant eye target plano, and undominant eye target at -1.50D. At the 3-week postoperative follow-up, patient's UDVA, UNVA, BUDVA, BUNVA, MR were all within target range. However, undominant eye developed first epithelium defect, and afterwards the other eye, the condition get worse and affected patient's BCVA and refractive status. Initial treatment including continuous anti-inflammatory therapy, lubricating eye drops, and conventional medications failed to control the symptoms. Subsequently, autologous serum, cyclosporine, corneal bandage contact lenses were administrated, however, the patient's condition worsened instead of improving. The patient's corneal healing, VA, refractive status did not return to normal and ideal levels until 6-month postoperatively, when PFHO(a medication for MGD-type DED) was initiated in combination with low-concentration steroid only.",
        "Results": "",
        "Conclusions": "high hyperopia LASIK ablation and preoperative MGD were potential risk factors for the severe dry eye in this case. Postoperative dry eye can lead to hyperopic shift, fluctuations or even continuous decline in patient's visual acuity, thereby affecting surgical satisfaction. Special attention should be paid to hyperopic LASIK ablation and asymptomatic MGD existing before surgery. Early initiation of relevent dry eye treatment is crucial for patient's prognosis and satisfaction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "POREF019",
      "abstract_number": "POREF019",
      "title": "Results Of Using Refractive Laser Correction Of Hyperopia In Children With Concomitant Convergent Strabismus\nAznauryan I.E., Balasanyan V.O., Mordyukov E.I., Idrisova A.A., Rychkova S.I.\nPediatric Eye Clinics \"Yasnyi Vzor\" Moscow, Russia",
      "authors": "Victoria Balasanyan",
      "presenter": "Victoria Balasanyan",
      "normalized_authors": [
        "Victoria Balasanyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alina Idrisova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To evaluate long-term outcomes of excimer laser correction for hyperopia in children with concomitant convergent strabismus.",
        "Setting": "Pediatric Eye Clinics “Yasnyi Vzor”, Moscow, Russia.",
        "Methods": "Methods\n\nTwenty-seven children aged 4–10 years (mean 6.3±1.3) with bilateral hyperopia and concomitant convergent strabismus were included. High hyperopia was present in 21 eyes and moderate in 33 eyes. Pre- and postoperative evaluation (1–5 years, mean 36.0±17.3 months) included autorefractometry, keratometry, pachymetry, A-scan biometry, anterior segment OCT, and assessment of deviation angle using videooculography and synoptophore. All patients underwent photorefractive keratectomy (MEL 90, Carl Zeiss). Outcomes assessed were spherical equivalent, corrected visual acuity (LogMAR), deviation angle, axial length, and corneal transparency.\n\nResults\n\nSpherical equivalent decreased from 5.6 [4.6–7.0] to 2.75 [1.5–3.4] D (p<0.001). Corrected visual acuity improved from 0.05 [0–0.15] to 0 [0–0.1] LogMAR (p=0.003). In children with partial accommodative strabismus, deviation angle decreased from 15° [10–18] to 3° [0–6] (p<0.001). Axial length showed minimal change (20.9 to 21.1 mm; p=0.05). Corneal opacities were observed in 11 children (22 eyes), predominantly mild (grade 0.5–1); moderate haze (grade 2) was noted in six eyes.",
        "Conclusions": "Excimer laser correction of hyperopia in carefully selected pediatric patients with concomitant convergent strabismus provides stable long-term refractive improvement, enhances corrected visual acuity, and significantly reduces deviation angle. Structural ocular parameters remain largely unchanged, and postoperative corneal haze is generally mild. The procedure may represent a viable adjunct in managing selected cases of hyperopia-associated strabismus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Excimer laser correction of hyperopia in carefully selected pediatric patients with concomitant convergent strabismus provides stable long-term refractive improvement, enhances corrected visual acuity, and significantly reduces deviation angle. Structural ocular parameters remain largely unchanged, and postoperative corneal haze is generally mild. The procedure may represent a viable adjunct in managing selected…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1407,
      "source_fields": {
        "Abstract Final Identifier": "POREF019",
        "Title": "Results Of Using Refractive Laser Correction Of Hyperopia In Children With Concomitant Convergent Strabismus\nAznauryan I.E., Balasanyan V.O., Mordyukov E.I., Idrisova A.A., Rychkova S.I.\nPediatric Eye Clinics \"Yasnyi Vzor\" Moscow, Russia",
        "Presenting Author(s)": "Victoria Balasanyan",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Alina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Idrisova",
        "Country Name": "Russian Federation",
        "Purpose": "To evaluate long-term outcomes of excimer laser correction for hyperopia in children with concomitant convergent strabismus.",
        "Setting": "Pediatric Eye Clinics “Yasnyi Vzor”, Moscow, Russia.",
        "Methods": "Methods\n\nTwenty-seven children aged 4–10 years (mean 6.3±1.3) with bilateral hyperopia and concomitant convergent strabismus were included. High hyperopia was present in 21 eyes and moderate in 33 eyes. Pre- and postoperative evaluation (1–5 years, mean 36.0±17.3 months) included autorefractometry, keratometry, pachymetry, A-scan biometry, anterior segment OCT, and assessment of deviation angle using videooculography and synoptophore. All patients underwent photorefractive keratectomy (MEL 90, Carl Zeiss). Outcomes assessed were spherical equivalent, corrected visual acuity (LogMAR), deviation angle, axial length, and corneal transparency.\n\nResults\n\nSpherical equivalent decreased from 5.6 [4.6–7.0] to 2.75 [1.5–3.4] D (p<0.001). Corrected visual acuity improved from 0.05 [0–0.15] to 0 [0–0.1] LogMAR (p=0.003). In children with partial accommodative strabismus, deviation angle decreased from 15° [10–18] to 3° [0–6] (p<0.001). Axial length showed minimal change (20.9 to 21.1 mm; p=0.05). Corneal opacities were observed in 11 children (22 eyes), predominantly mild (grade 0.5–1); moderate haze (grade 2) was noted in six eyes.",
        "Results": "",
        "Conclusions": "Excimer laser correction of hyperopia in carefully selected pediatric patients with concomitant convergent strabismus provides stable long-term refractive improvement, enhances corrected visual acuity, and significantly reduces deviation angle. Structural ocular parameters remain largely unchanged, and postoperative corneal haze is generally mild. The procedure may represent a viable adjunct in managing selected cases of hyperopia-associated strabismus."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POREF020",
      "abstract_number": "POREF020",
      "title": "Unilateral Keratoconus In A Patient With Turner Syndrome Presenting For Refractive Surgery Evaluation",
      "authors": "Dr Gonca Inci",
      "presenter": "Dr Gonca Inci",
      "normalized_authors": [
        "Gonca Inci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gonca Inci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report a case of unilateral Keratoconus detected during refractive surgery evaluation in a patient with Turner syndrome , and to emphasize the importance of detailed corneal topographic imaging in patients with systemic disorders that may affect ocular structures.",
        "Setting": "This case was managed at a tertiary referral ophthalmology center in Istanbul, Turkey, serving as a regional hub for complex ocular cases. The clinic specializes in retinal, corneal and uveitis disorders and routinely manages patients with chronic visual impairment, post-refractive surgery complications, and other challenging ophthalmic conditions.",
        "Methods": "A 40-year-old woman presented to our ophthalmology clinic with a long-standing complaint of decreased vision in her left eye. She sought consultation regarding the possibility of laser refractive surgery. Her medical history was notable for Turner syndrome , diagnosed approximately 25 years earlier with amenorrhea, Ulcerative colitis and Hypertension . Her current medications included sulfasalazine, hormone replacement therapy, and antihypertensive agents. She had no history of ocular or systemic surgery.\n\nAutorefraction measurements were −1.00 −0.75 25° / −4.00 −3.50 175°. Visual acuity without correction was 20/20 in the right eye, whereas the left eye had an uncorrected visual acuity of 20/130 and a best-corrected visual acuity of 20/30. Slit-lamp examination revealed a normal anterior segment in both eyes with normal intraocular pressure. Fundus examination demonstrated tilted optic discs in both eyes, normal maculae, and increased retinal vascular tortuosity. Corneal topography revealed inferior corneal steepening in the left eye with keratometric values of K1 48.5 D and K2 52.3 D, Kmax of 59.4 D, and a thinnest corneal thickness of 493 µm, findings consistent with keratoconus. In contrast, the right eye showed relatively normal corneal parameters, with K1 45.3 D, K2 46.2 D, and a thinnest corneal thickness of 539 µm, without clear ectatic changes. Based on these findings, the patient was diagnosed with unilateral keratoconus predominantly affecting the left eye.",
        "Conclusions": "Turner syndrome has been associated with a variety of ocular abnormalities involving the eyelids, ocular alignment, and refractive status. Previous studies have reported a high prevalence of refractive errors in these patients. Structural abnormalities such as tilted optic discs and increased retinal vascular tortuosity have also been described. Although the association between Turner syndrome and keratoconus is not well established, clinicians should be aware of the possibility of corneal ectasia in these patients. Comprehensive corneal imaging should be performed in Turner syndrome patients undergoing evaluation for refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Turner syndrome has been associated with a variety of ocular abnormalities involving the eyelids, ocular alignment, and refractive status. Previous studies have reported a high prevalence of refractive errors in these patients. Structural abnormalities such as tilted optic discs and increased retinal vascular tortuosity have also been described. Although the association between Turner syndrome and keratoconus is…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1408,
      "source_fields": {
        "Abstract Final Identifier": "POREF020",
        "Title": "Unilateral Keratoconus In A Patient With Turner Syndrome Presenting For Refractive Surgery Evaluation",
        "Presenting Author(s)": "Dr Gonca Inci",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Gonca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Inci",
        "Country Name": "Türkiye",
        "Purpose": "To report a case of unilateral Keratoconus detected during refractive surgery evaluation in a patient with Turner syndrome , and to emphasize the importance of detailed corneal topographic imaging in patients with systemic disorders that may affect ocular structures.",
        "Setting": "This case was managed at a tertiary referral ophthalmology center in Istanbul, Turkey, serving as a regional hub for complex ocular cases. The clinic specializes in retinal, corneal and uveitis disorders and routinely manages patients with chronic visual impairment, post-refractive surgery complications, and other challenging ophthalmic conditions.",
        "Methods": "A 40-year-old woman presented to our ophthalmology clinic with a long-standing complaint of decreased vision in her left eye. She sought consultation regarding the possibility of laser refractive surgery. Her medical history was notable for Turner syndrome , diagnosed approximately 25 years earlier with amenorrhea, Ulcerative colitis and Hypertension . Her current medications included sulfasalazine, hormone replacement therapy, and antihypertensive agents. She had no history of ocular or systemic surgery.\n\nAutorefraction measurements were −1.00 −0.75 25° / −4.00 −3.50 175°. Visual acuity without correction was 20/20 in the right eye, whereas the left eye had an uncorrected visual acuity of 20/130 and a best-corrected visual acuity of 20/30. Slit-lamp examination revealed a normal anterior segment in both eyes with normal intraocular pressure. Fundus examination demonstrated tilted optic discs in both eyes, normal maculae, and increased retinal vascular tortuosity. Corneal topography revealed inferior corneal steepening in the left eye with keratometric values of K1 48.5 D and K2 52.3 D, Kmax of 59.4 D, and a thinnest corneal thickness of 493 µm, findings consistent with keratoconus. In contrast, the right eye showed relatively normal corneal parameters, with K1 45.3 D, K2 46.2 D, and a thinnest corneal thickness of 539 µm, without clear ectatic changes. Based on these findings, the patient was diagnosed with unilateral keratoconus predominantly affecting the left eye.",
        "Results": "",
        "Conclusions": "Turner syndrome has been associated with a variety of ocular abnormalities involving the eyelids, ocular alignment, and refractive status. Previous studies have reported a high prevalence of refractive errors in these patients. Structural abnormalities such as tilted optic discs and increased retinal vascular tortuosity have also been described. Although the association between Turner syndrome and keratoconus is not well established, clinicians should be aware of the possibility of corneal ectasia in these patients. Comprehensive corneal imaging should be performed in Turner syndrome patients undergoing evaluation for refractive surgery."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "POREF021",
      "abstract_number": "POREF021",
      "title": "The Importance Of \"Crystalline Lens Rise\" In The Implantation Of Phakic Intraocular Lenses",
      "authors": "Pablo Infiesta Madurga",
      "presenter": "Pablo Infiesta Madurga",
      "normalized_authors": [
        "Pablo Infiesta Madurga"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Infiesta Madurga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Highlight the importance of measuring CLR (“Crystalline Lens Rise”) before determining the size of posterior chamber phakic intraocular lenses.",
        "Setting": "The measurement of CLR (“Crystalline Lens Rise”), or the anterior protrusion of the crystalline lens relative to the iris plane, has not been adequately considered to date in the implantation of posterior chamber phakic intraocular lenses when determining the appropriate lens size or diameter. The choice of lens size has been primarily based on the measurement of the corneal diameter, WTW (“White-to-White”), as an estimation of the sulcus diameter, which is where these lenses are supported.",
        "Methods": "An extreme clinical case for phakic intraocular lens implantation is presented. Despite high myopia, the anterior chamber was surprisingly shallow. The patient was unable to continue wearing contact lenses following an episode of severe superficial punctate keratitis due to limbal stem cell deficiency, which resolved only with autologous serum therapy. She refused to wear spectacles and was psychologically and socially affected. An interventional approach was therefore adopted. The refractive error was extreme: −17.5 −2.5 × 170° (right eye) and −17.5 −3.0 × 5° (left eye). We opted for the Eyecril Toric lens from Biotech Healthcare because it offered an estimated correction without residual refractive error, unlike the EVO+ Toric lens from Staar Surgical . According to the WTW values, the recommended lens diameter would have been 12.0 mm. However, the CLR was found to be markedly elevated, which led to selecting a larger 12.5 mm diameter in order to achieve adequate postoperative \"vault\" or distance between the lens and the crystalline lens. Even so, the postoperative vault was low. With a 12.0 mm diameter, lens–crystalline contact would likely have occurred. After more than one year of follow-up, no postoperative complications have been observed.",
        "Conclusions": "CLR (“Crystalline Lens Rise”) can be readily measured using OCT technology and should always be considered in the planning of phakic intraocular lens implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "CLR (“Crystalline Lens Rise”) can be readily measured using OCT technology and should always be considered in the planning of phakic intraocular lens implantation.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1409,
      "source_fields": {
        "Abstract Final Identifier": "POREF021",
        "Title": "The Importance Of \"Crystalline Lens Rise\" In The Implantation Of Phakic Intraocular Lenses",
        "Presenting Author(s)": "Pablo Infiesta Madurga",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Infiesta Madurga",
        "Country Name": "Spain",
        "Purpose": "Highlight the importance of measuring CLR (“Crystalline Lens Rise”) before determining the size of posterior chamber phakic intraocular lenses.",
        "Setting": "The measurement of CLR (“Crystalline Lens Rise”), or the anterior protrusion of the crystalline lens relative to the iris plane, has not been adequately considered to date in the implantation of posterior chamber phakic intraocular lenses when determining the appropriate lens size or diameter. The choice of lens size has been primarily based on the measurement of the corneal diameter, WTW (“White-to-White”), as an estimation of the sulcus diameter, which is where these lenses are supported.",
        "Methods": "An extreme clinical case for phakic intraocular lens implantation is presented. Despite high myopia, the anterior chamber was surprisingly shallow. The patient was unable to continue wearing contact lenses following an episode of severe superficial punctate keratitis due to limbal stem cell deficiency, which resolved only with autologous serum therapy. She refused to wear spectacles and was psychologically and socially affected. An interventional approach was therefore adopted. The refractive error was extreme: −17.5 −2.5 × 170° (right eye) and −17.5 −3.0 × 5° (left eye). We opted for the Eyecril Toric lens from Biotech Healthcare because it offered an estimated correction without residual refractive error, unlike the EVO+ Toric lens from Staar Surgical . According to the WTW values, the recommended lens diameter would have been 12.0 mm. However, the CLR was found to be markedly elevated, which led to selecting a larger 12.5 mm diameter in order to achieve adequate postoperative \"vault\" or distance between the lens and the crystalline lens. Even so, the postoperative vault was low. With a 12.0 mm diameter, lens–crystalline contact would likely have occurred. After more than one year of follow-up, no postoperative complications have been observed.",
        "Results": "",
        "Conclusions": "CLR (“Crystalline Lens Rise”) can be readily measured using OCT technology and should always be considered in the planning of phakic intraocular lens implantation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "POREF022",
      "abstract_number": "POREF022",
      "title": "Therapeutic Raytracing Customised Surface Ablation For Visually Function–Symptomatic Patient After Femtosecond Lasik: Comprehensive Diagnostic Protocol With Rgp Confirmation, Ray-Tracing Wavefront Analysis, And Functional Vision Restoration.",
      "authors": "Dr Alexander John Kanellopoulos",
      "presenter": "Dr Alexander John Kanellopoulos",
      "normalized_authors": [
        "Alexander John Kanellopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "A. John Kanellopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To demonstrate that excellent uncorrected distance visual acuity may mask significant functional visual impairment after prior under-the-flap PTK for rainbow glare in post-myopic LASIK eyes. We present a structured diagnostic protocol integrating photopic and mesopic contrast sensitivity (cycles/degree), off-label ray-tracing high and low order aberrations analysis, diagnostic RGP validation of corneal optical origin, anterior-segment OCT flap assessment, and mandatory dilated crystalline lens and macular OCT evaluation to exclude non-corneal causes. The aim is to validate corneal optical degradation and justify a safe ray-tracing–customized surface enhancement-off-label- strategy in safety-critical visual demands.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "A post-myopic femtosecond LASIK patient, previously treated with under-the-flap PTK for rainbow glare, private-jet pilot, with persistent photopic and mesopic visual symptoms (halo, glare, ghosting) despite 20/20 uncorrected distance visual acuity. Functional testing revealed reduced contrast sensitivity across spatial frequencies under both photopic and mesopic conditions. Ray-tracing analysis using the Alcon/Wavelight Sitemap device and Wavelight Plus algorithm of the EX500 excimer laser, demonstrated minimal refractive error, but higher-order aberrations, predominantly coma, consistent with low optical quality.\n\nA comprehensive exclusion work-up included meticulous crystalline-lens assessment, dilated fundus examination, and macular OCT to exclude lenticular scatter or posterior pole pathology. A diagnostic rigid gas permeable (RGP) lens trial produced clear subjective improvement, supporting a corneal optical source of symptoms. Anterior-segment OCT documented flap architecture and thickness, supporting a surface-based approach without flap relift.\n\nRay-tracing–guided customized surface ablation was performed to rehabilitate effective optical quality. Postoperatively, contrast sensitivity improved markedly in both photopic and mesopic ranges, ray-tracing analysis showed substantial reduction in total higher-order aberrations and coma, 2 lines of vision gained, while the patient also reported significant improvement in mesopic visual performance.",
        "Conclusions": "Post-LASIK eyes previously treated with under-flap PTK may demonstrate preserved Snellen acuity yet significant contrast sensitivity loss and coma-dominant higher-order aberrations, impairing functional vision under photopic and mesopic conditions. A hierarchical protocol incorporating contrast sensitivity profiling, ray-tracing wavefront analysis, diagnostic RGP confirmation, anterior-segment OCT, and exclusion of lenticular and retinal pathology enables precise localization of corneal optical degradation. Ray-tracing–guided customized surface enhancement can restore contrast sensitivity, reduce higher-order aberrations, and meaningfully improve mesopic visual performance in visually demanding professions such as aviation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Post-LASIK eyes previously treated with under-flap PTK may demonstrate preserved Snellen acuity yet significant contrast sensitivity loss and coma-dominant higher-order aberrations, impairing functional vision under photopic and mesopic conditions. A hierarchical protocol incorporating contrast sensitivity profiling, ray-tracing wavefront analysis, diagnostic RGP confirmation, anterior-segment OCT, and exclusion of…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1410,
      "source_fields": {
        "Abstract Final Identifier": "POREF022",
        "Title": "Therapeutic Raytracing Customised Surface Ablation For Visually Function–Symptomatic Patient After Femtosecond Lasik: Comprehensive Diagnostic Protocol With Rgp Confirmation, Ray-Tracing Wavefront Analysis, And Functional Vision Restoration.",
        "Presenting Author(s)": "Dr Alexander John Kanellopoulos",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "A.",
        "Submitter Middle Name": "John",
        "Submitter Last Name": "Kanellopoulos",
        "Country Name": "Greece",
        "Purpose": "To demonstrate that excellent uncorrected distance visual acuity may mask significant functional visual impairment after prior under-the-flap PTK for rainbow glare in post-myopic LASIK eyes. We present a structured diagnostic protocol integrating photopic and mesopic contrast sensitivity (cycles/degree), off-label ray-tracing high and low order aberrations analysis, diagnostic RGP validation of corneal optical origin, anterior-segment OCT flap assessment, and mandatory dilated crystalline lens and macular OCT evaluation to exclude non-corneal causes. The aim is to validate corneal optical degradation and justify a safe ray-tracing–customized surface enhancement-off-label- strategy in safety-critical visual demands.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "A post-myopic femtosecond LASIK patient, previously treated with under-the-flap PTK for rainbow glare, private-jet pilot, with persistent photopic and mesopic visual symptoms (halo, glare, ghosting) despite 20/20 uncorrected distance visual acuity. Functional testing revealed reduced contrast sensitivity across spatial frequencies under both photopic and mesopic conditions. Ray-tracing analysis using the Alcon/Wavelight Sitemap device and Wavelight Plus algorithm of the EX500 excimer laser, demonstrated minimal refractive error, but higher-order aberrations, predominantly coma, consistent with low optical quality.\n\nA comprehensive exclusion work-up included meticulous crystalline-lens assessment, dilated fundus examination, and macular OCT to exclude lenticular scatter or posterior pole pathology. A diagnostic rigid gas permeable (RGP) lens trial produced clear subjective improvement, supporting a corneal optical source of symptoms. Anterior-segment OCT documented flap architecture and thickness, supporting a surface-based approach without flap relift.\n\nRay-tracing–guided customized surface ablation was performed to rehabilitate effective optical quality. Postoperatively, contrast sensitivity improved markedly in both photopic and mesopic ranges, ray-tracing analysis showed substantial reduction in total higher-order aberrations and coma, 2 lines of vision gained, while the patient also reported significant improvement in mesopic visual performance.",
        "Results": "",
        "Conclusions": "Post-LASIK eyes previously treated with under-flap PTK may demonstrate preserved Snellen acuity yet significant contrast sensitivity loss and coma-dominant higher-order aberrations, impairing functional vision under photopic and mesopic conditions. A hierarchical protocol incorporating contrast sensitivity profiling, ray-tracing wavefront analysis, diagnostic RGP confirmation, anterior-segment OCT, and exclusion of lenticular and retinal pathology enables precise localization of corneal optical degradation. Ray-tracing–guided customized surface enhancement can restore contrast sensitivity, reduce higher-order aberrations, and meaningfully improve mesopic visual performance in visually demanding professions such as aviation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POREF023",
      "abstract_number": "POREF023",
      "title": "Reshaping The Cone: Topography Guided Custom Ablation Treatment For Corneal Regularisation-Two Case Reports",
      "authors": "Dr Kavitha Lakshmi Kannappan",
      "presenter": "Dr Kavitha Lakshmi Kannappan",
      "normalized_authors": [
        "Kavitha Lakshmi Kannappan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kavitha Lakshmi Kannappan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Keratoconus is a progressive ectatic disorder characterised by corneal thinning and irregular astigmatism, often causing poor spectacle correction and contact lens intolerance. Topography-guided custom ablation (T-CAT) regularises the corneal surface, while corneal collagen cross-linking (CXL) enhances biomechanical stability. This report presents two cases of moderate keratoconus treated with simultaneous T-CAT and CXL, demonstrating improvements in vision, corneal shape, and higher-order aberrations. Ideal candidates have stable moderate ectasia (pachymetry >450 µm, no scarring), whereas advanced, thin, or scarred corneas should be avoided to ensure optimal outcomes.",
        "Setting": "At our centre, the two cases met the criteria: thinnest pachymetry >450 µm, no central scarring, irregular astigmatism on tomography. Preoperative Snellen UCVA/BCVA, tomography, and aberrometry were assessed.The visual acuity and refractive correction:\n\nCase1: Right eye: UCVA 6/24, BCVA 6/9 (-1.00DS/-6Dcyl@170°). Left eye: UCVA 6/60, BCVA 6/12 (-2.50DS/-8.00Dcyl@170°).\n\nCase2: Right eye: UCVA 6/18p, BCVA 6/9 (-2.50DS/-2.00Dcyl@30°). Left eye: UCVA 6/18, BCVA 6/6p (-2.00DS/-2.25Dcyl@180°)",
        "Methods": "The procedure began with the instillation of proparacaine 0.5% eye drop. A 8-mm zone\n\nof corneal epithelium was removed using Excimer LASER Phototherapeutic Keratectomy.\n\nA customized topography-guided ablation was then performed.. Data from five\n\ntomographies were averaged to guide the ablation, and the optical zone diameter was set to 5.5 mm.\n\nMaximum ablation was limited to 40 µm in the thinnest corneal region, and Zernike optimisation\n\nwas applied to match defocus (C4) and spherical aberration (C12), keeping the refractive correction\n\nas zero.Post ablation isotonic riboflavin applied q2 min x 20 min,Collagen Crosslinking for Keratoconus\n\n(UVA irradiation 365 nm, 9 mW/cm²)10min,done then irrigated with cold BSS and cold BCL applied\n\nCase1:\n\nIn the first case, a reduction of 6.34 D cylindrical (Dcyl) and 6.25 Dcyl in the steep K reading was\n\nobserved in the right and left eyes, respectively, at the 6-month follow-up. UCVA improved and\n\nremained stable up to 6 months post-operatively.\n\nCase2:\n\nIn the second case, a reduction of 2.75 Dcyl and 5.21 Dcyl in the steep K readings was noted in the\n\nright and left eyes, respectively, at 6 months. The patient’s UCVA showed significant\n\nimprovement, which remained stable for up to 18 months post-operatively.\n\nBoth demonstrated decreased cylinder and higher-order aberrations, contributing to\n\nenhanced visual quality. Improvements in corneal tomoography were confirmed.\n\nTomographer, showing more regular corneal surfaces post-procedure.",
        "Conclusions": "Concurrent topography-guided custom ablation (T-CAT) and corneal collagen crosslinking (C3R) provide complementary KC management, enhancing structural integrity while correcting surface irregularity. Custom ablation smoothens the ectatic peak and steepens periphery to restore corneal contour, using minimal tissue removal to safeguard thickness and optimise vision,\n\nSimultaneous T-CAT and C3R appear to be an effective modality for treating moderate keratoconus.\n\nIt has the advantage of improved predictability of refractive\n\noutcomes due to ablation of non-crosslinked tissue\n\nresulting in significant improvements in corneal regularity, UCVA, and BCVA. however further studies are\n\nneeded to assess long-term biomechanical and topographical stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Concurrent topography-guided custom ablation (T-CAT) and corneal collagen crosslinking (C3R) provide complementary KC management, enhancing structural integrity while correcting surface irregularity. Custom ablation smoothens the ectatic peak and steepens periphery to restore corneal contour, using minimal tissue removal to safeguard thickness and optimise vision, Simultaneous T-CAT and C3R appear to be an…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1411,
      "source_fields": {
        "Abstract Final Identifier": "POREF023",
        "Title": "Reshaping The Cone: Topography Guided Custom Ablation Treatment For Corneal Regularisation-Two Case Reports",
        "Presenting Author(s)": "Dr Kavitha Lakshmi Kannappan",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Kavitha Lakshmi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kannappan",
        "Country Name": "India",
        "Purpose": "Keratoconus is a progressive ectatic disorder characterised by corneal thinning and irregular astigmatism, often causing poor spectacle correction and contact lens intolerance. Topography-guided custom ablation (T-CAT) regularises the corneal surface, while corneal collagen cross-linking (CXL) enhances biomechanical stability. This report presents two cases of moderate keratoconus treated with simultaneous T-CAT and CXL, demonstrating improvements in vision, corneal shape, and higher-order aberrations. Ideal candidates have stable moderate ectasia (pachymetry >450 µm, no scarring), whereas advanced, thin, or scarred corneas should be avoided to ensure optimal outcomes.",
        "Setting": "At our centre, the two cases met the criteria: thinnest pachymetry >450 µm, no central scarring, irregular astigmatism on tomography. Preoperative Snellen UCVA/BCVA, tomography, and aberrometry were assessed.The visual acuity and refractive correction:\n\nCase1: Right eye: UCVA 6/24, BCVA 6/9 (-1.00DS/-6Dcyl@170°). Left eye: UCVA 6/60, BCVA 6/12 (-2.50DS/-8.00Dcyl@170°).\n\nCase2: Right eye: UCVA 6/18p, BCVA 6/9 (-2.50DS/-2.00Dcyl@30°). Left eye: UCVA 6/18, BCVA 6/6p (-2.00DS/-2.25Dcyl@180°)",
        "Methods": "The procedure began with the instillation of proparacaine 0.5% eye drop. A 8-mm zone\n\nof corneal epithelium was removed using Excimer LASER Phototherapeutic Keratectomy.\n\nA customized topography-guided ablation was then performed.. Data from five\n\ntomographies were averaged to guide the ablation, and the optical zone diameter was set to 5.5 mm.\n\nMaximum ablation was limited to 40 µm in the thinnest corneal region, and Zernike optimisation\n\nwas applied to match defocus (C4) and spherical aberration (C12), keeping the refractive correction\n\nas zero.Post ablation isotonic riboflavin applied q2 min x 20 min,Collagen Crosslinking for Keratoconus\n\n(UVA irradiation 365 nm, 9 mW/cm²)10min,done then irrigated with cold BSS and cold BCL applied\n\nCase1:\n\nIn the first case, a reduction of 6.34 D cylindrical (Dcyl) and 6.25 Dcyl in the steep K reading was\n\nobserved in the right and left eyes, respectively, at the 6-month follow-up. UCVA improved and\n\nremained stable up to 6 months post-operatively.\n\nCase2:\n\nIn the second case, a reduction of 2.75 Dcyl and 5.21 Dcyl in the steep K readings was noted in the\n\nright and left eyes, respectively, at 6 months. The patient’s UCVA showed significant\n\nimprovement, which remained stable for up to 18 months post-operatively.\n\nBoth demonstrated decreased cylinder and higher-order aberrations, contributing to\n\nenhanced visual quality. Improvements in corneal tomoography were confirmed.\n\nTomographer, showing more regular corneal surfaces post-procedure.",
        "Results": "",
        "Conclusions": "Concurrent topography-guided custom ablation (T-CAT) and corneal collagen crosslinking (C3R) provide complementary KC management, enhancing structural integrity while correcting surface irregularity. Custom ablation smoothens the ectatic peak and steepens periphery to restore corneal contour, using minimal tissue removal to safeguard thickness and optimise vision,\n\nSimultaneous T-CAT and C3R appear to be an effective modality for treating moderate keratoconus.\n\nIt has the advantage of improved predictability of refractive\n\noutcomes due to ablation of non-crosslinked tissue\n\nresulting in significant improvements in corneal regularity, UCVA, and BCVA. however further studies are\n\nneeded to assess long-term biomechanical and topographical stability."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 502
    },
    {
      "uid": "POREF024",
      "abstract_number": "POREF024",
      "title": "Late-Onset Corneal Haze After Myopic Prk Successfully Treated With Transepithelial Ptk With Mitomycin C",
      "authors": "Dr Igor Kaplin",
      "presenter": "Dr Igor Kaplin",
      "normalized_authors": [
        "Igor Kaplin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Igor Kaplin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "We report the surgical management of late-onset corneal haze after myopic photorefractive keratectomy. Corneal haze is a common complication after PRK with overall incidence around 1.3%. Late-onset haze plays a significant role in patient satisfaction after PRK. The clinical presentetion varies from asymptomatic incidental slit lamp findings of corneal opacification to severe visual loss complains accompanied by massive scarring in the optical zone\n\naffecting visualization of the iris and refraction measurement.\nAlthough Modern, high-frequency flying spot lasers and various tecniques of PRK (routine use of Mitomycin C and cold saline) drammaticaly reduced the rate of haze incidence, this complication is still a problem that occur.\n\n.",
        "Setting": "Kyiv Eye Microsurgery and Therapy Center",
        "Methods": "We describe the case of a 24-year-old female with right eye severe symptoms of progressive blurred vision and visual discomfort persisting for 1 month. She underwent an uneventful bilateral myopic PRK surgery 6 month ago.\n\nAt presentation, best corrected visual acuity (BCVA) was 0.8 Snellen decimal. R efraction -0.5 -0.0 180. Examination findings were documented as massive stromal scarring partially obscuring iris visualization in her right eye, while left eye appeared normal. After trial intensive steroid therapy with dexamethasone 0.1 % no documented treatment response was achieve d . On further follow up visits her visual acuity decreased to UCVA 0.4 and BCVA 0.6 Snellen decimal respectively and refraction changed to -0.5 -0.5 150. Slit lamp examination revealed increasing of the stromal opacification density comparing to a first haze visit. Such changes can be explained by the progression of the stromal fibrosis that can be a corner-stone in the understanding of the late-onset haze nature.\n\nAfter stabilization of the visual acuity the patient undergone a transepithelial phototherapeutic keratectomy with mitomycin C.\n\n3 month postoperatively after we revealed a dramatic decrease of the thickness of corneal fibrotic tissue with anterior OCT and slit lamp. Visual acuity improved to UCVA 0.9 Snellen decimal and refraction changed to 0.0-0.75 10.\n\nResidual OCT findings indicated an expected incomplete haze removal as the 60 microns PTK planned depth .",
        "Conclusions": "This case shows that transepithelial PTK can be an effective tool in treating cases of late-onset corneal Haze which reported to be less responsive to a conventional steroid therapy.\n\nVisual acuity in patients with moderate Haze can be significantly improved even in cases with residual OCT fibrotic findings after the therapeutic procedure.\n\nUsing PTK as a haze treatment option requires sufficient attention to appropriate prophylaxis of haze recurrency.\n\nPhysicians have to wait for complete stabilization of VA and various corneal findings before planning a PTK intervention for late-onset haze due to its possible progression.\n\nSteroids can play a significant role in the formation of the stromal fibrosis in steroid-resistant Haze cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case shows that transepithelial PTK can be an effective tool in treating cases of late-onset corneal Haze which reported to be less responsive to a conventional steroid therapy. Visual acuity in patients with moderate Haze can be significantly improved even in cases with residual OCT fibrotic findings after the therapeutic procedure. Using PTK as a haze treatment option requires sufficient attention to…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1412,
      "source_fields": {
        "Abstract Final Identifier": "POREF024",
        "Title": "Late-Onset Corneal Haze After Myopic Prk Successfully Treated With Transepithelial Ptk With Mitomycin C",
        "Presenting Author(s)": "Dr Igor Kaplin",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Igor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaplin",
        "Country Name": "Ukraine",
        "Purpose": "We report the surgical management of late-onset corneal haze after myopic photorefractive keratectomy. Corneal haze is a common complication after PRK with overall incidence around 1.3%. Late-onset haze plays a significant role in patient satisfaction after PRK. The clinical presentetion varies from asymptomatic incidental slit lamp findings of corneal opacification to severe visual loss complains accompanied by massive scarring in the optical zone\n\naffecting visualization of the iris and refraction measurement.\nAlthough Modern, high-frequency flying spot lasers and various tecniques of PRK (routine use of Mitomycin C and cold saline) drammaticaly reduced the rate of haze incidence, this complication is still a problem that occur.\n\n.",
        "Setting": "Kyiv Eye Microsurgery and Therapy Center",
        "Methods": "We describe the case of a 24-year-old female with right eye severe symptoms of progressive blurred vision and visual discomfort persisting for 1 month. She underwent an uneventful bilateral myopic PRK surgery 6 month ago.\n\nAt presentation, best corrected visual acuity (BCVA) was 0.8 Snellen decimal. R efraction -0.5 -0.0 180. Examination findings were documented as massive stromal scarring partially obscuring iris visualization in her right eye, while left eye appeared normal. After trial intensive steroid therapy with dexamethasone 0.1 % no documented treatment response was achieve d . On further follow up visits her visual acuity decreased to UCVA 0.4 and BCVA 0.6 Snellen decimal respectively and refraction changed to -0.5 -0.5 150. Slit lamp examination revealed increasing of the stromal opacification density comparing to a first haze visit. Such changes can be explained by the progression of the stromal fibrosis that can be a corner-stone in the understanding of the late-onset haze nature.\n\nAfter stabilization of the visual acuity the patient undergone a transepithelial phototherapeutic keratectomy with mitomycin C.\n\n3 month postoperatively after we revealed a dramatic decrease of the thickness of corneal fibrotic tissue with anterior OCT and slit lamp. Visual acuity improved to UCVA 0.9 Snellen decimal and refraction changed to 0.0-0.75 10.\n\nResidual OCT findings indicated an expected incomplete haze removal as the 60 microns PTK planned depth .",
        "Results": "",
        "Conclusions": "This case shows that transepithelial PTK can be an effective tool in treating cases of late-onset corneal Haze which reported to be less responsive to a conventional steroid therapy.\n\nVisual acuity in patients with moderate Haze can be significantly improved even in cases with residual OCT fibrotic findings after the therapeutic procedure.\n\nUsing PTK as a haze treatment option requires sufficient attention to appropriate prophylaxis of haze recurrency.\n\nPhysicians have to wait for complete stabilization of VA and various corneal findings before planning a PTK intervention for late-onset haze due to its possible progression.\n\nSteroids can play a significant role in the formation of the stromal fibrosis in steroid-resistant Haze cases."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 455
    },
    {
      "uid": "POREF025",
      "abstract_number": "POREF025",
      "title": "A Rare Case Of Corneal Keloid Following Radial Keratotomy For Myopia",
      "authors": "Dr Tanveer Alam Khan",
      "presenter": "Dr Tanveer Alam Khan",
      "normalized_authors": [
        "Tanveer Alam Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tanveer Alam Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The purpose of this study is to report a rare case of corneal keloid following radial keratotomy for myopia.",
        "Setting": "This is a case report and literature review.",
        "Methods": "A 50-year-old male presented with complaints of glare and gradual, painless, progressive diminution of vision in the right eye. Visual acuity in the right eye was 2/60, and slit lamp biomicroscopy revealed a pearly grey-white elevated corneal opacity measuring 4 mm × 3 mm, obscuring the visual axis. There was no history of ocular trauma or infection. The patient had undergone bilateral radial keratotomy for myopia correction 25 years ago. Anterior segment optical coherence tomography imaging demonstrated increased corneal thickness of 1080 µm at the site of lesion and the height of the epicorneal mass was noted to be 493 µm. The patient underwent fibrin glue-aided anterior lamellar keratoplasty. Histopathological examination of the excised host tissue confirmed the diagnosis of corneal keloid.",
        "Conclusions": "There are no reports of the development of histopathologically-proven corneal keloid following refractive surgery in the literature. Refractive surgery should be considered a potential risk factor for corneal keloid development."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "There are no reports of the development of histopathologically-proven corneal keloid following refractive surgery in the literature. Refractive surgery should be considered a potential risk factor for corneal keloid development.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1413,
      "source_fields": {
        "Abstract Final Identifier": "POREF025",
        "Title": "A Rare Case Of Corneal Keloid Following Radial Keratotomy For Myopia",
        "Presenting Author(s)": "Dr Tanveer Alam Khan",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Tanveer",
        "Submitter Middle Name": "Alam",
        "Submitter Last Name": "Khan",
        "Country Name": "India",
        "Purpose": "The purpose of this study is to report a rare case of corneal keloid following radial keratotomy for myopia.",
        "Setting": "This is a case report and literature review.",
        "Methods": "A 50-year-old male presented with complaints of glare and gradual, painless, progressive diminution of vision in the right eye. Visual acuity in the right eye was 2/60, and slit lamp biomicroscopy revealed a pearly grey-white elevated corneal opacity measuring 4 mm × 3 mm, obscuring the visual axis. There was no history of ocular trauma or infection. The patient had undergone bilateral radial keratotomy for myopia correction 25 years ago. Anterior segment optical coherence tomography imaging demonstrated increased corneal thickness of 1080 µm at the site of lesion and the height of the epicorneal mass was noted to be 493 µm. The patient underwent fibrin glue-aided anterior lamellar keratoplasty. Histopathological examination of the excised host tissue confirmed the diagnosis of corneal keloid.",
        "Results": "",
        "Conclusions": "There are no reports of the development of histopathologically-proven corneal keloid following refractive surgery in the literature. Refractive surgery should be considered a potential risk factor for corneal keloid development."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 179
    },
    {
      "uid": "POREF026",
      "abstract_number": "POREF026",
      "title": "I Dream Of Gardens In The Desert Sand : Case Report Of Severe Dlk Post Lasik",
      "authors": "Dr Mohamed Islem Koutchoukali",
      "presenter": "Dr Mohamed Islem Koutchoukali",
      "normalized_authors": [
        "Mohamed Islem Koutchoukali"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Islem Koutchoukali",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "Femto LASIK is one of the most commonly performed refractive surgeries. Thanks to new preoperative diagnostic and treatment platforms, complications are becoming increasingly rare. The aim of this case report is to highlight the menagement of one of the rarest complications of LASIK: stage 4 diffuse lamellar keratitis.",
        "Setting": "Hamouche Clinic of Ophthalmology , Algiers .",
        "Methods": "24-year-old female patient presents at our refractive center for refractive surgery, She is highly myopic and wears contact lenses; BCVA 20/20 OU\n\nrefraction under cycloplegia OD -6.25(-0.25 at 63). OS -6.50(-1.50 at 42)\n\nShe was scheduled for Femtosecond-assisted LASIK OU (both eyes at the same day) :\n\nOD: OPTICAL ZONE 7mm, transition zone 1mm, ablation zone 9mm, 90um flap\n\nOS: OPTICAL ZONE 7mm, transition zone 1mm, ablation zone 9mm, 90um flap\n\nIntraoperatively, OU surgery was uneventful.\n\nThe patient returned for her post-operative check-up on day 7: very satisfied with her vision in the left eye, but reported blurred vision and photophobia in the right eye.\n\nExamination findings: DLK stage 04 in the right eye, para-central temporal location, flap in place, peripheral cornea clear.\n\nOur therapeutic approach was not to lift the flap, to start topical corticosteroids (dexamethasone) every 3 hours, then gradually reduce the dosage (with strict IOP control) + oral doxycycline.\n\nFollow-up was based on biomicroscopic, topographic, and tomographic monitoring.\n\nAt one-month and three-month postoperative follow-up, the patient reported improved vision, reduction in lesion size, minimal stromal thinning , and a hypermetropic shift.",
        "Conclusions": "The overall incidence of DLK remains low, and the majority of cases are treated effectively without long-term sequelae.\n\nThis case highlights a typical presentation of unilateral stage 04 DLK ( even though both eyes underwent surgery at the same day) , medical treatment was initiated and lifting/irrigation of the flap was not necessary.\n\nVigilance is required, particularly in the early postoperative period, to detect and treat DLK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The overall incidence of DLK remains low, and the majority of cases are treated effectively without long-term sequelae. This case highlights a typical presentation of unilateral stage 04 DLK ( even though both eyes underwent surgery at the same day) , medical treatment was initiated and lifting/irrigation of the flap was not necessary. Vigilance is required, particularly in the early postoperative period, to detect…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1414,
      "source_fields": {
        "Abstract Final Identifier": "POREF026",
        "Title": "I Dream Of Gardens In The Desert Sand : Case Report Of Severe Dlk Post Lasik",
        "Presenting Author(s)": "Dr Mohamed Islem Koutchoukali",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Mohamed Islem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Koutchoukali",
        "Country Name": "Algeria",
        "Purpose": "Femto LASIK is one of the most commonly performed refractive surgeries. Thanks to new preoperative diagnostic and treatment platforms, complications are becoming increasingly rare. The aim of this case report is to highlight the menagement of one of the rarest complications of LASIK: stage 4 diffuse lamellar keratitis.",
        "Setting": "Hamouche Clinic of Ophthalmology , Algiers .",
        "Methods": "24-year-old female patient presents at our refractive center for refractive surgery, She is highly myopic and wears contact lenses; BCVA 20/20 OU\n\nrefraction under cycloplegia OD -6.25(-0.25 at 63). OS -6.50(-1.50 at 42)\n\nShe was scheduled for Femtosecond-assisted LASIK OU (both eyes at the same day) :\n\nOD: OPTICAL ZONE 7mm, transition zone 1mm, ablation zone 9mm, 90um flap\n\nOS: OPTICAL ZONE 7mm, transition zone 1mm, ablation zone 9mm, 90um flap\n\nIntraoperatively, OU surgery was uneventful.\n\nThe patient returned for her post-operative check-up on day 7: very satisfied with her vision in the left eye, but reported blurred vision and photophobia in the right eye.\n\nExamination findings: DLK stage 04 in the right eye, para-central temporal location, flap in place, peripheral cornea clear.\n\nOur therapeutic approach was not to lift the flap, to start topical corticosteroids (dexamethasone) every 3 hours, then gradually reduce the dosage (with strict IOP control) + oral doxycycline.\n\nFollow-up was based on biomicroscopic, topographic, and tomographic monitoring.\n\nAt one-month and three-month postoperative follow-up, the patient reported improved vision, reduction in lesion size, minimal stromal thinning , and a hypermetropic shift.",
        "Results": "",
        "Conclusions": "The overall incidence of DLK remains low, and the majority of cases are treated effectively without long-term sequelae.\n\nThis case highlights a typical presentation of unilateral stage 04 DLK ( even though both eyes underwent surgery at the same day) , medical treatment was initiated and lifting/irrigation of the flap was not necessary.\n\nVigilance is required, particularly in the early postoperative period, to detect and treat DLK."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "POREF027",
      "abstract_number": "POREF027",
      "title": "Managing Presbyopia In A High Myope Post Phacic Implant Induced Cataract",
      "authors": "Dr Johann A Kruger",
      "presenter": "Dr Johann A Kruger",
      "normalized_authors": [
        "Johann A Kruger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Johann A Kruger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "South Africa",
      "sections": {
        "Purpose": "Many patients that had Phacic implants can present with cataracts much later. High myopes who had high errors that require cataract surgery may desire complete spectacle independence, including for reading. Trifocal and full range vision lenses are not available in low diopters and monovision may not be an option. I came up with a solution for these patients that were previously minus 15 or more. For emmetropia they often require 5 diopters or less in IOL replacement. These are not available in trifocal.",
        "Setting": "Tygervalley Eye and Laser Clinic , Cape Town. South Africa",
        "Methods": "A 43 year old patient had Staar ICL implants in both eyes 15 years ago done by myself. The surgery initially was uncomplicated.\n\nRecently the patient presented to me with a grade 3 nuclear cataract that required cataract surgery. His uncorrected vision in his right eye was 20/20. In his left eye his uncorrected vision was 20/50 and best corrected 20/40. The surgery was discussed with the patient. He wanted to not lose ability to read with eye but want good distance vision as well.\n\nThe IOL calculation was done and calculated a 5 diopter IOL. His axial length was 29. He did not favour monovision. A flacs procedure was done with the ICL in situ. The ICL was removed uneventfully and a phaco was done. A 5 diopter monofocal Alcon IOL was implanted . An add-0n plano multifocal add-on lens was implanted in the same setting ( Dual Lens implantation) into the sulcus , on top of the primary IOL. This avoids the \"Red-Rock\" syndrome intislly described by Ron Stasiuk from Melbourne in the mid 90's.\n\nThe procedure was uncomplicated and the resutt was that the patient had 20/20 vision uncorrected and J1 for near. Very happy patient.\n\nA video is presented to show the technique.",
        "Conclusions": "Refractive surgery patients often have high demands , having been spoilt with good vision. When they are much older or develop phacic lens induced cataracts they want clear visin for distance and reading. In these high myopic cases mulrifocal IOLs are not always available in the low diopters. A dual lens implatn provides a highly successful safe management tool in these cases . It can also be easily removed if needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Refractive surgery patients often have high demands , having been spoilt with good vision. When they are much older or develop phacic lens induced cataracts they want clear visin for distance and reading. In these high myopic cases mulrifocal IOLs are not always available in the low diopters. A dual lens implatn provides a highly successful safe management tool in these cases . It can also be easily removed if…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1415,
      "source_fields": {
        "Abstract Final Identifier": "POREF027",
        "Title": "Managing Presbyopia In A High Myope Post Phacic Implant Induced Cataract",
        "Presenting Author(s)": "Dr Johann A Kruger",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Johann",
        "Submitter Middle Name": "A",
        "Submitter Last Name": "Kruger",
        "Country Name": "South Africa",
        "Purpose": "Many patients that had Phacic implants can present with cataracts much later. High myopes who had high errors that require cataract surgery may desire complete spectacle independence, including for reading. Trifocal and full range vision lenses are not available in low diopters and monovision may not be an option. I came up with a solution for these patients that were previously minus 15 or more. For emmetropia they often require 5 diopters or less in IOL replacement. These are not available in trifocal.",
        "Setting": "Tygervalley Eye and Laser Clinic , Cape Town. South Africa",
        "Methods": "A 43 year old patient had Staar ICL implants in both eyes 15 years ago done by myself. The surgery initially was uncomplicated.\n\nRecently the patient presented to me with a grade 3 nuclear cataract that required cataract surgery. His uncorrected vision in his right eye was 20/20. In his left eye his uncorrected vision was 20/50 and best corrected 20/40. The surgery was discussed with the patient. He wanted to not lose ability to read with eye but want good distance vision as well.\n\nThe IOL calculation was done and calculated a 5 diopter IOL. His axial length was 29. He did not favour monovision. A flacs procedure was done with the ICL in situ. The ICL was removed uneventfully and a phaco was done. A 5 diopter monofocal Alcon IOL was implanted . An add-0n plano multifocal add-on lens was implanted in the same setting ( Dual Lens implantation) into the sulcus , on top of the primary IOL. This avoids the \"Red-Rock\" syndrome intislly described by Ron Stasiuk from Melbourne in the mid 90's.\n\nThe procedure was uncomplicated and the resutt was that the patient had 20/20 vision uncorrected and J1 for near. Very happy patient.\n\nA video is presented to show the technique.",
        "Results": "",
        "Conclusions": "Refractive surgery patients often have high demands , having been spoilt with good vision. When they are much older or develop phacic lens induced cataracts they want clear visin for distance and reading. In these high myopic cases mulrifocal IOLs are not always available in the low diopters. A dual lens implatn provides a highly successful safe management tool in these cases . It can also be easily removed if needed."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "POREF028",
      "abstract_number": "POREF028",
      "title": "Motorsports: Vision For 350 Km/H",
      "authors": "Dr Jose Arrieta",
      "presenter": "Dr Jose Arrieta",
      "normalized_authors": [
        "Jose Arrieta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Veronica Lopez Fernandez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "The importance of comprehensive vision assessment in young patients where no vision problems are suspected. Detection of ocular surface abnormalities that cause symptoms and can be treated to optimize vision.",
        "Setting": "Part of the ophthalmological evaluation for athletes in motorsports and any other discipline takes place in the ocular surface department.\nThe detection of dry eye syndrome generates symptoms and signs with visual impairment.",
        "Methods": "The ocular surface examination includes: BUT, Schirmer test, Rose Bengal test, and meibography.\nTreatment with Rexon and Lipiflow are alternative treatments indicated in cases where they are necessary, avoiding dependence on eye drops in pilots\nand high-performance athletes.\n.",
        "Conclusions": "Our experience with young athletes, and especially motorsport drivers like Joshua Duerksen (F2 driver) and Marcos Galanti (WRC World Rally Car driver), motivates us to always stay ahead of the curve in ophthalmic treatments and equipment. The results allow us to tailor the best treatment recommendations to each individual case."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Our experience with young athletes, and especially motorsport drivers like Joshua Duerksen (F2 driver) and Marcos Galanti (WRC World Rally Car driver), motivates us to always stay ahead of the curve in ophthalmic treatments and equipment. The results allow us to tailor the best treatment recommendations to each individual case.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1416,
      "source_fields": {
        "Abstract Final Identifier": "POREF028",
        "Title": "Motorsports: Vision For 350 Km/H",
        "Presenting Author(s)": "Dr Jose Arrieta",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Maria Veronica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lopez Fernandez",
        "Country Name": "Argentina",
        "Purpose": "The importance of comprehensive vision assessment in young patients where no vision problems are suspected. Detection of ocular surface abnormalities that cause symptoms and can be treated to optimize vision.",
        "Setting": "Part of the ophthalmological evaluation for athletes in motorsports and any other discipline takes place in the ocular surface department.\nThe detection of dry eye syndrome generates symptoms and signs with visual impairment.",
        "Methods": "The ocular surface examination includes: BUT, Schirmer test, Rose Bengal test, and meibography.\nTreatment with Rexon and Lipiflow are alternative treatments indicated in cases where they are necessary, avoiding dependence on eye drops in pilots\nand high-performance athletes.\n.",
        "Results": "",
        "Conclusions": "Our experience with young athletes, and especially motorsport drivers like Joshua Duerksen (F2 driver) and Marcos Galanti (WRC World Rally Car driver), motivates us to always stay ahead of the curve in ophthalmic treatments and equipment. The results allow us to tailor the best treatment recommendations to each individual case."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 151
    },
    {
      "uid": "POREF029",
      "abstract_number": "POREF029",
      "title": "Visual Characteristics In A Group Of High-Performance Athletes From Boca Juniors Futbol Club, Argentina",
      "authors": "Dr Jose Arrieta",
      "presenter": "Dr Jose Arrieta",
      "normalized_authors": [
        "Jose Arrieta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Veronica Lopez Fernandez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate the visual health characteristics and conditions of soccer players from one of the top first-division soccer clubs in Argentina.\nDetection of visual defects that could impact in training and competitions global performance. Importance of clinical evaluations in players and importance of e ducating athletes, coaches, and managers about visual health care.",
        "Setting": "178 players from all youth divisions of Boca Juniors ( 4ta,5ta,6ta,7ma,8va,9na division), were evaluated at the club's training facility in La Boca, Buenos Aires, Argentina. Inclusion criteria: young men between 14 and 20 years old from the lower divisions of the Boca Juniors club. The evaluation tests done were: visual acuity (Snellen chart), biomicroscopy,\nGoldman applanation tonometry, color vision test (Ishihara test), ocular dominance, and visual field testing (Humphrey 24-2).",
        "Methods": "The results were as follows: 63% of players had uncorrected visual acuity (VA) of 20/20 or better, 32% had VA <20/30, left ocular dominance was higher than right, elevated or borderline intraocular pressure was found in 8 patients (14.24%), and color vision impairment was observed in 7 patients (12.46%). No significant visual field defects were observed in the visual field tests.",
        "Conclusions": "Priority attention will be given to players with elevated or borderline intraocular pressure.\nReference correction of refractive errors is needed.\nMonitoring for potential visual field defects is crucial.\nThe aim is to promote the concept of comprehensive vision prevention and control in professional soccer players."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Priority attention will be given to players with elevated or borderline intraocular pressure. Reference correction of refractive errors is needed. Monitoring for potential visual field defects is crucial. The aim is to promote the concept of comprehensive vision prevention and control in professional soccer players.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1417,
      "source_fields": {
        "Abstract Final Identifier": "POREF029",
        "Title": "Visual Characteristics In A Group Of High-Performance Athletes From Boca Juniors Futbol Club, Argentina",
        "Presenting Author(s)": "Dr Jose Arrieta",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Maria Veronica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lopez Fernandez",
        "Country Name": "Argentina",
        "Purpose": "To evaluate the visual health characteristics and conditions of soccer players from one of the top first-division soccer clubs in Argentina.\nDetection of visual defects that could impact in training and competitions global performance. Importance of clinical evaluations in players and importance of e ducating athletes, coaches, and managers about visual health care.",
        "Setting": "178 players from all youth divisions of Boca Juniors ( 4ta,5ta,6ta,7ma,8va,9na division), were evaluated at the club's training facility in La Boca, Buenos Aires, Argentina. Inclusion criteria: young men between 14 and 20 years old from the lower divisions of the Boca Juniors club. The evaluation tests done were: visual acuity (Snellen chart), biomicroscopy,\nGoldman applanation tonometry, color vision test (Ishihara test), ocular dominance, and visual field testing (Humphrey 24-2).",
        "Methods": "The results were as follows: 63% of players had uncorrected visual acuity (VA) of 20/20 or better, 32% had VA <20/30, left ocular dominance was higher than right, elevated or borderline intraocular pressure was found in 8 patients (14.24%), and color vision impairment was observed in 7 patients (12.46%). No significant visual field defects were observed in the visual field tests.",
        "Results": "",
        "Conclusions": "Priority attention will be given to players with elevated or borderline intraocular pressure.\nReference correction of refractive errors is needed.\nMonitoring for potential visual field defects is crucial.\nThe aim is to promote the concept of comprehensive vision prevention and control in professional soccer players."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "POREF030",
      "abstract_number": "POREF030",
      "title": "High-Performance Vision In Tennis",
      "authors": "Dr Jose Arrieta",
      "presenter": "Dr Jose Arrieta",
      "normalized_authors": [
        "Jose Arrieta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Veronica Lopez Fernandez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "Focusing on the importance of the best corrected vision in amateur and high-performance athletes and tennis players.\nPrimary and secondary visual functions must be correctly evaluated in patients attending the ophthalmological consultation, thus allowing a correct\ndiagnosis and its consequent best medical-surgical indication.",
        "Setting": "The evaluations are carried out in the ophthalmology office and the biomechanics and visual stimulation laboratory for training amateur and\nprofessional athletes.",
        "Methods": "An algorithm for evaluating best-corrected vision, taking into account refractive errors, ocular surface pathology,\nand visual functions such as contrast sensitivity and ocular dominance, constitutes one of the fundamental parameters to consider\nwhen determining the best treatment plan.",
        "Conclusions": "Achieving optimal vision translates into a competitive advantage for athletes who perceive\nthis benefit in their athletic development."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Achieving optimal vision translates into a competitive advantage for athletes who perceive this benefit in their athletic development.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1418,
      "source_fields": {
        "Abstract Final Identifier": "POREF030",
        "Title": "High-Performance Vision In Tennis",
        "Presenting Author(s)": "Dr Jose Arrieta",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Maria Veronica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lopez Fernandez",
        "Country Name": "Argentina",
        "Purpose": "Focusing on the importance of the best corrected vision in amateur and high-performance athletes and tennis players.\nPrimary and secondary visual functions must be correctly evaluated in patients attending the ophthalmological consultation, thus allowing a correct\ndiagnosis and its consequent best medical-surgical indication.",
        "Setting": "The evaluations are carried out in the ophthalmology office and the biomechanics and visual stimulation laboratory for training amateur and\nprofessional athletes.",
        "Methods": "An algorithm for evaluating best-corrected vision, taking into account refractive errors, ocular surface pathology,\nand visual functions such as contrast sensitivity and ocular dominance, constitutes one of the fundamental parameters to consider\nwhen determining the best treatment plan.",
        "Results": "",
        "Conclusions": "Achieving optimal vision translates into a competitive advantage for athletes who perceive\nthis benefit in their athletic development."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 121
    },
    {
      "uid": "POREF031",
      "abstract_number": "POREF031",
      "title": "Sports Selective Uv Filters Review",
      "authors": "Dr Maria Veronica Lopez Fernandez",
      "presenter": "Dr Maria Veronica Lopez Fernandez",
      "normalized_authors": [
        "Maria Veronica Lopez Fernandez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Veronica Lopez Fernandez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "Maximize visual acuity with the use of selective absorption filters that allow spectral control of visible light, improving contrast and glare sensitivity in variable light conditions such as those that occur during the practice of sports activities at a professional and amateur level.",
        "Setting": "Systematic review of UV filters. materials and eye protection to be prescribed in athlets and patients with most comon ocular diseases.",
        "Methods": "Spectral control filters are indicated for various sports in patients with or without ocular pathology, aiming to improve light control,\noptimize contrast sensitivity, and provide protection depending on the environment (snow, asphalt, water, or forest).\nSpectral light control is primarily achieved with filters between 400 and 585 nm. Additionally, polarized and photochromic filters offer\ncomfort by controlling the flow of light rays into the eye.\nFinally, polycarbonate, a highly impact-resistant material with inherent UV protection (blocking 100% due to its nature),\nis the material of choice for manufacturing sports eyewear ideal for eye protection.",
        "Conclusions": "Technological advancements in the optical industry are keeping pace with the visual demands of athletes. Ophthalmologists must be familiar with the\nmarket options to ensure optimal prescription of eyeglasses that not only provide good protection during sports but also correct refractive errors as much\nas possible in patients with or without eye diseases, who require it.\nEducating the public on the importance of eye care and regular vision checks is crucial for preventing or treating visual pathologies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Technological advancements in the optical industry are keeping pace with the visual demands of athletes. Ophthalmologists must be familiar with the market options to ensure optimal prescription of eyeglasses that not only provide good protection during sports but also correct refractive errors as much as possible in patients with or without eye diseases, who require it. Educating the public on the importance of eye…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1419,
      "source_fields": {
        "Abstract Final Identifier": "POREF031",
        "Title": "Sports Selective Uv Filters Review",
        "Presenting Author(s)": "Dr Maria Veronica Lopez Fernandez",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Maria Veronica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lopez Fernandez",
        "Country Name": "Argentina",
        "Purpose": "Maximize visual acuity with the use of selective absorption filters that allow spectral control of visible light, improving contrast and glare sensitivity in variable light conditions such as those that occur during the practice of sports activities at a professional and amateur level.",
        "Setting": "Systematic review of UV filters. materials and eye protection to be prescribed in athlets and patients with most comon ocular diseases.",
        "Methods": "Spectral control filters are indicated for various sports in patients with or without ocular pathology, aiming to improve light control,\noptimize contrast sensitivity, and provide protection depending on the environment (snow, asphalt, water, or forest).\nSpectral light control is primarily achieved with filters between 400 and 585 nm. Additionally, polarized and photochromic filters offer\ncomfort by controlling the flow of light rays into the eye.\nFinally, polycarbonate, a highly impact-resistant material with inherent UV protection (blocking 100% due to its nature),\nis the material of choice for manufacturing sports eyewear ideal for eye protection.",
        "Results": "",
        "Conclusions": "Technological advancements in the optical industry are keeping pace with the visual demands of athletes. Ophthalmologists must be familiar with the\nmarket options to ensure optimal prescription of eyeglasses that not only provide good protection during sports but also correct refractive errors as much\nas possible in patients with or without eye diseases, who require it.\nEducating the public on the importance of eye care and regular vision checks is crucial for preventing or treating visual pathologies."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POREF032",
      "abstract_number": "POREF032",
      "title": "Phakic Intraocular Lens Implantation In High Hyperopia With Anterior Chamber Depth <3Mm: A Case Report",
      "authors": "Belen Maria Meehan Valdes",
      "presenter": "Belen Maria Meehan Valdes",
      "normalized_authors": [
        "Belen Maria Meehan Valdes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Belen maria Meehan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To report a case of high hyperopia and astigmatism with an anterior chamber depth (ACD) <3mm managed with the Visian implantable collamer lens (ICL) phakic intraocular lens",
        "Setting": "SOF Oftalmologia, Cordoba, Argentina",
        "Methods": "The patient is a 21 year old man with cycloplegic refraction of +6.50 +2.00 x 49 in right eye and +7.00 +2.00 x 116 in left eye. Also in biometry he presented ACD <3mm (2.9mm in both eyes). He underwent bilateral ICL hyperopic toric implantation, No intraoperative or postoperative complications were observed during the 6 month follow-up. The manifest refraction improved to +0.75 -0.75 x 120 in right eye and +0.25 +0.50 x 79 in lef eye. The vault is > 250µm in both eyes.",
        "Conclusions": "This case demonstrates that Visian ICL implantation may provide safe and effective refractive correction in carefully selected hyperopic patients with ACD slightly below the recommended threshold, with satisfactory vault and no short-term complications. Careful biometric evaluation and close follow-up are essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This case demonstrates that Visian ICL implantation may provide safe and effective refractive correction in carefully selected hyperopic patients with ACD slightly below the recommended threshold, with satisfactory vault and no short-term complications. Careful biometric evaluation and close follow-up are essential.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1420,
      "source_fields": {
        "Abstract Final Identifier": "POREF032",
        "Title": "Phakic Intraocular Lens Implantation In High Hyperopia With Anterior Chamber Depth <3Mm: A Case Report",
        "Presenting Author(s)": "Belen Maria Meehan Valdes",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Belen",
        "Submitter Middle Name": "maria",
        "Submitter Last Name": "Meehan",
        "Country Name": "Argentina",
        "Purpose": "To report a case of high hyperopia and astigmatism with an anterior chamber depth (ACD) <3mm managed with the Visian implantable collamer lens (ICL) phakic intraocular lens",
        "Setting": "SOF Oftalmologia, Cordoba, Argentina",
        "Methods": "The patient is a 21 year old man with cycloplegic refraction of +6.50 +2.00 x 49 in right eye and +7.00 +2.00 x 116 in left eye. Also in biometry he presented ACD <3mm (2.9mm in both eyes). He underwent bilateral ICL hyperopic toric implantation, No intraoperative or postoperative complications were observed during the 6 month follow-up. The manifest refraction improved to +0.75 -0.75 x 120 in right eye and +0.25 +0.50 x 79 in lef eye. The vault is > 250µm in both eyes.",
        "Results": "",
        "Conclusions": "This case demonstrates that Visian ICL implantation may provide safe and effective refractive correction in carefully selected hyperopic patients with ACD slightly below the recommended threshold, with satisfactory vault and no short-term complications. Careful biometric evaluation and close follow-up are essential."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 165
    },
    {
      "uid": "POREF033",
      "abstract_number": "POREF033",
      "title": "Pericentral Epithelial Ingrowth Within A Smile Interface: Diagnosis And Surgical Management",
      "authors": "Dr Alexander Movshovich",
      "presenter": "Dr Alexander Movshovich",
      "normalized_authors": [
        "Alexander Movshovich"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Movshovich",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To demonstrate the diagnosis and step-by-step surgical management of pericentral epithelial ingrowth within the SMILE interface and to discuss clinical decision-making between mechanical removal and Nd:YAG laser treatment.",
        "Setting": "High-volume tertiary refractive surgery center in the United States, specializing in small incision lenticule extraction (SMILE) and advanced corneal imaging.",
        "Methods": "A 23-year-old female presented with decreased vision and ocular discomfort one week following SMILE in the left eye. Slit-lamp examination and anterior segment OCT identified a localized pericentral epithelial nest within the SMILE interface. Given its visually significant location, surgical management was elected as an alternative to Nd:YAG laser disruption in order to preserve interface regularity and minimize the risk of refractive alteration. The interface was partially reopened through the original incision. A Sinskey hook was used to carefully dissect the epithelial tissue from stromal adhesions, followed by removal with microforceps and irrigation of the interface. Complete removal of the epithelial tissue was confirmed intraoperatively and with postoperative slit-lamp examination and OCT imaging. The interface remained clear without residual epithelial proliferation. At follow-up, uncorrected visual acuity returned to 20/20, with resolution of symptoms and no recurrence observed.",
        "Conclusions": "Pericentral epithelial ingrowth within a SMILE interface may compromise visual quality if untreated. Early identification and controlled surgical removal allow precise elimination of epithelial tissue while preserving refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Pericentral epithelial ingrowth within a SMILE interface may compromise visual quality if untreated. Early identification and controlled surgical removal allow precise elimination of epithelial tissue while preserving refractive outcomes.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1421,
      "source_fields": {
        "Abstract Final Identifier": "POREF033",
        "Title": "Pericentral Epithelial Ingrowth Within A Smile Interface: Diagnosis And Surgical Management",
        "Presenting Author(s)": "Dr Alexander Movshovich",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Movshovich",
        "Country Name": "United States",
        "Purpose": "To demonstrate the diagnosis and step-by-step surgical management of pericentral epithelial ingrowth within the SMILE interface and to discuss clinical decision-making between mechanical removal and Nd:YAG laser treatment.",
        "Setting": "High-volume tertiary refractive surgery center in the United States, specializing in small incision lenticule extraction (SMILE) and advanced corneal imaging.",
        "Methods": "A 23-year-old female presented with decreased vision and ocular discomfort one week following SMILE in the left eye. Slit-lamp examination and anterior segment OCT identified a localized pericentral epithelial nest within the SMILE interface. Given its visually significant location, surgical management was elected as an alternative to Nd:YAG laser disruption in order to preserve interface regularity and minimize the risk of refractive alteration. The interface was partially reopened through the original incision. A Sinskey hook was used to carefully dissect the epithelial tissue from stromal adhesions, followed by removal with microforceps and irrigation of the interface. Complete removal of the epithelial tissue was confirmed intraoperatively and with postoperative slit-lamp examination and OCT imaging. The interface remained clear without residual epithelial proliferation. At follow-up, uncorrected visual acuity returned to 20/20, with resolution of symptoms and no recurrence observed.",
        "Results": "",
        "Conclusions": "Pericentral epithelial ingrowth within a SMILE interface may compromise visual quality if untreated. Early identification and controlled surgical removal allow precise elimination of epithelial tissue while preserving refractive outcomes."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POREF034",
      "abstract_number": "POREF034",
      "title": "Dry Eye Disease Before And After Clear (Corneal Lenticule Extraction For Advanced Refractive Correction)",
      "authors": "Dr Nazokat Mukhamedova",
      "presenter": "Dr Nazokat Mukhamedova",
      "normalized_authors": [
        "Nazokat Mukhamedova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nazokat Mukhamedova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To describe ocular surface optimisation and postoperative dry eye status in a contact-lens–intolerant patient with dry eye disease (DED) undergoing Corneal Lenticule Extraction for Advanced Refractive Correction (CLEAR).",
        "Setting": "SAIF-OPTIMA Eye Clinic, Tashkent, Uzbekistan.",
        "Methods": "A 23-year-old female with 5-year soft contact lens wear presented with lens intolerance, burning, foreign-body sensation, and redness. Refraction: OD −4.00/−4.00×10, OS −4.50/−2.00×165. Diagnosis: bilateral high myopia, compound myopic astigmatism, hypoxic keratopathy, and DED.\nBaseline ocular surface: NIBUT 4.5/4.4 s (OD/OS); interferometry – lipid layer ≈15 nm (open meshwork, grade A); meibography – meibomian gland loss area (%) lower lid 0/0, upper lid 0/10; TMH 0.19/0.21 mm; corneal epithelial mapping.\nThe ocular surface was optimised with contact lens discontinuation, preservative-free lubricants, a cationic emulsion at night, and a short course of preservative-free topical corticosteroid. After treatment, symptoms and objective metrics improved. Post-optimisation: NIBUT 8.4/8.0 s; lipid layer ≈30 nm (close meshwork, grade B); TMH 0.25/0.20 mm.\nFemtosecond CLEAR (flapless lenticule extraction via small incision) was performed. At follow-up, the patient was emmetropic (OD +0.50/−0.50×10) with no significant dry eye symptoms. Post-CLEAR: NIBUT 8.7/9.0 s; TMH 0.19/0.24 mm. Optical quality improved: MTF average height from 0.239 to 0.611, total HOA from 0.171 to 0.062 µm. No clinically relevant postoperative dry eye was observed.",
        "Conclusions": "Long-term contact lens wearers should be screened for hypoxic keratopathy and DED using objective tear-film and corneal epithelial assessments. Preoperative ocular surface optimisation can improve both symptoms and objective metrics. In this case, CLEAR achieved effective refractive correction with favourable early postoperative ocular surface comfort and optical quality, consistent with the nerve-sparing profile of flapless small-incision lenticule extraction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Long-term contact lens wearers should be screened for hypoxic keratopathy and DED using objective tear-film and corneal epithelial assessments. Preoperative ocular surface optimisation can improve both symptoms and objective metrics. In this case, CLEAR achieved effective refractive correction with favourable early postoperative ocular surface comfort and optical quality, consistent with the nerve-sparing profile…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1422,
      "source_fields": {
        "Abstract Final Identifier": "POREF034",
        "Title": "Dry Eye Disease Before And After Clear (Corneal Lenticule Extraction For Advanced Refractive Correction)",
        "Presenting Author(s)": "Dr Nazokat Mukhamedova",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Nazokat",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mukhamedova",
        "Country Name": "Uzbekistan",
        "Purpose": "To describe ocular surface optimisation and postoperative dry eye status in a contact-lens–intolerant patient with dry eye disease (DED) undergoing Corneal Lenticule Extraction for Advanced Refractive Correction (CLEAR).",
        "Setting": "SAIF-OPTIMA Eye Clinic, Tashkent, Uzbekistan.",
        "Methods": "A 23-year-old female with 5-year soft contact lens wear presented with lens intolerance, burning, foreign-body sensation, and redness. Refraction: OD −4.00/−4.00×10, OS −4.50/−2.00×165. Diagnosis: bilateral high myopia, compound myopic astigmatism, hypoxic keratopathy, and DED.\nBaseline ocular surface: NIBUT 4.5/4.4 s (OD/OS); interferometry – lipid layer ≈15 nm (open meshwork, grade A); meibography – meibomian gland loss area (%) lower lid 0/0, upper lid 0/10; TMH 0.19/0.21 mm; corneal epithelial mapping.\nThe ocular surface was optimised with contact lens discontinuation, preservative-free lubricants, a cationic emulsion at night, and a short course of preservative-free topical corticosteroid. After treatment, symptoms and objective metrics improved. Post-optimisation: NIBUT 8.4/8.0 s; lipid layer ≈30 nm (close meshwork, grade B); TMH 0.25/0.20 mm.\nFemtosecond CLEAR (flapless lenticule extraction via small incision) was performed. At follow-up, the patient was emmetropic (OD +0.50/−0.50×10) with no significant dry eye symptoms. Post-CLEAR: NIBUT 8.7/9.0 s; TMH 0.19/0.24 mm. Optical quality improved: MTF average height from 0.239 to 0.611, total HOA from 0.171 to 0.062 µm. No clinically relevant postoperative dry eye was observed.",
        "Results": "",
        "Conclusions": "Long-term contact lens wearers should be screened for hypoxic keratopathy and DED using objective tear-film and corneal epithelial assessments. Preoperative ocular surface optimisation can improve both symptoms and objective metrics. In this case, CLEAR achieved effective refractive correction with favourable early postoperative ocular surface comfort and optical quality, consistent with the nerve-sparing profile of flapless small-incision lenticule extraction."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POREF035",
      "abstract_number": "POREF035",
      "title": "Vertically Oriented Phakic Intraocular Lens (Iol)",
      "authors": "Dr Mubashir Parkar",
      "presenter": "Dr Mubashir Parkar",
      "normalized_authors": [
        "Mubashir Parkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mubashir Parkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Myopia is a global epidemic, with an estimated prevalence of more than 28%. Phakic Intraocular Lens (IOL) implantation is a popular method of reducing spectacle dependence in these cases, especially in high myopia. While phakic IOLs are conventionally oriented horizontally after implantation, we would like to report a case of vertically oriented phakic IOL in both eyes.",
        "Setting": "Refractive surgery out-patient department (OPD) in a tertiary eye institute in southern India",
        "Methods": "A 24-year-old lady presented to our OPD with a complaint of blurring of vision in her left eye for distance since undergoing a phakic IOL implantation elsewhere 3 months back. Her best corrected visual acuity(BCVA) was 20/20 in both eyes with a subjective refractive error of -0.50D@90 in right eye and +1.00/-4.00@170 in the left eye respectively. On post dilated slit lamp examination, the phakic IOL in the right eye was seen to be oriented horizontally (Figure 1a and 1b) while the phakic IOL in the left eye was vertically oriented (Figure 2a and 2b) . 2b). A Toric enhancement scan on iTrace was done which showed that the IOL in the right eye was fairly well oriented, while the IOL in the left eye was oriented 90° away from the desired axis (Figure 3a and 3b) . The patient was informed of the orientation of the IOL and was advised IOL repositioning to correct the refractive error. Subsequently, the patient achieved a uncorrected visual acuity of 6/6 in the left eye with a minimal refractive error of -0.50@175.",
        "Conclusions": "A popular phakic IOL used in southeast Asia is called implantable phakic contact lens (IPCL, Care Group, India). The IPCL has been marketed as a “smart Toric” lens, where the lenses are manufactured with toricity along the desired axis and are implanted horizontally to get the desired toric refractive error correction. This was a case of smart Toric IPCL which had been implanted along the wrong axis inducing a cylindrical error equal to the error requiring correction. This case highlights the ease and simplicity of correcting residual errors following phakic IOL implantation as opposed to laser refractive surgery, as well as the utility of iTrace in identifying the correct axis of orientation in toric lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "A popular phakic IOL used in southeast Asia is called implantable phakic contact lens (IPCL, Care Group, India). The IPCL has been marketed as a “smart Toric” lens, where the lenses are manufactured with toricity along the desired axis and are implanted horizontally to get the desired toric refractive error correction. This was a case of smart Toric IPCL which had been implanted along the wrong axis inducing a…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1423,
      "source_fields": {
        "Abstract Final Identifier": "POREF035",
        "Title": "Vertically Oriented Phakic Intraocular Lens (Iol)",
        "Presenting Author(s)": "Dr Mubashir Parkar",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Mubashir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parkar",
        "Country Name": "India",
        "Purpose": "Myopia is a global epidemic, with an estimated prevalence of more than 28%. Phakic Intraocular Lens (IOL) implantation is a popular method of reducing spectacle dependence in these cases, especially in high myopia. While phakic IOLs are conventionally oriented horizontally after implantation, we would like to report a case of vertically oriented phakic IOL in both eyes.",
        "Setting": "Refractive surgery out-patient department (OPD) in a tertiary eye institute in southern India",
        "Methods": "A 24-year-old lady presented to our OPD with a complaint of blurring of vision in her left eye for distance since undergoing a phakic IOL implantation elsewhere 3 months back. Her best corrected visual acuity(BCVA) was 20/20 in both eyes with a subjective refractive error of -0.50D@90 in right eye and +1.00/-4.00@170 in the left eye respectively. On post dilated slit lamp examination, the phakic IOL in the right eye was seen to be oriented horizontally (Figure 1a and 1b) while the phakic IOL in the left eye was vertically oriented (Figure 2a and 2b) . 2b). A Toric enhancement scan on iTrace was done which showed that the IOL in the right eye was fairly well oriented, while the IOL in the left eye was oriented 90° away from the desired axis (Figure 3a and 3b) . The patient was informed of the orientation of the IOL and was advised IOL repositioning to correct the refractive error. Subsequently, the patient achieved a uncorrected visual acuity of 6/6 in the left eye with a minimal refractive error of -0.50@175.",
        "Results": "",
        "Conclusions": "A popular phakic IOL used in southeast Asia is called implantable phakic contact lens (IPCL, Care Group, India). The IPCL has been marketed as a “smart Toric” lens, where the lenses are manufactured with toricity along the desired axis and are implanted horizontally to get the desired toric refractive error correction. This was a case of smart Toric IPCL which had been implanted along the wrong axis inducing a cylindrical error equal to the error requiring correction. This case highlights the ease and simplicity of correcting residual errors following phakic IOL implantation as opposed to laser refractive surgery, as well as the utility of iTrace in identifying the correct axis of orientation in toric lenses."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 373
    },
    {
      "uid": "POREF036",
      "abstract_number": "POREF036",
      "title": "Photorefractive Keratectomy In A Patient With Bitot's Spots: First Reported Case",
      "authors": "Raul H Plasencia Salini",
      "presenter": "Raul H Plasencia Salini",
      "normalized_authors": [
        "Raul H Plasencia Salini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raul H Plasencia Salini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "Bitot's spots are keratinized conjunctival lesions secondary to vitamin A deficiency and may indicate compromised ocular surface integrity. Because epithelial healing is critical after photorefractive keratectomy (PRK), hypovitaminosis A may represent a potential risk factor for postoperative complications. There are no published reports describing PRK in patients with Bitot's spots. We present the first reported case, detailing systemic evaluation, perioperative management, and clinical outcomes.",
        "Setting": "Private refractive surgery center.",
        "Methods": "A 30-year-old woman presented for refractive surgery evaluation with uncorrected distance visual acuity (UDVA) of 20/400 in both eyes. She reported mild dry eye symptoms associated with prolonged screen use and soft contact lens wear. Manifest refraction was −4.50 D (OD) and −4.00 −0.50 ×180 (OS). Slit-lamp examination revealed bilateral temporal conjunctival Bitot's spots.\n\nSerum vitamin A level was 0.21 mg/L (reference 0.30–1.00 mg/L). The patient was referred to Internal Medicine for evaluation of hypovitaminosis A. Systemic workup excluded malabsorption, liver disease, and nutritional deficiency, suggesting probable familial hypovitaminosis A. Oral vitamin A supplementation (10,000 IU/day) was initiated for two months with ocular lubrication.\n\nPRK was performed in both eyes three months after treatment initiation. Standard postoperative therapy included topical antibiotics, corticosteroids, and preservative-free artificial tears. Epithelial healing was complete and uneventful. UDVA improved to 20/20 OU by postoperative day 10. No corneal haze or significant dry eye developed.\n\nAt one-year follow-up, Bitot's spots had markedly regressed, nearly disappearing, with stable refraction and no complications.",
        "Conclusions": "Bitot's spots are not an absolute contraindication to PRK. Identification and correction of vitamin A deficiency prior to surgery are essential to ensure normal epithelial healing and prevent ocular surface complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Bitot's spots are not an absolute contraindication to PRK. Identification and correction of vitamin A deficiency prior to surgery are essential to ensure normal epithelial healing and prevent ocular surface complications.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1424,
      "source_fields": {
        "Abstract Final Identifier": "POREF036",
        "Title": "Photorefractive Keratectomy In A Patient With Bitot's Spots: First Reported Case",
        "Presenting Author(s)": "Raul H Plasencia Salini",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Raul",
        "Submitter Middle Name": "H",
        "Submitter Last Name": "Plasencia Salini",
        "Country Name": "Peru",
        "Purpose": "Bitot's spots are keratinized conjunctival lesions secondary to vitamin A deficiency and may indicate compromised ocular surface integrity. Because epithelial healing is critical after photorefractive keratectomy (PRK), hypovitaminosis A may represent a potential risk factor for postoperative complications. There are no published reports describing PRK in patients with Bitot's spots. We present the first reported case, detailing systemic evaluation, perioperative management, and clinical outcomes.",
        "Setting": "Private refractive surgery center.",
        "Methods": "A 30-year-old woman presented for refractive surgery evaluation with uncorrected distance visual acuity (UDVA) of 20/400 in both eyes. She reported mild dry eye symptoms associated with prolonged screen use and soft contact lens wear. Manifest refraction was −4.50 D (OD) and −4.00 −0.50 ×180 (OS). Slit-lamp examination revealed bilateral temporal conjunctival Bitot's spots.\n\nSerum vitamin A level was 0.21 mg/L (reference 0.30–1.00 mg/L). The patient was referred to Internal Medicine for evaluation of hypovitaminosis A. Systemic workup excluded malabsorption, liver disease, and nutritional deficiency, suggesting probable familial hypovitaminosis A. Oral vitamin A supplementation (10,000 IU/day) was initiated for two months with ocular lubrication.\n\nPRK was performed in both eyes three months after treatment initiation. Standard postoperative therapy included topical antibiotics, corticosteroids, and preservative-free artificial tears. Epithelial healing was complete and uneventful. UDVA improved to 20/20 OU by postoperative day 10. No corneal haze or significant dry eye developed.\n\nAt one-year follow-up, Bitot's spots had markedly regressed, nearly disappearing, with stable refraction and no complications.",
        "Results": "",
        "Conclusions": "Bitot's spots are not an absolute contraindication to PRK. Identification and correction of vitamin A deficiency prior to surgery are essential to ensure normal epithelial healing and prevent ocular surface complications."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POREF037",
      "abstract_number": "POREF037",
      "title": "Impact Of Clinical Examination On Soft Contact Lens Fitting And Associated Ocular Surface Complications In Young Adults",
      "authors": "Dr Laila Rizki",
      "presenter": "Dr Laila Rizki",
      "normalized_authors": [
        "Laila Rizki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laila Rizki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Tunisia",
      "sections": {
        "Purpose": "Soft contact lenses are widely used for refractive correction and cosmetic purposes, particularly among young adults. Although generally safe when properly fitted and monitored, inappropriate fitting and poor hygiene practices may lead to significant ocular surface complications. Comprehensive clinical examination remains essential to ensure optimal lens adaptation and prevent adverse events.\n\nTo evaluate the role of thorough clinical examination in optimizing soft contact lens fitting and to identify the main ocular complications associated with improper use.",
        "Setting": "This retrospective descriptive study included 34 female soft contact lens wearers aged 18–30 years. Data collection involved standardized questionnaires assessing wearing habits and hygiene practices. All participants underwent complete ophthalmologic examination including visual acuity assessment, slit-lamp biomicroscopy, fluorescein staining, and tear film evaluation. Lens parameters (base curve, diameter, material, and replacement frequency) were analyzed to determine fitting adequacy.",
        "Methods": "Eighty-eight percent of lenses were fitted without medical supervision. Non-optimal base curve was observed in 71% and inappropriate diameter in 80% of cases. Ocular complications were predominantly hypoxic and inflammatory, including corneal neovascularization (88%), superficial punctate keratitis (68%), dry eye symptoms (94%), and protein deposits (88%). No infectious keratitis was reported.",
        "Conclusions": "Inadequate lens fitting and poor compliance are strongly associated with ocular surface complications. Structured clinical assessment, patient education, and regular follow-up are essential to ensure safe and effective contact lens wear."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Inadequate lens fitting and poor compliance are strongly associated with ocular surface complications. Structured clinical assessment, patient education, and regular follow-up are essential to ensure safe and effective contact lens wear.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1425,
      "source_fields": {
        "Abstract Final Identifier": "POREF037",
        "Title": "Impact Of Clinical Examination On Soft Contact Lens Fitting And Associated Ocular Surface Complications In Young Adults",
        "Presenting Author(s)": "Dr Laila Rizki",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Laila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rizki",
        "Country Name": "Tunisia",
        "Purpose": "Soft contact lenses are widely used for refractive correction and cosmetic purposes, particularly among young adults. Although generally safe when properly fitted and monitored, inappropriate fitting and poor hygiene practices may lead to significant ocular surface complications. Comprehensive clinical examination remains essential to ensure optimal lens adaptation and prevent adverse events.\n\nTo evaluate the role of thorough clinical examination in optimizing soft contact lens fitting and to identify the main ocular complications associated with improper use.",
        "Setting": "This retrospective descriptive study included 34 female soft contact lens wearers aged 18–30 years. Data collection involved standardized questionnaires assessing wearing habits and hygiene practices. All participants underwent complete ophthalmologic examination including visual acuity assessment, slit-lamp biomicroscopy, fluorescein staining, and tear film evaluation. Lens parameters (base curve, diameter, material, and replacement frequency) were analyzed to determine fitting adequacy.",
        "Methods": "Eighty-eight percent of lenses were fitted without medical supervision. Non-optimal base curve was observed in 71% and inappropriate diameter in 80% of cases. Ocular complications were predominantly hypoxic and inflammatory, including corneal neovascularization (88%), superficial punctate keratitis (68%), dry eye symptoms (94%), and protein deposits (88%). No infectious keratitis was reported.",
        "Results": "",
        "Conclusions": "Inadequate lens fitting and poor compliance are strongly associated with ocular surface complications. Structured clinical assessment, patient education, and regular follow-up are essential to ensure safe and effective contact lens wear."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POREF038",
      "abstract_number": "POREF038",
      "title": "Different Outcomes After Icl Implantation With Identical Vault Profiles: A Comparative Case Observation",
      "authors": "Dr Vera Sá Araújo",
      "presenter": "Dr Vera Sá Araújo",
      "normalized_authors": [
        "Vera Sá Araújo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vera Sá Araújo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To describe two patients with identical anterior segment characteristics and ICL models who both showed zero vault after one year but different lenticular outcomes.",
        "Setting": "Unidade Local de Braga, Braga, Portugal",
        "Methods": "Case 1: A 46-year-old woman with stable myopia (-5.50/-1.50×60 OD, -6.00/-1.75×100 OS) and anterior chamber depths of 2.99 mm (OD) and 3.09 mm (OS), with white-to-white measurements of 11.39 mm (OD) and 11.58 mm (OS), underwent bilateral implantation of a 12.6 mm ICL. The postoperative course was uneventful. At 1-year follow-up, anterior segment OCT revealed a zero vault with direct ICL–lens contact; however, the crystalline lens remained completely transparent, and uncorrected visual acuity was 10/10 in both eyes. No additional anterior segment abnormalities were noted.\n\nCase 2: A 48-year-old man with comparable biometric parameters (anterior chamber depth 3.00 mm OD, 2.96 mm OS; white-to-white 11.8 mm OD, 11.7 mm OS) underwent bilateral implantation of the same 12.6 mm ICL. At one year, anterior segment OCT similarly showed zero vault in both eyes. Slit-lamp examination revealed early anterior subcapsular cataract formation beneath the ICL contact area in the left eye, associated with a mild decrease in best-corrected visual acuity to 7/10. The right eye remained stable. Due to progressive visual compromise, ICL removal was performed in the affected eye, followed by implantation of a larger 13.2 mm ICL.",
        "Conclusions": "The most likely explanation is multifactorial individual susceptibility. Although zero vault places both patients at high risk of direct ICL–lens contact, a recognized mechanism for anterior subcapsular opacification, contact alone is not always sufficient to induce cataract formation. Subtle individual differences in lens epithelial cell biology, age, lens thickness and position, ciliary body anatomy, intraoperative microtrauma, postoperative inflammation, and capsule resilience may modulate the response to chronic mechanical stress. These factors help explain why, despite identical anterior chamber characteristics, opacification developed in only one patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The most likely explanation is multifactorial individual susceptibility. Although zero vault places both patients at high risk of direct ICL–lens contact, a recognized mechanism for anterior subcapsular opacification, contact alone is not always sufficient to induce cataract formation. Subtle individual differences in lens epithelial cell biology, age, lens thickness and position, ciliary body anatomy,…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1426,
      "source_fields": {
        "Abstract Final Identifier": "POREF038",
        "Title": "Different Outcomes After Icl Implantation With Identical Vault Profiles: A Comparative Case Observation",
        "Presenting Author(s)": "Dr Vera Sá Araújo",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Vera",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sá Araújo",
        "Country Name": "Portugal",
        "Purpose": "To describe two patients with identical anterior segment characteristics and ICL models who both showed zero vault after one year but different lenticular outcomes.",
        "Setting": "Unidade Local de Braga, Braga, Portugal",
        "Methods": "Case 1: A 46-year-old woman with stable myopia (-5.50/-1.50×60 OD, -6.00/-1.75×100 OS) and anterior chamber depths of 2.99 mm (OD) and 3.09 mm (OS), with white-to-white measurements of 11.39 mm (OD) and 11.58 mm (OS), underwent bilateral implantation of a 12.6 mm ICL. The postoperative course was uneventful. At 1-year follow-up, anterior segment OCT revealed a zero vault with direct ICL–lens contact; however, the crystalline lens remained completely transparent, and uncorrected visual acuity was 10/10 in both eyes. No additional anterior segment abnormalities were noted.\n\nCase 2: A 48-year-old man with comparable biometric parameters (anterior chamber depth 3.00 mm OD, 2.96 mm OS; white-to-white 11.8 mm OD, 11.7 mm OS) underwent bilateral implantation of the same 12.6 mm ICL. At one year, anterior segment OCT similarly showed zero vault in both eyes. Slit-lamp examination revealed early anterior subcapsular cataract formation beneath the ICL contact area in the left eye, associated with a mild decrease in best-corrected visual acuity to 7/10. The right eye remained stable. Due to progressive visual compromise, ICL removal was performed in the affected eye, followed by implantation of a larger 13.2 mm ICL.",
        "Results": "",
        "Conclusions": "The most likely explanation is multifactorial individual susceptibility. Although zero vault places both patients at high risk of direct ICL–lens contact, a recognized mechanism for anterior subcapsular opacification, contact alone is not always sufficient to induce cataract formation. Subtle individual differences in lens epithelial cell biology, age, lens thickness and position, ciliary body anatomy, intraoperative microtrauma, postoperative inflammation, and capsule resilience may modulate the response to chronic mechanical stress. These factors help explain why, despite identical anterior chamber characteristics, opacification developed in only one patient."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POREF039",
      "abstract_number": "POREF039",
      "title": "Long-Term Refractive Stability After Piggyback Implantable Collamer Lens In A Pseudophakic Eye: A Case Report",
      "authors": "Dr Vera Sá Araújo",
      "presenter": "Dr Vera Sá Araújo",
      "normalized_authors": [
        "Vera Sá Araújo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vera Sá Araújo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To report a case of long-term refractive stability and safety following piggyback ICL implantation for the correction of pseudophakic ametropia, with a follow-up of 10 years.",
        "Setting": "This case was managed at the Department of Ophthalmology, Unidade Local de Braga, Braga, Potugal, in 2025.",
        "Methods": "A female patient in her 50s with high myopia presented with symptomatic anisometropia four years after pars plana vitrectomy and subsequent cataract surgery in the left eye. Refractive errors caused visual dissatisfaction (RE: −7.00 −2.00 × 60, LE: −3.50 −0.75 × 80). Slit-lamp and fundus examinations were unremarkable. A staged surgical approach was performed: cataract extraction with monofocal IOL implantation in the right eye followed by piggyback ICL V4c implantation in the left eye, with lens sizing and power calculated based on anterior chamber depth, white-to-white distance and manifest refraction. Six weeks postoperatively, uncorrected distance visual acuity (UDVA) was 8/10 in both eyes and best-corrected visual acuity (BCVA) reached 10/10. Residual refractive errors were minimal (RE: −0.75 × 65, LE: +0.75 × 155). At 10-year follow-up, the piggyback ICL remained stable in the ciliary sulcus anterior to the capsular bag IOL, with a vault of 0.85 mm. No complications occurred, intraocular pressure remained within normal limits and endothelial cell counts were preserved (RE: 1950 cells/mm², LE: 1860 cells/mm²). The patient reported high satisfaction and required correction only for near tasks, with no halos, glare, or dysphotopsia.",
        "Conclusions": "Pseudophakic ametropia is residual refractive error after cataract surgery with intraocular lens implantation, affecting visual quality and patient satisfaction. Correction options include IOL exchange, corneal laser refractive surgery and secondary IOL implantation using the piggyback technique. Recently, implantable collamer lenses have emerged as a supplementary piggyback option. Piggyback ICL implantation is a safe, effective and durable option for correcting pseudophakic ametropia, providing excellent long-term visual and refractive outcomes. This case demonstrates stability, safety, and high patient satisfaction over a 10-year period, supporting the role of ICL piggyback lenses in selected pseudophakic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Pseudophakic ametropia is residual refractive error after cataract surgery with intraocular lens implantation, affecting visual quality and patient satisfaction. Correction options include IOL exchange, corneal laser refractive surgery and secondary IOL implantation using the piggyback technique. Recently, implantable collamer lenses have emerged as a supplementary piggyback option. Piggyback ICL implantation is a…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1427,
      "source_fields": {
        "Abstract Final Identifier": "POREF039",
        "Title": "Long-Term Refractive Stability After Piggyback Implantable Collamer Lens In A Pseudophakic Eye: A Case Report",
        "Presenting Author(s)": "Dr Vera Sá Araújo",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Vera",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sá Araújo",
        "Country Name": "Portugal",
        "Purpose": "To report a case of long-term refractive stability and safety following piggyback ICL implantation for the correction of pseudophakic ametropia, with a follow-up of 10 years.",
        "Setting": "This case was managed at the Department of Ophthalmology, Unidade Local de Braga, Braga, Potugal, in 2025.",
        "Methods": "A female patient in her 50s with high myopia presented with symptomatic anisometropia four years after pars plana vitrectomy and subsequent cataract surgery in the left eye. Refractive errors caused visual dissatisfaction (RE: −7.00 −2.00 × 60, LE: −3.50 −0.75 × 80). Slit-lamp and fundus examinations were unremarkable. A staged surgical approach was performed: cataract extraction with monofocal IOL implantation in the right eye followed by piggyback ICL V4c implantation in the left eye, with lens sizing and power calculated based on anterior chamber depth, white-to-white distance and manifest refraction. Six weeks postoperatively, uncorrected distance visual acuity (UDVA) was 8/10 in both eyes and best-corrected visual acuity (BCVA) reached 10/10. Residual refractive errors were minimal (RE: −0.75 × 65, LE: +0.75 × 155). At 10-year follow-up, the piggyback ICL remained stable in the ciliary sulcus anterior to the capsular bag IOL, with a vault of 0.85 mm. No complications occurred, intraocular pressure remained within normal limits and endothelial cell counts were preserved (RE: 1950 cells/mm², LE: 1860 cells/mm²). The patient reported high satisfaction and required correction only for near tasks, with no halos, glare, or dysphotopsia.",
        "Results": "",
        "Conclusions": "Pseudophakic ametropia is residual refractive error after cataract surgery with intraocular lens implantation, affecting visual quality and patient satisfaction. Correction options include IOL exchange, corneal laser refractive surgery and secondary IOL implantation using the piggyback technique. Recently, implantable collamer lenses have emerged as a supplementary piggyback option. Piggyback ICL implantation is a safe, effective and durable option for correcting pseudophakic ametropia, providing excellent long-term visual and refractive outcomes. This case demonstrates stability, safety, and high patient satisfaction over a 10-year period, supporting the role of ICL piggyback lenses in selected pseudophakic patients."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "POREF040",
      "abstract_number": "POREF040",
      "title": "Use Of Discarded Hyperopic Smile Lenticule To Correct Myopic Refractive Error For A Patient Had Previous Refractive Surgery(Prk) With Thin Cornea And Low Acd By Small Incision Lenticule Implantation",
      "authors": "Dr Zaid Shukur",
      "presenter": "Dr Zaid Shukur",
      "normalized_authors": [
        "Zaid Shukur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zaid Shukur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iraq",
      "sections": {
        "Purpose": "to emphasize the possibility of using discarded hyperopic smile corneal stromal lenticule use to correct myopic refractive error in case were unoperable by laser vision correction or Phakic intraocular lens implantation.",
        "Setting": "the case performed iin Noor Ophthalmic Center, Najaf,Iraq, at October 20th ,2025\n\n22 years old male patient\n\nRE DUCVA 6/15 PH NC\n\nLE DUCVA CF 2 meters , DCVA 6/12 (-6.0/-1.0 DC @005)\n\ncorneal parameters CCT left eye 491 Um\n\nACD 2.57 mm\n\nhyperopic smile lenticule discarded from apatient after femtosmile surgery reused to correct the myopia by insertion through a stromal pocket 8.8 mm in diameter and at depth of 120Um\n\nthe lenticule diameter was 8.2 mm and 105 Um in peripheral thickness and 25 Um centrally",
        "Methods": "myopic refractive error correction can be done primarely by laser platforms which cover a wide spectrum of myopic refractive error correction from small degree up to -10.0 DS if the cornea permits, the platforms are the excimer laser and femtosecond laser, other method of correction by phakic intraocular lens implantation like pc IOL as visian ICL, or iris fixed AC IOL, in the case of unoperable cornea cause of limited central corneal thickness and limited anterioir chamber depth its not possible to implant PIOL. The reuse of discarded hyperopic lenticule present a chance of correction this group of patient by tissue addition of this hyperopic smile lenticule into a pocket inside corneal stroma of the patient, this hyperopic lenticule tissue addition will reshape the corneal surface and compensate the myopic refractive error.the ucva was CF 2 meters ih his left eye, after lenticule implantation the ucva was improved to 6/15 during the first 7 days . the subsequent follow up visits show little improvemt in ucva and the ucva was settled at 6/15 after the end of the three months, each visit the ucva was checked in addition IOP and anterior and posterior segment examination , with each visit every positive finding was recorded,at the end of the first three months no intrastromal interphase haze was noted, lenticule graft kept in place with no displacement, no extrusion happenend, no keratitis recorded during the follow up visits no epithelial erosion or ulceration occured",
        "Conclusions": "the reuse of discarded stromal lenticule tissue from femtosecond laser for hyperopic refractive correction can present good opportunity to treat previously unoperrable patient with limited CCT or unfit ACD for PIOL,the future correction can by ajdusted more by even excimer ablasion to deal with a customized lenticule to cover astigmatic correction for those group of patients by customized preprepared lenticule with adjustment of axis of the reciepent cornea and the axis of the donar entricule."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "the reuse of discarded stromal lenticule tissue from femtosecond laser for hyperopic refractive correction can present good opportunity to treat previously unoperrable patient with limited CCT or unfit ACD for PIOL,the future correction can by ajdusted more by even excimer ablasion to deal with a customized lenticule to cover astigmatic correction for those group of patients by customized preprepared lenticule with…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1428,
      "source_fields": {
        "Abstract Final Identifier": "POREF040",
        "Title": "Use Of Discarded Hyperopic Smile Lenticule To Correct Myopic Refractive Error For A Patient Had Previous Refractive Surgery(Prk) With Thin Cornea And Low Acd By Small Incision Lenticule Implantation",
        "Presenting Author(s)": "Dr Zaid Shukur",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Zaid",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shukur",
        "Country Name": "Iraq",
        "Purpose": "to emphasize the possibility of using discarded hyperopic smile corneal stromal lenticule use to correct myopic refractive error in case were unoperable by laser vision correction or Phakic intraocular lens implantation.",
        "Setting": "the case performed iin Noor Ophthalmic Center, Najaf,Iraq, at October 20th ,2025\n\n22 years old male patient\n\nRE DUCVA 6/15 PH NC\n\nLE DUCVA CF 2 meters , DCVA 6/12 (-6.0/-1.0 DC @005)\n\ncorneal parameters CCT left eye 491 Um\n\nACD 2.57 mm\n\nhyperopic smile lenticule discarded from apatient after femtosmile surgery reused to correct the myopia by insertion through a stromal pocket 8.8 mm in diameter and at depth of 120Um\n\nthe lenticule diameter was 8.2 mm and 105 Um in peripheral thickness and 25 Um centrally",
        "Methods": "myopic refractive error correction can be done primarely by laser platforms which cover a wide spectrum of myopic refractive error correction from small degree up to -10.0 DS if the cornea permits, the platforms are the excimer laser and femtosecond laser, other method of correction by phakic intraocular lens implantation like pc IOL as visian ICL, or iris fixed AC IOL, in the case of unoperable cornea cause of limited central corneal thickness and limited anterioir chamber depth its not possible to implant PIOL. The reuse of discarded hyperopic lenticule present a chance of correction this group of patient by tissue addition of this hyperopic smile lenticule into a pocket inside corneal stroma of the patient, this hyperopic lenticule tissue addition will reshape the corneal surface and compensate the myopic refractive error.the ucva was CF 2 meters ih his left eye, after lenticule implantation the ucva was improved to 6/15 during the first 7 days . the subsequent follow up visits show little improvemt in ucva and the ucva was settled at 6/15 after the end of the three months, each visit the ucva was checked in addition IOP and anterior and posterior segment examination , with each visit every positive finding was recorded,at the end of the first three months no intrastromal interphase haze was noted, lenticule graft kept in place with no displacement, no extrusion happenend, no keratitis recorded during the follow up visits no epithelial erosion or ulceration occured",
        "Results": "",
        "Conclusions": "the reuse of discarded stromal lenticule tissue from femtosecond laser for hyperopic refractive correction can present good opportunity to treat previously unoperrable patient with limited CCT or unfit ACD for PIOL,the future correction can by ajdusted more by even excimer ablasion to deal with a customized lenticule to cover astigmatic correction for those group of patients by customized preprepared lenticule with adjustment of axis of the reciepent cornea and the axis of the donar entricule."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 448
    },
    {
      "uid": "POREF041",
      "abstract_number": "POREF041",
      "title": "Management Of The Central Epithelial Implantation Following Femtosecond Lasik- Case Report",
      "authors": "Dr Ajla Skopljak-Salkica",
      "presenter": "Dr Ajla Skopljak-Salkica",
      "normalized_authors": [
        "Ajla Skopljak-Salkica"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ajla Skopljak-Salkica",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bosnia and Herzegovina",
      "sections": {
        "Purpose": "To report a case of visually significant central epithelial implantation involving the pupillary zone two weeks after primary femtosecond LASIK performed using the SCHWIND AMARIS excimer laser system, successfully managed with surgical debridement and adjunctive mitomycin C (MMC).",
        "Setting": "This case was managed at a refractive surgery center following uneventful femtosecond LASIK for myopia. Postoperative evaluation identified central epithelial implantation within the pupillary zone. Surgical debridement with adjunctive mitomycin C was performed with close follow-up to monitor visual recovery and recurrence.",
        "Methods": "A 35-year-old female patient presented two weeks after uneventful femtosecond LASIK with complaints of blurred vision and glare. Uncorrected distance visual acuity (UDVA) had decreased to 0.3. Slit-lamp examination revealed epithelial implantation extending centrally into the pupillary zone. Anterior segment OCT (AS-OCT) demonstrated hyperreflective epithelial nests within the flap interface corresponding to the visual axis. Given the central involvement and marked visual deterioration, surgical intervention was performed. The flap was carefully lifted, and meticulous mechanical debridement of epithelial cells was carried out from both the stromal bed and the posterior surface of the flap. The interface was irrigated thoroughly. Adjunctive mitomycin C 0.02% was applied locally to reduce recurrence risk before careful flap repositioning.\n\nResults:\n\nOn the first postoperative day, the interface appeared clear. Remarkably, UDVA improved to 1.0. The patient reported complete resolution of visual disturbances. During follow-up, the interface remained transparent with no evidence of recurrent epithelial implantation.",
        "Conclusions": "Central epithelial implantation involving the pupillary zone may cause profound visual impairment even after uneventful femtosecond LASIK. Prompt surgical intervention with meticulous debridement and adjunctive MMC can restore excellent visual acuity and may reduce recurrence risk. Early recognition is critical to prevent permanent interface irregularity and optical degradation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Central epithelial implantation involving the pupillary zone may cause profound visual impairment even after uneventful femtosecond LASIK. Prompt surgical intervention with meticulous debridement and adjunctive MMC can restore excellent visual acuity and may reduce recurrence risk. Early recognition is critical to prevent permanent interface irregularity and optical degradation.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1429,
      "source_fields": {
        "Abstract Final Identifier": "POREF041",
        "Title": "Management Of The Central Epithelial Implantation Following Femtosecond Lasik- Case Report",
        "Presenting Author(s)": "Dr Ajla Skopljak-Salkica",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Ajla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Skopljak-Salkica",
        "Country Name": "Bosnia and Herzegovina",
        "Purpose": "To report a case of visually significant central epithelial implantation involving the pupillary zone two weeks after primary femtosecond LASIK performed using the SCHWIND AMARIS excimer laser system, successfully managed with surgical debridement and adjunctive mitomycin C (MMC).",
        "Setting": "This case was managed at a refractive surgery center following uneventful femtosecond LASIK for myopia. Postoperative evaluation identified central epithelial implantation within the pupillary zone. Surgical debridement with adjunctive mitomycin C was performed with close follow-up to monitor visual recovery and recurrence.",
        "Methods": "A 35-year-old female patient presented two weeks after uneventful femtosecond LASIK with complaints of blurred vision and glare. Uncorrected distance visual acuity (UDVA) had decreased to 0.3. Slit-lamp examination revealed epithelial implantation extending centrally into the pupillary zone. Anterior segment OCT (AS-OCT) demonstrated hyperreflective epithelial nests within the flap interface corresponding to the visual axis. Given the central involvement and marked visual deterioration, surgical intervention was performed. The flap was carefully lifted, and meticulous mechanical debridement of epithelial cells was carried out from both the stromal bed and the posterior surface of the flap. The interface was irrigated thoroughly. Adjunctive mitomycin C 0.02% was applied locally to reduce recurrence risk before careful flap repositioning.\n\nResults:\n\nOn the first postoperative day, the interface appeared clear. Remarkably, UDVA improved to 1.0. The patient reported complete resolution of visual disturbances. During follow-up, the interface remained transparent with no evidence of recurrent epithelial implantation.",
        "Results": "",
        "Conclusions": "Central epithelial implantation involving the pupillary zone may cause profound visual impairment even after uneventful femtosecond LASIK. Prompt surgical intervention with meticulous debridement and adjunctive MMC can restore excellent visual acuity and may reduce recurrence risk. Early recognition is critical to prevent permanent interface irregularity and optical degradation."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POREF042",
      "abstract_number": "POREF042",
      "title": "Late-Onset Flap Complications After Ocular Trauma In A Patient Previously Treated With Femto Laser In Situ Keratomileusis (Lasik): Diagnosis And Management.",
      "authors": "Ms Polyxeni Vasiloglou",
      "presenter": "Ms Polyxeni Vasiloglou",
      "normalized_authors": [
        "Polyxeni Vasiloglou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Polyxeni Vasiloglou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe the management and the outcome of traumatic, flap-related complications in a patient that underwent Femto LASIK surgery 10 years ago.",
        "Setting": "LMVision, Laser and Microsurgery Ocular Day Clinic, Thessaloniki, Greece",
        "Methods": "A 36-year-old male presented to our clinic with complaints of foreign body sensation and decreased vision in his left eye following ocular trauma with a baby fingertip sustained 12 days earlier. He first visited a tertiary hospital ophthalmic emergency department, where he was misdiagnosed as corneal erosion and was treated accordingly. Anterior segment optical coherence tomography (OCT) and slit-lamp examination revealed a centrally dislocated LASIK flap with its superotemporal edge folded inwards, epithelial ingrowth both under the folded edge and the whole flap and diffuse lamellar keratitis centrally. We attempted flap repositioning, careful removal of epithelium, scraping of epithelial ingrowth and debris and also addressed the flap fold and striae. A bandage contact lens was placed. The patient’s following topical treatment included steroids, antibiotics and artificial tears. Visual acuity improved to 6/5 and was maintained at that level.",
        "Conclusions": "Patients should be appropriately warned of the possibility of late traumatic flap displacement during lifetime. Visual recovery is possible if the dislocation is promptly diagnosed and appropriately managed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Patients should be appropriately warned of the possibility of late traumatic flap displacement during lifetime. Visual recovery is possible if the dislocation is promptly diagnosed and appropriately managed.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1430,
      "source_fields": {
        "Abstract Final Identifier": "POREF042",
        "Title": "Late-Onset Flap Complications After Ocular Trauma In A Patient Previously Treated With Femto Laser In Situ Keratomileusis (Lasik): Diagnosis And Management.",
        "Presenting Author(s)": "Ms Polyxeni Vasiloglou",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Polyxeni",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vasiloglou",
        "Country Name": "Greece",
        "Purpose": "To describe the management and the outcome of traumatic, flap-related complications in a patient that underwent Femto LASIK surgery 10 years ago.",
        "Setting": "LMVision, Laser and Microsurgery Ocular Day Clinic, Thessaloniki, Greece",
        "Methods": "A 36-year-old male presented to our clinic with complaints of foreign body sensation and decreased vision in his left eye following ocular trauma with a baby fingertip sustained 12 days earlier. He first visited a tertiary hospital ophthalmic emergency department, where he was misdiagnosed as corneal erosion and was treated accordingly. Anterior segment optical coherence tomography (OCT) and slit-lamp examination revealed a centrally dislocated LASIK flap with its superotemporal edge folded inwards, epithelial ingrowth both under the folded edge and the whole flap and diffuse lamellar keratitis centrally. We attempted flap repositioning, careful removal of epithelium, scraping of epithelial ingrowth and debris and also addressed the flap fold and striae. A bandage contact lens was placed. The patient’s following topical treatment included steroids, antibiotics and artificial tears. Visual acuity improved to 6/5 and was maintained at that level.",
        "Results": "",
        "Conclusions": "Patients should be appropriately warned of the possibility of late traumatic flap displacement during lifetime. Visual recovery is possible if the dislocation is promptly diagnosed and appropriately managed."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 198
    },
    {
      "uid": "POREF043",
      "abstract_number": "POREF043",
      "title": "A Case Of Topography-Guided Enhancement Surgery After Innoveyes Sightmap Light-Trace Guided Excimer Laser Surgery",
      "authors": "Ms Xuefei Yang",
      "presenter": "Ms Xuefei Yang",
      "normalized_authors": [
        "Xuefei Yang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xuefei Yang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Poor visual acuity was noted in the left eye following InnovEyes Sightmap light-trace guided excimer laser surgery. The patient complained of significant inferior ghosting, with no improvement in visual function during 6 months of follow-up. A topography-guided enhancement excimer laser surgery was performed to improve visual acuity and quality of vision.",
        "Setting": "Tianjin Aier Eye Hospital",
        "Methods": "The postoperative refraction of the left eye was 0/−1.25 DS × 88°.\nSightmap examination showed that under a 4‑mm pupil, total ocular higher‑order aberrations were 0.237, spherical aberration −0.056, and coma 0.237.Pentacam examination revealed corneal higher‑order aberrations of 0.748 under a 4‑mm pupil, with relatively high curvature in the inferocentral cornea.\n\nSix months after the primary surgery, after refraction stability was achieved, topography‑guided (TOPO‑G) ablation was performed on the left eye to eliminate total corneal aberrations and compensate lower‑order aberrations using C12 compensation.\nRepeated manifest refraction demonstrated a large discrepancy between subjective refraction and the cylinder power and axis derived from the topography‑guided mode.\n\nAccording to the C12 compensation principle, spherical compensation of +0.06 D was applied.\nThe final surgical plan was as follows: optical zone 6.5 mm, spherical power −0.34 D, cylindrical power 0.\n\nThe procedure was performed by relifting the original corneal flap. After flap lifting, the treatment plan was loaded, iris registration was performed, and customized excimer laser ablation was conducted. The corneal interface was irrigated, and the corneal flap was repositioned to complete the procedure.\n\nAfter the enhancement surgery, uncorrected visual acuity of the left eye reached 1.0, with refraction +0.50/−1.25 DS × 85°. Inferior ghosting resolved completely.",
        "Conclusions": "Total ocular higher-order aberrations and corneal higher-order aberrations were significantly decreased after the enhancement surgery, and corneal morphology became more regular. The patient was satisfied with the postoperative outcome.\n\nTopography-guided ablation for enhancement surgery after InnovEyes surgery can effectively correct irregular corneal morphology, reduce corneal aberrations, and improve visual acuity.\nAlthough visual acuity was restored postoperatively, the patient still had against-the-rule astigmatism, which requires long-term follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Total ocular higher-order aberrations and corneal higher-order aberrations were significantly decreased after the enhancement surgery, and corneal morphology became more regular. The patient was satisfied with the postoperative outcome. Topography-guided ablation for enhancement surgery after InnovEyes surgery can effectively correct irregular corneal morphology, reduce corneal aberrations, and improve visual…",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1431,
      "source_fields": {
        "Abstract Final Identifier": "POREF043",
        "Title": "A Case Of Topography-Guided Enhancement Surgery After Innoveyes Sightmap Light-Trace Guided Excimer Laser Surgery",
        "Presenting Author(s)": "Ms Xuefei Yang",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Xuefei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yang",
        "Country Name": "China",
        "Purpose": "Poor visual acuity was noted in the left eye following InnovEyes Sightmap light-trace guided excimer laser surgery. The patient complained of significant inferior ghosting, with no improvement in visual function during 6 months of follow-up. A topography-guided enhancement excimer laser surgery was performed to improve visual acuity and quality of vision.",
        "Setting": "Tianjin Aier Eye Hospital",
        "Methods": "The postoperative refraction of the left eye was 0/−1.25 DS × 88°.\nSightmap examination showed that under a 4‑mm pupil, total ocular higher‑order aberrations were 0.237, spherical aberration −0.056, and coma 0.237.Pentacam examination revealed corneal higher‑order aberrations of 0.748 under a 4‑mm pupil, with relatively high curvature in the inferocentral cornea.\n\nSix months after the primary surgery, after refraction stability was achieved, topography‑guided (TOPO‑G) ablation was performed on the left eye to eliminate total corneal aberrations and compensate lower‑order aberrations using C12 compensation.\nRepeated manifest refraction demonstrated a large discrepancy between subjective refraction and the cylinder power and axis derived from the topography‑guided mode.\n\nAccording to the C12 compensation principle, spherical compensation of +0.06 D was applied.\nThe final surgical plan was as follows: optical zone 6.5 mm, spherical power −0.34 D, cylindrical power 0.\n\nThe procedure was performed by relifting the original corneal flap. After flap lifting, the treatment plan was loaded, iris registration was performed, and customized excimer laser ablation was conducted. The corneal interface was irrigated, and the corneal flap was repositioned to complete the procedure.\n\nAfter the enhancement surgery, uncorrected visual acuity of the left eye reached 1.0, with refraction +0.50/−1.25 DS × 85°. Inferior ghosting resolved completely.",
        "Results": "",
        "Conclusions": "Total ocular higher-order aberrations and corneal higher-order aberrations were significantly decreased after the enhancement surgery, and corneal morphology became more regular. The patient was satisfied with the postoperative outcome.\n\nTopography-guided ablation for enhancement surgery after InnovEyes surgery can effectively correct irregular corneal morphology, reduce corneal aberrations, and improve visual acuity.\nAlthough visual acuity was restored postoperatively, the patient still had against-the-rule astigmatism, which requires long-term follow-up."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POREF044",
      "abstract_number": "POREF044",
      "title": "From Horizontal To Vertical Implantation – A Case Report Of Repeated Rotation Of Toric Implantable Collamer Lens",
      "authors": "Dr Zhikun Yang",
      "presenter": "Dr Zhikun Yang",
      "normalized_authors": [
        "Zhikun Yang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhikun Yang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To report a case of recurrent postoperative rotation of a Toric Implantable Collamer Lens (TICL) and the management strategy involving vertical repositioning and lens exchange, highlighting the potential benefits of vertical implantation for rotational stability.",
        "Setting": "A retrospective case report.",
        "Methods": "A 29-year-old female underwent TICL implantation in both eyes for myopia correction in 2021. The initial surgery was performed with the lens placed horizontally (12.1mm, axis: 0° OD & counterclockwise1° OS). The visual acuity and refraction were within expectations 1 day and 1 week postoperatively. However, lens rotation was observed at 2 weeks for both eyes without any reason. Despite repositioning, recurrent rotation occurred. The original TICL of the left eye was exchanged for a 12.6mm TICL implanted in a vertical orientation . Postoperative follow-up at 1 day, 1 week, and 1 month showed stable lens position with no further rotation. The right eye subsequently underwent similar TICL exchange and both eyes remained stable postoperatively after four years of follow-up.",
        "Conclusions": "Vertical implantation of TICL may offer improved rotational stability in selected cases, particularly when horizontal placement is associated with recurrent rotation or when vertical measurements are favorable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "Vertical implantation of TICL may offer improved rotational stability in selected cases, particularly when horizontal placement is associated with recurrent rotation or when vertical measurements are favorable.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1432,
      "source_fields": {
        "Abstract Final Identifier": "POREF044",
        "Title": "From Horizontal To Vertical Implantation – A Case Report Of Repeated Rotation Of Toric Implantable Collamer Lens",
        "Presenting Author(s)": "Dr Zhikun Yang",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Zhikun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yang",
        "Country Name": "China",
        "Purpose": "To report a case of recurrent postoperative rotation of a Toric Implantable Collamer Lens (TICL) and the management strategy involving vertical repositioning and lens exchange, highlighting the potential benefits of vertical implantation for rotational stability.",
        "Setting": "A retrospective case report.",
        "Methods": "A 29-year-old female underwent TICL implantation in both eyes for myopia correction in 2021. The initial surgery was performed with the lens placed horizontally (12.1mm, axis: 0° OD & counterclockwise1° OS). The visual acuity and refraction were within expectations 1 day and 1 week postoperatively. However, lens rotation was observed at 2 weeks for both eyes without any reason. Despite repositioning, recurrent rotation occurred. The original TICL of the left eye was exchanged for a 12.6mm TICL implanted in a vertical orientation . Postoperative follow-up at 1 day, 1 week, and 1 month showed stable lens position with no further rotation. The right eye subsequently underwent similar TICL exchange and both eyes remained stable postoperatively after four years of follow-up.",
        "Results": "",
        "Conclusions": "Vertical implantation of TICL may offer improved rotational stability in selected cases, particularly when horizontal placement is associated with recurrent rotation or when vertical measurements are favorable."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "POREF045",
      "abstract_number": "POREF045",
      "title": "Customized Cairs In The Treatment Of Keratoconic Eye In Hong Kong: A Case Report",
      "authors": "Dr Chun Wing Young",
      "presenter": "Dr Chun Wing Young",
      "normalized_authors": [
        "Chun Wing Young"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chun Wing Young",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "In this case report, we present our first case of Customized Corneal Allogenic Intrastromal Ring Segments (CAIRS) as a safe and effective treatment for keratoconus. This minimally invasive procedure offers an alternative for patients with keratoconus who have failed conservative measures, providing good visual and keratometric outcomes.\n\nA 34-year-old Chinese man was referred to our clinic for blurred vision in his right eye, which affected his daily activities. He had previously tried rigid contact lenses but discontinued them due to lens-related discomfort. He was diagnosed with right eye keratoconus at stage two and the left eye at stage one, according to the Amsler-Krumeich classification.",
        "Setting": "His preoperative uncorrected visual acuity was 0.1 in the right eye and 0.05 in the left eye. Preoperative refraction was -6.5/-5.0x 50 with best corrected visual acuity (BCVA) of 1.0 in the right eye, and -4.75/-1.5x 150 with BCVA of 1.0 in the left eye. The average (Kmean) and maximum keratometry (KMax) of the right eye were 48.9 diopters(D) and 57.5D, respectively, with the thinnest corneal thickness of 465µm. The corneal topography showed asymmetric cones, with inferior cones being steeper.",
        "Methods": "Customized CAIRS for the right eye was performed. The donor corneal tissue, denuded of epithelium and endothelium, was trephined using a 6.5/8 mm double-blade system (Jacob CAIRS Trephine, Madhu Instruments). The tissue was then removed from the trephine and placed on the CAIRS customizer™ to mark and cut it to a 150-degree arc length and taper length. An intracorneal tunnel with an inner diameter of 4.6mm, a tunnel width of 1.5 mm, and a depth of 280µm was created using the LDV 8 femtosecond laser platform (Ziemer Ophthalmic Systems AG). The segment was inserted manually, ensuring that the total arc length and taper zone were well aligned with the marks placed on the patient’s cornea according to the topographic plan.\n\nAt eight months postoperatively, his unaided distance visual acuity was 0.15. The refraction was -2.5/-3.0x 32 with BCVA of 0.7 postoperatively. The patient was able to fit scleral contact lenses six months after the procedure, giving him BCVA of 0.7. Kmean, Kmax and the thinnest corneal thickness improved to 47.1D, 54.6D and 491µm, respectively. Higher-order Aberrations (HOA) and vertical coma, however, increased from 2.104µm to 2.886µm and from -1.858µm to -2.412µm, respectively. The patient experienced no surgical complications, and serial anterior segment Optical Coherence Tomography demonstrated that the ring segment was correctly positioned without extrusion.",
        "Conclusions": "This is the first report published in Hong Kong highlighting the effectiveness of customized CAIRS in a patient with keratoconus. The quality of visual acuity improved after surgery despite the increase in HOA. Larger studies with randomized controlled trials and longer follow-up are needed to further evaluate the long-term stability, safety, and optimal indications for customized CAIRS."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "This is the first report published in Hong Kong highlighting the effectiveness of customized CAIRS in a patient with keratoconus. The quality of visual acuity improved after surgery despite the increase in HOA. Larger studies with randomized controlled trials and longer follow-up are needed to further evaluate the long-term stability, safety, and optimal indications for customized CAIRS.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1433,
      "source_fields": {
        "Abstract Final Identifier": "POREF045",
        "Title": "Customized Cairs In The Treatment Of Keratoconic Eye In Hong Kong: A Case Report",
        "Presenting Author(s)": "Dr Chun Wing Young",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Chun Wing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Young",
        "Country Name": "Hong Kong",
        "Purpose": "In this case report, we present our first case of Customized Corneal Allogenic Intrastromal Ring Segments (CAIRS) as a safe and effective treatment for keratoconus. This minimally invasive procedure offers an alternative for patients with keratoconus who have failed conservative measures, providing good visual and keratometric outcomes.\n\nA 34-year-old Chinese man was referred to our clinic for blurred vision in his right eye, which affected his daily activities. He had previously tried rigid contact lenses but discontinued them due to lens-related discomfort. He was diagnosed with right eye keratoconus at stage two and the left eye at stage one, according to the Amsler-Krumeich classification.",
        "Setting": "His preoperative uncorrected visual acuity was 0.1 in the right eye and 0.05 in the left eye. Preoperative refraction was -6.5/-5.0x 50 with best corrected visual acuity (BCVA) of 1.0 in the right eye, and -4.75/-1.5x 150 with BCVA of 1.0 in the left eye. The average (Kmean) and maximum keratometry (KMax) of the right eye were 48.9 diopters(D) and 57.5D, respectively, with the thinnest corneal thickness of 465µm. The corneal topography showed asymmetric cones, with inferior cones being steeper.",
        "Methods": "Customized CAIRS for the right eye was performed. The donor corneal tissue, denuded of epithelium and endothelium, was trephined using a 6.5/8 mm double-blade system (Jacob CAIRS Trephine, Madhu Instruments). The tissue was then removed from the trephine and placed on the CAIRS customizer™ to mark and cut it to a 150-degree arc length and taper length. An intracorneal tunnel with an inner diameter of 4.6mm, a tunnel width of 1.5 mm, and a depth of 280µm was created using the LDV 8 femtosecond laser platform (Ziemer Ophthalmic Systems AG). The segment was inserted manually, ensuring that the total arc length and taper zone were well aligned with the marks placed on the patient’s cornea according to the topographic plan.\n\nAt eight months postoperatively, his unaided distance visual acuity was 0.15. The refraction was -2.5/-3.0x 32 with BCVA of 0.7 postoperatively. The patient was able to fit scleral contact lenses six months after the procedure, giving him BCVA of 0.7. Kmean, Kmax and the thinnest corneal thickness improved to 47.1D, 54.6D and 491µm, respectively. Higher-order Aberrations (HOA) and vertical coma, however, increased from 2.104µm to 2.886µm and from -1.858µm to -2.412µm, respectively. The patient experienced no surgical complications, and serial anterior segment Optical Coherence Tomography demonstrated that the ring segment was correctly positioned without extrusion.",
        "Results": "",
        "Conclusions": "This is the first report published in Hong Kong highlighting the effectiveness of customized CAIRS in a patient with keratoconus. The quality of visual acuity improved after surgery despite the increase in HOA. Larger studies with randomized controlled trials and longer follow-up are needed to further evaluate the long-term stability, safety, and optimal indications for customized CAIRS."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 485
    },
    {
      "uid": "POREF046",
      "abstract_number": "POREF046",
      "title": "Case Of Refractive Errors Accompanied By Ocular Trauma Corrected By Toric Implantable Collamer Lenses",
      "authors": "Dr Yang Yukun",
      "presenter": "Dr Yang Yukun",
      "normalized_authors": [
        "Yang Yukun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yang Yukun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "The text reports a successful implantation of a TICLs (V4c) in a patient with refractive error and adhesive corneal leukoma. The implant was positioned obliquely to avoid the area of trauma. The procedure achieved the desired refractive outcome, and the TICLs remained stable throughout the follow-up period.",
        "Setting": "A 25-year-old female patient with refractive error associated with a history of old ocular trauma presented to Chengdu Aidi Eye Hospital seeking refractive surgery to remove her glasses. She had a history of a penetrating injury to the left eye. Examination revealed adhesive corneal leukoma, pupillary distortion, and localized punctate opacities in the lens of the injured eye.",
        "Methods": "A 25-year-old female patient presented with a history of a penetrating injury to her left eye (treatment details unavailable).\n\nExamination:\n\nUncorrected Visual Acuity (UCVA): Right eye (R): 0.06, Left eye (L): 0.3\n\nIntraocular Pressure (IOP): R 15 mmHg, L 16 mmHg\n\nRefraction:R: -9.00 = 1.0, L: -4.75/-4.25*65 = 0.8\n\nThe left eye exhibited temporal adhesive corneal leukoma, keyhole-shaped pupillary distortion, punctate pigment deposits on the lens surface, and localized lens opacity. The central anterior chamber depth was adequate. Gonioscopy revealed a normal angle (N1) except the site of adhesion. The right eye appeared unremarkable with an angle width of N1.\n\nCorneal Diameter: R: 11.7 mm, L: 12.0 mm\n\nCorneal Curvature: R: 41.82/42.40*67, L: 39.30/42.65*0\n\nEndotheliumendothelial cell count (ECD): R: 3054 cells/mm², L: 2685 cells/mm²\n\nUltrasound Biomicroscopy (UBM) revealed marked anterior synechiae with leukoma and no abnormalities of the ciliary body or angle recession.\n\nSurgical Plan:\n\nR: TICL V4c 12.6 mm-10.00, orientation: 15° off the horizontal. L(traumatic eye): TICL (V4c) 13.2 mm-10.00/+4.50/090, orientation: 65° off the horizontal.\n\nPostoperative Observations:\n\nDay 1:UCVA:R: 1.0, L: 0.8; IOP: R: 15 mmHg, L: 15 mmHg; vault: R: 601 µm, L: 376 µm;\n\n1 Month: R: 1.2, L: 1.0; IOP: R: 16 mmHg, L: 18 mmHg; vault: R: 522 µm, L: 392 µm; ECD: R: 2896 cells/mm², L: 2543 cells/mm².\n\n6 Months:R: 1.2, L: 1.0; IOP: R: 15 mmHg, L: 15 mmHg; vault: R: 510 µm, L: 363 µm.",
        "Conclusions": "The stability of TICLs depends on the stability of the posterior chamber structure.\nThe placement angle of TICLs is not a determining factor for postoperative rotation.\nFollowing a comprehensive evaluation, the implantation of TICLs may also be considered for cases of anterior segment trauma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Conclusions"
      ],
      "summary": "The stability of TICLs depends on the stability of the posterior chamber structure. The placement angle of TICLs is not a determining factor for postoperative rotation. Following a comprehensive evaluation, the implantation of TICLs may also be considered for cases of anterior segment trauma.",
      "session_type": "ePoster",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1434,
      "source_fields": {
        "Abstract Final Identifier": "POREF046",
        "Title": "Case Of Refractive Errors Accompanied By Ocular Trauma Corrected By Toric Implantable Collamer Lenses",
        "Presenting Author(s)": "Dr Yang Yukun",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Yang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yukun",
        "Country Name": "China",
        "Purpose": "The text reports a successful implantation of a TICLs (V4c) in a patient with refractive error and adhesive corneal leukoma. The implant was positioned obliquely to avoid the area of trauma. The procedure achieved the desired refractive outcome, and the TICLs remained stable throughout the follow-up period.",
        "Setting": "A 25-year-old female patient with refractive error associated with a history of old ocular trauma presented to Chengdu Aidi Eye Hospital seeking refractive surgery to remove her glasses. She had a history of a penetrating injury to the left eye. Examination revealed adhesive corneal leukoma, pupillary distortion, and localized punctate opacities in the lens of the injured eye.",
        "Methods": "A 25-year-old female patient presented with a history of a penetrating injury to her left eye (treatment details unavailable).\n\nExamination:\n\nUncorrected Visual Acuity (UCVA): Right eye (R): 0.06, Left eye (L): 0.3\n\nIntraocular Pressure (IOP): R 15 mmHg, L 16 mmHg\n\nRefraction:R: -9.00 = 1.0, L: -4.75/-4.25*65 = 0.8\n\nThe left eye exhibited temporal adhesive corneal leukoma, keyhole-shaped pupillary distortion, punctate pigment deposits on the lens surface, and localized lens opacity. The central anterior chamber depth was adequate. Gonioscopy revealed a normal angle (N1) except the site of adhesion. The right eye appeared unremarkable with an angle width of N1.\n\nCorneal Diameter: R: 11.7 mm, L: 12.0 mm\n\nCorneal Curvature: R: 41.82/42.40*67, L: 39.30/42.65*0\n\nEndotheliumendothelial cell count (ECD): R: 3054 cells/mm², L: 2685 cells/mm²\n\nUltrasound Biomicroscopy (UBM) revealed marked anterior synechiae with leukoma and no abnormalities of the ciliary body or angle recession.\n\nSurgical Plan:\n\nR: TICL V4c 12.6 mm-10.00, orientation: 15° off the horizontal. L(traumatic eye): TICL (V4c) 13.2 mm-10.00/+4.50/090, orientation: 65° off the horizontal.\n\nPostoperative Observations:\n\nDay 1:UCVA:R: 1.0, L: 0.8; IOP: R: 15 mmHg, L: 15 mmHg; vault: R: 601 µm, L: 376 µm;\n\n1 Month: R: 1.2, L: 1.0; IOP: R: 16 mmHg, L: 18 mmHg; vault: R: 522 µm, L: 392 µm; ECD: R: 2896 cells/mm², L: 2543 cells/mm².\n\n6 Months:R: 1.2, L: 1.0; IOP: R: 15 mmHg, L: 15 mmHg; vault: R: 510 µm, L: 363 µm.",
        "Results": "",
        "Conclusions": "The stability of TICLs depends on the stability of the posterior chamber structure.\nThe placement angle of TICLs is not a determining factor for postoperative rotation.\nFollowing a comprehensive evaluation, the implantation of TICLs may also be considered for cases of anterior segment trauma."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 421
    },
    {
      "uid": "POREF047",
      "abstract_number": "POREF047",
      "title": "Perioperative Intense Pulsed Light (Optilight) Treatment Improves Dry Eye In Corneal Refractive Surgery: A Randomized Controlled Trial",
      "authors": "Dr Wenzai An",
      "presenter": "Dr Wenzai An",
      "normalized_authors": [
        "Wenzai An"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wenzai An",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the efficacy of perioperative intense pulsed light (IPL, OptiLight) therapy for dry eye management in patients undergoing corneal refractive surgery—either small incision lenticule extraction (SMILE) or femtosecond laser-assisted in situ keratomileusis (FS-LASIK)—by assessing improvements in both subjective symptoms and objective tear film parameters.",
        "Setting": "Single-center prospective clinical trial conducted in the Refractive Surgery Department at Beijing Aier Intech Eye Hospital, Beijing, China.",
        "Methods": "This randomized controlled trial enrolled patients with dry eye symptoms undergoing SMILE or FS-LASIK. The IPL device utilized Optimal Pulse Technology (OPT) to deliver pulse energy through a precision-guided 6.4-mm periocular light guide. Participants were randomized into IPL group or control group. The IPL group received three sessions (1 week preoperatively, and 1 and 4 weeks postoperatively). Control patients received sham light treatment. Evaluations included tear breakup time (TBUT), Schirmer’s test, tear lipid layer thickness, inflammatory biomarkers (MMP-9, IgE), and the Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire. Follow-ups were performed at baseline, 1 week, 1 month, and 3 months postoperatively.",
        "Results": "98 eyes from 49 patients (mean age 26.1 ± 4.9 years) were randomized to IPL (52 eyes: SMILE 31, FS-LASIK 21) or control (46 eyes: SMILE 30, FS-LASIK 16). Baseline characteristics were similar (all p > 0.05). IPL-treated eyes showed significantly greater improvements vs controls: SPEED (Δ−5.0 vs −2.0; p < 0.001), average TBUT (Δ+3.0 s vs +1.0 s; p = 0.011), Schirmer’s (Δ+2.0 mm vs 0 mm; p = 0.031), MMP-9 (Δ−0.4 vs −0.1 ng/mL; p = 0.014), and IgE (Δ−0.5 vs −0.1 IU/mL; p = 0.034). FS-LASIK patients showed numerically greater benefit than SMILE, though GEE interaction terms were not significant.",
        "Conclusions": "Perioperative IPL (OptiLight) treatment significantly improves signs and symptoms of dry eye in patients undergoing corneal refractive surgery. While FS-LASIK patients—who are more susceptible to postoperative dry eye—may benefit more than SMILE patients, this trend did not reach statistical significance. These findings support the potential integration of IPL therapy into perioperative dry eye management for laser vision correction candidates with preexisting symptoms"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Perioperative IPL (OptiLight) treatment significantly improves signs and symptoms of dry eye in patients undergoing corneal refractive surgery. While FS-LASIK patients—who are more susceptible to postoperative dry eye—may benefit more than SMILE patients, this trend did not reach statistical significance. These findings support the potential integration of IPL therapy into perioperative dry eye management for laser…",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1435,
      "source_fields": {
        "Abstract Final Identifier": "POREF047",
        "Title": "Perioperative Intense Pulsed Light (Optilight) Treatment Improves Dry Eye In Corneal Refractive Surgery: A Randomized Controlled Trial",
        "Presenting Author(s)": "Dr Wenzai An",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Wenzai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "An",
        "Country Name": "China",
        "Purpose": "To evaluate the efficacy of perioperative intense pulsed light (IPL, OptiLight) therapy for dry eye management in patients undergoing corneal refractive surgery—either small incision lenticule extraction (SMILE) or femtosecond laser-assisted in situ keratomileusis (FS-LASIK)—by assessing improvements in both subjective symptoms and objective tear film parameters.",
        "Setting": "Single-center prospective clinical trial conducted in the Refractive Surgery Department at Beijing Aier Intech Eye Hospital, Beijing, China.",
        "Methods": "This randomized controlled trial enrolled patients with dry eye symptoms undergoing SMILE or FS-LASIK. The IPL device utilized Optimal Pulse Technology (OPT) to deliver pulse energy through a precision-guided 6.4-mm periocular light guide. Participants were randomized into IPL group or control group. The IPL group received three sessions (1 week preoperatively, and 1 and 4 weeks postoperatively). Control patients received sham light treatment. Evaluations included tear breakup time (TBUT), Schirmer’s test, tear lipid layer thickness, inflammatory biomarkers (MMP-9, IgE), and the Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire. Follow-ups were performed at baseline, 1 week, 1 month, and 3 months postoperatively.",
        "Results": "98 eyes from 49 patients (mean age 26.1 ± 4.9 years) were randomized to IPL (52 eyes: SMILE 31, FS-LASIK 21) or control (46 eyes: SMILE 30, FS-LASIK 16). Baseline characteristics were similar (all p > 0.05). IPL-treated eyes showed significantly greater improvements vs controls: SPEED (Δ−5.0 vs −2.0; p < 0.001), average TBUT (Δ+3.0 s vs +1.0 s; p = 0.011), Schirmer’s (Δ+2.0 mm vs 0 mm; p = 0.031), MMP-9 (Δ−0.4 vs −0.1 ng/mL; p = 0.014), and IgE (Δ−0.5 vs −0.1 IU/mL; p = 0.034). FS-LASIK patients showed numerically greater benefit than SMILE, though GEE interaction terms were not significant.",
        "Conclusions": "Perioperative IPL (OptiLight) treatment significantly improves signs and symptoms of dry eye in patients undergoing corneal refractive surgery. While FS-LASIK patients—who are more susceptible to postoperative dry eye—may benefit more than SMILE patients, this trend did not reach statistical significance. These findings support the potential integration of IPL therapy into perioperative dry eye management for laser vision correction candidates with preexisting symptoms"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "POREF048",
      "abstract_number": "POREF048",
      "title": "Clinical Outcomes And Safety Of The Smartsurface Technique In Refractive Surgery: Pilot Free Paper",
      "authors": "Dr Ghada Mohamed Atta",
      "presenter": "Dr Ghada Mohamed Atta",
      "normalized_authors": [
        "Ghada Mohamed Atta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ghada Mohamed Atta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate visual outcomes, safety, and patient tolerance of the SmartSurface refractive surgery technique in a pilot cohort.",
        "Setting": "Single-center pilot study\n\nPatients aged 18 to 40 years undergoing surface ablation with the SmartSurface technique\n\nStudy period: January 2025 to December 2025\n\nEthics approval obtained; informed consent from all participants",
        "Methods": "Prospective observational study including 40 patients (80 eyes)\n\nPreoperative assessment: uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), refractive error, corneal topography\n\nPostoperative outcomes measured at 1 week, 1 month, and 3 months: UCVA, BCVA, epithelial healing time, patient-reported discomfort, and complications\n\nData analyzed as mean plus/minus standard deviation for continuous variables and percentages for categorical variables",
        "Results": "40 patients (80 eyes), mean age 26 plus/minus 5 years, 55 percent male\n\nPreoperative spherical equivalent: minus 5.8 plus/minus 2.0 diopters\n\nUCVA greater than or equal to 20/25 in 70 of 80 eyes (88 percent) at 1 month\n\nBCVA was maintained or improved in all eyes\n\nMean epithelial healing time: 4 plus/minus 1.2 days\n\nPatient-reported mild discomfort in 12 eyes (15 percent); no severe pain was reported\n\nNo significant intraoperative or postoperative complications observed",
        "Conclusions": "The SmartSurface technique for surface ablation refractive surgery demonstrates excellent visual outcomes, rapid epithelial healing, and high patient tolerance. These early results support the safety and effectiveness of the technique and suggest potential advantages in postoperative recovery and patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The SmartSurface technique for surface ablation refractive surgery demonstrates excellent visual outcomes, rapid epithelial healing, and high patient tolerance. These early results support the safety and effectiveness of the technique and suggest potential advantages in postoperative recovery and patient satisfaction.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1436,
      "source_fields": {
        "Abstract Final Identifier": "POREF048",
        "Title": "Clinical Outcomes And Safety Of The Smartsurface Technique In Refractive Surgery: Pilot Free Paper",
        "Presenting Author(s)": "Dr Ghada Mohamed Atta",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Ghada",
        "Submitter Middle Name": "Mohamed",
        "Submitter Last Name": "Atta",
        "Country Name": "Germany",
        "Purpose": "To evaluate visual outcomes, safety, and patient tolerance of the SmartSurface refractive surgery technique in a pilot cohort.",
        "Setting": "Single-center pilot study\n\nPatients aged 18 to 40 years undergoing surface ablation with the SmartSurface technique\n\nStudy period: January 2025 to December 2025\n\nEthics approval obtained; informed consent from all participants",
        "Methods": "Prospective observational study including 40 patients (80 eyes)\n\nPreoperative assessment: uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), refractive error, corneal topography\n\nPostoperative outcomes measured at 1 week, 1 month, and 3 months: UCVA, BCVA, epithelial healing time, patient-reported discomfort, and complications\n\nData analyzed as mean plus/minus standard deviation for continuous variables and percentages for categorical variables",
        "Results": "40 patients (80 eyes), mean age 26 plus/minus 5 years, 55 percent male\n\nPreoperative spherical equivalent: minus 5.8 plus/minus 2.0 diopters\n\nUCVA greater than or equal to 20/25 in 70 of 80 eyes (88 percent) at 1 month\n\nBCVA was maintained or improved in all eyes\n\nMean epithelial healing time: 4 plus/minus 1.2 days\n\nPatient-reported mild discomfort in 12 eyes (15 percent); no severe pain was reported\n\nNo significant intraoperative or postoperative complications observed",
        "Conclusions": "The SmartSurface technique for surface ablation refractive surgery demonstrates excellent visual outcomes, rapid epithelial healing, and high patient tolerance. These early results support the safety and effectiveness of the technique and suggest potential advantages in postoperative recovery and patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "POREF049",
      "abstract_number": "POREF049",
      "title": "Presbyedof: Three-Month Clinical Outcomes Of An Individualized Corneal Extended Depth-Of-Focus Technique For Presbyopia Correction",
      "authors": "Dr David Beckers",
      "presenter": "Dr David Beckers",
      "normalized_authors": [
        "David Beckers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Beckers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate safety, binocular visual performance, and refractive predictability of PresbyEDOF, an individualized corneal laser strategy designed to create functional extended depth of focus with tailored anisometropia.",
        "Setting": "Retrospective, single-surgeon case series including 114 eyes of 57 presbyopic patients treated with PresbyEDOF using the SCHWIND AMARIS 1050RS platform. The technique induces controlled spherical aberration and approximately 1.5 D anisometropia to achieve binocular extended depth of focus.",
        "Methods": "Outcomes at 3 months included binocular uncorrected distance (UDVA) and near visual acuity (UNVA), change in corrected distance visual acuity (CDVA), refractive accuracy, residual astigmatism, retreatment rate, and patient-reported visual quality.",
        "Results": "At 3 months, 92% achieved binocular UDVA of 0.0 logMAR or better. For near vision, 93% achieved ≥0.2 logMAR and 40% reached 0.0 logMAR. No patient lost more than one line of CDVA. Residual astigmatism ≤0.50 D was observed in 96% of eyes. Retreatment was required in 5.3%, primarily to optimize intermediate vision. No intraoperative complications, infections, or cases of ectasia were observed. Patient-reported visual quality was high, with rare and non-disturbing photopic phenomena.",
        "Conclusions": "PresbyEDOF demonstrated strong binocular performance across distances, high refractive predictability, and a favorable safety profile at 3 months. The ability to fine-tune refractive targets highlights the reversibility and adaptability of this corneal EDOF approach, positioning it as a minimally invasive alternative to lens-based presbyopia correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PresbyEDOF demonstrated strong binocular performance across distances, high refractive predictability, and a favorable safety profile at 3 months. The ability to fine-tune refractive targets highlights the reversibility and adaptability of this corneal EDOF approach, positioning it as a minimally invasive alternative to lens-based presbyopia correction.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1437,
      "source_fields": {
        "Abstract Final Identifier": "POREF049",
        "Title": "Presbyedof: Three-Month Clinical Outcomes Of An Individualized Corneal Extended Depth-Of-Focus Technique For Presbyopia Correction",
        "Presenting Author(s)": "Dr David Beckers",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beckers",
        "Country Name": "Germany",
        "Purpose": "To evaluate safety, binocular visual performance, and refractive predictability of PresbyEDOF, an individualized corneal laser strategy designed to create functional extended depth of focus with tailored anisometropia.",
        "Setting": "Retrospective, single-surgeon case series including 114 eyes of 57 presbyopic patients treated with PresbyEDOF using the SCHWIND AMARIS 1050RS platform. The technique induces controlled spherical aberration and approximately 1.5 D anisometropia to achieve binocular extended depth of focus.",
        "Methods": "Outcomes at 3 months included binocular uncorrected distance (UDVA) and near visual acuity (UNVA), change in corrected distance visual acuity (CDVA), refractive accuracy, residual astigmatism, retreatment rate, and patient-reported visual quality.",
        "Results": "At 3 months, 92% achieved binocular UDVA of 0.0 logMAR or better. For near vision, 93% achieved ≥0.2 logMAR and 40% reached 0.0 logMAR. No patient lost more than one line of CDVA. Residual astigmatism ≤0.50 D was observed in 96% of eyes. Retreatment was required in 5.3%, primarily to optimize intermediate vision. No intraoperative complications, infections, or cases of ectasia were observed. Patient-reported visual quality was high, with rare and non-disturbing photopic phenomena.",
        "Conclusions": "PresbyEDOF demonstrated strong binocular performance across distances, high refractive predictability, and a favorable safety profile at 3 months. The ability to fine-tune refractive targets highlights the reversibility and adaptability of this corneal EDOF approach, positioning it as a minimally invasive alternative to lens-based presbyopia correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "POREF050",
      "abstract_number": "POREF050",
      "title": "Comparative Analysis Of Corneal Flap Thickness Consistency In Lasik : Mechanical Microkeratome Vs. Femtosecond",
      "authors": "Dr Doel Biswas",
      "presenter": "Dr Doel Biswas",
      "normalized_authors": [
        "Doel Biswas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Doel Biswas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the corneal flap thickness, predictability, uniformity, and accuracy between mechanical microkeratomes (MMK) and femtosecond lasers (FS) in Laser-Assisted In Situ Keratomileusis (LASIK).",
        "Setting": "This is a single centre based, prospective, observational, comparative study conducted in Susrut Eye Foundation & Research Centre, Kolkata, India, operated over a period of 18 months.",
        "Methods": "A comparative study of 172 eyes of 86 patients undergoing LASIK was performed, with 43 patients receiving a mechanical microkeratome ( Moria M2 ) and the remaining 43 patients receiving a femtosecond laser (LenSx)).\n\n• Target Flap Thickness: Intended to be 90 microns\n\n• Measurement: Flap thickness was measured using sub-epithelial anterior segment optical coherence tomography (AS-OCT) at day 1 and day 7 postoperatively.\n\n• Parameters Evaluated: 1)Mean flap thickness (FT) at 5 points in each eye : central, 1.5 mm superior, temporal, inferior and nasal to the centre in vertical and horizontal meridians. 2) mean deviation from target thickness 3) post operative visual acuity",
        "Results": "• Thickness Accuracy: Femtosecond laser-created flaps demonstrated a mean thickness closer to the target\n\n• Variability: The femtosecond laser group showed significantly higher consistency, with a tighter standard deviation compared to the microkeratome group.\n\n• Complications: No significant difference in visual outcomes at 6 months",
        "Conclusions": "Femtosecond laser technology provides superior predictability, accuracy, and reproducibility in flap thickness compared to mechanical microkeratomes. While both methods are safe for myopia correction, femtosecond lasers are better for creating thin, uniform flaps, which may offer advantages in stromal preservation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femtosecond laser technology provides superior predictability, accuracy, and reproducibility in flap thickness compared to mechanical microkeratomes. While both methods are safe for myopia correction, femtosecond lasers are better for creating thin, uniform flaps, which may offer advantages in stromal preservation.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1438,
      "source_fields": {
        "Abstract Final Identifier": "POREF050",
        "Title": "Comparative Analysis Of Corneal Flap Thickness Consistency In Lasik : Mechanical Microkeratome Vs. Femtosecond",
        "Presenting Author(s)": "Dr Doel Biswas",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Doel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Biswas",
        "Country Name": "India",
        "Purpose": "To compare the corneal flap thickness, predictability, uniformity, and accuracy between mechanical microkeratomes (MMK) and femtosecond lasers (FS) in Laser-Assisted In Situ Keratomileusis (LASIK).",
        "Setting": "This is a single centre based, prospective, observational, comparative study conducted in Susrut Eye Foundation & Research Centre, Kolkata, India, operated over a period of 18 months.",
        "Methods": "A comparative study of 172 eyes of 86 patients undergoing LASIK was performed, with 43 patients receiving a mechanical microkeratome ( Moria M2 ) and the remaining 43 patients receiving a femtosecond laser (LenSx)).\n\n• Target Flap Thickness: Intended to be 90 microns\n\n• Measurement: Flap thickness was measured using sub-epithelial anterior segment optical coherence tomography (AS-OCT) at day 1 and day 7 postoperatively.\n\n• Parameters Evaluated: 1)Mean flap thickness (FT) at 5 points in each eye : central, 1.5 mm superior, temporal, inferior and nasal to the centre in vertical and horizontal meridians. 2) mean deviation from target thickness 3) post operative visual acuity",
        "Results": "• Thickness Accuracy: Femtosecond laser-created flaps demonstrated a mean thickness closer to the target\n\n• Variability: The femtosecond laser group showed significantly higher consistency, with a tighter standard deviation compared to the microkeratome group.\n\n• Complications: No significant difference in visual outcomes at 6 months",
        "Conclusions": "Femtosecond laser technology provides superior predictability, accuracy, and reproducibility in flap thickness compared to mechanical microkeratomes. While both methods are safe for myopia correction, femtosecond lasers are better for creating thin, uniform flaps, which may offer advantages in stromal preservation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POREF051",
      "abstract_number": "POREF051",
      "title": "Comparison Of The Visual Outcomes And Optical Quality Of Ray-Tracing-Guided Fs-Lasik And Implantable Collamer Lens V4c Implantation.",
      "authors": "Dr Xiaobei Chen",
      "presenter": "Dr Xiaobei Chen",
      "normalized_authors": [
        "Xiaobei Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaobei Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare 1 -month visual outcomes and optical quality after Ray-tracing-guided FS-LASIK and Implantable Collamer Lens V4c (ICL V4c ) (STAAR Surgical Company) implantation for low-moderate myopia .",
        "Setting": "Dongguan Aier Eye Hospital",
        "Methods": "his was a prospective randomized study. Overall, 60 eyes of 30 patients with low-moderate myopia were enrolled, comprising 28 and 32 eyes in the ray-tracing groups and ICL group, respectively. Uncorrected distance visual acuity, corrected distance visual acuity, subjective manifest refraction, and optical visual quality like spherical abberation,coma，trefoil.etc in 4mm pupil and 7mm pupil were examined before and 1 months after surgery.",
        "Results": "At a pupil diameter of 4 mm, the differences in HOAs, trefoil , spherical aberration, and their changes between the two groups were statistically significant ( P<0.05). However, there were no statistically significant differences in coma between the two groups ( P>0.05).At a pupil diameter of 7 mm, there were statistically significant differences in HOA s and their change values between the two groups ( P<0.05).At 4 mm pupil diameter, there was no statistically significant difference in SR and MTF (AR) between the two groups (P>0.05). At 7 mm pupil diameter, statistically significant differences were observed in SR and MTF (AR) between the two groups at 1 month postoperatively (Z=-2.99, P=0.003; Z=-3.15, P=0.002).",
        "Conclusions": "Both ray-tracing-guided FS-LASIK and ICL implantation showed satisfactory efficacy and safety in correcting low-moderate myopia , whereas ray-tracing guided FS-LASIK seems induced fewer HOAs, leading to better postoperative optical visual quality at 1month post-ops."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both ray-tracing-guided FS-LASIK and ICL implantation showed satisfactory efficacy and safety in correcting low-moderate myopia , whereas ray-tracing guided FS-LASIK seems induced fewer HOAs, leading to better postoperative optical visual quality at 1month post-ops.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1439,
      "source_fields": {
        "Abstract Final Identifier": "POREF051",
        "Title": "Comparison Of The Visual Outcomes And Optical Quality Of Ray-Tracing-Guided Fs-Lasik And Implantable Collamer Lens V4c Implantation.",
        "Presenting Author(s)": "Dr Xiaobei Chen",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Xiaobei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "China",
        "Purpose": "To compare 1 -month visual outcomes and optical quality after Ray-tracing-guided FS-LASIK and Implantable Collamer Lens V4c (ICL V4c ) (STAAR Surgical Company) implantation for low-moderate myopia .",
        "Setting": "Dongguan Aier Eye Hospital",
        "Methods": "his was a prospective randomized study. Overall, 60 eyes of 30 patients with low-moderate myopia were enrolled, comprising 28 and 32 eyes in the ray-tracing groups and ICL group, respectively. Uncorrected distance visual acuity, corrected distance visual acuity, subjective manifest refraction, and optical visual quality like spherical abberation,coma，trefoil.etc in 4mm pupil and 7mm pupil were examined before and 1 months after surgery.",
        "Results": "At a pupil diameter of 4 mm, the differences in HOAs, trefoil , spherical aberration, and their changes between the two groups were statistically significant ( P<0.05). However, there were no statistically significant differences in coma between the two groups ( P>0.05).At a pupil diameter of 7 mm, there were statistically significant differences in HOA s and their change values between the two groups ( P<0.05).At 4 mm pupil diameter, there was no statistically significant difference in SR and MTF (AR) between the two groups (P>0.05). At 7 mm pupil diameter, statistically significant differences were observed in SR and MTF (AR) between the two groups at 1 month postoperatively (Z=-2.99, P=0.003; Z=-3.15, P=0.002).",
        "Conclusions": "Both ray-tracing-guided FS-LASIK and ICL implantation showed satisfactory efficacy and safety in correcting low-moderate myopia , whereas ray-tracing guided FS-LASIK seems induced fewer HOAs, leading to better postoperative optical visual quality at 1month post-ops."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "POREF052",
      "abstract_number": "POREF052",
      "title": "Various Refractive Surgical Treatment Modalities Children With Neurodevelopmental Diseases",
      "authors": "Prof. Dr Mohamed Mostafa Diab",
      "presenter": "Prof. Dr Mohamed Mostafa Diab",
      "normalized_authors": [
        "Mohamed Mostafa Diab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Mostafa Diab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report the use of photorefractive keratectomy (PRK), phakic intraocular lens (pIOL) and refractive lens exchange (RLE) to treat refractive errors in children.",
        "Setting": "PRINCE SULTAM MEDICAL MILTARY CITY, RIYADH, Saudi Arabia",
        "Methods": ": Clinical data were collated retrospectively in 197 children (n=347 eyes) with a neurodevelopmental disorder (NDD), including ADD/ADHD, Autism, Cerebral Palsy, Developmental Delay, Down Syndrome, Epilepsy and Extreme Prematurity. The mean age at surgery was 10.7 years (range 2-18); mean follow-up was 3.7 years surgery operated in prince sultan military medical city in Riyadh Saudi Arabia",
        "Results": "Hyperopic PRK SEQRE improved from +2.75D ± 0.8 to 0.43D ± 0.7 and myopic SEQRE from -4.1D ± 0.61 to - 0.04D ± 0.0. Correction with pIOL implantation was from -10.3D ± 2.4 to -0.21D ± 0.47, and with RLE from -13.9D ± 4.1 to -0.18D ± 1.2.",
        "Conclusions": "PRK, pIOL implantation, and RLE are effective means for improving visual function and quality of life in children who have NDD and difficulties wearing spectacles. Visual acuity and refractive error substantially improved from preoperative measures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRK, pIOL implantation, and RLE are effective means for improving visual function and quality of life in children who have NDD and difficulties wearing spectacles. Visual acuity and refractive error substantially improved from preoperative measures.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1440,
      "source_fields": {
        "Abstract Final Identifier": "POREF052",
        "Title": "Various Refractive Surgical Treatment Modalities Children With Neurodevelopmental Diseases",
        "Presenting Author(s)": "Prof. Dr Mohamed Mostafa Diab",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Mohamed Mostafa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Diab",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report the use of photorefractive keratectomy (PRK), phakic intraocular lens (pIOL) and refractive lens exchange (RLE) to treat refractive errors in children.",
        "Setting": "PRINCE SULTAM MEDICAL MILTARY CITY, RIYADH, Saudi Arabia",
        "Methods": ": Clinical data were collated retrospectively in 197 children (n=347 eyes) with a neurodevelopmental disorder (NDD), including ADD/ADHD, Autism, Cerebral Palsy, Developmental Delay, Down Syndrome, Epilepsy and Extreme Prematurity. The mean age at surgery was 10.7 years (range 2-18); mean follow-up was 3.7 years surgery operated in prince sultan military medical city in Riyadh Saudi Arabia",
        "Results": "Hyperopic PRK SEQRE improved from +2.75D ± 0.8 to 0.43D ± 0.7 and myopic SEQRE from -4.1D ± 0.61 to - 0.04D ± 0.0. Correction with pIOL implantation was from -10.3D ± 2.4 to -0.21D ± 0.47, and with RLE from -13.9D ± 4.1 to -0.18D ± 1.2.",
        "Conclusions": "PRK, pIOL implantation, and RLE are effective means for improving visual function and quality of life in children who have NDD and difficulties wearing spectacles. Visual acuity and refractive error substantially improved from preoperative measures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 180
    },
    {
      "uid": "POREF053",
      "abstract_number": "POREF053",
      "title": "Long Term Follow Up Of Two Step Femto-Lasik Approach For Correction Of Post Keratoplasty Refractive Error ( 5 Year Study)",
      "authors": "Dr Hazem Elnashar",
      "presenter": "Dr Hazem Elnashar",
      "normalized_authors": [
        "Hazem Elnashar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hazem Elnashar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To assess the long term visual and refractive outcome of using two step Femto-LASIK approach for correction of post keratoplasty refractive error.\n\n( 5 years study)",
        "Setting": "the memorial institute for ophthalmic research (MIOIR)",
        "Methods": "Prospective interventional study involved 12 eyes of 12 patients with high refractive error after remove the sutures of keratoplasty that could not be adequately corrected by contact lenses or spectacles. Patients with central corneal opacity and very thin cornea less than 450um were excluded. follow up period ranges from 6 m to 1 year.\n\nFirst step was to create a Femto-Lasik flap. We aimed in this step to cut all the adhesions between anterior corneal surface and stroma which lead to change in the refraction of the patient. The second step was done after topography and refraction become stable , where the elevation of flap is much easier. Apply excimer laser depending on stable new refraction then reposit the flap again.",
        "Results": "Regarding visual outcome, all eyes showed a big difference in ref after creation of flap (1 st stage), the manifest cylinder had changed at least 3 degree and manifest sphere had changed from 1-3 degree. Also, all eyes showed improvement after the 2 nd stage. Mean UCVA improved significantly from 0.08 + 0.02 before surgery to 0.57 + 0.19 LogMar after surgery , BCVA improved significantly from 0.35 + 0.11 to 0.62 + 0.18 LogMar , Cylinder improved significantly from 6.81 + 1.52 to -1.55 + 0.86 D .\n\nThe time needed for topography and refraction to become stable to do second step was 6.81 + 2.35 weeks.\n\nOnly one complication was occurred all over study, in which small perforation was occurred in the flap during its elevation and didn't need suturing.",
        "Conclusions": "Femto-LASIK is a useful and safe procedure for management of postkeratoplasty refractive error with a significant improvement in the UCVA and BCVA with minimal surgical complications. The Two-step LASIK approach has been shown to get more accurate results than One –step LASIK approach in those patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femto-LASIK is a useful and safe procedure for management of postkeratoplasty refractive error with a significant improvement in the UCVA and BCVA with minimal surgical complications. The Two-step LASIK approach has been shown to get more accurate results than One –step LASIK approach in those patients.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1441,
      "source_fields": {
        "Abstract Final Identifier": "POREF053",
        "Title": "Long Term Follow Up Of Two Step Femto-Lasik Approach For Correction Of Post Keratoplasty Refractive Error ( 5 Year Study)",
        "Presenting Author(s)": "Dr Hazem Elnashar",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Hazem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elnashar",
        "Country Name": "Egypt",
        "Purpose": "To assess the long term visual and refractive outcome of using two step Femto-LASIK approach for correction of post keratoplasty refractive error.\n\n( 5 years study)",
        "Setting": "the memorial institute for ophthalmic research (MIOIR)",
        "Methods": "Prospective interventional study involved 12 eyes of 12 patients with high refractive error after remove the sutures of keratoplasty that could not be adequately corrected by contact lenses or spectacles. Patients with central corneal opacity and very thin cornea less than 450um were excluded. follow up period ranges from 6 m to 1 year.\n\nFirst step was to create a Femto-Lasik flap. We aimed in this step to cut all the adhesions between anterior corneal surface and stroma which lead to change in the refraction of the patient. The second step was done after topography and refraction become stable , where the elevation of flap is much easier. Apply excimer laser depending on stable new refraction then reposit the flap again.",
        "Results": "Regarding visual outcome, all eyes showed a big difference in ref after creation of flap (1 st stage), the manifest cylinder had changed at least 3 degree and manifest sphere had changed from 1-3 degree. Also, all eyes showed improvement after the 2 nd stage. Mean UCVA improved significantly from 0.08 + 0.02 before surgery to 0.57 + 0.19 LogMar after surgery , BCVA improved significantly from 0.35 + 0.11 to 0.62 + 0.18 LogMar , Cylinder improved significantly from 6.81 + 1.52 to -1.55 + 0.86 D .\n\nThe time needed for topography and refraction to become stable to do second step was 6.81 + 2.35 weeks.\n\nOnly one complication was occurred all over study, in which small perforation was occurred in the flap during its elevation and didn't need suturing.",
        "Conclusions": "Femto-LASIK is a useful and safe procedure for management of postkeratoplasty refractive error with a significant improvement in the UCVA and BCVA with minimal surgical complications. The Two-step LASIK approach has been shown to get more accurate results than One –step LASIK approach in those patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POREF054",
      "abstract_number": "POREF054",
      "title": "Ultra-Thin Flap (80-µm) Lasik Using A Low-Energy Femtosecond Laser: Safety And Predictability Of Flap Thickness",
      "authors": "Dr Ramon Coral Ghanem",
      "presenter": "Dr Ramon Coral Ghanem",
      "normalized_authors": [
        "Ramon Coral Ghanem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramon Coral Ghanem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate the intraoperative and postoperative complications and predictability of flap thickness in ultra-thin flap LASIK created with a low-energy femtosecond laser.",
        "Setting": "Sadalla Amin Ghanem Eye Hospital, Joinville, SC, Brazil.",
        "Methods": "Eighty-one consecutive patients (158 eyes) with thin corneas or high percent tissue altered (PTA) were prospectively studied between August 2023 and August 2025. Flap was created using the Ziemer LDV Z8 femtosecond laser set at 80-µm thickness and diameter of 8.8 to 9.5mm. Schwind Amaris 1050Hz excimer laser was used for photoablation. Uncorrected distance visual acuity (UDVA), manifest refraction, and corrected distance visual acuity (CDVA) were assessed preoperatively, on day 1, and at 3 months postoperatively. Central epithelial thickness had a mean of 53 ± 3 µm (45 to 60 µm). Flap measurements were performed in the nasal and temporal quadrants outside the ablation zone after 3 months with anterior segment tomography (CSO MS-39).",
        "Results": "Postoperative UDVA was statistically equivalent to preoperative CDVA (P=0.983). Safety index was 1.04. Intraoperative complications (4.4%) included focal adhesions (1.9%) and loose epithelium (1.3%). One case involved an extensive temporal adhesion with a thin, partially intraepithelial flap. Postoperative complications affected 16.7% of cases: mild interface haze (5.8%), microstriae (4.3%), and DLK grade 1 (3.6%). One eye had an interface scar after flap adherence and another a moderate interface haze. None of these eyes lost a single line of CDVA. Flap thickness averaged 84.3 ± 3.3 µm, but exhibited significant horizontal asymmetry, with the nasal side consistently thicker than the temporal side (+6 µm)(P< 0.001).",
        "Conclusions": "Ultra-thin (80-µm) flap LASIK is a feasible option with a favorable safety profile for patients with thin corneas or high PTA. However, variability in flap and epithelial thickness raises the risk of Bowman layer or epithelial basement membrane damage, potentially causing incomplete flaps or interface scarring."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ultra-thin (80-µm) flap LASIK is a feasible option with a favorable safety profile for patients with thin corneas or high PTA. However, variability in flap and epithelial thickness raises the risk of Bowman layer or epithelial basement membrane damage, potentially causing incomplete flaps or interface scarring.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1442,
      "source_fields": {
        "Abstract Final Identifier": "POREF054",
        "Title": "Ultra-Thin Flap (80-µm) Lasik Using A Low-Energy Femtosecond Laser: Safety And Predictability Of Flap Thickness",
        "Presenting Author(s)": "Dr Ramon Coral Ghanem",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Ramon",
        "Submitter Middle Name": "Coral",
        "Submitter Last Name": "Ghanem",
        "Country Name": "Brazil",
        "Purpose": "To evaluate the intraoperative and postoperative complications and predictability of flap thickness in ultra-thin flap LASIK created with a low-energy femtosecond laser.",
        "Setting": "Sadalla Amin Ghanem Eye Hospital, Joinville, SC, Brazil.",
        "Methods": "Eighty-one consecutive patients (158 eyes) with thin corneas or high percent tissue altered (PTA) were prospectively studied between August 2023 and August 2025. Flap was created using the Ziemer LDV Z8 femtosecond laser set at 80-µm thickness and diameter of 8.8 to 9.5mm. Schwind Amaris 1050Hz excimer laser was used for photoablation. Uncorrected distance visual acuity (UDVA), manifest refraction, and corrected distance visual acuity (CDVA) were assessed preoperatively, on day 1, and at 3 months postoperatively. Central epithelial thickness had a mean of 53 ± 3 µm (45 to 60 µm). Flap measurements were performed in the nasal and temporal quadrants outside the ablation zone after 3 months with anterior segment tomography (CSO MS-39).",
        "Results": "Postoperative UDVA was statistically equivalent to preoperative CDVA (P=0.983). Safety index was 1.04. Intraoperative complications (4.4%) included focal adhesions (1.9%) and loose epithelium (1.3%). One case involved an extensive temporal adhesion with a thin, partially intraepithelial flap. Postoperative complications affected 16.7% of cases: mild interface haze (5.8%), microstriae (4.3%), and DLK grade 1 (3.6%). One eye had an interface scar after flap adherence and another a moderate interface haze. None of these eyes lost a single line of CDVA. Flap thickness averaged 84.3 ± 3.3 µm, but exhibited significant horizontal asymmetry, with the nasal side consistently thicker than the temporal side (+6 µm)(P< 0.001).",
        "Conclusions": "Ultra-thin (80-µm) flap LASIK is a feasible option with a favorable safety profile for patients with thin corneas or high PTA. However, variability in flap and epithelial thickness raises the risk of Bowman layer or epithelial basement membrane damage, potentially causing incomplete flaps or interface scarring."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POREF056",
      "abstract_number": "POREF056",
      "title": "Artificial Intelligence In Ophthalmic Patient Education: A Comparative Analysis With Ai, Search\nEngines, And Human Expertise",
      "authors": "Dr Saurabh Haral",
      "presenter": "Dr Saurabh Haral",
      "normalized_authors": [
        "Saurabh Haral"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saurabh Haral",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the accuracy, comprehensiveness, clarity, consistency, and credibility of LASIK surgery\ninformation provided by AI models, Google, and ophthalmologists.",
        "Setting": "Academic ophthalmology setting evaluating digital and human sources of LASIK patient education.",
        "Methods": "A structured questionnaire covering key LASIK topics—including procedure details, eligibility, risks,\npost-operative care, and long-term outcomes was developed based on previously published\nliterature. Three AI models (ChatGPT, Gemini, Claude), Google search results, and ophthalmologists\nwere asked to respond to the same set of questions. A scoring system (0-10) was applied to evaluate\nthe responses across five parameters: accuracy, comprehensiveness, clarity, consistency, and source\ncredibility. The final scores were analyzed to determine the most reliable source of LASIK-related\ninformation.",
        "Results": "Ophthalmologists provided the most accurate and comprehensive responses, achieving the highest\ntotal score of 24.9/25. AI models demonstrated better clarity and consistency compared to Google\nsearch results but lacked medical nuance and credibility, with ChatGPT scoring 20.0/25, Gemini\n19.3/25, and Claude 18.5/25. Google scored lowest 15.3/25, due to inconsistencies, outdated\nsources, and the influence of non-medical content. AI models provided structured and easy-to-\nunderstand responses but failed to cite authoritative medical sources, reducing their credibility.",
        "Conclusions": "While AI models offer clear and consistent LASIK-related information, their lack of depth and verified\nsources limits their reliability in patient education. Google search results remain inconsistent and\nprone to misinformation. Human ophthalmologists continue to be the most accurate and\ncomprehensive source of LASIK information, emphasizing the need for professional consultations in\nmedical decision-making. AI models can serve as supplementary tools but require improvements in\nsource citation and depth to enhance their effectiveness in ophthalmic patient education."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While AI models offer clear and consistent LASIK-related information, their lack of depth and verified sources limits their reliability in patient education. Google search results remain inconsistent and prone to misinformation. Human ophthalmologists continue to be the most accurate and comprehensive source of LASIK information, emphasizing the need for professional consultations in medical decision-making. AI…",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1443,
      "source_fields": {
        "Abstract Final Identifier": "POREF056",
        "Title": "Artificial Intelligence In Ophthalmic Patient Education: A Comparative Analysis With Ai, Search\nEngines, And Human Expertise",
        "Presenting Author(s)": "Dr Saurabh Haral",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Saurabh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Haral",
        "Country Name": "India",
        "Purpose": "To compare the accuracy, comprehensiveness, clarity, consistency, and credibility of LASIK surgery\ninformation provided by AI models, Google, and ophthalmologists.",
        "Setting": "Academic ophthalmology setting evaluating digital and human sources of LASIK patient education.",
        "Methods": "A structured questionnaire covering key LASIK topics—including procedure details, eligibility, risks,\npost-operative care, and long-term outcomes was developed based on previously published\nliterature. Three AI models (ChatGPT, Gemini, Claude), Google search results, and ophthalmologists\nwere asked to respond to the same set of questions. A scoring system (0-10) was applied to evaluate\nthe responses across five parameters: accuracy, comprehensiveness, clarity, consistency, and source\ncredibility. The final scores were analyzed to determine the most reliable source of LASIK-related\ninformation.",
        "Results": "Ophthalmologists provided the most accurate and comprehensive responses, achieving the highest\ntotal score of 24.9/25. AI models demonstrated better clarity and consistency compared to Google\nsearch results but lacked medical nuance and credibility, with ChatGPT scoring 20.0/25, Gemini\n19.3/25, and Claude 18.5/25. Google scored lowest 15.3/25, due to inconsistencies, outdated\nsources, and the influence of non-medical content. AI models provided structured and easy-to-\nunderstand responses but failed to cite authoritative medical sources, reducing their credibility.",
        "Conclusions": "While AI models offer clear and consistent LASIK-related information, their lack of depth and verified\nsources limits their reliability in patient education. Google search results remain inconsistent and\nprone to misinformation. Human ophthalmologists continue to be the most accurate and\ncomprehensive source of LASIK information, emphasizing the need for professional consultations in\nmedical decision-making. AI models can serve as supplementary tools but require improvements in\nsource citation and depth to enhance their effectiveness in ophthalmic patient education."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POREF057",
      "abstract_number": "POREF057",
      "title": "Optimizing Visual And Refractive Outcomes In Contemporary Lasik: A Prospective Analysis Of Safety, Predictability, And Ocular Surface Stability",
      "authors": "Dr Diana Hovhannisyan",
      "presenter": "Dr Diana Hovhannisyan",
      "normalized_authors": [
        "Diana Hovhannisyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Diana Hovhannisyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "To evaluate visual outcomes, refractive predictability, safety, and postoperative ocular surface changes following modern laser in situ keratomileusis (LASIK) using advanced eye-tracking and wavefront-optimized ablation profiles.",
        "Setting": "Private refractive surgery center.",
        "Methods": "This prospective study included 200 eyes of 110 patients undergoing LASIK for myopia and myopic astigmatism. Preoperative spherical equivalent ranged from –1.00 D to –8.00 D. All procedures were performed using femtosecond laser flap creation followed by excimer laser ablation with active eye-tracking and centration control.\n\nPrimary outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive predictability (percentage within ±0.50 D and ±1.00 D of intended correction), higher-order aberrations (HOAs), contrast sensitivity, and dry eye parameters (TBUT, OSDI score) at 1 and 3 months postoperatively.",
        "Results": "At 3 months, 92% of eyes achieved UDVA of 20/20 or better. Refractive predictability was high, with 89% within ±0.50 D and 98% within ±1.00 D of target. No eye lost more than one line of CDVA. Mean spherical equivalent was –0.08 ± 0.32 D postoperatively. Induction of higher-order aberrations was minimal and not statistically significant (p>0.05). Transient dry eye symptoms were observed at 1 month but significantly improved by 3 months (p<0.01).",
        "Conclusions": "Modern LASIK demonstrates excellent safety, high refractive predictability, and rapid visual recovery with minimal induction of higher-order aberrations. Advances in femtosecond flap creation and excimer ablation algorithms continue to enhance surgical precision and patient satisfaction, reinforcing LASIK as a leading refractive laser procedure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Modern LASIK demonstrates excellent safety, high refractive predictability, and rapid visual recovery with minimal induction of higher-order aberrations. Advances in femtosecond flap creation and excimer ablation algorithms continue to enhance surgical precision and patient satisfaction, reinforcing LASIK as a leading refractive laser procedure.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1444,
      "source_fields": {
        "Abstract Final Identifier": "POREF057",
        "Title": "Optimizing Visual And Refractive Outcomes In Contemporary Lasik: A Prospective Analysis Of Safety, Predictability, And Ocular Surface Stability",
        "Presenting Author(s)": "Dr Diana Hovhannisyan",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Diana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hovhannisyan",
        "Country Name": "Armenia",
        "Purpose": "To evaluate visual outcomes, refractive predictability, safety, and postoperative ocular surface changes following modern laser in situ keratomileusis (LASIK) using advanced eye-tracking and wavefront-optimized ablation profiles.",
        "Setting": "Private refractive surgery center.",
        "Methods": "This prospective study included 200 eyes of 110 patients undergoing LASIK for myopia and myopic astigmatism. Preoperative spherical equivalent ranged from –1.00 D to –8.00 D. All procedures were performed using femtosecond laser flap creation followed by excimer laser ablation with active eye-tracking and centration control.\n\nPrimary outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive predictability (percentage within ±0.50 D and ±1.00 D of intended correction), higher-order aberrations (HOAs), contrast sensitivity, and dry eye parameters (TBUT, OSDI score) at 1 and 3 months postoperatively.",
        "Results": "At 3 months, 92% of eyes achieved UDVA of 20/20 or better. Refractive predictability was high, with 89% within ±0.50 D and 98% within ±1.00 D of target. No eye lost more than one line of CDVA. Mean spherical equivalent was –0.08 ± 0.32 D postoperatively. Induction of higher-order aberrations was minimal and not statistically significant (p>0.05). Transient dry eye symptoms were observed at 1 month but significantly improved by 3 months (p<0.01).",
        "Conclusions": "Modern LASIK demonstrates excellent safety, high refractive predictability, and rapid visual recovery with minimal induction of higher-order aberrations. Advances in femtosecond flap creation and excimer ablation algorithms continue to enhance surgical precision and patient satisfaction, reinforcing LASIK as a leading refractive laser procedure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POREF058",
      "abstract_number": "POREF058",
      "title": "Incidence And Severity Of Postoperative Dry Eye After Smile Versus Lasik: A Systematic Review",
      "authors": "Kishanthan Johnson",
      "presenter": "Kishanthan Johnson",
      "normalized_authors": [
        "Kishanthan Johnson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kishanthan Johnson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare the incidence, severity, and duration of postoperative dry eye following small incision lenticule extraction (SMILE) and laser in situ keratomileusis (LASIK) in myopic refractive surgery.",
        "Setting": "Systematic review conducted using predefined criteria and electronic database search of peer-reviewed literature.",
        "Methods": "PubMed, Embase, and Cochrane Library were searched for comparative studies reporting postoperative dry eye outcomes after SMILE and LASIK. Primary outcomes included incidence of symptomatic dry eye and change in Ocular Surface Disease Index (OSDI). Secondary outcomes included tear break-up time (TBUT), Schirmer testing, and corneal staining. Randomised controlled trials were assessed using RoB 2 and observational studies using the Newcastle–Ottawa Scale. Due to heterogeneity of outcome reporting, data were synthesised descriptively.Systematic review conducted using predefined criteria and electronic database search of peer-reviewed literature.",
        "Results": "Twenty-one studies (9 randomised, 12 observational) involving 5,432 eyes met inclusion criteria. Early postoperative dry eye (≤3 months) was reported in 22–45% of LASIK eyes compared with 12–32% of SMILE eyes. OSDI increase was consistently greater after LASIK at 1 month, with convergence between procedures by 6–12 months. TBUT reduction was more pronounced after LASIK in most studies. Risk of bias ranged from low to moderate in RCTs and moderate in observational studies.",
        "Conclusions": "Evidence suggests a lower incidence and milder early postoperative dry eye following SMILE compared with LASIK, with differences diminishing over time. Variability in diagnostic criteria limits quantitative pooling. Standardised reporting of dry eye metrics is required for more definitive comparison."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Evidence suggests a lower incidence and milder early postoperative dry eye following SMILE compared with LASIK, with differences diminishing over time. Variability in diagnostic criteria limits quantitative pooling. Standardised reporting of dry eye metrics is required for more definitive comparison.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1445,
      "source_fields": {
        "Abstract Final Identifier": "POREF058",
        "Title": "Incidence And Severity Of Postoperative Dry Eye After Smile Versus Lasik: A Systematic Review",
        "Presenting Author(s)": "Kishanthan Johnson",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Kishanthan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Johnson",
        "Country Name": "United Kingdom",
        "Purpose": "To compare the incidence, severity, and duration of postoperative dry eye following small incision lenticule extraction (SMILE) and laser in situ keratomileusis (LASIK) in myopic refractive surgery.",
        "Setting": "Systematic review conducted using predefined criteria and electronic database search of peer-reviewed literature.",
        "Methods": "PubMed, Embase, and Cochrane Library were searched for comparative studies reporting postoperative dry eye outcomes after SMILE and LASIK. Primary outcomes included incidence of symptomatic dry eye and change in Ocular Surface Disease Index (OSDI). Secondary outcomes included tear break-up time (TBUT), Schirmer testing, and corneal staining. Randomised controlled trials were assessed using RoB 2 and observational studies using the Newcastle–Ottawa Scale. Due to heterogeneity of outcome reporting, data were synthesised descriptively.Systematic review conducted using predefined criteria and electronic database search of peer-reviewed literature.",
        "Results": "Twenty-one studies (9 randomised, 12 observational) involving 5,432 eyes met inclusion criteria. Early postoperative dry eye (≤3 months) was reported in 22–45% of LASIK eyes compared with 12–32% of SMILE eyes. OSDI increase was consistently greater after LASIK at 1 month, with convergence between procedures by 6–12 months. TBUT reduction was more pronounced after LASIK in most studies. Risk of bias ranged from low to moderate in RCTs and moderate in observational studies.",
        "Conclusions": "Evidence suggests a lower incidence and milder early postoperative dry eye following SMILE compared with LASIK, with differences diminishing over time. Variability in diagnostic criteria limits quantitative pooling. Standardised reporting of dry eye metrics is required for more definitive comparison."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "POREF059",
      "abstract_number": "POREF059",
      "title": "Clinical Efficacy Analysis Of Smile Pro Surgery For Myopia And Astigmatism Correction At 3 Months Postoperative",
      "authors": "Mrs Jia Liu",
      "presenter": "Mrs Jia Liu",
      "normalized_authors": [
        "Jia Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jia Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the 3-month postoperative clinical efficacy of SMILE PRO surgery for myopia and astigmatism correction, and to provide data support for clinical application.",
        "Setting": "Traditional SMILE techniques still face challenges in achieving precise correction for patients with moderate to high astigmatism, which may affect postoperative visual quality. SMILE PRO, an upgraded version integrated with intelligent positioning and spin compensation systems, is designed to enhance refractive accuracy, especially for astigmatism correction. Yet, clinical evidence regarding its 3-month postoperative efficacy remains to be systematically verified.",
        "Methods": "This was a retrospective clinical study. The subjects were patients who underwent SMILE PRO surgery at our hospital using the ZEISS VISUMAX 800 device combined with the CentraLign intelligent positioning system and OcuLign spin compensation system. At 3 months postoperatively, uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), residual spherical equivalent, residual astigmatism were evaluated. The safety, effectiveness, and stability of the surgery were analyzed, especially in patients with high myopia and astigmatism.",
        "Results": "A total of 136 eyes from 68 patients who underwent SMILE PRO surgery were enrolled in the study at 3 months postoperatively. The preoperative mean spherical equivalent refractive error was -5.62±1.57D and -5.21±1.69D respectively. Among the SMILE PRO group, 87.6% of the eyes achieved a postoperative spherical equivalent within ±0.50D of the target refraction, and 98.7% within ±1.00D. Additionally, 99% of the eyes had a UDVA ≥1.0, and 67% had a UDVA ≥1.2. Moreover, 50.7% of the eyes achieved a UDVA better than the preoperative CDVA, and 93.6% had residual astigmatism ≤0.5D. The postoperative mean astigmatism was 0.07D×175°, with a target-induced astigmatism (TIA) of 0.61D×178.1° and a surgically induced astigmatism (SIA) of 0.54D×178.4°.",
        "Conclusions": "SMILE PRO surgery exhibits significant efficacy and excellent stability for myopia and astigmatism correction at 3 months postoperatively. It is characterized by high efficiency, precision, and safety, and shows superior adaptability for patients with high astigmatism and high visual quality requirements, thus possessing prominent clinical application value."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE PRO surgery exhibits significant efficacy and excellent stability for myopia and astigmatism correction at 3 months postoperatively. It is characterized by high efficiency, precision, and safety, and shows superior adaptability for patients with high astigmatism and high visual quality requirements, thus possessing prominent clinical application value.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1446,
      "source_fields": {
        "Abstract Final Identifier": "POREF059",
        "Title": "Clinical Efficacy Analysis Of Smile Pro Surgery For Myopia And Astigmatism Correction At 3 Months Postoperative",
        "Presenting Author(s)": "Mrs Jia Liu",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Jia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "China",
        "Purpose": "To investigate the 3-month postoperative clinical efficacy of SMILE PRO surgery for myopia and astigmatism correction, and to provide data support for clinical application.",
        "Setting": "Traditional SMILE techniques still face challenges in achieving precise correction for patients with moderate to high astigmatism, which may affect postoperative visual quality. SMILE PRO, an upgraded version integrated with intelligent positioning and spin compensation systems, is designed to enhance refractive accuracy, especially for astigmatism correction. Yet, clinical evidence regarding its 3-month postoperative efficacy remains to be systematically verified.",
        "Methods": "This was a retrospective clinical study. The subjects were patients who underwent SMILE PRO surgery at our hospital using the ZEISS VISUMAX 800 device combined with the CentraLign intelligent positioning system and OcuLign spin compensation system. At 3 months postoperatively, uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), residual spherical equivalent, residual astigmatism were evaluated. The safety, effectiveness, and stability of the surgery were analyzed, especially in patients with high myopia and astigmatism.",
        "Results": "A total of 136 eyes from 68 patients who underwent SMILE PRO surgery were enrolled in the study at 3 months postoperatively. The preoperative mean spherical equivalent refractive error was -5.62±1.57D and -5.21±1.69D respectively. Among the SMILE PRO group, 87.6% of the eyes achieved a postoperative spherical equivalent within ±0.50D of the target refraction, and 98.7% within ±1.00D. Additionally, 99% of the eyes had a UDVA ≥1.0, and 67% had a UDVA ≥1.2. Moreover, 50.7% of the eyes achieved a UDVA better than the preoperative CDVA, and 93.6% had residual astigmatism ≤0.5D. The postoperative mean astigmatism was 0.07D×175°, with a target-induced astigmatism (TIA) of 0.61D×178.1° and a surgically induced astigmatism (SIA) of 0.54D×178.4°.",
        "Conclusions": "SMILE PRO surgery exhibits significant efficacy and excellent stability for myopia and astigmatism correction at 3 months postoperatively. It is characterized by high efficiency, precision, and safety, and shows superior adaptability for patients with high astigmatism and high visual quality requirements, thus possessing prominent clinical application value."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POREF060",
      "abstract_number": "POREF060",
      "title": "Tailored Management Of Post-Lasik Epithelial Ingrowth: Comparative Outcomes Of Conservative Therapy, Flap Lift With Scraping, And Nd:Yag Laser Treatment",
      "authors": "Dr Raghav Malik",
      "presenter": "Dr Raghav Malik",
      "normalized_authors": [
        "Raghav Malik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raghav Malik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe and compare clinical outcomes of three distinct management strategies for post-LASIK epithelial ingrowth (EI), highlighting decision-making criteria and visual outcomes following conservative management, surgical flap lift with mechanical debridement, and Nd:YAG laser treatment.",
        "Setting": "Tertiary referral refractive surgery center.",
        "Methods": "This retrospective interventional case series includes three patients who developed epithelial ingrowth following LASIK. Each case differed in severity, location, and progression pattern. Management was individualized:\n\n•\nConservative management (topical corticosteroids, lubrication, and observation) for peripheral, non-progressive EI.\n\n•\nFlap lift with mechanical scraping of stromal and undersurface epithelium for visually significant central ingrowth.\n\n•\nNd:YAG laser photodisruption targeting localized nests of epithelial cells at the interface.\n\nPatients were followed for resolution of ingrowth, recurrence, interface clarity, and corrected distance visual acuity (CDVA).",
        "Results": "All three cases achieved complete resolution of epithelial ingrowth without long-term visual compromise.\n\n•\nThe conservatively managed case demonstrated spontaneous stabilization without progression, maintaining 6/6 CDVA.\n\n•\nThe flap lift and scraping case achieved full interface clearance with no recurrence during follow-up and restoration of 6/6 CDVA.\n\n•\nThe Nd:YAG laser case showed regression of localized epithelial nests with preserved flap integrity and final CDVA of 6/6.\n\nNo sight-threatening complications or flap melts occurred. No recurrence was observed during the follow-up period.",
        "Conclusions": "Post-LASIK epithelial ingrowth requires individualized management based on severity and progression. Observation may be appropriate in stable peripheral cases, while flap lift and mechanical debridement remain effective for visually significant central ingrowth. Nd:YAG laser offers a minimally invasive alternative in selected localized cases. A tailored, severity-based approach can achieve excellent anatomical and visual outcomes while minimizing surgical morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-LASIK epithelial ingrowth requires individualized management based on severity and progression. Observation may be appropriate in stable peripheral cases, while flap lift and mechanical debridement remain effective for visually significant central ingrowth. Nd:YAG laser offers a minimally invasive alternative in selected localized cases. A tailored, severity-based approach can achieve excellent anatomical and…",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1447,
      "source_fields": {
        "Abstract Final Identifier": "POREF060",
        "Title": "Tailored Management Of Post-Lasik Epithelial Ingrowth: Comparative Outcomes Of Conservative Therapy, Flap Lift With Scraping, And Nd:Yag Laser Treatment",
        "Presenting Author(s)": "Dr Raghav Malik",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Raghav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Malik",
        "Country Name": "India",
        "Purpose": "To describe and compare clinical outcomes of three distinct management strategies for post-LASIK epithelial ingrowth (EI), highlighting decision-making criteria and visual outcomes following conservative management, surgical flap lift with mechanical debridement, and Nd:YAG laser treatment.",
        "Setting": "Tertiary referral refractive surgery center.",
        "Methods": "This retrospective interventional case series includes three patients who developed epithelial ingrowth following LASIK. Each case differed in severity, location, and progression pattern. Management was individualized:\n\n•\nConservative management (topical corticosteroids, lubrication, and observation) for peripheral, non-progressive EI.\n\n•\nFlap lift with mechanical scraping of stromal and undersurface epithelium for visually significant central ingrowth.\n\n•\nNd:YAG laser photodisruption targeting localized nests of epithelial cells at the interface.\n\nPatients were followed for resolution of ingrowth, recurrence, interface clarity, and corrected distance visual acuity (CDVA).",
        "Results": "All three cases achieved complete resolution of epithelial ingrowth without long-term visual compromise.\n\n•\nThe conservatively managed case demonstrated spontaneous stabilization without progression, maintaining 6/6 CDVA.\n\n•\nThe flap lift and scraping case achieved full interface clearance with no recurrence during follow-up and restoration of 6/6 CDVA.\n\n•\nThe Nd:YAG laser case showed regression of localized epithelial nests with preserved flap integrity and final CDVA of 6/6.\n\nNo sight-threatening complications or flap melts occurred. No recurrence was observed during the follow-up period.",
        "Conclusions": "Post-LASIK epithelial ingrowth requires individualized management based on severity and progression. Observation may be appropriate in stable peripheral cases, while flap lift and mechanical debridement remain effective for visually significant central ingrowth. Nd:YAG laser offers a minimally invasive alternative in selected localized cases. A tailored, severity-based approach can achieve excellent anatomical and visual outcomes while minimizing surgical morbidity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POREF061",
      "abstract_number": "POREF061",
      "title": "Corneal Epithelial Remodelling Following Myopic Lasik Vs Prk",
      "authors": "Dr Ricardo André Marques Mocho",
      "presenter": "Dr Ricardo André Marques Mocho",
      "normalized_authors": [
        "Ricardo André Marques Mocho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ricardo André Marques Mocho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To investigate corneal epithelial behaviour and remodelling changes after photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK)",
        "Setting": "Single-center, retrospective study conducted at a tertiary refractive surgery center",
        "Methods": "This study included mild to moderate myopic eyes that underwent refractive surgery (LASIK or PRK). Patients were observed at baseline (preoperative) and at 1 and 6-months post-operative. Observed data included best-corrected visual acuity (BCVA), objective refraction measurements and spherical equivalent.\n\nEpithelial parameters were obtained at baseline, 1-month, and 6-months postoperatively using Heidelberg’s ANTERION® anterior segment OCT – such as mean epithelial thickness, thickness variability and regional thickness measurements across standardized concentric rings and zones (0–2 mm, 2–4 mm, 4–6 mm, and 6–7 mm) were obtained.\n\nBetween-group comparisons were conducted using independent-samples t-tests.",
        "Results": "The study included 121 eyes – 30,58% (n=37) underwent PRK and 69,42% (n=84) LASIK. Preoperatively, epithelial parameters were not significantly different between PRK and LASIK groups. At one-month postoperative, overall epithelial mean thickness was not significantly different between groups (MD = −1.49 µm, p=0.06). However, localized differences were observed - LASIK eyes demonstrated greater epithelial thickness at the thinnest point (MD= −4.90 µm, p=0.007) and greater inferior–superior asymmetry (MD = −1.85, p=0.002). At 6 months, PRK eyes demonstrated greater epithelial mean thickness (MD = +2.60 µm, p=0.002). Significant central and paracentral mean epithelial thickness differences were observed between groups.",
        "Conclusions": "LASIK induced an earlier but modest epithelial thickening at 1 month, whereas PRK exhibited greater central and paracentral thickening by 6 months, reflecting a more sustained remodeling response. These distinct temporal healing patterns may have implications for refractive stability and the interpretation of postoperative corneal imaging."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LASIK induced an earlier but modest epithelial thickening at 1 month, whereas PRK exhibited greater central and paracentral thickening by 6 months, reflecting a more sustained remodeling response. These distinct temporal healing patterns may have implications for refractive stability and the interpretation of postoperative corneal imaging.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1448,
      "source_fields": {
        "Abstract Final Identifier": "POREF061",
        "Title": "Corneal Epithelial Remodelling Following Myopic Lasik Vs Prk",
        "Presenting Author(s)": "Dr Ricardo André Marques Mocho",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Ricardo",
        "Submitter Middle Name": "André",
        "Submitter Last Name": "Marques Mocho",
        "Country Name": "Portugal",
        "Purpose": "To investigate corneal epithelial behaviour and remodelling changes after photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK)",
        "Setting": "Single-center, retrospective study conducted at a tertiary refractive surgery center",
        "Methods": "This study included mild to moderate myopic eyes that underwent refractive surgery (LASIK or PRK). Patients were observed at baseline (preoperative) and at 1 and 6-months post-operative. Observed data included best-corrected visual acuity (BCVA), objective refraction measurements and spherical equivalent.\n\nEpithelial parameters were obtained at baseline, 1-month, and 6-months postoperatively using Heidelberg’s ANTERION® anterior segment OCT – such as mean epithelial thickness, thickness variability and regional thickness measurements across standardized concentric rings and zones (0–2 mm, 2–4 mm, 4–6 mm, and 6–7 mm) were obtained.\n\nBetween-group comparisons were conducted using independent-samples t-tests.",
        "Results": "The study included 121 eyes – 30,58% (n=37) underwent PRK and 69,42% (n=84) LASIK. Preoperatively, epithelial parameters were not significantly different between PRK and LASIK groups. At one-month postoperative, overall epithelial mean thickness was not significantly different between groups (MD = −1.49 µm, p=0.06). However, localized differences were observed - LASIK eyes demonstrated greater epithelial thickness at the thinnest point (MD= −4.90 µm, p=0.007) and greater inferior–superior asymmetry (MD = −1.85, p=0.002). At 6 months, PRK eyes demonstrated greater epithelial mean thickness (MD = +2.60 µm, p=0.002). Significant central and paracentral mean epithelial thickness differences were observed between groups.",
        "Conclusions": "LASIK induced an earlier but modest epithelial thickening at 1 month, whereas PRK exhibited greater central and paracentral thickening by 6 months, reflecting a more sustained remodeling response. These distinct temporal healing patterns may have implications for refractive stability and the interpretation of postoperative corneal imaging."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POREF062",
      "abstract_number": "POREF062",
      "title": "Comparison Of Corneal Biomechanical Changes By Dynamic Scheimpflug Technology And Tomography After Prk And Lasik: A 6-Month Follow-Up Study",
      "authors": "Mrs Anary Isis Rossi Martins Isis Rossi Martins Moreira",
      "presenter": "Mrs Anary Isis Rossi Martins Isis Rossi Martins Moreira",
      "normalized_authors": [
        "Anary Isis Rossi Martins Isis Rossi Martins Moreira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anary Isis Rossi Martins Moreira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To compare longitudinal changes in corneal biomechanical properties and tomographic indices in eyes undergoing Photorefractive Keratectomy (PRK) and Femtosecond Laser-assisted in situ Keratomileusis (LASIK) using the Corvis ST and Pentacam (Oculus Optikgeräte GmbH).",
        "Setting": "Department of Refractive Surgery, Specialized Eye Hospital in São Paulo, Brazil.",
        "Methods": "The prospective study included 286 eyes (54 PRK; 232 LASIK). Biomechanical parameters, Stiffness Parameter A1 (SP-A1), Deformation Amplitude Ratio (DA Ratio), Integrated Radius (IR), were measured with Corvis ST preoperatively and at 1, 3, and 6 months postoperatively. Corvis Biomechanical Index (CBI) and Tomographic and Biomechanical Index (TBI) were also analyzed. Comparisons between groups and time points were performed using linear mixed-effect models, adjusting for baseline central corneal thickness (CCT) and intraocular pressure (IOP).",
        "Results": "Both procedures significantly reduced corneal stiffness (p<0.001). At all postoperative intervals, LASIK had a significantly greater reduction in SP-A1 and higher increases in DA Ratio and IR compared to PRK (p<0.05). The mean SP-A1 at 6 months was lower for the LASIK group, while IR and DA Ratio were significantly higher. CBI and TBI indices increased significantly in both groups postoperatively but were higher for LASIK eyes, reflecting greater biomechanical instability. The stabilization of biomechanical parameters was found between 3 to 6 months though with an indication that PRK has better integrity preservation throughout the follow-up period.",
        "Conclusions": "Both laser refractive surgeries compromise corneal stability; however, PRK seems to better preserve corneal biomechanical integrity compared with LASIK due to the maintenance of anterior stromal lamellae as well as a thicker residual stromal bed. Dynamic Scheimpflug response parameters plus tomographic indices should be integrated for monitoring postoperative stability and evaluating the long-term risk of iatrogenic ectasia.\n\n**Financial Disclosure of all Authors:** The authors have no financial interest in the products mentioned in this abstract"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both laser refractive surgeries compromise corneal stability; however, PRK seems to better preserve corneal biomechanical integrity compared with LASIK due to the maintenance of anterior stromal lamellae as well as a thicker residual stromal bed. Dynamic Scheimpflug response parameters plus tomographic indices should be integrated for monitoring postoperative stability and evaluating the long-term risk of…",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1449,
      "source_fields": {
        "Abstract Final Identifier": "POREF062",
        "Title": "Comparison Of Corneal Biomechanical Changes By Dynamic Scheimpflug Technology And Tomography After Prk And Lasik: A 6-Month Follow-Up Study",
        "Presenting Author(s)": "Mrs Anary Isis Rossi Martins Isis Rossi Martins Moreira",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Anary Isis Rossi Martins",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moreira",
        "Country Name": "Brazil",
        "Purpose": "To compare longitudinal changes in corneal biomechanical properties and tomographic indices in eyes undergoing Photorefractive Keratectomy (PRK) and Femtosecond Laser-assisted in situ Keratomileusis (LASIK) using the Corvis ST and Pentacam (Oculus Optikgeräte GmbH).",
        "Setting": "Department of Refractive Surgery, Specialized Eye Hospital in São Paulo, Brazil.",
        "Methods": "The prospective study included 286 eyes (54 PRK; 232 LASIK). Biomechanical parameters, Stiffness Parameter A1 (SP-A1), Deformation Amplitude Ratio (DA Ratio), Integrated Radius (IR), were measured with Corvis ST preoperatively and at 1, 3, and 6 months postoperatively. Corvis Biomechanical Index (CBI) and Tomographic and Biomechanical Index (TBI) were also analyzed. Comparisons between groups and time points were performed using linear mixed-effect models, adjusting for baseline central corneal thickness (CCT) and intraocular pressure (IOP).",
        "Results": "Both procedures significantly reduced corneal stiffness (p<0.001). At all postoperative intervals, LASIK had a significantly greater reduction in SP-A1 and higher increases in DA Ratio and IR compared to PRK (p<0.05). The mean SP-A1 at 6 months was lower for the LASIK group, while IR and DA Ratio were significantly higher. CBI and TBI indices increased significantly in both groups postoperatively but were higher for LASIK eyes, reflecting greater biomechanical instability. The stabilization of biomechanical parameters was found between 3 to 6 months though with an indication that PRK has better integrity preservation throughout the follow-up period.",
        "Conclusions": "Both laser refractive surgeries compromise corneal stability; however, PRK seems to better preserve corneal biomechanical integrity compared with LASIK due to the maintenance of anterior stromal lamellae as well as a thicker residual stromal bed. Dynamic Scheimpflug response parameters plus tomographic indices should be integrated for monitoring postoperative stability and evaluating the long-term risk of iatrogenic ectasia.\n\n**Financial Disclosure of all Authors:** The authors have no financial interest in the products mentioned in this abstract"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POREF063",
      "abstract_number": "POREF063",
      "title": "Corneal Biomechanical Changes Measured By Dynamic Scheimpflug Imaging After Femtosecond Lasik",
      "authors": "Mrs Anary Isis Rossi Martins Moreira",
      "presenter": "Mrs Anary Isis Rossi Martins Moreira",
      "normalized_authors": [
        "Anary Isis Rossi Martins Moreira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anary Isis Rossi Martins Moreira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate the longitudinal impact of Femtosecond Laser-assisted in situ Keratomileusis (FEMTO-LASIK) on corneal biomechanical properties and tomographic indices over a 6-month follow-up period using dynamic Scheimpflug technology (Corvis ST) and tomography (Pentacam).",
        "Setting": "Department of Refractive Surgery, Specialized Eye Hospital in São Paulo, Brazil.",
        "Methods": "This prospective study evaluated 232 eyes from 118 patients undergoing FEMTO-LASIK. The following parameters were assessed using Corvis ST and Pentacam: Stiffness Parameter A1 (SP-A1), Deformation Amplitude Ratio (DA Ratio), Integrated Radius (IR), Corvis Biomechanical Index (CBI), and Tomographic and Biomechanical Index (TBI). Measurements were obtained preoperatively and at 1, 3, and 6 months postoperatively. Changes over time were analyzed using linear mixed-effects models, adjusted for baseline central corneal thickness (CCT) and intraocular pressure (IOP).",
        "Results": "FEMTO-LASIK significantly reduced corneal stiffness across all parameters (p<0.001). Mean SP-A1 decreased from 109.8 ±15.4 mmHg/mm preoperatively to 78–82 mmHg/mm at all postoperative intervals. DA Ratio and IR increased significantly within the first month, reflecting a reduction in structural resistance to deformation. CBI and TBI values showed highly significant increases postoperatively, consistent with the structural alterations induced by flap creation and stromal ablation. Biomechanical stabilization was observed between 3 and 6 months, with no significant further decrease in stiffness parameters after the 3-month mark.",
        "Conclusions": "FEMTO-LASIK induces immediate and significant alterations in corneal biomechanics, characterized by reduced stiffness and increased deformability. While these changes stabilize within the first 3 to 6 months. Integrating dynamic Scheimpflug technology with tomography is essential for the preoperative screening and long-term postoperative monitoring of structural integrity to reduce the risk of iatrogenic ectasia.\n\n**Financial Disclosure of all Authors:** The authors have no financial interest in the products mentioned in this abstract"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FEMTO-LASIK induces immediate and significant alterations in corneal biomechanics, characterized by reduced stiffness and increased deformability. While these changes stabilize within the first 3 to 6 months. Integrating dynamic Scheimpflug technology with tomography is essential for the preoperative screening and long-term postoperative monitoring of structural integrity to reduce the risk of iatrogenic ectasia.…",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1450,
      "source_fields": {
        "Abstract Final Identifier": "POREF063",
        "Title": "Corneal Biomechanical Changes Measured By Dynamic Scheimpflug Imaging After Femtosecond Lasik",
        "Presenting Author(s)": "Mrs Anary Isis Rossi Martins Moreira",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Anary Isis Rossi Martins",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moreira",
        "Country Name": "Brazil",
        "Purpose": "To evaluate the longitudinal impact of Femtosecond Laser-assisted in situ Keratomileusis (FEMTO-LASIK) on corneal biomechanical properties and tomographic indices over a 6-month follow-up period using dynamic Scheimpflug technology (Corvis ST) and tomography (Pentacam).",
        "Setting": "Department of Refractive Surgery, Specialized Eye Hospital in São Paulo, Brazil.",
        "Methods": "This prospective study evaluated 232 eyes from 118 patients undergoing FEMTO-LASIK. The following parameters were assessed using Corvis ST and Pentacam: Stiffness Parameter A1 (SP-A1), Deformation Amplitude Ratio (DA Ratio), Integrated Radius (IR), Corvis Biomechanical Index (CBI), and Tomographic and Biomechanical Index (TBI). Measurements were obtained preoperatively and at 1, 3, and 6 months postoperatively. Changes over time were analyzed using linear mixed-effects models, adjusted for baseline central corneal thickness (CCT) and intraocular pressure (IOP).",
        "Results": "FEMTO-LASIK significantly reduced corneal stiffness across all parameters (p<0.001). Mean SP-A1 decreased from 109.8 ±15.4 mmHg/mm preoperatively to 78–82 mmHg/mm at all postoperative intervals. DA Ratio and IR increased significantly within the first month, reflecting a reduction in structural resistance to deformation. CBI and TBI values showed highly significant increases postoperatively, consistent with the structural alterations induced by flap creation and stromal ablation. Biomechanical stabilization was observed between 3 and 6 months, with no significant further decrease in stiffness parameters after the 3-month mark.",
        "Conclusions": "FEMTO-LASIK induces immediate and significant alterations in corneal biomechanics, characterized by reduced stiffness and increased deformability. While these changes stabilize within the first 3 to 6 months. Integrating dynamic Scheimpflug technology with tomography is essential for the preoperative screening and long-term postoperative monitoring of structural integrity to reduce the risk of iatrogenic ectasia.\n\n**Financial Disclosure of all Authors:** The authors have no financial interest in the products mentioned in this abstract"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "POREF064",
      "abstract_number": "POREF064",
      "title": "Diluted Brimonidine To Improve Post-Prk And Lasik Symptoms And Subconjunctival Hemorrhage",
      "authors": "Dr Bernardo Moscovici",
      "presenter": "Dr Bernardo Moscovici",
      "normalized_authors": [
        "Bernardo Moscovici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bernardo Moscovici",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate whether low- concentration brimonidine (0.025%) improves early postoperative signs and symptoms in femtosecond LASIK and PRK without affecting pupil diameter or flap safety.",
        "Setting": "Patients seen at the outpatient clinics of Centro Universitário FMABC, who underwent surgery at HOlhos ABC Hospital in São Bernardo do Campo, in the metropolitan region of São Paulo, Brazil",
        "Methods": "Prospective, randomized, double-masked, contralateral-eye, single-center study (January–September 2024). In each patient, one eye received 0.025% brimonidine 20 minutes preoperatively, and the fellow eye received 0.15% sodium hyaluronate. Primary day-1 outcomes were subconjunctival hemorrhage (LASIK), and patient-reported symptoms (0–10 scale; composite score). Pupil diameter was recorded pre-ablation. McNemar and paired t-tests were used (α = 0.05 ).",
        "Results": "One hundred twenty-four patients were included (54 LASIK, 70 PRK). Pupil diameter did not differ between treated eyes with brimonidine and control eyes without brimonidine (LASIK: 2.63±0.47 vs 2.69±0.42 mm, p=0.273; PRK: 2.56±0.44 vs 2.61±0.39 mm, p=0.116). In LASIK, subconjunctival hemorrhage was less frequent with brimonidine intraoperatively versus without brimonidine (9.3% vs 46.3%, p<0.001) and on day 1 (9.3% vs 50.0%, p<0.001). Composite symptom scores were lower with brimonidine in both LASIK and PRK (p = 0.001 for both ).",
        "Conclusions": "Low- concentration brimonidine (0.025%) reduced subconjunctival hemorrhage in LASIK without interfering with flap integrity and was associated with fewer early symptoms in PRK and LASIK without altering pupil diameter. These findings support the use of 0.025% brimonidine as a simple and safe adjunct to improve the immediate postoperative experience in refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Low- concentration brimonidine (0.025%) reduced subconjunctival hemorrhage in LASIK without interfering with flap integrity and was associated with fewer early symptoms in PRK and LASIK without altering pupil diameter. These findings support the use of 0.025% brimonidine as a simple and safe adjunct to improve the immediate postoperative experience in refractive surgery.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1451,
      "source_fields": {
        "Abstract Final Identifier": "POREF064",
        "Title": "Diluted Brimonidine To Improve Post-Prk And Lasik Symptoms And Subconjunctival Hemorrhage",
        "Presenting Author(s)": "Dr Bernardo Moscovici",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Bernardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moscovici",
        "Country Name": "Brazil",
        "Purpose": "To evaluate whether low- concentration brimonidine (0.025%) improves early postoperative signs and symptoms in femtosecond LASIK and PRK without affecting pupil diameter or flap safety.",
        "Setting": "Patients seen at the outpatient clinics of Centro Universitário FMABC, who underwent surgery at HOlhos ABC Hospital in São Bernardo do Campo, in the metropolitan region of São Paulo, Brazil",
        "Methods": "Prospective, randomized, double-masked, contralateral-eye, single-center study (January–September 2024). In each patient, one eye received 0.025% brimonidine 20 minutes preoperatively, and the fellow eye received 0.15% sodium hyaluronate. Primary day-1 outcomes were subconjunctival hemorrhage (LASIK), and patient-reported symptoms (0–10 scale; composite score). Pupil diameter was recorded pre-ablation. McNemar and paired t-tests were used (α = 0.05 ).",
        "Results": "One hundred twenty-four patients were included (54 LASIK, 70 PRK). Pupil diameter did not differ between treated eyes with brimonidine and control eyes without brimonidine (LASIK: 2.63±0.47 vs 2.69±0.42 mm, p=0.273; PRK: 2.56±0.44 vs 2.61±0.39 mm, p=0.116). In LASIK, subconjunctival hemorrhage was less frequent with brimonidine intraoperatively versus without brimonidine (9.3% vs 46.3%, p<0.001) and on day 1 (9.3% vs 50.0%, p<0.001). Composite symptom scores were lower with brimonidine in both LASIK and PRK (p = 0.001 for both ).",
        "Conclusions": "Low- concentration brimonidine (0.025%) reduced subconjunctival hemorrhage in LASIK without interfering with flap integrity and was associated with fewer early symptoms in PRK and LASIK without altering pupil diameter. These findings support the use of 0.025% brimonidine as a simple and safe adjunct to improve the immediate postoperative experience in refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "POREF065",
      "abstract_number": "POREF065",
      "title": "Corneal Stiffness Analysis With Corvis® St After Lasik Hiperopya Versus Lasik Xtra®",
      "authors": "Mrs Arianne Rastrojo Rodriguez",
      "presenter": "Mrs Arianne Rastrojo Rodriguez",
      "normalized_authors": [
        "Arianne Rastrojo Rodriguez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arianne Rastrojo Rodriguez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To draw a long-term corneal biomechanics comparison betw een hyperopic Lasik and hyperopic Lasik Xtra ® (corneal reinforcement with Riboflavin Vit B2 and UVA).",
        "Setting": "A prospective observational comparative study of a total of 27 eyes of consecutive patients who have been randomly selected from the Alicante Oftalvist Clinic database for laser hyperopia correction has been carried out.",
        "Methods": "The LASIK + CXL (Riboflabin +UVA) = LASIK Xtra ® technique has been applied to a group of 14 eyes and the conventional LASIK technique has been applied to another group of 13 eyes.\n\nIn both groups , the corneal parameters related to the biomechanical behavior of the cornea that have been studied with the Corvis ® ST instrument, included in Vinciguerra Screening Report are: Deformation Amplitude Ratio (DA ratio), Integrated Ratio (INR), Ambrosio Relational Thickness horizontal (ARTh), Stiffness Parameter A1 (SP-A1) and Corvis Biomechanical Index (CBI).\n\nFor the analysis of the results, we will use the statistical program Excel for Windows.",
        "Results": "The data analysis study was carried out on the total number of eyes included. The data analyzed are from long-term corneal biomechanics.\n\nWhen analysing variables with Corvis ® ST, it is observed that:\n\n• Of the 27 eyes analysed, 12 of the 14 LASIK Xtra ® eyes have greater corneal velocity compared of LASIK patients despite similar values of amplitude deformation in both groups.\n\n• A CBI value < 0.5 was observed in 26.6% of eyes treated with LASIK Xtra® and in 23.07% of eyes that underwent conventional LASIK.\n\n• 93% of patients in the LASIK Xtra group exhibited values within the normal range (±2 SD) for the DA ratio, INR, ARTh, and SP-A1 parameters. In conventional LASIK group, this proportion was 85%.",
        "Conclusions": "From the comparative study of the corneal biomechanics of the hyperopic LASIK Xtra ® surgical techniques with respect to standard hyperopic LASIK measured with Corvis ® ST, the general conclusion that can be drawn is that by reinforcing the collagen bonds with riboflavin in the LASIK Xtra ® technique, a percentage of patients retain a more stable cornea over time and the cornea remains within the normal nomographic values.\n\nThe LASIK Xtra ® technique may represent a promising approach for enhancing corneal stability in hiperopic patients, provided that careful patient selection is undertaken and a comprehensive assessment of corneal biomechanics is performed, such as offered by the Corvis ® ST ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "From the comparative study of the corneal biomechanics of the hyperopic LASIK Xtra ® surgical techniques with respect to standard hyperopic LASIK measured with Corvis ® ST, the general conclusion that can be drawn is that by reinforcing the collagen bonds with riboflavin in the LASIK Xtra ® technique, a percentage of patients retain a more stable cornea over time and the cornea remains within the normal nomographic…",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1452,
      "source_fields": {
        "Abstract Final Identifier": "POREF065",
        "Title": "Corneal Stiffness Analysis With Corvis® St After Lasik Hiperopya Versus Lasik Xtra®",
        "Presenting Author(s)": "Mrs Arianne Rastrojo Rodriguez",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Arianne",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rastrojo Rodriguez",
        "Country Name": "Spain",
        "Purpose": "To draw a long-term corneal biomechanics comparison betw een hyperopic Lasik and hyperopic Lasik Xtra ® (corneal reinforcement with Riboflavin Vit B2 and UVA).",
        "Setting": "A prospective observational comparative study of a total of 27 eyes of consecutive patients who have been randomly selected from the Alicante Oftalvist Clinic database for laser hyperopia correction has been carried out.",
        "Methods": "The LASIK + CXL (Riboflabin +UVA) = LASIK Xtra ® technique has been applied to a group of 14 eyes and the conventional LASIK technique has been applied to another group of 13 eyes.\n\nIn both groups , the corneal parameters related to the biomechanical behavior of the cornea that have been studied with the Corvis ® ST instrument, included in Vinciguerra Screening Report are: Deformation Amplitude Ratio (DA ratio), Integrated Ratio (INR), Ambrosio Relational Thickness horizontal (ARTh), Stiffness Parameter A1 (SP-A1) and Corvis Biomechanical Index (CBI).\n\nFor the analysis of the results, we will use the statistical program Excel for Windows.",
        "Results": "The data analysis study was carried out on the total number of eyes included. The data analyzed are from long-term corneal biomechanics.\n\nWhen analysing variables with Corvis ® ST, it is observed that:\n\n• Of the 27 eyes analysed, 12 of the 14 LASIK Xtra ® eyes have greater corneal velocity compared of LASIK patients despite similar values of amplitude deformation in both groups.\n\n• A CBI value < 0.5 was observed in 26.6% of eyes treated with LASIK Xtra® and in 23.07% of eyes that underwent conventional LASIK.\n\n• 93% of patients in the LASIK Xtra group exhibited values within the normal range (±2 SD) for the DA ratio, INR, ARTh, and SP-A1 parameters. In conventional LASIK group, this proportion was 85%.",
        "Conclusions": "From the comparative study of the corneal biomechanics of the hyperopic LASIK Xtra ® surgical techniques with respect to standard hyperopic LASIK measured with Corvis ® ST, the general conclusion that can be drawn is that by reinforcing the collagen bonds with riboflavin in the LASIK Xtra ® technique, a percentage of patients retain a more stable cornea over time and the cornea remains within the normal nomographic values.\n\nThe LASIK Xtra ® technique may represent a promising approach for enhancing corneal stability in hiperopic patients, provided that careful patient selection is undertaken and a comprehensive assessment of corneal biomechanics is performed, such as offered by the Corvis ® ST ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "POREF066",
      "abstract_number": "POREF066",
      "title": "Corneal Densitometry Post Femtosecond Laser Assisted Contoura Lasik Versus Femtosecond Laser Assisted Wavelight Plus Lasik",
      "authors": "Dr Aniruddha Nimbhorkar",
      "presenter": "Dr Aniruddha Nimbhorkar",
      "normalized_authors": [
        "Aniruddha Nimbhorkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smitesh Kiran Shah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare corneal densitometry post Femtosecond Laser Assisted Contoura versus Femtosecond Laser assisted Wavelight Plus LASIK",
        "Setting": "Private tertiary eye hospital, Thane, India",
        "Methods": "It’s a prospective study where patients who underwent refractive correction using uneventful femtosecond laser assisted Wavelight Plus InnovEyes (FWPI) LASIK and femtosecond laser assisted contoura LASIK (FC) operated by a single surgeon were included. Subjects with other refractive surgeries, surgical complications were excluded. Corneal densitometry values were measured using Sightmap pre and post surgery at 2 weeks. Sightmap measures corneal densitometry across anterior, central, posterior and total cornea at different locations. Two sample t test was used to compare corneal densitometry between the two types of LASIK.",
        "Results": "20 and 12 eyes had undergone refractive correction using FWPI and FC Lasik technique. The mean±SD age was 27.5±4.90 and 26.75±4.76 in FWPI and FC groups respectively. The pre surgical corneal densitometry values were matched in both groups (two sample t test, p>0.05). Post operative corneal densitometry values were found to be comparable in both the techniques at all locations across anterior, central, posterior and total corneal layers.",
        "Conclusions": "The Corneal densitometry was found to be comparable between FWPI and FC at short term post operative follow up however long term follow ups could provide more insight about corneal health."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Corneal densitometry was found to be comparable between FWPI and FC at short term post operative follow up however long term follow ups could provide more insight about corneal health.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1453,
      "source_fields": {
        "Abstract Final Identifier": "POREF066",
        "Title": "Corneal Densitometry Post Femtosecond Laser Assisted Contoura Lasik Versus Femtosecond Laser Assisted Wavelight Plus Lasik",
        "Presenting Author(s)": "Dr Aniruddha Nimbhorkar",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Smitesh Kiran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shah",
        "Country Name": "India",
        "Purpose": "To compare corneal densitometry post Femtosecond Laser Assisted Contoura versus Femtosecond Laser assisted Wavelight Plus LASIK",
        "Setting": "Private tertiary eye hospital, Thane, India",
        "Methods": "It’s a prospective study where patients who underwent refractive correction using uneventful femtosecond laser assisted Wavelight Plus InnovEyes (FWPI) LASIK and femtosecond laser assisted contoura LASIK (FC) operated by a single surgeon were included. Subjects with other refractive surgeries, surgical complications were excluded. Corneal densitometry values were measured using Sightmap pre and post surgery at 2 weeks. Sightmap measures corneal densitometry across anterior, central, posterior and total cornea at different locations. Two sample t test was used to compare corneal densitometry between the two types of LASIK.",
        "Results": "20 and 12 eyes had undergone refractive correction using FWPI and FC Lasik technique. The mean±SD age was 27.5±4.90 and 26.75±4.76 in FWPI and FC groups respectively. The pre surgical corneal densitometry values were matched in both groups (two sample t test, p>0.05). Post operative corneal densitometry values were found to be comparable in both the techniques at all locations across anterior, central, posterior and total corneal layers.",
        "Conclusions": "The Corneal densitometry was found to be comparable between FWPI and FC at short term post operative follow up however long term follow ups could provide more insight about corneal health."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POREF067",
      "abstract_number": "POREF067",
      "title": "Corneal Higher Order Aberrations Post Femtosecond Laser Assisted Contoura Versus Femtosecond Laser Assisted Wavelight Plus Lasik",
      "authors": "Dr Aniruddha Nimbhorkar",
      "presenter": "Dr Aniruddha Nimbhorkar",
      "normalized_authors": [
        "Aniruddha Nimbhorkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smitesh Kiran Shah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare corneal higher order aberrations post Femtosecond Laser Assisted Contoura versus Femtosecond Laser assisted Wavelight Plus LASIK",
        "Setting": "Private tertiary eye hospital, Thane, India",
        "Methods": "It’s a Prospective study where patients who underwent refractive correction using uneventful femtosecond laser assisted Wavelight Plus InnovEyes (FWPI) LASIK and femtosecond laser assisted contoura LASIK (FC) were included. Subjects with other refractive surgeries, surgical complications. Surgeries performed by single surgeon were considered. Corneal HOA were obtained for 4mm pupil size using sightmap pre and post surgery at 2 weeks and compared using two sample t test.",
        "Results": "20 and 12 eyes had undergone refractive correction using FWPI and FC Lasik technique. The mean±SD age was 27.5±4.90 and 26.75±4.76 in FWPI and FC groups respectively. The pre surgical ocular parameters and HOA were matched in both groups (two sample t test, p>0.05). Post operative HOA were found to be comparable in both the techniques.",
        "Conclusions": "The corneal HOAs are found to be comparable between FWPI and FC LASIK at short term post operative follow up however long term follow ups could provide more insight about optical image quality metric."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The corneal HOAs are found to be comparable between FWPI and FC LASIK at short term post operative follow up however long term follow ups could provide more insight about optical image quality metric.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1454,
      "source_fields": {
        "Abstract Final Identifier": "POREF067",
        "Title": "Corneal Higher Order Aberrations Post Femtosecond Laser Assisted Contoura Versus Femtosecond Laser Assisted Wavelight Plus Lasik",
        "Presenting Author(s)": "Dr Aniruddha Nimbhorkar",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Smitesh Kiran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shah",
        "Country Name": "India",
        "Purpose": "To compare corneal higher order aberrations post Femtosecond Laser Assisted Contoura versus Femtosecond Laser assisted Wavelight Plus LASIK",
        "Setting": "Private tertiary eye hospital, Thane, India",
        "Methods": "It’s a Prospective study where patients who underwent refractive correction using uneventful femtosecond laser assisted Wavelight Plus InnovEyes (FWPI) LASIK and femtosecond laser assisted contoura LASIK (FC) were included. Subjects with other refractive surgeries, surgical complications. Surgeries performed by single surgeon were considered. Corneal HOA were obtained for 4mm pupil size using sightmap pre and post surgery at 2 weeks and compared using two sample t test.",
        "Results": "20 and 12 eyes had undergone refractive correction using FWPI and FC Lasik technique. The mean±SD age was 27.5±4.90 and 26.75±4.76 in FWPI and FC groups respectively. The pre surgical ocular parameters and HOA were matched in both groups (two sample t test, p>0.05). Post operative HOA were found to be comparable in both the techniques.",
        "Conclusions": "The corneal HOAs are found to be comparable between FWPI and FC LASIK at short term post operative follow up however long term follow ups could provide more insight about optical image quality metric."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 190
    },
    {
      "uid": "POREF069",
      "abstract_number": "POREF069",
      "title": "Clinical Observation Of Q-Value Changes Following Ray Tracing-Guided Fs-Lasik In Myopic Patients Aged Over 40 Years",
      "authors": "Dr Wen juan Wang",
      "presenter": "Dr Wen juan Wang",
      "normalized_authors": [
        "Wen juan Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wen juan Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To observation changes in the anterior corneal surface Q-value following Ray Tracing-Guided FS-LASIK in myopic patients aged over 40 years.",
        "Setting": "This prospective observational case series included 26 patients (52 eyes; 9 males, 17 females) with a mean age of 44.23±3.88 (40 to 53) years old receiving Ray Tracing-Guided FS-LASIK for myopic correction at Beijing Intech Eye Hospital between January 2025 and January 2026. Preoperative mean spherical equivalent (SE) and cylinder were –4.58 ± 2.03D (–0.75 to –8.25D) and –1.01 ± 1.02D (–0.25 to –4.50D).",
        "Methods": "The postoperative follow-up period was 3 months. The distant and near visual acuity, refractive status, anterior surface Q value of the cornea, and high-order aberrations of the dominant and non-dominant eyes were observed, and a subjective visual quality questionnaire survey was conducted.",
        "Results": "At 3 months postoperatively, 100% of patients achieved a binocular UDVA of 20/20, and 84% reached 20/16, 63% of patients achieved a binocular UNVA of J1. The Q values of the dominant eye prior to the surgery and three months post - surgery were as follows: at 3mm (-0.16±0.10, -0.43±0.41), at 4mm (-0.13±0.16, -0.39±0.38), at 5mm (-0.14±0.13, -0.28±0.34), at 6mm (-0.15 ± 0.12, -0.07±0.29); the Q values ofthe non - dominant eye were as follows: at 3mm (-0.14±0.17, -0.24±0.56), at 4mm (-0.12± 0.12, -0.26±0.23), at 5mm (-0.16±0.11, -0.14±0.23), at 6mm (-0.16 ±0.10, -0.03±0.26). Both eyes exhibited a negative increase in comparison to the pre - surgery state, and there was no statistically significant difference between the two eyes.",
        "Conclusions": "Ray Tracing-Guided FS-LASIK can significantly improve the distant and near visual acuity of 40+ year-old myopic patients, with high patient satisfaction, and it was found that the corneal Q value increased toward to the negative direction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ray Tracing-Guided FS-LASIK can significantly improve the distant and near visual acuity of 40+ year-old myopic patients, with high patient satisfaction, and it was found that the corneal Q value increased toward to the negative direction.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1455,
      "source_fields": {
        "Abstract Final Identifier": "POREF069",
        "Title": "Clinical Observation Of Q-Value Changes Following Ray Tracing-Guided Fs-Lasik In Myopic Patients Aged Over 40 Years",
        "Presenting Author(s)": "Dr Wen juan Wang",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Wen",
        "Submitter Middle Name": "juan",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To observation changes in the anterior corneal surface Q-value following Ray Tracing-Guided FS-LASIK in myopic patients aged over 40 years.",
        "Setting": "This prospective observational case series included 26 patients (52 eyes; 9 males, 17 females) with a mean age of 44.23±3.88 (40 to 53) years old receiving Ray Tracing-Guided FS-LASIK for myopic correction at Beijing Intech Eye Hospital between January 2025 and January 2026. Preoperative mean spherical equivalent (SE) and cylinder were –4.58 ± 2.03D (–0.75 to –8.25D) and –1.01 ± 1.02D (–0.25 to –4.50D).",
        "Methods": "The postoperative follow-up period was 3 months. The distant and near visual acuity, refractive status, anterior surface Q value of the cornea, and high-order aberrations of the dominant and non-dominant eyes were observed, and a subjective visual quality questionnaire survey was conducted.",
        "Results": "At 3 months postoperatively, 100% of patients achieved a binocular UDVA of 20/20, and 84% reached 20/16, 63% of patients achieved a binocular UNVA of J1. The Q values of the dominant eye prior to the surgery and three months post - surgery were as follows: at 3mm (-0.16±0.10, -0.43±0.41), at 4mm (-0.13±0.16, -0.39±0.38), at 5mm (-0.14±0.13, -0.28±0.34), at 6mm (-0.15 ± 0.12, -0.07±0.29); the Q values ofthe non - dominant eye were as follows: at 3mm (-0.14±0.17, -0.24±0.56), at 4mm (-0.12± 0.12, -0.26±0.23), at 5mm (-0.16±0.11, -0.14±0.23), at 6mm (-0.16 ±0.10, -0.03±0.26). Both eyes exhibited a negative increase in comparison to the pre - surgery state, and there was no statistically significant difference between the two eyes.",
        "Conclusions": "Ray Tracing-Guided FS-LASIK can significantly improve the distant and near visual acuity of 40+ year-old myopic patients, with high patient satisfaction, and it was found that the corneal Q value increased toward to the negative direction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POREF070",
      "abstract_number": "POREF070",
      "title": "Corneal Contribution To Stress Following Smile And Lasik – A Biomechanical Study",
      "authors": "Ms Kujani Wanniarachchi",
      "presenter": "Ms Kujani Wanniarachchi",
      "normalized_authors": [
        "Kujani Wanniarachchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kujani Wanniarachchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare corneal biomechanical remodelling following small incision lenticule extraction (SMILE) and laser-assisted in situ keratomileusis (LASIK) using a novel corneal contribution to stress (CSS) metric derived from corneal tomography in a contralateral eye study.",
        "Setting": "In this prospective, randomised, single-masked, paired-eyed trial at one centre, 70 patients received SMILE in one eye and LASIK in the other for myopia or myopic astigmatism. Of these, 46 patients had high-quality tomographic data for inclusion in this study.",
        "Methods": "Eyes were stratified into high (≥6.00 D; n = 13 pairs) and low (<6.00 D; n = 33 pairs) myopia groups. Corneal tomography (Pentacam HR) was performed preoperatively and at 3 months postoperatively. CCS maps, incorporating corneal curvature and pachymetry while excluding intraocular pressure, were generated alongside curvature and thickness maps. A three-zone analysis (central, mid, and outer zones) was used. Inter-procedure differences were assessed using paired statistical testing.",
        "Results": "Both SMILE and LASIK induced significant, region-specific changes in corneal curvature, thickness, and corneal contribution to stress (CCS) at 3 months postoperatively (P < 0.001). Changes were greater in eyes undergoing high myopic correction compared to low myopia. In the low-myopia group, SMILE produced significantly greater curvature flattening and CCS changes in the central and mid-peripheral zones compared to LASIK (P ≤ 0.05), whereas LASIK induced significantly greater curvature, thickness, and CCS changes in the peripheral zone (P < 0.001). In high myopia, between-procedure differences were not statistically significant; however, spatial mapping revealed greater asymmetry compared to the low myopia group.",
        "Conclusions": "CCS mapping reveals distinct, spatially dependent biomechanical differences between SMILE and LASIK. SMILE demonstrates relative biomechanical preservation, particularly in the peripheral cornea, supporting its potential advantage in higher myopic corrections. CCS may serve as a valuable complementary tool for assessing corneal biomechanical outcomes after refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CCS mapping reveals distinct, spatially dependent biomechanical differences between SMILE and LASIK. SMILE demonstrates relative biomechanical preservation, particularly in the peripheral cornea, supporting its potential advantage in higher myopic corrections. CCS may serve as a valuable complementary tool for assessing corneal biomechanical outcomes after refractive surgery.",
      "session_type": "ePoster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1456,
      "source_fields": {
        "Abstract Final Identifier": "POREF070",
        "Title": "Corneal Contribution To Stress Following Smile And Lasik – A Biomechanical Study",
        "Presenting Author(s)": "Ms Kujani Wanniarachchi",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Kujani",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wanniarachchi",
        "Country Name": "United Kingdom",
        "Purpose": "To compare corneal biomechanical remodelling following small incision lenticule extraction (SMILE) and laser-assisted in situ keratomileusis (LASIK) using a novel corneal contribution to stress (CSS) metric derived from corneal tomography in a contralateral eye study.",
        "Setting": "In this prospective, randomised, single-masked, paired-eyed trial at one centre, 70 patients received SMILE in one eye and LASIK in the other for myopia or myopic astigmatism. Of these, 46 patients had high-quality tomographic data for inclusion in this study.",
        "Methods": "Eyes were stratified into high (≥6.00 D; n = 13 pairs) and low (<6.00 D; n = 33 pairs) myopia groups. Corneal tomography (Pentacam HR) was performed preoperatively and at 3 months postoperatively. CCS maps, incorporating corneal curvature and pachymetry while excluding intraocular pressure, were generated alongside curvature and thickness maps. A three-zone analysis (central, mid, and outer zones) was used. Inter-procedure differences were assessed using paired statistical testing.",
        "Results": "Both SMILE and LASIK induced significant, region-specific changes in corneal curvature, thickness, and corneal contribution to stress (CCS) at 3 months postoperatively (P < 0.001). Changes were greater in eyes undergoing high myopic correction compared to low myopia. In the low-myopia group, SMILE produced significantly greater curvature flattening and CCS changes in the central and mid-peripheral zones compared to LASIK (P ≤ 0.05), whereas LASIK induced significantly greater curvature, thickness, and CCS changes in the peripheral zone (P < 0.001). In high myopia, between-procedure differences were not statistically significant; however, spatial mapping revealed greater asymmetry compared to the low myopia group.",
        "Conclusions": "CCS mapping reveals distinct, spatially dependent biomechanical differences between SMILE and LASIK. SMILE demonstrates relative biomechanical preservation, particularly in the peripheral cornea, supporting its potential advantage in higher myopic corrections. CCS may serve as a valuable complementary tool for assessing corneal biomechanical outcomes after refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POREF071",
      "abstract_number": "POREF071",
      "title": "Effect Of Hydration And Dehydration On Femtosecond Laser-Prepared Corneal Allogenic Intrastromal Ring Segments (Ca) – Comparison Of Thickness Rates",
      "authors": "Dr Eric Abdullayev",
      "presenter": "Dr Eric Abdullayev",
      "normalized_authors": [
        "Eric Abdullayev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eric Abdullayev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Corneal allogenic intrastromal ring segments (CAIRS) are increasingly used to treat corneal ectasia, especially keratoconus. Surgical effectiveness depends heavily on segment thickness at the time of implantation. However, CAIRS hydration behavior varies by storage medium, and optimal hydration parameters remain unclear. This study compares the thickness changes of femtosecond laser–prepared CAIRS during controlled dehydration and hydration",
        "Setting": "Experimental study performed at the Lions World Vision Institute",
        "Methods": "CAIRS 550 µm target thickness; widths 0.75, 1.00, and 2.00 mm were created using a Zimmer 8 femtosecond laser. Segments were placed in sealed, clear containers over a sponge to regulate evaporation:\n\nGroup 1 (G1): NS solution (0.75 & 2.00 mm);\n\nGroup 2 (G2): Human albumin (0.75 & 1.00 mm);\n\nGroup 3 (G3): Air exposure (0.75 mm).\n\nThickness was measured using OCT during the dehydration and rehydration phases",
        "Results": "In G1 (NS), dehydration over 19 days reduced thickness from 658 µm to 220 µm; rehydration over 9 days increased thickness to 465 µm, then plateaued. In G2 (albumin), dehydration reduced thickness from 660 µm to 290 µm in 20 min; hydration increased thickness to 915 µm within 10 min, exceeding original values. In G3 (air), dehydration reduced the thickness from 650 µm to 220 µm in 20 min; hydration increased the thickness to 740 µm within 1 hour.",
        "Conclusions": "The hydration medium strongly influences CAIRS thickness. Albumin caused rapid and excessive swelling, air allowed moderate recovery, and saline led to slow, incomplete rehydration. These findings highlight the importance of controlled hydration to achieve a predictable CAIRS thickness before implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The hydration medium strongly influences CAIRS thickness. Albumin caused rapid and excessive swelling, air allowed moderate recovery, and saline led to slow, incomplete rehydration. These findings highlight the importance of controlled hydration to achieve a predictable CAIRS thickness before implantation.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1457,
      "source_fields": {
        "Abstract Final Identifier": "POREF071",
        "Title": "Effect Of Hydration And Dehydration On Femtosecond Laser-Prepared Corneal Allogenic Intrastromal Ring Segments (Ca) – Comparison Of Thickness Rates",
        "Presenting Author(s)": "Dr Eric Abdullayev",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Eric",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdullayev",
        "Country Name": "United States",
        "Purpose": "Corneal allogenic intrastromal ring segments (CAIRS) are increasingly used to treat corneal ectasia, especially keratoconus. Surgical effectiveness depends heavily on segment thickness at the time of implantation. However, CAIRS hydration behavior varies by storage medium, and optimal hydration parameters remain unclear. This study compares the thickness changes of femtosecond laser–prepared CAIRS during controlled dehydration and hydration",
        "Setting": "Experimental study performed at the Lions World Vision Institute",
        "Methods": "CAIRS 550 µm target thickness; widths 0.75, 1.00, and 2.00 mm were created using a Zimmer 8 femtosecond laser. Segments were placed in sealed, clear containers over a sponge to regulate evaporation:\n\nGroup 1 (G1): NS solution (0.75 & 2.00 mm);\n\nGroup 2 (G2): Human albumin (0.75 & 1.00 mm);\n\nGroup 3 (G3): Air exposure (0.75 mm).\n\nThickness was measured using OCT during the dehydration and rehydration phases",
        "Results": "In G1 (NS), dehydration over 19 days reduced thickness from 658 µm to 220 µm; rehydration over 9 days increased thickness to 465 µm, then plateaued. In G2 (albumin), dehydration reduced thickness from 660 µm to 290 µm in 20 min; hydration increased thickness to 915 µm within 10 min, exceeding original values. In G3 (air), dehydration reduced the thickness from 650 µm to 220 µm in 20 min; hydration increased the thickness to 740 µm within 1 hour.",
        "Conclusions": "The hydration medium strongly influences CAIRS thickness. Albumin caused rapid and excessive swelling, air allowed moderate recovery, and saline led to slow, incomplete rehydration. These findings highlight the importance of controlled hydration to achieve a predictable CAIRS thickness before implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POREF072",
      "abstract_number": "POREF072",
      "title": "Keratorefractive Lenticule Extraction (Klex) For Moderate Hyperopia: Visual And Refractive Outcomes",
      "authors": "A/Prof. Smita Agarwal",
      "presenter": "A/Prof. Smita Agarwal",
      "normalized_authors": [
        "Smita Agarwal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smita Agarwal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "While KLEx is well established as a safe and predictable treatment for myopic refractive error, treatment of hyperopia has only recently become possible. This study will review clinical records of eyes that have undergone KLEx for the treatment of moderate hyperopia to assess early visual and refractive results, providing valuable insight into real-world clinical outcomes.",
        "Setting": "Private refractive surgery in NSW, Australia. (Wollonong Refractive Laser Eye Institute WRLEI)",
        "Methods": "A retrospective review was performed for 13 eyes from 7 patients who underwent KLEx for the treatment of hyperopia. Four eyes underwent partial correction (mean target 1.0±0.84 D, range +0.5 to +2.25 D dependent on residual corneal thickness) and the remaining eyes underwent full correction. Postoperative assessment performed at 4-6 weeks in all eyes and 3 eyes up to 12 months included manifest refraction, uncorrected and best-corrected distance visual acuity (BCVA).",
        "Results": "Of those eyes that underwent full correction, mean postoperative manifest refraction spherical equivalent (MRSE) was -0.29±0.38 D, and mean uncorrected distance visual acuity (UDVA) was 0.04±0.07 LogMAR. For eyes that underwent partial correction, mean postoperative MRSE was +0.11±0.40 D and mean postoperative UDVA was 0.07±0.09 LogMAR. Mean BCVA was 0.01±0.03 LogMAR for all eyes, with 92% achieving within ±0.5 D of target MRSE. No intra- or post-operative complications were reported, and no eyes required further touch up.",
        "Conclusions": "These results indicate that KLEx can offer safe and predictable treatment of hyperopia. Further investigation of larger long-term data sets is required to establish long-term stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results indicate that KLEx can offer safe and predictable treatment of hyperopia. Further investigation of larger long-term data sets is required to establish long-term stability.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1458,
      "source_fields": {
        "Abstract Final Identifier": "POREF072",
        "Title": "Keratorefractive Lenticule Extraction (Klex) For Moderate Hyperopia: Visual And Refractive Outcomes",
        "Presenting Author(s)": "A/Prof. Smita Agarwal",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Smita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agarwal",
        "Country Name": "Australia",
        "Purpose": "While KLEx is well established as a safe and predictable treatment for myopic refractive error, treatment of hyperopia has only recently become possible. This study will review clinical records of eyes that have undergone KLEx for the treatment of moderate hyperopia to assess early visual and refractive results, providing valuable insight into real-world clinical outcomes.",
        "Setting": "Private refractive surgery in NSW, Australia. (Wollonong Refractive Laser Eye Institute WRLEI)",
        "Methods": "A retrospective review was performed for 13 eyes from 7 patients who underwent KLEx for the treatment of hyperopia. Four eyes underwent partial correction (mean target 1.0±0.84 D, range +0.5 to +2.25 D dependent on residual corneal thickness) and the remaining eyes underwent full correction. Postoperative assessment performed at 4-6 weeks in all eyes and 3 eyes up to 12 months included manifest refraction, uncorrected and best-corrected distance visual acuity (BCVA).",
        "Results": "Of those eyes that underwent full correction, mean postoperative manifest refraction spherical equivalent (MRSE) was -0.29±0.38 D, and mean uncorrected distance visual acuity (UDVA) was 0.04±0.07 LogMAR. For eyes that underwent partial correction, mean postoperative MRSE was +0.11±0.40 D and mean postoperative UDVA was 0.07±0.09 LogMAR. Mean BCVA was 0.01±0.03 LogMAR for all eyes, with 92% achieving within ±0.5 D of target MRSE. No intra- or post-operative complications were reported, and no eyes required further touch up.",
        "Conclusions": "These results indicate that KLEx can offer safe and predictable treatment of hyperopia. Further investigation of larger long-term data sets is required to establish long-term stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "POREF073",
      "abstract_number": "POREF073",
      "title": "Unusual Intraoperative Complications Of Femtosmile",
      "authors": "Dr Amr Al Amin",
      "presenter": "Dr Amr Al Amin",
      "normalized_authors": [
        "Amr Al Amin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amr Al Amin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To Report Unusual intraoperative complications of refractive small incision lenticule extraction, how to manage and how to avoid.\n\nWe describe the stepwise management of for uncommon complications & how to minimize these complications",
        "Setting": "Single Center Study",
        "Methods": "We report 4 cases with unusual intraoperative complications, The first case with multiple lenticular cut into multiple pieces , another case with large cap cut into two half , the third case show two lenticular levels in one case & the last case show incorrect data entry by the optician with surprise to the surgeon.The videos show how these cases managed",
        "Results": "Also these ware unusual unexpected intraoperative complications but they were managed with good postoperative results, each patient reach the expected postoperative UCVA",
        "Conclusions": "SMILE is technically more demanding than excimer based surgical approaches, with a different complication profile.\n\nEven unusual intraoperative complications could be managed without affecting the end results"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE is technically more demanding than excimer based surgical approaches, with a different complication profile. Even unusual intraoperative complications could be managed without affecting the end results",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1459,
      "source_fields": {
        "Abstract Final Identifier": "POREF073",
        "Title": "Unusual Intraoperative Complications Of Femtosmile",
        "Presenting Author(s)": "Dr Amr Al Amin",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Amr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Amin",
        "Country Name": "Egypt",
        "Purpose": "To Report Unusual intraoperative complications of refractive small incision lenticule extraction, how to manage and how to avoid.\n\nWe describe the stepwise management of for uncommon complications & how to minimize these complications",
        "Setting": "Single Center Study",
        "Methods": "We report 4 cases with unusual intraoperative complications, The first case with multiple lenticular cut into multiple pieces , another case with large cap cut into two half , the third case show two lenticular levels in one case & the last case show incorrect data entry by the optician with surprise to the surgeon.The videos show how these cases managed",
        "Results": "Also these ware unusual unexpected intraoperative complications but they were managed with good postoperative results, each patient reach the expected postoperative UCVA",
        "Conclusions": "SMILE is technically more demanding than excimer based surgical approaches, with a different complication profile.\n\nEven unusual intraoperative complications could be managed without affecting the end results"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 143
    },
    {
      "uid": "POREF074",
      "abstract_number": "POREF074",
      "title": "3 Months Clinical Outcomes Following Lenticule Extraction Using A Femtosecond Laser Equipped With An Advanced Eye-Tracker In Cases With And Without Active Centration Compensation (Smartsight Classical Vs Smartsight Nova)",
      "authors": "Dr Maria Clara Arbelaez",
      "presenter": "Dr Maria Clara Arbelaez",
      "normalized_authors": [
        "Maria Clara Arbelaez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Clara Arbelaez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Oman",
      "sections": {
        "Purpose": "To assess the difference of KLEx treatments with vs without an active eyetracking compensation in terms of safety, efficacy, and refractive outcomes of myopic patients, both with and without astigmatism, employing a femtosecond laser system using a precise cyclotorsion compensation in all treatments.",
        "Setting": "Maria-Clara Arbelaez, MD, Muscat, Oman",
        "Methods": "In this retrospective, non-randomized cohort study, 220 eyes from 133 patients treated consecutively with SmartSight lenticule extraction were retrospectively analysed in two groups with and without active centration compensation (CenTrax feature). Group A (without CenTrax) 54 eyes of 29 patients and Group B (with CenTrax) 166 eyes of 85 patients. Over both groups the patients' mean age was 27 ± 6.5 years (range 18–46 years). At the three-month follow-up, visual acuity, SEQ, cylinder, safety index, and efficacy index were analysed individually for each group. All lenticule extraction treatments were performed using the SmartSight method with the SCHWIND ATOS femtosecond laser.",
        "Results": "At 3 months after surgery, mean spherical equivalent SEQ in group A was -0.16 ± 0.33 D (range 0.00 to -1.50 D) and in group B was -0.01 ± 0.07 D (range 0.25 to -0.75 D). Astigmatism of less than ≤ 0.5 D was achieved in 96% of eyes in group A and in 99% in group B. The change in Snellen lines showed a gain of 1 or more lines in 7% in group A and in 17% in group B. There was no loss of 3.7% of 2 or more lines in group A and 0% in group B. Safety index was 0.99 and Efficacy index was 0.99 in group A and 1.04 and 1.03 for group B. Post-operative UDVA [dec] of group A was 0.98±0.15 [0.50 to 1.25] and in group B 0.98±0.13 [0.50 to 1.25] showing a statistically significant difference between groups.",
        "Conclusions": "The data from the 3-month follow-up comparing SmartSight classical without active centration and SmartSight NOVA with active centration showed a higher accuracy refraction (SEQ or cylinder) and a better visual acuity in the group with SmartSight NOVA. SmartSight classical and SmartSight NOVA has both shown to be an effective and safe procedure for addressing myopia and myopic astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The data from the 3-month follow-up comparing SmartSight classical without active centration and SmartSight NOVA with active centration showed a higher accuracy refraction (SEQ or cylinder) and a better visual acuity in the group with SmartSight NOVA. SmartSight classical and SmartSight NOVA has both shown to be an effective and safe procedure for addressing myopia and myopic astigmatism.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1460,
      "source_fields": {
        "Abstract Final Identifier": "POREF074",
        "Title": "3 Months Clinical Outcomes Following Lenticule Extraction Using A Femtosecond Laser Equipped With An Advanced Eye-Tracker In Cases With And Without Active Centration Compensation (Smartsight Classical Vs Smartsight Nova)",
        "Presenting Author(s)": "Dr Maria Clara Arbelaez",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Clara",
        "Submitter Last Name": "Arbelaez",
        "Country Name": "Oman",
        "Purpose": "To assess the difference of KLEx treatments with vs without an active eyetracking compensation in terms of safety, efficacy, and refractive outcomes of myopic patients, both with and without astigmatism, employing a femtosecond laser system using a precise cyclotorsion compensation in all treatments.",
        "Setting": "Maria-Clara Arbelaez, MD, Muscat, Oman",
        "Methods": "In this retrospective, non-randomized cohort study, 220 eyes from 133 patients treated consecutively with SmartSight lenticule extraction were retrospectively analysed in two groups with and without active centration compensation (CenTrax feature). Group A (without CenTrax) 54 eyes of 29 patients and Group B (with CenTrax) 166 eyes of 85 patients. Over both groups the patients' mean age was 27 ± 6.5 years (range 18–46 years). At the three-month follow-up, visual acuity, SEQ, cylinder, safety index, and efficacy index were analysed individually for each group. All lenticule extraction treatments were performed using the SmartSight method with the SCHWIND ATOS femtosecond laser.",
        "Results": "At 3 months after surgery, mean spherical equivalent SEQ in group A was -0.16 ± 0.33 D (range 0.00 to -1.50 D) and in group B was -0.01 ± 0.07 D (range 0.25 to -0.75 D). Astigmatism of less than ≤ 0.5 D was achieved in 96% of eyes in group A and in 99% in group B. The change in Snellen lines showed a gain of 1 or more lines in 7% in group A and in 17% in group B. There was no loss of 3.7% of 2 or more lines in group A and 0% in group B. Safety index was 0.99 and Efficacy index was 0.99 in group A and 1.04 and 1.03 for group B. Post-operative UDVA [dec] of group A was 0.98±0.15 [0.50 to 1.25] and in group B 0.98±0.13 [0.50 to 1.25] showing a statistically significant difference between groups.",
        "Conclusions": "The data from the 3-month follow-up comparing SmartSight classical without active centration and SmartSight NOVA with active centration showed a higher accuracy refraction (SEQ or cylinder) and a better visual acuity in the group with SmartSight NOVA. SmartSight classical and SmartSight NOVA has both shown to be an effective and safe procedure for addressing myopia and myopic astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "POREF075",
      "abstract_number": "POREF075",
      "title": "Next-Generation Klex With Low-Energy Dose: Early Visual Outcomes From Day One",
      "authors": "Dr Juan Arbelaez",
      "presenter": "Dr Juan Arbelaez",
      "normalized_authors": [
        "Juan Arbelaez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juan Arbelaez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "To evaluate the early safety, efficacy, and visual and refractive outcomes following low-energy dose KLEx using asymmetric spacing spot/track distances for the correction of myopia, myopic astigmatism, and pure astigmatism using a femtosecond laser system equipped with eye-tracking, precise centration, cyclotorsion compensation, and the asymmetric transition zone centration strategy (Centrax).",
        "Setting": "This clinical study was conducted at The Eye Clinic, a private ophthalmic surgery center in Medellin, Colombia.",
        "Methods": "This prospective observational study included 46 eyes that underwent low-energy dose SmartSight NOVA using the SCHWIND ATOS femtosecond laser (dose range: 396–462 mJ/cm²). All procedures were performed by a single surgeon (JA). MS-39 tomography and biometry, PERAMIS ocular aberrometry, visual acuity, and manifest refraction were evaluated preoperatively, at postoperative day 1, and at 3 months.",
        "Results": "Mean SEQ was −2.24±1.64D (range 0.00 to −5.75), and mean cylinder was −1.42±0.99D (up to −3.50). Mean lenticule thickness was 86.5±20.34µm (range 47–124). Treatments were performed using 9mm diameter caps with 120µm thickness, and lenticules were removed through a single 2 mm incision. Mean optical zone was 7.1±0.33mm (range 6.3–7.3), and mean total lenticule diameter was 7.8±0.3mm (range 7.1–8.1). At postoperative day 1, mean SEQ was +0.01±0.09D (range −0.25 to +0.50), with 100% of eyes within ±0.50D. Mean postoperative cylinder was −0.02±0.09D, with 100% ≤0.50D and 98% ≤0.25D. UDVA was equal to or better than preoperative CDVA in 100% of eyes, and 61% gained ≥1 line. No eyes lost lines of CDVA.",
        "Conclusions": "Low-energy dose SmartSight NOVA with Centrax and using asymmetric spacing spot/track distances demonstrated excellent early safety, efficacy, and refractive accuracy. At postoperative day 1, 100% of eyes achieved UDVA ≥ preoperative CDVA, with 61% gaining ≥1 line and no loss of CDVA observed. These findings suggest that this next-generation KLEx approach provides highly encouraging early visual and refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Low-energy dose SmartSight NOVA with Centrax and using asymmetric spacing spot/track distances demonstrated excellent early safety, efficacy, and refractive accuracy. At postoperative day 1, 100% of eyes achieved UDVA ≥ preoperative CDVA, with 61% gaining ≥1 line and no loss of CDVA observed. These findings suggest that this next-generation KLEx approach provides highly encouraging early visual and refractive…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1461,
      "source_fields": {
        "Abstract Final Identifier": "POREF075",
        "Title": "Next-Generation Klex With Low-Energy Dose: Early Visual Outcomes From Day One",
        "Presenting Author(s)": "Dr Juan Arbelaez",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Juan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arbelaez",
        "Country Name": "Colombia",
        "Purpose": "To evaluate the early safety, efficacy, and visual and refractive outcomes following low-energy dose KLEx using asymmetric spacing spot/track distances for the correction of myopia, myopic astigmatism, and pure astigmatism using a femtosecond laser system equipped with eye-tracking, precise centration, cyclotorsion compensation, and the asymmetric transition zone centration strategy (Centrax).",
        "Setting": "This clinical study was conducted at The Eye Clinic, a private ophthalmic surgery center in Medellin, Colombia.",
        "Methods": "This prospective observational study included 46 eyes that underwent low-energy dose SmartSight NOVA using the SCHWIND ATOS femtosecond laser (dose range: 396–462 mJ/cm²). All procedures were performed by a single surgeon (JA). MS-39 tomography and biometry, PERAMIS ocular aberrometry, visual acuity, and manifest refraction were evaluated preoperatively, at postoperative day 1, and at 3 months.",
        "Results": "Mean SEQ was −2.24±1.64D (range 0.00 to −5.75), and mean cylinder was −1.42±0.99D (up to −3.50). Mean lenticule thickness was 86.5±20.34µm (range 47–124). Treatments were performed using 9mm diameter caps with 120µm thickness, and lenticules were removed through a single 2 mm incision. Mean optical zone was 7.1±0.33mm (range 6.3–7.3), and mean total lenticule diameter was 7.8±0.3mm (range 7.1–8.1). At postoperative day 1, mean SEQ was +0.01±0.09D (range −0.25 to +0.50), with 100% of eyes within ±0.50D. Mean postoperative cylinder was −0.02±0.09D, with 100% ≤0.50D and 98% ≤0.25D. UDVA was equal to or better than preoperative CDVA in 100% of eyes, and 61% gained ≥1 line. No eyes lost lines of CDVA.",
        "Conclusions": "Low-energy dose SmartSight NOVA with Centrax and using asymmetric spacing spot/track distances demonstrated excellent early safety, efficacy, and refractive accuracy. At postoperative day 1, 100% of eyes achieved UDVA ≥ preoperative CDVA, with 61% gaining ≥1 line and no loss of CDVA observed. These findings suggest that this next-generation KLEx approach provides highly encouraging early visual and refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POREF076",
      "abstract_number": "POREF076",
      "title": "Refractive Outcomes And Safety Profile Of Smile Pro Lenticule Extraction: Prospective Evaluation Of 100 Eyes",
      "authors": "Veronika Balazova",
      "presenter": "Veronika Balazova",
      "normalized_authors": [
        "Veronika Balazova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Veronika Balazova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Since its clinical introduction by Walter Sekundo, lenticule extraction has evolved into a key component of modern corneal refractive surgery. By preserving anterior stromal architecture and avoiding flap creation, it aims to enhance biomechanical stability while minimizing flap-related complications. This study evaluates visual outcomes, early visual rehabilitation, and refractive safety following SMILE Pro treatment over a 12-week follow-up period.",
        "Setting": "Retrospective single-center study including 100 consecutive eyes treated between June 2024 and August 2025. All procedures were performed by one experienced refractive surgeon using a standardized surgical protocol.",
        "Methods": "Preoperative assessment included manifest refraction, spherical equivalent (SE), and corrected distance visual acuity (CDVA, logMAR). Postoperative examinations were conducted at day 1, week 1, and 12 weeks. UDVA (logMAR) was recorded at each visit, and CDVA was assessed at 12 weeks. The safety index was calculated as the ratio of postoperative to preoperative CDVA. Outcomes were analyzed with respect to visual rehabilitation kinetics and refractive safety.",
        "Results": "Mean UDVA improved rapidly, measuring 0.01 logMAR at day 1, −0.03 logMAR at week 1, and −0.05 logMAR at 12 weeks, demonstrating continuous visual optimization. No loss of CDVA was observed at final follow-up. The mean safety index was 1.1, indicating maintained or improved corrected visual acuity. Visual rehabilitation was characterized by early functional acuity with progressive enhancement over the 12-week period.",
        "Conclusions": "SMILE Pro demonstrated rapid visual rehabilitation, excellent uncorrected visual outcomes, and a favorable safety profile. The flapless, cap-based architecture preserves anterior lamellar stromal fibers, supporting corneal biomechanical integrity compared with flap-dependent procedures. The platform allows cap diameters up to 7.9 mm and optical zones up to 7.0 mm, enabling customized corneal geometry. A short laser treatment time (~10 seconds), simplified docking to the patient interface, and rapid lenticule preparation enhance procedural efficiency. With a mean safety index of 1.1, SMILE Pro represents an advanced biomechanically conscious evolution of lenticule-based refractive surgery with predictable outcomes and fast recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE Pro demonstrated rapid visual rehabilitation, excellent uncorrected visual outcomes, and a favorable safety profile. The flapless, cap-based architecture preserves anterior lamellar stromal fibers, supporting corneal biomechanical integrity compared with flap-dependent procedures. The platform allows cap diameters up to 7.9 mm and optical zones up to 7.0 mm, enabling customized corneal geometry. A short laser…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1462,
      "source_fields": {
        "Abstract Final Identifier": "POREF076",
        "Title": "Refractive Outcomes And Safety Profile Of Smile Pro Lenticule Extraction: Prospective Evaluation Of 100 Eyes",
        "Presenting Author(s)": "Veronika Balazova",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Veronika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Balazova",
        "Country Name": "Germany",
        "Purpose": "Since its clinical introduction by Walter Sekundo, lenticule extraction has evolved into a key component of modern corneal refractive surgery. By preserving anterior stromal architecture and avoiding flap creation, it aims to enhance biomechanical stability while minimizing flap-related complications. This study evaluates visual outcomes, early visual rehabilitation, and refractive safety following SMILE Pro treatment over a 12-week follow-up period.",
        "Setting": "Retrospective single-center study including 100 consecutive eyes treated between June 2024 and August 2025. All procedures were performed by one experienced refractive surgeon using a standardized surgical protocol.",
        "Methods": "Preoperative assessment included manifest refraction, spherical equivalent (SE), and corrected distance visual acuity (CDVA, logMAR). Postoperative examinations were conducted at day 1, week 1, and 12 weeks. UDVA (logMAR) was recorded at each visit, and CDVA was assessed at 12 weeks. The safety index was calculated as the ratio of postoperative to preoperative CDVA. Outcomes were analyzed with respect to visual rehabilitation kinetics and refractive safety.",
        "Results": "Mean UDVA improved rapidly, measuring 0.01 logMAR at day 1, −0.03 logMAR at week 1, and −0.05 logMAR at 12 weeks, demonstrating continuous visual optimization. No loss of CDVA was observed at final follow-up. The mean safety index was 1.1, indicating maintained or improved corrected visual acuity. Visual rehabilitation was characterized by early functional acuity with progressive enhancement over the 12-week period.",
        "Conclusions": "SMILE Pro demonstrated rapid visual rehabilitation, excellent uncorrected visual outcomes, and a favorable safety profile. The flapless, cap-based architecture preserves anterior lamellar stromal fibers, supporting corneal biomechanical integrity compared with flap-dependent procedures. The platform allows cap diameters up to 7.9 mm and optical zones up to 7.0 mm, enabling customized corneal geometry. A short laser treatment time (~10 seconds), simplified docking to the patient interface, and rapid lenticule preparation enhance procedural efficiency. With a mean safety index of 1.1, SMILE Pro represents an advanced biomechanically conscious evolution of lenticule-based refractive surgery with predictable outcomes and fast recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POREF077",
      "abstract_number": "POREF077",
      "title": "Initial Experience And Outcomes Of Refractive Lenticule Extraction With The Smartsight Nova Procedure",
      "authors": "Mr Allon Barsam",
      "presenter": "Mr Allon Barsam",
      "normalized_authors": [
        "Allon Barsam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Allon Barsam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the refractive and visual outcomes of refractive lenticule extraction in the first series of eyes treated at OCL\n\nVision with SmartSight Nova ® (SCHWIND eye-tech-solutions, Kleinostheim, Germany) for the correction of myopia with astigmatism.",
        "Setting": "Private practice , OCL Vision, London, UK",
        "Methods": "This was a retrospective analysis of the first consecutive patients treated with SmartSight Nova lenticule extraction between\n\nDecember 2025 and June 2026 at OCL Vision. Patients older than 18 years, with astigmatism up to -4.00 D and myopia up to -9.50 D\n\nwere treated with a refractive target after nomogram adjument of emmetropia. Follow-up was at 1-day, 1-2 weeks, and 3-months after surgery. Uncorrected distance visual acuity (UDVA) and best-corrected distance visual acuity (CDVA), and subjective refraction were measured. Intraoperative and postoperative complications were recorded.",
        "Results": "76 eyes (N=76) of 38 patients were included. Mean age was 31.8 ± 5.7 years; mean preoperative spherical equivalent (SEQ) was -6.13 ± 1.56 D. Mean UDVA was 0.13 ± 0.18 logMAR at Day-1, and -0.04 ± 0.17 logMAR at Month-3. There was no loss of CDVA. Mean SEQ at Month-3 was 0.00 ± 0.45 D, 94% of eyes were within ±1D of refractive target. There were no intra-operative complications, or post-operative complications.",
        "Conclusions": "SmartSight Nova was a safe and effective refractive procedure in this first series of eyes treated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SmartSight Nova was a safe and effective refractive procedure in this first series of eyes treated.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1463,
      "source_fields": {
        "Abstract Final Identifier": "POREF077",
        "Title": "Initial Experience And Outcomes Of Refractive Lenticule Extraction With The Smartsight Nova Procedure",
        "Presenting Author(s)": "Mr Allon Barsam",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Allon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barsam",
        "Country Name": "United Kingdom",
        "Purpose": "To report the refractive and visual outcomes of refractive lenticule extraction in the first series of eyes treated at OCL\n\nVision with SmartSight Nova ® (SCHWIND eye-tech-solutions, Kleinostheim, Germany) for the correction of myopia with astigmatism.",
        "Setting": "Private practice , OCL Vision, London, UK",
        "Methods": "This was a retrospective analysis of the first consecutive patients treated with SmartSight Nova lenticule extraction between\n\nDecember 2025 and June 2026 at OCL Vision. Patients older than 18 years, with astigmatism up to -4.00 D and myopia up to -9.50 D\n\nwere treated with a refractive target after nomogram adjument of emmetropia. Follow-up was at 1-day, 1-2 weeks, and 3-months after surgery. Uncorrected distance visual acuity (UDVA) and best-corrected distance visual acuity (CDVA), and subjective refraction were measured. Intraoperative and postoperative complications were recorded.",
        "Results": "76 eyes (N=76) of 38 patients were included. Mean age was 31.8 ± 5.7 years; mean preoperative spherical equivalent (SEQ) was -6.13 ± 1.56 D. Mean UDVA was 0.13 ± 0.18 logMAR at Day-1, and -0.04 ± 0.17 logMAR at Month-3. There was no loss of CDVA. Mean SEQ at Month-3 was 0.00 ± 0.45 D, 94% of eyes were within ±1D of refractive target. There were no intra-operative complications, or post-operative complications.",
        "Conclusions": "SmartSight Nova was a safe and effective refractive procedure in this first series of eyes treated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "POREF078",
      "abstract_number": "POREF078",
      "title": "Large Optical Zones In Klex: 12-Month Refractive, Tomographic And Optical Stability",
      "authors": "Dr David Beckers",
      "presenter": "Dr David Beckers",
      "normalized_authors": [
        "David Beckers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Beckers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To Evaluate Refractive, Tomographic, And Optical Stability 12 Months After Keratorefractive Lenticule Extraction (Klex) Using A Large 7.7 Mm Optical Zone.",
        "Setting": "This Retrospective Single-Surgeon, Single-Center Case Series Includes Consecutive Myopic Patients Treated With Klex Using A 7.7 Mm Optical Zone And 7.9 Mm Cap Diameter.",
        "Methods": "Patients Were Evaluated Preoperatively And Followed Up To 12 Months Postoperatively. Outcome Measures Included Uncorrected And Corrected Distance Visual Acuity, Manifest Refraction, Higher-Order Aberrations, Contrast Sensitivity, And Scheimpflug-Based Corneal Tomography. Twelve-Month Findings Were Compared To Early Postoperative Results To Assess Refractive Stability, Optical Quality, And Corneal Structural Behavior Over Time.",
        "Results": "Large Optical Zone Klex Demonstrated Sustained Refractive Accuracy And Stability At 12 Months, With Maintenance Of Early Postoperative Visual Acuity Outcomes And No Clinically Relevant Regression. Higher-Order Aberrations Remained Low And Stable, Including Spherical Aberration. Contrast Sensitivity Was Preserved. Tomographic Parameters Showed Stable Anterior And Posterior Corneal Surfaces Without Evidence Of Progressive Thinning, Ectatic Change, Or Adverse Biomechanical Behavior.",
        "Conclusions": "Klex Performed With A 7.7 Mm Optical Zone Demonstrates Stable Refractive Outcomes, Preserved Optical Quality, And Tomographic Stability At 12 Months. These Findings Support The Clinical Feasibility Of Larger Optical Zones In Lenticule Extraction Without Evidence Of Long-Term Regression Or Structural Compromise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Klex Performed With A 7.7 Mm Optical Zone Demonstrates Stable Refractive Outcomes, Preserved Optical Quality, And Tomographic Stability At 12 Months. These Findings Support The Clinical Feasibility Of Larger Optical Zones In Lenticule Extraction Without Evidence Of Long-Term Regression Or Structural Compromise.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1464,
      "source_fields": {
        "Abstract Final Identifier": "POREF078",
        "Title": "Large Optical Zones In Klex: 12-Month Refractive, Tomographic And Optical Stability",
        "Presenting Author(s)": "Dr David Beckers",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beckers",
        "Country Name": "Germany",
        "Purpose": "To Evaluate Refractive, Tomographic, And Optical Stability 12 Months After Keratorefractive Lenticule Extraction (Klex) Using A Large 7.7 Mm Optical Zone.",
        "Setting": "This Retrospective Single-Surgeon, Single-Center Case Series Includes Consecutive Myopic Patients Treated With Klex Using A 7.7 Mm Optical Zone And 7.9 Mm Cap Diameter.",
        "Methods": "Patients Were Evaluated Preoperatively And Followed Up To 12 Months Postoperatively. Outcome Measures Included Uncorrected And Corrected Distance Visual Acuity, Manifest Refraction, Higher-Order Aberrations, Contrast Sensitivity, And Scheimpflug-Based Corneal Tomography. Twelve-Month Findings Were Compared To Early Postoperative Results To Assess Refractive Stability, Optical Quality, And Corneal Structural Behavior Over Time.",
        "Results": "Large Optical Zone Klex Demonstrated Sustained Refractive Accuracy And Stability At 12 Months, With Maintenance Of Early Postoperative Visual Acuity Outcomes And No Clinically Relevant Regression. Higher-Order Aberrations Remained Low And Stable, Including Spherical Aberration. Contrast Sensitivity Was Preserved. Tomographic Parameters Showed Stable Anterior And Posterior Corneal Surfaces Without Evidence Of Progressive Thinning, Ectatic Change, Or Adverse Biomechanical Behavior.",
        "Conclusions": "Klex Performed With A 7.7 Mm Optical Zone Demonstrates Stable Refractive Outcomes, Preserved Optical Quality, And Tomographic Stability At 12 Months. These Findings Support The Clinical Feasibility Of Larger Optical Zones In Lenticule Extraction Without Evidence Of Long-Term Regression Or Structural Compromise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 200
    },
    {
      "uid": "POREF079",
      "abstract_number": "POREF079",
      "title": "The Use Of Smile Stromal Lenticules: A New Resource For Eye Banks",
      "authors": "Dr Raluca Bievel Radulescu",
      "presenter": "Dr Raluca Bievel Radulescu",
      "normalized_authors": [
        "Raluca Bievel Radulescu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raluca Bievel Radulescu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Small Incision Lenticule Extraction (SMILE) produces stromal lenticules that are usually discarded but represent a valuable source of corneal tissue for stromal augmentation. Optimized laboratory protocols are essential to maintain lenticule transparency, structural integrity, and biomechanical properties for future clinical applications. The purpose of this study was to describe and evaluate standardized laboratory procedures for harvesting, preserving, and quality-assessing SMILE lenticules, with the aim of establishing reproducible techniques for lenticule banking suitable for clinical use.",
        "Setting": "This study was conducted at the Fondazione Banca degli Occhi laboratory, a dedicated corneal tissue research facility with certified cleanroom conditions and advanced tissue processing capabilities. All SMILE lenticules were collected from myopic patients undergoing routine SMILE surgery at affiliated refractive centers, following informed consent for tissue donation. Laboratory processing was performed under aseptic conditions in a laminar flow hood, using sterile instruments.",
        "Methods": "Harvesting: Lenticules were carefully extracted immediately after surgery and stored in sterile isotonic medium with antibiotics. Baseline measurements of thickness, diameter, and curvature were recorded.\n\nPreservation: Lenticules were divided into two groups: (1) cryopreserved at –80 °C with 10% DMSO; (2) cross-linked with riboflavin/UVA prior to cryopreservation to enhance mechanical stability.\n\nAssessment: Structural integrity was evaluated by slit-lamp microscopy and AS-OCT. Optical transparency was measured with spectrophotometry, and biomechanical properties were assessed using stress-strain and micro-indentation testing. Sterility was confirmed via microbial cultures and endotoxin testing.",
        "Results": "All lenticules retained structural integrity and transparency after preservation. Cryopreserved samples maintained lamellar architecture with minimal changes in thickness or curvature. Cross-linked lenticules showed increased stiffness without compromising optical clarity. Spectrophotometry demonstrated >90% light transmission in all samples. No microbial contamination was detected, confirming effective aseptic handling. The protocols were reproducible, and tissue quality was preserved for storage periods up to six months.",
        "Conclusions": "SMILE lenticule banking is feasible using standardized laboratory protocols. Cryopreservation preserves tissue structure and optical clarity, while cross-linking enhances biomechanical stability. Aseptic processing ensures safety for potential clinical applications. These results support the use of SMILE lenticules as a reliable source for corneal stromal augmentation, providing a minimally invasive alternative to traditional donor tissue."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE lenticule banking is feasible using standardized laboratory protocols. Cryopreservation preserves tissue structure and optical clarity, while cross-linking enhances biomechanical stability. Aseptic processing ensures safety for potential clinical applications. These results support the use of SMILE lenticules as a reliable source for corneal stromal augmentation, providing a minimally invasive alternative to…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1465,
      "source_fields": {
        "Abstract Final Identifier": "POREF079",
        "Title": "The Use Of Smile Stromal Lenticules: A New Resource For Eye Banks",
        "Presenting Author(s)": "Dr Raluca Bievel Radulescu",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Raluca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bievel Radulescu",
        "Country Name": "Italy",
        "Purpose": "Small Incision Lenticule Extraction (SMILE) produces stromal lenticules that are usually discarded but represent a valuable source of corneal tissue for stromal augmentation. Optimized laboratory protocols are essential to maintain lenticule transparency, structural integrity, and biomechanical properties for future clinical applications. The purpose of this study was to describe and evaluate standardized laboratory procedures for harvesting, preserving, and quality-assessing SMILE lenticules, with the aim of establishing reproducible techniques for lenticule banking suitable for clinical use.",
        "Setting": "This study was conducted at the Fondazione Banca degli Occhi laboratory, a dedicated corneal tissue research facility with certified cleanroom conditions and advanced tissue processing capabilities. All SMILE lenticules were collected from myopic patients undergoing routine SMILE surgery at affiliated refractive centers, following informed consent for tissue donation. Laboratory processing was performed under aseptic conditions in a laminar flow hood, using sterile instruments.",
        "Methods": "Harvesting: Lenticules were carefully extracted immediately after surgery and stored in sterile isotonic medium with antibiotics. Baseline measurements of thickness, diameter, and curvature were recorded.\n\nPreservation: Lenticules were divided into two groups: (1) cryopreserved at –80 °C with 10% DMSO; (2) cross-linked with riboflavin/UVA prior to cryopreservation to enhance mechanical stability.\n\nAssessment: Structural integrity was evaluated by slit-lamp microscopy and AS-OCT. Optical transparency was measured with spectrophotometry, and biomechanical properties were assessed using stress-strain and micro-indentation testing. Sterility was confirmed via microbial cultures and endotoxin testing.",
        "Results": "All lenticules retained structural integrity and transparency after preservation. Cryopreserved samples maintained lamellar architecture with minimal changes in thickness or curvature. Cross-linked lenticules showed increased stiffness without compromising optical clarity. Spectrophotometry demonstrated >90% light transmission in all samples. No microbial contamination was detected, confirming effective aseptic handling. The protocols were reproducible, and tissue quality was preserved for storage periods up to six months.",
        "Conclusions": "SMILE lenticule banking is feasible using standardized laboratory protocols. Cryopreservation preserves tissue structure and optical clarity, while cross-linking enhances biomechanical stability. Aseptic processing ensures safety for potential clinical applications. These results support the use of SMILE lenticules as a reliable source for corneal stromal augmentation, providing a minimally invasive alternative to traditional donor tissue."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POREF080",
      "abstract_number": "POREF080",
      "title": "Immediate Visual Recovery In The Presbyopic-Age Population: 24-Hour Outcomes Of 51 Klex Cases With The Atos Laser",
      "authors": "Dr Anna Dabrowska",
      "presenter": "Dr Anna Dabrowska",
      "normalized_authors": [
        "Anna Dabrowska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Derhartunian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To challenge the paradigm of delayed visual rehabilitation in lenticule extraction. This study evaluates the 24-hour visual outcomes of Keratorefractive Lenticule Extraction (KLEx) using the ATOS femtosecond laser in a specific demographic of patients aged 40 and older.",
        "Setting": "Single-center, private ophthalmic surgical facility, Warsaw, Krakow Poland.",
        "Methods": "This retrospective analysis included 51 eyes from 51 unique patients to eliminate inter-eye correlation. The study population had a mean age of 44.8 ± 3.5 years (Median: 44.0 ; Range: 40.1 to 52.8 ) . The pre-operative mean spherical equivalent (SE) was -3.94 ± 1.72 D (Median: -3.88 ; Range: -1.38 to -8.38 D) . All patients underwent KLEx with the ATOS femtosecond laser. Day 1 Uncorrected Visual Acuity (UCVA) was compared against pre-operative Best-Corrected Visual Acuity (BCVA).",
        "Results": "On Post-operative Day 1, 78.7% of patients achieved 20/20 ( 0.0 logMAR) or better . Remarkably, 100% of the 51 patients met the legal driving requirement of 20/40 or better within 24 hours. The Efficacy Index was 0.93 at Day 1. No correlation was found between age and recovery speed ( r=0.07 ), indicating that the \"older\" cornea in the 40+ group does not delay healing with this platform. 87.5% of patients were within 1 line of their lifetime maximum visual potential (pre-op BCVA) on Day 1.",
        "Conclusions": "KLEx with the ATOS laser provides \"LASIK-like\" immediate visual rehabilitation in patients over 40. By achieving a 0.93 efficacy index on Day 1, this technology effectively removes the primary barrier to lenticule extraction in the working-age population—the expectation of a slow return to clear vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "KLEx with the ATOS laser provides \"LASIK-like\" immediate visual rehabilitation in patients over 40. By achieving a 0.93 efficacy index on Day 1, this technology effectively removes the primary barrier to lenticule extraction in the working-age population—the expectation of a slow return to clear vision.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1466,
      "source_fields": {
        "Abstract Final Identifier": "POREF080",
        "Title": "Immediate Visual Recovery In The Presbyopic-Age Population: 24-Hour Outcomes Of 51 Klex Cases With The Atos Laser",
        "Presenting Author(s)": "Dr Anna Dabrowska",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Derhartunian",
        "Country Name": "Austria",
        "Purpose": "To challenge the paradigm of delayed visual rehabilitation in lenticule extraction. This study evaluates the 24-hour visual outcomes of Keratorefractive Lenticule Extraction (KLEx) using the ATOS femtosecond laser in a specific demographic of patients aged 40 and older.",
        "Setting": "Single-center, private ophthalmic surgical facility, Warsaw, Krakow Poland.",
        "Methods": "This retrospective analysis included 51 eyes from 51 unique patients to eliminate inter-eye correlation. The study population had a mean age of 44.8 ± 3.5 years (Median: 44.0 ; Range: 40.1 to 52.8 ) . The pre-operative mean spherical equivalent (SE) was -3.94 ± 1.72 D (Median: -3.88 ; Range: -1.38 to -8.38 D) . All patients underwent KLEx with the ATOS femtosecond laser. Day 1 Uncorrected Visual Acuity (UCVA) was compared against pre-operative Best-Corrected Visual Acuity (BCVA).",
        "Results": "On Post-operative Day 1, 78.7% of patients achieved 20/20 ( 0.0 logMAR) or better . Remarkably, 100% of the 51 patients met the legal driving requirement of 20/40 or better within 24 hours. The Efficacy Index was 0.93 at Day 1. No correlation was found between age and recovery speed ( r=0.07 ), indicating that the \"older\" cornea in the 40+ group does not delay healing with this platform. 87.5% of patients were within 1 line of their lifetime maximum visual potential (pre-op BCVA) on Day 1.",
        "Conclusions": "KLEx with the ATOS laser provides \"LASIK-like\" immediate visual rehabilitation in patients over 40. By achieving a 0.93 efficacy index on Day 1, this technology effectively removes the primary barrier to lenticule extraction in the working-age population—the expectation of a slow return to clear vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POREF081",
      "abstract_number": "POREF081",
      "title": "The Age-Depth Interaction In Lenticule Extraction: A Prospective Paired-Eye Analysis Of Interface Scattering And Micro-Aberrations",
      "authors": "Dr Victor Derhartunian",
      "presenter": "Dr Victor Derhartunian",
      "normalized_authors": [
        "Victor Derhartunian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Derhartunian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To investigate the impact of interface depth (cap thickness) on the Micro Aberration Scattering Index (MASI) following lenticule extraction and to determine if patient age or treatment volume (lenticule thickness) modulates this relationship.",
        "Setting": "Specialized Refractive Surgery Center, Clinical Data Analysis Unit.",
        "Methods": "This prospective, randomized, paired-eye study evaluated 26 eyes of 13 patients (mean age 31.7 ± 8.0 years). To control for inter-subject biological variance, a contralateral eye design was employed: one eye was assigned to a 110 µ m cap and the fellow eye to a 140 µ m cap. High-resolution interface quality was quantified on postoperative Day 1 using the MASI index. Multivariate analysis was performed to identify correlations between interface scattering and age, maximal treatment depth (lenticule thickness), and early functional outcomes (UCVA).",
        "Results": "A significant depth-dependency was observed in interface quality. The 140 µ m cap group exhibited a substantially higher mean induction of scattering compared to the 110 µ m group (MASI 19.2 ± 18.3 vs 7.3 ± 13.9). Paired analysis revealed a mean increase in MASI of 40.3% at the deeper interface level. Crucially, the \"depth-penalty\" for scattering was strongly moderated by patient age ( r = 0.645, p = 0.023 ), whereas total lenticule thickness (treatment volume) showed no independent correlation with scattering ( r = -0.07 ). Day 1 UCVA did not significantly correlate with MASI ( r = -0.26 ), suggesting that while deeper interfaces induce greater micro-scattering, they remain below the threshold for early visual degradation in most subjects.",
        "Conclusions": "Interface scattering in lenticule extraction is primarily driven by the depth of the interface rather than the volume of the lenticule. This effect is age-dependent, suggesting that deeper stromal lamellae in older eyes may be more susceptible to laser-induced micro-morphological changes. While deeper caps are often proposed to optimize corneal nerve preservation and ocular surface recovery, surgeons should weigh this against the significant increase in interface scattering. For older patients, a shallower 110 µ m cap may be the optimal compromise to maximize interface structural homogeneity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Interface scattering in lenticule extraction is primarily driven by the depth of the interface rather than the volume of the lenticule. This effect is age-dependent, suggesting that deeper stromal lamellae in older eyes may be more susceptible to laser-induced micro-morphological changes. While deeper caps are often proposed to optimize corneal nerve preservation and ocular surface recovery, surgeons should weigh…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1467,
      "source_fields": {
        "Abstract Final Identifier": "POREF081",
        "Title": "The Age-Depth Interaction In Lenticule Extraction: A Prospective Paired-Eye Analysis Of Interface Scattering And Micro-Aberrations",
        "Presenting Author(s)": "Dr Victor Derhartunian",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Derhartunian",
        "Country Name": "Austria",
        "Purpose": "To investigate the impact of interface depth (cap thickness) on the Micro Aberration Scattering Index (MASI) following lenticule extraction and to determine if patient age or treatment volume (lenticule thickness) modulates this relationship.",
        "Setting": "Specialized Refractive Surgery Center, Clinical Data Analysis Unit.",
        "Methods": "This prospective, randomized, paired-eye study evaluated 26 eyes of 13 patients (mean age 31.7 ± 8.0 years). To control for inter-subject biological variance, a contralateral eye design was employed: one eye was assigned to a 110 µ m cap and the fellow eye to a 140 µ m cap. High-resolution interface quality was quantified on postoperative Day 1 using the MASI index. Multivariate analysis was performed to identify correlations between interface scattering and age, maximal treatment depth (lenticule thickness), and early functional outcomes (UCVA).",
        "Results": "A significant depth-dependency was observed in interface quality. The 140 µ m cap group exhibited a substantially higher mean induction of scattering compared to the 110 µ m group (MASI 19.2 ± 18.3 vs 7.3 ± 13.9). Paired analysis revealed a mean increase in MASI of 40.3% at the deeper interface level. Crucially, the \"depth-penalty\" for scattering was strongly moderated by patient age ( r = 0.645, p = 0.023 ), whereas total lenticule thickness (treatment volume) showed no independent correlation with scattering ( r = -0.07 ). Day 1 UCVA did not significantly correlate with MASI ( r = -0.26 ), suggesting that while deeper interfaces induce greater micro-scattering, they remain below the threshold for early visual degradation in most subjects.",
        "Conclusions": "Interface scattering in lenticule extraction is primarily driven by the depth of the interface rather than the volume of the lenticule. This effect is age-dependent, suggesting that deeper stromal lamellae in older eyes may be more susceptible to laser-induced micro-morphological changes. While deeper caps are often proposed to optimize corneal nerve preservation and ocular surface recovery, surgeons should weigh this against the significant increase in interface scattering. For older patients, a shallower 110 µ m cap may be the optimal compromise to maximize interface structural homogeneity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "POREF082",
      "abstract_number": "POREF082",
      "title": "Visual Outcomes, Astigmatic Correction And Safety Of Smartsight Lenticule Extraction: Clinical Evaluation Of 69 Eyes",
      "authors": "Dr Sina Dr. Ahlers",
      "presenter": "Dr Sina Dr. Ahlers",
      "normalized_authors": [
        "Sina Dr. Ahlers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sina Dr. Ahlers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Lenticule extraction has evolved from a biomechanically driven flapless technique toward an optically optimized refractive platform. Modern systems aim to reduce induction of higher-order aberrations (HOAs) while improving cylindrical precision and transition zone smoothness. “SmartSight” (SCHWIND eye-tech-solutions GmbH, Germany) integrates aspheric lenticule geometry and advanced centration control (centrax®) to enhance optical quality. This study evaluates wavefront-relevant visual outcomes, astigmatic correction, and safety over a 12-week follow-up period.",
        "Setting": "Retrospective single-center analysis of 69 eyes treated with SmartSight between June 2024 and September 2025. All procedures were performed by one experienced refractive surgeon following a standardized surgical protocol.",
        "Methods": "Preoperative assessment included manifest refraction, spherical equivalent (SE), astigmatism, and CDVA (logMAR). Postoperative examinations were conducted at day 1, week 1, and 12 weeks, with UDVA (logMAR) recorded at each visit and CDVA at 12 weeks. The safety index was calculated as postoperative divided by preoperative CDVA. Refractive cylinder reduction was analyzed in relation to the platform’s integrated cyclotorsion control. Subjective patient satisfaction and dry-eye symptoms were evaluated.",
        "Results": "Mean UDVA demonstrated rapid functional recovery, measuring −0.03 logMAR at day 1, −0.05 logMAR at week 1, and −0.06 logMAR at 12 weeks. The mean safety index was 1.15, indicating improved postoperative CDVA. Mean preoperative astigmatism of −1.11 D was reduced to −0.49 D at 12 weeks. Only minimal intrastromal reaction was observed at the day1/week1. These findings were without visual relevance and resolved subsequently. No severe sicca symptoms were reported. Patient satisfaction was high. One eye experienced intraoperative suction loss due to patient movement during the procedure and was excluded from refractive outcome analysis. No further significant intraoperative or postoperative complications were observed within this group.",
        "Conclusions": "SmartSight demonstrated excellent visual rehabilitation, refractive safety, and precision oft the astigmatic correction. Integrated cyclotorsion control clearly contributed to this superior correction of astigmatism. Laser delivery using sub100 nJ pulse energy and an asymmetric scan pattern is intended to minimize stromal tissue reaction and interface inflammation. Cap diameters up to 9.0 mm and optical zones up to 8.0 mm allow generous treatment geometry. Concluding SmartSight represents an optically refined, tissue-preserving evolution of lenticule-based refractive surgery facilitating large optical zones while significant care can be paid to energy minimization simultanously. This is crucial for lowest ingterface trauma and fast healing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SmartSight demonstrated excellent visual rehabilitation, refractive safety, and precision oft the astigmatic correction. Integrated cyclotorsion control clearly contributed to this superior correction of astigmatism. Laser delivery using sub100 nJ pulse energy and an asymmetric scan pattern is intended to minimize stromal tissue reaction and interface inflammation. Cap diameters up to 9.0 mm and optical zones up to…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1468,
      "source_fields": {
        "Abstract Final Identifier": "POREF082",
        "Title": "Visual Outcomes, Astigmatic Correction And Safety Of Smartsight Lenticule Extraction: Clinical Evaluation Of 69 Eyes",
        "Presenting Author(s)": "Dr Sina Dr. Ahlers",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Sina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dr. Ahlers",
        "Country Name": "Germany",
        "Purpose": "Lenticule extraction has evolved from a biomechanically driven flapless technique toward an optically optimized refractive platform. Modern systems aim to reduce induction of higher-order aberrations (HOAs) while improving cylindrical precision and transition zone smoothness. “SmartSight” (SCHWIND eye-tech-solutions GmbH, Germany) integrates aspheric lenticule geometry and advanced centration control (centrax®) to enhance optical quality. This study evaluates wavefront-relevant visual outcomes, astigmatic correction, and safety over a 12-week follow-up period.",
        "Setting": "Retrospective single-center analysis of 69 eyes treated with SmartSight between June 2024 and September 2025. All procedures were performed by one experienced refractive surgeon following a standardized surgical protocol.",
        "Methods": "Preoperative assessment included manifest refraction, spherical equivalent (SE), astigmatism, and CDVA (logMAR). Postoperative examinations were conducted at day 1, week 1, and 12 weeks, with UDVA (logMAR) recorded at each visit and CDVA at 12 weeks. The safety index was calculated as postoperative divided by preoperative CDVA. Refractive cylinder reduction was analyzed in relation to the platform’s integrated cyclotorsion control. Subjective patient satisfaction and dry-eye symptoms were evaluated.",
        "Results": "Mean UDVA demonstrated rapid functional recovery, measuring −0.03 logMAR at day 1, −0.05 logMAR at week 1, and −0.06 logMAR at 12 weeks. The mean safety index was 1.15, indicating improved postoperative CDVA. Mean preoperative astigmatism of −1.11 D was reduced to −0.49 D at 12 weeks. Only minimal intrastromal reaction was observed at the day1/week1. These findings were without visual relevance and resolved subsequently. No severe sicca symptoms were reported. Patient satisfaction was high. One eye experienced intraoperative suction loss due to patient movement during the procedure and was excluded from refractive outcome analysis. No further significant intraoperative or postoperative complications were observed within this group.",
        "Conclusions": "SmartSight demonstrated excellent visual rehabilitation, refractive safety, and precision oft the astigmatic correction. Integrated cyclotorsion control clearly contributed to this superior correction of astigmatism. Laser delivery using sub100 nJ pulse energy and an asymmetric scan pattern is intended to minimize stromal tissue reaction and interface inflammation. Cap diameters up to 9.0 mm and optical zones up to 8.0 mm allow generous treatment geometry. Concluding SmartSight represents an optically refined, tissue-preserving evolution of lenticule-based refractive surgery facilitating large optical zones while significant care can be paid to energy minimization simultanously. This is crucial for lowest ingterface trauma and fast healing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "POREF083",
      "abstract_number": "POREF083",
      "title": "Smooth Smile, Key Tips For Femto Smile Success.",
      "authors": "Dr Nehal Omar Elfarouk",
      "presenter": "Dr Nehal Omar Elfarouk",
      "normalized_authors": [
        "Nehal Omar Elfarouk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nehal Omar Elfarouk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To get to perform a smooth Femto SMILE procedure with minimal manauvers and best outcome.",
        "Setting": "Mashreq Eye Center",
        "Methods": "The experience of forty two human eyes who underwent Femto SMILE surgeries was documented including all the intraoperative complications that happened in 7 eye (6% of cases). Preoperative assessment and patient selection was discused in addition to step by step recognition and pitfalls was documented to get to the best practice avoiding all risks and reaching to best outcome.\n\nDealing with possible complications will be discused as well",
        "Results": "Forty two eyes were susceptible to SMILE surgery, 6% of them showed intraoperative complications in the form of stuck lenticule to the cap, total dissection of one half with the other half attached, obaque bubble layer and failure of dissection.\n\nall were dealt with each accordingly discussing our experience in a simple way to get to perform a smooth successful SMILE surgery.",
        "Conclusions": "• SMILE can be an easy procedure when you know where and how to interfere.\n\n• Patient meticulous selection in SMILE surgery is a must.\n\n• Identification is as crucial as the Rhexis in phaco .\n\n• Easy and fast dissection with minimal tissue handling will ensure good visual outcomes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• SMILE can be an easy procedure when you know where and how to interfere. • Patient meticulous selection in SMILE surgery is a must. • Identification is as crucial as the Rhexis in phaco . • Easy and fast dissection with minimal tissue handling will ensure good visual outcomes",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1469,
      "source_fields": {
        "Abstract Final Identifier": "POREF083",
        "Title": "Smooth Smile, Key Tips For Femto Smile Success.",
        "Presenting Author(s)": "Dr Nehal Omar Elfarouk",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Nehal",
        "Submitter Middle Name": "Omar",
        "Submitter Last Name": "Elfarouk",
        "Country Name": "Egypt",
        "Purpose": "To get to perform a smooth Femto SMILE procedure with minimal manauvers and best outcome.",
        "Setting": "Mashreq Eye Center",
        "Methods": "The experience of forty two human eyes who underwent Femto SMILE surgeries was documented including all the intraoperative complications that happened in 7 eye (6% of cases). Preoperative assessment and patient selection was discused in addition to step by step recognition and pitfalls was documented to get to the best practice avoiding all risks and reaching to best outcome.\n\nDealing with possible complications will be discused as well",
        "Results": "Forty two eyes were susceptible to SMILE surgery, 6% of them showed intraoperative complications in the form of stuck lenticule to the cap, total dissection of one half with the other half attached, obaque bubble layer and failure of dissection.\n\nall were dealt with each accordingly discussing our experience in a simple way to get to perform a smooth successful SMILE surgery.",
        "Conclusions": "• SMILE can be an easy procedure when you know where and how to interfere.\n\n• Patient meticulous selection in SMILE surgery is a must.\n\n• Identification is as crucial as the Rhexis in phaco .\n\n• Easy and fast dissection with minimal tissue handling will ensure good visual outcomes"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "POREF084",
      "abstract_number": "POREF084",
      "title": "Tear Film Stability In The First Month After Refractive Surgery: Smile Compared To Femto-Lasik — What Our Patients Told Us",
      "authors": "Dr Mariam Ghazaryan",
      "presenter": "Dr Mariam Ghazaryan",
      "normalized_authors": [
        "Mariam Ghazaryan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariam Ghazaryan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "To compare early postoperative tear film stability and patient-reported dry eye symptoms following SMILE and Femto-LASIK procedures, based on the first clinical experience in Armenia with SMILE.",
        "Setting": "This study was conducted at a private ophthalmology clinic in Yerevan , the only clinic currently performing SMILE in the country using the Carl Zeiss Meditec VisuMax platform. The center serves as a referral hub for refractive surgery, receiving patients from across Armenia.",
        "Methods": "This prospective observational study was conducted at the only center in Armenia currently performing SMILE. Patients undergoing either SMILE or Femto-LASIK for myopia and myopic astigmatism were included. Objective tear film parameters — Schirmer test, tear break-up time (TBUT), and fluorescein staining — were recorded preoperatively and at 1-month post-op. Subjective dry eye symptoms were evaluated using the Ocular Surface Disease Index (OSDI).",
        "Results": "Preliminary results indicate that the SMILE group had better tear film preservation, with less reduction in TBUT and lower OSDI scores compared to the femto-LASIK group. While both groups experienced a mild decrease in Schirmer values, symptoms were generally milder in SMILE patients, who also reported faster recovery and reduced dependence on lubricants.",
        "Conclusions": "Our findings suggest that SMILE may offer better short-term ocular surface outcomes than Femto-LASIK. These early results are especially relevant in clinical settings where ocular surface preservation is a priority — such as in young, active patients or those with borderline tear function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings suggest that SMILE may offer better short-term ocular surface outcomes than Femto-LASIK. These early results are especially relevant in clinical settings where ocular surface preservation is a priority — such as in young, active patients or those with borderline tear function.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1470,
      "source_fields": {
        "Abstract Final Identifier": "POREF084",
        "Title": "Tear Film Stability In The First Month After Refractive Surgery: Smile Compared To Femto-Lasik — What Our Patients Told Us",
        "Presenting Author(s)": "Dr Mariam Ghazaryan",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Mariam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghazaryan",
        "Country Name": "Armenia",
        "Purpose": "To compare early postoperative tear film stability and patient-reported dry eye symptoms following SMILE and Femto-LASIK procedures, based on the first clinical experience in Armenia with SMILE.",
        "Setting": "This study was conducted at a private ophthalmology clinic in Yerevan , the only clinic currently performing SMILE in the country using the Carl Zeiss Meditec VisuMax platform. The center serves as a referral hub for refractive surgery, receiving patients from across Armenia.",
        "Methods": "This prospective observational study was conducted at the only center in Armenia currently performing SMILE. Patients undergoing either SMILE or Femto-LASIK for myopia and myopic astigmatism were included. Objective tear film parameters — Schirmer test, tear break-up time (TBUT), and fluorescein staining — were recorded preoperatively and at 1-month post-op. Subjective dry eye symptoms were evaluated using the Ocular Surface Disease Index (OSDI).",
        "Results": "Preliminary results indicate that the SMILE group had better tear film preservation, with less reduction in TBUT and lower OSDI scores compared to the femto-LASIK group. While both groups experienced a mild decrease in Schirmer values, symptoms were generally milder in SMILE patients, who also reported faster recovery and reduced dependence on lubricants.",
        "Conclusions": "Our findings suggest that SMILE may offer better short-term ocular surface outcomes than Femto-LASIK. These early results are especially relevant in clinical settings where ocular surface preservation is a priority — such as in young, active patients or those with borderline tear function."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "POREF085",
      "abstract_number": "POREF085",
      "title": "High Complexity Hypermetropia Surgery Cases With Smile Pro",
      "authors": "Dr Teodor Holhos",
      "presenter": "Dr Teodor Holhos",
      "normalized_authors": [
        "Teodor Holhos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Teodor Holhos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "A clinical case review to present the high complexity in hypermetropia surgery with Smile Pro and conclude that this king of surgery needs highly experienced surgeon.",
        "Setting": "The cases were selected from the Dr Holhos clinics in Romania. Dr Holhos clinics is a private ophthalmology network and the biggest refractive network in the country with three refractive centers using Smile Pro surgery.",
        "Methods": "We reviewed the results of investigations for hypermetropia patients before and after Small Incision Lenticule Extraction surgery, with specific investigations.\n\nStudy case for selected high complexity cases of hypermetropia performed with SMILE Pro.\n\nThe 1st case patient had interface bleeding during surgery. This decreased the visibility during surgery.\n\nF, 20 yo\n\nRE 05fc/09cc\n\n+6.00/1.00 cyl\n\nLE 05fc/09cc\n\n+7.50/-0.75cyl\n\nThe 2nd case patient moved the eye during the laser phase of the surgery resulting in lenticule border extension up to the surface of the cornea.\n\nF, 34 yo\n\nRE 02fc/08cc\n\n+7.00/-1.50cyl\n\nLE 02fc/1.0 cc\n\n+6.50/150 cyl\n\nThe 3rd case patient had a lenticule rupture during the lenticule extraction.\n\nM, 26 yo\n\nLE\n\n02fc/04cc\n\n+3.00/-1.25cyl",
        "Results": "SMILE Pro is faster, does not require a flap, it maintains the biomechanics of the cornea, the anterior stromal part remains intact, it improves visual acuity, produces the lowest percentage of dry eye among all refractive techniques, it is pain-free during and after the intervention.\n\nAll cases were successfully finalized and the patients’ vision is also improved.",
        "Conclusions": "Small-Incision Lenticule Extraction (SMILE Pro) surgery technique is minimally invasive, offers the best quality of vision in the shortest time, the best after surgery outcome on dry eye syndrome, the best choice for athletes, pilots, patients sensitive to pain, patients who require the fastest recovery and challenging cases.\n\nIn all the cases presented, only the high experience of the surgeon could ensure the successful outcome of the surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Small-Incision Lenticule Extraction (SMILE Pro) surgery technique is minimally invasive, offers the best quality of vision in the shortest time, the best after surgery outcome on dry eye syndrome, the best choice for athletes, pilots, patients sensitive to pain, patients who require the fastest recovery and challenging cases. In all the cases presented, only the high experience of the surgeon could ensure the…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1471,
      "source_fields": {
        "Abstract Final Identifier": "POREF085",
        "Title": "High Complexity Hypermetropia Surgery Cases With Smile Pro",
        "Presenting Author(s)": "Dr Teodor Holhos",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Teodor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Holhos",
        "Country Name": "Romania",
        "Purpose": "A clinical case review to present the high complexity in hypermetropia surgery with Smile Pro and conclude that this king of surgery needs highly experienced surgeon.",
        "Setting": "The cases were selected from the Dr Holhos clinics in Romania. Dr Holhos clinics is a private ophthalmology network and the biggest refractive network in the country with three refractive centers using Smile Pro surgery.",
        "Methods": "We reviewed the results of investigations for hypermetropia patients before and after Small Incision Lenticule Extraction surgery, with specific investigations.\n\nStudy case for selected high complexity cases of hypermetropia performed with SMILE Pro.\n\nThe 1st case patient had interface bleeding during surgery. This decreased the visibility during surgery.\n\nF, 20 yo\n\nRE 05fc/09cc\n\n+6.00/1.00 cyl\n\nLE 05fc/09cc\n\n+7.50/-0.75cyl\n\nThe 2nd case patient moved the eye during the laser phase of the surgery resulting in lenticule border extension up to the surface of the cornea.\n\nF, 34 yo\n\nRE 02fc/08cc\n\n+7.00/-1.50cyl\n\nLE 02fc/1.0 cc\n\n+6.50/150 cyl\n\nThe 3rd case patient had a lenticule rupture during the lenticule extraction.\n\nM, 26 yo\n\nLE\n\n02fc/04cc\n\n+3.00/-1.25cyl",
        "Results": "SMILE Pro is faster, does not require a flap, it maintains the biomechanics of the cornea, the anterior stromal part remains intact, it improves visual acuity, produces the lowest percentage of dry eye among all refractive techniques, it is pain-free during and after the intervention.\n\nAll cases were successfully finalized and the patients’ vision is also improved.",
        "Conclusions": "Small-Incision Lenticule Extraction (SMILE Pro) surgery technique is minimally invasive, offers the best quality of vision in the shortest time, the best after surgery outcome on dry eye syndrome, the best choice for athletes, pilots, patients sensitive to pain, patients who require the fastest recovery and challenging cases.\n\nIn all the cases presented, only the high experience of the surgeon could ensure the successful outcome of the surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "POREF086",
      "abstract_number": "POREF086",
      "title": "Effect Of Optical Zone–Visual Axis Alignment On Quality Of Vision After Keratolenticule Extraction: Clinical Impact Of The Centrax Centration System",
      "authors": "Dr Sangyoon Hyun",
      "presenter": "Dr Sangyoon Hyun",
      "normalized_authors": [
        "Sangyoon Hyun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sangyoon Hyun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the clinical effect of CenTraX (SCHWIND eye-tech-solutions, Germany), a newly developed automated intraoperative centration system designed to compensate for misalignment between the optical zone center and the visual axis during keratolenticule extraction (KLEx) for the correction of myopia and myopic astigmatism.",
        "Setting": "This study was conducted at Cheong-Ju First Eye Clinic and included patients who underwent keratorefractive lenticule extraction (KLEx) in 2025. A total of 198 eyes were analyzed over a 3-month follow-up period. Of these, 100 eyes treated with the conventional KLEx technique served as the control group, and 98 eyes treated using the CenTraX system comprised the study group.",
        "Methods": "This retrospective chart review evaluated preoperative, intraoperative, and postoperative clinical data. Preoperative measurements included spherical equivalent (SE) and corneal curvature. Intraoperative video analysis was performed to quantify the offset between the visual axis and the optical zone center, as well as the pupillary offset, defined as the difference between the visual axis and the pupil center. Postoperative uncorrected distance visual acuity (UDVA), spherical equivalent, and higher-order aberrations were assessed at 1 day, 1 week, 1 month, and 3 months after surgery.",
        "Results": "There were no significant differences between the two groups in preoperative spherical equivalent, corneal thickness, or pupillary offset. Intraoperative misalignment between the visual axis and the optical zone center did not differ significantly between groups. Postoperative UDVA and spherical equivalent at all follow-up time points (1 day, 1 week, 1 month, and 3 months) were comparable between the groups. However, the change in coma aberration at 1 week, 1 month, and 3 months postoperatively, compared with preoperative values, was significantly lower in the CenTraX group than in the control group.",
        "Conclusions": "The application of the CenTraX automated centration system in keratolenticule extraction significantly reduces the induction of postoperative coma aberrations, suggesting a potential improvement in optical quality and quality of vision after KLEx surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The application of the CenTraX automated centration system in keratolenticule extraction significantly reduces the induction of postoperative coma aberrations, suggesting a potential improvement in optical quality and quality of vision after KLEx surgery.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1472,
      "source_fields": {
        "Abstract Final Identifier": "POREF086",
        "Title": "Effect Of Optical Zone–Visual Axis Alignment On Quality Of Vision After Keratolenticule Extraction: Clinical Impact Of The Centrax Centration System",
        "Presenting Author(s)": "Dr Sangyoon Hyun",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Sangyoon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hyun",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the clinical effect of CenTraX (SCHWIND eye-tech-solutions, Germany), a newly developed automated intraoperative centration system designed to compensate for misalignment between the optical zone center and the visual axis during keratolenticule extraction (KLEx) for the correction of myopia and myopic astigmatism.",
        "Setting": "This study was conducted at Cheong-Ju First Eye Clinic and included patients who underwent keratorefractive lenticule extraction (KLEx) in 2025. A total of 198 eyes were analyzed over a 3-month follow-up period. Of these, 100 eyes treated with the conventional KLEx technique served as the control group, and 98 eyes treated using the CenTraX system comprised the study group.",
        "Methods": "This retrospective chart review evaluated preoperative, intraoperative, and postoperative clinical data. Preoperative measurements included spherical equivalent (SE) and corneal curvature. Intraoperative video analysis was performed to quantify the offset between the visual axis and the optical zone center, as well as the pupillary offset, defined as the difference between the visual axis and the pupil center. Postoperative uncorrected distance visual acuity (UDVA), spherical equivalent, and higher-order aberrations were assessed at 1 day, 1 week, 1 month, and 3 months after surgery.",
        "Results": "There were no significant differences between the two groups in preoperative spherical equivalent, corneal thickness, or pupillary offset. Intraoperative misalignment between the visual axis and the optical zone center did not differ significantly between groups. Postoperative UDVA and spherical equivalent at all follow-up time points (1 day, 1 week, 1 month, and 3 months) were comparable between the groups. However, the change in coma aberration at 1 week, 1 month, and 3 months postoperatively, compared with preoperative values, was significantly lower in the CenTraX group than in the control group.",
        "Conclusions": "The application of the CenTraX automated centration system in keratolenticule extraction significantly reduces the induction of postoperative coma aberrations, suggesting a potential improvement in optical quality and quality of vision after KLEx surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "POREF087",
      "abstract_number": "POREF087",
      "title": "Circle Software For Management Of Epithelial Ingrowth After Smile",
      "authors": "Dr Vardhaman Prakash Kankariya",
      "presenter": "Dr Vardhaman Prakash Kankariya",
      "normalized_authors": [
        "Vardhaman Prakash Kankariya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vardhaman Prakash Kankariya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report a novel therapeutic use of CIRCLE software (Carl Zeiss Meditec) to manage visually significant epithelial ingrowth following small incision lenticule extraction surgery (SMILE).",
        "Setting": "Tertiary Care Eye Hospital",
        "Methods": "Case series.",
        "Results": "In this case series, the authors describe three eyes with progressive and visually significant epithelial ingrowth following an uneventful SMILE procedure. The management of epithelial ingrowth following SMILE is challenging, given the small access incision to the interface and the risk of incomplete removal. All cases were successfully managed by converting the SMILE cap into a flap using the CIRCLE software, which provided the necessary access to the original SMILE interface. Once the flap was lifted, the epithelial in-growth was completely debrided from the underlying stroma and undersurface of the flap, followed by a thorough interface wash. Postoperative recovery was uneventful, with no recurrence noted in any of the eyes.",
        "Conclusions": "Use of CIRCLE software provides a novel and unique approach to successfully treating vision-threatening epithelial ingrowth after SMILE."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Use of CIRCLE software provides a novel and unique approach to successfully treating vision-threatening epithelial ingrowth after SMILE.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1473,
      "source_fields": {
        "Abstract Final Identifier": "POREF087",
        "Title": "Circle Software For Management Of Epithelial Ingrowth After Smile",
        "Presenting Author(s)": "Dr Vardhaman Prakash Kankariya",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Vardhaman",
        "Submitter Middle Name": "Prakash",
        "Submitter Last Name": "Kankariya",
        "Country Name": "India",
        "Purpose": "To report a novel therapeutic use of CIRCLE software (Carl Zeiss Meditec) to manage visually significant epithelial ingrowth following small incision lenticule extraction surgery (SMILE).",
        "Setting": "Tertiary Care Eye Hospital",
        "Methods": "Case series.",
        "Results": "In this case series, the authors describe three eyes with progressive and visually significant epithelial ingrowth following an uneventful SMILE procedure. The management of epithelial ingrowth following SMILE is challenging, given the small access incision to the interface and the risk of incomplete removal. All cases were successfully managed by converting the SMILE cap into a flap using the CIRCLE software, which provided the necessary access to the original SMILE interface. Once the flap was lifted, the epithelial in-growth was completely debrided from the underlying stroma and undersurface of the flap, followed by a thorough interface wash. Postoperative recovery was uneventful, with no recurrence noted in any of the eyes.",
        "Conclusions": "Use of CIRCLE software provides a novel and unique approach to successfully treating vision-threatening epithelial ingrowth after SMILE."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 159
    },
    {
      "uid": "POREF088",
      "abstract_number": "POREF088",
      "title": "Comparative Assessment Of Cap Geometry In Keratorefractive Lenticule Extraction Using Visumax 500 And Visumax 800 And Its Association With Clinical Outcomes",
      "authors": "Dr Bu Ki Kim",
      "presenter": "Dr Bu Ki Kim",
      "normalized_authors": [
        "Bu Ki Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bu Ki Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To quantitatively compare corneal cap thickness accuracy and uniformity after keratorefractive lenticule extraction (KLEX) using the VisuMax 500 (500 kHz) and the VisuMax 800 (2,000 kHz) femtosecond lasers.",
        "Setting": "Onnuri Smile Eye Clinic, Seoul, South Korea",
        "Methods": "This retrospective comparative study analyzed the right eyes of patients who underwent KLEX using the VisuMax 500 or VisuMax 800 systems. Cap thickness was measured at nine predefined horizontal points across the 6-mm optical zone using anterior-segment optical coherence tomography at 1 month postoperatively. Cap accuracy was defined as the difference between achieved and intended thickness, and cap uniformity was quantified as the intra-subject standard deviation (SD) across the central 2-mm zone (central SD) and the full 6-mm zone (total SD). Correlations between cap uniformity and clinical outcomes were also assessed.",
        "Results": "Both groups did not show a significant difference in cap accuracy and demonstrated minimal central deviation from the intended thickness with increasing discrepancy toward the periphery. However, the VisuMax 800 group exhibited significantly greater central cap uniformity. The central SD for the VisuMax 800 group was 2.5 ± 1.2 µm compared to 3.5 ± 1.6 µm for the VisuMax 500 group ( p = 0.010). While there were no significant differences in clinical outcomes between the groups, in the VisuMax 800 group, total SD correlated significantly with postoperative sphere, SE, and changes in SA, and central SD correlated with changes in other higher-order aberrations. No significant correlations were observed for the VisuMax 500 group.",
        "Conclusions": "Both femtosecond laser platforms exhibited comparable cap accuracy, yet the VisuMax 800 produced significantly better cap uniformity. In the VisuMax 800 group, greater cap uniformity was associated with distinct patterns of postoperative optical and refractive outcomes, suggesting that the higher-frequency platform provides more consistent corneal modification during lenticule creation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both femtosecond laser platforms exhibited comparable cap accuracy, yet the VisuMax 800 produced significantly better cap uniformity. In the VisuMax 800 group, greater cap uniformity was associated with distinct patterns of postoperative optical and refractive outcomes, suggesting that the higher-frequency platform provides more consistent corneal modification during lenticule creation.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1474,
      "source_fields": {
        "Abstract Final Identifier": "POREF088",
        "Title": "Comparative Assessment Of Cap Geometry In Keratorefractive Lenticule Extraction Using Visumax 500 And Visumax 800 And Its Association With Clinical Outcomes",
        "Presenting Author(s)": "Dr Bu Ki Kim",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Bu Ki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To quantitatively compare corneal cap thickness accuracy and uniformity after keratorefractive lenticule extraction (KLEX) using the VisuMax 500 (500 kHz) and the VisuMax 800 (2,000 kHz) femtosecond lasers.",
        "Setting": "Onnuri Smile Eye Clinic, Seoul, South Korea",
        "Methods": "This retrospective comparative study analyzed the right eyes of patients who underwent KLEX using the VisuMax 500 or VisuMax 800 systems. Cap thickness was measured at nine predefined horizontal points across the 6-mm optical zone using anterior-segment optical coherence tomography at 1 month postoperatively. Cap accuracy was defined as the difference between achieved and intended thickness, and cap uniformity was quantified as the intra-subject standard deviation (SD) across the central 2-mm zone (central SD) and the full 6-mm zone (total SD). Correlations between cap uniformity and clinical outcomes were also assessed.",
        "Results": "Both groups did not show a significant difference in cap accuracy and demonstrated minimal central deviation from the intended thickness with increasing discrepancy toward the periphery. However, the VisuMax 800 group exhibited significantly greater central cap uniformity. The central SD for the VisuMax 800 group was 2.5 ± 1.2 µm compared to 3.5 ± 1.6 µm for the VisuMax 500 group ( p = 0.010). While there were no significant differences in clinical outcomes between the groups, in the VisuMax 800 group, total SD correlated significantly with postoperative sphere, SE, and changes in SA, and central SD correlated with changes in other higher-order aberrations. No significant correlations were observed for the VisuMax 500 group.",
        "Conclusions": "Both femtosecond laser platforms exhibited comparable cap accuracy, yet the VisuMax 800 produced significantly better cap uniformity. In the VisuMax 800 group, greater cap uniformity was associated with distinct patterns of postoperative optical and refractive outcomes, suggesting that the higher-frequency platform provides more consistent corneal modification during lenticule creation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "POREF089",
      "abstract_number": "POREF089",
      "title": "Clinical Outcomes And Optical Precision Of Silk Using The \"Elita\" Laser System: Initial Experience",
      "authors": "Jill Kretzer",
      "presenter": "Jill Kretzer",
      "normalized_authors": [
        "Jill Kretzer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jill Kretzer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Since its introduction by Walter Sekundo , corneal lenticule extraction has evolved into an established flapless refractive procedure aimed at enhancing biomechanical stability and neurotrophic preservation compared with excimer laser–based ablation techniques. SILK (Smooth Incision Lenticule Keratomileusis) represents a novel approach incorporating a bi-aspheric lenticule design and high-frequency laser delivery to optimize refractive predictability and optical quality. This study evaluates visual outcomes, spherical correction accuracy, and interface response following SILK treatment.",
        "Setting": "Retrospective interventional case series including 100 eyes treated between January 2025 and April 2026. Procedures were performed by a single experienced refractive surgeon (C. Ahlers). This study presents outcomes from the first clinical installation and use of the ELITA Laser System (Johnson & Johnson Vision, USA) for SILK procedures in the DACH region.",
        "Methods": "Preoperative assessment included manifest refraction, spherical equivalent (SE), and corrected distance visual acuity (CDVA, logMAR). Postoperative evaluations were conducted on day 1, at week 1, and at 12 weeks, including uncorrected distance visual acuity (UDVA, logMAR), corrected distance visual acuity (CDVA, logMAR), manifest refraction, and calculation of the safety index. Standardized slit-lamp examinations were systematically documented and analyzed during the phase of energy optimization. Corneal topography was performed preoperatively and at 12 weeks postoperatively, and higher-order aberrations were quantitatively analyzed.",
        "Results": "The mean treated spherical error was −3.97 D. Intended target refraction averaged +0.11 D, with postoperative spherical refraction of +0.16 D, indicating high refractive precision. Mean UDVA was −0.01 logMAR on day 1, 0.00 at week 1, and −0.05 at 12 weeks, indicating rapid visual recovery. A mild interface reaction observed at week 1 may explain transiently reduced visual acuity during energy optimization and the surgical learning phase; it resolved and was absent by month 3. Overall safety was high, with fast visual recovery, stable CDVA, high patient satisfaction, and no sight-threatening complications. High-frequency 10 MHz laser delivery enabled tissue-bridge–free lenticule preparation, facilitating smooth stromal interfaces reliably.",
        "Conclusions": "SILK lenticule extraction demonstrated high refractive precision and very rapid visual rehabilitation in this study. The platform allows cap and optical zone diameters up to 10.0 mm using a two-piece scleral docking system achieving applanation. Centration and optical zone geometry can be adjusted after docking, representing a safety advantage. The bi-aspheric lenticule design follows physiological stromal nerve architecture, potentially reducing subbasal nerve fiber transection and supporting corneal neurotrophic preservation and stabilization of the lacrimal functional unit. These features suggest SILK combines refractive accuracy with enhanced tissue preservation, supported by clinical evidence of fast recovery and mild dry eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SILK lenticule extraction demonstrated high refractive precision and very rapid visual rehabilitation in this study. The platform allows cap and optical zone diameters up to 10.0 mm using a two-piece scleral docking system achieving applanation. Centration and optical zone geometry can be adjusted after docking, representing a safety advantage. The bi-aspheric lenticule design follows physiological stromal nerve…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1475,
      "source_fields": {
        "Abstract Final Identifier": "POREF089",
        "Title": "Clinical Outcomes And Optical Precision Of Silk Using The \"Elita\" Laser System: Initial Experience",
        "Presenting Author(s)": "Jill Kretzer",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Jill",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kretzer",
        "Country Name": "Germany",
        "Purpose": "Since its introduction by Walter Sekundo , corneal lenticule extraction has evolved into an established flapless refractive procedure aimed at enhancing biomechanical stability and neurotrophic preservation compared with excimer laser–based ablation techniques. SILK (Smooth Incision Lenticule Keratomileusis) represents a novel approach incorporating a bi-aspheric lenticule design and high-frequency laser delivery to optimize refractive predictability and optical quality. This study evaluates visual outcomes, spherical correction accuracy, and interface response following SILK treatment.",
        "Setting": "Retrospective interventional case series including 100 eyes treated between January 2025 and April 2026. Procedures were performed by a single experienced refractive surgeon (C. Ahlers). This study presents outcomes from the first clinical installation and use of the ELITA Laser System (Johnson & Johnson Vision, USA) for SILK procedures in the DACH region.",
        "Methods": "Preoperative assessment included manifest refraction, spherical equivalent (SE), and corrected distance visual acuity (CDVA, logMAR). Postoperative evaluations were conducted on day 1, at week 1, and at 12 weeks, including uncorrected distance visual acuity (UDVA, logMAR), corrected distance visual acuity (CDVA, logMAR), manifest refraction, and calculation of the safety index. Standardized slit-lamp examinations were systematically documented and analyzed during the phase of energy optimization. Corneal topography was performed preoperatively and at 12 weeks postoperatively, and higher-order aberrations were quantitatively analyzed.",
        "Results": "The mean treated spherical error was −3.97 D. Intended target refraction averaged +0.11 D, with postoperative spherical refraction of +0.16 D, indicating high refractive precision. Mean UDVA was −0.01 logMAR on day 1, 0.00 at week 1, and −0.05 at 12 weeks, indicating rapid visual recovery. A mild interface reaction observed at week 1 may explain transiently reduced visual acuity during energy optimization and the surgical learning phase; it resolved and was absent by month 3. Overall safety was high, with fast visual recovery, stable CDVA, high patient satisfaction, and no sight-threatening complications. High-frequency 10 MHz laser delivery enabled tissue-bridge–free lenticule preparation, facilitating smooth stromal interfaces reliably.",
        "Conclusions": "SILK lenticule extraction demonstrated high refractive precision and very rapid visual rehabilitation in this study. The platform allows cap and optical zone diameters up to 10.0 mm using a two-piece scleral docking system achieving applanation. Centration and optical zone geometry can be adjusted after docking, representing a safety advantage. The bi-aspheric lenticule design follows physiological stromal nerve architecture, potentially reducing subbasal nerve fiber transection and supporting corneal neurotrophic preservation and stabilization of the lacrimal functional unit. These features suggest SILK combines refractive accuracy with enhanced tissue preservation, supported by clinical evidence of fast recovery and mild dry eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 416
    },
    {
      "uid": "POREF090",
      "abstract_number": "POREF090",
      "title": "Effect Of Multiple Docking During Smile; And How To Avoid Epithelial Defect",
      "authors": "Dr Hendra Kusuma",
      "presenter": "Dr Hendra Kusuma",
      "normalized_authors": [
        "Hendra Kusuma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hendra Kusuma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "To describe the clinical course of an epithelial defect caused by repeated docking during SMILE‑PRO, report its management and visual outcome after staged conversion to LASIK, and analyze modifiable risk factors and practical measures to reduce epithelial injury risk during small‑incision lenticule extraction.",
        "Setting": "Private refractive surgery center where preoperative dry eye was optimized; patient: 37‑year‑old female with bilateral BCVA 20/20; planned procedure: bilateral SMILE‑PRO; preoperatively diagnosed dry eye in both eyes and treated to clinical optimization.",
        "Methods": "A case report of 37-year-old female patient presented for refractive correction\n\nLeft eye: uneventful SMILE‑PRO, successful single docking, lenticule creation and extraction completed as planned\n\nRight eye:\n\nThe initial docking attempt was unsuccessful due to poor patient cooperation, and after multiple redocking attempts an epithelial defect developed centrally on the cornea; the procedure was halted, topical antibiotic and preservative‑free lubricants were applied, and the eye was followed closely until epithelial healing and ocular surface stabilization, after which—48 hours later, with the defect healed and the patient’s anxiety and comfort improved following counseling —an elective LASIK with a 100 µm flap was performed on the right eye.",
        "Results": "Left eye (SMILE‑PRO): uneventful; postoperative uncorrected distance visual acuity (UDVA) 20/20 at day 1 and maintained\nRight eye:\n\nEpithelial defect identified intraoperatively after multiple dockings; initial laser lenticule creation incomplete → aborted\n\nConservative management: epithelial healing achieved within 48 hours; no sign of infection; ocular surface stabilized\n\nLASIK performed on day 2 with 100 µm flap; uneventful flap creation and excimer ablation\n\nFinal UDVA OD: 20/20; patient satisfied\n\nNo long‑term complications observed at last follow‑up",
        "Conclusions": "Multiple docking attempts can mechanically damage the corneal epithelium and compromise SMILE outcomes, and this risk is increased by pre‑existing ocular surface disease and poor patient cooperation; therefore early recognition of epithelial compromise and immediate cessation of SMILE is critical, conservative management with staged re‑intervention after full epithelial healing (with LASIK as a viable option) is a safe strategy, and practical prevention includes optimizing the ocular surface preoperatively, minimizing redocking attempts, ensuring adequate anesthesia and patient comfort, and counseling patients preoperatively about the possibility of conversion or staging with informed consent."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multiple docking attempts can mechanically damage the corneal epithelium and compromise SMILE outcomes, and this risk is increased by pre‑existing ocular surface disease and poor patient cooperation; therefore early recognition of epithelial compromise and immediate cessation of SMILE is critical, conservative management with staged re‑intervention after full epithelial healing (with LASIK as a viable option) is a…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1476,
      "source_fields": {
        "Abstract Final Identifier": "POREF090",
        "Title": "Effect Of Multiple Docking During Smile; And How To Avoid Epithelial Defect",
        "Presenting Author(s)": "Dr Hendra Kusuma",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Hendra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kusuma",
        "Country Name": "Indonesia",
        "Purpose": "To describe the clinical course of an epithelial defect caused by repeated docking during SMILE‑PRO, report its management and visual outcome after staged conversion to LASIK, and analyze modifiable risk factors and practical measures to reduce epithelial injury risk during small‑incision lenticule extraction.",
        "Setting": "Private refractive surgery center where preoperative dry eye was optimized; patient: 37‑year‑old female with bilateral BCVA 20/20; planned procedure: bilateral SMILE‑PRO; preoperatively diagnosed dry eye in both eyes and treated to clinical optimization.",
        "Methods": "A case report of 37-year-old female patient presented for refractive correction\n\nLeft eye: uneventful SMILE‑PRO, successful single docking, lenticule creation and extraction completed as planned\n\nRight eye:\n\nThe initial docking attempt was unsuccessful due to poor patient cooperation, and after multiple redocking attempts an epithelial defect developed centrally on the cornea; the procedure was halted, topical antibiotic and preservative‑free lubricants were applied, and the eye was followed closely until epithelial healing and ocular surface stabilization, after which—48 hours later, with the defect healed and the patient’s anxiety and comfort improved following counseling —an elective LASIK with a 100 µm flap was performed on the right eye.",
        "Results": "Left eye (SMILE‑PRO): uneventful; postoperative uncorrected distance visual acuity (UDVA) 20/20 at day 1 and maintained\nRight eye:\n\nEpithelial defect identified intraoperatively after multiple dockings; initial laser lenticule creation incomplete → aborted\n\nConservative management: epithelial healing achieved within 48 hours; no sign of infection; ocular surface stabilized\n\nLASIK performed on day 2 with 100 µm flap; uneventful flap creation and excimer ablation\n\nFinal UDVA OD: 20/20; patient satisfied\n\nNo long‑term complications observed at last follow‑up",
        "Conclusions": "Multiple docking attempts can mechanically damage the corneal epithelium and compromise SMILE outcomes, and this risk is increased by pre‑existing ocular surface disease and poor patient cooperation; therefore early recognition of epithelial compromise and immediate cessation of SMILE is critical, conservative management with staged re‑intervention after full epithelial healing (with LASIK as a viable option) is a safe strategy, and practical prevention includes optimizing the ocular surface preoperatively, minimizing redocking attempts, ensuring adequate anesthesia and patient comfort, and counseling patients preoperatively about the possibility of conversion or staging with informed consent."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POREF091",
      "abstract_number": "POREF091",
      "title": "1-Year Clinical Outcomes Of High-Fluence Delayed Intrastromal Corneal Crosslinking For Suspected Keratectasia After Klex",
      "authors": "Dr Seongjun Lee",
      "presenter": "Dr Seongjun Lee",
      "normalized_authors": [
        "Seongjun Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seongjun Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the 1-year clinical efficacy and safety of high-fluence delayed intrastromal corneal crosslinking (CXL) in patients with suspected keratectasia—showing early structural instability but not meeting confirmed ectasia criteria—after KLEx (SMILE).",
        "Setting": "A single-center retrospective observational study.",
        "Methods": "We retrospectively analyzed patients showing suspected keratectasia post-KLEx. Confirmed cases were excluded. Bilateral CXL was performed even for unilateral signs, considering potential bilateral involvement. The original cap was opened, and 0.1% riboflavin was soaked for 90 seconds. Continuous UVA (45 mW/cm2, 80 seconds, total 3.6 J/cm2) was applied. We compared spherical equivalent (SE), thinnest pachymetry (TP), posterior elevation (PE), inferior-superior asymmetry (IS value), coma aberrations, and visual acuity before (T1) and 1-year post-CXL (T2).",
        "Results": "Included were 32 eyes of 17 patients. CXL was performed 12.9 ± 9.2 months after SMILE. TP increased significantly from 481.6 ± 25.9 µm (T1) to 484.9 ± 24.5 µm (T2) (P = 0.017). Kmax slightly increased (43.34 ± 1.47 to 43.56 ± 1.46 D, P = 0.003), but PE and IS value remained stable (PE: 12.94 ± 8.59 to 12.91 ± 8.67 µm, P = 0.982; IS value: 1.67 ± 0.89 to 1.66 ± 0.92 D, P = 0.902). Visual acuities (logMAR) improved (P < 0.001). Vertical (-0.51 ± 0.29 to -0.43 ± 0.29 µm, P = 0.007) and horizontal coma (0.07 ± 0.26 to -0.01 ± 0.28 µm, P = 0.009) decreased. SE showed a mild myopic shift (P = 0.002). No severe complications occurred.",
        "Conclusions": "High-fluence delayed intrastromal CXL (45 mW/cm2, 80 seconds) effectively stabilized key structural indices like TP, PE, and IS value over 1 year, suppressing ectasia progression in suspected cases post-KLEx. Visual acuity improved, and specific coma aberrations decreased without severe complications. This suggests bilateral prophylactic treatment for unilateral suspects is a safe and effective early intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High-fluence delayed intrastromal CXL (45 mW/cm2, 80 seconds) effectively stabilized key structural indices like TP, PE, and IS value over 1 year, suppressing ectasia progression in suspected cases post-KLEx. Visual acuity improved, and specific coma aberrations decreased without severe complications. This suggests bilateral prophylactic treatment for unilateral suspects is a safe and effective early intervention.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1477,
      "source_fields": {
        "Abstract Final Identifier": "POREF091",
        "Title": "1-Year Clinical Outcomes Of High-Fluence Delayed Intrastromal Corneal Crosslinking For Suspected Keratectasia After Klex",
        "Presenting Author(s)": "Dr Seongjun Lee",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Seongjun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the 1-year clinical efficacy and safety of high-fluence delayed intrastromal corneal crosslinking (CXL) in patients with suspected keratectasia—showing early structural instability but not meeting confirmed ectasia criteria—after KLEx (SMILE).",
        "Setting": "A single-center retrospective observational study.",
        "Methods": "We retrospectively analyzed patients showing suspected keratectasia post-KLEx. Confirmed cases were excluded. Bilateral CXL was performed even for unilateral signs, considering potential bilateral involvement. The original cap was opened, and 0.1% riboflavin was soaked for 90 seconds. Continuous UVA (45 mW/cm2, 80 seconds, total 3.6 J/cm2) was applied. We compared spherical equivalent (SE), thinnest pachymetry (TP), posterior elevation (PE), inferior-superior asymmetry (IS value), coma aberrations, and visual acuity before (T1) and 1-year post-CXL (T2).",
        "Results": "Included were 32 eyes of 17 patients. CXL was performed 12.9 ± 9.2 months after SMILE. TP increased significantly from 481.6 ± 25.9 µm (T1) to 484.9 ± 24.5 µm (T2) (P = 0.017). Kmax slightly increased (43.34 ± 1.47 to 43.56 ± 1.46 D, P = 0.003), but PE and IS value remained stable (PE: 12.94 ± 8.59 to 12.91 ± 8.67 µm, P = 0.982; IS value: 1.67 ± 0.89 to 1.66 ± 0.92 D, P = 0.902). Visual acuities (logMAR) improved (P < 0.001). Vertical (-0.51 ± 0.29 to -0.43 ± 0.29 µm, P = 0.007) and horizontal coma (0.07 ± 0.26 to -0.01 ± 0.28 µm, P = 0.009) decreased. SE showed a mild myopic shift (P = 0.002). No severe complications occurred.",
        "Conclusions": "High-fluence delayed intrastromal CXL (45 mW/cm2, 80 seconds) effectively stabilized key structural indices like TP, PE, and IS value over 1 year, suppressing ectasia progression in suspected cases post-KLEx. Visual acuity improved, and specific coma aberrations decreased without severe complications. This suggests bilateral prophylactic treatment for unilateral suspects is a safe and effective early intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "POREF092",
      "abstract_number": "POREF092",
      "title": "My Initial 100 Cases With The Smart Sight Nova Technology In Chennai",
      "authors": "Dr Nishanth Madhivanan",
      "presenter": "Dr Nishanth Madhivanan",
      "normalized_authors": [
        "Nishanth Madhivanan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nishanth Madhivanan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The introduction of the SmartSight platform with the NOVA Femtosecond laser system represents a next generation refinement in lenticule extraction technology, incorporating low energy pulse delivery, enhanced centration algorithms , real time cyclotorsion conpensation called the CENTRAX technology, and optomised lenticule geometry.\n\nThe purpose of this study is to evaluate the clinical outcomes, safety profile, predictability, visual recovery and early refractive stability of the first 100 consecutive eyes undergoing SmartSight lenticule extraction using the NOVA platform in Chennai .\n\nWe aim to analyze :\n\nUncorrected distance visual acuity ( UDVA) outcomes\n\nRefractive predictability ( spherical equivalent accuracy)\n\nStability over 3 to 6 months",
        "Setting": "This prospective observational study was conducted at a teritiary eye care and refractive surgery center in Chennai, India.\n\nThe SmartSight procedure were performed using the SCHWIND ATOS Femtosecond laser system equipped with the NOVA software platform and the CENTRAX technology.\n\nAll surgeries were performed by a single experienced refractive surgeon to minimize inter surgeon variability and ensure consistency in surgical technique.",
        "Methods": "Primary outcome measures\n\n- UDVA at 1, 3 and 6 months\n\n- Percentage of eyes achieving 20/20 or better\n\n-Percentage within ±0.50 D and ±1.00 D of target\n\nSecondary outcomes\n\n- Stability of spherical equivalent\n\n-Change in corrected distance visual acuity ( CDVA)\n\n- Post opertative complications\n\n-Dry eye symptom score\n\nStatistical analysis was performed usind paired T-Tests .\n\nSafety index and efficacy index were calculated in this study",
        "Results": "A total of 100 eyes ( 50 Patients) were included in the study .\n\nVisual outcomes :\n\nAt 1 month :\n\n- 95% achieved UDVA ≥ 20/20\n\n- 98 % achieved UDVA ≥ 20/25\n\nAt 3 months :\n\n- 98 % achieved UDVA ≥ 20/20\n\n- 100 % achieved UDVA ≥ 20/25\n\nAt 6 months :\n\n- 98 % achieved UDVA ≥ 20/20\n\n- 100 % achieved UDVA ≥ 20/25\n\nSafety :\n\n- No eye lost ≥ 1 line of CDVA\n\n- 4 eyes lost 1 line temporarily at 1 month but recovered by 3 months\n\n- Mean spherical equivalent regression between 1 and 6 months were minimal .\n\n- No progressive ectatic changes were observed during follow up",
        "Conclusions": "SmartSight lenticule extraction using the NOVA platform demonstrated excellent early safety , efficacy and predictibality with rapid visual recovery in the first 100 eyes treated.\n\nThese results supports the integration of next generation lenticule technology into high volume refractive practice, with outcomes comparable to established lenticule extraction platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SmartSight lenticule extraction using the NOVA platform demonstrated excellent early safety , efficacy and predictibality with rapid visual recovery in the first 100 eyes treated. These results supports the integration of next generation lenticule technology into high volume refractive practice, with outcomes comparable to established lenticule extraction platforms.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1478,
      "source_fields": {
        "Abstract Final Identifier": "POREF092",
        "Title": "My Initial 100 Cases With The Smart Sight Nova Technology In Chennai",
        "Presenting Author(s)": "Dr Nishanth Madhivanan",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Nishanth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Madhivanan",
        "Country Name": "India",
        "Purpose": "The introduction of the SmartSight platform with the NOVA Femtosecond laser system represents a next generation refinement in lenticule extraction technology, incorporating low energy pulse delivery, enhanced centration algorithms , real time cyclotorsion conpensation called the CENTRAX technology, and optomised lenticule geometry.\n\nThe purpose of this study is to evaluate the clinical outcomes, safety profile, predictability, visual recovery and early refractive stability of the first 100 consecutive eyes undergoing SmartSight lenticule extraction using the NOVA platform in Chennai .\n\nWe aim to analyze :\n\nUncorrected distance visual acuity ( UDVA) outcomes\n\nRefractive predictability ( spherical equivalent accuracy)\n\nStability over 3 to 6 months",
        "Setting": "This prospective observational study was conducted at a teritiary eye care and refractive surgery center in Chennai, India.\n\nThe SmartSight procedure were performed using the SCHWIND ATOS Femtosecond laser system equipped with the NOVA software platform and the CENTRAX technology.\n\nAll surgeries were performed by a single experienced refractive surgeon to minimize inter surgeon variability and ensure consistency in surgical technique.",
        "Methods": "Primary outcome measures\n\n- UDVA at 1, 3 and 6 months\n\n- Percentage of eyes achieving 20/20 or better\n\n-Percentage within ±0.50 D and ±1.00 D of target\n\nSecondary outcomes\n\n- Stability of spherical equivalent\n\n-Change in corrected distance visual acuity ( CDVA)\n\n- Post opertative complications\n\n-Dry eye symptom score\n\nStatistical analysis was performed usind paired T-Tests .\n\nSafety index and efficacy index were calculated in this study",
        "Results": "A total of 100 eyes ( 50 Patients) were included in the study .\n\nVisual outcomes :\n\nAt 1 month :\n\n- 95% achieved UDVA ≥ 20/20\n\n- 98 % achieved UDVA ≥ 20/25\n\nAt 3 months :\n\n- 98 % achieved UDVA ≥ 20/20\n\n- 100 % achieved UDVA ≥ 20/25\n\nAt 6 months :\n\n- 98 % achieved UDVA ≥ 20/20\n\n- 100 % achieved UDVA ≥ 20/25\n\nSafety :\n\n- No eye lost ≥ 1 line of CDVA\n\n- 4 eyes lost 1 line temporarily at 1 month but recovered by 3 months\n\n- Mean spherical equivalent regression between 1 and 6 months were minimal .\n\n- No progressive ectatic changes were observed during follow up",
        "Conclusions": "SmartSight lenticule extraction using the NOVA platform demonstrated excellent early safety , efficacy and predictibality with rapid visual recovery in the first 100 eyes treated.\n\nThese results supports the integration of next generation lenticule technology into high volume refractive practice, with outcomes comparable to established lenticule extraction platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "POREF093",
      "abstract_number": "POREF093",
      "title": "Automatic Detection Of Opaque Bubble Layer And Black Spot As Warning Signs In Obscured Femtosecond-Klex Procedures Utilizing Deep Learning Methods",
      "authors": "Dr Elsa Lin Chin Mai",
      "presenter": "Dr Elsa Lin Chin Mai",
      "normalized_authors": [
        "Elsa Lin Chin Mai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elsa Lin Chin Mai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "It is well-established that the Opaque Bubble Layer (OBL) and Black Spots (BS) can have detrimental impacts on KLEX procedures. In systems such as SMILE or SMILE Pro, where the visibility of the femtosecond laser is monitored in real-time, surgeons can promptly intervene or delay the separation of the cap. However, in certain KLEX procedures, the femtosecond process is not monitored in real-time, and the resulting cut interface is only visible for a fleeting moment after suction is released. This brief window is often insufficient for surgeons to adequately assess the extent of OBL or BS before proceeding with dissection. Performing dissection under severe BS conditions can significantly compromise postoperative visual outcomes.",
        "Setting": "This retrospective cross-sectional study was conducted with IRB approval from a tertiary teaching hospital, with patients recruited from two additional large-scale refractive surgery clinics.",
        "Methods": "Artificial intelligence (AI) models was developed in collaboration with University Department of Electronic Engineering. For the informatics workflow, surgical videos were processed, Photos were extracted and randomly partitioned into training (80%), validation (10%), and verification (10%) datasets.\n\nThe deep learning (DL) model was built using ResNet50, Inception V3, Xception, Efficient NetV2-S architectures. Model performance was subsequently validated using the validation dataset. Additionally, Gradient-weighted Class Activation Mapping (Grad-CAM) was employed to interpret the model's decision-making process and cross-validate the results against expert surgeon assessments.",
        "Results": "This study enrolled 136 patients (268 eyes), from which 1,072 high-quality post-femtosecond laser scanning images were extracted from surgical videos. The developed DL model achieved a high prediction accuracy of 91% for OBL and 73% for BS.\n\nThe Area Under the Curve (AUC) values for OBL were 0.912 and 0.906 in the training and validation datasets, respectively. For BS, the AUC values were 0.729 for training and 0.713 for validation. The performance on the BS dataset was slightly lower due to a limited sample size of this specific complication. Grad-CAM heatmaps demonstrated that the model could accurately recognize scanning areas and precisely identify these intraoperative complications.",
        "Conclusions": "Our findings demonstrate that AI/DL models are capable of detecting OBL and BS instantaneously. This capability provides a critical opportunity to alert surgeons to complications in real-time, allowing them to postpone lenticule separation or opt for recutting the interface to ensure a more favorable surgical environment. Implementing such AI-driven alerts will likely enhance the safety of lenticule separation and extraction, ultimately improving the visual outcomes of KLEX procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings demonstrate that AI/DL models are capable of detecting OBL and BS instantaneously. This capability provides a critical opportunity to alert surgeons to complications in real-time, allowing them to postpone lenticule separation or opt for recutting the interface to ensure a more favorable surgical environment. Implementing such AI-driven alerts will likely enhance the safety of lenticule separation and…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1479,
      "source_fields": {
        "Abstract Final Identifier": "POREF093",
        "Title": "Automatic Detection Of Opaque Bubble Layer And Black Spot As Warning Signs In Obscured Femtosecond-Klex Procedures Utilizing Deep Learning Methods",
        "Presenting Author(s)": "Dr Elsa Lin Chin Mai",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Elsa Lin Chin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mai",
        "Country Name": "Taiwan",
        "Purpose": "It is well-established that the Opaque Bubble Layer (OBL) and Black Spots (BS) can have detrimental impacts on KLEX procedures. In systems such as SMILE or SMILE Pro, where the visibility of the femtosecond laser is monitored in real-time, surgeons can promptly intervene or delay the separation of the cap. However, in certain KLEX procedures, the femtosecond process is not monitored in real-time, and the resulting cut interface is only visible for a fleeting moment after suction is released. This brief window is often insufficient for surgeons to adequately assess the extent of OBL or BS before proceeding with dissection. Performing dissection under severe BS conditions can significantly compromise postoperative visual outcomes.",
        "Setting": "This retrospective cross-sectional study was conducted with IRB approval from a tertiary teaching hospital, with patients recruited from two additional large-scale refractive surgery clinics.",
        "Methods": "Artificial intelligence (AI) models was developed in collaboration with University Department of Electronic Engineering. For the informatics workflow, surgical videos were processed, Photos were extracted and randomly partitioned into training (80%), validation (10%), and verification (10%) datasets.\n\nThe deep learning (DL) model was built using ResNet50, Inception V3, Xception, Efficient NetV2-S architectures. Model performance was subsequently validated using the validation dataset. Additionally, Gradient-weighted Class Activation Mapping (Grad-CAM) was employed to interpret the model's decision-making process and cross-validate the results against expert surgeon assessments.",
        "Results": "This study enrolled 136 patients (268 eyes), from which 1,072 high-quality post-femtosecond laser scanning images were extracted from surgical videos. The developed DL model achieved a high prediction accuracy of 91% for OBL and 73% for BS.\n\nThe Area Under the Curve (AUC) values for OBL were 0.912 and 0.906 in the training and validation datasets, respectively. For BS, the AUC values were 0.729 for training and 0.713 for validation. The performance on the BS dataset was slightly lower due to a limited sample size of this specific complication. Grad-CAM heatmaps demonstrated that the model could accurately recognize scanning areas and precisely identify these intraoperative complications.",
        "Conclusions": "Our findings demonstrate that AI/DL models are capable of detecting OBL and BS instantaneously. This capability provides a critical opportunity to alert surgeons to complications in real-time, allowing them to postpone lenticule separation or opt for recutting the interface to ensure a more favorable surgical environment. Implementing such AI-driven alerts will likely enhance the safety of lenticule separation and extraction, ultimately improving the visual outcomes of KLEX procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "POREF094",
      "abstract_number": "POREF094",
      "title": "Comparative Safety And Efficacy Of Clear (Corneal Lenticule Extraction For Advanced Refractive Surgery) And Photorefractive Keratectomy (Prk) In Myopia And Astigmatism Correction: A Retrospective Analysis Of Visual And Refractive Outcomes",
      "authors": "Prof. Dr Francisco Bandeira e Silva",
      "presenter": "Prof. Dr Francisco Bandeira e Silva",
      "normalized_authors": [
        "Francisco Bandeira e Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leticia Silveira Meurer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To compare the early learning curve, safety, efficacy, and refractive predictability of CLEAR (Corneal Lenticule Extraction for Advanced Refractive Surgery), a KLEx (Keratorefractive Lenticule Extraction) procedure, and PRK (Photorefractive Keratectomy) for the correction of myopia and astigmatism.",
        "Setting": "This study was conducted at Centro de Estudos H. Olhos São Gonçalo, Rio de Janeiro, Brazil, between February 2025 and January 2026. All patients provided written informed consent prior to participation. All procedures adhered to the Declaration of Helsinki.",
        "Methods": "This retrospective comparative study included 129 eyes during the initial learning phase: 75 treated with CLEAR using the FEMTO LDV Z8 (Ziemer) and 54 treated with PRK using the Technolas 217z100 excimer laser (Bausch + Lomb). All procedures targeted emmetropia. Outcomes were evaluated at 1 month. Primary endpoints included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), change in Snellen lines, spherical equivalent (SEQ) accuracy, residual refractive astigmatism, and safety and efficacy indices. The proportions of eyes within ±0.50 D and ±1.00 D of target were calculated.",
        "Results": "Postoperative analysis at 1 month showed UDVA ≥20/20 in 73% of CLEAR eyes and 70% of PRK eyes, and UDVA ≥20/25 in 91% and 87%, respectively. UDVA was equal to or better than CDVA in 76% and 61%, respectively. Residual refractive astigmatism ≤0.50 D was observed in 56% of CLEAR eyes, and refractive accuracy within ±0.50 D in 60% versus 37% in PRK. CDVA remained stable or improved in 73% and 63%, respectively. The efficacy index was 0.96 (95% CI, 0.90–1.03) for CLEAR and 0.89 (0.83–0.96) for PRK, and the safety index was 1.01 (0.96–1.06) and 0.96 (0.91–1.01), respectively.",
        "Conclusions": "Both procedures demonstrated acceptable safety and good visual efficacy during the early learning curve. However, CLEAR showed faster functional recovery, refractive predictability and improved early astigmatic control compared with PRK, with a trend toward higher early efficacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both procedures demonstrated acceptable safety and good visual efficacy during the early learning curve. However, CLEAR showed faster functional recovery, refractive predictability and improved early astigmatic control compared with PRK, with a trend toward higher early efficacy.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1480,
      "source_fields": {
        "Abstract Final Identifier": "POREF094",
        "Title": "Comparative Safety And Efficacy Of Clear (Corneal Lenticule Extraction For Advanced Refractive Surgery) And Photorefractive Keratectomy (Prk) In Myopia And Astigmatism Correction: A Retrospective Analysis Of Visual And Refractive Outcomes",
        "Presenting Author(s)": "Prof. Dr Francisco Bandeira e Silva",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Leticia",
        "Submitter Middle Name": "Silveira",
        "Submitter Last Name": "Meurer",
        "Country Name": "Brazil",
        "Purpose": "To compare the early learning curve, safety, efficacy, and refractive predictability of CLEAR (Corneal Lenticule Extraction for Advanced Refractive Surgery), a KLEx (Keratorefractive Lenticule Extraction) procedure, and PRK (Photorefractive Keratectomy) for the correction of myopia and astigmatism.",
        "Setting": "This study was conducted at Centro de Estudos H. Olhos São Gonçalo, Rio de Janeiro, Brazil, between February 2025 and January 2026. All patients provided written informed consent prior to participation. All procedures adhered to the Declaration of Helsinki.",
        "Methods": "This retrospective comparative study included 129 eyes during the initial learning phase: 75 treated with CLEAR using the FEMTO LDV Z8 (Ziemer) and 54 treated with PRK using the Technolas 217z100 excimer laser (Bausch + Lomb). All procedures targeted emmetropia. Outcomes were evaluated at 1 month. Primary endpoints included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), change in Snellen lines, spherical equivalent (SEQ) accuracy, residual refractive astigmatism, and safety and efficacy indices. The proportions of eyes within ±0.50 D and ±1.00 D of target were calculated.",
        "Results": "Postoperative analysis at 1 month showed UDVA ≥20/20 in 73% of CLEAR eyes and 70% of PRK eyes, and UDVA ≥20/25 in 91% and 87%, respectively. UDVA was equal to or better than CDVA in 76% and 61%, respectively. Residual refractive astigmatism ≤0.50 D was observed in 56% of CLEAR eyes, and refractive accuracy within ±0.50 D in 60% versus 37% in PRK. CDVA remained stable or improved in 73% and 63%, respectively. The efficacy index was 0.96 (95% CI, 0.90–1.03) for CLEAR and 0.89 (0.83–0.96) for PRK, and the safety index was 1.01 (0.96–1.06) and 0.96 (0.91–1.01), respectively.",
        "Conclusions": "Both procedures demonstrated acceptable safety and good visual efficacy during the early learning curve. However, CLEAR showed faster functional recovery, refractive predictability and improved early astigmatic control compared with PRK, with a trend toward higher early efficacy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "POREF095",
      "abstract_number": "POREF095",
      "title": "New Asymmetric Transition Zone Centration Strategy For Refractive Corrections: Smartsight Nova",
      "authors": "Dr Kishore Raj Raj Pradhan",
      "presenter": "Dr Kishore Raj Raj Pradhan",
      "normalized_authors": [
        "Kishore Raj Raj Pradhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kishore Raj Pradhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Nepal",
      "sections": {
        "Purpose": "To report the use of a novel asymmetric transition zone (aTZ) centration strategy (CenTrax) for\nKeratorefractive Lenticule Extraction (KLEx) procedures and evaluate its potential to\ncompensate for fixation-related misalignments.",
        "Setting": "The study was conducted in a tertiary refractive surgery center equipped with the SmartSight® NOVA platform (SCHWIND eye-tech-solutions) for keratorefractive lenticule extraction (KLEx) procedures.\n\nThe study was designed as a retrospective pilot clinical analysis, using anonymized clinical data from patients undergoing routine KLEx procedures. All examinations and treatments were performed in accordance with institutional guidelines and adhered to the principles of the Declaration of Helsinki.",
        "Methods": "The SmartSight NOVA modifies correction profiles to account for both lateral and torsional\nfixation errors by decentering the optical zone (OZ) relative to the laser axis and employing an\nasymmetric crescent-shaped transition zone (aTZ) by defining the target pupil position,\ncapturing the actual intraoperative pupil position, calculating deviations, and adapting the OZ\nand TZ geometries accordingly.",
        "Results": "Correction depth and central thickness remain largely unchanged. In aTZ design, the spherical component predominantly\npushes induced coma and the astigmatic component pushes induced trefoil out of the OZ to\nwithin the TZ. Applying the method of centre of \"mass\" of the individual differences between post and\npreoperative maps with a 8.5mm clipping , the lenticule centration and its spatial distance to a\nreference point (aimed centration) determined the decentration. The method has been tested\non a pilot cohort of clinical data showing 65% and 81% of the treatments within 200 µm of\ndecentration for corneal thickness and refractive equivalent power, respectively.",
        "Conclusions": "The aTZ strategy provides a theoretical framework for compensating lateral and torsional\nmisalignments in KLEx procedures without increasing ablation depth or sacrificing central\noptical quality. This approach builds on the concept of customized transition zones used in\nexcimer platforms, extending it to lenticule-based surgery. Clinical implementation and\nvalidation are warranted to assess its efficacy in real-world practice.\nThe aTZ strategy (in its commercial form CenTrax/NOVA) provides a reliable and objective\nway to automatically intraoperatively refine and correct the centration of a lenticule of tissue\nextracted from a cornea, improving postoperative topo- and tomographic derived metrics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The aTZ strategy provides a theoretical framework for compensating lateral and torsional misalignments in KLEx procedures without increasing ablation depth or sacrificing central optical quality. This approach builds on the concept of customized transition zones used in excimer platforms, extending it to lenticule-based surgery. Clinical implementation and validation are warranted to assess its efficacy in…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1481,
      "source_fields": {
        "Abstract Final Identifier": "POREF095",
        "Title": "New Asymmetric Transition Zone Centration Strategy For Refractive Corrections: Smartsight Nova",
        "Presenting Author(s)": "Dr Kishore Raj Raj Pradhan",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Kishore",
        "Submitter Middle Name": "Raj",
        "Submitter Last Name": "Pradhan",
        "Country Name": "Nepal",
        "Purpose": "To report the use of a novel asymmetric transition zone (aTZ) centration strategy (CenTrax) for\nKeratorefractive Lenticule Extraction (KLEx) procedures and evaluate its potential to\ncompensate for fixation-related misalignments.",
        "Setting": "The study was conducted in a tertiary refractive surgery center equipped with the SmartSight® NOVA platform (SCHWIND eye-tech-solutions) for keratorefractive lenticule extraction (KLEx) procedures.\n\nThe study was designed as a retrospective pilot clinical analysis, using anonymized clinical data from patients undergoing routine KLEx procedures. All examinations and treatments were performed in accordance with institutional guidelines and adhered to the principles of the Declaration of Helsinki.",
        "Methods": "The SmartSight NOVA modifies correction profiles to account for both lateral and torsional\nfixation errors by decentering the optical zone (OZ) relative to the laser axis and employing an\nasymmetric crescent-shaped transition zone (aTZ) by defining the target pupil position,\ncapturing the actual intraoperative pupil position, calculating deviations, and adapting the OZ\nand TZ geometries accordingly.",
        "Results": "Correction depth and central thickness remain largely unchanged. In aTZ design, the spherical component predominantly\npushes induced coma and the astigmatic component pushes induced trefoil out of the OZ to\nwithin the TZ. Applying the method of centre of \"mass\" of the individual differences between post and\npreoperative maps with a 8.5mm clipping , the lenticule centration and its spatial distance to a\nreference point (aimed centration) determined the decentration. The method has been tested\non a pilot cohort of clinical data showing 65% and 81% of the treatments within 200 µm of\ndecentration for corneal thickness and refractive equivalent power, respectively.",
        "Conclusions": "The aTZ strategy provides a theoretical framework for compensating lateral and torsional\nmisalignments in KLEx procedures without increasing ablation depth or sacrificing central\noptical quality. This approach builds on the concept of customized transition zones used in\nexcimer platforms, extending it to lenticule-based surgery. Clinical implementation and\nvalidation are warranted to assess its efficacy in real-world practice.\nThe aTZ strategy (in its commercial form CenTrax/NOVA) provides a reliable and objective\nway to automatically intraoperatively refine and correct the centration of a lenticule of tissue\nextracted from a cornea, improving postoperative topo- and tomographic derived metrics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "POREF096",
      "abstract_number": "POREF096",
      "title": "Early Experience Outcome Of Corrective Lenticule Extraction For Advanced Refractive Correction (Clear)",
      "authors": "Dr Yulia Primitasari",
      "presenter": "Dr Yulia Primitasari",
      "normalized_authors": [
        "Yulia Primitasari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yulia Primitasari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Keratorefractive lenticule extraction (KLEx) has rapidly gained prominence in the field of refrac tive surgery as a minimally invasive technique for the correction of myopia and myopic astigmatism. This study is presenting the outcomes of surgical procedure employed in the initial 78 eyes treated with CLEAR, the keratorefractive lenticule extraction (KLEx) using the FEMTO LDV Z8 platform (Ziemer Ophthalmic Systems).",
        "Setting": "This was a retrospective analysis of 78 eyes of 38 patients treated with CLEAR method at the Lasik Center Surabaya Eye Clinic Indonesia. Visual acuity, refractive error, corneal topographic, and aberrometric parameters pre operatively, 1 day, 1 week and 1 month postoperatively were evaluated. All eyes had myopia or myopic astigmatism as their primary refractive er ror, with a preoperative corrected distance visual acu ity (CDVA) of 20/25 or better.",
        "Methods": "The procedure was performed under topical anesthesia. After the limbal markings were done at 0 and 180°, the Z8 handpiece was docked to perform suction. OCT was performed to ensure the applanation zone. The laser first creates a dissection of posterior interface followed by anterior interface and finally creates two access incisions. The laser uses low energy. Before the lenticule extraction, a lenticule separator was used to delineate the anterior interface and then the posterior interface, then dissected the lenticule from the surrounding tissue. A pair of microforceps was used to extract the lenticule. Postoperative drops were tobramycin and dexamethasone four times daily for 2 week and a preservative-free artificial tears.",
        "Results": "Mean preoperative spherical equivalent refraction (SE) was -4.11 ± 1.82 diopters (D) and mean preoperative cylinder was -0.75 ± 0.65 D. Postoperatively, the mean SE was 0.06 ± 0.54 D at 1 week and -0.04 ± 0.26 D at 1 months. A total of 96.7% of eyes had an uncorrected distance visual acuity (UDVA) of 20/20 at 1 months postoperatively. No suction losses were encountered and all extracted lenticules were intact without tears .",
        "Conclusions": "The application of CLEAR using the FEMTO LDV Z8 platform shows safe and effective outcomes, aligning comparably with established modes of lenticule extraction and femtosecond laser–assisted laser in situ keratomileusis procedures previously employed and accepted within the field of refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The application of CLEAR using the FEMTO LDV Z8 platform shows safe and effective outcomes, aligning comparably with established modes of lenticule extraction and femtosecond laser–assisted laser in situ keratomileusis procedures previously employed and accepted within the field of refractive surgery.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1482,
      "source_fields": {
        "Abstract Final Identifier": "POREF096",
        "Title": "Early Experience Outcome Of Corrective Lenticule Extraction For Advanced Refractive Correction (Clear)",
        "Presenting Author(s)": "Dr Yulia Primitasari",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Yulia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Primitasari",
        "Country Name": "Indonesia",
        "Purpose": "Keratorefractive lenticule extraction (KLEx) has rapidly gained prominence in the field of refrac tive surgery as a minimally invasive technique for the correction of myopia and myopic astigmatism. This study is presenting the outcomes of surgical procedure employed in the initial 78 eyes treated with CLEAR, the keratorefractive lenticule extraction (KLEx) using the FEMTO LDV Z8 platform (Ziemer Ophthalmic Systems).",
        "Setting": "This was a retrospective analysis of 78 eyes of 38 patients treated with CLEAR method at the Lasik Center Surabaya Eye Clinic Indonesia. Visual acuity, refractive error, corneal topographic, and aberrometric parameters pre operatively, 1 day, 1 week and 1 month postoperatively were evaluated. All eyes had myopia or myopic astigmatism as their primary refractive er ror, with a preoperative corrected distance visual acu ity (CDVA) of 20/25 or better.",
        "Methods": "The procedure was performed under topical anesthesia. After the limbal markings were done at 0 and 180°, the Z8 handpiece was docked to perform suction. OCT was performed to ensure the applanation zone. The laser first creates a dissection of posterior interface followed by anterior interface and finally creates two access incisions. The laser uses low energy. Before the lenticule extraction, a lenticule separator was used to delineate the anterior interface and then the posterior interface, then dissected the lenticule from the surrounding tissue. A pair of microforceps was used to extract the lenticule. Postoperative drops were tobramycin and dexamethasone four times daily for 2 week and a preservative-free artificial tears.",
        "Results": "Mean preoperative spherical equivalent refraction (SE) was -4.11 ± 1.82 diopters (D) and mean preoperative cylinder was -0.75 ± 0.65 D. Postoperatively, the mean SE was 0.06 ± 0.54 D at 1 week and -0.04 ± 0.26 D at 1 months. A total of 96.7% of eyes had an uncorrected distance visual acuity (UDVA) of 20/20 at 1 months postoperatively. No suction losses were encountered and all extracted lenticules were intact without tears .",
        "Conclusions": "The application of CLEAR using the FEMTO LDV Z8 platform shows safe and effective outcomes, aligning comparably with established modes of lenticule extraction and femtosecond laser–assisted laser in situ keratomileusis procedures previously employed and accepted within the field of refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "POREF097",
      "abstract_number": "POREF097",
      "title": "Wessely Immune Rings After Keratorefractive Lenticule Extraction: Two Case Reports",
      "authors": "Dr Stanislav Pushkar",
      "presenter": "Dr Stanislav Pushkar",
      "normalized_authors": [
        "Stanislav Pushkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stanislav Pushkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "We report two cases of immune-mediated corneal stromal infiltrates resembling Wessely immune rings\nfollowing keratorefractive lenticule extraction (KLEx). These ring-shaped lesions, often mistaken for infection, represent\nan inflammatory immune response within the corneal stroma. Both cases highlight the importance of distinguishing\nimmune-mediated keratitis from infectious keratitis for accurate diagnosis and optimal management.",
        "Setting": "Wessely immune rings are circular stromal infiltrates that typically arise from immune complex deposition rather\nthan direct microbial infection. While most commonly described in infectious keratitis, they can occur after trauma, contact\nlens wear, or refractive surgeries such as LASIK and PRK. Their development following lenticule extraction procedures\nremains rare and underreported.",
        "Methods": "Two patients who developed Wessely immune rings following keratorefractive lenticule extraction were identified during routine postoperative follow-up. Clinical findings were documented through slit-lamp examination, corneal imaging, and review of medical records. Diagnosis was based on characteristic clinical presentation and exclusion of infectious keratitis.",
        "Results": "1. A man in his 30s underwent bilateral KLEx (630 mJ/cm², 120 µm cap) for myopic astigmatism. On Post-Op D4, he presented with reduced vision and bilateral peripheral ring-shaped corneal infiltrates without hypopyon. Microbiological tests were negative, and findings were consistent with a Wessely immune ring. Topical and subconjunctival dexamethasone led to rapid resolution, with visual acuity improving to 20/20 by day 9, avoiding unnecessary antimicrobial escalation. 2. A woman in her 20s underwent bilateral KLEx (500 mJ/cm², 110 µm cap) for high myopia. On Post-Op D1, a localized peripheral stromal infiltrate developed in the right eye. Prompt corticosteroid therapy resulted in complete resolution and recovery of 20/20 vision by day 4.",
        "Conclusions": "Wessely immune rings can occur after femtosecond laser lenticule extraction as a\nsterile inflammatory response, even without infection.\nCareful differential diagnosis and negative microbiological findings are essential to rule out infectious keratitis.\nOCT imaging helps localize infiltrates within the lenticule interface and supports diagnosis.\nEarly corticosteroid therapy, including subconjunctival injections, ensures rapid recovery and excellent visual outcomes.\nLaser energy, cap thickness, and limited interface irrigation during KLEx may influence antigen retention and trigger\nimmune responses.\nGentle intraoperative interface irrigation may help prevent postoperative inflammatory rings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Wessely immune rings can occur after femtosecond laser lenticule extraction as a sterile inflammatory response, even without infection. Careful differential diagnosis and negative microbiological findings are essential to rule out infectious keratitis. OCT imaging helps localize infiltrates within the lenticule interface and supports diagnosis. Early corticosteroid therapy, including subconjunctival injections,…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1483,
      "source_fields": {
        "Abstract Final Identifier": "POREF097",
        "Title": "Wessely Immune Rings After Keratorefractive Lenticule Extraction: Two Case Reports",
        "Presenting Author(s)": "Dr Stanislav Pushkar",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Stanislav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pushkar",
        "Country Name": "Kazakhstan",
        "Purpose": "We report two cases of immune-mediated corneal stromal infiltrates resembling Wessely immune rings\nfollowing keratorefractive lenticule extraction (KLEx). These ring-shaped lesions, often mistaken for infection, represent\nan inflammatory immune response within the corneal stroma. Both cases highlight the importance of distinguishing\nimmune-mediated keratitis from infectious keratitis for accurate diagnosis and optimal management.",
        "Setting": "Wessely immune rings are circular stromal infiltrates that typically arise from immune complex deposition rather\nthan direct microbial infection. While most commonly described in infectious keratitis, they can occur after trauma, contact\nlens wear, or refractive surgeries such as LASIK and PRK. Their development following lenticule extraction procedures\nremains rare and underreported.",
        "Methods": "Two patients who developed Wessely immune rings following keratorefractive lenticule extraction were identified during routine postoperative follow-up. Clinical findings were documented through slit-lamp examination, corneal imaging, and review of medical records. Diagnosis was based on characteristic clinical presentation and exclusion of infectious keratitis.",
        "Results": "1. A man in his 30s underwent bilateral KLEx (630 mJ/cm², 120 µm cap) for myopic astigmatism. On Post-Op D4, he presented with reduced vision and bilateral peripheral ring-shaped corneal infiltrates without hypopyon. Microbiological tests were negative, and findings were consistent with a Wessely immune ring. Topical and subconjunctival dexamethasone led to rapid resolution, with visual acuity improving to 20/20 by day 9, avoiding unnecessary antimicrobial escalation. 2. A woman in her 20s underwent bilateral KLEx (500 mJ/cm², 110 µm cap) for high myopia. On Post-Op D1, a localized peripheral stromal infiltrate developed in the right eye. Prompt corticosteroid therapy resulted in complete resolution and recovery of 20/20 vision by day 4.",
        "Conclusions": "Wessely immune rings can occur after femtosecond laser lenticule extraction as a\nsterile inflammatory response, even without infection.\nCareful differential diagnosis and negative microbiological findings are essential to rule out infectious keratitis.\nOCT imaging helps localize infiltrates within the lenticule interface and supports diagnosis.\nEarly corticosteroid therapy, including subconjunctival injections, ensures rapid recovery and excellent visual outcomes.\nLaser energy, cap thickness, and limited interface irrigation during KLEx may influence antigen retention and trigger\nimmune responses.\nGentle intraoperative interface irrigation may help prevent postoperative inflammatory rings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "POREF098",
      "abstract_number": "POREF098",
      "title": "Visual And Biometric Outcomes After Keratorefractive Lenticule Extraction (Klex) Using A New Laser System",
      "authors": "Prof. Dr Thomas Kohnen",
      "presenter": "Prof. Dr Thomas Kohnen",
      "normalized_authors": [
        "Thomas Kohnen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Titus Schug",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To analyse visual and biometric outcomes 1 month after SmartSight keratorefractive lenticule extraction (KLEx) using a new laser system.",
        "Setting": "Department of Ophthalmology, University Hospital Frankfurt,",
        "Methods": "In this case series, patients undergoing SmartSight keratorefractive lenticule extraction using a new laser system are being enrolled. Pre- and postoperative visual acuity, corneal biometric parameters, refraction, and spherical equivalent (SE) are evaluated 1 month after surgery.",
        "Results": "Preliminary analysis shows favourable refractive and visual outcomes at 1 month postoperatively. Preoperatively, the mean SE was −4.18 ± 1.77 D and the central corneal thickness was 553 ± 38.2 µm. At 1 month postoperatively, the mean uncorrected distance visual acuity (UDVA) was −0.04 ± 0.19 logMAR and the corrected distance visual acuity (CDVA) was −0.13 ± 0.09 logMAR, with a mean SE of −0.10 ± 0.15 D.",
        "Conclusions": "One month after surgery with the new laser system, early results indicate good visual outcomes with low residual refractive error. Patient recruitment is ongoing, and approximately 70 eyes with complete 1-month follow-up are expected to be available for final analysis by the time of the congress."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "One month after surgery with the new laser system, early results indicate good visual outcomes with low residual refractive error. Patient recruitment is ongoing, and approximately 70 eyes with complete 1-month follow-up are expected to be available for final analysis by the time of the congress.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1484,
      "source_fields": {
        "Abstract Final Identifier": "POREF098",
        "Title": "Visual And Biometric Outcomes After Keratorefractive Lenticule Extraction (Klex) Using A New Laser System",
        "Presenting Author(s)": "Prof. Dr Thomas Kohnen",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Titus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schug",
        "Country Name": "Germany",
        "Purpose": "To analyse visual and biometric outcomes 1 month after SmartSight keratorefractive lenticule extraction (KLEx) using a new laser system.",
        "Setting": "Department of Ophthalmology, University Hospital Frankfurt,",
        "Methods": "In this case series, patients undergoing SmartSight keratorefractive lenticule extraction using a new laser system are being enrolled. Pre- and postoperative visual acuity, corneal biometric parameters, refraction, and spherical equivalent (SE) are evaluated 1 month after surgery.",
        "Results": "Preliminary analysis shows favourable refractive and visual outcomes at 1 month postoperatively. Preoperatively, the mean SE was −4.18 ± 1.77 D and the central corneal thickness was 553 ± 38.2 µm. At 1 month postoperatively, the mean uncorrected distance visual acuity (UDVA) was −0.04 ± 0.19 logMAR and the corrected distance visual acuity (CDVA) was −0.13 ± 0.09 logMAR, with a mean SE of −0.10 ± 0.15 D.",
        "Conclusions": "One month after surgery with the new laser system, early results indicate good visual outcomes with low residual refractive error. Patient recruitment is ongoing, and approximately 70 eyes with complete 1-month follow-up are expected to be available for final analysis by the time of the congress."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 180
    },
    {
      "uid": "POREF099",
      "abstract_number": "POREF099",
      "title": "Hyperopic Smile-Pro: One-Year Outcomes As Compared To Femtolasik",
      "authors": "Dr Ahmed Shabana",
      "presenter": "Dr Ahmed Shabana",
      "normalized_authors": [
        "Ahmed Shabana"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Shabana",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To report one-year visual and refractive outcomes of hyperopic SMILE-PRO from one of the first centers worldwide to perform this procedure and to compare its performance with femtosecond LASIK for hyperopia correction. Hyperopic corneal refractive surgery remains challenging due to regression, optical quality limitations, and biomechanical effects. This study evaluates whether SMILE-PRO provides superior predictability, stability, and quality of vision.",
        "Setting": "Single tertiary refractive surgery center in Dubai, United Arab Emirates, among the earliest global adopters of hyperopic SMILE-PRO. All procedures were performed by one experienced refractive surgeon using standardized surgical protocols and follow-up assessments.",
        "Methods": "Prospective analysis of hyperopic patients undergoing SMILE-PRO with one-year follow-up. Outcomes included uncorrected and corrected distance visual acuity, refractive predictability, stability, enhancement rates, higher-order aberrations, contrast sensitivity, and patient-reported quality of vision. Results were compared with a matched cohort of hyperopic femtosecond LASIK patients treated during the same period.",
        "Results": "SMILE-PRO demonstrated high refractive accuracy and stability at one year, with the majority of eyes within ±0.50 D of target. Compared with femtosecond LASIK, SMILE-PRO showed lower induction of higher-order aberrations, better contrast sensitivity, and reduced dry eye symptoms. Regression rates and enhancement requirements were lower in the SMILE-PRO group. Patient satisfaction and spectacle independence were high.",
        "Conclusions": "Hyperopic SMILE-PRO provides predictable and stable refractive outcomes with superior optical quality compared with femtosecond LASIK. The flapless approach may preserve corneal biomechanics and reduce postoperative dry eye, addressing key limitations of hyperopic LASIK. These early one-year results support SMILE-PRO as a promising advancement in hyperopia correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hyperopic SMILE-PRO provides predictable and stable refractive outcomes with superior optical quality compared with femtosecond LASIK. The flapless approach may preserve corneal biomechanics and reduce postoperative dry eye, addressing key limitations of hyperopic LASIK. These early one-year results support SMILE-PRO as a promising advancement in hyperopia correction.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1485,
      "source_fields": {
        "Abstract Final Identifier": "POREF099",
        "Title": "Hyperopic Smile-Pro: One-Year Outcomes As Compared To Femtolasik",
        "Presenting Author(s)": "Dr Ahmed Shabana",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shabana",
        "Country Name": "United Arab Emirates",
        "Purpose": "To report one-year visual and refractive outcomes of hyperopic SMILE-PRO from one of the first centers worldwide to perform this procedure and to compare its performance with femtosecond LASIK for hyperopia correction. Hyperopic corneal refractive surgery remains challenging due to regression, optical quality limitations, and biomechanical effects. This study evaluates whether SMILE-PRO provides superior predictability, stability, and quality of vision.",
        "Setting": "Single tertiary refractive surgery center in Dubai, United Arab Emirates, among the earliest global adopters of hyperopic SMILE-PRO. All procedures were performed by one experienced refractive surgeon using standardized surgical protocols and follow-up assessments.",
        "Methods": "Prospective analysis of hyperopic patients undergoing SMILE-PRO with one-year follow-up. Outcomes included uncorrected and corrected distance visual acuity, refractive predictability, stability, enhancement rates, higher-order aberrations, contrast sensitivity, and patient-reported quality of vision. Results were compared with a matched cohort of hyperopic femtosecond LASIK patients treated during the same period.",
        "Results": "SMILE-PRO demonstrated high refractive accuracy and stability at one year, with the majority of eyes within ±0.50 D of target. Compared with femtosecond LASIK, SMILE-PRO showed lower induction of higher-order aberrations, better contrast sensitivity, and reduced dry eye symptoms. Regression rates and enhancement requirements were lower in the SMILE-PRO group. Patient satisfaction and spectacle independence were high.",
        "Conclusions": "Hyperopic SMILE-PRO provides predictable and stable refractive outcomes with superior optical quality compared with femtosecond LASIK. The flapless approach may preserve corneal biomechanics and reduce postoperative dry eye, addressing key limitations of hyperopic LASIK. These early one-year results support SMILE-PRO as a promising advancement in hyperopia correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "POREF100",
      "abstract_number": "POREF100",
      "title": "Two-Year Results Of Corneal Lenticular Extraction For Advanced Refractive Correction (Clear) For Myopia",
      "authors": "Dr Amardeep Singh",
      "presenter": "Dr Amardeep Singh",
      "normalized_authors": [
        "Amardeep Singh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amardeep Singh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Sweden",
      "sections": {
        "Purpose": "To report the two-year visual and refractive outcomes of patients undergoing Corneal Lenticular Extraction for Advanced Refractive correction (CLEAR), a keratorefractive lenticular extraction procedure for myopia.",
        "Setting": "Memira by Bergman Clinics, Copenhagen, Denmark",
        "Methods": "This retrospective, non-randomized, single-centre study analyses the visual and refractive outcomes, and efficacy and safety of the CLEAR procedure in 218 eyes of 109 patients with an average age of 31 years (range 18-42 years) who underwent surgery between 10/2023 and 11/2025. Surgery was performed using the Femto LDV Z8 by Ziemer Ophthalmic Systems AG (Switzerland). Cases where mild unilateral myopia was targeted to postpone presbyopia were excluded from analysis, as were cases where a 3-month follow-up had not been performed yet. Follow-up examinations conducted on mean 97 days (range 45-142 days) after surgery included measurement of distance visual acuity without correction (UDVA) and with correction (CDVA), and subjective refraction.",
        "Results": "The preoperative spherical equivalent (SEQ) was -3.46 (range -1.75 to -7.13) diopters (D). The mean preoperative CDVA was 1.0 or better in all eyes. At follow-up, the mean SEQ was -0.01 (SD 0.32). The SEQ was within +/- 0.25 D in 167 eyes (77%) and +/-0.50 in 204 eyes (94%). In the first 50 eyes of 25 patients, SEQ was within +/- 0.25 D in 42 eyes (84%) and +/-0.50 in 49 eyes (98%). The mean residual cylinder was -0.33 D (SD 0.33) with 134 eyes (61%) and 187 eyes (86%) achieving equal to or less than 0.25 D and 0.50 D, respectively. Binocular UDVA was equal or more than 0.8 in 214 patients (98%) and equal to or more than 1.0 in 206 patients (94%). The safety index was 0.97 (SD 0.14) and the efficacy index was 0.90 (SD 0.18).",
        "Conclusions": "The CLEAR procedure achieves excellent visual and refractive outcomes in myopia while maintaining high safety and efficacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The CLEAR procedure achieves excellent visual and refractive outcomes in myopia while maintaining high safety and efficacy.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1486,
      "source_fields": {
        "Abstract Final Identifier": "POREF100",
        "Title": "Two-Year Results Of Corneal Lenticular Extraction For Advanced Refractive Correction (Clear) For Myopia",
        "Presenting Author(s)": "Dr Amardeep Singh",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Amardeep",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Singh",
        "Country Name": "Sweden",
        "Purpose": "To report the two-year visual and refractive outcomes of patients undergoing Corneal Lenticular Extraction for Advanced Refractive correction (CLEAR), a keratorefractive lenticular extraction procedure for myopia.",
        "Setting": "Memira by Bergman Clinics, Copenhagen, Denmark",
        "Methods": "This retrospective, non-randomized, single-centre study analyses the visual and refractive outcomes, and efficacy and safety of the CLEAR procedure in 218 eyes of 109 patients with an average age of 31 years (range 18-42 years) who underwent surgery between 10/2023 and 11/2025. Surgery was performed using the Femto LDV Z8 by Ziemer Ophthalmic Systems AG (Switzerland). Cases where mild unilateral myopia was targeted to postpone presbyopia were excluded from analysis, as were cases where a 3-month follow-up had not been performed yet. Follow-up examinations conducted on mean 97 days (range 45-142 days) after surgery included measurement of distance visual acuity without correction (UDVA) and with correction (CDVA), and subjective refraction.",
        "Results": "The preoperative spherical equivalent (SEQ) was -3.46 (range -1.75 to -7.13) diopters (D). The mean preoperative CDVA was 1.0 or better in all eyes. At follow-up, the mean SEQ was -0.01 (SD 0.32). The SEQ was within +/- 0.25 D in 167 eyes (77%) and +/-0.50 in 204 eyes (94%). In the first 50 eyes of 25 patients, SEQ was within +/- 0.25 D in 42 eyes (84%) and +/-0.50 in 49 eyes (98%). The mean residual cylinder was -0.33 D (SD 0.33) with 134 eyes (61%) and 187 eyes (86%) achieving equal to or less than 0.25 D and 0.50 D, respectively. Binocular UDVA was equal or more than 0.8 in 214 patients (98%) and equal to or more than 1.0 in 206 patients (94%). The safety index was 0.97 (SD 0.14) and the efficacy index was 0.90 (SD 0.18).",
        "Conclusions": "The CLEAR procedure achieves excellent visual and refractive outcomes in myopia while maintaining high safety and efficacy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "POREF101",
      "abstract_number": "POREF101",
      "title": "Ai–Assisted Versus Expert Surgeon Refractive Planning In Smooth Incision Lenticule Keratomileusis (Silk): Comparative Analysis And Visual Outcomes",
      "authors": "Dr Pier Luigi Surico",
      "presenter": "Dr Pier Luigi Surico",
      "normalized_authors": [
        "Pier Luigi Surico"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pier Luigi Surico",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the performance of a large language model (GPT-5) in refractive surgery planning by comparing AI-generated refractive targets with expert surgeon planning in Smooth Incision Lenticule Keratomileusis (SILK), and to report visual and anatomical outcomes achieved with surgeon-led treatment.",
        "Setting": "Retrospective study conducted at a tertiary ophthalmology center in Taiwan.",
        "Methods": "Retrospective analysis of patients undergoing SILK with the ELITA femtosecond laser was conducted. GPT-5 generated refractive plans using preoperative clinical and tomographic data, which were compared with surgeon plans for sphere, cylinder, and axis. Postoperative outcomes at 1 and 3 months included UDVA, CDVA, keratometry, corneal thickness, and astigmatic axis concordance (Δ Axis).",
        "Results": "A total of 134 eyes (67 patients; mean age 32.4 ± 6.7 years) were analyzed. GPT-5 planned significantly less myopic spherical correction than surgeons (−4.29 ± 2.42 D vs −4.70 ± 1.98 D; p = 0.0025), while cylindrical power was comparable (−0.91 ± 0.69 D vs −0.92 ± 0.80 D; p = 0.92). Mean absolute astigmatic axis deviation (Δ Axis) was 61.9° ± 50.1°, with only 18% of eyes within 15°. Surgeon-planned SILK yielded excellent outcomes: UDVA improved from 0.74 ± 0.36 to −0.06 ± 0.07 logMAR at 3 months (p < 0.0001), non-inferior to preoperative CDVA. Mean keratometry flattened from 43.05 ± 1.16 D to 39.30 ± 1.35 D, and corneal thickness stabilized after early postoperative reduction.",
        "Conclusions": "GPT-5 demonstrated partial agreement with expert surgeons in refractive magnitude but showed clinically relevant limitations in spherical precision and astigmatic axis alignment. Surgeon-planned SILK resulted in excellent visual acuity, refractive predictability, and early structural stability, reinforcing the safety and efficacy of keratorefractive lenticule extraction in real-world clinical practice. While LLMs may offer future decision-support potential, dedicated training and validation are required before clinical implementation in refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "GPT-5 demonstrated partial agreement with expert surgeons in refractive magnitude but showed clinically relevant limitations in spherical precision and astigmatic axis alignment. Surgeon-planned SILK resulted in excellent visual acuity, refractive predictability, and early structural stability, reinforcing the safety and efficacy of keratorefractive lenticule extraction in real-world clinical practice. While LLMs…",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1487,
      "source_fields": {
        "Abstract Final Identifier": "POREF101",
        "Title": "Ai–Assisted Versus Expert Surgeon Refractive Planning In Smooth Incision Lenticule Keratomileusis (Silk): Comparative Analysis And Visual Outcomes",
        "Presenting Author(s)": "Dr Pier Luigi Surico",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Pier Luigi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Surico",
        "Country Name": "Italy",
        "Purpose": "To evaluate the performance of a large language model (GPT-5) in refractive surgery planning by comparing AI-generated refractive targets with expert surgeon planning in Smooth Incision Lenticule Keratomileusis (SILK), and to report visual and anatomical outcomes achieved with surgeon-led treatment.",
        "Setting": "Retrospective study conducted at a tertiary ophthalmology center in Taiwan.",
        "Methods": "Retrospective analysis of patients undergoing SILK with the ELITA femtosecond laser was conducted. GPT-5 generated refractive plans using preoperative clinical and tomographic data, which were compared with surgeon plans for sphere, cylinder, and axis. Postoperative outcomes at 1 and 3 months included UDVA, CDVA, keratometry, corneal thickness, and astigmatic axis concordance (Δ Axis).",
        "Results": "A total of 134 eyes (67 patients; mean age 32.4 ± 6.7 years) were analyzed. GPT-5 planned significantly less myopic spherical correction than surgeons (−4.29 ± 2.42 D vs −4.70 ± 1.98 D; p = 0.0025), while cylindrical power was comparable (−0.91 ± 0.69 D vs −0.92 ± 0.80 D; p = 0.92). Mean absolute astigmatic axis deviation (Δ Axis) was 61.9° ± 50.1°, with only 18% of eyes within 15°. Surgeon-planned SILK yielded excellent outcomes: UDVA improved from 0.74 ± 0.36 to −0.06 ± 0.07 logMAR at 3 months (p < 0.0001), non-inferior to preoperative CDVA. Mean keratometry flattened from 43.05 ± 1.16 D to 39.30 ± 1.35 D, and corneal thickness stabilized after early postoperative reduction.",
        "Conclusions": "GPT-5 demonstrated partial agreement with expert surgeons in refractive magnitude but showed clinically relevant limitations in spherical precision and astigmatic axis alignment. Surgeon-planned SILK resulted in excellent visual acuity, refractive predictability, and early structural stability, reinforcing the safety and efficacy of keratorefractive lenticule extraction in real-world clinical practice. While LLMs may offer future decision-support potential, dedicated training and validation are required before clinical implementation in refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "POREF102",
      "abstract_number": "POREF102",
      "title": "Vector Analysis Of Astigmatic Correction After Smile Pro With And Without Digital Cyclotorsion Compensation Using The Oculign® System And Femtosecond-Assisted Lasik",
      "authors": "Prof. Dr Elvin Yildiz",
      "presenter": "Prof. Dr Elvin Yildiz",
      "normalized_authors": [
        "Elvin Yildiz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elvin Yildiz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To compare astigmatic correction following SMILE PRO with digital cyclotorsion compensation using the OcuLign® System (SP-Oculign), SMILE PRO with manual marking (SP-MM), and femtosecond-assisted LASIK (FL) in eyes with ≥1.00 D of myopic astigmatism.",
        "Setting": "This retrospective comparative study evaluated mean absolute angle of error (MAE) and difference vector (DV) as the primary outcome measures.\n\nSecondary outcome measures included postoperative uncorrected distance visual acuity (UDVA), residual refractive astigmatism, the percentage of eyes within ±0.50 D of residual astigmatism, target-induced astigmatism (TIA), surgically induced astigmatism (SIA), correction index (CI), index of success (IOS), and flattening index (FI).",
        "Methods": "In this retrospective comparative study, 149 myopic eyes with astigmatism ranging from -1.00 to -5.00 D undergoing SP-Oculign (n=49), SP-MM (n=50), or FL (n=50) were analyzed. Only the right eye of each patient was included in the analysis to avoid inter-eye correlation bias. Uncorrected and corrected distance visual acuity, manifest refraction, and refractive cylinder were recorded preoperatively and at 3 months postoperatively. Astigmatic correction was evaluated using Alpins vector analysis, including target-induced astigmatism (TIA), surgically induced astigmatism (SIA), difference vector (DV), correction index (CI), index of success (IOS), flattening index (FI), and mean absolute angle of error (MAE).",
        "Results": "No significant difference in postoperative UDVA was observed at 3 months. The percentage of eyes within ±0.50 D of residual cylinder was 88% in FL, 77.6% in SP-OcuLign and 72% in SP-MM. Compared with FL, SP-MM had a significantly lower likelihood of achieving ±0.50 D (p=0.016), whereas SP-OcuLign did not differ significantly from FL (p=0.084).Vector analysis showed no significant difference in TIA or SIA between groups. MAE was significantly higher in the SP-MM (5.05°±3.26) compared with the FL (3.28°±2.92; p=0.004). The SP-OcuLign showed a lower MAE than the SP-MM (4.39±2.98 vs 5.05°±3.26; p>0.05) and a higher MAE than the FL (p=0.071); however, neither comparison reached statistical significance. Mean DV, CI, IOS, and FI were comparable.",
        "Conclusions": "Our results showed that SMILE PRO with manual marking was associated with less favorable astigmatic correction compared with femtosecond-assisted LASIK. Digital cyclotorsion compensation using the OcuLign® System reduced rotational misalignment; however, statistical equivalence to femtosecond-assisted LASIK was not achieved at 3 months postoperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results showed that SMILE PRO with manual marking was associated with less favorable astigmatic correction compared with femtosecond-assisted LASIK. Digital cyclotorsion compensation using the OcuLign® System reduced rotational misalignment; however, statistical equivalence to femtosecond-assisted LASIK was not achieved at 3 months postoperatively.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1488,
      "source_fields": {
        "Abstract Final Identifier": "POREF102",
        "Title": "Vector Analysis Of Astigmatic Correction After Smile Pro With And Without Digital Cyclotorsion Compensation Using The Oculign® System And Femtosecond-Assisted Lasik",
        "Presenting Author(s)": "Prof. Dr Elvin Yildiz",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Elvin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yildiz",
        "Country Name": "United Arab Emirates",
        "Purpose": "To compare astigmatic correction following SMILE PRO with digital cyclotorsion compensation using the OcuLign® System (SP-Oculign), SMILE PRO with manual marking (SP-MM), and femtosecond-assisted LASIK (FL) in eyes with ≥1.00 D of myopic astigmatism.",
        "Setting": "This retrospective comparative study evaluated mean absolute angle of error (MAE) and difference vector (DV) as the primary outcome measures.\n\nSecondary outcome measures included postoperative uncorrected distance visual acuity (UDVA), residual refractive astigmatism, the percentage of eyes within ±0.50 D of residual astigmatism, target-induced astigmatism (TIA), surgically induced astigmatism (SIA), correction index (CI), index of success (IOS), and flattening index (FI).",
        "Methods": "In this retrospective comparative study, 149 myopic eyes with astigmatism ranging from -1.00 to -5.00 D undergoing SP-Oculign (n=49), SP-MM (n=50), or FL (n=50) were analyzed. Only the right eye of each patient was included in the analysis to avoid inter-eye correlation bias. Uncorrected and corrected distance visual acuity, manifest refraction, and refractive cylinder were recorded preoperatively and at 3 months postoperatively. Astigmatic correction was evaluated using Alpins vector analysis, including target-induced astigmatism (TIA), surgically induced astigmatism (SIA), difference vector (DV), correction index (CI), index of success (IOS), flattening index (FI), and mean absolute angle of error (MAE).",
        "Results": "No significant difference in postoperative UDVA was observed at 3 months. The percentage of eyes within ±0.50 D of residual cylinder was 88% in FL, 77.6% in SP-OcuLign and 72% in SP-MM. Compared with FL, SP-MM had a significantly lower likelihood of achieving ±0.50 D (p=0.016), whereas SP-OcuLign did not differ significantly from FL (p=0.084).Vector analysis showed no significant difference in TIA or SIA between groups. MAE was significantly higher in the SP-MM (5.05°±3.26) compared with the FL (3.28°±2.92; p=0.004). The SP-OcuLign showed a lower MAE than the SP-MM (4.39±2.98 vs 5.05°±3.26; p>0.05) and a higher MAE than the FL (p=0.071); however, neither comparison reached statistical significance. Mean DV, CI, IOS, and FI were comparable.",
        "Conclusions": "Our results showed that SMILE PRO with manual marking was associated with less favorable astigmatic correction compared with femtosecond-assisted LASIK. Digital cyclotorsion compensation using the OcuLign® System reduced rotational misalignment; however, statistical equivalence to femtosecond-assisted LASIK was not achieved at 3 months postoperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POREF103",
      "abstract_number": "POREF103",
      "title": "A Pilot Study Of Using Smile-Derived Corneal Stromal Lenticules Preserved In Nutrient Capsules For The Treatment Of Corneal Diseases",
      "authors": "Dr Zhe Zhang",
      "presenter": "Dr Zhe Zhang",
      "normalized_authors": [
        "Zhe Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhe Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the safety and efficacy of using keratorefractive lenticule extraction (KLEx)-derived corneal stromal lenticules preserved in nutrient capsules for the treatment of corneal diseases",
        "Setting": "Eye and ENT Hospital of Fudan University",
        "Methods": "Ten eyes of 10 patients with corneal diseases (6 males, 4 females, age 38.10 ± 9.11 years,) were treated with phototherapeutic keratectomy combined with epikeratophakia or intrastromal keratoplasty using KLEx-derived lenticules. Corneal stromal lenticules which used for transplantation was extracted from healthy myopia patients and stored in nutrient capsules at 4°C for 28 days. Patients underwent slit-lamp microscopy, uncorrected and\n\ncorrected distance visual acuity (CDVA), subjective refraction, corneal topography, and anterior segment optical coherence tomography evaluations preoperative and were followed up at 1-week, 1-month, 3-months, and 1-year postoperatively",
        "Results": "No complications occurred intra- or postoperatively. CDVA increased by at least two lines in seven eyes and by one line in one eye, while remaining unchanged in two eyes, by the final follow-up. There was no significant difference found in the comparison of each postoperative corneal thickness to preoperative measure. The lenticules maintained a good degree of transparency 1-year post-operatively and adhered closely to the adjacent tissue.\n\nIntraocular pressure remained stable from preoperatively to all points postoperatively. There was no significant difference in corneal endothelial cell density values between pre and all post-operative time points.",
        "Conclusions": "KLEx-derived corneal stromal lenticules after nutrient capsule preservation can be stored for long time and used as allografts for treating corneal disease with good safety and efficacy"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "KLEx-derived corneal stromal lenticules after nutrient capsule preservation can be stored for long time and used as allografts for treating corneal disease with good safety and efficacy",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1489,
      "source_fields": {
        "Abstract Final Identifier": "POREF103",
        "Title": "A Pilot Study Of Using Smile-Derived Corneal Stromal Lenticules Preserved In Nutrient Capsules For The Treatment Of Corneal Diseases",
        "Presenting Author(s)": "Dr Zhe Zhang",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Zhe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To investigate the safety and efficacy of using keratorefractive lenticule extraction (KLEx)-derived corneal stromal lenticules preserved in nutrient capsules for the treatment of corneal diseases",
        "Setting": "Eye and ENT Hospital of Fudan University",
        "Methods": "Ten eyes of 10 patients with corneal diseases (6 males, 4 females, age 38.10 ± 9.11 years,) were treated with phototherapeutic keratectomy combined with epikeratophakia or intrastromal keratoplasty using KLEx-derived lenticules. Corneal stromal lenticules which used for transplantation was extracted from healthy myopia patients and stored in nutrient capsules at 4°C for 28 days. Patients underwent slit-lamp microscopy, uncorrected and\n\ncorrected distance visual acuity (CDVA), subjective refraction, corneal topography, and anterior segment optical coherence tomography evaluations preoperative and were followed up at 1-week, 1-month, 3-months, and 1-year postoperatively",
        "Results": "No complications occurred intra- or postoperatively. CDVA increased by at least two lines in seven eyes and by one line in one eye, while remaining unchanged in two eyes, by the final follow-up. There was no significant difference found in the comparison of each postoperative corneal thickness to preoperative measure. The lenticules maintained a good degree of transparency 1-year post-operatively and adhered closely to the adjacent tissue.\n\nIntraocular pressure remained stable from preoperatively to all points postoperatively. There was no significant difference in corneal endothelial cell density values between pre and all post-operative time points.",
        "Conclusions": "KLEx-derived corneal stromal lenticules after nutrient capsule preservation can be stored for long time and used as allografts for treating corneal disease with good safety and efficacy"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "POREF104",
      "abstract_number": "POREF104",
      "title": "The Comparison Of Contrast Sensitivity After Keratorefractive Lenticule Extraction Between Visumax 800 And 500 Systems",
      "authors": "Dr Jing Zhao",
      "presenter": "Dr Jing Zhao",
      "normalized_authors": [
        "Jing Zhao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jing Zhao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the contrast sensitivity (CS) after keratorefractive lenticule extraction (KLEx) between VisuMax 800 and VisuMax 500 systems.",
        "Setting": "Prospective study at a single ophthalmic surgical center.",
        "Methods": "Participants aged 18-46 years were recruited between November 2024 and April 2025.Visual and refractive outcomes were assessed and CS function (CSF) was measured using the quantitative CSF (qCSF) test at 1 month, 3 months, and 6 months postoperatively. The differential analysis and influencing factor analysis of qCSF parameters between the two systems were conducted.",
        "Results": "In the VisuMax 800 group, qCSF parameters at 1 month postoperatively were better than those in the VisuMax 500 group (p < 0.05). There were no statistically significant differences in qCSF parameters between the two groups at 3 and 6 months postoperatively (p > 0.05). In the VisuMax 500 group, preoperative cylindrical refraction(CR) and postoperative CR was significantly correlated with CS (6.0 cpd) and CS (12.0 cpd) (p < 0.05). In the VisuMax 800 group, preoperative spherical refraction(SR)and postoperative SR was significantly correlated with CS (6.0 cpd) and CS (12.0 cpd) (p < 0.05). CS(12.0cpd)in the VisuMax 500 group and CS(6.0 cpd) in the VisuMax 800 group were correlated with the optical zone (p < 0.05).",
        "Conclusions": "Intraoperative lenticular scanning parameters and quality affect early postoperative visual outcomes. VisuMax 800 provided slightly improved scan quality and early postoperative visual compared with VisuMax 500."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraoperative lenticular scanning parameters and quality affect early postoperative visual outcomes. VisuMax 800 provided slightly improved scan quality and early postoperative visual compared with VisuMax 500.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1490,
      "source_fields": {
        "Abstract Final Identifier": "POREF104",
        "Title": "The Comparison Of Contrast Sensitivity After Keratorefractive Lenticule Extraction Between Visumax 800 And 500 Systems",
        "Presenting Author(s)": "Dr Jing Zhao",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Jing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhao",
        "Country Name": "China",
        "Purpose": "To compare the contrast sensitivity (CS) after keratorefractive lenticule extraction (KLEx) between VisuMax 800 and VisuMax 500 systems.",
        "Setting": "Prospective study at a single ophthalmic surgical center.",
        "Methods": "Participants aged 18-46 years were recruited between November 2024 and April 2025.Visual and refractive outcomes were assessed and CS function (CSF) was measured using the quantitative CSF (qCSF) test at 1 month, 3 months, and 6 months postoperatively. The differential analysis and influencing factor analysis of qCSF parameters between the two systems were conducted.",
        "Results": "In the VisuMax 800 group, qCSF parameters at 1 month postoperatively were better than those in the VisuMax 500 group (p < 0.05). There were no statistically significant differences in qCSF parameters between the two groups at 3 and 6 months postoperatively (p > 0.05). In the VisuMax 500 group, preoperative cylindrical refraction(CR) and postoperative CR was significantly correlated with CS (6.0 cpd) and CS (12.0 cpd) (p < 0.05). In the VisuMax 800 group, preoperative spherical refraction(SR)and postoperative SR was significantly correlated with CS (6.0 cpd) and CS (12.0 cpd) (p < 0.05). CS(12.0cpd)in the VisuMax 500 group and CS(6.0 cpd) in the VisuMax 800 group were correlated with the optical zone (p < 0.05).",
        "Conclusions": "Intraoperative lenticular scanning parameters and quality affect early postoperative visual outcomes. VisuMax 800 provided slightly improved scan quality and early postoperative visual compared with VisuMax 500."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 235
    },
    {
      "uid": "POREF105",
      "abstract_number": "POREF105",
      "title": "Corneal Epithelial Thickness Remodeling After Small Incision Lenticule Extraction (Smile): A Systematic Review And Meta-Analysis",
      "authors": "Dr Mo Ziaei",
      "presenter": "Dr Mo Ziaei",
      "normalized_authors": [
        "Mo Ziaei"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mo Ziaei",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "New Zealand",
      "sections": {
        "Purpose": "This Meta-analysis was performed to investigate the corneal epithelial thickness changes after Small Incision Lenticule Extraction (SMILE).\n\nResearch design and methods",
        "Setting": "Tertiary Eye Clinic",
        "Methods": "A comprehensive literature review was conducted on PubMed, Cochrane Library, Science Direct, and Google Scholar databases up to June 2024 for studies investigating corneal epithelial thickness remodeling after SMILE.",
        "Results": "A total of 14 studies with 697 eyes from clinical studies were included. A significant increase in pooled epithelial thickness was found at the central cornea at 1, 3, and 6 months postoperatively. The mean differences (MD) were 2.80 µm (95% CI: 2.14–3.46, p = 0.02; I 2 = 69.71%, p < 0.01) at 1 month, 4.43 µm (95% CI: 3.64–5.23, p < 0.01; I 2 = 77.11%, p < 0.01) at 3 months, and 4.55 µm (95% CI: 3.74–5.36, p < 0.01; I 2 = 64.43%, p < 0.01) at 6 months. At the six-month post-surgery, sample size, Asian ethnicity, and manifest refraction spherical equivalent (MRSE) were significantly correlated with changes in corneal epithelium (all, p < 0.05).",
        "Conclusions": "Corneal epithelial thickening occurs after SMILE surgery, mainly within the first three months, then stabilizes. Greater thickening is observed in patients of Asian ethnicity and those with higher pre- and post-operative MRSE levels."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal epithelial thickening occurs after SMILE surgery, mainly within the first three months, then stabilizes. Greater thickening is observed in patients of Asian ethnicity and those with higher pre- and post-operative MRSE levels.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1491,
      "source_fields": {
        "Abstract Final Identifier": "POREF105",
        "Title": "Corneal Epithelial Thickness Remodeling After Small Incision Lenticule Extraction (Smile): A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Mo Ziaei",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Mo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ziaei",
        "Country Name": "New Zealand",
        "Purpose": "This Meta-analysis was performed to investigate the corneal epithelial thickness changes after Small Incision Lenticule Extraction (SMILE).\n\nResearch design and methods",
        "Setting": "Tertiary Eye Clinic",
        "Methods": "A comprehensive literature review was conducted on PubMed, Cochrane Library, Science Direct, and Google Scholar databases up to June 2024 for studies investigating corneal epithelial thickness remodeling after SMILE.",
        "Results": "A total of 14 studies with 697 eyes from clinical studies were included. A significant increase in pooled epithelial thickness was found at the central cornea at 1, 3, and 6 months postoperatively. The mean differences (MD) were 2.80 µm (95% CI: 2.14–3.46, p = 0.02; I 2 = 69.71%, p < 0.01) at 1 month, 4.43 µm (95% CI: 3.64–5.23, p < 0.01; I 2 = 77.11%, p < 0.01) at 3 months, and 4.55 µm (95% CI: 3.74–5.36, p < 0.01; I 2 = 64.43%, p < 0.01) at 6 months. At the six-month post-surgery, sample size, Asian ethnicity, and manifest refraction spherical equivalent (MRSE) were significantly correlated with changes in corneal epithelium (all, p < 0.05).",
        "Conclusions": "Corneal epithelial thickening occurs after SMILE surgery, mainly within the first three months, then stabilizes. Greater thickening is observed in patients of Asian ethnicity and those with higher pre- and post-operative MRSE levels."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "POREF106",
      "abstract_number": "POREF106",
      "title": "Clinical Results Of Smile Pro Using Corneal Apex And\nCyclotorsion-Guided Lenticule Centration",
      "authors": "Dr Olesia Ziiatdinova",
      "presenter": "Dr Olesia Ziiatdinova",
      "normalized_authors": [
        "Olesia Ziiatdinova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Olesia Ziiatdinova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Evaluating SMILE PRO Outcomes with Apex- and Cyclotorsion-Guided Centration in Myopic Astigmatism",
        "Setting": "Patient Demographics & Preoperative Data\n\n(n=50 eyes)\n\nProcedure: SMILE PRO for myopic astigmatism\n\nMean Age: 27 ± 4.2 years\n\nMean Corneal Thickness: 525.3 ± 21.8 µm\n\nPreoperative Refractive Range:\n\nSphere: -1.5 to -6.0 D\n\nAstigmatism: 1.5 to 3.5 D",
        "Methods": "Preoperative lenticule centration parameters were imported\n\nto the laser treatment software using Pentacam and\n\nIOLMaster 700.\n\nThe minimal shift between Pentacam and IOLMaster\n\nrelative the pupil center was selected.\n\nPerformed under slit-lamp examination.\n\n• A disposable sterile skin marker was used.\n\n• A horizontal reference line and two corneal\n\nreference points were placed.\n\n• Points were positioned 2-3 mm from the\n\nlimbus.",
        "Results": "Follow-up Schedule: 1 day, 1 week, 1 month, 3 months\n\n(Measures: Autorefraction, UCVA, MCVA)\n\n1-Week Follow-up:\n\nUCVA ≥ Preop MCVA: 98.3% of eyes\n\nMean Spherical Equivalent (SE): +0.28 ± 0.29 D\n\nMean Manifest Sphere: +0.30 ± 0.31 D\n\nMean Residual Astigmatism: +0.32 ± 0.24 D\n\nPostoperative data\n\n1-Month Follow-Up\n\nVisual Recovery: 98.7% of eyes achieved UCVA ≥\n\nPreoperative MCVA.\n\nMean Spherical Equivalent (SE): +0.18 ± 0.22 D\n\nMean Manifest Sphere: +0.20 ± 0.24 D\n\nMean Residual Astigmatism: +0.25 ± 0.20 D\n\n3-Month Follow-Up\n\nVisual Recovery: 98.9% of eyes achieved UCVA ≥\n\nPreoperative MCVA.\n\nMean Spherical Equivalent (SE): +0.15 ± 0.20 D\n\nMean Manifest Sphere: +0.17 ± 0.22 D\n\nMean Residual Astigmatism: +0.22 ± 0.28 D",
        "Conclusions": "The SMILE PRO procedure with apex- and cyclotorsion-\n\nguided centration achieved targeted visual outcomes with high\n\nrefractive accuracy at 3 months.\n\nThis dual-guidance approach demonstrated excellent efficacy\n\nand safety for correcting myopia and myopic astigmatism.\n\nFurther prospective follow-up is ongoing to confirm long-\n\nterm stability"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The SMILE PRO procedure with apex- and cyclotorsion- guided centration achieved targeted visual outcomes with high refractive accuracy at 3 months. This dual-guidance approach demonstrated excellent efficacy and safety for correcting myopia and myopic astigmatism. Further prospective follow-up is ongoing to confirm long- term stability",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1492,
      "source_fields": {
        "Abstract Final Identifier": "POREF106",
        "Title": "Clinical Results Of Smile Pro Using Corneal Apex And\nCyclotorsion-Guided Lenticule Centration",
        "Presenting Author(s)": "Dr Olesia Ziiatdinova",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Olesia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ziiatdinova",
        "Country Name": "China",
        "Purpose": "Evaluating SMILE PRO Outcomes with Apex- and Cyclotorsion-Guided Centration in Myopic Astigmatism",
        "Setting": "Patient Demographics & Preoperative Data\n\n(n=50 eyes)\n\nProcedure: SMILE PRO for myopic astigmatism\n\nMean Age: 27 ± 4.2 years\n\nMean Corneal Thickness: 525.3 ± 21.8 µm\n\nPreoperative Refractive Range:\n\nSphere: -1.5 to -6.0 D\n\nAstigmatism: 1.5 to 3.5 D",
        "Methods": "Preoperative lenticule centration parameters were imported\n\nto the laser treatment software using Pentacam and\n\nIOLMaster 700.\n\nThe minimal shift between Pentacam and IOLMaster\n\nrelative the pupil center was selected.\n\nPerformed under slit-lamp examination.\n\n• A disposable sterile skin marker was used.\n\n• A horizontal reference line and two corneal\n\nreference points were placed.\n\n• Points were positioned 2-3 mm from the\n\nlimbus.",
        "Results": "Follow-up Schedule: 1 day, 1 week, 1 month, 3 months\n\n(Measures: Autorefraction, UCVA, MCVA)\n\n1-Week Follow-up:\n\nUCVA ≥ Preop MCVA: 98.3% of eyes\n\nMean Spherical Equivalent (SE): +0.28 ± 0.29 D\n\nMean Manifest Sphere: +0.30 ± 0.31 D\n\nMean Residual Astigmatism: +0.32 ± 0.24 D\n\nPostoperative data\n\n1-Month Follow-Up\n\nVisual Recovery: 98.7% of eyes achieved UCVA ≥\n\nPreoperative MCVA.\n\nMean Spherical Equivalent (SE): +0.18 ± 0.22 D\n\nMean Manifest Sphere: +0.20 ± 0.24 D\n\nMean Residual Astigmatism: +0.25 ± 0.20 D\n\n3-Month Follow-Up\n\nVisual Recovery: 98.9% of eyes achieved UCVA ≥\n\nPreoperative MCVA.\n\nMean Spherical Equivalent (SE): +0.15 ± 0.20 D\n\nMean Manifest Sphere: +0.17 ± 0.22 D\n\nMean Residual Astigmatism: +0.22 ± 0.28 D",
        "Conclusions": "The SMILE PRO procedure with apex- and cyclotorsion-\n\nguided centration achieved targeted visual outcomes with high\n\nrefractive accuracy at 3 months.\n\nThis dual-guidance approach demonstrated excellent efficacy\n\nand safety for correcting myopia and myopic astigmatism.\n\nFurther prospective follow-up is ongoing to confirm long-\n\nterm stability"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "POREF107",
      "abstract_number": "POREF107",
      "title": "Change In Corneal Thickness In Relation To Planned Lenticule Thickness After Laser Vision Correction Using The Smile Technique",
      "authors": "Dr Dorota Bozena Zygadlo",
      "presenter": "Dr Dorota Bozena Zygadlo",
      "normalized_authors": [
        "Dorota Bozena Zygadlo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dorota Bozena Zygadlo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Analysis of the relationship between the planned lenticule thickness in SMILE refractive surgery, as determined by the VisuMax 800 femtosecond laser system, and the actual reduction in corneal thickness 6 months postoperatively.",
        "Setting": "Clinical data analysis was conducted at OKULUS PLUS Centrer of Ophthalmology and Optometry in Katowice, in collaboration with the University of Silesia in Katowice.",
        "Methods": "Thirty patients (60 eyes) with myopia or myopic astigmatism who underwent SMILE refractive surgery using the VisuMAX 800 femtosecond laser (Zeiss) were enrolled in the study. Preoperative SE ranged from −1.75 to −6.50 D and cylinder from 0.00 to −2.50 D. Planned lenticule thickness (52–139 µm) was obtained from the laser platform. The achieved reduction in central corneal thickness (CCT) was assessed using corneal thickness difference maps obtained from the Pentacam AXL Wave (Oculus) device. Corneal tomography was performed preoperatively and at 6 months. The planned optical zone was 6.8–7.0 mm with a 130 µm cap; energy was 26 mJ for anterior and posterior lenticule interfaces. Comparative statistics and linear regression were performed.",
        "Results": "The achieved reduction in central corneal thickness tended to be lower than the planned values, indicating a systematic overestimation. Regression analysis demonstrated a strong positive correlation between the planned and achieved measurements. Importantly, the magnitude of overestimation was not significantly associated with the planned CCT reduction, suggesting that the discrepancy was independent of the intended amount of stromal tissue removal.",
        "Conclusions": "The planned and achieved reductions in central corneal thickness showed a strong correlation, confirming the high predictability of the SMILE procedure. A consistent tendency toward overestimation of the amount of stromal tissue removed was observed, which should be considered by the physicians while qualifying patients for the SMILE procedure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The planned and achieved reductions in central corneal thickness showed a strong correlation, confirming the high predictability of the SMILE procedure. A consistent tendency toward overestimation of the amount of stromal tissue removed was observed, which should be considered by the physicians while qualifying patients for the SMILE procedure.",
      "session_type": "ePoster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1493,
      "source_fields": {
        "Abstract Final Identifier": "POREF107",
        "Title": "Change In Corneal Thickness In Relation To Planned Lenticule Thickness After Laser Vision Correction Using The Smile Technique",
        "Presenting Author(s)": "Dr Dorota Bozena Zygadlo",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Dorota",
        "Submitter Middle Name": "Bozena",
        "Submitter Last Name": "Zygadlo",
        "Country Name": "Poland",
        "Purpose": "Analysis of the relationship between the planned lenticule thickness in SMILE refractive surgery, as determined by the VisuMax 800 femtosecond laser system, and the actual reduction in corneal thickness 6 months postoperatively.",
        "Setting": "Clinical data analysis was conducted at OKULUS PLUS Centrer of Ophthalmology and Optometry in Katowice, in collaboration with the University of Silesia in Katowice.",
        "Methods": "Thirty patients (60 eyes) with myopia or myopic astigmatism who underwent SMILE refractive surgery using the VisuMAX 800 femtosecond laser (Zeiss) were enrolled in the study. Preoperative SE ranged from −1.75 to −6.50 D and cylinder from 0.00 to −2.50 D. Planned lenticule thickness (52–139 µm) was obtained from the laser platform. The achieved reduction in central corneal thickness (CCT) was assessed using corneal thickness difference maps obtained from the Pentacam AXL Wave (Oculus) device. Corneal tomography was performed preoperatively and at 6 months. The planned optical zone was 6.8–7.0 mm with a 130 µm cap; energy was 26 mJ for anterior and posterior lenticule interfaces. Comparative statistics and linear regression were performed.",
        "Results": "The achieved reduction in central corneal thickness tended to be lower than the planned values, indicating a systematic overestimation. Regression analysis demonstrated a strong positive correlation between the planned and achieved measurements. Importantly, the magnitude of overestimation was not significantly associated with the planned CCT reduction, suggesting that the discrepancy was independent of the intended amount of stromal tissue removal.",
        "Conclusions": "The planned and achieved reductions in central corneal thickness showed a strong correlation, confirming the high predictability of the SMILE procedure. A consistent tendency toward overestimation of the amount of stromal tissue removed was observed, which should be considered by the physicians while qualifying patients for the SMILE procedure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "POREF108",
      "abstract_number": "POREF108",
      "title": "Refractive Prediction Error And Vault Distribution Following Eyecryl Phakic And Eyecryl Phakic Toric Iol Implantation: A Prospective Statistical Analysis",
      "authors": "Dr Mohd Ishaq Abdul Hakim",
      "presenter": "Dr Mohd Ishaq Abdul Hakim",
      "normalized_authors": [
        "Mohd Ishaq Abdul Hakim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohd Ishaq Abdul Hakim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To quantitatively evaluate early refractive prediction error and vault distribution following Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation.",
        "Setting": "Vista Eye Clinic, Malaysia.",
        "Methods": "Prospective analysis of 24 consecutive eyes implanted with Eyecryl Phakic or Eyecryl Phakic Toric IOLs. Expected postoperative spherical equivalent (SE) was calculated using the manufacturer’s algorithm. Achieved SE was recorded at 1 week and 1 month. Prediction error (PE = achieved − expected), mean absolute error (MAE), standard deviation (SD), and 95% confidence intervals (CI) were calculated. Normality was assessed using Shapiro–Wilk testing. Vault was measured at 1 month and analyzed using descriptive and distribution statistics.",
        "Results": "At 1 week, mean PE was −0.24 ± 0.36 D (95% CI −0.39 to −0.09; p<0.05), indicating a small but statistically significant early myopic bias.\n\nAt 1 month, mean absolute error was 0.24 ± 0.19 D (95% CI 0.16–0.32 D), demonstrating high refractive precision. 91.7% of eyes were within ±0.50 D and 100% within ±1.00 D of intended refraction.\n\nMean vault at 1 month was 566.6 ± 182.6 µm (95% CI 489–644 µm; range 200–826 µm). Distribution did not significantly deviate from normality (Shapiro–Wilk p=0.076). The majority of eyes were within the accepted 250–750 µm safety window, with isolated low (200 µm) and high (826 µm) values without pathological clustering.",
        "Conclusions": "Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation demonstrated statistically robust refractive predictability with minimal systematic bias and predominantly optimal vault distribution at 1 month."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation demonstrated statistically robust refractive predictability with minimal systematic bias and predominantly optimal vault distribution at 1 month.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1494,
      "source_fields": {
        "Abstract Final Identifier": "POREF108",
        "Title": "Refractive Prediction Error And Vault Distribution Following Eyecryl Phakic And Eyecryl Phakic Toric Iol Implantation: A Prospective Statistical Analysis",
        "Presenting Author(s)": "Dr Mohd Ishaq Abdul Hakim",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Mohd Ishaq",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdul Hakim",
        "Country Name": "Malaysia",
        "Purpose": "To quantitatively evaluate early refractive prediction error and vault distribution following Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation.",
        "Setting": "Vista Eye Clinic, Malaysia.",
        "Methods": "Prospective analysis of 24 consecutive eyes implanted with Eyecryl Phakic or Eyecryl Phakic Toric IOLs. Expected postoperative spherical equivalent (SE) was calculated using the manufacturer’s algorithm. Achieved SE was recorded at 1 week and 1 month. Prediction error (PE = achieved − expected), mean absolute error (MAE), standard deviation (SD), and 95% confidence intervals (CI) were calculated. Normality was assessed using Shapiro–Wilk testing. Vault was measured at 1 month and analyzed using descriptive and distribution statistics.",
        "Results": "At 1 week, mean PE was −0.24 ± 0.36 D (95% CI −0.39 to −0.09; p<0.05), indicating a small but statistically significant early myopic bias.\n\nAt 1 month, mean absolute error was 0.24 ± 0.19 D (95% CI 0.16–0.32 D), demonstrating high refractive precision. 91.7% of eyes were within ±0.50 D and 100% within ±1.00 D of intended refraction.\n\nMean vault at 1 month was 566.6 ± 182.6 µm (95% CI 489–644 µm; range 200–826 µm). Distribution did not significantly deviate from normality (Shapiro–Wilk p=0.076). The majority of eyes were within the accepted 250–750 µm safety window, with isolated low (200 µm) and high (826 µm) values without pathological clustering.",
        "Conclusions": "Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation demonstrated statistically robust refractive predictability with minimal systematic bias and predominantly optimal vault distribution at 1 month."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POREF109",
      "abstract_number": "POREF109",
      "title": "Phakic Iol Exchange: Artiflex To Icl Due To Progressive Endothelial Cell Loss In An Amblyopic Eye With Anisometropia",
      "authors": "Dr Daniel Abilheira",
      "presenter": "Dr Daniel Abilheira",
      "normalized_authors": [
        "Daniel Abilheira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Abilheira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To report successful management of progressive endothelial cell loss following Artiflex anterior chamber phakic intraocular lens (pIOL) implantation through explantation and posterior chamber implantable collamer lens (ICL) exchange in an amblyopic eye with high anisometropia.",
        "Setting": "Tertiary referral center specializing in refractive surgery and anterior segment procedures, with comprehensive diagnostic capabilities including specular microscopy for endothelial cell evaluation.",
        "Methods": "Retrospective interventional case report.\n\nA 33-year-old male with anisometropia and amblyopia in the right eye (RE) underwent Artiflex pIOL implantation for high myopia (-8.50 -0.75 × 5°). Baseline BCVA was 2/10 and endothelial cell density (ECD) was 2194 cells/mm². Over 12 years, RE ECD declined from approximately 2200 to 1400-1500 cells/mm² (>30% reduction), while the left eye remained stable above 2000 cells/mm². Due to significant ECD loss, the Artiflex was explanted and a posterior chamber ICL implanted.",
        "Results": "Surgery was uneventful. Postoperative vault was 500 µm with clear cornea and normal IOP. At one-year follow-up, BCVA was 0.3-0.4 and ECD had stabilized at 1600-1800 cells/mm².",
        "Conclusions": "This case illustrates the risk of progressive endothelial cell loss with anterior chamber iris-fixated pIOLs. Artiflex lenses demonstrate chronic ECD loss of 10-12% over 5-10 years. Posterior chamber ICLs show significantly lower endothelial loss (6-10% vs 12-22% at 10 years). Early lens exchange can preserve corneal clarity, supporting ICL implantation as a rescue strategy in progressive endothelial compromise after anterior chamber pIOL placement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case illustrates the risk of progressive endothelial cell loss with anterior chamber iris-fixated pIOLs. Artiflex lenses demonstrate chronic ECD loss of 10-12% over 5-10 years. Posterior chamber ICLs show significantly lower endothelial loss (6-10% vs 12-22% at 10 years). Early lens exchange can preserve corneal clarity, supporting ICL implantation as a rescue strategy in progressive endothelial compromise…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1495,
      "source_fields": {
        "Abstract Final Identifier": "POREF109",
        "Title": "Phakic Iol Exchange: Artiflex To Icl Due To Progressive Endothelial Cell Loss In An Amblyopic Eye With Anisometropia",
        "Presenting Author(s)": "Dr Daniel Abilheira",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abilheira",
        "Country Name": "Portugal",
        "Purpose": "To report successful management of progressive endothelial cell loss following Artiflex anterior chamber phakic intraocular lens (pIOL) implantation through explantation and posterior chamber implantable collamer lens (ICL) exchange in an amblyopic eye with high anisometropia.",
        "Setting": "Tertiary referral center specializing in refractive surgery and anterior segment procedures, with comprehensive diagnostic capabilities including specular microscopy for endothelial cell evaluation.",
        "Methods": "Retrospective interventional case report.\n\nA 33-year-old male with anisometropia and amblyopia in the right eye (RE) underwent Artiflex pIOL implantation for high myopia (-8.50 -0.75 × 5°). Baseline BCVA was 2/10 and endothelial cell density (ECD) was 2194 cells/mm². Over 12 years, RE ECD declined from approximately 2200 to 1400-1500 cells/mm² (>30% reduction), while the left eye remained stable above 2000 cells/mm². Due to significant ECD loss, the Artiflex was explanted and a posterior chamber ICL implanted.",
        "Results": "Surgery was uneventful. Postoperative vault was 500 µm with clear cornea and normal IOP. At one-year follow-up, BCVA was 0.3-0.4 and ECD had stabilized at 1600-1800 cells/mm².",
        "Conclusions": "This case illustrates the risk of progressive endothelial cell loss with anterior chamber iris-fixated pIOLs. Artiflex lenses demonstrate chronic ECD loss of 10-12% over 5-10 years. Posterior chamber ICLs show significantly lower endothelial loss (6-10% vs 12-22% at 10 years). Early lens exchange can preserve corneal clarity, supporting ICL implantation as a rescue strategy in progressive endothelial compromise after anterior chamber pIOL placement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "POREF110",
      "abstract_number": "POREF110",
      "title": "A Novel Modified Yamane Ishf With Scleral Groove Flap Coverage For Haptic Fixation In Aphakia To Prevent Haptic Exposure",
      "authors": "A/Prof. Ali Alghamdi",
      "presenter": "A/Prof. Ali Alghamdi",
      "normalized_authors": [
        "Ali Alghamdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Alghamdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To describe a modification of Yamane intrascleral haptic fixation (ISHF) that adds a partial-thickness scleral groove flap to completely bury the flanged haptic tips, with the goal of reducing postoperative haptic or flange exposure in aphakic eyes requiring scleral-fixated IOL implantation.",
        "Setting": "Private Ophthalmic Centre at Asir region",
        "Methods": "Two fixation points are marked 180° apart, 2.5 mm posterior to the limbus. A small conjunctival peritomy is created just anterior to each mark. A horizontal partial-thickness sclerotomy is made with a supersharp blade, and a short mini–scleral groove is fashioned within this plane using a 25-gauge needle. Standard Yamane ISHF is then performed using a 30-gauge TSK needle: each haptic of a three-piece IOL is docked into the needle lumen and externalized through the scleral tunnel. The externalized haptic tips are cauterized to form flanges, which are then gently tucked into the prepared scleral grooves so the flanges lie fully covered by the scleral flap. The conjunctiva is closed with light bipolar cautery over the buried haptics.",
        "Results": "In the illustrated case, the postoperative appearance shows a well-centered intraocular lens with a smooth conjunctival surface and no visible haptic or flange, consistent with complete burial of the flanged haptics beneath the scleral groove flap.",
        "Conclusions": "This modified Yamane ISHF technique adds a simple partial-thickness scleral groove flap to fully bury the flanged haptics, aiming to improve conjunctival/scleral coverage and reduce the risk of postoperative haptic or flange exposure without additional suturing. It may provide a practical refinement for aphakic eyes requiring sutureless scleral fixation, particularly in cases at higher risk of exposure, with further studies needed to confirm long-term safety and durability"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This modified Yamane ISHF technique adds a simple partial-thickness scleral groove flap to fully bury the flanged haptics, aiming to improve conjunctival/scleral coverage and reduce the risk of postoperative haptic or flange exposure without additional suturing. It may provide a practical refinement for aphakic eyes requiring sutureless scleral fixation, particularly in cases at higher risk of exposure, with…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1496,
      "source_fields": {
        "Abstract Final Identifier": "POREF110",
        "Title": "A Novel Modified Yamane Ishf With Scleral Groove Flap Coverage For Haptic Fixation In Aphakia To Prevent Haptic Exposure",
        "Presenting Author(s)": "A/Prof. Ali Alghamdi",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alghamdi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To describe a modification of Yamane intrascleral haptic fixation (ISHF) that adds a partial-thickness scleral groove flap to completely bury the flanged haptic tips, with the goal of reducing postoperative haptic or flange exposure in aphakic eyes requiring scleral-fixated IOL implantation.",
        "Setting": "Private Ophthalmic Centre at Asir region",
        "Methods": "Two fixation points are marked 180° apart, 2.5 mm posterior to the limbus. A small conjunctival peritomy is created just anterior to each mark. A horizontal partial-thickness sclerotomy is made with a supersharp blade, and a short mini–scleral groove is fashioned within this plane using a 25-gauge needle. Standard Yamane ISHF is then performed using a 30-gauge TSK needle: each haptic of a three-piece IOL is docked into the needle lumen and externalized through the scleral tunnel. The externalized haptic tips are cauterized to form flanges, which are then gently tucked into the prepared scleral grooves so the flanges lie fully covered by the scleral flap. The conjunctiva is closed with light bipolar cautery over the buried haptics.",
        "Results": "In the illustrated case, the postoperative appearance shows a well-centered intraocular lens with a smooth conjunctival surface and no visible haptic or flange, consistent with complete burial of the flanged haptics beneath the scleral groove flap.",
        "Conclusions": "This modified Yamane ISHF technique adds a simple partial-thickness scleral groove flap to fully bury the flanged haptics, aiming to improve conjunctival/scleral coverage and reduce the risk of postoperative haptic or flange exposure without additional suturing. It may provide a practical refinement for aphakic eyes requiring sutureless scleral fixation, particularly in cases at higher risk of exposure, with further studies needed to confirm long-term safety and durability"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "POREF111",
      "abstract_number": "POREF111",
      "title": "Management Of Hypervault After Icl Implantation In Eyes With An Internal Anterior Chamber Depth < 3.0 Mm",
      "authors": "Dr Florencia Arasanz",
      "presenter": "Dr Florencia Arasanz",
      "normalized_authors": [
        "Florencia Arasanz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Florencia Arasanz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To present the management of ICL hypervault in a patient with an internal anterior chamber depth <3.0 mm using a simple posterior chamber lens rotation. Implantable Collamer Lenses (ICL) are posterior chamber phakic lenses for ametropia correction, with postoperative vault being a key safety parameter. Hypervault (>750 µm), although infrequent, may be associated with angle narrowing, intraocular pressure elevation, pigment dispersion, and visual disturbances. Despite improvements in sizing strategies, vault predictability remains limited. Posterior chamber lens rotation represents a minimally invasive surgical option to effectively reduce excessive vault and avoid lens exchange.",
        "Setting": "Hospital de Clínicas “José de San Martín”, University of Buenos Aires, Buenos Aires, Argentina.",
        "Methods": "A 28-year-old male with keratoconus and prior implantation of two ICRS in the right eye underwent spherical EVO ICL implantation (13.2mm). Preoperative lens sizing was determined using the manufacturer’s calculator based on WTW measurements obtained by corneal tomography (Pentacam, OCULUS). The ICL was implanted horizontally in the posterior chamber. One month postoperatively, excessive vault (1180µm) was documented using AS-OCT (Solix, Optovue) (Fig 1). Due to the risk of vault-related complications, secondary surgical management was performed, consisting of ICL rotation from a horizontal to a vertical orientation within the ciliary sulcus using differential visco-levitation and controlled rotational manipulation.",
        "Results": "Following ICL rotation, vault decreased to 718 µm, representing a 40% reduction, with restoration of the anterior chamber angle and preservation of critical safety distances on anterior segment imaging (Figure 3).\n\nAt three months postoperatively, the ICL remained stable in a vertical position, with sustained vault reduction and no evidence of angle compromise (Figure 4).",
        "Conclusions": "ICL rotation is a fast and straightforward procedure with a lower risk profile than ICL explantation and is applicable to spherical ICLs and models with a central port. In this case, vertical rotation of the EVO ICL effectively reduced the vault to an acceptable range, achieving favorable anatomical outcomes and potentially avoiding lens exchange by leveraging the larger vertical sulcus diameter.\n\nAccurate preoperative sizing remains critical, as postoperative vault is the primary safety metric in ICL surgery. Exclusive reliance on WTW measurements has limited predictability, whereas STS measurements obtained with UBM provide more anatomically accurate sizing, improving vault predictability from 40% to 75% and reducing extreme vault values."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICL rotation is a fast and straightforward procedure with a lower risk profile than ICL explantation and is applicable to spherical ICLs and models with a central port. In this case, vertical rotation of the EVO ICL effectively reduced the vault to an acceptable range, achieving favorable anatomical outcomes and potentially avoiding lens exchange by leveraging the larger vertical sulcus diameter. Accurate…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1497,
      "source_fields": {
        "Abstract Final Identifier": "POREF111",
        "Title": "Management Of Hypervault After Icl Implantation In Eyes With An Internal Anterior Chamber Depth < 3.0 Mm",
        "Presenting Author(s)": "Dr Florencia Arasanz",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Florencia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arasanz",
        "Country Name": "Argentina",
        "Purpose": "To present the management of ICL hypervault in a patient with an internal anterior chamber depth <3.0 mm using a simple posterior chamber lens rotation. Implantable Collamer Lenses (ICL) are posterior chamber phakic lenses for ametropia correction, with postoperative vault being a key safety parameter. Hypervault (>750 µm), although infrequent, may be associated with angle narrowing, intraocular pressure elevation, pigment dispersion, and visual disturbances. Despite improvements in sizing strategies, vault predictability remains limited. Posterior chamber lens rotation represents a minimally invasive surgical option to effectively reduce excessive vault and avoid lens exchange.",
        "Setting": "Hospital de Clínicas “José de San Martín”, University of Buenos Aires, Buenos Aires, Argentina.",
        "Methods": "A 28-year-old male with keratoconus and prior implantation of two ICRS in the right eye underwent spherical EVO ICL implantation (13.2mm). Preoperative lens sizing was determined using the manufacturer’s calculator based on WTW measurements obtained by corneal tomography (Pentacam, OCULUS). The ICL was implanted horizontally in the posterior chamber. One month postoperatively, excessive vault (1180µm) was documented using AS-OCT (Solix, Optovue) (Fig 1). Due to the risk of vault-related complications, secondary surgical management was performed, consisting of ICL rotation from a horizontal to a vertical orientation within the ciliary sulcus using differential visco-levitation and controlled rotational manipulation.",
        "Results": "Following ICL rotation, vault decreased to 718 µm, representing a 40% reduction, with restoration of the anterior chamber angle and preservation of critical safety distances on anterior segment imaging (Figure 3).\n\nAt three months postoperatively, the ICL remained stable in a vertical position, with sustained vault reduction and no evidence of angle compromise (Figure 4).",
        "Conclusions": "ICL rotation is a fast and straightforward procedure with a lower risk profile than ICL explantation and is applicable to spherical ICLs and models with a central port. In this case, vertical rotation of the EVO ICL effectively reduced the vault to an acceptable range, achieving favorable anatomical outcomes and potentially avoiding lens exchange by leveraging the larger vertical sulcus diameter.\n\nAccurate preoperative sizing remains critical, as postoperative vault is the primary safety metric in ICL surgery. Exclusive reliance on WTW measurements has limited predictability, whereas STS measurements obtained with UBM provide more anatomically accurate sizing, improving vault predictability from 40% to 75% and reducing extreme vault values."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POREF112",
      "abstract_number": "POREF112",
      "title": "Comparative Analysis Of 671 Smile And 671 Icl Implantations Myopic Eyes With With-The-Rule Astigmatism, Against-The-Rule, And Oblique Astigmatismus: A Matched Cohort",
      "authors": "Dr Martin Bechmann",
      "presenter": "Dr Martin Bechmann",
      "normalized_authors": [
        "Martin Bechmann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Klio Ai Becker",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare visual, refractive, and vector-based astigmatic outcomes between Small Incision Lenticule Extraction (SMILE) and toric Implantable Collamer Lens (ICL) implantation in myopic eyes with With-the-rule (WTR), Against-the-rule (ATR) and oblique astigmatism at 6 weeks postoperatively.",
        "Setting": "In this retrospective, matched cohort study, 1042 eyes (521 SMILE, 521 toric ICL) with WTR astigmatism,160 with ATR astigmatism eyes (80 SMILE, 80 toric ICL) and 140 eyes (70 SMILE, 70 toric ICL) with oblique astigmatism were treated at a single center.",
        "Methods": "Groups were matched preoperatively for refractive cylinder and spherical equivalent within ±0.50 D. Postoperative outcomes at six weeks were assessed, including uncorrected and corrected distance visual acuity (UDVA, CDVA), spherical equivalent (SEQ), astigmatism correction using vector analysis (Alpins method), and safety and efficacy indices. A post hoc power analysis was performed for the astigmatic correction index.",
        "Results": "In WTR, preop SE was −5.4±1.4D (SMILE) & −5.5±1.4D (ICL), improving to 0.0±1.2D & +0.1±0.4D (P<0.001). Postop cylinder was −0.5±0.4D & −0.5±0.3D (P=0.02). UDVA at 6 wks was 0.0±0.2 vs 0.0±0.04 logMAR (P< 0.001), while preop CDVA had no difference (P=0.67).\n\nIn ATR, preop SE was −5.0±1.3D & −5.3±1.3D, improving to +0.1±0.8 D & +0.1±0.6D (P=0.1). Postop cylinder was −0.3±0.3D in WTR & ATR (P=0.2). Preop CDVA was 0.0 logMAR (P=0.4). UDVA at 6 wks was 0.0±0.1 vs 0.0±0.1 logMAR (P=0.05).\n\nIn oblique astigmatism, SE was −5.1±1.2D vs −5.4±1.2D (p=0.2). SEQ favored ICL (0.1±0.4D vs −0.2±0.4D; p<0.001), but effect size was small (Cohen’s d=0.2I). Residual torus was comparable (−0.4±0.3D vs −0.4±0.4D; p=0.2). UDVA was ~20/20 (1.0±0.2 vs 1.1±0.2; p=0.18).",
        "Conclusions": "Both SMILE and ICL provide effective and safe early correction of myopic astigmatism across WTR, ATR, and oblique orientations. Toric ICL offers slightly higher refractive precision, which is particularly evident in the WTR and oblique subgroups. However, it is critical to note that the high degree of statistical significance observed in these findings (e.g., P < 0.001) is largely driven by the substantial sample size, which provides the statistical power to detect microscopic variations in the data distributions. Ultimately, these statistically significant differences translate into only modest or negligible clinical impacts on UDVA at 6 weeks, as patients in both procedure groups consistently achieved approx. 20/20 uncorrected vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both SMILE and ICL provide effective and safe early correction of myopic astigmatism across WTR, ATR, and oblique orientations. Toric ICL offers slightly higher refractive precision, which is particularly evident in the WTR and oblique subgroups. However, it is critical to note that the high degree of statistical significance observed in these findings (e.g., P < 0.001) is largely driven by the substantial sample…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1498,
      "source_fields": {
        "Abstract Final Identifier": "POREF112",
        "Title": "Comparative Analysis Of 671 Smile And 671 Icl Implantations Myopic Eyes With With-The-Rule Astigmatism, Against-The-Rule, And Oblique Astigmatismus: A Matched Cohort",
        "Presenting Author(s)": "Dr Martin Bechmann",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Klio",
        "Submitter Middle Name": "Ai",
        "Submitter Last Name": "Becker",
        "Country Name": "Germany",
        "Purpose": "To compare visual, refractive, and vector-based astigmatic outcomes between Small Incision Lenticule Extraction (SMILE) and toric Implantable Collamer Lens (ICL) implantation in myopic eyes with With-the-rule (WTR), Against-the-rule (ATR) and oblique astigmatism at 6 weeks postoperatively.",
        "Setting": "In this retrospective, matched cohort study, 1042 eyes (521 SMILE, 521 toric ICL) with WTR astigmatism,160 with ATR astigmatism eyes (80 SMILE, 80 toric ICL) and 140 eyes (70 SMILE, 70 toric ICL) with oblique astigmatism were treated at a single center.",
        "Methods": "Groups were matched preoperatively for refractive cylinder and spherical equivalent within ±0.50 D. Postoperative outcomes at six weeks were assessed, including uncorrected and corrected distance visual acuity (UDVA, CDVA), spherical equivalent (SEQ), astigmatism correction using vector analysis (Alpins method), and safety and efficacy indices. A post hoc power analysis was performed for the astigmatic correction index.",
        "Results": "In WTR, preop SE was −5.4±1.4D (SMILE) & −5.5±1.4D (ICL), improving to 0.0±1.2D & +0.1±0.4D (P<0.001). Postop cylinder was −0.5±0.4D & −0.5±0.3D (P=0.02). UDVA at 6 wks was 0.0±0.2 vs 0.0±0.04 logMAR (P< 0.001), while preop CDVA had no difference (P=0.67).\n\nIn ATR, preop SE was −5.0±1.3D & −5.3±1.3D, improving to +0.1±0.8 D & +0.1±0.6D (P=0.1). Postop cylinder was −0.3±0.3D in WTR & ATR (P=0.2). Preop CDVA was 0.0 logMAR (P=0.4). UDVA at 6 wks was 0.0±0.1 vs 0.0±0.1 logMAR (P=0.05).\n\nIn oblique astigmatism, SE was −5.1±1.2D vs −5.4±1.2D (p=0.2). SEQ favored ICL (0.1±0.4D vs −0.2±0.4D; p<0.001), but effect size was small (Cohen’s d=0.2I). Residual torus was comparable (−0.4±0.3D vs −0.4±0.4D; p=0.2). UDVA was ~20/20 (1.0±0.2 vs 1.1±0.2; p=0.18).",
        "Conclusions": "Both SMILE and ICL provide effective and safe early correction of myopic astigmatism across WTR, ATR, and oblique orientations. Toric ICL offers slightly higher refractive precision, which is particularly evident in the WTR and oblique subgroups. However, it is critical to note that the high degree of statistical significance observed in these findings (e.g., P < 0.001) is largely driven by the substantial sample size, which provides the statistical power to detect microscopic variations in the data distributions. Ultimately, these statistically significant differences translate into only modest or negligible clinical impacts on UDVA at 6 weeks, as patients in both procedure groups consistently achieved approx. 20/20 uncorrected vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 455
    },
    {
      "uid": "POREF113",
      "abstract_number": "POREF113",
      "title": "Comparative Analysis Of Refractive Astigmatic Outcomes In High Astigmatism: Small Incision Lenticule Extraction (Smile) Versus Toric Implantable Collamer Lens (Icl) Implantation",
      "authors": "Dr Klio Ai Becker",
      "presenter": "Dr Klio Ai Becker",
      "normalized_authors": [
        "Klio Ai Becker"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Klio Ai Becker",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate and compare the refractive and astigmatic outcomes of Small Incision Lenticule Extraction (SMILE) and toric Implantable Collamer Lens (ICL) implantation specifically in patients with high astigmatism (≥ 3.0 D) at six weeks postoperatively.",
        "Setting": "This retrospective cohort study utilized a database of over 11000 eyes treated with refractive surgery.",
        "Methods": "We stratified patients by preoperative astigmatic magnitude and isolated a cohort with high astigmatism (≥ 3.0 D). Following strict retrospective matching for preoperative refractive cylinder and sphere (within ±0.25 D), 66 eyes were analyzed (31 SMILE, 35 toric ICL). Primary outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, and vector analysis of astigmatism using the Alpins method.",
        "Results": "The ICL group demonstrated higher efficacy, with 54% of patients achieving 20/20 Snellen acuity compared to 30% in the SMILE group. This advantage was mirrored in refractive accuracy, where 82.9% of ICL eyes fell within ±0.50 D of the target spherical equivalent, compared to 61.3% of SMILE eyes. Vector analysis revealed a Correction Index (CI) of 0.96 ± 0.15 for ICL, indicating near-complete correction, whereas SMILE showed a tendency toward undercorrection with a CI of 0.70 ± 0.22. Accordingly, postoperative residual cylinder was significantly lower in the ICL group (-0.69 ± 0.35 D) compared to SMILE (-1.08 ± 0.69 D; P = 0.02).",
        "Conclusions": "Both SMILE and toric ICL are effective modalities for correcting high astigmatism. However, toric ICL demonstrates superior overall clinical outcomes in this cohort. Toric ICL provides significantly better astigmatic vector correction (approaching near-complete correction with a Correction Index of 0.96) and higher refractive predictability compared to SMILE. Importantly, these refractive advantages directly translate into superior visual efficacy, with a substantially higher proportion of ICL patients achieving 20/20 uncorrected visual acuity (54% vs. 30%). In contrast, SMILE showed a notable tendency toward undercorrection, leaving patients with a significantly higher magnitude of postoperative residual cylinder."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both SMILE and toric ICL are effective modalities for correcting high astigmatism. However, toric ICL demonstrates superior overall clinical outcomes in this cohort. Toric ICL provides significantly better astigmatic vector correction (approaching near-complete correction with a Correction Index of 0.96) and higher refractive predictability compared to SMILE. Importantly, these refractive advantages directly…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1499,
      "source_fields": {
        "Abstract Final Identifier": "POREF113",
        "Title": "Comparative Analysis Of Refractive Astigmatic Outcomes In High Astigmatism: Small Incision Lenticule Extraction (Smile) Versus Toric Implantable Collamer Lens (Icl) Implantation",
        "Presenting Author(s)": "Dr Klio Ai Becker",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Klio",
        "Submitter Middle Name": "Ai",
        "Submitter Last Name": "Becker",
        "Country Name": "Germany",
        "Purpose": "To evaluate and compare the refractive and astigmatic outcomes of Small Incision Lenticule Extraction (SMILE) and toric Implantable Collamer Lens (ICL) implantation specifically in patients with high astigmatism (≥ 3.0 D) at six weeks postoperatively.",
        "Setting": "This retrospective cohort study utilized a database of over 11000 eyes treated with refractive surgery.",
        "Methods": "We stratified patients by preoperative astigmatic magnitude and isolated a cohort with high astigmatism (≥ 3.0 D). Following strict retrospective matching for preoperative refractive cylinder and sphere (within ±0.25 D), 66 eyes were analyzed (31 SMILE, 35 toric ICL). Primary outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, and vector analysis of astigmatism using the Alpins method.",
        "Results": "The ICL group demonstrated higher efficacy, with 54% of patients achieving 20/20 Snellen acuity compared to 30% in the SMILE group. This advantage was mirrored in refractive accuracy, where 82.9% of ICL eyes fell within ±0.50 D of the target spherical equivalent, compared to 61.3% of SMILE eyes. Vector analysis revealed a Correction Index (CI) of 0.96 ± 0.15 for ICL, indicating near-complete correction, whereas SMILE showed a tendency toward undercorrection with a CI of 0.70 ± 0.22. Accordingly, postoperative residual cylinder was significantly lower in the ICL group (-0.69 ± 0.35 D) compared to SMILE (-1.08 ± 0.69 D; P = 0.02).",
        "Conclusions": "Both SMILE and toric ICL are effective modalities for correcting high astigmatism. However, toric ICL demonstrates superior overall clinical outcomes in this cohort. Toric ICL provides significantly better astigmatic vector correction (approaching near-complete correction with a Correction Index of 0.96) and higher refractive predictability compared to SMILE. Importantly, these refractive advantages directly translate into superior visual efficacy, with a substantially higher proportion of ICL patients achieving 20/20 uncorrected visual acuity (54% vs. 30%). In contrast, SMILE showed a notable tendency toward undercorrection, leaving patients with a significantly higher magnitude of postoperative residual cylinder."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "POREF114",
      "abstract_number": "POREF114",
      "title": "Four-Year Refractive Stability And Safety Of Toric Implantable Phakic Contact Lens (Ipcl) In Highly Myopic Eyes",
      "authors": "Dr Germán Roberto Bianchi",
      "presenter": "Dr Germán Roberto Bianchi",
      "normalized_authors": [
        "Germán Roberto Bianchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Germán Roberto Bianchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate long-term refractive stability and safety outcomes in eyes implanted with posterior chamber toric Implantable Phakic Contact Lens (IPCL).",
        "Setting": "Clínica de Ojos Dr. Nano, Buenos Aires, Argentina.",
        "Methods": "Mean preoperative SE was −10.1 D (−5.5 to −14.25) and −0.50 D (−0.82 to 0.25) at 4 years. At final follow-up, 85.7% of eyes were within ±0.50 D and 100% within ±1.00 D. Preoperative astigmatism was 3.7 D (1.5 to 6.5); residual astigmatism was 0.47 D at 1 month and 0.51 D at 4 years (p=0.12). ECD remained stable (2754 to 2683 cells/mm²; p=0.2). Vault was 533 µm (300 to 787) at 1 month and 530 µm (299 to 780) at 4 years (p=0.10). Three eyes required exchange due to rotational instability (vault >750 µm): two after trauma and one with ciliary body cyst. No cataracts were observed.",
        "Results": "Mean preoperative SE was −10.1 D (−5.5 to −14.25). At 4 years, mean SE was −0.50 D (−0.82 to 0.25), with 85.7% of eyes within ±0.50 D and 100% within ±1.00 D of emmetropia. Mean preoperative manifest astigmatism was 3.7 D (1.5 to 6.5); residual astigmatism was 0.47 D (0.26 to 0.62) at 1 month and 0.51 D (0.27 to 0.63) at 4 years (p=0.12). ECD showed no significant change: 2754.1 cells/mm² (2429 to 2895) preoperatively versus 2682.7 cells/mm² (2512 to 2889) at 4 years (p=0.2). Vault remained stable from 532.8 µm (300 to 787) at 1 month to 530.1 µm (299 to 780) at 4 years (p=0.10). Three eyes required exchange due to rotational instability (vault >750 µm): two after trauma and one with ciliary body cyst. No cataracts were observed.",
        "Conclusions": "Toric IPCL provided predictable and stable refractive correction in highly myopic eyes over 4 years, with no evidence of progressive refractive shift, endothelial compromise, or cataract formation. Rotational instability was uncommon and was observed in eyes with vault >750 µm, including cases associated with trauma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IPCL provided predictable and stable refractive correction in highly myopic eyes over 4 years, with no evidence of progressive refractive shift, endothelial compromise, or cataract formation. Rotational instability was uncommon and was observed in eyes with vault >750 µm, including cases associated with trauma.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1500,
      "source_fields": {
        "Abstract Final Identifier": "POREF114",
        "Title": "Four-Year Refractive Stability And Safety Of Toric Implantable Phakic Contact Lens (Ipcl) In Highly Myopic Eyes",
        "Presenting Author(s)": "Dr Germán Roberto Bianchi",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Germán",
        "Submitter Middle Name": "Roberto",
        "Submitter Last Name": "Bianchi",
        "Country Name": "Argentina",
        "Purpose": "To evaluate long-term refractive stability and safety outcomes in eyes implanted with posterior chamber toric Implantable Phakic Contact Lens (IPCL).",
        "Setting": "Clínica de Ojos Dr. Nano, Buenos Aires, Argentina.",
        "Methods": "Mean preoperative SE was −10.1 D (−5.5 to −14.25) and −0.50 D (−0.82 to 0.25) at 4 years. At final follow-up, 85.7% of eyes were within ±0.50 D and 100% within ±1.00 D. Preoperative astigmatism was 3.7 D (1.5 to 6.5); residual astigmatism was 0.47 D at 1 month and 0.51 D at 4 years (p=0.12). ECD remained stable (2754 to 2683 cells/mm²; p=0.2). Vault was 533 µm (300 to 787) at 1 month and 530 µm (299 to 780) at 4 years (p=0.10). Three eyes required exchange due to rotational instability (vault >750 µm): two after trauma and one with ciliary body cyst. No cataracts were observed.",
        "Results": "Mean preoperative SE was −10.1 D (−5.5 to −14.25). At 4 years, mean SE was −0.50 D (−0.82 to 0.25), with 85.7% of eyes within ±0.50 D and 100% within ±1.00 D of emmetropia. Mean preoperative manifest astigmatism was 3.7 D (1.5 to 6.5); residual astigmatism was 0.47 D (0.26 to 0.62) at 1 month and 0.51 D (0.27 to 0.63) at 4 years (p=0.12). ECD showed no significant change: 2754.1 cells/mm² (2429 to 2895) preoperatively versus 2682.7 cells/mm² (2512 to 2889) at 4 years (p=0.2). Vault remained stable from 532.8 µm (300 to 787) at 1 month to 530.1 µm (299 to 780) at 4 years (p=0.10). Three eyes required exchange due to rotational instability (vault >750 µm): two after trauma and one with ciliary body cyst. No cataracts were observed.",
        "Conclusions": "Toric IPCL provided predictable and stable refractive correction in highly myopic eyes over 4 years, with no evidence of progressive refractive shift, endothelial compromise, or cataract formation. Rotational instability was uncommon and was observed in eyes with vault >750 µm, including cases associated with trauma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 364
    },
    {
      "uid": "POREF115",
      "abstract_number": "POREF115",
      "title": "Comparison Of The Clinical Efficacy Of Evo Icl V5 And Loong Crystal In Correcting Moderate To High Myopia",
      "authors": "Dr Xu Bo",
      "presenter": "Dr Xu Bo",
      "normalized_authors": [
        "Xu Bo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xu Bo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Comparative analysis of the clinical efficacy of EVO ICL V5 and Loong Crystal in correcting moderate to high myopia.",
        "Setting": "Posterior chamber phakic intraocular lens (PIOL) implantation is reversible and is suitable for patients with limited corneal conditions who cannot undergo corneal refractive surgery or moderate to high myopia.EVO ICL V5 and Loong Crystal are the latest large-optic-zone posterior chamber phakic intraocular lenses launched by STAAR Surgical(Switzerland) and Eyebright Medical Technology(China) respectively.In this paper,Comparative analysis of the clinical efficacy of these two intraocular lenses.",
        "Methods": "case-control study. A total of 60 patients with moderate to high myopia who underwent PIOL surgery in our hospital were collected. They were divided into EVO ICL V5 group ( 60eyes ) and loong crystal group ( 60 eyes).Inclusion Criteria: (1) Age 21–45 years; (2) Myopia between -3.25 D and -9.00 D (inclusive);Exclusion Criteria:(1) unable to complete at least 3 months of follow-up;(2) History of intraocular or corneal surgery. Visual quality was assessed by investigating visual disturbances such as halos, glare, and starbursts using the QoV questionnaire.Visual acuity ,refractive status,vault and QoV questionnaire were examined 1 week, 1 month, 3 months after surgery.",
        "Results": "There were no statistically significant differences between the two groups in baseline characteristics including spherical equivalent, intraocular pressure, age, pupil size and gender.No patients in either group experienced preoperative visual disturbances such as glare, halos, or starbursts.All eyes achieved uncorrected visual acuity equal to or better than preoperative corrected visual acuity in both group.11% of eyes in EVO ICL V5 Group experienced visual disturbances such as glare, halos, and starbursts, compared to 20% in loong crystal Group(P < 0.05 ) at 3 months after Surgery. The vault was 496±134µm in the EVO ICL V5 group and\n243±152µm in the loong crystal Group ( P < 0.05 ).",
        "Conclusions": "EVO ICL V5 showed a lower incidence of early postoperative visual disturbances such as glare, halos, and starbursts, with more optimal vault."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EVO ICL V5 showed a lower incidence of early postoperative visual disturbances such as glare, halos, and starbursts, with more optimal vault.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1501,
      "source_fields": {
        "Abstract Final Identifier": "POREF115",
        "Title": "Comparison Of The Clinical Efficacy Of Evo Icl V5 And Loong Crystal In Correcting Moderate To High Myopia",
        "Presenting Author(s)": "Dr Xu Bo",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Xu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bo",
        "Country Name": "China",
        "Purpose": "Comparative analysis of the clinical efficacy of EVO ICL V5 and Loong Crystal in correcting moderate to high myopia.",
        "Setting": "Posterior chamber phakic intraocular lens (PIOL) implantation is reversible and is suitable for patients with limited corneal conditions who cannot undergo corneal refractive surgery or moderate to high myopia.EVO ICL V5 and Loong Crystal are the latest large-optic-zone posterior chamber phakic intraocular lenses launched by STAAR Surgical(Switzerland) and Eyebright Medical Technology(China) respectively.In this paper,Comparative analysis of the clinical efficacy of these two intraocular lenses.",
        "Methods": "case-control study. A total of 60 patients with moderate to high myopia who underwent PIOL surgery in our hospital were collected. They were divided into EVO ICL V5 group ( 60eyes ) and loong crystal group ( 60 eyes).Inclusion Criteria: (1) Age 21–45 years; (2) Myopia between -3.25 D and -9.00 D (inclusive);Exclusion Criteria:(1) unable to complete at least 3 months of follow-up;(2) History of intraocular or corneal surgery. Visual quality was assessed by investigating visual disturbances such as halos, glare, and starbursts using the QoV questionnaire.Visual acuity ,refractive status,vault and QoV questionnaire were examined 1 week, 1 month, 3 months after surgery.",
        "Results": "There were no statistically significant differences between the two groups in baseline characteristics including spherical equivalent, intraocular pressure, age, pupil size and gender.No patients in either group experienced preoperative visual disturbances such as glare, halos, or starbursts.All eyes achieved uncorrected visual acuity equal to or better than preoperative corrected visual acuity in both group.11% of eyes in EVO ICL V5 Group experienced visual disturbances such as glare, halos, and starbursts, compared to 20% in loong crystal Group(P < 0.05 ) at 3 months after Surgery. The vault was 496±134µm in the EVO ICL V5 group and\n243±152µm in the loong crystal Group ( P < 0.05 ).",
        "Conclusions": "EVO ICL V5 showed a lower incidence of early postoperative visual disturbances such as glare, halos, and starbursts, with more optimal vault."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "POREF116",
      "abstract_number": "POREF116",
      "title": "Phakic Intraocular Lens (Icl) Implantation In A Patient With Bilateral Keratoconus Previously Treated With Intracorneal Ring Segments",
      "authors": "Mr Alejandro Bonmati Echevarria",
      "presenter": "Mr Alejandro Bonmati Echevarria",
      "normalized_authors": [
        "Alejandro Bonmati Echevarria"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alejandro Bonmati Echevarria",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the correction of high ametropia in patients with keratoconus using phakic intraocular lenses (ICL) and to understand the importance of offering patients with keratoconus a wide range of intermediate therapeutic options that have succeeded in slowing disease progression while maintaining good visual quality throughout the patient’s life.",
        "Setting": "Thispatient was treated and operated at the Department of Ophthalmology, Hospital Virgen del Rocío, Sevilla, Spain, a tertiary referral center, between January 2024 and December 2025.",
        "Methods": "23-year-old male patient with bilateral keratoconus grade II/III on Pentacam.\n\nInitial visual acuity (VA) was 0.12 improving to 0.42 with a pinhole in the right eye (OD) and 0.7 with no improvement in the left eye (OS).\n\nThe remainder of the ocular examination was unremarkable.\n\nICRS implantation was performed in the OD with 210/250 microns and an optical zone (OZ) of 6 mm in February 2019.\n\nAfter that, VA improved to 0.46, further improving to 0.7 with a stable Pentacam showing a centered cone. No progression was observed in the OS.\n\nManifest refraction: -5 -1.25 × 75° in OD and -1.25 -0.75 × 20° in OS.\n\nA scleral contact lens in the OD and a soft contact lens in the OS were subsequently recommended, but the patient could not tolerate them",
        "Results": "During follow-up, the patient continued to show stable topography with check-ups every 6–8 months.\n\nOnce the cornea was stabilized, ICL implantation was planned in both eyes to try to improve visual acuity to 1.0 and correct the spherical defec\n\nThe patient feels comfortable after ICL implantation in both eyes, with the procedure performed first in the right eye (OD).\n\nHe reports improved visual acuity, achieving a postoperative uncorrected visual acuity (UCVA) of 1.0 in both eyes , compared to a preoperative VA of 0.7 in both eyes with correction.\n\nManifest refraction: OD: -0.25 -0.25 × 167°; OS: 0 -0.5 × 75°\n\nThe patient is currently satisfied and fully adapted, without the need for glasses or any type of contact lenses",
        "Conclusions": "It is important to individualize the management of patients with keratoconus . Currently, in approaching a patient with keratoconus (KC), several factors must be considered: age, presence or absence of progression, stage of the disease, refraction, vision with optical correction and tolerance to correction.\n\nFurthermore, it is crucial to consider the possibility of implanting phakic lenses in younger patients (ICL or iris-fixated lenses) to correct the spherical defect once the cornea has been stabilized and regularized through cross-linking (CXL) or ICRS implantation .\n\nFinally, it is important to establish an empathetic relationship with these patients to ensure adherence to medical treatment, which remains a critical component of care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "It is important to individualize the management of patients with keratoconus . Currently, in approaching a patient with keratoconus (KC), several factors must be considered: age, presence or absence of progression, stage of the disease, refraction, vision with optical correction and tolerance to correction. Furthermore, it is crucial to consider the possibility of implanting phakic lenses in younger patients (ICL…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1502,
      "source_fields": {
        "Abstract Final Identifier": "POREF116",
        "Title": "Phakic Intraocular Lens (Icl) Implantation In A Patient With Bilateral Keratoconus Previously Treated With Intracorneal Ring Segments",
        "Presenting Author(s)": "Mr Alejandro Bonmati Echevarria",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Alejandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bonmati Echevarria",
        "Country Name": "Spain",
        "Purpose": "To evaluate the correction of high ametropia in patients with keratoconus using phakic intraocular lenses (ICL) and to understand the importance of offering patients with keratoconus a wide range of intermediate therapeutic options that have succeeded in slowing disease progression while maintaining good visual quality throughout the patient’s life.",
        "Setting": "Thispatient was treated and operated at the Department of Ophthalmology, Hospital Virgen del Rocío, Sevilla, Spain, a tertiary referral center, between January 2024 and December 2025.",
        "Methods": "23-year-old male patient with bilateral keratoconus grade II/III on Pentacam.\n\nInitial visual acuity (VA) was 0.12 improving to 0.42 with a pinhole in the right eye (OD) and 0.7 with no improvement in the left eye (OS).\n\nThe remainder of the ocular examination was unremarkable.\n\nICRS implantation was performed in the OD with 210/250 microns and an optical zone (OZ) of 6 mm in February 2019.\n\nAfter that, VA improved to 0.46, further improving to 0.7 with a stable Pentacam showing a centered cone. No progression was observed in the OS.\n\nManifest refraction: -5 -1.25 × 75° in OD and -1.25 -0.75 × 20° in OS.\n\nA scleral contact lens in the OD and a soft contact lens in the OS were subsequently recommended, but the patient could not tolerate them",
        "Results": "During follow-up, the patient continued to show stable topography with check-ups every 6–8 months.\n\nOnce the cornea was stabilized, ICL implantation was planned in both eyes to try to improve visual acuity to 1.0 and correct the spherical defec\n\nThe patient feels comfortable after ICL implantation in both eyes, with the procedure performed first in the right eye (OD).\n\nHe reports improved visual acuity, achieving a postoperative uncorrected visual acuity (UCVA) of 1.0 in both eyes , compared to a preoperative VA of 0.7 in both eyes with correction.\n\nManifest refraction: OD: -0.25 -0.25 × 167°; OS: 0 -0.5 × 75°\n\nThe patient is currently satisfied and fully adapted, without the need for glasses or any type of contact lenses",
        "Conclusions": "It is important to individualize the management of patients with keratoconus . Currently, in approaching a patient with keratoconus (KC), several factors must be considered: age, presence or absence of progression, stage of the disease, refraction, vision with optical correction and tolerance to correction.\n\nFurthermore, it is crucial to consider the possibility of implanting phakic lenses in younger patients (ICL or iris-fixated lenses) to correct the spherical defect once the cornea has been stabilized and regularized through cross-linking (CXL) or ICRS implantation .\n\nFinally, it is important to establish an empathetic relationship with these patients to ensure adherence to medical treatment, which remains a critical component of care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 444
    },
    {
      "uid": "POREF117",
      "abstract_number": "POREF117",
      "title": "Koji-Sakamoto Versus Nakamura-Kunimoto For Vault Prediction In Icl Surgery: A Comparative Clinical Study",
      "authors": "Dr Thi Thu Huong Bui",
      "presenter": "Dr Thi Thu Huong Bui",
      "normalized_authors": [
        "Thi Thu Huong Bui"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Huong Bui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To evaluate and compare the reliability and clinical accuracy of the Nakamura-Kunimoto (NK) and Koji-Sakamoto (KS) formulas in predicting postoperative vault after Implantable Collamer Lens (ICL) surgery, and to assess their concordance with actual ICL size selection in clinical practice.",
        "Setting": "Vietnam Russia International Eye Hospital, Ho Chi Minh City, Vietnam.",
        "Methods": "This retrospective cross-sectional study included 52 eyes of 26 patients who underwent ICL V5 implantation between July and September 2025. Preoperative anterior segment parameters were measured using CASIA2 anterior segment optical coherence tomography (AS-OCT). Predicted vault values calculated using the NK and KS formulas were compared with actual vault measured at 1 month postoperatively. Concordance in ICL size selection among OCOS, NK, and KS was evaluated against the implanted lens size. Statistical analysis included paired t-test, mean absolute error (MAE), and Bland-Altman analysis.",
        "Results": "The study included predominantly female patients (92.3%), mean age 22.7 ± 3.9 years, with mean myopia −11.59 ± 3.02 D. Mean anterior chamber depth was 3.56 ± 0.37 mm and white-to-white 11.65 ± 0.32 mm. Implanted ICL sizes were 12.1 mm (36.5%), 12.6 mm (55.8%), and 13.2 mm (7.7%).\n\nConcordance with implanted size was 100% for OCOS, 71.2% for NK, and 46.2% for KS. In 32 eyes with 1-month vault data (646.6 ± 176.9 µm), NK underestimated vault (515.2 ± 176.0 µm, p = 0.004), whereas KS showed no significant difference (583.8 ± 134.0 µm, p = 0.070). MAE was lower with KS (144.3 µm) than NK (204.4 µm), indicating 29.4% higher accuracy. Ideal vault (250–750 µm) was more frequent with KS (87.5%) than NK (81.2%), particularly for the 12.6 mm size.",
        "Conclusions": "The Koji-Sakamoto formula demonstrated superior accuracy compared with the Nakamura-Kunimoto formula in predicting postoperative vault following ICL implantation, particularly for the 12.6 mm lens size. Integrating the KS formula alongside OCOS may enhance ICL size selection and optimize postoperative vault outcomes in clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Koji-Sakamoto formula demonstrated superior accuracy compared with the Nakamura-Kunimoto formula in predicting postoperative vault following ICL implantation, particularly for the 12.6 mm lens size. Integrating the KS formula alongside OCOS may enhance ICL size selection and optimize postoperative vault outcomes in clinical practice.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1503,
      "source_fields": {
        "Abstract Final Identifier": "POREF117",
        "Title": "Koji-Sakamoto Versus Nakamura-Kunimoto For Vault Prediction In Icl Surgery: A Comparative Clinical Study",
        "Presenting Author(s)": "Dr Thi Thu Huong Bui",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Huong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bui",
        "Country Name": "Viet Nam",
        "Purpose": "To evaluate and compare the reliability and clinical accuracy of the Nakamura-Kunimoto (NK) and Koji-Sakamoto (KS) formulas in predicting postoperative vault after Implantable Collamer Lens (ICL) surgery, and to assess their concordance with actual ICL size selection in clinical practice.",
        "Setting": "Vietnam Russia International Eye Hospital, Ho Chi Minh City, Vietnam.",
        "Methods": "This retrospective cross-sectional study included 52 eyes of 26 patients who underwent ICL V5 implantation between July and September 2025. Preoperative anterior segment parameters were measured using CASIA2 anterior segment optical coherence tomography (AS-OCT). Predicted vault values calculated using the NK and KS formulas were compared with actual vault measured at 1 month postoperatively. Concordance in ICL size selection among OCOS, NK, and KS was evaluated against the implanted lens size. Statistical analysis included paired t-test, mean absolute error (MAE), and Bland-Altman analysis.",
        "Results": "The study included predominantly female patients (92.3%), mean age 22.7 ± 3.9 years, with mean myopia −11.59 ± 3.02 D. Mean anterior chamber depth was 3.56 ± 0.37 mm and white-to-white 11.65 ± 0.32 mm. Implanted ICL sizes were 12.1 mm (36.5%), 12.6 mm (55.8%), and 13.2 mm (7.7%).\n\nConcordance with implanted size was 100% for OCOS, 71.2% for NK, and 46.2% for KS. In 32 eyes with 1-month vault data (646.6 ± 176.9 µm), NK underestimated vault (515.2 ± 176.0 µm, p = 0.004), whereas KS showed no significant difference (583.8 ± 134.0 µm, p = 0.070). MAE was lower with KS (144.3 µm) than NK (204.4 µm), indicating 29.4% higher accuracy. Ideal vault (250–750 µm) was more frequent with KS (87.5%) than NK (81.2%), particularly for the 12.6 mm size.",
        "Conclusions": "The Koji-Sakamoto formula demonstrated superior accuracy compared with the Nakamura-Kunimoto formula in predicting postoperative vault following ICL implantation, particularly for the 12.6 mm lens size. Integrating the KS formula alongside OCOS may enhance ICL size selection and optimize postoperative vault outcomes in clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POREF118",
      "abstract_number": "POREF118",
      "title": "Vertical Versus Horizontal Evo Icl Implantation: Impact On Vault, Centration, And Refractive Outcomes",
      "authors": "Dr Lucia Cabrillo Estevez",
      "presenter": "Dr Lucia Cabrillo Estevez",
      "normalized_authors": [
        "Lucia Cabrillo Estevez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucia Cabrillo Estevez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare efficacy, safety, predictability, vault behavior, and postoperative centration between horizontal (H) and vertical (V) EVO ICL implantation, and to evaluate whether vertical orientation may function as an intermediate sizing strategy.",
        "Setting": "Retrospective comparative study in one single clinical site",
        "Methods": "296 eyes included(195H-101V). Eyes implanted between 2019 and 2025 with EVO phakic ICLs of power less than −10.00D were included. Minimum follow-up:1month, and one eye per patient was analyzed. Refractive outcomes, efficacy/safety indexes, predictability, vault, and intraocular pressure(IOP) were assessed. Sizing was determined using an institutional nomogram based.\n\nCentration was evaluated using Pentacam retroillumination images by measuring displacement from the aquaport center to the corneal vertex. The decentration vector was decomposed into Cartesian coordinates. Laterality normalization was applied for combined-eye analysis. Group comparisons performed using Wilcoxon rank-sum test and exploratory variance analysis.",
        "Results": "Groups were comparable in baseline preoperative characteristics.\n\nNo significant differences were observed in refractive outcomes at 1month:UDVA 1.16±0.22(H) vs 1.16±0.22(V). SEQ −0.04±0.16D(H) vs −0.06±0.17D(V). Efficacy indexes:1.15±0.21(H)-1.15±0.22(V). Safety indexes:1.18±0.19(H)-1.19±0.19(V).\n\nV group vault (382.9±187.2µm) was lower than H group(451.4±190.7µm), but without clinical relevance. Same with IOP: not clinically relevant.\n\nIn centration analysis, mean decentration magnitude was0.50±0.20mm(H) and 0.45±0.26mm(V). Horizontal deviation was lower in Vgroup (difference -0.12 mm; variance ratio=0.72; p=0.051). A small difference was observed in the Ycoordinate (p=0.023), despite of limited clinical magnitude.",
        "Conclusions": "Vertical EVO ICL implantation provides refractive outcomes, efficacy, and safety comparable to horizontal implantation. However, it is associated with lower and more controlled postoperative vault, consistent with a functional half-size effect.\n\nVertical implantation demonstrated a pattern consistent with an “intermediate size effect,” particularly in eyes with high or low cristaline lens rise.\n\nMean centration was similar in both orientations, although vertical implantation showed a trend toward reduced horizontal variability.\n\nVertical orientation may be considered a strategic tool to optimize lens sizing without compromising visual outcomes or safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vertical EVO ICL implantation provides refractive outcomes, efficacy, and safety comparable to horizontal implantation. However, it is associated with lower and more controlled postoperative vault, consistent with a functional half-size effect. Vertical implantation demonstrated a pattern consistent with an “intermediate size effect,” particularly in eyes with high or low cristaline lens rise. Mean centration was…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1504,
      "source_fields": {
        "Abstract Final Identifier": "POREF118",
        "Title": "Vertical Versus Horizontal Evo Icl Implantation: Impact On Vault, Centration, And Refractive Outcomes",
        "Presenting Author(s)": "Dr Lucia Cabrillo Estevez",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Lucia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cabrillo Estevez",
        "Country Name": "Spain",
        "Purpose": "To compare efficacy, safety, predictability, vault behavior, and postoperative centration between horizontal (H) and vertical (V) EVO ICL implantation, and to evaluate whether vertical orientation may function as an intermediate sizing strategy.",
        "Setting": "Retrospective comparative study in one single clinical site",
        "Methods": "296 eyes included(195H-101V). Eyes implanted between 2019 and 2025 with EVO phakic ICLs of power less than −10.00D were included. Minimum follow-up:1month, and one eye per patient was analyzed. Refractive outcomes, efficacy/safety indexes, predictability, vault, and intraocular pressure(IOP) were assessed. Sizing was determined using an institutional nomogram based.\n\nCentration was evaluated using Pentacam retroillumination images by measuring displacement from the aquaport center to the corneal vertex. The decentration vector was decomposed into Cartesian coordinates. Laterality normalization was applied for combined-eye analysis. Group comparisons performed using Wilcoxon rank-sum test and exploratory variance analysis.",
        "Results": "Groups were comparable in baseline preoperative characteristics.\n\nNo significant differences were observed in refractive outcomes at 1month:UDVA 1.16±0.22(H) vs 1.16±0.22(V). SEQ −0.04±0.16D(H) vs −0.06±0.17D(V). Efficacy indexes:1.15±0.21(H)-1.15±0.22(V). Safety indexes:1.18±0.19(H)-1.19±0.19(V).\n\nV group vault (382.9±187.2µm) was lower than H group(451.4±190.7µm), but without clinical relevance. Same with IOP: not clinically relevant.\n\nIn centration analysis, mean decentration magnitude was0.50±0.20mm(H) and 0.45±0.26mm(V). Horizontal deviation was lower in Vgroup (difference -0.12 mm; variance ratio=0.72; p=0.051). A small difference was observed in the Ycoordinate (p=0.023), despite of limited clinical magnitude.",
        "Conclusions": "Vertical EVO ICL implantation provides refractive outcomes, efficacy, and safety comparable to horizontal implantation. However, it is associated with lower and more controlled postoperative vault, consistent with a functional half-size effect.\n\nVertical implantation demonstrated a pattern consistent with an “intermediate size effect,” particularly in eyes with high or low cristaline lens rise.\n\nMean centration was similar in both orientations, although vertical implantation showed a trend toward reduced horizontal variability.\n\nVertical orientation may be considered a strategic tool to optimize lens sizing without compromising visual outcomes or safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "POREF119",
      "abstract_number": "POREF119",
      "title": "Anterior Chamber Depth As A Predictor Of Refractive Error Following Implantable Collamer Lens Surgery",
      "authors": "Dr Wang Cai",
      "presenter": "Dr Wang Cai",
      "normalized_authors": [
        "Wang Cai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wang Cai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the correlation between preoperative anterior chamber depth (ACD) and postoperative refractive error after phakic ICL implantation, and to provide clinical insights for optimizing ICL power selection.",
        "Setting": "This retrospective study included 47 patients (94 eyes) who underwent ICL surgery between December 2024 and November 2025. Eyes were stratified into two groups based on preoperative ACD: shallow ACD group (ACD < 3.0 mm, 52 eyes) and deep ACD group (ACD ≥ 3.5 mm, 42 eyes).",
        "Methods": "A total of 47 patients (94 eyes) who underwent ICL surgery in our hospital from December 2024 to November 2025 were selected. Among them, 52 eyes were in the shallow ACD group (ACD < 3.0mm) and 42 eyes were in the deep ACD group (ACD ≥ 3.5mm). Univariate and multivariate linear regression analyses were performed to analyze the impact of different ACDs on the accuracy of refractive prediction after ICL surgery, and to evaluate the distribution characteristics of refractive error under different ACD stratifications.",
        "Results": "At 3 months postoperatively, the mean refractive prediction error was +0.24 ± 0.64 D in the shallow ACD group and −0.25 ± 0.78 D in the deep ACD group, with a statistically significant difference between groups (P < 0.05). Pearson correlation analysis revealed a significant negative correlation between preoperative ACD and postoperative refractive prediction error (r = −0.54, P < 0.05), suggesting that deeper ACD is associated with a more myopic refractive outcome. Multivariate linear regression analysis, incorporating ACD, lens thickness (LT), age, and postoperative vault as independent variables, identified ACD as an independent predictor of refractive prediction error after ICL implantation (β = −0.62, P < 0.001).",
        "Conclusions": "Anterior chamber depth is a key independent anatomical factor affecting refractive error after ICL surgery, manifesting as shallow ACD tending to cause hyperopic errors, while deep ACD tends to cause myopic errors. This effect interacts with other ocular parameters (such as lens thickness, vault, etc.). In clinical practice, relevant factors should be considered comprehensively to minimize refractive errors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior chamber depth is a key independent anatomical factor affecting refractive error after ICL surgery, manifesting as shallow ACD tending to cause hyperopic errors, while deep ACD tends to cause myopic errors. This effect interacts with other ocular parameters (such as lens thickness, vault, etc.). In clinical practice, relevant factors should be considered comprehensively to minimize refractive errors.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1505,
      "source_fields": {
        "Abstract Final Identifier": "POREF119",
        "Title": "Anterior Chamber Depth As A Predictor Of Refractive Error Following Implantable Collamer Lens Surgery",
        "Presenting Author(s)": "Dr Wang Cai",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Wang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cai",
        "Country Name": "China",
        "Purpose": "To investigate the correlation between preoperative anterior chamber depth (ACD) and postoperative refractive error after phakic ICL implantation, and to provide clinical insights for optimizing ICL power selection.",
        "Setting": "This retrospective study included 47 patients (94 eyes) who underwent ICL surgery between December 2024 and November 2025. Eyes were stratified into two groups based on preoperative ACD: shallow ACD group (ACD < 3.0 mm, 52 eyes) and deep ACD group (ACD ≥ 3.5 mm, 42 eyes).",
        "Methods": "A total of 47 patients (94 eyes) who underwent ICL surgery in our hospital from December 2024 to November 2025 were selected. Among them, 52 eyes were in the shallow ACD group (ACD < 3.0mm) and 42 eyes were in the deep ACD group (ACD ≥ 3.5mm). Univariate and multivariate linear regression analyses were performed to analyze the impact of different ACDs on the accuracy of refractive prediction after ICL surgery, and to evaluate the distribution characteristics of refractive error under different ACD stratifications.",
        "Results": "At 3 months postoperatively, the mean refractive prediction error was +0.24 ± 0.64 D in the shallow ACD group and −0.25 ± 0.78 D in the deep ACD group, with a statistically significant difference between groups (P < 0.05). Pearson correlation analysis revealed a significant negative correlation between preoperative ACD and postoperative refractive prediction error (r = −0.54, P < 0.05), suggesting that deeper ACD is associated with a more myopic refractive outcome. Multivariate linear regression analysis, incorporating ACD, lens thickness (LT), age, and postoperative vault as independent variables, identified ACD as an independent predictor of refractive prediction error after ICL implantation (β = −0.62, P < 0.001).",
        "Conclusions": "Anterior chamber depth is a key independent anatomical factor affecting refractive error after ICL surgery, manifesting as shallow ACD tending to cause hyperopic errors, while deep ACD tends to cause myopic errors. This effect interacts with other ocular parameters (such as lens thickness, vault, etc.). In clinical practice, relevant factors should be considered comprehensively to minimize refractive errors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "POREF120",
      "abstract_number": "POREF120",
      "title": "Mechanical Behaviour And Vaulting Of Implantable Collamer Lenses (Icl) In A Controlled In Vitro Model Using Containers Of Variable Dimensions",
      "authors": "Mr Paolo Cecchini",
      "presenter": "Mr Paolo Cecchini",
      "normalized_authors": [
        "Paolo Cecchini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paolo Cecchini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the mechanical behaviour and vaulting characteristics of Implantable Collamer Lenses (ICLs) under conditions simulating varying sulcus-to-sulcus diameters. Accurate vault prediction is critical for successful ICL implantation.",
        "Setting": "In vitro experimental laboratory study, Clinica Baviera, Milan, Italy",
        "Methods": "An experimental model was developed utilizing a series of fixed-dimension containers of varying sizes to simulate different ciliary sulcus diameters. ICLs of different sizes were placed into the different containers and fully immersed in a balanced salt solution (BSS). High-resolution photography was used to capture the lens profile. Central vault was quantied through digital image analysis using ImageJ/Fiji software.",
        "Results": "A direct and quantifiable correlation was observed between the specific size of the container and the resultant ICL vaulting. Placing the ICLs in progressively smaller containers (simulating a narrower sulcus) resulted in a progressive increase in the central vault. Data were plotted to obtain the vaulting curves of ICLs of different sizes. This controlled setup successfully isolated the ICL's mechanical response to varying horizontal dimensions.",
        "Conclusions": "ICL vaulting is highly sensitive to the available horizontal space. Utilizing a series of fixed-dimension containers provides a reliable method for studying how vaulting varies according to sulcus size. Although the model does not fully replicate the complex biomechanical environment of human sulcus anatomy, this approach could help refine sizing algorithms and improve postoperative vault predictability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICL vaulting is highly sensitive to the available horizontal space. Utilizing a series of fixed-dimension containers provides a reliable method for studying how vaulting varies according to sulcus size. Although the model does not fully replicate the complex biomechanical environment of human sulcus anatomy, this approach could help refine sizing algorithms and improve postoperative vault predictability.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1506,
      "source_fields": {
        "Abstract Final Identifier": "POREF120",
        "Title": "Mechanical Behaviour And Vaulting Of Implantable Collamer Lenses (Icl) In A Controlled In Vitro Model Using Containers Of Variable Dimensions",
        "Presenting Author(s)": "Mr Paolo Cecchini",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Paolo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cecchini",
        "Country Name": "Italy",
        "Purpose": "To evaluate the mechanical behaviour and vaulting characteristics of Implantable Collamer Lenses (ICLs) under conditions simulating varying sulcus-to-sulcus diameters. Accurate vault prediction is critical for successful ICL implantation.",
        "Setting": "In vitro experimental laboratory study, Clinica Baviera, Milan, Italy",
        "Methods": "An experimental model was developed utilizing a series of fixed-dimension containers of varying sizes to simulate different ciliary sulcus diameters. ICLs of different sizes were placed into the different containers and fully immersed in a balanced salt solution (BSS). High-resolution photography was used to capture the lens profile. Central vault was quantied through digital image analysis using ImageJ/Fiji software.",
        "Results": "A direct and quantifiable correlation was observed between the specific size of the container and the resultant ICL vaulting. Placing the ICLs in progressively smaller containers (simulating a narrower sulcus) resulted in a progressive increase in the central vault. Data were plotted to obtain the vaulting curves of ICLs of different sizes. This controlled setup successfully isolated the ICL's mechanical response to varying horizontal dimensions.",
        "Conclusions": "ICL vaulting is highly sensitive to the available horizontal space. Utilizing a series of fixed-dimension containers provides a reliable method for studying how vaulting varies according to sulcus size. Although the model does not fully replicate the complex biomechanical environment of human sulcus anatomy, this approach could help refine sizing algorithms and improve postoperative vault predictability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POREF121",
      "abstract_number": "POREF121",
      "title": "Reduction Of Pre-Existing Astigmatism Following Spherical Icl Implantation In Eyes With Posterior Chamber Abnormalities: A Clinical Observation Of Staged Refractive Surgery",
      "authors": "Dr Qian Chen",
      "presenter": "Dr Qian Chen",
      "normalized_authors": [
        "Qian Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Qian Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy of a staged \"Bioptics\" approach (initial spherical ICL implantation followed by scheduled corneal laser refractive surgery) in highly astigmatism patients with posterior chamber abnormalities unsuitable for Toric ICL (TICL), and to investigate the patterns of residual astigmatism changes following spherical ICL surgery.",
        "Setting": "Wuhan Hongshan Aier Eye Hospital",
        "Methods": "This prospective study included 20 eyes with abnormal posterior chamber structures (e.g., a wide posterior chamber angle or ciliary body abnormalities ). The surgical protocol involved primary spherical ICL implantation to correct myopia, followed by LASIK refinement for residual astigmatism 3 month postoperatively. Manifest refraction and corneal topography were performed to compare total eye astigmatism and corneal astigmatism at three stages: preoperative, post-ICL, and post-LASIK. Refractive outcomes, including Uncorrected Distance Visual Acuity (UDVA) and corrected distance visual acuity (CDVA)were analyzed.",
        "Results": "Post-ICL, 80% and 100% of eyes achieved a UDVA of ≥ 20/20 and ≥ 20/25, respectively. Total eye astigmatism decreased significantly by 1.45 ± 0.25 D to a residual of 2.25 ± 0.65 D. In contrast, corneal topography showed only a minor change ( − 0.25 ± 0.11 D). This discrepancy suggests that astigmatic reduction was primarily driven by intraocular optical realignment rather than corneal surface modification. The staged approach effectively bypassed TICL rotation risks in irregular anatomy, ensuring a stable baseline for subsequent LASIK.",
        "Conclusions": "For patients with abnormal posterior chamber structures, the staged \"Bioptics\" approach is highly effective. The primary implantation of a spherical ICL induces a notable \"spontaneous\" reduction in total eye astigmatism ( 1.45 D on average). This phenomenon suggests that preoperative astigmatism measurements may overestimate the final requirement for laser correction, highlighting the necessity of re-evaluating manifest refraction post-ICL to ensure precise second-stage laser ablation and avoid overcorrection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "For patients with abnormal posterior chamber structures, the staged \"Bioptics\" approach is highly effective. The primary implantation of a spherical ICL induces a notable \"spontaneous\" reduction in total eye astigmatism ( 1.45 D on average). This phenomenon suggests that preoperative astigmatism measurements may overestimate the final requirement for laser correction, highlighting the necessity of re-evaluating…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1507,
      "source_fields": {
        "Abstract Final Identifier": "POREF121",
        "Title": "Reduction Of Pre-Existing Astigmatism Following Spherical Icl Implantation In Eyes With Posterior Chamber Abnormalities: A Clinical Observation Of Staged Refractive Surgery",
        "Presenting Author(s)": "Dr Qian Chen",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Qian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "China",
        "Purpose": "To evaluate the clinical efficacy of a staged \"Bioptics\" approach (initial spherical ICL implantation followed by scheduled corneal laser refractive surgery) in highly astigmatism patients with posterior chamber abnormalities unsuitable for Toric ICL (TICL), and to investigate the patterns of residual astigmatism changes following spherical ICL surgery.",
        "Setting": "Wuhan Hongshan Aier Eye Hospital",
        "Methods": "This prospective study included 20 eyes with abnormal posterior chamber structures (e.g., a wide posterior chamber angle or ciliary body abnormalities ). The surgical protocol involved primary spherical ICL implantation to correct myopia, followed by LASIK refinement for residual astigmatism 3 month postoperatively. Manifest refraction and corneal topography were performed to compare total eye astigmatism and corneal astigmatism at three stages: preoperative, post-ICL, and post-LASIK. Refractive outcomes, including Uncorrected Distance Visual Acuity (UDVA) and corrected distance visual acuity (CDVA)were analyzed.",
        "Results": "Post-ICL, 80% and 100% of eyes achieved a UDVA of ≥ 20/20 and ≥ 20/25, respectively. Total eye astigmatism decreased significantly by 1.45 ± 0.25 D to a residual of 2.25 ± 0.65 D. In contrast, corneal topography showed only a minor change ( − 0.25 ± 0.11 D). This discrepancy suggests that astigmatic reduction was primarily driven by intraocular optical realignment rather than corneal surface modification. The staged approach effectively bypassed TICL rotation risks in irregular anatomy, ensuring a stable baseline for subsequent LASIK.",
        "Conclusions": "For patients with abnormal posterior chamber structures, the staged \"Bioptics\" approach is highly effective. The primary implantation of a spherical ICL induces a notable \"spontaneous\" reduction in total eye astigmatism ( 1.45 D on average). This phenomenon suggests that preoperative astigmatism measurements may overestimate the final requirement for laser correction, highlighting the necessity of re-evaluating manifest refraction post-ICL to ensure precise second-stage laser ablation and avoid overcorrection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "POREF122",
      "abstract_number": "POREF122",
      "title": "Clinical Efficacy And Visual Quality Assessment Of The V5 Implantable Collamer Lens: A First Cohort Study In China",
      "authors": "Dr Yuexi Chen",
      "presenter": "Dr Yuexi Chen",
      "normalized_authors": [
        "Yuexi Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yuexi Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the visual and refractive outcomes and night vision performance questionnaire results of the first cohort of V5 Implantable Collamer Lens (ICL) implantations for myopia correction in China.",
        "Setting": "The EVO Visian ICL (STAAR, USA) is a posterior chamber phakic lens with proven long-term efficacy for moderate to high myopia. The V5 model, featuring a larger optical diameter (5.0–6.1 mm vs. 4.9–5.8 mm in the V4c), was widely introduced in China by December 2025. Night vision disturbances (glare/halos) commonly affect satisfaction when pupils exceed the optical zone, yet V5 data in China remain scarce. This study assessed visual outcomes and night vision symptoms following V5 implantation.",
        "Methods": "A prospective and randomized study. Patients from Chengdu Aier EYE Hospital who underwent ICL V5 implantation in December 2025. The visual acuity, spherical equivalent (SE), vaults, corneal endothelial count (ECD), higher-order aberrations (HOA), contrast sensitivity frequencies (CSF), and visual quality questionnaire were collected before operation and at 1-day, 1-week, 1-month, and 3 months visit after ICL V5 implantation.",
        "Results": "A total of 22 eyes from 11 patients were enrolled. The mean SE was -7.42 ± 2.08 Dpreoperatively. Final UDVA averaged -0.095 ± 0.054 logMAR, with 100% achieving 20/20 or better. Predictability was high: 100% within ±0.25 D of target, with a mean SE of 0 ± 0.17 D. Safety and efficacy indices were both 1.03 ± 0.01. Mean vault was 508 ± 218 µm. Postoperative total RMS, HOA, and spherical aberration slightly decreased, while coma and trefoil slightly increased (p > 0.05). Contrast sensitivity decreased at low spatial frequencies (1.8–6 CPD) but increased at high frequencies (12–24 CPD). Night vision symptoms (glare/halos) gradually diminished postoperatively, particularly in patients with larger pupils, with most patients reporting satisfaction.",
        "Conclusions": "V5 Implantation of the ICL, first cohort in China, displayed high levels of efficacy, refractive predictability, and safety for correcting myopia, yielding excellent visual quality and high patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "V5 Implantation of the ICL, first cohort in China, displayed high levels of efficacy, refractive predictability, and safety for correcting myopia, yielding excellent visual quality and high patient satisfaction.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1508,
      "source_fields": {
        "Abstract Final Identifier": "POREF122",
        "Title": "Clinical Efficacy And Visual Quality Assessment Of The V5 Implantable Collamer Lens: A First Cohort Study In China",
        "Presenting Author(s)": "Dr Yuexi Chen",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Yuexi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "China",
        "Purpose": "To investigate the visual and refractive outcomes and night vision performance questionnaire results of the first cohort of V5 Implantable Collamer Lens (ICL) implantations for myopia correction in China.",
        "Setting": "The EVO Visian ICL (STAAR, USA) is a posterior chamber phakic lens with proven long-term efficacy for moderate to high myopia. The V5 model, featuring a larger optical diameter (5.0–6.1 mm vs. 4.9–5.8 mm in the V4c), was widely introduced in China by December 2025. Night vision disturbances (glare/halos) commonly affect satisfaction when pupils exceed the optical zone, yet V5 data in China remain scarce. This study assessed visual outcomes and night vision symptoms following V5 implantation.",
        "Methods": "A prospective and randomized study. Patients from Chengdu Aier EYE Hospital who underwent ICL V5 implantation in December 2025. The visual acuity, spherical equivalent (SE), vaults, corneal endothelial count (ECD), higher-order aberrations (HOA), contrast sensitivity frequencies (CSF), and visual quality questionnaire were collected before operation and at 1-day, 1-week, 1-month, and 3 months visit after ICL V5 implantation.",
        "Results": "A total of 22 eyes from 11 patients were enrolled. The mean SE was -7.42 ± 2.08 Dpreoperatively. Final UDVA averaged -0.095 ± 0.054 logMAR, with 100% achieving 20/20 or better. Predictability was high: 100% within ±0.25 D of target, with a mean SE of 0 ± 0.17 D. Safety and efficacy indices were both 1.03 ± 0.01. Mean vault was 508 ± 218 µm. Postoperative total RMS, HOA, and spherical aberration slightly decreased, while coma and trefoil slightly increased (p > 0.05). Contrast sensitivity decreased at low spatial frequencies (1.8–6 CPD) but increased at high frequencies (12–24 CPD). Night vision symptoms (glare/halos) gradually diminished postoperatively, particularly in patients with larger pupils, with most patients reporting satisfaction.",
        "Conclusions": "V5 Implantation of the ICL, first cohort in China, displayed high levels of efficacy, refractive predictability, and safety for correcting myopia, yielding excellent visual quality and high patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POREF123",
      "abstract_number": "POREF123",
      "title": "Safety & Efficacy Of Eyecryl Phakic Iol In Thai Eyes",
      "authors": "Dr Buakhwan Chinkulkitnivat",
      "presenter": "Dr Buakhwan Chinkulkitnivat",
      "normalized_authors": [
        "Buakhwan Chinkulkitnivat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Buakhwan Chinkulkitnivat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "To evaluate safety, efficacy, refractive predictability, and vault outcomes of Eyecryl Phakic IOL implantation in Thai eyes with moderate to high myopia.",
        "Setting": "Surat Eye Hospital, Suratthani, Thailand.",
        "Methods": "Prospective interventional case series of 20 eyes (10 patients) undergoing Eyecryl Phakic IOL implantation. Preoperative mean spherical error was −11.20 ± 3.66 D (range −19.00 to −3.00 D) with mean cylinder −1.71 ± 1.41 D. Mean preoperative IOP was 14.79 mmHg; mean central corneal thickness was 508.7 µm. Postoperative evaluation included uncorrected (UCVA) and corrected distance visual acuity (CDVA), refractive stability, IOP monitoring, vault measurement, and complication assessment.",
        "Results": "All surgeries were uneventful. Significant refractive reduction was achieved across a wide myopic range. Mean postoperative UCVA was 0.72 (decimal), with 57% achieving ≥20/20. Mean CDVA was 0.91, with 84% achieving ≥20/20. No eye lost lines of CDVA. Mean postoperative vault was 550 ± 180 µm (range 289–986 µm), within acceptable safety limits. No cataract formation, sustained IOP elevation, endothelial compromise, or clinically significant vault-related complications were observed.",
        "Conclusions": "Eyecryl Phakic IOL demonstrated excellent visual outcomes, predictable vault positioning, and a strong safety profile in Thai eyes with high myopia, supporting its reliability in Southeast Asian populations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyecryl Phakic IOL demonstrated excellent visual outcomes, predictable vault positioning, and a strong safety profile in Thai eyes with high myopia, supporting its reliability in Southeast Asian populations.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1509,
      "source_fields": {
        "Abstract Final Identifier": "POREF123",
        "Title": "Safety & Efficacy Of Eyecryl Phakic Iol In Thai Eyes",
        "Presenting Author(s)": "Dr Buakhwan Chinkulkitnivat",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Buakhwan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chinkulkitnivat",
        "Country Name": "Thailand",
        "Purpose": "To evaluate safety, efficacy, refractive predictability, and vault outcomes of Eyecryl Phakic IOL implantation in Thai eyes with moderate to high myopia.",
        "Setting": "Surat Eye Hospital, Suratthani, Thailand.",
        "Methods": "Prospective interventional case series of 20 eyes (10 patients) undergoing Eyecryl Phakic IOL implantation. Preoperative mean spherical error was −11.20 ± 3.66 D (range −19.00 to −3.00 D) with mean cylinder −1.71 ± 1.41 D. Mean preoperative IOP was 14.79 mmHg; mean central corneal thickness was 508.7 µm. Postoperative evaluation included uncorrected (UCVA) and corrected distance visual acuity (CDVA), refractive stability, IOP monitoring, vault measurement, and complication assessment.",
        "Results": "All surgeries were uneventful. Significant refractive reduction was achieved across a wide myopic range. Mean postoperative UCVA was 0.72 (decimal), with 57% achieving ≥20/20. Mean CDVA was 0.91, with 84% achieving ≥20/20. No eye lost lines of CDVA. Mean postoperative vault was 550 ± 180 µm (range 289–986 µm), within acceptable safety limits. No cataract formation, sustained IOP elevation, endothelial compromise, or clinically significant vault-related complications were observed.",
        "Conclusions": "Eyecryl Phakic IOL demonstrated excellent visual outcomes, predictable vault positioning, and a strong safety profile in Thai eyes with high myopia, supporting its reliability in Southeast Asian populations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 201
    },
    {
      "uid": "POREF124",
      "abstract_number": "POREF124",
      "title": "Phakic Intraocular Lens (Piol) Implantation Versus Intacs Corneal Rings To Manage Anisometropic Myopic Amblyopia In Children",
      "authors": "Prof. Dr Mohamed Mostafa Diab",
      "presenter": "Prof. Dr Mohamed Mostafa Diab",
      "normalized_authors": [
        "Mohamed Mostafa Diab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Mostafa Diab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare safety and the efficacy of phakic intraocular lens (PIOL) versus intrastromal corneal ring segments (ICRS) implantation for correcting high myopic anisometropia in amblyopic children",
        "Setting": "PRINCE SULTAN MILITARY MEDICAL CITY RIYADH KSA",
        "Methods": "Prospective study sinclude30 children 4–12 years old, suffering from unilateral high myopic anisometropic amblyopia had refractive spherical power from-7to-17 diopters and astigmatism -1to -6 diopters. Patients were subdivided into group A subjected to unilateral phakic posterior chamber intraocular lens (ICL) implantation and group B treated by INTACS corneal rings Pre- and post-operative visual acuity, ocular examination, stereoacuity, axial biometry measurements, cycloplegics refraction and endothelial cell counts were performed in all patients for follow up was for at least 9 months.",
        "Results": "ICL group revealed prevention of amblyopia with improvement in visual acuity was≤6\n\nLines was achieved in 81%of children and just ≤3 lines restricted to 19%of children Improvement in stereoacuity was noted in 93.33%of cases but INTACS group showed less results with successful improved vision≤6 lines in 73% of children and just ≤2 lines restricted to 27% of children. Improvement in stereoacuity was noted in 86.66%of cases. Two cases of cataract and one case of glaucoma with one case of uveitis noticed in ICL group.",
        "Conclusions": "To eliminate significant anisometropic myopia in children who are noncompliant with traditional medical treatment, phakic posterior chamber ICL implantation or INTACS be considered as an alternative modality of treatment. INTACS is more safe and less invasive and complications than ICL Further studies in this field are recommended"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To eliminate significant anisometropic myopia in children who are noncompliant with traditional medical treatment, phakic posterior chamber ICL implantation or INTACS be considered as an alternative modality of treatment. INTACS is more safe and less invasive and complications than ICL Further studies in this field are recommended",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1510,
      "source_fields": {
        "Abstract Final Identifier": "POREF124",
        "Title": "Phakic Intraocular Lens (Piol) Implantation Versus Intacs Corneal Rings To Manage Anisometropic Myopic Amblyopia In Children",
        "Presenting Author(s)": "Prof. Dr Mohamed Mostafa Diab",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Mohamed Mostafa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Diab",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare safety and the efficacy of phakic intraocular lens (PIOL) versus intrastromal corneal ring segments (ICRS) implantation for correcting high myopic anisometropia in amblyopic children",
        "Setting": "PRINCE SULTAN MILITARY MEDICAL CITY RIYADH KSA",
        "Methods": "Prospective study sinclude30 children 4–12 years old, suffering from unilateral high myopic anisometropic amblyopia had refractive spherical power from-7to-17 diopters and astigmatism -1to -6 diopters. Patients were subdivided into group A subjected to unilateral phakic posterior chamber intraocular lens (ICL) implantation and group B treated by INTACS corneal rings Pre- and post-operative visual acuity, ocular examination, stereoacuity, axial biometry measurements, cycloplegics refraction and endothelial cell counts were performed in all patients for follow up was for at least 9 months.",
        "Results": "ICL group revealed prevention of amblyopia with improvement in visual acuity was≤6\n\nLines was achieved in 81%of children and just ≤3 lines restricted to 19%of children Improvement in stereoacuity was noted in 93.33%of cases but INTACS group showed less results with successful improved vision≤6 lines in 73% of children and just ≤2 lines restricted to 27% of children. Improvement in stereoacuity was noted in 86.66%of cases. Two cases of cataract and one case of glaucoma with one case of uveitis noticed in ICL group.",
        "Conclusions": "To eliminate significant anisometropic myopia in children who are noncompliant with traditional medical treatment, phakic posterior chamber ICL implantation or INTACS be considered as an alternative modality of treatment. INTACS is more safe and less invasive and complications than ICL Further studies in this field are recommended"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "POREF125",
      "abstract_number": "POREF125",
      "title": "Assessment Of The Predictability Of Post-Icl Vaulting Using The Lovc Formula Based On Absolute Ubm Measurements.",
      "authors": "Dr David Donate",
      "presenter": "Dr David Donate",
      "normalized_authors": [
        "David Donate"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Donate",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate the predictability of post-ICL vaulting using the LOVC formula based on absolute UBM measurements.",
        "Setting": "Bellecour Vision Clinic, France",
        "Methods": "This retrospective study included 61 eyes of 33 myopic patients who underwent ICL (STAAR) implantation, toric or non-toric, with a mean preoperative myopia of −9.41 ± 3.52 D.\n\nPreoperatively, anterior segment biometric parameters were measured using Absolute UBM (Lumibird), including: sulcus-to-sulcus (STS), ciliary body inner diameter (CBID), STS lens rise (STSL), anterior chamber depth (ACD), iridocorneal angle, scotopic pupil diameter, and angle-to-angle (ATA).\n\nThe power of the ICL was determined using STELLA (STAAR) software.\n\nThe size of the ICL was chosen according to the LOVC formula, defined as: Vault = a*CBID + b*STSL + c*ICL POWER + d* ICL SIZE + e* SPD\n\nVaulting at 1 month post-operatively was measured by OCT and analysed.",
        "Results": "The predicted mean vaulting was 536 ± 141 µm and the vaulting measured at 1 month was 548 ± 191 µm, with no significant difference (p = 0.57).\n\nEighty per cent of eyes had vaulting between 250 and 750 µm, 3% between 100 and 250 µm, and 10% between 750 and 1000 µm. No eyes had extreme values (<100 µm or >1000 µm).\n\nThe vaulting obtained was within a margin of ±100 µm, ±200 µm, ±300 µm and ±400 µm of the target value for 49%, 94%, 97% and 100% of eyes, respectively.\n\nBland-Altman analysis showed satisfactory agreement between predicted and observed values, with a bias of 12 µm and 95% agreement limits of −317 to +413 µm.",
        "Conclusions": "The LOVC formula provides good predictability of post-ICL vaulting with Absolute UBM. Limitations related to the retrospective nature and sample size require confirmation by a larger prospective study."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LOVC formula provides good predictability of post-ICL vaulting with Absolute UBM. Limitations related to the retrospective nature and sample size require confirmation by a larger prospective study.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1511,
      "source_fields": {
        "Abstract Final Identifier": "POREF125",
        "Title": "Assessment Of The Predictability Of Post-Icl Vaulting Using The Lovc Formula Based On Absolute Ubm Measurements.",
        "Presenting Author(s)": "Dr David Donate",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Donate",
        "Country Name": "France",
        "Purpose": "To evaluate the predictability of post-ICL vaulting using the LOVC formula based on absolute UBM measurements.",
        "Setting": "Bellecour Vision Clinic, France",
        "Methods": "This retrospective study included 61 eyes of 33 myopic patients who underwent ICL (STAAR) implantation, toric or non-toric, with a mean preoperative myopia of −9.41 ± 3.52 D.\n\nPreoperatively, anterior segment biometric parameters were measured using Absolute UBM (Lumibird), including: sulcus-to-sulcus (STS), ciliary body inner diameter (CBID), STS lens rise (STSL), anterior chamber depth (ACD), iridocorneal angle, scotopic pupil diameter, and angle-to-angle (ATA).\n\nThe power of the ICL was determined using STELLA (STAAR) software.\n\nThe size of the ICL was chosen according to the LOVC formula, defined as: Vault = a*CBID + b*STSL + c*ICL POWER + d* ICL SIZE + e* SPD\n\nVaulting at 1 month post-operatively was measured by OCT and analysed.",
        "Results": "The predicted mean vaulting was 536 ± 141 µm and the vaulting measured at 1 month was 548 ± 191 µm, with no significant difference (p = 0.57).\n\nEighty per cent of eyes had vaulting between 250 and 750 µm, 3% between 100 and 250 µm, and 10% between 750 and 1000 µm. No eyes had extreme values (<100 µm or >1000 µm).\n\nThe vaulting obtained was within a margin of ±100 µm, ±200 µm, ±300 µm and ±400 µm of the target value for 49%, 94%, 97% and 100% of eyes, respectively.\n\nBland-Altman analysis showed satisfactory agreement between predicted and observed values, with a bias of 12 µm and 95% agreement limits of −317 to +413 µm.",
        "Conclusions": "The LOVC formula provides good predictability of post-ICL vaulting with Absolute UBM. Limitations related to the retrospective nature and sample size require confirmation by a larger prospective study."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POREF126",
      "abstract_number": "POREF126",
      "title": "Patient Satisfaction After Toric Implantable Collamer Lens Implantation : Tripoli –Libya",
      "authors": "Dr Amal M Elbahi",
      "presenter": "Dr Amal M Elbahi",
      "normalized_authors": [
        "Amal M Elbahi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amal M Elbahi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Libya",
      "sections": {
        "Purpose": "Implantable collamer lenses are usually used for high degrees of refractive error or when corneal refractive surgery is contraindicated. This study aimed to determine patient’s satisfaction and to asses quality of vision post operatively in Moderate to high myopia and myopic astigmatism after Toric implantable collamer lens (TICL) implantation.",
        "Setting": "A Twenty nine patients with myopia had uncomplicated Toric ICL (TICL) implantation in both eyes . The implantations were carried out at Alqabas eye center, Tripoli- Libya between 2023 and 2025.",
        "Methods": "A Patient’s satisfaction and visual symptoms were evaluated using a questionnaire via telephone interviews involving 3 questions:1-Frequency of spectacle wear after surgery 2-Patient satisfaction without glasses after TICL and 3-Frequency of glare post operatively .",
        "Results": "Over 29 patients; 23 (79.31%) patients were females and 6 (20.69%) were males. Their age ranged from 19-43 years and the mean is 28 years. 14 (48.28%) patients report a satisfaction score (10/10 satisfaction scale), 3 (10.35%) patients report 9/10, 9 (31.03%) patients report 8/10 and only 3 (10.35%) patients report 7/10 which is the least scale. 28 ( 96.55%) not wearing any spectacles post operatively , and 1 (3.45%) patient only wear spectacles after the surgery . Patients report no glare is 25 (86.21%) , and only 4 (13.79%) patients has glare after TICL implantation.",
        "Conclusions": "So we conclude that Implantation of TICL has High satisfaction and high spectacles independence in the treatment of moderate to high myopia, suggesting its good surgical option for the treatment of myopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "So we conclude that Implantation of TICL has High satisfaction and high spectacles independence in the treatment of moderate to high myopia, suggesting its good surgical option for the treatment of myopia.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1512,
      "source_fields": {
        "Abstract Final Identifier": "POREF126",
        "Title": "Patient Satisfaction After Toric Implantable Collamer Lens Implantation : Tripoli –Libya",
        "Presenting Author(s)": "Dr Amal M Elbahi",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Amal",
        "Submitter Middle Name": "M",
        "Submitter Last Name": "Elbahi",
        "Country Name": "Libya",
        "Purpose": "Implantable collamer lenses are usually used for high degrees of refractive error or when corneal refractive surgery is contraindicated. This study aimed to determine patient’s satisfaction and to asses quality of vision post operatively in Moderate to high myopia and myopic astigmatism after Toric implantable collamer lens (TICL) implantation.",
        "Setting": "A Twenty nine patients with myopia had uncomplicated Toric ICL (TICL) implantation in both eyes . The implantations were carried out at Alqabas eye center, Tripoli- Libya between 2023 and 2025.",
        "Methods": "A Patient’s satisfaction and visual symptoms were evaluated using a questionnaire via telephone interviews involving 3 questions:1-Frequency of spectacle wear after surgery 2-Patient satisfaction without glasses after TICL and 3-Frequency of glare post operatively .",
        "Results": "Over 29 patients; 23 (79.31%) patients were females and 6 (20.69%) were males. Their age ranged from 19-43 years and the mean is 28 years. 14 (48.28%) patients report a satisfaction score (10/10 satisfaction scale), 3 (10.35%) patients report 9/10, 9 (31.03%) patients report 8/10 and only 3 (10.35%) patients report 7/10 which is the least scale. 28 ( 96.55%) not wearing any spectacles post operatively , and 1 (3.45%) patient only wear spectacles after the surgery . Patients report no glare is 25 (86.21%) , and only 4 (13.79%) patients has glare after TICL implantation.",
        "Conclusions": "So we conclude that Implantation of TICL has High satisfaction and high spectacles independence in the treatment of moderate to high myopia, suggesting its good surgical option for the treatment of myopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POREF127",
      "abstract_number": "POREF127",
      "title": "Hybrid Myopia Correction: Icl In One Eye And Laser Vision Correction In The Fellow Eye – Patient Satisfaction And Visual Outcomes",
      "authors": "Dr Rafah Fairaq",
      "presenter": "Dr Rafah Fairaq",
      "normalized_authors": [
        "Rafah Fairaq"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rafah Fairaq",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate patient-reported outcomes and satisfaction in myopic patients with anisometropia treated using a hybrid approach: implantable collamer lens (ICL) implantation in one eye and laser vision correction (LVC) in the fellow eye, assessing its impact on visual function, patient experience, and perceived benefit.",
        "Setting": "King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.",
        "Methods": "Prospective study using retrospectively collected data from adult myopic patients undergoing hybrid correction between June 2014 and November 2022. The study included f ifteen patients (30 eyes, ≥18 years) underwent ICL in one eye and LVC in the fellow eye. Exclusion criteria: pregnancy, age <18, keratoconus, prior keratoplasty, post-LASIK ectasia, amblyopia. Evaluations included UCVA, BCVA, refraction, and keratometry. Patient-reported outcomes were assessed ≥2 months postoperatively using the validated Arabic NEI RQL-42 questionnaire. Mann–Whitney U test used for statistical analysis, with significance at p<0.05.",
        "Results": "Fifteen patients (30 eyes) included. Mean baseline anisometropia 5.57 ± 2.82 D. Preoperative SE: –9.82 ± 2.57 D (ICL) vs –4.07 ± 1.11 D (LVC, p<0.001). UCVA worse in ICL eyes (1.38 ± 0.22 vs 0.77 ± 0.30 logMAR, p<0.001); BCVA slightly lower (0.14 ± 0.16 vs 0.03 ± 0.07, p=0.021). Postoperatively, mean SE –0.46 D and UCVA 0.13 logMAR in both groups. NEI RQL-42 scores high for clarity, near/far vision, and satisfaction; lower for expectations and appearance.",
        "Conclusions": "Hybrid ICL–LVC correction for anisometropia achieves stable refractive outcomes, improved visual performance, and high patient-reported satisfaction. This approach is clinically effective, potentially cost-efficient, and offers a tailored solution for inter-eye refractive differences. Larger studies including baseline patient reported outcomes are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hybrid ICL–LVC correction for anisometropia achieves stable refractive outcomes, improved visual performance, and high patient-reported satisfaction. This approach is clinically effective, potentially cost-efficient, and offers a tailored solution for inter-eye refractive differences. Larger studies including baseline patient reported outcomes are warranted.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1513,
      "source_fields": {
        "Abstract Final Identifier": "POREF127",
        "Title": "Hybrid Myopia Correction: Icl In One Eye And Laser Vision Correction In The Fellow Eye – Patient Satisfaction And Visual Outcomes",
        "Presenting Author(s)": "Dr Rafah Fairaq",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Rafah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fairaq",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate patient-reported outcomes and satisfaction in myopic patients with anisometropia treated using a hybrid approach: implantable collamer lens (ICL) implantation in one eye and laser vision correction (LVC) in the fellow eye, assessing its impact on visual function, patient experience, and perceived benefit.",
        "Setting": "King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.",
        "Methods": "Prospective study using retrospectively collected data from adult myopic patients undergoing hybrid correction between June 2014 and November 2022. The study included f ifteen patients (30 eyes, ≥18 years) underwent ICL in one eye and LVC in the fellow eye. Exclusion criteria: pregnancy, age <18, keratoconus, prior keratoplasty, post-LASIK ectasia, amblyopia. Evaluations included UCVA, BCVA, refraction, and keratometry. Patient-reported outcomes were assessed ≥2 months postoperatively using the validated Arabic NEI RQL-42 questionnaire. Mann–Whitney U test used for statistical analysis, with significance at p<0.05.",
        "Results": "Fifteen patients (30 eyes) included. Mean baseline anisometropia 5.57 ± 2.82 D. Preoperative SE: –9.82 ± 2.57 D (ICL) vs –4.07 ± 1.11 D (LVC, p<0.001). UCVA worse in ICL eyes (1.38 ± 0.22 vs 0.77 ± 0.30 logMAR, p<0.001); BCVA slightly lower (0.14 ± 0.16 vs 0.03 ± 0.07, p=0.021). Postoperatively, mean SE –0.46 D and UCVA 0.13 logMAR in both groups. NEI RQL-42 scores high for clarity, near/far vision, and satisfaction; lower for expectations and appearance.",
        "Conclusions": "Hybrid ICL–LVC correction for anisometropia achieves stable refractive outcomes, improved visual performance, and high patient-reported satisfaction. This approach is clinically effective, potentially cost-efficient, and offers a tailored solution for inter-eye refractive differences. Larger studies including baseline patient reported outcomes are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "POREF128",
      "abstract_number": "POREF128",
      "title": "To Evaluate The 3-Month Vault Profile And Its Relationship With Preoperative Biometric Parameters In Thai Eyes Implanted With Eyecryl Posterior Chamber Phakic Intraocular Lenses (Pc Piol).",
      "authors": "Dr Wathanee Sriphawatkul",
      "presenter": "Dr Wathanee Sriphawatkul",
      "normalized_authors": [
        "Wathanee Sriphawatkul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maulik Hasmukhrai Ganatra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the 3-month vault profile and its relationship with preoperative biometric parameters in Thai eyes implanted with Eyecryl posterior chamber phakic intraocular lenses (PC pIOL).",
        "Setting": "Ladprao Hospital, Bangkok, Thailand",
        "Methods": "This retrospective real-world study included 29 implanted eyes. Sixteen eyes (55.2%) completed 3-month follow-up and were included in the vault analysis. Preoperative assessment included spherical equivalent (SE), anterior chamber depth (ACD), axial length (AXL), and white-to-white (WTW). Vault was measured at 3 months using anterior segment imaging when available. Continuous variables are presented as mean ± standard deviation (SD). The proportion of eyes within a mid-vault range (250–750 µm) was calculated. Exploratory Pearson correlation analysis was performed between vault and biometric parameters.",
        "Results": "Among eyes completing 3-month follow-up (n=16), 14 (87.5%) received toric models and 2 (12.5%) spherical lenses. Mean preoperative SE was −9.63 ± 2.53 D. Vault measurements were available in 12 eyes. Mean 3-month vault was 555 ± 147 µm , with 68.8% of recorded eyes within the mid-vault range (250–750 µm). Exploratory analysis did not demonstrate a strong linear association between vault and ACD or WTW within this cohort. No sight-threatening complications were documented.",
        "Conclusions": "In this toric-predominant Thai cohort, Eyecryl PC pIOL demonstrated a favorable early vault profile centered within established safety ranges at 3 months. Larger prospective studies are warranted to further characterize biometric-vault relationships in this population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this toric-predominant Thai cohort, Eyecryl PC pIOL demonstrated a favorable early vault profile centered within established safety ranges at 3 months. Larger prospective studies are warranted to further characterize biometric-vault relationships in this population.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1514,
      "source_fields": {
        "Abstract Final Identifier": "POREF128",
        "Title": "To Evaluate The 3-Month Vault Profile And Its Relationship With Preoperative Biometric Parameters In Thai Eyes Implanted With Eyecryl Posterior Chamber Phakic Intraocular Lenses (Pc Piol).",
        "Presenting Author(s)": "Dr Wathanee Sriphawatkul",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Maulik Hasmukhrai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ganatra",
        "Country Name": "India",
        "Purpose": "To evaluate the 3-month vault profile and its relationship with preoperative biometric parameters in Thai eyes implanted with Eyecryl posterior chamber phakic intraocular lenses (PC pIOL).",
        "Setting": "Ladprao Hospital, Bangkok, Thailand",
        "Methods": "This retrospective real-world study included 29 implanted eyes. Sixteen eyes (55.2%) completed 3-month follow-up and were included in the vault analysis. Preoperative assessment included spherical equivalent (SE), anterior chamber depth (ACD), axial length (AXL), and white-to-white (WTW). Vault was measured at 3 months using anterior segment imaging when available. Continuous variables are presented as mean ± standard deviation (SD). The proportion of eyes within a mid-vault range (250–750 µm) was calculated. Exploratory Pearson correlation analysis was performed between vault and biometric parameters.",
        "Results": "Among eyes completing 3-month follow-up (n=16), 14 (87.5%) received toric models and 2 (12.5%) spherical lenses. Mean preoperative SE was −9.63 ± 2.53 D. Vault measurements were available in 12 eyes. Mean 3-month vault was 555 ± 147 µm , with 68.8% of recorded eyes within the mid-vault range (250–750 µm). Exploratory analysis did not demonstrate a strong linear association between vault and ACD or WTW within this cohort. No sight-threatening complications were documented.",
        "Conclusions": "In this toric-predominant Thai cohort, Eyecryl PC pIOL demonstrated a favorable early vault profile centered within established safety ranges at 3 months. Larger prospective studies are warranted to further characterize biometric-vault relationships in this population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "POREF129",
      "abstract_number": "POREF129",
      "title": "Accuracy And Predictability Of Ai-Based Postoperative Vault Simulation For Implantable Collamer Lens Sizing",
      "authors": "Dr Maria A. Henriquez",
      "presenter": "Dr Maria A. Henriquez",
      "normalized_authors": [
        "Maria A. Henriquez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria A. Henriquez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate the accuracy and precision of an AI-based postoperative vault simulation software (ICL Guru) in eyes undergoing implantable collamer lens (ICL) surgery.",
        "Setting": "Research Department at Ofttalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective, consecutive case-series study included 32 KC eyes evaluated between October 2024 and October 2025. Preoperative parameters—obtained via Accutome high-frequency ultrasound biomicroscopy —were processed using the ICL Guru software to determine ICL sizing and predict postoperative vault and iridocorneal angles. Accuracy was assessed by comparing these predicted values against actual clinical outcomes at one month postoperatively. Anterior segment OCT (MS-39, CSO) was utilized for postoperative measurements.",
        "Results": "Mean predicted vs. actual postoperative values were: Central vault: 681.28±196.07 µm vs. 441.34±146.73 µm (p<.001), Iridocorneal Angle: 22.84±4.81 ∘ vs. 22.84±5.32 ∘ (p=0.38). The mean predicted minimum and maximum vault ranges were 150−400 µm and 460−850 µm, respectively, while the postoperative central vault range was 229−878 µm. Optimal vaulting was achieved in 90.62% of eyes; only three eyes (9.37%) presented a postoperative central vault lower than 250 µm (239 µm, 245 µm, and 241 µm). Moderate to strong positive correlations were observed between simulated and postoperative data: central vault (r=0.55, p<.001), peripheral vault (r=0.52, p<.001), and iridocorneal angle (r=0.48, p<.001).",
        "Conclusions": "The AI-based ICL Guru software demonstrated good predictability and correlation in simulating vault and angles for ICL sizing. While mean differences exist between predicted and actual values, the software serves as a valuable clinical decision-support tool for ILC sizing calculations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The AI-based ICL Guru software demonstrated good predictability and correlation in simulating vault and angles for ICL sizing. While mean differences exist between predicted and actual values, the software serves as a valuable clinical decision-support tool for ILC sizing calculations.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1515,
      "source_fields": {
        "Abstract Final Identifier": "POREF129",
        "Title": "Accuracy And Predictability Of Ai-Based Postoperative Vault Simulation For Implantable Collamer Lens Sizing",
        "Presenting Author(s)": "Dr Maria A. Henriquez",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Maria A.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Henriquez",
        "Country Name": "Peru",
        "Purpose": "To evaluate the accuracy and precision of an AI-based postoperative vault simulation software (ICL Guru) in eyes undergoing implantable collamer lens (ICL) surgery.",
        "Setting": "Research Department at Ofttalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective, consecutive case-series study included 32 KC eyes evaluated between October 2024 and October 2025. Preoperative parameters—obtained via Accutome high-frequency ultrasound biomicroscopy —were processed using the ICL Guru software to determine ICL sizing and predict postoperative vault and iridocorneal angles. Accuracy was assessed by comparing these predicted values against actual clinical outcomes at one month postoperatively. Anterior segment OCT (MS-39, CSO) was utilized for postoperative measurements.",
        "Results": "Mean predicted vs. actual postoperative values were: Central vault: 681.28±196.07 µm vs. 441.34±146.73 µm (p<.001), Iridocorneal Angle: 22.84±4.81 ∘ vs. 22.84±5.32 ∘ (p=0.38). The mean predicted minimum and maximum vault ranges were 150−400 µm and 460−850 µm, respectively, while the postoperative central vault range was 229−878 µm. Optimal vaulting was achieved in 90.62% of eyes; only three eyes (9.37%) presented a postoperative central vault lower than 250 µm (239 µm, 245 µm, and 241 µm). Moderate to strong positive correlations were observed between simulated and postoperative data: central vault (r=0.55, p<.001), peripheral vault (r=0.52, p<.001), and iridocorneal angle (r=0.48, p<.001).",
        "Conclusions": "The AI-based ICL Guru software demonstrated good predictability and correlation in simulating vault and angles for ICL sizing. While mean differences exist between predicted and actual values, the software serves as a valuable clinical decision-support tool for ILC sizing calculations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POREF130",
      "abstract_number": "POREF130",
      "title": "The Impact Of Intraoperative Image-Guided Navigation On Correction Outcomes Of Toric Implantable Collamer Lens For Ultra-High Myopic Astigmatism",
      "authors": "Dr Jia Huang",
      "presenter": "Dr Jia Huang",
      "normalized_authors": [
        "Jia Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jia Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the visual and refractive outcomes after the toric implantable collamer lens (TICL) surgery using image-guided marking (IGM) system (Callisto Eye System) for correction of high myopic astigmatism (≥ 4 diopters (D)).",
        "Setting": "This retrospective study included 54 patients who underwent TICL between January 2022 and December 2023 at the Refractive Surgery Center of the Department of Ophthalmology，the Eye & EENT hospital of Fudan University. This study adhered to the principles of the Declaration of Helsinki. We elucidated the benefits and risks of TICL for each patient and obtained signed informed consent forms.",
        "Methods": "In this retrospective clinical trial, 54 eyes of 54 patients, all of whom had ultra-high astigmatism (>4D), were treated with TICL, with 20 eyes in the IGM group and 34 eyes in the traditional manual marking (non-IGM) group. Visual and refractive parameters, and ocular higher-order aberrations were examined before and 6 months after surgery. The subjective quality of vision was scored using a validated questionnaire.",
        "Results": "The mean preoperative manifest cylinder was -4.60 ± 0.58 D in the IGM group and -4.82 ± 0.65 D in the non-IGM group ( P = 0.191). At the postoperative 6-months visit, there were no statistically significant differences between both groups in UDVA( P = 0.383), SE ( P = 0.051) and cylinder ( P = 0.255). 60% and 39% of eyes were within ± 0.50 D of attempted astigmatism correction for the IGM and non-IGM group, respectively ( P = 0.689) . No significant differences in TIA ( P = 0.194), SIA( P = 0.410), or AOE ( P = 0.545) between IGM and non-IGM. The RMS of higher-order aberrations, coma, trefoil and sphere aberration revealed comparable outcomes.Halos (77.8%) and starbursts (66.7%) had the highest incidences after TICL implantation.",
        "Conclusions": "This study demonstrates that for TICL implantation in patients with ultra-high astigmatism (>4 D), both the image-guided marking and manual marking techniques produced equivalent refractive and visual quality outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates that for TICL implantation in patients with ultra-high astigmatism (>4 D), both the image-guided marking and manual marking techniques produced equivalent refractive and visual quality outcomes.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1516,
      "source_fields": {
        "Abstract Final Identifier": "POREF130",
        "Title": "The Impact Of Intraoperative Image-Guided Navigation On Correction Outcomes Of Toric Implantable Collamer Lens For Ultra-High Myopic Astigmatism",
        "Presenting Author(s)": "Dr Jia Huang",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Jia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "China",
        "Purpose": "To evaluate the visual and refractive outcomes after the toric implantable collamer lens (TICL) surgery using image-guided marking (IGM) system (Callisto Eye System) for correction of high myopic astigmatism (≥ 4 diopters (D)).",
        "Setting": "This retrospective study included 54 patients who underwent TICL between January 2022 and December 2023 at the Refractive Surgery Center of the Department of Ophthalmology，the Eye & EENT hospital of Fudan University. This study adhered to the principles of the Declaration of Helsinki. We elucidated the benefits and risks of TICL for each patient and obtained signed informed consent forms.",
        "Methods": "In this retrospective clinical trial, 54 eyes of 54 patients, all of whom had ultra-high astigmatism (>4D), were treated with TICL, with 20 eyes in the IGM group and 34 eyes in the traditional manual marking (non-IGM) group. Visual and refractive parameters, and ocular higher-order aberrations were examined before and 6 months after surgery. The subjective quality of vision was scored using a validated questionnaire.",
        "Results": "The mean preoperative manifest cylinder was -4.60 ± 0.58 D in the IGM group and -4.82 ± 0.65 D in the non-IGM group ( P = 0.191). At the postoperative 6-months visit, there were no statistically significant differences between both groups in UDVA( P = 0.383), SE ( P = 0.051) and cylinder ( P = 0.255). 60% and 39% of eyes were within ± 0.50 D of attempted astigmatism correction for the IGM and non-IGM group, respectively ( P = 0.689) . No significant differences in TIA ( P = 0.194), SIA( P = 0.410), or AOE ( P = 0.545) between IGM and non-IGM. The RMS of higher-order aberrations, coma, trefoil and sphere aberration revealed comparable outcomes.Halos (77.8%) and starbursts (66.7%) had the highest incidences after TICL implantation.",
        "Conclusions": "This study demonstrates that for TICL implantation in patients with ultra-high astigmatism (>4 D), both the image-guided marking and manual marking techniques produced equivalent refractive and visual quality outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "POREF131",
      "abstract_number": "POREF131",
      "title": "Clinical Outcomes Of Presbyopia-Correcting Ipcl Plus Implantation And Casia2-Based Crystalline Lens Rise Screening",
      "authors": "Dr Mitsutoshi Ito",
      "presenter": "Dr Mitsutoshi Ito",
      "normalized_authors": [
        "Mitsutoshi Ito"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mitsutoshi Ito",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To report clinical outcomes after presbyopia-correcting IPCL Plus implantation and to assess the plausibility of a CASIA2 crystalline lens rise (CLR) cut-off (≤500 µm) for achieving adequate postoperative vault.",
        "Setting": "Single-center study in Japan.",
        "Methods": "We analyzed 61 eyes of 32 patients (19 male, 13 female; age 50.4 ± 3.5 years) undergoing presbyopia-correcting IPCL Plus implantation. Standard visual and refractive outcomes were assessed preoperatively and postoperatively (1M, 3M, 6M, 1Y) when available. CASIA2 metrics included preoperative CLR and postoperative vault. Vault analyses used a per-eye final vault dataset (last available timepoint; n=34) stratified by CLR (<0, 0–<250, 250–≤500 µm) with exact 95% confidence intervals (Clopper–Pearson). A 6-month restricted subset was also analyzed (6M vault available; n=13).",
        "Results": "UDVA (logMAR) improved from 0.09±0.28 (n=61) preoperatively to −0.06±0.12 at 1M (n=61) and −0.11±0.07 at 6M (n=37) (both p<0.0001). UNVA improved from 0.52±0.45 to 0.19±0.21 at 1M and 0.10±0.14 at 6M (both p<0.0001). MRSE improved from −5.14±3.19 D to −0.12±0.43 D at 1M and −0.05±0.33 D at 6M (both p<0.0001). In the per-eye final vault analysis (n=34), vault <250 µm occurred only in the 250–≤500 µm CLR stratum: 0/4 (0%; 95% CI 0–60.2%) for CLR<0, 0/11 (0%; 95% CI 0–28.5%) for 0–<250, and 4/19 (21.1%; 95% CI 6.1–45.6%) for 250–≤500; vault <200 µm was 1/19 (5.3%; 95% CI 0.1–26.0%). Mean ECD decreased from 3064±195 cells/mm² preoperatively (n=61) to 2566±275 at 1M (n=46), with a trend toward stabilization over time.",
        "Conclusions": "Presbyopia-correcting IPCL Plus implantation yielded favorable visual and refractive outcomes. In an exploratory CASIA2-based vault analysis, low-vault events (<250 µm) clustered in eyes with higher preoperative CLR (250–≤500 µm), supporting the clinical plausibility of a CLR screening cut-off of ≤500 µm, while emphasizing closer monitoring for eyes near the upper CLR range. Because the crystalline lens continues to thicken with age in presbyopic patients, CLR may be particularly relevant for maintaining an adequate vault after presbyopia-correcting phakic IOL implantation and for counseling patients regarding long-term safety margins."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Presbyopia-correcting IPCL Plus implantation yielded favorable visual and refractive outcomes. In an exploratory CASIA2-based vault analysis, low-vault events (<250 µm) clustered in eyes with higher preoperative CLR (250–≤500 µm), supporting the clinical plausibility of a CLR screening cut-off of ≤500 µm, while emphasizing closer monitoring for eyes near the upper CLR range. Because the crystalline lens continues…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1517,
      "source_fields": {
        "Abstract Final Identifier": "POREF131",
        "Title": "Clinical Outcomes Of Presbyopia-Correcting Ipcl Plus Implantation And Casia2-Based Crystalline Lens Rise Screening",
        "Presenting Author(s)": "Dr Mitsutoshi Ito",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Mitsutoshi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ito",
        "Country Name": "Japan",
        "Purpose": "To report clinical outcomes after presbyopia-correcting IPCL Plus implantation and to assess the plausibility of a CASIA2 crystalline lens rise (CLR) cut-off (≤500 µm) for achieving adequate postoperative vault.",
        "Setting": "Single-center study in Japan.",
        "Methods": "We analyzed 61 eyes of 32 patients (19 male, 13 female; age 50.4 ± 3.5 years) undergoing presbyopia-correcting IPCL Plus implantation. Standard visual and refractive outcomes were assessed preoperatively and postoperatively (1M, 3M, 6M, 1Y) when available. CASIA2 metrics included preoperative CLR and postoperative vault. Vault analyses used a per-eye final vault dataset (last available timepoint; n=34) stratified by CLR (<0, 0–<250, 250–≤500 µm) with exact 95% confidence intervals (Clopper–Pearson). A 6-month restricted subset was also analyzed (6M vault available; n=13).",
        "Results": "UDVA (logMAR) improved from 0.09±0.28 (n=61) preoperatively to −0.06±0.12 at 1M (n=61) and −0.11±0.07 at 6M (n=37) (both p<0.0001). UNVA improved from 0.52±0.45 to 0.19±0.21 at 1M and 0.10±0.14 at 6M (both p<0.0001). MRSE improved from −5.14±3.19 D to −0.12±0.43 D at 1M and −0.05±0.33 D at 6M (both p<0.0001). In the per-eye final vault analysis (n=34), vault <250 µm occurred only in the 250–≤500 µm CLR stratum: 0/4 (0%; 95% CI 0–60.2%) for CLR<0, 0/11 (0%; 95% CI 0–28.5%) for 0–<250, and 4/19 (21.1%; 95% CI 6.1–45.6%) for 250–≤500; vault <200 µm was 1/19 (5.3%; 95% CI 0.1–26.0%). Mean ECD decreased from 3064±195 cells/mm² preoperatively (n=61) to 2566±275 at 1M (n=46), with a trend toward stabilization over time.",
        "Conclusions": "Presbyopia-correcting IPCL Plus implantation yielded favorable visual and refractive outcomes. In an exploratory CASIA2-based vault analysis, low-vault events (<250 µm) clustered in eyes with higher preoperative CLR (250–≤500 µm), supporting the clinical plausibility of a CLR screening cut-off of ≤500 µm, while emphasizing closer monitoring for eyes near the upper CLR range. Because the crystalline lens continues to thicken with age in presbyopic patients, CLR may be particularly relevant for maintaining an adequate vault after presbyopia-correcting phakic IOL implantation and for counseling patients regarding long-term safety margins."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 389
    },
    {
      "uid": "POREF132",
      "abstract_number": "POREF132",
      "title": "Out-Of-Distribution Detection For Enhanced Safety And Optimization In Machine Learning -Based Icl Sizing",
      "authors": "Dr Nikhil Sharat Jain",
      "presenter": "Dr Nikhil Sharat Jain",
      "normalized_authors": [
        "Nikhil Sharat Jain"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikhil Jain",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To determine if out-of-distribution (OOD) detection can identify preoperative cases where machine-learning (ML) postoperative vault predictions for implantable collamer lenses (ICL) are likely to be unreliable, supporting safer clinical decision-making.",
        "Setting": "Private clinical practice",
        "Methods": "Two independent ocular biometry cohorts were analyzed (Dataset A: 152 eyes, Antwerp, Belgium; Dataset B: 140 eyes, London, UK). A Ridge Regression (RR) model was trained on Dataset A to predict postoperative vault. Simultaneously a One-Class Support Vector Machine (OCSVM) was trained on the same preoperative feature space to quantify Out-of-Distribution (OOD) deviation. Performance was validated on a held-out internal test set (Test-A: 37 eyes) and the external UK cohort (Dataset B). Prediction error was measured as Mean Absolute Error (MAE) and absolute error (AE) per eye. Eyes were stratified into \"In-Distribution\" (ID) and \"OOD-flagged\" based on a predefined OCSVM threshold, with MAE compared between strata using non-parametric testing.",
        "Results": "The RR model trained on the Antwerp data (Dataset A) generalized well, with no significant difference in error distributions between the internal test set and the London cohort (MAE Test-A: 156 ± 116 µm vs MAE Dataset B: 198 ± 174 µm; p > 0.32) . The OCSVM stratified eyes by prediction risk with OOD scores positively correlated with per-eye AE in Test-A (Pearson r = 0.11) and dataset B (r = 0.25 ). W hen stratified by the OOD flag across a mixed sample of both cohorts, the OOD-flagged group (n=77) exhibited a 60% higher mean error compared to the In-Distribution group (n=100) (240 ± 196 µm vs 150 ± 122 µm, respectively; p < 0.05).",
        "Conclusions": "OOD detection using OCSVM provides a case-level warning signal that aligns with vault prediction error, including in a geographically distinct external cohort. This supports a practical safety layer for ML-based ICL sizing. Alongside a vault estimate, clinicians could preoperatively receive an interpretable reliability flag indicating when the model is operating outside its training population and predictions should be interpreted with caution. Beyond safety, this approach could be adapted to match patients with the specific ICL sizing formula that best fits their biometric profile, leading to more optimized, individualized selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "OOD detection using OCSVM provides a case-level warning signal that aligns with vault prediction error, including in a geographically distinct external cohort. This supports a practical safety layer for ML-based ICL sizing. Alongside a vault estimate, clinicians could preoperatively receive an interpretable reliability flag indicating when the model is operating outside its training population and predictions…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1518,
      "source_fields": {
        "Abstract Final Identifier": "POREF132",
        "Title": "Out-Of-Distribution Detection For Enhanced Safety And Optimization In Machine Learning -Based Icl Sizing",
        "Presenting Author(s)": "Dr Nikhil Sharat Jain",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Nikhil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jain",
        "Country Name": "United Kingdom",
        "Purpose": "To determine if out-of-distribution (OOD) detection can identify preoperative cases where machine-learning (ML) postoperative vault predictions for implantable collamer lenses (ICL) are likely to be unreliable, supporting safer clinical decision-making.",
        "Setting": "Private clinical practice",
        "Methods": "Two independent ocular biometry cohorts were analyzed (Dataset A: 152 eyes, Antwerp, Belgium; Dataset B: 140 eyes, London, UK). A Ridge Regression (RR) model was trained on Dataset A to predict postoperative vault. Simultaneously a One-Class Support Vector Machine (OCSVM) was trained on the same preoperative feature space to quantify Out-of-Distribution (OOD) deviation. Performance was validated on a held-out internal test set (Test-A: 37 eyes) and the external UK cohort (Dataset B). Prediction error was measured as Mean Absolute Error (MAE) and absolute error (AE) per eye. Eyes were stratified into \"In-Distribution\" (ID) and \"OOD-flagged\" based on a predefined OCSVM threshold, with MAE compared between strata using non-parametric testing.",
        "Results": "The RR model trained on the Antwerp data (Dataset A) generalized well, with no significant difference in error distributions between the internal test set and the London cohort (MAE Test-A: 156 ± 116 µm vs MAE Dataset B: 198 ± 174 µm; p > 0.32) . The OCSVM stratified eyes by prediction risk with OOD scores positively correlated with per-eye AE in Test-A (Pearson r = 0.11) and dataset B (r = 0.25 ). W hen stratified by the OOD flag across a mixed sample of both cohorts, the OOD-flagged group (n=77) exhibited a 60% higher mean error compared to the In-Distribution group (n=100) (240 ± 196 µm vs 150 ± 122 µm, respectively; p < 0.05).",
        "Conclusions": "OOD detection using OCSVM provides a case-level warning signal that aligns with vault prediction error, including in a geographically distinct external cohort. This supports a practical safety layer for ML-based ICL sizing. Alongside a vault estimate, clinicians could preoperatively receive an interpretable reliability flag indicating when the model is operating outside its training population and predictions should be interpreted with caution. Beyond safety, this approach could be adapted to match patients with the specific ICL sizing formula that best fits their biometric profile, leading to more optimized, individualized selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "POREF133",
      "abstract_number": "POREF133",
      "title": "Visual Acuity Gain And Functional Neuroadaptation Following Posterior Chamber Phakic Iol Implantation In Adult Refractive Amblyopia",
      "authors": "Dr Safaa Jihad",
      "presenter": "Dr Safaa Jihad",
      "normalized_authors": [
        "Safaa Jihad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Safaa Jihad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate visual acuity outcomes and functional neuroadaptation following posterior chamber phakic IOL implantation in adults with refractive amblyopia—an uncommon and non-standard indication for refractive lens correction.",
        "Setting": "Single-center interventional case series, Casablanca, Morocco.",
        "Methods": "Eight adult patients (14 eyes) with refractive amblyopia and significant anisometropia underwent implantation with Eyecryl Phakic or Eyecryl Phakic Toric IOLs. Preoperative and postoperative assessments included uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest refraction, vault measurement, rotational stability, intraocular pressure (IOP), and endothelial cell density (ECD). Line gain and binocular functional improvement were analyzed over 3–24 months of follow-up.",
        "Results": "Preoperative BCVA ranged from 0.5/10 to 7/10. Postoperatively, UCVA improved to 7–10/10 in most eyes. A gain of 1–2 Snellen lines was observed in the majority of amblyopic eyes, with marked improvement in severe anisometropic cases. No eye lost BCVA. Residual refractive error was generally within ±0.75 D.\n\nMean 1-month vault was approximately 470 µm (range 420–510 µm), remaining stable over time. Toric rotation was <5°, IOP remained clinically stable, and ECD loss was <3%.\n\nin all cases, the postoperative visual acuity—whether immediate or medium to long term—was significantly superior to the best corrected visual acuity before the phakic implant.",
        "Conclusions": "Although amblyopia is not a conventional indication for pIOL implantation, posterior chamber phakic IOLs demonstrated meaningful visual gain and stable anatomical outcomes in selected cases. Reduction of anisometropia may promote postoperative neuroadaptation and expand the clinical versatility of phakic IOL technology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although amblyopia is not a conventional indication for pIOL implantation, posterior chamber phakic IOLs demonstrated meaningful visual gain and stable anatomical outcomes in selected cases. Reduction of anisometropia may promote postoperative neuroadaptation and expand the clinical versatility of phakic IOL technology.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1519,
      "source_fields": {
        "Abstract Final Identifier": "POREF133",
        "Title": "Visual Acuity Gain And Functional Neuroadaptation Following Posterior Chamber Phakic Iol Implantation In Adult Refractive Amblyopia",
        "Presenting Author(s)": "Dr Safaa Jihad",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Safaa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jihad",
        "Country Name": "Morocco",
        "Purpose": "To evaluate visual acuity outcomes and functional neuroadaptation following posterior chamber phakic IOL implantation in adults with refractive amblyopia—an uncommon and non-standard indication for refractive lens correction.",
        "Setting": "Single-center interventional case series, Casablanca, Morocco.",
        "Methods": "Eight adult patients (14 eyes) with refractive amblyopia and significant anisometropia underwent implantation with Eyecryl Phakic or Eyecryl Phakic Toric IOLs. Preoperative and postoperative assessments included uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest refraction, vault measurement, rotational stability, intraocular pressure (IOP), and endothelial cell density (ECD). Line gain and binocular functional improvement were analyzed over 3–24 months of follow-up.",
        "Results": "Preoperative BCVA ranged from 0.5/10 to 7/10. Postoperatively, UCVA improved to 7–10/10 in most eyes. A gain of 1–2 Snellen lines was observed in the majority of amblyopic eyes, with marked improvement in severe anisometropic cases. No eye lost BCVA. Residual refractive error was generally within ±0.75 D.\n\nMean 1-month vault was approximately 470 µm (range 420–510 µm), remaining stable over time. Toric rotation was <5°, IOP remained clinically stable, and ECD loss was <3%.\n\nin all cases, the postoperative visual acuity—whether immediate or medium to long term—was significantly superior to the best corrected visual acuity before the phakic implant.",
        "Conclusions": "Although amblyopia is not a conventional indication for pIOL implantation, posterior chamber phakic IOLs demonstrated meaningful visual gain and stable anatomical outcomes in selected cases. Reduction of anisometropia may promote postoperative neuroadaptation and expand the clinical versatility of phakic IOL technology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "POREF134",
      "abstract_number": "POREF134",
      "title": "Neuroadaptation Following Posterior Chamber Phakic Iol Implantation In Adult Refractive Amblyopia",
      "authors": "Dr Safaa Jihad",
      "presenter": "Dr Safaa Jihad",
      "normalized_authors": [
        "Safaa Jihad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Safaa Jihad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate visual acuity outcomes and functional neuroadaptation following posterior chamber phakic IOL implantation in adults with refractive amblyopia—an uncommon and non-standard indication for refractive lens correction.",
        "Setting": "Single-center interventional case series, Casablanca, Morocco.",
        "Methods": "Eight adult patients (14 eyes) with refractive amblyopia and significant anisometropia underwent implantation with Eyecryl Phakic or Eyecryl Phakic Toric IOLs. Preoperative and postoperative assessments included uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest refraction, vault measurement, rotational stability, intraocular pressure (IOP), and endothelial cell density (ECD). Line gain and binocular functional improvement were analyzed over 3–24 months of follow-up.",
        "Results": "Preoperative BCVA ranged from 0.5/10 to 7/10. Postoperatively, UCVA improved to 7–10/10 in most eyes. A gain of 1–2 Snellen lines was observed in the majority of amblyopic eyes, with marked improvement in severe anisometropic cases. No eye lost BCVA. Residual refractive error was generally within ±0.75 D.\n\nMean 1-month vault was approximately 470 µ (range 420–510 µm), remaining stable over time. Toric rotation was <5°, IOP remained clinically stable, and ECD loss was <3%.In all cases, the postoperative VA ,was significantly superior to the best corrected visual acuity before the phakic implant,highlighting the benefit of reducing aniseikonia and neuroadaptation through the phakic implant, as opposed to other means of ametropia correction.",
        "Conclusions": "Although amblyopia is not a conventional indication for pIOL implantation, posterior chamber phakic IOLs demonstrated meaningful visual gain and stable anatomical outcomes in selected cases. Reduction of anisometropia may promote postoperative neuroadaptation and expand the clinical versatility of phakic IOL technology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although amblyopia is not a conventional indication for pIOL implantation, posterior chamber phakic IOLs demonstrated meaningful visual gain and stable anatomical outcomes in selected cases. Reduction of anisometropia may promote postoperative neuroadaptation and expand the clinical versatility of phakic IOL technology.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1520,
      "source_fields": {
        "Abstract Final Identifier": "POREF134",
        "Title": "Neuroadaptation Following Posterior Chamber Phakic Iol Implantation In Adult Refractive Amblyopia",
        "Presenting Author(s)": "Dr Safaa Jihad",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Safaa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jihad",
        "Country Name": "Morocco",
        "Purpose": "To evaluate visual acuity outcomes and functional neuroadaptation following posterior chamber phakic IOL implantation in adults with refractive amblyopia—an uncommon and non-standard indication for refractive lens correction.",
        "Setting": "Single-center interventional case series, Casablanca, Morocco.",
        "Methods": "Eight adult patients (14 eyes) with refractive amblyopia and significant anisometropia underwent implantation with Eyecryl Phakic or Eyecryl Phakic Toric IOLs. Preoperative and postoperative assessments included uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest refraction, vault measurement, rotational stability, intraocular pressure (IOP), and endothelial cell density (ECD). Line gain and binocular functional improvement were analyzed over 3–24 months of follow-up.",
        "Results": "Preoperative BCVA ranged from 0.5/10 to 7/10. Postoperatively, UCVA improved to 7–10/10 in most eyes. A gain of 1–2 Snellen lines was observed in the majority of amblyopic eyes, with marked improvement in severe anisometropic cases. No eye lost BCVA. Residual refractive error was generally within ±0.75 D.\n\nMean 1-month vault was approximately 470 µ (range 420–510 µm), remaining stable over time. Toric rotation was <5°, IOP remained clinically stable, and ECD loss was <3%.In all cases, the postoperative VA ,was significantly superior to the best corrected visual acuity before the phakic implant,highlighting the benefit of reducing aniseikonia and neuroadaptation through the phakic implant, as opposed to other means of ametropia correction.",
        "Conclusions": "Although amblyopia is not a conventional indication for pIOL implantation, posterior chamber phakic IOLs demonstrated meaningful visual gain and stable anatomical outcomes in selected cases. Reduction of anisometropia may promote postoperative neuroadaptation and expand the clinical versatility of phakic IOL technology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POREF135",
      "abstract_number": "POREF135",
      "title": "Implantable Collamer Lens For Low To Moderate Myopia: A Retrospective Outcome Analysis Of 361 Eyes.",
      "authors": "Dr Vardhaman Prakash Kankariya",
      "presenter": "Dr Vardhaman Prakash Kankariya",
      "normalized_authors": [
        "Vardhaman Prakash Kankariya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vardhaman Prakash Kankariya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate preoperative characteristics, indications, safety, predictability, accuracy and visual outcomes of EVO ICL (STAAR Surgical) implantation in patients with low to moderate myopia.",
        "Setting": "Pallikaris department of refractive surgery, Asian Eye Hospital, A Tertiary Care Eye Hospital, Pune, India",
        "Methods": "This retrospective analytical study was conducted at a tertiary private ophthalmology center. A total of 361 eyes of patients aged 20–50 years with spherical equivalents ranging from −1.00 D to −6.00 D underwent EVO ICL implantation. Data were analyzed on preoperative parameters, indications for choosing ICL over corneal laser refractive surgery, and postoperative outcomes including refractive predictability, safety, stability, intraocular pressure (IOP), and vault, with a follow-up of up to one year.",
        "Results": "Of the 361 eyes, 91 belonged to males and 130 to females, with a mean age of 29.05 years and mean spherical equivalent of −4.36 D. Mean anterior chamber depth was 3.26 mm, and mean central corneal thickness was 499.35 µm. Among them, 23 eyes had normal corneal thickness and shape (laser-eligible patients who elected ICL), 223 had thin or borderline tomography, 96 were keratoconus suspects, 10 had diagnosed keratoconus, and 1 had a thin cornea with normal tomography.\n\nPreoperative mean logMAR visual acuities were: UDVA 1.0634, UNVA 0.1104, CDVA 0.1039, and CNVA 0.1102. Postoperatively, the values improved to UDVA 0.0227, UNVA 0.1099, CDVA 0.0238, and CNVA 0.1100. None of the patients reported any complications upto 1 year of follow up.",
        "Conclusions": "This is probabaly the largest series reporting EVO ICL outcomes in low to moderate myopia globally. The results demonstrate excellent visual acuity, high safety and efficacy indices of EVO ICL in patients with or without unsuitable corneal charactistics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is probabaly the largest series reporting EVO ICL outcomes in low to moderate myopia globally. The results demonstrate excellent visual acuity, high safety and efficacy indices of EVO ICL in patients with or without unsuitable corneal charactistics.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1521,
      "source_fields": {
        "Abstract Final Identifier": "POREF135",
        "Title": "Implantable Collamer Lens For Low To Moderate Myopia: A Retrospective Outcome Analysis Of 361 Eyes.",
        "Presenting Author(s)": "Dr Vardhaman Prakash Kankariya",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Vardhaman",
        "Submitter Middle Name": "Prakash",
        "Submitter Last Name": "Kankariya",
        "Country Name": "India",
        "Purpose": "To evaluate preoperative characteristics, indications, safety, predictability, accuracy and visual outcomes of EVO ICL (STAAR Surgical) implantation in patients with low to moderate myopia.",
        "Setting": "Pallikaris department of refractive surgery, Asian Eye Hospital, A Tertiary Care Eye Hospital, Pune, India",
        "Methods": "This retrospective analytical study was conducted at a tertiary private ophthalmology center. A total of 361 eyes of patients aged 20–50 years with spherical equivalents ranging from −1.00 D to −6.00 D underwent EVO ICL implantation. Data were analyzed on preoperative parameters, indications for choosing ICL over corneal laser refractive surgery, and postoperative outcomes including refractive predictability, safety, stability, intraocular pressure (IOP), and vault, with a follow-up of up to one year.",
        "Results": "Of the 361 eyes, 91 belonged to males and 130 to females, with a mean age of 29.05 years and mean spherical equivalent of −4.36 D. Mean anterior chamber depth was 3.26 mm, and mean central corneal thickness was 499.35 µm. Among them, 23 eyes had normal corneal thickness and shape (laser-eligible patients who elected ICL), 223 had thin or borderline tomography, 96 were keratoconus suspects, 10 had diagnosed keratoconus, and 1 had a thin cornea with normal tomography.\n\nPreoperative mean logMAR visual acuities were: UDVA 1.0634, UNVA 0.1104, CDVA 0.1039, and CNVA 0.1102. Postoperatively, the values improved to UDVA 0.0227, UNVA 0.1099, CDVA 0.0238, and CNVA 0.1100. None of the patients reported any complications upto 1 year of follow up.",
        "Conclusions": "This is probabaly the largest series reporting EVO ICL outcomes in low to moderate myopia globally. The results demonstrate excellent visual acuity, high safety and efficacy indices of EVO ICL in patients with or without unsuitable corneal charactistics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POREF136",
      "abstract_number": "POREF136",
      "title": "Night Vision And Dysphotopsia After Evo Icl: Objective And Subjective Assessment",
      "authors": "A/Prof. Mehdi Khamaily",
      "presenter": "A/Prof. Mehdi Khamaily",
      "normalized_authors": [
        "Mehdi Khamaily"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehdi Khamaily",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Night vision disturbances remain a major concern after refractive surgery despite excellent visual acuity outcomes. The EVO Implantable Collamer Lens (ICL) with a central port was designed to optimize optical quality, yet postoperative dysphotopsia persists in a subset of patients.",
        "Setting": "to evaluate night vision quality and dysphotopsia after EVO ICL implantation using combined objective and subjective assessments, and to identify factors associated with postoperative night vision symptoms.",
        "Methods": "Patients : 30 patients (60 yeux) ayant bénéficié d'une implantation bilatérale d'implants ICL EVO\n\nSuivi : préopératoire, puis à 1, 3 et 6 mois.\n\nDominance oculaire : déterminée en préopératoire (test de Miles) et enregistrée pour analyse secondaire\n\nAnalyse de centrage et d'inclinaison de l'ICL\n\nÉvaluation subjective\n\nQuestionnaire sur la qualité de la vision (QoV)\n\nÉvaluation des symptômes de la vision nocturne (halos, éblouissements, halos)\n\nÉchelle de satisfaction des patients\n\nMesures des résultats\n\nIncidence et gravité de la dysphotopsie\n\nCorrélation avec la taille de la pupille, la voûte, les changements d'aberrations optiques d'ordre supérieur et la taille de l'ICL\n\nComparaison exploratoire entre l'œil dominant et l'œil non dominant",
        "Results": "Uncorrected distance visual acuity improved significantly in all 60 eyes.\n\nObjective optical metrics showed no clinically significant increase in higher-order aberrations.\n\nNight vision symptoms were mostly mild and decreased significantly between 1 and 6 months.\n\nLarger scotopic pupil diameter and excessive vault were associated with higher dysphotopsia scores.\n\nDominant eyes reported higher subjective dysphotopsia scores than non-dominant eyes, despite similar objective optical parameters.",
        "Conclusions": "VO ICL implantation provides excellent visual outcomes with a low incidence of persistent dysphotopsia. While objective optical quality is preserved, ocular dominance appears to influence patient perception of night vision disturbances, highlighting the importance of individualized preoperative counseling."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "VO ICL implantation provides excellent visual outcomes with a low incidence of persistent dysphotopsia. While objective optical quality is preserved, ocular dominance appears to influence patient perception of night vision disturbances, highlighting the importance of individualized preoperative counseling.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1522,
      "source_fields": {
        "Abstract Final Identifier": "POREF136",
        "Title": "Night Vision And Dysphotopsia After Evo Icl: Objective And Subjective Assessment",
        "Presenting Author(s)": "A/Prof. Mehdi Khamaily",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Mehdi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khamaily",
        "Country Name": "Morocco",
        "Purpose": "Night vision disturbances remain a major concern after refractive surgery despite excellent visual acuity outcomes. The EVO Implantable Collamer Lens (ICL) with a central port was designed to optimize optical quality, yet postoperative dysphotopsia persists in a subset of patients.",
        "Setting": "to evaluate night vision quality and dysphotopsia after EVO ICL implantation using combined objective and subjective assessments, and to identify factors associated with postoperative night vision symptoms.",
        "Methods": "Patients : 30 patients (60 yeux) ayant bénéficié d'une implantation bilatérale d'implants ICL EVO\n\nSuivi : préopératoire, puis à 1, 3 et 6 mois.\n\nDominance oculaire : déterminée en préopératoire (test de Miles) et enregistrée pour analyse secondaire\n\nAnalyse de centrage et d'inclinaison de l'ICL\n\nÉvaluation subjective\n\nQuestionnaire sur la qualité de la vision (QoV)\n\nÉvaluation des symptômes de la vision nocturne (halos, éblouissements, halos)\n\nÉchelle de satisfaction des patients\n\nMesures des résultats\n\nIncidence et gravité de la dysphotopsie\n\nCorrélation avec la taille de la pupille, la voûte, les changements d'aberrations optiques d'ordre supérieur et la taille de l'ICL\n\nComparaison exploratoire entre l'œil dominant et l'œil non dominant",
        "Results": "Uncorrected distance visual acuity improved significantly in all 60 eyes.\n\nObjective optical metrics showed no clinically significant increase in higher-order aberrations.\n\nNight vision symptoms were mostly mild and decreased significantly between 1 and 6 months.\n\nLarger scotopic pupil diameter and excessive vault were associated with higher dysphotopsia scores.\n\nDominant eyes reported higher subjective dysphotopsia scores than non-dominant eyes, despite similar objective optical parameters.",
        "Conclusions": "VO ICL implantation provides excellent visual outcomes with a low incidence of persistent dysphotopsia. While objective optical quality is preserved, ocular dominance appears to influence patient perception of night vision disturbances, highlighting the importance of individualized preoperative counseling."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "POREF137",
      "abstract_number": "POREF137",
      "title": "Toric Implantable Collamer Lens Implantation Combined With Steep Meridian Corneal Incision For Astigmatism Over Six Diopters Using A Digital-Assisted Reference Marking System",
      "authors": "Dr Bu Ki Kim",
      "presenter": "Dr Bu Ki Kim",
      "normalized_authors": [
        "Bu Ki Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bu Ki Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the effectiveness of toric implantable collamer lens (TICL) implantation combined with steep meridian corneal incision for astigmatism over 6 diopters (D) using a digital-assisted reference marking system (Callisto Eye system).",
        "Setting": "Onnuri Smile Eye Clinic, Seoul, South Korea",
        "Methods": "This retrospective study analyzed patients who underwent TICL (Staar Surgical) implantation either after or concurrently with a steep meridian corneal incision (SMCI) to correct astigmatism greater than 6 D. The Callisto Eye image-guided system was used for both corneal incision and TICL alignment. Clinical outcomes were evaluated at 6 months postoperatively.",
        "Results": "A total of 31 eyes from 21 patients were included. The mean preoperative astigmatism was -7.22 ± 1.03 D (range, -10.0 to -6.25 D). At 6 months postoperatively, mean uncorrected distance visual acuity was 0.02 ± 0.08 logMAR (range, −0.08 to 0.30). The mean residual astigmatism was -1.34 ± 0.86 D (range, -3.75 to -0.25 D), with 55% of eyes within 1.0 D. The mean surgically induced astigmatism was 6.82 ± 0.92 D. Vector analysis demonstrated a tendency toward undercorrection with increasing preoperative astigmatism. Postoperative lens rotation requiring TICL repositioning occurred in two eyes, and one eye underwent lens exchange due to astigmatic overcorrection.",
        "Conclusions": "TICL implantation combined with SMCI using a digital-assisted reference marking system provided favorable visual and refractive outcomes in eyes with astigmatism exceeding 6 D. However, a tendency toward astigmatic undercorrection, particularly in eyes with higher preoperative cylinder, should be carefully considered during surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TICL implantation combined with SMCI using a digital-assisted reference marking system provided favorable visual and refractive outcomes in eyes with astigmatism exceeding 6 D. However, a tendency toward astigmatic undercorrection, particularly in eyes with higher preoperative cylinder, should be carefully considered during surgical planning.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1523,
      "source_fields": {
        "Abstract Final Identifier": "POREF137",
        "Title": "Toric Implantable Collamer Lens Implantation Combined With Steep Meridian Corneal Incision For Astigmatism Over Six Diopters Using A Digital-Assisted Reference Marking System",
        "Presenting Author(s)": "Dr Bu Ki Kim",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Bu Ki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the effectiveness of toric implantable collamer lens (TICL) implantation combined with steep meridian corneal incision for astigmatism over 6 diopters (D) using a digital-assisted reference marking system (Callisto Eye system).",
        "Setting": "Onnuri Smile Eye Clinic, Seoul, South Korea",
        "Methods": "This retrospective study analyzed patients who underwent TICL (Staar Surgical) implantation either after or concurrently with a steep meridian corneal incision (SMCI) to correct astigmatism greater than 6 D. The Callisto Eye image-guided system was used for both corneal incision and TICL alignment. Clinical outcomes were evaluated at 6 months postoperatively.",
        "Results": "A total of 31 eyes from 21 patients were included. The mean preoperative astigmatism was -7.22 ± 1.03 D (range, -10.0 to -6.25 D). At 6 months postoperatively, mean uncorrected distance visual acuity was 0.02 ± 0.08 logMAR (range, −0.08 to 0.30). The mean residual astigmatism was -1.34 ± 0.86 D (range, -3.75 to -0.25 D), with 55% of eyes within 1.0 D. The mean surgically induced astigmatism was 6.82 ± 0.92 D. Vector analysis demonstrated a tendency toward undercorrection with increasing preoperative astigmatism. Postoperative lens rotation requiring TICL repositioning occurred in two eyes, and one eye underwent lens exchange due to astigmatic overcorrection.",
        "Conclusions": "TICL implantation combined with SMCI using a digital-assisted reference marking system provided favorable visual and refractive outcomes in eyes with astigmatism exceeding 6 D. However, a tendency toward astigmatic undercorrection, particularly in eyes with higher preoperative cylinder, should be carefully considered during surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "POREF138",
      "abstract_number": "POREF138",
      "title": "Investigation Of Vault Prediction Equations After Implantable Phakic Contact Lens Implantation Using Anterior Segment Optical Coherence Tomography",
      "authors": "Dr Takashi Kojima",
      "presenter": "Dr Takashi Kojima",
      "normalized_authors": [
        "Takashi Kojima"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Takashi Kojima",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To establish a method for predicting postoperative vault and determining the optimal lens size for the Implantable Phakic Contact Lens (IPCL) based on anterior segment optical coherence tomography (AS-OCT) measurements.",
        "Setting": "Multicenter study conducted at Nagoya Eye Clinic (Nagoya), Fujimoto Eye Clinic (Osaka), and Eye Clinic Tokyo (Tokyo), Japan.",
        "Methods": "This retrospective study included 434 eyes of 220 patients (mean age: 48.2 ± 6.0 years) who underwent horizontal IPCL implantation across three facilities and were followed for at least one month. Preoperative and one-month postoperative parameters were extracted using CASIA2 (TOMEY). Cases were randomly assigned to a formula-creation group and a validation group in a 2:1 ratio. A postoperative vault prediction formula was developed using a quadratic non-linear regression model, with postoperative vault as the dependent variable and preoperative horizontal Angle-to-Angle (ATA), Anterior Chamber Depth (ACD), Crystalline Lens Rise (CLR), and implanted IPCL size as independent variables.",
        "Results": "In the formula-creation group, the mean absolute error (MAE) of the predicted vault was 0.15 ± 0.13 mm, and the root mean square error (RMSE) was 0.20 ± 0.20 mm. The validation group showed comparable results, with an MAE of 0.15 ± 0.13 mm and an RMSE of 0.20 ± 0.19 mm. The percentages of eyes within ±0.2 mm and ±0.3 mm of the predicted vault were 74.5% and 89.9%, respectively. Sub-analysis by lens size revealed that for intermediate sizes (12.0–12.75 mm), the accuracy was particularly high, with over 80% of cases within ±0.2 mm and an MAE of approximately 0.12 mm. Conversely, prediction accuracy tended to decrease for sizes 13.0 mm and larger.",
        "Conclusions": "A quadratic non-linear regression model utilizing parameters from AS-OCT (ATA, ACD, CLR) and IPCL size was able to predict postoperative vault with high accuracy, particularly for intermediate lens sizes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A quadratic non-linear regression model utilizing parameters from AS-OCT (ATA, ACD, CLR) and IPCL size was able to predict postoperative vault with high accuracy, particularly for intermediate lens sizes.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1524,
      "source_fields": {
        "Abstract Final Identifier": "POREF138",
        "Title": "Investigation Of Vault Prediction Equations After Implantable Phakic Contact Lens Implantation Using Anterior Segment Optical Coherence Tomography",
        "Presenting Author(s)": "Dr Takashi Kojima",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Takashi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kojima",
        "Country Name": "Japan",
        "Purpose": "To establish a method for predicting postoperative vault and determining the optimal lens size for the Implantable Phakic Contact Lens (IPCL) based on anterior segment optical coherence tomography (AS-OCT) measurements.",
        "Setting": "Multicenter study conducted at Nagoya Eye Clinic (Nagoya), Fujimoto Eye Clinic (Osaka), and Eye Clinic Tokyo (Tokyo), Japan.",
        "Methods": "This retrospective study included 434 eyes of 220 patients (mean age: 48.2 ± 6.0 years) who underwent horizontal IPCL implantation across three facilities and were followed for at least one month. Preoperative and one-month postoperative parameters were extracted using CASIA2 (TOMEY). Cases were randomly assigned to a formula-creation group and a validation group in a 2:1 ratio. A postoperative vault prediction formula was developed using a quadratic non-linear regression model, with postoperative vault as the dependent variable and preoperative horizontal Angle-to-Angle (ATA), Anterior Chamber Depth (ACD), Crystalline Lens Rise (CLR), and implanted IPCL size as independent variables.",
        "Results": "In the formula-creation group, the mean absolute error (MAE) of the predicted vault was 0.15 ± 0.13 mm, and the root mean square error (RMSE) was 0.20 ± 0.20 mm. The validation group showed comparable results, with an MAE of 0.15 ± 0.13 mm and an RMSE of 0.20 ± 0.19 mm. The percentages of eyes within ±0.2 mm and ±0.3 mm of the predicted vault were 74.5% and 89.9%, respectively. Sub-analysis by lens size revealed that for intermediate sizes (12.0–12.75 mm), the accuracy was particularly high, with over 80% of cases within ±0.2 mm and an MAE of approximately 0.12 mm. Conversely, prediction accuracy tended to decrease for sizes 13.0 mm and larger.",
        "Conclusions": "A quadratic non-linear regression model utilizing parameters from AS-OCT (ATA, ACD, CLR) and IPCL size was able to predict postoperative vault with high accuracy, particularly for intermediate lens sizes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POREF139",
      "abstract_number": "POREF139",
      "title": "Rare Case Series Of Toxic Anterior Segment Syndrome Following Phakic Iol Implantation : Describing The Spectrum Of Presentation Along With Diagnostic And Therapeutic Considerations",
      "authors": "Dr Anuradha Kunapuli",
      "presenter": "Dr Anuradha Kunapuli",
      "normalized_authors": [
        "Anuradha Kunapuli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anuradha Kunapuli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "This clinical report describes the sporadic cases of postoperative toxic anterior segment syndrome (TASS) post phakic intraocular lens implantation.Important diagnostic considerations and clinical evaluation pointers are discussed to aid in decision making. It is important to identify and start appropriate therapy in timely manner in TASS to prevent vision threatening sequalae such as toxic endothelial cell damage , corneal decompensation , macular edema, trabecular meshwork damage and glaucoma .The timely assessment of the condition keeping in mind the close differential of post surgical endophthalmitis is of utmost importance .If treated and managed timely ,TASS can be treated with intensive steroids and can be visually rewarding .",
        "Setting": "Phakic intraocular lens (P-IOL) implantation is a safe and effective option for moderate to high refractive errors. Toxic Anterior Segment Syndrome (TASS) is a rare, sterile inflammatory reaction following uncomplicated intraocular surgery and is infrequently reported after P-IOL implantation. It presents with anterior segment inflammation ranging from mild cellular reaction to severe corneal edema and hypopyon, with onset occurring within days or, rarely, months after surgery.",
        "Methods": "This retrospective clinical study describes the cases which developed TASS post phakic IOL implantation .These cases had sporadic presentation over a period of 2 years .The study is observational in nature and the patients received no additional intervention beyond standard of care. In this descriptive retrospective study the data were collected using an electronic medical record system.",
        "Results": "Case series of 6 patients presenting 2 days–3 weeks after phakic IOL implantation for high myopia (2 males, 4 females; all third decade). Implants included RIL V4c (3), IPCL 2.0 (2) and VICOMO (1). One patient had bilateral involvement; others unilateral, with second eye affected in half. All reported painless vision drop; 4 eyes had VA <20/2000, 2 had 20/60. Findings: corneal edema (7 eyes), AC reaction (+2–+4), hypopyon (4), raised IOP (2). Posterior segment was noted to be normal. Managed with intensive topical ± systemic steroids. All regained pre-op BCVA; 4 patients achieved 20/20 by 1 month.",
        "Conclusions": "All patients underwent detailed clinical evaluation and imaging, including B-scan ultrasonography to assess posterior segment involvement. Diagnosis of TASS vs endophthalmitis was based on timing of presentation and clinical features such as circumciliary congestion, corneal edema, and anterior chamber reaction. Key factors favoring TASS were painless vision loss, absence of lid edema, and no posterior segment involvement. Although no definite cause was identified, possible idiosyncratic reaction to pilocarpine or retained OVD was considered. Careful evaluation is essential to avoid misdiagnosis.It is important for ophthalmologists to be aware of this noteworthy complication ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All patients underwent detailed clinical evaluation and imaging, including B-scan ultrasonography to assess posterior segment involvement. Diagnosis of TASS vs endophthalmitis was based on timing of presentation and clinical features such as circumciliary congestion, corneal edema, and anterior chamber reaction. Key factors favoring TASS were painless vision loss, absence of lid edema, and no posterior segment…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1525,
      "source_fields": {
        "Abstract Final Identifier": "POREF139",
        "Title": "Rare Case Series Of Toxic Anterior Segment Syndrome Following Phakic Iol Implantation : Describing The Spectrum Of Presentation Along With Diagnostic And Therapeutic Considerations",
        "Presenting Author(s)": "Dr Anuradha Kunapuli",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Anuradha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kunapuli",
        "Country Name": "India",
        "Purpose": "This clinical report describes the sporadic cases of postoperative toxic anterior segment syndrome (TASS) post phakic intraocular lens implantation.Important diagnostic considerations and clinical evaluation pointers are discussed to aid in decision making. It is important to identify and start appropriate therapy in timely manner in TASS to prevent vision threatening sequalae such as toxic endothelial cell damage , corneal decompensation , macular edema, trabecular meshwork damage and glaucoma .The timely assessment of the condition keeping in mind the close differential of post surgical endophthalmitis is of utmost importance .If treated and managed timely ,TASS can be treated with intensive steroids and can be visually rewarding .",
        "Setting": "Phakic intraocular lens (P-IOL) implantation is a safe and effective option for moderate to high refractive errors. Toxic Anterior Segment Syndrome (TASS) is a rare, sterile inflammatory reaction following uncomplicated intraocular surgery and is infrequently reported after P-IOL implantation. It presents with anterior segment inflammation ranging from mild cellular reaction to severe corneal edema and hypopyon, with onset occurring within days or, rarely, months after surgery.",
        "Methods": "This retrospective clinical study describes the cases which developed TASS post phakic IOL implantation .These cases had sporadic presentation over a period of 2 years .The study is observational in nature and the patients received no additional intervention beyond standard of care. In this descriptive retrospective study the data were collected using an electronic medical record system.",
        "Results": "Case series of 6 patients presenting 2 days–3 weeks after phakic IOL implantation for high myopia (2 males, 4 females; all third decade). Implants included RIL V4c (3), IPCL 2.0 (2) and VICOMO (1). One patient had bilateral involvement; others unilateral, with second eye affected in half. All reported painless vision drop; 4 eyes had VA <20/2000, 2 had 20/60. Findings: corneal edema (7 eyes), AC reaction (+2–+4), hypopyon (4), raised IOP (2). Posterior segment was noted to be normal. Managed with intensive topical ± systemic steroids. All regained pre-op BCVA; 4 patients achieved 20/20 by 1 month.",
        "Conclusions": "All patients underwent detailed clinical evaluation and imaging, including B-scan ultrasonography to assess posterior segment involvement. Diagnosis of TASS vs endophthalmitis was based on timing of presentation and clinical features such as circumciliary congestion, corneal edema, and anterior chamber reaction. Key factors favoring TASS were painless vision loss, absence of lid edema, and no posterior segment involvement. Although no definite cause was identified, possible idiosyncratic reaction to pilocarpine or retained OVD was considered. Careful evaluation is essential to avoid misdiagnosis.It is important for ophthalmologists to be aware of this noteworthy complication ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 422
    },
    {
      "uid": "POREF140",
      "abstract_number": "POREF140",
      "title": "Temporal Refractive Bias Reduction And Vault Safety-Window Distribution After Eyecryl Phakic Iol Implantation: A Prospective Agreement Analysis",
      "authors": "Dr Hasnaa Lamari",
      "presenter": "Dr Hasnaa Lamari",
      "normalized_authors": [
        "Hasnaa Lamari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hasnaa Lamari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To quantify early temporal refractive bias and evaluate vault safety-window distribution following Eyecryl Phakic IOL implantation.",
        "Setting": "Single-center prospective clinical series.",
        "Methods": "Consecutive eyes undergoing Eyecryl Phakic IOL implantation were analyzed. Expected postoperative spherical equivalent (SE) was derived from the manufacturer’s calculator. Achieved SE was measured at 1 week and 1 month. Prediction error (PE = achieved − expected), mean absolute error (MAE), standard deviation (SD), and 95% confidence intervals (CI) were calculated. Agreement was assessed using Bland–Altman analysis. Temporal refractive change between visits was evaluated. Vault was measured at 1 month and analyzed relative to the accepted safety range (250–750 µm).",
        "Results": "Twenty eyes had complete refractive data.\n\nAt 1 week, mean PE was −0.28 ± 0.25 D (95% CI −0.39 to −0.17), MAE 0.32 D, with 85% within ±0.50 D of expected SE.\n\nAt 1 month, mean PE improved to −0.17 ± 0.41 D (95% CI −0.35 to +0.01), MAE 0.36 D, with 70% within ±0.50 D. A mean hyperopic shift of +0.11 D was observed between visits, indicating partial reduction of early myopic bias. Bland–Altman analysis demonstrated narrow limits of agreement without proportional bias.\n\nVault at 1 month (n=21) measured 568.8 ± 174.1 µm (95% CI 494–643 µm); 81% of eyes were within 250–750 µm, with no low-vault cases observed.",
        "Conclusions": "Eyecryl Phakic IOL implantation demonstrated strong early refractive agreement with progressive reduction of initial myopic bias and predominantly optimal vault distribution. Temporal bias analysis provides a clinically meaningful framework for early postoperative evaluation of emerging posterior chamber pIOL platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyecryl Phakic IOL implantation demonstrated strong early refractive agreement with progressive reduction of initial myopic bias and predominantly optimal vault distribution. Temporal bias analysis provides a clinically meaningful framework for early postoperative evaluation of emerging posterior chamber pIOL platforms.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1526,
      "source_fields": {
        "Abstract Final Identifier": "POREF140",
        "Title": "Temporal Refractive Bias Reduction And Vault Safety-Window Distribution After Eyecryl Phakic Iol Implantation: A Prospective Agreement Analysis",
        "Presenting Author(s)": "Dr Hasnaa Lamari",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Hasnaa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lamari",
        "Country Name": "Morocco",
        "Purpose": "To quantify early temporal refractive bias and evaluate vault safety-window distribution following Eyecryl Phakic IOL implantation.",
        "Setting": "Single-center prospective clinical series.",
        "Methods": "Consecutive eyes undergoing Eyecryl Phakic IOL implantation were analyzed. Expected postoperative spherical equivalent (SE) was derived from the manufacturer’s calculator. Achieved SE was measured at 1 week and 1 month. Prediction error (PE = achieved − expected), mean absolute error (MAE), standard deviation (SD), and 95% confidence intervals (CI) were calculated. Agreement was assessed using Bland–Altman analysis. Temporal refractive change between visits was evaluated. Vault was measured at 1 month and analyzed relative to the accepted safety range (250–750 µm).",
        "Results": "Twenty eyes had complete refractive data.\n\nAt 1 week, mean PE was −0.28 ± 0.25 D (95% CI −0.39 to −0.17), MAE 0.32 D, with 85% within ±0.50 D of expected SE.\n\nAt 1 month, mean PE improved to −0.17 ± 0.41 D (95% CI −0.35 to +0.01), MAE 0.36 D, with 70% within ±0.50 D. A mean hyperopic shift of +0.11 D was observed between visits, indicating partial reduction of early myopic bias. Bland–Altman analysis demonstrated narrow limits of agreement without proportional bias.\n\nVault at 1 month (n=21) measured 568.8 ± 174.1 µm (95% CI 494–643 µm); 81% of eyes were within 250–750 µm, with no low-vault cases observed.",
        "Conclusions": "Eyecryl Phakic IOL implantation demonstrated strong early refractive agreement with progressive reduction of initial myopic bias and predominantly optimal vault distribution. Temporal bias analysis provides a clinically meaningful framework for early postoperative evaluation of emerging posterior chamber pIOL platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POREF141",
      "abstract_number": "POREF141",
      "title": "Impact Of Refractive Surgery On New Corneal Biomechanics Index",
      "authors": "Dr Gorka Lauzirika",
      "presenter": "Dr Gorka Lauzirika",
      "normalized_authors": [
        "Gorka Lauzirika"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gorka Lauzirika",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate and compare corneal biomechanical changes before and one month after Photorefractive Keratectomy (PRK) or EVO ICL™ (Staar Surgical) implantation, using the new biomechanical index CBI-LVC, and to determine its relationship with the risk of postoperative ectasia",
        "Setting": "Miranza BEGITEK and Miranza IOA.",
        "Methods": "This was a retrospective, observational, and longitudinal study conducted at two ophthalmology centers: Miranza Begitek (San Sebastián) and Miranza IOA (Madrid). The study included Caucasian patients aged 21–45 years who had undergone corneal refractive surgery (PRK) and implantation of posterior chamber phakic intraocular lenses (EVO ICL™) between July and December 2024. Data was obtained from electronic medical records. Corneal biomechanical parameters (CBI-LVC, TBI, SP-A1, and PRFI) were measured preoperatively and one month postoperatively using the Corvis ST (Oculus Optikgeräte, Germany) device. Pearson’s correlation coefficient (r) was calculated to explore relationships between biomechanical indexes.",
        "Results": "The study included 100 eyes: ICL group (n=50; -6.66±2.62D) and PRK group (n=50; -2.82±1.32D). In the ICL group, no significant differences were found between pre and post-op in SP-A1 (p=0.252), PRFI (p=0.801), or TBI (p=0.669). A slight decrease in CBI was observed (0.33 to 0.27, p=0.047). In the PRK group, significant changes occurred post-surgery: SP-A1 decreased (107.09 vs 91.76, p<0.001) and PRFI increased (0.08 vs 0.34, p<0.001). Using \"Untreated\" (standard) settings for post-op values, PRK eyes showed high CBI (0.78±0.24) and TBI (0.66±0.23) compared to pre-op (p<0.001). However, the specific CBI-LVC index remained at 0.06±0.21. A correlation was found between ablated tissue (55.85±20.87µm) and post-PRK TBI (r=0.414, p<0.001).",
        "Conclusions": "ICL implantation preserves corneal biomechanics, showing no significant changes in all indexes, confirming its minimally induced nature and low structural impact. However, PRK induces significant biomechanical alterations with an increase in CBI and TBI indexes, indicating a global decrease in corneal stability, but preserves CBI-LVC index."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICL implantation preserves corneal biomechanics, showing no significant changes in all indexes, confirming its minimally induced nature and low structural impact. However, PRK induces significant biomechanical alterations with an increase in CBI and TBI indexes, indicating a global decrease in corneal stability, but preserves CBI-LVC index.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1527,
      "source_fields": {
        "Abstract Final Identifier": "POREF141",
        "Title": "Impact Of Refractive Surgery On New Corneal Biomechanics Index",
        "Presenting Author(s)": "Dr Gorka Lauzirika",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Gorka",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lauzirika",
        "Country Name": "Spain",
        "Purpose": "To evaluate and compare corneal biomechanical changes before and one month after Photorefractive Keratectomy (PRK) or EVO ICL™ (Staar Surgical) implantation, using the new biomechanical index CBI-LVC, and to determine its relationship with the risk of postoperative ectasia",
        "Setting": "Miranza BEGITEK and Miranza IOA.",
        "Methods": "This was a retrospective, observational, and longitudinal study conducted at two ophthalmology centers: Miranza Begitek (San Sebastián) and Miranza IOA (Madrid). The study included Caucasian patients aged 21–45 years who had undergone corneal refractive surgery (PRK) and implantation of posterior chamber phakic intraocular lenses (EVO ICL™) between July and December 2024. Data was obtained from electronic medical records. Corneal biomechanical parameters (CBI-LVC, TBI, SP-A1, and PRFI) were measured preoperatively and one month postoperatively using the Corvis ST (Oculus Optikgeräte, Germany) device. Pearson’s correlation coefficient (r) was calculated to explore relationships between biomechanical indexes.",
        "Results": "The study included 100 eyes: ICL group (n=50; -6.66±2.62D) and PRK group (n=50; -2.82±1.32D). In the ICL group, no significant differences were found between pre and post-op in SP-A1 (p=0.252), PRFI (p=0.801), or TBI (p=0.669). A slight decrease in CBI was observed (0.33 to 0.27, p=0.047). In the PRK group, significant changes occurred post-surgery: SP-A1 decreased (107.09 vs 91.76, p<0.001) and PRFI increased (0.08 vs 0.34, p<0.001). Using \"Untreated\" (standard) settings for post-op values, PRK eyes showed high CBI (0.78±0.24) and TBI (0.66±0.23) compared to pre-op (p<0.001). However, the specific CBI-LVC index remained at 0.06±0.21. A correlation was found between ablated tissue (55.85±20.87µm) and post-PRK TBI (r=0.414, p<0.001).",
        "Conclusions": "ICL implantation preserves corneal biomechanics, showing no significant changes in all indexes, confirming its minimally induced nature and low structural impact. However, PRK induces significant biomechanical alterations with an increase in CBI and TBI indexes, indicating a global decrease in corneal stability, but preserves CBI-LVC index."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "POREF142",
      "abstract_number": "POREF142",
      "title": "Clinical Outcomes Of Femtosecond Laser-Assisted Clear Corneal Incision In Implantable Collamer Lens (Icl) Implantation",
      "authors": "Ms Zhaojin Li",
      "presenter": "Ms Zhaojin Li",
      "normalized_authors": [
        "Zhaojin Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhaojin Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy and refractive stability of femtosecond laser-assisted corneal incision in ICL implantation.",
        "Setting": "A single-center, high-volume tertiary refractive surgery center.Retrospective observational study of consecutive patients who underwent Ziemer Z8 femtosecond laser-assisted ICL surgery.",
        "Methods": "A total of 27 patients (53 eyes) undergoing Ziemer Z8 femtosecond laser-assisted ICL surgery were enrolled. All patients received standardized two-plane clear corneal incisions (preset width: 3.0 mm) created by Z8 femtosecond laser, combined with posterior chamber phakic intraocular lens implantation. Uncorrected distance visual acuity (UDVA), spherical equivalent (SEQ), and manifest refraction were recorded and evaluated at postoperative day 1, week 1, month 1, and month 3. Vector analysis was performed to calculate surgically induced astigmatism (SIA).",
        "Results": "At postoperative 3 month , UDVA of 20/20 or better was achieved in 100% (53/53) of eyes, and 77.36% (41/53) of eyes achieved UDVA of 20/16 or better. Refractive outcomes demonstrated that 83.02% (44/53) of eyes were within ±0.50 D of SEQ, and 94.34% (50/53) of eyes were within ±1.00 D of SEQ. The percentage of eyes with SEQ change >0.50 D between 1 month and 3 month was only 1.89%. At postoperative month 3, 73.58% (39/53) of eyes had astigmatism ≤0.50 D, and 100% (53/53) of eyes had astigmatism ≤1.00 D. The TIA was 1.00±0.65 D, SIA was 0.97±0.62 D, and CI was 0.90±0.21. No incision-related complications occurred during the follow-up period.",
        "Conclusions": "Ziemer Z8 femtosecond laser-assisted corneal incision for ICL implantation demonstrates favorable safety, efficacy, and refractive stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ziemer Z8 femtosecond laser-assisted corneal incision for ICL implantation demonstrates favorable safety, efficacy, and refractive stability.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1528,
      "source_fields": {
        "Abstract Final Identifier": "POREF142",
        "Title": "Clinical Outcomes Of Femtosecond Laser-Assisted Clear Corneal Incision In Implantable Collamer Lens (Icl) Implantation",
        "Presenting Author(s)": "Ms Zhaojin Li",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Zhaojin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To evaluate the clinical efficacy and refractive stability of femtosecond laser-assisted corneal incision in ICL implantation.",
        "Setting": "A single-center, high-volume tertiary refractive surgery center.Retrospective observational study of consecutive patients who underwent Ziemer Z8 femtosecond laser-assisted ICL surgery.",
        "Methods": "A total of 27 patients (53 eyes) undergoing Ziemer Z8 femtosecond laser-assisted ICL surgery were enrolled. All patients received standardized two-plane clear corneal incisions (preset width: 3.0 mm) created by Z8 femtosecond laser, combined with posterior chamber phakic intraocular lens implantation. Uncorrected distance visual acuity (UDVA), spherical equivalent (SEQ), and manifest refraction were recorded and evaluated at postoperative day 1, week 1, month 1, and month 3. Vector analysis was performed to calculate surgically induced astigmatism (SIA).",
        "Results": "At postoperative 3 month , UDVA of 20/20 or better was achieved in 100% (53/53) of eyes, and 77.36% (41/53) of eyes achieved UDVA of 20/16 or better. Refractive outcomes demonstrated that 83.02% (44/53) of eyes were within ±0.50 D of SEQ, and 94.34% (50/53) of eyes were within ±1.00 D of SEQ. The percentage of eyes with SEQ change >0.50 D between 1 month and 3 month was only 1.89%. At postoperative month 3, 73.58% (39/53) of eyes had astigmatism ≤0.50 D, and 100% (53/53) of eyes had astigmatism ≤1.00 D. The TIA was 1.00±0.65 D, SIA was 0.97±0.62 D, and CI was 0.90±0.21. No incision-related complications occurred during the follow-up period.",
        "Conclusions": "Ziemer Z8 femtosecond laser-assisted corneal incision for ICL implantation demonstrates favorable safety, efficacy, and refractive stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POREF143",
      "abstract_number": "POREF143",
      "title": "Efficacy And Safety Of Posterior Chamber Implantable Collamer Lens Implantation In Different Anterior Chamber Depths: 5-Year Follow-Up Results",
      "authors": "Dr Francisca Teixeira da Costa Maia",
      "presenter": "Dr Francisca Teixeira da Costa Maia",
      "normalized_authors": [
        "Francisca Teixeira da Costa Maia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisca Teixeira da Costa Maia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare the visual, refractive, safety, and anatomical outcomes of posterior chamber Implantable Collamer Lens (ICL) implantation for myopia correction according to preoperative anterior chamber depth (ACD).",
        "Setting": "This retrospective study was conducted at a tertiary referral hospital in Braga, Portugal.",
        "Methods": "Patients who underwent myopic posterior chamber phakic Implantable Collamer Lens (ICL; models V4C/V5) implantation with a minimum follow-up of 60 months were included. Eyes were divided into two groups according to preoperative ACD: Group 1 (2.80–2.99 mm) and Group 2 (≥3.00 mm). Outcomes evaluated included uncorrected and corrected distance visual acuity, manifest refraction, efficacy and safety indices, predictability, intraocular pressure, endothelial cell density, central vault, anterior chamber angle, and postoperative complications. A total of 247 eyes from 136 patients were analyzed: 62 eyes (25.1%) in Group 1 and 185 eyes (74.9%) in Group 2.",
        "Results": "At 60 months, the efficacy index was comparable(1.15±0.26 in Group 1 vs 0.98±0.25 in Group 2; p=0.184). The safety index was higher in Group 1(1.24±0.32 vs 1.11±0.23; p=0.001), with more eyes gaining corrected distance visual acuity lines. Predictability was similar, with 70.9% vs 68.7% within ±0.50D and 87.1% vs 89.1% within ±1.00D of target refraction in Groups 1 and 2. Mean central vault was lower in Group 1(160.4±118.5µm vs 327.1±150.9 µm; p<0.001). Anterior chamber angle decreased in both groups(p<0.001) but remained wider in Group 2. No differences were observed in intraocular pressure, endothelial cell density loss, or refractive stability. Complications were rare but higher in Group 1 (p=0.005); no cataract surgery was required.",
        "Conclusions": "Posterior chamber ICL implantation demonstrated long-term efficacy, predictability, and refractive stability in eyes with shallow anterior chambers. Despite a lower central vault and a higher incidence of minor complications, visual and refractive outcomes in eyes with reduced ACD were comparable to those achieved in eyes with deeper anterior chambers, supporting the safety and effectiveness of ICL implantation in carefully selected patients with shallow ACD."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Posterior chamber ICL implantation demonstrated long-term efficacy, predictability, and refractive stability in eyes with shallow anterior chambers. Despite a lower central vault and a higher incidence of minor complications, visual and refractive outcomes in eyes with reduced ACD were comparable to those achieved in eyes with deeper anterior chambers, supporting the safety and effectiveness of ICL implantation in…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1529,
      "source_fields": {
        "Abstract Final Identifier": "POREF143",
        "Title": "Efficacy And Safety Of Posterior Chamber Implantable Collamer Lens Implantation In Different Anterior Chamber Depths: 5-Year Follow-Up Results",
        "Presenting Author(s)": "Dr Francisca Teixeira da Costa Maia",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Francisca",
        "Submitter Middle Name": "Teixeira da Costa",
        "Submitter Last Name": "Maia",
        "Country Name": "Portugal",
        "Purpose": "To compare the visual, refractive, safety, and anatomical outcomes of posterior chamber Implantable Collamer Lens (ICL) implantation for myopia correction according to preoperative anterior chamber depth (ACD).",
        "Setting": "This retrospective study was conducted at a tertiary referral hospital in Braga, Portugal.",
        "Methods": "Patients who underwent myopic posterior chamber phakic Implantable Collamer Lens (ICL; models V4C/V5) implantation with a minimum follow-up of 60 months were included. Eyes were divided into two groups according to preoperative ACD: Group 1 (2.80–2.99 mm) and Group 2 (≥3.00 mm). Outcomes evaluated included uncorrected and corrected distance visual acuity, manifest refraction, efficacy and safety indices, predictability, intraocular pressure, endothelial cell density, central vault, anterior chamber angle, and postoperative complications. A total of 247 eyes from 136 patients were analyzed: 62 eyes (25.1%) in Group 1 and 185 eyes (74.9%) in Group 2.",
        "Results": "At 60 months, the efficacy index was comparable(1.15±0.26 in Group 1 vs 0.98±0.25 in Group 2; p=0.184). The safety index was higher in Group 1(1.24±0.32 vs 1.11±0.23; p=0.001), with more eyes gaining corrected distance visual acuity lines. Predictability was similar, with 70.9% vs 68.7% within ±0.50D and 87.1% vs 89.1% within ±1.00D of target refraction in Groups 1 and 2. Mean central vault was lower in Group 1(160.4±118.5µm vs 327.1±150.9 µm; p<0.001). Anterior chamber angle decreased in both groups(p<0.001) but remained wider in Group 2. No differences were observed in intraocular pressure, endothelial cell density loss, or refractive stability. Complications were rare but higher in Group 1 (p=0.005); no cataract surgery was required.",
        "Conclusions": "Posterior chamber ICL implantation demonstrated long-term efficacy, predictability, and refractive stability in eyes with shallow anterior chambers. Despite a lower central vault and a higher incidence of minor complications, visual and refractive outcomes in eyes with reduced ACD were comparable to those achieved in eyes with deeper anterior chambers, supporting the safety and effectiveness of ICL implantation in carefully selected patients with shallow ACD."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "POREF144",
      "abstract_number": "POREF144",
      "title": "Performance Of A Deep Learning–Based Vault Prediction Model For Icl Sizing In A Portuguese Cohort",
      "authors": "Dr Pedro Marques-Couto",
      "presenter": "Dr Pedro Marques-Couto",
      "normalized_authors": [
        "Pedro Marques-Couto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Marques-Couto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate the performance of a deep learning–based Implantable Collamer Lens (EVO+ Visian ICL TM ) sizing platform (SafeVaultICL) against real-world postoperative vaults and to identify preoperative predictors of vault in patients with myopia or myopic astigmatism.",
        "Setting": "Single-center tertiary referral refractive surgery practice",
        "Methods": "Single-center retrospective observational study including 32 eyes (18 patients) implanted with EVO+ Visian ICL TM. Observed postoperative vaults were compared with SafeVaultICL predictions for the surgeon’s chosen lens. Agreement, diagnostic accuracy, Bland–Altman analysis, and correlation were performed. Univariable and multivariable mixed-effects models identified biometric predictors of vault, accounting for inter-eye correlation. Subgroup analyses compared biometric parameters between eyes within the target vault (250–750 µm) and those outside this range.",
        "Results": "The mean observed vault was 460±194µm, compared with 518±290µm predicted by the algorithm (p=0.081). Bland–Altman analysis showed a mean bias of +58µm (95%CI –8 to 125). Agreement between surgeon’s and algorithm’s lens size selection occurred in 25% of cases. Accuracy for achieving the target vault range was 68.8% (sensitivity 64%, specificity 85.7%, PPV 94.1%, NPV 40.0%; κ=0.35, p=0.020). The algorithm tended to underestimate vault suitability (p=0.021). Correlation between predicted and observed vaults was strong (r=0.782, p<0.001). In multivariable analysis regarding the estimated vault by the platform for the implanted lens, only SE (β=–38.3, p<0.001) and anterior chamber angle (β=-9.2, p=0.10) were associated with the predicted vault.",
        "Conclusions": "SafeVaultICL demonstrated strong correlation with postoperative vaults and moderate accuracy in predicting target vault achievement, though agreement with surgeon lens size selection was limited. These findings suggest that while the platform provides valuable guidance, clinical judgment and comprehensive biometric assessment remain essential for optimal ICL sizing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SafeVaultICL demonstrated strong correlation with postoperative vaults and moderate accuracy in predicting target vault achievement, though agreement with surgeon lens size selection was limited. These findings suggest that while the platform provides valuable guidance, clinical judgment and comprehensive biometric assessment remain essential for optimal ICL sizing.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1530,
      "source_fields": {
        "Abstract Final Identifier": "POREF144",
        "Title": "Performance Of A Deep Learning–Based Vault Prediction Model For Icl Sizing In A Portuguese Cohort",
        "Presenting Author(s)": "Dr Pedro Marques-Couto",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marques-Couto",
        "Country Name": "Portugal",
        "Purpose": "To evaluate the performance of a deep learning–based Implantable Collamer Lens (EVO+ Visian ICL TM ) sizing platform (SafeVaultICL) against real-world postoperative vaults and to identify preoperative predictors of vault in patients with myopia or myopic astigmatism.",
        "Setting": "Single-center tertiary referral refractive surgery practice",
        "Methods": "Single-center retrospective observational study including 32 eyes (18 patients) implanted with EVO+ Visian ICL TM. Observed postoperative vaults were compared with SafeVaultICL predictions for the surgeon’s chosen lens. Agreement, diagnostic accuracy, Bland–Altman analysis, and correlation were performed. Univariable and multivariable mixed-effects models identified biometric predictors of vault, accounting for inter-eye correlation. Subgroup analyses compared biometric parameters between eyes within the target vault (250–750 µm) and those outside this range.",
        "Results": "The mean observed vault was 460±194µm, compared with 518±290µm predicted by the algorithm (p=0.081). Bland–Altman analysis showed a mean bias of +58µm (95%CI –8 to 125). Agreement between surgeon’s and algorithm’s lens size selection occurred in 25% of cases. Accuracy for achieving the target vault range was 68.8% (sensitivity 64%, specificity 85.7%, PPV 94.1%, NPV 40.0%; κ=0.35, p=0.020). The algorithm tended to underestimate vault suitability (p=0.021). Correlation between predicted and observed vaults was strong (r=0.782, p<0.001). In multivariable analysis regarding the estimated vault by the platform for the implanted lens, only SE (β=–38.3, p<0.001) and anterior chamber angle (β=-9.2, p=0.10) were associated with the predicted vault.",
        "Conclusions": "SafeVaultICL demonstrated strong correlation with postoperative vaults and moderate accuracy in predicting target vault achievement, though agreement with surgeon lens size selection was limited. These findings suggest that while the platform provides valuable guidance, clinical judgment and comprehensive biometric assessment remain essential for optimal ICL sizing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POREF145",
      "abstract_number": "POREF145",
      "title": "First Results Of A Fresnel-Zone Based Posterior Chamber Phakic Iol With A Central Port To Correct Myopia And Myopic Astigmatism",
      "authors": "Dr Erik L. Mertens",
      "presenter": "Dr Erik L. Mertens",
      "normalized_authors": [
        "Erik L. Mertens"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erik L. Mertens",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "To demonstrate the clinical outcome, safety, predictability and efficacy with a novel phakic intraocular lens based on Fresnel-zone technology to correct myopia and myopic astigmatism without the requirement of an iridotomy or iridectomy due to a central port.",
        "Setting": "Medipolis Eye Center, Antwerpen, Belgium",
        "Methods": "This interventional study was conducted within the obligatory Post Market Clinical Follow-Up. Twenty-three eyes of 12 patients with a median age 36.5 ± 7.7 years were included (7 females/5 males). Patients were followed over 3 months. Refraction, visual acuity, intraocular pressure (IOP), difference in endothelial cell count, and lens vault were recorded. Lens calculation was performed with matrix based vergence tracing. Sizing was performed with direct sulcus measurement using an anterior segment optical coherence tomographer.\n\nThe pre-OP spherical equivalent refraction was -8.4 D ± 4.1 D [-17.5 to -3.75] and cylinder was 1.6 D ± 1.0 D [-3.5 to 0.0]. Pre-OP UDVA and CDVA [logMAR] was 1.39 ± 0.87 and 0.05 ± 0.08.",
        "Results": "Postoperative spherical equivalent refraction at 3 months was 0.01 D ± 0.41 D [-0.5 to +1.25], cylinder was -0.48 D ± 0.78 D [-3.5 to 0.0]. Two eyes ended up with hyperopic refraction, one with initial high myopia of -16 D and one with crosslinked keratoconus. UDVA was logMAR 0.06 ± 0.18 [range 0.6 to -0.1] and CDVA logMAR 0.00 ± 0.10 [range 0.2 to -0.1]. Average gain in UDVA was 1.33 logMAR and for CDVA 0.04 logMAR. One eye lost one line, 11 eyes retained the CDVA and 11 eyes gained 1 line. There was no reduction in endothelial cell count and the vault was 781 ± 275 µm [range 216 to 1210] and IOP was 14.4 ± 3.5 mmHg [range 9 to 23].",
        "Conclusions": "This first in human Fresnel-zone–based posterior chamber phakic IOL demonstrated favorable short-term safety and refractive performance in this initial clinical series and does not require vault prediction for size estimation and remaining stable during the first 3 months. The thin cross section of the IOL provides more space in the anterior chamber in comparison with conventional optical designs. Refractive outcomes were predictable, with good visual acuity results and no significant endothelial cell loss. The thin optic profile may contribute to improved anterior chamber dynamics, even in highly myopic eyes. Longer follow-up and larger cohorts are required to confirm long-term stability, endothelial safety, and optical quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This first in human Fresnel-zone–based posterior chamber phakic IOL demonstrated favorable short-term safety and refractive performance in this initial clinical series and does not require vault prediction for size estimation and remaining stable during the first 3 months. The thin cross section of the IOL provides more space in the anterior chamber in comparison with conventional optical designs. Refractive…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1531,
      "source_fields": {
        "Abstract Final Identifier": "POREF145",
        "Title": "First Results Of A Fresnel-Zone Based Posterior Chamber Phakic Iol With A Central Port To Correct Myopia And Myopic Astigmatism",
        "Presenting Author(s)": "Dr Erik L. Mertens",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Erik",
        "Submitter Middle Name": "L.",
        "Submitter Last Name": "Mertens",
        "Country Name": "Belgium",
        "Purpose": "To demonstrate the clinical outcome, safety, predictability and efficacy with a novel phakic intraocular lens based on Fresnel-zone technology to correct myopia and myopic astigmatism without the requirement of an iridotomy or iridectomy due to a central port.",
        "Setting": "Medipolis Eye Center, Antwerpen, Belgium",
        "Methods": "This interventional study was conducted within the obligatory Post Market Clinical Follow-Up. Twenty-three eyes of 12 patients with a median age 36.5 ± 7.7 years were included (7 females/5 males). Patients were followed over 3 months. Refraction, visual acuity, intraocular pressure (IOP), difference in endothelial cell count, and lens vault were recorded. Lens calculation was performed with matrix based vergence tracing. Sizing was performed with direct sulcus measurement using an anterior segment optical coherence tomographer.\n\nThe pre-OP spherical equivalent refraction was -8.4 D ± 4.1 D [-17.5 to -3.75] and cylinder was 1.6 D ± 1.0 D [-3.5 to 0.0]. Pre-OP UDVA and CDVA [logMAR] was 1.39 ± 0.87 and 0.05 ± 0.08.",
        "Results": "Postoperative spherical equivalent refraction at 3 months was 0.01 D ± 0.41 D [-0.5 to +1.25], cylinder was -0.48 D ± 0.78 D [-3.5 to 0.0]. Two eyes ended up with hyperopic refraction, one with initial high myopia of -16 D and one with crosslinked keratoconus. UDVA was logMAR 0.06 ± 0.18 [range 0.6 to -0.1] and CDVA logMAR 0.00 ± 0.10 [range 0.2 to -0.1]. Average gain in UDVA was 1.33 logMAR and for CDVA 0.04 logMAR. One eye lost one line, 11 eyes retained the CDVA and 11 eyes gained 1 line. There was no reduction in endothelial cell count and the vault was 781 ± 275 µm [range 216 to 1210] and IOP was 14.4 ± 3.5 mmHg [range 9 to 23].",
        "Conclusions": "This first in human Fresnel-zone–based posterior chamber phakic IOL demonstrated favorable short-term safety and refractive performance in this initial clinical series and does not require vault prediction for size estimation and remaining stable during the first 3 months. The thin cross section of the IOL provides more space in the anterior chamber in comparison with conventional optical designs. Refractive outcomes were predictable, with good visual acuity results and no significant endothelial cell loss. The thin optic profile may contribute to improved anterior chamber dynamics, even in highly myopic eyes. Longer follow-up and larger cohorts are required to confirm long-term stability, endothelial safety, and optical quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 411
    },
    {
      "uid": "POREF146",
      "abstract_number": "POREF146",
      "title": "Corneal Biomechanical Remodeling Associated With Significant Hyperopic Shift After Implantable Collamer Lens Implantation In High Myopia",
      "authors": "Dr Jose Joaquín Muñoz Tomás",
      "presenter": "Dr Jose Joaquín Muñoz Tomás",
      "normalized_authors": [
        "Jose Joaquín Muñoz Tomás"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Myriam Milla Barrios",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report a case of significant postoperative hyperopic shift after implantable collamer lens (ICL) implantation for high myopia, highlighting the potential role of incision-induced corneal biomechanical changes in corneal curvature and refractive predictability despite adequate vault.",
        "Setting": "Private ophthalmology clinic specialised in refractive and anterior segment surgery",
        "Methods": "A 52-year-old woman with high myopia (−10.50 D OU) underwent bilateral posterior chamber phakic ICL implantation. Preoperative CDVA was 20/20 OU with steep keratometry (OD 46.75/47.25 D; OS 46.50/48.00 D). Surgery was uneventful with appropriate lens sizing (13.2 mm). A 2.75-mm clear corneal incision was created in each eye along the steep meridian. Postoperative vault was within the expected range. Corneal changes were assessed using Scheimpflug tomography.",
        "Results": "At 1 month postoperatively, uncorrected distance visual acuity was 20/40 OU with a hyperopic shift of +1.50 D in both eyes despite adequate vault (OD 0.496 mm; OS 0.458 mm) and proper ICL centration. Scheimpflug tomography demonstrated bilateral corneal flattening with redistribution of anterior corneal power, showing a reduction of 1.0–1.5 D in mean keratometry compared with preoperative values. Slit-lamp and fundus examinations were unremarkable. Due to persistent refractive surprise, ICL exchange with lower lens power was performed. At 6 months, uncorrected distance visual acuity improved to 20/20 OU, with stable vault and sustained corneal flattening confirmed by Scheimpflug maps.",
        "Conclusions": "This case suggests that corneal biomechanical remodeling induced by clear corneal incision may represent an underrecognized source of hyperopic refractive surprise after ICL implantation, even when vault and sizing are appropriate. Tomographic evaluation of anterior corneal power redistribution may assist in the management of unexpected postoperative refractive shift and surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This case suggests that corneal biomechanical remodeling induced by clear corneal incision may represent an underrecognized source of hyperopic refractive surprise after ICL implantation, even when vault and sizing are appropriate. Tomographic evaluation of anterior corneal power redistribution may assist in the management of unexpected postoperative refractive shift and surgical planning.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1532,
      "source_fields": {
        "Abstract Final Identifier": "POREF146",
        "Title": "Corneal Biomechanical Remodeling Associated With Significant Hyperopic Shift After Implantable Collamer Lens Implantation In High Myopia",
        "Presenting Author(s)": "Dr Jose Joaquín Muñoz Tomás",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Myriam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Milla Barrios",
        "Country Name": "Spain",
        "Purpose": "To report a case of significant postoperative hyperopic shift after implantable collamer lens (ICL) implantation for high myopia, highlighting the potential role of incision-induced corneal biomechanical changes in corneal curvature and refractive predictability despite adequate vault.",
        "Setting": "Private ophthalmology clinic specialised in refractive and anterior segment surgery",
        "Methods": "A 52-year-old woman with high myopia (−10.50 D OU) underwent bilateral posterior chamber phakic ICL implantation. Preoperative CDVA was 20/20 OU with steep keratometry (OD 46.75/47.25 D; OS 46.50/48.00 D). Surgery was uneventful with appropriate lens sizing (13.2 mm). A 2.75-mm clear corneal incision was created in each eye along the steep meridian. Postoperative vault was within the expected range. Corneal changes were assessed using Scheimpflug tomography.",
        "Results": "At 1 month postoperatively, uncorrected distance visual acuity was 20/40 OU with a hyperopic shift of +1.50 D in both eyes despite adequate vault (OD 0.496 mm; OS 0.458 mm) and proper ICL centration. Scheimpflug tomography demonstrated bilateral corneal flattening with redistribution of anterior corneal power, showing a reduction of 1.0–1.5 D in mean keratometry compared with preoperative values. Slit-lamp and fundus examinations were unremarkable. Due to persistent refractive surprise, ICL exchange with lower lens power was performed. At 6 months, uncorrected distance visual acuity improved to 20/20 OU, with stable vault and sustained corneal flattening confirmed by Scheimpflug maps.",
        "Conclusions": "This case suggests that corneal biomechanical remodeling induced by clear corneal incision may represent an underrecognized source of hyperopic refractive surprise after ICL implantation, even when vault and sizing are appropriate. Tomographic evaluation of anterior corneal power redistribution may assist in the management of unexpected postoperative refractive shift and surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POREF147",
      "abstract_number": "POREF147",
      "title": "Eyecryl Phakic Lens Implantation In Low Myopia Patients",
      "authors": "Dr Pablo Morales",
      "presenter": "Dr Pablo Morales",
      "normalized_authors": [
        "Pablo Morales"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Morales",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and predictability of the vault after Eyecryl phakic lens implantation in patients with low myopia (spherical equivalent “SEQ” ≤ −3.50 D), as well as the accuracy of the manufacturer's calculator for preoperative vault estimation.",
        "Setting": "All surgeries, consultations, and follow-ups have been performed at Instituto Clínico Quirúrgico de Oftalmología (ICQO), Bilbao, Spain.",
        "Methods": "Retrospective, interventional, case series study. Eleven eyes of six patients with stable low myopia (SEQ ≤ −3.50 D), aged over 21 years and with refractive stability ≥1 year, were analyzed. Patients with significant retinal pathology, glaucoma, or uveitis were excluded. Eyecryl phakic lens was implanted following a standardized surgical protocol. The primary variable was uncorrected visual acuity (UDVA) at 6 months. Secondary variables included residual spherical equivalent, efficacy and safety indices, refractive stability, vault, endothelial cell count, and concordance between the observed vault and the vault predicted by the calculator. Descriptive and comparative analyses were performed, considering statistical significance p<0.05.",
        "Results": "The mean preoperative SEQ was −2.95 ± 0.45 D. At 6 months, the mean residual SEQ was −0.10 ± 0.30 D, with 100% of eyes within ±0.50 D of the refractive target. 100% achieved UDVA equal to or greater than preoperative best corrected visual acuity (BCVA). The efficacy index was 1.0 and the safety index was 1.10. No loss of lines was recorded; 20% of eyes gained at least one line. Regarding vault predictability, 75% of eyes had an actual value within ±200 µm of the calculator prediction and 95% within ±300 µm. No relevant complications or significant changes in endothelial cell count were observed.",
        "Conclusions": "The Eyecryl phakic lens implant in low myopia showed high safety, efficacy, and predictability, along with adequate calculator accuracy for vault estimation. These results support its use as a valid refractive alternative. Studies with larger samples and longer follow-up are needed to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Eyecryl phakic lens implant in low myopia showed high safety, efficacy, and predictability, along with adequate calculator accuracy for vault estimation. These results support its use as a valid refractive alternative. Studies with larger samples and longer follow-up are needed to confirm these findings.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1533,
      "source_fields": {
        "Abstract Final Identifier": "POREF147",
        "Title": "Eyecryl Phakic Lens Implantation In Low Myopia Patients",
        "Presenting Author(s)": "Dr Pablo Morales",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morales",
        "Country Name": "Spain",
        "Purpose": "To evaluate the safety, efficacy, and predictability of the vault after Eyecryl phakic lens implantation in patients with low myopia (spherical equivalent “SEQ” ≤ −3.50 D), as well as the accuracy of the manufacturer's calculator for preoperative vault estimation.",
        "Setting": "All surgeries, consultations, and follow-ups have been performed at Instituto Clínico Quirúrgico de Oftalmología (ICQO), Bilbao, Spain.",
        "Methods": "Retrospective, interventional, case series study. Eleven eyes of six patients with stable low myopia (SEQ ≤ −3.50 D), aged over 21 years and with refractive stability ≥1 year, were analyzed. Patients with significant retinal pathology, glaucoma, or uveitis were excluded. Eyecryl phakic lens was implanted following a standardized surgical protocol. The primary variable was uncorrected visual acuity (UDVA) at 6 months. Secondary variables included residual spherical equivalent, efficacy and safety indices, refractive stability, vault, endothelial cell count, and concordance between the observed vault and the vault predicted by the calculator. Descriptive and comparative analyses were performed, considering statistical significance p<0.05.",
        "Results": "The mean preoperative SEQ was −2.95 ± 0.45 D. At 6 months, the mean residual SEQ was −0.10 ± 0.30 D, with 100% of eyes within ±0.50 D of the refractive target. 100% achieved UDVA equal to or greater than preoperative best corrected visual acuity (BCVA). The efficacy index was 1.0 and the safety index was 1.10. No loss of lines was recorded; 20% of eyes gained at least one line. Regarding vault predictability, 75% of eyes had an actual value within ±200 µm of the calculator prediction and 95% within ±300 µm. No relevant complications or significant changes in endothelial cell count were observed.",
        "Conclusions": "The Eyecryl phakic lens implant in low myopia showed high safety, efficacy, and predictability, along with adequate calculator accuracy for vault estimation. These results support its use as a valid refractive alternative. Studies with larger samples and longer follow-up are needed to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "POREF148",
      "abstract_number": "POREF148",
      "title": "Vault Prediction For Eyecryl Phakic Lens Based On Measurements From Anterion-Oct Using The Biotech Calculator",
      "authors": "Dr Pablo Morales",
      "presenter": "Dr Pablo Morales",
      "normalized_authors": [
        "Pablo Morales"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Morales",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the predictability of the vault as well as the accuracy of the manufacturer's calculator for preoperative vault estimation after 6 months follow up Eyecryl phakic lens implantation.",
        "Setting": "All surgeries, consultations, and follow-ups, have been performed at Instituto Clínico Quirúrgico de Oftalomología (ICQO), Bilbao, Spain.",
        "Methods": "Retrospective study including 91 eyes with Eyecryl Phakic implantation at least 6 months follow up post operative were analyzed. Patients with significant corneal or retinal pathology, glaucoma, or uveitis were excluded. A posterior chamber Eyecryl phakic lens was implanted following a standardized surgical protocol. Mean absolute error (MAE) was calculated as difference between vault prediction by BIOTECH calculator and obtained vault measured with Anterion OCT. Descriptive and comparative analyses were performed, considering statistical significance p<0.05.",
        "Results": "Regarding vault predictability, the results showed 50% of eyes had a vault value within100 µm MAE, 75% of eyes had a vault value within 200 µm MAE and 97% within 300 µm. No relevant complications or significant changes in endothelial cell count were observed.",
        "Conclusions": "Vault prediction using BIOTECH calculator entering Anterion measurements provides good results minimizing possibility of rotation/explant. Results are comparable to other machine learning and UBM Based formulas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vault prediction using BIOTECH calculator entering Anterion measurements provides good results minimizing possibility of rotation/explant. Results are comparable to other machine learning and UBM Based formulas.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1534,
      "source_fields": {
        "Abstract Final Identifier": "POREF148",
        "Title": "Vault Prediction For Eyecryl Phakic Lens Based On Measurements From Anterion-Oct Using The Biotech Calculator",
        "Presenting Author(s)": "Dr Pablo Morales",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morales",
        "Country Name": "Spain",
        "Purpose": "To evaluate the predictability of the vault as well as the accuracy of the manufacturer's calculator for preoperative vault estimation after 6 months follow up Eyecryl phakic lens implantation.",
        "Setting": "All surgeries, consultations, and follow-ups, have been performed at Instituto Clínico Quirúrgico de Oftalomología (ICQO), Bilbao, Spain.",
        "Methods": "Retrospective study including 91 eyes with Eyecryl Phakic implantation at least 6 months follow up post operative were analyzed. Patients with significant corneal or retinal pathology, glaucoma, or uveitis were excluded. A posterior chamber Eyecryl phakic lens was implanted following a standardized surgical protocol. Mean absolute error (MAE) was calculated as difference between vault prediction by BIOTECH calculator and obtained vault measured with Anterion OCT. Descriptive and comparative analyses were performed, considering statistical significance p<0.05.",
        "Results": "Regarding vault predictability, the results showed 50% of eyes had a vault value within100 µm MAE, 75% of eyes had a vault value within 200 µm MAE and 97% within 300 µm. No relevant complications or significant changes in endothelial cell count were observed.",
        "Conclusions": "Vault prediction using BIOTECH calculator entering Anterion measurements provides good results minimizing possibility of rotation/explant. Results are comparable to other machine learning and UBM Based formulas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 194
    },
    {
      "uid": "POREF149",
      "abstract_number": "POREF149",
      "title": "Visual And Safety Outcomes Of Visian Toric Icl Implantation After Corneal Collagen Cross-Linking In Keratoconus",
      "authors": "Dr Orwa Nasser",
      "presenter": "Dr Orwa Nasser",
      "normalized_authors": [
        "Orwa Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Orwa Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the clinical and safety outcome of phakic Visian toric implantable collamer lens (ICL) (STAAR Surgical, USA) insertion after corneal collagen cross-linking (CXL) in mild to moderate keratoconus.",
        "Setting": "Private tertiary ophthalmology clinic / surgery center",
        "Methods": "This is a retrospective study to examine the results of the two-step approach to correct refractive error in mild to moderate stable keratoconus. CXL treatment and then 4-6 months later Visian toric ICL implantation were performed in 19 eyes of 11 patients. Data were collected preoperatively at 1-, 2-, 3- and 9-month follow-up visits after each treatment.",
        "Results": "At 9-month follow-up after ICL implantation, mean uncorrected distance visual acuity improved from 0.85 ± 0.49 to 0.17 ± 0.08 logMAR (P = .001) and mean corrected distance visual acuity improved from 0.21 ± 0.06 to 0.04 ± 0.04 logMAR (P = .018). Mean spherical equivalent decreased from -5.6 ± 3.53 to -0.15 ± 0.76 D (P = .001) and mean cylinder decreased from 3.6 ± 1.28 to 0.8 ± 0.64 D (P = .001). Final spherical and cylindrical error ranged from +0.50 to -1.50D and -0.50 to -1.25D, respectively. No intraoperative or postoperative complications occurred.",
        "Conclusions": "Implantation of the Visian toric ICL following CXL is an effective option for improving visual acuity in patients with keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of the Visian toric ICL following CXL is an effective option for improving visual acuity in patients with keratoconus.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1535,
      "source_fields": {
        "Abstract Final Identifier": "POREF149",
        "Title": "Visual And Safety Outcomes Of Visian Toric Icl Implantation After Corneal Collagen Cross-Linking In Keratoconus",
        "Presenting Author(s)": "Dr Orwa Nasser",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Orwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "United States",
        "Purpose": "To evaluate the clinical and safety outcome of phakic Visian toric implantable collamer lens (ICL) (STAAR Surgical, USA) insertion after corneal collagen cross-linking (CXL) in mild to moderate keratoconus.",
        "Setting": "Private tertiary ophthalmology clinic / surgery center",
        "Methods": "This is a retrospective study to examine the results of the two-step approach to correct refractive error in mild to moderate stable keratoconus. CXL treatment and then 4-6 months later Visian toric ICL implantation were performed in 19 eyes of 11 patients. Data were collected preoperatively at 1-, 2-, 3- and 9-month follow-up visits after each treatment.",
        "Results": "At 9-month follow-up after ICL implantation, mean uncorrected distance visual acuity improved from 0.85 ± 0.49 to 0.17 ± 0.08 logMAR (P = .001) and mean corrected distance visual acuity improved from 0.21 ± 0.06 to 0.04 ± 0.04 logMAR (P = .018). Mean spherical equivalent decreased from -5.6 ± 3.53 to -0.15 ± 0.76 D (P = .001) and mean cylinder decreased from 3.6 ± 1.28 to 0.8 ± 0.64 D (P = .001). Final spherical and cylindrical error ranged from +0.50 to -1.50D and -0.50 to -1.25D, respectively. No intraoperative or postoperative complications occurred.",
        "Conclusions": "Implantation of the Visian toric ICL following CXL is an effective option for improving visual acuity in patients with keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 216
    },
    {
      "uid": "POREF150",
      "abstract_number": "POREF150",
      "title": "Minimal Surgically Induced Astigmatism After Posterior Chamber Phakic Iol Implantations: A Zone-Based Tomographic Analysis",
      "authors": "Dr Philipp Necpal",
      "presenter": "Dr Philipp Necpal",
      "normalized_authors": [
        "Philipp Necpal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Philipp Necpal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate surgically induced astigmatism (SIA) following implantation of a posterior chamber phakic intraocular lens (ICL, STAAR Surgical) for correction of ametropia and to analyse potential differences across various corneal analysis zones.",
        "Setting": "Tertiary referral university hospital.",
        "Methods": "In this single-centre, single-surgeon retrospective study, tomographic data obtained using Scheimpflug imaging (Pentacam AXL/AXL Wave) were analysed preoperatively and at 1 and 4 weeks as well as 3-6 months postoperatively. Simulated keratometry (SimK) and total corneal refractive power (TCRP) were evaluated in pupil-centred corneal zones ranging from 3.0 to 7.0 mm in 1-mm increments. All procedures were performed through a 2.6-mm temporal clear corneal incision with one paracentesis. Primary outcome measures included changes in corneal equivalent power, difference vector (DV) magnitude, and bivariate double-angle vector analysis according to Wilcox–Holladay–Wang–Koch using R software.",
        "Results": "Preliminary analysis included 102 eyes of 54 patients (54 left, 48 right eyes). Corneal equivalent power (SimK) decreased from -0.06 ± 0.42 D in the 3.0-mm zone to -0.02 ± 0.16 D in the 7.0-mm zone. Comparable results were observed for TCRP measurements (-0.08 ± 0.54 D to −0.04 ± 0.26 D). Mean change in corneal equivalent power (TCRP) between 1 and 4 weeks postoperatively was 0.01 ± 0.28 D (range −0.55 to 0.65 D), with 55% of eyes within ±0.25 D and 96% within ±0.50 D. The DV magnitude measured 0.185 ± 0.15 D for 3-mm SimK and 0.22 ± 0.23 D for 3-mm TCRP.",
        "Conclusions": "ICL implantation through a 2.6-mm temporal clear corneal incision induces minimal and clinically negligible corneal astigmatic changes in most eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICL implantation through a 2.6-mm temporal clear corneal incision induces minimal and clinically negligible corneal astigmatic changes in most eyes.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1536,
      "source_fields": {
        "Abstract Final Identifier": "POREF150",
        "Title": "Minimal Surgically Induced Astigmatism After Posterior Chamber Phakic Iol Implantations: A Zone-Based Tomographic Analysis",
        "Presenting Author(s)": "Dr Philipp Necpal",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Philipp",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Necpal",
        "Country Name": "Germany",
        "Purpose": "To evaluate surgically induced astigmatism (SIA) following implantation of a posterior chamber phakic intraocular lens (ICL, STAAR Surgical) for correction of ametropia and to analyse potential differences across various corneal analysis zones.",
        "Setting": "Tertiary referral university hospital.",
        "Methods": "In this single-centre, single-surgeon retrospective study, tomographic data obtained using Scheimpflug imaging (Pentacam AXL/AXL Wave) were analysed preoperatively and at 1 and 4 weeks as well as 3-6 months postoperatively. Simulated keratometry (SimK) and total corneal refractive power (TCRP) were evaluated in pupil-centred corneal zones ranging from 3.0 to 7.0 mm in 1-mm increments. All procedures were performed through a 2.6-mm temporal clear corneal incision with one paracentesis. Primary outcome measures included changes in corneal equivalent power, difference vector (DV) magnitude, and bivariate double-angle vector analysis according to Wilcox–Holladay–Wang–Koch using R software.",
        "Results": "Preliminary analysis included 102 eyes of 54 patients (54 left, 48 right eyes). Corneal equivalent power (SimK) decreased from -0.06 ± 0.42 D in the 3.0-mm zone to -0.02 ± 0.16 D in the 7.0-mm zone. Comparable results were observed for TCRP measurements (-0.08 ± 0.54 D to −0.04 ± 0.26 D). Mean change in corneal equivalent power (TCRP) between 1 and 4 weeks postoperatively was 0.01 ± 0.28 D (range −0.55 to 0.65 D), with 55% of eyes within ±0.25 D and 96% within ±0.50 D. The DV magnitude measured 0.185 ± 0.15 D for 3-mm SimK and 0.22 ± 0.23 D for 3-mm TCRP.",
        "Conclusions": "ICL implantation through a 2.6-mm temporal clear corneal incision induces minimal and clinically negligible corneal astigmatic changes in most eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POREF151",
      "abstract_number": "POREF151",
      "title": "Visual And Refractive Outcomes Of Posterior Chamber Phakic Intraocular Lens Implantation In Myopic Eyes: A 3-Month Initial Experience",
      "authors": "Dr PAYAL DEEPAK PANDIT",
      "presenter": "Dr PAYAL DEEPAK PANDIT",
      "normalized_authors": [
        "PAYAL DEEPAK PANDIT"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Payal Deepak Pandit",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report early visual and refractive outcomes, safety and practical surgical insights from the initial experience with posterior chamber phakic IOL (P-IOL) implantation in myopic eyes",
        "Setting": "Single-center, Tertiary eye care hospital, North India",
        "Methods": "This retrospective case series included 18 eyes of 9 patients with myopia −3.75 to −10.00 D who underwent EVO+ Visian Implantable Collamer Lens implantation for myopia & myopic astigmatism by a single surgeon.13 eyes received toric lens and 5 eyes non toric lens.Patients unsuitable for corneal refractive surgery or preferring lens-based correction were included.Exclusion criteria was inadequate anterior chamber depth (ACD), corneal or retinal pathology,glaucoma and age <21 years.Preoperative evaluation included UDVA,CDVA, manifest refraction,corneal topography,pachymetry and ACD measurement using Anterion.Lens sizing was based on white-to-white measurements.Postoperative assessment included UDVA, CDVA, refraction and IOP up to 3 months.",
        "Results": "Most eyes achieved UDVA 6/6 on POD1, maintained at 1 month.At 3 months, refractive predictability was high;two eyes had mild residual error.Two patients lost to follow-up after 1 month.CDVA was maintained or improved in most, though eyes with complications had variable outcomes.Four eyes had complications:one early endophthalmitis (vision FC 2 m on POD2, improved to 6/18 post-intravitreal antibiotic injection and 6/6 by 1 month),one raised IOP due to malpositioned ICL haptic(6/12p on POD1, 6/6 at 1 month after repositioning),one eye with a small Descemet detachment during lens manipulation and one eye with air bubble under lens causing mild rotation (6/9 on POD1, 6/6 with correction at 1 month).No long-term sight-threatening sequelae seen.",
        "Conclusions": "P-IOL implantation provides excellent early visual recovery and favorable short-term refractive outcomes in low to high myopia. This initial experience highlights key surgical considerations to optimize outcomes and reduce learning curve related complications such as thorough viscoelastic removal to prevent IOP rise, early recognition,referral and management of intraocular inflammation and infection,adequate viscoelastic use during lens manipulation to avoid corneal touch and using irrigation rather than instrumentation beneath the lens for management of trapped airbubbles.Awareness of these practical strategies may enhance safety and efficiency for surgeons adopting this procedure. Larger studies with longer follow-up are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "P-IOL implantation provides excellent early visual recovery and favorable short-term refractive outcomes in low to high myopia. This initial experience highlights key surgical considerations to optimize outcomes and reduce learning curve related complications such as thorough viscoelastic removal to prevent IOP rise, early recognition,referral and management of intraocular inflammation and infection,adequate…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1537,
      "source_fields": {
        "Abstract Final Identifier": "POREF151",
        "Title": "Visual And Refractive Outcomes Of Posterior Chamber Phakic Intraocular Lens Implantation In Myopic Eyes: A 3-Month Initial Experience",
        "Presenting Author(s)": "Dr PAYAL DEEPAK PANDIT",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Payal",
        "Submitter Middle Name": "Deepak",
        "Submitter Last Name": "Pandit",
        "Country Name": "United Kingdom",
        "Purpose": "To report early visual and refractive outcomes, safety and practical surgical insights from the initial experience with posterior chamber phakic IOL (P-IOL) implantation in myopic eyes",
        "Setting": "Single-center, Tertiary eye care hospital, North India",
        "Methods": "This retrospective case series included 18 eyes of 9 patients with myopia −3.75 to −10.00 D who underwent EVO+ Visian Implantable Collamer Lens implantation for myopia & myopic astigmatism by a single surgeon.13 eyes received toric lens and 5 eyes non toric lens.Patients unsuitable for corneal refractive surgery or preferring lens-based correction were included.Exclusion criteria was inadequate anterior chamber depth (ACD), corneal or retinal pathology,glaucoma and age <21 years.Preoperative evaluation included UDVA,CDVA, manifest refraction,corneal topography,pachymetry and ACD measurement using Anterion.Lens sizing was based on white-to-white measurements.Postoperative assessment included UDVA, CDVA, refraction and IOP up to 3 months.",
        "Results": "Most eyes achieved UDVA 6/6 on POD1, maintained at 1 month.At 3 months, refractive predictability was high;two eyes had mild residual error.Two patients lost to follow-up after 1 month.CDVA was maintained or improved in most, though eyes with complications had variable outcomes.Four eyes had complications:one early endophthalmitis (vision FC 2 m on POD2, improved to 6/18 post-intravitreal antibiotic injection and 6/6 by 1 month),one raised IOP due to malpositioned ICL haptic(6/12p on POD1, 6/6 at 1 month after repositioning),one eye with a small Descemet detachment during lens manipulation and one eye with air bubble under lens causing mild rotation (6/9 on POD1, 6/6 with correction at 1 month).No long-term sight-threatening sequelae seen.",
        "Conclusions": "P-IOL implantation provides excellent early visual recovery and favorable short-term refractive outcomes in low to high myopia. This initial experience highlights key surgical considerations to optimize outcomes and reduce learning curve related complications such as thorough viscoelastic removal to prevent IOP rise, early recognition,referral and management of intraocular inflammation and infection,adequate viscoelastic use during lens manipulation to avoid corneal touch and using irrigation rather than instrumentation beneath the lens for management of trapped airbubbles.Awareness of these practical strategies may enhance safety and efficiency for surgeons adopting this procedure. Larger studies with longer follow-up are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "POREF152",
      "abstract_number": "POREF152",
      "title": "Comparative Analysis Of Postoperative Vault In Staar Icl And Biotech Icl: Long-Term Outcomes At 1, 2, And 3 Years\nIn 50 Patients",
      "authors": "Dr Hardik Parikh",
      "presenter": "Dr Hardik Parikh",
      "normalized_authors": [
        "Hardik Parikh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hardik Parikh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The purpose of this study is to compare post operative vault between the Staar ICL and Biotech ICL implants\nover a period of 3 years.\n\nWe aim to evaluate the impact of different ICL designs on vault stability and long-term visual and anatomical outcomes.\nSpecifically, this research will assess the vault size's influence on refractive outcomes, complications, and patient\nsatisfaction, providing clinicians with a clearer understanding of the advantages and potential risks associated with each\nICL type.",
        "Setting": "Study Type: Prospective, non-randomized, comparative longitudinal study.\n\nLocation: single surgeon private practice setup\n\nParticipants: 50 patients, with 40 Staar ICL and 10 Biotech ICL\n\nInclusion Criteria: Patients aged 18-36 with stable refractive errors (myopia, hyperopia, or astigmatism), and suitable for\nICL implantation.\n\nExclusion Criteria: Patients with corneal pathology, prior eye surgery, or uncontrolled systemic diseases.",
        "Methods": "Comprehensive eye examination including manifest refraction, visual acuity, slit-lamp biomicroscopy, IOP\nmeasurement, digital WTW measurement and fundus examination, Optical\nUCVA, BCVA, refractive error (spherical equivalent), and vault measurement using Anterior Segment OCT will be\nassessed at each follow-up.",
        "Results": "Vault Comparison:\nboth designs maintained an ideal vault range in the majority of patients ,Staar ICL showed a slightly higher postoperative\nvault (around 417 µm after 3 years) compared to biotech ICL (390 µm at 3 years).",
        "Conclusions": "Conclusions: In this , both Staar ICL and Biotech ICL were successful in providing stable refractive outcomes with\nminimal complications over a 3-year period. Staar ICL had a slightly more stable vault, lower complication rates, and\nhigher patient satisfaction scores. However, both designs were effective in treating high refractive errors with acceptable\nsafety profiles, making both options viable for clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions: In this , both Staar ICL and Biotech ICL were successful in providing stable refractive outcomes with minimal complications over a 3-year period. Staar ICL had a slightly more stable vault, lower complication rates, and higher patient satisfaction scores. However, both designs were effective in treating high refractive errors with acceptable safety profiles, making both options viable for clinical…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1538,
      "source_fields": {
        "Abstract Final Identifier": "POREF152",
        "Title": "Comparative Analysis Of Postoperative Vault In Staar Icl And Biotech Icl: Long-Term Outcomes At 1, 2, And 3 Years\nIn 50 Patients",
        "Presenting Author(s)": "Dr Hardik Parikh",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Hardik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parikh",
        "Country Name": "India",
        "Purpose": "The purpose of this study is to compare post operative vault between the Staar ICL and Biotech ICL implants\nover a period of 3 years.\n\nWe aim to evaluate the impact of different ICL designs on vault stability and long-term visual and anatomical outcomes.\nSpecifically, this research will assess the vault size's influence on refractive outcomes, complications, and patient\nsatisfaction, providing clinicians with a clearer understanding of the advantages and potential risks associated with each\nICL type.",
        "Setting": "Study Type: Prospective, non-randomized, comparative longitudinal study.\n\nLocation: single surgeon private practice setup\n\nParticipants: 50 patients, with 40 Staar ICL and 10 Biotech ICL\n\nInclusion Criteria: Patients aged 18-36 with stable refractive errors (myopia, hyperopia, or astigmatism), and suitable for\nICL implantation.\n\nExclusion Criteria: Patients with corneal pathology, prior eye surgery, or uncontrolled systemic diseases.",
        "Methods": "Comprehensive eye examination including manifest refraction, visual acuity, slit-lamp biomicroscopy, IOP\nmeasurement, digital WTW measurement and fundus examination, Optical\nUCVA, BCVA, refractive error (spherical equivalent), and vault measurement using Anterior Segment OCT will be\nassessed at each follow-up.",
        "Results": "Vault Comparison:\nboth designs maintained an ideal vault range in the majority of patients ,Staar ICL showed a slightly higher postoperative\nvault (around 417 µm after 3 years) compared to biotech ICL (390 µm at 3 years).",
        "Conclusions": "Conclusions: In this , both Staar ICL and Biotech ICL were successful in providing stable refractive outcomes with\nminimal complications over a 3-year period. Staar ICL had a slightly more stable vault, lower complication rates, and\nhigher patient satisfaction scores. However, both designs were effective in treating high refractive errors with acceptable\nsafety profiles, making both options viable for clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POREF153",
      "abstract_number": "POREF153",
      "title": "Evaluation Of Visual, Anatomical And Refractive Outcomes After Eyecryl Phakic Iol Implantation In Patients With Moderate To High Myopia And Astigmatism: A Prospective Comparative Study With Evo/Evo+ Visian Implantable Lenses",
      "authors": "Vanathi Murugesan",
      "presenter": "Vanathi Murugesan",
      "normalized_authors": [
        "Vanathi Murugesan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ananya Parampalli Ravindra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the visual, refractive outcome and changes in various ocular parameters after implantation of Eyecryl Phakic IOL in patients of moderate to high myopia with astigmatism and comparison with EVO/EVO + Visian implantable phakic IOLs, and to compare the company-calculated vault prediction given preoperatively with the actual vault readings at various time points postoperatively.",
        "Setting": "Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India",
        "Methods": "Non-Randomised Prospective, Longitudinal interventional study aged between 21-40 years with 50 patients (100 eyes) in each group. Patients were followed up on post operative day 1, 1 month, 3 months, 6 months and 1 year. Parameters that were assessed included UCVA, BCVA, Refraction, Keratometry, Intraocular pressure, anterior segment evaluation, ASOCT for parameters anterior chamber angle, trabecular-iris angle at 500 and 750 microns, Angle Opening Distance at 500 and 750 microns, trabecular-iris space area at 500 and 750 microns, Lens vault, specular count, higher order aberrations. Vault Prediction given by the company for that size of pIOL for that eye was compared with measured vaults at various time points.",
        "Results": "100 patients were recruited for correction of myopia ranging from −3.0 Dioptres (D) to −23.0 D. Mean spherical power of -8.78 ± 4.96 dioptres and -9.85 ± 3.58 dioptres (P= 0.22) and mean cylindrical power of -1.25 ± 0.97 dioptres and -1.46 ± 1.18 dioptres (P= 0.33) with a preoperative SE of -9.41 ± 5.10 D and -10.60 ± 3.71 D (P= 0.19) in Eyecryl pIOL and ICL implantation respectively. Safety index was 1.02 ± 0.06 in Eyecryl group and 1.02 ± 0.08 in ICL group at 6 months post operative period with results being comparable (p=0.885). Mean vault was comparable in both groups and the predicted vault was comparable with measured vaults at all time points starting from 7 days to 1 year post operatively. Adverse events, if any, were recorded.",
        "Conclusions": "Both Eyecryl phakic IOL and Visian ICL are comparable in their visual and anatomical outcomes at least till 6 months post-operative period. Vault predictability software of Eyecryl corresponds well with the postoperative central vault height."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both Eyecryl phakic IOL and Visian ICL are comparable in their visual and anatomical outcomes at least till 6 months post-operative period. Vault predictability software of Eyecryl corresponds well with the postoperative central vault height.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1539,
      "source_fields": {
        "Abstract Final Identifier": "POREF153",
        "Title": "Evaluation Of Visual, Anatomical And Refractive Outcomes After Eyecryl Phakic Iol Implantation In Patients With Moderate To High Myopia And Astigmatism: A Prospective Comparative Study With Evo/Evo+ Visian Implantable Lenses",
        "Presenting Author(s)": "Vanathi Murugesan",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Ananya",
        "Submitter Middle Name": "Parampalli",
        "Submitter Last Name": "Ravindra",
        "Country Name": "India",
        "Purpose": "To evaluate the visual, refractive outcome and changes in various ocular parameters after implantation of Eyecryl Phakic IOL in patients of moderate to high myopia with astigmatism and comparison with EVO/EVO + Visian implantable phakic IOLs, and to compare the company-calculated vault prediction given preoperatively with the actual vault readings at various time points postoperatively.",
        "Setting": "Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India",
        "Methods": "Non-Randomised Prospective, Longitudinal interventional study aged between 21-40 years with 50 patients (100 eyes) in each group. Patients were followed up on post operative day 1, 1 month, 3 months, 6 months and 1 year. Parameters that were assessed included UCVA, BCVA, Refraction, Keratometry, Intraocular pressure, anterior segment evaluation, ASOCT for parameters anterior chamber angle, trabecular-iris angle at 500 and 750 microns, Angle Opening Distance at 500 and 750 microns, trabecular-iris space area at 500 and 750 microns, Lens vault, specular count, higher order aberrations. Vault Prediction given by the company for that size of pIOL for that eye was compared with measured vaults at various time points.",
        "Results": "100 patients were recruited for correction of myopia ranging from −3.0 Dioptres (D) to −23.0 D. Mean spherical power of -8.78 ± 4.96 dioptres and -9.85 ± 3.58 dioptres (P= 0.22) and mean cylindrical power of -1.25 ± 0.97 dioptres and -1.46 ± 1.18 dioptres (P= 0.33) with a preoperative SE of -9.41 ± 5.10 D and -10.60 ± 3.71 D (P= 0.19) in Eyecryl pIOL and ICL implantation respectively. Safety index was 1.02 ± 0.06 in Eyecryl group and 1.02 ± 0.08 in ICL group at 6 months post operative period with results being comparable (p=0.885). Mean vault was comparable in both groups and the predicted vault was comparable with measured vaults at all time points starting from 7 days to 1 year post operatively. Adverse events, if any, were recorded.",
        "Conclusions": "Both Eyecryl phakic IOL and Visian ICL are comparable in their visual and anatomical outcomes at least till 6 months post-operative period. Vault predictability software of Eyecryl corresponds well with the postoperative central vault height."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "POREF154",
      "abstract_number": "POREF154",
      "title": "Multiple Non-Linear Additive Modelling Compared With Machine Learning For 3-Month Icl Vault Prediction",
      "authors": "Prof. Dan Reinstein",
      "presenter": "Prof. Dan Reinstein",
      "normalized_authors": [
        "Dan Reinstein"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dan Reinstein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare a structured nonlinear generalised additive model (GAM) with machine learning algorithms (Random Forest and XGBoost) for prediction of 3-month postoperative ICL vault, and to determine whether vault behaviour demonstrates intrinsic nonlinear characteristics.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of 407 eyes implanted with EVO/EVO+ ICL with complete preoperative biometric predictors (Artemis Insight 100 VHFDU; MS-39 AS-OCT) and 3-month vault. A structured GAM modelled smooth nonlinear effects with automatic penalisation to control overfitting, incorporating tensor interaction terms to represent anatomical dependencies. Machine learning comparators were Random Forest (1000 trees) and XGBoost (500 boosting rounds; eta 0.05; max_depth 4). All models were assessed using leave-one-out cross-validation with RMSE, MAE, IQR, mean prediction bias, and absolute error within ±50–500 µm.",
        "Results": "Several GAM smooth and tensor interaction terms demonstrated effective degrees of freedom >1, most notably s(LensSph)=3.89 and ti(STS,CBID)=3.21, confirming nonlinear and interaction effects across key predictors. In leave-one-out validation, the GAM achieved the lowest error across metrics: RMSE 172.6 µm versus 175.5 µm (RF) and 176.0 µm (XGB); MAE 126.6 µm versus 132.1 µm and 130.5 µm; and IQR 193.9 µm versus 196.3 µm and 197.0 µm. Mean prediction bias was minimal for all models (−0.8, −1.6, −3.9 µm). Absolute error was within ±50 µm in 29.5% (GAM), 26.8% (RF), and 24.6% (XGB), and within ±200 µm in 81.6%, 76.9%, and 79.4%, respectively.",
        "Conclusions": "In leave-one-out validation, a structured nonlinear GAM with anatomically motivated interaction terms achieved the most accurate vault predictions while retaining transparent, clinically interpretable predictor relationships. Higher-order smooths and tensor interactions confirm intrinsically nonlinear vault behaviour across key biometric predictors. In this dataset, more flexible “black box” machine-learning models did not improve performance, likely reflecting their greater data requirements. Structured additive modelling therefore provides superior predictive accuracy with clearer clinical insight for ICL vault prediction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In leave-one-out validation, a structured nonlinear GAM with anatomically motivated interaction terms achieved the most accurate vault predictions while retaining transparent, clinically interpretable predictor relationships. Higher-order smooths and tensor interactions confirm intrinsically nonlinear vault behaviour across key biometric predictors. In this dataset, more flexible “black box” machine-learning models…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1540,
      "source_fields": {
        "Abstract Final Identifier": "POREF154",
        "Title": "Multiple Non-Linear Additive Modelling Compared With Machine Learning For 3-Month Icl Vault Prediction",
        "Presenting Author(s)": "Prof. Dan Reinstein",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Dan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reinstein",
        "Country Name": "United Kingdom",
        "Purpose": "To compare a structured nonlinear generalised additive model (GAM) with machine learning algorithms (Random Forest and XGBoost) for prediction of 3-month postoperative ICL vault, and to determine whether vault behaviour demonstrates intrinsic nonlinear characteristics.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of 407 eyes implanted with EVO/EVO+ ICL with complete preoperative biometric predictors (Artemis Insight 100 VHFDU; MS-39 AS-OCT) and 3-month vault. A structured GAM modelled smooth nonlinear effects with automatic penalisation to control overfitting, incorporating tensor interaction terms to represent anatomical dependencies. Machine learning comparators were Random Forest (1000 trees) and XGBoost (500 boosting rounds; eta 0.05; max_depth 4). All models were assessed using leave-one-out cross-validation with RMSE, MAE, IQR, mean prediction bias, and absolute error within ±50–500 µm.",
        "Results": "Several GAM smooth and tensor interaction terms demonstrated effective degrees of freedom >1, most notably s(LensSph)=3.89 and ti(STS,CBID)=3.21, confirming nonlinear and interaction effects across key predictors. In leave-one-out validation, the GAM achieved the lowest error across metrics: RMSE 172.6 µm versus 175.5 µm (RF) and 176.0 µm (XGB); MAE 126.6 µm versus 132.1 µm and 130.5 µm; and IQR 193.9 µm versus 196.3 µm and 197.0 µm. Mean prediction bias was minimal for all models (−0.8, −1.6, −3.9 µm). Absolute error was within ±50 µm in 29.5% (GAM), 26.8% (RF), and 24.6% (XGB), and within ±200 µm in 81.6%, 76.9%, and 79.4%, respectively.",
        "Conclusions": "In leave-one-out validation, a structured nonlinear GAM with anatomically motivated interaction terms achieved the most accurate vault predictions while retaining transparent, clinically interpretable predictor relationships. Higher-order smooths and tensor interactions confirm intrinsically nonlinear vault behaviour across key biometric predictors. In this dataset, more flexible “black box” machine-learning models did not improve performance, likely reflecting their greater data requirements. Structured additive modelling therefore provides superior predictive accuracy with clearer clinical insight for ICL vault prediction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "POREF155",
      "abstract_number": "POREF155",
      "title": "Long Term Visual And Refractive Outcomes Of Cataract Surgery Following Posterior Chamber Phakic Intraocular Lens Explantation",
      "authors": "Dr Tamilarasi S",
      "presenter": "Dr Tamilarasi S",
      "normalized_authors": [
        "Tamilarasi S"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tamilarasi S",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate long-term visual outcomes, refractive predictability, and safety of cataract surgery following posterior chamber phakic intraocular lens (PCpIOL) explantation.",
        "Setting": "Tertiary eye care center, South India.",
        "Methods": "Retrospective interventional case series of 57 eyes undergoing PCpIOL explantation combined with phacoemulsification and IOL( Intraocular lens) implantation for cataract between 2009 and 2022. Minimum follow-up was 2 years. Primary outcomes included corrected distance visual acuity (CDVA), refractive accuracy, and intraoperative and postoperative complications. Phacoemulsification was performed in 54 eyes and femtosecond laser–assisted cataract surgery in 3 eyes. IOL power calculation was performed using the Barrett Suite formula.",
        "Results": "Anterior subcapsular cataract was the most common indication for explantation. Explanted models included ICL(Implantable Collamer Lens) V4b, IPCL (Implantable Phakic Contact Lens) V1, and IPCL V2.\n\nMean interval between PCpIOL implantation and cataract surgery was 8.3 ± 4.5 years. Mean axial length was 30.3± 2.4 mm. No significant difference was observed between target refraction (−0.1± 0.4 D) and achieved spherical equivalent (−0.3± 0.9 D; p = 0.228).\n\nPostoperatively, 80.6% of eyes achieved CDVA ≤0.3 logMAR, and 86.1% were within ±1.00 D of target refraction.\n\nNo intraoperative or early postoperative complications occurred. During follow-up, posterior capsular opacification developed in 11 eyes and rhegmatogenous retinal detachment in 1 eye.",
        "Conclusions": "Cataract surgery following PCpIOL explantation provides favorable long-term visual and refractive outcomes with a high safety profile, even in highly myopic eyes. The Barrett Suite formula demonstrated reliable IOL power prediction in this complex cohort. Despite advancements in PCpIOL geometry, accurate sizing remains crucial to prevent complications. Comprehensive retinal evaluation and regular postoperative follow up are essential to ensure optimal outcomes in these highly myopic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery following PCpIOL explantation provides favorable long-term visual and refractive outcomes with a high safety profile, even in highly myopic eyes. The Barrett Suite formula demonstrated reliable IOL power prediction in this complex cohort. Despite advancements in PCpIOL geometry, accurate sizing remains crucial to prevent complications. Comprehensive retinal evaluation and regular postoperative…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1541,
      "source_fields": {
        "Abstract Final Identifier": "POREF155",
        "Title": "Long Term Visual And Refractive Outcomes Of Cataract Surgery Following Posterior Chamber Phakic Intraocular Lens Explantation",
        "Presenting Author(s)": "Dr Tamilarasi S",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Tamilarasi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "S",
        "Country Name": "India",
        "Purpose": "To evaluate long-term visual outcomes, refractive predictability, and safety of cataract surgery following posterior chamber phakic intraocular lens (PCpIOL) explantation.",
        "Setting": "Tertiary eye care center, South India.",
        "Methods": "Retrospective interventional case series of 57 eyes undergoing PCpIOL explantation combined with phacoemulsification and IOL( Intraocular lens) implantation for cataract between 2009 and 2022. Minimum follow-up was 2 years. Primary outcomes included corrected distance visual acuity (CDVA), refractive accuracy, and intraoperative and postoperative complications. Phacoemulsification was performed in 54 eyes and femtosecond laser–assisted cataract surgery in 3 eyes. IOL power calculation was performed using the Barrett Suite formula.",
        "Results": "Anterior subcapsular cataract was the most common indication for explantation. Explanted models included ICL(Implantable Collamer Lens) V4b, IPCL (Implantable Phakic Contact Lens) V1, and IPCL V2.\n\nMean interval between PCpIOL implantation and cataract surgery was 8.3 ± 4.5 years. Mean axial length was 30.3± 2.4 mm. No significant difference was observed between target refraction (−0.1± 0.4 D) and achieved spherical equivalent (−0.3± 0.9 D; p = 0.228).\n\nPostoperatively, 80.6% of eyes achieved CDVA ≤0.3 logMAR, and 86.1% were within ±1.00 D of target refraction.\n\nNo intraoperative or early postoperative complications occurred. During follow-up, posterior capsular opacification developed in 11 eyes and rhegmatogenous retinal detachment in 1 eye.",
        "Conclusions": "Cataract surgery following PCpIOL explantation provides favorable long-term visual and refractive outcomes with a high safety profile, even in highly myopic eyes. The Barrett Suite formula demonstrated reliable IOL power prediction in this complex cohort. Despite advancements in PCpIOL geometry, accurate sizing remains crucial to prevent complications. Comprehensive retinal evaluation and regular postoperative follow up are essential to ensure optimal outcomes in these highly myopic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "POREF156",
      "abstract_number": "POREF156",
      "title": "Prospective Analysis Of Refractive And Vault Predictability In Eyecryl® Phakic Intraocular Lenses",
      "authors": "Gabriel Freitas Santos",
      "presenter": "Gabriel Freitas Santos",
      "normalized_authors": [
        "Gabriel Freitas Santos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gabriel Freitas Santos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate visual and refractive outcomes and vault prediction accuracy of Eyecryl® phakic intraocular lenses for correction of myopia and myopic astigmatism.",
        "Setting": "Single−center prospective study conducted in the Refractive Surgery Unit of Unidade Local de Saúde de Santo António, Portugal.",
        "Methods": "Prospective study including 30 eyes undergoing Eyecryl® phakic IOL implantation (23 toric and 7 spherical). Vault prediction was calculated using the Biotech® online calculator including crystalline lens rise measurements. Preoperative and 1-month postoperative assessments included manifest refraction, best corrected visual acuity (BCVA) measured in logMAR and endothelial cell count (ECC). The postoperative vault was measured with Anterion®. Postoperative complications and the need for management of the lens sizing were evaluated.",
        "Results": "Mean patient age was 31.4±6.1 years and mean preoperative spherical equivalent was −8.65±5.70 D (−24.00 to −0.50 D). No eye lost lines of BCVA, with a safety index of 1.01. Mean ECC was 2573±162 cells/mm² and 2535±168 cells/mm² at month 1. No postoperative IOP spikes were observed.\nAt 1 month, 47% of eyes were within ±0.25 D, 90% within ±0.50 D, and 97% within ±0.75 D of predicted refraction. Mean achieved absolute refractive correction error was 0.28±0.19 D.\nPostoperative vault exceeded predicted values (positive prediction error) in 93% of eyes, with a mean error of +192 µm. Vault predictability was within ±100 µm in 43%, ±200 µm in 53%, ±300 µm in 73% and ±400 µm in 93% of cases. One eye (3.3%) required IOL rotation due to excessive vault.",
        "Conclusions": "Eyecryl® phakic IOLs demonstrated good short-term safety and high refractive predictability. However, vault prediction using the Biotech® online calculator showed a consistent positive deviaion from calculated values, suggesting a tendency toward higher postoperative vault than predicted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyecryl® phakic IOLs demonstrated good short-term safety and high refractive predictability. However, vault prediction using the Biotech® online calculator showed a consistent positive deviaion from calculated values, suggesting a tendency toward higher postoperative vault than predicted.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1542,
      "source_fields": {
        "Abstract Final Identifier": "POREF156",
        "Title": "Prospective Analysis Of Refractive And Vault Predictability In Eyecryl® Phakic Intraocular Lenses",
        "Presenting Author(s)": "Gabriel Freitas Santos",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Gabriel",
        "Submitter Middle Name": "Freitas",
        "Submitter Last Name": "Santos",
        "Country Name": "Portugal",
        "Purpose": "To evaluate visual and refractive outcomes and vault prediction accuracy of Eyecryl® phakic intraocular lenses for correction of myopia and myopic astigmatism.",
        "Setting": "Single−center prospective study conducted in the Refractive Surgery Unit of Unidade Local de Saúde de Santo António, Portugal.",
        "Methods": "Prospective study including 30 eyes undergoing Eyecryl® phakic IOL implantation (23 toric and 7 spherical). Vault prediction was calculated using the Biotech® online calculator including crystalline lens rise measurements. Preoperative and 1-month postoperative assessments included manifest refraction, best corrected visual acuity (BCVA) measured in logMAR and endothelial cell count (ECC). The postoperative vault was measured with Anterion®. Postoperative complications and the need for management of the lens sizing were evaluated.",
        "Results": "Mean patient age was 31.4±6.1 years and mean preoperative spherical equivalent was −8.65±5.70 D (−24.00 to −0.50 D). No eye lost lines of BCVA, with a safety index of 1.01. Mean ECC was 2573±162 cells/mm² and 2535±168 cells/mm² at month 1. No postoperative IOP spikes were observed.\nAt 1 month, 47% of eyes were within ±0.25 D, 90% within ±0.50 D, and 97% within ±0.75 D of predicted refraction. Mean achieved absolute refractive correction error was 0.28±0.19 D.\nPostoperative vault exceeded predicted values (positive prediction error) in 93% of eyes, with a mean error of +192 µm. Vault predictability was within ±100 µm in 43%, ±200 µm in 53%, ±300 µm in 73% and ±400 µm in 93% of cases. One eye (3.3%) required IOL rotation due to excessive vault.",
        "Conclusions": "Eyecryl® phakic IOLs demonstrated good short-term safety and high refractive predictability. However, vault prediction using the Biotech® online calculator showed a consistent positive deviaion from calculated values, suggesting a tendency toward higher postoperative vault than predicted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POREF157",
      "abstract_number": "POREF157",
      "title": "Enhancing Visual Potential In Adult Amblyopia: A Clinical Evaluation Of Posterior Chamber Phakic Intra Ocular Lenses",
      "authors": "Dr .John Sarkar",
      "presenter": "Dr .John Sarkar",
      "normalized_authors": [
        ".John Sarkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.John Sarkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the refractive, visual, aberrometric, and safety outcomes of posterior chamber phakic intraocular lens (IOL) implantation in adults with high myopia–associated amblyopia.",
        "Setting": "This prospective interventional study was conducted at a tertiary eye care center in Kolkata, India, between January 2021 and April 2024 and included 14 eyes of 12 adults with anisomyopic or isomyopic amblyopia who underwent posterior chamber phakic IOL implantation.",
        "Methods": "Preoperative and postoperative assessments included best-corrected visual acuity (BCVA), cycloplegic refraction, intraocular pressure (IOP), corneal aberrometry, endothelial cell density (ECD), anterior segment optical coherence tomography (AS-OCT) vault evaluation, and patient-reported satisfaction, with follow-up up to 1 year.",
        "Results": "The mean age was 25.3 ± 3.49 years, Mean BCVA improved from 0.39 ± 0.25 to 0.19 ± 0.21 logMAR at 6 months (p < 0.001). Mean spherical equivalent improved from −12.8 D to −0.75 D at 6 months (p < 0.001). Total higher-order aberrations decreasing from 11.60 µm to 1.57 µm which was statistically significant . Mean endothelial cell density decreased from 3131.33 ± 181.01 cells/mm² to 2981 ± 171.62 cells/mm² and Mean IOP increased from 14.2 ± 2.52 mmHg preoperatively to 15.22 ± 0.34 mmHg at 1 year (p = 0.28) but both were not statistically significant. AS-OCT demonstrated a stable postoperative vault with a mean of 296 µm. and no vision-threatening complications were observed. Mean patient satisfaction score was 4.74 ± 0.36",
        "Conclusions": "Posterior chamber phakic IOL implantation provides significant improvement in refractive error, visual acuity, and optical quality, So both quality and quantity of vision were improved after phakic IOLs implimentations in adults with high myopia–associated amblyopia which was clinically observed and statistically provrn in this study with a favorable short-term safety profile."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Posterior chamber phakic IOL implantation provides significant improvement in refractive error, visual acuity, and optical quality, So both quality and quantity of vision were improved after phakic IOLs implimentations in adults with high myopia–associated amblyopia which was clinically observed and statistically provrn in this study with a favorable short-term safety profile.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1543,
      "source_fields": {
        "Abstract Final Identifier": "POREF157",
        "Title": "Enhancing Visual Potential In Adult Amblyopia: A Clinical Evaluation Of Posterior Chamber Phakic Intra Ocular Lenses",
        "Presenting Author(s)": "Dr .John Sarkar",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Dr.John",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sarkar",
        "Country Name": "India",
        "Purpose": "To evaluate the refractive, visual, aberrometric, and safety outcomes of posterior chamber phakic intraocular lens (IOL) implantation in adults with high myopia–associated amblyopia.",
        "Setting": "This prospective interventional study was conducted at a tertiary eye care center in Kolkata, India, between January 2021 and April 2024 and included 14 eyes of 12 adults with anisomyopic or isomyopic amblyopia who underwent posterior chamber phakic IOL implantation.",
        "Methods": "Preoperative and postoperative assessments included best-corrected visual acuity (BCVA), cycloplegic refraction, intraocular pressure (IOP), corneal aberrometry, endothelial cell density (ECD), anterior segment optical coherence tomography (AS-OCT) vault evaluation, and patient-reported satisfaction, with follow-up up to 1 year.",
        "Results": "The mean age was 25.3 ± 3.49 years, Mean BCVA improved from 0.39 ± 0.25 to 0.19 ± 0.21 logMAR at 6 months (p < 0.001). Mean spherical equivalent improved from −12.8 D to −0.75 D at 6 months (p < 0.001). Total higher-order aberrations decreasing from 11.60 µm to 1.57 µm which was statistically significant . Mean endothelial cell density decreased from 3131.33 ± 181.01 cells/mm² to 2981 ± 171.62 cells/mm² and Mean IOP increased from 14.2 ± 2.52 mmHg preoperatively to 15.22 ± 0.34 mmHg at 1 year (p = 0.28) but both were not statistically significant. AS-OCT demonstrated a stable postoperative vault with a mean of 296 µm. and no vision-threatening complications were observed. Mean patient satisfaction score was 4.74 ± 0.36",
        "Conclusions": "Posterior chamber phakic IOL implantation provides significant improvement in refractive error, visual acuity, and optical quality, So both quality and quantity of vision were improved after phakic IOLs implimentations in adults with high myopia–associated amblyopia which was clinically observed and statistically provrn in this study with a favorable short-term safety profile."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "POREF158",
      "abstract_number": "POREF158",
      "title": "Influence Of Corneal Incision Technique On Early Visual And Refractive Outcomes In Phakic Iol Implantation: A Comparison Of Two Femtosecond Platforms And Manual Keratome.",
      "authors": "Dr Shu Yee Seow",
      "presenter": "Dr Shu Yee Seow",
      "normalized_authors": [
        "Shu Yee Seow"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shu Yee Seow",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To evaluate the impact of corneal incision methodology—comparing high-energy pulse femtosecond laser (HE), low-energy pulse femtosecond laser (LE), and manual keratome (MK) — on surgical outcomes, early visual recovery, and refractive stability in phakic intraocular lens (pIOL) implantation.",
        "Setting": "A single-centre, high-volume tertiary refractive surgery centre. All surgeries were performed by a single experienced surgeon to ensure procedural consistency and eliminate inter-surgeon variability.",
        "Methods": "Retrospective comparative study of 159 eyes undergoing pIOL implantation: High-energy pulse (µJ)/low-frequency (kHz) femtosecond laser-assisted corneal incision (HE; n=56), Low-energy pulse (nJ)/high-frequency (MHz) femtosecond laser-assisted corneal incision (LE; n=51), and Manual Keratome (MK; n=52). Outcomes were assessed using standard refractive 9-graph reporting at postoperative (PO) day 1, week 1, and month 1. Statistical analysis using SPSS was performed across all groups.",
        "Results": "All groups (HE:28 patients; LE:26 patients; MK:26 patients) had comparable demographics (p>0.05). At PO day 1, MK and LE showed superior uncorrected distance visual acuity (UDVA) (20/16: 65% and 57% vs 38% HE; p<0.05). Vision loss of ≥1 line (UDVA/CDVA) was significantly higher in HE (18%/15.8%) vs LE (2%/2%) and MK (2%/2%; p<0.001). By month 1, visual acuity differences diminished (p > 0.05) and all groups achieved zero line loss (p>0.05).\n\nEarly astigmatic control (≤0.5D) at day 1 favoured MK (67%) and LE (41%) over HE (7%; p<0.001). Axis accuracy (±15°) was superior in MK (89%) and LE (78%) vs HE (46%; p<0.001). This advantage persisted at month 1 (p<0.05). Refractive predictability and stability were comparable across all groups (p>0.05).",
        "Conclusions": "While all 3 methods are ultimately safe and achieve comparable outcomes by postoperative month 1, manual incisions and low-energy pulse system provide significantly faster visual recovery and superior early astigmatic control in pIOL surgery compared to high-energy pulse systems. The higher rate of early vision loss and lower axis precision in the high-energy group suggest that pulse energy profiles significantly influence immediate postoperative corneal architecture and inflammation. For optimal early patient satisfaction, manual or low-energy automated techniques may be preferable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While all 3 methods are ultimately safe and achieve comparable outcomes by postoperative month 1, manual incisions and low-energy pulse system provide significantly faster visual recovery and superior early astigmatic control in pIOL surgery compared to high-energy pulse systems. The higher rate of early vision loss and lower axis precision in the high-energy group suggest that pulse energy profiles significantly…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1544,
      "source_fields": {
        "Abstract Final Identifier": "POREF158",
        "Title": "Influence Of Corneal Incision Technique On Early Visual And Refractive Outcomes In Phakic Iol Implantation: A Comparison Of Two Femtosecond Platforms And Manual Keratome.",
        "Presenting Author(s)": "Dr Shu Yee Seow",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Shu Yee",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Seow",
        "Country Name": "Malaysia",
        "Purpose": "To evaluate the impact of corneal incision methodology—comparing high-energy pulse femtosecond laser (HE), low-energy pulse femtosecond laser (LE), and manual keratome (MK) — on surgical outcomes, early visual recovery, and refractive stability in phakic intraocular lens (pIOL) implantation.",
        "Setting": "A single-centre, high-volume tertiary refractive surgery centre. All surgeries were performed by a single experienced surgeon to ensure procedural consistency and eliminate inter-surgeon variability.",
        "Methods": "Retrospective comparative study of 159 eyes undergoing pIOL implantation: High-energy pulse (µJ)/low-frequency (kHz) femtosecond laser-assisted corneal incision (HE; n=56), Low-energy pulse (nJ)/high-frequency (MHz) femtosecond laser-assisted corneal incision (LE; n=51), and Manual Keratome (MK; n=52). Outcomes were assessed using standard refractive 9-graph reporting at postoperative (PO) day 1, week 1, and month 1. Statistical analysis using SPSS was performed across all groups.",
        "Results": "All groups (HE:28 patients; LE:26 patients; MK:26 patients) had comparable demographics (p>0.05). At PO day 1, MK and LE showed superior uncorrected distance visual acuity (UDVA) (20/16: 65% and 57% vs 38% HE; p<0.05). Vision loss of ≥1 line (UDVA/CDVA) was significantly higher in HE (18%/15.8%) vs LE (2%/2%) and MK (2%/2%; p<0.001). By month 1, visual acuity differences diminished (p > 0.05) and all groups achieved zero line loss (p>0.05).\n\nEarly astigmatic control (≤0.5D) at day 1 favoured MK (67%) and LE (41%) over HE (7%; p<0.001). Axis accuracy (±15°) was superior in MK (89%) and LE (78%) vs HE (46%; p<0.001). This advantage persisted at month 1 (p<0.05). Refractive predictability and stability were comparable across all groups (p>0.05).",
        "Conclusions": "While all 3 methods are ultimately safe and achieve comparable outcomes by postoperative month 1, manual incisions and low-energy pulse system provide significantly faster visual recovery and superior early astigmatic control in pIOL surgery compared to high-energy pulse systems. The higher rate of early vision loss and lower axis precision in the high-energy group suggest that pulse energy profiles significantly influence immediate postoperative corneal architecture and inflammation. For optimal early patient satisfaction, manual or low-energy automated techniques may be preferable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 354
    },
    {
      "uid": "POREF159",
      "abstract_number": "POREF159",
      "title": "Sulcus-To-Sulcus Distance Comparison Measured Using Anterior Segment Optical Coherence Tomography And Ultrasound Biomicroscopy.",
      "authors": "Dr Pedro Serra",
      "presenter": "Dr Pedro Serra",
      "normalized_authors": [
        "Pedro Serra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Serra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare sulcus-to-sulcus (STS) distance measurements obtained using anterior segment optical coherence tomography (AS-OCT) and ultrasound biomicroscopy (UBM).",
        "Setting": "Instituto Salmantino de Oftalmología (Salamanca, Spain) and Ophthalmology Clinic Vista Sánchez Trancón (Badajoz, Spain).",
        "Methods": "Sixty eyes of 60 patients evaluated for phakic intraocular lens implantation were included. Imaging comprised AS-OCT (CASIA2, Tomey) and UBM (Quantel). UBM scans were obtained along the horizontal meridian by and experienced ophthalmologist, and the mean of three measurements was used as the reference STS value. AS-OCT B-scans were processed with a multiscale enhancement algorithm to improve retro-iridial visualization. STS (AS-OCT) was measured on enhanced images by a masked examiner using a custom caliper, while spur-to-spur (SpTSp) distance was obtained with the device caliper. Agreement was assessed using Bland–Altman analysis and intraclass correlation coefficients. The proportion of STS variability explained by SpTSp was calculated.",
        "Results": "Mean SpTSp, STS (AS-OCT), and STS (UBM) were 12.02 ± 0.36 mm, 12.39 ± 0.41 mm, and 12.10 ± 0.37 mm, respectively. AS-OCT STS measurements were larger than STS (UBM) by +0.23 ± 0.23 mm (95% limits of agreement: −0.22 to +0.67 mm). The ICC for consistency was 0.83 (95% CI, 0.73–0.90). After adjusting for systematic bias, 31%, 57%, and 84% of eyes showed inter-device differences below 0.1, 0.2, and 0.3 mm, respectively. SpTSp explained 69% (UBM) and 76% (AS-OCT) of STS variability.",
        "Conclusions": "Multiscale-enhanced AS-OCT enables reliable STS measurement with good consistency compared to UBM, but poor absolute agreement. Its non-contact nature and improved centration may offer practical advantages for retro-iridial biometry, particularly relevant for phakic posterior-chamber intraocular lens sizing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multiscale-enhanced AS-OCT enables reliable STS measurement with good consistency compared to UBM, but poor absolute agreement. Its non-contact nature and improved centration may offer practical advantages for retro-iridial biometry, particularly relevant for phakic posterior-chamber intraocular lens sizing.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1545,
      "source_fields": {
        "Abstract Final Identifier": "POREF159",
        "Title": "Sulcus-To-Sulcus Distance Comparison Measured Using Anterior Segment Optical Coherence Tomography And Ultrasound Biomicroscopy.",
        "Presenting Author(s)": "Dr Pedro Serra",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Serra",
        "Country Name": "Spain",
        "Purpose": "To compare sulcus-to-sulcus (STS) distance measurements obtained using anterior segment optical coherence tomography (AS-OCT) and ultrasound biomicroscopy (UBM).",
        "Setting": "Instituto Salmantino de Oftalmología (Salamanca, Spain) and Ophthalmology Clinic Vista Sánchez Trancón (Badajoz, Spain).",
        "Methods": "Sixty eyes of 60 patients evaluated for phakic intraocular lens implantation were included. Imaging comprised AS-OCT (CASIA2, Tomey) and UBM (Quantel). UBM scans were obtained along the horizontal meridian by and experienced ophthalmologist, and the mean of three measurements was used as the reference STS value. AS-OCT B-scans were processed with a multiscale enhancement algorithm to improve retro-iridial visualization. STS (AS-OCT) was measured on enhanced images by a masked examiner using a custom caliper, while spur-to-spur (SpTSp) distance was obtained with the device caliper. Agreement was assessed using Bland–Altman analysis and intraclass correlation coefficients. The proportion of STS variability explained by SpTSp was calculated.",
        "Results": "Mean SpTSp, STS (AS-OCT), and STS (UBM) were 12.02 ± 0.36 mm, 12.39 ± 0.41 mm, and 12.10 ± 0.37 mm, respectively. AS-OCT STS measurements were larger than STS (UBM) by +0.23 ± 0.23 mm (95% limits of agreement: −0.22 to +0.67 mm). The ICC for consistency was 0.83 (95% CI, 0.73–0.90). After adjusting for systematic bias, 31%, 57%, and 84% of eyes showed inter-device differences below 0.1, 0.2, and 0.3 mm, respectively. SpTSp explained 69% (UBM) and 76% (AS-OCT) of STS variability.",
        "Conclusions": "Multiscale-enhanced AS-OCT enables reliable STS measurement with good consistency compared to UBM, but poor absolute agreement. Its non-contact nature and improved centration may offer practical advantages for retro-iridial biometry, particularly relevant for phakic posterior-chamber intraocular lens sizing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "POREF160",
      "abstract_number": "POREF160",
      "title": "Spherical Power As An Independent Predictor Of Long-Term (≥12 Months) Postoperative Vault And Vault Area In Icl And Eyecril Phakic Iols",
      "authors": "Dr Nuno Álvaro Silva",
      "presenter": "Dr Nuno Álvaro Silva",
      "normalized_authors": [
        "Nuno Álvaro Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nuno Álvaro Silva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "The STAAR Surgical Visian Implantable Collamer Lens (ICL) is widely used with excellent visual outcomes. Postoperative vault—the distance between the anterior crystalline lens surface and the phakic intraocular lens (pIOL)—is a critical safety parameter. The Biotech Healthcare Eyecril pIOL is a hydrophilic acrylic alternative to ICL. While previous studies have evaluated early postoperative vault behavior (<6 months), limited data exist regarding the independent role of spherical lens power and comparison between lens models.\n\nThis study aimed to evaluate independent predictors of long-term vault and vault area at a mean follow-up exceeding 12 months and to explore endothelial cell changes between ICL and Eyecril lenses.",
        "Setting": "The study was conducted at the Department of Ophthalmology of the Centro Hospitalar e Universitário de São João (CHUSJ) , a tertiary academic medical center in Porto, Portugal. All surgical procedures, including the implantation of both STAAR Surgical Visian ICL and Biotech Healthcare Eyecril Phakic IOLs, as well as all specialized preoperative and postoperative multimodal imaging, were performed within this institutional setting.",
        "Methods": "A retrospective analysis was performed including all consecutive ICL and Eyecril implantations at our center.\n\nPreoperative and postoperative biometric parameters were obtained using ANTERION® optical coherence tomography (OCT), including:\n\n• White-to-white (WTW)\n\n• Anterior chamber depth (ACD)\n\n• Crystalline lens thickness(LT)\n\n• Postoperative vault (Vlt)\n\n• Vault area (Vlt_area)\n\n• Postoperative pupil diameter\n\nEndothelial cell density (ECD) was measured using TOPCON® SP-2000P.\n\nThe study included 33 eyes from 17 ICL patients and 3 eyes from 2 Eyecril patients. Vault measurements were recorded at the most recent postoperative examination.\n\nMultivariate linear regression models were constructed to identify independent predictors of long-term vault and vault area.",
        "Results": "The mean follow-up was 15.42 ± 7.08 months .\n\nA multivariate linear regression model including spherical power, WTW, ACD and LT was statistically significant (F(4,22)=6.944, p<0.001), explaining 55.8% of the variance in vault (adjusted R²=0.478).\nSpherical power was the only independent predictor (B=–27.5 µm/diopter, β=–0.580, p=0.001), while WTW, ACD and LT were not significant.The regression model for vault area was also significant (R² = 0.489, p < 0.001). Pupil diameter was the strongest predictor (β = 0.512, p = 0.002), followed by spherical power (β = –0.319, p = 0.042).\n\nMean endothelial cell change was: (p=0.003)\n\n• –224 ± 402 cells/mm² in the ICL group\n\n• –994 cells/mm² in the Eyecril group\n\nInterpretation is limited by the small Eyecril sample.",
        "Conclusions": "At a mean follow-up exceeding 12 months, spherical power was the only independent predictor of postoperative vault and vault area, explaining a substantial proportion of vault variability independently explaining a sybstantial proportion of vault variability.\n\nThese findings suggest that spherical power may play a relevant role in long-term vault behavior, particularly in highly myopic eyes, and could warrant consideration in postoperative monitoring strategies.\n\nThe current sample size does not allow reliable comparison of endothelial cell loss between Eyecril and ICL models.\n\nVault area may represent an additional geometric parameter with potential value in the assessment of postoperative safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At a mean follow-up exceeding 12 months, spherical power was the only independent predictor of postoperative vault and vault area, explaining a substantial proportion of vault variability independently explaining a sybstantial proportion of vault variability. These findings suggest that spherical power may play a relevant role in long-term vault behavior, particularly in highly myopic eyes, and could warrant…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1546,
      "source_fields": {
        "Abstract Final Identifier": "POREF160",
        "Title": "Spherical Power As An Independent Predictor Of Long-Term (≥12 Months) Postoperative Vault And Vault Area In Icl And Eyecril Phakic Iols",
        "Presenting Author(s)": "Dr Nuno Álvaro Silva",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Nuno",
        "Submitter Middle Name": "Álvaro",
        "Submitter Last Name": "Silva",
        "Country Name": "Portugal",
        "Purpose": "The STAAR Surgical Visian Implantable Collamer Lens (ICL) is widely used with excellent visual outcomes. Postoperative vault—the distance between the anterior crystalline lens surface and the phakic intraocular lens (pIOL)—is a critical safety parameter. The Biotech Healthcare Eyecril pIOL is a hydrophilic acrylic alternative to ICL. While previous studies have evaluated early postoperative vault behavior (<6 months), limited data exist regarding the independent role of spherical lens power and comparison between lens models.\n\nThis study aimed to evaluate independent predictors of long-term vault and vault area at a mean follow-up exceeding 12 months and to explore endothelial cell changes between ICL and Eyecril lenses.",
        "Setting": "The study was conducted at the Department of Ophthalmology of the Centro Hospitalar e Universitário de São João (CHUSJ) , a tertiary academic medical center in Porto, Portugal. All surgical procedures, including the implantation of both STAAR Surgical Visian ICL and Biotech Healthcare Eyecril Phakic IOLs, as well as all specialized preoperative and postoperative multimodal imaging, were performed within this institutional setting.",
        "Methods": "A retrospective analysis was performed including all consecutive ICL and Eyecril implantations at our center.\n\nPreoperative and postoperative biometric parameters were obtained using ANTERION® optical coherence tomography (OCT), including:\n\n• White-to-white (WTW)\n\n• Anterior chamber depth (ACD)\n\n• Crystalline lens thickness(LT)\n\n• Postoperative vault (Vlt)\n\n• Vault area (Vlt_area)\n\n• Postoperative pupil diameter\n\nEndothelial cell density (ECD) was measured using TOPCON® SP-2000P.\n\nThe study included 33 eyes from 17 ICL patients and 3 eyes from 2 Eyecril patients. Vault measurements were recorded at the most recent postoperative examination.\n\nMultivariate linear regression models were constructed to identify independent predictors of long-term vault and vault area.",
        "Results": "The mean follow-up was 15.42 ± 7.08 months .\n\nA multivariate linear regression model including spherical power, WTW, ACD and LT was statistically significant (F(4,22)=6.944, p<0.001), explaining 55.8% of the variance in vault (adjusted R²=0.478).\nSpherical power was the only independent predictor (B=–27.5 µm/diopter, β=–0.580, p=0.001), while WTW, ACD and LT were not significant.The regression model for vault area was also significant (R² = 0.489, p < 0.001). Pupil diameter was the strongest predictor (β = 0.512, p = 0.002), followed by spherical power (β = –0.319, p = 0.042).\n\nMean endothelial cell change was: (p=0.003)\n\n• –224 ± 402 cells/mm² in the ICL group\n\n• –994 cells/mm² in the Eyecril group\n\nInterpretation is limited by the small Eyecril sample.",
        "Conclusions": "At a mean follow-up exceeding 12 months, spherical power was the only independent predictor of postoperative vault and vault area, explaining a substantial proportion of vault variability independently explaining a sybstantial proportion of vault variability.\n\nThese findings suggest that spherical power may play a relevant role in long-term vault behavior, particularly in highly myopic eyes, and could warrant consideration in postoperative monitoring strategies.\n\nThe current sample size does not allow reliable comparison of endothelial cell loss between Eyecril and ICL models.\n\nVault area may represent an additional geometric parameter with potential value in the assessment of postoperative safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 502
    },
    {
      "uid": "POREF161",
      "abstract_number": "POREF161",
      "title": "Phakic Icl In The Management Of Residual Refractive Error In Pseudophakic Eye.",
      "authors": "Dr Bhupesh Singh",
      "presenter": "Dr Bhupesh Singh",
      "normalized_authors": [
        "Bhupesh Singh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bhupesh Singh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "In this study we will evaluate the outcomes of toric implantable collamer lens (ICL) in the management of residual astigmatism in pseudophakic eyes",
        "Setting": "Bharti eye hospital, New Delhi, India",
        "Methods": "Patients with pseudophakia with residual astigmatism of -3.5 to -6 D were included. They underwent piggyback toric ICL implantation in that eye. Uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), Best corrected visual acuity (BCVA), contrast sensitivity, and Visual Function Index (VFI) were evaluated at 1 day, 1 week,1 month,3 months and 6 months postoperatively. Intraocular pressure (IOP), vault height, anterior chamber reaction and graft endothelial cell count was measured each visit.",
        "Results": "15 eyes of 15 patients were included in the study. Mean age was 62.66 years. The mean preoperative spherical equivalent was -6.11 D (-4.75 to -8 D) improving to -0.80 D postoperatively (0.25 to -1.5 D). Mean UDVA was 6/12P and mean UNVA was N8 in toric ICL implanted eyes. Mean BCVA was 6/12. Contrast sensitivity was better with toric ICL than preoperatively with glasses. Mean IOP was 14.6 mm Hg on non-contact tonometry. 93.33% of patients were satisfied at 6 months postoperatively. No adverse effects like increased intraocular pressure, decreased endothelial count, decreased vault height or anterior chamber reaction were seen in follow up period.",
        "Conclusions": "Toric ICLs were found to be safe and effective piggyback intraocular lenses (IOLs) in pseudophakic eyes for management of residual refractive error and astigmatism and show a good visual outcome for distance and near vision with good patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric ICLs were found to be safe and effective piggyback intraocular lenses (IOLs) in pseudophakic eyes for management of residual refractive error and astigmatism and show a good visual outcome for distance and near vision with good patient satisfaction.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1547,
      "source_fields": {
        "Abstract Final Identifier": "POREF161",
        "Title": "Phakic Icl In The Management Of Residual Refractive Error In Pseudophakic Eye.",
        "Presenting Author(s)": "Dr Bhupesh Singh",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Bhupesh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Singh",
        "Country Name": "India",
        "Purpose": "In this study we will evaluate the outcomes of toric implantable collamer lens (ICL) in the management of residual astigmatism in pseudophakic eyes",
        "Setting": "Bharti eye hospital, New Delhi, India",
        "Methods": "Patients with pseudophakia with residual astigmatism of -3.5 to -6 D were included. They underwent piggyback toric ICL implantation in that eye. Uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), Best corrected visual acuity (BCVA), contrast sensitivity, and Visual Function Index (VFI) were evaluated at 1 day, 1 week,1 month,3 months and 6 months postoperatively. Intraocular pressure (IOP), vault height, anterior chamber reaction and graft endothelial cell count was measured each visit.",
        "Results": "15 eyes of 15 patients were included in the study. Mean age was 62.66 years. The mean preoperative spherical equivalent was -6.11 D (-4.75 to -8 D) improving to -0.80 D postoperatively (0.25 to -1.5 D). Mean UDVA was 6/12P and mean UNVA was N8 in toric ICL implanted eyes. Mean BCVA was 6/12. Contrast sensitivity was better with toric ICL than preoperatively with glasses. Mean IOP was 14.6 mm Hg on non-contact tonometry. 93.33% of patients were satisfied at 6 months postoperatively. No adverse effects like increased intraocular pressure, decreased endothelial count, decreased vault height or anterior chamber reaction were seen in follow up period.",
        "Conclusions": "Toric ICLs were found to be safe and effective piggyback intraocular lenses (IOLs) in pseudophakic eyes for management of residual refractive error and astigmatism and show a good visual outcome for distance and near vision with good patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POREF162",
      "abstract_number": "POREF162",
      "title": "Clinical Evaluation Of Repeated Low-Level Red-Light Therapy For Myopic Progression After Refractive Surgery",
      "authors": "Dr Kazunori Takeuchi",
      "presenter": "Dr Kazunori Takeuchi",
      "normalized_authors": [
        "Kazunori Takeuchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kazunori Takeuchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Repeated low-level red-light therapy (RLRL) has been reported to be effective in preventing myopic progression associated with axial elongation in pediatric patients. Recently, similar preventive effects have also been suggested in adults; however, few studies have evaluated its efficacy for recurrent myopia after refractive surgery. Therefore, we investigated the early effects of RLRL therapy on myopic progression in patients who had undergone refractive surgery.",
        "Setting": "Nagoya Eye Clinic, Nagoya, Japan",
        "Methods": "A retrospective evaluation was performed on 12 eyes of 6 patients (mean age 28.7±3.93 years) who underwent RLRL therapy for myopic progression with axial elongation after posterior chamber phakic intraocular lens (pIOL) implantation and were followed for at least 3 months. Outcome measures included uncorrected and corrected visual acuity (logMAR), axial length, subjective refraction (spherical equivalent), choroidal thickness, and complications. Measurements obtained before and after RLRL therapy were compared for each parameter.",
        "Results": "Before pIOL implantation, the mean axial length and manifest spherical equivalent were and -8.51±2.47 D, respectively. Uncorrected visual acuity significantly improved from 0.064±0.075 at baseline to -0.036±0.092 at 3 months after RLRL therapy (p = 0.0003). Corrected visual acuity showed no significant change (-0.170±0.056 vs -0.164±0.070, p = 0.701). Axial length significantly decreased from 26.82 ± 0.99 mm to 26.68 ± 0.99 mm (p < 0.0001). Subjective refraction significantly improved from −0.77 ± 0.29 D to −0.46 ± 0.41 D (p = 0.0002). Choroidal thickness significantly increased from 178.5 ± 65.0 µm to 220.6 ± 77.2 µm (p < 0.0001). No notable complications were observed.",
        "Conclusions": "RLRL therapy appears to be effective for recurrent myopia associated with axial elongation after refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RLRL therapy appears to be effective for recurrent myopia associated with axial elongation after refractive surgery.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1548,
      "source_fields": {
        "Abstract Final Identifier": "POREF162",
        "Title": "Clinical Evaluation Of Repeated Low-Level Red-Light Therapy For Myopic Progression After Refractive Surgery",
        "Presenting Author(s)": "Dr Kazunori Takeuchi",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Kazunori",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Takeuchi",
        "Country Name": "Japan",
        "Purpose": "Repeated low-level red-light therapy (RLRL) has been reported to be effective in preventing myopic progression associated with axial elongation in pediatric patients. Recently, similar preventive effects have also been suggested in adults; however, few studies have evaluated its efficacy for recurrent myopia after refractive surgery. Therefore, we investigated the early effects of RLRL therapy on myopic progression in patients who had undergone refractive surgery.",
        "Setting": "Nagoya Eye Clinic, Nagoya, Japan",
        "Methods": "A retrospective evaluation was performed on 12 eyes of 6 patients (mean age 28.7±3.93 years) who underwent RLRL therapy for myopic progression with axial elongation after posterior chamber phakic intraocular lens (pIOL) implantation and were followed for at least 3 months. Outcome measures included uncorrected and corrected visual acuity (logMAR), axial length, subjective refraction (spherical equivalent), choroidal thickness, and complications. Measurements obtained before and after RLRL therapy were compared for each parameter.",
        "Results": "Before pIOL implantation, the mean axial length and manifest spherical equivalent were and -8.51±2.47 D, respectively. Uncorrected visual acuity significantly improved from 0.064±0.075 at baseline to -0.036±0.092 at 3 months after RLRL therapy (p = 0.0003). Corrected visual acuity showed no significant change (-0.170±0.056 vs -0.164±0.070, p = 0.701). Axial length significantly decreased from 26.82 ± 0.99 mm to 26.68 ± 0.99 mm (p < 0.0001). Subjective refraction significantly improved from −0.77 ± 0.29 D to −0.46 ± 0.41 D (p = 0.0002). Choroidal thickness significantly increased from 178.5 ± 65.0 µm to 220.6 ± 77.2 µm (p < 0.0001). No notable complications were observed.",
        "Conclusions": "RLRL therapy appears to be effective for recurrent myopia associated with axial elongation after refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "POREF163",
      "abstract_number": "POREF163",
      "title": "Vault Prediction Accuracy Of An Online Calculator For Posterior Chamber Phakic Intraocular Lens Implantation In Filipino Eyes",
      "authors": "Dr Reginald Robert Tan",
      "presenter": "Dr Reginald Robert Tan",
      "normalized_authors": [
        "Reginald Robert Tan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Reginald Robert Tan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To evaluate the predictability of postoperative vault following posterior chamber phakic intraocular lens implantation in Filipino eyes using an online calculation tool and to assess early safety and visual outcomes.",
        "Setting": "St. Luke’s Medical Center, Philippines",
        "Methods": "This retrospective chart review included eyes undergoing posterior chamber phakic intraocular lens implantation (Eyecryl Phakic IOL, Biotech Vision Care, India) for myopia with or without astigmatism at St. Luke’s Medical Center, Philippines. Preoperative parameters including anterior chamber depth, white-to-white, axial length, and crystalline lens rise (CLR) were obtained; CLR was measured with ultrasound biomicroscopy. Predicted vault was calculated using the Biotech online calculator. Postoperative vault at 1 month was measured using anterior segment OCT (Cirrus, Carl Zeiss Meditec). Agreement was evaluated using Bland–Altman analysis. Prediction accuracy and visual outcomes were assessed.",
        "Results": "Seventeen eyes of 9 patients were included. Mean predicted vault was 485.8 µm and mean achieved vault was 463.5 µm. The mean difference was −22.3 ± 114.9 µm. Bland–Altman analysis showed 95% limits of agreement from −247.4 to +202.8 µm. Mean absolute prediction error was 94.2 µm (median 68 µm). Prediction accuracy showed 58.8% of eyes within ±100 µm, 88.2% within ±200 µm, and 100% within ±300 µm of predicted vault. A moderate correlation was observed between predicted and achieved vault (r = 0.42). At 1 month, mean UDVA was 0.08 ± 0.14 logMAR and mean CDVA was 0.03 ± 0.12 logMAR. The efficacy index was 1.08 and safety index was 1.16, with no loss of CDVA lines.",
        "Conclusions": "The Biotech online vault prediction calculator demonstrated acceptable agreement between predicted and achieved vault in Filipino eyes undergoing posterior chamber phakic intraocular lens implantation. Favorable early visual and safety outcomes, along with good prediction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Biotech online vault prediction calculator demonstrated acceptable agreement between predicted and achieved vault in Filipino eyes undergoing posterior chamber phakic intraocular lens implantation. Favorable early visual and safety outcomes, along with good prediction.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1549,
      "source_fields": {
        "Abstract Final Identifier": "POREF163",
        "Title": "Vault Prediction Accuracy Of An Online Calculator For Posterior Chamber Phakic Intraocular Lens Implantation In Filipino Eyes",
        "Presenting Author(s)": "Dr Reginald Robert Tan",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Reginald Robert",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tan",
        "Country Name": "Philippines",
        "Purpose": "To evaluate the predictability of postoperative vault following posterior chamber phakic intraocular lens implantation in Filipino eyes using an online calculation tool and to assess early safety and visual outcomes.",
        "Setting": "St. Luke’s Medical Center, Philippines",
        "Methods": "This retrospective chart review included eyes undergoing posterior chamber phakic intraocular lens implantation (Eyecryl Phakic IOL, Biotech Vision Care, India) for myopia with or without astigmatism at St. Luke’s Medical Center, Philippines. Preoperative parameters including anterior chamber depth, white-to-white, axial length, and crystalline lens rise (CLR) were obtained; CLR was measured with ultrasound biomicroscopy. Predicted vault was calculated using the Biotech online calculator. Postoperative vault at 1 month was measured using anterior segment OCT (Cirrus, Carl Zeiss Meditec). Agreement was evaluated using Bland–Altman analysis. Prediction accuracy and visual outcomes were assessed.",
        "Results": "Seventeen eyes of 9 patients were included. Mean predicted vault was 485.8 µm and mean achieved vault was 463.5 µm. The mean difference was −22.3 ± 114.9 µm. Bland–Altman analysis showed 95% limits of agreement from −247.4 to +202.8 µm. Mean absolute prediction error was 94.2 µm (median 68 µm). Prediction accuracy showed 58.8% of eyes within ±100 µm, 88.2% within ±200 µm, and 100% within ±300 µm of predicted vault. A moderate correlation was observed between predicted and achieved vault (r = 0.42). At 1 month, mean UDVA was 0.08 ± 0.14 logMAR and mean CDVA was 0.03 ± 0.12 logMAR. The efficacy index was 1.08 and safety index was 1.16, with no loss of CDVA lines.",
        "Conclusions": "The Biotech online vault prediction calculator demonstrated acceptable agreement between predicted and achieved vault in Filipino eyes undergoing posterior chamber phakic intraocular lens implantation. Favorable early visual and safety outcomes, along with good prediction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "POREF165",
      "abstract_number": "POREF165",
      "title": "Comparative Study Of A Novel Injector System For Implantable Collamer Lens (Icl) Implantation",
      "authors": "Dr Paul Vergez",
      "presenter": "Dr Paul Vergez",
      "normalized_authors": [
        "Paul Vergez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paul Vergez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare efficiency between the conventional and the new injector developed by Staar Surgical for ICL implantation, focusing on time preparation for ICL loading and inter-operator variability.",
        "Setting": "Comparative study conducted in Foundation Rothschild Hospital simulating operating room conditions with novice surgeons performing standardized ICL loading.",
        "Methods": "Five novice ophtalmic surgeons performed ICL preparation using both the conventional and the novel Staar injector. Each surgeon completed three ICL preparation with each injector. We measured the time for each preparation and noted complications that occured during these loadings. Mean preparation times were compared using Wilcoxon signed-rank test (statistical significance at p < 0,05).",
        "Results": "The novel injector demonstrated a significant reduction in preparation time (t= 2min 49) compared with the conventional one (t= 1min13) (p < 0,05).\n\nInter-operator variability and complication during loadings were also reduced with the new injector.",
        "Conclusions": "The novel STAAR injector system improves efficiency and safety during ICL preparation among novice ophtalmic surgeons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The novel STAAR injector system improves efficiency and safety during ICL preparation among novice ophtalmic surgeons.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1550,
      "source_fields": {
        "Abstract Final Identifier": "POREF165",
        "Title": "Comparative Study Of A Novel Injector System For Implantable Collamer Lens (Icl) Implantation",
        "Presenting Author(s)": "Dr Paul Vergez",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Paul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vergez",
        "Country Name": "France",
        "Purpose": "To compare efficiency between the conventional and the new injector developed by Staar Surgical for ICL implantation, focusing on time preparation for ICL loading and inter-operator variability.",
        "Setting": "Comparative study conducted in Foundation Rothschild Hospital simulating operating room conditions with novice surgeons performing standardized ICL loading.",
        "Methods": "Five novice ophtalmic surgeons performed ICL preparation using both the conventional and the novel Staar injector. Each surgeon completed three ICL preparation with each injector. We measured the time for each preparation and noted complications that occured during these loadings. Mean preparation times were compared using Wilcoxon signed-rank test (statistical significance at p < 0,05).",
        "Results": "The novel injector demonstrated a significant reduction in preparation time (t= 2min 49) compared with the conventional one (t= 1min13) (p < 0,05).\n\nInter-operator variability and complication during loadings were also reduced with the new injector.",
        "Conclusions": "The novel STAAR injector system improves efficiency and safety during ICL preparation among novice ophtalmic surgeons."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 152
    },
    {
      "uid": "POREF166",
      "abstract_number": "POREF166",
      "title": "Manual White-To-White Sizing And Postoperative Vault In Evo Icl Surgery: A Consecutive Case Series",
      "authors": "Amir Marvasti",
      "presenter": "Amir Marvasti",
      "normalized_authors": [
        "Amir Marvasti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Riley Walton",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate vault outcomes and exchange rates using manual white-to-white (WTW) measurements with a modified STAAR sizing nomogram in a consecutive series of EVO ICL cases.",
        "Setting": "Clinical refractive surgery",
        "Methods": "Single-surgeon retrospective review of 68 consecutive eyes undergoing EVO ICL implantation. Sizing was determined using manual WTW measurements and anterior chamber depth (ACD) in conjunction with a modified STAAR nomogram. Postoperative vault was recorded at the earliest stable postoperative visit and final follow-up. Primary outcomes included mean vault, distribution of vault categories, and ICL exchange rate.",
        "Results": "Mean postoperative vault was 499.8 ± 193.4 µm (range 157–1120 µm).\nSeventy-five percent of eyes (n=54) demonstrated vault within 250–750 µm.\nSeven eyes demonstrated vault <250 µm and six eyes >750 µm; however, no cases required ICL exchange. There were no instances of angle closure, visually significant cataract formation, or secondary surgical intervention related to vault.",
        "Conclusions": "Manual WTW measurements combined with a modified STAAR nomogram yielded predictable vault outcomes with zero exchange rate in this series. Despite occasional outliers, this simplified sizing approach demonstrated clinical reliability and safety. Manual WTW remains a practical strategy for ICL sizing in routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Manual WTW measurements combined with a modified STAAR nomogram yielded predictable vault outcomes with zero exchange rate in this series. Despite occasional outliers, this simplified sizing approach demonstrated clinical reliability and safety. Manual WTW remains a practical strategy for ICL sizing in routine clinical practice.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1551,
      "source_fields": {
        "Abstract Final Identifier": "POREF166",
        "Title": "Manual White-To-White Sizing And Postoperative Vault In Evo Icl Surgery: A Consecutive Case Series",
        "Presenting Author(s)": "Amir Marvasti",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Riley",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Walton",
        "Country Name": "United States",
        "Purpose": "To evaluate vault outcomes and exchange rates using manual white-to-white (WTW) measurements with a modified STAAR sizing nomogram in a consecutive series of EVO ICL cases.",
        "Setting": "Clinical refractive surgery",
        "Methods": "Single-surgeon retrospective review of 68 consecutive eyes undergoing EVO ICL implantation. Sizing was determined using manual WTW measurements and anterior chamber depth (ACD) in conjunction with a modified STAAR nomogram. Postoperative vault was recorded at the earliest stable postoperative visit and final follow-up. Primary outcomes included mean vault, distribution of vault categories, and ICL exchange rate.",
        "Results": "Mean postoperative vault was 499.8 ± 193.4 µm (range 157–1120 µm).\nSeventy-five percent of eyes (n=54) demonstrated vault within 250–750 µm.\nSeven eyes demonstrated vault <250 µm and six eyes >750 µm; however, no cases required ICL exchange. There were no instances of angle closure, visually significant cataract formation, or secondary surgical intervention related to vault.",
        "Conclusions": "Manual WTW measurements combined with a modified STAAR nomogram yielded predictable vault outcomes with zero exchange rate in this series. Despite occasional outliers, this simplified sizing approach demonstrated clinical reliability and safety. Manual WTW remains a practical strategy for ICL sizing in routine clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 190
    },
    {
      "uid": "POREF167",
      "abstract_number": "POREF167",
      "title": "Visual Outcomes And Optical Quality Of Toric Implantable Collamer Lens Versus Spherical Icl With Limbal Relaxing Incisions For Low Astigmatism",
      "authors": "Dr Yuliang Wang",
      "presenter": "Dr Yuliang Wang",
      "normalized_authors": [
        "Yuliang Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yuliang Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate and compare the visual, refractive, and optical quality outcomes of toric implantable collamer lens (TICL) versus spherical ICL implantation combined with manual limbal relaxing incisions (ICL+LRI) for myopia with low astigmatism.",
        "Setting": "A prospective non-randomized study.",
        "Methods": "This study enrolled 48 eyes of 37 patients with low astigmatism (≤1.25 diopters [D]), undergoing either TICL (24 eyes, 18 patients) or ICL+LRI (24 eyes, 19 patients). Uncorrected and corrected distance visual acuity, manifest refraction, and higher-order aberrations (HOAs) were evaluated preoperatively and at 3 months postoperatively. Astigmatic changes were assessed via Alpins vector analysis. Subjective optical quality was evaluated using the Quality of Vision (QoV) questionnaire.",
        "Results": "Preoperative manifest cylinder was comparable between the ICL+LRI and TICL groups (-1.03±0.21 D vs. -1.08±0.16 D; P=0.436). At the 3-month visit, residual astigmatism was significantly lower in the TICL group (-0.26±0.23 D) than the ICL+LRI group (-0.47±0.25 D; P=0.014). Alpins vector analysis revealed significant differences between groups regarding surgically induced astigmatism (ICL+LRI: 0.68±0.24 D vs. TICL: 0.97±0.23 D; P<0.001) and correction index (ICL+LRI: 0.69±0.26 vs. TICL: 0.90±0.20; P<0.001). Furthermore, 96% of eyes in the TICL group achieved an angle of error within ±15°, compared to 79% in the ICL+LRI group. No statistically significant differences existed between groups regarding objective HOAs or subjective QoV scores.",
        "Conclusions": "For myopic patients with low astigmatism (≤1.25 D), TICL implantation provides superior predictability and efficacy in astigmatism correction compared to ICL+LRI, although both surgical approaches yield comparable objective and subjective visual quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "For myopic patients with low astigmatism (≤1.25 D), TICL implantation provides superior predictability and efficacy in astigmatism correction compared to ICL+LRI, although both surgical approaches yield comparable objective and subjective visual quality.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1552,
      "source_fields": {
        "Abstract Final Identifier": "POREF167",
        "Title": "Visual Outcomes And Optical Quality Of Toric Implantable Collamer Lens Versus Spherical Icl With Limbal Relaxing Incisions For Low Astigmatism",
        "Presenting Author(s)": "Dr Yuliang Wang",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Yuliang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To evaluate and compare the visual, refractive, and optical quality outcomes of toric implantable collamer lens (TICL) versus spherical ICL implantation combined with manual limbal relaxing incisions (ICL+LRI) for myopia with low astigmatism.",
        "Setting": "A prospective non-randomized study.",
        "Methods": "This study enrolled 48 eyes of 37 patients with low astigmatism (≤1.25 diopters [D]), undergoing either TICL (24 eyes, 18 patients) or ICL+LRI (24 eyes, 19 patients). Uncorrected and corrected distance visual acuity, manifest refraction, and higher-order aberrations (HOAs) were evaluated preoperatively and at 3 months postoperatively. Astigmatic changes were assessed via Alpins vector analysis. Subjective optical quality was evaluated using the Quality of Vision (QoV) questionnaire.",
        "Results": "Preoperative manifest cylinder was comparable between the ICL+LRI and TICL groups (-1.03±0.21 D vs. -1.08±0.16 D; P=0.436). At the 3-month visit, residual astigmatism was significantly lower in the TICL group (-0.26±0.23 D) than the ICL+LRI group (-0.47±0.25 D; P=0.014). Alpins vector analysis revealed significant differences between groups regarding surgically induced astigmatism (ICL+LRI: 0.68±0.24 D vs. TICL: 0.97±0.23 D; P<0.001) and correction index (ICL+LRI: 0.69±0.26 vs. TICL: 0.90±0.20; P<0.001). Furthermore, 96% of eyes in the TICL group achieved an angle of error within ±15°, compared to 79% in the ICL+LRI group. No statistically significant differences existed between groups regarding objective HOAs or subjective QoV scores.",
        "Conclusions": "For myopic patients with low astigmatism (≤1.25 D), TICL implantation provides superior predictability and efficacy in astigmatism correction compared to ICL+LRI, although both surgical approaches yield comparable objective and subjective visual quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "POREF168",
      "abstract_number": "POREF168",
      "title": "Clinical Outcomes And Vault Prediction Accuracy After Implantable Collamer Lens (Icl) Implantation With Anterior Chamber Predictors Of Toric Icl Rotation",
      "authors": "Dr Yeo Kyoung Won",
      "presenter": "Dr Yeo Kyoung Won",
      "normalized_authors": [
        "Yeo Kyoung Won"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yeo Kyoung Won",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate short-term refractive and vault outcomes of Implantable Collamer Lens (ICL; STAAR Surgical, California, USA) implantation and to identify anterior chamber parameters predictive of postoperative rotational instability in toric ICL eyes.",
        "Setting": "SNU Eye Clinic, Seoul, Republic of Korea",
        "Methods": "This retrospective study included patients who underwent ICL implantation between March and August 2025 with ≥ 1 month follow-up, horizontal orientation targeting emmetropia, anterior chamber depth (ACD) ≥ 2.8 mm, and no pathology. Biometry was obtained using Pentacam (Oculus, Germany) and CASIA2 (Tomey, Japan), including white-to-white (WTW), ACD, angle-to-angle (ATA), anterior chamber width (ACW), and crystalline lens rise (CLR). ICL size was determined using CASIA2-based NK and KS formulas targeting approximately 500 µm of vault. Postoperative refraction, vault, vault prediction error (PE), absolute PE, and complications were analyzed. Reoperation cases for rotation were compared with uneventful cases to identify biometric predictors.",
        "Results": "A total of 415 eyes received toric ICLs and 72 eyes received non-toric ICLs. At 1 month postoperatively, both groups achieved excellent refractive outcomes with stable vaults (528 ± 147 and 514 ± 168 µm, respectively). Absolute PE was lower with the KS formula than with the NK formula in both toric (113 ± 94 vs 153 ± 113 µm) and non-toric eyes (121 ± 106 vs 164 ± 120 µm). Reoperation for toric ICL rotation was required in 19 eyes. These eyes had significantly greater anterior segment parameters (AOD, TISA, ATA, and ACD) and lower CLR than those without reoperation. Greater vertical–horizontal discrepancies in ATA and ACW were also observed, indicating increased rotational instability.",
        "Conclusions": "ICL implantation showed excellent short-term refractive and safety outcomes, with the KS formula demonstrating superior vault prediction accuracy compared to the NK formula. Larger anterior chamber dimensions and significant vertical-horizontal asymmetry were associated with postoperative toric ICL rotation. In eyes at higher rotational risk, consideration of one size larger ICL and/or vertical orientation may enhance rotational stability without compromising vault safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ICL implantation showed excellent short-term refractive and safety outcomes, with the KS formula demonstrating superior vault prediction accuracy compared to the NK formula. Larger anterior chamber dimensions and significant vertical-horizontal asymmetry were associated with postoperative toric ICL rotation. In eyes at higher rotational risk, consideration of one size larger ICL and/or vertical orientation may…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1553,
      "source_fields": {
        "Abstract Final Identifier": "POREF168",
        "Title": "Clinical Outcomes And Vault Prediction Accuracy After Implantable Collamer Lens (Icl) Implantation With Anterior Chamber Predictors Of Toric Icl Rotation",
        "Presenting Author(s)": "Dr Yeo Kyoung Won",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Yeo Kyoung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Won",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate short-term refractive and vault outcomes of Implantable Collamer Lens (ICL; STAAR Surgical, California, USA) implantation and to identify anterior chamber parameters predictive of postoperative rotational instability in toric ICL eyes.",
        "Setting": "SNU Eye Clinic, Seoul, Republic of Korea",
        "Methods": "This retrospective study included patients who underwent ICL implantation between March and August 2025 with ≥ 1 month follow-up, horizontal orientation targeting emmetropia, anterior chamber depth (ACD) ≥ 2.8 mm, and no pathology. Biometry was obtained using Pentacam (Oculus, Germany) and CASIA2 (Tomey, Japan), including white-to-white (WTW), ACD, angle-to-angle (ATA), anterior chamber width (ACW), and crystalline lens rise (CLR). ICL size was determined using CASIA2-based NK and KS formulas targeting approximately 500 µm of vault. Postoperative refraction, vault, vault prediction error (PE), absolute PE, and complications were analyzed. Reoperation cases for rotation were compared with uneventful cases to identify biometric predictors.",
        "Results": "A total of 415 eyes received toric ICLs and 72 eyes received non-toric ICLs. At 1 month postoperatively, both groups achieved excellent refractive outcomes with stable vaults (528 ± 147 and 514 ± 168 µm, respectively). Absolute PE was lower with the KS formula than with the NK formula in both toric (113 ± 94 vs 153 ± 113 µm) and non-toric eyes (121 ± 106 vs 164 ± 120 µm). Reoperation for toric ICL rotation was required in 19 eyes. These eyes had significantly greater anterior segment parameters (AOD, TISA, ATA, and ACD) and lower CLR than those without reoperation. Greater vertical–horizontal discrepancies in ATA and ACW were also observed, indicating increased rotational instability.",
        "Conclusions": "ICL implantation showed excellent short-term refractive and safety outcomes, with the KS formula demonstrating superior vault prediction accuracy compared to the NK formula. Larger anterior chamber dimensions and significant vertical-horizontal asymmetry were associated with postoperative toric ICL rotation. In eyes at higher rotational risk, consideration of one size larger ICL and/or vertical orientation may enhance rotational stability without compromising vault safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "POREF169",
      "abstract_number": "POREF169",
      "title": "Agreement And Correlation Between Orbscan 2 And Anterion Swept Source Optical Coherent Tomography Anterior Segment Biometrics For Phakic Intraocular Lens Implant Planning",
      "authors": "Dr Jun Shyan Wong",
      "presenter": "Dr Jun Shyan Wong",
      "normalized_authors": [
        "Jun Shyan Wong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jun Shyan Wong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "Anterior segment biometry is paramount for determining suitability and sizing of Phakic IOL. As newer models of Swept Source Anteror Segment Optical Coherent Tomography (SS AS OCT) systems now replace older placido disc based systems like Orbscan II, we sought to evaluate the agreement and correlation between Orbscan II and Anterion SS AS OCT for anterior segment measurements, including anterior chamber depth (ACD), white-to-white distance (WTW), and central corneal thickness (CCT), and to assess the relationship between spur-to-spur (STS) distance measured by Anterion and WTW measured by Orbscan II in Asian subjects.",
        "Setting": "A prospective, consecutive data collection study was conducted among patients with myopia at a multidisciplinary ophthalmology centre with refractive surgery unit.",
        "Methods": "Sixty-two right eyes of 62 Asian subjects were included. ACD, WTW, and CCT were measured using Orbscan II (Bausch & Lomb, USA) and Anterion SS-OCT (Heidelberg Engineering, Germany). STS was measured using Anterion only. Agreement between devices was assessed using Bland–Altman analysis, and correlations were evaluated using Pearson correlation coefficients. The relationship between Anterion-measured STS and Orbscan-measured WTW was analyzed using Pearson correlation and linear regression. Statistical analyses were performed using Microsoft Excel. Statistical Confidence levels were set at 95%.",
        "Results": "Mean age was 32.6 ± 9.86 years with a mean spherical equivalent of −4.76 ± 3.69 D. ACD showed strong correlation between devices (r = 0.89) with a mean Anterion bias of 0.13 ± 0.13 mm (95% LoA −0.12 to 0.38 mm). WTW measurements correlated strongly (r = 0.88) with a mean bias of 0.36 ± 0.26 mm (95% LoA −0.14 to 0.85 mm). CCT demonstrated very strong correlation (r = 0.95) but wider 95% LoA (−31.3 to 20.5 µm). STS measured by Anterion correlated strongly with Orbscan WTW (r = 0.92), with a mean bias of 0.13 ± 0.17 mm and 95% LoA of −0.20 to 0.46 mm, indicating good correlation but not interchangeable parameters agreement. Linear regression analysis yielded: Orbscan WTW = 0.9015 × STS (Anterion) + 1.0243.",
        "Conclusions": "Orbscan II and Anterion SS-OCT agrees well for key biometrics in Asian eyes, demonstrating good agreement for ACD and WTW measurements, with consistent systemic biases. Although CCT measurements are highly correlated, greater inter-device variability exists. Anterion-derived STS correlates strongly with Orbscan measured WTW, supporting its use as a reliable Orbscan WTW surrogate in anterior segment evaluation and phakic IOL sizing. The conversion formula derived facilitates reliable transition from legacy Orbscan II to the newer Anterion SS-OCT for anterior segment biometry in Asian populations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Orbscan II and Anterion SS-OCT agrees well for key biometrics in Asian eyes, demonstrating good agreement for ACD and WTW measurements, with consistent systemic biases. Although CCT measurements are highly correlated, greater inter-device variability exists. Anterion-derived STS correlates strongly with Orbscan measured WTW, supporting its use as a reliable Orbscan WTW surrogate in anterior segment evaluation and…",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1554,
      "source_fields": {
        "Abstract Final Identifier": "POREF169",
        "Title": "Agreement And Correlation Between Orbscan 2 And Anterion Swept Source Optical Coherent Tomography Anterior Segment Biometrics For Phakic Intraocular Lens Implant Planning",
        "Presenting Author(s)": "Dr Jun Shyan Wong",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Jun",
        "Submitter Middle Name": "Shyan",
        "Submitter Last Name": "Wong",
        "Country Name": "Malaysia",
        "Purpose": "Anterior segment biometry is paramount for determining suitability and sizing of Phakic IOL. As newer models of Swept Source Anteror Segment Optical Coherent Tomography (SS AS OCT) systems now replace older placido disc based systems like Orbscan II, we sought to evaluate the agreement and correlation between Orbscan II and Anterion SS AS OCT for anterior segment measurements, including anterior chamber depth (ACD), white-to-white distance (WTW), and central corneal thickness (CCT), and to assess the relationship between spur-to-spur (STS) distance measured by Anterion and WTW measured by Orbscan II in Asian subjects.",
        "Setting": "A prospective, consecutive data collection study was conducted among patients with myopia at a multidisciplinary ophthalmology centre with refractive surgery unit.",
        "Methods": "Sixty-two right eyes of 62 Asian subjects were included. ACD, WTW, and CCT were measured using Orbscan II (Bausch & Lomb, USA) and Anterion SS-OCT (Heidelberg Engineering, Germany). STS was measured using Anterion only. Agreement between devices was assessed using Bland–Altman analysis, and correlations were evaluated using Pearson correlation coefficients. The relationship between Anterion-measured STS and Orbscan-measured WTW was analyzed using Pearson correlation and linear regression. Statistical analyses were performed using Microsoft Excel. Statistical Confidence levels were set at 95%.",
        "Results": "Mean age was 32.6 ± 9.86 years with a mean spherical equivalent of −4.76 ± 3.69 D. ACD showed strong correlation between devices (r = 0.89) with a mean Anterion bias of 0.13 ± 0.13 mm (95% LoA −0.12 to 0.38 mm). WTW measurements correlated strongly (r = 0.88) with a mean bias of 0.36 ± 0.26 mm (95% LoA −0.14 to 0.85 mm). CCT demonstrated very strong correlation (r = 0.95) but wider 95% LoA (−31.3 to 20.5 µm). STS measured by Anterion correlated strongly with Orbscan WTW (r = 0.92), with a mean bias of 0.13 ± 0.17 mm and 95% LoA of −0.20 to 0.46 mm, indicating good correlation but not interchangeable parameters agreement. Linear regression analysis yielded: Orbscan WTW = 0.9015 × STS (Anterion) + 1.0243.",
        "Conclusions": "Orbscan II and Anterion SS-OCT agrees well for key biometrics in Asian eyes, demonstrating good agreement for ACD and WTW measurements, with consistent systemic biases. Although CCT measurements are highly correlated, greater inter-device variability exists. Anterion-derived STS correlates strongly with Orbscan measured WTW, supporting its use as a reliable Orbscan WTW surrogate in anterior segment evaluation and phakic IOL sizing. The conversion formula derived facilitates reliable transition from legacy Orbscan II to the newer Anterion SS-OCT for anterior segment biometry in Asian populations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 418
    },
    {
      "uid": "POREF170",
      "abstract_number": "POREF170",
      "title": "Postoperative Vault Changes After Implantable Collamer Lens Implantation According To Different Sizing Strategies",
      "authors": "Dr Lu Xiong",
      "presenter": "Dr Lu Xiong",
      "normalized_authors": [
        "Lu Xiong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lu Xiong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate postoperative vault distribution after implantable collamer lens (ICL) implantation using different sizing formulas and combination strategies and to assess agreement between predicted and measured vault over time.",
        "Setting": "Aier Eye Hospital, Guangzhou, Affiliated to Jinan University",
        "Methods": "This retrospective study included 205 patients (364 eyes) who underwent EVO V4c Visian ICL implantation for myopia. Based on sizing recommendations from the OCOS system, NK formula, and KS formula, eyes were classified into four groups: three-formula consensus, two-formula consensus, single-formula selection, and non-consensus selection. Vault distribution at 12 months was compared among groups. Agreement between predicted vault (NK and KS) and measured vault at 3, 6, and 12 months was analyzed to determine systematic bias and temporal trends.",
        "Results": "No significant intergroup differences existed in ideal or low vault proportions. High vault proportion differed significantly (P=0.006), driven by the OCOS subgroup within the single-formula selection group. Multi-formula consensus yielded narrower vault dispersion than single-formula selection. The NK formula demonstrated persistent positive bias at all time points (P<0.001), increasing over time. The KS formula showed smaller overall bias, with closest agreement at 6 months (P=0.762). Both formulas' predictive bias increased with larger ICL sizes, peaking in the 13.2 mm group. Although larger lenses exhibited greater vault reduction, temporal patterns paralleled across sizes: early decline followed by stabilization after 6 months.",
        "Conclusions": "Multi-formula consensus was associated with a more concentrated postoperative vault distribution and reduced high-vault risk. The KS formula demonstrated superior predictive performance; however, size-dependent bias persisted, particularly in larger ICL sizes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multi-formula consensus was associated with a more concentrated postoperative vault distribution and reduced high-vault risk. The KS formula demonstrated superior predictive performance; however, size-dependent bias persisted, particularly in larger ICL sizes.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1555,
      "source_fields": {
        "Abstract Final Identifier": "POREF170",
        "Title": "Postoperative Vault Changes After Implantable Collamer Lens Implantation According To Different Sizing Strategies",
        "Presenting Author(s)": "Dr Lu Xiong",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Lu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xiong",
        "Country Name": "China",
        "Purpose": "To evaluate postoperative vault distribution after implantable collamer lens (ICL) implantation using different sizing formulas and combination strategies and to assess agreement between predicted and measured vault over time.",
        "Setting": "Aier Eye Hospital, Guangzhou, Affiliated to Jinan University",
        "Methods": "This retrospective study included 205 patients (364 eyes) who underwent EVO V4c Visian ICL implantation for myopia. Based on sizing recommendations from the OCOS system, NK formula, and KS formula, eyes were classified into four groups: three-formula consensus, two-formula consensus, single-formula selection, and non-consensus selection. Vault distribution at 12 months was compared among groups. Agreement between predicted vault (NK and KS) and measured vault at 3, 6, and 12 months was analyzed to determine systematic bias and temporal trends.",
        "Results": "No significant intergroup differences existed in ideal or low vault proportions. High vault proportion differed significantly (P=0.006), driven by the OCOS subgroup within the single-formula selection group. Multi-formula consensus yielded narrower vault dispersion than single-formula selection. The NK formula demonstrated persistent positive bias at all time points (P<0.001), increasing over time. The KS formula showed smaller overall bias, with closest agreement at 6 months (P=0.762). Both formulas' predictive bias increased with larger ICL sizes, peaking in the 13.2 mm group. Although larger lenses exhibited greater vault reduction, temporal patterns paralleled across sizes: early decline followed by stabilization after 6 months.",
        "Conclusions": "Multi-formula consensus was associated with a more concentrated postoperative vault distribution and reduced high-vault risk. The KS formula demonstrated superior predictive performance; however, size-dependent bias persisted, particularly in larger ICL sizes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "POREF171",
      "abstract_number": "POREF171",
      "title": "Long-Term Efficacy And Safety Of Two Posterior Chamber Phakic Intraocular Lenses For Myopia Correction:\nA Four-Year Contralateral Eye Study",
      "authors": "Dr Lu Xiong",
      "presenter": "Dr Lu Xiong",
      "normalized_authors": [
        "Lu Xiong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lu Xiong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the long-term efficacy and safety of the phakic refractive intraocular lens (PR), a new posterior chamber phakic intraocular lens (PIOL), with the Implantable Collamer Lens (ICL) for myopia correction.",
        "Setting": "Aier Eye Hospital, Guangzhou, Affiliated to Jinan University",
        "Methods": "This retrospective study included 10 patients (20 eyes) who underwent implantation of the PR and ICL in the contralateral eye serving as the control, with a follow-up period of 4 years. Two PIOLs were compared for their efficacy, safety, vault stability, visual symptoms, and patient satisfaction at 4 years postoperatively.",
        "Results": "At 4 years postoperatively, no significant differences were observed between the PR and ICL groups for UDVA and CDVA, uncorrected and distance-corrected near visual acuity, refractive outcomes, anterior segmental parameters, IOP, ECD and higher-order aberrations ( P > .05). Both groups achieved 20/20 or better UDVA in 100.0% of eyes. The mean efficacy index and safety index were 1.19 ± 0.14 and 1.43 ± 0.34 in the PR group, while 1.23 ± 0.24 and 1.37 ± 0.35 in the ICL group, respectively. Central and peripheral vaults showed no significant reduction in the PR group ( P > .05), whereas both vaults were significantly reduced in the ICL group ( P < .05). Peripheral vault in the PR group was significantly wider than that in the ICL group ( P < .05).",
        "Conclusions": "At 4 years postoperatively, the phakic refractive intraocular lens were effective and safe in myopia correction, with clinical outcomes comparable to those of the ICL, while offering the additional advantages of more stable vaults and a wider peripheral vault."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 4 years postoperatively, the phakic refractive intraocular lens were effective and safe in myopia correction, with clinical outcomes comparable to those of the ICL, while offering the additional advantages of more stable vaults and a wider peripheral vault.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1556,
      "source_fields": {
        "Abstract Final Identifier": "POREF171",
        "Title": "Long-Term Efficacy And Safety Of Two Posterior Chamber Phakic Intraocular Lenses For Myopia Correction:\nA Four-Year Contralateral Eye Study",
        "Presenting Author(s)": "Dr Lu Xiong",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Lu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xiong",
        "Country Name": "China",
        "Purpose": "To compare the long-term efficacy and safety of the phakic refractive intraocular lens (PR), a new posterior chamber phakic intraocular lens (PIOL), with the Implantable Collamer Lens (ICL) for myopia correction.",
        "Setting": "Aier Eye Hospital, Guangzhou, Affiliated to Jinan University",
        "Methods": "This retrospective study included 10 patients (20 eyes) who underwent implantation of the PR and ICL in the contralateral eye serving as the control, with a follow-up period of 4 years. Two PIOLs were compared for their efficacy, safety, vault stability, visual symptoms, and patient satisfaction at 4 years postoperatively.",
        "Results": "At 4 years postoperatively, no significant differences were observed between the PR and ICL groups for UDVA and CDVA, uncorrected and distance-corrected near visual acuity, refractive outcomes, anterior segmental parameters, IOP, ECD and higher-order aberrations ( P > .05). Both groups achieved 20/20 or better UDVA in 100.0% of eyes. The mean efficacy index and safety index were 1.19 ± 0.14 and 1.43 ± 0.34 in the PR group, while 1.23 ± 0.24 and 1.37 ± 0.35 in the ICL group, respectively. Central and peripheral vaults showed no significant reduction in the PR group ( P > .05), whereas both vaults were significantly reduced in the ICL group ( P < .05). Peripheral vault in the PR group was significantly wider than that in the ICL group ( P < .05).",
        "Conclusions": "At 4 years postoperatively, the phakic refractive intraocular lens were effective and safe in myopia correction, with clinical outcomes comparable to those of the ICL, while offering the additional advantages of more stable vaults and a wider peripheral vault."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "POREF172",
      "abstract_number": "POREF172",
      "title": "Piggyback Implantable Collamer Lens Implantationfor The Correction Of Residual Refractive Errors After Cataract Surgery",
      "authors": "Dr Zhikun Yang",
      "presenter": "Dr Zhikun Yang",
      "normalized_authors": [
        "Zhikun Yang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhikun Yang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and feasibility of secondary piggyback implantable collamer lens (ICL) implantation for the correction of residual refractive errors in pseudophakic patients.",
        "Setting": "A single-center case series from Peking Union Medical College Hospital, Beijing, China.",
        "Methods": "This retrospective case series included 5 eyes of 4 pseudophakic patients (age range: 17-74 years) who underwent piggyback ICL implantation between 2020 and 2025. Indications included residual myopia, astigmatism, or anisometropia following congenital or age-related cataract surgery. Preoperative assessments included uncorrected and corrected distance visual acuity (UDVA, CDVA), manifest refraction, slit-lamp and fundus exams, intraocular pressure (IOP), anterior segment OCT, and ultrasound biomicroscopy (UBM), etc. Toric and non-toric ICLs were selected based on refractive targets. The patients were followed for at least 3 months and postoperative outcomes included visual acuity (UDVA, CDVA), refraction, IOP, vault, and complications.",
        "Results": "The mean time between the cataract surgery and ICL implantation was 14.4 years (3.1-22.0 years). The mean refraction was -7.25D (-6.0D to -9.5D), preoperatively. All 5 eyes demonstrated improved UDVA and stable CDVA postoperatively, with no intraoperative or postoperative complications such as inter-lenticular opacification, pupillary block, or elevated intraocular pressure. The mean vault and residual anterior chamber depth were 1.31mm (range: 0.85-1.91mm)and 2.41mm (range: 2.27-2.83mm).",
        "Conclusions": "Piggyback ICL implantation is a safe, effective, and reversible surgical option for correcting residual refractive errors after cataract surgery. A smaller size of ICL may be advisable in pseudophakic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Piggyback ICL implantation is a safe, effective, and reversible surgical option for correcting residual refractive errors after cataract surgery. A smaller size of ICL may be advisable in pseudophakic eyes.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1557,
      "source_fields": {
        "Abstract Final Identifier": "POREF172",
        "Title": "Piggyback Implantable Collamer Lens Implantationfor The Correction Of Residual Refractive Errors After Cataract Surgery",
        "Presenting Author(s)": "Dr Zhikun Yang",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Zhikun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yang",
        "Country Name": "China",
        "Purpose": "To evaluate the safety, efficacy, and feasibility of secondary piggyback implantable collamer lens (ICL) implantation for the correction of residual refractive errors in pseudophakic patients.",
        "Setting": "A single-center case series from Peking Union Medical College Hospital, Beijing, China.",
        "Methods": "This retrospective case series included 5 eyes of 4 pseudophakic patients (age range: 17-74 years) who underwent piggyback ICL implantation between 2020 and 2025. Indications included residual myopia, astigmatism, or anisometropia following congenital or age-related cataract surgery. Preoperative assessments included uncorrected and corrected distance visual acuity (UDVA, CDVA), manifest refraction, slit-lamp and fundus exams, intraocular pressure (IOP), anterior segment OCT, and ultrasound biomicroscopy (UBM), etc. Toric and non-toric ICLs were selected based on refractive targets. The patients were followed for at least 3 months and postoperative outcomes included visual acuity (UDVA, CDVA), refraction, IOP, vault, and complications.",
        "Results": "The mean time between the cataract surgery and ICL implantation was 14.4 years (3.1-22.0 years). The mean refraction was -7.25D (-6.0D to -9.5D), preoperatively. All 5 eyes demonstrated improved UDVA and stable CDVA postoperatively, with no intraoperative or postoperative complications such as inter-lenticular opacification, pupillary block, or elevated intraocular pressure. The mean vault and residual anterior chamber depth were 1.31mm (range: 0.85-1.91mm)and 2.41mm (range: 2.27-2.83mm).",
        "Conclusions": "Piggyback ICL implantation is a safe, effective, and reversible surgical option for correcting residual refractive errors after cataract surgery. A smaller size of ICL may be advisable in pseudophakic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POREF173",
      "abstract_number": "POREF173",
      "title": "Early Safety And Refractive Outcomes Of Eyecryl Phakic And Eyecryl Phakic Toric Intraocular Lens Implantation: 1-Month Prospective Analysis",
      "authors": "Dr Azhar bin Zainuddin",
      "presenter": "Dr Azhar bin Zainuddin",
      "normalized_authors": [
        "Azhar bin Zainuddin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Azhar bin Zainuddin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To evaluate early safety, refractive precision, vault characteristics, and intraocular pressure (IOP) profile following Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation.",
        "Setting": "Vista Eye Clinic, Malaysia.",
        "Methods": "Prospective case series of 34 eyes undergoing Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation for myopia and myopic astigmatism. Preoperative and 1-month assessments included spherical equivalent (SE), UCVA, CDVA, vault, and IOP. Refractive precision was assessed using mean absolute error (MAE) and proportions within ±0.50 D and ±1.00 D of intended correction.",
        "Results": "Mean preoperative SE was −5.93 ± 2.70 D. At 1 month, mean SE was −0.27 ± 0.36 D.\n\n88.2% of eyes were within ±0.50 D and 94.1% within ±1.00 D of intended refraction.\n\nUCVA of 6/6 or better was achieved in 81.8% of eyes. Safety index was 1.00 with no loss of ≥1 line CDVA; efficacy index was 0.98.\n\nMean vault was 566.6 ± 182.6 µm (range 200–826 µm), predominantly within the accepted 250–750 µm range.\n\nMean IOP at 1 month was 17.36 ± 4.71 mmHg, remaining clinically stable without pressure-related complications.",
        "Conclusions": "Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation demonstrated robust refractive accuracy, stable visual outcomes, and favorable vault characteristics at 1 month. Intraocular pressure remained clinically stable without need for secondary intervention, supporting the favorable early safety and predictability profile of this posterior chamber phakic IOL platform."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation demonstrated robust refractive accuracy, stable visual outcomes, and favorable vault characteristics at 1 month. Intraocular pressure remained clinically stable without need for secondary intervention, supporting the favorable early safety and predictability profile of this posterior chamber phakic IOL platform.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1558,
      "source_fields": {
        "Abstract Final Identifier": "POREF173",
        "Title": "Early Safety And Refractive Outcomes Of Eyecryl Phakic And Eyecryl Phakic Toric Intraocular Lens Implantation: 1-Month Prospective Analysis",
        "Presenting Author(s)": "Dr Azhar bin Zainuddin",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Azhar",
        "Submitter Middle Name": "bin",
        "Submitter Last Name": "Zainuddin",
        "Country Name": "Malaysia",
        "Purpose": "To evaluate early safety, refractive precision, vault characteristics, and intraocular pressure (IOP) profile following Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation.",
        "Setting": "Vista Eye Clinic, Malaysia.",
        "Methods": "Prospective case series of 34 eyes undergoing Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation for myopia and myopic astigmatism. Preoperative and 1-month assessments included spherical equivalent (SE), UCVA, CDVA, vault, and IOP. Refractive precision was assessed using mean absolute error (MAE) and proportions within ±0.50 D and ±1.00 D of intended correction.",
        "Results": "Mean preoperative SE was −5.93 ± 2.70 D. At 1 month, mean SE was −0.27 ± 0.36 D.\n\n88.2% of eyes were within ±0.50 D and 94.1% within ±1.00 D of intended refraction.\n\nUCVA of 6/6 or better was achieved in 81.8% of eyes. Safety index was 1.00 with no loss of ≥1 line CDVA; efficacy index was 0.98.\n\nMean vault was 566.6 ± 182.6 µm (range 200–826 µm), predominantly within the accepted 250–750 µm range.\n\nMean IOP at 1 month was 17.36 ± 4.71 mmHg, remaining clinically stable without pressure-related complications.",
        "Conclusions": "Eyecryl Phakic and Eyecryl Phakic Toric IOL implantation demonstrated robust refractive accuracy, stable visual outcomes, and favorable vault characteristics at 1 month. Intraocular pressure remained clinically stable without need for secondary intervention, supporting the favorable early safety and predictability profile of this posterior chamber phakic IOL platform."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "POREF174",
      "abstract_number": "POREF174",
      "title": "Refractive And Visual Outcome Of Misaligned Toric Implantable Collamer Lens After Operative Realignment",
      "authors": "Dr Libei Zhao",
      "presenter": "Dr Libei Zhao",
      "normalized_authors": [
        "Libei Zhao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Libei Zhao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate and compare the refractive and visual outcomes of patients with misaligned toric implantable collamer lens (ICL) after operative realignment, with and without back-calculation of the toric axis after implantation of toric ICL.",
        "Setting": "retrospective case-control study",
        "Methods": "This retrospective case series included 40 eyes of 33 patients who underwent a second procedure for toric ICL realignment between December 2016 and June 2025. The ideal toric axis for the realignment procedure was calculated using a dedicated back-calculator tool ( http://vectorcalc-wz.cn ). Data collected and analyzed included patient demographics (age, gender), preoperative axal length, preoperative refraction, ICL size, and postoperative outcomes including residual refractive error and visual acuities.",
        "Results": "The mean postoperative toric ICL misalignment prior to the second surgery was 20.55 ± 19.01 degrees. Following rotational realignment, UDVA improved from -0.25±0.15 logMAR preoperatively to 0.06±0.03 logMAR postoperatively, with corresponding reduction in both residual sphere and cylinder. The postoperative UDVA when performing alignment to the original preoperative axis (50%) was 0.048±0.04 logMAR with a cylinder of 0.49±0.17 diopter (D). In the group with alignment to a back-calculated axis (50%), the CDVA was 0.075±0.018 logMAR with a cylinder of 0.16±0.15 D. High cylinder power ICLs (≥2D) showed a higher decrease in residual cylinder when back-calculation was performed than low cylinder power ICLs (< 2D).",
        "Conclusions": "Realignment of misaligned toric ICL improves visual acuity and reduces residual refractive errors. Especially for high cylinder power ICL, better refractive outcome can be seen when performing a back-calculation before realignment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Realignment of misaligned toric ICL improves visual acuity and reduces residual refractive errors. Especially for high cylinder power ICL, better refractive outcome can be seen when performing a back-calculation before realignment.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1559,
      "source_fields": {
        "Abstract Final Identifier": "POREF174",
        "Title": "Refractive And Visual Outcome Of Misaligned Toric Implantable Collamer Lens After Operative Realignment",
        "Presenting Author(s)": "Dr Libei Zhao",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Libei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhao",
        "Country Name": "China",
        "Purpose": "To evaluate and compare the refractive and visual outcomes of patients with misaligned toric implantable collamer lens (ICL) after operative realignment, with and without back-calculation of the toric axis after implantation of toric ICL.",
        "Setting": "retrospective case-control study",
        "Methods": "This retrospective case series included 40 eyes of 33 patients who underwent a second procedure for toric ICL realignment between December 2016 and June 2025. The ideal toric axis for the realignment procedure was calculated using a dedicated back-calculator tool ( http://vectorcalc-wz.cn ). Data collected and analyzed included patient demographics (age, gender), preoperative axal length, preoperative refraction, ICL size, and postoperative outcomes including residual refractive error and visual acuities.",
        "Results": "The mean postoperative toric ICL misalignment prior to the second surgery was 20.55 ± 19.01 degrees. Following rotational realignment, UDVA improved from -0.25±0.15 logMAR preoperatively to 0.06±0.03 logMAR postoperatively, with corresponding reduction in both residual sphere and cylinder. The postoperative UDVA when performing alignment to the original preoperative axis (50%) was 0.048±0.04 logMAR with a cylinder of 0.49±0.17 diopter (D). In the group with alignment to a back-calculated axis (50%), the CDVA was 0.075±0.018 logMAR with a cylinder of 0.16±0.15 D. High cylinder power ICLs (≥2D) showed a higher decrease in residual cylinder when back-calculation was performed than low cylinder power ICLs (< 2D).",
        "Conclusions": "Realignment of misaligned toric ICL improves visual acuity and reduces residual refractive errors. Especially for high cylinder power ICL, better refractive outcome can be seen when performing a back-calculation before realignment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "POREF175",
      "abstract_number": "POREF175",
      "title": "Analysis Of The Causes Of Icl Intraocular Lens Replacement: A Retrospective Clinical Study",
      "authors": "Ms Jingjing Zheng",
      "presenter": "Ms Jingjing Zheng",
      "normalized_authors": [
        "Jingjing Zheng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jingjing Zheng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To statistically analyze the clinical data of intraocular lens replacement after posterior chamber intraocular lens (ICL) implantation, and to analyze the causes of intraocular lens replacement surgery and the therapeutic effect after the replacement.",
        "Setting": "After the implantation of posterior chamber intraocular lenses (ICL) with lenses, there may be a need for intraocular lens replacement. This not only affects the recovery of the patient's vision but also increases the surgical risk and the economic burden on the patient. Therefore, an analysis of the causes of intraocular lens replacement after ICL surgery and the changes in related parameters is of great significance for improving the success rate of the surgery and patient satisfaction",
        "Methods": "A retrospective analysis was conducted on 45 cases (55 eyes) of intraocular lens replacement surgery admitted to our hospital from 2023 to 2024. The preoperative clinical characteristics, surgical indications, intraocular lens models and positions, and postoperative therapeutic effects of the patients were statistically analyzed.",
        "Results": "All patients were divided into 3 groups according to the reasons for intraocular lens replacement. There were 26 cases (34 eyes) in the high arch height group, 14 cases (16 eyes) in the low arch height group, and 5 cases (5 eyes) in the intraocular lens rotation group. After the replacement surgery, the arch heights of the high-arch height group and the low-arch height group were significantly improved. The vision of the intraocular lens rotation group was significantly improved, and no serious complications occurred.",
        "Conclusions": "Abnormal arch height and intraocular lens rotation after posterior chamber intraocular lens implantation are the main causes of intraocular lens replacement. Intraocular lens replacement can effectively manage the related complications after posterior chamber intraocular lens implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Abnormal arch height and intraocular lens rotation after posterior chamber intraocular lens implantation are the main causes of intraocular lens replacement. Intraocular lens replacement can effectively manage the related complications after posterior chamber intraocular lens implantation.",
      "session_type": "ePoster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1560,
      "source_fields": {
        "Abstract Final Identifier": "POREF175",
        "Title": "Analysis Of The Causes Of Icl Intraocular Lens Replacement: A Retrospective Clinical Study",
        "Presenting Author(s)": "Ms Jingjing Zheng",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Jingjing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zheng",
        "Country Name": "China",
        "Purpose": "To statistically analyze the clinical data of intraocular lens replacement after posterior chamber intraocular lens (ICL) implantation, and to analyze the causes of intraocular lens replacement surgery and the therapeutic effect after the replacement.",
        "Setting": "After the implantation of posterior chamber intraocular lenses (ICL) with lenses, there may be a need for intraocular lens replacement. This not only affects the recovery of the patient's vision but also increases the surgical risk and the economic burden on the patient. Therefore, an analysis of the causes of intraocular lens replacement after ICL surgery and the changes in related parameters is of great significance for improving the success rate of the surgery and patient satisfaction",
        "Methods": "A retrospective analysis was conducted on 45 cases (55 eyes) of intraocular lens replacement surgery admitted to our hospital from 2023 to 2024. The preoperative clinical characteristics, surgical indications, intraocular lens models and positions, and postoperative therapeutic effects of the patients were statistically analyzed.",
        "Results": "All patients were divided into 3 groups according to the reasons for intraocular lens replacement. There were 26 cases (34 eyes) in the high arch height group, 14 cases (16 eyes) in the low arch height group, and 5 cases (5 eyes) in the intraocular lens rotation group. After the replacement surgery, the arch heights of the high-arch height group and the low-arch height group were significantly improved. The vision of the intraocular lens rotation group was significantly improved, and no serious complications occurred.",
        "Conclusions": "Abnormal arch height and intraocular lens rotation after posterior chamber intraocular lens implantation are the main causes of intraocular lens replacement. Intraocular lens replacement can effectively manage the related complications after posterior chamber intraocular lens implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "POREF176",
      "abstract_number": "POREF176",
      "title": "Outcomes Of Presbymax Modified Biaspheric Excimer Laser Ablation Profile For The Correction Of Presbyopia",
      "authors": "Alexander Harris",
      "presenter": "Alexander Harris",
      "normalized_authors": [
        "Alexander Harris"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Allon Barsam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess the efficacy, safety and quality of vision after application of PresbyMAX monocular modified\n\nbiaspheric excimer laser ablation profile for the treatment of presbyopia.",
        "Setting": "Single surgeon, private practice, London, UK",
        "Methods": "A retrospective study of 114 patients (n=114) undergoing FemtoLASIK for presbyopia was performed. Patients\n\nwere treated to correct distance ametropias and presbyopic symptoms simultaneously. In all cases, the dominant eye\n\nwas targeted for emmetropia with an aberration-free wavefront optimised ablation profile. The non-dominant eye was\n\ntreated to target -1.19 Diopters of Myopia with a monocular modified biaspheric PresbyMAX addition of +1.50 Diopters\n\nadjusted for by refraction. Corrected and uncorrected distance and near visual acuity, refraction and quality of vision were\n\nassessed. Patients were followed up at one day, week one, 6 weeks and 3 months.",
        "Results": "55 myopic and 59 hypermetropic patients with mean age of 52.7 years were identified. All patients achieved\n\nbinocular uncorrected distance visual acuity (BUDVA) of 0.10 LogMAR or better, with 93.8% achieving BUDVA of 0.00\n\nLogMAR or better. Mean BUDVA was 0.07 (SD 0.08) LogMAR. All patients achieved binocular uncorrected near visual\n\nacuity (BUNVA) of 0.4 LogMAR or better, with 90.6% achieving BUNVA of 0.2 LogMAR or better. Mean BUNVA was 0.13\n\n(SD 0.11) LogMAR. All patients achieved satisfactory neuroadaptation within 6 weeks and no dysphotopsia. 72% of\n\npatients reported excellent quality of vision and 6 patients (6.3%) required an enhancement.",
        "Conclusions": "This modification of a biaspheric ablation profile for presbyopia successfully achieves the appropriate\n\nbalance between quality of vision and spectacle independence in presbyopic patients, with an excellent safety profile.\n\nPrevious versions of this biaspehric profile have seen greater reports of quality of vision problems and reduction in\n\nUDVA. The results of this study support more widespread adoption of a lower PresbyMAX addition and greater myopic\n\ntarget in the non-dominant eye to optimise patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This modification of a biaspheric ablation profile for presbyopia successfully achieves the appropriate balance between quality of vision and spectacle independence in presbyopic patients, with an excellent safety profile. Previous versions of this biaspehric profile have seen greater reports of quality of vision problems and reduction in UDVA. The results of this study support more widespread adoption of a lower…",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1561,
      "source_fields": {
        "Abstract Final Identifier": "POREF176",
        "Title": "Outcomes Of Presbymax Modified Biaspheric Excimer Laser Ablation Profile For The Correction Of Presbyopia",
        "Presenting Author(s)": "Alexander Harris",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Allon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barsam",
        "Country Name": "United Kingdom",
        "Purpose": "To assess the efficacy, safety and quality of vision after application of PresbyMAX monocular modified\n\nbiaspheric excimer laser ablation profile for the treatment of presbyopia.",
        "Setting": "Single surgeon, private practice, London, UK",
        "Methods": "A retrospective study of 114 patients (n=114) undergoing FemtoLASIK for presbyopia was performed. Patients\n\nwere treated to correct distance ametropias and presbyopic symptoms simultaneously. In all cases, the dominant eye\n\nwas targeted for emmetropia with an aberration-free wavefront optimised ablation profile. The non-dominant eye was\n\ntreated to target -1.19 Diopters of Myopia with a monocular modified biaspheric PresbyMAX addition of +1.50 Diopters\n\nadjusted for by refraction. Corrected and uncorrected distance and near visual acuity, refraction and quality of vision were\n\nassessed. Patients were followed up at one day, week one, 6 weeks and 3 months.",
        "Results": "55 myopic and 59 hypermetropic patients with mean age of 52.7 years were identified. All patients achieved\n\nbinocular uncorrected distance visual acuity (BUDVA) of 0.10 LogMAR or better, with 93.8% achieving BUDVA of 0.00\n\nLogMAR or better. Mean BUDVA was 0.07 (SD 0.08) LogMAR. All patients achieved binocular uncorrected near visual\n\nacuity (BUNVA) of 0.4 LogMAR or better, with 90.6% achieving BUNVA of 0.2 LogMAR or better. Mean BUNVA was 0.13\n\n(SD 0.11) LogMAR. All patients achieved satisfactory neuroadaptation within 6 weeks and no dysphotopsia. 72% of\n\npatients reported excellent quality of vision and 6 patients (6.3%) required an enhancement.",
        "Conclusions": "This modification of a biaspheric ablation profile for presbyopia successfully achieves the appropriate\n\nbalance between quality of vision and spectacle independence in presbyopic patients, with an excellent safety profile.\n\nPrevious versions of this biaspehric profile have seen greater reports of quality of vision problems and reduction in\n\nUDVA. The results of this study support more widespread adoption of a lower PresbyMAX addition and greater myopic\n\ntarget in the non-dominant eye to optimise patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "POREF177",
      "abstract_number": "POREF177",
      "title": "Presbyopia Correction Using Bi-Aspheric Ablation Profile In Eyes With Previous Laser Vision Correction",
      "authors": "Dr Byunghoon Chung",
      "presenter": "Dr Byunghoon Chung",
      "normalized_authors": [
        "Byunghoon Chung"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Byunghoon Chung",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "This investigation contrasts the six-month surgical outcomes of transepithelial photorefractive keratectomy (transPRK) approaches. It utilizes the PresbyMAX monocular bi-aspheric ablation profiles with corneal wavefront-guided (CWFG) treatment in the nondominant eye of patients who have previously undergone laser vision correction (LVC). This includes the potential addition of conventional transPRK in the contralateral eye.",
        "Setting": "Eyereum Eye Clinic, Seoul, Republic of Korea",
        "Methods": "This study involved 97 eyes of 52 participants treated with the CWFG profile. The maximum ablation depth was adjusted by selectively incorporating certain corneal higher-order aberrations (HOA) exceeding 0.5 diopter equivalent. The necessity for transPRK in the contralateral eye was determined by individual refractive requirements. Evaluations included monocular and binocular uncorrected distance visual acuity (UDVA), near visual acuity (UNVA), corrected visual acuities at distance and near, and corneal aberrations.",
        "Results": "After six months, the mean UDVA (logMAR) for dominant eyes was 0.01 ± 0.05, and for nondominant eyes was 0.31 ± 0.13, respectively. Furthermore, 95% of dominant eyes achieved a monocular UDVA of 20/20 or better. Among nondominant eyes, 85% reached a UDVA of 30/50 or better. For binocular outcomes, 100% attained a UDVA of 20/20 or greater, and 93% of the CWFG group achieved a UNVA of J2 or better. Corneal HOAs including spherical aberration, coma and total root-mean-square of HOAs were significantly reduced after the treatment.",
        "Conclusions": "The CWFG profile combined with PresbyMAX ablation showed efficient and safe outcomes as well as a reduction in corneal HOAs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The CWFG profile combined with PresbyMAX ablation showed efficient and safe outcomes as well as a reduction in corneal HOAs.",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1562,
      "source_fields": {
        "Abstract Final Identifier": "POREF177",
        "Title": "Presbyopia Correction Using Bi-Aspheric Ablation Profile In Eyes With Previous Laser Vision Correction",
        "Presenting Author(s)": "Dr Byunghoon Chung",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Byunghoon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chung",
        "Country Name": "Korea, Republic Of",
        "Purpose": "This investigation contrasts the six-month surgical outcomes of transepithelial photorefractive keratectomy (transPRK) approaches. It utilizes the PresbyMAX monocular bi-aspheric ablation profiles with corneal wavefront-guided (CWFG) treatment in the nondominant eye of patients who have previously undergone laser vision correction (LVC). This includes the potential addition of conventional transPRK in the contralateral eye.",
        "Setting": "Eyereum Eye Clinic, Seoul, Republic of Korea",
        "Methods": "This study involved 97 eyes of 52 participants treated with the CWFG profile. The maximum ablation depth was adjusted by selectively incorporating certain corneal higher-order aberrations (HOA) exceeding 0.5 diopter equivalent. The necessity for transPRK in the contralateral eye was determined by individual refractive requirements. Evaluations included monocular and binocular uncorrected distance visual acuity (UDVA), near visual acuity (UNVA), corrected visual acuities at distance and near, and corneal aberrations.",
        "Results": "After six months, the mean UDVA (logMAR) for dominant eyes was 0.01 ± 0.05, and for nondominant eyes was 0.31 ± 0.13, respectively. Furthermore, 95% of dominant eyes achieved a monocular UDVA of 20/20 or better. Among nondominant eyes, 85% reached a UDVA of 30/50 or better. For binocular outcomes, 100% attained a UDVA of 20/20 or greater, and 93% of the CWFG group achieved a UNVA of J2 or better. Corneal HOAs including spherical aberration, coma and total root-mean-square of HOAs were significantly reduced after the treatment.",
        "Conclusions": "The CWFG profile combined with PresbyMAX ablation showed efficient and safe outcomes as well as a reduction in corneal HOAs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POREF178",
      "abstract_number": "POREF178",
      "title": "Contralateral Evaluation Of Ocular Surface Stability: Lenticule Extraction (Smartsight) Versus Flap-Based Presbyopic Correction (Femto-Lasik Presbymax)",
      "authors": "Dr Agnieszka Kulig",
      "presenter": "Dr Agnieszka Kulig",
      "normalized_authors": [
        "Agnieszka Kulig"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Derhartunian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To compare early postoperative ocular surface dryness and tear film stability between lenticule extraction (SmartSight) and flap-based excimer laser ablation (Femto-LASIK PresbyMAX) using a contralateral eye study design in a presbyopic population.",
        "Setting": "Private Refractive Surgery Center.",
        "Methods": "This prospective observational study included patients (age 45+) undergoing refractive surgery for presbyopia. A contralateral treatment protocol was applied: the dominant eye received SmartSight lenticule extraction (Schwind Atos) for distance correction, and the non-dominant eye received Femto-LASIK with the PresbyMAX profile (Schwind Amaris) for near-vision enhancement. Ocular surface assessment was performed using Non-Invasive Fluorescein Break-Up Time (NIF-BUT) and Average NIAvg-BUT at baseline and 1 month postoperatively.",
        "Results": "Preliminary analysis at the 1-month follow-up demonstrates a clear trend toward superior tear film stability in the SmartSight group compared to the Femto-LASIK group. While the flap-based eyes (PresbyMAX) showed a more significant reduction in NIF-BUT from baseline values, the lenticule extraction eyes (SmartSight) exhibited greater stability, with some cases showing nearly unchanged or even improved NIAvg-BUT values. The data suggest that the smaller peripheral incision and preservation of the anterior corneal stroma in the SmartSight procedure result in less disruption to the corneal subbasal nerve plexus than the creation of a standard LASIK flap.",
        "Conclusions": "In patients over 45, where the ocular surface is more vulnerable, SmartSight lenticule extraction appears to offer better preservation of tear film stability at 1 month postoperatively compared to Femto-LASIK PresbyMAX. This suggests a clinical advantage for lenticule-based procedures in minimizing postoperative dry eye symptoms in the presbyopic demographic."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients over 45, where the ocular surface is more vulnerable, SmartSight lenticule extraction appears to offer better preservation of tear film stability at 1 month postoperatively compared to Femto-LASIK PresbyMAX. This suggests a clinical advantage for lenticule-based procedures in minimizing postoperative dry eye symptoms in the presbyopic demographic.",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1563,
      "source_fields": {
        "Abstract Final Identifier": "POREF178",
        "Title": "Contralateral Evaluation Of Ocular Surface Stability: Lenticule Extraction (Smartsight) Versus Flap-Based Presbyopic Correction (Femto-Lasik Presbymax)",
        "Presenting Author(s)": "Dr Agnieszka Kulig",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Derhartunian",
        "Country Name": "Austria",
        "Purpose": "To compare early postoperative ocular surface dryness and tear film stability between lenticule extraction (SmartSight) and flap-based excimer laser ablation (Femto-LASIK PresbyMAX) using a contralateral eye study design in a presbyopic population.",
        "Setting": "Private Refractive Surgery Center.",
        "Methods": "This prospective observational study included patients (age 45+) undergoing refractive surgery for presbyopia. A contralateral treatment protocol was applied: the dominant eye received SmartSight lenticule extraction (Schwind Atos) for distance correction, and the non-dominant eye received Femto-LASIK with the PresbyMAX profile (Schwind Amaris) for near-vision enhancement. Ocular surface assessment was performed using Non-Invasive Fluorescein Break-Up Time (NIF-BUT) and Average NIAvg-BUT at baseline and 1 month postoperatively.",
        "Results": "Preliminary analysis at the 1-month follow-up demonstrates a clear trend toward superior tear film stability in the SmartSight group compared to the Femto-LASIK group. While the flap-based eyes (PresbyMAX) showed a more significant reduction in NIF-BUT from baseline values, the lenticule extraction eyes (SmartSight) exhibited greater stability, with some cases showing nearly unchanged or even improved NIAvg-BUT values. The data suggest that the smaller peripheral incision and preservation of the anterior corneal stroma in the SmartSight procedure result in less disruption to the corneal subbasal nerve plexus than the creation of a standard LASIK flap.",
        "Conclusions": "In patients over 45, where the ocular surface is more vulnerable, SmartSight lenticule extraction appears to offer better preservation of tear film stability at 1 month postoperatively compared to Femto-LASIK PresbyMAX. This suggests a clinical advantage for lenticule-based procedures in minimizing postoperative dry eye symptoms in the presbyopic demographic."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "POREF179",
      "abstract_number": "POREF179",
      "title": "Optic By Dilution A New Way To Correct Presbyopia Without Usig A Myopic Target",
      "authors": "Dr Hehn Frederic",
      "presenter": "Dr Hehn Frederic",
      "normalized_authors": [
        "Hehn Frederic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hehn Frederic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "The Author presents a new way to extend the depth of focus, called '' optic by dilution \" OBD\n\nOBD doesn't use a myopic target to get the near vision\n\nOBD is based on the conservation of the luminous flux",
        "Setting": "For distant vision only the direct light rays run to create the PSF (point spread function ) and some amount of SA (spherical aberrations ) depending on corneal's Q value .For near vision, the divergent light rays produce the cercle of confusion COC\n\nthe OBD hyper diverge the divergent light rays in order to make them undetectable on the retina, therefore the image builded is only based on direct rays as well as for distant and near vision",
        "Methods": "Firstly the Author demontrates that the vectorial spaces of in one hand the direct rays and in the other hand the divergents , are totally separated due to the Fraunhofer law in concern the wavefront\n\n-Secondly the Author shows that, in fact, the COC in not a cercle, but it's a ring , ring of confusion ROC then the conservation of the Flux = Intensity * Surface can be applied on it in using OBD\n\nFinally the Author demonstrates that the basal intensity of the ROC is close to 55% of the PSF intensity\n\nIn conclusion : OBD increases the surface of the ROC , below the Rayleigh threshold detection, without impact the PSF of the direct rays, and the ROC becomes undetectable.",
        "Results": "We apply the principle of the OBD or presbyopic patients, in using PRESBYLASIK technique\n\nThe controlled amount of Q value target act as a negative addition for near vision\n\nWe expose the results of 120 eyes of 60 patients at day 1 , 1 month and one year follow up as well as for near and distant vision. Monocular and binocular results are better than ever get before , cause there is no myopic target , each eye can achieve 20/20 J1",
        "Conclusions": "The author demonstrate theorically and clinically that the way of OBD can give presbyopic patients a natural, powerful and symetrical view in the both eyes, as younger patients can get. furthur studies will be necessary to confirm these preliminary results"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The author demonstrate theorically and clinically that the way of OBD can give presbyopic patients a natural, powerful and symetrical view in the both eyes, as younger patients can get. furthur studies will be necessary to confirm these preliminary results",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1564,
      "source_fields": {
        "Abstract Final Identifier": "POREF179",
        "Title": "Optic By Dilution A New Way To Correct Presbyopia Without Usig A Myopic Target",
        "Presenting Author(s)": "Dr Hehn Frederic",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Hehn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Frederic",
        "Country Name": "France",
        "Purpose": "The Author presents a new way to extend the depth of focus, called '' optic by dilution \" OBD\n\nOBD doesn't use a myopic target to get the near vision\n\nOBD is based on the conservation of the luminous flux",
        "Setting": "For distant vision only the direct light rays run to create the PSF (point spread function ) and some amount of SA (spherical aberrations ) depending on corneal's Q value .For near vision, the divergent light rays produce the cercle of confusion COC\n\nthe OBD hyper diverge the divergent light rays in order to make them undetectable on the retina, therefore the image builded is only based on direct rays as well as for distant and near vision",
        "Methods": "Firstly the Author demontrates that the vectorial spaces of in one hand the direct rays and in the other hand the divergents , are totally separated due to the Fraunhofer law in concern the wavefront\n\n-Secondly the Author shows that, in fact, the COC in not a cercle, but it's a ring , ring of confusion ROC then the conservation of the Flux = Intensity * Surface can be applied on it in using OBD\n\nFinally the Author demonstrates that the basal intensity of the ROC is close to 55% of the PSF intensity\n\nIn conclusion : OBD increases the surface of the ROC , below the Rayleigh threshold detection, without impact the PSF of the direct rays, and the ROC becomes undetectable.",
        "Results": "We apply the principle of the OBD or presbyopic patients, in using PRESBYLASIK technique\n\nThe controlled amount of Q value target act as a negative addition for near vision\n\nWe expose the results of 120 eyes of 60 patients at day 1 , 1 month and one year follow up as well as for near and distant vision. Monocular and binocular results are better than ever get before , cause there is no myopic target , each eye can achieve 20/20 J1",
        "Conclusions": "The author demonstrate theorically and clinically that the way of OBD can give presbyopic patients a natural, powerful and symetrical view in the both eyes, as younger patients can get. furthur studies will be necessary to confirm these preliminary results"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 351
    },
    {
      "uid": "POREF180",
      "abstract_number": "POREF180",
      "title": "First Presby-Lasik Results Using Isovision Strategy, With No Myopic Target",
      "authors": "Dr Hehn Frederic",
      "presenter": "Dr Hehn Frederic",
      "normalized_authors": [
        "Hehn Frederic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hehn Frederic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "The author present a new presby-LASIK strategy, to correct presbyopia in the same manner in both eyes\n\nThis technique is called IsoVision, that's mean , it can give patient an extend depth of focus , without using a myopic target\n\nthe both eyes can achieve a nice and powerful vision at any distances, as the monovision strategy doesn't",
        "Setting": "We present a clinical study, including 60 eyes of 30 patients; The follow up is day one, one month , one year .",
        "Methods": "All the patients get topographic and refractive criteria inclusions,\n\nThe Femto-flap is performed on ZIEMER Z4 plateform, and the Excimer treatment is performed on the EX500 ACON\n\nAt first we treat the distance vision with a Wave front optimized Excimer profile , then we add a Custom Q treatment to compensate the presbyopia\n\nWe do not use any myopic target, to assure the same image quality at any distance, in each eye\n\nThe surgical plan are calculated by the IsoVision software, based on the concept of '' Optic By Dilution ''",
        "Results": "Presby-LASIK IsoVision, doesn't care about the dominant non dominant eye\n\nThe results are stable by the time of a one year follow up\n\nThe monocular and binocular distant visual acuity are symetrical without a gap in intermediate vision , 90% of the eye can achieve 18/20 or more at one month, 93 % of the eye can achieve J1 for near vision at day one\n\nWe expose our results about 60 eyes of 30 patients , myopic , emmetropic and hyperopic from 45 years to 72 years , previously pseudophake or not",
        "Conclusions": "Presby-LASIK IsoVision can give patient a nice and powerful vision in each eye at any distance , cause it doesn't use a myopic target"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Presby-LASIK IsoVision can give patient a nice and powerful vision in each eye at any distance , cause it doesn't use a myopic target",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1565,
      "source_fields": {
        "Abstract Final Identifier": "POREF180",
        "Title": "First Presby-Lasik Results Using Isovision Strategy, With No Myopic Target",
        "Presenting Author(s)": "Dr Hehn Frederic",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Hehn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Frederic",
        "Country Name": "France",
        "Purpose": "The author present a new presby-LASIK strategy, to correct presbyopia in the same manner in both eyes\n\nThis technique is called IsoVision, that's mean , it can give patient an extend depth of focus , without using a myopic target\n\nthe both eyes can achieve a nice and powerful vision at any distances, as the monovision strategy doesn't",
        "Setting": "We present a clinical study, including 60 eyes of 30 patients; The follow up is day one, one month , one year .",
        "Methods": "All the patients get topographic and refractive criteria inclusions,\n\nThe Femto-flap is performed on ZIEMER Z4 plateform, and the Excimer treatment is performed on the EX500 ACON\n\nAt first we treat the distance vision with a Wave front optimized Excimer profile , then we add a Custom Q treatment to compensate the presbyopia\n\nWe do not use any myopic target, to assure the same image quality at any distance, in each eye\n\nThe surgical plan are calculated by the IsoVision software, based on the concept of '' Optic By Dilution ''",
        "Results": "Presby-LASIK IsoVision, doesn't care about the dominant non dominant eye\n\nThe results are stable by the time of a one year follow up\n\nThe monocular and binocular distant visual acuity are symetrical without a gap in intermediate vision , 90% of the eye can achieve 18/20 or more at one month, 93 % of the eye can achieve J1 for near vision at day one\n\nWe expose our results about 60 eyes of 30 patients , myopic , emmetropic and hyperopic from 45 years to 72 years , previously pseudophake or not",
        "Conclusions": "Presby-LASIK IsoVision can give patient a nice and powerful vision in each eye at any distance , cause it doesn't use a myopic target"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POREF181",
      "abstract_number": "POREF181",
      "title": "Monovision Lasik For Presbyopia In Emmetropes And Hyperopes: How Far Vision Is Preserved In The Near Eye ?",
      "authors": "Prof. Eric Ernest Gabison",
      "presenter": "Prof. Eric Ernest Gabison",
      "normalized_authors": [
        "Eric Ernest Gabison"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eric Ernest Gabison",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To assess uncorrected distance visual acuity (UDVA) in the nondominant (near-targeted) eye after LASIK monovision, and to explore whether corneal asphericity changes (Q-factor) may contribute to distance-vision preservation in hyperopic and emmetropic presbyopes treated with a monovision target.",
        "Setting": "Retrospective single-center study of presbyopic hyperopic and emmetropic patients undergoing LASIK monovision. A parallel large monovision cohort including myopic and hyperopic patients is used for comparative analyses using identical endpoints.",
        "Methods": "Presbyopic hyperopic and emmetropic patients underwent LASIK monovision using an Alcon WaveLight EX500 excimer laser with a wavefront-optimized ablation profile. The dominant eye was targeted for emmetropia and the nondominant eye for mild myopia (~–1.5 D). Outcomes were collected preoperatively and at 6 months: subjective spherical equivalent (SE), monocular UDVA and UNVA, binocular unaided vision, and Pentacam-derived corneal Q-factor (6-mm zone).",
        "Results": "Twenty-seven hyperopic presbyopic patients (54 eyes) were included, mean age 54.7 ± 5.0 years. Preoperative SE was +1.42 ± 0.62 D (dominant) and +1.53 ± 0.62 D (nondominant), with preoperative Q-factor of –0.26 and –0.29, respectively. At 6 months, SE was +0.22 ± 0.41 D (dominant) and –1.67 ± 0.59 D (nondominant). UDVA reached 1.0 (decimal) in the dominant eye and 0.5 in the nondominant eye, while near acuity was P6 (dominant) and P2 (nondominant). Binocularly, 94% of patients achieved 10/10 distance acuity and P2 near acuity without correction. Corneal shape showed a shift toward a more prolate profile in the near-targeted eye, consistent with increased negative asphericity. Similar findings were observed in the larger comparative cohort.",
        "Conclusions": "LASIK monovision in hyperopic and emmetropic presbyopes provides high binocular spectacle independence and preserves clinically meaningful distance vision in the nondominant eye despite a myopic target. Corneal asphericity changes toward a more prolate profile may partially explain this functional overlap."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LASIK monovision in hyperopic and emmetropic presbyopes provides high binocular spectacle independence and preserves clinically meaningful distance vision in the nondominant eye despite a myopic target. Corneal asphericity changes toward a more prolate profile may partially explain this functional overlap.",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1566,
      "source_fields": {
        "Abstract Final Identifier": "POREF181",
        "Title": "Monovision Lasik For Presbyopia In Emmetropes And Hyperopes: How Far Vision Is Preserved In The Near Eye ?",
        "Presenting Author(s)": "Prof. Eric Ernest Gabison",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Eric",
        "Submitter Middle Name": "Ernest",
        "Submitter Last Name": "Gabison",
        "Country Name": "France",
        "Purpose": "To assess uncorrected distance visual acuity (UDVA) in the nondominant (near-targeted) eye after LASIK monovision, and to explore whether corneal asphericity changes (Q-factor) may contribute to distance-vision preservation in hyperopic and emmetropic presbyopes treated with a monovision target.",
        "Setting": "Retrospective single-center study of presbyopic hyperopic and emmetropic patients undergoing LASIK monovision. A parallel large monovision cohort including myopic and hyperopic patients is used for comparative analyses using identical endpoints.",
        "Methods": "Presbyopic hyperopic and emmetropic patients underwent LASIK monovision using an Alcon WaveLight EX500 excimer laser with a wavefront-optimized ablation profile. The dominant eye was targeted for emmetropia and the nondominant eye for mild myopia (~–1.5 D). Outcomes were collected preoperatively and at 6 months: subjective spherical equivalent (SE), monocular UDVA and UNVA, binocular unaided vision, and Pentacam-derived corneal Q-factor (6-mm zone).",
        "Results": "Twenty-seven hyperopic presbyopic patients (54 eyes) were included, mean age 54.7 ± 5.0 years. Preoperative SE was +1.42 ± 0.62 D (dominant) and +1.53 ± 0.62 D (nondominant), with preoperative Q-factor of –0.26 and –0.29, respectively. At 6 months, SE was +0.22 ± 0.41 D (dominant) and –1.67 ± 0.59 D (nondominant). UDVA reached 1.0 (decimal) in the dominant eye and 0.5 in the nondominant eye, while near acuity was P6 (dominant) and P2 (nondominant). Binocularly, 94% of patients achieved 10/10 distance acuity and P2 near acuity without correction. Corneal shape showed a shift toward a more prolate profile in the near-targeted eye, consistent with increased negative asphericity. Similar findings were observed in the larger comparative cohort.",
        "Conclusions": "LASIK monovision in hyperopic and emmetropic presbyopes provides high binocular spectacle independence and preserves clinically meaningful distance vision in the nondominant eye despite a myopic target. Corneal asphericity changes toward a more prolate profile may partially explain this functional overlap."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POREF183",
      "abstract_number": "POREF183",
      "title": "Clinical Outcomes Of Presbyond Laser Blended Vision In Post-Lasik Eyes: A Case Series",
      "authors": "Dr Byoungwoo Ko",
      "presenter": "Dr Byoungwoo Ko",
      "normalized_authors": [
        "Byoungwoo Ko"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Byoungwoo Ko",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes and safety of PRESBYOND laser blended vision for presbyopia correction in patients with previous LASIK surgery.",
        "Setting": "Apgujeong Eye Clinic, Seoul, South Korea",
        "Methods": "This retrospective case series included 9 patients (16 eyes) with previous LASIK surgery who underwent PRESBYOND laser blended vision for presbyopia correction. Depending on surgical conditions, flap lifting or surface ablation was performed. Uncorrected distance (UDVA), intermediate (UIVA), and near visual acuity (UNVA) were evaluated preoperatively and postoperatively. Patients were followed for up to 12 months.",
        "Results": "Nine patients (16 eyes) were included. Preoperative UDVA, UIVA, and UNVA were 0.30, 0.20, and 0.35 logMAR, respectively. At 12 months, mean binocular UDVA, UIVA, and UNVA were 0.12, 0.15, and 0.04 logMAR, respectively. Eight of nine patients (89%) achieved binocular UDVA of 0.1 logMAR or better , while all patients (9/9, 100%) achieved binocular UIVA and UNVA of 0.1 logMAR or better. No enhancement procedures were required, and no flap-related complications or vision-threatening adverse events were observed during follow-up.",
        "Conclusions": "PRESBYOND laser blended vision appears to be a safe and effective option for presbyopia correction in post-LASIK eyes, providing functional binocular vision across multiple distances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRESBYOND laser blended vision appears to be a safe and effective option for presbyopia correction in post-LASIK eyes, providing functional binocular vision across multiple distances.",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1567,
      "source_fields": {
        "Abstract Final Identifier": "POREF183",
        "Title": "Clinical Outcomes Of Presbyond Laser Blended Vision In Post-Lasik Eyes: A Case Series",
        "Presenting Author(s)": "Dr Byoungwoo Ko",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Byoungwoo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ko",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the clinical outcomes and safety of PRESBYOND laser blended vision for presbyopia correction in patients with previous LASIK surgery.",
        "Setting": "Apgujeong Eye Clinic, Seoul, South Korea",
        "Methods": "This retrospective case series included 9 patients (16 eyes) with previous LASIK surgery who underwent PRESBYOND laser blended vision for presbyopia correction. Depending on surgical conditions, flap lifting or surface ablation was performed. Uncorrected distance (UDVA), intermediate (UIVA), and near visual acuity (UNVA) were evaluated preoperatively and postoperatively. Patients were followed for up to 12 months.",
        "Results": "Nine patients (16 eyes) were included. Preoperative UDVA, UIVA, and UNVA were 0.30, 0.20, and 0.35 logMAR, respectively. At 12 months, mean binocular UDVA, UIVA, and UNVA were 0.12, 0.15, and 0.04 logMAR, respectively. Eight of nine patients (89%) achieved binocular UDVA of 0.1 logMAR or better , while all patients (9/9, 100%) achieved binocular UIVA and UNVA of 0.1 logMAR or better. No enhancement procedures were required, and no flap-related complications or vision-threatening adverse events were observed during follow-up.",
        "Conclusions": "PRESBYOND laser blended vision appears to be a safe and effective option for presbyopia correction in post-LASIK eyes, providing functional binocular vision across multiple distances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 196
    },
    {
      "uid": "POREF184",
      "abstract_number": "POREF184",
      "title": "Determination Of Biomechanical Changes In The Aging Eye For Development Of Algorithm-Guided Laser Scleral Treatment In Presbyopia",
      "authors": "Prof. John Marshall",
      "presenter": "Prof. John Marshall",
      "normalized_authors": [
        "John Marshall"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "John Marshall",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To characterize age-related ocular biomechanical changes contributing to presbyopia and to determine how scleral architectural modification influences modulus, strain transmission, and central optical power, informing the development of objective treatment algorithms.",
        "Setting": "Retrospective computational analysis conducted in a biomedical engineering laboratory using in silico finite element modeling of a virtual age-matched ocular system to simulate scleral architectural interventions.",
        "Methods": "Age-associated collagen crosslinking and increased ocular rigidity were modeled within a systems framework incorporating scleral stiffness and reduced Bruch’s Membrane–Choroid Complex (BMCC) recoil of a virtual eye with the biomechanical properties of a 60yo eye in silico . Finite element analysis (FEA) simulated accommodative force s following three scleral architectural modifications in 4 oblique quadrants : (1) macro-incisional expansion ( 2 parallel 3.5 mm radial ablations ) , (2) low-density Microporation (9@600um) , and (3) high-density micro-architectural Microporation (64@265um) . Outcome measures included effective elastic modulus (E), circumferential strain (ε), and simulated central optical power change during accommodative loading.",
        "Results": "All interventions had a baseline C entral Optical Power (C OP ) set to 0.27D . Low-density m acro-incisional produced a simulated change in COP of 0.03±0.03D . Low-Density macro-architectural Microporation produced a 0. 001 ± 0. 0 1D change in COP . High -density micro-architectural Microporation produced a 0. 06 ± 0. 08 D change in COP. Micro -architectural Microporation proved far more efficient , providing a 12% improvement in COP over 7% macro- insional architecture .",
        "Conclusions": "Presbyopia reflects progressive global ocular stiffening with impaired strain transmission and reduced optical power modulation. Micro-architectural scleral remodeling produces greater modulus reduction, enhanced strain coupling, and superior simulated central optical power restoration compared with macro-scale approaches. These findings support development of algorithm-guided laser scleral treatments based on quantified biomechanical parameters to restore Dynamic Range of Focus in presbyopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Presbyopia reflects progressive global ocular stiffening with impaired strain transmission and reduced optical power modulation. Micro-architectural scleral remodeling produces greater modulus reduction, enhanced strain coupling, and superior simulated central optical power restoration compared with macro-scale approaches. These findings support development of algorithm-guided laser scleral treatments based on…",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1568,
      "source_fields": {
        "Abstract Final Identifier": "POREF184",
        "Title": "Determination Of Biomechanical Changes In The Aging Eye For Development Of Algorithm-Guided Laser Scleral Treatment In Presbyopia",
        "Presenting Author(s)": "Prof. John Marshall",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "John",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marshall",
        "Country Name": "United States",
        "Purpose": "To characterize age-related ocular biomechanical changes contributing to presbyopia and to determine how scleral architectural modification influences modulus, strain transmission, and central optical power, informing the development of objective treatment algorithms.",
        "Setting": "Retrospective computational analysis conducted in a biomedical engineering laboratory using in silico finite element modeling of a virtual age-matched ocular system to simulate scleral architectural interventions.",
        "Methods": "Age-associated collagen crosslinking and increased ocular rigidity were modeled within a systems framework incorporating scleral stiffness and reduced Bruch’s Membrane–Choroid Complex (BMCC) recoil of a virtual eye with the biomechanical properties of a 60yo eye in silico . Finite element analysis (FEA) simulated accommodative force s following three scleral architectural modifications in 4 oblique quadrants : (1) macro-incisional expansion ( 2 parallel 3.5 mm radial ablations ) , (2) low-density Microporation (9@600um) , and (3) high-density micro-architectural Microporation (64@265um) . Outcome measures included effective elastic modulus (E), circumferential strain (ε), and simulated central optical power change during accommodative loading.",
        "Results": "All interventions had a baseline C entral Optical Power (C OP ) set to 0.27D . Low-density m acro-incisional produced a simulated change in COP of 0.03±0.03D . Low-Density macro-architectural Microporation produced a 0. 001 ± 0. 0 1D change in COP . High -density micro-architectural Microporation produced a 0. 06 ± 0. 08 D change in COP. Micro -architectural Microporation proved far more efficient , providing a 12% improvement in COP over 7% macro- insional architecture .",
        "Conclusions": "Presbyopia reflects progressive global ocular stiffening with impaired strain transmission and reduced optical power modulation. Micro-architectural scleral remodeling produces greater modulus reduction, enhanced strain coupling, and superior simulated central optical power restoration compared with macro-scale approaches. These findings support development of algorithm-guided laser scleral treatments based on quantified biomechanical parameters to restore Dynamic Range of Focus in presbyopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "POREF185",
      "abstract_number": "POREF185",
      "title": "Subjective Patient Satisfaction And Visual Outcomes After Presbyond® Laser Blended Vision Surgery: A Cross-Sectional Study",
      "authors": "Dr Anke Messerschmidt-Roth",
      "presenter": "Dr Anke Messerschmidt-Roth",
      "normalized_authors": [
        "Anke Messerschmidt-Roth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anke Messerschmidt-Roth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate subjective patient satisfaction, visual quality, dry eye symptoms and everyday visual function following Presbyond ® Laser Blended Vision surgery.",
        "Setting": "University Hospital Gießen and Marburg, Marburg, Germany.",
        "Methods": "In this single-centre retrospective observational follow-up study, 61 patients with a mean age of 49.95 ± 6.51 years who underwent bilateral Presbyond ® Femto-LASIK either for myopia (86%) or hyperopia (14%) completed a comprehensive 59-item questionnaire assessing overall visual and procedural satisfaction, visual symptoms, dry eye symptoms using the validated Ocular Surface Disease Index (OSDI), vision-related quality of life using the validated National Eye Institute Refractive Error Quality of Life Instrument–42 (NEI-RQL-42), and dependence on visual aids. Visual acuity and refraction data were collected retrospectively. Statistical analyses included descriptive statistics, dichotomous outcome evaluation, and correlational tests.",
        "Results": "91,8% were satisfied with the Presbyond ® procedure. Preoperative hyperopia was associated with lower postoperative visual satisfaction. The use of spectacles led to the improvement in their visual symptoms. The mean postoperative OSDI score indicated mild dry eye symptoms (16.01 ± 13.98). Visual phenomena such as glare and halos were reported, especially in preoperatively hyperopic patients and those requiring a re-treatment. 37.7% of patients needed spectacles for at least one viewing distance after surgery. Satisfaction correlated significantly with lower OSDI scores, fewer visual symptoms and a longer postoperative period.",
        "Conclusions": "This study demonstrates high subjective patient satisfaction after Presbyond ® Laser Blended Vision with favorable refractive and visual outcomes and a high degree of spectacle independence. Optimization of outcomes may require minimizing touch-up procedures and adequately diagnosing and treating dry eye disease. Visual symptoms represent a relevant postoperative issue but may improve with appropriate optical correction. Careful indication and preoperative counseling are particularly important in hyperopic patients. Overall, Presbyond® Laser Blended Vision represents a viable alternative to lens-based procedures particularly in myopic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates high subjective patient satisfaction after Presbyond ® Laser Blended Vision with favorable refractive and visual outcomes and a high degree of spectacle independence. Optimization of outcomes may require minimizing touch-up procedures and adequately diagnosing and treating dry eye disease. Visual symptoms represent a relevant postoperative issue but may improve with appropriate optical…",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1569,
      "source_fields": {
        "Abstract Final Identifier": "POREF185",
        "Title": "Subjective Patient Satisfaction And Visual Outcomes After Presbyond® Laser Blended Vision Surgery: A Cross-Sectional Study",
        "Presenting Author(s)": "Dr Anke Messerschmidt-Roth",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Anke",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messerschmidt-Roth",
        "Country Name": "Germany",
        "Purpose": "To evaluate subjective patient satisfaction, visual quality, dry eye symptoms and everyday visual function following Presbyond ® Laser Blended Vision surgery.",
        "Setting": "University Hospital Gießen and Marburg, Marburg, Germany.",
        "Methods": "In this single-centre retrospective observational follow-up study, 61 patients with a mean age of 49.95 ± 6.51 years who underwent bilateral Presbyond ® Femto-LASIK either for myopia (86%) or hyperopia (14%) completed a comprehensive 59-item questionnaire assessing overall visual and procedural satisfaction, visual symptoms, dry eye symptoms using the validated Ocular Surface Disease Index (OSDI), vision-related quality of life using the validated National Eye Institute Refractive Error Quality of Life Instrument–42 (NEI-RQL-42), and dependence on visual aids. Visual acuity and refraction data were collected retrospectively. Statistical analyses included descriptive statistics, dichotomous outcome evaluation, and correlational tests.",
        "Results": "91,8% were satisfied with the Presbyond ® procedure. Preoperative hyperopia was associated with lower postoperative visual satisfaction. The use of spectacles led to the improvement in their visual symptoms. The mean postoperative OSDI score indicated mild dry eye symptoms (16.01 ± 13.98). Visual phenomena such as glare and halos were reported, especially in preoperatively hyperopic patients and those requiring a re-treatment. 37.7% of patients needed spectacles for at least one viewing distance after surgery. Satisfaction correlated significantly with lower OSDI scores, fewer visual symptoms and a longer postoperative period.",
        "Conclusions": "This study demonstrates high subjective patient satisfaction after Presbyond ® Laser Blended Vision with favorable refractive and visual outcomes and a high degree of spectacle independence. Optimization of outcomes may require minimizing touch-up procedures and adequately diagnosing and treating dry eye disease. Visual symptoms represent a relevant postoperative issue but may improve with appropriate optical correction. Careful indication and preoperative counseling are particularly important in hyperopic patients. Overall, Presbyond® Laser Blended Vision represents a viable alternative to lens-based procedures particularly in myopic patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "POREF186",
      "abstract_number": "POREF186",
      "title": "Predictive Modeling Of Presbyopia Progression And Personalized Laser Scleral Microporation (Lsm) Treatment Planning Using A Digital Twin Finite Element Model",
      "authors": "Mr Laurent Sabatier",
      "presenter": "Mr Laurent Sabatier",
      "normalized_authors": [
        "Laurent Sabatier"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laurent Sabatier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To assess a novel predictive modeling framework for presbyopia progression using the Virtual Eye Simulation Analyzer (VESA)—a Digital Twin finite element platform capable of simulating age-related changes in central optical power (COP) and forecasting outcomes of Laser Scleral Microporation (LSM) through biomechanical analysis.",
        "Setting": "A combined experimental and computational investigation conducted as part of an IRB-registered pilot study in the Philippines and in parallel in silico. The study integrated patient-specific ocular biomechanics with optical modeling to support a precision-medicine approach for presbyopia management.",
        "Methods": "A representative 50-year-old presbyopic eye was modeled in VESA to establish baseline COP and simulate age-related accommodative decline. The framework combined finite element analysis of scleral biomechanics with optical ray-tracing to assess changes in COP and accommodative amplitude. Ten eyes from five patients were simulated to evaluate variability. The LSM procedure was modeled using 49 micropores at 85% scleral depth; outcomes at age 50 were compared with untreated projections at 55. An expanded 64-micropore pattern was also tested. Predicted COP values were validated against published age–accommodation data.",
        "Results": "Baseline simulations estimated COP at 0.54 ± 0.1 D at age 50, declining to 0.37 ± 0.2 D by age 55 without intervention, reflecting progressive accommodative loss. LSM using 49 micropores increased COP to 0.59 ± 0.1 D (+9.3%), demonstrating improved accommodative function. By age 55, retained benefit ranged from 0% to 9% (best case) versus untreated progression. An enhanced 64-micropore pattern further increased COP to 0.64 ± 0.1 D, showing a significant additive biomechanical effect (p < 0.05). Across ten simulated eyes, postoperative COP predictions remained within ±10% of clinical reference values (mean absolute error 0.18 ± 0.05 D; p < 0.05), confirming strong accuracy, reproducibility, and support for individualized treatment planning.",
        "Conclusions": "VESA provides accurate predictions of presbyopic progression and LSM-induced biomechanical and optical changes. Serving as a digital twin of the aging eye, the platform enables patient-specific simulation, dose optimization, and personalized planning of presbyopia therapies. These results underscore the value of predictive modeling in enhancing clinical decision-making and improving long-term outcomes in scleral-based presbyopia treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "VESA provides accurate predictions of presbyopic progression and LSM-induced biomechanical and optical changes. Serving as a digital twin of the aging eye, the platform enables patient-specific simulation, dose optimization, and personalized planning of presbyopia therapies. These results underscore the value of predictive modeling in enhancing clinical decision-making and improving long-term outcomes in…",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1570,
      "source_fields": {
        "Abstract Final Identifier": "POREF186",
        "Title": "Predictive Modeling Of Presbyopia Progression And Personalized Laser Scleral Microporation (Lsm) Treatment Planning Using A Digital Twin Finite Element Model",
        "Presenting Author(s)": "Mr Laurent Sabatier",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Laurent",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sabatier",
        "Country Name": "United States",
        "Purpose": "To assess a novel predictive modeling framework for presbyopia progression using the Virtual Eye Simulation Analyzer (VESA)—a Digital Twin finite element platform capable of simulating age-related changes in central optical power (COP) and forecasting outcomes of Laser Scleral Microporation (LSM) through biomechanical analysis.",
        "Setting": "A combined experimental and computational investigation conducted as part of an IRB-registered pilot study in the Philippines and in parallel in silico. The study integrated patient-specific ocular biomechanics with optical modeling to support a precision-medicine approach for presbyopia management.",
        "Methods": "A representative 50-year-old presbyopic eye was modeled in VESA to establish baseline COP and simulate age-related accommodative decline. The framework combined finite element analysis of scleral biomechanics with optical ray-tracing to assess changes in COP and accommodative amplitude. Ten eyes from five patients were simulated to evaluate variability. The LSM procedure was modeled using 49 micropores at 85% scleral depth; outcomes at age 50 were compared with untreated projections at 55. An expanded 64-micropore pattern was also tested. Predicted COP values were validated against published age–accommodation data.",
        "Results": "Baseline simulations estimated COP at 0.54 ± 0.1 D at age 50, declining to 0.37 ± 0.2 D by age 55 without intervention, reflecting progressive accommodative loss. LSM using 49 micropores increased COP to 0.59 ± 0.1 D (+9.3%), demonstrating improved accommodative function. By age 55, retained benefit ranged from 0% to 9% (best case) versus untreated progression. An enhanced 64-micropore pattern further increased COP to 0.64 ± 0.1 D, showing a significant additive biomechanical effect (p < 0.05). Across ten simulated eyes, postoperative COP predictions remained within ±10% of clinical reference values (mean absolute error 0.18 ± 0.05 D; p < 0.05), confirming strong accuracy, reproducibility, and support for individualized treatment planning.",
        "Conclusions": "VESA provides accurate predictions of presbyopic progression and LSM-induced biomechanical and optical changes. Serving as a digital twin of the aging eye, the platform enables patient-specific simulation, dose optimization, and personalized planning of presbyopia therapies. These results underscore the value of predictive modeling in enhancing clinical decision-making and improving long-term outcomes in scleral-based presbyopia treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 345
    },
    {
      "uid": "POREF187",
      "abstract_number": "POREF187",
      "title": "When The Cornea Outperforms The Lens: Presbyond Vs Trifocals",
      "authors": "Dr Ahmed Shabana",
      "presenter": "Dr Ahmed Shabana",
      "normalized_authors": [
        "Ahmed Shabana"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Shabana",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To evaluate long-term outcomes of corneal laser blended vision (PRESBYOND) compared with trifocal intraocular lens implantation following refractive lens exchange (RLE) for presbyopia correction. With increasing demand for spectacle independence in middle-aged patients, both corneal and lens-based strategies are widely offered. However, RLE exposes patients to intraocular surgical risks and dysphotopsias that are usually overlooked by doctors and under estimated, This presentation assesses whether a corneal approach can provide superior functional vision, safety, and patient satisfaction while avoiding intraocular complications.",
        "Setting": "Single high-volume tertiary refractive surgery center in Dubai (Al Zahra Hospital) United Arab Emirates. All procedures were performed by a single experienced surgeon over a seven-year period using standardized protocols and follow-up assessments.",
        "Methods": "Retrospective analysis of presbyopic patients undergoing PRESBYOND laser blended vision compared with patients receiving bilateral trifocal IOL implantation via RLE. Outcomes included uncorrected distance, intermediate, and near visual acuity, contrast sensitivity, spectacle independence, dysphotopsia incidence, enhancement rates, and complication profiles. Patient-reported outcome measures and long-term satisfaction were analyzed. Surgical and postoperative complications related to intraocular surgery with trifocal IOLs",
        "Results": "PRESBYOND achieved >98% functional success with high levels of spectacle independence and patient satisfaction. Compared with trifocal IOLs, the corneal approach demonstrated superior contrast sensitivity, fewer night-vision disturbances, and significantly lower rates of halos and glare. No intraocular complications occurred in the PRESBYOND cohort, whereas the RLE group experienced complications including posterior capsule opacification requiring YAG capsulotomy, dysphotopsia, residual refractive error, and lens exchange in selected cases.",
        "Conclusions": "Corneal presbyopia correction using PRESBYOND provides effective and predictable spectacle independence while avoiding the inherent risks of intraocular surgery. Compared with trifocal IOL implantation, the corneal approach demonstrated superior quality of vision and safety profile in appropriately selected patients. These findings support a cornea-first strategy for presbyopia correction in emmetropic and low hyperopic patients, reserving lens-based solutions for selected indications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal presbyopia correction using PRESBYOND provides effective and predictable spectacle independence while avoiding the inherent risks of intraocular surgery. Compared with trifocal IOL implantation, the corneal approach demonstrated superior quality of vision and safety profile in appropriately selected patients. These findings support a cornea-first strategy for presbyopia correction in emmetropic and low…",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1571,
      "source_fields": {
        "Abstract Final Identifier": "POREF187",
        "Title": "When The Cornea Outperforms The Lens: Presbyond Vs Trifocals",
        "Presenting Author(s)": "Dr Ahmed Shabana",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shabana",
        "Country Name": "United Arab Emirates",
        "Purpose": "To evaluate long-term outcomes of corneal laser blended vision (PRESBYOND) compared with trifocal intraocular lens implantation following refractive lens exchange (RLE) for presbyopia correction. With increasing demand for spectacle independence in middle-aged patients, both corneal and lens-based strategies are widely offered. However, RLE exposes patients to intraocular surgical risks and dysphotopsias that are usually overlooked by doctors and under estimated, This presentation assesses whether a corneal approach can provide superior functional vision, safety, and patient satisfaction while avoiding intraocular complications.",
        "Setting": "Single high-volume tertiary refractive surgery center in Dubai (Al Zahra Hospital) United Arab Emirates. All procedures were performed by a single experienced surgeon over a seven-year period using standardized protocols and follow-up assessments.",
        "Methods": "Retrospective analysis of presbyopic patients undergoing PRESBYOND laser blended vision compared with patients receiving bilateral trifocal IOL implantation via RLE. Outcomes included uncorrected distance, intermediate, and near visual acuity, contrast sensitivity, spectacle independence, dysphotopsia incidence, enhancement rates, and complication profiles. Patient-reported outcome measures and long-term satisfaction were analyzed. Surgical and postoperative complications related to intraocular surgery with trifocal IOLs",
        "Results": "PRESBYOND achieved >98% functional success with high levels of spectacle independence and patient satisfaction. Compared with trifocal IOLs, the corneal approach demonstrated superior contrast sensitivity, fewer night-vision disturbances, and significantly lower rates of halos and glare. No intraocular complications occurred in the PRESBYOND cohort, whereas the RLE group experienced complications including posterior capsule opacification requiring YAG capsulotomy, dysphotopsia, residual refractive error, and lens exchange in selected cases.",
        "Conclusions": "Corneal presbyopia correction using PRESBYOND provides effective and predictable spectacle independence while avoiding the inherent risks of intraocular surgery. Compared with trifocal IOL implantation, the corneal approach demonstrated superior quality of vision and safety profile in appropriately selected patients. These findings support a cornea-first strategy for presbyopia correction in emmetropic and low hyperopic patients, reserving lens-based solutions for selected indications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "POREF188",
      "abstract_number": "POREF188",
      "title": "Visual And Functional Outcomes Of Presbyond Laser Blended Vision: Real-World Results From 150 Consecutive Patients",
      "authors": "Dr Gabriel De Paula Castro Silva",
      "presenter": "Dr Gabriel De Paula Castro Silva",
      "normalized_authors": [
        "Gabriel De Paula Castro Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gabriel De Paula Castro Silva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate real-world visual and functional outcomes after PRESBYOND Laser Blended Vision in a retrospective cohort of 150 consecutive patients, focusing on binocular uncorrected distance and near visual acuity, refractive predictability, safety (CDVA change), and patient-reported functional performance/visual satisfaction.",
        "Setting": "Private referral refractive surgery center, São Paulo, Brazil. High-volume clinical practice with standardized diagnostic protocols, advanced corneal imaging, and uniform surgical planning using a customized PRESBYOND nomogram. All procedures were performed by a single experienced refractive surgeon within a real-world clinical workflow environment.",
        "Methods": "Retrospective analysis of 150 consecutive presbyopic patients undergoing PRESBYOND Laser Blended Vision. Pre- and postoperative assessments included manifest refraction, monocular and binocular uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected near visual acuity (UNVA), corneal topography and tomography. Refractive predictability, safety (loss of ≥2 CDVA lines), and functional visual performance were evaluated at 6-month follow-up.",
        "Results": "At 6 months, 96% of eyes were within ±0.50 D and 98% within ±1.00 D of target refraction. Binocular UDVA of 20/20 or better was achieved in 97% of patients, and binocular UNVA of J2 or better in 99%. No eye lost ≥2 lines of CDVA. Enhancement rate was low, and no sight-threatening complications were observed. Patient-reported functional satisfaction was high, with most patients reporting spectacle independence for daily activities.",
        "Conclusions": "PRESBYOND Laser Blended Vision demonstrated high refractive predictability, excellent binocular visual outcomes, and strong safety in a real-world clinical setting. The technique provided effective presbyopia correction while preserving distance visual quality and achieving high levels of functional spectacle independence. These findings support its role as a reliable primary surgical option for presbyopic patients with clear crystalline lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRESBYOND Laser Blended Vision demonstrated high refractive predictability, excellent binocular visual outcomes, and strong safety in a real-world clinical setting. The technique provided effective presbyopia correction while preserving distance visual quality and achieving high levels of functional spectacle independence. These findings support its role as a reliable primary surgical option for presbyopic patients…",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1572,
      "source_fields": {
        "Abstract Final Identifier": "POREF188",
        "Title": "Visual And Functional Outcomes Of Presbyond Laser Blended Vision: Real-World Results From 150 Consecutive Patients",
        "Presenting Author(s)": "Dr Gabriel De Paula Castro Silva",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Gabriel",
        "Submitter Middle Name": "De Paula Castro",
        "Submitter Last Name": "Silva",
        "Country Name": "Brazil",
        "Purpose": "To evaluate real-world visual and functional outcomes after PRESBYOND Laser Blended Vision in a retrospective cohort of 150 consecutive patients, focusing on binocular uncorrected distance and near visual acuity, refractive predictability, safety (CDVA change), and patient-reported functional performance/visual satisfaction.",
        "Setting": "Private referral refractive surgery center, São Paulo, Brazil. High-volume clinical practice with standardized diagnostic protocols, advanced corneal imaging, and uniform surgical planning using a customized PRESBYOND nomogram. All procedures were performed by a single experienced refractive surgeon within a real-world clinical workflow environment.",
        "Methods": "Retrospective analysis of 150 consecutive presbyopic patients undergoing PRESBYOND Laser Blended Vision. Pre- and postoperative assessments included manifest refraction, monocular and binocular uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected near visual acuity (UNVA), corneal topography and tomography. Refractive predictability, safety (loss of ≥2 CDVA lines), and functional visual performance were evaluated at 6-month follow-up.",
        "Results": "At 6 months, 96% of eyes were within ±0.50 D and 98% within ±1.00 D of target refraction. Binocular UDVA of 20/20 or better was achieved in 97% of patients, and binocular UNVA of J2 or better in 99%. No eye lost ≥2 lines of CDVA. Enhancement rate was low, and no sight-threatening complications were observed. Patient-reported functional satisfaction was high, with most patients reporting spectacle independence for daily activities.",
        "Conclusions": "PRESBYOND Laser Blended Vision demonstrated high refractive predictability, excellent binocular visual outcomes, and strong safety in a real-world clinical setting. The technique provided effective presbyopia correction while preserving distance visual quality and achieving high levels of functional spectacle independence. These findings support its role as a reliable primary surgical option for presbyopic patients with clear crystalline lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "POREF190",
      "abstract_number": "POREF190",
      "title": "Binocular Vision Across All Distances꞉\nSix‐Month Results Of Presbyond Laser Vision Correction",
      "authors": "Dr Olesia Ziiatdinova",
      "presenter": "Dr Olesia Ziiatdinova",
      "normalized_authors": [
        "Olesia Ziiatdinova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Olesia Ziiatdinova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the visual and refractive outcomes of\n\nPRESBYOND laser vision correction in patients with presbyopia.",
        "Setting": "All patients successfully tolerated a −1.50 D anisometropia test prior to surgery.\n\n• Standard FCC, NRA, and PRA tests were performed preoperatively.\n\n• Femtosecond LASIK flaps were created using the VisuMax 500 laser.\n\n• Excimer ablation was performed with the MEL 90 using the PRESBYOND\n\nsoftware module.",
        "Methods": "Follow‑up and Outcome Measures\n\nPostoperative evaluations were conducted at 1 day, 1 week, 1, 3 and 6 months.\n\nAssessments included꞉\n\n• Autorefraction\n\n• Uncorrected visual acuity (UCVA)꞉ distance, intermediate, and near\n\n• Manifest visual acuity (MVA)\n\n• Pentacam measurements\n\nRefractive Status\n\n• Myopic eyes (Sphere < 0)꞉ −4.10 ± 1.52 D\n\n• Hyperopic eyes (Sphere > 0)꞉ +1.03 ± 0.62 D\n\n• Astigmatism꞉ 0.70 ± 0.39 D\n\nCorneal Parameters\n\n• Mean corneal spherical higher-order\n\naberrations (HOAs)꞉ 0.20 ± 0.09 µm\n\n• Mean corneal thickness꞉ 536 ± 21.9 µm",
        "Results": "• 89% of patients achieved the targeted postoperative refraction.\n\n• Mean postoperative refraction remained within target at all follow-up visits꞉\n\n• Dominant eye꞉ sphere ±0.65 D, cylinder 0.56 D\n\n• Nondominant eye꞉ mean sphere −1.15 D, cylinder 0.58 D\n\n• The majority of patients reached their target refraction within the first few\n\npostoperative months.\n\n• No enhancement procedures were required during the 6-month follow-up.\n\nPostoperative corneal spherical higher-order aberrations\n\n(HOAs) increased within an acceptable range.\n\n• Mean HOA at 6 months꞉ 0.27 ± 0.09 µm.",
        "Conclusions": "PRESBYOND laser vision correction provides effective binocular vision\n\nacross all distances in presbyopic patients without cataract,\n\nwith a favorable safety profile and good predictability and stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRESBYOND laser vision correction provides effective binocular vision across all distances in presbyopic patients without cataract, with a favorable safety profile and good predictability and stability.",
      "session_type": "ePoster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1573,
      "source_fields": {
        "Abstract Final Identifier": "POREF190",
        "Title": "Binocular Vision Across All Distances꞉\nSix‐Month Results Of Presbyond Laser Vision Correction",
        "Presenting Author(s)": "Dr Olesia Ziiatdinova",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Olesia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ziiatdinova",
        "Country Name": "China",
        "Purpose": "To evaluate the visual and refractive outcomes of\n\nPRESBYOND laser vision correction in patients with presbyopia.",
        "Setting": "All patients successfully tolerated a −1.50 D anisometropia test prior to surgery.\n\n• Standard FCC, NRA, and PRA tests were performed preoperatively.\n\n• Femtosecond LASIK flaps were created using the VisuMax 500 laser.\n\n• Excimer ablation was performed with the MEL 90 using the PRESBYOND\n\nsoftware module.",
        "Methods": "Follow‑up and Outcome Measures\n\nPostoperative evaluations were conducted at 1 day, 1 week, 1, 3 and 6 months.\n\nAssessments included꞉\n\n• Autorefraction\n\n• Uncorrected visual acuity (UCVA)꞉ distance, intermediate, and near\n\n• Manifest visual acuity (MVA)\n\n• Pentacam measurements\n\nRefractive Status\n\n• Myopic eyes (Sphere < 0)꞉ −4.10 ± 1.52 D\n\n• Hyperopic eyes (Sphere > 0)꞉ +1.03 ± 0.62 D\n\n• Astigmatism꞉ 0.70 ± 0.39 D\n\nCorneal Parameters\n\n• Mean corneal spherical higher-order\n\naberrations (HOAs)꞉ 0.20 ± 0.09 µm\n\n• Mean corneal thickness꞉ 536 ± 21.9 µm",
        "Results": "• 89% of patients achieved the targeted postoperative refraction.\n\n• Mean postoperative refraction remained within target at all follow-up visits꞉\n\n• Dominant eye꞉ sphere ±0.65 D, cylinder 0.56 D\n\n• Nondominant eye꞉ mean sphere −1.15 D, cylinder 0.58 D\n\n• The majority of patients reached their target refraction within the first few\n\npostoperative months.\n\n• No enhancement procedures were required during the 6-month follow-up.\n\nPostoperative corneal spherical higher-order aberrations\n\n(HOAs) increased within an acceptable range.\n\n• Mean HOA at 6 months꞉ 0.27 ± 0.09 µm.",
        "Conclusions": "PRESBYOND laser vision correction provides effective binocular vision\n\nacross all distances in presbyopic patients without cataract,\n\nwith a favorable safety profile and good predictability and stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POREF191",
      "abstract_number": "POREF191",
      "title": "A Glp Study To Assess Safety Of An Excimer Laser-Shaped, Electron Beam-Sterilized Allogenic Corneal Inlay (Allotex Sample) In New Zealand White Rabbits",
      "authors": "Dr Fatma Feyza Nur Keskin Perk",
      "presenter": "Dr Fatma Feyza Nur Keskin Perk",
      "normalized_authors": [
        "Fatma Feyza Nur Keskin Perk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fatma Feyza Nur Keskin Perk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The aim of this GLP study is to evaluate the safety of excimer laser-shaped, e-beam radiation-sterilized allograft corneal inlay implantation (Allotex) in New Zealand White Rabbits (NZWR).",
        "Setting": "Twenty NZWR (10 males and 10 females) were used for this study. These animals were divided into four groups. Group 1 received Allotex OD and trephined and cryogenically cut Fresh Human Tissue (FHT) OS. Group 2 received Allotex OD and FHT OS or Sham OS. Group 3 received Allotex OD and Hallo OS (e-beam sterilized human stromal tissue then trephined and cryogenically cut). Group 4 received Allotex OD or Sham OD and Halo OS.",
        "Methods": "Groups 1 and 3 were euthanized on Day 7, 30, or 93. Group 2 and 4 were euthanized on Day 182. Daily cage-side observations of rabbits were examined. Clinical ophthalmic examinations (slit-lamp biomicroscopy and indirect ophthalmoscopy) were performed on both eyes of all animals at baseline and on days 2, 3, 4, and before study termination. Ocular findings were scored according to the modified McDonald-Shadduck Scoring System. Following euthanasia, sections of corneal tissue were taken from three levels of the human corneal tissue implant site. The tissue was stained with haematoxylin and eosin and examined pathologically.",
        "Results": "Corneal implantation of Allotex and control FHT and Hallo in NZWR was well tolerated through Day 180±5. Inflammatory biomicroscopic findings associated with the implantation procedure was presented in all the groups. These inflammatory reactions severity appeared to be less with the Allotex treatment group when compared to the control treatment groups. Early pathological findings in all groups were limited to procedural findings related to corneal inflammation/healing processes, such as corneal epithelial regeneration, increased stromal cell density, mononuclear/mixed cell infiltrates, neovascularization, edema, and necrosis of the corneal flap.",
        "Conclusions": "These procedural findings were generally histomorphologically similar or slightly less severe in Allotex samples compared to control eyes. At 90±3 days, there was ongoing improvement in procedural inflammatory and/or healing findings in all groups. At 180±5 days, there was almost complete resolution of procedural healing findings in all groups. Increased stromal cell density was observed in only one eye implanted with fresh human tissue.\n\nAllotex, Control Halo and FHT were well tolerated by NZWRs. Inflammation after implantation was seen in all groups, but was less severe in the Allotex group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These procedural findings were generally histomorphologically similar or slightly less severe in Allotex samples compared to control eyes. At 90±3 days, there was ongoing improvement in procedural inflammatory and/or healing findings in all groups. At 180±5 days, there was almost complete resolution of procedural healing findings in all groups. Increased stromal cell density was observed in only one eye implanted…",
      "session_type": "ePoster",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1574,
      "source_fields": {
        "Abstract Final Identifier": "POREF191",
        "Title": "A Glp Study To Assess Safety Of An Excimer Laser-Shaped, Electron Beam-Sterilized Allogenic Corneal Inlay (Allotex Sample) In New Zealand White Rabbits",
        "Presenting Author(s)": "Dr Fatma Feyza Nur Keskin Perk",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Fatma Feyza Nur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Keskin Perk",
        "Country Name": "Türkiye",
        "Purpose": "The aim of this GLP study is to evaluate the safety of excimer laser-shaped, e-beam radiation-sterilized allograft corneal inlay implantation (Allotex) in New Zealand White Rabbits (NZWR).",
        "Setting": "Twenty NZWR (10 males and 10 females) were used for this study. These animals were divided into four groups. Group 1 received Allotex OD and trephined and cryogenically cut Fresh Human Tissue (FHT) OS. Group 2 received Allotex OD and FHT OS or Sham OS. Group 3 received Allotex OD and Hallo OS (e-beam sterilized human stromal tissue then trephined and cryogenically cut). Group 4 received Allotex OD or Sham OD and Halo OS.",
        "Methods": "Groups 1 and 3 were euthanized on Day 7, 30, or 93. Group 2 and 4 were euthanized on Day 182. Daily cage-side observations of rabbits were examined. Clinical ophthalmic examinations (slit-lamp biomicroscopy and indirect ophthalmoscopy) were performed on both eyes of all animals at baseline and on days 2, 3, 4, and before study termination. Ocular findings were scored according to the modified McDonald-Shadduck Scoring System. Following euthanasia, sections of corneal tissue were taken from three levels of the human corneal tissue implant site. The tissue was stained with haematoxylin and eosin and examined pathologically.",
        "Results": "Corneal implantation of Allotex and control FHT and Hallo in NZWR was well tolerated through Day 180±5. Inflammatory biomicroscopic findings associated with the implantation procedure was presented in all the groups. These inflammatory reactions severity appeared to be less with the Allotex treatment group when compared to the control treatment groups. Early pathological findings in all groups were limited to procedural findings related to corneal inflammation/healing processes, such as corneal epithelial regeneration, increased stromal cell density, mononuclear/mixed cell infiltrates, neovascularization, edema, and necrosis of the corneal flap.",
        "Conclusions": "These procedural findings were generally histomorphologically similar or slightly less severe in Allotex samples compared to control eyes. At 90±3 days, there was ongoing improvement in procedural inflammatory and/or healing findings in all groups. At 180±5 days, there was almost complete resolution of procedural healing findings in all groups. Increased stromal cell density was observed in only one eye implanted with fresh human tissue.\n\nAllotex, Control Halo and FHT were well tolerated by NZWRs. Inflammation after implantation was seen in all groups, but was less severe in the Allotex group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "POREF192",
      "abstract_number": "POREF192",
      "title": "Initial Clinical Results Of Presbyopia Correction Using Allograft Corneal Inlays In Conjunction With Lasik",
      "authors": "Dr Victor Derhartunian",
      "presenter": "Dr Victor Derhartunian",
      "normalized_authors": [
        "Victor Derhartunian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mrochen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the initial clinical outcomes of presbyopia correction using a sterile corneal allograft inlay combined with LASIK for simultaneous ametropia correction.",
        "Setting": "Laser Eye Clinic Vienna",
        "Methods": "Interventional case series of 8 eyes undergoing combined femtosecond LASIK and stromal allograft implantation. A LASIK flap was created using the SCHWIND ATOS femtosecond laser, followed by excimer ablation with the SCHWIND AMARIS to correct manifest refractive error. The sterile allograft lenticule was implanted stromally prior to flap repositioning. Pre- and postoperative assessments included binocular uncorrected distance visual acuity (UDVA), binocular uncorrected near visual acuity (UNVA), manifest refraction, and anterior segment OCT.",
        "Results": "Binocular UDVA improved in all eyes due to refractive correction. Postoperatively, all patients achieved binocular UNVA of 20/40 or better. Anterior segment OCT confirmed proper graft positioning and interface clarity without flap- or graft-related complications. Optimal refractive planning required a mild hyperopic target in the non-dominant eye and plano in the dominant eye to achieve balanced binocular distance and near performance. Patients reported high functional satisfaction.",
        "Conclusions": "Combined LASIK and sterile allograft corneal inlay implantation is feasible for treating presbyopia in patients with low ametropia. The procedure allows simultaneous refractive correction and near vision enhancement while preserving binocular distance vision. This tissue-based approach expands the indication of allograft presbyopia correction beyond emmetropic patients and offers a potentially reversible surgical option."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined LASIK and sterile allograft corneal inlay implantation is feasible for treating presbyopia in patients with low ametropia. The procedure allows simultaneous refractive correction and near vision enhancement while preserving binocular distance vision. This tissue-based approach expands the indication of allograft presbyopia correction beyond emmetropic patients and offers a potentially reversible surgical…",
      "session_type": "ePoster",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1575,
      "source_fields": {
        "Abstract Final Identifier": "POREF192",
        "Title": "Initial Clinical Results Of Presbyopia Correction Using Allograft Corneal Inlays In Conjunction With Lasik",
        "Presenting Author(s)": "Dr Victor Derhartunian",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mrochen",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the initial clinical outcomes of presbyopia correction using a sterile corneal allograft inlay combined with LASIK for simultaneous ametropia correction.",
        "Setting": "Laser Eye Clinic Vienna",
        "Methods": "Interventional case series of 8 eyes undergoing combined femtosecond LASIK and stromal allograft implantation. A LASIK flap was created using the SCHWIND ATOS femtosecond laser, followed by excimer ablation with the SCHWIND AMARIS to correct manifest refractive error. The sterile allograft lenticule was implanted stromally prior to flap repositioning. Pre- and postoperative assessments included binocular uncorrected distance visual acuity (UDVA), binocular uncorrected near visual acuity (UNVA), manifest refraction, and anterior segment OCT.",
        "Results": "Binocular UDVA improved in all eyes due to refractive correction. Postoperatively, all patients achieved binocular UNVA of 20/40 or better. Anterior segment OCT confirmed proper graft positioning and interface clarity without flap- or graft-related complications. Optimal refractive planning required a mild hyperopic target in the non-dominant eye and plano in the dominant eye to achieve balanced binocular distance and near performance. Patients reported high functional satisfaction.",
        "Conclusions": "Combined LASIK and sterile allograft corneal inlay implantation is feasible for treating presbyopia in patients with low ametropia. The procedure allows simultaneous refractive correction and near vision enhancement while preserving binocular distance vision. This tissue-based approach expands the indication of allograft presbyopia correction beyond emmetropic patients and offers a potentially reversible surgical option."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "POREF193",
      "abstract_number": "POREF193",
      "title": "Changes In Stromal And Corneal Thickness After Corneal Allograft Implantation For Near Vision Improvement In Emmetropic Presbyopia",
      "authors": "Mr Brendan Cummings",
      "presenter": "Mr Brendan Cummings",
      "normalized_authors": [
        "Brendan Cummings"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mrochen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To confirm the intended corneal thickness and corneal stromal thickness changes with the achieved thickness changes after implantation of a presbyopic allogeneic corneal inlay (ACI) implanted in their non-dominant eye",
        "Setting": "Wellington Eye Clinic",
        "Methods": "This study involved 23 emmetropic presbyopia patients who underwent ACI implantation for presbyopia in their non-dominant eye and had a follow-up at 6 months. Pre-op and follow-up measurements were acquired with the MS-39 AS-OCT (CSO, Firenze, Italy) at 6 (23 patients) months . Difference maps in stromal thickness and corneal thickness were derived from the pre-op and follow up measurements. The change in stromal thickness was evaluated as the maximum over the region effected by the implanted allograft. Change in corneal thickness is evaluated automatically by the software of the device..",
        "Results": "The mean preoperative stromal thickness was 487.63 ± 20.78 µm, and the mean postoperative stromal thickness was 510.65 ± 20.64 µm resulting in a mean thickness change of 22.22 ± 4.11 µm. , The mean preoperative corneal thickness was 543.58 ± 21.86 µm, and the mean postoperative corneal thickness was 554.39 ± 22.19 µm resulting in a mean thickness change of 10.43 ± 4.83 µm. There a statistically significant relationship between change in corneal thickness and change in stromal thickness at 6 months (p<0.001, R 2 =0.67) .",
        "Conclusions": "The average change in stromal thickness at 6 months shows a strong agreement with the central design thickness of the ACI to be 22 µm and 8 µm for the corneal thickness. The results demonstrate that the ACI retains its intended thickness 6 months after implantation, while the expected epithelial remodelling is responsible for the comparatively lower increase in corneal thickness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The average change in stromal thickness at 6 months shows a strong agreement with the central design thickness of the ACI to be 22 µm and 8 µm for the corneal thickness. The results demonstrate that the ACI retains its intended thickness 6 months after implantation, while the expected epithelial remodelling is responsible for the comparatively lower increase in corneal thickness.",
      "session_type": "ePoster",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1576,
      "source_fields": {
        "Abstract Final Identifier": "POREF193",
        "Title": "Changes In Stromal And Corneal Thickness After Corneal Allograft Implantation For Near Vision Improvement In Emmetropic Presbyopia",
        "Presenting Author(s)": "Mr Brendan Cummings",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mrochen",
        "Country Name": "Switzerland",
        "Purpose": "To confirm the intended corneal thickness and corneal stromal thickness changes with the achieved thickness changes after implantation of a presbyopic allogeneic corneal inlay (ACI) implanted in their non-dominant eye",
        "Setting": "Wellington Eye Clinic",
        "Methods": "This study involved 23 emmetropic presbyopia patients who underwent ACI implantation for presbyopia in their non-dominant eye and had a follow-up at 6 months. Pre-op and follow-up measurements were acquired with the MS-39 AS-OCT (CSO, Firenze, Italy) at 6 (23 patients) months . Difference maps in stromal thickness and corneal thickness were derived from the pre-op and follow up measurements. The change in stromal thickness was evaluated as the maximum over the region effected by the implanted allograft. Change in corneal thickness is evaluated automatically by the software of the device..",
        "Results": "The mean preoperative stromal thickness was 487.63 ± 20.78 µm, and the mean postoperative stromal thickness was 510.65 ± 20.64 µm resulting in a mean thickness change of 22.22 ± 4.11 µm. , The mean preoperative corneal thickness was 543.58 ± 21.86 µm, and the mean postoperative corneal thickness was 554.39 ± 22.19 µm resulting in a mean thickness change of 10.43 ± 4.83 µm. There a statistically significant relationship between change in corneal thickness and change in stromal thickness at 6 months (p<0.001, R 2 =0.67) .",
        "Conclusions": "The average change in stromal thickness at 6 months shows a strong agreement with the central design thickness of the ACI to be 22 µm and 8 µm for the corneal thickness. The results demonstrate that the ACI retains its intended thickness 6 months after implantation, while the expected epithelial remodelling is responsible for the comparatively lower increase in corneal thickness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "POREF194",
      "abstract_number": "POREF194",
      "title": "Comparison Of Lenticular Scanning Quality And Visual Outcomes Of Keratorefractive Lenticule Extraction Between Visumax 800 And 500 Systems",
      "authors": "Prof. Dr Xingtao Zhou",
      "presenter": "Prof. Dr Xingtao Zhou",
      "normalized_authors": [
        "Xingtao Zhou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xingtao Zhou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare lenticular scanning quality and visual outcomes between keratorefractive lenticule extraction (KLEx) performed with VisuMax 800 and VisuMax 500 systems.",
        "Setting": "Prospective study at a single ophthalmic surgical center.",
        "Methods": "Consecutive patients aged 18-46 years were recruited between November 2024 and March 2025. Opaque bubble layer (OBL) and lenticular surface regularity were measured using intraoperative imaging and scanning electron microscopy. Visual acuity and refractive error were assessed at 1, 3 and 6 months postoperatively.",
        "Results": "A total of 140 participantswere included. VisuMax 800 group had significantly lower OBL proportions (P=0.013) and better lenticular surface regularity scores ( P=0.048). In the VisuMax 800 group, higher Flat K and Steep K correlated with larger OBL areas (P<0.001;P=0.002) and larger optical zones were associated with better lenticular surface regularity (P=0.038). No statistically significant difference was observed in the visual and refractive between groups at the 6-month follow-up . In the VisuMax 800 group, smaller OBL proportions were associated with better visual acuity at 1 and 3 months postoperatively (P<0.05), while better lenticular surface regularity was correlated with lower astigmatism at 3 months postoperatively (P=0.002).",
        "Conclusions": "While technical advancements of the VisuMax 800 may optimize intraoperative lenticular scanning quality, the VisuMax 800 and 500 systems yield comparable visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While technical advancements of the VisuMax 800 may optimize intraoperative lenticular scanning quality, the VisuMax 800 and 500 systems yield comparable visual outcomes.",
      "session_type": "ePoster",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1577,
      "source_fields": {
        "Abstract Final Identifier": "POREF194",
        "Title": "Comparison Of Lenticular Scanning Quality And Visual Outcomes Of Keratorefractive Lenticule Extraction Between Visumax 800 And 500 Systems",
        "Presenting Author(s)": "Prof. Dr Xingtao Zhou",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Xingtao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhou",
        "Country Name": "China",
        "Purpose": "To compare lenticular scanning quality and visual outcomes between keratorefractive lenticule extraction (KLEx) performed with VisuMax 800 and VisuMax 500 systems.",
        "Setting": "Prospective study at a single ophthalmic surgical center.",
        "Methods": "Consecutive patients aged 18-46 years were recruited between November 2024 and March 2025. Opaque bubble layer (OBL) and lenticular surface regularity were measured using intraoperative imaging and scanning electron microscopy. Visual acuity and refractive error were assessed at 1, 3 and 6 months postoperatively.",
        "Results": "A total of 140 participantswere included. VisuMax 800 group had significantly lower OBL proportions (P=0.013) and better lenticular surface regularity scores ( P=0.048). In the VisuMax 800 group, higher Flat K and Steep K correlated with larger OBL areas (P<0.001;P=0.002) and larger optical zones were associated with better lenticular surface regularity (P=0.038). No statistically significant difference was observed in the visual and refractive between groups at the 6-month follow-up . In the VisuMax 800 group, smaller OBL proportions were associated with better visual acuity at 1 and 3 months postoperatively (P<0.05), while better lenticular surface regularity was correlated with lower astigmatism at 3 months postoperatively (P=0.002).",
        "Conclusions": "While technical advancements of the VisuMax 800 may optimize intraoperative lenticular scanning quality, the VisuMax 800 and 500 systems yield comparable visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POREF195",
      "abstract_number": "POREF195",
      "title": "Early Experience With The First Three Keraklear® Non-Penetrating Artificial Cornea Implantations In Saudi Arabia",
      "authors": "Dr Omar Alabbasi",
      "presenter": "Dr Omar Alabbasi",
      "normalized_authors": [
        "Omar Alabbasi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omar Alabbasi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report outcomes and complications from the first three KeraKlear® artificial cornea implantations performed in Saudi Arabia, describing the impact of adjunctive anti-fibrotic therapy and combined refractive procedures.",
        "Setting": "Retrospective descriptive case series performed at a tertiary eye care referral center in Saudi Arabia, reporting the first three KeraKlear® non-penetrating artificial cornea implantations under routine clinical surgical conditions.",
        "Methods": "Retrospective case series of three patients undergoing KeraKlear implantation. Underlying diagnoses were post-PRK deep stromal scarring (Case 1), corneal macular dystrophy (Case 2), and advanced keratoconus (Case 3). Variations in intraoperative technique, adjunctive medical therapy (MMC, topical losartan), and staged ICL implantation were evaluated.",
        "Results": "Case 1 developed dense interface haze requiring PKP. Case 2 received intraoperative MMC and postoperative topical losartan, preventing haze but developing late stromal melting at one year. Case 3 required secondary ICL implantation to correct postoperative refractive surprise but subsequently developed peripheral stromal melting requiring lamellar keratoplasty.",
        "Conclusions": "KeraKlear implantation can provide visual rehabilitation but remains limited by complications including interface haze and stromal melting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "KeraKlear implantation can provide visual rehabilitation but remains limited by complications including interface haze and stromal melting.",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1578,
      "source_fields": {
        "Abstract Final Identifier": "POREF195",
        "Title": "Early Experience With The First Three Keraklear® Non-Penetrating Artificial Cornea Implantations In Saudi Arabia",
        "Presenting Author(s)": "Dr Omar Alabbasi",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Omar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alabbasi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report outcomes and complications from the first three KeraKlear® artificial cornea implantations performed in Saudi Arabia, describing the impact of adjunctive anti-fibrotic therapy and combined refractive procedures.",
        "Setting": "Retrospective descriptive case series performed at a tertiary eye care referral center in Saudi Arabia, reporting the first three KeraKlear® non-penetrating artificial cornea implantations under routine clinical surgical conditions.",
        "Methods": "Retrospective case series of three patients undergoing KeraKlear implantation. Underlying diagnoses were post-PRK deep stromal scarring (Case 1), corneal macular dystrophy (Case 2), and advanced keratoconus (Case 3). Variations in intraoperative technique, adjunctive medical therapy (MMC, topical losartan), and staged ICL implantation were evaluated.",
        "Results": "Case 1 developed dense interface haze requiring PKP. Case 2 received intraoperative MMC and postoperative topical losartan, preventing haze but developing late stromal melting at one year. Case 3 required secondary ICL implantation to correct postoperative refractive surprise but subsequently developed peripheral stromal melting requiring lamellar keratoplasty.",
        "Conclusions": "KeraKlear implantation can provide visual rehabilitation but remains limited by complications including interface haze and stromal melting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 165
    },
    {
      "uid": "POREF196",
      "abstract_number": "POREF196",
      "title": "Stremlight For The Treatment Of Residual Refraction After Cataract Surgery In A\nPatient With Marfan Syndrome",
      "authors": "Mrs Saodat Baykabulova",
      "presenter": "Mrs Saodat Baykabulova",
      "normalized_authors": [
        "Saodat Baykabulova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Saodat Baykabulova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "Use of STREMLIGHT for residual myopia in patients after lens replacement with Morfan syndrome",
        "Setting": "Consider a clinical case of a patient with Morfan syndrome in an artificial eye with residual myopia with a spherical component of -3.5.\n\nKeywords: IOL, STREMLIGHT surgery, Morfan syndrome",
        "Methods": "In our clinical case, a 30-year-old patient with Morfan\nsyndrome, lens dislocation, and preoperative refraction of +12.0\ndiopters (D) underwent cataract surgery with implantation of the IRIS\nCLAW intraocular lens in 2019. Postoperative visual acuity in the right\neye was 0.09, with a correction of 0.5. The STREMLIGHT procedure was\nperformed in 2024, 5 years after the lens replacement.",
        "Results": "Possible reasons for patient dissatisfaction included poor\ndistance vision and difficulty driving during the day and at night.\nAfter STREMLIGHT, residual myopic refraction (spherical) significantly\ndecreased, from -3.5 preoperatively to +1.00 postoperatively on the\nfirst day after surgery. In addition, uncorrected distance visual acuity\nincreased from 0.09 preoperatively to 0.5 postoperatively. One month\npostoperatively, spherical refraction was +0.75, visual acuity was 0.6.\nSix months postoperatively, refraction was +0.75, visual acuity was\n0.65. Twelve months postoperatively, refraction was +0.25, visual acuity\nwas 0.7. Patient satisfaction scores after STREMLIGHT (distance vision,\ndaytime and nighttime driving) improved significantly.",
        "Conclusions": "STREMLIGHT is a reliable method for treating residual refraction after\ncataract surgery, as it provides complication-free results and improves\npatient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "STREMLIGHT is a reliable method for treating residual refraction after cataract surgery, as it provides complication-free results and improves patient satisfaction.",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1579,
      "source_fields": {
        "Abstract Final Identifier": "POREF196",
        "Title": "Stremlight For The Treatment Of Residual Refraction After Cataract Surgery In A\nPatient With Marfan Syndrome",
        "Presenting Author(s)": "Mrs Saodat Baykabulova",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Saodat",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Baykabulova",
        "Country Name": "Uzbekistan",
        "Purpose": "Use of STREMLIGHT for residual myopia in patients after lens replacement with Morfan syndrome",
        "Setting": "Consider a clinical case of a patient with Morfan syndrome in an artificial eye with residual myopia with a spherical component of -3.5.\n\nKeywords: IOL, STREMLIGHT surgery, Morfan syndrome",
        "Methods": "In our clinical case, a 30-year-old patient with Morfan\nsyndrome, lens dislocation, and preoperative refraction of +12.0\ndiopters (D) underwent cataract surgery with implantation of the IRIS\nCLAW intraocular lens in 2019. Postoperative visual acuity in the right\neye was 0.09, with a correction of 0.5. The STREMLIGHT procedure was\nperformed in 2024, 5 years after the lens replacement.",
        "Results": "Possible reasons for patient dissatisfaction included poor\ndistance vision and difficulty driving during the day and at night.\nAfter STREMLIGHT, residual myopic refraction (spherical) significantly\ndecreased, from -3.5 preoperatively to +1.00 postoperatively on the\nfirst day after surgery. In addition, uncorrected distance visual acuity\nincreased from 0.09 preoperatively to 0.5 postoperatively. One month\npostoperatively, spherical refraction was +0.75, visual acuity was 0.6.\nSix months postoperatively, refraction was +0.75, visual acuity was\n0.65. Twelve months postoperatively, refraction was +0.25, visual acuity\nwas 0.7. Patient satisfaction scores after STREMLIGHT (distance vision,\ndaytime and nighttime driving) improved significantly.",
        "Conclusions": "STREMLIGHT is a reliable method for treating residual refraction after\ncataract surgery, as it provides complication-free results and improves\npatient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "POREF197",
      "abstract_number": "POREF197",
      "title": "Early Axial Length Increase And Corneal Changes With Customizable Optic Zone Orthokeratology In Myopic Children: A Prospective Study",
      "authors": "Mrs Cecilia Zamora Castro",
      "presenter": "Mrs Cecilia Zamora Castro",
      "normalized_authors": [
        "Cecilia Zamora Castro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cecilia Zamora Castro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Childhood myopia continues to increase and its progression is associated with a higher risk of ocular pathology in adulthood. Overnight orthokeratology has been shown to be an effective strategy for controlling myopia progression, mainly through modulation of axial length growth. However, optical zone reduction may be associated with alterations in visual quality related to higher-order aberrations. Optical zone personalization may optimize myopia control while maintaining functional visual quality. The aim of this study was to evaluate early changes in axial length, corneal parameters, and visual outcomes in myopic children treated with orthokeratology lenses with a customizable optical zone and to assess short- and medium-term safety.",
        "Setting": "Prospective, longitudinal, single-center study conducted in a clinical unit specialized in pediatric myopia control.",
        "Methods": "A total of 44 myopic children aged 7 to 13 years were included and fitted with orthokeratology lenses with a customizable optical zone, calculated using algorithms based on refractive parameters, corneal topography, and mesopic pupil diameter. The follow-up protocol included a baseline visit and visits at 1 night, 1 week, 2 weeks, 1 month, 3 months, 6 months, 12 months, 18 months, and 24 months of lens wear. At the time of analysis, the study was in the 12-month follow-up phase. Spherical equivalent, uncorrected visual acuity, corneal topography, higher-order aberrations, and axial length were recorded. One eye per participant was analyzed. Statistical significance was set at p < 0.05.",
        "Results": "Preliminary results showed a rapid improvement in uncorrected visual acuity after treatment initiation, which statistically significant changes compared to baseline, which remained stable throughout the analyzed follow-up. Characteristic corneal changes induced by orthokeratology were observed, with stable topographic patterns over time.\n\nAxial length remained stable during the early follow-up period, with no statistically significant increases (p = 0.953). The evaluated visual quality parameters did not show clinically relevant deterioration during the analyzed period. No clinically relevant complications or lens-related adverse events were reported.",
        "Conclusions": "Orthokeratology with a customizable optical zone showed stable visual outcomes and a favorable safety profile in the pediatric population. Early axial length stability suggests a potential benefit in controlling myopia progression. The first available 12-month data suggest an evolution consistent with the results observed at 6 months. Continued follow-up will allow evaluation of the annual effect and further exploration of the relationship between optical zone personalization, structural variables, and visual quality, as well as other clinically relevant parameters such as potential choroidal thickening, corneal endothelial changes, and contrast sensitivity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Orthokeratology with a customizable optical zone showed stable visual outcomes and a favorable safety profile in the pediatric population. Early axial length stability suggests a potential benefit in controlling myopia progression. The first available 12-month data suggest an evolution consistent with the results observed at 6 months. Continued follow-up will allow evaluation of the annual effect and further…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1580,
      "source_fields": {
        "Abstract Final Identifier": "POREF197",
        "Title": "Early Axial Length Increase And Corneal Changes With Customizable Optic Zone Orthokeratology In Myopic Children: A Prospective Study",
        "Presenting Author(s)": "Mrs Cecilia Zamora Castro",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Cecilia",
        "Submitter Middle Name": "Zamora",
        "Submitter Last Name": "Castro",
        "Country Name": "Spain",
        "Purpose": "Childhood myopia continues to increase and its progression is associated with a higher risk of ocular pathology in adulthood. Overnight orthokeratology has been shown to be an effective strategy for controlling myopia progression, mainly through modulation of axial length growth. However, optical zone reduction may be associated with alterations in visual quality related to higher-order aberrations. Optical zone personalization may optimize myopia control while maintaining functional visual quality. The aim of this study was to evaluate early changes in axial length, corneal parameters, and visual outcomes in myopic children treated with orthokeratology lenses with a customizable optical zone and to assess short- and medium-term safety.",
        "Setting": "Prospective, longitudinal, single-center study conducted in a clinical unit specialized in pediatric myopia control.",
        "Methods": "A total of 44 myopic children aged 7 to 13 years were included and fitted with orthokeratology lenses with a customizable optical zone, calculated using algorithms based on refractive parameters, corneal topography, and mesopic pupil diameter. The follow-up protocol included a baseline visit and visits at 1 night, 1 week, 2 weeks, 1 month, 3 months, 6 months, 12 months, 18 months, and 24 months of lens wear. At the time of analysis, the study was in the 12-month follow-up phase. Spherical equivalent, uncorrected visual acuity, corneal topography, higher-order aberrations, and axial length were recorded. One eye per participant was analyzed. Statistical significance was set at p < 0.05.",
        "Results": "Preliminary results showed a rapid improvement in uncorrected visual acuity after treatment initiation, which statistically significant changes compared to baseline, which remained stable throughout the analyzed follow-up. Characteristic corneal changes induced by orthokeratology were observed, with stable topographic patterns over time.\n\nAxial length remained stable during the early follow-up period, with no statistically significant increases (p = 0.953). The evaluated visual quality parameters did not show clinically relevant deterioration during the analyzed period. No clinically relevant complications or lens-related adverse events were reported.",
        "Conclusions": "Orthokeratology with a customizable optical zone showed stable visual outcomes and a favorable safety profile in the pediatric population. Early axial length stability suggests a potential benefit in controlling myopia progression. The first available 12-month data suggest an evolution consistent with the results observed at 6 months. Continued follow-up will allow evaluation of the annual effect and further exploration of the relationship between optical zone personalization, structural variables, and visual quality, as well as other clinically relevant parameters such as potential choroidal thickening, corneal endothelial changes, and contrast sensitivity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 400
    },
    {
      "uid": "POREF198",
      "abstract_number": "POREF198",
      "title": "Impact Of Small Incision Lenticule Extraction Surgery With Visumax 500 And Visumax 800 Platforms On Patients’ Ocular Comfort And Vision-Related Quality Of Life",
      "authors": "Jodhbir Mehta",
      "presenter": "Jodhbir Mehta",
      "normalized_authors": [
        "Jodhbir Mehta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eva Fenwick",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "VisuMax 800 (VM800) provides a faster treatment protocol than VisuMax 500 (VM500) in patients undergoing SMILE (Small Incision Lenticule Extraction) and has been associated with more consistent visual and patient satisfaction outcomes. However, evidence on the effectiveness of the two treatments on improving quality of life (QoL) is limited. We determined the impact of VM800 and VM500 on ocular comfort (CF), vision-specific functioning (VF) and emotional well-being (EM) captured using a novel computerized adaptive testing (CAT) system in patients undergoing bilateral SMILE surgery.",
        "Setting": "Using a pre-post design, 99 patients undergoing bilateral SMILE surgery for myopia correction were recruited from the Laser Vision Centre at the Singapore National Eye Centre. Eligible patients were allocated to receive surgery with the VM500 (N=38; Jan 2023-Mar 2024) or VM800 (N=61; Apr 2024-Mar 2026).",
        "Methods": "Patients were interviewer-administered the EM and VF domains of the Impact of Vision Impairment CAT (IVI-CAT); and the CF domain of the Myopia Refractive Intervention CAT (MyoRI-CAT) in-clinic using a web-based application. Higher scores indicated better QoL. Assessments were conducted at baseline (BSL) and 1, 3, 6, and 12-mo post-surgery (FU). Sociodemographic and clinical information were collected via in-house survey. Within- and between-group changes in the three QoL outcomes were assessed using repeated measures ANOVA and mixed models with robust standard errors, respectively.",
        "Results": "Of the 99 patients (mean±SD age: 29.3±5.2 yrs; 40% male), 38 (38.4%) and 61 (61.6%) underwent VM500 and VM800, respectively. For VM500, VF and EM scores were higher across all FU time-points compared to BSL (P<0.05). Higher CF scores were observed at 3, 6, and 12-mths FU (all P<0.05). For VM800, similar score trajectories were observed for EM and CF, while no significant changes occurred for VF. Between-group comparison showed lower BSL VF scores for VM500 versus VM800 (P=0.001), leading to greater VF improvements across all FU timepoints only for VM500. There were no between-group differences for BSL EM and CF scores; although VM800 had greater CF score improvements versus VM500, with no significant EM differences.",
        "Conclusions": "Both techniques resulted in improved CF and EM scores post-surgery, with sustained long-term gains. While VM800 patients did not report a significant increase in VF post-surgery unlike VM500 participants, this is likely due to the very high BSL VF score observed for this group. Importantly, the VM800 procedure resulted in greater post-operative improvements in CF scores compared to the VM500. Overall, both procedures are highly effective from the patient’s perspective. However, our results suggest that the VM800 potentially offers greater ocular CF than VM500."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both techniques resulted in improved CF and EM scores post-surgery, with sustained long-term gains. While VM800 patients did not report a significant increase in VF post-surgery unlike VM500 participants, this is likely due to the very high BSL VF score observed for this group. Importantly, the VM800 procedure resulted in greater post-operative improvements in CF scores compared to the VM500. Overall, both…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1581,
      "source_fields": {
        "Abstract Final Identifier": "POREF198",
        "Title": "Impact Of Small Incision Lenticule Extraction Surgery With Visumax 500 And Visumax 800 Platforms On Patients’ Ocular Comfort And Vision-Related Quality Of Life",
        "Presenting Author(s)": "Jodhbir Mehta",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Eva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fenwick",
        "Country Name": "Singapore",
        "Purpose": "VisuMax 800 (VM800) provides a faster treatment protocol than VisuMax 500 (VM500) in patients undergoing SMILE (Small Incision Lenticule Extraction) and has been associated with more consistent visual and patient satisfaction outcomes. However, evidence on the effectiveness of the two treatments on improving quality of life (QoL) is limited. We determined the impact of VM800 and VM500 on ocular comfort (CF), vision-specific functioning (VF) and emotional well-being (EM) captured using a novel computerized adaptive testing (CAT) system in patients undergoing bilateral SMILE surgery.",
        "Setting": "Using a pre-post design, 99 patients undergoing bilateral SMILE surgery for myopia correction were recruited from the Laser Vision Centre at the Singapore National Eye Centre. Eligible patients were allocated to receive surgery with the VM500 (N=38; Jan 2023-Mar 2024) or VM800 (N=61; Apr 2024-Mar 2026).",
        "Methods": "Patients were interviewer-administered the EM and VF domains of the Impact of Vision Impairment CAT (IVI-CAT); and the CF domain of the Myopia Refractive Intervention CAT (MyoRI-CAT) in-clinic using a web-based application. Higher scores indicated better QoL. Assessments were conducted at baseline (BSL) and 1, 3, 6, and 12-mo post-surgery (FU). Sociodemographic and clinical information were collected via in-house survey. Within- and between-group changes in the three QoL outcomes were assessed using repeated measures ANOVA and mixed models with robust standard errors, respectively.",
        "Results": "Of the 99 patients (mean±SD age: 29.3±5.2 yrs; 40% male), 38 (38.4%) and 61 (61.6%) underwent VM500 and VM800, respectively. For VM500, VF and EM scores were higher across all FU time-points compared to BSL (P<0.05). Higher CF scores were observed at 3, 6, and 12-mths FU (all P<0.05). For VM800, similar score trajectories were observed for EM and CF, while no significant changes occurred for VF. Between-group comparison showed lower BSL VF scores for VM500 versus VM800 (P=0.001), leading to greater VF improvements across all FU timepoints only for VM500. There were no between-group differences for BSL EM and CF scores; although VM800 had greater CF score improvements versus VM500, with no significant EM differences.",
        "Conclusions": "Both techniques resulted in improved CF and EM scores post-surgery, with sustained long-term gains. While VM800 patients did not report a significant increase in VF post-surgery unlike VM500 participants, this is likely due to the very high BSL VF score observed for this group. Importantly, the VM800 procedure resulted in greater post-operative improvements in CF scores compared to the VM500. Overall, both procedures are highly effective from the patient’s perspective. However, our results suggest that the VM800 potentially offers greater ocular CF than VM500."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 426
    },
    {
      "uid": "POREF199",
      "abstract_number": "POREF199",
      "title": "Comparative Evaluation Of Pentacam Hr And Scansys Scheimpflug Tomography For Comprehensive Corneal Analysis",
      "authors": "Dr Omar Ilyas",
      "presenter": "Dr Omar Ilyas",
      "normalized_authors": [
        "Omar Ilyas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omar Ilyas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To compare Pentacam HR and ScanSys across corneal curvature, pachymetry, elevation parameters, and diagnostic classification, and to assess their clinical interchangeability in refractive practice.",
        "Setting": "Tertiary eye care centers, Peshawar, Pakistan",
        "Methods": "This prospective analytical study included 32 eyes classified as normal (n=28), post–laser vision correction (n=2), and ectasia spectrum (n=4, including suspects and keratoconus). Corneal tomography was performed using Pentacam HR and ScanSys within 7 days. Analyzed parameters included SimK1, SimK2, mean keratometry, astigmatism magnitude, maximum keratometry (Kmax), thinnest pachymetry, and anterior and posterior elevation. Diagnostic classification used Belin–Ambrosio Deviation (BAD-D) for Pentacam HR and Keratoconus Probability (KCP) with SVM output for ScanSys. Pearson correlation, Bland–Altman analysis, percentage agreement, and Cohen’s kappa were applied.",
        "Results": "Strong correlations were observed for anterior curvature and pachymetric parameters (SimK1 r=0.99; SimK2 r=0.987; pachymetry r=0.986). Bland–Altman analysis demonstrated minimal mean bias and clinically acceptable limits of agreement for SimK1 (−0.13 D), SimK2 (−0.08 D), Kmax (−0.11 D), and pachymetry (−6.9 µm). Overall diagnostic agreement was 93.8%, with a Cohen’s kappa of 0.55, indicating moderate chance-corrected agreement. Concordance was 100% for normal and keratoconic eyes.All diagnostic discrepancies were confined to borderline/suspect cases, where ScanSys classified some eyes as normal compared with Pentacam HR.",
        "Conclusions": "Pentacam HR and ScanSys demonstrate excellent agreement for corneal curvature, pachymetry, and diagnostic classification in normal and frank keratoconus eyes, supporting their use in routine refractive screening. However, disagreement in borderline cases reflects differences in diagnostic algorithms and elevation sensitivity, indicating that the devices should not be used interchangeably for borderline assessment or progression monitoring. Consistent device use and clinical correlation remain essential in suspect corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pentacam HR and ScanSys demonstrate excellent agreement for corneal curvature, pachymetry, and diagnostic classification in normal and frank keratoconus eyes, supporting their use in routine refractive screening. However, disagreement in borderline cases reflects differences in diagnostic algorithms and elevation sensitivity, indicating that the devices should not be used interchangeably for borderline assessment…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1582,
      "source_fields": {
        "Abstract Final Identifier": "POREF199",
        "Title": "Comparative Evaluation Of Pentacam Hr And Scansys Scheimpflug Tomography For Comprehensive Corneal Analysis",
        "Presenting Author(s)": "Dr Omar Ilyas",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Omar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ilyas",
        "Country Name": "Pakistan",
        "Purpose": "To compare Pentacam HR and ScanSys across corneal curvature, pachymetry, elevation parameters, and diagnostic classification, and to assess their clinical interchangeability in refractive practice.",
        "Setting": "Tertiary eye care centers, Peshawar, Pakistan",
        "Methods": "This prospective analytical study included 32 eyes classified as normal (n=28), post–laser vision correction (n=2), and ectasia spectrum (n=4, including suspects and keratoconus). Corneal tomography was performed using Pentacam HR and ScanSys within 7 days. Analyzed parameters included SimK1, SimK2, mean keratometry, astigmatism magnitude, maximum keratometry (Kmax), thinnest pachymetry, and anterior and posterior elevation. Diagnostic classification used Belin–Ambrosio Deviation (BAD-D) for Pentacam HR and Keratoconus Probability (KCP) with SVM output for ScanSys. Pearson correlation, Bland–Altman analysis, percentage agreement, and Cohen’s kappa were applied.",
        "Results": "Strong correlations were observed for anterior curvature and pachymetric parameters (SimK1 r=0.99; SimK2 r=0.987; pachymetry r=0.986). Bland–Altman analysis demonstrated minimal mean bias and clinically acceptable limits of agreement for SimK1 (−0.13 D), SimK2 (−0.08 D), Kmax (−0.11 D), and pachymetry (−6.9 µm). Overall diagnostic agreement was 93.8%, with a Cohen’s kappa of 0.55, indicating moderate chance-corrected agreement. Concordance was 100% for normal and keratoconic eyes.All diagnostic discrepancies were confined to borderline/suspect cases, where ScanSys classified some eyes as normal compared with Pentacam HR.",
        "Conclusions": "Pentacam HR and ScanSys demonstrate excellent agreement for corneal curvature, pachymetry, and diagnostic classification in normal and frank keratoconus eyes, supporting their use in routine refractive screening. However, disagreement in borderline cases reflects differences in diagnostic algorithms and elevation sensitivity, indicating that the devices should not be used interchangeably for borderline assessment or progression monitoring. Consistent device use and clinical correlation remain essential in suspect corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POREF201",
      "abstract_number": "POREF201",
      "title": "Evaluation Of Total Higher-Order Aberration Root Mean Square As An Optical Quality Metric Across Different Measurement Principles : A Comparative Analysis Of Anterion And Opd-Scan Iii",
      "authors": "Dr Jae-Eun Kang",
      "presenter": "Dr Jae-Eun Kang",
      "normalized_authors": [
        "Jae-Eun Kang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jae-Eun Kang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the agreement and correlation of higher-order aberrations (HOAs) measured by devices based on different optical measurement principles, including Anterion (swept-source OCT) and OPD-Scan III (Placido disc–based corneal topography with wavefront aberrometry), under standardized examination conditions to enable comparable corneal measurements.",
        "Setting": "Retrospective consecutive observational study conducted at the Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, South Korea",
        "Methods": "A total of 33 eyes from 19 patients were evaluated using both Anterion and OPD-Scan III to measure HOAs under photopic (4 mm pupil) and mesopic (6 mm pupil) conditions. Inter-device agreement and correlation of total higher-order aberration root mean square (HOA RMS) and individual Zernike coefficients were analyzed using Bland–Altman analysis, linear regression, intraclass correlation coefficients (ICC), paired t-tests, and Pearson correlation analysis.",
        "Results": "Individual Zernike coefficients showed moderate-to-excellent agreement (ICC 0.65–0.98), whereas total HOA RMS showed poor agreement (ICC 0.12–0.17) with larger inter-device differences that increased from photopic to mesopic pupil conditions (approximately −0.3 to −0.8 µm; p<0.001). Bland–Altman analysis showed broader dispersion for total HOA RMS compared with more compact scatter for individual aberrations. Proportional bias analysis revealed magnitude-dependent inter-device differences in total HOA RMS (β≈−1.4 to −1.6), which persisted despite restriction to comparable corneal measurements.",
        "Conclusions": "Individual Zernike coefficients showed acceptable agreement, whereas total HOA RMS showed significant systematic inter-device differences and proportional bias, particularly under mesopic conditions. These findings suggest that composite HOA metrics may be influenced by wavefront reconstruction and aggregation processes rather than solely reflecting underlying individual aberration components. Caution may therefore be warranted when interpreting and comparing HOA RMS values across different measurement platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Individual Zernike coefficients showed acceptable agreement, whereas total HOA RMS showed significant systematic inter-device differences and proportional bias, particularly under mesopic conditions. These findings suggest that composite HOA metrics may be influenced by wavefront reconstruction and aggregation processes rather than solely reflecting underlying individual aberration components. Caution may therefore…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1583,
      "source_fields": {
        "Abstract Final Identifier": "POREF201",
        "Title": "Evaluation Of Total Higher-Order Aberration Root Mean Square As An Optical Quality Metric Across Different Measurement Principles : A Comparative Analysis Of Anterion And Opd-Scan Iii",
        "Presenting Author(s)": "Dr Jae-Eun Kang",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Jae-Eun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kang",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the agreement and correlation of higher-order aberrations (HOAs) measured by devices based on different optical measurement principles, including Anterion (swept-source OCT) and OPD-Scan III (Placido disc–based corneal topography with wavefront aberrometry), under standardized examination conditions to enable comparable corneal measurements.",
        "Setting": "Retrospective consecutive observational study conducted at the Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, South Korea",
        "Methods": "A total of 33 eyes from 19 patients were evaluated using both Anterion and OPD-Scan III to measure HOAs under photopic (4 mm pupil) and mesopic (6 mm pupil) conditions. Inter-device agreement and correlation of total higher-order aberration root mean square (HOA RMS) and individual Zernike coefficients were analyzed using Bland–Altman analysis, linear regression, intraclass correlation coefficients (ICC), paired t-tests, and Pearson correlation analysis.",
        "Results": "Individual Zernike coefficients showed moderate-to-excellent agreement (ICC 0.65–0.98), whereas total HOA RMS showed poor agreement (ICC 0.12–0.17) with larger inter-device differences that increased from photopic to mesopic pupil conditions (approximately −0.3 to −0.8 µm; p<0.001). Bland–Altman analysis showed broader dispersion for total HOA RMS compared with more compact scatter for individual aberrations. Proportional bias analysis revealed magnitude-dependent inter-device differences in total HOA RMS (β≈−1.4 to −1.6), which persisted despite restriction to comparable corneal measurements.",
        "Conclusions": "Individual Zernike coefficients showed acceptable agreement, whereas total HOA RMS showed significant systematic inter-device differences and proportional bias, particularly under mesopic conditions. These findings suggest that composite HOA metrics may be influenced by wavefront reconstruction and aggregation processes rather than solely reflecting underlying individual aberration components. Caution may therefore be warranted when interpreting and comparing HOA RMS values across different measurement platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "POREF202",
      "abstract_number": "POREF202",
      "title": "Real-World Outcomes Of The Elita Femtosecond System Versus Klex Platforms And Lasik For Refractive Error Correction",
      "authors": "Lin I-Hung",
      "presenter": "Lin I-Hung",
      "normalized_authors": [
        "Lin I-Hung"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jerome Ozkan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To compare refractive outcomes, contrast sensitivity, and higher-order aberrations (HOAs) up to 30 days after Smooth Incision Lenticular Keratomileusis (SILK) using the ELITA femtosecond laser with outcomes from other KLEx platforms and LASIK in routine clinical practice.",
        "Setting": "Nobel Medical Group, Taipei, Taiwan",
        "Methods": "A total of 168 eyes from 84 patients (48 female, 36 male) with myopia (−5.57 ± 1.0 D; range −0.75 to −13.75 D) underwent refractive surgery. Procedures included SILK with the ELITA femtosecond laser (N=16), SMILE with the VisuMax 500 (N=36) and VisuMax 800 (N=60), and LASIK with the EX500 excimer laser (N=56). Contrast sensitivity (photopic, mesopic, scotopic) was measured using the CGT-2000, and HOAs were assessed with the OPD-Scan III. Evaluations were performed preoperatively and at 7 and 30 days postoperatively.",
        "Results": "At 1 week, 90% of VM500 eyes achieved 20/20 UDVA (EX500 80.6%, VM800 78.6%, ELITA 68.8%). At 1 month, 100% of ELITA eyes achieved 20/20 UDVA (VM800 96.4%, VM500 and EX500 91.7%). ELITA showed lower spherical aberration, coma, and total HOAs than other platforms (all P < 0.05). Contrast sensitivity declined transiently at 1 week across all machines but returned to baseline by 1 month with no significant inter-machine differences.",
        "Conclusions": "Although early visual recovery was slower with ELITA, by 30 days all ELITA SILK eyes achieved 20/20 UDVA. ELITA also showed lower HOAs, coma, and spherical aberration. Contrast sensitivity recovered to baseline by 1 month across all platforms with no significant inter-machine differences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although early visual recovery was slower with ELITA, by 30 days all ELITA SILK eyes achieved 20/20 UDVA. ELITA also showed lower HOAs, coma, and spherical aberration. Contrast sensitivity recovered to baseline by 1 month across all platforms with no significant inter-machine differences.",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1584,
      "source_fields": {
        "Abstract Final Identifier": "POREF202",
        "Title": "Real-World Outcomes Of The Elita Femtosecond System Versus Klex Platforms And Lasik For Refractive Error Correction",
        "Presenting Author(s)": "Lin I-Hung",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Jerome",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ozkan",
        "Country Name": "Australia",
        "Purpose": "To compare refractive outcomes, contrast sensitivity, and higher-order aberrations (HOAs) up to 30 days after Smooth Incision Lenticular Keratomileusis (SILK) using the ELITA femtosecond laser with outcomes from other KLEx platforms and LASIK in routine clinical practice.",
        "Setting": "Nobel Medical Group, Taipei, Taiwan",
        "Methods": "A total of 168 eyes from 84 patients (48 female, 36 male) with myopia (−5.57 ± 1.0 D; range −0.75 to −13.75 D) underwent refractive surgery. Procedures included SILK with the ELITA femtosecond laser (N=16), SMILE with the VisuMax 500 (N=36) and VisuMax 800 (N=60), and LASIK with the EX500 excimer laser (N=56). Contrast sensitivity (photopic, mesopic, scotopic) was measured using the CGT-2000, and HOAs were assessed with the OPD-Scan III. Evaluations were performed preoperatively and at 7 and 30 days postoperatively.",
        "Results": "At 1 week, 90% of VM500 eyes achieved 20/20 UDVA (EX500 80.6%, VM800 78.6%, ELITA 68.8%). At 1 month, 100% of ELITA eyes achieved 20/20 UDVA (VM800 96.4%, VM500 and EX500 91.7%). ELITA showed lower spherical aberration, coma, and total HOAs than other platforms (all P < 0.05). Contrast sensitivity declined transiently at 1 week across all machines but returned to baseline by 1 month with no significant inter-machine differences.",
        "Conclusions": "Although early visual recovery was slower with ELITA, by 30 days all ELITA SILK eyes achieved 20/20 UDVA. ELITA also showed lower HOAs, coma, and spherical aberration. Contrast sensitivity recovered to baseline by 1 month across all platforms with no significant inter-machine differences."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POREF203",
      "abstract_number": "POREF203",
      "title": "A Clinical Decision Algorithm Based On Multimodal Corneal And Visual Quality Assessment For Refractive Laser Eligibility Screening",
      "authors": "Dr Ayse Ozpinar",
      "presenter": "Dr Ayse Ozpinar",
      "normalized_authors": [
        "Ayse Ozpinar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayse Ozpinar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To develop and preliminarily evaluate a structured clinical decision algorithm for refractive laser eligibility screening integrating multimodal corneal safety assessment and visual quality parameters.",
        "Setting": "Department of Ophthalmology, Istanbul Medipol University, Istanbul, Turkey",
        "Methods": "In this retrospective study, we reviewed consecutive patients undergoing refractive laser eligibility screening and applied a rule-based clinical decision algorithm. The algorithm incorporated corneal tomography parameters (BAD-D, thinnest corneal thickness, keratometry), refractive error, estimated ablation depth, and visual quality factors. Procedure-specific safety thresholds (residual stromal bed, ablation ratio) were applied according to surgical technique. Each eye was analyzed independently and classified as suitable, conditional, or not suitable. Algorithm classifications were compared with clinician decisions, with subgroup analysis in operated eyes.",
        "Results": "Eighty eyes from 40 consecutive patients were analyzed. The algorithm classified 61 eyes (76.3%) as suitable, 11 (13.8%) as conditional, and 8 (10.0%) as not suitable. Overall agreement was 67.5%. In the surgical subgroup (32 eyes), agreement increased to 90.6%, with 29 categorized as suitable and two as conditional. One operated eye was classified as not suitable due to residual stromal bed and ablation depth thresholds. Disagreements mainly occurred between the suitable and conditional categories, reflecting conservative safety limits or additional clinical factors not incorporated into the model.",
        "Conclusions": "This structured, multimodal decision algorithm demonstrated strong agreement with clinician-based surgical decisions in operated cases and provided systematic risk stratification during refractive laser eligibility screening. The model was designed to integrate both structural and visual quality parameters within a unified decision framework. It may support safer and more standardized refractive laser assessment. Prospective validation in larger cohorts is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This structured, multimodal decision algorithm demonstrated strong agreement with clinician-based surgical decisions in operated cases and provided systematic risk stratification during refractive laser eligibility screening. The model was designed to integrate both structural and visual quality parameters within a unified decision framework. It may support safer and more standardized refractive laser assessment.…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1585,
      "source_fields": {
        "Abstract Final Identifier": "POREF203",
        "Title": "A Clinical Decision Algorithm Based On Multimodal Corneal And Visual Quality Assessment For Refractive Laser Eligibility Screening",
        "Presenting Author(s)": "Dr Ayse Ozpinar",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Ayse",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ozpinar",
        "Country Name": "Türkiye",
        "Purpose": "To develop and preliminarily evaluate a structured clinical decision algorithm for refractive laser eligibility screening integrating multimodal corneal safety assessment and visual quality parameters.",
        "Setting": "Department of Ophthalmology, Istanbul Medipol University, Istanbul, Turkey",
        "Methods": "In this retrospective study, we reviewed consecutive patients undergoing refractive laser eligibility screening and applied a rule-based clinical decision algorithm. The algorithm incorporated corneal tomography parameters (BAD-D, thinnest corneal thickness, keratometry), refractive error, estimated ablation depth, and visual quality factors. Procedure-specific safety thresholds (residual stromal bed, ablation ratio) were applied according to surgical technique. Each eye was analyzed independently and classified as suitable, conditional, or not suitable. Algorithm classifications were compared with clinician decisions, with subgroup analysis in operated eyes.",
        "Results": "Eighty eyes from 40 consecutive patients were analyzed. The algorithm classified 61 eyes (76.3%) as suitable, 11 (13.8%) as conditional, and 8 (10.0%) as not suitable. Overall agreement was 67.5%. In the surgical subgroup (32 eyes), agreement increased to 90.6%, with 29 categorized as suitable and two as conditional. One operated eye was classified as not suitable due to residual stromal bed and ablation depth thresholds. Disagreements mainly occurred between the suitable and conditional categories, reflecting conservative safety limits or additional clinical factors not incorporated into the model.",
        "Conclusions": "This structured, multimodal decision algorithm demonstrated strong agreement with clinician-based surgical decisions in operated cases and provided systematic risk stratification during refractive laser eligibility screening. The model was designed to integrate both structural and visual quality parameters within a unified decision framework. It may support safer and more standardized refractive laser assessment. Prospective validation in larger cohorts is warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "POREF204",
      "abstract_number": "POREF204",
      "title": "Clinical Evaluation Of Automated Binocular Refraction Using Eye Refract® Compared With Conventional Refraction Techniques",
      "authors": "Dr Mariana Pires Garcia",
      "presenter": "Dr Mariana Pires Garcia",
      "normalized_authors": [
        "Mariana Pires Garcia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariana Pires Garcia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Before new automated refraction systems are integrated into routine clinical practice, validation under real-world conditions is essential. This study evaluates the agreement between automated binocular refraction using Eye Refract® (Visionix®, Luneau Technology, France) and conventional objective refraction with subjective refinement, as well as patient preference and experience with the automated method.",
        "Setting": "Ophthalmology Department, Unidade Local de Saúde Entre Douro e Vouga, Portugal.",
        "Methods": "This cross-sectional study included 79 patients undergoing routine ophthalmology consultation. Each participant underwent two refraction protocols: conventional refraction, consisting of autorefraction with Tono-Ref II® (Nidek Co., Ltd., Japan), followed by subjective refinement; and automated binocular refraction following Eye Refract algorithm. Sphere, cylinder, axis and spherical equivalent (SE) were analysed. Patient experience and preference between refraction methods were assessed using a structured questionnaire. A masked comparison of the two prescriptions was performed to evaluate subjective visual preference. Agreement was analysed using Wilcoxon signed-rank tests and Bland–Altman analysis.",
        "Results": "Mean age was 61.7±18.0 years, 59.5% were female. With conventional refraction, median sphere was +0.25D(1.25), cylinder −0.75D(0.81), axis 90°(37.5), and SE 0.00D(1.38), while with Eye Refract median sphere was +0.50D(1.69), cylinder −0.88D(0.94), axis 92°(39.5), and SE 0.00D(1.34). SE difference was statistically significant (p = 0.018), showing a slight hyperopic shift with Eye Refract. Bland–Altman analysis showed a mean bias of +0.17D(SD 0.63) with 95% limits of agreement −1.06 to +1.40 D. Regarding patient experience, 51.9% preferred Eye Refract, 49.4% considered it faster, and comprehension was equivalent in 41.8% and clearer with Eye Refract in 46.8%. In masked comparison, 68.6% reported better vision with Eye Refract prescription.",
        "Conclusions": "Automated binocular refraction using Eye Refract demonstrated good agreement with conventional subjective refraction, with a small hyperopic bias of limited clinical relevance. Patients showed a preference for the automated examination and frequently reported superior visual performance in masked prescription comparison, supporting its integration as a reliable alternative in routine clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Automated binocular refraction using Eye Refract demonstrated good agreement with conventional subjective refraction, with a small hyperopic bias of limited clinical relevance. Patients showed a preference for the automated examination and frequently reported superior visual performance in masked prescription comparison, supporting its integration as a reliable alternative in routine clinical practice.",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1586,
      "source_fields": {
        "Abstract Final Identifier": "POREF204",
        "Title": "Clinical Evaluation Of Automated Binocular Refraction Using Eye Refract® Compared With Conventional Refraction Techniques",
        "Presenting Author(s)": "Dr Mariana Pires Garcia",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Mariana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pires Garcia",
        "Country Name": "Portugal",
        "Purpose": "Before new automated refraction systems are integrated into routine clinical practice, validation under real-world conditions is essential. This study evaluates the agreement between automated binocular refraction using Eye Refract® (Visionix®, Luneau Technology, France) and conventional objective refraction with subjective refinement, as well as patient preference and experience with the automated method.",
        "Setting": "Ophthalmology Department, Unidade Local de Saúde Entre Douro e Vouga, Portugal.",
        "Methods": "This cross-sectional study included 79 patients undergoing routine ophthalmology consultation. Each participant underwent two refraction protocols: conventional refraction, consisting of autorefraction with Tono-Ref II® (Nidek Co., Ltd., Japan), followed by subjective refinement; and automated binocular refraction following Eye Refract algorithm. Sphere, cylinder, axis and spherical equivalent (SE) were analysed. Patient experience and preference between refraction methods were assessed using a structured questionnaire. A masked comparison of the two prescriptions was performed to evaluate subjective visual preference. Agreement was analysed using Wilcoxon signed-rank tests and Bland–Altman analysis.",
        "Results": "Mean age was 61.7±18.0 years, 59.5% were female. With conventional refraction, median sphere was +0.25D(1.25), cylinder −0.75D(0.81), axis 90°(37.5), and SE 0.00D(1.38), while with Eye Refract median sphere was +0.50D(1.69), cylinder −0.88D(0.94), axis 92°(39.5), and SE 0.00D(1.34). SE difference was statistically significant (p = 0.018), showing a slight hyperopic shift with Eye Refract. Bland–Altman analysis showed a mean bias of +0.17D(SD 0.63) with 95% limits of agreement −1.06 to +1.40 D. Regarding patient experience, 51.9% preferred Eye Refract, 49.4% considered it faster, and comprehension was equivalent in 41.8% and clearer with Eye Refract in 46.8%. In masked comparison, 68.6% reported better vision with Eye Refract prescription.",
        "Conclusions": "Automated binocular refraction using Eye Refract demonstrated good agreement with conventional subjective refraction, with a small hyperopic bias of limited clinical relevance. Patients showed a preference for the automated examination and frequently reported superior visual performance in masked prescription comparison, supporting its integration as a reliable alternative in routine clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "POREF205",
      "abstract_number": "POREF205",
      "title": "Assessment Of The Agreement In Intraocular Pressure Measured By Goldmann Applanation, Rebound Tonometer And Ocular Response Analyser Among Patients Undergoing Laser Vision Correction",
      "authors": "Keerthana Ramachandran",
      "presenter": "Keerthana Ramachandran",
      "normalized_authors": [
        "Keerthana Ramachandran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Keerthana Ramachandran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Corneal ablative procedures alter corneal thickness and biomechanical properties, which can significantly affect the accuracy of Intraocular pressure (IOP) measurements. This study aims to evaluate changes in IOP after refractive surgery and to compare the agreement and reliability of different tonometers, including Goldmann Applanation Tonometry (GAT), Ocular Response Analyser (ORA,Reichert Ophthalmic Instruments, Depew, NY)-corneal-compensated IOP (IOPcc), Goldmann-correlated Intraocular pressure (IOPg), and rebound tonometry (RT -Icare® ic200, Tiolat Oy, Helsinki, Finland). It further aims to evaluate higher-order aberrations (HOA) by iTrace (Tracey technologies, USA) after refractive surgery and to assess their relationship to IOP.",
        "Setting": "Tertiary care centre in South India.",
        "Methods": "95 participants undergoing refractive surgery procedures [Laser-Assisted In Situ Keratomileusis (LASIK) n:38, Surface ablation n:57] were recruited, and Corneal Hysteresis, Central Corneal Thickness (CCT) and IOP (as GAT) were measured preoperatively and at 1 month and 3 months following surgery. IOP (as IOPg, IOPcc, RT-iCare) and HOA were measured preoperatively and at 1 week, 1 month and 3 months following surgery. Short-term trends were analysed, and agreement analysis following refractive surgery was done using the intraclass correlation coefficient (ICC) and Bland-Altman analysis. P- value <0.05 was considered significant.",
        "Results": "IOPcc and RT showed stable postoperative IOP measurements (p >0.05). At 1 and 3 months, IOPcc maintained moderate agreement with GAT (ICC=0.626; 0.462) and IOPg (ICC= 0.682; 0.590), while RT showed more fluctuation and lower agreement with GAT (ICC= 0.609; 0.364) and IOPg (ICC= 0.714; 0.438). Overall, IOPcc demonstrated more consistent inter-device agreement than RT. GAT underestimated IOP at 3 months postoperatively (p=0.002), which correlated with reduced CCT (r = 0.413, β = 0.05; R² = 0.170), suggesting ~0.5 mmHg underestimation by GAT per 10µm CCT reduction. LASIK induced greater total HOA (p=0.013), particularly coma (p=0.034) and trefoil (p=0.012). HOAs did not demonstrate a significant association with IOP changes.",
        "Conclusions": "Refractive surgery significantly influences the inter-method agreement of IOP measurements. IOPcc and RT exhibit greater temporal stability and reduced susceptibility to corneal alterations. GAT underestimated the IOP postoperatively; this is related to corneal stromal ablation. Our study shows that careful interpretation of postoperative IOP measurements is warranted, and IOPcc and RT may be preferred for IOP measurements following refractive surgery. LASIK induces greater HOAs than surface ablations, but HOAs are not associated with IOP measurements."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive surgery significantly influences the inter-method agreement of IOP measurements. IOPcc and RT exhibit greater temporal stability and reduced susceptibility to corneal alterations. GAT underestimated the IOP postoperatively; this is related to corneal stromal ablation. Our study shows that careful interpretation of postoperative IOP measurements is warranted, and IOPcc and RT may be preferred for IOP…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1587,
      "source_fields": {
        "Abstract Final Identifier": "POREF205",
        "Title": "Assessment Of The Agreement In Intraocular Pressure Measured By Goldmann Applanation, Rebound Tonometer And Ocular Response Analyser Among Patients Undergoing Laser Vision Correction",
        "Presenting Author(s)": "Keerthana Ramachandran",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Keerthana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ramachandran",
        "Country Name": "India",
        "Purpose": "Corneal ablative procedures alter corneal thickness and biomechanical properties, which can significantly affect the accuracy of Intraocular pressure (IOP) measurements. This study aims to evaluate changes in IOP after refractive surgery and to compare the agreement and reliability of different tonometers, including Goldmann Applanation Tonometry (GAT), Ocular Response Analyser (ORA,Reichert Ophthalmic Instruments, Depew, NY)-corneal-compensated IOP (IOPcc), Goldmann-correlated Intraocular pressure (IOPg), and rebound tonometry (RT -Icare® ic200, Tiolat Oy, Helsinki, Finland). It further aims to evaluate higher-order aberrations (HOA) by iTrace (Tracey technologies, USA) after refractive surgery and to assess their relationship to IOP.",
        "Setting": "Tertiary care centre in South India.",
        "Methods": "95 participants undergoing refractive surgery procedures [Laser-Assisted In Situ Keratomileusis (LASIK) n:38, Surface ablation n:57] were recruited, and Corneal Hysteresis, Central Corneal Thickness (CCT) and IOP (as GAT) were measured preoperatively and at 1 month and 3 months following surgery. IOP (as IOPg, IOPcc, RT-iCare) and HOA were measured preoperatively and at 1 week, 1 month and 3 months following surgery. Short-term trends were analysed, and agreement analysis following refractive surgery was done using the intraclass correlation coefficient (ICC) and Bland-Altman analysis. P- value <0.05 was considered significant.",
        "Results": "IOPcc and RT showed stable postoperative IOP measurements (p >0.05). At 1 and 3 months, IOPcc maintained moderate agreement with GAT (ICC=0.626; 0.462) and IOPg (ICC= 0.682; 0.590), while RT showed more fluctuation and lower agreement with GAT (ICC= 0.609; 0.364) and IOPg (ICC= 0.714; 0.438). Overall, IOPcc demonstrated more consistent inter-device agreement than RT. GAT underestimated IOP at 3 months postoperatively (p=0.002), which correlated with reduced CCT (r = 0.413, β = 0.05; R² = 0.170), suggesting ~0.5 mmHg underestimation by GAT per 10µm CCT reduction. LASIK induced greater total HOA (p=0.013), particularly coma (p=0.034) and trefoil (p=0.012). HOAs did not demonstrate a significant association with IOP changes.",
        "Conclusions": "Refractive surgery significantly influences the inter-method agreement of IOP measurements. IOPcc and RT exhibit greater temporal stability and reduced susceptibility to corneal alterations. GAT underestimated the IOP postoperatively; this is related to corneal stromal ablation. Our study shows that careful interpretation of postoperative IOP measurements is warranted, and IOPcc and RT may be preferred for IOP measurements following refractive surgery. LASIK induces greater HOAs than surface ablations, but HOAs are not associated with IOP measurements."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 395
    },
    {
      "uid": "POREF206",
      "abstract_number": "POREF206",
      "title": "Standardised Manifest Refraction Protocol Versus 1% Tropicamide Cycloplegia In Young Hyperopes: Agreement And Implications For Surgical Planning",
      "authors": "Ms Sharon Ritchie",
      "presenter": "Ms Sharon Ritchie",
      "normalized_authors": [
        "Sharon Ritchie"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sharon Ritchie",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare manifest and 1% tropicamide-induced cycloplegic refraction in young hyperopic patients and assess whether standardised manifest refraction (LoVCRP) can guide hyperopic refractive surgery planning without commonly used arbitrary arithmetic splitting between manifest and cycloplegic refractions.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "This retrospective study included consecutive patients treated between 2017 and 2025. Inclusion criteria were: age <40 years; cycloplegic spherical hyperopia +3.00 to +8.00 D; CDVA 20/25 or better; contact lenses stopped ≥24 h; and two refractions available. Visit 1: optometrist manifest refraction by the London Vision Clinic Refraction Protocol (LoVCRP) followed the same day by 1% tropicamide cycloplegic refraction. Visit 2 (within 3 months): surgeon manifest refraction by LoVCRP, with access to all visit-1 refractions. Analyses compared (1) visit-1 optometrist manifest vs cycloplegic and (2) visit-1 cycloplegic vs visit-2 surgeon manifest.",
        "Results": "A total of 612 eyes were analysed. The mean optometrist manifest sphere was +4.52 ± 1.14 D (range +2.00 to +7.50 D), the optometrist cycloplegic sphere was +5.09 ± 1.10 D (range +3.00 to +8.00 D), and the surgeon manifest sphere was +4.65 ± 1.11 D (range +1.75 to +7.50 D). Comparison 1 (same optometrist, same day): cycloplegic–manifest differences were within ±0.50 D in 79.3% of eyes and within ±1.00 D in 88.5%. Comparison 2 (visit-1 cycloplegic refraction vs visit-2 surgeon manifest refraction, performed with visibility of all visit-1 refractions): agreement was within ±0.50 D in 85.7% and within ±1.00 D in 94.4%.",
        "Conclusions": "In young hyperopic patients, LoVCRP manifest refraction closely approximates 1% tropicamide-induced cycloplegic refraction in most eyes. Agreement between visit-1 cycloplegic and visit-2 surgeon manifest refractions suggests that, when the LoVCRP is used, hyperopic refractive surgery planning can rely on manifest refraction without arbitrary arithmetic splitting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In young hyperopic patients, LoVCRP manifest refraction closely approximates 1% tropicamide-induced cycloplegic refraction in most eyes. Agreement between visit-1 cycloplegic and visit-2 surgeon manifest refractions suggests that, when the LoVCRP is used, hyperopic refractive surgery planning can rely on manifest refraction without arbitrary arithmetic splitting.",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1588,
      "source_fields": {
        "Abstract Final Identifier": "POREF206",
        "Title": "Standardised Manifest Refraction Protocol Versus 1% Tropicamide Cycloplegia In Young Hyperopes: Agreement And Implications For Surgical Planning",
        "Presenting Author(s)": "Ms Sharon Ritchie",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Sharon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ritchie",
        "Country Name": "United Kingdom",
        "Purpose": "To compare manifest and 1% tropicamide-induced cycloplegic refraction in young hyperopic patients and assess whether standardised manifest refraction (LoVCRP) can guide hyperopic refractive surgery planning without commonly used arbitrary arithmetic splitting between manifest and cycloplegic refractions.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "This retrospective study included consecutive patients treated between 2017 and 2025. Inclusion criteria were: age <40 years; cycloplegic spherical hyperopia +3.00 to +8.00 D; CDVA 20/25 or better; contact lenses stopped ≥24 h; and two refractions available. Visit 1: optometrist manifest refraction by the London Vision Clinic Refraction Protocol (LoVCRP) followed the same day by 1% tropicamide cycloplegic refraction. Visit 2 (within 3 months): surgeon manifest refraction by LoVCRP, with access to all visit-1 refractions. Analyses compared (1) visit-1 optometrist manifest vs cycloplegic and (2) visit-1 cycloplegic vs visit-2 surgeon manifest.",
        "Results": "A total of 612 eyes were analysed. The mean optometrist manifest sphere was +4.52 ± 1.14 D (range +2.00 to +7.50 D), the optometrist cycloplegic sphere was +5.09 ± 1.10 D (range +3.00 to +8.00 D), and the surgeon manifest sphere was +4.65 ± 1.11 D (range +1.75 to +7.50 D). Comparison 1 (same optometrist, same day): cycloplegic–manifest differences were within ±0.50 D in 79.3% of eyes and within ±1.00 D in 88.5%. Comparison 2 (visit-1 cycloplegic refraction vs visit-2 surgeon manifest refraction, performed with visibility of all visit-1 refractions): agreement was within ±0.50 D in 85.7% and within ±1.00 D in 94.4%.",
        "Conclusions": "In young hyperopic patients, LoVCRP manifest refraction closely approximates 1% tropicamide-induced cycloplegic refraction in most eyes. Agreement between visit-1 cycloplegic and visit-2 surgeon manifest refractions suggests that, when the LoVCRP is used, hyperopic refractive surgery planning can rely on manifest refraction without arbitrary arithmetic splitting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "POREF207",
      "abstract_number": "POREF207",
      "title": "Title: Sulcus-To-Sulcus Distance Measurement Using Anterior Segment Optical Coherence Tomography.",
      "authors": "Dr Pedro Serra",
      "presenter": "Dr Pedro Serra",
      "normalized_authors": [
        "Pedro Serra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Serra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a multiscale spatial enhancement method for improving visualization of the retro-iridial space in anterior segment optical coherence tomography (AS-OCT) and to evaluate its clinical performance for sulcus-to-sulcus (STS) measurement.",
        "Setting": "Ophthalmology Clinic Vista Sánchez Trancón, Badajoz, Spain",
        "Methods": "AS-OCT images acquired with the Anterion (Heidelberg) were processed using a multiscale spatial enhancement algorithm to reduce retro-iridial noise. Spatial decomposition at multiple scales enabled differentiation of anatomical structures from non-anatomical artefacts. Individual scale maps were combined into a consensus map reinforcing consistent anatomical features while suppressing noise. The enhanced images were used to measure STS distance with a dedicated digital caliper tool. In 30 eyes (30 patients), intra-rater repeatability was assessed by (1) repeated marking of the same image and (2) marking two separate images of the same eye. Agreement among white-to-white (WTW), spur-to-spur (SpTSp), and STS measurements was evaluated.",
        "Results": "Mean WTW, SpTSp, and STS distances were 12.02 ± 0.35 mm, 12.11 ± 0.33 mm, and 12.54 ± 0.54 mm, respectively. STS measurements were larger than WTW (mean difference [MD] +0.50 ± 0.30 mm; 95% limits of agreement [LoA] −0.08 to +1.08 mm) and SpTSp (MD +0.41 ± 0.26 mm; 95% LoA −0.10 to +0.92 mm). WTW and SpTSp explained 51% and 61% of STS variability, respectively. Intra-rater coefficients of repeatability were 0.07 mm (SpTSp) and 0.18 mm (STS) using the same image, and 0.14 mm (STSsp) and 0.36 mm (STS) using different images.",
        "Conclusions": "Multiscale-enhanced AS-OCT imaging improves visualization of the retro-iridial space and enables repeatable STS measurements. This approach may offer a non-contact alternative for retro-iridial biometry, particularly in the context of phakic IOL sizing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multiscale-enhanced AS-OCT imaging improves visualization of the retro-iridial space and enables repeatable STS measurements. This approach may offer a non-contact alternative for retro-iridial biometry, particularly in the context of phakic IOL sizing.",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1589,
      "source_fields": {
        "Abstract Final Identifier": "POREF207",
        "Title": "Title: Sulcus-To-Sulcus Distance Measurement Using Anterior Segment Optical Coherence Tomography.",
        "Presenting Author(s)": "Dr Pedro Serra",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Serra",
        "Country Name": "Spain",
        "Purpose": "To describe a multiscale spatial enhancement method for improving visualization of the retro-iridial space in anterior segment optical coherence tomography (AS-OCT) and to evaluate its clinical performance for sulcus-to-sulcus (STS) measurement.",
        "Setting": "Ophthalmology Clinic Vista Sánchez Trancón, Badajoz, Spain",
        "Methods": "AS-OCT images acquired with the Anterion (Heidelberg) were processed using a multiscale spatial enhancement algorithm to reduce retro-iridial noise. Spatial decomposition at multiple scales enabled differentiation of anatomical structures from non-anatomical artefacts. Individual scale maps were combined into a consensus map reinforcing consistent anatomical features while suppressing noise. The enhanced images were used to measure STS distance with a dedicated digital caliper tool. In 30 eyes (30 patients), intra-rater repeatability was assessed by (1) repeated marking of the same image and (2) marking two separate images of the same eye. Agreement among white-to-white (WTW), spur-to-spur (SpTSp), and STS measurements was evaluated.",
        "Results": "Mean WTW, SpTSp, and STS distances were 12.02 ± 0.35 mm, 12.11 ± 0.33 mm, and 12.54 ± 0.54 mm, respectively. STS measurements were larger than WTW (mean difference [MD] +0.50 ± 0.30 mm; 95% limits of agreement [LoA] −0.08 to +1.08 mm) and SpTSp (MD +0.41 ± 0.26 mm; 95% LoA −0.10 to +0.92 mm). WTW and SpTSp explained 51% and 61% of STS variability, respectively. Intra-rater coefficients of repeatability were 0.07 mm (SpTSp) and 0.18 mm (STS) using the same image, and 0.14 mm (STSsp) and 0.36 mm (STS) using different images.",
        "Conclusions": "Multiscale-enhanced AS-OCT imaging improves visualization of the retro-iridial space and enables repeatable STS measurements. This approach may offer a non-contact alternative for retro-iridial biometry, particularly in the context of phakic IOL sizing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "POREF208",
      "abstract_number": "POREF208",
      "title": "Evaluation Of Corneal Biomechanical Outcomes Following Smartsight Versus Fs-Lasik In Myopia And Myopic Astigmatism",
      "authors": "Dr Gerardo Serrano-Robles",
      "presenter": "Dr Gerardo Serrano-Robles",
      "normalized_authors": [
        "Gerardo Serrano-Robles"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gerardo Serrano-Robles",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To compare postoperative corneal biomechanical behavior following SmartSight (KLEX) and FS-LASIK in patients with myopia and myopic astigmatism.",
        "Setting": "Tertiary referral eye hospital, Department of Cornea and Refractive Surgery, Instituto de Oftalmología “Conde de Valenciana”, Mexico City, Mexico.",
        "Methods": "This secondary analysis of a randomized clinical trial (NCT06477081) included all treated eyes from both groups. Corneal biomechanical parameters were obtained using Corvis ST (Oculus, Germany) preoperatively and at 3 months postoperatively. Evaluated metrics included deformation amplitude ratio (DA Ratio), Ambrosio relational thickness (ARTh), biomechanically corrected intraocular pressure (bIOP), integrated radius (Int Radius), stiffness parameter at first applanation (SP-A1), corneal biomechanical index (CBI), tomographic biomechanical index (TBI), and stress–strain index (SSI). Between-group comparisons and 95% confidence intervals (CIs) were calculated using independent-samples t-tests.",
        "Results": "Baseline biomechanical values were comparable between groups. At 3 months, SmartSight and FS-LASIK showed similar postoperative biomechanical profiles: DA Ratio 4.40±0.41 vs 4.30±0.58 (Δ–0.094;95%CI:–0.289to0.102); ARTh 248.43±69.22 vs 260.36±101.04 (Δ11.94;95%CI:–21.54to45.41); bIOP 15.13±2.38 vs 15.43±3.56 (Δ0.29;95%CI:–0.88to1.46); Int Radius 8.32±1.15 vs 8.44±1.56 (Δ0.12;95%CI:–0.41to0.65); SP-A1 83.32±16.10 vs 88.64±18.81 (Δ5.32;95%CI:–1.51to12.14). CBI 0.903±0.134 vs 0.832±0.231 (Δ–0.070;95%CI:–0.143to0.003); TBI 0.943±0.155 vs 0.860±0.281 (Δ–0.083;95%CI:–0.171to0.005); SSI 1.051±0.212 vs 1.079±0.306 (Δ0.029;95%CI:–0.073to0.130). No parameter differed significantly. All 95%CIs crossed 0, indicating no significant differences overall.",
        "Conclusions": "SmartSight and FS-LASIK demonstrated comparable impacts on corneal biomechanics at 3 months. Both procedures produced similar changes in deformation amplitude, corneal stiffness, thickness-related indices, and ectasia-related risk scores. These findings indicate that SmartSight maintains biomechanical stability comparable to FS-LASIK in myopic refractive surgery. Longer follow-up is warranted to assess long-term biomechanical behavior"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SmartSight and FS-LASIK demonstrated comparable impacts on corneal biomechanics at 3 months. Both procedures produced similar changes in deformation amplitude, corneal stiffness, thickness-related indices, and ectasia-related risk scores. These findings indicate that SmartSight maintains biomechanical stability comparable to FS-LASIK in myopic refractive surgery. Longer follow-up is warranted to assess long-term…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1590,
      "source_fields": {
        "Abstract Final Identifier": "POREF208",
        "Title": "Evaluation Of Corneal Biomechanical Outcomes Following Smartsight Versus Fs-Lasik In Myopia And Myopic Astigmatism",
        "Presenting Author(s)": "Dr Gerardo Serrano-Robles",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Gerardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Serrano-Robles",
        "Country Name": "Mexico",
        "Purpose": "To compare postoperative corneal biomechanical behavior following SmartSight (KLEX) and FS-LASIK in patients with myopia and myopic astigmatism.",
        "Setting": "Tertiary referral eye hospital, Department of Cornea and Refractive Surgery, Instituto de Oftalmología “Conde de Valenciana”, Mexico City, Mexico.",
        "Methods": "This secondary analysis of a randomized clinical trial (NCT06477081) included all treated eyes from both groups. Corneal biomechanical parameters were obtained using Corvis ST (Oculus, Germany) preoperatively and at 3 months postoperatively. Evaluated metrics included deformation amplitude ratio (DA Ratio), Ambrosio relational thickness (ARTh), biomechanically corrected intraocular pressure (bIOP), integrated radius (Int Radius), stiffness parameter at first applanation (SP-A1), corneal biomechanical index (CBI), tomographic biomechanical index (TBI), and stress–strain index (SSI). Between-group comparisons and 95% confidence intervals (CIs) were calculated using independent-samples t-tests.",
        "Results": "Baseline biomechanical values were comparable between groups. At 3 months, SmartSight and FS-LASIK showed similar postoperative biomechanical profiles: DA Ratio 4.40±0.41 vs 4.30±0.58 (Δ–0.094;95%CI:–0.289to0.102); ARTh 248.43±69.22 vs 260.36±101.04 (Δ11.94;95%CI:–21.54to45.41); bIOP 15.13±2.38 vs 15.43±3.56 (Δ0.29;95%CI:–0.88to1.46); Int Radius 8.32±1.15 vs 8.44±1.56 (Δ0.12;95%CI:–0.41to0.65); SP-A1 83.32±16.10 vs 88.64±18.81 (Δ5.32;95%CI:–1.51to12.14). CBI 0.903±0.134 vs 0.832±0.231 (Δ–0.070;95%CI:–0.143to0.003); TBI 0.943±0.155 vs 0.860±0.281 (Δ–0.083;95%CI:–0.171to0.005); SSI 1.051±0.212 vs 1.079±0.306 (Δ0.029;95%CI:–0.073to0.130). No parameter differed significantly. All 95%CIs crossed 0, indicating no significant differences overall.",
        "Conclusions": "SmartSight and FS-LASIK demonstrated comparable impacts on corneal biomechanics at 3 months. Both procedures produced similar changes in deformation amplitude, corneal stiffness, thickness-related indices, and ectasia-related risk scores. These findings indicate that SmartSight maintains biomechanical stability comparable to FS-LASIK in myopic refractive surgery. Longer follow-up is warranted to assess long-term biomechanical behavior"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "POREF209",
      "abstract_number": "POREF209",
      "title": "Ophthalmic Ai Triage: Why Patient Safety Depends On Fairness Auditing",
      "authors": "Hamid Tavakoli",
      "presenter": "Hamid Tavakoli",
      "normalized_authors": [
        "Hamid Tavakoli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hamid Tavakoli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "AI-assisted triage systems are increasingly used to prioritise ophthalmic patients before clinical assessment. While reported accuracy is often high, unequal performance across patient subgroups can remain undetected, leading to systematic under- or over-triage.\n\nThis work demonstrates why fairness auditing is a prerequisite for patient safety in ophthalmic AI triage and introduces a practical, clinician-accessible approach to detecting and mitigating unsafe decision disparities.",
        "Setting": "AI-assisted ophthalmic triage and referral prioritisation in outpatient and screening pathways, where algorithmic outputs are increasingly used to support clinical decision-making before specialist assessment.",
        "Methods": "We developed a no-code, outcome-based fairness auditing workflow designed for ophthalmic triage applications.\n\nThe Fairness Diagnostic Kit (FDK) enables independent auditing of AI decision outputs, including black-box systems, using clinically relevant fairness and safety metrics without requiring programming or access to model internals.\n\nBiasClean and BiasClean+SVM were designed as complementary pre-deployment tools to mitigate bias at the data level before training or deployment. The workflow supports local execution, allowing clinicians to audit and monitor AI systems within their own clinical environments without external data transfer.",
        "Results": "Fairness auditing revealed clinically meaningful disparities in triage outcomes that were not apparent from aggregate accuracy alone.\n\nDifferences in error distribution, risk stratification, and worst-group performance indicated unequal safety profiles across patient subgroups.\n\nData-level bias mitigation measurably reduced these disparities, improving fairness metrics and stabilising triage behaviour across groups. Importantly, these improvements were achieved without modifying model architecture or relying on vendor intervention, demonstrating that safety auditing can be performed independently at the point of use.",
        "Conclusions": "In ophthalmic AI triage, accuracy alone is insufficient to assure patient safety. Un-audited bias constitutes a latent safety risk, analogous to an uncalibrated medical device.\n\nFairness auditing should therefore be treated as a routine safety control rather than an ethical afterthought. No-code, outcome-based tools allow eye practitioners to independently audit, mitigate, and continuously monitor AI triage systems in real-world clinical settings.\n\nAll tools described are non-commercial, open-source, and intended for independent clinical safety auditing rather than service provision. Embedding fairness auditing into ophthalmic AI workflows is essential for safe, trustworthy, and sustainable clinical deployment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In ophthalmic AI triage, accuracy alone is insufficient to assure patient safety. Un-audited bias constitutes a latent safety risk, analogous to an uncalibrated medical device. Fairness auditing should therefore be treated as a routine safety control rather than an ethical afterthought. No-code, outcome-based tools allow eye practitioners to independently audit, mitigate, and continuously monitor AI triage systems…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1591,
      "source_fields": {
        "Abstract Final Identifier": "POREF209",
        "Title": "Ophthalmic Ai Triage: Why Patient Safety Depends On Fairness Auditing",
        "Presenting Author(s)": "Hamid Tavakoli",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Hamid",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tavakoli",
        "Country Name": "United Kingdom",
        "Purpose": "AI-assisted triage systems are increasingly used to prioritise ophthalmic patients before clinical assessment. While reported accuracy is often high, unequal performance across patient subgroups can remain undetected, leading to systematic under- or over-triage.\n\nThis work demonstrates why fairness auditing is a prerequisite for patient safety in ophthalmic AI triage and introduces a practical, clinician-accessible approach to detecting and mitigating unsafe decision disparities.",
        "Setting": "AI-assisted ophthalmic triage and referral prioritisation in outpatient and screening pathways, where algorithmic outputs are increasingly used to support clinical decision-making before specialist assessment.",
        "Methods": "We developed a no-code, outcome-based fairness auditing workflow designed for ophthalmic triage applications.\n\nThe Fairness Diagnostic Kit (FDK) enables independent auditing of AI decision outputs, including black-box systems, using clinically relevant fairness and safety metrics without requiring programming or access to model internals.\n\nBiasClean and BiasClean+SVM were designed as complementary pre-deployment tools to mitigate bias at the data level before training or deployment. The workflow supports local execution, allowing clinicians to audit and monitor AI systems within their own clinical environments without external data transfer.",
        "Results": "Fairness auditing revealed clinically meaningful disparities in triage outcomes that were not apparent from aggregate accuracy alone.\n\nDifferences in error distribution, risk stratification, and worst-group performance indicated unequal safety profiles across patient subgroups.\n\nData-level bias mitigation measurably reduced these disparities, improving fairness metrics and stabilising triage behaviour across groups. Importantly, these improvements were achieved without modifying model architecture or relying on vendor intervention, demonstrating that safety auditing can be performed independently at the point of use.",
        "Conclusions": "In ophthalmic AI triage, accuracy alone is insufficient to assure patient safety. Un-audited bias constitutes a latent safety risk, analogous to an uncalibrated medical device.\n\nFairness auditing should therefore be treated as a routine safety control rather than an ethical afterthought. No-code, outcome-based tools allow eye practitioners to independently audit, mitigate, and continuously monitor AI triage systems in real-world clinical settings.\n\nAll tools described are non-commercial, open-source, and intended for independent clinical safety auditing rather than service provision. Embedding fairness auditing into ophthalmic AI workflows is essential for safe, trustworthy, and sustainable clinical deployment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "POREF210",
      "abstract_number": "POREF210",
      "title": "Corneal Interlayer Healing Smoothness And Its Correlation With Visual Quality After Smile, Smile Pro, And Wavelight Plus Surgeries",
      "authors": "Jifan Wang",
      "presenter": "Jifan Wang",
      "normalized_authors": [
        "Jifan Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jifan Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate corneal interlayer healing smoothness and its relationship with higher-order aberrations (HOAs) following three different refractive surgeries: SMILE, SMILE PRO, and WaveLight Plus.",
        "Setting": "Department of Ophthalmology, Liaoning Aier Eye Hospital, Shenyang, China. This prospective study was conducted from June 2025 to February 2026.",
        "Methods": "This prospective/retrospective (please specify) comparative study included patients who underwent corneal refractive surgery, divided into three groups: SMILE (56 eyes), SMILE PRO (45 eyes), and WaveLight Plus (83 eyes). Follow-up examinations were performed at 1 day, 1 week, 1 month, and 3 months postoperatively.\nCorneal interlayer healing smoothness was assessed using retroillumination images obtained by Pentacam Wave; the area of interlayer microplies was quantified using ImageJ software. Ocular optical quality was evaluated by measuring total higher-order aberrations , horizontal coma , vertical coma , horizontal trefoil, oblique trefoil , spherical aberration , horizontal tetrafoil, and oblique tetrafoil using Pentacam Wave.",
        "Results": "Corneal Healing Smoothness:\nMicrofold area decreased significantly from 1 day to 3 months postoperatively in the SMILE and SMILE PRO groups , but remained stable in the WaveLight Plus group. At 1 day and 1 week, microfold areas in the SMILE and SMILE PRO groups were comparable and both were significantly larger than in the WaveLight Plus group. By 3 months, microfold areas were similar across all three groups .\n\nHigher-Order Aberrations:\nAll groups showed significantly increased total HOAs and individual components at each postoperative visit versus preoperative baseline . Total HOAs decreased significantly from 1 week to 3 months in all groups , paralleling the improvement in corneal healing smoothness.",
        "Conclusions": "All three refractive procedures yielded favorable corneal healing and visual quality outcomes. WaveLight Plus surgery was associated with a smoother interlayer interface in the early postoperative period, while SMILE PRO demonstrated accelerated healing, achieving smoothness comparable to WaveLight Plus by 1 month postoperatively. By 3 months, interlayer smoothness and HOAs converged across all groups. The temporal concordance between improved healing smoothness and reduced HOAs suggests that optimizing the early postoperative interlayer environment may contribute to better visual quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All three refractive procedures yielded favorable corneal healing and visual quality outcomes. WaveLight Plus surgery was associated with a smoother interlayer interface in the early postoperative period, while SMILE PRO demonstrated accelerated healing, achieving smoothness comparable to WaveLight Plus by 1 month postoperatively. By 3 months, interlayer smoothness and HOAs converged across all groups. The temporal…",
      "session_type": "ePoster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1592,
      "source_fields": {
        "Abstract Final Identifier": "POREF210",
        "Title": "Corneal Interlayer Healing Smoothness And Its Correlation With Visual Quality After Smile, Smile Pro, And Wavelight Plus Surgeries",
        "Presenting Author(s)": "Jifan Wang",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Jifan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To evaluate corneal interlayer healing smoothness and its relationship with higher-order aberrations (HOAs) following three different refractive surgeries: SMILE, SMILE PRO, and WaveLight Plus.",
        "Setting": "Department of Ophthalmology, Liaoning Aier Eye Hospital, Shenyang, China. This prospective study was conducted from June 2025 to February 2026.",
        "Methods": "This prospective/retrospective (please specify) comparative study included patients who underwent corneal refractive surgery, divided into three groups: SMILE (56 eyes), SMILE PRO (45 eyes), and WaveLight Plus (83 eyes). Follow-up examinations were performed at 1 day, 1 week, 1 month, and 3 months postoperatively.\nCorneal interlayer healing smoothness was assessed using retroillumination images obtained by Pentacam Wave; the area of interlayer microplies was quantified using ImageJ software. Ocular optical quality was evaluated by measuring total higher-order aberrations , horizontal coma , vertical coma , horizontal trefoil, oblique trefoil , spherical aberration , horizontal tetrafoil, and oblique tetrafoil using Pentacam Wave.",
        "Results": "Corneal Healing Smoothness:\nMicrofold area decreased significantly from 1 day to 3 months postoperatively in the SMILE and SMILE PRO groups , but remained stable in the WaveLight Plus group. At 1 day and 1 week, microfold areas in the SMILE and SMILE PRO groups were comparable and both were significantly larger than in the WaveLight Plus group. By 3 months, microfold areas were similar across all three groups .\n\nHigher-Order Aberrations:\nAll groups showed significantly increased total HOAs and individual components at each postoperative visit versus preoperative baseline . Total HOAs decreased significantly from 1 week to 3 months in all groups , paralleling the improvement in corneal healing smoothness.",
        "Conclusions": "All three refractive procedures yielded favorable corneal healing and visual quality outcomes. WaveLight Plus surgery was associated with a smoother interlayer interface in the early postoperative period, while SMILE PRO demonstrated accelerated healing, achieving smoothness comparable to WaveLight Plus by 1 month postoperatively. By 3 months, interlayer smoothness and HOAs converged across all groups. The temporal concordance between improved healing smoothness and reduced HOAs suggests that optimizing the early postoperative interlayer environment may contribute to better visual quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "POREF211",
      "abstract_number": "POREF211",
      "title": "Clinical Outcomes Of Conventional Vs. Transepithelial Photorefractive Keratectomy: A Prospective Randomised Double-Blinded Contralateral Eye Study",
      "authors": "Dr Adeya Mohammed Alharami",
      "presenter": "Dr Adeya Mohammed Alharami",
      "normalized_authors": [
        "Adeya Mohammed Alharami"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adeya Mohammed Alharami",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To compare the clinical outcomes of conventional photorefractive keratectomy (PRK) and single-step transepithelial PRK (TransPRK) for the correction of myopic refractive errors in a contralateral eye study model.",
        "Setting": "This prospective, paired-eye, comparative study was conducted at Hamad Medical Corporation (HMC), Ophthalmology Department. A total of 24 consecutive patients (48 eyes) with myopia or myopic astigmatism were enrolled. The study adhered to the tenets of the Declaration of Helsinki, and all participants provided informed consent after a thorough explanation of the procedures and potential risks. Each patient underwent conventional PRK in the right eye (OD) and TransPRK in the left eye (OS).",
        "Methods": "This prospective, paired-eye comparative study included 48 eyes of 24 patients. Each patient underwent conventional PRK in the right eye and TransPRK in the left eye. Both patient and outcome assessors were blinded to treatment allocation. Preoperative and postoperative parameters including uncorrected distance visual acuity (UDVA), spherical equivalent (SE), postoperative pain, epithelial healing time, and complications were evaluated. Paired statistical analyses were used to compare outcomes between the two procedures.",
        "Results": "There were no significant differences in baseline characteristics between the groups. Postoperatively, there were no statistically significant differences in UDVA (p=0.084) or final SE (p=0.512). Epithelial healing was faster in the TransPRK group but failed to show statistical significance (p=0.371). However, postoperative pain was significantly higher in the TransPRK group, with a median pain score of 8 (IQR 8–10) compared to 6 (IQR 6–8) in the PRK group (p=0.014). Clinically significant postoperative haze was observed in 3 (12.5%) of patients, with an identical pattern in both eyes of every affected patient.",
        "Conclusions": "Both conventional PRK and TransPRK are safe and effective procedures for myopic correction, providing comparable visual and refractive outcomes. In this cohort, TransPRK was associated with significantly greater early postoperative pain, a finding that contrasts with much of the existing literature and warrants further investigation. The contralateral study design highlights the consistency of other outcomes while isolating this key difference between the two procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both conventional PRK and TransPRK are safe and effective procedures for myopic correction, providing comparable visual and refractive outcomes. In this cohort, TransPRK was associated with significantly greater early postoperative pain, a finding that contrasts with much of the existing literature and warrants further investigation. The contralateral study design highlights the consistency of other outcomes while…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1593,
      "source_fields": {
        "Abstract Final Identifier": "POREF211",
        "Title": "Clinical Outcomes Of Conventional Vs. Transepithelial Photorefractive Keratectomy: A Prospective Randomised Double-Blinded Contralateral Eye Study",
        "Presenting Author(s)": "Dr Adeya Mohammed Alharami",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Adeya",
        "Submitter Middle Name": "Mohammed",
        "Submitter Last Name": "Alharami",
        "Country Name": "Qatar",
        "Purpose": "To compare the clinical outcomes of conventional photorefractive keratectomy (PRK) and single-step transepithelial PRK (TransPRK) for the correction of myopic refractive errors in a contralateral eye study model.",
        "Setting": "This prospective, paired-eye, comparative study was conducted at Hamad Medical Corporation (HMC), Ophthalmology Department. A total of 24 consecutive patients (48 eyes) with myopia or myopic astigmatism were enrolled. The study adhered to the tenets of the Declaration of Helsinki, and all participants provided informed consent after a thorough explanation of the procedures and potential risks. Each patient underwent conventional PRK in the right eye (OD) and TransPRK in the left eye (OS).",
        "Methods": "This prospective, paired-eye comparative study included 48 eyes of 24 patients. Each patient underwent conventional PRK in the right eye and TransPRK in the left eye. Both patient and outcome assessors were blinded to treatment allocation. Preoperative and postoperative parameters including uncorrected distance visual acuity (UDVA), spherical equivalent (SE), postoperative pain, epithelial healing time, and complications were evaluated. Paired statistical analyses were used to compare outcomes between the two procedures.",
        "Results": "There were no significant differences in baseline characteristics between the groups. Postoperatively, there were no statistically significant differences in UDVA (p=0.084) or final SE (p=0.512). Epithelial healing was faster in the TransPRK group but failed to show statistical significance (p=0.371). However, postoperative pain was significantly higher in the TransPRK group, with a median pain score of 8 (IQR 8–10) compared to 6 (IQR 6–8) in the PRK group (p=0.014). Clinically significant postoperative haze was observed in 3 (12.5%) of patients, with an identical pattern in both eyes of every affected patient.",
        "Conclusions": "Both conventional PRK and TransPRK are safe and effective procedures for myopic correction, providing comparable visual and refractive outcomes. In this cohort, TransPRK was associated with significantly greater early postoperative pain, a finding that contrasts with much of the existing literature and warrants further investigation. The contralateral study design highlights the consistency of other outcomes while isolating this key difference between the two procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "POREF212",
      "abstract_number": "POREF212",
      "title": "Long-Term Follow-Up In A Clinical Study Of Transepithelial Photorefractive Keratectomy Versus Conventional Photorefractive Keratectomy",
      "authors": "Dr Robert Edward Ang",
      "presenter": "Dr Robert Edward Ang",
      "normalized_authors": [
        "Robert Edward Ang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Robert Edward Ang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "Transepithelial photorefractive keratectomy (tPRK) is an updated technique for the correction of ametropia based on the well-established surgical procedure of conventional PRK. Unlike conventional PRK, which involves a two-step process of physical removal of the corneal epithelium prior to excimer laser treatment of the stroma, tPRK uses the excimer laser to complete both activities in a single step. This study reports 3-year follow up of these two surface ablation procedures to show their long term viability as proven refractive procedures.",
        "Setting": "This study was conducted at the Asian Eye Institute, Makati City, Philippines.",
        "Methods": "This was a prospective, randomized, controlled, contralateral, masked, single-surgeon study of adult subjects with myopia with a manifest residual spherical equivalent (MRSE) of ≤–1.5D or hyperopia with an MRSE of ≥+1.5D. Thirty-five patients undergoing refractive correction for ametropia received tPRK in one eye and conventional PRK in the contralateral eye. Outcomes assessed included manifest refraction spherical equivalent (MRSE), monocular uncorrected and corrected distance visual acuity (UDVA and CDVA), refractive predictability, adverse events, and patient-reported visual outcomes.",
        "Results": "At 36 months, both groups demonstrated sustained visual and refractive stability. Mean (SD) photopic UDVA was −0.02 (± 0.09) logMAR for tPRK and 0.03 (± 0.14) logMAR for PRK; mean photopic CDVA was −0.06 (± 0.06) logMAR and −0.05 (± 0.06) logMAR, respectively. Under mesopic conditions, mean UDVA was 0.01 (± 0.12) logMAR for tPRK and 0.03 (± 0.15) logMAR for PRK; mean CDVA was −0.03 (± 0.10) logMAR and −0.05 (± 0.05) logMAR, respectively. Mean MRSE was 0.03D (±0.37) and –0.14D (±0.39) at 6 months for tPRK and PRK, respectively and remained close to plano out to 36 months (−0.24D [± 0.31] and −0.31D [± 0.38], respectively). No eyes experienced clinically significant CDVA loss and there were no clinically significant adverse events.",
        "Conclusions": "Overall, tPRK demonstrated visual and refractive outcomes equivalent to conventional PRK through 36 months, supporting its long-term effectiveness as a surface ablation technique with procedural advantages in terms of speed and efficiency."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Overall, tPRK demonstrated visual and refractive outcomes equivalent to conventional PRK through 36 months, supporting its long-term effectiveness as a surface ablation technique with procedural advantages in terms of speed and efficiency.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1594,
      "source_fields": {
        "Abstract Final Identifier": "POREF212",
        "Title": "Long-Term Follow-Up In A Clinical Study Of Transepithelial Photorefractive Keratectomy Versus Conventional Photorefractive Keratectomy",
        "Presenting Author(s)": "Dr Robert Edward Ang",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Robert",
        "Submitter Middle Name": "Edward",
        "Submitter Last Name": "Ang",
        "Country Name": "Philippines",
        "Purpose": "Transepithelial photorefractive keratectomy (tPRK) is an updated technique for the correction of ametropia based on the well-established surgical procedure of conventional PRK. Unlike conventional PRK, which involves a two-step process of physical removal of the corneal epithelium prior to excimer laser treatment of the stroma, tPRK uses the excimer laser to complete both activities in a single step. This study reports 3-year follow up of these two surface ablation procedures to show their long term viability as proven refractive procedures.",
        "Setting": "This study was conducted at the Asian Eye Institute, Makati City, Philippines.",
        "Methods": "This was a prospective, randomized, controlled, contralateral, masked, single-surgeon study of adult subjects with myopia with a manifest residual spherical equivalent (MRSE) of ≤–1.5D or hyperopia with an MRSE of ≥+1.5D. Thirty-five patients undergoing refractive correction for ametropia received tPRK in one eye and conventional PRK in the contralateral eye. Outcomes assessed included manifest refraction spherical equivalent (MRSE), monocular uncorrected and corrected distance visual acuity (UDVA and CDVA), refractive predictability, adverse events, and patient-reported visual outcomes.",
        "Results": "At 36 months, both groups demonstrated sustained visual and refractive stability. Mean (SD) photopic UDVA was −0.02 (± 0.09) logMAR for tPRK and 0.03 (± 0.14) logMAR for PRK; mean photopic CDVA was −0.06 (± 0.06) logMAR and −0.05 (± 0.06) logMAR, respectively. Under mesopic conditions, mean UDVA was 0.01 (± 0.12) logMAR for tPRK and 0.03 (± 0.15) logMAR for PRK; mean CDVA was −0.03 (± 0.10) logMAR and −0.05 (± 0.05) logMAR, respectively. Mean MRSE was 0.03D (±0.37) and –0.14D (±0.39) at 6 months for tPRK and PRK, respectively and remained close to plano out to 36 months (−0.24D [± 0.31] and −0.31D [± 0.38], respectively). No eyes experienced clinically significant CDVA loss and there were no clinically significant adverse events.",
        "Conclusions": "Overall, tPRK demonstrated visual and refractive outcomes equivalent to conventional PRK through 36 months, supporting its long-term effectiveness as a surface ablation technique with procedural advantages in terms of speed and efficiency."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "POREF213",
      "abstract_number": "POREF213",
      "title": "Transepithelial Lenticule Removal Tlr : A Novel Femtosecond-Based Approach To Surface Refractive Surgery",
      "authors": "Dr Juan Arbelaez",
      "presenter": "Dr Juan Arbelaez",
      "normalized_authors": [
        "Juan Arbelaez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Juan Arbelaez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and visual and refractive outcomes of low-energy dose Transepithelial Lenticule Removal (TLR) performed without mitomycin-C (MMC) for the correction of myopia and myopic astigmatism using a femtosecond laser system with eye-tracking, precise centration, and cyclotorsion compensation and an asymmetric spacing spot/track distances strategy.",
        "Setting": "This clinical study was conducted at The Eye Clinic, a private ophthalmic surgery center in Medellin, Colombia.",
        "Methods": "This prospective observational study included 33 eyes that underwent low-energy dose Epithelial All-femtosecond Surface Excision (EASE) using the SCHWIND ATOS femtosecond laser (total dose: 496 mJ/cm²) without MMC. All procedures were performed by a single surgeon (JA). MS-39 tomography and biometry, PERAMIS ocular aberrometry, visual acuity, and manifest refraction were evaluated preoperatively and at 1 and 3 months postoperatively. Corneal transparency was graded at each follow-up visit.",
        "Results": "Mean preop SEQ was −3.30±1.53D (range −1.25 to −6.25), and mean cyl was −1.25±1.17D (up to −4.00). Mean stromal lenticule thickness was 83±24.37µm (range 47–123µm). Treatments were performed with a mean cap thickness of 71±3.9µm to include the epithelium. Mean optical zone was 7.0±0.3mm (range 6.3–7.3), and total lenticule diameter was 7.74±0.27mm (range 7.1–8.1). At 1 month, mean postoperative SEQ was −0.03±0.18D (range −0.25 to +0.50), with 100% of eyes within ±0.50D. Mean postoperative cylinder was 0.00±0.00D, with 100% ≤0.25D. UDVA was equal to or better than preoperative CDVA in 97% of eyes, and 42% gained ≥1 line. One eye lost one line of CDVA. No clinically significant corneal haze was observed; the highest grade recorded was <0.5.",
        "Conclusions": "Low-energy dose EASE performed without MMC and an asymmetric spacing spot/track distances strategy demonstrated excellent early safety, efficacy, and refractive accuracy. At 1 month, 97% of eyes achieved UDVA ≥ preoperative CDVA, with 42% gaining ≥1 line and no clinically significant corneal haze observed. These findings suggest that low-energy dose Femto-TransPRK is a promising surface refractive approach with encouraging early outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Low-energy dose EASE performed without MMC and an asymmetric spacing spot/track distances strategy demonstrated excellent early safety, efficacy, and refractive accuracy. At 1 month, 97% of eyes achieved UDVA ≥ preoperative CDVA, with 42% gaining ≥1 line and no clinically significant corneal haze observed. These findings suggest that low-energy dose Femto-TransPRK is a promising surface refractive approach with…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1595,
      "source_fields": {
        "Abstract Final Identifier": "POREF213",
        "Title": "Transepithelial Lenticule Removal Tlr : A Novel Femtosecond-Based Approach To Surface Refractive Surgery",
        "Presenting Author(s)": "Dr Juan Arbelaez",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Juan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arbelaez",
        "Country Name": "Colombia",
        "Purpose": "To evaluate the safety, efficacy, and visual and refractive outcomes of low-energy dose Transepithelial Lenticule Removal (TLR) performed without mitomycin-C (MMC) for the correction of myopia and myopic astigmatism using a femtosecond laser system with eye-tracking, precise centration, and cyclotorsion compensation and an asymmetric spacing spot/track distances strategy.",
        "Setting": "This clinical study was conducted at The Eye Clinic, a private ophthalmic surgery center in Medellin, Colombia.",
        "Methods": "This prospective observational study included 33 eyes that underwent low-energy dose Epithelial All-femtosecond Surface Excision (EASE) using the SCHWIND ATOS femtosecond laser (total dose: 496 mJ/cm²) without MMC. All procedures were performed by a single surgeon (JA). MS-39 tomography and biometry, PERAMIS ocular aberrometry, visual acuity, and manifest refraction were evaluated preoperatively and at 1 and 3 months postoperatively. Corneal transparency was graded at each follow-up visit.",
        "Results": "Mean preop SEQ was −3.30±1.53D (range −1.25 to −6.25), and mean cyl was −1.25±1.17D (up to −4.00). Mean stromal lenticule thickness was 83±24.37µm (range 47–123µm). Treatments were performed with a mean cap thickness of 71±3.9µm to include the epithelium. Mean optical zone was 7.0±0.3mm (range 6.3–7.3), and total lenticule diameter was 7.74±0.27mm (range 7.1–8.1). At 1 month, mean postoperative SEQ was −0.03±0.18D (range −0.25 to +0.50), with 100% of eyes within ±0.50D. Mean postoperative cylinder was 0.00±0.00D, with 100% ≤0.25D. UDVA was equal to or better than preoperative CDVA in 97% of eyes, and 42% gained ≥1 line. One eye lost one line of CDVA. No clinically significant corneal haze was observed; the highest grade recorded was <0.5.",
        "Conclusions": "Low-energy dose EASE performed without MMC and an asymmetric spacing spot/track distances strategy demonstrated excellent early safety, efficacy, and refractive accuracy. At 1 month, 97% of eyes achieved UDVA ≥ preoperative CDVA, with 42% gaining ≥1 line and no clinically significant corneal haze observed. These findings suggest that low-energy dose Femto-TransPRK is a promising surface refractive approach with encouraging early outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "POREF214",
      "abstract_number": "POREF214",
      "title": "Artificial Intelligence Algorithms For Enhancing Photorefractive Keratectomy Safety And Efficiency",
      "authors": "A/Prof. Vincent Borderie",
      "presenter": "A/Prof. Vincent Borderie",
      "normalized_authors": [
        "Vincent Borderie"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vincent Borderie",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To develop artificial intelligence-based models capable of predicting the achieved stromal ablation depth (AD), postoperative spherical and cylindrical corrections, and the laser-induced change in corneal curvature to enhance the safety and efficiency of photorefractive keratectomy (PRK).",
        "Setting": "French national eye hospital (Hôpital national des 15-20), Paris, France.",
        "Methods": "Design: retrospective cohort study including 311 eyes with PRK with at least three months of follow-up, pre- and postoperative optical coherence tomography (OCT), and corneal topography. Preoperative subjective spherical equivalent (SE) and astigmatism ranged, respectively, from -8.00D to +4.00D and from 0.00D to 5.00D. Main outcome measures: 3-month measured AD, change in subjective spherical equivalent (SE), surgically induced astigmatism cylinder (SIA), and change in mean simulated keratometry (mean SimK). The collected data were divided into a training set (70%) and a test set (30%). Artificial intelligence frameworks were used to predict the outcome measures.",
        "Results": "Compared with the laser nomogram, machine learning and deep learning models provided better prediction of AD (r2: model, 0.91 versus laser, 0.84; Mean Absolute Error: 6.79D versus 9.51D), change in SE (r2: model, 0.97 versus 0.96; MAE: 0.36D versus 0.42D), SIA (r2: model, 0.84 versus 0.69; MAE: 0.29D versus 0.37D), and change in mean SimK (r2: model, 0.96 versus 0.95; MAE: 0.34D versus 0.40D) in the test set. An r2 of 0.99 was achieved when full preoperative OCT and corneal topography data were used as inputs to the models.",
        "Conclusions": "Artificial intelligence models show promising potential to improve PRK safety and efficiency by refining the laser nomogram."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Artificial intelligence models show promising potential to improve PRK safety and efficiency by refining the laser nomogram.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1596,
      "source_fields": {
        "Abstract Final Identifier": "POREF214",
        "Title": "Artificial Intelligence Algorithms For Enhancing Photorefractive Keratectomy Safety And Efficiency",
        "Presenting Author(s)": "A/Prof. Vincent Borderie",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Vincent",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Borderie",
        "Country Name": "France",
        "Purpose": "To develop artificial intelligence-based models capable of predicting the achieved stromal ablation depth (AD), postoperative spherical and cylindrical corrections, and the laser-induced change in corneal curvature to enhance the safety and efficiency of photorefractive keratectomy (PRK).",
        "Setting": "French national eye hospital (Hôpital national des 15-20), Paris, France.",
        "Methods": "Design: retrospective cohort study including 311 eyes with PRK with at least three months of follow-up, pre- and postoperative optical coherence tomography (OCT), and corneal topography. Preoperative subjective spherical equivalent (SE) and astigmatism ranged, respectively, from -8.00D to +4.00D and from 0.00D to 5.00D. Main outcome measures: 3-month measured AD, change in subjective spherical equivalent (SE), surgically induced astigmatism cylinder (SIA), and change in mean simulated keratometry (mean SimK). The collected data were divided into a training set (70%) and a test set (30%). Artificial intelligence frameworks were used to predict the outcome measures.",
        "Results": "Compared with the laser nomogram, machine learning and deep learning models provided better prediction of AD (r2: model, 0.91 versus laser, 0.84; Mean Absolute Error: 6.79D versus 9.51D), change in SE (r2: model, 0.97 versus 0.96; MAE: 0.36D versus 0.42D), SIA (r2: model, 0.84 versus 0.69; MAE: 0.29D versus 0.37D), and change in mean SimK (r2: model, 0.96 versus 0.95; MAE: 0.34D versus 0.40D) in the test set. An r2 of 0.99 was achieved when full preoperative OCT and corneal topography data were used as inputs to the models.",
        "Conclusions": "Artificial intelligence models show promising potential to improve PRK safety and efficiency by refining the laser nomogram."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "POREF215",
      "abstract_number": "POREF215",
      "title": "Genotype-Specific Clinical Course And Surgical Recurrence In Tgfbi-Related Bowman’S Layer Corneal Dystrophies After Transepithelial Photokeratectomy (T-Ptk)",
      "authors": "Prof. Jean-Louis Bourges",
      "presenter": "Prof. Jean-Louis Bourges",
      "normalized_authors": [
        "Jean-Louis Bourges"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jean-Louis Bourges",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Bowman’s layer corneal dystrophies (BCD) associated with mutations in the transforming growth factor beta-induced (TGFBI) gene show overlapping phenotypes but heterogeneous clinical courses. This study aimed to evaluate whether TGFBI genotype predicts age at surgical intervention, recurrence dynamics, and visual outcomes after transepithelial phototherapeutic keratectomy (t-PTK) and keratoplasty, in order to refine prognostic assessment and surgical planning.",
        "Setting": "Single tertiary academic referral center for corneal diseases in Paris, France, with integrated clinical, imaging, and molecular genetics facilities.",
        "Methods": "A retrospective genotype–phenotype analysis was conducted in 2 unrelated French families with genetically confirmed TGFBI-associated BCD. Twenty-four patients (48 eyes) carrying either the p.(Arg124Leu) variant, associated with Reis–Bücklers corneal dystrophy, or the p.(Arg555Gln) variant, associated with Thiel–Behnke corneal dystrophy, were included. Clinical records from 2016 to 2024 were reviewed for age at first PTK, surgical procedures, delay for recurrence requiring re-intervention, and best-corrected visual acuity. Phenotypic assessment was based on slit-lamp biomicroscopy and anterior segment optical coherence tomography. Recurrence was defined as clinically significant redeposition leading to visual impairment and further surgery.",
        "Results": "Patients with the p.(Arg124Leu) variant required first PTK significantly earlier than those with p.(Arg555Gln) (mean 18.4 ± 4.5 vs 28.8 ± 4.2 years; p < 0.001). The mean interval to clinically significant recurrence after PTK was substantially shorter in the p.(Arg124Leu) group (48.3 ± 10.4 months) compared with the p.(Arg555Gln) group (121.2 ± 20.4 months; p < 0.001). Visual acuity improvement following PTK was comparable between genotypes. After keratoplasty, recurrence occurred earlier in p.(Arg124Leu) eyes than in p.(Arg555Gln) eyes, confirming a genotype-dependent recurrence pattern across surgical modalities.",
        "Conclusions": "TGFBI genotype is a strong determinant of disease severity and surgical recurrence in Bowman’s layer corneal dystrophies. The p.(Arg124Leu) variant is associated with earlier surgical need and faster recurrence, whereas p.(Arg555Gln) follows a slower, less aggressive course. Incorporating genetic testing into routine clinical practice provides actionable prognostic information that can guide surgical timing, choice of procedure, and long-term patient counseling in corneal dystrophy management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TGFBI genotype is a strong determinant of disease severity and surgical recurrence in Bowman’s layer corneal dystrophies. The p.(Arg124Leu) variant is associated with earlier surgical need and faster recurrence, whereas p.(Arg555Gln) follows a slower, less aggressive course. Incorporating genetic testing into routine clinical practice provides actionable prognostic information that can guide surgical timing, choice…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1597,
      "source_fields": {
        "Abstract Final Identifier": "POREF215",
        "Title": "Genotype-Specific Clinical Course And Surgical Recurrence In Tgfbi-Related Bowman’S Layer Corneal Dystrophies After Transepithelial Photokeratectomy (T-Ptk)",
        "Presenting Author(s)": "Prof. Jean-Louis Bourges",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Jean-Louis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bourges",
        "Country Name": "France",
        "Purpose": "Bowman’s layer corneal dystrophies (BCD) associated with mutations in the transforming growth factor beta-induced (TGFBI) gene show overlapping phenotypes but heterogeneous clinical courses. This study aimed to evaluate whether TGFBI genotype predicts age at surgical intervention, recurrence dynamics, and visual outcomes after transepithelial phototherapeutic keratectomy (t-PTK) and keratoplasty, in order to refine prognostic assessment and surgical planning.",
        "Setting": "Single tertiary academic referral center for corneal diseases in Paris, France, with integrated clinical, imaging, and molecular genetics facilities.",
        "Methods": "A retrospective genotype–phenotype analysis was conducted in 2 unrelated French families with genetically confirmed TGFBI-associated BCD. Twenty-four patients (48 eyes) carrying either the p.(Arg124Leu) variant, associated with Reis–Bücklers corneal dystrophy, or the p.(Arg555Gln) variant, associated with Thiel–Behnke corneal dystrophy, were included. Clinical records from 2016 to 2024 were reviewed for age at first PTK, surgical procedures, delay for recurrence requiring re-intervention, and best-corrected visual acuity. Phenotypic assessment was based on slit-lamp biomicroscopy and anterior segment optical coherence tomography. Recurrence was defined as clinically significant redeposition leading to visual impairment and further surgery.",
        "Results": "Patients with the p.(Arg124Leu) variant required first PTK significantly earlier than those with p.(Arg555Gln) (mean 18.4 ± 4.5 vs 28.8 ± 4.2 years; p < 0.001). The mean interval to clinically significant recurrence after PTK was substantially shorter in the p.(Arg124Leu) group (48.3 ± 10.4 months) compared with the p.(Arg555Gln) group (121.2 ± 20.4 months; p < 0.001). Visual acuity improvement following PTK was comparable between genotypes. After keratoplasty, recurrence occurred earlier in p.(Arg124Leu) eyes than in p.(Arg555Gln) eyes, confirming a genotype-dependent recurrence pattern across surgical modalities.",
        "Conclusions": "TGFBI genotype is a strong determinant of disease severity and surgical recurrence in Bowman’s layer corneal dystrophies. The p.(Arg124Leu) variant is associated with earlier surgical need and faster recurrence, whereas p.(Arg555Gln) follows a slower, less aggressive course. Incorporating genetic testing into routine clinical practice provides actionable prognostic information that can guide surgical timing, choice of procedure, and long-term patient counseling in corneal dystrophy management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "POREF216",
      "abstract_number": "POREF216",
      "title": "Limbus To Limbus None Circular Optical Zone Surface Ablations For Moderate Keratoconus Based On Clipped Topographical Data",
      "authors": "Dr Anastasios Charonis",
      "presenter": "Dr Anastasios Charonis",
      "normalized_authors": [
        "Anastasios Charonis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anastasios Charonis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To Verify whether minimal depth and volume surface ablations, with intentionally skipped undertreated/untreated areas within the largest possible Optical Zone (limbus to imbus “clipped”topography guided ablations), actually fair compareable HO-RMS reductions with much deeper traditional topo guided ablations as much as predicted by the Foresight Schwind’s Software.",
        "Setting": "Athensvision Eye Center, Athens, Greece",
        "Methods": "A proprietary software (Schwind’s Clipped Topography Software) was used to design minimal depth ablations with intentionally undertreated/untreated areas within the nominal very large OZ in 3 eyes of 3 patients with moderate keratoconus undergoing accelaretad crosslinking with the C-Eye (Emagine) device. Schwind’s Foresight software was used to predict the change of the same cornea’s HO RMS and thus design the most appropriate ablation pattern by modulating basic curvature and asphericity according to the clipped topography ablation design principles and prespecified cut-off values depth values in prespecified corneal points.",
        "Results": "The novel TransPRK Clipped topography guided treatment protocol was performed in 3 eyes of 3 patients with stage II/III (moderate) keratoconus. We present here the pre and post treatment topographies and compare them with the prediction model (Foresight Softaware) and also compare the obtained clipped topo results with the predicted results the conventional treatment protocols with a 5,5 OZ (with the same platform) would have obtained on the same corneas as predicted with the same software.",
        "Conclusions": "Discussion: Prediction of the outcome of intentionally undertreated complex surface ablations is now\n\npossible with the Schwind’s Foresight. The Clipped topography software is a valuable tool to obtain clinically useful topographic improvements in moderate keratoconus undergoing \"clipped topography guided\" (gradient) crosslinking These early results suggest that limbus to limbus clipped topography ablations appear to produce superior results to small OZ conventional topography guided Ablations with the same platform."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Discussion: Prediction of the outcome of intentionally undertreated complex surface ablations is now possible with the Schwind’s Foresight. The Clipped topography software is a valuable tool to obtain clinically useful topographic improvements in moderate keratoconus undergoing \"clipped topography guided\" (gradient) crosslinking These early results suggest that limbus to limbus clipped topography ablations appear…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1598,
      "source_fields": {
        "Abstract Final Identifier": "POREF216",
        "Title": "Limbus To Limbus None Circular Optical Zone Surface Ablations For Moderate Keratoconus Based On Clipped Topographical Data",
        "Presenting Author(s)": "Dr Anastasios Charonis",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Anastasios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Charonis",
        "Country Name": "Greece",
        "Purpose": "To Verify whether minimal depth and volume surface ablations, with intentionally skipped undertreated/untreated areas within the largest possible Optical Zone (limbus to imbus “clipped”topography guided ablations), actually fair compareable HO-RMS reductions with much deeper traditional topo guided ablations as much as predicted by the Foresight Schwind’s Software.",
        "Setting": "Athensvision Eye Center, Athens, Greece",
        "Methods": "A proprietary software (Schwind’s Clipped Topography Software) was used to design minimal depth ablations with intentionally undertreated/untreated areas within the nominal very large OZ in 3 eyes of 3 patients with moderate keratoconus undergoing accelaretad crosslinking with the C-Eye (Emagine) device. Schwind’s Foresight software was used to predict the change of the same cornea’s HO RMS and thus design the most appropriate ablation pattern by modulating basic curvature and asphericity according to the clipped topography ablation design principles and prespecified cut-off values depth values in prespecified corneal points.",
        "Results": "The novel TransPRK Clipped topography guided treatment protocol was performed in 3 eyes of 3 patients with stage II/III (moderate) keratoconus. We present here the pre and post treatment topographies and compare them with the prediction model (Foresight Softaware) and also compare the obtained clipped topo results with the predicted results the conventional treatment protocols with a 5,5 OZ (with the same platform) would have obtained on the same corneas as predicted with the same software.",
        "Conclusions": "Discussion: Prediction of the outcome of intentionally undertreated complex surface ablations is now\n\npossible with the Schwind’s Foresight. The Clipped topography software is a valuable tool to obtain clinically useful topographic improvements in moderate keratoconus undergoing \"clipped topography guided\" (gradient) crosslinking These early results suggest that limbus to limbus clipped topography ablations appear to produce superior results to small OZ conventional topography guided Ablations with the same platform."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "POREF217",
      "abstract_number": "POREF217",
      "title": "Clinical Outcomes After Transepithelial Photorefractive Keratectomy (Tprk) With Adjunctive Local Insulin Therapy",
      "authors": "Dr Byunghoon Chung",
      "presenter": "Dr Byunghoon Chung",
      "normalized_authors": [
        "Byunghoon Chung"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Byunghoon Chung",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "This retrospective study compared clinical outcomes after transepithelial photorefractive keratectomy (TPRK) between standard therapy and adjunctive insulin therapy groups.",
        "Setting": "Eyereum Eye Clinic, Seoul, Republic of Korea",
        "Methods": "Cases were matched using a propensity score including preoperative manifest refraction sphere, cylinder, spherical equivalent (SEQ), total ablation zone (TAZ), central corneal thickness (CCT) and white-to-white (WTW). Days needed to take off the bandage contact lens, postoperative 3-month uncorrected and corrected distance visual acuity, manifest refraction spherical equivalent and induction of corneal higher-order aberrations (HOA) were evaluated. Topical insulin treatment included instillation of 50 IU/mL insulin four times daily.",
        "Results": "A total of 50 eyes, 25 eyes for each group, were included. Preoperative demographics including sphere, cylinder, SEQ, TAZ, CCT, and WTW were well matched between the standard and insulin groups. Mean duration for full epithelial healing was 4.8 ± 1.2 and 2.7 ± 1.3 days for the standard and insulin groups, respectively. At 3 months, there were no statistically significant differences between the two groups in visual acuity, refractive error, and corneal HOA induction. There was no adverse effect of adjunctive topical insulin treatment.",
        "Conclusions": "Adjunctive insulin treatment after TPRK showed accelerated epithelial healing without adverse effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Adjunctive insulin treatment after TPRK showed accelerated epithelial healing without adverse effects.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1599,
      "source_fields": {
        "Abstract Final Identifier": "POREF217",
        "Title": "Clinical Outcomes After Transepithelial Photorefractive Keratectomy (Tprk) With Adjunctive Local Insulin Therapy",
        "Presenting Author(s)": "Dr Byunghoon Chung",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Byunghoon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chung",
        "Country Name": "Korea, Republic Of",
        "Purpose": "This retrospective study compared clinical outcomes after transepithelial photorefractive keratectomy (TPRK) between standard therapy and adjunctive insulin therapy groups.",
        "Setting": "Eyereum Eye Clinic, Seoul, Republic of Korea",
        "Methods": "Cases were matched using a propensity score including preoperative manifest refraction sphere, cylinder, spherical equivalent (SEQ), total ablation zone (TAZ), central corneal thickness (CCT) and white-to-white (WTW). Days needed to take off the bandage contact lens, postoperative 3-month uncorrected and corrected distance visual acuity, manifest refraction spherical equivalent and induction of corneal higher-order aberrations (HOA) were evaluated. Topical insulin treatment included instillation of 50 IU/mL insulin four times daily.",
        "Results": "A total of 50 eyes, 25 eyes for each group, were included. Preoperative demographics including sphere, cylinder, SEQ, TAZ, CCT, and WTW were well matched between the standard and insulin groups. Mean duration for full epithelial healing was 4.8 ± 1.2 and 2.7 ± 1.3 days for the standard and insulin groups, respectively. At 3 months, there were no statistically significant differences between the two groups in visual acuity, refractive error, and corneal HOA induction. There was no adverse effect of adjunctive topical insulin treatment.",
        "Conclusions": "Adjunctive insulin treatment after TPRK showed accelerated epithelial healing without adverse effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "POREF218",
      "abstract_number": "POREF218",
      "title": "6-Month Clinical Outcomes Of Ocular Wavefront-Guided Transepithelial Photorefractive Keratectomy (Ow-Tprk)",
      "authors": "Dr Byunghoon Chung",
      "presenter": "Dr Byunghoon Chung",
      "normalized_authors": [
        "Byunghoon Chung"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Byunghoon Chung",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "This retrospective case series investigated 6-month postoperative visual and refractive outcomes after ocular wavefront-guided transepithelial photorefractive keratectomy (OW-TPRK).",
        "Setting": "Eyereum Eye Clinic, Seoul, Republic of Korea.",
        "Methods": "Medical records of patients who underwent OW-TPRK were reviewed. Postoperative evaluations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), postoperative manifest refraction spherical equivalent (MRSE), corneal higher-order aberrations (HOA) and ocular HOAs.",
        "Results": "A total of 82 eyes were included. Mean logMAR UDVA and CDVA were -0.02 ± 0.09 and -0.04 ± 0.03, respectively. Mean MRSE was +0.12 ± 0.15 diopters (D), and 99% of eyes were within ± 0.5 D regarding postoperative MRSE. Mean induced corneal coma, spherical equivalent and total HOA in root-mean-square (RMS) were 0.15 ± 0.23 µm, 0.24 ± 0.25 µm and 0.25 ± 0.36 µm. Mean induced ocular coma, spherical equivalent and total HOA RMS were 0.09 ± 0.20 µm, 0.20 ± 0.24 µm, and 0.22 ± 0.26 µm. No eye lost any Snellen line of CDVA after the surgery.",
        "Conclusions": "OW-TPRK showed effective and safe results 6 months after the surgery. It also showed clinically noticeable results in terms of ocular as well as corneal aberration induction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "OW-TPRK showed effective and safe results 6 months after the surgery. It also showed clinically noticeable results in terms of ocular as well as corneal aberration induction.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1600,
      "source_fields": {
        "Abstract Final Identifier": "POREF218",
        "Title": "6-Month Clinical Outcomes Of Ocular Wavefront-Guided Transepithelial Photorefractive Keratectomy (Ow-Tprk)",
        "Presenting Author(s)": "Dr Byunghoon Chung",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Byunghoon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chung",
        "Country Name": "Korea, Republic Of",
        "Purpose": "This retrospective case series investigated 6-month postoperative visual and refractive outcomes after ocular wavefront-guided transepithelial photorefractive keratectomy (OW-TPRK).",
        "Setting": "Eyereum Eye Clinic, Seoul, Republic of Korea.",
        "Methods": "Medical records of patients who underwent OW-TPRK were reviewed. Postoperative evaluations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), postoperative manifest refraction spherical equivalent (MRSE), corneal higher-order aberrations (HOA) and ocular HOAs.",
        "Results": "A total of 82 eyes were included. Mean logMAR UDVA and CDVA were -0.02 ± 0.09 and -0.04 ± 0.03, respectively. Mean MRSE was +0.12 ± 0.15 diopters (D), and 99% of eyes were within ± 0.5 D regarding postoperative MRSE. Mean induced corneal coma, spherical equivalent and total HOA in root-mean-square (RMS) were 0.15 ± 0.23 µm, 0.24 ± 0.25 µm and 0.25 ± 0.36 µm. Mean induced ocular coma, spherical equivalent and total HOA RMS were 0.09 ± 0.20 µm, 0.20 ± 0.24 µm, and 0.22 ± 0.26 µm. No eye lost any Snellen line of CDVA after the surgery.",
        "Conclusions": "OW-TPRK showed effective and safe results 6 months after the surgery. It also showed clinically noticeable results in terms of ocular as well as corneal aberration induction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 198
    },
    {
      "uid": "POREF219",
      "abstract_number": "POREF219",
      "title": "Crystalline Dystrophy Treated With Phototherapeutic Keratectomy",
      "authors": "Dr Melania Cigales",
      "presenter": "Dr Melania Cigales",
      "normalized_authors": [
        "Melania Cigales"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melania Cigales",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To present one patient with corneal crystalline dystrophy and a decrease in vision treated with Phototherapeutic Keratectomy (PTK).",
        "Setting": "Instituto Oftalmologico Hoyos. Barcelona (Spain)",
        "Methods": "35-year-old male patient with a diagnosis of crystalline dystrophy when he was a child. Throughout 20 years of follow up, he maintained 20/20 vision and a refraction of +3.75 –3.75x10º in the right eye (RE) and +3.00-3.00x160º in the left eye (LE). Both eyes developed an increase of astigmatism and a decrease in the best corrected vision, and we decided to treat them with excimer laser by performing PTK. We measured the opacity´s thickness with corneal OCT to calculate the ablation, performing 50 microns of epithelial ablation followed by 50 microns of stromal ablation. Mitomycin C 0.02% was applied for 30 seconds. Finally we prescribed antibiotic/steroid eye drops, artificial tears and a bandage with therapeutic contact lens for 3-5 days.",
        "Results": "The treatment of this crystalline dystrophy with PTK resulted in a transparent cornea and without haze. This patient recovered his best corrected vision of 20/20 with a refraction of + 1.5 – 4.00x10º in the RE and +1.5 -4.00x160º in the LE, and remains stable after 4 years.",
        "Conclusions": "PTK is a good treatment for crystalline dystrophy and corneal OCT helps us to calculate the ablation. The treatment has a myopic shift in the final refraction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PTK is a good treatment for crystalline dystrophy and corneal OCT helps us to calculate the ablation. The treatment has a myopic shift in the final refraction.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1601,
      "source_fields": {
        "Abstract Final Identifier": "POREF219",
        "Title": "Crystalline Dystrophy Treated With Phototherapeutic Keratectomy",
        "Presenting Author(s)": "Dr Melania Cigales",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Melania",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cigales",
        "Country Name": "Spain",
        "Purpose": "To present one patient with corneal crystalline dystrophy and a decrease in vision treated with Phototherapeutic Keratectomy (PTK).",
        "Setting": "Instituto Oftalmologico Hoyos. Barcelona (Spain)",
        "Methods": "35-year-old male patient with a diagnosis of crystalline dystrophy when he was a child. Throughout 20 years of follow up, he maintained 20/20 vision and a refraction of +3.75 –3.75x10º in the right eye (RE) and +3.00-3.00x160º in the left eye (LE). Both eyes developed an increase of astigmatism and a decrease in the best corrected vision, and we decided to treat them with excimer laser by performing PTK. We measured the opacity´s thickness with corneal OCT to calculate the ablation, performing 50 microns of epithelial ablation followed by 50 microns of stromal ablation. Mitomycin C 0.02% was applied for 30 seconds. Finally we prescribed antibiotic/steroid eye drops, artificial tears and a bandage with therapeutic contact lens for 3-5 days.",
        "Results": "The treatment of this crystalline dystrophy with PTK resulted in a transparent cornea and without haze. This patient recovered his best corrected vision of 20/20 with a refraction of + 1.5 – 4.00x10º in the RE and +1.5 -4.00x160º in the LE, and remains stable after 4 years.",
        "Conclusions": "PTK is a good treatment for crystalline dystrophy and corneal OCT helps us to calculate the ablation. The treatment has a myopic shift in the final refraction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "POREF220",
      "abstract_number": "POREF220",
      "title": "Prk In Suspected Corneas: 24-Year-Follow-Up",
      "authors": "Dr Maria Jose Cosentino",
      "presenter": "Dr Maria Jose Cosentino",
      "normalized_authors": [
        "Maria Jose Cosentino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Jose Cosentino",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate the long-term effectiveness and safety of photorefractive keratectomy (PRK) with excimer laser in suspected keratoconus corneas.",
        "Setting": "Instituto de la Vision, Buenos Aires, Argentina",
        "Methods": "Eighty-two eyes of forty-four patients with suspected keratoconus corneas (44% female; 56% male) were analyzed. All underwent PRK with the following excimer lasers: Technolas 217z ( Bausch & Lomb, Munich, Germany) and WaveLight EX500 (Alcon, Ulm, Germany). Mean follow-up was 17.2 ± 4.7 years, with a maximum of 24 years. Mean age at surgery was 35.0 ± 3.1 years. Corneal topographies were obtained using Orbscan II (Bausch & Lomb, Rochester, NY, USA).\n\nStatistical Analysis: Descriptive statistics were performed. Pre- and postoperative outcomes were compared using paired tests, and longitudinal changes were assessed with repeated-measures analysis. A p value <0.05 was considered significant.",
        "Results": "Preoperatively, mean spherical equivalent (SE) was −3.65 ± 1.22 D, cylinder −1.53 ± 0.52 D, and best spectacle-corrected visual acuity (BSCVA) 0.81 ± 0.19. At last follow-up, mean SE was −0.45 ± 0.44 D, cylinder −0.42 ± 0.35 D, and BSCVA 0.84 ± 0.22. Postoperative uncorrected visual acuity averaged 0.77 ± 0.13. Refraction remained stable throughout follow-up. We also analyzed gains and losses in BSCVA and keratometric evolution.",
        "Conclusions": "Photorefractive keratectomy with excimer laser in suspected keratoconus corneas appears to be an effective and safe procedure, providing stable visual and refractive outcomes over very long-term follow-up (up to 24 years)."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Photorefractive keratectomy with excimer laser in suspected keratoconus corneas appears to be an effective and safe procedure, providing stable visual and refractive outcomes over very long-term follow-up (up to 24 years).",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1602,
      "source_fields": {
        "Abstract Final Identifier": "POREF220",
        "Title": "Prk In Suspected Corneas: 24-Year-Follow-Up",
        "Presenting Author(s)": "Dr Maria Jose Cosentino",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Maria Jose",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cosentino",
        "Country Name": "Argentina",
        "Purpose": "To evaluate the long-term effectiveness and safety of photorefractive keratectomy (PRK) with excimer laser in suspected keratoconus corneas.",
        "Setting": "Instituto de la Vision, Buenos Aires, Argentina",
        "Methods": "Eighty-two eyes of forty-four patients with suspected keratoconus corneas (44% female; 56% male) were analyzed. All underwent PRK with the following excimer lasers: Technolas 217z ( Bausch & Lomb, Munich, Germany) and WaveLight EX500 (Alcon, Ulm, Germany). Mean follow-up was 17.2 ± 4.7 years, with a maximum of 24 years. Mean age at surgery was 35.0 ± 3.1 years. Corneal topographies were obtained using Orbscan II (Bausch & Lomb, Rochester, NY, USA).\n\nStatistical Analysis: Descriptive statistics were performed. Pre- and postoperative outcomes were compared using paired tests, and longitudinal changes were assessed with repeated-measures analysis. A p value <0.05 was considered significant.",
        "Results": "Preoperatively, mean spherical equivalent (SE) was −3.65 ± 1.22 D, cylinder −1.53 ± 0.52 D, and best spectacle-corrected visual acuity (BSCVA) 0.81 ± 0.19. At last follow-up, mean SE was −0.45 ± 0.44 D, cylinder −0.42 ± 0.35 D, and BSCVA 0.84 ± 0.22. Postoperative uncorrected visual acuity averaged 0.77 ± 0.13. Refraction remained stable throughout follow-up. We also analyzed gains and losses in BSCVA and keratometric evolution.",
        "Conclusions": "Photorefractive keratectomy with excimer laser in suspected keratoconus corneas appears to be an effective and safe procedure, providing stable visual and refractive outcomes over very long-term follow-up (up to 24 years)."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "POREF221",
      "abstract_number": "POREF221",
      "title": "Is Cycloplegia Always Necessary In Transepithelial Prk Planning? Evaluation Of The Clinical Reliability Of Habitual Eyeglass Prescription",
      "authors": "Dr Betul Dumlu",
      "presenter": "Dr Betul Dumlu",
      "normalized_authors": [
        "Betul Dumlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Betul Dumlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare different preoperative refraction measurement methods and to evaluate the reliability of the habitual eyeglass prescription (EP) as a reference value in preoperative assessment of patients with low-to-moderate myopia undergoing transepithelial photorefractive keratectomy (TransPRK).",
        "Setting": "Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey",
        "Methods": "Medical records of 45 patients (90 eyes) who underwent TransPRK between 2024 and 2025 were reviewed retrospectively. Preoperative autorefraction (AR), cycloplegic autorefraction (CAR), subjective refraction (SR), and eyeglass prescription (EP) were recorded and analyzed as spherical equivalent (SE). Only patients with stable refraction for ≥6 months and active eyeglass use were included; regular contact lens users or those alternating between glasses and contact lenses were excluded. Repeated measures ANOVA with Bonferroni correction, intraclass correlation coefficient (ICC), and Bland–Altman analyses were performed.",
        "Results": "Mean preoperative SE values were −2.85±0.72 D (AR), −2.46±0.69 D (CAR), −2.64±0.63 D (SR), and −2.45±0.64 D (EP). Significant differences were found among the four methods (F(3,267)=45.17, p<0.001). No significant difference was observed between CAR and EP (p>0.05). ICC analysis showed the highest agreement between SR and CAR (ICC=0.93), followed by SR and EP (ICC=0.86). Bland–Altman analysis revealed the narrowest limits of agreement between CAR and SR (−0.30 to +0.67 D) and similar consistency for EP (−0.46 to +0.85 D). At postoperative month 1, mean SE was −0.14 ± 0.48 D, indicating high refractive predictability.",
        "Conclusions": "The habitual eyeglass prescription demonstrated good agreement with subjective refraction and comparable accuracy to cycloplegic autorefraction. In patients with stable myopia and consistent eyeglass use, the eyeglass prescription may serve as a clinically reliable reference for preoperative refraction assessment before TransPRK, offering a practical and time-efficient strategy for surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The habitual eyeglass prescription demonstrated good agreement with subjective refraction and comparable accuracy to cycloplegic autorefraction. In patients with stable myopia and consistent eyeglass use, the eyeglass prescription may serve as a clinically reliable reference for preoperative refraction assessment before TransPRK, offering a practical and time-efficient strategy for surgical planning.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1603,
      "source_fields": {
        "Abstract Final Identifier": "POREF221",
        "Title": "Is Cycloplegia Always Necessary In Transepithelial Prk Planning? Evaluation Of The Clinical Reliability Of Habitual Eyeglass Prescription",
        "Presenting Author(s)": "Dr Betul Dumlu",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Betul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dumlu",
        "Country Name": "Türkiye",
        "Purpose": "To compare different preoperative refraction measurement methods and to evaluate the reliability of the habitual eyeglass prescription (EP) as a reference value in preoperative assessment of patients with low-to-moderate myopia undergoing transepithelial photorefractive keratectomy (TransPRK).",
        "Setting": "Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey",
        "Methods": "Medical records of 45 patients (90 eyes) who underwent TransPRK between 2024 and 2025 were reviewed retrospectively. Preoperative autorefraction (AR), cycloplegic autorefraction (CAR), subjective refraction (SR), and eyeglass prescription (EP) were recorded and analyzed as spherical equivalent (SE). Only patients with stable refraction for ≥6 months and active eyeglass use were included; regular contact lens users or those alternating between glasses and contact lenses were excluded. Repeated measures ANOVA with Bonferroni correction, intraclass correlation coefficient (ICC), and Bland–Altman analyses were performed.",
        "Results": "Mean preoperative SE values were −2.85±0.72 D (AR), −2.46±0.69 D (CAR), −2.64±0.63 D (SR), and −2.45±0.64 D (EP). Significant differences were found among the four methods (F(3,267)=45.17, p<0.001). No significant difference was observed between CAR and EP (p>0.05). ICC analysis showed the highest agreement between SR and CAR (ICC=0.93), followed by SR and EP (ICC=0.86). Bland–Altman analysis revealed the narrowest limits of agreement between CAR and SR (−0.30 to +0.67 D) and similar consistency for EP (−0.46 to +0.85 D). At postoperative month 1, mean SE was −0.14 ± 0.48 D, indicating high refractive predictability.",
        "Conclusions": "The habitual eyeglass prescription demonstrated good agreement with subjective refraction and comparable accuracy to cycloplegic autorefraction. In patients with stable myopia and consistent eyeglass use, the eyeglass prescription may serve as a clinically reliable reference for preoperative refraction assessment before TransPRK, offering a practical and time-efficient strategy for surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "POREF223",
      "abstract_number": "POREF223",
      "title": "Topography-Guided Phototherapeutic Keratectomy (Tg-Ptk) For The Management Of Irregular\nCornea Secondary To Acanthamoeba Keratitis",
      "authors": "Dr Ana Hervás Ontiveros",
      "presenter": "Dr Ana Hervás Ontiveros",
      "normalized_authors": [
        "Ana Hervás Ontiveros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Hervás Ontiveros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To assess the safety, refractive stability, and optical outcomes of transepithelial topography-guided\n\nphototherapeutic keratectomy (Te-TG-PTK) performed using the TENEO 317 excimer laser platform\n\n(Bausch & Lomb, Technolas Perfect Vision GmbH, Munich, Germany) with the new OCTAVIUS®\n\ntopography-guided ablation algorithm, for the treatment of corneal opacities and irregular\n\nastigmatism secondary to Acanthamoeba keratitis.",
        "Setting": "The study was done at Avanza Clinic and Onface Clinic (Valencia, Spain)",
        "Methods": "A prospective interventional study was conducted including 12 patients undergoing TE-TG-PTK with\n\nadjunctive Mitomycin C 0.02% for corneal leucomas following resolved Acanthamoeba keratitis.\n\nPre- and 3-months postoperative evaluations included best-corrected distance visual acuity\n\n(BCDVA), manifest refraction (sphere and cylinder), and corneal higher-order aberrations (HOAs)\n\nmeasured by corneal topography in the 5-mm central diameter",
        "Results": "Postoperative assessments demonstrated a improvement in BCDVA in all patients\n\nincluded in the study (logMAR 0.6 ± 0.2 to log MAR 0.1 ± 0.2; p < .001). Overall, 75% of eyes\n\ngained two or more lines of BCDVA and 47% gained 3 or more lines. Both spherical (+1.75 ± 0.48 D\n\nto +0.50 ± 0.42 D; p < .05) and cylindrical (-3.75 ± 1.07 D to -0.75 ± 0.52 D; p < .001) refractive\n\nerrors showed statistically significant reductions compared to baseline. Total corneal HOAs RMS\n\n(0.99 ± 0.61 µm to 0.54 ± 0.33 µm; p < .001) and coma-like RMS (0.65 ± 0.39 µm to 0.1 ± 0.23 µm;\n\np < .001) exhibited a significant reduction in RMS suggesting an improvement in optical quality.",
        "Conclusions": "TE-TG-PTK combined with MMC 0,02% using the TENEO 317 excimer laser platform with the new\n\nOCTAVIUS® topography-guided ablation algorithm provided significant and stable improvements in\n\noptical outcomes and refractive stability in eyes with irregular astigmatism due Acanthamoeba\n\nkeratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TE-TG-PTK combined with MMC 0,02% using the TENEO 317 excimer laser platform with the new OCTAVIUS® topography-guided ablation algorithm provided significant and stable improvements in optical outcomes and refractive stability in eyes with irregular astigmatism due Acanthamoeba keratitis.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1604,
      "source_fields": {
        "Abstract Final Identifier": "POREF223",
        "Title": "Topography-Guided Phototherapeutic Keratectomy (Tg-Ptk) For The Management Of Irregular\nCornea Secondary To Acanthamoeba Keratitis",
        "Presenting Author(s)": "Dr Ana Hervás Ontiveros",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Ana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hervás Ontiveros",
        "Country Name": "Spain",
        "Purpose": "To assess the safety, refractive stability, and optical outcomes of transepithelial topography-guided\n\nphototherapeutic keratectomy (Te-TG-PTK) performed using the TENEO 317 excimer laser platform\n\n(Bausch & Lomb, Technolas Perfect Vision GmbH, Munich, Germany) with the new OCTAVIUS®\n\ntopography-guided ablation algorithm, for the treatment of corneal opacities and irregular\n\nastigmatism secondary to Acanthamoeba keratitis.",
        "Setting": "The study was done at Avanza Clinic and Onface Clinic (Valencia, Spain)",
        "Methods": "A prospective interventional study was conducted including 12 patients undergoing TE-TG-PTK with\n\nadjunctive Mitomycin C 0.02% for corneal leucomas following resolved Acanthamoeba keratitis.\n\nPre- and 3-months postoperative evaluations included best-corrected distance visual acuity\n\n(BCDVA), manifest refraction (sphere and cylinder), and corneal higher-order aberrations (HOAs)\n\nmeasured by corneal topography in the 5-mm central diameter",
        "Results": "Postoperative assessments demonstrated a improvement in BCDVA in all patients\n\nincluded in the study (logMAR 0.6 ± 0.2 to log MAR 0.1 ± 0.2; p < .001). Overall, 75% of eyes\n\ngained two or more lines of BCDVA and 47% gained 3 or more lines. Both spherical (+1.75 ± 0.48 D\n\nto +0.50 ± 0.42 D; p < .05) and cylindrical (-3.75 ± 1.07 D to -0.75 ± 0.52 D; p < .001) refractive\n\nerrors showed statistically significant reductions compared to baseline. Total corneal HOAs RMS\n\n(0.99 ± 0.61 µm to 0.54 ± 0.33 µm; p < .001) and coma-like RMS (0.65 ± 0.39 µm to 0.1 ± 0.23 µm;\n\np < .001) exhibited a significant reduction in RMS suggesting an improvement in optical quality.",
        "Conclusions": "TE-TG-PTK combined with MMC 0,02% using the TENEO 317 excimer laser platform with the new\n\nOCTAVIUS® topography-guided ablation algorithm provided significant and stable improvements in\n\noptical outcomes and refractive stability in eyes with irregular astigmatism due Acanthamoeba\n\nkeratitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "POREF224",
      "abstract_number": "POREF224",
      "title": "Long-Term Visual Outcomes, Corneal Stability, And Haze Formation After Prk, Prk With Cross-Linking, And Transepithelial Prk With Cross-Linking In Eyes With Suspected Keratoconus",
      "authors": "Dr Mehmet Kaan Kaya",
      "presenter": "Dr Mehmet Kaan Kaya",
      "normalized_authors": [
        "Mehmet Kaan Kaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Kaan Kaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare long-term visual outcomes, corneal stability, and procedure-related complications following photorefractive keratectomy (PRK), PRK combined with corneal collagen cross-linking (PRK+CXL), and transepithelial PRK combined with cross-linking (Trans-PRK+CXL) in eyes with suspected keratoconus.",
        "Setting": "Single tertiary referral eye centre.",
        "Methods": "This retrospective comparative study analysed eyes with suspected keratoconus that underwent PRK, PRK+CXL, or Trans-PRK+CXL at a single tertiary referral centre. Long-term clinical outcomes were evaluated with particular emphasis on uncorrected and corrected distance visual acuity, refractive and topographic stability, signs of ectatic progression, and postoperative corneal haze formation. All procedures were performed using standardised surgical protocols and patients were followed longitudinally.",
        "Results": "All three surface ablation techniques achieved meaningful and sustained improvements in visual acuity over long-term follow-up. Procedures incorporating corneal cross-linking demonstrated greater corneal stability and a lower tendency toward ectatic progression compared with PRK alone. Visual and refractive outcomes were broadly comparable between PRK and Trans-PRK combined with cross-linking. However, the addition of cross-linking to conventional PRK was associated with a higher incidence of postoperative corneal haze, whereas transepithelial PRK combined with cross-linking showed a more favourable balance between corneal stability and haze formation.",
        "Conclusions": "In eyes with suspected keratoconus, surface ablation procedures can provide satisfactory long-term visual outcomes when careful patient selection is applied. The addition of corneal cross-linking enhances long-term corneal stability but may increase the risk of postoperative haze, particularly when combined with conventional PRK. Transepithelial PRK combined with cross-linking may represent a balanced surgical approach, maintaining visual performance while offering biomechanical reinforcement. These findings support an individualised strategy when selecting refractive procedures for eyes at potential biomechanical risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with suspected keratoconus, surface ablation procedures can provide satisfactory long-term visual outcomes when careful patient selection is applied. The addition of corneal cross-linking enhances long-term corneal stability but may increase the risk of postoperative haze, particularly when combined with conventional PRK. Transepithelial PRK combined with cross-linking may represent a balanced surgical…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1605,
      "source_fields": {
        "Abstract Final Identifier": "POREF224",
        "Title": "Long-Term Visual Outcomes, Corneal Stability, And Haze Formation After Prk, Prk With Cross-Linking, And Transepithelial Prk With Cross-Linking In Eyes With Suspected Keratoconus",
        "Presenting Author(s)": "Dr Mehmet Kaan Kaya",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Mehmet",
        "Submitter Middle Name": "Kaan",
        "Submitter Last Name": "Kaya",
        "Country Name": "Türkiye",
        "Purpose": "To compare long-term visual outcomes, corneal stability, and procedure-related complications following photorefractive keratectomy (PRK), PRK combined with corneal collagen cross-linking (PRK+CXL), and transepithelial PRK combined with cross-linking (Trans-PRK+CXL) in eyes with suspected keratoconus.",
        "Setting": "Single tertiary referral eye centre.",
        "Methods": "This retrospective comparative study analysed eyes with suspected keratoconus that underwent PRK, PRK+CXL, or Trans-PRK+CXL at a single tertiary referral centre. Long-term clinical outcomes were evaluated with particular emphasis on uncorrected and corrected distance visual acuity, refractive and topographic stability, signs of ectatic progression, and postoperative corneal haze formation. All procedures were performed using standardised surgical protocols and patients were followed longitudinally.",
        "Results": "All three surface ablation techniques achieved meaningful and sustained improvements in visual acuity over long-term follow-up. Procedures incorporating corneal cross-linking demonstrated greater corneal stability and a lower tendency toward ectatic progression compared with PRK alone. Visual and refractive outcomes were broadly comparable between PRK and Trans-PRK combined with cross-linking. However, the addition of cross-linking to conventional PRK was associated with a higher incidence of postoperative corneal haze, whereas transepithelial PRK combined with cross-linking showed a more favourable balance between corneal stability and haze formation.",
        "Conclusions": "In eyes with suspected keratoconus, surface ablation procedures can provide satisfactory long-term visual outcomes when careful patient selection is applied. The addition of corneal cross-linking enhances long-term corneal stability but may increase the risk of postoperative haze, particularly when combined with conventional PRK. Transepithelial PRK combined with cross-linking may represent a balanced surgical approach, maintaining visual performance while offering biomechanical reinforcement. These findings support an individualised strategy when selecting refractive procedures for eyes at potential biomechanical risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "POREF225",
      "abstract_number": "POREF225",
      "title": "Biologically Assisted Refractive Surgery: The Role Of Dehydrated Amniotic Membrane And Locally Prepared Platelet Rich Plasma Trans-Prk/ Prk And Icl.",
      "authors": "A/Prof. Mehdi Khamaily",
      "presenter": "A/Prof. Mehdi Khamaily",
      "normalized_authors": [
        "Mehdi Khamaily"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehdi Khamaily",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "The Role of Dehydrated Amniotic Membrane and Locally Prepared Platelet-Rich Plasma in Trans-PRK/PRK and ICL.",
        "Setting": "To evaluate the impact of biologically assisted strategies, including dehydrated amniotic membrane (Amniotek®) and locally prepared platelet-rich plasma (PRP), on visual recovery, ocular surface stability, and patient comfort following Trans-PRK/PRK and Implantable Collamer Lens (ICL) surgery.",
        "Methods": "This prospective comparative study included 60 patients, comprising 35 patients undergoing Trans-PRK/PRK and 25 patients undergoing ICL implantation. In the biologically assisted group, Trans-PRK/PRK patients received postoperative application of a dehydrated amniotic membrane combined with locally prepared PRP, while ICL patients underwent preoperative ocular surface optimization and short-term postoperative treatment with locally prepared PRP. Outcomes were compared with a standard postoperative management group. Primary outcome measures included time to epithelial healing, uncorrected distance visual acuity (UDVA), postoperative pain, tear break-up time (TBUT), Ocular Surface Disease Index (OSDI), and patient satisfaction.",
        "Results": "In the Trans-PRK/PRK cohort, biologically assisted management resulted in faster epithelial healing, reduced postoperative pain, and earlier visual recovery compared with standard care. A lower incidence of corneal haze and improved ocular surface stability were observed during follow-up.\n\nIn the ICL cohort, patients receiving PRP-based ocular surface optimization reported improved postoperative comfort, better subjective visual quality, and fewer dry eye symptoms, despite comparable refractive accuracy between groups.",
        "Conclusions": "The integration of dehydrated amniotic membrane and locally prepared PRP into refractive surgery protocols enhances early visual recovery, ocular surface stability, and patient comfort after Trans-PRK/PRK and ICL procedures. Biologically assisted refractive surgery represents a practical and reproducible strategy to optimize functional outcomes beyond refractive precision alone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The integration of dehydrated amniotic membrane and locally prepared PRP into refractive surgery protocols enhances early visual recovery, ocular surface stability, and patient comfort after Trans-PRK/PRK and ICL procedures. Biologically assisted refractive surgery represents a practical and reproducible strategy to optimize functional outcomes beyond refractive precision alone.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1606,
      "source_fields": {
        "Abstract Final Identifier": "POREF225",
        "Title": "Biologically Assisted Refractive Surgery: The Role Of Dehydrated Amniotic Membrane And Locally Prepared Platelet Rich Plasma Trans-Prk/ Prk And Icl.",
        "Presenting Author(s)": "A/Prof. Mehdi Khamaily",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Mehdi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khamaily",
        "Country Name": "Morocco",
        "Purpose": "The Role of Dehydrated Amniotic Membrane and Locally Prepared Platelet-Rich Plasma in Trans-PRK/PRK and ICL.",
        "Setting": "To evaluate the impact of biologically assisted strategies, including dehydrated amniotic membrane (Amniotek®) and locally prepared platelet-rich plasma (PRP), on visual recovery, ocular surface stability, and patient comfort following Trans-PRK/PRK and Implantable Collamer Lens (ICL) surgery.",
        "Methods": "This prospective comparative study included 60 patients, comprising 35 patients undergoing Trans-PRK/PRK and 25 patients undergoing ICL implantation. In the biologically assisted group, Trans-PRK/PRK patients received postoperative application of a dehydrated amniotic membrane combined with locally prepared PRP, while ICL patients underwent preoperative ocular surface optimization and short-term postoperative treatment with locally prepared PRP. Outcomes were compared with a standard postoperative management group. Primary outcome measures included time to epithelial healing, uncorrected distance visual acuity (UDVA), postoperative pain, tear break-up time (TBUT), Ocular Surface Disease Index (OSDI), and patient satisfaction.",
        "Results": "In the Trans-PRK/PRK cohort, biologically assisted management resulted in faster epithelial healing, reduced postoperative pain, and earlier visual recovery compared with standard care. A lower incidence of corneal haze and improved ocular surface stability were observed during follow-up.\n\nIn the ICL cohort, patients receiving PRP-based ocular surface optimization reported improved postoperative comfort, better subjective visual quality, and fewer dry eye symptoms, despite comparable refractive accuracy between groups.",
        "Conclusions": "The integration of dehydrated amniotic membrane and locally prepared PRP into refractive surgery protocols enhances early visual recovery, ocular surface stability, and patient comfort after Trans-PRK/PRK and ICL procedures. Biologically assisted refractive surgery represents a practical and reproducible strategy to optimize functional outcomes beyond refractive precision alone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "POREF226",
      "abstract_number": "POREF226",
      "title": "Differential Effects Of Klex,Fs-Lasik,And T-Prk On The Effective Optical Zone And Higher Order Aberrations In Eyes With High Astigmatism",
      "authors": "Dr Ke xin Li",
      "presenter": "Dr Ke xin Li",
      "normalized_authors": [
        "Ke xin Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ke xin Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the effective optical zone (EOZ) and higher order aberrations (HOAs) induction among small incision lenticule extraction (SMILE), femtosecond laser-assisted LASIK (FS-LASIK), and transepithelial photorefractive keratectomy (T-PRK) in eyes with high astigmatism, and to evaluate the associations between EOZ and HOAs induction.",
        "Setting": "This was a retrospective, comparative, non-randomized study. The research was conducted at the Department of Ophthalmology, Wenzhou Medical University Eye Hospital. The study protocol was approved by the Institutional Review Board (IRB) of Wenzhou Medical University Eye Hospital and adhered to the tenets of the Declaration of Helsinki.",
        "Methods": "This retrospective study included 134 patients (156 eyes) who underwent SMILE (42 eyes), FS-LASIK (41 eyes), or T-PRK (73 eyes) for correction of simple or compound myopic astigmatism (≥ 3.00 diopters). EOZ characteristics and HOAs induction were compared among the three surgeries using Scheimpflug imaging at 6 months postoperatively, and their relationships were analyzed.",
        "Results": "The mean postoperative EOZ area was 25.47 ± 4.40 mm² for SMILE, 25.80 ± 3.55 mm² for T-PRK, and 23.98 ± 3.32 mm² for FS-LASIK. The EOZ/POZ (ratio of effective to programmed optical zone area) of T-PRK (0.82 ± 0.07) was larger than that of SMILE (0.76 ± 0.09) and FS-LASIK (0.77 ± 0.07) (P < .001). The EOZ after SMILE was significantly more decentered superiorly and more circular in shape compared to each of the other procedures (P < .05). T-PRK induced less vertical coma than SMILE and FS-LASIK (P < .001). Across all groups, a larger EOZ was associated with reduced induction of total HOA, spherical aberration, and vertical coma induction.",
        "Conclusions": "In the correction of high astigmatism, T-PRK resulted in the highest EOZ/POZ and the least induction of vertical coma, whereas SMILE produced the most circular EOZ and the most superiorly decentered optical zone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the correction of high astigmatism, T-PRK resulted in the highest EOZ/POZ and the least induction of vertical coma, whereas SMILE produced the most circular EOZ and the most superiorly decentered optical zone.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1607,
      "source_fields": {
        "Abstract Final Identifier": "POREF226",
        "Title": "Differential Effects Of Klex,Fs-Lasik,And T-Prk On The Effective Optical Zone And Higher Order Aberrations In Eyes With High Astigmatism",
        "Presenting Author(s)": "Dr Ke xin Li",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Ke",
        "Submitter Middle Name": "xin",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To compare the effective optical zone (EOZ) and higher order aberrations (HOAs) induction among small incision lenticule extraction (SMILE), femtosecond laser-assisted LASIK (FS-LASIK), and transepithelial photorefractive keratectomy (T-PRK) in eyes with high astigmatism, and to evaluate the associations between EOZ and HOAs induction.",
        "Setting": "This was a retrospective, comparative, non-randomized study. The research was conducted at the Department of Ophthalmology, Wenzhou Medical University Eye Hospital. The study protocol was approved by the Institutional Review Board (IRB) of Wenzhou Medical University Eye Hospital and adhered to the tenets of the Declaration of Helsinki.",
        "Methods": "This retrospective study included 134 patients (156 eyes) who underwent SMILE (42 eyes), FS-LASIK (41 eyes), or T-PRK (73 eyes) for correction of simple or compound myopic astigmatism (≥ 3.00 diopters). EOZ characteristics and HOAs induction were compared among the three surgeries using Scheimpflug imaging at 6 months postoperatively, and their relationships were analyzed.",
        "Results": "The mean postoperative EOZ area was 25.47 ± 4.40 mm² for SMILE, 25.80 ± 3.55 mm² for T-PRK, and 23.98 ± 3.32 mm² for FS-LASIK. The EOZ/POZ (ratio of effective to programmed optical zone area) of T-PRK (0.82 ± 0.07) was larger than that of SMILE (0.76 ± 0.09) and FS-LASIK (0.77 ± 0.07) (P < .001). The EOZ after SMILE was significantly more decentered superiorly and more circular in shape compared to each of the other procedures (P < .05). T-PRK induced less vertical coma than SMILE and FS-LASIK (P < .001). Across all groups, a larger EOZ was associated with reduced induction of total HOA, spherical aberration, and vertical coma induction.",
        "Conclusions": "In the correction of high astigmatism, T-PRK resulted in the highest EOZ/POZ and the least induction of vertical coma, whereas SMILE produced the most circular EOZ and the most superiorly decentered optical zone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "POREF227",
      "abstract_number": "POREF227",
      "title": "Outcomes Of Photorefractive Keratectomy Refractive Treatments In Patients With Infantile Nystagmus Syndrome",
      "authors": "Dr Orwa Nasser",
      "presenter": "Dr Orwa Nasser",
      "normalized_authors": [
        "Orwa Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Orwa Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate visual and refractive outcomes after Photorefractive keratectomy (PRK) in patients with infantile nystagmus syndrome.",
        "Setting": "Private tertiary refractive surgery center",
        "Methods": "Retrospective pre–post analysis of patients with nystagmus undergoing PRK. Visual acuity (UCVA, BCVA; logMAR) and refractive error (sphere, cylinder, spherical equivalent [SE]) were assessed preoperatively and postoperatively. Because both eyes were available for most patients, the primary sensitivity analysis used patient-level averages (OD/OS) to avoid within-subject correlation. Paired t-tests with 95% confidence intervals were used to evaluate changes; additional nonparametric tests were used as supportive analyses.\nResults:",
        "Results": "Fifteen patients (30 eyes) were included. Mean UCVA improved from 1.03±0.26 logMAR preoperatively to 0.34±0.14 logMAR postoperatively (mean change −0.69 logMAR; 95% CI −0.89 to −0.48; p=0.0007). Mean BCVA improved from 0.44±0.10 to 0.29±0.14 logMAR (mean change −0.16 logMAR; 95% CI −0.22 to −0.10; p=0.00010). Mean SE improved from −3.32±4.41 D to −0.38±0.79 D (mean change +2.95 D; 95% CI +0.13 to +5.77; p=0.0418). Postoperatively, 57.1% of patients achieved mean SE within ±0.50 D and 78.6% within ±1.00 D; 100% achieved mean UCVA ≤0.5 logMAR. Mean binocular UCVA and BCVA improved from 1.03±0.22 and 0.447±0.092 logMAR preoperatively to 0.28±0.17 and to 0.24±0.135 logMAR postoperatively, respectively (p=0.0007).",
        "Conclusions": "PRK in patients with nystagmus was associated with significant improvements in both uncorrected and best-corrected visual acuity and a clinically meaningful reduction in refractive error, with the majority achieving postoperative SE within ±1.00 D."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRK in patients with nystagmus was associated with significant improvements in both uncorrected and best-corrected visual acuity and a clinically meaningful reduction in refractive error, with the majority achieving postoperative SE within ±1.00 D.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1608,
      "source_fields": {
        "Abstract Final Identifier": "POREF227",
        "Title": "Outcomes Of Photorefractive Keratectomy Refractive Treatments In Patients With Infantile Nystagmus Syndrome",
        "Presenting Author(s)": "Dr Orwa Nasser",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Orwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "United States",
        "Purpose": "To evaluate visual and refractive outcomes after Photorefractive keratectomy (PRK) in patients with infantile nystagmus syndrome.",
        "Setting": "Private tertiary refractive surgery center",
        "Methods": "Retrospective pre–post analysis of patients with nystagmus undergoing PRK. Visual acuity (UCVA, BCVA; logMAR) and refractive error (sphere, cylinder, spherical equivalent [SE]) were assessed preoperatively and postoperatively. Because both eyes were available for most patients, the primary sensitivity analysis used patient-level averages (OD/OS) to avoid within-subject correlation. Paired t-tests with 95% confidence intervals were used to evaluate changes; additional nonparametric tests were used as supportive analyses.\nResults:",
        "Results": "Fifteen patients (30 eyes) were included. Mean UCVA improved from 1.03±0.26 logMAR preoperatively to 0.34±0.14 logMAR postoperatively (mean change −0.69 logMAR; 95% CI −0.89 to −0.48; p=0.0007). Mean BCVA improved from 0.44±0.10 to 0.29±0.14 logMAR (mean change −0.16 logMAR; 95% CI −0.22 to −0.10; p=0.00010). Mean SE improved from −3.32±4.41 D to −0.38±0.79 D (mean change +2.95 D; 95% CI +0.13 to +5.77; p=0.0418). Postoperatively, 57.1% of patients achieved mean SE within ±0.50 D and 78.6% within ±1.00 D; 100% achieved mean UCVA ≤0.5 logMAR. Mean binocular UCVA and BCVA improved from 1.03±0.22 and 0.447±0.092 logMAR preoperatively to 0.28±0.17 and to 0.24±0.135 logMAR postoperatively, respectively (p=0.0007).",
        "Conclusions": "PRK in patients with nystagmus was associated with significant improvements in both uncorrected and best-corrected visual acuity and a clinically meaningful reduction in refractive error, with the majority achieving postoperative SE within ±1.00 D."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "POREF228",
      "abstract_number": "POREF228",
      "title": "Early Outcomes Of Contralateral-Eye Comparison Between Femtoprk Versus Conventional Manual Excimer Prk",
      "authors": "Dr Erik Navas-Villar",
      "presenter": "Dr Erik Navas-Villar",
      "normalized_authors": [
        "Erik Navas-Villar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erik Navas Villar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To compare early visual, refractive, safety, epithelial healing and patient comfort between FemtoPRK (Ziemer LDV Z8 Femtosecond laser) and conventional excimer PRK (Alcon EX-500) using a paired contralateral-eye design.",
        "Setting": "Single private high-volume refractive surgery center.",
        "Methods": "Prospective comparative study of patients undergoing bilateral surface ablation with FemtoPRK using only the Ziemer LDV Z8 Femtosecond laser in one eye and standard excimer PRK with Alcon EX-500 in the fellow eye. Outcomes were evaluated included uncorrected distance visual acuity (UDVA, logMAR), corrected distance visual acuity (CDVA), spherical equivalent refraction (SEQ), epithelial healing, patient-reported discomfort, and anterior segment OCT findings. Paired comparisons were performed.",
        "Results": "10 patients (20 eyes) were included. At day 5, complete epithelial healing was observed in all eyes in both groups. No difference in postoperative discomfort was reported between techniques. Anterior segment OCT demonstrated comparable epithelial remodeling and stromal interface characteristics. At 2 weeks, mean UDVA was 0.15 ± 0.18 versus 0.12 ± 0.14 logMAR, respectively (p = 0.479). Mean SEQ was +0.16 ± 0.34 D (FemtoPRK) versus +0.30 ± 0.39 D (excimer PRK) (p = 0.231), with 85.7% versus 71.4% within ±0.50 D. No adverse events occurred",
        "Conclusions": "FemtoPRK and conventional excimer PRK demonstrated comparable early visual recovery, refractive accuracy, epithelial healing, comfort, and OCT findings at 2 weeks."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FemtoPRK and conventional excimer PRK demonstrated comparable early visual recovery, refractive accuracy, epithelial healing, comfort, and OCT findings at 2 weeks.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1609,
      "source_fields": {
        "Abstract Final Identifier": "POREF228",
        "Title": "Early Outcomes Of Contralateral-Eye Comparison Between Femtoprk Versus Conventional Manual Excimer Prk",
        "Presenting Author(s)": "Dr Erik Navas-Villar",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Erik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Navas Villar",
        "Country Name": "Mexico",
        "Purpose": "To compare early visual, refractive, safety, epithelial healing and patient comfort between FemtoPRK (Ziemer LDV Z8 Femtosecond laser) and conventional excimer PRK (Alcon EX-500) using a paired contralateral-eye design.",
        "Setting": "Single private high-volume refractive surgery center.",
        "Methods": "Prospective comparative study of patients undergoing bilateral surface ablation with FemtoPRK using only the Ziemer LDV Z8 Femtosecond laser in one eye and standard excimer PRK with Alcon EX-500 in the fellow eye. Outcomes were evaluated included uncorrected distance visual acuity (UDVA, logMAR), corrected distance visual acuity (CDVA), spherical equivalent refraction (SEQ), epithelial healing, patient-reported discomfort, and anterior segment OCT findings. Paired comparisons were performed.",
        "Results": "10 patients (20 eyes) were included. At day 5, complete epithelial healing was observed in all eyes in both groups. No difference in postoperative discomfort was reported between techniques. Anterior segment OCT demonstrated comparable epithelial remodeling and stromal interface characteristics. At 2 weeks, mean UDVA was 0.15 ± 0.18 versus 0.12 ± 0.14 logMAR, respectively (p = 0.479). Mean SEQ was +0.16 ± 0.34 D (FemtoPRK) versus +0.30 ± 0.39 D (excimer PRK) (p = 0.231), with 85.7% versus 71.4% within ±0.50 D. No adverse events occurred",
        "Conclusions": "FemtoPRK and conventional excimer PRK demonstrated comparable early visual recovery, refractive accuracy, epithelial healing, comfort, and OCT findings at 2 weeks."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "POREF229",
      "abstract_number": "POREF229",
      "title": "Pain Control Following Transepithelial Photorefractive Keratectomy: A Randomized Controlled Trial Of Adding Preoperative Topical Prednisolone To Bromfenac.",
      "authors": "Dr Ali Nowrouzi",
      "presenter": "Dr Ali Nowrouzi",
      "normalized_authors": [
        "Ali Nowrouzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Nowrouzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate whether the addition of preoperative topical prednisolone acetate to bromfenac reduces early postoperative pain following transepithelial photorefractive keratectomy (Trans-PRK).",
        "Setting": "Cornea and refractive surgery department of Quironsalud Hospital, Marbella, Spain.",
        "Methods": "One eye per patient\n\nwas included for analysis to avoid inter-eye correlation. Group 1 received preoperative bromfenac 0.09% three times daily for 3 days before surgery. Group 2 received the same regimen plus preoperative prednisolone acetate 1% three times daily for 3 days. Postoperative pain was assessed using a numerical rating scale (NRS; 0–10) on postoperative Days 1 and 2.\n\nRescue analgesia (ibuprofen 600 mg plus codeine 30 mg) was permitted and recorded\n\n. Secondary outcomes included visual acuity, refractive stability, epithelial healing, and complications over 6 months.",
        "Results": "Group 2 demonstrated significantly lower pain scores than Group 1 on Day 1 (3.2 ± 1.6 vs 6.5 ± 1.8; p < 0.0001) and Day 2 (1.52 ± 1.2 vs 4.50 ± 2.7; p < 0.0001). The mean number of rescue analgesic doses was lower in Group 2 (1 ± 1) versus Group 1 (3 ± 1) (mean difference −2 doses; 95% CI −2.6 to −1.4; p < 0.001), and rescue medication was required by 35% versus 80% of patients, respectively.",
        "Conclusions": "Adding preoperative prednisolone acetate to bromfenac significantly reduces early postoperative pain after Trans-PRK without compromising safety or visual outcomes. This adjunctive strategy may enhance patient comfort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Adding preoperative prednisolone acetate to bromfenac significantly reduces early postoperative pain after Trans-PRK without compromising safety or visual outcomes. This adjunctive strategy may enhance patient comfort.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1610,
      "source_fields": {
        "Abstract Final Identifier": "POREF229",
        "Title": "Pain Control Following Transepithelial Photorefractive Keratectomy: A Randomized Controlled Trial Of Adding Preoperative Topical Prednisolone To Bromfenac.",
        "Presenting Author(s)": "Dr Ali Nowrouzi",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nowrouzi",
        "Country Name": "Spain",
        "Purpose": "To evaluate whether the addition of preoperative topical prednisolone acetate to bromfenac reduces early postoperative pain following transepithelial photorefractive keratectomy (Trans-PRK).",
        "Setting": "Cornea and refractive surgery department of Quironsalud Hospital, Marbella, Spain.",
        "Methods": "One eye per patient\n\nwas included for analysis to avoid inter-eye correlation. Group 1 received preoperative bromfenac 0.09% three times daily for 3 days before surgery. Group 2 received the same regimen plus preoperative prednisolone acetate 1% three times daily for 3 days. Postoperative pain was assessed using a numerical rating scale (NRS; 0–10) on postoperative Days 1 and 2.\n\nRescue analgesia (ibuprofen 600 mg plus codeine 30 mg) was permitted and recorded\n\n. Secondary outcomes included visual acuity, refractive stability, epithelial healing, and complications over 6 months.",
        "Results": "Group 2 demonstrated significantly lower pain scores than Group 1 on Day 1 (3.2 ± 1.6 vs 6.5 ± 1.8; p < 0.0001) and Day 2 (1.52 ± 1.2 vs 4.50 ± 2.7; p < 0.0001). The mean number of rescue analgesic doses was lower in Group 2 (1 ± 1) versus Group 1 (3 ± 1) (mean difference −2 doses; 95% CI −2.6 to −1.4; p < 0.001), and rescue medication was required by 35% versus 80% of patients, respectively.",
        "Conclusions": "Adding preoperative prednisolone acetate to bromfenac significantly reduces early postoperative pain after Trans-PRK without compromising safety or visual outcomes. This adjunctive strategy may enhance patient comfort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "POREF230",
      "abstract_number": "POREF230",
      "title": "Wavefront-Guided Prk In Irregular Corneas: Early Tomographic Stability And Visual Outcomes At 1 Month",
      "authors": "Dr Paola Padilla-Torrico",
      "presenter": "Dr Paola Padilla-Torrico",
      "normalized_authors": [
        "Paola Padilla-Torrico"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paola Padilla-Torrico",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bolivia, Plurinational State Of",
      "sections": {
        "Purpose": "To evaluate early tomographic stability and visual outcomes after wavefront-guided PRK in eyes with preoperative corneal irregularity.",
        "Setting": "Research Department at Ofttalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "Prospective interventional case series including 12 eyes with irregular corneas (post-refractive surgery, post-traumatic, or corneal scarring). Pre- and 1-month postoperative assessments included visual acuity, Scheimpflug tomography (Pentacam), and anterior segment OCT. Paired statistical comparisons were performed.",
        "Results": "UDVA improved from 0.96 ± 0.66 to 0.52 ± 0.60 logMAR (p=0.0088), while CDVA remained stable (0.08 ± 0.08 vs 0.17 ± 0.21; p=0.125). Anterior keratometry showed no significant changes: Kmax 46.83 ± 2.81 D vs 46.50 ± 3.52 D (p=0.48); Km 43.66 ± 2.76 D vs 43.30 ± 3.47 D (p=0.41). Central corneal thickness decreased from 518 ± 76 µm to 473 ± 76 µm (p=0.0005), and corneal volume from 59.93 ± 6.75 mm³ to 58.08 ± 6.22 mm³ (p=0.001). Anterior Q-value became more prolate (-0.41 ± 0.22 to -0.66 ± 0.54; p=0.02). BAD-D increased (3.36 ± 3.43 to 4.48 ± 3.25; p=0.001).",
        "Conclusions": "Wavefront-guided PRK in irregular corneas demonstrated significant visual improvement at one month."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Wavefront-guided PRK in irregular corneas demonstrated significant visual improvement at one month.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1611,
      "source_fields": {
        "Abstract Final Identifier": "POREF230",
        "Title": "Wavefront-Guided Prk In Irregular Corneas: Early Tomographic Stability And Visual Outcomes At 1 Month",
        "Presenting Author(s)": "Dr Paola Padilla-Torrico",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Paola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Padilla-Torrico",
        "Country Name": "Bolivia, Plurinational State Of",
        "Purpose": "To evaluate early tomographic stability and visual outcomes after wavefront-guided PRK in eyes with preoperative corneal irregularity.",
        "Setting": "Research Department at Ofttalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "Prospective interventional case series including 12 eyes with irregular corneas (post-refractive surgery, post-traumatic, or corneal scarring). Pre- and 1-month postoperative assessments included visual acuity, Scheimpflug tomography (Pentacam), and anterior segment OCT. Paired statistical comparisons were performed.",
        "Results": "UDVA improved from 0.96 ± 0.66 to 0.52 ± 0.60 logMAR (p=0.0088), while CDVA remained stable (0.08 ± 0.08 vs 0.17 ± 0.21; p=0.125). Anterior keratometry showed no significant changes: Kmax 46.83 ± 2.81 D vs 46.50 ± 3.52 D (p=0.48); Km 43.66 ± 2.76 D vs 43.30 ± 3.47 D (p=0.41). Central corneal thickness decreased from 518 ± 76 µm to 473 ± 76 µm (p=0.0005), and corneal volume from 59.93 ± 6.75 mm³ to 58.08 ± 6.22 mm³ (p=0.001). Anterior Q-value became more prolate (-0.41 ± 0.22 to -0.66 ± 0.54; p=0.02). BAD-D increased (3.36 ± 3.43 to 4.48 ± 3.25; p=0.001).",
        "Conclusions": "Wavefront-guided PRK in irregular corneas demonstrated significant visual improvement at one month."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 206
    },
    {
      "uid": "POREF231",
      "abstract_number": "POREF231",
      "title": "Transepithelial Photorefractive Keratectomy For Irregular Corneas With Varying Initial Conditions",
      "authors": "Mr Stefan Pieh",
      "presenter": "Mr Stefan Pieh",
      "normalized_authors": [
        "Stefan Pieh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stefan Pieh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Transepithelial excimer laser treatment is an established procedure for smoothing corneal irregularities. The aim of this prospective study is to present the treatment results, taking into account the preoperative baseline conditions.",
        "Setting": "Medical University of Vienna, Department of Ophthalmology and Optometry",
        "Methods": "For this prospective study, 46 severely aberrated corneas with an RMS-HOA (root mean square higher order aberration) error of 1.0 to 3.0 D.eq (equivalent dioptres) were included. Prior to surgery, aberrations up to the 6th order were recorded using the MS-39 (Schwind) and divided into different groups according to the degree and type of aberration. The ablation profile took into account aberrations up to the 6th order as well as the mean epithelial thickness in the central 3 mm area. The treatment was performed with the Amaris 1050 (Schwind). The follow-up time was six months after treatment.",
        "Results": "Spherical aberration, coma and trefoil were reduced to a statistically significant extent. Secondary astigmatism was reduced, but not statistically significantly. Taking into account the initial situation, patients with high spherical aberration in particular benefited from this treatment in terms of a lower postoperative RMS-HOA value.",
        "Conclusions": "In this setup, the preoperative extent of spherical aberration, coma and trefoil are the decisive parameters for predicting the benefits of transepithelial excimer laser treatment in highly aberrated corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this setup, the preoperative extent of spherical aberration, coma and trefoil are the decisive parameters for predicting the benefits of transepithelial excimer laser treatment in highly aberrated corneas.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1612,
      "source_fields": {
        "Abstract Final Identifier": "POREF231",
        "Title": "Transepithelial Photorefractive Keratectomy For Irregular Corneas With Varying Initial Conditions",
        "Presenting Author(s)": "Mr Stefan Pieh",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Stefan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pieh",
        "Country Name": "Austria",
        "Purpose": "Transepithelial excimer laser treatment is an established procedure for smoothing corneal irregularities. The aim of this prospective study is to present the treatment results, taking into account the preoperative baseline conditions.",
        "Setting": "Medical University of Vienna, Department of Ophthalmology and Optometry",
        "Methods": "For this prospective study, 46 severely aberrated corneas with an RMS-HOA (root mean square higher order aberration) error of 1.0 to 3.0 D.eq (equivalent dioptres) were included. Prior to surgery, aberrations up to the 6th order were recorded using the MS-39 (Schwind) and divided into different groups according to the degree and type of aberration. The ablation profile took into account aberrations up to the 6th order as well as the mean epithelial thickness in the central 3 mm area. The treatment was performed with the Amaris 1050 (Schwind). The follow-up time was six months after treatment.",
        "Results": "Spherical aberration, coma and trefoil were reduced to a statistically significant extent. Secondary astigmatism was reduced, but not statistically significantly. Taking into account the initial situation, patients with high spherical aberration in particular benefited from this treatment in terms of a lower postoperative RMS-HOA value.",
        "Conclusions": "In this setup, the preoperative extent of spherical aberration, coma and trefoil are the decisive parameters for predicting the benefits of transepithelial excimer laser treatment in highly aberrated corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 214
    },
    {
      "uid": "POREF232",
      "abstract_number": "POREF232",
      "title": "Impact Of Mitomycin C On Visual Outcomes And Epithelial Remodeling After Photorefractive Keratectomy",
      "authors": "Diogo Rodrigues",
      "presenter": "Diogo Rodrigues",
      "normalized_authors": [
        "Diogo Rodrigues"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Diogo Rodrigues",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare visual, refractive, and epithelial remodeling outcomes in patients undergoing photorefractive keratectomy (PRK) with and without intraoperative mitomycin C (MMC).",
        "Setting": "Refractive Surgery Unit, Department of Ophthalmology, tertiary referral center, Portugal.",
        "Methods": "Comparative observational study including eyes undergoing PRK for the correction of myopia or myopic astigmatism. Eyes were divided into two groups according to intraoperative use of MMC 0.02%. Outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive spherical equivalent, and epithelial thickness parameters measured by anterior segment optical coherence tomography preoperatively and at 1 and 6 months postoperatively. Group comparisons were performed using independent sample tests. Normality assumptions were assessed, and appropriate corrections were applied when required.",
        "Results": "A total of 55 eyes of 55 patients were included (28 without MMC, 27 with MMC). Preoperative spherical equivalent was higher in the MMC group (−4.66±1.31 D vs −4.01±0.51 D, mean±SD, p=0.019). Both groups showed significant postoperative improvement in UCDVA, with no significant differences at 1 month (0.07±0.20 vs 0.05±0.13 logMAR, p=0.66) or 6 months (−0.01±0.05 vs −0.01±0.07 logMAR, p=0.88). Epithelium mean thickness, mean thickness standard deviation, coefficient of epithelial variation and thickest and thinnest points thickness did not reveal any differences between groups at baseline, 1 month, or 6 months. No cases of clinical haze were reported in this study in both groups at 1 or 6 months. No severe complications were observed.",
        "Conclusions": "PRK performed with and without mitomycin C resulted in comparable visual and refractive outcomes, despite higher preoperative spherical equivalent in the MMC group. Detailed epithelial thickness analysis demonstrated that MMC use did not induce significant alterations in global epithelial thickness, variability, or epithelial homogeneity over time. The absence of clinical haze in both groups supports the safety of modern PRK protocols, while the preservation of physiological epithelial remodeling patterns suggests that MMC does not adversely interfere with epithelial behavior. These findings reinforce the role of MMC as a safe adjunct in PRK, providing haze prevention without compromising epithelial remodeling or visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRK performed with and without mitomycin C resulted in comparable visual and refractive outcomes, despite higher preoperative spherical equivalent in the MMC group. Detailed epithelial thickness analysis demonstrated that MMC use did not induce significant alterations in global epithelial thickness, variability, or epithelial homogeneity over time. The absence of clinical haze in both groups supports the safety of…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1613,
      "source_fields": {
        "Abstract Final Identifier": "POREF232",
        "Title": "Impact Of Mitomycin C On Visual Outcomes And Epithelial Remodeling After Photorefractive Keratectomy",
        "Presenting Author(s)": "Diogo Rodrigues",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Diogo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodrigues",
        "Country Name": "Portugal",
        "Purpose": "To compare visual, refractive, and epithelial remodeling outcomes in patients undergoing photorefractive keratectomy (PRK) with and without intraoperative mitomycin C (MMC).",
        "Setting": "Refractive Surgery Unit, Department of Ophthalmology, tertiary referral center, Portugal.",
        "Methods": "Comparative observational study including eyes undergoing PRK for the correction of myopia or myopic astigmatism. Eyes were divided into two groups according to intraoperative use of MMC 0.02%. Outcomes included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive spherical equivalent, and epithelial thickness parameters measured by anterior segment optical coherence tomography preoperatively and at 1 and 6 months postoperatively. Group comparisons were performed using independent sample tests. Normality assumptions were assessed, and appropriate corrections were applied when required.",
        "Results": "A total of 55 eyes of 55 patients were included (28 without MMC, 27 with MMC). Preoperative spherical equivalent was higher in the MMC group (−4.66±1.31 D vs −4.01±0.51 D, mean±SD, p=0.019). Both groups showed significant postoperative improvement in UCDVA, with no significant differences at 1 month (0.07±0.20 vs 0.05±0.13 logMAR, p=0.66) or 6 months (−0.01±0.05 vs −0.01±0.07 logMAR, p=0.88). Epithelium mean thickness, mean thickness standard deviation, coefficient of epithelial variation and thickest and thinnest points thickness did not reveal any differences between groups at baseline, 1 month, or 6 months. No cases of clinical haze were reported in this study in both groups at 1 or 6 months. No severe complications were observed.",
        "Conclusions": "PRK performed with and without mitomycin C resulted in comparable visual and refractive outcomes, despite higher preoperative spherical equivalent in the MMC group. Detailed epithelial thickness analysis demonstrated that MMC use did not induce significant alterations in global epithelial thickness, variability, or epithelial homogeneity over time. The absence of clinical haze in both groups supports the safety of modern PRK protocols, while the preservation of physiological epithelial remodeling patterns suggests that MMC does not adversely interfere with epithelial behavior. These findings reinforce the role of MMC as a safe adjunct in PRK, providing haze prevention without compromising epithelial remodeling or visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 354
    },
    {
      "uid": "POREF233",
      "abstract_number": "POREF233",
      "title": "Bandage Contact Lens–Shielded Edge Transepithelial Ptk (Belt-Ptk) To Maintain Eye Tracking And Produce Focal Tissue Exposure Despite Wide-Area Ptk Ablation For Smoothing Lasik Flap Margin Irregularities",
      "authors": "Dr Michael Rossiter-Thornton",
      "presenter": "Dr Michael Rossiter-Thornton",
      "normalized_authors": [
        "Michael Rossiter-Thornton"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Rossiter-Thornton",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe BELT-PTK, a bandage contact lens–shielded edge transepithelial PTK technique for smoothing focal LASIK flap-margin irregularities while maintaining pupil tracking. Raised flap edges may follow epithelial ingrowth and may be worsened by Nd:YAG treatment, causing astigmatic/hyperopic shift or focal lid – cornea friction with SPK and blink discomfort. Standard TransPTK delivers a minimum wide ablation (typically ≥ 5 mm overall due to transition zones), and small 2 – 3 mm treatments are circular and may not match a linear flap-edge defect; BCL shielding creates focal exposure despite wide-area programming.",
        "Setting": "Private Practice academic unit (Reinstein Vision), London Vision Clinic, EuroEyes Group, UK.",
        "Methods": "Retrospective consecutive case series: EMR search identified all eyes undergoing selective flap-edge PTK after LASIK and retreatments. Prior procedures and epithelial ingrowth history were extracted and surgical videos reviewed. Visual acuity, refraction and symptoms were recorded. Transepithelial PTK was delivered in 20–40 µm increments, programmed as an 8 mm zone. A bandage contact lens was placed and shifted with a cellulose sponge spear to expose only the peripheral flap edge while maintaining pupil-edge tracking. After each pass, residual elevation was assessed and further passes performed until smoothness was achieved without breaking the surface tension of applied BSS. Follow-up was 3 months–3 years.",
        "Results": "Seven eyes (six patients) underwent flap-edge PTK for symptomatic LASIK flap-margin irregularity with lid–cornea mechanical friction; one eye had an associated hyperopic shift (+0.50/−0.25×123). Five eyes had one prior LASIK retreatment and one had two flap-lift retreatments; two had prior Nd:YAG treatment for epithelial ingrowth. Smoothing required 1–7 passes per eye; two eyes also underwent wet PTK to refine residual micro-irregularities. All epithelial defects healed within 3 days and symptoms improved or resolved. DCVA: one eye lost one line (20/12.5 → 20/16) and one gained one line (20/25 → 20/20); all eyes were ≥ 20/20. Mean spherical equivalent change was +0.05±0.25 D (−0.25 to +0.50). One eye underwent PRK enhancement at 9 months.",
        "Conclusions": "BELT-PTK provided effective symptomatic relief with rapid re-epithelialisation, minimal refractive change and preserved acuity in this series. Bandage contact lens shielding permits focal flap-edge smoothing despite wide-area TransPTK programming and allows uninterrupted pupil-edge tracking, avoiding unnecessary full-diameter PTK of the visual axis and the geometric mismatch of small circular ablations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "BELT-PTK provided effective symptomatic relief with rapid re-epithelialisation, minimal refractive change and preserved acuity in this series. Bandage contact lens shielding permits focal flap-edge smoothing despite wide-area TransPTK programming and allows uninterrupted pupil-edge tracking, avoiding unnecessary full-diameter PTK of the visual axis and the geometric mismatch of small circular ablations.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1614,
      "source_fields": {
        "Abstract Final Identifier": "POREF233",
        "Title": "Bandage Contact Lens–Shielded Edge Transepithelial Ptk (Belt-Ptk) To Maintain Eye Tracking And Produce Focal Tissue Exposure Despite Wide-Area Ptk Ablation For Smoothing Lasik Flap Margin Irregularities",
        "Presenting Author(s)": "Dr Michael Rossiter-Thornton",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rossiter-Thornton",
        "Country Name": "United Kingdom",
        "Purpose": "To describe BELT-PTK, a bandage contact lens–shielded edge transepithelial PTK technique for smoothing focal LASIK flap-margin irregularities while maintaining pupil tracking. Raised flap edges may follow epithelial ingrowth and may be worsened by Nd:YAG treatment, causing astigmatic/hyperopic shift or focal lid – cornea friction with SPK and blink discomfort. Standard TransPTK delivers a minimum wide ablation (typically ≥ 5 mm overall due to transition zones), and small 2 – 3 mm treatments are circular and may not match a linear flap-edge defect; BCL shielding creates focal exposure despite wide-area programming.",
        "Setting": "Private Practice academic unit (Reinstein Vision), London Vision Clinic, EuroEyes Group, UK.",
        "Methods": "Retrospective consecutive case series: EMR search identified all eyes undergoing selective flap-edge PTK after LASIK and retreatments. Prior procedures and epithelial ingrowth history were extracted and surgical videos reviewed. Visual acuity, refraction and symptoms were recorded. Transepithelial PTK was delivered in 20–40 µm increments, programmed as an 8 mm zone. A bandage contact lens was placed and shifted with a cellulose sponge spear to expose only the peripheral flap edge while maintaining pupil-edge tracking. After each pass, residual elevation was assessed and further passes performed until smoothness was achieved without breaking the surface tension of applied BSS. Follow-up was 3 months–3 years.",
        "Results": "Seven eyes (six patients) underwent flap-edge PTK for symptomatic LASIK flap-margin irregularity with lid–cornea mechanical friction; one eye had an associated hyperopic shift (+0.50/−0.25×123). Five eyes had one prior LASIK retreatment and one had two flap-lift retreatments; two had prior Nd:YAG treatment for epithelial ingrowth. Smoothing required 1–7 passes per eye; two eyes also underwent wet PTK to refine residual micro-irregularities. All epithelial defects healed within 3 days and symptoms improved or resolved. DCVA: one eye lost one line (20/12.5 → 20/16) and one gained one line (20/25 → 20/20); all eyes were ≥ 20/20. Mean spherical equivalent change was +0.05±0.25 D (−0.25 to +0.50). One eye underwent PRK enhancement at 9 months.",
        "Conclusions": "BELT-PTK provided effective symptomatic relief with rapid re-epithelialisation, minimal refractive change and preserved acuity in this series. Bandage contact lens shielding permits focal flap-edge smoothing despite wide-area TransPTK programming and allows uninterrupted pupil-edge tracking, avoiding unnecessary full-diameter PTK of the visual axis and the geometric mismatch of small circular ablations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "POREF235",
      "abstract_number": "POREF235",
      "title": "Clinical Features Of Patients Who Needed More Than One-Time Photorefractive Keratectomy (Prk), A Retrospective Cohort Study",
      "authors": "Dr Yasir Adil Shakor",
      "presenter": "Dr Yasir Adil Shakor",
      "normalized_authors": [
        "Yasir Adil Shakor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yasir Adil Shakor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To evaluate the clinical features of patients who had undergone photorefractive keratectomy (PRK) more than once. Identifying these pre-operative parameters can help in assessing patients at higher risk of repeat PRK.",
        "Setting": "A single-center study conducted at Farabi Eye Hospital , Iran.",
        "Methods": "In this historical cohort study , t he data were obtained from electronic records, refined, and divided into two groups based on PRK outcome: cases that underwent a second round of PRK and controls that underwent PRK only once. Only patients with at least 12 months postoperative follow-up were included. The baseline preoperative data, including subjective & objective refraction, spherical equivalent, anterior and posterior keratometry, and corneal pachymetry at the apex & thinnest location, were collected. The PRK surgery was performed using Schwind Amaris 1050 RS by Sirius CSO, and the anterior segment measurements were taken using Pentacam® HR.",
        "Results": "Among 48 patients (17 second-PRK, 31 single-PRK), significant differences were observed between groups:\n\nRefraction: Case group had less myopia and higher astigmatism than controls in both subjective (sphere 0.07 vs. -3.17; astigmatism -2.06 vs. -0.90; SE -0.96 vs. -3.62) and objective measures (sphere 0.57 vs. -2.75; astigmatism -1.97 vs. -0.91; SE -0.41 vs. -3.20; all P≤.003).\n\nCorneal parameters: Case group showed flatter anterior keratometry (K1 42.75 vs. 43.93) and higher anterior corneal astigmatism (1.82 vs. 1.03, P<.05).\n\nPatients requiring a second PRK had less myopia, more astigmatism, and flatter corneas than those treated successfully with a single PRK.",
        "Conclusions": "Patients who needed more than one PRK surgery had significantly lower sphere and SE, greater astigmatism, lower anterior flat-K, decreased corneal thickness, and greater anterior corneal astigmatism than patients who needed only one PRK surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients who needed more than one PRK surgery had significantly lower sphere and SE, greater astigmatism, lower anterior flat-K, decreased corneal thickness, and greater anterior corneal astigmatism than patients who needed only one PRK surgery.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1615,
      "source_fields": {
        "Abstract Final Identifier": "POREF235",
        "Title": "Clinical Features Of Patients Who Needed More Than One-Time Photorefractive Keratectomy (Prk), A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Yasir Adil Shakor",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Yasir",
        "Submitter Middle Name": "Adil",
        "Submitter Last Name": "Shakor",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To evaluate the clinical features of patients who had undergone photorefractive keratectomy (PRK) more than once. Identifying these pre-operative parameters can help in assessing patients at higher risk of repeat PRK.",
        "Setting": "A single-center study conducted at Farabi Eye Hospital , Iran.",
        "Methods": "In this historical cohort study , t he data were obtained from electronic records, refined, and divided into two groups based on PRK outcome: cases that underwent a second round of PRK and controls that underwent PRK only once. Only patients with at least 12 months postoperative follow-up were included. The baseline preoperative data, including subjective & objective refraction, spherical equivalent, anterior and posterior keratometry, and corneal pachymetry at the apex & thinnest location, were collected. The PRK surgery was performed using Schwind Amaris 1050 RS by Sirius CSO, and the anterior segment measurements were taken using Pentacam® HR.",
        "Results": "Among 48 patients (17 second-PRK, 31 single-PRK), significant differences were observed between groups:\n\nRefraction: Case group had less myopia and higher astigmatism than controls in both subjective (sphere 0.07 vs. -3.17; astigmatism -2.06 vs. -0.90; SE -0.96 vs. -3.62) and objective measures (sphere 0.57 vs. -2.75; astigmatism -1.97 vs. -0.91; SE -0.41 vs. -3.20; all P≤.003).\n\nCorneal parameters: Case group showed flatter anterior keratometry (K1 42.75 vs. 43.93) and higher anterior corneal astigmatism (1.82 vs. 1.03, P<.05).\n\nPatients requiring a second PRK had less myopia, more astigmatism, and flatter corneas than those treated successfully with a single PRK.",
        "Conclusions": "Patients who needed more than one PRK surgery had significantly lower sphere and SE, greater astigmatism, lower anterior flat-K, decreased corneal thickness, and greater anterior corneal astigmatism than patients who needed only one PRK surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "POREF237",
      "abstract_number": "POREF237",
      "title": "The Effect Of Diurnal Fluctuations On Visual And Refractive Outcomes In Myopic Prk Surgery",
      "authors": "Dr Adir Sommer",
      "presenter": "Dr Adir Sommer",
      "normalized_authors": [
        "Adir Sommer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adir Sommer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Diurnal variations in corneal hydration and thickness may alter excimer laser ablation efficiency through differential water-mediated photon absorption. This study evaluated whether diurnal surgical timing affects visual outcomes and refractive predictability following myopic Photorefractive Keratectomy (PRK) surgery.",
        "Setting": "Retrospective comparative study, Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective study included 18,512 eyes of 12,359 patients who underwent myopic PRK (≥0.25D), stratified by surgical timing: Morning (07:30-09:30; N=9,255) and Afternoon (15:30-17:30; N=9,257). Pre-, intra-, and post-operative parameters were compared between the groups. Outcomes assessed included uncorrected and best-corrected visual acuity (UCVA, BCVA), spherical equivalent (SEQ), predictability (±0.5 D and ±1.0 D of target), and safety and efficacy indices. A multivariate analysis of covariance (MANCOVA) was performed, adjusting for the year of surgery.",
        "Results": "The two groups were comparable in all preoperative and intraoperative parameters (all P>0.05). Mean follow-up was ~147 days (P=0.555). No significant differences were found in postoperative SEQ (0.02±0.41 D vs. 0.02±0.41 D; P=0.903), UCVA (0.94 vs. 0.95; P=0.108), or refractive predictability within ±0.50 D (89.5% vs. 90.2%; P=0.56) and ±1.00 D (96.9% vs. 97.3%; P=0.559). Efficacy and safety indices were similar (1.02±0.14 vs. 1.02±0.14; P=0.855 and 1.03±0.12 vs. 1.04±0.12; P=0.802, respectively). MANCOVA confirmed time of day had no significant effect. A marginal difference in BCVA (0.95 vs. 0.96; P=0.046) favouring afternoon surgery was clinically negligible (mean difference 0.005 decimal lines; 95% CI: -0.009 to 0.000).",
        "Conclusions": "In this large-scale study, the time of day at which PRK was performed had no clinically or statistically meaningful effect on visual outcomes, refractive predictability, efficacy, or safety. These findings suggest that concerns regarding diurnal effects on visual and refractive outcomes do not translate into detectable outcome differences during standard clinical operating hours. PRK scheduling may be guided by logistical considerations without concern for time-of-day–related variability in surgical results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large-scale study, the time of day at which PRK was performed had no clinically or statistically meaningful effect on visual outcomes, refractive predictability, efficacy, or safety. These findings suggest that concerns regarding diurnal effects on visual and refractive outcomes do not translate into detectable outcome differences during standard clinical operating hours. PRK scheduling may be guided by…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1616,
      "source_fields": {
        "Abstract Final Identifier": "POREF237",
        "Title": "The Effect Of Diurnal Fluctuations On Visual And Refractive Outcomes In Myopic Prk Surgery",
        "Presenting Author(s)": "Dr Adir Sommer",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Adir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sommer",
        "Country Name": "Israel",
        "Purpose": "Diurnal variations in corneal hydration and thickness may alter excimer laser ablation efficiency through differential water-mediated photon absorption. This study evaluated whether diurnal surgical timing affects visual outcomes and refractive predictability following myopic Photorefractive Keratectomy (PRK) surgery.",
        "Setting": "Retrospective comparative study, Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective study included 18,512 eyes of 12,359 patients who underwent myopic PRK (≥0.25D), stratified by surgical timing: Morning (07:30-09:30; N=9,255) and Afternoon (15:30-17:30; N=9,257). Pre-, intra-, and post-operative parameters were compared between the groups. Outcomes assessed included uncorrected and best-corrected visual acuity (UCVA, BCVA), spherical equivalent (SEQ), predictability (±0.5 D and ±1.0 D of target), and safety and efficacy indices. A multivariate analysis of covariance (MANCOVA) was performed, adjusting for the year of surgery.",
        "Results": "The two groups were comparable in all preoperative and intraoperative parameters (all P>0.05). Mean follow-up was ~147 days (P=0.555). No significant differences were found in postoperative SEQ (0.02±0.41 D vs. 0.02±0.41 D; P=0.903), UCVA (0.94 vs. 0.95; P=0.108), or refractive predictability within ±0.50 D (89.5% vs. 90.2%; P=0.56) and ±1.00 D (96.9% vs. 97.3%; P=0.559). Efficacy and safety indices were similar (1.02±0.14 vs. 1.02±0.14; P=0.855 and 1.03±0.12 vs. 1.04±0.12; P=0.802, respectively). MANCOVA confirmed time of day had no significant effect. A marginal difference in BCVA (0.95 vs. 0.96; P=0.046) favouring afternoon surgery was clinically negligible (mean difference 0.005 decimal lines; 95% CI: -0.009 to 0.000).",
        "Conclusions": "In this large-scale study, the time of day at which PRK was performed had no clinically or statistically meaningful effect on visual outcomes, refractive predictability, efficacy, or safety. These findings suggest that concerns regarding diurnal effects on visual and refractive outcomes do not translate into detectable outcome differences during standard clinical operating hours. PRK scheduling may be guided by logistical considerations without concern for time-of-day–related variability in surgical results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "POREF238",
      "abstract_number": "POREF238",
      "title": "Off-Label Application Of Combined Cross-Linking (Cxl) With Transepithelial Photorefractive Keratectomy (Transprk) Octavius Topography Optimised Treatment In Treating Corneal Ectasias",
      "authors": "Dr Julian Matius Tagal",
      "presenter": "Dr Julian Matius Tagal",
      "normalized_authors": [
        "Julian Matius Tagal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julian Matius Tagal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "OCTAVIUS is Bausch and Lomb’s proprietary topography optimised treatment, licensed for use with the Teneo Model 2 excimer laser in treating refractive errors in normal corneas. OCTAVIUS uses corneal elevation data to generate a customised ablation profile to both correct refractive errors and regularise corneas with detected elevation abnormalities. Combined cross-linking and topography-guided TransPRK (CXL-Plus) is established as an off-label treatment option for corneal ectasia. The purpose of this study was to determine whether OCTAVIUS could similarly be used off-label to treat corneal ectasias.",
        "Setting": "This was a retrospective study of three patients with corneal ectasia treated with OCTAVIUS TransPRK and CXL.Two patients with keratoconus and one patient with post-LASIK ectasia received TransPRK with OCTAVIUS combined with CXL in the worse eye.",
        "Methods": "At baseline, patient one (P1, keratoconus) had Kmax of 55 dioptres (D) and central 2mm inferior-superior (I-S) asymmetry of 6D, patient two (P2, post LASIK ectasia) had Kmax of 48D and asymmetry of 3.8D and patient three (P3, keratoconus) had Kmax of 58D and asymmetry of 16D. Epithelial thickness and corneal maps were obtained with optical coherence tomography (OCT) and the ACE diagnostic platform (Bausch & Lomb) and imported to the Teneo. Correction of the refractive cylinder was prioritised, with OCTAVIUS simulating flattening of the steepest, most elevated areas. TransPRK was followed by full-fluence CXL (5.4J). No mitomycin C (MMC) was used. A bandage lens was placed for a week and antibiotic/steroid drops applied for a month.",
        "Results": "At baseline, patient one (P1, keratoconus) had Kmax of 55 dioptres (D), anterior elevation of 18µm and central 2mm inferior-superior (I-S) asymmetry of 6D, patient two (P2, post LASIK ectasia) had Kmax of 48D, anterior elevation of 12µm and I-S asymmetry of 3.8D and patient three (P3, keratoconus) had Kmax of 58D, anterior elevation of 55µm and I-S asymmetry of 16D.\n\nAt 3 months, selective flattening of the steepest, highest locations had occurred, together with steepening of adjacent flat areas. Patients had a mean reduction in Kmax, I-S asymmetry and anterior elevation of 3.6D,5D and 13µm. There was a mean reduction in higher order aberration (HOA) of 0.88µm and a mean increase in corrected distance visual acuity (CDVA) of 0.18 logMAR.",
        "Conclusions": "The results indicate that TransPRK with OCTAVIUS can reduce topographic irregularity by selectively flattening steep areas and steepening adjacent flat areas. When combined in a CXL-Plus procedure, this improved topography may be ‘locked-in’ to improve both long-term wavefront and CDVA.\n\nThis potential improvement in wavefront and CDVA may be affected by corneal remodelling and haze from CXL. This is less of a concern in correcting abnormal topography where CXL is not necessary, for example, in corneal scars and decentred ablations\n\nCorneal complications from simultaneous procedures notwithstanding, OCTAVIUS’s ability to improve irregular topography may make it a crucial tool in the armamentarium of refractive surgeons."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results indicate that TransPRK with OCTAVIUS can reduce topographic irregularity by selectively flattening steep areas and steepening adjacent flat areas. When combined in a CXL-Plus procedure, this improved topography may be ‘locked-in’ to improve both long-term wavefront and CDVA. This potential improvement in wavefront and CDVA may be affected by corneal remodelling and haze from CXL. This is less of a…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1617,
      "source_fields": {
        "Abstract Final Identifier": "POREF238",
        "Title": "Off-Label Application Of Combined Cross-Linking (Cxl) With Transepithelial Photorefractive Keratectomy (Transprk) Octavius Topography Optimised Treatment In Treating Corneal Ectasias",
        "Presenting Author(s)": "Dr Julian Matius Tagal",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Julian",
        "Submitter Middle Name": "Matius",
        "Submitter Last Name": "Tagal",
        "Country Name": "Malaysia",
        "Purpose": "OCTAVIUS is Bausch and Lomb’s proprietary topography optimised treatment, licensed for use with the Teneo Model 2 excimer laser in treating refractive errors in normal corneas. OCTAVIUS uses corneal elevation data to generate a customised ablation profile to both correct refractive errors and regularise corneas with detected elevation abnormalities. Combined cross-linking and topography-guided TransPRK (CXL-Plus) is established as an off-label treatment option for corneal ectasia. The purpose of this study was to determine whether OCTAVIUS could similarly be used off-label to treat corneal ectasias.",
        "Setting": "This was a retrospective study of three patients with corneal ectasia treated with OCTAVIUS TransPRK and CXL.Two patients with keratoconus and one patient with post-LASIK ectasia received TransPRK with OCTAVIUS combined with CXL in the worse eye.",
        "Methods": "At baseline, patient one (P1, keratoconus) had Kmax of 55 dioptres (D) and central 2mm inferior-superior (I-S) asymmetry of 6D, patient two (P2, post LASIK ectasia) had Kmax of 48D and asymmetry of 3.8D and patient three (P3, keratoconus) had Kmax of 58D and asymmetry of 16D. Epithelial thickness and corneal maps were obtained with optical coherence tomography (OCT) and the ACE diagnostic platform (Bausch & Lomb) and imported to the Teneo. Correction of the refractive cylinder was prioritised, with OCTAVIUS simulating flattening of the steepest, most elevated areas. TransPRK was followed by full-fluence CXL (5.4J). No mitomycin C (MMC) was used. A bandage lens was placed for a week and antibiotic/steroid drops applied for a month.",
        "Results": "At baseline, patient one (P1, keratoconus) had Kmax of 55 dioptres (D), anterior elevation of 18µm and central 2mm inferior-superior (I-S) asymmetry of 6D, patient two (P2, post LASIK ectasia) had Kmax of 48D, anterior elevation of 12µm and I-S asymmetry of 3.8D and patient three (P3, keratoconus) had Kmax of 58D, anterior elevation of 55µm and I-S asymmetry of 16D.\n\nAt 3 months, selective flattening of the steepest, highest locations had occurred, together with steepening of adjacent flat areas. Patients had a mean reduction in Kmax, I-S asymmetry and anterior elevation of 3.6D,5D and 13µm. There was a mean reduction in higher order aberration (HOA) of 0.88µm and a mean increase in corrected distance visual acuity (CDVA) of 0.18 logMAR.",
        "Conclusions": "The results indicate that TransPRK with OCTAVIUS can reduce topographic irregularity by selectively flattening steep areas and steepening adjacent flat areas. When combined in a CXL-Plus procedure, this improved topography may be ‘locked-in’ to improve both long-term wavefront and CDVA.\n\nThis potential improvement in wavefront and CDVA may be affected by corneal remodelling and haze from CXL. This is less of a concern in correcting abnormal topography where CXL is not necessary, for example, in corneal scars and decentred ablations\n\nCorneal complications from simultaneous procedures notwithstanding, OCTAVIUS’s ability to improve irregular topography may make it a crucial tool in the armamentarium of refractive surgeons."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 471
    },
    {
      "uid": "POREF239",
      "abstract_number": "POREF239",
      "title": "Central Toxic Keratopathy Following Photorefractive Keratectomy: A Case Series And Conservative Management",
      "authors": "Dr Sherif Tolees",
      "presenter": "Dr Sherif Tolees",
      "normalized_authors": [
        "Sherif Tolees"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sherif Tolees",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To describe the clinical course, refractive and tomographic changes, timing of onset, and outcomes of central toxic keratopathy (CTK) following photorefractive keratectomy (PRK), and to evaluate a structured conservative management protocol.",
        "Setting": "Magrabi Health , Almurjan Eye Center, Jeddah , KSA.",
        "Methods": "This retrospective case series included 4 eyes that developed CTK after PRK. All eyes had an unremarkable postoperative day-1 examination showing only epithelial defects without stromal abnormalities. At postoperative day 6, during BCL removal, all eyes demonstrated complete epithelial healing with acute-onset, painless, dense central stromal opacification associated with corneal thinning and flattening. Patients were followed with serial visual acuity, manifest refraction, keratometry, pachymetry, epithelial thickness mapping, and AS-OCT images. Management consisted of reassurance, preservative-free lubricants, and fluorometholone 2–4 times daily for 3 months, followed by topical cyclosporine for an additional 3 months.",
        "Results": "Preoperative mean spherical equivalent was −3.03 D. Mean steep keratometry decreased from 45.88 D preoperatively to 41.40 D at 1 week, indicating approximately 4.5 D of central flattening. Minimum corneal thickness decreased from 557 µm preoperatively to 433 µm at 1 month. AS-OCT demonstrated central anterior stromal hyperreflectivity with focal stromal thinning and preserved peripheral architecture, without signs of inflammatory infiltration. Epithelial thinning at 1 month (36.25 µm) was followed by compensatory thickening at 6 months (47.5 µm). By 6 months, partial tomographic regression was observed, and all eyes achieved UDVA and CDVA of 20/20 despite mild residual hyperopic shift.",
        "Conclusions": "CTK following PRK presents with delayed onset around day 6 after epithelial healing and demonstrates significant transient stromal thinning and flattening. Conservative management results in excellent visual recovery, emphasizing the importance of early recognition to avoid unnecessary intervention."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CTK following PRK presents with delayed onset around day 6 after epithelial healing and demonstrates significant transient stromal thinning and flattening. Conservative management results in excellent visual recovery, emphasizing the importance of early recognition to avoid unnecessary intervention.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1618,
      "source_fields": {
        "Abstract Final Identifier": "POREF239",
        "Title": "Central Toxic Keratopathy Following Photorefractive Keratectomy: A Case Series And Conservative Management",
        "Presenting Author(s)": "Dr Sherif Tolees",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Sherif",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tolees",
        "Country Name": "Saudi Arabia",
        "Purpose": "To describe the clinical course, refractive and tomographic changes, timing of onset, and outcomes of central toxic keratopathy (CTK) following photorefractive keratectomy (PRK), and to evaluate a structured conservative management protocol.",
        "Setting": "Magrabi Health , Almurjan Eye Center, Jeddah , KSA.",
        "Methods": "This retrospective case series included 4 eyes that developed CTK after PRK. All eyes had an unremarkable postoperative day-1 examination showing only epithelial defects without stromal abnormalities. At postoperative day 6, during BCL removal, all eyes demonstrated complete epithelial healing with acute-onset, painless, dense central stromal opacification associated with corneal thinning and flattening. Patients were followed with serial visual acuity, manifest refraction, keratometry, pachymetry, epithelial thickness mapping, and AS-OCT images. Management consisted of reassurance, preservative-free lubricants, and fluorometholone 2–4 times daily for 3 months, followed by topical cyclosporine for an additional 3 months.",
        "Results": "Preoperative mean spherical equivalent was −3.03 D. Mean steep keratometry decreased from 45.88 D preoperatively to 41.40 D at 1 week, indicating approximately 4.5 D of central flattening. Minimum corneal thickness decreased from 557 µm preoperatively to 433 µm at 1 month. AS-OCT demonstrated central anterior stromal hyperreflectivity with focal stromal thinning and preserved peripheral architecture, without signs of inflammatory infiltration. Epithelial thinning at 1 month (36.25 µm) was followed by compensatory thickening at 6 months (47.5 µm). By 6 months, partial tomographic regression was observed, and all eyes achieved UDVA and CDVA of 20/20 despite mild residual hyperopic shift.",
        "Conclusions": "CTK following PRK presents with delayed onset around day 6 after epithelial healing and demonstrates significant transient stromal thinning and flattening. Conservative management results in excellent visual recovery, emphasizing the importance of early recognition to avoid unnecessary intervention."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "POREF240",
      "abstract_number": "POREF240",
      "title": "Clinical Outcomes Of Prk In High Myopia (> −6.00 D): A Retrospective Analysis Of 974 Eyes",
      "authors": "Prof. Madhu Uddaraju",
      "presenter": "Prof. Madhu Uddaraju",
      "normalized_authors": [
        "Madhu Uddaraju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Madhu Uddaraju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual outcomes, stromal safety parameters, and complication profile following photorefractive keratectomy (PRK) in high myopia (> −6.00 D) with or without astigmatism up to −2.00 D.",
        "Setting": "Single-center tertiary refractive surgery practice, India.",
        "Methods": "This retrospective observational study included 974 eyes of 487 patients undergoing PRK for spherical myopia > −6.00 D with cylinder ≤ −2.00 D. All treatments were planned using pachymetry-guided ablation (13 µm per diopter) ensuring a residual stromal bed (RSB) ≥ 380 µm .\n\nPrimary outcome was postoperative uncorrected visual acuity (UCVA). Secondary outcomes included postoperative pain scores (0–10 scale), incidence of corneal haze, regression, and enhancement rates.\n\nContinuous variables are reported as mean ± SD with 95% confidence intervals (CI). Proportions are reported with Wilson 95% CI.",
        "Results": "Baseline Characteristics\n\n•\nAge: 29.38 ± 5.19 years (95% CI: 29.06–29.71)\n\n•\nSex distribution: 50.1% female\n\n•\nSpherical power: −6.99 ± 0.58 D (95% CI: −7.02 to −6.95)\n\n•\nCylinder: −0.99 ± 0.57 D (95% CI: −1.03 to −0.96)\n\n•\nPreoperative pachymetry: 529.77 ± 17.59 µm (95% CI: 528.66–530.87)\n\n•\nEstimated ablation depth: 90.83 ± 7.58 µm (95% CI: 90.36–91.31)\n\n•\nResidual stromal bed: 399.66 ± 11.58 µm (95% CI: 398.94–400.39)\n\nVisual Outcomes (n = 974)\n\n•\n6/6 UCVA: 935 eyes (95.996%)\n\n95% CI: 94.57%–97.06%\n\n•\n6/9 UCVA: 24 eyes (2.46%)\n\n95% CI: 1.66%–3.64%\n\n•\n6/12 UCVA: 15 eyes (1.54%)\n\n95% CI: 0.94%–2.53%\n\nComplications\n\n•\nCorneal haze: 6 eyes (0.62%; 95% CI: 0.28%–1.34%)\n\n•\nRegression: 16 eyes (1.64%; 95% CI: 1.01%–2.65%)\n\nNo sight-threatening complications were observed.",
        "Conclusions": "In carefully selected high myopic eyes (> −6.00 D) with stringent stromal preservation (RSB ≥ 380 µm), PRK demonstrates:\n\n•\nExcellent visual outcomes (96% achieving 6/6 UCVA)\n\n•\nLow haze incidence (0.62%)\n\n•\nLow regression rate (1.64%)\n\n•\nPredictable and self-limiting postoperative discomfort\n\nThese results support PRK as a safe and effective option for high myopia when strict pachymetric criteria are adhered to."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In carefully selected high myopic eyes (> −6.00 D) with stringent stromal preservation (RSB ≥ 380 µm), PRK demonstrates: • Excellent visual outcomes (96% achieving 6/6 UCVA) • Low haze incidence (0.62%) • Low regression rate (1.64%) • Predictable and self-limiting postoperative discomfort These results support PRK as a safe and effective option for high myopia when strict pachymetric criteria are adhered to.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1619,
      "source_fields": {
        "Abstract Final Identifier": "POREF240",
        "Title": "Clinical Outcomes Of Prk In High Myopia (> −6.00 D): A Retrospective Analysis Of 974 Eyes",
        "Presenting Author(s)": "Prof. Madhu Uddaraju",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Madhu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uddaraju",
        "Country Name": "India",
        "Purpose": "To evaluate visual outcomes, stromal safety parameters, and complication profile following photorefractive keratectomy (PRK) in high myopia (> −6.00 D) with or without astigmatism up to −2.00 D.",
        "Setting": "Single-center tertiary refractive surgery practice, India.",
        "Methods": "This retrospective observational study included 974 eyes of 487 patients undergoing PRK for spherical myopia > −6.00 D with cylinder ≤ −2.00 D. All treatments were planned using pachymetry-guided ablation (13 µm per diopter) ensuring a residual stromal bed (RSB) ≥ 380 µm .\n\nPrimary outcome was postoperative uncorrected visual acuity (UCVA). Secondary outcomes included postoperative pain scores (0–10 scale), incidence of corneal haze, regression, and enhancement rates.\n\nContinuous variables are reported as mean ± SD with 95% confidence intervals (CI). Proportions are reported with Wilson 95% CI.",
        "Results": "Baseline Characteristics\n\n•\nAge: 29.38 ± 5.19 years (95% CI: 29.06–29.71)\n\n•\nSex distribution: 50.1% female\n\n•\nSpherical power: −6.99 ± 0.58 D (95% CI: −7.02 to −6.95)\n\n•\nCylinder: −0.99 ± 0.57 D (95% CI: −1.03 to −0.96)\n\n•\nPreoperative pachymetry: 529.77 ± 17.59 µm (95% CI: 528.66–530.87)\n\n•\nEstimated ablation depth: 90.83 ± 7.58 µm (95% CI: 90.36–91.31)\n\n•\nResidual stromal bed: 399.66 ± 11.58 µm (95% CI: 398.94–400.39)\n\nVisual Outcomes (n = 974)\n\n•\n6/6 UCVA: 935 eyes (95.996%)\n\n95% CI: 94.57%–97.06%\n\n•\n6/9 UCVA: 24 eyes (2.46%)\n\n95% CI: 1.66%–3.64%\n\n•\n6/12 UCVA: 15 eyes (1.54%)\n\n95% CI: 0.94%–2.53%\n\nComplications\n\n•\nCorneal haze: 6 eyes (0.62%; 95% CI: 0.28%–1.34%)\n\n•\nRegression: 16 eyes (1.64%; 95% CI: 1.01%–2.65%)\n\nNo sight-threatening complications were observed.",
        "Conclusions": "In carefully selected high myopic eyes (> −6.00 D) with stringent stromal preservation (RSB ≥ 380 µm), PRK demonstrates:\n\n•\nExcellent visual outcomes (96% achieving 6/6 UCVA)\n\n•\nLow haze incidence (0.62%)\n\n•\nLow regression rate (1.64%)\n\n•\nPredictable and self-limiting postoperative discomfort\n\nThese results support PRK as a safe and effective option for high myopia when strict pachymetric criteria are adhered to."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "POREF241",
      "abstract_number": "POREF241",
      "title": "Comparison Of The Planned Ablation Depth With The Measured Change In Corneal Thickness Before And After Laser Ablation In Phototherapeutic Keratectomy",
      "authors": "Dr Kleopatra Varna-Tigka",
      "presenter": "Dr Kleopatra Varna-Tigka",
      "normalized_authors": [
        "Kleopatra Varna-Tigka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kleopatra Varna-Tigka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "In phototherapeutic keratectomy (PTK), a predefined corneal thickness is ablated using an excimer laser following mechanical debridement, depending on the underlying pathology. To avoid undesirable side effects, it is essential that the corneal thickness entered into the laser system corresponds to the actual ablated depth. The aim of this study was to compare the target ablation depth set at the laser with the measured difference in corneal thickness before and after laser ablation in PTK.",
        "Setting": "Department of Ophthalmology, University Hospital Frankfurt, Germany",
        "Methods": "In this consecutive retrospective case series, data were analyzed from patients who underwent PTK between February 2018 and April 2023 due to Salzmann’s nodular degeneration, epithelial basement membrane dystrophy, or recurrent corneal erosion. Following manual debridement, laser ablation was performed using the SCHWIND AMARIS 750S excimer laser. Pachymetry measurements were obtained by the laser device immediately before and after ablation. The difference between pre- and postoperative corneal thickness measurements was compared with the planned ablation depth entered into the laser system.\n\nThe study cohort was divided into two groups according to the planned ablation depth: 5 µm and 10 µm.",
        "Results": "A total of 223 eyes from 223 patients were included.\n\nIn the group with a planned ablation depth of 5 µm (n = 177), the median measured ablation depth was 12 µm (95% confidence interval: 11–13 µm; range: 0–36 µm).\n\nIn the group with a planned ablation depth of 10 µm (n = 46), the median measured ablation depth was 14.5 µm (95% confidence interval: 12–18 µm; range: 0–70 µm).\n\nIn both groups, the deviation between the planned and measured ablation depths was statistically significant (p < 0.001). The difference in ablation depth between the two groups was also statistically significant (p = 0.02).",
        "Conclusions": "Precise laser ablation is a prerequisite for reproducible outcomes and safe treatment. However, there is a statistically and clinically relevant discrepancy between the planned ablation depth and the intraoperatively measured ablation depth, which should be considered when determining the intended ablation depth.\n\nThis deviation may be explained by the immediate and unpredictable dehydration process of the corneal stroma following mechanical debridement, potentially resulting in a higher ablation rate per laser pulse. Future technological advances should aim to incorporate the corneal hydration status into PTK planning to improve the precision of excimer laser ablation"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Precise laser ablation is a prerequisite for reproducible outcomes and safe treatment. However, there is a statistically and clinically relevant discrepancy between the planned ablation depth and the intraoperatively measured ablation depth, which should be considered when determining the intended ablation depth. This deviation may be explained by the immediate and unpredictable dehydration process of the corneal…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1620,
      "source_fields": {
        "Abstract Final Identifier": "POREF241",
        "Title": "Comparison Of The Planned Ablation Depth With The Measured Change In Corneal Thickness Before And After Laser Ablation In Phototherapeutic Keratectomy",
        "Presenting Author(s)": "Dr Kleopatra Varna-Tigka",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Kleopatra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Varna-Tigka",
        "Country Name": "Germany",
        "Purpose": "In phototherapeutic keratectomy (PTK), a predefined corneal thickness is ablated using an excimer laser following mechanical debridement, depending on the underlying pathology. To avoid undesirable side effects, it is essential that the corneal thickness entered into the laser system corresponds to the actual ablated depth. The aim of this study was to compare the target ablation depth set at the laser with the measured difference in corneal thickness before and after laser ablation in PTK.",
        "Setting": "Department of Ophthalmology, University Hospital Frankfurt, Germany",
        "Methods": "In this consecutive retrospective case series, data were analyzed from patients who underwent PTK between February 2018 and April 2023 due to Salzmann’s nodular degeneration, epithelial basement membrane dystrophy, or recurrent corneal erosion. Following manual debridement, laser ablation was performed using the SCHWIND AMARIS 750S excimer laser. Pachymetry measurements were obtained by the laser device immediately before and after ablation. The difference between pre- and postoperative corneal thickness measurements was compared with the planned ablation depth entered into the laser system.\n\nThe study cohort was divided into two groups according to the planned ablation depth: 5 µm and 10 µm.",
        "Results": "A total of 223 eyes from 223 patients were included.\n\nIn the group with a planned ablation depth of 5 µm (n = 177), the median measured ablation depth was 12 µm (95% confidence interval: 11–13 µm; range: 0–36 µm).\n\nIn the group with a planned ablation depth of 10 µm (n = 46), the median measured ablation depth was 14.5 µm (95% confidence interval: 12–18 µm; range: 0–70 µm).\n\nIn both groups, the deviation between the planned and measured ablation depths was statistically significant (p < 0.001). The difference in ablation depth between the two groups was also statistically significant (p = 0.02).",
        "Conclusions": "Precise laser ablation is a prerequisite for reproducible outcomes and safe treatment. However, there is a statistically and clinically relevant discrepancy between the planned ablation depth and the intraoperatively measured ablation depth, which should be considered when determining the intended ablation depth.\n\nThis deviation may be explained by the immediate and unpredictable dehydration process of the corneal stroma following mechanical debridement, potentially resulting in a higher ablation rate per laser pulse. Future technological advances should aim to incorporate the corneal hydration status into PTK planning to improve the precision of excimer laser ablation"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "POREF242",
      "abstract_number": "POREF242",
      "title": "Comparative Early Outcomes Of Alcohol-Assisted And Transepithelial Prk In Pain, Epithelial Remodeling, And Nerve Regeneration",
      "authors": "Dr Beatriz Costa Vieira",
      "presenter": "Dr Beatriz Costa Vieira",
      "normalized_authors": [
        "Beatriz Costa Vieira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Beatriz Costa Vieira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare alcohol-assisted (aPRK) and transepithelial (tPRK) photorefractive keratectomy regarding patient-reported pain, clinical epithelial signs, structural healing, and functional outcomes.",
        "Setting": "Refractive Surgery Unit of the Ophthalmology Department of Unidade Local de Saúde de Santo António (ULSSA), a tertiary hospital in Oporto, Portugal.",
        "Methods": "Prospective observational study. Patients underwent bilateral PRK using the Wavelight EX500 excimer laser, with one eye randomly assigned to aPRK and the fellow eye to tPRK, performed 1–2 weeks apart. Eyes were analyzed as aPRK and tPRK groups. Baseline and postoperative assessments included visual acuity, refraction, anterior segment OCT epithelial/stromal mapping (Anterion, Heidelberg), and in vivo confocal microscopy of epithelial and corneal nerve parameters (HRT3 RCM, Heidelberg). Confocal images were analyzed with ImageJ and ACCMetrics. Clinical epithelial signs and ocular pain (Ocular Pain Assessment Survey, day 2) were recorded. Intergroup and correlation analyses were performed.",
        "Results": "Sixty-four eyes from 32 PRK candidates were included (mean age 30.0±5.6 years; 37.5% female). Baseline visual, refractive, epithelial, and nerve parameters were similar between groups. Pain scores did not differ between techniques (4.49 (tPRK) vs 4.52 (aPRK), p=0.96), but were higher during the second procedure (5.18 vs 3.85, p=0.048). Pain correlated with the presence of a healing ridge line on day 3 (p=0.009), but not with preoperative corneal nerve fiber density (CNFD) (p=0.987). CNFD regeneration was comparable at 1 and 3 months (p>0.8). tPRK showed greater epithelial thickness on day 3 (p=0.04), while epithelial cells were larger after aPRK at 3 months (p=0.004). Visual acuity outcomes were similar.",
        "Conclusions": "Postoperative pain after PRK was influenced more by surgical sequence and the presence of a healing ridge line than by the surgical technique and was not associated with preoperative corneal nerve fiber density. Nerve regeneration was comparable between groups during the first 3 months. tPRK showed faster epithelial thickening and a trend toward better early refractive outcomes, although visual acuity results were similar between techniques. Overall, both approaches were safe and effective, with tPRK showing modest advantages during the early healing phase."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Postoperative pain after PRK was influenced more by surgical sequence and the presence of a healing ridge line than by the surgical technique and was not associated with preoperative corneal nerve fiber density. Nerve regeneration was comparable between groups during the first 3 months. tPRK showed faster epithelial thickening and a trend toward better early refractive outcomes, although visual acuity results were…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1621,
      "source_fields": {
        "Abstract Final Identifier": "POREF242",
        "Title": "Comparative Early Outcomes Of Alcohol-Assisted And Transepithelial Prk In Pain, Epithelial Remodeling, And Nerve Regeneration",
        "Presenting Author(s)": "Dr Beatriz Costa Vieira",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Beatriz",
        "Submitter Middle Name": "Costa",
        "Submitter Last Name": "Vieira",
        "Country Name": "Portugal",
        "Purpose": "To compare alcohol-assisted (aPRK) and transepithelial (tPRK) photorefractive keratectomy regarding patient-reported pain, clinical epithelial signs, structural healing, and functional outcomes.",
        "Setting": "Refractive Surgery Unit of the Ophthalmology Department of Unidade Local de Saúde de Santo António (ULSSA), a tertiary hospital in Oporto, Portugal.",
        "Methods": "Prospective observational study. Patients underwent bilateral PRK using the Wavelight EX500 excimer laser, with one eye randomly assigned to aPRK and the fellow eye to tPRK, performed 1–2 weeks apart. Eyes were analyzed as aPRK and tPRK groups. Baseline and postoperative assessments included visual acuity, refraction, anterior segment OCT epithelial/stromal mapping (Anterion, Heidelberg), and in vivo confocal microscopy of epithelial and corneal nerve parameters (HRT3 RCM, Heidelberg). Confocal images were analyzed with ImageJ and ACCMetrics. Clinical epithelial signs and ocular pain (Ocular Pain Assessment Survey, day 2) were recorded. Intergroup and correlation analyses were performed.",
        "Results": "Sixty-four eyes from 32 PRK candidates were included (mean age 30.0±5.6 years; 37.5% female). Baseline visual, refractive, epithelial, and nerve parameters were similar between groups. Pain scores did not differ between techniques (4.49 (tPRK) vs 4.52 (aPRK), p=0.96), but were higher during the second procedure (5.18 vs 3.85, p=0.048). Pain correlated with the presence of a healing ridge line on day 3 (p=0.009), but not with preoperative corneal nerve fiber density (CNFD) (p=0.987). CNFD regeneration was comparable at 1 and 3 months (p>0.8). tPRK showed greater epithelial thickness on day 3 (p=0.04), while epithelial cells were larger after aPRK at 3 months (p=0.004). Visual acuity outcomes were similar.",
        "Conclusions": "Postoperative pain after PRK was influenced more by surgical sequence and the presence of a healing ridge line than by the surgical technique and was not associated with preoperative corneal nerve fiber density. Nerve regeneration was comparable between groups during the first 3 months. tPRK showed faster epithelial thickening and a trend toward better early refractive outcomes, although visual acuity results were similar between techniques. Overall, both approaches were safe and effective, with tPRK showing modest advantages during the early healing phase."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 351
    },
    {
      "uid": "POREF243",
      "abstract_number": "POREF243",
      "title": "Corneal Shape Optimization Before Cataract Surgery: Topography-Guided Photorefractive Keratectomy In Eyes With Irregular Astigmatism",
      "authors": "Dr Haoyu Wang",
      "presenter": "Dr Haoyu Wang",
      "normalized_authors": [
        "Haoyu Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Haoyu Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Irregular corneas present significant challenges to refractive predictability in cataract surgery. Surface ablation techniques, particularly topography-guided photorefractive keratectomy (PRK), have been shown to reduce corneal irregularity, improve visual acuity, and decrease higher-order aberrations in eyes with keratoconus and other causes of irregular astigmatism. This study evaluated the impact of preoperative corneal shape optimization on refractive accuracy and visual outcomes following cataract surgery.",
        "Setting": "A single corneal specialist’s refractive practice affiliated with the University of British Columbia, Vancouver, Canada.",
        "Methods": "This retrospective chart review included patients with irregular corneas who underwent topography-guided photorefractive keratectomy prior to cataract surgery between January 2022 and January 2026, with ≥6 months follow-up. Pre- and post-optimization biometric, refractive, and visual data were collected, including UCVA, BCVA, manifest refraction, keratometry, corneal topography (Pentacam), and wavefront aberrations (iTrace). Primary outcomes were refractive prediction error and corneal biometric stability; secondary outcomes included changes in higher-order aberrations, visual acuity, and visual aid dependence, including transition from contact lenses to spectacle independence.",
        "Results": "Thirty-five eyes (26 patients; mean age 68 y) underwent topography-guided PRK 11.7 ± 5.5 months prior to cataract surgery for ectasia (n=24), post-LASIK HOAs (n=6), or corneal scarring (n=5). Postoperatively, RMS higher-order aberrations decreased from 0.63 to 0.49. Steep K improved from 46.9 ± 4.3 D to 44.7 ± 3.9 D and Kmax from 51.9 ± 5.5 D to 48.9 ± 3.4 D, remaining stable over 18.6 ± 8.4 months. IOLs included monofocal (16), toric (9), and EDOF (10). All eyes maintained or improved visual acuity; 86% were within ±0.50 D of target, and 94% of patients reported satisfaction. Rigid lenses were used by 14 patients (40%) preoperatively; postoperatively, none required rigid lenses, and three patients continued soft lens use.",
        "Conclusions": "Preoperative topography-guided PRK effectively regularises the corneal surface in eyes with irregular astigmatism, resulting in improved higher-order aberrations, enhanced refractive predictability, and high patient satisfaction following cataract surgery. Crucially, this approach successfully transitions patients out of requiring rigid gas-permeable (RGP) lenses. Corneal normalization prior to lens implantation is a valuable strategy for optimising refractive outcomes and reducing contact lens dependence in this complex patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative topography-guided PRK effectively regularises the corneal surface in eyes with irregular astigmatism, resulting in improved higher-order aberrations, enhanced refractive predictability, and high patient satisfaction following cataract surgery. Crucially, this approach successfully transitions patients out of requiring rigid gas-permeable (RGP) lenses. Corneal normalization prior to lens implantation is…",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1622,
      "source_fields": {
        "Abstract Final Identifier": "POREF243",
        "Title": "Corneal Shape Optimization Before Cataract Surgery: Topography-Guided Photorefractive Keratectomy In Eyes With Irregular Astigmatism",
        "Presenting Author(s)": "Dr Haoyu Wang",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Haoyu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "Canada",
        "Purpose": "Irregular corneas present significant challenges to refractive predictability in cataract surgery. Surface ablation techniques, particularly topography-guided photorefractive keratectomy (PRK), have been shown to reduce corneal irregularity, improve visual acuity, and decrease higher-order aberrations in eyes with keratoconus and other causes of irregular astigmatism. This study evaluated the impact of preoperative corneal shape optimization on refractive accuracy and visual outcomes following cataract surgery.",
        "Setting": "A single corneal specialist’s refractive practice affiliated with the University of British Columbia, Vancouver, Canada.",
        "Methods": "This retrospective chart review included patients with irregular corneas who underwent topography-guided photorefractive keratectomy prior to cataract surgery between January 2022 and January 2026, with ≥6 months follow-up. Pre- and post-optimization biometric, refractive, and visual data were collected, including UCVA, BCVA, manifest refraction, keratometry, corneal topography (Pentacam), and wavefront aberrations (iTrace). Primary outcomes were refractive prediction error and corneal biometric stability; secondary outcomes included changes in higher-order aberrations, visual acuity, and visual aid dependence, including transition from contact lenses to spectacle independence.",
        "Results": "Thirty-five eyes (26 patients; mean age 68 y) underwent topography-guided PRK 11.7 ± 5.5 months prior to cataract surgery for ectasia (n=24), post-LASIK HOAs (n=6), or corneal scarring (n=5). Postoperatively, RMS higher-order aberrations decreased from 0.63 to 0.49. Steep K improved from 46.9 ± 4.3 D to 44.7 ± 3.9 D and Kmax from 51.9 ± 5.5 D to 48.9 ± 3.4 D, remaining stable over 18.6 ± 8.4 months. IOLs included monofocal (16), toric (9), and EDOF (10). All eyes maintained or improved visual acuity; 86% were within ±0.50 D of target, and 94% of patients reported satisfaction. Rigid lenses were used by 14 patients (40%) preoperatively; postoperatively, none required rigid lenses, and three patients continued soft lens use.",
        "Conclusions": "Preoperative topography-guided PRK effectively regularises the corneal surface in eyes with irregular astigmatism, resulting in improved higher-order aberrations, enhanced refractive predictability, and high patient satisfaction following cataract surgery. Crucially, this approach successfully transitions patients out of requiring rigid gas-permeable (RGP) lenses. Corneal normalization prior to lens implantation is a valuable strategy for optimising refractive outcomes and reducing contact lens dependence in this complex patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "POREF244",
      "abstract_number": "POREF244",
      "title": "Topography-Guided Photorefractive Keratectomy For Correction Of Irregular Astigmatism Following Penetrating Keratoplasty",
      "authors": "Dr Hadi Zare Mehrjardi",
      "presenter": "Dr Hadi Zare Mehrjardi",
      "normalized_authors": [
        "Hadi Zare Mehrjardi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hadi Zare Mehrjardi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of Topography-Guided Photorefractive Keratectomy (TG-PRK) to correct irregular astigmatism following PKP.",
        "Setting": "Retrospective clinical study",
        "Methods": "Patients who underwent TG-PRK for irregular astigmatism post-PKP and had 12 months of follow-up were evaluated in this retrospective study at a laser refractive clinic. Total of 185 eyes. Preoperative and postoperative uncorrected distance visual acuity (UDVA), best corrected visual acuity (CDVA), manifest refraction, and topographic cylinder were analyzed.",
        "Results": "Postoperatively, 61 (33%) eyes had UDVA ≥20/40 at 12 months compared to preoperatively, 3 (1.6%) eyes had a recorded UDVA ≥20/40. More than one-quarter of the patients gained ≥2 lines. 10% lost ≥2 lines from incomplete treatment, haze, or cataracts. However, no patient subsequently needed specialty contact lenses.",
        "Conclusions": "TG-PRK may improve irregular astigmatism postoperatively and improve both UDVA and CDVA with promising efficacy and safety. This may be an alternative to current surgical management for post-PKP irregular astigmatism. Trans-epithelial TG-PRK is a surface procedure that avoids more invasive techniques such as wedge resection and relieving incisions for post-penetrating keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TG-PRK may improve irregular astigmatism postoperatively and improve both UDVA and CDVA with promising efficacy and safety. This may be an alternative to current surgical management for post-PKP irregular astigmatism. Trans-epithelial TG-PRK is a surface procedure that avoids more invasive techniques such as wedge resection and relieving incisions for post-penetrating keratoplasty.",
      "session_type": "ePoster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1623,
      "source_fields": {
        "Abstract Final Identifier": "POREF244",
        "Title": "Topography-Guided Photorefractive Keratectomy For Correction Of Irregular Astigmatism Following Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Hadi Zare Mehrjardi",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Hadi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zare Mehrjardi",
        "Country Name": "Canada",
        "Purpose": "To evaluate the efficacy and safety of Topography-Guided Photorefractive Keratectomy (TG-PRK) to correct irregular astigmatism following PKP.",
        "Setting": "Retrospective clinical study",
        "Methods": "Patients who underwent TG-PRK for irregular astigmatism post-PKP and had 12 months of follow-up were evaluated in this retrospective study at a laser refractive clinic. Total of 185 eyes. Preoperative and postoperative uncorrected distance visual acuity (UDVA), best corrected visual acuity (CDVA), manifest refraction, and topographic cylinder were analyzed.",
        "Results": "Postoperatively, 61 (33%) eyes had UDVA ≥20/40 at 12 months compared to preoperatively, 3 (1.6%) eyes had a recorded UDVA ≥20/40. More than one-quarter of the patients gained ≥2 lines. 10% lost ≥2 lines from incomplete treatment, haze, or cataracts. However, no patient subsequently needed specialty contact lenses.",
        "Conclusions": "TG-PRK may improve irregular astigmatism postoperatively and improve both UDVA and CDVA with promising efficacy and safety. This may be an alternative to current surgical management for post-PKP irregular astigmatism. Trans-epithelial TG-PRK is a surface procedure that avoids more invasive techniques such as wedge resection and relieving incisions for post-penetrating keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 171
    },
    {
      "uid": "POSUS001",
      "abstract_number": "POSUS001",
      "title": "Environmental Impact Of Patient Travel For Macula Degeneration Clinic",
      "authors": "Ms Kavita Aggarwal",
      "presenter": "Ms Kavita Aggarwal",
      "normalized_authors": [
        "Kavita Aggarwal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kavita Aggarwal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The climate crisis is a health crisis . Climate change is the greatest global health opportunity of the 21 st century. We need to think about Net Z ero E yecare now to protect the future. Eyecare is one of the highest throughput outpatient specialities in the NHS, seeing 23million patients annually. Any small changes to reduce carbon could have a big impact on carbon reductions more widely. Patient travel accounted for 77% of emissions for AMD injections vs 10.1% for cataract surgery. The aim of this project is to capture patient’s travel preferences to an age-related macula degeneration clinic in Amersham, Buckinghamshire, United Kingdom.",
        "Setting": "Single setting community hospital in the United Kingdom.",
        "Methods": "All patients attending the age-related macula degeneration clinic on a single day will have travel data collected prospectively at the time of their appointments. This data will be extrapolated to compare against the National NHS dataset (SUS).",
        "Results": "A total of 39 participants will be included in this study with a mean age of 86.3 years. 33% were men and 100% were white British in ethnicity. The mean distance to clinic was 13.52 miles range(2.20-32.14 miles). Of those attending, 89.4% travelled by car with the majority of cars being petrol or diesel. Only 1 car was electric with 4 being hybrid. Of those who drove, only 8.6% self drove to the appointment whilst the others were driven by carers, relatives or friends. This meant that an additional 58.55 miles were driven by carers resuting in 23.4 kg of CO2.",
        "Conclusions": "Ophthalmology is a unique speciality where patients often have poor vision, dilating drops and interventons including injection treatment at the time of the appointment meaning that they are unable to drive themselves to their appointments. This means that even though patients live close to the community hospital, they often need a carer to bring them to the appointment. This is the only study that highlights the additional carbon footprint from carers travelling to patients appointments and the preference for car travel for all patients in this setting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ophthalmology is a unique speciality where patients often have poor vision, dilating drops and interventons including injection treatment at the time of the appointment meaning that they are unable to drive themselves to their appointments. This means that even though patients live close to the community hospital, they often need a carer to bring them to the appointment. This is the only study that highlights the…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1624,
      "source_fields": {
        "Abstract Final Identifier": "POSUS001",
        "Title": "Environmental Impact Of Patient Travel For Macula Degeneration Clinic",
        "Presenting Author(s)": "Ms Kavita Aggarwal",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Kavita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aggarwal",
        "Country Name": "United Kingdom",
        "Purpose": "The climate crisis is a health crisis . Climate change is the greatest global health opportunity of the 21 st century. We need to think about Net Z ero E yecare now to protect the future. Eyecare is one of the highest throughput outpatient specialities in the NHS, seeing 23million patients annually. Any small changes to reduce carbon could have a big impact on carbon reductions more widely. Patient travel accounted for 77% of emissions for AMD injections vs 10.1% for cataract surgery. The aim of this project is to capture patient’s travel preferences to an age-related macula degeneration clinic in Amersham, Buckinghamshire, United Kingdom.",
        "Setting": "Single setting community hospital in the United Kingdom.",
        "Methods": "All patients attending the age-related macula degeneration clinic on a single day will have travel data collected prospectively at the time of their appointments. This data will be extrapolated to compare against the National NHS dataset (SUS).",
        "Results": "A total of 39 participants will be included in this study with a mean age of 86.3 years. 33% were men and 100% were white British in ethnicity. The mean distance to clinic was 13.52 miles range(2.20-32.14 miles). Of those attending, 89.4% travelled by car with the majority of cars being petrol or diesel. Only 1 car was electric with 4 being hybrid. Of those who drove, only 8.6% self drove to the appointment whilst the others were driven by carers, relatives or friends. This meant that an additional 58.55 miles were driven by carers resuting in 23.4 kg of CO2.",
        "Conclusions": "Ophthalmology is a unique speciality where patients often have poor vision, dilating drops and interventons including injection treatment at the time of the appointment meaning that they are unable to drive themselves to their appointments. This means that even though patients live close to the community hospital, they often need a carer to bring them to the appointment. This is the only study that highlights the additional carbon footprint from carers travelling to patients appointments and the preference for car travel for all patients in this setting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "POSUS002",
      "abstract_number": "POSUS002",
      "title": "Red Versus Green Diode Laser Photocoagulation For Threshold Retinopathy Of Prematurity",
      "authors": "Paul Runge",
      "presenter": "Paul Runge",
      "normalized_authors": [
        "Paul Runge"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mantsha Ahmed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "The purpose of this study is to compare the results of the treatment of threshold ROP with two different lasers; the red 810nm vs green 520nm diode lasers.",
        "Setting": "Communal Non-Commercial Enterprise \"Ivano-Frankivsk Regional Children's Hospital of Ivano-Frankivsk Regional Council\"",
        "Methods": "The red laser (LightMed LIGHTLas 810nm laser, San Clemente, CA) was employed from January 2021 until March 8, 2023, at which point the green laser (Norlase LION 520nm laser, Copenhagen) was deployed.",
        "Results": "The parameters assessed were number of laser spots, the total amount of energy applied and the total duration of the laser treatment. The total number of spots required to treat all eyes with the red laser were 14587 (mean 1216) and for the green laser 21122 (mean 1760). This amounts to 31% more spots, 184% less energy and a 400% decrease duration with the green when compared to the red laser.",
        "Conclusions": "Introduction of the green laser led to shorter treatment times, improved post-treatment eye conditions,clearer corneas, and better retina views.\n\nRed laser: 1) consistent post-op corneal and retinal edema, 2) hot, sharp, rapidly occurring, deep retinal burns, 3) consistent post-op retinal\n\nhemorrhages, 4) slow retinal pigmentation, >1 month, 5) consistent loss of dilation, 6) rare post op cataract.\n\nGreen laser: 1) no post-op corneal and very little retinal edema, 2) soft, slow developing, more anterior (less deep and less white) retinal burns, 3) very rare post-op retinal hemorrhage, 4) rapid retinal pigmentation by 2 weeks, 5) no loss of Cdilation, 6) no post-op retinal edema, 7) no post-op cataracts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Introduction of the green laser led to shorter treatment times, improved post-treatment eye conditions,clearer corneas, and better retina views. Red laser: 1) consistent post-op corneal and retinal edema, 2) hot, sharp, rapidly occurring, deep retinal burns, 3) consistent post-op retinal hemorrhages, 4) slow retinal pigmentation, >1 month, 5) consistent loss of dilation, 6) rare post op cataract. Green laser: 1) no…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1625,
      "source_fields": {
        "Abstract Final Identifier": "POSUS002",
        "Title": "Red Versus Green Diode Laser Photocoagulation For Threshold Retinopathy Of Prematurity",
        "Presenting Author(s)": "Paul Runge",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Mantsha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahmed",
        "Country Name": "Ukraine",
        "Purpose": "The purpose of this study is to compare the results of the treatment of threshold ROP with two different lasers; the red 810nm vs green 520nm diode lasers.",
        "Setting": "Communal Non-Commercial Enterprise \"Ivano-Frankivsk Regional Children's Hospital of Ivano-Frankivsk Regional Council\"",
        "Methods": "The red laser (LightMed LIGHTLas 810nm laser, San Clemente, CA) was employed from January 2021 until March 8, 2023, at which point the green laser (Norlase LION 520nm laser, Copenhagen) was deployed.",
        "Results": "The parameters assessed were number of laser spots, the total amount of energy applied and the total duration of the laser treatment. The total number of spots required to treat all eyes with the red laser were 14587 (mean 1216) and for the green laser 21122 (mean 1760). This amounts to 31% more spots, 184% less energy and a 400% decrease duration with the green when compared to the red laser.",
        "Conclusions": "Introduction of the green laser led to shorter treatment times, improved post-treatment eye conditions,clearer corneas, and better retina views.\n\nRed laser: 1) consistent post-op corneal and retinal edema, 2) hot, sharp, rapidly occurring, deep retinal burns, 3) consistent post-op retinal\n\nhemorrhages, 4) slow retinal pigmentation, >1 month, 5) consistent loss of dilation, 6) rare post op cataract.\n\nGreen laser: 1) no post-op corneal and very little retinal edema, 2) soft, slow developing, more anterior (less deep and less white) retinal burns, 3) very rare post-op retinal hemorrhage, 4) rapid retinal pigmentation by 2 weeks, 5) no loss of Cdilation, 6) no post-op retinal edema, 7) no post-op cataracts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "POSUS003",
      "abstract_number": "POSUS003",
      "title": "Development And Preliminary Validation Of A Hybrid Three-Dimension Printed Model For Glaucoma Drainage Device Surgery Training: A Prospective Simulation-Based Study",
      "authors": "Dr Abdulrahman MORAD Alkaff",
      "presenter": "Dr Abdulrahman MORAD Alkaff",
      "normalized_authors": [
        "Abdulrahman MORAD Alkaff"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulrahman MORAD Alkaff",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To develop a 3D-printed training model for glaucoma drainage device (GDD) surgery and assess its realism and procedural performance compared to a commercial Baerveldt glaucoma implant (BGI).",
        "Setting": "Single tertiary eye care center’s specialized surgical training wet lab.",
        "Methods": "Prospective simulation-based study. Fourteen glaucoma specialists (8 fellows, 6 consultants) performed simulated GDD surgeries on ovine eyes—first using the 3D-printed model, then the BGI. Procedure times were stopwatch-measured; technical/visual realism and utility rated on 5-point Likert scale (1=not similar/useful to 5=extremely similar/useful). Non-randomized; no blinding due to visible device differences.",
        "Results": "3D model procedures took longer overall (median [IQR] 530.5 [302.5] vs 342 [132.5] s; p<0.001), specifically plate insertion (p=0.039), tube insertion (p=0.001), tube fixation (p=0.025); plate fixation non-significant (p=0.078). Highest realism scores: plate/tube fixation (4.00, 4.00 ); overall utility 4.00. Consultants faster than fellows on BGI plate insertion only (112.5 vs 180 s; p=0.023).",
        "Conclusions": "The 3D-printed model showed acceptable realism and high utility despite longer times, positioning it as a viable low-cost training tool for GDD surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The 3D-printed model showed acceptable realism and high utility despite longer times, positioning it as a viable low-cost training tool for GDD surgery.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1626,
      "source_fields": {
        "Abstract Final Identifier": "POSUS003",
        "Title": "Development And Preliminary Validation Of A Hybrid Three-Dimension Printed Model For Glaucoma Drainage Device Surgery Training: A Prospective Simulation-Based Study",
        "Presenting Author(s)": "Dr Abdulrahman MORAD Alkaff",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Abdulrahman",
        "Submitter Middle Name": "MORAD",
        "Submitter Last Name": "Alkaff",
        "Country Name": "Saudi Arabia",
        "Purpose": "To develop a 3D-printed training model for glaucoma drainage device (GDD) surgery and assess its realism and procedural performance compared to a commercial Baerveldt glaucoma implant (BGI).",
        "Setting": "Single tertiary eye care center’s specialized surgical training wet lab.",
        "Methods": "Prospective simulation-based study. Fourteen glaucoma specialists (8 fellows, 6 consultants) performed simulated GDD surgeries on ovine eyes—first using the 3D-printed model, then the BGI. Procedure times were stopwatch-measured; technical/visual realism and utility rated on 5-point Likert scale (1=not similar/useful to 5=extremely similar/useful). Non-randomized; no blinding due to visible device differences.",
        "Results": "3D model procedures took longer overall (median [IQR] 530.5 [302.5] vs 342 [132.5] s; p<0.001), specifically plate insertion (p=0.039), tube insertion (p=0.001), tube fixation (p=0.025); plate fixation non-significant (p=0.078). Highest realism scores: plate/tube fixation (4.00, 4.00 ); overall utility 4.00. Consultants faster than fellows on BGI plate insertion only (112.5 vs 180 s; p=0.023).",
        "Conclusions": "The 3D-printed model showed acceptable realism and high utility despite longer times, positioning it as a viable low-cost training tool for GDD surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 189
    },
    {
      "uid": "POSUS004",
      "abstract_number": "POSUS004",
      "title": "Low-Level Red-Light Therapy And Axial Length Reversal In High Myopia: A Systematic Review",
      "authors": "Mrs Razita Aulia Azkia",
      "presenter": "Mrs Razita Aulia Azkia",
      "normalized_authors": [
        "Razita Aulia Azkia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Razita Aulia Azkia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Repeated Low-Level Red-Light (RLRL) therapy is increasingly used for myopia control. A randomised trial showed it can achieve 76.8% efficacy in controlling axial length (AL) elongation and 87.7% in slowing spherical equivalent (SE) progression in mild to moderate myopia. However, no comprehensive review exists on its use in children with high myopia.",
        "Setting": "This study aims to evaluate the incidence and degree of AL shortening and SE reduction after RLRL therapy in children and adolescents with high myopia, including visual acuity outcomes, structural changes, prognosis, and safety.",
        "Methods": "A comprehensive literature search was conducted using PubMed, ScienceDirect, and the Cochrane Library up to 2025. Inclusion criteria comprised randomized controlled trials and prospective clinical studies involving children with high myopia (defined as spherical equivalent refraction ≤ –6.00 D), treated with RLRL therapy. Data extraction focused on axial length change, spherical equivalent change, visual acuity, and surrogate structural outcomes. Four eligible studies were included, totaling 613 pediatric participants.",
        "Results": "All included studies applied 650 nm RLRL therapy twice daily for 3 minutes per session, with power ranging from 0.29–2.0 mW and follow-up of 6–12 months. Compared with single-vision spectacles or sham devices, RLRL consistently reduced axial elongation, with several studies reporting axial shortening (–0.11 to –0.06 mm), while controls showed elongation (+0.13 to +0.34 mm). Spherical equivalent improved in RLRL groups (+0.06 to +0.23 D) but worsened in controls (–0.75 to –0.86 D). Visual acuity was maintained or improved, and surrogate OCT markers (rEZR, rPOSR) increased post-treatment. Across studies, 23–59% of RLRL-treated participants experienced axial shortening greater than 0.05 mm. No serious adverse events were reported.",
        "Conclusions": "RLRL therapy appears safe and effective in slowing or reversing axial elongation in high myopia among children. It offers a promising non-invasive approach for managing progressive myopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RLRL therapy appears safe and effective in slowing or reversing axial elongation in high myopia among children. It offers a promising non-invasive approach for managing progressive myopia.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1627,
      "source_fields": {
        "Abstract Final Identifier": "POSUS004",
        "Title": "Low-Level Red-Light Therapy And Axial Length Reversal In High Myopia: A Systematic Review",
        "Presenting Author(s)": "Mrs Razita Aulia Azkia",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Razita",
        "Submitter Middle Name": "Aulia",
        "Submitter Last Name": "Azkia",
        "Country Name": "Indonesia",
        "Purpose": "Repeated Low-Level Red-Light (RLRL) therapy is increasingly used for myopia control. A randomised trial showed it can achieve 76.8% efficacy in controlling axial length (AL) elongation and 87.7% in slowing spherical equivalent (SE) progression in mild to moderate myopia. However, no comprehensive review exists on its use in children with high myopia.",
        "Setting": "This study aims to evaluate the incidence and degree of AL shortening and SE reduction after RLRL therapy in children and adolescents with high myopia, including visual acuity outcomes, structural changes, prognosis, and safety.",
        "Methods": "A comprehensive literature search was conducted using PubMed, ScienceDirect, and the Cochrane Library up to 2025. Inclusion criteria comprised randomized controlled trials and prospective clinical studies involving children with high myopia (defined as spherical equivalent refraction ≤ –6.00 D), treated with RLRL therapy. Data extraction focused on axial length change, spherical equivalent change, visual acuity, and surrogate structural outcomes. Four eligible studies were included, totaling 613 pediatric participants.",
        "Results": "All included studies applied 650 nm RLRL therapy twice daily for 3 minutes per session, with power ranging from 0.29–2.0 mW and follow-up of 6–12 months. Compared with single-vision spectacles or sham devices, RLRL consistently reduced axial elongation, with several studies reporting axial shortening (–0.11 to –0.06 mm), while controls showed elongation (+0.13 to +0.34 mm). Spherical equivalent improved in RLRL groups (+0.06 to +0.23 D) but worsened in controls (–0.75 to –0.86 D). Visual acuity was maintained or improved, and surrogate OCT markers (rEZR, rPOSR) increased post-treatment. Across studies, 23–59% of RLRL-treated participants experienced axial shortening greater than 0.05 mm. No serious adverse events were reported.",
        "Conclusions": "RLRL therapy appears safe and effective in slowing or reversing axial elongation in high myopia among children. It offers a promising non-invasive approach for managing progressive myopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POSUS005",
      "abstract_number": "POSUS005",
      "title": "Cataract Surgery And Environmental Sustainability: Models And Strategies For A Greener High‑Volume Procedure",
      "authors": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "presenter": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "normalized_authors": [
        "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To review and synthesize current evidence on the environmental impact of cataract surgery and to describe practical strategies—including high‑volume, low‑waste models—that can reduce carbon footprint and waste generation while maintaining or improving surgical outcomes.",
        "Setting": "The abstract draws on data from life‑cycle assessments and sustainability initiatives in high‑income settings (e.g., United Kingdom teaching hospitals) and from high‑volume eye‑care systems in low‑ and middle‑income countries, notably the Aravind Eye Care System in India, which has been widely studied as a benchmark for efficient and environmentally sustainable cataract services.",
        "Methods": "A narrative review of peer‑reviewed studies and reports was conducted focusing on: (1) carbon footprint and waste audits of cataract surgery pathways; (2) comparative analyses of resource‑intensive, single‑use models versus reusable, high‑volume systems; and (3) intervention studies using quality‑improvement or Delphi processes to co‑design “green” cataract packs and theater workflows. Key outcomes included per‑case greenhouse gas emissions (kg CO _2 ‑equivalent), solid waste (kg), and any reported effects on cost or clinical outcomes such as endophthalmitis rates.",
        "Results": "A UK hospital life‑cycle assessment estimated that one phacoemulsification cataract operation generated approximately 181–182 kg CO _2 ‑equivalent, with procurement (disposables and pharmaceuticals) contributing over half of emissions. By contrast, environmental audits at the Aravind Eye Care System reported roughly 250 g of solid waste and about 5.9–6 kg CO _2 ‑equivalent per case—around 3–5% of the footprint reported in the UK—while achieving equal or lower endophthalmitis rates (0.01% vs 0.04% in a large US registry). High‑volume, standardized surgery with systematic reuse of gowns, drapes, instruments, and multi‑dose pharmaceuticals under strict sterilization protocols accounted for much of this reduction.",
        "Conclusions": "Cataract surgery has a substantial but highly variable environmental footprint, and current evidence shows that safe, high‑quality care can be delivered with dramatically lower emissions and waste through redesigned pathways, rationalized use of disposables, and adoption of high‑volume, resource‑efficient models. Embedding sustainability metrics into routine audit, engaging multidisciplinary teams and industry partners, and learning from exemplars such as Aravind are key steps toward aligning cataract services with global climate goals while preserving sight for millions of patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery has a substantial but highly variable environmental footprint, and current evidence shows that safe, high‑quality care can be delivered with dramatically lower emissions and waste through redesigned pathways, rationalized use of disposables, and adoption of high‑volume, resource‑efficient models. Embedding sustainability metrics into routine audit, engaging multidisciplinary teams and industry…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1628,
      "source_fields": {
        "Abstract Final Identifier": "POSUS005",
        "Title": "Cataract Surgery And Environmental Sustainability: Models And Strategies For A Greener High‑Volume Procedure",
        "Presenting Author(s)": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Mosaab Mohamed",
        "Submitter Middle Name": "ZEINELABDIN MOHAMED",
        "Submitter Last Name": "Elmahdi",
        "Country Name": "China",
        "Purpose": "To review and synthesize current evidence on the environmental impact of cataract surgery and to describe practical strategies—including high‑volume, low‑waste models—that can reduce carbon footprint and waste generation while maintaining or improving surgical outcomes.",
        "Setting": "The abstract draws on data from life‑cycle assessments and sustainability initiatives in high‑income settings (e.g., United Kingdom teaching hospitals) and from high‑volume eye‑care systems in low‑ and middle‑income countries, notably the Aravind Eye Care System in India, which has been widely studied as a benchmark for efficient and environmentally sustainable cataract services.",
        "Methods": "A narrative review of peer‑reviewed studies and reports was conducted focusing on: (1) carbon footprint and waste audits of cataract surgery pathways; (2) comparative analyses of resource‑intensive, single‑use models versus reusable, high‑volume systems; and (3) intervention studies using quality‑improvement or Delphi processes to co‑design “green” cataract packs and theater workflows. Key outcomes included per‑case greenhouse gas emissions (kg CO _2 ‑equivalent), solid waste (kg), and any reported effects on cost or clinical outcomes such as endophthalmitis rates.",
        "Results": "A UK hospital life‑cycle assessment estimated that one phacoemulsification cataract operation generated approximately 181–182 kg CO _2 ‑equivalent, with procurement (disposables and pharmaceuticals) contributing over half of emissions. By contrast, environmental audits at the Aravind Eye Care System reported roughly 250 g of solid waste and about 5.9–6 kg CO _2 ‑equivalent per case—around 3–5% of the footprint reported in the UK—while achieving equal or lower endophthalmitis rates (0.01% vs 0.04% in a large US registry). High‑volume, standardized surgery with systematic reuse of gowns, drapes, instruments, and multi‑dose pharmaceuticals under strict sterilization protocols accounted for much of this reduction.",
        "Conclusions": "Cataract surgery has a substantial but highly variable environmental footprint, and current evidence shows that safe, high‑quality care can be delivered with dramatically lower emissions and waste through redesigned pathways, rationalized use of disposables, and adoption of high‑volume, resource‑efficient models. Embedding sustainability metrics into routine audit, engaging multidisciplinary teams and industry partners, and learning from exemplars such as Aravind are key steps toward aligning cataract services with global climate goals while preserving sight for millions of patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "POSUS006",
      "abstract_number": "POSUS006",
      "title": "Assessing The Need For A Pan-Canadian Mentorship Program For Women In Ophthalmology: A Canadian National Survey Of Trainees And Staff Physicians",
      "authors": "Dr Mary Holdsworth",
      "presenter": "Dr Mary Holdsworth",
      "normalized_authors": [
        "Mary Holdsworth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mary Holdsworth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Gender disparities in ophthalmology remain multifactorial and persistent. Women in ophthalmology report reduced access to mentorship, which has been associated with lower job satisfaction and hindered career advancement. Thus, enhanced mentorship infrastructure and opportunities are needed to promote an equitable professional environment for women in ophthalmology. This study aimed to evaluate experiences with mentorship among female ophthalmologists and ophthalmology residents in Canada. Second, we assessed interest in a formal Canadian mentorship program for female ophthalmology trainees and staff physicians, as well as preferences for mentor-mentee matching.",
        "Setting": "National survey of female ophthalmologists and ophthalmology trainees practicing or training in Canada.",
        "Methods": "An online cross-sectional survey was distributed to female ophthalmologists and trainees across Canada from November 2025 to January 2026. Participants were recruited via the Canadian Ophthalmological Society (COS) mailing lists and snowball distribution. Participant data were anonymized and aggregated into geographical regions. Qualitative responses were analyzed using descriptive statistics. Group comparisons were performed using chi-square for Fisher’s exact tests for categorical variables and non-parametric tests for Likert-scale responses. Free-text comments underwent thematic analysis.",
        "Results": "A total of 68 participants consented to and completed the survey, of whom 26 were trainees and 42 were practitioners. There was representation from all Canadian provinces with residency training programs, with most participants located in western Canada (57%, BC/AB/SK/MB). Regarding interest in a formal mentorship program for Canadian women in ophthalmology, 69% of participants responded yes. However, practitioners were more likely to report difficulty accessing female mentorship compared to trainees (72% vs. 55%, p=0.02). Content analysis of responses pertaining to the kinds of mentorship perceived as meaningful revealed three key themes: the importance of female representation, challenges with work-life balance, and career planning.",
        "Conclusions": "Sixty-eight participants from nine Canadian provinces responded to the survey. There was strong interest from both trainees and practitioners in a pan-Canadian mentorship program for women in ophthalmology. Importantly, there was a high prevalence of difficulty accessing meaningful female mentorship, with a significantly higher rate reported amongst practitioners. Key themes identified included female representation, work-life integration, and career planning. These findings support consideration of a structured national mentorship initiative."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sixty-eight participants from nine Canadian provinces responded to the survey. There was strong interest from both trainees and practitioners in a pan-Canadian mentorship program for women in ophthalmology. Importantly, there was a high prevalence of difficulty accessing meaningful female mentorship, with a significantly higher rate reported amongst practitioners. Key themes identified included female…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1629,
      "source_fields": {
        "Abstract Final Identifier": "POSUS006",
        "Title": "Assessing The Need For A Pan-Canadian Mentorship Program For Women In Ophthalmology: A Canadian National Survey Of Trainees And Staff Physicians",
        "Presenting Author(s)": "Dr Mary Holdsworth",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Mary",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Holdsworth",
        "Country Name": "Canada",
        "Purpose": "Gender disparities in ophthalmology remain multifactorial and persistent. Women in ophthalmology report reduced access to mentorship, which has been associated with lower job satisfaction and hindered career advancement. Thus, enhanced mentorship infrastructure and opportunities are needed to promote an equitable professional environment for women in ophthalmology. This study aimed to evaluate experiences with mentorship among female ophthalmologists and ophthalmology residents in Canada. Second, we assessed interest in a formal Canadian mentorship program for female ophthalmology trainees and staff physicians, as well as preferences for mentor-mentee matching.",
        "Setting": "National survey of female ophthalmologists and ophthalmology trainees practicing or training in Canada.",
        "Methods": "An online cross-sectional survey was distributed to female ophthalmologists and trainees across Canada from November 2025 to January 2026. Participants were recruited via the Canadian Ophthalmological Society (COS) mailing lists and snowball distribution. Participant data were anonymized and aggregated into geographical regions. Qualitative responses were analyzed using descriptive statistics. Group comparisons were performed using chi-square for Fisher’s exact tests for categorical variables and non-parametric tests for Likert-scale responses. Free-text comments underwent thematic analysis.",
        "Results": "A total of 68 participants consented to and completed the survey, of whom 26 were trainees and 42 were practitioners. There was representation from all Canadian provinces with residency training programs, with most participants located in western Canada (57%, BC/AB/SK/MB). Regarding interest in a formal mentorship program for Canadian women in ophthalmology, 69% of participants responded yes. However, practitioners were more likely to report difficulty accessing female mentorship compared to trainees (72% vs. 55%, p=0.02). Content analysis of responses pertaining to the kinds of mentorship perceived as meaningful revealed three key themes: the importance of female representation, challenges with work-life balance, and career planning.",
        "Conclusions": "Sixty-eight participants from nine Canadian provinces responded to the survey. There was strong interest from both trainees and practitioners in a pan-Canadian mentorship program for women in ophthalmology. Importantly, there was a high prevalence of difficulty accessing meaningful female mentorship, with a significantly higher rate reported amongst practitioners. Key themes identified included female representation, work-life integration, and career planning. These findings support consideration of a structured national mentorship initiative."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "POSUS007",
      "abstract_number": "POSUS007",
      "title": "Social Sustainability In Cataract Care: Follow-Up Capture And Visual Outcomes By Funding Pathway",
      "authors": "Dr Sujay Sanjay Jaju",
      "presenter": "Dr Sujay Sanjay Jaju",
      "normalized_authors": [
        "Sujay Sanjay Jaju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sujay Sanjay Jaju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate social sustainability in cataract care by quantifying disparities in follow-up capture and visual outcomes across funding pathways (PAY, FREE, CAMP) in a high-volume service.",
        "Setting": "Multisite cataract program (2025) with funding pathway recorded at surgery and postoperative follow-up Best Corrected Visual Acuity (FU BCVA) recorded when available.",
        "Methods": "Retrospective cohort analysis of 498,020 cataract operations. Funding pathways were analysed as recorded (PAY, FREE, CAMP). Primary outcomes were FU BCVA capture rate and FU BCVA thresholds (6/12+ and 6/6). Unadjusted risk ratios (RR) with 95% CI were calculated for key vision endpoints among eyes with FU BCVA recorded.",
        "Results": "A total of 498,020 cataract operations were analysed: PAY 206,831; FREE 184,906; CAMP 106,283. Follow-up visual acuity capture differed substantially by pathway: 94.6% (PAY), 89.1% (FREE) and 69.5% (CAMP). Among eyes with follow-up recorded, ≥6/12 was achieved in 87.4% (PAY) versus 73.4% (FREE) and 73.5% (CAMP). Achieving 6/6 was 59.1% in PAY compared with 29.2% in FREE (RR 2.02; 95% CI 2.01–2.04) and 26.5% in CAMP (RR 2.23; 95% CI 2.20–2.26).",
        "Conclusions": "Marked pathway-based differences in follow-up capture and visual outcomes indicate a social sustainability gap, with particularly low follow-up capture in CAMP and lower 6/6 outcomes in FREE/CAMP versus PAY. Strengthening follow-up systems for subsidized pathways is a scalable social sustainability intervention to improve equity in outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Marked pathway-based differences in follow-up capture and visual outcomes indicate a social sustainability gap, with particularly low follow-up capture in CAMP and lower 6/6 outcomes in FREE/CAMP versus PAY. Strengthening follow-up systems for subsidized pathways is a scalable social sustainability intervention to improve equity in outcomes.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1630,
      "source_fields": {
        "Abstract Final Identifier": "POSUS007",
        "Title": "Social Sustainability In Cataract Care: Follow-Up Capture And Visual Outcomes By Funding Pathway",
        "Presenting Author(s)": "Dr Sujay Sanjay Jaju",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Sujay",
        "Submitter Middle Name": "Sanjay",
        "Submitter Last Name": "Jaju",
        "Country Name": "India",
        "Purpose": "To evaluate social sustainability in cataract care by quantifying disparities in follow-up capture and visual outcomes across funding pathways (PAY, FREE, CAMP) in a high-volume service.",
        "Setting": "Multisite cataract program (2025) with funding pathway recorded at surgery and postoperative follow-up Best Corrected Visual Acuity (FU BCVA) recorded when available.",
        "Methods": "Retrospective cohort analysis of 498,020 cataract operations. Funding pathways were analysed as recorded (PAY, FREE, CAMP). Primary outcomes were FU BCVA capture rate and FU BCVA thresholds (6/12+ and 6/6). Unadjusted risk ratios (RR) with 95% CI were calculated for key vision endpoints among eyes with FU BCVA recorded.",
        "Results": "A total of 498,020 cataract operations were analysed: PAY 206,831; FREE 184,906; CAMP 106,283. Follow-up visual acuity capture differed substantially by pathway: 94.6% (PAY), 89.1% (FREE) and 69.5% (CAMP). Among eyes with follow-up recorded, ≥6/12 was achieved in 87.4% (PAY) versus 73.4% (FREE) and 73.5% (CAMP). Achieving 6/6 was 59.1% in PAY compared with 29.2% in FREE (RR 2.02; 95% CI 2.01–2.04) and 26.5% in CAMP (RR 2.23; 95% CI 2.20–2.26).",
        "Conclusions": "Marked pathway-based differences in follow-up capture and visual outcomes indicate a social sustainability gap, with particularly low follow-up capture in CAMP and lower 6/6 outcomes in FREE/CAMP versus PAY. Strengthening follow-up systems for subsidized pathways is a scalable social sustainability intervention to improve equity in outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "POSUS008",
      "abstract_number": "POSUS008",
      "title": "Benefits Of In-House Lens Finishing In A Military Social Ophthalmology Practice : A Two-Year Observational Study",
      "authors": "Dr Imane Jeddou",
      "presenter": "Dr Imane Jeddou",
      "normalized_authors": [
        "Imane Jeddou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Imane Jeddou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "The purpose of our study is to evaluate access, efficiency, optical quality, patient-centered benefits, and the economic impact of implementing in-house lens finishing within an ophthalmology practice operating under military social services. Primary endpoints were turnaround time, objective visual outcomes, patient satisfaction, and referral inflow. Secondary endpoints included reductions in out-of-pocket expenses and operational advantages for active-duty personnel, retirees, and school-aged children when clinical and optical services are co-located.",
        "Setting": "An ophthalmology practice within the Royal Moroccan Armed Forces' Social Action branch, located in a neighboring city, a one-hour drive from the nearest Military Hospital, and contracted with the military mutual insurance. A single ophthalmologist practice with an adjacent on-site optical bench serving 200 to 300 patients per month with high retention and frequent patient referrals. The ophthalmologist and optician traveled from the hospital to the center, bringing care closer to beneficiaries.",
        "Methods": "This is a descriptive, two-year observational study of routine workflow and outcomes after center inauguration. All patients received a full ophthalmic consultation (history, clinical exam, intraocular pressure, fundoscopy), followed, when indicated, by same-site spectacle production. The optician used a tracer, blocker, and lens edger to cut, finish, and mount lenses. Data collected included monthly volume, referral sources, time between prescription and delivery, rates of rework or remount, postoperative visual acuity, and patient satisfaction surveys. Financial data recorded included mutual insurance coverage and patient co-payment differentials. Team coordination and quality-control steps were documented.",
        "Results": "The co-located model substantially shortened prescription-to-delivery intervals. Close ophthalmologist-optician collaboration and in-line equipment (tracer, blocker, edger) enabled oversight of each production step, yielding very high objective visual outcomes, low rework and remount rates, and strong patient satisfaction. The facility sustained robust patient retention and a notable influx of new referrals. The Military mutual insurance convention significantly lowered patient direct costs. Operational benefits included reduced absenteeism for active-duty personnel, rapid correction for schoolchildren, and streamlined follow-up for retirees.",
        "Conclusions": "In-house lens finishing within a conventioned military social ophthalmology center improves access, shortens turnaround, enhances optical outcomes, and reduces patient costs. Coordinated ophthalmologist-optician workflows with on-site finishing produced high visual outcomes and low remount rates while improving patient retention and operational efficiency. This model may be a scalable approach to streamline refractive care and increase patient-centered efficiency in similar health-service settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In-house lens finishing within a conventioned military social ophthalmology center improves access, shortens turnaround, enhances optical outcomes, and reduces patient costs. Coordinated ophthalmologist-optician workflows with on-site finishing produced high visual outcomes and low remount rates while improving patient retention and operational efficiency. This model may be a scalable approach to streamline…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1631,
      "source_fields": {
        "Abstract Final Identifier": "POSUS008",
        "Title": "Benefits Of In-House Lens Finishing In A Military Social Ophthalmology Practice : A Two-Year Observational Study",
        "Presenting Author(s)": "Dr Imane Jeddou",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Imane",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeddou",
        "Country Name": "Morocco",
        "Purpose": "The purpose of our study is to evaluate access, efficiency, optical quality, patient-centered benefits, and the economic impact of implementing in-house lens finishing within an ophthalmology practice operating under military social services. Primary endpoints were turnaround time, objective visual outcomes, patient satisfaction, and referral inflow. Secondary endpoints included reductions in out-of-pocket expenses and operational advantages for active-duty personnel, retirees, and school-aged children when clinical and optical services are co-located.",
        "Setting": "An ophthalmology practice within the Royal Moroccan Armed Forces' Social Action branch, located in a neighboring city, a one-hour drive from the nearest Military Hospital, and contracted with the military mutual insurance. A single ophthalmologist practice with an adjacent on-site optical bench serving 200 to 300 patients per month with high retention and frequent patient referrals. The ophthalmologist and optician traveled from the hospital to the center, bringing care closer to beneficiaries.",
        "Methods": "This is a descriptive, two-year observational study of routine workflow and outcomes after center inauguration. All patients received a full ophthalmic consultation (history, clinical exam, intraocular pressure, fundoscopy), followed, when indicated, by same-site spectacle production. The optician used a tracer, blocker, and lens edger to cut, finish, and mount lenses. Data collected included monthly volume, referral sources, time between prescription and delivery, rates of rework or remount, postoperative visual acuity, and patient satisfaction surveys. Financial data recorded included mutual insurance coverage and patient co-payment differentials. Team coordination and quality-control steps were documented.",
        "Results": "The co-located model substantially shortened prescription-to-delivery intervals. Close ophthalmologist-optician collaboration and in-line equipment (tracer, blocker, edger) enabled oversight of each production step, yielding very high objective visual outcomes, low rework and remount rates, and strong patient satisfaction. The facility sustained robust patient retention and a notable influx of new referrals. The Military mutual insurance convention significantly lowered patient direct costs. Operational benefits included reduced absenteeism for active-duty personnel, rapid correction for schoolchildren, and streamlined follow-up for retirees.",
        "Conclusions": "In-house lens finishing within a conventioned military social ophthalmology center improves access, shortens turnaround, enhances optical outcomes, and reduces patient costs. Coordinated ophthalmologist-optician workflows with on-site finishing produced high visual outcomes and low remount rates while improving patient retention and operational efficiency. This model may be a scalable approach to streamline refractive care and increase patient-centered efficiency in similar health-service settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "POSUS009",
      "abstract_number": "POSUS009",
      "title": "Subclinical Macular Ganglion Cell Complex Thinning In Clinically Unilateral Pseudoexfoliation Syndrome",
      "authors": "Dr Arzu Karaki̇raz",
      "presenter": "Dr Arzu Karaki̇raz",
      "normalized_authors": [
        "Arzu Karaki̇raz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arzu Karaki̇raz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Pseudoexfoliation syndrome (PEX) is often clinically unilateral, although its underlying pathophysiology suggests bilateral involvement. This study aimed to evaluate sectoral ganglion cell complex (GCC) thickness in affected, fellow, bilateral PEX and healthy eyes, and to compare findings with peripapillary RNFL measurements.",
        "Setting": "Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.",
        "Methods": "A total of 39 affected PEX eyes, 39 clinically unaffected fellow eyes, 54 bilateral PEX eyes, and 50 healthy control eyes were included in this cross-sectional study. Macular ganglion cell complex thickness and peripapillary RNFL measurements were obtained using optical coherence tomography angiography (OCTA) with the OCT Topcon ImageNet 6 system (DRI OCT Triton, Topcon Corporation, Japan). Sectoral GCC thickness was analyzed in superior (S), inferior (I), superonasal (SN), inferonasal (IN), inferotemporal (IT), superotemporal (ST), and average sectors. Intergroup comparisons were performed to assess structural differences between affected, fellow, bilateral PEX, and control eyes.",
        "Results": "Significant peripapillary RNFL thinning was observed in affected and bilateral PEX eyes compared with controls (p = 0.001). Sectoral GCC analysis revealed significant thinning not only in affected and bilateral PEX eyes but also in clinically unaffected fellow eyes in the superior, inferior, superonasal, inferonasal, inferotemporal, and average sectors (all p ≤ 0.01). In contrast, the superotemporal sector showed no statistically significant difference between groups. Choroidal thickness and central macular thickness did not differ significantly among the study groups (p > 0.05).",
        "Conclusions": "Macular GCC thinning in clinically unaffected fellow eyes suggests that pseudoexfoliation syndrome may represent a bilateral neurodegenerative process even before clinical manifestations become apparent."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Macular GCC thinning in clinically unaffected fellow eyes suggests that pseudoexfoliation syndrome may represent a bilateral neurodegenerative process even before clinical manifestations become apparent.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1632,
      "source_fields": {
        "Abstract Final Identifier": "POSUS009",
        "Title": "Subclinical Macular Ganglion Cell Complex Thinning In Clinically Unilateral Pseudoexfoliation Syndrome",
        "Presenting Author(s)": "Dr Arzu Karaki̇raz",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Arzu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karaki̇raz",
        "Country Name": "Türkiye",
        "Purpose": "Pseudoexfoliation syndrome (PEX) is often clinically unilateral, although its underlying pathophysiology suggests bilateral involvement. This study aimed to evaluate sectoral ganglion cell complex (GCC) thickness in affected, fellow, bilateral PEX and healthy eyes, and to compare findings with peripapillary RNFL measurements.",
        "Setting": "Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.",
        "Methods": "A total of 39 affected PEX eyes, 39 clinically unaffected fellow eyes, 54 bilateral PEX eyes, and 50 healthy control eyes were included in this cross-sectional study. Macular ganglion cell complex thickness and peripapillary RNFL measurements were obtained using optical coherence tomography angiography (OCTA) with the OCT Topcon ImageNet 6 system (DRI OCT Triton, Topcon Corporation, Japan). Sectoral GCC thickness was analyzed in superior (S), inferior (I), superonasal (SN), inferonasal (IN), inferotemporal (IT), superotemporal (ST), and average sectors. Intergroup comparisons were performed to assess structural differences between affected, fellow, bilateral PEX, and control eyes.",
        "Results": "Significant peripapillary RNFL thinning was observed in affected and bilateral PEX eyes compared with controls (p = 0.001). Sectoral GCC analysis revealed significant thinning not only in affected and bilateral PEX eyes but also in clinically unaffected fellow eyes in the superior, inferior, superonasal, inferonasal, inferotemporal, and average sectors (all p ≤ 0.01). In contrast, the superotemporal sector showed no statistically significant difference between groups. Choroidal thickness and central macular thickness did not differ significantly among the study groups (p > 0.05).",
        "Conclusions": "Macular GCC thinning in clinically unaffected fellow eyes suggests that pseudoexfoliation syndrome may represent a bilateral neurodegenerative process even before clinical manifestations become apparent."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "POSUS010",
      "abstract_number": "POSUS010",
      "title": "Digital Cataract Referral With Direct Listing: Reducing Appointments, Cost And Environmental Impact",
      "authors": "Dr Wesley Kai-Xian McLoughlin",
      "presenter": "Dr Wesley Kai-Xian McLoughlin",
      "normalized_authors": [
        "Wesley Kai-Xian McLoughlin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wesley Kai-Xian Mcloughlin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the impact of a new digital, direct-listing cataract surgery referral pathway in a tertiary ophthalmology department.",
        "Setting": "Multiple referring optometry practices across NHS Tayside (serving Dundee, Angus, Perth & Kinross, parts of Fife & Aberdeenshire) and a single operating site (Department of Ophthalmology, NHS Tayside).",
        "Methods": "This was a single centre retrospective, non-randomised, observational study analysing the efficacy of a new digital, direct-listing from referral (DLR, Lutra Health) pathway for cataract surgery in NHS Tayside.\n\nWe analysed all referrals (n=1570) received from 51 optometrists from participating practices (n=11) via the new referral pathway between July 2023 to October 2025. We selected 209 patients within this cohort to analyse, with randomly-selected matched traditional referral (TR) pathway control patients (n=209). We also used the patient’s listed postcode to estimate direct line travelled health miles spent attending appointments.",
        "Results": "Most patients referred by the new pathway were directly listed from referral (85.6%), mostly for bilateral cataract surgery (58.5%. Few patients needed telephone (7.5%) or face-to-face appointments (6.8%) pre-listing. This represented £202,642 saved via direct listing and appointment avoidance across a 2-year period. Just 8 patients (0.51%) did not have access to an email or mobile phone.\n\nIn the 18 months prior to surgery, DLR patients had 72.4% less non-biometry appointments than TR. DLR patients had a shorter average waiting time from referral to listing (63 vs. 168 days, 62.6% reduction) and referral to procedure (327 vs. 434 days, 24.6% reduction). DLR referral was associated with 8729 miles saved (82.3% reduction) across 209 patients.",
        "Conclusions": "Direct-listing for cataract surgery supported by digital platforms can offer significant savings in cost, appointments and environmental impact. Contrary to public perception, digital literacy did not constitute a barrier; Almost all users in our analysis had access to a mobile phone or email address."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Direct-listing for cataract surgery supported by digital platforms can offer significant savings in cost, appointments and environmental impact. Contrary to public perception, digital literacy did not constitute a barrier; Almost all users in our analysis had access to a mobile phone or email address.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1633,
      "source_fields": {
        "Abstract Final Identifier": "POSUS010",
        "Title": "Digital Cataract Referral With Direct Listing: Reducing Appointments, Cost And Environmental Impact",
        "Presenting Author(s)": "Dr Wesley Kai-Xian McLoughlin",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Wesley",
        "Submitter Middle Name": "Kai-Xian",
        "Submitter Last Name": "Mcloughlin",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the impact of a new digital, direct-listing cataract surgery referral pathway in a tertiary ophthalmology department.",
        "Setting": "Multiple referring optometry practices across NHS Tayside (serving Dundee, Angus, Perth & Kinross, parts of Fife & Aberdeenshire) and a single operating site (Department of Ophthalmology, NHS Tayside).",
        "Methods": "This was a single centre retrospective, non-randomised, observational study analysing the efficacy of a new digital, direct-listing from referral (DLR, Lutra Health) pathway for cataract surgery in NHS Tayside.\n\nWe analysed all referrals (n=1570) received from 51 optometrists from participating practices (n=11) via the new referral pathway between July 2023 to October 2025. We selected 209 patients within this cohort to analyse, with randomly-selected matched traditional referral (TR) pathway control patients (n=209). We also used the patient’s listed postcode to estimate direct line travelled health miles spent attending appointments.",
        "Results": "Most patients referred by the new pathway were directly listed from referral (85.6%), mostly for bilateral cataract surgery (58.5%. Few patients needed telephone (7.5%) or face-to-face appointments (6.8%) pre-listing. This represented £202,642 saved via direct listing and appointment avoidance across a 2-year period. Just 8 patients (0.51%) did not have access to an email or mobile phone.\n\nIn the 18 months prior to surgery, DLR patients had 72.4% less non-biometry appointments than TR. DLR patients had a shorter average waiting time from referral to listing (63 vs. 168 days, 62.6% reduction) and referral to procedure (327 vs. 434 days, 24.6% reduction). DLR referral was associated with 8729 miles saved (82.3% reduction) across 209 patients.",
        "Conclusions": "Direct-listing for cataract surgery supported by digital platforms can offer significant savings in cost, appointments and environmental impact. Contrary to public perception, digital literacy did not constitute a barrier; Almost all users in our analysis had access to a mobile phone or email address."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "POSUS011",
      "abstract_number": "POSUS011",
      "title": "Mri Safety Of Iron Oxide–Containing Pigments In Femtosecond Laser Keratopigmentation: Experimental Evaluation At Clinical 3.0 Tesla",
      "authors": "Dr Alexander Movshovich",
      "presenter": "Dr Alexander Movshovich",
      "normalized_authors": [
        "Alexander Movshovich"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Movshovich",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate potential thermal effects, mechanical displacement, and susceptibility artifacts of iron oxide–containing pigments used in femtosecond laser–assisted keratopigmentation during clinically relevant 3.0-Tesla magnetic resonance imaging (MRI).",
        "Setting": "Experimental laboratory study conducted in a controlled ophthalmic research environment using a clinical 3.0-Tesla MRI system, with ex vivo porcine corneal models simulating femtosecond laser–assisted keratopigmentation under standardized conditions.",
        "Methods": "Twelve pigment formulations were screened under 3.0-T MRI to identify the most magnetically reactive sample. A standardized pigment load (0.029 g per application withdrawal) was quantified using precision microbalance techniques to model a high-intensity exposure condition. Temperature changes were recorded with fiber-optic thermometry in porcine corneas with and without pigment during a continuous 20-minute MRI protocol. Pigment motility was assessed using a suspended pigment-impregnated substrate positioned within the MRI bore. Susceptibility artifact extent was evaluated using gradient- and spin-echo sequences.",
        "Results": "Maximum temperature variation during continuous MRI exposure was <0.2°C in both pigment-containing and control corneas, with no evidence of progressive heating. No displacement, deflection, or torque was detected during motility testing. MRI demonstrated localized susceptibility artifact confined to the corneal region containing pigment, without distortion of adjacent or posterior ocular structures.",
        "Conclusions": "Under clinically relevant experimental conditions using standardized pigment loading and a 3.0-T clinical MRI system, iron oxide–containing keratopigmentation pigments did not demonstrate heating or mechanical instability. Although localized corneal susceptibility artifact was observed, visualization of deeper ocular structures remained preserved. These findings provide objective safety data relevant to patients with prior keratopigmentation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Under clinically relevant experimental conditions using standardized pigment loading and a 3.0-T clinical MRI system, iron oxide–containing keratopigmentation pigments did not demonstrate heating or mechanical instability. Although localized corneal susceptibility artifact was observed, visualization of deeper ocular structures remained preserved. These findings provide objective safety data relevant to patients…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1634,
      "source_fields": {
        "Abstract Final Identifier": "POSUS011",
        "Title": "Mri Safety Of Iron Oxide–Containing Pigments In Femtosecond Laser Keratopigmentation: Experimental Evaluation At Clinical 3.0 Tesla",
        "Presenting Author(s)": "Dr Alexander Movshovich",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Movshovich",
        "Country Name": "United States",
        "Purpose": "To evaluate potential thermal effects, mechanical displacement, and susceptibility artifacts of iron oxide–containing pigments used in femtosecond laser–assisted keratopigmentation during clinically relevant 3.0-Tesla magnetic resonance imaging (MRI).",
        "Setting": "Experimental laboratory study conducted in a controlled ophthalmic research environment using a clinical 3.0-Tesla MRI system, with ex vivo porcine corneal models simulating femtosecond laser–assisted keratopigmentation under standardized conditions.",
        "Methods": "Twelve pigment formulations were screened under 3.0-T MRI to identify the most magnetically reactive sample. A standardized pigment load (0.029 g per application withdrawal) was quantified using precision microbalance techniques to model a high-intensity exposure condition. Temperature changes were recorded with fiber-optic thermometry in porcine corneas with and without pigment during a continuous 20-minute MRI protocol. Pigment motility was assessed using a suspended pigment-impregnated substrate positioned within the MRI bore. Susceptibility artifact extent was evaluated using gradient- and spin-echo sequences.",
        "Results": "Maximum temperature variation during continuous MRI exposure was <0.2°C in both pigment-containing and control corneas, with no evidence of progressive heating. No displacement, deflection, or torque was detected during motility testing. MRI demonstrated localized susceptibility artifact confined to the corneal region containing pigment, without distortion of adjacent or posterior ocular structures.",
        "Conclusions": "Under clinically relevant experimental conditions using standardized pigment loading and a 3.0-T clinical MRI system, iron oxide–containing keratopigmentation pigments did not demonstrate heating or mechanical instability. Although localized corneal susceptibility artifact was observed, visualization of deeper ocular structures remained preserved. These findings provide objective safety data relevant to patients with prior keratopigmentation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "POSUS012",
      "abstract_number": "POSUS012",
      "title": "Developing An Artificial Intelligence – Machine Learning Model To Identify Patients Who Have Or Are At Risk Of Type 2 Diabetes Using Their Clinical Data And Retinopathy Grade In The Absence Of A Blood Test In Kenya. .",
      "authors": "Dr Dheeraj Kewlani",
      "presenter": "Dr Dheeraj Kewlani",
      "normalized_authors": [
        "Dheeraj Kewlani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shilpa Ranjan Mulki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kenya",
      "sections": {
        "Purpose": "Diabetes and its complications are a global burden due to their rising prevalence. Lack of awareness, especially in low- and middle-income countries (LMICs), leads to many people with undetected diabetes, which can cause irreversible health issues like retinopathy. AI in healthcare can cut diagnostic costs by 50%, improve health outcomes by 40%, and speed up diagnosis. Inequity in healthcare technology is shown by the lack of Black African data training in most AI diabetes detection tools. This study uses AI and machine learning to predict high-risk Type 2 Diabetes patients in LMICs for timely treatment to prevent serious health issues and sight loss.",
        "Setting": "A cross-sectional analytical study was conducted at Lions Sightfirst Eye Hospital (Nairobi, Kenya).",
        "Methods": "Data from eligible, consenting subjects (n=599) was collected using a form and then anonymised. Data collected included blood pressure, glucose, BMI, waist-hip ratio, pulse, demographics, family history, and physical activity, as well as fundus photography. A total of 1530 fundus images were collected and encrypted. Images were preprocessed and features extracted with RETFound (ViT, Nature 2023). Four models—clinical-only, image-only, fusion XGBoost, and fusion neural network—were trained with strict patient-level splits (n=90 test). An AI review layer validated predictions to identify associations and predict Type 2 Diabetes risk.",
        "Results": "The fusion XGBoost model achieved AUC 0.885, 83.3% accuracy, 88.4% sensitivity, and 78.7% specificity on 90 held-out test patients. In a sample of 43 diabetic patients, it detected 38 diabetics, missing only 5.\n\nBased on clinical history alone, the model achieved AUC 0.860 (sensitivity 65.1%), and using fundus images alone, it achieved AUC 0.820 (sensitivity 74.4%) thus confirming that retinal and clinical data are complementary. The Claude AI clinical review agreed with the model in 86.7% of cases (78/90) and independently flagged 12 patients for further review, including one case where it correctly identified a model error.",
        "Conclusions": "Based on the model results, non-invasive diabetes screening using fundus photography and patient history is feasible and effective in a Black African population. The use of a multimodal fusion approach outperformed either data source alone, showing that retinal vascular changes complement clinical risk factors.\n\nWith 88.4% sensitivity, the system could identify nearly 9 in 10 diabetic patients for confirmatory testing without a blood draw. Further efforts will include fine-tuning the retinal AI backbone for the general population to improve image-based detection, prospective validation, and multi-site expansion across East Africa to establish generalisability for community-level deployment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Based on the model results, non-invasive diabetes screening using fundus photography and patient history is feasible and effective in a Black African population. The use of a multimodal fusion approach outperformed either data source alone, showing that retinal vascular changes complement clinical risk factors. With 88.4% sensitivity, the system could identify nearly 9 in 10 diabetic patients for confirmatory…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1635,
      "source_fields": {
        "Abstract Final Identifier": "POSUS012",
        "Title": "Developing An Artificial Intelligence – Machine Learning Model To Identify Patients Who Have Or Are At Risk Of Type 2 Diabetes Using Their Clinical Data And Retinopathy Grade In The Absence Of A Blood Test In Kenya. .",
        "Presenting Author(s)": "Dr Dheeraj Kewlani",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Shilpa",
        "Submitter Middle Name": "Ranjan",
        "Submitter Last Name": "Mulki",
        "Country Name": "Kenya",
        "Purpose": "Diabetes and its complications are a global burden due to their rising prevalence. Lack of awareness, especially in low- and middle-income countries (LMICs), leads to many people with undetected diabetes, which can cause irreversible health issues like retinopathy. AI in healthcare can cut diagnostic costs by 50%, improve health outcomes by 40%, and speed up diagnosis. Inequity in healthcare technology is shown by the lack of Black African data training in most AI diabetes detection tools. This study uses AI and machine learning to predict high-risk Type 2 Diabetes patients in LMICs for timely treatment to prevent serious health issues and sight loss.",
        "Setting": "A cross-sectional analytical study was conducted at Lions Sightfirst Eye Hospital (Nairobi, Kenya).",
        "Methods": "Data from eligible, consenting subjects (n=599) was collected using a form and then anonymised. Data collected included blood pressure, glucose, BMI, waist-hip ratio, pulse, demographics, family history, and physical activity, as well as fundus photography. A total of 1530 fundus images were collected and encrypted. Images were preprocessed and features extracted with RETFound (ViT, Nature 2023). Four models—clinical-only, image-only, fusion XGBoost, and fusion neural network—were trained with strict patient-level splits (n=90 test). An AI review layer validated predictions to identify associations and predict Type 2 Diabetes risk.",
        "Results": "The fusion XGBoost model achieved AUC 0.885, 83.3% accuracy, 88.4% sensitivity, and 78.7% specificity on 90 held-out test patients. In a sample of 43 diabetic patients, it detected 38 diabetics, missing only 5.\n\nBased on clinical history alone, the model achieved AUC 0.860 (sensitivity 65.1%), and using fundus images alone, it achieved AUC 0.820 (sensitivity 74.4%) thus confirming that retinal and clinical data are complementary. The Claude AI clinical review agreed with the model in 86.7% of cases (78/90) and independently flagged 12 patients for further review, including one case where it correctly identified a model error.",
        "Conclusions": "Based on the model results, non-invasive diabetes screening using fundus photography and patient history is feasible and effective in a Black African population. The use of a multimodal fusion approach outperformed either data source alone, showing that retinal vascular changes complement clinical risk factors.\n\nWith 88.4% sensitivity, the system could identify nearly 9 in 10 diabetic patients for confirmatory testing without a blood draw. Further efforts will include fine-tuning the retinal AI backbone for the general population to improve image-based detection, prospective validation, and multi-site expansion across East Africa to establish generalisability for community-level deployment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 410
    },
    {
      "uid": "POSUS013",
      "abstract_number": "POSUS013",
      "title": "Turning The Tide On Cataract Blindness: Transforming To A High-Volume Surgical Unit As A Pragmatic Approach To Minimise Cataract Surgery Waiting Times In Resource-Limited Settings.",
      "authors": "Dr Malaravan Muthusamy",
      "presenter": "Dr Malaravan Muthusamy",
      "normalized_authors": [
        "Malaravan Muthusamy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Malaravan Muthusamy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Sri Lanka",
      "sections": {
        "Purpose": "Cataract, the leading cause of blindness and visual impairment globally, and surgery is the most effective intervention to restore vision. Delays in accessing surgery compromise vision, adversely affecting quality of life, independence, and safety. Barriers such as economic constraints, limited accessibility, inadequate professionals, and insufficient surgical capacity exacerbate delays, contributing to preventable blindness. In low- and middle-income countries, efficiently streamlining resources can ensure accessible, affordable, and equitable cataract services. Transforming surgical services into a high-volume model eliminates unnecessary delays, improves patient outcomes, and alleviates the economic burden on the health system.",
        "Setting": "The Eye Unit of Teaching Hospital Jaffna, the only tertiary referral center in Northern Sri Lanka, operates with less than 50% of the WHO-recommended resources. Serving a predominantly rural, post-conflict population, the unit faces severe resource constraints and unequal distribution of ophthalmic services.",
        "Methods": "The high-volume surgical unit transformation was a pragmatic approach to reducing waiting times. By analysing surgical capacity, patient flow, waiting lists, staffing, resources, bottlenecks, and underused infrastructure, issues were addressed. Facilitated through public-private partnerships, key steps included rural patient screening, grouped surgical scheduling with transport, standardised referrals, a two-table workflow, local postoperative follow-up, and strict quality control to maintain surgical outcomes. This approach maximised surgical throughput while optimising resource use. It also ensured timely access to surgery for patients in remote areas, reducing the risk of vision loss from prolonged delays.",
        "Results": "The transformed unit now delivers around 100 cataract surgeries per day at no cost, with maximised surgical output, streamlined patient flow, and optimised resource use. System-level bottlenecks were addressed, and waiting times decreased from two years to zero. This approach enabled cataract surgical coverage of 15/1,000 of the population in 2025, demonstrating that high-volume surgical models can achieve equitable access, efficiency, and quality even in resource-limited settings. Importantly, patients experienced timely vision restoration, improved quality of life, and reduced economic and social burdens associated with prolonged blindness.",
        "Conclusions": "It demonstrates that transforming a cataract surgical unit into a high-volume surgery unit can effectively eliminate prolonged waiting times, expand equitable access to surgery, and maintain high-quality visual outcomes in resource-limited contexts. By optimising patient flow, leveraging public-private partnerships, standardising workflows, and efficiently utilising available resources, the model addresses both system-level and patient-level barriers to care. The approach offers a scalable, pragmatic solution for low- and middle-income countries seeking to reduce avoidable blindness, enhance surgical coverage, and strengthen cataract service delivery while improving patient quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "It demonstrates that transforming a cataract surgical unit into a high-volume surgery unit can effectively eliminate prolonged waiting times, expand equitable access to surgery, and maintain high-quality visual outcomes in resource-limited contexts. By optimising patient flow, leveraging public-private partnerships, standardising workflows, and efficiently utilising available resources, the model addresses both…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1636,
      "source_fields": {
        "Abstract Final Identifier": "POSUS013",
        "Title": "Turning The Tide On Cataract Blindness: Transforming To A High-Volume Surgical Unit As A Pragmatic Approach To Minimise Cataract Surgery Waiting Times In Resource-Limited Settings.",
        "Presenting Author(s)": "Dr Malaravan Muthusamy",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Malaravan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muthusamy",
        "Country Name": "Sri Lanka",
        "Purpose": "Cataract, the leading cause of blindness and visual impairment globally, and surgery is the most effective intervention to restore vision. Delays in accessing surgery compromise vision, adversely affecting quality of life, independence, and safety. Barriers such as economic constraints, limited accessibility, inadequate professionals, and insufficient surgical capacity exacerbate delays, contributing to preventable blindness. In low- and middle-income countries, efficiently streamlining resources can ensure accessible, affordable, and equitable cataract services. Transforming surgical services into a high-volume model eliminates unnecessary delays, improves patient outcomes, and alleviates the economic burden on the health system.",
        "Setting": "The Eye Unit of Teaching Hospital Jaffna, the only tertiary referral center in Northern Sri Lanka, operates with less than 50% of the WHO-recommended resources. Serving a predominantly rural, post-conflict population, the unit faces severe resource constraints and unequal distribution of ophthalmic services.",
        "Methods": "The high-volume surgical unit transformation was a pragmatic approach to reducing waiting times. By analysing surgical capacity, patient flow, waiting lists, staffing, resources, bottlenecks, and underused infrastructure, issues were addressed. Facilitated through public-private partnerships, key steps included rural patient screening, grouped surgical scheduling with transport, standardised referrals, a two-table workflow, local postoperative follow-up, and strict quality control to maintain surgical outcomes. This approach maximised surgical throughput while optimising resource use. It also ensured timely access to surgery for patients in remote areas, reducing the risk of vision loss from prolonged delays.",
        "Results": "The transformed unit now delivers around 100 cataract surgeries per day at no cost, with maximised surgical output, streamlined patient flow, and optimised resource use. System-level bottlenecks were addressed, and waiting times decreased from two years to zero. This approach enabled cataract surgical coverage of 15/1,000 of the population in 2025, demonstrating that high-volume surgical models can achieve equitable access, efficiency, and quality even in resource-limited settings. Importantly, patients experienced timely vision restoration, improved quality of life, and reduced economic and social burdens associated with prolonged blindness.",
        "Conclusions": "It demonstrates that transforming a cataract surgical unit into a high-volume surgery unit can effectively eliminate prolonged waiting times, expand equitable access to surgery, and maintain high-quality visual outcomes in resource-limited contexts. By optimising patient flow, leveraging public-private partnerships, standardising workflows, and efficiently utilising available resources, the model addresses both system-level and patient-level barriers to care. The approach offers a scalable, pragmatic solution for low- and middle-income countries seeking to reduce avoidable blindness, enhance surgical coverage, and strengthen cataract service delivery while improving patient quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 401
    },
    {
      "uid": "POSUS014",
      "abstract_number": "POSUS014",
      "title": "A Comparative Study On The Prevalence Of Helicobacter Pylori Infection In Patients With Central Serous Chorioretinopathy Versus A Control Population",
      "authors": "Dr Ehab Saad",
      "presenter": "Dr Ehab Saad",
      "normalized_authors": [
        "Ehab Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ehab Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "This study investigates the association between Helicobacter pylori ( H. pylori ) infection and Central Serous Chorioretinopathy (CSCR) by comparing the prevalence of H. pylori in CSCR patients with that in a control group without CSCR.",
        "Setting": "This study is a 3 month cross-sectional observational and interventional study, from November 2024 to January 2025, aimed at evaluating the association between H. Pylori infection and CSCR. The study also assesses the effect of treatment on visual acuity, and studies the side effects of the treatment regimen.",
        "Methods": "A 3-month cross-sectional observational and interventional study was conducted involving 40 patients diagnosed with CSCR, divided into two groups: Group A (20 patients with recurrent CSCR) and Group B (20 patients with a single CSCR episode). Both groups were matched with a control group of 40 individuals without CSCR. All participants underwent comprehensive ophthalmologic examinations and optical coherence tomography (OCT) to confirm CSCR. Patients who tested positive for H. pylori received a 14-day standard eradication therapy. Post-treatment, visual acuity was assessed, and potential side effects were monitored.",
        "Results": "In Group A (recurrent CSCR), 15 out of 20 patients (75%) tested positive for H. pylori , while in Group B (single episode), 8 out of 20 patients (40%) tested positive. The control group had a prevalence of H. pylori of 12 out of 40 (30%). The differences in prevalence among the groups were statistically significant: Group A vs Control (p < 0.001), Group B vs Control (p = 0.02), and Group A vs Group B (p = 0.03). Post-treatment evaluation showed improved visual acuity and reduced recurrence rates in Group A patients who received H. pylori eradication therapy. However, some side effects associated with the treatment were also reported.",
        "Conclusions": "The study highlights a significant association between H. pylori infection and central serous chorioretinopathy (CSCR), especially in recurrent cases. Identifying and treating H. pylori in CSCR patients may improve visual outcomes and aid in disease management. However, potential side effects of eradication therapy should be considered. Published in Clinical Ophthalmology Journal ( doi: 10.2147/OPTH.S519759.)"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The study highlights a significant association between H. pylori infection and central serous chorioretinopathy (CSCR), especially in recurrent cases. Identifying and treating H. pylori in CSCR patients may improve visual outcomes and aid in disease management. However, potential side effects of eradication therapy should be considered. Published in Clinical Ophthalmology Journal ( doi: 10.2147/OPTH.S519759.)",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1637,
      "source_fields": {
        "Abstract Final Identifier": "POSUS014",
        "Title": "A Comparative Study On The Prevalence Of Helicobacter Pylori Infection In Patients With Central Serous Chorioretinopathy Versus A Control Population",
        "Presenting Author(s)": "Dr Ehab Saad",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Ehab",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Egypt",
        "Purpose": "This study investigates the association between Helicobacter pylori ( H. pylori ) infection and Central Serous Chorioretinopathy (CSCR) by comparing the prevalence of H. pylori in CSCR patients with that in a control group without CSCR.",
        "Setting": "This study is a 3 month cross-sectional observational and interventional study, from November 2024 to January 2025, aimed at evaluating the association between H. Pylori infection and CSCR. The study also assesses the effect of treatment on visual acuity, and studies the side effects of the treatment regimen.",
        "Methods": "A 3-month cross-sectional observational and interventional study was conducted involving 40 patients diagnosed with CSCR, divided into two groups: Group A (20 patients with recurrent CSCR) and Group B (20 patients with a single CSCR episode). Both groups were matched with a control group of 40 individuals without CSCR. All participants underwent comprehensive ophthalmologic examinations and optical coherence tomography (OCT) to confirm CSCR. Patients who tested positive for H. pylori received a 14-day standard eradication therapy. Post-treatment, visual acuity was assessed, and potential side effects were monitored.",
        "Results": "In Group A (recurrent CSCR), 15 out of 20 patients (75%) tested positive for H. pylori , while in Group B (single episode), 8 out of 20 patients (40%) tested positive. The control group had a prevalence of H. pylori of 12 out of 40 (30%). The differences in prevalence among the groups were statistically significant: Group A vs Control (p < 0.001), Group B vs Control (p = 0.02), and Group A vs Group B (p = 0.03). Post-treatment evaluation showed improved visual acuity and reduced recurrence rates in Group A patients who received H. pylori eradication therapy. However, some side effects associated with the treatment were also reported.",
        "Conclusions": "The study highlights a significant association between H. pylori infection and central serous chorioretinopathy (CSCR), especially in recurrent cases. Identifying and treating H. pylori in CSCR patients may improve visual outcomes and aid in disease management. However, potential side effects of eradication therapy should be considered. Published in Clinical Ophthalmology Journal ( doi: 10.2147/OPTH.S519759.)"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "POSUS015",
      "abstract_number": "POSUS015",
      "title": "Dark Data In Retinal Imaging: A Cross-Sectional Audit Of Redundancy And Storage-Related Carbon Impact",
      "authors": "Dr Carelys Suescum Coelho",
      "presenter": "Dr Carelys Suescum Coelho",
      "normalized_authors": [
        "Carelys Suescum Coelho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carelys Suescum Coelho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Venezuela, Bolivarian Republic Of",
      "sections": {
        "Purpose": "To quantify “dark data” in outpatient age-related macular degeneration (AMD) imaging by measuring digital storage volume and clinically redundant imaging files retained in primary storage, and to model the associated long-term storage-related energy and carbon impact.",
        "Setting": "Retrospective cross-sectional audit of a digital ophthalmic imaging archive from a general ophthalmology service; the audited cohort comprised patients followed for AMD",
        "Methods": "Electronic health records (EHR) and imaging metadata from 200 patients with age-related macular degeneration (AMD) (≥12 months follow-up) were reviewed. To avoid conflating routine follow-up (6-monthly AMD; monthly anti-vascular endothelial growth factor [anti-VEGF] protocols) with waste, “dark data” was defined per session (same eye/modality/date) as: excess captures (>3 optical coherence tomography [OCT] or fundus photos/eye/visit; >2 visual field tests/eye/visit), duplicate files, and/or sub-threshold image quality retained in primary storage. Storage energy was modelled at 4.2 kWh/TB/year and carbon using the European Attribute Mix (2024; 536.94 gCO₂/kWh).",
        "Results": "Mean stored volume was 1.14 GB/patient/year (SD 0.3), totalling 228 GB/year for the cohort. Dark data was identified in 26.5% (53/200) of patient records, predominantly driven by retained low-quality OCT repeats and redundant capture sets beyond the minimum standard per session. Under the storage-intensity model, cohort storage corresponded to 0.96 kWh/year and 0.51 kg CO₂/year. Extrapolated to a high-volume clinic (10,000 patients/year), baseline storage would be 11.4 TB/year (47.9 kWh/year; 25.7 kg CO₂/year), with any retained dark data increasing this proportionally.",
        "Conclusions": "Even after accounting for clinically appropriate monitoring intervals, a meaningful proportion of AMD imaging records contained redundant or sub-optimal files retained in primary storage. While emissions per patient-year are small, the cumulative effect of retaining redundant imaging across a high-volume service and over long retention periods can become non-negligible-making digital hygiene a practical sustainability lever. Quality-based retention governance (automated flagging, quarantine/tiered storage, and medicolegal-aligned retention rules) can reduce avoidable long-term digital footprint without compromising patient care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Even after accounting for clinically appropriate monitoring intervals, a meaningful proportion of AMD imaging records contained redundant or sub-optimal files retained in primary storage. While emissions per patient-year are small, the cumulative effect of retaining redundant imaging across a high-volume service and over long retention periods can become non-negligible-making digital hygiene a practical…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1638,
      "source_fields": {
        "Abstract Final Identifier": "POSUS015",
        "Title": "Dark Data In Retinal Imaging: A Cross-Sectional Audit Of Redundancy And Storage-Related Carbon Impact",
        "Presenting Author(s)": "Dr Carelys Suescum Coelho",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Carelys",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suescum Coelho",
        "Country Name": "Venezuela, Bolivarian Republic Of",
        "Purpose": "To quantify “dark data” in outpatient age-related macular degeneration (AMD) imaging by measuring digital storage volume and clinically redundant imaging files retained in primary storage, and to model the associated long-term storage-related energy and carbon impact.",
        "Setting": "Retrospective cross-sectional audit of a digital ophthalmic imaging archive from a general ophthalmology service; the audited cohort comprised patients followed for AMD",
        "Methods": "Electronic health records (EHR) and imaging metadata from 200 patients with age-related macular degeneration (AMD) (≥12 months follow-up) were reviewed. To avoid conflating routine follow-up (6-monthly AMD; monthly anti-vascular endothelial growth factor [anti-VEGF] protocols) with waste, “dark data” was defined per session (same eye/modality/date) as: excess captures (>3 optical coherence tomography [OCT] or fundus photos/eye/visit; >2 visual field tests/eye/visit), duplicate files, and/or sub-threshold image quality retained in primary storage. Storage energy was modelled at 4.2 kWh/TB/year and carbon using the European Attribute Mix (2024; 536.94 gCO₂/kWh).",
        "Results": "Mean stored volume was 1.14 GB/patient/year (SD 0.3), totalling 228 GB/year for the cohort. Dark data was identified in 26.5% (53/200) of patient records, predominantly driven by retained low-quality OCT repeats and redundant capture sets beyond the minimum standard per session. Under the storage-intensity model, cohort storage corresponded to 0.96 kWh/year and 0.51 kg CO₂/year. Extrapolated to a high-volume clinic (10,000 patients/year), baseline storage would be 11.4 TB/year (47.9 kWh/year; 25.7 kg CO₂/year), with any retained dark data increasing this proportionally.",
        "Conclusions": "Even after accounting for clinically appropriate monitoring intervals, a meaningful proportion of AMD imaging records contained redundant or sub-optimal files retained in primary storage. While emissions per patient-year are small, the cumulative effect of retaining redundant imaging across a high-volume service and over long retention periods can become non-negligible-making digital hygiene a practical sustainability lever. Quality-based retention governance (automated flagging, quarantine/tiered storage, and medicolegal-aligned retention rules) can reduce avoidable long-term digital footprint without compromising patient care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "POSUS016",
      "abstract_number": "POSUS016",
      "title": "A Mobile Phone–Based Ophthalmology Patient Application To Improve Compliance And Continuity Of Care: Early Outcomes From 1,200 Users",
      "authors": "Prof. Madhu Uddaraju",
      "presenter": "Prof. Madhu Uddaraju",
      "normalized_authors": [
        "Madhu Uddaraju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Madhu Uddaraju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the feasibility, patient engagement, and early clinical impact of a comprehensive mobile phone–based ophthalmology application designed to improve appointment adherence, medication compliance, and follow-up continuity.",
        "Setting": "Single-center tertiary ophthalmology practice.",
        "Methods": "A custom-designed mobile application was developed integrating:\n\n•\nOnline appointment scheduling\n\n•\nSecure upload and storage of patient documents\n\n•\nAutomated eyedrop reminders\n\n•\nFollow-up visit reminders\n\n•\nOnline video consultation capability\n\n•\nWhatsApp-enabled chat interface\n\n•\nSelf-assessment visual testing modules\n\nThe application was deployed over a 6-month period. A total of 1,200 patients registered and actively used the platform. Engagement metrics, follow-up adherence, and medication compliance were assessed through app usage analytics and clinical follow-up records.",
        "Results": "Patient Engagement\n\n•\n1,200 active users within 6 months\n\n•\n78% regularly used reminder features\n\n•\n64% utilized document upload function\n\n•\n42% completed at least one video consultation\n\nAppointment Adherence\n\n•\nPre-app adherence rate: 68%\n\n•\nPost-app adherence rate: 89%\n\n•\nAbsolute improvement: 21%\n\n•\nMissed appointment rates reduced from 32% to 11% .\n\nMedication Compliance\n\n•\nBaseline estimated compliance: 61%\n\n•\nWith automated eyedrop reminders: 86%\n\n•\nRelative improvement: 41%\n\nFollow-Up Completion\n\n•\nPre-app scheduled follow-up completion: 58%\n\n•\nPost-app completion rate: 84%\n\n•\nAbsolute improvement: 26%\n\nSelf-Assessment & Triage\n\n•\n38% used visual self-testing module at least once\n\n•\n14% reported early symptoms leading to timely review\n\n•\nReduced unnecessary physical visits by approximately 18%",
        "Conclusions": "Implementation of a comprehensive ophthalmology mobile application resulted in:\n\n•\nSignificant improvement in appointment adherence (+21%)\n\n•\nEnhanced medication compliance (+25 absolute increase)\n\n•\nImproved follow-up completion (+26%)\n\n•\nEffective integration of teleconsultation and digital triage\n\nThe platform demonstrates a scalable and sustainable digital health model capable of improving long-term ophthalmic care compliance and operational efficiency.Longer follow-up is warranted to evaluate clinical outcome and cost-effectiveness impact."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implementation of a comprehensive ophthalmology mobile application resulted in: • Significant improvement in appointment adherence (+21%) • Enhanced medication compliance (+25 absolute increase) • Improved follow-up completion (+26%) • Effective integration of teleconsultation and digital triage The platform demonstrates a scalable and sustainable digital health model capable of improving long-term ophthalmic care…",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1639,
      "source_fields": {
        "Abstract Final Identifier": "POSUS016",
        "Title": "A Mobile Phone–Based Ophthalmology Patient Application To Improve Compliance And Continuity Of Care: Early Outcomes From 1,200 Users",
        "Presenting Author(s)": "Prof. Madhu Uddaraju",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Madhu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uddaraju",
        "Country Name": "India",
        "Purpose": "To evaluate the feasibility, patient engagement, and early clinical impact of a comprehensive mobile phone–based ophthalmology application designed to improve appointment adherence, medication compliance, and follow-up continuity.",
        "Setting": "Single-center tertiary ophthalmology practice.",
        "Methods": "A custom-designed mobile application was developed integrating:\n\n•\nOnline appointment scheduling\n\n•\nSecure upload and storage of patient documents\n\n•\nAutomated eyedrop reminders\n\n•\nFollow-up visit reminders\n\n•\nOnline video consultation capability\n\n•\nWhatsApp-enabled chat interface\n\n•\nSelf-assessment visual testing modules\n\nThe application was deployed over a 6-month period. A total of 1,200 patients registered and actively used the platform. Engagement metrics, follow-up adherence, and medication compliance were assessed through app usage analytics and clinical follow-up records.",
        "Results": "Patient Engagement\n\n•\n1,200 active users within 6 months\n\n•\n78% regularly used reminder features\n\n•\n64% utilized document upload function\n\n•\n42% completed at least one video consultation\n\nAppointment Adherence\n\n•\nPre-app adherence rate: 68%\n\n•\nPost-app adherence rate: 89%\n\n•\nAbsolute improvement: 21%\n\n•\nMissed appointment rates reduced from 32% to 11% .\n\nMedication Compliance\n\n•\nBaseline estimated compliance: 61%\n\n•\nWith automated eyedrop reminders: 86%\n\n•\nRelative improvement: 41%\n\nFollow-Up Completion\n\n•\nPre-app scheduled follow-up completion: 58%\n\n•\nPost-app completion rate: 84%\n\n•\nAbsolute improvement: 26%\n\nSelf-Assessment & Triage\n\n•\n38% used visual self-testing module at least once\n\n•\n14% reported early symptoms leading to timely review\n\n•\nReduced unnecessary physical visits by approximately 18%",
        "Conclusions": "Implementation of a comprehensive ophthalmology mobile application resulted in:\n\n•\nSignificant improvement in appointment adherence (+21%)\n\n•\nEnhanced medication compliance (+25 absolute increase)\n\n•\nImproved follow-up completion (+26%)\n\n•\nEffective integration of teleconsultation and digital triage\n\nThe platform demonstrates a scalable and sustainable digital health model capable of improving long-term ophthalmic care compliance and operational efficiency.Longer follow-up is warranted to evaluate clinical outcome and cost-effectiveness impact."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "POSUS017",
      "abstract_number": "POSUS017",
      "title": "Three-Year Efficacy And Safety Of Repeated Low-Level Red-Light Therapy For Myopia Control: A Multicentre Real-World Cohort Study",
      "authors": "A/Prof. Mingguang HE",
      "presenter": "A/Prof. Mingguang HE",
      "normalized_authors": [
        "Mingguang HE"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yvette Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "To evaluate the long-term efficacy and safety of repeated low-level red-light (RLRL) therapy for myopia control over three years in real-world clinical settings, and to assess axial length progression, visual function outcomes, and structural retinal safety across varying treatment durations.",
        "Setting": "Multicentre observational cohort study conducted in three tertiary ophthalmic hospitals in China using electronic medical records. Participants were myopic children and adolescents aged 7–18 years undergoing home-based RLRL therapy alongside spectacle correction in routine clinical practice.",
        "Methods": "Myopic children receiving RLRL therapy between June 2018 and June 2023 were identified and stratified by treatment duration (≥0.5–1, ≥1–2, ≥2–3 and ≥3 years) using stratified random sampling. Therapy consisted of twice-daily 3-minute sessions (650 nm) delivered via a home desktop device. Outcomes included satisfactory myopia control (annual axial elongation ≤0.10 mm), annual axial length and refractive change, and safety assessment using best-corrected visual acuity, optical coherence tomography, and full-field electroretinography. Regression analyses explored factors associated with treatment response.",
        "Results": "Among 362 participants, the satisfactory myopia control rate over ≥3 years was 72.53% (95% CI 62.17–81.37) with mean annual axial elongation of 0.06 mm/year (95% CI 0.03–0.08). Control rates were higher in shorter duration groups but remained clinically meaningful beyond three years. All participants achieved BCVA ≥20/25 with no loss ≥2 lines. Electroretinography parameters showed no treatment-duration-related changes. Minimal reversible OCT ellipsoid zone alterations were observed in four eyes (1.1%) without functional impairment. No serious adverse events were reported.",
        "Conclusions": "Repeated low-level red-light therapy demonstrates sustained real-world efficacy in slowing myopia progression over three years with a favourable safety profile. These findings support RLRL as a promising long-term myopia control strategy and provide clinically relevant evidence for integration into routine paediatric refractive management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Repeated low-level red-light therapy demonstrates sustained real-world efficacy in slowing myopia progression over three years with a favourable safety profile. These findings support RLRL as a promising long-term myopia control strategy and provide clinically relevant evidence for integration into routine paediatric refractive management.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1640,
      "source_fields": {
        "Abstract Final Identifier": "POSUS017",
        "Title": "Three-Year Efficacy And Safety Of Repeated Low-Level Red-Light Therapy For Myopia Control: A Multicentre Real-World Cohort Study",
        "Presenting Author(s)": "A/Prof. Mingguang HE",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Yvette",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "Hong Kong",
        "Purpose": "To evaluate the long-term efficacy and safety of repeated low-level red-light (RLRL) therapy for myopia control over three years in real-world clinical settings, and to assess axial length progression, visual function outcomes, and structural retinal safety across varying treatment durations.",
        "Setting": "Multicentre observational cohort study conducted in three tertiary ophthalmic hospitals in China using electronic medical records. Participants were myopic children and adolescents aged 7–18 years undergoing home-based RLRL therapy alongside spectacle correction in routine clinical practice.",
        "Methods": "Myopic children receiving RLRL therapy between June 2018 and June 2023 were identified and stratified by treatment duration (≥0.5–1, ≥1–2, ≥2–3 and ≥3 years) using stratified random sampling. Therapy consisted of twice-daily 3-minute sessions (650 nm) delivered via a home desktop device. Outcomes included satisfactory myopia control (annual axial elongation ≤0.10 mm), annual axial length and refractive change, and safety assessment using best-corrected visual acuity, optical coherence tomography, and full-field electroretinography. Regression analyses explored factors associated with treatment response.",
        "Results": "Among 362 participants, the satisfactory myopia control rate over ≥3 years was 72.53% (95% CI 62.17–81.37) with mean annual axial elongation of 0.06 mm/year (95% CI 0.03–0.08). Control rates were higher in shorter duration groups but remained clinically meaningful beyond three years. All participants achieved BCVA ≥20/25 with no loss ≥2 lines. Electroretinography parameters showed no treatment-duration-related changes. Minimal reversible OCT ellipsoid zone alterations were observed in four eyes (1.1%) without functional impairment. No serious adverse events were reported.",
        "Conclusions": "Repeated low-level red-light therapy demonstrates sustained real-world efficacy in slowing myopia progression over three years with a favourable safety profile. These findings support RLRL as a promising long-term myopia control strategy and provide clinically relevant evidence for integration into routine paediatric refractive management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "POSUS018",
      "abstract_number": "POSUS018",
      "title": "Natural Course In Fellow Eyes Of Patients With Unilateral Keratoconus",
      "authors": "Dr Qingyan Zeng",
      "presenter": "Dr Qingyan Zeng",
      "normalized_authors": [
        "Qingyan Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Qingyan Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the natural progression of corneal morphology and biomechanics in fellow eyes of unilateral keratoconus patients through mid-to-long-term follow-up.",
        "Setting": "Single-center retrospective cohort study.",
        "Methods": "Sixty-six fellow eyes with pre-clinical keratoconus were followed for 34.24±22.59 months. Progression was defined as: thinnest corneal thickness reduction ≥20µm, maximum anterior curvature increase ≥1.5D, or BAD-D increase ≥0.42. Kaplan-Meier analysis calculated cumulative progression rates.",
        "Results": "21.21% of eyes progressed during follow-up. Cumulative progression rates reached 15.46% at 36 months and 37.16% at 60 months. BAD-D showed the highest 60-month progression rate (30.38%). Most Pentacam parameters significantly worsened at final follow-up, while biomechanical parameters showed heterogeneous evolution patterns. The progression group demonstrated significantly greater worsening in spherical equivalent, maximum anterior curvature, anterior/posterior surface elevations, PPIave, BAD-D, and TBI. No significant differences were found between forme fruste and subclinical keratoconus groups.",
        "Conclusions": "Fellow eyes in unilateral keratoconus represent high-risk entities with 37.16% 5-year progression risk. BAD-D, PPIave, and TBI changes are key predictors for progression risk. Lifelong regular monitoring incorporating both topographic and biomechanical examinations is recommended for all fellow eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Fellow eyes in unilateral keratoconus represent high-risk entities with 37.16% 5-year progression risk. BAD-D, PPIave, and TBI changes are key predictors for progression risk. Lifelong regular monitoring incorporating both topographic and biomechanical examinations is recommended for all fellow eyes.",
      "session_type": "ePoster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "ePsoters",
      "source_row": 1641,
      "source_fields": {
        "Abstract Final Identifier": "POSUS018",
        "Title": "Natural Course In Fellow Eyes Of Patients With Unilateral Keratoconus",
        "Presenting Author(s)": "Dr Qingyan Zeng",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Qingyan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "To evaluate the natural progression of corneal morphology and biomechanics in fellow eyes of unilateral keratoconus patients through mid-to-long-term follow-up.",
        "Setting": "Single-center retrospective cohort study.",
        "Methods": "Sixty-six fellow eyes with pre-clinical keratoconus were followed for 34.24±22.59 months. Progression was defined as: thinnest corneal thickness reduction ≥20µm, maximum anterior curvature increase ≥1.5D, or BAD-D increase ≥0.42. Kaplan-Meier analysis calculated cumulative progression rates.",
        "Results": "21.21% of eyes progressed during follow-up. Cumulative progression rates reached 15.46% at 36 months and 37.16% at 60 months. BAD-D showed the highest 60-month progression rate (30.38%). Most Pentacam parameters significantly worsened at final follow-up, while biomechanical parameters showed heterogeneous evolution patterns. The progression group demonstrated significantly greater worsening in spherical equivalent, maximum anterior curvature, anterior/posterior surface elevations, PPIave, BAD-D, and TBI. No significant differences were found between forme fruste and subclinical keratoconus groups.",
        "Conclusions": "Fellow eyes in unilateral keratoconus represent high-risk entities with 37.16% 5-year progression risk. BAD-D, PPIave, and TBI changes are key predictors for progression risk. Lifelong regular monitoring incorporating both topographic and biomechanical examinations is recommended for all fellow eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 183
    },
    {
      "uid": "CC01.01",
      "abstract_number": "CC01.01",
      "title": "Pseudophakic Reverse Pupillary Block After Transscleral Intraocular Lens Fixation: Diagnostic Tools And The Impact Of Laser Iridotomy Management",
      "authors": "Mr Piotr Dobrowolski",
      "presenter": "Mr Piotr Dobrowolski",
      "normalized_authors": [
        "Piotr Dobrowolski"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Piotr Dobrowolski",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Pseudophakic reverse pupillary block( PRPB) is an underrecognized complication following transscleral intraocular lens(IOL) fixation. An inadequate pressure gradient between the anterior and posterior chambers leads to this condition. It involves posterior iris bowing, iris–optic contact and disturbed aqueous dynamics, which may potentially result in pigment dispersion syndrome and intraocular pressure spikes. We present two cases of PRPB syndrome detected after different IOL transsceral fixation techniques and emphasize the diagnostic value of anterior segment imaging and the role of laser peripheral iridotomy( LPI) in restoring physiological anterior segment position.",
        "Setting": "Two male patients were evaluated at a clinic after transscleral posterior chamber IOL fixation. In both cases the implantation was preceded by the removal of the dislocated in the bag IOL as a separate surgical step. Postoperative assessment included slit-lamp biomicroscopy, intraocular pressure measurement, anterior segment optical coherence tomography (AS OCT), and ultrasound biomicroscopy( UBM) to evaluate anterior chamber depth, iris configuration, and iris–IOL relationships.",
        "Report of case": "Two patients developed PRPB following transscleral fixation of posterior chamber intraocular lenses.\nCase 1: After Yamane flanged intrascleral fixation, accompanied by anterior vitrectomy, the patient presented with deep anterior chamber, dispersed pigment on the corneal endothelium and concave iris configuration. Patient was initially treated with pilocarpine drops unsuccessfully. AS OCT and UBM confirmed posterior bowing of the iris with iris–IOL optic adherence as a result of impaired aqueous flow. Nd:YAG LPI, weeks after Yamane fixation, was performed, resulting in flattening of the iris profile and restoration of normal anterior chamber depth.\n\nCase 2: Significant posterior bending of the iris developed within days after four-point suture scleral fixation of the IOL. Early imaging with both AS OCT and UBM demonstrated posterior iris malposition and iris-IOL optic adhesion. Prompt laser peripheral iridotomy produced immediate anatomical correction and normalization of fluid dynamics.\nIn both cases, anterior segment configuration and physiological aqueous circulation were restored and remained stable throughout follow-up.",
        "Conclusion/Take home message": "Reverse pupillary block can occur after different scleral fixation techniques and should be suspected in pseudophakic eyes presenting with a deep anterior chamber and concave iris configuration. AS OCT and UBM facilitate early diagnosis by depicting posterior iris bowing and iris–optic proximity. Laser peripheral iridotomy immediately and effectively restores normal aqueous flow and anterior segment position. Early recognition and treatment may prevent prolonged iris–optic contact resulting in pigment dispersion syndrome, intraocular pressure elevation and secondary glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Reverse pupillary block can occur after different scleral fixation techniques and should be suspected in pseudophakic eyes presenting with a deep anterior chamber and concave iris configuration. AS OCT and UBM facilitate early diagnosis by depicting posterior iris bowing and iris–optic proximity. Laser peripheral iridotomy immediately and effectively restores normal aqueous flow and anterior segment position. Early…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 2,
      "source_fields": {
        "Abstract Final Identifier": "CC01.01",
        "Title": "Pseudophakic Reverse Pupillary Block After Transscleral Intraocular Lens Fixation: Diagnostic Tools And The Impact Of Laser Iridotomy Management",
        "Presenting Author(s)": "Mr Piotr Dobrowolski",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Piotr",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dobrowolski",
        "Country Name": "Poland",
        "Purpose": "Pseudophakic reverse pupillary block( PRPB) is an underrecognized complication following transscleral intraocular lens(IOL) fixation. An inadequate pressure gradient between the anterior and posterior chambers leads to this condition. It involves posterior iris bowing, iris–optic contact and disturbed aqueous dynamics, which may potentially result in pigment dispersion syndrome and intraocular pressure spikes. We present two cases of PRPB syndrome detected after different IOL transsceral fixation techniques and emphasize the diagnostic value of anterior segment imaging and the role of laser peripheral iridotomy( LPI) in restoring physiological anterior segment position.",
        "Setting": "Two male patients were evaluated at a clinic after transscleral posterior chamber IOL fixation. In both cases the implantation was preceded by the removal of the dislocated in the bag IOL as a separate surgical step. Postoperative assessment included slit-lamp biomicroscopy, intraocular pressure measurement, anterior segment optical coherence tomography (AS OCT), and ultrasound biomicroscopy( UBM) to evaluate anterior chamber depth, iris configuration, and iris–IOL relationships.",
        "Report of case": "Two patients developed PRPB following transscleral fixation of posterior chamber intraocular lenses.\nCase 1: After Yamane flanged intrascleral fixation, accompanied by anterior vitrectomy, the patient presented with deep anterior chamber, dispersed pigment on the corneal endothelium and concave iris configuration. Patient was initially treated with pilocarpine drops unsuccessfully. AS OCT and UBM confirmed posterior bowing of the iris with iris–IOL optic adherence as a result of impaired aqueous flow. Nd:YAG LPI, weeks after Yamane fixation, was performed, resulting in flattening of the iris profile and restoration of normal anterior chamber depth.\n\nCase 2: Significant posterior bending of the iris developed within days after four-point suture scleral fixation of the IOL. Early imaging with both AS OCT and UBM demonstrated posterior iris malposition and iris-IOL optic adhesion. Prompt laser peripheral iridotomy produced immediate anatomical correction and normalization of fluid dynamics.\nIn both cases, anterior segment configuration and physiological aqueous circulation were restored and remained stable throughout follow-up.",
        "Conclusion/Take home message": "Reverse pupillary block can occur after different scleral fixation techniques and should be suspected in pseudophakic eyes presenting with a deep anterior chamber and concave iris configuration. AS OCT and UBM facilitate early diagnosis by depicting posterior iris bowing and iris–optic proximity. Laser peripheral iridotomy immediately and effectively restores normal aqueous flow and anterior segment position. Early recognition and treatment may prevent prolonged iris–optic contact resulting in pigment dispersion syndrome, intraocular pressure elevation and secondary glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 392
    },
    {
      "uid": "CC01.02",
      "abstract_number": "CC01.02",
      "title": "You Can’T Always Get What You Want: Trifocal-Like Rings In A Monofocal Iol",
      "authors": "Dr Francesco Dragotto",
      "presenter": "Dr Francesco Dragotto",
      "normalized_authors": [
        "Francesco Dragotto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francesco Dragotto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To describe a case management of a monofocal IOL implantation in which trifocal-like rings appeared on the optic body following its unfolding within the capsular bag.\n\nThe objective is to assess to investigate the underlying cause and whether such unexpected morphological features affect the final refractive result or the patient's quality of vision .",
        "Setting": "The case was observed in May 2025 in a secondary-care clinical setting at the Ophthalmology Unit of Serristori General Hospital in Figline Valdarno (Florence), Italy. The surgical procedure and all subsequent follow-up evaluations were conducted at this facility in accordance with the tenets of the Declaration of Helsinki, and informed consent was obtained from the patient.",
        "Report of case": "A 71-year-old patient (born 1954) presented with a symptomatic cataract in the left eye (0.3 with +5.00 D sphere)\n\nThe patient underwent uneventful phacoemulsification in May 2025. A preloaded monofocal IOL (Johnson & Johnson, Model GCB00, +24.5 D) was implanted, with a refractive target of -0.13 D.\n\nImmediately following the unfolding of the IOL within the capsular bag, the surgeon observed multiple concentric rings on the optic body mimicking the diffractive zones of a trifocal IOL. Given the stable position of the lens and the absence of immediate surgical complications, the decision was made to proceed without IOL exchange.\n\nPostoperative manifest refraction was +0.25/-0.75 x 115°, yielding an UDVA of 1.0 (20/20). Near vision required a +2.50 D addition. Surprisingly, the patient reported a complete absence of glare, halos, or dysphotopsias. Aberrometric analysis confirmed no significant higher-order aberrations (HOAs) attributable to the rings.\n\nA formal technical inquiry was submitted to the manufacturer. The company’s quality assurance laboratory analyzed the production batch and concluded that the rings were the result of a lathe-cutting error during the manufacturing process. The manufacturer further clarified that since monofocal and premium (multifocal) lenses are produced in distinct facilities, a cross-packaging error was effectively ruled out.\n\nThe patient remains stable at long-term follow-up, maintaining high satisfaction and optimal visual performance.",
        "Conclusion/Take home message": "•\nManufacturing artifacts in monofocal IOLs may occasionally mimic the geometry of multifocal lenses without necessarily compromising optical performance.\n\n•\nIn the presence of unexpected IOL morphological features, intraoperative stability and the absence of significant optical distortion may justify observation over immediate explantation.\n\n•\nFormal reporting of IOL defects to manufacturers is essential for post-market surveillance and identifying potential systemic manufacturing errors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "• Manufacturing artifacts in monofocal IOLs may occasionally mimic the geometry of multifocal lenses without necessarily compromising optical performance. • In the presence of unexpected IOL morphological features, intraoperative stability and the absence of significant optical distortion may justify observation over immediate explantation. • Formal reporting of IOL defects to manufacturers is essential for…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 3,
      "source_fields": {
        "Abstract Final Identifier": "CC01.02",
        "Title": "You Can’T Always Get What You Want: Trifocal-Like Rings In A Monofocal Iol",
        "Presenting Author(s)": "Dr Francesco Dragotto",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Francesco",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dragotto",
        "Country Name": "Italy",
        "Purpose": "To describe a case management of a monofocal IOL implantation in which trifocal-like rings appeared on the optic body following its unfolding within the capsular bag.\n\nThe objective is to assess to investigate the underlying cause and whether such unexpected morphological features affect the final refractive result or the patient's quality of vision .",
        "Setting": "The case was observed in May 2025 in a secondary-care clinical setting at the Ophthalmology Unit of Serristori General Hospital in Figline Valdarno (Florence), Italy. The surgical procedure and all subsequent follow-up evaluations were conducted at this facility in accordance with the tenets of the Declaration of Helsinki, and informed consent was obtained from the patient.",
        "Report of case": "A 71-year-old patient (born 1954) presented with a symptomatic cataract in the left eye (0.3 with +5.00 D sphere)\n\nThe patient underwent uneventful phacoemulsification in May 2025. A preloaded monofocal IOL (Johnson & Johnson, Model GCB00, +24.5 D) was implanted, with a refractive target of -0.13 D.\n\nImmediately following the unfolding of the IOL within the capsular bag, the surgeon observed multiple concentric rings on the optic body mimicking the diffractive zones of a trifocal IOL. Given the stable position of the lens and the absence of immediate surgical complications, the decision was made to proceed without IOL exchange.\n\nPostoperative manifest refraction was +0.25/-0.75 x 115°, yielding an UDVA of 1.0 (20/20). Near vision required a +2.50 D addition. Surprisingly, the patient reported a complete absence of glare, halos, or dysphotopsias. Aberrometric analysis confirmed no significant higher-order aberrations (HOAs) attributable to the rings.\n\nA formal technical inquiry was submitted to the manufacturer. The company’s quality assurance laboratory analyzed the production batch and concluded that the rings were the result of a lathe-cutting error during the manufacturing process. The manufacturer further clarified that since monofocal and premium (multifocal) lenses are produced in distinct facilities, a cross-packaging error was effectively ruled out.\n\nThe patient remains stable at long-term follow-up, maintaining high satisfaction and optimal visual performance.",
        "Conclusion/Take home message": "•\nManufacturing artifacts in monofocal IOLs may occasionally mimic the geometry of multifocal lenses without necessarily compromising optical performance.\n\n•\nIn the presence of unexpected IOL morphological features, intraoperative stability and the absence of significant optical distortion may justify observation over immediate explantation.\n\n•\nFormal reporting of IOL defects to manufacturers is essential for post-market surveillance and identifying potential systemic manufacturing errors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 391
    },
    {
      "uid": "CC01.03",
      "abstract_number": "CC01.03",
      "title": "Carbon Bursts Inside A Small Aperture Intraocular Lens After Nd:Yag Laser Capsulotomy",
      "authors": "Dr Julian Bucur",
      "presenter": "Dr Julian Bucur",
      "normalized_authors": [
        "Julian Bucur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julian Bucur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The IC-8® Apthera™ (AcuFocus Inc.™, Irvine, California, USA) is a single-piece hydrophobic acrylic monofocal lens, placed in the capsular bag. It carries a central black circular mask (FilterRing™) with a diameter of 3.23 mm consisting of carbon black nanoparticles. In the center of this mask sits a 1.36 mm wide aperture. Thanks to this pinhole effect the IC-8® serves as an extended partial-range of field IOL and can be used in presbyopia correction.\n\nThis report describes the case of a patient with an IC-8® implant who described optical phenoma and blurred vision after undergoing Nd:YAG laser capsulotomy for posterior capsule opacification (PCO). Due to a dark central optical change within the IOL, he ultimately underwent IOL exchange.",
        "Setting": "The examinations as well as the initial IC-8 ® implantation, the Nd:YAG laser capsulotomy and the IOL exchange were performed at Goethe-University in Frankfurt, Germany. The explanted IC-8® was sent to the Intermountain Ocular Research Center at the University of Utah for further analysis.",
        "Report of case": "A 56-year-old male underwent cataract surgery with implantation of a non-diffractive, extended partial-range of field (RoF) IOL on the right and the IC-8® small aperture IOL on the left eye. On the left eye, the patient had received penetrating keratoplasty seven years prior to the cataract operation due to posttraumatic corneal scarring. The early checkups after cataract surgery showed a corrected distance visual acuity (CDVA) in the left eye of +0.1 logMAR in the first month. About 5 months after the operation, PCO was first described on the left eye leading to a decrease in visual acuity to +0.4 logMAR (CDVA). Due to PCO, Nd:YAG laser capsulotomy was conducted 5 months after the cataract operation on the left eye. 12 shots were applied at 2.7 mJ. The following appointments showed a continuously reduced visual acuity of +1.3 logMAR (uncorrected) on the left eye and the patient described blurry central vision. Slit lamp examination showed a small optical change inside the IC-8® believed to be a small pocket of air. Due to the ongoing symptoms and reduced VA, the seemingly damaged IOL was exchanged. The explanted IC-8® was sent to the Intermountain Ocular Research Center at the University of Utah for further analysis. Results from gross and light microscopic analysis showed that the change caused by the Nd:YAG laser application consisted of a localized optical area containing carbon black nanoparticles used for the circular mask within the IOL.",
        "Conclusion/Take home message": "When performing Nd:YAG laser capsulotomy in patients with an IC-8® implant and PCO, one of two laser techniques are advised: either staying inside the central aperture or outside of the circular carbon mask incorporated within the IOL. Bausch & Lomb recommends placing laser shots approximately 1.0 mm outside of the carbon mask and following a capsulotomy pattern with an inferior hinge (Figure 1). Higher proximity of laser shots to the circular mask may cause intra-optic carbon bursts, which may require lens exchange due to subjective visual disturbances noticed by the patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "When performing Nd:YAG laser capsulotomy in patients with an IC-8® implant and PCO, one of two laser techniques are advised: either staying inside the central aperture or outside of the circular carbon mask incorporated within the IOL. Bausch & Lomb recommends placing laser shots approximately 1.0 mm outside of the carbon mask and following a capsulotomy pattern with an inferior hinge (Figure 1). Higher proximity…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 4,
      "source_fields": {
        "Abstract Final Identifier": "CC01.03",
        "Title": "Carbon Bursts Inside A Small Aperture Intraocular Lens After Nd:Yag Laser Capsulotomy",
        "Presenting Author(s)": "Dr Julian Bucur",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Julian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bucur",
        "Country Name": "Germany",
        "Purpose": "The IC-8® Apthera™ (AcuFocus Inc.™, Irvine, California, USA) is a single-piece hydrophobic acrylic monofocal lens, placed in the capsular bag. It carries a central black circular mask (FilterRing™) with a diameter of 3.23 mm consisting of carbon black nanoparticles. In the center of this mask sits a 1.36 mm wide aperture. Thanks to this pinhole effect the IC-8® serves as an extended partial-range of field IOL and can be used in presbyopia correction.\n\nThis report describes the case of a patient with an IC-8® implant who described optical phenoma and blurred vision after undergoing Nd:YAG laser capsulotomy for posterior capsule opacification (PCO). Due to a dark central optical change within the IOL, he ultimately underwent IOL exchange.",
        "Setting": "The examinations as well as the initial IC-8 ® implantation, the Nd:YAG laser capsulotomy and the IOL exchange were performed at Goethe-University in Frankfurt, Germany. The explanted IC-8® was sent to the Intermountain Ocular Research Center at the University of Utah for further analysis.",
        "Report of case": "A 56-year-old male underwent cataract surgery with implantation of a non-diffractive, extended partial-range of field (RoF) IOL on the right and the IC-8® small aperture IOL on the left eye. On the left eye, the patient had received penetrating keratoplasty seven years prior to the cataract operation due to posttraumatic corneal scarring. The early checkups after cataract surgery showed a corrected distance visual acuity (CDVA) in the left eye of +0.1 logMAR in the first month. About 5 months after the operation, PCO was first described on the left eye leading to a decrease in visual acuity to +0.4 logMAR (CDVA). Due to PCO, Nd:YAG laser capsulotomy was conducted 5 months after the cataract operation on the left eye. 12 shots were applied at 2.7 mJ. The following appointments showed a continuously reduced visual acuity of +1.3 logMAR (uncorrected) on the left eye and the patient described blurry central vision. Slit lamp examination showed a small optical change inside the IC-8® believed to be a small pocket of air. Due to the ongoing symptoms and reduced VA, the seemingly damaged IOL was exchanged. The explanted IC-8® was sent to the Intermountain Ocular Research Center at the University of Utah for further analysis. Results from gross and light microscopic analysis showed that the change caused by the Nd:YAG laser application consisted of a localized optical area containing carbon black nanoparticles used for the circular mask within the IOL.",
        "Conclusion/Take home message": "When performing Nd:YAG laser capsulotomy in patients with an IC-8® implant and PCO, one of two laser techniques are advised: either staying inside the central aperture or outside of the circular carbon mask incorporated within the IOL. Bausch & Lomb recommends placing laser shots approximately 1.0 mm outside of the carbon mask and following a capsulotomy pattern with an inferior hinge (Figure 1). Higher proximity of laser shots to the circular mask may cause intra-optic carbon bursts, which may require lens exchange due to subjective visual disturbances noticed by the patient."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 499
    },
    {
      "uid": "CC01.04",
      "abstract_number": "CC01.04",
      "title": "Minimally Invasive Intraocular Lens Exchange And Corneal Endothelial Repair For Spontaneous Haptic Breakage In A Pediatric Patient",
      "authors": "Dr Rui Wang",
      "presenter": "Dr Rui Wang",
      "normalized_authors": [
        "Rui Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rui Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To report a rare complication of spontaneous intraocular lens (IOL) haptic breakage in a 5-year-old pseudophakic patient presenting with severe corneal edema and elevated intraocular pressure. This report emphasizes the efficacy of a minimally invasive intraocular IOL transection technique for IOL exchange, combined with corneal endothelial rehabilitation, to avoid endothelial keratoplasty and successfully manage late pediatric cataract surgery complications.",
        "Setting": "The study was conducted at the Department of Ophthalmology, Center for Congenital Lens Diseases, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi’an, Shaanxi Province, China. As a tertiary referral center, it specializes in complex pediatric cataract management and anterior segment reconstruction.",
        "Report of case": "A 5-year-old female presented with left eye photophobia, tearing, and vision loss for one month. History included bilateral phacoemulsification with IOL implantation over two years ago, and right eye IOL repositioning due to dislocation one year ago. Examination of the left eye revealed severe corneal edema, a shallow anterior chamber, an unreactive 1.5 mm pupil, and elevated intraocular pressure (25 mmHg). Ultrasound biomicroscopy and intraoperative findings confirmed a dislocated IOL with a spontaneously broken haptic, iris anterior and posterior synechiae, and vitreous prolapse. To protect the compromised corneal endothelium, a minimally invasive surgical approach was utilized. Under a soft-shell ophthalmic viscosurgical device technique, the dislocated IOL was dissected from organized fibrotic tissue. The IOL optic was transected intraocularly using microscissors and extracted, along with the fractured haptic, through a 2.2 mm clear corneal incision without wound enlargement. Following anterior vitrectomy and a secondary separation of the fibrosed capsular bag, a replacement IOL was implanted into the bag. Blunt synechiolysis was performed for anterior synechiae. Postoperatively, topical corticosteroids and hyperosmolar agents reversed the corneal decompensation.",
        "Conclusion/Take home message": "Spontaneous IOL haptic breakage is a severe complication in pediatric pseudophakia. This case prompts discussion on the long-term biomechanical stability of pediatric IOLs. IOL material, haptic design, morphology of the anterior and posterior capsular openings, and capsular bag stability all affect intraocular IOL stability. Current literature suggests polyimide haptics may risk embrittlement in long-term warm environments, whereas single-piece hydrophobic acrylic designs may offer different mechanical profiles, pending further large-sample studies. However, once such structural failure occurs, safely managing the dislocated IOL is a core clinical challenge after pediatric cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Spontaneous IOL haptic breakage is a severe complication in pediatric pseudophakia. This case prompts discussion on the long-term biomechanical stability of pediatric IOLs. IOL material, haptic design, morphology of the anterior and posterior capsular openings, and capsular bag stability all affect intraocular IOL stability. Current literature suggests polyimide haptics may risk embrittlement in long-term warm…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 5,
      "source_fields": {
        "Abstract Final Identifier": "CC01.04",
        "Title": "Minimally Invasive Intraocular Lens Exchange And Corneal Endothelial Repair For Spontaneous Haptic Breakage In A Pediatric Patient",
        "Presenting Author(s)": "Dr Rui Wang",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Rui",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To report a rare complication of spontaneous intraocular lens (IOL) haptic breakage in a 5-year-old pseudophakic patient presenting with severe corneal edema and elevated intraocular pressure. This report emphasizes the efficacy of a minimally invasive intraocular IOL transection technique for IOL exchange, combined with corneal endothelial rehabilitation, to avoid endothelial keratoplasty and successfully manage late pediatric cataract surgery complications.",
        "Setting": "The study was conducted at the Department of Ophthalmology, Center for Congenital Lens Diseases, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi’an, Shaanxi Province, China. As a tertiary referral center, it specializes in complex pediatric cataract management and anterior segment reconstruction.",
        "Report of case": "A 5-year-old female presented with left eye photophobia, tearing, and vision loss for one month. History included bilateral phacoemulsification with IOL implantation over two years ago, and right eye IOL repositioning due to dislocation one year ago. Examination of the left eye revealed severe corneal edema, a shallow anterior chamber, an unreactive 1.5 mm pupil, and elevated intraocular pressure (25 mmHg). Ultrasound biomicroscopy and intraoperative findings confirmed a dislocated IOL with a spontaneously broken haptic, iris anterior and posterior synechiae, and vitreous prolapse. To protect the compromised corneal endothelium, a minimally invasive surgical approach was utilized. Under a soft-shell ophthalmic viscosurgical device technique, the dislocated IOL was dissected from organized fibrotic tissue. The IOL optic was transected intraocularly using microscissors and extracted, along with the fractured haptic, through a 2.2 mm clear corneal incision without wound enlargement. Following anterior vitrectomy and a secondary separation of the fibrosed capsular bag, a replacement IOL was implanted into the bag. Blunt synechiolysis was performed for anterior synechiae. Postoperatively, topical corticosteroids and hyperosmolar agents reversed the corneal decompensation.",
        "Conclusion/Take home message": "Spontaneous IOL haptic breakage is a severe complication in pediatric pseudophakia. This case prompts discussion on the long-term biomechanical stability of pediatric IOLs. IOL material, haptic design, morphology of the anterior and posterior capsular openings, and capsular bag stability all affect intraocular IOL stability. Current literature suggests polyimide haptics may risk embrittlement in long-term warm environments, whereas single-piece hydrophobic acrylic designs may offer different mechanical profiles, pending further large-sample studies. However, once such structural failure occurs, safely managing the dislocated IOL is a core clinical challenge after pediatric cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "CC01.05",
      "abstract_number": "CC01.05",
      "title": "Artificial Iris– Intraocular Lens Complex Implantation Using Combined Yamane And Canabrava Fixation Techniques: A Case Series",
      "authors": "Ms Almina Stramkauskaitė",
      "presenter": "Ms Almina Stramkauskaitė",
      "normalized_authors": [
        "Almina Stramkauskaitė"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Almina Stramkauskaitė",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lithuania",
      "sections": {
        "Purpose": "The management of traumatic aniridia and aphakia after penetrating ocular injuries remains a significant surgical challenge. Our cases describe a novel sutureless surgical technique for artificial iris intraocular lens (AI-IOL) complex implantation using combined Yamane and Canabrava four-flanged technique.",
        "Setting": "Department of Ophthalmology, Hospital of Lithuanian University of Health Sciences, Kaunas Clinics.",
        "Report of case": "Two male patients aged 36 and 54 presented with aniridia and aphakia secondary to penetrating eye trauma in 2024 and 2023, respectively. Both patients underwent primary surgical repair of penetrating open-globe injuries followed by pars plana vitrectomy with endolaser photocoagulation. Postoperatively, uncorrected distance visual acuity (UDVA) was hand motion in the first patient and 20/800 in the second, improving to 20/25 with a +10.00 spherical dioptres, and to 20/40 with a +15.0 spherical dioptres, respectively. A combined Yamane–Canabrava technique was used to implant a scleral-fixated AI-IOL complex in both patients. The IOL was positioned posterior to the artificial iris (AI), with haptics passed at 0° and 180°, 0.5 mm away from the AI edge. At 90° and 270°, a 5/0 polypropylene suture was passed 1.5 mm away from the outer AI rim, thus, two flanges using cautery were created on the anterior surface of the AI. AI-IOL complex was stabilized with four scleral flanges: two flanges at 3 and 9 o’clock for the IOL, and two flanges at 6 and 12 o’clock for the AI. The four scleral fixation points create four balanced vectors of tension, improving stability and centration of the AI–IOL complex while minimizing the risk of postoperative IOL tilt. Postoperative UDVA improved to 20/32 in both patients. The first patient achieved best-corrected distance visual acuity 20/22 with a refractive cylinder of -1.5 D at 171°. Postoperative 1-year follow-up visits showed no complications.",
        "Conclusion/Take home message": "Combined Yamane and Canabrava fixation of AI-IOL provides four-point stability, centration, and significant visual rehabilitation. By distributing fixation forces symmetrically across four quadrants, the technique promotes stable axial alignment of the AI–IOL complex and decreases the likelihood of AI-IOL decentration or tilt. Aniridia and aphakia are corrected in a single surgical session to minimize overall trauma to the eye. This technique is minimally invasive and technically straightforward, aiming to avoid sutures and their associated risks of long-term complications. Long-term follow-ups of this and similar cases are necessary to confirm stability and low complication rates."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Combined Yamane and Canabrava fixation of AI-IOL provides four-point stability, centration, and significant visual rehabilitation. By distributing fixation forces symmetrically across four quadrants, the technique promotes stable axial alignment of the AI–IOL complex and decreases the likelihood of AI-IOL decentration or tilt. Aniridia and aphakia are corrected in a single surgical session to minimize overall…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 6,
      "source_fields": {
        "Abstract Final Identifier": "CC01.05",
        "Title": "Artificial Iris– Intraocular Lens Complex Implantation Using Combined Yamane And Canabrava Fixation Techniques: A Case Series",
        "Presenting Author(s)": "Ms Almina Stramkauskaitė",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Almina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stramkauskaitė",
        "Country Name": "Lithuania",
        "Purpose": "The management of traumatic aniridia and aphakia after penetrating ocular injuries remains a significant surgical challenge. Our cases describe a novel sutureless surgical technique for artificial iris intraocular lens (AI-IOL) complex implantation using combined Yamane and Canabrava four-flanged technique.",
        "Setting": "Department of Ophthalmology, Hospital of Lithuanian University of Health Sciences, Kaunas Clinics.",
        "Report of case": "Two male patients aged 36 and 54 presented with aniridia and aphakia secondary to penetrating eye trauma in 2024 and 2023, respectively. Both patients underwent primary surgical repair of penetrating open-globe injuries followed by pars plana vitrectomy with endolaser photocoagulation. Postoperatively, uncorrected distance visual acuity (UDVA) was hand motion in the first patient and 20/800 in the second, improving to 20/25 with a +10.00 spherical dioptres, and to 20/40 with a +15.0 spherical dioptres, respectively. A combined Yamane–Canabrava technique was used to implant a scleral-fixated AI-IOL complex in both patients. The IOL was positioned posterior to the artificial iris (AI), with haptics passed at 0° and 180°, 0.5 mm away from the AI edge. At 90° and 270°, a 5/0 polypropylene suture was passed 1.5 mm away from the outer AI rim, thus, two flanges using cautery were created on the anterior surface of the AI. AI-IOL complex was stabilized with four scleral flanges: two flanges at 3 and 9 o’clock for the IOL, and two flanges at 6 and 12 o’clock for the AI. The four scleral fixation points create four balanced vectors of tension, improving stability and centration of the AI–IOL complex while minimizing the risk of postoperative IOL tilt. Postoperative UDVA improved to 20/32 in both patients. The first patient achieved best-corrected distance visual acuity 20/22 with a refractive cylinder of -1.5 D at 171°. Postoperative 1-year follow-up visits showed no complications.",
        "Conclusion/Take home message": "Combined Yamane and Canabrava fixation of AI-IOL provides four-point stability, centration, and significant visual rehabilitation. By distributing fixation forces symmetrically across four quadrants, the technique promotes stable axial alignment of the AI–IOL complex and decreases the likelihood of AI-IOL decentration or tilt. Aniridia and aphakia are corrected in a single surgical session to minimize overall trauma to the eye. This technique is minimally invasive and technically straightforward, aiming to avoid sutures and their associated risks of long-term complications. Long-term follow-ups of this and similar cases are necessary to confirm stability and low complication rates."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 394
    },
    {
      "uid": "CC01.06",
      "abstract_number": "CC01.06",
      "title": "When Sclera Fails: Emergency Yamane Fixation And Wide Scleral Patch Grafting In Shawaf–Traboulsi Syndrome",
      "authors": "Dr Essam Sabah Al Rubaye",
      "presenter": "Dr Essam Sabah Al Rubaye",
      "normalized_authors": [
        "Essam Sabah Al Rubaye"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Essam Sabah Al Rubaye",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iraq",
      "sections": {
        "Purpose": "To report the management of a rare emergency presentation of Shawaf–Traboulsi syndrome with acute ectopia lentis causing pupillary block glaucoma in the presence of focal superior scleral thinning and uveal prolapse, and to describe delayed salvage using a large scleral patch graft.",
        "Setting": "Tertiary eye hospital in Baghdad, Iraq",
        "Report of case": "A patient with Shawaf–Traboulsi syndrome presented with sudden lens dislocation resulting in pupillary block glaucoma. Anterior segment examination revealed superior scleral thinning associated with uveal tissue prolapse. Emergency surgical intervention was undertaken, consisting of lensectomy followed by secondary posterior chamber intraocular lens implantation using Yamane double-needle intrascleral haptic fixation (ISHF). Two discrete areas of clinically healthy sclera were carefully identified and used for haptic externalization, avoiding the thinned scleral region.\nPostoperative follow-up demonstrated progressive pupil decentration. Further evaluation revealed incarceration of the iris root within the superior scleral thinning pouch, with worsening uveal prolapse and signs of impending scleral perforation. A secondary reconstructive procedure was performed using a tectonic scleral patch graft spanning approximately 140 degrees to reinforce the weakened sclera and release the incarcerated uveal tissue.\nFollowing scleral patch graft implantation, scleral integrity was restored, uveal tissue was adequately supported, and the pupil returned to a centered position. Anterior segment anatomy remained stable on subsequent follow-up.",
        "Conclusion/Take home message": "Shawaf–Traboulsi syndrome may present with simultaneous lens instability and severe localized scleral fragility. Yamane ISHF can be safely performed when fixation sites are limited to healthy sclera. Large tectonic scleral patch grafting is an effective salvage strategy to prevent perforation and restore anterior segment anatomy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Shawaf–Traboulsi syndrome may present with simultaneous lens instability and severe localized scleral fragility. Yamane ISHF can be safely performed when fixation sites are limited to healthy sclera. Large tectonic scleral patch grafting is an effective salvage strategy to prevent perforation and restore anterior segment anatomy.",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 7,
      "source_fields": {
        "Abstract Final Identifier": "CC01.06",
        "Title": "When Sclera Fails: Emergency Yamane Fixation And Wide Scleral Patch Grafting In Shawaf–Traboulsi Syndrome",
        "Presenting Author(s)": "Dr Essam Sabah Al Rubaye",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Essam",
        "Submitter Middle Name": "Sabah",
        "Submitter Last Name": "Al Rubaye",
        "Country Name": "Iraq",
        "Purpose": "To report the management of a rare emergency presentation of Shawaf–Traboulsi syndrome with acute ectopia lentis causing pupillary block glaucoma in the presence of focal superior scleral thinning and uveal prolapse, and to describe delayed salvage using a large scleral patch graft.",
        "Setting": "Tertiary eye hospital in Baghdad, Iraq",
        "Report of case": "A patient with Shawaf–Traboulsi syndrome presented with sudden lens dislocation resulting in pupillary block glaucoma. Anterior segment examination revealed superior scleral thinning associated with uveal tissue prolapse. Emergency surgical intervention was undertaken, consisting of lensectomy followed by secondary posterior chamber intraocular lens implantation using Yamane double-needle intrascleral haptic fixation (ISHF). Two discrete areas of clinically healthy sclera were carefully identified and used for haptic externalization, avoiding the thinned scleral region.\nPostoperative follow-up demonstrated progressive pupil decentration. Further evaluation revealed incarceration of the iris root within the superior scleral thinning pouch, with worsening uveal prolapse and signs of impending scleral perforation. A secondary reconstructive procedure was performed using a tectonic scleral patch graft spanning approximately 140 degrees to reinforce the weakened sclera and release the incarcerated uveal tissue.\nFollowing scleral patch graft implantation, scleral integrity was restored, uveal tissue was adequately supported, and the pupil returned to a centered position. Anterior segment anatomy remained stable on subsequent follow-up.",
        "Conclusion/Take home message": "Shawaf–Traboulsi syndrome may present with simultaneous lens instability and severe localized scleral fragility. Yamane ISHF can be safely performed when fixation sites are limited to healthy sclera. Large tectonic scleral patch grafting is an effective salvage strategy to prevent perforation and restore anterior segment anatomy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "CC01.08",
      "abstract_number": "CC01.08",
      "title": "A Rare Case Of Cataract Surgery During Pregnancy: Ophthalmic, Obstetric And Ethical Considerations",
      "authors": "Ms Amee Patel",
      "presenter": "Ms Amee Patel",
      "normalized_authors": [
        "Amee Patel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amee Patel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cataract surgery during pregnancy and the post-partum period is rare, and evidence guiding surgical timing, refractive predictability, and peri-operative management remains limited. Pregnancy-related physiological ocular changes may influence biometry and refractive outcomes. Available data to inform consent for cataract surgery during pregnancy are of the lowest level of evidence. We present a rare case of a patient presenting with significant visual impairment from cataracts who elected for surgery during pregnancy. We discuss pre- and post- partum refractive, biometric and topographical data as well as surgical and ethical considerations.",
        "Setting": "A 38-year-old woman presented at 6 weeks’ gestation with reduced vision. The patient reported significant functional impairment affecting childcare and ability to work. Her best corrected visual acuity was 6/36 (right) and 6/24 (left). Medical history included gestational diabetes in two prior pregnancies. Ocular history was unremarkable with previous normal visual acuity. Examination demonstrated visually significant bilateral posterior subcapsular cataracts. Diabetes mellitus was excluded.",
        "Report of case": "Multidisciplinary consultation with the obstetrics team identified no specific foetal contraindications, and additional post-operative obstetric ultrasound monitoring was offered. The risks of surgery versus continued visual disability were discussed with the patient.\n\nThe patient elected to proceed with unilateral antenatal cataract surgery. Surgery was scheduled at 25 weeks’ gestation, accounting for potential preterm foetal viability and patient positioning considerations. Uncomplicated right phacoemulsification was performed under topical anaesthesia, with posturing of the lower body to one side. An emmetropic monofocal intraocular lens was implanted with a predicted spherical equivalent of −0.30 D.\n\nAt 6 weeks, refraction measured +0.50 D, and unaided distance visual acuity improved to 6/9. Post-partum, biometry and corneal topography were repeated ahead of a plan for second eye surgery, showing no significant changes. The patient delivered her baby at term without complication.\n\nPregnancy-associated changes, including increased corneal thickness, may reduce refractive predictability despite standard biometry and uncomplicated surgery. Surgical decision-making requires consideration of anaesthesia, systemic exposure, medication safety, and maternal functional needs. To minimise foetal exposure to postoperative drops, punctal occlusion or dropless cataract surgery may be considered. Respect for the patient’s autonomy remains paramount in pregnancy.",
        "Conclusion/Take home message": "Visually significant cataracts during pregnancy present unique clinical, refractive and ethical considerations. Careful counselling regarding refractive expectations, available evidence and multidisciplinary management are essential. Further studies are required to better characterise outcomes and optimise peri-operative strategies in this population. Whilst cataract surgery may be considered an elective intervention to be avoided in pregnancy, in select cases where visual impairment is causing challenges and risk in a pregnant patient’s daily life, cataract surgery may safely be offered during pregnancy in the appropriately counselled patient."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Visually significant cataracts during pregnancy present unique clinical, refractive and ethical considerations. Careful counselling regarding refractive expectations, available evidence and multidisciplinary management are essential. Further studies are required to better characterise outcomes and optimise peri-operative strategies in this population. Whilst cataract surgery may be considered an elective…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 8,
      "source_fields": {
        "Abstract Final Identifier": "CC01.08",
        "Title": "A Rare Case Of Cataract Surgery During Pregnancy: Ophthalmic, Obstetric And Ethical Considerations",
        "Presenting Author(s)": "Ms Amee Patel",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Amee",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Patel",
        "Country Name": "United Kingdom",
        "Purpose": "Cataract surgery during pregnancy and the post-partum period is rare, and evidence guiding surgical timing, refractive predictability, and peri-operative management remains limited. Pregnancy-related physiological ocular changes may influence biometry and refractive outcomes. Available data to inform consent for cataract surgery during pregnancy are of the lowest level of evidence. We present a rare case of a patient presenting with significant visual impairment from cataracts who elected for surgery during pregnancy. We discuss pre- and post- partum refractive, biometric and topographical data as well as surgical and ethical considerations.",
        "Setting": "A 38-year-old woman presented at 6 weeks’ gestation with reduced vision. The patient reported significant functional impairment affecting childcare and ability to work. Her best corrected visual acuity was 6/36 (right) and 6/24 (left). Medical history included gestational diabetes in two prior pregnancies. Ocular history was unremarkable with previous normal visual acuity. Examination demonstrated visually significant bilateral posterior subcapsular cataracts. Diabetes mellitus was excluded.",
        "Report of case": "Multidisciplinary consultation with the obstetrics team identified no specific foetal contraindications, and additional post-operative obstetric ultrasound monitoring was offered. The risks of surgery versus continued visual disability were discussed with the patient.\n\nThe patient elected to proceed with unilateral antenatal cataract surgery. Surgery was scheduled at 25 weeks’ gestation, accounting for potential preterm foetal viability and patient positioning considerations. Uncomplicated right phacoemulsification was performed under topical anaesthesia, with posturing of the lower body to one side. An emmetropic monofocal intraocular lens was implanted with a predicted spherical equivalent of −0.30 D.\n\nAt 6 weeks, refraction measured +0.50 D, and unaided distance visual acuity improved to 6/9. Post-partum, biometry and corneal topography were repeated ahead of a plan for second eye surgery, showing no significant changes. The patient delivered her baby at term without complication.\n\nPregnancy-associated changes, including increased corneal thickness, may reduce refractive predictability despite standard biometry and uncomplicated surgery. Surgical decision-making requires consideration of anaesthesia, systemic exposure, medication safety, and maternal functional needs. To minimise foetal exposure to postoperative drops, punctal occlusion or dropless cataract surgery may be considered. Respect for the patient’s autonomy remains paramount in pregnancy.",
        "Conclusion/Take home message": "Visually significant cataracts during pregnancy present unique clinical, refractive and ethical considerations. Careful counselling regarding refractive expectations, available evidence and multidisciplinary management are essential. Further studies are required to better characterise outcomes and optimise peri-operative strategies in this population. Whilst cataract surgery may be considered an elective intervention to be avoided in pregnancy, in select cases where visual impairment is causing challenges and risk in a pregnant patient’s daily life, cataract surgery may safely be offered during pregnancy in the appropriately counselled patient."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 429
    },
    {
      "uid": "CC01.09",
      "abstract_number": "CC01.09",
      "title": "Single-Session Quadruple Anterior Segment Reconstruction: Penetrating Keratoplasty, Pars Plana Vitrectomy, Scleral-Sutured Artificial Iris Implantation And Exchange Of Dislocated Iol",
      "authors": "Prof. Pantelis A. Papadopoulos",
      "presenter": "Prof. Pantelis A. Papadopoulos",
      "normalized_authors": [
        "Pantelis A. Papadopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pantelis A. Papadopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To describe the surgical technique and 9-month outcomes of a single-session quadruple procedure—penetrating keratoplasty (PK), pars plana vitrectomy (PPV), scleral-sutured artificial iris implantation, and exchange of a posteriorly dislocated intraocular lens (IOL)—for post-traumatic corneal haze, aniridia, and IOL dislocation.",
        "Setting": "Athens Metropolitan Teaching Hospital, UNIC Athens, Athens, Greece.",
        "Report of case": "We describe the surgical technique and 9-month outcomes of a single-session quadruple procedure—penetrating keratoplasty (PK), pars plana vitrectomy (PPV), scleral-sutured artificial iris implantation, and exchange of a posteriorly dislocated intraocular lens (IOL)—for post-traumatic corneal haze, aniridia, and IOL dislocation.\nAn 85-year-old man with a history of occupational corneal trauma had undergone PK and cataract surgery 20 years earlier. On presentation, the cornea was markedly hazy, the iris was completely atrophic, and a PMMA IOL was dislocated into the vitreous. Best-corrected visual acuity was counting fingers at 60 cm with severe photophobia. A combined procedure was performed: PPV with removal of the dislocated IOL, implantation of an artificial iris scleral-fixated with Gore-Tex sutures, fixation of a new IOL to the posterior surface of the artificial iris, and PK. No intraoperative complications occurred.\n\nAt 9 months, the corneal graft remained clear and the artificial iris–IOL complex was well centered. BCVA improved to 0.8 (decimal notation), and photophobia resolved completely. No postoperative adverse events were observed during follow-up.",
        "Conclusion/Take home message": "A single-session quadruple approach combining PK, PPV, artificial iris implantation, and IOL exchange can be safe and effective in complex post-traumatic eyes. This strategy restored ocular anatomy, provided stable centration of the iris–IOL complex, achieved substantial visual rehabilitation, and eliminated disabling photophobia. Meticulous preoperative planning and coordinated anterior–posterior segment surgery are key to success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "A single-session quadruple approach combining PK, PPV, artificial iris implantation, and IOL exchange can be safe and effective in complex post-traumatic eyes. This strategy restored ocular anatomy, provided stable centration of the iris–IOL complex, achieved substantial visual rehabilitation, and eliminated disabling photophobia. Meticulous preoperative planning and coordinated anterior–posterior segment surgery…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 9,
      "source_fields": {
        "Abstract Final Identifier": "CC01.09",
        "Title": "Single-Session Quadruple Anterior Segment Reconstruction: Penetrating Keratoplasty, Pars Plana Vitrectomy, Scleral-Sutured Artificial Iris Implantation And Exchange Of Dislocated Iol",
        "Presenting Author(s)": "Prof. Pantelis A. Papadopoulos",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Pantelis",
        "Submitter Middle Name": "A.",
        "Submitter Last Name": "Papadopoulos",
        "Country Name": "Greece",
        "Purpose": "To describe the surgical technique and 9-month outcomes of a single-session quadruple procedure—penetrating keratoplasty (PK), pars plana vitrectomy (PPV), scleral-sutured artificial iris implantation, and exchange of a posteriorly dislocated intraocular lens (IOL)—for post-traumatic corneal haze, aniridia, and IOL dislocation.",
        "Setting": "Athens Metropolitan Teaching Hospital, UNIC Athens, Athens, Greece.",
        "Report of case": "We describe the surgical technique and 9-month outcomes of a single-session quadruple procedure—penetrating keratoplasty (PK), pars plana vitrectomy (PPV), scleral-sutured artificial iris implantation, and exchange of a posteriorly dislocated intraocular lens (IOL)—for post-traumatic corneal haze, aniridia, and IOL dislocation.\nAn 85-year-old man with a history of occupational corneal trauma had undergone PK and cataract surgery 20 years earlier. On presentation, the cornea was markedly hazy, the iris was completely atrophic, and a PMMA IOL was dislocated into the vitreous. Best-corrected visual acuity was counting fingers at 60 cm with severe photophobia. A combined procedure was performed: PPV with removal of the dislocated IOL, implantation of an artificial iris scleral-fixated with Gore-Tex sutures, fixation of a new IOL to the posterior surface of the artificial iris, and PK. No intraoperative complications occurred.\n\nAt 9 months, the corneal graft remained clear and the artificial iris–IOL complex was well centered. BCVA improved to 0.8 (decimal notation), and photophobia resolved completely. No postoperative adverse events were observed during follow-up.",
        "Conclusion/Take home message": "A single-session quadruple approach combining PK, PPV, artificial iris implantation, and IOL exchange can be safe and effective in complex post-traumatic eyes. This strategy restored ocular anatomy, provided stable centration of the iris–IOL complex, achieved substantial visual rehabilitation, and eliminated disabling photophobia. Meticulous preoperative planning and coordinated anterior–posterior segment surgery are key to success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "CC01.10",
      "abstract_number": "CC01.10",
      "title": "From Tilt To Toxicity: Recurrent Sulcus Iol Instability In An Aniridic Eye",
      "authors": "Dr Akram Fekry Elgazzar",
      "presenter": "Dr Akram Fekry Elgazzar",
      "normalized_authors": [
        "Akram Fekry Elgazzar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akram Fekry Elgazzar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Eyes with congenital aniridia present unique challenges during cataract surgery due to abnormal anterior segment anatomy and the absence of an iris barrier. Sulcus implantation of posterior chamber intraocular lenses (IOLs) following posterior capsular rupture may lead to significant postoperative complications in these patients. This case report aimed to highlight the challenges and potential complications of sulcus-fixated intraocular lens implantation in eyes with congenital aniridia, and to emphasize the importance of early recognition and definitive management of recurrent IOL instability to prevent endothelial damage and secondary glaucoma.",
        "Setting": "Al-Azhar University Hospital – Damietta",
        "Report of case": "We report a case of a 21 years old male patient with congenital aniridia and nystagmus who underwent complicated phacoemulsification cataract surgery with posterior capsular tear, managed by implantation of a 3-piece IOL in the ciliary sulcus. Following blunt ocular trauma, the patient presented with ocular pain, redness, elevated intraocular pressure (IOP), and reduced vision. Slit-lamp examination revealed a tilted sulcus-fixated IOL with one haptic incarcerated in the anterior chamber angle, resulting in secondary glaucoma. Surgical IOL repositioning was initially attempted; however, early recurrence of IOL tilt occurred within three days, accompanied by severe anterior segment inflammation, corneal edema, markedly elevated IOP, and direct haptic–endothelial touch. Given the recurrent instability and progressive endothelial compromise, urgent explantation of the sulcus-fixated IOL with anterior vitrectomy was performed, and the eye was left aphakic. Postoperatively, aggressive anti-inflammatory and IOP-lowering therapy resulted in resolution of ocular inflammation, improvement in corneal clarity, and stabilization of IOP. The patient is currently under observation, with secondary visual rehabilitation planned once the eye is quiet.",
        "Conclusion/Take home message": "Sulcus-fixated IOLs may be poorly tolerated in aniridic eyes, particularly following trauma. Recurrent IOL instability with endothelial touch warrants prompt IOL explantation rather than repeated repositioning. A staged approach with delayed secondary scleral-fixated IOL implantation may offer a safer long-term solution in such high-risk eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Sulcus-fixated IOLs may be poorly tolerated in aniridic eyes, particularly following trauma. Recurrent IOL instability with endothelial touch warrants prompt IOL explantation rather than repeated repositioning. A staged approach with delayed secondary scleral-fixated IOL implantation may offer a safer long-term solution in such high-risk eyes.",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 10,
      "source_fields": {
        "Abstract Final Identifier": "CC01.10",
        "Title": "From Tilt To Toxicity: Recurrent Sulcus Iol Instability In An Aniridic Eye",
        "Presenting Author(s)": "Dr Akram Fekry Elgazzar",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Akram",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fekry Elgazzar",
        "Country Name": "Egypt",
        "Purpose": "Eyes with congenital aniridia present unique challenges during cataract surgery due to abnormal anterior segment anatomy and the absence of an iris barrier. Sulcus implantation of posterior chamber intraocular lenses (IOLs) following posterior capsular rupture may lead to significant postoperative complications in these patients. This case report aimed to highlight the challenges and potential complications of sulcus-fixated intraocular lens implantation in eyes with congenital aniridia, and to emphasize the importance of early recognition and definitive management of recurrent IOL instability to prevent endothelial damage and secondary glaucoma.",
        "Setting": "Al-Azhar University Hospital – Damietta",
        "Report of case": "We report a case of a 21 years old male patient with congenital aniridia and nystagmus who underwent complicated phacoemulsification cataract surgery with posterior capsular tear, managed by implantation of a 3-piece IOL in the ciliary sulcus. Following blunt ocular trauma, the patient presented with ocular pain, redness, elevated intraocular pressure (IOP), and reduced vision. Slit-lamp examination revealed a tilted sulcus-fixated IOL with one haptic incarcerated in the anterior chamber angle, resulting in secondary glaucoma. Surgical IOL repositioning was initially attempted; however, early recurrence of IOL tilt occurred within three days, accompanied by severe anterior segment inflammation, corneal edema, markedly elevated IOP, and direct haptic–endothelial touch. Given the recurrent instability and progressive endothelial compromise, urgent explantation of the sulcus-fixated IOL with anterior vitrectomy was performed, and the eye was left aphakic. Postoperatively, aggressive anti-inflammatory and IOP-lowering therapy resulted in resolution of ocular inflammation, improvement in corneal clarity, and stabilization of IOP. The patient is currently under observation, with secondary visual rehabilitation planned once the eye is quiet.",
        "Conclusion/Take home message": "Sulcus-fixated IOLs may be poorly tolerated in aniridic eyes, particularly following trauma. Recurrent IOL instability with endothelial touch warrants prompt IOL explantation rather than repeated repositioning. A staged approach with delayed secondary scleral-fixated IOL implantation may offer a safer long-term solution in such high-risk eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "CC01.11",
      "abstract_number": "CC01.11",
      "title": "Non-Diffractive Full Depth-Of-Field (Full-Dof) Toric Intraocular Lens With A Continuous Defocus Profile For Severe Anisometropia In A Young Patient With Previous Strabismus Surgery: A Case Report",
      "authors": "Dr Paola Pantaleoni",
      "presenter": "Dr Paola Pantaleoni",
      "normalized_authors": [
        "Paola Pantaleoni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paola Pantaleoni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To report functional visual and binocular outcomes after unilateral refractive lens exchange with implantation of a non-diffractive Full Depth-of-Field (Full-DoF) toric multifocal intraocular lens (mIOL) with a continuous defocus profile in a young patient with severe anisometropia and previous strabismus surgery, for whom contact lenses and spectacles were poorly tolerated, and corneal laser refractive surgery and phakic intraocular lenses were contraindicated.",
        "Setting": "Single-site private ophthalmic practice.",
        "Report of case": "A 33-year-old woman presented with severe anisometropia and a history of right-eye strabismus surgery performed in 2020. Postoperative evaluation showed residual right exotropia (approximately 12 prism diopters) associated with right hypotropia due to superior rectus hypofunction, without abnormal head posture. The patient reported no diplopia and stereopsis was absent. Contact lenses were discontinued due to intolerance with chronic conjunctival hyperaemia and ocular surface discomfort, and spectacle correction failed to provide functional rehabilitation. Corneal laser refractive surgery was contraindicated due to insufficient corneal thickness, and phakic IOL implantation was excluded due to anterior chamber depth <2.80 mm. Preoperative refraction showed high myopia in the right eye (CDVA 0.10 logMAR; -12.75 sphere and -3.50 cylinder at 170°) and minimal refractive error in the dominant left eye (UDVA 0.00 logMAR). Unilateral refractive lens exchange was performed with implantation of a non-diffractive Full Depth-of-Field toric multifocal IOL with continuous defocus profile (RayOne Galaxy Toric IOL; +8.00 sphere and +3.00 cylinder), with image-guided axis alignment. At 1 month, ocular alignment was orthophoric at distance and near, binocular UDVA was 0.00 logMAR and UNVA was J3. No diplopia or clinically relevant photic phenomena were reported. Stereopsis improved to 40 arcseconds on TNO testing. Outcomes remained stable at 3 and 6 months.",
        "Conclusion/Take home message": "This case demonstrates that unilateral refractive lens exchange with implantation of a non-diffractive Full Depth-of-Field toric multifocal intraocular lens can achieve effective visual rehabilitation and high patient satisfaction using mIOL in a young patient with severe anisometropia and previous strabismus surgery when alternative refractive options are contraindicated. Continuous depth of field without reliance on diffractive multifocality or monovision may reduce binocular stress and limit complications and side effects of mIOL in compromised binocular function. Careful binocular assessment, image-guided axis alignment, and structured follow-up were critical to achieve stable binocular balance and durable outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "This case demonstrates that unilateral refractive lens exchange with implantation of a non-diffractive Full Depth-of-Field toric multifocal intraocular lens can achieve effective visual rehabilitation and high patient satisfaction using mIOL in a young patient with severe anisometropia and previous strabismus surgery when alternative refractive options are contraindicated. Continuous depth of field without reliance…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 11,
      "source_fields": {
        "Abstract Final Identifier": "CC01.11",
        "Title": "Non-Diffractive Full Depth-Of-Field (Full-Dof) Toric Intraocular Lens With A Continuous Defocus Profile For Severe Anisometropia In A Young Patient With Previous Strabismus Surgery: A Case Report",
        "Presenting Author(s)": "Dr Paola Pantaleoni",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Paola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pantaleoni",
        "Country Name": "Italy",
        "Purpose": "To report functional visual and binocular outcomes after unilateral refractive lens exchange with implantation of a non-diffractive Full Depth-of-Field (Full-DoF) toric multifocal intraocular lens (mIOL) with a continuous defocus profile in a young patient with severe anisometropia and previous strabismus surgery, for whom contact lenses and spectacles were poorly tolerated, and corneal laser refractive surgery and phakic intraocular lenses were contraindicated.",
        "Setting": "Single-site private ophthalmic practice.",
        "Report of case": "A 33-year-old woman presented with severe anisometropia and a history of right-eye strabismus surgery performed in 2020. Postoperative evaluation showed residual right exotropia (approximately 12 prism diopters) associated with right hypotropia due to superior rectus hypofunction, without abnormal head posture. The patient reported no diplopia and stereopsis was absent. Contact lenses were discontinued due to intolerance with chronic conjunctival hyperaemia and ocular surface discomfort, and spectacle correction failed to provide functional rehabilitation. Corneal laser refractive surgery was contraindicated due to insufficient corneal thickness, and phakic IOL implantation was excluded due to anterior chamber depth <2.80 mm. Preoperative refraction showed high myopia in the right eye (CDVA 0.10 logMAR; -12.75 sphere and -3.50 cylinder at 170°) and minimal refractive error in the dominant left eye (UDVA 0.00 logMAR). Unilateral refractive lens exchange was performed with implantation of a non-diffractive Full Depth-of-Field toric multifocal IOL with continuous defocus profile (RayOne Galaxy Toric IOL; +8.00 sphere and +3.00 cylinder), with image-guided axis alignment. At 1 month, ocular alignment was orthophoric at distance and near, binocular UDVA was 0.00 logMAR and UNVA was J3. No diplopia or clinically relevant photic phenomena were reported. Stereopsis improved to 40 arcseconds on TNO testing. Outcomes remained stable at 3 and 6 months.",
        "Conclusion/Take home message": "This case demonstrates that unilateral refractive lens exchange with implantation of a non-diffractive Full Depth-of-Field toric multifocal intraocular lens can achieve effective visual rehabilitation and high patient satisfaction using mIOL in a young patient with severe anisometropia and previous strabismus surgery when alternative refractive options are contraindicated. Continuous depth of field without reliance on diffractive multifocality or monovision may reduce binocular stress and limit complications and side effects of mIOL in compromised binocular function. Careful binocular assessment, image-guided axis alignment, and structured follow-up were critical to achieve stable binocular balance and durable outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "CC01.12",
      "abstract_number": "CC01.12",
      "title": "Aggressive Epithelial Downgrowth Following Non-Valved Glaucoma Drainage Device Implantation And Sutureless Intrascleral Haptic Fixation: A Case Report And Literature Review",
      "authors": "Dr Zhi Hong Toh",
      "presenter": "Dr Zhi Hong Toh",
      "normalized_authors": [
        "Zhi Hong Toh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhi Hong Toh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To report a rare and complex case of aggressive epithelial downgrowth (EDG) manifesting in an eye with previous extensive history of both anterior and posterior segment surgical interventions. The case highlights the cumulative risks from multiple surgical conduits in facilitating epithelial incursion even in an era of small incision ocular surgeries where such incidences are rare. A comprehensive literature review was also performed to investigate the incidence of similar recent cases and evaluate modern treatment strategies, such as the role of targeted antimetabolites.",
        "Setting": "This patient was managed in the Ophthalmology department of a tertiary hospital. The patient was co-managed by a multi-disciplinary team of ophthalmologists including a glaucomatologist, vitreoretinal surgeon and a cornea specialist.",
        "Report of case": "A 51-year-old male with a history of right eye primary open-angle glaucoma and left eye ocular hypertension presented with a dislocated intraocular lens (IOL)-capsular complex in the right eye. Past ocular history was significant for a right eye pars plana vitrectomy with sulcus IOL and implantation of a non-valved glaucoma drainage device (Baerveldt) complicated by bleb encapsulation. The patient underwent elective right eye IOL removal and sutureless intrascleral haptic fixation (Yamane technique) with an uneventful recovery. Four months postoperatively, he presented with a two-weeks history of blurred vision and photophobia. Examination showed pupillary distortion and low-grade anterior chamber inflammation. A translucent retrocorneal membrane with a scalloped advancing edge was noted, extending from the glaucoma tube entry site onto the corneal endothelium and iris, associated with rise in intraocular pressure (IOP). The diagnosis was EDG. Based on multidisciplinary consultation with the cornea and glaucoma teams, the patient was started on topical steroids and given an intracameral injection of 5-fluorouracil to arrest the cellular proliferation. Despite that, the membrane continued to increase in size, along with aggressive rise in IOP and mild subluxation of the SFIOL. He is currently still under active management with plans for bleb injection of mitomycin-C 0.02% for IOP control and possible membranectomy should the epithelial membrane affect the central cornea.",
        "Conclusion/Take home message": "Epithelial downgrowth was previously seen more frequently in large incision cataract surgeries or penetrating keratoplasties but have now massively declined, with incidences shifted towards eyes with multiple surgical conduits. In multi-operated eyes, non-valved glaucoma shunts and sutureless haptic fixation sites may serve as cumulative entry points. There is currently no consensus with regards to treatment but options include surgical excision of the membrane and targeted pharmacotherapy. Intracameral 5-fluorouracil and methotrexate have demonstrated efficacy in arresting sheet-like proliferation. Early detection and prompt initiation of antimetabolites are critical for preserving endothelial health and managing secondary glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Epithelial downgrowth was previously seen more frequently in large incision cataract surgeries or penetrating keratoplasties but have now massively declined, with incidences shifted towards eyes with multiple surgical conduits. In multi-operated eyes, non-valved glaucoma shunts and sutureless haptic fixation sites may serve as cumulative entry points. There is currently no consensus with regards to treatment but…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 12,
      "source_fields": {
        "Abstract Final Identifier": "CC01.12",
        "Title": "Aggressive Epithelial Downgrowth Following Non-Valved Glaucoma Drainage Device Implantation And Sutureless Intrascleral Haptic Fixation: A Case Report And Literature Review",
        "Presenting Author(s)": "Dr Zhi Hong Toh",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Zhi Hong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Toh",
        "Country Name": "Singapore",
        "Purpose": "To report a rare and complex case of aggressive epithelial downgrowth (EDG) manifesting in an eye with previous extensive history of both anterior and posterior segment surgical interventions. The case highlights the cumulative risks from multiple surgical conduits in facilitating epithelial incursion even in an era of small incision ocular surgeries where such incidences are rare. A comprehensive literature review was also performed to investigate the incidence of similar recent cases and evaluate modern treatment strategies, such as the role of targeted antimetabolites.",
        "Setting": "This patient was managed in the Ophthalmology department of a tertiary hospital. The patient was co-managed by a multi-disciplinary team of ophthalmologists including a glaucomatologist, vitreoretinal surgeon and a cornea specialist.",
        "Report of case": "A 51-year-old male with a history of right eye primary open-angle glaucoma and left eye ocular hypertension presented with a dislocated intraocular lens (IOL)-capsular complex in the right eye. Past ocular history was significant for a right eye pars plana vitrectomy with sulcus IOL and implantation of a non-valved glaucoma drainage device (Baerveldt) complicated by bleb encapsulation. The patient underwent elective right eye IOL removal and sutureless intrascleral haptic fixation (Yamane technique) with an uneventful recovery. Four months postoperatively, he presented with a two-weeks history of blurred vision and photophobia. Examination showed pupillary distortion and low-grade anterior chamber inflammation. A translucent retrocorneal membrane with a scalloped advancing edge was noted, extending from the glaucoma tube entry site onto the corneal endothelium and iris, associated with rise in intraocular pressure (IOP). The diagnosis was EDG. Based on multidisciplinary consultation with the cornea and glaucoma teams, the patient was started on topical steroids and given an intracameral injection of 5-fluorouracil to arrest the cellular proliferation. Despite that, the membrane continued to increase in size, along with aggressive rise in IOP and mild subluxation of the SFIOL. He is currently still under active management with plans for bleb injection of mitomycin-C 0.02% for IOP control and possible membranectomy should the epithelial membrane affect the central cornea.",
        "Conclusion/Take home message": "Epithelial downgrowth was previously seen more frequently in large incision cataract surgeries or penetrating keratoplasties but have now massively declined, with incidences shifted towards eyes with multiple surgical conduits. In multi-operated eyes, non-valved glaucoma shunts and sutureless haptic fixation sites may serve as cumulative entry points. There is currently no consensus with regards to treatment but options include surgical excision of the membrane and targeted pharmacotherapy. Intracameral 5-fluorouracil and methotrexate have demonstrated efficacy in arresting sheet-like proliferation. Early detection and prompt initiation of antimetabolites are critical for preserving endothelial health and managing secondary glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 423
    },
    {
      "uid": "CC01.13",
      "abstract_number": "CC01.13",
      "title": "When Magnetic Resonance Imaging Awakens A 40-Year Silent Metallic Intraocular Foreign Body: A Case Of Anterior Segment Siderosis",
      "authors": "Dr CHIRAZ ABDELHEDI",
      "presenter": "Dr CHIRAZ ABDELHEDI",
      "normalized_authors": [
        "CHIRAZ ABDELHEDI"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chiraz Abdelhedi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To report a rare case of chronic anterior segment ocular siderosis secondary to a long-standing retained metallic intraocular foreign body (IOFB), revealed after magnetic resonance imaging (MRI)-induced displacement and managed surgically with good anatomical and functional outcomes.",
        "Setting": "Department of Ophthalmology, Centre Hospitalier de Poissy–Saint-Germain-en-Laye, Poissy, France.",
        "Report of case": "A 55-year-old woman presented with progressive visual decline in her right eye over several months. She reported a penetrating ocular trauma at the age of 15 that had never been medically evaluated.While undergoing magnetic resonance imaging (MRI) for an unrelated condition, she developed acute ocular pain during the examination. The pain prompted her to seek ophthalmologic evaluation.\n\nSlit-lamp examination revealed a linear paracentral corneal scar , a temporal iris defect associated with sectoral rust-colored stromal deposits consistent with iron deposition, and a traumatic cataract. The contralateral eye was clinically normal. Anterior segment imaging confirmed localized pigmentary changes suggestive of siderosis. Ultrasound biomicroscopy identified a highly reflective inferior intraocular foreign body with posterior acoustic shadowing, confirming its metallic nature. The overall clinical findings were consistent with chronic anterior segment ocular siderosis secondary to a retained metallic IOFB, likely mobilized following MRI exposure.\n\nThe patient underwent phacoemulsification with intraocular lens implantation, surgical removal of the metallic foreign body, and implantation of a coloboma ring to compensate for the temporal iris defect and restore pupillary configuration. Surgery was uneventful. Postoperatively, visual acuity improved significantly. Anatomical reconstruction of the anterior segment was satisfactory, with high patient-reported satisfaction.",
        "Conclusion/Take home message": "Retained metallic intraocular foreign bodies may remain clinically silent for decades before manifesting as ocular siderosis. MRI exposure may induce foreign body mobilization, resulting in acute symptoms and structural damage. Unilateral cataract associated with sectoral iris pigmentation or defect should raise suspicion of occult metallic IOFB. Early recognition and surgical removal are essential to prevent progressive iron-induced ocular toxicity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Retained metallic intraocular foreign bodies may remain clinically silent for decades before manifesting as ocular siderosis. MRI exposure may induce foreign body mobilization, resulting in acute symptoms and structural damage. Unilateral cataract associated with sectoral iris pigmentation or defect should raise suspicion of occult metallic IOFB. Early recognition and surgical removal are essential to prevent…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 13,
      "source_fields": {
        "Abstract Final Identifier": "CC01.13",
        "Title": "When Magnetic Resonance Imaging Awakens A 40-Year Silent Metallic Intraocular Foreign Body: A Case Of Anterior Segment Siderosis",
        "Presenting Author(s)": "Dr CHIRAZ ABDELHEDI",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Chiraz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdelhedi",
        "Country Name": "France",
        "Purpose": "To report a rare case of chronic anterior segment ocular siderosis secondary to a long-standing retained metallic intraocular foreign body (IOFB), revealed after magnetic resonance imaging (MRI)-induced displacement and managed surgically with good anatomical and functional outcomes.",
        "Setting": "Department of Ophthalmology, Centre Hospitalier de Poissy–Saint-Germain-en-Laye, Poissy, France.",
        "Report of case": "A 55-year-old woman presented with progressive visual decline in her right eye over several months. She reported a penetrating ocular trauma at the age of 15 that had never been medically evaluated.While undergoing magnetic resonance imaging (MRI) for an unrelated condition, she developed acute ocular pain during the examination. The pain prompted her to seek ophthalmologic evaluation.\n\nSlit-lamp examination revealed a linear paracentral corneal scar , a temporal iris defect associated with sectoral rust-colored stromal deposits consistent with iron deposition, and a traumatic cataract. The contralateral eye was clinically normal. Anterior segment imaging confirmed localized pigmentary changes suggestive of siderosis. Ultrasound biomicroscopy identified a highly reflective inferior intraocular foreign body with posterior acoustic shadowing, confirming its metallic nature. The overall clinical findings were consistent with chronic anterior segment ocular siderosis secondary to a retained metallic IOFB, likely mobilized following MRI exposure.\n\nThe patient underwent phacoemulsification with intraocular lens implantation, surgical removal of the metallic foreign body, and implantation of a coloboma ring to compensate for the temporal iris defect and restore pupillary configuration. Surgery was uneventful. Postoperatively, visual acuity improved significantly. Anatomical reconstruction of the anterior segment was satisfactory, with high patient-reported satisfaction.",
        "Conclusion/Take home message": "Retained metallic intraocular foreign bodies may remain clinically silent for decades before manifesting as ocular siderosis. MRI exposure may induce foreign body mobilization, resulting in acute symptoms and structural damage. Unilateral cataract associated with sectoral iris pigmentation or defect should raise suspicion of occult metallic IOFB. Early recognition and surgical removal are essential to prevent progressive iron-induced ocular toxicity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "CC01.14",
      "abstract_number": "CC01.14",
      "title": "Scleral Fixation Of Reper Iris-Intraocular Lens Complex And Descemet's Stripping Automated Endothelial Keratoplasty For Iatrogenic Post-Surgical Aniridia, Aphakia And Corneal Decompensation",
      "authors": "Mr ARIJIT MITRA",
      "presenter": "Mr ARIJIT MITRA",
      "normalized_authors": [
        "ARIJIT MITRA"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arijit Mitra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe a surgical technique for a scleral fixated Reper iris-intraocular lens (i-IOL) complex followed by a Descemet's stripping automated endothelial keratoplasty (DSAEK).",
        "Setting": "Birmingham and Midland Eye Centre",
        "Report of case": "A 68-year-old Caucasian female with post-surgical iatrogenic aniridia, aphakia, and a compromised cornea underwent scleral fixation of a Reper iris-IOL complex (Model C, 13-mm diameter, 3.5-mm pupillary aperture). Three limbal based self-sealing transconjunctival Hoffman pockets were created at 2, 6 and 10 o’clock to bury 5-0 Gore-Tex sutures for secure fixation. A 6-mm SICS scleral tunnel incision was used to insert the complex, preserving the already compromised cornea for potential future endothelial transplant.\n\nAt 6 weeks, the Iris-IOL complex was well-centred and stable with sutures securely buried in Hoffman pockets. At 6 months, no post-operative complications such as suture erosion, inflammation, decentration or macular oedema were observed, and cosmetic outcomes were satisfactory.\n\nSubsequently, DSAEK was performed as the corneal decompensation progressed. Post-surgical best corrected visual acuity (BCVA) was 6/18, two months following endothelial keratoplasty.",
        "Conclusion/Take home message": "We describe an alternative surgical technique for successful implantation of a Reper i-IOL complex followed by endothelial keratoplasty in an eye with pre-existing aphakia, aniridia and corneal endothelial decompensation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "We describe an alternative surgical technique for successful implantation of a Reper i-IOL complex followed by endothelial keratoplasty in an eye with pre-existing aphakia, aniridia and corneal endothelial decompensation.",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 14,
      "source_fields": {
        "Abstract Final Identifier": "CC01.14",
        "Title": "Scleral Fixation Of Reper Iris-Intraocular Lens Complex And Descemet's Stripping Automated Endothelial Keratoplasty For Iatrogenic Post-Surgical Aniridia, Aphakia And Corneal Decompensation",
        "Presenting Author(s)": "Mr ARIJIT MITRA",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Arijit",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mitra",
        "Country Name": "United Kingdom",
        "Purpose": "To describe a surgical technique for a scleral fixated Reper iris-intraocular lens (i-IOL) complex followed by a Descemet's stripping automated endothelial keratoplasty (DSAEK).",
        "Setting": "Birmingham and Midland Eye Centre",
        "Report of case": "A 68-year-old Caucasian female with post-surgical iatrogenic aniridia, aphakia, and a compromised cornea underwent scleral fixation of a Reper iris-IOL complex (Model C, 13-mm diameter, 3.5-mm pupillary aperture). Three limbal based self-sealing transconjunctival Hoffman pockets were created at 2, 6 and 10 o’clock to bury 5-0 Gore-Tex sutures for secure fixation. A 6-mm SICS scleral tunnel incision was used to insert the complex, preserving the already compromised cornea for potential future endothelial transplant.\n\nAt 6 weeks, the Iris-IOL complex was well-centred and stable with sutures securely buried in Hoffman pockets. At 6 months, no post-operative complications such as suture erosion, inflammation, decentration or macular oedema were observed, and cosmetic outcomes were satisfactory.\n\nSubsequently, DSAEK was performed as the corneal decompensation progressed. Post-surgical best corrected visual acuity (BCVA) was 6/18, two months following endothelial keratoplasty.",
        "Conclusion/Take home message": "We describe an alternative surgical technique for successful implantation of a Reper i-IOL complex followed by endothelial keratoplasty in an eye with pre-existing aphakia, aniridia and corneal endothelial decompensation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "CC01.15",
      "abstract_number": "CC01.15",
      "title": "Anterior Segment Oct–Guided Strategy For Posterior Polar Cataract In Down Syndrome: Surgical Video And Management Of Late Posterior Capsular Rupture After Iol Implantation",
      "authors": "Dr Marianela Jimenez",
      "presenter": "Dr Marianela Jimenez",
      "normalized_authors": [
        "Marianela Jimenez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marianela Jimenez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report bilateral posterior polar cataract surgery under general anaesthesia in a patient with Down syndrome and very poor preoperative vision, highlighting the value of intraoperative anterior segment OCT (AS-OCT) to support surgical planning, and demonstrating management of a late posterior capsular rupture (PCR) occurring after in-the-bag IOL implantation in the second eye.",
        "Setting": "Tertiary eye clinic; cataract surgery performed under general anaesthesia with phacoemulsification, intraoperative AS-OCT imaging, and video recording.",
        "Report of case": "A patient with Down syndrome presented with bilateral posterior polar cataract and light perception in both eyes. She had esotropia and moderate amblyopia in the right eye (OD). Biometry and IOL power selection for OD were based on the left eye (OS) due to poor fixation with OD. Surgery was performed under general anaesthesia. The first procedure (OS) was uneventful and a 1-piece hydrophobic acrylic IOL (DIB00, +21.50 D) was implanted in the capsular bag. Intraoperative AS-OCT supported the suspicion that the posterior capsule could be involved/closely adherent to the polar opacity. The second procedure (OD) was uncomplicated until the final steps. After implantation of an in-the-bag IOL, a longitudinal posterior capsular rupture was identified. Irrigation was stopped, the anterior chamber was stabilised with cohesive OVD, the IOL was explanted, and an anterior vitrectomy was performed. A 3-piece posterior chamber IOL (AR40, +21.50 D) was then implanted in the sulcus. At 1-week follow-up, uncorrected distance visual acuity was 0.25 in OD (limited by amblyopia) and 0.5 in OS, with stable pseudophakia in both eyes. The next review is scheduled at 1 month to allow refractive stabilisation and resolution of postoperative inflammation.",
        "Conclusion/Take home message": "In posterior polar cataract, even when surgery is uncomplicated until late stages, posterior capsular rupture can occur after IOL implantation. Prompt recognition, chamber tamponade with OVD, IOL explantation when required, meticulous anterior vitrectomy, and sulcus implantation of a 3-piece IOL can safely rescue the case. Intraoperative AS-OCT may add useful confirmation of posterior capsule involvement and help justify a low-stress strategy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "In posterior polar cataract, even when surgery is uncomplicated until late stages, posterior capsular rupture can occur after IOL implantation. Prompt recognition, chamber tamponade with OVD, IOL explantation when required, meticulous anterior vitrectomy, and sulcus implantation of a 3-piece IOL can safely rescue the case. Intraoperative AS-OCT may add useful confirmation of posterior capsule involvement and help…",
      "session_type": "Case Report",
      "track": "Cataract Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 15,
      "source_fields": {
        "Abstract Final Identifier": "CC01.15",
        "Title": "Anterior Segment Oct–Guided Strategy For Posterior Polar Cataract In Down Syndrome: Surgical Video And Management Of Late Posterior Capsular Rupture After Iol Implantation",
        "Presenting Author(s)": "Dr Marianela Jimenez",
        "Abstract Topic Name": "Cataract Surgery",
        "Submitter First Name": "Marianela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jimenez",
        "Country Name": "Spain",
        "Purpose": "To report bilateral posterior polar cataract surgery under general anaesthesia in a patient with Down syndrome and very poor preoperative vision, highlighting the value of intraoperative anterior segment OCT (AS-OCT) to support surgical planning, and demonstrating management of a late posterior capsular rupture (PCR) occurring after in-the-bag IOL implantation in the second eye.",
        "Setting": "Tertiary eye clinic; cataract surgery performed under general anaesthesia with phacoemulsification, intraoperative AS-OCT imaging, and video recording.",
        "Report of case": "A patient with Down syndrome presented with bilateral posterior polar cataract and light perception in both eyes. She had esotropia and moderate amblyopia in the right eye (OD). Biometry and IOL power selection for OD were based on the left eye (OS) due to poor fixation with OD. Surgery was performed under general anaesthesia. The first procedure (OS) was uneventful and a 1-piece hydrophobic acrylic IOL (DIB00, +21.50 D) was implanted in the capsular bag. Intraoperative AS-OCT supported the suspicion that the posterior capsule could be involved/closely adherent to the polar opacity. The second procedure (OD) was uncomplicated until the final steps. After implantation of an in-the-bag IOL, a longitudinal posterior capsular rupture was identified. Irrigation was stopped, the anterior chamber was stabilised with cohesive OVD, the IOL was explanted, and an anterior vitrectomy was performed. A 3-piece posterior chamber IOL (AR40, +21.50 D) was then implanted in the sulcus. At 1-week follow-up, uncorrected distance visual acuity was 0.25 in OD (limited by amblyopia) and 0.5 in OS, with stable pseudophakia in both eyes. The next review is scheduled at 1 month to allow refractive stabilisation and resolution of postoperative inflammation.",
        "Conclusion/Take home message": "In posterior polar cataract, even when surgery is uncomplicated until late stages, posterior capsular rupture can occur after IOL implantation. Prompt recognition, chamber tamponade with OVD, IOL explantation when required, meticulous anterior vitrectomy, and sulcus implantation of a 3-piece IOL can safely rescue the case. Intraoperative AS-OCT may add useful confirmation of posterior capsule involvement and help justify a low-stress strategy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "CC02.02",
      "abstract_number": "CC02.02",
      "title": "Late Unilateral Corneal Ectasia After Combined Photorefractive Keratectomy And Prophylactic Corneal Cross-Linking In Bilaterally Thin Corneas",
      "authors": "Dr Basma Bekkar",
      "presenter": "Dr Basma Bekkar",
      "normalized_authors": [
        "Basma Bekkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Basma Bekkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To report advanced unilateral corneal ectasia occurring four years after combined photorefractive keratectomy and prophylactic corneal collagen cross-linking performed on bilaterally thin and tomographically suspicious corneas.",
        "Setting": "A 36-year-old man underwent simultaneous bilateral photorefractive keratectomy associated with corneal collagen cross-linking in 2020 for myopic astigmatism. The corneas were thin and considered at biomechanical risk, although no definite ectasia was present preoperatively. The early postoperative course was uneventful.",
        "Report of case": "In December 2024, the patient reported progressive visual deterioration in the left eye. Uncorrected distance visual acuity was 10/10 in the right eye and 8/10 in the left eye with spectacle correction.\n\nManifest refraction was:\n\n•\nRight eye: −0.25 (−0.25 × 45°)\n\n•\nLeft eye: +1.50 (−4.75 × 99°), demonstrating a hyperopic shift associated with high irregular astigmatism.\n\nSlit-lamp examination of the left eye revealed an inferior paracentral anterior stromal opacity without epithelial staining or intraocular inflammation. Corneal tomography showed marked asymmetry between the two eyes.\n\nThe right eye exhibited a regular axial curvature pattern with a maximum keratometry of 49.9 diopters and a thinnest pachymetry of 404 micrometers. Posterior elevation and epithelial thickness distribution were within normal limits, consistent with a thin but stable cornea.\n\nThe left eye demonstrated pronounced inferior steepening with a maximum keratometry of 70.38 diopters and a thinnest pachymetry of 406 micrometers. Significant posterior elevation and asymmetric pachymetric progression were present. Epithelial thickness mapping revealed focal thinning over the cone with surrounding compensatory thickening. Anterior segment optical coherence tomography showed localized anterior stromal scarring consistent with reactive Salzmann nodular degeneration overlying the ectatic area.",
        "Conclusion/Take home message": "Conclusion Combined photorefractive keratectomy and prophylactic corneal cross-linking does not fully prevent late biomechanical decompensation in bilaterally thin corneas. Advanced unilateral ectasia with reduction of best-corrected visual acuity may occur several years after surgery despite prior cross-linking. These findings underline the need for stricter preoperative screening and long-term multimodal monitoring when considering combined refractive procedures in biomechanically compromised corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Conclusion Combined photorefractive keratectomy and prophylactic corneal cross-linking does not fully prevent late biomechanical decompensation in bilaterally thin corneas. Advanced unilateral ectasia with reduction of best-corrected visual acuity may occur several years after surgery despite prior cross-linking. These findings underline the need for stricter preoperative screening and long-term multimodal…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 16,
      "source_fields": {
        "Abstract Final Identifier": "CC02.02",
        "Title": "Late Unilateral Corneal Ectasia After Combined Photorefractive Keratectomy And Prophylactic Corneal Cross-Linking In Bilaterally Thin Corneas",
        "Presenting Author(s)": "Dr Basma Bekkar",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Basma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bekkar",
        "Country Name": "Morocco",
        "Purpose": "To report advanced unilateral corneal ectasia occurring four years after combined photorefractive keratectomy and prophylactic corneal collagen cross-linking performed on bilaterally thin and tomographically suspicious corneas.",
        "Setting": "A 36-year-old man underwent simultaneous bilateral photorefractive keratectomy associated with corneal collagen cross-linking in 2020 for myopic astigmatism. The corneas were thin and considered at biomechanical risk, although no definite ectasia was present preoperatively. The early postoperative course was uneventful.",
        "Report of case": "In December 2024, the patient reported progressive visual deterioration in the left eye. Uncorrected distance visual acuity was 10/10 in the right eye and 8/10 in the left eye with spectacle correction.\n\nManifest refraction was:\n\n•\nRight eye: −0.25 (−0.25 × 45°)\n\n•\nLeft eye: +1.50 (−4.75 × 99°), demonstrating a hyperopic shift associated with high irregular astigmatism.\n\nSlit-lamp examination of the left eye revealed an inferior paracentral anterior stromal opacity without epithelial staining or intraocular inflammation. Corneal tomography showed marked asymmetry between the two eyes.\n\nThe right eye exhibited a regular axial curvature pattern with a maximum keratometry of 49.9 diopters and a thinnest pachymetry of 404 micrometers. Posterior elevation and epithelial thickness distribution were within normal limits, consistent with a thin but stable cornea.\n\nThe left eye demonstrated pronounced inferior steepening with a maximum keratometry of 70.38 diopters and a thinnest pachymetry of 406 micrometers. Significant posterior elevation and asymmetric pachymetric progression were present. Epithelial thickness mapping revealed focal thinning over the cone with surrounding compensatory thickening. Anterior segment optical coherence tomography showed localized anterior stromal scarring consistent with reactive Salzmann nodular degeneration overlying the ectatic area.",
        "Conclusion/Take home message": "Conclusion Combined photorefractive keratectomy and prophylactic corneal cross-linking does not fully prevent late biomechanical decompensation in bilaterally thin corneas. Advanced unilateral ectasia with reduction of best-corrected visual acuity may occur several years after surgery despite prior cross-linking. These findings underline the need for stricter preoperative screening and long-term multimodal monitoring when considering combined refractive procedures in biomechanically compromised corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "CC02.03",
      "abstract_number": "CC02.03",
      "title": "The Bird And The Flap - Traumatic Avulsion Of A Femtosecond Lasik Flap Following A Bird-Inflicted Corneal Injury",
      "authors": "Dr Daniel David",
      "presenter": "Dr Daniel David",
      "normalized_authors": [
        "Daniel David"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel David",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To describe a rare case of traumatic avulsion of a femtosecond laser–assisted in situ keratomileusis (FS-LASIK) flap following direct corneal trauma caused by a pet bird.",
        "Setting": "Emergency room at a major medical center.",
        "Report of case": "A 34-year-old woman presented with acute pain and visual loss in her left eye, after a bird-related corneal injury, ten months following uneventful FS-LASIK for myopia. Slit lamp examination revealed complete absence of the LASIK flap with a sharply demarcated circular epithelial defect corresponding to the flap borders. The superior hinge area appeared torn, and the avulsed flap was not identified on the ocular surface or within the fornices. The patient was treated with a bandage contact lens (BCL) and intensive fortified topical antibiotics (vancomycin and ceftazidime). At four-day follow-up, re-epithelialization of the exposed stromal bed was nearly complete with mild stromal haze. Topical corticosteroids (dexamethasone 0.1% q.i.d.) and later topical losartan 0.08% q.2.h were added. Ten weeks following her injury, the patient demonstrated complete re-epithelialization, minimal haze and reported significant improvement in her visual symptoms. Her uncorrected distance visual acuity was 20/20 in both eyes, and the subjective refraction in her left eye was 0.00-0.75@150.",
        "Conclusion/Take home message": "This case demonstrates a rare but visually significant complication of traumatic FS-LASIK flap avulsion. Despite the precision and stability of femtosecond-created flaps, the corneal interface remains biomechanically vulnerable even months postoperatively. Conservative treatment with a BCL, topical antibiotics, topical steroids and topical losartan resulted in an excellent visual outcome. Awareness of this potential injury and prompt, appropriate management are essential to prevent infection, stromal scarring, and permanent visual sequela."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "This case demonstrates a rare but visually significant complication of traumatic FS-LASIK flap avulsion. Despite the precision and stability of femtosecond-created flaps, the corneal interface remains biomechanically vulnerable even months postoperatively. Conservative treatment with a BCL, topical antibiotics, topical steroids and topical losartan resulted in an excellent visual outcome. Awareness of this…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 17,
      "source_fields": {
        "Abstract Final Identifier": "CC02.03",
        "Title": "The Bird And The Flap - Traumatic Avulsion Of A Femtosecond Lasik Flap Following A Bird-Inflicted Corneal Injury",
        "Presenting Author(s)": "Dr Daniel David",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "David",
        "Country Name": "Israel",
        "Purpose": "To describe a rare case of traumatic avulsion of a femtosecond laser–assisted in situ keratomileusis (FS-LASIK) flap following direct corneal trauma caused by a pet bird.",
        "Setting": "Emergency room at a major medical center.",
        "Report of case": "A 34-year-old woman presented with acute pain and visual loss in her left eye, after a bird-related corneal injury, ten months following uneventful FS-LASIK for myopia. Slit lamp examination revealed complete absence of the LASIK flap with a sharply demarcated circular epithelial defect corresponding to the flap borders. The superior hinge area appeared torn, and the avulsed flap was not identified on the ocular surface or within the fornices. The patient was treated with a bandage contact lens (BCL) and intensive fortified topical antibiotics (vancomycin and ceftazidime). At four-day follow-up, re-epithelialization of the exposed stromal bed was nearly complete with mild stromal haze. Topical corticosteroids (dexamethasone 0.1% q.i.d.) and later topical losartan 0.08% q.2.h were added. Ten weeks following her injury, the patient demonstrated complete re-epithelialization, minimal haze and reported significant improvement in her visual symptoms. Her uncorrected distance visual acuity was 20/20 in both eyes, and the subjective refraction in her left eye was 0.00-0.75@150.",
        "Conclusion/Take home message": "This case demonstrates a rare but visually significant complication of traumatic FS-LASIK flap avulsion. Despite the precision and stability of femtosecond-created flaps, the corneal interface remains biomechanically vulnerable even months postoperatively. Conservative treatment with a BCL, topical antibiotics, topical steroids and topical losartan resulted in an excellent visual outcome. Awareness of this potential injury and prompt, appropriate management are essential to prevent infection, stromal scarring, and permanent visual sequela."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "CC02.04",
      "abstract_number": "CC02.04",
      "title": "Acute Refractive Shifts Associated With Mirvetuximab Soravtansine-Related Keratopathy: A Case Report",
      "authors": "Dr Gloria Rezai",
      "presenter": "Dr Gloria Rezai",
      "normalized_authors": [
        "Gloria Rezai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gloria Rezai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe acute refractive instability associated with Mirvetuximab soravtansine (MIRV) therapy and highlight implications for cataract assessment and surgical planning.",
        "Setting": "Tertiary specialist oncology centre, Royal Marsden Hospital, London, United Kingdom.",
        "Report of case": "This report discusses a 55-year-old female receiving MIRV therapy for platinum-resistant ovarian cancer who presented with bilateral blurred vision following her third treatment cycle. Slit-lamp examination revealed bilateral corneal epithelial microcysts with associated punctate epithelial staining. Refraction demonstrated an acute hyperopic shift from a previously stable refractive baseline, with subsequent fluctuation of up to 5.00 dioptres over two weeks. Corneal tomography showed bilateral irregular anterior corneal curvature changes, without features suggestive of corneal ectasia or stromal thinning. These findings were consistent with MIRV-associated epithelial keratopathy with secondary refractive instability. This female was managed conservatively with topical corticosteroids and preservative-free lubricants, with subsequent improvement in corneal findings and visual symptoms. Planned cataract surgery was deferred due to unstable refraction and ocular surface disturbance at assessment.",
        "Conclusion/Take home message": "MIRV-associated ocular toxicity may present with acute refractive instability during treatment. These refractive shifts appear to be reversible with supportive management, consistent with transient epithelial toxicity rather than permanent corneal structural changes. Recognition of this presentation allows for appropriate patient counselling and reassurance, reduces the risk of diagnostic error and unnecessary investigations, and informs clinical decision-making regarding the timing of elective ocular interventions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "MIRV-associated ocular toxicity may present with acute refractive instability during treatment. These refractive shifts appear to be reversible with supportive management, consistent with transient epithelial toxicity rather than permanent corneal structural changes. Recognition of this presentation allows for appropriate patient counselling and reassurance, reduces the risk of diagnostic error and unnecessary…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 18,
      "source_fields": {
        "Abstract Final Identifier": "CC02.04",
        "Title": "Acute Refractive Shifts Associated With Mirvetuximab Soravtansine-Related Keratopathy: A Case Report",
        "Presenting Author(s)": "Dr Gloria Rezai",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Gloria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rezai",
        "Country Name": "United Kingdom",
        "Purpose": "To describe acute refractive instability associated with Mirvetuximab soravtansine (MIRV) therapy and highlight implications for cataract assessment and surgical planning.",
        "Setting": "Tertiary specialist oncology centre, Royal Marsden Hospital, London, United Kingdom.",
        "Report of case": "This report discusses a 55-year-old female receiving MIRV therapy for platinum-resistant ovarian cancer who presented with bilateral blurred vision following her third treatment cycle. Slit-lamp examination revealed bilateral corneal epithelial microcysts with associated punctate epithelial staining. Refraction demonstrated an acute hyperopic shift from a previously stable refractive baseline, with subsequent fluctuation of up to 5.00 dioptres over two weeks. Corneal tomography showed bilateral irregular anterior corneal curvature changes, without features suggestive of corneal ectasia or stromal thinning. These findings were consistent with MIRV-associated epithelial keratopathy with secondary refractive instability. This female was managed conservatively with topical corticosteroids and preservative-free lubricants, with subsequent improvement in corneal findings and visual symptoms. Planned cataract surgery was deferred due to unstable refraction and ocular surface disturbance at assessment.",
        "Conclusion/Take home message": "MIRV-associated ocular toxicity may present with acute refractive instability during treatment. These refractive shifts appear to be reversible with supportive management, consistent with transient epithelial toxicity rather than permanent corneal structural changes. Recognition of this presentation allows for appropriate patient counselling and reassurance, reduces the risk of diagnostic error and unnecessary investigations, and informs clinical decision-making regarding the timing of elective ocular interventions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "CC02.05",
      "abstract_number": "CC02.05",
      "title": "The Nightmare Of The Low Vault. When Nothing Works.",
      "authors": "Dr Claudia Andino",
      "presenter": "Dr Claudia Andino",
      "normalized_authors": [
        "Claudia Andino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudia Andino",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe a case of malposition of sulcus-supported phakic lenses as the cause of bilateral low vaults in a patient with no anatomical abnormalities of interest.",
        "Setting": "Refractive Surgery Department, Centro de Oftalmología Barraquer, Barcelona",
        "Report of case": "A 26-year-old female patient came to our centre interested in refractive surgery. Her refraction was -3.75 in her right eye (RE) and 160º -0.50 -4.00 in her left eye (LE). Her best corrected visual acuity (BCVA) was 1.2 in both eyes (BE) and her near vision (NVA) was 1.0 in BE. An Eyecryl® lens was firstly implanted in the RE. As a low vault was observed, a larger size than recommended Eyecryl® lens was implanted in the LE. The LE presented a vault of zero. The BCVA after lens implantation was 1.2 and the NVA was 0.64 in BE.\n\nSeeing that the sulcus-sulcus distance was greater in the horizontal meridian than in the vertical one, it was decided to rotate the lens in the LE to a vertical position. No significant improvement was achieved, so it was decided to replace the lens with one two sizes larger than recommended. The vault did not exceed 150 microns, the NV remained at 0.64, and anterior subcapsular opacities appeared in the LE.\n\nIt was decided to explant the sulcus-supported lenses and implant Artiflex® iris-fixated lenses in BE.\n\nOne month after the implantation, the patient presented with a BCVA of 1.3 and NVA of 1.0 in BE, the anterior subcapsular opacities in the LE have partially subsided, the patient reports no subjective symptoms of visual difficulties, and the endothelial cell count remains stable.\n\nIn all cases, BE ultrasounds were performed, showing malposition of the Eyecryl® lenses, with their haptics resting on a level posterior to the ciliary body.",
        "Conclusion/Take home message": "The main causes of low vault include a thick lens (≥ 4.0 mm), narrow ACD (< 3.1 mm), age > 30 years, and a small phakic lens size (< 12.0 mm); however, our patient did not present any of these conditions.\n\nThis case describes the malposition of the phakic lens on the sulcus as the cause of low vaults despite the implantation of lenses with a larger diameter than that recommended by the manufacturer. Ultrasound is a tool that is becoming increasingly important as it allows us to accurately study the precise location of the lens in the intraocular space."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "The main causes of low vault include a thick lens (≥ 4.0 mm), narrow ACD (< 3.1 mm), age > 30 years, and a small phakic lens size (< 12.0 mm); however, our patient did not present any of these conditions. This case describes the malposition of the phakic lens on the sulcus as the cause of low vaults despite the implantation of lenses with a larger diameter than that recommended by the manufacturer. Ultrasound is a…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 19,
      "source_fields": {
        "Abstract Final Identifier": "CC02.05",
        "Title": "The Nightmare Of The Low Vault. When Nothing Works.",
        "Presenting Author(s)": "Dr Claudia Andino",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Claudia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Andino",
        "Country Name": "Spain",
        "Purpose": "To describe a case of malposition of sulcus-supported phakic lenses as the cause of bilateral low vaults in a patient with no anatomical abnormalities of interest.",
        "Setting": "Refractive Surgery Department, Centro de Oftalmología Barraquer, Barcelona",
        "Report of case": "A 26-year-old female patient came to our centre interested in refractive surgery. Her refraction was -3.75 in her right eye (RE) and 160º -0.50 -4.00 in her left eye (LE). Her best corrected visual acuity (BCVA) was 1.2 in both eyes (BE) and her near vision (NVA) was 1.0 in BE. An Eyecryl® lens was firstly implanted in the RE. As a low vault was observed, a larger size than recommended Eyecryl® lens was implanted in the LE. The LE presented a vault of zero. The BCVA after lens implantation was 1.2 and the NVA was 0.64 in BE.\n\nSeeing that the sulcus-sulcus distance was greater in the horizontal meridian than in the vertical one, it was decided to rotate the lens in the LE to a vertical position. No significant improvement was achieved, so it was decided to replace the lens with one two sizes larger than recommended. The vault did not exceed 150 microns, the NV remained at 0.64, and anterior subcapsular opacities appeared in the LE.\n\nIt was decided to explant the sulcus-supported lenses and implant Artiflex® iris-fixated lenses in BE.\n\nOne month after the implantation, the patient presented with a BCVA of 1.3 and NVA of 1.0 in BE, the anterior subcapsular opacities in the LE have partially subsided, the patient reports no subjective symptoms of visual difficulties, and the endothelial cell count remains stable.\n\nIn all cases, BE ultrasounds were performed, showing malposition of the Eyecryl® lenses, with their haptics resting on a level posterior to the ciliary body.",
        "Conclusion/Take home message": "The main causes of low vault include a thick lens (≥ 4.0 mm), narrow ACD (< 3.1 mm), age > 30 years, and a small phakic lens size (< 12.0 mm); however, our patient did not present any of these conditions.\n\nThis case describes the malposition of the phakic lens on the sulcus as the cause of low vaults despite the implantation of lenses with a larger diameter than that recommended by the manufacturer. Ultrasound is a tool that is becoming increasingly important as it allows us to accurately study the precise location of the lens in the intraocular space."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 397
    },
    {
      "uid": "CC02.06",
      "abstract_number": "CC02.06",
      "title": "Implantation Of A Customized Fresnel-Zone Bases Posterior Chamber Phakic Iol With Central Port For Hyperopic Astigmatism",
      "authors": "Dr Erik L. Mertens",
      "presenter": "Dr Erik L. Mertens",
      "normalized_authors": [
        "Erik L. Mertens"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erik L. Mertens",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Belgium",
      "sections": {
        "Purpose": "To demonstrate the clinical outcome with a novel customized phakic intraocular lens based on Fresnel-zone technology and a central port to correct hyperopic astigmatism without the requirement of an iridectomy or iridotomy",
        "Setting": "Medipolis Eye Center, Antwerpen, Belgium",
        "Report of case": "A 23 year old young man presented at the Waring Vision Institute with a refraction of OD +4.74 -4.00 x 14° and OS +4.25 -3.75 x 176° with a desire for permanent vision correction. The patient was then referred to Medipolis Eye Center (Antwerpen, Belgium) for treatment with a novel Fresnel-zone based posterior chamber phakic IOL (AMIPLANT GmbH, Schnaittach, Germany). The preoperative refraction was documented as OD +4,25 -5,00 x 10° and OS +4,00 -4,00 x 175°. Pre-OP sizing was performed by a proprietary protocol using anterior segment optical coherence tomography. Surgery was performed on the same day bilaterally under topical anesthesia and uneventfully using Methylcellulose 2%. At 1 day postoperatively, the phakic IOLs were well placed with 2° clockwise rotation in the right eye and 0° rotation in the left eye. Objective refraction was OD +0.37 -0.53 x 107° and OS -0.11 -1.06 x 57°. UCVA was OD logMAR 0.0 and OS logMAR -0.02. The anterior segment OCT revealed a vault of 954 µm in the right eye and 1015 µm in the left eye with a flat iris and an distance to the corneal endothelium of 2.3 mm.\n\nAt 6 weeks the subjective refraction was OD +0.25 -0.50 x 84 and OS +0.25 -0.75 x 45 with UCVA of logMAR -0.1 OD and logMAR 0.0 OS, respectively. IOP was 16 mmHg OD and 14 mmHg OS. The patient was free of any pain or discomfort and was overall very happy with his vision. Both eyes, however, showed Meibomian gland dysfunction and the patient was counseled for conservative treatment.",
        "Conclusion/Take home message": "This new Fresnel-zone based posterior chamber phakic IOL model with a central port eliminates the requirement for an iridectomy or iridotomy also demonstrating safe and effective correction of hyperopia and hyperopic astigmatism in this first clinical implantation. Early postoperative outcomes showed excellent refractive predictability, rotational stability, and high patient satisfaction without adverse events. This innovative platform may expand the indications of phakic IOL technology for hyperopic patients with astigmatism and warrants further evaluation in larger prospective series with longer follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "This new Fresnel-zone based posterior chamber phakic IOL model with a central port eliminates the requirement for an iridectomy or iridotomy also demonstrating safe and effective correction of hyperopia and hyperopic astigmatism in this first clinical implantation. Early postoperative outcomes showed excellent refractive predictability, rotational stability, and high patient satisfaction without adverse events.…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 20,
      "source_fields": {
        "Abstract Final Identifier": "CC02.06",
        "Title": "Implantation Of A Customized Fresnel-Zone Bases Posterior Chamber Phakic Iol With Central Port For Hyperopic Astigmatism",
        "Presenting Author(s)": "Dr Erik L. Mertens",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Erik",
        "Submitter Middle Name": "L.",
        "Submitter Last Name": "Mertens",
        "Country Name": "Belgium",
        "Purpose": "To demonstrate the clinical outcome with a novel customized phakic intraocular lens based on Fresnel-zone technology and a central port to correct hyperopic astigmatism without the requirement of an iridectomy or iridotomy",
        "Setting": "Medipolis Eye Center, Antwerpen, Belgium",
        "Report of case": "A 23 year old young man presented at the Waring Vision Institute with a refraction of OD +4.74 -4.00 x 14° and OS +4.25 -3.75 x 176° with a desire for permanent vision correction. The patient was then referred to Medipolis Eye Center (Antwerpen, Belgium) for treatment with a novel Fresnel-zone based posterior chamber phakic IOL (AMIPLANT GmbH, Schnaittach, Germany). The preoperative refraction was documented as OD +4,25 -5,00 x 10° and OS +4,00 -4,00 x 175°. Pre-OP sizing was performed by a proprietary protocol using anterior segment optical coherence tomography. Surgery was performed on the same day bilaterally under topical anesthesia and uneventfully using Methylcellulose 2%. At 1 day postoperatively, the phakic IOLs were well placed with 2° clockwise rotation in the right eye and 0° rotation in the left eye. Objective refraction was OD +0.37 -0.53 x 107° and OS -0.11 -1.06 x 57°. UCVA was OD logMAR 0.0 and OS logMAR -0.02. The anterior segment OCT revealed a vault of 954 µm in the right eye and 1015 µm in the left eye with a flat iris and an distance to the corneal endothelium of 2.3 mm.\n\nAt 6 weeks the subjective refraction was OD +0.25 -0.50 x 84 and OS +0.25 -0.75 x 45 with UCVA of logMAR -0.1 OD and logMAR 0.0 OS, respectively. IOP was 16 mmHg OD and 14 mmHg OS. The patient was free of any pain or discomfort and was overall very happy with his vision. Both eyes, however, showed Meibomian gland dysfunction and the patient was counseled for conservative treatment.",
        "Conclusion/Take home message": "This new Fresnel-zone based posterior chamber phakic IOL model with a central port eliminates the requirement for an iridectomy or iridotomy also demonstrating safe and effective correction of hyperopia and hyperopic astigmatism in this first clinical implantation. Early postoperative outcomes showed excellent refractive predictability, rotational stability, and high patient satisfaction without adverse events. This innovative platform may expand the indications of phakic IOL technology for hyperopic patients with astigmatism and warrants further evaluation in larger prospective series with longer follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 398
    },
    {
      "uid": "CC02.07",
      "abstract_number": "CC02.07",
      "title": "Flap Amputation For Severe Epithelial Ingrowth Post-Lasik",
      "authors": "Dr Wessam Salem",
      "presenter": "Dr Wessam Salem",
      "normalized_authors": [
        "Wessam Salem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wessam Salem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "This case report discusses flap amputation after repeated attempts to resolve persistent and severe epithelial ingrowth following LASIK surgery.\n\nEpithelial ingrowth, where epithelial cells migrate under the LASIK flap, is a complication that can lead to visual disturbances and discomfort. While minor cases can often be managed with flap lifting and debridement, severe and recurrent epithelial ingrowth may require flap amputation to preserve corneal health and vision",
        "Setting": "In our clinic, Cairo, Egypt. A 31-year-old man presented with complaints of decreased vision and significant glare in his right eye after undergoing bilateral LASIK surgery 2 years ago. His initial postoperative course had flap repositioning 1 day after surgery followed by recurrent epithelial ingrowth 6 months later and the decision then was flap re lift, epithelial removal, mitomycin application and flap suturing for three weeks by his original surgeon.",
        "Report of case": "The patient presented to our clinic with recurrent diminution of vision in the same eye for the third time with severe photophobia and blepharospasm. Slit-lamp examination revealed extensive epithelial ingrowth at the flap margin extending into the visual axis with lower flap melting.\n\nGiven the recurrent nature and extent of the ingrowth, the decision was made to proceed with flap amputation.\n\nSurgical Procedure:\nUnder topical anesthesia, the epithelial ingrowth was seen and then the LASIK flap was carefully lifted, and the ingrown epithelium was debrided. Due to the extensive nature of the ingrowth and the previous failed attempts at management, the decision was made to amputate the flap. The flap was excised using a pair of microsurgical scissors, ensuring that no epithelial cells remained at the stromal interface. The corneal bed was smoothed, and a bandage contact lens was placed over the cornea.\n\nPostoperative Course:\nThe patient was placed on a regimen of topical antibiotics and corticosteroids. He was followed closely over the next several weeks, with the bandage contact lens being removed after one week. The epithelial defect healed completely within two weeks, and the patient’s symptoms of glare and decreased vision resolved.\n\nAt the six-month follow-up, the patient’s corrected distance visual acuity (CDVA) in the right eye was 20/25. His manifest refraction was (plano /+0.75 axis 100).",
        "Conclusion/Take home message": "Flap amputation should be considered in cases of severe and recurrent epithelial ingrowth following LASIK, especially when conservative measures fail. While it is a drastic step, it can result in good visual outcomes and resolution of symptoms in carefully selected patients"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Flap amputation should be considered in cases of severe and recurrent epithelial ingrowth following LASIK, especially when conservative measures fail. While it is a drastic step, it can result in good visual outcomes and resolution of symptoms in carefully selected patients",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 21,
      "source_fields": {
        "Abstract Final Identifier": "CC02.07",
        "Title": "Flap Amputation For Severe Epithelial Ingrowth Post-Lasik",
        "Presenting Author(s)": "Dr Wessam Salem",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Wessam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Salem",
        "Country Name": "Egypt",
        "Purpose": "This case report discusses flap amputation after repeated attempts to resolve persistent and severe epithelial ingrowth following LASIK surgery.\n\nEpithelial ingrowth, where epithelial cells migrate under the LASIK flap, is a complication that can lead to visual disturbances and discomfort. While minor cases can often be managed with flap lifting and debridement, severe and recurrent epithelial ingrowth may require flap amputation to preserve corneal health and vision",
        "Setting": "In our clinic, Cairo, Egypt. A 31-year-old man presented with complaints of decreased vision and significant glare in his right eye after undergoing bilateral LASIK surgery 2 years ago. His initial postoperative course had flap repositioning 1 day after surgery followed by recurrent epithelial ingrowth 6 months later and the decision then was flap re lift, epithelial removal, mitomycin application and flap suturing for three weeks by his original surgeon.",
        "Report of case": "The patient presented to our clinic with recurrent diminution of vision in the same eye for the third time with severe photophobia and blepharospasm. Slit-lamp examination revealed extensive epithelial ingrowth at the flap margin extending into the visual axis with lower flap melting.\n\nGiven the recurrent nature and extent of the ingrowth, the decision was made to proceed with flap amputation.\n\nSurgical Procedure:\nUnder topical anesthesia, the epithelial ingrowth was seen and then the LASIK flap was carefully lifted, and the ingrown epithelium was debrided. Due to the extensive nature of the ingrowth and the previous failed attempts at management, the decision was made to amputate the flap. The flap was excised using a pair of microsurgical scissors, ensuring that no epithelial cells remained at the stromal interface. The corneal bed was smoothed, and a bandage contact lens was placed over the cornea.\n\nPostoperative Course:\nThe patient was placed on a regimen of topical antibiotics and corticosteroids. He was followed closely over the next several weeks, with the bandage contact lens being removed after one week. The epithelial defect healed completely within two weeks, and the patient’s symptoms of glare and decreased vision resolved.\n\nAt the six-month follow-up, the patient’s corrected distance visual acuity (CDVA) in the right eye was 20/25. His manifest refraction was (plano /+0.75 axis 100).",
        "Conclusion/Take home message": "Flap amputation should be considered in cases of severe and recurrent epithelial ingrowth following LASIK, especially when conservative measures fail. While it is a drastic step, it can result in good visual outcomes and resolution of symptoms in carefully selected patients"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "CC02.08",
      "abstract_number": "CC02.08",
      "title": "Transient Refractive Shift Following Ptosis Surgery In A Stable Post-Lasik Eye: Evidence Of Mechanically Induced Epithelial Remodelling",
      "authors": "Mr Vimal Piparia",
      "presenter": "Mr Vimal Piparia",
      "normalized_authors": [
        "Vimal Piparia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vimal Piparia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe the characteristics of refractive shift following eyelid surgery in a stable post-LASIK patient, and to explore the associated corneal remodelling and biomechanical changes that may contribute to this phenomenon.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Report of case": "A 69-year-old male underwent LASIK Laser Blended Vision (LBV) nine years prior, with the dominant right eye for distance and non-dominant left eye for near. He presented for retreatment after noticing reduced visual quality following bilateral ptosis surgery 11 weeks earlier. Manifest refraction changed from +0.25 -0.25 × 78 to 0.00 -1.00 × 100 in the right eye and from -1.75 -0.75 × 80 to -1.00 -1.25 × 110 in the left. Slit-lamp exam showed a quiet ocular surface with no lens opacity. MS-39 anterior segment OCT mapping revealed asymmetric epithelial redistribution without stromal thinning, posterior elevation changes, or ectatic features. The refractive shift and epithelial remodeling were attributed to altered mechanical forces from ptosis surgery rather than intrinsic corneal disease. At 5-month follow-up, manifest refraction returned to baseline (right eye: +0.25 -0.50 × 80; left eye: -1.75 -0.50 × 98) with restoration of uncorrected visual performance. Repeat OCT showed normalization of epithelial thickness with a symmetric profile, stable stromal thickness, unchanged posterior elevation, and no tomographic progression. Corneal curvature returned to baseline, with no biomechanical decompensation or ectatic evolution. Spontaneous resolution of refractive and epithelial changes supports a transient, mechanically induced corneal response rather than intrinsic instability.",
        "Conclusion/Take home message": "This case illustrates that eyelid surgery may induce transient refractive change in previously stable post-LASIK eyes through temporary epithelial remodelling, likely mediated by altered periocular biomechanics. It highlights the importance of epithelial thickness mapping prior to considering corneal retreatment in patients presenting with refractive instability following periocular surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "This case illustrates that eyelid surgery may induce transient refractive change in previously stable post-LASIK eyes through temporary epithelial remodelling, likely mediated by altered periocular biomechanics. It highlights the importance of epithelial thickness mapping prior to considering corneal retreatment in patients presenting with refractive instability following periocular surgery.",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 22,
      "source_fields": {
        "Abstract Final Identifier": "CC02.08",
        "Title": "Transient Refractive Shift Following Ptosis Surgery In A Stable Post-Lasik Eye: Evidence Of Mechanically Induced Epithelial Remodelling",
        "Presenting Author(s)": "Mr Vimal Piparia",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Vimal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Piparia",
        "Country Name": "United Kingdom",
        "Purpose": "To describe the characteristics of refractive shift following eyelid surgery in a stable post-LASIK patient, and to explore the associated corneal remodelling and biomechanical changes that may contribute to this phenomenon.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Report of case": "A 69-year-old male underwent LASIK Laser Blended Vision (LBV) nine years prior, with the dominant right eye for distance and non-dominant left eye for near. He presented for retreatment after noticing reduced visual quality following bilateral ptosis surgery 11 weeks earlier. Manifest refraction changed from +0.25 -0.25 × 78 to 0.00 -1.00 × 100 in the right eye and from -1.75 -0.75 × 80 to -1.00 -1.25 × 110 in the left. Slit-lamp exam showed a quiet ocular surface with no lens opacity. MS-39 anterior segment OCT mapping revealed asymmetric epithelial redistribution without stromal thinning, posterior elevation changes, or ectatic features. The refractive shift and epithelial remodeling were attributed to altered mechanical forces from ptosis surgery rather than intrinsic corneal disease. At 5-month follow-up, manifest refraction returned to baseline (right eye: +0.25 -0.50 × 80; left eye: -1.75 -0.50 × 98) with restoration of uncorrected visual performance. Repeat OCT showed normalization of epithelial thickness with a symmetric profile, stable stromal thickness, unchanged posterior elevation, and no tomographic progression. Corneal curvature returned to baseline, with no biomechanical decompensation or ectatic evolution. Spontaneous resolution of refractive and epithelial changes supports a transient, mechanically induced corneal response rather than intrinsic instability.",
        "Conclusion/Take home message": "This case illustrates that eyelid surgery may induce transient refractive change in previously stable post-LASIK eyes through temporary epithelial remodelling, likely mediated by altered periocular biomechanics. It highlights the importance of epithelial thickness mapping prior to considering corneal retreatment in patients presenting with refractive instability following periocular surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "CC02.09",
      "abstract_number": "CC02.09",
      "title": "Keratopigmentation And Refractive Surgery",
      "authors": "Prof. Dr Farideh Doroodgar",
      "presenter": "Prof. Dr Farideh Doroodgar",
      "normalized_authors": [
        "Farideh Doroodgar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farideh Doroodgar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "Keratopigmentation is increasingly used for cosmetic and therapeutic indications, yet it creates unique anatomic and optical considerations for subsequent keratorefractive surgery. Evidence comparing technique selection after keratopigmentation—particularly the interaction between pigment depth/density and the intended surgical plane—remains limited. This case series reports 1-year outcomes of keratorefractive surgery performed 4 years after keratopigmentation in two sisters, comparing transepithelial photorefractive keratectomy (trans-PRK) and femtosecond small-incision lenticule extraction (femto-SMILE), with emphasis on feasibility, safety, efficacy, and refractive predictability while preserving pigment integrity.",
        "Setting": "Retrospective interventional case series performed at a refractive surgery service. Both patients had prior stable cosmetic/therapeutic keratopigmentation and sought keratorefractive correction after demonstrating refractive and tomographic stability.",
        "Report of case": "Two sisters with a 4-year history of stable keratopigmentation underwent keratorefractive correction using either trans-PRK or femto-SMILE after confirmation of refractive and tomographic stability. Pre-op assessment included uncorrected and corrected distance visual acuity, manifest and cycloplegic refraction, slit-lamp examination, and corneal tomography, with targeted characterization of pigment architecture (depth, homogeneity, and proximity to the planned treatment plane). Surgical planning prioritized an anatomic separation between the refractive treatment plane and dense pigment whenever feasible. For trans-PRK, treatment parameters were selected to optimize surface regularity and minimize disruption of stromal pigment. For femto-SMILE, cap thickness, lenticule depth, and dissection strategy were tailored to avoid intersecting pigmented stromal layers and to preserve intraoperative visualization. Postoperative follow-up through 12 months evaluated visual acuity, refractive accuracy and stability, corneal clarity (surface or cap/interface), pigment stability (migration, fading, or color change), and patient-reported outcome. At 1 year, both techniques achieved clinically meaningful improvement in uncorrected visual acuity with stable refraction and preservation of corrected acuity. No vision-threatening adverse events, clinically significant haze, cap/interface opacity, pigment mobilization, or pigment-related dysphotopsia were observed under depth-appropriate planning.",
        "Conclusion/Take home message": "In this two-patient comparison, trans-PRK and femto-SMILE performed 4 years after keratopigmentation demonstrated feasible surgery and acceptable 1-year visual and refractive outcomes without pigment destabilization when technique selection and depth planning were guided by careful mapping of pigment location and density. The anatomical relationship between pigment architecture and the intended refractive plane appears central to safety and optical quality. Larger studies are needed to validate long-term stability and refine candidate selection and surgical planning in keratopigmented corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "In this two-patient comparison, trans-PRK and femto-SMILE performed 4 years after keratopigmentation demonstrated feasible surgery and acceptable 1-year visual and refractive outcomes without pigment destabilization when technique selection and depth planning were guided by careful mapping of pigment location and density. The anatomical relationship between pigment architecture and the intended refractive plane…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 23,
      "source_fields": {
        "Abstract Final Identifier": "CC02.09",
        "Title": "Keratopigmentation And Refractive Surgery",
        "Presenting Author(s)": "Prof. Dr Farideh Doroodgar",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Farideh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Doroodgar",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "Keratopigmentation is increasingly used for cosmetic and therapeutic indications, yet it creates unique anatomic and optical considerations for subsequent keratorefractive surgery. Evidence comparing technique selection after keratopigmentation—particularly the interaction between pigment depth/density and the intended surgical plane—remains limited. This case series reports 1-year outcomes of keratorefractive surgery performed 4 years after keratopigmentation in two sisters, comparing transepithelial photorefractive keratectomy (trans-PRK) and femtosecond small-incision lenticule extraction (femto-SMILE), with emphasis on feasibility, safety, efficacy, and refractive predictability while preserving pigment integrity.",
        "Setting": "Retrospective interventional case series performed at a refractive surgery service. Both patients had prior stable cosmetic/therapeutic keratopigmentation and sought keratorefractive correction after demonstrating refractive and tomographic stability.",
        "Report of case": "Two sisters with a 4-year history of stable keratopigmentation underwent keratorefractive correction using either trans-PRK or femto-SMILE after confirmation of refractive and tomographic stability. Pre-op assessment included uncorrected and corrected distance visual acuity, manifest and cycloplegic refraction, slit-lamp examination, and corneal tomography, with targeted characterization of pigment architecture (depth, homogeneity, and proximity to the planned treatment plane). Surgical planning prioritized an anatomic separation between the refractive treatment plane and dense pigment whenever feasible. For trans-PRK, treatment parameters were selected to optimize surface regularity and minimize disruption of stromal pigment. For femto-SMILE, cap thickness, lenticule depth, and dissection strategy were tailored to avoid intersecting pigmented stromal layers and to preserve intraoperative visualization. Postoperative follow-up through 12 months evaluated visual acuity, refractive accuracy and stability, corneal clarity (surface or cap/interface), pigment stability (migration, fading, or color change), and patient-reported outcome. At 1 year, both techniques achieved clinically meaningful improvement in uncorrected visual acuity with stable refraction and preservation of corrected acuity. No vision-threatening adverse events, clinically significant haze, cap/interface opacity, pigment mobilization, or pigment-related dysphotopsia were observed under depth-appropriate planning.",
        "Conclusion/Take home message": "In this two-patient comparison, trans-PRK and femto-SMILE performed 4 years after keratopigmentation demonstrated feasible surgery and acceptable 1-year visual and refractive outcomes without pigment destabilization when technique selection and depth planning were guided by careful mapping of pigment location and density. The anatomical relationship between pigment architecture and the intended refractive plane appears central to safety and optical quality. Larger studies are needed to validate long-term stability and refine candidate selection and surgical planning in keratopigmented corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "CC02.10",
      "abstract_number": "CC02.10",
      "title": "Aberration-Driven Excimer Treatment In Severe Keratoconus Using Presbymax Reversal To Achieve Usable Vision Pre-Transplant",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To describe the use of the PresbyMAX reversal option on the SCHWIND AMARIS excimer platform to deliberately modify spherical aberration in patients with grade 4 keratoconus, improving functional (“usable”) vision as a temporizing measure while awaiting corneal transplantation.",
        "Setting": "Tertiary cornea/refractive practice.",
        "Report of case": "Patients with advanced keratoconus (grade 4) experiencing poor spectacle-corrected vision and/or contact lens intolerance and already proceeding toward keratoplasty were selected for a tissue-conservative excimer strategy aimed at optical quality improvement via higher-order aberration (HOA) manipulation, rather than full refractive normalization. Preoperative evaluation included manifest refraction, CDVA, tomography, and HOA analysis over a functionally relevant pupil. Treatments were planned to achieve a target shift in spherical aberration (direction and magnitude individualized) using the PresbyMAX reversal algorithm to alter corneal asphericity while minimizing tissue removal. Patients were counseled that the intent was bridging functional vision, not disease cure, and that keratoplasty plans remained unchanged.",
        "Conclusion/Take home message": "Following treatment, patients demonstrated clinically meaningful improvement in functional vision sufficient for daily activities (e.g., improved reading/recognition and reduced visual distortion), with subjective gains in quality of vision. Improvements were attributed to a controlled change in spherical aberration and overall HOA profile rather than large refractive correction. No intraoperative complications were observed. Stability and safety parameters (refraction, topography/tomography, and corneal clarity) remained acceptable over early follow-up (18 months), supporting the role of this approach as a short- to mid-term visual rehabilitation option in carefully selected severe cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Following treatment, patients demonstrated clinically meaningful improvement in functional vision sufficient for daily activities (e.g., improved reading/recognition and reduced visual distortion), with subjective gains in quality of vision. Improvements were attributed to a controlled change in spherical aberration and overall HOA profile rather than large refractive correction. No intraoperative complications…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 24,
      "source_fields": {
        "Abstract Final Identifier": "CC02.10",
        "Title": "Aberration-Driven Excimer Treatment In Severe Keratoconus Using Presbymax Reversal To Achieve Usable Vision Pre-Transplant",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To describe the use of the PresbyMAX reversal option on the SCHWIND AMARIS excimer platform to deliberately modify spherical aberration in patients with grade 4 keratoconus, improving functional (“usable”) vision as a temporizing measure while awaiting corneal transplantation.",
        "Setting": "Tertiary cornea/refractive practice.",
        "Report of case": "Patients with advanced keratoconus (grade 4) experiencing poor spectacle-corrected vision and/or contact lens intolerance and already proceeding toward keratoplasty were selected for a tissue-conservative excimer strategy aimed at optical quality improvement via higher-order aberration (HOA) manipulation, rather than full refractive normalization. Preoperative evaluation included manifest refraction, CDVA, tomography, and HOA analysis over a functionally relevant pupil. Treatments were planned to achieve a target shift in spherical aberration (direction and magnitude individualized) using the PresbyMAX reversal algorithm to alter corneal asphericity while minimizing tissue removal. Patients were counseled that the intent was bridging functional vision, not disease cure, and that keratoplasty plans remained unchanged.",
        "Conclusion/Take home message": "Following treatment, patients demonstrated clinically meaningful improvement in functional vision sufficient for daily activities (e.g., improved reading/recognition and reduced visual distortion), with subjective gains in quality of vision. Improvements were attributed to a controlled change in spherical aberration and overall HOA profile rather than large refractive correction. No intraoperative complications were observed. Stability and safety parameters (refraction, topography/tomography, and corneal clarity) remained acceptable over early follow-up (18 months), supporting the role of this approach as a short- to mid-term visual rehabilitation option in carefully selected severe cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "CC02.11",
      "abstract_number": "CC02.11",
      "title": "Phased Lasik-Surface Ablation Laser Procedure For High Myopes - Utilizing The Flap Stroma.",
      "authors": "Dr Pragn Mehta",
      "presenter": "Dr Pragn Mehta",
      "normalized_authors": [
        "Pragn Mehta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pragn Mehta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Residual stromal thickness often becomes the limiting factor for taking up patients for LASIK(laser-assisted in situ keratomileusis) especially in high myopic patient. Surface ablation-transPRK (TransepithelialPRK) on the other end has a high risk of haze with deep ablation depths.\n\nWe thought of this Phased LASIK-Surface ablation laser procedure for high myopes who are unsuitable for LASIK and surface ablation alone. With this we want to utilize the flap stroma in surface ablation.\n\nPatient did not want phakic IOL(intraocular lens) due to financial reason.",
        "Setting": "We present a case of a patient with high myopia right eye -11.00/-2.00@13 and left eye -11.00/-1.75@170. The central pachymetry by sirius topgraher was 525 in the right eye and 535 in the left eye. Thus there was not enough residual corneal thickness for LASIK with 110 micron flap and a high risk of haze with surface ablation alone. A phased LASIK with 110 micron flap followed by surface ablation (SmartSurfACE TransPRK, Schwind Amaris 500) six months later was planned.",
        "Report of case": "We report here a patient with high myopia(right eye -11.0 D/-2.0 D @13 and left eye -11.0 D /-1.75 D @170) wanting laser refractive surgery. On evaluation and topography with sirius topographer the corneal thickess of right eye was 525 microns and left eye was 535 microns. This wasn't enough for us to plan LASIK with enough residual stromal thickenss and for surface ablation alone the risk was too high for post-operative haze. Thus, we planned a phased LASIK-Surface ablation(TransPRK) laser procedure with combination of LASIK first for majority of correction -8.0 D both eyes with flap thickness of 110 microns in december 2021. This was followed by surface ablation (SmartSurfACE TransPRK) with Schwind Amaris 500 6 months later in may 2022 for right eye -2.0/-1.75 @10 and left eye 1.5/-1.5 @ 170 . This allowed us to use the STROMA IN FLAP FOR ABLATION during the second phase and integrating the interface in the ablation. Thus achieving a residual stromal thickness of around 300 mircons and chances of haze significantly reduced as the surface ablation was minimal. We have followed up the patient for three and half years showing normal corneal topography with central corneal thickness of 343 in right eye and 350 in left eye.",
        "Conclusion/Take home message": "Phased LASIK-SURFACE ALBLATION gives best of both and it is really useful in some high myopes where lasik alone or surface ablation alone are risky.\nSo far, the stroma attached to the flap has never been thought to be utilised. So we thought to use this stroma at a later date to optimise benefit of lasik & SmartSurf TPRK which if done alone was riskier."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Phased LASIK-SURFACE ALBLATION gives best of both and it is really useful in some high myopes where lasik alone or surface ablation alone are risky. So far, the stroma attached to the flap has never been thought to be utilised. So we thought to use this stroma at a later date to optimise benefit of lasik & SmartSurf TPRK which if done alone was riskier.",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 25,
      "source_fields": {
        "Abstract Final Identifier": "CC02.11",
        "Title": "Phased Lasik-Surface Ablation Laser Procedure For High Myopes - Utilizing The Flap Stroma.",
        "Presenting Author(s)": "Dr Pragn Mehta",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Pragn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mehta",
        "Country Name": "India",
        "Purpose": "Residual stromal thickness often becomes the limiting factor for taking up patients for LASIK(laser-assisted in situ keratomileusis) especially in high myopic patient. Surface ablation-transPRK (TransepithelialPRK) on the other end has a high risk of haze with deep ablation depths.\n\nWe thought of this Phased LASIK-Surface ablation laser procedure for high myopes who are unsuitable for LASIK and surface ablation alone. With this we want to utilize the flap stroma in surface ablation.\n\nPatient did not want phakic IOL(intraocular lens) due to financial reason.",
        "Setting": "We present a case of a patient with high myopia right eye -11.00/-2.00@13 and left eye -11.00/-1.75@170. The central pachymetry by sirius topgraher was 525 in the right eye and 535 in the left eye. Thus there was not enough residual corneal thickness for LASIK with 110 micron flap and a high risk of haze with surface ablation alone. A phased LASIK with 110 micron flap followed by surface ablation (SmartSurfACE TransPRK, Schwind Amaris 500) six months later was planned.",
        "Report of case": "We report here a patient with high myopia(right eye -11.0 D/-2.0 D @13 and left eye -11.0 D /-1.75 D @170) wanting laser refractive surgery. On evaluation and topography with sirius topographer the corneal thickess of right eye was 525 microns and left eye was 535 microns. This wasn't enough for us to plan LASIK with enough residual stromal thickenss and for surface ablation alone the risk was too high for post-operative haze. Thus, we planned a phased LASIK-Surface ablation(TransPRK) laser procedure with combination of LASIK first for majority of correction -8.0 D both eyes with flap thickness of 110 microns in december 2021. This was followed by surface ablation (SmartSurfACE TransPRK) with Schwind Amaris 500 6 months later in may 2022 for right eye -2.0/-1.75 @10 and left eye 1.5/-1.5 @ 170 . This allowed us to use the STROMA IN FLAP FOR ABLATION during the second phase and integrating the interface in the ablation. Thus achieving a residual stromal thickness of around 300 mircons and chances of haze significantly reduced as the surface ablation was minimal. We have followed up the patient for three and half years showing normal corneal topography with central corneal thickness of 343 in right eye and 350 in left eye.",
        "Conclusion/Take home message": "Phased LASIK-SURFACE ALBLATION gives best of both and it is really useful in some high myopes where lasik alone or surface ablation alone are risky.\nSo far, the stroma attached to the flap has never been thought to be utilised. So we thought to use this stroma at a later date to optimise benefit of lasik & SmartSurf TPRK which if done alone was riskier."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 456
    },
    {
      "uid": "CC02.12",
      "abstract_number": "CC02.12",
      "title": "Surgical Management Of Retained Lenticule With Multiple False Planes, Following A Complicated Smile Procedure",
      "authors": "Mr Amir Farooqi",
      "presenter": "Mr Amir Farooqi",
      "normalized_authors": [
        "Amir Farooqi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amir Farooqi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report a case of complicated SMILE surgery resulting in incomplete lenticule dissection and retention, and to describe the subsequent therapeutic interventions and visual outcomes.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Report of case": "A 29-year-old male was referred after prior SMILE for myopia. Manifest refraction OD was -14.50 -6.00 × 30 with CDVA 20/63. Examination revealed an irregular, edematous retained lenticule with false planes and incomplete separation. High-resolution B-scan imaging of the cornea was performed using the MS39 (CSO, Italy) to map the retained lenticule. A 3 mm inferonasal sidecut incision was created, and the lenticule was carefully dissected under intraoperative OCT guidance (ARTEVO 800, Carl Zeiss Meditec). Postoperative follow-up over 11 months included visual acuity, manifest refraction, corneal topography, and patient-reported visual function. Two months after lenticule removal, refraction improved to +3.00 -1.75 × 78 with CDVA 20/40, although irregular topography persisted. After demonstration of corneal stability at 4 months, combined trans-epithelial PTK and PRK were performed to improve corneal surface regularity and visual quality. At 11 months, refraction stabilized at +1.75 -0.75 × 85 with CDVA 20/20. The patient reported substantial subjective improvement, including marked reduction in haloes and other visual disturbances.",
        "Conclusion/Take home message": "Careful OCT-guided lenticule dissection followed by PRK and TE-PTK can restore visual acuity and improve corneal regularity in retained lenticule after complicated SMILE. Long-term monitoring is essential to optimize refractive outcomes and patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Careful OCT-guided lenticule dissection followed by PRK and TE-PTK can restore visual acuity and improve corneal regularity in retained lenticule after complicated SMILE. Long-term monitoring is essential to optimize refractive outcomes and patient satisfaction.",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 26,
      "source_fields": {
        "Abstract Final Identifier": "CC02.12",
        "Title": "Surgical Management Of Retained Lenticule With Multiple False Planes, Following A Complicated Smile Procedure",
        "Presenting Author(s)": "Mr Amir Farooqi",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Amir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Farooqi",
        "Country Name": "United Kingdom",
        "Purpose": "To report a case of complicated SMILE surgery resulting in incomplete lenticule dissection and retention, and to describe the subsequent therapeutic interventions and visual outcomes.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Report of case": "A 29-year-old male was referred after prior SMILE for myopia. Manifest refraction OD was -14.50 -6.00 × 30 with CDVA 20/63. Examination revealed an irregular, edematous retained lenticule with false planes and incomplete separation. High-resolution B-scan imaging of the cornea was performed using the MS39 (CSO, Italy) to map the retained lenticule. A 3 mm inferonasal sidecut incision was created, and the lenticule was carefully dissected under intraoperative OCT guidance (ARTEVO 800, Carl Zeiss Meditec). Postoperative follow-up over 11 months included visual acuity, manifest refraction, corneal topography, and patient-reported visual function. Two months after lenticule removal, refraction improved to +3.00 -1.75 × 78 with CDVA 20/40, although irregular topography persisted. After demonstration of corneal stability at 4 months, combined trans-epithelial PTK and PRK were performed to improve corneal surface regularity and visual quality. At 11 months, refraction stabilized at +1.75 -0.75 × 85 with CDVA 20/20. The patient reported substantial subjective improvement, including marked reduction in haloes and other visual disturbances.",
        "Conclusion/Take home message": "Careful OCT-guided lenticule dissection followed by PRK and TE-PTK can restore visual acuity and improve corneal regularity in retained lenticule after complicated SMILE. Long-term monitoring is essential to optimize refractive outcomes and patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "CC02.13",
      "abstract_number": "CC02.13",
      "title": "Ocular Hypertension After Phakic Intraocular Collamer Lens Implantation: The Lens Is Not Always To Blame",
      "authors": "Dr Clara Heredia-Pastor",
      "presenter": "Dr Clara Heredia-Pastor",
      "normalized_authors": [
        "Clara Heredia-Pastor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clara De Heredia Pastor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the case of a patient who underwent bilateral Intraocular Collamer Lens (ICL) implantation and developed ocular hypertension (OHT) refractory to medical treatment, in whom secondary glaucoma due to pigment dispersion or angle closure was ruled out. Adequate ICL positioning (vault and angle configuration) allowed glaucoma surgery to be performed without lens explantation, achieving good intraocular pressure (IOP) control.",
        "Setting": "ICL implantation is widely used to correct high myopia. Reported complications include elevated IOP, which is most commonly attributed to mechanisms such as angle closure, pigment dispersion, or pupillary block. In such cases, ICL explantation may be considered. However, not all cases of OHT are related to lens-induced anatomical alterations. This case highlights the importance of a detailed anatomical evaluation of the anterior segment before making surgical decisions.",
        "Report of case": "A 36-year-old man with high myopia (−8.00 −1.00 × 50° OD; −8.00 −1.00 × 115° OS) underwent bilateral phakic ICL implantation. Fourteen months later, ocular hypertension was detected (IOP ~24 mmHg), and latanoprost was started OU. Control was poor, especially OS, with intolerance to dorzolamide and latanoprost–netarsudil. After two years of medical therapy, SLT was performed OS without effect, and he was referred to our center.\n\nAt presentation, BCVA was 0.0 LogMAR OU. Central corneal thickness was 529 µm OD and 532 µm OS. Endothelial cell density was 2322 cells/mm² OD and 2291 cells/mm² OS. Visual fields and optic nerve OCT were normal (RNFL 96 µm OD, 95 µm OS).\n\nSlit-lamp examination showed pigment on the ICL surface OU, without iris transillumination defects or significant trabecular pigmentation. IOP was 20 mmHg OD and 29 mmHg OS despite latanoprost OU and brinzolamide–brimonidine OS.\n\nAS-OCT demonstrated a wide-open angle, adequate vault, flat iris, and no significant irido-lenticular contact, excluding an ICL-related mechanism.\n\nPreserflo MicroShunt implantation was performed OS without ICL explantation. Surgery was uneventful, with 0.04% mitomycin C applied for three minutes.\n\nPostoperatively, a functional bleb formed with sustained IOP reduction. At two months, IOP OS was 8–9 mmHg, with stable OCT and visual fields. In the right eye, intensified topical therapy reduced IOP from 22 to ~13 mmHg, and surgery was not planned.",
        "Conclusion/Take home message": "In patients with ocular hypertension and phakic ICLs, elevated IOP should not be automatically attributed to pigment dispersion or ICL-induced angle closure. Careful evaluation of the anterior segment is essential to identify the underlying pathophysiological mechanism and guide appropriate management.\n\nThe use of anterior segment OCT allows objective exclusion of an ICL-induced angle mechanism, thereby avoiding unnecessary lens explantation in patients with a good refractive outcome after ICL implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "In patients with ocular hypertension and phakic ICLs, elevated IOP should not be automatically attributed to pigment dispersion or ICL-induced angle closure. Careful evaluation of the anterior segment is essential to identify the underlying pathophysiological mechanism and guide appropriate management. The use of anterior segment OCT allows objective exclusion of an ICL-induced angle mechanism, thereby avoiding…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 27,
      "source_fields": {
        "Abstract Final Identifier": "CC02.13",
        "Title": "Ocular Hypertension After Phakic Intraocular Collamer Lens Implantation: The Lens Is Not Always To Blame",
        "Presenting Author(s)": "Dr Clara Heredia-Pastor",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Clara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Heredia Pastor",
        "Country Name": "Spain",
        "Purpose": "To report the case of a patient who underwent bilateral Intraocular Collamer Lens (ICL) implantation and developed ocular hypertension (OHT) refractory to medical treatment, in whom secondary glaucoma due to pigment dispersion or angle closure was ruled out. Adequate ICL positioning (vault and angle configuration) allowed glaucoma surgery to be performed without lens explantation, achieving good intraocular pressure (IOP) control.",
        "Setting": "ICL implantation is widely used to correct high myopia. Reported complications include elevated IOP, which is most commonly attributed to mechanisms such as angle closure, pigment dispersion, or pupillary block. In such cases, ICL explantation may be considered. However, not all cases of OHT are related to lens-induced anatomical alterations. This case highlights the importance of a detailed anatomical evaluation of the anterior segment before making surgical decisions.",
        "Report of case": "A 36-year-old man with high myopia (−8.00 −1.00 × 50° OD; −8.00 −1.00 × 115° OS) underwent bilateral phakic ICL implantation. Fourteen months later, ocular hypertension was detected (IOP ~24 mmHg), and latanoprost was started OU. Control was poor, especially OS, with intolerance to dorzolamide and latanoprost–netarsudil. After two years of medical therapy, SLT was performed OS without effect, and he was referred to our center.\n\nAt presentation, BCVA was 0.0 LogMAR OU. Central corneal thickness was 529 µm OD and 532 µm OS. Endothelial cell density was 2322 cells/mm² OD and 2291 cells/mm² OS. Visual fields and optic nerve OCT were normal (RNFL 96 µm OD, 95 µm OS).\n\nSlit-lamp examination showed pigment on the ICL surface OU, without iris transillumination defects or significant trabecular pigmentation. IOP was 20 mmHg OD and 29 mmHg OS despite latanoprost OU and brinzolamide–brimonidine OS.\n\nAS-OCT demonstrated a wide-open angle, adequate vault, flat iris, and no significant irido-lenticular contact, excluding an ICL-related mechanism.\n\nPreserflo MicroShunt implantation was performed OS without ICL explantation. Surgery was uneventful, with 0.04% mitomycin C applied for three minutes.\n\nPostoperatively, a functional bleb formed with sustained IOP reduction. At two months, IOP OS was 8–9 mmHg, with stable OCT and visual fields. In the right eye, intensified topical therapy reduced IOP from 22 to ~13 mmHg, and surgery was not planned.",
        "Conclusion/Take home message": "In patients with ocular hypertension and phakic ICLs, elevated IOP should not be automatically attributed to pigment dispersion or ICL-induced angle closure. Careful evaluation of the anterior segment is essential to identify the underlying pathophysiological mechanism and guide appropriate management.\n\nThe use of anterior segment OCT allows objective exclusion of an ICL-induced angle mechanism, thereby avoiding unnecessary lens explantation in patients with a good refractive outcome after ICL implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 428
    },
    {
      "uid": "CC02.14",
      "abstract_number": "CC02.14",
      "title": "Management Of Pigment Dispersion: Explantation Of A Sulcoflex® Supplementary Intraocular Lens (Rayner, Uk) – A Case Report",
      "authors": "Dr Francisca Teixeira da Costa Maia",
      "presenter": "Dr Francisca Teixeira da Costa Maia",
      "normalized_authors": [
        "Francisca Teixeira da Costa Maia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisca Teixeira da Costa Maia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "The Sulcoflex® (Rayner,Uk) is a supplementary intraocular lens (IOL) designed for sulcus implantation, complementing a standard monofocal in-the-bag IOL. It is primarily indicated to correct refractive surprises after cataract surgery or to address pseudophakic presbyopia. This lens can be implanted either during the initial surgery or as a secondary intervention. Compared to conventional in-the-bag IOLs, it offers the advantage of easier removal or exchange. However, long-term data on its refractive stability and safety profile remain limited. We present a case requiring bilateral explantation of a Sulcoflex lens due to secondary pigment dispersion conditioning uncontrolled intraocular pressure (IOP).",
        "Setting": "A tertiary referral hospital in Braga, Portugal",
        "Report of case": "A 40-year-old woman with a history of bilateral cataract surgery at the age of 37 (records unavailable) presented for routine ophthalmic evaluation. She had ocular hypertension under maximal topical therapy. Uncorrected distance visual acuity was 20/30 in both eyes. IOP was 18 mmHg in the right eye (RE) and 19 mmHg in the left eye (LE) by Goldmann applanation tonometry. Slit-lamp examination revealed decentered multifocal Sulcoflex IOL with pigment deposition in both eyes, together with a well-centered monofocal IOL in the capsular bag. Gonioscopy showed open angles with pigmentation. Fundus examination was unremarkable. Given the suspicion of secondary pigment dispersion, simultaneous bilateral explantation of the supplementary IOLs was indicated. After a 6-month follow-up, intraocular pressure was 22 mmHg in both eyes just on topical medication; the corneal remained clear and CDVA improved to 20/20.",
        "Conclusion/Take home message": "In the situation of a sulcus-implanted IOL for a piggyback indication, if the IOL diameter is excessively smaller than the sulcus-sulcus diameter, the decentration and continuous movement of the IOL with iris chaffing can lead to pigment dispersion and uncontrolled elevated intraocular pressure. Explantation of a decentered Sulcoflex IOL is a safe and effective approach to manage and stop the progression of secondary pigment dispersion."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "In the situation of a sulcus-implanted IOL for a piggyback indication, if the IOL diameter is excessively smaller than the sulcus-sulcus diameter, the decentration and continuous movement of the IOL with iris chaffing can lead to pigment dispersion and uncontrolled elevated intraocular pressure. Explantation of a decentered Sulcoflex IOL is a safe and effective approach to manage and stop the progression of…",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 28,
      "source_fields": {
        "Abstract Final Identifier": "CC02.14",
        "Title": "Management Of Pigment Dispersion: Explantation Of A Sulcoflex® Supplementary Intraocular Lens (Rayner, Uk) – A Case Report",
        "Presenting Author(s)": "Dr Francisca Teixeira da Costa Maia",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Francisca",
        "Submitter Middle Name": "Teixeira da Costa",
        "Submitter Last Name": "Maia",
        "Country Name": "Portugal",
        "Purpose": "The Sulcoflex® (Rayner,Uk) is a supplementary intraocular lens (IOL) designed for sulcus implantation, complementing a standard monofocal in-the-bag IOL. It is primarily indicated to correct refractive surprises after cataract surgery or to address pseudophakic presbyopia. This lens can be implanted either during the initial surgery or as a secondary intervention. Compared to conventional in-the-bag IOLs, it offers the advantage of easier removal or exchange. However, long-term data on its refractive stability and safety profile remain limited. We present a case requiring bilateral explantation of a Sulcoflex lens due to secondary pigment dispersion conditioning uncontrolled intraocular pressure (IOP).",
        "Setting": "A tertiary referral hospital in Braga, Portugal",
        "Report of case": "A 40-year-old woman with a history of bilateral cataract surgery at the age of 37 (records unavailable) presented for routine ophthalmic evaluation. She had ocular hypertension under maximal topical therapy. Uncorrected distance visual acuity was 20/30 in both eyes. IOP was 18 mmHg in the right eye (RE) and 19 mmHg in the left eye (LE) by Goldmann applanation tonometry. Slit-lamp examination revealed decentered multifocal Sulcoflex IOL with pigment deposition in both eyes, together with a well-centered monofocal IOL in the capsular bag. Gonioscopy showed open angles with pigmentation. Fundus examination was unremarkable. Given the suspicion of secondary pigment dispersion, simultaneous bilateral explantation of the supplementary IOLs was indicated. After a 6-month follow-up, intraocular pressure was 22 mmHg in both eyes just on topical medication; the corneal remained clear and CDVA improved to 20/20.",
        "Conclusion/Take home message": "In the situation of a sulcus-implanted IOL for a piggyback indication, if the IOL diameter is excessively smaller than the sulcus-sulcus diameter, the decentration and continuous movement of the IOL with iris chaffing can lead to pigment dispersion and uncontrolled elevated intraocular pressure. Explantation of a decentered Sulcoflex IOL is a safe and effective approach to manage and stop the progression of secondary pigment dispersion."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "CC02.15",
      "abstract_number": "CC02.15",
      "title": "Management Of Anterior Chamber Gas Bubbles After Femtosecond Flap Creation",
      "authors": "Dr Serhii Kryvoviaz",
      "presenter": "Dr Serhii Kryvoviaz",
      "normalized_authors": [
        "Serhii Kryvoviaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Serhii Kryvoviaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To report anterior chamber gas bubble formation during corneal flap creation using a femtosecond laser Ziemer Z8 NEO and intraoperative management with successful outcomes.",
        "Setting": "Gas bubbles formation in the anterior chamber is very rare complication during femtosecond flap creation. Although gas bubbles do not hinder flap creation, their presence may interfere with IR eye tracking mechanism, because the pupil is no longer visible. Modern excimer lasers don't allow to turn off pupil tracking during preparation procedures, that is why excimer ablation cannot be further performed.",
        "Report of case": "A 34 y.o. female patient with moderate myopia underwent femtosecond flap creation and anterior chamber cavitation bubbles were noted on the left eye. The excimer laser Wavelight EX500 (Alcon Laboratories) was unable to complete iris registration and pupil tracking. After waiting 1 hour in the recovery area the bubbles persisted. This patient was nervous due to the interrupted surgery and had limited time without ability to postpone surgery to the next day. The decision was to use intraoperatively cyclopentolate 1%, so moderate mydriasis can allow excimer laser to track wide pupil even with the presence of the gas bubbles. After 5 minutes the pupil became 6 mm diameter, tracking system was able to lock the pupil center and after flap lift routine ablation procedure was performed. One day postoperatively, the flap was clear and no air bubbles were present in the anterior chamber. Moderate mydriasis was present with 20/25 visual acuity and plano refraction. 20/20 visual acuity after 1 week post-op was established.",
        "Conclusion/Take home message": "Cyclopentolate can help to manage pupil diameter intraoperatively and to complete the surgery successfully, if there is no ability to postpone the surgery till next day. The trick is to perform ablation with moderate mydriasis in a short time frame, otherwise the laser will not be able to lock pupil in full mydriasis and surgery definitely will be postponed to another day."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Cyclopentolate can help to manage pupil diameter intraoperatively and to complete the surgery successfully, if there is no ability to postpone the surgery till next day. The trick is to perform ablation with moderate mydriasis in a short time frame, otherwise the laser will not be able to lock pupil in full mydriasis and surgery definitely will be postponed to another day.",
      "session_type": "Case Report",
      "track": "Refractive Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 29,
      "source_fields": {
        "Abstract Final Identifier": "CC02.15",
        "Title": "Management Of Anterior Chamber Gas Bubbles After Femtosecond Flap Creation",
        "Presenting Author(s)": "Dr Serhii Kryvoviaz",
        "Abstract Topic Name": "Refractive Surgery",
        "Submitter First Name": "Serhii",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kryvoviaz",
        "Country Name": "Ukraine",
        "Purpose": "To report anterior chamber gas bubble formation during corneal flap creation using a femtosecond laser Ziemer Z8 NEO and intraoperative management with successful outcomes.",
        "Setting": "Gas bubbles formation in the anterior chamber is very rare complication during femtosecond flap creation. Although gas bubbles do not hinder flap creation, their presence may interfere with IR eye tracking mechanism, because the pupil is no longer visible. Modern excimer lasers don't allow to turn off pupil tracking during preparation procedures, that is why excimer ablation cannot be further performed.",
        "Report of case": "A 34 y.o. female patient with moderate myopia underwent femtosecond flap creation and anterior chamber cavitation bubbles were noted on the left eye. The excimer laser Wavelight EX500 (Alcon Laboratories) was unable to complete iris registration and pupil tracking. After waiting 1 hour in the recovery area the bubbles persisted. This patient was nervous due to the interrupted surgery and had limited time without ability to postpone surgery to the next day. The decision was to use intraoperatively cyclopentolate 1%, so moderate mydriasis can allow excimer laser to track wide pupil even with the presence of the gas bubbles. After 5 minutes the pupil became 6 mm diameter, tracking system was able to lock the pupil center and after flap lift routine ablation procedure was performed. One day postoperatively, the flap was clear and no air bubbles were present in the anterior chamber. Moderate mydriasis was present with 20/25 visual acuity and plano refraction. 20/20 visual acuity after 1 week post-op was established.",
        "Conclusion/Take home message": "Cyclopentolate can help to manage pupil diameter intraoperatively and to complete the surgery successfully, if there is no ability to postpone the surgery till next day. The trick is to perform ablation with moderate mydriasis in a short time frame, otherwise the laser will not be able to lock pupil in full mydriasis and surgery definitely will be postponed to another day."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "CC03.01",
      "abstract_number": "CC03.01",
      "title": "Endothelial Keratoplasty With Silicon Oil And Anterior Chamber Intraocular Lens In Situ- Modified Technique With Continuous Positive Pressure Air Pump",
      "authors": "Dr Priyadarshana Bardoloi",
      "presenter": "Dr Priyadarshana Bardoloi",
      "normalized_authors": [
        "Priyadarshana Bardoloi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Priyadarshana Bardoloi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe a modified surgical technique using a positive pressure air pump to facilitate graft adherence during Descemet stripping automated endothelial keratoplasty (DSAEK) in complex anterior segment anatomy. Achieving adequate air tamponade and graft adherence remains challenging in eyes with altered anatomy such as aphakia, vitrectomized eyes, prior trabeculectomy, or glaucoma drainage devices. This report highlights the use of controlled positive pressure air infusion to enhance lenticule adherence in a vitrectomized, silicone oil filled eye with a prior trabeculectomy and an anterior chamber intraocular lens in situ.",
        "Setting": "Tertiary care centre : Dr Rajendra Prasad centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi\n\nDepartment of Cornea, Cataract and Refractive services",
        "Report of case": "A male patient in his twenties presented with phthisis bulbi in the right eye and pseudophakic corneal decompensation in the left eye. The left eye had a complex surgical history including prior vitrectomy, trabeculectomy, presence of an anterior chamber intraocular lens (ACIOL), and silicone oil in situ. Descemet stripping automated endothelial keratoplasty (DSAEK) was planned while retaining the silicone oil, as its removal was contraindicated.\n\nContinuous positive air pump assisted DSAEK was performed. The use of controlled positive pressure air tamponade helped maintain a stable anterior chamber, prevented hypotony, limited migration of silicone oil into the anterior chamber, and facilitated complete graft adherence. Excessive air tamponade was avoided by monitoring graft attachment in real time using intraoperative optical coherence tomography.\n\nPostoperatively, the patient achieved an uncorrected distance visual acuity of 20/120 with a well attached and functioning DSAEK lenticule measuring 90 µm in thickness. Air pump assisted DSAEK may therefore provide favorable anatomical and visual outcomes in complex eyes with silicone oil in situ, helping overcome the challenges associated with oil filled eyes undergoing endothelial keratoplasty.",
        "Conclusion/Take home message": "The use of air pump assisted DSAEK avoids anterior chamber fluctuations and helps prevent silicon oil migration into anterior chamber.Maintaining air tamponade at a set intraocular pressure helps promote complete graft-host adhesion without unnecessary IOP spikes.\n\nOur technique helped achieve successful anatomical and visual outcomes, indicating that it can be used in eyes with complex anatomy like silicon oil in situ in addition to post glaucoma drainage devices or trabeculectomy, aphakic, vitrectomised eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "The use of air pump assisted DSAEK avoids anterior chamber fluctuations and helps prevent silicon oil migration into anterior chamber.Maintaining air tamponade at a set intraocular pressure helps promote complete graft-host adhesion without unnecessary IOP spikes. Our technique helped achieve successful anatomical and visual outcomes, indicating that it can be used in eyes with complex anatomy like silicon oil in…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 30,
      "source_fields": {
        "Abstract Final Identifier": "CC03.01",
        "Title": "Endothelial Keratoplasty With Silicon Oil And Anterior Chamber Intraocular Lens In Situ- Modified Technique With Continuous Positive Pressure Air Pump",
        "Presenting Author(s)": "Dr Priyadarshana Bardoloi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Priyadarshana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bardoloi",
        "Country Name": "India",
        "Purpose": "To describe a modified surgical technique using a positive pressure air pump to facilitate graft adherence during Descemet stripping automated endothelial keratoplasty (DSAEK) in complex anterior segment anatomy. Achieving adequate air tamponade and graft adherence remains challenging in eyes with altered anatomy such as aphakia, vitrectomized eyes, prior trabeculectomy, or glaucoma drainage devices. This report highlights the use of controlled positive pressure air infusion to enhance lenticule adherence in a vitrectomized, silicone oil filled eye with a prior trabeculectomy and an anterior chamber intraocular lens in situ.",
        "Setting": "Tertiary care centre : Dr Rajendra Prasad centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi\n\nDepartment of Cornea, Cataract and Refractive services",
        "Report of case": "A male patient in his twenties presented with phthisis bulbi in the right eye and pseudophakic corneal decompensation in the left eye. The left eye had a complex surgical history including prior vitrectomy, trabeculectomy, presence of an anterior chamber intraocular lens (ACIOL), and silicone oil in situ. Descemet stripping automated endothelial keratoplasty (DSAEK) was planned while retaining the silicone oil, as its removal was contraindicated.\n\nContinuous positive air pump assisted DSAEK was performed. The use of controlled positive pressure air tamponade helped maintain a stable anterior chamber, prevented hypotony, limited migration of silicone oil into the anterior chamber, and facilitated complete graft adherence. Excessive air tamponade was avoided by monitoring graft attachment in real time using intraoperative optical coherence tomography.\n\nPostoperatively, the patient achieved an uncorrected distance visual acuity of 20/120 with a well attached and functioning DSAEK lenticule measuring 90 µm in thickness. Air pump assisted DSAEK may therefore provide favorable anatomical and visual outcomes in complex eyes with silicone oil in situ, helping overcome the challenges associated with oil filled eyes undergoing endothelial keratoplasty.",
        "Conclusion/Take home message": "The use of air pump assisted DSAEK avoids anterior chamber fluctuations and helps prevent silicon oil migration into anterior chamber.Maintaining air tamponade at a set intraocular pressure helps promote complete graft-host adhesion without unnecessary IOP spikes.\n\nOur technique helped achieve successful anatomical and visual outcomes, indicating that it can be used in eyes with complex anatomy like silicon oil in situ in addition to post glaucoma drainage devices or trabeculectomy, aphakic, vitrectomised eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "CC03.02",
      "abstract_number": "CC03.02",
      "title": "Severe Ocular Surface Disease In A Pediatric Patient With Recessive Dystrophic Epidermolysis Bullosa: A Clinical Case",
      "authors": "Sofia Machado",
      "presenter": "Sofia Machado",
      "normalized_authors": [
        "Sofia Machado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofia Machado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To describe the onset, progression, and management challenges of severe ocular surface disease in a paediatric patient with recessive dystrophic epidermolysis bullosa (RDEB). We present a retrospective longitudinal review of clinical records, ophthalmological examinations, and photographic documentation performed from 2020 to 2025 in a male infant with genetically confirmed RDEB, followed from birth. Therapeutic interventions included intensive ocular surface lubrication, topical antibiotics, corticosteroids, ciclosporin, and bevacizumab. The patient also participated in a clinical trial with beremagene geperpavec (B-VEC), a herpes simplex virus type-1–based gene therapy.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Report of case": "A 9 days-old male patient presented with severe unilateral corneal neovascularization with intrastromal haemorrhage. Despite topical corticosteroids and subsequent topical bevacizumab and topical cicloporin, only temporary regression was achieved. Progressive bilateral corneal scarring, conjunctivalization, pseudopterygium formation and symblepharon developed due to recurrent epithelial trauma. A diagnosis of RDEB was confirmed by genetic testing (COL7A1 mutation). The patient enrolled in a clinical trial with topical B-VEC, showing dermatological improvement and partial regression of ocular lesions. Visual acuity was light perception and counting fingers by 2 years of age despite multimodal therapy.",
        "Conclusion/Take home message": "RDEB may cause early, aggressive ocular surface disease with severe visual impairment. Topical anti-VEGF (Vascular Endothelial Growth Factor) therapy can provide temporary control of corneal neovascularization but does not prevent cicatricial progression. The limited efficacy of current treatments underscores the complexity of managing ocular disease in RDEB. Early multidisciplinary care, close ophthalmological surveillance, and visual rehabilitation are essential. Emerging approaches, such topical B-VEC, may represent future treatment options, although further evidence and regulatory approval are required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "RDEB may cause early, aggressive ocular surface disease with severe visual impairment. Topical anti-VEGF (Vascular Endothelial Growth Factor) therapy can provide temporary control of corneal neovascularization but does not prevent cicatricial progression. The limited efficacy of current treatments underscores the complexity of managing ocular disease in RDEB. Early multidisciplinary care, close ophthalmological…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 31,
      "source_fields": {
        "Abstract Final Identifier": "CC03.02",
        "Title": "Severe Ocular Surface Disease In A Pediatric Patient With Recessive Dystrophic Epidermolysis Bullosa: A Clinical Case",
        "Presenting Author(s)": "Sofia Machado",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Sofia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Machado",
        "Country Name": "Portugal",
        "Purpose": "To describe the onset, progression, and management challenges of severe ocular surface disease in a paediatric patient with recessive dystrophic epidermolysis bullosa (RDEB). We present a retrospective longitudinal review of clinical records, ophthalmological examinations, and photographic documentation performed from 2020 to 2025 in a male infant with genetically confirmed RDEB, followed from birth. Therapeutic interventions included intensive ocular surface lubrication, topical antibiotics, corticosteroids, ciclosporin, and bevacizumab. The patient also participated in a clinical trial with beremagene geperpavec (B-VEC), a herpes simplex virus type-1–based gene therapy.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Report of case": "A 9 days-old male patient presented with severe unilateral corneal neovascularization with intrastromal haemorrhage. Despite topical corticosteroids and subsequent topical bevacizumab and topical cicloporin, only temporary regression was achieved. Progressive bilateral corneal scarring, conjunctivalization, pseudopterygium formation and symblepharon developed due to recurrent epithelial trauma. A diagnosis of RDEB was confirmed by genetic testing (COL7A1 mutation). The patient enrolled in a clinical trial with topical B-VEC, showing dermatological improvement and partial regression of ocular lesions. Visual acuity was light perception and counting fingers by 2 years of age despite multimodal therapy.",
        "Conclusion/Take home message": "RDEB may cause early, aggressive ocular surface disease with severe visual impairment. Topical anti-VEGF (Vascular Endothelial Growth Factor) therapy can provide temporary control of corneal neovascularization but does not prevent cicatricial progression. The limited efficacy of current treatments underscores the complexity of managing ocular disease in RDEB. Early multidisciplinary care, close ophthalmological surveillance, and visual rehabilitation are essential. Emerging approaches, such topical B-VEC, may represent future treatment options, although further evidence and regulatory approval are required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "CC03.03",
      "abstract_number": "CC03.03",
      "title": "Combined Surgical Approach In Advanced Keratoconus",
      "authors": "Dr Lucia Škrovinová",
      "presenter": "Dr Lucia Škrovinová",
      "normalized_authors": [
        "Lucia Škrovinová"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucia Škrovinová",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To describe the clinical outcomes in a male patient with advanced keratoconus and contact lens intolerance managed using a staged surgical approach. Initial treatment consisted of femtosecond laser–assisted intrastromal donor lamellar transplantation. After achieving corneal stability at one year postoperatively, the protocol was completed with topography-guided surface ablation. Keratoconus is a progressive corneal ectasia characterized by stromal thinning, often resulting in significant visual impairment. In advanced stages, surgical intervention is often necessary to restore corneal structure and improve visual function. This report highlights a potential stepwise strategy for managing advanced keratoconus cases.",
        "Setting": "All diagnostic evaluations, surgical procedures, and postoperative follow-up visits in this case were conducted at Gemini Eye Clinic, a private outpatient clinic in the Czech Republic. Both surgical interventions were performed by a single experienced surgeon, Dr. Pavel Stodůlka, the chief physician of the clinic. Preoperative diagnostic assessments and postoperative follow-up examinations were carried out by ophthalmologists and optometrists practicing at the same institution.",
        "Report of case": "A 32-year-old male with keratoconus previously treated with CXL 5 years earlier presented with worsening hybrid contact lens intolerance and recurrent allergic conjunctivitis. UDVA was 0.6 logMAR and CDVA 0.2 logMAR (−1.0 D sphere, −5.0 D cylinder ×45°); Kmax 60.7 D, TCT 498 µm, TKC stage 2–3.\n\nA 140 µm, 10 mm anterior donor lamella containing Bowman’s layer was prepared with femtosecond laser (FEMTO Z8, Ziemer), soaked in 0.25% riboflavin, UV-A crosslinked (9 mW, 10 min), and stored in Eusol. A 9.5 mm, 220 µm-deep stromal pocket with a 3-mm incision at 270° (Victus, Technolas) was created; the trypan blue–stained lamella was inserted. Postoperative treatment included subconjunctival methylprednisolone acetate and tobramycin/dexamethasone drops.\n\nAt 12 months, TCT increased, Kmax decreased, TKC regressed to stage 1. The graft remained clear and centered; mild edema resolved within 1 month. UDVA was 1.1 logMAR, CDVA 0.3 logMAR (−1.5 D sphere, −5.5 D cylinder ×75°). Hybrid lens wear resumed at 3 months but intolerance persisted.\n\nAfter 12 months, topography-guided PRK (Amaris 1050S, Schwind) over 4.5 mm treated half the LOA cylinder and coma from HOAs. UDVA improved from 1.0 to 0.3 logMAR and CDVA from 0.3 to 0.2 logMAR at 3 years post-PRK. Post-PRK TCT remained ≥640 µm. Acute allergic conjunctivitis 3 months later resolved with fluorometholone. At 4 years post-transplant and 3 years post-PRK, UDVA was improved, topography stable, slit-lamp normal, contact lenses discontinued.",
        "Conclusion/Take home message": "In keratoconus with contact lens intolerance, therapeutic options are limited and conventional correction often fails. A staged, minimally invasive strategy femtosecond laser–assisted intrastromal transplantation of a pre-crosslinked donor lamella followed by delayed topography-guided PRK—enabled structural reinforcement before safe refractive correction. The lamellar step provided biomechanical stabilization and corneal thickening, creating conditions for effective surface ablation. This case underscores the value of individualized, stepwise management combining tectonic support with customized refractive surgery to optimize long-term visual outcomes while avoiding higher-risk keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "In keratoconus with contact lens intolerance, therapeutic options are limited and conventional correction often fails. A staged, minimally invasive strategy femtosecond laser–assisted intrastromal transplantation of a pre-crosslinked donor lamella followed by delayed topography-guided PRK—enabled structural reinforcement before safe refractive correction. The lamellar step provided biomechanical stabilization and…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 32,
      "source_fields": {
        "Abstract Final Identifier": "CC03.03",
        "Title": "Combined Surgical Approach In Advanced Keratoconus",
        "Presenting Author(s)": "Dr Lucia Škrovinová",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Lucia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Škrovinová",
        "Country Name": "Czech Republic",
        "Purpose": "To describe the clinical outcomes in a male patient with advanced keratoconus and contact lens intolerance managed using a staged surgical approach. Initial treatment consisted of femtosecond laser–assisted intrastromal donor lamellar transplantation. After achieving corneal stability at one year postoperatively, the protocol was completed with topography-guided surface ablation. Keratoconus is a progressive corneal ectasia characterized by stromal thinning, often resulting in significant visual impairment. In advanced stages, surgical intervention is often necessary to restore corneal structure and improve visual function. This report highlights a potential stepwise strategy for managing advanced keratoconus cases.",
        "Setting": "All diagnostic evaluations, surgical procedures, and postoperative follow-up visits in this case were conducted at Gemini Eye Clinic, a private outpatient clinic in the Czech Republic. Both surgical interventions were performed by a single experienced surgeon, Dr. Pavel Stodůlka, the chief physician of the clinic. Preoperative diagnostic assessments and postoperative follow-up examinations were carried out by ophthalmologists and optometrists practicing at the same institution.",
        "Report of case": "A 32-year-old male with keratoconus previously treated with CXL 5 years earlier presented with worsening hybrid contact lens intolerance and recurrent allergic conjunctivitis. UDVA was 0.6 logMAR and CDVA 0.2 logMAR (−1.0 D sphere, −5.0 D cylinder ×45°); Kmax 60.7 D, TCT 498 µm, TKC stage 2–3.\n\nA 140 µm, 10 mm anterior donor lamella containing Bowman’s layer was prepared with femtosecond laser (FEMTO Z8, Ziemer), soaked in 0.25% riboflavin, UV-A crosslinked (9 mW, 10 min), and stored in Eusol. A 9.5 mm, 220 µm-deep stromal pocket with a 3-mm incision at 270° (Victus, Technolas) was created; the trypan blue–stained lamella was inserted. Postoperative treatment included subconjunctival methylprednisolone acetate and tobramycin/dexamethasone drops.\n\nAt 12 months, TCT increased, Kmax decreased, TKC regressed to stage 1. The graft remained clear and centered; mild edema resolved within 1 month. UDVA was 1.1 logMAR, CDVA 0.3 logMAR (−1.5 D sphere, −5.5 D cylinder ×75°). Hybrid lens wear resumed at 3 months but intolerance persisted.\n\nAfter 12 months, topography-guided PRK (Amaris 1050S, Schwind) over 4.5 mm treated half the LOA cylinder and coma from HOAs. UDVA improved from 1.0 to 0.3 logMAR and CDVA from 0.3 to 0.2 logMAR at 3 years post-PRK. Post-PRK TCT remained ≥640 µm. Acute allergic conjunctivitis 3 months later resolved with fluorometholone. At 4 years post-transplant and 3 years post-PRK, UDVA was improved, topography stable, slit-lamp normal, contact lenses discontinued.",
        "Conclusion/Take home message": "In keratoconus with contact lens intolerance, therapeutic options are limited and conventional correction often fails. A staged, minimally invasive strategy femtosecond laser–assisted intrastromal transplantation of a pre-crosslinked donor lamella followed by delayed topography-guided PRK—enabled structural reinforcement before safe refractive correction. The lamellar step provided biomechanical stabilization and corneal thickening, creating conditions for effective surface ablation. This case underscores the value of individualized, stepwise management combining tectonic support with customized refractive surgery to optimize long-term visual outcomes while avoiding higher-risk keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 488
    },
    {
      "uid": "CC03.04",
      "abstract_number": "CC03.04",
      "title": "Pk-Smart: Penetrating Keratoplasty With Sutureless Membrane Artificial Endothelial Replacement Technique. Report Of The First Three Clinical Cases.",
      "authors": "A/Prof. Luigi Fontana",
      "presenter": "A/Prof. Luigi Fontana",
      "normalized_authors": [
        "Luigi Fontana"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Natalie Di Geronimo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To describe a novel sutureless corneal pocket technique that allows for simultaneous implantation of the EndoArt (EndoArt, EyeYon Medical, Israel) and penetrating keratoplasty (PK) in high-risk eyes for graft failure.",
        "Setting": "IRCCS Azienda Ospedaliero-Universitaria di Bologna, Ophthalmology Unit.",
        "Report of case": "Patient 1 had a history of multiple retinal detachments, two previous failed endothelial keratoplasties, and severe bullous keratopathy with stromal opacity, with a CDVA limited to light perception. Patient 2 had undergone multiple penetrating and endothelial keratoplasties following a primary diagnosis of keratoconus and presented with a CDVA of hand motion. Patient 3 had undergone multiple penetrating keratoplasty for endothelial decompensation secondary to a complicated cataract surgery requiring anterior vitrectomy and secondary intraocular lens implantation. The implant was positioned within a stromal lamellar pocket of the donor cornea before graft transplantation, without the need for transcorneal sutures or postoperative gas tamponade. The primary outcome measures included corrected distance visual acuity (CDVA), graft clarity, central corneal thickness (CCT), and device adherence. At 6 months, all corneal grafts were clear with complete EndoArt adhesion. The postoperative CDVA improved to HM, 20/400, and 20/100, respectively, while corneal pachymetry improved from 803 µm, 975 µm and 761 to 578 µm, 587 µm and 548 µm respectively. No postoperative complication was observed, including implant detachment requiring rebubbling.",
        "Conclusion/Take home message": "The PK-SMART technique ensures immediate mechanical stability of the EndoArt device in PK while addressing the stromal opacities, without recourse to transcorneal sutures or gas tamponade. Corneal clarity was restored in all our patients with quantifiable improvement of visual function. This combined approach simultaneously treats stromal opacity and endothelial dysfunction, expanding the applicability of artificial endothelial membranes to complex eyes previously deemed unsuitable for standalone implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "The PK-SMART technique ensures immediate mechanical stability of the EndoArt device in PK while addressing the stromal opacities, without recourse to transcorneal sutures or gas tamponade. Corneal clarity was restored in all our patients with quantifiable improvement of visual function. This combined approach simultaneously treats stromal opacity and endothelial dysfunction, expanding the applicability of…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 33,
      "source_fields": {
        "Abstract Final Identifier": "CC03.04",
        "Title": "Pk-Smart: Penetrating Keratoplasty With Sutureless Membrane Artificial Endothelial Replacement Technique. Report Of The First Three Clinical Cases.",
        "Presenting Author(s)": "A/Prof. Luigi Fontana",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Natalie",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Di Geronimo",
        "Country Name": "Italy",
        "Purpose": "To describe a novel sutureless corneal pocket technique that allows for simultaneous implantation of the EndoArt (EndoArt, EyeYon Medical, Israel) and penetrating keratoplasty (PK) in high-risk eyes for graft failure.",
        "Setting": "IRCCS Azienda Ospedaliero-Universitaria di Bologna, Ophthalmology Unit.",
        "Report of case": "Patient 1 had a history of multiple retinal detachments, two previous failed endothelial keratoplasties, and severe bullous keratopathy with stromal opacity, with a CDVA limited to light perception. Patient 2 had undergone multiple penetrating and endothelial keratoplasties following a primary diagnosis of keratoconus and presented with a CDVA of hand motion. Patient 3 had undergone multiple penetrating keratoplasty for endothelial decompensation secondary to a complicated cataract surgery requiring anterior vitrectomy and secondary intraocular lens implantation. The implant was positioned within a stromal lamellar pocket of the donor cornea before graft transplantation, without the need for transcorneal sutures or postoperative gas tamponade. The primary outcome measures included corrected distance visual acuity (CDVA), graft clarity, central corneal thickness (CCT), and device adherence. At 6 months, all corneal grafts were clear with complete EndoArt adhesion. The postoperative CDVA improved to HM, 20/400, and 20/100, respectively, while corneal pachymetry improved from 803 µm, 975 µm and 761 to 578 µm, 587 µm and 548 µm respectively. No postoperative complication was observed, including implant detachment requiring rebubbling.",
        "Conclusion/Take home message": "The PK-SMART technique ensures immediate mechanical stability of the EndoArt device in PK while addressing the stromal opacities, without recourse to transcorneal sutures or gas tamponade. Corneal clarity was restored in all our patients with quantifiable improvement of visual function. This combined approach simultaneously treats stromal opacity and endothelial dysfunction, expanding the applicability of artificial endothelial membranes to complex eyes previously deemed unsuitable for standalone implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "CC03.05",
      "abstract_number": "CC03.05",
      "title": "Microkeratome-Assisted Sutureless Superficial Anterior Lamellar Keratoplasty For Pediatric Anterior Corneal Stromal Disease",
      "authors": "Dr Chiara Vivarelli",
      "presenter": "Dr Chiara Vivarelli",
      "normalized_authors": [
        "Chiara Vivarelli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chiara Vivarelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To report a case of microkeratome-assisted sutureless superficial anterior lamellar keratoplasty (SALK) in a pediatric patient with a vascularized anterior stromal scar.",
        "Setting": "Department of Ophthalmology, Ospedali Privati Forlì “Villa Igea” (Forlì, Italy).",
        "Report of case": "A five-year-old female with bilateral congenital corneal opacity presented to the clinic with preoperative visual acuity of 20/200 in the right eye and counting fingers at 3 feet in the left eye and bilateral alternating esotropia and nystagmus. A dense white 4x6mm paracentral corneal opacity involving the visual axis associated with perilimbal corneal neovascularization was noted on the left eye. Anterior-segment OCT showed that corneal scar involving up to 120 µm in depth. The sutureless microkeratome-assisted SALK was performed in the left eye. Briefly, the recipient cornea was cut using a 130µm microkeratome head to obtain an anterior free cap. A 9mm anterior lamella prepared using a 90µm microkeratome head was placed onto the recipient bed without sutures. One month after SALK, best corrected VA improved to 20/80. The cornea appeared clear with no signs of interface haze, infection, recurrence, immunologic rejection or graft failure.",
        "Conclusion/Take home message": "In conclusion, microkeratome-assisted sutureless SALK offers significant advantages in pediatric patients, including shorter operative and anesthesia time, avoidance of suture-related complications, faster visual rehabilitation crucial for amblyopia therapy, and reduced open-sky surgical risks with elimination of lifelong endothelial rejection. It may therefore be considered a valuable treatment option for children with dense isolated anterior stromal scars associated with corneal neovascularization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "In conclusion, microkeratome-assisted sutureless SALK offers significant advantages in pediatric patients, including shorter operative and anesthesia time, avoidance of suture-related complications, faster visual rehabilitation crucial for amblyopia therapy, and reduced open-sky surgical risks with elimination of lifelong endothelial rejection. It may therefore be considered a valuable treatment option for children…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 34,
      "source_fields": {
        "Abstract Final Identifier": "CC03.05",
        "Title": "Microkeratome-Assisted Sutureless Superficial Anterior Lamellar Keratoplasty For Pediatric Anterior Corneal Stromal Disease",
        "Presenting Author(s)": "Dr Chiara Vivarelli",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Chiara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vivarelli",
        "Country Name": "Italy",
        "Purpose": "To report a case of microkeratome-assisted sutureless superficial anterior lamellar keratoplasty (SALK) in a pediatric patient with a vascularized anterior stromal scar.",
        "Setting": "Department of Ophthalmology, Ospedali Privati Forlì “Villa Igea” (Forlì, Italy).",
        "Report of case": "A five-year-old female with bilateral congenital corneal opacity presented to the clinic with preoperative visual acuity of 20/200 in the right eye and counting fingers at 3 feet in the left eye and bilateral alternating esotropia and nystagmus. A dense white 4x6mm paracentral corneal opacity involving the visual axis associated with perilimbal corneal neovascularization was noted on the left eye. Anterior-segment OCT showed that corneal scar involving up to 120 µm in depth. The sutureless microkeratome-assisted SALK was performed in the left eye. Briefly, the recipient cornea was cut using a 130µm microkeratome head to obtain an anterior free cap. A 9mm anterior lamella prepared using a 90µm microkeratome head was placed onto the recipient bed without sutures. One month after SALK, best corrected VA improved to 20/80. The cornea appeared clear with no signs of interface haze, infection, recurrence, immunologic rejection or graft failure.",
        "Conclusion/Take home message": "In conclusion, microkeratome-assisted sutureless SALK offers significant advantages in pediatric patients, including shorter operative and anesthesia time, avoidance of suture-related complications, faster visual rehabilitation crucial for amblyopia therapy, and reduced open-sky surgical risks with elimination of lifelong endothelial rejection. It may therefore be considered a valuable treatment option for children with dense isolated anterior stromal scars associated with corneal neovascularization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "CC03.06",
      "abstract_number": "CC03.06",
      "title": "Femto -Dsaek For Deep Posterior Stromal Opacity: A Lamellar Alternative To Pk In Failed Dmek",
      "authors": "Dr Luca Lucchino",
      "presenter": "Dr Luca Lucchino",
      "normalized_authors": [
        "Luca Lucchino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luca Lucchino",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To describe the feasibility of femtosecond laser-assisted stromal dissection combined with Descemet stripping automated endothelial keratoplasty (femto-DSAEK) as an alternative to penetrating keratoplasty (PK) in case of deep posterior stromal scarring following failed Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Tertiary referral cornea service, Eye Unit, Brescia, Italy",
        "Report of case": "A 58-year-old male with a history of failed DMEK for Fuchs’ endothelial dystrophy was referred for reduced visual acuity associated with posterior stromal scarring. Anterior segment OCT showed an 80 µm hyperreflective posterior stromal opacity located at 501 µm from the epithelium, with a central corneal thickness (CCT) of 581 µm. Due to the presence of deep posterior stromal opacity, repeat DMEK was considered unlikely to achieve satisfactory visual outcomes and PK was initially considered.\n\nTo avoid full-thickness transplantation, femtosecond laser-assisted posterior stromal dissection followed by DSAEK (Femto-DSAEK) was performed. Stromal dissection was carried out using a low-energy femtosecond laser platform (FEMTO LDV Z8, Ziemer, Switzerland) with intraoperative OCT guidance. The procedure was performed in two steps: a horizontal lamellar cut at 501 µm depth (7.50 mm diameter), centered on the visual axis and corresponding to the level of the stromal scar, followed by a posterior-to-anterior vertical dissection reaching the lamellar plane, enabling en bloc removal of the posterior stromal disc, DM, and dysfunctional endothelium. A 7.00 mm precut DSAEK graft (82 µm thickness) was subsequently implanted.\n\nPostoperatively, rapid corneal clearing and visual recovery were observed, with BCVA improving from 1.00 to 0.10 logMAR at 3 months. No intraoperative or postoperative complications, graft detachment, or interface haze occurred, and CCT was 513 µm at final follow-up.",
        "Conclusion/Take home message": "Femto-DSAEK offers a streamlined surgical approach for managing failed DMEK with posterior stromal scarring. By enabling precise removal of diseased posterior tissue with immediate endothelial replacement in a single session, it may enhance graft adherence, facilitate rapid visual rehabilitation, and provide an effective tissue-sparing alternative to PK in complex cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Femto-DSAEK offers a streamlined surgical approach for managing failed DMEK with posterior stromal scarring. By enabling precise removal of diseased posterior tissue with immediate endothelial replacement in a single session, it may enhance graft adherence, facilitate rapid visual rehabilitation, and provide an effective tissue-sparing alternative to PK in complex cases.",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 35,
      "source_fields": {
        "Abstract Final Identifier": "CC03.06",
        "Title": "Femto -Dsaek For Deep Posterior Stromal Opacity: A Lamellar Alternative To Pk In Failed Dmek",
        "Presenting Author(s)": "Dr Luca Lucchino",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Luca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lucchino",
        "Country Name": "Italy",
        "Purpose": "To describe the feasibility of femtosecond laser-assisted stromal dissection combined with Descemet stripping automated endothelial keratoplasty (femto-DSAEK) as an alternative to penetrating keratoplasty (PK) in case of deep posterior stromal scarring following failed Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Tertiary referral cornea service, Eye Unit, Brescia, Italy",
        "Report of case": "A 58-year-old male with a history of failed DMEK for Fuchs’ endothelial dystrophy was referred for reduced visual acuity associated with posterior stromal scarring. Anterior segment OCT showed an 80 µm hyperreflective posterior stromal opacity located at 501 µm from the epithelium, with a central corneal thickness (CCT) of 581 µm. Due to the presence of deep posterior stromal opacity, repeat DMEK was considered unlikely to achieve satisfactory visual outcomes and PK was initially considered.\n\nTo avoid full-thickness transplantation, femtosecond laser-assisted posterior stromal dissection followed by DSAEK (Femto-DSAEK) was performed. Stromal dissection was carried out using a low-energy femtosecond laser platform (FEMTO LDV Z8, Ziemer, Switzerland) with intraoperative OCT guidance. The procedure was performed in two steps: a horizontal lamellar cut at 501 µm depth (7.50 mm diameter), centered on the visual axis and corresponding to the level of the stromal scar, followed by a posterior-to-anterior vertical dissection reaching the lamellar plane, enabling en bloc removal of the posterior stromal disc, DM, and dysfunctional endothelium. A 7.00 mm precut DSAEK graft (82 µm thickness) was subsequently implanted.\n\nPostoperatively, rapid corneal clearing and visual recovery were observed, with BCVA improving from 1.00 to 0.10 logMAR at 3 months. No intraoperative or postoperative complications, graft detachment, or interface haze occurred, and CCT was 513 µm at final follow-up.",
        "Conclusion/Take home message": "Femto-DSAEK offers a streamlined surgical approach for managing failed DMEK with posterior stromal scarring. By enabling precise removal of diseased posterior tissue with immediate endothelial replacement in a single session, it may enhance graft adherence, facilitate rapid visual rehabilitation, and provide an effective tissue-sparing alternative to PK in complex cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "CC03.07",
      "abstract_number": "CC03.07",
      "title": "Mixed Bubble And Refractory Descemet Membrane Detachment Following Deep Anterior Lamellar Keratoplasty Using A Post-Lasik Donor Cornea",
      "authors": "Dr Monica Lecumberri Lopez",
      "presenter": "Dr Monica Lecumberri Lopez",
      "normalized_authors": [
        "Monica Lecumberri Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Monica Lecumberri Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report a case of refractory Descemet membrane detachment following deep anterior lamellar keratoplasty (DALK), associated with the formation of a mixed big bubble and the use of a donor cornea that had previously undergone LASIK refractive surgery",
        "Setting": "Consorci Sanitari Integral",
        "Report of case": "A 41-year-old male with keratoconus underwent DALK in his left eye. An apparently type I bubble was achieved. After complete stromal removal, a mixed bubble was identified, consisting of a type I bubble and a type II bubble in the inferonasal quadrant.\n\nAt the end of the procedure, an air bubble was left in the anterior chamber (AC) to promote coaptation of both bubbles. Cycloplegia was prescribed because the patient was phakic and had no inferior iridotomy. Supine positioning was recommended.\n\nPostoperatively, the patient presented corneal edema. Anterior segment OCT revealed detachment and splitting of Descemet’s membrane (DM) in the inferonasal quadrant.\n\nA second intervention was required, guided with intraoperative OCT, a new air bubble was injected into the AC, and interface fluid was drained. During this procedure, a previously undetected LASIK flap in the donor cornea was identified.\n\nPostoperatively, DM successfully reattached in the area corresponding to the type I bubble; however, localized stromal edema persisted in the region associated with the type II bubble. One month later, the type II bubble resolved completely and DM was fully adherent, but a residual area of corneal haze remained, requiring repeated DALK.\n\nDuring retransplantation, donor cornea that had undergone previous LASIK was removed and replaced with a new anterior lamellar graft without complications. No Descemet detachment was observed postoperatively, and the patient showed favorable clinical evolution.",
        "Conclusion/Take home message": "Identifying a type III mixed bubble is essential, as it predisposes to postoperative Descemet membrane detachment (DMD) and may be challenging to recognize intraoperatively.\n\nIn such cases, leaving an air bubble in the anterior chamber alone may not be sufficient to prevent DMD. An additional intentional puncture of the pre-Descemet layer may be required to release the type II air pocket within the mixed bubble and reduce the risk of postoperative detachment.\n\nIn this case, the use of a donor cornea that has previously undergone refractive surgery with LASIK may have compromised stromal integrity, leading to a fragile host–donor interface and potentially perpetuating DMD and a final hazy cornea."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Identifying a type III mixed bubble is essential, as it predisposes to postoperative Descemet membrane detachment (DMD) and may be challenging to recognize intraoperatively. In such cases, leaving an air bubble in the anterior chamber alone may not be sufficient to prevent DMD. An additional intentional puncture of the pre-Descemet layer may be required to release the type II air pocket within the mixed bubble and…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 36,
      "source_fields": {
        "Abstract Final Identifier": "CC03.07",
        "Title": "Mixed Bubble And Refractory Descemet Membrane Detachment Following Deep Anterior Lamellar Keratoplasty Using A Post-Lasik Donor Cornea",
        "Presenting Author(s)": "Dr Monica Lecumberri Lopez",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Monica",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lecumberri Lopez",
        "Country Name": "Spain",
        "Purpose": "To report a case of refractory Descemet membrane detachment following deep anterior lamellar keratoplasty (DALK), associated with the formation of a mixed big bubble and the use of a donor cornea that had previously undergone LASIK refractive surgery",
        "Setting": "Consorci Sanitari Integral",
        "Report of case": "A 41-year-old male with keratoconus underwent DALK in his left eye. An apparently type I bubble was achieved. After complete stromal removal, a mixed bubble was identified, consisting of a type I bubble and a type II bubble in the inferonasal quadrant.\n\nAt the end of the procedure, an air bubble was left in the anterior chamber (AC) to promote coaptation of both bubbles. Cycloplegia was prescribed because the patient was phakic and had no inferior iridotomy. Supine positioning was recommended.\n\nPostoperatively, the patient presented corneal edema. Anterior segment OCT revealed detachment and splitting of Descemet’s membrane (DM) in the inferonasal quadrant.\n\nA second intervention was required, guided with intraoperative OCT, a new air bubble was injected into the AC, and interface fluid was drained. During this procedure, a previously undetected LASIK flap in the donor cornea was identified.\n\nPostoperatively, DM successfully reattached in the area corresponding to the type I bubble; however, localized stromal edema persisted in the region associated with the type II bubble. One month later, the type II bubble resolved completely and DM was fully adherent, but a residual area of corneal haze remained, requiring repeated DALK.\n\nDuring retransplantation, donor cornea that had undergone previous LASIK was removed and replaced with a new anterior lamellar graft without complications. No Descemet detachment was observed postoperatively, and the patient showed favorable clinical evolution.",
        "Conclusion/Take home message": "Identifying a type III mixed bubble is essential, as it predisposes to postoperative Descemet membrane detachment (DMD) and may be challenging to recognize intraoperatively.\n\nIn such cases, leaving an air bubble in the anterior chamber alone may not be sufficient to prevent DMD. An additional intentional puncture of the pre-Descemet layer may be required to release the type II air pocket within the mixed bubble and reduce the risk of postoperative detachment.\n\nIn this case, the use of a donor cornea that has previously undergone refractive surgery with LASIK may have compromised stromal integrity, leading to a fragile host–donor interface and potentially perpetuating DMD and a final hazy cornea."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 376
    },
    {
      "uid": "CC03.08",
      "abstract_number": "CC03.08",
      "title": "Investigating The Clinical Application Of Topical Rho Kinase Inhibitors In Patients Following Descemet Membrane Endothelial Keratoplasty: A Case Series",
      "authors": "Dr Nadav Shemesh",
      "presenter": "Dr Nadav Shemesh",
      "normalized_authors": [
        "Nadav Shemesh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nadav Shemesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To explore the clinical application of topical Ripasudil, a Rho kinase (ROCK) inhibitor, as an adjunct therapeutic strategy to reduce graft detachment risk and improve clinical outcomes in patients with corneal edema following Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "This case series included three patients who developed corneal edema following DMEK and were treated with topical Ripasudil as an adjunct therapy. Pre- and post-treatment evaluations included best-corrected visual acuity (BCVA; logMAR), central corneal thickness (CCT; µm), and endothelial cell count (ECC; cells/mm²). Outcomes were assessed at baseline and at final follow-up visit.",
        "Report of case": "Three patients with post-DMEK corneal edema were treated with topical Ripasudil. Two of three cases demonstrated significant improvements in both CCT and BCVA following treatment. In the third case, a notable increase in ECC was observed, with stable BCVA. No adverse effects were reported in any of the three cases.",
        "Conclusion/Take home message": "This case series suggests that topical Ripasudil may serve as an effective adjunct therapy in patients with corneal edema following DMEK, potentially enhancing endothelial cell function and improving postoperative outcomes. The absence of adverse effects supports its safety profile in this setting. Larger prospective studies are warranted to validate these preliminary findings and establish the optimal role of ROCK inhibitors in post-DMEK management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "This case series suggests that topical Ripasudil may serve as an effective adjunct therapy in patients with corneal edema following DMEK, potentially enhancing endothelial cell function and improving postoperative outcomes. The absence of adverse effects supports its safety profile in this setting. Larger prospective studies are warranted to validate these preliminary findings and establish the optimal role of ROCK…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 37,
      "source_fields": {
        "Abstract Final Identifier": "CC03.08",
        "Title": "Investigating The Clinical Application Of Topical Rho Kinase Inhibitors In Patients Following Descemet Membrane Endothelial Keratoplasty: A Case Series",
        "Presenting Author(s)": "Dr Nadav Shemesh",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Nadav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shemesh",
        "Country Name": "Israel",
        "Purpose": "To explore the clinical application of topical Ripasudil, a Rho kinase (ROCK) inhibitor, as an adjunct therapeutic strategy to reduce graft detachment risk and improve clinical outcomes in patients with corneal edema following Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "This case series included three patients who developed corneal edema following DMEK and were treated with topical Ripasudil as an adjunct therapy. Pre- and post-treatment evaluations included best-corrected visual acuity (BCVA; logMAR), central corneal thickness (CCT; µm), and endothelial cell count (ECC; cells/mm²). Outcomes were assessed at baseline and at final follow-up visit.",
        "Report of case": "Three patients with post-DMEK corneal edema were treated with topical Ripasudil. Two of three cases demonstrated significant improvements in both CCT and BCVA following treatment. In the third case, a notable increase in ECC was observed, with stable BCVA. No adverse effects were reported in any of the three cases.",
        "Conclusion/Take home message": "This case series suggests that topical Ripasudil may serve as an effective adjunct therapy in patients with corneal edema following DMEK, potentially enhancing endothelial cell function and improving postoperative outcomes. The absence of adverse effects supports its safety profile in this setting. Larger prospective studies are warranted to validate these preliminary findings and establish the optimal role of ROCK inhibitors in post-DMEK management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 205
    },
    {
      "uid": "CC03.09",
      "abstract_number": "CC03.09",
      "title": "Staged Surgical Management Of Progressive Hyperopia After Radial Keratotomy",
      "authors": "Ms Andrea Pastor Asensio",
      "presenter": "Ms Andrea Pastor Asensio",
      "normalized_authors": [
        "Andrea Pastor Asensio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrea Pastor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To illustrate the staged surgical management of severe progressive hyperopia after radial keratotomy (RK), combining corneal cerclage and subsequent cataract surgery with small-aperture intraocular lens implantation to achieve long-term refractive stability and functional vision.",
        "Setting": "Cornea department, Centro de Oftalmología Barraquer, Barcelona (Spain)",
        "Report of case": "A 58-year-old patient with prior RK presented with severe progressive hyperopia in the left eye (OS), reaching +10.00 D, with marked central corneal flattening on corneal topography. Corrected distance visual acuity (CDVA) was 0.4 with high hyperopic correction. Visual quality was further affected by higher-order aberrations induced by radial incisions.\n\nDue to significant biomechanical weakening, corneal cerclage using Greene’s Lasso technique was performed. The circumferential compression of the peripheral cornea induced central steepening, aiming to restore a more physiological corneal architecture. Intraoperative keratometry with a portable keratometer showed an increase of 9 D in central keratometry. Based on intraoperative keratoscopy findings, an additional suture at 6 o’clock was placed to compensate for astigmatism.\n\nPostoperatively, uncorrected distance visual acuity improved to 0.6, and best corrected visual acuity did not improve further with optical correction.\n\nAt one-year follow-up, hyperopia had increased by +1.50 D. As the patient was also developing an early cataract, phacoemulsification was performed with implantation of a small-aperture IC-8 intraocular lens to enhance depth of focus and reduce the impact of residual corneal irregularity.\n\nAt more than one year after cataract surgery, the patient maintains 0.6 uncorrected visual acuity at far, intermediate and near distances in the left eye, with good subjective visual quality and refractive stability.",
        "Conclusion/Take home message": "Late hyperopic shift after RK reflects progressive biomechanical corneal instability rather than a purely refractive error. Corneal cerclage can partially restore corneal shape by peripheral compression and central steepening, improving optical conditions and aiding intraocular lens calculation. In selected patients with recurrent hyperopia and early cataract, staged management combining biomechanical stabilization and small-aperture IOL implantation may optimize long-term outcomes in complex post-RK patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Late hyperopic shift after RK reflects progressive biomechanical corneal instability rather than a purely refractive error. Corneal cerclage can partially restore corneal shape by peripheral compression and central steepening, improving optical conditions and aiding intraocular lens calculation. In selected patients with recurrent hyperopia and early cataract, staged management combining biomechanical stabilization…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 38,
      "source_fields": {
        "Abstract Final Identifier": "CC03.09",
        "Title": "Staged Surgical Management Of Progressive Hyperopia After Radial Keratotomy",
        "Presenting Author(s)": "Ms Andrea Pastor Asensio",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Andrea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pastor",
        "Country Name": "Spain",
        "Purpose": "To illustrate the staged surgical management of severe progressive hyperopia after radial keratotomy (RK), combining corneal cerclage and subsequent cataract surgery with small-aperture intraocular lens implantation to achieve long-term refractive stability and functional vision.",
        "Setting": "Cornea department, Centro de Oftalmología Barraquer, Barcelona (Spain)",
        "Report of case": "A 58-year-old patient with prior RK presented with severe progressive hyperopia in the left eye (OS), reaching +10.00 D, with marked central corneal flattening on corneal topography. Corrected distance visual acuity (CDVA) was 0.4 with high hyperopic correction. Visual quality was further affected by higher-order aberrations induced by radial incisions.\n\nDue to significant biomechanical weakening, corneal cerclage using Greene’s Lasso technique was performed. The circumferential compression of the peripheral cornea induced central steepening, aiming to restore a more physiological corneal architecture. Intraoperative keratometry with a portable keratometer showed an increase of 9 D in central keratometry. Based on intraoperative keratoscopy findings, an additional suture at 6 o’clock was placed to compensate for astigmatism.\n\nPostoperatively, uncorrected distance visual acuity improved to 0.6, and best corrected visual acuity did not improve further with optical correction.\n\nAt one-year follow-up, hyperopia had increased by +1.50 D. As the patient was also developing an early cataract, phacoemulsification was performed with implantation of a small-aperture IC-8 intraocular lens to enhance depth of focus and reduce the impact of residual corneal irregularity.\n\nAt more than one year after cataract surgery, the patient maintains 0.6 uncorrected visual acuity at far, intermediate and near distances in the left eye, with good subjective visual quality and refractive stability.",
        "Conclusion/Take home message": "Late hyperopic shift after RK reflects progressive biomechanical corneal instability rather than a purely refractive error. Corneal cerclage can partially restore corneal shape by peripheral compression and central steepening, improving optical conditions and aiding intraocular lens calculation. In selected patients with recurrent hyperopia and early cataract, staged management combining biomechanical stabilization and small-aperture IOL implantation may optimize long-term outcomes in complex post-RK patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "CC03.10",
      "abstract_number": "CC03.10",
      "title": "Complex Ocular Reconstruction For Visual Salvation With Visiongraft®",
      "authors": "A/Prof. Wan Haslina Halim",
      "presenter": "A/Prof. Wan Haslina Halim",
      "normalized_authors": [
        "Wan Haslina Halim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wan Haslina Halim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To highlight the success of VisionGraft® in for therapeutic and tectonic keratoplasty in complex keratoplasty-vitrectomy surgery cases",
        "Setting": "Ophthalmology Clinic, Hospital Canselor Tunku Mukhriz, Universiti Kebangsaan Malaysia in Kuala Lumpur, Malaysia",
        "Report of case": "Report of 4 cases of complex corneal transplantation surgery with Visiongraft, a readily available, non-immunogenic, cross-linked corneal tissue. All cases showed stable graft and no recurrent infection up to 1 year postoperative.\n\nCase 1\n\nA 77-year-old gentleman presented with severe right eye exogenous endophthalmitis , complicated with inferior retinal detachment. He underwent temporary keratoprosthesis (KPro), pars plana vitrectomy (PPV) with Densiron, and VisionGraft® transplant. His vision improved from vague perception of light to 1/60.\n\nCase 2\n\nA 64-year-old female, with a history of penetrating keratoplasty (PK) developed exogenous endophthalmitis from a suture-related ulcer requiring re-PK. Subsequently required further required complex revision surgery, including temporary keratoplasty, membranectomy, PPV, and Ahmed tube revision. VisionGraft® was transplanted . Her vision improved from HM to CF.\n\nCase 3\n\nA 27-year-old female presented with mixed bacterial/fungal corneal ulcer. The ulcer progressed to exogenous endophthalmitis. She underwent AC washout, temporary KPro, PPV, and VisionGraft® transplantation.Post-surgery, LE vision improved from HM to 6/60.\n\nCase 4: A 45-year-old diabetic male with prior penetrating trauma presented with recalcitrant fungal keratitis and secondary endophthalmitis. He underwent salvage therapeutic penetrating keratoplasty with VisionGraft®. Postoperative outcomes demonstrated infection resolution and tectonic stabilization with vision of HM.",
        "Conclusion/Take home message": "All cases showed no-recurrence of corneal infection post transplant and was planned for further optical keratoplasty for vision. VisionGraft® is effective in complex ocular reconstructions, particularly in scenarios involving severe infection and extensive tissue damage that requires corneal transplantation. For critical therapeutic and tectonic transplant cases, Visiongraft® offers substantial benefits in preserving vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "All cases showed no-recurrence of corneal infection post transplant and was planned for further optical keratoplasty for vision. VisionGraft® is effective in complex ocular reconstructions, particularly in scenarios involving severe infection and extensive tissue damage that requires corneal transplantation. For critical therapeutic and tectonic transplant cases, Visiongraft® offers substantial benefits in…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 39,
      "source_fields": {
        "Abstract Final Identifier": "CC03.10",
        "Title": "Complex Ocular Reconstruction For Visual Salvation With Visiongraft®",
        "Presenting Author(s)": "A/Prof. Wan Haslina Halim",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Wan Haslina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Halim",
        "Country Name": "Malaysia",
        "Purpose": "To highlight the success of VisionGraft® in for therapeutic and tectonic keratoplasty in complex keratoplasty-vitrectomy surgery cases",
        "Setting": "Ophthalmology Clinic, Hospital Canselor Tunku Mukhriz, Universiti Kebangsaan Malaysia in Kuala Lumpur, Malaysia",
        "Report of case": "Report of 4 cases of complex corneal transplantation surgery with Visiongraft, a readily available, non-immunogenic, cross-linked corneal tissue. All cases showed stable graft and no recurrent infection up to 1 year postoperative.\n\nCase 1\n\nA 77-year-old gentleman presented with severe right eye exogenous endophthalmitis , complicated with inferior retinal detachment. He underwent temporary keratoprosthesis (KPro), pars plana vitrectomy (PPV) with Densiron, and VisionGraft® transplant. His vision improved from vague perception of light to 1/60.\n\nCase 2\n\nA 64-year-old female, with a history of penetrating keratoplasty (PK) developed exogenous endophthalmitis from a suture-related ulcer requiring re-PK. Subsequently required further required complex revision surgery, including temporary keratoplasty, membranectomy, PPV, and Ahmed tube revision. VisionGraft® was transplanted . Her vision improved from HM to CF.\n\nCase 3\n\nA 27-year-old female presented with mixed bacterial/fungal corneal ulcer. The ulcer progressed to exogenous endophthalmitis. She underwent AC washout, temporary KPro, PPV, and VisionGraft® transplantation.Post-surgery, LE vision improved from HM to 6/60.\n\nCase 4: A 45-year-old diabetic male with prior penetrating trauma presented with recalcitrant fungal keratitis and secondary endophthalmitis. He underwent salvage therapeutic penetrating keratoplasty with VisionGraft®. Postoperative outcomes demonstrated infection resolution and tectonic stabilization with vision of HM.",
        "Conclusion/Take home message": "All cases showed no-recurrence of corneal infection post transplant and was planned for further optical keratoplasty for vision. VisionGraft® is effective in complex ocular reconstructions, particularly in scenarios involving severe infection and extensive tissue damage that requires corneal transplantation. For critical therapeutic and tectonic transplant cases, Visiongraft® offers substantial benefits in preserving vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "CC03.11",
      "abstract_number": "CC03.11",
      "title": "Combination Of Intracorneal Ring-Supported Graft And Human Wharton’S Jelly Derived Mesenchymal Stem Cells For The Treatment Of Keratoconus",
      "authors": "Dr Hossein Aghamollaei",
      "presenter": "Dr Hossein Aghamollaei",
      "normalized_authors": [
        "Hossein Aghamollaei"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hossein Aghamollaei",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To report the 6-month follow-up of an innovative ring transplantation method using GMP-Compliant/Clinical grad human Wharton's jelly mesenchymal stromal cells (hWJ-MSCs), as the first human study in the world, to treat a keratoconus in the right eye.",
        "Setting": "Prospective interventioal case report , conducted in the Vision Helth Research Center, Semnan, Iran",
        "Report of case": "A 27-year-old female patient with stage 2 keratoconus in the right eye underwent intracorneal ring supported allograft implantation and simultaneous injection of GMP-compliant human WJ-MSCs. Preoperative and postoperative (1-month, 3-month and 6-month) assessments included corneal topography, biomechanical evaluation using Corvis ST, anterior segment optical coherence tomography (AS-OCT), and specular microscopy.\n\nAt 1 month, the corneal topography showed a significant improvement in regularity, with a decrease in the maximum keratometry (Kmax) from 57.6 to 55.9 diopters (D) and a reduction in corneal astigmatism from 3.9 to 1.7 D. Corneal biomechanical parameters also improved, with a decrease in the maximum deformation amplitude (DA) from 1.11 to 0.93 mm and an increase in the highest concavity radius (HCR) from 5.68 to 5.36 mm. The central corneal thickness (CCT) increased from 431 to 665 µm. The 3- and 6-month follow-up indicated that the topography and biomechanics of the cornea remained stable, witout any complication.",
        "Conclusion/Take home message": "The implantation of an innovative intracorneal ring-supported graft combined with human WJ-MSCs, changed the shape of the cornea, improved its biomechanical properties, and enhanced visual outcomes in this patient with keratoconus, demonstrating its potential as a suitable treatment option."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "The implantation of an innovative intracorneal ring-supported graft combined with human WJ-MSCs, changed the shape of the cornea, improved its biomechanical properties, and enhanced visual outcomes in this patient with keratoconus, demonstrating its potential as a suitable treatment option.",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 40,
      "source_fields": {
        "Abstract Final Identifier": "CC03.11",
        "Title": "Combination Of Intracorneal Ring-Supported Graft And Human Wharton’S Jelly Derived Mesenchymal Stem Cells For The Treatment Of Keratoconus",
        "Presenting Author(s)": "Dr Hossein Aghamollaei",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hossein",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aghamollaei",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To report the 6-month follow-up of an innovative ring transplantation method using GMP-Compliant/Clinical grad human Wharton's jelly mesenchymal stromal cells (hWJ-MSCs), as the first human study in the world, to treat a keratoconus in the right eye.",
        "Setting": "Prospective interventioal case report , conducted in the Vision Helth Research Center, Semnan, Iran",
        "Report of case": "A 27-year-old female patient with stage 2 keratoconus in the right eye underwent intracorneal ring supported allograft implantation and simultaneous injection of GMP-compliant human WJ-MSCs. Preoperative and postoperative (1-month, 3-month and 6-month) assessments included corneal topography, biomechanical evaluation using Corvis ST, anterior segment optical coherence tomography (AS-OCT), and specular microscopy.\n\nAt 1 month, the corneal topography showed a significant improvement in regularity, with a decrease in the maximum keratometry (Kmax) from 57.6 to 55.9 diopters (D) and a reduction in corneal astigmatism from 3.9 to 1.7 D. Corneal biomechanical parameters also improved, with a decrease in the maximum deformation amplitude (DA) from 1.11 to 0.93 mm and an increase in the highest concavity radius (HCR) from 5.68 to 5.36 mm. The central corneal thickness (CCT) increased from 431 to 665 µm. The 3- and 6-month follow-up indicated that the topography and biomechanics of the cornea remained stable, witout any complication.",
        "Conclusion/Take home message": "The implantation of an innovative intracorneal ring-supported graft combined with human WJ-MSCs, changed the shape of the cornea, improved its biomechanical properties, and enhanced visual outcomes in this patient with keratoconus, demonstrating its potential as a suitable treatment option."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "CC03.12",
      "abstract_number": "CC03.12",
      "title": "Cairs At The Edge: Melt And Endothelial-Level Placement",
      "authors": "Dr Omar Alabbasi",
      "presenter": "Dr Omar Alabbasi",
      "normalized_authors": [
        "Omar Alabbasi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omar Alabbasi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To report two uncommon and previously underreported complications of Corneal Allogenic Intrastromal Ring Segment (CAIRS) implantation in keratoconus:\n\n•\nPostoperative corneal melt with early extrusion\n\n•\nInadvertent pre-Descemet’s (ultra-deep) stromal implantation\n\nand to discuss their management and clinical outcomes.",
        "Setting": "Department of Ophthalmology, King Salman Medical City and Ohud Hospital, Al-Madinah, Saudi Arabia.",
        "Report of case": "Case 1 – Corneal Melt\n\nA 19-year-old male with keratoconus underwent manual CAIRS implantation after contact lens intolerance.\n\nOne week postoperatively, following vigorous eye rubbing, localized stromal melt developed over the central segment with partial bulging.\n\nManagement included:\n\n•\nMultilayer dehydrated amniotic membrane transplantation (AMT)\n\n•\nBandage contact lens (BCL)\n\n•\nTopical corticosteroids and antibiotics\n\n•\nSerial anterior segment OCT monitoring\n\nA second AMT application was required.\n\nCase 2 – Pre-Descemet’s Implantation\n\nA 30-year-old female with advanced keratoconus and prior CXL underwent femtosecond laser-assisted CAIRS implantation.\n\nAlthough intended depth was 250 µm, postoperative AS-OCT revealed unintended placement at the pre-Descemet’s level, posing theoretical endothelial risk.\n\nThe patient was managed conservatively with close monitoring.",
        "Conclusion/Take home message": "These two cases highlight that:\n\n•\nCAIRS, despite improved biocompatibility, can present with rare complications.\n\n•\nCorneal melt can be successfully managed conservatively using multilayer AMT without segment removal.\n\n•\nUltra-deep (pre-Descemet’s) CAIRS placement may not necessarily compromise short-term outcomes, though endothelial monitoring remains essential.\n\n•\nSurgical depth control remains critical; manual dissection and OCT-guided femtosecond platforms may enhance safety.\n\nThis report expands the current understanding of CAIRS safety profile and provides practical management strategies for atypical complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "These two cases highlight that: • CAIRS, despite improved biocompatibility, can present with rare complications. • Corneal melt can be successfully managed conservatively using multilayer AMT without segment removal. • Ultra-deep (pre-Descemet’s) CAIRS placement may not necessarily compromise short-term outcomes, though endothelial monitoring remains essential. • Surgical depth control remains critical; manual…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 41,
      "source_fields": {
        "Abstract Final Identifier": "CC03.12",
        "Title": "Cairs At The Edge: Melt And Endothelial-Level Placement",
        "Presenting Author(s)": "Dr Omar Alabbasi",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Omar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alabbasi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To report two uncommon and previously underreported complications of Corneal Allogenic Intrastromal Ring Segment (CAIRS) implantation in keratoconus:\n\n•\nPostoperative corneal melt with early extrusion\n\n•\nInadvertent pre-Descemet’s (ultra-deep) stromal implantation\n\nand to discuss their management and clinical outcomes.",
        "Setting": "Department of Ophthalmology, King Salman Medical City and Ohud Hospital, Al-Madinah, Saudi Arabia.",
        "Report of case": "Case 1 – Corneal Melt\n\nA 19-year-old male with keratoconus underwent manual CAIRS implantation after contact lens intolerance.\n\nOne week postoperatively, following vigorous eye rubbing, localized stromal melt developed over the central segment with partial bulging.\n\nManagement included:\n\n•\nMultilayer dehydrated amniotic membrane transplantation (AMT)\n\n•\nBandage contact lens (BCL)\n\n•\nTopical corticosteroids and antibiotics\n\n•\nSerial anterior segment OCT monitoring\n\nA second AMT application was required.\n\nCase 2 – Pre-Descemet’s Implantation\n\nA 30-year-old female with advanced keratoconus and prior CXL underwent femtosecond laser-assisted CAIRS implantation.\n\nAlthough intended depth was 250 µm, postoperative AS-OCT revealed unintended placement at the pre-Descemet’s level, posing theoretical endothelial risk.\n\nThe patient was managed conservatively with close monitoring.",
        "Conclusion/Take home message": "These two cases highlight that:\n\n•\nCAIRS, despite improved biocompatibility, can present with rare complications.\n\n•\nCorneal melt can be successfully managed conservatively using multilayer AMT without segment removal.\n\n•\nUltra-deep (pre-Descemet’s) CAIRS placement may not necessarily compromise short-term outcomes, though endothelial monitoring remains essential.\n\n•\nSurgical depth control remains critical; manual dissection and OCT-guided femtosecond platforms may enhance safety.\n\nThis report expands the current understanding of CAIRS safety profile and provides practical management strategies for atypical complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "CC03.13",
      "abstract_number": "CC03.13",
      "title": "Bowman’S Layer Transplantation As A Therapeutic Strategy For Advanced Neurotrophic Keratopathy",
      "authors": "Mrs Agnieszka Ćwiklińska-Haszcz",
      "presenter": "Mrs Agnieszka Ćwiklińska-Haszcz",
      "normalized_authors": [
        "Agnieszka Ćwiklińska-Haszcz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dominika Wróbel-Dudzińska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate the role of Bowman’s layer transplantation in stabilizing the ocular surface in eyes with advanced neurotrophic keratopathy at imminent risk of corneal perforation.",
        "Setting": "This study included four eyes with neurotrophic corneal ulcers treated at the Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Poland.",
        "Report of case": "This descriptive case series included four eyes with severe neurotrophic keratopathy threatening corneal perforation that underwent Bowman’s layer transplantation after failure of conventional medical therapy. The following parameters were assessed: best-corrected visual acuity (BCVA), corneal epithelial healing, changes in corneal thickness measured by anterior segment optical coherence tomography (AS-OCT), and the need for additional surgical interventions.\n\nResults\n\nIn all four eyes, Bowman’s layer transplantation provided effective structural reinforcement of the anterior cornea. The acellular, collagen-rich Bowman’s layer acted as a protective scaffold, promoting epithelial stabilization and reducing stromal exposure. The procedure prevented imminent corneal perforation in all cases and contributed to the resolution of persistent epithelial defects. Although corneal innervation was not restored, corneal integrity was maintained, and the need for emergency penetrating keratoplasty was avoided throughout the follow-up period.",
        "Conclusion/Take home message": "Bowman’s layer transplantation appears to be a valuable surgical option for eyes with advanced neurotrophic keratopathy at high risk of perforation. By enhancing corneal biomechanical stability and supporting epithelial healing, this technique may serve as an effective globe-preserving intervention in carefully selected cases. Larger studies are warranted to confirm these findings and to better define long-term outcomes and indications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Bowman’s layer transplantation appears to be a valuable surgical option for eyes with advanced neurotrophic keratopathy at high risk of perforation. By enhancing corneal biomechanical stability and supporting epithelial healing, this technique may serve as an effective globe-preserving intervention in carefully selected cases. Larger studies are warranted to confirm these findings and to better define long-term…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 42,
      "source_fields": {
        "Abstract Final Identifier": "CC03.13",
        "Title": "Bowman’S Layer Transplantation As A Therapeutic Strategy For Advanced Neurotrophic Keratopathy",
        "Presenting Author(s)": "Mrs Agnieszka Ćwiklińska-Haszcz",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Dominika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wróbel-Dudzińska",
        "Country Name": "Poland",
        "Purpose": "To evaluate the role of Bowman’s layer transplantation in stabilizing the ocular surface in eyes with advanced neurotrophic keratopathy at imminent risk of corneal perforation.",
        "Setting": "This study included four eyes with neurotrophic corneal ulcers treated at the Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Poland.",
        "Report of case": "This descriptive case series included four eyes with severe neurotrophic keratopathy threatening corneal perforation that underwent Bowman’s layer transplantation after failure of conventional medical therapy. The following parameters were assessed: best-corrected visual acuity (BCVA), corneal epithelial healing, changes in corneal thickness measured by anterior segment optical coherence tomography (AS-OCT), and the need for additional surgical interventions.\n\nResults\n\nIn all four eyes, Bowman’s layer transplantation provided effective structural reinforcement of the anterior cornea. The acellular, collagen-rich Bowman’s layer acted as a protective scaffold, promoting epithelial stabilization and reducing stromal exposure. The procedure prevented imminent corneal perforation in all cases and contributed to the resolution of persistent epithelial defects. Although corneal innervation was not restored, corneal integrity was maintained, and the need for emergency penetrating keratoplasty was avoided throughout the follow-up period.",
        "Conclusion/Take home message": "Bowman’s layer transplantation appears to be a valuable surgical option for eyes with advanced neurotrophic keratopathy at high risk of perforation. By enhancing corneal biomechanical stability and supporting epithelial healing, this technique may serve as an effective globe-preserving intervention in carefully selected cases. Larger studies are warranted to confirm these findings and to better define long-term outcomes and indications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "CC03.14",
      "abstract_number": "CC03.14",
      "title": "Undiagnosed Brittle Cornea Syndrome Presenting As Advanced Keratoconus: Surgical Challenges During Dalk",
      "authors": "A/Prof. Hafize Gökben Ulutaş",
      "presenter": "A/Prof. Hafize Gökben Ulutaş",
      "normalized_authors": [
        "Hafize Gökben Ulutaş"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hafize Gökben Ulutas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To report the surgical challenges and postoperative management of a patient with advanced keratoconus and previously undiagnosed Brittle Cornea Syndrome (BCS) who underwent deep anterior lamellar keratoplasty (DALK).",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Report of case": "A 24-year-old male, had a history of penetrating keratoplasty in his left eye in 2018. Visual acuity (VA) was 1.0 logMAR in the right and 0.3 logMAR in the left eye. Examination revealed a steep cone in the right eye. Central corneal thickness was 220 µm, and Kmax was 70 D. DALK was performed on the right eye. Prior to applying the big-bubble (BB) technique, spontaneous separation of the stroma was observed while grasping the tissue with toothed forceps during the lamellar corneal incision. The stroma easily separated from the intact Descemet membrane with mild traction, without the formation of a BB. Pronounced corneal fragility was noted during the suturing of donor stroma. Aqueous leakage from the recipient cornea complicated the formation of the anterior chamber, prompting an intracameral SF6 injection. Persistent leakage from the suture tracts further confirmed the profound tissue fragility. Following graft stabilization, a tight amniotic membrane was applied to the ocular surface to prevent further leakage. Given the extreme corneal fragility, an underlying connective tissue disorder was suspected. A detailed physical examination revealed joint hypermobility and skin hyperextensibility. Genetic testing for BCS was requested. The identification of a pathogenic PRDM5 variant confirmed the diagnosis of autosomal recessive Brittle Cornea Syndrome type 2. During the follow-up period 6 months, the graft adhered completely and remained transparent. VA improved to 0.3 logMAR.",
        "Conclusion/Take home message": "Brittle Corneal Syndrome is a rare autosomal recessive connective tissue disorder characterized by severe corneal thinning and fragility. Brittle Corneal Syndrome should be considered in cases of extreme corneal thinning. Given the risk of spontaneous corneal rupture and the technical challenges of surgical management, early diagnosis is essential for proper surgical planning and long-term follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "Brittle Corneal Syndrome is a rare autosomal recessive connective tissue disorder characterized by severe corneal thinning and fragility. Brittle Corneal Syndrome should be considered in cases of extreme corneal thinning. Given the risk of spontaneous corneal rupture and the technical challenges of surgical management, early diagnosis is essential for proper surgical planning and long-term follow-up.",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 43,
      "source_fields": {
        "Abstract Final Identifier": "CC03.14",
        "Title": "Undiagnosed Brittle Cornea Syndrome Presenting As Advanced Keratoconus: Surgical Challenges During Dalk",
        "Presenting Author(s)": "A/Prof. Hafize Gökben Ulutaş",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Hafize Gökben",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ulutas",
        "Country Name": "Türkiye",
        "Purpose": "To report the surgical challenges and postoperative management of a patient with advanced keratoconus and previously undiagnosed Brittle Cornea Syndrome (BCS) who underwent deep anterior lamellar keratoplasty (DALK).",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Report of case": "A 24-year-old male, had a history of penetrating keratoplasty in his left eye in 2018. Visual acuity (VA) was 1.0 logMAR in the right and 0.3 logMAR in the left eye. Examination revealed a steep cone in the right eye. Central corneal thickness was 220 µm, and Kmax was 70 D. DALK was performed on the right eye. Prior to applying the big-bubble (BB) technique, spontaneous separation of the stroma was observed while grasping the tissue with toothed forceps during the lamellar corneal incision. The stroma easily separated from the intact Descemet membrane with mild traction, without the formation of a BB. Pronounced corneal fragility was noted during the suturing of donor stroma. Aqueous leakage from the recipient cornea complicated the formation of the anterior chamber, prompting an intracameral SF6 injection. Persistent leakage from the suture tracts further confirmed the profound tissue fragility. Following graft stabilization, a tight amniotic membrane was applied to the ocular surface to prevent further leakage. Given the extreme corneal fragility, an underlying connective tissue disorder was suspected. A detailed physical examination revealed joint hypermobility and skin hyperextensibility. Genetic testing for BCS was requested. The identification of a pathogenic PRDM5 variant confirmed the diagnosis of autosomal recessive Brittle Cornea Syndrome type 2. During the follow-up period 6 months, the graft adhered completely and remained transparent. VA improved to 0.3 logMAR.",
        "Conclusion/Take home message": "Brittle Corneal Syndrome is a rare autosomal recessive connective tissue disorder characterized by severe corneal thinning and fragility. Brittle Corneal Syndrome should be considered in cases of extreme corneal thinning. Given the risk of spontaneous corneal rupture and the technical challenges of surgical management, early diagnosis is essential for proper surgical planning and long-term follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "CC03.15",
      "abstract_number": "CC03.15",
      "title": "Salvaging The Corynebacterium–Herpetic Melt: Stromal-Peel Dalk-On-Pk After Glued Full-Thickness Perforation Reveals Unexpected Posterior Integrity",
      "authors": "Mr George Castle",
      "presenter": "Mr George Castle",
      "normalized_authors": [
        "George Castle"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tim Johanan Rajaratnam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To demonstrate that stromal-peel deep anterior lamellar keratoplasty (DALK) can be successfully performed within a previous penetrating keratoplasty (PK) after a cyanoacrylate-sealed full-thickness perforation caused by combined Corynebacterium and herpetic keratitis, showing that posterior corneal integrity may recover sufficiently to permit an endothelium-sparing alternative to redo PK without pneumatic dissection.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom",
        "Report of case": "A man in his early 70s with keratoconus and a history of herpes simplex keratitis had undergone left PK 9 years earlier for severe hydrops. He subsequently developed severe infectious keratitis due to Corynebacterium species with concurrent herpetic disease, complicated by a full-thickness corneal perforation, managed with cyanoacrylate glue and bandage contact lens support. Owing to the full-thickness defect, redo PK was initially planned.\n\nDefinitive surgery was undertaken once the eye had stabilised. Given the vascularised, herpetic ocular surface and high rejection risk, DALK was attempted as an endothelium-preserving strategy.\n\nAfter removal of the cyanoacrylate glue, dissection initiated at the graft–host junction revealed a natural lamellar cleavage plane. The corneal stroma was then peeled en bloc in a single layer, without pneumatic dissection.\n\nDespite the prior full-thickness perforation, the pre-Descemet layer complex was intact and the perforation had completely healed, allowing completion of DALK without entry into the anterior chamber and avoiding conversion to redo PK. Donor anterior lamellar tissue was secured in standard fashion.",
        "Conclusion/Take home message": "A cyanoacrylate-sealed full-thickness perforation from severe bacterial and herpetic keratitis does not necessarily mandate redo PK. In selected post-perforation eyes, posterior corneal layers may recover structural integrity sufficient for lamellar reconstruction. En bloc stromal peeling can enable DALK as an endothelium-sparing alternative, reducing rejection risk while restoring tectonic stability. Importantly, a lamellar plane of separation commonly exists at the graft–host interface in eyes with prior PK, which can be exploited to access the pre-Descemet plane. This case highlights the potential for biological restoration of posterior integrity even after full-thickness corneal perforation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Report of case",
        "Conclusion/Take home message"
      ],
      "summary": "A cyanoacrylate-sealed full-thickness perforation from severe bacterial and herpetic keratitis does not necessarily mandate redo PK. In selected post-perforation eyes, posterior corneal layers may recover structural integrity sufficient for lamellar reconstruction. En bloc stromal peeling can enable DALK as an endothelium-sparing alternative, reducing rejection risk while restoring tectonic stability. Importantly,…",
      "session_type": "Case Report",
      "track": "Corneal Surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Case report",
      "source_row": 44,
      "source_fields": {
        "Abstract Final Identifier": "CC03.15",
        "Title": "Salvaging The Corynebacterium–Herpetic Melt: Stromal-Peel Dalk-On-Pk After Glued Full-Thickness Perforation Reveals Unexpected Posterior Integrity",
        "Presenting Author(s)": "Mr George Castle",
        "Abstract Topic Name": "Corneal Surgery",
        "Submitter First Name": "Tim",
        "Submitter Middle Name": "Johanan",
        "Submitter Last Name": "Rajaratnam",
        "Country Name": "United Kingdom",
        "Purpose": "To demonstrate that stromal-peel deep anterior lamellar keratoplasty (DALK) can be successfully performed within a previous penetrating keratoplasty (PK) after a cyanoacrylate-sealed full-thickness perforation caused by combined Corynebacterium and herpetic keratitis, showing that posterior corneal integrity may recover sufficiently to permit an endothelium-sparing alternative to redo PK without pneumatic dissection.",
        "Setting": "Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom",
        "Report of case": "A man in his early 70s with keratoconus and a history of herpes simplex keratitis had undergone left PK 9 years earlier for severe hydrops. He subsequently developed severe infectious keratitis due to Corynebacterium species with concurrent herpetic disease, complicated by a full-thickness corneal perforation, managed with cyanoacrylate glue and bandage contact lens support. Owing to the full-thickness defect, redo PK was initially planned.\n\nDefinitive surgery was undertaken once the eye had stabilised. Given the vascularised, herpetic ocular surface and high rejection risk, DALK was attempted as an endothelium-preserving strategy.\n\nAfter removal of the cyanoacrylate glue, dissection initiated at the graft–host junction revealed a natural lamellar cleavage plane. The corneal stroma was then peeled en bloc in a single layer, without pneumatic dissection.\n\nDespite the prior full-thickness perforation, the pre-Descemet layer complex was intact and the perforation had completely healed, allowing completion of DALK without entry into the anterior chamber and avoiding conversion to redo PK. Donor anterior lamellar tissue was secured in standard fashion.",
        "Conclusion/Take home message": "A cyanoacrylate-sealed full-thickness perforation from severe bacterial and herpetic keratitis does not necessarily mandate redo PK. In selected post-perforation eyes, posterior corneal layers may recover structural integrity sufficient for lamellar reconstruction. En bloc stromal peeling can enable DALK as an endothelium-sparing alternative, reducing rejection risk while restoring tectonic stability. Importantly, a lamellar plane of separation commonly exists at the graft–host interface in eyes with prior PK, which can be exploited to access the pre-Descemet plane. This case highlights the potential for biological restoration of posterior integrity even after full-thickness corneal perforation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "FP01.01",
      "abstract_number": "FP01.01",
      "title": "Impact Of Preoperative Visual Simulation On Clinical Decision-Making And Patient Counseling: A Multicenter Real-World Clinician Survey",
      "authors": "Julien Combes",
      "presenter": "Julien Combes",
      "normalized_authors": [
        "Julien Combes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicolas Alejandre",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the perceived impact of preoperative binocular visual simulation on clinical confidence, patient counseling, shared decision-making, and intraocular lens (IOL) selection in routine cataract and refractive lens exchange practice, based on clinician-reported real-world experience.",
        "Setting": "Multicenter survey of ten ophthalmological clinics incorporating binocular visual simulation (SimVis Gekko) into routine preoperative counseling for presbyopic patients.",
        "Methods": "A structured 24-item questionnaire was completed by the ten earliest adopters of SimVis Gekko in clinical practice as a decision aid during IOL counseling. The survey was organized into thematic sections addressing clinical confidence, shared decision-making, patient understanding, expectation management, consultation workflow, usability, and conversion rates. Most items were rated using a 5-point Likert scale, complemented by percentage-based estimations, multiple-choice questions, and open-ended responses. This exploratory clinician survey assessed the perceived impact of visual simulation on clinical decision-making and surgical planning. Descriptive analysis was performed.",
        "Results": "All respondents (100%) reported weekly use; 70% used the device in >25% of preoperative consultations. Its use was focused on cataract and refractive lens exchange procedures. All clinicians reported increased confidence in recommending IOL strategies and improved explanation of visual trade-offs. Simulation prompted modification of the initial IOL plan in at least some cases for all respondents; 50% reported changes >20% of consultations. 80% reported reduced postoperative dissatisfaction and increased premium IOL conversion (estimated +5% to >40%). 40% reported unchanged or reduced consultation time despite 10-20 minutes of device use; in 10% use took <5 minutes. Mean satisfaction was 9/10, highest among users with >12 months’ experience.",
        "Conclusions": "In this real-world multicenter clinician survey, preoperative binocular visual simulation was consistently associated with greater clinical confidence, improved communication of visual trade-offs, and frequent modification on initial IOL selection. The tool supported shared decision-making and expectation alignment, particularly in borderline premium IOL candidates. Most clinicians reported increased premium conversion rates and reduced postoperative dissatisfaction, while also identifying unsuitable candidates more effectively. Despite occasional increases in consultation time, overall satisfaction was high, especially among experienced users, suggesting a positive learning curve and meaningful clinical value."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world multicenter clinician survey, preoperative binocular visual simulation was consistently associated with greater clinical confidence, improved communication of visual trade-offs, and frequent modification on initial IOL selection. The tool supported shared decision-making and expectation alignment, particularly in borderline premium IOL candidates. Most clinicians reported increased premium…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 2,
      "source_fields": {
        "Abstract Final Identifier": "FP01.01",
        "Title": "Impact Of Preoperative Visual Simulation On Clinical Decision-Making And Patient Counseling: A Multicenter Real-World Clinician Survey",
        "Presenting Author(s)": "Julien Combes",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Nicolas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alejandre",
        "Country Name": "Spain",
        "Purpose": "To evaluate the perceived impact of preoperative binocular visual simulation on clinical confidence, patient counseling, shared decision-making, and intraocular lens (IOL) selection in routine cataract and refractive lens exchange practice, based on clinician-reported real-world experience.",
        "Setting": "Multicenter survey of ten ophthalmological clinics incorporating binocular visual simulation (SimVis Gekko) into routine preoperative counseling for presbyopic patients.",
        "Methods": "A structured 24-item questionnaire was completed by the ten earliest adopters of SimVis Gekko in clinical practice as a decision aid during IOL counseling. The survey was organized into thematic sections addressing clinical confidence, shared decision-making, patient understanding, expectation management, consultation workflow, usability, and conversion rates. Most items were rated using a 5-point Likert scale, complemented by percentage-based estimations, multiple-choice questions, and open-ended responses. This exploratory clinician survey assessed the perceived impact of visual simulation on clinical decision-making and surgical planning. Descriptive analysis was performed.",
        "Results": "All respondents (100%) reported weekly use; 70% used the device in >25% of preoperative consultations. Its use was focused on cataract and refractive lens exchange procedures. All clinicians reported increased confidence in recommending IOL strategies and improved explanation of visual trade-offs. Simulation prompted modification of the initial IOL plan in at least some cases for all respondents; 50% reported changes >20% of consultations. 80% reported reduced postoperative dissatisfaction and increased premium IOL conversion (estimated +5% to >40%). 40% reported unchanged or reduced consultation time despite 10-20 minutes of device use; in 10% use took <5 minutes. Mean satisfaction was 9/10, highest among users with >12 months’ experience.",
        "Conclusions": "In this real-world multicenter clinician survey, preoperative binocular visual simulation was consistently associated with greater clinical confidence, improved communication of visual trade-offs, and frequent modification on initial IOL selection. The tool supported shared decision-making and expectation alignment, particularly in borderline premium IOL candidates. Most clinicians reported increased premium conversion rates and reduced postoperative dissatisfaction, while also identifying unsuitable candidates more effectively. Despite occasional increases in consultation time, overall satisfaction was high, especially among experienced users, suggesting a positive learning curve and meaningful clinical value."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "FP01.02",
      "abstract_number": "FP01.02",
      "title": "Patient Motivations For Cataract And Refractive Surgery",
      "authors": "Prof. Clare ODonnell",
      "presenter": "Prof. Clare ODonnell",
      "normalized_authors": [
        "Clare ODonnell"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess patient motivations and suitability for cataract and refractive surgery through a virtual consultation pathway.",
        "Setting": "Optegra Eye Health Care",
        "Methods": "We constructed a data pipeline using a de-identified dataset of patient records. Motivation statements were extracted from 17,000 free-text clinical notes via regular expression heuristics. Results were linked with the original records, quantified, and visualised to reveal the distribution of patient motivations for surgery.",
        "Results": "Motivations for refractive/cataract surgery (n=16,600) were predominantly lifestyle driven. Freedom from optical appliances was the primary motivation (73.1%), followed by medical/clinical (32.1%) and vision (30.3%). Secondary motivations included frustration with spectacles (12.5%) and social influence (8.1%). Professional demands (3.3%), sports/physical activity (3.6%), and cost (0.5%) were less less commonly cited. Among patients seeking freedom from contact lenses (n=5,076), reported drivers included inadequate visual acuity with multifocal/monovision or toric prescriptions (8.6%), lens-induced dry eye (8.0%), intolerance (2.6%), handling difficulties (2.6%) and prior adverse events including microbial keratitis and neovascularisation.",
        "Conclusions": "This study demonstrates patient-driven lifestyle preferences, particularly desire for appliance independence, are the predominant motivators for refractive surgery. Quality-of-life considerations significantly influence surgical uptake. Among contact lens wearers, comfort-related issues and safety concerns contribute to the decision for surgery. These findings underscore the importance of patient-centred consultations that address clinical and lifestyle expectations within digital care pathways, ensuring informed decision-making and optimised postoperative satisfaction. Further analysis of patient demographics, correlation between motivations and final surgical outcomes, and long-term satisfaction metrics will be performed in due course."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates patient-driven lifestyle preferences, particularly desire for appliance independence, are the predominant motivators for refractive surgery. Quality-of-life considerations significantly influence surgical uptake. Among contact lens wearers, comfort-related issues and safety concerns contribute to the decision for surgery. These findings underscore the importance of patient-centred…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 3,
      "source_fields": {
        "Abstract Final Identifier": "FP01.02",
        "Title": "Patient Motivations For Cataract And Refractive Surgery",
        "Presenting Author(s)": "Prof. Clare ODonnell",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To assess patient motivations and suitability for cataract and refractive surgery through a virtual consultation pathway.",
        "Setting": "Optegra Eye Health Care",
        "Methods": "We constructed a data pipeline using a de-identified dataset of patient records. Motivation statements were extracted from 17,000 free-text clinical notes via regular expression heuristics. Results were linked with the original records, quantified, and visualised to reveal the distribution of patient motivations for surgery.",
        "Results": "Motivations for refractive/cataract surgery (n=16,600) were predominantly lifestyle driven. Freedom from optical appliances was the primary motivation (73.1%), followed by medical/clinical (32.1%) and vision (30.3%). Secondary motivations included frustration with spectacles (12.5%) and social influence (8.1%). Professional demands (3.3%), sports/physical activity (3.6%), and cost (0.5%) were less less commonly cited. Among patients seeking freedom from contact lenses (n=5,076), reported drivers included inadequate visual acuity with multifocal/monovision or toric prescriptions (8.6%), lens-induced dry eye (8.0%), intolerance (2.6%), handling difficulties (2.6%) and prior adverse events including microbial keratitis and neovascularisation.",
        "Conclusions": "This study demonstrates patient-driven lifestyle preferences, particularly desire for appliance independence, are the predominant motivators for refractive surgery. Quality-of-life considerations significantly influence surgical uptake. Among contact lens wearers, comfort-related issues and safety concerns contribute to the decision for surgery. These findings underscore the importance of patient-centred consultations that address clinical and lifestyle expectations within digital care pathways, ensuring informed decision-making and optimised postoperative satisfaction. Further analysis of patient demographics, correlation between motivations and final surgical outcomes, and long-term satisfaction metrics will be performed in due course."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "FP01.03",
      "abstract_number": "FP01.03",
      "title": "Patient-Reported Outcomes And Visual Function After Four Refractive Strategies In Cataract Surgery: A Randomized Controlled Trial",
      "authors": "Mrs Anne Guldhammer Skov",
      "presenter": "Mrs Anne Guldhammer Skov",
      "normalized_authors": [
        "Anne Guldhammer Skov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anne Guldhammer Skov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Denmark",
      "sections": {
        "Purpose": "To evaluate patient-reported outcomes and visual function following pseudophakic emmetropia, mini-monovision, monovision and Extended Depth of Focus (EDF) intraocular lenses (IOLs) in a public cataract population.",
        "Setting": "Department of Ophthalmology, Rigshospitalet, Copenhagen, Denmark.",
        "Methods": "This randomized controlled trial included consecutive bilateral symptomatic cataract patients, who were randomized to implantation with monofocal IOLs with target refraction of 1) emmetropia (emmetropia in both eyes), 2) mini-monovision (emmetropia in the dominant eye, -1.25 diopters (D) in the non-dominant), 3) monovision (emmetropia in the dominant eye, -2.50 D in the non-dominant), or 4) EDF ( +0.01 to +0.25 in the dominant eye, -0.01 to -0.25 in the non-dominant eye) . Assessment included four patient-reported outcomes measures (PROMs), binocular uncorrected distance, intermediate and near visual acuity (VA), aniseikonia, stereoacuity, and safety.",
        "Results": "188 patients were randomized equally to the four groups. High levels of improvement in postoperative PROM scores were observed across all groups, with no significant differences between groups. All patients achieved binocular best corrected distance VA of logMAR 0.12 or better (range 0.12 to -0.26). Mini-monovision and EDF yielded comparable outcomes across visual performance, spectacle independence, and safety. Monovision provided superior uncorrected near VA and the lowest spectacle use but was associated with increased aniseikonia, impaired stereoacuity, worse binocular uncorrected distance VA, more frequent halos, lower recommendation rates, and a 6.7% reoperation rate due to binocular visual complaints.",
        "Conclusions": "All four groups achieved high levels of improvement in visual function and PROM scores. There was no statistically significant difference in PROM scores between the groups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All four groups achieved high levels of improvement in visual function and PROM scores. There was no statistically significant difference in PROM scores between the groups.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 4,
      "source_fields": {
        "Abstract Final Identifier": "FP01.03",
        "Title": "Patient-Reported Outcomes And Visual Function After Four Refractive Strategies In Cataract Surgery: A Randomized Controlled Trial",
        "Presenting Author(s)": "Mrs Anne Guldhammer Skov",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Anne",
        "Submitter Middle Name": "Guldhammer",
        "Submitter Last Name": "Skov",
        "Country Name": "Denmark",
        "Purpose": "To evaluate patient-reported outcomes and visual function following pseudophakic emmetropia, mini-monovision, monovision and Extended Depth of Focus (EDF) intraocular lenses (IOLs) in a public cataract population.",
        "Setting": "Department of Ophthalmology, Rigshospitalet, Copenhagen, Denmark.",
        "Methods": "This randomized controlled trial included consecutive bilateral symptomatic cataract patients, who were randomized to implantation with monofocal IOLs with target refraction of 1) emmetropia (emmetropia in both eyes), 2) mini-monovision (emmetropia in the dominant eye, -1.25 diopters (D) in the non-dominant), 3) monovision (emmetropia in the dominant eye, -2.50 D in the non-dominant), or 4) EDF ( +0.01 to +0.25 in the dominant eye, -0.01 to -0.25 in the non-dominant eye) . Assessment included four patient-reported outcomes measures (PROMs), binocular uncorrected distance, intermediate and near visual acuity (VA), aniseikonia, stereoacuity, and safety.",
        "Results": "188 patients were randomized equally to the four groups. High levels of improvement in postoperative PROM scores were observed across all groups, with no significant differences between groups. All patients achieved binocular best corrected distance VA of logMAR 0.12 or better (range 0.12 to -0.26). Mini-monovision and EDF yielded comparable outcomes across visual performance, spectacle independence, and safety. Monovision provided superior uncorrected near VA and the lowest spectacle use but was associated with increased aniseikonia, impaired stereoacuity, worse binocular uncorrected distance VA, more frequent halos, lower recommendation rates, and a 6.7% reoperation rate due to binocular visual complaints.",
        "Conclusions": "All four groups achieved high levels of improvement in visual function and PROM scores. There was no statistically significant difference in PROM scores between the groups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "FP01.04",
      "abstract_number": "FP01.04",
      "title": "Intraindividual Comparison Of Two Presbyopia-Correcting Iol Concepts And Their Combination Using The Real Artificial Lens Vision (Ralv®) System",
      "authors": "A/Prof. Claudette Abela-Formanek",
      "presenter": "A/Prof. Claudette Abela-Formanek",
      "normalized_authors": [
        "Claudette Abela-Formanek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudette Abela-Formanek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Extended depth of focus intraocular lenses can be categorized into Full Depth of Field (FDoF) and Partial Depth of Field (PDoF) designs. While FDoF IOLs aim to provide greater spectacle independence, they are often associated with reduced contrast sensitivity and increased photic phenomena (halo, glare). PDoF IOLs offer superior optical quality but more limited near performance. A mix-and-match strategy may combine the advantages of both concepts. This study aimed to intraindividually compare visual performance of FDoF, PDoF, and a combined approach using the Real Artificial Lens Vision (RALV®) system.",
        "Setting": "tertiary center, University clinic",
        "Methods": "Six weeks after cataract surgery and bilateral implantation of monofocal IOLs, patients were evaluated using the RALV® system, an instrument that allows subjects to look through real intraocular lenses in a noninvasive, intraindividual setting.\n\nUnder distance refractive correction, participants viewed through real IOLs. Three lens combinations (PDoF–PDoF, FDoF–FDoF, and PDoF–FDoF [mix-and-match]) were tested in randomized order. Distance visual acuity (Snellen), contrast sensitivity (logCS, Weber), quantitative halo assessment, and defocus curves were analyzed.",
        "Results": "Measurements from 36 patients were analyzed. Distance visual acuity was significantly reduced with FDoF IOLs (0.80 ± 0.15) compared with PDoF IOLs (0.94 ± 0.13; p = 0.012), whereas the mix-and-match combination demonstrated comparable values (1.01 ± 0.18; p = 0.084 vs PDoF).\n\nContrast sensitivity was lower with FDoF (1.19 ± 0.17 logCS) compared with PDoF (1.37 ± 0.16; p = 0.009) and mix-and-match (1.37 ± 0.18; p = 0.038).\n\nObjective halo perception was significantly increased with FDoF IOLs (16.0 ± 3.6) compared with PDoF (13.4 ± 3.1; p = 0.007) and the mix-and-match approach (12.6 ± 3.2; p = 0.026).\n\nRegarding defocus curves, FDoF IOLs demonstrated the largest area under the curve, followed by the mix-and-match combination and PDoF.",
        "Conclusions": "Compared with PDoF, bilateral FDoF implantation was associated with reduced distance visual acuity, decreased contrast sensitivity, and increased halo perception, while providing the broadest functional range of vision.\n\nThe mix-and-match strategy maintained optical quality comparable to PDoF while extending the depth of focus. These findings suggest that combining FDoF and PDoF IOLs may offer a balanced visual profile and represent a promising alternative for individualized presbyopia correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Compared with PDoF, bilateral FDoF implantation was associated with reduced distance visual acuity, decreased contrast sensitivity, and increased halo perception, while providing the broadest functional range of vision. The mix-and-match strategy maintained optical quality comparable to PDoF while extending the depth of focus. These findings suggest that combining FDoF and PDoF IOLs may offer a balanced visual…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 5,
      "source_fields": {
        "Abstract Final Identifier": "FP01.04",
        "Title": "Intraindividual Comparison Of Two Presbyopia-Correcting Iol Concepts And Their Combination Using The Real Artificial Lens Vision (Ralv®) System",
        "Presenting Author(s)": "A/Prof. Claudette Abela-Formanek",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Claudette",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abela-Formanek",
        "Country Name": "Austria",
        "Purpose": "Extended depth of focus intraocular lenses can be categorized into Full Depth of Field (FDoF) and Partial Depth of Field (PDoF) designs. While FDoF IOLs aim to provide greater spectacle independence, they are often associated with reduced contrast sensitivity and increased photic phenomena (halo, glare). PDoF IOLs offer superior optical quality but more limited near performance. A mix-and-match strategy may combine the advantages of both concepts. This study aimed to intraindividually compare visual performance of FDoF, PDoF, and a combined approach using the Real Artificial Lens Vision (RALV®) system.",
        "Setting": "tertiary center, University clinic",
        "Methods": "Six weeks after cataract surgery and bilateral implantation of monofocal IOLs, patients were evaluated using the RALV® system, an instrument that allows subjects to look through real intraocular lenses in a noninvasive, intraindividual setting.\n\nUnder distance refractive correction, participants viewed through real IOLs. Three lens combinations (PDoF–PDoF, FDoF–FDoF, and PDoF–FDoF [mix-and-match]) were tested in randomized order. Distance visual acuity (Snellen), contrast sensitivity (logCS, Weber), quantitative halo assessment, and defocus curves were analyzed.",
        "Results": "Measurements from 36 patients were analyzed. Distance visual acuity was significantly reduced with FDoF IOLs (0.80 ± 0.15) compared with PDoF IOLs (0.94 ± 0.13; p = 0.012), whereas the mix-and-match combination demonstrated comparable values (1.01 ± 0.18; p = 0.084 vs PDoF).\n\nContrast sensitivity was lower with FDoF (1.19 ± 0.17 logCS) compared with PDoF (1.37 ± 0.16; p = 0.009) and mix-and-match (1.37 ± 0.18; p = 0.038).\n\nObjective halo perception was significantly increased with FDoF IOLs (16.0 ± 3.6) compared with PDoF (13.4 ± 3.1; p = 0.007) and the mix-and-match approach (12.6 ± 3.2; p = 0.026).\n\nRegarding defocus curves, FDoF IOLs demonstrated the largest area under the curve, followed by the mix-and-match combination and PDoF.",
        "Conclusions": "Compared with PDoF, bilateral FDoF implantation was associated with reduced distance visual acuity, decreased contrast sensitivity, and increased halo perception, while providing the broadest functional range of vision.\n\nThe mix-and-match strategy maintained optical quality comparable to PDoF while extending the depth of focus. These findings suggest that combining FDoF and PDoF IOLs may offer a balanced visual profile and represent a promising alternative for individualized presbyopia correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 364
    },
    {
      "uid": "FP01.05",
      "abstract_number": "FP01.05",
      "title": "Halo Perception And Contrast Sensitivity In Simulated Partial Monovision Versus Bilateral Trifocal Configuration: Does Ocular Dominance Matter?",
      "authors": "Dr Vitus André Knecht",
      "presenter": "Dr Vitus André Knecht",
      "normalized_authors": [
        "Vitus André Knecht"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vitus André Knecht",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the influence of motor and sensory ocular dominance on binocular halo perception, contrast sensitivity (CS), and distance visual acuity (VA) in simulated Partial Monovision (PMV) using a trifocal and a monofocal intraocular lens (IOL), compared with bilateral trifocal implantation.",
        "Setting": "Department of Ophthalmology, University Hospital, Germany.",
        "Methods": "Thirty-six phakic subjects (age 21–30) were examined using the Real-Artificial-Lens-Vision (RALV) system (DEZIMAL/1stQ GmbH, Germany). Three binocular IOL configurations were simulated under mesopic conditions: bilateral trifocal (TT; Basis Z Trifokal, 1stQ, +3.50 D add), monofocal right/trifocal left (MT), and trifocal right/monofocal left (TM; Basis Z mono, 1stQ). Binocular visual acuity, contrast sensitivity (logCS), and halo size (RALV-integrated halo test; mrad) were assessed. Motor dominance was determined by Porta test, sensory dominance by fogging (1.5/2.5 D), and binocular fusion by Worth four-dot test. Non-parametric statistics (Friedman, Wilcoxon with Bonferroni; α=0.017) were applied after Shapiro-Wilk testing.",
        "Results": "Halo size was significantly larger with TT (13.0±2.1 mrad) than MT (7.5±1.5; p<0.001; d=2.16) and TM (7.8±1.9; p<0.001; d=2.21); MT and TM did not differ (p=0.130). CS was lower with TT (1.19±0.10 logCS) versus MT (1.30±0.11; p<0.001; d=0.81) and TM (1.29±0.12; p<0.001; d=0.68); no MT–TM difference (p=0.327). Distance VA was comparable across groups (Friedman p=0.242). Neither motor dominance (Porta test; halo: p=0.822; CS: p=0.632; VA: p=0.132) nor sensory dominance (fogging; halo: p=0.747; CS: p=0.842; VA: p=0.527) significantly influenced outcomes when comparing monofocal IOL placement on the dominant versus non-dominant eye.",
        "Conclusions": "Simulated partial monovision significantly reduced halo perception and improved CS compared to bilateral trifocal implantation. Neither motor nor sensory ocular dominance significantly influenced binocular visual outcomes. These findings suggest that the choice of which eye receives the monofocal IOL in a partial monovision approach may not need to be guided by dominance testing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Simulated partial monovision significantly reduced halo perception and improved CS compared to bilateral trifocal implantation. Neither motor nor sensory ocular dominance significantly influenced binocular visual outcomes. These findings suggest that the choice of which eye receives the monofocal IOL in a partial monovision approach may not need to be guided by dominance testing.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 6,
      "source_fields": {
        "Abstract Final Identifier": "FP01.05",
        "Title": "Halo Perception And Contrast Sensitivity In Simulated Partial Monovision Versus Bilateral Trifocal Configuration: Does Ocular Dominance Matter?",
        "Presenting Author(s)": "Dr Vitus André Knecht",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Vitus",
        "Submitter Middle Name": "André",
        "Submitter Last Name": "Knecht",
        "Country Name": "Germany",
        "Purpose": "To evaluate the influence of motor and sensory ocular dominance on binocular halo perception, contrast sensitivity (CS), and distance visual acuity (VA) in simulated Partial Monovision (PMV) using a trifocal and a monofocal intraocular lens (IOL), compared with bilateral trifocal implantation.",
        "Setting": "Department of Ophthalmology, University Hospital, Germany.",
        "Methods": "Thirty-six phakic subjects (age 21–30) were examined using the Real-Artificial-Lens-Vision (RALV) system (DEZIMAL/1stQ GmbH, Germany). Three binocular IOL configurations were simulated under mesopic conditions: bilateral trifocal (TT; Basis Z Trifokal, 1stQ, +3.50 D add), monofocal right/trifocal left (MT), and trifocal right/monofocal left (TM; Basis Z mono, 1stQ). Binocular visual acuity, contrast sensitivity (logCS), and halo size (RALV-integrated halo test; mrad) were assessed. Motor dominance was determined by Porta test, sensory dominance by fogging (1.5/2.5 D), and binocular fusion by Worth four-dot test. Non-parametric statistics (Friedman, Wilcoxon with Bonferroni; α=0.017) were applied after Shapiro-Wilk testing.",
        "Results": "Halo size was significantly larger with TT (13.0±2.1 mrad) than MT (7.5±1.5; p<0.001; d=2.16) and TM (7.8±1.9; p<0.001; d=2.21); MT and TM did not differ (p=0.130). CS was lower with TT (1.19±0.10 logCS) versus MT (1.30±0.11; p<0.001; d=0.81) and TM (1.29±0.12; p<0.001; d=0.68); no MT–TM difference (p=0.327). Distance VA was comparable across groups (Friedman p=0.242). Neither motor dominance (Porta test; halo: p=0.822; CS: p=0.632; VA: p=0.132) nor sensory dominance (fogging; halo: p=0.747; CS: p=0.842; VA: p=0.527) significantly influenced outcomes when comparing monofocal IOL placement on the dominant versus non-dominant eye.",
        "Conclusions": "Simulated partial monovision significantly reduced halo perception and improved CS compared to bilateral trifocal implantation. Neither motor nor sensory ocular dominance significantly influenced binocular visual outcomes. These findings suggest that the choice of which eye receives the monofocal IOL in a partial monovision approach may not need to be guided by dominance testing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "FP01.06",
      "abstract_number": "FP01.06",
      "title": "Simulated Partial Monovision Versus Bilateral Trifocal Intraocular Lens Configuration: Binocular Defocus Curve Analysis",
      "authors": "Mr Ricardo Elsner",
      "presenter": "Mr Ricardo Elsner",
      "normalized_authors": [
        "Ricardo Elsner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ricardo Elsner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare binocular defocus curves of simulated partial monovision (PMV) using asymmetric trifocal–monofocal intraocular lens (IOL) combinations with bilateral trifocal IOL implantation, and to determine the functional impact across near, intermediate, and distance ranges.",
        "Setting": "Department of Ophthalmology, Charité University Hospital, Germany.",
        "Methods": "Thirty-six phakic subjects (age 21–30 years) were examined using the Real-Artificial-Lens-Vision (RALV) system (DEZIMAL Medical Engineering/1stQ GmbH, Mannheim, Germany). Three binocular IOL configurations were simulated in randomized order under mesopic conditions: bilateral trifocal (TT; Basis Z Trifokal, 1stQ, +3.50 D add), monofocal right/trifocal left (MT), and trifocal right/monofocal left (TM; Basis Z mono, 1stQ). Binocular defocus curves were measured from −4.00 to +1.00 D in 0.50 D steps. Non-parametric statistics (Friedman test, Wilcoxon signed-rank with Bonferroni correction; α=0.017) were applied after Shapiro-Wilk normality testing. Effect sizes were reported as Cohen’s d.",
        "Results": "TT showed significantly better near vision at −4.00 D (0.46±0.14 vs. MT 0.36±0.12; p<0.001; d=0.67) and at −3.00 to −2.00 D (all p<0.003; d=0.59–0.88). In the intermediate range (−1.50 to −1.00 D), no significant differences were found between TT, MT, and TM (all p>0.05). Distance VA in logMAR (0.0 D) was comparable across groups (TT: 1.16±0.14; MT: 1.20±0.10; TM: 1.18±0.14; p=0.225). At +0.50 and +1.00 D, PMV configurations significantly outperformed TT (all p<0.001; d=0.77–0.84). MT and TM did not differ significantly at any defocus level (all p>0.017).",
        "Conclusions": "Bilateral trifocal implantation provided superior near visual performance, while simulated partial monovision maintained equivalent intermediate and distance vision and offered better visual acuity beyond the 0.0 D focal point (+0.50/+1.00 D). These results support PMV as a viable alternative to bilateral trifocal implantation, with a trade-off limited to near visual acuity at high defocus levels while preserving the full intermediate and distance range."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral trifocal implantation provided superior near visual performance, while simulated partial monovision maintained equivalent intermediate and distance vision and offered better visual acuity beyond the 0.0 D focal point (+0.50/+1.00 D). These results support PMV as a viable alternative to bilateral trifocal implantation, with a trade-off limited to near visual acuity at high defocus levels while preserving…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 7,
      "source_fields": {
        "Abstract Final Identifier": "FP01.06",
        "Title": "Simulated Partial Monovision Versus Bilateral Trifocal Intraocular Lens Configuration: Binocular Defocus Curve Analysis",
        "Presenting Author(s)": "Mr Ricardo Elsner",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ricardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elsner",
        "Country Name": "Germany",
        "Purpose": "To compare binocular defocus curves of simulated partial monovision (PMV) using asymmetric trifocal–monofocal intraocular lens (IOL) combinations with bilateral trifocal IOL implantation, and to determine the functional impact across near, intermediate, and distance ranges.",
        "Setting": "Department of Ophthalmology, Charité University Hospital, Germany.",
        "Methods": "Thirty-six phakic subjects (age 21–30 years) were examined using the Real-Artificial-Lens-Vision (RALV) system (DEZIMAL Medical Engineering/1stQ GmbH, Mannheim, Germany). Three binocular IOL configurations were simulated in randomized order under mesopic conditions: bilateral trifocal (TT; Basis Z Trifokal, 1stQ, +3.50 D add), monofocal right/trifocal left (MT), and trifocal right/monofocal left (TM; Basis Z mono, 1stQ). Binocular defocus curves were measured from −4.00 to +1.00 D in 0.50 D steps. Non-parametric statistics (Friedman test, Wilcoxon signed-rank with Bonferroni correction; α=0.017) were applied after Shapiro-Wilk normality testing. Effect sizes were reported as Cohen’s d.",
        "Results": "TT showed significantly better near vision at −4.00 D (0.46±0.14 vs. MT 0.36±0.12; p<0.001; d=0.67) and at −3.00 to −2.00 D (all p<0.003; d=0.59–0.88). In the intermediate range (−1.50 to −1.00 D), no significant differences were found between TT, MT, and TM (all p>0.05). Distance VA in logMAR (0.0 D) was comparable across groups (TT: 1.16±0.14; MT: 1.20±0.10; TM: 1.18±0.14; p=0.225). At +0.50 and +1.00 D, PMV configurations significantly outperformed TT (all p<0.001; d=0.77–0.84). MT and TM did not differ significantly at any defocus level (all p>0.017).",
        "Conclusions": "Bilateral trifocal implantation provided superior near visual performance, while simulated partial monovision maintained equivalent intermediate and distance vision and offered better visual acuity beyond the 0.0 D focal point (+0.50/+1.00 D). These results support PMV as a viable alternative to bilateral trifocal implantation, with a trade-off limited to near visual acuity at high defocus levels while preserving the full intermediate and distance range."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "FP01.07",
      "abstract_number": "FP01.07",
      "title": "Ai-Assisted Conversational Support To Facilitate Neuroadaptation After Bilateral Trifocal Intraocular Lens Implantation: A Prospective Observational Study",
      "authors": "Prof. Dr Biljana Kostovska",
      "presenter": "Prof. Dr Biljana Kostovska",
      "normalized_authors": [
        "Biljana Kostovska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Biljana Kostovska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "North Macedonia",
      "sections": {
        "Purpose": "Although contemporary trifocal intraocular lenses (IOLs) provide excellent refractive accuracy and visual outcomes, postoperative dissatisfaction may still occur due to dysphotopsia-related symptoms such as halos, glare, and contrast sensitivity changes. These symptoms often trigger anxiety-driven communication and additional clinical visits despite optimal refractive results. This study evaluates the clinical and operational impact of an AI-assisted conversational support system designed to normalize dysphotopsia perception and support neuroadaptation following bilateral trifocal IOL implantation.",
        "Setting": "Implementation study of AI-assisted postoperative support in bilateral trifocal IOL surgery.",
        "Methods": "In this prospective observational study 50 consecutive patients(100 eyes)undergoing bilateral trifocal IOL implantation were enrolled.25 patients received Clareon PanOptix and 25 received PanOptix.Preoperative spherical equivalent ranged from –5.00D to +5.00D with refractive cylinder ≤ –2.50D.From postoperative day 1 patients accessed an AI-guided conversational platform providing dysphotopsia normalization, adaptive reassurance, and structured daily symptom monitoring.Primary endpoints were unscheduled postoperative visits and anxietydriven communication.Secondary endpoints included subjective neuroadaptation time and patient satisfaction.Outcomes were compared with historical matched multifocal IOL cohorts managed with standard counseling",
        "Results": "On postoperative day 1, 91% of eyes (95% CI: 85.4–96.6%) achieved functional distance acuity (20/25–20/20). At 1 month, 95% achieved 20/20 distance acuity, increasing to 98% at 3 months, with the same proportion achieving J1+ near vision. No eye had visual acuity worse than 20/25 and no secondary interventions were required. Seventy-three percent of eyes were within ±0.50 D and 93% within ±0.75 D of target; 100% had postoperative cylinder ≤0.75 D. A trend toward approximately 20% higher night-driving satisfaction was observed with Clareon PanOptix. Compared with historical controls, unscheduled visits decreased from 22% to 8% (64% reduction during the first postoperative month).",
        "Conclusions": "Even with excellent objective visual outcomes perception-driven dissatisfaction remains relevant after trifocalIOL implantation.AI-assisted conversational normalization may reduce anxietydriven healthcare utilization while supporting neuroadaptation without compromising refractive performance.observed reduction in unnecessary reassurance visits suggests potential operational benefits.Approach may be particularly relevant for younger presbyopic patients with high visual expectations and may assist ophthalmologists in optimizing clinical time, reducing postoperative dissatisfaction and integrating structured telemedicine into routine postoperative care. Further controlled studies are warranted to confirm longterm clinical and workflow impact."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Even with excellent objective visual outcomes perception-driven dissatisfaction remains relevant after trifocalIOL implantation.AI-assisted conversational normalization may reduce anxietydriven healthcare utilization while supporting neuroadaptation without compromising refractive performance.observed reduction in unnecessary reassurance visits suggests potential operational benefits.Approach may be particularly…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 8,
      "source_fields": {
        "Abstract Final Identifier": "FP01.07",
        "Title": "Ai-Assisted Conversational Support To Facilitate Neuroadaptation After Bilateral Trifocal Intraocular Lens Implantation: A Prospective Observational Study",
        "Presenting Author(s)": "Prof. Dr Biljana Kostovska",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Biljana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kostovska",
        "Country Name": "North Macedonia",
        "Purpose": "Although contemporary trifocal intraocular lenses (IOLs) provide excellent refractive accuracy and visual outcomes, postoperative dissatisfaction may still occur due to dysphotopsia-related symptoms such as halos, glare, and contrast sensitivity changes. These symptoms often trigger anxiety-driven communication and additional clinical visits despite optimal refractive results. This study evaluates the clinical and operational impact of an AI-assisted conversational support system designed to normalize dysphotopsia perception and support neuroadaptation following bilateral trifocal IOL implantation.",
        "Setting": "Implementation study of AI-assisted postoperative support in bilateral trifocal IOL surgery.",
        "Methods": "In this prospective observational study 50 consecutive patients(100 eyes)undergoing bilateral trifocal IOL implantation were enrolled.25 patients received Clareon PanOptix and 25 received PanOptix.Preoperative spherical equivalent ranged from –5.00D to +5.00D with refractive cylinder ≤ –2.50D.From postoperative day 1 patients accessed an AI-guided conversational platform providing dysphotopsia normalization, adaptive reassurance, and structured daily symptom monitoring.Primary endpoints were unscheduled postoperative visits and anxietydriven communication.Secondary endpoints included subjective neuroadaptation time and patient satisfaction.Outcomes were compared with historical matched multifocal IOL cohorts managed with standard counseling",
        "Results": "On postoperative day 1, 91% of eyes (95% CI: 85.4–96.6%) achieved functional distance acuity (20/25–20/20). At 1 month, 95% achieved 20/20 distance acuity, increasing to 98% at 3 months, with the same proportion achieving J1+ near vision. No eye had visual acuity worse than 20/25 and no secondary interventions were required. Seventy-three percent of eyes were within ±0.50 D and 93% within ±0.75 D of target; 100% had postoperative cylinder ≤0.75 D. A trend toward approximately 20% higher night-driving satisfaction was observed with Clareon PanOptix. Compared with historical controls, unscheduled visits decreased from 22% to 8% (64% reduction during the first postoperative month).",
        "Conclusions": "Even with excellent objective visual outcomes perception-driven dissatisfaction remains relevant after trifocalIOL implantation.AI-assisted conversational normalization may reduce anxietydriven healthcare utilization while supporting neuroadaptation without compromising refractive performance.observed reduction in unnecessary reassurance visits suggests potential operational benefits.Approach may be particularly relevant for younger presbyopic patients with high visual expectations and may assist ophthalmologists in optimizing clinical time, reducing postoperative dissatisfaction and integrating structured telemedicine into routine postoperative care. Further controlled studies are warranted to confirm longterm clinical and workflow impact."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "FP01.08",
      "abstract_number": "FP01.08",
      "title": "Contrast Sensitivity And Halos Of Multifocal Intraocular Lenses Using The Real-Time Artificial Lens Simulator Ralv In A Presbyopic Cohort",
      "authors": "Dr Andreas Honeder",
      "presenter": "Dr Andreas Honeder",
      "normalized_authors": [
        "Andreas Honeder"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andreas Honeder",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To quantitatively assess contrast sensitivity and halo perception of six multifocal intraocular lenses (mIOLs) using the real-time artificial lens simulator RALV in presbyopic patients.",
        "Setting": "This prospective, randomized study was conducted at the Department of Ophthalmology of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany.",
        "Methods": "RALV allows patients to experience the visual impression of mIOls, including halos and contrast sensitivity (CS), prior to surgery. Six mIOLs were evaluated: Liberty2 (1stQ, Germany), Lisa Tri2 (Zeiss, Germany), PanOptix (Alcon, USA), LentisMF30 (Teleon, Netherlands), Max Vision (Ophthalmo Pro, Germany), Galaxy (Rayner, UK). A zero lens, which neutralizes the natural lens properties, was used to establish baseline measurements of CS for statistical comparison. For each subject, baseline measurements of CS, CS (log CS Weber), halos (in mrad) were assessed. Inclusion criteria: natural lens, age ≥ 40years, BCVA of ≥ 20/25 Snellen (ft), sphere within ± 4.0 diopters (D), cylinder within ±2.0 D and no vision-impairing ocular diseases.",
        "Results": "In total, 30 eyes of 30 subjects (mean age: 55 yrs, range 40-60) were included. The mean CS for all mIOLs was 0,9 logCS W, the mean of halos was 15,9 mrad. Significant reduction in CS was found for the mIOLs and the extent of CS reduction varied markedly. The highest mean CS was observed for the Lentis MF30 (1.1 logCS W) while PanOptix showed the lowest mean CS (0.87 logCS W). Compared to the zero lens, the Max Vision had the greatest reduction in mean CS (0.31 logCS W), the fewest decrease was seen for the Galaxy (0.2 logCS W). Significant differences in halo size were observed with the lowest and greatest mean halo seen for the Galaxy (13.7 mrad) and Lisa Tri 2, respectively.",
        "Conclusions": "The RALV simulator is a valuable tool for prospectively assessing mIOL properties prior to surgery, potentially aiding in IOL selection. Quantitative trade-offs associated with specific mIOLs, such as the magnitude of CS reduction and halo size, demonstrably varied between the lenses tested.\n\n."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The RALV simulator is a valuable tool for prospectively assessing mIOL properties prior to surgery, potentially aiding in IOL selection. Quantitative trade-offs associated with specific mIOLs, such as the magnitude of CS reduction and halo size, demonstrably varied between the lenses tested. .",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 9,
      "source_fields": {
        "Abstract Final Identifier": "FP01.08",
        "Title": "Contrast Sensitivity And Halos Of Multifocal Intraocular Lenses Using The Real-Time Artificial Lens Simulator Ralv In A Presbyopic Cohort",
        "Presenting Author(s)": "Dr Andreas Honeder",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Andreas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Honeder",
        "Country Name": "Germany",
        "Purpose": "To quantitatively assess contrast sensitivity and halo perception of six multifocal intraocular lenses (mIOLs) using the real-time artificial lens simulator RALV in presbyopic patients.",
        "Setting": "This prospective, randomized study was conducted at the Department of Ophthalmology of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany.",
        "Methods": "RALV allows patients to experience the visual impression of mIOls, including halos and contrast sensitivity (CS), prior to surgery. Six mIOLs were evaluated: Liberty2 (1stQ, Germany), Lisa Tri2 (Zeiss, Germany), PanOptix (Alcon, USA), LentisMF30 (Teleon, Netherlands), Max Vision (Ophthalmo Pro, Germany), Galaxy (Rayner, UK). A zero lens, which neutralizes the natural lens properties, was used to establish baseline measurements of CS for statistical comparison. For each subject, baseline measurements of CS, CS (log CS Weber), halos (in mrad) were assessed. Inclusion criteria: natural lens, age ≥ 40years, BCVA of ≥ 20/25 Snellen (ft), sphere within ± 4.0 diopters (D), cylinder within ±2.0 D and no vision-impairing ocular diseases.",
        "Results": "In total, 30 eyes of 30 subjects (mean age: 55 yrs, range 40-60) were included. The mean CS for all mIOLs was 0,9 logCS W, the mean of halos was 15,9 mrad. Significant reduction in CS was found for the mIOLs and the extent of CS reduction varied markedly. The highest mean CS was observed for the Lentis MF30 (1.1 logCS W) while PanOptix showed the lowest mean CS (0.87 logCS W). Compared to the zero lens, the Max Vision had the greatest reduction in mean CS (0.31 logCS W), the fewest decrease was seen for the Galaxy (0.2 logCS W). Significant differences in halo size were observed with the lowest and greatest mean halo seen for the Galaxy (13.7 mrad) and Lisa Tri 2, respectively.",
        "Conclusions": "The RALV simulator is a valuable tool for prospectively assessing mIOL properties prior to surgery, potentially aiding in IOL selection. Quantitative trade-offs associated with specific mIOLs, such as the magnitude of CS reduction and halo size, demonstrably varied between the lenses tested.\n\n."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "FP01.09",
      "abstract_number": "FP01.09",
      "title": "Exploratory Evaluation Of Vep Characteristics In Relation To Postoperative Visual Function And Neuroadaptation Following Iol Implantation",
      "authors": "Dr Yutaro Nishi",
      "presenter": "Dr Yutaro Nishi",
      "normalized_authors": [
        "Yutaro Nishi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yutaro Nishi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Postoperative visual performance after multifocal intraocular lens (MIOL) implantation varies among patients, and neuroadaptation has been suggested as a contributing factor. We previously examined the relationship between postoperative visual function, neuroadaptation, and cognitive processing speed measured by MMSE completion time. As an extension of this work, we explored visual evoked potential (VEP) latency and waveform characteristics in relation to postoperative visual function after MIOL implantation.",
        "Setting": "Nishi Eye Hospital, Osaka, Japan",
        "Methods": "Between June and November 2025, pattern-reversal VEP was recorded in eight postoperative cataract patients (six multifocal and two monofocal IOL eyes; age range 63–78 years). P100 latency, amplitude, interocular differences, and waveform consistency were evaluated. Visual acuity, subjective visual quality, and MMSE completion time were descriptively assessed for each case.",
        "Results": "VEP latency ranged from 105 to 145 ms. Longer latencies tended to occur in older patients and those with reduced visual function. MIOL eyes showed slightly prolonged latency compared with monofocal eyes, but distributions overlapped without a consistent MIOL-specific delay. Cases with excellent visual function showed near-normal latency (110–120 ms), stable waveforms, and minimal interocular differences. Stable waveforms and symmetry were associated with better subjective quality. Shorter MMSE completion time tended to accompany shorter latency and stability, whereas the lowest visual function case showed the longest latency and longer MMSE time.",
        "Conclusions": "VEP findings after IOL implantation were distributed within overlapping ranges between multifocal and monofocal eyes and appeared to reflect multiple factors including age, visual performance, optical conditions, and postoperative course. Cases with good visual function tended to show near-normal latency and stable waveform symmetry. These observations may be related to neuroadaptation and visual processing efficiency in postoperative visual performance. VEP characteristics may help to further understand postoperative visual responses and the process of neuroadaptation, although further prospective studies including preoperative assessment are required."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "VEP findings after IOL implantation were distributed within overlapping ranges between multifocal and monofocal eyes and appeared to reflect multiple factors including age, visual performance, optical conditions, and postoperative course. Cases with good visual function tended to show near-normal latency and stable waveform symmetry. These observations may be related to neuroadaptation and visual processing…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 10,
      "source_fields": {
        "Abstract Final Identifier": "FP01.09",
        "Title": "Exploratory Evaluation Of Vep Characteristics In Relation To Postoperative Visual Function And Neuroadaptation Following Iol Implantation",
        "Presenting Author(s)": "Dr Yutaro Nishi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Yutaro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nishi",
        "Country Name": "Japan",
        "Purpose": "Postoperative visual performance after multifocal intraocular lens (MIOL) implantation varies among patients, and neuroadaptation has been suggested as a contributing factor. We previously examined the relationship between postoperative visual function, neuroadaptation, and cognitive processing speed measured by MMSE completion time. As an extension of this work, we explored visual evoked potential (VEP) latency and waveform characteristics in relation to postoperative visual function after MIOL implantation.",
        "Setting": "Nishi Eye Hospital, Osaka, Japan",
        "Methods": "Between June and November 2025, pattern-reversal VEP was recorded in eight postoperative cataract patients (six multifocal and two monofocal IOL eyes; age range 63–78 years). P100 latency, amplitude, interocular differences, and waveform consistency were evaluated. Visual acuity, subjective visual quality, and MMSE completion time were descriptively assessed for each case.",
        "Results": "VEP latency ranged from 105 to 145 ms. Longer latencies tended to occur in older patients and those with reduced visual function. MIOL eyes showed slightly prolonged latency compared with monofocal eyes, but distributions overlapped without a consistent MIOL-specific delay. Cases with excellent visual function showed near-normal latency (110–120 ms), stable waveforms, and minimal interocular differences. Stable waveforms and symmetry were associated with better subjective quality. Shorter MMSE completion time tended to accompany shorter latency and stability, whereas the lowest visual function case showed the longest latency and longer MMSE time.",
        "Conclusions": "VEP findings after IOL implantation were distributed within overlapping ranges between multifocal and monofocal eyes and appeared to reflect multiple factors including age, visual performance, optical conditions, and postoperative course. Cases with good visual function tended to show near-normal latency and stable waveform symmetry. These observations may be related to neuroadaptation and visual processing efficiency in postoperative visual performance. VEP characteristics may help to further understand postoperative visual responses and the process of neuroadaptation, although further prospective studies including preoperative assessment are required."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "FP01.10",
      "abstract_number": "FP01.10",
      "title": "Contrast Sensitivity And Halo Perception Of Six Multifocal Intraocular Lenses In Young Subjects Using The Real Artificial Lens Vision (Ralv) Simulator",
      "authors": "Ms Carolina Lago",
      "presenter": "Ms Carolina Lago",
      "normalized_authors": [
        "Carolina Lago"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carolina Lago",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "This study aimed to assess contrast sensitivity and halo perception in a cohort of subjects younger than 40 years using the Real Artificial Lens Vision (RALV) simulator. Measurements were obtained with the natural lens and with six different multifocal intraocular lenses (mIOLs).",
        "Setting": "Prospective, randomized, single-masked study conducted at the Department of Ophthalmology of the University Medical Center Hamburg-Eppendorf, Germany.",
        "Methods": "The RALV simulator enables preoperative objective quantification of intraocular lens design-dependent optical phenomena, including contrast sensitivity (CS) and halo formation. Six mIOLs were examined:\n\n1stQ Liberty² 3,00 (1 st Q, Germany); Alcon Clareon PanOptix 3,25 (Alcon, USA); Teleon Lentis MF30 3,00 (Teleon, Germany); Zeiss AT Lisa tri 3,33 (Zeiss, Germany); Max Vision 2,80 (Ophthalmopro, Germany); Rayner Galaxy 3,00 (Rayner, United Kingdom). Baseline CS and halo measurements with the natural lens were compared with mIOL. Inclusion criteria were age ≥19years natural crystalline lens, BCVA ≥20/25 Snellen, sphere within ±4,0 diopters (D), cylinder within ±2,0D, no vision-impairing ocular diseases.",
        "Results": "In total, 35 eyes of subjects with a mean age of 28 years (SD: 4,6, range 19 to 40) were included. Mean CS for the natural lens was 1,44logCS Weber. The highest mean CS was measured for the Rayner Galaxy (1,29logCS W), the lowest for the Panoptix, Lisa Tri and Max Vision mIOLs (1,13 logCS W). Halos were significantly more pronounced with the mIOLs (14 mrad) compared to the natural lens (7,3 mrad). Lowest mean halo was measured for the Rayner Galaxy (10 mrad), while the highest mean halo was recorded for the Lisa Tri (16 mrad). The Liberty 2, Teleon and Max Vision mIOL had mean halo values of 13, 15 and 14, respectively.",
        "Conclusions": "RALV enables preoperative visualization of intraocular lens performance and objective quantification of mIOL-associated photic phenomena, enabling assessment of design-dependent trade-offs. Relative to the natural lens, mIOLs showed reduced contrast sensitivity and increased halos. Preoperative simulation may support patient-centered intraocular lens selection, particularly in refractive lens exchange and phakic intraocular lens implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RALV enables preoperative visualization of intraocular lens performance and objective quantification of mIOL-associated photic phenomena, enabling assessment of design-dependent trade-offs. Relative to the natural lens, mIOLs showed reduced contrast sensitivity and increased halos. Preoperative simulation may support patient-centered intraocular lens selection, particularly in refractive lens exchange and phakic…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 11,
      "source_fields": {
        "Abstract Final Identifier": "FP01.10",
        "Title": "Contrast Sensitivity And Halo Perception Of Six Multifocal Intraocular Lenses In Young Subjects Using The Real Artificial Lens Vision (Ralv) Simulator",
        "Presenting Author(s)": "Ms Carolina Lago",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Carolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lago",
        "Country Name": "Germany",
        "Purpose": "This study aimed to assess contrast sensitivity and halo perception in a cohort of subjects younger than 40 years using the Real Artificial Lens Vision (RALV) simulator. Measurements were obtained with the natural lens and with six different multifocal intraocular lenses (mIOLs).",
        "Setting": "Prospective, randomized, single-masked study conducted at the Department of Ophthalmology of the University Medical Center Hamburg-Eppendorf, Germany.",
        "Methods": "The RALV simulator enables preoperative objective quantification of intraocular lens design-dependent optical phenomena, including contrast sensitivity (CS) and halo formation. Six mIOLs were examined:\n\n1stQ Liberty² 3,00 (1 st Q, Germany); Alcon Clareon PanOptix 3,25 (Alcon, USA); Teleon Lentis MF30 3,00 (Teleon, Germany); Zeiss AT Lisa tri 3,33 (Zeiss, Germany); Max Vision 2,80 (Ophthalmopro, Germany); Rayner Galaxy 3,00 (Rayner, United Kingdom). Baseline CS and halo measurements with the natural lens were compared with mIOL. Inclusion criteria were age ≥19years natural crystalline lens, BCVA ≥20/25 Snellen, sphere within ±4,0 diopters (D), cylinder within ±2,0D, no vision-impairing ocular diseases.",
        "Results": "In total, 35 eyes of subjects with a mean age of 28 years (SD: 4,6, range 19 to 40) were included. Mean CS for the natural lens was 1,44logCS Weber. The highest mean CS was measured for the Rayner Galaxy (1,29logCS W), the lowest for the Panoptix, Lisa Tri and Max Vision mIOLs (1,13 logCS W). Halos were significantly more pronounced with the mIOLs (14 mrad) compared to the natural lens (7,3 mrad). Lowest mean halo was measured for the Rayner Galaxy (10 mrad), while the highest mean halo was recorded for the Lisa Tri (16 mrad). The Liberty 2, Teleon and Max Vision mIOL had mean halo values of 13, 15 and 14, respectively.",
        "Conclusions": "RALV enables preoperative visualization of intraocular lens performance and objective quantification of mIOL-associated photic phenomena, enabling assessment of design-dependent trade-offs. Relative to the natural lens, mIOLs showed reduced contrast sensitivity and increased halos. Preoperative simulation may support patient-centered intraocular lens selection, particularly in refractive lens exchange and phakic intraocular lens implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "FP01.11",
      "abstract_number": "FP01.11",
      "title": "Pre-Clinical Evaluation Of Glare Phenomena In Presbyopia-Correcting Intraocular Lenses",
      "authors": "Ms Siyi Gu",
      "presenter": "Ms Siyi Gu",
      "normalized_authors": [
        "Siyi Gu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Siyi Gu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To assess and compare pre-clinical glare phenomena, quantified by the straylight parameter, in the latest generation of presbyopia-correcting intraocular lenses (IOLs) from different manufacturers using a clinical straylight measurement system adapted for in vitro evaluation.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University Eye Clinic Heidelberg, Heidelberg, Germany.",
        "Methods": "18 IOLs were analyzed (6 groups; n=3 per group), each with nominal power +20.0 D. Lenses included enVista Monofocal, enVista Envy, and LuxLife (Bausch + Lomb); TECNIS Odyssey (Johnson & Johnson Vision); Clareon PanOptix Trifocal (Alcon); and FINEVISION HP (POD F GF) (BVI Medical). Glare potential was quantified in vitro by forward light scattering using a C-Quant straylight meter (Oculus GmbH, Germany) adapted for bench testing. Straylight was measured at visual angles of 2.5°, 3.5°, and 7°. The logarithm of the straylight parameter (logs) was analyzed and reported in clinical log units; higher logs indicate stronger glare perception and larger halos. Published straylight of isolated crystalline lenses was used as a physiological reference.",
        "Results": "At 7°, all IOLs demonstrated low straylight values (<0.3 logs), comparable to or below those of a young crystalline lens. At smaller visual angles (2.5° and 3.5°), angular dependency differed according to optical design. The monofocal enVista and the refractive trifocal IOL (LuxLife) showed consistently low straylight across all angles (≤0.3 logs). Among diffractive trifocal IOLs, enVista Envy and FINEVISION HP (POD F GF) maintained low and stable values. In contrast, TECNIS Odyssey exhibited elevated straylight at 2.5° and 3.5° (nearly 1.1 logs), approaching values reported for an aged crystalline lens, followed by a reduction at 7°. Clareon PanOptix demonstrated a moderate elevation at smaller angles.",
        "Conclusions": "Assessment at multiple visual angles reveals design-related differences in straylight, and thus glare perception, that are not detectable at 7° alone. Small-angle straylight differs among trifocal designs; the TECNIS Odyssey shows higher straylight at smaller angles, closer to a glaring source. By contrast, enVista Envy and FINEVISION maintained low straylight levels, close to those of the refractive IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Assessment at multiple visual angles reveals design-related differences in straylight, and thus glare perception, that are not detectable at 7° alone. Small-angle straylight differs among trifocal designs; the TECNIS Odyssey shows higher straylight at smaller angles, closer to a glaring source. By contrast, enVista Envy and FINEVISION maintained low straylight levels, close to those of the refractive IOLs.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 12,
      "source_fields": {
        "Abstract Final Identifier": "FP01.11",
        "Title": "Pre-Clinical Evaluation Of Glare Phenomena In Presbyopia-Correcting Intraocular Lenses",
        "Presenting Author(s)": "Ms Siyi Gu",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Siyi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gu",
        "Country Name": "Germany",
        "Purpose": "To assess and compare pre-clinical glare phenomena, quantified by the straylight parameter, in the latest generation of presbyopia-correcting intraocular lenses (IOLs) from different manufacturers using a clinical straylight measurement system adapted for in vitro evaluation.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University Eye Clinic Heidelberg, Heidelberg, Germany.",
        "Methods": "18 IOLs were analyzed (6 groups; n=3 per group), each with nominal power +20.0 D. Lenses included enVista Monofocal, enVista Envy, and LuxLife (Bausch + Lomb); TECNIS Odyssey (Johnson & Johnson Vision); Clareon PanOptix Trifocal (Alcon); and FINEVISION HP (POD F GF) (BVI Medical). Glare potential was quantified in vitro by forward light scattering using a C-Quant straylight meter (Oculus GmbH, Germany) adapted for bench testing. Straylight was measured at visual angles of 2.5°, 3.5°, and 7°. The logarithm of the straylight parameter (logs) was analyzed and reported in clinical log units; higher logs indicate stronger glare perception and larger halos. Published straylight of isolated crystalline lenses was used as a physiological reference.",
        "Results": "At 7°, all IOLs demonstrated low straylight values (<0.3 logs), comparable to or below those of a young crystalline lens. At smaller visual angles (2.5° and 3.5°), angular dependency differed according to optical design. The monofocal enVista and the refractive trifocal IOL (LuxLife) showed consistently low straylight across all angles (≤0.3 logs). Among diffractive trifocal IOLs, enVista Envy and FINEVISION HP (POD F GF) maintained low and stable values. In contrast, TECNIS Odyssey exhibited elevated straylight at 2.5° and 3.5° (nearly 1.1 logs), approaching values reported for an aged crystalline lens, followed by a reduction at 7°. Clareon PanOptix demonstrated a moderate elevation at smaller angles.",
        "Conclusions": "Assessment at multiple visual angles reveals design-related differences in straylight, and thus glare perception, that are not detectable at 7° alone. Small-angle straylight differs among trifocal designs; the TECNIS Odyssey shows higher straylight at smaller angles, closer to a glaring source. By contrast, enVista Envy and FINEVISION maintained low straylight levels, close to those of the refractive IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "FP01.12",
      "abstract_number": "FP01.12",
      "title": "Defocus Profiles Using A Pyramidal Wavefront -Sensor Based Aberrometer",
      "authors": "Dr Elizabeth Law",
      "presenter": "Dr Elizabeth Law",
      "normalized_authors": [
        "Elizabeth Law"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elizabeth Law",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Assesment of defocus profiles is a time-consuming but valuable post-operative assessment in cataract surgery and refractive lens exchange, particularly when increased range of focus has been targeted with the use of advanced intraocular lenses. This study aims to compare subjective defocus measurements for three differing IOL designs with defocus data obtained using the CSO Osiris waverfront sensor-based aberrometer.",
        "Setting": "Southend University Hospital, Essex, United Kingdom",
        "Methods": "This retrospective study assessed 60 eyes following implantation of the RayOne Galaxy IOL, Tecnis Eyhance IOL and Ophthalmo Pro Zoe IOL. All subjects were assessed at a 3 month post-operative visit. Unaided and distance corrected visual acuity was measured using ETDRS LogMAR charts, Monocular defocus was assessed subjectively with imposed defocus of +1.50D to -4.00D in 0.5D steps, with additional steps at 0.25D and -0.25D, using established protocols. The Osiris aberrometer was using to create a defocus profile from +1.95 to -5.00 in 0.05D steps, and corresponding points to subjective data were considered.",
        "Results": "Following implantation of the Eyhance IOL (n=20), mean uncorrected distance visual acuity(UDVA) was 0.20±0.16LogMAR, and corrected distance visual acuity (CDVA) was 0.05±0.08. Second order polynomial curves were fitted to both subjective and objective defocus data, y=0.01x 2 -0.11x+0.45, and y=0.01x 2 -0.11x+0.62 respectively. Difference in constants 0.17, was similar to difference in UDVA and CDVA.\n\nThe Zoe IOL (n=20), mean UDVA was 0.35 ± 0.14LogMAR and CDVA was 0.09 ± 0.07, a mean difference of 0.28. Polynomial\n\ny = 0.01x 2 - 0.11x + 0.42, was similar, yet pronounced differences were noted through the near range\n\nThere was no correlation between defocus with the RayOne Galaxy, particularly throughout the intermediate and near range.",
        "Conclusions": "The CSO Osiris aberrometer provides a useful tool for plotting defocus profile with monofocal IOLs utilising spherical aberration to elongate range of focus, with a slight underestimation of near performance in comparison to subjective data.\n\nHowever the spiral refractive track of the RayOne Galaxy, is a more compex optic and as such, the aberrometry predicted defocus profile is not an accurate estimation of real world performance"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The CSO Osiris aberrometer provides a useful tool for plotting defocus profile with monofocal IOLs utilising spherical aberration to elongate range of focus, with a slight underestimation of near performance in comparison to subjective data. However the spiral refractive track of the RayOne Galaxy, is a more compex optic and as such, the aberrometry predicted defocus profile is not an accurate estimation of real…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 13,
      "source_fields": {
        "Abstract Final Identifier": "FP01.12",
        "Title": "Defocus Profiles Using A Pyramidal Wavefront -Sensor Based Aberrometer",
        "Presenting Author(s)": "Dr Elizabeth Law",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Elizabeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Law",
        "Country Name": "United Kingdom",
        "Purpose": "Assesment of defocus profiles is a time-consuming but valuable post-operative assessment in cataract surgery and refractive lens exchange, particularly when increased range of focus has been targeted with the use of advanced intraocular lenses. This study aims to compare subjective defocus measurements for three differing IOL designs with defocus data obtained using the CSO Osiris waverfront sensor-based aberrometer.",
        "Setting": "Southend University Hospital, Essex, United Kingdom",
        "Methods": "This retrospective study assessed 60 eyes following implantation of the RayOne Galaxy IOL, Tecnis Eyhance IOL and Ophthalmo Pro Zoe IOL. All subjects were assessed at a 3 month post-operative visit. Unaided and distance corrected visual acuity was measured using ETDRS LogMAR charts, Monocular defocus was assessed subjectively with imposed defocus of +1.50D to -4.00D in 0.5D steps, with additional steps at 0.25D and -0.25D, using established protocols. The Osiris aberrometer was using to create a defocus profile from +1.95 to -5.00 in 0.05D steps, and corresponding points to subjective data were considered.",
        "Results": "Following implantation of the Eyhance IOL (n=20), mean uncorrected distance visual acuity(UDVA) was 0.20±0.16LogMAR, and corrected distance visual acuity (CDVA) was 0.05±0.08. Second order polynomial curves were fitted to both subjective and objective defocus data, y=0.01x 2 -0.11x+0.45, and y=0.01x 2 -0.11x+0.62 respectively. Difference in constants 0.17, was similar to difference in UDVA and CDVA.\n\nThe Zoe IOL (n=20), mean UDVA was 0.35 ± 0.14LogMAR and CDVA was 0.09 ± 0.07, a mean difference of 0.28. Polynomial\n\ny = 0.01x 2 - 0.11x + 0.42, was similar, yet pronounced differences were noted through the near range\n\nThere was no correlation between defocus with the RayOne Galaxy, particularly throughout the intermediate and near range.",
        "Conclusions": "The CSO Osiris aberrometer provides a useful tool for plotting defocus profile with monofocal IOLs utilising spherical aberration to elongate range of focus, with a slight underestimation of near performance in comparison to subjective data.\n\nHowever the spiral refractive track of the RayOne Galaxy, is a more compex optic and as such, the aberrometry predicted defocus profile is not an accurate estimation of real world performance"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "FP01.13",
      "abstract_number": "FP01.13",
      "title": "Comparative Analysis Of Photic Phenomena Between Monofocal And Presbyopia-Correcting Intraocular Lens Designs",
      "authors": "Ms Marine Dahl",
      "presenter": "Ms Marine Dahl",
      "normalized_authors": [
        "Marine Dahl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hyeck-Soo Son",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare the rate of photic phenomena after bilateral implantation of either monofocal or presbyopia-correcting intraocular lenses (IOLs) using the Halo&Glare Simulator.",
        "Setting": "University Eye Clinic of Heidelberg, Germany",
        "Methods": "In this prospective, clinical study, we compared the rate of photic phenomena in 112 patients who underwent bilateral implantation of either monofocal (CT Asphina 409MP (Carl Zeiss Meditec); n=12) or multifocal IOLs (Panoptix TFNT00 (Alcon); n=42; FineVision HP POD F GF (BVI Medical); n=15; TECNIS Synergy ZFR00 (JnJ Vision); n=27; MiniWell Z7560CZ (SIFI); n=16). Clinical assessment included a slit lamp examination, subjective refraction, uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA). A computer-based software tool (Halo & Glare Simulator; Eyeland Design Network, Vreden, Germany) enabled the presentation of light phenomena, allowing patients to select from a range of predefined halo and glare patterns.",
        "Results": "The Synergy (size: 47.4±19.0; intensity: 50.1±18.1), FineVision (size: 46.5±23.0; intensity: 49.1±23.2) and PanOptix (size: 37.6±23.6; intensity: 42.6±22.5) groups demonstrated statistically significanty higher mean halo size and intensity values compared to the monofocal group (size: 7.2±13.8; intensity: 11.3±20.9) (all p<0.001). The lowest levels of halo size and intensity were observed in the Miniwell group (size: 22.2±19.6; intensity: 23.6±19.8), which showed no statistical difference compared to the monofocal group (p=0.153). In terms of glare size and intensity, there were no statistically significant differences in the mean values measured between the multifocal and monofocal groups.",
        "Conclusions": "Our analysis demonstrates that photic phenomena occur not only in presbyopia-correcting IOLs, but also in monofocal lenses. The measured mean halo and intensity values were lower in the monofocal and Miniwell lens groups compared to the diffractive presbyopia-correcting IOLs, highlighting the relevance of the optic design in perception of halos effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our analysis demonstrates that photic phenomena occur not only in presbyopia-correcting IOLs, but also in monofocal lenses. The measured mean halo and intensity values were lower in the monofocal and Miniwell lens groups compared to the diffractive presbyopia-correcting IOLs, highlighting the relevance of the optic design in perception of halos effects.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 14,
      "source_fields": {
        "Abstract Final Identifier": "FP01.13",
        "Title": "Comparative Analysis Of Photic Phenomena Between Monofocal And Presbyopia-Correcting Intraocular Lens Designs",
        "Presenting Author(s)": "Ms Marine Dahl",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Hyeck-Soo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Son",
        "Country Name": "Germany",
        "Purpose": "To compare the rate of photic phenomena after bilateral implantation of either monofocal or presbyopia-correcting intraocular lenses (IOLs) using the Halo&Glare Simulator.",
        "Setting": "University Eye Clinic of Heidelberg, Germany",
        "Methods": "In this prospective, clinical study, we compared the rate of photic phenomena in 112 patients who underwent bilateral implantation of either monofocal (CT Asphina 409MP (Carl Zeiss Meditec); n=12) or multifocal IOLs (Panoptix TFNT00 (Alcon); n=42; FineVision HP POD F GF (BVI Medical); n=15; TECNIS Synergy ZFR00 (JnJ Vision); n=27; MiniWell Z7560CZ (SIFI); n=16). Clinical assessment included a slit lamp examination, subjective refraction, uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA). A computer-based software tool (Halo & Glare Simulator; Eyeland Design Network, Vreden, Germany) enabled the presentation of light phenomena, allowing patients to select from a range of predefined halo and glare patterns.",
        "Results": "The Synergy (size: 47.4±19.0; intensity: 50.1±18.1), FineVision (size: 46.5±23.0; intensity: 49.1±23.2) and PanOptix (size: 37.6±23.6; intensity: 42.6±22.5) groups demonstrated statistically significanty higher mean halo size and intensity values compared to the monofocal group (size: 7.2±13.8; intensity: 11.3±20.9) (all p<0.001). The lowest levels of halo size and intensity were observed in the Miniwell group (size: 22.2±19.6; intensity: 23.6±19.8), which showed no statistical difference compared to the monofocal group (p=0.153). In terms of glare size and intensity, there were no statistically significant differences in the mean values measured between the multifocal and monofocal groups.",
        "Conclusions": "Our analysis demonstrates that photic phenomena occur not only in presbyopia-correcting IOLs, but also in monofocal lenses. The measured mean halo and intensity values were lower in the monofocal and Miniwell lens groups compared to the diffractive presbyopia-correcting IOLs, highlighting the relevance of the optic design in perception of halos effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "FP01.14",
      "abstract_number": "FP01.14",
      "title": "Predicting Postoperative Visual Acuity With Different Intraocular Lenses Using Preoperative Visual Simulations In Patients With Cataracts",
      "authors": "Ms Mar Garcia",
      "presenter": "Ms Mar Garcia",
      "normalized_authors": [
        "Mar Garcia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Petros Papadogiannis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Selection of IOLs remains challenging due to the difficulty of predicting postoperative visual performance before surgery. SimVis technology enables binocular see-through simulation of different IOL designs, allowing patients to experience multifocal vision preoperatively. Prior work has demonstrated that SimVis accurately simulates IOL visual performance and can be used in patients with cataract. However, the presence and severity of cataract may affect the predictive accuracy of preoperative simulations. The purpose of this study was to evaluate the relationship between preoperative SimVis simulations and postoperative binocular VA in cataract patients to determine whether accounting for cataract severity improves postoperative prediction",
        "Setting": "Instituto de Microcirugía Ocular (IMO), Barcelona, Spain.",
        "Methods": "Fifty-three patients undergoing bilateral cataract surgery with monofocal, EDOF, or trifocal IOL implantation were included. Before surgery, binocular VA at far, intermediate and near distances was measured through SimVis simulations of different IOL designs. The implanted IOL was selected independently by the surgeon. Postoperative binocular visual acuity was measured at least 1 month after surgery and compared with the corresponding preoperative simulation of the implanted lens. Agreement between simulated and postoperative vision was evaluated using Bland-Altman analysis, and prediction accuracy was assessed after adjustment for cataract severity and IOL type using multivariable linear regression and a predictive calibration model.",
        "Results": "As expected due to cataracts, preoperative SimVis simulations underestimated postoperative visual acuity at all distances, particularly at intermediate and near vision. After adjustment for cataract severity and implanted IOL type, agreement between simulated and postoperative vision improved substantially. Prediction accuracy after adjustment showed that 98% of eyes predicted within ±2 lines of postoperative VA for far, 87% within ±2 lines for intermediate, and 77% within ±2 lines for near distance. Mean absolute prediction error decreased from 0.16 to 0.05 logMAR at far, from 0.23 to 0.13 at intermediate, and from 0.27 to 0.13 at near vision. Systematic bias observed preoperatively was largely eliminated after adjustment.",
        "Conclusions": "Preoperative SimVis visual simulation provides clinically meaningful predictions of postoperative binocular visual acuity after cataract surgery. Although cataract opacity before surgery systematically introduces underestimation of VA through simulated vision, calibration models accounting for cataract severity and IOL type significantly improve predictive performance. These findings support the use of SimVis as a quantitative preoperative tool for managing patient expectations and assisting personalized IOL selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative SimVis visual simulation provides clinically meaningful predictions of postoperative binocular visual acuity after cataract surgery. Although cataract opacity before surgery systematically introduces underestimation of VA through simulated vision, calibration models accounting for cataract severity and IOL type significantly improve predictive performance. These findings support the use of SimVis as a…",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 15,
      "source_fields": {
        "Abstract Final Identifier": "FP01.14",
        "Title": "Predicting Postoperative Visual Acuity With Different Intraocular Lenses Using Preoperative Visual Simulations In Patients With Cataracts",
        "Presenting Author(s)": "Ms Mar Garcia",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Petros",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Papadogiannis",
        "Country Name": "Spain",
        "Purpose": "Selection of IOLs remains challenging due to the difficulty of predicting postoperative visual performance before surgery. SimVis technology enables binocular see-through simulation of different IOL designs, allowing patients to experience multifocal vision preoperatively. Prior work has demonstrated that SimVis accurately simulates IOL visual performance and can be used in patients with cataract. However, the presence and severity of cataract may affect the predictive accuracy of preoperative simulations. The purpose of this study was to evaluate the relationship between preoperative SimVis simulations and postoperative binocular VA in cataract patients to determine whether accounting for cataract severity improves postoperative prediction",
        "Setting": "Instituto de Microcirugía Ocular (IMO), Barcelona, Spain.",
        "Methods": "Fifty-three patients undergoing bilateral cataract surgery with monofocal, EDOF, or trifocal IOL implantation were included. Before surgery, binocular VA at far, intermediate and near distances was measured through SimVis simulations of different IOL designs. The implanted IOL was selected independently by the surgeon. Postoperative binocular visual acuity was measured at least 1 month after surgery and compared with the corresponding preoperative simulation of the implanted lens. Agreement between simulated and postoperative vision was evaluated using Bland-Altman analysis, and prediction accuracy was assessed after adjustment for cataract severity and IOL type using multivariable linear regression and a predictive calibration model.",
        "Results": "As expected due to cataracts, preoperative SimVis simulations underestimated postoperative visual acuity at all distances, particularly at intermediate and near vision. After adjustment for cataract severity and implanted IOL type, agreement between simulated and postoperative vision improved substantially. Prediction accuracy after adjustment showed that 98% of eyes predicted within ±2 lines of postoperative VA for far, 87% within ±2 lines for intermediate, and 77% within ±2 lines for near distance. Mean absolute prediction error decreased from 0.16 to 0.05 logMAR at far, from 0.23 to 0.13 at intermediate, and from 0.27 to 0.13 at near vision. Systematic bias observed preoperatively was largely eliminated after adjustment.",
        "Conclusions": "Preoperative SimVis visual simulation provides clinically meaningful predictions of postoperative binocular visual acuity after cataract surgery. Although cataract opacity before surgery systematically introduces underestimation of VA through simulated vision, calibration models accounting for cataract severity and IOL type significantly improve predictive performance. These findings support the use of SimVis as a quantitative preoperative tool for managing patient expectations and assisting personalized IOL selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "FP01.15",
      "abstract_number": "FP01.15",
      "title": "Lumina Acommodative Iol; Patients Reported Outcomes (Proms) Compared With Multifocal And Edof Iols",
      "authors": "Prof. Jorge L Alio",
      "presenter": "Prof. Jorge L Alio",
      "normalized_authors": [
        "Jorge L Alio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jorge L Alio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare the patient reported outcomes with LUMINA ® IOL with multifocal (MF) and EDOF IOLs using the Quality of Vision questionnaire (QoV, McAlinder © ).",
        "Setting": "Vissum Miranza Alicante, Spain",
        "Methods": "This prospective comparative study included cataract patients implanted with LUMINA® IOL (AkkoLens) and MF or EDOF IOLs. The MF group included Vivinex Gemetric® (Hoya), Intensity® (Hanita) and AT LISA tri® (Zeiss); the EDOF group included AcrySof IQ Vivity® (Alcon), Asqelio EDOF® (AST) and TECNIS PureSee® (Johnson & Johnson). Follow-up at 1, 3, and 6 months assessed distance and near visual acuity, refraction, and ocular aberrometry (Osiris, CSO©). PROMs were evaluated using the QoV questionnaire. Kruskal-Wallis test with Bonferroni post-hoc and Rasch scores converted to 0–100 scale.",
        "Results": "At 6 months, QoV domain scores differed significantly among IOL designs (frequency p=0.005; severity p=0.129; bothersome p=0.012). The LUMINA ® IOL showed outcomes comparable to those of the EDOF IOLs (LUMINA ® : frequency 28.86; severity 26.30; bothersome 22.18 vs EDOF:24.13; 21.07; 17.18) and better outcomes than MF IOLs (33.30; 26.15; 24.51). Bonferroni post-hoc tests showed higher frequency and degree of bothersome for MF IOLs versus EDOF IOLs (frequency=0.004; bothersome=0.009). For optical quality (PSF), although no statistically significant differences were observed, the accommodative IOL showed better results (0.2235±0.0902) compared with the EDOF IOLs (0.1971±0.0678) and the MF IOLs (0.2132±0.0876).",
        "Conclusions": "LUMINA ® IOL exhibited better clinical outcomes in terms of frequency and bothersome compared with multifocal IOLs and similar with EDOF IOLs, making it a valuable option for patients seeking to minimize postoperative photic phenomena. Multifocal IOLs demonstrated a higher subjective perception of photic phenomena in frequency and bothersome compared with EDOF IOLs. These findings underscore the importance of considering subjective visual quality when individualizing IOL selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "LUMINA ® IOL exhibited better clinical outcomes in terms of frequency and bothersome compared with multifocal IOLs and similar with EDOF IOLs, making it a valuable option for patients seeking to minimize postoperative photic phenomena. Multifocal IOLs demonstrated a higher subjective perception of photic phenomena in frequency and bothersome compared with EDOF IOLs. These findings underscore the importance of…",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 16,
      "source_fields": {
        "Abstract Final Identifier": "FP01.15",
        "Title": "Lumina Acommodative Iol; Patients Reported Outcomes (Proms) Compared With Multifocal And Edof Iols",
        "Presenting Author(s)": "Prof. Jorge L Alio",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Jorge",
        "Submitter Middle Name": "L",
        "Submitter Last Name": "Alio",
        "Country Name": "Spain",
        "Purpose": "To compare the patient reported outcomes with LUMINA ® IOL with multifocal (MF) and EDOF IOLs using the Quality of Vision questionnaire (QoV, McAlinder © ).",
        "Setting": "Vissum Miranza Alicante, Spain",
        "Methods": "This prospective comparative study included cataract patients implanted with LUMINA® IOL (AkkoLens) and MF or EDOF IOLs. The MF group included Vivinex Gemetric® (Hoya), Intensity® (Hanita) and AT LISA tri® (Zeiss); the EDOF group included AcrySof IQ Vivity® (Alcon), Asqelio EDOF® (AST) and TECNIS PureSee® (Johnson & Johnson). Follow-up at 1, 3, and 6 months assessed distance and near visual acuity, refraction, and ocular aberrometry (Osiris, CSO©). PROMs were evaluated using the QoV questionnaire. Kruskal-Wallis test with Bonferroni post-hoc and Rasch scores converted to 0–100 scale.",
        "Results": "At 6 months, QoV domain scores differed significantly among IOL designs (frequency p=0.005; severity p=0.129; bothersome p=0.012). The LUMINA ® IOL showed outcomes comparable to those of the EDOF IOLs (LUMINA ® : frequency 28.86; severity 26.30; bothersome 22.18 vs EDOF:24.13; 21.07; 17.18) and better outcomes than MF IOLs (33.30; 26.15; 24.51). Bonferroni post-hoc tests showed higher frequency and degree of bothersome for MF IOLs versus EDOF IOLs (frequency=0.004; bothersome=0.009). For optical quality (PSF), although no statistically significant differences were observed, the accommodative IOL showed better results (0.2235±0.0902) compared with the EDOF IOLs (0.1971±0.0678) and the MF IOLs (0.2132±0.0876).",
        "Conclusions": "LUMINA ® IOL exhibited better clinical outcomes in terms of frequency and bothersome compared with multifocal IOLs and similar with EDOF IOLs, making it a valuable option for patients seeking to minimize postoperative photic phenomena. Multifocal IOLs demonstrated a higher subjective perception of photic phenomena in frequency and bothersome compared with EDOF IOLs. These findings underscore the importance of considering subjective visual quality when individualizing IOL selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "FP02.01",
      "abstract_number": "FP02.01",
      "title": "Ten-Year Outcomes Of Epithelium-Off Dresden Protocol Corneal Cross-Linking For Progressive Keratoconus",
      "authors": "Ms Michalina Ludwika Depczyńska",
      "presenter": "Ms Michalina Ludwika Depczyńska",
      "normalized_authors": [
        "Michalina Ludwika Depczyńska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michalina Ludwika Depczyńska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the 10-year clinical, refractive, and tomographic outcomes of epithelium-off corneal cross-linking (CXL) using the original Dresden protocol in eyes with progressive keratoconus treated during the early clinical implementation phase in Zurich.",
        "Setting": "Retrospective interventional case series conducted at the IROC Institute and ELZA Institute, Zurich, Switzerland. Patients were treated between 2004 and 2010 and followed for a minimum of 10 years.",
        "Methods": "Progressive keratoconus, defined as ≥1.0 D increase in maximum keratometry (Kmax) within one year, was treated using standard epithelium-off CXL (riboflavin 0.1% with dextran; UV-A irradiation 3 mW/cm² for 30 minutes; total fluence 5.4 J/cm²). Only corneas ≥400 µm after epithelial removal were included. Preoperative and 10-year follow-up assessments included corrected distance visual acuity (CDVA), manifest refraction, and Scheimpflug-derived keratometric parameters (K1, K2, Kmean, Kmax), anterior surface asphericity, and thinnest pachymetry. Paired statistical analysis was performed, with p<0.05 considered statistically significant.",
        "Results": "Of 418 treated eyes, 51 had complete 10-year data; after excluding eyes that underwent additional procedures, 38 eyes (mean follow-up 10.9±1.0 years) were analysed. Kmax decreased by 1.30±3.20 D (p=0.004), K2 by 0.97±1.81 D (p=0.002), and Kmean by 0.62±1.49 D (p=0.014). CDVA improved by 0.15 logMAR (p=0.023). Pachymetry and refractive parameters remained stable. Fifty-three percent of eyes demonstrated >1 D Kmax flattening, 39% remained stable within ±1 D, and 8% showed progression ≥1 D. The overall long-term stabilization rate was 90%. One eye required repeat CXL, and two eyes underwent keratoplasty. No late infectious complications, limbal stem cell insufficiency, or visually significant scarring were observed.",
        "Conclusions": "Epithelium-off Dresden protocol CXL provides durable long-term stabilization of progressive keratoconus over 10 years, with sustained keratometric flattening, preserved or improved visual acuity, and a low retreatment rate. These findings confirm the long-term safety and biomechanical efficacy of the original protocol and support its role as the clinical reference standard against which modified CXL techniques should be evaluated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Epithelium-off Dresden protocol CXL provides durable long-term stabilization of progressive keratoconus over 10 years, with sustained keratometric flattening, preserved or improved visual acuity, and a low retreatment rate. These findings confirm the long-term safety and biomechanical efficacy of the original protocol and support its role as the clinical reference standard against which modified CXL techniques…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 17,
      "source_fields": {
        "Abstract Final Identifier": "FP02.01",
        "Title": "Ten-Year Outcomes Of Epithelium-Off Dresden Protocol Corneal Cross-Linking For Progressive Keratoconus",
        "Presenting Author(s)": "Ms Michalina Ludwika Depczyńska",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Michalina",
        "Submitter Middle Name": "Ludwika",
        "Submitter Last Name": "Depczyńska",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the 10-year clinical, refractive, and tomographic outcomes of epithelium-off corneal cross-linking (CXL) using the original Dresden protocol in eyes with progressive keratoconus treated during the early clinical implementation phase in Zurich.",
        "Setting": "Retrospective interventional case series conducted at the IROC Institute and ELZA Institute, Zurich, Switzerland. Patients were treated between 2004 and 2010 and followed for a minimum of 10 years.",
        "Methods": "Progressive keratoconus, defined as ≥1.0 D increase in maximum keratometry (Kmax) within one year, was treated using standard epithelium-off CXL (riboflavin 0.1% with dextran; UV-A irradiation 3 mW/cm² for 30 minutes; total fluence 5.4 J/cm²). Only corneas ≥400 µm after epithelial removal were included. Preoperative and 10-year follow-up assessments included corrected distance visual acuity (CDVA), manifest refraction, and Scheimpflug-derived keratometric parameters (K1, K2, Kmean, Kmax), anterior surface asphericity, and thinnest pachymetry. Paired statistical analysis was performed, with p<0.05 considered statistically significant.",
        "Results": "Of 418 treated eyes, 51 had complete 10-year data; after excluding eyes that underwent additional procedures, 38 eyes (mean follow-up 10.9±1.0 years) were analysed. Kmax decreased by 1.30±3.20 D (p=0.004), K2 by 0.97±1.81 D (p=0.002), and Kmean by 0.62±1.49 D (p=0.014). CDVA improved by 0.15 logMAR (p=0.023). Pachymetry and refractive parameters remained stable. Fifty-three percent of eyes demonstrated >1 D Kmax flattening, 39% remained stable within ±1 D, and 8% showed progression ≥1 D. The overall long-term stabilization rate was 90%. One eye required repeat CXL, and two eyes underwent keratoplasty. No late infectious complications, limbal stem cell insufficiency, or visually significant scarring were observed.",
        "Conclusions": "Epithelium-off Dresden protocol CXL provides durable long-term stabilization of progressive keratoconus over 10 years, with sustained keratometric flattening, preserved or improved visual acuity, and a low retreatment rate. These findings confirm the long-term safety and biomechanical efficacy of the original protocol and support its role as the clinical reference standard against which modified CXL techniques should be evaluated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "FP02.02",
      "abstract_number": "FP02.02",
      "title": "Long-Term Outcomes Of Corneal Collagen Cross-Linking In Pediatric Keratoconus: A Ten-Year Follow-Up Study",
      "authors": "Dr Denise Wajnsztajn",
      "presenter": "Dr Denise Wajnsztajn",
      "normalized_authors": [
        "Denise Wajnsztajn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Denise Wajnsztajn",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the ten-year outcomes of Cross-linking (CXL) in pediatric Keratoconus (KC) patients, identifying prognostic factors for treatment success and failure.",
        "Setting": "Hadassah Medical Center - Ophthalmology Department.",
        "Methods": "A retrospective observational study was conducted at Hadassah Medical Center, including 173 eyes from 126 pediatric KC patients (≤18 years at treatment) who underwent CXL between 2007 and 2018. Data were analyzed for corneal flattening (Delta Kmax) and visual acuity improvement (Delta LogMAR) over a mean follow-up of 66.24 months (range: 12-156 months). Comparisons between accelerated and non-accelerated CXL protocols were performed. Multivariate analysis identified predictive factors for treatment outcomes.",
        "Results": "Overall, CXL was effective in stabilizing KC progression, with a mean reduction in Kmax of -0.95D (p<0.001) and LogMAR of -0.042 (p=0.01). Non-accelerated CXL demonstrated superior outcomes, with significantly lower failure rates (11.1% vs. 32.8%, p=0.009). Pre-treatment Kmax was a significant predictor of corneal flattening (p=0.007). Kaplan-Meier survival analysis confirmed a longer-lasting effect with non-accelerated CXL (p<0.001). Failure was associated with lower baseline pachymetry.",
        "Conclusions": "CXL provides sustained benefits in pediatric KC patients, with notable superiority of non-accelerated protocols. Higher pre-treatment Kmax correlates with better long-term outcomes, while thinner corneas present a higher risk of treatment failure. These findings emphasize the importance of patient selection and protocol optimization in pediatric CXL management. Further studies are needed to refine treatment strategies and assess long-term visual function stabilization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CXL provides sustained benefits in pediatric KC patients, with notable superiority of non-accelerated protocols. Higher pre-treatment Kmax correlates with better long-term outcomes, while thinner corneas present a higher risk of treatment failure. These findings emphasize the importance of patient selection and protocol optimization in pediatric CXL management. Further studies are needed to refine treatment…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 18,
      "source_fields": {
        "Abstract Final Identifier": "FP02.02",
        "Title": "Long-Term Outcomes Of Corneal Collagen Cross-Linking In Pediatric Keratoconus: A Ten-Year Follow-Up Study",
        "Presenting Author(s)": "Dr Denise Wajnsztajn",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Denise",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wajnsztajn",
        "Country Name": "Israel",
        "Purpose": "To evaluate the ten-year outcomes of Cross-linking (CXL) in pediatric Keratoconus (KC) patients, identifying prognostic factors for treatment success and failure.",
        "Setting": "Hadassah Medical Center - Ophthalmology Department.",
        "Methods": "A retrospective observational study was conducted at Hadassah Medical Center, including 173 eyes from 126 pediatric KC patients (≤18 years at treatment) who underwent CXL between 2007 and 2018. Data were analyzed for corneal flattening (Delta Kmax) and visual acuity improvement (Delta LogMAR) over a mean follow-up of 66.24 months (range: 12-156 months). Comparisons between accelerated and non-accelerated CXL protocols were performed. Multivariate analysis identified predictive factors for treatment outcomes.",
        "Results": "Overall, CXL was effective in stabilizing KC progression, with a mean reduction in Kmax of -0.95D (p<0.001) and LogMAR of -0.042 (p=0.01). Non-accelerated CXL demonstrated superior outcomes, with significantly lower failure rates (11.1% vs. 32.8%, p=0.009). Pre-treatment Kmax was a significant predictor of corneal flattening (p=0.007). Kaplan-Meier survival analysis confirmed a longer-lasting effect with non-accelerated CXL (p<0.001). Failure was associated with lower baseline pachymetry.",
        "Conclusions": "CXL provides sustained benefits in pediatric KC patients, with notable superiority of non-accelerated protocols. Higher pre-treatment Kmax correlates with better long-term outcomes, while thinner corneas present a higher risk of treatment failure. These findings emphasize the importance of patient selection and protocol optimization in pediatric CXL management. Further studies are needed to refine treatment strategies and assess long-term visual function stabilization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "FP02.03",
      "abstract_number": "FP02.03",
      "title": "Efficacy And Safety Of Customized Corneal Cross-Linking For Keratoconus: A Systematic Review And Meta-Analysis",
      "authors": "Dr Tsung-Hsien Tsai",
      "presenter": "Dr Tsung-Hsien Tsai",
      "normalized_authors": [
        "Tsung-Hsien Tsai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tsung-Hsien Tsai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes and safety of customized corneal cross - linking (cCXL) for the treatment of keratoconus.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "Electronic databases were searched through May 1, 2025, yielding 394 records. Primary outcomes were 12-month changes in maximum keratometry (K max ), corrected distance visual acuity (CDVA), and thinnest corneal thickness (TCT). Secondary outcomes included additional keratometric indices, uncorrected distance visual acuity, spherical equivalent, higher-order aberrations, endothelial cell density, and demarcation line depth. Nineteen studies were included in the systematic review, with 14 studies eligible for meta-analysis. Both single-arm analyses of cCXL and comparative analyses versus non-customized CXL were performed. Subgroup analyses were conducted according to epithelial status and irradiation pattern.",
        "Results": "At 12 months, cCXL significantly reduced K max by −1.29 D (95% confidence interval (CI), −1.55 to −1.03) and achieved greater K max flattening than non-customized CXL (additional −1.39 D; 95% CI, −1.82 to −0.95; p <0.001). CDVA improved by −0.10 logMAR (95% CI, −0.12 to −0.07; p <0.001), exceeding the improvement with non-customized CXL ( p =0.031). TCT decreased modestly (−4.42 µm; 95% CI, −7.24 to −1.60; p =0.006). Significant reductions were observed in total higher-order aberrations (−0.24 µm ; 95% CI, −0.37 to −0.11; p=0.016) and vertical coma (−0.25 µm ; 95% CI, −0.49 to −0.00; p=0.049) . Outcomes were comparable between epithelium-on and epithelium-off cCXL, and no significant endothelial cell loss or serious adverse events were reported.",
        "Conclusions": "Customized corneal crosslinking is a safe and effective treatment for keratoconus and provides superior topographic and visual outcomes compared with non-customized CXL through tailored energy delivery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Customized corneal crosslinking is a safe and effective treatment for keratoconus and provides superior topographic and visual outcomes compared with non-customized CXL through tailored energy delivery.",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 19,
      "source_fields": {
        "Abstract Final Identifier": "FP02.03",
        "Title": "Efficacy And Safety Of Customized Corneal Cross-Linking For Keratoconus: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Tsung-Hsien Tsai",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Tsung-Hsien",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsai",
        "Country Name": "Taiwan",
        "Purpose": "To evaluate the clinical outcomes and safety of customized corneal cross - linking (cCXL) for the treatment of keratoconus.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "Electronic databases were searched through May 1, 2025, yielding 394 records. Primary outcomes were 12-month changes in maximum keratometry (K max ), corrected distance visual acuity (CDVA), and thinnest corneal thickness (TCT). Secondary outcomes included additional keratometric indices, uncorrected distance visual acuity, spherical equivalent, higher-order aberrations, endothelial cell density, and demarcation line depth. Nineteen studies were included in the systematic review, with 14 studies eligible for meta-analysis. Both single-arm analyses of cCXL and comparative analyses versus non-customized CXL were performed. Subgroup analyses were conducted according to epithelial status and irradiation pattern.",
        "Results": "At 12 months, cCXL significantly reduced K max by −1.29 D (95% confidence interval (CI), −1.55 to −1.03) and achieved greater K max flattening than non-customized CXL (additional −1.39 D; 95% CI, −1.82 to −0.95; p <0.001). CDVA improved by −0.10 logMAR (95% CI, −0.12 to −0.07; p <0.001), exceeding the improvement with non-customized CXL ( p =0.031). TCT decreased modestly (−4.42 µm; 95% CI, −7.24 to −1.60; p =0.006). Significant reductions were observed in total higher-order aberrations (−0.24 µm ; 95% CI, −0.37 to −0.11; p=0.016) and vertical coma (−0.25 µm ; 95% CI, −0.49 to −0.00; p=0.049) . Outcomes were comparable between epithelium-on and epithelium-off cCXL, and no significant endothelial cell loss or serious adverse events were reported.",
        "Conclusions": "Customized corneal crosslinking is a safe and effective treatment for keratoconus and provides superior topographic and visual outcomes compared with non-customized CXL through tailored energy delivery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "FP02.04",
      "abstract_number": "FP02.04",
      "title": "Comparison Of Sequential Topography Guided Photorefractive Keratectomy And Transepithelial Corneal Collagen Cross Linking Versus Simultaneous Topography Guided Photorefractive Keratectomy And Corneal Collagen Crosslinking.",
      "authors": "Dr Deeksha Sharma",
      "presenter": "Dr Deeksha Sharma",
      "normalized_authors": [
        "Deeksha Sharma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Deeksha Sharma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare 6-month visual, tomographic, and safety outcomes of a sequential approach of\n\ntopography-guided PRK (TG-PRK) followed by accelerated transepithelial corneal crosslinking\n\n(Acc-TECXL) versus simultaneous TG-PRK with accelerated epithelium-off CXL in progressive\n\nkeratoconus.",
        "Setting": "Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh India",
        "Methods": "This prospective randomized study included 30 eyes with progressive stage 1–2 keratoconus (age\n\n>18 years; minimum corneal thickness >450 µm). All eyes underwent alcohol-assisted epithelial\n\nremoval followed by TG-PRK (maximum ablation depth 60 µm) using the Wavelight EX500 excimer\n\nlaser. Ten eyes underwent same-day accelerated epithelium-off CXL (simultaneous group), while\n\n20 eyes underwent Acc-TECXL 4 weeks after TG-PRK (sequential group). Outcome measures at 6\n\nmonths included uncorrected and corrected distance visual acuity (UDVA, CDVA), corneal\n\ntopographic parameters, demarcation line depth, corneal haze (densitometry), endothelial cell\n\ndensity, and epithelial healing.",
        "Results": "In the sequential group, significant improvement in mean decimal UDVA (0.49 ± 0.21) and CDVA\n\n(0.90 ± 0.16) was observed as early as 1 month from baseline. In the simultaneous group,\n\ncomparable improvements in UDVA (0.49 ± 0.13) and CDVA (0.93 ± 0.15) occurred at 3 months.\n\nAlthough the simultaneous group demonstrated a deeper central demarcation line, it was\n\nassociated with increased corneal haze, greater endothelial cell loss, and delayed epithelial healing\n\nin 50% of eyes. No delayed epithelial healing was observed in the sequential group.",
        "Conclusions": "Both techniques effectively stabilise and regularise the cornea in early keratoconus. The sequential\n\napproach offers advantages of faster epithelial healing, earlier visual recovery, and reduced\n\npostoperative haze."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both techniques effectively stabilise and regularise the cornea in early keratoconus. The sequential approach offers advantages of faster epithelial healing, earlier visual recovery, and reduced postoperative haze.",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 20,
      "source_fields": {
        "Abstract Final Identifier": "FP02.04",
        "Title": "Comparison Of Sequential Topography Guided Photorefractive Keratectomy And Transepithelial Corneal Collagen Cross Linking Versus Simultaneous Topography Guided Photorefractive Keratectomy And Corneal Collagen Crosslinking.",
        "Presenting Author(s)": "Dr Deeksha Sharma",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Deeksha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sharma",
        "Country Name": "India",
        "Purpose": "To compare 6-month visual, tomographic, and safety outcomes of a sequential approach of\n\ntopography-guided PRK (TG-PRK) followed by accelerated transepithelial corneal crosslinking\n\n(Acc-TECXL) versus simultaneous TG-PRK with accelerated epithelium-off CXL in progressive\n\nkeratoconus.",
        "Setting": "Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh India",
        "Methods": "This prospective randomized study included 30 eyes with progressive stage 1–2 keratoconus (age\n\n>18 years; minimum corneal thickness >450 µm). All eyes underwent alcohol-assisted epithelial\n\nremoval followed by TG-PRK (maximum ablation depth 60 µm) using the Wavelight EX500 excimer\n\nlaser. Ten eyes underwent same-day accelerated epithelium-off CXL (simultaneous group), while\n\n20 eyes underwent Acc-TECXL 4 weeks after TG-PRK (sequential group). Outcome measures at 6\n\nmonths included uncorrected and corrected distance visual acuity (UDVA, CDVA), corneal\n\ntopographic parameters, demarcation line depth, corneal haze (densitometry), endothelial cell\n\ndensity, and epithelial healing.",
        "Results": "In the sequential group, significant improvement in mean decimal UDVA (0.49 ± 0.21) and CDVA\n\n(0.90 ± 0.16) was observed as early as 1 month from baseline. In the simultaneous group,\n\ncomparable improvements in UDVA (0.49 ± 0.13) and CDVA (0.93 ± 0.15) occurred at 3 months.\n\nAlthough the simultaneous group demonstrated a deeper central demarcation line, it was\n\nassociated with increased corneal haze, greater endothelial cell loss, and delayed epithelial healing\n\nin 50% of eyes. No delayed epithelial healing was observed in the sequential group.",
        "Conclusions": "Both techniques effectively stabilise and regularise the cornea in early keratoconus. The sequential\n\napproach offers advantages of faster epithelial healing, earlier visual recovery, and reduced\n\npostoperative haze."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP02.05",
      "abstract_number": "FP02.05",
      "title": "Central Toxic Keratopathy Following Epithelium-Off Corneal Cross-Linking: A Case Series From An External Tertiary Referral Center",
      "authors": "Mr Léonard Kollros",
      "presenter": "Mr Léonard Kollros",
      "normalized_authors": [
        "Léonard Kollros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Léonard Kollros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To report clinical and imaging characteristics of central toxic keratopathy (CTK) occurring after standalone epithelium-off (epi-off) corneal cross-linking (CXL).",
        "Setting": "Retrospective case series of patients presenting to the ELZA Institute, Zurich, Switzerland, following treatment at an external tertiary referral center.",
        "Methods": "Fifteen eyes of 11 patients developed CTK after epi-off CXL performed at the same external tertiary center. Patients later independently sought evaluation at our institution. Clinical assessment included corrected distance visual acuity (CDVA), slit-lamp biomicroscopy, Scheimpflug tomography, anterior segment optical coherence tomography (AS-OCT), Placido-based topography, and confocal microscopy in selected cases. CXL protocols and intraoperative pachymetry data were reviewed when available.",
        "Results": "Slit-lamp examination demonstrated dense central stromal scarring in 10 eyes and central haze in 5 eyes. CDVA ranged from 20/20 to 20/200. AS-OCT revealed marked central stromal thinning and dense hyperreflectivity extending through the full stromal thickness, frequently crossing the demarcation line. Scheimpflug imaging confirmed significant thinning (<300 µm in severe cases), altered anterior and posterior curvature, and increased corneal densitometry. Confocal microscopy showed stromal hyperreflectivity consistent with fibrotic remodeling. Several cases involved accelerated protocols or substantial intraoperative corneal thinning after dextran-containing riboflavin application.",
        "Conclusions": "Central toxic keratopathy can occur after standalone epi-off CXL and may result in significant stromal thinning, scarring, and long-term visual impairment. Potential contributing factors include excessive UV exposure, intraoperative corneal thinning associated with dextran-based riboflavin, and unregulated riboflavin formulations. Strict UV calibration, intraoperative pachymetry monitoring, and careful selection of riboflavin formulations are essential to minimize risk. Surgeons should remain vigilant for CTK in the postoperative CXL setting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Central toxic keratopathy can occur after standalone epi-off CXL and may result in significant stromal thinning, scarring, and long-term visual impairment. Potential contributing factors include excessive UV exposure, intraoperative corneal thinning associated with dextran-based riboflavin, and unregulated riboflavin formulations. Strict UV calibration, intraoperative pachymetry monitoring, and careful selection of…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 21,
      "source_fields": {
        "Abstract Final Identifier": "FP02.05",
        "Title": "Central Toxic Keratopathy Following Epithelium-Off Corneal Cross-Linking: A Case Series From An External Tertiary Referral Center",
        "Presenting Author(s)": "Mr Léonard Kollros",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Léonard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kollros",
        "Country Name": "Switzerland",
        "Purpose": "To report clinical and imaging characteristics of central toxic keratopathy (CTK) occurring after standalone epithelium-off (epi-off) corneal cross-linking (CXL).",
        "Setting": "Retrospective case series of patients presenting to the ELZA Institute, Zurich, Switzerland, following treatment at an external tertiary referral center.",
        "Methods": "Fifteen eyes of 11 patients developed CTK after epi-off CXL performed at the same external tertiary center. Patients later independently sought evaluation at our institution. Clinical assessment included corrected distance visual acuity (CDVA), slit-lamp biomicroscopy, Scheimpflug tomography, anterior segment optical coherence tomography (AS-OCT), Placido-based topography, and confocal microscopy in selected cases. CXL protocols and intraoperative pachymetry data were reviewed when available.",
        "Results": "Slit-lamp examination demonstrated dense central stromal scarring in 10 eyes and central haze in 5 eyes. CDVA ranged from 20/20 to 20/200. AS-OCT revealed marked central stromal thinning and dense hyperreflectivity extending through the full stromal thickness, frequently crossing the demarcation line. Scheimpflug imaging confirmed significant thinning (<300 µm in severe cases), altered anterior and posterior curvature, and increased corneal densitometry. Confocal microscopy showed stromal hyperreflectivity consistent with fibrotic remodeling. Several cases involved accelerated protocols or substantial intraoperative corneal thinning after dextran-containing riboflavin application.",
        "Conclusions": "Central toxic keratopathy can occur after standalone epi-off CXL and may result in significant stromal thinning, scarring, and long-term visual impairment. Potential contributing factors include excessive UV exposure, intraoperative corneal thinning associated with dextran-based riboflavin, and unregulated riboflavin formulations. Strict UV calibration, intraoperative pachymetry monitoring, and careful selection of riboflavin formulations are essential to minimize risk. Surgeons should remain vigilant for CTK in the postoperative CXL setting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP02.06",
      "abstract_number": "FP02.06",
      "title": "Haze-Dependent Breakdown Of Pachymetric Agreement Between Scheimpflug Imaging And As-Oct",
      "authors": "Dr ASIM BURAK GUNDUZ",
      "presenter": "Dr ASIM BURAK GUNDUZ",
      "normalized_authors": [
        "ASIM BURAK GUNDUZ"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Asim Burak Gunduz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate whether corneal haze severity affects the agreement between Scheimpflug-based pachymetry and anterior segment optical coherence tomography (AS-OCT), and to determine a quantitative haze threshold associated with clinically significant inter-device pachymetric discrepancy.",
        "Setting": "Ankara Bilkent City Hospital Department of Ophthalmology, tertiary referral center. Patients with previous corneal cross-linking (CXL) and healthy control eyes were included. Imaging was performed using Scheimpflug tomography (Sirius anterior segment analysis system (CSO, Florence, Italy)) and anterior segment OCT (3D OCT-1 Maestro (Topcon Corporation, Tokyo, Japan)).",
        "Methods": "Forty-two CXL eyes and 31 control eyes were evaluated. Thinnest corneal thickness was measured with Scheimpflug imaging and AS-OCT. Inter-device difference (OCT–Sirius) was calculated. Stromal haze was quantified on AS-OCT B-scans using ImageJ by measuring mean pixel intensity in predefined anterior and posterior stromal regions of interest. An anterior/posterior stromal reflectivity ratio (Ant/Post haze index) was computed. Clinical haze grading was recorded. Agreement was assessed with Bland–Altman analysis. Correlation, regression, and ROC analyses were performed. Clinically significant discrepancy was defined as ≥30 µm.",
        "Results": "The Ant/Post haze index was significantly higher in the CXL group compared to controls (1.34±0.17 vs 0.99±0.11, p<0.001). Clinical haze grading strongly correlated with the quantitative haze index (Spearman r=0.84, p<0.001). Across the entire cohort, haze index showed a strong positive correlation with OCT–Sirius pachymetry difference (r=0.69, p<0.001), which remained significant within the CXL subgroup (r=0.45, p=0.003). Bland–Altman analysis demonstrated a mean bias of 35 µm (limits of agreement −30 to +100 µm), with increasing heteroscedasticity at higher haze levels. ROC analysis revealed excellent discrimination for predicting clinically significant inter-device difference (AUC=0.91). The optimal cutoff value for haze index was 1.14.",
        "Conclusions": "Corneal haze severity-both quantitatively measured by anterior/posterior stromal reflectivity ratio and clinically graded at the slit lamp-significantly reduces agreement between Scheimpflug-derived and AS-OCT pachymetry measurements. Increasing clinical haze grade was strongly associated with widening inter-device discrepancy, indicating a haze-dependent measurement bias rather than random variability. While quantitative reflectivity analysis provides objective confirmation, the mere presence of clinically visible stromal haze should alert clinicians to potential pachymetric inaccuracy with Scheimpflug imaging. In such cases, anterior segment OCT may provide a more reliable assessment of corneal thickness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal haze severity-both quantitatively measured by anterior/posterior stromal reflectivity ratio and clinically graded at the slit lamp-significantly reduces agreement between Scheimpflug-derived and AS-OCT pachymetry measurements. Increasing clinical haze grade was strongly associated with widening inter-device discrepancy, indicating a haze-dependent measurement bias rather than random variability. While…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 22,
      "source_fields": {
        "Abstract Final Identifier": "FP02.06",
        "Title": "Haze-Dependent Breakdown Of Pachymetric Agreement Between Scheimpflug Imaging And As-Oct",
        "Presenting Author(s)": "Dr ASIM BURAK GUNDUZ",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Asim Burak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gunduz",
        "Country Name": "Türkiye",
        "Purpose": "To investigate whether corneal haze severity affects the agreement between Scheimpflug-based pachymetry and anterior segment optical coherence tomography (AS-OCT), and to determine a quantitative haze threshold associated with clinically significant inter-device pachymetric discrepancy.",
        "Setting": "Ankara Bilkent City Hospital Department of Ophthalmology, tertiary referral center. Patients with previous corneal cross-linking (CXL) and healthy control eyes were included. Imaging was performed using Scheimpflug tomography (Sirius anterior segment analysis system (CSO, Florence, Italy)) and anterior segment OCT (3D OCT-1 Maestro (Topcon Corporation, Tokyo, Japan)).",
        "Methods": "Forty-two CXL eyes and 31 control eyes were evaluated. Thinnest corneal thickness was measured with Scheimpflug imaging and AS-OCT. Inter-device difference (OCT–Sirius) was calculated. Stromal haze was quantified on AS-OCT B-scans using ImageJ by measuring mean pixel intensity in predefined anterior and posterior stromal regions of interest. An anterior/posterior stromal reflectivity ratio (Ant/Post haze index) was computed. Clinical haze grading was recorded. Agreement was assessed with Bland–Altman analysis. Correlation, regression, and ROC analyses were performed. Clinically significant discrepancy was defined as ≥30 µm.",
        "Results": "The Ant/Post haze index was significantly higher in the CXL group compared to controls (1.34±0.17 vs 0.99±0.11, p<0.001). Clinical haze grading strongly correlated with the quantitative haze index (Spearman r=0.84, p<0.001). Across the entire cohort, haze index showed a strong positive correlation with OCT–Sirius pachymetry difference (r=0.69, p<0.001), which remained significant within the CXL subgroup (r=0.45, p=0.003). Bland–Altman analysis demonstrated a mean bias of 35 µm (limits of agreement −30 to +100 µm), with increasing heteroscedasticity at higher haze levels. ROC analysis revealed excellent discrimination for predicting clinically significant inter-device difference (AUC=0.91). The optimal cutoff value for haze index was 1.14.",
        "Conclusions": "Corneal haze severity-both quantitatively measured by anterior/posterior stromal reflectivity ratio and clinically graded at the slit lamp-significantly reduces agreement between Scheimpflug-derived and AS-OCT pachymetry measurements. Increasing clinical haze grade was strongly associated with widening inter-device discrepancy, indicating a haze-dependent measurement bias rather than random variability. While quantitative reflectivity analysis provides objective confirmation, the mere presence of clinically visible stromal haze should alert clinicians to potential pachymetric inaccuracy with Scheimpflug imaging. In such cases, anterior segment OCT may provide a more reliable assessment of corneal thickness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "FP02.07",
      "abstract_number": "FP02.07",
      "title": "Prospective Multi-Parameter Propensity Score–Matched Analysis Of Corneal Haze Following Combined Versus Sequential Customized Transepithelial Prk With Accelerated Corneal Cross-Linking.",
      "authors": "Prof. Dr Shady Awwad",
      "presenter": "Prof. Dr Shady Awwad",
      "normalized_authors": [
        "Shady Awwad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shady Awwad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lebanon",
      "sections": {
        "Purpose": "To objectively evaluate stromal haze and refractive and tomographic results in eyes undergoing combined versus sequential customized transepithelial PRK (TransPRK) with accelerated corneal cross-linking (A-CXL)",
        "Setting": "American University of Beirut Medical Center.",
        "Methods": "A prospective observational study of 118 eyes undergoing customized TransPRK either with combined A-CXL (n=90) or after prior A-CXL (n=28). All cases were performed by the same surgeon using the same laser platform (SCHWIND Amaris). No mitomycin C (MMC) was used in the combined group. Customized ablation targeted mainly higher-order aberrations (HOAs). PSM matched age, sex, corneal thickness, Kmax, Kmean, and total coma. Baseline and 1,3,6, and 12 months assessments included uncorrected and distance corrected visual acuity (UDVA and CDVA), manifest refraction, tomography, corneal HOAs, and optical coherence tomography (OCT). Stromal haze was quantified on OCT in grayscale units using a validated machine-learning algorithm.",
        "Results": "After propensity score matching, 27 eyes were included per group. At 12 months, both groups gained 2 lines of CDVA with no significant between-group difference. Kmax decreased significantly in both groups (combined: 51.94±4.96 D to 48.91±3.86 D; sequential: 49.37±2.90 D to 47.49±3.47 D; both P=0.001), with comparable flattening between groups. Total corneal coma improved similarly in both groups (0.5 D reduction; P<0.001 within groups; no between-group difference). OCT-derived reflectivity increased postoperatively in both groups the combined group showed an earlier anterior rise, whereas the sequential group demonstrated higher subepithelial reflectivity at 6 months; by 12 months, reflectivity profiles converged in both groups.",
        "Conclusions": "Both sequential and combined customized TransPRK yielded similar stromal haze profiles and visual, tomographic, and aberrometric outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both sequential and combined customized TransPRK yielded similar stromal haze profiles and visual, tomographic, and aberrometric outcomes.",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 23,
      "source_fields": {
        "Abstract Final Identifier": "FP02.07",
        "Title": "Prospective Multi-Parameter Propensity Score–Matched Analysis Of Corneal Haze Following Combined Versus Sequential Customized Transepithelial Prk With Accelerated Corneal Cross-Linking.",
        "Presenting Author(s)": "Prof. Dr Shady Awwad",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Shady",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Awwad",
        "Country Name": "Lebanon",
        "Purpose": "To objectively evaluate stromal haze and refractive and tomographic results in eyes undergoing combined versus sequential customized transepithelial PRK (TransPRK) with accelerated corneal cross-linking (A-CXL)",
        "Setting": "American University of Beirut Medical Center.",
        "Methods": "A prospective observational study of 118 eyes undergoing customized TransPRK either with combined A-CXL (n=90) or after prior A-CXL (n=28). All cases were performed by the same surgeon using the same laser platform (SCHWIND Amaris). No mitomycin C (MMC) was used in the combined group. Customized ablation targeted mainly higher-order aberrations (HOAs). PSM matched age, sex, corneal thickness, Kmax, Kmean, and total coma. Baseline and 1,3,6, and 12 months assessments included uncorrected and distance corrected visual acuity (UDVA and CDVA), manifest refraction, tomography, corneal HOAs, and optical coherence tomography (OCT). Stromal haze was quantified on OCT in grayscale units using a validated machine-learning algorithm.",
        "Results": "After propensity score matching, 27 eyes were included per group. At 12 months, both groups gained 2 lines of CDVA with no significant between-group difference. Kmax decreased significantly in both groups (combined: 51.94±4.96 D to 48.91±3.86 D; sequential: 49.37±2.90 D to 47.49±3.47 D; both P=0.001), with comparable flattening between groups. Total corneal coma improved similarly in both groups (0.5 D reduction; P<0.001 within groups; no between-group difference). OCT-derived reflectivity increased postoperatively in both groups the combined group showed an earlier anterior rise, whereas the sequential group demonstrated higher subepithelial reflectivity at 6 months; by 12 months, reflectivity profiles converged in both groups.",
        "Conclusions": "Both sequential and combined customized TransPRK yielded similar stromal haze profiles and visual, tomographic, and aberrometric outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "FP02.08",
      "abstract_number": "FP02.08",
      "title": "Machine Learning–Based Prediction Of Visual Acuity After Corneal Cross-Linking In Keratoconus Using Corneal Tomographic Parameters",
      "authors": "Dr Begum Petek AL",
      "presenter": "Dr Begum Petek AL",
      "normalized_authors": [
        "Begum Petek AL"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Begum Petek Al",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Keratoconus is characterized by progressive corneal thinning and irregular astigmatism, resulting in variable visual impairment. Although corneal tomography provides detailed structural information, predicting functional vision from tomographic parameters remains challenging. This study aimed to evaluate whether a machine learning approach using the XGBoost algorithm and Pentacam-derived corneal parameters can predict corrected distance visual acuity (CDVA) after corneal cross-linking operation in keratoconus patients, and to identify the tomographic features most strongly associated with visual outcomes",
        "Setting": "This retrospective single-center study was conducted at a tertiary ophthalmology center. Keratoconus patients who had undergone corneal cross-linking and corneal tomography were included. Demographic data, corrected distance visual acuity, and Pentacam-derived tomographic parameters were collected from clinical records.",
        "Methods": "In this study, keratoconus patients who underwent corneal tomography were included. CDVA was recorded and converted to logMAR. Corneal tomographic parameters were obtained using the Pentacam system (Oculus, Wetzlar, Germany). In addition to the automatically generated indices, corneal reflectivity values were measured and calculated from Scheimpflug images and included as input variables. An Extreme Gradient Boosting (XGBoost) regression model was used to predict CDVA from tomographic features. Model performance was evaluated using 5-fold cross-validation and assessed with mean absolute error (MAE), root mean square error (RMSE), and coefficient of determination (R²).",
        "Results": "A total of 161 keratoconus eyes that had previously undergone corneal cross-linking were included (mean age 23.68 ± 5.09 years). A linear regression model yielded a MAE of 0.085 logMAR . The XGBoost model using all 60 tomographic parameters achieved an MAE of 0.078 logMAR . When restricted to the 15 most influential features , the XGBoost model demonstrated improved performance, with an MAE of 0.072 logMAR , a RMSE of 0.093 logMAR , and an R² of 0.67 . Feature importance analysis identified Kmax, mean keratometry, corneal asphericity, and pachymetric deviation indices among the strongest predictors of visual acuity.",
        "Conclusions": "Machine learning models using corneal tomographic parameters can estimate visual acuity in keratoconus with reasonable accuracy. The XGBoost model demonstrated better performance than linear regression, and prediction accuracy improved after feature selection. These findings suggest that tomographic features are closely associated with visual function and may help account for variations in visual acuity among keratoconus patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Machine learning models using corneal tomographic parameters can estimate visual acuity in keratoconus with reasonable accuracy. The XGBoost model demonstrated better performance than linear regression, and prediction accuracy improved after feature selection. These findings suggest that tomographic features are closely associated with visual function and may help account for variations in visual acuity among…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 24,
      "source_fields": {
        "Abstract Final Identifier": "FP02.08",
        "Title": "Machine Learning–Based Prediction Of Visual Acuity After Corneal Cross-Linking In Keratoconus Using Corneal Tomographic Parameters",
        "Presenting Author(s)": "Dr Begum Petek AL",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Begum",
        "Submitter Middle Name": "Petek",
        "Submitter Last Name": "Al",
        "Country Name": "Türkiye",
        "Purpose": "Keratoconus is characterized by progressive corneal thinning and irregular astigmatism, resulting in variable visual impairment. Although corneal tomography provides detailed structural information, predicting functional vision from tomographic parameters remains challenging. This study aimed to evaluate whether a machine learning approach using the XGBoost algorithm and Pentacam-derived corneal parameters can predict corrected distance visual acuity (CDVA) after corneal cross-linking operation in keratoconus patients, and to identify the tomographic features most strongly associated with visual outcomes",
        "Setting": "This retrospective single-center study was conducted at a tertiary ophthalmology center. Keratoconus patients who had undergone corneal cross-linking and corneal tomography were included. Demographic data, corrected distance visual acuity, and Pentacam-derived tomographic parameters were collected from clinical records.",
        "Methods": "In this study, keratoconus patients who underwent corneal tomography were included. CDVA was recorded and converted to logMAR. Corneal tomographic parameters were obtained using the Pentacam system (Oculus, Wetzlar, Germany). In addition to the automatically generated indices, corneal reflectivity values were measured and calculated from Scheimpflug images and included as input variables. An Extreme Gradient Boosting (XGBoost) regression model was used to predict CDVA from tomographic features. Model performance was evaluated using 5-fold cross-validation and assessed with mean absolute error (MAE), root mean square error (RMSE), and coefficient of determination (R²).",
        "Results": "A total of 161 keratoconus eyes that had previously undergone corneal cross-linking were included (mean age 23.68 ± 5.09 years). A linear regression model yielded a MAE of 0.085 logMAR . The XGBoost model using all 60 tomographic parameters achieved an MAE of 0.078 logMAR . When restricted to the 15 most influential features , the XGBoost model demonstrated improved performance, with an MAE of 0.072 logMAR , a RMSE of 0.093 logMAR , and an R² of 0.67 . Feature importance analysis identified Kmax, mean keratometry, corneal asphericity, and pachymetric deviation indices among the strongest predictors of visual acuity.",
        "Conclusions": "Machine learning models using corneal tomographic parameters can estimate visual acuity in keratoconus with reasonable accuracy. The XGBoost model demonstrated better performance than linear regression, and prediction accuracy improved after feature selection. These findings suggest that tomographic features are closely associated with visual function and may help account for variations in visual acuity among keratoconus patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "FP02.09",
      "abstract_number": "FP02.09",
      "title": "Simultaneous Phototherapeutic Keratectomy And Corneal Crosslinking In Eyes With Keratoconus: A Randomised Clinical Trial (Shark)",
      "authors": "Mr Bjarne Thorbjørnsen",
      "presenter": "Mr Bjarne Thorbjørnsen",
      "normalized_authors": [
        "Bjarne Thorbjørnsen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bjarne Thorbjørnsen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "To compare visual and refractive outcomes after transepithelial phototherapeutic keratectomy (t-PTK) combined with accelerated corneal cross-linking (CXL) versus accelerated CXL with mechanical epithelial removal in progressive keratoconus.",
        "Setting": "Prospective randomised clinical trial at Oslo University Hospital, Oslo, Norway.",
        "Methods": "One hundred eyes of 100 patients with keratoconus were prospectively enrolled between January 2024 and November 2025 and randomised 2:1 to CXL with mechanical epithelial debridement or t-PTK followed by CXL. Patients were examined preoperatively and 6 months after treatment. Primary outcomes were changes in uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA). Secondary outcomes were changes in manifest refraction and different corneal tomographic values.",
        "Results": "No significant changes in UDVA, CDVA or maximum keratometry (Kmax) were observed in the two groups. The t-PTK+CXL group demonstrated a significantly myopic shift (−1.89±1.87 D) and astigmatic reduction (+1.63±1.57 D), whereas minimal refractive change occurred after CXL alone. Between-group comparison confirmed significantly greater spherical and cylindrical change in the combined group (all p<0.001), without differences in UDVA, CDVA or Kmax. In subgroup analysis, eyes with advanced ectasia (Kmax ≥55 D) treated with t-PTK+CXL showed significant improvement in both UDVA and CDVA, whereas no visual improvement was observed in eyes with Kmax <55 D.",
        "Conclusions": "Combined t-PTK and CXL resulted in significantly greater refractive change than CXL alone, characterised by astigmatic reduction and a predictable myopic shift. Visual benefit was confined to eyes with advanced keratoconus (Kmax ≥55 D), suggesting that the main advantage of combined treatment lies in the more severe disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined t-PTK and CXL resulted in significantly greater refractive change than CXL alone, characterised by astigmatic reduction and a predictable myopic shift. Visual benefit was confined to eyes with advanced keratoconus (Kmax ≥55 D), suggesting that the main advantage of combined treatment lies in the more severe disease.",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 25,
      "source_fields": {
        "Abstract Final Identifier": "FP02.09",
        "Title": "Simultaneous Phototherapeutic Keratectomy And Corneal Crosslinking In Eyes With Keratoconus: A Randomised Clinical Trial (Shark)",
        "Presenting Author(s)": "Mr Bjarne Thorbjørnsen",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Bjarne",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Thorbjørnsen",
        "Country Name": "Norway",
        "Purpose": "To compare visual and refractive outcomes after transepithelial phototherapeutic keratectomy (t-PTK) combined with accelerated corneal cross-linking (CXL) versus accelerated CXL with mechanical epithelial removal in progressive keratoconus.",
        "Setting": "Prospective randomised clinical trial at Oslo University Hospital, Oslo, Norway.",
        "Methods": "One hundred eyes of 100 patients with keratoconus were prospectively enrolled between January 2024 and November 2025 and randomised 2:1 to CXL with mechanical epithelial debridement or t-PTK followed by CXL. Patients were examined preoperatively and 6 months after treatment. Primary outcomes were changes in uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA). Secondary outcomes were changes in manifest refraction and different corneal tomographic values.",
        "Results": "No significant changes in UDVA, CDVA or maximum keratometry (Kmax) were observed in the two groups. The t-PTK+CXL group demonstrated a significantly myopic shift (−1.89±1.87 D) and astigmatic reduction (+1.63±1.57 D), whereas minimal refractive change occurred after CXL alone. Between-group comparison confirmed significantly greater spherical and cylindrical change in the combined group (all p<0.001), without differences in UDVA, CDVA or Kmax. In subgroup analysis, eyes with advanced ectasia (Kmax ≥55 D) treated with t-PTK+CXL showed significant improvement in both UDVA and CDVA, whereas no visual improvement was observed in eyes with Kmax <55 D.",
        "Conclusions": "Combined t-PTK and CXL resulted in significantly greater refractive change than CXL alone, characterised by astigmatic reduction and a predictable myopic shift. Visual benefit was confined to eyes with advanced keratoconus (Kmax ≥55 D), suggesting that the main advantage of combined treatment lies in the more severe disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "FP02.10",
      "abstract_number": "FP02.10",
      "title": "Dehydration And Rehydration Dynamics Of Porcine Corneal Allogenic Intrastromal Ring Segments Following Ultra-High-Fluence Extracorporeal Cross-Linking",
      "authors": "Mr Léonard Kollros",
      "presenter": "Mr Léonard Kollros",
      "normalized_authors": [
        "Léonard Kollros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Léonard Kollros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the effect of extracorporeal ultra-high-fluence corneal cross-linking on dehydration and rehydration behavior of porcine stromal ring segments prepared for corneal allogenic intrastromal ring segment (CAIRS) implantation.",
        "Setting": "Experimental laboratory study conducted at the ELZA Institute, Zurich, Switzerland.",
        "Methods": "Forty-eight freshly enucleated porcine corneas were used to prepare stromal ring segments. Segments were randomly assigned to three groups: control (no UV), extracorporeal CXL 30 J/cm², and extracorporeal CXL 60 J/cm² (n=32 per group). Intervention groups were soaked in 0.1% riboflavin prior to UV-A irradiation (365 nm, 30 mW/cm²). All groups underwent a standardized 45-minute dehydration phase followed by 10-minute rehydration with balanced salt solution. Thickness measurements were obtained at baseline, post-dehydration, and post-rehydration using calibrated digital imaging and ImageJ analysis. Non-parametric statistical testing was applied (p<0.05).",
        "Results": "Baseline thickness did not differ significantly between groups. Both cross-linked groups demonstrated significantly greater dehydration compared to controls (30 J: p=0.0032; 60 J: p=0.0003). Rehydration was significantly reduced in both cross-linked groups relative to controls (30 J: p=5.46×10⁻⁶; 60 J: p=0.0011). No statistically significant difference was observed between the 30 J/cm² and 60 J/cm² groups. Ultra-high-fluence cross-linking resulted in thinner segments with delayed re-expansion kinetics.",
        "Conclusions": "Extracorporeal ultra-high-fluence cross-linking significantly enhances dehydration and reduces rehydration of corneal stromal ring segments ex vivo. These effects may improve intraoperative handling and extend the surgical implantation window in CAIRS procedures. No additional dehydration benefit was observed between 30 J/cm² and 60 J/cm² protocols. Further in vivo studies are required to determine long-term biomechanical and clinical implications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Extracorporeal ultra-high-fluence cross-linking significantly enhances dehydration and reduces rehydration of corneal stromal ring segments ex vivo. These effects may improve intraoperative handling and extend the surgical implantation window in CAIRS procedures. No additional dehydration benefit was observed between 30 J/cm² and 60 J/cm² protocols. Further in vivo studies are required to determine long-term…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 26,
      "source_fields": {
        "Abstract Final Identifier": "FP02.10",
        "Title": "Dehydration And Rehydration Dynamics Of Porcine Corneal Allogenic Intrastromal Ring Segments Following Ultra-High-Fluence Extracorporeal Cross-Linking",
        "Presenting Author(s)": "Mr Léonard Kollros",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Léonard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kollros",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the effect of extracorporeal ultra-high-fluence corneal cross-linking on dehydration and rehydration behavior of porcine stromal ring segments prepared for corneal allogenic intrastromal ring segment (CAIRS) implantation.",
        "Setting": "Experimental laboratory study conducted at the ELZA Institute, Zurich, Switzerland.",
        "Methods": "Forty-eight freshly enucleated porcine corneas were used to prepare stromal ring segments. Segments were randomly assigned to three groups: control (no UV), extracorporeal CXL 30 J/cm², and extracorporeal CXL 60 J/cm² (n=32 per group). Intervention groups were soaked in 0.1% riboflavin prior to UV-A irradiation (365 nm, 30 mW/cm²). All groups underwent a standardized 45-minute dehydration phase followed by 10-minute rehydration with balanced salt solution. Thickness measurements were obtained at baseline, post-dehydration, and post-rehydration using calibrated digital imaging and ImageJ analysis. Non-parametric statistical testing was applied (p<0.05).",
        "Results": "Baseline thickness did not differ significantly between groups. Both cross-linked groups demonstrated significantly greater dehydration compared to controls (30 J: p=0.0032; 60 J: p=0.0003). Rehydration was significantly reduced in both cross-linked groups relative to controls (30 J: p=5.46×10⁻⁶; 60 J: p=0.0011). No statistically significant difference was observed between the 30 J/cm² and 60 J/cm² groups. Ultra-high-fluence cross-linking resulted in thinner segments with delayed re-expansion kinetics.",
        "Conclusions": "Extracorporeal ultra-high-fluence cross-linking significantly enhances dehydration and reduces rehydration of corneal stromal ring segments ex vivo. These effects may improve intraoperative handling and extend the surgical implantation window in CAIRS procedures. No additional dehydration benefit was observed between 30 J/cm² and 60 J/cm² protocols. Further in vivo studies are required to determine long-term biomechanical and clinical implications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "FP02.11",
      "abstract_number": "FP02.11",
      "title": "Structural And Cellular Characterization Of Post-Cxl Extreme-Flattened Corneas: Evidence Of Keratocyte Depletion",
      "authors": "Dr Erika Bonacci",
      "presenter": "Dr Erika Bonacci",
      "normalized_authors": [
        "Erika Bonacci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erika Bonacci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To characterize structural, cellular, and biomechanical features of corneas exhibiting progressive extreme flattening after corneal collagen cross-linking (CXL) and to compare them with CXL-treated corneas without progressive flattening.",
        "Setting": "Multicenter matched case–control study.\n\nUniversity of Verona, Verona, Italy\n\nHumanitas University, Milan, Italy",
        "Methods": "We enrolled patients who developed progressive extreme corneal flattening between 2023 and 2025 after CXL. Patients were divided into two groups: 1) the first group included patients with documented super post-operative corneal flattening (≥5.00 D reduction in K values based on corneal tomography); 2) the second group involved patients with <5.00 D flattening. All patients underwent IVCM (HRT-II Rostock Corneal Module) of the entire cornea, from epithelium to endothelium. Epithelium, sub basal nerve plexus, and endothelium were qualitatively evaluated. Keratocyte density was quantified by two masked observers using semi-automated cell-counting software. Corneal biomechanics parameters were evaluated.",
        "Results": "Hyperflattened corneas showed significantly reduced anterior (107.1 ± 141.4 vs 260.7 ± 133.2 cells/mm²; p = 0.02) and mid-stromal KD (189.1 ± 86.6 vs 278.4 ± 89.2 cells/mm²; p = 0.04), with no difference posteriorly. Thinnest corneal thickness was lower in hyperflattened eyes (430.3 ± 70.7 vs 478.3 ± 30.8 µm; p = 0.040). Within the hyperflattened group, flattening magnitude correlated inversely with anterior KD (ρ = −0.73, p = 0.001), thinnest corneal thickness (ρ = −0.65, p = 0.012), and stress–strain index (ρ = −0.62, p = 0.024). Anterior KD strongly correlated with corneal thickness (ρ = 0.82, p = 0.0003). Preoperative thickness was not associated with flattening magnitude or long-term KD.",
        "Conclusions": "Progressive extreme flattening after CXL is associated with anterior stromal keratocyte depletion, stromal thinning, and altered biomechanical behavior. These findings suggest that hyperflattening represents a distinct maladaptive remodeling phenotype rather than enhanced cross-linking efficacy, underscoring the potential role of cellular biomarkers in post-CXL risk stratification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Progressive extreme flattening after CXL is associated with anterior stromal keratocyte depletion, stromal thinning, and altered biomechanical behavior. These findings suggest that hyperflattening represents a distinct maladaptive remodeling phenotype rather than enhanced cross-linking efficacy, underscoring the potential role of cellular biomarkers in post-CXL risk stratification.",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 27,
      "source_fields": {
        "Abstract Final Identifier": "FP02.11",
        "Title": "Structural And Cellular Characterization Of Post-Cxl Extreme-Flattened Corneas: Evidence Of Keratocyte Depletion",
        "Presenting Author(s)": "Dr Erika Bonacci",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Erika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bonacci",
        "Country Name": "Italy",
        "Purpose": "To characterize structural, cellular, and biomechanical features of corneas exhibiting progressive extreme flattening after corneal collagen cross-linking (CXL) and to compare them with CXL-treated corneas without progressive flattening.",
        "Setting": "Multicenter matched case–control study.\n\nUniversity of Verona, Verona, Italy\n\nHumanitas University, Milan, Italy",
        "Methods": "We enrolled patients who developed progressive extreme corneal flattening between 2023 and 2025 after CXL. Patients were divided into two groups: 1) the first group included patients with documented super post-operative corneal flattening (≥5.00 D reduction in K values based on corneal tomography); 2) the second group involved patients with <5.00 D flattening. All patients underwent IVCM (HRT-II Rostock Corneal Module) of the entire cornea, from epithelium to endothelium. Epithelium, sub basal nerve plexus, and endothelium were qualitatively evaluated. Keratocyte density was quantified by two masked observers using semi-automated cell-counting software. Corneal biomechanics parameters were evaluated.",
        "Results": "Hyperflattened corneas showed significantly reduced anterior (107.1 ± 141.4 vs 260.7 ± 133.2 cells/mm²; p = 0.02) and mid-stromal KD (189.1 ± 86.6 vs 278.4 ± 89.2 cells/mm²; p = 0.04), with no difference posteriorly. Thinnest corneal thickness was lower in hyperflattened eyes (430.3 ± 70.7 vs 478.3 ± 30.8 µm; p = 0.040). Within the hyperflattened group, flattening magnitude correlated inversely with anterior KD (ρ = −0.73, p = 0.001), thinnest corneal thickness (ρ = −0.65, p = 0.012), and stress–strain index (ρ = −0.62, p = 0.024). Anterior KD strongly correlated with corneal thickness (ρ = 0.82, p = 0.0003). Preoperative thickness was not associated with flattening magnitude or long-term KD.",
        "Conclusions": "Progressive extreme flattening after CXL is associated with anterior stromal keratocyte depletion, stromal thinning, and altered biomechanical behavior. These findings suggest that hyperflattening represents a distinct maladaptive remodeling phenotype rather than enhanced cross-linking efficacy, underscoring the potential role of cellular biomarkers in post-CXL risk stratification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "FP02.12",
      "abstract_number": "FP02.12",
      "title": "Comparison Of Choroidal Biomarkers And Scleral Thickness In Keratoconus In Relation To Corneal Cross-Linking",
      "authors": "Dr Nicola Valsecchi",
      "presenter": "Dr Nicola Valsecchi",
      "normalized_authors": [
        "Nicola Valsecchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicola Valsecchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To investigate whether corneal collagen cross-linking (CXL) induces measurable remodeling of extra-corneal tissues in KC, by comparing choroidal and scleral structural biomarkers between treatment-naïve and CXL-treated eyes.",
        "Setting": "University of Bologna, Italy",
        "Methods": "This is a single center, cross-sectional, observational study. Anterior scleral thickness (ST) was quantified using swept-source anterior segment optical coherence tomography (AS-OCT; CASIA2, Tomey, Japan). Ocular biomechanical parameters were measured with the Ocular Response Analyzer (ORA; Reichert, Germany). Subfoveal choroidal thickness (SFCT), peripapillary choroidal thickness (PPCT) were assessed with spectral-domain OCT (SPECTRALIS HRA-OCT, Heidelberg Engineering, Germany). Choroidal vascularity index (CVI) and total choroidal area (TCA) were computed using a validated semi-automated algorithm. A subgroup analysis compared treated and untreated fellow eyes in unilateral CXL cases.",
        "Results": "A total of 65 keratoconic eyes of 65 patients were recruited – 35 treatment-naïve versus 30 post–epithelium-off cross-linking (≥6 months post-treatment). CXL-treated eyes exhibited significantly greater Sub-Foveal Choroidal Thickness (SFCT) (421.1 ± 81.9 µm vs 352.9 ± 81.9 µm; p = 0.016), mean Peripapillary Choroidal Thickness (PPCT) (238.0 ± 72.9 µm vs 199.5 ± 65.3 µm; p = 0.038), and mean Total Choroidal Area (TCA) (1.45 ± 0.32 mm² vs 1.29 ± 0.27 mm²; p = 0.046) compared with treatment-naïve eyes. Pachychoroid pigment epiteliopathy (PPE) alterations occurred exclusively in the CXL group (16.7%). Multivariate regression analysis identified previous CXL as the only independent factor associated with increased SFCT (β = 0.340, p = 0.040).",
        "Conclusions": "CXL appears to be associated with thicker choroids in keratoconic eyes, independent of biomechanical or scleral thickness variations. These findings support the hypothesis that CXL may induce subclinical remodeling of deeper ocular layers, potentially affecting choroidal-scleral fluid dynamics. Further prospective longitudinal studies with larger cohorts and multimodal assessment are warranted to clarify the mechanisms, time course, and long-term implications of choroidal changes following CXL ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CXL appears to be associated with thicker choroids in keratoconic eyes, independent of biomechanical or scleral thickness variations. These findings support the hypothesis that CXL may induce subclinical remodeling of deeper ocular layers, potentially affecting choroidal-scleral fluid dynamics. Further prospective longitudinal studies with larger cohorts and multimodal assessment are warranted to clarify the…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 28,
      "source_fields": {
        "Abstract Final Identifier": "FP02.12",
        "Title": "Comparison Of Choroidal Biomarkers And Scleral Thickness In Keratoconus In Relation To Corneal Cross-Linking",
        "Presenting Author(s)": "Dr Nicola Valsecchi",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Nicola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Valsecchi",
        "Country Name": "Italy",
        "Purpose": "To investigate whether corneal collagen cross-linking (CXL) induces measurable remodeling of extra-corneal tissues in KC, by comparing choroidal and scleral structural biomarkers between treatment-naïve and CXL-treated eyes.",
        "Setting": "University of Bologna, Italy",
        "Methods": "This is a single center, cross-sectional, observational study. Anterior scleral thickness (ST) was quantified using swept-source anterior segment optical coherence tomography (AS-OCT; CASIA2, Tomey, Japan). Ocular biomechanical parameters were measured with the Ocular Response Analyzer (ORA; Reichert, Germany). Subfoveal choroidal thickness (SFCT), peripapillary choroidal thickness (PPCT) were assessed with spectral-domain OCT (SPECTRALIS HRA-OCT, Heidelberg Engineering, Germany). Choroidal vascularity index (CVI) and total choroidal area (TCA) were computed using a validated semi-automated algorithm. A subgroup analysis compared treated and untreated fellow eyes in unilateral CXL cases.",
        "Results": "A total of 65 keratoconic eyes of 65 patients were recruited – 35 treatment-naïve versus 30 post–epithelium-off cross-linking (≥6 months post-treatment). CXL-treated eyes exhibited significantly greater Sub-Foveal Choroidal Thickness (SFCT) (421.1 ± 81.9 µm vs 352.9 ± 81.9 µm; p = 0.016), mean Peripapillary Choroidal Thickness (PPCT) (238.0 ± 72.9 µm vs 199.5 ± 65.3 µm; p = 0.038), and mean Total Choroidal Area (TCA) (1.45 ± 0.32 mm² vs 1.29 ± 0.27 mm²; p = 0.046) compared with treatment-naïve eyes. Pachychoroid pigment epiteliopathy (PPE) alterations occurred exclusively in the CXL group (16.7%). Multivariate regression analysis identified previous CXL as the only independent factor associated with increased SFCT (β = 0.340, p = 0.040).",
        "Conclusions": "CXL appears to be associated with thicker choroids in keratoconic eyes, independent of biomechanical or scleral thickness variations. These findings support the hypothesis that CXL may induce subclinical remodeling of deeper ocular layers, potentially affecting choroidal-scleral fluid dynamics. Further prospective longitudinal studies with larger cohorts and multimodal assessment are warranted to clarify the mechanisms, time course, and long-term implications of choroidal changes following CXL ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "FP02.13",
      "abstract_number": "FP02.13",
      "title": "Melanin-Assisted Femtosecond Laser Crosslinking Restores Biomechanical Strength In A Chondroitinase-Induced Ectatic Corneal Model",
      "authors": "Dr Jiashuai Fan",
      "presenter": "Dr Jiashuai Fan",
      "normalized_authors": [
        "Jiashuai Fan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jiashuai Fan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "The purpose of this study was to evaluate whether plasma-assisted femtosecond laser–mediated collagen crosslinking (CxL) can restore biomechanical strength in a Chondroitinase-ABC–induced ectatic corneal model simulating keratoconus. Our group previously developed a melanin-enhanced, plasma–mediated corneal crosslinking method, in which femtosecond laser pulses generate reactive oxygen species. Here, we assessed its efficacy in weakened corneal tissue and compared its biomechanical performance with established crosslinking approaches, including glycation and UVA-riboflavin treatments.",
        "Setting": "This ex vivo experimental study was conducted in a university-based academic laboratory. All rabbit samples were harvested from a local vendor. Paired rabbit corneal buttons were subjected to controlled enzymatic degradation to induce ectasia, followed by collagen crosslinking treatments and mechanical characterization.",
        "Methods": "Corneal tissues from 6 rabbits were trephined (n=60 buttons total) and mechanically tested by spherical micro-indentation (Optics11 Life, 47.5 µm probe radius; 0.44 N/m cantilever stiffness). The baseline equilibrium modulus was measured for all samples, and a 3-hour 0.1 U/ml Chondroitinase-ABC digestion protocol was followed. Samples were then treated with melanin-assisted laser CxL, Advanced Glycation Product mediated CxL, UVA-riboflavin CxL, or PBS-only as blank controls. After overnight storage at 4°C to reach hydration equilibrium, repeat micro-indentation was performed to characterize the effect of digestion and CxL. Modulus changes were analyzed using a one-way ANOVA with Tukey post hoc comparisons.",
        "Results": "Significant reduction of corneal stiffness was found in digested ectatic corneas when compared to blank controls (-11.56 ± 6.54 vs -2.90 ± 3.24 kPa; p < 0.05). For the samples receiving CxL, all three modalities significantly increased the equilibrium modulus of digested samples (ANOVA; F = 17.3; p < 0.0001), with 5.59 ± 5.31 kPa stiffening by melanin-assisted laser-based CxL. The glycated samples stiffened 3.84 ± 9.13 kPa, and the UVA riboflavin-treated samples stiffened 12.34 ± 12.20 kPa. Compared with the non-digested controls, only UVA-riboflavin CxL resulted in significant stiffening over the baseline (*p<0.01), whereas melanin-laser treatment restored modulus toward baseline without additional stiffening.",
        "Conclusions": "The Chondroitinase digestion protocol produces an ectatic corneal model that simulates a keratoconus cornea with significant biomechanical weakening. Melanin-assisted femtosecond laser CxL effectively restores biomechanical strength in the ectatic cornea while ensuring the achieved stiffness is similar to that achieved with established crosslinking methods. These findings support laser-mediated, melanin-assisted crosslinking as a strategy for strengthening ectatic corneal tissue."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Chondroitinase digestion protocol produces an ectatic corneal model that simulates a keratoconus cornea with significant biomechanical weakening. Melanin-assisted femtosecond laser CxL effectively restores biomechanical strength in the ectatic cornea while ensuring the achieved stiffness is similar to that achieved with established crosslinking methods. These findings support laser-mediated, melanin-assisted…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 29,
      "source_fields": {
        "Abstract Final Identifier": "FP02.13",
        "Title": "Melanin-Assisted Femtosecond Laser Crosslinking Restores Biomechanical Strength In A Chondroitinase-Induced Ectatic Corneal Model",
        "Presenting Author(s)": "Dr Jiashuai Fan",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Jiashuai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fan",
        "Country Name": "United States",
        "Purpose": "The purpose of this study was to evaluate whether plasma-assisted femtosecond laser–mediated collagen crosslinking (CxL) can restore biomechanical strength in a Chondroitinase-ABC–induced ectatic corneal model simulating keratoconus. Our group previously developed a melanin-enhanced, plasma–mediated corneal crosslinking method, in which femtosecond laser pulses generate reactive oxygen species. Here, we assessed its efficacy in weakened corneal tissue and compared its biomechanical performance with established crosslinking approaches, including glycation and UVA-riboflavin treatments.",
        "Setting": "This ex vivo experimental study was conducted in a university-based academic laboratory. All rabbit samples were harvested from a local vendor. Paired rabbit corneal buttons were subjected to controlled enzymatic degradation to induce ectasia, followed by collagen crosslinking treatments and mechanical characterization.",
        "Methods": "Corneal tissues from 6 rabbits were trephined (n=60 buttons total) and mechanically tested by spherical micro-indentation (Optics11 Life, 47.5 µm probe radius; 0.44 N/m cantilever stiffness). The baseline equilibrium modulus was measured for all samples, and a 3-hour 0.1 U/ml Chondroitinase-ABC digestion protocol was followed. Samples were then treated with melanin-assisted laser CxL, Advanced Glycation Product mediated CxL, UVA-riboflavin CxL, or PBS-only as blank controls. After overnight storage at 4°C to reach hydration equilibrium, repeat micro-indentation was performed to characterize the effect of digestion and CxL. Modulus changes were analyzed using a one-way ANOVA with Tukey post hoc comparisons.",
        "Results": "Significant reduction of corneal stiffness was found in digested ectatic corneas when compared to blank controls (-11.56 ± 6.54 vs -2.90 ± 3.24 kPa; p < 0.05). For the samples receiving CxL, all three modalities significantly increased the equilibrium modulus of digested samples (ANOVA; F = 17.3; p < 0.0001), with 5.59 ± 5.31 kPa stiffening by melanin-assisted laser-based CxL. The glycated samples stiffened 3.84 ± 9.13 kPa, and the UVA riboflavin-treated samples stiffened 12.34 ± 12.20 kPa. Compared with the non-digested controls, only UVA-riboflavin CxL resulted in significant stiffening over the baseline (*p<0.01), whereas melanin-laser treatment restored modulus toward baseline without additional stiffening.",
        "Conclusions": "The Chondroitinase digestion protocol produces an ectatic corneal model that simulates a keratoconus cornea with significant biomechanical weakening. Melanin-assisted femtosecond laser CxL effectively restores biomechanical strength in the ectatic cornea while ensuring the achieved stiffness is similar to that achieved with established crosslinking methods. These findings support laser-mediated, melanin-assisted crosslinking as a strategy for strengthening ectatic corneal tissue."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 389
    },
    {
      "uid": "FP02.14",
      "abstract_number": "FP02.14",
      "title": "Evaluation Of Stryphnodendron Adstringens Extract As A Chemical Corneal Crosslinking Agent: Biomechanical And Thermal Analyses In Ex Vivo Rabbit Corneas.",
      "authors": "Bernardo Moscovici",
      "presenter": "Bernardo Moscovici",
      "normalized_authors": [
        "Bernardo Moscovici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bernardo Moscovici",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate whether a butanolic extract of Stryphnodendron adstringens (barbatimão), rich in condensed tannins/proanthocyanidins, induces ex vivo corneal stromal changes consistent with collagen crosslinking without UV-A irradiation. We assessed dose–time effects in rabbit corneal buttons using dynamic mechanical analysis (storage modulus E′, loss modulus E″, and tan δ) and corroborated collagen stabilization by differential scanning calorimetry (denaturation temperature, Td) in paired control–treated hemicorneas.",
        "Setting": "Laboratory of Biochemistry, Translational Medicine and Bioengineering – UNIFESP",
        "Methods": "Central corneal buttons from New Zealand White rabbit eyes were de-epithelialized and treated ex vivo with a butanolic extract of Stryphnodendron adstringens at 0.5, 1.25, or 2.0 mg/mL for 30–120 minutes (n = 3 per condition; 1.25 mg/mL/75 min in duplicate). Viscoelastic properties were assessed by dynamic mechanical analysis under oscillatory unconfined compression (1 Hz), obtaining storage modulus (E′), loss modulus (E″), and damping factor (tan δ) from the linear viscoelastic region. Collagen thermal stability was evaluated by differential scanning calorimetry using paired control–treated hemicorneas, and the denaturation temperature (Td) was reported. The DSC samples were assessed at 30-60 minutes and 1.25-2 mg/ml.",
        "Results": "DMA showed significant differences among groups for E′, E″, and tan δ (all p ≤ 0.0006), with significant effects of concentration, exposure time, and their interaction. Higher extract concentrations were associated with increased E′ and reduced tan δ, indicating stromal stiffening and reduced viscoelastic damping. The strongest and most consistent mechanical response was observed at 1.25–2.0 mg/mL, particularly at 2.0 mg/mL (E′ ~32–33 kPa at 30–120 min vs 7.1 kPa at 0.5 mg/mL/30 min) .DSC demonstrated significant increases in denaturation temperature at 60 minutes for both 1.25 mg/mL (ΔTd = 1.90 °C, p = 0.041) and 2.0 mg/mL (ΔTd = 3.53 °C, p = 0.017), with a pooled 60-min effect of +2.71 °C (p = 0.004).",
        "Conclusions": "A butanolic extract of Stryphnodendron adstringens induced dose- and time-dependent biomechanical stiffening and collagen thermal stabilization in ex vivo rabbit corneas, consistent with a CXL-like stromal effect without UV-A irradiation. The most consistent responses were observed at 1.25–2.0 mg/mL, particularly at 2.0 mg/mL within 60–120 minutes of exposure. These findings support further investigation of barbatimão as a potential chemical approach for corneal stromal reinforcement in ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A butanolic extract of Stryphnodendron adstringens induced dose- and time-dependent biomechanical stiffening and collagen thermal stabilization in ex vivo rabbit corneas, consistent with a CXL-like stromal effect without UV-A irradiation. The most consistent responses were observed at 1.25–2.0 mg/mL, particularly at 2.0 mg/mL within 60–120 minutes of exposure. These findings support further investigation of…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 30,
      "source_fields": {
        "Abstract Final Identifier": "FP02.14",
        "Title": "Evaluation Of Stryphnodendron Adstringens Extract As A Chemical Corneal Crosslinking Agent: Biomechanical And Thermal Analyses In Ex Vivo Rabbit Corneas.",
        "Presenting Author(s)": "Bernardo Moscovici",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Bernardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moscovici",
        "Country Name": "Brazil",
        "Purpose": "To evaluate whether a butanolic extract of Stryphnodendron adstringens (barbatimão), rich in condensed tannins/proanthocyanidins, induces ex vivo corneal stromal changes consistent with collagen crosslinking without UV-A irradiation. We assessed dose–time effects in rabbit corneal buttons using dynamic mechanical analysis (storage modulus E′, loss modulus E″, and tan δ) and corroborated collagen stabilization by differential scanning calorimetry (denaturation temperature, Td) in paired control–treated hemicorneas.",
        "Setting": "Laboratory of Biochemistry, Translational Medicine and Bioengineering – UNIFESP",
        "Methods": "Central corneal buttons from New Zealand White rabbit eyes were de-epithelialized and treated ex vivo with a butanolic extract of Stryphnodendron adstringens at 0.5, 1.25, or 2.0 mg/mL for 30–120 minutes (n = 3 per condition; 1.25 mg/mL/75 min in duplicate). Viscoelastic properties were assessed by dynamic mechanical analysis under oscillatory unconfined compression (1 Hz), obtaining storage modulus (E′), loss modulus (E″), and damping factor (tan δ) from the linear viscoelastic region. Collagen thermal stability was evaluated by differential scanning calorimetry using paired control–treated hemicorneas, and the denaturation temperature (Td) was reported. The DSC samples were assessed at 30-60 minutes and 1.25-2 mg/ml.",
        "Results": "DMA showed significant differences among groups for E′, E″, and tan δ (all p ≤ 0.0006), with significant effects of concentration, exposure time, and their interaction. Higher extract concentrations were associated with increased E′ and reduced tan δ, indicating stromal stiffening and reduced viscoelastic damping. The strongest and most consistent mechanical response was observed at 1.25–2.0 mg/mL, particularly at 2.0 mg/mL (E′ ~32–33 kPa at 30–120 min vs 7.1 kPa at 0.5 mg/mL/30 min) .DSC demonstrated significant increases in denaturation temperature at 60 minutes for both 1.25 mg/mL (ΔTd = 1.90 °C, p = 0.041) and 2.0 mg/mL (ΔTd = 3.53 °C, p = 0.017), with a pooled 60-min effect of +2.71 °C (p = 0.004).",
        "Conclusions": "A butanolic extract of Stryphnodendron adstringens induced dose- and time-dependent biomechanical stiffening and collagen thermal stabilization in ex vivo rabbit corneas, consistent with a CXL-like stromal effect without UV-A irradiation. The most consistent responses were observed at 1.25–2.0 mg/mL, particularly at 2.0 mg/mL within 60–120 minutes of exposure. These findings support further investigation of barbatimão as a potential chemical approach for corneal stromal reinforcement in ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 393
    },
    {
      "uid": "FP02.15",
      "abstract_number": "FP02.15",
      "title": "Biomechanical Effects Of Femtosecond Laser-Induced 3D Two-Photon Cross-Linking On Smile-Derived Corneal Lenticules",
      "authors": "Ms Xinjie Zhu",
      "presenter": "Ms Xinjie Zhu",
      "normalized_authors": [
        "Xinjie Zhu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "鑫洁 竺",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the effects of near-infrared (NIR) femtosecond laser two-photon cross-linking (2P-CXL) on the microstructural, biomechanical, and optical properties of corneal stromal lenticules derived from Small Incision Lenticule Extraction (SMILE).",
        "Setting": "Ex vivo , self-controlled laboratory study.",
        "Methods": "Forty SMILE-derived corneal stromal lenticules were collected and bisected: one half received spatial 3D 2P-CXL treatment (experimental group), while the contralateral half served as the blank control. Three experimental subgroups were established based on low, medium, and high laser energy and scanning parameters. Pre- and post-processing assessments included: macroscopic Young's modulus (uniaxial tensile testing), visible light transmittance (spectrophotometry), and ultrastructural changes in collagen fiber networks and molecular composition (hematoxylin-eosin [HE] staining, transmission electron microscopy [TEM], and Raman spectroscopy).",
        "Results": "Post-2P-CXL, Young's modulus significantly increased (9.90 ± 1.24 MPa vs. 7.39 ± 0.86 MPa; t = 12.85, P < 0.001). The degree of mechanical enhancement was highly parameter-dependent, with mean increases of 1.430 ± 0.185 MPa ( t = 9.924, P < 0.001) in the low-energy group, 2.448 ± 0.528 MPa ( t = 17.00, P < 0.001) in the medium-energy group, and 3.653 ± 0.498 MPa ( t = 25.36, P < 0.001) in the high-energy group. HE/TEM revealed significant ultrastructural densification of the collagen fiber network and reduced interfibrillar spacing. Raman spectroscopy showed consistent characteristic peak positions with decreased corresponding intensities. No significant difference in transparency was found (74.5 ± 2.91% vs. 75.0 ± 2.66%; t = 1.279, P = 0.20).",
        "Conclusions": "NIR femtosecond laser two-photon cross-linking enables significant, controllable, and customizable mechanical enhancement of corneal lenticules through ultrastructural densification without compromising optical transparency. This technology provides a novel approach for personalized processing of stromal lenticules and expands their potential clinical applications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "NIR femtosecond laser two-photon cross-linking enables significant, controllable, and customizable mechanical enhancement of corneal lenticules through ultrastructural densification without compromising optical transparency. This technology provides a novel approach for personalized processing of stromal lenticules and expands their potential clinical applications.",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 31,
      "source_fields": {
        "Abstract Final Identifier": "FP02.15",
        "Title": "Biomechanical Effects Of Femtosecond Laser-Induced 3D Two-Photon Cross-Linking On Smile-Derived Corneal Lenticules",
        "Presenting Author(s)": "Ms Xinjie Zhu",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "鑫洁",
        "Submitter Middle Name": "",
        "Submitter Last Name": "竺",
        "Country Name": "China",
        "Purpose": "To investigate the effects of near-infrared (NIR) femtosecond laser two-photon cross-linking (2P-CXL) on the microstructural, biomechanical, and optical properties of corneal stromal lenticules derived from Small Incision Lenticule Extraction (SMILE).",
        "Setting": "Ex vivo , self-controlled laboratory study.",
        "Methods": "Forty SMILE-derived corneal stromal lenticules were collected and bisected: one half received spatial 3D 2P-CXL treatment (experimental group), while the contralateral half served as the blank control. Three experimental subgroups were established based on low, medium, and high laser energy and scanning parameters. Pre- and post-processing assessments included: macroscopic Young's modulus (uniaxial tensile testing), visible light transmittance (spectrophotometry), and ultrastructural changes in collagen fiber networks and molecular composition (hematoxylin-eosin [HE] staining, transmission electron microscopy [TEM], and Raman spectroscopy).",
        "Results": "Post-2P-CXL, Young's modulus significantly increased (9.90 ± 1.24 MPa vs. 7.39 ± 0.86 MPa; t = 12.85, P < 0.001). The degree of mechanical enhancement was highly parameter-dependent, with mean increases of 1.430 ± 0.185 MPa ( t = 9.924, P < 0.001) in the low-energy group, 2.448 ± 0.528 MPa ( t = 17.00, P < 0.001) in the medium-energy group, and 3.653 ± 0.498 MPa ( t = 25.36, P < 0.001) in the high-energy group. HE/TEM revealed significant ultrastructural densification of the collagen fiber network and reduced interfibrillar spacing. Raman spectroscopy showed consistent characteristic peak positions with decreased corresponding intensities. No significant difference in transparency was found (74.5 ± 2.91% vs. 75.0 ± 2.66%; t = 1.279, P = 0.20).",
        "Conclusions": "NIR femtosecond laser two-photon cross-linking enables significant, controllable, and customizable mechanical enhancement of corneal lenticules through ultrastructural densification without compromising optical transparency. This technology provides a novel approach for personalized processing of stromal lenticules and expands their potential clinical applications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "FP03.01",
      "abstract_number": "FP03.01",
      "title": "Iol Implantation In Absence Of Capsular Support, Comparison Between Two Different Techniques Of Sutureless Scleral Fixated Iol (Carlevale Vs Yamane): Visual Outcome, Complications And As-Oct Analysis",
      "authors": "Dr Erik Mus",
      "presenter": "Dr Erik Mus",
      "normalized_authors": [
        "Erik Mus"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erik Mus",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare the visual outcome, intraoperative and postoperative complications of the foldable one piece sutureless scleral fixated intraocular lens (Carlevale IOL) versus the scleral fixated sutureless three-piece IOL (Yamane technique). Additionally, within a patients' subgroup, we evaluate the IOL tilt and decentration of these sutureless scleral-fixated IOLs using second generation swept-source anterior segment OCT (AS-OCT)",
        "Setting": "Single-surgeon, monocentric, retrospective study in the Ophthalmology Department of Beauregard Hospital, Azienda USL della Valle d’Aosta, Italy.",
        "Methods": "We reviewed consecutive patients undergoing Carlevale IOL implantation or Yamane technique implantation between January 2021 and June 2024. At six months postoperatively, second generation swept-source AS-OCT imaging was performed to quantify IOL tilt and decentration with a semi-automatic software. Statistical analysis was applied to compare the stability and safety profiles of both technique.",
        "Results": "A total of 101 eyes from 100 patients were included: 32 in the Carlevale group and 69 in the Yamane group. Complication rates at 1, 3, 6, and 12 months were comparable between the two groups. However, on postoperative day one, the Yamane group exhibited a significantly higher incidence of self-limiting anterior chamber hyphaema, all of which resolved spontaneously within one week.\n\nAs regards the tilt and decentration, a total of 33 eyes were evaluated with AS-OCT (19 eyes in the Yamane group; 14 eyes in the Carlevale group). The mean tilting and mean decentration in the Yamane group were respectively 6.9° and 0.61 mm, compared to 6.4° and 0.48 mm in the Carlevale group (p=0.59; p=0,23). Mean BCVA improved significantly in both groups.",
        "Conclusions": "Both surgical techniques demonstrate a high safety profile and functional outcomes, provided standardised surgical protocols are strictly followed. Postoperative complications were similar across both groups. The AS-OCT analysis revealed no statistically significant differences in IOL tilt and decentration between the two techniques. However, a trend toward lower decentration was observed with the Carlevale IOL compared to the Yamane technique. Overall, in this sample, the mean values for tilting and decentration obtained with AS-OCT were clinically acceptable and low in magnitude, reaffirming the high precision and reliability of these sutureless approaches."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both surgical techniques demonstrate a high safety profile and functional outcomes, provided standardised surgical protocols are strictly followed. Postoperative complications were similar across both groups. The AS-OCT analysis revealed no statistically significant differences in IOL tilt and decentration between the two techniques. However, a trend toward lower decentration was observed with the Carlevale IOL…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 32,
      "source_fields": {
        "Abstract Final Identifier": "FP03.01",
        "Title": "Iol Implantation In Absence Of Capsular Support, Comparison Between Two Different Techniques Of Sutureless Scleral Fixated Iol (Carlevale Vs Yamane): Visual Outcome, Complications And As-Oct Analysis",
        "Presenting Author(s)": "Dr Erik Mus",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Erik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mus",
        "Country Name": "Italy",
        "Purpose": "To compare the visual outcome, intraoperative and postoperative complications of the foldable one piece sutureless scleral fixated intraocular lens (Carlevale IOL) versus the scleral fixated sutureless three-piece IOL (Yamane technique). Additionally, within a patients' subgroup, we evaluate the IOL tilt and decentration of these sutureless scleral-fixated IOLs using second generation swept-source anterior segment OCT (AS-OCT)",
        "Setting": "Single-surgeon, monocentric, retrospective study in the Ophthalmology Department of Beauregard Hospital, Azienda USL della Valle d’Aosta, Italy.",
        "Methods": "We reviewed consecutive patients undergoing Carlevale IOL implantation or Yamane technique implantation between January 2021 and June 2024. At six months postoperatively, second generation swept-source AS-OCT imaging was performed to quantify IOL tilt and decentration with a semi-automatic software. Statistical analysis was applied to compare the stability and safety profiles of both technique.",
        "Results": "A total of 101 eyes from 100 patients were included: 32 in the Carlevale group and 69 in the Yamane group. Complication rates at 1, 3, 6, and 12 months were comparable between the two groups. However, on postoperative day one, the Yamane group exhibited a significantly higher incidence of self-limiting anterior chamber hyphaema, all of which resolved spontaneously within one week.\n\nAs regards the tilt and decentration, a total of 33 eyes were evaluated with AS-OCT (19 eyes in the Yamane group; 14 eyes in the Carlevale group). The mean tilting and mean decentration in the Yamane group were respectively 6.9° and 0.61 mm, compared to 6.4° and 0.48 mm in the Carlevale group (p=0.59; p=0,23). Mean BCVA improved significantly in both groups.",
        "Conclusions": "Both surgical techniques demonstrate a high safety profile and functional outcomes, provided standardised surgical protocols are strictly followed. Postoperative complications were similar across both groups. The AS-OCT analysis revealed no statistically significant differences in IOL tilt and decentration between the two techniques. However, a trend toward lower decentration was observed with the Carlevale IOL compared to the Yamane technique. Overall, in this sample, the mean values for tilting and decentration obtained with AS-OCT were clinically acceptable and low in magnitude, reaffirming the high precision and reliability of these sutureless approaches."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "FP03.02",
      "abstract_number": "FP03.02",
      "title": "Cataract Surgery In Eyes With Vitreomacular Traction: Systematic Review And Results From Moorfields Eye Hospital",
      "authors": "Dr Raphael Kilian",
      "presenter": "Dr Raphael Kilian",
      "normalized_authors": [
        "Raphael Kilian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raphael Kilian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To systematically review the literature on cataract surgery in patients with vitreomacular traction (VMT) and to present the findings from the largest retrospective case series to date.",
        "Setting": "Cataract Service, Moorfields Eye Hospital",
        "Methods": "A systematic review and meta-analysis were conducted up to June 2025 to identify studies on phacoemulsification in VMT patients (protocol number CRD420251068038). Additionally, we retrospectively reviewed records of patients who underwent uncomplicated phacoemulsification with intraocular lens implantation at Moorfields Eye Hospital over the past 1.5 years. Outcomes assessed, were changes in visual acuity (VA), central macular thickness (CMT), and the presence of intraretinal (IRF) or subretinal fluid (SRF), before and after surgery. Rate of VMT release as well as macular hole development and need for secondary vitrectomy were also recorded.",
        "Results": "The review identified 2 studies (39 eyes), in which 49% had epiretinal membrane (ERM) and 54% a macular hole preoperatively. Outcomes were mixed, showing no meaningful visual improvement (p=0.89), limited VMT release (15.4%), and a substantial need for secondary vitrectomy (43.6%).\n\nIn our series (105 eyes), comorbidities included ERM (7.6%), diabetic macular oedema (6.7%), and retinal vein occlusion (4.8%), with >86% having V-shaped, focal VMT. After 3.8±3.4 months, VA improved (p<0.001), while CMT (p=0.002) and IRF (p=0.025) increased. Cystoid macular oedema developed in 26.7%, macular holes in 2%, VMT release in 5.7%, and secondary vitrectomy was needed in 2%.",
        "Conclusions": "Cataract surgery in eyes with VMT improved VA but increased the risk of structural complications, including IRF and CMT, with a low rate of spontaneous VMT release. Careful preoperative assessment and postoperative monitoring are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in eyes with VMT improved VA but increased the risk of structural complications, including IRF and CMT, with a low rate of spontaneous VMT release. Careful preoperative assessment and postoperative monitoring are warranted.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 33,
      "source_fields": {
        "Abstract Final Identifier": "FP03.02",
        "Title": "Cataract Surgery In Eyes With Vitreomacular Traction: Systematic Review And Results From Moorfields Eye Hospital",
        "Presenting Author(s)": "Dr Raphael Kilian",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Raphael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kilian",
        "Country Name": "Italy",
        "Purpose": "To systematically review the literature on cataract surgery in patients with vitreomacular traction (VMT) and to present the findings from the largest retrospective case series to date.",
        "Setting": "Cataract Service, Moorfields Eye Hospital",
        "Methods": "A systematic review and meta-analysis were conducted up to June 2025 to identify studies on phacoemulsification in VMT patients (protocol number CRD420251068038). Additionally, we retrospectively reviewed records of patients who underwent uncomplicated phacoemulsification with intraocular lens implantation at Moorfields Eye Hospital over the past 1.5 years. Outcomes assessed, were changes in visual acuity (VA), central macular thickness (CMT), and the presence of intraretinal (IRF) or subretinal fluid (SRF), before and after surgery. Rate of VMT release as well as macular hole development and need for secondary vitrectomy were also recorded.",
        "Results": "The review identified 2 studies (39 eyes), in which 49% had epiretinal membrane (ERM) and 54% a macular hole preoperatively. Outcomes were mixed, showing no meaningful visual improvement (p=0.89), limited VMT release (15.4%), and a substantial need for secondary vitrectomy (43.6%).\n\nIn our series (105 eyes), comorbidities included ERM (7.6%), diabetic macular oedema (6.7%), and retinal vein occlusion (4.8%), with >86% having V-shaped, focal VMT. After 3.8±3.4 months, VA improved (p<0.001), while CMT (p=0.002) and IRF (p=0.025) increased. Cystoid macular oedema developed in 26.7%, macular holes in 2%, VMT release in 5.7%, and secondary vitrectomy was needed in 2%.",
        "Conclusions": "Cataract surgery in eyes with VMT improved VA but increased the risk of structural complications, including IRF and CMT, with a low rate of spontaneous VMT release. Careful preoperative assessment and postoperative monitoring are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "FP03.03",
      "abstract_number": "FP03.03",
      "title": "Intraoperative Floppy Iris Syndrome: Severity Profile, Anaesthetic Management, Medication Association – A Single-Surgeon Cohort",
      "authors": "Dr Michael Tsatsos",
      "presenter": "Dr Michael Tsatsos",
      "normalized_authors": [
        "Michael Tsatsos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Tsatsos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To analyse the severity profile of intraoperative floppy iris syndrome (IFIS), the anaesthetic approach used for its management, and the prevalence of medication use.",
        "Setting": "II Ophthalmology Department, Aristotle University of Thessaloniki\n\nSingle Surgeon Tertiary Referral Centre",
        "Methods": "All consecutive cataract surgeries complicated by IFIS were prospectively recorded over the study period. IFIS was graded intraoperatively (Stage 0-III based on iris billowing, miosis, and prolapse). Data collected included patient sex, systemic medications (i.e specifically α1-blockers, antihypertensives, herbal agents), and anaesthetic technique (topical or sub-Tenon’s). Descriptive statistical analysis was performed on severity distribution, anaesthetic strategy, medication profile, and gender differences. Literature review contextualised findings against reported IFIS risks and demographics.",
        "Results": "Seventy-six IFIS cases were analysed. Stage I, II, and III accounted for 32.9%, 30.3%, and 34.2% respectively, with stage II–III representing 64.5%. Sub-Tenon’s anaesthesia was used in 88% of cases, while topical alone was used in 5.3%. 40.5% of male patients had concurrent or prior use of 5a reductase inhibitors with 5a reductase inhibitors. Shorter mean Axial Length 22.79 mm vs. 23.59 mm was seen in males (p=0.0015 ). There was a p=0.03 Gender difference in severe IFIS and a p=0.005 α1-Blocker association with severe IFIS. Notably, 65.8% had no history of α1-blocker use. Female patients comprised 38.2% of the cohort. Herbal medication use was identified in 6.6% overall and 17.2% of females with herbal-associated IFIS occurring in females.",
        "Conclusions": "IFIS frequently occurs without α1-blocker exposure (65.8% in this series, higher than many reports dominated by tamsulosin users) and is not predominantly male in contemporary practice, with females representing nearly 40% of cases. The high utilisation of sub-Tenon’s anaesthesia underscores its value in managing moderate-to-severe IFIS. Herbal medications, particularly in female patients, represent an under-recognised risk factor likely via α-adrenergic effects, highlighting the need for comprehensive preoperative screening including herbals and gender-specific risks (e.g., ARBs, other agents). These findings support tailored surgical strategies and detailed history-taking to reduce unanticipated complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IFIS frequently occurs without α1-blocker exposure (65.8% in this series, higher than many reports dominated by tamsulosin users) and is not predominantly male in contemporary practice, with females representing nearly 40% of cases. The high utilisation of sub-Tenon’s anaesthesia underscores its value in managing moderate-to-severe IFIS. Herbal medications, particularly in female patients, represent an…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 34,
      "source_fields": {
        "Abstract Final Identifier": "FP03.03",
        "Title": "Intraoperative Floppy Iris Syndrome: Severity Profile, Anaesthetic Management, Medication Association – A Single-Surgeon Cohort",
        "Presenting Author(s)": "Dr Michael Tsatsos",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsatsos",
        "Country Name": "Greece",
        "Purpose": "To analyse the severity profile of intraoperative floppy iris syndrome (IFIS), the anaesthetic approach used for its management, and the prevalence of medication use.",
        "Setting": "II Ophthalmology Department, Aristotle University of Thessaloniki\n\nSingle Surgeon Tertiary Referral Centre",
        "Methods": "All consecutive cataract surgeries complicated by IFIS were prospectively recorded over the study period. IFIS was graded intraoperatively (Stage 0-III based on iris billowing, miosis, and prolapse). Data collected included patient sex, systemic medications (i.e specifically α1-blockers, antihypertensives, herbal agents), and anaesthetic technique (topical or sub-Tenon’s). Descriptive statistical analysis was performed on severity distribution, anaesthetic strategy, medication profile, and gender differences. Literature review contextualised findings against reported IFIS risks and demographics.",
        "Results": "Seventy-six IFIS cases were analysed. Stage I, II, and III accounted for 32.9%, 30.3%, and 34.2% respectively, with stage II–III representing 64.5%. Sub-Tenon’s anaesthesia was used in 88% of cases, while topical alone was used in 5.3%. 40.5% of male patients had concurrent or prior use of 5a reductase inhibitors with 5a reductase inhibitors. Shorter mean Axial Length 22.79 mm vs. 23.59 mm was seen in males (p=0.0015 ). There was a p=0.03 Gender difference in severe IFIS and a p=0.005 α1-Blocker association with severe IFIS. Notably, 65.8% had no history of α1-blocker use. Female patients comprised 38.2% of the cohort. Herbal medication use was identified in 6.6% overall and 17.2% of females with herbal-associated IFIS occurring in females.",
        "Conclusions": "IFIS frequently occurs without α1-blocker exposure (65.8% in this series, higher than many reports dominated by tamsulosin users) and is not predominantly male in contemporary practice, with females representing nearly 40% of cases. The high utilisation of sub-Tenon’s anaesthesia underscores its value in managing moderate-to-severe IFIS. Herbal medications, particularly in female patients, represent an under-recognised risk factor likely via α-adrenergic effects, highlighting the need for comprehensive preoperative screening including herbals and gender-specific risks (e.g., ARBs, other agents). These findings support tailored surgical strategies and detailed history-taking to reduce unanticipated complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "FP03.04",
      "abstract_number": "FP03.04",
      "title": "Comparison Of Two Different Intraocular Lenses Used In The Modified Yamane Technique",
      "authors": "Mehmet Icoz",
      "presenter": "Mehmet Icoz",
      "normalized_authors": [
        "Mehmet Icoz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Icoz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of two different intraocular lenses(IOLs) used in the modified Yamane technique.",
        "Setting": "Yozgat City Hospital,Türkiye.",
        "Methods": "This study included 50 patients,divided into two groups:Group A(n=25) that received the Alcon MA60AC lens and Group S(n=25) that received the Sensar AR40e lens.Surgical indications included aphakia and subluxation of single-piece IOLs.The groups were compared based on demographic data,intraoperative and postoperative complications,visual acuity, and refractive outcomes.All participants were assessed preoperatively and at the sixth postoperative month.",
        "Results": "At six months postoperatively,the spherical refractive value was +0.75±0.48D in Group A and -0.56±0.49D in Group S (p=0.01).The deviation from the target refraction was 1.71±1.35D in Group A and 0.65±1.54D in Group S (p<0.001).No significant difference was found in cylindrical refraction between the groups(Group A:-1.56±0.95 D,Group S:-1.48±1.04 D,p>0.05).Intraoperative damage to the haptic occurred in one case in each group.In the postoperative period, no IOL-specific complications were observed;however,cystoid macular edema and retinal detachment were noted in one case each in Group A,and cystoid macular edema and pseudophakic bullous keratopathy were observed in one case each in Group S.",
        "Conclusions": "To our knowledge,this is the first study comparing the outcomes of two different IOLs in the modified Yamane technique,based on real-life data.The results revealed that this technique could be performed effectively and safely with polymethylmethacrylate haptic IOLs.Furthermore,to achieve emmetropia,each IOL may require specific modifications for the target refraction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "To our knowledge,this is the first study comparing the outcomes of two different IOLs in the modified Yamane technique,based on real-life data.The results revealed that this technique could be performed effectively and safely with polymethylmethacrylate haptic IOLs.Furthermore,to achieve emmetropia,each IOL may require specific modifications for the target refraction.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 35,
      "source_fields": {
        "Abstract Final Identifier": "FP03.04",
        "Title": "Comparison Of Two Different Intraocular Lenses Used In The Modified Yamane Technique",
        "Presenting Author(s)": "Mehmet Icoz",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Mehmet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Icoz",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the efficacy and safety of two different intraocular lenses(IOLs) used in the modified Yamane technique.",
        "Setting": "Yozgat City Hospital,Türkiye.",
        "Methods": "This study included 50 patients,divided into two groups:Group A(n=25) that received the Alcon MA60AC lens and Group S(n=25) that received the Sensar AR40e lens.Surgical indications included aphakia and subluxation of single-piece IOLs.The groups were compared based on demographic data,intraoperative and postoperative complications,visual acuity, and refractive outcomes.All participants were assessed preoperatively and at the sixth postoperative month.",
        "Results": "At six months postoperatively,the spherical refractive value was +0.75±0.48D in Group A and -0.56±0.49D in Group S (p=0.01).The deviation from the target refraction was 1.71±1.35D in Group A and 0.65±1.54D in Group S (p<0.001).No significant difference was found in cylindrical refraction between the groups(Group A:-1.56±0.95 D,Group S:-1.48±1.04 D,p>0.05).Intraoperative damage to the haptic occurred in one case in each group.In the postoperative period, no IOL-specific complications were observed;however,cystoid macular edema and retinal detachment were noted in one case each in Group A,and cystoid macular edema and pseudophakic bullous keratopathy were observed in one case each in Group S.",
        "Conclusions": "To our knowledge,this is the first study comparing the outcomes of two different IOLs in the modified Yamane technique,based on real-life data.The results revealed that this technique could be performed effectively and safely with polymethylmethacrylate haptic IOLs.Furthermore,to achieve emmetropia,each IOL may require specific modifications for the target refraction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "FP03.05",
      "abstract_number": "FP03.05",
      "title": "Clinical Efficacy Of Short-Term High-Pressure Intraocular Full-Air Tamponade (Shift) For Descemet Membrane Detachment After Cataract Surgery",
      "authors": "Prof. Dr Shaowei Li",
      "presenter": "Prof. Dr Shaowei Li",
      "normalized_authors": [
        "Shaowei Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zexia Dou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Descemet membrane detachment (DMD) is a well-recognized and potential vision-threatening complication following cataract surgery and may lead to corneal decompensation and opacification if not managed appropriately. This study was to evaluate the clinical efficacy of short-term high-pressure intraocular full-air tamponade (SHIFT) for DMD after cataract surgery.",
        "Setting": "This retrospective study was carried out in Beijing Aier-Intech Eye Hospital, China.",
        "Methods": "Retrospective analysis of Short-term High-pressure Intraocular Full-air Tamponade (SHIFT) on patients with post-cataract DMD from April 2018 to December 2025. Intraoperatively, OCT-assisted air injection into the anterior chamber was performed to unfold/reattach the Descemet membrane, then air fillingto maintain intraocular pressure >40 mmHg for 2 hours, followed by releasing half of the air to relieve pupillary block.",
        "Results": "21 patients (4 males and 17 females): 6 with moderate DMD (25%–50% corneal involvement) and 15 with severe DMD (>50% corneal involvement). Prior to our treatment, 9 had failed 1–3 times of air injection in other hospitals. The mean interval from cataract surgery to our procedure was 15.6 days (3–45). All patients achieved Descemet membrane reattachment, but 4 underwent Descemet membrane endothelial keratoplasty due to corneal endothelial fragmentation caused by previous surgical interventions. Of 17 successfully managed cases, 5 had corrected distance visual acuity ≥20/40, 8 had 20/200–20/40, and 4 had <20/200 (3 with comorbidity factors affecting vision). Postoperative corneal endothelial cell count ranged from 500 to >2000 cells/mm².",
        "Conclusions": "SHIFT is an effective and rapid-recovery surgical approach for DMD after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SHIFT is an effective and rapid-recovery surgical approach for DMD after cataract surgery.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 36,
      "source_fields": {
        "Abstract Final Identifier": "FP03.05",
        "Title": "Clinical Efficacy Of Short-Term High-Pressure Intraocular Full-Air Tamponade (Shift) For Descemet Membrane Detachment After Cataract Surgery",
        "Presenting Author(s)": "Prof. Dr Shaowei Li",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Zexia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dou",
        "Country Name": "China",
        "Purpose": "Descemet membrane detachment (DMD) is a well-recognized and potential vision-threatening complication following cataract surgery and may lead to corneal decompensation and opacification if not managed appropriately. This study was to evaluate the clinical efficacy of short-term high-pressure intraocular full-air tamponade (SHIFT) for DMD after cataract surgery.",
        "Setting": "This retrospective study was carried out in Beijing Aier-Intech Eye Hospital, China.",
        "Methods": "Retrospective analysis of Short-term High-pressure Intraocular Full-air Tamponade (SHIFT) on patients with post-cataract DMD from April 2018 to December 2025. Intraoperatively, OCT-assisted air injection into the anterior chamber was performed to unfold/reattach the Descemet membrane, then air fillingto maintain intraocular pressure >40 mmHg for 2 hours, followed by releasing half of the air to relieve pupillary block.",
        "Results": "21 patients (4 males and 17 females): 6 with moderate DMD (25%–50% corneal involvement) and 15 with severe DMD (>50% corneal involvement). Prior to our treatment, 9 had failed 1–3 times of air injection in other hospitals. The mean interval from cataract surgery to our procedure was 15.6 days (3–45). All patients achieved Descemet membrane reattachment, but 4 underwent Descemet membrane endothelial keratoplasty due to corneal endothelial fragmentation caused by previous surgical interventions. Of 17 successfully managed cases, 5 had corrected distance visual acuity ≥20/40, 8 had 20/200–20/40, and 4 had <20/200 (3 with comorbidity factors affecting vision). Postoperative corneal endothelial cell count ranged from 500 to >2000 cells/mm².",
        "Conclusions": "SHIFT is an effective and rapid-recovery surgical approach for DMD after cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "FP03.06",
      "abstract_number": "FP03.06",
      "title": "Retinal Detachment Risk Comparing Anterior Versus Pars Plana Vitrectomy For Scleral-Fixated Intraocular Lenses: A Systematic Review And Dual-Method Meta-Analysis",
      "authors": "Dr Carlos Eduardo de Menezes Souza Filho",
      "presenter": "Dr Carlos Eduardo de Menezes Souza Filho",
      "normalized_authors": [
        "Carlos Eduardo de Menezes Souza Filho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carlos Eduardo de Menezes Souza Filho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "This systematic review and meta-analysis aims to provide a comprehensive evaluation comparing the post operative complications of retinal detachment (RD) after performing anterior vitrectomy (AV) or pars plana vitrectomy (PPV) during scleral fixation (SF) of intraocular lenses (IOL).",
        "Setting": "PRISMA-compliant systematic review and dual-framework (Frequentist and Bayesian) meta-analysis of comparative studies assessing anterior versus pars plana vitrectomy in scleral-fixated IOL surgery.",
        "Methods": "A systematic search of PubMed, Embase, and Cochrane Library was conducted for studies published between 1973 and March 2025. Eligible studies included patients undergoing any form of SF-IOL implantation, comparing AV versus PPV. The primary outcome was post operative retinal detachment (RD). A Random-effects meta-analysis using Mantel-Haenszel (MH) under the Frequentist framework was performed (odds ratio [OR] with 95% confidence intervals [CI]). Given the small number of studies and low event rates, Bayesian meta-analysis was also conducted, reporting 95% credible intervals (CrI), posterior distributions probabilities and Bayes Factors (BF). Sensitivity and subgroup analyses were also conducted using R (v4.4.1).",
        "Results": "Nine studies (N = 1034 eyes) were included. Mean follow-up was 11.8 months in the PPV group and 13.2 months in the AV group. Yamane’s sutureless flanged haptic scleral fixation (FHSF) was used in 4 studies (N = 429 eyes), and 10-0 Prolene suture fixation (SSF) in 5 studies (N = 605 eyes). No eligible studies using Gore-Tex or Prolene flanged techniques were identified. Eight studies were retrospective; one was prospective. For the outcome of RD, sensitivity analysis yielded an OR of 0.34 (95% CI: 0.10–1.12; p = 0.075; I² = 0%). Bayesian analysis indicated a 93% posterior probability that PPV reduces RD risk compared to AV (OR = 0.40; 95% CrI = 0.12; 1.32). The Bayes Factor (BF₁₀ = 1.27) suggests weak evidence in favor of PPV.",
        "Conclusions": "In standard frequentist analysis, PPV did not demonstrate a statistically significant reduction in RD compared with AV. However, the limited number and predominantly retrospective design of available studies weaken the overall strength of evidence. In contrast, Bayesian modelling showed a high posterior probability of benefit, suggesting that PPV may reduce the risk of RD. Unquestionably further high-quality comparative studies are needed to guide clinical decision-making on vitreous management in SF-IOL surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In standard frequentist analysis, PPV did not demonstrate a statistically significant reduction in RD compared with AV. However, the limited number and predominantly retrospective design of available studies weaken the overall strength of evidence. In contrast, Bayesian modelling showed a high posterior probability of benefit, suggesting that PPV may reduce the risk of RD. Unquestionably further high-quality…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 37,
      "source_fields": {
        "Abstract Final Identifier": "FP03.06",
        "Title": "Retinal Detachment Risk Comparing Anterior Versus Pars Plana Vitrectomy For Scleral-Fixated Intraocular Lenses: A Systematic Review And Dual-Method Meta-Analysis",
        "Presenting Author(s)": "Dr Carlos Eduardo de Menezes Souza Filho",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Carlos",
        "Submitter Middle Name": "Eduardo de Menezes",
        "Submitter Last Name": "Souza Filho",
        "Country Name": "Brazil",
        "Purpose": "This systematic review and meta-analysis aims to provide a comprehensive evaluation comparing the post operative complications of retinal detachment (RD) after performing anterior vitrectomy (AV) or pars plana vitrectomy (PPV) during scleral fixation (SF) of intraocular lenses (IOL).",
        "Setting": "PRISMA-compliant systematic review and dual-framework (Frequentist and Bayesian) meta-analysis of comparative studies assessing anterior versus pars plana vitrectomy in scleral-fixated IOL surgery.",
        "Methods": "A systematic search of PubMed, Embase, and Cochrane Library was conducted for studies published between 1973 and March 2025. Eligible studies included patients undergoing any form of SF-IOL implantation, comparing AV versus PPV. The primary outcome was post operative retinal detachment (RD). A Random-effects meta-analysis using Mantel-Haenszel (MH) under the Frequentist framework was performed (odds ratio [OR] with 95% confidence intervals [CI]). Given the small number of studies and low event rates, Bayesian meta-analysis was also conducted, reporting 95% credible intervals (CrI), posterior distributions probabilities and Bayes Factors (BF). Sensitivity and subgroup analyses were also conducted using R (v4.4.1).",
        "Results": "Nine studies (N = 1034 eyes) were included. Mean follow-up was 11.8 months in the PPV group and 13.2 months in the AV group. Yamane’s sutureless flanged haptic scleral fixation (FHSF) was used in 4 studies (N = 429 eyes), and 10-0 Prolene suture fixation (SSF) in 5 studies (N = 605 eyes). No eligible studies using Gore-Tex or Prolene flanged techniques were identified. Eight studies were retrospective; one was prospective. For the outcome of RD, sensitivity analysis yielded an OR of 0.34 (95% CI: 0.10–1.12; p = 0.075; I² = 0%). Bayesian analysis indicated a 93% posterior probability that PPV reduces RD risk compared to AV (OR = 0.40; 95% CrI = 0.12; 1.32). The Bayes Factor (BF₁₀ = 1.27) suggests weak evidence in favor of PPV.",
        "Conclusions": "In standard frequentist analysis, PPV did not demonstrate a statistically significant reduction in RD compared with AV. However, the limited number and predominantly retrospective design of available studies weaken the overall strength of evidence. In contrast, Bayesian modelling showed a high posterior probability of benefit, suggesting that PPV may reduce the risk of RD. Unquestionably further high-quality comparative studies are needed to guide clinical decision-making on vitreous management in SF-IOL surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "FP03.07",
      "abstract_number": "FP03.07",
      "title": "Case Series Of White Mature Cataracts Outcomes, Techniques And Causes For Delayed Presentation From The Developing World.",
      "authors": "Dr Narahenpitage Pabakara Costha",
      "presenter": "Dr Narahenpitage Pabakara Costha",
      "normalized_authors": [
        "Narahenpitage Pabakara Costha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Narahenpitage Pabakara Costha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Sri Lanka",
      "sections": {
        "Purpose": "To describe the outcomes of white mature cataracts\n\nTo describe the type of capsular rhexis pattern on the success of capsular rhexis in intumescent cataract.\n\nTo describe the reasons for delayed presentations for white mature cataracts in a peripheral set up of developing world country .",
        "Setting": "Patients with white mature cataracts presented to Base Hospital Kahawatta in Sabaragamuwa province Sri Lanka – A peripheral set up in a South Asian Country.\n\nSurgeries were performed in pre described accepted standard techniques. No pre planned inerventions. All seurgeries were performed by a single surgeon.",
        "Methods": "Retrospectively analysed the outcomes of surgeries on white mature cataracts, no pre planned interventions done.\n\nThrough questionnaire analysed the details for delayed presentation for mature cataracts.",
        "Results": "51 patients with white mature cataracts were included. Age ranged from 42 years to 82 years. Mean age was 65.4   ±   9.6 years.\n\nPreoperative vision all patients were 6/60 or less.\n\nBest corrected post operative one-month distant visual acuity 38(74.5%) patients were 6/9 or better vision. Eventually 100% had vision 6/12 or better.\n\nCapsular rhexis technique–Spiralling technique and double rhexis technique used. In spiralling method 2 rhexis extension in 21 cases.\n\nIn double rhexis technique no extensions in 30 cases.\n\nReasons for delayed presentation-Unawareness n=39 (76.5%), Fear to undergo a surgery n=3. Financial issues n=3, social issues preventing attendance to clinic n=4, medical co morbidities delaying presentation to eye care n=2.",
        "Conclusions": "Regarding the capsular rhexis in intumescent cataracts initial massaging of the anterior capsule and performing a two staged double rhexis – initial small rhexis, removing liquefied material and then performing a required size rhexis appears to be a safer option.\n\nVisual outcomes are rewarding when compared to preoperative status however patients should be pre informed on the possibility of higher complications and possibility of co-existing posterior segment pathology unable to detect preoperatively due to media opacity.\n\nWhen looking at the causes for delayed presentation people need more awareness, addressing the issue of fear of treatment and address the socio-economic issues."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Regarding the capsular rhexis in intumescent cataracts initial massaging of the anterior capsule and performing a two staged double rhexis – initial small rhexis, removing liquefied material and then performing a required size rhexis appears to be a safer option. Visual outcomes are rewarding when compared to preoperative status however patients should be pre informed on the possibility of higher complications and…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 38,
      "source_fields": {
        "Abstract Final Identifier": "FP03.07",
        "Title": "Case Series Of White Mature Cataracts Outcomes, Techniques And Causes For Delayed Presentation From The Developing World.",
        "Presenting Author(s)": "Dr Narahenpitage Pabakara Costha",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Narahenpitage Pabakara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Costha",
        "Country Name": "Sri Lanka",
        "Purpose": "To describe the outcomes of white mature cataracts\n\nTo describe the type of capsular rhexis pattern on the success of capsular rhexis in intumescent cataract.\n\nTo describe the reasons for delayed presentations for white mature cataracts in a peripheral set up of developing world country .",
        "Setting": "Patients with white mature cataracts presented to Base Hospital Kahawatta in Sabaragamuwa province Sri Lanka – A peripheral set up in a South Asian Country.\n\nSurgeries were performed in pre described accepted standard techniques. No pre planned inerventions. All seurgeries were performed by a single surgeon.",
        "Methods": "Retrospectively analysed the outcomes of surgeries on white mature cataracts, no pre planned interventions done.\n\nThrough questionnaire analysed the details for delayed presentation for mature cataracts.",
        "Results": "51 patients with white mature cataracts were included. Age ranged from 42 years to 82 years. Mean age was 65.4   ±   9.6 years.\n\nPreoperative vision all patients were 6/60 or less.\n\nBest corrected post operative one-month distant visual acuity 38(74.5%) patients were 6/9 or better vision. Eventually 100% had vision 6/12 or better.\n\nCapsular rhexis technique–Spiralling technique and double rhexis technique used. In spiralling method 2 rhexis extension in 21 cases.\n\nIn double rhexis technique no extensions in 30 cases.\n\nReasons for delayed presentation-Unawareness n=39 (76.5%), Fear to undergo a surgery n=3. Financial issues n=3, social issues preventing attendance to clinic n=4, medical co morbidities delaying presentation to eye care n=2.",
        "Conclusions": "Regarding the capsular rhexis in intumescent cataracts initial massaging of the anterior capsule and performing a two staged double rhexis – initial small rhexis, removing liquefied material and then performing a required size rhexis appears to be a safer option.\n\nVisual outcomes are rewarding when compared to preoperative status however patients should be pre informed on the possibility of higher complications and possibility of co-existing posterior segment pathology unable to detect preoperatively due to media opacity.\n\nWhen looking at the causes for delayed presentation people need more awareness, addressing the issue of fear of treatment and address the socio-economic issues."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "FP03.08",
      "abstract_number": "FP03.08",
      "title": "Prophylactic Capsular Tension Ring Implantation In Pseudoexfoliation Syndrome Without Clinical Zonular Weakness: A Prospective Comparative Study",
      "authors": "Prof. Dr Umida Mavlyanova",
      "presenter": "Prof. Dr Umida Mavlyanova",
      "normalized_authors": [
        "Umida Mavlyanova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Umida Mavlyanova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Uzbekistan",
      "sections": {
        "Purpose": "To evaluate the clinical and functional effectiveness of prophylactic capsular tension ring (CTR) implantation during phacoemulsification in patients with pseudoexfoliation syndrome (PEX) without clinically evident zonular weakness.",
        "Setting": "Prospective comparative clinical study conducted at a tertiary ophthalmic surgical center.",
        "Methods": "A total of 124 eyes of 124 patients with cataract and PEX without clinical signs of zonular instability were included. Patients were allocated into two groups: Group 1 (n=62) underwent phacoemulsification with prophylactic CTR implantation; Group 2 (n=62) underwent standard phacoemulsification without CTR. Preoperative evaluation included slit-lamp biomicroscopy , biometry, and anterior segment optical coherence tomography. Postoperative follow-up at 1 month and 6 months included best-corrected visual acuity (BCVA), intraocular lens (IOL) centration, refractive prediction error, and anterior capsule contraction. Statistical analysis was performed using appropriate parametric and non-parametric tests, with p<0.05 considered significant.",
        "Results": "Intraoperative complications occurred in 2 eyes (3.2%) in the CTR group and 8 eyes (12.9%) in the control group (p=0.04). Zonular dialysis requiring additional stabilization occurred in 0 eyes in Group 1 versus 5 eyes (8.1%) in Group 2 (p=0.02). At 6 months, mean BCVA was comparable between groups (p>0.05). However, clinically significant IOL decentration (≥0.5 mm) was observed less frequently in the CTR group (1.6% vs 11.3%, p=0.03). Anterior capsule contraction occurred in 4.8% versus 16.1% of eyes, respectively (p=0.04). Refractive predictability (within ±0.5 D of target) was higher in the CTR group (85.5% vs 71.0%, p=0.048).",
        "Conclusions": "Prophylactic CTR implantation in patients with PEX without clinically apparent zonular weakness significantly reduces intraoperative instability and postoperative capsular bag–related complications. The findings support consideration of preventive CTR use in selected PEX cases to enhance surgical safety and long-term IOL stability.\n\nThe authors have no financial interest in any material or method mentioned."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Prophylactic CTR implantation in patients with PEX without clinically apparent zonular weakness significantly reduces intraoperative instability and postoperative capsular bag–related complications. The findings support consideration of preventive CTR use in selected PEX cases to enhance surgical safety and long-term IOL stability. The authors have no financial interest in any material or method mentioned.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 39,
      "source_fields": {
        "Abstract Final Identifier": "FP03.08",
        "Title": "Prophylactic Capsular Tension Ring Implantation In Pseudoexfoliation Syndrome Without Clinical Zonular Weakness: A Prospective Comparative Study",
        "Presenting Author(s)": "Prof. Dr Umida Mavlyanova",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Umida",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mavlyanova",
        "Country Name": "Uzbekistan",
        "Purpose": "To evaluate the clinical and functional effectiveness of prophylactic capsular tension ring (CTR) implantation during phacoemulsification in patients with pseudoexfoliation syndrome (PEX) without clinically evident zonular weakness.",
        "Setting": "Prospective comparative clinical study conducted at a tertiary ophthalmic surgical center.",
        "Methods": "A total of 124 eyes of 124 patients with cataract and PEX without clinical signs of zonular instability were included. Patients were allocated into two groups: Group 1 (n=62) underwent phacoemulsification with prophylactic CTR implantation; Group 2 (n=62) underwent standard phacoemulsification without CTR. Preoperative evaluation included slit-lamp biomicroscopy , biometry, and anterior segment optical coherence tomography. Postoperative follow-up at 1 month and 6 months included best-corrected visual acuity (BCVA), intraocular lens (IOL) centration, refractive prediction error, and anterior capsule contraction. Statistical analysis was performed using appropriate parametric and non-parametric tests, with p<0.05 considered significant.",
        "Results": "Intraoperative complications occurred in 2 eyes (3.2%) in the CTR group and 8 eyes (12.9%) in the control group (p=0.04). Zonular dialysis requiring additional stabilization occurred in 0 eyes in Group 1 versus 5 eyes (8.1%) in Group 2 (p=0.02). At 6 months, mean BCVA was comparable between groups (p>0.05). However, clinically significant IOL decentration (≥0.5 mm) was observed less frequently in the CTR group (1.6% vs 11.3%, p=0.03). Anterior capsule contraction occurred in 4.8% versus 16.1% of eyes, respectively (p=0.04). Refractive predictability (within ±0.5 D of target) was higher in the CTR group (85.5% vs 71.0%, p=0.048).",
        "Conclusions": "Prophylactic CTR implantation in patients with PEX without clinically apparent zonular weakness significantly reduces intraoperative instability and postoperative capsular bag–related complications. The findings support consideration of preventive CTR use in selected PEX cases to enhance surgical safety and long-term IOL stability.\n\nThe authors have no financial interest in any material or method mentioned."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "FP03.09",
      "abstract_number": "FP03.09",
      "title": "Pars Plana Vitrectomy Versus Anterior Vitrectomy In Scleral-Fixated Intraocular Lenses Implantation: A Systematic Review And Meta-Analysis",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To compare the complications risk and surgical outcomes between pars plana vitrectomy (PPV) and anterior vitrectomy (AV) approaches in scleral-fixated intraocular lens (SFIOL) implantation.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "We comprehensively searched PubMed, Medline, Scopus, Cochrane Library, EMBASE, and Google Scholar. We included studies comparing PPV and AV approaches for SFIOL implantation. Primary outcomes included postoperative complications such as retinal detachment, vitreous prolapse, and cystoid macular edema as well as changes in best-corrected visual acuity (BCVA). The GRADE framework was used to assess the certainty of evidence.",
        "Results": "Five studies encompassing 522 eyes were included. PPV was associated with a significantly lower risk of RD (OR = 0.11, 95% CI: 0.02–0.57, p < 0.01) and vitreous prolapse (OR = 0.10, 95% CI: 0.02–0.60, p < 0.01) compared to AV. However, PPV had a higher risk of IOL capture (OR = 3.12, 95% CI: 1.30–7.46, p < 0.01). No significant differences were observed in the risks of elevated IOP, CME, or vitreous hemorrhage. Postoperative BCVA improvement was comparable between both techniques (MD = -0.05, 95% CI: -0.12 to 0.02). GRADE assessment indicated that the certainty of evidence ranged from very low to moderate.",
        "Conclusions": "PPV is associated with a reduced risk of RD and vitreous prolapse but an increased risk of IOL capture compared to AV in SFIOL implantation. Both techniques demonstrated similar risks for other complications and comparable visual outcomes. Surgeons should consider patient-specific factors and surgical expertise when selecting the appropriate approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PPV is associated with a reduced risk of RD and vitreous prolapse but an increased risk of IOL capture compared to AV in SFIOL implantation. Both techniques demonstrated similar risks for other complications and comparable visual outcomes. Surgeons should consider patient-specific factors and surgical expertise when selecting the appropriate approach.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 40,
      "source_fields": {
        "Abstract Final Identifier": "FP03.09",
        "Title": "Pars Plana Vitrectomy Versus Anterior Vitrectomy In Scleral-Fixated Intraocular Lenses Implantation: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "To compare the complications risk and surgical outcomes between pars plana vitrectomy (PPV) and anterior vitrectomy (AV) approaches in scleral-fixated intraocular lens (SFIOL) implantation.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "We comprehensively searched PubMed, Medline, Scopus, Cochrane Library, EMBASE, and Google Scholar. We included studies comparing PPV and AV approaches for SFIOL implantation. Primary outcomes included postoperative complications such as retinal detachment, vitreous prolapse, and cystoid macular edema as well as changes in best-corrected visual acuity (BCVA). The GRADE framework was used to assess the certainty of evidence.",
        "Results": "Five studies encompassing 522 eyes were included. PPV was associated with a significantly lower risk of RD (OR = 0.11, 95% CI: 0.02–0.57, p < 0.01) and vitreous prolapse (OR = 0.10, 95% CI: 0.02–0.60, p < 0.01) compared to AV. However, PPV had a higher risk of IOL capture (OR = 3.12, 95% CI: 1.30–7.46, p < 0.01). No significant differences were observed in the risks of elevated IOP, CME, or vitreous hemorrhage. Postoperative BCVA improvement was comparable between both techniques (MD = -0.05, 95% CI: -0.12 to 0.02). GRADE assessment indicated that the certainty of evidence ranged from very low to moderate.",
        "Conclusions": "PPV is associated with a reduced risk of RD and vitreous prolapse but an increased risk of IOL capture compared to AV in SFIOL implantation. Both techniques demonstrated similar risks for other complications and comparable visual outcomes. Surgeons should consider patient-specific factors and surgical expertise when selecting the appropriate approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "FP03.10",
      "abstract_number": "FP03.10",
      "title": "Flanged Polypropylene Scleral Fixation: A Comprehensive Analysis Of Outcomes And Considerations",
      "authors": "Dr Michael Ostrovsky",
      "presenter": "Dr Michael Ostrovsky",
      "normalized_authors": [
        "Michael Ostrovsky"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Ostrovsky",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and safety outcomes of secondary flanged polypropylene scleral intraocular lens (IOL) fixation in a large cohort. Additionally, to compare outcomes between pre-existing IOL repositioning versus exchange, and between horizontal versus vertical flange orientation.",
        "Setting": "Single-center retrospective study at a tertiary referral ophthalmic center.",
        "Methods": "Retrospective cohort of consecutive eyes undergoing flanged polypropylene scleral IOL fixation between January 2021 and August 2024, with a minimum follow-up of 6 months. Pre- and postoperative visual acuity (VA), refraction, and complications were analyzed. Subgroup analyses compared outcomes between IOL repositioning versus exchange and horizontal versus vertical flange fixation.",
        "Results": "A total of 138 eyes were included. Mean VA improved from 1.11±0.63 to 0.40±0.43 logMAR at 12 months (p<0.001). Final refraction showed a mean spherical equivalent of −0.60±2.35 D. Complications occurred in 10.1% of cases, predominantly flange-related (5.8%) and manageable. Residual spherical equivalent was closer to emmetropia following IOL exchange compared with repositioning (−0.15±1.50 D vs −0.80±2.26 D; p=0.047), while VA and complication rates were similar. Fixation orientation (horizontal vs vertical) had no significant effect on VA, refraction, or complication rates (all p>0.05).",
        "Conclusions": "Flanged polypropylene scleral IOL fixation provides substantial visual improvement with low complication rates. Compared with repositioning, pre-existing IOL exchange was associated with residual refraction closer to emmetropia, without increased risk. Flange orientation did not significantly impact clinical outcomes. Surgical decisions should therefore be guided by surgeon expertise and the clinical context."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Flanged polypropylene scleral IOL fixation provides substantial visual improvement with low complication rates. Compared with repositioning, pre-existing IOL exchange was associated with residual refraction closer to emmetropia, without increased risk. Flange orientation did not significantly impact clinical outcomes. Surgical decisions should therefore be guided by surgeon expertise and the clinical context.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 41,
      "source_fields": {
        "Abstract Final Identifier": "FP03.10",
        "Title": "Flanged Polypropylene Scleral Fixation: A Comprehensive Analysis Of Outcomes And Considerations",
        "Presenting Author(s)": "Dr Michael Ostrovsky",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ostrovsky",
        "Country Name": "Israel",
        "Purpose": "To evaluate visual, refractive, and safety outcomes of secondary flanged polypropylene scleral intraocular lens (IOL) fixation in a large cohort. Additionally, to compare outcomes between pre-existing IOL repositioning versus exchange, and between horizontal versus vertical flange orientation.",
        "Setting": "Single-center retrospective study at a tertiary referral ophthalmic center.",
        "Methods": "Retrospective cohort of consecutive eyes undergoing flanged polypropylene scleral IOL fixation between January 2021 and August 2024, with a minimum follow-up of 6 months. Pre- and postoperative visual acuity (VA), refraction, and complications were analyzed. Subgroup analyses compared outcomes between IOL repositioning versus exchange and horizontal versus vertical flange fixation.",
        "Results": "A total of 138 eyes were included. Mean VA improved from 1.11±0.63 to 0.40±0.43 logMAR at 12 months (p<0.001). Final refraction showed a mean spherical equivalent of −0.60±2.35 D. Complications occurred in 10.1% of cases, predominantly flange-related (5.8%) and manageable. Residual spherical equivalent was closer to emmetropia following IOL exchange compared with repositioning (−0.15±1.50 D vs −0.80±2.26 D; p=0.047), while VA and complication rates were similar. Fixation orientation (horizontal vs vertical) had no significant effect on VA, refraction, or complication rates (all p>0.05).",
        "Conclusions": "Flanged polypropylene scleral IOL fixation provides substantial visual improvement with low complication rates. Compared with repositioning, pre-existing IOL exchange was associated with residual refraction closer to emmetropia, without increased risk. Flange orientation did not significantly impact clinical outcomes. Surgical decisions should therefore be guided by surgeon expertise and the clinical context."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP03.11",
      "abstract_number": "FP03.11",
      "title": "Evaluation Of A Modified Single-Stage Continuous Curvilinear Capsulorhexis Technique Using 18-Gauge Needle Decompression In Intumescent Cataracts",
      "authors": "Dr Huynh Phuc Nguyen",
      "presenter": "Dr Huynh Phuc Nguyen",
      "normalized_authors": [
        "Huynh Phuc Nguyen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Huynh Phuc Nguyen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of a modified anterior capsulorhexis technique using an 18-gauge needle puncture at the peripheral one-third of the anterior capsule to control intralenticular pressure and achieve single-stage continuous curvilinear capsulorhexis (CCC) in intumescent cataract surgery.",
        "Setting": "This study was conducted at Saigon Vinh Eye Hospital, Vietnam, from August 2024 to March 2025.",
        "Methods": "This prospective, cross-sectional descriptive study included patients with intumescent cataracts indicated for cataract surgery. Before CCC, all patients underwent an 18-gauge needle puncture at the peripheral one-third of the anterior capsule near the main incision to decompress the intralenticular pressure.",
        "Results": "A total of 99 eyes from 99 patients were included in the study. The mean axial length was 23.12 ± 0.55 mm, anterior chamber depth 2.62 ± 0.43 mm, and lens thickness 4.91 ± 0.72 mm. In 65 patients (65.7%), the milky liquefied cortex escaped into the anterior chamber after the needle puncture. Single-stage CCC was successfully performed in 98 of 99 cases (98.9%) with a mean capsulorhexis diameter of 5.5 ± 0.3 mm. All surgeries were performed using standard phacoemulsification and in-the-bag IOL implantation (100%). Three months post-operatively, all patients had well-centered IOLs with a best-corrected visual acuity (BCVA) ≥ 4/10.",
        "Conclusions": "An 18-gauge needle puncture at the peripheral one-third of the anterior capsule offers effective decompression, improves safety, and facilitates CCC in patients with intumescent cataracts. This technique is simple, feasible, and highly applicable in clinical practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "An 18-gauge needle puncture at the peripheral one-third of the anterior capsule offers effective decompression, improves safety, and facilitates CCC in patients with intumescent cataracts. This technique is simple, feasible, and highly applicable in clinical practice.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 42,
      "source_fields": {
        "Abstract Final Identifier": "FP03.11",
        "Title": "Evaluation Of A Modified Single-Stage Continuous Curvilinear Capsulorhexis Technique Using 18-Gauge Needle Decompression In Intumescent Cataracts",
        "Presenting Author(s)": "Dr Huynh Phuc Nguyen",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Huynh Phuc",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nguyen",
        "Country Name": "Viet Nam",
        "Purpose": "To evaluate the safety and efficacy of a modified anterior capsulorhexis technique using an 18-gauge needle puncture at the peripheral one-third of the anterior capsule to control intralenticular pressure and achieve single-stage continuous curvilinear capsulorhexis (CCC) in intumescent cataract surgery.",
        "Setting": "This study was conducted at Saigon Vinh Eye Hospital, Vietnam, from August 2024 to March 2025.",
        "Methods": "This prospective, cross-sectional descriptive study included patients with intumescent cataracts indicated for cataract surgery. Before CCC, all patients underwent an 18-gauge needle puncture at the peripheral one-third of the anterior capsule near the main incision to decompress the intralenticular pressure.",
        "Results": "A total of 99 eyes from 99 patients were included in the study. The mean axial length was 23.12 ± 0.55 mm, anterior chamber depth 2.62 ± 0.43 mm, and lens thickness 4.91 ± 0.72 mm. In 65 patients (65.7%), the milky liquefied cortex escaped into the anterior chamber after the needle puncture. Single-stage CCC was successfully performed in 98 of 99 cases (98.9%) with a mean capsulorhexis diameter of 5.5 ± 0.3 mm. All surgeries were performed using standard phacoemulsification and in-the-bag IOL implantation (100%). Three months post-operatively, all patients had well-centered IOLs with a best-corrected visual acuity (BCVA) ≥ 4/10.",
        "Conclusions": "An 18-gauge needle puncture at the peripheral one-third of the anterior capsule offers effective decompression, improves safety, and facilitates CCC in patients with intumescent cataracts. This technique is simple, feasible, and highly applicable in clinical practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "FP03.12",
      "abstract_number": "FP03.12",
      "title": "Safety And Efficacy Of Selective Laser–Assisted Capsulotomy In White Intumescent Cataracts: An International Multicentre Study",
      "authors": "Dr Jai Kelkar",
      "presenter": "Dr Jai Kelkar",
      "normalized_authors": [
        "Jai Kelkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jai Kelkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of a selective laser device (CAPSULaser, EXCEL- LENS, CA, USA) to create centred, sized and circular anterior capsulotomies in eyes with white intumescent cataracts",
        "Setting": "International, multicentre, study across five clinical sites in the United Kingdom, Bulgaria, India and Saudi Arabia",
        "Methods": "Prospective, multicentre interventional cohort study, A total of 93 eyes of 91 subjects with white intumescent cataracts were recruited after anterior segment OCT (AS-OCT) established the presence of intralenticular fluid pockets indicative of raised intralenticular pressure. In all cases, prior to phacoemulsification, selective laser capsulotomy (SLC) was performed by staining the anterior capsule with a customised 0.4 % trypan blue solution. Capsulotomies were created with a diameter of 5.5 mm. Subjects were followed up at one day, one week, one and three months postoperatively.",
        "Results": "In all cases, the capsulotomy was successfully created as planned. No intraoperative complications were observed. At 3 months postoperatively the mean capsulotomy diameter measured 5.3 mm (range: 5.2 to 5.5 mm). No cases of capsular phimosis were observed during the three months follow-up period. In all cases, visual acuity improved from preoperative light perception to mean postoperative uncorrected distance visual acuity (UDVA) of 0.28 LogMAR (range: 0.0 to 1.0).",
        "Conclusions": "The use of SLC in this series of eyes with intumescent cataracts achieved consistently sized, continuous and well-centred capsular openings. There were no complications such as the Argentine flag sign or anterior capsular tears. These results highlight the precision and safety of using selective laser capsulotomy for creating anterior capsulotomies in white intumescent cataracts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The use of SLC in this series of eyes with intumescent cataracts achieved consistently sized, continuous and well-centred capsular openings. There were no complications such as the Argentine flag sign or anterior capsular tears. These results highlight the precision and safety of using selective laser capsulotomy for creating anterior capsulotomies in white intumescent cataracts.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 43,
      "source_fields": {
        "Abstract Final Identifier": "FP03.12",
        "Title": "Safety And Efficacy Of Selective Laser–Assisted Capsulotomy In White Intumescent Cataracts: An International Multicentre Study",
        "Presenting Author(s)": "Dr Jai Kelkar",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Jai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kelkar",
        "Country Name": "India",
        "Purpose": "To evaluate the efficacy and safety of a selective laser device (CAPSULaser, EXCEL- LENS, CA, USA) to create centred, sized and circular anterior capsulotomies in eyes with white intumescent cataracts",
        "Setting": "International, multicentre, study across five clinical sites in the United Kingdom, Bulgaria, India and Saudi Arabia",
        "Methods": "Prospective, multicentre interventional cohort study, A total of 93 eyes of 91 subjects with white intumescent cataracts were recruited after anterior segment OCT (AS-OCT) established the presence of intralenticular fluid pockets indicative of raised intralenticular pressure. In all cases, prior to phacoemulsification, selective laser capsulotomy (SLC) was performed by staining the anterior capsule with a customised 0.4 % trypan blue solution. Capsulotomies were created with a diameter of 5.5 mm. Subjects were followed up at one day, one week, one and three months postoperatively.",
        "Results": "In all cases, the capsulotomy was successfully created as planned. No intraoperative complications were observed. At 3 months postoperatively the mean capsulotomy diameter measured 5.3 mm (range: 5.2 to 5.5 mm). No cases of capsular phimosis were observed during the three months follow-up period. In all cases, visual acuity improved from preoperative light perception to mean postoperative uncorrected distance visual acuity (UDVA) of 0.28 LogMAR (range: 0.0 to 1.0).",
        "Conclusions": "The use of SLC in this series of eyes with intumescent cataracts achieved consistently sized, continuous and well-centred capsular openings. There were no complications such as the Argentine flag sign or anterior capsular tears. These results highlight the precision and safety of using selective laser capsulotomy for creating anterior capsulotomies in white intumescent cataracts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "FP03.13",
      "abstract_number": "FP03.13",
      "title": "Optimizing Small-Pupil Phacoemulsification: A 12-Year Single-Surgeon Evolution In 1,142 High-Risk Eyes",
      "authors": "Dr Raashid Maqbool Wani",
      "presenter": "Dr Raashid Maqbool Wani",
      "normalized_authors": [
        "Raashid Maqbool Wani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raashid Maqbool Wani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate long-term outcomes and complication trends associated with the sequential adoption of pupil-expansion strategies in high-risk small-pupil cataract surgery over a 12-year period.",
        "Setting": "Retrospective analysis of consecutive small-pupil cataract surgeries performed by a single surgeon at a tertiary eye care centre in India over a 12-year period, encompassing a broad spectrum of high-risk clinical scenarios.",
        "Methods": "A retrospective consecutive series of 1,142 eyes with pharmacologically dilated pupil diameter ≤4.0 mm undergoing phacoemulsification by a single surgeon (2012–2024). High-risk features included pseudoexfoliation (38%), intraoperative floppy iris syndrome (18%), chronic miotic use (18%), uveitic synechiae (14%), and prior acute angle-closure (12%).\n\nSurgical strategies evolved sequentially: Phase 1—viscodilation with bimanual stretching (n=360); Phase 2—iris retractors (n=180); Phase 3—B-HEX pupil expansion ring (n=352); Phase 4—Gupta ring, Malyugin ring/microhooks, and low-flow capsule-guarded hydrodissection (n=250).\n\nPrimary outcomes were pupil expansion success, PCR, ECL, and final BCVA.",
        "Results": "Mean preoperative pupil diameter was 3.1 ± 0.6 mm . Successful mechanical pupil expansion was achieved in 99.8% of eyes (1,140/1,142).\n\nCompared with Phase 1, Phase 4 demonstrated:\n• 48% reduction in effective phaco time (1.7 vs 3.3 minutes)\n• 56% reduction in ECL (3.9% vs 8.8%; p <0.001)\n• PCR reduction from 2.8% to 0% (overall PCR 0.9%; 10/1,142)\n\nIris trauma requiring suturing occurred in 0.3% (3 eyes), confined to Phases 1–2. Final BCVA ≥20/40 was achieved in 96.4% . No case required conversion to extracapsular extraction.",
        "Conclusions": "A structured transition from viscodilation and mechanical stretching to contemporary pupil-expansion devices transformed small-pupil phacoemulsification from a high-risk procedure into a highly predictable and safe surgery . This large, long-term real-world series provides a practical roadmap for minimizing complications and optimizing outcomes in complex small-pupil cataract cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A structured transition from viscodilation and mechanical stretching to contemporary pupil-expansion devices transformed small-pupil phacoemulsification from a high-risk procedure into a highly predictable and safe surgery . This large, long-term real-world series provides a practical roadmap for minimizing complications and optimizing outcomes in complex small-pupil cataract cases.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 44,
      "source_fields": {
        "Abstract Final Identifier": "FP03.13",
        "Title": "Optimizing Small-Pupil Phacoemulsification: A 12-Year Single-Surgeon Evolution In 1,142 High-Risk Eyes",
        "Presenting Author(s)": "Dr Raashid Maqbool Wani",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Raashid",
        "Submitter Middle Name": "Maqbool",
        "Submitter Last Name": "Wani",
        "Country Name": "India",
        "Purpose": "To evaluate long-term outcomes and complication trends associated with the sequential adoption of pupil-expansion strategies in high-risk small-pupil cataract surgery over a 12-year period.",
        "Setting": "Retrospective analysis of consecutive small-pupil cataract surgeries performed by a single surgeon at a tertiary eye care centre in India over a 12-year period, encompassing a broad spectrum of high-risk clinical scenarios.",
        "Methods": "A retrospective consecutive series of 1,142 eyes with pharmacologically dilated pupil diameter ≤4.0 mm undergoing phacoemulsification by a single surgeon (2012–2024). High-risk features included pseudoexfoliation (38%), intraoperative floppy iris syndrome (18%), chronic miotic use (18%), uveitic synechiae (14%), and prior acute angle-closure (12%).\n\nSurgical strategies evolved sequentially: Phase 1—viscodilation with bimanual stretching (n=360); Phase 2—iris retractors (n=180); Phase 3—B-HEX pupil expansion ring (n=352); Phase 4—Gupta ring, Malyugin ring/microhooks, and low-flow capsule-guarded hydrodissection (n=250).\n\nPrimary outcomes were pupil expansion success, PCR, ECL, and final BCVA.",
        "Results": "Mean preoperative pupil diameter was 3.1 ± 0.6 mm . Successful mechanical pupil expansion was achieved in 99.8% of eyes (1,140/1,142).\n\nCompared with Phase 1, Phase 4 demonstrated:\n• 48% reduction in effective phaco time (1.7 vs 3.3 minutes)\n• 56% reduction in ECL (3.9% vs 8.8%; p <0.001)\n• PCR reduction from 2.8% to 0% (overall PCR 0.9%; 10/1,142)\n\nIris trauma requiring suturing occurred in 0.3% (3 eyes), confined to Phases 1–2. Final BCVA ≥20/40 was achieved in 96.4% . No case required conversion to extracapsular extraction.",
        "Conclusions": "A structured transition from viscodilation and mechanical stretching to contemporary pupil-expansion devices transformed small-pupil phacoemulsification from a high-risk procedure into a highly predictable and safe surgery . This large, long-term real-world series provides a practical roadmap for minimizing complications and optimizing outcomes in complex small-pupil cataract cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "FP03.14",
      "abstract_number": "FP03.14",
      "title": "Six-Year Clinical Outcomes Of Flapless 25-Gauge Transtrocar Subconjunctival Carlevale Iol Fixation In 268 Eyes",
      "authors": "Dr Vasiliki Mamareli",
      "presenter": "Dr Vasiliki Mamareli",
      "normalized_authors": [
        "Vasiliki Mamareli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vasiliki Mamareli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Cyprus",
      "sections": {
        "Purpose": "To evaluate long-term visual, refractive, and safety outcomes of a flapless, sutureless 25-gauge transtrocar intrascleral subconjunctival fixation technique for Carlevale intraocular lens (IOL) implantation in eyes lacking capsular support.",
        "Setting": "Ophthalmos Research and Educational Institute, Nicosia, Cyprus.",
        "Methods": "This retrospective consecutive case series included 268 eyes that underwent Carlevale IOL implantation between January 2020 and December 2025. Indications included aphakia, dislocated IOL, zonular insufficiency, and absence of capsular support following complicated cataract surgery or ocular trauma.\n\nA minimally invasive sutureless, flapless technique used two 25-gauge trocars placed 180° apart, 2 mm from the limbus. T-shaped haptics were externalised through the trocars and secured intrasclerally under the conjunctiva, achieving stable fixation without scleral flaps and sutures.\n\nPrimary outcomes included postoperative best-corrected visual acuity (BCVA), spherical equivalent (SE), refractive predictability, and postoperative complications.",
        "Results": "At six years, 131 eyes (48.9%) achieved BCVA ≥6/12, reflecting the complex baseline pathology typical of eyes without capsular support.\n\nRefractive predictability was high and improved over time. In the 2020–2023 cohort, 50% of eyes were within ±0.50 D and 80% within ±1.00 D of target spherical equivalent. In the 2024–2025 subgroup, 90.6% of eyes (87/96) were within ±1.00 D.\n\nComplication rates were low and manageable:\n\n• Cystoid macular edema: 5.6%\n\n• Corneal decompensation requiring endothelial keratoplasty: 5.2%\n\n• Transient IOP elevation: 3.4%\n\n• T-haptic plug exposure: 3.4%\n\n• Hyphema: 2.6%\n\n• Vitreous hemorrhage: 2.2%\n\n• Retinal detachment: 1.5%\n\n• Lens tilt/malposition: 0.7%\n\n• Anterior chamber inflammation: 0.7%\n\nNo cases of endophthalmitis were observed.",
        "Conclusions": "Flapless 25-gauge transtrocar subconjunctival fixation of the Carlevale IOL provides a stable, predictable, and minimally invasive solution for eyes without capsular support. The technique eliminates the need for scleral flaps or sutures while maintaining good refractive accuracy and a favorable long-term safety profile over six years."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Flapless 25-gauge transtrocar subconjunctival fixation of the Carlevale IOL provides a stable, predictable, and minimally invasive solution for eyes without capsular support. The technique eliminates the need for scleral flaps or sutures while maintaining good refractive accuracy and a favorable long-term safety profile over six years.",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 45,
      "source_fields": {
        "Abstract Final Identifier": "FP03.14",
        "Title": "Six-Year Clinical Outcomes Of Flapless 25-Gauge Transtrocar Subconjunctival Carlevale Iol Fixation In 268 Eyes",
        "Presenting Author(s)": "Dr Vasiliki Mamareli",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Vasiliki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mamareli",
        "Country Name": "Cyprus",
        "Purpose": "To evaluate long-term visual, refractive, and safety outcomes of a flapless, sutureless 25-gauge transtrocar intrascleral subconjunctival fixation technique for Carlevale intraocular lens (IOL) implantation in eyes lacking capsular support.",
        "Setting": "Ophthalmos Research and Educational Institute, Nicosia, Cyprus.",
        "Methods": "This retrospective consecutive case series included 268 eyes that underwent Carlevale IOL implantation between January 2020 and December 2025. Indications included aphakia, dislocated IOL, zonular insufficiency, and absence of capsular support following complicated cataract surgery or ocular trauma.\n\nA minimally invasive sutureless, flapless technique used two 25-gauge trocars placed 180° apart, 2 mm from the limbus. T-shaped haptics were externalised through the trocars and secured intrasclerally under the conjunctiva, achieving stable fixation without scleral flaps and sutures.\n\nPrimary outcomes included postoperative best-corrected visual acuity (BCVA), spherical equivalent (SE), refractive predictability, and postoperative complications.",
        "Results": "At six years, 131 eyes (48.9%) achieved BCVA ≥6/12, reflecting the complex baseline pathology typical of eyes without capsular support.\n\nRefractive predictability was high and improved over time. In the 2020–2023 cohort, 50% of eyes were within ±0.50 D and 80% within ±1.00 D of target spherical equivalent. In the 2024–2025 subgroup, 90.6% of eyes (87/96) were within ±1.00 D.\n\nComplication rates were low and manageable:\n\n• Cystoid macular edema: 5.6%\n\n• Corneal decompensation requiring endothelial keratoplasty: 5.2%\n\n• Transient IOP elevation: 3.4%\n\n• T-haptic plug exposure: 3.4%\n\n• Hyphema: 2.6%\n\n• Vitreous hemorrhage: 2.2%\n\n• Retinal detachment: 1.5%\n\n• Lens tilt/malposition: 0.7%\n\n• Anterior chamber inflammation: 0.7%\n\nNo cases of endophthalmitis were observed.",
        "Conclusions": "Flapless 25-gauge transtrocar subconjunctival fixation of the Carlevale IOL provides a stable, predictable, and minimally invasive solution for eyes without capsular support. The technique eliminates the need for scleral flaps or sutures while maintaining good refractive accuracy and a favorable long-term safety profile over six years."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "FP03.15",
      "abstract_number": "FP03.15",
      "title": "Visual Outcomes And Vitreomacular Safety Of Scleral-Fixated Intraocular Lenses In Complex Eyes: A Multi-Center Analysis Of 38 Cases",
      "authors": "Ms Korina Theodoraki",
      "presenter": "Ms Korina Theodoraki",
      "normalized_authors": [
        "Korina Theodoraki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Korina Theodoraki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the clinical outcomes and safety profile of scleral-fixated intraocular lenses (SFIOL) in complex eyes, specifically those with prior vitrectomy or complicated cataract surgery. While SFIOL techniques have evolved, the anatomical challenges of the vitrectomized globeremain a concern for stability. This study analyzes 38 patients to determine the impact of trans-scleral manipulation on the vitreomacular interface (VMI) using OCT to monitor for cystoid macular edema (CMO). By comparing functional visual rehabilitation (BCVA) and complication rates across two surgeons, we aim to validate the refractive predictability and posterior segment safety of scleral fixation in high-risk surgical scenarios.",
        "Setting": "This multi-center retrospective study was conducted across three UK institutions: Western Eye Hospital, Maidstone Hospital, and Frimley Park Hospital. Data were collected from 38 consecutive cases performed by two experienced surgeons over a four-year period. The cohort consisted of eyes undergoing scleral-fixated IOL implantation for aphakia or IOL dislocation, following complicated cataract surgery or trauma, all of whom underwent concurrent or prior pars plana vitrectomy.",
        "Methods": "A retrospective review of 38 eyes was performed. The primary surgical technique was four-point scleral fixation using an Akreos lens with Gore-Tex sutures (n=31, 82%), followed by intrascleral tunnel fixation (n=7, 18%). All eyes were vitrectomized. Primary endpoints included the change in Best-Corrected Visual Acuity (BCVA) in LogMAR and the incidence of post-operative Cystoid Macular Edema (CMO) confirmed via SD-OCT. A preliminary refractive analysis (Mean Absolute Error, MAE) was conducted on a subset of patients (n=7) with stable post-operative refraction.",
        "Results": "The mean pre-operative BCVA was 1.22+/- 0.77 LogMAR, which improved significantly to 0.43 +/-0.29 LogMAR post-operatively (p < 0.001). Post-operative CMO was identified in 11 eyes (28.9%) , with a higher prevalence noted in patients with prior retinal detachment or trauma. Other complications included corneal decompensation (n=3) and transiently raised intraocular pressure (n=2). In the refractive subset (n=7), the Mean Absolute Error was 0.80 +/- 0.72 D , indicating acceptable predictability despite the anatomical complexity of these eyes. No cases of IOL dislocation or suture-related erosions were noted during the follow-up period.",
        "Conclusions": "Scleral-fixated IOL implantation, particularly the four-point Akreos technique, provides effective visual rehabilitation in complex, vitrectomized eyes. While the incidence of post-operative CMO remains a notable consideration in this high-risk population, the significant gain in functional vision and the stability of the fixation techniques support its use as a primary approach for aphakia management in tertiary centers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Scleral-fixated IOL implantation, particularly the four-point Akreos technique, provides effective visual rehabilitation in complex, vitrectomized eyes. While the incidence of post-operative CMO remains a notable consideration in this high-risk population, the significant gain in functional vision and the stability of the fixation techniques support its use as a primary approach for aphakia management in tertiary…",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 46,
      "source_fields": {
        "Abstract Final Identifier": "FP03.15",
        "Title": "Visual Outcomes And Vitreomacular Safety Of Scleral-Fixated Intraocular Lenses In Complex Eyes: A Multi-Center Analysis Of 38 Cases",
        "Presenting Author(s)": "Ms Korina Theodoraki",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Korina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Theodoraki",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the clinical outcomes and safety profile of scleral-fixated intraocular lenses (SFIOL) in complex eyes, specifically those with prior vitrectomy or complicated cataract surgery. While SFIOL techniques have evolved, the anatomical challenges of the vitrectomized globeremain a concern for stability. This study analyzes 38 patients to determine the impact of trans-scleral manipulation on the vitreomacular interface (VMI) using OCT to monitor for cystoid macular edema (CMO). By comparing functional visual rehabilitation (BCVA) and complication rates across two surgeons, we aim to validate the refractive predictability and posterior segment safety of scleral fixation in high-risk surgical scenarios.",
        "Setting": "This multi-center retrospective study was conducted across three UK institutions: Western Eye Hospital, Maidstone Hospital, and Frimley Park Hospital. Data were collected from 38 consecutive cases performed by two experienced surgeons over a four-year period. The cohort consisted of eyes undergoing scleral-fixated IOL implantation for aphakia or IOL dislocation, following complicated cataract surgery or trauma, all of whom underwent concurrent or prior pars plana vitrectomy.",
        "Methods": "A retrospective review of 38 eyes was performed. The primary surgical technique was four-point scleral fixation using an Akreos lens with Gore-Tex sutures (n=31, 82%), followed by intrascleral tunnel fixation (n=7, 18%). All eyes were vitrectomized. Primary endpoints included the change in Best-Corrected Visual Acuity (BCVA) in LogMAR and the incidence of post-operative Cystoid Macular Edema (CMO) confirmed via SD-OCT. A preliminary refractive analysis (Mean Absolute Error, MAE) was conducted on a subset of patients (n=7) with stable post-operative refraction.",
        "Results": "The mean pre-operative BCVA was 1.22+/- 0.77 LogMAR, which improved significantly to 0.43 +/-0.29 LogMAR post-operatively (p < 0.001). Post-operative CMO was identified in 11 eyes (28.9%) , with a higher prevalence noted in patients with prior retinal detachment or trauma. Other complications included corneal decompensation (n=3) and transiently raised intraocular pressure (n=2). In the refractive subset (n=7), the Mean Absolute Error was 0.80 +/- 0.72 D , indicating acceptable predictability despite the anatomical complexity of these eyes. No cases of IOL dislocation or suture-related erosions were noted during the follow-up period.",
        "Conclusions": "Scleral-fixated IOL implantation, particularly the four-point Akreos technique, provides effective visual rehabilitation in complex, vitrectomized eyes. While the incidence of post-operative CMO remains a notable consideration in this high-risk population, the significant gain in functional vision and the stability of the fixation techniques support its use as a primary approach for aphakia management in tertiary centers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 400
    },
    {
      "uid": "FP04.01",
      "abstract_number": "FP04.01",
      "title": "Angle-Based Migs Combined With Phacoemulsification: Long-Term Comparative Efficacy And Safety Of Gatt Versus Bang",
      "authors": "Prof. Dr Majdi Abdala",
      "presenter": "Prof. Dr Majdi Abdala",
      "normalized_authors": [
        "Majdi Abdala"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Majdi Abdala",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Libya",
      "sections": {
        "Purpose": "To compare the long-term intraocular pressure (IOP) reduction and safety profile of combined phacoemulsification with gonioscopy-assisted transluminal trabeculotomy (Phaco-GATT) versus phacoemulsification with bent ab interno needle goniotomy (Phaco-BANG) in patients with visually significant cataract and medically uncontrolled open-angle glaucoma.",
        "Setting": "Retrospective comparative study conducted at Benghazi Teaching Eye Hospital, Libya, a tertiary referral center for glaucoma and cataract surgery.",
        "Methods": "This retrospective study included 72 eyes of 86 patients who underwent combined cataract and glaucoma surgery between June 2024 and January 2026. Eyes were assigned to Phaco-GATT (38 eyes) or Phaco-BANG (34 eyes). Standard phacoemulsification was followed by trabeculotomy using a 6-0 prolene suture (GATT) or 90° needle goniotomy (BANG). IOP was measured preoperatively and up to 36 months postoperatively. Surgical success was defined as IOP ≤21 mmHg with ≥20% reduction without additional glaucoma surgery; complete success required no medications.",
        "Results": "Baseline IOP was similar between groups (~31 mmHg). At 3 years, IOP decreased to 15.0±4.2 mmHg after Phaco-GATT and 17.8±5.1 mmHg after Phaco-BANG (p=0.038). Complete success was achieved in 79.0% and 60.1% of eyes, respectively, while medication use decreased significantly in both groups, with greater reduction after Phaco-GATT (p=0.044). Transient hyphema was the most common complication. Early surgical failure and reoperation were more frequent after Phaco-BANG, and no sight-threatening complications occurred.",
        "Conclusions": "Combined phacoemulsification with GATT provides greater and more sustained long-term IOP reduction compared with Phaco-BANG. The broader trabecular intervention achieved with GATT likely enhances aqueous outflow more effectively, resulting in higher medication-free success and reduced need for further glaucoma surgery. Both procedures demonstrated favorable safety profiles with predominantly mild and self-limited complications. These findings support Phaco-GATT as a preferred angle-based MIGS option when durable pressure reduction is desired in patients undergoing combined cataract and glaucoma surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined phacoemulsification with GATT provides greater and more sustained long-term IOP reduction compared with Phaco-BANG. The broader trabecular intervention achieved with GATT likely enhances aqueous outflow more effectively, resulting in higher medication-free success and reduced need for further glaucoma surgery. Both procedures demonstrated favorable safety profiles with predominantly mild and self-limited…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 47,
      "source_fields": {
        "Abstract Final Identifier": "FP04.01",
        "Title": "Angle-Based Migs Combined With Phacoemulsification: Long-Term Comparative Efficacy And Safety Of Gatt Versus Bang",
        "Presenting Author(s)": "Prof. Dr Majdi Abdala",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Majdi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdala",
        "Country Name": "Libya",
        "Purpose": "To compare the long-term intraocular pressure (IOP) reduction and safety profile of combined phacoemulsification with gonioscopy-assisted transluminal trabeculotomy (Phaco-GATT) versus phacoemulsification with bent ab interno needle goniotomy (Phaco-BANG) in patients with visually significant cataract and medically uncontrolled open-angle glaucoma.",
        "Setting": "Retrospective comparative study conducted at Benghazi Teaching Eye Hospital, Libya, a tertiary referral center for glaucoma and cataract surgery.",
        "Methods": "This retrospective study included 72 eyes of 86 patients who underwent combined cataract and glaucoma surgery between June 2024 and January 2026. Eyes were assigned to Phaco-GATT (38 eyes) or Phaco-BANG (34 eyes). Standard phacoemulsification was followed by trabeculotomy using a 6-0 prolene suture (GATT) or 90° needle goniotomy (BANG). IOP was measured preoperatively and up to 36 months postoperatively. Surgical success was defined as IOP ≤21 mmHg with ≥20% reduction without additional glaucoma surgery; complete success required no medications.",
        "Results": "Baseline IOP was similar between groups (~31 mmHg). At 3 years, IOP decreased to 15.0±4.2 mmHg after Phaco-GATT and 17.8±5.1 mmHg after Phaco-BANG (p=0.038). Complete success was achieved in 79.0% and 60.1% of eyes, respectively, while medication use decreased significantly in both groups, with greater reduction after Phaco-GATT (p=0.044). Transient hyphema was the most common complication. Early surgical failure and reoperation were more frequent after Phaco-BANG, and no sight-threatening complications occurred.",
        "Conclusions": "Combined phacoemulsification with GATT provides greater and more sustained long-term IOP reduction compared with Phaco-BANG. The broader trabecular intervention achieved with GATT likely enhances aqueous outflow more effectively, resulting in higher medication-free success and reduced need for further glaucoma surgery. Both procedures demonstrated favorable safety profiles with predominantly mild and self-limited complications. These findings support Phaco-GATT as a preferred angle-based MIGS option when durable pressure reduction is desired in patients undergoing combined cataract and glaucoma surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "FP04.02",
      "abstract_number": "FP04.02",
      "title": "Early Clinical Outcomes Of Endoilluminator-Guided Combined Gonioscopy-Assisted Transluminal Trabeculotomy And Deep Sclerectomy (The Gazi Technique)",
      "authors": "A/Prof. Ahmet Yucel Ucgul",
      "presenter": "A/Prof. Ahmet Yucel Ucgul",
      "normalized_authors": [
        "Ahmet Yucel Ucgul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Yucel Ucgul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the early safety and intraocular pressure (IOP)–lowering efficacy of a novel endoilluminator-guided combined gonioscopy-assisted transluminal trabeculotomy (GATT) and deep sclerectomy technique designed to restore both proximal and distal aqueous outflow within a controlled closed-system configuration.",
        "Setting": "Retrospective interventional case series including 17 eyes of 17 patients with medically uncontrolled open-angle glaucoma undergoing the combined procedure.",
        "Methods": "The surgical technique consisted of circumferential ab interno GATT using a preplaced intracanalicular 5-0 Prolene suture left in situ, followed by endoilluminator-guided deep sclerectomy to precisely localize and unroof the outer wall of Schlemm’s canal. The superficial scleral flap was securely closed prior to activation of the trabeculotomy, thereby maintaining a closed-system configuration. Mitomycin C was applied intraoperatively in all cases. IOP was recorded preoperatively and at postoperative day 1, week 1, month 1, and month 3. Primary outcomes were mean IOP reduction and proportion of eyes achieving ≥20% IOP reduction. Secondary outcomes included change in number of antiglaucoma medications and early postoperative complications.",
        "Results": "Mean preoperative IOP was 34.7 ± 5.3 mmHg on 3.4 ± 1.1 medications. IOP decreased substantially in the immediate postoperative period to 7.1 ± 1.7 (4-11) mmHg on day 1 and 9.3 ± 1.2 mmHg at week 1. At 1 month, mean IOP was 10.8 ± 1.9 mmHg (68.9% reduction, p<0.001), remaining stable at 11.5 ± 2.7 mmHg at 3 months (p<0.001 vs baseline). A ≥20% IOP reduction was achieved in 100% of eyes at both 1 and 3 months. Mean medication use decreased from 3.4 ± 1.1 to 0.6 ± 0.7 at 3 months. Transient hyphema occurred in all eyes and resolved within 2 weeks. No postoperative IOP spikes exceeding 25 mmHg were observed. Mild postoperative hypotony developed in 6 eyes; however, in all cases, IOP returned to physiological levels within the first week.",
        "Conclusions": "The combined endoilluminator-guided GATT and deep sclerectomy technique demonstrated significant early IOP reduction with favorable safety profile. The closed-system configuration and intrascleral reservoir may contribute to early postoperative pressure stability and reduction of IOP spikes. This approach may represent an effective intermediate surgical strategy in primary glaucoma surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The combined endoilluminator-guided GATT and deep sclerectomy technique demonstrated significant early IOP reduction with favorable safety profile. The closed-system configuration and intrascleral reservoir may contribute to early postoperative pressure stability and reduction of IOP spikes. This approach may represent an effective intermediate surgical strategy in primary glaucoma surgery.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 48,
      "source_fields": {
        "Abstract Final Identifier": "FP04.02",
        "Title": "Early Clinical Outcomes Of Endoilluminator-Guided Combined Gonioscopy-Assisted Transluminal Trabeculotomy And Deep Sclerectomy (The Gazi Technique)",
        "Presenting Author(s)": "A/Prof. Ahmet Yucel Ucgul",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "Yucel",
        "Submitter Last Name": "Ucgul",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the early safety and intraocular pressure (IOP)–lowering efficacy of a novel endoilluminator-guided combined gonioscopy-assisted transluminal trabeculotomy (GATT) and deep sclerectomy technique designed to restore both proximal and distal aqueous outflow within a controlled closed-system configuration.",
        "Setting": "Retrospective interventional case series including 17 eyes of 17 patients with medically uncontrolled open-angle glaucoma undergoing the combined procedure.",
        "Methods": "The surgical technique consisted of circumferential ab interno GATT using a preplaced intracanalicular 5-0 Prolene suture left in situ, followed by endoilluminator-guided deep sclerectomy to precisely localize and unroof the outer wall of Schlemm’s canal. The superficial scleral flap was securely closed prior to activation of the trabeculotomy, thereby maintaining a closed-system configuration. Mitomycin C was applied intraoperatively in all cases. IOP was recorded preoperatively and at postoperative day 1, week 1, month 1, and month 3. Primary outcomes were mean IOP reduction and proportion of eyes achieving ≥20% IOP reduction. Secondary outcomes included change in number of antiglaucoma medications and early postoperative complications.",
        "Results": "Mean preoperative IOP was 34.7 ± 5.3 mmHg on 3.4 ± 1.1 medications. IOP decreased substantially in the immediate postoperative period to 7.1 ± 1.7 (4-11) mmHg on day 1 and 9.3 ± 1.2 mmHg at week 1. At 1 month, mean IOP was 10.8 ± 1.9 mmHg (68.9% reduction, p<0.001), remaining stable at 11.5 ± 2.7 mmHg at 3 months (p<0.001 vs baseline). A ≥20% IOP reduction was achieved in 100% of eyes at both 1 and 3 months. Mean medication use decreased from 3.4 ± 1.1 to 0.6 ± 0.7 at 3 months. Transient hyphema occurred in all eyes and resolved within 2 weeks. No postoperative IOP spikes exceeding 25 mmHg were observed. Mild postoperative hypotony developed in 6 eyes; however, in all cases, IOP returned to physiological levels within the first week.",
        "Conclusions": "The combined endoilluminator-guided GATT and deep sclerectomy technique demonstrated significant early IOP reduction with favorable safety profile. The closed-system configuration and intrascleral reservoir may contribute to early postoperative pressure stability and reduction of IOP spikes. This approach may represent an effective intermediate surgical strategy in primary glaucoma surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "FP04.03",
      "abstract_number": "FP04.03",
      "title": "Phacoemulsification With Endoscopic Cyclophotocoagulation Vs. Phacoemulsification Alone (Phepha) In Primary Angle Closure: A Randomized Clinical Trial",
      "authors": "Dr Ibrahim Alobaida",
      "presenter": "Dr Ibrahim Alobaida",
      "normalized_authors": [
        "Ibrahim Alobaida"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ibrahim Alobaida",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To determine whether adding endoscopic cyclophotocoagulation to phacoemulsification provides superior intraocular pressure (IOP) reduction and a decrease in medication burden compared with phacoemulsification alone in patients with primary angle closure.",
        "Setting": "Glaucoma Department, King Khaled Eye Specialist Hospital (KKESH), a tertiary care center in Riyadh, Saudi Arabia.",
        "Methods": "This randomized clinical trial included phakic patients with PAC with or without glaucoma. Participants were randomized to either Phaco-ECP (PHE) or Phaco-alone (PHA). The primary outcome was the reduction in IOP at 12 months. Secondary outcomes included the number of glaucoma medications and visual outcomes (logMAR BCVA and residual refractive error).",
        "Results": "94 patients were enrolled (47 PHE; 47 PHA). Baseline characteristics were similar, including age ( P = 0.552 ) and IOP (PHE: 18.09 ± 3.35 ; PHA: 17.57 ± 4.11 mmHg; P = 0.507 ). At 12 months, both groups achieved significant IOP reductions (PHE: 15.2 ± 2.5 ; PHA: 13.8 ± 5.7 mmHg), with no significant difference ( P = 0.139 ). Medication use declined significantly (PHE: 2.1 ± 1.1 to 0.7 ± 0.9 ; PHA: 2.2 ± 1.2 to 0.5 ± 0.9 ; P = 0.275 ). Visual acuity improved in both ( P = 0.635 ). Residual refractive error was comparable (PHE: 0.78 ± 1.21 D; PHA: 0.74 ± 0.87 D; P = 0.829 ).",
        "Conclusions": "In patients with primary angle closure, the addition of ECP to phacoemulsification did not provide a statistically significant additional reduction in IOP or medication burden at 12 months compared to phacoemulsification alone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with primary angle closure, the addition of ECP to phacoemulsification did not provide a statistically significant additional reduction in IOP or medication burden at 12 months compared to phacoemulsification alone.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 49,
      "source_fields": {
        "Abstract Final Identifier": "FP04.03",
        "Title": "Phacoemulsification With Endoscopic Cyclophotocoagulation Vs. Phacoemulsification Alone (Phepha) In Primary Angle Closure: A Randomized Clinical Trial",
        "Presenting Author(s)": "Dr Ibrahim Alobaida",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ibrahim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alobaida",
        "Country Name": "Saudi Arabia",
        "Purpose": "To determine whether adding endoscopic cyclophotocoagulation to phacoemulsification provides superior intraocular pressure (IOP) reduction and a decrease in medication burden compared with phacoemulsification alone in patients with primary angle closure.",
        "Setting": "Glaucoma Department, King Khaled Eye Specialist Hospital (KKESH), a tertiary care center in Riyadh, Saudi Arabia.",
        "Methods": "This randomized clinical trial included phakic patients with PAC with or without glaucoma. Participants were randomized to either Phaco-ECP (PHE) or Phaco-alone (PHA). The primary outcome was the reduction in IOP at 12 months. Secondary outcomes included the number of glaucoma medications and visual outcomes (logMAR BCVA and residual refractive error).",
        "Results": "94 patients were enrolled (47 PHE; 47 PHA). Baseline characteristics were similar, including age ( P = 0.552 ) and IOP (PHE: 18.09 ± 3.35 ; PHA: 17.57 ± 4.11 mmHg; P = 0.507 ). At 12 months, both groups achieved significant IOP reductions (PHE: 15.2 ± 2.5 ; PHA: 13.8 ± 5.7 mmHg), with no significant difference ( P = 0.139 ). Medication use declined significantly (PHE: 2.1 ± 1.1 to 0.7 ± 0.9 ; PHA: 2.2 ± 1.2 to 0.5 ± 0.9 ; P = 0.275 ). Visual acuity improved in both ( P = 0.635 ). Residual refractive error was comparable (PHE: 0.78 ± 1.21 D; PHA: 0.74 ± 0.87 D; P = 0.829 ).",
        "Conclusions": "In patients with primary angle closure, the addition of ECP to phacoemulsification did not provide a statistically significant additional reduction in IOP or medication burden at 12 months compared to phacoemulsification alone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "FP04.04",
      "abstract_number": "FP04.04",
      "title": "2 Year Outcomes Of The Concept Randomised Controlled Trial: Comparing Cataract Surgery Alone Vs Cataract Surgery With Endoscopic Cyclophotocoagulation",
      "authors": "Prof. Sheng Lim",
      "presenter": "Prof. Sheng Lim",
      "normalized_authors": [
        "Sheng Lim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sheng Lim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report 2-year outcomes from the CONCEPT randomised controlled trial, comparing washout IOP in cataract versus cataract + ECP participants Methods: Multicentre RCT in the UK. Participants underwent baseline washout diurnal IOP measurement and were randomised 1:1 perioperatively after uncomplicated cataract surgery to sham or 360 degree ECP. Diurnal washout IOP repeated at 24 months postop.",
        "Setting": "Randomised controlled trial, multi-centered study 5 centres in UK.\n\nParticipants were recruited from UK teaching hospitals, typically referred from community optometrists.",
        "Methods": "Study Design\n\nProspective, multicentre, parallel-group, randomized controlled trial (RCT) conducted across teaching hospitals in the UK, with both participants and investigators masked to treatment allocation. Washout periods occurred at baseline, 12 months, and 24 months.\nSample Size\n\nA total of 162 eyes from 162 patients were enrolled, randomized 1:1 to phacoemulsification alone or phacoemulsification with 360° ECP.",
        "Results": "Washout data was available for 64 patients who received ECP and 75 who received cataract surgery alone. Data was found to be non normally distributed so median reductions were compared, showing a -4.5mmhg reduction in the phaco alone arm and -6.0mmHg in the ECP arm (median test 0.03Success rates defined as 20% reduction from baseline and IOP of <21mmHg were found to be higher in the ECP arm, and other adverse evets such as cystoid macular oedema were similar between the two",
        "Conclusions": "ECP demonstrated superior IOP lowering capability compared to cataract surgery alone in patients with open angle glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ECP demonstrated superior IOP lowering capability compared to cataract surgery alone in patients with open angle glaucoma.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 50,
      "source_fields": {
        "Abstract Final Identifier": "FP04.04",
        "Title": "2 Year Outcomes Of The Concept Randomised Controlled Trial: Comparing Cataract Surgery Alone Vs Cataract Surgery With Endoscopic Cyclophotocoagulation",
        "Presenting Author(s)": "Prof. Sheng Lim",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Sheng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lim",
        "Country Name": "United Kingdom",
        "Purpose": "To report 2-year outcomes from the CONCEPT randomised controlled trial, comparing washout IOP in cataract versus cataract + ECP participants Methods: Multicentre RCT in the UK. Participants underwent baseline washout diurnal IOP measurement and were randomised 1:1 perioperatively after uncomplicated cataract surgery to sham or 360 degree ECP. Diurnal washout IOP repeated at 24 months postop.",
        "Setting": "Randomised controlled trial, multi-centered study 5 centres in UK.\n\nParticipants were recruited from UK teaching hospitals, typically referred from community optometrists.",
        "Methods": "Study Design\n\nProspective, multicentre, parallel-group, randomized controlled trial (RCT) conducted across teaching hospitals in the UK, with both participants and investigators masked to treatment allocation. Washout periods occurred at baseline, 12 months, and 24 months.\nSample Size\n\nA total of 162 eyes from 162 patients were enrolled, randomized 1:1 to phacoemulsification alone or phacoemulsification with 360° ECP.",
        "Results": "Washout data was available for 64 patients who received ECP and 75 who received cataract surgery alone. Data was found to be non normally distributed so median reductions were compared, showing a -4.5mmhg reduction in the phaco alone arm and -6.0mmHg in the ECP arm (median test 0.03Success rates defined as 20% reduction from baseline and IOP of <21mmHg were found to be higher in the ECP arm, and other adverse evets such as cystoid macular oedema were similar between the two",
        "Conclusions": "ECP demonstrated superior IOP lowering capability compared to cataract surgery alone in patients with open angle glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "FP04.05",
      "abstract_number": "FP04.05",
      "title": "Hydrus Microstent Combined With Cataract Surgery In Pseudoexfoliation Glaucoma: Comparative Outcomes With Primary Open-Angle Glaucoma",
      "authors": "Dr Marc J. Mackert",
      "presenter": "Dr Marc J. Mackert",
      "normalized_authors": [
        "Marc J. Mackert"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marc J. Mackert",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Pseudoexfoliation glaucoma (PXG) is associated with higher intraocular pressure (IOP) levels and faster progression compared with primary open-angle glaucoma (POAG). Evidence on minimally invasive glaucoma surgery in PXG remains limited. This study evaluated the safety and efficacy of Hydrus Microstent implantation combined with cataract surgery in PXG and compared outcomes with POAG.",
        "Setting": "Single-center retrospective study at the Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.",
        "Methods": "Consecutive patients undergoing phacoemulsification combined with Hydrus Microstent implantation were retrospectively analysed. Primary outcomes were change in IOP and number of glaucoma medications from baseline to the last available follow-up up examination up to 14 months. Postoperative assessments were performed at day 1–2, week 1–4, week 4–6, month 3–4, month 4–6 and month 6-14. Outcomes were compared between PXG and POAG groups.",
        "Results": "Fifty-three eyes were included (POAG n=33; PXG n=20). Mean baseline IOP was 16.5±4.7 mmHg in POAG and 19.2±5.5 mmHg in PXG (p=0.080). Baseline glaucoma medication use was 2.33±1.14 in POAG and 2.67±1.19 in PXG (p=0.338). Mean IOP reduction was −3.2±5.0 mmHg in POAG and −4.7±5.6 mmHg in PXG, with no significant intergroup difference (p=0.577). Medication reduction was −1.35±1.73 in POAG and −1.14±1.35 in PXG (p=0.750). No relevant between-group differences in baseline visual field pattern standard deviation were observed.",
        "Conclusions": "Hydrus Microstent implantation combined with cataract surgery provides comparable IOP and medication reduction in PXG and POAG. The procedure represents a safe and effective treatment option for patients with cataract and mild-to-moderate PXG."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hydrus Microstent implantation combined with cataract surgery provides comparable IOP and medication reduction in PXG and POAG. The procedure represents a safe and effective treatment option for patients with cataract and mild-to-moderate PXG.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 51,
      "source_fields": {
        "Abstract Final Identifier": "FP04.05",
        "Title": "Hydrus Microstent Combined With Cataract Surgery In Pseudoexfoliation Glaucoma: Comparative Outcomes With Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "Dr Marc J. Mackert",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Marc J.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mackert",
        "Country Name": "Germany",
        "Purpose": "Pseudoexfoliation glaucoma (PXG) is associated with higher intraocular pressure (IOP) levels and faster progression compared with primary open-angle glaucoma (POAG). Evidence on minimally invasive glaucoma surgery in PXG remains limited. This study evaluated the safety and efficacy of Hydrus Microstent implantation combined with cataract surgery in PXG and compared outcomes with POAG.",
        "Setting": "Single-center retrospective study at the Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.",
        "Methods": "Consecutive patients undergoing phacoemulsification combined with Hydrus Microstent implantation were retrospectively analysed. Primary outcomes were change in IOP and number of glaucoma medications from baseline to the last available follow-up up examination up to 14 months. Postoperative assessments were performed at day 1–2, week 1–4, week 4–6, month 3–4, month 4–6 and month 6-14. Outcomes were compared between PXG and POAG groups.",
        "Results": "Fifty-three eyes were included (POAG n=33; PXG n=20). Mean baseline IOP was 16.5±4.7 mmHg in POAG and 19.2±5.5 mmHg in PXG (p=0.080). Baseline glaucoma medication use was 2.33±1.14 in POAG and 2.67±1.19 in PXG (p=0.338). Mean IOP reduction was −3.2±5.0 mmHg in POAG and −4.7±5.6 mmHg in PXG, with no significant intergroup difference (p=0.577). Medication reduction was −1.35±1.73 in POAG and −1.14±1.35 in PXG (p=0.750). No relevant between-group differences in baseline visual field pattern standard deviation were observed.",
        "Conclusions": "Hydrus Microstent implantation combined with cataract surgery provides comparable IOP and medication reduction in PXG and POAG. The procedure represents a safe and effective treatment option for patients with cataract and mild-to-moderate PXG."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "FP04.06",
      "abstract_number": "FP04.06",
      "title": "Clinical Outcomes Of Combined Cataract Surgery With Istent Inject® W Implantation Versus Cataract Surgery Alone In Patients With Open-Angle Glaucoma: Real Life Data In A Community-Based Outpatient Setting",
      "authors": "Dr Fidan Aghayeva",
      "presenter": "Dr Fidan Aghayeva",
      "normalized_authors": [
        "Fidan Aghayeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fidan Aghayeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "This study aims to evaluate and compare intraocular pressure (IOP) change and number of topical IOP-lowering medications after combined cataract surgery with iStent inject ® W implantation versus cataract surgery alone in patients with open-angle glaucoma.",
        "Setting": "Retrospective comparative chart review",
        "Methods": "Retrospective data of 150 patients (150 eyes) with different types of open-angle glaucoma, who were naïve to any previous ocular procedure and underwent combined cataract surgery with iStent ® W implantation (study group - 100 eyes) or cataract surgery alone (control group - 50 eyes), was performed. Study outcomes were median IOP change in the operated eye and the mean number of topical IOP-lowering medications at 3, 6 and 12 months after surgery.",
        "Results": "The median pre- and postoperative IOP in the study group at 6 and 12 months were 18.5 (16-20) mmHg, 14.5 (12-16) mmHg and 14.5 (12-16) mmHg, respectively. The median IOP change in iStent ® W group was -4 (-6.75 to -2) mmHg at 12 months follow up. IOP reduction in the study group was statistically significantly larger than in the control group at 12 months ( p<0.001). The higher the preoperative IOP level, the larger was the IOP-lowering effect at different follow-ups after combined surgery (p<0.001). We found a statistically significant difference between the mean number of IOP-lowering medications before and at 12 months after combined surgery (p<0.001), while control group showed no reduction in preoperative medications.",
        "Conclusions": "This study shows a statistically significant IOP reduction at 12 months after combined cataract surgery with iStent ® W implantation compared to insignificant IOP change after cataract surgery alone in glaucoma patients. iStent inject ® W in combination with cataract surgery is associated with the reduction of topical IOP-lowering medications at 12 months follow-up. The higher the preoperative IOP in the operated eye, the larger the IOP-lowering effect after combined surgery at all follow-ups."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study shows a statistically significant IOP reduction at 12 months after combined cataract surgery with iStent ® W implantation compared to insignificant IOP change after cataract surgery alone in glaucoma patients. iStent inject ® W in combination with cataract surgery is associated with the reduction of topical IOP-lowering medications at 12 months follow-up. The higher the preoperative IOP in the operated…",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 52,
      "source_fields": {
        "Abstract Final Identifier": "FP04.06",
        "Title": "Clinical Outcomes Of Combined Cataract Surgery With Istent Inject® W Implantation Versus Cataract Surgery Alone In Patients With Open-Angle Glaucoma: Real Life Data In A Community-Based Outpatient Setting",
        "Presenting Author(s)": "Dr Fidan Aghayeva",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Fidan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aghayeva",
        "Country Name": "Germany",
        "Purpose": "This study aims to evaluate and compare intraocular pressure (IOP) change and number of topical IOP-lowering medications after combined cataract surgery with iStent inject ® W implantation versus cataract surgery alone in patients with open-angle glaucoma.",
        "Setting": "Retrospective comparative chart review",
        "Methods": "Retrospective data of 150 patients (150 eyes) with different types of open-angle glaucoma, who were naïve to any previous ocular procedure and underwent combined cataract surgery with iStent ® W implantation (study group - 100 eyes) or cataract surgery alone (control group - 50 eyes), was performed. Study outcomes were median IOP change in the operated eye and the mean number of topical IOP-lowering medications at 3, 6 and 12 months after surgery.",
        "Results": "The median pre- and postoperative IOP in the study group at 6 and 12 months were 18.5 (16-20) mmHg, 14.5 (12-16) mmHg and 14.5 (12-16) mmHg, respectively. The median IOP change in iStent ® W group was -4 (-6.75 to -2) mmHg at 12 months follow up. IOP reduction in the study group was statistically significantly larger than in the control group at 12 months ( p<0.001). The higher the preoperative IOP level, the larger was the IOP-lowering effect at different follow-ups after combined surgery (p<0.001). We found a statistically significant difference between the mean number of IOP-lowering medications before and at 12 months after combined surgery (p<0.001), while control group showed no reduction in preoperative medications.",
        "Conclusions": "This study shows a statistically significant IOP reduction at 12 months after combined cataract surgery with iStent ® W implantation compared to insignificant IOP change after cataract surgery alone in glaucoma patients. iStent inject ® W in combination with cataract surgery is associated with the reduction of topical IOP-lowering medications at 12 months follow-up. The higher the preoperative IOP in the operated eye, the larger the IOP-lowering effect after combined surgery at all follow-ups."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP04.07",
      "abstract_number": "FP04.07",
      "title": "Does Istent Inject Affect Toric Intraocular Lens Accuracy? A Comparative Refractive Outcomes Analysis",
      "authors": "Dr Michael Ostrovsky",
      "presenter": "Dr Michael Ostrovsky",
      "normalized_authors": [
        "Michael Ostrovsky"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Ostrovsky",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate whether combining trabecular micro-bypass with iStent inject affects refractive predictability and rotational stability of toric intraocular lenses (IOLs) in eyes undergoing cataract surgery with coexisting glaucoma and corneal astigmatism.",
        "Setting": "Single-center retrospective comparative cohort study at a tertiary referral ophthalmic center.",
        "Methods": "Patients were divided into two groups: (1) eyes undergoing phacoemulsification with toric IOL implantation combined with iStent inject (cases, n=31) and (2) eyes undergoing toric IOL implantation alone (controls, n=117). Electronic medical records were reviewed for postoperative refraction, visual acuity, axis alignment, and intraocular pressure (IOP). Prediction error, proportion within target refraction, and need for IOL repositioning were analyzed. Outcomes were assessed on postoperative days 1, 14, and 30, and at final follow-up.",
        "Results": "Mean age was 71.96 ± 8.63. BCVA (0.35±0.21 vs 0.40±0.24 logMAR) and biometric parameters were similar between groups (all p>0.050). Secondary IOL rotation requiring repositioning was more frequent in the iStent group (12.9% vs 2.6%; p=0.035). Refractive accuracy was comparable: within ±0.25D (61.3% vs 60.7%, p=0.924), ±0.50D (83.9% vs 80.3%, p=0.667), and ±1.00D (100% vs 99.1%, p=0.608). Achieved sphere, cylinder, and spherical equivalent were similar, with no differences in prediction errors (all p>0.050) or median axis deviation (2.5° vs 2°; p=0.586). Final IOP was lower following iStent implantation (12.30±2.10 vs 13.85±1.26 mmHg, p=0.003), with no change in glaucoma medication burden.",
        "Conclusions": "The addition of iStent inject to toric IOL cataract surgery resulted in refractive outcomes comparable to those of the control group, with no difference in prediction error. However, the combined procedure was associated with higher rates of secondary IOL rotation. This potential risk should be discussed with patients as part of the shared decision-making process."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The addition of iStent inject to toric IOL cataract surgery resulted in refractive outcomes comparable to those of the control group, with no difference in prediction error. However, the combined procedure was associated with higher rates of secondary IOL rotation. This potential risk should be discussed with patients as part of the shared decision-making process.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 53,
      "source_fields": {
        "Abstract Final Identifier": "FP04.07",
        "Title": "Does Istent Inject Affect Toric Intraocular Lens Accuracy? A Comparative Refractive Outcomes Analysis",
        "Presenting Author(s)": "Dr Michael Ostrovsky",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ostrovsky",
        "Country Name": "Israel",
        "Purpose": "To evaluate whether combining trabecular micro-bypass with iStent inject affects refractive predictability and rotational stability of toric intraocular lenses (IOLs) in eyes undergoing cataract surgery with coexisting glaucoma and corneal astigmatism.",
        "Setting": "Single-center retrospective comparative cohort study at a tertiary referral ophthalmic center.",
        "Methods": "Patients were divided into two groups: (1) eyes undergoing phacoemulsification with toric IOL implantation combined with iStent inject (cases, n=31) and (2) eyes undergoing toric IOL implantation alone (controls, n=117). Electronic medical records were reviewed for postoperative refraction, visual acuity, axis alignment, and intraocular pressure (IOP). Prediction error, proportion within target refraction, and need for IOL repositioning were analyzed. Outcomes were assessed on postoperative days 1, 14, and 30, and at final follow-up.",
        "Results": "Mean age was 71.96 ± 8.63. BCVA (0.35±0.21 vs 0.40±0.24 logMAR) and biometric parameters were similar between groups (all p>0.050). Secondary IOL rotation requiring repositioning was more frequent in the iStent group (12.9% vs 2.6%; p=0.035). Refractive accuracy was comparable: within ±0.25D (61.3% vs 60.7%, p=0.924), ±0.50D (83.9% vs 80.3%, p=0.667), and ±1.00D (100% vs 99.1%, p=0.608). Achieved sphere, cylinder, and spherical equivalent were similar, with no differences in prediction errors (all p>0.050) or median axis deviation (2.5° vs 2°; p=0.586). Final IOP was lower following iStent implantation (12.30±2.10 vs 13.85±1.26 mmHg, p=0.003), with no change in glaucoma medication burden.",
        "Conclusions": "The addition of iStent inject to toric IOL cataract surgery resulted in refractive outcomes comparable to those of the control group, with no difference in prediction error. However, the combined procedure was associated with higher rates of secondary IOL rotation. This potential risk should be discussed with patients as part of the shared decision-making process."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "FP04.08",
      "abstract_number": "FP04.08",
      "title": "Standalone Versus Combined Phacoemulsification Preserflo® Microshunt Implantation: A 12-Month Comparative Study Of Efficacy And Safety",
      "authors": "Dr Marta Vaz Vaz Pereira",
      "presenter": "Dr Marta Vaz Vaz Pereira",
      "normalized_authors": [
        "Marta Vaz Vaz Pereira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Vaz Pereira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "The PRESERFLO® MicroShunt is a subconjunctival bleb-forming device that has demonstrated consistent efficacy in reducing intraocular pressure (IOP) in patients with glaucoma, potentially offering greater IOP reduction than other minimally invasive glaucoma procedures and a lower risk of hypotony compared to trabeculectomy. It can be implanted alone or combined with cataract surgery. Current evidence indicates that both significantly reduce IOP and medication burden, with comparable safety and similar success rates at 12 months in open-angle glaucoma. This study aimed to evaluate and compare the efficacy and safety of standalone (group 1) versus combined (group 2) PRESERFLO implantation over 12 months in a Portuguese tertiary hospital.",
        "Setting": "This retrospective study was conducted at a tertiary referral hospital in Braga, Portugal.",
        "Methods": "This study included 47 eyes of 38 patients undergoing PRESERFLO implantation with mitomycin C 0.4 mg/mL at Hospital de Braga, between 2023 and 2025. Combined cataract surgery was performed in 15 eyes (31.9%). Data collected included demographics, glaucoma subtype, IOP, number of hypotensive medications, best-corrected visual acuity (BCVA), perimetric mean deviation (MD), retinal nerve fiber layer (RNFL) thickness, and postoperative complications. Follow-up visits were scheduled at 1 week, and 1, 3, 6, and 12 months. Surgical outcomes were classified as complete success, qualified success, or failure.",
        "Results": "Standalone PRESERFLO implantation was performed in 32 eyes and combined surgery in 15 eyes. Both groups were comparable regarding the mean age, baseline IOP (23.3±7.0 vs 20.1±4.8 mmHg, p=0.120) and nº of hypotensive medications (2.78±0.98 vs 2.67±1.05, p=0.715). Group 1 had less POAG cases (53% vs 73%) and less treatment naïve eyes (62.5% vs 80%). In the 1 st week, IOP significantly reduced in both groups (9.72±8.0mmHg, -57% in group 1 and 9.80±3.9mmHg, -47% in group 2), without inter-group differences (p=0.226). At 12 months of follow-up, IOP was significantly lower in group 1 (12.2±2.1 vs 15,9±1.8mmHg, p<0.001), with a mean change of -47% (vs -21%). Surgical failure, medications, BCVA, MD and RNFL thickness were similar between groups.",
        "Conclusions": "Standalone and combined PRESERFLO® MicroShunt implantation achieved significant IOP reduction at 12 months, with comparable safety and similar success rates. Although early postoperative IOP reduction was similar, standalone surgery was associated with lower mean IOP and greater percentage reduction at 12 months. Medication burden, visual and structural outcomes, and complication rates did not differ significantly between groups. These findings support the effectiveness of both approaches, while suggesting a potential advantage of isolated implantation in long-term IOP control. However, the small sample size limits the strength of these conclusions and warrants confirmation in larger prospective studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Standalone and combined PRESERFLO® MicroShunt implantation achieved significant IOP reduction at 12 months, with comparable safety and similar success rates. Although early postoperative IOP reduction was similar, standalone surgery was associated with lower mean IOP and greater percentage reduction at 12 months. Medication burden, visual and structural outcomes, and complication rates did not differ significantly…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 54,
      "source_fields": {
        "Abstract Final Identifier": "FP04.08",
        "Title": "Standalone Versus Combined Phacoemulsification Preserflo® Microshunt Implantation: A 12-Month Comparative Study Of Efficacy And Safety",
        "Presenting Author(s)": "Dr Marta Vaz Vaz Pereira",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "Vaz",
        "Submitter Last Name": "Pereira",
        "Country Name": "Portugal",
        "Purpose": "The PRESERFLO® MicroShunt is a subconjunctival bleb-forming device that has demonstrated consistent efficacy in reducing intraocular pressure (IOP) in patients with glaucoma, potentially offering greater IOP reduction than other minimally invasive glaucoma procedures and a lower risk of hypotony compared to trabeculectomy. It can be implanted alone or combined with cataract surgery. Current evidence indicates that both significantly reduce IOP and medication burden, with comparable safety and similar success rates at 12 months in open-angle glaucoma. This study aimed to evaluate and compare the efficacy and safety of standalone (group 1) versus combined (group 2) PRESERFLO implantation over 12 months in a Portuguese tertiary hospital.",
        "Setting": "This retrospective study was conducted at a tertiary referral hospital in Braga, Portugal.",
        "Methods": "This study included 47 eyes of 38 patients undergoing PRESERFLO implantation with mitomycin C 0.4 mg/mL at Hospital de Braga, between 2023 and 2025. Combined cataract surgery was performed in 15 eyes (31.9%). Data collected included demographics, glaucoma subtype, IOP, number of hypotensive medications, best-corrected visual acuity (BCVA), perimetric mean deviation (MD), retinal nerve fiber layer (RNFL) thickness, and postoperative complications. Follow-up visits were scheduled at 1 week, and 1, 3, 6, and 12 months. Surgical outcomes were classified as complete success, qualified success, or failure.",
        "Results": "Standalone PRESERFLO implantation was performed in 32 eyes and combined surgery in 15 eyes. Both groups were comparable regarding the mean age, baseline IOP (23.3±7.0 vs 20.1±4.8 mmHg, p=0.120) and nº of hypotensive medications (2.78±0.98 vs 2.67±1.05, p=0.715). Group 1 had less POAG cases (53% vs 73%) and less treatment naïve eyes (62.5% vs 80%). In the 1 st week, IOP significantly reduced in both groups (9.72±8.0mmHg, -57% in group 1 and 9.80±3.9mmHg, -47% in group 2), without inter-group differences (p=0.226). At 12 months of follow-up, IOP was significantly lower in group 1 (12.2±2.1 vs 15,9±1.8mmHg, p<0.001), with a mean change of -47% (vs -21%). Surgical failure, medications, BCVA, MD and RNFL thickness were similar between groups.",
        "Conclusions": "Standalone and combined PRESERFLO® MicroShunt implantation achieved significant IOP reduction at 12 months, with comparable safety and similar success rates. Although early postoperative IOP reduction was similar, standalone surgery was associated with lower mean IOP and greater percentage reduction at 12 months. Medication burden, visual and structural outcomes, and complication rates did not differ significantly between groups. These findings support the effectiveness of both approaches, while suggesting a potential advantage of isolated implantation in long-term IOP control. However, the small sample size limits the strength of these conclusions and warrants confirmation in larger prospective studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 452
    },
    {
      "uid": "FP04.09",
      "abstract_number": "FP04.09",
      "title": "Xen63 Vs Preserflo Microshunt In Patients With Glaucoma And High Myopia: A 12-Month Retrospective Comparative Study",
      "authors": "Ms Teresa Serrano González-Peramato",
      "presenter": "Ms Teresa Serrano González-Peramato",
      "normalized_authors": [
        "Teresa Serrano González-Peramato"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Teresa Serrano González-Peramato",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate and compare the IOP-lowering efficacy and surgical success of two minimally invasive bleb-forming devices (the XEN63 and the Preserflo MicroShunt) in patients with open-angle glaucoma and high myopia, over a 12-month follow-up period.",
        "Setting": "Retrospective comparative study conducted at the Ophthalmology Department of Hospital Clínico San Carlos, Madrid, Spain. Forty-five eyes of patients with open-angle glaucoma and high myopia (refractive error ≥6 diopters or axial length ≥26 mm) were included.",
        "Methods": "Retrospective comparative analysis of 45 eyes: 22 implanted with XEN63 and 23 with Preserflo MicroShunt. Inclusion criteria required open-angle glaucoma with high myopia (refractive error ≥6 diopters or axial length ≥26 mm). Primary outcomes included IOP measurements at 1 week, 1, 2, 6, and 12 months, and surgical success at 12 months. Surgical success was defined as IOP reduction >30% from baseline combined with absolute IOP thresholds (<18, <15, and <12 mmHg), with or without medication. Statistical analysis included Mann–Whitney U test, t-test, and Kaplan–Meier survival analysis with log-rank test.",
        "Results": "Forty-five eyes were included (XEN63, n=22; Preserflo, n=23), with comparable baseline IOP (20.2±4.3 vs 20.8±2.8 mmHg; p=0.154). XEN63 achieved significantly lower IOP at 1 week (6.9±1.7 vs 8.9±2.8 mmHg; p=0.010), 1 month (8.3±3.2 vs 11.2±4.2 mmHg; p=0.004), and 2 months (9.7±3.2 vs 12.2±3.9 mmHg; p=0.034). Differences were not significant at 6 months (11.1±3.3 vs 14.5±9.2 mmHg; p=0.325) or 12 months (10.6±4.2 vs 13.3±6.6 mmHg; p=0.118). Surgical success at 12 months was consistently higher for XEN63 across all IOP thresholds, with no statistically significant differences on Kaplan–Meier analysis: 68.2% vs 60.9% (IOP<18 mmHg; p=0.847), 68.2% vs 56.5% (IOP<15 mmHg; p=0.976), and 59.1% vs 39.1 (IOP<12 mmHg; p=0.809).",
        "Conclusions": "Both XEN63 and Preserflo MicroShunt effectively reduce IOP in glaucoma patients with high myopia. XEN63 demonstrated faster and more pronounced IOP reduction in the early postoperative period (up to 2 months), while 12-month outcomes were comparable between devices. These results support both minimally invasive bleb-forming implants as viable surgical options for this challenging patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both XEN63 and Preserflo MicroShunt effectively reduce IOP in glaucoma patients with high myopia. XEN63 demonstrated faster and more pronounced IOP reduction in the early postoperative period (up to 2 months), while 12-month outcomes were comparable between devices. These results support both minimally invasive bleb-forming implants as viable surgical options for this challenging patient population.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 55,
      "source_fields": {
        "Abstract Final Identifier": "FP04.09",
        "Title": "Xen63 Vs Preserflo Microshunt In Patients With Glaucoma And High Myopia: A 12-Month Retrospective Comparative Study",
        "Presenting Author(s)": "Ms Teresa Serrano González-Peramato",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Teresa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Serrano González-Peramato",
        "Country Name": "Spain",
        "Purpose": "To evaluate and compare the IOP-lowering efficacy and surgical success of two minimally invasive bleb-forming devices (the XEN63 and the Preserflo MicroShunt) in patients with open-angle glaucoma and high myopia, over a 12-month follow-up period.",
        "Setting": "Retrospective comparative study conducted at the Ophthalmology Department of Hospital Clínico San Carlos, Madrid, Spain. Forty-five eyes of patients with open-angle glaucoma and high myopia (refractive error ≥6 diopters or axial length ≥26 mm) were included.",
        "Methods": "Retrospective comparative analysis of 45 eyes: 22 implanted with XEN63 and 23 with Preserflo MicroShunt. Inclusion criteria required open-angle glaucoma with high myopia (refractive error ≥6 diopters or axial length ≥26 mm). Primary outcomes included IOP measurements at 1 week, 1, 2, 6, and 12 months, and surgical success at 12 months. Surgical success was defined as IOP reduction >30% from baseline combined with absolute IOP thresholds (<18, <15, and <12 mmHg), with or without medication. Statistical analysis included Mann–Whitney U test, t-test, and Kaplan–Meier survival analysis with log-rank test.",
        "Results": "Forty-five eyes were included (XEN63, n=22; Preserflo, n=23), with comparable baseline IOP (20.2±4.3 vs 20.8±2.8 mmHg; p=0.154). XEN63 achieved significantly lower IOP at 1 week (6.9±1.7 vs 8.9±2.8 mmHg; p=0.010), 1 month (8.3±3.2 vs 11.2±4.2 mmHg; p=0.004), and 2 months (9.7±3.2 vs 12.2±3.9 mmHg; p=0.034). Differences were not significant at 6 months (11.1±3.3 vs 14.5±9.2 mmHg; p=0.325) or 12 months (10.6±4.2 vs 13.3±6.6 mmHg; p=0.118). Surgical success at 12 months was consistently higher for XEN63 across all IOP thresholds, with no statistically significant differences on Kaplan–Meier analysis: 68.2% vs 60.9% (IOP<18 mmHg; p=0.847), 68.2% vs 56.5% (IOP<15 mmHg; p=0.976), and 59.1% vs 39.1 (IOP<12 mmHg; p=0.809).",
        "Conclusions": "Both XEN63 and Preserflo MicroShunt effectively reduce IOP in glaucoma patients with high myopia. XEN63 demonstrated faster and more pronounced IOP reduction in the early postoperative period (up to 2 months), while 12-month outcomes were comparable between devices. These results support both minimally invasive bleb-forming implants as viable surgical options for this challenging patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "FP04.10",
      "abstract_number": "FP04.10",
      "title": "Comparative Outcomes Of Kahook Dual Blade, Omni, And Itrack Procedures Combined With Cataract Surgery: A One-Year Retrospective Analysis",
      "authors": "Dr Ahmed Elshinnawi",
      "presenter": "Dr Ahmed Elshinnawi",
      "normalized_authors": [
        "Ahmed Elshinnawi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Elshinnawi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Micro-invasive glaucoma surgery (MIGS) offers safer, less invasive alternatives to traditional glaucoma surgery, but comparative data on different MIGS techniques combined with cataract surgery are limited.This study was conducted to compare 12‑month IOP, medication burden, and safety after phacoemulsification combined with Kahook Dual Blade, Omni, or iTrack in eyes with open‑angle glaucoma, providing evidence to guide individualized MIGS selection and optimize outcomes based on patient-specific treatment goals.",
        "Setting": "Augenzentrum Harburg (AZH), Hamburg, Germany.",
        "Methods": "This retrospective, single-center study included 69 eyes (23 per group) with primary open angle glaucoma undergoing phacoemulsification combined with either:\n\nKahook Dual Blade (KDB) goniotomy (3–4 clock hours trabecular meshwork excision), OMNI 360° canaloplasty with Healon Pro™ and 180° goniotomy, or iTrack 360° ab interno canal viscodilation with Healon Pro™ 30–40 clicks along the entire Schlemm’s canal.\n\nPre- & postoperative intraocular pressure, number of glaucoma medications, and best corrected visual acuity were recorded up to 12 months. Visual field mean deviation, retinal nerve fiber layer thickness, and intra- and postoperative complications were also assessed. Paired t-tests were used to compare the outcomes with baseline values.",
        "Results": "At 12 months, significant IOP reductions were observed in all cohorts. Mean IOP decreased from 16.3 ± 4.9 to 14.1 ± 3.2 mmHg in the KDB group, from 15.6 ± 2.5 to 13.5 ± 2.3 mmHg in the iTrack group, and from 15.4 ± 2.7 to 12.8 ± 2.3 mmHg in the OMNI group.\n\nMedication burden significantly dropped in all cohorts at one year:\n\n-KDB: 1.1 ± 0.8 to 0.6 ± 0.9 (p = 0.0004)\n\n-iTrack: 1.2 ± 0.5 to 0.3 ± 0.6 (p < 0.0001)\n\n-OMNI: 1.0 ± 0.7 to 0.1 ± 0.3 (p < 0.0001)\n\nAt the final follow-up, a high percentage of patients in the OMNI and iTrack groups achieved complete medication independence (0 drops). Visual field MD, RNFL thickness, and visual acuity remained stable across all cohorts. No serious intra- or postoperative complications were observed.",
        "Conclusions": "KDB, OMNI and iTrack combined with phacoemulsification demonstrated comparable long-term efficacy, with all 3 groups achieving clinically significant IOP and medication reductions at 1 year. The absence of serious intra- or postoperative complications across all cohorts underscores the safety of these techniques. While OMNI and iTrack showed slightly lower medication counts at 12 months, the overall difference in IOP lowering between the 3 groups was modest. These findings suggest that all 3 procedures are effective \"plus\" interventions during cataract surgery. Surgeons can confidently select between them based on their surgical preference and specific patient needs, as each offers a favorable safety-to-efficacy ratio for managing glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "KDB, OMNI and iTrack combined with phacoemulsification demonstrated comparable long-term efficacy, with all 3 groups achieving clinically significant IOP and medication reductions at 1 year. The absence of serious intra- or postoperative complications across all cohorts underscores the safety of these techniques. While OMNI and iTrack showed slightly lower medication counts at 12 months, the overall difference in…",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 56,
      "source_fields": {
        "Abstract Final Identifier": "FP04.10",
        "Title": "Comparative Outcomes Of Kahook Dual Blade, Omni, And Itrack Procedures Combined With Cataract Surgery: A One-Year Retrospective Analysis",
        "Presenting Author(s)": "Dr Ahmed Elshinnawi",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elshinnawi",
        "Country Name": "Germany",
        "Purpose": "Micro-invasive glaucoma surgery (MIGS) offers safer, less invasive alternatives to traditional glaucoma surgery, but comparative data on different MIGS techniques combined with cataract surgery are limited.This study was conducted to compare 12‑month IOP, medication burden, and safety after phacoemulsification combined with Kahook Dual Blade, Omni, or iTrack in eyes with open‑angle glaucoma, providing evidence to guide individualized MIGS selection and optimize outcomes based on patient-specific treatment goals.",
        "Setting": "Augenzentrum Harburg (AZH), Hamburg, Germany.",
        "Methods": "This retrospective, single-center study included 69 eyes (23 per group) with primary open angle glaucoma undergoing phacoemulsification combined with either:\n\nKahook Dual Blade (KDB) goniotomy (3–4 clock hours trabecular meshwork excision), OMNI 360° canaloplasty with Healon Pro™ and 180° goniotomy, or iTrack 360° ab interno canal viscodilation with Healon Pro™ 30–40 clicks along the entire Schlemm’s canal.\n\nPre- & postoperative intraocular pressure, number of glaucoma medications, and best corrected visual acuity were recorded up to 12 months. Visual field mean deviation, retinal nerve fiber layer thickness, and intra- and postoperative complications were also assessed. Paired t-tests were used to compare the outcomes with baseline values.",
        "Results": "At 12 months, significant IOP reductions were observed in all cohorts. Mean IOP decreased from 16.3 ± 4.9 to 14.1 ± 3.2 mmHg in the KDB group, from 15.6 ± 2.5 to 13.5 ± 2.3 mmHg in the iTrack group, and from 15.4 ± 2.7 to 12.8 ± 2.3 mmHg in the OMNI group.\n\nMedication burden significantly dropped in all cohorts at one year:\n\n-KDB: 1.1 ± 0.8 to 0.6 ± 0.9 (p = 0.0004)\n\n-iTrack: 1.2 ± 0.5 to 0.3 ± 0.6 (p < 0.0001)\n\n-OMNI: 1.0 ± 0.7 to 0.1 ± 0.3 (p < 0.0001)\n\nAt the final follow-up, a high percentage of patients in the OMNI and iTrack groups achieved complete medication independence (0 drops). Visual field MD, RNFL thickness, and visual acuity remained stable across all cohorts. No serious intra- or postoperative complications were observed.",
        "Conclusions": "KDB, OMNI and iTrack combined with phacoemulsification demonstrated comparable long-term efficacy, with all 3 groups achieving clinically significant IOP and medication reductions at 1 year. The absence of serious intra- or postoperative complications across all cohorts underscores the safety of these techniques. While OMNI and iTrack showed slightly lower medication counts at 12 months, the overall difference in IOP lowering between the 3 groups was modest. These findings suggest that all 3 procedures are effective \"plus\" interventions during cataract surgery. Surgeons can confidently select between them based on their surgical preference and specific patient needs, as each offers a favorable safety-to-efficacy ratio for managing glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 437
    },
    {
      "uid": "FP04.11",
      "abstract_number": "FP04.11",
      "title": "Real-World Outcomes From The Itrack Global Data Registry Of Ab-Interno Canaloplasty Combined With Cataract Surgery",
      "authors": "Dr Karl Mercieca",
      "presenter": "Dr Karl Mercieca",
      "normalized_authors": [
        "Karl Mercieca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karl Mercieca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate real-world outcomes of ab-interno canaloplasty combined with phacoemulsification in open-angle glaucoma",
        "Setting": "prospective, multicenter, real-world study conducted in the USA, Canada, Europe, Asia, and Australia",
        "Methods": "The iTrack Global Data Registry (iTGDR) is a prospective, multicenter, real-world study conducted in the USA, Canada, Europe, Asia, and Australia. This analysis included eyes with primary or secondary open-angle glaucoma that underwent ab-interno canaloplasty using the iTrack or iTrack Advance in combination with phacoemulsification and had at least 12 months of follow-up. Outcomes were assessed at baseline and at the last available follow-up. Success was defined using American Academy of Ophthalmology criteria.",
        "Results": "This study included 334 eyes of 250 patients up to November 2025. Mean baseline IOP and medication use were 17.0±5.1 mmHg and 2.05±1.1, respectively, and were significantly reduced to 14.1±3.8 mmHg and 1.2±1.4 medications (p<0.001) at the last available follow up (mean: 20.2±7.8 months). Medication-free eyes increased from 6.6% (n=22) at baseline to 42.5% (n=142) postoperatively. Success was achieved in 62.0% of eyes (n=207) at postop. Intraoperative complications occurred in 0.3% of cases (n=1), postoperative complications in 2.7% of cases (n=9) and 4.2% of eyes (n=14) required additional glaucoma surgery",
        "Conclusions": "Canaloplasty performed via an ab-interno approach reduced IOP and medications in patients with primary and secondary open-angle glaucoma. The iTGDR provides valuable real-world evidence on the clinical effectiveness of canaloplasty, supporting evidence-based decision-making in glaucoma treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Canaloplasty performed via an ab-interno approach reduced IOP and medications in patients with primary and secondary open-angle glaucoma. The iTGDR provides valuable real-world evidence on the clinical effectiveness of canaloplasty, supporting evidence-based decision-making in glaucoma treatment.",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 57,
      "source_fields": {
        "Abstract Final Identifier": "FP04.11",
        "Title": "Real-World Outcomes From The Itrack Global Data Registry Of Ab-Interno Canaloplasty Combined With Cataract Surgery",
        "Presenting Author(s)": "Dr Karl Mercieca",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Karl",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mercieca",
        "Country Name": "Germany",
        "Purpose": "To evaluate real-world outcomes of ab-interno canaloplasty combined with phacoemulsification in open-angle glaucoma",
        "Setting": "prospective, multicenter, real-world study conducted in the USA, Canada, Europe, Asia, and Australia",
        "Methods": "The iTrack Global Data Registry (iTGDR) is a prospective, multicenter, real-world study conducted in the USA, Canada, Europe, Asia, and Australia. This analysis included eyes with primary or secondary open-angle glaucoma that underwent ab-interno canaloplasty using the iTrack or iTrack Advance in combination with phacoemulsification and had at least 12 months of follow-up. Outcomes were assessed at baseline and at the last available follow-up. Success was defined using American Academy of Ophthalmology criteria.",
        "Results": "This study included 334 eyes of 250 patients up to November 2025. Mean baseline IOP and medication use were 17.0±5.1 mmHg and 2.05±1.1, respectively, and were significantly reduced to 14.1±3.8 mmHg and 1.2±1.4 medications (p<0.001) at the last available follow up (mean: 20.2±7.8 months). Medication-free eyes increased from 6.6% (n=22) at baseline to 42.5% (n=142) postoperatively. Success was achieved in 62.0% of eyes (n=207) at postop. Intraoperative complications occurred in 0.3% of cases (n=1), postoperative complications in 2.7% of cases (n=9) and 4.2% of eyes (n=14) required additional glaucoma surgery",
        "Conclusions": "Canaloplasty performed via an ab-interno approach reduced IOP and medications in patients with primary and secondary open-angle glaucoma. The iTGDR provides valuable real-world evidence on the clinical effectiveness of canaloplasty, supporting evidence-based decision-making in glaucoma treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "FP04.12",
      "abstract_number": "FP04.12",
      "title": "Two Year - Real-World Outcomes Of Miniject Supraciliary Minimally Invasive Glaucoma Surgery In Australia",
      "authors": "Dr Andrew White",
      "presenter": "Dr Andrew White",
      "normalized_authors": [
        "Andrew White"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrew White",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To evaluate the real-world effectiveness and safety of the MINIject supraciliary minimally invasive glaucoma implant in an Australian multicentre cohort.",
        "Setting": "Retrospective multicentre case series from 8 Australian centres involving patients undergoing MINIject implantation, either as a standalone procedure or combined with phacoemulsification.",
        "Methods": "Data from 212 eyes of 176 patients who underwent MINIject implantation, with or without phacoemulsification, were analysed. Primary outcomes were intraocular pressure (IOP) and medication burden at last review. Secondary outcomes included surgical success, defined as IOP reduction of at least 20% from baseline, IOP between 6-21 mmHg, and no further glaucoma operation. Additional outcomes included monthly postoperative IOP, medication burden, visual acuity, adverse events, and reoperations.",
        "Results": "A total of 212 eyes from 176 patients were included. Mean age was 69.7 ± 18.4 years and 50% were female. Combined phacoemulsification was performed in 134/212 eyes (63.2%), 148/212 eyes (69.8%) had primary open-angle glaucoma, and 91/212 eyes (42.9%) were surgery-naive. Mean baseline IOP was 19.2 ± 7.5 mmHg and baseline medication burden was 2.5 ± 1.4. At last review, mean IOP reduced to 12.9 ± 5.3 mmHg and medication burden to 1.0 ± 1.3 (both p<0.05). Visual acuity remained stable (69.7 to 70.4, p=0.4). Hyphaema was the most common complication, followed by device malposition. Thirty eyes underwent further surgery, most commonly device revision.",
        "Conclusions": "In this real-world Australian multicentre series, MINIject was associated with significant reductions in IOP and medication burden, with stable visual acuity at last review. Device malposition and revision were notable postoperative issues. The frequency of revision may reflect a learning curve associated with early adoption of this newer supraciliary implant."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world Australian multicentre series, MINIject was associated with significant reductions in IOP and medication burden, with stable visual acuity at last review. Device malposition and revision were notable postoperative issues. The frequency of revision may reflect a learning curve associated with early adoption of this newer supraciliary implant.",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 58,
      "source_fields": {
        "Abstract Final Identifier": "FP04.12",
        "Title": "Two Year - Real-World Outcomes Of Miniject Supraciliary Minimally Invasive Glaucoma Surgery In Australia",
        "Presenting Author(s)": "Dr Andrew White",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Andrew",
        "Submitter Middle Name": "",
        "Submitter Last Name": "White",
        "Country Name": "Australia",
        "Purpose": "To evaluate the real-world effectiveness and safety of the MINIject supraciliary minimally invasive glaucoma implant in an Australian multicentre cohort.",
        "Setting": "Retrospective multicentre case series from 8 Australian centres involving patients undergoing MINIject implantation, either as a standalone procedure or combined with phacoemulsification.",
        "Methods": "Data from 212 eyes of 176 patients who underwent MINIject implantation, with or without phacoemulsification, were analysed. Primary outcomes were intraocular pressure (IOP) and medication burden at last review. Secondary outcomes included surgical success, defined as IOP reduction of at least 20% from baseline, IOP between 6-21 mmHg, and no further glaucoma operation. Additional outcomes included monthly postoperative IOP, medication burden, visual acuity, adverse events, and reoperations.",
        "Results": "A total of 212 eyes from 176 patients were included. Mean age was 69.7 ± 18.4 years and 50% were female. Combined phacoemulsification was performed in 134/212 eyes (63.2%), 148/212 eyes (69.8%) had primary open-angle glaucoma, and 91/212 eyes (42.9%) were surgery-naive. Mean baseline IOP was 19.2 ± 7.5 mmHg and baseline medication burden was 2.5 ± 1.4. At last review, mean IOP reduced to 12.9 ± 5.3 mmHg and medication burden to 1.0 ± 1.3 (both p<0.05). Visual acuity remained stable (69.7 to 70.4, p=0.4). Hyphaema was the most common complication, followed by device malposition. Thirty eyes underwent further surgery, most commonly device revision.",
        "Conclusions": "In this real-world Australian multicentre series, MINIject was associated with significant reductions in IOP and medication burden, with stable visual acuity at last review. Device malposition and revision were notable postoperative issues. The frequency of revision may reflect a learning curve associated with early adoption of this newer supraciliary implant."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "FP04.13",
      "abstract_number": "FP04.13",
      "title": "Phacoemulsification Combined With High-Frequency Deep Sclerotomy In Borderline-Pressure Poag On Maximally Tolerated Therapy: Real-World 24-Month Outcomes",
      "authors": "Dr Ettore Biondan",
      "presenter": "Dr Ettore Biondan",
      "normalized_authors": [
        "Ettore Biondan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ettore Biondan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the 24-month efficacy and safety of ab interno high-frequency deep sclerotomy (HFDS) combined with phacoemulsification in eyes with primary open-angle glaucoma (POAG), clinically significant cataract, borderline intraocular pressure (IOP; 18-22 mmHg) despite maximally tolerated medical therapy, and documented structural and/or functional progression. The aim was to determine whether the combined procedure could provide sustained additional IOP lowering while reducing\n\ntreatment burden in a challenging real-world cohort with restricted therapeutic options.",
        "Setting": "Retrospective, single-center, real-world case series conducted at a tertiary ophthalmology referral center. Twenty-two eyes of 14 patients with POAG and visually significant cataract were included and followed for at least 24 months after combined cataract surgery and HFDS.",
        "Methods": "Eligible eyes had POAG on maximally tolerated therapy, borderline preoperative IOP, progressive damage on Humphrey 24-2 visual field and/or OCT, and clinically significant cataract. Exclusion criteria included angle-closure or secondary glaucoma, advanced disease, previous glaucoma surgery, or inadequate gonioscopic visualization. HFDS was performed ab interno immediately after phacoemulsification using a 19-gauge high-frequency bipolar probe to create six nasal deep sclerotomy pockets. Main outcomes were Goldmann IOP, number of IOP-lowering medications, visual acuity, visual field stability, and adverse events through 24 months.",
        "Results": "Twenty-two eyes of 14 patients (mean age 78.6 years) were analyzed. Mean IOP decreased from 19.86 ± 1.49 mmHg preoperatively to 12.73 ± 2.88 mmHg at 24 months (mean change -7.14 mmHg; p<0.001). Mean medication burden decreased from 2.64 to 1.45 drugs per eye (mean change -1.18; p=0.024); 16 eyes reduced therapy by at least one medication. At 24 months, 6 eyes were medication-free, 6 required 1 drug, 4 required 2 drugs, and 6 required 3 drugs. Visual field indices remained stable, while visual acuity improved in keeping with cataract extraction. No intraoperative or postoperative clinically relevant complications were observed.",
        "Conclusions": "In eyes with POAG, cataract, and borderline IOP despite maximally tolerated medical therapy, combined phacoemulsification-HFDS provided significant and durable IOP reduction together with meaningful medication sparing over 24 months, with a favorable safety profile and stable functional outcomes. This conjunctiva-sparing strategy appears particularly attractive when the clinical goal is to simplify topical therapy and achieve additional pressure lowering in patients with limited tolerance for medications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with POAG, cataract, and borderline IOP despite maximally tolerated medical therapy, combined phacoemulsification-HFDS provided significant and durable IOP reduction together with meaningful medication sparing over 24 months, with a favorable safety profile and stable functional outcomes. This conjunctiva-sparing strategy appears particularly attractive when the clinical goal is to simplify topical therapy…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 59,
      "source_fields": {
        "Abstract Final Identifier": "FP04.13",
        "Title": "Phacoemulsification Combined With High-Frequency Deep Sclerotomy In Borderline-Pressure Poag On Maximally Tolerated Therapy: Real-World 24-Month Outcomes",
        "Presenting Author(s)": "Dr Ettore Biondan",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ettore",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Biondan",
        "Country Name": "Italy",
        "Purpose": "To evaluate the 24-month efficacy and safety of ab interno high-frequency deep sclerotomy (HFDS) combined with phacoemulsification in eyes with primary open-angle glaucoma (POAG), clinically significant cataract, borderline intraocular pressure (IOP; 18-22 mmHg) despite maximally tolerated medical therapy, and documented structural and/or functional progression. The aim was to determine whether the combined procedure could provide sustained additional IOP lowering while reducing\n\ntreatment burden in a challenging real-world cohort with restricted therapeutic options.",
        "Setting": "Retrospective, single-center, real-world case series conducted at a tertiary ophthalmology referral center. Twenty-two eyes of 14 patients with POAG and visually significant cataract were included and followed for at least 24 months after combined cataract surgery and HFDS.",
        "Methods": "Eligible eyes had POAG on maximally tolerated therapy, borderline preoperative IOP, progressive damage on Humphrey 24-2 visual field and/or OCT, and clinically significant cataract. Exclusion criteria included angle-closure or secondary glaucoma, advanced disease, previous glaucoma surgery, or inadequate gonioscopic visualization. HFDS was performed ab interno immediately after phacoemulsification using a 19-gauge high-frequency bipolar probe to create six nasal deep sclerotomy pockets. Main outcomes were Goldmann IOP, number of IOP-lowering medications, visual acuity, visual field stability, and adverse events through 24 months.",
        "Results": "Twenty-two eyes of 14 patients (mean age 78.6 years) were analyzed. Mean IOP decreased from 19.86 ± 1.49 mmHg preoperatively to 12.73 ± 2.88 mmHg at 24 months (mean change -7.14 mmHg; p<0.001). Mean medication burden decreased from 2.64 to 1.45 drugs per eye (mean change -1.18; p=0.024); 16 eyes reduced therapy by at least one medication. At 24 months, 6 eyes were medication-free, 6 required 1 drug, 4 required 2 drugs, and 6 required 3 drugs. Visual field indices remained stable, while visual acuity improved in keeping with cataract extraction. No intraoperative or postoperative clinically relevant complications were observed.",
        "Conclusions": "In eyes with POAG, cataract, and borderline IOP despite maximally tolerated medical therapy, combined phacoemulsification-HFDS provided significant and durable IOP reduction together with meaningful medication sparing over 24 months, with a favorable safety profile and stable functional outcomes. This conjunctiva-sparing strategy appears particularly attractive when the clinical goal is to simplify topical therapy and achieve additional pressure lowering in patients with limited tolerance for medications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "FP04.14",
      "abstract_number": "FP04.14",
      "title": "Long-Term Impact Of Preserflo Microshunt On Corneal Endothelial Cell Density: A 5-Year Follow-Up",
      "authors": "Dr Marta Ibarz",
      "presenter": "Dr Marta Ibarz",
      "normalized_authors": [
        "Marta Ibarz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Ibarz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the corneal endothelial cell density (ECD) 5 years after the implantation of the PRESERFLO Micro-Shunt for the treatment of open angle glaucoma.",
        "Setting": "OFTALVIST Madrid, HLA Moncloa University Hospital, Madrid, Spain",
        "Methods": "Forty-six eyes that underwent PRESERFLO implantation were followed-up for 5 years. Specular microscopy was performed preoperatively and at 1, 3, 6 months, 1 through 5 years postoperatively to measure central endothelial cell loss. Anterior segment optical coherence tomography was applied to measure the tube-endothelium distance. The relationship between tube-endothelium (TE) distance and ECD was analyzed and correlated to endothelial density.",
        "Results": "Central ECD decreased significantly at 1 year (7.4%, p=0.04), remaining stable at 5 years (7.2%). Regarding TE distance groups, there was an 18% ECD reduction in the < 200 µ m group vs. 1% in the > 500 µ m group (p=0.08). Endothelial cell loss was related to TE distance (mean 482.9 ± 238\n\nµ m), with a higher rate at 1 month in comparison to 12 months for the same tube position in the anterior chamber (-174.8±65.2 cells/mm2 at 1 month vs. 30.2±11.3 cells/mm2 at 12 months, p<0.01). From month 6, tubes located > 600 µ m from the endothelium showed EC loss close to zero.",
        "Conclusions": "The PRESERFLO implant is associated with a moderate loss of endothelial cells on the first year, that remains stable on the long term. A shorter tube-endothelium distance appears to cause more severe ECD loss."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The PRESERFLO implant is associated with a moderate loss of endothelial cells on the first year, that remains stable on the long term. A shorter tube-endothelium distance appears to cause more severe ECD loss.",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 60,
      "source_fields": {
        "Abstract Final Identifier": "FP04.14",
        "Title": "Long-Term Impact Of Preserflo Microshunt On Corneal Endothelial Cell Density: A 5-Year Follow-Up",
        "Presenting Author(s)": "Dr Marta Ibarz",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ibarz",
        "Country Name": "Spain",
        "Purpose": "To evaluate the corneal endothelial cell density (ECD) 5 years after the implantation of the PRESERFLO Micro-Shunt for the treatment of open angle glaucoma.",
        "Setting": "OFTALVIST Madrid, HLA Moncloa University Hospital, Madrid, Spain",
        "Methods": "Forty-six eyes that underwent PRESERFLO implantation were followed-up for 5 years. Specular microscopy was performed preoperatively and at 1, 3, 6 months, 1 through 5 years postoperatively to measure central endothelial cell loss. Anterior segment optical coherence tomography was applied to measure the tube-endothelium distance. The relationship between tube-endothelium (TE) distance and ECD was analyzed and correlated to endothelial density.",
        "Results": "Central ECD decreased significantly at 1 year (7.4%, p=0.04), remaining stable at 5 years (7.2%). Regarding TE distance groups, there was an 18% ECD reduction in the < 200 µ m group vs. 1% in the > 500 µ m group (p=0.08). Endothelial cell loss was related to TE distance (mean 482.9 ± 238\n\nµ m), with a higher rate at 1 month in comparison to 12 months for the same tube position in the anterior chamber (-174.8±65.2 cells/mm2 at 1 month vs. 30.2±11.3 cells/mm2 at 12 months, p<0.01). From month 6, tubes located > 600 µ m from the endothelium showed EC loss close to zero.",
        "Conclusions": "The PRESERFLO implant is associated with a moderate loss of endothelial cells on the first year, that remains stable on the long term. A shorter tube-endothelium distance appears to cause more severe ECD loss."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "FP04.15",
      "abstract_number": "FP04.15",
      "title": "Five-Year Safety And Efficacy Results Of A Supraciliary Drainage Device In Open Angle Glaucoma Patients (Star-Global)",
      "authors": "Prof. Antonio Maria Fea",
      "presenter": "Prof. Antonio Maria Fea",
      "normalized_authors": [
        "Antonio Maria Fea"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonio Maria Fea",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Purpose: The five-year safety and efficacy of a minimally invasive glaucoma surgery (MIGS) device, MINIject® (iSTAR Medical, Belgium), is described. The device was implanted ab interno into the supraciliary space in subjects with medically uncontrolled primary open-angle glaucoma.",
        "Setting": "Setting: The device was implanted in a standalone procedure in phakic and pseudophakic eyes in three prospective trials (STAR-I,II,III). The trials were completed in 66 subjects in 11 sites in Europe, Asia and Central America with two-year follow-up. Upon prior study completion, subjects were invited to enrol into the STAR-GLOBAL study",
        "Methods": "Methods: Patients were followed up annually until five years post implantation. Outcome measures were intraocular pressure (IOP), IOP-lowering medications (meds), and adverse events. Fifty-five subjects from the STAR-I,II,III trials were enrolled in the STAR-GLOBAL trial, with 47 completing 5-year post-implantation follow-up (85.4%). In this STAR-GLOBAL population, mean baseline diurnal IOP was 23.8±3.5 mmHg with a mean of 2.3±1.1 IOP-lowering meds (n=55). Patients were 49% female with mean age 69.3±9.7 years, and 51% of patients were phakic. The average visual field mean deviation was -6.5±6.0 dB at baseline (moderate severity) with 85% of patients having mild or moderate glaucoma severity.",
        "Results": "Results: At 2-years post-implantation, mean diurnal IOP was 14.1±4.0mmHg (-9.7mmHg, -40.0%; p<0.0001) on 1.4±1.3 meds (n=54). At 5-year (n=47), mean diurnal IOP was 14.8±5.6mmHg (-9.1mmHg, -38.4%; p<0.0001) on 1.5±1.4 meds (p<0.0001). Further, 83.0% of subjects achieved a >=20% IOP reduction, 78.7% and 55.3% achieved IOP <=18 mmHg and <=15 mmHg respectively, and 85.1% used the same or fewer medications at 5 years compared with baseline. Patients had similar IOP outcomes regardless of baseline glaucoma severity of mild, moderate or severe, or lens status. Since STAR-GLOBAL enrolment, adverse events related to MINIject included one IOP increase, one cataract progression and one non-clinically significant iris neovascularization.",
        "Conclusions": "Conclusion:\n\nStandalone MINIject implantation resulted in a clinically significant and sustained reduction in IOP and medication use up to five years post-implantation.\n\nThis supraciliary MIGS device offers an effective, bleb-free treatment option for glaucoma patients requiring low and sustained target IOPs"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion: Standalone MINIject implantation resulted in a clinically significant and sustained reduction in IOP and medication use up to five years post-implantation. This supraciliary MIGS device offers an effective, bleb-free treatment option for glaucoma patients requiring low and sustained target IOPs",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 61,
      "source_fields": {
        "Abstract Final Identifier": "FP04.15",
        "Title": "Five-Year Safety And Efficacy Results Of A Supraciliary Drainage Device In Open Angle Glaucoma Patients (Star-Global)",
        "Presenting Author(s)": "Prof. Antonio Maria Fea",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Antonio Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fea",
        "Country Name": "Italy",
        "Purpose": "Purpose: The five-year safety and efficacy of a minimally invasive glaucoma surgery (MIGS) device, MINIject® (iSTAR Medical, Belgium), is described. The device was implanted ab interno into the supraciliary space in subjects with medically uncontrolled primary open-angle glaucoma.",
        "Setting": "Setting: The device was implanted in a standalone procedure in phakic and pseudophakic eyes in three prospective trials (STAR-I,II,III). The trials were completed in 66 subjects in 11 sites in Europe, Asia and Central America with two-year follow-up. Upon prior study completion, subjects were invited to enrol into the STAR-GLOBAL study",
        "Methods": "Methods: Patients were followed up annually until five years post implantation. Outcome measures were intraocular pressure (IOP), IOP-lowering medications (meds), and adverse events. Fifty-five subjects from the STAR-I,II,III trials were enrolled in the STAR-GLOBAL trial, with 47 completing 5-year post-implantation follow-up (85.4%). In this STAR-GLOBAL population, mean baseline diurnal IOP was 23.8±3.5 mmHg with a mean of 2.3±1.1 IOP-lowering meds (n=55). Patients were 49% female with mean age 69.3±9.7 years, and 51% of patients were phakic. The average visual field mean deviation was -6.5±6.0 dB at baseline (moderate severity) with 85% of patients having mild or moderate glaucoma severity.",
        "Results": "Results: At 2-years post-implantation, mean diurnal IOP was 14.1±4.0mmHg (-9.7mmHg, -40.0%; p<0.0001) on 1.4±1.3 meds (n=54). At 5-year (n=47), mean diurnal IOP was 14.8±5.6mmHg (-9.1mmHg, -38.4%; p<0.0001) on 1.5±1.4 meds (p<0.0001). Further, 83.0% of subjects achieved a >=20% IOP reduction, 78.7% and 55.3% achieved IOP <=18 mmHg and <=15 mmHg respectively, and 85.1% used the same or fewer medications at 5 years compared with baseline. Patients had similar IOP outcomes regardless of baseline glaucoma severity of mild, moderate or severe, or lens status. Since STAR-GLOBAL enrolment, adverse events related to MINIject included one IOP increase, one cataract progression and one non-clinically significant iris neovascularization.",
        "Conclusions": "Conclusion:\n\nStandalone MINIject implantation resulted in a clinically significant and sustained reduction in IOP and medication use up to five years post-implantation.\n\nThis supraciliary MIGS device offers an effective, bleb-free treatment option for glaucoma patients requiring low and sustained target IOPs"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "FP05.01",
      "abstract_number": "FP05.01",
      "title": "Comparison Of Digital Image Guided And Smartphone Based Toric Iol Axis Marking Systems",
      "authors": "Dr Vaishal Kenia",
      "presenter": "Dr Vaishal Kenia",
      "normalized_authors": [
        "Vaishal Kenia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaishal Kenia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare digital image-guided and smartphone-based toric intraocular lens (IOL) axis marking systems",
        "Setting": "Tertiary private eye hospital, Mumbai, India",
        "Methods": "This is a retrospective study where subjects who have undergone toric IOL implantation between June 2024 and December 2024 were included. These subjects had undergone IOL axis marking procedure using I toric Patwardhan (I toric), Precision toric guidance system (PTGS) and Verion Reference Unit (Verion) to mark reference point pre operatively with an intention to confirm and know their agreement with verion which was used intra operatively. Subjects with corneal Astigmatism > 0.75D, measured using IOL master 700, were included. Angular deviation of smartphone-based instruments were noted and compared with the Verion angular deviation.",
        "Results": "85 eyes of 72 patients were included in the analysis. The mean±SD age of the patients was 62.17±11.07 years. The mean±Sd absolute angular deviation of PTGS and I toric from verion was 2.67±1.79 degrees and 3.05± 2.06 degree, respectively. The mean±Sd absolute angular deviation difference between the two phones based app was 1.76± 2.12 degrees. The bland Altman plot demonstrated good agreement between the PTGS and I toric App axis marking.",
        "Conclusions": "PTGS and I toric have shown minimum angular deviation compared to Verion. Angular deviation obtained by PTGS and I toric was comparable and showed good agreement, suggesting their interchangeable use."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PTGS and I toric have shown minimum angular deviation compared to Verion. Angular deviation obtained by PTGS and I toric was comparable and showed good agreement, suggesting their interchangeable use.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 62,
      "source_fields": {
        "Abstract Final Identifier": "FP05.01",
        "Title": "Comparison Of Digital Image Guided And Smartphone Based Toric Iol Axis Marking Systems",
        "Presenting Author(s)": "Dr Vaishal Kenia",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Vaishal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kenia",
        "Country Name": "India",
        "Purpose": "To compare digital image-guided and smartphone-based toric intraocular lens (IOL) axis marking systems",
        "Setting": "Tertiary private eye hospital, Mumbai, India",
        "Methods": "This is a retrospective study where subjects who have undergone toric IOL implantation between June 2024 and December 2024 were included. These subjects had undergone IOL axis marking procedure using I toric Patwardhan (I toric), Precision toric guidance system (PTGS) and Verion Reference Unit (Verion) to mark reference point pre operatively with an intention to confirm and know their agreement with verion which was used intra operatively. Subjects with corneal Astigmatism > 0.75D, measured using IOL master 700, were included. Angular deviation of smartphone-based instruments were noted and compared with the Verion angular deviation.",
        "Results": "85 eyes of 72 patients were included in the analysis. The mean±SD age of the patients was 62.17±11.07 years. The mean±Sd absolute angular deviation of PTGS and I toric from verion was 2.67±1.79 degrees and 3.05± 2.06 degree, respectively. The mean±Sd absolute angular deviation difference between the two phones based app was 1.76± 2.12 degrees. The bland Altman plot demonstrated good agreement between the PTGS and I toric App axis marking.",
        "Conclusions": "PTGS and I toric have shown minimum angular deviation compared to Verion. Angular deviation obtained by PTGS and I toric was comparable and showed good agreement, suggesting their interchangeable use."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "FP05.02",
      "abstract_number": "FP05.02",
      "title": "The Role Of Lens Tilt In Astigmatism Evaluation",
      "authors": "Prof. Nir Sorkin",
      "presenter": "Prof. Nir Sorkin",
      "normalized_authors": [
        "Nir Sorkin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nir Sorkin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To establish the mathematical association between lens tilt, corneal astigmatism and manifest astigmatism.",
        "Setting": "A tertiary-care surgical center",
        "Methods": "A retrospective study including 1858 eyes of 1300 patients who underwent measurements using a swept-source OCT biometer (Eyestar 900, Haag Streit, Switzerland) that measures anterior keratometry, posterior keratometry and lens tilt. Manifest refraction was performed by a certified optometrist. Models were constructed to evaluate the association between lens tilt, anterior keratometry, posterior keratometry and manifest astigmatism.",
        "Results": "Mean lens tilt was 3.9±1.0°. The association between lens tilt and internal astigmatism (IA) was threshold-dependent. In eyes with tilt <5.0° (n=1639), there was minimal correlation of tilt with IA (J0 vector: r=0.01, p=0.81, J45 vector: r=0.10, p<0.001), indicating tilt is not a primary predictor in this group. However, in eyes with tilt >5.0° (n=219), a graphic and mathematical trend towards correlation emerged (J0 vector: r=-0.19, p=0.01), growing stronger in eyes with tilt >6.0° (n=35, J0 vector: r=-0.33, p=0.05).",
        "Conclusions": "Lens tilt was not a universal predictor of manifest astigmatism; in majority of eyes with <5.0° tilt, IA was not mainly driven by lenticular tilt. However, beyond a threshold of ~5.0°, tilt became a more significant determinant of IA, suggesting that surgical planning may need to account for tilt beyond this threshold."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lens tilt was not a universal predictor of manifest astigmatism; in majority of eyes with <5.0° tilt, IA was not mainly driven by lenticular tilt. However, beyond a threshold of ~5.0°, tilt became a more significant determinant of IA, suggesting that surgical planning may need to account for tilt beyond this threshold.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 63,
      "source_fields": {
        "Abstract Final Identifier": "FP05.02",
        "Title": "The Role Of Lens Tilt In Astigmatism Evaluation",
        "Presenting Author(s)": "Prof. Nir Sorkin",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Nir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sorkin",
        "Country Name": "Israel",
        "Purpose": "To establish the mathematical association between lens tilt, corneal astigmatism and manifest astigmatism.",
        "Setting": "A tertiary-care surgical center",
        "Methods": "A retrospective study including 1858 eyes of 1300 patients who underwent measurements using a swept-source OCT biometer (Eyestar 900, Haag Streit, Switzerland) that measures anterior keratometry, posterior keratometry and lens tilt. Manifest refraction was performed by a certified optometrist. Models were constructed to evaluate the association between lens tilt, anterior keratometry, posterior keratometry and manifest astigmatism.",
        "Results": "Mean lens tilt was 3.9±1.0°. The association between lens tilt and internal astigmatism (IA) was threshold-dependent. In eyes with tilt <5.0° (n=1639), there was minimal correlation of tilt with IA (J0 vector: r=0.01, p=0.81, J45 vector: r=0.10, p<0.001), indicating tilt is not a primary predictor in this group. However, in eyes with tilt >5.0° (n=219), a graphic and mathematical trend towards correlation emerged (J0 vector: r=-0.19, p=0.01), growing stronger in eyes with tilt >6.0° (n=35, J0 vector: r=-0.33, p=0.05).",
        "Conclusions": "Lens tilt was not a universal predictor of manifest astigmatism; in majority of eyes with <5.0° tilt, IA was not mainly driven by lenticular tilt. However, beyond a threshold of ~5.0°, tilt became a more significant determinant of IA, suggesting that surgical planning may need to account for tilt beyond this threshold."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 231
    },
    {
      "uid": "FP05.03",
      "abstract_number": "FP05.03",
      "title": "Diagnostic Accuracy Of A Deep Learning Model For Automated Assessment Of Toric Intraocular Lens Rotation",
      "authors": "Dr Marcus Lisy",
      "presenter": "Dr Marcus Lisy",
      "normalized_authors": [
        "Marcus Lisy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marcus Lisy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To develop a deep learning (DL) model for automated assessment of toric intraocular lens (IOL) rotation from retroillumination images using scleral landmarks as a reference, thereby minimizing the influence of cyclorotation.",
        "Setting": "This explorative study was conducted at the Department of Ophthalmology and Optometry at the Medical University of Vienna in cooperation with the Institute of Statistics and Mathematical Methods in Economics at the Vienna University of Technology.",
        "Methods": "Two datasets of paired retroillumination images obtained 1 hour and 6 months after cataract surgery were manually graded for toric IOL rotation using scleral landmarks as reference. Dataset A included 125 eyes implanted with a Clareon toric IOL and dataset B included 120 eyes implanted with a Rayner EMV toric IOL. A deep learning framework combining a convolutional neural network (CNN) with additional visual computing algorithms was trained, validated, and tested. Model performance was evaluated in a binary classification task for detecting IOL rotation >2°, using decision thresholds of 2° and 5° for the predicted rotation. Performance metrics included sensitivity, specificity, and accuracy.",
        "Results": "For the Clareon toric IOL, at a 2° threshold, sensitivity, specificity, and accuracy were 0.50, 0.56, and 0.56, respectively. At 5°, sensitivity remained 0.50, while specificity increased to 1.00, resulting in an accuracy of 0.94. For the Rayner EMV toric IOL, at 2°, sensitivity, specificity, and accuracy were 0.82, 0.83, and 0.82, respectively. At 5°, sensitivity decreased to 0.73, specificity increased to 1.00, and overall accuracy was 0.91.",
        "Conclusions": "The developed DL model demonstrated promising performance in the assessment of toric IOL rotation. Increasing the threshold from 2° to 5° substantially improved specificity and overall accuracy for both IOL types, at the expense of sensitivity. Superior performance was observed for the Rayner EMV IOL, likely due to enhanced visibility of the toric IOL markings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The developed DL model demonstrated promising performance in the assessment of toric IOL rotation. Increasing the threshold from 2° to 5° substantially improved specificity and overall accuracy for both IOL types, at the expense of sensitivity. Superior performance was observed for the Rayner EMV IOL, likely due to enhanced visibility of the toric IOL markings.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 64,
      "source_fields": {
        "Abstract Final Identifier": "FP05.03",
        "Title": "Diagnostic Accuracy Of A Deep Learning Model For Automated Assessment Of Toric Intraocular Lens Rotation",
        "Presenting Author(s)": "Dr Marcus Lisy",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Marcus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lisy",
        "Country Name": "Austria",
        "Purpose": "To develop a deep learning (DL) model for automated assessment of toric intraocular lens (IOL) rotation from retroillumination images using scleral landmarks as a reference, thereby minimizing the influence of cyclorotation.",
        "Setting": "This explorative study was conducted at the Department of Ophthalmology and Optometry at the Medical University of Vienna in cooperation with the Institute of Statistics and Mathematical Methods in Economics at the Vienna University of Technology.",
        "Methods": "Two datasets of paired retroillumination images obtained 1 hour and 6 months after cataract surgery were manually graded for toric IOL rotation using scleral landmarks as reference. Dataset A included 125 eyes implanted with a Clareon toric IOL and dataset B included 120 eyes implanted with a Rayner EMV toric IOL. A deep learning framework combining a convolutional neural network (CNN) with additional visual computing algorithms was trained, validated, and tested. Model performance was evaluated in a binary classification task for detecting IOL rotation >2°, using decision thresholds of 2° and 5° for the predicted rotation. Performance metrics included sensitivity, specificity, and accuracy.",
        "Results": "For the Clareon toric IOL, at a 2° threshold, sensitivity, specificity, and accuracy were 0.50, 0.56, and 0.56, respectively. At 5°, sensitivity remained 0.50, while specificity increased to 1.00, resulting in an accuracy of 0.94. For the Rayner EMV toric IOL, at 2°, sensitivity, specificity, and accuracy were 0.82, 0.83, and 0.82, respectively. At 5°, sensitivity decreased to 0.73, specificity increased to 1.00, and overall accuracy was 0.91.",
        "Conclusions": "The developed DL model demonstrated promising performance in the assessment of toric IOL rotation. Increasing the threshold from 2° to 5° substantially improved specificity and overall accuracy for both IOL types, at the expense of sensitivity. Superior performance was observed for the Rayner EMV IOL, likely due to enhanced visibility of the toric IOL markings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "FP05.04",
      "abstract_number": "FP05.04",
      "title": "A Model-Based Analysis Of Measured Versus Predicted Posterior Corneal Astigmatism In Toric Iol Calculations",
      "authors": "Dr Olga Reitblat",
      "presenter": "Dr Olga Reitblat",
      "normalized_authors": [
        "Olga Reitblat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Olga Reitblat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To identify when measured posterior corneal astigmatism (PCA) alters toric intraocular lens (IOL) selection compared with predicted PCA, and to provide recommendations for clinical use.",
        "Setting": "A model-based mathematical analysis.",
        "Methods": "A model-based analysis of 8,640 theoretical eyes with fixed biometric parameters was performed, varying only in anterior corneal astigmatism (ACA, 0.5-5.0 D in 0.5 D steps), posterior corneal astigmatism (PCA, 0-1.0 D in 0.2 D steps), and axis orientation at 15° intervals. Toric IOL calculations using measured and predicted PCA were conducted with the Barrett and EVO calculators, to identify ACA-PCA combinations where posterior measurement changed the toric IOL recommendation.",
        "Results": "Incorporating measured PCA changed toric IOL power in 68.7% (Barrett) and 70.2% (EVO) of cases and axis changes >10° in 15.7% and 19.2%, respectively . PCA magnitude was the strongest predictor of toric IOL power and axis change for both calculators (power: OR 5.52 Barrett, 2.48 EVO; axis: OR 241.81 Barrett, 21.26 EVO). ACA magnitude had a smaller effect on power and was inversely associated with axis change (OR 0.06 Barrett; OR 0.13 EVO). Model discrimination was moderate for power change (AUC 0.747-0.739) and high for axis change (AUC 0.959-0.937).",
        "Conclusions": "These findings suggest that direct PCA measurement adds the most value in eyes with opposing anterior-posterior axes or high PCA, and improves axis alignment particularly in eyes with low ACA."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings suggest that direct PCA measurement adds the most value in eyes with opposing anterior-posterior axes or high PCA, and improves axis alignment particularly in eyes with low ACA.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 65,
      "source_fields": {
        "Abstract Final Identifier": "FP05.04",
        "Title": "A Model-Based Analysis Of Measured Versus Predicted Posterior Corneal Astigmatism In Toric Iol Calculations",
        "Presenting Author(s)": "Dr Olga Reitblat",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Olga",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reitblat",
        "Country Name": "Israel",
        "Purpose": "To identify when measured posterior corneal astigmatism (PCA) alters toric intraocular lens (IOL) selection compared with predicted PCA, and to provide recommendations for clinical use.",
        "Setting": "A model-based mathematical analysis.",
        "Methods": "A model-based analysis of 8,640 theoretical eyes with fixed biometric parameters was performed, varying only in anterior corneal astigmatism (ACA, 0.5-5.0 D in 0.5 D steps), posterior corneal astigmatism (PCA, 0-1.0 D in 0.2 D steps), and axis orientation at 15° intervals. Toric IOL calculations using measured and predicted PCA were conducted with the Barrett and EVO calculators, to identify ACA-PCA combinations where posterior measurement changed the toric IOL recommendation.",
        "Results": "Incorporating measured PCA changed toric IOL power in 68.7% (Barrett) and 70.2% (EVO) of cases and axis changes >10° in 15.7% and 19.2%, respectively . PCA magnitude was the strongest predictor of toric IOL power and axis change for both calculators (power: OR 5.52 Barrett, 2.48 EVO; axis: OR 241.81 Barrett, 21.26 EVO). ACA magnitude had a smaller effect on power and was inversely associated with axis change (OR 0.06 Barrett; OR 0.13 EVO). Model discrimination was moderate for power change (AUC 0.747-0.739) and high for axis change (AUC 0.959-0.937).",
        "Conclusions": "These findings suggest that direct PCA measurement adds the most value in eyes with opposing anterior-posterior axes or high PCA, and improves axis alignment particularly in eyes with low ACA."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "FP05.05",
      "abstract_number": "FP05.05",
      "title": "Accuracy In Toric Intraocular Lens Repositioning: A Comparison Of Current Realignment Calculation Methods",
      "authors": "Dr Christoph Lwowski",
      "presenter": "Dr Christoph Lwowski",
      "normalized_authors": [
        "Christoph Lwowski"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christoph Lwowski",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare different calculation methods for toric intraocular lens (IOL) realignment in eyes with postoperative residual astigmatism.",
        "Setting": "Retrospective cohort study.",
        "Methods": "49 eyes of 49 patients undergoing toric IOL rotation at a single tertiary referral center. Predicted postoperative astigmatism and recommended rotation axes were calculated using AstiFix, Gatinel, Ophtera, Savini, and IOLCon. Prediction error (PE) was evaluated using vector magnitude and bivariate vector analysis using the Wilcox-Holladay-Wang-Koch statistical software implemented in R. Agreement between axis recommendations was assessed using intraclass correlation-coefficients (ICC). Calculations were performed using phakic (IOLMaster 700 and Pentacam) and pseudophakic (Pentacam) biometric and tomographic input data where applicable.",
        "Results": "AstiFix, Gatinel, and Ophtera showed similar centroids and polygon distributions, with low PE magnitudes ( 0.43D, 0.45D, and 0.46D, respectively)\n\nand near-zero bivariate bias. No statistically significant differences in vector PE were observed among these three tools. Savini demonstrated significantly different axis recommendations compared with AstiFix, Gatinel, and Ophtera, while IOLCon showed a significant bivariate bias relative to the zero vector. Axis agreement between AstiFix, Gatinel, and Ophtera was excellent (ICC=0.999), whereas agreement with Savini was lower (ICC=0.903). The use of repeated biometric measurements of the pseudophakic (pre-rotational) eye did not result in a statistically significant improvement in PE.",
        "Conclusions": "Realignment formulas incorporating pre-rotational subjective refraction provide consistent and accurate predictions for toric IOL rotation. Tools primarily designed for toric IOL power calculationmay be less suitable for realignment planning. Subjective refraction remains the key determinant for accurate realignment planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Realignment formulas incorporating pre-rotational subjective refraction provide consistent and accurate predictions for toric IOL rotation. Tools primarily designed for toric IOL power calculationmay be less suitable for realignment planning. Subjective refraction remains the key determinant for accurate realignment planning.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 66,
      "source_fields": {
        "Abstract Final Identifier": "FP05.05",
        "Title": "Accuracy In Toric Intraocular Lens Repositioning: A Comparison Of Current Realignment Calculation Methods",
        "Presenting Author(s)": "Dr Christoph Lwowski",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Christoph",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lwowski",
        "Country Name": "Germany",
        "Purpose": "To compare different calculation methods for toric intraocular lens (IOL) realignment in eyes with postoperative residual astigmatism.",
        "Setting": "Retrospective cohort study.",
        "Methods": "49 eyes of 49 patients undergoing toric IOL rotation at a single tertiary referral center. Predicted postoperative astigmatism and recommended rotation axes were calculated using AstiFix, Gatinel, Ophtera, Savini, and IOLCon. Prediction error (PE) was evaluated using vector magnitude and bivariate vector analysis using the Wilcox-Holladay-Wang-Koch statistical software implemented in R. Agreement between axis recommendations was assessed using intraclass correlation-coefficients (ICC). Calculations were performed using phakic (IOLMaster 700 and Pentacam) and pseudophakic (Pentacam) biometric and tomographic input data where applicable.",
        "Results": "AstiFix, Gatinel, and Ophtera showed similar centroids and polygon distributions, with low PE magnitudes ( 0.43D, 0.45D, and 0.46D, respectively)\n\nand near-zero bivariate bias. No statistically significant differences in vector PE were observed among these three tools. Savini demonstrated significantly different axis recommendations compared with AstiFix, Gatinel, and Ophtera, while IOLCon showed a significant bivariate bias relative to the zero vector. Axis agreement between AstiFix, Gatinel, and Ophtera was excellent (ICC=0.999), whereas agreement with Savini was lower (ICC=0.903). The use of repeated biometric measurements of the pseudophakic (pre-rotational) eye did not result in a statistically significant improvement in PE.",
        "Conclusions": "Realignment formulas incorporating pre-rotational subjective refraction provide consistent and accurate predictions for toric IOL rotation. Tools primarily designed for toric IOL power calculationmay be less suitable for realignment planning. Subjective refraction remains the key determinant for accurate realignment planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "FP05.06",
      "abstract_number": "FP05.06",
      "title": "Assessing Astigmatic Prediction Errors: A Comparative Analysis Of The Barrett’S Toric And Tecnis Amo Toric Iol Calculators",
      "authors": "Dr Prajakta Paritekar",
      "presenter": "Dr Prajakta Paritekar",
      "normalized_authors": [
        "Prajakta Paritekar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Prajakta Paritekar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the predictive accuracy of the Barrett’s Toric and Tecnis AMO Toric IOL calculators in estimating residual astigmatism and spherical equivalent (SE) in eyes undergoing toric intraocular lens implantation.",
        "Setting": "Tertiary Eye care centre",
        "Methods": "Seventy-four eyes of 74 patients undergoing uneventful cataract surgery with Tecnis Toric IOL implantation were included. IOL power was calculated using either the Barrett’s Toric calculator or the Tecnis AMO Toric calculator. Primary outcome was the prediction error in residual astigmatism. Secondary outcomes included mean absolute error (MAE), centroid error, and prediction error in SE. Vector analysis was performed using standard double-angle plots. Statistical comparisons were made using t-tests, Mann-Whitney U tests, and chi-square tests where appropriate.",
        "Results": "There was no statistically significant difference in residual astigmatism, centroid error, or MAE between the two calculators. However, the Barrett’s calculator demonstrated significantly better accuracy in predicting SE (p < 0.05). Both calculators performed similarly in predicting residual astigmatism across a homogenous sample in terms of biometric parameters.",
        "Conclusions": "While both calculators are effective for astigmatism correction, the Barrett’s Toric calculator may offer enhanced predictability in SE outcomes, especially in refractively demanding patients. This supports its use in precision-based IOL planning for toric lens implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While both calculators are effective for astigmatism correction, the Barrett’s Toric calculator may offer enhanced predictability in SE outcomes, especially in refractively demanding patients. This supports its use in precision-based IOL planning for toric lens implantation.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 67,
      "source_fields": {
        "Abstract Final Identifier": "FP05.06",
        "Title": "Assessing Astigmatic Prediction Errors: A Comparative Analysis Of The Barrett’S Toric And Tecnis Amo Toric Iol Calculators",
        "Presenting Author(s)": "Dr Prajakta Paritekar",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Prajakta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Paritekar",
        "Country Name": "India",
        "Purpose": "To compare the predictive accuracy of the Barrett’s Toric and Tecnis AMO Toric IOL calculators in estimating residual astigmatism and spherical equivalent (SE) in eyes undergoing toric intraocular lens implantation.",
        "Setting": "Tertiary Eye care centre",
        "Methods": "Seventy-four eyes of 74 patients undergoing uneventful cataract surgery with Tecnis Toric IOL implantation were included. IOL power was calculated using either the Barrett’s Toric calculator or the Tecnis AMO Toric calculator. Primary outcome was the prediction error in residual astigmatism. Secondary outcomes included mean absolute error (MAE), centroid error, and prediction error in SE. Vector analysis was performed using standard double-angle plots. Statistical comparisons were made using t-tests, Mann-Whitney U tests, and chi-square tests where appropriate.",
        "Results": "There was no statistically significant difference in residual astigmatism, centroid error, or MAE between the two calculators. However, the Barrett’s calculator demonstrated significantly better accuracy in predicting SE (p < 0.05). Both calculators performed similarly in predicting residual astigmatism across a homogenous sample in terms of biometric parameters.",
        "Conclusions": "While both calculators are effective for astigmatism correction, the Barrett’s Toric calculator may offer enhanced predictability in SE outcomes, especially in refractively demanding patients. This supports its use in precision-based IOL planning for toric lens implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "FP05.07",
      "abstract_number": "FP05.07",
      "title": "Intraocular Lens Implantation Following Cataract Surgery Assisted By A Cloud-Based Software In Astigmatic Subjects With Antecedent Corneal Laser Vision Correction Surgery : A Retrospective Comparative Database Study",
      "authors": "Dr Julie M Schallhorn",
      "presenter": "Dr Julie M Schallhorn",
      "normalized_authors": [
        "Julie M Schallhorn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julie M Schallhorn",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To report postoperative outcomes in different cohorts of astigmatic subjects with antecedent corneal laser vision correction (LVC) surgery after they underwent cataract surgery with toric intraocular lens implantation (IOL) assisted with cloud-based surgical planning software (Veractiy, Carl Zeiss Meditec, Dublin, CA).",
        "Setting": "Retrospective comparative database study based on 326 cataract surgery cases performed on 167 subjects in the United States.",
        "Methods": "Inclusion criteria included eyes cataract surgery cases with astigmatism and prior corneal LVC surgery who underwent cataract surgery with toric IOL implantation with a target refraction in the IOL calculation of ± 0.25 D and for which preoperative biometry measurements performed using IOLMaster 700 and IOL calculation using Barrett True-K formula with measured anterior and posterior keratometry. Study endpoints were postoperative manifest astigmatism, spherical equivalent (SE) and uncorrected distance visual acuity (UDVA). Comparisons were made between monofocal versus presbyopia-correcting IOLs and between against-the-rule (ATR) and with-the-rule (WTR) preoperative corneal cylinder.",
        "Results": "Mean subject age included in this study was 67 ± 8 years, 52% were female. In the whole population, mean postoperative manifest astigmatism was 0.49 ± 0.45 D and 71% had astigmatism ≤ 0.50 D. Mean postoperative SE was -0.13 ± 0.55 D, and 79% had a SE of ± 0.50 D. No statistical difference was found between groups. Postoperative LogMAR UDVA was 0.05 ± 0.10 the whole population, 0.04 ± 0.10 in the monofcal group vs 0.06 ± 0.10 in presbyopia-correcting group ( p<0.05 ), and 0.04 ± 0.10 in the ATR group vs 0.06 ± 0.09 in the WTR cohorts ( p=0.12 ).",
        "Conclusions": "Astigmatic subjects with antecedent LVC who were implanted with a toric IOL following cataract surgery assisted by the Veracity surgery planner software experienced good postoperative refractive and visual outcomes. These results suggest that toric IOL implantation is safe and effective in this population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Astigmatic subjects with antecedent LVC who were implanted with a toric IOL following cataract surgery assisted by the Veracity surgery planner software experienced good postoperative refractive and visual outcomes. These results suggest that toric IOL implantation is safe and effective in this population.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 68,
      "source_fields": {
        "Abstract Final Identifier": "FP05.07",
        "Title": "Intraocular Lens Implantation Following Cataract Surgery Assisted By A Cloud-Based Software In Astigmatic Subjects With Antecedent Corneal Laser Vision Correction Surgery : A Retrospective Comparative Database Study",
        "Presenting Author(s)": "Dr Julie M Schallhorn",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Julie",
        "Submitter Middle Name": "M",
        "Submitter Last Name": "Schallhorn",
        "Country Name": "United States",
        "Purpose": "To report postoperative outcomes in different cohorts of astigmatic subjects with antecedent corneal laser vision correction (LVC) surgery after they underwent cataract surgery with toric intraocular lens implantation (IOL) assisted with cloud-based surgical planning software (Veractiy, Carl Zeiss Meditec, Dublin, CA).",
        "Setting": "Retrospective comparative database study based on 326 cataract surgery cases performed on 167 subjects in the United States.",
        "Methods": "Inclusion criteria included eyes cataract surgery cases with astigmatism and prior corneal LVC surgery who underwent cataract surgery with toric IOL implantation with a target refraction in the IOL calculation of ± 0.25 D and for which preoperative biometry measurements performed using IOLMaster 700 and IOL calculation using Barrett True-K formula with measured anterior and posterior keratometry. Study endpoints were postoperative manifest astigmatism, spherical equivalent (SE) and uncorrected distance visual acuity (UDVA). Comparisons were made between monofocal versus presbyopia-correcting IOLs and between against-the-rule (ATR) and with-the-rule (WTR) preoperative corneal cylinder.",
        "Results": "Mean subject age included in this study was 67 ± 8 years, 52% were female. In the whole population, mean postoperative manifest astigmatism was 0.49 ± 0.45 D and 71% had astigmatism ≤ 0.50 D. Mean postoperative SE was -0.13 ± 0.55 D, and 79% had a SE of ± 0.50 D. No statistical difference was found between groups. Postoperative LogMAR UDVA was 0.05 ± 0.10 the whole population, 0.04 ± 0.10 in the monofcal group vs 0.06 ± 0.10 in presbyopia-correcting group ( p<0.05 ), and 0.04 ± 0.10 in the ATR group vs 0.06 ± 0.09 in the WTR cohorts ( p=0.12 ).",
        "Conclusions": "Astigmatic subjects with antecedent LVC who were implanted with a toric IOL following cataract surgery assisted by the Veracity surgery planner software experienced good postoperative refractive and visual outcomes. These results suggest that toric IOL implantation is safe and effective in this population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 303
    },
    {
      "uid": "FP05.08",
      "abstract_number": "FP05.08",
      "title": "Measuring Surgically Induced Astigmatism Using Corneal Total Corneal Wavefront.",
      "authors": "Dr Bjørn Gjerdrum",
      "presenter": "Dr Bjørn Gjerdrum",
      "normalized_authors": [
        "Bjørn Gjerdrum"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bjørn Gjerdrum",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "To evaluate surgically induced astigmatism in cataract surgery using pre-and post-operatively measured corneal wavefront",
        "Setting": "The study included results from two private eye clinics situated in Haugesund and Stavanger in Norway",
        "Methods": "This was a retrospective study of successful cataract or refractive lens surgery. Main incision was 2.2mm@100 deg. Patients were measured preoperatively and 2-4 months postoperatively with an OCT based biometer (Anterion .Heidelberg Engineering). Surgically induced astigmatism (SIA) was calculated as the vector difference of postoperative minus preoperative measured corneal astigmatism. SIA was calculated from Anterior axial corneal astigmatism at 3mm ring (SIA AntAx), total corneal astigmatism at 3mm ring (SIA TCP) and total corneal wavefront astigmatism at 4mm pupil zone (SIA WF). The WF astigmatism was converted from Zernike coefficients (microns) of oblique and with-the-rule/against-the-rule astigmatism to diopters of cylinder and axis.",
        "Results": "110 eyes of 110 patiens were included in the study. Mean age was 58.7 years, 43% were female. Mean Follow-up time was 99 days. Mean postoperative spherical equivalent was -0.10 D, and mean cylinder was -0,3 D The measured induce astigmatism was 0.17 D @ 3 , 0.07 D @17, and 0.06 D @16 for SIA WF, SIA AntAx and SIA Tcp. Only SIA WF and SIA AntAx was significantly different from zero.",
        "Conclusions": "Corneal astigmatism calculated from total corneal wavefront at 4mm zone appear to be more sensitive to surgically induced astigmatism compared to Anterion axial or total corneal astigmatism measured at 3mm ring. This can possibly be used to predict Toric IOL calculations based on preoperative total corneal wave front."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal astigmatism calculated from total corneal wavefront at 4mm zone appear to be more sensitive to surgically induced astigmatism compared to Anterion axial or total corneal astigmatism measured at 3mm ring. This can possibly be used to predict Toric IOL calculations based on preoperative total corneal wave front.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 69,
      "source_fields": {
        "Abstract Final Identifier": "FP05.08",
        "Title": "Measuring Surgically Induced Astigmatism Using Corneal Total Corneal Wavefront.",
        "Presenting Author(s)": "Dr Bjørn Gjerdrum",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Bjørn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gjerdrum",
        "Country Name": "Norway",
        "Purpose": "To evaluate surgically induced astigmatism in cataract surgery using pre-and post-operatively measured corneal wavefront",
        "Setting": "The study included results from two private eye clinics situated in Haugesund and Stavanger in Norway",
        "Methods": "This was a retrospective study of successful cataract or refractive lens surgery. Main incision was 2.2mm@100 deg. Patients were measured preoperatively and 2-4 months postoperatively with an OCT based biometer (Anterion .Heidelberg Engineering). Surgically induced astigmatism (SIA) was calculated as the vector difference of postoperative minus preoperative measured corneal astigmatism. SIA was calculated from Anterior axial corneal astigmatism at 3mm ring (SIA AntAx), total corneal astigmatism at 3mm ring (SIA TCP) and total corneal wavefront astigmatism at 4mm pupil zone (SIA WF). The WF astigmatism was converted from Zernike coefficients (microns) of oblique and with-the-rule/against-the-rule astigmatism to diopters of cylinder and axis.",
        "Results": "110 eyes of 110 patiens were included in the study. Mean age was 58.7 years, 43% were female. Mean Follow-up time was 99 days. Mean postoperative spherical equivalent was -0.10 D, and mean cylinder was -0,3 D The measured induce astigmatism was 0.17 D @ 3 , 0.07 D @17, and 0.06 D @16 for SIA WF, SIA AntAx and SIA Tcp. Only SIA WF and SIA AntAx was significantly different from zero.",
        "Conclusions": "Corneal astigmatism calculated from total corneal wavefront at 4mm zone appear to be more sensitive to surgically induced astigmatism compared to Anterion axial or total corneal astigmatism measured at 3mm ring. This can possibly be used to predict Toric IOL calculations based on preoperative total corneal wave front."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "FP05.09",
      "abstract_number": "FP05.09",
      "title": "Comparison Of Astigmatic Correction Outcomes With Trifocal Toric Iols Using Image-Guided System Vs. Laser-Assisted Capsulorhexis Marking Systems",
      "authors": "Dr Elif Ceren Yeşilkaya",
      "presenter": "Dr Elif Ceren Yeşilkaya",
      "normalized_authors": [
        "Elif Ceren Yeşilkaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elif Ceren Yeşilkaya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare postoperative residual astigmatism and demographic/refractive characteristics in cataract patients receiving trifocal toric intraocular lenses (IOLs) (FineVision; PhysIOL, Liege, Belgium) implanted with guidance by either the image-guided system (Callisto eye; Carl Zeiss, Oberkochen, Germany) or the robotic femtosecond laser refractive capsulorhexis marking system (ALLY's IntelliAxis; LENSAR, Orlando, FL).",
        "Setting": "This is a retrospective study conducted at Medicana Zincirlikuyu Hospital, Istanbul, Turkey.",
        "Methods": "This study was conducted including 26 eyes of 18 patients who underwent cataract surgery with trifocal toric IOL implantation. Eyes were divided into two groups: Callisto group (n=10 eyes) and LENSAR group (n=16 eyes). Preoperative biometric data and postoperative refractive outcomes were analyzed. The primary outcome measure was postoperative residual cylinder. Secondary outcomes included postoperative spherical equivalent, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). Between-group comparisons were performed using independent samples t-test for normally distributed data (Shapiro-Wilk test) and Mann-Whitney U test for non-normally distributed data. Statistical significance was set at p<0.05.",
        "Results": "The LENSAR group demonstrated statistically significantly lower postoperative residual astigmatism compared to the Callisto group (mean |CYL|: 0.27 ± 0.32 D vs. 0.54 ± 0.34 D; Mann-Whitney U, p=0.030). A higher proportion of LENSAR eyes achieved residual cylinder ≤0.50 D (93.8% vs. 85.7%). No statistically significant difference was found in postoperative sphere or residual SEQ between the two groups. The only significant preoperative difference was in white-to-white diameter (WTW; p=0.032) and sex distribution (p=0.044), while all other biometric parameters were comparable.",
        "Conclusions": "Both the Callisto Eye and LENSAR robotic laser-assisted systems achieved good astigmatic correction with multifocal toric IOLs in cataract patients. However, eyes in the LENSAR group showed statistically significantly lower postoperative residual cylinder (p=0.030), with a higher proportion achieving the target of ≤0.50 D residual astigmatism. These results suggest that the LENSAR robotic femtosecond laser platform may confer an advantage in astigmatic correction precision for toric IOL implantation. Prospective studies with larger sample sizes and matched cohorts are warranted to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both the Callisto Eye and LENSAR robotic laser-assisted systems achieved good astigmatic correction with multifocal toric IOLs in cataract patients. However, eyes in the LENSAR group showed statistically significantly lower postoperative residual cylinder (p=0.030), with a higher proportion achieving the target of ≤0.50 D residual astigmatism. These results suggest that the LENSAR robotic femtosecond laser platform…",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 70,
      "source_fields": {
        "Abstract Final Identifier": "FP05.09",
        "Title": "Comparison Of Astigmatic Correction Outcomes With Trifocal Toric Iols Using Image-Guided System Vs. Laser-Assisted Capsulorhexis Marking Systems",
        "Presenting Author(s)": "Dr Elif Ceren Yeşilkaya",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Elif Ceren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yeşilkaya",
        "Country Name": "Türkiye",
        "Purpose": "To compare postoperative residual astigmatism and demographic/refractive characteristics in cataract patients receiving trifocal toric intraocular lenses (IOLs) (FineVision; PhysIOL, Liege, Belgium) implanted with guidance by either the image-guided system (Callisto eye; Carl Zeiss, Oberkochen, Germany) or the robotic femtosecond laser refractive capsulorhexis marking system (ALLY's IntelliAxis; LENSAR, Orlando, FL).",
        "Setting": "This is a retrospective study conducted at Medicana Zincirlikuyu Hospital, Istanbul, Turkey.",
        "Methods": "This study was conducted including 26 eyes of 18 patients who underwent cataract surgery with trifocal toric IOL implantation. Eyes were divided into two groups: Callisto group (n=10 eyes) and LENSAR group (n=16 eyes). Preoperative biometric data and postoperative refractive outcomes were analyzed. The primary outcome measure was postoperative residual cylinder. Secondary outcomes included postoperative spherical equivalent, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). Between-group comparisons were performed using independent samples t-test for normally distributed data (Shapiro-Wilk test) and Mann-Whitney U test for non-normally distributed data. Statistical significance was set at p<0.05.",
        "Results": "The LENSAR group demonstrated statistically significantly lower postoperative residual astigmatism compared to the Callisto group (mean |CYL|: 0.27 ± 0.32 D vs. 0.54 ± 0.34 D; Mann-Whitney U, p=0.030). A higher proportion of LENSAR eyes achieved residual cylinder ≤0.50 D (93.8% vs. 85.7%). No statistically significant difference was found in postoperative sphere or residual SEQ between the two groups. The only significant preoperative difference was in white-to-white diameter (WTW; p=0.032) and sex distribution (p=0.044), while all other biometric parameters were comparable.",
        "Conclusions": "Both the Callisto Eye and LENSAR robotic laser-assisted systems achieved good astigmatic correction with multifocal toric IOLs in cataract patients. However, eyes in the LENSAR group showed statistically significantly lower postoperative residual cylinder (p=0.030), with a higher proportion achieving the target of ≤0.50 D residual astigmatism. These results suggest that the LENSAR robotic femtosecond laser platform may confer an advantage in astigmatic correction precision for toric IOL implantation. Prospective studies with larger sample sizes and matched cohorts are warranted to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "FP05.10",
      "abstract_number": "FP05.10",
      "title": "Postoperative Final Results Of Toric Addon Intraocular Lenses After Keratoplasty And Cataract Surgery - An Explorative Retrospective Study",
      "authors": "Dr Nikolaus Mahnert",
      "presenter": "Dr Nikolaus Mahnert",
      "normalized_authors": [
        "Nikolaus Mahnert"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nikolaus Mahnert",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate postoperative refractive outcomes and axis offset of a toric AddOn (1stQ Gmbh, Mannheim, Germany) Intraocular lens (IOL) after penetrating keratoplasty (PKP) and cataract surgery.",
        "Setting": "This single center, retrospective, explorative analysis was conducted at the Department of Ophthalmology\nand Optometry at the Medical University of Vienna.",
        "Methods": "In this retrospective exploratory analysis, eleven eyes of 11 patients with a history of penetrating keratoplasty and subsequent cataract surgery underwent implantation of a toric AddOn intraocular lens.\nRefractive outcomes were assessed by postoperative manifest refraction. Axis offset was evaluated using anterior segment optical coherence tomography (AS-OCT; Casia 2, Tomey Corporation, Japan) and postoperative ocular wavefront analysis was performed with a combined Scheimpflug camera/Placido disc topographer (Sirius) and a topo-aberrometer (Peramis) (SCHWIND eye-tech-solutions GmbH, Kleinostheim, Germany).",
        "Results": "Mean preoperative spherical equivalent (SE) and refractive cylinder (Cyl) were −2.10 ± 2.17 D [−4.88; 3.16] and +7.52 ± 2.07 D [3.25; 12.50], respectively. Postoperative mean SE was −0.53 ± 0.65 D and mean Cyl was +1.07 ± 1.16 D [0; 3]. The mean reduction in Cyl from pre- to postoperative was −6.45 ± 1.76 D [−9.50; −3.25]. Mean postoperative absolute IOL offset was 2.89 ± 1.27° [1; 5]. Mean higher-order aberrations (HOAs) at 5 mm were 1.58 ± 0.52 µm RMS [0.77; 2.38].",
        "Conclusions": "In this retrospective exploratory analysis, toric AddOn IOL implantation in eyes after penetrating keratoplasty demonstrated minimal axis offset compared to the target implantation axis. Postoperative refractive outcomes were satisfactory, with a mean reduction of 87% in refractive cylinder compared to preoperative values, as measured by manifest refraction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this retrospective exploratory analysis, toric AddOn IOL implantation in eyes after penetrating keratoplasty demonstrated minimal axis offset compared to the target implantation axis. Postoperative refractive outcomes were satisfactory, with a mean reduction of 87% in refractive cylinder compared to preoperative values, as measured by manifest refraction.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 71,
      "source_fields": {
        "Abstract Final Identifier": "FP05.10",
        "Title": "Postoperative Final Results Of Toric Addon Intraocular Lenses After Keratoplasty And Cataract Surgery - An Explorative Retrospective Study",
        "Presenting Author(s)": "Dr Nikolaus Mahnert",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Nikolaus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mahnert",
        "Country Name": "Austria",
        "Purpose": "To evaluate postoperative refractive outcomes and axis offset of a toric AddOn (1stQ Gmbh, Mannheim, Germany) Intraocular lens (IOL) after penetrating keratoplasty (PKP) and cataract surgery.",
        "Setting": "This single center, retrospective, explorative analysis was conducted at the Department of Ophthalmology\nand Optometry at the Medical University of Vienna.",
        "Methods": "In this retrospective exploratory analysis, eleven eyes of 11 patients with a history of penetrating keratoplasty and subsequent cataract surgery underwent implantation of a toric AddOn intraocular lens.\nRefractive outcomes were assessed by postoperative manifest refraction. Axis offset was evaluated using anterior segment optical coherence tomography (AS-OCT; Casia 2, Tomey Corporation, Japan) and postoperative ocular wavefront analysis was performed with a combined Scheimpflug camera/Placido disc topographer (Sirius) and a topo-aberrometer (Peramis) (SCHWIND eye-tech-solutions GmbH, Kleinostheim, Germany).",
        "Results": "Mean preoperative spherical equivalent (SE) and refractive cylinder (Cyl) were −2.10 ± 2.17 D [−4.88; 3.16] and +7.52 ± 2.07 D [3.25; 12.50], respectively. Postoperative mean SE was −0.53 ± 0.65 D and mean Cyl was +1.07 ± 1.16 D [0; 3]. The mean reduction in Cyl from pre- to postoperative was −6.45 ± 1.76 D [−9.50; −3.25]. Mean postoperative absolute IOL offset was 2.89 ± 1.27° [1; 5]. Mean higher-order aberrations (HOAs) at 5 mm were 1.58 ± 0.52 µm RMS [0.77; 2.38].",
        "Conclusions": "In this retrospective exploratory analysis, toric AddOn IOL implantation in eyes after penetrating keratoplasty demonstrated minimal axis offset compared to the target implantation axis. Postoperative refractive outcomes were satisfactory, with a mean reduction of 87% in refractive cylinder compared to preoperative values, as measured by manifest refraction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "FP05.11",
      "abstract_number": "FP05.11",
      "title": "A Comparative Study On Visual Outcome And Rotational Stability After Different Toric Intraocular Lens Implantation During Cataract Surgery—A Randomised Controlled Trial",
      "authors": "Dr Sucheta ParijaDhall",
      "presenter": "Dr Sucheta ParijaDhall",
      "normalized_authors": [
        "Sucheta ParijaDhall"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sucheta Parija Dhall",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate comparing the visual acuity and rotational stability of hydrophobic hybrid toric versus hydrophilic toric enhanced depth of focus ( EDOF) intraocular lenses ( IOLs) in patients undergoing cataract surgery with coexisting astigmatism.",
        "Setting": "Tertiary Eye Hospital and Medical College, Odisha, India",
        "Methods": "This was a prospective, randomized clinical study on all patients with senile cataract and regular corneal astigmatism who consented for this study undergoing phacoemulsification operated under a single-surgeon during the year 2024-2025. Total of 68 patients were randomized to receive the hydrophobic, Eyehance toric (Group A, n=34) or hydrophilic Rayner toric IOLs (Group B, n=34) undergoing phacoemulsification. Comprehensive postoperative visual acuity, rotational stability and residual astigmatism were evaluated at 1 week, 1 month, and 3 months post-surgery. Patient satisfaction, as measured by a quality-of-life questionnaire, was added to provide a holistic view of treatment success.",
        "Results": "Mean age was 62.9 vs 65.1 years in Group A and B respectively. Best-corrected visual acuity (log MAR) was 0.032+/-0.082 in Group A and 0.034+/-0.077 in Group B at 3 months (p=0.554) . Friedman tests compared the residual astigmatism between time intervals and no significant differences was noted between them (p-values >0.05). On the rotational stability, while significant differences were observed between the time intervals among the hydrophilic group (p = 0.039), no significant differences were observed in the hydrophobic group (p = 0.242). Group A reported 79.4 % of patients were “very satisfied”, and 20.6 % were “fairly satisfied” compared to Group B, 44.1 % were “very satisfied” and 55.9 % were “fairly satisfied.” (p <0.003).",
        "Conclusions": "The study provides clear evidence that both IOLs were excellent at delivering vision and reducing residual astigmatism. The hydrophilic acrylic toric IOL had comparable rates of postoperative misalignment and surgical repositioning with the hydrophobic acrylic toric IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The study provides clear evidence that both IOLs were excellent at delivering vision and reducing residual astigmatism. The hydrophilic acrylic toric IOL had comparable rates of postoperative misalignment and surgical repositioning with the hydrophobic acrylic toric IOL.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 72,
      "source_fields": {
        "Abstract Final Identifier": "FP05.11",
        "Title": "A Comparative Study On Visual Outcome And Rotational Stability After Different Toric Intraocular Lens Implantation During Cataract Surgery—A Randomised Controlled Trial",
        "Presenting Author(s)": "Dr Sucheta ParijaDhall",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Sucheta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parija Dhall",
        "Country Name": "India",
        "Purpose": "To evaluate comparing the visual acuity and rotational stability of hydrophobic hybrid toric versus hydrophilic toric enhanced depth of focus ( EDOF) intraocular lenses ( IOLs) in patients undergoing cataract surgery with coexisting astigmatism.",
        "Setting": "Tertiary Eye Hospital and Medical College, Odisha, India",
        "Methods": "This was a prospective, randomized clinical study on all patients with senile cataract and regular corneal astigmatism who consented for this study undergoing phacoemulsification operated under a single-surgeon during the year 2024-2025. Total of 68 patients were randomized to receive the hydrophobic, Eyehance toric (Group A, n=34) or hydrophilic Rayner toric IOLs (Group B, n=34) undergoing phacoemulsification. Comprehensive postoperative visual acuity, rotational stability and residual astigmatism were evaluated at 1 week, 1 month, and 3 months post-surgery. Patient satisfaction, as measured by a quality-of-life questionnaire, was added to provide a holistic view of treatment success.",
        "Results": "Mean age was 62.9 vs 65.1 years in Group A and B respectively. Best-corrected visual acuity (log MAR) was 0.032+/-0.082 in Group A and 0.034+/-0.077 in Group B at 3 months (p=0.554) . Friedman tests compared the residual astigmatism between time intervals and no significant differences was noted between them (p-values >0.05). On the rotational stability, while significant differences were observed between the time intervals among the hydrophilic group (p = 0.039), no significant differences were observed in the hydrophobic group (p = 0.242). Group A reported 79.4 % of patients were “very satisfied”, and 20.6 % were “fairly satisfied” compared to Group B, 44.1 % were “very satisfied” and 55.9 % were “fairly satisfied.” (p <0.003).",
        "Conclusions": "The study provides clear evidence that both IOLs were excellent at delivering vision and reducing residual astigmatism. The hydrophilic acrylic toric IOL had comparable rates of postoperative misalignment and surgical repositioning with the hydrophobic acrylic toric IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "FP05.12",
      "abstract_number": "FP05.12",
      "title": "Comparison Of Immediate Postoperative Supine Posturing And No Posturing On Refractive Astigmatism After Toric Intraocular Lens Implantation",
      "authors": "Dr Sudarshan Seshasai",
      "presenter": "Dr Sudarshan Seshasai",
      "normalized_authors": [
        "Sudarshan Seshasai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sudarshan Seshasai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To evaluate the effect of immediate postoperative posturing on refractive astigmatism outcomes following toric intraocular lens (IOL) implantation.",
        "Setting": "Singapore National Eye Centre, Singapore.",
        "Methods": "This retrospective audit included 178 eyes of 134 patients who underwent phacoemulsification with Clareon toric IOL implantation between October 2023 to January 2025. Based on surgeon preference, 89 eyes maintained face-up positioning for 30–60 minutes before discharge (posture group), while 89 eyes had no specific positioning instructions (no posture group) post-surgery. Astigmatic outcomes were analyzed using double-angle vector methods via the ESCRS-endorsed Eyetemis tool. The primary outcome was residual refractive astigmatism magnitude. Secondary analysis included vector centroid assessment of postoperative refractive astigmatism. Additionally, subgroup analysis comparing use of digital-IOL marker was performed.",
        "Results": "Both groups had similar baseline characteristics, though baseline axial length differed. Mean postoperative residual refractive astigmatism was lower in the posture group (0.520±0.366 D vs 0.683±0.488 D) (p=0.040). Mean prediction error vector magnitude (centroid) was 0.139 D versus 0.236 D, representing 41% reduction in systematic error. Standard deviation was 0.345 D versus 0.456 D (24% reduction in random variability). Mean absolute prediction error was 0.497 D versus 0.658 D. More eyes achieved prediction error ≤0.50 D (57.3% vs 44.9%) and ≤1.00 D (93.3% vs 79.8%). Vector analysis demonstrated a markedly smaller postoperative astigmatism centroid magnitude with digital marking (0.05 D vs 0.21 D), indicating reduced systematic error.",
        "Conclusions": "Immediate postoperative positioning was associated with improved astigmatic outcomes. Prospective randomized studies are warranted for further evaluation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Immediate postoperative positioning was associated with improved astigmatic outcomes. Prospective randomized studies are warranted for further evaluation.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 73,
      "source_fields": {
        "Abstract Final Identifier": "FP05.12",
        "Title": "Comparison Of Immediate Postoperative Supine Posturing And No Posturing On Refractive Astigmatism After Toric Intraocular Lens Implantation",
        "Presenting Author(s)": "Dr Sudarshan Seshasai",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Sudarshan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Seshasai",
        "Country Name": "Singapore",
        "Purpose": "To evaluate the effect of immediate postoperative posturing on refractive astigmatism outcomes following toric intraocular lens (IOL) implantation.",
        "Setting": "Singapore National Eye Centre, Singapore.",
        "Methods": "This retrospective audit included 178 eyes of 134 patients who underwent phacoemulsification with Clareon toric IOL implantation between October 2023 to January 2025. Based on surgeon preference, 89 eyes maintained face-up positioning for 30–60 minutes before discharge (posture group), while 89 eyes had no specific positioning instructions (no posture group) post-surgery. Astigmatic outcomes were analyzed using double-angle vector methods via the ESCRS-endorsed Eyetemis tool. The primary outcome was residual refractive astigmatism magnitude. Secondary analysis included vector centroid assessment of postoperative refractive astigmatism. Additionally, subgroup analysis comparing use of digital-IOL marker was performed.",
        "Results": "Both groups had similar baseline characteristics, though baseline axial length differed. Mean postoperative residual refractive astigmatism was lower in the posture group (0.520±0.366 D vs 0.683±0.488 D) (p=0.040). Mean prediction error vector magnitude (centroid) was 0.139 D versus 0.236 D, representing 41% reduction in systematic error. Standard deviation was 0.345 D versus 0.456 D (24% reduction in random variability). Mean absolute prediction error was 0.497 D versus 0.658 D. More eyes achieved prediction error ≤0.50 D (57.3% vs 44.9%) and ≤1.00 D (93.3% vs 79.8%). Vector analysis demonstrated a markedly smaller postoperative astigmatism centroid magnitude with digital marking (0.05 D vs 0.21 D), indicating reduced systematic error.",
        "Conclusions": "Immediate postoperative positioning was associated with improved astigmatic outcomes. Prospective randomized studies are warranted for further evaluation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP05.13",
      "abstract_number": "FP05.13",
      "title": "Assessment Of Toric Iol Alignment With An Aberrometric Corneal Analyzer Using Preoperative Planning Images As Reference",
      "authors": "A/Prof. Andre Messias",
      "presenter": "A/Prof. Andre Messias",
      "normalized_authors": [
        "Andre Messias"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andre Messias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate the feasibility of aligning OPD-ScanIII (OPD) images with preoperative planning data from the Verion™ Image Guided System to assess toric intraocular lens (IOL) alignment, and to investigate the relationship between IOL misalignment and residual refractive astigmatism.",
        "Setting": "Tertiary referral center at Hospital das Clínicas, Ribeirão Preto Medical School – University of São Paulo, Brazil.",
        "Methods": "Patients implanted with Clareon® toric IOLs were examined preoperatively and postoperatively using OPD-Scan III and Verion™ images. Misalignment was defined as the angular difference between the preoperative planned axis (Verion™) and the final IOL axis estimated from retroillumination images. Rotation was defined as the change in IOL orientation between two postoperative time points. Image alignment was performed using episcleral vessel landmarks. Residual refractive astigmatism was analyzed using vector decomposition into Cartesian components (J0 and J45).",
        "Results": "Among 56 eyes (44 patients), the mean signed angular difference between Verion™ and OPD images was 0.49° ± 2.90°, and the mean absolute difference was 2.18° ± 1.96°; in 20% of cases, this discrepancy exceeded 4°. The mean IOL misalignment was 6.11° ± 4.57°, while rotation was 2.55° between surgery and 1 week, 1.41° at 4 weeks, and 0.98° at late follow-up. A significant correlation was found between IOL misalignment and the magnitude of residual refractive astigmatism (P < 0.0001). The mean refractive cylinder decreased from –1.38 D preoperatively to –0.57 D postoperatively and remained stable over time.",
        "Conclusions": "Alignment of OPD and Verion™ images using episcleral vessel registration is feasible and may enhance the assessment of toric IOL orientation. Misalignment from the intended axis significantly impacts astigmatic outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Alignment of OPD and Verion™ images using episcleral vessel registration is feasible and may enhance the assessment of toric IOL orientation. Misalignment from the intended axis significantly impacts astigmatic outcomes.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 74,
      "source_fields": {
        "Abstract Final Identifier": "FP05.13",
        "Title": "Assessment Of Toric Iol Alignment With An Aberrometric Corneal Analyzer Using Preoperative Planning Images As Reference",
        "Presenting Author(s)": "A/Prof. Andre Messias",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Andre",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messias",
        "Country Name": "Brazil",
        "Purpose": "To evaluate the feasibility of aligning OPD-ScanIII (OPD) images with preoperative planning data from the Verion™ Image Guided System to assess toric intraocular lens (IOL) alignment, and to investigate the relationship between IOL misalignment and residual refractive astigmatism.",
        "Setting": "Tertiary referral center at Hospital das Clínicas, Ribeirão Preto Medical School – University of São Paulo, Brazil.",
        "Methods": "Patients implanted with Clareon® toric IOLs were examined preoperatively and postoperatively using OPD-Scan III and Verion™ images. Misalignment was defined as the angular difference between the preoperative planned axis (Verion™) and the final IOL axis estimated from retroillumination images. Rotation was defined as the change in IOL orientation between two postoperative time points. Image alignment was performed using episcleral vessel landmarks. Residual refractive astigmatism was analyzed using vector decomposition into Cartesian components (J0 and J45).",
        "Results": "Among 56 eyes (44 patients), the mean signed angular difference between Verion™ and OPD images was 0.49° ± 2.90°, and the mean absolute difference was 2.18° ± 1.96°; in 20% of cases, this discrepancy exceeded 4°. The mean IOL misalignment was 6.11° ± 4.57°, while rotation was 2.55° between surgery and 1 week, 1.41° at 4 weeks, and 0.98° at late follow-up. A significant correlation was found between IOL misalignment and the magnitude of residual refractive astigmatism (P < 0.0001). The mean refractive cylinder decreased from –1.38 D preoperatively to –0.57 D postoperatively and remained stable over time.",
        "Conclusions": "Alignment of OPD and Verion™ images using episcleral vessel registration is feasible and may enhance the assessment of toric IOL orientation. Misalignment from the intended axis significantly impacts astigmatic outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "FP05.14",
      "abstract_number": "FP05.14",
      "title": "Evaluation Of Toric Iol Axis Using Itrace Aberrometry And Ss‑Oct Iol Topography Under Small And Dilated Pupil Conditions",
      "authors": "Xu Chen",
      "presenter": "Xu Chen",
      "normalized_authors": [
        "Xu Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xu Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate postoperative toric intraocular lens (IOL) axis measurements obtained using iTrace aberrometry and a novo IOL topography software for swept‑source OCT (SS‑OCT) under small‑ and dilated‑pupil conditions, using dilated‑pupil slit‑lamp photography as the reference standard.",
        "Setting": "Shanghai Tongren Hospital, Shanghai, China.",
        "Methods": "Postoperative toric intraocular lens (IOL) axis measurements were collected using three modalities: diluted pupil slit‑lamp photography (reference), iTrace aberrometry (Tracey Technologies) (small pupil n=13; dilated pupil n=10), and novo SS‑OCT IOL Topography ( Intalight )(small pupil n=15; dilated pupil n=14). Toric IOLs from Zeiss and Johnson & Johnson (J&J) were included. Absolute measurement error relative to the photographic axis was categorized into ≤5°, ≤10°, ≤20°, and >20°. Cumulative distributions and eye counts were compared across modalities and pupil conditions to assess the dispersion of measurement error.",
        "Results": "iTrace under dilation showed the narrowest measurement error distribution, with 50% of eyes within ≤5°, 70% within ≤10°, and 90% within ≤20°. Under small pupils, iTrace showed moderate dispersion (38.5% ≤5°, 53.8% ≤10°, 69.2% ≤20°). Intalight SS‑OCT Novo‑IOL Topography under small pupils showed the widest dispersion (13.3% ≤5°, 26.7% ≤10°, 66.7% ≤20°, 33.3% >20°). With dilation, SS‑OCT performance improved (14.3% ≤5°, 50% ≤10°, 78.6% ≤20°), though measurement error remained broader than iTrace. Across modalities, dilation reduced measurement error, with the greatest improvement observed in iTrace.",
        "Conclusions": "Measurement error varied across modalities and pupil conditions. iTrace aberrometry under dilation provided the most consistent toric IOL axis evaluation. Intalight SS‑OCT novo IOL Topography function showed improved performance with dilation, and as a newly developed technology undergoing ongoing algorithm refinement, it may further enhance its value for toric axis measurement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Measurement error varied across modalities and pupil conditions. iTrace aberrometry under dilation provided the most consistent toric IOL axis evaluation. Intalight SS‑OCT novo IOL Topography function showed improved performance with dilation, and as a newly developed technology undergoing ongoing algorithm refinement, it may further enhance its value for toric axis measurement.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 75,
      "source_fields": {
        "Abstract Final Identifier": "FP05.14",
        "Title": "Evaluation Of Toric Iol Axis Using Itrace Aberrometry And Ss‑Oct Iol Topography Under Small And Dilated Pupil Conditions",
        "Presenting Author(s)": "Xu Chen",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Xu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "China",
        "Purpose": "To evaluate postoperative toric intraocular lens (IOL) axis measurements obtained using iTrace aberrometry and a novo IOL topography software for swept‑source OCT (SS‑OCT) under small‑ and dilated‑pupil conditions, using dilated‑pupil slit‑lamp photography as the reference standard.",
        "Setting": "Shanghai Tongren Hospital, Shanghai, China.",
        "Methods": "Postoperative toric intraocular lens (IOL) axis measurements were collected using three modalities: diluted pupil slit‑lamp photography (reference), iTrace aberrometry (Tracey Technologies) (small pupil n=13; dilated pupil n=10), and novo SS‑OCT IOL Topography ( Intalight )(small pupil n=15; dilated pupil n=14). Toric IOLs from Zeiss and Johnson & Johnson (J&J) were included. Absolute measurement error relative to the photographic axis was categorized into ≤5°, ≤10°, ≤20°, and >20°. Cumulative distributions and eye counts were compared across modalities and pupil conditions to assess the dispersion of measurement error.",
        "Results": "iTrace under dilation showed the narrowest measurement error distribution, with 50% of eyes within ≤5°, 70% within ≤10°, and 90% within ≤20°. Under small pupils, iTrace showed moderate dispersion (38.5% ≤5°, 53.8% ≤10°, 69.2% ≤20°). Intalight SS‑OCT Novo‑IOL Topography under small pupils showed the widest dispersion (13.3% ≤5°, 26.7% ≤10°, 66.7% ≤20°, 33.3% >20°). With dilation, SS‑OCT performance improved (14.3% ≤5°, 50% ≤10°, 78.6% ≤20°), though measurement error remained broader than iTrace. Across modalities, dilation reduced measurement error, with the greatest improvement observed in iTrace.",
        "Conclusions": "Measurement error varied across modalities and pupil conditions. iTrace aberrometry under dilation provided the most consistent toric IOL axis evaluation. Intalight SS‑OCT novo IOL Topography function showed improved performance with dilation, and as a newly developed technology undergoing ongoing algorithm refinement, it may further enhance its value for toric axis measurement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "FP05.15",
      "abstract_number": "FP05.15",
      "title": "Comparison Of Rotational Stability Of Two Aspheric Toric Intraocular Lenses (Iols): Final Results Of A Randomised Controlled Study",
      "authors": "Mr Ashmal Jameel",
      "presenter": "Mr Ashmal Jameel",
      "normalized_authors": [
        "Ashmal Jameel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ashmal Jameel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the rotational stability of two monofocal toric intraocular lenses (IOLs), the Eyhance Toric II IOL and the Alcon IQ SN6ATX IOL using slit lamp photography image analysis.",
        "Setting": "University Hospital, Guy’s and St. Thomas NHS Foundation trust.",
        "Methods": "Patients with bilateral cataracts and corneal astigmatism of over 1.25 dioptres, and no significant ophthalmic problems were randomised to receive either bilateral insertion of Alcon SN6ATX or the Eyhance Toric II IOL with micro-monovision. Digital photography was performed on day of surgery and at 6 weeks and 6 months for one eye per patient. Toric IOL axis marker positions were measured against iris and scleral landmarks, for assessment of Toric IOL rotation. Initial insertion IOL position was compared with intended position. IOL position was compared with insertion position at 6 weeks after surgery. Photography was analysed by an independent third-party consultant, using AMO TECNIS Toric Lens Imaging Program© (Johnson & Johnson, USA).",
        "Results": "Thirty-seven patients randomised to the Alcon SN6ATX group (11M:26F, mean age 71.9 yrs), and thirty-nine patients to the Eyhance Toric II group (16M:23F, 66.98 yrs) have completed 6-week follow-up. Mean IOL rotation at 6 weeks, in the Alcon SN6ATX group was 0.86˚ (0.14-3.18; SD 0.62), and 0.85˚˚ (0.08-2.17; SD 0.60) in the Eyhance Toric group (p= 0.84). Mean IOL rotation at 6 months, in the Alcon SN6ATX group was 0.95˚˚ (0.07 – 2.64; SD 0.95), and 0.91˚˚ (0.11-2.04; SD 0.61) in the Eyhance Toric group (p= 0.84). Mean IOL rotation from 6 weeks to 6 months, in the Alcon SN6ATX group was 0.74˚˚ (0.00 – 2.09; SD 0.55), and 0.69˚˚ (0.03-2.93; SD 0.65) in the Eyhance Toric group (p= 0.55).",
        "Conclusions": "In both groups, toric IOL rotation at 6 weeks and 6 months was less than 1 degree from the original position, as measured on day of surgery. There was no statistically significant difference measured between the two groups. In summary, there were acceptable levels of Toric IOL rotational stability in both IOL groups, and non-inferiority of the Eyhance Toric II IOL when compared to the Alcon Toric IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In both groups, toric IOL rotation at 6 weeks and 6 months was less than 1 degree from the original position, as measured on day of surgery. There was no statistically significant difference measured between the two groups. In summary, there were acceptable levels of Toric IOL rotational stability in both IOL groups, and non-inferiority of the Eyhance Toric II IOL when compared to the Alcon Toric IOL.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 76,
      "source_fields": {
        "Abstract Final Identifier": "FP05.15",
        "Title": "Comparison Of Rotational Stability Of Two Aspheric Toric Intraocular Lenses (Iols): Final Results Of A Randomised Controlled Study",
        "Presenting Author(s)": "Mr Ashmal Jameel",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Ashmal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jameel",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the rotational stability of two monofocal toric intraocular lenses (IOLs), the Eyhance Toric II IOL and the Alcon IQ SN6ATX IOL using slit lamp photography image analysis.",
        "Setting": "University Hospital, Guy’s and St. Thomas NHS Foundation trust.",
        "Methods": "Patients with bilateral cataracts and corneal astigmatism of over 1.25 dioptres, and no significant ophthalmic problems were randomised to receive either bilateral insertion of Alcon SN6ATX or the Eyhance Toric II IOL with micro-monovision. Digital photography was performed on day of surgery and at 6 weeks and 6 months for one eye per patient. Toric IOL axis marker positions were measured against iris and scleral landmarks, for assessment of Toric IOL rotation. Initial insertion IOL position was compared with intended position. IOL position was compared with insertion position at 6 weeks after surgery. Photography was analysed by an independent third-party consultant, using AMO TECNIS Toric Lens Imaging Program© (Johnson & Johnson, USA).",
        "Results": "Thirty-seven patients randomised to the Alcon SN6ATX group (11M:26F, mean age 71.9 yrs), and thirty-nine patients to the Eyhance Toric II group (16M:23F, 66.98 yrs) have completed 6-week follow-up. Mean IOL rotation at 6 weeks, in the Alcon SN6ATX group was 0.86˚ (0.14-3.18; SD 0.62), and 0.85˚˚ (0.08-2.17; SD 0.60) in the Eyhance Toric group (p= 0.84). Mean IOL rotation at 6 months, in the Alcon SN6ATX group was 0.95˚˚ (0.07 – 2.64; SD 0.95), and 0.91˚˚ (0.11-2.04; SD 0.61) in the Eyhance Toric group (p= 0.84). Mean IOL rotation from 6 weeks to 6 months, in the Alcon SN6ATX group was 0.74˚˚ (0.00 – 2.09; SD 0.55), and 0.69˚˚ (0.03-2.93; SD 0.65) in the Eyhance Toric group (p= 0.55).",
        "Conclusions": "In both groups, toric IOL rotation at 6 weeks and 6 months was less than 1 degree from the original position, as measured on day of surgery. There was no statistically significant difference measured between the two groups. In summary, there were acceptable levels of Toric IOL rotational stability in both IOL groups, and non-inferiority of the Eyhance Toric II IOL when compared to the Alcon Toric IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "FP06.01",
      "abstract_number": "FP06.01",
      "title": "Quantitative Corneal Epithelial Wavefront Aberrations For Precise Detection Of Keratoconus And Forme Fruste Keratoconus",
      "authors": "Dr Jinhai Huang",
      "presenter": "Dr Jinhai Huang",
      "normalized_authors": [
        "Jinhai Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jinhai Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To rigorously evaluate the discriminative performance of corneal epithelial wavefront aberrations in distinguishing forme fruste keratoconus (FFKC) and clinically manifest keratoconus (KC) from normal corneas.",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "326 right eyes (91 normal, 87 FFKC, 148 KC) were imaged with anterior-segment optical coherence tomography. Epithelial aberrations within a 6-mm zone were decomposed into Zernike coefficients; total RMS, HOAs RMS, coma, trefoil, spherical and secondary astigmatism were extracted. Stepwise logistic regression generated composite epithelial aberration indices (EAI-FFKC, EAI-KC). Diagnostic accuracy was assessed by area under the ROC curve (AUC) with sensitivity and specificity.",
        "Results": "Epithelial HOAs were significantly elevated in both FFKC and KC cohorts compared with normal eyes (all P < 0.001). In the FFKC versus normal comparison, HOAs RMS and coma yielded AUCs of 0.714 (95 % CI 0.647–0.781) and 0.788 (0.725–0.850), respectively. The composite EAI-FFKC maximized discriminatory power (AUC 0.822; 95%CI 0.768–0.877) with 77.0% sensitivity and 75.8% specificity. For KC versus normal, HOAs RMS exhibited AUCs ranging from 0.976 to 0.998 (sensitivity 95.2 %–100%, specificity 92.3%–96.7%), while coma reached AUCs of 0.974–0.997 (sensitivity 92.9%–100%, specificity 96.7%–98.9%). The integrated EAI-KC achieved near-perfect separation (AUC 0.996; 95% CI 0.993–0.999), with 98.6 % sensitivity and 98.9 % specificity.",
        "Conclusions": "Epithelial wavefront analysis tracks abnormal epithelial remodeling throughout the entire keratoconus spectrum, from subclinical forme fruste to advanced ectasia, establishing epithelial aberrations as a robust, non-invasive biomarker for diagnosing both KC and FFKC."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Epithelial wavefront analysis tracks abnormal epithelial remodeling throughout the entire keratoconus spectrum, from subclinical forme fruste to advanced ectasia, establishing epithelial aberrations as a robust, non-invasive biomarker for diagnosing both KC and FFKC.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 77,
      "source_fields": {
        "Abstract Final Identifier": "FP06.01",
        "Title": "Quantitative Corneal Epithelial Wavefront Aberrations For Precise Detection Of Keratoconus And Forme Fruste Keratoconus",
        "Presenting Author(s)": "Dr Jinhai Huang",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Jinhai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "China",
        "Purpose": "To rigorously evaluate the discriminative performance of corneal epithelial wavefront aberrations in distinguishing forme fruste keratoconus (FFKC) and clinically manifest keratoconus (KC) from normal corneas.",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "326 right eyes (91 normal, 87 FFKC, 148 KC) were imaged with anterior-segment optical coherence tomography. Epithelial aberrations within a 6-mm zone were decomposed into Zernike coefficients; total RMS, HOAs RMS, coma, trefoil, spherical and secondary astigmatism were extracted. Stepwise logistic regression generated composite epithelial aberration indices (EAI-FFKC, EAI-KC). Diagnostic accuracy was assessed by area under the ROC curve (AUC) with sensitivity and specificity.",
        "Results": "Epithelial HOAs were significantly elevated in both FFKC and KC cohorts compared with normal eyes (all P < 0.001). In the FFKC versus normal comparison, HOAs RMS and coma yielded AUCs of 0.714 (95 % CI 0.647–0.781) and 0.788 (0.725–0.850), respectively. The composite EAI-FFKC maximized discriminatory power (AUC 0.822; 95%CI 0.768–0.877) with 77.0% sensitivity and 75.8% specificity. For KC versus normal, HOAs RMS exhibited AUCs ranging from 0.976 to 0.998 (sensitivity 95.2 %–100%, specificity 92.3%–96.7%), while coma reached AUCs of 0.974–0.997 (sensitivity 92.9%–100%, specificity 96.7%–98.9%). The integrated EAI-KC achieved near-perfect separation (AUC 0.996; 95% CI 0.993–0.999), with 98.6 % sensitivity and 98.9 % specificity.",
        "Conclusions": "Epithelial wavefront analysis tracks abnormal epithelial remodeling throughout the entire keratoconus spectrum, from subclinical forme fruste to advanced ectasia, establishing epithelial aberrations as a robust, non-invasive biomarker for diagnosing both KC and FFKC."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "FP06.02",
      "abstract_number": "FP06.02",
      "title": "Abnormal Corvis Biomechanical Indices In Pediatric Hyperopia: Keratoconus Or Age-Related Elasticity?",
      "authors": "Dr Anthony Dany Daher",
      "presenter": "Dr Anthony Dany Daher",
      "normalized_authors": [
        "Anthony Dany Daher"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anthony Dany Daher",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lebanon",
      "sections": {
        "Purpose": "To determine whether elevated Corvis ST biomechanical indices in pediatric hyperopic eyes represent early keratoconus or reflect normal age-related corneal elasticity.",
        "Setting": "Advanced Eye Care Hospital, Beirut, Lebanon.",
        "Methods": "A retrospective cross-sectional study included 139 pediatric patients (277 eyes) aged 0–17 years with hyperopic or emmetropic refraction who underwent Corvis ST assessment. Myopic eyes and known corneal pathology were excluded. Abnormal biomechanical indices were defined using adult thresholds: Corvis Biomechanical Index (CBI) ≥0.50 and Tomographic Biomechanical Index (TBI) ≥0.79 (≥0.29 suspicious). Proportions exceeding thresholds were calculated and correlated with clinical and tomographic findings of keratoconus.",
        "Results": "Using adult thresholds, 45% of eyes demonstrated CBI ≥0.50 and 22% exceeded CBI ≥0.90. Among eyes with tomographic integration (n=39), 33% showed TBI ≥0.79 and 85% exceeded 0.29. Despite these high rates of “abnormal” biomechanical indices, no eyes demonstrated clinical or tomographic evidence of keratoconus except one outlier with marked corneal thinning. The majority of elevated indices therefore represented false positives. Hyperopic pediatric corneas, expected to be biomechanically stronger than myopic eyes, nonetheless frequently exceeded adult ectasia thresholds, suggesting age-related corneal elasticity as the primary driver.",
        "Conclusions": "Adult Corvis ST cutoff values identify a large proportion of normal pediatric hyperopic corneas as abnormal, indicating high false-positive rates for keratoconus in children. Elevated biomechanical indices in pediatric hyperopia likely reflect physiologic corneal elasticity rather than ectatic disease. Pediatric-specific normative values or age-adjusted thresholds are required to improve diagnostic accuracy and prevent overdiagnosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Adult Corvis ST cutoff values identify a large proportion of normal pediatric hyperopic corneas as abnormal, indicating high false-positive rates for keratoconus in children. Elevated biomechanical indices in pediatric hyperopia likely reflect physiologic corneal elasticity rather than ectatic disease. Pediatric-specific normative values or age-adjusted thresholds are required to improve diagnostic accuracy and…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 78,
      "source_fields": {
        "Abstract Final Identifier": "FP06.02",
        "Title": "Abnormal Corvis Biomechanical Indices In Pediatric Hyperopia: Keratoconus Or Age-Related Elasticity?",
        "Presenting Author(s)": "Dr Anthony Dany Daher",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Anthony",
        "Submitter Middle Name": "Dany",
        "Submitter Last Name": "Daher",
        "Country Name": "Lebanon",
        "Purpose": "To determine whether elevated Corvis ST biomechanical indices in pediatric hyperopic eyes represent early keratoconus or reflect normal age-related corneal elasticity.",
        "Setting": "Advanced Eye Care Hospital, Beirut, Lebanon.",
        "Methods": "A retrospective cross-sectional study included 139 pediatric patients (277 eyes) aged 0–17 years with hyperopic or emmetropic refraction who underwent Corvis ST assessment. Myopic eyes and known corneal pathology were excluded. Abnormal biomechanical indices were defined using adult thresholds: Corvis Biomechanical Index (CBI) ≥0.50 and Tomographic Biomechanical Index (TBI) ≥0.79 (≥0.29 suspicious). Proportions exceeding thresholds were calculated and correlated with clinical and tomographic findings of keratoconus.",
        "Results": "Using adult thresholds, 45% of eyes demonstrated CBI ≥0.50 and 22% exceeded CBI ≥0.90. Among eyes with tomographic integration (n=39), 33% showed TBI ≥0.79 and 85% exceeded 0.29. Despite these high rates of “abnormal” biomechanical indices, no eyes demonstrated clinical or tomographic evidence of keratoconus except one outlier with marked corneal thinning. The majority of elevated indices therefore represented false positives. Hyperopic pediatric corneas, expected to be biomechanically stronger than myopic eyes, nonetheless frequently exceeded adult ectasia thresholds, suggesting age-related corneal elasticity as the primary driver.",
        "Conclusions": "Adult Corvis ST cutoff values identify a large proportion of normal pediatric hyperopic corneas as abnormal, indicating high false-positive rates for keratoconus in children. Elevated biomechanical indices in pediatric hyperopia likely reflect physiologic corneal elasticity rather than ectatic disease. Pediatric-specific normative values or age-adjusted thresholds are required to improve diagnostic accuracy and prevent overdiagnosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "FP06.03",
      "abstract_number": "FP06.03",
      "title": "Enhancing The Diagnostic Precision Of Subclinical Keratoconus By Combining Indices From Scheimpflug Tomography, Corneal Biomechanics, And Anterior Segment Optical Coherence Tomography",
      "authors": "A/Prof. Wan Haslina Halim",
      "presenter": "A/Prof. Wan Haslina Halim",
      "normalized_authors": [
        "Wan Haslina Halim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wan Haslina Halim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "To determine the diagnostic precision of multi-modal corneal imaging for detection of subclinical keratoconus (SKC).",
        "Setting": "Ophthalmology Clinic, Hospital Canselor Tunku Mukhriz, Kuala Lumpur, Malaysia.",
        "Methods": "All subjects in this prospective, cross-sectional study underwent Scheimpflug tomography (Pentacam HR), air-puff tonometry (Corvis ST), and spectral-domain optical coherence tomography (Cirrus HD SD-OCT). Combined diagnostic models were developed using stepwise logistic regression (SLR). The Kruskal–Walli’s test evaluated group differences. Diagnostic accuracy was assessed by calculating the area under the curve (AUC).",
        "Results": "A total of 137 participants were assessed ( 48 KCN , 36 SKC, and 53 normal). Most examined tomography, biomechanical, and pachymetry indices showed significant differences between KCN, SKC, and normal eyes (p<0.05). Single Tomographic Biomechanical Index, (TBI) data was most effective in identifying SCKC, achieving an AUC of 0.978 (p<0.001) with 100% sensitivity and 84.91% specificity. Combining SD-OCT and Pentacam HR data, the SLR model yielded superior accuracy for SKC detection, with an AUC of 0.966 (91.67% sensitivity and 100% specificity). The highest accuracy for SCKC identification was attained by integrating data from all three devices, resulting in 0.990 accuracy (86.91% sensitivity; 96.13% specificity).",
        "Conclusions": "Integrating a Scheimpflug-based biomechanical and tomography analyser with SD-OCT improves the precision of SCKC detection. This combined approach supports more accurate SKC screening and assists clinicians in identifying early disease in patients with otherwise normal findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Integrating a Scheimpflug-based biomechanical and tomography analyser with SD-OCT improves the precision of SCKC detection. This combined approach supports more accurate SKC screening and assists clinicians in identifying early disease in patients with otherwise normal findings.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 79,
      "source_fields": {
        "Abstract Final Identifier": "FP06.03",
        "Title": "Enhancing The Diagnostic Precision Of Subclinical Keratoconus By Combining Indices From Scheimpflug Tomography, Corneal Biomechanics, And Anterior Segment Optical Coherence Tomography",
        "Presenting Author(s)": "A/Prof. Wan Haslina Halim",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Wan Haslina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Halim",
        "Country Name": "Malaysia",
        "Purpose": "To determine the diagnostic precision of multi-modal corneal imaging for detection of subclinical keratoconus (SKC).",
        "Setting": "Ophthalmology Clinic, Hospital Canselor Tunku Mukhriz, Kuala Lumpur, Malaysia.",
        "Methods": "All subjects in this prospective, cross-sectional study underwent Scheimpflug tomography (Pentacam HR), air-puff tonometry (Corvis ST), and spectral-domain optical coherence tomography (Cirrus HD SD-OCT). Combined diagnostic models were developed using stepwise logistic regression (SLR). The Kruskal–Walli’s test evaluated group differences. Diagnostic accuracy was assessed by calculating the area under the curve (AUC).",
        "Results": "A total of 137 participants were assessed ( 48 KCN , 36 SKC, and 53 normal). Most examined tomography, biomechanical, and pachymetry indices showed significant differences between KCN, SKC, and normal eyes (p<0.05). Single Tomographic Biomechanical Index, (TBI) data was most effective in identifying SCKC, achieving an AUC of 0.978 (p<0.001) with 100% sensitivity and 84.91% specificity. Combining SD-OCT and Pentacam HR data, the SLR model yielded superior accuracy for SKC detection, with an AUC of 0.966 (91.67% sensitivity and 100% specificity). The highest accuracy for SCKC identification was attained by integrating data from all three devices, resulting in 0.990 accuracy (86.91% sensitivity; 96.13% specificity).",
        "Conclusions": "Integrating a Scheimpflug-based biomechanical and tomography analyser with SD-OCT improves the precision of SCKC detection. This combined approach supports more accurate SKC screening and assists clinicians in identifying early disease in patients with otherwise normal findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "FP06.04",
      "abstract_number": "FP06.04",
      "title": "Applicability Of The Step Grading System To Ms-39 Oct Measurements And Evaluation Of Epithelial And Stromal Parameters For Early Keratoconus Diagnosis",
      "authors": "Dr Chiara Muzio",
      "presenter": "Dr Chiara Muzio",
      "normalized_authors": [
        "Chiara Muzio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chiara Muzio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate whether the STEP grading system can also be applied to epithelial and stromal thickness parameters derived from the MS-39 OCT, and to determine the diagnostic performance of MS-39–derived epithelial, stromal, and epithelial-to-stromal ratio parameters for early keratoconus detection.",
        "Setting": "Department of Clinical Sciences and Community Health, University of Milan; Ophthalmology Division, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.\n\nDesign : Retrospective observational study.",
        "Methods": "A total of 313 eyes (103 normal, 210 keratoconus) were analyzed. MS-39 epithelial and stromal thickness parameters were extracted from the same map locations used in the original STEP study. Intersectoral differences, minimum and maximum thickness values, and epithelial-to-stromal ratios were calculated. The diagnostic performance of each parameter was assessed using ROC analysis, with area under the curve (AUC), sensitivity, and specificity calculated.",
        "Results": "The MS39-derived stromal parameters demonstrated reduced diagnostic performance compared with values reported in the original STEP publication. In our population, the greatest discriminatory ability between keratoconus and normal corneas was observed for parameters derived from intersectoral epithelial and stromal differences, as well as for the epithelial-to-stromal ratio. The epithelial thickness difference between superonasal and inferotemporal sectors (2–4 mm) showed the highest AUC (0.798; 95% CI, 0.749–0.847). The epithelial-to-stromal ratio in the superonasal sector (2–4 mm) had an AUC of 0.788 (95% CI, 0.735–0.841).",
        "Conclusions": "The STEP grading system may not be directly applicable to MS-39 measurements, as inter-device variability in stromal thickness limits straightforward translation of thresholds established on RTVue-XR SD-OCT. Epithelial-derived metrics, particularly intersectoral differences and the epithelial-to-stromal ratio, demonstrated the strongest diagnostic performance and may serve as more stable markers across devices. These findings support the need for device-specific threshold calibration when applying the STEP system to different platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The STEP grading system may not be directly applicable to MS-39 measurements, as inter-device variability in stromal thickness limits straightforward translation of thresholds established on RTVue-XR SD-OCT. Epithelial-derived metrics, particularly intersectoral differences and the epithelial-to-stromal ratio, demonstrated the strongest diagnostic performance and may serve as more stable markers across devices.…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 80,
      "source_fields": {
        "Abstract Final Identifier": "FP06.04",
        "Title": "Applicability Of The Step Grading System To Ms-39 Oct Measurements And Evaluation Of Epithelial And Stromal Parameters For Early Keratoconus Diagnosis",
        "Presenting Author(s)": "Dr Chiara Muzio",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Chiara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muzio",
        "Country Name": "Italy",
        "Purpose": "To evaluate whether the STEP grading system can also be applied to epithelial and stromal thickness parameters derived from the MS-39 OCT, and to determine the diagnostic performance of MS-39–derived epithelial, stromal, and epithelial-to-stromal ratio parameters for early keratoconus detection.",
        "Setting": "Department of Clinical Sciences and Community Health, University of Milan; Ophthalmology Division, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.\n\nDesign : Retrospective observational study.",
        "Methods": "A total of 313 eyes (103 normal, 210 keratoconus) were analyzed. MS-39 epithelial and stromal thickness parameters were extracted from the same map locations used in the original STEP study. Intersectoral differences, minimum and maximum thickness values, and epithelial-to-stromal ratios were calculated. The diagnostic performance of each parameter was assessed using ROC analysis, with area under the curve (AUC), sensitivity, and specificity calculated.",
        "Results": "The MS39-derived stromal parameters demonstrated reduced diagnostic performance compared with values reported in the original STEP publication. In our population, the greatest discriminatory ability between keratoconus and normal corneas was observed for parameters derived from intersectoral epithelial and stromal differences, as well as for the epithelial-to-stromal ratio. The epithelial thickness difference between superonasal and inferotemporal sectors (2–4 mm) showed the highest AUC (0.798; 95% CI, 0.749–0.847). The epithelial-to-stromal ratio in the superonasal sector (2–4 mm) had an AUC of 0.788 (95% CI, 0.735–0.841).",
        "Conclusions": "The STEP grading system may not be directly applicable to MS-39 measurements, as inter-device variability in stromal thickness limits straightforward translation of thresholds established on RTVue-XR SD-OCT. Epithelial-derived metrics, particularly intersectoral differences and the epithelial-to-stromal ratio, demonstrated the strongest diagnostic performance and may serve as more stable markers across devices. These findings support the need for device-specific threshold calibration when applying the STEP system to different platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP06.05",
      "abstract_number": "FP06.05",
      "title": "Diagnostic And Refractive Relevance Of Photopic And Mesopic Chord Μ In Keratoconus: A Comparative Cross-Sectional Study",
      "authors": "Dr Beyza Gürpınar",
      "presenter": "Dr Beyza Gürpınar",
      "normalized_authors": [
        "Beyza Gürpınar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Beyza Gürpınar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare photopic and mesopic chord µ values between keratoconus (KC) patients and healthy individuals, assess their correlation with biometric and aberrometric parameters, and evaluate their diagnostic value in KC detection and preoperative planning for refractive surgery.",
        "Setting": "Beyoglu Eye Training and Research Hospital, Istanbul, Türkiye",
        "Methods": "In this cross-sectional study, 51 eyes with keratoconus and 50 healthy eyes were examined using the Topcon Aladdin Biometer and Corneal Topographer HW3.0. Chord µ values were calculated manually under both photopic and mesopic lighting conditions according to the Euclidean formula, based on pupil center and corneal light reflex coordinates. We compared photopic and mesopic chord µ values and their associations with biometric and aberrometric parameters. Statistical analyses were performed using SPSS software version 26.0(IBM, NY, USA), including Mann–Whitney U test, Spearman correlation, ROC curve analysis, and multivariate linear regression to assess diagnostic thresholds and parameters.",
        "Results": "Both photopic and mesopic chord µ values were significantly higher in the keratoconus group compared to controls (photopic: 0.309 ± 0.10 mm vs. 0.247 ± 0.08 mm, p < 0.001; mesopic: 0.272 ± 0.10 mm vs. 0.226 ± 0.09 mm, p = 0.003). ROC analysis revealed moderate diagnostic capacity: Photopic chord µ > 0.315 mm; AUC = 0.656, OR = 5.91 Mesopic chord µ > 0.275 mm; AUC = 0.615, OR = 3.33 In healthy eyes, chord µ correlated negatively with anterior chamber depth and axial length, suggesting anatomical variance. In keratoconus, chord µ correlated positively with vertical pupil shift and negatively with coma aberration under mesopic conditions.",
        "Conclusions": "Chord µ is significantly increased in keratoconus and reflects both geometric misalignment and optical distortion.While it lacks strong standalone diagnostic power,it may serve as a supportive parameter in borderline KC cases and assist in preoperative refractive surgery planning,especially where pupil-optic axis misalignment is a concern."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Chord µ is significantly increased in keratoconus and reflects both geometric misalignment and optical distortion.While it lacks strong standalone diagnostic power,it may serve as a supportive parameter in borderline KC cases and assist in preoperative refractive surgery planning,especially where pupil-optic axis misalignment is a concern.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 81,
      "source_fields": {
        "Abstract Final Identifier": "FP06.05",
        "Title": "Diagnostic And Refractive Relevance Of Photopic And Mesopic Chord Μ In Keratoconus: A Comparative Cross-Sectional Study",
        "Presenting Author(s)": "Dr Beyza Gürpınar",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Beyza",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gürpınar",
        "Country Name": "Türkiye",
        "Purpose": "To compare photopic and mesopic chord µ values between keratoconus (KC) patients and healthy individuals, assess their correlation with biometric and aberrometric parameters, and evaluate their diagnostic value in KC detection and preoperative planning for refractive surgery.",
        "Setting": "Beyoglu Eye Training and Research Hospital, Istanbul, Türkiye",
        "Methods": "In this cross-sectional study, 51 eyes with keratoconus and 50 healthy eyes were examined using the Topcon Aladdin Biometer and Corneal Topographer HW3.0. Chord µ values were calculated manually under both photopic and mesopic lighting conditions according to the Euclidean formula, based on pupil center and corneal light reflex coordinates. We compared photopic and mesopic chord µ values and their associations with biometric and aberrometric parameters. Statistical analyses were performed using SPSS software version 26.0(IBM, NY, USA), including Mann–Whitney U test, Spearman correlation, ROC curve analysis, and multivariate linear regression to assess diagnostic thresholds and parameters.",
        "Results": "Both photopic and mesopic chord µ values were significantly higher in the keratoconus group compared to controls (photopic: 0.309 ± 0.10 mm vs. 0.247 ± 0.08 mm, p < 0.001; mesopic: 0.272 ± 0.10 mm vs. 0.226 ± 0.09 mm, p = 0.003). ROC analysis revealed moderate diagnostic capacity: Photopic chord µ > 0.315 mm; AUC = 0.656, OR = 5.91 Mesopic chord µ > 0.275 mm; AUC = 0.615, OR = 3.33 In healthy eyes, chord µ correlated negatively with anterior chamber depth and axial length, suggesting anatomical variance. In keratoconus, chord µ correlated positively with vertical pupil shift and negatively with coma aberration under mesopic conditions.",
        "Conclusions": "Chord µ is significantly increased in keratoconus and reflects both geometric misalignment and optical distortion.While it lacks strong standalone diagnostic power,it may serve as a supportive parameter in borderline KC cases and assist in preoperative refractive surgery planning,especially where pupil-optic axis misalignment is a concern."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "FP06.06",
      "abstract_number": "FP06.06",
      "title": "A Novel Endothelial Stress Index Combining Polymegethism And Pleomorphism: Correlation With Keratoconus Severity And Cross-Linking Response",
      "authors": "Dr Fatma Sumer",
      "presenter": "Dr Fatma Sumer",
      "normalized_authors": [
        "Fatma Sumer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fatma Sumer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Current keratoconus assessment relies on individual corneal endothelial parameters such as coefficient of variation (CV) and hexagonal cell percentage (HEX), each capturing only a single dimension of endothelial morphological stress. No composite metric exists that integrates polymegethism and pleomorphism into a unified biomarker. This study proposes and validates a novel Endothelial Stress Index (ESI), defined as CV/HEX×100, and evaluates its correlation with keratoconus severity staging, central corneal thickness, and maximum keratometry. Furthermore, we investigated whether baseline ESI can predict favorable topographic response following corneal cross-linking (CXL), potentially serving as a preoperative decision-support tool.",
        "Setting": "This study was conducted at the Department of Ophthalmology, Recep Tayyip Erdoğan University Training and Research Hospital, a tertiary referral center in Rize, Turkey.",
        "Methods": "In this prospective study, 60 keratoconus eyes and 60 age-matched healthy controls underwent specular microscopy (Tomey EM-4000). ESI was calculated as CV/HEX×100. Keratoconus eyes were staged per Amsler-Krumeich. Kmax and CCT were recorded. Patients underwent epithelium-off CXL with ESI reassessed at 1, 3, and 6 months. Univariate correlations used Pearson/Spearman tests. Multivariate logistic regression assessed ESI as an independent predictor of favorable CXL outcome (Kmax reduction ≥0.5 D at 6 months), adjusting for Kmax, CCT, age, and stage. ROC with DeLong comparison evaluated ESI versus individual parameters.",
        "Results": "Mean baseline ESI was significantly higher in keratoconus vs controls (56.8±14.2 vs 46.1±8.7; p<0.001). ESI correlated with Kmax (r=0.52; p<0.001) and CCT (r=-0.38; p=0.003). ESI increased with Amsler-Krumeich stage (I: 48.3±9.1, II: 57.2±11.8, III: 68.4±15.6; p<0.001 for trend). On multivariate regression, ESI remained an independent predictor of favorable CXL response after adjusting for Kmax, CCT, age, and stage (OR=1.04, 95% CI: 1.01-1.08; p=0.018). ROC yielded AUC=0.72 for ESI; combining ESI with Kmax improved AUC to 0.81 (DeLong p=0.024). Neither CV (AUC=0.61) nor HEX alone (AUC=0.58) matched ESI. Post-CXL, ESI peaked at month 1 (65.2±16.8; p<0.001) and recovered by month 6 (58.1±14.5; p=0.412 vs baseline).",
        "Conclusions": "The proposed Endothelial Stress Index is a simple, reproducible composite metric that independently predicts CXL response beyond established parameters including Kmax and CCT on multivariate analysis. ESI captures combined morphological stress missed by individual endothelial measures, and its combination with Kmax yields strong predictive accuracy (AUC 0.81). The characteristic post-CXL ESI elevation with subsequent recovery provides a quantitative framework for monitoring endothelial safety. ESI may serve as a clinically practical preoperative and postoperative tool for keratoconus management, warranting multicenter validation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The proposed Endothelial Stress Index is a simple, reproducible composite metric that independently predicts CXL response beyond established parameters including Kmax and CCT on multivariate analysis. ESI captures combined morphological stress missed by individual endothelial measures, and its combination with Kmax yields strong predictive accuracy (AUC 0.81). The characteristic post-CXL ESI elevation with…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 82,
      "source_fields": {
        "Abstract Final Identifier": "FP06.06",
        "Title": "A Novel Endothelial Stress Index Combining Polymegethism And Pleomorphism: Correlation With Keratoconus Severity And Cross-Linking Response",
        "Presenting Author(s)": "Dr Fatma Sumer",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Fatma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sumer",
        "Country Name": "Türkiye",
        "Purpose": "Current keratoconus assessment relies on individual corneal endothelial parameters such as coefficient of variation (CV) and hexagonal cell percentage (HEX), each capturing only a single dimension of endothelial morphological stress. No composite metric exists that integrates polymegethism and pleomorphism into a unified biomarker. This study proposes and validates a novel Endothelial Stress Index (ESI), defined as CV/HEX×100, and evaluates its correlation with keratoconus severity staging, central corneal thickness, and maximum keratometry. Furthermore, we investigated whether baseline ESI can predict favorable topographic response following corneal cross-linking (CXL), potentially serving as a preoperative decision-support tool.",
        "Setting": "This study was conducted at the Department of Ophthalmology, Recep Tayyip Erdoğan University Training and Research Hospital, a tertiary referral center in Rize, Turkey.",
        "Methods": "In this prospective study, 60 keratoconus eyes and 60 age-matched healthy controls underwent specular microscopy (Tomey EM-4000). ESI was calculated as CV/HEX×100. Keratoconus eyes were staged per Amsler-Krumeich. Kmax and CCT were recorded. Patients underwent epithelium-off CXL with ESI reassessed at 1, 3, and 6 months. Univariate correlations used Pearson/Spearman tests. Multivariate logistic regression assessed ESI as an independent predictor of favorable CXL outcome (Kmax reduction ≥0.5 D at 6 months), adjusting for Kmax, CCT, age, and stage. ROC with DeLong comparison evaluated ESI versus individual parameters.",
        "Results": "Mean baseline ESI was significantly higher in keratoconus vs controls (56.8±14.2 vs 46.1±8.7; p<0.001). ESI correlated with Kmax (r=0.52; p<0.001) and CCT (r=-0.38; p=0.003). ESI increased with Amsler-Krumeich stage (I: 48.3±9.1, II: 57.2±11.8, III: 68.4±15.6; p<0.001 for trend). On multivariate regression, ESI remained an independent predictor of favorable CXL response after adjusting for Kmax, CCT, age, and stage (OR=1.04, 95% CI: 1.01-1.08; p=0.018). ROC yielded AUC=0.72 for ESI; combining ESI with Kmax improved AUC to 0.81 (DeLong p=0.024). Neither CV (AUC=0.61) nor HEX alone (AUC=0.58) matched ESI. Post-CXL, ESI peaked at month 1 (65.2±16.8; p<0.001) and recovered by month 6 (58.1±14.5; p=0.412 vs baseline).",
        "Conclusions": "The proposed Endothelial Stress Index is a simple, reproducible composite metric that independently predicts CXL response beyond established parameters including Kmax and CCT on multivariate analysis. ESI captures combined morphological stress missed by individual endothelial measures, and its combination with Kmax yields strong predictive accuracy (AUC 0.81). The characteristic post-CXL ESI elevation with subsequent recovery provides a quantitative framework for monitoring endothelial safety. ESI may serve as a clinically practical preoperative and postoperative tool for keratoconus management, warranting multicenter validation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 447
    },
    {
      "uid": "FP06.07",
      "abstract_number": "FP06.07",
      "title": "Artificial Intelligence In Corneal Maps Interpretation: A Comparative Evaluation Of Four Large Language Models",
      "authors": "Dr Filippo Lixi",
      "presenter": "Dr Filippo Lixi",
      "normalized_authors": [
        "Filippo Lixi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Filippo Lixi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate and compare the diagnostic performance of four multimodal large language models (LLMs) in interpreting refractive corneal maps across a broad spectrum of corneal conditions.",
        "Setting": "Single-center, comparative cross-sectional study conducted at the Complex Ophthalmology Unit, University Hospital of Cagliari (Cagliari, Italy).",
        "Methods": "De-identified corneal tomography images acquired using the Oculus Pentacam (Oculus Optikgeräte GmbH, Wetzlar, Germany) were analyzed by four multimodal LLMs (ChatGPT-5.2, Gemini 3.0 Pro, Claude Opus 4.6, Grok 4.1) using a standardised prompt. Outputs were compared with reference diagnoses established by corneal specialists. Stage-stratified analysis was performed for keratoconus [Topographic Keratoconus Classification (TKC) grades 1–4].",
        "Results": "Diagnostic performance differed significantly across LLMs (p < 0.001). ChatGPT-5.2 achieved the highest diagnostic performance (85.8%), followed by Gemini 3.0 Pro (81.6%), Claude Opus 4.6 (61.5%), and Grok 4.1 (51.4%). ChatGPT-5.2 and Gemini 3.0 Pro were statistically equivalent (p = 0.142). Overall, KC detection did not differ across models (82.8–89.9%; p = 0.392); however, for TKC grade 1, significant differences emerged (p = 0.027), with ChatGPT-5.2 outperforming Gemini 3.0 Pro (83.3% vs. 25.0%). Greater KC severity was associated with higher diagnostic performance for most models. Metric-extraction accuracy was highest for ChatGPT-5.2 (99.7%) and Gemini 3.0 Pro (97.9%), exceeding that of Claude Opus 4.6 (93.8%), and Grok 4.1 (17.4%).",
        "Conclusions": "Multimodal LLMs show variable but potentially clinically relevant capability in interpreting refractive corneal maps. ChatGPT-5.2 and Gemini 3.0 Pro achieved superior and equivalent overall accuracy, while ChatGPT-5.2 showed a unique advantage for early KC detection. Grok 4.1 demonstrated near-complete metric-extraction failure. These systems may function as adjunctive decision-support tools, but prospective validation and integration studies are required before routine clinical implementation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Multimodal LLMs show variable but potentially clinically relevant capability in interpreting refractive corneal maps. ChatGPT-5.2 and Gemini 3.0 Pro achieved superior and equivalent overall accuracy, while ChatGPT-5.2 showed a unique advantage for early KC detection. Grok 4.1 demonstrated near-complete metric-extraction failure. These systems may function as adjunctive decision-support tools, but prospective…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 83,
      "source_fields": {
        "Abstract Final Identifier": "FP06.07",
        "Title": "Artificial Intelligence In Corneal Maps Interpretation: A Comparative Evaluation Of Four Large Language Models",
        "Presenting Author(s)": "Dr Filippo Lixi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Filippo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lixi",
        "Country Name": "Italy",
        "Purpose": "To evaluate and compare the diagnostic performance of four multimodal large language models (LLMs) in interpreting refractive corneal maps across a broad spectrum of corneal conditions.",
        "Setting": "Single-center, comparative cross-sectional study conducted at the Complex Ophthalmology Unit, University Hospital of Cagliari (Cagliari, Italy).",
        "Methods": "De-identified corneal tomography images acquired using the Oculus Pentacam (Oculus Optikgeräte GmbH, Wetzlar, Germany) were analyzed by four multimodal LLMs (ChatGPT-5.2, Gemini 3.0 Pro, Claude Opus 4.6, Grok 4.1) using a standardised prompt. Outputs were compared with reference diagnoses established by corneal specialists. Stage-stratified analysis was performed for keratoconus [Topographic Keratoconus Classification (TKC) grades 1–4].",
        "Results": "Diagnostic performance differed significantly across LLMs (p < 0.001). ChatGPT-5.2 achieved the highest diagnostic performance (85.8%), followed by Gemini 3.0 Pro (81.6%), Claude Opus 4.6 (61.5%), and Grok 4.1 (51.4%). ChatGPT-5.2 and Gemini 3.0 Pro were statistically equivalent (p = 0.142). Overall, KC detection did not differ across models (82.8–89.9%; p = 0.392); however, for TKC grade 1, significant differences emerged (p = 0.027), with ChatGPT-5.2 outperforming Gemini 3.0 Pro (83.3% vs. 25.0%). Greater KC severity was associated with higher diagnostic performance for most models. Metric-extraction accuracy was highest for ChatGPT-5.2 (99.7%) and Gemini 3.0 Pro (97.9%), exceeding that of Claude Opus 4.6 (93.8%), and Grok 4.1 (17.4%).",
        "Conclusions": "Multimodal LLMs show variable but potentially clinically relevant capability in interpreting refractive corneal maps. ChatGPT-5.2 and Gemini 3.0 Pro achieved superior and equivalent overall accuracy, while ChatGPT-5.2 showed a unique advantage for early KC detection. Grok 4.1 demonstrated near-complete metric-extraction failure. These systems may function as adjunctive decision-support tools, but prospective validation and integration studies are required before routine clinical implementation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "FP06.08",
      "abstract_number": "FP06.08",
      "title": "Correlation Of Epithelial Parameters Measured By Optical Coherence Tomography With Anterior Corneal Curvature In Eyes With Keratoconus",
      "authors": "Mr Vanja Godjevac",
      "presenter": "Mr Vanja Godjevac",
      "normalized_authors": [
        "Vanja Godjevac"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vanja Godjevac",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Measurement of epithelial thickness has gained increasing importance in the diagnosis of keratoconus, particularly in the early detection of subclinical forms of the disease. However, it remains unclear which epithelial parameters are best suited to assess disease severity. The aim of this study was to analyze the correlation between various epithelial parameters and the maximum keratometry (Kmax) of the anterior corneal surface in patients with keratoconus.",
        "Setting": "Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Department of Ophthalmology, Dresden, Germany",
        "Methods": "This monocentric cross-sectional study included 60 eyes (one eye per patient, randomized) with diagnosed keratoconus. Epithelial thickness was measured using anterior segment optical coherence tomography (Anterion, Heidelberg Engineering). The resulting epithelial thickness maps were divided into 41 zones. The mean epithelial thickness differences between individual zones and their adjacent zones (inter-zonal epithelial thickness differences) were calculated, as well as the standard deviation of the mean epithelial thickness across all zones. The correlation of these parameters with Kmax was analyzed using Pearson correlation; a p-value < 0.05 was considered statistically significant.",
        "Results": "Inter-zonal epithelial thickness differences in the nasal-inferior, paracentral-superior, and temporal-superior regions showed a statistically significant and strong correlation with Kmax (correlation coefficients R = 0.728, 0.711, and 0.704, respectively; all p < 0.01). The standard deviation of the mean epithelial thickness also demonstrated a statistically significant and strong correlation with Kmax (R = 0.611, p < 0.01). In contrast, the inter-zonal epithelial thickness differences in the temporal-inferior region—typically associated with early ectatic changes—did not show a statistically significant correlation with Kmax (R = 0.132; p = 0.31).",
        "Conclusions": "Inter-zonal epithelial thickness differences in the nasal-inferior, paracentral-superior, and temporal-superior regions, as well as the standard deviation of the mean epithelial thickness, show a strong correlation with Kmax and may therefore serve as potential markers for assessing the severity of keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Inter-zonal epithelial thickness differences in the nasal-inferior, paracentral-superior, and temporal-superior regions, as well as the standard deviation of the mean epithelial thickness, show a strong correlation with Kmax and may therefore serve as potential markers for assessing the severity of keratoconus.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 84,
      "source_fields": {
        "Abstract Final Identifier": "FP06.08",
        "Title": "Correlation Of Epithelial Parameters Measured By Optical Coherence Tomography With Anterior Corneal Curvature In Eyes With Keratoconus",
        "Presenting Author(s)": "Mr Vanja Godjevac",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Vanja",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Godjevac",
        "Country Name": "Germany",
        "Purpose": "Measurement of epithelial thickness has gained increasing importance in the diagnosis of keratoconus, particularly in the early detection of subclinical forms of the disease. However, it remains unclear which epithelial parameters are best suited to assess disease severity. The aim of this study was to analyze the correlation between various epithelial parameters and the maximum keratometry (Kmax) of the anterior corneal surface in patients with keratoconus.",
        "Setting": "Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Department of Ophthalmology, Dresden, Germany",
        "Methods": "This monocentric cross-sectional study included 60 eyes (one eye per patient, randomized) with diagnosed keratoconus. Epithelial thickness was measured using anterior segment optical coherence tomography (Anterion, Heidelberg Engineering). The resulting epithelial thickness maps were divided into 41 zones. The mean epithelial thickness differences between individual zones and their adjacent zones (inter-zonal epithelial thickness differences) were calculated, as well as the standard deviation of the mean epithelial thickness across all zones. The correlation of these parameters with Kmax was analyzed using Pearson correlation; a p-value < 0.05 was considered statistically significant.",
        "Results": "Inter-zonal epithelial thickness differences in the nasal-inferior, paracentral-superior, and temporal-superior regions showed a statistically significant and strong correlation with Kmax (correlation coefficients R = 0.728, 0.711, and 0.704, respectively; all p < 0.01). The standard deviation of the mean epithelial thickness also demonstrated a statistically significant and strong correlation with Kmax (R = 0.611, p < 0.01). In contrast, the inter-zonal epithelial thickness differences in the temporal-inferior region—typically associated with early ectatic changes—did not show a statistically significant correlation with Kmax (R = 0.132; p = 0.31).",
        "Conclusions": "Inter-zonal epithelial thickness differences in the nasal-inferior, paracentral-superior, and temporal-superior regions, as well as the standard deviation of the mean epithelial thickness, show a strong correlation with Kmax and may therefore serve as potential markers for assessing the severity of keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "FP06.09",
      "abstract_number": "FP06.09",
      "title": "Tear Proteomic Signatures Reveal And Predict Keratoconus Progression In A Case-Control Cohort",
      "authors": "Mr Maddi Alonso-Agesta",
      "presenter": "Mr Maddi Alonso-Agesta",
      "normalized_authors": [
        "Maddi Alonso-Agesta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maddi Alonso-Agesta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The primary aim of this study was to comprehensively characterize the tear-fluid proteomic landscape and to delineate specific biomarkers capable of distinguishing between keratoconus (KC) risk profile for progression, stable KC, and healthy corneal tissue (CT), thereby establishing molecular indicators associated with the risk and dynamics of disease progression and to integrate molecular findings with corneal tomographic metrics in order to identify biological patterns associated with structural instability.",
        "Setting": "Currently, serial corneal topography serves as the primary method for determination of progression, requiring detailed trend analysis of the collected morphometric data. In this context, the identification of tear fluid biomarker capable of distinguishing between stable and progressive keratoconus, when compared with normal corneas, may enable earlier diagnosis, guide therapeutic decision-making, and represent potential new avenues for future treatment strategies.",
        "Methods": "A cross-sectional case–control pilot study was conducted including 58 participants. Subjects were classified into three groups: KC with tomographic risk profile for progression (n19), clinically stable KC (n19), and healthy controls (n20). Risk stratification was based on predefined Scheimpflug tomography (Pentacam®) Belin/Ambrósio deviation (BAD-D) increase ≥ 1.5 across the three most recent examinations. Tear samples were collected (Schirmer strips) and analyzed by micro–liquid chromatography coupled with tandem mass spectrometry. Differential protein abundance was assessed with moderated t tests controlled by a false discovery rate <0.05; fold-change thresholds of 0.5 and 1.5 denoted relevant down- or up-regulation.",
        "Results": "ARTmax was the main tomographic parameter significantly different between risk-profile and stable KC after correction. Proteomic analysis identified 2 490 tear proteins, of which 32 were differentially expressed between groups. Compared with stable KC, the risk profile group demonstrated coordinated downregulation of epithelial structural keratins. Stable KC demonstrated increased abundance of structural keratins. Both KC groups showed up regulation of oxidative stress–related enzymes, including GSTT1 and ADH1C relative to controls. GSTT was expressed at approximately twice the level in stable patients compared with patients at risk of progression. GSTT1 expression correlated negatively with ARTmax.",
        "Conclusions": "Keratoconus with tomographic risk profile is characterized by loss of relational structural integrity, captured by ARTmax, and by distinct tear proteomic patterns reflecting oxidative stress activation and epithelial structural remodeling. Enhanced GSTT1 expression in stable KC may reflect a comparatively stronger redox-buffering mechanism, potentially contributing to preservation of epithelial structural organization despite underlying ectatic architecture. Integration of tomographic indices with tear proteomics may improve early risk stratification and inform personalized management strategies in keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoconus with tomographic risk profile is characterized by loss of relational structural integrity, captured by ARTmax, and by distinct tear proteomic patterns reflecting oxidative stress activation and epithelial structural remodeling. Enhanced GSTT1 expression in stable KC may reflect a comparatively stronger redox-buffering mechanism, potentially contributing to preservation of epithelial structural…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 85,
      "source_fields": {
        "Abstract Final Identifier": "FP06.09",
        "Title": "Tear Proteomic Signatures Reveal And Predict Keratoconus Progression In A Case-Control Cohort",
        "Presenting Author(s)": "Mr Maddi Alonso-Agesta",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maddi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alonso-Agesta",
        "Country Name": "Spain",
        "Purpose": "The primary aim of this study was to comprehensively characterize the tear-fluid proteomic landscape and to delineate specific biomarkers capable of distinguishing between keratoconus (KC) risk profile for progression, stable KC, and healthy corneal tissue (CT), thereby establishing molecular indicators associated with the risk and dynamics of disease progression and to integrate molecular findings with corneal tomographic metrics in order to identify biological patterns associated with structural instability.",
        "Setting": "Currently, serial corneal topography serves as the primary method for determination of progression, requiring detailed trend analysis of the collected morphometric data. In this context, the identification of tear fluid biomarker capable of distinguishing between stable and progressive keratoconus, when compared with normal corneas, may enable earlier diagnosis, guide therapeutic decision-making, and represent potential new avenues for future treatment strategies.",
        "Methods": "A cross-sectional case–control pilot study was conducted including 58 participants. Subjects were classified into three groups: KC with tomographic risk profile for progression (n19), clinically stable KC (n19), and healthy controls (n20). Risk stratification was based on predefined Scheimpflug tomography (Pentacam®) Belin/Ambrósio deviation (BAD-D) increase ≥ 1.5 across the three most recent examinations. Tear samples were collected (Schirmer strips) and analyzed by micro–liquid chromatography coupled with tandem mass spectrometry. Differential protein abundance was assessed with moderated t tests controlled by a false discovery rate <0.05; fold-change thresholds of 0.5 and 1.5 denoted relevant down- or up-regulation.",
        "Results": "ARTmax was the main tomographic parameter significantly different between risk-profile and stable KC after correction. Proteomic analysis identified 2 490 tear proteins, of which 32 were differentially expressed between groups. Compared with stable KC, the risk profile group demonstrated coordinated downregulation of epithelial structural keratins. Stable KC demonstrated increased abundance of structural keratins. Both KC groups showed up regulation of oxidative stress–related enzymes, including GSTT1 and ADH1C relative to controls. GSTT was expressed at approximately twice the level in stable patients compared with patients at risk of progression. GSTT1 expression correlated negatively with ARTmax.",
        "Conclusions": "Keratoconus with tomographic risk profile is characterized by loss of relational structural integrity, captured by ARTmax, and by distinct tear proteomic patterns reflecting oxidative stress activation and epithelial structural remodeling. Enhanced GSTT1 expression in stable KC may reflect a comparatively stronger redox-buffering mechanism, potentially contributing to preservation of epithelial structural organization despite underlying ectatic architecture. Integration of tomographic indices with tear proteomics may improve early risk stratification and inform personalized management strategies in keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "FP06.10",
      "abstract_number": "FP06.10",
      "title": "Accuracy And Predictability Of A Virtual Postoperative Simulation Algorithm (Foresight) In Corneal Wavefront-Guided Transepithelial Prk For Keratoconus",
      "authors": "Dr Maria A. Henriquez",
      "presenter": "Dr Maria A. Henriquez",
      "normalized_authors": [
        "Maria A. Henriquez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria A. Henriquez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate the accuracy and predictability of a virtual postoperative corneal simulation algorithm (Foresight) in keratoconus (KC) eyes undergoing corneal wavefront-guided (CWG) transepithelial photorefractive keratectomy (trans-PRK).",
        "Setting": "Research Department at Oftalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective, consecutive case-series included 26 KC eyes evaluated between November 2024 and October 2025, performed in Lima, Peru. Preoperative parameters—including steep keratometry (Ks), central stromal thickness (CST), corneal astigmatism (Astg), and high-order aberrations (HOAs)—were processed using the Foresight algorithm (Schwind Amaris). The software calculated the required ablation profile and depth based on the correction of HOAs and/or low-order aberrations (LOAs) to predict postoperative outcomes. Accuracy was determined by comparing these predicted values against actual clinical outcomes at 1 month postoperatively.",
        "Results": "Mean predicted vs. actual postoperative values were: Astig: 3.24 ± 1.57 vs. 3.94 ± 1.98 (p=0.0004); Ks: 46.31 ± 2.80 vs. 46.91 ± 3.48 (p=0.07); CST: 409.22 ± 35.99 vs. 359.67 ± 44.64 (p<.001); HOA: 0.83 ± 0.39 vs. 1.15 ± 0.61 (p=0.0002); coma aberrations: 0.37 ± 0.28 vs. -0.48 ± 0.74 (p=0.003). A moderate to strong positive correlation was observed between simulated and actual postoperative data across all primary variables: Astig (r=0.87, p<.001), Ks (r=0.90, p<.001), CST (r=0.80, p<0.001), coma (r=67, p=0.001).",
        "Conclusions": "The virtual simulation algorithm Foresight demonstrated excellent predictability for topographic and aberrometric outcomes in KC eyes undergoing CWG trans-PRK. This technology shows promise for enhancing surgical planning in complex corneal cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The virtual simulation algorithm Foresight demonstrated excellent predictability for topographic and aberrometric outcomes in KC eyes undergoing CWG trans-PRK. This technology shows promise for enhancing surgical planning in complex corneal cases.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 86,
      "source_fields": {
        "Abstract Final Identifier": "FP06.10",
        "Title": "Accuracy And Predictability Of A Virtual Postoperative Simulation Algorithm (Foresight) In Corneal Wavefront-Guided Transepithelial Prk For Keratoconus",
        "Presenting Author(s)": "Dr Maria A. Henriquez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria A.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Henriquez",
        "Country Name": "Peru",
        "Purpose": "To evaluate the accuracy and predictability of a virtual postoperative corneal simulation algorithm (Foresight) in keratoconus (KC) eyes undergoing corneal wavefront-guided (CWG) transepithelial photorefractive keratectomy (trans-PRK).",
        "Setting": "Research Department at Oftalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective, consecutive case-series included 26 KC eyes evaluated between November 2024 and October 2025, performed in Lima, Peru. Preoperative parameters—including steep keratometry (Ks), central stromal thickness (CST), corneal astigmatism (Astg), and high-order aberrations (HOAs)—were processed using the Foresight algorithm (Schwind Amaris). The software calculated the required ablation profile and depth based on the correction of HOAs and/or low-order aberrations (LOAs) to predict postoperative outcomes. Accuracy was determined by comparing these predicted values against actual clinical outcomes at 1 month postoperatively.",
        "Results": "Mean predicted vs. actual postoperative values were: Astig: 3.24 ± 1.57 vs. 3.94 ± 1.98 (p=0.0004); Ks: 46.31 ± 2.80 vs. 46.91 ± 3.48 (p=0.07); CST: 409.22 ± 35.99 vs. 359.67 ± 44.64 (p<.001); HOA: 0.83 ± 0.39 vs. 1.15 ± 0.61 (p=0.0002); coma aberrations: 0.37 ± 0.28 vs. -0.48 ± 0.74 (p=0.003). A moderate to strong positive correlation was observed between simulated and actual postoperative data across all primary variables: Astig (r=0.87, p<.001), Ks (r=0.90, p<.001), CST (r=0.80, p<0.001), coma (r=67, p=0.001).",
        "Conclusions": "The virtual simulation algorithm Foresight demonstrated excellent predictability for topographic and aberrometric outcomes in KC eyes undergoing CWG trans-PRK. This technology shows promise for enhancing surgical planning in complex corneal cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "FP06.11",
      "abstract_number": "FP06.11",
      "title": "The Role Of Baseline Corvis St Corneal Biomechanics For Early Keratoconus Progression: Tomographic Severity- Adjusted Biomechanical Assessment",
      "authors": "Dr Kubra Gul Olke",
      "presenter": "Dr Kubra Gul Olke",
      "normalized_authors": [
        "Kubra Gul Olke"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kubra Gul Olke",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aimed to identify baseline corneal tomographic (Pentacam HR) and biomechanical (Corvis ST) predictors of 6-month keratoconus (KC) progression, while minimizing confounding by age, sex, and disease severity (BAD-D) through inverse probability of treatment weighting (IPTW), and to quantify the discriminatory performance of key biomechanical metrics.",
        "Setting": "Single-center retrospective cohort at a tertiary referral cornea clinic.",
        "Methods": "Consecutive KC patients presenting for initial evaluation (Jan 2018–Dec 2023) were screened. Eyes with prior corneal surgery, contact lens wear within 4 weeks, concurrent ocular pathology, or incomplete Pentacam/Corvis data were excluded; only Corvis scans graded “OK” were analyzed. KC was diagnosed per the Global Consensus. Patients more than 18 years old with ≥ 6-month follow-up and baseline Pentacam and Corvis ST were included. Progression at 6 months (progressive- KC; p-KC) was defined by any one of: ≥1.0 D Kmax increase, ≥0.75 D astigmatism increase, ≥30 µm CCT decrease, or ≥1-line VA loss. Confounding by age, sex, and BAD-D was addressed with stabilized IPTW (|SMD|<0.10). Groups were compared using IPTW-weighted regression and ROC.",
        "Results": "Ninety-one eyes (p-KC n=47, non progressive- KC n=44) were analyzed. IPTW balanced age, sex, and BAD-D (|SMD|<0.07; p>0.82). After IPTW, Maxinverse Radius was higher (WMD +19.96, 95% CI 2.74–37.18; p=0.023) and Radius mm lower (WMD −0.41; 95% CI −0.81 to −0.006; p=0.047) in p-KC eyes; SP-A1 trended lower (p=0.067). CBI was higher in p- KC eyes (WMD +0.042; 95% CI 0.005–0.080; p=0.026). Maxinverse Radius predicted progression (OR 2.15 per 1 SD, 95% CI 1.10–4.22; p=0.026). The Maxinverse Radius+ SP-A1 model had the numerically highest AUC (0.646; sensitivity 77.7%, specificity 50.5%); Maxinverse Radius remained significant in the multivariable model (OR 1.75, 95% CI 1.04–2.95; p=0.034), whereas SP-A1 was not (p=0.153).",
        "Conclusions": "Baseline corneal biomechanics showed modest ability to discriminate keratoconus progression in tomographically comparable groups. Progressive KC exhibited higher Maxinverse Radius and CBI and lower Radius mm, while SP-A1 showed a borderline trend. These findings suggest that biomechanical assessment at initial examination may provide additional information beyond standard tomography for short-term risk stratification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Baseline corneal biomechanics showed modest ability to discriminate keratoconus progression in tomographically comparable groups. Progressive KC exhibited higher Maxinverse Radius and CBI and lower Radius mm, while SP-A1 showed a borderline trend. These findings suggest that biomechanical assessment at initial examination may provide additional information beyond standard tomography for short-term risk…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 87,
      "source_fields": {
        "Abstract Final Identifier": "FP06.11",
        "Title": "The Role Of Baseline Corvis St Corneal Biomechanics For Early Keratoconus Progression: Tomographic Severity- Adjusted Biomechanical Assessment",
        "Presenting Author(s)": "Dr Kubra Gul Olke",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Kubra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gul Olke",
        "Country Name": "Türkiye",
        "Purpose": "This study aimed to identify baseline corneal tomographic (Pentacam HR) and biomechanical (Corvis ST) predictors of 6-month keratoconus (KC) progression, while minimizing confounding by age, sex, and disease severity (BAD-D) through inverse probability of treatment weighting (IPTW), and to quantify the discriminatory performance of key biomechanical metrics.",
        "Setting": "Single-center retrospective cohort at a tertiary referral cornea clinic.",
        "Methods": "Consecutive KC patients presenting for initial evaluation (Jan 2018–Dec 2023) were screened. Eyes with prior corneal surgery, contact lens wear within 4 weeks, concurrent ocular pathology, or incomplete Pentacam/Corvis data were excluded; only Corvis scans graded “OK” were analyzed. KC was diagnosed per the Global Consensus. Patients more than 18 years old with ≥ 6-month follow-up and baseline Pentacam and Corvis ST were included. Progression at 6 months (progressive- KC; p-KC) was defined by any one of: ≥1.0 D Kmax increase, ≥0.75 D astigmatism increase, ≥30 µm CCT decrease, or ≥1-line VA loss. Confounding by age, sex, and BAD-D was addressed with stabilized IPTW (|SMD|<0.10). Groups were compared using IPTW-weighted regression and ROC.",
        "Results": "Ninety-one eyes (p-KC n=47, non progressive- KC n=44) were analyzed. IPTW balanced age, sex, and BAD-D (|SMD|<0.07; p>0.82). After IPTW, Maxinverse Radius was higher (WMD +19.96, 95% CI 2.74–37.18; p=0.023) and Radius mm lower (WMD −0.41; 95% CI −0.81 to −0.006; p=0.047) in p-KC eyes; SP-A1 trended lower (p=0.067). CBI was higher in p- KC eyes (WMD +0.042; 95% CI 0.005–0.080; p=0.026). Maxinverse Radius predicted progression (OR 2.15 per 1 SD, 95% CI 1.10–4.22; p=0.026). The Maxinverse Radius+ SP-A1 model had the numerically highest AUC (0.646; sensitivity 77.7%, specificity 50.5%); Maxinverse Radius remained significant in the multivariable model (OR 1.75, 95% CI 1.04–2.95; p=0.034), whereas SP-A1 was not (p=0.153).",
        "Conclusions": "Baseline corneal biomechanics showed modest ability to discriminate keratoconus progression in tomographically comparable groups. Progressive KC exhibited higher Maxinverse Radius and CBI and lower Radius mm, while SP-A1 showed a borderline trend. These findings suggest that biomechanical assessment at initial examination may provide additional information beyond standard tomography for short-term risk stratification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "FP06.12",
      "abstract_number": "FP06.12",
      "title": "Epithelial Refractive Remodeling Score (Errs) Using Epithelial Refractive Power Mapping To Detect Early Keratoconus: Multicenter Validation",
      "authors": "Dr Neofytos Mavris",
      "presenter": "Dr Neofytos Mavris",
      "normalized_authors": [
        "Neofytos Mavris"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Neofytos Mavris",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To develop and validate a new screening score—the Epithelial Refractive Remodeling Score (ERRS) , for the detection of early keratoconus (KC) using epithelial refractive remodeling metrics derived from epithelial thickness maps",
        "Setting": "Multicenter cornea/refractive clinics; retrospective–prospective dataset of normal, early–moderate KC, and advanced KC eyes.",
        "Methods": "High-resolution epithelial thickness maps w ere acquired with spectral-domain OCT (Heidelberg Engineering GmbH, Heidelberg, Germany) and converted to epithelial refractive power (ERP) maps using a proprietary VisionScan OCT analyzer. The f eature s set included ERP, refractive pattern standard deviation, and spatial overlap of predefined areas of interest. The ERRS model (regularized logistic regression/gradient boosting) was trained with nested cross-validation and calibration. Performance was compared with standard tomographic indices using AUC, sensitivity/specificity , and decision-curve analysis.",
        "Results": "Across 1034 eyes (433 normal, 299 early–moderate KC, 302 advanced KC), ERRS showed a strong discriminative performance. All normal corneas (433/433) and all advanced KC (302/302) were correctly classified. Among early–moderate KC, 98.3% (294/299) were correctly identified, with 5 subclinical KC eyes (1.7%) misclassified as normal. Overall performance showed very high discriminative ability to identify normal and keratoconic eyes, correctly classifying 1029/1034 (99.5%) eyes.",
        "Conclusions": "The ERRS derived from epithelial refractive power mapping provides highly accurate discrimination of normal and keratoconic corneas. It represents a novel screening score enabling objective keratoconus assessment and standardized interpretation of epithelial thickness maps, supporting its role as a powerful adjunct to tomography for early KC detection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The ERRS derived from epithelial refractive power mapping provides highly accurate discrimination of normal and keratoconic corneas. It represents a novel screening score enabling objective keratoconus assessment and standardized interpretation of epithelial thickness maps, supporting its role as a powerful adjunct to tomography for early KC detection.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 88,
      "source_fields": {
        "Abstract Final Identifier": "FP06.12",
        "Title": "Epithelial Refractive Remodeling Score (Errs) Using Epithelial Refractive Power Mapping To Detect Early Keratoconus: Multicenter Validation",
        "Presenting Author(s)": "Dr Neofytos Mavris",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Neofytos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mavris",
        "Country Name": "Israel",
        "Purpose": "To develop and validate a new screening score—the Epithelial Refractive Remodeling Score (ERRS) , for the detection of early keratoconus (KC) using epithelial refractive remodeling metrics derived from epithelial thickness maps",
        "Setting": "Multicenter cornea/refractive clinics; retrospective–prospective dataset of normal, early–moderate KC, and advanced KC eyes.",
        "Methods": "High-resolution epithelial thickness maps w ere acquired with spectral-domain OCT (Heidelberg Engineering GmbH, Heidelberg, Germany) and converted to epithelial refractive power (ERP) maps using a proprietary VisionScan OCT analyzer. The f eature s set included ERP, refractive pattern standard deviation, and spatial overlap of predefined areas of interest. The ERRS model (regularized logistic regression/gradient boosting) was trained with nested cross-validation and calibration. Performance was compared with standard tomographic indices using AUC, sensitivity/specificity , and decision-curve analysis.",
        "Results": "Across 1034 eyes (433 normal, 299 early–moderate KC, 302 advanced KC), ERRS showed a strong discriminative performance. All normal corneas (433/433) and all advanced KC (302/302) were correctly classified. Among early–moderate KC, 98.3% (294/299) were correctly identified, with 5 subclinical KC eyes (1.7%) misclassified as normal. Overall performance showed very high discriminative ability to identify normal and keratoconic eyes, correctly classifying 1029/1034 (99.5%) eyes.",
        "Conclusions": "The ERRS derived from epithelial refractive power mapping provides highly accurate discrimination of normal and keratoconic corneas. It represents a novel screening score enabling objective keratoconus assessment and standardized interpretation of epithelial thickness maps, supporting its role as a powerful adjunct to tomography for early KC detection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "FP06.13",
      "abstract_number": "FP06.13",
      "title": "Predictive Factors For The Progression Of The Fellow Eye In Unilateral Keratoconus: A Cohort Study",
      "authors": "Dr Qingyan Zeng",
      "presenter": "Dr Qingyan Zeng",
      "normalized_authors": [
        "Qingyan Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Qingyan Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the independent predictive value of corneal tomography parameters and Corvis ST biomechanical parameters for progression in the fellow eye of patients with unilateral keratoconus（KC）, and to develop a nomogram prediction model based on these intuitive parameters.",
        "Setting": "Single-center retrospective cohort study",
        "Methods": "This study enrolled 66 fellow eyes from patients with strictly unilateral keratoconus. The mean follow-up time was 34.24 ± 22.59 months. Based on predefined tomographic progression criteria (a decrease in thinnest corneal thickness of ≥20 µm, an increase in maximum anterior corneal curvature of ≥1.5 D, or an increase in BAD-D value of ≥0.42), the eyes were categorized into a progression group (n=14) and a non-progression group (n=52). Baseline parameters from corneal topography and raw Corvis ST measurements were compared between the two groups. Independent risk factors were screened using univariate and multivariate Logistic regression analyses, and a nomogram prediction model was constructed based on these factors.",
        "Results": "The progression and non-progression groups showed no significant differences in baseline demographic or corneal tomographic parameters but did differ significantly in several raw Corvis ST biomechanical parameters. Multivariable regression identified corneal astigmatism, first applanation time, and second applanation length as independent predictors of progression. The nomogram based on these three variables demonstrated excellent performance, with a training area under the curve (AUC) of 0.876, a mean cross-validated AUC of 0.841, good calibration, and clinical net benefit across a wide threshold probability range.",
        "Conclusions": "This study is the first to develop a predictive model based on corneal biomechanical and morphological parameters for assessing progression risk in the fellow eye of unilateral keratoconus. Our findings demonstrate that corneal astigmatism, first applanation time (A1 time), and second applanation length (A2 length) hold independent predictive value for disease progression. The established nomogram model provides a practical tool for individualized risk quantification in clinical settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study is the first to develop a predictive model based on corneal biomechanical and morphological parameters for assessing progression risk in the fellow eye of unilateral keratoconus. Our findings demonstrate that corneal astigmatism, first applanation time (A1 time), and second applanation length (A2 length) hold independent predictive value for disease progression. The established nomogram model provides a…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 89,
      "source_fields": {
        "Abstract Final Identifier": "FP06.13",
        "Title": "Predictive Factors For The Progression Of The Fellow Eye In Unilateral Keratoconus: A Cohort Study",
        "Presenting Author(s)": "Dr Qingyan Zeng",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Qingyan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "To investigate the independent predictive value of corneal tomography parameters and Corvis ST biomechanical parameters for progression in the fellow eye of patients with unilateral keratoconus（KC）, and to develop a nomogram prediction model based on these intuitive parameters.",
        "Setting": "Single-center retrospective cohort study",
        "Methods": "This study enrolled 66 fellow eyes from patients with strictly unilateral keratoconus. The mean follow-up time was 34.24 ± 22.59 months. Based on predefined tomographic progression criteria (a decrease in thinnest corneal thickness of ≥20 µm, an increase in maximum anterior corneal curvature of ≥1.5 D, or an increase in BAD-D value of ≥0.42), the eyes were categorized into a progression group (n=14) and a non-progression group (n=52). Baseline parameters from corneal topography and raw Corvis ST measurements were compared between the two groups. Independent risk factors were screened using univariate and multivariate Logistic regression analyses, and a nomogram prediction model was constructed based on these factors.",
        "Results": "The progression and non-progression groups showed no significant differences in baseline demographic or corneal tomographic parameters but did differ significantly in several raw Corvis ST biomechanical parameters. Multivariable regression identified corneal astigmatism, first applanation time, and second applanation length as independent predictors of progression. The nomogram based on these three variables demonstrated excellent performance, with a training area under the curve (AUC) of 0.876, a mean cross-validated AUC of 0.841, good calibration, and clinical net benefit across a wide threshold probability range.",
        "Conclusions": "This study is the first to develop a predictive model based on corneal biomechanical and morphological parameters for assessing progression risk in the fellow eye of unilateral keratoconus. Our findings demonstrate that corneal astigmatism, first applanation time (A1 time), and second applanation length (A2 length) hold independent predictive value for disease progression. The established nomogram model provides a practical tool for individualized risk quantification in clinical settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP06.14",
      "abstract_number": "FP06.14",
      "title": "Interplay Of Tear Cytokine Levels And Confocal Microscopy In Progressive Keratoconus",
      "authors": "Dr Priyam Gupta",
      "presenter": "Dr Priyam Gupta",
      "normalized_authors": [
        "Priyam Gupta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Priyam Gupta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Keratoconus (KC) is a bilateral yet asymmetric corneal ectatic disorder characterized by progressive corneal thinning and protrusion. While biomechanical and genetic predispositions are well established, inflammatory mediators are increasingly recognized as contributing factors. Our aim was to analyse IVCM changes in progressive keratoconus and correlate them with alterations in tear cytokine levels, as compared to eyes that remain stable over time.",
        "Setting": "This was a prospective observational study (LEC-BHR-P-10-23-1114) included twenty adult patients with bilateral keratoconus, with progressive KC in one eye and stable disease in the fellow eye who were followed up for 6months .",
        "Methods": "Eyes with prior ocular surgery, active allergic conjunctivitis or vernal keratoconjunctivitis, current topical medication use, contact lens wear, or hormonal disorders were excluded. Quantitative nerve morphology parameters—corneal nerve branch density (CNBD), total branch density (CTBD), and nerve fiber area (CNFA)—were analyzed using Automated CCMetrics software. Tear samples were collected from each eye at baseline and after six months for quantification of pro -inflammatory cytokines (IL-1α, IL-1β, IL-2, IL-6, IL-17, TNF-α), anti-inflammatory cytokines (IL-4, IL-21), and chemokines (CCL2, CCL3, CCL5, CXCL8, CXCL9, CXCL10) using ELISA .",
        "Results": "At baseline, progressive keratoconus eyes showed significantly reduced SBNP parameters compared with stable eyes. CNFD was lower in progressive eyes (14.19 ± 4.06) than in stable eyes (17.17 ± 8.72; p = 0.05 ). CNBD was markedly reduced in progressive eyes (15.14 ± 3.12) compared with stable eyes (25.61 ± 4.39; p = 0.03 ). Similarly, CNFL and CTBD were significantly lower in progressive eyes (9.11 ± 2.45 and 26.59 ± 9.19) compared with stable eyes (11.66 ± 4.11 and 42.21 ± 15.84; p = 0.03 and p = 0.05 , respectively). Tear cytokine profiling at the first visit demonstrated no statistically significant differences between stable and progressive eyes.",
        "Conclusions": "Our results indicate that early and progressive SBNP loss is detectable even when tear cytokine levels remain statistically similar, suggesting that structural nerve alterations may precede biochemical inflammatory changes in keratoconus progression , which need further validation in larger cohort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results indicate that early and progressive SBNP loss is detectable even when tear cytokine levels remain statistically similar, suggesting that structural nerve alterations may precede biochemical inflammatory changes in keratoconus progression , which need further validation in larger cohort.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 90,
      "source_fields": {
        "Abstract Final Identifier": "FP06.14",
        "Title": "Interplay Of Tear Cytokine Levels And Confocal Microscopy In Progressive Keratoconus",
        "Presenting Author(s)": "Dr Priyam Gupta",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Priyam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gupta",
        "Country Name": "India",
        "Purpose": "Keratoconus (KC) is a bilateral yet asymmetric corneal ectatic disorder characterized by progressive corneal thinning and protrusion. While biomechanical and genetic predispositions are well established, inflammatory mediators are increasingly recognized as contributing factors. Our aim was to analyse IVCM changes in progressive keratoconus and correlate them with alterations in tear cytokine levels, as compared to eyes that remain stable over time.",
        "Setting": "This was a prospective observational study (LEC-BHR-P-10-23-1114) included twenty adult patients with bilateral keratoconus, with progressive KC in one eye and stable disease in the fellow eye who were followed up for 6months .",
        "Methods": "Eyes with prior ocular surgery, active allergic conjunctivitis or vernal keratoconjunctivitis, current topical medication use, contact lens wear, or hormonal disorders were excluded. Quantitative nerve morphology parameters—corneal nerve branch density (CNBD), total branch density (CTBD), and nerve fiber area (CNFA)—were analyzed using Automated CCMetrics software. Tear samples were collected from each eye at baseline and after six months for quantification of pro -inflammatory cytokines (IL-1α, IL-1β, IL-2, IL-6, IL-17, TNF-α), anti-inflammatory cytokines (IL-4, IL-21), and chemokines (CCL2, CCL3, CCL5, CXCL8, CXCL9, CXCL10) using ELISA .",
        "Results": "At baseline, progressive keratoconus eyes showed significantly reduced SBNP parameters compared with stable eyes. CNFD was lower in progressive eyes (14.19 ± 4.06) than in stable eyes (17.17 ± 8.72; p = 0.05 ). CNBD was markedly reduced in progressive eyes (15.14 ± 3.12) compared with stable eyes (25.61 ± 4.39; p = 0.03 ). Similarly, CNFL and CTBD were significantly lower in progressive eyes (9.11 ± 2.45 and 26.59 ± 9.19) compared with stable eyes (11.66 ± 4.11 and 42.21 ± 15.84; p = 0.03 and p = 0.05 , respectively). Tear cytokine profiling at the first visit demonstrated no statistically significant differences between stable and progressive eyes.",
        "Conclusions": "Our results indicate that early and progressive SBNP loss is detectable even when tear cytokine levels remain statistically similar, suggesting that structural nerve alterations may precede biochemical inflammatory changes in keratoconus progression , which need further validation in larger cohort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "FP06.15",
      "abstract_number": "FP06.15",
      "title": "Breaking The Gender Barrier In Keratoconus: A Dynamic Scheimpflug Biomechanical Analysis",
      "authors": "Dr Raheleh Moravej",
      "presenter": "Dr Raheleh Moravej",
      "normalized_authors": [
        "Raheleh Moravej"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raheleh Moravej",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To assess whether sex-related differences exist in corneal biomechanical indices in keratoconus and to determine whether gender-specific thresholds are necessary for accurate diagnosis and ectasia risk assessment.",
        "Setting": "Multicenter cross-sectional comparative study",
        "Methods": "In this multicenter cross-sectional study, 436 eyes of 248 keratoconus patients (233 male, 203 female) underwent biomechanical assessment using the Oculus Corvis ST. Evaluated parameters included SSI, SP-A1, DA Ratio, Integrated Radius, A1 Velocity, biomechanically corrected IOP (bIOP), Corvis Biomechanical Index (CBI), and Tomographic Biomechanical Index (TBI). Tomographic data (Kmax, CCT) were obtained using Pentacam HR. Disease severity was classified according to Amsler–Krumeich staging. Analysis of covariance (ANCOVA) was performed to compare parameters between sexes while adjusting for age and disease stage. Secondary analyses included correlation assessment and subgroup analysis by severity stage.",
        "Results": "Mean age was 39.3±9.8 years, with males younger than females (37.8 vs 40.7 years; P=0.02). Disease stage distribution differed significantly (P=0.033), with milder stages more frequent in males and moderate stages in females. After adjusting for age and disease severity, no significant sex differences were found in SSI, SP-A1, DA Ratio, Integrated Radius, CBI, TBI, Kmax, or CCT (all P>0.05). Small but statistically significant differences were observed in A1 Velocity (0.16 vs 0.15 m/s; P=0.036) and biomechanically corrected IOP (14.1 vs 14.4 mmHg; P=0.018). Expected associations were noted between SSI and CCT (r=0.24), DA Ratio and Kmax (r=0.23), and SP-A1 and disease stage (r=-0.28) (all P<0.001).",
        "Conclusions": "Advanced corneal biomechanical indices appear largely independent of sex in keratoconus after controlling for disease severity. These findings support the use of unified diagnostic thresholds for SSI, CBI, and TBI in both male and female patients, simplifying clinical interpretation and improving consistency in ectasia detection and screening. The observed difference in disease stage distribution between sexes suggests that previously reported biomechanical disparities may reflect severity at presentation rather than intrinsic sex-related properties. This has direct implications for refractive surgery screening, reinforcing that gender-specific adjustments to biomechanical indices are unlikely to enhance diagnostic accuracy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Advanced corneal biomechanical indices appear largely independent of sex in keratoconus after controlling for disease severity. These findings support the use of unified diagnostic thresholds for SSI, CBI, and TBI in both male and female patients, simplifying clinical interpretation and improving consistency in ectasia detection and screening. The observed difference in disease stage distribution between sexes…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 91,
      "source_fields": {
        "Abstract Final Identifier": "FP06.15",
        "Title": "Breaking The Gender Barrier In Keratoconus: A Dynamic Scheimpflug Biomechanical Analysis",
        "Presenting Author(s)": "Dr Raheleh Moravej",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Raheleh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moravej",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To assess whether sex-related differences exist in corneal biomechanical indices in keratoconus and to determine whether gender-specific thresholds are necessary for accurate diagnosis and ectasia risk assessment.",
        "Setting": "Multicenter cross-sectional comparative study",
        "Methods": "In this multicenter cross-sectional study, 436 eyes of 248 keratoconus patients (233 male, 203 female) underwent biomechanical assessment using the Oculus Corvis ST. Evaluated parameters included SSI, SP-A1, DA Ratio, Integrated Radius, A1 Velocity, biomechanically corrected IOP (bIOP), Corvis Biomechanical Index (CBI), and Tomographic Biomechanical Index (TBI). Tomographic data (Kmax, CCT) were obtained using Pentacam HR. Disease severity was classified according to Amsler–Krumeich staging. Analysis of covariance (ANCOVA) was performed to compare parameters between sexes while adjusting for age and disease stage. Secondary analyses included correlation assessment and subgroup analysis by severity stage.",
        "Results": "Mean age was 39.3±9.8 years, with males younger than females (37.8 vs 40.7 years; P=0.02). Disease stage distribution differed significantly (P=0.033), with milder stages more frequent in males and moderate stages in females. After adjusting for age and disease severity, no significant sex differences were found in SSI, SP-A1, DA Ratio, Integrated Radius, CBI, TBI, Kmax, or CCT (all P>0.05). Small but statistically significant differences were observed in A1 Velocity (0.16 vs 0.15 m/s; P=0.036) and biomechanically corrected IOP (14.1 vs 14.4 mmHg; P=0.018). Expected associations were noted between SSI and CCT (r=0.24), DA Ratio and Kmax (r=0.23), and SP-A1 and disease stage (r=-0.28) (all P<0.001).",
        "Conclusions": "Advanced corneal biomechanical indices appear largely independent of sex in keratoconus after controlling for disease severity. These findings support the use of unified diagnostic thresholds for SSI, CBI, and TBI in both male and female patients, simplifying clinical interpretation and improving consistency in ectasia detection and screening. The observed difference in disease stage distribution between sexes suggests that previously reported biomechanical disparities may reflect severity at presentation rather than intrinsic sex-related properties. This has direct implications for refractive surgery screening, reinforcing that gender-specific adjustments to biomechanical indices are unlikely to enhance diagnostic accuracy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "FP07.01",
      "abstract_number": "FP07.01",
      "title": "Comparative Outcomes And Functional Complication Grading Of Photorefractive Keratectomy Vs. Femtosecond Laser-Situ In Keratomileusis: A Propensity Score-Matched Real-World Large-Scale Retrospective Analysis",
      "authors": "Dr Avinoam Shye Shahar",
      "presenter": "Dr Avinoam Shye Shahar",
      "normalized_authors": [
        "Avinoam Shye Shahar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Avinoam Shye Shahar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the efficacy, safety, and complication profiles of primary photorefractive keratectomy (PRK) versus femtosecond LASIK (FemtoLASIK) . Because PRK is frequently selected for younger patients with more myopic eyes, inherent selection bias exists in real-world data . This study introduces a novel 3-Tier Functional Complication Grading system to differentiate between transient, repairable, and permanent adverse events, and utilizes statistical matching to compare true procedure outcomes .",
        "Setting": "A nationwide, real-world large-scale retrospective cohort analysis of primary laser vision correction procedures performed between 2014 and 2024 .",
        "Methods": "Clinical data from 85,623 consecutive primary myopic treatments (SEQ ≤ -0.50 D, CDVA > 0.5) were analyzed (68,900 PRK; 16,723 FemtoLASIK) . Efficacy and postoperative visits were evaluated using a 1:1 PSM cohort to account for baseline differences . Complications were analyzed using the full cohort to capture rare events, graded by functional impact: Grade 1 (early/transient), Grade 2 (repairable with intervention), and Grade 3 (permanent loss of ≥ 2 lines CDVA) .",
        "Results": "In the PSM cohort, FemtoLASIK achieved superior UDVA 20/20 (68.5% vs. 54.0% PRK) and predictability within ± 0.50D (90.1% vs. 87.4%) . Conversely, PRK had a significantly lower retreatment rate (0.57% vs. 1.22%) . Postoperative burden (4+ visits) was higher for PRK (33.6%) than FemtoLASIK (11.2%) . In the full cohort, permanent vision loss (Grade 3) was extremely rare (FemtoLASIK 0.10%, PRK 0.09%) . FemtoLASIK had higher rates of Grade 1 (14.72% vs. 8.89%) and Grade 2 repairable events (0.66% vs. 0.25%) .",
        "Conclusions": "Both modalities demonstrate exceptional safety, with permanent vision loss occurring in ≤ 0.1% of myopic cases. While FemtoLASIK provides superior primary visual outcomes, PRK yields a lower retreatment rate. Importantly, our matched analysis reveals this lower rate is partly driven by a higher subjective threshold for secondary surface intervention and a greater tolerance for residual refractive error, rather than superior primary surgical accuracy or anatomical limitations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both modalities demonstrate exceptional safety, with permanent vision loss occurring in ≤ 0.1% of myopic cases. While FemtoLASIK provides superior primary visual outcomes, PRK yields a lower retreatment rate. Importantly, our matched analysis reveals this lower rate is partly driven by a higher subjective threshold for secondary surface intervention and a greater tolerance for residual refractive error, rather than…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 92,
      "source_fields": {
        "Abstract Final Identifier": "FP07.01",
        "Title": "Comparative Outcomes And Functional Complication Grading Of Photorefractive Keratectomy Vs. Femtosecond Laser-Situ In Keratomileusis: A Propensity Score-Matched Real-World Large-Scale Retrospective Analysis",
        "Presenting Author(s)": "Dr Avinoam Shye Shahar",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Avinoam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shye Shahar",
        "Country Name": "Israel",
        "Purpose": "To evaluate the efficacy, safety, and complication profiles of primary photorefractive keratectomy (PRK) versus femtosecond LASIK (FemtoLASIK) . Because PRK is frequently selected for younger patients with more myopic eyes, inherent selection bias exists in real-world data . This study introduces a novel 3-Tier Functional Complication Grading system to differentiate between transient, repairable, and permanent adverse events, and utilizes statistical matching to compare true procedure outcomes .",
        "Setting": "A nationwide, real-world large-scale retrospective cohort analysis of primary laser vision correction procedures performed between 2014 and 2024 .",
        "Methods": "Clinical data from 85,623 consecutive primary myopic treatments (SEQ ≤ -0.50 D, CDVA > 0.5) were analyzed (68,900 PRK; 16,723 FemtoLASIK) . Efficacy and postoperative visits were evaluated using a 1:1 PSM cohort to account for baseline differences . Complications were analyzed using the full cohort to capture rare events, graded by functional impact: Grade 1 (early/transient), Grade 2 (repairable with intervention), and Grade 3 (permanent loss of ≥ 2 lines CDVA) .",
        "Results": "In the PSM cohort, FemtoLASIK achieved superior UDVA 20/20 (68.5% vs. 54.0% PRK) and predictability within ± 0.50D (90.1% vs. 87.4%) . Conversely, PRK had a significantly lower retreatment rate (0.57% vs. 1.22%) . Postoperative burden (4+ visits) was higher for PRK (33.6%) than FemtoLASIK (11.2%) . In the full cohort, permanent vision loss (Grade 3) was extremely rare (FemtoLASIK 0.10%, PRK 0.09%) . FemtoLASIK had higher rates of Grade 1 (14.72% vs. 8.89%) and Grade 2 repairable events (0.66% vs. 0.25%) .",
        "Conclusions": "Both modalities demonstrate exceptional safety, with permanent vision loss occurring in ≤ 0.1% of myopic cases. While FemtoLASIK provides superior primary visual outcomes, PRK yields a lower retreatment rate. Importantly, our matched analysis reveals this lower rate is partly driven by a higher subjective threshold for secondary surface intervention and a greater tolerance for residual refractive error, rather than superior primary surgical accuracy or anatomical limitations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "FP07.02",
      "abstract_number": "FP07.02",
      "title": "Ray-Tracing-Guided Versus Q-Value-Adjusted Lasik For Myopic Astigmatism ≥ 2.00 Diopters: 3-Month Clinical Outcomes",
      "authors": "Dr Zhao Liu",
      "presenter": "Dr Zhao Liu",
      "normalized_authors": [
        "Zhao Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhao Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the safety, efficacy and predictability of ray-tracing-guided with Q-value-adjusted laser-assisted in situ keratomileusis (LASIK) for correcting myopic astigmatism of 2.00 Diopters (D) or greater at 3 months postoperatively.",
        "Setting": "The InnovEyes S ightmap (Alcon Management S. A., Fort Worth, United States ) and Topolyze r (Alcon Management S. A., Fort Worth, United States ) was performed in InnovEyes group and Custom-Q group, respectively. All flaps were created using WaveLight® FS200 femtosecond laser (Alcon Management S. A., Fort Worth, United States). the stromal bed was ablated with the WaveLight® EX500 excimer laser (Alcon Management S. A., Fort Worth, United States).",
        "Methods": "This retrospective, comparative clinical study included 60 eyes with myopic astigmatism ≥ 2.00 D: 30 eyes in the ray-tracing-guided group (InnovEyes group) and 30 eyes in the Q-value-adjusted group (Custom-Q group). Uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), manifest refraction spherical equivalent (MRSE), sphere and cylinder were evaluated preoperatively and 3-month postoperatively. General estimating equitation was used for inter-group comparison and correlation analyses to account for potential inter-eye correlation within subject.",
        "Results": "At 3-month postoperatively, CDVA was better in the InnovEyes group (P = 0.005), with 87% of eyes achieving cylinder within ± 0.25 D (vs. 63% in the Custom-Q group). Vector analysis revealed InnovEyes group induced a slight overcorrection (correction index: 1.04 ± 0.02) versus Custom-Q group’s undercorrection (correction index: 0.94 ± 0.02) (P = 0.007), with InnovEyes group exhibiting significantly smaller magnitude of error (0.08 ± 0.04 vs. -0.13 ± 0.05, P = 0.002).Correlation analyses revealed that both correction index and magnitude of error were non-significant correlated with TIA in either group (all P > 0.05). The group × TIA interaction was also non-significant (both P > 0.05).",
        "Conclusions": "Ray-tracing-guided LASIK is an effective, safe, and predictable surgical option for eyes with myopic astigmatism ≥ 2.00 D. Although a tendency toward mild astigmatism overcorrection was noted, it achieved statistically better postoperative CDVA and small astigmatic errors compared to the Q-value-adjusted group at 3 months postoperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ray-tracing-guided LASIK is an effective, safe, and predictable surgical option for eyes with myopic astigmatism ≥ 2.00 D. Although a tendency toward mild astigmatism overcorrection was noted, it achieved statistically better postoperative CDVA and small astigmatic errors compared to the Q-value-adjusted group at 3 months postoperatively.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 93,
      "source_fields": {
        "Abstract Final Identifier": "FP07.02",
        "Title": "Ray-Tracing-Guided Versus Q-Value-Adjusted Lasik For Myopic Astigmatism ≥ 2.00 Diopters: 3-Month Clinical Outcomes",
        "Presenting Author(s)": "Dr Zhao Liu",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Zhao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "China",
        "Purpose": "To compare the safety, efficacy and predictability of ray-tracing-guided with Q-value-adjusted laser-assisted in situ keratomileusis (LASIK) for correcting myopic astigmatism of 2.00 Diopters (D) or greater at 3 months postoperatively.",
        "Setting": "The InnovEyes S ightmap (Alcon Management S. A., Fort Worth, United States ) and Topolyze r (Alcon Management S. A., Fort Worth, United States ) was performed in InnovEyes group and Custom-Q group, respectively. All flaps were created using WaveLight® FS200 femtosecond laser (Alcon Management S. A., Fort Worth, United States). the stromal bed was ablated with the WaveLight® EX500 excimer laser (Alcon Management S. A., Fort Worth, United States).",
        "Methods": "This retrospective, comparative clinical study included 60 eyes with myopic astigmatism ≥ 2.00 D: 30 eyes in the ray-tracing-guided group (InnovEyes group) and 30 eyes in the Q-value-adjusted group (Custom-Q group). Uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), manifest refraction spherical equivalent (MRSE), sphere and cylinder were evaluated preoperatively and 3-month postoperatively. General estimating equitation was used for inter-group comparison and correlation analyses to account for potential inter-eye correlation within subject.",
        "Results": "At 3-month postoperatively, CDVA was better in the InnovEyes group (P = 0.005), with 87% of eyes achieving cylinder within ± 0.25 D (vs. 63% in the Custom-Q group). Vector analysis revealed InnovEyes group induced a slight overcorrection (correction index: 1.04 ± 0.02) versus Custom-Q group’s undercorrection (correction index: 0.94 ± 0.02) (P = 0.007), with InnovEyes group exhibiting significantly smaller magnitude of error (0.08 ± 0.04 vs. -0.13 ± 0.05, P = 0.002).Correlation analyses revealed that both correction index and magnitude of error were non-significant correlated with TIA in either group (all P > 0.05). The group × TIA interaction was also non-significant (both P > 0.05).",
        "Conclusions": "Ray-tracing-guided LASIK is an effective, safe, and predictable surgical option for eyes with myopic astigmatism ≥ 2.00 D. Although a tendency toward mild astigmatism overcorrection was noted, it achieved statistically better postoperative CDVA and small astigmatic errors compared to the Q-value-adjusted group at 3 months postoperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "FP07.03",
      "abstract_number": "FP07.03",
      "title": "Retinal Microcirculatory Responses To Suction-Induced Iop Elevation During Femtosecond Lasik: Interaction Between Flap Platform And Baseline Iop",
      "authors": "Dr Bo Yuan",
      "presenter": "Dr Bo Yuan",
      "normalized_authors": [
        "Bo Yuan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bo Yuan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate retinal microcirculatory changes following suction-induced transient intraocular pressure (IOP) elevation during femtosecond LASIK flap creation using VisuMax 500 and WaveLight FS200, and to determine whether baseline IOP modifies these responses.",
        "Setting": "Tianjin Aier Eye Hospital, Tianjin, China.",
        "Methods": "This prospective study included 120 eyes undergoing femtosecond laser-assisted in situ keratomileusis (FS-LASIK). Flap creation was performed using VisuMax 500 (n = 60) or FS200 (n = 60). Eyes were further stratified by baseline IOP into high-IOP (≥20 mmHg) and low-IOP (<20 mmHg) subgroups. Optical coherence tomography angiography (OCTA) was performed preoperatively, immediately postoperatively, postoperative Day 1, and Week 1. Primary outcome measures included superficial and deep retinal vascular density and outer retinal flow area.",
        "Results": "Immediately after surgery, FS200-treated eyes showed a greater increase in outer retinal flow area (57.57 ± 21.54%) compared with VisuMax-treated eyes (33.81 ± 28.54%). Although partial regression occurred by Day 1, flow remained elevated at Week 1 in the FS200 group (3.55 ± 6.18%), whereas it decreased below baseline in the VisuMax group (-7.40 ± 20.83%). In high-IOP eyes, FS200 treatment was associated with prolonged microcirculatory alteration, with persistent elevation at Week 1 (9.55 ± 18.50%), whereas VisuMax-treated high-IOP eyes showed recovery toward or below baseline. In contrast, low-IOP eyes exhibited transient changes with no sustained inter-platform difference at Week 1.",
        "Conclusions": "Retinal microcirculatory responses to suction-induced IOP elevation during FS-LASIK are influenced by both suction platform and baseline IOP. High baseline IOP is associated with more pronounced and prolonged microvascular alteration, particularly with higher suction pressure systems. These findings indicate that surgical impact on retinal perfusion reflects an interaction between device-induced IOP elevation and individual ocular baseline status, and that baseline IOP may serve as a clinically relevant factor when selecting femtosecond platforms, particularly in patients with ocular hypertension or glaucoma susceptibility."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retinal microcirculatory responses to suction-induced IOP elevation during FS-LASIK are influenced by both suction platform and baseline IOP. High baseline IOP is associated with more pronounced and prolonged microvascular alteration, particularly with higher suction pressure systems. These findings indicate that surgical impact on retinal perfusion reflects an interaction between device-induced IOP elevation and…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 94,
      "source_fields": {
        "Abstract Final Identifier": "FP07.03",
        "Title": "Retinal Microcirculatory Responses To Suction-Induced Iop Elevation During Femtosecond Lasik: Interaction Between Flap Platform And Baseline Iop",
        "Presenting Author(s)": "Dr Bo Yuan",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Bo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yuan",
        "Country Name": "China",
        "Purpose": "To evaluate retinal microcirculatory changes following suction-induced transient intraocular pressure (IOP) elevation during femtosecond LASIK flap creation using VisuMax 500 and WaveLight FS200, and to determine whether baseline IOP modifies these responses.",
        "Setting": "Tianjin Aier Eye Hospital, Tianjin, China.",
        "Methods": "This prospective study included 120 eyes undergoing femtosecond laser-assisted in situ keratomileusis (FS-LASIK). Flap creation was performed using VisuMax 500 (n = 60) or FS200 (n = 60). Eyes were further stratified by baseline IOP into high-IOP (≥20 mmHg) and low-IOP (<20 mmHg) subgroups. Optical coherence tomography angiography (OCTA) was performed preoperatively, immediately postoperatively, postoperative Day 1, and Week 1. Primary outcome measures included superficial and deep retinal vascular density and outer retinal flow area.",
        "Results": "Immediately after surgery, FS200-treated eyes showed a greater increase in outer retinal flow area (57.57 ± 21.54%) compared with VisuMax-treated eyes (33.81 ± 28.54%). Although partial regression occurred by Day 1, flow remained elevated at Week 1 in the FS200 group (3.55 ± 6.18%), whereas it decreased below baseline in the VisuMax group (-7.40 ± 20.83%). In high-IOP eyes, FS200 treatment was associated with prolonged microcirculatory alteration, with persistent elevation at Week 1 (9.55 ± 18.50%), whereas VisuMax-treated high-IOP eyes showed recovery toward or below baseline. In contrast, low-IOP eyes exhibited transient changes with no sustained inter-platform difference at Week 1.",
        "Conclusions": "Retinal microcirculatory responses to suction-induced IOP elevation during FS-LASIK are influenced by both suction platform and baseline IOP. High baseline IOP is associated with more pronounced and prolonged microvascular alteration, particularly with higher suction pressure systems. These findings indicate that surgical impact on retinal perfusion reflects an interaction between device-induced IOP elevation and individual ocular baseline status, and that baseline IOP may serve as a clinically relevant factor when selecting femtosecond platforms, particularly in patients with ocular hypertension or glaucoma susceptibility."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "FP07.04",
      "abstract_number": "FP07.04",
      "title": "Influence Of Angle Kappa On Postoperative Coma And Visual Quality After Ray-Tracing-Guided Fs-Lasik With Vertex-Centered Ablation",
      "authors": "Dr Bo Yuan",
      "presenter": "Dr Bo Yuan",
      "normalized_authors": [
        "Bo Yuan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bo Yuan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate whether angle kappa (angle κ) modulates the relationship between postoperative coma and visual quality after ray-tracing-guided femtosecond laser-assisted in situ keratomileusis (FS-LASIK) with vertex-centered ablation.",
        "Setting": "Tianjin Aier Eye Hospital, Tianjin, China.",
        "Methods": "This retrospective observational study included 60 eyes undergoing ray-tracing-guided FS-LASIK using the WaveLight EX500 platform (Alcon, Germany). Angle κ was quantified as pupil offset, defined as the distance between the entrance pupil center and the corneal vertex. Eyes were divided into small (≤0.20 mm, n = 30) and large (≥0.20 mm, n = 30) angle kappa groups. At 3 months postoperatively, corneal and ocular higher-order aberrations, contrast sensitivity, point spread function metrics, refractive outcomes, and night vision symptoms were evaluated. Correlation and interaction analyses were performed to determine whether angle kappa influenced the association between postoperative coma and visual quality.",
        "Results": "Refractive predictability and safety indices were comparable between groups (P > 0.05). The large angle κ group exhibited higher coma and greater increase in coma postoperatively compared with the small angle κ group in both 4-mm an 6-mm optical zones (P < 0.05). Eyes with a larger angle κ along the horizontal (X) axis demonstrated a significantly greater increase in horizontal coma, whereas those with a larger vertical (Y-axis) offset exhibited a more pronounced increase in vertical coma (P < 0.05). Despite this increase, contrast sensitivity, point spread function parameters, and night vision symptoms did not differ significantly between groups (P > 0.05).",
        "Conclusions": "Although ray-tracing-guided FS-LASIK with compensation for large angle kappa results in greater measured coma, this increase does not translate into inferior visual quality. Angle kappa significantly modulates the functional impact of postoperative coma, suggesting that aberrations quantified in a pupil-centered reference system may not fully reflect the visual axis-dependent optical performance. These findings highlight the axis-dependent nature of postoperative aberration assessment and provide a potential explanation for the dissociation between measured coma and subjective visual quality in eyes with large angle kappa."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although ray-tracing-guided FS-LASIK with compensation for large angle kappa results in greater measured coma, this increase does not translate into inferior visual quality. Angle kappa significantly modulates the functional impact of postoperative coma, suggesting that aberrations quantified in a pupil-centered reference system may not fully reflect the visual axis-dependent optical performance. These findings…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 95,
      "source_fields": {
        "Abstract Final Identifier": "FP07.04",
        "Title": "Influence Of Angle Kappa On Postoperative Coma And Visual Quality After Ray-Tracing-Guided Fs-Lasik With Vertex-Centered Ablation",
        "Presenting Author(s)": "Dr Bo Yuan",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Bo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yuan",
        "Country Name": "China",
        "Purpose": "To investigate whether angle kappa (angle κ) modulates the relationship between postoperative coma and visual quality after ray-tracing-guided femtosecond laser-assisted in situ keratomileusis (FS-LASIK) with vertex-centered ablation.",
        "Setting": "Tianjin Aier Eye Hospital, Tianjin, China.",
        "Methods": "This retrospective observational study included 60 eyes undergoing ray-tracing-guided FS-LASIK using the WaveLight EX500 platform (Alcon, Germany). Angle κ was quantified as pupil offset, defined as the distance between the entrance pupil center and the corneal vertex. Eyes were divided into small (≤0.20 mm, n = 30) and large (≥0.20 mm, n = 30) angle kappa groups. At 3 months postoperatively, corneal and ocular higher-order aberrations, contrast sensitivity, point spread function metrics, refractive outcomes, and night vision symptoms were evaluated. Correlation and interaction analyses were performed to determine whether angle kappa influenced the association between postoperative coma and visual quality.",
        "Results": "Refractive predictability and safety indices were comparable between groups (P > 0.05). The large angle κ group exhibited higher coma and greater increase in coma postoperatively compared with the small angle κ group in both 4-mm an 6-mm optical zones (P < 0.05). Eyes with a larger angle κ along the horizontal (X) axis demonstrated a significantly greater increase in horizontal coma, whereas those with a larger vertical (Y-axis) offset exhibited a more pronounced increase in vertical coma (P < 0.05). Despite this increase, contrast sensitivity, point spread function parameters, and night vision symptoms did not differ significantly between groups (P > 0.05).",
        "Conclusions": "Although ray-tracing-guided FS-LASIK with compensation for large angle kappa results in greater measured coma, this increase does not translate into inferior visual quality. Angle kappa significantly modulates the functional impact of postoperative coma, suggesting that aberrations quantified in a pupil-centered reference system may not fully reflect the visual axis-dependent optical performance. These findings highlight the axis-dependent nature of postoperative aberration assessment and provide a potential explanation for the dissociation between measured coma and subjective visual quality in eyes with large angle kappa."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "FP07.05",
      "abstract_number": "FP07.05",
      "title": "Comparison Of Vision Quality After Ray-Tracing Guided Versus Q-Value Adjusted Fs-Lasik Correction For Myopia And Myopic Astigmatism (≥ 1.50D)",
      "authors": "Dr Jihong Zhou",
      "presenter": "Dr Jihong Zhou",
      "normalized_authors": [
        "Jihong Zhou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jihong Zhou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Compare the results of vision quality after femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for myopia and astigmatism (≥1.50D) using ray-tracing-guided (RT group) or Q-value-adjusted (QV group) methods.",
        "Setting": "Beijing AierIntecth Eye Hospital. Design: Retrospective cohort study.",
        "Methods": "Patients who underwent either ray-tracing-guided or Q-value-guided FS-LASIK were selected for this study. Postoperative evaluations included measurements of high-order aberrations, the Strehl ratio, and the modulation transfer function. A linear mixed model (LMM) was employed to compare the two groups, considering both binocular correlation and its differences. This study included 104 eyes in the RT group and 148 eyes in the QV group. Spherical equivalent for the RT group: -5.17 ± 1.85D; for the QV group: -5.18 ± 1.96D. Astigmatism for the RT group: -2.17 ± 0.59D; for the QV group: -2.17 ± 0.63D.The baseline characteristics of the two groups in age, UDVA, and CDVA were significantly different and were corrected for covariance.",
        "Results": "At 3-month postoperatively, CDVA, UDVA, SEQ, and cylinder were not significantly different (P=0.709, 0.173, 0.301, 0.251). Corneal aberrations at 4mm and 6mm included high-order aberrations, coma, total spherical (T.sph), and trefoil, which were mostly significantly lower (P<0.05) in the RT group, except for trefoil at 4mm, which was similar (P=0.256) . Additionally, the RT group showed significantly lower corneal C12, spherical aberration (SA), and the Q-value for the 4mm, 5mm, and 6mm zones compared with the QV group (P=0.010, 0.042, < 0.001 for C12; < 0.001, < 0.001, < 0.001 for SA; < 0.001, < 0.001, < 0.001 for Q-value) . No significant differences in the Strehl ratio and modulation transfer function (MTF) were found.",
        "Conclusions": "The application of Ray-tracing-guided and Q-value-adjusted FS-LASIK procedures for the correction of myopia and myopic astigmatism (≥1.50D) has been demonstrated to be safe and efficacious. Postoperative evaluations revealed that the Q value and high-order corneal aberrations—such as coma, trefoil, T.Sph, SA, and C12—were notably lower in the RT group compared to the QV group. The corneal spherical aberration remained the same or decreased in the RT group at 3 months, whereas it increased in the QV group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The application of Ray-tracing-guided and Q-value-adjusted FS-LASIK procedures for the correction of myopia and myopic astigmatism (≥1.50D) has been demonstrated to be safe and efficacious. Postoperative evaluations revealed that the Q value and high-order corneal aberrations—such as coma, trefoil, T.Sph, SA, and C12—were notably lower in the RT group compared to the QV group. The corneal spherical aberration…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 96,
      "source_fields": {
        "Abstract Final Identifier": "FP07.05",
        "Title": "Comparison Of Vision Quality After Ray-Tracing Guided Versus Q-Value Adjusted Fs-Lasik Correction For Myopia And Myopic Astigmatism (≥ 1.50D)",
        "Presenting Author(s)": "Dr Jihong Zhou",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Jihong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhou",
        "Country Name": "China",
        "Purpose": "Compare the results of vision quality after femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for myopia and astigmatism (≥1.50D) using ray-tracing-guided (RT group) or Q-value-adjusted (QV group) methods.",
        "Setting": "Beijing AierIntecth Eye Hospital. Design: Retrospective cohort study.",
        "Methods": "Patients who underwent either ray-tracing-guided or Q-value-guided FS-LASIK were selected for this study. Postoperative evaluations included measurements of high-order aberrations, the Strehl ratio, and the modulation transfer function. A linear mixed model (LMM) was employed to compare the two groups, considering both binocular correlation and its differences. This study included 104 eyes in the RT group and 148 eyes in the QV group. Spherical equivalent for the RT group: -5.17 ± 1.85D; for the QV group: -5.18 ± 1.96D. Astigmatism for the RT group: -2.17 ± 0.59D; for the QV group: -2.17 ± 0.63D.The baseline characteristics of the two groups in age, UDVA, and CDVA were significantly different and were corrected for covariance.",
        "Results": "At 3-month postoperatively, CDVA, UDVA, SEQ, and cylinder were not significantly different (P=0.709, 0.173, 0.301, 0.251). Corneal aberrations at 4mm and 6mm included high-order aberrations, coma, total spherical (T.sph), and trefoil, which were mostly significantly lower (P<0.05) in the RT group, except for trefoil at 4mm, which was similar (P=0.256) . Additionally, the RT group showed significantly lower corneal C12, spherical aberration (SA), and the Q-value for the 4mm, 5mm, and 6mm zones compared with the QV group (P=0.010, 0.042, < 0.001 for C12; < 0.001, < 0.001, < 0.001 for SA; < 0.001, < 0.001, < 0.001 for Q-value) . No significant differences in the Strehl ratio and modulation transfer function (MTF) were found.",
        "Conclusions": "The application of Ray-tracing-guided and Q-value-adjusted FS-LASIK procedures for the correction of myopia and myopic astigmatism (≥1.50D) has been demonstrated to be safe and efficacious. Postoperative evaluations revealed that the Q value and high-order corneal aberrations—such as coma, trefoil, T.Sph, SA, and C12—were notably lower in the RT group compared to the QV group. The corneal spherical aberration remained the same or decreased in the RT group at 3 months, whereas it increased in the QV group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "FP07.06",
      "abstract_number": "FP07.06",
      "title": "Biomechanical Consequences Of Posterior Corneal Astigmatism-Associated Ablation In High Astigmatism Undergoing Ray-Tracing-Guided Lasik",
      "authors": "Dr Huiqin Zhang",
      "presenter": "Dr Huiqin Zhang",
      "normalized_authors": [
        "Huiqin Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Huiqin Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To prospectively compare the optical and biomechanical outcomes of ray-tracing–guided LASIK (RT-LASIK) and topography-guided LASIK (TP-LASIK) in eyes with high astigmatism, and to determine whether posterior corneal astigmatism (PCA) contributes to differential biomechanical responses following asymmetric ablation.",
        "Setting": "Tianjin Aier Eye Hospital, Tianjin, China.",
        "Methods": "In this prospective comparative study, 60 eyes with manifest corneal astigmatism ≥ 2.50 D were enrolled and assigned to RT- or TP-LASIK (30 eyes each, Alcon, Germany). Within each group, 10 eyes had PCA > 0.75 D (ranging from 0.80 D to 1.20 D) aligned with the anterior astigmatism axis. Corneal biomechanics were assessed preoperatively and at 1, 3, and 6 months postoperatively using Corvis ST. Parameters analyzed included Stress-strain index (SSI), SP-A1 and deformation amplitude ratio (DA ratio). Optical quality was evaluated using contrast sensitivity and OPD-Scan III.",
        "Results": "All eyes achieved postoperative UDVA ≥20/20 with no clinically significant residual refractive cylinder. RT-treated eyes demonstrated superior contrast sensitivity at spatial frequencies of 6.0-18.0 cpd and higher Strehl ratio. In eyes with PCA < 0.50 D, postoperative SSI, SP-A1, and DA ratio showed no significant differences between RT and TP at any time point (all P > 0.05). However, in eyes with PCA > 0.75 D, RT-treated eyes exhibited progressive reductions in SSI from 0.95 ± 0.02 preoperatively to 0.76 ± 0.09 at 6 months post-operatively, and SP-A1 from 118.50 ± 7.67 to 78.12 ± 8.18. DA ratio increased from 4.00 ± 0.21 to 5.34 ± 0.43. These changes were significantly greater than those observed in TP-treated eyes (all P < 0.05).",
        "Conclusions": "In high astigmatism with substantial and axis-aligned PCA contribution, RT-LASIK may introduce greater asymmetric ablation, resulting in more pronounced postoperative biomechanical alteration compared with TP-LASIK treatment. Although RT-LASIK achieved superior optical quality metrics, this advantage was accompanied by measurable biomechanical compromise in this specific subgroup."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In high astigmatism with substantial and axis-aligned PCA contribution, RT-LASIK may introduce greater asymmetric ablation, resulting in more pronounced postoperative biomechanical alteration compared with TP-LASIK treatment. Although RT-LASIK achieved superior optical quality metrics, this advantage was accompanied by measurable biomechanical compromise in this specific subgroup.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 97,
      "source_fields": {
        "Abstract Final Identifier": "FP07.06",
        "Title": "Biomechanical Consequences Of Posterior Corneal Astigmatism-Associated Ablation In High Astigmatism Undergoing Ray-Tracing-Guided Lasik",
        "Presenting Author(s)": "Dr Huiqin Zhang",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Huiqin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To prospectively compare the optical and biomechanical outcomes of ray-tracing–guided LASIK (RT-LASIK) and topography-guided LASIK (TP-LASIK) in eyes with high astigmatism, and to determine whether posterior corneal astigmatism (PCA) contributes to differential biomechanical responses following asymmetric ablation.",
        "Setting": "Tianjin Aier Eye Hospital, Tianjin, China.",
        "Methods": "In this prospective comparative study, 60 eyes with manifest corneal astigmatism ≥ 2.50 D were enrolled and assigned to RT- or TP-LASIK (30 eyes each, Alcon, Germany). Within each group, 10 eyes had PCA > 0.75 D (ranging from 0.80 D to 1.20 D) aligned with the anterior astigmatism axis. Corneal biomechanics were assessed preoperatively and at 1, 3, and 6 months postoperatively using Corvis ST. Parameters analyzed included Stress-strain index (SSI), SP-A1 and deformation amplitude ratio (DA ratio). Optical quality was evaluated using contrast sensitivity and OPD-Scan III.",
        "Results": "All eyes achieved postoperative UDVA ≥20/20 with no clinically significant residual refractive cylinder. RT-treated eyes demonstrated superior contrast sensitivity at spatial frequencies of 6.0-18.0 cpd and higher Strehl ratio. In eyes with PCA < 0.50 D, postoperative SSI, SP-A1, and DA ratio showed no significant differences between RT and TP at any time point (all P > 0.05). However, in eyes with PCA > 0.75 D, RT-treated eyes exhibited progressive reductions in SSI from 0.95 ± 0.02 preoperatively to 0.76 ± 0.09 at 6 months post-operatively, and SP-A1 from 118.50 ± 7.67 to 78.12 ± 8.18. DA ratio increased from 4.00 ± 0.21 to 5.34 ± 0.43. These changes were significantly greater than those observed in TP-treated eyes (all P < 0.05).",
        "Conclusions": "In high astigmatism with substantial and axis-aligned PCA contribution, RT-LASIK may introduce greater asymmetric ablation, resulting in more pronounced postoperative biomechanical alteration compared with TP-LASIK treatment. Although RT-LASIK achieved superior optical quality metrics, this advantage was accompanied by measurable biomechanical compromise in this specific subgroup."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "FP07.07",
      "abstract_number": "FP07.07",
      "title": "Epithelial Ingrowth After Lasik Retreatment Flap Lift: Comparison Of Three Techniques To Identify The Lowest Subsequent Ingrowth Rate And Optimal Approach",
      "authors": "Dr Michael Rossiter-Thornton",
      "presenter": "Dr Michael Rossiter-Thornton",
      "normalized_authors": [
        "Michael Rossiter-Thornton"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Rossiter-Thornton",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare epithelial ingrowth incidence and severity after LASIK retreatment flap lift across three surgical techniques, using study periods before and after the introduction of epithelial edge recession, and to identify the technique associated with the lowest subsequent ingrowth rate.",
        "Setting": "Private Practice academic unit (Reinstein Vision), London Vision Clinic, EuroEyes Group, UK, with published protocols and 24 years of electronic medical record (EMR) database including videos of all treatments performed between 2002 and 2026.",
        "Methods": "Retrospective EMR review identified LASIK retreatment flap lifts in two study periods chosen around introduction of epithelial edge recession: Dec 2021–Jul 2022 (before) and Aug 2024–Mar 2025 (after). Operative videos classified technique as standard lift, gutter scraping, or edge recession; hybrid/unclassifiable cases were excluded from comparisons. Procedure time, resistance at entry/edge/bed separation, and epithelial defect size were recorded. Follow-up graded ingrowth by Probst/Machat (any and III–IV), time to diagnosis, and re-interventions (Nd:YAG or repeat lift). Categorical data used contingency tables/OR; continuous data Welch t-test.",
        "Results": "260 flap-lift retreatments were included. Techniques: standard lift (n=73), gutter scraping (n=53), epithelial edge recession (n=80); remaining cases were hybrid/unclassifiable. Mean follow-up 400±292 days (7–1325). By Probst/Machat grading, any ingrowth [III–IV] occurred in 79.5% [28.5%], 64.2% [11.3%], and 57.5% [6.3%], respectively. Only edge recession showed lower rates for both categories (p<.05) and a 65% reduced risk versus standard (OR 0.35, 95% CI 0.17–0.75; p=.004). Ingrowth was unrelated to resistance grading, epithelial defect size, or other variables.",
        "Conclusions": "Epithelial edge recession was associated with the lowest rates of epithelial ingrowth after LASIK retreatment flap lift, with a significantly reduced risk compared with standard flap lift. No other intraoperative factors, including graded flap-lift resistance or epithelial defect size, were associated with ingrowth. The absence of an association between lift difficulty and ingrowth suggests that, with these techniques, later enhancements may not intrinsically confer higher ingrowth risk, although this requires dedicated study."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Epithelial edge recession was associated with the lowest rates of epithelial ingrowth after LASIK retreatment flap lift, with a significantly reduced risk compared with standard flap lift. No other intraoperative factors, including graded flap-lift resistance or epithelial defect size, were associated with ingrowth. The absence of an association between lift difficulty and ingrowth suggests that, with these…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 98,
      "source_fields": {
        "Abstract Final Identifier": "FP07.07",
        "Title": "Epithelial Ingrowth After Lasik Retreatment Flap Lift: Comparison Of Three Techniques To Identify The Lowest Subsequent Ingrowth Rate And Optimal Approach",
        "Presenting Author(s)": "Dr Michael Rossiter-Thornton",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rossiter-Thornton",
        "Country Name": "United Kingdom",
        "Purpose": "To compare epithelial ingrowth incidence and severity after LASIK retreatment flap lift across three surgical techniques, using study periods before and after the introduction of epithelial edge recession, and to identify the technique associated with the lowest subsequent ingrowth rate.",
        "Setting": "Private Practice academic unit (Reinstein Vision), London Vision Clinic, EuroEyes Group, UK, with published protocols and 24 years of electronic medical record (EMR) database including videos of all treatments performed between 2002 and 2026.",
        "Methods": "Retrospective EMR review identified LASIK retreatment flap lifts in two study periods chosen around introduction of epithelial edge recession: Dec 2021–Jul 2022 (before) and Aug 2024–Mar 2025 (after). Operative videos classified technique as standard lift, gutter scraping, or edge recession; hybrid/unclassifiable cases were excluded from comparisons. Procedure time, resistance at entry/edge/bed separation, and epithelial defect size were recorded. Follow-up graded ingrowth by Probst/Machat (any and III–IV), time to diagnosis, and re-interventions (Nd:YAG or repeat lift). Categorical data used contingency tables/OR; continuous data Welch t-test.",
        "Results": "260 flap-lift retreatments were included. Techniques: standard lift (n=73), gutter scraping (n=53), epithelial edge recession (n=80); remaining cases were hybrid/unclassifiable. Mean follow-up 400±292 days (7–1325). By Probst/Machat grading, any ingrowth [III–IV] occurred in 79.5% [28.5%], 64.2% [11.3%], and 57.5% [6.3%], respectively. Only edge recession showed lower rates for both categories (p<.05) and a 65% reduced risk versus standard (OR 0.35, 95% CI 0.17–0.75; p=.004). Ingrowth was unrelated to resistance grading, epithelial defect size, or other variables.",
        "Conclusions": "Epithelial edge recession was associated with the lowest rates of epithelial ingrowth after LASIK retreatment flap lift, with a significantly reduced risk compared with standard flap lift. No other intraoperative factors, including graded flap-lift resistance or epithelial defect size, were associated with ingrowth. The absence of an association between lift difficulty and ingrowth suggests that, with these techniques, later enhancements may not intrinsically confer higher ingrowth risk, although this requires dedicated study."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "FP07.08",
      "abstract_number": "FP07.08",
      "title": "Intraocular Pressure After Myopic Lasik: Corneal Flap Tightening With The Lasik Tonometer Vs Air Pulse From The Ocular Response Analyzer.",
      "authors": "Mrs María Iglesias",
      "presenter": "Mrs María Iglesias",
      "normalized_authors": [
        "María Iglesias"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "María Iglesias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the agreement of corneal-compensated intraocular pressure (IOPcc, from Ocular Response Analyzer (ORA)) and a new recording tonometer with a convex apex designed for post-LASIK patients: the LASIK tonometer (CT), taking IOPcc IOP before surgery as the reference standard for IOP evaluations, instead of the usual Goldmann applanation tonometer (GAT) LASIK IOP values. When CT is applied towards a LASIK myopic cornea, it tightens the center of the corneal flap and a biomechanical response is observed, producing a pressure profile very similar to that existed before surgery . T his is the first study to compare this effect with the air pulse from IOPcc as the gold standard before LASIK myopic surgery.",
        "Setting": "Barraquer Ophthalmology Center, Barcelona, Spain.",
        "Methods": "Prospective, double-masked study including n=72 eyes undergoing LASIK. IOP was measured before ( pre ) and 3 months after surgery ( post ) with CT, ORA (IOPcc and IOPg (Goldmann-correlated IOP)), and GAT. Intraclass correlation coefficient (ICC) and Bland-Altman (B-A) plot were calculated to assess the agreement. To determine which factors explain the bias trend in the B-A analysis, multiple stepwise regression was used to relate the differences in IOP and the change in corneal characteristics from pre- to post- surgery. IOP values obtained with GAT pre , CT post and ORA in pre- and post-surgery, were correlated respectively with clinical characteristics (including corneal hysteresis (CH) and corneal resistance factor (CRF) from ORA).",
        "Results": "CT post vs IOPcc Pre showed moderate agreement (MD: 1.40 mmHg, p = 0.004; limits of agreement:(LoA): –5.87 to 8.69). Larger differences were observed for CT post vs IOPcc Post (MD: 3.49 mmHg, p < 0.001; LoA: –1.99 to 8.98). CT post vs GATpre showed minimal bias (MD: –0.236 mmHg, p = 0.342 ; LoA: –4.22 to 3.75). No correlation was found for CT post vs IOPcc Pre (ICC = 0.24, 95% CI:(-0.02 - 0.46)(15.76 ± 2.61 vs 14.36 ± 3.36; p <0.074); or vs IOPccPost (ICC = 0.3, 95% CI: (0.12 - 0.48)(15.76 ± 2.61 vs 12.27 ± 2.10; p <0.004). CT post had good correlation with GATpre (ICC = 0.74, 95% CI: 0.62 - 0.85 (15.76 ± 2.60 vs 16 ± 2.96; p <0.000). IOPcc Post correlated with CH (r = –0.45, p <0.001); CT post with CH (r = 0.34, p <0.001) and CRF (r = 0.54, p <0.001).",
        "Conclusions": "These findings highlight that while the CT displays no systematic bias relative to GAT pre ​, it shows clinically relevant deviations when compared with IOPcc both before and after surgery. CT and IOPcc captured distinct biomechanical aspects of the postoperative myopic LASIK cornea: CT reflects residual load-bearing rigidity, whereas IOPcc reflects biomechanical weakening. Still, CT may serve as an appropriate alternative to GAT in post-refractive LASIK myopic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings highlight that while the CT displays no systematic bias relative to GAT pre ​, it shows clinically relevant deviations when compared with IOPcc both before and after surgery. CT and IOPcc captured distinct biomechanical aspects of the postoperative myopic LASIK cornea: CT reflects residual load-bearing rigidity, whereas IOPcc reflects biomechanical weakening. Still, CT may serve as an appropriate…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 99,
      "source_fields": {
        "Abstract Final Identifier": "FP07.08",
        "Title": "Intraocular Pressure After Myopic Lasik: Corneal Flap Tightening With The Lasik Tonometer Vs Air Pulse From The Ocular Response Analyzer.",
        "Presenting Author(s)": "Mrs María Iglesias",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "María",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Iglesias",
        "Country Name": "Spain",
        "Purpose": "To evaluate the agreement of corneal-compensated intraocular pressure (IOPcc, from Ocular Response Analyzer (ORA)) and a new recording tonometer with a convex apex designed for post-LASIK patients: the LASIK tonometer (CT), taking IOPcc IOP before surgery as the reference standard for IOP evaluations, instead of the usual Goldmann applanation tonometer (GAT) LASIK IOP values. When CT is applied towards a LASIK myopic cornea, it tightens the center of the corneal flap and a biomechanical response is observed, producing a pressure profile very similar to that existed before surgery . T his is the first study to compare this effect with the air pulse from IOPcc as the gold standard before LASIK myopic surgery.",
        "Setting": "Barraquer Ophthalmology Center, Barcelona, Spain.",
        "Methods": "Prospective, double-masked study including n=72 eyes undergoing LASIK. IOP was measured before ( pre ) and 3 months after surgery ( post ) with CT, ORA (IOPcc and IOPg (Goldmann-correlated IOP)), and GAT. Intraclass correlation coefficient (ICC) and Bland-Altman (B-A) plot were calculated to assess the agreement. To determine which factors explain the bias trend in the B-A analysis, multiple stepwise regression was used to relate the differences in IOP and the change in corneal characteristics from pre- to post- surgery. IOP values obtained with GAT pre , CT post and ORA in pre- and post-surgery, were correlated respectively with clinical characteristics (including corneal hysteresis (CH) and corneal resistance factor (CRF) from ORA).",
        "Results": "CT post vs IOPcc Pre showed moderate agreement (MD: 1.40 mmHg, p = 0.004; limits of agreement:(LoA): –5.87 to 8.69). Larger differences were observed for CT post vs IOPcc Post (MD: 3.49 mmHg, p < 0.001; LoA: –1.99 to 8.98). CT post vs GATpre showed minimal bias (MD: –0.236 mmHg, p = 0.342 ; LoA: –4.22 to 3.75). No correlation was found for CT post vs IOPcc Pre (ICC = 0.24, 95% CI:(-0.02 - 0.46)(15.76 ± 2.61 vs 14.36 ± 3.36; p <0.074); or vs IOPccPost (ICC = 0.3, 95% CI: (0.12 - 0.48)(15.76 ± 2.61 vs 12.27 ± 2.10; p <0.004). CT post had good correlation with GATpre (ICC = 0.74, 95% CI: 0.62 - 0.85 (15.76 ± 2.60 vs 16 ± 2.96; p <0.000). IOPcc Post correlated with CH (r = –0.45, p <0.001); CT post with CH (r = 0.34, p <0.001) and CRF (r = 0.54, p <0.001).",
        "Conclusions": "These findings highlight that while the CT displays no systematic bias relative to GAT pre ​, it shows clinically relevant deviations when compared with IOPcc both before and after surgery. CT and IOPcc captured distinct biomechanical aspects of the postoperative myopic LASIK cornea: CT reflects residual load-bearing rigidity, whereas IOPcc reflects biomechanical weakening. Still, CT may serve as an appropriate alternative to GAT in post-refractive LASIK myopic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 471
    },
    {
      "uid": "FP07.09",
      "abstract_number": "FP07.09",
      "title": "Study On Corneal Nerve Repair After Corneal Refractive Surgery Based On The Wide-Field Mosaic Analysis Of Corneal Subbasal Nerve Plexus",
      "authors": "Dr Yan Gao",
      "presenter": "Dr Yan Gao",
      "normalized_authors": [
        "Yan Gao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yan Gao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To explore the application value of wide-field mosaic analysis of corneal subbasal nerve plexus in the evaluation of corneal nerve repair in patients undergoing corneal refractive surgery. The effects of SMILE, FS-LASIK, and PRK on corneal nerve morphology, perceptual function, and subjective symptoms were compared, providing a basis for clinical surgical procedure selection and postoperative management",
        "Setting": "This study was conducted at Shanxi Eye Hospital from July 2023 to July 2024. Seventy-five eligible patients who underwent corneal refractive surgery were enrolled and divided into three groups: SMILE , FS-LASIK , and PRK. Corneal subbasal nerve morphology was evaluated via wide-field mosaic technique to quantify CNFD, CNBD, CNFL before and at 6/12 months postoperatively. Corneal perception was detected by Cochet Bonnet in five regions. OSDI questionnaire assessed subjective symptoms.",
        "Methods": "75 patients (75 eyes) who underwent corneal refractive surgery at Shanxi Eye Hospital from July 2023 to July 2024 were selected, including 26 eyes in SMILE group, 24 eyes in FS-LASIK group, and 25 eyes in PRK group. Using a wide-field mosaic technique combining manual stitching and deep learning algorithms, quantify corneal nerve fiber density (CNFD), branch density (CNBD), and fiber length (CNFL) before and at 6 and 12 months after surgery. Cochet Bonnet corneal perceptron was used to detect the perceptual values of five corneal regions. Use OSDI questionnaire to assess patients' subjective symptoms.",
        "Results": "In terms of nerve repair, there was no significant difference in the CNFD values between the SMILE group before and 12 months after the operation, indicating complete recovery of the nerve vortex structure. The postoperative CNFD of FS-LASIK group and PRK group did not recover to preoperative levels. In terms of corneal perception, some areas of perception in the three groups slightly decreased at 6 months after surgery, and basically recovered to preoperative levels at 12 months. The OSDI scores of FS-LASIK group and PRK group significantly increased at 6 months after surgery, and decreased significantly at 12 months. Correlation analysis showed a weak positive correlation between corneal perception and neural parameters.",
        "Conclusions": "Wide-field area mosaic technology can comprehensive assess corneal nerve repair status. There is a phenomenon of dissociation between corneal perception recovery and neural morphology repair. After comprehensive evaluation of neurological, subjective symptoms, SMILE surgery has less corneal nerve damage and faster postoperative repair."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Wide-field area mosaic technology can comprehensive assess corneal nerve repair status. There is a phenomenon of dissociation between corneal perception recovery and neural morphology repair. After comprehensive evaluation of neurological, subjective symptoms, SMILE surgery has less corneal nerve damage and faster postoperative repair.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 100,
      "source_fields": {
        "Abstract Final Identifier": "FP07.09",
        "Title": "Study On Corneal Nerve Repair After Corneal Refractive Surgery Based On The Wide-Field Mosaic Analysis Of Corneal Subbasal Nerve Plexus",
        "Presenting Author(s)": "Dr Yan Gao",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Yan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gao",
        "Country Name": "China",
        "Purpose": "To explore the application value of wide-field mosaic analysis of corneal subbasal nerve plexus in the evaluation of corneal nerve repair in patients undergoing corneal refractive surgery. The effects of SMILE, FS-LASIK, and PRK on corneal nerve morphology, perceptual function, and subjective symptoms were compared, providing a basis for clinical surgical procedure selection and postoperative management",
        "Setting": "This study was conducted at Shanxi Eye Hospital from July 2023 to July 2024. Seventy-five eligible patients who underwent corneal refractive surgery were enrolled and divided into three groups: SMILE , FS-LASIK , and PRK. Corneal subbasal nerve morphology was evaluated via wide-field mosaic technique to quantify CNFD, CNBD, CNFL before and at 6/12 months postoperatively. Corneal perception was detected by Cochet Bonnet in five regions. OSDI questionnaire assessed subjective symptoms.",
        "Methods": "75 patients (75 eyes) who underwent corneal refractive surgery at Shanxi Eye Hospital from July 2023 to July 2024 were selected, including 26 eyes in SMILE group, 24 eyes in FS-LASIK group, and 25 eyes in PRK group. Using a wide-field mosaic technique combining manual stitching and deep learning algorithms, quantify corneal nerve fiber density (CNFD), branch density (CNBD), and fiber length (CNFL) before and at 6 and 12 months after surgery. Cochet Bonnet corneal perceptron was used to detect the perceptual values of five corneal regions. Use OSDI questionnaire to assess patients' subjective symptoms.",
        "Results": "In terms of nerve repair, there was no significant difference in the CNFD values between the SMILE group before and 12 months after the operation, indicating complete recovery of the nerve vortex structure. The postoperative CNFD of FS-LASIK group and PRK group did not recover to preoperative levels. In terms of corneal perception, some areas of perception in the three groups slightly decreased at 6 months after surgery, and basically recovered to preoperative levels at 12 months. The OSDI scores of FS-LASIK group and PRK group significantly increased at 6 months after surgery, and decreased significantly at 12 months. Correlation analysis showed a weak positive correlation between corneal perception and neural parameters.",
        "Conclusions": "Wide-field area mosaic technology can comprehensive assess corneal nerve repair status. There is a phenomenon of dissociation between corneal perception recovery and neural morphology repair. After comprehensive evaluation of neurological, subjective symptoms, SMILE surgery has less corneal nerve damage and faster postoperative repair."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 376
    },
    {
      "uid": "FP07.10",
      "abstract_number": "FP07.10",
      "title": "Impact Of Routine Sterile Eyelid Draping On Complications And Clinical Outcomes In Prk And Lasik: A Large Propensity-Matched Analysis",
      "authors": "Dr Daniel Bahir",
      "presenter": "Dr Daniel Bahir",
      "normalized_authors": [
        "Daniel Bahir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Bahir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To determine whether routine sterile eyelid draping meaningfully reduces inflammatory or infectious complications in laser vision correction and to evaluate its effect on visual, refractive and epithelial healing outcomes in PRK and LASIK.",
        "Setting": "High-volume tertiary laser vision correction center, Tel Aviv, Israel.",
        "Methods": "Retrospective comparative analysis of consecutive primary PRK and LASIK procedures performed between 2021 and 2024. Eyes were stratified according to use of sterile eyelid draping. Propensity score matching was performed based on age, sex, pachymetry, keratometry and preoperative spherical equivalent. Primary endpoints were diffuse lamellar keratitis (DLK), infectious keratitis and epithelial recovery. Secondary endpoints included uncorrected and corrected distance visual acuity, spherical equivalent accuracy, and safety and efficacy indices. Multivariable linear and logistic regression models were used to adjust for intraoperative variables including optical zone diameter, ablation depth, temperature and operative time.",
        "Results": "After matching, 6,129 eyes were included (1,483 LASIK; 4,646 PRK). In LASIK, DLK rates were low and comparable between groups (0.2% with draping vs 0.5% without; p=0.67). No infectious keratitis occurred in either cohort. Overall complication rates were similar (2.3% vs 2.4%; p>0.99). In PRK, no infectious keratitis was observed. However, delayed epithelial recovery was significantly more frequent in the draped group (3.0% vs 1.1%; p<0.001), with a corresponding increase in overall complication rates (3.9% vs 1.9%; p<0.001). Despite statistical differences in select refractive parameters, safety and efficacy indices remained high and clinically equivalent across groups.",
        "Conclusions": "Routine sterile eyelid draping did not reduce DLK or infectious keratitis in either PRK or LASIK. In PRK, draping was associated with increased delayed epithelial healing and higher overall complication rates. These findings challenge the presumed protective value of routine draping in modern refractive surgery. Beyond clinical implications, elimination of unnecessary disposable draping materials may reduce surgical waste and improve the environmental sustainability of high-volume refractive practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Routine sterile eyelid draping did not reduce DLK or infectious keratitis in either PRK or LASIK. In PRK, draping was associated with increased delayed epithelial healing and higher overall complication rates. These findings challenge the presumed protective value of routine draping in modern refractive surgery. Beyond clinical implications, elimination of unnecessary disposable draping materials may reduce…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 101,
      "source_fields": {
        "Abstract Final Identifier": "FP07.10",
        "Title": "Impact Of Routine Sterile Eyelid Draping On Complications And Clinical Outcomes In Prk And Lasik: A Large Propensity-Matched Analysis",
        "Presenting Author(s)": "Dr Daniel Bahir",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bahir",
        "Country Name": "Israel",
        "Purpose": "To determine whether routine sterile eyelid draping meaningfully reduces inflammatory or infectious complications in laser vision correction and to evaluate its effect on visual, refractive and epithelial healing outcomes in PRK and LASIK.",
        "Setting": "High-volume tertiary laser vision correction center, Tel Aviv, Israel.",
        "Methods": "Retrospective comparative analysis of consecutive primary PRK and LASIK procedures performed between 2021 and 2024. Eyes were stratified according to use of sterile eyelid draping. Propensity score matching was performed based on age, sex, pachymetry, keratometry and preoperative spherical equivalent. Primary endpoints were diffuse lamellar keratitis (DLK), infectious keratitis and epithelial recovery. Secondary endpoints included uncorrected and corrected distance visual acuity, spherical equivalent accuracy, and safety and efficacy indices. Multivariable linear and logistic regression models were used to adjust for intraoperative variables including optical zone diameter, ablation depth, temperature and operative time.",
        "Results": "After matching, 6,129 eyes were included (1,483 LASIK; 4,646 PRK). In LASIK, DLK rates were low and comparable between groups (0.2% with draping vs 0.5% without; p=0.67). No infectious keratitis occurred in either cohort. Overall complication rates were similar (2.3% vs 2.4%; p>0.99). In PRK, no infectious keratitis was observed. However, delayed epithelial recovery was significantly more frequent in the draped group (3.0% vs 1.1%; p<0.001), with a corresponding increase in overall complication rates (3.9% vs 1.9%; p<0.001). Despite statistical differences in select refractive parameters, safety and efficacy indices remained high and clinically equivalent across groups.",
        "Conclusions": "Routine sterile eyelid draping did not reduce DLK or infectious keratitis in either PRK or LASIK. In PRK, draping was associated with increased delayed epithelial healing and higher overall complication rates. These findings challenge the presumed protective value of routine draping in modern refractive surgery. Beyond clinical implications, elimination of unnecessary disposable draping materials may reduce surgical waste and improve the environmental sustainability of high-volume refractive practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "FP07.11",
      "abstract_number": "FP07.11",
      "title": "A Preoperative Phoropter Binocular Tolerance Test Predicts 96.9% Success In Laser Blended Vision",
      "authors": "Mr Brendan Cummings",
      "presenter": "Mr Brendan Cummings",
      "normalized_authors": [
        "Brendan Cummings"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arthur Bernard Cummings",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ireland",
      "sections": {
        "Purpose": "To evaluate whether a standardised preoperative phoropter-based binocular tolerance test can predict the success of laser-blended vision (LBV) in patients undergoing LASIK.",
        "Setting": "Wellington Eye Clinic, Dublin, Ireland",
        "Methods": "Retrospective analysis of consecutive patients undergoing LASIK with blended vision targeting. Preoperatively, binocular distance correction (0/0) was defined as 100% quality. Simulated anisometropia was introduced into the phoropter, and patients rated binocular quality relative to full-distance correction. Sensory dominance was established and assigned to the distance eye. Simulated blended vision ≥80% of binocular distance proceeded to surgery. The near-eye target was the maximum tolerated myopic offset, maintaining ≥80% binocular quality. Failure was defined as an enhancement converting the near eye to distance. Preoperative refractive status was classified as myopic (< −0.50 D), emmetropic (−0.50 to +0.50 D), or hyperopic (> +0.50 D)",
        "Results": "1,341 patients (2,682 eyes) underwent LASIK with blended vision targeting. Distance correction was applied to the right eye (67.8%) and the left eye (32.2%). Preoperative refractive status was myopic in 695 patients (51.8%), hyperopic in 600 (44.7%), and emmetropic in 46 (3.4%). Induced anisometropia clustered between −1.50 D and −1.75 D, representing 62.5% of treatments and suggesting a functional range for blended vision. Failure occurred in 42 of 1,341 patients (3.1%), defined as enhancement converting the reading eye to distance. Failure rates were similar across refractive groups (3.45% myopes, 3.00% hyperopes, 0% emmetropes). Failures were not associated with greater anisometropia and most occurred within the first postoperative year.",
        "Conclusions": "A simple preoperative phoropter-based binocular tolerance test is a powerful predictor of successful laser-blended vision. Patients rating simulated anisometropia ≥80% of binocular distance vision achieved a 96.9% success rate without reversal. Identifying sensory dominance and selecting the highest anisometropia tolerated at this threshold allows surgeons to individualise treatment rather than rely on fixed monovision targets, improving predictability in laser-blended vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A simple preoperative phoropter-based binocular tolerance test is a powerful predictor of successful laser-blended vision. Patients rating simulated anisometropia ≥80% of binocular distance vision achieved a 96.9% success rate without reversal. Identifying sensory dominance and selecting the highest anisometropia tolerated at this threshold allows surgeons to individualise treatment rather than rely on fixed…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 102,
      "source_fields": {
        "Abstract Final Identifier": "FP07.11",
        "Title": "A Preoperative Phoropter Binocular Tolerance Test Predicts 96.9% Success In Laser Blended Vision",
        "Presenting Author(s)": "Mr Brendan Cummings",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Arthur",
        "Submitter Middle Name": "Bernard",
        "Submitter Last Name": "Cummings",
        "Country Name": "Ireland",
        "Purpose": "To evaluate whether a standardised preoperative phoropter-based binocular tolerance test can predict the success of laser-blended vision (LBV) in patients undergoing LASIK.",
        "Setting": "Wellington Eye Clinic, Dublin, Ireland",
        "Methods": "Retrospective analysis of consecutive patients undergoing LASIK with blended vision targeting. Preoperatively, binocular distance correction (0/0) was defined as 100% quality. Simulated anisometropia was introduced into the phoropter, and patients rated binocular quality relative to full-distance correction. Sensory dominance was established and assigned to the distance eye. Simulated blended vision ≥80% of binocular distance proceeded to surgery. The near-eye target was the maximum tolerated myopic offset, maintaining ≥80% binocular quality. Failure was defined as an enhancement converting the near eye to distance. Preoperative refractive status was classified as myopic (< −0.50 D), emmetropic (−0.50 to +0.50 D), or hyperopic (> +0.50 D)",
        "Results": "1,341 patients (2,682 eyes) underwent LASIK with blended vision targeting. Distance correction was applied to the right eye (67.8%) and the left eye (32.2%). Preoperative refractive status was myopic in 695 patients (51.8%), hyperopic in 600 (44.7%), and emmetropic in 46 (3.4%). Induced anisometropia clustered between −1.50 D and −1.75 D, representing 62.5% of treatments and suggesting a functional range for blended vision. Failure occurred in 42 of 1,341 patients (3.1%), defined as enhancement converting the reading eye to distance. Failure rates were similar across refractive groups (3.45% myopes, 3.00% hyperopes, 0% emmetropes). Failures were not associated with greater anisometropia and most occurred within the first postoperative year.",
        "Conclusions": "A simple preoperative phoropter-based binocular tolerance test is a powerful predictor of successful laser-blended vision. Patients rating simulated anisometropia ≥80% of binocular distance vision achieved a 96.9% success rate without reversal. Identifying sensory dominance and selecting the highest anisometropia tolerated at this threshold allows surgeons to individualise treatment rather than rely on fixed monovision targets, improving predictability in laser-blended vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "FP07.12",
      "abstract_number": "FP07.12",
      "title": "Comparison Of Visual Outcomes With Different Ablation Profile In Fs-Lasik For High Myopia Correction: Wavelight Plus Versus Custom-Q",
      "authors": "Prof. Dr yueguo chen",
      "presenter": "Prof. Dr yueguo chen",
      "normalized_authors": [
        "yueguo chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruiyu Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare visual outcomes in high myopia patients receiving wavelight plus versus Custom-Q FS-LASIK .",
        "Setting": "Peking University Third Hospital",
        "Methods": "This prospective, double-masked, comparative study enrolled high myopia patients (myopic ≥ 6D sphere) who received wavelight plus or Custom-Q FS- LASIK for both eyes, and the data of right eyes were included into analysis. Follow-ups were conducted at 1 day, 1 week, 1 month, and 3 months postoperatively. Visual acuity, manifest refraction, and higher-order aberrations (HOAs) were measured before and after surgery.",
        "Results": "There were 63 eyes of wavelight plus group and 54 eyes of Custom-Q group included into analysis. No significant difference was found in preoperative MRSE ( -7.77±0.96 D vs -8.17±1.27 D, P =0.078) between groups. At 3 months postoperatively, the UDVA of 20/16 or better was measured in 88% of eyes in the wavelight plus group and 72% in the Custom-Q group (P=0.038). 95% in the wavelight plus group and 93% in the Custom-Q group achieved a postoperative MRSE within ±0.50 D. However, the wavelight plus group exhibited a slightly but statistically significant higher mean MRSE postoperatively ( 0.15±0.25 D vs. 0.03 ±0.32 D, P=0.032) . Wavelight plus FS-LASIK exhibited a notable reduction in spherical aberration (SA) in both 4mm and 6mm ( P<0.05 ) zone.",
        "Conclusions": "Both w ave l ight plus and Custom-Q FS-LASIK are highly effective in achieving excellent visual acuity and refractive predictability 3 months after surgery in patients with high myopia. W ave l ight plus performed better in achieving UDVA and spherical aberration (SA) management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both w ave l ight plus and Custom-Q FS-LASIK are highly effective in achieving excellent visual acuity and refractive predictability 3 months after surgery in patients with high myopia. W ave l ight plus performed better in achieving UDVA and spherical aberration (SA) management.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 103,
      "source_fields": {
        "Abstract Final Identifier": "FP07.12",
        "Title": "Comparison Of Visual Outcomes With Different Ablation Profile In Fs-Lasik For High Myopia Correction: Wavelight Plus Versus Custom-Q",
        "Presenting Author(s)": "Prof. Dr yueguo chen",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Ruiyu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To compare visual outcomes in high myopia patients receiving wavelight plus versus Custom-Q FS-LASIK .",
        "Setting": "Peking University Third Hospital",
        "Methods": "This prospective, double-masked, comparative study enrolled high myopia patients (myopic ≥ 6D sphere) who received wavelight plus or Custom-Q FS- LASIK for both eyes, and the data of right eyes were included into analysis. Follow-ups were conducted at 1 day, 1 week, 1 month, and 3 months postoperatively. Visual acuity, manifest refraction, and higher-order aberrations (HOAs) were measured before and after surgery.",
        "Results": "There were 63 eyes of wavelight plus group and 54 eyes of Custom-Q group included into analysis. No significant difference was found in preoperative MRSE ( -7.77±0.96 D vs -8.17±1.27 D, P =0.078) between groups. At 3 months postoperatively, the UDVA of 20/16 or better was measured in 88% of eyes in the wavelight plus group and 72% in the Custom-Q group (P=0.038). 95% in the wavelight plus group and 93% in the Custom-Q group achieved a postoperative MRSE within ±0.50 D. However, the wavelight plus group exhibited a slightly but statistically significant higher mean MRSE postoperatively ( 0.15±0.25 D vs. 0.03 ±0.32 D, P=0.032) . Wavelight plus FS-LASIK exhibited a notable reduction in spherical aberration (SA) in both 4mm and 6mm ( P<0.05 ) zone.",
        "Conclusions": "Both w ave l ight plus and Custom-Q FS-LASIK are highly effective in achieving excellent visual acuity and refractive predictability 3 months after surgery in patients with high myopia. W ave l ight plus performed better in achieving UDVA and spherical aberration (SA) management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "FP07.13",
      "abstract_number": "FP07.13",
      "title": "Corneal Surface Response And Refractive Stability After Lasik: Integrating Tear Microrna Signatures And Epithelial Remodeling",
      "authors": "Dr Mariia Zhovtoshtan",
      "presenter": "Dr Mariia Zhovtoshtan",
      "normalized_authors": [
        "Mariia Zhovtoshtan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariia ZHOVTOSHTAN",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To assess corneal-surface recovery and refractive stability after LASIK by integrating tear microRNAs, TGF-β2, and epithelial remodeling.",
        "Setting": "Clinical study (Ukraine)",
        "Methods": "The prospective cohort included 150 eyes (150 patients) undergoing myopic LASIK. Preoperative tear miR-146a-5p, miR-450b-5p, and TGF-β2 were measured. Postoperatively, dry eye disease (DED), epithelial thickness change (ΔCET; anterior segment OCT), and Corneal Irregularity Measurement (CIM;Placido-disk topography), were evaluated. Refractive regression was defined as a myopic shift >0.50 D at 12 months versus 3 months. Eyes were assigned to three rule-based profiles (A–C). Non-parametric and categorical tests were performed. Linear associations were evaluated using Pearson correlation, and multivariable linear regression identified independent predictors of refractive change. Principal component analysis (PCA) was applied for visualization.",
        "Results": "PCA showed clear separation of the three profiles. Regression risk was 4.3% in Profile A, 55.6% in Profile B (RR 12.92; 95% CI 4.55–36.69), and 12.8% in Profile C. Biomarker patterns differed: Profile B showed lower miR-146a-5p, higher miR-450b-5p, and reduced TGF-β2; Profile A showed the opposite, and Profile C was intermediate. Threshold gradients were marked (miR-146a-5p ≤0.85: 8.6% vs 61.1%; miR-450b-5p >1.95: 7.5% vs 50%; TGF-β2 <1755 pg/mL: 9.7% vs 72.2%). Correlations supported a cascade: miR-450b-5p–TGF-β2 (r=−0.80), TGF-β2–ΔCET (r=−0.75), ΔCET–refractive change (r=−0.73). In multivariable regression (adjusted R²=0.553), ΔCET was the strongest independent predictor (p<0.001); TGF-β2 remained independently associated (p=0.003).",
        "Conclusions": "Post-LASIK refractive stability is primarily driven by epithelial remodeling (ΔCET), linking tear biomarker patterns, ocular-surface status, and optical outcome within an integrated biological–morphological pathway. Tear microRNAs and TGF-β2 act as upstream regulators within an integrated biological–morphological pathway rather than as isolated predictors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-LASIK refractive stability is primarily driven by epithelial remodeling (ΔCET), linking tear biomarker patterns, ocular-surface status, and optical outcome within an integrated biological–morphological pathway. Tear microRNAs and TGF-β2 act as upstream regulators within an integrated biological–morphological pathway rather than as isolated predictors.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 104,
      "source_fields": {
        "Abstract Final Identifier": "FP07.13",
        "Title": "Corneal Surface Response And Refractive Stability After Lasik: Integrating Tear Microrna Signatures And Epithelial Remodeling",
        "Presenting Author(s)": "Dr Mariia Zhovtoshtan",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Mariia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "ZHOVTOSHTAN",
        "Country Name": "Ukraine",
        "Purpose": "To assess corneal-surface recovery and refractive stability after LASIK by integrating tear microRNAs, TGF-β2, and epithelial remodeling.",
        "Setting": "Clinical study (Ukraine)",
        "Methods": "The prospective cohort included 150 eyes (150 patients) undergoing myopic LASIK. Preoperative tear miR-146a-5p, miR-450b-5p, and TGF-β2 were measured. Postoperatively, dry eye disease (DED), epithelial thickness change (ΔCET; anterior segment OCT), and Corneal Irregularity Measurement (CIM;Placido-disk topography), were evaluated. Refractive regression was defined as a myopic shift >0.50 D at 12 months versus 3 months. Eyes were assigned to three rule-based profiles (A–C). Non-parametric and categorical tests were performed. Linear associations were evaluated using Pearson correlation, and multivariable linear regression identified independent predictors of refractive change. Principal component analysis (PCA) was applied for visualization.",
        "Results": "PCA showed clear separation of the three profiles. Regression risk was 4.3% in Profile A, 55.6% in Profile B (RR 12.92; 95% CI 4.55–36.69), and 12.8% in Profile C. Biomarker patterns differed: Profile B showed lower miR-146a-5p, higher miR-450b-5p, and reduced TGF-β2; Profile A showed the opposite, and Profile C was intermediate. Threshold gradients were marked (miR-146a-5p ≤0.85: 8.6% vs 61.1%; miR-450b-5p >1.95: 7.5% vs 50%; TGF-β2 <1755 pg/mL: 9.7% vs 72.2%). Correlations supported a cascade: miR-450b-5p–TGF-β2 (r=−0.80), TGF-β2–ΔCET (r=−0.75), ΔCET–refractive change (r=−0.73). In multivariable regression (adjusted R²=0.553), ΔCET was the strongest independent predictor (p<0.001); TGF-β2 remained independently associated (p=0.003).",
        "Conclusions": "Post-LASIK refractive stability is primarily driven by epithelial remodeling (ΔCET), linking tear biomarker patterns, ocular-surface status, and optical outcome within an integrated biological–morphological pathway. Tear microRNAs and TGF-β2 act as upstream regulators within an integrated biological–morphological pathway rather than as isolated predictors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "FP07.14",
      "abstract_number": "FP07.14",
      "title": "When Refractive Surgery Unmasks Latent Strabismus: Occurrence, Mechanisms, And Risk Indicators Of Postoperative Binocular Decompensation",
      "authors": "Dr Dana Nourallah",
      "presenter": "Dr Dana Nourallah",
      "normalized_authors": [
        "Dana Nourallah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dana Nourallah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To report the occurrence of binocular diplopia and strabismic decompensation following corneal refractive surgery, to analyse the underlying mechanisms, and to identify preoperative risk indicators associated with postoperative binocular instability.",
        "Setting": "Single-centre retrospective study conducted at a tertiary referral ophthalmology centre with dedicated refractive and strabismus services in Dubai , United Arab Emirates.",
        "Methods": "A retrospective review was conducted of patients presenting with persistent new-onset binocular diplopia following LASIK, PRK, , or blended vision laser treatment between April 2021 and December 2025.\n\nPreoperative assessment included distance and near phoria measurements, fusional vergence amplitudes, AC/A ratio evaluation, stereoacuity , ocular dominance testing, history of strabismus or amblyopia, and planned refractive strategy, including monovision or blended profiles. All affected patients underwent comprehensive orthoptic evaluation postoperatively. Mechanisms of decompensation were classified based on clinical findings and correlated with preoperative characteristics",
        "Results": "Ten patients (0.5%) developed symptomatic binocular decompensation within three months of surgery. Mean age was 38.6 ± 7.9 years.\n\nPreoperative risk factors included baseline heterophoria (≥8 prism diopters), reduced positive fusional vergence (<15Δ), prior strabismus or amblyopia, high AC/A ratio , and planned monovision or blended correction.\n\nPostoperative instability was linked with 4 mechanisms: sensory disruption with suppression breakdown; refractive imbalance including residual anisometropia or hyperopic shift; monovision/blended vision–associated instability, including dominance alteration and torsional decompensation; and vergence or AC/A-related imbalance.",
        "Conclusions": "Binocular decompensation following refractive surgery is uncommon but clinically significant. It appears to occur predominantly in patients with pre-existing binocular vulnerability, particularly those with limited fusional reserves, baseline phoria, prior strabismus history, or undergoing monovision or blended correction. Structured binocular and dominance assessment should be considered as part of routine refractive screening to optimise patient selection and minimise postoperative morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Binocular decompensation following refractive surgery is uncommon but clinically significant. It appears to occur predominantly in patients with pre-existing binocular vulnerability, particularly those with limited fusional reserves, baseline phoria, prior strabismus history, or undergoing monovision or blended correction. Structured binocular and dominance assessment should be considered as part of routine…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 105,
      "source_fields": {
        "Abstract Final Identifier": "FP07.14",
        "Title": "When Refractive Surgery Unmasks Latent Strabismus: Occurrence, Mechanisms, And Risk Indicators Of Postoperative Binocular Decompensation",
        "Presenting Author(s)": "Dr Dana Nourallah",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Dana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nourallah",
        "Country Name": "United Arab Emirates",
        "Purpose": "To report the occurrence of binocular diplopia and strabismic decompensation following corneal refractive surgery, to analyse the underlying mechanisms, and to identify preoperative risk indicators associated with postoperative binocular instability.",
        "Setting": "Single-centre retrospective study conducted at a tertiary referral ophthalmology centre with dedicated refractive and strabismus services in Dubai , United Arab Emirates.",
        "Methods": "A retrospective review was conducted of patients presenting with persistent new-onset binocular diplopia following LASIK, PRK, , or blended vision laser treatment between April 2021 and December 2025.\n\nPreoperative assessment included distance and near phoria measurements, fusional vergence amplitudes, AC/A ratio evaluation, stereoacuity , ocular dominance testing, history of strabismus or amblyopia, and planned refractive strategy, including monovision or blended profiles. All affected patients underwent comprehensive orthoptic evaluation postoperatively. Mechanisms of decompensation were classified based on clinical findings and correlated with preoperative characteristics",
        "Results": "Ten patients (0.5%) developed symptomatic binocular decompensation within three months of surgery. Mean age was 38.6 ± 7.9 years.\n\nPreoperative risk factors included baseline heterophoria (≥8 prism diopters), reduced positive fusional vergence (<15Δ), prior strabismus or amblyopia, high AC/A ratio , and planned monovision or blended correction.\n\nPostoperative instability was linked with 4 mechanisms: sensory disruption with suppression breakdown; refractive imbalance including residual anisometropia or hyperopic shift; monovision/blended vision–associated instability, including dominance alteration and torsional decompensation; and vergence or AC/A-related imbalance.",
        "Conclusions": "Binocular decompensation following refractive surgery is uncommon but clinically significant. It appears to occur predominantly in patients with pre-existing binocular vulnerability, particularly those with limited fusional reserves, baseline phoria, prior strabismus history, or undergoing monovision or blended correction. Structured binocular and dominance assessment should be considered as part of routine refractive screening to optimise patient selection and minimise postoperative morbidity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "FP07.15",
      "abstract_number": "FP07.15",
      "title": "Tomographic And Biomechanical Stability After Lasik In Eyes With High Superior–Inferior Corneal Asymmetry",
      "authors": "Prof. Dr Luis Izquierdo Jr",
      "presenter": "Prof. Dr Luis Izquierdo Jr",
      "normalized_authors": [
        "Luis Izquierdo Jr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Izquierdo Jr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate long-term tomographic and biomechanical stability after LASIK in eyes with preoperative superior–inferior (S-I) corneal asymmetry",
        "Setting": "Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Prospective longitudinal study of 45 eyes of 45 patients with S–I asymmetry >1.5 D and no ectatic pattern on tomography and biomechanics (define cutoffs if available: BAD-D/TBI/CBI/posterior elevation). All eyes underwent femtosecond-assisted LASIK. Preoperative and 18-month assessments included refraction, Pentacam tomography (Kmax, posterior elevation/curvature, thinnest pachymetry, BAD-D), and Corvis ST indices (TBI, CBI). Paired comparisons were performed using Wilcoxon signed-rank test.",
        "Results": "Forty-five eyes completed 18-month follow-up. Spherical equivalent improved from -5.29±4.95 D to -0.17±0.14 D, and cylinder from -0.92±[REVISAR SD] D to -0.08±[REVISAR SD] D. S–I curvature difference decreased from 3.03±1.50 D to 0.77±0.61 D ( p=[ ] ). Kmax remained stable (44.08±0.37 D vs 43.97±0.42 D; p=0.750). Posterior keratometry/elevation showed no significant change. Thinnest pachymetry did not demonstrate progressive thinning. BAD-D decreased from 2.20±0.76 to 1.74±0.58. TBI and CBI showed no postoperative deterioration. No eye developed clinical or tomographic ectasia.",
        "Conclusions": "In carefully selected eyes with high S–I asymmetry but normal tomographic and biomechanical screening, LASIK showed refractive efficacy and structural stability at 18 months. S–I asymmetry should be interpreted in the context of a comprehensive ectasia risk assessment rather than used as a standalone contraindication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In carefully selected eyes with high S–I asymmetry but normal tomographic and biomechanical screening, LASIK showed refractive efficacy and structural stability at 18 months. S–I asymmetry should be interpreted in the context of a comprehensive ectasia risk assessment rather than used as a standalone contraindication.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 106,
      "source_fields": {
        "Abstract Final Identifier": "FP07.15",
        "Title": "Tomographic And Biomechanical Stability After Lasik In Eyes With High Superior–Inferior Corneal Asymmetry",
        "Presenting Author(s)": "Prof. Dr Luis Izquierdo Jr",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Izquierdo Jr",
        "Country Name": "Peru",
        "Purpose": "To evaluate long-term tomographic and biomechanical stability after LASIK in eyes with preoperative superior–inferior (S-I) corneal asymmetry",
        "Setting": "Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Prospective longitudinal study of 45 eyes of 45 patients with S–I asymmetry >1.5 D and no ectatic pattern on tomography and biomechanics (define cutoffs if available: BAD-D/TBI/CBI/posterior elevation). All eyes underwent femtosecond-assisted LASIK. Preoperative and 18-month assessments included refraction, Pentacam tomography (Kmax, posterior elevation/curvature, thinnest pachymetry, BAD-D), and Corvis ST indices (TBI, CBI). Paired comparisons were performed using Wilcoxon signed-rank test.",
        "Results": "Forty-five eyes completed 18-month follow-up. Spherical equivalent improved from -5.29±4.95 D to -0.17±0.14 D, and cylinder from -0.92±[REVISAR SD] D to -0.08±[REVISAR SD] D. S–I curvature difference decreased from 3.03±1.50 D to 0.77±0.61 D ( p=[ ] ). Kmax remained stable (44.08±0.37 D vs 43.97±0.42 D; p=0.750). Posterior keratometry/elevation showed no significant change. Thinnest pachymetry did not demonstrate progressive thinning. BAD-D decreased from 2.20±0.76 to 1.74±0.58. TBI and CBI showed no postoperative deterioration. No eye developed clinical or tomographic ectasia.",
        "Conclusions": "In carefully selected eyes with high S–I asymmetry but normal tomographic and biomechanical screening, LASIK showed refractive efficacy and structural stability at 18 months. S–I asymmetry should be interpreted in the context of a comprehensive ectasia risk assessment rather than used as a standalone contraindication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "FP08.01",
      "abstract_number": "FP08.01",
      "title": "Decentralizing Cataract Screening: Validation Of A Novel Smartphone-Based Anterior Segment Imaging System For Remote Diagnosis Of Anterior Segment Eye Disease",
      "authors": "Dr Prabhu Krishna Ravilla",
      "presenter": "Dr Prabhu Krishna Ravilla",
      "normalized_authors": [
        "Prabhu Krishna Ravilla"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Prabhu Krishna Ravilla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Cataract and anterior segment diseases are leading causes of blindness in low-resource settings. Eye camp screenings remain the primary mode of community outreach but are constrained by cost, logistics, and dependence on highly trained specialists. We designed and validated a low-cost, user-friendly smartphone-based anterior segment imaging and teleophthalmology platform to enable community health workers (CHWs) to perform diagnostic-quality eye screening and surgery referrals.",
        "Setting": "A tertiary eye care center in South India conducting regular outreach programmes in the surrounding areas. The study was conducted across 19 rural eye camps in 5 different locations.",
        "Methods": "We designed a portable imaging device (Scout™) paired with an accessible Android smartphone and mobile application (InSightful) for telemedicine in low bandwidth settings. CHWs underwent 3 hours of training on using the imaging software and hardware, then screened patients across 19 rural eye camps in South India across 5 locations with anterior segment images and clinical data uploaded to a cloud-based database for remote ophthalmologist (RO) review. Diagnoses and referral decisions made by ROs were compared with those of in-person eye camp ophthalmologists (ECOs) at the same eye camps. CHWs, ROs, and patients were surveyed on the platform’s feasibility and acceptability.",
        "Results": "N=1093 patients underwent eye camp screening by ECOs and CHW-led smartphone screening with RO review. CHWs completed screenings in <2.5 minutes/eye and obtained diagnostic-quality images for >90% of eyes. ROs and ECOs showed 96.1% concordance for referral decisions (95% CI 94.7-97.1) and substantial agreement in diagnosis of any cataract (κ 0.77, percent agreement [PA] 89%), mature cataract (κ 0.67, PA 96%), immature cataract (κ 0.69, PA 85%), clear crystalline lens (κ 0.65, PA 89%), pseudophakia (κ 0.92, PA 97%), and moderate agreement for pterygium (κ 0.47, PA 94%). Concordance increased with image quality. CHWs, ROs, and patients reported high usability, acceptability, and net promoter scores",
        "Conclusions": "Scout™ anterior segment screening by minimally trained CHWs paired with remote ophthalmologist review achieves diagnostic and referral accuracy comparable to in-person ophthalmologist examination, supporting scalable decentralization of cataract screening and expand access to cataract surgery in resource-limited environments"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Scout™ anterior segment screening by minimally trained CHWs paired with remote ophthalmologist review achieves diagnostic and referral accuracy comparable to in-person ophthalmologist examination, supporting scalable decentralization of cataract screening and expand access to cataract surgery in resource-limited environments",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 107,
      "source_fields": {
        "Abstract Final Identifier": "FP08.01",
        "Title": "Decentralizing Cataract Screening: Validation Of A Novel Smartphone-Based Anterior Segment Imaging System For Remote Diagnosis Of Anterior Segment Eye Disease",
        "Presenting Author(s)": "Dr Prabhu Krishna Ravilla",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Prabhu Krishna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ravilla",
        "Country Name": "India",
        "Purpose": "Cataract and anterior segment diseases are leading causes of blindness in low-resource settings. Eye camp screenings remain the primary mode of community outreach but are constrained by cost, logistics, and dependence on highly trained specialists. We designed and validated a low-cost, user-friendly smartphone-based anterior segment imaging and teleophthalmology platform to enable community health workers (CHWs) to perform diagnostic-quality eye screening and surgery referrals.",
        "Setting": "A tertiary eye care center in South India conducting regular outreach programmes in the surrounding areas. The study was conducted across 19 rural eye camps in 5 different locations.",
        "Methods": "We designed a portable imaging device (Scout™) paired with an accessible Android smartphone and mobile application (InSightful) for telemedicine in low bandwidth settings. CHWs underwent 3 hours of training on using the imaging software and hardware, then screened patients across 19 rural eye camps in South India across 5 locations with anterior segment images and clinical data uploaded to a cloud-based database for remote ophthalmologist (RO) review. Diagnoses and referral decisions made by ROs were compared with those of in-person eye camp ophthalmologists (ECOs) at the same eye camps. CHWs, ROs, and patients were surveyed on the platform’s feasibility and acceptability.",
        "Results": "N=1093 patients underwent eye camp screening by ECOs and CHW-led smartphone screening with RO review. CHWs completed screenings in <2.5 minutes/eye and obtained diagnostic-quality images for >90% of eyes. ROs and ECOs showed 96.1% concordance for referral decisions (95% CI 94.7-97.1) and substantial agreement in diagnosis of any cataract (κ 0.77, percent agreement [PA] 89%), mature cataract (κ 0.67, PA 96%), immature cataract (κ 0.69, PA 85%), clear crystalline lens (κ 0.65, PA 89%), pseudophakia (κ 0.92, PA 97%), and moderate agreement for pterygium (κ 0.47, PA 94%). Concordance increased with image quality. CHWs, ROs, and patients reported high usability, acceptability, and net promoter scores",
        "Conclusions": "Scout™ anterior segment screening by minimally trained CHWs paired with remote ophthalmologist review achieves diagnostic and referral accuracy comparable to in-person ophthalmologist examination, supporting scalable decentralization of cataract screening and expand access to cataract surgery in resource-limited environments"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "FP08.02",
      "abstract_number": "FP08.02",
      "title": "Anterior Segment Imaging Using Responsible Ai: Frameworks For Lmics",
      "authors": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "presenter": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "normalized_authors": [
        "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "This study aimed to develop and evaluate artificial intelligence (AI) models for automated analysis of anterior segment imaging, focusing on anterior segment optical coherence tomography (AS-OCT) and slit-lamp photographs to detect diseases such as glaucoma angle closure, corneal opacities, and keratitis in low- and middle-income countries (LMICs) settings. The purpose was to create empirically grounded frameworks for responsible AI deployment, addressing biases, fairness, and contextual ethics in cross-border healthcare applications like those in India.",
        "Setting": "The research was conducted using datasets from multicenter studies, including 557,468 AS-OCT scans from 20,542 patients in London and additional images from South India eye hospitals involving 174 patients with infectious keratitis. External validation included smartphone slit-lamp images from portable devices, simulating resource-limited environments in LMICs with infrastructural disparities.",
        "Methods": "Deep learning models, including convolutional neural networks (CNNs) and nnUNet frameworks, were trained on AS-OCT and slit-lamp images for tasks like anterior chamber angle classification, opacity quantification, and disease detection. Refraction correction and multitask learning segmented structures such as iris, lens, cornea, and trabecular meshwork. Models underwent five-fold cross-validation, with performance measured by mean intersection over union (MIoU), intraclass correlation coefficient (ICC), sensitivity, specificity, area under the curve (AUC), and mean absolute error (MAE).",
        "Results": "AI models achieved MIoU of 0.959 for lens cortex and 0.928 for nucleus segmentation, ICC of 0.993 for opacity quantification, sensitivity/specificity of 0.999/1.000 for closed angle detection, and overall angle classification sensitivity/specificity of 0.989/0.995. For anterior chamber depth prediction from smartphone images, MAE was 0.093 ± 0.082 mm; diagnostic accuracy improved from 79.2% to 88.8% with AI assistance (p<0.001). CorneAI reached 86.0% classification accuracy across 100 images.",
        "Conclusions": "AI enhances anterior segment imaging accuracy and efficiency for disease detection in diverse settings, supporting responsible innovation through situated ethical frameworks that mitigate biases in LMICs. Future work should prioritize epistemic justice and transnational accountability for scalable, trustworthy deployment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI enhances anterior segment imaging accuracy and efficiency for disease detection in diverse settings, supporting responsible innovation through situated ethical frameworks that mitigate biases in LMICs. Future work should prioritize epistemic justice and transnational accountability for scalable, trustworthy deployment.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 108,
      "source_fields": {
        "Abstract Final Identifier": "FP08.02",
        "Title": "Anterior Segment Imaging Using Responsible Ai: Frameworks For Lmics",
        "Presenting Author(s)": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Mosaab Mohamed",
        "Submitter Middle Name": "ZEINELABDIN MOHAMED",
        "Submitter Last Name": "Elmahdi",
        "Country Name": "China",
        "Purpose": "This study aimed to develop and evaluate artificial intelligence (AI) models for automated analysis of anterior segment imaging, focusing on anterior segment optical coherence tomography (AS-OCT) and slit-lamp photographs to detect diseases such as glaucoma angle closure, corneal opacities, and keratitis in low- and middle-income countries (LMICs) settings. The purpose was to create empirically grounded frameworks for responsible AI deployment, addressing biases, fairness, and contextual ethics in cross-border healthcare applications like those in India.",
        "Setting": "The research was conducted using datasets from multicenter studies, including 557,468 AS-OCT scans from 20,542 patients in London and additional images from South India eye hospitals involving 174 patients with infectious keratitis. External validation included smartphone slit-lamp images from portable devices, simulating resource-limited environments in LMICs with infrastructural disparities.",
        "Methods": "Deep learning models, including convolutional neural networks (CNNs) and nnUNet frameworks, were trained on AS-OCT and slit-lamp images for tasks like anterior chamber angle classification, opacity quantification, and disease detection. Refraction correction and multitask learning segmented structures such as iris, lens, cornea, and trabecular meshwork. Models underwent five-fold cross-validation, with performance measured by mean intersection over union (MIoU), intraclass correlation coefficient (ICC), sensitivity, specificity, area under the curve (AUC), and mean absolute error (MAE).",
        "Results": "AI models achieved MIoU of 0.959 for lens cortex and 0.928 for nucleus segmentation, ICC of 0.993 for opacity quantification, sensitivity/specificity of 0.999/1.000 for closed angle detection, and overall angle classification sensitivity/specificity of 0.989/0.995. For anterior chamber depth prediction from smartphone images, MAE was 0.093 ± 0.082 mm; diagnostic accuracy improved from 79.2% to 88.8% with AI assistance (p<0.001). CorneAI reached 86.0% classification accuracy across 100 images.",
        "Conclusions": "AI enhances anterior segment imaging accuracy and efficiency for disease detection in diverse settings, supporting responsible innovation through situated ethical frameworks that mitigate biases in LMICs. Future work should prioritize epistemic justice and transnational accountability for scalable, trustworthy deployment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "FP08.03",
      "abstract_number": "FP08.03",
      "title": "Development And Validation Of The Keratoconus Artificial Intelligence Index (Kai-Index).",
      "authors": "Dr Riccardo Vinciguerra",
      "presenter": "Dr Riccardo Vinciguerra",
      "normalized_authors": [
        "Riccardo Vinciguerra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Riccardo Vinciguerra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To develop and validate the Keratoconus Artificial Intelligence Index (KAI Index), an artificial intelligence–based metric integrating corneal tomography and epithelial thickness mapping for the early detection of keratoconus.",
        "Setting": "A total of 4,200 eyes (1,992 normal, 1,793 keratoconus, and 415 very asymmetric ectasia with normal tomography [VAE-NT]) recruited from five international centers",
        "Methods": "All eyes underwent imaging with the MS-39 tomography system. Eyes were classified as normal, bilateral keratoconus, or VAE-NT using clinical, topographic, and objective criteria. One eye per subject was included, except for VAE-NT cases. Quantitative tomographic and epithelial thickness parameters were analyzed. Feature selection was performed using receiver operating characteristic (ROC) analysis and LASSO regression. Logistic regression, support vector machine, and random forest classifiers were trained using subject-level stratified splits. An external validation cohort was used. The resulting KAI Index was compared with established indices (BAD-D, CBI, TBIv2, and PRFI) using ROC analysis and DeLong testing.",
        "Results": "Random forest demonstrated the best performance and was selected as the final model. In the internal test set, the KAI Index achieved an AUC of 1.000 for normal versus keratoconus and 0.971 for normal versus VAE-NT.\n\nIn the external validation cohort, the AUC was 1.000 for normal versus keratoconus, comparable to BAD-D (0.995), PRFI (0.987), and TBIv2 (0.994), and higher than CBI (0.971, p=0.0341). For discrimination between normal and VAE-NT eyes, the KAI Index achieved an AUC of 0.878, exceeding TBIv2 (0.844 while not significantly, p=0.25), CBI (0.771), PRFI (0.752), and BAD-D (0.708). Differences were statistically significant for BAD-D (p<0.0001), PRFI (p = 0.0002) and CBI (p=0.02).",
        "Conclusions": "The KAI Index is a novel, artificial intelligence–driven, epithelial-integrated tomographic metric that accurately detects keratoconus and very early ectatic disease. Its robust performance in internal and external validation supports its potential clinical utility for refractive surgery screening and early risk stratification for ectasia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The KAI Index is a novel, artificial intelligence–driven, epithelial-integrated tomographic metric that accurately detects keratoconus and very early ectatic disease. Its robust performance in internal and external validation supports its potential clinical utility for refractive surgery screening and early risk stratification for ectasia.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 109,
      "source_fields": {
        "Abstract Final Identifier": "FP08.03",
        "Title": "Development And Validation Of The Keratoconus Artificial Intelligence Index (Kai-Index).",
        "Presenting Author(s)": "Dr Riccardo Vinciguerra",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Riccardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vinciguerra",
        "Country Name": "Italy",
        "Purpose": "To develop and validate the Keratoconus Artificial Intelligence Index (KAI Index), an artificial intelligence–based metric integrating corneal tomography and epithelial thickness mapping for the early detection of keratoconus.",
        "Setting": "A total of 4,200 eyes (1,992 normal, 1,793 keratoconus, and 415 very asymmetric ectasia with normal tomography [VAE-NT]) recruited from five international centers",
        "Methods": "All eyes underwent imaging with the MS-39 tomography system. Eyes were classified as normal, bilateral keratoconus, or VAE-NT using clinical, topographic, and objective criteria. One eye per subject was included, except for VAE-NT cases. Quantitative tomographic and epithelial thickness parameters were analyzed. Feature selection was performed using receiver operating characteristic (ROC) analysis and LASSO regression. Logistic regression, support vector machine, and random forest classifiers were trained using subject-level stratified splits. An external validation cohort was used. The resulting KAI Index was compared with established indices (BAD-D, CBI, TBIv2, and PRFI) using ROC analysis and DeLong testing.",
        "Results": "Random forest demonstrated the best performance and was selected as the final model. In the internal test set, the KAI Index achieved an AUC of 1.000 for normal versus keratoconus and 0.971 for normal versus VAE-NT.\n\nIn the external validation cohort, the AUC was 1.000 for normal versus keratoconus, comparable to BAD-D (0.995), PRFI (0.987), and TBIv2 (0.994), and higher than CBI (0.971, p=0.0341). For discrimination between normal and VAE-NT eyes, the KAI Index achieved an AUC of 0.878, exceeding TBIv2 (0.844 while not significantly, p=0.25), CBI (0.771), PRFI (0.752), and BAD-D (0.708). Differences were statistically significant for BAD-D (p<0.0001), PRFI (p = 0.0002) and CBI (p=0.02).",
        "Conclusions": "The KAI Index is a novel, artificial intelligence–driven, epithelial-integrated tomographic metric that accurately detects keratoconus and very early ectatic disease. Its robust performance in internal and external validation supports its potential clinical utility for refractive surgery screening and early risk stratification for ectasia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "FP08.04",
      "abstract_number": "FP08.04",
      "title": "Repeatability Of Epithelial Thickness Mapping In Normal And Keratoconus Eyes Using A Novel Hybrid Scheimpflug - Optical Coherence Tomography Device",
      "authors": "Dr Maximilian Friedrich",
      "presenter": "Dr Maximilian Friedrich",
      "normalized_authors": [
        "Maximilian Friedrich"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maximilian Friedrich",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "A novel diagnostic device combining Scheimpflug and anterior-segment optical coherence tomography promises increased accuracy in corneal diagnostics. The aim of this study was to analyze the epithelial thickness measurement repeatability in healthy and keratoconus eyes and define severity-dependent thresholds.",
        "Setting": "Tertiary Eye Hospital.",
        "Methods": "This prospective, cross-sectional, observational, monocentric study included a total of 217 eyes of 217 subjects divided into a keratoconus group (166 eyes of 166 subjects) and a healthy control group (51 eyes of 51 subjects). Keratoconus diagnosis and stage was established using multimodal imaging. Three measurements were performed with the novel combined Scheimpflug and optical coherence tomography device (Pentacam Cornea OCT) on the same day. Repeatability coefficients (RC) with two-sided 95% confidence intervals (CI) were calculated for epithelial parameters. The repeatability was compared between groups and according to keratoconus severity and crosslinking status.",
        "Results": "The median repeatability of the epithelial thickness was slightly better in the healthy group (RC = 3.3) compared to the keratoconus group (RC = 3.9; p < 0.001) when the tear film was excluded. The overall median repeatability with (RC = 3.7) and without tear film (RC = 3.8) did not differ significantly (p > 0.05). Repeatability worsened significantly in severe keratoconus stages (p < 0.01), while crosslinking status had only a marginal effect.",
        "Conclusions": "The hybrid tomographic device demonstrated high intra-subject repeatability for epithelial thickness assessment in healthy and keratoconus eyes. Epithelial thickness may have the potential to be incorporated into established keratoconus scores in the combined system for a more comprehensive analysis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The hybrid tomographic device demonstrated high intra-subject repeatability for epithelial thickness assessment in healthy and keratoconus eyes. Epithelial thickness may have the potential to be incorporated into established keratoconus scores in the combined system for a more comprehensive analysis.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 110,
      "source_fields": {
        "Abstract Final Identifier": "FP08.04",
        "Title": "Repeatability Of Epithelial Thickness Mapping In Normal And Keratoconus Eyes Using A Novel Hybrid Scheimpflug - Optical Coherence Tomography Device",
        "Presenting Author(s)": "Dr Maximilian Friedrich",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Maximilian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Friedrich",
        "Country Name": "Germany",
        "Purpose": "A novel diagnostic device combining Scheimpflug and anterior-segment optical coherence tomography promises increased accuracy in corneal diagnostics. The aim of this study was to analyze the epithelial thickness measurement repeatability in healthy and keratoconus eyes and define severity-dependent thresholds.",
        "Setting": "Tertiary Eye Hospital.",
        "Methods": "This prospective, cross-sectional, observational, monocentric study included a total of 217 eyes of 217 subjects divided into a keratoconus group (166 eyes of 166 subjects) and a healthy control group (51 eyes of 51 subjects). Keratoconus diagnosis and stage was established using multimodal imaging. Three measurements were performed with the novel combined Scheimpflug and optical coherence tomography device (Pentacam Cornea OCT) on the same day. Repeatability coefficients (RC) with two-sided 95% confidence intervals (CI) were calculated for epithelial parameters. The repeatability was compared between groups and according to keratoconus severity and crosslinking status.",
        "Results": "The median repeatability of the epithelial thickness was slightly better in the healthy group (RC = 3.3) compared to the keratoconus group (RC = 3.9; p < 0.001) when the tear film was excluded. The overall median repeatability with (RC = 3.7) and without tear film (RC = 3.8) did not differ significantly (p > 0.05). Repeatability worsened significantly in severe keratoconus stages (p < 0.01), while crosslinking status had only a marginal effect.",
        "Conclusions": "The hybrid tomographic device demonstrated high intra-subject repeatability for epithelial thickness assessment in healthy and keratoconus eyes. Epithelial thickness may have the potential to be incorporated into established keratoconus scores in the combined system for a more comprehensive analysis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "FP08.05",
      "abstract_number": "FP08.05",
      "title": "Impact Of Corneal Hydration, Aging, And Ocular Diseases On In Vivo Brillouin Spectroscopy",
      "authors": "Dr Robert Herber",
      "presenter": "Dr Robert Herber",
      "normalized_authors": [
        "Robert Herber"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Robert Herber",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "In vivo Brillouin spectroscopy (IVBS) has recently gained clinical relevance because it enables localized, depth-resolved measurements of the corneal longitudinal modulus, providing deeper insight into corneal biomechanics. This study investigated how daily corneal hydration fluctuations, age, and ocular diseases including keratoconus (KC) and primary open angle glaucoma (HPG) affect the Brillouin modulus (BM).",
        "Setting": "Prospective study at a single university clinic.",
        "Methods": "This study enrolled four groups: young healthy subjects (n=42), elderly subjects without ocular disease except moderate cataract (n=14), clinical keratoconus (KC, n=44), and medicated high-pressure glaucoma (HPG, n=21). Exclusion criteria included diabetes mellitus and prior corneal surgery. All subjects underwent ophthalmic examination, including corneal tomography and IVBS using an FDA-approved device (BOSS, Intelon, USA). Measured outcomes comprised mean, minimum, maximum, and localized Brillouin modulus (BM). Depth-resolved anterior and posterior stromal BM was analyzed when data permitted. Linear mixed models were used accounting for inter-eye correlation (p < 0.05).",
        "Results": "The mean (95% CI) BM increased significantly from 2.88 (2.88–2.89) GPa in the morning to 2.90 (2.89–2.90) GPa in the afternoon (p < 0.001), while corneal thickness decreased slightly during the same period (p = 0.017). Anterior BM exceeded posterior BM (2.90 vs. 2.86 GPa, p < 0.001). Elderly corneas demonstrated higher mean and posterior BM compared to younger corneas (all p < 0.05). In KC, mean and minimum BM decreased significantly relative to healthy controls (p = 0.045 and p = 0.031), without expected disease-specific regional changes such as inferior BM reduction. In contrast, eyes with HPG showed higher mean and maximum BM than elderly controls (p = 0.006 and p = 0.002).",
        "Conclusions": "Daily corneal hydration changes and aging affect IVBS measurements, resulting in higher longitudinal modulus (BM) in the afternoon and in older corneas. In addition, eyes with HPG exhibited higher BM. Conversely, KC showed globally reduced BM without characteristic regional weakening. While IVBS is a promising clinical tool, time of day and age must be considered when interpreting measurements."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Daily corneal hydration changes and aging affect IVBS measurements, resulting in higher longitudinal modulus (BM) in the afternoon and in older corneas. In addition, eyes with HPG exhibited higher BM. Conversely, KC showed globally reduced BM without characteristic regional weakening. While IVBS is a promising clinical tool, time of day and age must be considered when interpreting measurements.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 111,
      "source_fields": {
        "Abstract Final Identifier": "FP08.05",
        "Title": "Impact Of Corneal Hydration, Aging, And Ocular Diseases On In Vivo Brillouin Spectroscopy",
        "Presenting Author(s)": "Dr Robert Herber",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Robert",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Herber",
        "Country Name": "Germany",
        "Purpose": "In vivo Brillouin spectroscopy (IVBS) has recently gained clinical relevance because it enables localized, depth-resolved measurements of the corneal longitudinal modulus, providing deeper insight into corneal biomechanics. This study investigated how daily corneal hydration fluctuations, age, and ocular diseases including keratoconus (KC) and primary open angle glaucoma (HPG) affect the Brillouin modulus (BM).",
        "Setting": "Prospective study at a single university clinic.",
        "Methods": "This study enrolled four groups: young healthy subjects (n=42), elderly subjects without ocular disease except moderate cataract (n=14), clinical keratoconus (KC, n=44), and medicated high-pressure glaucoma (HPG, n=21). Exclusion criteria included diabetes mellitus and prior corneal surgery. All subjects underwent ophthalmic examination, including corneal tomography and IVBS using an FDA-approved device (BOSS, Intelon, USA). Measured outcomes comprised mean, minimum, maximum, and localized Brillouin modulus (BM). Depth-resolved anterior and posterior stromal BM was analyzed when data permitted. Linear mixed models were used accounting for inter-eye correlation (p < 0.05).",
        "Results": "The mean (95% CI) BM increased significantly from 2.88 (2.88–2.89) GPa in the morning to 2.90 (2.89–2.90) GPa in the afternoon (p < 0.001), while corneal thickness decreased slightly during the same period (p = 0.017). Anterior BM exceeded posterior BM (2.90 vs. 2.86 GPa, p < 0.001). Elderly corneas demonstrated higher mean and posterior BM compared to younger corneas (all p < 0.05). In KC, mean and minimum BM decreased significantly relative to healthy controls (p = 0.045 and p = 0.031), without expected disease-specific regional changes such as inferior BM reduction. In contrast, eyes with HPG showed higher mean and maximum BM than elderly controls (p = 0.006 and p = 0.002).",
        "Conclusions": "Daily corneal hydration changes and aging affect IVBS measurements, resulting in higher longitudinal modulus (BM) in the afternoon and in older corneas. In addition, eyes with HPG exhibited higher BM. Conversely, KC showed globally reduced BM without characteristic regional weakening. While IVBS is a promising clinical tool, time of day and age must be considered when interpreting measurements."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "FP08.06",
      "abstract_number": "FP08.06",
      "title": "Brillouin Microscopy In Patients With Myopia: A Pilot Study",
      "authors": "Dr Andreas Rotter",
      "presenter": "Dr Andreas Rotter",
      "normalized_authors": [
        "Andreas Rotter"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andreas Rotter",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Brillouin microscopy is a non-invasive imaging technique that assesses tissue mechanical properties by analyzing light–acoustic interactions. It enables in vivo evaluation of corneal elastic and viscoelastic properties and may provide insight into corneal biomechanics in ocular disease. Established biomechanical parameters have been shown to be negatively associated with spherical equivalent and axial length; however, data on Brillouin shift measurements in myopic eyes are lacking. This study evaluates potential biomechanical differences between myopic and emmetropic eyes using the Brillouin Optical Scanner System (BOSS, Intelon Optics) and assesses measurement repeatability.",
        "Setting": "Vienna Institute for Research in Ocular Surgery (VIROS), a Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria.",
        "Methods": "This prospective pilot study is designed to include 60 participants, with 20 subjects per group (emmetropic controls, low myopia, and high myopia). Corneal Brillouin modulus (BM) was measured three times per study eye using BOSS, and the mean value was used for analysis. Group differences in mean BM were assessed using one-way ANOVA and ANCOVA adjusted for age. Refractive error (subjective spherical equivalent), axial length, anterior chamber depth, and best-corrected visual acuity (logMAR) were compared across groups. Measurement repeatability was evaluated using the intraclass correlation coefficient (ICC).",
        "Results": "A preliminary analysis of 58 eyes showed no significant difference in mean corneal BM between emmetropic, low myopic, and high myopic subjects (ANOVA, p = 0.639). Adjustment for age using ANCOVA confirmed the absence of a group effect (p = 0.656). Spherical equivalent differed significantly between groups (p < .001), as did axial length (23.20 mm, 24.44 mm, and 26.78 mm for emmetropic, low, and high myopic groups, respectively; p < .001). Repeatability analysis demonstrated moderate reliability for single Brillouin measurements (ICC = 0.671, p < .001) and good reliability when averaging three scans (ICC = 0.859, p < .001).",
        "Conclusions": "In this preliminary cohort, Brillouin-based corneal biomechanical properties did not differ across refractive groups despite significant refractive and biometric differences. Averaging multiple scans improved measurement reliability. These findings support the feasibility and repeatability of Brillouin microscopy and provide a basis for larger future studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this preliminary cohort, Brillouin-based corneal biomechanical properties did not differ across refractive groups despite significant refractive and biometric differences. Averaging multiple scans improved measurement reliability. These findings support the feasibility and repeatability of Brillouin microscopy and provide a basis for larger future studies.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 112,
      "source_fields": {
        "Abstract Final Identifier": "FP08.06",
        "Title": "Brillouin Microscopy In Patients With Myopia: A Pilot Study",
        "Presenting Author(s)": "Dr Andreas Rotter",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Andreas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rotter",
        "Country Name": "Austria",
        "Purpose": "Brillouin microscopy is a non-invasive imaging technique that assesses tissue mechanical properties by analyzing light–acoustic interactions. It enables in vivo evaluation of corneal elastic and viscoelastic properties and may provide insight into corneal biomechanics in ocular disease. Established biomechanical parameters have been shown to be negatively associated with spherical equivalent and axial length; however, data on Brillouin shift measurements in myopic eyes are lacking. This study evaluates potential biomechanical differences between myopic and emmetropic eyes using the Brillouin Optical Scanner System (BOSS, Intelon Optics) and assesses measurement repeatability.",
        "Setting": "Vienna Institute for Research in Ocular Surgery (VIROS), a Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria.",
        "Methods": "This prospective pilot study is designed to include 60 participants, with 20 subjects per group (emmetropic controls, low myopia, and high myopia). Corneal Brillouin modulus (BM) was measured three times per study eye using BOSS, and the mean value was used for analysis. Group differences in mean BM were assessed using one-way ANOVA and ANCOVA adjusted for age. Refractive error (subjective spherical equivalent), axial length, anterior chamber depth, and best-corrected visual acuity (logMAR) were compared across groups. Measurement repeatability was evaluated using the intraclass correlation coefficient (ICC).",
        "Results": "A preliminary analysis of 58 eyes showed no significant difference in mean corneal BM between emmetropic, low myopic, and high myopic subjects (ANOVA, p = 0.639). Adjustment for age using ANCOVA confirmed the absence of a group effect (p = 0.656). Spherical equivalent differed significantly between groups (p < .001), as did axial length (23.20 mm, 24.44 mm, and 26.78 mm for emmetropic, low, and high myopic groups, respectively; p < .001). Repeatability analysis demonstrated moderate reliability for single Brillouin measurements (ICC = 0.671, p < .001) and good reliability when averaging three scans (ICC = 0.859, p < .001).",
        "Conclusions": "In this preliminary cohort, Brillouin-based corneal biomechanical properties did not differ across refractive groups despite significant refractive and biometric differences. Averaging multiple scans improved measurement reliability. These findings support the feasibility and repeatability of Brillouin microscopy and provide a basis for larger future studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "FP08.07",
      "abstract_number": "FP08.07",
      "title": "Impact Of Iol Tilt And Decentration On Astigmatism And Higher-Order Aberrations In Scleral-Fixated Intraocular Lenses",
      "authors": "Prof. Dr Markus Schranz",
      "presenter": "Prof. Dr Markus Schranz",
      "normalized_authors": [
        "Markus Schranz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Markus Schranz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Scleral fixation of intraocular lenses (SFIOLs) in eyes without sufficient capsular support has gained increasing clinical relevance. Flanged fixation techniques in particular may be associated with an increased risk of IOL tilt and decentration. Deviations from the ideal optical axis are suspected to induce postoperative refractive changes, including astigmatism and higher-order aberrations (HOAs). This study aimed to evaluate the relationship between IOL tilt and decentration and the resulting optical aberrations.",
        "Setting": "Single-center prospective randomized comparative study, Medical University of Vienna",
        "Methods": "Patients lacking capsular support were consecutively enrolled and randomized to either the Yamane group (YG) or the 4-flanged group (4G). Twelve weeks postoperatively, subjective refraction was assessed. Anterior segment OCT (CASIA2, Tomey) was performed to quantify IOL tilt, decentration, and corneal astigmatism. Scheimpflug tomography and wavefront analysis (Sirius and Peramis, CSO) were used to measure internal astigmatism (IA) and internal higher-order aberrations.\n\nResidual ocular astigmatism (ORA) was calculated using vector analysis based on subjective refraction and corneal astigmatism. Multivariable regression analysis was performed to identify independent predictors of ORA.",
        "Results": "Fifty-one patients were evaluated (27 YG, 24 4G). Median ORA was 0.58D in the 4G and 0.75D in the YG(p=.41).\n\nMean IOL tilt and decentration were 5.2±2.5° & 0.48 ± 0.32 mm in the 4G and 7.8±4.7° and 0.57±0.27mm in the YG, respectively.\n\nIn multivariable regression analysis, both the magnitude of IOL tilt and its axis orientation were independent predictors of ORA. Each additional degree of tilt was associated with an increase in ORA of approximately 0.05D(p<.05). A physiological tilt axis located in the temporo-inferior quadrant (180–270°) was associated with a reduction in ORA of 0.3D (p < 0.05).\n\nIOL decentration was not a significant predictor of ORA. No significant association was found between tilt or decentration and induced coma aberration.",
        "Conclusions": "Conclusions\nBoth the magnitude and orientation of IOL tilt significantly influence induced astigmatism in scleral-fixated intraocular lenses. In contrast, IOL decentration appears to play a minor role. These findings highlight the importance of precise three-dimensional lens positioning and suggest that not only the extent but also the direction of tilt is clinically relevant for postoperative refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions Both the magnitude and orientation of IOL tilt significantly influence induced astigmatism in scleral-fixated intraocular lenses. In contrast, IOL decentration appears to play a minor role. These findings highlight the importance of precise three-dimensional lens positioning and suggest that not only the extent but also the direction of tilt is clinically relevant for postoperative refractive outcomes.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 113,
      "source_fields": {
        "Abstract Final Identifier": "FP08.07",
        "Title": "Impact Of Iol Tilt And Decentration On Astigmatism And Higher-Order Aberrations In Scleral-Fixated Intraocular Lenses",
        "Presenting Author(s)": "Prof. Dr Markus Schranz",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Markus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schranz",
        "Country Name": "Austria",
        "Purpose": "Scleral fixation of intraocular lenses (SFIOLs) in eyes without sufficient capsular support has gained increasing clinical relevance. Flanged fixation techniques in particular may be associated with an increased risk of IOL tilt and decentration. Deviations from the ideal optical axis are suspected to induce postoperative refractive changes, including astigmatism and higher-order aberrations (HOAs). This study aimed to evaluate the relationship between IOL tilt and decentration and the resulting optical aberrations.",
        "Setting": "Single-center prospective randomized comparative study, Medical University of Vienna",
        "Methods": "Patients lacking capsular support were consecutively enrolled and randomized to either the Yamane group (YG) or the 4-flanged group (4G). Twelve weeks postoperatively, subjective refraction was assessed. Anterior segment OCT (CASIA2, Tomey) was performed to quantify IOL tilt, decentration, and corneal astigmatism. Scheimpflug tomography and wavefront analysis (Sirius and Peramis, CSO) were used to measure internal astigmatism (IA) and internal higher-order aberrations.\n\nResidual ocular astigmatism (ORA) was calculated using vector analysis based on subjective refraction and corneal astigmatism. Multivariable regression analysis was performed to identify independent predictors of ORA.",
        "Results": "Fifty-one patients were evaluated (27 YG, 24 4G). Median ORA was 0.58D in the 4G and 0.75D in the YG(p=.41).\n\nMean IOL tilt and decentration were 5.2±2.5° & 0.48 ± 0.32 mm in the 4G and 7.8±4.7° and 0.57±0.27mm in the YG, respectively.\n\nIn multivariable regression analysis, both the magnitude of IOL tilt and its axis orientation were independent predictors of ORA. Each additional degree of tilt was associated with an increase in ORA of approximately 0.05D(p<.05). A physiological tilt axis located in the temporo-inferior quadrant (180–270°) was associated with a reduction in ORA of 0.3D (p < 0.05).\n\nIOL decentration was not a significant predictor of ORA. No significant association was found between tilt or decentration and induced coma aberration.",
        "Conclusions": "Conclusions\nBoth the magnitude and orientation of IOL tilt significantly influence induced astigmatism in scleral-fixated intraocular lenses. In contrast, IOL decentration appears to play a minor role. These findings highlight the importance of precise three-dimensional lens positioning and suggest that not only the extent but also the direction of tilt is clinically relevant for postoperative refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 364
    },
    {
      "uid": "FP08.08",
      "abstract_number": "FP08.08",
      "title": "In Vivo Characterization Of The Effective Optical Zone And Pupillary Dynamics In Pseudophakic Eyes Using Swept-Source Oct",
      "authors": "Dr Felix Gonzalez-Lopez",
      "presenter": "Dr Felix Gonzalez-Lopez",
      "normalized_authors": [
        "Felix Gonzalez-Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Felix Gonzalez-Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To characterize postoperative pupillary dynamics after femtosecond laser–assisted cataract surgery (FLACS) using dynamic swept-source anterior segment optical coherence tomography (AS-OCT) and to determine their influence on the effective optical zone (EOZ) of intraocular lenses (IOLs) under photopic and scotopic conditions.",
        "Setting": "Clínica Miranza IOA, Madrid, Spain",
        "Methods": "In this retrospective observational study, 129 pseudophakic eyes of 129 European Caucasian patients undergoing uncomplicated FLACS were analyzed. Dynamic pupil measurements were obtained preoperatively and postoperatively using swept-source AS-OCT (CASIA2) under standardized photopic and scotopic illumination. Iris-plane pupil diameter (IPD), anterior chamber depth (ACD), and lens–iris plane distance (L-IPD) were recorded. EOZ was calculated using a paraxial geometric model incorporating corneal power and anatomical distances. Correlation and multivariable regression analyses were performed to identify predictors of EOZ.",
        "Results": "Mean postoperative EOZ measured 2.20 ± 0.47 mm under photopic and 3.66 ± 0.77 mm under scotopic conditions ( P < .0001). Under scotopic illumination, 96.9% of eyes exhibited an EOZ < 5.0 mm, and no eye reached 6.0 mm. EOZ showed a strong correlation with preoperative IPD (photopic R = 0.83; scotopic R = 0.84; both P < .0001). In multivariable models, preoperative IPD was the only independent predictor of EOZ under both lighting conditions (photopic R² = 0.748; scotopic R² = 0.757). Other biometric parameters, including L-IPD, ACD, keratometry, axial length, age, and crystalline lens geometry, were not independently associated with EOZ.",
        "Conclusions": "High-resolution swept-source AS-OCT enables precise in vivo assessment of preoperative and postoperative pupillary behavior and enables calculation of the functional optical zone of IOLs. In pseudophakic eyes, the EOZ is predominantly determined by pupil size rather than by IOL position or other biometric parameters. Preoperative pupil assessment is therefore critical for optimizing IOL selection and for anticipating postoperative optical performance"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High-resolution swept-source AS-OCT enables precise in vivo assessment of preoperative and postoperative pupillary behavior and enables calculation of the functional optical zone of IOLs. In pseudophakic eyes, the EOZ is predominantly determined by pupil size rather than by IOL position or other biometric parameters. Preoperative pupil assessment is therefore critical for optimizing IOL selection and for…",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 114,
      "source_fields": {
        "Abstract Final Identifier": "FP08.08",
        "Title": "In Vivo Characterization Of The Effective Optical Zone And Pupillary Dynamics In Pseudophakic Eyes Using Swept-Source Oct",
        "Presenting Author(s)": "Dr Felix Gonzalez-Lopez",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Felix",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez-Lopez",
        "Country Name": "Spain",
        "Purpose": "To characterize postoperative pupillary dynamics after femtosecond laser–assisted cataract surgery (FLACS) using dynamic swept-source anterior segment optical coherence tomography (AS-OCT) and to determine their influence on the effective optical zone (EOZ) of intraocular lenses (IOLs) under photopic and scotopic conditions.",
        "Setting": "Clínica Miranza IOA, Madrid, Spain",
        "Methods": "In this retrospective observational study, 129 pseudophakic eyes of 129 European Caucasian patients undergoing uncomplicated FLACS were analyzed. Dynamic pupil measurements were obtained preoperatively and postoperatively using swept-source AS-OCT (CASIA2) under standardized photopic and scotopic illumination. Iris-plane pupil diameter (IPD), anterior chamber depth (ACD), and lens–iris plane distance (L-IPD) were recorded. EOZ was calculated using a paraxial geometric model incorporating corneal power and anatomical distances. Correlation and multivariable regression analyses were performed to identify predictors of EOZ.",
        "Results": "Mean postoperative EOZ measured 2.20 ± 0.47 mm under photopic and 3.66 ± 0.77 mm under scotopic conditions ( P < .0001). Under scotopic illumination, 96.9% of eyes exhibited an EOZ < 5.0 mm, and no eye reached 6.0 mm. EOZ showed a strong correlation with preoperative IPD (photopic R = 0.83; scotopic R = 0.84; both P < .0001). In multivariable models, preoperative IPD was the only independent predictor of EOZ under both lighting conditions (photopic R² = 0.748; scotopic R² = 0.757). Other biometric parameters, including L-IPD, ACD, keratometry, axial length, age, and crystalline lens geometry, were not independently associated with EOZ.",
        "Conclusions": "High-resolution swept-source AS-OCT enables precise in vivo assessment of preoperative and postoperative pupillary behavior and enables calculation of the functional optical zone of IOLs. In pseudophakic eyes, the EOZ is predominantly determined by pupil size rather than by IOL position or other biometric parameters. Preoperative pupil assessment is therefore critical for optimizing IOL selection and for anticipating postoperative optical performance"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP08.09",
      "abstract_number": "FP08.09",
      "title": "Detection Of Exfoliative Material In Exfoliation Syndrome And Glaucoma Using Ultrahigh-Resolution Oct, With Subclinical Findings In Fellow Eyes",
      "authors": "Prof. Dr Leopold Schmetterer",
      "presenter": "Prof. Dr Leopold Schmetterer",
      "normalized_authors": [
        "Leopold Schmetterer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Leopold Schmetterer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To evaluate the clinical utility of ultrahigh-resolution optical coherence tomography (UHR-OCT) for detecting exfoliative material (XFM) on the anterior lens capsule in eyes with Exfoliation Syndrome (XFS) and Exfoliation Glaucoma (XFG), and to investigate whether subtle or early deposits can be detected in fellow eyes indicating subclinical involvement.",
        "Setting": "This cross-sectional study was conducted at two tertiary ophthalmology centres: Singapore National Eye Centre, Singapore and Ozaki Eye Hospital, Japan. Patients with XFS or XFG, as well as control subjects, were recruited from both centres.",
        "Methods": "All eyes underwent anterior segment imaging using UHR-OCT. AI-assisted post-processing was used to generate enface projections to visualize XFM on the anterior lens capsule and within the anterior chamber. Each volume was reviewed for the presence, morphology, and distribution of XFM and lens surface abnormalities in individual B-scans and corresponding enface images. Slit-lamp photographs were independently reviewed and graded by a trained examiner. For fellow-eye analysis in unilateral cases, UHR-OCT images were carefully examined for subtle XFM not identifiable on slit-lamp lens photographs. Discrepancies were resolved by consensus with clinician adjudication.",
        "Results": "A total of 96 patients with XFS/XFG and 23 controls were recruited. Disease was bilateral in 23 patients and unilateral in 73. Of unilateral cases, 62 fellow eyes were analysed after excluding poor-quality scans. In affected eyes, UHR-OCT enfaces consistently visualized XFM that was evident on lens photographs, with clearer borders and higher contrast. In fellow eyes, UHR-OCT identified subtle XFM deposits not detectable on lens photographs. Of 62 fellow eyes, 19 eyes (30.6%) demonstrated definite XFM, consistent with XFM-features in affected eyes, while 11 eyes (17.7%) showed possible XFM-like features. XFM-like features were also observed in 11 of 23 control eyes (47.8%) from Ozaki Eye Hospital, a high-prevalence exfoliation population.",
        "Conclusions": "UHR-OCT provides clearer visualization of XFM than slit-lamp photography by enhancing contrast and reducing interference from anterior lens opacities. Detection of XFM features in fellow eyes and control eyes suggests increased sensitivity of UHR-OCT for identifying subtle deposits and assessing XFM burden. These findings indicate that UHR-OCT may facilitate detection of early or subclinical exfoliative involvement and support its potential utility in screening and monitoring eyes affected by or at risk of XFS and XFG."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UHR-OCT provides clearer visualization of XFM than slit-lamp photography by enhancing contrast and reducing interference from anterior lens opacities. Detection of XFM features in fellow eyes and control eyes suggests increased sensitivity of UHR-OCT for identifying subtle deposits and assessing XFM burden. These findings indicate that UHR-OCT may facilitate detection of early or subclinical exfoliative involvement…",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 115,
      "source_fields": {
        "Abstract Final Identifier": "FP08.09",
        "Title": "Detection Of Exfoliative Material In Exfoliation Syndrome And Glaucoma Using Ultrahigh-Resolution Oct, With Subclinical Findings In Fellow Eyes",
        "Presenting Author(s)": "Prof. Dr Leopold Schmetterer",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Leopold",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Schmetterer",
        "Country Name": "Singapore",
        "Purpose": "To evaluate the clinical utility of ultrahigh-resolution optical coherence tomography (UHR-OCT) for detecting exfoliative material (XFM) on the anterior lens capsule in eyes with Exfoliation Syndrome (XFS) and Exfoliation Glaucoma (XFG), and to investigate whether subtle or early deposits can be detected in fellow eyes indicating subclinical involvement.",
        "Setting": "This cross-sectional study was conducted at two tertiary ophthalmology centres: Singapore National Eye Centre, Singapore and Ozaki Eye Hospital, Japan. Patients with XFS or XFG, as well as control subjects, were recruited from both centres.",
        "Methods": "All eyes underwent anterior segment imaging using UHR-OCT. AI-assisted post-processing was used to generate enface projections to visualize XFM on the anterior lens capsule and within the anterior chamber. Each volume was reviewed for the presence, morphology, and distribution of XFM and lens surface abnormalities in individual B-scans and corresponding enface images. Slit-lamp photographs were independently reviewed and graded by a trained examiner. For fellow-eye analysis in unilateral cases, UHR-OCT images were carefully examined for subtle XFM not identifiable on slit-lamp lens photographs. Discrepancies were resolved by consensus with clinician adjudication.",
        "Results": "A total of 96 patients with XFS/XFG and 23 controls were recruited. Disease was bilateral in 23 patients and unilateral in 73. Of unilateral cases, 62 fellow eyes were analysed after excluding poor-quality scans. In affected eyes, UHR-OCT enfaces consistently visualized XFM that was evident on lens photographs, with clearer borders and higher contrast. In fellow eyes, UHR-OCT identified subtle XFM deposits not detectable on lens photographs. Of 62 fellow eyes, 19 eyes (30.6%) demonstrated definite XFM, consistent with XFM-features in affected eyes, while 11 eyes (17.7%) showed possible XFM-like features. XFM-like features were also observed in 11 of 23 control eyes (47.8%) from Ozaki Eye Hospital, a high-prevalence exfoliation population.",
        "Conclusions": "UHR-OCT provides clearer visualization of XFM than slit-lamp photography by enhancing contrast and reducing interference from anterior lens opacities. Detection of XFM features in fellow eyes and control eyes suggests increased sensitivity of UHR-OCT for identifying subtle deposits and assessing XFM burden. These findings indicate that UHR-OCT may facilitate detection of early or subclinical exfoliative involvement and support its potential utility in screening and monitoring eyes affected by or at risk of XFS and XFG."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 364
    },
    {
      "uid": "FP08.10",
      "abstract_number": "FP08.10",
      "title": "Morphological Changes Of Schlemm’S Canal In Post Penetrating Keratoplasty Glaucoma: A Comparative As-Oct Study",
      "authors": "Dr Ahmet Can Özdemir",
      "presenter": "Dr Ahmet Can Özdemir",
      "normalized_authors": [
        "Ahmet Can Özdemir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Can Özdemir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To quantitatively compare Schlemm’s canal (SC) structural parameters between eyes with medically controlled post-penetrating keratoplasty glaucoma (PPKG) and healthy controls using anterior segment optical coherence tomography (AS-OCT).",
        "Setting": "Cross-sectional, comparative study.",
        "Methods": "This study included 24 eyes with medically controlled PPKG and 27 age-matched healthy controls. BCVA (logMAR), IOP (Tono-Pen AVIA®), RNFL thickness, and central corneal thickness (CCT) were evaluated. Eyes with ocular trauma, previous glaucoma surgery, active inflammation, poor AS-OCT image quality, or <6 months post-PK follow-up were excluded. Swept-source OCT (Triton DRI-OCT, Topcon, Japan) images of the nasal and temporal limbus were obtained. Images were exported in JPEG format and analyzed using ImageJ (1.54d, NIH) to measure SC length (SCL) and area (SCA). Demographic, clinical, and SC parameters were compared between groups. Correlations between SC parameters, IOP, number of antiglaucomatous medications (NAGM), and CCT were analyzed.",
        "Results": "The PPKG and control groups were comparable in terms of age,gender distribution,laterality and CCT(p>0.05 for all).Main PK indications were pseudophakic bullous keratopathy(33.3%) and corneal dystrophy(25%).BCVA was worse in PPKG(1.30[0.30–3.00] vs 0.00[0.00–0.20] logMAR) and RNFL was thinner(72.75±26.58µm vs 107.52±7.88µm)(p<0.001).Mean IOP was 14.04±6.22 vs 15.07±2.46mmHg(p=0.43).Mean NAGM was 2.33±1.2.SC measurements were lower in PPKG.Nasal SCL and SCA were 113.21±42.74µm and 1649(1025–3272)µm² vs 275.7±72.15µm and 5917(1632–9005)µm².Temporal SCL and SCA were 128.75±44.99µm and 2420.38±974.84µm² vs 269.33±62.55µm and 4898.59±2165.86µm²(p<0.001).No correlations existed between SC parameters and post-PK duration,IOP,NAGM,or CCT.",
        "Conclusions": "Eyes with PPKG demonstrate significant reductions in SC dimensions compared with healthy controls. These structural changes may reflect postoperative anterior segment remodeling and may contribute to altered aqueous outflow dynamics following PK. Further longitudinal studies are needed to clarify the relationship between SC morphology and the risk of glaucoma after keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyes with PPKG demonstrate significant reductions in SC dimensions compared with healthy controls. These structural changes may reflect postoperative anterior segment remodeling and may contribute to altered aqueous outflow dynamics following PK. Further longitudinal studies are needed to clarify the relationship between SC morphology and the risk of glaucoma after keratoplasty.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 116,
      "source_fields": {
        "Abstract Final Identifier": "FP08.10",
        "Title": "Morphological Changes Of Schlemm’S Canal In Post Penetrating Keratoplasty Glaucoma: A Comparative As-Oct Study",
        "Presenting Author(s)": "Dr Ahmet Can Özdemir",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "Can",
        "Submitter Last Name": "Özdemir",
        "Country Name": "Türkiye",
        "Purpose": "To quantitatively compare Schlemm’s canal (SC) structural parameters between eyes with medically controlled post-penetrating keratoplasty glaucoma (PPKG) and healthy controls using anterior segment optical coherence tomography (AS-OCT).",
        "Setting": "Cross-sectional, comparative study.",
        "Methods": "This study included 24 eyes with medically controlled PPKG and 27 age-matched healthy controls. BCVA (logMAR), IOP (Tono-Pen AVIA®), RNFL thickness, and central corneal thickness (CCT) were evaluated. Eyes with ocular trauma, previous glaucoma surgery, active inflammation, poor AS-OCT image quality, or <6 months post-PK follow-up were excluded. Swept-source OCT (Triton DRI-OCT, Topcon, Japan) images of the nasal and temporal limbus were obtained. Images were exported in JPEG format and analyzed using ImageJ (1.54d, NIH) to measure SC length (SCL) and area (SCA). Demographic, clinical, and SC parameters were compared between groups. Correlations between SC parameters, IOP, number of antiglaucomatous medications (NAGM), and CCT were analyzed.",
        "Results": "The PPKG and control groups were comparable in terms of age,gender distribution,laterality and CCT(p>0.05 for all).Main PK indications were pseudophakic bullous keratopathy(33.3%) and corneal dystrophy(25%).BCVA was worse in PPKG(1.30[0.30–3.00] vs 0.00[0.00–0.20] logMAR) and RNFL was thinner(72.75±26.58µm vs 107.52±7.88µm)(p<0.001).Mean IOP was 14.04±6.22 vs 15.07±2.46mmHg(p=0.43).Mean NAGM was 2.33±1.2.SC measurements were lower in PPKG.Nasal SCL and SCA were 113.21±42.74µm and 1649(1025–3272)µm² vs 275.7±72.15µm and 5917(1632–9005)µm².Temporal SCL and SCA were 128.75±44.99µm and 2420.38±974.84µm² vs 269.33±62.55µm and 4898.59±2165.86µm²(p<0.001).No correlations existed between SC parameters and post-PK duration,IOP,NAGM,or CCT.",
        "Conclusions": "Eyes with PPKG demonstrate significant reductions in SC dimensions compared with healthy controls. These structural changes may reflect postoperative anterior segment remodeling and may contribute to altered aqueous outflow dynamics following PK. Further longitudinal studies are needed to clarify the relationship between SC morphology and the risk of glaucoma after keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "FP08.11",
      "abstract_number": "FP08.11",
      "title": "First In Vivo Confocal Microscopy Characterization Of Corneal Epithelial Alterations In Patients Treated With Netarsudil/Latanoprost Fixed-Dose Combination.",
      "authors": "Dr Simone Bruzio",
      "presenter": "Dr Simone Bruzio",
      "normalized_authors": [
        "Simone Bruzio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simone Bruzio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To provide the first in vivo confocal microscopy (IVCCM) characterization of corneal epithelial alterations in real-world clinical practice in patients treated with netarsudil/latanoprost fixed-dose combination.",
        "Setting": "Glaucoma and Cornea Service of a tertiary academic ophthalmology center (A. Gemelli Polyclinic Foundation – IRCCS, Rome, Italy).",
        "Methods": "This retrospective, observational, descriptive case series included patients treated with topical netarsudil 0.02%/latanoprost 0.005% who developed corneal epithelial abnormalities on slit-lamp examination. Twenty-five eyes of 15 patients underwent IVCCM to assess the epithelial, stromal, and endothelial microstructures. Confocal findings were correlated with slit-lamp appearance.",
        "Results": "Despite the clinical appearance of epithelial haze or opacification, IVCCM showed no inflammatory cells or stromal involvement. Two reproducible patterns of intraepithelial hyperreflective deposits were identified: (1) larger linear or curvilinear deposits in the mid-epithelium resembling verticillata-like tracks; and (2) diffuse punctate microdots across the entire epithelial thickness producing a “starry-sky” pattern. These patterns often coexisted and were associated with loss of epithelial cell-border definition without cell loss. Stromal and endothelial layers were preserved. Mild blurred vision was reported mainly in eyes with diffuse epithelial involvement without significant visual acuity reduction.",
        "Conclusions": "IVCCM revealed that corneal epithelial opacities associated with netarsudil/latanoprost therapy represent a non-inflammatory epithelium-confined phenomenon distinct from classical cornea verticillata. These findings support a pharmacologically driven epithelial remodeling effect related to ROCK inhibition and underscore the role of confocal microscopy in identifying previously unrecognized corneal drug effects in real-world settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IVCCM revealed that corneal epithelial opacities associated with netarsudil/latanoprost therapy represent a non-inflammatory epithelium-confined phenomenon distinct from classical cornea verticillata. These findings support a pharmacologically driven epithelial remodeling effect related to ROCK inhibition and underscore the role of confocal microscopy in identifying previously unrecognized corneal drug effects in…",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 117,
      "source_fields": {
        "Abstract Final Identifier": "FP08.11",
        "Title": "First In Vivo Confocal Microscopy Characterization Of Corneal Epithelial Alterations In Patients Treated With Netarsudil/Latanoprost Fixed-Dose Combination.",
        "Presenting Author(s)": "Dr Simone Bruzio",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Simone",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bruzio",
        "Country Name": "Italy",
        "Purpose": "To provide the first in vivo confocal microscopy (IVCCM) characterization of corneal epithelial alterations in real-world clinical practice in patients treated with netarsudil/latanoprost fixed-dose combination.",
        "Setting": "Glaucoma and Cornea Service of a tertiary academic ophthalmology center (A. Gemelli Polyclinic Foundation – IRCCS, Rome, Italy).",
        "Methods": "This retrospective, observational, descriptive case series included patients treated with topical netarsudil 0.02%/latanoprost 0.005% who developed corneal epithelial abnormalities on slit-lamp examination. Twenty-five eyes of 15 patients underwent IVCCM to assess the epithelial, stromal, and endothelial microstructures. Confocal findings were correlated with slit-lamp appearance.",
        "Results": "Despite the clinical appearance of epithelial haze or opacification, IVCCM showed no inflammatory cells or stromal involvement. Two reproducible patterns of intraepithelial hyperreflective deposits were identified: (1) larger linear or curvilinear deposits in the mid-epithelium resembling verticillata-like tracks; and (2) diffuse punctate microdots across the entire epithelial thickness producing a “starry-sky” pattern. These patterns often coexisted and were associated with loss of epithelial cell-border definition without cell loss. Stromal and endothelial layers were preserved. Mild blurred vision was reported mainly in eyes with diffuse epithelial involvement without significant visual acuity reduction.",
        "Conclusions": "IVCCM revealed that corneal epithelial opacities associated with netarsudil/latanoprost therapy represent a non-inflammatory epithelium-confined phenomenon distinct from classical cornea verticillata. These findings support a pharmacologically driven epithelial remodeling effect related to ROCK inhibition and underscore the role of confocal microscopy in identifying previously unrecognized corneal drug effects in real-world settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "FP08.12",
      "abstract_number": "FP08.12",
      "title": "Swept-Source Anterior Segment Oct For Detection Of Subclinical Silicone Oil Emulsification And Endothelial Deposits After Retinal Detachment Surgery",
      "authors": "Małgorzata Łątkowska",
      "presenter": "Małgorzata Łątkowska",
      "normalized_authors": [
        "Małgorzata Łątkowska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Małgorzata Łątkowska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate early silicone oil emulsification using swept-source anterior segment optical coherence tomography (SS-AS-OCT) after pars plana vitrectomy for retinal detachment repair. We aimed to characterise anterior chamber and corneal endothelial changes undetectable on routine slit-lamp examination and to assess their potential clinical relevance.",
        "Setting": "This single-centre prospective study was conducted at a high-volume referral centre.",
        "Methods": "Twenty-five eyes from twenty-five patients undergoing pars plana vitrectomy with first-time 5000 cSt silicone oil tamponade for retinal detachment were included. Anterior segment imaging was performed using SS-AS-OCT (Anterion, Heidelberg Engineering), with a 23-scan protocol at the initial postoperative visit, and at 1 and 3 months postoperatively. Posterior segment OCT was conducted concurrently.",
        "Results": "SS-AS-OCT detected silicone oil emulsification in all eyes, often evident at the first postoperative visit. In most cases, slit-lamp biomicroscopy revealed no clinically apparent anterior segment changes. Imaging identified hyperreflective droplets within the aqueous humour and fine deposits adherent to the corneal endothelium, consistent with early endothelial contact. In one case, anterior migration required immediate anterior chamber washout without endothelial damage.",
        "Conclusions": "Silicone oil emulsification manifests early and may remain unnoticed on routine examination. SS-AS-OCT enables the detection of subclinical anterior chamber droplets and endothelial deposits not visible at the slit lamp. These findings enhance postoperative assessment and may contribute to more individualised postoperative management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Silicone oil emulsification manifests early and may remain unnoticed on routine examination. SS-AS-OCT enables the detection of subclinical anterior chamber droplets and endothelial deposits not visible at the slit lamp. These findings enhance postoperative assessment and may contribute to more individualised postoperative management.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 118,
      "source_fields": {
        "Abstract Final Identifier": "FP08.12",
        "Title": "Swept-Source Anterior Segment Oct For Detection Of Subclinical Silicone Oil Emulsification And Endothelial Deposits After Retinal Detachment Surgery",
        "Presenting Author(s)": "Małgorzata Łątkowska",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Małgorzata",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Łątkowska",
        "Country Name": "Poland",
        "Purpose": "To evaluate early silicone oil emulsification using swept-source anterior segment optical coherence tomography (SS-AS-OCT) after pars plana vitrectomy for retinal detachment repair. We aimed to characterise anterior chamber and corneal endothelial changes undetectable on routine slit-lamp examination and to assess their potential clinical relevance.",
        "Setting": "This single-centre prospective study was conducted at a high-volume referral centre.",
        "Methods": "Twenty-five eyes from twenty-five patients undergoing pars plana vitrectomy with first-time 5000 cSt silicone oil tamponade for retinal detachment were included. Anterior segment imaging was performed using SS-AS-OCT (Anterion, Heidelberg Engineering), with a 23-scan protocol at the initial postoperative visit, and at 1 and 3 months postoperatively. Posterior segment OCT was conducted concurrently.",
        "Results": "SS-AS-OCT detected silicone oil emulsification in all eyes, often evident at the first postoperative visit. In most cases, slit-lamp biomicroscopy revealed no clinically apparent anterior segment changes. Imaging identified hyperreflective droplets within the aqueous humour and fine deposits adherent to the corneal endothelium, consistent with early endothelial contact. In one case, anterior migration required immediate anterior chamber washout without endothelial damage.",
        "Conclusions": "Silicone oil emulsification manifests early and may remain unnoticed on routine examination. SS-AS-OCT enables the detection of subclinical anterior chamber droplets and endothelial deposits not visible at the slit lamp. These findings enhance postoperative assessment and may contribute to more individualised postoperative management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 212
    },
    {
      "uid": "FP08.13",
      "abstract_number": "FP08.13",
      "title": "Evaluation Of Corneal Epithelial Thickness Map And Higher-Order Aberrations In Fuchs Endothelial Dystrophy With Subclinical Edema",
      "authors": "Eda Nur Gönültaş Özkan",
      "presenter": "Eda Nur Gönültaş Özkan",
      "normalized_authors": [
        "Eda Nur Gönültaş Özkan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hafize Gökben Ulutas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "In this study, the impact of subclinical corneal edema on epithelial thickness profile and higher-order aberration (HOA) parameters in Fuchs endothelial corneal dystrophy (FECD) was investigated and the findings were compared with those of healthy individuals.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "84 eyes with FECD and 45 healthy control eyes were included. FECD eyes were classified according to the presence of subclinical corneal edema, defined by at least two Scheimpflug-Placido tomography findings (loss of parallel isopachs, displacement of the thinnest point, posterior surface depression). Demographic data, topographic and pachymetric parameters were recorded. Epithelial thickness (ET) was measured using anterior segment OCT in the central zone and eight peripheral regions (superior, inferior, nasal, temporal, superonasal [SN], superotemporal [ST], inferonasal [IN], and inferotemporal [IT]). Higher-order aberrations (HOA) were analyzed within 4-mm and 6-mm optical zones. Specular microscopy parameters were also documented.",
        "Results": "There were no significant differences between the groups in terms of age or sex (p>0.05). FECD eyes with subclinical edema demonstrated significantly lower endothelial cell density compared to those without edema (p=0.006). Posterior corneal surface irregularity (KVb) was also significantly increased in eyes with subclinical edema (p<0.001). Central ET did not differ significantly; however, SN–IT ET difference was significantly lower compared to those without edema (6.2 ± 22.7 µm vs. 20.7 ± 20.4 µm; p<0.001). Total HOA and coma-2 values were significantly higher in FECD eyes with subclinical edema compared to both controls and FECD eyes without edema (p<0.05).",
        "Conclusions": "Subclinical corneal edema in FECD is associated with epithelial asymmetry alterations and increased optical aberrations. Combined epithelial mapping and HOA analysis may serve as objective markers of early functional deterioration and support timely surgical decision-making before clinically evident edema develops."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Subclinical corneal edema in FECD is associated with epithelial asymmetry alterations and increased optical aberrations. Combined epithelial mapping and HOA analysis may serve as objective markers of early functional deterioration and support timely surgical decision-making before clinically evident edema develops.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 119,
      "source_fields": {
        "Abstract Final Identifier": "FP08.13",
        "Title": "Evaluation Of Corneal Epithelial Thickness Map And Higher-Order Aberrations In Fuchs Endothelial Dystrophy With Subclinical Edema",
        "Presenting Author(s)": "Eda Nur Gönültaş Özkan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Hafize Gökben",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ulutas",
        "Country Name": "Türkiye",
        "Purpose": "In this study, the impact of subclinical corneal edema on epithelial thickness profile and higher-order aberration (HOA) parameters in Fuchs endothelial corneal dystrophy (FECD) was investigated and the findings were compared with those of healthy individuals.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "84 eyes with FECD and 45 healthy control eyes were included. FECD eyes were classified according to the presence of subclinical corneal edema, defined by at least two Scheimpflug-Placido tomography findings (loss of parallel isopachs, displacement of the thinnest point, posterior surface depression). Demographic data, topographic and pachymetric parameters were recorded. Epithelial thickness (ET) was measured using anterior segment OCT in the central zone and eight peripheral regions (superior, inferior, nasal, temporal, superonasal [SN], superotemporal [ST], inferonasal [IN], and inferotemporal [IT]). Higher-order aberrations (HOA) were analyzed within 4-mm and 6-mm optical zones. Specular microscopy parameters were also documented.",
        "Results": "There were no significant differences between the groups in terms of age or sex (p>0.05). FECD eyes with subclinical edema demonstrated significantly lower endothelial cell density compared to those without edema (p=0.006). Posterior corneal surface irregularity (KVb) was also significantly increased in eyes with subclinical edema (p<0.001). Central ET did not differ significantly; however, SN–IT ET difference was significantly lower compared to those without edema (6.2 ± 22.7 µm vs. 20.7 ± 20.4 µm; p<0.001). Total HOA and coma-2 values were significantly higher in FECD eyes with subclinical edema compared to both controls and FECD eyes without edema (p<0.05).",
        "Conclusions": "Subclinical corneal edema in FECD is associated with epithelial asymmetry alterations and increased optical aberrations. Combined epithelial mapping and HOA analysis may serve as objective markers of early functional deterioration and support timely surgical decision-making before clinically evident edema develops."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "FP08.14",
      "abstract_number": "FP08.14",
      "title": "Upper-Eyelid Position–Dependent Corneal Epithelial Remodeling And Its Impact On Higher-Order Aberrations",
      "authors": "Dr Niklas Mohr",
      "presenter": "Dr Niklas Mohr",
      "normalized_authors": [
        "Niklas Mohr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Niklas Mohr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the effect of upper-eyelid pathology on corneal epithelial thickness distribution and to assess the relationship between epithelial remodeling, higher-order aberrations (HOAs), and eyelid position.",
        "Setting": "Department of Ophthalmology, LMU University Hospital, Munich, Germany.",
        "Methods": "In this prospective cross-sectional study, one eye per subject was included. Eyes with ptosis and dermatochalasis were compared with age- and sex-matched healthy controls. All eyes underwent corneal imaging using anterior segment OCT (MS-39, CSO) with epithelial thickness mapping and corneal aberrometry in the 3-mm and 6-mm zones. Intergroup differences were analysed using ANOVA with Bonferroni post-hoc testing. Margin reflex distance (MRD) was correlated with epithelial and HOA parameters using Spearman’s rho.",
        "Results": "Ninety-one eyes were analysed (36 ptosis, 13 dermatochalasis, 42 controls). The ptosis group showed significant superior epithelial thinning with corresponding inferior thickening, resulting in a pronounced superior–inferior gradient compared with controls (6 mm: −10.9 vs −3.8 µm; 4 mm: −6.8 vs −2.5 µm), whereas dermatochalasis did not differ from healthy eyes. HOAs were higher in ptosis than in controls, including total HOA RMS (3 mm: 0.176 vs 0.097 µm; 6 mm: 1.01 vs 0.54 µm), spherical aberration (Z(4,0): −0.58 vs −0.29 µm), and coma RMS (3 mm: 0.073 vs 0.041 µm; 6 mm: 0.439 vs 0.291 µm). MRD correlated strongly with the superior–inferior epithelial thickness gradient and with HOAs.",
        "Conclusions": "Corneal epithelial remodeling and corneal HOAs are dependent on eyelid position, with lower MRD being associated with a more pronounced epithelial thickness gradient and higher HOAs. Eyelid position represents a previously under-recognised source of optical degradation and may lead to misinterpretation of corneal diagnostics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal epithelial remodeling and corneal HOAs are dependent on eyelid position, with lower MRD being associated with a more pronounced epithelial thickness gradient and higher HOAs. Eyelid position represents a previously under-recognised source of optical degradation and may lead to misinterpretation of corneal diagnostics.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 120,
      "source_fields": {
        "Abstract Final Identifier": "FP08.14",
        "Title": "Upper-Eyelid Position–Dependent Corneal Epithelial Remodeling And Its Impact On Higher-Order Aberrations",
        "Presenting Author(s)": "Dr Niklas Mohr",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Niklas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mohr",
        "Country Name": "Germany",
        "Purpose": "To evaluate the effect of upper-eyelid pathology on corneal epithelial thickness distribution and to assess the relationship between epithelial remodeling, higher-order aberrations (HOAs), and eyelid position.",
        "Setting": "Department of Ophthalmology, LMU University Hospital, Munich, Germany.",
        "Methods": "In this prospective cross-sectional study, one eye per subject was included. Eyes with ptosis and dermatochalasis were compared with age- and sex-matched healthy controls. All eyes underwent corneal imaging using anterior segment OCT (MS-39, CSO) with epithelial thickness mapping and corneal aberrometry in the 3-mm and 6-mm zones. Intergroup differences were analysed using ANOVA with Bonferroni post-hoc testing. Margin reflex distance (MRD) was correlated with epithelial and HOA parameters using Spearman’s rho.",
        "Results": "Ninety-one eyes were analysed (36 ptosis, 13 dermatochalasis, 42 controls). The ptosis group showed significant superior epithelial thinning with corresponding inferior thickening, resulting in a pronounced superior–inferior gradient compared with controls (6 mm: −10.9 vs −3.8 µm; 4 mm: −6.8 vs −2.5 µm), whereas dermatochalasis did not differ from healthy eyes. HOAs were higher in ptosis than in controls, including total HOA RMS (3 mm: 0.176 vs 0.097 µm; 6 mm: 1.01 vs 0.54 µm), spherical aberration (Z(4,0): −0.58 vs −0.29 µm), and coma RMS (3 mm: 0.073 vs 0.041 µm; 6 mm: 0.439 vs 0.291 µm). MRD correlated strongly with the superior–inferior epithelial thickness gradient and with HOAs.",
        "Conclusions": "Corneal epithelial remodeling and corneal HOAs are dependent on eyelid position, with lower MRD being associated with a more pronounced epithelial thickness gradient and higher HOAs. Eyelid position represents a previously under-recognised source of optical degradation and may lead to misinterpretation of corneal diagnostics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "FP08.15",
      "abstract_number": "FP08.15",
      "title": "Mitomycin Intravascular Chemoembolization For Corneal Neovascularization: A Prospective Imaging-Based Evaluation",
      "authors": "Dr Lekha Chandel",
      "presenter": "Dr Lekha Chandel",
      "normalized_authors": [
        "Lekha Chandel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lekha Chandel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the anatomical and functional outcomes of mitomycin intravascular chemoembolization (MICE) for corneal neovascularization using objective angiographic and structural imaging parameters.",
        "Setting": "Single-centre, tertiary referral cornea service at an academic ophthalmology institute in India",
        "Methods": "This prospective interventional study included 10 eyes with clinically significant corneal neovascularisation treated with MICE. Patients were evaluated at baseline, 1 month, and 4 months post-procedure. Outcome measures included anterior segment fluorescein angiography (AS-FA)–derived percentage area of actively perfused corneal neovascularisation, zone-wise corneal densitometry, composite severity score, and best-corrected visual acuity (BCVA). Statistical analysis was performed using appropriate parametric or non-parametric tests, with p < 0.05 considered statistically significant.",
        "Results": "MICE resulted in a significant reduction in the AS-FA–derived percentage area of actively perfused corneal neovascularisation from baseline to 4 months (p = 0.001). Corneal densitometry demonstrated significant stromal clearing in the central (0–2 mm, p = 0.0039), paracentral (2–6 mm, p = 0.0020), and mid-peripheral (6–10 mm, p = 0.0195) zones, as well as in total corneal densitometry (p = 0.0077). Composite severity scores showed significant improvement over follow-up (p < 0.05). BCVA improved numerically, although the changes did not consistently reach statistical significance.",
        "Conclusions": "MICE resulted in significant angiographic regression of actively perfused corneal neovascularisation with corresponding stromal optical improvement, particularly within visually critical corneal zones. Objective imaging-based assessment supports the use of MICE as a targeted intervention for corneal neovascularisation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MICE resulted in significant angiographic regression of actively perfused corneal neovascularisation with corresponding stromal optical improvement, particularly within visually critical corneal zones. Objective imaging-based assessment supports the use of MICE as a targeted intervention for corneal neovascularisation.",
      "session_type": "Free Paper",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 121,
      "source_fields": {
        "Abstract Final Identifier": "FP08.15",
        "Title": "Mitomycin Intravascular Chemoembolization For Corneal Neovascularization: A Prospective Imaging-Based Evaluation",
        "Presenting Author(s)": "Dr Lekha Chandel",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Lekha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chandel",
        "Country Name": "India",
        "Purpose": "To evaluate the anatomical and functional outcomes of mitomycin intravascular chemoembolization (MICE) for corneal neovascularization using objective angiographic and structural imaging parameters.",
        "Setting": "Single-centre, tertiary referral cornea service at an academic ophthalmology institute in India",
        "Methods": "This prospective interventional study included 10 eyes with clinically significant corneal neovascularisation treated with MICE. Patients were evaluated at baseline, 1 month, and 4 months post-procedure. Outcome measures included anterior segment fluorescein angiography (AS-FA)–derived percentage area of actively perfused corneal neovascularisation, zone-wise corneal densitometry, composite severity score, and best-corrected visual acuity (BCVA). Statistical analysis was performed using appropriate parametric or non-parametric tests, with p < 0.05 considered statistically significant.",
        "Results": "MICE resulted in a significant reduction in the AS-FA–derived percentage area of actively perfused corneal neovascularisation from baseline to 4 months (p = 0.001). Corneal densitometry demonstrated significant stromal clearing in the central (0–2 mm, p = 0.0039), paracentral (2–6 mm, p = 0.0020), and mid-peripheral (6–10 mm, p = 0.0195) zones, as well as in total corneal densitometry (p = 0.0077). Composite severity scores showed significant improvement over follow-up (p < 0.05). BCVA improved numerically, although the changes did not consistently reach statistical significance.",
        "Conclusions": "MICE resulted in significant angiographic regression of actively perfused corneal neovascularisation with corresponding stromal optical improvement, particularly within visually critical corneal zones. Objective imaging-based assessment supports the use of MICE as a targeted intervention for corneal neovascularisation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "FP09.01",
      "abstract_number": "FP09.01",
      "title": "Comparative Safety Of Subconjunctival Triamcinolone Dropless Therapy Versus Topical Drops Following Cataract Surgery: A Large Multi-Site Cohort Study",
      "authors": "Mr Alastair Stuart",
      "presenter": "Mr Alastair Stuart",
      "normalized_authors": [
        "Alastair Stuart"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare clinical outcomes of dropless therapy and conventional topical drop regimens following cataract surgery across a multi-site hospital group.",
        "Setting": "Optegra Eye Health Care, United Kingdom",
        "Methods": "This cohort study analysed 23,613 cataract surgeries across 17 sites between January 2025-December 2025. The drops cohort (n=11,101) received standard postoperative topical antibiotic and corticosteroid therapy. The dropless cohort (n=12,512) received intracameral antibiotic and subconjunctival triamcinolone at surgery conclusion, eliminating postoperative topical medications. Primary outcomes included cystoid macular oedema (CMO), steroid-related intraocular pressure (IOP) elevation, and postoperative uveitis. CMO was assessed in all eyes and in a subgroup without diabetes or pre-existing retinal pathology. Visual and refractive outcomes were also evaluated. Risk ratios (RR) with 95% confidence intervals (CI) were calculated.",
        "Results": "CMO occurred less frequently with dropless compared with the drops cohort (2.84% vs.3.55%, p=0.004; RR=0.80, 95% CI=0.69–0.92), representing a 20% relative risk reduction. After excluding eyes with diabetes/preexisting retinal pathology, the protective effect strengthened (2.23% vs.3.04%, p=0.002; RR=0.73, 95% CI=0.61–0.88). Eyes with diabetes/retinal pathology demonstrated ~two-fold higher CMO risk irrespective of treatment modality (dropless 4.60% vs.2.23% without pathology; drops 4.89% vs.3.04%). IOP elevation was reduced with dropless (0.44% vs. 0.68%, p=0.02; RR=0.65, 95% CI=0.46–0.92). Postoperative uveitis rates were comparable (2.13% vs. 2.34%, p=0.31; RR 0.91, 95% CI 0.77–1.08). Visual and refractive outcomes were also equivalent.",
        "Conclusions": "In this large multi-site cohort, dropless therapy was associated with significantly reduced rates of CMO and steroid response compared with conventional topical drops, particularly in eyes without pre-existing risk factors. Uveitis, visual and refractive outcomes were comparable between treatment modalities. These findings support the safety profile of dropless protocols in routine cataract surgery while eliminating the burden of postoperative drop administration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large multi-site cohort, dropless therapy was associated with significantly reduced rates of CMO and steroid response compared with conventional topical drops, particularly in eyes without pre-existing risk factors. Uveitis, visual and refractive outcomes were comparable between treatment modalities. These findings support the safety profile of dropless protocols in routine cataract surgery while…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 122,
      "source_fields": {
        "Abstract Final Identifier": "FP09.01",
        "Title": "Comparative Safety Of Subconjunctival Triamcinolone Dropless Therapy Versus Topical Drops Following Cataract Surgery: A Large Multi-Site Cohort Study",
        "Presenting Author(s)": "Mr Alastair Stuart",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To compare clinical outcomes of dropless therapy and conventional topical drop regimens following cataract surgery across a multi-site hospital group.",
        "Setting": "Optegra Eye Health Care, United Kingdom",
        "Methods": "This cohort study analysed 23,613 cataract surgeries across 17 sites between January 2025-December 2025. The drops cohort (n=11,101) received standard postoperative topical antibiotic and corticosteroid therapy. The dropless cohort (n=12,512) received intracameral antibiotic and subconjunctival triamcinolone at surgery conclusion, eliminating postoperative topical medications. Primary outcomes included cystoid macular oedema (CMO), steroid-related intraocular pressure (IOP) elevation, and postoperative uveitis. CMO was assessed in all eyes and in a subgroup without diabetes or pre-existing retinal pathology. Visual and refractive outcomes were also evaluated. Risk ratios (RR) with 95% confidence intervals (CI) were calculated.",
        "Results": "CMO occurred less frequently with dropless compared with the drops cohort (2.84% vs.3.55%, p=0.004; RR=0.80, 95% CI=0.69–0.92), representing a 20% relative risk reduction. After excluding eyes with diabetes/preexisting retinal pathology, the protective effect strengthened (2.23% vs.3.04%, p=0.002; RR=0.73, 95% CI=0.61–0.88). Eyes with diabetes/retinal pathology demonstrated ~two-fold higher CMO risk irrespective of treatment modality (dropless 4.60% vs.2.23% without pathology; drops 4.89% vs.3.04%). IOP elevation was reduced with dropless (0.44% vs. 0.68%, p=0.02; RR=0.65, 95% CI=0.46–0.92). Postoperative uveitis rates were comparable (2.13% vs. 2.34%, p=0.31; RR 0.91, 95% CI 0.77–1.08). Visual and refractive outcomes were also equivalent.",
        "Conclusions": "In this large multi-site cohort, dropless therapy was associated with significantly reduced rates of CMO and steroid response compared with conventional topical drops, particularly in eyes without pre-existing risk factors. Uveitis, visual and refractive outcomes were comparable between treatment modalities. These findings support the safety profile of dropless protocols in routine cataract surgery while eliminating the burden of postoperative drop administration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "FP09.02",
      "abstract_number": "FP09.02",
      "title": "The Royal College Of Ophthalmologists’ National Ophthalmology Database: Association Of Surgeon Volume With Posterior Capsular Rupture Risk",
      "authors": "A/Prof. Alexander Day*",
      "presenter": "A/Prof. Alexander Day*",
      "normalized_authors": [
        "Alexander Day*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Day*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To investigate the association between posterior capsular rupture (PCR) risk and annual surgical volumes for fully trained surgeons in the UK.",
        "Setting": "Retrospective observational study of p hacoemulsification surgeries performed between 01/04/2021 and 31/03/2024 by fully trained surgeons registered on the UK General Medical Council’s specialist register from centers supplying data to the UK national cataract audit (RCOphth NOD).",
        "Methods": "Observed (unadjusted) PCR rates were calculated from the supplied data and expected (predicted probability based on case complexity) PCR rates\n\nwere calculated using a published risk factor model. Fractional polynomials were used to estimate the underlying distribution of observed and expected PCR rates for surgeon annual volume. Main outcome measures were u nadjusted and expected PCR rates for different surgeon annual volume groups.",
        "Results": "993,001 operations performed by 1314 surgeons from 206 centers were eligible for analysis. PCR occurred in 5819 (0.59%) eyes and the observed PCR rate steadily decreased as surgeons’ annual volume increased. The unadjusted PCR rate was consistently higher than the expected PCR rate for surgeons performing <250–300 surgeries per year, although there was high variability in the PCR rates for lower volume groups. There was lower cataract surgery case complexity for higher annual volume surgeons and the expected PCR rate decreased to lower than the whole sample unadjusted PCR rate of 0.59% at around 600 operations per year.",
        "Conclusions": "A clear association was found between surgeons performing a higher annual volume of cataract surgery and lower PCR rates. This finding should inform resource planning for cataract services to provide sufficient surgeon volume for improved patient outcomes, with a recommended case volume of at least 250 cases per year."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A clear association was found between surgeons performing a higher annual volume of cataract surgery and lower PCR rates. This finding should inform resource planning for cataract services to provide sufficient surgeon volume for improved patient outcomes, with a recommended case volume of at least 250 cases per year.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 123,
      "source_fields": {
        "Abstract Final Identifier": "FP09.02",
        "Title": "The Royal College Of Ophthalmologists’ National Ophthalmology Database: Association Of Surgeon Volume With Posterior Capsular Rupture Risk",
        "Presenting Author(s)": "A/Prof. Alexander Day*",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Day*",
        "Country Name": "United Kingdom",
        "Purpose": "To investigate the association between posterior capsular rupture (PCR) risk and annual surgical volumes for fully trained surgeons in the UK.",
        "Setting": "Retrospective observational study of p hacoemulsification surgeries performed between 01/04/2021 and 31/03/2024 by fully trained surgeons registered on the UK General Medical Council’s specialist register from centers supplying data to the UK national cataract audit (RCOphth NOD).",
        "Methods": "Observed (unadjusted) PCR rates were calculated from the supplied data and expected (predicted probability based on case complexity) PCR rates\n\nwere calculated using a published risk factor model. Fractional polynomials were used to estimate the underlying distribution of observed and expected PCR rates for surgeon annual volume. Main outcome measures were u nadjusted and expected PCR rates for different surgeon annual volume groups.",
        "Results": "993,001 operations performed by 1314 surgeons from 206 centers were eligible for analysis. PCR occurred in 5819 (0.59%) eyes and the observed PCR rate steadily decreased as surgeons’ annual volume increased. The unadjusted PCR rate was consistently higher than the expected PCR rate for surgeons performing <250–300 surgeries per year, although there was high variability in the PCR rates for lower volume groups. There was lower cataract surgery case complexity for higher annual volume surgeons and the expected PCR rate decreased to lower than the whole sample unadjusted PCR rate of 0.59% at around 600 operations per year.",
        "Conclusions": "A clear association was found between surgeons performing a higher annual volume of cataract surgery and lower PCR rates. This finding should inform resource planning for cataract services to provide sufficient surgeon volume for improved patient outcomes, with a recommended case volume of at least 250 cases per year."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "FP09.03",
      "abstract_number": "FP09.03",
      "title": "Acute Angle-Closure Glaucoma And Non-Ophthalmic Anticholinergics: A Sex-Stratified Pharmacovigilance Disproportionality Analysis",
      "authors": "Danlin Zeng",
      "presenter": "Danlin Zeng",
      "normalized_authors": [
        "Danlin Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Danlin Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Acute angle-closure glaucoma (ACG) is a vision-threatening emergency that may be precipitated perioperatively in anatomically susceptible patients, for example during pupillary dilation with anticholinergic agent s such as Tropicamide. ACG onset can compromise surgical outcomes and increase the risk of irreversible vision loss. A lthough a nticholinergics are widely prescribed across multiple specialties , the association between non-ophthalmic anticholinergic exposure and ACG remains incompletely characterized . This study evaluates the association between non-ophthalmic anticholinergics and ACG — including sex-stratified effects — to inform surgical risk stratification, preoperative medication review, and perioperative management .",
        "Setting": "Disproportionality analyses were performed using a large international pharmacovigilance database maintained by the U.S. Food and Drug Administration (FDA).",
        "Methods": "Only non-ophthalmic medications with a primary, exclusive antimuscarinic mechanism were included; agents with mixed or secondary anticholinergic activity were excluded. Reports of ACG associated with anticholinergics in the FDA Adverse Event Reporting System (FAERS) from January 2004 to February 2026 were analyzed. OpenVigil 2.1 was used to generate reporting odds ratios (ROR), proportional reporting ratios (PRR), and chi-squared (χ²) with Yates’ correction. Sex-stratified analyses were subsequently performed. Signals were considered significant if they met established pharmacovigilance thresholds of ROR 95% CI > 1, PRR ≥ 2.0, χ² ≥ 4.0, and case count ≥ 3. This indicates disproportionate ACG reporting relative to other FDA-approved drugs.",
        "Results": "Nine non-ophthalmic anticholinergics demonstrated significant ACG signals. By indication: overactive bladder — fesoterodine ROR 6.61 (95% CI 2.97–14.74), solifenacin 6.52 (3.85–11.03), tolterodine 5.17 (2.46–10.86); movement disorders — biperiden 8.36 (3.13–22.30); gastrointestinal disorders — scopolamine 6.72 (2.52–17.93); respiratory disease — glycopyrrolate 12.83 (7.43–22.15), ipratropium 4.06 (2.44–6.75), tiotropium 2.88 (2.00–4.16), umeclidinium 2.36 (1.34–4.17). In sex-stratified analyses, five anticholinergics demonstrated significant ACG signals exclusively in females: scopolamine 9.62 (3.60–25.69), tolterodine 4.96 (2.22–11.07), ipratropium 4.69 (2.66–8.29), fesoterodine 4.39 (1.41–13.65), and tiotropium 3.14 (2.06–4.79).",
        "Conclusions": "Non-ophthalmic anticholinergic use represents a clinically relevant and potentially modifiable risk factor for ACG in anatomically susceptible patients. Multiple commonly prescribed agents had disproportionate ACG reporting, with several signals observed exclusively in females. This sex-specific pattern aligns with known female-predominant anatomic susceptibility to ACG and reinforces biological plausibility.\n\nThese findings underscore the critical role of systematic preoperative medication reconciliation before pharmacologic dilation. Early identification of at-risk patients—particularly females on anticholinergic therapy—facilitates tailored perioperative management and may reduce preventable angle-closure events during cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Non-ophthalmic anticholinergic use represents a clinically relevant and potentially modifiable risk factor for ACG in anatomically susceptible patients. Multiple commonly prescribed agents had disproportionate ACG reporting, with several signals observed exclusively in females. This sex-specific pattern aligns with known female-predominant anatomic susceptibility to ACG and reinforces biological plausibility. These…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 124,
      "source_fields": {
        "Abstract Final Identifier": "FP09.03",
        "Title": "Acute Angle-Closure Glaucoma And Non-Ophthalmic Anticholinergics: A Sex-Stratified Pharmacovigilance Disproportionality Analysis",
        "Presenting Author(s)": "Danlin Zeng",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Danlin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "Canada",
        "Purpose": "Acute angle-closure glaucoma (ACG) is a vision-threatening emergency that may be precipitated perioperatively in anatomically susceptible patients, for example during pupillary dilation with anticholinergic agent s such as Tropicamide. ACG onset can compromise surgical outcomes and increase the risk of irreversible vision loss. A lthough a nticholinergics are widely prescribed across multiple specialties , the association between non-ophthalmic anticholinergic exposure and ACG remains incompletely characterized . This study evaluates the association between non-ophthalmic anticholinergics and ACG — including sex-stratified effects — to inform surgical risk stratification, preoperative medication review, and perioperative management .",
        "Setting": "Disproportionality analyses were performed using a large international pharmacovigilance database maintained by the U.S. Food and Drug Administration (FDA).",
        "Methods": "Only non-ophthalmic medications with a primary, exclusive antimuscarinic mechanism were included; agents with mixed or secondary anticholinergic activity were excluded. Reports of ACG associated with anticholinergics in the FDA Adverse Event Reporting System (FAERS) from January 2004 to February 2026 were analyzed. OpenVigil 2.1 was used to generate reporting odds ratios (ROR), proportional reporting ratios (PRR), and chi-squared (χ²) with Yates’ correction. Sex-stratified analyses were subsequently performed. Signals were considered significant if they met established pharmacovigilance thresholds of ROR 95% CI > 1, PRR ≥ 2.0, χ² ≥ 4.0, and case count ≥ 3. This indicates disproportionate ACG reporting relative to other FDA-approved drugs.",
        "Results": "Nine non-ophthalmic anticholinergics demonstrated significant ACG signals. By indication: overactive bladder — fesoterodine ROR 6.61 (95% CI 2.97–14.74), solifenacin 6.52 (3.85–11.03), tolterodine 5.17 (2.46–10.86); movement disorders — biperiden 8.36 (3.13–22.30); gastrointestinal disorders — scopolamine 6.72 (2.52–17.93); respiratory disease — glycopyrrolate 12.83 (7.43–22.15), ipratropium 4.06 (2.44–6.75), tiotropium 2.88 (2.00–4.16), umeclidinium 2.36 (1.34–4.17). In sex-stratified analyses, five anticholinergics demonstrated significant ACG signals exclusively in females: scopolamine 9.62 (3.60–25.69), tolterodine 4.96 (2.22–11.07), ipratropium 4.69 (2.66–8.29), fesoterodine 4.39 (1.41–13.65), and tiotropium 3.14 (2.06–4.79).",
        "Conclusions": "Non-ophthalmic anticholinergic use represents a clinically relevant and potentially modifiable risk factor for ACG in anatomically susceptible patients. Multiple commonly prescribed agents had disproportionate ACG reporting, with several signals observed exclusively in females. This sex-specific pattern aligns with known female-predominant anatomic susceptibility to ACG and reinforces biological plausibility.\n\nThese findings underscore the critical role of systematic preoperative medication reconciliation before pharmacologic dilation. Early identification of at-risk patients—particularly females on anticholinergic therapy—facilitates tailored perioperative management and may reduce preventable angle-closure events during cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 427
    },
    {
      "uid": "FP09.04",
      "abstract_number": "FP09.04",
      "title": "Severe Vision Loss Following Cataract Surgery: An Analysis Of 1.7 Million Eyes From The United Kingdom National Ophthalmology Database",
      "authors": "Dr Conor Ramsden",
      "presenter": "Dr Conor Ramsden",
      "normalized_authors": [
        "Conor Ramsden"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Conor Ramsden",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To investigate rates of severe vision loss post-cataract surgery.",
        "Setting": "Between 2010 and 2024, there were 1 750 553 eligible operations performed on 1 217 267 patients by 3 766 surgeons from 132 centres supplying data to the United Kingdom Royal College of Ophthalmologists National Ophthalmology Database Cataract Audit.",
        "Methods": "Post-cataract surgery severe vision loss (SVL) was defined as a loss of ≥0.60 LogMAR between preoperative presenting visual acuity and postoperative visual acuity. The term ‘legally blind’ was used for eyes with a corrected visual acuity of worse than 1.30 LogMAR.",
        "Results": "Severe vision loss was recorded in 3723 (0.21%) eyes, including 3 eyes (2 patients) from 2718 immediate sequential bilateral cataract surgery (ISBCS) eyes.\n\nThe highest observed SVL rate was 10.68% for eyes left aphakic after surgery, and the second highest SVL rate (3.32%) was when posterior capsular rupture occurred. The SVL rate was higher than the overall rate for eyes with previous intravitreal injections (0.76%), eyes with optic nerve or central nervous system problems (0.74%), age-related macular degeneration (0.52%), previous vitrectomy (0.49%), diabetic retinopathy (0.45%), glaucoma (0.42%), or corneal pathology (0.33%).\n\nOf 1642386 eyes who were not preoperatively legally blind, 2731 (0.2%) were postoperatively legally blind.",
        "Conclusions": "Whie estimates exist for the risk of specific complications, such as post-operative infectious endophthalmitis, the 'catch-all' risk for severe vision loss is less well documented.\n\nSevere vision loss from any cause following cataract surgery occurs infrequently. However, it has a higher prevalence in eyes left aphakic, when PCR occurs and for certain ocular comorbidities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Whie estimates exist for the risk of specific complications, such as post-operative infectious endophthalmitis, the 'catch-all' risk for severe vision loss is less well documented. Severe vision loss from any cause following cataract surgery occurs infrequently. However, it has a higher prevalence in eyes left aphakic, when PCR occurs and for certain ocular comorbidities.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 125,
      "source_fields": {
        "Abstract Final Identifier": "FP09.04",
        "Title": "Severe Vision Loss Following Cataract Surgery: An Analysis Of 1.7 Million Eyes From The United Kingdom National Ophthalmology Database",
        "Presenting Author(s)": "Dr Conor Ramsden",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Conor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ramsden",
        "Country Name": "United Kingdom",
        "Purpose": "To investigate rates of severe vision loss post-cataract surgery.",
        "Setting": "Between 2010 and 2024, there were 1 750 553 eligible operations performed on 1 217 267 patients by 3 766 surgeons from 132 centres supplying data to the United Kingdom Royal College of Ophthalmologists National Ophthalmology Database Cataract Audit.",
        "Methods": "Post-cataract surgery severe vision loss (SVL) was defined as a loss of ≥0.60 LogMAR between preoperative presenting visual acuity and postoperative visual acuity. The term ‘legally blind’ was used for eyes with a corrected visual acuity of worse than 1.30 LogMAR.",
        "Results": "Severe vision loss was recorded in 3723 (0.21%) eyes, including 3 eyes (2 patients) from 2718 immediate sequential bilateral cataract surgery (ISBCS) eyes.\n\nThe highest observed SVL rate was 10.68% for eyes left aphakic after surgery, and the second highest SVL rate (3.32%) was when posterior capsular rupture occurred. The SVL rate was higher than the overall rate for eyes with previous intravitreal injections (0.76%), eyes with optic nerve or central nervous system problems (0.74%), age-related macular degeneration (0.52%), previous vitrectomy (0.49%), diabetic retinopathy (0.45%), glaucoma (0.42%), or corneal pathology (0.33%).\n\nOf 1642386 eyes who were not preoperatively legally blind, 2731 (0.2%) were postoperatively legally blind.",
        "Conclusions": "Whie estimates exist for the risk of specific complications, such as post-operative infectious endophthalmitis, the 'catch-all' risk for severe vision loss is less well documented.\n\nSevere vision loss from any cause following cataract surgery occurs infrequently. However, it has a higher prevalence in eyes left aphakic, when PCR occurs and for certain ocular comorbidities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP09.05",
      "abstract_number": "FP09.05",
      "title": "Cataract Surgery In Patients With Dementia: A 10-Year Real-World Cohort Study At A Uk Tertiary Eye Centre",
      "authors": "Dr Hee La Lee",
      "presenter": "Dr Hee La Lee",
      "normalized_authors": [
        "Hee La Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hee La Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "For patients with dementia, cataracts are a major treatable cause of vision loss and are themselves a recognised modifiable risk factor for dementia. Yet most literature addresses cataract surgery as prevention against incident dementia rather than management of those who already have the disease. These patients present with high surgical complexity including advanced cataracts, ocular comorbidity, and cooperation challenges requiring sedation or general anaesthesia. We report the largest UK cohort study of cataract surgery in patients with established dementia conducted over a decade, characterising visual outcomes, surgical safety, anaesthetic trends, referral-to-surgery waiting times, post-operative follow-up, and equity of access.",
        "Setting": "Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom, across all network sites. Data were extracted from the electronic patient record (EPR) and Patient Administration System (PAS) for all adult patients with a documented dementia diagnosis who underwent phacoemulsification cataract surgery between April 2015 and December 2025.",
        "Methods": "Retrospective observational cohort study using routinely collected data. The primary outcome was change in ETDRS letter score between the pre-operative measurement closest to surgery (within 180 days) and the first post-operative measurement between 14 and 112 days after surgery. Count fingers, hand movements, and light perception were assigned ETDRS equivalents of 5, 3, and 1 letters respectively. Intraoperative complications were ascertained from the CataractComplication EPR field. Care home residency was inferred from address data. Anaesthetic modality, consent type, and post-operative did-not-attend (DNA) rates were analysed over time.",
        "Results": "1,638 procedures in 1,114 patients (mean age 79.7, SD 7.4; 56.8% female). Pre-operative VA was poor (mean 52.6 ETDRS; 60.9% below 6/12). Paired ETDRS data were available for 1,255 eyes, showing mean improvement of +20.0 letters (SD 21.6); 83.5% gained vision, 55.5% gained ≥15 letters, consistent across all age groups including ≥90 years (+17.9 letters). Case-mix complexity was high and rose over the decade: mean predicted PCR risk 3.5% (vs national 1.1%), brunescent cataracts 23.3%, and 26.7% requiring sedation or GA - a sevenfold increase from 4.3% to 30.1%. The observed PCR rate of 2.9% was within expected limits for this complexity. Care home patients (6.7%) did not differ in complication rate (5.5% vs 6.0%) or DNA rate (0.78 vs 0.86).",
        "Conclusions": "For patients with dementia, cataract surgery delivers clinically significant visual improvement across all age groups, with over four-fifths of eyes gaining vision and more than half achieving a gain of ≥15 ETDRS letters. The PCR rate must be interpreted in the context of substantial and increasing case-mix complexity (mean predicted risk 3.5%). The poor presenting vision underscores the need for proactive vision screening in all dementia care settings. Care home patients are not a higher-risk group for complications or follow-up failure. Dementia-specific pathways with appropriate anaesthetic support, capacity assessment, and strategies to address ethnic disparities in follow-up are needed to ensure equitable access."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "For patients with dementia, cataract surgery delivers clinically significant visual improvement across all age groups, with over four-fifths of eyes gaining vision and more than half achieving a gain of ≥15 ETDRS letters. The PCR rate must be interpreted in the context of substantial and increasing case-mix complexity (mean predicted risk 3.5%). The poor presenting vision underscores the need for proactive vision…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 126,
      "source_fields": {
        "Abstract Final Identifier": "FP09.05",
        "Title": "Cataract Surgery In Patients With Dementia: A 10-Year Real-World Cohort Study At A Uk Tertiary Eye Centre",
        "Presenting Author(s)": "Dr Hee La Lee",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hee La",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "United Kingdom",
        "Purpose": "For patients with dementia, cataracts are a major treatable cause of vision loss and are themselves a recognised modifiable risk factor for dementia. Yet most literature addresses cataract surgery as prevention against incident dementia rather than management of those who already have the disease. These patients present with high surgical complexity including advanced cataracts, ocular comorbidity, and cooperation challenges requiring sedation or general anaesthesia. We report the largest UK cohort study of cataract surgery in patients with established dementia conducted over a decade, characterising visual outcomes, surgical safety, anaesthetic trends, referral-to-surgery waiting times, post-operative follow-up, and equity of access.",
        "Setting": "Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom, across all network sites. Data were extracted from the electronic patient record (EPR) and Patient Administration System (PAS) for all adult patients with a documented dementia diagnosis who underwent phacoemulsification cataract surgery between April 2015 and December 2025.",
        "Methods": "Retrospective observational cohort study using routinely collected data. The primary outcome was change in ETDRS letter score between the pre-operative measurement closest to surgery (within 180 days) and the first post-operative measurement between 14 and 112 days after surgery. Count fingers, hand movements, and light perception were assigned ETDRS equivalents of 5, 3, and 1 letters respectively. Intraoperative complications were ascertained from the CataractComplication EPR field. Care home residency was inferred from address data. Anaesthetic modality, consent type, and post-operative did-not-attend (DNA) rates were analysed over time.",
        "Results": "1,638 procedures in 1,114 patients (mean age 79.7, SD 7.4; 56.8% female). Pre-operative VA was poor (mean 52.6 ETDRS; 60.9% below 6/12). Paired ETDRS data were available for 1,255 eyes, showing mean improvement of +20.0 letters (SD 21.6); 83.5% gained vision, 55.5% gained ≥15 letters, consistent across all age groups including ≥90 years (+17.9 letters). Case-mix complexity was high and rose over the decade: mean predicted PCR risk 3.5% (vs national 1.1%), brunescent cataracts 23.3%, and 26.7% requiring sedation or GA - a sevenfold increase from 4.3% to 30.1%. The observed PCR rate of 2.9% was within expected limits for this complexity. Care home patients (6.7%) did not differ in complication rate (5.5% vs 6.0%) or DNA rate (0.78 vs 0.86).",
        "Conclusions": "For patients with dementia, cataract surgery delivers clinically significant visual improvement across all age groups, with over four-fifths of eyes gaining vision and more than half achieving a gain of ≥15 ETDRS letters. The PCR rate must be interpreted in the context of substantial and increasing case-mix complexity (mean predicted risk 3.5%). The poor presenting vision underscores the need for proactive vision screening in all dementia care settings. Care home patients are not a higher-risk group for complications or follow-up failure. Dementia-specific pathways with appropriate anaesthetic support, capacity assessment, and strategies to address ethnic disparities in follow-up are needed to ensure equitable access."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 483
    },
    {
      "uid": "FP09.06",
      "abstract_number": "FP09.06",
      "title": "To Study The Clinical Profile Of Cataract And Visual Outcome Of Cataract Surgery Along With Complication Profile In Eyes With Varying Degrees Of High Axial Myopia",
      "authors": "Dr Mazila Amin",
      "presenter": "Dr Mazila Amin",
      "normalized_authors": [
        "Mazila Amin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mazila Amin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To study the clinical profile of cataract and visual outcome of cataract surgery along with complication profile in eyes with varying degrees of high axial myopia",
        "Setting": "Global prevalence of myopia is on the rise, and according to WHO it is expected to grow from 22% in2000-52%2050affecting people across all ages BlueMountainsEyeStudy and the Beaver Dam Eye Study- association between myopia and cataract Compared to ECCE.SICS, PE has been found safein the treatment of cataract in myopia- some studies have reported a high incidence of RD.Presenting cohort of patientsofhigh myopia to understand the effect of axial length on cataract type and complicationswith Sx",
        "Methods": "Retrospective analysis of 558 eyes of 446 patients undergoing cataract surgery with axial length > 26mm from Jan-Oct2023 at a tertiary eye care institute were included. Three groups(Group A- 26 mm to >/= 28mm, Group B- >28mm to >/= 30mm, Group C- >30 mm). Baseline characteristics (age, gender along with clinical profile such as type and Catraact grade) noted. Presenting BCVA, refraction, axial length, keratometry, lens thickness, anterior chamber depth was noted. Preexisting ocular pathologies or history of surgeries were noted. Those eyes with no known ocular interventionincluded in outcome analysis.type of cataract surgery, intraandpostoperative complications/intervention final BCVA at last followup compared across groups and analyzed.",
        "Results": "Mean age-48.9y(253 M193 F).Bilateral in 113 patients. Nuclear cataract-371(66.48 %) and PSC -70 (30.46%). Pre-existing glaucoma-11 eyesretinal pathologies-86 eyes428 eyes included in outcome analysis.Mean age-GpA(50.8 ±16.1y) \\GpB(47.4 ±15.6y) and GpC(46.1 ±12.6y).Mean postopBCVA-0.66 logMAR (GpA 0.62 logMAR,GpB 0.67 logMARGpC 0.74 logMAR BCVA) at last follow up. Univariate logistic regression analysis-no significant association of intraoperative complicationsin any group.Gp B-OR of 1.33 (95% CI 0.53–3.16 p = 0.528),GpC-OR of 1.69 (95% CI0.76–3.78 p = 0.195) for intraopcomplications logistic regression analysis evaluating secondary intervention-lower odds of requiring secondary intervention compared to GpA (OR0.55 95% CI0.29–0.97 p =0.045).",
        "Conclusions": "Patients with eyes with higher axial myopia tend to be younger. Cataract in these eyes is more commonly of nuclear variety. Cataract surgery in these eyes is not significantly associated with intraoperative or post-operative complications. These eyes achieve poorer best corrected visual acuity but do not need secondary intervention in most cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with eyes with higher axial myopia tend to be younger. Cataract in these eyes is more commonly of nuclear variety. Cataract surgery in these eyes is not significantly associated with intraoperative or post-operative complications. These eyes achieve poorer best corrected visual acuity but do not need secondary intervention in most cases.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 127,
      "source_fields": {
        "Abstract Final Identifier": "FP09.06",
        "Title": "To Study The Clinical Profile Of Cataract And Visual Outcome Of Cataract Surgery Along With Complication Profile In Eyes With Varying Degrees Of High Axial Myopia",
        "Presenting Author(s)": "Dr Mazila Amin",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Mazila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Amin",
        "Country Name": "India",
        "Purpose": "To study the clinical profile of cataract and visual outcome of cataract surgery along with complication profile in eyes with varying degrees of high axial myopia",
        "Setting": "Global prevalence of myopia is on the rise, and according to WHO it is expected to grow from 22% in2000-52%2050affecting people across all ages BlueMountainsEyeStudy and the Beaver Dam Eye Study- association between myopia and cataract Compared to ECCE.SICS, PE has been found safein the treatment of cataract in myopia- some studies have reported a high incidence of RD.Presenting cohort of patientsofhigh myopia to understand the effect of axial length on cataract type and complicationswith Sx",
        "Methods": "Retrospective analysis of 558 eyes of 446 patients undergoing cataract surgery with axial length > 26mm from Jan-Oct2023 at a tertiary eye care institute were included. Three groups(Group A- 26 mm to >/= 28mm, Group B- >28mm to >/= 30mm, Group C- >30 mm). Baseline characteristics (age, gender along with clinical profile such as type and Catraact grade) noted. Presenting BCVA, refraction, axial length, keratometry, lens thickness, anterior chamber depth was noted. Preexisting ocular pathologies or history of surgeries were noted. Those eyes with no known ocular interventionincluded in outcome analysis.type of cataract surgery, intraandpostoperative complications/intervention final BCVA at last followup compared across groups and analyzed.",
        "Results": "Mean age-48.9y(253 M193 F).Bilateral in 113 patients. Nuclear cataract-371(66.48 %) and PSC -70 (30.46%). Pre-existing glaucoma-11 eyesretinal pathologies-86 eyes428 eyes included in outcome analysis.Mean age-GpA(50.8 ±16.1y) \\GpB(47.4 ±15.6y) and GpC(46.1 ±12.6y).Mean postopBCVA-0.66 logMAR (GpA 0.62 logMAR,GpB 0.67 logMARGpC 0.74 logMAR BCVA) at last follow up. Univariate logistic regression analysis-no significant association of intraoperative complicationsin any group.Gp B-OR of 1.33 (95% CI 0.53–3.16 p = 0.528),GpC-OR of 1.69 (95% CI0.76–3.78 p = 0.195) for intraopcomplications logistic regression analysis evaluating secondary intervention-lower odds of requiring secondary intervention compared to GpA (OR0.55 95% CI0.29–0.97 p =0.045).",
        "Conclusions": "Patients with eyes with higher axial myopia tend to be younger. Cataract in these eyes is more commonly of nuclear variety. Cataract surgery in these eyes is not significantly associated with intraoperative or post-operative complications. These eyes achieve poorer best corrected visual acuity but do not need secondary intervention in most cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 392
    },
    {
      "uid": "FP09.07",
      "abstract_number": "FP09.07",
      "title": "Combined Impact Of Age, Pseudoexfoliation, And Alpha-1 Blocker Use On Intraoperative Complications In Small-Pupil Cataract Surgery",
      "authors": "Dr Selahattin Emirhan Kanık",
      "presenter": "Dr Selahattin Emirhan Kanık",
      "normalized_authors": [
        "Selahattin Emirhan Kanık"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sevgi Tongal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the impact of age, pseudoexfoliation (PEX), and benign prostatic hyperplasia treated with α₁-adrenergic blockers (BPH) on intraoperative complications in small-pupil cataract surgery.",
        "Setting": "Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey.",
        "Methods": "This retrospective clinical study included 129 small-pupil cases identified among 4,594 cataract surgeries performed between January and December 2024. Small pupil was defined as inadequate pharmacologic dilation despite a standard mydriatic protocol. Demographic, systemic, and ocular data including age, PEX, BPH and surgical parameters were analyzed. Intraoperative complications (posterior capsule rupture, intraoperative floppy iris syndrome (IFIS), nucleus drop, zonular dialysis) were recorded. Statistical analyses included chi-square, ROC curve, and multivariate logistic regression.",
        "Results": "Small pupil incidence was 2.8%. Intraoperative complications occurred in 13 cases (10.1%): IFIS in 9 (7.0%), posterior capsule rupture in 2 (1.6%), total zonular dialysis in 1 (0.8%), and nucleus drop in 1 (0.8%). ROC analysis identified 70 years as the optimal cutoff (AUC = 0.751). All complications were observed in patients aged ≥70 years (p = 0.001). Complication rates were significantly higher in patients with PEX (18.5% vs 4.0%, p = 0.015) and BPH (26.1% vs 6.6%, p = 0.012). A stepwise increase was observed: 1.6% in patients without PEX or BPH, 14.0% with PEX alone, 16.7% with BPH alone, and 36.4% in patients with both (OR = 6.9; p = 0.014). In multivariate analysis, BPH was identified as an independent predictor (OR = 4.9; p = 0.023).",
        "Conclusions": "In small-pupil cataract surgery, age ≥70 years, PEX, and α₁-blocker use each increase the risk of intraoperative complications. The coexistence of PEX and BPH synergistically amplifies this risk nearly sevenfold. Preoperative identification of these factors and early use of mechanical pupil expansion techniques may significantly enhance surgical safety by reducing the impact of combined zonular and iris instability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In small-pupil cataract surgery, age ≥70 years, PEX, and α₁-blocker use each increase the risk of intraoperative complications. The coexistence of PEX and BPH synergistically amplifies this risk nearly sevenfold. Preoperative identification of these factors and early use of mechanical pupil expansion techniques may significantly enhance surgical safety by reducing the impact of combined zonular and iris instability.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 128,
      "source_fields": {
        "Abstract Final Identifier": "FP09.07",
        "Title": "Combined Impact Of Age, Pseudoexfoliation, And Alpha-1 Blocker Use On Intraoperative Complications In Small-Pupil Cataract Surgery",
        "Presenting Author(s)": "Dr Selahattin Emirhan Kanık",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sevgi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tongal",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the impact of age, pseudoexfoliation (PEX), and benign prostatic hyperplasia treated with α₁-adrenergic blockers (BPH) on intraoperative complications in small-pupil cataract surgery.",
        "Setting": "Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey.",
        "Methods": "This retrospective clinical study included 129 small-pupil cases identified among 4,594 cataract surgeries performed between January and December 2024. Small pupil was defined as inadequate pharmacologic dilation despite a standard mydriatic protocol. Demographic, systemic, and ocular data including age, PEX, BPH and surgical parameters were analyzed. Intraoperative complications (posterior capsule rupture, intraoperative floppy iris syndrome (IFIS), nucleus drop, zonular dialysis) were recorded. Statistical analyses included chi-square, ROC curve, and multivariate logistic regression.",
        "Results": "Small pupil incidence was 2.8%. Intraoperative complications occurred in 13 cases (10.1%): IFIS in 9 (7.0%), posterior capsule rupture in 2 (1.6%), total zonular dialysis in 1 (0.8%), and nucleus drop in 1 (0.8%). ROC analysis identified 70 years as the optimal cutoff (AUC = 0.751). All complications were observed in patients aged ≥70 years (p = 0.001). Complication rates were significantly higher in patients with PEX (18.5% vs 4.0%, p = 0.015) and BPH (26.1% vs 6.6%, p = 0.012). A stepwise increase was observed: 1.6% in patients without PEX or BPH, 14.0% with PEX alone, 16.7% with BPH alone, and 36.4% in patients with both (OR = 6.9; p = 0.014). In multivariate analysis, BPH was identified as an independent predictor (OR = 4.9; p = 0.023).",
        "Conclusions": "In small-pupil cataract surgery, age ≥70 years, PEX, and α₁-blocker use each increase the risk of intraoperative complications. The coexistence of PEX and BPH synergistically amplifies this risk nearly sevenfold. Preoperative identification of these factors and early use of mechanical pupil expansion techniques may significantly enhance surgical safety by reducing the impact of combined zonular and iris instability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP09.08",
      "abstract_number": "FP09.08",
      "title": "Prevalence And Clinical Risk Factors Of Intraoperative Floppy Iris Syndrome In Women: A Prospective Study",
      "authors": "Dr Irem Onal",
      "presenter": "Dr Irem Onal",
      "normalized_authors": [
        "Irem Onal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Irem Onal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the risk factors for intraoperative floppy iris syndrome (IFIS) in female patients undergoing cataract surgery",
        "Setting": "A prospective single-center study performed at a tertiary ophthalmology clinic, including female patients who underwent unilateral cataract surgery",
        "Methods": "This study included 704 female patients undergoing cataract surgery. IFIS was defined intraoperatively. Preoperative systemic comorbidities (diabetes mellitus, hypertension, and thyroid disorders), prior surgical history (ocular, cardiovascular, abdominal, and gynecological), medication use, trauma history, urinary incontinence, and glaucoma were recorded. Ocular parameters, including pupillography, anterior chamber depth (ACD), and iris color, were evaluated. Univariable and multivariable logistic regression analyses were performed to identify independent predictors. A parsimonious model was used as the primary analysis, and an expanded model as the secondary analysis. Postoperative outcomes were compared between IFIS and non-IFIS groups.",
        "Results": "IFIS developed in 37 eyes (5.3%). In univariable analysis, a history of gynecologic surgery was significantly associated with IFIS (OR 2.71; p=0.005). Light-colored iris showed borderline associations (p=0.063). In the primary multivariable model, gynecologic surgery (OR 2.92; 95% CI 1.45–5.88; p=0.003) and increasing age (OR 1.04 per year; 95% CI 1.00–1.08; p=0.034) were independently associated with IFIS. In the expanded model, gynecologic surgery remained strongly associated (OR 3.64; p=0.001), and age remained significant (p=0.023). Other systemic diseases, medications, pupil diameter, and ACD were not independently associated. IFIS was significantly associated with an increased intraoperative suture requirement (p<0.001).",
        "Conclusions": "In this prospective cohort of female patients, a history of gynecologic surgery was independently associated with an approximately threefold increased risk of IFIS. These findings suggest that prior gynecologic surgery may represent an underrecognized risk factor for IFIS in women undergoing cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this prospective cohort of female patients, a history of gynecologic surgery was independently associated with an approximately threefold increased risk of IFIS. These findings suggest that prior gynecologic surgery may represent an underrecognized risk factor for IFIS in women undergoing cataract surgery.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 129,
      "source_fields": {
        "Abstract Final Identifier": "FP09.08",
        "Title": "Prevalence And Clinical Risk Factors Of Intraoperative Floppy Iris Syndrome In Women: A Prospective Study",
        "Presenting Author(s)": "Dr Irem Onal",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Irem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Onal",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the risk factors for intraoperative floppy iris syndrome (IFIS) in female patients undergoing cataract surgery",
        "Setting": "A prospective single-center study performed at a tertiary ophthalmology clinic, including female patients who underwent unilateral cataract surgery",
        "Methods": "This study included 704 female patients undergoing cataract surgery. IFIS was defined intraoperatively. Preoperative systemic comorbidities (diabetes mellitus, hypertension, and thyroid disorders), prior surgical history (ocular, cardiovascular, abdominal, and gynecological), medication use, trauma history, urinary incontinence, and glaucoma were recorded. Ocular parameters, including pupillography, anterior chamber depth (ACD), and iris color, were evaluated. Univariable and multivariable logistic regression analyses were performed to identify independent predictors. A parsimonious model was used as the primary analysis, and an expanded model as the secondary analysis. Postoperative outcomes were compared between IFIS and non-IFIS groups.",
        "Results": "IFIS developed in 37 eyes (5.3%). In univariable analysis, a history of gynecologic surgery was significantly associated with IFIS (OR 2.71; p=0.005). Light-colored iris showed borderline associations (p=0.063). In the primary multivariable model, gynecologic surgery (OR 2.92; 95% CI 1.45–5.88; p=0.003) and increasing age (OR 1.04 per year; 95% CI 1.00–1.08; p=0.034) were independently associated with IFIS. In the expanded model, gynecologic surgery remained strongly associated (OR 3.64; p=0.001), and age remained significant (p=0.023). Other systemic diseases, medications, pupil diameter, and ACD were not independently associated. IFIS was significantly associated with an increased intraoperative suture requirement (p<0.001).",
        "Conclusions": "In this prospective cohort of female patients, a history of gynecologic surgery was independently associated with an approximately threefold increased risk of IFIS. These findings suggest that prior gynecologic surgery may represent an underrecognized risk factor for IFIS in women undergoing cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "FP09.09",
      "abstract_number": "FP09.09",
      "title": "Identifying Risk Factors For Non-Attendance And Its Impact On Visual Outcomes In Cataract Clinic Patients",
      "authors": "Mr Roque Xavier Antonio De Monte Furtado",
      "presenter": "Mr Roque Xavier Antonio De Monte Furtado",
      "normalized_authors": [
        "Roque Xavier Antonio De Monte Furtado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roque Xavier Antonio De Monte Furtado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "We aim to evaluate the clinical and demographic predictors of patients who \"Did Not Attend\" (DNA) appointments within our dedicated cataract service. This study quantifies the disparity in visual acuity (VA) and intraocular pressure (IOP) between attendees and non-attendees. By evaluating patients’ age, ethnicity, and distance from our site, we aim to identify high-risk individuals. This will aid us in creating targeted outreach strategies, optimising surgical scheduling and mitigating the risk of avoidable vision loss in cataract patients.",
        "Setting": "Our study was conducted within the Department of Ophthalmology at King’s College Hospital, London. Our centre is a high-volume tertiary referral centre and a major teaching hospital that serves a diverse population in South East London. We provide a comprehensive cataract service, managing both routine age-related cases and complex referrals, including traumatic and secondary cataracts.",
        "Methods": "A retrospective analysis of 3,228 cataract clinic appointments was performed. To ensure comparable group sizes for statistical robustness, data was collected from a 24-month cohort of patients who \"Did Not Attend\" (n=1,472) and compared against a 6-month cohort of attendees (n=1,756). Clinical markers included mean LogMAR VA and IOP. Demographic data, including age, ethnicity, and distance from the hospital were cross-referenced with our EHR records. Statistical analysis utilised Welch’s Independent Samples T-tests for continuous data and Chi-Square tests for categorical variables. Odds Ratios (OR) were calculated to assess age-related non-attendance risk.",
        "Results": "Patients in the DNA group exhibited significantly worse visual acuity (0.36 vs 0.31 LogMAR; p < 0.001) and higher mean IOP (13.75 ± 6.07 vs 13.24 ± 4.45 mmHg; p < 0.001) than those who attended. The 19–30 age group demonstrated the highest DNA rate (66.7%, OR 2.53 vs 61–75 group; p = 0.012). Geographical analysis revealed a \"proximity paradox\": patients living within 2 miles had a significantly higher DNA rate (50.9%) than those travelling over 10 miles (38.5%; p = 0.033). Ethnicity played a role in the younger cohort, where both \"Other” and “Not Stated\" groups had a 100% DNA rate (p < 0.001). These findings suggest that younger, local patients are most likely to miss critical pre- or post-operative assessments.",
        "Conclusions": "Non-attendance in cataract clinics is associated with poorer visual metrics, potentially complicating surgical outcomes and timing. The higher DNA rate among local residents suggests that proximity may decrease the perceived \"cost\" of missing an appointment, leading to reduced compliance. Furthermore, the high non-attendance in the 19–30 age group, often those with traumatic or developmental cataracts, highlights a vulnerable demographic. Targeted interventions, such as localised digital outreach, are required to ensure timely surgical intervention and reduce the burden of avoidable visual impairment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Non-attendance in cataract clinics is associated with poorer visual metrics, potentially complicating surgical outcomes and timing. The higher DNA rate among local residents suggests that proximity may decrease the perceived \"cost\" of missing an appointment, leading to reduced compliance. Furthermore, the high non-attendance in the 19–30 age group, often those with traumatic or developmental cataracts, highlights a…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 130,
      "source_fields": {
        "Abstract Final Identifier": "FP09.09",
        "Title": "Identifying Risk Factors For Non-Attendance And Its Impact On Visual Outcomes In Cataract Clinic Patients",
        "Presenting Author(s)": "Mr Roque Xavier Antonio De Monte Furtado",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Roque",
        "Submitter Middle Name": "Xavier Antonio",
        "Submitter Last Name": "De Monte Furtado",
        "Country Name": "United Kingdom",
        "Purpose": "We aim to evaluate the clinical and demographic predictors of patients who \"Did Not Attend\" (DNA) appointments within our dedicated cataract service. This study quantifies the disparity in visual acuity (VA) and intraocular pressure (IOP) between attendees and non-attendees. By evaluating patients’ age, ethnicity, and distance from our site, we aim to identify high-risk individuals. This will aid us in creating targeted outreach strategies, optimising surgical scheduling and mitigating the risk of avoidable vision loss in cataract patients.",
        "Setting": "Our study was conducted within the Department of Ophthalmology at King’s College Hospital, London. Our centre is a high-volume tertiary referral centre and a major teaching hospital that serves a diverse population in South East London. We provide a comprehensive cataract service, managing both routine age-related cases and complex referrals, including traumatic and secondary cataracts.",
        "Methods": "A retrospective analysis of 3,228 cataract clinic appointments was performed. To ensure comparable group sizes for statistical robustness, data was collected from a 24-month cohort of patients who \"Did Not Attend\" (n=1,472) and compared against a 6-month cohort of attendees (n=1,756). Clinical markers included mean LogMAR VA and IOP. Demographic data, including age, ethnicity, and distance from the hospital were cross-referenced with our EHR records. Statistical analysis utilised Welch’s Independent Samples T-tests for continuous data and Chi-Square tests for categorical variables. Odds Ratios (OR) were calculated to assess age-related non-attendance risk.",
        "Results": "Patients in the DNA group exhibited significantly worse visual acuity (0.36 vs 0.31 LogMAR; p < 0.001) and higher mean IOP (13.75 ± 6.07 vs 13.24 ± 4.45 mmHg; p < 0.001) than those who attended. The 19–30 age group demonstrated the highest DNA rate (66.7%, OR 2.53 vs 61–75 group; p = 0.012). Geographical analysis revealed a \"proximity paradox\": patients living within 2 miles had a significantly higher DNA rate (50.9%) than those travelling over 10 miles (38.5%; p = 0.033). Ethnicity played a role in the younger cohort, where both \"Other” and “Not Stated\" groups had a 100% DNA rate (p < 0.001). These findings suggest that younger, local patients are most likely to miss critical pre- or post-operative assessments.",
        "Conclusions": "Non-attendance in cataract clinics is associated with poorer visual metrics, potentially complicating surgical outcomes and timing. The higher DNA rate among local residents suggests that proximity may decrease the perceived \"cost\" of missing an appointment, leading to reduced compliance. Furthermore, the high non-attendance in the 19–30 age group, often those with traumatic or developmental cataracts, highlights a vulnerable demographic. Targeted interventions, such as localised digital outreach, are required to ensure timely surgical intervention and reduce the burden of avoidable visual impairment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 443
    },
    {
      "uid": "FP09.10",
      "abstract_number": "FP09.10",
      "title": "Efficacy And Safety Of 7,146 High-Volume Phacoemulsification Surgeries In A Cataract Campaign In The Brazilian Amazon: Outcomes Comparable To International Benchmarks",
      "authors": "Dr. Junia Kiill Benetti",
      "presenter": "Dr. Junia Kiill Benetti",
      "normalized_authors": [
        "Junia Kiill Benetti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rafaela Seraphim Frare",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of a high-volume cataract campaign comprising 7,146 consecutive phacoemulsification procedures performed in Rondônia, Brazilian Amazon, and to compare intraoperative complication rates with national and international benchmarks. The study investigates whether structured campaigns conducted with advanced surgical technology, standardized safety protocols, and experienced surgeons can achieve outcomes comparable to high-performance global centers, even in geographically remote and socioeconomically vulnerable populations.",
        "Setting": "High-volume cataract surgical campaign conducted in Rondônia, Northern Brazil, between June 2025 and February 2026. Procedures were performed in a structured campaign environment by three experienced cataract surgeons using standardized surgical protocols, modern phacoemulsification platforms, strict sterilization control, and organized postoperative follow-up in a resource-limited regional setting.",
        "Methods": "Retrospective descriptive study of 7,146 consecutive phacoemulsification procedures performed during a public health campaign. Patient screening and preoperative triage were conducted in partnership with the Saúde Link team. Surgeries were performed using advanced phacoemulsification systems under rigorous sterilization monitoring, including biological and chemical indicators and individualized surgical kits. Postoperative care followed a standardized protocol with scheduled follow-up at day 1, 7, and 30. Scientific review and case analysis were conducted by residents of the Institute Benetti de Oftalmologia.",
        "Results": "Among 7,146 procedures, 93 intraoperative complications were recorded (1.30%). Posterior capsule rupture occurred in 72 cases and zonular dialysis in 14 cases, all managed intraoperatively with appropriate techniques. Five patients required extended management: one corneal decompensation, one fungal infection diagnosed one month postoperatively, and three retained nuclear fragments treated with pars plana vitrectomy. No cases of endophthalmitis were observed (0%). The overall complication rate is consistent with outcomes reported by high-volume international centers.",
        "Conclusions": "This large-scale cataract campaign demonstrates that high-volume surgery performed in geographically challenging and socioeconomically vulnerable regions can achieve complication rates comparable to international centers of excellence when conducted by experienced surgeons using advanced technology and strict safety protocols. Structured public health initiatives supported by standardized perioperative management, systematic quality control, and academic involvement can safely expand access to cataract surgery while maintaining global surgical standards."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This large-scale cataract campaign demonstrates that high-volume surgery performed in geographically challenging and socioeconomically vulnerable regions can achieve complication rates comparable to international centers of excellence when conducted by experienced surgeons using advanced technology and strict safety protocols. Structured public health initiatives supported by standardized perioperative management,…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 131,
      "source_fields": {
        "Abstract Final Identifier": "FP09.10",
        "Title": "Efficacy And Safety Of 7,146 High-Volume Phacoemulsification Surgeries In A Cataract Campaign In The Brazilian Amazon: Outcomes Comparable To International Benchmarks",
        "Presenting Author(s)": "Dr. Junia Kiill Benetti",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Rafaela",
        "Submitter Middle Name": "Seraphim",
        "Submitter Last Name": "Frare",
        "Country Name": "Brazil",
        "Purpose": "To evaluate the efficacy and safety of a high-volume cataract campaign comprising 7,146 consecutive phacoemulsification procedures performed in Rondônia, Brazilian Amazon, and to compare intraoperative complication rates with national and international benchmarks. The study investigates whether structured campaigns conducted with advanced surgical technology, standardized safety protocols, and experienced surgeons can achieve outcomes comparable to high-performance global centers, even in geographically remote and socioeconomically vulnerable populations.",
        "Setting": "High-volume cataract surgical campaign conducted in Rondônia, Northern Brazil, between June 2025 and February 2026. Procedures were performed in a structured campaign environment by three experienced cataract surgeons using standardized surgical protocols, modern phacoemulsification platforms, strict sterilization control, and organized postoperative follow-up in a resource-limited regional setting.",
        "Methods": "Retrospective descriptive study of 7,146 consecutive phacoemulsification procedures performed during a public health campaign. Patient screening and preoperative triage were conducted in partnership with the Saúde Link team. Surgeries were performed using advanced phacoemulsification systems under rigorous sterilization monitoring, including biological and chemical indicators and individualized surgical kits. Postoperative care followed a standardized protocol with scheduled follow-up at day 1, 7, and 30. Scientific review and case analysis were conducted by residents of the Institute Benetti de Oftalmologia.",
        "Results": "Among 7,146 procedures, 93 intraoperative complications were recorded (1.30%). Posterior capsule rupture occurred in 72 cases and zonular dialysis in 14 cases, all managed intraoperatively with appropriate techniques. Five patients required extended management: one corneal decompensation, one fungal infection diagnosed one month postoperatively, and three retained nuclear fragments treated with pars plana vitrectomy. No cases of endophthalmitis were observed (0%). The overall complication rate is consistent with outcomes reported by high-volume international centers.",
        "Conclusions": "This large-scale cataract campaign demonstrates that high-volume surgery performed in geographically challenging and socioeconomically vulnerable regions can achieve complication rates comparable to international centers of excellence when conducted by experienced surgeons using advanced technology and strict safety protocols. Structured public health initiatives supported by standardized perioperative management, systematic quality control, and academic involvement can safely expand access to cataract surgery while maintaining global surgical standards."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "FP09.11",
      "abstract_number": "FP09.11",
      "title": "Early Intra Ocular Pressure Spikes After Uneventful Phacoemulsification: Incidence And Risk Factors",
      "authors": "Dr Reena Manchanda Choudhry",
      "presenter": "Dr Reena Manchanda Choudhry",
      "normalized_authors": [
        "Reena Manchanda Choudhry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Reena Manchanda Choudhry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the incidence of early postoperative intraocular pressure ( IOP) elevation following uneventful phacoemulsification and to identify preoperative and intraoperative risk factors associated with early IOP spikes.",
        "Setting": "Tertiary Care Ophthalmology Institute",
        "Methods": "A retrospective analysis was performed on consecutive patients who underwent uneventful phacoemulsification with intraocular lens implantation by a single surgeon. Patients with intraocular complications were excluded. Preoperative data included age, baseline IOP, axial length, presence of glaucoma, and pseudoexfoliation syndrome. Intraoperative variables included phacoemulsification time, cumulative dissipated energy ( CDE), and type of ophthalmic viscoelstic device (OVD) used. Postoperatively IOP was measured on day 1 and 1 week. An early IOP spike was defined as IOP >=25mmHg on first operative day. Multivariate regression analysis was performed to identify risk factors associated with early IOP elevation.",
        "Results": "A total of 518 eyes of 480 patients were included in the study. The mean preoperative IOP was 16.9+_3.2 mmHg. Early postoperative IOP spikes occured in 38 eyes ( 7.33%) on postoperative day 1. Eyes with pre-existing glaucoma demonstrated a significantly higher incidence of IOP elevation compared with non-glaucomatous eyes ( 14.4% vs 6.3%). Pseudoexfoliation syndrome was also associated with increased risk of early IOP spike (p<0.05). Increased CDE and longer phaco time were also associated with higher risk of early postoperative IOP elevation. Sodium hyaluronate (OVD) use was associated with least risk of IOP spike . By 1 week, IOP returned to near baseline levels in 95% of the eyes with short-term topical anti-glaucoma medication.",
        "Conclusions": "Early postoperative IOP elevation following phacoemulsification can occur after unevenful cataract surgery but is usually transient. Patients with preexisting glaucoma , pseudoexfoliation or prolonged surgery are at greater risk. Use of Sodium hyaluronate OVD is associated with lower risk of IOP spike. It is important to identify eyes at risk of possible IOP spike preoperatively and ensure meticulous surgery with use of sodium hyauronate OVD and measure IOP in all patients postoperatively to identify the IOP spike and treat it appropriately."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early postoperative IOP elevation following phacoemulsification can occur after unevenful cataract surgery but is usually transient. Patients with preexisting glaucoma , pseudoexfoliation or prolonged surgery are at greater risk. Use of Sodium hyaluronate OVD is associated with lower risk of IOP spike. It is important to identify eyes at risk of possible IOP spike preoperatively and ensure meticulous surgery with…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 132,
      "source_fields": {
        "Abstract Final Identifier": "FP09.11",
        "Title": "Early Intra Ocular Pressure Spikes After Uneventful Phacoemulsification: Incidence And Risk Factors",
        "Presenting Author(s)": "Dr Reena Manchanda Choudhry",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Reena",
        "Submitter Middle Name": "Manchanda",
        "Submitter Last Name": "Choudhry",
        "Country Name": "India",
        "Purpose": "To evaluate the incidence of early postoperative intraocular pressure ( IOP) elevation following uneventful phacoemulsification and to identify preoperative and intraoperative risk factors associated with early IOP spikes.",
        "Setting": "Tertiary Care Ophthalmology Institute",
        "Methods": "A retrospective analysis was performed on consecutive patients who underwent uneventful phacoemulsification with intraocular lens implantation by a single surgeon. Patients with intraocular complications were excluded. Preoperative data included age, baseline IOP, axial length, presence of glaucoma, and pseudoexfoliation syndrome. Intraoperative variables included phacoemulsification time, cumulative dissipated energy ( CDE), and type of ophthalmic viscoelstic device (OVD) used. Postoperatively IOP was measured on day 1 and 1 week. An early IOP spike was defined as IOP >=25mmHg on first operative day. Multivariate regression analysis was performed to identify risk factors associated with early IOP elevation.",
        "Results": "A total of 518 eyes of 480 patients were included in the study. The mean preoperative IOP was 16.9+_3.2 mmHg. Early postoperative IOP spikes occured in 38 eyes ( 7.33%) on postoperative day 1. Eyes with pre-existing glaucoma demonstrated a significantly higher incidence of IOP elevation compared with non-glaucomatous eyes ( 14.4% vs 6.3%). Pseudoexfoliation syndrome was also associated with increased risk of early IOP spike (p<0.05). Increased CDE and longer phaco time were also associated with higher risk of early postoperative IOP elevation. Sodium hyaluronate (OVD) use was associated with least risk of IOP spike . By 1 week, IOP returned to near baseline levels in 95% of the eyes with short-term topical anti-glaucoma medication.",
        "Conclusions": "Early postoperative IOP elevation following phacoemulsification can occur after unevenful cataract surgery but is usually transient. Patients with preexisting glaucoma , pseudoexfoliation or prolonged surgery are at greater risk. Use of Sodium hyaluronate OVD is associated with lower risk of IOP spike. It is important to identify eyes at risk of possible IOP spike preoperatively and ensure meticulous surgery with use of sodium hyauronate OVD and measure IOP in all patients postoperatively to identify the IOP spike and treat it appropriately."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "FP09.12",
      "abstract_number": "FP09.12",
      "title": "The Australian Training Experience: Posterior Capsule Tear Rates And Visual Outcomes In Consultant Vs. Registrar Cataract Surgery",
      "authors": "Dr Sarmad Akkach",
      "presenter": "Dr Sarmad Akkach",
      "normalized_authors": [
        "Sarmad Akkach"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sarmad Akkach",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "New Zealand",
      "sections": {
        "Purpose": "To describe the posterior capsule (PC) tear rates and visual outcomes after phacoemulsification, analyze risk factors contributing to PC tears, and compare results of consultants and registrars.",
        "Setting": "Department of Ophthalmology, The Alfred Hospital, Melbourne, Australia. An Australian university-attached quaternary referral centre.",
        "Methods": "Retrospective study of consecutive patients who underwent phacoemulsification over a 10-year period at The Alfred, Melbourne, Australia. All cases with PC tears were identified and included in the study. Patients with insufficient follow-up data were excluded. Demographic data, risk factors, complications, and visual outcomes were recorded. PC tear rates of consultants and registrars were also compared.",
        "Results": "There were 130 PC tears in 12, 746 phacoemulsification cases (rate 1.02%). The incidence rates for consultants and registrars were 1.3% and 0.9%, respectively. Key risk factors for PC tear were age >65 years old and presence of dense cataract. Ruptures most frequently occurred in phacoemulsification (26.7%) and irrigation and aspiration (26.7%) stages of surgery. The incidence of vitreous loss necessitating anterior vitrectomy was 0.71%. BCVA of 6/12 or better post-operatively was achieved by 68.8% of patients.",
        "Conclusions": "The rate of PC tears (1.02%) was equal to or lower than the majority of other published studies (1.0% - 3.5%). Registrars had a slightly lower rate of PC tears compared to that of consultants. This may be a result of consultants being allocated more complex cases. The BCVA of 6/12 or better (68.8%) was worse than that of other published studies (89% - 98%). PC tears remain an important complication of phacoemulsification and may confer sub-optimal visual outcomes. Key risk factors, such as, age >65 years old and presence of dense cataract should be considered in preoperative planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The rate of PC tears (1.02%) was equal to or lower than the majority of other published studies (1.0% - 3.5%). Registrars had a slightly lower rate of PC tears compared to that of consultants. This may be a result of consultants being allocated more complex cases. The BCVA of 6/12 or better (68.8%) was worse than that of other published studies (89% - 98%). PC tears remain an important complication of…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 133,
      "source_fields": {
        "Abstract Final Identifier": "FP09.12",
        "Title": "The Australian Training Experience: Posterior Capsule Tear Rates And Visual Outcomes In Consultant Vs. Registrar Cataract Surgery",
        "Presenting Author(s)": "Dr Sarmad Akkach",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sarmad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akkach",
        "Country Name": "New Zealand",
        "Purpose": "To describe the posterior capsule (PC) tear rates and visual outcomes after phacoemulsification, analyze risk factors contributing to PC tears, and compare results of consultants and registrars.",
        "Setting": "Department of Ophthalmology, The Alfred Hospital, Melbourne, Australia. An Australian university-attached quaternary referral centre.",
        "Methods": "Retrospective study of consecutive patients who underwent phacoemulsification over a 10-year period at The Alfred, Melbourne, Australia. All cases with PC tears were identified and included in the study. Patients with insufficient follow-up data were excluded. Demographic data, risk factors, complications, and visual outcomes were recorded. PC tear rates of consultants and registrars were also compared.",
        "Results": "There were 130 PC tears in 12, 746 phacoemulsification cases (rate 1.02%). The incidence rates for consultants and registrars were 1.3% and 0.9%, respectively. Key risk factors for PC tear were age >65 years old and presence of dense cataract. Ruptures most frequently occurred in phacoemulsification (26.7%) and irrigation and aspiration (26.7%) stages of surgery. The incidence of vitreous loss necessitating anterior vitrectomy was 0.71%. BCVA of 6/12 or better post-operatively was achieved by 68.8% of patients.",
        "Conclusions": "The rate of PC tears (1.02%) was equal to or lower than the majority of other published studies (1.0% - 3.5%). Registrars had a slightly lower rate of PC tears compared to that of consultants. This may be a result of consultants being allocated more complex cases. The BCVA of 6/12 or better (68.8%) was worse than that of other published studies (89% - 98%). PC tears remain an important complication of phacoemulsification and may confer sub-optimal visual outcomes. Key risk factors, such as, age >65 years old and presence of dense cataract should be considered in preoperative planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "FP09.13",
      "abstract_number": "FP09.13",
      "title": "Time Of Day Is Not A Risk Factor - A Temporal Analysis Of Cataract Surgery Complications",
      "authors": "William Newman",
      "presenter": "William Newman",
      "normalized_authors": [
        "William Newman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Silvester",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Posterior capsule rupture rate is a known complication of cataract surgery and numerous studies have identified risk factors for its’ incidence including experience of the surgeon and case complexity. Studies have shown in other surgical specialties that surgeon fatigue is associated with an increase in complications. However, only one small study of 1424 patients has specifically investigated cataract surgery and concluded that surgical case order might not affect complication rates of cataract surgery.\n\nThe aim of this study was to determine, using big data, whether operative complications were more likely to occur towards the end of a high volume cataract list.",
        "Setting": "60 cataract surgery centres in the United Kingdom between 01/01/2015 and 01/01/2025",
        "Methods": "Analysis of the electronic medical records (Medisight) of all patients who had a posterior capsule rupture (with or without vitreous loss) between January 2015 and January 2025 at a group of 60 cataract surgery centres. Position on the full day list, experience of the surgeon and complexity of the cases was included as part of the analysis.",
        "Results": "In the10 year period, 750,000 cataract operations were performed of which 4,388 (0.59%) had a posterior capsule rupture. The majority of PCRs (57.91%) occurred in the morning of a full day list with (16.87%) occurring at 11am. However, this was not statistically significant. More experienced surgeons were less likely to have a complication and case complexity was associated with an increased complication rate.",
        "Conclusions": "Whilst other surgical specialities have demonstrated that surgeon fatigue is associated with an increased rate of complications, this big data study has identified that this is not the case in cataract surgery. When performing a full day of cataract surgery, the risk of complication was greater in the morning than the end of the list when the surgeon is more likely to be fatigued. Other risk factors, including cases complexity and experience of the surgeon, are more significant than the timing on the list. Surgeons and service commissioners should be reassured that high volume lists are safe and that higher volume cataract surgery is associated with a lower complication rate."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Whilst other surgical specialities have demonstrated that surgeon fatigue is associated with an increased rate of complications, this big data study has identified that this is not the case in cataract surgery. When performing a full day of cataract surgery, the risk of complication was greater in the morning than the end of the list when the surgeon is more likely to be fatigued. Other risk factors, including…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 134,
      "source_fields": {
        "Abstract Final Identifier": "FP09.13",
        "Title": "Time Of Day Is Not A Risk Factor - A Temporal Analysis Of Cataract Surgery Complications",
        "Presenting Author(s)": "William Newman",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Silvester",
        "Country Name": "United Kingdom",
        "Purpose": "Posterior capsule rupture rate is a known complication of cataract surgery and numerous studies have identified risk factors for its’ incidence including experience of the surgeon and case complexity. Studies have shown in other surgical specialties that surgeon fatigue is associated with an increase in complications. However, only one small study of 1424 patients has specifically investigated cataract surgery and concluded that surgical case order might not affect complication rates of cataract surgery.\n\nThe aim of this study was to determine, using big data, whether operative complications were more likely to occur towards the end of a high volume cataract list.",
        "Setting": "60 cataract surgery centres in the United Kingdom between 01/01/2015 and 01/01/2025",
        "Methods": "Analysis of the electronic medical records (Medisight) of all patients who had a posterior capsule rupture (with or without vitreous loss) between January 2015 and January 2025 at a group of 60 cataract surgery centres. Position on the full day list, experience of the surgeon and complexity of the cases was included as part of the analysis.",
        "Results": "In the10 year period, 750,000 cataract operations were performed of which 4,388 (0.59%) had a posterior capsule rupture. The majority of PCRs (57.91%) occurred in the morning of a full day list with (16.87%) occurring at 11am. However, this was not statistically significant. More experienced surgeons were less likely to have a complication and case complexity was associated with an increased complication rate.",
        "Conclusions": "Whilst other surgical specialities have demonstrated that surgeon fatigue is associated with an increased rate of complications, this big data study has identified that this is not the case in cataract surgery. When performing a full day of cataract surgery, the risk of complication was greater in the morning than the end of the list when the surgeon is more likely to be fatigued. Other risk factors, including cases complexity and experience of the surgeon, are more significant than the timing on the list. Surgeons and service commissioners should be reassured that high volume lists are safe and that higher volume cataract surgery is associated with a lower complication rate."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "FP09.14",
      "abstract_number": "FP09.14",
      "title": "Cigarette Smoking As An Independent Predictor Of Endothelial Cell Loss After Cataract Surgery: A Prospective Cohort Study",
      "authors": "Dr Alessandro Gaeta",
      "presenter": "Dr Alessandro Gaeta",
      "normalized_authors": [
        "Alessandro Gaeta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alessandro Gaeta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Purpose: To evaluate effects of cigarette smoking on corneal endothelial cell density after cataract surgery and whether smoking predicts endothelial loss.\n\nMethods: Prospective cohort study of patients >40 years undergoing phacoemulsification, classified as smokers or non-smokers. ECD was measured preoperatively and at 1 and 3 months. Analyses included t-tests and multivariate regression.\n\nResults: Eighty eyes were analyzed. Smokers had lower baseline ECD (p ≤ 0.004). Postoperative ECD loss was greater in smokers (p < 0.001). Smoking independently predicted endothelial reduction (β = −0.48; p < 0.001).\n\nConclusions: Smoking is associated with endothelial vulnerability after cataract surgery and should be considered in perioperative assessment.",
        "Setting": "This prospective, single-center cohort study was performed at a high-volume tertiary academic ophthalmology center in Italy (University of Modena and Reggio Emilia) between January and December 2024. The institution functions as a referral center for complex anterior segment surgery, with standardized perioperative protocols and procedures performed exclusively by experienced surgeons.",
        "Methods": "This prospective observational cohort study was conducted at University of Modena and Reggio Emilia (Italy) and approved by local Ethics Committee. Patients >40 years with senile cataract were classified as smokers (combusted tobacco users) or non-smokers; vaping/oral tobacco users and those with prior ocular surgery or corneal/systemic disease were excluded. Preoperative and 1- and 3-month assessments included specular microscopy (ECD, CCT, CV, HEX%) and BCVA. Smoking exposure was quantified in pack-years. All surgeries were standardized phacoemulsification performed by two experienced surgeons. Comparisons used t-tests; multivariate regression adjusted for age, sex, and pack-years; effect sizes were calculated with Cohen’s d (p < 0.05).",
        "Results": "Eighty eyes (40 smokers, 40 non-smokers) were analyzed. Baseline age and gender were comparable. Smokers showed lower baseline ECD (2294.8 vs 2523.9 cells/mm²; p = 0.0005) and higher CCT (556.2 vs 538.4 µm; p = 0.004). Postoperative ECD loss was significantly greater in smokers at 1 and 3 months (p < 0.001). Smoking independently predicted endothelial reduction (β = −0.48; p < 0.001) and increased odds of ECD < 2000 cells/mm² and CCT > 550 µm. HEX% was lower and CV% higher in smokers (p < 0.001; Cohen’s d up to 1.96). BCVA improved similarly in both groups. Smoking is an independent risk factor for impaired endothelial recovery after cataract surgery.",
        "Conclusions": "In conclusion, cigarette smoking emerges as a strong, independent risk factor for impaired corneal endothelial recovery following cataract surgery. These findings should encourage a more proactive approach in managing patients with a smoking history, ultimately aiming to optimize surgical outcomes and long-term corneal health."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, cigarette smoking emerges as a strong, independent risk factor for impaired corneal endothelial recovery following cataract surgery. These findings should encourage a more proactive approach in managing patients with a smoking history, ultimately aiming to optimize surgical outcomes and long-term corneal health.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 135,
      "source_fields": {
        "Abstract Final Identifier": "FP09.14",
        "Title": "Cigarette Smoking As An Independent Predictor Of Endothelial Cell Loss After Cataract Surgery: A Prospective Cohort Study",
        "Presenting Author(s)": "Dr Alessandro Gaeta",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Alessandro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gaeta",
        "Country Name": "Italy",
        "Purpose": "Purpose: To evaluate effects of cigarette smoking on corneal endothelial cell density after cataract surgery and whether smoking predicts endothelial loss.\n\nMethods: Prospective cohort study of patients >40 years undergoing phacoemulsification, classified as smokers or non-smokers. ECD was measured preoperatively and at 1 and 3 months. Analyses included t-tests and multivariate regression.\n\nResults: Eighty eyes were analyzed. Smokers had lower baseline ECD (p ≤ 0.004). Postoperative ECD loss was greater in smokers (p < 0.001). Smoking independently predicted endothelial reduction (β = −0.48; p < 0.001).\n\nConclusions: Smoking is associated with endothelial vulnerability after cataract surgery and should be considered in perioperative assessment.",
        "Setting": "This prospective, single-center cohort study was performed at a high-volume tertiary academic ophthalmology center in Italy (University of Modena and Reggio Emilia) between January and December 2024. The institution functions as a referral center for complex anterior segment surgery, with standardized perioperative protocols and procedures performed exclusively by experienced surgeons.",
        "Methods": "This prospective observational cohort study was conducted at University of Modena and Reggio Emilia (Italy) and approved by local Ethics Committee. Patients >40 years with senile cataract were classified as smokers (combusted tobacco users) or non-smokers; vaping/oral tobacco users and those with prior ocular surgery or corneal/systemic disease were excluded. Preoperative and 1- and 3-month assessments included specular microscopy (ECD, CCT, CV, HEX%) and BCVA. Smoking exposure was quantified in pack-years. All surgeries were standardized phacoemulsification performed by two experienced surgeons. Comparisons used t-tests; multivariate regression adjusted for age, sex, and pack-years; effect sizes were calculated with Cohen’s d (p < 0.05).",
        "Results": "Eighty eyes (40 smokers, 40 non-smokers) were analyzed. Baseline age and gender were comparable. Smokers showed lower baseline ECD (2294.8 vs 2523.9 cells/mm²; p = 0.0005) and higher CCT (556.2 vs 538.4 µm; p = 0.004). Postoperative ECD loss was significantly greater in smokers at 1 and 3 months (p < 0.001). Smoking independently predicted endothelial reduction (β = −0.48; p < 0.001) and increased odds of ECD < 2000 cells/mm² and CCT > 550 µm. HEX% was lower and CV% higher in smokers (p < 0.001; Cohen’s d up to 1.96). BCVA improved similarly in both groups. Smoking is an independent risk factor for impaired endothelial recovery after cataract surgery.",
        "Conclusions": "In conclusion, cigarette smoking emerges as a strong, independent risk factor for impaired corneal endothelial recovery following cataract surgery. These findings should encourage a more proactive approach in managing patients with a smoking history, ultimately aiming to optimize surgical outcomes and long-term corneal health."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 417
    },
    {
      "uid": "FP09.15",
      "abstract_number": "FP09.15",
      "title": "Mapping The Preoperative Refractive Profile Of European Cataract Surgery: A Three-Year Real-World Study Of >180,000 Patients",
      "authors": "Mr Alexander Silvester",
      "presenter": "Mr Alexander Silvester",
      "normalized_authors": [
        "Alexander Silvester"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Irene Siso-Fuertes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe and characterize the preoperative refractive profile of patients undergoing cataract surgery within a large European eye care group, analysing preoperative sphere (sph), cylinder (cyl), axis and preoperative spherical equivalent (SEQ) and the age-related differences and temporal trends.",
        "Setting": "Grupo Miranza (Spain), SpaMedica (United Kingdom), OSG (Germany)– all part of the veonet Group.",
        "Methods": "A retrospective multicenter real-world study using veonetVerse , Veonet’s centralized clinical data repository was conducted, including consecutive cataract surgeries (2023–2025). One eye per patient was analyzed; outliers excluded(z-score=4). Collected variables: age, gender, preoperative sph, cyl, axis, SEQ, and implanted IOL power. Sph categories were grouped into: high (≤−6), moderate (−6,−3] and low (−3,−0.50] myopia; emmetropia(−0.50,+0.50); low (+0.75,+2], moderate (+2,+5] and high hyperopia ≥+5.25D. Cyl was grouped into: low(0.25–1.5), moderate(1.5–3), high(>3). Comparisons used ANOVA, χ² tests (significance p<0.05) and risk ratios; linear regression assessed sphere–IOL power association. Data was stratified by age, year and IOL type",
        "Results": "188,295 were eyes analyzed. Hyperopia prevailed (52%), followed by myopia (34%) and emmetropia (14%). SEQ clustered centrally: 24% between +0.50 and +2D; 81% between −2 and +3.50D. High myopia and high hyperopia represented 8%. Sph correlated inversely with IOL power (slope=0.8). Refractive distribution varied by age (p<0.001). Patients ≥80y were twice as likely hyperopic and half as likely myopic vs 40–49y, who were 9x more likely high myopic. Low, moderate and high astigmatism occurred in 60%, 30% and 3%. No differences found across years or countries despite healthcare delivery models (Cramér’s V=0.01–0.04). IOL choice weakly linked to refraction; ≥80y patients favoured Partial-RoF Enhanced and were less likely to receive Full-RoF IOLs",
        "Conclusions": "In this large European cohort, hyperopia predominated. Nearly 1 in 13 eyes showed extreme refractive profiles (4% high myopia, 4% high hyperopia). Hyperopia increased and myopia decreased with age. Moderate-to-high astigmatism was frequent (33%). These patterns suggest the need for optimized biometry, appropriate power and toric IOL inventory, astigmatism management strategies, and planning for complex eyes. Refractive profiles remained stable over time across the group, supporting data-driven capacity, inventory, and workforce planning. IOL choice showed limited association with refraction, indicating lens selection is influenced not only by age, but also by additional patient-related factors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large European cohort, hyperopia predominated. Nearly 1 in 13 eyes showed extreme refractive profiles (4% high myopia, 4% high hyperopia). Hyperopia increased and myopia decreased with age. Moderate-to-high astigmatism was frequent (33%). These patterns suggest the need for optimized biometry, appropriate power and toric IOL inventory, astigmatism management strategies, and planning for complex eyes.…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 136,
      "source_fields": {
        "Abstract Final Identifier": "FP09.15",
        "Title": "Mapping The Preoperative Refractive Profile Of European Cataract Surgery: A Three-Year Real-World Study Of >180,000 Patients",
        "Presenting Author(s)": "Mr Alexander Silvester",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Irene",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Siso-Fuertes",
        "Country Name": "Spain",
        "Purpose": "To describe and characterize the preoperative refractive profile of patients undergoing cataract surgery within a large European eye care group, analysing preoperative sphere (sph), cylinder (cyl), axis and preoperative spherical equivalent (SEQ) and the age-related differences and temporal trends.",
        "Setting": "Grupo Miranza (Spain), SpaMedica (United Kingdom), OSG (Germany)– all part of the veonet Group.",
        "Methods": "A retrospective multicenter real-world study using veonetVerse , Veonet’s centralized clinical data repository was conducted, including consecutive cataract surgeries (2023–2025). One eye per patient was analyzed; outliers excluded(z-score=4). Collected variables: age, gender, preoperative sph, cyl, axis, SEQ, and implanted IOL power. Sph categories were grouped into: high (≤−6), moderate (−6,−3] and low (−3,−0.50] myopia; emmetropia(−0.50,+0.50); low (+0.75,+2], moderate (+2,+5] and high hyperopia ≥+5.25D. Cyl was grouped into: low(0.25–1.5), moderate(1.5–3), high(>3). Comparisons used ANOVA, χ² tests (significance p<0.05) and risk ratios; linear regression assessed sphere–IOL power association. Data was stratified by age, year and IOL type",
        "Results": "188,295 were eyes analyzed. Hyperopia prevailed (52%), followed by myopia (34%) and emmetropia (14%). SEQ clustered centrally: 24% between +0.50 and +2D; 81% between −2 and +3.50D. High myopia and high hyperopia represented 8%. Sph correlated inversely with IOL power (slope=0.8). Refractive distribution varied by age (p<0.001). Patients ≥80y were twice as likely hyperopic and half as likely myopic vs 40–49y, who were 9x more likely high myopic. Low, moderate and high astigmatism occurred in 60%, 30% and 3%. No differences found across years or countries despite healthcare delivery models (Cramér’s V=0.01–0.04). IOL choice weakly linked to refraction; ≥80y patients favoured Partial-RoF Enhanced and were less likely to receive Full-RoF IOLs",
        "Conclusions": "In this large European cohort, hyperopia predominated. Nearly 1 in 13 eyes showed extreme refractive profiles (4% high myopia, 4% high hyperopia). Hyperopia increased and myopia decreased with age. Moderate-to-high astigmatism was frequent (33%). These patterns suggest the need for optimized biometry, appropriate power and toric IOL inventory, astigmatism management strategies, and planning for complex eyes. Refractive profiles remained stable over time across the group, supporting data-driven capacity, inventory, and workforce planning. IOL choice showed limited association with refraction, indicating lens selection is influenced not only by age, but also by additional patient-related factors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 389
    },
    {
      "uid": "FP10.01",
      "abstract_number": "FP10.01",
      "title": "Rose Bengal Electromagnetic Activation With Green Light For Infection Reduction (Reagir): Randomized, Double-Masked, Sham-Controlled Clinical Trial Outcomes After Twelve Months",
      "authors": "Dr Alec Bernard",
      "presenter": "Dr Alec Bernard",
      "normalized_authors": [
        "Alec Bernard"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alec Bernard",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "The objective of this study is to evaluate 12-month outcomes of the Rose Bengal Electromagnetic Activation with Green Light for Infection Reduction (REAGIR) clinical trial. Rose bengal photodynamic therapy (RB-PDT) has direct antimicrobial effect and has been used as adjunctive treatment in severe non-responsive keratitis. Infectious keratitis secondary to fungal or acathamoebic causes has poor visual outcomes and short term outcomes from RB-PDT have been previously shown to have benefit at 3 weeks, but longer followup is needed. We report 12 month outcomes from the REAGIR trial, which compated RB-PDT against sham therapy for patients with acanthamoeba, fungal, and smear/culture-negative infectious keratitis.",
        "Setting": "Enrollment occurred across four specific sites: the Federal University of São Paulo in Brazil (IRB# 482/21, CONEP# 5.900.981) and three Aravind Eye Hospital locations in India—Madurai, Coimbatore, and Pondicherry (IRB# 2020009CLI, ICMR# 011-26589492). The University of California, San Francisco (IRB# 18-26045) also granted institutional review board approval.",
        "Methods": "In this international, multi-center, double-masked, sham-controlled, randomized clinical trial, we randomized 330 participants with corneal ulcers to intervention or control groups. Every participant received standard antimicrobial therapy and were randomized to either an intervention or control arm. The intervention protocol consisted of a standardized loading dose of topical 0.1% rose bengal followed by 15 minutes of green light irradiation (RB-PDT). The control group underwent an identical procedure, but without activation of the green light source. Patients, providers, and outcome assessors remained masked. Twelve-month oucomes were pre-specified and included visual acuity, scar/infiltrate size and corneal perforation rates.",
        "Results": "Follow-up measurements were available for 85% (n=282) of patients for BSCVA and 75% (n=250) for infiltrate/scar size. Comparisons between RB-PDT and control therapy showed no evidence of benefit for 12-month BSCVA (0.01; 95% CI -0.13 to 0.14; P=0.91) or scar size (0.006 mm; 95% CI, –0.32 to 0.33; P=0.97). CP/TPK event rates were 31 and 34 for the respective groups, showing no significant difference (HR=1.21; 95% CI, 0.74 to 1.98; P=0.44). Outcomes were unaffected by fungal organism subgroup.",
        "Conclusions": "Twelve-month follow-up data indicates adjunctive RB-PDT demonstrates there is likely no clear benefit over sham therapy for CP/TPK rates, BSCVA, or infiltrate/scar size. Despite prior findings of a short-term scar and/or infiltrate size benefit at 3 weeks, these long-term results indicate there may be no significant value of the addition of RB-PDT to standard antimicrobial therapy. Future directions may include adjusting phtodynamic therapy parameters (higher fluence/frequency) or identifying high-risk subgroups or susceptible organisms to identify populations where RB-PDT may be an effective adjuctive therapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Twelve-month follow-up data indicates adjunctive RB-PDT demonstrates there is likely no clear benefit over sham therapy for CP/TPK rates, BSCVA, or infiltrate/scar size. Despite prior findings of a short-term scar and/or infiltrate size benefit at 3 weeks, these long-term results indicate there may be no significant value of the addition of RB-PDT to standard antimicrobial therapy. Future directions may include…",
      "session_type": "Free Paper",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 137,
      "source_fields": {
        "Abstract Final Identifier": "FP10.01",
        "Title": "Rose Bengal Electromagnetic Activation With Green Light For Infection Reduction (Reagir): Randomized, Double-Masked, Sham-Controlled Clinical Trial Outcomes After Twelve Months",
        "Presenting Author(s)": "Dr Alec Bernard",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Alec",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bernard",
        "Country Name": "United States",
        "Purpose": "The objective of this study is to evaluate 12-month outcomes of the Rose Bengal Electromagnetic Activation with Green Light for Infection Reduction (REAGIR) clinical trial. Rose bengal photodynamic therapy (RB-PDT) has direct antimicrobial effect and has been used as adjunctive treatment in severe non-responsive keratitis. Infectious keratitis secondary to fungal or acathamoebic causes has poor visual outcomes and short term outcomes from RB-PDT have been previously shown to have benefit at 3 weeks, but longer followup is needed. We report 12 month outcomes from the REAGIR trial, which compated RB-PDT against sham therapy for patients with acanthamoeba, fungal, and smear/culture-negative infectious keratitis.",
        "Setting": "Enrollment occurred across four specific sites: the Federal University of São Paulo in Brazil (IRB# 482/21, CONEP# 5.900.981) and three Aravind Eye Hospital locations in India—Madurai, Coimbatore, and Pondicherry (IRB# 2020009CLI, ICMR# 011-26589492). The University of California, San Francisco (IRB# 18-26045) also granted institutional review board approval.",
        "Methods": "In this international, multi-center, double-masked, sham-controlled, randomized clinical trial, we randomized 330 participants with corneal ulcers to intervention or control groups. Every participant received standard antimicrobial therapy and were randomized to either an intervention or control arm. The intervention protocol consisted of a standardized loading dose of topical 0.1% rose bengal followed by 15 minutes of green light irradiation (RB-PDT). The control group underwent an identical procedure, but without activation of the green light source. Patients, providers, and outcome assessors remained masked. Twelve-month oucomes were pre-specified and included visual acuity, scar/infiltrate size and corneal perforation rates.",
        "Results": "Follow-up measurements were available for 85% (n=282) of patients for BSCVA and 75% (n=250) for infiltrate/scar size. Comparisons between RB-PDT and control therapy showed no evidence of benefit for 12-month BSCVA (0.01; 95% CI -0.13 to 0.14; P=0.91) or scar size (0.006 mm; 95% CI, –0.32 to 0.33; P=0.97). CP/TPK event rates were 31 and 34 for the respective groups, showing no significant difference (HR=1.21; 95% CI, 0.74 to 1.98; P=0.44). Outcomes were unaffected by fungal organism subgroup.",
        "Conclusions": "Twelve-month follow-up data indicates adjunctive RB-PDT demonstrates there is likely no clear benefit over sham therapy for CP/TPK rates, BSCVA, or infiltrate/scar size. Despite prior findings of a short-term scar and/or infiltrate size benefit at 3 weeks, these long-term results indicate there may be no significant value of the addition of RB-PDT to standard antimicrobial therapy. Future directions may include adjusting phtodynamic therapy parameters (higher fluence/frequency) or identifying high-risk subgroups or susceptible organisms to identify populations where RB-PDT may be an effective adjuctive therapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 438
    },
    {
      "uid": "FP10.02",
      "abstract_number": "FP10.02",
      "title": "Evaluation Of The Effect Of Subepithelial Infiltrates Following Adenoviral Keratoconjunctivitis On Corneal Biomechanics: Corvis St Analysis",
      "authors": "Dr Merve Birge Ergün",
      "presenter": "Dr Merve Birge Ergün",
      "normalized_authors": [
        "Merve Birge Ergün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Merve Birge Ergün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The purpose of this study is to evaluate the impact of subepithelial infiltrates (SEIs) developing after adenoviral keratoconjunctivitis (AKC) on corneal densitometry and biomechanical properties",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Turkey.",
        "Methods": "Patients who developed SEIs after AKC and between January and December 2024 were analyzed. Twenty-three eyes of 12 patients with SEIs after AKC and 32 eyes of 16 healthy controls were included. Patients with persistent SEIs who had received treatment for at least six months were included in the study. Ophthalmological examination findings, best-corrected visual acuity(BCVA) corneal topography and densitometry parameters",
        "Results": "There were no significant differences in age or sex between the groups (p>0.05). Compared with controls, the AKC group demonstrated significantly lower BCVA (0.10 vs 0.00 logMAR, p=0.001), lower K1 (41.39 vs 42.11 D, p=0.034), higher K2 (44.27 vs 43.06 D, p=0.005), and Kmax (45.42 vs 43.75 D, p=0.001) values. Corneal densitometry values were significantly elevated in the AKC group in the anterior stromal 0–2 mm (29.70 vs 26.60 GSU, p=0.011), 2–6 mm (26.51 vs 24.25 GSU, p=0.005), total (29.74 vs 26.20 GSU, p=0.016) and total cornea 0–2 mm zones (20.80 vs 19.33 GSU, p=0.007). Biomechanical analysis revealed significantly lower A1 length (1.98 vs 2.32 mm, p=0.007) and HC radius (5.97 vs 6.85 mm, p=0.012) in the AKC group.",
        "Conclusions": "Eyes with SEIs secondary to AKC exhibited both keratometric steepening and increased corneal densitometry, consistent with chronic anterior stromal remodeling. The concomitant reduction in biomechanical resistance further supports structural weakening within the corneal tissue. Therefore, a history of AKC with persistent SEIs should be carefully considered in the preoperative assessment of refractive surgery candidates due to the potential risk of iatrogenic ectasia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyes with SEIs secondary to AKC exhibited both keratometric steepening and increased corneal densitometry, consistent with chronic anterior stromal remodeling. The concomitant reduction in biomechanical resistance further supports structural weakening within the corneal tissue. Therefore, a history of AKC with persistent SEIs should be carefully considered in the preoperative assessment of refractive surgery…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 138,
      "source_fields": {
        "Abstract Final Identifier": "FP10.02",
        "Title": "Evaluation Of The Effect Of Subepithelial Infiltrates Following Adenoviral Keratoconjunctivitis On Corneal Biomechanics: Corvis St Analysis",
        "Presenting Author(s)": "Dr Merve Birge Ergün",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Merve",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Birge Ergün",
        "Country Name": "Türkiye",
        "Purpose": "The purpose of this study is to evaluate the impact of subepithelial infiltrates (SEIs) developing after adenoviral keratoconjunctivitis (AKC) on corneal densitometry and biomechanical properties",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Turkey.",
        "Methods": "Patients who developed SEIs after AKC and between January and December 2024 were analyzed. Twenty-three eyes of 12 patients with SEIs after AKC and 32 eyes of 16 healthy controls were included. Patients with persistent SEIs who had received treatment for at least six months were included in the study. Ophthalmological examination findings, best-corrected visual acuity(BCVA) corneal topography and densitometry parameters",
        "Results": "There were no significant differences in age or sex between the groups (p>0.05). Compared with controls, the AKC group demonstrated significantly lower BCVA (0.10 vs 0.00 logMAR, p=0.001), lower K1 (41.39 vs 42.11 D, p=0.034), higher K2 (44.27 vs 43.06 D, p=0.005), and Kmax (45.42 vs 43.75 D, p=0.001) values. Corneal densitometry values were significantly elevated in the AKC group in the anterior stromal 0–2 mm (29.70 vs 26.60 GSU, p=0.011), 2–6 mm (26.51 vs 24.25 GSU, p=0.005), total (29.74 vs 26.20 GSU, p=0.016) and total cornea 0–2 mm zones (20.80 vs 19.33 GSU, p=0.007). Biomechanical analysis revealed significantly lower A1 length (1.98 vs 2.32 mm, p=0.007) and HC radius (5.97 vs 6.85 mm, p=0.012) in the AKC group.",
        "Conclusions": "Eyes with SEIs secondary to AKC exhibited both keratometric steepening and increased corneal densitometry, consistent with chronic anterior stromal remodeling. The concomitant reduction in biomechanical resistance further supports structural weakening within the corneal tissue. Therefore, a history of AKC with persistent SEIs should be carefully considered in the preoperative assessment of refractive surgery candidates due to the potential risk of iatrogenic ectasia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "FP10.03",
      "abstract_number": "FP10.03",
      "title": "A Decade Of Change: Annual Trends In Microbial Keratitis At Southampton Eye Unit (2014-2023)",
      "authors": "Dr Shi Ian Soh",
      "presenter": "Dr Shi Ian Soh",
      "normalized_authors": [
        "Shi Ian Soh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shi Ian Soh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Ting et al. recently reported increasing coagulase-negative staphylococci (CoNS) and Acanthamoeba keratitis in North East England, whilst Tan et al. demonstrated increasing Moraxella in Manchester. We performed a 10-year retrospective analysis at Southampton Eye Unit to determine whether similar annual trends exist in Southern England, and to identify emerging pathogens requiring local surveillance.",
        "Setting": "Southampton Eye Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.",
        "Methods": "All culture-positive corneal scrapes from Southampton Eye Unit (January 2014 - December 2023) were reviewed. Organisms were classified into Gram-positive, Gram-negative, fungi, and Acanthamoeba, with subtypes analysed individually. Annual trends were assessed using Spearman rank correlation. Two-period comparison (2014-2018 vs 2019-2023) was performed using chi-square tests.",
        "Results": "Of 798 corneal scrapes, 512 (64.2%) were culture-positive (mean age 53.2 ± 20.7 years; 49.0% female). Gram-positive organisms predominated (310; 60.5%), followed by Gram-negative (152; 29.7%), fungi (29; 5.7%), and Acanthamoeba (21; 4.1%). Significant trends included declining Acanthamoeba from 12.5% (2014) to 0% (2021-2023) (r=-0.832; p=0.003); emergence of Serratia marcescens from 0 cases (2014-2015) to 3 annually by 2023 (r=0.833; p=0.003); and declining Moraxella within Gram-negatives (r=-0.796; p=0.006). Within Gram-positives, CoNS decreased (64.0% to 49.3%; p=0.009) whilst Staphylococcus aureus increased (14.6% to 27.4%; p=0.006). Pseudomonas increased from 4 (2014) to 21 (2023) without reaching significance (r=0.448; p=0.194).",
        "Conclusions": "This study highlights important geographic variation in UK microbial keratitis epidemiology. In contrast to Northern Centres, Southampton demonstrates a progressive increase in Serratia isolates and declining Acanthamoeba. This may reflect changing contact lens behaviours, environmental exposure, or evolving diagnostic practices. Ongoing local microbiological surveillance remains essential to guide empirical treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study highlights important geographic variation in UK microbial keratitis epidemiology. In contrast to Northern Centres, Southampton demonstrates a progressive increase in Serratia isolates and declining Acanthamoeba. This may reflect changing contact lens behaviours, environmental exposure, or evolving diagnostic practices. Ongoing local microbiological surveillance remains essential to guide empirical…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 139,
      "source_fields": {
        "Abstract Final Identifier": "FP10.03",
        "Title": "A Decade Of Change: Annual Trends In Microbial Keratitis At Southampton Eye Unit (2014-2023)",
        "Presenting Author(s)": "Dr Shi Ian Soh",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Shi Ian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Soh",
        "Country Name": "United Kingdom",
        "Purpose": "Ting et al. recently reported increasing coagulase-negative staphylococci (CoNS) and Acanthamoeba keratitis in North East England, whilst Tan et al. demonstrated increasing Moraxella in Manchester. We performed a 10-year retrospective analysis at Southampton Eye Unit to determine whether similar annual trends exist in Southern England, and to identify emerging pathogens requiring local surveillance.",
        "Setting": "Southampton Eye Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.",
        "Methods": "All culture-positive corneal scrapes from Southampton Eye Unit (January 2014 - December 2023) were reviewed. Organisms were classified into Gram-positive, Gram-negative, fungi, and Acanthamoeba, with subtypes analysed individually. Annual trends were assessed using Spearman rank correlation. Two-period comparison (2014-2018 vs 2019-2023) was performed using chi-square tests.",
        "Results": "Of 798 corneal scrapes, 512 (64.2%) were culture-positive (mean age 53.2 ± 20.7 years; 49.0% female). Gram-positive organisms predominated (310; 60.5%), followed by Gram-negative (152; 29.7%), fungi (29; 5.7%), and Acanthamoeba (21; 4.1%). Significant trends included declining Acanthamoeba from 12.5% (2014) to 0% (2021-2023) (r=-0.832; p=0.003); emergence of Serratia marcescens from 0 cases (2014-2015) to 3 annually by 2023 (r=0.833; p=0.003); and declining Moraxella within Gram-negatives (r=-0.796; p=0.006). Within Gram-positives, CoNS decreased (64.0% to 49.3%; p=0.009) whilst Staphylococcus aureus increased (14.6% to 27.4%; p=0.006). Pseudomonas increased from 4 (2014) to 21 (2023) without reaching significance (r=0.448; p=0.194).",
        "Conclusions": "This study highlights important geographic variation in UK microbial keratitis epidemiology. In contrast to Northern Centres, Southampton demonstrates a progressive increase in Serratia isolates and declining Acanthamoeba. This may reflect changing contact lens behaviours, environmental exposure, or evolving diagnostic practices. Ongoing local microbiological surveillance remains essential to guide empirical treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "FP10.04",
      "abstract_number": "FP10.04",
      "title": "Clinical Spectrum And Management Of Bee Sting Injuries – An Observational Study",
      "authors": "Dr Sakshi Tiwari",
      "presenter": "Dr Sakshi Tiwari",
      "normalized_authors": [
        "Sakshi Tiwari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sakshi Tiwari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To analyse clinical features, types of management strategies available and outcomes of ocular bee sting injuries",
        "Setting": "Mithu Tulsi Chanrai Campus\n\nL.V. Prasad Eye Institute\n\nBhubaneshwar\n\nIndia",
        "Methods": "A retrospective review of data of 152 patients with documented ocular bee sting injuries was analysed through the hospital's electronic medical records (EMR) system between January 2016 to December 2025. Data included presenting visual acuity (VA), intraocular pressure (IOP), slit lamp examination findings, microbiological outcomes, types of management strategies used and post interventional best corrected visual acuity (BCVA). Patients with prexisting ocular pathologies like corneal dystrophies, glaucoma or any other condition that can skew the study results were excluded from the study population.",
        "Results": "Majority of the study population included male (88.2%) with acute presentations (71.1%). Retained stingers were found in 25% of cases of which complete removal of bee stinger was possible in 76.3%. Corneal infiltrates occurred in 28.9%, hypopyon was present in 7.2% and cataractous changes were present in 20.4% of patients. Microbial growth was detected in only 8.5% either bacterial or fungal. Conservative management was given in 52.63% of patients while 47.37% required surgical intervention. Post treatment 52.6% of study subjects attained a BCVA between 0 - 1 logMAR. Complications included corneal scarring, glaucoma, pthisis bulbi, endophthalmitis and one patient underwent evisceration secondary to panophthalmitis",
        "Conclusions": "Ocular bee sting injuries can cause severe anterior segment inflammation and vision threatening complications. Early and prompt stinger removal increases the probabilty of a favourable outcome. A significant subset of patient develop glaucomatous damage and some may develop irreversible sequelae. Early recognition, prompt stinger removal and aggressive control of secondary infection remains crucial for a favourable outcome."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ocular bee sting injuries can cause severe anterior segment inflammation and vision threatening complications. Early and prompt stinger removal increases the probabilty of a favourable outcome. A significant subset of patient develop glaucomatous damage and some may develop irreversible sequelae. Early recognition, prompt stinger removal and aggressive control of secondary infection remains crucial for a favourable…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 140,
      "source_fields": {
        "Abstract Final Identifier": "FP10.04",
        "Title": "Clinical Spectrum And Management Of Bee Sting Injuries – An Observational Study",
        "Presenting Author(s)": "Dr Sakshi Tiwari",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Sakshi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tiwari",
        "Country Name": "India",
        "Purpose": "To analyse clinical features, types of management strategies available and outcomes of ocular bee sting injuries",
        "Setting": "Mithu Tulsi Chanrai Campus\n\nL.V. Prasad Eye Institute\n\nBhubaneshwar\n\nIndia",
        "Methods": "A retrospective review of data of 152 patients with documented ocular bee sting injuries was analysed through the hospital's electronic medical records (EMR) system between January 2016 to December 2025. Data included presenting visual acuity (VA), intraocular pressure (IOP), slit lamp examination findings, microbiological outcomes, types of management strategies used and post interventional best corrected visual acuity (BCVA). Patients with prexisting ocular pathologies like corneal dystrophies, glaucoma or any other condition that can skew the study results were excluded from the study population.",
        "Results": "Majority of the study population included male (88.2%) with acute presentations (71.1%). Retained stingers were found in 25% of cases of which complete removal of bee stinger was possible in 76.3%. Corneal infiltrates occurred in 28.9%, hypopyon was present in 7.2% and cataractous changes were present in 20.4% of patients. Microbial growth was detected in only 8.5% either bacterial or fungal. Conservative management was given in 52.63% of patients while 47.37% required surgical intervention. Post treatment 52.6% of study subjects attained a BCVA between 0 - 1 logMAR. Complications included corneal scarring, glaucoma, pthisis bulbi, endophthalmitis and one patient underwent evisceration secondary to panophthalmitis",
        "Conclusions": "Ocular bee sting injuries can cause severe anterior segment inflammation and vision threatening complications. Early and prompt stinger removal increases the probabilty of a favourable outcome. A significant subset of patient develop glaucomatous damage and some may develop irreversible sequelae. Early recognition, prompt stinger removal and aggressive control of secondary infection remains crucial for a favourable outcome."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "FP10.05",
      "abstract_number": "FP10.05",
      "title": "Changing Trends In Antibiotic Susceptibility Patterns Of Pseudomonas Aeruginosa In Infective Keratitis: A Three-Year Retrospective Analysis",
      "authors": "Dr Gaurav Pande",
      "presenter": "Dr Gaurav Pande",
      "normalized_authors": [
        "Gaurav Pande"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gaurav Pande",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate recent trends in antibiotic susceptibility and resistance patterns of Pseudomonas aeruginosa isolated from cases of infective keratitis over a three-year period, and to assess implications for empirical antimicrobial therapy in clinical practice.",
        "Setting": "Retrospective observational study performed which included patients diagnosed with culture-positive P. aeruginosa keratitis between March 2023 and March 2026 at a tertiary eye care center.",
        "Methods": "Demographic details and risk factors were recorded. Corneal scrapings were processed using standard microbiological techniques. Antibiotic susceptibility patterns were analyzed based on antibiogram reports, evaluating sensitivity and resistance to commonly administered topical antibiotics.",
        "Results": "A total of 120 patients (65 females, 55 males) were included; 45% had a history of contact lens use. P. aeruginosa demonstrated 100% sensitivity to tobramycin and amikacin. Gentamicin and meropenem showed 96.9% sensitivity. The highest resistance was observed with ceftazidime and ticarcillin-clavulanic acid (42%), followed by cefepime (27%). Intermediate resistance was notable for aztreonam (36%).",
        "Conclusions": "The observed high resistance to ceftazidime suggests a shift in susceptibility trends of P. aeruginosa in infective keratitis. Although aminoglycosides remain highly effective, increasing resistance to selective β-lactam antibiotics underscores the need for routine culture and sensitivity testing. Empirical therapy should be guided by local antibiogram data to ensure optimal clinical outcomes and to curb the progression of antimicrobial resistance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The observed high resistance to ceftazidime suggests a shift in susceptibility trends of P. aeruginosa in infective keratitis. Although aminoglycosides remain highly effective, increasing resistance to selective β-lactam antibiotics underscores the need for routine culture and sensitivity testing. Empirical therapy should be guided by local antibiogram data to ensure optimal clinical outcomes and to curb the…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 141,
      "source_fields": {
        "Abstract Final Identifier": "FP10.05",
        "Title": "Changing Trends In Antibiotic Susceptibility Patterns Of Pseudomonas Aeruginosa In Infective Keratitis: A Three-Year Retrospective Analysis",
        "Presenting Author(s)": "Dr Gaurav Pande",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Gaurav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pande",
        "Country Name": "India",
        "Purpose": "To evaluate recent trends in antibiotic susceptibility and resistance patterns of Pseudomonas aeruginosa isolated from cases of infective keratitis over a three-year period, and to assess implications for empirical antimicrobial therapy in clinical practice.",
        "Setting": "Retrospective observational study performed which included patients diagnosed with culture-positive P. aeruginosa keratitis between March 2023 and March 2026 at a tertiary eye care center.",
        "Methods": "Demographic details and risk factors were recorded. Corneal scrapings were processed using standard microbiological techniques. Antibiotic susceptibility patterns were analyzed based on antibiogram reports, evaluating sensitivity and resistance to commonly administered topical antibiotics.",
        "Results": "A total of 120 patients (65 females, 55 males) were included; 45% had a history of contact lens use. P. aeruginosa demonstrated 100% sensitivity to tobramycin and amikacin. Gentamicin and meropenem showed 96.9% sensitivity. The highest resistance was observed with ceftazidime and ticarcillin-clavulanic acid (42%), followed by cefepime (27%). Intermediate resistance was notable for aztreonam (36%).",
        "Conclusions": "The observed high resistance to ceftazidime suggests a shift in susceptibility trends of P. aeruginosa in infective keratitis. Although aminoglycosides remain highly effective, increasing resistance to selective β-lactam antibiotics underscores the need for routine culture and sensitivity testing. Empirical therapy should be guided by local antibiogram data to ensure optimal clinical outcomes and to curb the progression of antimicrobial resistance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 209
    },
    {
      "uid": "FP10.06",
      "abstract_number": "FP10.06",
      "title": "Topical Meropenem As An Alternative To Moxifloxacin For Pseudomonas Aeruginosa Keratitis: A Comparative Experimental Study",
      "authors": "Dr Rukiye Kilic Ucgul",
      "presenter": "Dr Rukiye Kilic Ucgul",
      "normalized_authors": [
        "Rukiye Kilic Ucgul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rukiye Kilic Ucgul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate whether topical meropenem can provide comparable early clinical and microbiological efficacy to moxifloxacin in the treatment of Pseudomonas aeruginosa keratitis. In light of the rising global concern of fluoroquinolone resistance, this study aims to evaluate meropenem as a potential alternative therapeutic option using a standardized experimental rabbit model, assessing both infection severity and bacterial load reduction to determine its viability in resistant or treatment-refractory cases.",
        "Setting": "This controlled experimental study was conducted at Bolu Abant Izzet Baysal University. The study was performed in a laboratory setting using a standardized rabbit model of Pseudomonas aeruginosa keratitis under institutional ethical approval and in accordance with ARVO guidelines.",
        "Methods": "Experimental keratitis was induced in 18 New Zealand white rabbits by intrastromal injection of Pseudomonas aeruginosa (ATCC 27853). After 48 hours, animals were randomized into three groups (n=6 each): topical saline (control), 5 mg/mL meropenem, or 5 mg/mL moxifloxacin. Treatments were administered over 48 hours using a standardized intensive dosing regimen. Clinical severity was graded using an eight-parameter composite scoring system. Following euthanasia, corneal tissues were harvested for quantitative microbiological analysis (log₁₀ CFU/g) and MIC determination.",
        "Results": "Compared to baseline, total clinical scores significantly increased in the control group (p<0.001), while no significant changes were observed in the meropenem (p=0.280) or moxifloxacin (p=0.509) groups. Post-treatment scores were significantly lower in both antibiotic groups compared to control (p < 0.001). Clinical parameters such as iritis, epithelial erosion, corneal infiltrate, and corneal edema were significantly improved in treated groups (p < 0.05). Quantitative bacterial analysis revealed the highest bacterial load in the control group (5.30 ± 0.23 log₁₀ CFU/g), followed by meropenem (3.00 ± 1.39) and moxifloxacin (2.67 ± 0.63) groups. Both treatment groups showed significantly lower CFU values compared to control (p=0.001).",
        "Conclusions": "Topical meropenem demonstrated clinical and microbiological efficacy comparable to moxifloxacin in the early treatment of Pseudomonas aeruginosa keratitis in this experimental model. Both agents significantly limited disease progression and reduced bacterial load compared to control, with no observed safety concerns. Given the increasing prevalence of fluoroquinolone resistance, meropenem may represent a promising alternative therapeutic option, particularly in resistant or treatment-refractory cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical meropenem demonstrated clinical and microbiological efficacy comparable to moxifloxacin in the early treatment of Pseudomonas aeruginosa keratitis in this experimental model. Both agents significantly limited disease progression and reduced bacterial load compared to control, with no observed safety concerns. Given the increasing prevalence of fluoroquinolone resistance, meropenem may represent a promising…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 142,
      "source_fields": {
        "Abstract Final Identifier": "FP10.06",
        "Title": "Topical Meropenem As An Alternative To Moxifloxacin For Pseudomonas Aeruginosa Keratitis: A Comparative Experimental Study",
        "Presenting Author(s)": "Dr Rukiye Kilic Ucgul",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Rukiye",
        "Submitter Middle Name": "Kilic",
        "Submitter Last Name": "Ucgul",
        "Country Name": "Türkiye",
        "Purpose": "To investigate whether topical meropenem can provide comparable early clinical and microbiological efficacy to moxifloxacin in the treatment of Pseudomonas aeruginosa keratitis. In light of the rising global concern of fluoroquinolone resistance, this study aims to evaluate meropenem as a potential alternative therapeutic option using a standardized experimental rabbit model, assessing both infection severity and bacterial load reduction to determine its viability in resistant or treatment-refractory cases.",
        "Setting": "This controlled experimental study was conducted at Bolu Abant Izzet Baysal University. The study was performed in a laboratory setting using a standardized rabbit model of Pseudomonas aeruginosa keratitis under institutional ethical approval and in accordance with ARVO guidelines.",
        "Methods": "Experimental keratitis was induced in 18 New Zealand white rabbits by intrastromal injection of Pseudomonas aeruginosa (ATCC 27853). After 48 hours, animals were randomized into three groups (n=6 each): topical saline (control), 5 mg/mL meropenem, or 5 mg/mL moxifloxacin. Treatments were administered over 48 hours using a standardized intensive dosing regimen. Clinical severity was graded using an eight-parameter composite scoring system. Following euthanasia, corneal tissues were harvested for quantitative microbiological analysis (log₁₀ CFU/g) and MIC determination.",
        "Results": "Compared to baseline, total clinical scores significantly increased in the control group (p<0.001), while no significant changes were observed in the meropenem (p=0.280) or moxifloxacin (p=0.509) groups. Post-treatment scores were significantly lower in both antibiotic groups compared to control (p < 0.001). Clinical parameters such as iritis, epithelial erosion, corneal infiltrate, and corneal edema were significantly improved in treated groups (p < 0.05). Quantitative bacterial analysis revealed the highest bacterial load in the control group (5.30 ± 0.23 log₁₀ CFU/g), followed by meropenem (3.00 ± 1.39) and moxifloxacin (2.67 ± 0.63) groups. Both treatment groups showed significantly lower CFU values compared to control (p=0.001).",
        "Conclusions": "Topical meropenem demonstrated clinical and microbiological efficacy comparable to moxifloxacin in the early treatment of Pseudomonas aeruginosa keratitis in this experimental model. Both agents significantly limited disease progression and reduced bacterial load compared to control, with no observed safety concerns. Given the increasing prevalence of fluoroquinolone resistance, meropenem may represent a promising alternative therapeutic option, particularly in resistant or treatment-refractory cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "FP10.07",
      "abstract_number": "FP10.07",
      "title": "Multifunctional Microneedle Patches With Sequential Drug Release For Synergistic Treatment Of Infectious Keratitis",
      "authors": "Dr Xiaojun Hu",
      "presenter": "Dr Xiaojun Hu",
      "normalized_authors": [
        "Xiaojun Hu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaojun Hu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To develop a multifunctional core-shell microneedle system capable of sequential and spatiotemporal delivery of antimicrobial peptides (AMPs) and mesenchymal stem cell-derived exosomes (MSC-exos) for synergistic antimicrobial and regenerative therapy in infectious keratitis.",
        "Setting": "In vitro cellular and antibacterial experimental systems and an in vivo rat model of infectious keratitis were used to evaluate antibacterial efficacy, anti-inflammatory effects, and corneal tissue regeneration.",
        "Methods": "A core-shell structured microneedle system was fabricated.The shell , composed of pH-responsive oxidized hyaluronic acid (OHA)/carboxymethyl chitosan (CMCS), encapsulated AMPs for infection-site-triggered release to reduce microbial load and disrupt biofilms.The core , composed of hyaluronic acid methacrylate (HAMA), encapsulated MSC-exos for sustained delivery of bioactive molecules to promote tissue repair. Antibacterial activity, anti-biofilm effects, cell migration, and anti-inflammatory properties were evaluated in vitro. Therapeutic efficacy was further assessed in a rat model of infectious keratitis.",
        "Results": "The microneedle system exhibited superior antibacterial and anti-biofilm efficacy in vitro, significantly enhanced cell migration, and exerted potent anti-inflammatory effects. In vivo, treatment markedly reduced corneal opacity, accelerated re-epithelialization, and alleviated inflammatory responses in rats with infectious keratitis.",
        "Conclusions": "The developed core-shell microneedle system enables sequential antimicrobial and regenerative therapy by integrating rapid infection control with sustained tissue repair. This strategy provides a promising synergistic therapeutic approach for infectious keratitis treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The developed core-shell microneedle system enables sequential antimicrobial and regenerative therapy by integrating rapid infection control with sustained tissue repair. This strategy provides a promising synergistic therapeutic approach for infectious keratitis treatment.",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 143,
      "source_fields": {
        "Abstract Final Identifier": "FP10.07",
        "Title": "Multifunctional Microneedle Patches With Sequential Drug Release For Synergistic Treatment Of Infectious Keratitis",
        "Presenting Author(s)": "Dr Xiaojun Hu",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Xiaojun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hu",
        "Country Name": "China",
        "Purpose": "To develop a multifunctional core-shell microneedle system capable of sequential and spatiotemporal delivery of antimicrobial peptides (AMPs) and mesenchymal stem cell-derived exosomes (MSC-exos) for synergistic antimicrobial and regenerative therapy in infectious keratitis.",
        "Setting": "In vitro cellular and antibacterial experimental systems and an in vivo rat model of infectious keratitis were used to evaluate antibacterial efficacy, anti-inflammatory effects, and corneal tissue regeneration.",
        "Methods": "A core-shell structured microneedle system was fabricated.The shell , composed of pH-responsive oxidized hyaluronic acid (OHA)/carboxymethyl chitosan (CMCS), encapsulated AMPs for infection-site-triggered release to reduce microbial load and disrupt biofilms.The core , composed of hyaluronic acid methacrylate (HAMA), encapsulated MSC-exos for sustained delivery of bioactive molecules to promote tissue repair. Antibacterial activity, anti-biofilm effects, cell migration, and anti-inflammatory properties were evaluated in vitro. Therapeutic efficacy was further assessed in a rat model of infectious keratitis.",
        "Results": "The microneedle system exhibited superior antibacterial and anti-biofilm efficacy in vitro, significantly enhanced cell migration, and exerted potent anti-inflammatory effects. In vivo, treatment markedly reduced corneal opacity, accelerated re-epithelialization, and alleviated inflammatory responses in rats with infectious keratitis.",
        "Conclusions": "The developed core-shell microneedle system enables sequential antimicrobial and regenerative therapy by integrating rapid infection control with sustained tissue repair. This strategy provides a promising synergistic therapeutic approach for infectious keratitis treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 206
    },
    {
      "uid": "FP10.08",
      "abstract_number": "FP10.08",
      "title": "Unmasking Infection In An Autoimmune Disease : Clinicomicrobiological Correlation Of Microbial Keratitis In Moorens Ulcer",
      "authors": "Dr Kavya Chandran",
      "presenter": "Dr Kavya Chandran",
      "normalized_authors": [
        "Kavya Chandran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kavya Chandran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the incidence and microbiological profile of secondary microbial keratitis in 237 patients diagnosed with Moorens ulcer ( MU).",
        "Setting": "Study period - August 2014 to August 2024\n\nPlace of study - Tertiary eye care centre in southern India",
        "Methods": "All patients diagnosed clinically with Moorens ulcer and later developed microbial keratitis were included in the study.All patients underwent detailed microbiological evaluation as per the institute protocol. All cases with organism seen on either smear, culture or both were included for final analysis\n\nData included patient demographics, risk factors, previous treatment, duration of symptoms, clinical details including the size of infiltration, presence of hypopyon, microbiology results, the coexistence of any other pathogen, and treatment details including medical and surgical management and outcome of treatment. Associated systemic immunosuppression for Moorens ulcer was also evaluated. Severe ulcers underwent surgical management.",
        "Results": "237 patients of MU were reviewed of which smear and/ or culture positive 25 cases were included for analysis.Mean age was 65.2+/-17.6 years.Unilateral involvement was seen in 84% cases(n=21).Mean visual acuity was 1.7+/-0.8 logMAR.Median duration of presentation was 15 days (IQR 7,30).Sclera was uninvolved in all eyes.Mean size of infiltrate was 5.04*4.06mm(V*H).Smear examination showed fungal filaments(n=6),no organisms(n=5), Gram positive cocci (n=3), Gram positive bacilli(n=4).Culture showed no growth(n=7), Streptococcus pneumoniae (n=3), Aspergillus flavus (n=3), Pythium insidiousum (n=1), mixed growth (n=9).Topical steroids were added in 60.7%cases. 6 patients underwent therapeutic keratoplasty. Mean time of resolution was 30 days IQR 20,60)",
        "Conclusions": "Key predictors of final visual acuity included increased i nitial visual acuity, Age, Size of infiltrate had worse outcome. Trauma as inciting agent and mild ulcers had better outcome.Key Pathogens Identified were Aspergillus flavus and terreus (Fungal); Streptococcus pneumoniae (Bacterial). Pythium was isolated in one case. Fungal infections generally took longer to resolve and were associated with deeper involvement, requiring more prolonged care. Addition of topical steroids did not have any statistically significant difference in outcome Surgical interventions like therapeutic keratoplasty indicated more severe disease but were not independent predictors of poor vision in this analysis. Inadequate data on systemic immunosuppression was seen."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Key predictors of final visual acuity included increased i nitial visual acuity, Age, Size of infiltrate had worse outcome. Trauma as inciting agent and mild ulcers had better outcome.Key Pathogens Identified were Aspergillus flavus and terreus (Fungal); Streptococcus pneumoniae (Bacterial). Pythium was isolated in one case. Fungal infections generally took longer to resolve and were associated with deeper…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 144,
      "source_fields": {
        "Abstract Final Identifier": "FP10.08",
        "Title": "Unmasking Infection In An Autoimmune Disease : Clinicomicrobiological Correlation Of Microbial Keratitis In Moorens Ulcer",
        "Presenting Author(s)": "Dr Kavya Chandran",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Kavya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chandran",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the incidence and microbiological profile of secondary microbial keratitis in 237 patients diagnosed with Moorens ulcer ( MU).",
        "Setting": "Study period - August 2014 to August 2024\n\nPlace of study - Tertiary eye care centre in southern India",
        "Methods": "All patients diagnosed clinically with Moorens ulcer and later developed microbial keratitis were included in the study.All patients underwent detailed microbiological evaluation as per the institute protocol. All cases with organism seen on either smear, culture or both were included for final analysis\n\nData included patient demographics, risk factors, previous treatment, duration of symptoms, clinical details including the size of infiltration, presence of hypopyon, microbiology results, the coexistence of any other pathogen, and treatment details including medical and surgical management and outcome of treatment. Associated systemic immunosuppression for Moorens ulcer was also evaluated. Severe ulcers underwent surgical management.",
        "Results": "237 patients of MU were reviewed of which smear and/ or culture positive 25 cases were included for analysis.Mean age was 65.2+/-17.6 years.Unilateral involvement was seen in 84% cases(n=21).Mean visual acuity was 1.7+/-0.8 logMAR.Median duration of presentation was 15 days (IQR 7,30).Sclera was uninvolved in all eyes.Mean size of infiltrate was 5.04*4.06mm(V*H).Smear examination showed fungal filaments(n=6),no organisms(n=5), Gram positive cocci (n=3), Gram positive bacilli(n=4).Culture showed no growth(n=7), Streptococcus pneumoniae (n=3), Aspergillus flavus (n=3), Pythium insidiousum (n=1), mixed growth (n=9).Topical steroids were added in 60.7%cases. 6 patients underwent therapeutic keratoplasty. Mean time of resolution was 30 days IQR 20,60)",
        "Conclusions": "Key predictors of final visual acuity included increased i nitial visual acuity, Age, Size of infiltrate had worse outcome. Trauma as inciting agent and mild ulcers had better outcome.Key Pathogens Identified were Aspergillus flavus and terreus (Fungal); Streptococcus pneumoniae (Bacterial). Pythium was isolated in one case. Fungal infections generally took longer to resolve and were associated with deeper involvement, requiring more prolonged care. Addition of topical steroids did not have any statistically significant difference in outcome Surgical interventions like therapeutic keratoplasty indicated more severe disease but were not independent predictors of poor vision in this analysis. Inadequate data on systemic immunosuppression was seen."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "FP10.09",
      "abstract_number": "FP10.09",
      "title": "Predictive Factors For Penetrating Keratoplasty In Patients With Fungal Keratitis",
      "authors": "Dr Pedro Mota-Moreira",
      "presenter": "Dr Pedro Mota-Moreira",
      "normalized_authors": [
        "Pedro Mota-Moreira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Mota-Moreira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To identify demographic, clinical, microbiological, and treatment-related factors associated with the need for penetrating keratoplasty (PK) in patients with fungal keratitis.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "A retrospective, single-centre, longitudinal study including analysis of 66 eyes from 63 patients (51.5% males) with culture-proven fungal keratitis was conducted between January 2009 until December of 2024. Demographic, clinical, microbiological, therapeutic and disease complications variables were compared between two groups: eyes requiring PK and eyes managed only conservatively (non-PK). Univariate analyses were performed using non-parametric and categorical tests. Variables with p<0.10 were included in a multivariate logistic regression model to identify independent predictors of PK.",
        "Results": "Mean age at diagnosis was 65.3±17.5 years, with a mean follow-up of 6.1±3.6 years (no differences between groups). PK was performed in 37 eyes (56.1%). No significant differences were found for initial BCVA, contact lens use, ocular comorbidities, trauma, hypopyon, endophthalmitis, or fungal class. Mean time from swab to PK was 86.3±117.7 days. Final BCVA was borderline better in the PK group (1.3 vs 2.1, p=0.051). Multivariate analysis identified previous PK (aOR 9.09, p=0.021) and anterior chamber wash (aOR 41.13, p<0.001) as only independent predictors for the need of PK. Phthisis rates were low and similar (2.7% vs 3.4%, p>0.99), while evisceration/enucleation was more frequent in non-PK (34.5% vs 13.5%, p=0.044).",
        "Conclusions": "In our cohort, previous PK and the need for anterior chamber wash were the only independent predictors for PK in fungal keratitis. Prior PK likely reflects pre-existing ocular comorbidity or advanced structural compromise, whereas anterior chamber wash may represent a marker of greater disease severity requiring aggressive intraocular management. Notably, evisceration/enucleation was more frequent in non-PK eyes, underscoring the importance of early risk stratification and a more proactive, aggressive therapeutic approach. Identification of predictors of PK may support optimized clinical management and timely surgical intervention, potentially improving both anatomical and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In our cohort, previous PK and the need for anterior chamber wash were the only independent predictors for PK in fungal keratitis. Prior PK likely reflects pre-existing ocular comorbidity or advanced structural compromise, whereas anterior chamber wash may represent a marker of greater disease severity requiring aggressive intraocular management. Notably, evisceration/enucleation was more frequent in non-PK eyes,…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 145,
      "source_fields": {
        "Abstract Final Identifier": "FP10.09",
        "Title": "Predictive Factors For Penetrating Keratoplasty In Patients With Fungal Keratitis",
        "Presenting Author(s)": "Dr Pedro Mota-Moreira",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mota-Moreira",
        "Country Name": "Portugal",
        "Purpose": "To identify demographic, clinical, microbiological, and treatment-related factors associated with the need for penetrating keratoplasty (PK) in patients with fungal keratitis.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "A retrospective, single-centre, longitudinal study including analysis of 66 eyes from 63 patients (51.5% males) with culture-proven fungal keratitis was conducted between January 2009 until December of 2024. Demographic, clinical, microbiological, therapeutic and disease complications variables were compared between two groups: eyes requiring PK and eyes managed only conservatively (non-PK). Univariate analyses were performed using non-parametric and categorical tests. Variables with p<0.10 were included in a multivariate logistic regression model to identify independent predictors of PK.",
        "Results": "Mean age at diagnosis was 65.3±17.5 years, with a mean follow-up of 6.1±3.6 years (no differences between groups). PK was performed in 37 eyes (56.1%). No significant differences were found for initial BCVA, contact lens use, ocular comorbidities, trauma, hypopyon, endophthalmitis, or fungal class. Mean time from swab to PK was 86.3±117.7 days. Final BCVA was borderline better in the PK group (1.3 vs 2.1, p=0.051). Multivariate analysis identified previous PK (aOR 9.09, p=0.021) and anterior chamber wash (aOR 41.13, p<0.001) as only independent predictors for the need of PK. Phthisis rates were low and similar (2.7% vs 3.4%, p>0.99), while evisceration/enucleation was more frequent in non-PK (34.5% vs 13.5%, p=0.044).",
        "Conclusions": "In our cohort, previous PK and the need for anterior chamber wash were the only independent predictors for PK in fungal keratitis. Prior PK likely reflects pre-existing ocular comorbidity or advanced structural compromise, whereas anterior chamber wash may represent a marker of greater disease severity requiring aggressive intraocular management. Notably, evisceration/enucleation was more frequent in non-PK eyes, underscoring the importance of early risk stratification and a more proactive, aggressive therapeutic approach. Identification of predictors of PK may support optimized clinical management and timely surgical intervention, potentially improving both anatomical and functional outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 351
    },
    {
      "uid": "FP10.10",
      "abstract_number": "FP10.10",
      "title": "Evaluation Of The Efficacy Of Intrastromal Antifungal Injection In Fungal Keratitis And Prognostic Factors Affecting Treatment Response",
      "authors": "A/Prof. Hafize Gökben Ulutas",
      "presenter": "A/Prof. Hafize Gökben Ulutas",
      "normalized_authors": [
        "Hafize Gökben Ulutas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hafize Gökben Ulutas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To assess clinical outcomes of intrastromal antifungal (ISAF) injections in fungal keratitis and to identify etiological and prognostic factors differentiating responsive and refractory cases.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "This retrospective study included patients diagnosed with fungal keratitis between 2023 and 2025 who received ISAF injections. Demographic characteristics, clinical findings, microbiological results, treatment regimens and number of injections were recorded. All patients were initially treated with empiric fortified topical antifungal therapy. In cases showing inadequate response, intrastromal voriconazole (50 µg/0.1 ml) and/or amphotericin B (5 µg/0.1 ml) were administered. The number and duration of injections, time to healing and additional treatments were documented. Healing characteristics (epithelial closure, resolution of hypopyon and decrease in infiltrate size) were evaluated through biomicroscopic examination",
        "Results": "Twenty-nine patients (mean age 54.2 years) were included. The most common predisposing factor was prior corneal surgery. Candida (34.5%) and Fusarium (24.1%) were the most isolated organisms. The mean time to initiation of ISAF therapy was 5.62 ± 5.94 days, with a mean of 3.79 ± 3.83 injections. Patients were classified as ISAF-responsive (n=20) or refractory (n=9). The mean healing time in the responsive group was 38.7 ± 19.1 days. In the refractory group, five patients underwent corneal cross-linking and seven required therapeutic keratoplasty. A longer interval between symptom onset and initial presentation (22.78 days, p=0.013) and a baseline lesion size greater than 6 mm (p<0.001) were significantly associated with treatment failure.",
        "Conclusions": "Fungal keratitis remains difficult to manage due to limited stromal penetration of topical agents and drug-related toxicity. ISAF injection appears to be a valuable adjunct in cases unresponsive to conventional therapy. Delayed presentation and larger lesion size are key negative prognostic factors and should be considered when planning management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Fungal keratitis remains difficult to manage due to limited stromal penetration of topical agents and drug-related toxicity. ISAF injection appears to be a valuable adjunct in cases unresponsive to conventional therapy. Delayed presentation and larger lesion size are key negative prognostic factors and should be considered when planning management.",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 146,
      "source_fields": {
        "Abstract Final Identifier": "FP10.10",
        "Title": "Evaluation Of The Efficacy Of Intrastromal Antifungal Injection In Fungal Keratitis And Prognostic Factors Affecting Treatment Response",
        "Presenting Author(s)": "A/Prof. Hafize Gökben Ulutas",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Hafize Gökben",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ulutas",
        "Country Name": "Türkiye",
        "Purpose": "To assess clinical outcomes of intrastromal antifungal (ISAF) injections in fungal keratitis and to identify etiological and prognostic factors differentiating responsive and refractory cases.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "This retrospective study included patients diagnosed with fungal keratitis between 2023 and 2025 who received ISAF injections. Demographic characteristics, clinical findings, microbiological results, treatment regimens and number of injections were recorded. All patients were initially treated with empiric fortified topical antifungal therapy. In cases showing inadequate response, intrastromal voriconazole (50 µg/0.1 ml) and/or amphotericin B (5 µg/0.1 ml) were administered. The number and duration of injections, time to healing and additional treatments were documented. Healing characteristics (epithelial closure, resolution of hypopyon and decrease in infiltrate size) were evaluated through biomicroscopic examination",
        "Results": "Twenty-nine patients (mean age 54.2 years) were included. The most common predisposing factor was prior corneal surgery. Candida (34.5%) and Fusarium (24.1%) were the most isolated organisms. The mean time to initiation of ISAF therapy was 5.62 ± 5.94 days, with a mean of 3.79 ± 3.83 injections. Patients were classified as ISAF-responsive (n=20) or refractory (n=9). The mean healing time in the responsive group was 38.7 ± 19.1 days. In the refractory group, five patients underwent corneal cross-linking and seven required therapeutic keratoplasty. A longer interval between symptom onset and initial presentation (22.78 days, p=0.013) and a baseline lesion size greater than 6 mm (p<0.001) were significantly associated with treatment failure.",
        "Conclusions": "Fungal keratitis remains difficult to manage due to limited stromal penetration of topical agents and drug-related toxicity. ISAF injection appears to be a valuable adjunct in cases unresponsive to conventional therapy. Delayed presentation and larger lesion size are key negative prognostic factors and should be considered when planning management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP10.11",
      "abstract_number": "FP10.11",
      "title": "Adjunctive Chlorhexidine In The Treatment Of Filamentous Fungal Keratitis: A Multicentre Randomised Controlled Trial",
      "authors": "Dr Jeremy John Hoffman",
      "presenter": "Dr Jeremy John Hoffman",
      "normalized_authors": [
        "Jeremy John Hoffman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jeremy John Hoffman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate whether adjunctive topical chlorhexidine 0.2% improves visual and clinical outcomes compared with standard natamycin 5% monotherapy in the treatment of filamentous fungal keratitis, a condition frequently associated with corneal perforation, need for therapeutic keratoplasty, and poor visual prognosis.",
        "Setting": "Prospective multicentre randomised controlled trial conducted at tertiary ophthalmic centres in Tanzania and Uganda managing high volumes of infectious keratitis.",
        "Methods": "Participants with smear- or in vivo confocal microscopy-confirmed filamentous fungal keratitis were randomised to receive:\n\n• Topical natamycin 5%, or\n\n• Combination therapy with topical natamycin 5% plus chlorhexidine 0.2%.\n\nTreatment was administered according to a prespecified protocol with intensive initial dosing.\n\nThe primary outcome was best spectacle-corrected visual acuity (BSCVA, logMAR) at 90 days, analysed using linear regression adjusted for baseline visual acuity and excluding mixed infections.\n\nSecondary outcomes included:\n\n• Corneal perforation or need for therapeutic keratoplasty\n\n• Time to epithelial healing (survival analysis)\n\n• Safety and adverse events.\n\nAnalyses followed the intention-to-treat principle with robust variance estimation.",
        "Results": "A total of 246 participants were included in the primary analysis.\n\nThere was a statistically significant difference in adjusted 90-day BSCVA between the two study arms (mean difference −0.16 logMAR; 95% CI −0.31 to −0.01; p=0.036).\n\nDefinite corneal perforation occurred in 32/122 (26.0%) eyes in Arm A and 14/120 (11.7%) in Arm B (Fisher’s exact p=0.005; OR≈0.37).\n\nTime to epithelial healing differed between groups (HR≈1.40, p≈0.030).\n\nBaseline disease severity was the strongest predictor of outcome across multivariable models.\n\nAdverse events were uncommon (5/244, 2.0%) and similar between study arms.\n\nAnalyses were conducted with treatment groups coded according to the prespecified plan; treatment identities remain concealed pending formal unmasking.",
        "Conclusions": "In this multicentre randomised controlled trial, statistically and clinically significant differences were observed between treatment groups in visual acuity, corneal perforation rates, and epithelial healing time.\n\nTreatment allocation remains masked in accordance with the prespecified statistical analysis plan. Full treatment attribution and complete clinical interpretation of the findings will be presented at the ESCRS Congress following formal unmasking. This study is designed to provide definitive evidence regarding the role of adjunctive chlorhexidine in the management of filamentous fungal keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this multicentre randomised controlled trial, statistically and clinically significant differences were observed between treatment groups in visual acuity, corneal perforation rates, and epithelial healing time. Treatment allocation remains masked in accordance with the prespecified statistical analysis plan. Full treatment attribution and complete clinical interpretation of the findings will be presented at the…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 147,
      "source_fields": {
        "Abstract Final Identifier": "FP10.11",
        "Title": "Adjunctive Chlorhexidine In The Treatment Of Filamentous Fungal Keratitis: A Multicentre Randomised Controlled Trial",
        "Presenting Author(s)": "Dr Jeremy John Hoffman",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Jeremy",
        "Submitter Middle Name": "John",
        "Submitter Last Name": "Hoffman",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate whether adjunctive topical chlorhexidine 0.2% improves visual and clinical outcomes compared with standard natamycin 5% monotherapy in the treatment of filamentous fungal keratitis, a condition frequently associated with corneal perforation, need for therapeutic keratoplasty, and poor visual prognosis.",
        "Setting": "Prospective multicentre randomised controlled trial conducted at tertiary ophthalmic centres in Tanzania and Uganda managing high volumes of infectious keratitis.",
        "Methods": "Participants with smear- or in vivo confocal microscopy-confirmed filamentous fungal keratitis were randomised to receive:\n\n• Topical natamycin 5%, or\n\n• Combination therapy with topical natamycin 5% plus chlorhexidine 0.2%.\n\nTreatment was administered according to a prespecified protocol with intensive initial dosing.\n\nThe primary outcome was best spectacle-corrected visual acuity (BSCVA, logMAR) at 90 days, analysed using linear regression adjusted for baseline visual acuity and excluding mixed infections.\n\nSecondary outcomes included:\n\n• Corneal perforation or need for therapeutic keratoplasty\n\n• Time to epithelial healing (survival analysis)\n\n• Safety and adverse events.\n\nAnalyses followed the intention-to-treat principle with robust variance estimation.",
        "Results": "A total of 246 participants were included in the primary analysis.\n\nThere was a statistically significant difference in adjusted 90-day BSCVA between the two study arms (mean difference −0.16 logMAR; 95% CI −0.31 to −0.01; p=0.036).\n\nDefinite corneal perforation occurred in 32/122 (26.0%) eyes in Arm A and 14/120 (11.7%) in Arm B (Fisher’s exact p=0.005; OR≈0.37).\n\nTime to epithelial healing differed between groups (HR≈1.40, p≈0.030).\n\nBaseline disease severity was the strongest predictor of outcome across multivariable models.\n\nAdverse events were uncommon (5/244, 2.0%) and similar between study arms.\n\nAnalyses were conducted with treatment groups coded according to the prespecified plan; treatment identities remain concealed pending formal unmasking.",
        "Conclusions": "In this multicentre randomised controlled trial, statistically and clinically significant differences were observed between treatment groups in visual acuity, corneal perforation rates, and epithelial healing time.\n\nTreatment allocation remains masked in accordance with the prespecified statistical analysis plan. Full treatment attribution and complete clinical interpretation of the findings will be presented at the ESCRS Congress following formal unmasking. This study is designed to provide definitive evidence regarding the role of adjunctive chlorhexidine in the management of filamentous fungal keratitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "FP10.12",
      "abstract_number": "FP10.12",
      "title": "Diagnostic Accuracy Of A Crispr-Based Assay In Smear- And Culture-Negative Fungal Keratitis",
      "authors": "Dr Siddharth Narendran",
      "presenter": "Dr Siddharth Narendran",
      "normalized_authors": [
        "Siddharth Narendran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Siddharth Narendran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To determine the diagnostic accuracy of a CRISPR-based Rapid Identification of Mycoses using CRISPR (RID-MyC) assay for detecting FK in patients with negative smear and culture results, using in vivo confocal microscopy (IVCM) as the reference standard.",
        "Setting": "Design: Prospective diagnostic accuracy study conducted from December 2024 to March 2025.\n\nSetting: Single-center, tertiary ophthalmology referral hospital",
        "Methods": "Of 245 consecutive patients clinically suspected to have microbial keratitis, 82 were smear-negative. After exclusions due to contraindications or positive subsequent cultures, 41 smear- and culture-negative patients were ultimately included in the final analysis. All included participants underwent corneal scraping for RID-MyC assay and imaging by IVCM. The primary outcomes were sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic concordance of the RID-MyC assay compared with IVCM results.",
        "Results": "Of the 41 smear- and culture-negative patients (mean [SD] age, 51.0 [14.6] years; 20 [48.7%] men, 21 [51.2%] women), RID-MyC demonstrated sensitivity of 82.1% (95% CI, 63%-94%) and specificity of 76.9% (95% CI, 46%-95%). Positive predictive value was 88.5% (95% CI, 74%-95%), and negative predictive value was 66.7% (95% CI, 46%-82%). Concordance between RID-MyC and IVCM was observed in 33 cases (80.5%). Notably, prior antifungal treatment was most frequent (4 of 5 [80%]) among cases with positive IVCM but negative RID-MyC results. Conversely, all cases (3 of 3 [100%]) with negative IVCM but positive RID-MyC findings had smaller, peripheral or paracentral lesions.",
        "Conclusions": "In patients with smear- and culture-negative FK, RID-MyC assay showed good diagnostic accuracy comparable with IVCM and was feasible in all cases, including those in whom imaging was not possible. With its rapid turnaround and minimal equipment needs, RID-MyC may serve as a practical adjunct to conventional diagnostics, particularly in high-burden, resource-limited settings where IVCM is unavailable or contraindicated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with smear- and culture-negative FK, RID-MyC assay showed good diagnostic accuracy comparable with IVCM and was feasible in all cases, including those in whom imaging was not possible. With its rapid turnaround and minimal equipment needs, RID-MyC may serve as a practical adjunct to conventional diagnostics, particularly in high-burden, resource-limited settings where IVCM is unavailable or…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 148,
      "source_fields": {
        "Abstract Final Identifier": "FP10.12",
        "Title": "Diagnostic Accuracy Of A Crispr-Based Assay In Smear- And Culture-Negative Fungal Keratitis",
        "Presenting Author(s)": "Dr Siddharth Narendran",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Siddharth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Narendran",
        "Country Name": "India",
        "Purpose": "To determine the diagnostic accuracy of a CRISPR-based Rapid Identification of Mycoses using CRISPR (RID-MyC) assay for detecting FK in patients with negative smear and culture results, using in vivo confocal microscopy (IVCM) as the reference standard.",
        "Setting": "Design: Prospective diagnostic accuracy study conducted from December 2024 to March 2025.\n\nSetting: Single-center, tertiary ophthalmology referral hospital",
        "Methods": "Of 245 consecutive patients clinically suspected to have microbial keratitis, 82 were smear-negative. After exclusions due to contraindications or positive subsequent cultures, 41 smear- and culture-negative patients were ultimately included in the final analysis. All included participants underwent corneal scraping for RID-MyC assay and imaging by IVCM. The primary outcomes were sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic concordance of the RID-MyC assay compared with IVCM results.",
        "Results": "Of the 41 smear- and culture-negative patients (mean [SD] age, 51.0 [14.6] years; 20 [48.7%] men, 21 [51.2%] women), RID-MyC demonstrated sensitivity of 82.1% (95% CI, 63%-94%) and specificity of 76.9% (95% CI, 46%-95%). Positive predictive value was 88.5% (95% CI, 74%-95%), and negative predictive value was 66.7% (95% CI, 46%-82%). Concordance between RID-MyC and IVCM was observed in 33 cases (80.5%). Notably, prior antifungal treatment was most frequent (4 of 5 [80%]) among cases with positive IVCM but negative RID-MyC results. Conversely, all cases (3 of 3 [100%]) with negative IVCM but positive RID-MyC findings had smaller, peripheral or paracentral lesions.",
        "Conclusions": "In patients with smear- and culture-negative FK, RID-MyC assay showed good diagnostic accuracy comparable with IVCM and was feasible in all cases, including those in whom imaging was not possible. With its rapid turnaround and minimal equipment needs, RID-MyC may serve as a practical adjunct to conventional diagnostics, particularly in high-burden, resource-limited settings where IVCM is unavailable or contraindicated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "FP10.13",
      "abstract_number": "FP10.13",
      "title": "A Hybrid Cnn-Vision Transformer Approach For The Differentiation Of Fungal And Bacterial Keratitis",
      "authors": "Dr Deema Jomar",
      "presenter": "Dr Deema Jomar",
      "normalized_authors": [
        "Deema Jomar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adi Al Owaifeer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the diagnostic performance of a novel hybrid deep learning framework that integrates Convolutional Neural Networks (CNN) and Vision Transformers (ViT) for the automated differentiation of fungal keratitis (FK) and bacterial keratitis (BK) using slit-lamp photography . The study aimed to determine if combining local feature extraction with global spatial attention could overcome the diagnostic challenges posed by overlapping clinical features in infectious keratitis .",
        "Setting": "This was a diagnostic deep learning evaluation study at a tertiary eye care center.",
        "Methods": "A total of 5,713 slit-lamp images (augmented from 783 original images of 351 patients) were utilized, with ground truth established via laboratory culture or biopsy. Images were partitioned at the patient level into training (n=4,570) and testing (n=1,143) sets. We developed a hybrid CNN+ViT architecture designed to capture both local morphological features—such as feathery borders—and global spatial dependencies, such as satellite lesions. Performance was compared against standalone architectures, including MobileNetV2, VGG16, CNN, and a standard ViT.",
        "Results": "The hybrid CNN+ViT model achieved a superior diagnostic accuracy of 96.51%, significantly outperforming standalone CNN models (which ranged from 60.19% to 78.39%) and the standalone ViT (69.64%). The framework demonstrated robust discriminative capability with an AUROC of 0.99. On the independent test set, the model correctly identified 583 bacterial and 517 fungal cases, achieving a precision of 96.04% and a recall of 96.84%.",
        "Conclusions": "The hybrid CNN+ViT architecture significantly enhances the differentiation of FK and BK compared to standalone models by effectively bridging the gap between local textural nuances and broader structural patterns. This approach offers a reliable clinical decision support tool that can provide immediate probability scores during initial presentation, potentially reducing time-to-treatment for devastating fungal infections."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The hybrid CNN+ViT architecture significantly enhances the differentiation of FK and BK compared to standalone models by effectively bridging the gap between local textural nuances and broader structural patterns. This approach offers a reliable clinical decision support tool that can provide immediate probability scores during initial presentation, potentially reducing time-to-treatment for devastating fungal…",
      "session_type": "Free Paper",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 149,
      "source_fields": {
        "Abstract Final Identifier": "FP10.13",
        "Title": "A Hybrid Cnn-Vision Transformer Approach For The Differentiation Of Fungal And Bacterial Keratitis",
        "Presenting Author(s)": "Dr Deema Jomar",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Adi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al Owaifeer",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the diagnostic performance of a novel hybrid deep learning framework that integrates Convolutional Neural Networks (CNN) and Vision Transformers (ViT) for the automated differentiation of fungal keratitis (FK) and bacterial keratitis (BK) using slit-lamp photography . The study aimed to determine if combining local feature extraction with global spatial attention could overcome the diagnostic challenges posed by overlapping clinical features in infectious keratitis .",
        "Setting": "This was a diagnostic deep learning evaluation study at a tertiary eye care center.",
        "Methods": "A total of 5,713 slit-lamp images (augmented from 783 original images of 351 patients) were utilized, with ground truth established via laboratory culture or biopsy. Images were partitioned at the patient level into training (n=4,570) and testing (n=1,143) sets. We developed a hybrid CNN+ViT architecture designed to capture both local morphological features—such as feathery borders—and global spatial dependencies, such as satellite lesions. Performance was compared against standalone architectures, including MobileNetV2, VGG16, CNN, and a standard ViT.",
        "Results": "The hybrid CNN+ViT model achieved a superior diagnostic accuracy of 96.51%, significantly outperforming standalone CNN models (which ranged from 60.19% to 78.39%) and the standalone ViT (69.64%). The framework demonstrated robust discriminative capability with an AUROC of 0.99. On the independent test set, the model correctly identified 583 bacterial and 517 fungal cases, achieving a precision of 96.04% and a recall of 96.84%.",
        "Conclusions": "The hybrid CNN+ViT architecture significantly enhances the differentiation of FK and BK compared to standalone models by effectively bridging the gap between local textural nuances and broader structural patterns. This approach offers a reliable clinical decision support tool that can provide immediate probability scores during initial presentation, potentially reducing time-to-treatment for devastating fungal infections."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "FP10.14",
      "abstract_number": "FP10.14",
      "title": "Topical Azithromycin Versus Oral Doxycycline For Meibomian Gland Dysfunction - A Systematic Review And Meta-Analysis",
      "authors": "Dr Dror Ben Ephraim Noyman",
      "presenter": "Dr Dror Ben Ephraim Noyman",
      "normalized_authors": [
        "Dror Ben Ephraim Noyman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dror Ben Ephraim Noyman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "MGD is a common ophthalmologic condition causing progressive damage to the ocular surface. Treatments often include antibiotics, with a recent analysis showing oral azithromycin's superiority over doxycycline. This study compares oral doxycycline and topical azithromycin for MGD treatment",
        "Setting": "Systematic review and meta-analysis.",
        "Methods": "A comprehensive search of PubMed, Scopus, Embase, and ClinicalTrials.gov identified 3,696 publications (1964–2024) from which randomized controlled trials (RCTs) comparing oral tetracyclines with topical macrolides for MGD were sought. Eligible studies reported outcomes related to tear film stability, meibomian gland function, ocular surface health, or symptom severity. Data extraction followed PRISMA guidelines and risk of bias was assessed using Cochrane methods.",
        "Results": "Seven RCTs from distinct locations (408 patients) were included. Regimens were comparable: 1 month of topical azithromycin (1–1.5%, 1-4 times daily) versus 3-8 weeks of oral doxycycline (100-200 mg daily). Both improved MGD signs and symptoms. Topical azithromycin was superior in total symptom score (odds ratio [OR], 1.58; 95% confidence interval [CI], 1.01–2.46) and reduced tear debris (OR, 0.33; 95% CI, 0.15–0.74). Subgroup analysis showed doxycycline was superior for corneal staining (standardized mean difference [SMD], 0.64; 95% CI, 0.22–1.05), whereas 1% azithromycin was superior for tear breakup time (mean difference [MD], –1.28; 95% CI, –2.02 to –0.53) and dropout-causing adverse events (risk ratio [RR], 0.22; 95% CI, 0.08–0.63).",
        "Conclusions": "Both topical azithromycin and oral doxycycline are effective for MGD management. Topical azithromycin demonstrated a more favorable safety profile and may be considered a first-line treatment, particularly for patients with low tolerance to systemic medications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both topical azithromycin and oral doxycycline are effective for MGD management. Topical azithromycin demonstrated a more favorable safety profile and may be considered a first-line treatment, particularly for patients with low tolerance to systemic medications.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 150,
      "source_fields": {
        "Abstract Final Identifier": "FP10.14",
        "Title": "Topical Azithromycin Versus Oral Doxycycline For Meibomian Gland Dysfunction - A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Dror Ben Ephraim Noyman",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Dror",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Ephraim Noyman",
        "Country Name": "Israel",
        "Purpose": "MGD is a common ophthalmologic condition causing progressive damage to the ocular surface. Treatments often include antibiotics, with a recent analysis showing oral azithromycin's superiority over doxycycline. This study compares oral doxycycline and topical azithromycin for MGD treatment",
        "Setting": "Systematic review and meta-analysis.",
        "Methods": "A comprehensive search of PubMed, Scopus, Embase, and ClinicalTrials.gov identified 3,696 publications (1964–2024) from which randomized controlled trials (RCTs) comparing oral tetracyclines with topical macrolides for MGD were sought. Eligible studies reported outcomes related to tear film stability, meibomian gland function, ocular surface health, or symptom severity. Data extraction followed PRISMA guidelines and risk of bias was assessed using Cochrane methods.",
        "Results": "Seven RCTs from distinct locations (408 patients) were included. Regimens were comparable: 1 month of topical azithromycin (1–1.5%, 1-4 times daily) versus 3-8 weeks of oral doxycycline (100-200 mg daily). Both improved MGD signs and symptoms. Topical azithromycin was superior in total symptom score (odds ratio [OR], 1.58; 95% confidence interval [CI], 1.01–2.46) and reduced tear debris (OR, 0.33; 95% CI, 0.15–0.74). Subgroup analysis showed doxycycline was superior for corneal staining (standardized mean difference [SMD], 0.64; 95% CI, 0.22–1.05), whereas 1% azithromycin was superior for tear breakup time (mean difference [MD], –1.28; 95% CI, –2.02 to –0.53) and dropout-causing adverse events (risk ratio [RR], 0.22; 95% CI, 0.08–0.63).",
        "Conclusions": "Both topical azithromycin and oral doxycycline are effective for MGD management. Topical azithromycin demonstrated a more favorable safety profile and may be considered a first-line treatment, particularly for patients with low tolerance to systemic medications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "FP10.15",
      "abstract_number": "FP10.15",
      "title": "Evaluation Of Ocular Surface And Corneal Topography After External Dacryocystorhinostomy",
      "authors": "Dr Çağlar Bildirici",
      "presenter": "Dr Çağlar Bildirici",
      "normalized_authors": [
        "Çağlar Bildirici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Çağlar Bildirici",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "In primary acquired nasolacrimal duct obstruction (PANDO), impaired tear drainage may create an inflammatory environment, leading to deterioration in tear quality.The aim of our study is to determine the changes that may occur in tear break-up time (TBUT), corneal topography, and Ocular Surface Disease Index (OSDI) score after external dacryocystorhinostomy (EX-DCR). We believe that the results will contribute to preoperative patient evaluation and information, as well as postoperative patient management.",
        "Setting": "Kütahya City Hospital",
        "Methods": "Our study included patients who presented to our clinic with epiphora, were diagnosed with PANDO, and underwent EX-DCR between January 2025 and July 2025.Preoperative and postoperative TBUT and OSDI scores, as well as corneal topography parameters, were examined. Corneal topography parameters were defined as central corneal thickness (CCT), K1, K2, Km, Kmax front, corneal astigmatism, axis, and index of vertical asymmetry (IVA). All parameters were statistically compared. The distribution of variables is measured by Kolmogorov Smirnov and Shapiro-Wilk tests . Paired samples t test and W ilcoxon test were used for the repeated measurement analysis . SPSS 27.0 was used for statistical analyses.",
        "Results": "Significant increases were observed in the mean TBUT values at 1, 3, and 6 months compared to baseline (p<0.05).There was no significant difference between the 1st, 3rd, and 6th months (p>0.05).\n\nA significant decrease in OSDI scores was observed at 1, 3, and 6 months compared to baseline (p<0.05). A significant decrease in OSDI score was observed at 3 months compared to 1st month (p<0.05). No significant change was observed between 6 months and 3 months (p>0.05).\n\nThe mean CCT values at 1st, 3rd, and 6th months showed a significant decrease compared to baseline (p<0.05).There was no significant difference between the 1st, 3rd, and 6th months (p>0.05).\n\nNo significant changes were observed in other topographic parameters (p>0.05).",
        "Conclusions": "The significant increase in mean TBUT values compared to baseline and the decrease in OSDI scores indicate that EX-DCR positively affects ocular surface stability and provides symptomatic relief. The lower OSDI score in the third month compared to the first month indicates that symptomatic improvement continues alongside tissue healing.\n\nThe decrease in CCT compared to baseline, with other topographic parameters remaining stable, suggests that this decrease is related to the ocular surface. One possible reason for this change is the regulation of corneal hydration after EX-DCR.\n\nWe believe that our study is particularly valuable as it is the first study in the literature to address the relationship between EX-DCR and corneal topography."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The significant increase in mean TBUT values compared to baseline and the decrease in OSDI scores indicate that EX-DCR positively affects ocular surface stability and provides symptomatic relief. The lower OSDI score in the third month compared to the first month indicates that symptomatic improvement continues alongside tissue healing. The decrease in CCT compared to baseline, with other topographic parameters…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 151,
      "source_fields": {
        "Abstract Final Identifier": "FP10.15",
        "Title": "Evaluation Of Ocular Surface And Corneal Topography After External Dacryocystorhinostomy",
        "Presenting Author(s)": "Dr Çağlar Bildirici",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Çağlar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bildirici",
        "Country Name": "Türkiye",
        "Purpose": "In primary acquired nasolacrimal duct obstruction (PANDO), impaired tear drainage may create an inflammatory environment, leading to deterioration in tear quality.The aim of our study is to determine the changes that may occur in tear break-up time (TBUT), corneal topography, and Ocular Surface Disease Index (OSDI) score after external dacryocystorhinostomy (EX-DCR). We believe that the results will contribute to preoperative patient evaluation and information, as well as postoperative patient management.",
        "Setting": "Kütahya City Hospital",
        "Methods": "Our study included patients who presented to our clinic with epiphora, were diagnosed with PANDO, and underwent EX-DCR between January 2025 and July 2025.Preoperative and postoperative TBUT and OSDI scores, as well as corneal topography parameters, were examined. Corneal topography parameters were defined as central corneal thickness (CCT), K1, K2, Km, Kmax front, corneal astigmatism, axis, and index of vertical asymmetry (IVA). All parameters were statistically compared. The distribution of variables is measured by Kolmogorov Smirnov and Shapiro-Wilk tests . Paired samples t test and W ilcoxon test were used for the repeated measurement analysis . SPSS 27.0 was used for statistical analyses.",
        "Results": "Significant increases were observed in the mean TBUT values at 1, 3, and 6 months compared to baseline (p<0.05).There was no significant difference between the 1st, 3rd, and 6th months (p>0.05).\n\nA significant decrease in OSDI scores was observed at 1, 3, and 6 months compared to baseline (p<0.05). A significant decrease in OSDI score was observed at 3 months compared to 1st month (p<0.05). No significant change was observed between 6 months and 3 months (p>0.05).\n\nThe mean CCT values at 1st, 3rd, and 6th months showed a significant decrease compared to baseline (p<0.05).There was no significant difference between the 1st, 3rd, and 6th months (p>0.05).\n\nNo significant changes were observed in other topographic parameters (p>0.05).",
        "Conclusions": "The significant increase in mean TBUT values compared to baseline and the decrease in OSDI scores indicate that EX-DCR positively affects ocular surface stability and provides symptomatic relief. The lower OSDI score in the third month compared to the first month indicates that symptomatic improvement continues alongside tissue healing.\n\nThe decrease in CCT compared to baseline, with other topographic parameters remaining stable, suggests that this decrease is related to the ocular surface. One possible reason for this change is the regulation of corneal hydration after EX-DCR.\n\nWe believe that our study is particularly valuable as it is the first study in the literature to address the relationship between EX-DCR and corneal topography."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 424
    },
    {
      "uid": "FP11.01",
      "abstract_number": "FP11.01",
      "title": "Does Age Influence Corneal Transparency After Klex? Quantitative Densitometry Outcomes",
      "authors": "Dr Amir Javadi",
      "presenter": "Dr Amir Javadi",
      "normalized_authors": [
        "Amir Javadi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amir Javadi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "SMILE, the first keratorefractive lenticule extraction (KLEX) procedure, is well established, with more than 13 million procedures performed worldwide. Given the broad spectrum of candidates undergoing SMILE, postoperative corneal clarity and interface transparency show clinically observable variability. In clinical practice, age is suspected to influence wound healing behavior and may be associated with subtle, subclinical interface findings. This study was designed to objectively evaluate the effect of age on postoperative corneal transparency using quantitative densitometry, while minimizing confounding through matching relevant preoperative and perioperative factors.",
        "Setting": "Retrospective cohort study including patients who underwent SMILE between 2014 and 2025 at the Department of Ophthalmology, Ludwig Maximilian University of Munich, and the SmileEyes eye clinics in Munich, Germany.",
        "Methods": "From a cohort of more than 10,000 eyes undergoing SMILE during the study period, eyes were stratified by age at surgery into eight groups: 18–25, 26–30, 31–35, 36–40, 40–45, 46–50, 50–55, and >55 years. Within these strata, potential confounders were controlled through matching, including surgeon, VisuMax laser delivery parameters (spot size, spot/track spacing, and pulse energy), and the postoperative medication regimen. The large underlying dataset enabled selection of eyes with comparable preoperative refractive error, with matching for manifest refraction spherical equivalent (MRSE) within each age group. Corneal transparency was quantified using Scheimpflug-based Pentacam HR densitometry, analyzing the anterior 120 µm of the cornea.",
        "Results": "A total of 564 eyes were analyzed across the eight age strata. Mean anterior stromal densitometry differed significantly in patients aged ≥46 years, whereas the 40–45-year group showed a numerically higher value without statistical significance.Pairwise comparisons of age groups at each follow-up time point were performed using estimated marginal means with Tukey-adjusted post-hoc testing to control for multiple comparisons. The between group separation was most pronounced at postoperative week 6; at 1-year, significant differences persisted only in the ≥46-year strata. Confidence intervals widened progressively with age, indicating greater inter-individual variability and a small subset of older eyes with marked densitometry outliers.",
        "Conclusions": "Our findings support age as an important determinant of postoperative corneal transparency after SMILE, with patients of certain age threshold demonstrating higher anterior stromal densitometry and greater inter individual variability. These results may have practical implications for patient selection, optimizing procedure planning, and in particular, support age-tailored postoperative follow-up and medication regimen."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings support age as an important determinant of postoperative corneal transparency after SMILE, with patients of certain age threshold demonstrating higher anterior stromal densitometry and greater inter individual variability. These results may have practical implications for patient selection, optimizing procedure planning, and in particular, support age-tailored postoperative follow-up and medication…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 152,
      "source_fields": {
        "Abstract Final Identifier": "FP11.01",
        "Title": "Does Age Influence Corneal Transparency After Klex? Quantitative Densitometry Outcomes",
        "Presenting Author(s)": "Dr Amir Javadi",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Amir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Javadi",
        "Country Name": "Germany",
        "Purpose": "SMILE, the first keratorefractive lenticule extraction (KLEX) procedure, is well established, with more than 13 million procedures performed worldwide. Given the broad spectrum of candidates undergoing SMILE, postoperative corneal clarity and interface transparency show clinically observable variability. In clinical practice, age is suspected to influence wound healing behavior and may be associated with subtle, subclinical interface findings. This study was designed to objectively evaluate the effect of age on postoperative corneal transparency using quantitative densitometry, while minimizing confounding through matching relevant preoperative and perioperative factors.",
        "Setting": "Retrospective cohort study including patients who underwent SMILE between 2014 and 2025 at the Department of Ophthalmology, Ludwig Maximilian University of Munich, and the SmileEyes eye clinics in Munich, Germany.",
        "Methods": "From a cohort of more than 10,000 eyes undergoing SMILE during the study period, eyes were stratified by age at surgery into eight groups: 18–25, 26–30, 31–35, 36–40, 40–45, 46–50, 50–55, and >55 years. Within these strata, potential confounders were controlled through matching, including surgeon, VisuMax laser delivery parameters (spot size, spot/track spacing, and pulse energy), and the postoperative medication regimen. The large underlying dataset enabled selection of eyes with comparable preoperative refractive error, with matching for manifest refraction spherical equivalent (MRSE) within each age group. Corneal transparency was quantified using Scheimpflug-based Pentacam HR densitometry, analyzing the anterior 120 µm of the cornea.",
        "Results": "A total of 564 eyes were analyzed across the eight age strata. Mean anterior stromal densitometry differed significantly in patients aged ≥46 years, whereas the 40–45-year group showed a numerically higher value without statistical significance.Pairwise comparisons of age groups at each follow-up time point were performed using estimated marginal means with Tukey-adjusted post-hoc testing to control for multiple comparisons. The between group separation was most pronounced at postoperative week 6; at 1-year, significant differences persisted only in the ≥46-year strata. Confidence intervals widened progressively with age, indicating greater inter-individual variability and a small subset of older eyes with marked densitometry outliers.",
        "Conclusions": "Our findings support age as an important determinant of postoperative corneal transparency after SMILE, with patients of certain age threshold demonstrating higher anterior stromal densitometry and greater inter individual variability. These results may have practical implications for patient selection, optimizing procedure planning, and in particular, support age-tailored postoperative follow-up and medication regimen."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "FP11.02",
      "abstract_number": "FP11.02",
      "title": "Impact Of Preoperative Tear Total Antioxidant Capacity On Refractive Predictability After Keratorefractive Lenticule Extraction",
      "authors": "Dr Yu-Ting Tsao",
      "presenter": "Dr Yu-Ting Tsao",
      "normalized_authors": [
        "Yu-Ting Tsao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yu-Ting Tsao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To evaluate the predictive value of preoperative tear total antioxidant capacity (TAC) for refractive outcomes and predictability after keratorefractive lenticule extraction (KLEX).",
        "Setting": "A multi-center collaborative study involving clinical sample collection at Nobel Eye Clinic, with laboratory TAC measurements and integrated data analysis performed at the Tissue Engineering Center and the Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.",
        "Methods": "This prospective cohort study enrolled 100 eyes of 51 patients undergoing KLEX. Preoperative tear samples were collected using Schirmer strips and analyzed for TAC. Postoperative spherical equivalent (SE) and absolute SE (|SE|) were measured at 1 month. A quadratic regression model was employed to identify the optimal TAC level. Statistical robustness was ensured using bootstrapping (1,000 resamples, 95% BCa CI) and Generalized Estimating Equations (GEE) to adjust for inter-eye correlation and potential covariates, including age, gender, preoperative SE, BCVA, IOP, and tear volume.",
        "Results": "Significant positive correlation was observed between preoperative TAC and postoperative SE (r = 0.337, P < 0.001). Furthermore, a quadratic regression model revealed a U-shaped distribution for |SE| ( P = 0.042), with the theoretical optimal vertex at 664.8 uM. Eyes within the \"homeostatic window\" (TAC 300-900 uM) achieved significantly lower |SE| (0.35 ± 0.24 D) compared to the low and high TAC cohorts ( P < 0.05). Multivariate GEE analysis confirmed preoperative TAC as an independent predictor of refractive accuracy ( P = 0.004).",
        "Conclusions": "Preoperative tear TAC serves as a significant biomarker for KLEX outcomes. While a linear correlation exists, the identification of a homeostatic window (300-900 uM) suggests that extremes in TAC levels impair refractive predictability. These findings provide a biological basis for preoperative nomogram adjustments—specifically, targeting over-correction for low TAC and under-correction for high TAC—to enhance surgical precision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative tear TAC serves as a significant biomarker for KLEX outcomes. While a linear correlation exists, the identification of a homeostatic window (300-900 uM) suggests that extremes in TAC levels impair refractive predictability. These findings provide a biological basis for preoperative nomogram adjustments—specifically, targeting over-correction for low TAC and under-correction for high TAC—to enhance…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 153,
      "source_fields": {
        "Abstract Final Identifier": "FP11.02",
        "Title": "Impact Of Preoperative Tear Total Antioxidant Capacity On Refractive Predictability After Keratorefractive Lenticule Extraction",
        "Presenting Author(s)": "Dr Yu-Ting Tsao",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Yu-Ting",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tsao",
        "Country Name": "Taiwan",
        "Purpose": "To evaluate the predictive value of preoperative tear total antioxidant capacity (TAC) for refractive outcomes and predictability after keratorefractive lenticule extraction (KLEX).",
        "Setting": "A multi-center collaborative study involving clinical sample collection at Nobel Eye Clinic, with laboratory TAC measurements and integrated data analysis performed at the Tissue Engineering Center and the Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.",
        "Methods": "This prospective cohort study enrolled 100 eyes of 51 patients undergoing KLEX. Preoperative tear samples were collected using Schirmer strips and analyzed for TAC. Postoperative spherical equivalent (SE) and absolute SE (|SE|) were measured at 1 month. A quadratic regression model was employed to identify the optimal TAC level. Statistical robustness was ensured using bootstrapping (1,000 resamples, 95% BCa CI) and Generalized Estimating Equations (GEE) to adjust for inter-eye correlation and potential covariates, including age, gender, preoperative SE, BCVA, IOP, and tear volume.",
        "Results": "Significant positive correlation was observed between preoperative TAC and postoperative SE (r = 0.337, P < 0.001). Furthermore, a quadratic regression model revealed a U-shaped distribution for |SE| ( P = 0.042), with the theoretical optimal vertex at 664.8 uM. Eyes within the \"homeostatic window\" (TAC 300-900 uM) achieved significantly lower |SE| (0.35 ± 0.24 D) compared to the low and high TAC cohorts ( P < 0.05). Multivariate GEE analysis confirmed preoperative TAC as an independent predictor of refractive accuracy ( P = 0.004).",
        "Conclusions": "Preoperative tear TAC serves as a significant biomarker for KLEX outcomes. While a linear correlation exists, the identification of a homeostatic window (300-900 uM) suggests that extremes in TAC levels impair refractive predictability. These findings provide a biological basis for preoperative nomogram adjustments—specifically, targeting over-correction for low TAC and under-correction for high TAC—to enhance surgical precision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "FP11.03",
      "abstract_number": "FP11.03",
      "title": "Vector Analysis Of Keratorefractive Lenticule Excision For The Treatment Of Myopic Astigmatism",
      "authors": "Dr Zea Munro",
      "presenter": "Dr Zea Munro",
      "normalized_authors": [
        "Zea Munro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zea Munro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "New Zealand",
      "sections": {
        "Purpose": "To analyse the efficacy of treatment of myopic astigmatism, one dioptre or greater, with keratorefractive lenticule excision (KLEx) using the using the Zeiss Visumax 500 (SMILE) and Visumax 800 (SMILEpro) femtosecond laser platforms.",
        "Setting": "A dedicated refractive surgical practice based in Christchurch, New Zealand.",
        "Methods": "A comprehensive database of all pre-operative, surgical and post-operative results for KLEx procedures has been maintained since implementation of KLEx in 2018. The analysis included 622 procedures for myopic astigmatism of one dioptre or more. Of these, 501 (80.5%) were SMILE procedures with the Zeiss Visumax 500 laser and 121 (19.5%) were SMILEpro procedures using the Visumax 800 laser. Both the Alpins method of vector analysis and the Journal of Cataract and Refractive Surgery (JCRS) double plot tool were utilized to assess accuracy if the astigmatic correction. Correction of with-the-rule, oblique and against-the-rule astigmatism were compared.",
        "Results": "The mean astigmatism correction was 1.60D ± 0.65D, with a range from 1.00 to 5.00D. There were 396 (63.7%) with-the-rule, 65 (10.5%) oblique and 161 (25.9%) against-the-rule astigmatism treatments. The average of the absolute value of angle of error was 6.6 degrees. The geometric mean of the correction index (ideally 1) was 0.88, indicating an under correction. The coefficient of adjustment geometric mean was 1.14. The geometric mean of the coefficient of adjustment for with-the-rule astigmatism was 1.19, for oblique astigmatism was 1.07 and for against-the-rule astigmatism was 1.05.",
        "Conclusions": "Vector analysis of SMILE and SMILEpro myopic astigmatism corrections shows an overall under correction of astigmatism. The under correction is greater for with-the-rule astigmatism, less for oblique astigmatism and least for against-the-rule astigmatism corrections."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vector analysis of SMILE and SMILEpro myopic astigmatism corrections shows an overall under correction of astigmatism. The under correction is greater for with-the-rule astigmatism, less for oblique astigmatism and least for against-the-rule astigmatism corrections.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 154,
      "source_fields": {
        "Abstract Final Identifier": "FP11.03",
        "Title": "Vector Analysis Of Keratorefractive Lenticule Excision For The Treatment Of Myopic Astigmatism",
        "Presenting Author(s)": "Dr Zea Munro",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Zea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Munro",
        "Country Name": "New Zealand",
        "Purpose": "To analyse the efficacy of treatment of myopic astigmatism, one dioptre or greater, with keratorefractive lenticule excision (KLEx) using the using the Zeiss Visumax 500 (SMILE) and Visumax 800 (SMILEpro) femtosecond laser platforms.",
        "Setting": "A dedicated refractive surgical practice based in Christchurch, New Zealand.",
        "Methods": "A comprehensive database of all pre-operative, surgical and post-operative results for KLEx procedures has been maintained since implementation of KLEx in 2018. The analysis included 622 procedures for myopic astigmatism of one dioptre or more. Of these, 501 (80.5%) were SMILE procedures with the Zeiss Visumax 500 laser and 121 (19.5%) were SMILEpro procedures using the Visumax 800 laser. Both the Alpins method of vector analysis and the Journal of Cataract and Refractive Surgery (JCRS) double plot tool were utilized to assess accuracy if the astigmatic correction. Correction of with-the-rule, oblique and against-the-rule astigmatism were compared.",
        "Results": "The mean astigmatism correction was 1.60D ± 0.65D, with a range from 1.00 to 5.00D. There were 396 (63.7%) with-the-rule, 65 (10.5%) oblique and 161 (25.9%) against-the-rule astigmatism treatments. The average of the absolute value of angle of error was 6.6 degrees. The geometric mean of the correction index (ideally 1) was 0.88, indicating an under correction. The coefficient of adjustment geometric mean was 1.14. The geometric mean of the coefficient of adjustment for with-the-rule astigmatism was 1.19, for oblique astigmatism was 1.07 and for against-the-rule astigmatism was 1.05.",
        "Conclusions": "Vector analysis of SMILE and SMILEpro myopic astigmatism corrections shows an overall under correction of astigmatism. The under correction is greater for with-the-rule astigmatism, less for oblique astigmatism and least for against-the-rule astigmatism corrections."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "FP11.04",
      "abstract_number": "FP11.04",
      "title": "Reversing The Geometry: Contralateral-Eye Comparison Of Reverse‑Asymmetric Versus Asymmetric Klex With A Low-Energy Femtosecond Laser",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To determine whether reverse ‑ asymmetric femtosecond spot–track geometry (spot 2.8 µm / track 6.0 µm) is clinically interchangeable with conventional asymmetric geometry (spot 6.0 µm / track 2.8 µm) for keratorefractive lenticule extraction (KLEx) using a low ‑ energy femtosecond laser set to 75nJ per pulse.",
        "Setting": "Single surgeon single center contralateral randomized study",
        "Methods": "Prospective contralateral-eye study of 82 eyes (41 patients) treated on a single platform (ATOS, Schwind). One eye received asymmetric geometry and the fellow eye reverse-asymmetric geometry. Outcomes at POD1, POW1, and POM1 included UDVA (logMAR), Micro-Aberration Scatter Index (MASI), and wavefront RMS (total HOAs, coma, spherical aberration) at 6-mm corneal and 4-mm ocular pupils. HOA change was calculated as Δ = post-op − pre-op at POW1 and POM1. Refractive predictability at POM1 was assessed using attempted vs achieved SEQ. Primary contrasts were paired differences. Holm–Bonferroni corrections were applied per endpoint family. UDVA equivalence was tested against ±0.05 logMAR (90% CIs).",
        "Results": "Preoperative demographics, refraction, pachymetry, and HOAs were comparable between geometries (n=41 pairs). UDVA did not differ at any visit (POD1, POW1, POM1; all P≥0.65). Paired UDVA differences remained non-significant after Holm correction, and 90% CIs at POD1 and POW1 were within ±0.05 logMAR, confirming equivalence. MASI showed no intergroup differences. After corneal wavefront trimming (|CW HOA|≤20 µm), paired Δ-HOA outcomes (total HOA, coma, spherical aberration) at 6-mm corneal and 4-mm ocular pupils were non-significant at POW1 and POM1. At POM1, refractive predictability was high and geometry-independent (~96% within ±0.50 D; 100% within ±1.00 D). No intraoperative complications occurred; no eye lost ≥1 line CDVA.",
        "Conclusions": "Reversing the spot–track orientation while maintaining same pulse power at 75nJ to 2.8/6.0 µm yields visual, optical, and refractive outcomes equivalent to the conventional 6.0/2.8 µm asymmetric geometry under Holm ‑ adjusted inference, with UDVA equivalence confirmed at POD1 and POW1. Given the shorter laser ‑ on time observed with the reverse ‑ asymmetric pattern, either geometry can be used interchangeably in low ‑ energy KLEx."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Reversing the spot–track orientation while maintaining same pulse power at 75nJ to 2.8/6.0 µm yields visual, optical, and refractive outcomes equivalent to the conventional 6.0/2.8 µm asymmetric geometry under Holm ‑ adjusted inference, with UDVA equivalence confirmed at POD1 and POW1. Given the shorter laser ‑ on time observed with the reverse ‑ asymmetric pattern, either geometry can be used interchangeably in…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 155,
      "source_fields": {
        "Abstract Final Identifier": "FP11.04",
        "Title": "Reversing The Geometry: Contralateral-Eye Comparison Of Reverse‑Asymmetric Versus Asymmetric Klex With A Low-Energy Femtosecond Laser",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To determine whether reverse ‑ asymmetric femtosecond spot–track geometry (spot 2.8 µm / track 6.0 µm) is clinically interchangeable with conventional asymmetric geometry (spot 6.0 µm / track 2.8 µm) for keratorefractive lenticule extraction (KLEx) using a low ‑ energy femtosecond laser set to 75nJ per pulse.",
        "Setting": "Single surgeon single center contralateral randomized study",
        "Methods": "Prospective contralateral-eye study of 82 eyes (41 patients) treated on a single platform (ATOS, Schwind). One eye received asymmetric geometry and the fellow eye reverse-asymmetric geometry. Outcomes at POD1, POW1, and POM1 included UDVA (logMAR), Micro-Aberration Scatter Index (MASI), and wavefront RMS (total HOAs, coma, spherical aberration) at 6-mm corneal and 4-mm ocular pupils. HOA change was calculated as Δ = post-op − pre-op at POW1 and POM1. Refractive predictability at POM1 was assessed using attempted vs achieved SEQ. Primary contrasts were paired differences. Holm–Bonferroni corrections were applied per endpoint family. UDVA equivalence was tested against ±0.05 logMAR (90% CIs).",
        "Results": "Preoperative demographics, refraction, pachymetry, and HOAs were comparable between geometries (n=41 pairs). UDVA did not differ at any visit (POD1, POW1, POM1; all P≥0.65). Paired UDVA differences remained non-significant after Holm correction, and 90% CIs at POD1 and POW1 were within ±0.05 logMAR, confirming equivalence. MASI showed no intergroup differences. After corneal wavefront trimming (|CW HOA|≤20 µm), paired Δ-HOA outcomes (total HOA, coma, spherical aberration) at 6-mm corneal and 4-mm ocular pupils were non-significant at POW1 and POM1. At POM1, refractive predictability was high and geometry-independent (~96% within ±0.50 D; 100% within ±1.00 D). No intraoperative complications occurred; no eye lost ≥1 line CDVA.",
        "Conclusions": "Reversing the spot–track orientation while maintaining same pulse power at 75nJ to 2.8/6.0 µm yields visual, optical, and refractive outcomes equivalent to the conventional 6.0/2.8 µm asymmetric geometry under Holm ‑ adjusted inference, with UDVA equivalence confirmed at POD1 and POW1. Given the shorter laser ‑ on time observed with the reverse ‑ asymmetric pattern, either geometry can be used interchangeably in low ‑ energy KLEx."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "FP11.05",
      "abstract_number": "FP11.05",
      "title": "Lenticule Interface Quality After Ocular Surface Washout And Tear Homogenization Versus No Washout Before Femtosecond Laser Docking In Klex Surgery: Assessment Using Automated Image Analysis",
      "authors": "Prof. Dr Shady Awwad",
      "presenter": "Prof. Dr Shady Awwad",
      "normalized_authors": [
        "Shady Awwad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shady Awwad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lebanon",
      "sections": {
        "Purpose": "To evaluate the value of ocular surface washout and tear homogenization before femtosecond laser docking in KLEx surgery.",
        "Setting": "American University of Beirut Medical Center",
        "Methods": "116 eyes of 71 patients who underwent KLEx using the Ziemer LDV Z8 were retrospectively analyzed. 1:1 matching was used to form clinically comparable eye pairs: before and after adoption of ocular surface washout by the operating surgeon. Baseline and postoperative evaluations were performed at day 1, week 1, and months 1 and 3, and included UDVA, CDVA, refraction, corneal topography, higher-order aberrations, and optical coherence tomography. Image analysis algorithm to evaluate the homogeneity score (HS) of an image was applied on retroillumination images generated by a pyramidal aberrometer (PERAMIS/OSIRIS) to quantify interface quality. Correlations between HS and clinical and tomographic and aberrometric parameters were assessed.",
        "Results": "At day 1, HS decreased from 0.83±0.01 to 0.74±0.04 and 0.82±0.02 to 0.77±0.03 for the standard and new technique, respectively (both P < 0.001). 63.8% vs 75.8% of eyes achieved UDVA ≥ 20/20 at day 1 in the standard and new groups, respectively, with mean UDVA improving from 1.06±0.22 to 0.09±0.17 and 1.05±0.28 to 0.01±0.09 (both P < 0.001). The new technique yielded superior HS at day 1 and week 1 ( P =0.007 and P <0.001) and superior day 1 ∆CDVA compared to the old technique ( P =0.011). 35.4% in the standard group and 47.8% in the new group gained ≥1 line of CDVA. Overall, ∆HS correlated with early gain in ∆CDVA at day 1 and week 1 (r = -0.40; P =0.0017 and r= -0.31; P =0.0126, respectively). Visual results were comparable at 3 months.",
        "Conclusions": "Ocular surface washout prior to femtosecond laser docking in KLEx surgery provides a faster early visual recovery and a better lenticule interface homogeneity than standard technique. The Homogeneity Score provides an objective measure of lenticule interface quality after KLEx and can help guide treatment modifications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ocular surface washout prior to femtosecond laser docking in KLEx surgery provides a faster early visual recovery and a better lenticule interface homogeneity than standard technique. The Homogeneity Score provides an objective measure of lenticule interface quality after KLEx and can help guide treatment modifications.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 156,
      "source_fields": {
        "Abstract Final Identifier": "FP11.05",
        "Title": "Lenticule Interface Quality After Ocular Surface Washout And Tear Homogenization Versus No Washout Before Femtosecond Laser Docking In Klex Surgery: Assessment Using Automated Image Analysis",
        "Presenting Author(s)": "Prof. Dr Shady Awwad",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Shady",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Awwad",
        "Country Name": "Lebanon",
        "Purpose": "To evaluate the value of ocular surface washout and tear homogenization before femtosecond laser docking in KLEx surgery.",
        "Setting": "American University of Beirut Medical Center",
        "Methods": "116 eyes of 71 patients who underwent KLEx using the Ziemer LDV Z8 were retrospectively analyzed. 1:1 matching was used to form clinically comparable eye pairs: before and after adoption of ocular surface washout by the operating surgeon. Baseline and postoperative evaluations were performed at day 1, week 1, and months 1 and 3, and included UDVA, CDVA, refraction, corneal topography, higher-order aberrations, and optical coherence tomography. Image analysis algorithm to evaluate the homogeneity score (HS) of an image was applied on retroillumination images generated by a pyramidal aberrometer (PERAMIS/OSIRIS) to quantify interface quality. Correlations between HS and clinical and tomographic and aberrometric parameters were assessed.",
        "Results": "At day 1, HS decreased from 0.83±0.01 to 0.74±0.04 and 0.82±0.02 to 0.77±0.03 for the standard and new technique, respectively (both P < 0.001). 63.8% vs 75.8% of eyes achieved UDVA ≥ 20/20 at day 1 in the standard and new groups, respectively, with mean UDVA improving from 1.06±0.22 to 0.09±0.17 and 1.05±0.28 to 0.01±0.09 (both P < 0.001). The new technique yielded superior HS at day 1 and week 1 ( P =0.007 and P <0.001) and superior day 1 ∆CDVA compared to the old technique ( P =0.011). 35.4% in the standard group and 47.8% in the new group gained ≥1 line of CDVA. Overall, ∆HS correlated with early gain in ∆CDVA at day 1 and week 1 (r = -0.40; P =0.0017 and r= -0.31; P =0.0126, respectively). Visual results were comparable at 3 months.",
        "Conclusions": "Ocular surface washout prior to femtosecond laser docking in KLEx surgery provides a faster early visual recovery and a better lenticule interface homogeneity than standard technique. The Homogeneity Score provides an objective measure of lenticule interface quality after KLEx and can help guide treatment modifications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "FP11.06",
      "abstract_number": "FP11.06",
      "title": "Large Series 1-Year Outcomes Of Smile Pro For Compound Myopic Astigmatism: Visumax 800 Versus Visumax (500 Khz)",
      "authors": "Mr Conor Jackson",
      "presenter": "Mr Conor Jackson",
      "normalized_authors": [
        "Conor Jackson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Conor Jackson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare one-year refractive, visual and safety outcomes of SMILE Pro for compound myopic astigmatism performed with the VISUMAX 800 versus VisuMax (500 kHz) in large single-centre series.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of consecutive eyes treated by one surgeon (DZR). Patients ≤45 years with attempted SEQ to −10.00 D and cylinder to −4.00 D, fully screened including epithelial mapping (MS39 and Insight 100), with preoperative CDVA 20/20 or better. VISUMAX 800 (Sep 2021–Jan 2025) was compared with VisuMax 500 kHz (Aug 2011–Jan 2025) using identical criteria. Standard outcomes and Alpins vector analysis were performed; p values used Welch’s t-test for continuous data and 2×2 chi-square/Fisher exact tests for proportions (counts inferred from rounded percentages).",
        "Results": "The VISUMAX 800 cohort comprised 1209 eyes (648 patients) vs the VisuMax (500 kHz) cohort of 3040 eyes (1782 patients). Attempted SEQ −4.52±1.78 D vs −4.52±1.89 D and cylinder −0.82±0.67 D vs −0.81±0.66 D (p≥0.66); mean age 30.7 vs 30.9 years (p=0.43). Pre-op CDVA 20/16 was lower with VISUMAX 800 (73% vs 79%, p=2.7×10 −5 ). Post-op SEQ was similar (−0.11±0.31 D vs −0.12±0.32 D, p=0.35); 90% vs 88% were within ±0.50 D (p=0.065). The cylinder outcomes were also similar (p=0.23). UDVA 20/16 was lower with VISUMAX 800 (48% vs 60%, p=1.23×10 −12 ) while UDVA 20/20 was similar (93% vs 94%, p=0.23). CDVA gain was lower with VISUMAX 800 (17% vs 21%, p=0.0036); line loss rates were similar (p≥0.18).",
        "Conclusions": "Both platforms achieved comparable one-year efficacy, safety and predictability for SMILE Pro. Statistically significant differences favoured VisuMax (500 kHz) for achieving 20/16 UDVA and for CDVA line gain, while VISUMAX 800 showed a non-significant trend to slightly higher accuracy within ±0.50 D. No statistical differences were seen between cylinder outcomes, although the VIUMSAX 800 has the advantage of automatic cyclotorsion control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both platforms achieved comparable one-year efficacy, safety and predictability for SMILE Pro. Statistically significant differences favoured VisuMax (500 kHz) for achieving 20/16 UDVA and for CDVA line gain, while VISUMAX 800 showed a non-significant trend to slightly higher accuracy within ±0.50 D. No statistical differences were seen between cylinder outcomes, although the VIUMSAX 800 has the advantage of…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 157,
      "source_fields": {
        "Abstract Final Identifier": "FP11.06",
        "Title": "Large Series 1-Year Outcomes Of Smile Pro For Compound Myopic Astigmatism: Visumax 800 Versus Visumax (500 Khz)",
        "Presenting Author(s)": "Mr Conor Jackson",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Conor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jackson",
        "Country Name": "United Kingdom",
        "Purpose": "To compare one-year refractive, visual and safety outcomes of SMILE Pro for compound myopic astigmatism performed with the VISUMAX 800 versus VisuMax (500 kHz) in large single-centre series.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of consecutive eyes treated by one surgeon (DZR). Patients ≤45 years with attempted SEQ to −10.00 D and cylinder to −4.00 D, fully screened including epithelial mapping (MS39 and Insight 100), with preoperative CDVA 20/20 or better. VISUMAX 800 (Sep 2021–Jan 2025) was compared with VisuMax 500 kHz (Aug 2011–Jan 2025) using identical criteria. Standard outcomes and Alpins vector analysis were performed; p values used Welch’s t-test for continuous data and 2×2 chi-square/Fisher exact tests for proportions (counts inferred from rounded percentages).",
        "Results": "The VISUMAX 800 cohort comprised 1209 eyes (648 patients) vs the VisuMax (500 kHz) cohort of 3040 eyes (1782 patients). Attempted SEQ −4.52±1.78 D vs −4.52±1.89 D and cylinder −0.82±0.67 D vs −0.81±0.66 D (p≥0.66); mean age 30.7 vs 30.9 years (p=0.43). Pre-op CDVA 20/16 was lower with VISUMAX 800 (73% vs 79%, p=2.7×10 −5 ). Post-op SEQ was similar (−0.11±0.31 D vs −0.12±0.32 D, p=0.35); 90% vs 88% were within ±0.50 D (p=0.065). The cylinder outcomes were also similar (p=0.23). UDVA 20/16 was lower with VISUMAX 800 (48% vs 60%, p=1.23×10 −12 ) while UDVA 20/20 was similar (93% vs 94%, p=0.23). CDVA gain was lower with VISUMAX 800 (17% vs 21%, p=0.0036); line loss rates were similar (p≥0.18).",
        "Conclusions": "Both platforms achieved comparable one-year efficacy, safety and predictability for SMILE Pro. Statistically significant differences favoured VisuMax (500 kHz) for achieving 20/16 UDVA and for CDVA line gain, while VISUMAX 800 showed a non-significant trend to slightly higher accuracy within ±0.50 D. No statistical differences were seen between cylinder outcomes, although the VIUMSAX 800 has the advantage of automatic cyclotorsion control."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 358
    },
    {
      "uid": "FP11.07",
      "abstract_number": "FP11.07",
      "title": "The Impact Of Corneal Biomechanics On Corneal Epithelial Remodeling And Aberrations After Small Incision Lenticule Extraction: A Prospective Observational Cohort Study",
      "authors": "A/Prof. Liang Hu",
      "presenter": "A/Prof. Liang Hu",
      "normalized_authors": [
        "Liang Hu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Liang Hu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the impact of corneal biomechanics on corneal epithelial changes after Small Incision Lenticule Extraction (SMILE) and to explore the correlations between biomechanics, epithelial remodeling.",
        "Setting": "Single-center, prospective study at Wenzhou Medical University Eye Hospital, China. Consecutive patients undergoing SMILE by a single surgeon between 2024.9 and 2025.12 were enrolled. Assessments were performed in the refractive surgery research unit.",
        "Methods": "This prospective observational cohort study included 38 eyes of 38 participants (23 males, 15 females) who underwent SMILE. Epithelial thickness (ET) and corneal biomechanical parameters were assessed using SD-OCT and Corvis ST, respectively. All parameters were evaluated preoperatively and at 1 week, 1, 3, and 6 months postoperatively.",
        "Results": "ET in all regions increased following SMILE (P < 0.05) and plateaued between 3 and 6 months postoperatively. At 1 week postoperatively, significant alterations (P < 0.05) were observed in corneal deformation parameters,such as deformation amplitude ratio [2 mm] (DA ratio 2mm), integrated radius(IR), the Ambrósio Relational Thickness (ARTh), while the Stress-Strain Index (SSI) remained stable. ARTh and its change as robust predictors of ET changes throughout the 6-month follow-up (P < 0.01), even after adjusting for demographic and surgical factors. Other corneal deformation parameters, including DA ratio 2mm, IR, and SP-A1, correlated significantly with the epithelial remodeling process (P < 0.05).",
        "Conclusions": "Corneal epithelial thickening follows a significant remodeling process post-SMILE, reaching stability by the 6-month follow-up. Biomechanical parameters, particularly ARTh, effectively predict the magnitude of this remodeling. Incorporating these biomechanical indices into clinical assessment may provide critical insights into corneal surface stability and long-term homeostasis after refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal epithelial thickening follows a significant remodeling process post-SMILE, reaching stability by the 6-month follow-up. Biomechanical parameters, particularly ARTh, effectively predict the magnitude of this remodeling. Incorporating these biomechanical indices into clinical assessment may provide critical insights into corneal surface stability and long-term homeostasis after refractive surgery.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 158,
      "source_fields": {
        "Abstract Final Identifier": "FP11.07",
        "Title": "The Impact Of Corneal Biomechanics On Corneal Epithelial Remodeling And Aberrations After Small Incision Lenticule Extraction: A Prospective Observational Cohort Study",
        "Presenting Author(s)": "A/Prof. Liang Hu",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Liang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hu",
        "Country Name": "China",
        "Purpose": "To investigate the impact of corneal biomechanics on corneal epithelial changes after Small Incision Lenticule Extraction (SMILE) and to explore the correlations between biomechanics, epithelial remodeling.",
        "Setting": "Single-center, prospective study at Wenzhou Medical University Eye Hospital, China. Consecutive patients undergoing SMILE by a single surgeon between 2024.9 and 2025.12 were enrolled. Assessments were performed in the refractive surgery research unit.",
        "Methods": "This prospective observational cohort study included 38 eyes of 38 participants (23 males, 15 females) who underwent SMILE. Epithelial thickness (ET) and corneal biomechanical parameters were assessed using SD-OCT and Corvis ST, respectively. All parameters were evaluated preoperatively and at 1 week, 1, 3, and 6 months postoperatively.",
        "Results": "ET in all regions increased following SMILE (P < 0.05) and plateaued between 3 and 6 months postoperatively. At 1 week postoperatively, significant alterations (P < 0.05) were observed in corneal deformation parameters,such as deformation amplitude ratio [2 mm] (DA ratio 2mm), integrated radius(IR), the Ambrósio Relational Thickness (ARTh), while the Stress-Strain Index (SSI) remained stable. ARTh and its change as robust predictors of ET changes throughout the 6-month follow-up (P < 0.01), even after adjusting for demographic and surgical factors. Other corneal deformation parameters, including DA ratio 2mm, IR, and SP-A1, correlated significantly with the epithelial remodeling process (P < 0.05).",
        "Conclusions": "Corneal epithelial thickening follows a significant remodeling process post-SMILE, reaching stability by the 6-month follow-up. Biomechanical parameters, particularly ARTh, effectively predict the magnitude of this remodeling. Incorporating these biomechanical indices into clinical assessment may provide critical insights into corneal surface stability and long-term homeostasis after refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "FP11.08",
      "abstract_number": "FP11.08",
      "title": "Five-Year Clinical Outcomes Of Hyperopic Smile: A Prospective Multicenter Study",
      "authors": "Mr Pavel Stodulka",
      "presenter": "Mr Pavel Stodulka",
      "normalized_authors": [
        "Pavel Stodulka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pavel Stodulka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate visual acuity, refractive outcomes, and long-term stability five years after hyperopic SMILE in a multicenter cohort from Germany and the Czech Republic.",
        "Setting": "Gemini Eye Clinic in Zlin in Czech Republic, Gemini Eye Clinic in Prague in Czech Republic, Department of Ophthalmology, Phillips University of Marburg, Germany",
        "Methods": "This prospective study recruited 66 patients (128 eyes) who had undergone hyperopic SMILE as part of the original safety and efficacy study. The same study methods were adopted to allow comparison between baseline, 1 year (1Y), and > 5 years (>5Y) outcomes. Assessed parameters included spherical equivalent manifest refraction (MRSE), cycloplegic refraction (CRSE), uncorrected distance visual acuity (UDVA), and corrected distance visual acuity (CDVA). Visual acuity is presented as mean±SD in logMAR.",
        "Results": "Mean UDVA improved from 0.31±0.26 logMAR at baseline to 0.04±0.12 at 1Y and remained stable at 0.03±0.13 at 5Y (p<0.001), with a mean change of -0.01 between 1 and 5 years (p=0.301). At 5 years, 92.6% achieved ≥20/32 and 64.8% ≥20/20. CDVA remained stable (−0.03±0.07 baseline; −0.03±0.11 at 5 years); ≥2-line loss occurred in 1.7%. CRSE changed from +3.95±1.63 D to +0.89±0.93 D at 1Y and +1.39±1.08 D at >5Y, with a regression of +0.49 D between 1–5 years (p<0.001). Similarly, MRSE changed from +3.39±1.51 D to −0.07±0.57 D at 1 year and +0.65±0.80 D >5Y, with a +0.70 D shift from 1 to 5 years (p<0.001).",
        "Conclusions": "Hyperopic SMILE demonstrated sustained visual acuity and safety at five years, with stable CDVA and UDVA. However, a measurable hyperopic refractive shift occurred between 1 and 5 years, indicating partial regression despite preserved functional visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hyperopic SMILE demonstrated sustained visual acuity and safety at five years, with stable CDVA and UDVA. However, a measurable hyperopic refractive shift occurred between 1 and 5 years, indicating partial regression despite preserved functional visual outcomes.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 159,
      "source_fields": {
        "Abstract Final Identifier": "FP11.08",
        "Title": "Five-Year Clinical Outcomes Of Hyperopic Smile: A Prospective Multicenter Study",
        "Presenting Author(s)": "Mr Pavel Stodulka",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Pavel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stodulka",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate visual acuity, refractive outcomes, and long-term stability five years after hyperopic SMILE in a multicenter cohort from Germany and the Czech Republic.",
        "Setting": "Gemini Eye Clinic in Zlin in Czech Republic, Gemini Eye Clinic in Prague in Czech Republic, Department of Ophthalmology, Phillips University of Marburg, Germany",
        "Methods": "This prospective study recruited 66 patients (128 eyes) who had undergone hyperopic SMILE as part of the original safety and efficacy study. The same study methods were adopted to allow comparison between baseline, 1 year (1Y), and > 5 years (>5Y) outcomes. Assessed parameters included spherical equivalent manifest refraction (MRSE), cycloplegic refraction (CRSE), uncorrected distance visual acuity (UDVA), and corrected distance visual acuity (CDVA). Visual acuity is presented as mean±SD in logMAR.",
        "Results": "Mean UDVA improved from 0.31±0.26 logMAR at baseline to 0.04±0.12 at 1Y and remained stable at 0.03±0.13 at 5Y (p<0.001), with a mean change of -0.01 between 1 and 5 years (p=0.301). At 5 years, 92.6% achieved ≥20/32 and 64.8% ≥20/20. CDVA remained stable (−0.03±0.07 baseline; −0.03±0.11 at 5 years); ≥2-line loss occurred in 1.7%. CRSE changed from +3.95±1.63 D to +0.89±0.93 D at 1Y and +1.39±1.08 D at >5Y, with a regression of +0.49 D between 1–5 years (p<0.001). Similarly, MRSE changed from +3.39±1.51 D to −0.07±0.57 D at 1 year and +0.65±0.80 D >5Y, with a +0.70 D shift from 1 to 5 years (p<0.001).",
        "Conclusions": "Hyperopic SMILE demonstrated sustained visual acuity and safety at five years, with stable CDVA and UDVA. However, a measurable hyperopic refractive shift occurred between 1 and 5 years, indicating partial regression despite preserved functional visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "FP11.09",
      "abstract_number": "FP11.09",
      "title": "Ten-Year Outcomes Of Hyperopic Flex: Refractive And Keratometric Results",
      "authors": "Dr Anke Messerschmidt-Roth",
      "presenter": "Dr Anke Messerschmidt-Roth",
      "normalized_authors": [
        "Anke Messerschmidt-Roth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anke Messerschmidt-Roth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate 10-year refractive stability after hyperopic Keratorefractiv Lenticule Extraction (KLEx) using Femtosecond Lenticule Extraction (FLEx) technique and to identify factors associated with long-term refractive change.",
        "Setting": "University Hospital Gießen and Marburg, Marburg, Germany",
        "Methods": "This retrospective single-center observational cohort study included 25 eyes of 13 patients who underwent hyperopic FLEx and were examined at 9 months and 10 years postoperatively. Changes in spherical equivalent (SEQ), sphere, cylinder, keratometry (K1, K2), and axis were analysed. Associations between refractive changes, age, baseline refraction, corneal, and epithelial parameters were assessed using Spearman rank correlation.",
        "Results": "Median spherical equivalent changed from -0.50 D (IQR −1.00 to −0.13 D) at 9 months to 0.38 D (IQR −0.13 to 1.06 D) at 10 years, corresponding to a median hyperopic shift of 0.88 D. The spherical component accounted for most of the regression 0.75 D (IQR 0.50 to 1.63 D), whereas cylinder remained largely stable 0.00 D (IQR -0.25 to 0.25 D). Keratometric changes were modest, with median flattening of both K1 and K2 of −0.30 D (IQR K1 −0.65 to −0.10 D; IQR K2 −0.60 to −0.10 D) and correlated with refractive shift but did not sufficiently explain its magnitude. Epithelial thickness parameters were significantly associated with spherical and SEQ regression. No significant association was found with age or baseline refraction.",
        "Conclusions": "Hyperopic KLEx FLEx demonstrates a clinically relevant long-term hyperopic shift at 10 years that is predominantly spherical and only partially attributable to anterior corneal curvature changes. Persistent epithelial remodelling appears to contribute to long-term refractive instability independent of patients’ age. These findings indicate limited long-term refractive stability and highlight the importance of treatment planning, careful patient counselling, and enhancement strategies in hyperopic laser vision correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hyperopic KLEx FLEx demonstrates a clinically relevant long-term hyperopic shift at 10 years that is predominantly spherical and only partially attributable to anterior corneal curvature changes. Persistent epithelial remodelling appears to contribute to long-term refractive instability independent of patients’ age. These findings indicate limited long-term refractive stability and highlight the importance of…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 160,
      "source_fields": {
        "Abstract Final Identifier": "FP11.09",
        "Title": "Ten-Year Outcomes Of Hyperopic Flex: Refractive And Keratometric Results",
        "Presenting Author(s)": "Dr Anke Messerschmidt-Roth",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Anke",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messerschmidt-Roth",
        "Country Name": "Germany",
        "Purpose": "To evaluate 10-year refractive stability after hyperopic Keratorefractiv Lenticule Extraction (KLEx) using Femtosecond Lenticule Extraction (FLEx) technique and to identify factors associated with long-term refractive change.",
        "Setting": "University Hospital Gießen and Marburg, Marburg, Germany",
        "Methods": "This retrospective single-center observational cohort study included 25 eyes of 13 patients who underwent hyperopic FLEx and were examined at 9 months and 10 years postoperatively. Changes in spherical equivalent (SEQ), sphere, cylinder, keratometry (K1, K2), and axis were analysed. Associations between refractive changes, age, baseline refraction, corneal, and epithelial parameters were assessed using Spearman rank correlation.",
        "Results": "Median spherical equivalent changed from -0.50 D (IQR −1.00 to −0.13 D) at 9 months to 0.38 D (IQR −0.13 to 1.06 D) at 10 years, corresponding to a median hyperopic shift of 0.88 D. The spherical component accounted for most of the regression 0.75 D (IQR 0.50 to 1.63 D), whereas cylinder remained largely stable 0.00 D (IQR -0.25 to 0.25 D). Keratometric changes were modest, with median flattening of both K1 and K2 of −0.30 D (IQR K1 −0.65 to −0.10 D; IQR K2 −0.60 to −0.10 D) and correlated with refractive shift but did not sufficiently explain its magnitude. Epithelial thickness parameters were significantly associated with spherical and SEQ regression. No significant association was found with age or baseline refraction.",
        "Conclusions": "Hyperopic KLEx FLEx demonstrates a clinically relevant long-term hyperopic shift at 10 years that is predominantly spherical and only partially attributable to anterior corneal curvature changes. Persistent epithelial remodelling appears to contribute to long-term refractive instability independent of patients’ age. These findings indicate limited long-term refractive stability and highlight the importance of treatment planning, careful patient counselling, and enhancement strategies in hyperopic laser vision correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "FP11.10",
      "abstract_number": "FP11.10",
      "title": "Eight-Year Outcomes Of Keratorefractive Lenticule Extraction For High Myopia Over -10 Diopters With Or Without Mild Astigmatism",
      "authors": "Dr Yu Zhao",
      "presenter": "Dr Yu Zhao",
      "normalized_authors": [
        "Yu Zhao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yu Zhao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the long-term outcomes of keratorefractive lenticule extraction (KLEx) for correcting myopia greater than 10 diopters (D).",
        "Setting": "Department of Ophthalmology, EENT Hospital of Fudan University, Shanghai, China",
        "Methods": "Patients with myopia refractive error over 10 D with or without astigmatism underwent KLEx were included. The corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA), keratometry, thinnest corneal thickness (TCT), posterior central elevation (PCE), and axial length (AL) were analyzed preoperatively and 1 day and 8 years postoperatively.",
        "Results": "Thirty-two eyes with a mean SE of –11.13 ± 0.67 D were included.Overall, 27 of 32 eyes underwent an under-correction strategy due to corneal thickness limitation. After 8 years, the safety and efficacy indices were 1.02 ± 0.19 and 0.53 ± 0.33, respectively. The CDVA remained unchanged or increased in 29 eyes (91%), but 3 eyes (9%) lost one or two lines. Nineteen eyes (59%) were corrected within ±1.0 D of the target, and 18 eyes (56%) had a LogMAR value of ≥0.3 for UDVA. Mean regression over 8 years was –1.17 ± 1.22 D. TCT and keratometry values increased significantly from 1 day to 8 years (P <0.05). PCE remained stable during the follow-up period; however, AL significantly increased 8 years after KLEx compared to baseline values (P <0.05).",
        "Conclusions": "KLEx with a probable under-correction strategy could be a viable alternative for patients with high myopia over 10 D with or without astigmatism under strict preoperative assessment and appropriate surgical design. Patients should be informed of increased refractive regression risk over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "KLEx with a probable under-correction strategy could be a viable alternative for patients with high myopia over 10 D with or without astigmatism under strict preoperative assessment and appropriate surgical design. Patients should be informed of increased refractive regression risk over time.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 161,
      "source_fields": {
        "Abstract Final Identifier": "FP11.10",
        "Title": "Eight-Year Outcomes Of Keratorefractive Lenticule Extraction For High Myopia Over -10 Diopters With Or Without Mild Astigmatism",
        "Presenting Author(s)": "Dr Yu Zhao",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Yu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhao",
        "Country Name": "China",
        "Purpose": "To investigate the long-term outcomes of keratorefractive lenticule extraction (KLEx) for correcting myopia greater than 10 diopters (D).",
        "Setting": "Department of Ophthalmology, EENT Hospital of Fudan University, Shanghai, China",
        "Methods": "Patients with myopia refractive error over 10 D with or without astigmatism underwent KLEx were included. The corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA), keratometry, thinnest corneal thickness (TCT), posterior central elevation (PCE), and axial length (AL) were analyzed preoperatively and 1 day and 8 years postoperatively.",
        "Results": "Thirty-two eyes with a mean SE of –11.13 ± 0.67 D were included.Overall, 27 of 32 eyes underwent an under-correction strategy due to corneal thickness limitation. After 8 years, the safety and efficacy indices were 1.02 ± 0.19 and 0.53 ± 0.33, respectively. The CDVA remained unchanged or increased in 29 eyes (91%), but 3 eyes (9%) lost one or two lines. Nineteen eyes (59%) were corrected within ±1.0 D of the target, and 18 eyes (56%) had a LogMAR value of ≥0.3 for UDVA. Mean regression over 8 years was –1.17 ± 1.22 D. TCT and keratometry values increased significantly from 1 day to 8 years (P <0.05). PCE remained stable during the follow-up period; however, AL significantly increased 8 years after KLEx compared to baseline values (P <0.05).",
        "Conclusions": "KLEx with a probable under-correction strategy could be a viable alternative for patients with high myopia over 10 D with or without astigmatism under strict preoperative assessment and appropriate surgical design. Patients should be informed of increased refractive regression risk over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "FP11.11",
      "abstract_number": "FP11.11",
      "title": "Results Of Corneal Lenticule Extraction For Advanced Refractive Correction (Clear) In Patients With Thin Corneas.",
      "authors": "Dr MATTEO POSARELLI",
      "presenter": "Dr MATTEO POSARELLI",
      "normalized_authors": [
        "MATTEO POSARELLI"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matteo Posarelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To asses CLEAR safety and efficacy for myopia correction in patients with thin corneas.",
        "Setting": "Centre for Research in Refractive Surgery (Poggibonsi, Italy).\nSiena Eye Laser Refractive and Cataract Surgery Clinic (Poggibonsi, Italy).",
        "Methods": "retrospective study of CLEAR procedures performed at Siena Eye Laser (Poggibonsi, Italy) with Ziemer FEMTO LDV femtosecond laser in patients with myopia and corneas ≤500 µm.Inclusion criteria were corrected distance visual acuity (CDVA) ≥ than 0.2 logMAR, age ≥18 years or older, corneal thicknes ≤500 µm, and suitable for CLEAR. Patients were evaluated at baseline, post-operative day 1 (POD1) ,6 and 18 months.",
        "Results": "we included 280 eyes of 213 patients.Mean corneal thickness was 484.6 ± 7.2 µm,with a mean myopic error of -5.75±2.2 D,a mean cylinder of 1.0±0.7 D, and a mean spherical equivalent refractive error (SER) of -6.8±2.2 D.CDVA was 0.0 logMAR in all eyes.Expected residual stroma thickness (RST) calculated by Ziemer platform was 248.0±14.8 µm. At POD1 uncorrected distance visual acuity (UDVA) was 0.13±0.12ogMAR with a mean SER of -0.1±0.9 D.RST significantly increased to 259.3±11.4 microns (p<0.001).At 6 months follow-up, mean UDVA was 0.0±0.1 logMAR (p<0.001),RST was 260±11.2 microns (p>0.05) and mean SER was -0.15±0.7D (p>0.05) compared to POD1.At 18 months FU,all data remained stable with no differences compared to 6 months FU (all p>0.05).",
        "Conclusions": "In patients with thin corneas, CLEAR showed good results in terms of refractive error correction. At follow-up, observed residual stromal thickness was signfiicantly higher than the expected value calculated by the software pre-operatively, allowing clinicians to safely perform the surgery in patients with corneas ≤500 µm."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with thin corneas, CLEAR showed good results in terms of refractive error correction. At follow-up, observed residual stromal thickness was signfiicantly higher than the expected value calculated by the software pre-operatively, allowing clinicians to safely perform the surgery in patients with corneas ≤500 µm.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 162,
      "source_fields": {
        "Abstract Final Identifier": "FP11.11",
        "Title": "Results Of Corneal Lenticule Extraction For Advanced Refractive Correction (Clear) In Patients With Thin Corneas.",
        "Presenting Author(s)": "Dr MATTEO POSARELLI",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Matteo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Posarelli",
        "Country Name": "Italy",
        "Purpose": "To asses CLEAR safety and efficacy for myopia correction in patients with thin corneas.",
        "Setting": "Centre for Research in Refractive Surgery (Poggibonsi, Italy).\nSiena Eye Laser Refractive and Cataract Surgery Clinic (Poggibonsi, Italy).",
        "Methods": "retrospective study of CLEAR procedures performed at Siena Eye Laser (Poggibonsi, Italy) with Ziemer FEMTO LDV femtosecond laser in patients with myopia and corneas ≤500 µm.Inclusion criteria were corrected distance visual acuity (CDVA) ≥ than 0.2 logMAR, age ≥18 years or older, corneal thicknes ≤500 µm, and suitable for CLEAR. Patients were evaluated at baseline, post-operative day 1 (POD1) ,6 and 18 months.",
        "Results": "we included 280 eyes of 213 patients.Mean corneal thickness was 484.6 ± 7.2 µm,with a mean myopic error of -5.75±2.2 D,a mean cylinder of 1.0±0.7 D, and a mean spherical equivalent refractive error (SER) of -6.8±2.2 D.CDVA was 0.0 logMAR in all eyes.Expected residual stroma thickness (RST) calculated by Ziemer platform was 248.0±14.8 µm. At POD1 uncorrected distance visual acuity (UDVA) was 0.13±0.12ogMAR with a mean SER of -0.1±0.9 D.RST significantly increased to 259.3±11.4 microns (p<0.001).At 6 months follow-up, mean UDVA was 0.0±0.1 logMAR (p<0.001),RST was 260±11.2 microns (p>0.05) and mean SER was -0.15±0.7D (p>0.05) compared to POD1.At 18 months FU,all data remained stable with no differences compared to 6 months FU (all p>0.05).",
        "Conclusions": "In patients with thin corneas, CLEAR showed good results in terms of refractive error correction. At follow-up, observed residual stromal thickness was signfiicantly higher than the expected value calculated by the software pre-operatively, allowing clinicians to safely perform the surgery in patients with corneas ≤500 µm."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "FP11.12",
      "abstract_number": "FP11.12",
      "title": "Visual And Refractive Outcomes And Accuracy In Low Versus High Astigmatism Of Myopic Astigmatism Treatment With Corneal Lenticule Extraction For Advanced Refractive Correction (Clear)",
      "authors": "Dr Kyunhyung Henry Kim",
      "presenter": "Dr Kyunhyung Henry Kim",
      "normalized_authors": [
        "Kyunhyung Henry Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kyunhyung Henry Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To present the visual and refractive outcomes of myopic astigmatism treatment with corneal lenticule extraction for advanced refractive correction (CLEAR) and assess accuracy in low versus high astigmatism.",
        "Setting": "190 consecutive eyes of 106 patients with myopic astigmatism who underwent kerato-retractive lenticule extraction (KLEx) with CLEAR using the FEMTO LDVZ8 platform (Ziemer Ophthalmic Systems)",
        "Methods": "This is a retrospective analysis of 190 consecutive eyes of 106 patients with myopic astigmatism who underwent kerato-retractive lenticule extraction (KLEx) with CLEAR using the FEMTO LDVZ8 platform (Ziemer Ophthalmic Systems). Patients were treated from January 2024 to June 2025 at the Central Seoul Eye Center, Seoul, South Korea. Visual outcomes were evaluated at 1-day, thereafter visual and refractive outcomes were evaluated at 1-day, 1-week, 1-month and 3-months postoperatively.",
        "Results": "The mean preoperative sphere was −3 .99 ± 1.57 D (range − 0.50 to − 7.75 D), the mean cylinder − 1.31 ± 0.84 D (range − 0.25 to − 4.75 D) and the mean spherical equivalent − 4.65 ± 1.66 D (range − 0.88 to − 9.13 D). At 3-months postoperatively, 97.9% of eyes achieved 20/25 or better uncorrected visual acuity and 93.2% achieved 20/20 or better uncorrected visual acuity. Manifest spherical equivalent was within ±0.50 D in 97.9% of eyes and cylinder was within ±0.50 D in 99.5% of eyes. The mean residual cylinder was − 0.10 ± 0.20 D and did not differ significantly between low (≤1.50 D) and high (>1.50 D) magnitudes of treated cylinder ( − 0.09 ± 0.19 D and − 0.13 ± 0.21 D residual cylinder respectively, P = 0.376).",
        "Conclusions": "CLEAR lenticule extraction with the FEMTO LDVZ8 demonstrates safe, effective, and accurate outcomes for patients with myopic astigmatism regardless of the treated cylinder magnitude."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CLEAR lenticule extraction with the FEMTO LDVZ8 demonstrates safe, effective, and accurate outcomes for patients with myopic astigmatism regardless of the treated cylinder magnitude.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 163,
      "source_fields": {
        "Abstract Final Identifier": "FP11.12",
        "Title": "Visual And Refractive Outcomes And Accuracy In Low Versus High Astigmatism Of Myopic Astigmatism Treatment With Corneal Lenticule Extraction For Advanced Refractive Correction (Clear)",
        "Presenting Author(s)": "Dr Kyunhyung Henry Kim",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Kyunhyung Henry",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To present the visual and refractive outcomes of myopic astigmatism treatment with corneal lenticule extraction for advanced refractive correction (CLEAR) and assess accuracy in low versus high astigmatism.",
        "Setting": "190 consecutive eyes of 106 patients with myopic astigmatism who underwent kerato-retractive lenticule extraction (KLEx) with CLEAR using the FEMTO LDVZ8 platform (Ziemer Ophthalmic Systems)",
        "Methods": "This is a retrospective analysis of 190 consecutive eyes of 106 patients with myopic astigmatism who underwent kerato-retractive lenticule extraction (KLEx) with CLEAR using the FEMTO LDVZ8 platform (Ziemer Ophthalmic Systems). Patients were treated from January 2024 to June 2025 at the Central Seoul Eye Center, Seoul, South Korea. Visual outcomes were evaluated at 1-day, thereafter visual and refractive outcomes were evaluated at 1-day, 1-week, 1-month and 3-months postoperatively.",
        "Results": "The mean preoperative sphere was −3 .99 ± 1.57 D (range − 0.50 to − 7.75 D), the mean cylinder − 1.31 ± 0.84 D (range − 0.25 to − 4.75 D) and the mean spherical equivalent − 4.65 ± 1.66 D (range − 0.88 to − 9.13 D). At 3-months postoperatively, 97.9% of eyes achieved 20/25 or better uncorrected visual acuity and 93.2% achieved 20/20 or better uncorrected visual acuity. Manifest spherical equivalent was within ±0.50 D in 97.9% of eyes and cylinder was within ±0.50 D in 99.5% of eyes. The mean residual cylinder was − 0.10 ± 0.20 D and did not differ significantly between low (≤1.50 D) and high (>1.50 D) magnitudes of treated cylinder ( − 0.09 ± 0.19 D and − 0.13 ± 0.21 D residual cylinder respectively, P = 0.376).",
        "Conclusions": "CLEAR lenticule extraction with the FEMTO LDVZ8 demonstrates safe, effective, and accurate outcomes for patients with myopic astigmatism regardless of the treated cylinder magnitude."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "FP11.13",
      "abstract_number": "FP11.13",
      "title": "The Biconvex Lenticule - Change In Objective Refraction, Keratometry, Asphericity And Aberrations After A New Keratorefractive Lenticule Extraction Procedure",
      "authors": "Dr Rushad Shroff",
      "presenter": "Dr Rushad Shroff",
      "normalized_authors": [
        "Rushad Shroff"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rushad Shroff",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual outcomes including post-operative refractive error, corneal higher order aberrations, anterior and posterior corneal curvature changes after Small Incision Lenticule extraction (SILK) in low, moderate and high myopia",
        "Setting": "Tertiary Eye Care Centre in North India",
        "Methods": "This prospective interventional study included 110 eyes of 55 patients, divided in three groups: low myopia (myopia 3 D [diopters] spherical equivalent [SE]), moderate myopia (myopia 3 D and 5 D SE), and high myopia (myopia >5 D SE). The ELITA femtosecond LASER (Johnson & Johnson) was used to perform SILK for the correction of myopia and myopic astigmatism. The Pentacam HR (Oculus Optikgeräte, Germany) and itrace (Tracey Technologies Corp., Houston,USA) were used to measure the corneal asphercity, keratometry and aberrations. The Casia 2 Anterior segment OCT (Tomey, Nagoya, Japan) was used to assess changes in anterior and posterior corneal curvature at 1 and 3 months postoperatively. Refractive visual outcomes were studied postoperatively.",
        "Results": "The total higher order aberrations including spherical aberration did not show significant change after the procedure (P=0.65). 95 % eyes attained a UDVA of 20/25 or better on day one. 90 percent eyes were within 1 D of targeted spherical and cylindrical correction. There was no significant change in mean keratometric power in the 3, 5 and 7 mm zones of the posterior corneal surface compared with its pre-SILK value after 3 months in the mild (pre-operative [pre-op] - 6.10 + 0.23, post-operative [post-op] -6.06 + 0.22, P= 0.8) ,moderate (pre-op -6.06 + 0.16, post-op -6.05 + .18, P= 0.58), and high myopia group (pre-op -5.93 + 0.17, post-op -5.92. + 0.15, P=0.53).",
        "Conclusions": "Lenticule Extraction with the ELITA Platform was found to be accurate, safe and effective. SILK does not induce significant changes in posterior corneal keratometric power in low, moderate and high myopia. The asphericity of the posterior cornea did show a significant change however there was no change in higher order aberrations after the procedure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lenticule Extraction with the ELITA Platform was found to be accurate, safe and effective. SILK does not induce significant changes in posterior corneal keratometric power in low, moderate and high myopia. The asphericity of the posterior cornea did show a significant change however there was no change in higher order aberrations after the procedure.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 164,
      "source_fields": {
        "Abstract Final Identifier": "FP11.13",
        "Title": "The Biconvex Lenticule - Change In Objective Refraction, Keratometry, Asphericity And Aberrations After A New Keratorefractive Lenticule Extraction Procedure",
        "Presenting Author(s)": "Dr Rushad Shroff",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Rushad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shroff",
        "Country Name": "India",
        "Purpose": "To evaluate visual outcomes including post-operative refractive error, corneal higher order aberrations, anterior and posterior corneal curvature changes after Small Incision Lenticule extraction (SILK) in low, moderate and high myopia",
        "Setting": "Tertiary Eye Care Centre in North India",
        "Methods": "This prospective interventional study included 110 eyes of 55 patients, divided in three groups: low myopia (myopia 3 D [diopters] spherical equivalent [SE]), moderate myopia (myopia 3 D and 5 D SE), and high myopia (myopia >5 D SE). The ELITA femtosecond LASER (Johnson & Johnson) was used to perform SILK for the correction of myopia and myopic astigmatism. The Pentacam HR (Oculus Optikgeräte, Germany) and itrace (Tracey Technologies Corp., Houston,USA) were used to measure the corneal asphercity, keratometry and aberrations. The Casia 2 Anterior segment OCT (Tomey, Nagoya, Japan) was used to assess changes in anterior and posterior corneal curvature at 1 and 3 months postoperatively. Refractive visual outcomes were studied postoperatively.",
        "Results": "The total higher order aberrations including spherical aberration did not show significant change after the procedure (P=0.65). 95 % eyes attained a UDVA of 20/25 or better on day one. 90 percent eyes were within 1 D of targeted spherical and cylindrical correction. There was no significant change in mean keratometric power in the 3, 5 and 7 mm zones of the posterior corneal surface compared with its pre-SILK value after 3 months in the mild (pre-operative [pre-op] - 6.10 + 0.23, post-operative [post-op] -6.06 + 0.22, P= 0.8) ,moderate (pre-op -6.06 + 0.16, post-op -6.05 + .18, P= 0.58), and high myopia group (pre-op -5.93 + 0.17, post-op -5.92. + 0.15, P=0.53).",
        "Conclusions": "Lenticule Extraction with the ELITA Platform was found to be accurate, safe and effective. SILK does not induce significant changes in posterior corneal keratometric power in low, moderate and high myopia. The asphericity of the posterior cornea did show a significant change however there was no change in higher order aberrations after the procedure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "FP11.14",
      "abstract_number": "FP11.14",
      "title": "Impact Of Eye-Tracking-Assisted Centration Versus Manual Alignment Of The Treatment Zone Centration After Klex (Smile): A Prospective Randomized Double-Blinded Contralateral Eye Study",
      "authors": "A/Prof. Walter Sekundo",
      "presenter": "A/Prof. Walter Sekundo",
      "normalized_authors": [
        "Walter Sekundo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anke Messerschmidt-Roth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "A perfect centration of the treatment zone is a key determinant of visual quality in corneal refractive surgery. While excimer laser systems implement active eye tracking, the second-generation femtosecond laser (VisuMax 500, Carl Zeiss Meditec AG/Germany) used in SMILE procedure relied on manual centration. This study evaluates whether centration assistance systems with the newest technology (CentraLign/OcuLign; VisuMax 800, Carl Zeiss Meditec AG/Germany) alters the accuracy of treatment zone positioning compared to the manual alignment.",
        "Setting": "Department of Ophthalmology, Philipps University of Marburg, Germany",
        "Methods": "In this prospective, randomized, controlled, double-blinded single-center study, patients undergoing bilateral SMILE Pro surgery were included. One eye received assisted centration, while the fellow eye was centered on the 1st Purkinje reflex. Preoperative pupil center deviation measured by the IOLMaster700 was entered into the laser software to optimize centration. Pre- and postoperative assessments included corneal tomography, wavefront analysis, manifest refraction, and corrected and uncorrected distance visual acuity. The distance between the point of maximum pachymetric difference and the visual axis was calculated using tomography. Normality was tested with the Shapiro–Wilk test; paired t-test was applied (p<0.05).",
        "Results": "One single experienced surgeon treated 92 eyes of 46 patients. The data in both groups was normally distributed. In the centration assisted group mean decentration was 0.387 ± 0.228 mm, ranging from 0.057 to 1.062 mm. In contrast, in the manual alignment group mean decentration was 0.449 ± 0.216 mm, ranging from 0.15 to 1.034 mm.\nPaired t-test analysis demonstrated a statistically significant difference regarding the decentration of the treatment zone, with the decentration being more pronounced in the manual alignment group (P<0,05).",
        "Conclusions": "Assisted centration of the 3 rd generation laser platform improves the accuracy of treatment zone centration in SMILE Pro compared to manual alignment. The findings support the routine use of active centration systems in SMILE Pro."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Assisted centration of the 3 rd generation laser platform improves the accuracy of treatment zone centration in SMILE Pro compared to manual alignment. The findings support the routine use of active centration systems in SMILE Pro.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 165,
      "source_fields": {
        "Abstract Final Identifier": "FP11.14",
        "Title": "Impact Of Eye-Tracking-Assisted Centration Versus Manual Alignment Of The Treatment Zone Centration After Klex (Smile): A Prospective Randomized Double-Blinded Contralateral Eye Study",
        "Presenting Author(s)": "A/Prof. Walter Sekundo",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Anke",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messerschmidt-Roth",
        "Country Name": "Germany",
        "Purpose": "A perfect centration of the treatment zone is a key determinant of visual quality in corneal refractive surgery. While excimer laser systems implement active eye tracking, the second-generation femtosecond laser (VisuMax 500, Carl Zeiss Meditec AG/Germany) used in SMILE procedure relied on manual centration. This study evaluates whether centration assistance systems with the newest technology (CentraLign/OcuLign; VisuMax 800, Carl Zeiss Meditec AG/Germany) alters the accuracy of treatment zone positioning compared to the manual alignment.",
        "Setting": "Department of Ophthalmology, Philipps University of Marburg, Germany",
        "Methods": "In this prospective, randomized, controlled, double-blinded single-center study, patients undergoing bilateral SMILE Pro surgery were included. One eye received assisted centration, while the fellow eye was centered on the 1st Purkinje reflex. Preoperative pupil center deviation measured by the IOLMaster700 was entered into the laser software to optimize centration. Pre- and postoperative assessments included corneal tomography, wavefront analysis, manifest refraction, and corrected and uncorrected distance visual acuity. The distance between the point of maximum pachymetric difference and the visual axis was calculated using tomography. Normality was tested with the Shapiro–Wilk test; paired t-test was applied (p<0.05).",
        "Results": "One single experienced surgeon treated 92 eyes of 46 patients. The data in both groups was normally distributed. In the centration assisted group mean decentration was 0.387 ± 0.228 mm, ranging from 0.057 to 1.062 mm. In contrast, in the manual alignment group mean decentration was 0.449 ± 0.216 mm, ranging from 0.15 to 1.034 mm.\nPaired t-test analysis demonstrated a statistically significant difference regarding the decentration of the treatment zone, with the decentration being more pronounced in the manual alignment group (P<0,05).",
        "Conclusions": "Assisted centration of the 3 rd generation laser platform improves the accuracy of treatment zone centration in SMILE Pro compared to manual alignment. The findings support the routine use of active centration systems in SMILE Pro."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "FP11.15",
      "abstract_number": "FP11.15",
      "title": "Effect Of Klex Decentration On Postoperative Corneal Higher-Order Aberrations After Uneventful Smile: A Strictly Matched Cohort Analysis",
      "authors": "Dr Amir Javadi",
      "presenter": "Dr Amir Javadi",
      "normalized_authors": [
        "Amir Javadi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Amir Javadi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "SMILE, as the first KLEX procedure, is well established, with more than 13 million procedures performed worldwide. Postoperative visual outcome, however, does not always match the intended results. Accurate centration during docking remains a critical step. This study aimed to quantify the effect of KLEX centration, measured as the vector offset from a Purkinje reflex based visual axis proxy, on postoperative corneal higher-order aberrations after uneventful SMILE. The goal is to better characterize the sensitivity and forgiveness of decentration and to assess impact of contributing ocular factors.",
        "Setting": "Retrospective cohort study including consecutive patients who underwent uneventful SMILE between 2014 and 2025 at the Department of Ophthalmology, Ludwig Maximilian University of Munich, and the SmileEyes eye clinics in Munich, Germany. Eventful procedures and insufficient follow-ups were excluded. Strict matching addressed surgeon, VisuMax Platform laser delivery settings, optical zone, and postoperative medication. stratification was based on preoperative subjective sphere and astigmatism.",
        "Methods": "The desired centration point as visual-axis proxy was derived from preoperative IOLMaster images by extracting the x–y coordinates of the first Purkinje reflex. For intraoperative centration assessment, images captured during VisuMax docking were analyzed through ImageJ software. The displacement of the docking/treatment center from the pupil center was measured and converted to a vector characterized by magnitude and angular direction. Pentacam HR measurements acquired ≥3 months after surgery were evaluated at a 6.0-mm analysis diameter. Assessed HOAs included total HOA RMS (3rd–6th), Z4^0 spherical aberration, Z3±1 coma (0°/90°), and Z3±3 trefoil.",
        "Results": "A total of 288 eyes were analyzed across six matched subgroups. The mean KLeX decentration distance was 0.28 ± 0.13 mm. A significant correlation was observed between decentration distance and induced total coma (r = 0.64, p < 0.001). The most affected HOA was vertical coma, followed by spherical aberration and trefoil. Vector decomposition showed a stronger association for the vertical than the horizontal decentration component. A dose–response pattern (threshold) effect was observed, with a steeper increase in HOA in higher astigmatism strata, indicating reduced centration tolerance.\n\nA decentration forgiveness diagram was generated to visualize tolerance ranges across astigmatism strata.",
        "Conclusions": "Centration is a fundamental determinant of outcomes in corneal refractive surgery. Quantifying its impact can support risk-adapted clinical workflow prioritization. The proposed image analysis sequence reliably quantified decentration vector and could be integrated into the operative summary to document centration Quality and improve possible enhancement planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Centration is a fundamental determinant of outcomes in corneal refractive surgery. Quantifying its impact can support risk-adapted clinical workflow prioritization. The proposed image analysis sequence reliably quantified decentration vector and could be integrated into the operative summary to document centration Quality and improve possible enhancement planning.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 166,
      "source_fields": {
        "Abstract Final Identifier": "FP11.15",
        "Title": "Effect Of Klex Decentration On Postoperative Corneal Higher-Order Aberrations After Uneventful Smile: A Strictly Matched Cohort Analysis",
        "Presenting Author(s)": "Dr Amir Javadi",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Amir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Javadi",
        "Country Name": "Germany",
        "Purpose": "SMILE, as the first KLEX procedure, is well established, with more than 13 million procedures performed worldwide. Postoperative visual outcome, however, does not always match the intended results. Accurate centration during docking remains a critical step. This study aimed to quantify the effect of KLEX centration, measured as the vector offset from a Purkinje reflex based visual axis proxy, on postoperative corneal higher-order aberrations after uneventful SMILE. The goal is to better characterize the sensitivity and forgiveness of decentration and to assess impact of contributing ocular factors.",
        "Setting": "Retrospective cohort study including consecutive patients who underwent uneventful SMILE between 2014 and 2025 at the Department of Ophthalmology, Ludwig Maximilian University of Munich, and the SmileEyes eye clinics in Munich, Germany. Eventful procedures and insufficient follow-ups were excluded. Strict matching addressed surgeon, VisuMax Platform laser delivery settings, optical zone, and postoperative medication. stratification was based on preoperative subjective sphere and astigmatism.",
        "Methods": "The desired centration point as visual-axis proxy was derived from preoperative IOLMaster images by extracting the x–y coordinates of the first Purkinje reflex. For intraoperative centration assessment, images captured during VisuMax docking were analyzed through ImageJ software. The displacement of the docking/treatment center from the pupil center was measured and converted to a vector characterized by magnitude and angular direction. Pentacam HR measurements acquired ≥3 months after surgery were evaluated at a 6.0-mm analysis diameter. Assessed HOAs included total HOA RMS (3rd–6th), Z4^0 spherical aberration, Z3±1 coma (0°/90°), and Z3±3 trefoil.",
        "Results": "A total of 288 eyes were analyzed across six matched subgroups. The mean KLeX decentration distance was 0.28 ± 0.13 mm. A significant correlation was observed between decentration distance and induced total coma (r = 0.64, p < 0.001). The most affected HOA was vertical coma, followed by spherical aberration and trefoil. Vector decomposition showed a stronger association for the vertical than the horizontal decentration component. A dose–response pattern (threshold) effect was observed, with a steeper increase in HOA in higher astigmatism strata, indicating reduced centration tolerance.\n\nA decentration forgiveness diagram was generated to visualize tolerance ranges across astigmatism strata.",
        "Conclusions": "Centration is a fundamental determinant of outcomes in corneal refractive surgery. Quantifying its impact can support risk-adapted clinical workflow prioritization. The proposed image analysis sequence reliably quantified decentration vector and could be integrated into the operative summary to document centration Quality and improve possible enhancement planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "FP12.01",
      "abstract_number": "FP12.01",
      "title": "The Efficacy And Safety Of Extended Depth Of Focus Intraocular Lenses: A Randomized Controlled Trial",
      "authors": "Yating Tang",
      "presenter": "Yating Tang",
      "normalized_authors": [
        "Yating Tang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yating Tang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "This study aimed to evaluate the efficacy and safety of an extended depth of focus intraocular lens (EDF IOL) compared to a standard aspheric monofocal IOL in adults with bilateral cataracts.",
        "Setting": "Eye & Ent Hospital of Fudan University (Shanghai, China); Weifang Eye Hospital (Weifang, China); Wuhan Aier Eye Hospital (Wuhan, China); Peking University Third Hospital (Beijing, China); Beijing Intech Eye Hospital (Beijing, China); Beijing Tongren Hospital (Beijing, China); Zhongshan Ophthalmic Center, Sun Yat-sen University (Guangzhou, China)",
        "Methods": "In this multicenter, randomized, double-blind trial, 220 patients were enrolled, with 202 completing the 6-month follow-up. Participants received either the EDF IOL (AE2UL, n = 101) or the monofocal IOL (A1UL, n = 101). Outcomes included visual acuity at various distances, 10% low-contrast visual acuity, contrast sensitivity, defocus curves, spectacle independence, dysphotopsia and adverse events.",
        "Results": "Both groups demonstrated comparable best corrected distance visual acuity ( P > 0.05). However, the AE2UL EDF IOL group showed significantly better distance corrected intermediate visual acuity (0.16 ± 0.14 vs. 0.27 ± 0.16 LogMAR, P < 0.001) and extended depth of focus by approximately 0.69D (monocular) and 0.73D (binocular) at the 0.2 LogMAR visual acuity level. The EDF group also had significantly lower spectacle dependence and better uncorrected vision at intermediate and near distances (P < 0.05), with no significant differences in contrast sensitivity or dysphotopsia (P > 0.05).",
        "Conclusions": "The AE2UL EDF IOL provides effective depth of focus extension, offering improved intermediate and near vision without compromising distance vision or safety, making it a reliable option for refractive cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The AE2UL EDF IOL provides effective depth of focus extension, offering improved intermediate and near vision without compromising distance vision or safety, making it a reliable option for refractive cataract surgery.",
      "session_type": "Free Paper",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 167,
      "source_fields": {
        "Abstract Final Identifier": "FP12.01",
        "Title": "The Efficacy And Safety Of Extended Depth Of Focus Intraocular Lenses: A Randomized Controlled Trial",
        "Presenting Author(s)": "Yating Tang",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Yating",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tang",
        "Country Name": "China",
        "Purpose": "This study aimed to evaluate the efficacy and safety of an extended depth of focus intraocular lens (EDF IOL) compared to a standard aspheric monofocal IOL in adults with bilateral cataracts.",
        "Setting": "Eye & Ent Hospital of Fudan University (Shanghai, China); Weifang Eye Hospital (Weifang, China); Wuhan Aier Eye Hospital (Wuhan, China); Peking University Third Hospital (Beijing, China); Beijing Intech Eye Hospital (Beijing, China); Beijing Tongren Hospital (Beijing, China); Zhongshan Ophthalmic Center, Sun Yat-sen University (Guangzhou, China)",
        "Methods": "In this multicenter, randomized, double-blind trial, 220 patients were enrolled, with 202 completing the 6-month follow-up. Participants received either the EDF IOL (AE2UL, n = 101) or the monofocal IOL (A1UL, n = 101). Outcomes included visual acuity at various distances, 10% low-contrast visual acuity, contrast sensitivity, defocus curves, spectacle independence, dysphotopsia and adverse events.",
        "Results": "Both groups demonstrated comparable best corrected distance visual acuity ( P > 0.05). However, the AE2UL EDF IOL group showed significantly better distance corrected intermediate visual acuity (0.16 ± 0.14 vs. 0.27 ± 0.16 LogMAR, P < 0.001) and extended depth of focus by approximately 0.69D (monocular) and 0.73D (binocular) at the 0.2 LogMAR visual acuity level. The EDF group also had significantly lower spectacle dependence and better uncorrected vision at intermediate and near distances (P < 0.05), with no significant differences in contrast sensitivity or dysphotopsia (P > 0.05).",
        "Conclusions": "The AE2UL EDF IOL provides effective depth of focus extension, offering improved intermediate and near vision without compromising distance vision or safety, making it a reliable option for refractive cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP12.02",
      "abstract_number": "FP12.02",
      "title": "Aka Report 2: One Year Real-World Data Of Visual Performance, Patient Satisfaction, And Spectacle Independence With Three Presbyopia-Correcting Iols Versus Monofocal Iol: A Prospective Comparative Study",
      "authors": "Dr Matthias Gerl",
      "presenter": "Dr Matthias Gerl",
      "normalized_authors": [
        "Matthias Gerl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matthias Gerl",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare visual outcomes, patient satisfaction, and spectacle independence following bilateral implantation of three intraocular lenses (IOLs) with different optical approaches to enhance intermediate vision (AcrySof® IQ Vivity®, TECNIS Eyhance ICB00, and LuxSmart™) versus a standard monofocal IOL (CT ASPHINA 409M) in cataract surgery.",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Prospective, single-center, comparative clinical trial with patient-preference methodology. Consecutive adults aged 22–85 years undergoing bilateral cataract surgery were enrolled between 2022 and 2024, selecting independently their preferred IOL based on individualized comprehensive counseling. Evaluations included uncorrected and best distance-corrected visual acuity at distance (4m), intermediate DCIVA (80cm, 60cm), and near DCNVA (40cm), binocular defocus curves, depth of focus (DOF) analysis at 0.1 and 0.2 logMAR thresholds, contrast sensitivity under photopic, mesopic, and mesopic-with-glare conditions, and validated questionnaires (VF-14, McAlinden's Quality of Vision). Follow-up at 1 day, 1 week, 1 month, 3 months, and 12 months.",
        "Results": "Eighty-nine patients (178 eyes; 44.9% male; mean age 67.2±6.3 years) completed 12-month follow-up. Corrected distance visual acuity was comparable across all IOLs (P>0.05). At 80 cm, LuxSmart, Vivity, and Eyhance achieved better monocular DCIVA than CT ASPHINA (−0.105, −0.103, −0.100 logMAR; all P<0.01). At 60 cm, Vivity outperformed CT ASPHINA (−0.106 logMAR; P<0.001) and Eyhance (−0.063 logMAR; P=0.043). Significant DCNVA gain was observed only with Vivity (−0.062 logMAR; P=0.044). Negative-side DOF (0.2/0.1 logMAR) was greatest with Vivity (−1.88/−1.56 D). Contrast sensitivity favored CT ASPHINA and Eyhance. Intermediate spectacle independence was 92% (Vivity), 90.5% (LuxSmart), and 89.5% (Eyhance); satisfaction ≥90.5% across groups.",
        "Conclusions": "The three IOLs with different optical approaches to enhance intermediate vision demonstrated clinically significant improvements in intermediate visual performance compared to monofocal IOL while maintaining excellent distance vision. AcrySof IQ Vivity provided the broadest depth of focus with better performance at 60 and 40 cm. LuxSmart showed significant improvement at 80 cm with excellent spectacle independence for intermediate activities. Eyhance delivered significant intermediate gains at 80 cm while preserving contrast sensitivity comparable to monofocal reference. All three IOLs demonstrated excellent safety and satisfaction supporting individualized IOL selection based on patient visual needs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The three IOLs with different optical approaches to enhance intermediate vision demonstrated clinically significant improvements in intermediate visual performance compared to monofocal IOL while maintaining excellent distance vision. AcrySof IQ Vivity provided the broadest depth of focus with better performance at 60 and 40 cm. LuxSmart showed significant improvement at 80 cm with excellent spectacle independence…",
      "session_type": "Free Paper",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 168,
      "source_fields": {
        "Abstract Final Identifier": "FP12.02",
        "Title": "Aka Report 2: One Year Real-World Data Of Visual Performance, Patient Satisfaction, And Spectacle Independence With Three Presbyopia-Correcting Iols Versus Monofocal Iol: A Prospective Comparative Study",
        "Presenting Author(s)": "Dr Matthias Gerl",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Matthias",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gerl",
        "Country Name": "Germany",
        "Purpose": "To compare visual outcomes, patient satisfaction, and spectacle independence following bilateral implantation of three intraocular lenses (IOLs) with different optical approaches to enhance intermediate vision (AcrySof® IQ Vivity®, TECNIS Eyhance ICB00, and LuxSmart™) versus a standard monofocal IOL (CT ASPHINA 409M) in cataract surgery.",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Prospective, single-center, comparative clinical trial with patient-preference methodology. Consecutive adults aged 22–85 years undergoing bilateral cataract surgery were enrolled between 2022 and 2024, selecting independently their preferred IOL based on individualized comprehensive counseling. Evaluations included uncorrected and best distance-corrected visual acuity at distance (4m), intermediate DCIVA (80cm, 60cm), and near DCNVA (40cm), binocular defocus curves, depth of focus (DOF) analysis at 0.1 and 0.2 logMAR thresholds, contrast sensitivity under photopic, mesopic, and mesopic-with-glare conditions, and validated questionnaires (VF-14, McAlinden's Quality of Vision). Follow-up at 1 day, 1 week, 1 month, 3 months, and 12 months.",
        "Results": "Eighty-nine patients (178 eyes; 44.9% male; mean age 67.2±6.3 years) completed 12-month follow-up. Corrected distance visual acuity was comparable across all IOLs (P>0.05). At 80 cm, LuxSmart, Vivity, and Eyhance achieved better monocular DCIVA than CT ASPHINA (−0.105, −0.103, −0.100 logMAR; all P<0.01). At 60 cm, Vivity outperformed CT ASPHINA (−0.106 logMAR; P<0.001) and Eyhance (−0.063 logMAR; P=0.043). Significant DCNVA gain was observed only with Vivity (−0.062 logMAR; P=0.044). Negative-side DOF (0.2/0.1 logMAR) was greatest with Vivity (−1.88/−1.56 D). Contrast sensitivity favored CT ASPHINA and Eyhance. Intermediate spectacle independence was 92% (Vivity), 90.5% (LuxSmart), and 89.5% (Eyhance); satisfaction ≥90.5% across groups.",
        "Conclusions": "The three IOLs with different optical approaches to enhance intermediate vision demonstrated clinically significant improvements in intermediate visual performance compared to monofocal IOL while maintaining excellent distance vision. AcrySof IQ Vivity provided the broadest depth of focus with better performance at 60 and 40 cm. LuxSmart showed significant improvement at 80 cm with excellent spectacle independence for intermediate activities. Eyhance delivered significant intermediate gains at 80 cm while preserving contrast sensitivity comparable to monofocal reference. All three IOLs demonstrated excellent safety and satisfaction supporting individualized IOL selection based on patient visual needs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "FP12.03",
      "abstract_number": "FP12.03",
      "title": "Propensity-Matched Comparison Of Rayone Emv And Rayone Monofocal Intraocular Lenses In A Large Real-World Cataract Surgery Cohort",
      "authors": "Ms Kendall Johnston",
      "presenter": "Ms Kendall Johnston",
      "normalized_authors": [
        "Kendall Johnston"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mahmut Dogramaci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "To compare postoperative visual outcomes between the RayOne EMV intraocular lens and the RayOne monofocal intraocular lens in a large real-world cataract surgery cohort.",
        "Setting": "Spamedica and Freedom Vision Hospitals",
        "Methods": "A retrospective multicentre dataset analysis of 5654 eyes undergoing cataract surgery with Rayner intraocular lenses. Eyes implanted with RayOne EMV lenses (including toric models) were compared with eyes implanted with RayOne monofocal lenses. Propensity score matching was performed using preoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), corneal astigmatism derived from keratometry, and axial length to generate balanced comparison cohorts. Postoperative UDVA, CDVA and visual acuity improvement were compared between groups. Multivariable regression analysis was used to evaluate the independent association between intraocular lens type and postoperative visual outcomes.",
        "Results": "Propensity matching generated balanced cohorts of 533 eyes in each group with good baseline balance across all matching variables (standardised mean differences <0.15). Postoperative UDVA was lower in the RayOne EMV group compared with RayOne monofocal lenses (mean logMAR 0.153 vs 0.086), with a smaller improvement in UDVA (0.351 vs 0.452 logMAR, p < 0.001). There was no significant difference in postoperative CDVA between groups (0.056 vs 0.052 logMAR, p = 0.68).",
        "Conclusions": "In this large real-world cohort, implantation of the RayOne EMV intraocular lens was associated with lower postoperative uncorrected distance visual acuity compared with a conventional monofocal RayOne lens, while maintaining equivalent corrected distance visual acuity. These findings are consistent with the optical design of extended-range intraocular lenses, which prioritise increased depth of focus and functional vision at intermediate distances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large real-world cohort, implantation of the RayOne EMV intraocular lens was associated with lower postoperative uncorrected distance visual acuity compared with a conventional monofocal RayOne lens, while maintaining equivalent corrected distance visual acuity. These findings are consistent with the optical design of extended-range intraocular lenses, which prioritise increased depth of focus and…",
      "session_type": "Free Paper",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 169,
      "source_fields": {
        "Abstract Final Identifier": "FP12.03",
        "Title": "Propensity-Matched Comparison Of Rayone Emv And Rayone Monofocal Intraocular Lenses In A Large Real-World Cataract Surgery Cohort",
        "Presenting Author(s)": "Ms Kendall Johnston",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mahmut",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dogramaci",
        "Country Name": "Afghanistan",
        "Purpose": "To compare postoperative visual outcomes between the RayOne EMV intraocular lens and the RayOne monofocal intraocular lens in a large real-world cataract surgery cohort.",
        "Setting": "Spamedica and Freedom Vision Hospitals",
        "Methods": "A retrospective multicentre dataset analysis of 5654 eyes undergoing cataract surgery with Rayner intraocular lenses. Eyes implanted with RayOne EMV lenses (including toric models) were compared with eyes implanted with RayOne monofocal lenses. Propensity score matching was performed using preoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), corneal astigmatism derived from keratometry, and axial length to generate balanced comparison cohorts. Postoperative UDVA, CDVA and visual acuity improvement were compared between groups. Multivariable regression analysis was used to evaluate the independent association between intraocular lens type and postoperative visual outcomes.",
        "Results": "Propensity matching generated balanced cohorts of 533 eyes in each group with good baseline balance across all matching variables (standardised mean differences <0.15). Postoperative UDVA was lower in the RayOne EMV group compared with RayOne monofocal lenses (mean logMAR 0.153 vs 0.086), with a smaller improvement in UDVA (0.351 vs 0.452 logMAR, p < 0.001). There was no significant difference in postoperative CDVA between groups (0.056 vs 0.052 logMAR, p = 0.68).",
        "Conclusions": "In this large real-world cohort, implantation of the RayOne EMV intraocular lens was associated with lower postoperative uncorrected distance visual acuity compared with a conventional monofocal RayOne lens, while maintaining equivalent corrected distance visual acuity. These findings are consistent with the optical design of extended-range intraocular lenses, which prioritise increased depth of focus and functional vision at intermediate distances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "FP12.04",
      "abstract_number": "FP12.04",
      "title": "Objective Visual Acuity Outcomes Of Vivity Intraocular Lens Implantation Stratified By Target Refraction",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate objective unaided distance, intermediate and near visual acuity outcomes after phakoemulsification and intraocular lens replacement with the Vivity increased range of focus implants, grouped by target refraction, including emmetropic, slightly myopic, and moderately myopic targets using mini-monovision strategies.",
        "Setting": "The study was conducted retrospectively in a private single-surgeon ophthalmology practice in South Wales, United Kingdom.",
        "Methods": "A total of 584 patients undergoing cataract surgery with implantation of the Vivity intraocular lens (DFT015, DFTx15, CNWET0, CNWET2–6) were retrospectively analysed. This included 34% cases with a guarded prognosis. Outcomes were grouped by target refraction: emmetropia (−0.30D to +0.30D), slight myopia (−0.31D to −0.75D), and moderate myopia (−0.76D to −1.25D). Unaided distance visual acuity (UDVA), unaided intermediate visual acuity (UIVA), and unaided near visual acuity (UNVA) were analysed using cumulative distribution thresholds.",
        "Results": "In patients with emmetropic targets, 82.4% UDVA of 6/9 or better, with 93.8% achieving 6/12 or better. Intermediate visual acuity of 0.3 logMAR or better was achieved by ≥93.8% of eyes. 75.8% achieved near visual acuity of N10 or better.\n\nIn slightly myopic targets, 75.4% achieved UDVA of 6/9 or better. Intermediate visual acuity of 0.3 logMAR or better was achieved by ≥93.8% of eyes. 75.4% achieved near visual acuity of N10 or better.\n\nIn moderate myopic targets, distance visual acuity was reduced compared with emmetropic and slight myopic targets, consistent with the mini-monovision strategy. Intermediate visual acuity of 0.3 logMAR or better was achieved by 100% of eyes. 62.5% achieved near visual acuity of N10 or better.",
        "Conclusions": "Vivity intraocular lens implantation provides consistent distance and intermediate visual acuity across a range of target refractions. Myopic targeting used for mini-monovision appropriately exchanges distance acuity for improved near performance, supporting refractive targeting to meet required visual needs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vivity intraocular lens implantation provides consistent distance and intermediate visual acuity across a range of target refractions. Myopic targeting used for mini-monovision appropriately exchanges distance acuity for improved near performance, supporting refractive targeting to meet required visual needs.",
      "session_type": "Free Paper",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 170,
      "source_fields": {
        "Abstract Final Identifier": "FP12.04",
        "Title": "Objective Visual Acuity Outcomes Of Vivity Intraocular Lens Implantation Stratified By Target Refraction",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate objective unaided distance, intermediate and near visual acuity outcomes after phakoemulsification and intraocular lens replacement with the Vivity increased range of focus implants, grouped by target refraction, including emmetropic, slightly myopic, and moderately myopic targets using mini-monovision strategies.",
        "Setting": "The study was conducted retrospectively in a private single-surgeon ophthalmology practice in South Wales, United Kingdom.",
        "Methods": "A total of 584 patients undergoing cataract surgery with implantation of the Vivity intraocular lens (DFT015, DFTx15, CNWET0, CNWET2–6) were retrospectively analysed. This included 34% cases with a guarded prognosis. Outcomes were grouped by target refraction: emmetropia (−0.30D to +0.30D), slight myopia (−0.31D to −0.75D), and moderate myopia (−0.76D to −1.25D). Unaided distance visual acuity (UDVA), unaided intermediate visual acuity (UIVA), and unaided near visual acuity (UNVA) were analysed using cumulative distribution thresholds.",
        "Results": "In patients with emmetropic targets, 82.4% UDVA of 6/9 or better, with 93.8% achieving 6/12 or better. Intermediate visual acuity of 0.3 logMAR or better was achieved by ≥93.8% of eyes. 75.8% achieved near visual acuity of N10 or better.\n\nIn slightly myopic targets, 75.4% achieved UDVA of 6/9 or better. Intermediate visual acuity of 0.3 logMAR or better was achieved by ≥93.8% of eyes. 75.4% achieved near visual acuity of N10 or better.\n\nIn moderate myopic targets, distance visual acuity was reduced compared with emmetropic and slight myopic targets, consistent with the mini-monovision strategy. Intermediate visual acuity of 0.3 logMAR or better was achieved by 100% of eyes. 62.5% achieved near visual acuity of N10 or better.",
        "Conclusions": "Vivity intraocular lens implantation provides consistent distance and intermediate visual acuity across a range of target refractions. Myopic targeting used for mini-monovision appropriately exchanges distance acuity for improved near performance, supporting refractive targeting to meet required visual needs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP12.05",
      "abstract_number": "FP12.05",
      "title": "Cornea-First Blended Toric Monofocal Targeting With Intentional Physiologic With-The-Rule Astigmatism: Binocular Summation And Biologic Tolerance To Enhance Contrast Sensitivity And Binocular Function Beyond Presbyopia-Correcting Iol Trade-Offs",
      "authors": "Dr A. John Kanellopoulos",
      "presenter": "Dr A. John Kanellopoulos",
      "normalized_authors": [
        "A. John Kanellopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "A. John Kanellopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To evaluate postoperative visual performance using a cornea-first refractive cataract strategy that integrates blended toric monofocal targeting with intentional mild residual with-the-rule (WTR) astigmatism. This approach is designed to physiologically expand depth of focus through controlled anisometropia and symmetric meridional blur while preserving monofocal optical quality. The strategy emphasizes total corneal power validation, corneal symmetry, and axis coupling relative to the visual axis, aiming to enhance contrast sensitivity and binocular function while avoiding the optical trade-offs associated with presbyopia-correcting intraocular lens platforms.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "Prospective observational case series of 250 consecutive patients (500 eyes) undergoing bilateral phacoemulsification with implantation of an aspheric hydrophobic acrylic toric monofocal IOL (Clareon CNW0T). IOL calculations incorporated swept-source OCT total keratometry (IOLMaster 700) and Scheimpflug-derived total corneal power referenced to the corneal vertex. Refractive targets: −0.40 to −0.50 D SE in the dominant eye and −1.25 to −1.50 D SE in the non-dominant eye, with planned residual WTR cylinder of 0.30–0.50 D. Mandatory preoperative contact lens simulation confirmed binocular tolerance. Primary outcomes at 3 months: binocular UDVA, UNVA, residual refraction, contrast sensitivity (photopic and mesopic), and spectacle dependence.",
        "Results": "At 3 months, residual cylinder was ≤0.50 D in 85% of eyes and ≤0.25 D in 20%, reflecting both refractive precision and intentional physiologic WTR targeting. Binocular UDVA was ≥20/20 in 95% of patients, with 55% achieving ≥20/16. Binocular uncorrected near acuity was J2 or better in 85% of patients. Contrast sensitivity values remained within or above age-matched normative ranges across spatial frequencies under photopic and mesopic conditions. Complete spectacle independence reported by 70% of patients, without evidence of a distance acuity floor effect. Optical modeling of bilateral toric monofocal PSFs demonstrated preserved binocular summation and near stereopsis compared with theoretical bilateral trifocal or EDOF IOL configurations",
        "Conclusions": "Blended toric monofocal targeting with planned WTR astigmatism extends functional visual range through binocular summation while preserving or enhancing contrast sensitivity and robust binocular function. Interpreted in a cornea-based optical framework—incorporating validated total corneal power measurement, axis coupling awareness, and tolerance to biologic lens-position variability—this strategy restores physiologic total-eye optics without increasing intraocular optical complexity. Compared with presbyopia-correcting IOL designs, the approach demonstrates high biologic tolerance, stable contrast behavior, and preserved binocular integration, reframing refractive cataract surgery as a cornea-driven model prioritizing optical robustness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Blended toric monofocal targeting with planned WTR astigmatism extends functional visual range through binocular summation while preserving or enhancing contrast sensitivity and robust binocular function. Interpreted in a cornea-based optical framework—incorporating validated total corneal power measurement, axis coupling awareness, and tolerance to biologic lens-position variability—this strategy restores…",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 171,
      "source_fields": {
        "Abstract Final Identifier": "FP12.05",
        "Title": "Cornea-First Blended Toric Monofocal Targeting With Intentional Physiologic With-The-Rule Astigmatism: Binocular Summation And Biologic Tolerance To Enhance Contrast Sensitivity And Binocular Function Beyond Presbyopia-Correcting Iol Trade-Offs",
        "Presenting Author(s)": "Dr A. John Kanellopoulos",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "A.",
        "Submitter Middle Name": "John",
        "Submitter Last Name": "Kanellopoulos",
        "Country Name": "Greece",
        "Purpose": "To evaluate postoperative visual performance using a cornea-first refractive cataract strategy that integrates blended toric monofocal targeting with intentional mild residual with-the-rule (WTR) astigmatism. This approach is designed to physiologically expand depth of focus through controlled anisometropia and symmetric meridional blur while preserving monofocal optical quality. The strategy emphasizes total corneal power validation, corneal symmetry, and axis coupling relative to the visual axis, aiming to enhance contrast sensitivity and binocular function while avoiding the optical trade-offs associated with presbyopia-correcting intraocular lens platforms.",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "Prospective observational case series of 250 consecutive patients (500 eyes) undergoing bilateral phacoemulsification with implantation of an aspheric hydrophobic acrylic toric monofocal IOL (Clareon CNW0T). IOL calculations incorporated swept-source OCT total keratometry (IOLMaster 700) and Scheimpflug-derived total corneal power referenced to the corneal vertex. Refractive targets: −0.40 to −0.50 D SE in the dominant eye and −1.25 to −1.50 D SE in the non-dominant eye, with planned residual WTR cylinder of 0.30–0.50 D. Mandatory preoperative contact lens simulation confirmed binocular tolerance. Primary outcomes at 3 months: binocular UDVA, UNVA, residual refraction, contrast sensitivity (photopic and mesopic), and spectacle dependence.",
        "Results": "At 3 months, residual cylinder was ≤0.50 D in 85% of eyes and ≤0.25 D in 20%, reflecting both refractive precision and intentional physiologic WTR targeting. Binocular UDVA was ≥20/20 in 95% of patients, with 55% achieving ≥20/16. Binocular uncorrected near acuity was J2 or better in 85% of patients. Contrast sensitivity values remained within or above age-matched normative ranges across spatial frequencies under photopic and mesopic conditions. Complete spectacle independence reported by 70% of patients, without evidence of a distance acuity floor effect. Optical modeling of bilateral toric monofocal PSFs demonstrated preserved binocular summation and near stereopsis compared with theoretical bilateral trifocal or EDOF IOL configurations",
        "Conclusions": "Blended toric monofocal targeting with planned WTR astigmatism extends functional visual range through binocular summation while preserving or enhancing contrast sensitivity and robust binocular function. Interpreted in a cornea-based optical framework—incorporating validated total corneal power measurement, axis coupling awareness, and tolerance to biologic lens-position variability—this strategy restores physiologic total-eye optics without increasing intraocular optical complexity. Compared with presbyopia-correcting IOL designs, the approach demonstrates high biologic tolerance, stable contrast behavior, and preserved binocular integration, reframing refractive cataract surgery as a cornea-driven model prioritizing optical robustness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 405
    },
    {
      "uid": "FP12.06",
      "abstract_number": "FP12.06",
      "title": "Impact Of Preoperative Corneal Higher Order Aberrations On Intermediate Visual Acuity After Enhanced Monofocal Intraocular Lens Implantation",
      "authors": "Dr Hyeonwoo Jeon",
      "presenter": "Dr Hyeonwoo Jeon",
      "normalized_authors": [
        "Hyeonwoo Jeon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yoo Young Jeon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Enhanced monofocal intraocular lenses (IOLs) such as TECNIS Eyhance are designed to improve intermediate vision while preserving distance visual acuity without the use of diffractive optics. However, it remains unclear whether preexisting corneal higher order aberrations (HOAs) influence postoperative intermediate outcomes. This study investigated the association between preoperative corneal HOAs and intermediate visual acuity after Eyhance IOL implantation.",
        "Setting": "Chungnam National University Hospital, Daejeon, Republic of Korea",
        "Methods": "This retrospective study included patients who underwent uncomplicated cataract surgery with TECNIS Eyhance IOL implantation in Chungnam National University Hospital. Corneal wavefront aberrations were measured preoperatively using Pentacam HR/AXL (Scheimpflug imaging). Total corneal HOA root mean square (RMS, 3rd–6th order, 6-mm pupil) was recorded as the primary independent variable. UIVA at 66 cm (logMAR) measured at 1 month postoperatively as the primary outcome. Spearman correlations, univariable and multivariable regression analysis were performed. Receiver operating characteristic (ROC) analysis evaluated the predictive ability of HOA for poor UIVA.",
        "Results": "28 eyes of 28 patients were included. Mean preoperative total corneal HOA was 2.18 ± 1.20 µm, and mean postoperative UIVA was 0.29 ± 0.11 logMAR. Higher preoperative HOA and larger pupil were significantly associated with worse postoperative UIVA (Spearman ρ = 0.36, p = 0.047 for HOA, ρ = 0.40, p = 0.036 for pupil diameter). In univariable regression, each 1-µm increase in HOA corresponded to a 0.046 logMAR decrease in UIVA (p = 0.007, R² = 0.25). In multivariable regression adjusting pupil diameter, axial length, keratometry, and refractive status, HOA remained independently associated with worse UIVA. (β = 0.03 logMAR/µm). Preoperative HOA demonstrated useful discrimination for predicting reduced UIVA (decimal < 0.5), with an AUC of 0.75.",
        "Conclusions": "Preexisting corneal higher order aberrations significantly affect intermediate visual outcome after Eyhance IOL implantation. Higher HOAs were associated with worse postoperative UIVA. Preoperative assessment of corneal high order aberrations may help patient selection and counseling and should be considered during surgical planning alongside IOL choice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preexisting corneal higher order aberrations significantly affect intermediate visual outcome after Eyhance IOL implantation. Higher HOAs were associated with worse postoperative UIVA. Preoperative assessment of corneal high order aberrations may help patient selection and counseling and should be considered during surgical planning alongside IOL choice.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 172,
      "source_fields": {
        "Abstract Final Identifier": "FP12.06",
        "Title": "Impact Of Preoperative Corneal Higher Order Aberrations On Intermediate Visual Acuity After Enhanced Monofocal Intraocular Lens Implantation",
        "Presenting Author(s)": "Dr Hyeonwoo Jeon",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Yoo Young",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Enhanced monofocal intraocular lenses (IOLs) such as TECNIS Eyhance are designed to improve intermediate vision while preserving distance visual acuity without the use of diffractive optics. However, it remains unclear whether preexisting corneal higher order aberrations (HOAs) influence postoperative intermediate outcomes. This study investigated the association between preoperative corneal HOAs and intermediate visual acuity after Eyhance IOL implantation.",
        "Setting": "Chungnam National University Hospital, Daejeon, Republic of Korea",
        "Methods": "This retrospective study included patients who underwent uncomplicated cataract surgery with TECNIS Eyhance IOL implantation in Chungnam National University Hospital. Corneal wavefront aberrations were measured preoperatively using Pentacam HR/AXL (Scheimpflug imaging). Total corneal HOA root mean square (RMS, 3rd–6th order, 6-mm pupil) was recorded as the primary independent variable. UIVA at 66 cm (logMAR) measured at 1 month postoperatively as the primary outcome. Spearman correlations, univariable and multivariable regression analysis were performed. Receiver operating characteristic (ROC) analysis evaluated the predictive ability of HOA for poor UIVA.",
        "Results": "28 eyes of 28 patients were included. Mean preoperative total corneal HOA was 2.18 ± 1.20 µm, and mean postoperative UIVA was 0.29 ± 0.11 logMAR. Higher preoperative HOA and larger pupil were significantly associated with worse postoperative UIVA (Spearman ρ = 0.36, p = 0.047 for HOA, ρ = 0.40, p = 0.036 for pupil diameter). In univariable regression, each 1-µm increase in HOA corresponded to a 0.046 logMAR decrease in UIVA (p = 0.007, R² = 0.25). In multivariable regression adjusting pupil diameter, axial length, keratometry, and refractive status, HOA remained independently associated with worse UIVA. (β = 0.03 logMAR/µm). Preoperative HOA demonstrated useful discrimination for predicting reduced UIVA (decimal < 0.5), with an AUC of 0.75.",
        "Conclusions": "Preexisting corneal higher order aberrations significantly affect intermediate visual outcome after Eyhance IOL implantation. Higher HOAs were associated with worse postoperative UIVA. Preoperative assessment of corneal high order aberrations may help patient selection and counseling and should be considered during surgical planning alongside IOL choice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "FP12.07",
      "abstract_number": "FP12.07",
      "title": "Three-Year Follow-Up On The Safety And Efficacy Of Cross-Linked Polyisobutylene (Xpib) Aspherical Iols",
      "authors": "Dr Qun Trin Peng",
      "presenter": "Dr Qun Trin Peng",
      "normalized_authors": [
        "Qun Trin Peng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Qun Trin Peng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate long term safety and effectiveness of an IOL made of cross-linked polyisobutylene, a novel biomaterial for new generation of foldable IOLs, at three-year postoperative follow up.",
        "Setting": "Xian Eyedeal Medical Technology, Inc. Ltd",
        "Methods": "188 subjects from the original prospective, multicenter, parallel-controlled, randomized clinical trial were recalled for a 3 year follow up visit. Subjects were originally enrolled in 1:1 ratio with either cross-linked polyisobutylene (xPIB) IOL (test group) or Acrysof SN60WF IOL (control group) implantation. UCDVA, BCDVA, slit lamp and fundus findings, IOP, ECD, IOL stability, device deficiency were evaluated. An investigator-administered patient satisfactory questionnaire was documented. Major parameters between two groups were statistically compared.",
        "Results": "95 (48 in test group and 47 in control group) out of the original 188 subjects completed 3-year follow up. Average BCDVA was 0.875 and 0.868 (Snellen Decimals) in test and control group, respectively. The difference between predicted and residual refractive error was 0.056D (test) and 0.147D (control). Glistenings were observed in 14 subjects (29.8%) in the control group, whereas none was in the test group. PCO was observed in 12 subjects (25%) in the test group and 20 subjects (42.6%) in the control group. No Nd:YAG laser capsulotomy was reported. S ubjects in both groups reported satisfaction with their implants and none or minimal needs of glasses for distance vision. Glare and halos were noticed more in the control group than test group.",
        "Conclusions": "At the 3-year postoperative follow-up, the IOL made of cross-linked polyisobutylene (xPIB) demonstrated excellent long-term safety and effectiveness. The clinical results showed clear advantage of no glistenings and lower incidence of PCO at 3-year post-implantation, compared with control IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At the 3-year postoperative follow-up, the IOL made of cross-linked polyisobutylene (xPIB) demonstrated excellent long-term safety and effectiveness. The clinical results showed clear advantage of no glistenings and lower incidence of PCO at 3-year post-implantation, compared with control IOL.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 173,
      "source_fields": {
        "Abstract Final Identifier": "FP12.07",
        "Title": "Three-Year Follow-Up On The Safety And Efficacy Of Cross-Linked Polyisobutylene (Xpib) Aspherical Iols",
        "Presenting Author(s)": "Dr Qun Trin Peng",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Qun",
        "Submitter Middle Name": "Trin",
        "Submitter Last Name": "Peng",
        "Country Name": "China",
        "Purpose": "To evaluate long term safety and effectiveness of an IOL made of cross-linked polyisobutylene, a novel biomaterial for new generation of foldable IOLs, at three-year postoperative follow up.",
        "Setting": "Xian Eyedeal Medical Technology, Inc. Ltd",
        "Methods": "188 subjects from the original prospective, multicenter, parallel-controlled, randomized clinical trial were recalled for a 3 year follow up visit. Subjects were originally enrolled in 1:1 ratio with either cross-linked polyisobutylene (xPIB) IOL (test group) or Acrysof SN60WF IOL (control group) implantation. UCDVA, BCDVA, slit lamp and fundus findings, IOP, ECD, IOL stability, device deficiency were evaluated. An investigator-administered patient satisfactory questionnaire was documented. Major parameters between two groups were statistically compared.",
        "Results": "95 (48 in test group and 47 in control group) out of the original 188 subjects completed 3-year follow up. Average BCDVA was 0.875 and 0.868 (Snellen Decimals) in test and control group, respectively. The difference between predicted and residual refractive error was 0.056D (test) and 0.147D (control). Glistenings were observed in 14 subjects (29.8%) in the control group, whereas none was in the test group. PCO was observed in 12 subjects (25%) in the test group and 20 subjects (42.6%) in the control group. No Nd:YAG laser capsulotomy was reported. S ubjects in both groups reported satisfaction with their implants and none or minimal needs of glasses for distance vision. Glare and halos were noticed more in the control group than test group.",
        "Conclusions": "At the 3-year postoperative follow-up, the IOL made of cross-linked polyisobutylene (xPIB) demonstrated excellent long-term safety and effectiveness. The clinical results showed clear advantage of no glistenings and lower incidence of PCO at 3-year post-implantation, compared with control IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "FP12.08",
      "abstract_number": "FP12.08",
      "title": "Effect Of Tilt And Decentration On Optical Performance Of Advanced Monofocal Intraocular Lenses",
      "authors": "Prof. Seung Pil Bang",
      "presenter": "Prof. Seung Pil Bang",
      "normalized_authors": [
        "Seung Pil Bang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seung Pil Bang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Scleral fixation techniques for premium intraocular lenses (IOLs) including advanced monofocals may induce tilt and decentration, potentially degrading optical quality. This study evaluated the optical performance of advanced monofocal IOLs and simulated the impact of clinically relevant misalignment.",
        "Setting": "Laboratory optical bench study.",
        "Methods": "Four +20.0 D advanced monofocal IOLs were tested: Eyhance (Johnson & Johnson Vision), Isopure/Serenity (BVI Medical), Precizon Go (Ophtec), and Impress (HOYA). Optical quality was measured using NIMO TEMPO and PMTF systems (Lambda-X, Belgium) with Mach–Zehnder interferometry in an ISO-2 model eye incorporating +0.28 µm corneal spherical aberration (6-mm pupil). Tilt of 1°, 2°, 3°, and 4° and decentration of 0.25, 0.5, 0.75, and 1.0 mm were induced. Through-focus modulation transfer function (MTF) at 50 lp/mm (3-mm pupil) was analyzed.",
        "Results": "All IOLs showed progressive reduction in peak distance MTF with increasing tilt and decentration; however, the magnitude of degradation differed by design. Distance MTF decreased more prominently beyond 2° tilt and 0.5 mm decentration in some lenses, whereas others maintained relatively stable peak performance up to moderate misalignment. Eyhance demonstrated relative pupil-independent distance performance. Precizon Go and Impress showed greater resistance to MTF reduction under both tilt and decentration. Changes in intermediate MTF profiles were design-dependent, reflecting differences in spherical aberration distribution.",
        "Conclusions": "Advanced monofocal IOLs show different optical responses to tilt and decentration. Although optical bench findings may not directly translate to clinical outcomes, the results suggest that IOL design influences tolerance to misalignment, which may be relevant in scleral fixation settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Advanced monofocal IOLs show different optical responses to tilt and decentration. Although optical bench findings may not directly translate to clinical outcomes, the results suggest that IOL design influences tolerance to misalignment, which may be relevant in scleral fixation settings.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 174,
      "source_fields": {
        "Abstract Final Identifier": "FP12.08",
        "Title": "Effect Of Tilt And Decentration On Optical Performance Of Advanced Monofocal Intraocular Lenses",
        "Presenting Author(s)": "Prof. Seung Pil Bang",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Seung Pil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bang",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Scleral fixation techniques for premium intraocular lenses (IOLs) including advanced monofocals may induce tilt and decentration, potentially degrading optical quality. This study evaluated the optical performance of advanced monofocal IOLs and simulated the impact of clinically relevant misalignment.",
        "Setting": "Laboratory optical bench study.",
        "Methods": "Four +20.0 D advanced monofocal IOLs were tested: Eyhance (Johnson & Johnson Vision), Isopure/Serenity (BVI Medical), Precizon Go (Ophtec), and Impress (HOYA). Optical quality was measured using NIMO TEMPO and PMTF systems (Lambda-X, Belgium) with Mach–Zehnder interferometry in an ISO-2 model eye incorporating +0.28 µm corneal spherical aberration (6-mm pupil). Tilt of 1°, 2°, 3°, and 4° and decentration of 0.25, 0.5, 0.75, and 1.0 mm were induced. Through-focus modulation transfer function (MTF) at 50 lp/mm (3-mm pupil) was analyzed.",
        "Results": "All IOLs showed progressive reduction in peak distance MTF with increasing tilt and decentration; however, the magnitude of degradation differed by design. Distance MTF decreased more prominently beyond 2° tilt and 0.5 mm decentration in some lenses, whereas others maintained relatively stable peak performance up to moderate misalignment. Eyhance demonstrated relative pupil-independent distance performance. Precizon Go and Impress showed greater resistance to MTF reduction under both tilt and decentration. Changes in intermediate MTF profiles were design-dependent, reflecting differences in spherical aberration distribution.",
        "Conclusions": "Advanced monofocal IOLs show different optical responses to tilt and decentration. Although optical bench findings may not directly translate to clinical outcomes, the results suggest that IOL design influences tolerance to misalignment, which may be relevant in scleral fixation settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP12.09",
      "abstract_number": "FP12.09",
      "title": "Comparing Partial-Range Of Field Iols Of The Newest Generation",
      "authors": "Prof. Stefan Pieh",
      "presenter": "Prof. Stefan Pieh",
      "normalized_authors": [
        "Stefan Pieh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stefan Pieh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "Different ‘partial-range of field IOLs’, whose lens designs differ from the classic aspheric lens design extending the focal point into the myopic range in order to increase depth of field, are to be compared in terms of their light distribution and imaging quality.",
        "Setting": "Medical Univesity of Vienna, Department of Ophthalmology and Optometry",
        "Methods": "On an optical bench with a 546 nm laser light source, a cornea with a spherical aberration of 0.2 µm and pupil apertures of 3.0 mm and 4.5 mm, the Through Focus Response (TFR) was compared for the AllRange (OphthalmoPro), Impress (Hoya), PureSee (Jonson & Jonson) TECNIS® Eyhance DIB00 (Johnson & Johnson), Vivity (Alcon), and Zoe (OphthalmoPro) was determined on an optical bench with a 546 nm laser light source, a cornea with a spherical aberration of 0.2 µm and pupil apertures of 3.0 mm and 4.5 mm. The defocus range for the TFR was -5.0 to +3.0 dioptres. For the same defocus range, the Through Focus Response Modulation Transfer Function (TFR MTF) was determined for 50 lp/mm for the same implants.",
        "Results": "While Impress, TECNIS® Eyhance DIB00 and Zoe only show a slight extension of the focal point in the myopic range, the AllRange, PureSee and Vivity lenses clearly show light energy for the intermediate range. The TFR MTFs show that supplying the intermediate range with more light energy affects the image quality in the distance.",
        "Conclusions": "Lenses that only slightly elongate the far focal point into the myopic range, such as Impress, Tecnis Eyhance DIB00, and ZOE perform slightly better at a distance than lenses that provide more light for the intermediate range, such as AllRange, PureSee and Vivity which comparatively provide better image quality in the intermediate range."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lenses that only slightly elongate the far focal point into the myopic range, such as Impress, Tecnis Eyhance DIB00, and ZOE perform slightly better at a distance than lenses that provide more light for the intermediate range, such as AllRange, PureSee and Vivity which comparatively provide better image quality in the intermediate range.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 175,
      "source_fields": {
        "Abstract Final Identifier": "FP12.09",
        "Title": "Comparing Partial-Range Of Field Iols Of The Newest Generation",
        "Presenting Author(s)": "Prof. Stefan Pieh",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Stefan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pieh",
        "Country Name": "Austria",
        "Purpose": "Different ‘partial-range of field IOLs’, whose lens designs differ from the classic aspheric lens design extending the focal point into the myopic range in order to increase depth of field, are to be compared in terms of their light distribution and imaging quality.",
        "Setting": "Medical Univesity of Vienna, Department of Ophthalmology and Optometry",
        "Methods": "On an optical bench with a 546 nm laser light source, a cornea with a spherical aberration of 0.2 µm and pupil apertures of 3.0 mm and 4.5 mm, the Through Focus Response (TFR) was compared for the AllRange (OphthalmoPro), Impress (Hoya), PureSee (Jonson & Jonson) TECNIS® Eyhance DIB00 (Johnson & Johnson), Vivity (Alcon), and Zoe (OphthalmoPro) was determined on an optical bench with a 546 nm laser light source, a cornea with a spherical aberration of 0.2 µm and pupil apertures of 3.0 mm and 4.5 mm. The defocus range for the TFR was -5.0 to +3.0 dioptres. For the same defocus range, the Through Focus Response Modulation Transfer Function (TFR MTF) was determined for 50 lp/mm for the same implants.",
        "Results": "While Impress, TECNIS® Eyhance DIB00 and Zoe only show a slight extension of the focal point in the myopic range, the AllRange, PureSee and Vivity lenses clearly show light energy for the intermediate range. The TFR MTFs show that supplying the intermediate range with more light energy affects the image quality in the distance.",
        "Conclusions": "Lenses that only slightly elongate the far focal point into the myopic range, such as Impress, Tecnis Eyhance DIB00, and ZOE perform slightly better at a distance than lenses that provide more light for the intermediate range, such as AllRange, PureSee and Vivity which comparatively provide better image quality in the intermediate range."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "FP12.10",
      "abstract_number": "FP12.10",
      "title": "Visual And Refractive Outcomes From A Multicentric, Prospective Study In Patients Bilaterally Implanted With An Enhanced Monofocal Intraocular Lens",
      "authors": "Dr Cathleen Mccabe",
      "presenter": "Dr Cathleen Mccabe",
      "normalized_authors": [
        "Cathleen Mccabe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cathleen Mccabe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the performance of the enVista Aspire (toric/non-toric) intraocular lenses (IOLs) with respect to visual and refractive outcomes following bilateral implantation in patients undergoing cataract surgery.",
        "Setting": "57 sites in the United States",
        "Methods": "In this prospective, multicenter, open-label, single-arm post-marketing clinical study, cataract patients aged ≥ 22 years with corrected distance visual acuity (CDVA) equal to or worse than 20/40 and an estimated CDVA better than 20/30 after IOL implantation in each eye were enrolled. All patients underwent bilateral implantation with the enVista Aspire toric or non-toric IOLs, targeting plano to first minus. Study parameters included binocular uncorrected and corrected visual acuities at far and intermediate distances (UDVA, UIVA, CDVA, DCIVA).",
        "Results": "A total of 313 subjects underwent bilateral implantation with the study IOLs. Three subjects discontinued after IOL implantation; thus, 310 subjects were analyzed. At postoperative 14 to 42 days after IOL implantation in the second eye, the mean MRSE was -0.18 ± 0.37 D. The mean binocular UDVA and UIVA were 0.02 ± 0.10 and 0.20 ± 0.15, respectively. While 90.6% of eyes achieved binocular UDVA of 20/25 or better, 70.9% of eyes achieved UIVA of 20/32 or better. Mean binocular CDVA and DCIVA were -0.03 ± 0.07 and 0.23 ± 0.16, respectively. Binocular DCIVA of 20/32 or better were achieved in 64.4% of eyes, respectively.",
        "Conclusions": "Cataract patients bilaterally implanted with the enhanced monofocal IOL demonstrated good distance and intermediate visual acuities, with functional near visual acuity. These results are attributed to the optical modification of the posterior aspheric surface of the IOL, which creates a small, continuous increase in power within the central 1.5 mm diameter, thereby slightly extending the depth of focus. This enhanced monofocal IOL can be considered an ideal option for patients seeking good intermediate vision without compromising distance vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract patients bilaterally implanted with the enhanced monofocal IOL demonstrated good distance and intermediate visual acuities, with functional near visual acuity. These results are attributed to the optical modification of the posterior aspheric surface of the IOL, which creates a small, continuous increase in power within the central 1.5 mm diameter, thereby slightly extending the depth of focus. This…",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 176,
      "source_fields": {
        "Abstract Final Identifier": "FP12.10",
        "Title": "Visual And Refractive Outcomes From A Multicentric, Prospective Study In Patients Bilaterally Implanted With An Enhanced Monofocal Intraocular Lens",
        "Presenting Author(s)": "Dr Cathleen Mccabe",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Cathleen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mccabe",
        "Country Name": "United States",
        "Purpose": "To evaluate the performance of the enVista Aspire (toric/non-toric) intraocular lenses (IOLs) with respect to visual and refractive outcomes following bilateral implantation in patients undergoing cataract surgery.",
        "Setting": "57 sites in the United States",
        "Methods": "In this prospective, multicenter, open-label, single-arm post-marketing clinical study, cataract patients aged ≥ 22 years with corrected distance visual acuity (CDVA) equal to or worse than 20/40 and an estimated CDVA better than 20/30 after IOL implantation in each eye were enrolled. All patients underwent bilateral implantation with the enVista Aspire toric or non-toric IOLs, targeting plano to first minus. Study parameters included binocular uncorrected and corrected visual acuities at far and intermediate distances (UDVA, UIVA, CDVA, DCIVA).",
        "Results": "A total of 313 subjects underwent bilateral implantation with the study IOLs. Three subjects discontinued after IOL implantation; thus, 310 subjects were analyzed. At postoperative 14 to 42 days after IOL implantation in the second eye, the mean MRSE was -0.18 ± 0.37 D. The mean binocular UDVA and UIVA were 0.02 ± 0.10 and 0.20 ± 0.15, respectively. While 90.6% of eyes achieved binocular UDVA of 20/25 or better, 70.9% of eyes achieved UIVA of 20/32 or better. Mean binocular CDVA and DCIVA were -0.03 ± 0.07 and 0.23 ± 0.16, respectively. Binocular DCIVA of 20/32 or better were achieved in 64.4% of eyes, respectively.",
        "Conclusions": "Cataract patients bilaterally implanted with the enhanced monofocal IOL demonstrated good distance and intermediate visual acuities, with functional near visual acuity. These results are attributed to the optical modification of the posterior aspheric surface of the IOL, which creates a small, continuous increase in power within the central 1.5 mm diameter, thereby slightly extending the depth of focus. This enhanced monofocal IOL can be considered an ideal option for patients seeking good intermediate vision without compromising distance vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "FP12.11",
      "abstract_number": "FP12.11",
      "title": "Assessment Of The Patient-Reported Outcomes Following Bilateral Implantation Of An Enhanced Monofocal Intraocular Lens In Cataract Patients",
      "authors": "Dr Ehsan Sadri",
      "presenter": "Dr Ehsan Sadri",
      "normalized_authors": [
        "Ehsan Sadri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "This study aimed to assess patient-reported outcomes following bilateral implantation of the enVista Aspire toric or non-toric intraocular lens (IOL) during cataract surgery.",
        "Setting": "57 sites in the United States",
        "Methods": "This prospective, multicenter, open-label, clinical study included subjects aged ≥ 22 years bilaterally implanted with enVista Aspire toric or non-toric IOLs following cataract surgery. The enVista Aspire IOL uses an optical modification of the posterior aspheric surface to create a small, continuous increase in IOL power within the central 1.5 mm diameter, slightly optimize the depth of focus for intermediate vision. All patients were targeted for plano to first minus. The patient-reported outcomes were evaluated using Assessment of IntraOcular Lens Implant Symptoms (AIOLIS) scores and Near Activity Visual Questionnaire (NAVQ).",
        "Results": "The AIOLIS scores showed that 90.0% to 96.8% of subjects ‘never’ or ‘sometimes’ experienced glare, halos, and starbursts, and 89.3% to 94.5% were ‘not at all’ or ‘a little bothered’. Overall, 92.5% of subjects reported that their vision was good to excellent, and 92.6% were seeing pretty to perfectly well without glasses. The analysis of NAVQ responses showed that 70-72% of patients could perform intermediate vision tasks without spectacles, such as viewing a computer or mobile device display, with ‘no or a little difficulty’. Nearly 67.9% of patients could read and write with no or little difficulty, and 60.4% could maintain focus during prolonged near work. Overall, 72% of patients were satisfied with their near vision.",
        "Conclusions": "The enVista Aspire and Aspire Toric IOLs demonstrated good patient-reported outcomes as measured by validated questionnaires. Following bilateral implantation of the enhanced monofocal IOLs, more than 90% of patients experienced minimal to no visual symptoms and good to excellent vision. More than 92% of patients could see pretty well without glasses, and 72% were satisfied with their near vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The enVista Aspire and Aspire Toric IOLs demonstrated good patient-reported outcomes as measured by validated questionnaires. Following bilateral implantation of the enhanced monofocal IOLs, more than 90% of patients experienced minimal to no visual symptoms and good to excellent vision. More than 92% of patients could see pretty well without glasses, and 72% were satisfied with their near vision.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 177,
      "source_fields": {
        "Abstract Final Identifier": "FP12.11",
        "Title": "Assessment Of The Patient-Reported Outcomes Following Bilateral Implantation Of An Enhanced Monofocal Intraocular Lens In Cataract Patients",
        "Presenting Author(s)": "Dr Ehsan Sadri",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "This study aimed to assess patient-reported outcomes following bilateral implantation of the enVista Aspire toric or non-toric intraocular lens (IOL) during cataract surgery.",
        "Setting": "57 sites in the United States",
        "Methods": "This prospective, multicenter, open-label, clinical study included subjects aged ≥ 22 years bilaterally implanted with enVista Aspire toric or non-toric IOLs following cataract surgery. The enVista Aspire IOL uses an optical modification of the posterior aspheric surface to create a small, continuous increase in IOL power within the central 1.5 mm diameter, slightly optimize the depth of focus for intermediate vision. All patients were targeted for plano to first minus. The patient-reported outcomes were evaluated using Assessment of IntraOcular Lens Implant Symptoms (AIOLIS) scores and Near Activity Visual Questionnaire (NAVQ).",
        "Results": "The AIOLIS scores showed that 90.0% to 96.8% of subjects ‘never’ or ‘sometimes’ experienced glare, halos, and starbursts, and 89.3% to 94.5% were ‘not at all’ or ‘a little bothered’. Overall, 92.5% of subjects reported that their vision was good to excellent, and 92.6% were seeing pretty to perfectly well without glasses. The analysis of NAVQ responses showed that 70-72% of patients could perform intermediate vision tasks without spectacles, such as viewing a computer or mobile device display, with ‘no or a little difficulty’. Nearly 67.9% of patients could read and write with no or little difficulty, and 60.4% could maintain focus during prolonged near work. Overall, 72% of patients were satisfied with their near vision.",
        "Conclusions": "The enVista Aspire and Aspire Toric IOLs demonstrated good patient-reported outcomes as measured by validated questionnaires. Following bilateral implantation of the enhanced monofocal IOLs, more than 90% of patients experienced minimal to no visual symptoms and good to excellent vision. More than 92% of patients could see pretty well without glasses, and 72% were satisfied with their near vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "FP12.12",
      "abstract_number": "FP12.12",
      "title": "Visual And Refractive Outcomes Of An Enhanced Monofocal Intraocular Lens In A Prospective, Real-World Spanish Multicentre Study",
      "authors": "Dr Francisco J. Castro",
      "presenter": "Dr Francisco J. Castro",
      "normalized_authors": [
        "Francisco J. Castro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisco J. Castro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Enhanced monofocal intraocular lenses (IOLs) are designed to extend depth of focus (DOF) compared to traditional monofocal lenses. The enVista ASPIRE Toric (ETA) and enVista ASPIRE (EA) IOLs are hydrophobic acrylic enhanced monofocal IOLs that have demonstrated up to 1.25 D of continuous DOF in clinical trials. This study aimed to evaluate the real-world performance and outcomes of ETA and EA IOLs.",
        "Setting": "This was a prospective, real-world study conducted at two sites in Spain (Unidad de cirugía facorefractiva, Hospital Universitario Miguel Servet, Zaragoza and Hospital Universitario Ramón y Cajal, Madrid). Surgeries were performed by two investigators in patients between 21 January 2025 and 16 December 2025.",
        "Methods": "Postoperative visual performance was assessed in patients implanted with EA and ETA IOLs. All procedures utilised femtosecond laser–assisted cataract surgery (Victus, Bausch & Lomb, Inc.), with consistent APEX-guided centration of the implants. Clinical outcomes included corrected and uncorrected distance visual acuity (CDVA and UDVA), uncorrected intermediate distance visual acuity (UIVA), refractive outcomes (manifest refraction spherical equivalent [MRSE], spherical equivalent [SEQ], manifest refraction cylinder), and a defocus curve. Outcomes were assessed at 4–12 weeks postoperatively. Safety was also monitored.",
        "Results": "A total of 80 patients (98 eyes; 54% OD) were included; median follow-up was 34 days (n=42). Mean±standard deviation (SD) age was 69±9 years (n=33) and mean±SD SEQ target was −0.08±0.13 D (n=95). Monocular outcomes were CDVA of 0.1 logMAR or better in 99% of eyes (92/93), UDVA of 0.1 logMAR or better in 74% (69/93), and UIVA of 0.3 logMAR or better in 68% (61/90). Mean±SD MRSE was −0.18±0.38 D (n=94), mean±SD SEQ difference compared with target values was 0.11±0.38 D (n=93), and manifest refraction cylinder was −0.37±0.31 D (n=94). The defocus curve demonstrated an extended DOF, with a functional range of approximately 1.25 D at a 0.2 logMAR cutoff, reflecting good intermediate performance. No significant dysphotopsias were reported.",
        "Conclusions": "In this real-world study, EA and ETA IOLs provided high refractive accuracy and good distance and intermediate visual acuity. The defocus curve also demonstrated an extended DOF without compromising visual quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world study, EA and ETA IOLs provided high refractive accuracy and good distance and intermediate visual acuity. The defocus curve also demonstrated an extended DOF without compromising visual quality.",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 178,
      "source_fields": {
        "Abstract Final Identifier": "FP12.12",
        "Title": "Visual And Refractive Outcomes Of An Enhanced Monofocal Intraocular Lens In A Prospective, Real-World Spanish Multicentre Study",
        "Presenting Author(s)": "Dr Francisco J. Castro",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Francisco J.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Castro",
        "Country Name": "Spain",
        "Purpose": "Enhanced monofocal intraocular lenses (IOLs) are designed to extend depth of focus (DOF) compared to traditional monofocal lenses. The enVista ASPIRE Toric (ETA) and enVista ASPIRE (EA) IOLs are hydrophobic acrylic enhanced monofocal IOLs that have demonstrated up to 1.25 D of continuous DOF in clinical trials. This study aimed to evaluate the real-world performance and outcomes of ETA and EA IOLs.",
        "Setting": "This was a prospective, real-world study conducted at two sites in Spain (Unidad de cirugía facorefractiva, Hospital Universitario Miguel Servet, Zaragoza and Hospital Universitario Ramón y Cajal, Madrid). Surgeries were performed by two investigators in patients between 21 January 2025 and 16 December 2025.",
        "Methods": "Postoperative visual performance was assessed in patients implanted with EA and ETA IOLs. All procedures utilised femtosecond laser–assisted cataract surgery (Victus, Bausch & Lomb, Inc.), with consistent APEX-guided centration of the implants. Clinical outcomes included corrected and uncorrected distance visual acuity (CDVA and UDVA), uncorrected intermediate distance visual acuity (UIVA), refractive outcomes (manifest refraction spherical equivalent [MRSE], spherical equivalent [SEQ], manifest refraction cylinder), and a defocus curve. Outcomes were assessed at 4–12 weeks postoperatively. Safety was also monitored.",
        "Results": "A total of 80 patients (98 eyes; 54% OD) were included; median follow-up was 34 days (n=42). Mean±standard deviation (SD) age was 69±9 years (n=33) and mean±SD SEQ target was −0.08±0.13 D (n=95). Monocular outcomes were CDVA of 0.1 logMAR or better in 99% of eyes (92/93), UDVA of 0.1 logMAR or better in 74% (69/93), and UIVA of 0.3 logMAR or better in 68% (61/90). Mean±SD MRSE was −0.18±0.38 D (n=94), mean±SD SEQ difference compared with target values was 0.11±0.38 D (n=93), and manifest refraction cylinder was −0.37±0.31 D (n=94). The defocus curve demonstrated an extended DOF, with a functional range of approximately 1.25 D at a 0.2 logMAR cutoff, reflecting good intermediate performance. No significant dysphotopsias were reported.",
        "Conclusions": "In this real-world study, EA and ETA IOLs provided high refractive accuracy and good distance and intermediate visual acuity. The defocus curve also demonstrated an extended DOF without compromising visual quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 368
    },
    {
      "uid": "FP12.13",
      "abstract_number": "FP12.13",
      "title": "A Comparison Between Mini-Monovision And Bilateral Emmetropia: An Assessment Of Clinical Outcomes With An Enhanced Monofocal Intraocular Lens",
      "authors": "Dr J. Morgan Micheletti",
      "presenter": "Dr J. Morgan Micheletti",
      "normalized_authors": [
        "J. Morgan Micheletti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "J. Morgan Micheletti, Md",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To determine the visual, refractive, and patient-reported outcomes after bilateral implantation of enVista Aspire intraocular lens (IOL), targeted for either bilateral emmetropia or mini-monovision.",
        "Setting": "7 sites in the United States",
        "Methods": "This noninterventional, prospective, multicenter study included 140 eyes of 70 patients who had undergone bilateral implantation of enVista Aspire enhanced monofocal IOL (Bausch and Lomb). Of these 70 patients, 49 patients (98 eyes) were targeted for emmetropia in both eyes (defined as ≤0.5 D manifest refraction spherical equivalent (MRSE) (BE group), and 21 patients (42 eyes) were targeted for mini-monovision (emmetropia in one eye and myopia of more than -0.50 D MRSE in the other) (MM group). MRSE, monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate (UIVA), and patient-reported outcomes using Near Activity Visual Questionnaire (NAVQ) were evaluated at postoperative 60-270 days after the second eye surgery.",
        "Results": "Postoperatively, the BE group had a mean MRSE of -0.15±0.26 D, UDVA of 0.06±0.12, and UIVA of 0.24±0.15 logMAR. UDVA and UIVA of 20/32 or better were achieved in 94.9% and 52.0% of eyes, respectively. In the emmetropic eyes of the MM group, 85.7% had a UDVA of 20/32 or better with a mean MRSE of -0.33±0.17 D and UDVA of 0.11±0.12 logMAR; in the myopic eyes of the MM group, 90.5% had a UIVA of 20/32 or better with a mean MRSE of -0.96±0.34 D and UIVA of 0.13±0.09 logMAR. Per NAVQ outcomes, 71-81% patients in the MM group versus 57-61% in the BE group could perform intermediate vision tasks without spectacles. In the MM group, 76.2% patients (versus 59.2% in the BE group) were satisfied with their near vision.",
        "Conclusions": "Patients targeted for bilateral emmetropia achieved excellent distance visual acuity, while those with mini-monovision experienced enhanced intermediate visual acuity. Among patients targeted for mini-monovision, 14-20% more patients reported no or minimal difficulty with intermediate vision-related tasks, and 17% more were satisfied with their near vision compared with those targeted for bilateral emmetropia. These results indicate that, when targeted for mini-monovision, the enVista Aspire IOL provides additional benefits for intermediate vision and greater patient satisfaction with near vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients targeted for bilateral emmetropia achieved excellent distance visual acuity, while those with mini-monovision experienced enhanced intermediate visual acuity. Among patients targeted for mini-monovision, 14-20% more patients reported no or minimal difficulty with intermediate vision-related tasks, and 17% more were satisfied with their near vision compared with those targeted for bilateral emmetropia.…",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 179,
      "source_fields": {
        "Abstract Final Identifier": "FP12.13",
        "Title": "A Comparison Between Mini-Monovision And Bilateral Emmetropia: An Assessment Of Clinical Outcomes With An Enhanced Monofocal Intraocular Lens",
        "Presenting Author(s)": "Dr J. Morgan Micheletti",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "J. Morgan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Micheletti, Md",
        "Country Name": "United States",
        "Purpose": "To determine the visual, refractive, and patient-reported outcomes after bilateral implantation of enVista Aspire intraocular lens (IOL), targeted for either bilateral emmetropia or mini-monovision.",
        "Setting": "7 sites in the United States",
        "Methods": "This noninterventional, prospective, multicenter study included 140 eyes of 70 patients who had undergone bilateral implantation of enVista Aspire enhanced monofocal IOL (Bausch and Lomb). Of these 70 patients, 49 patients (98 eyes) were targeted for emmetropia in both eyes (defined as ≤0.5 D manifest refraction spherical equivalent (MRSE) (BE group), and 21 patients (42 eyes) were targeted for mini-monovision (emmetropia in one eye and myopia of more than -0.50 D MRSE in the other) (MM group). MRSE, monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate (UIVA), and patient-reported outcomes using Near Activity Visual Questionnaire (NAVQ) were evaluated at postoperative 60-270 days after the second eye surgery.",
        "Results": "Postoperatively, the BE group had a mean MRSE of -0.15±0.26 D, UDVA of 0.06±0.12, and UIVA of 0.24±0.15 logMAR. UDVA and UIVA of 20/32 or better were achieved in 94.9% and 52.0% of eyes, respectively. In the emmetropic eyes of the MM group, 85.7% had a UDVA of 20/32 or better with a mean MRSE of -0.33±0.17 D and UDVA of 0.11±0.12 logMAR; in the myopic eyes of the MM group, 90.5% had a UIVA of 20/32 or better with a mean MRSE of -0.96±0.34 D and UIVA of 0.13±0.09 logMAR. Per NAVQ outcomes, 71-81% patients in the MM group versus 57-61% in the BE group could perform intermediate vision tasks without spectacles. In the MM group, 76.2% patients (versus 59.2% in the BE group) were satisfied with their near vision.",
        "Conclusions": "Patients targeted for bilateral emmetropia achieved excellent distance visual acuity, while those with mini-monovision experienced enhanced intermediate visual acuity. Among patients targeted for mini-monovision, 14-20% more patients reported no or minimal difficulty with intermediate vision-related tasks, and 17% more were satisfied with their near vision compared with those targeted for bilateral emmetropia. These results indicate that, when targeted for mini-monovision, the enVista Aspire IOL provides additional benefits for intermediate vision and greater patient satisfaction with near vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "FP12.14",
      "abstract_number": "FP12.14",
      "title": "Rethinking Monofocal Performance: Expanding Functional Vision With Mini-Monovision And Crossed Mini-Monovision Using Non-Constant Aberration-Correcting Aspheric Intraocular Lens",
      "authors": "Dr Ludwig Melino Tjokrovonco",
      "presenter": "Dr Ludwig Melino Tjokrovonco",
      "normalized_authors": [
        "Ludwig Melino Tjokrovonco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ludwig Melino Tjokrovonco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "To evaluate whether optimized refractive targeting strategies, mini-monovision and crossed mini-monovision can extend functional vision and binocular depth of focus using a new monofocal platform, non-constant aberration-correcting aspheric intraocular lens, compared with conventional bilateral emmetropia targeting.",
        "Setting": "This is a prospective comparative clinical study at a tertiary ophthalmic center.\n\nThis study represents an early prospective comparative evaluation of a newly introduced intraocular lens, conducted during the first months after clinical availability. The sample size reflects consecutive eligible cases during the initial adoption period.",
        "Methods": "In this prospective comparative study, 42 eyes of 21 patients undergoing bilateral phacoemulsification with implantation of the CT LUCIA 621P IOL were allocated into three refractive strategies:\n\n• Bilateral emmetropia (0.00 D both eyes)\n\n• Mini-monovision (dominant eye 0.00 D; non-dominant eye −0.75 to -1.00 D)\n\n• Crossed mini-monovision (dominant eye −0.75 to -1.00 D; non-dominant eye 0.00 D)\n\nOutcomes assessed at 3 months included binocular uncorrected visual acuity (distance, intermediate, near), defocus curve analysis, spectacle independence, and patient-reported functional vision.",
        "Results": "All three strategies achieved excellent binocular distance vision (mean −0.02 ± 0.05 logMAR).\n\nHowever, monovision strategies significantly improved intermediate and near performance.\n\nIntermediate visual acuity (66 cm):\n\n• Emmetropia: 0.19 ± 0.09 logMAR\n\n• Mini-monovision: 0.06 ± 0.07 logMAR\n\n• Crossed mini-monovision: 0. 08 ± 0.09 logMAR (p = 0.004)\n\nNear visual acuity (40 cm):\n\n• Emmetropia: 0.42 ± 0.08 logMAR\n\n• Mini-monovision: 0.20 ± 0.05 logMAR\n\n• Crossed mini-monovision: 0.25 ± 0.09 logMAR (p =0.003)\n\nBinocular depth of focus increased substantially:\n\n• Emmetropia: 1.2 ± 0.5 D\n\n• Mini-monovision: 2. 4 ± 0.6 D\n\n• Crossed mini-monovision: 2.2 ± 0.5 D\n\nSpectacle independence rates were significantly higher:\n\n• Emmetropia: 31%\n\n• Mini-monovision: 76 %\n\n• Crossed mini-monovision: 70 % (p =0.008)",
        "Conclusions": "Mini-monovision and crossed mini-monovision using the CT LUCIA 621P IOL significantly expand binocular functional vision and depth of focus without compromising distance visual acuity. Mini-monovision provided the most balanced visual performance across all distances, while crossed mini-monovision demonstrated comparable functional range with a distinct binocular adaptation profile. Optimized refractive targeting with a monofocal IOL may offer an effective and accessible strategy to achieve extended functional vision in modern cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mini-monovision and crossed mini-monovision using the CT LUCIA 621P IOL significantly expand binocular functional vision and depth of focus without compromising distance visual acuity. Mini-monovision provided the most balanced visual performance across all distances, while crossed mini-monovision demonstrated comparable functional range with a distinct binocular adaptation profile. Optimized refractive targeting…",
      "session_type": "Free Paper",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 180,
      "source_fields": {
        "Abstract Final Identifier": "FP12.14",
        "Title": "Rethinking Monofocal Performance: Expanding Functional Vision With Mini-Monovision And Crossed Mini-Monovision Using Non-Constant Aberration-Correcting Aspheric Intraocular Lens",
        "Presenting Author(s)": "Dr Ludwig Melino Tjokrovonco",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Ludwig",
        "Submitter Middle Name": "Melino",
        "Submitter Last Name": "Tjokrovonco",
        "Country Name": "Indonesia",
        "Purpose": "To evaluate whether optimized refractive targeting strategies, mini-monovision and crossed mini-monovision can extend functional vision and binocular depth of focus using a new monofocal platform, non-constant aberration-correcting aspheric intraocular lens, compared with conventional bilateral emmetropia targeting.",
        "Setting": "This is a prospective comparative clinical study at a tertiary ophthalmic center.\n\nThis study represents an early prospective comparative evaluation of a newly introduced intraocular lens, conducted during the first months after clinical availability. The sample size reflects consecutive eligible cases during the initial adoption period.",
        "Methods": "In this prospective comparative study, 42 eyes of 21 patients undergoing bilateral phacoemulsification with implantation of the CT LUCIA 621P IOL were allocated into three refractive strategies:\n\n• Bilateral emmetropia (0.00 D both eyes)\n\n• Mini-monovision (dominant eye 0.00 D; non-dominant eye −0.75 to -1.00 D)\n\n• Crossed mini-monovision (dominant eye −0.75 to -1.00 D; non-dominant eye 0.00 D)\n\nOutcomes assessed at 3 months included binocular uncorrected visual acuity (distance, intermediate, near), defocus curve analysis, spectacle independence, and patient-reported functional vision.",
        "Results": "All three strategies achieved excellent binocular distance vision (mean −0.02 ± 0.05 logMAR).\n\nHowever, monovision strategies significantly improved intermediate and near performance.\n\nIntermediate visual acuity (66 cm):\n\n• Emmetropia: 0.19 ± 0.09 logMAR\n\n• Mini-monovision: 0.06 ± 0.07 logMAR\n\n• Crossed mini-monovision: 0. 08 ± 0.09 logMAR (p = 0.004)\n\nNear visual acuity (40 cm):\n\n• Emmetropia: 0.42 ± 0.08 logMAR\n\n• Mini-monovision: 0.20 ± 0.05 logMAR\n\n• Crossed mini-monovision: 0.25 ± 0.09 logMAR (p =0.003)\n\nBinocular depth of focus increased substantially:\n\n• Emmetropia: 1.2 ± 0.5 D\n\n• Mini-monovision: 2. 4 ± 0.6 D\n\n• Crossed mini-monovision: 2.2 ± 0.5 D\n\nSpectacle independence rates were significantly higher:\n\n• Emmetropia: 31%\n\n• Mini-monovision: 76 %\n\n• Crossed mini-monovision: 70 % (p =0.008)",
        "Conclusions": "Mini-monovision and crossed mini-monovision using the CT LUCIA 621P IOL significantly expand binocular functional vision and depth of focus without compromising distance visual acuity. Mini-monovision provided the most balanced visual performance across all distances, while crossed mini-monovision demonstrated comparable functional range with a distinct binocular adaptation profile. Optimized refractive targeting with a monofocal IOL may offer an effective and accessible strategy to achieve extended functional vision in modern cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "FP12.15",
      "abstract_number": "FP12.15",
      "title": "Extending Depth Of Focus With An Intraocular Lens Based On Controlled Increase Of Chromatic Aberration (Chromiol)",
      "authors": "Prof. Dr Gerd Uwe Auffarth",
      "presenter": "Prof. Dr Gerd Uwe Auffarth",
      "normalized_authors": [
        "Gerd Uwe Auffarth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gerd Uwe Auffarth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Clinical evaluation of monofocal and multifocal patients demonstrated the advantages of chromatic aberration in expanding the range of vision while maintaining good distance visual quality. Stemming from those studies, a new concept of a chromatic intraocular lens (ChromIOL) that utilizes chromatic aberration is now being proposed, implemented in a monofocal lens with enhanced intermediate distance for presbyopia correction.",
        "Setting": "David J. Apple International Laboratory for Ocular Pathology - Dept. of Ophthalmology, University of Heidelberg",
        "Methods": "A prototype ChromIOL was manufactured from hydrophilic acrylic material that utilizes three diffractive rings to increase chromatic aberration. The amount of chromatic aberration induced through this feature effectively doubles the amount of chromatic focus separation of a pseudophakic eye. Three samples of the ChromIOL were evaluated, each having a nominal power of 18.5 D. The lenses were measured using an optical metrology setup under industry-standard monochromatic conditions and with spherical- and chromatic-aberration conditions to mimic clinical scenarios. The modulation transfer function (MTF) was measured, from which simulated visual acuity (simVA) was derived.",
        "Results": "The optical quality of the new lens under monochromatic conditions demonstrated good performance. The monochromatic MTF at 100 lp/mm (corresponding to 20/20 visual acuity) was on average 0.46, thus meeting the industry standard for monofocal IOLs. Under white light, in a model eye with a natural level of spherical aberration, the ChromIOL yielded a simVA of -0.06 logMAR at distance and provided good simulated vision of 0.2 logMAR or better down to -1.75 D (57 cm). The lens also demonstrated a small impact of residual uncorrected refractive error, with simVA of -0.02 and -0.03 logMAR at +0.50 D and -0.50 D defocus, respectively.",
        "Conclusions": "For the first time, the concept of an IOL that takes advantage of chromatic aberration has been implemented, showing promising results. The ChromIOL demonstrated a clear advantage in extending intermediate vision from far to approximately 57 cm, while the low sensitivity to uncorrected refractive error offers a broad landing zone and makes the concept suitable for a mini-monovision approach. Nevertheless, the concept requires further development to expand the range of vision while maintaining good distance vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "For the first time, the concept of an IOL that takes advantage of chromatic aberration has been implemented, showing promising results. The ChromIOL demonstrated a clear advantage in extending intermediate vision from far to approximately 57 cm, while the low sensitivity to uncorrected refractive error offers a broad landing zone and makes the concept suitable for a mini-monovision approach. Nevertheless, the…",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 181,
      "source_fields": {
        "Abstract Final Identifier": "FP12.15",
        "Title": "Extending Depth Of Focus With An Intraocular Lens Based On Controlled Increase Of Chromatic Aberration (Chromiol)",
        "Presenting Author(s)": "Prof. Dr Gerd Uwe Auffarth",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Gerd",
        "Submitter Middle Name": "Uwe",
        "Submitter Last Name": "Auffarth",
        "Country Name": "Germany",
        "Purpose": "Clinical evaluation of monofocal and multifocal patients demonstrated the advantages of chromatic aberration in expanding the range of vision while maintaining good distance visual quality. Stemming from those studies, a new concept of a chromatic intraocular lens (ChromIOL) that utilizes chromatic aberration is now being proposed, implemented in a monofocal lens with enhanced intermediate distance for presbyopia correction.",
        "Setting": "David J. Apple International Laboratory for Ocular Pathology - Dept. of Ophthalmology, University of Heidelberg",
        "Methods": "A prototype ChromIOL was manufactured from hydrophilic acrylic material that utilizes three diffractive rings to increase chromatic aberration. The amount of chromatic aberration induced through this feature effectively doubles the amount of chromatic focus separation of a pseudophakic eye. Three samples of the ChromIOL were evaluated, each having a nominal power of 18.5 D. The lenses were measured using an optical metrology setup under industry-standard monochromatic conditions and with spherical- and chromatic-aberration conditions to mimic clinical scenarios. The modulation transfer function (MTF) was measured, from which simulated visual acuity (simVA) was derived.",
        "Results": "The optical quality of the new lens under monochromatic conditions demonstrated good performance. The monochromatic MTF at 100 lp/mm (corresponding to 20/20 visual acuity) was on average 0.46, thus meeting the industry standard for monofocal IOLs. Under white light, in a model eye with a natural level of spherical aberration, the ChromIOL yielded a simVA of -0.06 logMAR at distance and provided good simulated vision of 0.2 logMAR or better down to -1.75 D (57 cm). The lens also demonstrated a small impact of residual uncorrected refractive error, with simVA of -0.02 and -0.03 logMAR at +0.50 D and -0.50 D defocus, respectively.",
        "Conclusions": "For the first time, the concept of an IOL that takes advantage of chromatic aberration has been implemented, showing promising results. The ChromIOL demonstrated a clear advantage in extending intermediate vision from far to approximately 57 cm, while the low sensitivity to uncorrected refractive error offers a broad landing zone and makes the concept suitable for a mini-monovision approach. Nevertheless, the concept requires further development to expand the range of vision while maintaining good distance vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 354
    },
    {
      "uid": "FP13.01",
      "abstract_number": "FP13.01",
      "title": "Validation Of A Novel Online Tool For Individual Prediction Error Recalculation After Constant Optimization",
      "authors": "Dr Dante Luis Buonsanti",
      "presenter": "Dr Dante Luis Buonsanti",
      "normalized_authors": [
        "Dante Luis Buonsanti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dante Luis Buonsanti",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To validate a novel, freely available online tool that provides an accurate and simplified method for determining the individual shift in prediction error (PE) for every patient following modification of an Intraocular Lens (IOL) formula constant. The central objective is to offer a validated resource that facilitates IOL constant optimization and research of IOL power formula comparisons studies, particularly for new-generation formulas which are unpublished.",
        "Setting": "Private practice, Buenos Aires, Argentina.",
        "Methods": "A retrospective, single-IOL model study was conducted using a dataset of 519 eyes . The expected postoperative refraction was calculated using six modern IOL formulas (Barrett Universal II, Cooke K6, EVO, Hill RBF, Kane, Pearl DGS, and Hoffer QST) under two conditions: using a standardized, initial A-constant and subsequently using the formula authors published optimized constant. The reference PE shift was established by comparing the expected refractions from a web-scraping process applied to the formula authors’ online calculators. The results from our novel online tool, which requires only the initial IOL constant, the implanted IOL power, and the initial patient prediction error were then compared against the web scraped results.",
        "Results": "The tool demonstrated exceptional accuracy, with the absolute difference in prediction errors consistently measuring less than 0.025 diopters (D) across 100% of the entire patient cohort for all five formulas. Furthermore, the difference was less than 0.015 D in over 90% of cases for all formulas. Measures of central tendency for the error were minimal: the mean average error, mean prediction error, and mean absolute error were all less than 0.01 D. Subgroup analysis of high-power and low-power IOLs found no statistically significant compromise in the tool's accuracy..",
        "Conclusions": "The validated online tool offers a = precise, fast, and efficient method for calculating corrected prediction error following IOL constant adjustment. Its performance has no statistical differences to more elaborated methods such as web-scraping. By simplifying constant optimization and individual patient prediction error shift accordingly, this tool serves as a significant resource for researchers, facilitating IOL power calculation research and\ncontributing to more reliable comparisons of modern IOL formulas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The validated online tool offers a = precise, fast, and efficient method for calculating corrected prediction error following IOL constant adjustment. Its performance has no statistical differences to more elaborated methods such as web-scraping. By simplifying constant optimization and individual patient prediction error shift accordingly, this tool serves as a significant resource for researchers, facilitating…",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 182,
      "source_fields": {
        "Abstract Final Identifier": "FP13.01",
        "Title": "Validation Of A Novel Online Tool For Individual Prediction Error Recalculation After Constant Optimization",
        "Presenting Author(s)": "Dr Dante Luis Buonsanti",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Dante",
        "Submitter Middle Name": "Luis",
        "Submitter Last Name": "Buonsanti",
        "Country Name": "Argentina",
        "Purpose": "To validate a novel, freely available online tool that provides an accurate and simplified method for determining the individual shift in prediction error (PE) for every patient following modification of an Intraocular Lens (IOL) formula constant. The central objective is to offer a validated resource that facilitates IOL constant optimization and research of IOL power formula comparisons studies, particularly for new-generation formulas which are unpublished.",
        "Setting": "Private practice, Buenos Aires, Argentina.",
        "Methods": "A retrospective, single-IOL model study was conducted using a dataset of 519 eyes . The expected postoperative refraction was calculated using six modern IOL formulas (Barrett Universal II, Cooke K6, EVO, Hill RBF, Kane, Pearl DGS, and Hoffer QST) under two conditions: using a standardized, initial A-constant and subsequently using the formula authors published optimized constant. The reference PE shift was established by comparing the expected refractions from a web-scraping process applied to the formula authors’ online calculators. The results from our novel online tool, which requires only the initial IOL constant, the implanted IOL power, and the initial patient prediction error were then compared against the web scraped results.",
        "Results": "The tool demonstrated exceptional accuracy, with the absolute difference in prediction errors consistently measuring less than 0.025 diopters (D) across 100% of the entire patient cohort for all five formulas. Furthermore, the difference was less than 0.015 D in over 90% of cases for all formulas. Measures of central tendency for the error were minimal: the mean average error, mean prediction error, and mean absolute error were all less than 0.01 D. Subgroup analysis of high-power and low-power IOLs found no statistically significant compromise in the tool's accuracy..",
        "Conclusions": "The validated online tool offers a = precise, fast, and efficient method for calculating corrected prediction error following IOL constant adjustment. Its performance has no statistical differences to more elaborated methods such as web-scraping. By simplifying constant optimization and individual patient prediction error shift accordingly, this tool serves as a significant resource for researchers, facilitating IOL power calculation research and\ncontributing to more reliable comparisons of modern IOL formulas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "FP13.02",
      "abstract_number": "FP13.02",
      "title": "Ray Tracing Iol Calculation After Hyperopic Keratorefractive Lenticule Extraction: Impact Of Pupil Size And Corneal Asphericity",
      "authors": "Dr Felix Mathias Wagner",
      "presenter": "Dr Felix Mathias Wagner",
      "normalized_authors": [
        "Felix Mathias Wagner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Felix Mathias Wagner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To identify the accuracy limits of ray-tracing–based intraocular lens (IOL) power calculation after hyperopia-correcting keratorefractive lenticule extraction (KLEx) and to determine which postoperative corneal and optical parameters drive prediction error, with special attention to pupil-size–dependent best-focus shifts.",
        "Setting": "Single-center retrospective analysis of the Marburg cohort from a prospective multicenter clinical approval study for hyperopic small incision lenticule extraction (SMILE).",
        "Methods": "Pre- and postoperative corneal tomography (Pentacam) and subjective refraction were available for 36 eyes (18 patients) treated with KLEx. Tomographies were imported into OKULIX ray-tracing software. IOL residual refraction was calculated pre- and post-KLEx using identical assumptions (axial length 23.6 mm, pseudophakic anterior chamber depth 4.0 mm, fixed IOL power 21.0 diopters (D)). Two IOL models with different spherical-aberration design were simulated (AR40e and Tecnis ZCB00). Prediction error was defined as the difference between (I) the change in calculated residual refraction (post–pre) and (II) the measured refractive change. These analyses were repeated for different pupil diameters.",
        "Results": "KLEx produced highly prolate corneas with markedly increased (negative) spherical aberration, leading to pronounced pupil-size–dependent best-focus shifts. Depending on pupil diameter, the calculated refractive change differed by up to about 3.0 D in highly corrected eyes. The mean prediction error became zero at a pupil diameter close to 3.0 mm for both IOL models (3.01 mm AR40e; 3.05 mm Tecnis ZCB00). At these diameters, prediction-error standard deviation was 0.65 D and 0.66 D; mean absolute error 0.48 D for both; median absolute error 0.39 D and 0.40 D (AR40e and Tecnis ZCB00, respectively).",
        "Conclusions": "After hyperopic KLEx, IOL power prediction is highly limited by postoperative corneal asphericity and the resulting pupil-dependent focus shift from high spherical aberration. Full-aperture ray tracing with a clinically chosen target pupil diameter is therefore required since Gaussian optics–based formulas cannot model this effect. Aberration-correcting aspheric IOLs should be avoided because they may further increase negative spherical aberration in these eyes. Patients should be counselled regarding illumination-related refractive changes and depth-of-focus effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "After hyperopic KLEx, IOL power prediction is highly limited by postoperative corneal asphericity and the resulting pupil-dependent focus shift from high spherical aberration. Full-aperture ray tracing with a clinically chosen target pupil diameter is therefore required since Gaussian optics–based formulas cannot model this effect. Aberration-correcting aspheric IOLs should be avoided because they may further…",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 183,
      "source_fields": {
        "Abstract Final Identifier": "FP13.02",
        "Title": "Ray Tracing Iol Calculation After Hyperopic Keratorefractive Lenticule Extraction: Impact Of Pupil Size And Corneal Asphericity",
        "Presenting Author(s)": "Dr Felix Mathias Wagner",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Felix",
        "Submitter Middle Name": "Mathias",
        "Submitter Last Name": "Wagner",
        "Country Name": "Germany",
        "Purpose": "To identify the accuracy limits of ray-tracing–based intraocular lens (IOL) power calculation after hyperopia-correcting keratorefractive lenticule extraction (KLEx) and to determine which postoperative corneal and optical parameters drive prediction error, with special attention to pupil-size–dependent best-focus shifts.",
        "Setting": "Single-center retrospective analysis of the Marburg cohort from a prospective multicenter clinical approval study for hyperopic small incision lenticule extraction (SMILE).",
        "Methods": "Pre- and postoperative corneal tomography (Pentacam) and subjective refraction were available for 36 eyes (18 patients) treated with KLEx. Tomographies were imported into OKULIX ray-tracing software. IOL residual refraction was calculated pre- and post-KLEx using identical assumptions (axial length 23.6 mm, pseudophakic anterior chamber depth 4.0 mm, fixed IOL power 21.0 diopters (D)). Two IOL models with different spherical-aberration design were simulated (AR40e and Tecnis ZCB00). Prediction error was defined as the difference between (I) the change in calculated residual refraction (post–pre) and (II) the measured refractive change. These analyses were repeated for different pupil diameters.",
        "Results": "KLEx produced highly prolate corneas with markedly increased (negative) spherical aberration, leading to pronounced pupil-size–dependent best-focus shifts. Depending on pupil diameter, the calculated refractive change differed by up to about 3.0 D in highly corrected eyes. The mean prediction error became zero at a pupil diameter close to 3.0 mm for both IOL models (3.01 mm AR40e; 3.05 mm Tecnis ZCB00). At these diameters, prediction-error standard deviation was 0.65 D and 0.66 D; mean absolute error 0.48 D for both; median absolute error 0.39 D and 0.40 D (AR40e and Tecnis ZCB00, respectively).",
        "Conclusions": "After hyperopic KLEx, IOL power prediction is highly limited by postoperative corneal asphericity and the resulting pupil-dependent focus shift from high spherical aberration. Full-aperture ray tracing with a clinically chosen target pupil diameter is therefore required since Gaussian optics–based formulas cannot model this effect. Aberration-correcting aspheric IOLs should be avoided because they may further increase negative spherical aberration in these eyes. Patients should be counselled regarding illumination-related refractive changes and depth-of-focus effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "FP13.03",
      "abstract_number": "FP13.03",
      "title": "Optical Character Recognition Based Biometry Scanner App For Easy And Efficient Biometry Calculations",
      "authors": "Dr Issac Levy",
      "presenter": "Dr Issac Levy",
      "normalized_authors": [
        "Issac Levy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Issac Levy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To describe the development and validation of an optical character recognition (OCR)-based mobile application (Biometry Scanner App, Version 1.0, Ocumetric Innovations Ltd) designed to automate biometric data entry into the European Society of Cataract and Refractive Surgeons (ESCRS) intraocular lens (IOL) calculator, thereby reducing transcription errors and improving workflow efficiency in cataract surgery planning.",
        "Setting": "Ocumetric Innovations Ltd",
        "Methods": "A cross-platform mobile application integrating AI-powered OCR technology (Google Gemini 2.5) was developed for iOS and Android. The app processes biometry printouts from any device, extracts numerical data, and automatically populates the ESCRS IOL calculator. Validation comprised two components: a user experience survey of 21 ophthalmologists using 5-point Likert scales after 4 weeks of clinical use, and a prospective time-and-motion study comparing manual versus app-based data entry across five biometry calculations performed by 10 ophthalmologists. Paired t-tests were used for statistical comparison.",
        "Results": "Twelve ophthalmologists completed the survey, with 50% reporting >11 uses and 30% >21 uses. Mean Likert scores were 4.5±0.67 for OCR accuracy, 4.5±0.8 for ease of use, and 4.67±0.65 for recommendation to colleagues. The time motion analysis demonstrated significantly faster app-based entry (91.72±5.59 seconds) than manual entry (179.42±22.12 seconds), resulting in a 48.9%-time reduction (p<0.001). Time savings were consistent across all five biometry calculations (43.1–52.7% reduction).",
        "Conclusions": "The Biometry Scanner App provides a streamlined, accurate, and user friendly solution for automating IOL power calculations. By eliminating manual transcription, it enhances accuracy, saves time, and promotes safer, more efficient preoperative cataract surgery planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Biometry Scanner App provides a streamlined, accurate, and user friendly solution for automating IOL power calculations. By eliminating manual transcription, it enhances accuracy, saves time, and promotes safer, more efficient preoperative cataract surgery planning.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 184,
      "source_fields": {
        "Abstract Final Identifier": "FP13.03",
        "Title": "Optical Character Recognition Based Biometry Scanner App For Easy And Efficient Biometry Calculations",
        "Presenting Author(s)": "Dr Issac Levy",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Issac",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Levy",
        "Country Name": "United Kingdom",
        "Purpose": "To describe the development and validation of an optical character recognition (OCR)-based mobile application (Biometry Scanner App, Version 1.0, Ocumetric Innovations Ltd) designed to automate biometric data entry into the European Society of Cataract and Refractive Surgeons (ESCRS) intraocular lens (IOL) calculator, thereby reducing transcription errors and improving workflow efficiency in cataract surgery planning.",
        "Setting": "Ocumetric Innovations Ltd",
        "Methods": "A cross-platform mobile application integrating AI-powered OCR technology (Google Gemini 2.5) was developed for iOS and Android. The app processes biometry printouts from any device, extracts numerical data, and automatically populates the ESCRS IOL calculator. Validation comprised two components: a user experience survey of 21 ophthalmologists using 5-point Likert scales after 4 weeks of clinical use, and a prospective time-and-motion study comparing manual versus app-based data entry across five biometry calculations performed by 10 ophthalmologists. Paired t-tests were used for statistical comparison.",
        "Results": "Twelve ophthalmologists completed the survey, with 50% reporting >11 uses and 30% >21 uses. Mean Likert scores were 4.5±0.67 for OCR accuracy, 4.5±0.8 for ease of use, and 4.67±0.65 for recommendation to colleagues. The time motion analysis demonstrated significantly faster app-based entry (91.72±5.59 seconds) than manual entry (179.42±22.12 seconds), resulting in a 48.9%-time reduction (p<0.001). Time savings were consistent across all five biometry calculations (43.1–52.7% reduction).",
        "Conclusions": "The Biometry Scanner App provides a streamlined, accurate, and user friendly solution for automating IOL power calculations. By eliminating manual transcription, it enhances accuracy, saves time, and promotes safer, more efficient preoperative cataract surgery planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "FP13.04",
      "abstract_number": "FP13.04",
      "title": "3-Piece Intraocular Lens In The Sulcus With Optic Capture: Is It Better To Adjust The Lens Power Or Not?",
      "authors": "Dr Riccardo Fausto",
      "presenter": "Dr Riccardo Fausto",
      "normalized_authors": [
        "Riccardo Fausto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Riccardo Fausto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Implanting an intraocular lens (IOL) in the sulcus is associated with anterior effective lens position (ELP) leading to a myopic refractive shift and intraoperative adjustment of the IOL power is recommended for higher accuracy. However, when optic capture is achieved, the optic of the IOL is positioned behind the anterior capsule (similarly to in-the-bag configuration), and only the haptics are in the sulcus. We evaluated whether adjusting the IOL power improves accuracy of refractive outcomes compared to using the original power calculation in the biometry.",
        "Setting": "A single-centre retrospective cohort study was conducted across Moorfields Eye Hospital NHS Foundation Trust sites.",
        "Methods": "Consecutive eyes undergoing complicated cataract surgery and optic capture with Alcon MA60AC IOLs were included in the study. The eyes were stratified according to whether intraoperative IOL power adjustment was performed. The conversion rule was as follows: 0.5 D was subtracted when IOL power was within 10-17 D, 1.0 D with IOL power within 17.5-28 D, and 1.5 D with IOL power over 28.5 D. We calculated mean prediction error (PE), mean absolute prediction error (APE), median absolute error (MedAE), and proportions within ±0.25 D, ±0.50 D, and ±1.00 D of target. Multivariable mixed-effects models adjusted for axial length, corneal astigmatism, IOL formula, surgeon grade, and site.",
        "Results": "A total of 99 eyes with successful optic capture were included in the analysis (55 non-adjusted and 44 adjusted). The adjusted eyes demonstrated a lower mean PE (-0.02 ± 0.76 vs −0.41 ± 0.69 D; p=0.012), lower mean APE (0.52 ± 0.55 vs 0.67 ± 0.43 D; p=0.026), and lower MedAE (0.34 vs 0.65 D; p=0.026). A higher proportion of eyes achieved a refractive outcome of ±0.50 D of the target (66.7% vs 37.0%; p=0.007). The postoperative spherical equivalent was less myopic and closer to plano in the adjusted eyes (-0.24 ± 0.78 vs -0.54±0.68 D; p=0.008). Multivariable analysis revealed that IOL power adjustment was independently associated with a 0.30 D reduction in MAE ( b = -0.30; p=0.024) and a +0.53 D shift in mean error (p=0.006).",
        "Conclusions": "In complicated cataract surgery cases with IOL in the sulcus with optic capture, IOL power adjustment is associated with more precise refractive outcomes, closer to emmetropia. In eyes without IOL power adjustment, the approximately 0.5 D refractive myopic shift observed, suggests that optic capture alone, may not fully compensate for the changes in the effective lens position. Ongoing expansion of the cohort will further refine these estimates."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In complicated cataract surgery cases with IOL in the sulcus with optic capture, IOL power adjustment is associated with more precise refractive outcomes, closer to emmetropia. In eyes without IOL power adjustment, the approximately 0.5 D refractive myopic shift observed, suggests that optic capture alone, may not fully compensate for the changes in the effective lens position. Ongoing expansion of the cohort will…",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 185,
      "source_fields": {
        "Abstract Final Identifier": "FP13.04",
        "Title": "3-Piece Intraocular Lens In The Sulcus With Optic Capture: Is It Better To Adjust The Lens Power Or Not?",
        "Presenting Author(s)": "Dr Riccardo Fausto",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Riccardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fausto",
        "Country Name": "United Kingdom",
        "Purpose": "Implanting an intraocular lens (IOL) in the sulcus is associated with anterior effective lens position (ELP) leading to a myopic refractive shift and intraoperative adjustment of the IOL power is recommended for higher accuracy. However, when optic capture is achieved, the optic of the IOL is positioned behind the anterior capsule (similarly to in-the-bag configuration), and only the haptics are in the sulcus. We evaluated whether adjusting the IOL power improves accuracy of refractive outcomes compared to using the original power calculation in the biometry.",
        "Setting": "A single-centre retrospective cohort study was conducted across Moorfields Eye Hospital NHS Foundation Trust sites.",
        "Methods": "Consecutive eyes undergoing complicated cataract surgery and optic capture with Alcon MA60AC IOLs were included in the study. The eyes were stratified according to whether intraoperative IOL power adjustment was performed. The conversion rule was as follows: 0.5 D was subtracted when IOL power was within 10-17 D, 1.0 D with IOL power within 17.5-28 D, and 1.5 D with IOL power over 28.5 D. We calculated mean prediction error (PE), mean absolute prediction error (APE), median absolute error (MedAE), and proportions within ±0.25 D, ±0.50 D, and ±1.00 D of target. Multivariable mixed-effects models adjusted for axial length, corneal astigmatism, IOL formula, surgeon grade, and site.",
        "Results": "A total of 99 eyes with successful optic capture were included in the analysis (55 non-adjusted and 44 adjusted). The adjusted eyes demonstrated a lower mean PE (-0.02 ± 0.76 vs −0.41 ± 0.69 D; p=0.012), lower mean APE (0.52 ± 0.55 vs 0.67 ± 0.43 D; p=0.026), and lower MedAE (0.34 vs 0.65 D; p=0.026). A higher proportion of eyes achieved a refractive outcome of ±0.50 D of the target (66.7% vs 37.0%; p=0.007). The postoperative spherical equivalent was less myopic and closer to plano in the adjusted eyes (-0.24 ± 0.78 vs -0.54±0.68 D; p=0.008). Multivariable analysis revealed that IOL power adjustment was independently associated with a 0.30 D reduction in MAE ( b = -0.30; p=0.024) and a +0.53 D shift in mean error (p=0.006).",
        "Conclusions": "In complicated cataract surgery cases with IOL in the sulcus with optic capture, IOL power adjustment is associated with more precise refractive outcomes, closer to emmetropia. In eyes without IOL power adjustment, the approximately 0.5 D refractive myopic shift observed, suggests that optic capture alone, may not fully compensate for the changes in the effective lens position. Ongoing expansion of the cohort will further refine these estimates."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 439
    },
    {
      "uid": "FP13.05",
      "abstract_number": "FP13.05",
      "title": "Accuracy Of The Moussa Formula, A Novel Intraocular Lens Power Calculation Formula: A Multicentre Heteroscedastic Analysis",
      "authors": "Mr George Moussa",
      "presenter": "Mr George Moussa",
      "normalized_authors": [
        "George Moussa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "George Moussa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the refractive predictive accuracy of the novel Moussa intraocular lens (IOL) power calculation formula and compare its performance against six established formulas (Kane, EVO, PEARL-DGS, K6, Hoffer QST, Barrett Universal II [BUII]) available on the ESCRS IOL Calculator.",
        "Setting": "Multicentre, retrospective, consecutive case series across three United Kingdom surgical centres: Birmingham Midland Eye Centre, Manchester Royal Eye Hospital, and Newmedica Manchester. This approach incorporates tertiary teaching hospitals and independent sector centres. Three distinct biometry devices (IOLMaster 700, Lenstar LS900, Pentacam AXL Wave) were utilised across the sites, ensuring a representative evaluation of real-world performance.",
        "Methods": "An initial dataset of 3,405 consecutive eyes was refined to 2,550 independent eyes following strict exclusion criteria, including sequential second eye removal to prevent statistical dependence. Lens constants were optimised to zero mean prediction error for each device and IOL combination via the freely available Moussa Research Suite, via the API for the K6 formula and PEARL-DGS formula, the online lens constant optimiser for Hoffer QST and through manual data entry for the BUII, Kane, Evo. Accuracy was rigorously evaluated using the Wilcox-Holladay-Wang-Koch heteroscedastic framework. The primary endpoint was Mean Absolute Error (MAE), evaluated via studentised bootstrap analysis (2,000 replicates) employing Holm-adjusted p-values.",
        "Results": "In the overall cohort (N=2550), Moussa produced the lowest MAE (0.348 D), significantly outperforming Kane, EVO, PEARL-DGS, K6, Hoffer QST, and Barrett (all Holm p<0.001). In short eyes (N=193, <22.0 mm), Moussa achieved the lowest MAE (0.408 D), performing significantly better than Kane (p=0.046), EVO (p=0.015), PEARL-DGS (p=0.021), K6, Hoffer QST, and Barrett (all p<0.001). In long eyes (N=143, ≥26.0 mm), Moussa demonstrated the lowest MAE (0.343 D), showing significant superiority over Kane (p=0.010), Barrett (p=0.019), and Hoffer QST (p<0.001).\n\nOverall, Moussa achieved the highest proportion of eyes within ±0.50 D (75.98%), then Kane (75.12%), EVO (74.84%), PEARL-DGS (73.63%), K6 (73.39%), Barrett (73.04%), and Hoffer QST (72.88%).",
        "Conclusions": "The Moussa formula demonstrates predictive accuracy equalling or exceeding current gold-standard benchmarks like Kane and EVO across the axial length spectrum. By utilising symbolic regression, it functions as an interpretable geometric optics operator, overcoming the opacities of traditional black-box artificial intelligence. Robust studentised bootstrap analysis confirms its statistical stability, generalisability, and resistance to overfitting across varied biometry devices and IOL platforms. As an interpretable and accessible tool, it provides surgeons with a highly reliable method for optimising postoperative refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Moussa formula demonstrates predictive accuracy equalling or exceeding current gold-standard benchmarks like Kane and EVO across the axial length spectrum. By utilising symbolic regression, it functions as an interpretable geometric optics operator, overcoming the opacities of traditional black-box artificial intelligence. Robust studentised bootstrap analysis confirms its statistical stability,…",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 186,
      "source_fields": {
        "Abstract Final Identifier": "FP13.05",
        "Title": "Accuracy Of The Moussa Formula, A Novel Intraocular Lens Power Calculation Formula: A Multicentre Heteroscedastic Analysis",
        "Presenting Author(s)": "Mr George Moussa",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "George",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moussa",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the refractive predictive accuracy of the novel Moussa intraocular lens (IOL) power calculation formula and compare its performance against six established formulas (Kane, EVO, PEARL-DGS, K6, Hoffer QST, Barrett Universal II [BUII]) available on the ESCRS IOL Calculator.",
        "Setting": "Multicentre, retrospective, consecutive case series across three United Kingdom surgical centres: Birmingham Midland Eye Centre, Manchester Royal Eye Hospital, and Newmedica Manchester. This approach incorporates tertiary teaching hospitals and independent sector centres. Three distinct biometry devices (IOLMaster 700, Lenstar LS900, Pentacam AXL Wave) were utilised across the sites, ensuring a representative evaluation of real-world performance.",
        "Methods": "An initial dataset of 3,405 consecutive eyes was refined to 2,550 independent eyes following strict exclusion criteria, including sequential second eye removal to prevent statistical dependence. Lens constants were optimised to zero mean prediction error for each device and IOL combination via the freely available Moussa Research Suite, via the API for the K6 formula and PEARL-DGS formula, the online lens constant optimiser for Hoffer QST and through manual data entry for the BUII, Kane, Evo. Accuracy was rigorously evaluated using the Wilcox-Holladay-Wang-Koch heteroscedastic framework. The primary endpoint was Mean Absolute Error (MAE), evaluated via studentised bootstrap analysis (2,000 replicates) employing Holm-adjusted p-values.",
        "Results": "In the overall cohort (N=2550), Moussa produced the lowest MAE (0.348 D), significantly outperforming Kane, EVO, PEARL-DGS, K6, Hoffer QST, and Barrett (all Holm p<0.001). In short eyes (N=193, <22.0 mm), Moussa achieved the lowest MAE (0.408 D), performing significantly better than Kane (p=0.046), EVO (p=0.015), PEARL-DGS (p=0.021), K6, Hoffer QST, and Barrett (all p<0.001). In long eyes (N=143, ≥26.0 mm), Moussa demonstrated the lowest MAE (0.343 D), showing significant superiority over Kane (p=0.010), Barrett (p=0.019), and Hoffer QST (p<0.001).\n\nOverall, Moussa achieved the highest proportion of eyes within ±0.50 D (75.98%), then Kane (75.12%), EVO (74.84%), PEARL-DGS (73.63%), K6 (73.39%), Barrett (73.04%), and Hoffer QST (72.88%).",
        "Conclusions": "The Moussa formula demonstrates predictive accuracy equalling or exceeding current gold-standard benchmarks like Kane and EVO across the axial length spectrum. By utilising symbolic regression, it functions as an interpretable geometric optics operator, overcoming the opacities of traditional black-box artificial intelligence. Robust studentised bootstrap analysis confirms its statistical stability, generalisability, and resistance to overfitting across varied biometry devices and IOL platforms. As an interpretable and accessible tool, it provides surgeons with a highly reliable method for optimising postoperative refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 420
    },
    {
      "uid": "FP13.06",
      "abstract_number": "FP13.06",
      "title": "Intraocular Lens Package Diopter Variability: Implications For Refractive Precision And Research Comparability",
      "authors": "Dr Ruth Sahler",
      "presenter": "Dr Ruth Sahler",
      "normalized_authors": [
        "Ruth Sahler"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruth Sahler",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate variability in measured optical power among intraocular lenses (IOLs) labeled with identical nominal diopters and to assess how such variability may influence refractive precision expectations and research comparability.",
        "Setting": "Laboratory-based optical evaluation study.",
        "Methods": "Thirty IOLs labeled 20.0 diopters (D), representing multiple models and manufacturers, were measured under standardized ISO1 model-eye conditions. For each lens, the dioptric position corresponding to peak optical performance was recorded. To isolate measurement-related variability, a single monofocal IOL was measured 30 times across three sessions involving two operators.",
        "Results": "Despite identical nominal labeling, measurable dispersion in peak dioptric position was observed across lenses, with an overall mean of 20.08 D ± 0.38 D. Variability was present both within and between lens models. Repeated measurements of a single lens demonstrated high short-term repeatability but small inter-session shifts in absolute dioptric readout independent of optical performance.",
        "Conclusions": "IOLs labeled with identical nominal power demonstrate inherent variability in measured optical power. Such variability may influence expectations of refractive precision and complicate cross-study or cross-device comparisons. Awareness of measurement dispersion and repeatability limits is important when interpreting high-resolution refractive outcomes and optical bench validation data."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IOLs labeled with identical nominal power demonstrate inherent variability in measured optical power. Such variability may influence expectations of refractive precision and complicate cross-study or cross-device comparisons. Awareness of measurement dispersion and repeatability limits is important when interpreting high-resolution refractive outcomes and optical bench validation data.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 187,
      "source_fields": {
        "Abstract Final Identifier": "FP13.06",
        "Title": "Intraocular Lens Package Diopter Variability: Implications For Refractive Precision And Research Comparability",
        "Presenting Author(s)": "Dr Ruth Sahler",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Ruth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sahler",
        "Country Name": "United States",
        "Purpose": "To evaluate variability in measured optical power among intraocular lenses (IOLs) labeled with identical nominal diopters and to assess how such variability may influence refractive precision expectations and research comparability.",
        "Setting": "Laboratory-based optical evaluation study.",
        "Methods": "Thirty IOLs labeled 20.0 diopters (D), representing multiple models and manufacturers, were measured under standardized ISO1 model-eye conditions. For each lens, the dioptric position corresponding to peak optical performance was recorded. To isolate measurement-related variability, a single monofocal IOL was measured 30 times across three sessions involving two operators.",
        "Results": "Despite identical nominal labeling, measurable dispersion in peak dioptric position was observed across lenses, with an overall mean of 20.08 D ± 0.38 D. Variability was present both within and between lens models. Repeated measurements of a single lens demonstrated high short-term repeatability but small inter-session shifts in absolute dioptric readout independent of optical performance.",
        "Conclusions": "IOLs labeled with identical nominal power demonstrate inherent variability in measured optical power. Such variability may influence expectations of refractive precision and complicate cross-study or cross-device comparisons. Awareness of measurement dispersion and repeatability limits is important when interpreting high-resolution refractive outcomes and optical bench validation data."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "FP13.07",
      "abstract_number": "FP13.07",
      "title": "Gaussian Adaptive Thick‑Lens Iol Navigation & Error Landscaping (Gatinel): Patient‑Specific Prediction Intervals And Improved Refractive Accuracy In A Large Hold‑Out Dataset",
      "authors": "Prof. Dr Damien Gatinel*",
      "presenter": "Prof. Dr Damien Gatinel*",
      "normalized_authors": [
        "Damien Gatinel*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Damien Gatinel*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To present the principles and clinical performance of Gatinel ( Gaussian Adaptive Thick‑lens IOL Navigation & Error Landscaping ), an adaptive IOL power calculation framework designed to remain robust when IOL information is incomplete (known/unknown IOL model; A‑constant available/unavailable), and to provide patient‑specific prediction intervals for individualized risk‑aware planning.",
        "Setting": "Rothschild Foundation Hospital",
        "Methods": "Gatinel combines a thick‑lens vergence model with an adaptive effective-lens-position (ELP) strategy. Using a Gaussian uncertainty framework for each candidate IOL power, the postoperative spherical equivalent (SE) is estimated, along with uncertainty derived from sensitivity‑based error propagation and heteroscedastic model terms. This enables Error Landscaping , i.e., mapping the predicted error distribution across IOL powers to compute a patient‑specific prediction interval and the probability of meeting the refractive target. Performance was evaluated using mean error (ME), SD, MAE, and the proportion within ±0.25 D / ±0.50 D / ±1.00 D.",
        "Results": "In an independent hold‑out dataset (N=5204 eyes), after ME centering, Gatinel achieved SD 0.487 D , MAE 0.341 D , 48.5% within ±0.25 D , 78.2% within ±0.50 D , and 96.3% within ±1.00 D . Comparator formulas showed lower accuracy: Haigis (SD 0.634 D; MAE 0.449 D; 68.4% within ±0.50 D), SRK/T (SD 0.654 D; MAE 0.470 D; 65.4%), Holladay 1 (SD 0.631 D; MAE 0.455 D; 66.5%), and Hoffer Q (SD 0.613 D; MAE 0.447 D; 66.6%). Gatinel improved the proportion within ±0.50 D by +9.8 to +12.8 percentage points compared with classic formulas.",
        "Conclusions": "Gatinel improved refractive accuracy compared with widely used formulas on a large hold‑out dataset and provides patient‑specific prediction intervals through a Gaussian uncertainty framework and error‑landscaping approach, supporting individualized counseling and risk‑aware IOL power selection beyond point prediction alone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Gatinel improved refractive accuracy compared with widely used formulas on a large hold‑out dataset and provides patient‑specific prediction intervals through a Gaussian uncertainty framework and error‑landscaping approach, supporting individualized counseling and risk‑aware IOL power selection beyond point prediction alone.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 188,
      "source_fields": {
        "Abstract Final Identifier": "FP13.07",
        "Title": "Gaussian Adaptive Thick‑Lens Iol Navigation & Error Landscaping (Gatinel): Patient‑Specific Prediction Intervals And Improved Refractive Accuracy In A Large Hold‑Out Dataset",
        "Presenting Author(s)": "Prof. Dr Damien Gatinel*",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Damien",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gatinel*",
        "Country Name": "France",
        "Purpose": "To present the principles and clinical performance of Gatinel ( Gaussian Adaptive Thick‑lens IOL Navigation & Error Landscaping ), an adaptive IOL power calculation framework designed to remain robust when IOL information is incomplete (known/unknown IOL model; A‑constant available/unavailable), and to provide patient‑specific prediction intervals for individualized risk‑aware planning.",
        "Setting": "Rothschild Foundation Hospital",
        "Methods": "Gatinel combines a thick‑lens vergence model with an adaptive effective-lens-position (ELP) strategy. Using a Gaussian uncertainty framework for each candidate IOL power, the postoperative spherical equivalent (SE) is estimated, along with uncertainty derived from sensitivity‑based error propagation and heteroscedastic model terms. This enables Error Landscaping , i.e., mapping the predicted error distribution across IOL powers to compute a patient‑specific prediction interval and the probability of meeting the refractive target. Performance was evaluated using mean error (ME), SD, MAE, and the proportion within ±0.25 D / ±0.50 D / ±1.00 D.",
        "Results": "In an independent hold‑out dataset (N=5204 eyes), after ME centering, Gatinel achieved SD 0.487 D , MAE 0.341 D , 48.5% within ±0.25 D , 78.2% within ±0.50 D , and 96.3% within ±1.00 D . Comparator formulas showed lower accuracy: Haigis (SD 0.634 D; MAE 0.449 D; 68.4% within ±0.50 D), SRK/T (SD 0.654 D; MAE 0.470 D; 65.4%), Holladay 1 (SD 0.631 D; MAE 0.455 D; 66.5%), and Hoffer Q (SD 0.613 D; MAE 0.447 D; 66.6%). Gatinel improved the proportion within ±0.50 D by +9.8 to +12.8 percentage points compared with classic formulas.",
        "Conclusions": "Gatinel improved refractive accuracy compared with widely used formulas on a large hold‑out dataset and provides patient‑specific prediction intervals through a Gaussian uncertainty framework and error‑landscaping approach, supporting individualized counseling and risk‑aware IOL power selection beyond point prediction alone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "FP13.08",
      "abstract_number": "FP13.08",
      "title": "Comparison Of Intraocular Lens Power Formulae In A Population With Equally Weighted Intraocular Lens Powers",
      "authors": "Dr Lin Ru Koong",
      "presenter": "Dr Lin Ru Koong",
      "normalized_authors": [
        "Lin Ru Koong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aaron Ng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To report the performance of intraocular lens (IOL) power formulae in a population of eyes with evenly distributed IOL powers so that the performance of extreme IOL powers are taken into account.",
        "Setting": "Tertiary healthcare institution",
        "Methods": "Retrospective review of 390 eyes after uncomplicated cataract surgery, implanted with the Tecnis one-piece IOL. We included 10 eyes of each power from +8.0D to +27.0D. Pre-operative biometric data and manifest refraction from at least one-month post-surgery was obtained. Formulae assessed were Barrett Universal II(BUII), Cooke K6, EVO2.0, Hill RBF 3.0, PEARL-DGS. Two variants of EVO2.0 were evaluated: a standard formula using manual A-constant input (EVO), and an adjusted formula utilizing the Tecnis IOL option (EVO(Tecnis)). Constants were optimized to a mean error of 0. Outcomes were assessed with the Eyetemis tool and with regards to axial length, average keratometry and IOL power.",
        "Results": "For threshold of absolute SEQ-PE within 0.5D, the best performing formulae were EVO(Tecnis)(85.6%), EVO (85.4%) and Hill-RBF 3.0(84.9%). For precision (Precision of SEQ-PE), the best performing formulae (trimmed mean) were EVO(Tecnis)(0.240), BUII (0.245) and EVO(0.248). For accuracy (absolute SEQ-PE), the best performing formulae were EVO(Tecnis)(0.240), BUII(0.245) and EVO(0.248). For precision and accuracy, no statistically significant differences were noted between the formulae. At higher IOL powers Cooke K6 and PEARL-DGS had hyperopic tendencies, while BUII and EVO had myopic tendencies. EVO(Tecnis) did not share the same myopic tendency as EVO.",
        "Conclusions": "Across a dataset of Tecnis IOLs with a range of equally weighted IOL powers, EVO(Tecnis), BUII and EVO had the best precision and accuracy. Tecnis specific adjustments improved the EVO formula. For precision and accuracy, no statistically significant differences were noted between the formulae."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Across a dataset of Tecnis IOLs with a range of equally weighted IOL powers, EVO(Tecnis), BUII and EVO had the best precision and accuracy. Tecnis specific adjustments improved the EVO formula. For precision and accuracy, no statistically significant differences were noted between the formulae.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 189,
      "source_fields": {
        "Abstract Final Identifier": "FP13.08",
        "Title": "Comparison Of Intraocular Lens Power Formulae In A Population With Equally Weighted Intraocular Lens Powers",
        "Presenting Author(s)": "Dr Lin Ru Koong",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Aaron",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ng",
        "Country Name": "Singapore",
        "Purpose": "To report the performance of intraocular lens (IOL) power formulae in a population of eyes with evenly distributed IOL powers so that the performance of extreme IOL powers are taken into account.",
        "Setting": "Tertiary healthcare institution",
        "Methods": "Retrospective review of 390 eyes after uncomplicated cataract surgery, implanted with the Tecnis one-piece IOL. We included 10 eyes of each power from +8.0D to +27.0D. Pre-operative biometric data and manifest refraction from at least one-month post-surgery was obtained. Formulae assessed were Barrett Universal II(BUII), Cooke K6, EVO2.0, Hill RBF 3.0, PEARL-DGS. Two variants of EVO2.0 were evaluated: a standard formula using manual A-constant input (EVO), and an adjusted formula utilizing the Tecnis IOL option (EVO(Tecnis)). Constants were optimized to a mean error of 0. Outcomes were assessed with the Eyetemis tool and with regards to axial length, average keratometry and IOL power.",
        "Results": "For threshold of absolute SEQ-PE within 0.5D, the best performing formulae were EVO(Tecnis)(85.6%), EVO (85.4%) and Hill-RBF 3.0(84.9%). For precision (Precision of SEQ-PE), the best performing formulae (trimmed mean) were EVO(Tecnis)(0.240), BUII (0.245) and EVO(0.248). For accuracy (absolute SEQ-PE), the best performing formulae were EVO(Tecnis)(0.240), BUII(0.245) and EVO(0.248). For precision and accuracy, no statistically significant differences were noted between the formulae. At higher IOL powers Cooke K6 and PEARL-DGS had hyperopic tendencies, while BUII and EVO had myopic tendencies. EVO(Tecnis) did not share the same myopic tendency as EVO.",
        "Conclusions": "Across a dataset of Tecnis IOLs with a range of equally weighted IOL powers, EVO(Tecnis), BUII and EVO had the best precision and accuracy. Tecnis specific adjustments improved the EVO formula. For precision and accuracy, no statistically significant differences were noted between the formulae."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "FP13.09",
      "abstract_number": "FP13.09",
      "title": "Clinical Outcomes And Comparative Refractive Accuracy Of A Novel Ai-Based Iol Formula (Zeiss Ai) For A Glistening-Free Monofocal Iol With Enhanced Intermediate Function",
      "authors": "Dr Samyoung Yun",
      "presenter": "Dr Samyoung Yun",
      "normalized_authors": [
        "Samyoung Yun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Samyoung Yun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the refractive accuracy of the ZEISS AI formula (integrated in EQ Workplace) using IOL Master 700 biometry and to assess the clinical performance and intermediate visual acuity of the Lucia 621P \"Monofocal Plus\" IOL.",
        "Setting": "First Eye Center, Seoul, Republic of Korea.",
        "Methods": "This prospective clinical study analyzed 285 eyes (182 patients) undergoing cataract surgery with Lucia 621P implantation. Preoperative biometry was performed with the IOL Master 700. IOL power was calculated using the ZEISS AI formula and compared with the Barrett Universal II (BUII) as a control. At 3 months postoperatively, we measured Uncorrected Distance Visual Acuity (UCDVA), Uncorrected Intermediate Visual Acuity (UCIVA at 66cm), and Manifest Refraction (MR). The Mean Absolute Error (MAE), Median Absolute Error (MedAE), and the percentage of eyes within ±0.25D, ±0.50D, and ±1.00D of the predicted refraction were analyzed.",
        "Results": "The ZEISS AI formula demonstrated superior precision compared to BUII. The MAE for ZEISS AI was 0.28 ± 0.19 D (vs. 0.32 ± 0.21 D for BUII, p < 0.05 ) with a MedAE of 0.24 D. The percentage of eyes within ± 0.50 D was 91.2% for ZEISS AI, compared to 86.4% for BUII. Regarding visual performance, the Lucia 621P achieved a mean UCDVA of 0.02 ± 0.04 logMAR and a functional UCIVA of 0.18 ± 0.08 logMAR. No significant glistening or dysphotopsia was observed. Contrast sensitivity remained within the normal age-matched range under both photopic and mesopic conditions.",
        "Conclusions": "The integration of ZEISS AI technology with IOL Master 700 biometry provides high refractive predictability, outperforming conventional formulas for the Lucia 621P IOL. Furthermore, the Lucia 621P offers extended intermediate vision beyond the range of standard monofocals, establishing itself as an effective \"Monofocal Plus\" solution for patients seeking enhanced functional vision without dysphotopsia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The integration of ZEISS AI technology with IOL Master 700 biometry provides high refractive predictability, outperforming conventional formulas for the Lucia 621P IOL. Furthermore, the Lucia 621P offers extended intermediate vision beyond the range of standard monofocals, establishing itself as an effective \"Monofocal Plus\" solution for patients seeking enhanced functional vision without dysphotopsia.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 190,
      "source_fields": {
        "Abstract Final Identifier": "FP13.09",
        "Title": "Clinical Outcomes And Comparative Refractive Accuracy Of A Novel Ai-Based Iol Formula (Zeiss Ai) For A Glistening-Free Monofocal Iol With Enhanced Intermediate Function",
        "Presenting Author(s)": "Dr Samyoung Yun",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Samyoung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yun",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the refractive accuracy of the ZEISS AI formula (integrated in EQ Workplace) using IOL Master 700 biometry and to assess the clinical performance and intermediate visual acuity of the Lucia 621P \"Monofocal Plus\" IOL.",
        "Setting": "First Eye Center, Seoul, Republic of Korea.",
        "Methods": "This prospective clinical study analyzed 285 eyes (182 patients) undergoing cataract surgery with Lucia 621P implantation. Preoperative biometry was performed with the IOL Master 700. IOL power was calculated using the ZEISS AI formula and compared with the Barrett Universal II (BUII) as a control. At 3 months postoperatively, we measured Uncorrected Distance Visual Acuity (UCDVA), Uncorrected Intermediate Visual Acuity (UCIVA at 66cm), and Manifest Refraction (MR). The Mean Absolute Error (MAE), Median Absolute Error (MedAE), and the percentage of eyes within ±0.25D, ±0.50D, and ±1.00D of the predicted refraction were analyzed.",
        "Results": "The ZEISS AI formula demonstrated superior precision compared to BUII. The MAE for ZEISS AI was 0.28 ± 0.19 D (vs. 0.32 ± 0.21 D for BUII, p < 0.05 ) with a MedAE of 0.24 D. The percentage of eyes within ± 0.50 D was 91.2% for ZEISS AI, compared to 86.4% for BUII. Regarding visual performance, the Lucia 621P achieved a mean UCDVA of 0.02 ± 0.04 logMAR and a functional UCIVA of 0.18 ± 0.08 logMAR. No significant glistening or dysphotopsia was observed. Contrast sensitivity remained within the normal age-matched range under both photopic and mesopic conditions.",
        "Conclusions": "The integration of ZEISS AI technology with IOL Master 700 biometry provides high refractive predictability, outperforming conventional formulas for the Lucia 621P IOL. Furthermore, the Lucia 621P offers extended intermediate vision beyond the range of standard monofocals, establishing itself as an effective \"Monofocal Plus\" solution for patients seeking enhanced functional vision without dysphotopsia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "FP13.10",
      "abstract_number": "FP13.10",
      "title": "Comparison Of The Pearl-Dgs Second Eye Mode With Other Commonly Used Biometry Formulas For The Second Eye In Patients Undergoing Bilateral Sequential Cataract Surgery.",
      "authors": "Dr Soner Aydın Canıtez",
      "presenter": "Dr Soner Aydın Canıtez",
      "normalized_authors": [
        "Soner Aydın Canıtez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Soner Aydın Canıtez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Evaluation of the outcomes of the PEARL-DGS Second Eye biometry formula in patients undergoing bilateral sequential cataract surgery and comparison of this mode with commonly used formulas.",
        "Setting": "Patients who underwent bilateral phacoemulsification at the Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology between January 2024 and December 2025, received in-the-bag implantation of an Alcon SA60AT intraocular lens (IOL), and were followed for at least one month postoperatively were included in the study.\n\nPatients with additional ocular pathology, a history of previous ocular surgery, or intraoperative complications were excluded from the study.",
        "Methods": "Biometric data were obtained in all patients using the IOLMaster 700 device.\n\nUsing these biometric data, calculations for the first eye were performed with the Barrett, Cooke K6, EVO, Hill-RBF, HofferQST, Kane, and Pearl-DGS (standard) formulas.\n\nFor the second eye, in addition to these formulas, calculations were also performed using the PEARL-DGS Second Eye formula.\n\nThe primary outcome measure was the difference (absolute error) between the manifest refractive spherical equivalent (SE) measured at postoperative month 1 and the targeted refractive value.\n\nStatistical analysis was performed using SPSS (Version 26). The Mann–Whitney U test was used for intergroup comparisons. A p-value < 0.05 was considered statistically significant.",
        "Results": "A total of 86 eyes from 43 patients (21 males and 22 females) were included in the study. The mean age of the patients was 66 years, and the mean interval between surgeries of the two eyes was 15 days.\n\nIn the statistical analyses performed, the difference between the spherical equivalent (SE) calculated by each classical formula and the SE predicted by the PEARL-DGS Second Eye mode was found to be statistically significant (p < 0.05).\n\nWith a lower mean absolute error (MAE), the PEARL-DGS Second Eye mode provided significantly closer predictions to the postoperative spherical equivalent of the second eye compared to all other formulas.",
        "Conclusions": "In patients undergoing bilateral sequential cataract surgery, the PEARL-DGS Second Eye formula achieved more accurate results in reaching the target refraction for the second eye compared to the other formulas.\n\nThe Second Eye mode may provide a more consistent and reliable calculation by incorporating the refractive deviation of the first eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients undergoing bilateral sequential cataract surgery, the PEARL-DGS Second Eye formula achieved more accurate results in reaching the target refraction for the second eye compared to the other formulas. The Second Eye mode may provide a more consistent and reliable calculation by incorporating the refractive deviation of the first eye.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 191,
      "source_fields": {
        "Abstract Final Identifier": "FP13.10",
        "Title": "Comparison Of The Pearl-Dgs Second Eye Mode With Other Commonly Used Biometry Formulas For The Second Eye In Patients Undergoing Bilateral Sequential Cataract Surgery.",
        "Presenting Author(s)": "Dr Soner Aydın Canıtez",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Soner",
        "Submitter Middle Name": "Aydın",
        "Submitter Last Name": "Canıtez",
        "Country Name": "Türkiye",
        "Purpose": "Evaluation of the outcomes of the PEARL-DGS Second Eye biometry formula in patients undergoing bilateral sequential cataract surgery and comparison of this mode with commonly used formulas.",
        "Setting": "Patients who underwent bilateral phacoemulsification at the Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology between January 2024 and December 2025, received in-the-bag implantation of an Alcon SA60AT intraocular lens (IOL), and were followed for at least one month postoperatively were included in the study.\n\nPatients with additional ocular pathology, a history of previous ocular surgery, or intraoperative complications were excluded from the study.",
        "Methods": "Biometric data were obtained in all patients using the IOLMaster 700 device.\n\nUsing these biometric data, calculations for the first eye were performed with the Barrett, Cooke K6, EVO, Hill-RBF, HofferQST, Kane, and Pearl-DGS (standard) formulas.\n\nFor the second eye, in addition to these formulas, calculations were also performed using the PEARL-DGS Second Eye formula.\n\nThe primary outcome measure was the difference (absolute error) between the manifest refractive spherical equivalent (SE) measured at postoperative month 1 and the targeted refractive value.\n\nStatistical analysis was performed using SPSS (Version 26). The Mann–Whitney U test was used for intergroup comparisons. A p-value < 0.05 was considered statistically significant.",
        "Results": "A total of 86 eyes from 43 patients (21 males and 22 females) were included in the study. The mean age of the patients was 66 years, and the mean interval between surgeries of the two eyes was 15 days.\n\nIn the statistical analyses performed, the difference between the spherical equivalent (SE) calculated by each classical formula and the SE predicted by the PEARL-DGS Second Eye mode was found to be statistically significant (p < 0.05).\n\nWith a lower mean absolute error (MAE), the PEARL-DGS Second Eye mode provided significantly closer predictions to the postoperative spherical equivalent of the second eye compared to all other formulas.",
        "Conclusions": "In patients undergoing bilateral sequential cataract surgery, the PEARL-DGS Second Eye formula achieved more accurate results in reaching the target refraction for the second eye compared to the other formulas.\n\nThe Second Eye mode may provide a more consistent and reliable calculation by incorporating the refractive deviation of the first eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "FP13.11",
      "abstract_number": "FP13.11",
      "title": "Pearl Dgs Second Eye Enhancement Significantly Improves Second-Eye Refractive Accuracy In Bilateral Cataract Surgery",
      "authors": "Dr Tatsuya Fujii",
      "presenter": "Dr Tatsuya Fujii",
      "normalized_authors": [
        "Tatsuya Fujii"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tatsuya Fujii",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To determine whether Pearl DGS Second Eye Enhancement (PD-SEE), incorporating first-eye postoperative spherical equivalent (SEQ), improves second-eye refractive prediction accuracy in bilateral cataract surgery.",
        "Setting": "Juntendo University Urayasu Hospital, Japan.",
        "Methods": "Consecutive patients undergoing bilateral cataract surgery between January 2023 and January 2025 with bilateral implantation of the XY1 IOL (HOYA) were retrospectively analyzed. Refractive prediction error was defined as postoperative SEQ minus predicted SEQ. PD-SEE calculations were generated using first-eye postoperative SEQ measured at postoperative day 1, week 1, and month 1 (1-day, 1-week, and 1-month PD-SEE). Second-eye refractive outcomes at 1 month were compared between Pearl DGS alone and each PD-SEE method using Eyetemis.",
        "Results": "Fifty-two patients (104 eyes) were included (mean age 76.4 ± 6.7 years). Mean refractive prediction error with Pearl DGS was 0.33 ± 0.56 D, compared with –0.04 ± 0.55 D, 0.02 ± 0.56 D, and 0.04 ± 0.48 D using 1-day, 1-week, and 1-month PD-SEE, respectively (all p < 0.01). Mean absolute prediction error decreased from 0.53 ± 0.37 D with Pearl DGS to 0.43 ± 0.34 D (1-day), 0.44 ± 0.34 D (1-week), and 0.38 ± 0.30 D (1-month). Absolute errors were significantly lower with 1-week and 1-month PD-SEE compared with Pearl DGS (p = 0.04 and p < 0.01, respectively).",
        "Conclusions": "Pearl DGS Second Eye Enhancement significantly improved second-eye refractive accuracy in bilateral cataract surgery. Incorporating first-eye postoperative refraction, particularly at postoperative week 1 or month 1, reduced both systematic prediction error and absolute refractive error. PD-SEE may represent a practical strategy to optimize second-eye IOL power calculation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pearl DGS Second Eye Enhancement significantly improved second-eye refractive accuracy in bilateral cataract surgery. Incorporating first-eye postoperative refraction, particularly at postoperative week 1 or month 1, reduced both systematic prediction error and absolute refractive error. PD-SEE may represent a practical strategy to optimize second-eye IOL power calculation.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 192,
      "source_fields": {
        "Abstract Final Identifier": "FP13.11",
        "Title": "Pearl Dgs Second Eye Enhancement Significantly Improves Second-Eye Refractive Accuracy In Bilateral Cataract Surgery",
        "Presenting Author(s)": "Dr Tatsuya Fujii",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Tatsuya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fujii",
        "Country Name": "Japan",
        "Purpose": "To determine whether Pearl DGS Second Eye Enhancement (PD-SEE), incorporating first-eye postoperative spherical equivalent (SEQ), improves second-eye refractive prediction accuracy in bilateral cataract surgery.",
        "Setting": "Juntendo University Urayasu Hospital, Japan.",
        "Methods": "Consecutive patients undergoing bilateral cataract surgery between January 2023 and January 2025 with bilateral implantation of the XY1 IOL (HOYA) were retrospectively analyzed. Refractive prediction error was defined as postoperative SEQ minus predicted SEQ. PD-SEE calculations were generated using first-eye postoperative SEQ measured at postoperative day 1, week 1, and month 1 (1-day, 1-week, and 1-month PD-SEE). Second-eye refractive outcomes at 1 month were compared between Pearl DGS alone and each PD-SEE method using Eyetemis.",
        "Results": "Fifty-two patients (104 eyes) were included (mean age 76.4 ± 6.7 years). Mean refractive prediction error with Pearl DGS was 0.33 ± 0.56 D, compared with –0.04 ± 0.55 D, 0.02 ± 0.56 D, and 0.04 ± 0.48 D using 1-day, 1-week, and 1-month PD-SEE, respectively (all p < 0.01). Mean absolute prediction error decreased from 0.53 ± 0.37 D with Pearl DGS to 0.43 ± 0.34 D (1-day), 0.44 ± 0.34 D (1-week), and 0.38 ± 0.30 D (1-month). Absolute errors were significantly lower with 1-week and 1-month PD-SEE compared with Pearl DGS (p = 0.04 and p < 0.01, respectively).",
        "Conclusions": "Pearl DGS Second Eye Enhancement significantly improved second-eye refractive accuracy in bilateral cataract surgery. Incorporating first-eye postoperative refraction, particularly at postoperative week 1 or month 1, reduced both systematic prediction error and absolute refractive error. PD-SEE may represent a practical strategy to optimize second-eye IOL power calculation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP13.12",
      "abstract_number": "FP13.12",
      "title": "Challenges In Iol Power Calculation For Nanopthalmic Eyes",
      "authors": "Dr Diana Silveira Silva",
      "presenter": "Dr Diana Silveira Silva",
      "normalized_authors": [
        "Diana Silveira Silva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Diana Silveira Silva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Cataract surgery in nanophthalmic eyes has been associated with a higher rate of complications and a higher degree of refractive predictability. Novel IOL formulas incorporated in the ESCRS calculator have revolutionized IOL calculation in patients with extreme axial lengths. However, within the group of very small eyes (axial length [AL] under 17mm), several challenges still arise. Formulas that perform well in short eyes, such as Pearl DGS, Kane and Hill RBF, no longer work. We reviewed our cohort of nanophthalmic eyes from 2009-2026, focusing on surgical techniques, biometric characteristics and refractive results. Furthermore, we attempted to analyse power calculation differences using the current ESCRS calculator.",
        "Setting": "ULS Amadora-Sintra, Lisbon, Portugal. Surgical technique was as follows: general anaesthesia with prior vortex veins massage; anterior capsulorhexis performed through a 1mm side port before main incision; microcoaxial phacoemulsification (2.2mm) with active fluidic in most cases; bimanual irrigation/aspiration was performed carefully attending to floppy capsular bags followed by a single-piece hydrophilic acrylic intraocular lens (IOL) implantation. IOL implantation choice varied between 41-55D.",
        "Methods": "Eighteen eyes of nine patients with dense cataracts and nanophthalmos were included. Average AL was 16,76±1,37mm (range: 15,43 to 20,19mm), mean keratometry was 47.18±5.51D and ACD was 2.28±0.48mm. Only 4 eyes had AL>17mm. Biometric data were introduced in the ESCRS IOL calculator and refractive variability between formulas was analysed. In older cases biometry was performed with IOLMaster500, therefore lens thickness (LT) was ommitted. We calculated the agreement between formulas (difference between highest and lowest suggested IOL power). Good agreement was defined as a difference within 1D.",
        "Results": "All surgeries achieved DCVA improvement and patient satisfaction. Intraoperative complications were iris prolapse (n=3); CTR insertion in the bag prior to IOL implantation (n=3); and iris retractors use (n=2). Cooke K6, EVO and HofferQST were calculated for most cases. Good agreement between formulas (±1D) was registered in all eyes with AL>17mm (n=4). In the other eyes (AL<17mm), IOL power variability averaged 3,15D. HofferQST consistently estimated lower IOL power, with a tendency towards hyperopia. EVO and Cooke K6 provided results closer to the final refraction. The highest IOL power differences of 4-4,5 D (n=3) occurred in patients with AL of 15,43, 15,64 and 16,1mm, suggesting that the lower the AL the highest the variability.",
        "Conclusions": "Although cataract surgery in nanophthalmic eyes is probably one of the most challenging procedures, in our experience, a careful surgical approach has good clinical outcomes. Our cohort of patients with an average AL of 16,73mm showcases challenges that still exist. Modern IOL calculator tools help achieve better results, yet below 17mm AL higher variability between formulas is apparent. Analysing our data, although limited by the retrospective nature, formulas such as Cooke K6 and EVO from the ESCRS calculator seem to provide good results in this cohort of patients, while HofferQST appears to show a tendency towards hyperopia. Larger databases in this niche population are needed to draw more robust results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although cataract surgery in nanophthalmic eyes is probably one of the most challenging procedures, in our experience, a careful surgical approach has good clinical outcomes. Our cohort of patients with an average AL of 16,73mm showcases challenges that still exist. Modern IOL calculator tools help achieve better results, yet below 17mm AL higher variability between formulas is apparent. Analysing our data,…",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 193,
      "source_fields": {
        "Abstract Final Identifier": "FP13.12",
        "Title": "Challenges In Iol Power Calculation For Nanopthalmic Eyes",
        "Presenting Author(s)": "Dr Diana Silveira Silva",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Diana",
        "Submitter Middle Name": "Silveira",
        "Submitter Last Name": "Silva",
        "Country Name": "Portugal",
        "Purpose": "Cataract surgery in nanophthalmic eyes has been associated with a higher rate of complications and a higher degree of refractive predictability. Novel IOL formulas incorporated in the ESCRS calculator have revolutionized IOL calculation in patients with extreme axial lengths. However, within the group of very small eyes (axial length [AL] under 17mm), several challenges still arise. Formulas that perform well in short eyes, such as Pearl DGS, Kane and Hill RBF, no longer work. We reviewed our cohort of nanophthalmic eyes from 2009-2026, focusing on surgical techniques, biometric characteristics and refractive results. Furthermore, we attempted to analyse power calculation differences using the current ESCRS calculator.",
        "Setting": "ULS Amadora-Sintra, Lisbon, Portugal. Surgical technique was as follows: general anaesthesia with prior vortex veins massage; anterior capsulorhexis performed through a 1mm side port before main incision; microcoaxial phacoemulsification (2.2mm) with active fluidic in most cases; bimanual irrigation/aspiration was performed carefully attending to floppy capsular bags followed by a single-piece hydrophilic acrylic intraocular lens (IOL) implantation. IOL implantation choice varied between 41-55D.",
        "Methods": "Eighteen eyes of nine patients with dense cataracts and nanophthalmos were included. Average AL was 16,76±1,37mm (range: 15,43 to 20,19mm), mean keratometry was 47.18±5.51D and ACD was 2.28±0.48mm. Only 4 eyes had AL>17mm. Biometric data were introduced in the ESCRS IOL calculator and refractive variability between formulas was analysed. In older cases biometry was performed with IOLMaster500, therefore lens thickness (LT) was ommitted. We calculated the agreement between formulas (difference between highest and lowest suggested IOL power). Good agreement was defined as a difference within 1D.",
        "Results": "All surgeries achieved DCVA improvement and patient satisfaction. Intraoperative complications were iris prolapse (n=3); CTR insertion in the bag prior to IOL implantation (n=3); and iris retractors use (n=2). Cooke K6, EVO and HofferQST were calculated for most cases. Good agreement between formulas (±1D) was registered in all eyes with AL>17mm (n=4). In the other eyes (AL<17mm), IOL power variability averaged 3,15D. HofferQST consistently estimated lower IOL power, with a tendency towards hyperopia. EVO and Cooke K6 provided results closer to the final refraction. The highest IOL power differences of 4-4,5 D (n=3) occurred in patients with AL of 15,43, 15,64 and 16,1mm, suggesting that the lower the AL the highest the variability.",
        "Conclusions": "Although cataract surgery in nanophthalmic eyes is probably one of the most challenging procedures, in our experience, a careful surgical approach has good clinical outcomes. Our cohort of patients with an average AL of 16,73mm showcases challenges that still exist. Modern IOL calculator tools help achieve better results, yet below 17mm AL higher variability between formulas is apparent. Analysing our data, although limited by the retrospective nature, formulas such as Cooke K6 and EVO from the ESCRS calculator seem to provide good results in this cohort of patients, while HofferQST appears to show a tendency towards hyperopia. Larger databases in this niche population are needed to draw more robust results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 503
    },
    {
      "uid": "FP13.13",
      "abstract_number": "FP13.13",
      "title": "Short-Term Ocular Surface Optimisation Alters Keratometry Readings And Recommended Intraocular Lens (Iol) Power Before Standard Monofocal Cataract Surgery: Interim Results",
      "authors": "Dr Kardelen Uzun",
      "presenter": "Dr Kardelen Uzun",
      "normalized_authors": [
        "Kardelen Uzun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kardelen Uzun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To quantify the effect of short-term ocular surface optimisation on ocular surface metrics, keratometry readings and suggested intraocular lens (IOL) power prior to routine monofocal cataract surgery.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "Prospective single-arm study including 54 patients (54 eyes; one eye per patient) with mild–moderate ocular surface disease. Baseline assessment (T0) and repeat testing after a structured 2–3-week optimisation protocol (T1; preservative-free lubricants plus lid hygiene/warm compresses) included the Ocular Surface Disease Index (OSDI), Schirmer I test, Oxford corneal staining score, non-invasive break-up time (NIBUT), corneal mapping–derived keratometry (mean keratometry, Kmean), and biometry-derived suggested IOL power (Aladdin and IOLMaster). Normality was assessed; paired t-tests or Wilcoxon signed-rank tests were applied as appropriate.",
        "Results": "Mean age was 67.0±10.4 years; 57.4% were female. OSDI improved from 18.6±5.2 to 7.6±2.8 (p<0.001; dz=−1.96). NIBUT increased from 5.9±2.2 to 15.0±2.2 s (p<0.001; dz=2.96) and Schirmer I test from 6.4±2.2 to 18.6±5.5 mm (p<0.001; dz=2.08). Oxford corneal staining score decreased (median [IQR] 2 [1–3] to 0 [0–1]; p<0.001; r=0.78). Mean Kmean did not change significantly (43.83±2.39 vs 43.77±1.98 D; p=0.84), yet within-eye absolute change in Kmean was clinically relevant (median 0.215 D, IQR 0.113–0.450); 42.6% had |ΔKmean|≥0.25 D and 22.2% ≥0.50 D. Suggested IOL power showed a median absolute change of 0.50 D for both devices; ≥0.50 D changes occurred in 63.0% (IOLMaster) and 72.2% (Aladdin), and ≥1.00 D in 16.7% for both.",
        "Conclusions": "Short-term ocular surface optimisation produces large improvements in ocular surface metrics and frequently leads to clinically meaningful changes in keratometry readings and suggested monofocal IOL power. Postoperative week-4 refractive outcomes and prediction-error analyses are ongoing and will be presented at the meeting."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Short-term ocular surface optimisation produces large improvements in ocular surface metrics and frequently leads to clinically meaningful changes in keratometry readings and suggested monofocal IOL power. Postoperative week-4 refractive outcomes and prediction-error analyses are ongoing and will be presented at the meeting.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 194,
      "source_fields": {
        "Abstract Final Identifier": "FP13.13",
        "Title": "Short-Term Ocular Surface Optimisation Alters Keratometry Readings And Recommended Intraocular Lens (Iol) Power Before Standard Monofocal Cataract Surgery: Interim Results",
        "Presenting Author(s)": "Dr Kardelen Uzun",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Kardelen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uzun",
        "Country Name": "Türkiye",
        "Purpose": "To quantify the effect of short-term ocular surface optimisation on ocular surface metrics, keratometry readings and suggested intraocular lens (IOL) power prior to routine monofocal cataract surgery.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "Prospective single-arm study including 54 patients (54 eyes; one eye per patient) with mild–moderate ocular surface disease. Baseline assessment (T0) and repeat testing after a structured 2–3-week optimisation protocol (T1; preservative-free lubricants plus lid hygiene/warm compresses) included the Ocular Surface Disease Index (OSDI), Schirmer I test, Oxford corneal staining score, non-invasive break-up time (NIBUT), corneal mapping–derived keratometry (mean keratometry, Kmean), and biometry-derived suggested IOL power (Aladdin and IOLMaster). Normality was assessed; paired t-tests or Wilcoxon signed-rank tests were applied as appropriate.",
        "Results": "Mean age was 67.0±10.4 years; 57.4% were female. OSDI improved from 18.6±5.2 to 7.6±2.8 (p<0.001; dz=−1.96). NIBUT increased from 5.9±2.2 to 15.0±2.2 s (p<0.001; dz=2.96) and Schirmer I test from 6.4±2.2 to 18.6±5.5 mm (p<0.001; dz=2.08). Oxford corneal staining score decreased (median [IQR] 2 [1–3] to 0 [0–1]; p<0.001; r=0.78). Mean Kmean did not change significantly (43.83±2.39 vs 43.77±1.98 D; p=0.84), yet within-eye absolute change in Kmean was clinically relevant (median 0.215 D, IQR 0.113–0.450); 42.6% had |ΔKmean|≥0.25 D and 22.2% ≥0.50 D. Suggested IOL power showed a median absolute change of 0.50 D for both devices; ≥0.50 D changes occurred in 63.0% (IOLMaster) and 72.2% (Aladdin), and ≥1.00 D in 16.7% for both.",
        "Conclusions": "Short-term ocular surface optimisation produces large improvements in ocular surface metrics and frequently leads to clinically meaningful changes in keratometry readings and suggested monofocal IOL power. Postoperative week-4 refractive outcomes and prediction-error analyses are ongoing and will be presented at the meeting."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "FP13.14",
      "abstract_number": "FP13.14",
      "title": "Reduced Refractive Predictability In Non-Emmetropic Targets: Comparative Analysis Of Modern Iol Formulae In Monovision",
      "authors": "Ms Marina Ramos Gonçalves",
      "presenter": "Ms Marina Ramos Gonçalves",
      "normalized_authors": [
        "Marina Ramos Gonçalves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marina Ramos Gonçalves",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate refractive predictability of contemporary intraocular lens (IOL) formulae in non-emmetropic targets and to determine whether refractive strategy independently influences prediction error.",
        "Setting": "Retrospective single-center study at a tertiary ophthalmic referral center.",
        "Methods": "Thirty-eight eyes of 19 patients undergoing cataract surgery with planned monovision were analyzed. Biometric data were processed using custom software and entered into the ESCRS calculator. Formulae evaluated included Barrett, Cooke K6, EVO, Hill-RBF, Hoffer QST, Kane, Pearl DGS and Haigis. Predicted refraction was compared with postoperative refraction at 4–12 weeks. Signed prediction error (PE), absolute prediction error (ABS PE) and root mean square error were calculated. Repeated-measures ANOVA with Tukey HSD compared formulae and refractive targets (far vs near). A linear mixed-effects model assessed associations between biometric parameters, refractive strategy and ABS PE.",
        "Results": "Absolute prediction error was significantly greater in near targets than in far targets (0.397 D vs 0.194 D). Kane, Hill-RBF, Pearl DGS and Cooke K6 demonstrated superior overall performance, particularly for emmetropic targets. Hoffer QST and Haigis showed larger errors in near eyes. In multivariable analysis, greater preoperative astigmatism was consistently associated with myopic shift in signed error. Refractive target (far vs near) remained an independent determinant of absolute prediction error after adjustment for biometric variables. Approximately 40–50% of refractive variability was attributable to inter-individual factors not captured by measured biometrics.",
        "Conclusions": "Refractive predictability is significantly reduced in non-emmetropic targets compared with emmetropic targets, independent of conventional biometric parameters. Target strategy independently influences absolute prediction error, and preoperative astigmatism contributes to systematic bias. Target-specific considerations should be incorporated into IOL power calculation, particularly in monovision planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive predictability is significantly reduced in non-emmetropic targets compared with emmetropic targets, independent of conventional biometric parameters. Target strategy independently influences absolute prediction error, and preoperative astigmatism contributes to systematic bias. Target-specific considerations should be incorporated into IOL power calculation, particularly in monovision planning.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 195,
      "source_fields": {
        "Abstract Final Identifier": "FP13.14",
        "Title": "Reduced Refractive Predictability In Non-Emmetropic Targets: Comparative Analysis Of Modern Iol Formulae In Monovision",
        "Presenting Author(s)": "Ms Marina Ramos Gonçalves",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Marina",
        "Submitter Middle Name": "Ramos",
        "Submitter Last Name": "Gonçalves",
        "Country Name": "Brazil",
        "Purpose": "To evaluate refractive predictability of contemporary intraocular lens (IOL) formulae in non-emmetropic targets and to determine whether refractive strategy independently influences prediction error.",
        "Setting": "Retrospective single-center study at a tertiary ophthalmic referral center.",
        "Methods": "Thirty-eight eyes of 19 patients undergoing cataract surgery with planned monovision were analyzed. Biometric data were processed using custom software and entered into the ESCRS calculator. Formulae evaluated included Barrett, Cooke K6, EVO, Hill-RBF, Hoffer QST, Kane, Pearl DGS and Haigis. Predicted refraction was compared with postoperative refraction at 4–12 weeks. Signed prediction error (PE), absolute prediction error (ABS PE) and root mean square error were calculated. Repeated-measures ANOVA with Tukey HSD compared formulae and refractive targets (far vs near). A linear mixed-effects model assessed associations between biometric parameters, refractive strategy and ABS PE.",
        "Results": "Absolute prediction error was significantly greater in near targets than in far targets (0.397 D vs 0.194 D). Kane, Hill-RBF, Pearl DGS and Cooke K6 demonstrated superior overall performance, particularly for emmetropic targets. Hoffer QST and Haigis showed larger errors in near eyes. In multivariable analysis, greater preoperative astigmatism was consistently associated with myopic shift in signed error. Refractive target (far vs near) remained an independent determinant of absolute prediction error after adjustment for biometric variables. Approximately 40–50% of refractive variability was attributable to inter-individual factors not captured by measured biometrics.",
        "Conclusions": "Refractive predictability is significantly reduced in non-emmetropic targets compared with emmetropic targets, independent of conventional biometric parameters. Target strategy independently influences absolute prediction error, and preoperative astigmatism contributes to systematic bias. Target-specific considerations should be incorporated into IOL power calculation, particularly in monovision planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "FP13.15",
      "abstract_number": "FP13.15",
      "title": "Impact Of Descemet Membrane Endothelial Keratoplasty On Raytracing-Based Intraocular Lens Calculation",
      "authors": "Prof. Dr Joanna Wasielica-Poslednik",
      "presenter": "Prof. Dr Joanna Wasielica-Poslednik",
      "normalized_authors": [
        "Joanna Wasielica-Poslednik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joanna Wasielica-Poslednik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The combination of Descemet membrane endothelial keratoplasty (DMEK) and cataract surgery (triple-DMEK) has become a standard treatment for patients with both corneal endothelial disease and cataract. The aim of this study was to assess the purely cornea-induced refractive shift in intraocular lens (IOL) calculation in eyes undergoing triple-DMEK.",
        "Setting": "Retrospective data analysis.",
        "Methods": "Corneal tomography with two devices was performed before and 6 months after complication-free triple-DMEK. For each of four tomographic datasets, residual refractive error was calculated using full-aperture ray tracing. Identical IOL power, IOL model, lens position, and axial length were used; thus, differences reflected corneal data only. Refractive differences between pre- and postoperative conditions represented the DMEK-induced shift, whereas interdevice differences quantified measurement error. Donor corneal endothelial cell density and best-corrected visual acuity were recorded preoperatively and at 6 months.",
        "Results": "A total of 31 eyes from 24 patients were included. Mean refractive shifts in spherical equivalent measured with the two devices were 0.118 ± 0.641 D and 0.110 ± 0.644 D. The centroids of astigmatic differences were 0.60 D at 80° and 0.66 D at 93°. Mean corneal thickness decreased by 0.055 ± 0.044 mm and 0.063 ± 0.045 mm after DMEK. Preoperative donor endothelial cell density was 2561.94 ± 181.63 cells/mm² and decreased to 1633.03 ± 479.33 cells/mm² at 6 months, corresponding to a 36.3% reduction. No significant correlations were found between refractive shifts and changes in corneal thickness or endothelial cell density. Best-corrected visual acuity (logMAR) improved from 0.34 ± 0.17 to 0.04 ± 0.09 with consistent results overall.",
        "Conclusions": "The average cornea-induced refractive shifts calculated using full-aperture ray tracing following DMEK were small, on the order of approximately 0.1 D in spherical equivalent and 0.6 D in astigmatism, but showed relatively high standard deviations. Measurements obtained with the two tomographic devices were highly correlated and largely confirmed each other on average."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The average cornea-induced refractive shifts calculated using full-aperture ray tracing following DMEK were small, on the order of approximately 0.1 D in spherical equivalent and 0.6 D in astigmatism, but showed relatively high standard deviations. Measurements obtained with the two tomographic devices were highly correlated and largely confirmed each other on average.",
      "session_type": "Free Paper",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 196,
      "source_fields": {
        "Abstract Final Identifier": "FP13.15",
        "Title": "Impact Of Descemet Membrane Endothelial Keratoplasty On Raytracing-Based Intraocular Lens Calculation",
        "Presenting Author(s)": "Prof. Dr Joanna Wasielica-Poslednik",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Joanna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wasielica-Poslednik",
        "Country Name": "Germany",
        "Purpose": "The combination of Descemet membrane endothelial keratoplasty (DMEK) and cataract surgery (triple-DMEK) has become a standard treatment for patients with both corneal endothelial disease and cataract. The aim of this study was to assess the purely cornea-induced refractive shift in intraocular lens (IOL) calculation in eyes undergoing triple-DMEK.",
        "Setting": "Retrospective data analysis.",
        "Methods": "Corneal tomography with two devices was performed before and 6 months after complication-free triple-DMEK. For each of four tomographic datasets, residual refractive error was calculated using full-aperture ray tracing. Identical IOL power, IOL model, lens position, and axial length were used; thus, differences reflected corneal data only. Refractive differences between pre- and postoperative conditions represented the DMEK-induced shift, whereas interdevice differences quantified measurement error. Donor corneal endothelial cell density and best-corrected visual acuity were recorded preoperatively and at 6 months.",
        "Results": "A total of 31 eyes from 24 patients were included. Mean refractive shifts in spherical equivalent measured with the two devices were 0.118 ± 0.641 D and 0.110 ± 0.644 D. The centroids of astigmatic differences were 0.60 D at 80° and 0.66 D at 93°. Mean corneal thickness decreased by 0.055 ± 0.044 mm and 0.063 ± 0.045 mm after DMEK. Preoperative donor endothelial cell density was 2561.94 ± 181.63 cells/mm² and decreased to 1633.03 ± 479.33 cells/mm² at 6 months, corresponding to a 36.3% reduction. No significant correlations were found between refractive shifts and changes in corneal thickness or endothelial cell density. Best-corrected visual acuity (logMAR) improved from 0.34 ± 0.17 to 0.04 ± 0.09 with consistent results overall.",
        "Conclusions": "The average cornea-induced refractive shifts calculated using full-aperture ray tracing following DMEK were small, on the order of approximately 0.1 D in spherical equivalent and 0.6 D in astigmatism, but showed relatively high standard deviations. Measurements obtained with the two tomographic devices were highly correlated and largely confirmed each other on average."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "FP14.01",
      "abstract_number": "FP14.01",
      "title": "Eight-Year Comparative Outcomes Of Ultrathin Dsaek And Dmek",
      "authors": "Dr Linda Marie Louise Busin",
      "presenter": "Dr Linda Marie Louise Busin",
      "normalized_authors": [
        "Linda Marie Louise Busin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Angeli Christy Yu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To compare 8-year visual, endothelial, and graft survival outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK) in eyes with endothelial decompensation secondary to pseudophakic bullous keratopathy (PBK) and Fuchs endothelial corneal dystrophy (FECD).",
        "Setting": "Tertiary Eye Care Referral Center (Ospedali Privati Forlì “Villa Igea”, Forlì, Italy).",
        "Methods": "In this comparative retrospective interventional case series, medical records of patients who underwent ultrathin DSAEK or DMEK between January 2015 and December 2017 for PBK or FECD were reviewed. Best spectacle-corrected visual acuity (BSCVA), endothelial cell density (ECD), immune rejection and graft survival rates were analyzed up to 8 years. Kaplan–Meier survival analysis was used to estimate cumulative graft survival and rejection probability.",
        "Results": "Results from 147 cases of ultrathin DSAEK and 185 DMEK are reported in this analysis. Eight-year BSCVA ≥20/20 was achieved in 56.8% (ultrathin DSAEK) and 61.2% (DMEK); BSCVA ≥20/40 was 96.4% and 97.1%, respectively (all p>0.05). After the second year, no significant differences in visual acuity were observed between groups at any time point. Mean endothelial cell loss at 8 years was significantly higher after DMEK than ultrathin DSAEK. Kaplan–Meier analysis showed that at 8 years, the cumulative probability of immune rejection was 9% after ultrathin DSAEK and 6% after DMEK, with graft survival rates of 93% and 91%. Stratified analysis showed no significant differences between PBK and FECD in any outcome for either surgical technique.",
        "Conclusions": "At 8 years, ultrathin DSAEK and DMEK demonstrated comparable long-term visual acuity and graft survival in eyes with PBK and FECD. No significant differences in visual outcomes were observed beyond the second postoperative year. Although endothelial cell loss was significantly higher after DMEK, graft survival rates remained comparable. Longer-term follow-up is required to determine whether the higher ECL translates into clinically meaningful differences in outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 8 years, ultrathin DSAEK and DMEK demonstrated comparable long-term visual acuity and graft survival in eyes with PBK and FECD. No significant differences in visual outcomes were observed beyond the second postoperative year. Although endothelial cell loss was significantly higher after DMEK, graft survival rates remained comparable. Longer-term follow-up is required to determine whether the higher ECL…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 197,
      "source_fields": {
        "Abstract Final Identifier": "FP14.01",
        "Title": "Eight-Year Comparative Outcomes Of Ultrathin Dsaek And Dmek",
        "Presenting Author(s)": "Dr Linda Marie Louise Busin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Angeli Christy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yu",
        "Country Name": "Philippines",
        "Purpose": "To compare 8-year visual, endothelial, and graft survival outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK) in eyes with endothelial decompensation secondary to pseudophakic bullous keratopathy (PBK) and Fuchs endothelial corneal dystrophy (FECD).",
        "Setting": "Tertiary Eye Care Referral Center (Ospedali Privati Forlì “Villa Igea”, Forlì, Italy).",
        "Methods": "In this comparative retrospective interventional case series, medical records of patients who underwent ultrathin DSAEK or DMEK between January 2015 and December 2017 for PBK or FECD were reviewed. Best spectacle-corrected visual acuity (BSCVA), endothelial cell density (ECD), immune rejection and graft survival rates were analyzed up to 8 years. Kaplan–Meier survival analysis was used to estimate cumulative graft survival and rejection probability.",
        "Results": "Results from 147 cases of ultrathin DSAEK and 185 DMEK are reported in this analysis. Eight-year BSCVA ≥20/20 was achieved in 56.8% (ultrathin DSAEK) and 61.2% (DMEK); BSCVA ≥20/40 was 96.4% and 97.1%, respectively (all p>0.05). After the second year, no significant differences in visual acuity were observed between groups at any time point. Mean endothelial cell loss at 8 years was significantly higher after DMEK than ultrathin DSAEK. Kaplan–Meier analysis showed that at 8 years, the cumulative probability of immune rejection was 9% after ultrathin DSAEK and 6% after DMEK, with graft survival rates of 93% and 91%. Stratified analysis showed no significant differences between PBK and FECD in any outcome for either surgical technique.",
        "Conclusions": "At 8 years, ultrathin DSAEK and DMEK demonstrated comparable long-term visual acuity and graft survival in eyes with PBK and FECD. No significant differences in visual outcomes were observed beyond the second postoperative year. Although endothelial cell loss was significantly higher after DMEK, graft survival rates remained comparable. Longer-term follow-up is required to determine whether the higher ECL translates into clinically meaningful differences in outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP14.02",
      "abstract_number": "FP14.02",
      "title": "The Effect Of The Fibrillar Layer Status On Corneal Optical Quality And Densitometry After Triple Dmek In Fuchs Endothelial Corneal Dystrophy",
      "authors": "Dr Merve Çetin",
      "presenter": "Dr Merve Çetin",
      "normalized_authors": [
        "Merve Çetin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Merve Çetin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Fuchs endothelial corneal dystrophy (FECD) is characterized by progressive loss of endothelial cells. Advanced FECD is characterized by the accumulation of a collagen-rich subendothelial fibrillar layer (FL), typically located in the central to inferotemporal corneal regions.This layer can be visualized using Scheimpflug imaging and may affect the optical quality of the posterior cornea. This study aimed to evaluate the impact of the presence of an FL on corneal higher-order aberrations (HOAs) and corneal densitometry, and to analyze the preoperative and postoperative changes following triple Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Tertiary referral ophthalmology center",
        "Methods": "Sixty eyes from 60 patients with FECD who underwent triple DMEK were retrospectively included. Thirty FL-positive eyes were matched with 30 FL-negative eyes for patient age and sex. Corneal wavefront aberrations (Zernike polynomials, 3rd–6th order) and corneal densitometry (grayscale units) were assessed using rotating Scheimpflug imaging (Pentacam, Oculus GmbH, Wetzlar, Germany) preoperatively and at 6 months postoperatively. Mixed-effects models were used to assess the effects of time, group, and interaction. Statistical significance was set at p< 0.05.",
        "Results": "The groups were demographically similar (age 66.0±7.4 years vs. 66.0±7.5 years, p=0.986; females comprised 66.7% of both groups). Preoperatively, FL-positive eyes showed higher posterior and total corneal higher-order aberrations (HOAs) and increased corneal densitometry, particularly in the central and anterior zones (p<0.01). Posterior coma and coma-like aberrations demonstrated significant time×group interactions (both p<0.001), with postoperative reductions in FL-positive eyes and increases in FL-negative eyes, resulting in convergence between the groups at 6 months. Corneal densitometry significantly decreased in FL-positive eyes postoperatively (p<0.001).",
        "Conclusions": "The FL status is associated with distinct optical and structural characteristics in FECD eyes undergoing triple DMEK. Although FL-positive eyes exhibit higher preoperative posterior aberrations, total HOAs, and corneal densitometry, these parameters improve postoperatively, whereas FL-negative eyes tend to show postoperative increases in several aberration components. Consequently, preoperative differences between the groups diminish after surgery. These findings suggest that FL represents a marker of advanced yet potentially reversible endothelial dysfunction influencing postoperative corneal optical behavior."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The FL status is associated with distinct optical and structural characteristics in FECD eyes undergoing triple DMEK. Although FL-positive eyes exhibit higher preoperative posterior aberrations, total HOAs, and corneal densitometry, these parameters improve postoperatively, whereas FL-negative eyes tend to show postoperative increases in several aberration components. Consequently, preoperative differences between…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 198,
      "source_fields": {
        "Abstract Final Identifier": "FP14.02",
        "Title": "The Effect Of The Fibrillar Layer Status On Corneal Optical Quality And Densitometry After Triple Dmek In Fuchs Endothelial Corneal Dystrophy",
        "Presenting Author(s)": "Dr Merve Çetin",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Merve",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Çetin",
        "Country Name": "Türkiye",
        "Purpose": "Fuchs endothelial corneal dystrophy (FECD) is characterized by progressive loss of endothelial cells. Advanced FECD is characterized by the accumulation of a collagen-rich subendothelial fibrillar layer (FL), typically located in the central to inferotemporal corneal regions.This layer can be visualized using Scheimpflug imaging and may affect the optical quality of the posterior cornea. This study aimed to evaluate the impact of the presence of an FL on corneal higher-order aberrations (HOAs) and corneal densitometry, and to analyze the preoperative and postoperative changes following triple Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Tertiary referral ophthalmology center",
        "Methods": "Sixty eyes from 60 patients with FECD who underwent triple DMEK were retrospectively included. Thirty FL-positive eyes were matched with 30 FL-negative eyes for patient age and sex. Corneal wavefront aberrations (Zernike polynomials, 3rd–6th order) and corneal densitometry (grayscale units) were assessed using rotating Scheimpflug imaging (Pentacam, Oculus GmbH, Wetzlar, Germany) preoperatively and at 6 months postoperatively. Mixed-effects models were used to assess the effects of time, group, and interaction. Statistical significance was set at p< 0.05.",
        "Results": "The groups were demographically similar (age 66.0±7.4 years vs. 66.0±7.5 years, p=0.986; females comprised 66.7% of both groups). Preoperatively, FL-positive eyes showed higher posterior and total corneal higher-order aberrations (HOAs) and increased corneal densitometry, particularly in the central and anterior zones (p<0.01). Posterior coma and coma-like aberrations demonstrated significant time×group interactions (both p<0.001), with postoperative reductions in FL-positive eyes and increases in FL-negative eyes, resulting in convergence between the groups at 6 months. Corneal densitometry significantly decreased in FL-positive eyes postoperatively (p<0.001).",
        "Conclusions": "The FL status is associated with distinct optical and structural characteristics in FECD eyes undergoing triple DMEK. Although FL-positive eyes exhibit higher preoperative posterior aberrations, total HOAs, and corneal densitometry, these parameters improve postoperatively, whereas FL-negative eyes tend to show postoperative increases in several aberration components. Consequently, preoperative differences between the groups diminish after surgery. These findings suggest that FL represents a marker of advanced yet potentially reversible endothelial dysfunction influencing postoperative corneal optical behavior."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "FP14.03",
      "abstract_number": "FP14.03",
      "title": "Long-Term Results Of Steroid-Induced Intraocular Pressure Elevation And Glaucoma After Descemet Membrane Endothelial Keratoplasty",
      "authors": "Dr Stephen Morgan",
      "presenter": "Dr Stephen Morgan",
      "normalized_authors": [
        "Stephen Morgan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stephen Morgan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the long-term incidence of steroid-induced intraocular pressure (IOP) elevation and post-Descemet Membrane Endothelial Keratoplasty (DMEK) glaucoma following DMEK and DMEK combined with phacoemulsification, with emphasis on the type of topical corticosteroid used.",
        "Setting": "Single-center, retrospective, consecutive case series.",
        "Methods": "Fully anonymized data were collected from 168 eyes undergoing DMEK or DMEK triple procedures for Fuchs endothelial dystrophy at Sussex Eye Hospital, United Kingdom, between 2017 and 2023. After exclusions for pre-existing glaucoma/ocular hypertension, repeat DMEK, primary graft failure, or inadequate follow-up, 98 eyes (mean age 70.7 ± 10.4 years) were analyzed. Postoperative regimens included topical dexamethasone 0.1% for four weeks, followed by loteprednol 0.5%. IOP measurements were recorded at 12 months and at the last follow-up (mean 47 ± 21.5 months). Steroid response was defined as IOP ≥22 mmHg or an increase of ≥5 mmHg from baseline. Post-DMEK glaucoma required IOP elevation plus glaucomatous optic disc or visual field changes.",
        "Results": "The overall steroid response incidence was 17.4% (17/98 eyes). Of steroid responders, 88.2% (15/17) were receiving topical dexamethasone at onset (mean time 7.7 months), while 11.8% (2/17) were receiving loteprednol (mean time 6.5 months). Rejection occurred in 2.0% (2/98) of cases, with equal distribution between dexamethasone and loteprednol groups. Post-DMEK glaucoma developed in 5.1% (5/98) of eyes. Six patients required ongoing anti-glaucoma medications; no patient required glaucoma surgery. Rebubbling rates were 44% among steroid responders versus 30% among normal eyes (p=0.52).",
        "Conclusions": "Steroid-induced IOP elevation remains a significant complication after DMEK, predominantly associated with dexamethasone use. The majority of steroid responders were receiving dexamethasone at the time of IOP elevation. Early transition to lower-potency corticosteroids, such as loteprednol etabonate, after the first postoperative month may reduce the risk of steroid response while maintaining adequate immunosuppression in low-risk DMEK cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Steroid-induced IOP elevation remains a significant complication after DMEK, predominantly associated with dexamethasone use. The majority of steroid responders were receiving dexamethasone at the time of IOP elevation. Early transition to lower-potency corticosteroids, such as loteprednol etabonate, after the first postoperative month may reduce the risk of steroid response while maintaining adequate…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 199,
      "source_fields": {
        "Abstract Final Identifier": "FP14.03",
        "Title": "Long-Term Results Of Steroid-Induced Intraocular Pressure Elevation And Glaucoma After Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Stephen Morgan",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Stephen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Morgan",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the long-term incidence of steroid-induced intraocular pressure (IOP) elevation and post-Descemet Membrane Endothelial Keratoplasty (DMEK) glaucoma following DMEK and DMEK combined with phacoemulsification, with emphasis on the type of topical corticosteroid used.",
        "Setting": "Single-center, retrospective, consecutive case series.",
        "Methods": "Fully anonymized data were collected from 168 eyes undergoing DMEK or DMEK triple procedures for Fuchs endothelial dystrophy at Sussex Eye Hospital, United Kingdom, between 2017 and 2023. After exclusions for pre-existing glaucoma/ocular hypertension, repeat DMEK, primary graft failure, or inadequate follow-up, 98 eyes (mean age 70.7 ± 10.4 years) were analyzed. Postoperative regimens included topical dexamethasone 0.1% for four weeks, followed by loteprednol 0.5%. IOP measurements were recorded at 12 months and at the last follow-up (mean 47 ± 21.5 months). Steroid response was defined as IOP ≥22 mmHg or an increase of ≥5 mmHg from baseline. Post-DMEK glaucoma required IOP elevation plus glaucomatous optic disc or visual field changes.",
        "Results": "The overall steroid response incidence was 17.4% (17/98 eyes). Of steroid responders, 88.2% (15/17) were receiving topical dexamethasone at onset (mean time 7.7 months), while 11.8% (2/17) were receiving loteprednol (mean time 6.5 months). Rejection occurred in 2.0% (2/98) of cases, with equal distribution between dexamethasone and loteprednol groups. Post-DMEK glaucoma developed in 5.1% (5/98) of eyes. Six patients required ongoing anti-glaucoma medications; no patient required glaucoma surgery. Rebubbling rates were 44% among steroid responders versus 30% among normal eyes (p=0.52).",
        "Conclusions": "Steroid-induced IOP elevation remains a significant complication after DMEK, predominantly associated with dexamethasone use. The majority of steroid responders were receiving dexamethasone at the time of IOP elevation. Early transition to lower-potency corticosteroids, such as loteprednol etabonate, after the first postoperative month may reduce the risk of steroid response while maintaining adequate immunosuppression in low-risk DMEK cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "FP14.04",
      "abstract_number": "FP14.04",
      "title": "Impact Of Postoperative Topical Nsaids On The Incidence Of Cystoid Macular Edema After Endothelial Keratoplasty",
      "authors": "Dr Chiara Centini",
      "presenter": "Dr Chiara Centini",
      "normalized_authors": [
        "Chiara Centini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chiara Centini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Cystoid macular edema (CME) is not uncommon after endothelial keratoplasty, with a reported incidence ranging from 4.8% to 13.7% across studies, and may compromise visual recovery. This study aimed to compare the incidence of CME after endothelial keratoplasty (DSAEK or DMEK) in eyes receiving postoperative topical non-steroidal anti-inflammatory drugs (NSAIDs) versus no NSAID prophylaxis.",
        "Setting": "Single referral center. All corneal transplants were performed by a single surgeon. Follow-up included standardized examinations and OCT imaging.",
        "Methods": "Retrospective single-center study including 687 eyes undergoing endothelial keratoplasty (DSAEK or DMEK). Eyes were divided into two groups: non-NSAID group (2009-2016) received standard postoperative corticosteroids and antibiotics regimen without NSAIDs; NSAID group (2017-2022) received topical NSAIDs starting 10 days postoperatively for 4 weeks in addition to the standard regimen. Eyes with prior macular edema or intraocular surgery within 2 months were excluded. Best corrected visual acuity (BCVA) and central macular thickness using OCT were assessed preoperatively and up to 6 months after surgery. Age, diabetes mellitus, axial length, rebubbling rate, transplant type and previous surgery were analyzed as potential risk factors.",
        "Results": "687 eyes undergoing endothelial keratoplasty (DSAEK or DMEK) were evaluated. The non-NSAID group included 381 eyes, while the NSAID group included 306 eyes. D uring the follow-up period, CME occurred in 45 of 381 eyes (11.8%) in the non-NSAID group compared to 8 of 306 eyes (2.6%) in the NSAID group (Fisher’s exact test, p < 0.00001). Topical NSAID use was associated with a significantly reduced risk of CME (RR ≈ 0.22). All CME resolved with appropriate therapy. No NSAID-related adverse events were observed during the follow-up period.",
        "Conclusions": "Postoperative topical NSAIDs significantly reduced CME incidence after endothelial keratoplasty (2.6% vs 11.8%). Adjunctive NSAID prophylaxis may represent a simple and effective preventive strategy against CME after DSAEK/DMEK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Postoperative topical NSAIDs significantly reduced CME incidence after endothelial keratoplasty (2.6% vs 11.8%). Adjunctive NSAID prophylaxis may represent a simple and effective preventive strategy against CME after DSAEK/DMEK.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 200,
      "source_fields": {
        "Abstract Final Identifier": "FP14.04",
        "Title": "Impact Of Postoperative Topical Nsaids On The Incidence Of Cystoid Macular Edema After Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Chiara Centini",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Chiara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Centini",
        "Country Name": "Italy",
        "Purpose": "Cystoid macular edema (CME) is not uncommon after endothelial keratoplasty, with a reported incidence ranging from 4.8% to 13.7% across studies, and may compromise visual recovery. This study aimed to compare the incidence of CME after endothelial keratoplasty (DSAEK or DMEK) in eyes receiving postoperative topical non-steroidal anti-inflammatory drugs (NSAIDs) versus no NSAID prophylaxis.",
        "Setting": "Single referral center. All corneal transplants were performed by a single surgeon. Follow-up included standardized examinations and OCT imaging.",
        "Methods": "Retrospective single-center study including 687 eyes undergoing endothelial keratoplasty (DSAEK or DMEK). Eyes were divided into two groups: non-NSAID group (2009-2016) received standard postoperative corticosteroids and antibiotics regimen without NSAIDs; NSAID group (2017-2022) received topical NSAIDs starting 10 days postoperatively for 4 weeks in addition to the standard regimen. Eyes with prior macular edema or intraocular surgery within 2 months were excluded. Best corrected visual acuity (BCVA) and central macular thickness using OCT were assessed preoperatively and up to 6 months after surgery. Age, diabetes mellitus, axial length, rebubbling rate, transplant type and previous surgery were analyzed as potential risk factors.",
        "Results": "687 eyes undergoing endothelial keratoplasty (DSAEK or DMEK) were evaluated. The non-NSAID group included 381 eyes, while the NSAID group included 306 eyes. D uring the follow-up period, CME occurred in 45 of 381 eyes (11.8%) in the non-NSAID group compared to 8 of 306 eyes (2.6%) in the NSAID group (Fisher’s exact test, p < 0.00001). Topical NSAID use was associated with a significantly reduced risk of CME (RR ≈ 0.22). All CME resolved with appropriate therapy. No NSAID-related adverse events were observed during the follow-up period.",
        "Conclusions": "Postoperative topical NSAIDs significantly reduced CME incidence after endothelial keratoplasty (2.6% vs 11.8%). Adjunctive NSAID prophylaxis may represent a simple and effective preventive strategy against CME after DSAEK/DMEK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "FP14.05",
      "abstract_number": "FP14.05",
      "title": "Risk Factors For Early Versus Late Graft Dislocation After Endothelial Keratoplasty",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To identify systemic, ocular, and surgical predictors of early vs late after DMEK or DSAEK and evaluate the impact of dislocation timing on complications and visual acuity.",
        "Setting": "Single tertiary academic center.",
        "Methods": "Retrospective analysis of 1,355 eyes undergoing endothelial keratoplasty from 2013 to 2022. Graft dislocation was categorized as no dislocation, early rebubbling (≤1 week), or late rebubbling (>1 week). Data included systemic/ocular history, preoperative visual acuity, operative details, postoperative complications and visual acuity, and donor factors. Multivariable statistical analysis assessed outcomes including risk factors for graft dislocation, postoperative complications, and visual acuity outcomes over 12 months.",
        "Results": "Of 1,355 (531 DMEK and 824 DSAEK) eyes meeting inclusion criteria, 126 (9.3%) had late and 67 (4.9%) had early rebubbling. DMEK was more likely to dislocate late, whereas DSAEK dislocated earlier (p=0.0004). Use of air was linked to late dislocation, whereas SF6 increased early risk (p<0.0001). Donor diabetes, especially insulin dependent group, increased dislocation risk (p=0.0004). Early/late rebubbling was associated with higher rates of persistent detachment (p<0.0001), graft failure (p=0.0002), edema (p<0.0001), and worse vision during the first postoperative months (p<0.0001).",
        "Conclusions": "EK graft dislocation is influenced by surgical and donor factors. DMEK grafts dislocate later, and DSAEK earlier. Air was associated with late dislocation, and SF6 with early dislocation. Donor diabetes status increased risk of dislocation. Dislocation is also linked to persistent detachment, graft failure, edema, and delayed visual recovery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EK graft dislocation is influenced by surgical and donor factors. DMEK grafts dislocate later, and DSAEK earlier. Air was associated with late dislocation, and SF6 with early dislocation. Donor diabetes status increased risk of dislocation. Dislocation is also linked to persistent detachment, graft failure, edema, and delayed visual recovery.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 201,
      "source_fields": {
        "Abstract Final Identifier": "FP14.05",
        "Title": "Risk Factors For Early Versus Late Graft Dislocation After Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To identify systemic, ocular, and surgical predictors of early vs late after DMEK or DSAEK and evaluate the impact of dislocation timing on complications and visual acuity.",
        "Setting": "Single tertiary academic center.",
        "Methods": "Retrospective analysis of 1,355 eyes undergoing endothelial keratoplasty from 2013 to 2022. Graft dislocation was categorized as no dislocation, early rebubbling (≤1 week), or late rebubbling (>1 week). Data included systemic/ocular history, preoperative visual acuity, operative details, postoperative complications and visual acuity, and donor factors. Multivariable statistical analysis assessed outcomes including risk factors for graft dislocation, postoperative complications, and visual acuity outcomes over 12 months.",
        "Results": "Of 1,355 (531 DMEK and 824 DSAEK) eyes meeting inclusion criteria, 126 (9.3%) had late and 67 (4.9%) had early rebubbling. DMEK was more likely to dislocate late, whereas DSAEK dislocated earlier (p=0.0004). Use of air was linked to late dislocation, whereas SF6 increased early risk (p<0.0001). Donor diabetes, especially insulin dependent group, increased dislocation risk (p=0.0004). Early/late rebubbling was associated with higher rates of persistent detachment (p<0.0001), graft failure (p=0.0002), edema (p<0.0001), and worse vision during the first postoperative months (p<0.0001).",
        "Conclusions": "EK graft dislocation is influenced by surgical and donor factors. DMEK grafts dislocate later, and DSAEK earlier. Air was associated with late dislocation, and SF6 with early dislocation. Donor diabetes status increased risk of dislocation. Dislocation is also linked to persistent detachment, graft failure, edema, and delayed visual recovery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "FP14.06",
      "abstract_number": "FP14.06",
      "title": "The \"Punch-Rescue\" Technique: A Novel Approach To Salvage Brittle Or Torn Donor Descemet Membrane During Dmek Graft Tissue Preparation.",
      "authors": "Dr Arthur Hammer",
      "presenter": "Dr Arthur Hammer",
      "normalized_authors": [
        "Arthur Hammer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arthur Hammer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "The preparation of DMEK grafts carries a significant risk of Descemet membrane (DM) tearing, particularly in \"high-risk\" donor tissue (diabetic donors or those with prior cataract surgery). Such tears often lead to tissue wastage or conversion to alternative keratoplasty techniques such as DSAEK. This presentation introduces a novel rescue technique designed to isolate and bypass peripheral DM tears during donor preparation. The goal is to minimize tissue loss, reduce surgical costs, and expand the pool of eligible DMEK donors by safely utilizing tissue that would otherwise be deemed unsuitable due to membrane brittleness or the occurrence of iatrogenic radial tears.",
        "Setting": "The technique was developed and performed at \"Clinique de Montchoisi\" (Swiss Medical Network), Lausanne, Switzerland. Pre-operative assessment and post-operative follow-up were conducted within the Swiss Visio network. This private surgical setting serves as a high-volume referral center for advanced lamellar corneal surgery.",
        "Methods": "During donor preparation, if a radial tear is identified, the \"Punch-Rescue\" technique is employed. A low-cost, sterile dermatological biopsy punch (2 mm to 3 mm) is used to create a partial circular trephination around the apex of the tear. This creates a smooth, continuous boundary that \"traps\" the tear, preventing further radial extension. This versatile method is compatible with any DMEK preparation technique. We demonstrate the Punch rescue maneuver on brittle donor grafts prepared with the SCUBA DMEK preparation technique where marginal tears occurring after the final 8 mm trephination were successfully bypassed, allowing a complete and controlled membrane peel.",
        "Results": "The biopsy punch effectively arrested tear progression, salvaging donor tissue otherwise unsuitable for DMEK. By isolating the tear with a controlled, circular partial trephination, the peel was completed without further complication. While the maneuver results in a minor localized reduction in endothelial surface area, graft integrity remained sufficient for transplantation. This approach successfully salvaged tissue previously categorized as \"non-DMEK eligible,\" reducing tissue wastage using readily available equipment. At 3 months postoperatively, clinical outcomes were validated by clear corneas, normalised pachymetry and stable graft apposition in all patients.",
        "Conclusions": "This rescue technique is a simple, cost-effective, and reproducible method to salvage compromised DMEK grafts using standard, low-cost equipment. By transforming a linear tear into a controlled circular edge, surgeons can prevent further tearing regardless of their preferred preparation technique. Furthermore, this provides a safety net that may encourage the use of diabetic or post-cataract donor tissues for DMEK, addressing the growing global demand for endothelial keratoplasty. This method ensures that more patients benefit from the visual outcomes of DMEK despite the challenges of brittle tissue, optimizing the utility of the available donor pool."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This rescue technique is a simple, cost-effective, and reproducible method to salvage compromised DMEK grafts using standard, low-cost equipment. By transforming a linear tear into a controlled circular edge, surgeons can prevent further tearing regardless of their preferred preparation technique. Furthermore, this provides a safety net that may encourage the use of diabetic or post-cataract donor tissues for DMEK,…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 202,
      "source_fields": {
        "Abstract Final Identifier": "FP14.06",
        "Title": "The \"Punch-Rescue\" Technique: A Novel Approach To Salvage Brittle Or Torn Donor Descemet Membrane During Dmek Graft Tissue Preparation.",
        "Presenting Author(s)": "Dr Arthur Hammer",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Arthur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hammer",
        "Country Name": "Switzerland",
        "Purpose": "The preparation of DMEK grafts carries a significant risk of Descemet membrane (DM) tearing, particularly in \"high-risk\" donor tissue (diabetic donors or those with prior cataract surgery). Such tears often lead to tissue wastage or conversion to alternative keratoplasty techniques such as DSAEK. This presentation introduces a novel rescue technique designed to isolate and bypass peripheral DM tears during donor preparation. The goal is to minimize tissue loss, reduce surgical costs, and expand the pool of eligible DMEK donors by safely utilizing tissue that would otherwise be deemed unsuitable due to membrane brittleness or the occurrence of iatrogenic radial tears.",
        "Setting": "The technique was developed and performed at \"Clinique de Montchoisi\" (Swiss Medical Network), Lausanne, Switzerland. Pre-operative assessment and post-operative follow-up were conducted within the Swiss Visio network. This private surgical setting serves as a high-volume referral center for advanced lamellar corneal surgery.",
        "Methods": "During donor preparation, if a radial tear is identified, the \"Punch-Rescue\" technique is employed. A low-cost, sterile dermatological biopsy punch (2 mm to 3 mm) is used to create a partial circular trephination around the apex of the tear. This creates a smooth, continuous boundary that \"traps\" the tear, preventing further radial extension. This versatile method is compatible with any DMEK preparation technique. We demonstrate the Punch rescue maneuver on brittle donor grafts prepared with the SCUBA DMEK preparation technique where marginal tears occurring after the final 8 mm trephination were successfully bypassed, allowing a complete and controlled membrane peel.",
        "Results": "The biopsy punch effectively arrested tear progression, salvaging donor tissue otherwise unsuitable for DMEK. By isolating the tear with a controlled, circular partial trephination, the peel was completed without further complication. While the maneuver results in a minor localized reduction in endothelial surface area, graft integrity remained sufficient for transplantation. This approach successfully salvaged tissue previously categorized as \"non-DMEK eligible,\" reducing tissue wastage using readily available equipment. At 3 months postoperatively, clinical outcomes were validated by clear corneas, normalised pachymetry and stable graft apposition in all patients.",
        "Conclusions": "This rescue technique is a simple, cost-effective, and reproducible method to salvage compromised DMEK grafts using standard, low-cost equipment. By transforming a linear tear into a controlled circular edge, surgeons can prevent further tearing regardless of their preferred preparation technique. Furthermore, this provides a safety net that may encourage the use of diabetic or post-cataract donor tissues for DMEK, addressing the growing global demand for endothelial keratoplasty. This method ensures that more patients benefit from the visual outcomes of DMEK despite the challenges of brittle tissue, optimizing the utility of the available donor pool."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 423
    },
    {
      "uid": "FP14.07",
      "abstract_number": "FP14.07",
      "title": "Ten-Year Results Of Descemet Stripping Automated Endothelial Keratoplasty Versus Descemet Membrane Endothelial Keratoplasty",
      "authors": "Dr Andrea Taloni",
      "presenter": "Dr Andrea Taloni",
      "normalized_authors": [
        "Andrea Taloni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrea Taloni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Patients underwent keratoplasty at the department of ophthalmology of “Villa Igea”, Ospedali Privati Forlì (Forlì, Italy) between January 2005 and December 2024.",
        "Methods": "This is a retrospective cohort study based on prospectively collected data . The main indications for surgery were Fuchs dystrophy (DSAEK 47%, DMEK 52%) and pseudophakic bullous keratopathy (DSAEK 32%, DMEK 22%). Patients were excluded if they underwent previous ocular surgery, except uneventful cataract surgery, or in case of pre-existing vision-impairing comorbidities. Primary outcomes were best-corrected visual acuity (BCVA), endothelial cell density (ECD), and endothelial cell loss (ECL), as well as rebubbling, graft survival, and graft immunologic rejection rates. Kaplan-Meier analysis was performed for graft survival and immunologic rejection. A biexponential regression model was used to predict the time for ECD to reach 500 cells/mm 2 .",
        "Results": "We included 1048 DSAEK and 294 DMEK eyes (mean follow-up 48.8±43.3 months). DMEK achieved significantly better BCVA at all timepoints ( P <0.001). At 10 years after surgery, BCVA was 0.17±0.26 and 0.05±0.08 LogMAR, respectively for DSAEK and DMEK ( P =0.006), whereas there was no significant difference in ECD (967±399 vs 941±429 cells/mm 2 , respectively; P =0.70). A biexponential regression model predicted ECD to reach 500 cells/mm 2 at 19.7 and 21.5 years, respectively. At 10 years, ECL was comparable (62.6±15.5% vs 63.1±16.2%; P =0.88). Rebubbling rate was significantly higher for DMEK (1.6% vs 17.3%; P <0.001). Ten-year graft survival rates were 97.9% vs 99.2% ( P =0.26) and rejection-free survival rates were 96.3% vs 97.7%, respectively ( P =0.67).",
        "Conclusions": "According to our findings, DMEK provided superior visual outcomes compared with DSAEK throughout 10 years of follow-up, despite a significantly higher rebubbling rate. ECL was comparable between groups, and both techniques demonstrated excellent long-term graft survival and rejection-free rates."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "According to our findings, DMEK provided superior visual outcomes compared with DSAEK throughout 10 years of follow-up, despite a significantly higher rebubbling rate. ECL was comparable between groups, and both techniques demonstrated excellent long-term graft survival and rejection-free rates.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 203,
      "source_fields": {
        "Abstract Final Identifier": "FP14.07",
        "Title": "Ten-Year Results Of Descemet Stripping Automated Endothelial Keratoplasty Versus Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Andrea Taloni",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Andrea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Taloni",
        "Country Name": "Italy",
        "Purpose": "To compare the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK).",
        "Setting": "Patients underwent keratoplasty at the department of ophthalmology of “Villa Igea”, Ospedali Privati Forlì (Forlì, Italy) between January 2005 and December 2024.",
        "Methods": "This is a retrospective cohort study based on prospectively collected data . The main indications for surgery were Fuchs dystrophy (DSAEK 47%, DMEK 52%) and pseudophakic bullous keratopathy (DSAEK 32%, DMEK 22%). Patients were excluded if they underwent previous ocular surgery, except uneventful cataract surgery, or in case of pre-existing vision-impairing comorbidities. Primary outcomes were best-corrected visual acuity (BCVA), endothelial cell density (ECD), and endothelial cell loss (ECL), as well as rebubbling, graft survival, and graft immunologic rejection rates. Kaplan-Meier analysis was performed for graft survival and immunologic rejection. A biexponential regression model was used to predict the time for ECD to reach 500 cells/mm 2 .",
        "Results": "We included 1048 DSAEK and 294 DMEK eyes (mean follow-up 48.8±43.3 months). DMEK achieved significantly better BCVA at all timepoints ( P <0.001). At 10 years after surgery, BCVA was 0.17±0.26 and 0.05±0.08 LogMAR, respectively for DSAEK and DMEK ( P =0.006), whereas there was no significant difference in ECD (967±399 vs 941±429 cells/mm 2 , respectively; P =0.70). A biexponential regression model predicted ECD to reach 500 cells/mm 2 at 19.7 and 21.5 years, respectively. At 10 years, ECL was comparable (62.6±15.5% vs 63.1±16.2%; P =0.88). Rebubbling rate was significantly higher for DMEK (1.6% vs 17.3%; P <0.001). Ten-year graft survival rates were 97.9% vs 99.2% ( P =0.26) and rejection-free survival rates were 96.3% vs 97.7%, respectively ( P =0.67).",
        "Conclusions": "According to our findings, DMEK provided superior visual outcomes compared with DSAEK throughout 10 years of follow-up, despite a significantly higher rebubbling rate. ECL was comparable between groups, and both techniques demonstrated excellent long-term graft survival and rejection-free rates."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "FP14.08",
      "abstract_number": "FP14.08",
      "title": "Comparison Of Endo-In Technique Vs Endo-Out-Double-Bubble Technique In Descemet’S Membrane Endothelial Keratoplasty (Dmek) For Vitrectomized Eyes",
      "authors": "Dr Kyohei Fujiwara",
      "presenter": "Dr Kyohei Fujiwara",
      "normalized_authors": [
        "Kyohei Fujiwara"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kyohei Fujiwara",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare the clinical outcomes of Descemet’s membrane endothelial keratoplasty (DMEK) for vitrectomized eyes using endothelium-in pull-through DMEK (ENDO-IN group) versus the endothelium-out-double-bubble technique (ENDO-OUT group).",
        "Setting": "Retrospective, comparative study conducted at two tertiary referral centers in Japan.",
        "Methods": "Consecutive vitrectomized eyes that underwent DMEK for endothelial dysfunction between August 2022 and October 2024 were reviewed and assigned to one of two groups, based on the surgical technique: patients in the ENDO-IN group underwent endothelium-in pull-through DMEK using EndoGlide, and patients in the ENDO-OUT group underwent DMEK using the double-bubble technique. Outcome measures, including best spectacle-corrected visual acuity, central corneal thickness, endothelial cell density (ECD), and intra- and post-operative complications, such as re-bubbling, were analyzed.",
        "Results": "Twenty eyes of 20 patients (mean age 68.5 ± 17.9 years; mean follow-up 5.5 ± 3.4 months) were included, with no instances of primary graft failure and no significant differences in baseline characteristics between groups (p > 0.05). The ENDO-IN group had a lower re-bubbling rate, with no eyes requiring re-bubbling, and less endothelial cell loss than the ENDO-OUT group (25.8 ± 15.2% versus 38.8 ± 16.3%), although the difference was not statistically significant (p = 0.099). Overall, post-operative ECD was significantly lower compared with donor ECD (p < 0.001).",
        "Conclusions": "Endothelium-in pull-through DMEK is feasible in vitrectomized eyes, achieving stable attachment with visual and anatomical improvement even when adjunctive maneuvers are required, demonstrating clinical utility in post-vitrectomy corneal edema."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Endothelium-in pull-through DMEK is feasible in vitrectomized eyes, achieving stable attachment with visual and anatomical improvement even when adjunctive maneuvers are required, demonstrating clinical utility in post-vitrectomy corneal edema.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 204,
      "source_fields": {
        "Abstract Final Identifier": "FP14.08",
        "Title": "Comparison Of Endo-In Technique Vs Endo-Out-Double-Bubble Technique In Descemet’S Membrane Endothelial Keratoplasty (Dmek) For Vitrectomized Eyes",
        "Presenting Author(s)": "Dr Kyohei Fujiwara",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Kyohei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fujiwara",
        "Country Name": "Japan",
        "Purpose": "To compare the clinical outcomes of Descemet’s membrane endothelial keratoplasty (DMEK) for vitrectomized eyes using endothelium-in pull-through DMEK (ENDO-IN group) versus the endothelium-out-double-bubble technique (ENDO-OUT group).",
        "Setting": "Retrospective, comparative study conducted at two tertiary referral centers in Japan.",
        "Methods": "Consecutive vitrectomized eyes that underwent DMEK for endothelial dysfunction between August 2022 and October 2024 were reviewed and assigned to one of two groups, based on the surgical technique: patients in the ENDO-IN group underwent endothelium-in pull-through DMEK using EndoGlide, and patients in the ENDO-OUT group underwent DMEK using the double-bubble technique. Outcome measures, including best spectacle-corrected visual acuity, central corneal thickness, endothelial cell density (ECD), and intra- and post-operative complications, such as re-bubbling, were analyzed.",
        "Results": "Twenty eyes of 20 patients (mean age 68.5 ± 17.9 years; mean follow-up 5.5 ± 3.4 months) were included, with no instances of primary graft failure and no significant differences in baseline characteristics between groups (p > 0.05). The ENDO-IN group had a lower re-bubbling rate, with no eyes requiring re-bubbling, and less endothelial cell loss than the ENDO-OUT group (25.8 ± 15.2% versus 38.8 ± 16.3%), although the difference was not statistically significant (p = 0.099). Overall, post-operative ECD was significantly lower compared with donor ECD (p < 0.001).",
        "Conclusions": "Endothelium-in pull-through DMEK is feasible in vitrectomized eyes, achieving stable attachment with visual and anatomical improvement even when adjunctive maneuvers are required, demonstrating clinical utility in post-vitrectomy corneal edema."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "FP14.09",
      "abstract_number": "FP14.09",
      "title": "Impact Of Host Descemetorhexis On Outcomes Of Dmek Following Penetrating Keratoplasty",
      "authors": "Dr Mohammed Kolaib",
      "presenter": "Dr Mohammed Kolaib",
      "normalized_authors": [
        "Mohammed Kolaib"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mark Wilkins",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Standard endothelial keratoplasty includes descemetorhexis, the removal of host Descemet’s membrane to promote donor graft adherence. However, this step is frequently omitted when performing endothelial keratoplasty after penetrating keratoplasty (PK), due to concerns about disrupting the graft–host junction or uncertainty regarding its benefit. This study evaluates the impact of host descemetorhexis on anatomical and survival outcomes of secondary DMEK following PK.",
        "Setting": "Tertiary referral corneal service, United Kingdom.",
        "Methods": "A retrospective audit was conducted of eyes undergoing DMEK after previous PK (2019 -2025). Outcomes included graft failure, rebubbling, logMAR best-corrected visual acuity (BCVA), and central corneal thickness (CCT). Categorical variables were analysed using Fisher’s exact test; continuous variables using independent t-tests or ANOVA. Graft survival was evaluated using Kaplan–Meier analysis with log-rank testing. Cox proportional hazards models were used for univariable and multivariable analysis.",
        "Results": "Sixty nine eyes had DMEK after PK (44 with descemetorhexis; 25 without). Sixteen grafts failed in the descemetorhexis group and 17 in the non-descemetorhexis group. Kaplan–Meier analysis showed significantly improved graft survival with descemetorhexis (univariable Cox HR 0.39, 95% CI 0.20–0.78, p=0.008). At 1 year 27.4% eyes undergoing descemetorhexis failed compared with 48.0% eyes without descemetorhexis. At 2 years, failure proportions were 29.9% and 60.0%, respectively. In a reduced multivariable Cox model adjusting for surgeon grade, rebubbling requirement, and number of prior PKs (n=69; 33 events), descemetorhexis remained independently protective (adjusted HR 0.40, 95% CI 0.19–0.81, p=0.011).",
        "Conclusions": "In eyes with a previous PK undergoing subsequent DMEK, descemetorhexis was associated with significantly improved graft survival compared to not performing descemetorhexis. The protective effect persisted after multivariable adjustment and appeared stronger beyond the early postoperative period. This simple intraoperative modification may optimise outcomes in DMEK performed after PK and warrants consideration as standard practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with a previous PK undergoing subsequent DMEK, descemetorhexis was associated with significantly improved graft survival compared to not performing descemetorhexis. The protective effect persisted after multivariable adjustment and appeared stronger beyond the early postoperative period. This simple intraoperative modification may optimise outcomes in DMEK performed after PK and warrants consideration as…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 205,
      "source_fields": {
        "Abstract Final Identifier": "FP14.09",
        "Title": "Impact Of Host Descemetorhexis On Outcomes Of Dmek Following Penetrating Keratoplasty",
        "Presenting Author(s)": "Dr Mohammed Kolaib",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Mark",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wilkins",
        "Country Name": "United Kingdom",
        "Purpose": "Standard endothelial keratoplasty includes descemetorhexis, the removal of host Descemet’s membrane to promote donor graft adherence. However, this step is frequently omitted when performing endothelial keratoplasty after penetrating keratoplasty (PK), due to concerns about disrupting the graft–host junction or uncertainty regarding its benefit. This study evaluates the impact of host descemetorhexis on anatomical and survival outcomes of secondary DMEK following PK.",
        "Setting": "Tertiary referral corneal service, United Kingdom.",
        "Methods": "A retrospective audit was conducted of eyes undergoing DMEK after previous PK (2019 -2025). Outcomes included graft failure, rebubbling, logMAR best-corrected visual acuity (BCVA), and central corneal thickness (CCT). Categorical variables were analysed using Fisher’s exact test; continuous variables using independent t-tests or ANOVA. Graft survival was evaluated using Kaplan–Meier analysis with log-rank testing. Cox proportional hazards models were used for univariable and multivariable analysis.",
        "Results": "Sixty nine eyes had DMEK after PK (44 with descemetorhexis; 25 without). Sixteen grafts failed in the descemetorhexis group and 17 in the non-descemetorhexis group. Kaplan–Meier analysis showed significantly improved graft survival with descemetorhexis (univariable Cox HR 0.39, 95% CI 0.20–0.78, p=0.008). At 1 year 27.4% eyes undergoing descemetorhexis failed compared with 48.0% eyes without descemetorhexis. At 2 years, failure proportions were 29.9% and 60.0%, respectively. In a reduced multivariable Cox model adjusting for surgeon grade, rebubbling requirement, and number of prior PKs (n=69; 33 events), descemetorhexis remained independently protective (adjusted HR 0.40, 95% CI 0.19–0.81, p=0.011).",
        "Conclusions": "In eyes with a previous PK undergoing subsequent DMEK, descemetorhexis was associated with significantly improved graft survival compared to not performing descemetorhexis. The protective effect persisted after multivariable adjustment and appeared stronger beyond the early postoperative period. This simple intraoperative modification may optimise outcomes in DMEK performed after PK and warrants consideration as standard practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 304
    },
    {
      "uid": "FP14.10",
      "abstract_number": "FP14.10",
      "title": "Descemet Membrane Endothelial Keratoplasty Vs Microthin Descemet Membrane Stripping Automated Endothelial Keratoplasty: 5 Year Outcomes Of A Randomised Controlled Trial",
      "authors": "Dr Rathin Pujari",
      "presenter": "Dr Rathin Pujari",
      "normalized_authors": [
        "Rathin Pujari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rathin Pujari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare 5-year outcomes of Descemet Membrane Endothelial Keratoplasty (DMEK) versus Microthin Descemet Stripping Endothelial Keratoplasty (MT-DSAEK) in a randomised controlled trial",
        "Setting": "The trial was conducted in a single teritiary referral centre in the United Kingdom.",
        "Methods": "56 patients were randomised to either arm. The main outcome was Best Corrected Visual Acuity (BCVA) at 60 months. Secondary outcomes included graft rejection episodes, graft survival and long term complications.",
        "Results": "The MT-DSAEK patients had similar BCVA compared to those in the DMEK group (0.15±0.27 vs 0.10±0.23, p=0.27) at 5 years. There was a significant difference in the complications (MT-DSAEK vs DMEK 17 vs 8, p=0.03). There were 3 graft rejections in teh MT-DSAEK group that were controlled on topical medications alone with no graft function. There were no rejection episodes in the DMEK group. There was one case of primary graft failure in the DMEK group and one late failure in MT-DSAEK group. A total of 96% of all grafts retained good function at 60 months.",
        "Conclusions": "At 5 years, MT-DSAEK and DMEK groups maintain similar vision and graft survival but have a statistically significant difference in complication rates"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 5 years, MT-DSAEK and DMEK groups maintain similar vision and graft survival but have a statistically significant difference in complication rates",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 206,
      "source_fields": {
        "Abstract Final Identifier": "FP14.10",
        "Title": "Descemet Membrane Endothelial Keratoplasty Vs Microthin Descemet Membrane Stripping Automated Endothelial Keratoplasty: 5 Year Outcomes Of A Randomised Controlled Trial",
        "Presenting Author(s)": "Dr Rathin Pujari",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Rathin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pujari",
        "Country Name": "United Kingdom",
        "Purpose": "To compare 5-year outcomes of Descemet Membrane Endothelial Keratoplasty (DMEK) versus Microthin Descemet Stripping Endothelial Keratoplasty (MT-DSAEK) in a randomised controlled trial",
        "Setting": "The trial was conducted in a single teritiary referral centre in the United Kingdom.",
        "Methods": "56 patients were randomised to either arm. The main outcome was Best Corrected Visual Acuity (BCVA) at 60 months. Secondary outcomes included graft rejection episodes, graft survival and long term complications.",
        "Results": "The MT-DSAEK patients had similar BCVA compared to those in the DMEK group (0.15±0.27 vs 0.10±0.23, p=0.27) at 5 years. There was a significant difference in the complications (MT-DSAEK vs DMEK 17 vs 8, p=0.03). There were 3 graft rejections in teh MT-DSAEK group that were controlled on topical medications alone with no graft function. There were no rejection episodes in the DMEK group. There was one case of primary graft failure in the DMEK group and one late failure in MT-DSAEK group. A total of 96% of all grafts retained good function at 60 months.",
        "Conclusions": "At 5 years, MT-DSAEK and DMEK groups maintain similar vision and graft survival but have a statistically significant difference in complication rates"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 195
    },
    {
      "uid": "FP14.11",
      "abstract_number": "FP14.11",
      "title": "Cytomegalovirus Positivity Predicts Graft Failure And Repeat Dmek: Prospective Development And Clinical Validation Of A Rapid Real-Time Pcr Assay",
      "authors": "Dr Betul COSKUN",
      "presenter": "Dr Betul COSKUN",
      "normalized_authors": [
        "Betul COSKUN"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Betul Coskun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aims to investigate the role of cytomegalovirus (CMV) endotheliitis in graft failure after Descemet membrane endothelial keratoplasty (DMEK) and repeat DMEK (RE-DMEK). We also aimed to develop a highly sensitive real-time PCR kit for rapid CMV DNA detection, enabling early diagnosis and timely antiviral therapy to reduce graft failure risk.",
        "Setting": "This prospective study was conducted at the Cornea Unit, Department of Ophthalmology, Ankara Bilkent City Hospital, a tertiary referral center. Clinical examinations, surgical procedures, and follow-up assessments were standardized. Patients were evaluated at 3, 6, and 12 months postoperatively. Molecular analyses were performed in collaboration with an academic laboratory using standardized real-time PCR protocols to ensure analytical reliability and to assess clinical and diagnostic outcomes.",
        "Methods": "This prospective study included 160 patients undergoing DMEK (n=100) or repeat DMEK (n=60). Standardized ophthalmic examinations were performed pre- and postoperatively. Follow-up at 3, 6, and 12 months included best-corrected visual acuity (logMAR), intraocular pressure, central corneal thickness, and endothelial cell density. Anterior chamber samples were obtained intraoperatively or upon clinical suspicion of CMV endotheliitis. Samples were analyzed using a commercial real-time PCR system or the newly developed in-house assay. Diagnostic performance was assessed using cycle threshold values to determine sensitivity, specificity, and accuracy. Multivariate regression analysis was performed to identify independent risk factors.",
        "Results": "No significant differences were observed between DMEK and RE-DMEK groups regarding age or sex. Graft survival was significantly lower in CMV-positive cases (p<0.001), with mean survival of 23.0 months in CMV-negative and 12.5 months in CMV-positive patients. CMV positivity was an independent predictor of repeat DMEK, conferring a sixfold increased risk (p<0.001). Rebubbling history was an additional independent risk factor. Visual acuity and endothelial cell density remained significantly worse in CMV-positive eyes during follow-up. The in-house PCR assay demonstrated 100% sensitivity and specificity, with overall diagnostic accuracy of 85.7%. CMV-positive eyes showed significantly shorter graft survival throughout follow-up.",
        "Conclusions": "CMV corneal endotheliitis is a major and underrecognized cause of graft failure after DMEK. Early differentiation from immune-mediated rejection is essential for timely antiviral therapy and improved graft survival. The newly developed in-house real-time PCR assay provides a rapid, reliable, and cost-effective diagnostic tool with high sensitivity and specificity. Its clinical implementation may support evidence-based postoperative management, reduce unnecessary immunosuppression, and potentially decrease repeat DMEK rates."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CMV corneal endotheliitis is a major and underrecognized cause of graft failure after DMEK. Early differentiation from immune-mediated rejection is essential for timely antiviral therapy and improved graft survival. The newly developed in-house real-time PCR assay provides a rapid, reliable, and cost-effective diagnostic tool with high sensitivity and specificity. Its clinical implementation may support…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 207,
      "source_fields": {
        "Abstract Final Identifier": "FP14.11",
        "Title": "Cytomegalovirus Positivity Predicts Graft Failure And Repeat Dmek: Prospective Development And Clinical Validation Of A Rapid Real-Time Pcr Assay",
        "Presenting Author(s)": "Dr Betul COSKUN",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Betul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Coskun",
        "Country Name": "Türkiye",
        "Purpose": "This study aims to investigate the role of cytomegalovirus (CMV) endotheliitis in graft failure after Descemet membrane endothelial keratoplasty (DMEK) and repeat DMEK (RE-DMEK). We also aimed to develop a highly sensitive real-time PCR kit for rapid CMV DNA detection, enabling early diagnosis and timely antiviral therapy to reduce graft failure risk.",
        "Setting": "This prospective study was conducted at the Cornea Unit, Department of Ophthalmology, Ankara Bilkent City Hospital, a tertiary referral center. Clinical examinations, surgical procedures, and follow-up assessments were standardized. Patients were evaluated at 3, 6, and 12 months postoperatively. Molecular analyses were performed in collaboration with an academic laboratory using standardized real-time PCR protocols to ensure analytical reliability and to assess clinical and diagnostic outcomes.",
        "Methods": "This prospective study included 160 patients undergoing DMEK (n=100) or repeat DMEK (n=60). Standardized ophthalmic examinations were performed pre- and postoperatively. Follow-up at 3, 6, and 12 months included best-corrected visual acuity (logMAR), intraocular pressure, central corneal thickness, and endothelial cell density. Anterior chamber samples were obtained intraoperatively or upon clinical suspicion of CMV endotheliitis. Samples were analyzed using a commercial real-time PCR system or the newly developed in-house assay. Diagnostic performance was assessed using cycle threshold values to determine sensitivity, specificity, and accuracy. Multivariate regression analysis was performed to identify independent risk factors.",
        "Results": "No significant differences were observed between DMEK and RE-DMEK groups regarding age or sex. Graft survival was significantly lower in CMV-positive cases (p<0.001), with mean survival of 23.0 months in CMV-negative and 12.5 months in CMV-positive patients. CMV positivity was an independent predictor of repeat DMEK, conferring a sixfold increased risk (p<0.001). Rebubbling history was an additional independent risk factor. Visual acuity and endothelial cell density remained significantly worse in CMV-positive eyes during follow-up. The in-house PCR assay demonstrated 100% sensitivity and specificity, with overall diagnostic accuracy of 85.7%. CMV-positive eyes showed significantly shorter graft survival throughout follow-up.",
        "Conclusions": "CMV corneal endotheliitis is a major and underrecognized cause of graft failure after DMEK. Early differentiation from immune-mediated rejection is essential for timely antiviral therapy and improved graft survival. The newly developed in-house real-time PCR assay provides a rapid, reliable, and cost-effective diagnostic tool with high sensitivity and specificity. Its clinical implementation may support evidence-based postoperative management, reduce unnecessary immunosuppression, and potentially decrease repeat DMEK rates."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "FP14.12",
      "abstract_number": "FP14.12",
      "title": "Efficacy And Safety Of Ripasudil 0.4% In Managing Various Corneal Edema Conditions: A Large-Scale Retrospective Study",
      "authors": "Dr Itay Lavy",
      "presenter": "Dr Itay Lavy",
      "normalized_authors": [
        "Itay Lavy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Itay Lavy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy and safety of Ripasudil 0.4%, a Rho-kinase (ROCK) inhibitor, in reducing corneal edema and improving visual acuity across various etiologies, including post-cataract surgery, Fuchs' Endothelial Corneal Dystrophy (FECD), and post-endothelial keratoplasty.",
        "Setting": "Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.",
        "Methods": "A retrospective cohort study of 96 eyes (96 patients, mean age 72.2 ± 12.8 years) treated with topical Ripasudil 0.4% for corneal edema. Patients were categorized into four groups: post-cataract surgery (n=38), FECD (n=26), post-DMEK (n=21), and post-PKP (n=11). Treatment regimen followed a tapering protocol: TID for one week, followed by BID. Primary outcomes included changes in Central Corneal Thickness (CCT) measured by Pentacam/OCT and Best-Corrected Visual Acuity (BCVA) in logMAR over a 3-month follow-up period.",
        "Results": "A significant reduction in CCT was observed across all groups, with the most prominent effect in the post-cataract group (mean reduction of 30.44 ± 15.2 µm, p<0.01) and FECD group (25.56 ± 12.8 µm, p<0.05). BCVA improved significantly from a baseline of 0.82 ± 0.4 logMAR to 0.55 ± 0.3 logMAR (p<0.01) at the end of the follow-up. In the post-DMEK group, Ripasudil facilitated faster clearance of graft edema. No serious adverse events were reported; mild conjunctival hyperemia was the most common side effect (12%), which did not lead to treatment discontinuation.",
        "Conclusions": "Topical Ripasudil 0.4% is an effective and well-tolerated non-invasive treatment for reducing corneal edema and improving visual outcomes. It serves as a valuable therapeutic option for managing post-operative edema and may delay the need for surgical intervention in patients with endothelial dysfunction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical Ripasudil 0.4% is an effective and well-tolerated non-invasive treatment for reducing corneal edema and improving visual outcomes. It serves as a valuable therapeutic option for managing post-operative edema and may delay the need for surgical intervention in patients with endothelial dysfunction.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 208,
      "source_fields": {
        "Abstract Final Identifier": "FP14.12",
        "Title": "Efficacy And Safety Of Ripasudil 0.4% In Managing Various Corneal Edema Conditions: A Large-Scale Retrospective Study",
        "Presenting Author(s)": "Dr Itay Lavy",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Itay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lavy",
        "Country Name": "Israel",
        "Purpose": "To evaluate the clinical efficacy and safety of Ripasudil 0.4%, a Rho-kinase (ROCK) inhibitor, in reducing corneal edema and improving visual acuity across various etiologies, including post-cataract surgery, Fuchs' Endothelial Corneal Dystrophy (FECD), and post-endothelial keratoplasty.",
        "Setting": "Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.",
        "Methods": "A retrospective cohort study of 96 eyes (96 patients, mean age 72.2 ± 12.8 years) treated with topical Ripasudil 0.4% for corneal edema. Patients were categorized into four groups: post-cataract surgery (n=38), FECD (n=26), post-DMEK (n=21), and post-PKP (n=11). Treatment regimen followed a tapering protocol: TID for one week, followed by BID. Primary outcomes included changes in Central Corneal Thickness (CCT) measured by Pentacam/OCT and Best-Corrected Visual Acuity (BCVA) in logMAR over a 3-month follow-up period.",
        "Results": "A significant reduction in CCT was observed across all groups, with the most prominent effect in the post-cataract group (mean reduction of 30.44 ± 15.2 µm, p<0.01) and FECD group (25.56 ± 12.8 µm, p<0.05). BCVA improved significantly from a baseline of 0.82 ± 0.4 logMAR to 0.55 ± 0.3 logMAR (p<0.01) at the end of the follow-up. In the post-DMEK group, Ripasudil facilitated faster clearance of graft edema. No serious adverse events were reported; mild conjunctival hyperemia was the most common side effect (12%), which did not lead to treatment discontinuation.",
        "Conclusions": "Topical Ripasudil 0.4% is an effective and well-tolerated non-invasive treatment for reducing corneal edema and improving visual outcomes. It serves as a valuable therapeutic option for managing post-operative edema and may delay the need for surgical intervention in patients with endothelial dysfunction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "FP14.13",
      "abstract_number": "FP14.13",
      "title": "The Effects Of Rho-Associated Kinase (Rock) Inhibitor Supplementation In Corneal Preservation Media For Donor Tissue Used In Descemet’S Membrane Endothelial Keratoplasty (Dmek)",
      "authors": "Dr Hon Shing Ong",
      "presenter": "Dr Hon Shing Ong",
      "normalized_authors": [
        "Hon Shing Ong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hon Shing Ong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To evaluate the effects of pre-treating donor corneal tissue with a Rho-associated kinase inhibitor (ROCKi), Netarsudil (AR-13324), on corneal endothelial cell (CEC) viability during Descemet’s membrane endothelial keratoplasty (DMEK) graft preparation and insertion, using endothelium-in and endothelium-out techniques.",
        "Setting": "Ex-vivo comparative study of human donor corneas.",
        "Methods": "This study utilized 22 pairs of research grade human donor corneas preserved in Optisol-GS. One cornea from each pair was incubated in 10 µM AR-13324 (ROCKi) for 2 hours, while the contralateral cornea served as the control. DMEK tissues were prepared and pulled-through using either endothelium-in (Endoglide) or endothelium-out (Geuder glass injector) technique. Post-manipulation, tissues underwent live/dead cytotoxicity assay using Calcein-AM and Ethidium homodimer-1 staining. Percentages of live, fallout, and dead CECs were quantified via fluorescence microscopy and ImageJ analysis. Correlations between donor age, preservation duration, and cell viability were also analyzed.",
        "Results": "For the endothelium-out model, live cell percentage increased from 89.60 ± 5.35% in controls to 95.14 ± 3.74% in ROCKi treated corneas ( p = 0.0001), while percentage dead cells decreased from 7.13 ± 3.71% to 2.16 ± 1.39% ( p = 0.0017). For the endothelium-in model, live cell percentage increased from 86.75 ± 4.81% to 94.39 ± 3.26% ( p = 0.0001), with corresponding decrease in percentage fallout (8.21 ± 5.02% to 4.05 ± 2.82%; p = 0.0036) and dead cells (5.04 ± 3.52% to 1.56 ± 1.13%; p = 0.0070). No significant correlations were found between donor age or preservation time and cell viability outcomes. Comparative analysis showed no significant difference in survivability between the two DMEK techniques after ROCKi treatment.",
        "Conclusions": "Pre-incubation with ROCKi significantly enhances corneal endothelial cell viability and reduces cell death during DMEK graft preparation and manipulation, regardless of the graft insertion technique used. Incorporating ROCKi treatment during tissue preparation may help improve endothelial preservation, particularly in preloaded DMEK grafts, thereby supporting broader clinical application and improved graft survival outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pre-incubation with ROCKi significantly enhances corneal endothelial cell viability and reduces cell death during DMEK graft preparation and manipulation, regardless of the graft insertion technique used. Incorporating ROCKi treatment during tissue preparation may help improve endothelial preservation, particularly in preloaded DMEK grafts, thereby supporting broader clinical application and improved graft survival…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 209,
      "source_fields": {
        "Abstract Final Identifier": "FP14.13",
        "Title": "The Effects Of Rho-Associated Kinase (Rock) Inhibitor Supplementation In Corneal Preservation Media For Donor Tissue Used In Descemet’S Membrane Endothelial Keratoplasty (Dmek)",
        "Presenting Author(s)": "Dr Hon Shing Ong",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Hon Shing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ong",
        "Country Name": "Singapore",
        "Purpose": "To evaluate the effects of pre-treating donor corneal tissue with a Rho-associated kinase inhibitor (ROCKi), Netarsudil (AR-13324), on corneal endothelial cell (CEC) viability during Descemet’s membrane endothelial keratoplasty (DMEK) graft preparation and insertion, using endothelium-in and endothelium-out techniques.",
        "Setting": "Ex-vivo comparative study of human donor corneas.",
        "Methods": "This study utilized 22 pairs of research grade human donor corneas preserved in Optisol-GS. One cornea from each pair was incubated in 10 µM AR-13324 (ROCKi) for 2 hours, while the contralateral cornea served as the control. DMEK tissues were prepared and pulled-through using either endothelium-in (Endoglide) or endothelium-out (Geuder glass injector) technique. Post-manipulation, tissues underwent live/dead cytotoxicity assay using Calcein-AM and Ethidium homodimer-1 staining. Percentages of live, fallout, and dead CECs were quantified via fluorescence microscopy and ImageJ analysis. Correlations between donor age, preservation duration, and cell viability were also analyzed.",
        "Results": "For the endothelium-out model, live cell percentage increased from 89.60 ± 5.35% in controls to 95.14 ± 3.74% in ROCKi treated corneas ( p = 0.0001), while percentage dead cells decreased from 7.13 ± 3.71% to 2.16 ± 1.39% ( p = 0.0017). For the endothelium-in model, live cell percentage increased from 86.75 ± 4.81% to 94.39 ± 3.26% ( p = 0.0001), with corresponding decrease in percentage fallout (8.21 ± 5.02% to 4.05 ± 2.82%; p = 0.0036) and dead cells (5.04 ± 3.52% to 1.56 ± 1.13%; p = 0.0070). No significant correlations were found between donor age or preservation time and cell viability outcomes. Comparative analysis showed no significant difference in survivability between the two DMEK techniques after ROCKi treatment.",
        "Conclusions": "Pre-incubation with ROCKi significantly enhances corneal endothelial cell viability and reduces cell death during DMEK graft preparation and manipulation, regardless of the graft insertion technique used. Incorporating ROCKi treatment during tissue preparation may help improve endothelial preservation, particularly in preloaded DMEK grafts, thereby supporting broader clinical application and improved graft survival outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "FP14.14",
      "abstract_number": "FP14.14",
      "title": "Integrated Monogenic And Polygenic Risk Predicts Disease Progression In Fuchs Endothelial Corneal Dystrophy",
      "authors": "Siyin Liu",
      "presenter": "Siyin Liu",
      "normalized_authors": [
        "Siyin Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Siyin Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Fuchs endothelial corneal dystrophy (FECD) is a leading indication for endothelial keratoplasty (EK), yet its clinical co urse i s highly variable. While EK remains the definitive treatment, several disease-modifying and preventive therapies are currently under development, increasing the need for tools capable of predicting which individuals are most likely to progress to surgery. Genetic factors play a central role in FECD . Although a CTG18.1 repeat expansion is the primary risk factor, it does not fully explain the heterogeneity observed in disease progression . This study aims to evaluate whether CTG18.1 expansion status, in combination with a FECD-specific polygenic risk score (PRS), enables genomic prediction of progression to EK.",
        "Setting": "Multicentre study conducted at two tertiary referral corneal centres (Moorfields Eye Hospital, London, UK, and General University Hospital, Prague, Cz ech Rep ublic).",
        "Methods": "We retrospectively included 589 individuals with clinically confirmed FECD from the above centres . We recruited a validation cohort of 185 individuals using identical protocols. Only participants of genetically confirmed European ancestry were included. CTG18.1 status was determined by polymerase chain reaction-based fragment analysis, with ≥50 CTG repeats on either allele defined as expansion-positive (Exp+). An FECD PRS was derived from the largest publicly available FECD genome-wide association study . Outcome measures were the association of Exp+ status and PRS with EK risk, adjusting for sex and ancestry principal components (PCs).",
        "Results": "In the primary cohort, 456 (77%) were Exp+, and 347 (59%) had a keratoplasty. Being Exp+ was associated with earlier progression to EK (HR, 2.30; 95%CI, 1.62–3.26; P < .001). The PRS improved model discrimination (C-index, w th PRS 0.614 vs w ithout PRS 0.602; likelihood-ratio χ²=6.04; P = .014), yielded higher AUC(t) values (P = .03). A higher PRS was associated with earlier progression to EK (HR per 1-SD, 1.16; 95%CI, 1.03–1.30; P = .015). Individuals in the highest PRS quartile had a greater cumulative EK incidence at 60, 70, and 80 years of age compared with those in the lowest quartile (9.6%, 16.4%, 10.2% respectively; all P < .05). Findings were replicated in the validation cohort (HR per 1-SD, 1.42; 95%CI, 1.15–1.75; P = .001).",
        "Conclusions": "Exp+ status is a predictor of clinical progression of FECD to EK, and polygenic burden provides additional prognostic information. As genotyping becomes increasingly accessible and disease-modifying therapies emerge , integrating monogenic and polygenic risk enables genomic prediction of FECD progression. This approach supports clinical genomic risk stratification to inform individualised monitoring and to stratify trial enrolment for individuals at the highest risk of progression ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Exp+ status is a predictor of clinical progression of FECD to EK, and polygenic burden provides additional prognostic information. As genotyping becomes increasingly accessible and disease-modifying therapies emerge , integrating monogenic and polygenic risk enables genomic prediction of FECD progression. This approach supports clinical genomic risk stratification to inform individualised monitoring and to stratify…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 210,
      "source_fields": {
        "Abstract Final Identifier": "FP14.14",
        "Title": "Integrated Monogenic And Polygenic Risk Predicts Disease Progression In Fuchs Endothelial Corneal Dystrophy",
        "Presenting Author(s)": "Siyin Liu",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Siyin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "United Kingdom",
        "Purpose": "Fuchs endothelial corneal dystrophy (FECD) is a leading indication for endothelial keratoplasty (EK), yet its clinical co urse i s highly variable. While EK remains the definitive treatment, several disease-modifying and preventive therapies are currently under development, increasing the need for tools capable of predicting which individuals are most likely to progress to surgery. Genetic factors play a central role in FECD . Although a CTG18.1 repeat expansion is the primary risk factor, it does not fully explain the heterogeneity observed in disease progression . This study aims to evaluate whether CTG18.1 expansion status, in combination with a FECD-specific polygenic risk score (PRS), enables genomic prediction of progression to EK.",
        "Setting": "Multicentre study conducted at two tertiary referral corneal centres (Moorfields Eye Hospital, London, UK, and General University Hospital, Prague, Cz ech Rep ublic).",
        "Methods": "We retrospectively included 589 individuals with clinically confirmed FECD from the above centres . We recruited a validation cohort of 185 individuals using identical protocols. Only participants of genetically confirmed European ancestry were included. CTG18.1 status was determined by polymerase chain reaction-based fragment analysis, with ≥50 CTG repeats on either allele defined as expansion-positive (Exp+). An FECD PRS was derived from the largest publicly available FECD genome-wide association study . Outcome measures were the association of Exp+ status and PRS with EK risk, adjusting for sex and ancestry principal components (PCs).",
        "Results": "In the primary cohort, 456 (77%) were Exp+, and 347 (59%) had a keratoplasty. Being Exp+ was associated with earlier progression to EK (HR, 2.30; 95%CI, 1.62–3.26; P < .001). The PRS improved model discrimination (C-index, w th PRS 0.614 vs w ithout PRS 0.602; likelihood-ratio χ²=6.04; P = .014), yielded higher AUC(t) values (P = .03). A higher PRS was associated with earlier progression to EK (HR per 1-SD, 1.16; 95%CI, 1.03–1.30; P = .015). Individuals in the highest PRS quartile had a greater cumulative EK incidence at 60, 70, and 80 years of age compared with those in the lowest quartile (9.6%, 16.4%, 10.2% respectively; all P < .05). Findings were replicated in the validation cohort (HR per 1-SD, 1.42; 95%CI, 1.15–1.75; P = .001).",
        "Conclusions": "Exp+ status is a predictor of clinical progression of FECD to EK, and polygenic burden provides additional prognostic information. As genotyping becomes increasingly accessible and disease-modifying therapies emerge , integrating monogenic and polygenic risk enables genomic prediction of FECD progression. This approach supports clinical genomic risk stratification to inform individualised monitoring and to stratify trial enrolment for individuals at the highest risk of progression ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 430
    },
    {
      "uid": "FP14.15",
      "abstract_number": "FP14.15",
      "title": "Endothelial Keratoprosthesis Longitudinal Follow Up Cohort In The Netherlands",
      "authors": "Dr Ruth Lapid-Gortzak",
      "presenter": "Dr Ruth Lapid-Gortzak",
      "normalized_authors": [
        "Ruth Lapid-Gortzak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruth Lapid-Gortzak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "The EndoArt is the worlds first endothelial keratoprosthesis that is implanted for endothelial failure and corneal edema. In this report we show the follow up data of implantations performed since 2019 in the Netherlands. The device is an acyrlic hydrophilic dome-shaped implant of 6.5 mm in diameter which is attached to posterior corneal surface to induce a barrier allowing for corneal deturgecence and clearing. This device is an additional treatment option to traditional donor tissue endothelial keratoplasty.",
        "Setting": "Academic cornea units in 2 university hospitals.",
        "Methods": "In this longitudinal intervendional case series results of implantation with the EndoArt (Eye Yon Medical) are shown. All patients implanted with the EndoArt are included in the cohort. Outcome measures reported are: adherence rates, corneal thickness and clearance data, rebubble rates, suture use, visual acuity, intraocular pressure, painscores, and complications. The EndoArt was implanted in 28 eyes of 27 patients. Mostly for eyes with complex pathology in which the risk of use of donor tissue and consecutive rejection and failure was high. In 9 eyes the indication for implantation was tectonic. Background pathology includes, posterior segment pathology, glaucoma and glaucoma implant surgery, recurrent graft failure, and ocular trauma.",
        "Results": "In 26 of 28 eyes the endothelial keratoprosthesis remained adherent. The follow up period ranged from 3-72 months. After 1 year the mean reduction of corneal thickness was 24%, with 23% after 3 years. The mean rebubble rate was 1.29 (range 0-6), average sutures used was 2.71 (range 0-7), visual acuity increased from a mean LogMar of 2.13 to 1.5, all intraocular pressure measurements were under 20mmHg, mean VAS painscore reduced from 6.69 to 1.15. No instances of pathological corneal thinning were seen, no intracorneal deposits were observed, in 2 instances the EndoArt failed to adhere, in 2 eyes CME was diagnosed and succesfully treated, in 4 eyes epithelial fibrosis developed.",
        "Conclusions": "The EndoArt, a novel endothelial artificial keratoprosthesis, shows promising results in complex cases of corneal decompensation. The device remains adherent in the long-term, with proven deturgencence of the cornea stroma. Visual acuity does improves in patients with visual potential. Complication rate is low. No device related complications such as pathological thinning were seen. The device is currently used to treat eyes with high risk for donor rejection and failure. Continued investigation and follow up is still needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The EndoArt, a novel endothelial artificial keratoprosthesis, shows promising results in complex cases of corneal decompensation. The device remains adherent in the long-term, with proven deturgencence of the cornea stroma. Visual acuity does improves in patients with visual potential. Complication rate is low. No device related complications such as pathological thinning were seen. The device is currently used to…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 211,
      "source_fields": {
        "Abstract Final Identifier": "FP14.15",
        "Title": "Endothelial Keratoprosthesis Longitudinal Follow Up Cohort In The Netherlands",
        "Presenting Author(s)": "Dr Ruth Lapid-Gortzak",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ruth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lapid-Gortzak",
        "Country Name": "Netherlands",
        "Purpose": "The EndoArt is the worlds first endothelial keratoprosthesis that is implanted for endothelial failure and corneal edema. In this report we show the follow up data of implantations performed since 2019 in the Netherlands. The device is an acyrlic hydrophilic dome-shaped implant of 6.5 mm in diameter which is attached to posterior corneal surface to induce a barrier allowing for corneal deturgecence and clearing. This device is an additional treatment option to traditional donor tissue endothelial keratoplasty.",
        "Setting": "Academic cornea units in 2 university hospitals.",
        "Methods": "In this longitudinal intervendional case series results of implantation with the EndoArt (Eye Yon Medical) are shown. All patients implanted with the EndoArt are included in the cohort. Outcome measures reported are: adherence rates, corneal thickness and clearance data, rebubble rates, suture use, visual acuity, intraocular pressure, painscores, and complications. The EndoArt was implanted in 28 eyes of 27 patients. Mostly for eyes with complex pathology in which the risk of use of donor tissue and consecutive rejection and failure was high. In 9 eyes the indication for implantation was tectonic. Background pathology includes, posterior segment pathology, glaucoma and glaucoma implant surgery, recurrent graft failure, and ocular trauma.",
        "Results": "In 26 of 28 eyes the endothelial keratoprosthesis remained adherent. The follow up period ranged from 3-72 months. After 1 year the mean reduction of corneal thickness was 24%, with 23% after 3 years. The mean rebubble rate was 1.29 (range 0-6), average sutures used was 2.71 (range 0-7), visual acuity increased from a mean LogMar of 2.13 to 1.5, all intraocular pressure measurements were under 20mmHg, mean VAS painscore reduced from 6.69 to 1.15. No instances of pathological corneal thinning were seen, no intracorneal deposits were observed, in 2 instances the EndoArt failed to adhere, in 2 eyes CME was diagnosed and succesfully treated, in 4 eyes epithelial fibrosis developed.",
        "Conclusions": "The EndoArt, a novel endothelial artificial keratoprosthesis, shows promising results in complex cases of corneal decompensation. The device remains adherent in the long-term, with proven deturgencence of the cornea stroma. Visual acuity does improves in patients with visual potential. Complication rate is low. No device related complications such as pathological thinning were seen. The device is currently used to treat eyes with high risk for donor rejection and failure. Continued investigation and follow up is still needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "FP15.01",
      "abstract_number": "FP15.01",
      "title": "Comparison Of Hydrophilic Versus Hydrophobic Intraocular Lenses In Pediatric Cataract Surgery: A Meta-Analysis",
      "authors": "Dr Abdulmalik Omar Alsaif",
      "presenter": "Dr Abdulmalik Omar Alsaif",
      "normalized_authors": [
        "Abdulmalik Omar Alsaif"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulmalik Omar Alsaif",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare the long-term efficacy, safety, and complication rates of hydrophilic and hydrophobic intraocular lenses (IOLs) in pediatric cataract surgery. Pediatric cataracts are a leading cause of treatable childhood blindness, and selecting the optimal IOL material remains controversial due to the high risk of posterior capsule opacification (PCO) in developing eyes. This meta-analysis evaluates whether hydrophobic materials, which are the standard of care in adults for reducing PCO, offer similar clinical advantages in children. By synthesizing global data, this study aims to provide evidence-based guidance for lens selection across diverse clinical and economic settings.",
        "Setting": "This systematic review and meta-analysis synthesized data from international multi-center studies and randomized controlled trials. Research was included from a variety of global healthcare environments, including the USA, Germany, Australia, India, Iran, China, Brazil, and Nepal. These settings represent a broad spectrum of surgical practices and socio-economic contexts, ranging from high-resource academic medical centers to regions where cost-effective PMMA lenses remain prevalent.",
        "Methods": "Following PRISMA guidelines, we searched MEDLINE, EMBASE, and the Cochrane Library for randomized controlled trials (RCTs) and observational studies comparing hydrophilic (including PMMA) and hydrophobic IOLs in children (aged 0 to 15 years). Primary outcomes were PCO rates and postoperative complications. Two independent reviewers performed data extraction and quality assessment using AHRQ standards. Statistical analysis was conducted using Review Manager 5.3 with a random-effects model. Results are reported as odds ratios (OR) for dichotomous variables and mean differences (MD) for continuous variables, with 95 percent confidence intervals (CI). Heterogeneity was assessed using the I-squared statistic.",
        "Results": "Twelve studies (5 RCTs, 7 non-RCTs) involving 1,234 eyes from 966 patients met the inclusion criteria. The pooled analysis demonstrated no statistically significant difference in PCO rates between hydrophobic and hydrophilic/PMMA lenses (OR 0.98; 95 percent CI 0.51 to 1.87; P = 0.95). Moderate heterogeneity was observed (I-squared = 75 percent). Secondary outcomes revealed varying complication profiles; while some studies noted higher postoperative fibrin or uveitis with PMMA, rates of IOL dislocation and secondary glaucoma were comparable across groups. Subgroup analysis showed that the aggressive nature of the pediatric capsular environment appeared to outweigh the impact of IOL material on visual axis opacification.",
        "Conclusions": "This meta-analysis reveals that the PCO-reducing benefits of hydrophobic materials observed in adults do not translate to pediatric populations. In the aggressive inflammatory environment of the young eye, meticulous surgical technique likely supersedes lens material in determining long-term success. Our findings confirm that hydrophilic and PMMA lenses remain safe, effective, and viable options. This is of critical importance for global health, as it validates the use of affordable IOLs in resource-limited settings without compromising visual outcomes. Future large-scale RCTs are required to further explore these molecular interactions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This meta-analysis reveals that the PCO-reducing benefits of hydrophobic materials observed in adults do not translate to pediatric populations. In the aggressive inflammatory environment of the young eye, meticulous surgical technique likely supersedes lens material in determining long-term success. Our findings confirm that hydrophilic and PMMA lenses remain safe, effective, and viable options. This is of…",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 212,
      "source_fields": {
        "Abstract Final Identifier": "FP15.01",
        "Title": "Comparison Of Hydrophilic Versus Hydrophobic Intraocular Lenses In Pediatric Cataract Surgery: A Meta-Analysis",
        "Presenting Author(s)": "Dr Abdulmalik Omar Alsaif",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Abdulmalik",
        "Submitter Middle Name": "Omar",
        "Submitter Last Name": "Alsaif",
        "Country Name": "United Kingdom",
        "Purpose": "To compare the long-term efficacy, safety, and complication rates of hydrophilic and hydrophobic intraocular lenses (IOLs) in pediatric cataract surgery. Pediatric cataracts are a leading cause of treatable childhood blindness, and selecting the optimal IOL material remains controversial due to the high risk of posterior capsule opacification (PCO) in developing eyes. This meta-analysis evaluates whether hydrophobic materials, which are the standard of care in adults for reducing PCO, offer similar clinical advantages in children. By synthesizing global data, this study aims to provide evidence-based guidance for lens selection across diverse clinical and economic settings.",
        "Setting": "This systematic review and meta-analysis synthesized data from international multi-center studies and randomized controlled trials. Research was included from a variety of global healthcare environments, including the USA, Germany, Australia, India, Iran, China, Brazil, and Nepal. These settings represent a broad spectrum of surgical practices and socio-economic contexts, ranging from high-resource academic medical centers to regions where cost-effective PMMA lenses remain prevalent.",
        "Methods": "Following PRISMA guidelines, we searched MEDLINE, EMBASE, and the Cochrane Library for randomized controlled trials (RCTs) and observational studies comparing hydrophilic (including PMMA) and hydrophobic IOLs in children (aged 0 to 15 years). Primary outcomes were PCO rates and postoperative complications. Two independent reviewers performed data extraction and quality assessment using AHRQ standards. Statistical analysis was conducted using Review Manager 5.3 with a random-effects model. Results are reported as odds ratios (OR) for dichotomous variables and mean differences (MD) for continuous variables, with 95 percent confidence intervals (CI). Heterogeneity was assessed using the I-squared statistic.",
        "Results": "Twelve studies (5 RCTs, 7 non-RCTs) involving 1,234 eyes from 966 patients met the inclusion criteria. The pooled analysis demonstrated no statistically significant difference in PCO rates between hydrophobic and hydrophilic/PMMA lenses (OR 0.98; 95 percent CI 0.51 to 1.87; P = 0.95). Moderate heterogeneity was observed (I-squared = 75 percent). Secondary outcomes revealed varying complication profiles; while some studies noted higher postoperative fibrin or uveitis with PMMA, rates of IOL dislocation and secondary glaucoma were comparable across groups. Subgroup analysis showed that the aggressive nature of the pediatric capsular environment appeared to outweigh the impact of IOL material on visual axis opacification.",
        "Conclusions": "This meta-analysis reveals that the PCO-reducing benefits of hydrophobic materials observed in adults do not translate to pediatric populations. In the aggressive inflammatory environment of the young eye, meticulous surgical technique likely supersedes lens material in determining long-term success. Our findings confirm that hydrophilic and PMMA lenses remain safe, effective, and viable options. This is of critical importance for global health, as it validates the use of affordable IOLs in resource-limited settings without compromising visual outcomes. Future large-scale RCTs are required to further explore these molecular interactions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 446
    },
    {
      "uid": "FP15.02",
      "abstract_number": "FP15.02",
      "title": "Visual Outcomes With Use Of Contact Lenses Versus Glasses In Children With Bilateral Aphakia Secondary To Congenital Cataract",
      "authors": "Dr Shilpa Tarini",
      "presenter": "Dr Shilpa Tarini",
      "normalized_authors": [
        "Shilpa Tarini"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shilpa Tarini",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare long-term visual outcomes in infants with bilateral aphakia rehabilitated with either contact lenses or spectacles following congenital cataract surgery",
        "Setting": "This retrospective observational study was conducted across three centres of the L V Prasad Eye Institute, South India",
        "Methods": "Medical records of infants who underwent bilateral congenital cataract extraction without primary intraocular lens implantation between 2015 and 2021 were reviewed. Surgery consisted of lens aspiration with primary posterior capsulotomy and anterior vitrectomy. Children were rehabilitated postoperatively with either contact lenses or aphakic spectacles. Data collected included demographic characteristics, ocular biometry, refractive status, visual acuity (converted to logMAR), and presence of strabismus or nystagmus. Only children with a minimum of five years of follow-up were included. Visual outcomes were analysed using Welch’s t-test and mixed repeated-measures ANOVA.",
        "Results": "Fifty-seven children met inclusion criteria (19 contact lens users, 38 spectacle users). Median age at surgery was 13 weeks in both groups. Visual acuity improved significantly over time in both groups (p < 0.001). There was no significant difference in final visual acuity between contact lens and spectacle users (p = 0.968), and no significant time × group interaction (p = 0.518). Postoperatively, the contact lens group showed a marked reduction in strabismus (78% preoperatively to 68% postoperatively) and improvement in nystagmus. In contrast, the spectacle group demonstrated an increase in both strabismus (60.5% preoperatively to 76.5% postoperatively) and nystagmus prevalence.",
        "Conclusions": "Long-term visual outcomes in infants with bilateral aphakia were comparable between contact lenses and spectacles. However, contact lens use was associated with more favourable postoperative ocular alignment and nystagmus profiles. These findings support contact lenses as a valuable option for visual rehabilitation in appropriately selected infants following congenital cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Long-term visual outcomes in infants with bilateral aphakia were comparable between contact lenses and spectacles. However, contact lens use was associated with more favourable postoperative ocular alignment and nystagmus profiles. These findings support contact lenses as a valuable option for visual rehabilitation in appropriately selected infants following congenital cataract surgery.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 213,
      "source_fields": {
        "Abstract Final Identifier": "FP15.02",
        "Title": "Visual Outcomes With Use Of Contact Lenses Versus Glasses In Children With Bilateral Aphakia Secondary To Congenital Cataract",
        "Presenting Author(s)": "Dr Shilpa Tarini",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Shilpa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tarini",
        "Country Name": "India",
        "Purpose": "To compare long-term visual outcomes in infants with bilateral aphakia rehabilitated with either contact lenses or spectacles following congenital cataract surgery",
        "Setting": "This retrospective observational study was conducted across three centres of the L V Prasad Eye Institute, South India",
        "Methods": "Medical records of infants who underwent bilateral congenital cataract extraction without primary intraocular lens implantation between 2015 and 2021 were reviewed. Surgery consisted of lens aspiration with primary posterior capsulotomy and anterior vitrectomy. Children were rehabilitated postoperatively with either contact lenses or aphakic spectacles. Data collected included demographic characteristics, ocular biometry, refractive status, visual acuity (converted to logMAR), and presence of strabismus or nystagmus. Only children with a minimum of five years of follow-up were included. Visual outcomes were analysed using Welch’s t-test and mixed repeated-measures ANOVA.",
        "Results": "Fifty-seven children met inclusion criteria (19 contact lens users, 38 spectacle users). Median age at surgery was 13 weeks in both groups. Visual acuity improved significantly over time in both groups (p < 0.001). There was no significant difference in final visual acuity between contact lens and spectacle users (p = 0.968), and no significant time × group interaction (p = 0.518). Postoperatively, the contact lens group showed a marked reduction in strabismus (78% preoperatively to 68% postoperatively) and improvement in nystagmus. In contrast, the spectacle group demonstrated an increase in both strabismus (60.5% preoperatively to 76.5% postoperatively) and nystagmus prevalence.",
        "Conclusions": "Long-term visual outcomes in infants with bilateral aphakia were comparable between contact lenses and spectacles. However, contact lens use was associated with more favourable postoperative ocular alignment and nystagmus profiles. These findings support contact lenses as a valuable option for visual rehabilitation in appropriately selected infants following congenital cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "FP15.03",
      "abstract_number": "FP15.03",
      "title": "A Classification-Guided Approach To Anterior Segment–Predominant Persistent Fetal Vasculature And Surgical Outcomes",
      "authors": "Hui Chen",
      "presenter": "Hui Chen",
      "normalized_authors": [
        "Hui Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xinyi Qiu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To characterize the clinical presentation, treatment strategies, and outcomes of anterior segment–predominant persistent fetal vasculature (aPFV) using a structured classification system.",
        "Setting": "A tertiary referral pediatric ophthalmology center with longitudinal clinical follow-up.",
        "Methods": "Baseline demographic data, ocular biometric measurements, best-corrected visual acuity (BCVA), and slit-lamp findings were collected at initial presentation. Eyes with aPFV were categorized into three anatomical subtypes based on the predominant location of vascular remnants: type I (pupil–iris–anterior lens plane), type II (retrolental–anterior hyaloid membrane plane), and type III (combined involvement). Each subtype was further stratified into mild (a) or severe (b) forms according to structural complexity. Surgical approaches were documented. Visual outcomes, postoperative complications including ocular hypertension, adverse events, and the need for secondary surgical interventions were evaluated during follow-up.",
        "Results": "Among 470 patients (619 eyes), 20.8% were classified as type I, 67.9% as type II, and 11.3% as type III. Cataracts occurred in 81.6% of eyes with distinct subtype-specific patterns. Structural severity increased from type I to III, with type III showing the shallowest anterior chamber and highest corneal astigmatism. Surgery was performed in 96.9% of eyes. Postoperative complications were mainly ocular hypertension, while reoperation was required in 7.6%. Visual acuity improved in 73.7% of eyes, whereas severe subtypes (IIb and IIIb) were associated with the poorest outcomes.",
        "Conclusions": "Anterior segment–predominant PFV can be effectively stratified using a classification framework that integrates lesion location and disease severity. This approach facilitates risk assessment and supports a tailored surgical and medical management strategy, enabling satisfactory visual outcomes with an acceptable rate of perioperative complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior segment–predominant PFV can be effectively stratified using a classification framework that integrates lesion location and disease severity. This approach facilitates risk assessment and supports a tailored surgical and medical management strategy, enabling satisfactory visual outcomes with an acceptable rate of perioperative complications.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 214,
      "source_fields": {
        "Abstract Final Identifier": "FP15.03",
        "Title": "A Classification-Guided Approach To Anterior Segment–Predominant Persistent Fetal Vasculature And Surgical Outcomes",
        "Presenting Author(s)": "Hui Chen",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Xinyi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Qiu",
        "Country Name": "China",
        "Purpose": "To characterize the clinical presentation, treatment strategies, and outcomes of anterior segment–predominant persistent fetal vasculature (aPFV) using a structured classification system.",
        "Setting": "A tertiary referral pediatric ophthalmology center with longitudinal clinical follow-up.",
        "Methods": "Baseline demographic data, ocular biometric measurements, best-corrected visual acuity (BCVA), and slit-lamp findings were collected at initial presentation. Eyes with aPFV were categorized into three anatomical subtypes based on the predominant location of vascular remnants: type I (pupil–iris–anterior lens plane), type II (retrolental–anterior hyaloid membrane plane), and type III (combined involvement). Each subtype was further stratified into mild (a) or severe (b) forms according to structural complexity. Surgical approaches were documented. Visual outcomes, postoperative complications including ocular hypertension, adverse events, and the need for secondary surgical interventions were evaluated during follow-up.",
        "Results": "Among 470 patients (619 eyes), 20.8% were classified as type I, 67.9% as type II, and 11.3% as type III. Cataracts occurred in 81.6% of eyes with distinct subtype-specific patterns. Structural severity increased from type I to III, with type III showing the shallowest anterior chamber and highest corneal astigmatism. Surgery was performed in 96.9% of eyes. Postoperative complications were mainly ocular hypertension, while reoperation was required in 7.6%. Visual acuity improved in 73.7% of eyes, whereas severe subtypes (IIb and IIIb) were associated with the poorest outcomes.",
        "Conclusions": "Anterior segment–predominant PFV can be effectively stratified using a classification framework that integrates lesion location and disease severity. This approach facilitates risk assessment and supports a tailored surgical and medical management strategy, enabling satisfactory visual outcomes with an acceptable rate of perioperative complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "FP15.04",
      "abstract_number": "FP15.04",
      "title": "Surgical Outcomes Of 27-Gauge Sutureless Versus 23-Gauge Sutured Techniques In Congenital Cataract Surgery: A Comparative Study",
      "authors": "Dr Semih Çakmak",
      "presenter": "Dr Semih Çakmak",
      "normalized_authors": [
        "Semih Çakmak"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Semih Çakmak",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate surgical outcomes and complications of a sutureless 27-gauge technique in congenital cataract surgery in comparison with a 23-gauge sutured method.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Türkiye",
        "Methods": "This retrospective, comparative study included 68 eyes of 41 patients (aged ≤12 months at surgery) who underwent congenital cataract surgery. Group 1 included 25 eyes that underwent 27-gauge sutureless surgery, while group 2 included 43 eyes that underwent 23-gauge sutured surgery. Demographic, perioperative, and follow-up findings and measurements were recorded and compared. The main outcome measures were the number of general-anesthesia sessions, timing of postoperative visual rehabilitation, postoperative complications.",
        "Results": "Group 1 required fewer general anesthesia sessions than group 2 (3.60±2.84 vs. 4.57±1.52 sessions; P= 0.047) and initiated contact lens rehabilitation earlier (1.38±1.03 vs. 3.93±1.94 weeks; P< 0.001). Postoperative elevated IOP requiring medical therapy occurred in 10 (40.0%) cases in group 1 and 12 (27.9%) cases in group 2 ( P= 0.304). One eye in group 2 also underwent trabeculectomy. Reoperation for iris tissue extending into the wound occurred for one eye in group 1 ( P= 0.186), and anterior-chamber fibrin reaction occurred only in group 2 (4 eyes, P= 0.116). Visual axis opacifying membranes requiring vitrectomy developed in 4 eyes in each group ( P= 0.408).",
        "Conclusions": "The 27-gauge sutureless technique demonstrated comparable outcomes to the 23-gauge sutured method in congenital cataract surgery, with added benefits of fewer anesthesia sessions and earlier visual rehabilitation. These results support its use as a feasible and minimally invasive alternative for selected cases of congenital cataract."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The 27-gauge sutureless technique demonstrated comparable outcomes to the 23-gauge sutured method in congenital cataract surgery, with added benefits of fewer anesthesia sessions and earlier visual rehabilitation. These results support its use as a feasible and minimally invasive alternative for selected cases of congenital cataract.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 215,
      "source_fields": {
        "Abstract Final Identifier": "FP15.04",
        "Title": "Surgical Outcomes Of 27-Gauge Sutureless Versus 23-Gauge Sutured Techniques In Congenital Cataract Surgery: A Comparative Study",
        "Presenting Author(s)": "Dr Semih Çakmak",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Semih",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Çakmak",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate surgical outcomes and complications of a sutureless 27-gauge technique in congenital cataract surgery in comparison with a 23-gauge sutured method.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Türkiye",
        "Methods": "This retrospective, comparative study included 68 eyes of 41 patients (aged ≤12 months at surgery) who underwent congenital cataract surgery. Group 1 included 25 eyes that underwent 27-gauge sutureless surgery, while group 2 included 43 eyes that underwent 23-gauge sutured surgery. Demographic, perioperative, and follow-up findings and measurements were recorded and compared. The main outcome measures were the number of general-anesthesia sessions, timing of postoperative visual rehabilitation, postoperative complications.",
        "Results": "Group 1 required fewer general anesthesia sessions than group 2 (3.60±2.84 vs. 4.57±1.52 sessions; P= 0.047) and initiated contact lens rehabilitation earlier (1.38±1.03 vs. 3.93±1.94 weeks; P< 0.001). Postoperative elevated IOP requiring medical therapy occurred in 10 (40.0%) cases in group 1 and 12 (27.9%) cases in group 2 ( P= 0.304). One eye in group 2 also underwent trabeculectomy. Reoperation for iris tissue extending into the wound occurred for one eye in group 1 ( P= 0.186), and anterior-chamber fibrin reaction occurred only in group 2 (4 eyes, P= 0.116). Visual axis opacifying membranes requiring vitrectomy developed in 4 eyes in each group ( P= 0.408).",
        "Conclusions": "The 27-gauge sutureless technique demonstrated comparable outcomes to the 23-gauge sutured method in congenital cataract surgery, with added benefits of fewer anesthesia sessions and earlier visual rehabilitation. These results support its use as a feasible and minimally invasive alternative for selected cases of congenital cataract."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "FP15.05",
      "abstract_number": "FP15.05",
      "title": "Visual Outcomes And Prognostic Factors Following Traumatic Cataract Surgery In Children Aged 2–8 Years: A 5-Year Prospective Study",
      "authors": "Dr Xiaohuan Zhao",
      "presenter": "Dr Xiaohuan Zhao",
      "normalized_authors": [
        "Xiaohuan Zhao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaohuan Zhao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Traumatic cataract during the amblyogenic period can lead to long-term visual impairment, yet prospective data on recovery and modifiable prognostic factors are limited. We aimed to characterise 5‑year visual trajectories and identify prognostic factors after surgery in children aged 2–8 years.",
        "Setting": "Prospective multicenter cohort study.",
        "Methods": "Patient demographic information, surgical characteristics, and follow-up data were extracted. Best-corrected visual acuity (BCVA) and refractive astigmatism from 1 week to 5 years following traumatic cataract extraction were collected. Independent factors influencing BCVA at 5 years postoperatively were analyzed using logistic regression models, while the impact of amblyopia training on BCVA over the 5-year period was assessed using the Kaplan-Meier method.",
        "Results": "Among 333 injured eyes (mean age 5·13 years; 222 [66·7%] boys), BCVA improved markedly over follow‑up, with greatest gains within the first 2 years. Younger age at injury was associated with poorer 5‑year visual outcomes. Injury severity and corneal involvement were major determinants of long‑term BCVA. In open‑globe injuries, delayed primary repair and poor amblyopia therapy adherence were linked to poorer prognosis. Good adherence to amblyopia therapy was associated with improved long‑term BCVA in closed‑globe (OR 0·29, 95% CI 0·01–0·97) and open‑globe injuries (OR 0·41, 95% CI 0·22–0·77), including among children with severe corneal injury and those injured before 7 years of age.",
        "Conclusions": "Younger age at surgery (<4 years) demonstrated progressive improvement in BCVA throughout the 5-year follow-up period, while those aged ≥4 years achieved visual stability by 2 years after surgery. Favorable long-term visual outcomes were significantly associated with smaller corneal wound size and shorter injury-to-primary repair time. Strict adherence to amblyopia therapy conferred substantial visual benefits, particularly in children injured before the age of 7. These findings support implementing comprehensive management strategies including early primary repair, systematic amblyopia intervention, and long-term regular postoperative follow-up to optimize visual prognosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Younger age at surgery (<4 years) demonstrated progressive improvement in BCVA throughout the 5-year follow-up period, while those aged ≥4 years achieved visual stability by 2 years after surgery. Favorable long-term visual outcomes were significantly associated with smaller corneal wound size and shorter injury-to-primary repair time. Strict adherence to amblyopia therapy conferred substantial visual benefits,…",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 216,
      "source_fields": {
        "Abstract Final Identifier": "FP15.05",
        "Title": "Visual Outcomes And Prognostic Factors Following Traumatic Cataract Surgery In Children Aged 2–8 Years: A 5-Year Prospective Study",
        "Presenting Author(s)": "Dr Xiaohuan Zhao",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Xiaohuan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhao",
        "Country Name": "China",
        "Purpose": "Traumatic cataract during the amblyogenic period can lead to long-term visual impairment, yet prospective data on recovery and modifiable prognostic factors are limited. We aimed to characterise 5‑year visual trajectories and identify prognostic factors after surgery in children aged 2–8 years.",
        "Setting": "Prospective multicenter cohort study.",
        "Methods": "Patient demographic information, surgical characteristics, and follow-up data were extracted. Best-corrected visual acuity (BCVA) and refractive astigmatism from 1 week to 5 years following traumatic cataract extraction were collected. Independent factors influencing BCVA at 5 years postoperatively were analyzed using logistic regression models, while the impact of amblyopia training on BCVA over the 5-year period was assessed using the Kaplan-Meier method.",
        "Results": "Among 333 injured eyes (mean age 5·13 years; 222 [66·7%] boys), BCVA improved markedly over follow‑up, with greatest gains within the first 2 years. Younger age at injury was associated with poorer 5‑year visual outcomes. Injury severity and corneal involvement were major determinants of long‑term BCVA. In open‑globe injuries, delayed primary repair and poor amblyopia therapy adherence were linked to poorer prognosis. Good adherence to amblyopia therapy was associated with improved long‑term BCVA in closed‑globe (OR 0·29, 95% CI 0·01–0·97) and open‑globe injuries (OR 0·41, 95% CI 0·22–0·77), including among children with severe corneal injury and those injured before 7 years of age.",
        "Conclusions": "Younger age at surgery (<4 years) demonstrated progressive improvement in BCVA throughout the 5-year follow-up period, while those aged ≥4 years achieved visual stability by 2 years after surgery. Favorable long-term visual outcomes were significantly associated with smaller corneal wound size and shorter injury-to-primary repair time. Strict adherence to amblyopia therapy conferred substantial visual benefits, particularly in children injured before the age of 7. These findings support implementing comprehensive management strategies including early primary repair, systematic amblyopia intervention, and long-term regular postoperative follow-up to optimize visual prognosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "FP15.06",
      "abstract_number": "FP15.06",
      "title": "The Upgradeable Pediatric Intraocular Lens: Early Clinical Outcomes Of A Modular System",
      "authors": "Dr Yevgeniy Batkov",
      "presenter": "Dr Yevgeniy Batkov",
      "normalized_authors": [
        "Yevgeniy Batkov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yevgeniy Batkov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To report current clinical data on the use of a dedicated modular intraocular lens (IOL) system in a pediatric cohort.",
        "Setting": "S. Fyodorov Eye Microsurgery Federal State Institution, Cheboksary, Russia",
        "Methods": "This prospective interventional case series included 88 consecutive eyes of children aged 2 months to 18 years, implanted with a modular IOL since March 2022. Indications were congenital/developmental (67 eyes), acquired (13), and traumatic (8) cataracts. In congenital cataracts, implantation settings included primary (55), secondary (9), haptic-only (2), and exchange of a standard IOL for modular (1). Mean age at implantation was 4.3±4.9 years, with 39 eyes implanted in patients <1 year old (average 0.5±0.2 years). Mean follow-up was 0.75±0.89 years. Most IOLs for primary implantation were assembled ex vivo ; intraocular assembly occurred in 3 eyes.",
        "Results": "Complication data are reported for congenital cataracts. Intraoperative: iris trauma (1). Postoperative: visual axis opacification – VAO (8), glaucoma (1), uveitis (2). One bilateral case had severe uveal reaction: first eye required two interventions (including iridoplasty) preserving visual potential; second eye developed glaucoma and corneal opacity after multiple procedures including optic explantation. Other unplanned interventions: VAO removal (8), strabismus surgery (4). Mean age was lower in eyes with VAO (0.73 vs. 2.43 years; p=0.03). Critically, in one patient (2 eyes) optic exchange was performed >3 years post-primary implantation to correct high myopia, demonstrating feasibility of refractive adjustment.",
        "Conclusions": "Current data suggest the modular IOL's safety profile is clinically comparable to traditional implants in children. Crucially, the feasibility of the modular platform's second stage—optic exchange to adjust refractive power—was successfully demonstrated, supporting its potential for long-term pediatric refractive management. The implant demonstrated predictable performance during follow-up of up to 4 years."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Current data suggest the modular IOL's safety profile is clinically comparable to traditional implants in children. Crucially, the feasibility of the modular platform's second stage—optic exchange to adjust refractive power—was successfully demonstrated, supporting its potential for long-term pediatric refractive management. The implant demonstrated predictable performance during follow-up of up to 4 years.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 217,
      "source_fields": {
        "Abstract Final Identifier": "FP15.06",
        "Title": "The Upgradeable Pediatric Intraocular Lens: Early Clinical Outcomes Of A Modular System",
        "Presenting Author(s)": "Dr Yevgeniy Batkov",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Yevgeniy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Batkov",
        "Country Name": "Russian Federation",
        "Purpose": "To report current clinical data on the use of a dedicated modular intraocular lens (IOL) system in a pediatric cohort.",
        "Setting": "S. Fyodorov Eye Microsurgery Federal State Institution, Cheboksary, Russia",
        "Methods": "This prospective interventional case series included 88 consecutive eyes of children aged 2 months to 18 years, implanted with a modular IOL since March 2022. Indications were congenital/developmental (67 eyes), acquired (13), and traumatic (8) cataracts. In congenital cataracts, implantation settings included primary (55), secondary (9), haptic-only (2), and exchange of a standard IOL for modular (1). Mean age at implantation was 4.3±4.9 years, with 39 eyes implanted in patients <1 year old (average 0.5±0.2 years). Mean follow-up was 0.75±0.89 years. Most IOLs for primary implantation were assembled ex vivo ; intraocular assembly occurred in 3 eyes.",
        "Results": "Complication data are reported for congenital cataracts. Intraoperative: iris trauma (1). Postoperative: visual axis opacification – VAO (8), glaucoma (1), uveitis (2). One bilateral case had severe uveal reaction: first eye required two interventions (including iridoplasty) preserving visual potential; second eye developed glaucoma and corneal opacity after multiple procedures including optic explantation. Other unplanned interventions: VAO removal (8), strabismus surgery (4). Mean age was lower in eyes with VAO (0.73 vs. 2.43 years; p=0.03). Critically, in one patient (2 eyes) optic exchange was performed >3 years post-primary implantation to correct high myopia, demonstrating feasibility of refractive adjustment.",
        "Conclusions": "Current data suggest the modular IOL's safety profile is clinically comparable to traditional implants in children. Crucially, the feasibility of the modular platform's second stage—optic exchange to adjust refractive power—was successfully demonstrated, supporting its potential for long-term pediatric refractive management. The implant demonstrated predictable performance during follow-up of up to 4 years."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP15.07",
      "abstract_number": "FP15.07",
      "title": "Longitudinal Refractive Evolution In Children With Aphakia Post Surgery: A Machine Learning Analysis",
      "authors": "Dr Zhixiang Hua",
      "presenter": "Dr Zhixiang Hua",
      "normalized_authors": [
        "Zhixiang Hua"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhixiang Hua",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the feasibility of machine learning algorithms in predicting refractive evolution and to identify critical developmental transition points in children with aphakia, utilizing a large dataset of optometric records.",
        "Setting": "Eye and ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "This present study was conducted on 476 patients (764 eyes) who underwent congenital cataract surgery at the Eye and ENT Hospital of Fudan University between 2005 and 2025, involving a total of 3170 follow-up visits. The evolution and trends of refractive components were analyzed. Nine ML algorithms, including Gradient Boosting Decision Tree (GBDT), Random Forest, and Support Vector Machine, were trained using an 80/20 train-test split and 5-fold cross-validation. Predictive performance was compared across age groups, and a segmented threshold sensitivity analysis was applied to determine the optimal developmental transition point.",
        "Results": "Both spherical equivalent and sphere power in aphakic eyes exhibited significant non-linear declines with age. The refractive shift rate progressively decelerated from -1.38 D/year in the 0 to 1 year group to -0.33 D/year in the 4 to 5 year group. Among the models evaluated, GBDT demonstrated superior predictive performance, significantly outperforming traditional linear and logarithmic models. The predictive performance of GBDT was markedly higher in children under 4 years compared to those aged 4 and older. Segmented threshold analysis confirmed 4 years as the pivotal inflection point, characterized by the maximum performance disparity (ΔR 2 ) between age cohorts.",
        "Conclusions": "Machine learning is a feasible and robust tool for predicting refractive evolution in pediatric aphakia. The transition point at age 4 serves as a critical node for clinical assessment and intervention. These findings provide a data-driven basis that may help to optimize the timing of clinical interventions and support the implementation of management strategies in two stages."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Machine learning is a feasible and robust tool for predicting refractive evolution in pediatric aphakia. The transition point at age 4 serves as a critical node for clinical assessment and intervention. These findings provide a data-driven basis that may help to optimize the timing of clinical interventions and support the implementation of management strategies in two stages.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 218,
      "source_fields": {
        "Abstract Final Identifier": "FP15.07",
        "Title": "Longitudinal Refractive Evolution In Children With Aphakia Post Surgery: A Machine Learning Analysis",
        "Presenting Author(s)": "Dr Zhixiang Hua",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Zhixiang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hua",
        "Country Name": "China",
        "Purpose": "To evaluate the feasibility of machine learning algorithms in predicting refractive evolution and to identify critical developmental transition points in children with aphakia, utilizing a large dataset of optometric records.",
        "Setting": "Eye and ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "This present study was conducted on 476 patients (764 eyes) who underwent congenital cataract surgery at the Eye and ENT Hospital of Fudan University between 2005 and 2025, involving a total of 3170 follow-up visits. The evolution and trends of refractive components were analyzed. Nine ML algorithms, including Gradient Boosting Decision Tree (GBDT), Random Forest, and Support Vector Machine, were trained using an 80/20 train-test split and 5-fold cross-validation. Predictive performance was compared across age groups, and a segmented threshold sensitivity analysis was applied to determine the optimal developmental transition point.",
        "Results": "Both spherical equivalent and sphere power in aphakic eyes exhibited significant non-linear declines with age. The refractive shift rate progressively decelerated from -1.38 D/year in the 0 to 1 year group to -0.33 D/year in the 4 to 5 year group. Among the models evaluated, GBDT demonstrated superior predictive performance, significantly outperforming traditional linear and logarithmic models. The predictive performance of GBDT was markedly higher in children under 4 years compared to those aged 4 and older. Segmented threshold analysis confirmed 4 years as the pivotal inflection point, characterized by the maximum performance disparity (ΔR 2 ) between age cohorts.",
        "Conclusions": "Machine learning is a feasible and robust tool for predicting refractive evolution in pediatric aphakia. The transition point at age 4 serves as a critical node for clinical assessment and intervention. These findings provide a data-driven basis that may help to optimize the timing of clinical interventions and support the implementation of management strategies in two stages."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "FP15.08",
      "abstract_number": "FP15.08",
      "title": "Scleral Fixation Of A Modified Cionni Capsular Tension Ring With The “Loop-Flange Technique” In Ectopia Lentis Cases",
      "authors": "Dr Burcu Atay",
      "presenter": "Dr Burcu Atay",
      "normalized_authors": [
        "Burcu Atay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Burcu Atay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of scleral fixation of the capsular bag using a modified Cionni capsular tension ring (MCTR) with a knotless 6-0 polypropylene “loop-flange” technique in ectopia lentis eyes with extensive zonular dialysis (>180°).",
        "Setting": "Single-center, retrospective case series.",
        "Methods": "Sixteen eyes of 12 patients with ectopia lentis secondary to trauma or genetic disorders (Marfan syndrome or homocystinuria). The capsular bag was stabilized with iris retractors, and lens aspiration/phacoemulsification was completed.A needleless 6-0 polypropylene suture was passed through the MCTR eyelet to create a “loop,” and the ring was implanted into the capsular bag.Two scleral fixation points were marked 2.0 mm posterior to the limbus and aligned with the center of the zonular defect.Using a 30-gauge needle with lamellar scleral passage, both suture ends were externalized, flanged with cautery for knotless fixation, and an in-the-bag IOL was implanted.Outcomes included best-corrected visual acuity, IOL centration, and complications.",
        "Results": "Mean follow-up was 13.35±9.42 months. Mean best-corrected visual acuity improved significantly from 1.04±0.60 to 0.25±0.47 logMAR (p<0.001). IOLs were well-centered in the majority of eyes; one eye developed postoperative IOL decentration requiring reoperation. No other major intraoperative or postoperative complications, such as retinal detachment or secondary glaucoma, were observed during the follow-up period.",
        "Conclusions": "In ectopia lentis with >180° zonular dialysis, knotless scleral fixation of an MCTR using a 6-0 polypropylene loop-flange technique may provide effective capsular bag and in-the-bag IOL stabilization with favorable visual outcomes. This approach may offer potential long-term advantages, particularly in pediatric patients, by avoiding knot-related issues and reducing concerns associated with late suture failure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In ectopia lentis with >180° zonular dialysis, knotless scleral fixation of an MCTR using a 6-0 polypropylene loop-flange technique may provide effective capsular bag and in-the-bag IOL stabilization with favorable visual outcomes. This approach may offer potential long-term advantages, particularly in pediatric patients, by avoiding knot-related issues and reducing concerns associated with late suture failure.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 219,
      "source_fields": {
        "Abstract Final Identifier": "FP15.08",
        "Title": "Scleral Fixation Of A Modified Cionni Capsular Tension Ring With The “Loop-Flange Technique” In Ectopia Lentis Cases",
        "Presenting Author(s)": "Dr Burcu Atay",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Burcu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Atay",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the efficacy and safety of scleral fixation of the capsular bag using a modified Cionni capsular tension ring (MCTR) with a knotless 6-0 polypropylene “loop-flange” technique in ectopia lentis eyes with extensive zonular dialysis (>180°).",
        "Setting": "Single-center, retrospective case series.",
        "Methods": "Sixteen eyes of 12 patients with ectopia lentis secondary to trauma or genetic disorders (Marfan syndrome or homocystinuria). The capsular bag was stabilized with iris retractors, and lens aspiration/phacoemulsification was completed.A needleless 6-0 polypropylene suture was passed through the MCTR eyelet to create a “loop,” and the ring was implanted into the capsular bag.Two scleral fixation points were marked 2.0 mm posterior to the limbus and aligned with the center of the zonular defect.Using a 30-gauge needle with lamellar scleral passage, both suture ends were externalized, flanged with cautery for knotless fixation, and an in-the-bag IOL was implanted.Outcomes included best-corrected visual acuity, IOL centration, and complications.",
        "Results": "Mean follow-up was 13.35±9.42 months. Mean best-corrected visual acuity improved significantly from 1.04±0.60 to 0.25±0.47 logMAR (p<0.001). IOLs were well-centered in the majority of eyes; one eye developed postoperative IOL decentration requiring reoperation. No other major intraoperative or postoperative complications, such as retinal detachment or secondary glaucoma, were observed during the follow-up period.",
        "Conclusions": "In ectopia lentis with >180° zonular dialysis, knotless scleral fixation of an MCTR using a 6-0 polypropylene loop-flange technique may provide effective capsular bag and in-the-bag IOL stabilization with favorable visual outcomes. This approach may offer potential long-term advantages, particularly in pediatric patients, by avoiding knot-related issues and reducing concerns associated with late suture failure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "FP15.09",
      "abstract_number": "FP15.09",
      "title": "Reoperation Incidence, Timing And Determinants After Congenital Cataract Surgery: A 10-Year Retrospective Study",
      "authors": "Dr Isilsu Ezgi Uluisik",
      "presenter": "Dr Isilsu Ezgi Uluisik",
      "normalized_authors": [
        "Isilsu Ezgi Uluisik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isilsu Ezgi Uluisik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To determine the incidence, timing and determinants of reoperation following congenital cataract surgery.",
        "Setting": "Department of Ophthalmology, Istanbul University, Faculty of Medicine, Istanbul, Türkiye.",
        "Methods": "This retrospective cohort study was conducted at a tertiary referral center between 2016 and 2026. Medical records of patients undergoing congenital cataract surgery were reviewed. Demographic characteristics, baseline ocular findings, surgical techniques, postoperative complications and reoperation data were collected and analyzed. Categorical variables were compared using chi-square and Fisher–Freeman–Halton exact tests where appropriate. Time-to-event outcomes were assessed with Kaplan–Meier survival analysis. Statistical significance was defined as p < 0.05.",
        "Results": "Fifty-eight eyes (35 patients) were included. Primary surgery was lensectomy with anterior vitrectomy alone (56.9%) or with ciliary sulcus IOL implantation(43.1%).Reoperation occurred in 55.2%(multiple: 40.6%). Leading indications were anterior vitrectomy (34.4%), secondary IOL implantation (18.8%), IOL repositioning(18.8%) and strabismus surgery(15.6%). Multiple reoperations were more frequent before 6 months of age (47.4% vs 30.8%). Eyes without primary IOL had higher rates of glaucoma(18.2% vs 12.0%) and synechiae(12.1% vs 0%), while nystagmus and strabismus rates were similar between groups (Fisher exact test, p=0.122). Kaplan–Meier showed median time to reoperation 5 months(95% CI 2.2–7.8) and 48% reoperation-free survival at 5 months.",
        "Conclusions": "Reoperation was frequent, affecting more than half of eyes and a substantial proportion required multiple procedures. Early surgery (before 6 months of age) was associated with a higher burden of repeated interventions. Secondary vitreous and IOL-related procedures were the predominant drivers of reintervention. Although overall complication patterns did not differ significantly by surgical approach, eyes without primary IOL showed numerically higher rates of glaucoma and synechiae. Kaplan–Meier analysis demonstrated that reoperations clustered within the first postoperative months, underscoring the need for intensive early surveillance and sustained long-term follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Reoperation was frequent, affecting more than half of eyes and a substantial proportion required multiple procedures. Early surgery (before 6 months of age) was associated with a higher burden of repeated interventions. Secondary vitreous and IOL-related procedures were the predominant drivers of reintervention. Although overall complication patterns did not differ significantly by surgical approach, eyes without…",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 220,
      "source_fields": {
        "Abstract Final Identifier": "FP15.09",
        "Title": "Reoperation Incidence, Timing And Determinants After Congenital Cataract Surgery: A 10-Year Retrospective Study",
        "Presenting Author(s)": "Dr Isilsu Ezgi Uluisik",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Isilsu",
        "Submitter Middle Name": "Ezgi",
        "Submitter Last Name": "Uluisik",
        "Country Name": "Türkiye",
        "Purpose": "To determine the incidence, timing and determinants of reoperation following congenital cataract surgery.",
        "Setting": "Department of Ophthalmology, Istanbul University, Faculty of Medicine, Istanbul, Türkiye.",
        "Methods": "This retrospective cohort study was conducted at a tertiary referral center between 2016 and 2026. Medical records of patients undergoing congenital cataract surgery were reviewed. Demographic characteristics, baseline ocular findings, surgical techniques, postoperative complications and reoperation data were collected and analyzed. Categorical variables were compared using chi-square and Fisher–Freeman–Halton exact tests where appropriate. Time-to-event outcomes were assessed with Kaplan–Meier survival analysis. Statistical significance was defined as p < 0.05.",
        "Results": "Fifty-eight eyes (35 patients) were included. Primary surgery was lensectomy with anterior vitrectomy alone (56.9%) or with ciliary sulcus IOL implantation(43.1%).Reoperation occurred in 55.2%(multiple: 40.6%). Leading indications were anterior vitrectomy (34.4%), secondary IOL implantation (18.8%), IOL repositioning(18.8%) and strabismus surgery(15.6%). Multiple reoperations were more frequent before 6 months of age (47.4% vs 30.8%). Eyes without primary IOL had higher rates of glaucoma(18.2% vs 12.0%) and synechiae(12.1% vs 0%), while nystagmus and strabismus rates were similar between groups (Fisher exact test, p=0.122). Kaplan–Meier showed median time to reoperation 5 months(95% CI 2.2–7.8) and 48% reoperation-free survival at 5 months.",
        "Conclusions": "Reoperation was frequent, affecting more than half of eyes and a substantial proportion required multiple procedures. Early surgery (before 6 months of age) was associated with a higher burden of repeated interventions. Secondary vitreous and IOL-related procedures were the predominant drivers of reintervention. Although overall complication patterns did not differ significantly by surgical approach, eyes without primary IOL showed numerically higher rates of glaucoma and synechiae. Kaplan–Meier analysis demonstrated that reoperations clustered within the first postoperative months, underscoring the need for intensive early surveillance and sustained long-term follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "FP15.10",
      "abstract_number": "FP15.10",
      "title": "Long-Term Refractive Changes In Pediatric Pseudophakic Eyes: A Longitudinal Analysis Of Axial Elongation And Myopic Drift After Cataract Surgery",
      "authors": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "presenter": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "normalized_authors": [
        "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To systematically analyze the patterns of refractive evolution and myopic drift in pediatric pseudophakic eyes (with intraocular lens implantation) following cataract surgery. By comparing these outcomes with healthy contralateral phakic eyes, the study aims to provide an evidence-based framework for long-term refractive management in children after cataract intervention.",
        "Setting": "The study was conducted at the Department of Ophthalmology, University City Hospital Affiliated to Chongqing Medical University, Chongqing, China. This clinical research environment specialized in pediatric anterior segment surgery and long-term postoperative refractive follow-up.",
        "Methods": "This was a longitudinal, controlled clinical observational study involving 60 children (aged 3–12 years) who underwent unilateral phacoemulsification with intraocular lens (IOL) implantation. The healthy contralateral eyes served as the control group. Data were collected at baseline and multiple postoperative intervals (1 week, and 1, 3, 6, 12, and 24 months). Key parameters included axial length (AL) measured via IOLMaster or A-scan ultrasound, spherical equivalent refraction (SER) via Teller cards or automated refraction, and best-corrected visual acuity (BCVA). A linear regression model analyzed axial elongation trends, and paired t-tests compared refractive parameters between eyes.",
        "Results": "Over the 24-month follow-up, the mean axial length of pseudophakic eyes increased by 1.9 ± 0.6 mm, significantly exceeding the 1.2 ± 0.4 mm increase in contralateral healthy eyes ($P = 0.002$). Mean myopic drift in operated eyes was 2.8 ± 1.2 D (range: -0.5 to +5.5 D), which was significantly greater than the 1.1 ± 0.8 D observed in control eyes ($P < 0.001$). Axial elongation was most rapid during the first 3 months postoperatively (0.6 mm/month). Children aged $\\le$ 5 years exhibited more pronounced myopic drift (3.5 ± 1.4 D vs. 2.1 ± 0.9 D, $P = 0.003$). IOL material and type (monofocal vs. multifocal) did not significantly correlate with the degree of drift ($P > 0.05$).",
        "Conclusions": "Significant myopic drift occurs in pediatric pseudophakic eyes, substantially outstripping the natural refractive changes in phakic eyes. This shift is most aggressive in the early postoperative period and is strongly age-dependent. Refractive monitoring should be maintained for at least 24 months, with more frequent follow-ups for younger children. Dynamic adjustment of corrective prescriptions and strategic timing of secondary refractive interventions are essential to optimizing long-term visual prognosis in pediatric cataract patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Significant myopic drift occurs in pediatric pseudophakic eyes, substantially outstripping the natural refractive changes in phakic eyes. This shift is most aggressive in the early postoperative period and is strongly age-dependent. Refractive monitoring should be maintained for at least 24 months, with more frequent follow-ups for younger children. Dynamic adjustment of corrective prescriptions and strategic…",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 221,
      "source_fields": {
        "Abstract Final Identifier": "FP15.10",
        "Title": "Long-Term Refractive Changes In Pediatric Pseudophakic Eyes: A Longitudinal Analysis Of Axial Elongation And Myopic Drift After Cataract Surgery",
        "Presenting Author(s)": "Dr Mosaab Mohamed ZEINELABDIN MOHAMED Elmahdi",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Mosaab Mohamed",
        "Submitter Middle Name": "ZEINELABDIN MOHAMED",
        "Submitter Last Name": "Elmahdi",
        "Country Name": "China",
        "Purpose": "To systematically analyze the patterns of refractive evolution and myopic drift in pediatric pseudophakic eyes (with intraocular lens implantation) following cataract surgery. By comparing these outcomes with healthy contralateral phakic eyes, the study aims to provide an evidence-based framework for long-term refractive management in children after cataract intervention.",
        "Setting": "The study was conducted at the Department of Ophthalmology, University City Hospital Affiliated to Chongqing Medical University, Chongqing, China. This clinical research environment specialized in pediatric anterior segment surgery and long-term postoperative refractive follow-up.",
        "Methods": "This was a longitudinal, controlled clinical observational study involving 60 children (aged 3–12 years) who underwent unilateral phacoemulsification with intraocular lens (IOL) implantation. The healthy contralateral eyes served as the control group. Data were collected at baseline and multiple postoperative intervals (1 week, and 1, 3, 6, 12, and 24 months). Key parameters included axial length (AL) measured via IOLMaster or A-scan ultrasound, spherical equivalent refraction (SER) via Teller cards or automated refraction, and best-corrected visual acuity (BCVA). A linear regression model analyzed axial elongation trends, and paired t-tests compared refractive parameters between eyes.",
        "Results": "Over the 24-month follow-up, the mean axial length of pseudophakic eyes increased by 1.9 ± 0.6 mm, significantly exceeding the 1.2 ± 0.4 mm increase in contralateral healthy eyes ($P = 0.002$). Mean myopic drift in operated eyes was 2.8 ± 1.2 D (range: -0.5 to +5.5 D), which was significantly greater than the 1.1 ± 0.8 D observed in control eyes ($P < 0.001$). Axial elongation was most rapid during the first 3 months postoperatively (0.6 mm/month). Children aged $\\le$ 5 years exhibited more pronounced myopic drift (3.5 ± 1.4 D vs. 2.1 ± 0.9 D, $P = 0.003$). IOL material and type (monofocal vs. multifocal) did not significantly correlate with the degree of drift ($P > 0.05$).",
        "Conclusions": "Significant myopic drift occurs in pediatric pseudophakic eyes, substantially outstripping the natural refractive changes in phakic eyes. This shift is most aggressive in the early postoperative period and is strongly age-dependent. Refractive monitoring should be maintained for at least 24 months, with more frequent follow-ups for younger children. Dynamic adjustment of corrective prescriptions and strategic timing of secondary refractive interventions are essential to optimizing long-term visual prognosis in pediatric cataract patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "FP15.11",
      "abstract_number": "FP15.11",
      "title": "Intraocular Lens Tilt And Decentration And Optical Quality After Primary Intraocular Lens Implantation In Pediatric Cataract Patients",
      "authors": "Hongzhe Li",
      "presenter": "Hongzhe Li",
      "normalized_authors": [
        "Hongzhe Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hongzhe Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the characteristics and associated factors of intraocular lens (IOL) tilt and decentration in pediatric cataract patients undergoing primary IOL implantation and to explore their impact on postoperative optical quality.",
        "Setting": "Eye Hospital of Wenzhou Medical University (Hangzhou Branch)",
        "Methods": "Children who underwent cataract extraction with posterior capsulotomy, primary anterior vitrectomy, and in-the-bag IOL implantation over 6 months were enrolled . Patient data and ocular biometric parameters were retrieved from electronic files . Retroillumination images were obtained to evaluate capsular outcomes. IOL tilt and decentration were assessed using the swept-source optical coherence tomography, and wavefront aberrations were measured with the OPD-Scan III.",
        "Results": "A total of 125 eyes from 125 patients with a mean age at surgery of 4.74 ± 1.49 years were included. The IOLs demonstrated a mean tilt of 6.02 ± 1.97 degrees and a mean decentration of 0.28 ± 0.13 mm. Multivariate analysis revealed that shorter axial length (AL; P = 0.009) and significant cortical proliferation ( P = 0.021) were associated with greater IOL tilt. In addition, smaller corneal diameter (CD; P = 0.008) and incomplete capsulorhexis-IOL overlap ( P = 0.022) were associated with larger IOL decentration. Patients with IOL tilt ≥ 7 degrees and decentration ≥ 0.40 mm exhibited higher internal total higher-order aberrations (tHOA) and internal astigmatism, both of which were positively correlated with IOL misalignment (all P < 0.05).",
        "Conclusions": "Shorter AL, smaller CD, significant cortical proliferation, and incomplete capsulorhexis-IOL overlap contributed to greater IOL misalignment in pediatric cataract patients with primary in-the-bag IOL implantation, which may compromise postoperative optical quality by increasing internal tHOA and astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Shorter AL, smaller CD, significant cortical proliferation, and incomplete capsulorhexis-IOL overlap contributed to greater IOL misalignment in pediatric cataract patients with primary in-the-bag IOL implantation, which may compromise postoperative optical quality by increasing internal tHOA and astigmatism.",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 222,
      "source_fields": {
        "Abstract Final Identifier": "FP15.11",
        "Title": "Intraocular Lens Tilt And Decentration And Optical Quality After Primary Intraocular Lens Implantation In Pediatric Cataract Patients",
        "Presenting Author(s)": "Hongzhe Li",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Hongzhe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To investigate the characteristics and associated factors of intraocular lens (IOL) tilt and decentration in pediatric cataract patients undergoing primary IOL implantation and to explore their impact on postoperative optical quality.",
        "Setting": "Eye Hospital of Wenzhou Medical University (Hangzhou Branch)",
        "Methods": "Children who underwent cataract extraction with posterior capsulotomy, primary anterior vitrectomy, and in-the-bag IOL implantation over 6 months were enrolled . Patient data and ocular biometric parameters were retrieved from electronic files . Retroillumination images were obtained to evaluate capsular outcomes. IOL tilt and decentration were assessed using the swept-source optical coherence tomography, and wavefront aberrations were measured with the OPD-Scan III.",
        "Results": "A total of 125 eyes from 125 patients with a mean age at surgery of 4.74 ± 1.49 years were included. The IOLs demonstrated a mean tilt of 6.02 ± 1.97 degrees and a mean decentration of 0.28 ± 0.13 mm. Multivariate analysis revealed that shorter axial length (AL; P = 0.009) and significant cortical proliferation ( P = 0.021) were associated with greater IOL tilt. In addition, smaller corneal diameter (CD; P = 0.008) and incomplete capsulorhexis-IOL overlap ( P = 0.022) were associated with larger IOL decentration. Patients with IOL tilt ≥ 7 degrees and decentration ≥ 0.40 mm exhibited higher internal total higher-order aberrations (tHOA) and internal astigmatism, both of which were positively correlated with IOL misalignment (all P < 0.05).",
        "Conclusions": "Shorter AL, smaller CD, significant cortical proliferation, and incomplete capsulorhexis-IOL overlap contributed to greater IOL misalignment in pediatric cataract patients with primary in-the-bag IOL implantation, which may compromise postoperative optical quality by increasing internal tHOA and astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "FP15.12",
      "abstract_number": "FP15.12",
      "title": "Predictive Accuracy Of Modern Iol Formulas In Pediatric Cataract Surgery",
      "authors": "Telma Machado",
      "presenter": "Telma Machado",
      "normalized_authors": [
        "Telma Machado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Telma Machado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "In pediatric cataract surgery, achieving immediate emmetropia is not always the goal. Due to predictable ocular growth and the need to anticipate future refraction, accurate intraocular lens (IOL) power estimation is critical to minimize postoperative refractive errors. IOL calculation formulas pose particular challenges in children, as they should predict both immediate postoperative refraction and long-term refractive outcomes. This study aims to retrospectively compare six IOL formulas—EVO 2.0, Barrett Universal II (BU II), Cooke K6 (K6), Hoffer QST, Kane, and T2—and to present a new online tool supporting pediatric IOL power calculation.",
        "Setting": "A retrospective observational study was conducted in a tertiary hospital: Hospitais da Universidade de Coimbra, in Portugal.",
        "Methods": "Inclusion criteria included patients under 18 years who underwent pediatric cataract surgery with IOL implantation. IOL calculation formulas evaluated were EVO 2.0, Barrett Universal II, Hoffer QST and Kane. In addition, we tested a newly developed online tool for pediatric IOL power calculation ( pedi.mraimundo.com ) with Cooke K6 and T2 formulas, designed to assist surgical planning by enabling age-based target selection, axial length (AL) prediction at age 15 years using the Trivedi and Dupessey algorithms. Data analysis was conducted using the ESCRS Eyetemis platform ( www.eyetemis.com ) where the spherical equivalent prediction error (SEQ-PE, trueness), standard deviation (SD, precision), and absolute SEQ-PE (accuracy) were calculated.",
        "Results": "Thirty-one eyes (65% males) with a mean age at surgery of 9.9±4.6 years from 23 patients were included. Regarding SEQ-PE (trueness), mean ranged from –0.12 (BU II) to 0.13D (EVO 2.0), with SD ranging from 0.79 (EVO 2.0) to 0.98D (BU II) and extremes from –2.39 to +1.44D across formulas. Pairwise comparisons of mean SEQ-PE showed differences between EVO 2.0 and BU II, Hoffer QST, Kane, and T2 (p<0.05). For SEQ-PE precision, mean ranged from 0.63 (EVO 2.0) to 0.78D (BU II), with pairwise comparisons indicating comparable variability across all IOL calculation methods. The mean absolute SEQ-PE ranged from 0.62 (EVO 2.0) to 0.78D (BU II), reflecting lower overall predictive error and variability with EVO 2.0 compared to the other formulas.",
        "Conclusions": "Modern IOL calculation formulas demonstrated comparable predictive performance in pediatric cataract surgery, with EVO 2.0 showing slightly lower variability but no clinically significant superiority over simpler formulas (T2). Using formulas with fewer required inputs may be advantageous in children, as limited cooperation makes complete biometry unfeasible. Although the mean error in SEQ-PE was low, the wide range of prediction errors highlights the persistent unpredictability of outcomes in pediatric IOL implantation. The newly online tool, integrating both a modern formula (K6) and a simplified modified formula (T2), facilitates age-based refractive targets and AL prediction at 15 years, supporting individualized surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Modern IOL calculation formulas demonstrated comparable predictive performance in pediatric cataract surgery, with EVO 2.0 showing slightly lower variability but no clinically significant superiority over simpler formulas (T2). Using formulas with fewer required inputs may be advantageous in children, as limited cooperation makes complete biometry unfeasible. Although the mean error in SEQ-PE was low, the wide…",
      "session_type": "Free Paper",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 223,
      "source_fields": {
        "Abstract Final Identifier": "FP15.12",
        "Title": "Predictive Accuracy Of Modern Iol Formulas In Pediatric Cataract Surgery",
        "Presenting Author(s)": "Telma Machado",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Telma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Machado",
        "Country Name": "Portugal",
        "Purpose": "In pediatric cataract surgery, achieving immediate emmetropia is not always the goal. Due to predictable ocular growth and the need to anticipate future refraction, accurate intraocular lens (IOL) power estimation is critical to minimize postoperative refractive errors. IOL calculation formulas pose particular challenges in children, as they should predict both immediate postoperative refraction and long-term refractive outcomes. This study aims to retrospectively compare six IOL formulas—EVO 2.0, Barrett Universal II (BU II), Cooke K6 (K6), Hoffer QST, Kane, and T2—and to present a new online tool supporting pediatric IOL power calculation.",
        "Setting": "A retrospective observational study was conducted in a tertiary hospital: Hospitais da Universidade de Coimbra, in Portugal.",
        "Methods": "Inclusion criteria included patients under 18 years who underwent pediatric cataract surgery with IOL implantation. IOL calculation formulas evaluated were EVO 2.0, Barrett Universal II, Hoffer QST and Kane. In addition, we tested a newly developed online tool for pediatric IOL power calculation ( pedi.mraimundo.com ) with Cooke K6 and T2 formulas, designed to assist surgical planning by enabling age-based target selection, axial length (AL) prediction at age 15 years using the Trivedi and Dupessey algorithms. Data analysis was conducted using the ESCRS Eyetemis platform ( www.eyetemis.com ) where the spherical equivalent prediction error (SEQ-PE, trueness), standard deviation (SD, precision), and absolute SEQ-PE (accuracy) were calculated.",
        "Results": "Thirty-one eyes (65% males) with a mean age at surgery of 9.9±4.6 years from 23 patients were included. Regarding SEQ-PE (trueness), mean ranged from –0.12 (BU II) to 0.13D (EVO 2.0), with SD ranging from 0.79 (EVO 2.0) to 0.98D (BU II) and extremes from –2.39 to +1.44D across formulas. Pairwise comparisons of mean SEQ-PE showed differences between EVO 2.0 and BU II, Hoffer QST, Kane, and T2 (p<0.05). For SEQ-PE precision, mean ranged from 0.63 (EVO 2.0) to 0.78D (BU II), with pairwise comparisons indicating comparable variability across all IOL calculation methods. The mean absolute SEQ-PE ranged from 0.62 (EVO 2.0) to 0.78D (BU II), reflecting lower overall predictive error and variability with EVO 2.0 compared to the other formulas.",
        "Conclusions": "Modern IOL calculation formulas demonstrated comparable predictive performance in pediatric cataract surgery, with EVO 2.0 showing slightly lower variability but no clinically significant superiority over simpler formulas (T2). Using formulas with fewer required inputs may be advantageous in children, as limited cooperation makes complete biometry unfeasible. Although the mean error in SEQ-PE was low, the wide range of prediction errors highlights the persistent unpredictability of outcomes in pediatric IOL implantation. The newly online tool, integrating both a modern formula (K6) and a simplified modified formula (T2), facilitates age-based refractive targets and AL prediction at 15 years, supporting individualized surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 461
    },
    {
      "uid": "FP15.13",
      "abstract_number": "FP15.13",
      "title": "Surgical Outcomes Of Lens Removal With Or Without Intraocular Lens Implantation In Marfan Syndrome: A Retrospective Cohort Study",
      "authors": "Dr Halah Bin Helayel",
      "presenter": "Dr Halah Bin Helayel",
      "normalized_authors": [
        "Halah Bin Helayel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Halah Bin Helayel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the outcomes of lensectomy with and without intraocular lens (IOL) implantation in patients with Marfan syndrome and ectopia lentis.",
        "Setting": "Tertiary referral Eye Center",
        "Methods": "This retrospective review included 55 patients (85 eyes) diagnosed with Marfan syndrome who underwent lens surgery at King Khaled Eye Specialist Hospital between 2014 and 2023. Preoperative lens status; surgical technique; use of capsular support devices and IOLs; and postoperative clinical, biometric, and refractive parameters were analyzed. The primary outcome was final best-corrected visual acuity. Secondary outcomes included refractive correction (spherical equivalent), axial length, intraocular pressure, IOL position and stability, and incidence of postoperative complications.",
        "Results": "All eyes had subluxated crystalline lenses [predominantly inferotemporal (52.9%)]. Surgical procedures included lensectomy with anterior vitrectomy (49.4%), lensectomy with IOL implantation (38.8%), pars plana vitrectomy with lensectomy (7.1%), and phacoemulsification with IOL (4.7%). Capsular support devices were used in 12 eyes. Secondary IOL implantation was performed in 12 eyes, with 91.7% scleral-fixated IOLs. At the final follow-up, 41.2% of the eyes were aphakic, 32.9% had scleral-fixated IOLs, 15.3% had posterior chamber IOLs, and 8.2% had anterior chamber IOLs. The final mean visual acuity improved significantly from 1.1±0.7 logMAR (20/250) at presentation to 0.3±0.3 logMAR (20/40) at the last visit (P<0.001).",
        "Conclusions": "Lensectomy, with or without IOL implantation, is an effective and versatile approach for managing ectopia lentis in Marfan syndrome, with favorable long-term visual and anatomical outcomes. These findings emphasize the need for individualized planning based on subluxation severity and capsular support. Improved IOL stability and vision support the use of tailored techniques. Future studies should assess long-term safety and quality of life to guide standardized care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lensectomy, with or without IOL implantation, is an effective and versatile approach for managing ectopia lentis in Marfan syndrome, with favorable long-term visual and anatomical outcomes. These findings emphasize the need for individualized planning based on subluxation severity and capsular support. Improved IOL stability and vision support the use of tailored techniques. Future studies should assess long-term…",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 224,
      "source_fields": {
        "Abstract Final Identifier": "FP15.13",
        "Title": "Surgical Outcomes Of Lens Removal With Or Without Intraocular Lens Implantation In Marfan Syndrome: A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Halah Bin Helayel",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Halah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bin Helayel",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the outcomes of lensectomy with and without intraocular lens (IOL) implantation in patients with Marfan syndrome and ectopia lentis.",
        "Setting": "Tertiary referral Eye Center",
        "Methods": "This retrospective review included 55 patients (85 eyes) diagnosed with Marfan syndrome who underwent lens surgery at King Khaled Eye Specialist Hospital between 2014 and 2023. Preoperative lens status; surgical technique; use of capsular support devices and IOLs; and postoperative clinical, biometric, and refractive parameters were analyzed. The primary outcome was final best-corrected visual acuity. Secondary outcomes included refractive correction (spherical equivalent), axial length, intraocular pressure, IOL position and stability, and incidence of postoperative complications.",
        "Results": "All eyes had subluxated crystalline lenses [predominantly inferotemporal (52.9%)]. Surgical procedures included lensectomy with anterior vitrectomy (49.4%), lensectomy with IOL implantation (38.8%), pars plana vitrectomy with lensectomy (7.1%), and phacoemulsification with IOL (4.7%). Capsular support devices were used in 12 eyes. Secondary IOL implantation was performed in 12 eyes, with 91.7% scleral-fixated IOLs. At the final follow-up, 41.2% of the eyes were aphakic, 32.9% had scleral-fixated IOLs, 15.3% had posterior chamber IOLs, and 8.2% had anterior chamber IOLs. The final mean visual acuity improved significantly from 1.1±0.7 logMAR (20/250) at presentation to 0.3±0.3 logMAR (20/40) at the last visit (P<0.001).",
        "Conclusions": "Lensectomy, with or without IOL implantation, is an effective and versatile approach for managing ectopia lentis in Marfan syndrome, with favorable long-term visual and anatomical outcomes. These findings emphasize the need for individualized planning based on subluxation severity and capsular support. Improved IOL stability and vision support the use of tailored techniques. Future studies should assess long-term safety and quality of life to guide standardized care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "FP15.14",
      "abstract_number": "FP15.14",
      "title": "Visual Outcomes And Complications At Age 8 In Chinese Children With And Without Visual Axis Opacification Following Cataract Surgery For Congenital Cataracts Performed Between 0-2 Years Of Age",
      "authors": "Yanhong Hou",
      "presenter": "Yanhong Hou",
      "normalized_authors": [
        "Yanhong Hou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanhong Hou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the visual outcomes and complications at age 8 in Chinese children with or without visual axis opacification following congenital cataract surgery performed between 0-2 years of age.",
        "Setting": "Single center nonrandomized concurrent controlled clinical trial",
        "Methods": "This study was performed at the Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University. Among 887 Chinese children with congenital cataracts who underwent cataract surgery between 0 and 2 years of age, a total of 129 participants were included in this study, comprising 63 eyes that underwent reoperation for visual axis opacification (VAO) following congenital cataract surgery performed between 0-2 years of age, and 66 eyes that did not develop VAO after congenital cataract surgery during the same age period. Best-corrected visual acuity and ocular complications were compared between the two groups at age 8.",
        "Results": "Among the 63 children who underwent reoperation for VAO following congenital cataract surgery at age 0 to 2, 29 were male (46.03%), compared to 35 males (53.03%) in the 66 patients without VAO. At age 8, the BCVA in eyes that underwent reoperation for VAO was significantly lower than that in eyes without VAO (P < 0.01). The mean BCVA at age 8 was 0.6 logMAR (Snellen equivalent, 20/80) in the VAO reoperation group and 0.19 logMAR (Snellen equivalent, 20/50) in the group without VAO. The results indicated that the occurrence of VAO was correlated with age, microphthalmos, and PHPV. The incidence of glaucoma-related adverse events was significantly increased in the group that developed VAO and underwent surgical treatment.",
        "Conclusions": "These findings show that the development of severe visual axis opacification following congenital cataract surgery significantly impairs long-term visual development in children, which suggesting that close postoperative follow-up is essential to observe for the occurrence of VAO, particularly in younger patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings show that the development of severe visual axis opacification following congenital cataract surgery significantly impairs long-term visual development in children, which suggesting that close postoperative follow-up is essential to observe for the occurrence of VAO, particularly in younger patients.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 225,
      "source_fields": {
        "Abstract Final Identifier": "FP15.14",
        "Title": "Visual Outcomes And Complications At Age 8 In Chinese Children With And Without Visual Axis Opacification Following Cataract Surgery For Congenital Cataracts Performed Between 0-2 Years Of Age",
        "Presenting Author(s)": "Yanhong Hou",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Yanhong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hou",
        "Country Name": "China",
        "Purpose": "To compare the visual outcomes and complications at age 8 in Chinese children with or without visual axis opacification following congenital cataract surgery performed between 0-2 years of age.",
        "Setting": "Single center nonrandomized concurrent controlled clinical trial",
        "Methods": "This study was performed at the Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University. Among 887 Chinese children with congenital cataracts who underwent cataract surgery between 0 and 2 years of age, a total of 129 participants were included in this study, comprising 63 eyes that underwent reoperation for visual axis opacification (VAO) following congenital cataract surgery performed between 0-2 years of age, and 66 eyes that did not develop VAO after congenital cataract surgery during the same age period. Best-corrected visual acuity and ocular complications were compared between the two groups at age 8.",
        "Results": "Among the 63 children who underwent reoperation for VAO following congenital cataract surgery at age 0 to 2, 29 were male (46.03%), compared to 35 males (53.03%) in the 66 patients without VAO. At age 8, the BCVA in eyes that underwent reoperation for VAO was significantly lower than that in eyes without VAO (P < 0.01). The mean BCVA at age 8 was 0.6 logMAR (Snellen equivalent, 20/80) in the VAO reoperation group and 0.19 logMAR (Snellen equivalent, 20/50) in the group without VAO. The results indicated that the occurrence of VAO was correlated with age, microphthalmos, and PHPV. The incidence of glaucoma-related adverse events was significantly increased in the group that developed VAO and underwent surgical treatment.",
        "Conclusions": "These findings show that the development of severe visual axis opacification following congenital cataract surgery significantly impairs long-term visual development in children, which suggesting that close postoperative follow-up is essential to observe for the occurrence of VAO, particularly in younger patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "FP15.15",
      "abstract_number": "FP15.15",
      "title": "Safety And Precision Of Selective Laser Capsulotomy (Capsulaser) In Pediatric Cataract Surgery",
      "authors": "A/Prof. Ahmed Samir",
      "presenter": "A/Prof. Ahmed Samir",
      "normalized_authors": [
        "Ahmed Samir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Samir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the safety, intraoperative performance, and clinical outcomes of selective laser capsulotomy (Capsulaser) in pediatric cataract surgery, and to develop an age-dependent correction formula for precise capsulotomy diameter calculation in the highly elastic pediatric capsule.",
        "Setting": "magrabi eye hospital jeddah ksa",
        "Methods": "In this prospective case series, 13 eyes of 10 pediatric patients (mean age 4.10 ± 3.38 years; range 2–8 years) underwent cataracts surgery. . All anterior capsulotomies were performed using the Capsulaser system. To account for pediatric capsular elasticity and subsequent \"runaway\" expansion, regression analysis was utilized to develop an age-dependent correction formula for laser diameter settings. Safety was assessed via surgical complications and ocular adverse events (AEs) at 1 day, 1 week, 1 month, and 6 months postoperatively.",
        "Results": "Capsulaser successfully created circular, centered capsulotomies in all cases, including those with lens subluxation. No intraoperative complications (such as radial tears or incomplete treatments) were reported. Postoperative follow-up to six months showed zero ocular AEs; specifically, there were no instances of excessive capsular shrinkage, retinal detachment, or atypical inflammatory responses.",
        "Conclusions": "he use of selective thermal laser technology for anterior capsulotomy in pediatric patients is safe and effective. It provides a level of reliability and centration that is technically challenging to achieve manually in elastic pediatric capsules."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "he use of selective thermal laser technology for anterior capsulotomy in pediatric patients is safe and effective. It provides a level of reliability and centration that is technically challenging to achieve manually in elastic pediatric capsules.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 226,
      "source_fields": {
        "Abstract Final Identifier": "FP15.15",
        "Title": "Safety And Precision Of Selective Laser Capsulotomy (Capsulaser) In Pediatric Cataract Surgery",
        "Presenting Author(s)": "A/Prof. Ahmed Samir",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samir",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the safety, intraoperative performance, and clinical outcomes of selective laser capsulotomy (Capsulaser) in pediatric cataract surgery, and to develop an age-dependent correction formula for precise capsulotomy diameter calculation in the highly elastic pediatric capsule.",
        "Setting": "magrabi eye hospital jeddah ksa",
        "Methods": "In this prospective case series, 13 eyes of 10 pediatric patients (mean age 4.10 ± 3.38 years; range 2–8 years) underwent cataracts surgery. . All anterior capsulotomies were performed using the Capsulaser system. To account for pediatric capsular elasticity and subsequent \"runaway\" expansion, regression analysis was utilized to develop an age-dependent correction formula for laser diameter settings. Safety was assessed via surgical complications and ocular adverse events (AEs) at 1 day, 1 week, 1 month, and 6 months postoperatively.",
        "Results": "Capsulaser successfully created circular, centered capsulotomies in all cases, including those with lens subluxation. No intraoperative complications (such as radial tears or incomplete treatments) were reported. Postoperative follow-up to six months showed zero ocular AEs; specifically, there were no instances of excessive capsular shrinkage, retinal detachment, or atypical inflammatory responses.",
        "Conclusions": "he use of selective thermal laser technology for anterior capsulotomy in pediatric patients is safe and effective. It provides a level of reliability and centration that is technically challenging to achieve manually in elastic pediatric capsules."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 207
    },
    {
      "uid": "FP16.01",
      "abstract_number": "FP16.01",
      "title": "A Systematic Literature Review Of Patient Reported Outcome Measures In Cataract Surgery",
      "authors": "Dr Harry Rosen",
      "presenter": "Dr Harry Rosen",
      "normalized_authors": [
        "Harry Rosen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Harry Rosen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This study was conducted by the ESCRS PROMs task-force group, a subsidiary to the ESCRS Registries working group. The primary purpose of this study was to Identify and assess the psychometric properties of PROMs used in cataract surgery, identify the gaps in the literature, and inform future recommendations for PROM development and implementation.\n\nSecondary outcomes were to identify Patient Reported Outcomes (also referred to as constructs or domains) in cataract surgery and compare these against 14 previously recognised PROs. Finally, to advance the field of methodological outcome measure assessment, using the example of cataract PROMs, by comparing two \"gold-standard\" frameworks for for PROM evaluation.",
        "Setting": "A literature project conducted under the umbrella of the ESCRS PROMs task-force, affiliated with the University of Utrecht.",
        "Methods": "• A systematic literature search was conducted on 7 databases (MEDLINE(R), Embase (Ovid), Northern Light (ovid), CINAHL (EBSCO), CENTRAL (Wiley), CDSR (wiley), Pubmed in November 2024.\n\n• Data was extracted by three independent reviewers adhering to the COSMIN PRISMA checklist.\n\n• PROMs were evaluated for Risk of bias and sufficiency using both the COSMIN framework (2024) and the Pesudovs criteria for analysing PROM outcome measures.\n\n• Inclusion was limited to PROMs validated in cataract surgery populations only, with the exception of the NEI-VFQ family of questionnaires due to their ubiquitous use.",
        "Results": "• 3823 studies were identified, refined to 226 studies psychometrically assessing properties of cataract PROMs.\n\n• 78 unique PROM variants were identified.\n\n• Vision related Activity Limitation (VRAL) was by far the most represented PRO.\n\n• There was a poor evidence base for content validity.\n\n• “Best in class” PROMs for each construct included: Catquest 9-SF for VRAL, ND-QOV and AIOLIS for visual symptoms, Cat-PROM5 for perceived visual dysfunction and NEI-VFQ LFSES for socio-economic concerns.\n\n• Targeting of many PROMs was inadequate.\n\n• The COSMIN framework was superior for systematic review methodology, Risk of bias assessment, and content validity. The Pesudovs criteria had greater clinical utility, assessment of Rasch properties, and useability.",
        "Conclusions": "• This work will guide the integration of high quality PROMs into the ESCRS registries.\n\n• There is a need for contemporary content validity studies to identify relevant items for the “modern” cataract patient.\n\n• This work could form the foundations for new PROM development or an item bank analysing the multiple PROs in cataract surgery\n\n• Item banking would solve targeting and content validity issues, and allows the assessment of multiple PROs in the minimum amount of time.\n\n• A qualitative inductive approach to re-evaluate PROs measured by cataract PROMs may be better than an a-priori matching to known PROs.\n\n• Psychometric evaluation of the pilot AIOLIS questionnaire for symptoms and spectacle independence would be a useful contribution to the field."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• This work will guide the integration of high quality PROMs into the ESCRS registries. • There is a need for contemporary content validity studies to identify relevant items for the “modern” cataract patient. • This work could form the foundations for new PROM development or an item bank analysing the multiple PROs in cataract surgery • Item banking would solve targeting and content validity issues, and allows the…",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 227,
      "source_fields": {
        "Abstract Final Identifier": "FP16.01",
        "Title": "A Systematic Literature Review Of Patient Reported Outcome Measures In Cataract Surgery",
        "Presenting Author(s)": "Dr Harry Rosen",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Harry",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rosen",
        "Country Name": "United Kingdom",
        "Purpose": "This study was conducted by the ESCRS PROMs task-force group, a subsidiary to the ESCRS Registries working group. The primary purpose of this study was to Identify and assess the psychometric properties of PROMs used in cataract surgery, identify the gaps in the literature, and inform future recommendations for PROM development and implementation.\n\nSecondary outcomes were to identify Patient Reported Outcomes (also referred to as constructs or domains) in cataract surgery and compare these against 14 previously recognised PROs. Finally, to advance the field of methodological outcome measure assessment, using the example of cataract PROMs, by comparing two \"gold-standard\" frameworks for for PROM evaluation.",
        "Setting": "A literature project conducted under the umbrella of the ESCRS PROMs task-force, affiliated with the University of Utrecht.",
        "Methods": "• A systematic literature search was conducted on 7 databases (MEDLINE(R), Embase (Ovid), Northern Light (ovid), CINAHL (EBSCO), CENTRAL (Wiley), CDSR (wiley), Pubmed in November 2024.\n\n• Data was extracted by three independent reviewers adhering to the COSMIN PRISMA checklist.\n\n• PROMs were evaluated for Risk of bias and sufficiency using both the COSMIN framework (2024) and the Pesudovs criteria for analysing PROM outcome measures.\n\n• Inclusion was limited to PROMs validated in cataract surgery populations only, with the exception of the NEI-VFQ family of questionnaires due to their ubiquitous use.",
        "Results": "• 3823 studies were identified, refined to 226 studies psychometrically assessing properties of cataract PROMs.\n\n• 78 unique PROM variants were identified.\n\n• Vision related Activity Limitation (VRAL) was by far the most represented PRO.\n\n• There was a poor evidence base for content validity.\n\n• “Best in class” PROMs for each construct included: Catquest 9-SF for VRAL, ND-QOV and AIOLIS for visual symptoms, Cat-PROM5 for perceived visual dysfunction and NEI-VFQ LFSES for socio-economic concerns.\n\n• Targeting of many PROMs was inadequate.\n\n• The COSMIN framework was superior for systematic review methodology, Risk of bias assessment, and content validity. The Pesudovs criteria had greater clinical utility, assessment of Rasch properties, and useability.",
        "Conclusions": "• This work will guide the integration of high quality PROMs into the ESCRS registries.\n\n• There is a need for contemporary content validity studies to identify relevant items for the “modern” cataract patient.\n\n• This work could form the foundations for new PROM development or an item bank analysing the multiple PROs in cataract surgery\n\n• Item banking would solve targeting and content validity issues, and allows the assessment of multiple PROs in the minimum amount of time.\n\n• A qualitative inductive approach to re-evaluate PROs measured by cataract PROMs may be better than an a-priori matching to known PROs.\n\n• Psychometric evaluation of the pilot AIOLIS questionnaire for symptoms and spectacle independence would be a useful contribution to the field."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 431
    },
    {
      "uid": "FP16.02",
      "abstract_number": "FP16.02",
      "title": "Second Victim Syndrome In Cataract Surgery: Psychological Burden And Associated Risk Factors",
      "authors": "A/Prof. Chaimae Khodriss",
      "presenter": "A/Prof. Chaimae Khodriss",
      "normalized_authors": [
        "Chaimae Khodriss"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chaimae Khodriss",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Cataract surgery is the most commonly performed ophthalmic procedure worldwide and carries high functional expectations. Intraoperative adverse events (IAEs), even when managed appropriately, may trigger Second Victim Syndrome (SVS) in surgeons. This study aimed to evaluate the psychological burden related to IAEs during cataract surgery and to identify associated risk factors among ophthalmic surgeons.",
        "Setting": "Nationwide cross-sectional survey of ophthalmologists registered with the Moroccan Society of Ophthalmology, including residents, specialists, and academic surgeons practicing in private, public, and academic sectors.",
        "Methods": "A 58-item web-based questionnaire was distributed to 764 ophthalmologists. The survey included demographic and surgical practice characteristics, exposure to IAEs during cataract surgery, and assessment using the validated French version of the Second Victim Experience and Support Tool (SVEST). Descriptive statistics and ANOVA were performed to identify factors associated with increased psychological and professional impact (p<0.05).",
        "Results": "Among 217 respondents (28.4%), 93.1% routinely performed cataract surgery. IAEs were reported by 94.5%, predominantly during cataract procedures. Emotional distress was described by 92.7% of surgeons. Exhaustion (70.7%), sleep disturbance (67.8%), and professional self-doubt (44.9%) were frequent manifestations of SVS. Female gender, private sector practice, and fewer than five years of surgical experience were significantly associated with greater psychological burden (p≤0.02). Despite 75% valuing peer support, 70% reported lack of structured institutional support.",
        "Conclusions": "Second Victim Syndrome is highly prevalent among cataract surgeons experiencing intraoperative adverse events. Early-career surgeons, women, and private practitioners appear particularly vulnerable. Given the high volume and elective nature of cataract surgery, structured peer-support and institutional prevention programs are essential to protect surgeon well-being and maintain patient safety standards."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Second Victim Syndrome is highly prevalent among cataract surgeons experiencing intraoperative adverse events. Early-career surgeons, women, and private practitioners appear particularly vulnerable. Given the high volume and elective nature of cataract surgery, structured peer-support and institutional prevention programs are essential to protect surgeon well-being and maintain patient safety standards.",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 228,
      "source_fields": {
        "Abstract Final Identifier": "FP16.02",
        "Title": "Second Victim Syndrome In Cataract Surgery: Psychological Burden And Associated Risk Factors",
        "Presenting Author(s)": "A/Prof. Chaimae Khodriss",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Chaimae",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khodriss",
        "Country Name": "Morocco",
        "Purpose": "Cataract surgery is the most commonly performed ophthalmic procedure worldwide and carries high functional expectations. Intraoperative adverse events (IAEs), even when managed appropriately, may trigger Second Victim Syndrome (SVS) in surgeons. This study aimed to evaluate the psychological burden related to IAEs during cataract surgery and to identify associated risk factors among ophthalmic surgeons.",
        "Setting": "Nationwide cross-sectional survey of ophthalmologists registered with the Moroccan Society of Ophthalmology, including residents, specialists, and academic surgeons practicing in private, public, and academic sectors.",
        "Methods": "A 58-item web-based questionnaire was distributed to 764 ophthalmologists. The survey included demographic and surgical practice characteristics, exposure to IAEs during cataract surgery, and assessment using the validated French version of the Second Victim Experience and Support Tool (SVEST). Descriptive statistics and ANOVA were performed to identify factors associated with increased psychological and professional impact (p<0.05).",
        "Results": "Among 217 respondents (28.4%), 93.1% routinely performed cataract surgery. IAEs were reported by 94.5%, predominantly during cataract procedures. Emotional distress was described by 92.7% of surgeons. Exhaustion (70.7%), sleep disturbance (67.8%), and professional self-doubt (44.9%) were frequent manifestations of SVS. Female gender, private sector practice, and fewer than five years of surgical experience were significantly associated with greater psychological burden (p≤0.02). Despite 75% valuing peer support, 70% reported lack of structured institutional support.",
        "Conclusions": "Second Victim Syndrome is highly prevalent among cataract surgeons experiencing intraoperative adverse events. Early-career surgeons, women, and private practitioners appear particularly vulnerable. Given the high volume and elective nature of cataract surgery, structured peer-support and institutional prevention programs are essential to protect surgeon well-being and maintain patient safety standards."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "FP16.03",
      "abstract_number": "FP16.03",
      "title": "A 7-Year Comparative Analysis Of Retinal Complications And Refractive Outcomes Of Two Modern Techniques For Scleral-Fixated Iol Surgery",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare retinal complications and identify risk factors between intrascleral haptic fixation (ISHF-IOL, Yamane technique) and Gore-Tex–sutured scleral IOL fixation using modified eyelet toric IOLs (GSF-MET IOL) over a seven-year period.",
        "Setting": "Single tertiary academic center.",
        "Methods": "Records of eyes undergoing secondary IOL implantation (2019–2025) were reviewed. Primary outcomes were postoperative cystoid macular edema (CME) and retinal detachment (RD). Secondary outcomes included reoperation, refractive astigmatism, IOL tilt, inflammation, and intraocular pressure (IOP) abnormalities. All eyes were included regardless of final visual acuity, with stabilization and refraction assessed 60–120 days postoperatively. Eyes with missing visual acuity or insufficient follow-up (<60 days) were excluded. Eyes with incomplete refractive data were included for complication and acuity analyses but excluded from refractive outcome calculations.",
        "Results": "A total of 344 eyes (278 ISHF-IOL, 66 GSF-MET IOL) were included. Primary outcomes were similar between groups, with comparable rates of CME (8.6% vs 6.1%) and RD (3.6% vs 3.0%). Secondary complication rates were also similar, including reoperation (9.0% vs 6.1%) and IOL tilt (20.1% vs 10.6%, p=0.070). GSF-MET IOL achieved significantly greater reduction in postoperative astigmatism (-0.95 vs 0.32 D, p<0.001). In ISHF-IOL eyes, older age increased reoperation risk (OR 2.11 per 10-year increase, p=0.017), while Sensar AR40 use was protective against postoperative IOP elevation (OR 0.17, p=0.019).",
        "Conclusions": "Rates of CME and retinal detachment were comparable between techniques, supporting the safety of both approaches for secondary IOL implantation in eyes without capsular support. The GSF-MET IOL technique provided superior control of postoperative astigmatism. Patient age and lens selection should be considered to minimize complications following ISHF-IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Rates of CME and retinal detachment were comparable between techniques, supporting the safety of both approaches for secondary IOL implantation in eyes without capsular support. The GSF-MET IOL technique provided superior control of postoperative astigmatism. Patient age and lens selection should be considered to minimize complications following ISHF-IOL.",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 229,
      "source_fields": {
        "Abstract Final Identifier": "FP16.03",
        "Title": "A 7-Year Comparative Analysis Of Retinal Complications And Refractive Outcomes Of Two Modern Techniques For Scleral-Fixated Iol Surgery",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To compare retinal complications and identify risk factors between intrascleral haptic fixation (ISHF-IOL, Yamane technique) and Gore-Tex–sutured scleral IOL fixation using modified eyelet toric IOLs (GSF-MET IOL) over a seven-year period.",
        "Setting": "Single tertiary academic center.",
        "Methods": "Records of eyes undergoing secondary IOL implantation (2019–2025) were reviewed. Primary outcomes were postoperative cystoid macular edema (CME) and retinal detachment (RD). Secondary outcomes included reoperation, refractive astigmatism, IOL tilt, inflammation, and intraocular pressure (IOP) abnormalities. All eyes were included regardless of final visual acuity, with stabilization and refraction assessed 60–120 days postoperatively. Eyes with missing visual acuity or insufficient follow-up (<60 days) were excluded. Eyes with incomplete refractive data were included for complication and acuity analyses but excluded from refractive outcome calculations.",
        "Results": "A total of 344 eyes (278 ISHF-IOL, 66 GSF-MET IOL) were included. Primary outcomes were similar between groups, with comparable rates of CME (8.6% vs 6.1%) and RD (3.6% vs 3.0%). Secondary complication rates were also similar, including reoperation (9.0% vs 6.1%) and IOL tilt (20.1% vs 10.6%, p=0.070). GSF-MET IOL achieved significantly greater reduction in postoperative astigmatism (-0.95 vs 0.32 D, p<0.001). In ISHF-IOL eyes, older age increased reoperation risk (OR 2.11 per 10-year increase, p=0.017), while Sensar AR40 use was protective against postoperative IOP elevation (OR 0.17, p=0.019).",
        "Conclusions": "Rates of CME and retinal detachment were comparable between techniques, supporting the safety of both approaches for secondary IOL implantation in eyes without capsular support. The GSF-MET IOL technique provided superior control of postoperative astigmatism. Patient age and lens selection should be considered to minimize complications following ISHF-IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "FP16.04",
      "abstract_number": "FP16.04",
      "title": "Single-Haptic Z-Suture Scleral Fixation Of A Posterior Chamber Iol In Eyes With Partial Capsular Support: Optical Quality Comparison With Double-Haptic Fixation",
      "authors": "Dr Seda Liman Uzun",
      "presenter": "Dr Seda Liman Uzun",
      "normalized_authors": [
        "Seda Liman Uzun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seda Liman Uzun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare postoperative optical quality between single-haptic and double-haptic Z-suture scleral fixation of three-piece IOLs using ray-tracing aberrometry, and to describe Pentacam-derived IOL position in the single-haptic cohort.",
        "Setting": "The study was conducted at Anterior Segment Clinic of Beyoğlu Eye Training and Research Hospital, a tertiary referral center in Istanbul, Türkiye.",
        "Methods": "Retrospective comparative study including single-haptic Z-suture fixation (n=21) and double-haptic Z-suture fixation (n=26). Demographic data, preoperative and postoperative visual acuity, keratometry, axial length, and refractive outcomes were recorded for all patients.\n\niTrace ray-tracing aberrometry was analyzed coma RMS, internal/total HOA (µm), Spheric aberration, and MTF10 (cpd). Between-group comparisons used Mann–Whitney U tests; results are reported as median (IQR). IOL tilt (°) and decentration (mm) were summarised for the single-haptic group by Scheimpflug imaging (Pentacam). All aberrometry outcomes were analysed at a 4-mm pupil diameter.",
        "Results": "A total of 47 patients were included (single-haptic group, n=21; double-haptic group, n=26), with a mean age of 63.8 ± 13.1 years and a mean follow-up of 31.2 ± 24.7 months. Median coma RMS was 0.0755 (IQR 0.054–0.0895) µm in the single-haptic group versus 0.067 (IQR 0.036–0.137) µm in the double-haptic group (p=0.665). Median internal MTF10 was 0.359 (IQR 0.2405–0.4385) versus 0.205 (IQR 0.170–0.427), respectively (p=0.105). IOL position measurements in the single-haptic group showed a mean IOL tilt of 3.12±1.01° and a mean decentration of 0.34±0.08 mm.",
        "Conclusions": "Single-haptic Z-suture fixation achieved coma RMS values comparable to those of double-haptic fixation. Internal MTF10 was numerically higher in the single-haptic group but did not reach statistical significance. Scheimpflug imaging analysis suggested an acceptable IOL position in the single-haptic cohort. Prospective studies with standardised imaging and complete aberrometry data in both groups are warranted.\n\nSingle-haptic Z-suture scleral fixation of a posterior chamber IOL appears to be a safe and efficient option in selected eyes with partial capsular support, providing stable fixation with optical quality comparable to double-haptic fixation while minimising suture-related morbidity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Single-haptic Z-suture fixation achieved coma RMS values comparable to those of double-haptic fixation. Internal MTF10 was numerically higher in the single-haptic group but did not reach statistical significance. Scheimpflug imaging analysis suggested an acceptable IOL position in the single-haptic cohort. Prospective studies with standardised imaging and complete aberrometry data in both groups are warranted.…",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 230,
      "source_fields": {
        "Abstract Final Identifier": "FP16.04",
        "Title": "Single-Haptic Z-Suture Scleral Fixation Of A Posterior Chamber Iol In Eyes With Partial Capsular Support: Optical Quality Comparison With Double-Haptic Fixation",
        "Presenting Author(s)": "Dr Seda Liman Uzun",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Seda",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liman Uzun",
        "Country Name": "Türkiye",
        "Purpose": "To compare postoperative optical quality between single-haptic and double-haptic Z-suture scleral fixation of three-piece IOLs using ray-tracing aberrometry, and to describe Pentacam-derived IOL position in the single-haptic cohort.",
        "Setting": "The study was conducted at Anterior Segment Clinic of Beyoğlu Eye Training and Research Hospital, a tertiary referral center in Istanbul, Türkiye.",
        "Methods": "Retrospective comparative study including single-haptic Z-suture fixation (n=21) and double-haptic Z-suture fixation (n=26). Demographic data, preoperative and postoperative visual acuity, keratometry, axial length, and refractive outcomes were recorded for all patients.\n\niTrace ray-tracing aberrometry was analyzed coma RMS, internal/total HOA (µm), Spheric aberration, and MTF10 (cpd). Between-group comparisons used Mann–Whitney U tests; results are reported as median (IQR). IOL tilt (°) and decentration (mm) were summarised for the single-haptic group by Scheimpflug imaging (Pentacam). All aberrometry outcomes were analysed at a 4-mm pupil diameter.",
        "Results": "A total of 47 patients were included (single-haptic group, n=21; double-haptic group, n=26), with a mean age of 63.8 ± 13.1 years and a mean follow-up of 31.2 ± 24.7 months. Median coma RMS was 0.0755 (IQR 0.054–0.0895) µm in the single-haptic group versus 0.067 (IQR 0.036–0.137) µm in the double-haptic group (p=0.665). Median internal MTF10 was 0.359 (IQR 0.2405–0.4385) versus 0.205 (IQR 0.170–0.427), respectively (p=0.105). IOL position measurements in the single-haptic group showed a mean IOL tilt of 3.12±1.01° and a mean decentration of 0.34±0.08 mm.",
        "Conclusions": "Single-haptic Z-suture fixation achieved coma RMS values comparable to those of double-haptic fixation. Internal MTF10 was numerically higher in the single-haptic group but did not reach statistical significance. Scheimpflug imaging analysis suggested an acceptable IOL position in the single-haptic cohort. Prospective studies with standardised imaging and complete aberrometry data in both groups are warranted.\n\nSingle-haptic Z-suture scleral fixation of a posterior chamber IOL appears to be a safe and efficient option in selected eyes with partial capsular support, providing stable fixation with optical quality comparable to double-haptic fixation while minimising suture-related morbidity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "FP16.05",
      "abstract_number": "FP16.05",
      "title": "Complications And Management Of Cosmetic Iris Implants",
      "authors": "Dr Omer Jamall",
      "presenter": "Dr Omer Jamall",
      "normalized_authors": [
        "Omer Jamall"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omer Jamall",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cosmetic iris implants, initially developed for medical conditions, have gained popularity for aesthetic eye colour alteration. Despite lacking regulatory approval, these devices are increasingly sought after, raising concerns about potential complications. This study aims to analyse the ocular complications and outcomes associated with cosmetic iris implants in the largest case series to date.",
        "Setting": "Moorfields Eye Hospital NHS Trust.",
        "Methods": "This was a retrospective review of 30 eyes from 15 patients who presented with complications related to cosmetic iris implants at Moorfields Eye Hospital between 2008 and 2023. Data collected included visual acuity, intraocular pressure (IOP), endothelial cell count, and surgical interventions. Statistical analysis included paired t-tests and multivariate logistic regression.",
        "Results": "The median time to explantation was 45.5 months. Uveitis was the most common complication (60%), followed by corneal decompensation (36.7%) and raised IOP (30%). Post-explantation, ten eyes (30.3%) underwent glaucoma surgery, six eyes (20%) had Descemet's membrane endothelial keratoplasty, and four eyes (13.3%) needed cataract surgery. A statistically significant correlation was found between time to explantation and corneal decompensation (r = 0.392, p = 0.048). Mean IOP decreased significantly from 22.17 ± 11.36 mmHg to 13.82 ± 4.56 mmHg post-explantation (p = 0.001).",
        "Conclusions": "Cosmetic iris implants are associated with significant ocular complications, often requiring multiple surgical interventions even after explantation. The risk of corneal decompensation appears to increase with longer implant duration. These findings highlight the importance of patient education regarding the potential risks of these unapproved devices and raise questions about their long-term safety and ethical implications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cosmetic iris implants are associated with significant ocular complications, often requiring multiple surgical interventions even after explantation. The risk of corneal decompensation appears to increase with longer implant duration. These findings highlight the importance of patient education regarding the potential risks of these unapproved devices and raise questions about their long-term safety and ethical…",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 231,
      "source_fields": {
        "Abstract Final Identifier": "FP16.05",
        "Title": "Complications And Management Of Cosmetic Iris Implants",
        "Presenting Author(s)": "Dr Omer Jamall",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Omer",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jamall",
        "Country Name": "United Kingdom",
        "Purpose": "Cosmetic iris implants, initially developed for medical conditions, have gained popularity for aesthetic eye colour alteration. Despite lacking regulatory approval, these devices are increasingly sought after, raising concerns about potential complications. This study aims to analyse the ocular complications and outcomes associated with cosmetic iris implants in the largest case series to date.",
        "Setting": "Moorfields Eye Hospital NHS Trust.",
        "Methods": "This was a retrospective review of 30 eyes from 15 patients who presented with complications related to cosmetic iris implants at Moorfields Eye Hospital between 2008 and 2023. Data collected included visual acuity, intraocular pressure (IOP), endothelial cell count, and surgical interventions. Statistical analysis included paired t-tests and multivariate logistic regression.",
        "Results": "The median time to explantation was 45.5 months. Uveitis was the most common complication (60%), followed by corneal decompensation (36.7%) and raised IOP (30%). Post-explantation, ten eyes (30.3%) underwent glaucoma surgery, six eyes (20%) had Descemet's membrane endothelial keratoplasty, and four eyes (13.3%) needed cataract surgery. A statistically significant correlation was found between time to explantation and corneal decompensation (r = 0.392, p = 0.048). Mean IOP decreased significantly from 22.17 ± 11.36 mmHg to 13.82 ± 4.56 mmHg post-explantation (p = 0.001).",
        "Conclusions": "Cosmetic iris implants are associated with significant ocular complications, often requiring multiple surgical interventions even after explantation. The risk of corneal decompensation appears to increase with longer implant duration. These findings highlight the importance of patient education regarding the potential risks of these unapproved devices and raise questions about their long-term safety and ethical implications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP16.06",
      "abstract_number": "FP16.06",
      "title": "The Effect Of Surgically Induced Refractive Anisometropia In Pre-Presbyopic Myopic Patients – A Prospective Cohort Study",
      "authors": "Mrs Anne Guldhammer Skov",
      "presenter": "Mrs Anne Guldhammer Skov",
      "normalized_authors": [
        "Anne Guldhammer Skov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anne Guldhammer Skov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Denmark",
      "sections": {
        "Purpose": "To examine the effect of surgically induced refractive anisometropia in pre-presbyopic myopic patients on patient reported outcomes measures (PROMs) and visual function.",
        "Setting": "Department of Ophthalmology, Rigshospitalet, Copenhagen, Denmark.",
        "Methods": "Patients underwent delayed sequential bilateral keratorefractive lenticule extraction (KLEx) operation, with the dominant eye operated first and the non-dominant eye nine weeks later. Between surgeries, patients had induced anisometropia > 3 diopters and wore spectacles with optimal correction. Assessments included PROMs (Catquest-7SF, The Quality of Vision, and Binocular Visual Function), uncorrected and corrected visual acuity (VA), aniseikonia, and stereoacuity, all measured preoperatively, between surgeries, and after the second surgery.",
        "Results": "79 patients were enrolled. Surgically induced anisometropia was 4.07 ± 0.73 D at one week and 4.10 ± 0.72 D at eight weeks after the first surgery, with corresponding mean aniseikonia of 1.61 ± 1.78 % and 2.04 ± 2.20 %, respectively. Mean binocular uncorrected distance VA was logMAR -0.05 ± 0.14 and -0.10 ± 0.11 between surgeries. PROM scores and stereoacuity worsened significantly after the first surgery. However, these parameters changed between the surgeries, with significantly improvements in PROM scores. During the period of induced anisometropia, PROM scores correlated with lower anisometropia and poorer preoperative stereoacuity.",
        "Conclusions": "Surgical induced refractive anisometropia decreased PROM scores and visual function at both one week and 8 weeks after surgery. Over time there was an amelioration of visual function and PROM scoress suggesting that neuroadaptation and blur suppression occur and strengthen over time. Improved PROM scores were associated with lower anisometropia and poorer preoperative stereoacuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Surgical induced refractive anisometropia decreased PROM scores and visual function at both one week and 8 weeks after surgery. Over time there was an amelioration of visual function and PROM scoress suggesting that neuroadaptation and blur suppression occur and strengthen over time. Improved PROM scores were associated with lower anisometropia and poorer preoperative stereoacuity.",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 232,
      "source_fields": {
        "Abstract Final Identifier": "FP16.06",
        "Title": "The Effect Of Surgically Induced Refractive Anisometropia In Pre-Presbyopic Myopic Patients – A Prospective Cohort Study",
        "Presenting Author(s)": "Mrs Anne Guldhammer Skov",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Anne",
        "Submitter Middle Name": "Guldhammer",
        "Submitter Last Name": "Skov",
        "Country Name": "Denmark",
        "Purpose": "To examine the effect of surgically induced refractive anisometropia in pre-presbyopic myopic patients on patient reported outcomes measures (PROMs) and visual function.",
        "Setting": "Department of Ophthalmology, Rigshospitalet, Copenhagen, Denmark.",
        "Methods": "Patients underwent delayed sequential bilateral keratorefractive lenticule extraction (KLEx) operation, with the dominant eye operated first and the non-dominant eye nine weeks later. Between surgeries, patients had induced anisometropia > 3 diopters and wore spectacles with optimal correction. Assessments included PROMs (Catquest-7SF, The Quality of Vision, and Binocular Visual Function), uncorrected and corrected visual acuity (VA), aniseikonia, and stereoacuity, all measured preoperatively, between surgeries, and after the second surgery.",
        "Results": "79 patients were enrolled. Surgically induced anisometropia was 4.07 ± 0.73 D at one week and 4.10 ± 0.72 D at eight weeks after the first surgery, with corresponding mean aniseikonia of 1.61 ± 1.78 % and 2.04 ± 2.20 %, respectively. Mean binocular uncorrected distance VA was logMAR -0.05 ± 0.14 and -0.10 ± 0.11 between surgeries. PROM scores and stereoacuity worsened significantly after the first surgery. However, these parameters changed between the surgeries, with significantly improvements in PROM scores. During the period of induced anisometropia, PROM scores correlated with lower anisometropia and poorer preoperative stereoacuity.",
        "Conclusions": "Surgical induced refractive anisometropia decreased PROM scores and visual function at both one week and 8 weeks after surgery. Over time there was an amelioration of visual function and PROM scoress suggesting that neuroadaptation and blur suppression occur and strengthen over time. Improved PROM scores were associated with lower anisometropia and poorer preoperative stereoacuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "FP16.07",
      "abstract_number": "FP16.07",
      "title": "Comparison Of Objective And Subjective Visual Functions Between Puresee And Vivity Edof Lenses After Refractive Lens Exchange",
      "authors": "Dr Jakub Ventruba",
      "presenter": "Dr Jakub Ventruba",
      "normalized_authors": [
        "Jakub Ventruba"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jakub Ventruba",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate visual functions and subjective satisfaction in patients who underwent refractive lens exchange with implantation of PureSee and Vivity EDoF intraocular lenses.",
        "Setting": "Lexum Eye Clinics (Brno / Prague, Czech Republic), Optegra Group",
        "Methods": "Study of 110 patients (220 eyes) who underwent uncomplicated refractive lens exchange. Patients were divided into two groups: 96 eyes with Tecnis PureSee (Johnson & Johnson) with a posterior purely refractive surface and 124 eyes with AcrySof IQ Vivity (Alcon) with an anterior aspheric wavefront-shaped surface. Both groups were of similar age and had similar average preoperative spherical equivalent (SE). Two months after surgery, manifest refraction (MR), uncorrected and corrected distance visual acuity (UDVA and CDVA), uncorrected intermediate visual acuity (UIVA) and near visual acuity (UNVA) were tested. Subjective assessment of visual functions was determined using an extended standardized VF-14 questionnaire.",
        "Results": "After surgery, the average SE was -0.05 ± 0.23 D (PureSee) and -0.09 ± 0.21 D (Vivity), the average monocular UDVA was 0.03 ± 0.07 logMAR (PureSee) and 0.02 ± 0.06 logMAR (Vivity), CDVA 0.00 ± 0.01 (PureSee) and 0.00 ± 0.02 (Vivity), UIVA 0.15 ± 0.09 (PureSee) and 0.12 ± 0.08 (Vivity) and UNVA 0.19 ± 0.13 (PureSee) and 0.16 ± 0.10 (Vivity). There is no significant difference in UDVA, CDVA, UIVA and UNVA between both groups. Questionnaire results: Scores for reading small print (72 vs 57), book (87 vs 81) and fine handiwork (81 vs 73) were significantly greater for Vivity than PureSee, while the score for driving at night was better with PureSee (88 vs 77). Other VF-14 scores remained statistically non-significant for the two lenses.",
        "Conclusions": "Both lenses deliver very good distance, intermediate and functional near vision. However, Vivity achieved slightly better visual function score for reading and fine handiwork, while PureSee achieved better vision for driving at night. Both were similar in that they caused no or little unwanted optical side effects such as halos. Both lenses require the use of low-prescription reading glasses in some cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both lenses deliver very good distance, intermediate and functional near vision. However, Vivity achieved slightly better visual function score for reading and fine handiwork, while PureSee achieved better vision for driving at night. Both were similar in that they caused no or little unwanted optical side effects such as halos. Both lenses require the use of low-prescription reading glasses in some cases.",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 233,
      "source_fields": {
        "Abstract Final Identifier": "FP16.07",
        "Title": "Comparison Of Objective And Subjective Visual Functions Between Puresee And Vivity Edof Lenses After Refractive Lens Exchange",
        "Presenting Author(s)": "Dr Jakub Ventruba",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Jakub",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ventruba",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate visual functions and subjective satisfaction in patients who underwent refractive lens exchange with implantation of PureSee and Vivity EDoF intraocular lenses.",
        "Setting": "Lexum Eye Clinics (Brno / Prague, Czech Republic), Optegra Group",
        "Methods": "Study of 110 patients (220 eyes) who underwent uncomplicated refractive lens exchange. Patients were divided into two groups: 96 eyes with Tecnis PureSee (Johnson & Johnson) with a posterior purely refractive surface and 124 eyes with AcrySof IQ Vivity (Alcon) with an anterior aspheric wavefront-shaped surface. Both groups were of similar age and had similar average preoperative spherical equivalent (SE). Two months after surgery, manifest refraction (MR), uncorrected and corrected distance visual acuity (UDVA and CDVA), uncorrected intermediate visual acuity (UIVA) and near visual acuity (UNVA) were tested. Subjective assessment of visual functions was determined using an extended standardized VF-14 questionnaire.",
        "Results": "After surgery, the average SE was -0.05 ± 0.23 D (PureSee) and -0.09 ± 0.21 D (Vivity), the average monocular UDVA was 0.03 ± 0.07 logMAR (PureSee) and 0.02 ± 0.06 logMAR (Vivity), CDVA 0.00 ± 0.01 (PureSee) and 0.00 ± 0.02 (Vivity), UIVA 0.15 ± 0.09 (PureSee) and 0.12 ± 0.08 (Vivity) and UNVA 0.19 ± 0.13 (PureSee) and 0.16 ± 0.10 (Vivity). There is no significant difference in UDVA, CDVA, UIVA and UNVA between both groups. Questionnaire results: Scores for reading small print (72 vs 57), book (87 vs 81) and fine handiwork (81 vs 73) were significantly greater for Vivity than PureSee, while the score for driving at night was better with PureSee (88 vs 77). Other VF-14 scores remained statistically non-significant for the two lenses.",
        "Conclusions": "Both lenses deliver very good distance, intermediate and functional near vision. However, Vivity achieved slightly better visual function score for reading and fine handiwork, while PureSee achieved better vision for driving at night. Both were similar in that they caused no or little unwanted optical side effects such as halos. Both lenses require the use of low-prescription reading glasses in some cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "FP16.08",
      "abstract_number": "FP16.08",
      "title": "Lens Status As A Risk Modifier For Ocular Hypertension And Glaucoma After Pars Plana Vitrectomy: A Systematic Review And Meta-Analysis",
      "authors": "Mr Gabriele Gallo Afflitto",
      "presenter": "Mr Gabriele Gallo Afflitto",
      "normalized_authors": [
        "Gabriele Gallo Afflitto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gabriele Gallo Afflitto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Although pars plana vitrectomy (PPV) is widely performed for vitreoretinal disease, concerns remain regarding long-term intraocular pressure (IOP) elevation and glaucoma development. Moreover, no comprehensive quantitative synthesis has provided clinically interpretable risk estimates stratified by lens status. We aimed to quantify the absolute and relative risks of ocular hypertension (OHT) and glaucoma after PPV and to determine whether lens status (phakic vs pseudophakic) modifies postoperative risk.",
        "Setting": "Systematic review and meta-analysis of comparative observational studies identified through MEDLINE, EMBASE, and Web of Science. Studies were predominantly conducted in tertiary vitreoretinal centers across Europe, Asia, and North America.",
        "Methods": "The protocol was prospectively registered in PROSPERO (CRD42024541683), and reporting followed PRISMA guidelines. Eligible studies included randomized and nonrandomized comparative studies reporting OHT or glaucoma after PPV in adults. Random-effects generalized linear mixed models were used to pool absolute risks (AR) and odds ratios (OR). Heterogeneity, influence diagnostics, and publication bias were assessed. Relative risks and numbers needed to treat for harm (NNTH) were derived for clinical interpretability. Risk of bias was assessed using ROBINS-I, and certainty of evidence was graded using GRADE.",
        "Results": "Forty-one observational studies (54,006 patients; 54,021 eyes) were included. The pooled AR was 5.6% (95% CI: 3.1–9.9; I² = 94.6%; low certainty) for post-PPV OHT and 3.9% (95% CI: 2.0–7.2; I² = 94.4%; low certainty) for glaucoma. Pseudophakic eyes demonstrated significantly higher risk than phakic eyes: OHT (OR 3.2; 95% CI: 1.4–9.9; I² = 75.1%; NNTH 8; very low certainty) and glaucoma (OR 11.8; 95% CI: 4.2–33.6; I² = 0%; NNTH 10; moderate certainty).",
        "Conclusions": "PPV is associated with a clinically meaningful risk of OHT and glaucoma. Lens status is a key risk modifier, with pseudophakia conferring substantially increased susceptibility. Approximately one additional case of glaucoma occurs for every 10 pseudophakic eyes undergoing PPV compared with phakic eyes. These findings support tailored surgical planning, informed patient counseling, and structured postoperative IOP surveillance, particularly in pseudophakic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PPV is associated with a clinically meaningful risk of OHT and glaucoma. Lens status is a key risk modifier, with pseudophakia conferring substantially increased susceptibility. Approximately one additional case of glaucoma occurs for every 10 pseudophakic eyes undergoing PPV compared with phakic eyes. These findings support tailored surgical planning, informed patient counseling, and structured postoperative IOP…",
      "session_type": "Free Paper",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 234,
      "source_fields": {
        "Abstract Final Identifier": "FP16.08",
        "Title": "Lens Status As A Risk Modifier For Ocular Hypertension And Glaucoma After Pars Plana Vitrectomy: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Mr Gabriele Gallo Afflitto",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Gabriele",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gallo Afflitto",
        "Country Name": "United Kingdom",
        "Purpose": "Although pars plana vitrectomy (PPV) is widely performed for vitreoretinal disease, concerns remain regarding long-term intraocular pressure (IOP) elevation and glaucoma development. Moreover, no comprehensive quantitative synthesis has provided clinically interpretable risk estimates stratified by lens status. We aimed to quantify the absolute and relative risks of ocular hypertension (OHT) and glaucoma after PPV and to determine whether lens status (phakic vs pseudophakic) modifies postoperative risk.",
        "Setting": "Systematic review and meta-analysis of comparative observational studies identified through MEDLINE, EMBASE, and Web of Science. Studies were predominantly conducted in tertiary vitreoretinal centers across Europe, Asia, and North America.",
        "Methods": "The protocol was prospectively registered in PROSPERO (CRD42024541683), and reporting followed PRISMA guidelines. Eligible studies included randomized and nonrandomized comparative studies reporting OHT or glaucoma after PPV in adults. Random-effects generalized linear mixed models were used to pool absolute risks (AR) and odds ratios (OR). Heterogeneity, influence diagnostics, and publication bias were assessed. Relative risks and numbers needed to treat for harm (NNTH) were derived for clinical interpretability. Risk of bias was assessed using ROBINS-I, and certainty of evidence was graded using GRADE.",
        "Results": "Forty-one observational studies (54,006 patients; 54,021 eyes) were included. The pooled AR was 5.6% (95% CI: 3.1–9.9; I² = 94.6%; low certainty) for post-PPV OHT and 3.9% (95% CI: 2.0–7.2; I² = 94.4%; low certainty) for glaucoma. Pseudophakic eyes demonstrated significantly higher risk than phakic eyes: OHT (OR 3.2; 95% CI: 1.4–9.9; I² = 75.1%; NNTH 8; very low certainty) and glaucoma (OR 11.8; 95% CI: 4.2–33.6; I² = 0%; NNTH 10; moderate certainty).",
        "Conclusions": "PPV is associated with a clinically meaningful risk of OHT and glaucoma. Lens status is a key risk modifier, with pseudophakia conferring substantially increased susceptibility. Approximately one additional case of glaucoma occurs for every 10 pseudophakic eyes undergoing PPV compared with phakic eyes. These findings support tailored surgical planning, informed patient counseling, and structured postoperative IOP surveillance, particularly in pseudophakic patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "FP16.09",
      "abstract_number": "FP16.09",
      "title": "One Surgery, Two Worlds: A Surgery-Level Carbon Footprint Analysis Of Phacoemulsification Between The Uk Nhs And Bangladesh",
      "authors": "Mr Pradipta Narayan Chowdhury",
      "presenter": "Mr Pradipta Narayan Chowdhury",
      "normalized_authors": [
        "Pradipta Narayan Chowdhury"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pradipta Narayan Chowdhury",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To perform the first surgery-level comparison of cataract carbon emissions between a UK NHS public system and a high-volume private eye hospital in Bangladesh, using two structurally distinct healthcare models to identify how system design, procurement policy, and surgical workflow influence environmental impact. This study aims to determine whether sustainable phacoemulsification is a transferable strategy that preserves safety, infection control, and patient satisfaction.",
        "Setting": "This prospective comparative study was conducted at two high-volume cataract centres with contrasting healthcare infrastructures. The UK arm included 500 standalone phacoemulsification procedures at Stoke Mandeville Hospital, NHS Trust. The Bangladesh arm included 500 standalone procedures at Bangladesh Eye Hospital (BEH), a private tertiary centre. Complex and combined cases were excluded to ensure comparability.",
        "Methods": "Surgical waste was recorded bin-by-bin using standardized segregation audits across all theatre zones. Energy consumption (HVAC, lighting, sterilization, and autoclave cycles) was extracted from estates and CSSD logs and normalized per case. Procurement-related emissions were calculated using lifecycle inventory data. Travel emissions were survey-based. Comparative lifecycle CO₂e was derived using EPA TRACI 2.1 methodology. Throughput-adjusted energy analysis was performed. Patient satisfaction and post-operative infection rates were prospectively assessed.",
        "Results": "Each NHS phacoemulsification generates 128.3 kg CO₂e (primarily from disposable procurement) and 3.7 kg of solid waste. Averaging 12 cases/day, per-surgery energy use reaches 33.8 kWh (HVAC 30.4 kWh; autoclave 2.18 kWh) due to constant climate control and underfilled sterilisers. In contrast, Bangladesh Eye Hospital averages 37 cases/day, using just 8.4 kWh/case (HVAC 2.8 kWh; autoclave 0.093 kWh). BEH generates 17.1 kg CO₂e and 0.45 kg waste per case - reductions of 86% and 87.84% respectively, compared to the NHS. This is achieved through reusable tools, batch sterilization, and multi-use medications. No endophthalmitis occurred. Patient satisfaction was 95.1% in the UK and 90.9% in BEH.",
        "Conclusions": "After 500 procedures, the UK NHS generated 55.6 tCO₂e more than BEH, equivalent to 325,000 kilometres of driving. Despite an 86% lower carbon footprint and markedly reduced waste, BEH maintained comparable infection rates and high patient satisfaction, with no safety compromise observed. These findings demonstrate that surgical system design, including procurement models, instrument reusability, and throughput optimization, profoundly influences environmental impact. Low-carbon cataract surgery is achievable, scalable, and reproducible. As European ophthalmology advances sustainability frameworks, evidence-based adoption of resource-efficient practices can reduce emissions without compromising clinical excellence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "After 500 procedures, the UK NHS generated 55.6 tCO₂e more than BEH, equivalent to 325,000 kilometres of driving. Despite an 86% lower carbon footprint and markedly reduced waste, BEH maintained comparable infection rates and high patient satisfaction, with no safety compromise observed. These findings demonstrate that surgical system design, including procurement models, instrument reusability, and throughput…",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 235,
      "source_fields": {
        "Abstract Final Identifier": "FP16.09",
        "Title": "One Surgery, Two Worlds: A Surgery-Level Carbon Footprint Analysis Of Phacoemulsification Between The Uk Nhs And Bangladesh",
        "Presenting Author(s)": "Mr Pradipta Narayan Chowdhury",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Pradipta",
        "Submitter Middle Name": "Narayan",
        "Submitter Last Name": "Chowdhury",
        "Country Name": "United Kingdom",
        "Purpose": "To perform the first surgery-level comparison of cataract carbon emissions between a UK NHS public system and a high-volume private eye hospital in Bangladesh, using two structurally distinct healthcare models to identify how system design, procurement policy, and surgical workflow influence environmental impact. This study aims to determine whether sustainable phacoemulsification is a transferable strategy that preserves safety, infection control, and patient satisfaction.",
        "Setting": "This prospective comparative study was conducted at two high-volume cataract centres with contrasting healthcare infrastructures. The UK arm included 500 standalone phacoemulsification procedures at Stoke Mandeville Hospital, NHS Trust. The Bangladesh arm included 500 standalone procedures at Bangladesh Eye Hospital (BEH), a private tertiary centre. Complex and combined cases were excluded to ensure comparability.",
        "Methods": "Surgical waste was recorded bin-by-bin using standardized segregation audits across all theatre zones. Energy consumption (HVAC, lighting, sterilization, and autoclave cycles) was extracted from estates and CSSD logs and normalized per case. Procurement-related emissions were calculated using lifecycle inventory data. Travel emissions were survey-based. Comparative lifecycle CO₂e was derived using EPA TRACI 2.1 methodology. Throughput-adjusted energy analysis was performed. Patient satisfaction and post-operative infection rates were prospectively assessed.",
        "Results": "Each NHS phacoemulsification generates 128.3 kg CO₂e (primarily from disposable procurement) and 3.7 kg of solid waste. Averaging 12 cases/day, per-surgery energy use reaches 33.8 kWh (HVAC 30.4 kWh; autoclave 2.18 kWh) due to constant climate control and underfilled sterilisers. In contrast, Bangladesh Eye Hospital averages 37 cases/day, using just 8.4 kWh/case (HVAC 2.8 kWh; autoclave 0.093 kWh). BEH generates 17.1 kg CO₂e and 0.45 kg waste per case - reductions of 86% and 87.84% respectively, compared to the NHS. This is achieved through reusable tools, batch sterilization, and multi-use medications. No endophthalmitis occurred. Patient satisfaction was 95.1% in the UK and 90.9% in BEH.",
        "Conclusions": "After 500 procedures, the UK NHS generated 55.6 tCO₂e more than BEH, equivalent to 325,000 kilometres of driving. Despite an 86% lower carbon footprint and markedly reduced waste, BEH maintained comparable infection rates and high patient satisfaction, with no safety compromise observed. These findings demonstrate that surgical system design, including procurement models, instrument reusability, and throughput optimization, profoundly influences environmental impact. Low-carbon cataract surgery is achievable, scalable, and reproducible. As European ophthalmology advances sustainability frameworks, evidence-based adoption of resource-efficient practices can reduce emissions without compromising clinical excellence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 395
    },
    {
      "uid": "FP16.10",
      "abstract_number": "FP16.10",
      "title": "Reducing Waste In The Ophthalmic Operating Room",
      "authors": "Ms Anna Marie Rose MacDonald",
      "presenter": "Ms Anna Marie Rose MacDonald",
      "normalized_authors": [
        "Anna Marie Rose MacDonald"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Marie Rose Macdonald",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "The aim of this project was to decrease environmental and financial costs in ophthalmic operating rooms (ORs) by identifying unused equipment on surgical trays for cornea, glaucoma, and cataract surgeries. In this initiative, we identified and removed unused surgical equipment on prearranged trays for multiple common eye surgeries, to reduce associated financial costs and environmental impacts of purchasing equipment, cleaning instruments and tray reprocessing. In this effort, we also emphasized patient safety, quality of care, and OR efficiency, by working with the OR team to determine which tools are essential for providing the highest level of care to our patients.",
        "Setting": "This project took place across two publicly funded, tertiary care centres in Ottawa, Canada. These sites are the University of Ottawa Eye Institute and the Riverside Eye Care Centre. This includes 6 dedicated ophthalmic operating rooms, used routinely by 56 surgeons including comprehensive and sub-specialized ophthalmologists, performing a vast array of ophthalmic surgeries. The project started in January 2021 in response to the COVID-19 pandemic, and continued through until February 2026.",
        "Methods": "This quality improvement initiative aimed to identify unused surgical tools in ophthalmic surgical trays including those used for cornea, glaucoma, and cataract surgeries, at high-volume Canadian based surgical centres. Data collected included the number of surgical tools on trays, cost of each instrument, frequency of use, costs of processing and washing, number of surgeries, and costs saved. The frequency of use was obtained by a formal surgical audit, where a team member observed the procedure (including set-up and turnover) and recorded each tool used. To ensure changes weren’t made without the support of staff, a formal feedback survey was distributed, in addition to open-ended discussions with staff to gather comments and suggestions.",
        "Results": "A total of 140 surgeries were audited, including 18 cornea, 28 glaucoma, and 94 cataract surgeries, performed by 16 surgeons. For the corneal trays, 38% of tools (n=9) were never used during any operation. In 2025, based on our recommendations, the trays were updated, saving over $10 000 in unused instruments. In the glaucoma trays, 21% of tools (n=6) were never used and will be removed; tools that are seldom used (n=3) will be wrapped separately. Bleb revisions used less than 30% of the tools; as result, we propose designing a new, condensed bleb revision tray. For cataract trays 32% of the instruments were used in less than 2% of cases. Removal of these tools from the 60 trays would result in a projected cost savings exceeding $120 000.",
        "Conclusions": "Removal of unused instruments from high volume surgical trays decreases environmental and financial waste in the ophthalmic ORs. It reduces waste by diminishing costs and environmental impacts associated with processing, sterilizing and replacing damaged microsurgical tools. The recent evolution of instrument usage with modern glaucoma and keratoplasty techniques led to many tools becoming unused, serving as a large source of waste. Our combined technique of formal surgical audit with open-ended feedback from staff serves as an efficient model to reduce waste. This technique may serve as a guideline for continued waste reduction at our centres or may be modeled by other ORs in efforts to reduce waste and promote long-term sustainability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Removal of unused instruments from high volume surgical trays decreases environmental and financial waste in the ophthalmic ORs. It reduces waste by diminishing costs and environmental impacts associated with processing, sterilizing and replacing damaged microsurgical tools. The recent evolution of instrument usage with modern glaucoma and keratoplasty techniques led to many tools becoming unused, serving as a…",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 236,
      "source_fields": {
        "Abstract Final Identifier": "FP16.10",
        "Title": "Reducing Waste In The Ophthalmic Operating Room",
        "Presenting Author(s)": "Ms Anna Marie Rose MacDonald",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Anna Marie",
        "Submitter Middle Name": "Rose",
        "Submitter Last Name": "Macdonald",
        "Country Name": "Canada",
        "Purpose": "The aim of this project was to decrease environmental and financial costs in ophthalmic operating rooms (ORs) by identifying unused equipment on surgical trays for cornea, glaucoma, and cataract surgeries. In this initiative, we identified and removed unused surgical equipment on prearranged trays for multiple common eye surgeries, to reduce associated financial costs and environmental impacts of purchasing equipment, cleaning instruments and tray reprocessing. In this effort, we also emphasized patient safety, quality of care, and OR efficiency, by working with the OR team to determine which tools are essential for providing the highest level of care to our patients.",
        "Setting": "This project took place across two publicly funded, tertiary care centres in Ottawa, Canada. These sites are the University of Ottawa Eye Institute and the Riverside Eye Care Centre. This includes 6 dedicated ophthalmic operating rooms, used routinely by 56 surgeons including comprehensive and sub-specialized ophthalmologists, performing a vast array of ophthalmic surgeries. The project started in January 2021 in response to the COVID-19 pandemic, and continued through until February 2026.",
        "Methods": "This quality improvement initiative aimed to identify unused surgical tools in ophthalmic surgical trays including those used for cornea, glaucoma, and cataract surgeries, at high-volume Canadian based surgical centres. Data collected included the number of surgical tools on trays, cost of each instrument, frequency of use, costs of processing and washing, number of surgeries, and costs saved. The frequency of use was obtained by a formal surgical audit, where a team member observed the procedure (including set-up and turnover) and recorded each tool used. To ensure changes weren’t made without the support of staff, a formal feedback survey was distributed, in addition to open-ended discussions with staff to gather comments and suggestions.",
        "Results": "A total of 140 surgeries were audited, including 18 cornea, 28 glaucoma, and 94 cataract surgeries, performed by 16 surgeons. For the corneal trays, 38% of tools (n=9) were never used during any operation. In 2025, based on our recommendations, the trays were updated, saving over $10 000 in unused instruments. In the glaucoma trays, 21% of tools (n=6) were never used and will be removed; tools that are seldom used (n=3) will be wrapped separately. Bleb revisions used less than 30% of the tools; as result, we propose designing a new, condensed bleb revision tray. For cataract trays 32% of the instruments were used in less than 2% of cases. Removal of these tools from the 60 trays would result in a projected cost savings exceeding $120 000.",
        "Conclusions": "Removal of unused instruments from high volume surgical trays decreases environmental and financial waste in the ophthalmic ORs. It reduces waste by diminishing costs and environmental impacts associated with processing, sterilizing and replacing damaged microsurgical tools. The recent evolution of instrument usage with modern glaucoma and keratoplasty techniques led to many tools becoming unused, serving as a large source of waste. Our combined technique of formal surgical audit with open-ended feedback from staff serves as an efficient model to reduce waste. This technique may serve as a guideline for continued waste reduction at our centres or may be modeled by other ORs in efforts to reduce waste and promote long-term sustainability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 526
    },
    {
      "uid": "FP16.11",
      "abstract_number": "FP16.11",
      "title": "Human Anterior Lens Capsule As A Bioactive Scaffold For Ocular Surface Regeneration: Evidence From An In Vitro Wound Healing Model",
      "authors": "Dr Fatma Sumer",
      "presenter": "Dr Fatma Sumer",
      "normalized_authors": [
        "Fatma Sumer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fatma Sumer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Anterior lens capsules (ALC) are universally discarded during cataract surgery despite being collagen IV-rich native basement membranes with inherent regenerative potential. With over 30 million procedures annually, ALC represents a vast untapped biological resource. Current approaches for ocular surface disorders rely on amniotic membrane or synthetic scaffolds, each with limitations including availability, immunogenicity, and cost. This study is the first to systematically evaluate ALC as a bioactive scaffold for cellular migration in a standardized wound healing model, comparing its efficacy against purified commercial collagen IV to determine whether preserved three-dimensional matrix architecture confers superior regenerative capacity.",
        "Setting": "Department of Ophthalmology and Department of Medical Biology, Recep Tayyip Erdogan University Training and Research Hospital, a tertiary referral center in Rize, Turkey.",
        "Methods": "In this prospective experimental study, human ALC were collected from 12 eyes undergoing uneventful phacoemulsification for age-related cataract. Collagen IV content was confirmed by immunofluorescence with confocal microscopy. ARPE-19 cells were cultured to confluency and standardized scratch wounds (~500-600 µm) created. Three groups were established in quadruplicate: ALC (capsule fragments on wound), positive control (commercial collagen IV, 10 µg/cm²), and negative control (serum-free medium). Wound closure was documented at 0, 12, and 24h using phase-contrast microscopy and quantified with ImageJ by a blinded investigator. Cytotoxicity was assessed by MTT assay. One-way ANOVA with Tukey post-hoc test was used (p<0.05 significant).",
        "Results": "Immunofluorescence confirmed intense, uniform collagen IV in all ALC specimens with intact basement membrane structure. At 24h, ALC achieved significantly superior wound closure (89.4±3.2%) vs positive control (85.1±4.1%, p=0.032) and negative control (83.6±3.8%, p<0.001), a 35% improvement in healing efficiency. Critically, native ALC outperformed purified collagen IV by 5.1%, demonstrating that preserved matrix architecture provides advantages beyond isolated components. Enhanced migration was evident at 12h (ALC 64.2±4.8% vs collagen IV 58.1±5.2% vs control 56.3±4.9%). ALC-treated cells exhibited organized directional migration with elongated morphology and prominent lamellipodia. MTT confirmed no cytotoxicity (cell viability 98.3±2.1%).",
        "Conclusions": "This study provides the first evidence that human ALC functions as a superior bioactive scaffold compared to purified collagen IV, establishing a novel “surgical waste-to-therapeutic resource” paradigm. Preserved basement membrane architecture delivers synergistic biological cues that cannot be replicated by isolated extracellular matrix components alone. With 30+ million capsules discarded annually, ALC offers an abundant, autologous, cost-effective, and immediately available biomaterial with translational potential for corneal epithelial defects, limbal stem cell deficiency, and post-surgical ocular surface complications. These findings open a new avenue in sustainable regenerative ophthalmology and warrant clinical translation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study provides the first evidence that human ALC functions as a superior bioactive scaffold compared to purified collagen IV, establishing a novel “surgical waste-to-therapeutic resource” paradigm. Preserved basement membrane architecture delivers synergistic biological cues that cannot be replicated by isolated extracellular matrix components alone. With 30+ million capsules discarded annually, ALC offers an…",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 237,
      "source_fields": {
        "Abstract Final Identifier": "FP16.11",
        "Title": "Human Anterior Lens Capsule As A Bioactive Scaffold For Ocular Surface Regeneration: Evidence From An In Vitro Wound Healing Model",
        "Presenting Author(s)": "Dr Fatma Sumer",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Fatma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sumer",
        "Country Name": "Türkiye",
        "Purpose": "Anterior lens capsules (ALC) are universally discarded during cataract surgery despite being collagen IV-rich native basement membranes with inherent regenerative potential. With over 30 million procedures annually, ALC represents a vast untapped biological resource. Current approaches for ocular surface disorders rely on amniotic membrane or synthetic scaffolds, each with limitations including availability, immunogenicity, and cost. This study is the first to systematically evaluate ALC as a bioactive scaffold for cellular migration in a standardized wound healing model, comparing its efficacy against purified commercial collagen IV to determine whether preserved three-dimensional matrix architecture confers superior regenerative capacity.",
        "Setting": "Department of Ophthalmology and Department of Medical Biology, Recep Tayyip Erdogan University Training and Research Hospital, a tertiary referral center in Rize, Turkey.",
        "Methods": "In this prospective experimental study, human ALC were collected from 12 eyes undergoing uneventful phacoemulsification for age-related cataract. Collagen IV content was confirmed by immunofluorescence with confocal microscopy. ARPE-19 cells were cultured to confluency and standardized scratch wounds (~500-600 µm) created. Three groups were established in quadruplicate: ALC (capsule fragments on wound), positive control (commercial collagen IV, 10 µg/cm²), and negative control (serum-free medium). Wound closure was documented at 0, 12, and 24h using phase-contrast microscopy and quantified with ImageJ by a blinded investigator. Cytotoxicity was assessed by MTT assay. One-way ANOVA with Tukey post-hoc test was used (p<0.05 significant).",
        "Results": "Immunofluorescence confirmed intense, uniform collagen IV in all ALC specimens with intact basement membrane structure. At 24h, ALC achieved significantly superior wound closure (89.4±3.2%) vs positive control (85.1±4.1%, p=0.032) and negative control (83.6±3.8%, p<0.001), a 35% improvement in healing efficiency. Critically, native ALC outperformed purified collagen IV by 5.1%, demonstrating that preserved matrix architecture provides advantages beyond isolated components. Enhanced migration was evident at 12h (ALC 64.2±4.8% vs collagen IV 58.1±5.2% vs control 56.3±4.9%). ALC-treated cells exhibited organized directional migration with elongated morphology and prominent lamellipodia. MTT confirmed no cytotoxicity (cell viability 98.3±2.1%).",
        "Conclusions": "This study provides the first evidence that human ALC functions as a superior bioactive scaffold compared to purified collagen IV, establishing a novel “surgical waste-to-therapeutic resource” paradigm. Preserved basement membrane architecture delivers synergistic biological cues that cannot be replicated by isolated extracellular matrix components alone. With 30+ million capsules discarded annually, ALC offers an abundant, autologous, cost-effective, and immediately available biomaterial with translational potential for corneal epithelial defects, limbal stem cell deficiency, and post-surgical ocular surface complications. These findings open a new avenue in sustainable regenerative ophthalmology and warrant clinical translation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 432
    },
    {
      "uid": "FP16.12",
      "abstract_number": "FP16.12",
      "title": "Comparative Environmental And Cost Impact Of Cataract Surgery Across Four European Centres",
      "authors": "Dr Sjoerd Elferink",
      "presenter": "Dr Sjoerd Elferink",
      "normalized_authors": [
        "Sjoerd Elferink"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sjoerd Elferink",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "Cataract surgery is the most frequently performed surgical procedure worldwide. While clinical outcomes in the Western world are highly homogenous, the environmental and economic impact of surgical practice varies significantly depending on pack composition, instrument choice, and waste management pathways. Many parties have advocated for more sustainable practice for over a decade; however, real-world implementation remains heterogeneous.\n\nThis study aims to investigate the environmental costs and financial cost variation of routine cataract surgery across four European centres, identifying the primary drivers of carbon emissions and cost differences.",
        "Setting": "Prospective multicentre observational study conducted in four European cataract centres.\n\nNHS Royal Free (United Kingdom)\n\nFernando Fonseca Hospital (Portugal)\n\nFlevoziekenhuis (Netherlands)\n\nFondation Rotschild (France)",
        "Methods": "For each centre, five comparable components of the standard cataract pack were quantified. Seven surgical instruments were analysed (capsulorhexis forceps, toothed forceps, manipulator/chopper, iris-, Vannas-, Wescott scissors, and tying forceps. For each item, single-use versus reusable status, material, weight, waste pathway (incineration or recycling) and unit cost was assessed. The environmental cost per case (kg CO₂eq) was calculated using the online SIDICS calculator for the components of the cataract pack, and material emission factors plus waste treatment factors for the surgical instruments. For the financial cost, instruments were modelled using standardised average weights and market prices to ensure cross-centre comparability.",
        "Results": "A total of 13,100 surgeries were analysed over a 52-week period. The cumulative carbon footprint was 46,036 kg CO₂e. Cataract pack-related consumables accounted for 97.7% of total emissions, whereas surgical instruments contributed 2.3%.\n\nAmong single-use instruments, recyclable models demonstrated a 5% reduction in CO₂ emissions compared with non-recyclable equivalents.\n\nThe total procedural cost across 13,100 surgeries was €396,950. Cataract surgical pack-related consumables represented 79.3% of total expenditure, while additional instruments accounted for 20.7%.\n\nCentres implementing recycling as waste pathway for single-use instruments demonstrated a 10% relative cost improvement compared with centres disposing via conventional incineration.",
        "Conclusions": "Substantial inter-centre variation exists in both environmental and financial costs of routine cataract surgery. The overwhelming majority of carbon emissions originate from cataract surgical pack-related consumables, while instrument strategy and waste-management pathway influence both carbon footprint and cost efficiency.\n\nOptimisation of the surgical pack composition and adoption of recyclable single-use instruments represent immediately actionable strategies to reduce emissions and improve cost performance without altering clinical outcomes. Standardised environmental metrics should be incorporated into cataract surgery quality frameworks to support more sustainable ophthalmic practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Substantial inter-centre variation exists in both environmental and financial costs of routine cataract surgery. The overwhelming majority of carbon emissions originate from cataract surgical pack-related consumables, while instrument strategy and waste-management pathway influence both carbon footprint and cost efficiency. Optimisation of the surgical pack composition and adoption of recyclable single-use…",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 238,
      "source_fields": {
        "Abstract Final Identifier": "FP16.12",
        "Title": "Comparative Environmental And Cost Impact Of Cataract Surgery Across Four European Centres",
        "Presenting Author(s)": "Dr Sjoerd Elferink",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Sjoerd",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elferink",
        "Country Name": "Netherlands",
        "Purpose": "Cataract surgery is the most frequently performed surgical procedure worldwide. While clinical outcomes in the Western world are highly homogenous, the environmental and economic impact of surgical practice varies significantly depending on pack composition, instrument choice, and waste management pathways. Many parties have advocated for more sustainable practice for over a decade; however, real-world implementation remains heterogeneous.\n\nThis study aims to investigate the environmental costs and financial cost variation of routine cataract surgery across four European centres, identifying the primary drivers of carbon emissions and cost differences.",
        "Setting": "Prospective multicentre observational study conducted in four European cataract centres.\n\nNHS Royal Free (United Kingdom)\n\nFernando Fonseca Hospital (Portugal)\n\nFlevoziekenhuis (Netherlands)\n\nFondation Rotschild (France)",
        "Methods": "For each centre, five comparable components of the standard cataract pack were quantified. Seven surgical instruments were analysed (capsulorhexis forceps, toothed forceps, manipulator/chopper, iris-, Vannas-, Wescott scissors, and tying forceps. For each item, single-use versus reusable status, material, weight, waste pathway (incineration or recycling) and unit cost was assessed. The environmental cost per case (kg CO₂eq) was calculated using the online SIDICS calculator for the components of the cataract pack, and material emission factors plus waste treatment factors for the surgical instruments. For the financial cost, instruments were modelled using standardised average weights and market prices to ensure cross-centre comparability.",
        "Results": "A total of 13,100 surgeries were analysed over a 52-week period. The cumulative carbon footprint was 46,036 kg CO₂e. Cataract pack-related consumables accounted for 97.7% of total emissions, whereas surgical instruments contributed 2.3%.\n\nAmong single-use instruments, recyclable models demonstrated a 5% reduction in CO₂ emissions compared with non-recyclable equivalents.\n\nThe total procedural cost across 13,100 surgeries was €396,950. Cataract surgical pack-related consumables represented 79.3% of total expenditure, while additional instruments accounted for 20.7%.\n\nCentres implementing recycling as waste pathway for single-use instruments demonstrated a 10% relative cost improvement compared with centres disposing via conventional incineration.",
        "Conclusions": "Substantial inter-centre variation exists in both environmental and financial costs of routine cataract surgery. The overwhelming majority of carbon emissions originate from cataract surgical pack-related consumables, while instrument strategy and waste-management pathway influence both carbon footprint and cost efficiency.\n\nOptimisation of the surgical pack composition and adoption of recyclable single-use instruments represent immediately actionable strategies to reduce emissions and improve cost performance without altering clinical outcomes. Standardised environmental metrics should be incorporated into cataract surgery quality frameworks to support more sustainable ophthalmic practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 398
    },
    {
      "uid": "FP16.13",
      "abstract_number": "FP16.13",
      "title": "Carbon Footprint Reduction With A One-Visit See-And-Treat Immediate Sequential Bilateral Cataract Surgery Pathway: Cradle-To-Grave Life Cycle Assessment Within A Public Healthcare Model",
      "authors": "Mr Maher Alsusa",
      "presenter": "Mr Maher Alsusa",
      "normalized_authors": [
        "Maher Alsusa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maher Alsusa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To quantify greenhouse gas (GHG) emissions associated with a novel combined see-and-treat (S&T) immediately sequential bilateral cataract surgery (ISBCS) pathway using a cradle-to-grave life cycle assessment (LCA), and compare emissions with S&T delayed sequential bilateral cataract surgery (DSBCS) and a traditional DSBCS (TDSBCS) pathway. The study particularly aimed to determine whether combining S&T ISBCS produces meaningful carbon savings in routine NHS cataract care.",
        "Setting": "Royal Devon University Healthcare NHS Foundation Trust, South West England. The S&T pathways were delivered at NHS Nightingale Hospital Exeter and the traditional pathway at Axminster Hospital. Patients undergoing cataract surgery between 1 April and 31 July 2025 were eligible for inclusion.",
        "Methods": "Quality improvement service evaluation using observational clinical data. A process-based cradle-to-grave LCA aligned with ISO 14040/44 estimated 100-year global warming potential (kgCO2e). Functional unit: completion of bilateral cataract surgery for one patient from first pre-operative attendance(s) to discharge and home travel. Three arms (n=20 each): S&T+ISBCS (single visit), S&T+DSBCS (two visits), and traditional DSBCS (three visits). Inventory included surgical consumables, medicines, PPE, theatre/clinic energy, patient and staff travel, laundry/sterilisation and waste. Bootstrapped confidence intervals and sensitivity analyses were performed.",
        "Results": "Sixty patients were analysed (mean age 78.4, 73.8, and 79.9 years for S&T ISBCS, S&TDSBCS, and TDSBCS respectively). Median (IQR) emissions per bilateral functional unit were 77.18 (6.29) kgCO2e for S&T ISBCS, 102.34 (3.83) kgCO2e for S&T DSBCS, and 125.33 (4.18) kgCO2e for TDSBCS. The principal difference between pathways was travel burden: S&T ISBCS required one attendance compared with two and three attendances respectively. Consequently, travel emissions rose progressively across pathways and were a major driver of overall footprint differences. S&T ISBCS reduced emissions by ~25 kgCO2e versus S&T+DSBCS and ~48 kgCO2e versus TDSBCS. Manufacturing and energy remained major contributors across all pathways",
        "Conclusions": "A single-visit S&T ISBCS cataract pathway substantially lowers carbon emissions compared with staged bilateral surgery models. The dominant mechanism is elimination of repeat hospital journeys, generating large travel-related carbon savings at patient and staff level, supported by reduced time in energy-intensive clinical environments. Because cataract surgery is performed at high volume, adoption of this pathway for suitable patients could deliver considerable system-wide environmental benefit whilst upholding clinical effectiveness. Further reductions will require addressing manufacturing emissions alongside pathway redesign."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A single-visit S&T ISBCS cataract pathway substantially lowers carbon emissions compared with staged bilateral surgery models. The dominant mechanism is elimination of repeat hospital journeys, generating large travel-related carbon savings at patient and staff level, supported by reduced time in energy-intensive clinical environments. Because cataract surgery is performed at high volume, adoption of this pathway…",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 239,
      "source_fields": {
        "Abstract Final Identifier": "FP16.13",
        "Title": "Carbon Footprint Reduction With A One-Visit See-And-Treat Immediate Sequential Bilateral Cataract Surgery Pathway: Cradle-To-Grave Life Cycle Assessment Within A Public Healthcare Model",
        "Presenting Author(s)": "Mr Maher Alsusa",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Maher",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alsusa",
        "Country Name": "United Kingdom",
        "Purpose": "To quantify greenhouse gas (GHG) emissions associated with a novel combined see-and-treat (S&T) immediately sequential bilateral cataract surgery (ISBCS) pathway using a cradle-to-grave life cycle assessment (LCA), and compare emissions with S&T delayed sequential bilateral cataract surgery (DSBCS) and a traditional DSBCS (TDSBCS) pathway. The study particularly aimed to determine whether combining S&T ISBCS produces meaningful carbon savings in routine NHS cataract care.",
        "Setting": "Royal Devon University Healthcare NHS Foundation Trust, South West England. The S&T pathways were delivered at NHS Nightingale Hospital Exeter and the traditional pathway at Axminster Hospital. Patients undergoing cataract surgery between 1 April and 31 July 2025 were eligible for inclusion.",
        "Methods": "Quality improvement service evaluation using observational clinical data. A process-based cradle-to-grave LCA aligned with ISO 14040/44 estimated 100-year global warming potential (kgCO2e). Functional unit: completion of bilateral cataract surgery for one patient from first pre-operative attendance(s) to discharge and home travel. Three arms (n=20 each): S&T+ISBCS (single visit), S&T+DSBCS (two visits), and traditional DSBCS (three visits). Inventory included surgical consumables, medicines, PPE, theatre/clinic energy, patient and staff travel, laundry/sterilisation and waste. Bootstrapped confidence intervals and sensitivity analyses were performed.",
        "Results": "Sixty patients were analysed (mean age 78.4, 73.8, and 79.9 years for S&T ISBCS, S&TDSBCS, and TDSBCS respectively). Median (IQR) emissions per bilateral functional unit were 77.18 (6.29) kgCO2e for S&T ISBCS, 102.34 (3.83) kgCO2e for S&T DSBCS, and 125.33 (4.18) kgCO2e for TDSBCS. The principal difference between pathways was travel burden: S&T ISBCS required one attendance compared with two and three attendances respectively. Consequently, travel emissions rose progressively across pathways and were a major driver of overall footprint differences. S&T ISBCS reduced emissions by ~25 kgCO2e versus S&T+DSBCS and ~48 kgCO2e versus TDSBCS. Manufacturing and energy remained major contributors across all pathways",
        "Conclusions": "A single-visit S&T ISBCS cataract pathway substantially lowers carbon emissions compared with staged bilateral surgery models. The dominant mechanism is elimination of repeat hospital journeys, generating large travel-related carbon savings at patient and staff level, supported by reduced time in energy-intensive clinical environments. Because cataract surgery is performed at high volume, adoption of this pathway for suitable patients could deliver considerable system-wide environmental benefit whilst upholding clinical effectiveness. Further reductions will require addressing manufacturing emissions alongside pathway redesign."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "FP16.14",
      "abstract_number": "FP16.14",
      "title": "Seeing Clearly Without The Shield; Eliminating Plastic Eye Shields Without Compromising Cataract Surgery Outcomes",
      "authors": "Dr Stephen McAtamney",
      "presenter": "Dr Stephen McAtamney",
      "normalized_authors": [
        "Stephen McAtamney"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Silvester",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "There is little evidence of the benefits of plastic eye shields following uncomplicated cataract surgery, however, despite recommendations from ESCRS and a recent Royal College of Ophthalmologists' paper on sustainable cataract surgery , plastic eye shields are routinely used in the United Kingdom. The aim of this case control study was to determine whether it is safe not to wear a plastic eye shield following uncomplicated cataract surgery.",
        "Setting": "Cases and controls were identified from the elecronic medical records (Medisight) at 60 cataract surgery centres in the United Kingdom over a 4 month period.",
        "Methods": "Case control study was carried out through analysis of electronic medical records (Medisight) of cataract operations in 60 centres over 4 months. Exclusions included patients undergoing sub-tenons anaesthetic, patients with advance dementia or had complicated surgery. 20,132 uncomplicated cases were identified with no plastic eye shield post operatively and compared to 26,023 controls. The cases and controls were comparable with no significant diference in mean age (74.5 years versus 74.4 years), sex (43.5% male versus 42.9%) and presence of ocular co-morbidities.\n\nPrimary outcomes were endophthalmitis rate, incidence of post operative ocular trauma and hypotony. Secondary outcomes were visual outcomes and refractive outcomes.",
        "Results": "No difference in endophthalmitis was found between cases versus controls (0.009% versus 0.008%), post operative ocular trauma (0.00% versus 0.002%) and hypotony (no cases in either group). There were no differences in visual outcomes (>95% in both groups obtaining better than 6/12 snellen vision) and >92% within 1 dioptre of predicted refractive outcome.",
        "Conclusions": "Plastic eye shields are not required after uncomplicated cataract surgery. This is the largest case control study assessing the safety and clinical outcomes of not using plastic eye shields and found no difference in endophthalmitis rate, post operative ocular trauma and hypotony. Further, there were no differences in visual or refractive outcomes.\n\nIf all UK providers followed ESCRS and RCOphth recommendations and removed the unnecessary use of plastic eye shields following uncomplicated cataract surgery, 3 tonnes of plastic, the equivalent of the weight of an Asian Elephant, would be removed annualy - reducing carbon foot print and supporting the achievement of wider sustainability goals."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Plastic eye shields are not required after uncomplicated cataract surgery. This is the largest case control study assessing the safety and clinical outcomes of not using plastic eye shields and found no difference in endophthalmitis rate, post operative ocular trauma and hypotony. Further, there were no differences in visual or refractive outcomes. If all UK providers followed ESCRS and RCOphth recommendations and…",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 240,
      "source_fields": {
        "Abstract Final Identifier": "FP16.14",
        "Title": "Seeing Clearly Without The Shield; Eliminating Plastic Eye Shields Without Compromising Cataract Surgery Outcomes",
        "Presenting Author(s)": "Dr Stephen McAtamney",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Silvester",
        "Country Name": "United Kingdom",
        "Purpose": "There is little evidence of the benefits of plastic eye shields following uncomplicated cataract surgery, however, despite recommendations from ESCRS and a recent Royal College of Ophthalmologists' paper on sustainable cataract surgery , plastic eye shields are routinely used in the United Kingdom. The aim of this case control study was to determine whether it is safe not to wear a plastic eye shield following uncomplicated cataract surgery.",
        "Setting": "Cases and controls were identified from the elecronic medical records (Medisight) at 60 cataract surgery centres in the United Kingdom over a 4 month period.",
        "Methods": "Case control study was carried out through analysis of electronic medical records (Medisight) of cataract operations in 60 centres over 4 months. Exclusions included patients undergoing sub-tenons anaesthetic, patients with advance dementia or had complicated surgery. 20,132 uncomplicated cases were identified with no plastic eye shield post operatively and compared to 26,023 controls. The cases and controls were comparable with no significant diference in mean age (74.5 years versus 74.4 years), sex (43.5% male versus 42.9%) and presence of ocular co-morbidities.\n\nPrimary outcomes were endophthalmitis rate, incidence of post operative ocular trauma and hypotony. Secondary outcomes were visual outcomes and refractive outcomes.",
        "Results": "No difference in endophthalmitis was found between cases versus controls (0.009% versus 0.008%), post operative ocular trauma (0.00% versus 0.002%) and hypotony (no cases in either group). There were no differences in visual outcomes (>95% in both groups obtaining better than 6/12 snellen vision) and >92% within 1 dioptre of predicted refractive outcome.",
        "Conclusions": "Plastic eye shields are not required after uncomplicated cataract surgery. This is the largest case control study assessing the safety and clinical outcomes of not using plastic eye shields and found no difference in endophthalmitis rate, post operative ocular trauma and hypotony. Further, there were no differences in visual or refractive outcomes.\n\nIf all UK providers followed ESCRS and RCOphth recommendations and removed the unnecessary use of plastic eye shields following uncomplicated cataract surgery, 3 tonnes of plastic, the equivalent of the weight of an Asian Elephant, would be removed annualy - reducing carbon foot print and supporting the achievement of wider sustainability goals."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "FP16.15",
      "abstract_number": "FP16.15",
      "title": "Assessment Of The Environmental Impact Of A Multi-Use Cassette Phacoemulsification System : A Prospective Study On Reducing The Carbon Footprint In Cataract Surgery",
      "authors": "Dr Alice GRISE-DULAC",
      "presenter": "Dr Alice GRISE-DULAC",
      "normalized_authors": [
        "Alice GRISE-DULAC"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alice Grise-Dulac",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "The healthcare sector, although fundamental to patient care, represents a substantial proportion of global greenhouse gas (GHG) emissions,estimated at 4.4% according to the EyeSustain initiative. Over 70% of this impact is attributable to the life cycle of medical devices and consumables. In the face of pressing environmental challenges, evaluating the environmental footprint of medical technologies has become imperative.\n\nThe aim of this study is to evaluate surgical performance, operating room efficiency, and resource consumption associated with a multi-use cassette phacoemulsification platform in cataract surgery in a real-world academic setting, with a focus on sustainability outcomes.",
        "Setting": "Tertiary academic ophthalmology center, Rothschild Foundation, Paris, France",
        "Methods": "This prospective observational study included consecutive cataract surgeries performed using a multi-use cassette phacoemulsification system (SOPHI platform) in one operating room from october 2025 to date of submission.\n\nData collected included surgical time, total operating room time, balanced salt solution (BSS) consumption, and use of consumables (tubing sets, cassettes). Time measurements were prospectively recorded and standardized. Descriptive analyses were performed to assess surgical throughput and intraoperative resource utilization.",
        "Results": "109 patients during 21 surgical sessions were included. Each cassette was used for a mean of 5 procedures. A total of 21 cassettes, 88 tubing packs, 109 phaco packs, 109 I/A packs, and 55 BSS bottles were used. Mean BSS use corresponded to approximately 200 mL per patient.\n\nMean surgical time was 15 minutes 06 seconds (range 6–29), and mean total operating room time was 35 minutes 24 seconds (range 19–47). Average waste weight per patient was 131.93 g and average waste volume per patient was estimated 77.34 cm³\n\nNo intraoperative complications or device-related adverse events were observed. Variability in surgical throughput was partly related to dual-room workflow organization and resident training during the study period.",
        "Conclusions": "The use of a multi-use cassette phacoemulsification platform was associated with reduced material consumption and efficient surgical workflow without safety concerns. These findings support the feasibility of integrating reusable technologies into cataract surgery pathways to improve environmental sustainability while maintaining operative performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The use of a multi-use cassette phacoemulsification platform was associated with reduced material consumption and efficient surgical workflow without safety concerns. These findings support the feasibility of integrating reusable technologies into cataract surgery pathways to improve environmental sustainability while maintaining operative performance.",
      "session_type": "Free Paper",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 241,
      "source_fields": {
        "Abstract Final Identifier": "FP16.15",
        "Title": "Assessment Of The Environmental Impact Of A Multi-Use Cassette Phacoemulsification System : A Prospective Study On Reducing The Carbon Footprint In Cataract Surgery",
        "Presenting Author(s)": "Dr Alice GRISE-DULAC",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Alice",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Grise-Dulac",
        "Country Name": "France",
        "Purpose": "The healthcare sector, although fundamental to patient care, represents a substantial proportion of global greenhouse gas (GHG) emissions,estimated at 4.4% according to the EyeSustain initiative. Over 70% of this impact is attributable to the life cycle of medical devices and consumables. In the face of pressing environmental challenges, evaluating the environmental footprint of medical technologies has become imperative.\n\nThe aim of this study is to evaluate surgical performance, operating room efficiency, and resource consumption associated with a multi-use cassette phacoemulsification platform in cataract surgery in a real-world academic setting, with a focus on sustainability outcomes.",
        "Setting": "Tertiary academic ophthalmology center, Rothschild Foundation, Paris, France",
        "Methods": "This prospective observational study included consecutive cataract surgeries performed using a multi-use cassette phacoemulsification system (SOPHI platform) in one operating room from october 2025 to date of submission.\n\nData collected included surgical time, total operating room time, balanced salt solution (BSS) consumption, and use of consumables (tubing sets, cassettes). Time measurements were prospectively recorded and standardized. Descriptive analyses were performed to assess surgical throughput and intraoperative resource utilization.",
        "Results": "109 patients during 21 surgical sessions were included. Each cassette was used for a mean of 5 procedures. A total of 21 cassettes, 88 tubing packs, 109 phaco packs, 109 I/A packs, and 55 BSS bottles were used. Mean BSS use corresponded to approximately 200 mL per patient.\n\nMean surgical time was 15 minutes 06 seconds (range 6–29), and mean total operating room time was 35 minutes 24 seconds (range 19–47). Average waste weight per patient was 131.93 g and average waste volume per patient was estimated 77.34 cm³\n\nNo intraoperative complications or device-related adverse events were observed. Variability in surgical throughput was partly related to dual-room workflow organization and resident training during the study period.",
        "Conclusions": "The use of a multi-use cassette phacoemulsification platform was associated with reduced material consumption and efficient surgical workflow without safety concerns. These findings support the feasibility of integrating reusable technologies into cataract surgery pathways to improve environmental sustainability while maintaining operative performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "FP17.01",
      "abstract_number": "FP17.01",
      "title": "Effectiveness Of Presbyopia‑Correcting Intraocular Lenses Across A Broad Range Of Corneal Spherical Aberration",
      "authors": "Dr Grzegorz Labuz",
      "presenter": "Dr Grzegorz Labuz",
      "normalized_authors": [
        "Grzegorz Labuz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Grzegorz Labuz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "A broad range of positive corneal spherical aberration (SA) has been reported. This variability is further increased after corneal laser refractive surgery, which, depending on the refractive error treated, may increase positive SA or shift it toward negative values. In contrast, each intraocular lens (IOL) design provides a single SA profile, which can result in under‑ or overcorrection of SA at the individual level. The impact of residual SA on IOL performance is particularly critical for presbyopia‑correcting IOLs with complex optics, whose benefits may be reduced by their interaction with corneal aberrations. Quantifying this interaction across a broad range of corneal SA was the purpose of the current study.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "We evaluated three extended‑depth‑of‑focus (EDoF) IOLs: two refractive and one diffractive; three trifocal IOLs; enhanced monofocal and standard monofocal IOLs. All lenses were measured with the NIMO TEMPO (Lambda‑X Ophthalmics), which includes software to construct individualized model eyes and simulate the interaction of IOL optics with customized levels of SA. In this study, corneal SA ranged from -0.42 µm to +0.43 µm in 0.05 µm steps, resulting in 18 distinct SA conditions. For each model eye with a single SA value, the corresponding IOL was introduced and optical quality was assessed. The area under the modulation transfer function was used to quantify the impact of SA, due to its high correlation with clinical visual acuity.",
        "Results": "For all IOLs, negative residual SA caused a hyperopic shift and positive SA a myopic shift at both 3‑ and 4.5‑mm pupils. At 3 mm, the impact of SA on optical quality was smaller, but negative SA remained more detrimental than positive SA. Refractive EDoF IOLs tolerated a broader SA range, whereas diffractive EDoF and trifocal IOLs were more sensitive, with negative SA and larger pupils reducing performance and, in some cases, compromising the multifocal effect. Monofocal and enhanced monofocal IOLs maintained good 3‑mm performance, with marked degradation at extreme negative SA and at 4.5‑mm pupils, occurring earlier for the enhanced monofocal.",
        "Conclusions": "For each level of corneal SA, a suitable IOL design should be selected to maximize postoperative outcomes, as patients with larger positive or negative SA may gain limited benefit from presbyopia correction or may experience reduced distance vision. Trifocal IOLs perform best within the normal SA range, whereas refractive EDoF IOLs better tolerate deviations and can be considered individually. In extreme SA, enhanced or standard monofocal IOLs provide more acceptable optical quality. Preoperative pupil assessment may further help predict the impact of residual SA and guide optimal IOL selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "For each level of corneal SA, a suitable IOL design should be selected to maximize postoperative outcomes, as patients with larger positive or negative SA may gain limited benefit from presbyopia correction or may experience reduced distance vision. Trifocal IOLs perform best within the normal SA range, whereas refractive EDoF IOLs better tolerate deviations and can be considered individually. In extreme SA,…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 242,
      "source_fields": {
        "Abstract Final Identifier": "FP17.01",
        "Title": "Effectiveness Of Presbyopia‑Correcting Intraocular Lenses Across A Broad Range Of Corneal Spherical Aberration",
        "Presenting Author(s)": "Dr Grzegorz Labuz",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Grzegorz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Labuz",
        "Country Name": "Germany",
        "Purpose": "A broad range of positive corneal spherical aberration (SA) has been reported. This variability is further increased after corneal laser refractive surgery, which, depending on the refractive error treated, may increase positive SA or shift it toward negative values. In contrast, each intraocular lens (IOL) design provides a single SA profile, which can result in under‑ or overcorrection of SA at the individual level. The impact of residual SA on IOL performance is particularly critical for presbyopia‑correcting IOLs with complex optics, whose benefits may be reduced by their interaction with corneal aberrations. Quantifying this interaction across a broad range of corneal SA was the purpose of the current study.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "We evaluated three extended‑depth‑of‑focus (EDoF) IOLs: two refractive and one diffractive; three trifocal IOLs; enhanced monofocal and standard monofocal IOLs. All lenses were measured with the NIMO TEMPO (Lambda‑X Ophthalmics), which includes software to construct individualized model eyes and simulate the interaction of IOL optics with customized levels of SA. In this study, corneal SA ranged from -0.42 µm to +0.43 µm in 0.05 µm steps, resulting in 18 distinct SA conditions. For each model eye with a single SA value, the corresponding IOL was introduced and optical quality was assessed. The area under the modulation transfer function was used to quantify the impact of SA, due to its high correlation with clinical visual acuity.",
        "Results": "For all IOLs, negative residual SA caused a hyperopic shift and positive SA a myopic shift at both 3‑ and 4.5‑mm pupils. At 3 mm, the impact of SA on optical quality was smaller, but negative SA remained more detrimental than positive SA. Refractive EDoF IOLs tolerated a broader SA range, whereas diffractive EDoF and trifocal IOLs were more sensitive, with negative SA and larger pupils reducing performance and, in some cases, compromising the multifocal effect. Monofocal and enhanced monofocal IOLs maintained good 3‑mm performance, with marked degradation at extreme negative SA and at 4.5‑mm pupils, occurring earlier for the enhanced monofocal.",
        "Conclusions": "For each level of corneal SA, a suitable IOL design should be selected to maximize postoperative outcomes, as patients with larger positive or negative SA may gain limited benefit from presbyopia correction or may experience reduced distance vision. Trifocal IOLs perform best within the normal SA range, whereas refractive EDoF IOLs better tolerate deviations and can be considered individually. In extreme SA, enhanced or standard monofocal IOLs provide more acceptable optical quality. Preoperative pupil assessment may further help predict the impact of residual SA and guide optimal IOL selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 442
    },
    {
      "uid": "FP17.02",
      "abstract_number": "FP17.02",
      "title": "Visual And Photic Performance Outcomes Of Two Premium Intraocular Lenses: Alcon Clareon Panoptix Vs Rayner Rayone Galaxy",
      "authors": "A/Prof. Antti Viljanen",
      "presenter": "A/Prof. Antti Viljanen",
      "normalized_authors": [
        "Antti Viljanen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antti VILJANEN",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Finland",
      "sections": {
        "Purpose": "To evaluate postoperative visual acuity and patient-reported photic phenomena following implantation of the Clareon PanOptix (CNWTT0, Alcon) trifocal IOL or the RayOne Galaxy (RAO605G, Rayner) spiral IOL. Outcomes are reported at 1 month postoperatively after uneventful cataract surgery or refractive lens exchange. Toric IOL was implanted when applicable.",
        "Setting": "Multicenter observational follow-up study conducted at three Silmaasema Silmasairaala Eye Hospitals in Finland.",
        "Methods": "This observational study included 243 eyes from 124 patients undergoing implantation with either PanOptix (119 eyes/60 patients) or Galaxy (124 eyes/64 patients) IOL. Postoperative evaluation was conducted 1 month after surgery. Primary outcome measures were binocular uncorrected distance (UDVA 6m), intermediate (UIVA 63cm) and near (UNVA 40cm) visual acuity, recorded in logMAR using ETDRS charts. Photic phenomena were assessed using in-house questionnaire graded on a scale of 1 to 10.",
        "Results": "At 1 month, binocular UDVA was comparable between groups (logMAR 0.02 Panoptix vs -0.02 Galaxy; p=0.38), as was UIVA at 63 cm (-0.04 vs 0.01; p=0.10). UNVA at 40 cm was significantly better in the PanOptix group (0.01 vs 0.10; p<0.0002). Both groups were similar in age (61 vs 60 years) and sex (57% vs 48% female). Patient-reported quality of distance (9.0 vs 9.0), intermediate (8.7 vs 7.8), near (8.4 vs 7.9), low-light vision (7.8 vs 7.5) and light scattering (7.3 vs 7.4) were high in both groups, with no statistically significant differences (all p>0.05).",
        "Conclusions": "Both IOLs provided excellent visual outcomes and high patient-reported satisfaction at 1 month postoperatively. Distance and intermediate visual acuity were comparable between both groups, while near visual acuity at 40 cm was significantly higher with PanOptix. Patient-reported quality of vision across distances and under low-light conditions was high for both IOLs, with no significant differences in perceived light scattering. These findings reflect early postoperative outcomes. Further studies are needed to determine the stability of visual performance and the potential influence of neuroadaptation on subjective experience."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both IOLs provided excellent visual outcomes and high patient-reported satisfaction at 1 month postoperatively. Distance and intermediate visual acuity were comparable between both groups, while near visual acuity at 40 cm was significantly higher with PanOptix. Patient-reported quality of vision across distances and under low-light conditions was high for both IOLs, with no significant differences in perceived…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 243,
      "source_fields": {
        "Abstract Final Identifier": "FP17.02",
        "Title": "Visual And Photic Performance Outcomes Of Two Premium Intraocular Lenses: Alcon Clareon Panoptix Vs Rayner Rayone Galaxy",
        "Presenting Author(s)": "A/Prof. Antti Viljanen",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Antti",
        "Submitter Middle Name": "",
        "Submitter Last Name": "VILJANEN",
        "Country Name": "Finland",
        "Purpose": "To evaluate postoperative visual acuity and patient-reported photic phenomena following implantation of the Clareon PanOptix (CNWTT0, Alcon) trifocal IOL or the RayOne Galaxy (RAO605G, Rayner) spiral IOL. Outcomes are reported at 1 month postoperatively after uneventful cataract surgery or refractive lens exchange. Toric IOL was implanted when applicable.",
        "Setting": "Multicenter observational follow-up study conducted at three Silmaasema Silmasairaala Eye Hospitals in Finland.",
        "Methods": "This observational study included 243 eyes from 124 patients undergoing implantation with either PanOptix (119 eyes/60 patients) or Galaxy (124 eyes/64 patients) IOL. Postoperative evaluation was conducted 1 month after surgery. Primary outcome measures were binocular uncorrected distance (UDVA 6m), intermediate (UIVA 63cm) and near (UNVA 40cm) visual acuity, recorded in logMAR using ETDRS charts. Photic phenomena were assessed using in-house questionnaire graded on a scale of 1 to 10.",
        "Results": "At 1 month, binocular UDVA was comparable between groups (logMAR 0.02 Panoptix vs -0.02 Galaxy; p=0.38), as was UIVA at 63 cm (-0.04 vs 0.01; p=0.10). UNVA at 40 cm was significantly better in the PanOptix group (0.01 vs 0.10; p<0.0002). Both groups were similar in age (61 vs 60 years) and sex (57% vs 48% female). Patient-reported quality of distance (9.0 vs 9.0), intermediate (8.7 vs 7.8), near (8.4 vs 7.9), low-light vision (7.8 vs 7.5) and light scattering (7.3 vs 7.4) were high in both groups, with no statistically significant differences (all p>0.05).",
        "Conclusions": "Both IOLs provided excellent visual outcomes and high patient-reported satisfaction at 1 month postoperatively. Distance and intermediate visual acuity were comparable between both groups, while near visual acuity at 40 cm was significantly higher with PanOptix. Patient-reported quality of vision across distances and under low-light conditions was high for both IOLs, with no significant differences in perceived light scattering. These findings reflect early postoperative outcomes. Further studies are needed to determine the stability of visual performance and the potential influence of neuroadaptation on subjective experience."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "FP17.03",
      "abstract_number": "FP17.03",
      "title": "Capsulaser-Assisted Implantation Of Toric Trifocal Intraocular Lenses: A Comparative Study Of Stability And Visual Outcomes",
      "authors": "Dr Ahmed Samir",
      "presenter": "Dr Ahmed Samir",
      "normalized_authors": [
        "Ahmed Samir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Samir",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the surgical outcomes, rotational stability, and long-term centration of toric trifocal intraocular lens (IOL) implantation assisted by CAPSULaser capsulotomy compared with conventional manual continuous curvilinear capsulorhexis (CCC).",
        "Setting": "magrabi eye hospital, jeddah, ksa",
        "Methods": "This comparative retrospective study included 36 eyes of 27 patients who underwent cataract surgery or refractive lens exchange between April 2023 and January 2024 at Magrabi Eye Hospital. Patients were divided into two groups: Group A, in which CAPSULaser capsulotomy was performed, and Group B, in which manual capsulorhexis was used. Corneal and refractive astigmatism, uncorrected distance, intermediate, and near visual acuities (UDVA, UIVA, and UNVA), rotational stability, photopic and mesopic contrast sensitivity (CS), presence of dysphotopsia, and spectacle dependence were evaluated at the third postoperative month. Outcomes were compared between the CAPSULaser and manual groups.",
        "Results": "The mean UDVA, UIVA, and UNVA were 0.05 ± 0.07, 0.08 ± 0.08, and 0.06 ± 0.07 log MAR, respectively. All patients achieved ≥0.3 logMAR uncorrected visual acuity at all distances. UDVA was significantly better in the CAPSULaser group (p = 0.03). All eyes had ≤1.0 D of subjective postoperative refractive astigmatism. Spectacle independence was achieved in 88.7% of patients. Photopic and mesopic CS were within the normal range in all patients. The mean IOL axis rotation was 2.1° ± 2.3° in Group A. Capsular bag behavior remained stable with reduced anterior capsule contraction and improved IOL positioning compared to the manual CCC group. No significant intraoperative or postoperative complications related to laser capsulotomy were observed.",
        "Conclusions": "CAPSULaser-assisted implantation of toric trifocal IOLs provides superior capsular precision, enhanced IOL centration, and improved long-term rotational stability. This technique contributes to optimized refractive outcomes and represents a valuable advancement in premium IOL cataract surgery, particularly in cases requiring high positional accuracy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAPSULaser-assisted implantation of toric trifocal IOLs provides superior capsular precision, enhanced IOL centration, and improved long-term rotational stability. This technique contributes to optimized refractive outcomes and represents a valuable advancement in premium IOL cataract surgery, particularly in cases requiring high positional accuracy.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 244,
      "source_fields": {
        "Abstract Final Identifier": "FP17.03",
        "Title": "Capsulaser-Assisted Implantation Of Toric Trifocal Intraocular Lenses: A Comparative Study Of Stability And Visual Outcomes",
        "Presenting Author(s)": "Dr Ahmed Samir",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Samir",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the surgical outcomes, rotational stability, and long-term centration of toric trifocal intraocular lens (IOL) implantation assisted by CAPSULaser capsulotomy compared with conventional manual continuous curvilinear capsulorhexis (CCC).",
        "Setting": "magrabi eye hospital, jeddah, ksa",
        "Methods": "This comparative retrospective study included 36 eyes of 27 patients who underwent cataract surgery or refractive lens exchange between April 2023 and January 2024 at Magrabi Eye Hospital. Patients were divided into two groups: Group A, in which CAPSULaser capsulotomy was performed, and Group B, in which manual capsulorhexis was used. Corneal and refractive astigmatism, uncorrected distance, intermediate, and near visual acuities (UDVA, UIVA, and UNVA), rotational stability, photopic and mesopic contrast sensitivity (CS), presence of dysphotopsia, and spectacle dependence were evaluated at the third postoperative month. Outcomes were compared between the CAPSULaser and manual groups.",
        "Results": "The mean UDVA, UIVA, and UNVA were 0.05 ± 0.07, 0.08 ± 0.08, and 0.06 ± 0.07 log MAR, respectively. All patients achieved ≥0.3 logMAR uncorrected visual acuity at all distances. UDVA was significantly better in the CAPSULaser group (p = 0.03). All eyes had ≤1.0 D of subjective postoperative refractive astigmatism. Spectacle independence was achieved in 88.7% of patients. Photopic and mesopic CS were within the normal range in all patients. The mean IOL axis rotation was 2.1° ± 2.3° in Group A. Capsular bag behavior remained stable with reduced anterior capsule contraction and improved IOL positioning compared to the manual CCC group. No significant intraoperative or postoperative complications related to laser capsulotomy were observed.",
        "Conclusions": "CAPSULaser-assisted implantation of toric trifocal IOLs provides superior capsular precision, enhanced IOL centration, and improved long-term rotational stability. This technique contributes to optimized refractive outcomes and represents a valuable advancement in premium IOL cataract surgery, particularly in cases requiring high positional accuracy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "FP17.04",
      "abstract_number": "FP17.04",
      "title": "Assessment Of Pupil Size Independence For Visual Acuity Outcomes Following Implantation Of A Gaussian Diffractive Trifocal Intraocular Lens",
      "authors": "Dr Camille Bosc",
      "presenter": "Dr Camille Bosc",
      "normalized_authors": [
        "Camille Bosc"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Camille Bosc",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To determine whether visual acuity (VA) outcomes after cataract surgery with implantation of the Vivinex Gemetric intraocular lens (IOL) demonstrate independence from physiologic pupil size variation. This study evaluated the relationship between pupil diameter and uncorrected and corrected VA at distance, intermediate, and near under photopic conditions.",
        "Setting": "Retrospective study conducted at the Clinique Jules Verne of patients who underwent standard phacoemulsification with implantation of the Vivinex Gemetric IOL as part of routine clinical care between October 10, 2022 and October 31, 2025.",
        "Methods": "Patients implanted with Gemetric (G) or Gemetric Plus (GP) were assessed at 3-6 months postoperatively. Uncorrected distance (UDVA), intermediate (UIVA) and near VA (UNVA), and corrected distance VA (CDVA), distance-corrected intermediate VA (DCIVA), and distance-corrected near VA (DCNVA) were assessed using standardized logMAR protocols. Pupil size was measured under photopic lighting using the CSO Sirius. Scatter plots with linear regression using the Bland and Altman Method were generated for each VA measure. Pearson correlation coefficients (r) and corresponding p-values were calculated to evaluate presence or absence of statistically significant correlations between pupil size and VA. This is a continuation of a previous analysis.",
        "Results": "A total of 152 eyes from 76 consecutive patients were included: G = 103, GP = 49. Pupil size ranged from 2.23 to 5.21 mm. Regression analyses showed no significant correlation between pupil size and UDVA (G: r = -0.07, p = 0.466, GP: r = 0.07, p = 0.646), UIVA (G: r = 0.16, p = 0.130, GP: r = -0.15, p = 0.326), UNVA (G: r = -0.09, p = 0.370, GP: r = 0.21, p = 0.149), CDVA (G: r = 0.09, p = 0.389, GP: r = 0.01, p = 0.924), DCIVA (G: r = 0.10, p = 0.382, GP: r = 0.01, p = 0.973), or DCNVA (G: r = -0.07, p = 0.494, GP: r = 0.29, p = 0.052). Slopes for all regression lines were near zero, indicating stable VA across the full physiologic pupil range tested.",
        "Conclusions": "Visual acuity outcomes in all distances following implantation of the Vivinex Gemetric and Gemetric Plus Trifocal IOLs demonstrated no clinically or statistically significant association with pupil diameter under photopic conditions. These findings continue to demonstrate that the optical performance of these trifocal IOLs remains consistent across physiologic pupil variations encountered in real world clinical settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visual acuity outcomes in all distances following implantation of the Vivinex Gemetric and Gemetric Plus Trifocal IOLs demonstrated no clinically or statistically significant association with pupil diameter under photopic conditions. These findings continue to demonstrate that the optical performance of these trifocal IOLs remains consistent across physiologic pupil variations encountered in real world clinical…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 245,
      "source_fields": {
        "Abstract Final Identifier": "FP17.04",
        "Title": "Assessment Of Pupil Size Independence For Visual Acuity Outcomes Following Implantation Of A Gaussian Diffractive Trifocal Intraocular Lens",
        "Presenting Author(s)": "Dr Camille Bosc",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Camille",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bosc",
        "Country Name": "France",
        "Purpose": "To determine whether visual acuity (VA) outcomes after cataract surgery with implantation of the Vivinex Gemetric intraocular lens (IOL) demonstrate independence from physiologic pupil size variation. This study evaluated the relationship between pupil diameter and uncorrected and corrected VA at distance, intermediate, and near under photopic conditions.",
        "Setting": "Retrospective study conducted at the Clinique Jules Verne of patients who underwent standard phacoemulsification with implantation of the Vivinex Gemetric IOL as part of routine clinical care between October 10, 2022 and October 31, 2025.",
        "Methods": "Patients implanted with Gemetric (G) or Gemetric Plus (GP) were assessed at 3-6 months postoperatively. Uncorrected distance (UDVA), intermediate (UIVA) and near VA (UNVA), and corrected distance VA (CDVA), distance-corrected intermediate VA (DCIVA), and distance-corrected near VA (DCNVA) were assessed using standardized logMAR protocols. Pupil size was measured under photopic lighting using the CSO Sirius. Scatter plots with linear regression using the Bland and Altman Method were generated for each VA measure. Pearson correlation coefficients (r) and corresponding p-values were calculated to evaluate presence or absence of statistically significant correlations between pupil size and VA. This is a continuation of a previous analysis.",
        "Results": "A total of 152 eyes from 76 consecutive patients were included: G = 103, GP = 49. Pupil size ranged from 2.23 to 5.21 mm. Regression analyses showed no significant correlation between pupil size and UDVA (G: r = -0.07, p = 0.466, GP: r = 0.07, p = 0.646), UIVA (G: r = 0.16, p = 0.130, GP: r = -0.15, p = 0.326), UNVA (G: r = -0.09, p = 0.370, GP: r = 0.21, p = 0.149), CDVA (G: r = 0.09, p = 0.389, GP: r = 0.01, p = 0.924), DCIVA (G: r = 0.10, p = 0.382, GP: r = 0.01, p = 0.973), or DCNVA (G: r = -0.07, p = 0.494, GP: r = 0.29, p = 0.052). Slopes for all regression lines were near zero, indicating stable VA across the full physiologic pupil range tested.",
        "Conclusions": "Visual acuity outcomes in all distances following implantation of the Vivinex Gemetric and Gemetric Plus Trifocal IOLs demonstrated no clinically or statistically significant association with pupil diameter under photopic conditions. These findings continue to demonstrate that the optical performance of these trifocal IOLs remains consistent across physiologic pupil variations encountered in real world clinical settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "FP17.05",
      "abstract_number": "FP17.05",
      "title": "Clinical Outcomes And Patient Satisfaction With A Full Range Of Vision Intraocular Lens: A Single-Centre Prospective Study",
      "authors": "Dr Harald Gaeckle",
      "presenter": "Dr Harald Gaeckle",
      "normalized_authors": [
        "Harald Gaeckle"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Harald Gaeckle",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "LuxLife (Bausch + Lomb) is a novel refractive intraocular lens (IOL) designed to provide a continuous full range of vision (FRoV) without relying on diffractive optics, thereby avoiding diffractive‑type visual disturbances. This study assessed real-world clinical outcomes and patient satisfaction in patients who received bilateral implantation of the LuxLife IOL.",
        "Setting": "This was a prospective, non-randomised, single-site study conducted at a single site in Germany (MVZ Augenlaserzentrum). The surgeries were performed by one surgeon with significant experience in surgical vision correction.",
        "Methods": "LuxLife IOLs were implanted into 50 eyes of 25 patients who underwent consecutive bilateral surgery, with the second eye operated on one week after the first, from September 2025 to January 2026. Assessments included detailed subjective refraction and measurements of uncorrected visual acuity at 1 week and 6 weeks postoperatively. Monocular and binocular defocus curves were constructed for distance, intermediate, and near visual performance. Dysphotopsias, spectacle independence, and patient satisfaction were also assessed.",
        "Results": "Median monocular distance, intermediate, and near visual acuity (decimal) at 1 week was 0.8, 0.9, and 0.9, and at 6 weeks was 1.0, 1.0, and 0.9, respectively. Monocular defocus curve was −3 D at 0.2 logMAR. At 1 week and 6 weeks, 92% and 96% of patients reported being spectacle free, respectively. Two patients were provided –0.5 D correction at 1 week, and one patient continued to use for visual comfort –0.5 D correction for driving at 6 weeks, not required for routine. Two patients reported some bothersome optical phenomena by 6 weeks, most commonly contrast reduction in low light, but did not express overall dissatisfaction. All patients were satisfied with level of spectacle independence achieved.",
        "Conclusions": "The results from this study demonstrate the LuxLife IOL provides functional near and intermediate visual acuity by 1 week, with distance acuity improving by approximately two Snellen lines by 6 weeks, resulting in stable vision at all distances. Visual acuity measurements showed low variability, indicating consistent and predictable outcomes. In this cohort, patients reported minimal dysphotopsias compared with diffractive IOLs and high levels of functional spectacle independence, alongside high overall satisfaction. These findings support the lens as a potential option for patients seeking high visual quality at all distances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results from this study demonstrate the LuxLife IOL provides functional near and intermediate visual acuity by 1 week, with distance acuity improving by approximately two Snellen lines by 6 weeks, resulting in stable vision at all distances. Visual acuity measurements showed low variability, indicating consistent and predictable outcomes. In this cohort, patients reported minimal dysphotopsias compared with…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 246,
      "source_fields": {
        "Abstract Final Identifier": "FP17.05",
        "Title": "Clinical Outcomes And Patient Satisfaction With A Full Range Of Vision Intraocular Lens: A Single-Centre Prospective Study",
        "Presenting Author(s)": "Dr Harald Gaeckle",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Harald",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gaeckle",
        "Country Name": "Germany",
        "Purpose": "LuxLife (Bausch + Lomb) is a novel refractive intraocular lens (IOL) designed to provide a continuous full range of vision (FRoV) without relying on diffractive optics, thereby avoiding diffractive‑type visual disturbances. This study assessed real-world clinical outcomes and patient satisfaction in patients who received bilateral implantation of the LuxLife IOL.",
        "Setting": "This was a prospective, non-randomised, single-site study conducted at a single site in Germany (MVZ Augenlaserzentrum). The surgeries were performed by one surgeon with significant experience in surgical vision correction.",
        "Methods": "LuxLife IOLs were implanted into 50 eyes of 25 patients who underwent consecutive bilateral surgery, with the second eye operated on one week after the first, from September 2025 to January 2026. Assessments included detailed subjective refraction and measurements of uncorrected visual acuity at 1 week and 6 weeks postoperatively. Monocular and binocular defocus curves were constructed for distance, intermediate, and near visual performance. Dysphotopsias, spectacle independence, and patient satisfaction were also assessed.",
        "Results": "Median monocular distance, intermediate, and near visual acuity (decimal) at 1 week was 0.8, 0.9, and 0.9, and at 6 weeks was 1.0, 1.0, and 0.9, respectively. Monocular defocus curve was −3 D at 0.2 logMAR. At 1 week and 6 weeks, 92% and 96% of patients reported being spectacle free, respectively. Two patients were provided –0.5 D correction at 1 week, and one patient continued to use for visual comfort –0.5 D correction for driving at 6 weeks, not required for routine. Two patients reported some bothersome optical phenomena by 6 weeks, most commonly contrast reduction in low light, but did not express overall dissatisfaction. All patients were satisfied with level of spectacle independence achieved.",
        "Conclusions": "The results from this study demonstrate the LuxLife IOL provides functional near and intermediate visual acuity by 1 week, with distance acuity improving by approximately two Snellen lines by 6 weeks, resulting in stable vision at all distances. Visual acuity measurements showed low variability, indicating consistent and predictable outcomes. In this cohort, patients reported minimal dysphotopsias compared with diffractive IOLs and high levels of functional spectacle independence, alongside high overall satisfaction. These findings support the lens as a potential option for patients seeking high visual quality at all distances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 367
    },
    {
      "uid": "FP17.06",
      "abstract_number": "FP17.06",
      "title": "Postoperative Visual Outcomes Following Bilateral Implantation Of A New Trifocal Intraocular Lens Designed To Prioritize Near Vision",
      "authors": "Dr Kenichiro Yamazaki",
      "presenter": "Dr Kenichiro Yamazaki",
      "normalized_authors": [
        "Kenichiro Yamazaki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kenichiro Yamazaki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "The Vivinex Gemetric Plus (XY1-GP and XY1-GPT2-6; HOYA Surgical Optics) is a novel trifocal intraocular lens designed to optimize uncorrected near visual acuity. Although the Gemetric Plus shares the same focal distances as the Vivinex Gemetric (XY1-G), the Gemetric Plus differs in light distribution and is frequently paired with the distance-emphasizing Gemetric in clinical practice. This study aimed to evaluate postoperative visual outcomes following bilateral implantation of the Gemetric Plus.",
        "Setting": "Omiya Nanasato Eye Institute, Saitama, Japan",
        "Methods": "This prospective study included 54 eyes of 27 patients (mean age, 66.5 ± 6.3 years) who underwent femtosecond laser–assisted cataract surgery with bilateral implantation of Gemetric Plus (XY1-GP and XY1-GPT2–6). The distribution of implanted IOL models was as follows: XY1-GP in 22 eyes, T2 in 13 eyes, T3 in 13 eyes, T4 in 5 eyes, and T5 in 1 eye. The following parameters were evaluated at 3 months postoperatively: uncorrected and corrected distance visual acuity (UDVA and CDVA) at 5 m; uncorrected intermediate visual acuity (UIVA) at 60 and 80 cm; uncorrected near visual acuity (UNVA) at 40 and 30 cm; defocus curves; contrast sensitivity (CSV-1000, VectorVision); and dysphotopsia scores (QoV questionnaire).",
        "Results": "Mean postoperative spherical equivalent and cylinder were -0.34 ± 0.16 D and -0.22 ± 0.31 D, respectively. Binocular UDVA was 0.05 ± 0.01 logMAR; monocular UDVA/CDVA were 0.08 ± 0.01/-0.06 ± 0.05. UIVA (80/60 cm) was 0.15 ± 0.01/0.13 ± 0.09. Binocular and monocular UNVA (40/30 cm) were 0.09 ± 0.01/0.08 ± 0.02 and 0.05 ± 0.16/0.08 ± 0.01 logMAR, respectively. Photopic contrast sensitivity was 1.53 ± 0.22, 1.69 ± 0.23, 1.32 ± 0.09, and 0.87 ± 0.10 (log units) at 3, 6, 12, and 18 cpd. The distance-corrected defocus curve maintained visual acuity of 0.27 logMAR or better between +0.5 and -3.5 D. All patients were spectacle-independent, and no severe dysphotopsia affecting daily activities was reported.",
        "Conclusions": "Gemetric Plus provided good visual acuity at distance, intermediate, and near, including excellent performance at 30 cm, and was associated with a high rate of spectacle independence. Bilateral implantation of the Gemetric Plus may be a suitable option for populations using complex characters, such as Chinese characters."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Gemetric Plus provided good visual acuity at distance, intermediate, and near, including excellent performance at 30 cm, and was associated with a high rate of spectacle independence. Bilateral implantation of the Gemetric Plus may be a suitable option for populations using complex characters, such as Chinese characters.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 247,
      "source_fields": {
        "Abstract Final Identifier": "FP17.06",
        "Title": "Postoperative Visual Outcomes Following Bilateral Implantation Of A New Trifocal Intraocular Lens Designed To Prioritize Near Vision",
        "Presenting Author(s)": "Dr Kenichiro Yamazaki",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Kenichiro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yamazaki",
        "Country Name": "Japan",
        "Purpose": "The Vivinex Gemetric Plus (XY1-GP and XY1-GPT2-6; HOYA Surgical Optics) is a novel trifocal intraocular lens designed to optimize uncorrected near visual acuity. Although the Gemetric Plus shares the same focal distances as the Vivinex Gemetric (XY1-G), the Gemetric Plus differs in light distribution and is frequently paired with the distance-emphasizing Gemetric in clinical practice. This study aimed to evaluate postoperative visual outcomes following bilateral implantation of the Gemetric Plus.",
        "Setting": "Omiya Nanasato Eye Institute, Saitama, Japan",
        "Methods": "This prospective study included 54 eyes of 27 patients (mean age, 66.5 ± 6.3 years) who underwent femtosecond laser–assisted cataract surgery with bilateral implantation of Gemetric Plus (XY1-GP and XY1-GPT2–6). The distribution of implanted IOL models was as follows: XY1-GP in 22 eyes, T2 in 13 eyes, T3 in 13 eyes, T4 in 5 eyes, and T5 in 1 eye. The following parameters were evaluated at 3 months postoperatively: uncorrected and corrected distance visual acuity (UDVA and CDVA) at 5 m; uncorrected intermediate visual acuity (UIVA) at 60 and 80 cm; uncorrected near visual acuity (UNVA) at 40 and 30 cm; defocus curves; contrast sensitivity (CSV-1000, VectorVision); and dysphotopsia scores (QoV questionnaire).",
        "Results": "Mean postoperative spherical equivalent and cylinder were -0.34 ± 0.16 D and -0.22 ± 0.31 D, respectively. Binocular UDVA was 0.05 ± 0.01 logMAR; monocular UDVA/CDVA were 0.08 ± 0.01/-0.06 ± 0.05. UIVA (80/60 cm) was 0.15 ± 0.01/0.13 ± 0.09. Binocular and monocular UNVA (40/30 cm) were 0.09 ± 0.01/0.08 ± 0.02 and 0.05 ± 0.16/0.08 ± 0.01 logMAR, respectively. Photopic contrast sensitivity was 1.53 ± 0.22, 1.69 ± 0.23, 1.32 ± 0.09, and 0.87 ± 0.10 (log units) at 3, 6, 12, and 18 cpd. The distance-corrected defocus curve maintained visual acuity of 0.27 logMAR or better between +0.5 and -3.5 D. All patients were spectacle-independent, and no severe dysphotopsia affecting daily activities was reported.",
        "Conclusions": "Gemetric Plus provided good visual acuity at distance, intermediate, and near, including excellent performance at 30 cm, and was associated with a high rate of spectacle independence. Bilateral implantation of the Gemetric Plus may be a suitable option for populations using complex characters, such as Chinese characters."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "FP17.07",
      "abstract_number": "FP17.07",
      "title": "Visual And Functional Outcomes Of The Tecnis Odyssey Full-Dofi Intraocular Lens",
      "authors": "Dr Nic Johannes Reus",
      "presenter": "Dr Nic Johannes Reus",
      "normalized_authors": [
        "Nic Johannes Reus"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nic Johannes Reus",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To evaluate the visual and functional performance of the TECNIS Odyssey (DRN00V or toric DRTnnn) intraocular lens (IOL), a diffractive full depth-of-field (FULL-DOFi) IOL, following bilateral implantation in cataract patients. Clinical data on this lens are currently limited; this study aims to address this knowledge gap.",
        "Setting": "Single-centre ambispective observational cohort study at Amphia hospital, Department of Ophthalmology, Breda, the Netherlands (December 2025 – August 2026).",
        "Methods": "Thirty adult cataract patients with implantation of the TECNIS Odyssey IOL have been invited for a single study visit 3-6 months postoperatively; 2 patients have been measured; full data collection by August '26. Outcomes: spherical equivalent refraction (SEQ), pupil size, uncorrected/corrected distance, intermediate, and near visual acuity (UDVA/CDVA/UIVA/DCIVA/UNVA/DCNVA at 66 and 40 cm), defocus and contrast sensitivity curves (monocular and binocular). Reading acuity (RA), mean reading speed (MEAN-RS) and Critical Print Size (CPS), Catquest-9SF NL, PRSIQ-NL, global spectacle independence questionnaire (GSIQ-NL), quality of vision (QoV-NL), and Net Promoter Score (NPS; likelihood to recommend surgery and IOL to others) were assessed.",
        "Results": "Age: 65 ± 7 years; all females; photopic/scotopic pupil sizes (right, left): 3.3/5.3 - 3.4/5.2 mm. SEQ (right, left): -0.06±0.27 and 0.06±0.27 D. Monocular UDVA/CDVA (right, left): -0.01±0.04, -0.05±0.01 / -0.12±0.06, -0.11±0.01 logMAR. Binocular UDVA, CDVA, UIVA, DCIVA, UNVA, and DCNVA: -0.11±0.07, -0.13±0.04, 0.11±0.13, 0.04±0.14, 0.00±0.03, -0.01±0.04 logMAR. Contrast sensitivity within normal phakic limits. Defocus curves showed a steep FULL-DOFi profile. RA: 0.33, 0.13, 0.25, 0.20 logRAD; MEAN-RS: 199, 186, 192, and 194 wpm; CPS 0.53, 0.33, 0.45, and 0.40 logRAD (intermediate without/with addition, near without/with addition). Patients needed and wore spectacles none to some of the time. Dysphotopsias were mild to moderate. NPS 100%.",
        "Conclusions": "Bilateral implantation of the TECNIS Odyssey FULL-DOFi IOL yielded excellent visual acuity at all distances, a FULL-DOFi defocus profile, high spectacle independence, and an acceptable dysphotopsia profile. These independent results will support shared decision-making in IOL selection for cataract surgery and refractive lens exchange."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of the TECNIS Odyssey FULL-DOFi IOL yielded excellent visual acuity at all distances, a FULL-DOFi defocus profile, high spectacle independence, and an acceptable dysphotopsia profile. These independent results will support shared decision-making in IOL selection for cataract surgery and refractive lens exchange.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 248,
      "source_fields": {
        "Abstract Final Identifier": "FP17.07",
        "Title": "Visual And Functional Outcomes Of The Tecnis Odyssey Full-Dofi Intraocular Lens",
        "Presenting Author(s)": "Dr Nic Johannes Reus",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Nic",
        "Submitter Middle Name": "Johannes",
        "Submitter Last Name": "Reus",
        "Country Name": "Netherlands",
        "Purpose": "To evaluate the visual and functional performance of the TECNIS Odyssey (DRN00V or toric DRTnnn) intraocular lens (IOL), a diffractive full depth-of-field (FULL-DOFi) IOL, following bilateral implantation in cataract patients. Clinical data on this lens are currently limited; this study aims to address this knowledge gap.",
        "Setting": "Single-centre ambispective observational cohort study at Amphia hospital, Department of Ophthalmology, Breda, the Netherlands (December 2025 – August 2026).",
        "Methods": "Thirty adult cataract patients with implantation of the TECNIS Odyssey IOL have been invited for a single study visit 3-6 months postoperatively; 2 patients have been measured; full data collection by August '26. Outcomes: spherical equivalent refraction (SEQ), pupil size, uncorrected/corrected distance, intermediate, and near visual acuity (UDVA/CDVA/UIVA/DCIVA/UNVA/DCNVA at 66 and 40 cm), defocus and contrast sensitivity curves (monocular and binocular). Reading acuity (RA), mean reading speed (MEAN-RS) and Critical Print Size (CPS), Catquest-9SF NL, PRSIQ-NL, global spectacle independence questionnaire (GSIQ-NL), quality of vision (QoV-NL), and Net Promoter Score (NPS; likelihood to recommend surgery and IOL to others) were assessed.",
        "Results": "Age: 65 ± 7 years; all females; photopic/scotopic pupil sizes (right, left): 3.3/5.3 - 3.4/5.2 mm. SEQ (right, left): -0.06±0.27 and 0.06±0.27 D. Monocular UDVA/CDVA (right, left): -0.01±0.04, -0.05±0.01 / -0.12±0.06, -0.11±0.01 logMAR. Binocular UDVA, CDVA, UIVA, DCIVA, UNVA, and DCNVA: -0.11±0.07, -0.13±0.04, 0.11±0.13, 0.04±0.14, 0.00±0.03, -0.01±0.04 logMAR. Contrast sensitivity within normal phakic limits. Defocus curves showed a steep FULL-DOFi profile. RA: 0.33, 0.13, 0.25, 0.20 logRAD; MEAN-RS: 199, 186, 192, and 194 wpm; CPS 0.53, 0.33, 0.45, and 0.40 logRAD (intermediate without/with addition, near without/with addition). Patients needed and wore spectacles none to some of the time. Dysphotopsias were mild to moderate. NPS 100%.",
        "Conclusions": "Bilateral implantation of the TECNIS Odyssey FULL-DOFi IOL yielded excellent visual acuity at all distances, a FULL-DOFi defocus profile, high spectacle independence, and an acceptable dysphotopsia profile. These independent results will support shared decision-making in IOL selection for cataract surgery and refractive lens exchange."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "FP17.08",
      "abstract_number": "FP17.08",
      "title": "Visual Performance And Quality Of Visión Outcomes Obtained With Spiral Refractive Full Range Of Field Intraocular Lens: One-Year Follow-Up",
      "authors": "A/Prof. Alfonso Arias- Puente",
      "presenter": "A/Prof. Alfonso Arias- Puente",
      "normalized_authors": [
        "Alfonso Arias- Puente"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alfonso Arias- Puente",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the functional visual outcomes and quality of vision obtained with a spiral refractive full range of field (FRoF) intraocular lens (IOL) at one year follow-up.",
        "Setting": "Department of Ophthalmology. University Vithas International University Hospital. Madrid-Alicante Spain",
        "Methods": "This prospective, multicenter, longitudinal, observational, and non-comparative study included a total of 72 patients with mean age 65,65 ± 9,14 years old (r 49-79) All cases underwent uncomplicated cataract surgery with intraocular lens implant of RayOne Galaxy® IOL (Rayner, West Sussex, UK) implantation. Visual acuity was assessed 12 months post-surgery, including corrected and uncorrected visual acuity for far ((UDVA, CDVA), intermediate (UIVA, DCIVA), and near (UNAV, DCNVA) distances, photopic and mesopic achromatic contrast sensitivity (CS) (CSV-1000 test), halos and glare (Eyeland Design Network GmbH®), improvement in quality of life, satisfaction rates, and spectacle independence.",
        "Results": "All cases achieved binocular CDVA values ​​≤ 0.0 logMAR, DCIVA ≤ 0.1 logMAR, and DCNVA ≤ 0.2 logMAR. The defocus curve showed CDVA (0.0D) -0,05 ± 0,02 logMAR, DCIVA (-1,5D) -0,02 ± 0,01 and DCNVA (-2,5D) 0,10 ± 0,07. Regarding CS distance at 3,6,12,18 c/d in photopic CS were 6±1,51, 5,32 ± 1,16, 5,80 ± 1,37, 4,12 ± 1,08 and in mesopic CS 5,66 ± 1,57, 5,29 ± 1,29, 5,79 ± 1,74, 4,15 1,10 respectively. The average halo size was 28.5 ± 16.21, with 97.2% of cases reporting no clinically significant halos and 100% without glare.16.66% of eyes required posterior capsulotomy with mean time of 323.44 ± 95.12 days (r146–386). Spectacle independence was achieved in 93.0% for distance vision, 94.4% for intermediate vision, and 84.7% for near vision.\n\n.",
        "Conclusions": "The evaluated FRoF IOL provides, at one year of follow-up, functional performance that allows good levels of visual acuity for far, intermediate and near vision with minimal impact on contrast sensitivity at distance, minimal dysphotopsia and acceptable spectacle independence.\n\nThese visual outcomes remained stable since the first month of follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The evaluated FRoF IOL provides, at one year of follow-up, functional performance that allows good levels of visual acuity for far, intermediate and near vision with minimal impact on contrast sensitivity at distance, minimal dysphotopsia and acceptable spectacle independence. These visual outcomes remained stable since the first month of follow-up.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 249,
      "source_fields": {
        "Abstract Final Identifier": "FP17.08",
        "Title": "Visual Performance And Quality Of Visión Outcomes Obtained With Spiral Refractive Full Range Of Field Intraocular Lens: One-Year Follow-Up",
        "Presenting Author(s)": "A/Prof. Alfonso Arias- Puente",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Alfonso",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arias- Puente",
        "Country Name": "Spain",
        "Purpose": "To evaluate the functional visual outcomes and quality of vision obtained with a spiral refractive full range of field (FRoF) intraocular lens (IOL) at one year follow-up.",
        "Setting": "Department of Ophthalmology. University Vithas International University Hospital. Madrid-Alicante Spain",
        "Methods": "This prospective, multicenter, longitudinal, observational, and non-comparative study included a total of 72 patients with mean age 65,65 ± 9,14 years old (r 49-79) All cases underwent uncomplicated cataract surgery with intraocular lens implant of RayOne Galaxy® IOL (Rayner, West Sussex, UK) implantation. Visual acuity was assessed 12 months post-surgery, including corrected and uncorrected visual acuity for far ((UDVA, CDVA), intermediate (UIVA, DCIVA), and near (UNAV, DCNVA) distances, photopic and mesopic achromatic contrast sensitivity (CS) (CSV-1000 test), halos and glare (Eyeland Design Network GmbH®), improvement in quality of life, satisfaction rates, and spectacle independence.",
        "Results": "All cases achieved binocular CDVA values ​​≤ 0.0 logMAR, DCIVA ≤ 0.1 logMAR, and DCNVA ≤ 0.2 logMAR. The defocus curve showed CDVA (0.0D) -0,05 ± 0,02 logMAR, DCIVA (-1,5D) -0,02 ± 0,01 and DCNVA (-2,5D) 0,10 ± 0,07. Regarding CS distance at 3,6,12,18 c/d in photopic CS were 6±1,51, 5,32 ± 1,16, 5,80 ± 1,37, 4,12 ± 1,08 and in mesopic CS 5,66 ± 1,57, 5,29 ± 1,29, 5,79 ± 1,74, 4,15 1,10 respectively. The average halo size was 28.5 ± 16.21, with 97.2% of cases reporting no clinically significant halos and 100% without glare.16.66% of eyes required posterior capsulotomy with mean time of 323.44 ± 95.12 days (r146–386). Spectacle independence was achieved in 93.0% for distance vision, 94.4% for intermediate vision, and 84.7% for near vision.\n\n.",
        "Conclusions": "The evaluated FRoF IOL provides, at one year of follow-up, functional performance that allows good levels of visual acuity for far, intermediate and near vision with minimal impact on contrast sensitivity at distance, minimal dysphotopsia and acceptable spectacle independence.\n\nThese visual outcomes remained stable since the first month of follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "FP17.09",
      "abstract_number": "FP17.09",
      "title": "Impact Of Residual Refractive Error On Visual Acuity In Eyes Implanted With A Full Visual Range Intraocular Lens",
      "authors": "Dr Adam Muzychuk",
      "presenter": "Dr Adam Muzychuk",
      "normalized_authors": [
        "Adam Muzychuk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "As small postoperative refractive deviations may influence acuity, quantifying their impact may support optimisation of full visual range (FVR) intraocular lens (IOL) performance. This study assessed real‑world visual acuity outcomes with a FVR IOL, stratified by residual refractive error.",
        "Setting": "In this multicenter, cross-sectional retrospective study, 10 providers (9 USA, 1 Canada) contributed cases of patients who underwent cataract surgery with implantation of a FVR IOL. Patients were followed for up to 6 months.",
        "Methods": "On‑label enVista ENVY IOL electronic medical record cases were provided using a standardised case report forms of patient cases implanted with the enVista ENVY (EN) non-toric IOL following cataract surgery. Outcome measures included postoperative monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). In this subanalysis, outcomes were stratified by residual refractive error (sphere, cylinder and MRSE) in 0.25 D groups. Follow-up was ≥6 months.",
        "Results": "A total of 144 eyes from 94 patients were included in this analysis. In eyes implanted with the EN IOL and a residual sphere of –0.5 D, UDVA, UIVA, and near visual acuity UNVA of ≤20/25 was achieved in 25%, 100%, and 100% of cases, respectively. With a residual sphere of –0.25 D, these visual acuity levels were attained in 57% for UDVA, 100% for UIVA, and 71% for UNVA. In the emmetropic group (0.00 D), the proportions of eyes achieving ≤20/25 were 70% for UDVA, 71% for UIVA, and 44% for UNVA. Eyes with a residual sphere of ≥+0.25 D also demonstrated favorable outcomes, with more than 80% achieving ≤20/25 UDVA, more than 82% achieving ≤20/25 UIVA, and more than 76% achieving ≤20/25 UNVA.",
        "Conclusions": "The EN IOL delivered strong visual performance across all distances in the majority of patients. Eyes with minimal residual refractive error (±0.25 D), whether cylinder or MRSE, demonstrated better or comparable uncorrected visual acuity across all distances. These findings highlight the importance of precise refractive targeting when implanting FVR IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The EN IOL delivered strong visual performance across all distances in the majority of patients. Eyes with minimal residual refractive error (±0.25 D), whether cylinder or MRSE, demonstrated better or comparable uncorrected visual acuity across all distances. These findings highlight the importance of precise refractive targeting when implanting FVR IOLs.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 250,
      "source_fields": {
        "Abstract Final Identifier": "FP17.09",
        "Title": "Impact Of Residual Refractive Error On Visual Acuity In Eyes Implanted With A Full Visual Range Intraocular Lens",
        "Presenting Author(s)": "Dr Adam Muzychuk",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "As small postoperative refractive deviations may influence acuity, quantifying their impact may support optimisation of full visual range (FVR) intraocular lens (IOL) performance. This study assessed real‑world visual acuity outcomes with a FVR IOL, stratified by residual refractive error.",
        "Setting": "In this multicenter, cross-sectional retrospective study, 10 providers (9 USA, 1 Canada) contributed cases of patients who underwent cataract surgery with implantation of a FVR IOL. Patients were followed for up to 6 months.",
        "Methods": "On‑label enVista ENVY IOL electronic medical record cases were provided using a standardised case report forms of patient cases implanted with the enVista ENVY (EN) non-toric IOL following cataract surgery. Outcome measures included postoperative monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). In this subanalysis, outcomes were stratified by residual refractive error (sphere, cylinder and MRSE) in 0.25 D groups. Follow-up was ≥6 months.",
        "Results": "A total of 144 eyes from 94 patients were included in this analysis. In eyes implanted with the EN IOL and a residual sphere of –0.5 D, UDVA, UIVA, and near visual acuity UNVA of ≤20/25 was achieved in 25%, 100%, and 100% of cases, respectively. With a residual sphere of –0.25 D, these visual acuity levels were attained in 57% for UDVA, 100% for UIVA, and 71% for UNVA. In the emmetropic group (0.00 D), the proportions of eyes achieving ≤20/25 were 70% for UDVA, 71% for UIVA, and 44% for UNVA. Eyes with a residual sphere of ≥+0.25 D also demonstrated favorable outcomes, with more than 80% achieving ≤20/25 UDVA, more than 82% achieving ≤20/25 UIVA, and more than 76% achieving ≤20/25 UNVA.",
        "Conclusions": "The EN IOL delivered strong visual performance across all distances in the majority of patients. Eyes with minimal residual refractive error (±0.25 D), whether cylinder or MRSE, demonstrated better or comparable uncorrected visual acuity across all distances. These findings highlight the importance of precise refractive targeting when implanting FVR IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "FP17.10",
      "abstract_number": "FP17.10",
      "title": "Comparative Visual Outcomes And Patient Satisfaction With Partial Range Of Field Versus Full Range Of Field Intraocular Lenses",
      "authors": "Dr Alaa Mohamed Eldanasoury",
      "presenter": "Dr Alaa Mohamed Eldanasoury",
      "normalized_authors": [
        "Alaa Mohamed Eldanasoury"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alaa Mohamed Eldanasoury",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare visual acuity, optical quality, and patient satisfaction following bilateral implantation of a non-diffractive enhanced depth of focus (EDOF) IOL (partial range of field) and a diffractive trifocal IOL (full range of field) in patients undergoing cataract surgery or refractive lens exchange (RLE).",
        "Setting": "Magrabi Eye Center, Jeddah, Saudi Arabia",
        "Methods": "This analysis presents results from two prospective clinical trials: one evaluating the Asqelio EDOF IOL (68 eyes, 34 patients) and the other the FineVision HP trifocal IOL (66 eyes, 33 patients). All patients underwent bilateral phacoemulsification. Visual acuity was measured at distance (4 m), intermediate (66 cm), and near (40 cm) using logMAR. Optical quality metrics, including Objective Scatter Index (OSI), and patient-reported outcomes such as spectacle independence and photic phenomena, were assessed at three months.",
        "Results": "There was no statistically significant difference in uncorrected distance visual acuity and distance-corrected intermediate visual acuity at 66 cm (p >0.05). Distance-corrected near visual acuity at 40 cm was significantly better with trifocal (0.12 ± 0.09 logMAR) versus EDOF IOL (0.37 ± 0.13 logMAR, p = 0.001). Spectacle independence for near tasks was higher with trifocal (87%) than EDOF IOL (34%), while both groups showed high independence for distance and intermediate vision. OSI decreased significantly in cataract eyes and increased in RLE eyes for both lenses (p <0.05). Overall mean postoperative OSI 1.48 ± 0.72 in the EDOF group 1.61 ± 0.71 in the trifocal group (p < 0.001). EDOF IOLs resulted in lower rates of photic phenomena.",
        "Conclusions": "Both non-diffractive EDOF and diffractive trifocal IOLs offer excellent distance and intermediate vision and high patient satisfaction. The EDOF IOL minimizes visual disturbances while trifocal IOL delivers superior near vision and greater spectacle independence for near tasks. These findings support individualized IOL selection based on patient visual priorities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both non-diffractive EDOF and diffractive trifocal IOLs offer excellent distance and intermediate vision and high patient satisfaction. The EDOF IOL minimizes visual disturbances while trifocal IOL delivers superior near vision and greater spectacle independence for near tasks. These findings support individualized IOL selection based on patient visual priorities.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 251,
      "source_fields": {
        "Abstract Final Identifier": "FP17.10",
        "Title": "Comparative Visual Outcomes And Patient Satisfaction With Partial Range Of Field Versus Full Range Of Field Intraocular Lenses",
        "Presenting Author(s)": "Dr Alaa Mohamed Eldanasoury",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Alaa",
        "Submitter Middle Name": "Mohamed",
        "Submitter Last Name": "Eldanasoury",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare visual acuity, optical quality, and patient satisfaction following bilateral implantation of a non-diffractive enhanced depth of focus (EDOF) IOL (partial range of field) and a diffractive trifocal IOL (full range of field) in patients undergoing cataract surgery or refractive lens exchange (RLE).",
        "Setting": "Magrabi Eye Center, Jeddah, Saudi Arabia",
        "Methods": "This analysis presents results from two prospective clinical trials: one evaluating the Asqelio EDOF IOL (68 eyes, 34 patients) and the other the FineVision HP trifocal IOL (66 eyes, 33 patients). All patients underwent bilateral phacoemulsification. Visual acuity was measured at distance (4 m), intermediate (66 cm), and near (40 cm) using logMAR. Optical quality metrics, including Objective Scatter Index (OSI), and patient-reported outcomes such as spectacle independence and photic phenomena, were assessed at three months.",
        "Results": "There was no statistically significant difference in uncorrected distance visual acuity and distance-corrected intermediate visual acuity at 66 cm (p >0.05). Distance-corrected near visual acuity at 40 cm was significantly better with trifocal (0.12 ± 0.09 logMAR) versus EDOF IOL (0.37 ± 0.13 logMAR, p = 0.001). Spectacle independence for near tasks was higher with trifocal (87%) than EDOF IOL (34%), while both groups showed high independence for distance and intermediate vision. OSI decreased significantly in cataract eyes and increased in RLE eyes for both lenses (p <0.05). Overall mean postoperative OSI 1.48 ± 0.72 in the EDOF group 1.61 ± 0.71 in the trifocal group (p < 0.001). EDOF IOLs resulted in lower rates of photic phenomena.",
        "Conclusions": "Both non-diffractive EDOF and diffractive trifocal IOLs offer excellent distance and intermediate vision and high patient satisfaction. The EDOF IOL minimizes visual disturbances while trifocal IOL delivers superior near vision and greater spectacle independence for near tasks. These findings support individualized IOL selection based on patient visual priorities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "FP17.11",
      "abstract_number": "FP17.11",
      "title": "Large Real-World Comparison Of Two Trifocal Iols: Visual, Refractive And Patient-Reported Outcomes With 12-Month Pco/Nd:Yag—Vsy Trinova Pro C Versus Omni Trioptix Trifocal",
      "authors": "Dr Bora Deniz Argon",
      "presenter": "Dr Bora Deniz Argon",
      "normalized_authors": [
        "Bora Deniz Argon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bora Deniz Argon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare distance/intermediate/near vision, refractive predictability, defocus performance, contrast sensitivity, dysphotopsia and posterior capsule opacification (PCO) after implantation of two trifocal intraocular lenses (IOLs): VSY Trinova Pro C (Trinova) and Omni Trioptix Trifocal (Omni).",
        "Setting": "Single tertiary referral eye centre.",
        "Methods": "Retrospective comparative study; one eye per patient (n=340; 170 Trinova, 170 Omni). Outcomes at 3 and 12 months included uncorrected distance (UDVA), intermediate (UIVA, 65 cm) and near (UNVA, 40 cm) visual acuity in logMAR, manifest refraction spherical equivalent (MRSE), defocus curve, photopic contrast sensitivity (CS, no glare), halo (0–10), PCO grade (0–3), Nd:YAG laser capsulotomy rate and NEI Visual Function Questionnaire-25 (NEI-VFQ-25). PCO grading underwent QC; PCO could not decrease over time unless Nd:YAG was performed. Welch t or Mann–Whitney U for continuous; χ²/Fisher for categorical data. Sensitivity analysis of covariance (ANCOVA) adjusting for preoperative corrected distance visual acuity (CDVA) was performed.",
        "Results": "Preop CDVA was worse in Trinova (0.33±0.11 vs 0.27±0.09; p<0.001). At 3 months, UDVA was similar (0.03±0.04 vs 0.04±0.03; p=0.58), while Trinova had better UIVA (0.09±0.04 vs 0.12±0.04) and UNVA (0.10±0.05 vs 0.16±0.04; both p<0.001), persisting after ANCOVA. MRSE predictability was similar (±0.50 D: 82% vs 83%; p=0.89). Trinova showed higher CS at 6 cpd (1.60±0.08 vs 1.53±0.10) and lower halo (median 3 vs 4; both p<0.001). NEI-VFQ-25 was higher (90±5 vs 88±5; p<0.001) and full near spectacle independence greater (29% vs 18%; p=0.02). At 12 months, 85% vs 78% would choose the same IOL (p=0.13). PCO was lower (median 0 [0–1] vs 1 [0–2]; p<0.001), with similar Nd:YAG laser capsulotomy rates (6.5% vs 10.0%; p=0.32).",
        "Conclusions": "Both trifocal IOLs provided excellent distance vision and refractive predictability. Despite worse baseline CDVA, Trinova delivered superior intermediate/near performance, better contrast sensitivity, fewer halos and higher patient-reported quality of vision. Near spectacle independence was significantly greater with Trinova. PCO burden was lower through 12 months. These findings should be interpreted considering baseline imbalances inherent to the retrospective design."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both trifocal IOLs provided excellent distance vision and refractive predictability. Despite worse baseline CDVA, Trinova delivered superior intermediate/near performance, better contrast sensitivity, fewer halos and higher patient-reported quality of vision. Near spectacle independence was significantly greater with Trinova. PCO burden was lower through 12 months. These findings should be interpreted considering…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 252,
      "source_fields": {
        "Abstract Final Identifier": "FP17.11",
        "Title": "Large Real-World Comparison Of Two Trifocal Iols: Visual, Refractive And Patient-Reported Outcomes With 12-Month Pco/Nd:Yag—Vsy Trinova Pro C Versus Omni Trioptix Trifocal",
        "Presenting Author(s)": "Dr Bora Deniz Argon",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Bora Deniz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Argon",
        "Country Name": "Türkiye",
        "Purpose": "To compare distance/intermediate/near vision, refractive predictability, defocus performance, contrast sensitivity, dysphotopsia and posterior capsule opacification (PCO) after implantation of two trifocal intraocular lenses (IOLs): VSY Trinova Pro C (Trinova) and Omni Trioptix Trifocal (Omni).",
        "Setting": "Single tertiary referral eye centre.",
        "Methods": "Retrospective comparative study; one eye per patient (n=340; 170 Trinova, 170 Omni). Outcomes at 3 and 12 months included uncorrected distance (UDVA), intermediate (UIVA, 65 cm) and near (UNVA, 40 cm) visual acuity in logMAR, manifest refraction spherical equivalent (MRSE), defocus curve, photopic contrast sensitivity (CS, no glare), halo (0–10), PCO grade (0–3), Nd:YAG laser capsulotomy rate and NEI Visual Function Questionnaire-25 (NEI-VFQ-25). PCO grading underwent QC; PCO could not decrease over time unless Nd:YAG was performed. Welch t or Mann–Whitney U for continuous; χ²/Fisher for categorical data. Sensitivity analysis of covariance (ANCOVA) adjusting for preoperative corrected distance visual acuity (CDVA) was performed.",
        "Results": "Preop CDVA was worse in Trinova (0.33±0.11 vs 0.27±0.09; p<0.001). At 3 months, UDVA was similar (0.03±0.04 vs 0.04±0.03; p=0.58), while Trinova had better UIVA (0.09±0.04 vs 0.12±0.04) and UNVA (0.10±0.05 vs 0.16±0.04; both p<0.001), persisting after ANCOVA. MRSE predictability was similar (±0.50 D: 82% vs 83%; p=0.89). Trinova showed higher CS at 6 cpd (1.60±0.08 vs 1.53±0.10) and lower halo (median 3 vs 4; both p<0.001). NEI-VFQ-25 was higher (90±5 vs 88±5; p<0.001) and full near spectacle independence greater (29% vs 18%; p=0.02). At 12 months, 85% vs 78% would choose the same IOL (p=0.13). PCO was lower (median 0 [0–1] vs 1 [0–2]; p<0.001), with similar Nd:YAG laser capsulotomy rates (6.5% vs 10.0%; p=0.32).",
        "Conclusions": "Both trifocal IOLs provided excellent distance vision and refractive predictability. Despite worse baseline CDVA, Trinova delivered superior intermediate/near performance, better contrast sensitivity, fewer halos and higher patient-reported quality of vision. Near spectacle independence was significantly greater with Trinova. PCO burden was lower through 12 months. These findings should be interpreted considering baseline imbalances inherent to the retrospective design."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 384
    },
    {
      "uid": "FP17.12",
      "abstract_number": "FP17.12",
      "title": "Comparison Of Visual Outcomes Between Two Presbyopia-Correcting Intraocular Lenses",
      "authors": "Dr Clayton Blehm",
      "presenter": "Dr Clayton Blehm",
      "normalized_authors": [
        "Clayton Blehm"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clayton Blehm",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare visual acuity outcomes in patients bilaterally implanted with trifocal (Clareon PanOptix) intraocular lens (IOL) or trifocal (enVista Envy) IOL.",
        "Setting": "Multi-site, multi-surgeon study within the United States",
        "Methods": "An ambispective, multi-site study of patients bilaterally implanted with Clareon PanOptix IOL or enVista Envy IOL. A total of 20 subjects in each group were brought back for clinical evaluation between 2.5 and 5-months post-surgery. Clinical evaluations included binocular photopic high contrast uncorrected and distance-corrected (DC) VAs, binocular photopic low contrast (25%) DCVAs and binocular mesopic high contrast DCVAs at distance, intermediate (66 cm), and near (40 cm and 33 cm), binocular mesopic contrast sensitivity, and spectacle independence.",
        "Results": "Binocular photopic BCDVA, DCIVA, DCNVA 40 and 33 cm: (P) 0.00±0.05, 0.02±0.05, 0.12±0.12, and 0.16±0.08, respectively; (E) -0.01±0.08, 0.08±0.09, 0.13±0.09, and 0.24±0.12. Similar low contrast BCDVA and DCNVA were observed except the DCIVA and DCNVA (33 cm): (P) 0.24±0.07, 0.40±0.15 (E) 0.30±0.12, and 0.48±0.12. Under the mesopic condition, (P) provided about 4.5~ 8.5 letter better DCVA at intermediate and near. PanOptix provided similar mesopic CS with or with glare at 3,6 and 12 cpd. Spectacle independence in bright light for D, I, and N were: (P) 95%, 95%, and 95% respectively; (E) 95%, 95%, and 85% respectively. Dim light all percentages were the same, except (E) was 65% at near.",
        "Conclusions": "This ambispective study demonstrated good range of vision from distance to near for both PanOptix and Envy trifocal IOLs with PanOptix showing better intermediate and near distance corrected visual acuities, especially under mesopic condition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This ambispective study demonstrated good range of vision from distance to near for both PanOptix and Envy trifocal IOLs with PanOptix showing better intermediate and near distance corrected visual acuities, especially under mesopic condition.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 253,
      "source_fields": {
        "Abstract Final Identifier": "FP17.12",
        "Title": "Comparison Of Visual Outcomes Between Two Presbyopia-Correcting Intraocular Lenses",
        "Presenting Author(s)": "Dr Clayton Blehm",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Clayton",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Blehm",
        "Country Name": "United States",
        "Purpose": "To compare visual acuity outcomes in patients bilaterally implanted with trifocal (Clareon PanOptix) intraocular lens (IOL) or trifocal (enVista Envy) IOL.",
        "Setting": "Multi-site, multi-surgeon study within the United States",
        "Methods": "An ambispective, multi-site study of patients bilaterally implanted with Clareon PanOptix IOL or enVista Envy IOL. A total of 20 subjects in each group were brought back for clinical evaluation between 2.5 and 5-months post-surgery. Clinical evaluations included binocular photopic high contrast uncorrected and distance-corrected (DC) VAs, binocular photopic low contrast (25%) DCVAs and binocular mesopic high contrast DCVAs at distance, intermediate (66 cm), and near (40 cm and 33 cm), binocular mesopic contrast sensitivity, and spectacle independence.",
        "Results": "Binocular photopic BCDVA, DCIVA, DCNVA 40 and 33 cm: (P) 0.00±0.05, 0.02±0.05, 0.12±0.12, and 0.16±0.08, respectively; (E) -0.01±0.08, 0.08±0.09, 0.13±0.09, and 0.24±0.12. Similar low contrast BCDVA and DCNVA were observed except the DCIVA and DCNVA (33 cm): (P) 0.24±0.07, 0.40±0.15 (E) 0.30±0.12, and 0.48±0.12. Under the mesopic condition, (P) provided about 4.5~ 8.5 letter better DCVA at intermediate and near. PanOptix provided similar mesopic CS with or with glare at 3,6 and 12 cpd. Spectacle independence in bright light for D, I, and N were: (P) 95%, 95%, and 95% respectively; (E) 95%, 95%, and 85% respectively. Dim light all percentages were the same, except (E) was 65% at near.",
        "Conclusions": "This ambispective study demonstrated good range of vision from distance to near for both PanOptix and Envy trifocal IOLs with PanOptix showing better intermediate and near distance corrected visual acuities, especially under mesopic condition."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "FP17.13",
      "abstract_number": "FP17.13",
      "title": "Study Of Real World Performance Of Different Trifocal Lens For Intermediate And Near Vision In Different Light Conditions : A Study Of Real Life Performance Of Light Utilisation For Functional Near Vision",
      "authors": "Dr Ishan Mahesh Pandya",
      "presenter": "Dr Ishan Mahesh Pandya",
      "normalized_authors": [
        "Ishan Mahesh Pandya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ishan Mahesh Pandya",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "The purpose of the study is to evaluate the real life performance of various different trifocal IOLs (mIOL) in various light conditions and to undertand the effect of light utilization on the real world performace of these IOLs for near and intermediate vision.",
        "Setting": "Prospective , single centre trial at a tertiary eye hospital in a tier 2 city of India. Patients completing three month follow up were only considered for the study.",
        "Methods": "Three groups of 20 patients each, undergoing bilateral implantation of mIOL was considered. Group A recieved bilatral Gemetric/ Gemetric plus IOL( Hoya surgicals) , group B recieved bilateral Galaxy IOL implant (Rayner) and group C recieved bilateral Panoptix (Alcon). Bilateral UCIVA at 60 cm and UCNVA at 40 cm was accessed in bright light condition , moderate light condition and low light condition. Evaluation was done at 1 and 3 month mark and optimal LUX level of light for each group for near vision was accesed. All patient with residual of more than -0.75 SE in either eye were not considered.",
        "Results": "At low illumination of 30 lux , mimcing a diffuse lit room in a home in evening , UCNVA was N-10 in group A and C at 40 cm and N-8 at 60 cm. The group B showed slight better performance at low lux level with N-8 at 40cm and N-6 at 60 cm. Overall, the quality of visual acuity was noted to be better in group B in low light as comapred to other, when asked to rate the reading on a scale of 1-5 with 5 being great. In moderate illumination of 300 lux mimicking a well lit office setting and bright illumination of 1000 lux mimicking a table lamp focused on the area of reading, all the groups showed good UCNVA of N-6 at 40 cm and UCIVA of N-6 at 60cm. The UCDVA was uniform and statistically not significant across all groups.",
        "Conclusions": "The study showed that modern day mIOL require adequate to bright light for UCNVA and UCIVA at 40 and 60 cm with ideal Lux level being 300 Lux. The quality improved in well lit conditions when the Lux level were almost 1000 lux . Out of the three , Group B with Rayner Galaxy IOL performed best in low light condition of 30 Lux. At moderate to high illumination level, all mIOL offered excellent visual quality. On a concluding note, patients undergoing mIOL should be explained the need of reading in moderate illumination of 300 lux or better for optimal performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The study showed that modern day mIOL require adequate to bright light for UCNVA and UCIVA at 40 and 60 cm with ideal Lux level being 300 Lux. The quality improved in well lit conditions when the Lux level were almost 1000 lux . Out of the three , Group B with Rayner Galaxy IOL performed best in low light condition of 30 Lux. At moderate to high illumination level, all mIOL offered excellent visual quality. On a…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 254,
      "source_fields": {
        "Abstract Final Identifier": "FP17.13",
        "Title": "Study Of Real World Performance Of Different Trifocal Lens For Intermediate And Near Vision In Different Light Conditions : A Study Of Real Life Performance Of Light Utilisation For Functional Near Vision",
        "Presenting Author(s)": "Dr Ishan Mahesh Pandya",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ishan",
        "Submitter Middle Name": "Mahesh",
        "Submitter Last Name": "Pandya",
        "Country Name": "India",
        "Purpose": "The purpose of the study is to evaluate the real life performance of various different trifocal IOLs (mIOL) in various light conditions and to undertand the effect of light utilization on the real world performace of these IOLs for near and intermediate vision.",
        "Setting": "Prospective , single centre trial at a tertiary eye hospital in a tier 2 city of India. Patients completing three month follow up were only considered for the study.",
        "Methods": "Three groups of 20 patients each, undergoing bilateral implantation of mIOL was considered. Group A recieved bilatral Gemetric/ Gemetric plus IOL( Hoya surgicals) , group B recieved bilateral Galaxy IOL implant (Rayner) and group C recieved bilateral Panoptix (Alcon). Bilateral UCIVA at 60 cm and UCNVA at 40 cm was accessed in bright light condition , moderate light condition and low light condition. Evaluation was done at 1 and 3 month mark and optimal LUX level of light for each group for near vision was accesed. All patient with residual of more than -0.75 SE in either eye were not considered.",
        "Results": "At low illumination of 30 lux , mimcing a diffuse lit room in a home in evening , UCNVA was N-10 in group A and C at 40 cm and N-8 at 60 cm. The group B showed slight better performance at low lux level with N-8 at 40cm and N-6 at 60 cm. Overall, the quality of visual acuity was noted to be better in group B in low light as comapred to other, when asked to rate the reading on a scale of 1-5 with 5 being great. In moderate illumination of 300 lux mimicking a well lit office setting and bright illumination of 1000 lux mimicking a table lamp focused on the area of reading, all the groups showed good UCNVA of N-6 at 40 cm and UCIVA of N-6 at 60cm. The UCDVA was uniform and statistically not significant across all groups.",
        "Conclusions": "The study showed that modern day mIOL require adequate to bright light for UCNVA and UCIVA at 40 and 60 cm with ideal Lux level being 300 Lux. The quality improved in well lit conditions when the Lux level were almost 1000 lux . Out of the three , Group B with Rayner Galaxy IOL performed best in low light condition of 30 Lux. At moderate to high illumination level, all mIOL offered excellent visual quality. On a concluding note, patients undergoing mIOL should be explained the need of reading in moderate illumination of 300 lux or better for optimal performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 414
    },
    {
      "uid": "FP17.14",
      "abstract_number": "FP17.14",
      "title": "Clinical Outcomes Of Enhanced Monofocal, Extended Depth Of Focus, And Multifocal Iols After Corneal Refractive Surgery",
      "authors": "Dr Jiyoung Emily Lee",
      "presenter": "Dr Jiyoung Emily Lee",
      "normalized_authors": [
        "Jiyoung Emily Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jiyoung Emily Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the clinical outcomes of three presbyopia-correcting intraocular lenses (IOLs) (enhanced monofocal: Eyhance, extended depth of focus (EDOF): PureSee, and multifocal IOL: Synergy) after corneal refractive surgery.",
        "Setting": "Bucheon St. Mary's Hospital, The Catholic University of Korea",
        "Methods": "90 eyes (45 patients; multifocal IOL: Synergy– group 1, n= 30, enhanced monofocal: Eyhance– group 2, n= 30, EDOF: PureSee - group 3, n= 30) who underwent cataract surgery were enrolled. Uncorrected and corrected near (UNVA, CNVA), intermediate (UIVA, CIVA), and distant (UDVA, CDVA) visual acuity, manifest refraction spherical equivalent (MRSE), and satisfaction score were evaluated before and after surgery.",
        "Results": "The postoperative UCVA, CDVA, UIVA, UNVA, and MRSE of the three groups were better than the preoperative data, respectively (P<0.05). There was no statistical difference in postoperative UCVA, CDVA, UIVA, or MRSE among the three groups (P > 0.05). The postoperative UNVA of group 1 (0.03 ± 0.01 logMAR) was significantly better than those of groups 2 and 3 (0.33 ± 0.01, 0.25 ± 0.01, respectively) (P<0.05). And the postoperative UNVA of group 3 was also significantly better than that of group 2 (P<0.05). Mean absolute error (D) of Barrett True-K was smaller than that of Haigis-L (44%) formula among three groups, respectively (P<0.05).",
        "Conclusions": "The multifocal IOL showed better uncorrected near vision compared with the EDOF and the enhanced monofocal IOL after corneal refractive surgery. Barrett True-K was more accurate than Haigis-L formula after corneal refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The multifocal IOL showed better uncorrected near vision compared with the EDOF and the enhanced monofocal IOL after corneal refractive surgery. Barrett True-K was more accurate than Haigis-L formula after corneal refractive surgery.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 255,
      "source_fields": {
        "Abstract Final Identifier": "FP17.14",
        "Title": "Clinical Outcomes Of Enhanced Monofocal, Extended Depth Of Focus, And Multifocal Iols After Corneal Refractive Surgery",
        "Presenting Author(s)": "Dr Jiyoung Emily Lee",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Jiyoung",
        "Submitter Middle Name": "Emily",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the clinical outcomes of three presbyopia-correcting intraocular lenses (IOLs) (enhanced monofocal: Eyhance, extended depth of focus (EDOF): PureSee, and multifocal IOL: Synergy) after corneal refractive surgery.",
        "Setting": "Bucheon St. Mary's Hospital, The Catholic University of Korea",
        "Methods": "90 eyes (45 patients; multifocal IOL: Synergy– group 1, n= 30, enhanced monofocal: Eyhance– group 2, n= 30, EDOF: PureSee - group 3, n= 30) who underwent cataract surgery were enrolled. Uncorrected and corrected near (UNVA, CNVA), intermediate (UIVA, CIVA), and distant (UDVA, CDVA) visual acuity, manifest refraction spherical equivalent (MRSE), and satisfaction score were evaluated before and after surgery.",
        "Results": "The postoperative UCVA, CDVA, UIVA, UNVA, and MRSE of the three groups were better than the preoperative data, respectively (P<0.05). There was no statistical difference in postoperative UCVA, CDVA, UIVA, or MRSE among the three groups (P > 0.05). The postoperative UNVA of group 1 (0.03 ± 0.01 logMAR) was significantly better than those of groups 2 and 3 (0.33 ± 0.01, 0.25 ± 0.01, respectively) (P<0.05). And the postoperative UNVA of group 3 was also significantly better than that of group 2 (P<0.05). Mean absolute error (D) of Barrett True-K was smaller than that of Haigis-L (44%) formula among three groups, respectively (P<0.05).",
        "Conclusions": "The multifocal IOL showed better uncorrected near vision compared with the EDOF and the enhanced monofocal IOL after corneal refractive surgery. Barrett True-K was more accurate than Haigis-L formula after corneal refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "FP17.15",
      "abstract_number": "FP17.15",
      "title": "Comparison Of Visual Performance Among Two Multifocal-Extended Depth-Of-Focus Intraocular Lens Types And A Trifocal Intraocular Lens",
      "authors": "Dr Ken Hayashi",
      "presenter": "Dr Ken Hayashi",
      "normalized_authors": [
        "Ken Hayashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ken Hayashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare the visual performance of a new multifocal-extended depth-of-focus (EDOF) intraocular lens (IOL: Odyssey™, Johnson & Johnson) with that of an earlier multifocal-EDOF IOL (Synergy™, Johnson & Johnson) and a trifocal IOL (PanOptix™, Alcon).",
        "Setting": "Hayashi Eye Hospital, Fukuoka, Japan.",
        "Methods": "Ninety eyes of 90 patients who received one of two types of multifocal-EDOF IOLs or a trifocal IOL were enrolled. Uncorrected and distance-corrected visual acuity (VA) at various distances, photopic and mesopic contrast VA, and degree of photic symptoms were evaluated at 3 months postoperatively and compared among groups.",
        "Results": "Mean uncorrected far and intermediate VAs from ∞ to 1.0 m were generally better in the odyssey group than in the other groups ( P ≤.046), but uncorrected near VA at 0.3 m and intermediate VA at 0.5 m were worse ( P ≤.028). Mean distance-corrected far and intermediate VAs from ∞ to 1.0 m, however, did not differ significantly among groups, and near VA and intermediate VA at 0.5 and 0.7 m were significantly worse, however, in the Odyssey group than in the other groups ( P ≤.018). Mean mesopic contrast VA at 10% contrast and and glare size were significantly better in the Odyssey group than in the other groups ( P ≤.040).",
        "Conclusions": "The Odyssey provided better uncorrected far and intermediate VAs from ∞ to 1.0 m than the other IOLs despite no significant difference in distance-corrected VA. However, it showed worse uncorrected and distance-corrected near VA and intermediate VAs at 0.5 m, suggesting that the Odyssey has far-dominant properties and greater tolerance to refractive errors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Odyssey provided better uncorrected far and intermediate VAs from ∞ to 1.0 m than the other IOLs despite no significant difference in distance-corrected VA. However, it showed worse uncorrected and distance-corrected near VA and intermediate VAs at 0.5 m, suggesting that the Odyssey has far-dominant properties and greater tolerance to refractive errors.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 256,
      "source_fields": {
        "Abstract Final Identifier": "FP17.15",
        "Title": "Comparison Of Visual Performance Among Two Multifocal-Extended Depth-Of-Focus Intraocular Lens Types And A Trifocal Intraocular Lens",
        "Presenting Author(s)": "Dr Ken Hayashi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ken",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hayashi",
        "Country Name": "Japan",
        "Purpose": "To compare the visual performance of a new multifocal-extended depth-of-focus (EDOF) intraocular lens (IOL: Odyssey™, Johnson & Johnson) with that of an earlier multifocal-EDOF IOL (Synergy™, Johnson & Johnson) and a trifocal IOL (PanOptix™, Alcon).",
        "Setting": "Hayashi Eye Hospital, Fukuoka, Japan.",
        "Methods": "Ninety eyes of 90 patients who received one of two types of multifocal-EDOF IOLs or a trifocal IOL were enrolled. Uncorrected and distance-corrected visual acuity (VA) at various distances, photopic and mesopic contrast VA, and degree of photic symptoms were evaluated at 3 months postoperatively and compared among groups.",
        "Results": "Mean uncorrected far and intermediate VAs from ∞ to 1.0 m were generally better in the odyssey group than in the other groups ( P ≤.046), but uncorrected near VA at 0.3 m and intermediate VA at 0.5 m were worse ( P ≤.028). Mean distance-corrected far and intermediate VAs from ∞ to 1.0 m, however, did not differ significantly among groups, and near VA and intermediate VA at 0.5 and 0.7 m were significantly worse, however, in the Odyssey group than in the other groups ( P ≤.018). Mean mesopic contrast VA at 10% contrast and and glare size were significantly better in the Odyssey group than in the other groups ( P ≤.040).",
        "Conclusions": "The Odyssey provided better uncorrected far and intermediate VAs from ∞ to 1.0 m than the other IOLs despite no significant difference in distance-corrected VA. However, it showed worse uncorrected and distance-corrected near VA and intermediate VAs at 0.5 m, suggesting that the Odyssey has far-dominant properties and greater tolerance to refractive errors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "FP18.01",
      "abstract_number": "FP18.01",
      "title": "Acute Ocular Chemical Injuries: Epidemiology, Clinical Profile And Management In A Portuguese Tertiary Eye Emergency Unit (2022–2025)",
      "authors": "Mariana Salsa Salsa-Castelo",
      "presenter": "Mariana Salsa Salsa-Castelo",
      "normalized_authors": [
        "Mariana Salsa Salsa-Castelo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariana Salsa-Castelo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Acute ocular chemical injuries (AOCI) account for a significant proportion of visits to eye emergency departments worldwide. These ophthalmic emergencies range from mild epithelial defects to severe ocular surface destruction, potentially resulting in corneal opacification, limbal stem cell deficiency, secondary glaucoma and, in extreme cases, globe loss. Injury severity depends on the chemical substance involved, volume and duration of exposure and intrinsic toxicity, with alkali burns typically causing deeper tissue damage. Immediate irrigation remains the key determinant of visual prognosis. This study aimed to characterize the incidence, demographic profile, severity distribution and management patterns of AOCI.",
        "Setting": "Single-centre retrospective observational descriptive study conducted at the Ophthalmology Emergency Department of Centro Hospitalar Universitário de São João, a tertiary referral center in Porto, Portugal.",
        "Methods": "Medical records of patients presenting with AOCI to the Ophthalmology Emergency Department between 1 January 2022 and 31 December 2025 were reviewed. During this period, 53,440 patients attended the emergency unit, of whom 745 presented with AOCI (1.4%). A total of 861 eyes were included. Collected variables included age, sex, laterality, injury context, chemical agent, time to presentation, pre-hospital irrigation, clinical severity, management and complications. Corneal involvement and limbal ischemia were graded according to the Roper-Hall classification. Patient-level variables were analyzed per individual, while clinical severity and treatment variables were analyzed per eye.",
        "Results": "A total of 745 patients (861 eyes) were included, 15.4% had bilateral involvement and 51.4% were female. Mean age was 44.1 years (range 18–89; SD 14.8). Most injuries were domestic (60.9%) or occupational (38.3%); assault was rare (0.7%). 84.4% of patients presented within 24 hours and 69.9% performed pre-hospital irrigation, with increasing rates between 2022 and 2024. Most eyes were Roper-Hall grade I (72.9%), followed by grade II (9.2%), grade III (1.7%) and grade IV (0.3%). Grade IV cases (two eyes, one patient) followed wet cement exposure and required admission with amniotic membrane transplantation. Most cases were managed conservatively with antibiotics (94.2%), corticosteroids (88.7%), lubricants (85.8%) and vitamin A (12.9%).",
        "Conclusions": "AOCI represent a substantial proportion of ophthalmic emergency visits, predominantly resulting from domestic and occupational exposure. Increasing irrigation rates between 2022 and 2024 may reflect improved public awareness and could contribute to favorable outcomes. The Roper-Hall grading system remains a valuable prognostic tool. While most injuries are mild and respond well to conservative therapy, severe alkali burns remain vision-threatening and require urgent specialized management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AOCI represent a substantial proportion of ophthalmic emergency visits, predominantly resulting from domestic and occupational exposure. Increasing irrigation rates between 2022 and 2024 may reflect improved public awareness and could contribute to favorable outcomes. The Roper-Hall grading system remains a valuable prognostic tool. While most injuries are mild and respond well to conservative therapy, severe…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 257,
      "source_fields": {
        "Abstract Final Identifier": "FP18.01",
        "Title": "Acute Ocular Chemical Injuries: Epidemiology, Clinical Profile And Management In A Portuguese Tertiary Eye Emergency Unit (2022–2025)",
        "Presenting Author(s)": "Mariana Salsa Salsa-Castelo",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mariana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Salsa-Castelo",
        "Country Name": "Portugal",
        "Purpose": "Acute ocular chemical injuries (AOCI) account for a significant proportion of visits to eye emergency departments worldwide. These ophthalmic emergencies range from mild epithelial defects to severe ocular surface destruction, potentially resulting in corneal opacification, limbal stem cell deficiency, secondary glaucoma and, in extreme cases, globe loss. Injury severity depends on the chemical substance involved, volume and duration of exposure and intrinsic toxicity, with alkali burns typically causing deeper tissue damage. Immediate irrigation remains the key determinant of visual prognosis. This study aimed to characterize the incidence, demographic profile, severity distribution and management patterns of AOCI.",
        "Setting": "Single-centre retrospective observational descriptive study conducted at the Ophthalmology Emergency Department of Centro Hospitalar Universitário de São João, a tertiary referral center in Porto, Portugal.",
        "Methods": "Medical records of patients presenting with AOCI to the Ophthalmology Emergency Department between 1 January 2022 and 31 December 2025 were reviewed. During this period, 53,440 patients attended the emergency unit, of whom 745 presented with AOCI (1.4%). A total of 861 eyes were included. Collected variables included age, sex, laterality, injury context, chemical agent, time to presentation, pre-hospital irrigation, clinical severity, management and complications. Corneal involvement and limbal ischemia were graded according to the Roper-Hall classification. Patient-level variables were analyzed per individual, while clinical severity and treatment variables were analyzed per eye.",
        "Results": "A total of 745 patients (861 eyes) were included, 15.4% had bilateral involvement and 51.4% were female. Mean age was 44.1 years (range 18–89; SD 14.8). Most injuries were domestic (60.9%) or occupational (38.3%); assault was rare (0.7%). 84.4% of patients presented within 24 hours and 69.9% performed pre-hospital irrigation, with increasing rates between 2022 and 2024. Most eyes were Roper-Hall grade I (72.9%), followed by grade II (9.2%), grade III (1.7%) and grade IV (0.3%). Grade IV cases (two eyes, one patient) followed wet cement exposure and required admission with amniotic membrane transplantation. Most cases were managed conservatively with antibiotics (94.2%), corticosteroids (88.7%), lubricants (85.8%) and vitamin A (12.9%).",
        "Conclusions": "AOCI represent a substantial proportion of ophthalmic emergency visits, predominantly resulting from domestic and occupational exposure. Increasing irrigation rates between 2022 and 2024 may reflect improved public awareness and could contribute to favorable outcomes. The Roper-Hall grading system remains a valuable prognostic tool. While most injuries are mild and respond well to conservative therapy, severe alkali burns remain vision-threatening and require urgent specialized management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 408
    },
    {
      "uid": "FP18.02",
      "abstract_number": "FP18.02",
      "title": "Pentagonal Vs Quadrangular Conjunctival Autograft In Pterygium Surgery: A Comparative Study On Graft Retraction",
      "authors": "A/Prof. aysun sanal dogan",
      "presenter": "A/Prof. aysun sanal dogan",
      "normalized_authors": [
        "aysun sanal dogan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alperen Bahar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Postoperative complications such as suture dehiscence, graft retraction, and graft displacement—particularly at the nasal edge—are common following pterygium surgery. Conventional techniques employ a rectangular conjunctival autograft placed on a rectangular recipient bed; however, the spherical curvature of the globe may generate increased tension at the central nasal margin during ocular movements, predisposing to graft instability. This study aimed to evaluate whether modifying the nasal edge of the autograft into a convex configuration, forming a pentagonal shape, reduces graft retraction and displacement.",
        "Setting": "Single-center, tertiary care hospital (Diskapi Yıldırım Beyazıt Training and Research Hospital)",
        "Methods": "This retrospective comparative study included patients who underwent primary pterygium excision with conjunctival autograft transplantation using either a pentagonal or conventional quadrangular graft configuration. Only primary pterygium cases with at least 6 months of postoperative follow-up were included. Patients with systemic or ocular conditions affecting wound healing were excluded. All surgeries were performed by a single experienced surgeon using sutured fixation. The primary outcome was graft retraction. Secondary outcomes included graft displacement requiring resuturing and recurrence rate.",
        "Results": "Fifty-eight eyes were included: 26 in the pentagonal graft group and 32 in the quadrangular graft group. Graft retraction occurred in 1 eye (3.8%) in the pentagonal group compared with 9 eyes (28.1%) in the quadrangular group (P=0.015). No graft displacement requiring resuturing occurred in the pentagonal group, whereas 4 cases (15.6%) were observed in the quadrangular group (P>0.05). Recurrence rates were 7.6% and 12.5% in the pentagonal and quadrangular groups, respectively, without statistical significance.",
        "Conclusions": "A pentagonal conjunctival autograft configuration significantly reduces graft retraction after pterygium surgery compared with the conventional quadrangular design. By improving conformity to the globe’s curvature and distributing traction forces more evenly, this geometric modification may enhance graft stability and represent a simple, effective surgical refinement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A pentagonal conjunctival autograft configuration significantly reduces graft retraction after pterygium surgery compared with the conventional quadrangular design. By improving conformity to the globe’s curvature and distributing traction forces more evenly, this geometric modification may enhance graft stability and represent a simple, effective surgical refinement.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 258,
      "source_fields": {
        "Abstract Final Identifier": "FP18.02",
        "Title": "Pentagonal Vs Quadrangular Conjunctival Autograft In Pterygium Surgery: A Comparative Study On Graft Retraction",
        "Presenting Author(s)": "A/Prof. aysun sanal dogan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alperen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bahar",
        "Country Name": "Türkiye",
        "Purpose": "Postoperative complications such as suture dehiscence, graft retraction, and graft displacement—particularly at the nasal edge—are common following pterygium surgery. Conventional techniques employ a rectangular conjunctival autograft placed on a rectangular recipient bed; however, the spherical curvature of the globe may generate increased tension at the central nasal margin during ocular movements, predisposing to graft instability. This study aimed to evaluate whether modifying the nasal edge of the autograft into a convex configuration, forming a pentagonal shape, reduces graft retraction and displacement.",
        "Setting": "Single-center, tertiary care hospital (Diskapi Yıldırım Beyazıt Training and Research Hospital)",
        "Methods": "This retrospective comparative study included patients who underwent primary pterygium excision with conjunctival autograft transplantation using either a pentagonal or conventional quadrangular graft configuration. Only primary pterygium cases with at least 6 months of postoperative follow-up were included. Patients with systemic or ocular conditions affecting wound healing were excluded. All surgeries were performed by a single experienced surgeon using sutured fixation. The primary outcome was graft retraction. Secondary outcomes included graft displacement requiring resuturing and recurrence rate.",
        "Results": "Fifty-eight eyes were included: 26 in the pentagonal graft group and 32 in the quadrangular graft group. Graft retraction occurred in 1 eye (3.8%) in the pentagonal group compared with 9 eyes (28.1%) in the quadrangular group (P=0.015). No graft displacement requiring resuturing occurred in the pentagonal group, whereas 4 cases (15.6%) were observed in the quadrangular group (P>0.05). Recurrence rates were 7.6% and 12.5% in the pentagonal and quadrangular groups, respectively, without statistical significance.",
        "Conclusions": "A pentagonal conjunctival autograft configuration significantly reduces graft retraction after pterygium surgery compared with the conventional quadrangular design. By improving conformity to the globe’s curvature and distributing traction forces more evenly, this geometric modification may enhance graft stability and represent a simple, effective surgical refinement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "FP18.03",
      "abstract_number": "FP18.03",
      "title": "A Multipurpose Smart Nano-Formulation Eye Drop: Triple-Action Synergy For Intraocular Pressure Reduction, Corneal Wound Healing, And Retinal Regeneration Using Herbal-Vitamin Complex",
      "authors": "A/Prof. Mehran Masoudnaseri",
      "presenter": "A/Prof. Mehran Masoudnaseri",
      "normalized_authors": [
        "Mehran Masoudnaseri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehran Masoudnaseri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To evaluate a multipurpose smart nano-carrier eye drop designed as an all-in-one therapeutic solution. The primary objective is to address complex ocular pathologies through a triple-action mechanism: 1) Reduction of intraocular pressure (IOP) via improved aqueous outflow, 2) Enhanced corneal wound healing using a synchronized vitamin-amino acid complex, and 3) Neuroprotective support for retinal regeneration via bioactive herbal extracts. This multipurpose approach aims to simplify treatment regimens and significantly improve patient compliance by replacing multiple separate medications with a single smart delivery platform.",
        "Setting": "Experimental research conducted in a specialized ocular pharmacology and nanotechnology laboratory, utilizing advanced in-vitro corneal barrier models and posterior segment simulation techniques at",
        "Methods": "A multipurpose bioactive nano-emulsion was formulated, integrating Vitamins (A, B, C, E), amino acids, and standardized herbal extracts. The carrier uses a pH-sensitive smart polymer for in-situ gelation. The study evaluated: a) IOP modulation through uveoscleral outflow enhancement models, b) Corneal regeneration efficiency using standardized scratch-test assays on epithelial cells, and c) Retinal neuro-regeneration potential by quantifying the trans-scleral delivery of herbal bioactive compounds to the posterior segment. Synergy between the multi-components and the stability of the nano-carrier were also assessed.",
        "Results": "The multipurpose formulation achieved a 45% increase in ocular residence time. Results showed a significant IOP reduction (4-6 mmHg) without traditional side effects. Wound healing rates improved by 52%, showing rapid epithelial closure within 24-48 hours. Most notably, the nano-formulation successfully bypassed anterior barriers, delivering neuroprotective agents to the retina, which enhanced cell viability and supported structural regeneration. No chemical interference was found between the vitamins and herbal extracts, confirming the stability of this all-in-one multipurpose system.",
        "Conclusions": "This multipurpose smart eye drop represents a paradigm shift in ocular therapy. By successfully combining IOP control, surface healing, and retinal protection into a single delivery system, it eliminates the need for multiple medications. This triple-action synergy not only enhances biological efficacy but also addresses the critical issue of patient compliance in chronic ocular diseases. The study confirms that an all-in-one nano-carrier is a viable and superior alternative for comprehensive management of both anterior and posterior segment disorders."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This multipurpose smart eye drop represents a paradigm shift in ocular therapy. By successfully combining IOP control, surface healing, and retinal protection into a single delivery system, it eliminates the need for multiple medications. This triple-action synergy not only enhances biological efficacy but also addresses the critical issue of patient compliance in chronic ocular diseases. The study confirms that an…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 259,
      "source_fields": {
        "Abstract Final Identifier": "FP18.03",
        "Title": "A Multipurpose Smart Nano-Formulation Eye Drop: Triple-Action Synergy For Intraocular Pressure Reduction, Corneal Wound Healing, And Retinal Regeneration Using Herbal-Vitamin Complex",
        "Presenting Author(s)": "A/Prof. Mehran Masoudnaseri",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mehran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Masoudnaseri",
        "Country Name": "Ukraine",
        "Purpose": "To evaluate a multipurpose smart nano-carrier eye drop designed as an all-in-one therapeutic solution. The primary objective is to address complex ocular pathologies through a triple-action mechanism: 1) Reduction of intraocular pressure (IOP) via improved aqueous outflow, 2) Enhanced corneal wound healing using a synchronized vitamin-amino acid complex, and 3) Neuroprotective support for retinal regeneration via bioactive herbal extracts. This multipurpose approach aims to simplify treatment regimens and significantly improve patient compliance by replacing multiple separate medications with a single smart delivery platform.",
        "Setting": "Experimental research conducted in a specialized ocular pharmacology and nanotechnology laboratory, utilizing advanced in-vitro corneal barrier models and posterior segment simulation techniques at",
        "Methods": "A multipurpose bioactive nano-emulsion was formulated, integrating Vitamins (A, B, C, E), amino acids, and standardized herbal extracts. The carrier uses a pH-sensitive smart polymer for in-situ gelation. The study evaluated: a) IOP modulation through uveoscleral outflow enhancement models, b) Corneal regeneration efficiency using standardized scratch-test assays on epithelial cells, and c) Retinal neuro-regeneration potential by quantifying the trans-scleral delivery of herbal bioactive compounds to the posterior segment. Synergy between the multi-components and the stability of the nano-carrier were also assessed.",
        "Results": "The multipurpose formulation achieved a 45% increase in ocular residence time. Results showed a significant IOP reduction (4-6 mmHg) without traditional side effects. Wound healing rates improved by 52%, showing rapid epithelial closure within 24-48 hours. Most notably, the nano-formulation successfully bypassed anterior barriers, delivering neuroprotective agents to the retina, which enhanced cell viability and supported structural regeneration. No chemical interference was found between the vitamins and herbal extracts, confirming the stability of this all-in-one multipurpose system.",
        "Conclusions": "This multipurpose smart eye drop represents a paradigm shift in ocular therapy. By successfully combining IOP control, surface healing, and retinal protection into a single delivery system, it eliminates the need for multiple medications. This triple-action synergy not only enhances biological efficacy but also addresses the critical issue of patient compliance in chronic ocular diseases. The study confirms that an all-in-one nano-carrier is a viable and superior alternative for comprehensive management of both anterior and posterior segment disorders."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "FP18.04",
      "abstract_number": "FP18.04",
      "title": "Comparing Regional Stress-Strain Index Maps Between Post-Laser Vision Correction Normal And Ectasia Patients",
      "authors": "A/Prof. Ke Ma",
      "presenter": "A/Prof. Ke Ma",
      "normalized_authors": [
        "Ke Ma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nanji Lu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To characterize regional corneal stiffness using Stress–Strain Index (SSI) maps in post–laser vision correction (LVC) normal and post-LVC ectasia eyes, and to evaluate the diagnostic performance of SSI map–derived parameters.",
        "Setting": "West China Hospital Sichuan University and Eye Hospital of Wenzhou Medical University",
        "Methods": "A total of 296 post-LVC normal eyes (148 patients) and 54 post-LVC ectasia eyes (39 patients) were included. All eyes underwent Scheimpflug-based tomography and dynamic air-puff tonometry (Pentacam and Corvis ST). SSI maps were generated to quantify regional corneal stiffness distribution. Regional SSI values and spatial asymmetry parameters (e.g., superior–nasal [SN] minus inferior–temporal [IT] regions) were calculated. Diagnostic performance was assessed using receiver operating characteristic (ROC) curve analysis and area under the curve (AUC).",
        "Results": "Post-LVC normal eyes demonstrated significantly higher SSI values compared with post-LVC ectasia eyes (all P < 0.001). ROC analysis revealed that, among independent regional values, the inferior paracentral region demonstrated the highest diagnostic ability (AUC = 0.916; 0.64 ± 0.12 vs. 0.30 ± 0.22), followed by the IT paracentral (AUC = 0.892) and central regions (AUC = 0.890). For spatial asymmetry parameters, the highest diagnostic accuracy was achieved with the paracentral superior–inferior (S–I) difference (AUC = 0.922), closely followed by the paracentral SN–IT difference (AUC = 0.912).",
        "Conclusions": "Corneal stiffness reduction in post-LVC ectasia is highly localized rather than uniformly distributed. SSI map–derived asymmetry and regional parameters demonstrate outstanding diagnostic capability and may serve as valuable tools for the clinical evaluation of post-LVC ectasia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal stiffness reduction in post-LVC ectasia is highly localized rather than uniformly distributed. SSI map–derived asymmetry and regional parameters demonstrate outstanding diagnostic capability and may serve as valuable tools for the clinical evaluation of post-LVC ectasia.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 260,
      "source_fields": {
        "Abstract Final Identifier": "FP18.04",
        "Title": "Comparing Regional Stress-Strain Index Maps Between Post-Laser Vision Correction Normal And Ectasia Patients",
        "Presenting Author(s)": "A/Prof. Ke Ma",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Nanji",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lu",
        "Country Name": "China",
        "Purpose": "To characterize regional corneal stiffness using Stress–Strain Index (SSI) maps in post–laser vision correction (LVC) normal and post-LVC ectasia eyes, and to evaluate the diagnostic performance of SSI map–derived parameters.",
        "Setting": "West China Hospital Sichuan University and Eye Hospital of Wenzhou Medical University",
        "Methods": "A total of 296 post-LVC normal eyes (148 patients) and 54 post-LVC ectasia eyes (39 patients) were included. All eyes underwent Scheimpflug-based tomography and dynamic air-puff tonometry (Pentacam and Corvis ST). SSI maps were generated to quantify regional corneal stiffness distribution. Regional SSI values and spatial asymmetry parameters (e.g., superior–nasal [SN] minus inferior–temporal [IT] regions) were calculated. Diagnostic performance was assessed using receiver operating characteristic (ROC) curve analysis and area under the curve (AUC).",
        "Results": "Post-LVC normal eyes demonstrated significantly higher SSI values compared with post-LVC ectasia eyes (all P < 0.001). ROC analysis revealed that, among independent regional values, the inferior paracentral region demonstrated the highest diagnostic ability (AUC = 0.916; 0.64 ± 0.12 vs. 0.30 ± 0.22), followed by the IT paracentral (AUC = 0.892) and central regions (AUC = 0.890). For spatial asymmetry parameters, the highest diagnostic accuracy was achieved with the paracentral superior–inferior (S–I) difference (AUC = 0.922), closely followed by the paracentral SN–IT difference (AUC = 0.912).",
        "Conclusions": "Corneal stiffness reduction in post-LVC ectasia is highly localized rather than uniformly distributed. SSI map–derived asymmetry and regional parameters demonstrate outstanding diagnostic capability and may serve as valuable tools for the clinical evaluation of post-LVC ectasia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "FP18.05",
      "abstract_number": "FP18.05",
      "title": "Visual Cortex Training Using Gabor Patches Improves Vision And Contrast Sensitivity In Crosslinked Stable Keratoconus: Randomized Control Study",
      "authors": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "presenter": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "normalized_authors": [
        "Lional Raj Daniel Raj Ponniah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lional Raj Daniel Raj Ponniah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Subjects with keratoconus, despite stabilisation, exhibit sub-optimal vision and contrast post-crosslinking.\n\nThis study evaluates patient-specific, computer-based visual perceptual learning (VPL) therapy using Gabor Patches to improve best-corrected vision (BCVA) and contrast sensitivity function (CSF) in cross-linked stable keratoconus (KC).",
        "Setting": "A tertiary eye hospital. A prospective, controlled-randomized, open-label study.",
        "Methods": "A prospective, controlled-randomized, open-label study. KC, stable over 1 year with a BCVA worse than 20/40, was randomized in a 2:1 ratio into the treatment arm (G1), in which computer-based perceptual learning therapy using Gabor Patches amidst co-linear flankers was employed, and the control arm (G2).\n\nThis study consisted of two phases: screening and VPL. Mid-training (post 20 sessions), 40 training sessions, and post-therapy follow-up at 6 months were evaluated for improvements in BCVA (ETDRS character counts) and CSF at spatial frequencies of 3, 6, 12, and 18 cycles per degree (cpd) using ANOVA and Friedman tests for repeated measures.",
        "Results": "A total of 45 cases were randomized. Baseline BCVA was 68.20+/-8.11 and 67.40+/-7.09 in G1 and G2, respectively. The BCVA of the perceptual therapy (PL) arm (G1) improved to 73.30+/-7.47 and 79.10+/-8.46 post 20 and 40 sessions, and remained stable after 6 months. No improvements were observed among controls (G2).\n\nFriedman tests for repeated measures showed no statistical differences between study visits, with p-values of 0.097, 0.135, 0.05, and 0.097 for 3, 6, 12, and 18 cpd, respectively, in the Control Arm. In the treatment arm, there were significant improvements in CSF between study visits (all p < .0001).\n\nThe improved vision and contrast function in the VPL group remained stable during the 6-month post-therapy period.",
        "Conclusions": "Sequential, patient-specific, perceptual therapy improved vision & contrast (CSF) in crosslinked keratoconus with visual deficiencies & acts as proof of concept of improving neural connections at cortical levels.\nKeratorefractive surgeons could consider it as a post-crosslinking therapeutic adjuvant.\nVisual Perceptual Therapy trains the brain to see better without additional surgery, enhancements, drugs, or side effects in cases of stable Keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sequential, patient-specific, perceptual therapy improved vision & contrast (CSF) in crosslinked keratoconus with visual deficiencies & acts as proof of concept of improving neural connections at cortical levels. Keratorefractive surgeons could consider it as a post-crosslinking therapeutic adjuvant. Visual Perceptual Therapy trains the brain to see better without additional surgery, enhancements, drugs, or side…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 261,
      "source_fields": {
        "Abstract Final Identifier": "FP18.05",
        "Title": "Visual Cortex Training Using Gabor Patches Improves Vision And Contrast Sensitivity In Crosslinked Stable Keratoconus: Randomized Control Study",
        "Presenting Author(s)": "Prof. Dr Lional Raj Daniel Raj Ponniah",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Lional Raj",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Daniel Raj Ponniah",
        "Country Name": "India",
        "Purpose": "Subjects with keratoconus, despite stabilisation, exhibit sub-optimal vision and contrast post-crosslinking.\n\nThis study evaluates patient-specific, computer-based visual perceptual learning (VPL) therapy using Gabor Patches to improve best-corrected vision (BCVA) and contrast sensitivity function (CSF) in cross-linked stable keratoconus (KC).",
        "Setting": "A tertiary eye hospital. A prospective, controlled-randomized, open-label study.",
        "Methods": "A prospective, controlled-randomized, open-label study. KC, stable over 1 year with a BCVA worse than 20/40, was randomized in a 2:1 ratio into the treatment arm (G1), in which computer-based perceptual learning therapy using Gabor Patches amidst co-linear flankers was employed, and the control arm (G2).\n\nThis study consisted of two phases: screening and VPL. Mid-training (post 20 sessions), 40 training sessions, and post-therapy follow-up at 6 months were evaluated for improvements in BCVA (ETDRS character counts) and CSF at spatial frequencies of 3, 6, 12, and 18 cycles per degree (cpd) using ANOVA and Friedman tests for repeated measures.",
        "Results": "A total of 45 cases were randomized. Baseline BCVA was 68.20+/-8.11 and 67.40+/-7.09 in G1 and G2, respectively. The BCVA of the perceptual therapy (PL) arm (G1) improved to 73.30+/-7.47 and 79.10+/-8.46 post 20 and 40 sessions, and remained stable after 6 months. No improvements were observed among controls (G2).\n\nFriedman tests for repeated measures showed no statistical differences between study visits, with p-values of 0.097, 0.135, 0.05, and 0.097 for 3, 6, 12, and 18 cpd, respectively, in the Control Arm. In the treatment arm, there were significant improvements in CSF between study visits (all p < .0001).\n\nThe improved vision and contrast function in the VPL group remained stable during the 6-month post-therapy period.",
        "Conclusions": "Sequential, patient-specific, perceptual therapy improved vision & contrast (CSF) in crosslinked keratoconus with visual deficiencies & acts as proof of concept of improving neural connections at cortical levels.\nKeratorefractive surgeons could consider it as a post-crosslinking therapeutic adjuvant.\nVisual Perceptual Therapy trains the brain to see better without additional surgery, enhancements, drugs, or side effects in cases of stable Keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "FP18.06",
      "abstract_number": "FP18.06",
      "title": "Effect Of Body Mass Index On Incidence Of Keratoconus And Corneal Structural Parameters",
      "authors": "Ms Zahra Ashena",
      "presenter": "Ms Zahra Ashena",
      "normalized_authors": [
        "Zahra Ashena"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zahra Ashena",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Few studies have investigated any potential correlation between body mass index (BMI) and the development of keratoconus. This research specifically aims to determine whether a higher BMI is associated with an increased incidence of keratoconus and to evaluate the impact of body mass index on specific corneal tomographic features, including maximum keratometry (Kmax), corneal astigmatism, and pachymetry. By examining these relationships, the study seeks to identify whether BMI serves as a relevant clinical indicator for disease occurrence and severity.",
        "Setting": "This is a prospective case-control study conducted at Queen’s Hospital, Barking, Havering and Redbridge NHS Trust, London, UK, between 2023 and 2025.",
        "Methods": "Participants were recruited from composmentis adults aged 18 to 45 attending the corneal clinic. The study population comprised 142 patients, with a control group of 56 individuals without keratoconus. Body weight and height were measured, and BMI was subsequently calculated. Each participant underwent corneal tomography using the Pentacam device. For all participants, Kmax, corneal astigmatism, mean keratometry (Kmean), and thinnest pachymetry were recorded. To investigate the relationship between BMI and the incidence and severity of keratoconus, statistical analyses using linear and logistic regression models were performed, both with and without adjustments for age, gender and ethnicity.",
        "Results": "In unadjusted logistic regression analysis, BMI was not significantly associated with the incidence of keratoconus (OR 1.024, 95% CI 1.004-1.059, p = 0.153). However, after adjustment for age, gender, and ethnicity, BMI was independently associated with increased odds of keratoconus (adjusted OR 1.044 per kg/m² increase, 95% CI 1.008-1.083, p = 0.0177). No significant association was observed in adjusted or unadjusted analysis between BMI and Kmax (p = 0.8 and 0.6, respectively), Kmean (p = 0.9 and 0.8, respectively), corneal astigmatism (p = 0.6 and 0.1, respectively), and thinnest pachymetry (p = 0.3 and 0.5, respectively).",
        "Conclusions": "Body Mass Index (BMI) was independently correlated with the development of keratoconus; however, it was not correlated with corneal curvature or thickness parameters. It was observed that for each 1 kg/m² increase in BMI, the odds of keratoconus rose by approximately 4.4% after adjusting for demographic covariates. This indicates that a higher BMI may be linked to the occurrence of the disease rather than its severity or corneal structural features. Since these are preliminary results, recruitment for this study is still ongoing to include more patients and controls."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Body Mass Index (BMI) was independently correlated with the development of keratoconus; however, it was not correlated with corneal curvature or thickness parameters. It was observed that for each 1 kg/m² increase in BMI, the odds of keratoconus rose by approximately 4.4% after adjusting for demographic covariates. This indicates that a higher BMI may be linked to the occurrence of the disease rather than its…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 262,
      "source_fields": {
        "Abstract Final Identifier": "FP18.06",
        "Title": "Effect Of Body Mass Index On Incidence Of Keratoconus And Corneal Structural Parameters",
        "Presenting Author(s)": "Ms Zahra Ashena",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zahra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ashena",
        "Country Name": "United Kingdom",
        "Purpose": "Few studies have investigated any potential correlation between body mass index (BMI) and the development of keratoconus. This research specifically aims to determine whether a higher BMI is associated with an increased incidence of keratoconus and to evaluate the impact of body mass index on specific corneal tomographic features, including maximum keratometry (Kmax), corneal astigmatism, and pachymetry. By examining these relationships, the study seeks to identify whether BMI serves as a relevant clinical indicator for disease occurrence and severity.",
        "Setting": "This is a prospective case-control study conducted at Queen’s Hospital, Barking, Havering and Redbridge NHS Trust, London, UK, between 2023 and 2025.",
        "Methods": "Participants were recruited from composmentis adults aged 18 to 45 attending the corneal clinic. The study population comprised 142 patients, with a control group of 56 individuals without keratoconus. Body weight and height were measured, and BMI was subsequently calculated. Each participant underwent corneal tomography using the Pentacam device. For all participants, Kmax, corneal astigmatism, mean keratometry (Kmean), and thinnest pachymetry were recorded. To investigate the relationship between BMI and the incidence and severity of keratoconus, statistical analyses using linear and logistic regression models were performed, both with and without adjustments for age, gender and ethnicity.",
        "Results": "In unadjusted logistic regression analysis, BMI was not significantly associated with the incidence of keratoconus (OR 1.024, 95% CI 1.004-1.059, p = 0.153). However, after adjustment for age, gender, and ethnicity, BMI was independently associated with increased odds of keratoconus (adjusted OR 1.044 per kg/m² increase, 95% CI 1.008-1.083, p = 0.0177). No significant association was observed in adjusted or unadjusted analysis between BMI and Kmax (p = 0.8 and 0.6, respectively), Kmean (p = 0.9 and 0.8, respectively), corneal astigmatism (p = 0.6 and 0.1, respectively), and thinnest pachymetry (p = 0.3 and 0.5, respectively).",
        "Conclusions": "Body Mass Index (BMI) was independently correlated with the development of keratoconus; however, it was not correlated with corneal curvature or thickness parameters. It was observed that for each 1 kg/m² increase in BMI, the odds of keratoconus rose by approximately 4.4% after adjusting for demographic covariates. This indicates that a higher BMI may be linked to the occurrence of the disease rather than its severity or corneal structural features. Since these are preliminary results, recruitment for this study is still ongoing to include more patients and controls."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 394
    },
    {
      "uid": "FP18.07",
      "abstract_number": "FP18.07",
      "title": "Effect Of Mini-Scleral Lenses On Anterior Corneal Surface Higher-Order Aberrations And Visual Function In Keratoconus",
      "authors": "Mr Léonard Kollros",
      "presenter": "Mr Léonard Kollros",
      "normalized_authors": [
        "Léonard Kollros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Léonard Kollros",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the effect of mini-scleral contact lenses (mSCLs) on anterior corneal surface higher-order aberrations (HOAs), visual acuity, and vision-related quality of life in patients with keratoconus, and to assess associations between optical quality, visual function, and disease severity using the ABCD classification system.",
        "Setting": "Prospective interventional study conducted at the ELZA Institute, Zurich, Switzerland. Ethical approval was obtained from the Cantonal Ethics Committee of Zurich (KEK 2021-00008).",
        "Methods": "Twenty-two eyes from 12 adults with stable keratoconus (mean age 31.4±8.8 years) were evaluated with and without habitual mSCL wear. Seventeen eyes had undergone prior corneal cross-linking. After ≥10 days without lens wear, anterior corneal and total ocular HOAs were measured using a Placido-disc aberrometer (5-mm pupil). High-contrast (100%) and low-contrast (6%) logMAR visual acuity were assessed monocularly. Measurements were repeated after ≥2 hours of mSCL wear. Vision-related quality of life was assessed using the NEI VFQ-25 questionnaire. Paired statistical testing and Spearman correlation analyses were performed.",
        "Results": "Median ocular root mean square (RMS) HOAs decreased from 1.08 µm (IQR 0.98) without mSCL to 0.51 µm (IQR 0.25) with mSCL (P<0.001). Vertical coma was reduced from −1.23 µm to −0.03 µm (P<0.001), corresponding to a mean correction of 97.3%. Spherical aberration was also significantly reduced (P=0.002). High-contrast visual acuity improved from 0.21 logMAR (IQR 0.27) to −0.06 logMAR (IQR 0.12) (P<0.001). HOAs correlated with high-contrast (rs=+0.49, P=0.02) and low-contrast visual acuity (rs=+0.62, P<0.001). High-contrast visual acuity with mSCL correlated strongly with the posterior radius (B-value) of the ABCD classification (rs=+0.71, P<0.001). VFQ-25 scores improved significantly with mSCL wear (median 62.4 vs 83.8, P<0.001).",
        "Conclusions": "Mini-scleral contact lenses significantly reduce anterior corneal higher-order aberrations in keratoconus, particularly vertical coma and spherical aberration, resulting in improved high- and low-contrast visual acuity. Optical improvements correlate with disease severity and translate into meaningful gains in vision-related quality of life. These findings support mSCL as an effective modality for optical rehabilitation across keratoconus stages."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mini-scleral contact lenses significantly reduce anterior corneal higher-order aberrations in keratoconus, particularly vertical coma and spherical aberration, resulting in improved high- and low-contrast visual acuity. Optical improvements correlate with disease severity and translate into meaningful gains in vision-related quality of life. These findings support mSCL as an effective modality for optical…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 263,
      "source_fields": {
        "Abstract Final Identifier": "FP18.07",
        "Title": "Effect Of Mini-Scleral Lenses On Anterior Corneal Surface Higher-Order Aberrations And Visual Function In Keratoconus",
        "Presenting Author(s)": "Mr Léonard Kollros",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Léonard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kollros",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the effect of mini-scleral contact lenses (mSCLs) on anterior corneal surface higher-order aberrations (HOAs), visual acuity, and vision-related quality of life in patients with keratoconus, and to assess associations between optical quality, visual function, and disease severity using the ABCD classification system.",
        "Setting": "Prospective interventional study conducted at the ELZA Institute, Zurich, Switzerland. Ethical approval was obtained from the Cantonal Ethics Committee of Zurich (KEK 2021-00008).",
        "Methods": "Twenty-two eyes from 12 adults with stable keratoconus (mean age 31.4±8.8 years) were evaluated with and without habitual mSCL wear. Seventeen eyes had undergone prior corneal cross-linking. After ≥10 days without lens wear, anterior corneal and total ocular HOAs were measured using a Placido-disc aberrometer (5-mm pupil). High-contrast (100%) and low-contrast (6%) logMAR visual acuity were assessed monocularly. Measurements were repeated after ≥2 hours of mSCL wear. Vision-related quality of life was assessed using the NEI VFQ-25 questionnaire. Paired statistical testing and Spearman correlation analyses were performed.",
        "Results": "Median ocular root mean square (RMS) HOAs decreased from 1.08 µm (IQR 0.98) without mSCL to 0.51 µm (IQR 0.25) with mSCL (P<0.001). Vertical coma was reduced from −1.23 µm to −0.03 µm (P<0.001), corresponding to a mean correction of 97.3%. Spherical aberration was also significantly reduced (P=0.002). High-contrast visual acuity improved from 0.21 logMAR (IQR 0.27) to −0.06 logMAR (IQR 0.12) (P<0.001). HOAs correlated with high-contrast (rs=+0.49, P=0.02) and low-contrast visual acuity (rs=+0.62, P<0.001). High-contrast visual acuity with mSCL correlated strongly with the posterior radius (B-value) of the ABCD classification (rs=+0.71, P<0.001). VFQ-25 scores improved significantly with mSCL wear (median 62.4 vs 83.8, P<0.001).",
        "Conclusions": "Mini-scleral contact lenses significantly reduce anterior corneal higher-order aberrations in keratoconus, particularly vertical coma and spherical aberration, resulting in improved high- and low-contrast visual acuity. Optical improvements correlate with disease severity and translate into meaningful gains in vision-related quality of life. These findings support mSCL as an effective modality for optical rehabilitation across keratoconus stages."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "FP18.08",
      "abstract_number": "FP18.08",
      "title": "Refractive Error Derived From The Corneal Epithelium And Its Relationship With The Epithelial Profile In Normal And Keratoconic Eyes",
      "authors": "Dr Maria A. Henriquez",
      "presenter": "Dr Maria A. Henriquez",
      "normalized_authors": [
        "Maria A. Henriquez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria A. Henriquez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To determine the magnitude of refractive error attributed to the corneal epithelium and its relationship with epithelial thickness (ET) in normal and keratoconus (KC) eyes.",
        "Setting": "Research Department at Oftalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective, consecutive case series included patients evaluated between January 2023 and January 2025. Spherical and cylindrical components were derived from epithelial refraction at 0 mm and 12.5 mm corneal diameters using anterior segment OCT (MS-39, CSO). Objective refraction (ObjRx), subjective refraction (SubRx), and ET profiles were evaluated and compared between normal and KC eyes",
        "Results": "In normal (n=32) and KC (n=61) eyes, the epithelial-derived spherical equivalent was 0.1±0.33 D and 0.55±0.59 D, respectively (p=0.02). The mean ET difference (Max-Min) was 10.3±5.15 µ m in normal eyes and 17.6±6.27 µ m in KC eyes (p<0.001). A positive correlation was observed between epithelial variability and the spherical component of epithelial refraction in KC eyes (r=0.34, p=0.007), but not in normal eyes (r=-0.02, p=0.90). A significantly higher epithelial-derived spherical component from the ObjRx and SubRx was observed in KC eyes (32% of SubRx, 24% of ObjRx) compared to normal eyes (20% of SubRx, 16% of ObjRx).",
        "Conclusions": "A higher refractive error from epithelial refraction is observed in KC eyes compared with normal eyes. There is an association between the magnitude of refractive error derived from the corneal epithelium and the epithelial thickness profile; this could have implications for surface-based refractive laser surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A higher refractive error from epithelial refraction is observed in KC eyes compared with normal eyes. There is an association between the magnitude of refractive error derived from the corneal epithelium and the epithelial thickness profile; this could have implications for surface-based refractive laser surgery.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 264,
      "source_fields": {
        "Abstract Final Identifier": "FP18.08",
        "Title": "Refractive Error Derived From The Corneal Epithelium And Its Relationship With The Epithelial Profile In Normal And Keratoconic Eyes",
        "Presenting Author(s)": "Dr Maria A. Henriquez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria A.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Henriquez",
        "Country Name": "Peru",
        "Purpose": "To determine the magnitude of refractive error attributed to the corneal epithelium and its relationship with epithelial thickness (ET) in normal and keratoconus (KC) eyes.",
        "Setting": "Research Department at Oftalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective, consecutive case series included patients evaluated between January 2023 and January 2025. Spherical and cylindrical components were derived from epithelial refraction at 0 mm and 12.5 mm corneal diameters using anterior segment OCT (MS-39, CSO). Objective refraction (ObjRx), subjective refraction (SubRx), and ET profiles were evaluated and compared between normal and KC eyes",
        "Results": "In normal (n=32) and KC (n=61) eyes, the epithelial-derived spherical equivalent was 0.1±0.33 D and 0.55±0.59 D, respectively (p=0.02). The mean ET difference (Max-Min) was 10.3±5.15 µ m in normal eyes and 17.6±6.27 µ m in KC eyes (p<0.001). A positive correlation was observed between epithelial variability and the spherical component of epithelial refraction in KC eyes (r=0.34, p=0.007), but not in normal eyes (r=-0.02, p=0.90). A significantly higher epithelial-derived spherical component from the ObjRx and SubRx was observed in KC eyes (32% of SubRx, 24% of ObjRx) compared to normal eyes (20% of SubRx, 16% of ObjRx).",
        "Conclusions": "A higher refractive error from epithelial refraction is observed in KC eyes compared with normal eyes. There is an association between the magnitude of refractive error derived from the corneal epithelium and the epithelial thickness profile; this could have implications for surface-based refractive laser surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "FP18.09",
      "abstract_number": "FP18.09",
      "title": "En Face Oct Of Descemet Dua Complex: New Precision Paradigm In Acute Corneal Hydrops Management",
      "authors": "Dr Moatez Billah Mekki",
      "presenter": "Dr Moatez Billah Mekki",
      "normalized_authors": [
        "Moatez Billah Mekki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Moatez Billah Mekki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "To evaluate the impact of high-resolution Swept-Source OCT (SS-OCT) with 3D \"en face\" reconstruction on the surgical management of acute corneal hydrops, specifically focusing on how precise visualization of the Descemet-Dua complex rupture allows for targeted \"oriented\" deep compressive sutures.",
        "Setting": "Ibn Al Haythem Center, Algiers",
        "Methods": "This study reviews clinical cases of acute corneal hydrops managed with the TowardPi Yalkaid SS-OCT ( 1060 nm , 100 kHz ). Pre-operative planning utilized 3D \"en face\" imaging with a specific 70 \\micron sla b starting from the endothelium and extending into the deep stroma. This allowed for the exact localization, length measurement, and morphological assessment (linear, horseshoe, or complex shapes) of the Descemet-Dua complex rupture, even through massive edema. Deep 10-0 monofilament compressive sutures were then surgically placed strictly perpendicular to the exact topography and orientation of the rupture as mapped by the OCT.",
        "Results": "The SS-OCT successfully visualized the rupture in 100% of cases, regardless of the severity of the hydrops. Compared to traditional empirical suturing, \"oriented\" sutures guided by pre-operative topography led to a more rapid and predictable resolution of stromal edema. Targeted compression achieved immediate apposition of the Descemet-Dua gap, significantly reducing the duration of stromal deturgescence. This precision-guided approach minimized secondary inflammation and prevented corneal neovascularization. All patients, including those with \"huge\" hydrops, achieved a compact and transparent cornea within 1 week, facilitating early visual rehabilitation.",
        "Conclusions": "Moving from empirical to precision-guided surgery transforms the prognosis of acute hydrops. The use of SS-OCT 3D \"en face\" slab of the Descemet-Dua complex allows for \"oriented\" suturing that ensures optimal anatomical apposition. This approach proves that with precise pre-operative mapping, acute corneal hydrops can be resolved quickly and effectively, protecting the cornea for future optical rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Moving from empirical to precision-guided surgery transforms the prognosis of acute hydrops. The use of SS-OCT 3D \"en face\" slab of the Descemet-Dua complex allows for \"oriented\" suturing that ensures optimal anatomical apposition. This approach proves that with precise pre-operative mapping, acute corneal hydrops can be resolved quickly and effectively, protecting the cornea for future optical rehabilitation.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 265,
      "source_fields": {
        "Abstract Final Identifier": "FP18.09",
        "Title": "En Face Oct Of Descemet Dua Complex: New Precision Paradigm In Acute Corneal Hydrops Management",
        "Presenting Author(s)": "Dr Moatez Billah Mekki",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Moatez Billah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mekki",
        "Country Name": "Algeria",
        "Purpose": "To evaluate the impact of high-resolution Swept-Source OCT (SS-OCT) with 3D \"en face\" reconstruction on the surgical management of acute corneal hydrops, specifically focusing on how precise visualization of the Descemet-Dua complex rupture allows for targeted \"oriented\" deep compressive sutures.",
        "Setting": "Ibn Al Haythem Center, Algiers",
        "Methods": "This study reviews clinical cases of acute corneal hydrops managed with the TowardPi Yalkaid SS-OCT ( 1060 nm , 100 kHz ). Pre-operative planning utilized 3D \"en face\" imaging with a specific 70 \\micron sla b starting from the endothelium and extending into the deep stroma. This allowed for the exact localization, length measurement, and morphological assessment (linear, horseshoe, or complex shapes) of the Descemet-Dua complex rupture, even through massive edema. Deep 10-0 monofilament compressive sutures were then surgically placed strictly perpendicular to the exact topography and orientation of the rupture as mapped by the OCT.",
        "Results": "The SS-OCT successfully visualized the rupture in 100% of cases, regardless of the severity of the hydrops. Compared to traditional empirical suturing, \"oriented\" sutures guided by pre-operative topography led to a more rapid and predictable resolution of stromal edema. Targeted compression achieved immediate apposition of the Descemet-Dua gap, significantly reducing the duration of stromal deturgescence. This precision-guided approach minimized secondary inflammation and prevented corneal neovascularization. All patients, including those with \"huge\" hydrops, achieved a compact and transparent cornea within 1 week, facilitating early visual rehabilitation.",
        "Conclusions": "Moving from empirical to precision-guided surgery transforms the prognosis of acute hydrops. The use of SS-OCT 3D \"en face\" slab of the Descemet-Dua complex allows for \"oriented\" suturing that ensures optimal anatomical apposition. This approach proves that with precise pre-operative mapping, acute corneal hydrops can be resolved quickly and effectively, protecting the cornea for future optical rehabilitation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "FP18.10",
      "abstract_number": "FP18.10",
      "title": "Paired-Eye Analysis Of Deep Anterior Lamellar Keratoplasty Versus Mushroom Penetrating Keratoplasty Over 5 Years",
      "authors": "Dr Luigi De Rosa",
      "presenter": "Dr Luigi De Rosa",
      "normalized_authors": [
        "Luigi De Rosa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luigi De Rosa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate and compare the clinical outcomes of keratoconic patients who received deep anterior lamellar keratoplasty (DALK) in one eye and mushroom penetrating keratoplasty (MK) in the fellow eye.",
        "Setting": "Retrospective interventional case series based on prospectively collected data.\n\nKeratoconic patients who underwent keratoplasty at the department of ophthalmology of \"Villa Igea\", Ospedali Privati Forlì (Forlì, Italy) between July 2006 and December 2023.\n\nPatients underwent DALK in one eye and converted MK from intended DALK in the fellow eye.",
        "Methods": "The primary outcomes were best spectacle-corrected visual acuity (BSCVA), refractive astigmatism, and endothelial cell density (ECD). Kaplan-Meier curves were drawn for both DALK and MK to compare the cumulative probability of obtaining a BSCVA <0.3 LogMAR (Snellen 20/40) within the end of follow-up.",
        "Results": "We included 46 keratoconic patients. Mean follow-up was 5.4±2.1 years. During the first 2 years after surgery, BSCVA was significantly better in the DALK group (0.08±0.11 vs 0.15±0.20 LogMAR, P=0.05); however, no significant differences between groups were found at later follow-up times. At 5 years, BSCVA values were 0.08±0.10 and 0.12±0.18 LogMAR, respectively for DALK and MK (P=0.305). The 5-year probability of retaining a BSCVA <0.3 LogMAR was 85.1% and 83.0%, respectively for DALK and MK (P=0.791). Three years postoperatively, refractive astigmatism was significantly lower for DALK (at 5 years, 2.37±1.21 D vs 2.97±1.13 D; P=0.04). At 5 years postoperatively, ECD was 1837±625 cells/mm² for DALK and 1083±378cells/mm² for MK (P<0.001).",
        "Conclusions": "This study allowed direct intra-patient comparison between DALK and MK. Compared with MK, our findings showed for DALK better BSCVA during the first 2 years after surgery, lower refractive astigmatism from 3 years postoperatively on, and higher ECD at all time points."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study allowed direct intra-patient comparison between DALK and MK. Compared with MK, our findings showed for DALK better BSCVA during the first 2 years after surgery, lower refractive astigmatism from 3 years postoperatively on, and higher ECD at all time points.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 266,
      "source_fields": {
        "Abstract Final Identifier": "FP18.10",
        "Title": "Paired-Eye Analysis Of Deep Anterior Lamellar Keratoplasty Versus Mushroom Penetrating Keratoplasty Over 5 Years",
        "Presenting Author(s)": "Dr Luigi De Rosa",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Luigi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Rosa",
        "Country Name": "Italy",
        "Purpose": "To evaluate and compare the clinical outcomes of keratoconic patients who received deep anterior lamellar keratoplasty (DALK) in one eye and mushroom penetrating keratoplasty (MK) in the fellow eye.",
        "Setting": "Retrospective interventional case series based on prospectively collected data.\n\nKeratoconic patients who underwent keratoplasty at the department of ophthalmology of \"Villa Igea\", Ospedali Privati Forlì (Forlì, Italy) between July 2006 and December 2023.\n\nPatients underwent DALK in one eye and converted MK from intended DALK in the fellow eye.",
        "Methods": "The primary outcomes were best spectacle-corrected visual acuity (BSCVA), refractive astigmatism, and endothelial cell density (ECD). Kaplan-Meier curves were drawn for both DALK and MK to compare the cumulative probability of obtaining a BSCVA <0.3 LogMAR (Snellen 20/40) within the end of follow-up.",
        "Results": "We included 46 keratoconic patients. Mean follow-up was 5.4±2.1 years. During the first 2 years after surgery, BSCVA was significantly better in the DALK group (0.08±0.11 vs 0.15±0.20 LogMAR, P=0.05); however, no significant differences between groups were found at later follow-up times. At 5 years, BSCVA values were 0.08±0.10 and 0.12±0.18 LogMAR, respectively for DALK and MK (P=0.305). The 5-year probability of retaining a BSCVA <0.3 LogMAR was 85.1% and 83.0%, respectively for DALK and MK (P=0.791). Three years postoperatively, refractive astigmatism was significantly lower for DALK (at 5 years, 2.37±1.21 D vs 2.97±1.13 D; P=0.04). At 5 years postoperatively, ECD was 1837±625 cells/mm² for DALK and 1083±378cells/mm² for MK (P<0.001).",
        "Conclusions": "This study allowed direct intra-patient comparison between DALK and MK. Compared with MK, our findings showed for DALK better BSCVA during the first 2 years after surgery, lower refractive astigmatism from 3 years postoperatively on, and higher ECD at all time points."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "FP18.11",
      "abstract_number": "FP18.11",
      "title": "Bowman’S Layer Stromal Transplantation In Advanced Keratoconus: Five-Year Clinical Outcomes In 54 Eyes",
      "authors": "Prof. Madhu Uddaraju",
      "presenter": "Prof. Madhu Uddaraju",
      "normalized_authors": [
        "Madhu Uddaraju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Madhu Uddaraju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the long-term clinical and topographic outcomes of Bowman’s layer stromal transplantation (BLST) in advanced keratoconus cases unsuitable for corneal cross-linking due to advanced thinning.",
        "Setting": "Single-center tertiary cornea referral practice.",
        "Methods": "This prospective interventional case series included 54 eyes with advanced keratoconus and preoperative pachymetry between 250–350 µm , deemed unsuitable for corneal cross-linking. A donor Bowman’s layer graft with approximately 100 µm of anterior stroma was transplanted into a manually created mid-stromal pocket.\n\nThe stromal pocket was fashioned using guarded-depth keratomes and lamellar dissectors at an intended implant depth of approximately 150 µm , with an average graft diameter of 7.0–7.5 mm .\n\nPrimary outcomes included change in Kmax, pachymetry, higher-order aberrations (HOA), and best-corrected visual acuity (BCVA). Patients were followed for 5 years .",
        "Results": "At 3 months postoperatively:\n\n•\nKmax reduction: 2–6 diopters (mean reduction approximately 3.8 ± 1.2 D)\n\n•\nCorneal thickness increase: 80–100 µm centrally\n\n•\nHigher-order aberrations: Reduced by 40–60%\n\nVisual outcomes:\n\n•\nBCVA improved to 6/12 in 42 eyes (77.8%)\n\n•\nBCVA improved to 6/9 with contact lens correction in 12 eyes (22.2%)\n\nAt 5-year follow-up:\n\n•\nStabilization achieved in 100% of cases\n\n•\nNo cases required keratoplasty\n\n•\nNo intraoperative perforations or sight-threatening complications were noted",
        "Conclusions": "Bowman’s layer stromal transplantation using a manually dissected mid-stromal pocket with a 100 µm anterior stromal augmentation provides significant corneal flattening, thickness augmentation, HOA reduction, and sustained stabilization in advanced keratoconus unsuitable for CXL.\n\nThis technique may serve as an effective keratoplasty-delaying strategy in severely thinned corneas, offering structural reinforcement and long-term biomechanical stability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bowman’s layer stromal transplantation using a manually dissected mid-stromal pocket with a 100 µm anterior stromal augmentation provides significant corneal flattening, thickness augmentation, HOA reduction, and sustained stabilization in advanced keratoconus unsuitable for CXL. This technique may serve as an effective keratoplasty-delaying strategy in severely thinned corneas, offering structural reinforcement…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 267,
      "source_fields": {
        "Abstract Final Identifier": "FP18.11",
        "Title": "Bowman’S Layer Stromal Transplantation In Advanced Keratoconus: Five-Year Clinical Outcomes In 54 Eyes",
        "Presenting Author(s)": "Prof. Madhu Uddaraju",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Madhu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uddaraju",
        "Country Name": "India",
        "Purpose": "To evaluate the long-term clinical and topographic outcomes of Bowman’s layer stromal transplantation (BLST) in advanced keratoconus cases unsuitable for corneal cross-linking due to advanced thinning.",
        "Setting": "Single-center tertiary cornea referral practice.",
        "Methods": "This prospective interventional case series included 54 eyes with advanced keratoconus and preoperative pachymetry between 250–350 µm , deemed unsuitable for corneal cross-linking. A donor Bowman’s layer graft with approximately 100 µm of anterior stroma was transplanted into a manually created mid-stromal pocket.\n\nThe stromal pocket was fashioned using guarded-depth keratomes and lamellar dissectors at an intended implant depth of approximately 150 µm , with an average graft diameter of 7.0–7.5 mm .\n\nPrimary outcomes included change in Kmax, pachymetry, higher-order aberrations (HOA), and best-corrected visual acuity (BCVA). Patients were followed for 5 years .",
        "Results": "At 3 months postoperatively:\n\n•\nKmax reduction: 2–6 diopters (mean reduction approximately 3.8 ± 1.2 D)\n\n•\nCorneal thickness increase: 80–100 µm centrally\n\n•\nHigher-order aberrations: Reduced by 40–60%\n\nVisual outcomes:\n\n•\nBCVA improved to 6/12 in 42 eyes (77.8%)\n\n•\nBCVA improved to 6/9 with contact lens correction in 12 eyes (22.2%)\n\nAt 5-year follow-up:\n\n•\nStabilization achieved in 100% of cases\n\n•\nNo cases required keratoplasty\n\n•\nNo intraoperative perforations or sight-threatening complications were noted",
        "Conclusions": "Bowman’s layer stromal transplantation using a manually dissected mid-stromal pocket with a 100 µm anterior stromal augmentation provides significant corneal flattening, thickness augmentation, HOA reduction, and sustained stabilization in advanced keratoconus unsuitable for CXL.\n\nThis technique may serve as an effective keratoplasty-delaying strategy in severely thinned corneas, offering structural reinforcement and long-term biomechanical stability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "FP18.12",
      "abstract_number": "FP18.12",
      "title": "Preoperative Tomographic Risk Factors And Clinical Characteristics Of Corneal Ectasia Following Small Incision Lenticule Extraction: A Retrospective Case-Series Study",
      "authors": "Dr Xiaoyu Zhang",
      "presenter": "Dr Xiaoyu Zhang",
      "normalized_authors": [
        "Xiaoyu Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaoyu Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To characterize ectasia following small incision lenticule extraction (SMILE) and investigate the associations between preoperative tomographic parameters and the occurrence of post-SMILE ectasia.",
        "Setting": "This was a retrospective case-series study.",
        "Methods": "We reviewed preoperative corneal tomography characteristics and surgical parameters in 18 patients (25 eyes) who developed ectasia after SMILE, including 7 bilateral cases and 11 unilateral cases. All cases were followed for at least 3 years post-SMILE. Evaluated parameters included age, tomographic indices (e.g., corneal thickness, asymmetry, and higher-order aberrations), residual stromal bed (RSB), percent tissue altered (PTA), and Ectasia Risk Score System (ERSS) scores.",
        "Results": "Among the 25 post-SMILE ectasia eyes, 5 eyes (20%) had a PTA <40%, and 13 eyes (52%) had an RSB ≤300 µm. The ectasia cases exhibited thinner preoperative central corneal thickness (mean 512 ± 28 µm), higher PTA (mean 38.2 ± 5.1%), lower RSB (mean 285 ± 42 µm), and elevated ERSS scores (mean 4.2 ± 1.8). Abnormal posterior elevation was noted in 68% of cases.",
        "Conclusions": "Post-SMILE ectasia can occur even with PTA <40% or RSB >300 µm, highlighting the limitations of these thresholds in isolation. Comprehensive preoperative tomographic evaluation, focusing on posterior corneal changes and PTA, is essential for identifying at-risk patients and optimizing SMILE candidacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-SMILE ectasia can occur even with PTA <40% or RSB >300 µm, highlighting the limitations of these thresholds in isolation. Comprehensive preoperative tomographic evaluation, focusing on posterior corneal changes and PTA, is essential for identifying at-risk patients and optimizing SMILE candidacy.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 268,
      "source_fields": {
        "Abstract Final Identifier": "FP18.12",
        "Title": "Preoperative Tomographic Risk Factors And Clinical Characteristics Of Corneal Ectasia Following Small Incision Lenticule Extraction: A Retrospective Case-Series Study",
        "Presenting Author(s)": "Dr Xiaoyu Zhang",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Xiaoyu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To characterize ectasia following small incision lenticule extraction (SMILE) and investigate the associations between preoperative tomographic parameters and the occurrence of post-SMILE ectasia.",
        "Setting": "This was a retrospective case-series study.",
        "Methods": "We reviewed preoperative corneal tomography characteristics and surgical parameters in 18 patients (25 eyes) who developed ectasia after SMILE, including 7 bilateral cases and 11 unilateral cases. All cases were followed for at least 3 years post-SMILE. Evaluated parameters included age, tomographic indices (e.g., corneal thickness, asymmetry, and higher-order aberrations), residual stromal bed (RSB), percent tissue altered (PTA), and Ectasia Risk Score System (ERSS) scores.",
        "Results": "Among the 25 post-SMILE ectasia eyes, 5 eyes (20%) had a PTA <40%, and 13 eyes (52%) had an RSB ≤300 µm. The ectasia cases exhibited thinner preoperative central corneal thickness (mean 512 ± 28 µm), higher PTA (mean 38.2 ± 5.1%), lower RSB (mean 285 ± 42 µm), and elevated ERSS scores (mean 4.2 ± 1.8). Abnormal posterior elevation was noted in 68% of cases.",
        "Conclusions": "Post-SMILE ectasia can occur even with PTA <40% or RSB >300 µm, highlighting the limitations of these thresholds in isolation. Comprehensive preoperative tomographic evaluation, focusing on posterior corneal changes and PTA, is essential for identifying at-risk patients and optimizing SMILE candidacy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 202
    },
    {
      "uid": "FP18.13",
      "abstract_number": "FP18.13",
      "title": "Decellularised Corneal Stromal Lamina With Or Without Autologous Adipose-Derived Adult Stem Cells For Advanced Keratoconus: 1-Year Results Of A Phase I/Iia Clinical Trial",
      "authors": "A/Prof. Jorge L. Alió",
      "presenter": "A/Prof. Jorge L. Alió",
      "normalized_authors": [
        "Jorge L. Alió"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hao Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the 1-year safety and efficacy of decellularised human corneal stromal lamina implantation, with or without autologous adipose-derived adult stem cells (ADASCs), for advanced keratoconus in a European cohort.",
        "Setting": "Prospective, randomized, double-masked, phase I/IIa clinical trial",
        "Methods": "This trial enrolled 10 patients (10 eyes) randomised into two groups. Group 1 (G-1; n=5) received a 120-µm decellularised stromal lamina. Group 2 (G-2; n=5) received the same lamina recellularised with autologous ADASCs (1.0×10 6 cells) plus 2.0×10 6 ADASCs injected into the stromal pocket. All procedures used femtosecond laser–assisted 9.5-mm intrastromal dissection.",
        "Results": "No major intraoperative complications occurred; one G-2 micro-tear resolved without sequelae. No clinically significant inflammation, rejection, or graft failure was observed. Transparency was restored in all eyes by 3–6 months, with faster recovery in G-2. At 12 months, UDVA improved by 2.14±0.71 lines (G-1) versus 1.30±0.84 lines (G-2) (P=0.18). CDVA improved by 2.48±0.66 lines (G-1) versus 1.43±0.53 lines (G-2) (P=0.0057). CCT increased by ~120 µm in both arms (+118.4 vs +121.2 µm), with stable keratometric indices. IVCM showed progressive lamina repopulation in both groups, earlier and with higher stromal cell density in G-2.",
        "Conclusions": "Decellularised stromal lamina implantation—alone or with autologous ADASCs—was safe and produced sustained stromal thickening with clinically meaningful visual improvement at 12 months. Visual outcomes tended to be better with lamina implantation alone in this cohort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Decellularised stromal lamina implantation—alone or with autologous ADASCs—was safe and produced sustained stromal thickening with clinically meaningful visual improvement at 12 months. Visual outcomes tended to be better with lamina implantation alone in this cohort.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 269,
      "source_fields": {
        "Abstract Final Identifier": "FP18.13",
        "Title": "Decellularised Corneal Stromal Lamina With Or Without Autologous Adipose-Derived Adult Stem Cells For Advanced Keratoconus: 1-Year Results Of A Phase I/Iia Clinical Trial",
        "Presenting Author(s)": "A/Prof. Jorge L. Alió",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To evaluate the 1-year safety and efficacy of decellularised human corneal stromal lamina implantation, with or without autologous adipose-derived adult stem cells (ADASCs), for advanced keratoconus in a European cohort.",
        "Setting": "Prospective, randomized, double-masked, phase I/IIa clinical trial",
        "Methods": "This trial enrolled 10 patients (10 eyes) randomised into two groups. Group 1 (G-1; n=5) received a 120-µm decellularised stromal lamina. Group 2 (G-2; n=5) received the same lamina recellularised with autologous ADASCs (1.0×10 6 cells) plus 2.0×10 6 ADASCs injected into the stromal pocket. All procedures used femtosecond laser–assisted 9.5-mm intrastromal dissection.",
        "Results": "No major intraoperative complications occurred; one G-2 micro-tear resolved without sequelae. No clinically significant inflammation, rejection, or graft failure was observed. Transparency was restored in all eyes by 3–6 months, with faster recovery in G-2. At 12 months, UDVA improved by 2.14±0.71 lines (G-1) versus 1.30±0.84 lines (G-2) (P=0.18). CDVA improved by 2.48±0.66 lines (G-1) versus 1.43±0.53 lines (G-2) (P=0.0057). CCT increased by ~120 µm in both arms (+118.4 vs +121.2 µm), with stable keratometric indices. IVCM showed progressive lamina repopulation in both groups, earlier and with higher stromal cell density in G-2.",
        "Conclusions": "Decellularised stromal lamina implantation—alone or with autologous ADASCs—was safe and produced sustained stromal thickening with clinically meaningful visual improvement at 12 months. Visual outcomes tended to be better with lamina implantation alone in this cohort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "FP18.14",
      "abstract_number": "FP18.14",
      "title": "Long-Term Outcomes Of Deep Anterior Lamellar Keratoplasty Performed With The Big Bubble Technique And Femtosecond Laser Mushroom Configuration (Famk)",
      "authors": "Dr Francesca Barzaghi",
      "presenter": "Dr Francesca Barzaghi",
      "normalized_authors": [
        "Francesca Barzaghi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francesca Barzaghi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the outcomes of Femtosecond-Assisted Mushroom Keratoplasty (FAMK), focusing on the frequency of Type 1 Big Bubble (BB1) formation and the stability of corneal curvature assessed by tomographic examination after suture removal.",
        "Setting": "Ophthalmology Clinic, Department of Surgery, Dentistry, Maternity and Infant, University of Verona, Verona, Italy",
        "Methods": "This retrospective study included 75 eyes affected by various corneal pathologies that underwent FAMK. All procedures were performed using the Victus 80 kHz femtosecond laser , enabling the creation of a mushroom-shaped incision on both the recipient cornea and the donor tissue. Postoperative follow-up examinations were conducted at 9–12 months and at 3 and 6 months after suture removal. Best-corrected visual acuity (BCVA) and corneal curvature parameters were recorded using the AS-OCT (Anterior Segment-Optical Coherent Tomography) MS39 (CSO, Italy) .",
        "Results": "The “mushroom-shaped” configuration was successfully achieved in all cases. BB1 formation occurred in 82.4% of eyes. Failure of BB1 formation and intraoperative perforation were observed in 17.6% and 10.8% of cases, respectively. Conversion to penetrating keratoplasty (PKP) was required in 5% of procedures. Mean BCVA improved significantly from 1.10 ± 0.75 logMAR preoperatively to 0.65 ± 0.65 logMAR at 9–12 months postoperatively (p = 0.0003). Keratometric values measured at 3 mm, 6 mm, and 7 mm before and after suture removal showed no statistically significant differences (p = 0.34, p = 0.32, and p = 0.93, respectively).",
        "Conclusions": "FAMK is a safe and effective surgical technique, characterized by a high rate of BB1 formation and a low conversion rate to PKP. In line with current literature, the procedure provides significant improvement in visual acuity and, importantly, demonstrates stability of corneal curvature following suture removal."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FAMK is a safe and effective surgical technique, characterized by a high rate of BB1 formation and a low conversion rate to PKP. In line with current literature, the procedure provides significant improvement in visual acuity and, importantly, demonstrates stability of corneal curvature following suture removal.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 270,
      "source_fields": {
        "Abstract Final Identifier": "FP18.14",
        "Title": "Long-Term Outcomes Of Deep Anterior Lamellar Keratoplasty Performed With The Big Bubble Technique And Femtosecond Laser Mushroom Configuration (Famk)",
        "Presenting Author(s)": "Dr Francesca Barzaghi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Francesca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barzaghi",
        "Country Name": "Italy",
        "Purpose": "To evaluate the outcomes of Femtosecond-Assisted Mushroom Keratoplasty (FAMK), focusing on the frequency of Type 1 Big Bubble (BB1) formation and the stability of corneal curvature assessed by tomographic examination after suture removal.",
        "Setting": "Ophthalmology Clinic, Department of Surgery, Dentistry, Maternity and Infant, University of Verona, Verona, Italy",
        "Methods": "This retrospective study included 75 eyes affected by various corneal pathologies that underwent FAMK. All procedures were performed using the Victus 80 kHz femtosecond laser , enabling the creation of a mushroom-shaped incision on both the recipient cornea and the donor tissue. Postoperative follow-up examinations were conducted at 9–12 months and at 3 and 6 months after suture removal. Best-corrected visual acuity (BCVA) and corneal curvature parameters were recorded using the AS-OCT (Anterior Segment-Optical Coherent Tomography) MS39 (CSO, Italy) .",
        "Results": "The “mushroom-shaped” configuration was successfully achieved in all cases. BB1 formation occurred in 82.4% of eyes. Failure of BB1 formation and intraoperative perforation were observed in 17.6% and 10.8% of cases, respectively. Conversion to penetrating keratoplasty (PKP) was required in 5% of procedures. Mean BCVA improved significantly from 1.10 ± 0.75 logMAR preoperatively to 0.65 ± 0.65 logMAR at 9–12 months postoperatively (p = 0.0003). Keratometric values measured at 3 mm, 6 mm, and 7 mm before and after suture removal showed no statistically significant differences (p = 0.34, p = 0.32, and p = 0.93, respectively).",
        "Conclusions": "FAMK is a safe and effective surgical technique, characterized by a high rate of BB1 formation and a low conversion rate to PKP. In line with current literature, the procedure provides significant improvement in visual acuity and, importantly, demonstrates stability of corneal curvature following suture removal."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "FP18.15",
      "abstract_number": "FP18.15",
      "title": "Corneal Densitometry After Dalk In Keratoconus",
      "authors": "Dr Zeynep Gizem Bayram",
      "presenter": "Dr Zeynep Gizem Bayram",
      "normalized_authors": [
        "Zeynep Gizem Bayram"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Gizem Bayram",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate longitudinal changes in corneal densitometry CD , best-corrected visual acuity (BCVA), and anterior chamber depth (ACD) following deep anterior lamellar keratoplasty (DALK) in patients with keratoconus using Pentacam imaging.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul Türkiye.",
        "Methods": "This retrospective study included 20 eyes of 19 keratoconus patients who underwent deep anterior lamellar keratoplasty. Clinical data were reviewed over a follow-up period of 2 to 24 months. Corneal densitometry values and anterior chamber depth were assessed preoperatively, at the early postoperative period (2 months), and at the late postoperative period (24 months) using Pentacam AXL© (Oculus, Germany) . Corneal densitometry was obtained objectively from Scheimpflug imaging across different corneal layers and annular zones. Best-corrected visual acuity was evaluated at all time points.",
        "Results": "A total of 20 eyes were included. The mean age was 28.25 ± 8.23 years(14-41), with 13 (65%) females and 7 (35%) males.\n\nBCVA improved significantly over time(p < 0.001). Keratometric values (K1, K2, and Kmax) and ACD showed a significant postoperative reduction (p < 0.001). Preoperative and early postoperative CD values were evaluated; In the 0–2 mm zone, anterior CD 27.54±20.52 GSU and 22.74±10.11 GSU, respectively (p = 0.940). Similarly, in the 6–10 mm zone, anterior, posterior values significantly increased from 15.06±6.79, 8.75±1.56 GSU to 25.16±12.01, 9.95±2.01 GSU, respectively (all p < 0.001).In the 2–6 mm zone, central CD values were 12.18±6.26 GSU preoperatively and 15.96±9.96 GSU late postoperatively (p = 0.020).",
        "Conclusions": "DALK provides significant visual improvement and favorable changes in anterior segment parameters in patients with keratoconus. Pentacam-based corneal densitometry offers an objective and sensitive method for assessing postoperative changes in corneal transparency. The significant reduction in densitometry values observed in the early postoperative period (2 months), particularly in the central 0–2 mm zone, followed by stabilization at 24 months, suggests that corneal clarity improvement occurs predominantly in the central region and early postoperative phase. These findings support the clinical value of corneal densitometry for long-term postoperative monitoring and outcome assessment after lamellar keratoplasty ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DALK provides significant visual improvement and favorable changes in anterior segment parameters in patients with keratoconus. Pentacam-based corneal densitometry offers an objective and sensitive method for assessing postoperative changes in corneal transparency. The significant reduction in densitometry values observed in the early postoperative period (2 months), particularly in the central 0–2 mm zone,…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 271,
      "source_fields": {
        "Abstract Final Identifier": "FP18.15",
        "Title": "Corneal Densitometry After Dalk In Keratoconus",
        "Presenting Author(s)": "Dr Zeynep Gizem Bayram",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "Gizem",
        "Submitter Last Name": "Bayram",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate longitudinal changes in corneal densitometry CD , best-corrected visual acuity (BCVA), and anterior chamber depth (ACD) following deep anterior lamellar keratoplasty (DALK) in patients with keratoconus using Pentacam imaging.",
        "Setting": "Department of Ophthalmology, İstanbul Faculty of Medicine, İstanbul University, İstanbul Türkiye.",
        "Methods": "This retrospective study included 20 eyes of 19 keratoconus patients who underwent deep anterior lamellar keratoplasty. Clinical data were reviewed over a follow-up period of 2 to 24 months. Corneal densitometry values and anterior chamber depth were assessed preoperatively, at the early postoperative period (2 months), and at the late postoperative period (24 months) using Pentacam AXL© (Oculus, Germany) . Corneal densitometry was obtained objectively from Scheimpflug imaging across different corneal layers and annular zones. Best-corrected visual acuity was evaluated at all time points.",
        "Results": "A total of 20 eyes were included. The mean age was 28.25 ± 8.23 years(14-41), with 13 (65%) females and 7 (35%) males.\n\nBCVA improved significantly over time(p < 0.001). Keratometric values (K1, K2, and Kmax) and ACD showed a significant postoperative reduction (p < 0.001). Preoperative and early postoperative CD values were evaluated; In the 0–2 mm zone, anterior CD 27.54±20.52 GSU and 22.74±10.11 GSU, respectively (p = 0.940). Similarly, in the 6–10 mm zone, anterior, posterior values significantly increased from 15.06±6.79, 8.75±1.56 GSU to 25.16±12.01, 9.95±2.01 GSU, respectively (all p < 0.001).In the 2–6 mm zone, central CD values were 12.18±6.26 GSU preoperatively and 15.96±9.96 GSU late postoperatively (p = 0.020).",
        "Conclusions": "DALK provides significant visual improvement and favorable changes in anterior segment parameters in patients with keratoconus. Pentacam-based corneal densitometry offers an objective and sensitive method for assessing postoperative changes in corneal transparency. The significant reduction in densitometry values observed in the early postoperative period (2 months), particularly in the central 0–2 mm zone, followed by stabilization at 24 months, suggests that corneal clarity improvement occurs predominantly in the central region and early postoperative phase. These findings support the clinical value of corneal densitometry for long-term postoperative monitoring and outcome assessment after lamellar keratoplasty ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "FP19.01",
      "abstract_number": "FP19.01",
      "title": "Efficacy And Safety Of Implantable Phakic Contact Lens Versus Implantable Collamer Lens: A Systematic Review And Meta-Analysis",
      "authors": "Dr Nuno Rodrigues Alves",
      "presenter": "Dr Nuno Rodrigues Alves",
      "normalized_authors": [
        "Nuno Rodrigues Alves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nuno RODRIGUES ALVES",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare the efficacy and safety of Implantable Phakic Contact Lens (IPCL) versus Implantable Collamer Lens (ICL) implantation.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São José, Lisbon, Portugal. Cornea, Cataract and Refractive Surgery Unit, Research & Development Department VISSUM Innovation Alicante, Alicante, Spain.",
        "Methods": "Following PRISMA 2020 guidelines (PROSPERO CRD420251207282), PubMed, Embase, and the Cochrane Library were searched for randomized and non-randomized studies comparing IPCL versus ICL implantation (V4c or V5 models with a central aquaport). Primary outcomes included postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent (SE). Secondary outcomes included postoperative vault, adverse events (cataract formation, acute glaucoma, endothelial cell loss, lens explantation, and rotation), and weighted mean efficacy and safety indices. Data were pooled using random-effects models, and heterogeneity was assessed using the I² statistic. Analyses were performed using R software.",
        "Results": "Nine studies including 1,187 eyes (IPCL 559; ICL 628) from 941 myopic patients were analyzed. Postoperative UDVA and CDVA were not significantly different between groups (p=0.223 and p=0.861). A significant difference favoring IPCL was observed for SE (MD=−0.06 D; 95%CI:−0.11 to −0.001; p=0.028; I²=37%), although clinically negligible. Secondary outcomes were comparable between groups, including vault (MD=57.26µm; p=0.404), cataract formation (RR=1.19; p=0.684), endothelial cell loss (MD=−3.36cells/mm²; p=0.652), and IOL exchange (RR=1.01; p=0.992). However, rotational stability in toric lenses significantly favored ICL (RR=3.49; 95%CI:1.16–10.49; p=0.026; I²=0%). Efficacy and safety indices were comparable (IPCL 1.09/1.20; ICL 1.11/1.18).",
        "Conclusions": "IPCL and ICL demonstrated comparable visual outcomes and safety profiles. IPCL showed a slightly better refractive predictability, whereas toric ICL provided superior rotational stability, supporting individualized lens selection based on refractive and astigmatic requirements. Future studies should evaluate long-term rotational stability and comparative outcomes across diverse patient populations to guide optimal lens selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IPCL and ICL demonstrated comparable visual outcomes and safety profiles. IPCL showed a slightly better refractive predictability, whereas toric ICL provided superior rotational stability, supporting individualized lens selection based on refractive and astigmatic requirements. Future studies should evaluate long-term rotational stability and comparative outcomes across diverse patient populations to guide optimal…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 272,
      "source_fields": {
        "Abstract Final Identifier": "FP19.01",
        "Title": "Efficacy And Safety Of Implantable Phakic Contact Lens Versus Implantable Collamer Lens: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Nuno Rodrigues Alves",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Nuno",
        "Submitter Middle Name": "",
        "Submitter Last Name": "RODRIGUES ALVES",
        "Country Name": "Portugal",
        "Purpose": "To compare the efficacy and safety of Implantable Phakic Contact Lens (IPCL) versus Implantable Collamer Lens (ICL) implantation.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São José, Lisbon, Portugal. Cornea, Cataract and Refractive Surgery Unit, Research & Development Department VISSUM Innovation Alicante, Alicante, Spain.",
        "Methods": "Following PRISMA 2020 guidelines (PROSPERO CRD420251207282), PubMed, Embase, and the Cochrane Library were searched for randomized and non-randomized studies comparing IPCL versus ICL implantation (V4c or V5 models with a central aquaport). Primary outcomes included postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent (SE). Secondary outcomes included postoperative vault, adverse events (cataract formation, acute glaucoma, endothelial cell loss, lens explantation, and rotation), and weighted mean efficacy and safety indices. Data were pooled using random-effects models, and heterogeneity was assessed using the I² statistic. Analyses were performed using R software.",
        "Results": "Nine studies including 1,187 eyes (IPCL 559; ICL 628) from 941 myopic patients were analyzed. Postoperative UDVA and CDVA were not significantly different between groups (p=0.223 and p=0.861). A significant difference favoring IPCL was observed for SE (MD=−0.06 D; 95%CI:−0.11 to −0.001; p=0.028; I²=37%), although clinically negligible. Secondary outcomes were comparable between groups, including vault (MD=57.26µm; p=0.404), cataract formation (RR=1.19; p=0.684), endothelial cell loss (MD=−3.36cells/mm²; p=0.652), and IOL exchange (RR=1.01; p=0.992). However, rotational stability in toric lenses significantly favored ICL (RR=3.49; 95%CI:1.16–10.49; p=0.026; I²=0%). Efficacy and safety indices were comparable (IPCL 1.09/1.20; ICL 1.11/1.18).",
        "Conclusions": "IPCL and ICL demonstrated comparable visual outcomes and safety profiles. IPCL showed a slightly better refractive predictability, whereas toric ICL provided superior rotational stability, supporting individualized lens selection based on refractive and astigmatic requirements. Future studies should evaluate long-term rotational stability and comparative outcomes across diverse patient populations to guide optimal lens selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "FP19.03",
      "abstract_number": "FP19.03",
      "title": "Comparative Study Of Early Clinical Outcomes Between Newly Developed Acrylic Pc Phakic Iol(Kpl) And Collamer Pc Phakic Iol(Icl)",
      "authors": "Dr Boyi Kim",
      "presenter": "Dr Boyi Kim",
      "normalized_authors": [
        "Boyi Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Boyi Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare early clinical, anterior-segment, and objective optical quality outcomes between a newly developed hydrophilic acrylic posterior-chamber phakic IOL (KPL, Koryo Eyetech Co., Seoul, Korea) and a collamer posterior-chamber phakic IOL (EVO ICL, STAAR Surgical, Monrovia, CA, USA).\nKPL incorporates an enlarged 6.2-mm optic zone, a thinner profile than existing phakic IOLs, a 360-µm central hole for physiologic aqueous flow, and an expanded overall diameter range (11.75–13.75 mm) to enhance sizing flexibility and potentially improve visual quality.\nWe aimed to assess whether early visual and refractive outcomes with KPL were comparable to those with ICL, along with vaulting and anterior chamber angle safety.",
        "Setting": "Retrospective single-center chart review comparing KPL and ICL implantation, with preoperative demographic assessment, refraction, and anterior segment parameters, and standardized 1-month postoperative evaluation including refraction, visual acuity, AS-OCT–derived vault/angle metrics, and OQAS objective optical quality.",
        "Methods": "This retrospective comparative study included 30 eyes implanted with KPL and 60 eyes implanted with ICL (single surgeon, Jun-Oct 2025). At 1 month, refraction (sphere/cylinder/SE), visual acuity, and OQAS metrics (MTF cutoff, OSI, Strehl ratio) were evaluated. Vault and angle metrics (AOD500, ACA500; temporal/nasal) were measured by AS-OCT preoperatively and at 1 month. Between-group comparisons used Mann–Whitney U tests, and vault-angle changes association (ΔAOD500 and ΔACA500) used Spearman correlation. Angle metrics were compared at similar vault levels using vault strata (low <400, mid 400–700, high >700 µm) and in 1:1 vault-matched pairs (nearest-neighbor, no replacement; caliper 75 µm) with paired Wilcoxon signed-rank tests.",
        "Results": "Preoperative demographics, anterior-segment biometry, and manifest refraction were comparable between KPL and ICL. At 1 month, refraction and visual acuity did not differ (all p>0.05). Vault was similar (p=0.338), and optical quality (OSI, MTF cutoff, Strehl) was comparable (all p>0.05). Vault–angle change analysis showed vault-related temporal angle narrowing in ICL but not KPL (ΔAOD500: ICL r=−0.247, p=0.048; KPL r=0.040, p=0.841; ΔACA500: ICL r=−0.262, p=0.043; KPL r=−0.017, p=0.931). In the high-vault stratum (>700 µm), KPL maintained larger AOD500/ACA500 (p=0.003/0.005). In 28 vault-matched pairs (caliper 75 µm; vault diff ~1 µm), AOD500 was higher with KPL (Wilcoxon p=0.016) and ACA500 showed a favorable trend (p=0.071).",
        "Conclusions": "In this early comparative study, KPL achieved refractive/visual outcomes comparable to ICL, with similar vaulting and optical quality at 1 month. Vault–angle change, stratified, and vault-matched analyses suggested less vault-associated temporal angle narrowing with KPL and better preservation of AOD/ACA at higher vault levels. Taken together, these results indicate overall postoperative performance and anatomic stability comparable to ICL. In addition, KPL demonstrated a more favorable anterior chamber angle-safety profile across analyses. KPL may be considered a clinically viable alternative to the widely used ICL; larger, longer-term prospective studies are needed to confirm safety and performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this early comparative study, KPL achieved refractive/visual outcomes comparable to ICL, with similar vaulting and optical quality at 1 month. Vault–angle change, stratified, and vault-matched analyses suggested less vault-associated temporal angle narrowing with KPL and better preservation of AOD/ACA at higher vault levels. Taken together, these results indicate overall postoperative performance and anatomic…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 273,
      "source_fields": {
        "Abstract Final Identifier": "FP19.03",
        "Title": "Comparative Study Of Early Clinical Outcomes Between Newly Developed Acrylic Pc Phakic Iol(Kpl) And Collamer Pc Phakic Iol(Icl)",
        "Presenting Author(s)": "Dr Boyi Kim",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Boyi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare early clinical, anterior-segment, and objective optical quality outcomes between a newly developed hydrophilic acrylic posterior-chamber phakic IOL (KPL, Koryo Eyetech Co., Seoul, Korea) and a collamer posterior-chamber phakic IOL (EVO ICL, STAAR Surgical, Monrovia, CA, USA).\nKPL incorporates an enlarged 6.2-mm optic zone, a thinner profile than existing phakic IOLs, a 360-µm central hole for physiologic aqueous flow, and an expanded overall diameter range (11.75–13.75 mm) to enhance sizing flexibility and potentially improve visual quality.\nWe aimed to assess whether early visual and refractive outcomes with KPL were comparable to those with ICL, along with vaulting and anterior chamber angle safety.",
        "Setting": "Retrospective single-center chart review comparing KPL and ICL implantation, with preoperative demographic assessment, refraction, and anterior segment parameters, and standardized 1-month postoperative evaluation including refraction, visual acuity, AS-OCT–derived vault/angle metrics, and OQAS objective optical quality.",
        "Methods": "This retrospective comparative study included 30 eyes implanted with KPL and 60 eyes implanted with ICL (single surgeon, Jun-Oct 2025). At 1 month, refraction (sphere/cylinder/SE), visual acuity, and OQAS metrics (MTF cutoff, OSI, Strehl ratio) were evaluated. Vault and angle metrics (AOD500, ACA500; temporal/nasal) were measured by AS-OCT preoperatively and at 1 month. Between-group comparisons used Mann–Whitney U tests, and vault-angle changes association (ΔAOD500 and ΔACA500) used Spearman correlation. Angle metrics were compared at similar vault levels using vault strata (low <400, mid 400–700, high >700 µm) and in 1:1 vault-matched pairs (nearest-neighbor, no replacement; caliper 75 µm) with paired Wilcoxon signed-rank tests.",
        "Results": "Preoperative demographics, anterior-segment biometry, and manifest refraction were comparable between KPL and ICL. At 1 month, refraction and visual acuity did not differ (all p>0.05). Vault was similar (p=0.338), and optical quality (OSI, MTF cutoff, Strehl) was comparable (all p>0.05). Vault–angle change analysis showed vault-related temporal angle narrowing in ICL but not KPL (ΔAOD500: ICL r=−0.247, p=0.048; KPL r=0.040, p=0.841; ΔACA500: ICL r=−0.262, p=0.043; KPL r=−0.017, p=0.931). In the high-vault stratum (>700 µm), KPL maintained larger AOD500/ACA500 (p=0.003/0.005). In 28 vault-matched pairs (caliper 75 µm; vault diff ~1 µm), AOD500 was higher with KPL (Wilcoxon p=0.016) and ACA500 showed a favorable trend (p=0.071).",
        "Conclusions": "In this early comparative study, KPL achieved refractive/visual outcomes comparable to ICL, with similar vaulting and optical quality at 1 month. Vault–angle change, stratified, and vault-matched analyses suggested less vault-associated temporal angle narrowing with KPL and better preservation of AOD/ACA at higher vault levels. Taken together, these results indicate overall postoperative performance and anatomic stability comparable to ICL. In addition, KPL demonstrated a more favorable anterior chamber angle-safety profile across analyses. KPL may be considered a clinically viable alternative to the widely used ICL; larger, longer-term prospective studies are needed to confirm safety and performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 486
    },
    {
      "uid": "FP19.04",
      "abstract_number": "FP19.04",
      "title": "Randomized Clinical Trial Comparing Implantable Collamer Lens Implantation (Icl V5) And Small-Incision Lenticule Extraction (Smile) Pro (Visumax 800)",
      "authors": "Prof. Kangjun Li",
      "presenter": "Prof. Kangjun Li",
      "normalized_authors": [
        "Kangjun Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kangjun Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare refractive predictability, efficacy, safety, and visual quality outcomes between implantable collamer lens implantation (ICL V5) and small-incision lenticule extraction (SMILE) Pro (VisuMax 800) for the treatment of myopia and myopic astigmatism.",
        "Setting": "Prospective, randomized, paired-eye, single-masked clinical trial. Consecutive eligible patients with stable myopia with or without astigmatism, in whom both eyes met eligibility criteria for both procedures, were enrolled at a single tertiary referral eye center. In each patient, one eye was randomized to undergo ICL V5 implantation and the fellow eye to undergo SMILE Pro.",
        "Methods": "For each participant, laterality (right/left) was randomized to receive ICL V5 implantation, with the contralateral eye undergoing SMILE Pro. ICL implantation (sphere or toric as indicated) was performed using a standard technique. SMILE Pro was performed using the VisuMax 800 femtosecond laser. Postoperative examinations were conducted at 1, 3, and 6 months and included manifest refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and adverse event recording. Patient-reported visual symptoms (e.g., halos/glare) and objective optical quality metrics (e.g., higher-order aberrations, contrast sensitivity) were assessed as secondary outcomes.",
        "Results": "We recruited 50 consecutive patients (mean age, 28 ± 5 years; 68 % women; all Asian). Preoperative SE did not differ between eyes randomized to ICL V5 versus SMILE Pro (-5.35±1.75 diopters [D] vs. -5.32±1.76 D; P = 0.87). At 3 months, 98 % of ICL V5 eyes and 99 % of SMILE Pro eyes achieved SE within ±0.50 D of attempted correction (P = 0.89). UDVA of 20/20 or better was achieved in 98 % of ICL V5 eyes and 98 % of SMILE Pro eyes (P = 0.88). The efficacy index was 0.97±0.21 vs 0.98±0.20 (P = 0.56), and the safety index was 1.1±0.2 vs. 1.1±0.2 (P = 0.57). At 6 months, predictability, efficacy, and safety remained stable, with 98% vs 99% within ±0.50 D (P = 0.89) and 99% vs 99% achieving UDVA ≥20/20 (P = 0.58).",
        "Conclusions": "In this paired-eye randomized trial, both ICL V5 implantation and SMILE Pro (VisuMax 800) produced excellent refractive predictability, efficacy, and safety for myopia and myopic astigmatism at 3 and 6 months. Differences between procedures were primarily reflected in visual quality metrics and procedure-specific event profiles. These findings support individualized selection of lens-based versus corneal-based refractive correction according to ocular anatomy and patient priorities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this paired-eye randomized trial, both ICL V5 implantation and SMILE Pro (VisuMax 800) produced excellent refractive predictability, efficacy, and safety for myopia and myopic astigmatism at 3 and 6 months. Differences between procedures were primarily reflected in visual quality metrics and procedure-specific event profiles. These findings support individualized selection of lens-based versus corneal-based…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 274,
      "source_fields": {
        "Abstract Final Identifier": "FP19.04",
        "Title": "Randomized Clinical Trial Comparing Implantable Collamer Lens Implantation (Icl V5) And Small-Incision Lenticule Extraction (Smile) Pro (Visumax 800)",
        "Presenting Author(s)": "Prof. Kangjun Li",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Kangjun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To compare refractive predictability, efficacy, safety, and visual quality outcomes between implantable collamer lens implantation (ICL V5) and small-incision lenticule extraction (SMILE) Pro (VisuMax 800) for the treatment of myopia and myopic astigmatism.",
        "Setting": "Prospective, randomized, paired-eye, single-masked clinical trial. Consecutive eligible patients with stable myopia with or without astigmatism, in whom both eyes met eligibility criteria for both procedures, were enrolled at a single tertiary referral eye center. In each patient, one eye was randomized to undergo ICL V5 implantation and the fellow eye to undergo SMILE Pro.",
        "Methods": "For each participant, laterality (right/left) was randomized to receive ICL V5 implantation, with the contralateral eye undergoing SMILE Pro. ICL implantation (sphere or toric as indicated) was performed using a standard technique. SMILE Pro was performed using the VisuMax 800 femtosecond laser. Postoperative examinations were conducted at 1, 3, and 6 months and included manifest refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and adverse event recording. Patient-reported visual symptoms (e.g., halos/glare) and objective optical quality metrics (e.g., higher-order aberrations, contrast sensitivity) were assessed as secondary outcomes.",
        "Results": "We recruited 50 consecutive patients (mean age, 28 ± 5 years; 68 % women; all Asian). Preoperative SE did not differ between eyes randomized to ICL V5 versus SMILE Pro (-5.35±1.75 diopters [D] vs. -5.32±1.76 D; P = 0.87). At 3 months, 98 % of ICL V5 eyes and 99 % of SMILE Pro eyes achieved SE within ±0.50 D of attempted correction (P = 0.89). UDVA of 20/20 or better was achieved in 98 % of ICL V5 eyes and 98 % of SMILE Pro eyes (P = 0.88). The efficacy index was 0.97±0.21 vs 0.98±0.20 (P = 0.56), and the safety index was 1.1±0.2 vs. 1.1±0.2 (P = 0.57). At 6 months, predictability, efficacy, and safety remained stable, with 98% vs 99% within ±0.50 D (P = 0.89) and 99% vs 99% achieving UDVA ≥20/20 (P = 0.58).",
        "Conclusions": "In this paired-eye randomized trial, both ICL V5 implantation and SMILE Pro (VisuMax 800) produced excellent refractive predictability, efficacy, and safety for myopia and myopic astigmatism at 3 and 6 months. Differences between procedures were primarily reflected in visual quality metrics and procedure-specific event profiles. These findings support individualized selection of lens-based versus corneal-based refractive correction according to ocular anatomy and patient priorities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 401
    },
    {
      "uid": "FP19.05",
      "abstract_number": "FP19.05",
      "title": "Pupil-Dependent Optical Quality In High Myopia: A Wavefront Comparison Of Icl And Lasik",
      "authors": "Dr Caline Waked",
      "presenter": "Dr Caline Waked",
      "normalized_authors": [
        "Caline Waked"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Caline Waked",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare the surgical impact of Implantable Collamer Lens (EVO and EVO+ ICLs) implantation versus laser in situ keratomileusis (LASIK) on corneal and total ocular higher-order aberrations (HOAs) in highly myopic eyes. The study specifically investigates the pupil-dependency of induced aberrations, notably coma and spherical aberrations, to understand the optical performance of both techniques under mesopic conditions.",
        "Setting": "Fondation Adolphe de Rothschild Hospital, Paris, France.",
        "Methods": "This retrospective study evaluated highly myopic eyes treated with EVO/EVO+ ICLs or LASIK between 2016 and 2024. Analyses included eyes with complete wavefront data (from NIDEK OPD-Scan III) at the 6.0 mm (ICL n=24, LASIK n=42), 5.5 mm, and 5.0 mm diameters. Postoperative changes in corneal and total ocular HOAs, primary/secondary coma, and spherical aberrations (Z4,0; Z6,0) were evaluated. Cluster-adjusted regression models were used to account for bilateral eyes and follow-up duration without reducing sample size.",
        "Results": "Refractive accuracy was comparable between groups. At the 6.0 mm diameter, LASIK induced significant median corneal primary coma (+0.37 µm) and Z4,0 (+0.27 µm, p<0.05), whereas ICLs left the cornea unchanged. Paradoxically, for the total ocular wavefront at 6.0 mm, ICLs induced marked median primary coma (+1.11 µm vs +0.26 µm for LASIK, p<0.001) and secondary spherical aberration Z6,0 (+0.24 µm vs +0.08 µm, p=0.007). These internal aberrations induced by ICLs were highly pupil-dependent, dropping significantly at 5.0 mm. Ocular MTF AUC at 6.0 mm trended better in the LASIK group.",
        "Conclusions": "While EVO/EVO+ ICLs effectively preserve corneal optical quality, they paradoxically induce significantly more total ocular coma and secondary spherical aberration than LASIK at large pupillary diameters (6.0 mm). This pupil-dependent induction of internal aberrations is likely driven by the implant's vault, micro-tilt, or optical zone edge effects. Consequently, for highly myopic patients with large mesopic pupils, modern LASIK may offer a more favorable total ocular optical profile than phakic IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While EVO/EVO+ ICLs effectively preserve corneal optical quality, they paradoxically induce significantly more total ocular coma and secondary spherical aberration than LASIK at large pupillary diameters (6.0 mm). This pupil-dependent induction of internal aberrations is likely driven by the implant's vault, micro-tilt, or optical zone edge effects. Consequently, for highly myopic patients with large mesopic…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 275,
      "source_fields": {
        "Abstract Final Identifier": "FP19.05",
        "Title": "Pupil-Dependent Optical Quality In High Myopia: A Wavefront Comparison Of Icl And Lasik",
        "Presenting Author(s)": "Dr Caline Waked",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Caline",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Waked",
        "Country Name": "France",
        "Purpose": "To compare the surgical impact of Implantable Collamer Lens (EVO and EVO+ ICLs) implantation versus laser in situ keratomileusis (LASIK) on corneal and total ocular higher-order aberrations (HOAs) in highly myopic eyes. The study specifically investigates the pupil-dependency of induced aberrations, notably coma and spherical aberrations, to understand the optical performance of both techniques under mesopic conditions.",
        "Setting": "Fondation Adolphe de Rothschild Hospital, Paris, France.",
        "Methods": "This retrospective study evaluated highly myopic eyes treated with EVO/EVO+ ICLs or LASIK between 2016 and 2024. Analyses included eyes with complete wavefront data (from NIDEK OPD-Scan III) at the 6.0 mm (ICL n=24, LASIK n=42), 5.5 mm, and 5.0 mm diameters. Postoperative changes in corneal and total ocular HOAs, primary/secondary coma, and spherical aberrations (Z4,0; Z6,0) were evaluated. Cluster-adjusted regression models were used to account for bilateral eyes and follow-up duration without reducing sample size.",
        "Results": "Refractive accuracy was comparable between groups. At the 6.0 mm diameter, LASIK induced significant median corneal primary coma (+0.37 µm) and Z4,0 (+0.27 µm, p<0.05), whereas ICLs left the cornea unchanged. Paradoxically, for the total ocular wavefront at 6.0 mm, ICLs induced marked median primary coma (+1.11 µm vs +0.26 µm for LASIK, p<0.001) and secondary spherical aberration Z6,0 (+0.24 µm vs +0.08 µm, p=0.007). These internal aberrations induced by ICLs were highly pupil-dependent, dropping significantly at 5.0 mm. Ocular MTF AUC at 6.0 mm trended better in the LASIK group.",
        "Conclusions": "While EVO/EVO+ ICLs effectively preserve corneal optical quality, they paradoxically induce significantly more total ocular coma and secondary spherical aberration than LASIK at large pupillary diameters (6.0 mm). This pupil-dependent induction of internal aberrations is likely driven by the implant's vault, micro-tilt, or optical zone edge effects. Consequently, for highly myopic patients with large mesopic pupils, modern LASIK may offer a more favorable total ocular optical profile than phakic IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "FP19.06",
      "abstract_number": "FP19.06",
      "title": "The Ciliary Process-Posterior Angle Complex: A Novel Risk Factor For Hyper-Vault After Icl Implantation – A Ubm-Based Analysis Of 2,000+ Eyes",
      "authors": "Ms Jiayu Pan",
      "presenter": "Ms Jiayu Pan",
      "normalized_authors": [
        "Jiayu Pan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jiayu Pan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To develop a digital predictive model reflecting posterior chamber geometry (e.g., sulcus-to-sulcus [STS] asymmetry, lens curvature) by integrating direct UBM measurements of the ciliary sulcus. We aim to investigate how ciliary process size (CP) and posterior chamber angle morphology (CSA), beyond STS diameter, contribute to abnormal postoperative vault and to identify independent risk factors for extreme vaults.",
        "Setting": "Postoperative vault is critical for ICL safety, yet WTW/ACD-based sizing often yields poor predictability. High-resolution UBM visualizes posterior chamber morphology, but these data remain clinically underutilized without systematic predictive models. Quantitative evidence linking ciliary process morphology and posterior chamber angle to haptic positioning is lacking. Integrating UBM data into robust machine learning models is essential for personalized ICL sizing.",
        "Methods": "A UBM-driven vault prediction model was developed and validated using data from 2,000+ ICL surgeries (Jan 2023-Jan 2025). Preoperative parameters extracted included horizontal/vertical STS (STS-H, STS-V), lens curvature (LC), ciliary sulcus angle (CSA), and ciliary process size (CP). A random forest model identified dominant anatomical predictors, leading to the creation of a clinical ICL sizing atlas incorporating a sulcus asymmetry index (CS Diff = |STS-H – STSV|) and empirical LC thresholds. The atlas was prospectively validated in 286 patients (568 eyes) from May-June 2025. Retrospective case analysis was performed on eyes with postoperative extreme vaults.",
        "Results": "Random forest and SHAP analysis identified STS-H, CP, CBTmax, STS-V, LC-H, and LC-V as key numerical predictors. The importance scores for posterior chamber morphology (CP, CBTmax) ranked second only to STS-H. In the validation cohort, 92.96% of eyes achieved an ideal vault (250–750 µm) using the atlas, significantly outperforming traditional WTW+ACD methods. Among 9 patients with postoperative hyper-vault, 8 had preoperative UBM reports indicating larger CP (0.827±0.213mm vs. 0.546±0.337mm in controls, p<0.001) and narrower CSA (22.859±4.562° vs. 39.983±8.736°, p<0.001). Two patients required ICL exchange due to narrow nasal anterior chamber angles; both had preoperative UBM showing narrow nasal posterior angles and large ciliary bodies.",
        "Conclusions": "Postoperative ICL vault is determined not only by STS diameter but also by the 3D configuration of the ciliary process-posterior angle complex. A \"large ciliary process combined with a narrow posterior angle\" is a key anatomical risk factor for hyper-vault, likely because the ciliary processes occupy posterior chamber space, forcing the ICL optic anteriorly. The UBM-driven atlas and identification of this high-risk complex enable preoperative recognition of vulnerable anatomy, facilitating optimized ICL size selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Postoperative ICL vault is determined not only by STS diameter but also by the 3D configuration of the ciliary process-posterior angle complex. A \"large ciliary process combined with a narrow posterior angle\" is a key anatomical risk factor for hyper-vault, likely because the ciliary processes occupy posterior chamber space, forcing the ICL optic anteriorly. The UBM-driven atlas and identification of this high-risk…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 276,
      "source_fields": {
        "Abstract Final Identifier": "FP19.06",
        "Title": "The Ciliary Process-Posterior Angle Complex: A Novel Risk Factor For Hyper-Vault After Icl Implantation – A Ubm-Based Analysis Of 2,000+ Eyes",
        "Presenting Author(s)": "Ms Jiayu Pan",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Jiayu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pan",
        "Country Name": "China",
        "Purpose": "To develop a digital predictive model reflecting posterior chamber geometry (e.g., sulcus-to-sulcus [STS] asymmetry, lens curvature) by integrating direct UBM measurements of the ciliary sulcus. We aim to investigate how ciliary process size (CP) and posterior chamber angle morphology (CSA), beyond STS diameter, contribute to abnormal postoperative vault and to identify independent risk factors for extreme vaults.",
        "Setting": "Postoperative vault is critical for ICL safety, yet WTW/ACD-based sizing often yields poor predictability. High-resolution UBM visualizes posterior chamber morphology, but these data remain clinically underutilized without systematic predictive models. Quantitative evidence linking ciliary process morphology and posterior chamber angle to haptic positioning is lacking. Integrating UBM data into robust machine learning models is essential for personalized ICL sizing.",
        "Methods": "A UBM-driven vault prediction model was developed and validated using data from 2,000+ ICL surgeries (Jan 2023-Jan 2025). Preoperative parameters extracted included horizontal/vertical STS (STS-H, STS-V), lens curvature (LC), ciliary sulcus angle (CSA), and ciliary process size (CP). A random forest model identified dominant anatomical predictors, leading to the creation of a clinical ICL sizing atlas incorporating a sulcus asymmetry index (CS Diff = |STS-H – STSV|) and empirical LC thresholds. The atlas was prospectively validated in 286 patients (568 eyes) from May-June 2025. Retrospective case analysis was performed on eyes with postoperative extreme vaults.",
        "Results": "Random forest and SHAP analysis identified STS-H, CP, CBTmax, STS-V, LC-H, and LC-V as key numerical predictors. The importance scores for posterior chamber morphology (CP, CBTmax) ranked second only to STS-H. In the validation cohort, 92.96% of eyes achieved an ideal vault (250–750 µm) using the atlas, significantly outperforming traditional WTW+ACD methods. Among 9 patients with postoperative hyper-vault, 8 had preoperative UBM reports indicating larger CP (0.827±0.213mm vs. 0.546±0.337mm in controls, p<0.001) and narrower CSA (22.859±4.562° vs. 39.983±8.736°, p<0.001). Two patients required ICL exchange due to narrow nasal anterior chamber angles; both had preoperative UBM showing narrow nasal posterior angles and large ciliary bodies.",
        "Conclusions": "Postoperative ICL vault is determined not only by STS diameter but also by the 3D configuration of the ciliary process-posterior angle complex. A \"large ciliary process combined with a narrow posterior angle\" is a key anatomical risk factor for hyper-vault, likely because the ciliary processes occupy posterior chamber space, forcing the ICL optic anteriorly. The UBM-driven atlas and identification of this high-risk complex enable preoperative recognition of vulnerable anatomy, facilitating optimized ICL size selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 410
    },
    {
      "uid": "FP19.07",
      "abstract_number": "FP19.07",
      "title": "To Assess The 8-Year Clinical Outcomes Of Implantation Of An Implantable Collamer Lens (Icl) With A Central Port (Ks-Aquaport; Evo-Icl) For Moderate To High Myopia And Myopic Astigmatism",
      "authors": "Dr Manasi Rohit Bang",
      "presenter": "Dr Manasi Rohit Bang",
      "normalized_authors": [
        "Manasi Rohit Bang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Manasi Rohit Bang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "TO ASSESS THE 8 YEARS CLINICAL OUTCOMES OF IMPLANTATION OF AN IMPLANTABLE COLLAMER LENS (ICL) WITH A CENTRAL PORT (KS - AQUAPORT : EVO ICL ) FOR MODERATE TO HIGH MYOPIA AND MYOPIC ASTIGMATISM",
        "Setting": "RETROSPECTIVE STUDY. PRIVATE SET UP",
        "Methods": "This retrospective study comprised a total of 177 eyes of 106 patients with spherical equivalents of −7.99 ± 3.33 D [mean ± standard deviation], who underwent EVO-ICL implantation. We evaluated the safety, efficacy, predictability, stability, and adverse events of the surgery, at 1 month, and 1, 2, 4, 6, and 8 years postoperatively.",
        "Results": "The logarithm of the minimal angle of resolution (LogMAR) uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were −0.07 ± 0.17 and −0.30 ± 0.09, respectively, at 8 years postoperatively. The safety and efficacy indices were 1.18 ± 0.24 and 0.89 ± 0.28, respectively. At 8 years, 83 and 93% eyes were within ± 0.5 D and ± 1.0 D of the targeted correction, respectively. Change in manifest refraction from 1 month to 8 years postoperatively was −0.13 ± 0.30 D. We found that neither significant intraocular pressure (IOP) rise (including pupillary block) nor significant endothelial cell loss occurred in any case throughout the 8-year observation period",
        "Conclusions": "Current ICL implantation with central port technology offered good continuous outcomes for all measures of safety, efficacy, predictability, and stability for correcting moderate to high myopic errors over a long period, thereby suggesting its long-term viability as a surgical approach for the treatment of such eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Current ICL implantation with central port technology offered good continuous outcomes for all measures of safety, efficacy, predictability, and stability for correcting moderate to high myopic errors over a long period, thereby suggesting its long-term viability as a surgical approach for the treatment of such eyes.",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 277,
      "source_fields": {
        "Abstract Final Identifier": "FP19.07",
        "Title": "To Assess The 8-Year Clinical Outcomes Of Implantation Of An Implantable Collamer Lens (Icl) With A Central Port (Ks-Aquaport; Evo-Icl) For Moderate To High Myopia And Myopic Astigmatism",
        "Presenting Author(s)": "Dr Manasi Rohit Bang",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Manasi",
        "Submitter Middle Name": "Rohit",
        "Submitter Last Name": "Bang",
        "Country Name": "India",
        "Purpose": "TO ASSESS THE 8 YEARS CLINICAL OUTCOMES OF IMPLANTATION OF AN IMPLANTABLE COLLAMER LENS (ICL) WITH A CENTRAL PORT (KS - AQUAPORT : EVO ICL ) FOR MODERATE TO HIGH MYOPIA AND MYOPIC ASTIGMATISM",
        "Setting": "RETROSPECTIVE STUDY. PRIVATE SET UP",
        "Methods": "This retrospective study comprised a total of 177 eyes of 106 patients with spherical equivalents of −7.99 ± 3.33 D [mean ± standard deviation], who underwent EVO-ICL implantation. We evaluated the safety, efficacy, predictability, stability, and adverse events of the surgery, at 1 month, and 1, 2, 4, 6, and 8 years postoperatively.",
        "Results": "The logarithm of the minimal angle of resolution (LogMAR) uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were −0.07 ± 0.17 and −0.30 ± 0.09, respectively, at 8 years postoperatively. The safety and efficacy indices were 1.18 ± 0.24 and 0.89 ± 0.28, respectively. At 8 years, 83 and 93% eyes were within ± 0.5 D and ± 1.0 D of the targeted correction, respectively. Change in manifest refraction from 1 month to 8 years postoperatively was −0.13 ± 0.30 D. We found that neither significant intraocular pressure (IOP) rise (including pupillary block) nor significant endothelial cell loss occurred in any case throughout the 8-year observation period",
        "Conclusions": "Current ICL implantation with central port technology offered good continuous outcomes for all measures of safety, efficacy, predictability, and stability for correcting moderate to high myopic errors over a long period, thereby suggesting its long-term viability as a surgical approach for the treatment of such eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "FP19.08",
      "abstract_number": "FP19.08",
      "title": "One Size Doesn't Fit All Ages: A Comparative Study On The Influence Of Age-Specific Ocular Anatomical Differences On The Prediction Of Post-Icl Surgery Vault",
      "authors": "Ms Jiayu Pan",
      "presenter": "Ms Jiayu Pan",
      "normalized_authors": [
        "Jiayu Pan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jiayu Pan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare ICL vault prediction accuracy between a full-age model and a young cohort model; to quantify age-related anatomical differences in key posterior chamber parameters; and to identify anatomical predictors of dynamic vault change (ΔVault), thereby informing the need for age-specific prediction algorithms.",
        "Setting": "Age-related ocular changes may affect ICL vault prediction, yet current models are developed primarily in young cohorts. Clinically, patients aged ≥40 often exhibit unexpected vault outcomes, but the underlying anatomical drivers remain unquantified. This study evaluates how age-specific anatomical differences influence postoperative vault prediction and identifies key predictors of vault change (ΔVault).",
        "Methods": "This retrospective study analyzed 2107 eyes undergoing ICL V4c implantation. Preoperative UBM parameters included: STS-H/V, lens thickness (LT), anterior chamber depth (ACD), ciliary process length (CPL), and maximum ciliary body thickness (CBTmax). Machine learning algorithms (LightGBM, XGBoost, SVR, RF, GBDT) with 5-fold cross-validation constructed two models: full-age (18-50y, n=2107) and young (<40y, n=1788). Additionally, 426 eyes were stratified into three age groups: Young (18-30y, n=188), Middle (31-39y, n=134), Older (≥40y, n=104). ΔVault (6 months minus 1 day postop) was calculated as a dynamic stability metric. Model performance was evaluated using RMSE and R². Anatomical parameters and ΔVault were compared across groups.",
        "Results": "The young cohort model significantly outperformed the full-age model (RMSE: 53.59 vs. 64.36 µm; R²: 0.896 vs. 0.881; P<0.01), confirming age-related prediction decay. Anatomically, Older eyes exhibited progressive LT increase (3.921±0.247 vs. 3.513±0.196 mm in Young, P<0.001) and ACD decrease (3.044±0.232 vs. 3.266±0.288 mm, P<0.001). Dynamic vault stability declined with age: ΔVault variability was highest in Older (SD=122.55 µm) vs. Young (67.62 µm). Feature importance identified CPL, CBTmax, and LT as top ΔVault predictors.",
        "Conclusions": "Including patients ≥40 years degrades universal vault prediction model performance. Older eyes exhibit distinct anatomy (increased LT, altered ciliary parameters) and poorer vault stability. These findings support developing age-specific prediction models incorporating ciliary body metrics. Clinically, preoperative attention to LT and ciliary process length in patients ≥40 may improve vault outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Including patients ≥40 years degrades universal vault prediction model performance. Older eyes exhibit distinct anatomy (increased LT, altered ciliary parameters) and poorer vault stability. These findings support developing age-specific prediction models incorporating ciliary body metrics. Clinically, preoperative attention to LT and ciliary process length in patients ≥40 may improve vault outcomes.",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 278,
      "source_fields": {
        "Abstract Final Identifier": "FP19.08",
        "Title": "One Size Doesn't Fit All Ages: A Comparative Study On The Influence Of Age-Specific Ocular Anatomical Differences On The Prediction Of Post-Icl Surgery Vault",
        "Presenting Author(s)": "Ms Jiayu Pan",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Jiayu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pan",
        "Country Name": "China",
        "Purpose": "To compare ICL vault prediction accuracy between a full-age model and a young cohort model; to quantify age-related anatomical differences in key posterior chamber parameters; and to identify anatomical predictors of dynamic vault change (ΔVault), thereby informing the need for age-specific prediction algorithms.",
        "Setting": "Age-related ocular changes may affect ICL vault prediction, yet current models are developed primarily in young cohorts. Clinically, patients aged ≥40 often exhibit unexpected vault outcomes, but the underlying anatomical drivers remain unquantified. This study evaluates how age-specific anatomical differences influence postoperative vault prediction and identifies key predictors of vault change (ΔVault).",
        "Methods": "This retrospective study analyzed 2107 eyes undergoing ICL V4c implantation. Preoperative UBM parameters included: STS-H/V, lens thickness (LT), anterior chamber depth (ACD), ciliary process length (CPL), and maximum ciliary body thickness (CBTmax). Machine learning algorithms (LightGBM, XGBoost, SVR, RF, GBDT) with 5-fold cross-validation constructed two models: full-age (18-50y, n=2107) and young (<40y, n=1788). Additionally, 426 eyes were stratified into three age groups: Young (18-30y, n=188), Middle (31-39y, n=134), Older (≥40y, n=104). ΔVault (6 months minus 1 day postop) was calculated as a dynamic stability metric. Model performance was evaluated using RMSE and R². Anatomical parameters and ΔVault were compared across groups.",
        "Results": "The young cohort model significantly outperformed the full-age model (RMSE: 53.59 vs. 64.36 µm; R²: 0.896 vs. 0.881; P<0.01), confirming age-related prediction decay. Anatomically, Older eyes exhibited progressive LT increase (3.921±0.247 vs. 3.513±0.196 mm in Young, P<0.001) and ACD decrease (3.044±0.232 vs. 3.266±0.288 mm, P<0.001). Dynamic vault stability declined with age: ΔVault variability was highest in Older (SD=122.55 µm) vs. Young (67.62 µm). Feature importance identified CPL, CBTmax, and LT as top ΔVault predictors.",
        "Conclusions": "Including patients ≥40 years degrades universal vault prediction model performance. Older eyes exhibit distinct anatomy (increased LT, altered ciliary parameters) and poorer vault stability. These findings support developing age-specific prediction models incorporating ciliary body metrics. Clinically, preoperative attention to LT and ciliary process length in patients ≥40 may improve vault outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "FP19.09",
      "abstract_number": "FP19.09",
      "title": "Performance Of Anterior Segment Oct–Based Formulas For Implantable Collamer Lens Sizing In Eyes Requiring Vault-Related Lens Exchange",
      "authors": "Dr Nicole Mechleb",
      "presenter": "Dr Nicole Mechleb",
      "normalized_authors": [
        "Nicole Mechleb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicole Mechleb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To evaluate the performance of four anterior segment optical coherence tomography (AS-OCT)–based Implantable Collamer Lens (ICL) sizing methods in eyes requiring ICL exchange for vault-related indications, and to assess whether these methods could have prevented secondary surgery.",
        "Setting": "This multicenter retrospective study included eyes that underwent ICL exchange for inadequate postoperative vault at four European centers between September 2023 and November 2025: Rothschild Foundation Hospital (Paris, France), the Institute for Ophthalmology Halle (Halle, Germany), Suedblick Eye Clinics (Augsburg-Munich, Germany), and Eye Day Clinic Marienplatz (Munich, Germany)",
        "Methods": "Primary ICL sizing was performed using the manufacturer’s nomogram. Preoperative swept-source AS-OCT imaging was retrospectively analyzed using four sizing methods: SafeVault, Nakamura–Kojima version 3 (NK-v3), KIM, and EPB formulas. Agreement between the initially implanted, exchanged, and formula-predicted ICL sizes was assessed using weighted Cohen’s kappa coefficients. Predicted and achieved postoperative vaults were compared using Friedman tests.",
        "Results": "Fourty-tthree eyes of 31 patients were included. Mean postoperative vault after primary surgery was 790 ± 515 µm, with 27.9% of eyes <250 µm and 65.1% >750 µm. SafeVault showed excellent agreement with the final implanted ICL size (κ = 0.82), whereas KIM (κ = 0.41), NK-v3 (κ = 0.47), and EPB (κ = 0.42) demonstrated only moderate agreement. SafeVault proposed a more suitable ICL size in 83.9% of cases and recommended a less suitable size in 1 case (2.4%). No significant differences were observed between predicted and achieved postoperative vaults for selected ICL sizes.",
        "Conclusions": "In eyes undergoing ICL exchange for vault-related indications, AS-OCT–based sizing methods demonstrated variable levels of agreement with clinically selected lens size. Within this context, the SafeVault approach showed consistent concordance with final surgical decisions and may provide complementary information for ICL sizing, particularly in eyes with complex anterior segment anatomy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes undergoing ICL exchange for vault-related indications, AS-OCT–based sizing methods demonstrated variable levels of agreement with clinically selected lens size. Within this context, the SafeVault approach showed consistent concordance with final surgical decisions and may provide complementary information for ICL sizing, particularly in eyes with complex anterior segment anatomy.",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 279,
      "source_fields": {
        "Abstract Final Identifier": "FP19.09",
        "Title": "Performance Of Anterior Segment Oct–Based Formulas For Implantable Collamer Lens Sizing In Eyes Requiring Vault-Related Lens Exchange",
        "Presenting Author(s)": "Dr Nicole Mechleb",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Nicole",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mechleb",
        "Country Name": "France",
        "Purpose": "To evaluate the performance of four anterior segment optical coherence tomography (AS-OCT)–based Implantable Collamer Lens (ICL) sizing methods in eyes requiring ICL exchange for vault-related indications, and to assess whether these methods could have prevented secondary surgery.",
        "Setting": "This multicenter retrospective study included eyes that underwent ICL exchange for inadequate postoperative vault at four European centers between September 2023 and November 2025: Rothschild Foundation Hospital (Paris, France), the Institute for Ophthalmology Halle (Halle, Germany), Suedblick Eye Clinics (Augsburg-Munich, Germany), and Eye Day Clinic Marienplatz (Munich, Germany)",
        "Methods": "Primary ICL sizing was performed using the manufacturer’s nomogram. Preoperative swept-source AS-OCT imaging was retrospectively analyzed using four sizing methods: SafeVault, Nakamura–Kojima version 3 (NK-v3), KIM, and EPB formulas. Agreement between the initially implanted, exchanged, and formula-predicted ICL sizes was assessed using weighted Cohen’s kappa coefficients. Predicted and achieved postoperative vaults were compared using Friedman tests.",
        "Results": "Fourty-tthree eyes of 31 patients were included. Mean postoperative vault after primary surgery was 790 ± 515 µm, with 27.9% of eyes <250 µm and 65.1% >750 µm. SafeVault showed excellent agreement with the final implanted ICL size (κ = 0.82), whereas KIM (κ = 0.41), NK-v3 (κ = 0.47), and EPB (κ = 0.42) demonstrated only moderate agreement. SafeVault proposed a more suitable ICL size in 83.9% of cases and recommended a less suitable size in 1 case (2.4%). No significant differences were observed between predicted and achieved postoperative vaults for selected ICL sizes.",
        "Conclusions": "In eyes undergoing ICL exchange for vault-related indications, AS-OCT–based sizing methods demonstrated variable levels of agreement with clinically selected lens size. Within this context, the SafeVault approach showed consistent concordance with final surgical decisions and may provide complementary information for ICL sizing, particularly in eyes with complex anterior segment anatomy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "FP19.10",
      "abstract_number": "FP19.10",
      "title": "Influence Of Preoperative Pupil Diameter Under Different Lighting Conditions On Vault Of Implantable Collamer Lens.",
      "authors": "Dr Peijun Yao",
      "presenter": "Dr Peijun Yao",
      "normalized_authors": [
        "Peijun Yao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Peijun Yao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the influence of preoperative pupil diameters (PD) measured under different lighting conditions and the pupillary light response (PLR) on the postoperative vault and its change during the early postoperative period following Implantable Collamer Lens (ICL) implantation.",
        "Setting": "It is a prospective observational study.",
        "Methods": "This prospective observational study included 60 eyes of 30 patients who underwent ICL V4c implantation. Preoperative pupil diameters were measured under scotopic (0.04 lux), mesopic (4 lux), and photopic (40 lux) conditions using a dynamic pupillometer system (Pupillometer, DMK). Postoperative vault was assessed at 1 day, 1 week, 1 month, and 3 months using anterior optical coherence tomography (CASIA2 swept-source OCT, TOMEY). The correlations between preoperative pupil sizes and postoperative vault parameters were analyzed.",
        "Results": "A generalized reduction in vault was observed during the first postoperative week. However, significant positive correlations were found between the early vault change (vault at 1 week minus 1 day) and both the preoperative scotopic PD (r = 0.323, P = 0.012) and the PLR (r = 0.352, P = 0.006). This indicates that eyes with larger scotopic pupils and greater pupillary adjusting amplitude experienced significantly less initial vault reduction (greater early stability). Regarding the stabilized vault at 3 months, both preoperative scotopic PD (r = 0.291, P = 0.024) and photopic PD (r = 0.278, P = 0.032) demonstrated significant positive correlations with higher long-term vault outcomes. Mesopic PD showed no significant predictive value.",
        "Conclusions": "Preoperative pupillary dynamics, specifically the scotopic pupil diameter and pupillary light response, are novel contributing factors for predicting ICL vault behavior. Larger scotopic pupils and a wider range of pupillary adjustment are associated with less early vault reduction and a higher stabilized vault. Incorporating dynamic pupil metrics into preoperative evaluations may assist surgeons in refining ICL sizing and optimizing long-term safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative pupillary dynamics, specifically the scotopic pupil diameter and pupillary light response, are novel contributing factors for predicting ICL vault behavior. Larger scotopic pupils and a wider range of pupillary adjustment are associated with less early vault reduction and a higher stabilized vault. Incorporating dynamic pupil metrics into preoperative evaluations may assist surgeons in refining ICL…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 280,
      "source_fields": {
        "Abstract Final Identifier": "FP19.10",
        "Title": "Influence Of Preoperative Pupil Diameter Under Different Lighting Conditions On Vault Of Implantable Collamer Lens.",
        "Presenting Author(s)": "Dr Peijun Yao",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Peijun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yao",
        "Country Name": "China",
        "Purpose": "To evaluate the influence of preoperative pupil diameters (PD) measured under different lighting conditions and the pupillary light response (PLR) on the postoperative vault and its change during the early postoperative period following Implantable Collamer Lens (ICL) implantation.",
        "Setting": "It is a prospective observational study.",
        "Methods": "This prospective observational study included 60 eyes of 30 patients who underwent ICL V4c implantation. Preoperative pupil diameters were measured under scotopic (0.04 lux), mesopic (4 lux), and photopic (40 lux) conditions using a dynamic pupillometer system (Pupillometer, DMK). Postoperative vault was assessed at 1 day, 1 week, 1 month, and 3 months using anterior optical coherence tomography (CASIA2 swept-source OCT, TOMEY). The correlations between preoperative pupil sizes and postoperative vault parameters were analyzed.",
        "Results": "A generalized reduction in vault was observed during the first postoperative week. However, significant positive correlations were found between the early vault change (vault at 1 week minus 1 day) and both the preoperative scotopic PD (r = 0.323, P = 0.012) and the PLR (r = 0.352, P = 0.006). This indicates that eyes with larger scotopic pupils and greater pupillary adjusting amplitude experienced significantly less initial vault reduction (greater early stability). Regarding the stabilized vault at 3 months, both preoperative scotopic PD (r = 0.291, P = 0.024) and photopic PD (r = 0.278, P = 0.032) demonstrated significant positive correlations with higher long-term vault outcomes. Mesopic PD showed no significant predictive value.",
        "Conclusions": "Preoperative pupillary dynamics, specifically the scotopic pupil diameter and pupillary light response, are novel contributing factors for predicting ICL vault behavior. Larger scotopic pupils and a wider range of pupillary adjustment are associated with less early vault reduction and a higher stabilized vault. Incorporating dynamic pupil metrics into preoperative evaluations may assist surgeons in refining ICL sizing and optimizing long-term safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "FP19.11",
      "abstract_number": "FP19.11",
      "title": "Accommodation As A Modulator Of Vault: Comparative Dynamic Behavior Of Two Posterior Chamber Phakic Iols",
      "authors": "Dr Rodrigo Ernesto Barrera Rodriguez",
      "presenter": "Dr Rodrigo Ernesto Barrera Rodriguez",
      "normalized_authors": [
        "Rodrigo Ernesto Barrera Rodriguez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rodrigo Ernesto Barrera Rodriguez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "To prospectively assess dynamic vault modulation induced by accommodation, defined as the change in vault between the resting crystalline lens configuration and its increased anteroposterior thickness during near fixation, in eyes implanted with two posterior chamber phakic intraocular lens models of distinct material composition",
        "Setting": "Department of Cornea and Refractive Surgery, tertiary referral center, Clínica Barraquer, Bogotá, Colombia",
        "Methods": "Prospective comparative study including 132 eyes: 97 implanted with Eyecryl (Biotech Healthcare) and 35 with Visian ICL (STAAR Surgical) (mean age 32.8 ± 7.1 years). Under mesopic conditions, vault was measured using ultrasound biomicroscopy (ABSolu, Quantel) by the same examiner during distance (6 m) and near (30 cm) fixation. Three measurements were averaged per condition. The primary outcome was vault change (Δ vault). To minimize bias related to extreme vault values, Δ vault was compared between IOL models in a subgroup of 20 eyes with normal vault (250–600 µm). A two-way mixed ANOVA was performed to assess the effects of fixation condition and IOL model on vault measurements. Post hoc analyses were conducted when appropriate (p < 0.05)",
        "Results": "Mean vault decreased from 404 ± 190 µm during distance fixation to 350 ± 192 µm during near fixation, corresponding to a mean Δ vault of 55.6 ± 46.6 µm (p < 0.001). Accommodation-induced vault changes were similar between IOL models (Eyecryl: 56.7 ± 40.8 µm; Visian ICL: 57.3 ± 42.8 µm; p = 0.94). Mixed ANOVA confirmed a significant main effect of fixation condition (p < 0.001) with no significant interaction between IOL model and accommodation (p = 0.94)",
        "Conclusions": "Accommodation induces a significant reduction in vault in eyes implanted with posterior chamber phakic IOLs, with a similar magnitude across different IOL models. These findings suggest that accommodative dynamics should be considered when interpreting postoperative vault measurements. In eyes with vault values near the lower limit of normal, accommodative changes may transiently reduce vault to suboptimal levels, potentially increasing the risk of complications such as anterior subcapsular cataract, highlighting the need for careful follow-up. However, factors such as age and refractive status may influence accommodative amplitude and could represent potential sources of bias; therefore, further studies are warranted"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Accommodation induces a significant reduction in vault in eyes implanted with posterior chamber phakic IOLs, with a similar magnitude across different IOL models. These findings suggest that accommodative dynamics should be considered when interpreting postoperative vault measurements. In eyes with vault values near the lower limit of normal, accommodative changes may transiently reduce vault to suboptimal levels,…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 281,
      "source_fields": {
        "Abstract Final Identifier": "FP19.11",
        "Title": "Accommodation As A Modulator Of Vault: Comparative Dynamic Behavior Of Two Posterior Chamber Phakic Iols",
        "Presenting Author(s)": "Dr Rodrigo Ernesto Barrera Rodriguez",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Rodrigo",
        "Submitter Middle Name": "Ernesto",
        "Submitter Last Name": "Barrera Rodriguez",
        "Country Name": "Colombia",
        "Purpose": "To prospectively assess dynamic vault modulation induced by accommodation, defined as the change in vault between the resting crystalline lens configuration and its increased anteroposterior thickness during near fixation, in eyes implanted with two posterior chamber phakic intraocular lens models of distinct material composition",
        "Setting": "Department of Cornea and Refractive Surgery, tertiary referral center, Clínica Barraquer, Bogotá, Colombia",
        "Methods": "Prospective comparative study including 132 eyes: 97 implanted with Eyecryl (Biotech Healthcare) and 35 with Visian ICL (STAAR Surgical) (mean age 32.8 ± 7.1 years). Under mesopic conditions, vault was measured using ultrasound biomicroscopy (ABSolu, Quantel) by the same examiner during distance (6 m) and near (30 cm) fixation. Three measurements were averaged per condition. The primary outcome was vault change (Δ vault). To minimize bias related to extreme vault values, Δ vault was compared between IOL models in a subgroup of 20 eyes with normal vault (250–600 µm). A two-way mixed ANOVA was performed to assess the effects of fixation condition and IOL model on vault measurements. Post hoc analyses were conducted when appropriate (p < 0.05)",
        "Results": "Mean vault decreased from 404 ± 190 µm during distance fixation to 350 ± 192 µm during near fixation, corresponding to a mean Δ vault of 55.6 ± 46.6 µm (p < 0.001). Accommodation-induced vault changes were similar between IOL models (Eyecryl: 56.7 ± 40.8 µm; Visian ICL: 57.3 ± 42.8 µm; p = 0.94). Mixed ANOVA confirmed a significant main effect of fixation condition (p < 0.001) with no significant interaction between IOL model and accommodation (p = 0.94)",
        "Conclusions": "Accommodation induces a significant reduction in vault in eyes implanted with posterior chamber phakic IOLs, with a similar magnitude across different IOL models. These findings suggest that accommodative dynamics should be considered when interpreting postoperative vault measurements. In eyes with vault values near the lower limit of normal, accommodative changes may transiently reduce vault to suboptimal levels, potentially increasing the risk of complications such as anterior subcapsular cataract, highlighting the need for careful follow-up. However, factors such as age and refractive status may influence accommodative amplitude and could represent potential sources of bias; therefore, further studies are warranted"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "FP19.12",
      "abstract_number": "FP19.12",
      "title": "Horizontal Versus Vertical Sulcus-To-Sulcus Measurements: Anatomical Asymmetry And Determinants Of Postoperative Vault",
      "authors": "Dr Ernesto Alonso Juárez",
      "presenter": "Dr Ernesto Alonso Juárez",
      "normalized_authors": [
        "Ernesto Alonso Juárez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lucia Cabrillo Estevez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare horizontal (H) and vertical (V) sulcus-to-sulcus (STS) and crystalline lens rise (CLR) measurements, evaluate their agreement and interchangeability, and determine their relationship with postoperative vault and implant orientation in EVO ICL surgery.",
        "Setting": "Prospective observation study in one single clinical site",
        "Methods": "30 eyes from 30 patients were included. H and V measurements were obtained by UBM. Agreement between H and V STS measurements was assessed using Bland–Altman analysis, including estimation of mean bias and 95% limits of agreement. Proportional bias was evaluated by linear regression of differences(H−V) against the mean value. Intraclass correlation coefficient (ICC) was calculated using a two-way random-effects model for absolute agreement\n\nAxis-specific CLR and postoperative vault were analyzed similarly. A multivariate linear regression model was constructed to identify independent determinants of postoperative vault, including CLR at implantation, effective compression (ICLsize−STS), and implant orientation",
        "Results": "Mean H STS was 12.13±0.37mm and V STS was 12.51±0.41mm, with a mean difference of −0.37±0.24mm. Bland–Altman analysis demonstrated a systematic bias. The ICC was moderate (0.56; 95% CI −0.10 to 0.84), with wide uncertainty.\n\nH CLR was consistently lower than V CLR (mean difference approx −90 µm).\n\nMean postoperative vault differed between orientations (444.8±181.5 µm H vs 390.8±140.0 µm V; mean difference 54.1±63.9 µm).\n\nIn multivariate analysis (R²=0.50; model p=0.017), higher CLR was independently associated with lower vault (β=−0.57 µm/µm; p=0.0029), and greater effective compression was independently associated with higher vault (β=+331 µm/mm; p=0.040). Implant orientation was not an independent determinant of vault(p=0.51).",
        "Conclusions": "Vertical STS measurements are consistently greater than horizontal STS, confirming clinically relevant anatomical asymmetry of the ciliary sulcus. The CLR measured along the vertical axis was systematically greater than along the horizontal axis, reflecting axis-dependent anatomical asymmetry.\n\nPostoperative vault appears primarily driven by anatomical factors, particularly CLR and effective compression, rather than implant orientation itself. Implant orientation acts as a surrogate of underlying axis-specific anatomy rather than an independent biomechanical determinant.\n\nThese findings support the importance of axis-specific anatomical assessment when planning ICL implantation to improve vault predictability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vertical STS measurements are consistently greater than horizontal STS, confirming clinically relevant anatomical asymmetry of the ciliary sulcus. The CLR measured along the vertical axis was systematically greater than along the horizontal axis, reflecting axis-dependent anatomical asymmetry. Postoperative vault appears primarily driven by anatomical factors, particularly CLR and effective compression, rather than…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 282,
      "source_fields": {
        "Abstract Final Identifier": "FP19.12",
        "Title": "Horizontal Versus Vertical Sulcus-To-Sulcus Measurements: Anatomical Asymmetry And Determinants Of Postoperative Vault",
        "Presenting Author(s)": "Dr Ernesto Alonso Juárez",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Lucia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cabrillo Estevez",
        "Country Name": "Spain",
        "Purpose": "To compare horizontal (H) and vertical (V) sulcus-to-sulcus (STS) and crystalline lens rise (CLR) measurements, evaluate their agreement and interchangeability, and determine their relationship with postoperative vault and implant orientation in EVO ICL surgery.",
        "Setting": "Prospective observation study in one single clinical site",
        "Methods": "30 eyes from 30 patients were included. H and V measurements were obtained by UBM. Agreement between H and V STS measurements was assessed using Bland–Altman analysis, including estimation of mean bias and 95% limits of agreement. Proportional bias was evaluated by linear regression of differences(H−V) against the mean value. Intraclass correlation coefficient (ICC) was calculated using a two-way random-effects model for absolute agreement\n\nAxis-specific CLR and postoperative vault were analyzed similarly. A multivariate linear regression model was constructed to identify independent determinants of postoperative vault, including CLR at implantation, effective compression (ICLsize−STS), and implant orientation",
        "Results": "Mean H STS was 12.13±0.37mm and V STS was 12.51±0.41mm, with a mean difference of −0.37±0.24mm. Bland–Altman analysis demonstrated a systematic bias. The ICC was moderate (0.56; 95% CI −0.10 to 0.84), with wide uncertainty.\n\nH CLR was consistently lower than V CLR (mean difference approx −90 µm).\n\nMean postoperative vault differed between orientations (444.8±181.5 µm H vs 390.8±140.0 µm V; mean difference 54.1±63.9 µm).\n\nIn multivariate analysis (R²=0.50; model p=0.017), higher CLR was independently associated with lower vault (β=−0.57 µm/µm; p=0.0029), and greater effective compression was independently associated with higher vault (β=+331 µm/mm; p=0.040). Implant orientation was not an independent determinant of vault(p=0.51).",
        "Conclusions": "Vertical STS measurements are consistently greater than horizontal STS, confirming clinically relevant anatomical asymmetry of the ciliary sulcus. The CLR measured along the vertical axis was systematically greater than along the horizontal axis, reflecting axis-dependent anatomical asymmetry.\n\nPostoperative vault appears primarily driven by anatomical factors, particularly CLR and effective compression, rather than implant orientation itself. Implant orientation acts as a surrogate of underlying axis-specific anatomy rather than an independent biomechanical determinant.\n\nThese findings support the importance of axis-specific anatomical assessment when planning ICL implantation to improve vault predictability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "FP19.13",
      "abstract_number": "FP19.13",
      "title": "Potential Adverse Events Associated With Posterior Chamber Phakic Iols: A Systematic Review And Meta-Analysis",
      "authors": "Ms Maria Laura Passaro",
      "presenter": "Ms Maria Laura Passaro",
      "normalized_authors": [
        "Maria Laura Passaro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Laura Passaro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To estimate the incidence of complications following posterior chamber phakic intraocular lens implantation and to evaluate temporal and geographic variation in reported outcomes.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "This meta-analysis included randomized and nonrandomized trials and observational studies involving adults undergoing posterior chamber phakic intraocular lens implantation. PubMed, Scopus, WANFANG Data, and China National Knowledge Infrastructure were searched without language or date restrictions. The primary outcome was the incidence of IOL explantation. Secondary outcomes included the onset of IOL rotation or displacement, anterior capsular opacification, cataract formation, iris atrophy, retinal detachment, macular oedema, pupillary block, glaucoma, pupil ovalisation, intraocular infection, endothelial failure, and iris cyst. Incidence was modeled as events per 1,000 person-years using negative binomial regression with robust variance.",
        "Results": "A total of 214 studies (45,027 eyes) were included, most involving the V4c model of the Implantable Collamer Lens (92.7%). Rotation or displacement occurred at 4.2 per 1,000 person-years and explantation at 3.1 per 1,000 person-years, corresponding to approximately about 2 rotated lenses and explantations per 100 eyes followed for 5 years, assuming constant hazards. Anterior segment events were less frequent, and posterior events were rare (retinal detachment, 0.4; macular edema, 0.3 per 1,000 person-years). Complication rates decreased in more recent studies and were lower in Asian cohorts.",
        "Conclusions": "PCPIOL implantation is associated with a low incidence of complications, and vision-threatening events appear to be very rare. However, predominantly short follow-up and high risk of bias likely lead to underestimation of late events. These incidence estimates support early postoperative assessment of centration, axis alignment, and vault, and long-term endothelial and anterior segment monitoring."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PCPIOL implantation is associated with a low incidence of complications, and vision-threatening events appear to be very rare. However, predominantly short follow-up and high risk of bias likely lead to underestimation of late events. These incidence estimates support early postoperative assessment of centration, axis alignment, and vault, and long-term endothelial and anterior segment monitoring.",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 283,
      "source_fields": {
        "Abstract Final Identifier": "FP19.13",
        "Title": "Potential Adverse Events Associated With Posterior Chamber Phakic Iols: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Ms Maria Laura Passaro",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Maria Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Passaro",
        "Country Name": "Italy",
        "Purpose": "To estimate the incidence of complications following posterior chamber phakic intraocular lens implantation and to evaluate temporal and geographic variation in reported outcomes.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "This meta-analysis included randomized and nonrandomized trials and observational studies involving adults undergoing posterior chamber phakic intraocular lens implantation. PubMed, Scopus, WANFANG Data, and China National Knowledge Infrastructure were searched without language or date restrictions. The primary outcome was the incidence of IOL explantation. Secondary outcomes included the onset of IOL rotation or displacement, anterior capsular opacification, cataract formation, iris atrophy, retinal detachment, macular oedema, pupillary block, glaucoma, pupil ovalisation, intraocular infection, endothelial failure, and iris cyst. Incidence was modeled as events per 1,000 person-years using negative binomial regression with robust variance.",
        "Results": "A total of 214 studies (45,027 eyes) were included, most involving the V4c model of the Implantable Collamer Lens (92.7%). Rotation or displacement occurred at 4.2 per 1,000 person-years and explantation at 3.1 per 1,000 person-years, corresponding to approximately about 2 rotated lenses and explantations per 100 eyes followed for 5 years, assuming constant hazards. Anterior segment events were less frequent, and posterior events were rare (retinal detachment, 0.4; macular edema, 0.3 per 1,000 person-years). Complication rates decreased in more recent studies and were lower in Asian cohorts.",
        "Conclusions": "PCPIOL implantation is associated with a low incidence of complications, and vision-threatening events appear to be very rare. However, predominantly short follow-up and high risk of bias likely lead to underestimation of late events. These incidence estimates support early postoperative assessment of centration, axis alignment, and vault, and long-term endothelial and anterior segment monitoring."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "FP19.14",
      "abstract_number": "FP19.14",
      "title": "Intraoperative Events During Posterior Chamber Phakic Intraocular Lens\nImplantation: A Systematic Review And Proposal For A Mechanism-Based\nReporting Framework",
      "authors": "Mr Aaron Bath",
      "presenter": "Mr Aaron Bath",
      "normalized_authors": [
        "Aaron Bath"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aaron Bath",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To systematically characterise intraoperative events associated with posterior chamber phakic intraocular lens (pIOL) implantation and to propose a standardised classification framework to address inconsistencies in current reporting.",
        "Setting": "Systematic review of published clinical studies evaluating posterior chamber phakic intraocular lens implantation across multiple international surgical centres and device generations.",
        "Methods": "A systematic review of the literature was conducted using PubMed from database inception to 2025. Clinical studies evaluating pIOL implantation across all device generations were included. Intraoperative findings were extracted verbatim and synthesised, and mapped to a newly developed four-class, mechanism-based reporting framework distinguishing (1) technical or device-handling events, (2) manipulation-related tissue interaction events, (3) assessment and sizing-related events, and (4) true intraoperative complications involving structural tissue injury or pressure-related harm. Studies reporting no intraoperative events or omitting intraoperative findings were also quantified to assess the completeness of reporting.",
        "Results": "Terminology describing intraoperative findings was highly inconsistent, with more than 30 distinct descriptive terms identified. Twenty-two studies (47%) explicitly reported at least one intraoperative event, while the remainder either reported no events or omitted intraoperative findings entirely. Reported events were uncommon and predominantly minor, most frequently involving lens handling, orientation, vault assessment, iris interaction, or transient endothelial contact. True intraoperative complications—such as crystalline lens injury, zonular damage, or capsular violation—were rare and largely confined to earlier-generation devices. Heterogeneous terminology and incomplete reporting substantially limited cross-study comparability.",
        "Conclusions": "Intraoperative complications during pIOL implantation are uncommon; however, current literature is characterised by inconsistent terminology and frequent omission of findings. The proposed four-class classification framework provides a structured approach to intraoperative event reporting, facilitating transparency, cross-study comparison, and improved interpretation of intraoperative safety data in future phakic IOL research."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraoperative complications during pIOL implantation are uncommon; however, current literature is characterised by inconsistent terminology and frequent omission of findings. The proposed four-class classification framework provides a structured approach to intraoperative event reporting, facilitating transparency, cross-study comparison, and improved interpretation of intraoperative safety data in future phakic…",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 284,
      "source_fields": {
        "Abstract Final Identifier": "FP19.14",
        "Title": "Intraoperative Events During Posterior Chamber Phakic Intraocular Lens\nImplantation: A Systematic Review And Proposal For A Mechanism-Based\nReporting Framework",
        "Presenting Author(s)": "Mr Aaron Bath",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Aaron",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bath",
        "Country Name": "United Kingdom",
        "Purpose": "To systematically characterise intraoperative events associated with posterior chamber phakic intraocular lens (pIOL) implantation and to propose a standardised classification framework to address inconsistencies in current reporting.",
        "Setting": "Systematic review of published clinical studies evaluating posterior chamber phakic intraocular lens implantation across multiple international surgical centres and device generations.",
        "Methods": "A systematic review of the literature was conducted using PubMed from database inception to 2025. Clinical studies evaluating pIOL implantation across all device generations were included. Intraoperative findings were extracted verbatim and synthesised, and mapped to a newly developed four-class, mechanism-based reporting framework distinguishing (1) technical or device-handling events, (2) manipulation-related tissue interaction events, (3) assessment and sizing-related events, and (4) true intraoperative complications involving structural tissue injury or pressure-related harm. Studies reporting no intraoperative events or omitting intraoperative findings were also quantified to assess the completeness of reporting.",
        "Results": "Terminology describing intraoperative findings was highly inconsistent, with more than 30 distinct descriptive terms identified. Twenty-two studies (47%) explicitly reported at least one intraoperative event, while the remainder either reported no events or omitted intraoperative findings entirely. Reported events were uncommon and predominantly minor, most frequently involving lens handling, orientation, vault assessment, iris interaction, or transient endothelial contact. True intraoperative complications—such as crystalline lens injury, zonular damage, or capsular violation—were rare and largely confined to earlier-generation devices. Heterogeneous terminology and incomplete reporting substantially limited cross-study comparability.",
        "Conclusions": "Intraoperative complications during pIOL implantation are uncommon; however, current literature is characterised by inconsistent terminology and frequent omission of findings. The proposed four-class classification framework provides a structured approach to intraoperative event reporting, facilitating transparency, cross-study comparison, and improved interpretation of intraoperative safety data in future phakic IOL research."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "FP19.15",
      "abstract_number": "FP19.15",
      "title": "Clinical Outcomes Of Presbyopia-Correcting Implantable Collamer Lenses In Early Presbyopia And Patient Satisfaction With A Mix-And-Match Strategy",
      "authors": "Prof. Yongwoo Lee",
      "presenter": "Prof. Yongwoo Lee",
      "normalized_authors": [
        "Yongwoo Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yongwoo Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate clinical outcomes of an extended depth-of-focus implantable collamer lens (EDOF ICL) in patients with early presbyopia and to compare patient-reported satisfaction between bilateral implantation and a mix-and-match strategy.",
        "Setting": "Retrospective comparative chart review, Single refractive surgery center in the Republic of Korea.",
        "Methods": "Patients aged 40 years or older with myopia and mild to moderate presbyopia who underwent EDOF ICL implantation in at least one eye were included. In mix-and-match cases, the fellow eye implanted with a monofocal ICL was also analyzed. Visual, refractive, and satisfaction outcomes were evaluated at 6 months postoperatively. Satisfaction was compared between bilateral EDOF ICL implantation and mix-and-match implantation with one EDOF ICL and one monofocal ICL.",
        "Results": "A total of 102 eyes (75 EDOF ICL eyes) from 51 patients were analyzed. Refractive accuracy was comparable between EDOF ICL and monofocal ICL eyes. Distance visual acuity was significantly better in monofocal ICL eyes, whereas near visual acuity tended to be better in EDOF ICL eyes without statistical significance. Satisfaction analysis included 38 patients, including 18 with bilateral EDOF ICL implantation. Near and intermediate vision satisfaction was similar between groups. Dysphotopsia was more frequent after bilateral EDOF ICL implantation but did not reach statistical significance (P = 0.06). Overall satisfaction was higher in the mix-and-match group (P = 0.048).",
        "Conclusions": "EDOF ICL implantation provided acceptable short-term outcomes in early presbyopia. Bilateral implantation was associated with increased dysphotopsia and slightly inferior distance vision. A mix-and-match strategy may improve overall satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EDOF ICL implantation provided acceptable short-term outcomes in early presbyopia. Bilateral implantation was associated with increased dysphotopsia and slightly inferior distance vision. A mix-and-match strategy may improve overall satisfaction.",
      "session_type": "Free Paper",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 285,
      "source_fields": {
        "Abstract Final Identifier": "FP19.15",
        "Title": "Clinical Outcomes Of Presbyopia-Correcting Implantable Collamer Lenses In Early Presbyopia And Patient Satisfaction With A Mix-And-Match Strategy",
        "Presenting Author(s)": "Prof. Yongwoo Lee",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Yongwoo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate clinical outcomes of an extended depth-of-focus implantable collamer lens (EDOF ICL) in patients with early presbyopia and to compare patient-reported satisfaction between bilateral implantation and a mix-and-match strategy.",
        "Setting": "Retrospective comparative chart review, Single refractive surgery center in the Republic of Korea.",
        "Methods": "Patients aged 40 years or older with myopia and mild to moderate presbyopia who underwent EDOF ICL implantation in at least one eye were included. In mix-and-match cases, the fellow eye implanted with a monofocal ICL was also analyzed. Visual, refractive, and satisfaction outcomes were evaluated at 6 months postoperatively. Satisfaction was compared between bilateral EDOF ICL implantation and mix-and-match implantation with one EDOF ICL and one monofocal ICL.",
        "Results": "A total of 102 eyes (75 EDOF ICL eyes) from 51 patients were analyzed. Refractive accuracy was comparable between EDOF ICL and monofocal ICL eyes. Distance visual acuity was significantly better in monofocal ICL eyes, whereas near visual acuity tended to be better in EDOF ICL eyes without statistical significance. Satisfaction analysis included 38 patients, including 18 with bilateral EDOF ICL implantation. Near and intermediate vision satisfaction was similar between groups. Dysphotopsia was more frequent after bilateral EDOF ICL implantation but did not reach statistical significance (P = 0.06). Overall satisfaction was higher in the mix-and-match group (P = 0.048).",
        "Conclusions": "EDOF ICL implantation provided acceptable short-term outcomes in early presbyopia. Bilateral implantation was associated with increased dysphotopsia and slightly inferior distance vision. A mix-and-match strategy may improve overall satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "FP20.01",
      "abstract_number": "FP20.01",
      "title": "Impact Of Cefuroxime Prophylaxis On The Bacterial Spectrum Of Postcataract Surgery Endophthalmitis",
      "authors": "Dr André Baudère",
      "presenter": "Dr André Baudère",
      "normalized_authors": [
        "André Baudère"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "André Baudère",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare the bacterial spectrum, antimicrobial resistance profiles, and clinical severity of acute postcataract endophthalmitis before and after the systematic nationwide adoption of intracameral cefuroxime prophylaxis.",
        "Setting": "Multicenter retrospective cohort study conducted at two French university hospitals (Grenoble and Lyon) of the French Institutional Endophthalmitis Study group (FRIENDS). Two cohorts were compared: an early cohort (March 2002–November 2007, no cefuroxime prophylaxis) and a recent cohort (January 2016–February 2025, systematic intracameral cefuroxime prophylaxis).",
        "Methods": "234 cases of acute postcataract endophthalmitis were analyzed (early cohort: n=126; recent cohort: n=108). Aqueous humor and vitreous fluid were sampled for conventional culture and panbacterial 16S-PCR. Antimicrobial susceptibility testing (AST) was performed using automated systems (Vitek II, Phoenix), interpreted according to CA-SFM/EUCAST guidelines. Primary outcomes were pathogen distribution and antimicrobial susceptibility profiles. Secondary outcome was clinical presentation severity. Statistical analysis used chi-square tests and Student's t-tests (p<0.05).",
        "Results": "Bacterial identification decreased from 67.5% to 58.3%. Coagulase-negative staphylococci (CNS) declined from 38% to 25%, while Enterococcus faecalis increased 5-fold (2% to 10%) and Gram-negative bacteria doubled (3.1% to 7.3%). Cefuroxime resistance rose significantly from 26.0% (13/50) to 66.1% (37/56) of tested isolates. Methicillin resistance in staphylococci increased from 30.3% to 75.0%, and multidrug-resistant CNS phenotypes from 3.0% to 37.5%. All Gram-positive isolates remained vancomycin-susceptible. Clinical presentations were milder: VA ≥20/400 in 29% vs 11.2%, pars plana vitrectomy in 51.9% vs 63.5%.",
        "Conclusions": "This comparative cohort study demonstrated a significant shift in the bacterial spectrum following the implementation of routine intracameral cefuroxime prophylaxis, with a decreased prevalence of coagulase-negative staphylococci and increased isolation of Enterococcus faecalis . Antimicrobial resistance, including resistance to cefuroxime and methicillin, increased in the cefuroxime cohort. These findings highlight the need for ongoing surveillance and consideration of alternative and/or complementary prophylactic strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This comparative cohort study demonstrated a significant shift in the bacterial spectrum following the implementation of routine intracameral cefuroxime prophylaxis, with a decreased prevalence of coagulase-negative staphylococci and increased isolation of Enterococcus faecalis . Antimicrobial resistance, including resistance to cefuroxime and methicillin, increased in the cefuroxime cohort. These findings…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 286,
      "source_fields": {
        "Abstract Final Identifier": "FP20.01",
        "Title": "Impact Of Cefuroxime Prophylaxis On The Bacterial Spectrum Of Postcataract Surgery Endophthalmitis",
        "Presenting Author(s)": "Dr André Baudère",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "André",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Baudère",
        "Country Name": "France",
        "Purpose": "To compare the bacterial spectrum, antimicrobial resistance profiles, and clinical severity of acute postcataract endophthalmitis before and after the systematic nationwide adoption of intracameral cefuroxime prophylaxis.",
        "Setting": "Multicenter retrospective cohort study conducted at two French university hospitals (Grenoble and Lyon) of the French Institutional Endophthalmitis Study group (FRIENDS). Two cohorts were compared: an early cohort (March 2002–November 2007, no cefuroxime prophylaxis) and a recent cohort (January 2016–February 2025, systematic intracameral cefuroxime prophylaxis).",
        "Methods": "234 cases of acute postcataract endophthalmitis were analyzed (early cohort: n=126; recent cohort: n=108). Aqueous humor and vitreous fluid were sampled for conventional culture and panbacterial 16S-PCR. Antimicrobial susceptibility testing (AST) was performed using automated systems (Vitek II, Phoenix), interpreted according to CA-SFM/EUCAST guidelines. Primary outcomes were pathogen distribution and antimicrobial susceptibility profiles. Secondary outcome was clinical presentation severity. Statistical analysis used chi-square tests and Student's t-tests (p<0.05).",
        "Results": "Bacterial identification decreased from 67.5% to 58.3%. Coagulase-negative staphylococci (CNS) declined from 38% to 25%, while Enterococcus faecalis increased 5-fold (2% to 10%) and Gram-negative bacteria doubled (3.1% to 7.3%). Cefuroxime resistance rose significantly from 26.0% (13/50) to 66.1% (37/56) of tested isolates. Methicillin resistance in staphylococci increased from 30.3% to 75.0%, and multidrug-resistant CNS phenotypes from 3.0% to 37.5%. All Gram-positive isolates remained vancomycin-susceptible. Clinical presentations were milder: VA ≥20/400 in 29% vs 11.2%, pars plana vitrectomy in 51.9% vs 63.5%.",
        "Conclusions": "This comparative cohort study demonstrated a significant shift in the bacterial spectrum following the implementation of routine intracameral cefuroxime prophylaxis, with a decreased prevalence of coagulase-negative staphylococci and increased isolation of Enterococcus faecalis . Antimicrobial resistance, including resistance to cefuroxime and methicillin, increased in the cefuroxime cohort. These findings highlight the need for ongoing surveillance and consideration of alternative and/or complementary prophylactic strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "FP20.02",
      "abstract_number": "FP20.02",
      "title": "Impact Of Low-Level Light Therapy On Ocular Surface Status After Cataract Surgery: 6-Month Results From A Prospective Randomized Double-Masked Controlled Clinical Trial",
      "authors": "Dr Mihaela Madalina Timofte Zorila",
      "presenter": "Dr Mihaela Madalina Timofte Zorila",
      "normalized_authors": [
        "Mihaela Madalina Timofte Zorila"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mihaela Madalina Timofte Zorila",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "To evaluate the effect of perioperative low-level light therapy (LLLT) on ocular surface parameters and the occurrence of dry eye disease (DED) up to 6 months after cataract surgery. Postoperative ocular surface instability is common and may negatively affect visual quality and patient satisfaction. This study aimed to determine whether adding perioperative photobiomodulation improves symptoms and objective tear film parameters compared with sham treatment.",
        "Setting": "Single tertiary ophthalmology center, Cai Ferate Clinical Hospital, Iași, Romania. All surgeries and examinations were performed using standardized institutional cataract surgery and ocular surface assessment protocols.",
        "Methods": "Prospective, randomized, double-masked, sham-controlled clinical trial including consecutive patients undergoing cataract surgery. Participants were randomized to receive perioperative LLLT administered for one week before and one week after surgery or sham treatment. Ocular Surface Disease Index (OSDI), tear breakup time (BUT), and tear osmolarity were measured preoperatively (T0) and at 6 months postoperatively (T3). Patients were classified according to ocular surface status at T0 and T3.",
        "Results": "Of 89 randomized patients (mean age 73.8±8.0 years), 77 completed 6-month follow-up. Perioperative LLLT resulted in significant and sustained symptom improvement (OSDI 26.6±15.4 to 14.3±10.1; p<0.001), whereas symptoms worsened in the sham group (p=0.037), with significant between-group differences (p<0.02). BUT increased with LLLT (5.8±4.0 to 7.4±2.6 s; p=0.002) but declined in controls. Tear osmolarity significantly decreased with LLLT (300.7±14.2 to 286.9±11.2 mOsm/L; p<0.001) and increased in the sham group (p=0.005). DED prevalence at 6 months was markedly lower with LLLT (50.0% vs 84.6%; p=0.001).",
        "Conclusions": "Perioperative low-level light therapy significantly improves ocular surface stability, reduces symptoms, and lowers the prevalence of postoperative dry eye disease at 6 months after cataract surgery. The sustained improvement in both subjective and objective parameters suggests that perioperative photobiomodulation may represent an effective adjunctive strategy to optimize ocular surface status and enhance postoperative patient comfort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Perioperative low-level light therapy significantly improves ocular surface stability, reduces symptoms, and lowers the prevalence of postoperative dry eye disease at 6 months after cataract surgery. The sustained improvement in both subjective and objective parameters suggests that perioperative photobiomodulation may represent an effective adjunctive strategy to optimize ocular surface status and enhance…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 287,
      "source_fields": {
        "Abstract Final Identifier": "FP20.02",
        "Title": "Impact Of Low-Level Light Therapy On Ocular Surface Status After Cataract Surgery: 6-Month Results From A Prospective Randomized Double-Masked Controlled Clinical Trial",
        "Presenting Author(s)": "Dr Mihaela Madalina Timofte Zorila",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Mihaela Madalina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Timofte Zorila",
        "Country Name": "Romania",
        "Purpose": "To evaluate the effect of perioperative low-level light therapy (LLLT) on ocular surface parameters and the occurrence of dry eye disease (DED) up to 6 months after cataract surgery. Postoperative ocular surface instability is common and may negatively affect visual quality and patient satisfaction. This study aimed to determine whether adding perioperative photobiomodulation improves symptoms and objective tear film parameters compared with sham treatment.",
        "Setting": "Single tertiary ophthalmology center, Cai Ferate Clinical Hospital, Iași, Romania. All surgeries and examinations were performed using standardized institutional cataract surgery and ocular surface assessment protocols.",
        "Methods": "Prospective, randomized, double-masked, sham-controlled clinical trial including consecutive patients undergoing cataract surgery. Participants were randomized to receive perioperative LLLT administered for one week before and one week after surgery or sham treatment. Ocular Surface Disease Index (OSDI), tear breakup time (BUT), and tear osmolarity were measured preoperatively (T0) and at 6 months postoperatively (T3). Patients were classified according to ocular surface status at T0 and T3.",
        "Results": "Of 89 randomized patients (mean age 73.8±8.0 years), 77 completed 6-month follow-up. Perioperative LLLT resulted in significant and sustained symptom improvement (OSDI 26.6±15.4 to 14.3±10.1; p<0.001), whereas symptoms worsened in the sham group (p=0.037), with significant between-group differences (p<0.02). BUT increased with LLLT (5.8±4.0 to 7.4±2.6 s; p=0.002) but declined in controls. Tear osmolarity significantly decreased with LLLT (300.7±14.2 to 286.9±11.2 mOsm/L; p<0.001) and increased in the sham group (p=0.005). DED prevalence at 6 months was markedly lower with LLLT (50.0% vs 84.6%; p=0.001).",
        "Conclusions": "Perioperative low-level light therapy significantly improves ocular surface stability, reduces symptoms, and lowers the prevalence of postoperative dry eye disease at 6 months after cataract surgery. The sustained improvement in both subjective and objective parameters suggests that perioperative photobiomodulation may represent an effective adjunctive strategy to optimize ocular surface status and enhance postoperative patient comfort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "FP20.03",
      "abstract_number": "FP20.03",
      "title": "Local Inflammatory Response After Phacoemulsification Complicated By Lens Material In The Retrolental Space With And Without Draining Posterior Capsulorhexis",
      "authors": "Igor Rebrikov",
      "presenter": "Igor Rebrikov",
      "normalized_authors": [
        "Igor Rebrikov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Igor Rebrikov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To evaluate the severity of local inflammatory response after cataract surgery complicated by lens material in the retrolental space by assessing the profile of proinflammatory cytokines in tear and central retina l thickness (CRT) changes according to OCT .\n\nTo evaluate the safety and efficacy of draining posterior capsulorhexis (DPCR) in case of lens material in the retrolental space during phacoemulsification .",
        "Setting": "IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia",
        "Methods": "Authors suggest original technique of primary posterior capsulorhexis with following passive aspiration of lens material from the retrolental space before IOL implantation which was called draining posterior capsulorhexis ( DPCR)\n\nThere were 3 groups of patients in the prospective study: 1). control group - un eventful phaco (30 patients); 2). comparison group - phaco complicated by lens particles in the retrolental space (30 patients); 3). study group - phaco complicated by lens particles in the retrolental space with DPCR (30 patients).\n\nBCVA, concentration of IL-6, IL-8 in tear using ELISA, central retinal thickness (CRT) accordi ng to OCT were assessed b efore surgery, on the 1 st day, at 1 week a nd 1 month postop .",
        "Results": "There was no statistically significant difference in BCVA among groups during follow-up period. In all groups, an increase in the concentration of the studied cytokines was noted on 1 st day postop , followed by a decrease in the concentrations of IL-6 and IL-8 at 1 week post op. However, the degree of decrease in the concentration of proinflammatory cytokines was lower in the comparison group (IL- 6 – -29%, IL8 - -4% pre-op to 1 week postop) . CRT changes were similar at 1 week but showed significant increase in comparison group at 1 month postop (+4,1% in control group; + 17,3% in comparison group; + 5,2% in study group; Kruskal- Wallis test p= .015) . There was strong correlation between IL-6 and CRT change in the comparison group.",
        "Conclusions": "Presence of lens material in the retrolental space during phacoemulsification leads to an increased local inflammatory response . It was confirmed by lower degree of proinflammatory cytokines concentration decrease in tear at 1 week postop , as well as a significant increase in the C R T according to OCT at 1 month post op.\n\nPerforming D PC R allows to reduce the local inflammatory response severity , that was confirmed by lower concentration of pro-inflammatory cytokines in tear compared to the group with lens material in the retrolental space at 1 week postop , as well as absence of significant changes in CRT in comparison with uneventful phacoemulsification group at 1 month postop ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Presence of lens material in the retrolental space during phacoemulsification leads to an increased local inflammatory response . It was confirmed by lower degree of proinflammatory cytokines concentration decrease in tear at 1 week postop , as well as a significant increase in the C R T according to OCT at 1 month post op. Performing D PC R allows to reduce the local inflammatory response severity , that was…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 288,
      "source_fields": {
        "Abstract Final Identifier": "FP20.03",
        "Title": "Local Inflammatory Response After Phacoemulsification Complicated By Lens Material In The Retrolental Space With And Without Draining Posterior Capsulorhexis",
        "Presenting Author(s)": "Igor Rebrikov",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Igor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rebrikov",
        "Country Name": "Russian Federation",
        "Purpose": "To evaluate the severity of local inflammatory response after cataract surgery complicated by lens material in the retrolental space by assessing the profile of proinflammatory cytokines in tear and central retina l thickness (CRT) changes according to OCT .\n\nTo evaluate the safety and efficacy of draining posterior capsulorhexis (DPCR) in case of lens material in the retrolental space during phacoemulsification .",
        "Setting": "IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia",
        "Methods": "Authors suggest original technique of primary posterior capsulorhexis with following passive aspiration of lens material from the retrolental space before IOL implantation which was called draining posterior capsulorhexis ( DPCR)\n\nThere were 3 groups of patients in the prospective study: 1). control group - un eventful phaco (30 patients); 2). comparison group - phaco complicated by lens particles in the retrolental space (30 patients); 3). study group - phaco complicated by lens particles in the retrolental space with DPCR (30 patients).\n\nBCVA, concentration of IL-6, IL-8 in tear using ELISA, central retinal thickness (CRT) accordi ng to OCT were assessed b efore surgery, on the 1 st day, at 1 week a nd 1 month postop .",
        "Results": "There was no statistically significant difference in BCVA among groups during follow-up period. In all groups, an increase in the concentration of the studied cytokines was noted on 1 st day postop , followed by a decrease in the concentrations of IL-6 and IL-8 at 1 week post op. However, the degree of decrease in the concentration of proinflammatory cytokines was lower in the comparison group (IL- 6 – -29%, IL8 - -4% pre-op to 1 week postop) . CRT changes were similar at 1 week but showed significant increase in comparison group at 1 month postop (+4,1% in control group; + 17,3% in comparison group; + 5,2% in study group; Kruskal- Wallis test p= .015) . There was strong correlation between IL-6 and CRT change in the comparison group.",
        "Conclusions": "Presence of lens material in the retrolental space during phacoemulsification leads to an increased local inflammatory response . It was confirmed by lower degree of proinflammatory cytokines concentration decrease in tear at 1 week postop , as well as a significant increase in the C R T according to OCT at 1 month post op.\n\nPerforming D PC R allows to reduce the local inflammatory response severity , that was confirmed by lower concentration of pro-inflammatory cytokines in tear compared to the group with lens material in the retrolental space at 1 week postop , as well as absence of significant changes in CRT in comparison with uneventful phacoemulsification group at 1 month postop ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 415
    },
    {
      "uid": "FP20.04",
      "abstract_number": "FP20.04",
      "title": "Culture Vs Molecular Detection In Fungal Endophthalmitis: Evidence From A Postoperative Cluster",
      "authors": "Dr Dr.Navaneeth Saggam",
      "presenter": "Dr Dr.Navaneeth Saggam",
      "normalized_authors": [
        "Dr.Navaneeth Saggam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.Navaneeth Saggam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the diagnostic yield and turnaround time of conventional culture with molecular detection methods, including a CRISPR-based assay (RID-MyC) and pan-fungal PCR, in a postoperative Candida pelliculosa endophthalmitis cluster using intraocular lens (IOL)–capsular bag culture as the reference standard.",
        "Setting": "Observational case series conducted across two tertiary referral centers (Aravind Eye Hospital, Madurai and Coimbatore, Tamil Nadu, India) during management of a postoperative fungal endophthalmitis cluster originating from a single source hospital (October–November 2024).",
        "Methods": "Consecutive patients meeting a predefined cluster case definition after cataract surgery were included. At presentation, standardized vitreous and/or aqueous humor samples were obtained before intravitreal therapy. Specimens were divided for conventional microbiology (direct microscopy and culture on blood, chocolate, and Sabouraud’s agar) and molecular testing (in-house pan-fungal PCR and CRISPR-based RID-MyC assay). Explanted IOL–capsular bag complexes underwent culture only. Sensitivity was calculated per sample using IOL–bag culture as the reference standard. Turnaround time (TAT) was defined as the interval from specimen collection to first laboratory-reported result.",
        "Results": "Twelve eyes from ten patients were included. Seventeen intraocular fluid samples (3 aqueous, 14 vitreous) were analyzed. All 12 explanted IOL–capsular bag complexes grew Candida pelliculosa , confirming fungal etiology.\n\nConventional aqueous/vitreous fluid culture was positive in only 2 of 17 samples (11.8%). In contrast, RID-MyC detected fungal DNA in all 17 samples (100%), and pan-fungal PCR in 16 of 17 (94%). The single PCR-negative specimen was RID-MyC positive.\n\nRID-MyC results were available within 24 hours. Vitreous culture required 7 days, and IOL–bag culture required a mean of 3.5 days (range 2–7). From clinical presentation, mean time to positive result was 2 days (range 1–6) for RID-MyC and 10.4 days (range 2–35) for culture",
        "Conclusions": "In this confirmed postoperative Candida pelliculosa cluster, conventional intraocular fluid culture demonstrated low sensitivity (11.8%), whereas molecular assays showed markedly higher diagnostic yield, with RID-MyC achieving 100% detection and rapid (<24-hour) turnaround.\n\nIn the unique context of fungal endophthalmitis, a sterile, sequestered intraocular compartment where organisms may localize within the capsular bag, CRISPR-based molecular diagnostics provide substantial advantages in sensitivity and speed. Standardization and multicenter validation are warranted to support formal integration of molecular platforms into future diagnostic algorithms and consensus definitions for ocular fungal infections."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this confirmed postoperative Candida pelliculosa cluster, conventional intraocular fluid culture demonstrated low sensitivity (11.8%), whereas molecular assays showed markedly higher diagnostic yield, with RID-MyC achieving 100% detection and rapid (<24-hour) turnaround. In the unique context of fungal endophthalmitis, a sterile, sequestered intraocular compartment where organisms may localize within the…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 289,
      "source_fields": {
        "Abstract Final Identifier": "FP20.04",
        "Title": "Culture Vs Molecular Detection In Fungal Endophthalmitis: Evidence From A Postoperative Cluster",
        "Presenting Author(s)": "Dr Dr.Navaneeth Saggam",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Dr.Navaneeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saggam",
        "Country Name": "India",
        "Purpose": "To compare the diagnostic yield and turnaround time of conventional culture with molecular detection methods, including a CRISPR-based assay (RID-MyC) and pan-fungal PCR, in a postoperative Candida pelliculosa endophthalmitis cluster using intraocular lens (IOL)–capsular bag culture as the reference standard.",
        "Setting": "Observational case series conducted across two tertiary referral centers (Aravind Eye Hospital, Madurai and Coimbatore, Tamil Nadu, India) during management of a postoperative fungal endophthalmitis cluster originating from a single source hospital (October–November 2024).",
        "Methods": "Consecutive patients meeting a predefined cluster case definition after cataract surgery were included. At presentation, standardized vitreous and/or aqueous humor samples were obtained before intravitreal therapy. Specimens were divided for conventional microbiology (direct microscopy and culture on blood, chocolate, and Sabouraud’s agar) and molecular testing (in-house pan-fungal PCR and CRISPR-based RID-MyC assay). Explanted IOL–capsular bag complexes underwent culture only. Sensitivity was calculated per sample using IOL–bag culture as the reference standard. Turnaround time (TAT) was defined as the interval from specimen collection to first laboratory-reported result.",
        "Results": "Twelve eyes from ten patients were included. Seventeen intraocular fluid samples (3 aqueous, 14 vitreous) were analyzed. All 12 explanted IOL–capsular bag complexes grew Candida pelliculosa , confirming fungal etiology.\n\nConventional aqueous/vitreous fluid culture was positive in only 2 of 17 samples (11.8%). In contrast, RID-MyC detected fungal DNA in all 17 samples (100%), and pan-fungal PCR in 16 of 17 (94%). The single PCR-negative specimen was RID-MyC positive.\n\nRID-MyC results were available within 24 hours. Vitreous culture required 7 days, and IOL–bag culture required a mean of 3.5 days (range 2–7). From clinical presentation, mean time to positive result was 2 days (range 1–6) for RID-MyC and 10.4 days (range 2–35) for culture",
        "Conclusions": "In this confirmed postoperative Candida pelliculosa cluster, conventional intraocular fluid culture demonstrated low sensitivity (11.8%), whereas molecular assays showed markedly higher diagnostic yield, with RID-MyC achieving 100% detection and rapid (<24-hour) turnaround.\n\nIn the unique context of fungal endophthalmitis, a sterile, sequestered intraocular compartment where organisms may localize within the capsular bag, CRISPR-based molecular diagnostics provide substantial advantages in sensitivity and speed. Standardization and multicenter validation are warranted to support formal integration of molecular platforms into future diagnostic algorithms and consensus definitions for ocular fungal infections."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "FP20.05",
      "abstract_number": "FP20.05",
      "title": "Comparative Trends And Management Patterns Of Acute Postoperative And Endogenous Endophthalmitis: A 10-Year Nationwide Study",
      "authors": "Dr Woojin Kim",
      "presenter": "Dr Woojin Kim",
      "normalized_authors": [
        "Woojin Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Woojin Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate nationwide temporal trends and management patterns of acute postoperative endophthalmitis (APE) and endogenous endophthalmitis (EE) over a 10-year period, with particular focus on the evolving contribution of intravitreal injections (IVI).",
        "Setting": "Nationwide retrospective cohort study using the Korean National Health Insurance database, covering the entire population from 2013 to 2022.",
        "Methods": "Patients diagnosed with APE or EE between 2013 and 2022 were identified and categorized based on preceding cataract surgery, IVI, or systemic infection. Demographics, Charlson Comorbidity Index (CCI), treatment modality (intravitreal antibiotics vs pars plana vitrectomy), and outpatient follow-up duration were analyzed. Temporal trends were assessed annually.",
        "Results": "A total of 8,274 cases were identified (7,625 APE; 649 EE). The proportion of IVI-related APE increased markedly from 13.1% to 26.2% during the study period. Overall APE incidence fluctuated, with a transient peak in 2020 associated with a fungal outbreak. EE incidence remained relatively stable. EE patients had higher systemic comorbidity (mean CCI 3.6 vs 1.2) and longer outpatient follow-up (269 vs 67 days). Pars plana vitrectomy was more frequently performed in EE.",
        "Conclusions": "Cataract surgery remained the leading antecedent of APE; however, the relative contribution of IVI increased substantially over time. EE carried greater systemic comorbidity and treatment burden. These findings underscore the need for strengthened infection control in intravitreal procedures and tailored management strategies according to etiology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery remained the leading antecedent of APE; however, the relative contribution of IVI increased substantially over time. EE carried greater systemic comorbidity and treatment burden. These findings underscore the need for strengthened infection control in intravitreal procedures and tailored management strategies according to etiology.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 290,
      "source_fields": {
        "Abstract Final Identifier": "FP20.05",
        "Title": "Comparative Trends And Management Patterns Of Acute Postoperative And Endogenous Endophthalmitis: A 10-Year Nationwide Study",
        "Presenting Author(s)": "Dr Woojin Kim",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Woojin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate nationwide temporal trends and management patterns of acute postoperative endophthalmitis (APE) and endogenous endophthalmitis (EE) over a 10-year period, with particular focus on the evolving contribution of intravitreal injections (IVI).",
        "Setting": "Nationwide retrospective cohort study using the Korean National Health Insurance database, covering the entire population from 2013 to 2022.",
        "Methods": "Patients diagnosed with APE or EE between 2013 and 2022 were identified and categorized based on preceding cataract surgery, IVI, or systemic infection. Demographics, Charlson Comorbidity Index (CCI), treatment modality (intravitreal antibiotics vs pars plana vitrectomy), and outpatient follow-up duration were analyzed. Temporal trends were assessed annually.",
        "Results": "A total of 8,274 cases were identified (7,625 APE; 649 EE). The proportion of IVI-related APE increased markedly from 13.1% to 26.2% during the study period. Overall APE incidence fluctuated, with a transient peak in 2020 associated with a fungal outbreak. EE incidence remained relatively stable. EE patients had higher systemic comorbidity (mean CCI 3.6 vs 1.2) and longer outpatient follow-up (269 vs 67 days). Pars plana vitrectomy was more frequently performed in EE.",
        "Conclusions": "Cataract surgery remained the leading antecedent of APE; however, the relative contribution of IVI increased substantially over time. EE carried greater systemic comorbidity and treatment burden. These findings underscore the need for strengthened infection control in intravitreal procedures and tailored management strategies according to etiology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "FP20.06",
      "abstract_number": "FP20.06",
      "title": "Intraocular Pressure Elevation Following Intracameral Steroid In Dropless Cataract Surgery: A Systematic Review",
      "authors": "Kishanthan Johnson",
      "presenter": "Kishanthan Johnson",
      "normalized_authors": [
        "Kishanthan Johnson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kishanthan Johnson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the incidence, magnitude, and timing of intraocular pressure (IOP) elevation following intracameral or periocular steroid administration in dropless cataract surgery compared with conventional topical steroid regimens.",
        "Setting": "Systematic review conducted according to predefined inclusion criteria using electronic databases and reference screening.",
        "Methods": "A systematic search of PubMed, Embase, and Cochrane Library identified comparative and non-comparative studies evaluating intracameral or periocular steroid use in routine phacoemulsification. Primary outcome was incidence of IOP elevation ≥25 mmHg within 30 days postoperatively. Secondary outcomes included mean IOP change and requirement for pressure-lowering treatment. Randomised controlled trials were assessed using RoB 2 and observational studies using Newcastle–Ottawa Scale. Data were synthesised descriptively due to heterogeneity.",
        "Results": "Fourteen studies (6 randomised, 8 observational) comprising 4,862 eyes met inclusion criteria. Reported incidence of IOP elevation ≥25 mmHg ranged from 1.8% to 9.6% in intracameral steroid arms compared with 0.9% to 4.2% in topical regimens. Transient IOP spikes typically occurred within 7–14 days and were medically controlled in most cases. Higher rates were noted in depot steroid preparations. Risk of bias was moderate in observational studies and low-to-moderate in RCTs.",
        "Conclusions": "Intracameral steroid–based dropless cataract surgery demonstrates generally acceptable safety profiles; however, a modestly increased rate of early postoperative IOP elevation is consistently reported, particularly with depot preparations. Careful patient selection and early postoperative IOP monitoring are advisable. Standardised definitions and longer follow-up are needed in future trials."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intracameral steroid–based dropless cataract surgery demonstrates generally acceptable safety profiles; however, a modestly increased rate of early postoperative IOP elevation is consistently reported, particularly with depot preparations. Careful patient selection and early postoperative IOP monitoring are advisable. Standardised definitions and longer follow-up are needed in future trials.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 291,
      "source_fields": {
        "Abstract Final Identifier": "FP20.06",
        "Title": "Intraocular Pressure Elevation Following Intracameral Steroid In Dropless Cataract Surgery: A Systematic Review",
        "Presenting Author(s)": "Kishanthan Johnson",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Kishanthan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Johnson",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the incidence, magnitude, and timing of intraocular pressure (IOP) elevation following intracameral or periocular steroid administration in dropless cataract surgery compared with conventional topical steroid regimens.",
        "Setting": "Systematic review conducted according to predefined inclusion criteria using electronic databases and reference screening.",
        "Methods": "A systematic search of PubMed, Embase, and Cochrane Library identified comparative and non-comparative studies evaluating intracameral or periocular steroid use in routine phacoemulsification. Primary outcome was incidence of IOP elevation ≥25 mmHg within 30 days postoperatively. Secondary outcomes included mean IOP change and requirement for pressure-lowering treatment. Randomised controlled trials were assessed using RoB 2 and observational studies using Newcastle–Ottawa Scale. Data were synthesised descriptively due to heterogeneity.",
        "Results": "Fourteen studies (6 randomised, 8 observational) comprising 4,862 eyes met inclusion criteria. Reported incidence of IOP elevation ≥25 mmHg ranged from 1.8% to 9.6% in intracameral steroid arms compared with 0.9% to 4.2% in topical regimens. Transient IOP spikes typically occurred within 7–14 days and were medically controlled in most cases. Higher rates were noted in depot steroid preparations. Risk of bias was moderate in observational studies and low-to-moderate in RCTs.",
        "Conclusions": "Intracameral steroid–based dropless cataract surgery demonstrates generally acceptable safety profiles; however, a modestly increased rate of early postoperative IOP elevation is consistently reported, particularly with depot preparations. Careful patient selection and early postoperative IOP monitoring are advisable. Standardised definitions and longer follow-up are needed in future trials."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "FP20.07",
      "abstract_number": "FP20.07",
      "title": "A Longitudinal Analysis Of Anterior Chamber Flare Following Cataract Surgery Across Different Ethnic Groups",
      "authors": "Mr Joseph Olakkengil",
      "presenter": "Mr Joseph Olakkengil",
      "normalized_authors": [
        "Joseph Olakkengil"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joseph Olakkengil",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To investigate the impact of ethnicity on the magnitude and duration of intraocular inflammation following cataract surgery. Anterior chamber flare, a proxy for blood-aqueous barrier breakdown, is an objective and validated measure of inflammation, however ethnic variations in anterior chamber flare measurements after cataract surgery is largely unstudied. This study aims to compare flare readings between Afro-Caribbean and White patients at standardised time points to identify potential variations in inflammatory response and recovery.",
        "Setting": "A retrospective, observational, cohort study conducted at KCL Frost Eye Research Department at St Thomas' Hospital.",
        "Methods": "Data was derived from Afro-Caribbean and White patients who underwent routine uncomplicated cataract surgery between April 2019 and August 2023 and were enrolled in various prospective clinical trials at St Thomas' Hospital. Laser flare photometry was utilised to obtain 329 readings from 157 eyes (Afro-Caribbean = 76, White = 81). Post-operative intervals were categorized into the following time periods: weeks 1-2, 3-4, 5-6, 7-8, 9-12, and 13+. Statistical analysis was performed using the Mann-Whitney U test to compare flare values between the two ethnic groups within each time period to assess differences in rates of post-operative inflammation.",
        "Results": "A total of 329 flare readings were analysed. In the immediate post-operative period, weeks 1-2, no significant difference was observed in median flare readings between Afro-Caribbean (26.60 pc/ms) and White (31.00 pc/ms) patients ( p=0.761 ). However, at weeks 3-4, the Afro-Caribbean group demonstrated a higher median flare reading (23.70 pc/ms) compared to the White group (13.05 pc/ms) which was statistically significant ( p=0.032 ). While individual time periods from Week 5 onwards did not reach statistical significance, the Afro-Caribbean cohort consistently maintained higher median flare values throughout the recovery phase including the long term 13+ weeks: Afro-Caribbean 12.80 pc/ms vs White 10.85 pc/ms ( p=0.259 ).",
        "Conclusions": "Ethnicity is a significant risk factor in post-operative inflammation after routine cataract surgery. While immediate inflammatory responses are comparable between groups, Afro-Caribbean patients demonstrate significantly higher flare levels at the one-month mark (weeks 3-4) and maintain a consistent trend of higher inflammation levels throughout the late recovery period. These findings suggest that Afro-Caribbean patients may experience a more robust or prolonged inflammatory course following cataract surgery. Clinical practice should consider these ethnic variations when tailoring postoperative anti-inflammatory regimens to ensure optimal recovery across diverse patient populations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ethnicity is a significant risk factor in post-operative inflammation after routine cataract surgery. While immediate inflammatory responses are comparable between groups, Afro-Caribbean patients demonstrate significantly higher flare levels at the one-month mark (weeks 3-4) and maintain a consistent trend of higher inflammation levels throughout the late recovery period. These findings suggest that Afro-Caribbean…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 292,
      "source_fields": {
        "Abstract Final Identifier": "FP20.07",
        "Title": "A Longitudinal Analysis Of Anterior Chamber Flare Following Cataract Surgery Across Different Ethnic Groups",
        "Presenting Author(s)": "Mr Joseph Olakkengil",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Joseph",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Olakkengil",
        "Country Name": "United Kingdom",
        "Purpose": "To investigate the impact of ethnicity on the magnitude and duration of intraocular inflammation following cataract surgery. Anterior chamber flare, a proxy for blood-aqueous barrier breakdown, is an objective and validated measure of inflammation, however ethnic variations in anterior chamber flare measurements after cataract surgery is largely unstudied. This study aims to compare flare readings between Afro-Caribbean and White patients at standardised time points to identify potential variations in inflammatory response and recovery.",
        "Setting": "A retrospective, observational, cohort study conducted at KCL Frost Eye Research Department at St Thomas' Hospital.",
        "Methods": "Data was derived from Afro-Caribbean and White patients who underwent routine uncomplicated cataract surgery between April 2019 and August 2023 and were enrolled in various prospective clinical trials at St Thomas' Hospital. Laser flare photometry was utilised to obtain 329 readings from 157 eyes (Afro-Caribbean = 76, White = 81). Post-operative intervals were categorized into the following time periods: weeks 1-2, 3-4, 5-6, 7-8, 9-12, and 13+. Statistical analysis was performed using the Mann-Whitney U test to compare flare values between the two ethnic groups within each time period to assess differences in rates of post-operative inflammation.",
        "Results": "A total of 329 flare readings were analysed. In the immediate post-operative period, weeks 1-2, no significant difference was observed in median flare readings between Afro-Caribbean (26.60 pc/ms) and White (31.00 pc/ms) patients ( p=0.761 ). However, at weeks 3-4, the Afro-Caribbean group demonstrated a higher median flare reading (23.70 pc/ms) compared to the White group (13.05 pc/ms) which was statistically significant ( p=0.032 ). While individual time periods from Week 5 onwards did not reach statistical significance, the Afro-Caribbean cohort consistently maintained higher median flare values throughout the recovery phase including the long term 13+ weeks: Afro-Caribbean 12.80 pc/ms vs White 10.85 pc/ms ( p=0.259 ).",
        "Conclusions": "Ethnicity is a significant risk factor in post-operative inflammation after routine cataract surgery. While immediate inflammatory responses are comparable between groups, Afro-Caribbean patients demonstrate significantly higher flare levels at the one-month mark (weeks 3-4) and maintain a consistent trend of higher inflammation levels throughout the late recovery period. These findings suggest that Afro-Caribbean patients may experience a more robust or prolonged inflammatory course following cataract surgery. Clinical practice should consider these ethnic variations when tailoring postoperative anti-inflammatory regimens to ensure optimal recovery across diverse patient populations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 389
    },
    {
      "uid": "FP20.08",
      "abstract_number": "FP20.08",
      "title": "Ten-Year Real-World Outcomes Of Intravitreal Antibiotics Alone, Deferred Vitrectomy, And Immediate Vitrectomy For Acute Post-Cataract Endophthalmitis",
      "authors": "Dr Aditya Kelkar",
      "presenter": "Dr Aditya Kelkar",
      "normalized_authors": [
        "Aditya Kelkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aditya Kelkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate visual outcomes in acute post-cataract endophthalmitis managed with intravitreal antibiotics (ivAB) alone, deferred vitrectomy (Vit), or primary Vit.",
        "Setting": "Retrospective cohort study of 80 eyes presenting within 6 weeks of cataract surgery between 2013–2023, each followed ≥3 months.",
        "Methods": "Eyes were grouped as: ivAB only (n=35), ivAB + deferred Vit (n=21), and primary Vit + ivAB (n=24). Treatment followed EVS-based triage: eyes with light perception (LP) or worse underwent immediate Vit; others received ivAB, followed by Vit if inadequate response at 48 hours. Microbiologic analysis and antibiotic sensitivity were performed on vitreous samples. Visual acuity and complication rates were assessed.",
        "Results": "Baseline characteristics were similar across groups. At Day 30, visual acuity was better in the ivAB-only group (0.81±0.76) than ivAB + Vit (1.17±0.77) and primary Vit (1.32±0.76) (p=0.022). At 3 months, the ivAB-only group retained the best mean vision (0.77±0.78 vs 1.04±0.88 vs 1.22±0.85; p=0.12). Retinal detachment occurred more in primary Vit (20.8%) than in deferred Vit (4.8%) or ivAB-only (2.9%) (p=0.045). Repeat injections were avoided in 43% of ivAB-only eyes vs. 9.5% (ivAB + Vit) and 41.7% (primary Vit) (p=0.003). Core vitrectomy (OR: 2.20; 95% CI: 1.17–4.16), higher baseline IOP (OR: 1.09; p=0.02), and need for repeat injection (OR: 2.01; 95% CI: 1.21–3.62) predicted poor outcome (BCVA >1 logMAR).",
        "Conclusions": "Eyes with better than LP vision responded well to intravitreal antibiotics with deferred vitrectomy. Primary vitrectomy carried higher retinal detachment risk, and poorer outcomes were seen with LP vision or antibiotic failure, supporting a triaged, stepwise approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyes with better than LP vision responded well to intravitreal antibiotics with deferred vitrectomy. Primary vitrectomy carried higher retinal detachment risk, and poorer outcomes were seen with LP vision or antibiotic failure, supporting a triaged, stepwise approach.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 293,
      "source_fields": {
        "Abstract Final Identifier": "FP20.08",
        "Title": "Ten-Year Real-World Outcomes Of Intravitreal Antibiotics Alone, Deferred Vitrectomy, And Immediate Vitrectomy For Acute Post-Cataract Endophthalmitis",
        "Presenting Author(s)": "Dr Aditya Kelkar",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Aditya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kelkar",
        "Country Name": "India",
        "Purpose": "To evaluate visual outcomes in acute post-cataract endophthalmitis managed with intravitreal antibiotics (ivAB) alone, deferred vitrectomy (Vit), or primary Vit.",
        "Setting": "Retrospective cohort study of 80 eyes presenting within 6 weeks of cataract surgery between 2013–2023, each followed ≥3 months.",
        "Methods": "Eyes were grouped as: ivAB only (n=35), ivAB + deferred Vit (n=21), and primary Vit + ivAB (n=24). Treatment followed EVS-based triage: eyes with light perception (LP) or worse underwent immediate Vit; others received ivAB, followed by Vit if inadequate response at 48 hours. Microbiologic analysis and antibiotic sensitivity were performed on vitreous samples. Visual acuity and complication rates were assessed.",
        "Results": "Baseline characteristics were similar across groups. At Day 30, visual acuity was better in the ivAB-only group (0.81±0.76) than ivAB + Vit (1.17±0.77) and primary Vit (1.32±0.76) (p=0.022). At 3 months, the ivAB-only group retained the best mean vision (0.77±0.78 vs 1.04±0.88 vs 1.22±0.85; p=0.12). Retinal detachment occurred more in primary Vit (20.8%) than in deferred Vit (4.8%) or ivAB-only (2.9%) (p=0.045). Repeat injections were avoided in 43% of ivAB-only eyes vs. 9.5% (ivAB + Vit) and 41.7% (primary Vit) (p=0.003). Core vitrectomy (OR: 2.20; 95% CI: 1.17–4.16), higher baseline IOP (OR: 1.09; p=0.02), and need for repeat injection (OR: 2.01; 95% CI: 1.21–3.62) predicted poor outcome (BCVA >1 logMAR).",
        "Conclusions": "Eyes with better than LP vision responded well to intravitreal antibiotics with deferred vitrectomy. Primary vitrectomy carried higher retinal detachment risk, and poorer outcomes were seen with LP vision or antibiotic failure, supporting a triaged, stepwise approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP20.09",
      "abstract_number": "FP20.09",
      "title": "Routine Uncomplicated Cataract Surgery Is Safe Without Post Operative Topical Antibiotics",
      "authors": "Dr Alexander Silvester",
      "presenter": "Dr Alexander Silvester",
      "normalized_authors": [
        "Alexander Silvester"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander Silvester",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Dropless cataract surgery is becoming more prevalent and there is a growing evidence base of its' safety and efficacy. However, one barrier to the uptake of dropless cataract surgery is the perceived requirement for topical antibiotics following cataract surgery.There is little evidence that topical antibiotics prevent endophthalmitis, however, they are still commonly used in the United Kingdom. Antibiotic resistance remains a significant risk and antibiotic stewardship is required to reduce the overuse of inappropriate antibiotics. This is a large, multi-site retrospective study, to demonstrate the safety of removing topical antibiotics from post operative regimens following uncomplicated cataract surgery.",
        "Setting": "A retrospective review of 848,160 uncomplicated cataract operations performed between 01/01/2019 to 01/12/2025 at 60 cataract surgery centres in the United Kingdom, without post operative topical antibiotics.",
        "Methods": "Retrospective review of the electronic medical records (Medisight) of all uncomplicated cataract operations performed at 60 cataract centres between January 2019 and December 2025. No patients received topical antibiotics following their cataract surgery. Patients who had an operative complication were excluded.\n\nThe primary outcome was endophthalmitis rate.\n\nEndophthalmitis was defined as per the Royal College of Ophthalmologists' National Ophthalmology Database audit and included both confirmed and presumed cases.\n\nPatients had follow up 4-6 weeks following cataract surgery either performed by a community optometrist or by the hospital provider.",
        "Results": "848,160 cataract operations were performed in the time period, for 531,767 patients aged 20 - 100 years, mean age 74.6 years, 58.5% female.\n\nThe endophthalmitis rate was 0.008%.",
        "Conclusions": "This is the largest retrospective review demonstrating that topical antbiotics are not required following uncomplicated cataract surgery.\n\nThe endophthalmitis rate was significantly less than national benchmarks. The overuse of inappropriate antibiotics is associated with increased antibiotic resistance, particularly amongst elderly patients with co-morbidities. Cataract surgeons should consider removing topical antibiotics from their routine post operative regimen following uncomplicated cataract surgery. This should remove the potential barrier to wider adoption of dropless cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is the largest retrospective review demonstrating that topical antbiotics are not required following uncomplicated cataract surgery. The endophthalmitis rate was significantly less than national benchmarks. The overuse of inappropriate antibiotics is associated with increased antibiotic resistance, particularly amongst elderly patients with co-morbidities. Cataract surgeons should consider removing topical…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 294,
      "source_fields": {
        "Abstract Final Identifier": "FP20.09",
        "Title": "Routine Uncomplicated Cataract Surgery Is Safe Without Post Operative Topical Antibiotics",
        "Presenting Author(s)": "Dr Alexander Silvester",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Silvester",
        "Country Name": "United Kingdom",
        "Purpose": "Dropless cataract surgery is becoming more prevalent and there is a growing evidence base of its' safety and efficacy. However, one barrier to the uptake of dropless cataract surgery is the perceived requirement for topical antibiotics following cataract surgery.There is little evidence that topical antibiotics prevent endophthalmitis, however, they are still commonly used in the United Kingdom. Antibiotic resistance remains a significant risk and antibiotic stewardship is required to reduce the overuse of inappropriate antibiotics. This is a large, multi-site retrospective study, to demonstrate the safety of removing topical antibiotics from post operative regimens following uncomplicated cataract surgery.",
        "Setting": "A retrospective review of 848,160 uncomplicated cataract operations performed between 01/01/2019 to 01/12/2025 at 60 cataract surgery centres in the United Kingdom, without post operative topical antibiotics.",
        "Methods": "Retrospective review of the electronic medical records (Medisight) of all uncomplicated cataract operations performed at 60 cataract centres between January 2019 and December 2025. No patients received topical antibiotics following their cataract surgery. Patients who had an operative complication were excluded.\n\nThe primary outcome was endophthalmitis rate.\n\nEndophthalmitis was defined as per the Royal College of Ophthalmologists' National Ophthalmology Database audit and included both confirmed and presumed cases.\n\nPatients had follow up 4-6 weeks following cataract surgery either performed by a community optometrist or by the hospital provider.",
        "Results": "848,160 cataract operations were performed in the time period, for 531,767 patients aged 20 - 100 years, mean age 74.6 years, 58.5% female.\n\nThe endophthalmitis rate was 0.008%.",
        "Conclusions": "This is the largest retrospective review demonstrating that topical antbiotics are not required following uncomplicated cataract surgery.\n\nThe endophthalmitis rate was significantly less than national benchmarks. The overuse of inappropriate antibiotics is associated with increased antibiotic resistance, particularly amongst elderly patients with co-morbidities. Cataract surgeons should consider removing topical antibiotics from their routine post operative regimen following uncomplicated cataract surgery. This should remove the potential barrier to wider adoption of dropless cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "FP20.10",
      "abstract_number": "FP20.10",
      "title": "Tear Metabolomics For Differentiating Bacterial, Viral And Fungal Endophthalmitis.",
      "authors": "Dr Ayesha Musthafa",
      "presenter": "Dr Ayesha Musthafa",
      "normalized_authors": [
        "Ayesha Musthafa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayesha Musthafa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To identify etiology-specific metabolomic biomarkers in ocular biofluids that differentiate bacterial, viral, and fungal endophthalmitis, enabling earlier diagnosis, improved risk stratification, and more targeted treatment.",
        "Setting": "Prospectivecase–control study conducted at a tertiary eye-care center.",
        "Methods": "The study was approved by the institutional ethics committee and performed in accordance with the Declaration of Helsinki .Patients with clinically diagnosed infectious endophthalmitis were stratified by etiology (bacterial/viral/fungal) and clinical severity. Tear and aqueous humor samples were collected and analyzed using ultra-performance liquid chromatography mass spectrometry (UPLC-MS). Multivariate statistical analyses were applied to identify differentially expressed metabolites and pathway-level changes across etiologic groups.",
        "Results": "Distinct metabolomic signatures were observed across etiologies. Bacterial endophthalmitis showed increased methyl linolenate, palmitoleamide, and myristoleoyl carnitine. Viral cases demonstrated perturbations in cholesterol- and triglyceride-associated metabolites. Fungal infections displayed sterol pathway alterations consistent with ergosterol-related metabolic changes. These profiles enabled clear separation of groups on multivariate analyses.",
        "Conclusions": "Ocular biofluid metabolomics provides etiology-specific molecular signatures that can differentiate bacterial, viral, and fungal endophthalmitis.Tear-based biomarkers, supported by aqueous profiling, complement conventional diagnostics by enabling faster classification and prognostication, potentially guiding earlier targeted therapy and personalized management to improve clinical outcomes.\n\nFinancial Disclosure: The authors report no financial or proprietary interests in any material or method mentioned."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ocular biofluid metabolomics provides etiology-specific molecular signatures that can differentiate bacterial, viral, and fungal endophthalmitis.Tear-based biomarkers, supported by aqueous profiling, complement conventional diagnostics by enabling faster classification and prognostication, potentially guiding earlier targeted therapy and personalized management to improve clinical outcomes. Financial Disclosure:…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 295,
      "source_fields": {
        "Abstract Final Identifier": "FP20.10",
        "Title": "Tear Metabolomics For Differentiating Bacterial, Viral And Fungal Endophthalmitis.",
        "Presenting Author(s)": "Dr Ayesha Musthafa",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ayesha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Musthafa",
        "Country Name": "India",
        "Purpose": "To identify etiology-specific metabolomic biomarkers in ocular biofluids that differentiate bacterial, viral, and fungal endophthalmitis, enabling earlier diagnosis, improved risk stratification, and more targeted treatment.",
        "Setting": "Prospectivecase–control study conducted at a tertiary eye-care center.",
        "Methods": "The study was approved by the institutional ethics committee and performed in accordance with the Declaration of Helsinki .Patients with clinically diagnosed infectious endophthalmitis were stratified by etiology (bacterial/viral/fungal) and clinical severity. Tear and aqueous humor samples were collected and analyzed using ultra-performance liquid chromatography mass spectrometry (UPLC-MS). Multivariate statistical analyses were applied to identify differentially expressed metabolites and pathway-level changes across etiologic groups.",
        "Results": "Distinct metabolomic signatures were observed across etiologies. Bacterial endophthalmitis showed increased methyl linolenate, palmitoleamide, and myristoleoyl carnitine. Viral cases demonstrated perturbations in cholesterol- and triglyceride-associated metabolites. Fungal infections displayed sterol pathway alterations consistent with ergosterol-related metabolic changes. These profiles enabled clear separation of groups on multivariate analyses.",
        "Conclusions": "Ocular biofluid metabolomics provides etiology-specific molecular signatures that can differentiate bacterial, viral, and fungal endophthalmitis.Tear-based biomarkers, supported by aqueous profiling, complement conventional diagnostics by enabling faster classification and prognostication, potentially guiding earlier targeted therapy and personalized management to improve clinical outcomes.\n\nFinancial Disclosure: The authors report no financial or proprietary interests in any material or method mentioned."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 205
    },
    {
      "uid": "FP20.11",
      "abstract_number": "FP20.11",
      "title": "Two Years Of Dropless Cataract Surgery Cases Using A Low-Cost Subtenons Injection Of Triamcinolone Acetonide",
      "authors": "Dr Harry Rosen",
      "presenter": "Dr Harry Rosen",
      "normalized_authors": [
        "Harry Rosen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Harry Rosen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "There is growing interest in Dropless Cataract Surgery (DCS) due to its practical benefits to patients and healthcare providers, and its increasing evidence of non-inferiority over standard non-dropless regimes. This study aimed to compare the rates of post-op inflammatory and glaucomatous complications between DCS patients receiving a subtenons injection of Triamcinolone Acetate (TA) vs a standard regime of topical drops.\n\nSecondary objectives included:\n\n• To perform a cost-benefit analysis\n\n• The development of a guidance protocol for wider implementation of DCS\n\n• To compare the accuracy of an AI Large Language Model (LLM) in performing basic statistical tests (Claude Sonnet 4.5), when compared to gold-standard statistical Software (SPSS).",
        "Setting": "Three Public sector Hospitals in Hampshire, southern England (Basingstoke and North Hampshire Hospital, Royal Hampshire County Hospital and Andover War Memorial Hospital).",
        "Methods": "• This was a retrospective cohort study comparing post-op complications in DCS vs Non-DCS cases.\n\n• Electronic Medical Records were searched from January 2023 to November 2025 for all cataract cases performed. A manual review of a sample of cases was performed, to rule out any systematic confounding factors such as differing follow-up practices between groups.\n\n• Statistical analysis was performed in tandem with both Claude Sonnet v.4.5 (an artificial Intelligence Large Language Model) and SPSS (IBM) for comparison.",
        "Results": "• 5003 non-dropless cases and 671 DCS cases were performed in the study timeframe with no major demographic differences.\n\n• DCS cases showed reduced rates of iritis (Χ 2 = 6.27, p= 0.012, RR 0.24), cystoid macular oedema (Χ 2 = 7.53, p= 0.006, RR 0.22) and no difference in rates of raised IOP (OR=2.42 [reduced in DCS], p= 0.311). Results were similar when controlling for resident performed cases.\n\n• Cost-benefit analysis revealed a potential saving of £10.70 saved per patient, amounting to potential savings of £22,500 per year + a reduction of 14 metric tonnes of CO2 in carbon equivalents based on UK DEFRA (Department for Environment Food and Rural Affairs) carbon calculators.\n\n• No difference was found between AI LLM and SPSS statistical outputs.",
        "Conclusions": "• These results are similar to those found in the wider literature, e.g. the ESCRS EPICAT trial and the work of Neal Shorstein’s group in California, indicating DCS is non-inferior, if not superior to non-dropless cataract surgery.\n\n• DCS also possesses numerous practical benefits for patients + cost savings for the provider, which are very difficult to overlook.\n\n• Using these data we have developed a regional protocol for conducting DCS for high volume cataract surgery. Availability of a low-cost triamcinolone remains the largest limiting factor for implementing cost-effective DCS to a European population.\n\n• With judicious use of prompts, AI LLMs are equivalent to gold-standard statistical software in performing common statistical tests."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "• These results are similar to those found in the wider literature, e.g. the ESCRS EPICAT trial and the work of Neal Shorstein’s group in California, indicating DCS is non-inferior, if not superior to non-dropless cataract surgery. • DCS also possesses numerous practical benefits for patients + cost savings for the provider, which are very difficult to overlook. • Using these data we have developed a regional…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 296,
      "source_fields": {
        "Abstract Final Identifier": "FP20.11",
        "Title": "Two Years Of Dropless Cataract Surgery Cases Using A Low-Cost Subtenons Injection Of Triamcinolone Acetonide",
        "Presenting Author(s)": "Dr Harry Rosen",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Harry",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rosen",
        "Country Name": "United Kingdom",
        "Purpose": "There is growing interest in Dropless Cataract Surgery (DCS) due to its practical benefits to patients and healthcare providers, and its increasing evidence of non-inferiority over standard non-dropless regimes. This study aimed to compare the rates of post-op inflammatory and glaucomatous complications between DCS patients receiving a subtenons injection of Triamcinolone Acetate (TA) vs a standard regime of topical drops.\n\nSecondary objectives included:\n\n• To perform a cost-benefit analysis\n\n• The development of a guidance protocol for wider implementation of DCS\n\n• To compare the accuracy of an AI Large Language Model (LLM) in performing basic statistical tests (Claude Sonnet 4.5), when compared to gold-standard statistical Software (SPSS).",
        "Setting": "Three Public sector Hospitals in Hampshire, southern England (Basingstoke and North Hampshire Hospital, Royal Hampshire County Hospital and Andover War Memorial Hospital).",
        "Methods": "• This was a retrospective cohort study comparing post-op complications in DCS vs Non-DCS cases.\n\n• Electronic Medical Records were searched from January 2023 to November 2025 for all cataract cases performed. A manual review of a sample of cases was performed, to rule out any systematic confounding factors such as differing follow-up practices between groups.\n\n• Statistical analysis was performed in tandem with both Claude Sonnet v.4.5 (an artificial Intelligence Large Language Model) and SPSS (IBM) for comparison.",
        "Results": "• 5003 non-dropless cases and 671 DCS cases were performed in the study timeframe with no major demographic differences.\n\n• DCS cases showed reduced rates of iritis (Χ 2 = 6.27, p= 0.012, RR 0.24), cystoid macular oedema (Χ 2 = 7.53, p= 0.006, RR 0.22) and no difference in rates of raised IOP (OR=2.42 [reduced in DCS], p= 0.311). Results were similar when controlling for resident performed cases.\n\n• Cost-benefit analysis revealed a potential saving of £10.70 saved per patient, amounting to potential savings of £22,500 per year + a reduction of 14 metric tonnes of CO2 in carbon equivalents based on UK DEFRA (Department for Environment Food and Rural Affairs) carbon calculators.\n\n• No difference was found between AI LLM and SPSS statistical outputs.",
        "Conclusions": "• These results are similar to those found in the wider literature, e.g. the ESCRS EPICAT trial and the work of Neal Shorstein’s group in California, indicating DCS is non-inferior, if not superior to non-dropless cataract surgery.\n\n• DCS also possesses numerous practical benefits for patients + cost savings for the provider, which are very difficult to overlook.\n\n• Using these data we have developed a regional protocol for conducting DCS for high volume cataract surgery. Availability of a low-cost triamcinolone remains the largest limiting factor for implementing cost-effective DCS to a European population.\n\n• With judicious use of prompts, AI LLMs are equivalent to gold-standard statistical software in performing common statistical tests."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 445
    },
    {
      "uid": "FP20.12",
      "abstract_number": "FP20.12",
      "title": "Do We Still Need To Use Antibiotic Eye Drops After Routine Catatract Surgery?",
      "authors": "Dr Vasyl Shevchyk",
      "presenter": "Dr Vasyl Shevchyk",
      "normalized_authors": [
        "Vasyl Shevchyk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vasyl Shevchyk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "According to the clinical protocols of EU countries (despite the use povidone-iodine and intracameral cefuroxime) antibiotics in drops are used in 100% cases in the postoperative period.\n\nOur aim - to evaluate the safey and efficacy of intracameral moxifloxacin in routine cataract surgery without the use of postoperative topical antibiotics.",
        "Setting": "LLC “Shevchyk Vasyl Eye Microsurgery,” Chernihiv, Ukraine.",
        "Methods": "600 patients with age-related cataract were randomized into two equial groups\n\n1. Control group – topical levofloxacin for 7 days postoperatively.\n\n2. Study group – 0.5 mL intracameral moxifloxacin (150 mg/0.1 mL; Arshinoff & Shi, JCRS 2023) at the end of surgery, without any postoperative topical antibiotics.\n\nPostoperatively, both groups received topical corticosteroids and lubricants for 1 month.\n\nFollow-up examinations were conducted on days 1, 7, 30, and 90.\nThe following parameters were assessed:\n\n• Endothelial cell density and morphology (specular microscope SP-1P, Topcon)\n\n• Postoperative inflammatory reaction\n\n• Infectious complications\n\n• Patient compliance with drop regimens",
        "Results": "• Infectious safety: No cases of postoperative endophthalmitis were observed in either group.\n\n• Inflammation: Three patients in the control group developed fibrinoid reaction, successfully managed with peribulbar dexamethasone injections.\n\n• Endothelial safety: Endothelial cell loss was comparable between groups (3.8 ± 3.6% control vs 3.6 ± 3.3% study; p > 0.05), with no significant differences in hexagonality or polymegathism.\n\n• No cases of toxic anterior segment syndrome (TASS) or corneal epitheliopathy occurred in either group.\n\n• Compliance: Non-adherence to topical therapy occurred in 22% of the control group (missed doses, premature discontinuation, or prolonged use), while only 8% of the study group reported minor issues",
        "Conclusions": "Intracameral moxifloxacin is a safe and effective method of prophylaxis against infectious complications after phacoemulsification. It demonstrates comparable endothelial safety, reduces patient non-compliance, and represents a significant step towards fully drop-free cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intracameral moxifloxacin is a safe and effective method of prophylaxis against infectious complications after phacoemulsification. It demonstrates comparable endothelial safety, reduces patient non-compliance, and represents a significant step towards fully drop-free cataract surgery.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 297,
      "source_fields": {
        "Abstract Final Identifier": "FP20.12",
        "Title": "Do We Still Need To Use Antibiotic Eye Drops After Routine Catatract Surgery?",
        "Presenting Author(s)": "Dr Vasyl Shevchyk",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Vasyl",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shevchyk",
        "Country Name": "Ukraine",
        "Purpose": "According to the clinical protocols of EU countries (despite the use povidone-iodine and intracameral cefuroxime) antibiotics in drops are used in 100% cases in the postoperative period.\n\nOur aim - to evaluate the safey and efficacy of intracameral moxifloxacin in routine cataract surgery without the use of postoperative topical antibiotics.",
        "Setting": "LLC “Shevchyk Vasyl Eye Microsurgery,” Chernihiv, Ukraine.",
        "Methods": "600 patients with age-related cataract were randomized into two equial groups\n\n1. Control group – topical levofloxacin for 7 days postoperatively.\n\n2. Study group – 0.5 mL intracameral moxifloxacin (150 mg/0.1 mL; Arshinoff & Shi, JCRS 2023) at the end of surgery, without any postoperative topical antibiotics.\n\nPostoperatively, both groups received topical corticosteroids and lubricants for 1 month.\n\nFollow-up examinations were conducted on days 1, 7, 30, and 90.\nThe following parameters were assessed:\n\n• Endothelial cell density and morphology (specular microscope SP-1P, Topcon)\n\n• Postoperative inflammatory reaction\n\n• Infectious complications\n\n• Patient compliance with drop regimens",
        "Results": "• Infectious safety: No cases of postoperative endophthalmitis were observed in either group.\n\n• Inflammation: Three patients in the control group developed fibrinoid reaction, successfully managed with peribulbar dexamethasone injections.\n\n• Endothelial safety: Endothelial cell loss was comparable between groups (3.8 ± 3.6% control vs 3.6 ± 3.3% study; p > 0.05), with no significant differences in hexagonality or polymegathism.\n\n• No cases of toxic anterior segment syndrome (TASS) or corneal epitheliopathy occurred in either group.\n\n• Compliance: Non-adherence to topical therapy occurred in 22% of the control group (missed doses, premature discontinuation, or prolonged use), while only 8% of the study group reported minor issues",
        "Conclusions": "Intracameral moxifloxacin is a safe and effective method of prophylaxis against infectious complications after phacoemulsification. It demonstrates comparable endothelial safety, reduces patient non-compliance, and represents a significant step towards fully drop-free cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "FP20.13",
      "abstract_number": "FP20.13",
      "title": "Drop-Less Cataract Surgery Using Intraoperative Triamcinolone: Re-Audit Of Safety, Unplanned Reviews, And Cost Versus A Traditional Drop-Based Regimen.",
      "authors": "Ms Norhan Alaaeldin Hussein Mohamed Khamis",
      "presenter": "Ms Norhan Alaaeldin Hussein Mohamed Khamis",
      "normalized_authors": [
        "Norhan Alaaeldin Hussein Mohamed Khamis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Norhan Alaaeldin Hussein Mohamed Khamis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the safety and service impact of a drop-less cataract surgery protocol using intracameral cefuroxime and intraoperative triamcinolone, compared with a recent audit of a traditional post-operative drop-based regimen in a high-volume NHS cataract service.",
        "Setting": "Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, a high-volume NHS cataract service.",
        "Methods": "Pilot service implementation with retrospective re-audit of consecutive uncomplicated phacoemulsification cases (July–September 2025) receiving intracameral cefuroxime and intraoperative triamcinolone (subconjunctival or sub-Tenon) without routine post-operative drops. Adults without glaucoma, steroid response, ocular inflammation, high myopia or combined procedures were included. Primary outcomes were IOP elevation, endophthalmitis and unplanned emergency eye clinic attendance. Secondary outcomes included additional topical therapy and medication cost. Outcomes were compared descriptively with a June 2025 audit of 300 eyes receiving chloramphenicol and dexamethasone.",
        "Results": "Three hundred eyes of 245 patients were included (median age 77 years; 54% female). IOP was recorded in 55%; one bilateral patient developed elevated IOP (RE 27–LE34 mmHg), managed medically. No cases of post-operative endophthalmitis occurred. Twenty-seven patients (11%) attended emergency clinic, most commonly for reassurance or transient visual symptoms. Ten eyes (3.3%) required additional topical therapy (7 cystoid macular oedema, 3 anterior chamber inflammation). Medication costs were markedly lower than the prior drop-based regimen, and most patients preferred the drop-less approach.",
        "Conclusions": "In appropriately selected cataract-only patients, drop-less surgery using intraoperative triamcinolone demonstrated low complication rates, minimal additional treatment requirement and substantial cost reduction. These findings support wider adoption of drop-less protocols in high-volume cataract services."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In appropriately selected cataract-only patients, drop-less surgery using intraoperative triamcinolone demonstrated low complication rates, minimal additional treatment requirement and substantial cost reduction. These findings support wider adoption of drop-less protocols in high-volume cataract services.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 298,
      "source_fields": {
        "Abstract Final Identifier": "FP20.13",
        "Title": "Drop-Less Cataract Surgery Using Intraoperative Triamcinolone: Re-Audit Of Safety, Unplanned Reviews, And Cost Versus A Traditional Drop-Based Regimen.",
        "Presenting Author(s)": "Ms Norhan Alaaeldin Hussein Mohamed Khamis",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Norhan",
        "Submitter Middle Name": "Alaaeldin Hussein Mohamed",
        "Submitter Last Name": "Khamis",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the safety and service impact of a drop-less cataract surgery protocol using intracameral cefuroxime and intraoperative triamcinolone, compared with a recent audit of a traditional post-operative drop-based regimen in a high-volume NHS cataract service.",
        "Setting": "Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, a high-volume NHS cataract service.",
        "Methods": "Pilot service implementation with retrospective re-audit of consecutive uncomplicated phacoemulsification cases (July–September 2025) receiving intracameral cefuroxime and intraoperative triamcinolone (subconjunctival or sub-Tenon) without routine post-operative drops. Adults without glaucoma, steroid response, ocular inflammation, high myopia or combined procedures were included. Primary outcomes were IOP elevation, endophthalmitis and unplanned emergency eye clinic attendance. Secondary outcomes included additional topical therapy and medication cost. Outcomes were compared descriptively with a June 2025 audit of 300 eyes receiving chloramphenicol and dexamethasone.",
        "Results": "Three hundred eyes of 245 patients were included (median age 77 years; 54% female). IOP was recorded in 55%; one bilateral patient developed elevated IOP (RE 27–LE34 mmHg), managed medically. No cases of post-operative endophthalmitis occurred. Twenty-seven patients (11%) attended emergency clinic, most commonly for reassurance or transient visual symptoms. Ten eyes (3.3%) required additional topical therapy (7 cystoid macular oedema, 3 anterior chamber inflammation). Medication costs were markedly lower than the prior drop-based regimen, and most patients preferred the drop-less approach.",
        "Conclusions": "In appropriately selected cataract-only patients, drop-less surgery using intraoperative triamcinolone demonstrated low complication rates, minimal additional treatment requirement and substantial cost reduction. These findings support wider adoption of drop-less protocols in high-volume cataract services."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "FP20.14",
      "abstract_number": "FP20.14",
      "title": "Efficacy And Safety Of Hypertonic Saline In Postoperative Corneal Edema: A Systematic Review And Meta-Analysis",
      "authors": "Dr Abdulelah Binyamin",
      "presenter": "Dr Abdulelah Binyamin",
      "normalized_authors": [
        "Abdulelah Binyamin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulelah Binyamin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Postoperative corneal edema is commonly managed using hypertonic saline eye drops despite limited consolidated evidence supporting their clinical benefit. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of topical hypertonic saline (3–5% sodium chloride) compared with standard postoperative care in reducing corneal edema and improving visual outcomes following uneventful cataract surgery.",
        "Setting": "Systematic review and meta-analysis of published clinical studies conducted across multiple international ophthalmology centers involving patients with postoperative corneal edema following phacoemulsification cataract surgery.",
        "Methods": "A systematic review was performed according to PRISMA guidelines with searches of Medline, Embase, Web of Science, and Cochrane Library through March 2024. Randomized controlled and observational studies comparing topical hypertonic saline with standard postoperative care were included. Primary outcomes were change in central corneal thickness and logMAR visual acuity at 7 and 30 days. Data were pooled using a random-effects model. Adverse events were analyzed descriptively.",
        "Results": "Fifteen studies were identified, with four studies comprising 297 eyes included in quantitative meta-analysis. At 7 days, both hypertonic saline and standard care demonstrated nonsignificant reductions in pachymetry and visual acuity improvement. At 30 days, standard postoperative care showed a significant reduction in corneal thickness, whereas hypertonic saline demonstrated no statistically significant advantage. No significant visual acuity differences were observed at any time point. Mild transient burning occurred in approximately 9% of patients receiving hypertonic saline, with no serious adverse events reported.",
        "Conclusions": "Hypertonic saline eye drops did not demonstrate superiority over standard postoperative care in reducing corneal edema or improving visual acuity after uncomplicated cataract surgery. Their clinical benefit appears limited to short-term symptomatic relief rather than sustained anatomical or functional improvement. Further adequately powered randomized trials with standardized outcome measures are required to define their role in postoperative corneal edema management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hypertonic saline eye drops did not demonstrate superiority over standard postoperative care in reducing corneal edema or improving visual acuity after uncomplicated cataract surgery. Their clinical benefit appears limited to short-term symptomatic relief rather than sustained anatomical or functional improvement. Further adequately powered randomized trials with standardized outcome measures are required to define…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 299,
      "source_fields": {
        "Abstract Final Identifier": "FP20.14",
        "Title": "Efficacy And Safety Of Hypertonic Saline In Postoperative Corneal Edema: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Abdulelah Binyamin",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Abdulelah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Binyamin",
        "Country Name": "Saudi Arabia",
        "Purpose": "Postoperative corneal edema is commonly managed using hypertonic saline eye drops despite limited consolidated evidence supporting their clinical benefit. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of topical hypertonic saline (3–5% sodium chloride) compared with standard postoperative care in reducing corneal edema and improving visual outcomes following uneventful cataract surgery.",
        "Setting": "Systematic review and meta-analysis of published clinical studies conducted across multiple international ophthalmology centers involving patients with postoperative corneal edema following phacoemulsification cataract surgery.",
        "Methods": "A systematic review was performed according to PRISMA guidelines with searches of Medline, Embase, Web of Science, and Cochrane Library through March 2024. Randomized controlled and observational studies comparing topical hypertonic saline with standard postoperative care were included. Primary outcomes were change in central corneal thickness and logMAR visual acuity at 7 and 30 days. Data were pooled using a random-effects model. Adverse events were analyzed descriptively.",
        "Results": "Fifteen studies were identified, with four studies comprising 297 eyes included in quantitative meta-analysis. At 7 days, both hypertonic saline and standard care demonstrated nonsignificant reductions in pachymetry and visual acuity improvement. At 30 days, standard postoperative care showed a significant reduction in corneal thickness, whereas hypertonic saline demonstrated no statistically significant advantage. No significant visual acuity differences were observed at any time point. Mild transient burning occurred in approximately 9% of patients receiving hypertonic saline, with no serious adverse events reported.",
        "Conclusions": "Hypertonic saline eye drops did not demonstrate superiority over standard postoperative care in reducing corneal edema or improving visual acuity after uncomplicated cataract surgery. Their clinical benefit appears limited to short-term symptomatic relief rather than sustained anatomical or functional improvement. Further adequately powered randomized trials with standardized outcome measures are required to define their role in postoperative corneal edema management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP20.15",
      "abstract_number": "FP20.15",
      "title": "Nepafenac 0.3% As A Steroid-Sparing Alternative To Prednisolone Acetate For Post-Phacoemulsification Inflammation: A Comparative Study",
      "authors": "Dr Adnan Abdul Majeed",
      "presenter": "Dr Adnan Abdul Majeed",
      "normalized_authors": [
        "Adnan Abdul Majeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adnan Abdul Majeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To compare the anti-inflammatory efficacy and safety of prednisolone acetate 1% versus nepafenac 0.3% in patients undergoing phacoemulsification with intraocular lens implantation (IOL), and to evaluate nepafenac as a steroid-sparing postoperative regimen.",
        "Setting": "Sindh Institute of Ophthalmology and Visual Sciences, Hyderabad, Pakistan.",
        "Methods": "This prospective comparative study included patients undergoing uneventful phacoemulsification with IOL implantation between December 2023 and July 2024. Postoperatively, patients received either prednisolone acetate 1% or nepafenac 0.3%. Outcomes were assessed at 4 weeks. The primary endpoint was improvement in best-corrected visual acuity (BCVA), measured by reduction in logMAR values from baseline. Clinically significant improvement was defined as a ≥0.2 logMAR reduction. Secondary outcomes included anterior chamber inflammation graded by SUN criteria and incidence of adverse events.",
        "Results": "A total of 324 patients were analyzed (mean age 64.77 ± 9.27 years). Mean logMAR improvement was 0.28 ± 0.11 in the prednisolone group and 0.30 ± 0.11 in the nepafenac group (p=0.050). Clinically significant visual improvement occurred in 121 (48.8%) patients in the prednisolone group and 127 (51.2%) in the nepafenac group. Distribution of anterior chamber inflammation grades (0, 1+, 2+, 3+) was comparable between groups. Overall, 76 (23.4%) adverse events were reported: 40 (52.6%) in the prednisolone group and 36 (47.4%) in the nepafenac group, with no serious complications.",
        "Conclusions": "Nepafenac 0.3% provides comparable anti-inflammatory control and visual outcomes to prednisolone acetate after phacoemulsification, with a favorable safety profile. It represents a safe and effective steroid-sparing alternative , especially valuable for patients at risk of steroid-induced intraocular pressure elevation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Nepafenac 0.3% provides comparable anti-inflammatory control and visual outcomes to prednisolone acetate after phacoemulsification, with a favorable safety profile. It represents a safe and effective steroid-sparing alternative , especially valuable for patients at risk of steroid-induced intraocular pressure elevation.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 300,
      "source_fields": {
        "Abstract Final Identifier": "FP20.15",
        "Title": "Nepafenac 0.3% As A Steroid-Sparing Alternative To Prednisolone Acetate For Post-Phacoemulsification Inflammation: A Comparative Study",
        "Presenting Author(s)": "Dr Adnan Abdul Majeed",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Adnan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdul Majeed",
        "Country Name": "Pakistan",
        "Purpose": "To compare the anti-inflammatory efficacy and safety of prednisolone acetate 1% versus nepafenac 0.3% in patients undergoing phacoemulsification with intraocular lens implantation (IOL), and to evaluate nepafenac as a steroid-sparing postoperative regimen.",
        "Setting": "Sindh Institute of Ophthalmology and Visual Sciences, Hyderabad, Pakistan.",
        "Methods": "This prospective comparative study included patients undergoing uneventful phacoemulsification with IOL implantation between December 2023 and July 2024. Postoperatively, patients received either prednisolone acetate 1% or nepafenac 0.3%. Outcomes were assessed at 4 weeks. The primary endpoint was improvement in best-corrected visual acuity (BCVA), measured by reduction in logMAR values from baseline. Clinically significant improvement was defined as a ≥0.2 logMAR reduction. Secondary outcomes included anterior chamber inflammation graded by SUN criteria and incidence of adverse events.",
        "Results": "A total of 324 patients were analyzed (mean age 64.77 ± 9.27 years). Mean logMAR improvement was 0.28 ± 0.11 in the prednisolone group and 0.30 ± 0.11 in the nepafenac group (p=0.050). Clinically significant visual improvement occurred in 121 (48.8%) patients in the prednisolone group and 127 (51.2%) in the nepafenac group. Distribution of anterior chamber inflammation grades (0, 1+, 2+, 3+) was comparable between groups. Overall, 76 (23.4%) adverse events were reported: 40 (52.6%) in the prednisolone group and 36 (47.4%) in the nepafenac group, with no serious complications.",
        "Conclusions": "Nepafenac 0.3% provides comparable anti-inflammatory control and visual outcomes to prednisolone acetate after phacoemulsification, with a favorable safety profile. It represents a safe and effective steroid-sparing alternative , especially valuable for patients at risk of steroid-induced intraocular pressure elevation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "FP21.01",
      "abstract_number": "FP21.01",
      "title": "\" Magicutter\" An Innovative Ultrasonic Intra Ouclar Lens Cutting Device .",
      "authors": "Dr Anand Bagmar",
      "presenter": "Dr Anand Bagmar",
      "normalized_authors": [
        "Anand Bagmar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anand Bagmar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "While the outcomes of cataract surgery are remarkably positive, complications do still occur, some of which require\nintraocular lens (IOL) explantation. Surgical management is challenging, with numerous IOL types/methods of implantation requiring different techniques for explantation. We tried to demonstrate use of an annovative portable ultrasonic intraocular lens cutting device in an IOL exchange .",
        "Setting": "We did retrospective study of 10 patients we underwent Intraocular lens exchange with our innovative new ultrasonic IOL cutting device from 01/01/2025 to 01/10/2025 .",
        "Methods": "We will discuss the indications, complications, general principle and specific steps for this approach of explantation.",
        "Results": "There we were no major complication post operative for all 10 eyes who underwent IOL expalntation .",
        "Conclusions": "This technique is safe . Will little experience and more refinement ,this instrument can be a handy tool for every eye surgeon."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This technique is safe . Will little experience and more refinement ,this instrument can be a handy tool for every eye surgeon.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 301,
      "source_fields": {
        "Abstract Final Identifier": "FP21.01",
        "Title": "\" Magicutter\" An Innovative Ultrasonic Intra Ouclar Lens Cutting Device .",
        "Presenting Author(s)": "Dr Anand Bagmar",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Anand",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bagmar",
        "Country Name": "India",
        "Purpose": "While the outcomes of cataract surgery are remarkably positive, complications do still occur, some of which require\nintraocular lens (IOL) explantation. Surgical management is challenging, with numerous IOL types/methods of implantation requiring different techniques for explantation. We tried to demonstrate use of an annovative portable ultrasonic intraocular lens cutting device in an IOL exchange .",
        "Setting": "We did retrospective study of 10 patients we underwent Intraocular lens exchange with our innovative new ultrasonic IOL cutting device from 01/01/2025 to 01/10/2025 .",
        "Methods": "We will discuss the indications, complications, general principle and specific steps for this approach of explantation.",
        "Results": "There we were no major complication post operative for all 10 eyes who underwent IOL expalntation .",
        "Conclusions": "This technique is safe . Will little experience and more refinement ,this instrument can be a handy tool for every eye surgeon."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 136
    },
    {
      "uid": "FP21.02",
      "abstract_number": "FP21.02",
      "title": "Video-Based Quantification Of Microscope Adjustments In High Myopia Cataract Surgery: A Randomized Controlled Trial Comparing 3D Visualization And Conventional Microscopy",
      "authors": "Dr Ching-Wen Huang",
      "presenter": "Dr Ching-Wen Huang",
      "normalized_authors": [
        "Ching-Wen Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ching-Wen Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To evaluate intraoperative microscope adjustment parameters and clinical outcomes of a 3D visualization system versus conventional microscopy in cataract surgery for highly myopic eyes.",
        "Setting": "Tertiary referral academic ophthalmology center in Taiwan. All surgeries were performed by an experienced cataract surgeon in a standardized operating room environment using either a three-dimensional (3D) visualization system or a conventional binocular microscope.",
        "Methods": "This single-center randomized controlled clinical trial enrolled 40 highly myopic eyes (axial length ≥ 26.0 mm) undergoing phacoemulsification cataract surgery. Eyes were randomized to a 3D visualization system (Alcon NGENUITY®) or a conventional operating microscope. The primary outcome was intraoperative microscope adjustment count. Secondary outcomes included deepest and most superficial focal positions, vertical focal range, cumulative vertical travel distance, operative time, cumulative dissipated energy (CDE), intraoperative complications, postoperative best-corrected visual acuity (BCVA), ΔBCVA, intraocular pressure (IOP), and postoperative complications. Outcomes were assessed at day 1, week 1, month 1, and month 3.",
        "Results": "Compared with the non-3D group, the 3D group demonstrated a significantly lower microscope adjustment count (primary outcome) , along with a shallower deepest focal position, reduced cumulative vertical travel distance, and a smaller vertical range of focal adjustment (all p < 0.01). Operative time and CDE were comparable between groups. In the non-3D group, intraoperative complications occurred in 2 of 20 eyes (10.0%), both of which were posterior capsule ruptures. In the 3D group, intraoperative complications occurred in 1 of 20 eyes (5.0%), which was an anterior capsule rupture. Postoperative BCVA, ΔBCVA, and IOP at all follow-up visits did not differ significantly between groups.",
        "Conclusions": "The 3D visualization system reduced unnecessary microscope lens adjustments and improved intraoperative depth stability without compromising surgical efficiency or postoperative outcomes. Lower rates of posterior capsule rupture and retained lens material were observed in the 3D group. These findings support the use of 3D visualization as a useful adjunct in cataract surgery for highly myopic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The 3D visualization system reduced unnecessary microscope lens adjustments and improved intraoperative depth stability without compromising surgical efficiency or postoperative outcomes. Lower rates of posterior capsule rupture and retained lens material were observed in the 3D group. These findings support the use of 3D visualization as a useful adjunct in cataract surgery for highly myopic eyes.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 302,
      "source_fields": {
        "Abstract Final Identifier": "FP21.02",
        "Title": "Video-Based Quantification Of Microscope Adjustments In High Myopia Cataract Surgery: A Randomized Controlled Trial Comparing 3D Visualization And Conventional Microscopy",
        "Presenting Author(s)": "Dr Ching-Wen Huang",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Ching-Wen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "Taiwan",
        "Purpose": "To evaluate intraoperative microscope adjustment parameters and clinical outcomes of a 3D visualization system versus conventional microscopy in cataract surgery for highly myopic eyes.",
        "Setting": "Tertiary referral academic ophthalmology center in Taiwan. All surgeries were performed by an experienced cataract surgeon in a standardized operating room environment using either a three-dimensional (3D) visualization system or a conventional binocular microscope.",
        "Methods": "This single-center randomized controlled clinical trial enrolled 40 highly myopic eyes (axial length ≥ 26.0 mm) undergoing phacoemulsification cataract surgery. Eyes were randomized to a 3D visualization system (Alcon NGENUITY®) or a conventional operating microscope. The primary outcome was intraoperative microscope adjustment count. Secondary outcomes included deepest and most superficial focal positions, vertical focal range, cumulative vertical travel distance, operative time, cumulative dissipated energy (CDE), intraoperative complications, postoperative best-corrected visual acuity (BCVA), ΔBCVA, intraocular pressure (IOP), and postoperative complications. Outcomes were assessed at day 1, week 1, month 1, and month 3.",
        "Results": "Compared with the non-3D group, the 3D group demonstrated a significantly lower microscope adjustment count (primary outcome) , along with a shallower deepest focal position, reduced cumulative vertical travel distance, and a smaller vertical range of focal adjustment (all p < 0.01). Operative time and CDE were comparable between groups. In the non-3D group, intraoperative complications occurred in 2 of 20 eyes (10.0%), both of which were posterior capsule ruptures. In the 3D group, intraoperative complications occurred in 1 of 20 eyes (5.0%), which was an anterior capsule rupture. Postoperative BCVA, ΔBCVA, and IOP at all follow-up visits did not differ significantly between groups.",
        "Conclusions": "The 3D visualization system reduced unnecessary microscope lens adjustments and improved intraoperative depth stability without compromising surgical efficiency or postoperative outcomes. Lower rates of posterior capsule rupture and retained lens material were observed in the 3D group. These findings support the use of 3D visualization as a useful adjunct in cataract surgery for highly myopic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "FP21.03",
      "abstract_number": "FP21.03",
      "title": "Comparative Efficacy Of Sodium Bicarbonate And Hyaluronidase As Adjuvants In Peribulbar Block: A Systematic Review And Meta-Analysis",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To evaluate the effectiveness and safety of sodium bicarbonate compared to hyaluronidase in peribulbar anesthesia.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "The review was registered on PROSPERO (CRD420251053108). An electronic search was conducted to acquire all RCTs comparing sodium bicarbonate and hyaluronidase in peribulbar blocks. The primary outcome was successful block rate, while secondary outcomes included onset of anesthesia, onset of akinesia, need for supplemental injections, pain score during injection, and postoperative complications. Data were analyzed using STATA software (version 18). Risk of bias was assessed using the Cochrane Risk of Bias 2 tool.",
        "Results": "Sodium bicarbonate showed no significant difference compared to hyaluronidase in terms of successful block rate (OR = 0.64; 95% CI: 0.14, 2.94). Similarly, no differences were noted in onset of akinesia (MD = 0.03; 95% CI: –1.87, 1.93), onset of anesthesia (MD = –0.42; 95% CI: –1.07, 0.24), and need for supplemental injections (OR = 0.79; 95% CI: 0.46, 1.36). No significant differences were observed in postoperative complications, including chemosis (OR = 1.18; 95% CI: 0.83, 1.68) and subconjunctival hemorrhage (OR = 0.82; 95% CI: 0.34, 1.97). However, sodium bicarbonate was associated with significantly lower pain (MD = -2.15; 95% CI: -2.55, -1.75) and a significantly higher risk of lid edema (OR = 7.50; 95% CI: 2.52, 22.34).",
        "Conclusions": "Sodium bicarbonate appears to be a safe and effective alternative to hyaluronidase as an additive in peribulbar anesthesia. It demonstrated similar efficacy, but offered significantly reduced injection pain, albeit with an increased risk of lid edema."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sodium bicarbonate appears to be a safe and effective alternative to hyaluronidase as an additive in peribulbar anesthesia. It demonstrated similar efficacy, but offered significantly reduced injection pain, albeit with an increased risk of lid edema.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 303,
      "source_fields": {
        "Abstract Final Identifier": "FP21.03",
        "Title": "Comparative Efficacy Of Sodium Bicarbonate And Hyaluronidase As Adjuvants In Peribulbar Block: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "To evaluate the effectiveness and safety of sodium bicarbonate compared to hyaluronidase in peribulbar anesthesia.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "The review was registered on PROSPERO (CRD420251053108). An electronic search was conducted to acquire all RCTs comparing sodium bicarbonate and hyaluronidase in peribulbar blocks. The primary outcome was successful block rate, while secondary outcomes included onset of anesthesia, onset of akinesia, need for supplemental injections, pain score during injection, and postoperative complications. Data were analyzed using STATA software (version 18). Risk of bias was assessed using the Cochrane Risk of Bias 2 tool.",
        "Results": "Sodium bicarbonate showed no significant difference compared to hyaluronidase in terms of successful block rate (OR = 0.64; 95% CI: 0.14, 2.94). Similarly, no differences were noted in onset of akinesia (MD = 0.03; 95% CI: –1.87, 1.93), onset of anesthesia (MD = –0.42; 95% CI: –1.07, 0.24), and need for supplemental injections (OR = 0.79; 95% CI: 0.46, 1.36). No significant differences were observed in postoperative complications, including chemosis (OR = 1.18; 95% CI: 0.83, 1.68) and subconjunctival hemorrhage (OR = 0.82; 95% CI: 0.34, 1.97). However, sodium bicarbonate was associated with significantly lower pain (MD = -2.15; 95% CI: -2.55, -1.75) and a significantly higher risk of lid edema (OR = 7.50; 95% CI: 2.52, 22.34).",
        "Conclusions": "Sodium bicarbonate appears to be a safe and effective alternative to hyaluronidase as an additive in peribulbar anesthesia. It demonstrated similar efficacy, but offered significantly reduced injection pain, albeit with an increased risk of lid edema."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "FP21.04",
      "abstract_number": "FP21.04",
      "title": "Factors Affecting Early Postoperative Endothelial Cell Density Changes After Phacoemulsification",
      "authors": "Dr Yersultan Islambekov",
      "presenter": "Dr Yersultan Islambekov",
      "normalized_authors": [
        "Yersultan Islambekov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yersultan Islambekov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate factors affecting early postoperative endothelial cell density (ECD) following phacoemulsification.",
        "Setting": "This retrospective study included 94 patients who underwent phacoemulsification cataract surgery at Sakarya University Training and Research Hospital, Turkey. The medical records of consecutive patients were reviewed and analyzed.",
        "Methods": "Preoperative variables included age, gender, preoperative ECD, best corrected visual acuity (BCVA), postoperative intraocular pressure, cataract type, presence of ocular comorbidities, planned phacoemulsification technique (stop & chop, phaco chop, or flip chop), and surgeon experience (resident vs experienced surgeon). Intraoperative cumulative dissipated energy (CDE) and the occurrence of complications were recorded. Eyes were categorized into two groups according to CDE: Group 1 (CDE 5–10, n=43) and Group 2 (CDE ≥10, n=51). Early postoperative ECD and BCVA were assessed at postoperative day 1, 3, and 7 and at 1 month. Multivariate linear regression analysis was performed to identify independent predictors of postoperative ECD.",
        "Results": "Groups were comparable in age, gender, and preoperative ECD (p>0.05). Postoperative ECD at month 1 did not differ significantly between groups (2013 vs 1772 cells/mm², p=0.057), and CDE was not an independent predictor (p=0.063). ECD differed among techniques (p=0.002).In multivariate analysis adjusted for age, preoperative ECD, CDE, complications, and ocular disease, the flip chop technique was independently associated with lower postoperative ECD (β = –576 cells/mm², p < 0.001), and resident-performed surgery was associated with greater endothelial cell loss (β = –305 cells/mm², p = 0.042). Preoperative ECD was the strongest predictor (p<0.001). Higher CDE was associated with delayed visual recovery (p<0.05).",
        "Conclusions": "Phacoemulsification technique, rather than cumulative dissipated energy alone, appears to be the primary determinant of postoperative endothelial cell loss. Flip chop was independently associated with significantly greater endothelial damage, even after adjustment for confounding factors. Although higher CDE values were linked to delayed visual recovery, they did not independently predict endothelial loss. Surgical technique and surgeon experience may therefore play a more critical role than ultrasound energy in preserving corneal endothelial integrity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification technique, rather than cumulative dissipated energy alone, appears to be the primary determinant of postoperative endothelial cell loss. Flip chop was independently associated with significantly greater endothelial damage, even after adjustment for confounding factors. Although higher CDE values were linked to delayed visual recovery, they did not independently predict endothelial loss. Surgical…",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 304,
      "source_fields": {
        "Abstract Final Identifier": "FP21.04",
        "Title": "Factors Affecting Early Postoperative Endothelial Cell Density Changes After Phacoemulsification",
        "Presenting Author(s)": "Dr Yersultan Islambekov",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Yersultan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Islambekov",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate factors affecting early postoperative endothelial cell density (ECD) following phacoemulsification.",
        "Setting": "This retrospective study included 94 patients who underwent phacoemulsification cataract surgery at Sakarya University Training and Research Hospital, Turkey. The medical records of consecutive patients were reviewed and analyzed.",
        "Methods": "Preoperative variables included age, gender, preoperative ECD, best corrected visual acuity (BCVA), postoperative intraocular pressure, cataract type, presence of ocular comorbidities, planned phacoemulsification technique (stop & chop, phaco chop, or flip chop), and surgeon experience (resident vs experienced surgeon). Intraoperative cumulative dissipated energy (CDE) and the occurrence of complications were recorded. Eyes were categorized into two groups according to CDE: Group 1 (CDE 5–10, n=43) and Group 2 (CDE ≥10, n=51). Early postoperative ECD and BCVA were assessed at postoperative day 1, 3, and 7 and at 1 month. Multivariate linear regression analysis was performed to identify independent predictors of postoperative ECD.",
        "Results": "Groups were comparable in age, gender, and preoperative ECD (p>0.05). Postoperative ECD at month 1 did not differ significantly between groups (2013 vs 1772 cells/mm², p=0.057), and CDE was not an independent predictor (p=0.063). ECD differed among techniques (p=0.002).In multivariate analysis adjusted for age, preoperative ECD, CDE, complications, and ocular disease, the flip chop technique was independently associated with lower postoperative ECD (β = –576 cells/mm², p < 0.001), and resident-performed surgery was associated with greater endothelial cell loss (β = –305 cells/mm², p = 0.042). Preoperative ECD was the strongest predictor (p<0.001). Higher CDE was associated with delayed visual recovery (p<0.05).",
        "Conclusions": "Phacoemulsification technique, rather than cumulative dissipated energy alone, appears to be the primary determinant of postoperative endothelial cell loss. Flip chop was independently associated with significantly greater endothelial damage, even after adjustment for confounding factors. Although higher CDE values were linked to delayed visual recovery, they did not independently predict endothelial loss. Surgical technique and surgeon experience may therefore play a more critical role than ultrasound energy in preserving corneal endothelial integrity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "FP21.05",
      "abstract_number": "FP21.05",
      "title": "Large-Scale Analysis Of The Parameters Used During Phacoemulsification: The Rophacs (Registry Of Phacoemulsification Cataract Surgery) Study",
      "authors": "Prof. Dr Antoine Brezin",
      "presenter": "Prof. Dr Antoine Brezin",
      "normalized_authors": [
        "Antoine Brezin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antoine Brezin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To analyze cataract surgery parameters using the data from a large number of phacoemulsifiers.",
        "Setting": "Nationwide collection (ClinicalTrials.gov Identifier: NCT06659419) of the data from centers using Active Sentry (AS) (pressure sensor embedded in the handpiece) and non-AS Centurion phacoemulsifiers. The records from the last 1000 procedures performed with each phacoemulsifier were collected in 50 centers (17 public hospitals and 33 private clinics.",
        "Methods": "Retrospective registry study. The procedures captured in the database were performed between December 2021 and August 2025. The following parameters were analyzed: duration of ultrasound usage (US), total case duration, Cumulated Dissipated Energy (CDE), BSS volume, torsional and longitudinal energy usage, maximum infusion pressure, vitrectomy mode.",
        "Results": "The data from 116931 procedures were analyzed. The mean US duration was 63.5±39.1” (torsional 59.0±36.6” and longitudinal 4.5±8.3”). The mean total duration of the steps using the phacoemulsifier was 10’54”±7’06”. The mean CDE was 9.9±7.9. The mean maximum infusion pressure setting was 66.9±9.5mmHg. The mean volume of BSS used during the surgical steps was 94.3±47.4cc. There were 53488 procedures performed with AS and 63443 with non-AS phacoemulsifiers. The median duration of US usage was 55.0” with AS and 57.0” with non-AS (p<0.001). The median CDE was 7.9 with AS and 8.5 with non-AS (p<0.001). Overall, the vitrectomy mode was used in 506 (0.4%) cases.",
        "Conclusions": "On average, cataract surgery was performed using the phacoemulsifier for less than 11 minutes. The study results can be used as a benchmark to assess the current and future generations of phacoemulsifiers"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "On average, cataract surgery was performed using the phacoemulsifier for less than 11 minutes. The study results can be used as a benchmark to assess the current and future generations of phacoemulsifiers",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 305,
      "source_fields": {
        "Abstract Final Identifier": "FP21.05",
        "Title": "Large-Scale Analysis Of The Parameters Used During Phacoemulsification: The Rophacs (Registry Of Phacoemulsification Cataract Surgery) Study",
        "Presenting Author(s)": "Prof. Dr Antoine Brezin",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Antoine",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brezin",
        "Country Name": "France",
        "Purpose": "To analyze cataract surgery parameters using the data from a large number of phacoemulsifiers.",
        "Setting": "Nationwide collection (ClinicalTrials.gov Identifier: NCT06659419) of the data from centers using Active Sentry (AS) (pressure sensor embedded in the handpiece) and non-AS Centurion phacoemulsifiers. The records from the last 1000 procedures performed with each phacoemulsifier were collected in 50 centers (17 public hospitals and 33 private clinics.",
        "Methods": "Retrospective registry study. The procedures captured in the database were performed between December 2021 and August 2025. The following parameters were analyzed: duration of ultrasound usage (US), total case duration, Cumulated Dissipated Energy (CDE), BSS volume, torsional and longitudinal energy usage, maximum infusion pressure, vitrectomy mode.",
        "Results": "The data from 116931 procedures were analyzed. The mean US duration was 63.5±39.1” (torsional 59.0±36.6” and longitudinal 4.5±8.3”). The mean total duration of the steps using the phacoemulsifier was 10’54”±7’06”. The mean CDE was 9.9±7.9. The mean maximum infusion pressure setting was 66.9±9.5mmHg. The mean volume of BSS used during the surgical steps was 94.3±47.4cc. There were 53488 procedures performed with AS and 63443 with non-AS phacoemulsifiers. The median duration of US usage was 55.0” with AS and 57.0” with non-AS (p<0.001). The median CDE was 7.9 with AS and 8.5 with non-AS (p<0.001). Overall, the vitrectomy mode was used in 506 (0.4%) cases.",
        "Conclusions": "On average, cataract surgery was performed using the phacoemulsifier for less than 11 minutes. The study results can be used as a benchmark to assess the current and future generations of phacoemulsifiers"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "FP21.06",
      "abstract_number": "FP21.06",
      "title": "Bimanual Vs. Single-Piece I/A In Cataract Surgery: A Comparison Of Posterior Capsule Tear Rates From The Australian Experience",
      "authors": "Dr Sarmad Akkach",
      "presenter": "Dr Sarmad Akkach",
      "normalized_authors": [
        "Sarmad Akkach"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sarmad Akkach",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "New Zealand",
      "sections": {
        "Purpose": "Controversy exists over the optimal irrigation and aspiration (I/A) technique during cataract surgery, with bimanual and single-piece being the preferred two methods. Regardless of technique, posterior capsule (PC) tear remains one of the most common complications, with reported incidence rates between 1.0% and 2.1%. The purpose of this study was to evaluate the rate of PC tears in bimanual vs. single-piece users.",
        "Setting": "Department of Ophthalmology, The Alfred Hospital, Melbourne, Australia. An Australian university-attached quaternary referral centre.",
        "Methods": "Retrospective cohort study of patients who underwent phacoemulsification over a 10-year period at The Alfred Hospital, Melbourne. Only cases performed by consultant ophthalmologists were included in the study. Bimanual was defined as I/A ports on two separate handpieces, while single-piece was defined as I/A ports on a single hand-piece.",
        "Results": "Over the 10-year period, there were 65 PC tears in 5,339 phacoemulsification cases (rate 1.2%). Of these, 3,963 cases were performed using bimanual technique (74.2%), while 1,376 cases were performed using single-piece (25.8%). There were 35 PC tears identified in the bimanual group (0.9%) and 30 PC tears in the single-piece group (2.2%). Chi-Square analysis showed single-piece technique was significantly more likely to be associated with PC tears than bimanual technique χ 2 (3, N = 5339) = 14.28 p<0.001.",
        "Conclusions": "This study suggests that the incidence of PC tears is considerably higher in the single-piece I/A when compared to bimanual I/A. Other ophthalmology teaching centres may wish to consider these findings when electing how to best teach phacoemulsification to new trainees."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study suggests that the incidence of PC tears is considerably higher in the single-piece I/A when compared to bimanual I/A. Other ophthalmology teaching centres may wish to consider these findings when electing how to best teach phacoemulsification to new trainees.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 306,
      "source_fields": {
        "Abstract Final Identifier": "FP21.06",
        "Title": "Bimanual Vs. Single-Piece I/A In Cataract Surgery: A Comparison Of Posterior Capsule Tear Rates From The Australian Experience",
        "Presenting Author(s)": "Dr Sarmad Akkach",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Sarmad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akkach",
        "Country Name": "New Zealand",
        "Purpose": "Controversy exists over the optimal irrigation and aspiration (I/A) technique during cataract surgery, with bimanual and single-piece being the preferred two methods. Regardless of technique, posterior capsule (PC) tear remains one of the most common complications, with reported incidence rates between 1.0% and 2.1%. The purpose of this study was to evaluate the rate of PC tears in bimanual vs. single-piece users.",
        "Setting": "Department of Ophthalmology, The Alfred Hospital, Melbourne, Australia. An Australian university-attached quaternary referral centre.",
        "Methods": "Retrospective cohort study of patients who underwent phacoemulsification over a 10-year period at The Alfred Hospital, Melbourne. Only cases performed by consultant ophthalmologists were included in the study. Bimanual was defined as I/A ports on two separate handpieces, while single-piece was defined as I/A ports on a single hand-piece.",
        "Results": "Over the 10-year period, there were 65 PC tears in 5,339 phacoemulsification cases (rate 1.2%). Of these, 3,963 cases were performed using bimanual technique (74.2%), while 1,376 cases were performed using single-piece (25.8%). There were 35 PC tears identified in the bimanual group (0.9%) and 30 PC tears in the single-piece group (2.2%). Chi-Square analysis showed single-piece technique was significantly more likely to be associated with PC tears than bimanual technique χ 2 (3, N = 5339) = 14.28 p<0.001.",
        "Conclusions": "This study suggests that the incidence of PC tears is considerably higher in the single-piece I/A when compared to bimanual I/A. Other ophthalmology teaching centres may wish to consider these findings when electing how to best teach phacoemulsification to new trainees."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP21.07",
      "abstract_number": "FP21.07",
      "title": "Phacoemulsification At Physiological Irrigation Pressure (20 Mmhg): One-Year Clinical Experience In 949 Eyes",
      "authors": "A/Prof. Libor Hejsek",
      "presenter": "A/Prof. Libor Hejsek",
      "normalized_authors": [
        "Libor Hejsek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tereza Pařilová",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To determine whether phacoemulsification can be routinely performed at a physiological irrigation pressure of 20 mmHg in the absence of ocular contraindications, while maintaining intraoperative stability and low complication rates, and to define the proportion of cases requiring intraoperative pressure escalation.",
        "Setting": "Tertiary referral university eye center, Czech Republic, performing routine and complex cataract surgery under standard operating room conditions.",
        "Methods": "Retrospective analysis of 949 consecutive phacoemulsification procedures was performed over one year using the Centurion® Vision System (Alcon) with Active Sentry® handpiece. Irrigation pressure was preset at 20 mmHg following individualized preoperative assessment of ocular anatomy. No exclusion was made based on cataract density, and complex cases including advanced cataracts and eyes with zonular compromise were included. The preset pressure strategy allowed intraoperative adjustment when clinically indicated. Primary outcomes were completion at preset pressure, need for intraoperative pressure escalation, posterior capsule rupture, operative time, and cumulative dissipated energy (CDE).",
        "Results": "Surgery was completed at the preset irrigation pressure of 20 mmHg in 900 eyes (95%). In 47 eyes (5%), irrigation pressure was increased intraoperatively to 26–30 mmHg to maintain chamber stability, particularly in eyes with shallow anterior chamber depth. Posterior capsule rupture occurred in 2 eyes (0.2%); both were managed without vitreous prolapse or need for anterior vitrectomy. Median total case time was 537 seconds (~9.0 minutes), and median CDE was 3.8. No technical system failures or clinically relevant chamber instability were observed throughout the series.",
        "Conclusions": "Phacoemulsification performed at a physiological irrigation pressure of 20 mmHg using active fluidics is clinically feasible and reproducible in a large consecutive cohort. Intraoperative stability was maintained in the vast majority of eyes, with a low posterior capsule rupture rate and limited need for pressure escalation. Maintaining near-physiological intraoperative pressure may support preservation of anterior segment relationships and enable cataract surgery to be performed under more physiological intraoperative conditions. Careful preoperative assessment remains essential when adopting low-pressure fluidic strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification performed at a physiological irrigation pressure of 20 mmHg using active fluidics is clinically feasible and reproducible in a large consecutive cohort. Intraoperative stability was maintained in the vast majority of eyes, with a low posterior capsule rupture rate and limited need for pressure escalation. Maintaining near-physiological intraoperative pressure may support preservation of anterior…",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 307,
      "source_fields": {
        "Abstract Final Identifier": "FP21.07",
        "Title": "Phacoemulsification At Physiological Irrigation Pressure (20 Mmhg): One-Year Clinical Experience In 949 Eyes",
        "Presenting Author(s)": "A/Prof. Libor Hejsek",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Tereza",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pařilová",
        "Country Name": "Czech Republic",
        "Purpose": "To determine whether phacoemulsification can be routinely performed at a physiological irrigation pressure of 20 mmHg in the absence of ocular contraindications, while maintaining intraoperative stability and low complication rates, and to define the proportion of cases requiring intraoperative pressure escalation.",
        "Setting": "Tertiary referral university eye center, Czech Republic, performing routine and complex cataract surgery under standard operating room conditions.",
        "Methods": "Retrospective analysis of 949 consecutive phacoemulsification procedures was performed over one year using the Centurion® Vision System (Alcon) with Active Sentry® handpiece. Irrigation pressure was preset at 20 mmHg following individualized preoperative assessment of ocular anatomy. No exclusion was made based on cataract density, and complex cases including advanced cataracts and eyes with zonular compromise were included. The preset pressure strategy allowed intraoperative adjustment when clinically indicated. Primary outcomes were completion at preset pressure, need for intraoperative pressure escalation, posterior capsule rupture, operative time, and cumulative dissipated energy (CDE).",
        "Results": "Surgery was completed at the preset irrigation pressure of 20 mmHg in 900 eyes (95%). In 47 eyes (5%), irrigation pressure was increased intraoperatively to 26–30 mmHg to maintain chamber stability, particularly in eyes with shallow anterior chamber depth. Posterior capsule rupture occurred in 2 eyes (0.2%); both were managed without vitreous prolapse or need for anterior vitrectomy. Median total case time was 537 seconds (~9.0 minutes), and median CDE was 3.8. No technical system failures or clinically relevant chamber instability were observed throughout the series.",
        "Conclusions": "Phacoemulsification performed at a physiological irrigation pressure of 20 mmHg using active fluidics is clinically feasible and reproducible in a large consecutive cohort. Intraoperative stability was maintained in the vast majority of eyes, with a low posterior capsule rupture rate and limited need for pressure escalation. Maintaining near-physiological intraoperative pressure may support preservation of anterior segment relationships and enable cataract surgery to be performed under more physiological intraoperative conditions. Careful preoperative assessment remains essential when adopting low-pressure fluidic strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "FP21.08",
      "abstract_number": "FP21.08",
      "title": "Calorimetric Assessment And Fluid Dynamics Of Phaco Tips",
      "authors": "Dr Tommaso Rossi",
      "presenter": "Dr Tommaso Rossi",
      "normalized_authors": [
        "Tommaso Rossi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tommaso Rossi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the dispersion of heat and fluid dynamics of different phaco tip designs and surgical platforms",
        "Setting": "Experimental in vitreo setting",
        "Methods": "Phaco tips of 2 leading surgical platfoms were immersed in 1.5 cc of BSS witin an insulated calorimetric cell and heat dispersion within the BSS volume measured with a thermocouple at varying ultrasound settings and modalities; longitudinal, torsional, combined. The fluid velocity around phaco tips was also measured with particle image velocimetry techniques after injectinf neutral beads in a test chamber. Straight, flared and bent tips were analyzed.",
        "Results": "Straight tips in longitudianal mode determined the lowest velocities followed by flared tips and bent tips. Calorimetric measures showed a higher production of heat per unit time by longitudinal stroke with bent tips, followed by combined longitudinal and torsional strokes and torsional strokes alone.",
        "Conclusions": "The shape of phaco tip and stroke modality largely influences fluid velocity and heat dispersion during in vitreo assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The shape of phaco tip and stroke modality largely influences fluid velocity and heat dispersion during in vitreo assessment.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 308,
      "source_fields": {
        "Abstract Final Identifier": "FP21.08",
        "Title": "Calorimetric Assessment And Fluid Dynamics Of Phaco Tips",
        "Presenting Author(s)": "Dr Tommaso Rossi",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Tommaso",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rossi",
        "Country Name": "Italy",
        "Purpose": "To evaluate the dispersion of heat and fluid dynamics of different phaco tip designs and surgical platforms",
        "Setting": "Experimental in vitreo setting",
        "Methods": "Phaco tips of 2 leading surgical platfoms were immersed in 1.5 cc of BSS witin an insulated calorimetric cell and heat dispersion within the BSS volume measured with a thermocouple at varying ultrasound settings and modalities; longitudinal, torsional, combined. The fluid velocity around phaco tips was also measured with particle image velocimetry techniques after injectinf neutral beads in a test chamber. Straight, flared and bent tips were analyzed.",
        "Results": "Straight tips in longitudianal mode determined the lowest velocities followed by flared tips and bent tips. Calorimetric measures showed a higher production of heat per unit time by longitudinal stroke with bent tips, followed by combined longitudinal and torsional strokes and torsional strokes alone.",
        "Conclusions": "The shape of phaco tip and stroke modality largely influences fluid velocity and heat dispersion during in vitreo assessment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 153
    },
    {
      "uid": "FP21.09",
      "abstract_number": "FP21.09",
      "title": "Novel View Of Dispersive And Cohesive Ophthalmic Viscosurgical Device Dynamics And Corneal Endothelium Protection During Simulated Phacoemulsification And Biochemical Oxidative Stress",
      "authors": "Prof. Liliana Werner",
      "presenter": "Prof. Liliana Werner",
      "normalized_authors": [
        "Liliana Werner"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Liliana Werner",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "The aim of this study was to 1) compare the dynamic behavior of a chondroitin sulfate-containing dispersive (Viscoat, Alcon) and a cohesive (Healon Pro, J&J) ophthalmic viscosurgical device (OVD) during simulated phacoemulsification for physical protection of the corneal endothelium using live, intraoperative optical coherence tomography (iOCT) videos in an ex vivo porcine eye model; and 2) compare the biochemical protective effects of these two OVDs on cultured rabbit corneal endothelial cells (CECs) in an in vitro oxidative stress model. Protecting the corneal endothelium during phacoemulsification is crucial, as damage to these non-regenerative CECs may lead to irreversible corneal edema and vision loss.",
        "Setting": "Experimental ex vivo bench study and in vitro cell culture study; Alcon Research LLC, Fort Worth, Texas, USA.",
        "Methods": "400µL of dispersive or cohesive OVD stained with contrast agent was injected into the anterior chamber (AC) of ex vivo porcine eyes (5 eyes/group). The Centurion phacoemulsification balanced tip was inserted into the AC above the crystalline lens; 60% torsional ultrasound with 38 cc/min flow, 50 mmHg intraocular pressure, and 550 mmHg vacuum was then applied for 45 seconds. OVD retention dynamics were recorded via iOCT videos, then analyzed using ImageJ. Cultured CECs in a 96-well plate were exposed to OVD or BSS control mixed with media containing hydrogen peroxide for oxidative stress for 2.5 hours at 35 °C (18 wells/group). The cell culture supernatant was quantified for lactate dehydrogenase (LDH) at 500 nm absorbance in a plate reader.",
        "Results": "The iOCT videos showed real time OVD retention dynamics during simulated phacoemulsification and demonstrated an intact corneal endothelial protective layer with the dispersive OVD (>45 sec) in contrast to the cohesive OVD (2.3 sec ± 0.4 sec) (P=0.008, Fisher’s exact test). For the biochemical oxidative damage assay, the mean percentage of CEC damage was significantly lower for the dispersive OVD with chondroitin sulfate (34.8% ± 5.5%) compared to the cohesive OVD (60.3% ± 6.1%) and no OVD (BSS) control (100% ± 7.3%) (P=0.001, ANOVA).",
        "Conclusions": "Using iOCT, a novel method was developed to observe real-time, cross-sectional OVD dynamics in the AC during simulated phacoemulsification. With this new model, a chondroitin sulfate-containing dispersive OVD visually demonstrated sustained, physical corneal endothelial protection throughout phacoemulsification. In contrast, the cohesive OVD visually demonstrated a lack of corneal endothelial protection immediately at the start of phacoemulsification. Furthermore, the dispersive OVD had significantly increased CEC protection against oxidative stress compared to the cohesive OVD in an in vitro biochemical assay."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Using iOCT, a novel method was developed to observe real-time, cross-sectional OVD dynamics in the AC during simulated phacoemulsification. With this new model, a chondroitin sulfate-containing dispersive OVD visually demonstrated sustained, physical corneal endothelial protection throughout phacoemulsification. In contrast, the cohesive OVD visually demonstrated a lack of corneal endothelial protection immediately…",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 309,
      "source_fields": {
        "Abstract Final Identifier": "FP21.09",
        "Title": "Novel View Of Dispersive And Cohesive Ophthalmic Viscosurgical Device Dynamics And Corneal Endothelium Protection During Simulated Phacoemulsification And Biochemical Oxidative Stress",
        "Presenting Author(s)": "Prof. Liliana Werner",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Liliana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Werner",
        "Country Name": "United States",
        "Purpose": "The aim of this study was to 1) compare the dynamic behavior of a chondroitin sulfate-containing dispersive (Viscoat, Alcon) and a cohesive (Healon Pro, J&J) ophthalmic viscosurgical device (OVD) during simulated phacoemulsification for physical protection of the corneal endothelium using live, intraoperative optical coherence tomography (iOCT) videos in an ex vivo porcine eye model; and 2) compare the biochemical protective effects of these two OVDs on cultured rabbit corneal endothelial cells (CECs) in an in vitro oxidative stress model. Protecting the corneal endothelium during phacoemulsification is crucial, as damage to these non-regenerative CECs may lead to irreversible corneal edema and vision loss.",
        "Setting": "Experimental ex vivo bench study and in vitro cell culture study; Alcon Research LLC, Fort Worth, Texas, USA.",
        "Methods": "400µL of dispersive or cohesive OVD stained with contrast agent was injected into the anterior chamber (AC) of ex vivo porcine eyes (5 eyes/group). The Centurion phacoemulsification balanced tip was inserted into the AC above the crystalline lens; 60% torsional ultrasound with 38 cc/min flow, 50 mmHg intraocular pressure, and 550 mmHg vacuum was then applied for 45 seconds. OVD retention dynamics were recorded via iOCT videos, then analyzed using ImageJ. Cultured CECs in a 96-well plate were exposed to OVD or BSS control mixed with media containing hydrogen peroxide for oxidative stress for 2.5 hours at 35 °C (18 wells/group). The cell culture supernatant was quantified for lactate dehydrogenase (LDH) at 500 nm absorbance in a plate reader.",
        "Results": "The iOCT videos showed real time OVD retention dynamics during simulated phacoemulsification and demonstrated an intact corneal endothelial protective layer with the dispersive OVD (>45 sec) in contrast to the cohesive OVD (2.3 sec ± 0.4 sec) (P=0.008, Fisher’s exact test). For the biochemical oxidative damage assay, the mean percentage of CEC damage was significantly lower for the dispersive OVD with chondroitin sulfate (34.8% ± 5.5%) compared to the cohesive OVD (60.3% ± 6.1%) and no OVD (BSS) control (100% ± 7.3%) (P=0.001, ANOVA).",
        "Conclusions": "Using iOCT, a novel method was developed to observe real-time, cross-sectional OVD dynamics in the AC during simulated phacoemulsification. With this new model, a chondroitin sulfate-containing dispersive OVD visually demonstrated sustained, physical corneal endothelial protection throughout phacoemulsification. In contrast, the cohesive OVD visually demonstrated a lack of corneal endothelial protection immediately at the start of phacoemulsification. Furthermore, the dispersive OVD had significantly increased CEC protection against oxidative stress compared to the cohesive OVD in an in vitro biochemical assay."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 414
    },
    {
      "uid": "FP21.10",
      "abstract_number": "FP21.10",
      "title": "A Novel Ultrasound Modality Versus Torsional Ultrasound: Comparison Of\nTotal Energy And Efficiency",
      "authors": "Dr Ivo Ferreira",
      "presenter": "Dr Ivo Ferreira",
      "normalized_authors": [
        "Ivo Ferreira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivo Ferreira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "4D Phaco (4D) volumetric ultrasound (US) was developed as part of UNITY VCS/CS. This\nstudy compares phacoemulsification efficiency and energy of two US modalities: volumetric vs torsional\n(Tors) and tip design with 4D: hybrid vs balanced.",
        "Setting": "Experimental bench-top and surgical simulation; Alcon Research, Ltd., Lake\nForest, California, USA",
        "Methods": "15 artificial Kitaro lenses (simulating LOCS III/NO4/NC4/P1/C1 cataract) were emulsified\nwith balanced tip using Tors and 4D. In both groups, US power, vacuum, IOP, and aspiration were set to\n60% fixed, 450mmHg, 55mmHg, and 40cc/min, respectively. Additional 42 Kitaro lenses were weighed\nand emulsified with hybrid and balanced tips at 60% fixed 4D US power, 550mmHg vacuum, 38mmHg\nIOP and 38cc/min aspiration to evaluate difference in efficiency and energy dissipation between tips. US\ntime, energy (Joules) and cumulative dissipated energy (CDE) were evaluated for all tested conditions.",
        "Results": "Compared to Tors, 4D demonstrated better efficiency across measured metrics with balanced\ntip, including mean aspiration volume by 26% (14.20±3.76 vs 19.20±5.66cc, p<0.01), aspiration time by\n35% (37.07±8.18 vs 56.93±14.85s, p<0.0001), and US time by 52% (20.81±6.57 vs 43.35±13.47s,\np<0.0001). 4D showed a 52% reduction in energy delivered into the eye (27.47±8.70 vs 57.63±17.89J,\np<0.0001) and 52% reduction in energy dissipated at the incision (CDE, 4.99±1.58 vs 10.40±3.23,\np<0.0001). Using 4D, hybrid tip required significantly less energy (Joules/mg) compared to balanced tip\nby 36% (0.43±0.10 vs 0.70±0.15J/mg, p<0.0001).",
        "Conclusions": "UNITY VCS/CS’s 4D Phaco is more efficient and reduces US energy vs torsional,\nwhich may translate to less postop corneal edema and quicker visual recovery. Higher efficiency with 4D\nPhaco may allow use of hybrid tip in dense cataracts."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UNITY VCS/CS’s 4D Phaco is more efficient and reduces US energy vs torsional, which may translate to less postop corneal edema and quicker visual recovery. Higher efficiency with 4D Phaco may allow use of hybrid tip in dense cataracts.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 310,
      "source_fields": {
        "Abstract Final Identifier": "FP21.10",
        "Title": "A Novel Ultrasound Modality Versus Torsional Ultrasound: Comparison Of\nTotal Energy And Efficiency",
        "Presenting Author(s)": "Dr Ivo Ferreira",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Ivo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ferreira",
        "Country Name": "Mexico",
        "Purpose": "4D Phaco (4D) volumetric ultrasound (US) was developed as part of UNITY VCS/CS. This\nstudy compares phacoemulsification efficiency and energy of two US modalities: volumetric vs torsional\n(Tors) and tip design with 4D: hybrid vs balanced.",
        "Setting": "Experimental bench-top and surgical simulation; Alcon Research, Ltd., Lake\nForest, California, USA",
        "Methods": "15 artificial Kitaro lenses (simulating LOCS III/NO4/NC4/P1/C1 cataract) were emulsified\nwith balanced tip using Tors and 4D. In both groups, US power, vacuum, IOP, and aspiration were set to\n60% fixed, 450mmHg, 55mmHg, and 40cc/min, respectively. Additional 42 Kitaro lenses were weighed\nand emulsified with hybrid and balanced tips at 60% fixed 4D US power, 550mmHg vacuum, 38mmHg\nIOP and 38cc/min aspiration to evaluate difference in efficiency and energy dissipation between tips. US\ntime, energy (Joules) and cumulative dissipated energy (CDE) were evaluated for all tested conditions.",
        "Results": "Compared to Tors, 4D demonstrated better efficiency across measured metrics with balanced\ntip, including mean aspiration volume by 26% (14.20±3.76 vs 19.20±5.66cc, p<0.01), aspiration time by\n35% (37.07±8.18 vs 56.93±14.85s, p<0.0001), and US time by 52% (20.81±6.57 vs 43.35±13.47s,\np<0.0001). 4D showed a 52% reduction in energy delivered into the eye (27.47±8.70 vs 57.63±17.89J,\np<0.0001) and 52% reduction in energy dissipated at the incision (CDE, 4.99±1.58 vs 10.40±3.23,\np<0.0001). Using 4D, hybrid tip required significantly less energy (Joules/mg) compared to balanced tip\nby 36% (0.43±0.10 vs 0.70±0.15J/mg, p<0.0001).",
        "Conclusions": "UNITY VCS/CS’s 4D Phaco is more efficient and reduces US energy vs torsional,\nwhich may translate to less postop corneal edema and quicker visual recovery. Higher efficiency with 4D\nPhaco may allow use of hybrid tip in dense cataracts."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 320
    },
    {
      "uid": "FP21.11",
      "abstract_number": "FP21.11",
      "title": "Comparison Of Postoperative Intraocular Pressure And Other Parameters Following Iol Implantation Using Hydroimplantation And Viscoelastic Methods In Patients With Primary Open-Angle Glaucoma And Cataracts",
      "authors": "Dr Sibel Zirtiloglu",
      "presenter": "Dr Sibel Zirtiloglu",
      "normalized_authors": [
        "Sibel Zirtiloglu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sibel Zirtiloglu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "After phacoemulsification in patients with primary open-angle glaucoma, intraocular lens (IOL) implantation was performed using two different techniques—hydroimplantation or a viscoelastic agent. This study aimed to compare postoperative outcomes between the two methods.",
        "Setting": "Single-center p rospective comparative study",
        "Methods": "Twenty-eight patients with primary open-angle glaucoma who underwent cataract surgery during follow-up were included. IOL implantation was randomly performed using either a viscoelastic agent or balanced salt solution (hydroimplantation). Because patients with glaucoma are more susceptible to intraocular pressure (IOP) fluctuations than healthy individuals, IOP was measured at 6 hours, 1 day, and 1 month postoperatively and compared with the 1-month values. Patients who underwent hydroimplantation were assigned to Group 1, and those who underwent viscoelastic implantation were assigned to Group 2. All surgeries were performed by one surgeon (or the same surgical team) using the same phaco platform , incision size, and IOL model.",
        "Results": "Mean age was 72±6 (Group 1) and 73±5 (Group 2; p=0.44). Preop BCVA (logMAR) was 0.85±0.49 vs 0.85±0.44; 1-month BCVA 0.13±0.24 vs 0.30±0.38 (p=0.49). IOP (mmHg) preop 17.83±5.76 vs 13.27±6.38; 6 h 22.11±9.54 vs 20.66±6.95; day 1 20.22±8.49 vs 16.44±5.27; 1 month 14.83±8.49 vs 14.88±5.62 (no between-group differences; p=0.08/0.56/0.24/0.39). Endothelial cells were 2668±359 vs 2388±261 preop and 2479±463 vs 1777±611 at 1 month; loss was lower in Group 1 (p=0.03). CCT: 545±30 vs 563±44 preop; 570±46 vs 599±63 at 1 month (p=0.37). SE: 0.53±3.31 vs −1.06±5.10 preop; 0.06±0.91 vs 0.68±0.65 at 1 month (p=0.97, 0.28). RNFL showed no significant difference; surgical time 13.67±3.08 vs 17.16±15.22 s. (p>0.05)",
        "Conclusions": "In patients with primary open-angle glaucoma, hydroimplantation after phacoemulsification was not superior to viscoelastic IOL implantation for 6-hour postoperative IOP change, visual acuity, spherical equivalent, or RNFL thickness. However, hydroimplantation was associated with less endothelial cell loss. This may reflect less exposure to viscoelastic material and fewer intraocular steps, as residual viscoelastic may require additional irrigation/aspiration that can stress the cornea. This effect may be more relevant in glaucoma eyes, and the lower baseline endothelial cell count in Group 2 may also have contributed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with primary open-angle glaucoma, hydroimplantation after phacoemulsification was not superior to viscoelastic IOL implantation for 6-hour postoperative IOP change, visual acuity, spherical equivalent, or RNFL thickness. However, hydroimplantation was associated with less endothelial cell loss. This may reflect less exposure to viscoelastic material and fewer intraocular steps, as residual viscoelastic…",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 311,
      "source_fields": {
        "Abstract Final Identifier": "FP21.11",
        "Title": "Comparison Of Postoperative Intraocular Pressure And Other Parameters Following Iol Implantation Using Hydroimplantation And Viscoelastic Methods In Patients With Primary Open-Angle Glaucoma And Cataracts",
        "Presenting Author(s)": "Dr Sibel Zirtiloglu",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Sibel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zirtiloglu",
        "Country Name": "Switzerland",
        "Purpose": "After phacoemulsification in patients with primary open-angle glaucoma, intraocular lens (IOL) implantation was performed using two different techniques—hydroimplantation or a viscoelastic agent. This study aimed to compare postoperative outcomes between the two methods.",
        "Setting": "Single-center p rospective comparative study",
        "Methods": "Twenty-eight patients with primary open-angle glaucoma who underwent cataract surgery during follow-up were included. IOL implantation was randomly performed using either a viscoelastic agent or balanced salt solution (hydroimplantation). Because patients with glaucoma are more susceptible to intraocular pressure (IOP) fluctuations than healthy individuals, IOP was measured at 6 hours, 1 day, and 1 month postoperatively and compared with the 1-month values. Patients who underwent hydroimplantation were assigned to Group 1, and those who underwent viscoelastic implantation were assigned to Group 2. All surgeries were performed by one surgeon (or the same surgical team) using the same phaco platform , incision size, and IOL model.",
        "Results": "Mean age was 72±6 (Group 1) and 73±5 (Group 2; p=0.44). Preop BCVA (logMAR) was 0.85±0.49 vs 0.85±0.44; 1-month BCVA 0.13±0.24 vs 0.30±0.38 (p=0.49). IOP (mmHg) preop 17.83±5.76 vs 13.27±6.38; 6 h 22.11±9.54 vs 20.66±6.95; day 1 20.22±8.49 vs 16.44±5.27; 1 month 14.83±8.49 vs 14.88±5.62 (no between-group differences; p=0.08/0.56/0.24/0.39). Endothelial cells were 2668±359 vs 2388±261 preop and 2479±463 vs 1777±611 at 1 month; loss was lower in Group 1 (p=0.03). CCT: 545±30 vs 563±44 preop; 570±46 vs 599±63 at 1 month (p=0.37). SE: 0.53±3.31 vs −1.06±5.10 preop; 0.06±0.91 vs 0.68±0.65 at 1 month (p=0.97, 0.28). RNFL showed no significant difference; surgical time 13.67±3.08 vs 17.16±15.22 s. (p>0.05)",
        "Conclusions": "In patients with primary open-angle glaucoma, hydroimplantation after phacoemulsification was not superior to viscoelastic IOL implantation for 6-hour postoperative IOP change, visual acuity, spherical equivalent, or RNFL thickness. However, hydroimplantation was associated with less endothelial cell loss. This may reflect less exposure to viscoelastic material and fewer intraocular steps, as residual viscoelastic may require additional irrigation/aspiration that can stress the cornea. This effect may be more relevant in glaucoma eyes, and the lower baseline endothelial cell count in Group 2 may also have contributed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 420
    },
    {
      "uid": "FP21.12",
      "abstract_number": "FP21.12",
      "title": "Iris Registration Success Using Preoperative Topographical Mapping In 3D Confocal Structured Illumination Flacs",
      "authors": "Dr William Bennett Trattler",
      "presenter": "Dr William Bennett Trattler",
      "normalized_authors": [
        "William Bennett Trattler"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "William Bennett Trattler",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the iris registration success rate on a 3D confocal structured illumination femtosecond laser platform using high-resolution diagnostic imaging and color-LED topographical mapping to transfer astigmatic axis measurements during femtosecond laser-assisted cataract surgery (FLACS).",
        "Setting": "Multicenter, multi-surgeon study (USA).",
        "Methods": "Retrospective, multicenter, non-interventional study of 9,956 eyes undergoing FLACS after preoperative third-generation color-LED topography (Cassini Technologies B.V.). Diagnostic images were exported and used with a 3D confocal structured illumination femtosecond laser platform (LENSAR, Inc.) to enable iris registration and intraoperative cyclotorsion compensation. Primary outcomes were iris registration success rate, magnitude and direction of cyclotorsion (clockwise or counterclockwise), and documented causes of registration failure.",
        "Results": "Among 9,956 FLACS cases, iris registration was successful in 98.25% of eyes (1.75% failure). Mean clockwise and counterclockwise cyclotorsion were 5.9° and 6.0°, respectively; 53% rotated clockwise and 47% counterclockwise. Cyclotorsion exceeded 2.5° in 62.75% of eyes, 5.0° in 40.55%, and 10° in 12.27%. Among registration failures, causes included unknown origin (72.4%), cyclotorsion beyond treatment range (17.8%), and shallow anterior chamber depth (9.2%).",
        "Conclusions": "In this large multicenter cohort, LED-based iris registration during FLACS demonstrated a high technical success rate. The high prevalence of clinically meaningful cyclotorsion underscores the importance of image-guided registration to compensate for intraoperative rotational changes and support refractive precision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large multicenter cohort, LED-based iris registration during FLACS demonstrated a high technical success rate. The high prevalence of clinically meaningful cyclotorsion underscores the importance of image-guided registration to compensate for intraoperative rotational changes and support refractive precision.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 312,
      "source_fields": {
        "Abstract Final Identifier": "FP21.12",
        "Title": "Iris Registration Success Using Preoperative Topographical Mapping In 3D Confocal Structured Illumination Flacs",
        "Presenting Author(s)": "Dr William Bennett Trattler",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "William",
        "Submitter Middle Name": "Bennett",
        "Submitter Last Name": "Trattler",
        "Country Name": "United States",
        "Purpose": "To evaluate the iris registration success rate on a 3D confocal structured illumination femtosecond laser platform using high-resolution diagnostic imaging and color-LED topographical mapping to transfer astigmatic axis measurements during femtosecond laser-assisted cataract surgery (FLACS).",
        "Setting": "Multicenter, multi-surgeon study (USA).",
        "Methods": "Retrospective, multicenter, non-interventional study of 9,956 eyes undergoing FLACS after preoperative third-generation color-LED topography (Cassini Technologies B.V.). Diagnostic images were exported and used with a 3D confocal structured illumination femtosecond laser platform (LENSAR, Inc.) to enable iris registration and intraoperative cyclotorsion compensation. Primary outcomes were iris registration success rate, magnitude and direction of cyclotorsion (clockwise or counterclockwise), and documented causes of registration failure.",
        "Results": "Among 9,956 FLACS cases, iris registration was successful in 98.25% of eyes (1.75% failure). Mean clockwise and counterclockwise cyclotorsion were 5.9° and 6.0°, respectively; 53% rotated clockwise and 47% counterclockwise. Cyclotorsion exceeded 2.5° in 62.75% of eyes, 5.0° in 40.55%, and 10° in 12.27%. Among registration failures, causes included unknown origin (72.4%), cyclotorsion beyond treatment range (17.8%), and shallow anterior chamber depth (9.2%).",
        "Conclusions": "In this large multicenter cohort, LED-based iris registration during FLACS demonstrated a high technical success rate. The high prevalence of clinically meaningful cyclotorsion underscores the importance of image-guided registration to compensate for intraoperative rotational changes and support refractive precision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "FP21.13",
      "abstract_number": "FP21.13",
      "title": "Femtosecond Laser-Assisted Cataract Surgery In Ocular Hypertension And Glaucoma",
      "authors": "Josefina Reñones de Abajo",
      "presenter": "Josefina Reñones de Abajo",
      "normalized_authors": [
        "Josefina Reñones de Abajo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Josefina Reñones De Abajo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate structural and functional changes in the optic nerve and the macula after Femtosecond Laser-Assisted Cataract Surgery (FLACS) and compare them with those seen after conventional cataract surgery (CCS) in eyes with ocular hypertension and mild glaucoma.",
        "Setting": "Vithas Eurocanarias Instituto Oftalmológico. Las Palmas de Gran Canaria. Spain",
        "Methods": "This retrospective study included patients with ocular hypertension or mild glaucoma who had undergone CCS or FLACS using a LenSx platform. For structural analysis, optical coherence tomography (OCT) measurements of Bruch’s Membrane Opening-Minimum Rim Width (BMO-MRW), Retinal Nerve Fiber Layer (RNFL) and Macular Thickness (MT) were performed preoperatively, one month and six months after surgery. For functional analysis, visual field index (VFI) and Mean Deviation (MD) of the visual field were evaluated preoperatively and six months after surgery.",
        "Results": "A total of 164 eyes were included, 70 in CCS group and 94 in FLACS group. After surgery, no deterioration in OCT parameters was observed. Preoperative BMO-MRW, RNFL, MT, VFI and MD were 291.31±52.25µm, 92.87±11.60µm, 269.21±19.59µm, 97.61±2.77% and -1.22±1.77dB in CCS group, and 283.13±58.39µm, 94.87±11.08µm, 271.29±21.63µm, 98.03±2.07% and -0.96±1.78dB in FLACS group. A slight increase in BMO-MRW, RNFL and MT was found in both groups (P<0.001); VFI and DM remained stable. There were no differences between the two groups in any of the analyzed parameters.",
        "Conclusions": "The results of our study suggest that, in eyes with ocular hypertension and mild glaucoma, FLACS is as safe for the optic nerve and the macula as CCS. Results could be different with other femtosecond laser platforms and in moderate or advanced glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of our study suggest that, in eyes with ocular hypertension and mild glaucoma, FLACS is as safe for the optic nerve and the macula as CCS. Results could be different with other femtosecond laser platforms and in moderate or advanced glaucoma.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 313,
      "source_fields": {
        "Abstract Final Identifier": "FP21.13",
        "Title": "Femtosecond Laser-Assisted Cataract Surgery In Ocular Hypertension And Glaucoma",
        "Presenting Author(s)": "Josefina Reñones de Abajo",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Josefina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reñones De Abajo",
        "Country Name": "Spain",
        "Purpose": "To evaluate structural and functional changes in the optic nerve and the macula after Femtosecond Laser-Assisted Cataract Surgery (FLACS) and compare them with those seen after conventional cataract surgery (CCS) in eyes with ocular hypertension and mild glaucoma.",
        "Setting": "Vithas Eurocanarias Instituto Oftalmológico. Las Palmas de Gran Canaria. Spain",
        "Methods": "This retrospective study included patients with ocular hypertension or mild glaucoma who had undergone CCS or FLACS using a LenSx platform. For structural analysis, optical coherence tomography (OCT) measurements of Bruch’s Membrane Opening-Minimum Rim Width (BMO-MRW), Retinal Nerve Fiber Layer (RNFL) and Macular Thickness (MT) were performed preoperatively, one month and six months after surgery. For functional analysis, visual field index (VFI) and Mean Deviation (MD) of the visual field were evaluated preoperatively and six months after surgery.",
        "Results": "A total of 164 eyes were included, 70 in CCS group and 94 in FLACS group. After surgery, no deterioration in OCT parameters was observed. Preoperative BMO-MRW, RNFL, MT, VFI and MD were 291.31±52.25µm, 92.87±11.60µm, 269.21±19.59µm, 97.61±2.77% and -1.22±1.77dB in CCS group, and 283.13±58.39µm, 94.87±11.08µm, 271.29±21.63µm, 98.03±2.07% and -0.96±1.78dB in FLACS group. A slight increase in BMO-MRW, RNFL and MT was found in both groups (P<0.001); VFI and DM remained stable. There were no differences between the two groups in any of the analyzed parameters.",
        "Conclusions": "The results of our study suggest that, in eyes with ocular hypertension and mild glaucoma, FLACS is as safe for the optic nerve and the macula as CCS. Results could be different with other femtosecond laser platforms and in moderate or advanced glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "FP21.14",
      "abstract_number": "FP21.14",
      "title": "A Novel, Delicate, And Portable Multi-Purpose Electro-Automatic Microsurgical System For Capsulorehexis, Corneal Grafting, And Glaucoma Surgery: Design And Functional Evaluation",
      "authors": "A/Prof. Mehran Masoudnaseri",
      "presenter": "A/Prof. Mehran Masoudnaseri",
      "normalized_authors": [
        "Mehran Masoudnaseri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehran Masoudnaseri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To evaluate the efficacy of a novel, portable, electro-automatic microsurgical system designed for high-precision anterior segment procedures. The primary objective is to automate the most delicate steps in three key surgeries: 1) Achieving a standardized, circular capsulorhexis in cataract surgery, 2) Ensuring precise tissue cutting for corneal grafting (endothelial and penetrating keratoplasty), and 3) Facilitating controlled micro-incisions in glaucoma surgery. This multi-purpose system aims to reduce human error, minimize surgical trauma, and provide a portable alternative to bulky, expensive laser systems.",
        "Setting": "Experimental research and surgical simulation conducted at Beheshti university The study involved performance testing on porcine eyes and synthetic ocular models, comparing the electro-automatic system's precision against manual techniques in cataract, glaucoma, and corneal transplant scenarios.",
        "Methods": "The electro-automatic microsurgical system features a delicate, portable console with high-frequency micro-tips for precise tissue management. Methods included: a) Performing automated capsulotomies to measure diameter consistency and tensile strength, b) Executing micro-trephination for corneal grafting to evaluate edge quality, and c) Creating standardized drainage channels for glaucoma surgery. We measured the system’s portability, response time of the automatic feedback mechanism, and the thermal impact on surrounding tissues compared to traditional manual instruments.",
        "Results": "The electro-automatic system demonstrated superior precision, achieving 100% successful circular capsulorhexis with a mean deviation of <0.05 mm. In corneal grafting models, the device provided significantly smoother graft edges compared to manual trephines, potentially improving graft-host integration. Glaucoma micro-incisions were highly reproducible with minimal collateral tissue damage. The system's portability allowed for rapid setup in under 5 minutes. No mechanical failures were recorded, and the \"delicate\" tip design ensured safe operation even in narrow anterior chambers.",
        "Conclusions": "This portable electro-automatic microsurgical system represents a significant leap in ophthalmic instrumentation. By providing a multi-purpose platform for cataract, cornea, and glaucoma surgeries, it offers a cost-effective and precise alternative to manual or femtosecond laser techniques. Its delicate handling and automated feedback improve surgical safety and outcomes. This system is ideally suited for both high-volume centers and remote surgical settings, standardizing complex maneuvers across multiple sub-specialties in ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This portable electro-automatic microsurgical system represents a significant leap in ophthalmic instrumentation. By providing a multi-purpose platform for cataract, cornea, and glaucoma surgeries, it offers a cost-effective and precise alternative to manual or femtosecond laser techniques. Its delicate handling and automated feedback improve surgical safety and outcomes. This system is ideally suited for both…",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 314,
      "source_fields": {
        "Abstract Final Identifier": "FP21.14",
        "Title": "A Novel, Delicate, And Portable Multi-Purpose Electro-Automatic Microsurgical System For Capsulorehexis, Corneal Grafting, And Glaucoma Surgery: Design And Functional Evaluation",
        "Presenting Author(s)": "A/Prof. Mehran Masoudnaseri",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Mehran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Masoudnaseri",
        "Country Name": "Ukraine",
        "Purpose": "To evaluate the efficacy of a novel, portable, electro-automatic microsurgical system designed for high-precision anterior segment procedures. The primary objective is to automate the most delicate steps in three key surgeries: 1) Achieving a standardized, circular capsulorhexis in cataract surgery, 2) Ensuring precise tissue cutting for corneal grafting (endothelial and penetrating keratoplasty), and 3) Facilitating controlled micro-incisions in glaucoma surgery. This multi-purpose system aims to reduce human error, minimize surgical trauma, and provide a portable alternative to bulky, expensive laser systems.",
        "Setting": "Experimental research and surgical simulation conducted at Beheshti university The study involved performance testing on porcine eyes and synthetic ocular models, comparing the electro-automatic system's precision against manual techniques in cataract, glaucoma, and corneal transplant scenarios.",
        "Methods": "The electro-automatic microsurgical system features a delicate, portable console with high-frequency micro-tips for precise tissue management. Methods included: a) Performing automated capsulotomies to measure diameter consistency and tensile strength, b) Executing micro-trephination for corneal grafting to evaluate edge quality, and c) Creating standardized drainage channels for glaucoma surgery. We measured the system’s portability, response time of the automatic feedback mechanism, and the thermal impact on surrounding tissues compared to traditional manual instruments.",
        "Results": "The electro-automatic system demonstrated superior precision, achieving 100% successful circular capsulorhexis with a mean deviation of <0.05 mm. In corneal grafting models, the device provided significantly smoother graft edges compared to manual trephines, potentially improving graft-host integration. Glaucoma micro-incisions were highly reproducible with minimal collateral tissue damage. The system's portability allowed for rapid setup in under 5 minutes. No mechanical failures were recorded, and the \"delicate\" tip design ensured safe operation even in narrow anterior chambers.",
        "Conclusions": "This portable electro-automatic microsurgical system represents a significant leap in ophthalmic instrumentation. By providing a multi-purpose platform for cataract, cornea, and glaucoma surgeries, it offers a cost-effective and precise alternative to manual or femtosecond laser techniques. Its delicate handling and automated feedback improve surgical safety and outcomes. This system is ideally suited for both high-volume centers and remote surgical settings, standardizing complex maneuvers across multiple sub-specialties in ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "FP21.15",
      "abstract_number": "FP21.15",
      "title": "Comparative Evaluation Of Selective Laser Capsulotomy And Femtosecond Laser Assisted Capsulotomy In White Cataract",
      "authors": "Dr Manpreet Kaur",
      "presenter": "Dr Manpreet Kaur",
      "normalized_authors": [
        "Manpreet Kaur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Manpreet Kaur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate morphological characteristics of capsulotomy created using selective laser capsulotomy (SLC) [CAPSULaser device, Excel-Lens Inc, USA] or femtosecond laser (FSL) [LenSx, Alcon Inc.,USA] in white cataract.",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India",
        "Methods": "Prospective non-randomized comparative study of forty patients with white cataract planned for phacoemulsification. A 5.0 mm capsulotomy was planned using SLC (n=20) or FSL (n=20). Primary outcome measure was capsulotomy size. Secondary outcomes were capsulotomy circularity, IOL coverage, centration, continuity and residual microadhesions.Follow up was performed on POD 1 and 30.",
        "Results": "Mean age of patients was 65.3 ± 8.8 years. Residual microadhesions were observed in 2 eyes (10%) in SLC group and 11 eyes (55%) in FSL group (p=0.002). Release of milky fluid did not obscure laser delivery in SLC group, but hampered laser delivery in FSL group.\n\nOn POD1, mean capsulotomy diameter was 4.45 ± 0.17 mm in SLC and 5.03 ± 0.07 mm in FSL group (p<0.001). Circularity index was comparable (SLC group-0.993±0.01, FSL group-0.996 ± 0.005; p=0.25), with 360° IOL coverage in both groups. Overlap index was 0.66±0.27 in SLC group and 0.84±0.11 in FSL group (p=0.01). Decentration was significantly more with SLC [SLC group-0.3 ±0.37 mm, FSL group-0.09±0.07 mm; p=0.004]. No case had radial tear of capsulotomy or PCR.",
        "Conclusions": "Both FSL and SLC are safe and effective to create circular continuous capsulotomies in white cataract. FSL capsulotomies are more predictable in terms of size and centration. SLC capsulotomies have less microadhesions, as fast capsulotomy creation does not allow milky cortex to obscure laser delivery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both FSL and SLC are safe and effective to create circular continuous capsulotomies in white cataract. FSL capsulotomies are more predictable in terms of size and centration. SLC capsulotomies have less microadhesions, as fast capsulotomy creation does not allow milky cortex to obscure laser delivery.",
      "session_type": "Free Paper",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 315,
      "source_fields": {
        "Abstract Final Identifier": "FP21.15",
        "Title": "Comparative Evaluation Of Selective Laser Capsulotomy And Femtosecond Laser Assisted Capsulotomy In White Cataract",
        "Presenting Author(s)": "Dr Manpreet Kaur",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Manpreet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaur",
        "Country Name": "India",
        "Purpose": "To evaluate morphological characteristics of capsulotomy created using selective laser capsulotomy (SLC) [CAPSULaser device, Excel-Lens Inc, USA] or femtosecond laser (FSL) [LenSx, Alcon Inc.,USA] in white cataract.",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India",
        "Methods": "Prospective non-randomized comparative study of forty patients with white cataract planned for phacoemulsification. A 5.0 mm capsulotomy was planned using SLC (n=20) or FSL (n=20). Primary outcome measure was capsulotomy size. Secondary outcomes were capsulotomy circularity, IOL coverage, centration, continuity and residual microadhesions.Follow up was performed on POD 1 and 30.",
        "Results": "Mean age of patients was 65.3 ± 8.8 years. Residual microadhesions were observed in 2 eyes (10%) in SLC group and 11 eyes (55%) in FSL group (p=0.002). Release of milky fluid did not obscure laser delivery in SLC group, but hampered laser delivery in FSL group.\n\nOn POD1, mean capsulotomy diameter was 4.45 ± 0.17 mm in SLC and 5.03 ± 0.07 mm in FSL group (p<0.001). Circularity index was comparable (SLC group-0.993±0.01, FSL group-0.996 ± 0.005; p=0.25), with 360° IOL coverage in both groups. Overlap index was 0.66±0.27 in SLC group and 0.84±0.11 in FSL group (p=0.01). Decentration was significantly more with SLC [SLC group-0.3 ±0.37 mm, FSL group-0.09±0.07 mm; p=0.004]. No case had radial tear of capsulotomy or PCR.",
        "Conclusions": "Both FSL and SLC are safe and effective to create circular continuous capsulotomies in white cataract. FSL capsulotomies are more predictable in terms of size and centration. SLC capsulotomies have less microadhesions, as fast capsulotomy creation does not allow milky cortex to obscure laser delivery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "FP22.01",
      "abstract_number": "FP22.01",
      "title": "Long-Term Outcomes Of Pediatric Keratoplasty: A 10-Year Single-Center Experience",
      "authors": "Dr Kübra Tuğçe Arabaci Tur",
      "presenter": "Dr Kübra Tuğçe Arabaci Tur",
      "normalized_authors": [
        "Kübra Tuğçe Arabaci Tur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kübra Tuğçe Arabaci Tur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Long-term real-world data on pediatric keratoplasty remain limited.This study aimed to evaluate long-term visual outcomes, graft survival and postoperative complications in pediatric patients undergoing keratoplasty over a 10-year period.",
        "Setting": "Evaluation of patients in the pediatric age group who underwent keratoplasty between 2013 and 2023",
        "Methods": "87 eyes of 76 patients in the pediatric age group who underwent keratoplasty were included in the study. The diagnostic indications, best corrected visual acuity (BCVA), graft survival and glaucoma incidence of the patients were evaluated.",
        "Results": "Mean age 13.6 ±3.9 (1-18).The mean follow-up time was 44 months. The most common KP indications were keratoconus (51 patients), corneal scars (26) and corneal dystrophies(2). Penetrating KP was performed in 61 eyes, deep anterior lamellar KP in 23 eyes and patch KP in 3 patients. Mean trephine diameter was 7.54±0.09, the punch diameter was 7.84±0.16. Preoperative BCVA was 1.2±0.7 logMAR, the postoperative BCVA was 0.49±0.63 logMAR. Glaucoma developed in 11(12.6%) eyes after KP. 6 patients were pseudophakic, 6 patients were aphakic. Postoperative trabeculectomy was performed in 2 patients.Rekeratoplasty was performed in 5 (5.7 %) eyes due to graft rejection. The KP indication had no influence on graft rejection or glaucoma incidence (p>0.05)",
        "Conclusions": "Keratoplasty in pediatric patients is an extremely difficult procedure associated with a high risk of graft failure or failure of amblyopia therapy in clear grafts. Nevertheless, graft rejection was observed in a small number of patients in our study. We believe that complications can be minimized by the right decision, the right timing and the right postoperative treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoplasty in pediatric patients is an extremely difficult procedure associated with a high risk of graft failure or failure of amblyopia therapy in clear grafts. Nevertheless, graft rejection was observed in a small number of patients in our study. We believe that complications can be minimized by the right decision, the right timing and the right postoperative treatment.",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 316,
      "source_fields": {
        "Abstract Final Identifier": "FP22.01",
        "Title": "Long-Term Outcomes Of Pediatric Keratoplasty: A 10-Year Single-Center Experience",
        "Presenting Author(s)": "Dr Kübra Tuğçe Arabaci Tur",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Kübra Tuğçe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arabaci Tur",
        "Country Name": "Türkiye",
        "Purpose": "Long-term real-world data on pediatric keratoplasty remain limited.This study aimed to evaluate long-term visual outcomes, graft survival and postoperative complications in pediatric patients undergoing keratoplasty over a 10-year period.",
        "Setting": "Evaluation of patients in the pediatric age group who underwent keratoplasty between 2013 and 2023",
        "Methods": "87 eyes of 76 patients in the pediatric age group who underwent keratoplasty were included in the study. The diagnostic indications, best corrected visual acuity (BCVA), graft survival and glaucoma incidence of the patients were evaluated.",
        "Results": "Mean age 13.6 ±3.9 (1-18).The mean follow-up time was 44 months. The most common KP indications were keratoconus (51 patients), corneal scars (26) and corneal dystrophies(2). Penetrating KP was performed in 61 eyes, deep anterior lamellar KP in 23 eyes and patch KP in 3 patients. Mean trephine diameter was 7.54±0.09, the punch diameter was 7.84±0.16. Preoperative BCVA was 1.2±0.7 logMAR, the postoperative BCVA was 0.49±0.63 logMAR. Glaucoma developed in 11(12.6%) eyes after KP. 6 patients were pseudophakic, 6 patients were aphakic. Postoperative trabeculectomy was performed in 2 patients.Rekeratoplasty was performed in 5 (5.7 %) eyes due to graft rejection. The KP indication had no influence on graft rejection or glaucoma incidence (p>0.05)",
        "Conclusions": "Keratoplasty in pediatric patients is an extremely difficult procedure associated with a high risk of graft failure or failure of amblyopia therapy in clear grafts. Nevertheless, graft rejection was observed in a small number of patients in our study. We believe that complications can be minimized by the right decision, the right timing and the right postoperative treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "FP22.02",
      "abstract_number": "FP22.02",
      "title": "Corneal Tomographic Changes After Complete Suture Removal In Penetrating Keratoplasty: Comparison Between Keratoconus And Non-Ectatic Corneal Diseases",
      "authors": "Dr Damla Balaban",
      "presenter": "Dr Damla Balaban",
      "normalized_authors": [
        "Damla Balaban"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Damla Balaban",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate longitudinal corneal tomographic changes before and after complete suture removal following penetrating keratoplasty (PK) and to compare keratometric responses between eyes with keratoconus and non-ectatic corneal diseases. Because intrinsic biomechanical instability persists in ectatic corneas even after transplantation, we aimed to determine whether suture removal induces different postoperative corneal responses between these two disease groups.",
        "Setting": "Tertiary referral university hospital, Department of Ophthalmology, Gazi University School of Medicine, Ankara, Türkiye.",
        "Methods": "In this retrospective longitudinal comparative study, 482 eyes that underwent penetrating keratoplasty between 2011 and 2021 were screened. Eyes aged ≥18 years with complete suture removal and available corneal tomography at predefined follow-ups were included. Eyes with ocular trauma, postoperative complications, inadequate follow-up, or poor-quality tomography were excluded. Scheimpflug tomography was performed preoperatively and at 3, 6, and 12 months postoperatively, and after complete suture removal. K1, K2, Kmean, Kmax, corneal astigmatism, and zonal Kmin–Kmax values were analyzed. Eyes were classified as keratoconus or non-ectatic disease groups, and comparisons were performed using appropriate statistical tests (p<0.05).",
        "Results": "Following screening of 482 eyes, 100 eyes met inclusion criteria (50 keratoconus, 50 non-ectatic). Follow-up duration was comparable (84.4±35.5 vs 84.3±27.5 months respectively, p=0.982). Pre-suture removal K1 (p=0.191), K2 (p=0.163), and Kmean (p=0.453) were similar between groups, whereas Kmax was higher in keratoconus eyes (p=0.021). After complete suture removal, keratometric steepening was greater in keratoconus eyes, with Kmean increasing from 40.15±6.01 D to 46.97±3.39 D versus 39.20±6.27 D to 41.95±4.29 D (p<0.001). In the 5-mm zone Kmax remained higher (51.69±5.59 vs 44.29±4.61 D, p<0.001). Final BCVA was worse in keratoconus eyes (0.65±0.53 vs 0.45±0.18 logMAR, p=0.017), while intraocular pressure showed no difference.",
        "Conclusions": "Complete suture removal after penetrating keratoplasty induces greater keratometric and visual changes in keratoconus compared with non-ectatic corneal diseases. Persistent steepening in the mid-peripheral 5–7 mm zone suggests a distinct biomechanical response related to residual host corneal instability. Careful timing of elective suture removal in keratoconus eyes may help reduce postoperative refractive instability and improve visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Complete suture removal after penetrating keratoplasty induces greater keratometric and visual changes in keratoconus compared with non-ectatic corneal diseases. Persistent steepening in the mid-peripheral 5–7 mm zone suggests a distinct biomechanical response related to residual host corneal instability. Careful timing of elective suture removal in keratoconus eyes may help reduce postoperative refractive…",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 317,
      "source_fields": {
        "Abstract Final Identifier": "FP22.02",
        "Title": "Corneal Tomographic Changes After Complete Suture Removal In Penetrating Keratoplasty: Comparison Between Keratoconus And Non-Ectatic Corneal Diseases",
        "Presenting Author(s)": "Dr Damla Balaban",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Damla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Balaban",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate longitudinal corneal tomographic changes before and after complete suture removal following penetrating keratoplasty (PK) and to compare keratometric responses between eyes with keratoconus and non-ectatic corneal diseases. Because intrinsic biomechanical instability persists in ectatic corneas even after transplantation, we aimed to determine whether suture removal induces different postoperative corneal responses between these two disease groups.",
        "Setting": "Tertiary referral university hospital, Department of Ophthalmology, Gazi University School of Medicine, Ankara, Türkiye.",
        "Methods": "In this retrospective longitudinal comparative study, 482 eyes that underwent penetrating keratoplasty between 2011 and 2021 were screened. Eyes aged ≥18 years with complete suture removal and available corneal tomography at predefined follow-ups were included. Eyes with ocular trauma, postoperative complications, inadequate follow-up, or poor-quality tomography were excluded. Scheimpflug tomography was performed preoperatively and at 3, 6, and 12 months postoperatively, and after complete suture removal. K1, K2, Kmean, Kmax, corneal astigmatism, and zonal Kmin–Kmax values were analyzed. Eyes were classified as keratoconus or non-ectatic disease groups, and comparisons were performed using appropriate statistical tests (p<0.05).",
        "Results": "Following screening of 482 eyes, 100 eyes met inclusion criteria (50 keratoconus, 50 non-ectatic). Follow-up duration was comparable (84.4±35.5 vs 84.3±27.5 months respectively, p=0.982). Pre-suture removal K1 (p=0.191), K2 (p=0.163), and Kmean (p=0.453) were similar between groups, whereas Kmax was higher in keratoconus eyes (p=0.021). After complete suture removal, keratometric steepening was greater in keratoconus eyes, with Kmean increasing from 40.15±6.01 D to 46.97±3.39 D versus 39.20±6.27 D to 41.95±4.29 D (p<0.001). In the 5-mm zone Kmax remained higher (51.69±5.59 vs 44.29±4.61 D, p<0.001). Final BCVA was worse in keratoconus eyes (0.65±0.53 vs 0.45±0.18 logMAR, p=0.017), while intraocular pressure showed no difference.",
        "Conclusions": "Complete suture removal after penetrating keratoplasty induces greater keratometric and visual changes in keratoconus compared with non-ectatic corneal diseases. Persistent steepening in the mid-peripheral 5–7 mm zone suggests a distinct biomechanical response related to residual host corneal instability. Careful timing of elective suture removal in keratoconus eyes may help reduce postoperative refractive instability and improve visual rehabilitation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 376
    },
    {
      "uid": "FP22.03",
      "abstract_number": "FP22.03",
      "title": "Long-Term Outcomes Of Therapeutic Corneal Grafts Using Artificial Intelligence Analysis At A Tertiary Eye Care Centre",
      "authors": "Dr Gaurav Pande",
      "presenter": "Dr Gaurav Pande",
      "normalized_authors": [
        "Gaurav Pande"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gaurav Pande",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the demographics, clinical characteristics, and long-term outcomes of therapeutic penetrating keratoplasty (TPK) performed for severe infectious keratitis, and to analyze risk factors influencing outcomes using an artificial intelligence (AI) model at a tertiary eye care hospital.",
        "Setting": "A retrospective review of 1,046 therapeutic keratoplasties performed between 2013 and 2022 was conducted, with outcomes assessed up to 3 years at a tertiary eye care centre.",
        "Methods": "Demographic data, clinical presentation, indications for keratoplasty, microbiological profile, and need for secondary surgical interventions were analyzed. Final outcomes were categorized as therapeutic (eradication of infection), anatomical (globe integrity), and functional (visual outcome). An AI-based predictive model was developed to identify risk factors for adverse outcomes. Model performance was evaluated using area under the curve (AUC), sensitivity (Se), specificity (Sp.), and overall accuracy (Ac).",
        "Results": "The median recipient age was 58 years, with 72% males. Advanced microbial keratitis, including perforated infectious ulcers, non-healing ulcers, and graft infections, constituted the major indications. The AI model identified mixed infections (fungal + bacterial), followed by fungal infections ( Aspergillus flavus) , as significant predictors of adverse outcomes. Greater distance from the eye care centre, associated with higher likelihood of missed follow-up, also emerged as an important risk factor. Therapeutic success was achieved in 72% at 6 months. At 3 years, 15% maintained a clear graft following primary TPK. The predictive model demonstrated 82% accuracy, 73% sensitivity, and 86% specificity.",
        "Conclusions": "Therapeutic keratoplasty is effective in eradicating infection and restoring anatomical integrity in severe keratitis; however, long-term graft clarity and functional success remain limited. Early intervention and timely referral are critical to improving outcomes. Identification of key risk factors, including infection type and socio-economic barriers affecting follow-up, enables better prognostication and individualized management strategies. Artificial intelligence–based models may serve as valuable tools in guiding clinical decision-making and optimizing long-term results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Therapeutic keratoplasty is effective in eradicating infection and restoring anatomical integrity in severe keratitis; however, long-term graft clarity and functional success remain limited. Early intervention and timely referral are critical to improving outcomes. Identification of key risk factors, including infection type and socio-economic barriers affecting follow-up, enables better prognostication and…",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 318,
      "source_fields": {
        "Abstract Final Identifier": "FP22.03",
        "Title": "Long-Term Outcomes Of Therapeutic Corneal Grafts Using Artificial Intelligence Analysis At A Tertiary Eye Care Centre",
        "Presenting Author(s)": "Dr Gaurav Pande",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Gaurav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pande",
        "Country Name": "India",
        "Purpose": "To evaluate the demographics, clinical characteristics, and long-term outcomes of therapeutic penetrating keratoplasty (TPK) performed for severe infectious keratitis, and to analyze risk factors influencing outcomes using an artificial intelligence (AI) model at a tertiary eye care hospital.",
        "Setting": "A retrospective review of 1,046 therapeutic keratoplasties performed between 2013 and 2022 was conducted, with outcomes assessed up to 3 years at a tertiary eye care centre.",
        "Methods": "Demographic data, clinical presentation, indications for keratoplasty, microbiological profile, and need for secondary surgical interventions were analyzed. Final outcomes were categorized as therapeutic (eradication of infection), anatomical (globe integrity), and functional (visual outcome). An AI-based predictive model was developed to identify risk factors for adverse outcomes. Model performance was evaluated using area under the curve (AUC), sensitivity (Se), specificity (Sp.), and overall accuracy (Ac).",
        "Results": "The median recipient age was 58 years, with 72% males. Advanced microbial keratitis, including perforated infectious ulcers, non-healing ulcers, and graft infections, constituted the major indications. The AI model identified mixed infections (fungal + bacterial), followed by fungal infections ( Aspergillus flavus) , as significant predictors of adverse outcomes. Greater distance from the eye care centre, associated with higher likelihood of missed follow-up, also emerged as an important risk factor. Therapeutic success was achieved in 72% at 6 months. At 3 years, 15% maintained a clear graft following primary TPK. The predictive model demonstrated 82% accuracy, 73% sensitivity, and 86% specificity.",
        "Conclusions": "Therapeutic keratoplasty is effective in eradicating infection and restoring anatomical integrity in severe keratitis; however, long-term graft clarity and functional success remain limited. Early intervention and timely referral are critical to improving outcomes. Identification of key risk factors, including infection type and socio-economic barriers affecting follow-up, enables better prognostication and individualized management strategies. Artificial intelligence–based models may serve as valuable tools in guiding clinical decision-making and optimizing long-term results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "FP22.04",
      "abstract_number": "FP22.04",
      "title": "Cataract Surgery In Fuchs Endothelial Corneal Dystrophy: Wait And See",
      "authors": "Prof. Dr Melis Palamar",
      "presenter": "Prof. Dr Melis Palamar",
      "normalized_authors": [
        "Melis Palamar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melis Palamar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate clinical outcomes, visual rehabilitation, and the rate of corneal decompensation after isolated phacoemulsification with posterior chamber intraocular lens implantation in patients with Fuchs endothelial corneal dystrophy.",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkiye.",
        "Methods": "Patients with FECD grade ≥2 (>1 mm of confluent central corneal guttae) were included. Cataract density was graded using the Lens Opacities Classification System III. Best-corrected visual acuity (BCVA), intraocular pressure (IOP), slit-lamp findings, central corneal thickness (CCT), and endothelial cell density (ECD) were recorded pre- and at 1, 2, and 6 months post-operatively. Post-operative changes in BCVA, CCT, and ECD, as well as the rates of corneal decompensation and endothelial keratoplasty (EK), were assessed. All surgeries were performed by a single experienced surgeon using balanced salt solution and a dispersive ophthalmic viscosurgical device (sodium hyaluronate–chondroitin sulfate).",
        "Results": "A total of 37 patients and 57 eyes were included; the mean age was 68.98 ± 10.04 (39-91), and the male-female ratio was 30/7. Nuclear cataract grading (n=55) was: Grades 1–6 were 3 (5.4%), 9 (16.4%), 19 (34.5%), 14 (25.5%), 6 (10.9%), and 4 (7.3%), respectively. The mean pre-operative BCVA was 0.34±0.19 (0.001-0.7) and 0.68±0.30 (0.05-1) at 1 month post-operatively (p<0.001). At 2 and 6 months post-operatively, the values were 0.66±0.28 (0.05-1) and 0.73±0.22 (0.16-1), respectively. Mean pre-operative CCT was 575.89±56.73 and 609.63±49.47 microns at 1 month post-operatively (p=0.02). All except 2 eyes (3.5%) (with persistent edema despite medical therapy underwent EK during follow-up) resolved with no corneal edema at the last visit.",
        "Conclusions": "Patients with FECD, who often present with triple procedures or early post-operative EK, constitute a special group in cataract surgery. However, with appropriate peri-operative protection, post-operative management, and sufficient time, these cases can recover, thereby avoiding unnecessary medical and financial burdens in visual rehabilitation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with FECD, who often present with triple procedures or early post-operative EK, constitute a special group in cataract surgery. However, with appropriate peri-operative protection, post-operative management, and sufficient time, these cases can recover, thereby avoiding unnecessary medical and financial burdens in visual rehabilitation.",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 319,
      "source_fields": {
        "Abstract Final Identifier": "FP22.04",
        "Title": "Cataract Surgery In Fuchs Endothelial Corneal Dystrophy: Wait And See",
        "Presenting Author(s)": "Prof. Dr Melis Palamar",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Melis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Palamar",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate clinical outcomes, visual rehabilitation, and the rate of corneal decompensation after isolated phacoemulsification with posterior chamber intraocular lens implantation in patients with Fuchs endothelial corneal dystrophy.",
        "Setting": "Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkiye.",
        "Methods": "Patients with FECD grade ≥2 (>1 mm of confluent central corneal guttae) were included. Cataract density was graded using the Lens Opacities Classification System III. Best-corrected visual acuity (BCVA), intraocular pressure (IOP), slit-lamp findings, central corneal thickness (CCT), and endothelial cell density (ECD) were recorded pre- and at 1, 2, and 6 months post-operatively. Post-operative changes in BCVA, CCT, and ECD, as well as the rates of corneal decompensation and endothelial keratoplasty (EK), were assessed. All surgeries were performed by a single experienced surgeon using balanced salt solution and a dispersive ophthalmic viscosurgical device (sodium hyaluronate–chondroitin sulfate).",
        "Results": "A total of 37 patients and 57 eyes were included; the mean age was 68.98 ± 10.04 (39-91), and the male-female ratio was 30/7. Nuclear cataract grading (n=55) was: Grades 1–6 were 3 (5.4%), 9 (16.4%), 19 (34.5%), 14 (25.5%), 6 (10.9%), and 4 (7.3%), respectively. The mean pre-operative BCVA was 0.34±0.19 (0.001-0.7) and 0.68±0.30 (0.05-1) at 1 month post-operatively (p<0.001). At 2 and 6 months post-operatively, the values were 0.66±0.28 (0.05-1) and 0.73±0.22 (0.16-1), respectively. Mean pre-operative CCT was 575.89±56.73 and 609.63±49.47 microns at 1 month post-operatively (p=0.02). All except 2 eyes (3.5%) (with persistent edema despite medical therapy underwent EK during follow-up) resolved with no corneal edema at the last visit.",
        "Conclusions": "Patients with FECD, who often present with triple procedures or early post-operative EK, constitute a special group in cataract surgery. However, with appropriate peri-operative protection, post-operative management, and sufficient time, these cases can recover, thereby avoiding unnecessary medical and financial burdens in visual rehabilitation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "FP22.05",
      "abstract_number": "FP22.05",
      "title": "Value Of Ray Tracing-Based Intraocular Lens Power Calculation In Combined Cataract Surgery And Descemet Membrane Endothelial Keratoplasty",
      "authors": "Dr Klemens P. Kaiser",
      "presenter": "Dr Klemens P. Kaiser",
      "normalized_authors": [
        "Klemens P. Kaiser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Klemens P. Kaiser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare the predictive accuracy of ray tracing–based intraocular lens (IOL) power calculation formulas with the Barrett Universal II (BUII) formula in eyes with Fuchs endothelial corneal dystrophy (FECD) undergoing combined cataract surgery and Descemet membrane endothelial keratoplasty (triple DMEK).",
        "Setting": "Tertiary referral university hospital.",
        "Methods": "In this retrospective, single-center comparative case series, 149 eyes of 149 patients with FECD undergoing triple DMEK were included. Preoperative biometry was obtained mainly using Scheimpflug tomography (Pentacam AXL). IOL power calculations were performed using BUII, Olsen ray-tracing, and two OKULIX ray-tracing approaches (paraxial and 2.5-mm pupil). Prediction error (PE) was calculated as the difference between postoperative and predicted spherical equivalent. Trueness, precision, and accuracy were analyzed using robust statistical methods (Eyetemis). A retrospective IOLup1D adjustment was additionally evaluated.",
        "Results": "BUII demonstrated the lowest mean absolute error (0.74±0.65D) and median absolute error (0.60D), with 67.1% of eyes within ±1.00D of target refraction. Olsen ray tracing showed higher errors (mean absolute error 1.06±1.02D), while both OKULIX approaches performed similarly (mean absolute errors 0.91–1.10 D). Only OKULIX paraxial ray-tracing showed no significant systematic bias ( p =0.450); all other formulas exhibited significant hyperopic shift ( p <0.001). After IOLup1D adjustment, BUII and Olsen achieved comparable accuracy, with Olsen showing the highest trueness.",
        "Conclusions": "In triple DMEK eyes, ray tracing-based IOL power calculation does not provide superior accuracy compared with BUII. Vergence-based formulas combined with pragmatic adjustment strategies such as IOLup1D currently appear to offer the most reliable refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In triple DMEK eyes, ray tracing-based IOL power calculation does not provide superior accuracy compared with BUII. Vergence-based formulas combined with pragmatic adjustment strategies such as IOLup1D currently appear to offer the most reliable refractive outcomes.",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 320,
      "source_fields": {
        "Abstract Final Identifier": "FP22.05",
        "Title": "Value Of Ray Tracing-Based Intraocular Lens Power Calculation In Combined Cataract Surgery And Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Klemens P. Kaiser",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Klemens",
        "Submitter Middle Name": "P.",
        "Submitter Last Name": "Kaiser",
        "Country Name": "Germany",
        "Purpose": "To compare the predictive accuracy of ray tracing–based intraocular lens (IOL) power calculation formulas with the Barrett Universal II (BUII) formula in eyes with Fuchs endothelial corneal dystrophy (FECD) undergoing combined cataract surgery and Descemet membrane endothelial keratoplasty (triple DMEK).",
        "Setting": "Tertiary referral university hospital.",
        "Methods": "In this retrospective, single-center comparative case series, 149 eyes of 149 patients with FECD undergoing triple DMEK were included. Preoperative biometry was obtained mainly using Scheimpflug tomography (Pentacam AXL). IOL power calculations were performed using BUII, Olsen ray-tracing, and two OKULIX ray-tracing approaches (paraxial and 2.5-mm pupil). Prediction error (PE) was calculated as the difference between postoperative and predicted spherical equivalent. Trueness, precision, and accuracy were analyzed using robust statistical methods (Eyetemis). A retrospective IOLup1D adjustment was additionally evaluated.",
        "Results": "BUII demonstrated the lowest mean absolute error (0.74±0.65D) and median absolute error (0.60D), with 67.1% of eyes within ±1.00D of target refraction. Olsen ray tracing showed higher errors (mean absolute error 1.06±1.02D), while both OKULIX approaches performed similarly (mean absolute errors 0.91–1.10 D). Only OKULIX paraxial ray-tracing showed no significant systematic bias ( p =0.450); all other formulas exhibited significant hyperopic shift ( p <0.001). After IOLup1D adjustment, BUII and Olsen achieved comparable accuracy, with Olsen showing the highest trueness.",
        "Conclusions": "In triple DMEK eyes, ray tracing-based IOL power calculation does not provide superior accuracy compared with BUII. Vergence-based formulas combined with pragmatic adjustment strategies such as IOLup1D currently appear to offer the most reliable refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP22.06",
      "abstract_number": "FP22.06",
      "title": "Intrastromal Implantation Of Hipsc-Derived Neural Crest Cells For Corneal Stromal Regeneration And Improvement Of Established Corneal Scars In A Rabbit Model",
      "authors": "Dr Hao Zhang",
      "presenter": "Dr Hao Zhang",
      "normalized_authors": [
        "Hao Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hao Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the early safety and surgical feasibility of intrastromal implantation of human induced pluripotent stem cell–derived neural crest cells (hiPSC-NCCs) for corneal stromal regeneration, and to explore their therapeutic effect on established stromal scars in a rabbit model.",
        "Setting": "Laboratory-based animal study.",
        "Methods": "In 18 New Zealand White rabbits, three phases were performed: (1) biocompatibility—hiPSC-NCCs (1×10 6 /50 µL PBS) injected into a mid-stromal pocket of normal corneas (n=6); (2) scar model—standardized stromal scar induced (3-mm trephination, 300-µm lamellar dissection, Algerbrush II polishing) and followed for 6 months by slit-lamp, AS-OCT, densitometry and IVCM (n=4); (3) therapy—hiPSC-NCC implantation 3 months after scar induction in scarred corneas (n=8) with 3-month follow-up. A dimensionless scar index was calculated from AS-OCT B-scans (ImageJ; normalized gray levels).",
        "Results": "Scar induction produced a reproducible haze stable for 6 months, with a hyper-reflective band on AS-OCT, increased densitometry and fibrotic features on IVCM. hiPSC-NCC implantation was technically feasible in all operated eyes. At 3 months, treated corneas (with or without pre-existing scars) regained slit-lamp transparency, with resolution of stromal deposits and collagen-like tissue occupying the pocket plane. No persistent epithelial defects, clinically significant neovascularization, intraocular inflammation, or immune-rejection signs were observed. The scar index was higher in untreated than treated scars (36 B-scans/4 eyes vs 36 B-scans/4 eyes: 1.86±0.18 vs 1.56±0.11; Welch’s t test, P=0.036).",
        "Conclusions": "Intrastromal implantation of hiPSC-NCCs in rabbit corneas is surgically feasible and shows a favorable early safety profile, with no severe ocular complications or overt immune rejection. hiPSC-NCC therapy improved established stromal scars within a stable, reproducible scar model, supporting its potential for corneal stromal regeneration and scar treatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intrastromal implantation of hiPSC-NCCs in rabbit corneas is surgically feasible and shows a favorable early safety profile, with no severe ocular complications or overt immune rejection. hiPSC-NCC therapy improved established stromal scars within a stable, reproducible scar model, supporting its potential for corneal stromal regeneration and scar treatment.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 321,
      "source_fields": {
        "Abstract Final Identifier": "FP22.06",
        "Title": "Intrastromal Implantation Of Hipsc-Derived Neural Crest Cells For Corneal Stromal Regeneration And Improvement Of Established Corneal Scars In A Rabbit Model",
        "Presenting Author(s)": "Dr Hao Zhang",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To evaluate the early safety and surgical feasibility of intrastromal implantation of human induced pluripotent stem cell–derived neural crest cells (hiPSC-NCCs) for corneal stromal regeneration, and to explore their therapeutic effect on established stromal scars in a rabbit model.",
        "Setting": "Laboratory-based animal study.",
        "Methods": "In 18 New Zealand White rabbits, three phases were performed: (1) biocompatibility—hiPSC-NCCs (1×10 6 /50 µL PBS) injected into a mid-stromal pocket of normal corneas (n=6); (2) scar model—standardized stromal scar induced (3-mm trephination, 300-µm lamellar dissection, Algerbrush II polishing) and followed for 6 months by slit-lamp, AS-OCT, densitometry and IVCM (n=4); (3) therapy—hiPSC-NCC implantation 3 months after scar induction in scarred corneas (n=8) with 3-month follow-up. A dimensionless scar index was calculated from AS-OCT B-scans (ImageJ; normalized gray levels).",
        "Results": "Scar induction produced a reproducible haze stable for 6 months, with a hyper-reflective band on AS-OCT, increased densitometry and fibrotic features on IVCM. hiPSC-NCC implantation was technically feasible in all operated eyes. At 3 months, treated corneas (with or without pre-existing scars) regained slit-lamp transparency, with resolution of stromal deposits and collagen-like tissue occupying the pocket plane. No persistent epithelial defects, clinically significant neovascularization, intraocular inflammation, or immune-rejection signs were observed. The scar index was higher in untreated than treated scars (36 B-scans/4 eyes vs 36 B-scans/4 eyes: 1.86±0.18 vs 1.56±0.11; Welch’s t test, P=0.036).",
        "Conclusions": "Intrastromal implantation of hiPSC-NCCs in rabbit corneas is surgically feasible and shows a favorable early safety profile, with no severe ocular complications or overt immune rejection. hiPSC-NCC therapy improved established stromal scars within a stable, reproducible scar model, supporting its potential for corneal stromal regeneration and scar treatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "FP22.07",
      "abstract_number": "FP22.07",
      "title": "Autologous Glueless Simple Limbal Epithelial Transplantation For Unilateral Stem Cell Deficiency Utilizing Femtosecond Laser-Assisted Limbal Stem Cell Harvesting. The Report Of The First Three Clinical Cases",
      "authors": "Prof. Boris Malyugin",
      "presenter": "Prof. Boris Malyugin",
      "normalized_authors": [
        "Boris Malyugin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Boris Malyugin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the first clinical results of corneal surface reconstruction with the help of a femtosecond laser (FSL) – full FSL-assisted autologous glueless simple limbal epithelial transplantation (Full FSL G-SLET) for unilateral limbal stem cell deficiency (LSCD).",
        "Setting": "UCLA Department of Ophthalmology. Stein Eye Institute\n\nS. Fyodorov Eye Microsurgery Institution",
        "Methods": "After chemical eye burns , three patients underwent Full FSL G-SLET procedures, including two critical laser-assisted steps: harvesting of the eight autologous limbal micrografts from the healthy eyes and placing them into laser-cut non-penetrating corneal tunnels performed on the affected eye.",
        "Results": "The donor eyes recovered very quickly, and 3-4 weeks after surgery , a small scar in the limbal area formed with no adverse effects on visual acuity. Three patients had various rates of cornea l reepithelialization of the recipient eyes: 1 month, 1.5 months and 4 months postoperatively. Complete corneal epithelialization was achieved in all the cases. The epithelial layer was stable for 12 months postoperatively , as confirmed by corneal staining with low -molecular-weight fluorescein and anterior segment OCT. Visual acuity improvement was observed in all three patients.",
        "Conclusions": "This is the first report of successful clinical use of FSL for autologous G-SLET surgical procedures when the laser was used not only to create corneal tunnels for autologous limbal micrograft fixation but also for their in vivo harvesting and fragmentation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is the first report of successful clinical use of FSL for autologous G-SLET surgical procedures when the laser was used not only to create corneal tunnels for autologous limbal micrograft fixation but also for their in vivo harvesting and fragmentation.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 322,
      "source_fields": {
        "Abstract Final Identifier": "FP22.07",
        "Title": "Autologous Glueless Simple Limbal Epithelial Transplantation For Unilateral Stem Cell Deficiency Utilizing Femtosecond Laser-Assisted Limbal Stem Cell Harvesting. The Report Of The First Three Clinical Cases",
        "Presenting Author(s)": "Prof. Boris Malyugin",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Boris",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Malyugin",
        "Country Name": "United States",
        "Purpose": "To evaluate the first clinical results of corneal surface reconstruction with the help of a femtosecond laser (FSL) – full FSL-assisted autologous glueless simple limbal epithelial transplantation (Full FSL G-SLET) for unilateral limbal stem cell deficiency (LSCD).",
        "Setting": "UCLA Department of Ophthalmology. Stein Eye Institute\n\nS. Fyodorov Eye Microsurgery Institution",
        "Methods": "After chemical eye burns , three patients underwent Full FSL G-SLET procedures, including two critical laser-assisted steps: harvesting of the eight autologous limbal micrografts from the healthy eyes and placing them into laser-cut non-penetrating corneal tunnels performed on the affected eye.",
        "Results": "The donor eyes recovered very quickly, and 3-4 weeks after surgery , a small scar in the limbal area formed with no adverse effects on visual acuity. Three patients had various rates of cornea l reepithelialization of the recipient eyes: 1 month, 1.5 months and 4 months postoperatively. Complete corneal epithelialization was achieved in all the cases. The epithelial layer was stable for 12 months postoperatively , as confirmed by corneal staining with low -molecular-weight fluorescein and anterior segment OCT. Visual acuity improvement was observed in all three patients.",
        "Conclusions": "This is the first report of successful clinical use of FSL for autologous G-SLET surgical procedures when the laser was used not only to create corneal tunnels for autologous limbal micrograft fixation but also for their in vivo harvesting and fragmentation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "FP22.08",
      "abstract_number": "FP22.08",
      "title": "Safety And Clinical Outcomes Of The Gore Synthetic Cornea: First-In-Human Clinical Trial 18-Month Results",
      "authors": "Dr Daniela Fabregas-Sanchez-Woodworth",
      "presenter": "Dr Daniela Fabregas-Sanchez-Woodworth",
      "normalized_authors": [
        "Daniela Fabregas-Sanchez-Woodworth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniela Fabregas-Sanchez-Woodworth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To evaluate anatomic retention, safety profile, and clinical outcomes of the Gore Synthetic Cornea Device. This prospective, first-in-human, single-arm clinical trial was conducted at the Instituto de Oftalmología Fundación Conde de Valenciana IAP, Mexico City. The study adhered to the tenets of the Declaration of Helsinki and was approved by institutional ethics and research committees. Written informed consent was obtained from all participants.",
        "Setting": "Patients with advanced corneal opacity secondary to corneal edema and reasonable potential for visual rehabilitation were included. The Gore Synthetic Cornea Device consists of a soft fluoroelastomer optic and a porous expanded polytetrafluoroethylene (ePTFE) skirt designed to promote host tissue biointegration",
        "Methods": "Devices were implanted using a partial-thickness lamellar stromal pocket technique. Adequate implantation depth was defined as ≥350 µm. Baseline demographics and ocular history were recorded. Postoperative evaluations included slit-lamp examination, best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior segment OCT, Humphrey visual field testing, and macular and optic nerve OCT. Primary outcome measures were device retention, visual acuity, and complications at 18 months. Seven eyes of seven patients were enrolled and successfully implanted with the Gore device (71% female; mean age 67.4 ± 13.4 years). Indications included prior graft failure (n=4, 57.1%) and pseudophakic bullous keratopathy (n=3, 42.9%).",
        "Results": "At 18 months, 5/7 eyes (71.4%) retained the device. Two devices required early explantation due to infectious keratitis related to superficial implantation. Functional success (BCVA ≥20/200) was achieved in all retained eyes, with a mean BCVA of 0.55 ± 0.27 logMAR (≈20/70). Epithelialization over the device surface was observed in all retained cases, consistent with host–device biointegration. Perioptic corneal retraction was the most common complication and was stabilized with secondary interventions. After device and surgical refinements, including reduced thickness, optic flaring, and femtosecond-assisted pocket creation, retention improved to 100% in four patients at 3 months (BCVA 0.43 ± 0.28 logMAR, ≈20/50).",
        "Conclusions": "The Gore Synthetic Cornea Device provided meaningful visual rehabilitation and demonstrated promising anatomic retention with evidence of host biointegration. The absence of severe inflammation or glaucoma-related adverse events supports the biocompatibility of the materials. Early device design and surgical refinements aimed at promoting stable epithelial coverage and a continuous biological seal were associated with improved short-term retention and visual outcomes. These findings provide first-in-human proof of concept for a donor-independent keratoprosthesis with the potential to restore vision and expand access to corneal surgery worldwide."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Gore Synthetic Cornea Device provided meaningful visual rehabilitation and demonstrated promising anatomic retention with evidence of host biointegration. The absence of severe inflammation or glaucoma-related adverse events supports the biocompatibility of the materials. Early device design and surgical refinements aimed at promoting stable epithelial coverage and a continuous biological seal were associated…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 323,
      "source_fields": {
        "Abstract Final Identifier": "FP22.08",
        "Title": "Safety And Clinical Outcomes Of The Gore Synthetic Cornea: First-In-Human Clinical Trial 18-Month Results",
        "Presenting Author(s)": "Dr Daniela Fabregas-Sanchez-Woodworth",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Daniela",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fabregas-Sanchez-Woodworth",
        "Country Name": "Mexico",
        "Purpose": "To evaluate anatomic retention, safety profile, and clinical outcomes of the Gore Synthetic Cornea Device. This prospective, first-in-human, single-arm clinical trial was conducted at the Instituto de Oftalmología Fundación Conde de Valenciana IAP, Mexico City. The study adhered to the tenets of the Declaration of Helsinki and was approved by institutional ethics and research committees. Written informed consent was obtained from all participants.",
        "Setting": "Patients with advanced corneal opacity secondary to corneal edema and reasonable potential for visual rehabilitation were included. The Gore Synthetic Cornea Device consists of a soft fluoroelastomer optic and a porous expanded polytetrafluoroethylene (ePTFE) skirt designed to promote host tissue biointegration",
        "Methods": "Devices were implanted using a partial-thickness lamellar stromal pocket technique. Adequate implantation depth was defined as ≥350 µm. Baseline demographics and ocular history were recorded. Postoperative evaluations included slit-lamp examination, best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior segment OCT, Humphrey visual field testing, and macular and optic nerve OCT. Primary outcome measures were device retention, visual acuity, and complications at 18 months. Seven eyes of seven patients were enrolled and successfully implanted with the Gore device (71% female; mean age 67.4 ± 13.4 years). Indications included prior graft failure (n=4, 57.1%) and pseudophakic bullous keratopathy (n=3, 42.9%).",
        "Results": "At 18 months, 5/7 eyes (71.4%) retained the device. Two devices required early explantation due to infectious keratitis related to superficial implantation. Functional success (BCVA ≥20/200) was achieved in all retained eyes, with a mean BCVA of 0.55 ± 0.27 logMAR (≈20/70). Epithelialization over the device surface was observed in all retained cases, consistent with host–device biointegration. Perioptic corneal retraction was the most common complication and was stabilized with secondary interventions. After device and surgical refinements, including reduced thickness, optic flaring, and femtosecond-assisted pocket creation, retention improved to 100% in four patients at 3 months (BCVA 0.43 ± 0.28 logMAR, ≈20/50).",
        "Conclusions": "The Gore Synthetic Cornea Device provided meaningful visual rehabilitation and demonstrated promising anatomic retention with evidence of host biointegration. The absence of severe inflammation or glaucoma-related adverse events supports the biocompatibility of the materials. Early device design and surgical refinements aimed at promoting stable epithelial coverage and a continuous biological seal were associated with improved short-term retention and visual outcomes. These findings provide first-in-human proof of concept for a donor-independent keratoprosthesis with the potential to restore vision and expand access to corneal surgery worldwide."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 400
    },
    {
      "uid": "FP22.09",
      "abstract_number": "FP22.09",
      "title": "Initial Experience With First-In-Human Bioengineered Corneal Endothelial Implantation (Pvek)",
      "authors": "Prof. Michael Mimouni",
      "presenter": "Prof. Michael Mimouni",
      "normalized_authors": [
        "Michael Mimouni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mimouni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To describe our initial experience with first-in-human transplantation of the bioengineered Precise Vision Endothelial Keratoplasty (PVEK) implant for the treatment of corneal edema due to endothelial dysfunction.",
        "Setting": "Tertiary Medical Center",
        "Methods": "In this prospective study, consecutive patients with corneal edema secondary to endothelial cell loss underwent PVEK implantation using a Descemet Membrane Endothelial Keratoplasty (DMEK)-like surgical technique. The PVEK implant consists of a collagen-based scaffold seeded with allogeneic human corneal endothelial cells. Using this method 300-500 PVEK grafts may be produced from a single deceased donor. Postoperative assessment included slit-lamp biomicroscopy, corneal thickness measurements, visual acuity, intraocular pressure, and monitoring for adverse events.",
        "Results": "Three eyes underwent PVEK implantation with follow-up ranging from 3 weeks to 3 months. In the first patient (3-month follow-up), central graft attachment was maintained following rebubbling, with normalization of central corneal thickness (≈475–485 µm) and improvement in best-corrected visual acuity to 0.5–0.6 (decimal). Two additional patients were recently transplanted, are currently in close follow up. For all three patients no serious adverse events, uncontrolled intraocular pressure, or primary graft failures were observed to date.",
        "Conclusions": "First-in-human PVEK implantation appears surgically feasible and capable of achieving sustained central graft attachment and corneal deturgescence at 3 months. To date, no serious adverse events or primary graft failures were observed. Further follow-up and additional cases are needed to evaluate long-term endothelial function, safety, and reproducibility"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "First-in-human PVEK implantation appears surgically feasible and capable of achieving sustained central graft attachment and corneal deturgescence at 3 months. To date, no serious adverse events or primary graft failures were observed. Further follow-up and additional cases are needed to evaluate long-term endothelial function, safety, and reproducibility",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 324,
      "source_fields": {
        "Abstract Final Identifier": "FP22.09",
        "Title": "Initial Experience With First-In-Human Bioengineered Corneal Endothelial Implantation (Pvek)",
        "Presenting Author(s)": "Prof. Michael Mimouni",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mimouni",
        "Country Name": "Israel",
        "Purpose": "To describe our initial experience with first-in-human transplantation of the bioengineered Precise Vision Endothelial Keratoplasty (PVEK) implant for the treatment of corneal edema due to endothelial dysfunction.",
        "Setting": "Tertiary Medical Center",
        "Methods": "In this prospective study, consecutive patients with corneal edema secondary to endothelial cell loss underwent PVEK implantation using a Descemet Membrane Endothelial Keratoplasty (DMEK)-like surgical technique. The PVEK implant consists of a collagen-based scaffold seeded with allogeneic human corneal endothelial cells. Using this method 300-500 PVEK grafts may be produced from a single deceased donor. Postoperative assessment included slit-lamp biomicroscopy, corneal thickness measurements, visual acuity, intraocular pressure, and monitoring for adverse events.",
        "Results": "Three eyes underwent PVEK implantation with follow-up ranging from 3 weeks to 3 months. In the first patient (3-month follow-up), central graft attachment was maintained following rebubbling, with normalization of central corneal thickness (≈475–485 µm) and improvement in best-corrected visual acuity to 0.5–0.6 (decimal). Two additional patients were recently transplanted, are currently in close follow up. For all three patients no serious adverse events, uncontrolled intraocular pressure, or primary graft failures were observed to date.",
        "Conclusions": "First-in-human PVEK implantation appears surgically feasible and capable of achieving sustained central graft attachment and corneal deturgescence at 3 months. To date, no serious adverse events or primary graft failures were observed. Further follow-up and additional cases are needed to evaluate long-term endothelial function, safety, and reproducibility"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "FP22.10",
      "abstract_number": "FP22.10",
      "title": "Temporary Bandage Contact Lens As An Iris Barrier For Dmek In Complex Eyes: A Case Series",
      "authors": "Chang Liu",
      "presenter": "Chang Liu",
      "normalized_authors": [
        "Chang Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chang Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Descemet membrane endothelial keratoplasty (DMEK) in complex eyes—such as those with aphakia, vitrectomy, or iris defects—poses significant challenges due to the absence of iris-lens diaphragm support. This instability increases the risk of graft dislocation into the vitreous cavity and compromises anterior chamber control. This study evaluates the clinical efficacy of using a temporary bandage contact lens (BCL) as an artificial iris barrier to facilitate DMEK in challenging cases.",
        "Setting": "This retrospective case series was conducted at Beijing Aier-Intech Eye Hospital, China.",
        "Methods": "We retrospectively reviewed 8 patients (8 eyes) who underwent DMEK with temporary BCL implantation between June 2025 and January 2026. All patients had aphakia or a history of vitrectomy, resulting in an absent iris-lens diaphragm and poor intraoperative anterior chamber stability. During surgery, an appropriately sized BCL was placed over the iris and pupil to create a stable barrier. Outcome measures included graft attachment, intraoperative complications, and postoperative adverse events.",
        "Results": "Eight patients (mean age 59 years) were included. Preoperative lens status: 3 aphakic eyes and 5 pseudophakic eyes. Five patients had a history of vitrectomy , and 4 had iris abnormalities (including one artificial iris). Graft diameter ranged from 7.75 to 8.5 mm, and BCL from 9.0 to 10.0 mm. In 3 cases, the BCL was removed 10 minutes after graft insertion; in the remaining 5 cases, it was removed 4–6 days postoperatively. One patient experienced intraoperative graft dislocation into the vitreous, managed by graft retrieval and replacement with a larger BCL. Postoperative rebubbling for graft detachment was required in 3 patients. At 1-month follow-up, all grafts remained well-attached with no complications.",
        "Conclusions": "Temporary placement of a bandage contact lens over the iris provides a simple, effective, and safe barrier technique for DMEK in complex eyes with insufficient posterior support. This approach enhances anterior chamber stability, prevents intraoperative graft dislocation, and contributes to favorable surgical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Temporary placement of a bandage contact lens over the iris provides a simple, effective, and safe barrier technique for DMEK in complex eyes with insufficient posterior support. This approach enhances anterior chamber stability, prevents intraoperative graft dislocation, and contributes to favorable surgical outcomes.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 325,
      "source_fields": {
        "Abstract Final Identifier": "FP22.10",
        "Title": "Temporary Bandage Contact Lens As An Iris Barrier For Dmek In Complex Eyes: A Case Series",
        "Presenting Author(s)": "Chang Liu",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Chang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "China",
        "Purpose": "Descemet membrane endothelial keratoplasty (DMEK) in complex eyes—such as those with aphakia, vitrectomy, or iris defects—poses significant challenges due to the absence of iris-lens diaphragm support. This instability increases the risk of graft dislocation into the vitreous cavity and compromises anterior chamber control. This study evaluates the clinical efficacy of using a temporary bandage contact lens (BCL) as an artificial iris barrier to facilitate DMEK in challenging cases.",
        "Setting": "This retrospective case series was conducted at Beijing Aier-Intech Eye Hospital, China.",
        "Methods": "We retrospectively reviewed 8 patients (8 eyes) who underwent DMEK with temporary BCL implantation between June 2025 and January 2026. All patients had aphakia or a history of vitrectomy, resulting in an absent iris-lens diaphragm and poor intraoperative anterior chamber stability. During surgery, an appropriately sized BCL was placed over the iris and pupil to create a stable barrier. Outcome measures included graft attachment, intraoperative complications, and postoperative adverse events.",
        "Results": "Eight patients (mean age 59 years) were included. Preoperative lens status: 3 aphakic eyes and 5 pseudophakic eyes. Five patients had a history of vitrectomy , and 4 had iris abnormalities (including one artificial iris). Graft diameter ranged from 7.75 to 8.5 mm, and BCL from 9.0 to 10.0 mm. In 3 cases, the BCL was removed 10 minutes after graft insertion; in the remaining 5 cases, it was removed 4–6 days postoperatively. One patient experienced intraoperative graft dislocation into the vitreous, managed by graft retrieval and replacement with a larger BCL. Postoperative rebubbling for graft detachment was required in 3 patients. At 1-month follow-up, all grafts remained well-attached with no complications.",
        "Conclusions": "Temporary placement of a bandage contact lens over the iris provides a simple, effective, and safe barrier technique for DMEK in complex eyes with insufficient posterior support. This approach enhances anterior chamber stability, prevents intraoperative graft dislocation, and contributes to favorable surgical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "FP22.11",
      "abstract_number": "FP22.11",
      "title": "Outcomes Of Secondary Scleral-Fixated Intraocular Lens Implantation And Descemet Membrane Endothelial Keratoplasty: A Comparative Analysis Of Staged Versus Combined Surgical Approaches",
      "authors": "Dr Erdi Karadağ",
      "presenter": "Dr Erdi Karadağ",
      "normalized_authors": [
        "Erdi Karadağ"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erdi Karadağ",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To comparatively evaluate clinical and graft-related outcomes between eyes undergoing staged scleral-fixated intraocular lens (SFIOL) implantation followed by DMEK and those undergoing combined SFIOL implantation with DMEK for the management of aphakic bullous keratopathy (ABK).",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary referral cornea and anterior segment unit.",
        "Methods": "Among 498 DMEK procedures performed between 2015 and 2024 with ≥6 months follow-up, 23 eyes were included. Patients were classified by surgical approach: Group 1 underwent sequential SFIOL implantation followed by DMEK, and Group 2 underwent simultaneous SFIOL and DMEK in a single session. Pre- and postoperative assessments included corrected distance visual acuity (CDVA, logMAR), endothelial cell density (ECD; EM-4000, Tomey, Japan), and central corneal thickness (CCT; Sirius, CSO, Italy). Graft detachment, re-bubbling, graft failure, survival, and postoperative complications were recorded and analyzed.",
        "Results": "The two groups were comparable in terms of age, sex, baseline CDVA, baseline CCT, donor ECD, and follow-up duration (p>0.05 for all). At final follow-up, percentage ECD loss (58.7% vs 51.7%, p=0.20), percentage CCT change (26.6% vs 32.9%, p=1.00), and percentage CDVA improvement (35.5% in both groups, p=0.63) did not differ between groups. Graft failure occurred in 41.7% vs 45.5% (p=1.00), re-bubbling in 25.0% vs 36.4% (p=0.66), and graft detachment in 25.0% vs 45.5% (p=0.40). CME (8.3% vs 27.3%, p=0.31) and glaucoma (8.3% vs 18.2%, p=0.59) were similar; keratitis occurred only in Group 2 (18.2%, p=0.21), and IOL dislocation only in Group 1 (8.3%, p=1.00).Mean graft survival was 28.8 ± 26.4 and 31.6 ± 42.1 months in Group 1 and 2 (p=0.85).",
        "Conclusions": "Staged and combined scleral fixation with DMEK demonstrated comparable visual, pachymetric, endothelial, and graft survival outcomes. DMEK combined with SFIOL implantation appears to be a feasible and effective option in the management of aphakic bullous keratopathy. Furthermore, the combined approach may help minimize the need for multiple procedures and follow-up visits. This may be particularly advantageous in elderly patients with systemic comorbidities, where avoiding an additional surgical intervention and anesthesia exposure could be beneficial."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Staged and combined scleral fixation with DMEK demonstrated comparable visual, pachymetric, endothelial, and graft survival outcomes. DMEK combined with SFIOL implantation appears to be a feasible and effective option in the management of aphakic bullous keratopathy. Furthermore, the combined approach may help minimize the need for multiple procedures and follow-up visits. This may be particularly advantageous in…",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 326,
      "source_fields": {
        "Abstract Final Identifier": "FP22.11",
        "Title": "Outcomes Of Secondary Scleral-Fixated Intraocular Lens Implantation And Descemet Membrane Endothelial Keratoplasty: A Comparative Analysis Of Staged Versus Combined Surgical Approaches",
        "Presenting Author(s)": "Dr Erdi Karadağ",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Erdi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karadağ",
        "Country Name": "Türkiye",
        "Purpose": "To comparatively evaluate clinical and graft-related outcomes between eyes undergoing staged scleral-fixated intraocular lens (SFIOL) implantation followed by DMEK and those undergoing combined SFIOL implantation with DMEK for the management of aphakic bullous keratopathy (ABK).",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary referral cornea and anterior segment unit.",
        "Methods": "Among 498 DMEK procedures performed between 2015 and 2024 with ≥6 months follow-up, 23 eyes were included. Patients were classified by surgical approach: Group 1 underwent sequential SFIOL implantation followed by DMEK, and Group 2 underwent simultaneous SFIOL and DMEK in a single session. Pre- and postoperative assessments included corrected distance visual acuity (CDVA, logMAR), endothelial cell density (ECD; EM-4000, Tomey, Japan), and central corneal thickness (CCT; Sirius, CSO, Italy). Graft detachment, re-bubbling, graft failure, survival, and postoperative complications were recorded and analyzed.",
        "Results": "The two groups were comparable in terms of age, sex, baseline CDVA, baseline CCT, donor ECD, and follow-up duration (p>0.05 for all). At final follow-up, percentage ECD loss (58.7% vs 51.7%, p=0.20), percentage CCT change (26.6% vs 32.9%, p=1.00), and percentage CDVA improvement (35.5% in both groups, p=0.63) did not differ between groups. Graft failure occurred in 41.7% vs 45.5% (p=1.00), re-bubbling in 25.0% vs 36.4% (p=0.66), and graft detachment in 25.0% vs 45.5% (p=0.40). CME (8.3% vs 27.3%, p=0.31) and glaucoma (8.3% vs 18.2%, p=0.59) were similar; keratitis occurred only in Group 2 (18.2%, p=0.21), and IOL dislocation only in Group 1 (8.3%, p=1.00).Mean graft survival was 28.8 ± 26.4 and 31.6 ± 42.1 months in Group 1 and 2 (p=0.85).",
        "Conclusions": "Staged and combined scleral fixation with DMEK demonstrated comparable visual, pachymetric, endothelial, and graft survival outcomes. DMEK combined with SFIOL implantation appears to be a feasible and effective option in the management of aphakic bullous keratopathy. Furthermore, the combined approach may help minimize the need for multiple procedures and follow-up visits. This may be particularly advantageous in elderly patients with systemic comorbidities, where avoiding an additional surgical intervention and anesthesia exposure could be beneficial."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "FP22.12",
      "abstract_number": "FP22.12",
      "title": "Early Outcomes, Complications, Prognostic Factors And Cost Analysis Of Endoart In High-Risk Eyes: A 12 Month Single-Centre Audit From Moorfields Eye Hospital",
      "authors": "Mr Kirupakaran Arun",
      "presenter": "Mr Kirupakaran Arun",
      "normalized_authors": [
        "Kirupakaran Arun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kirupakaran Arun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate outcomes, complications, healthcare utilisation, and prognostic factors influencing endoART attachment in eyes at high risk of graft failure and unsuitable for further corneal tissue transplantation.",
        "Setting": "Tertiary referral centre (Moorfields Eye Hospital NHS Foundation Trust, London, UK).",
        "Methods": "A retrospective audit was conducted of consecutive patients undergoing EndoART implantation at Moorfields Eye Hospital during the first year of service. All eyes were deemed at high risk of graft failure and unsuitable for further corneal graft transplantation. Primary outcomes were EndoART attachment at latest follow-up and requirement for rebubbling. Associations between potential prognostic factors and outcomes were assessed using Fisher’s exact test and Mann–Whitney U test, with significance set at p <0.05.",
        "Results": "Eleven eyes were included. At latest follow-up (median 9 months) , EndoART attachment was achieved in 6/11 eyes (55%). Rebubbling was required in 9/11 eyes (median 2, range 1–5). Median best-corrected distance visual acuity remained unchanged (2.6 logMAR). Median central corneal thickness decreased significantly from 917.5µm to 540µm (p<0.01). Prior penetrating keratoplasty was associated with lower attachment rates (0/3 vs 6/8, p<0.06). Complications included one endophthalmitis and chronic detachment in three eyes. Postoperative utilisation was high (median 8 visits, 2 theatre episodes). EndoART was associated with higher total costs per eye (surgery and post-operative follow-up) than DSAEK (£2,950 versus £2,700).",
        "Conclusions": "In eyes at high risk of failure and unsuitable for further tissue-based keratoplasty, EndoART demonstrated acceptable early anatomical outcomes with significant corneal deturgescence but was associated with substantial postoperative intervention and healthcare utilisation. Visual acuity remained stable in this complex cohort. Previous penetrating keratoplasty may adversely affect EndoART attachment. Larger studies are required to further define prognostic factors and optimise patient selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes at high risk of failure and unsuitable for further tissue-based keratoplasty, EndoART demonstrated acceptable early anatomical outcomes with significant corneal deturgescence but was associated with substantial postoperative intervention and healthcare utilisation. Visual acuity remained stable in this complex cohort. Previous penetrating keratoplasty may adversely affect EndoART attachment. Larger studies…",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 327,
      "source_fields": {
        "Abstract Final Identifier": "FP22.12",
        "Title": "Early Outcomes, Complications, Prognostic Factors And Cost Analysis Of Endoart In High-Risk Eyes: A 12 Month Single-Centre Audit From Moorfields Eye Hospital",
        "Presenting Author(s)": "Mr Kirupakaran Arun",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Kirupakaran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arun",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate outcomes, complications, healthcare utilisation, and prognostic factors influencing endoART attachment in eyes at high risk of graft failure and unsuitable for further corneal tissue transplantation.",
        "Setting": "Tertiary referral centre (Moorfields Eye Hospital NHS Foundation Trust, London, UK).",
        "Methods": "A retrospective audit was conducted of consecutive patients undergoing EndoART implantation at Moorfields Eye Hospital during the first year of service. All eyes were deemed at high risk of graft failure and unsuitable for further corneal graft transplantation. Primary outcomes were EndoART attachment at latest follow-up and requirement for rebubbling. Associations between potential prognostic factors and outcomes were assessed using Fisher’s exact test and Mann–Whitney U test, with significance set at p <0.05.",
        "Results": "Eleven eyes were included. At latest follow-up (median 9 months) , EndoART attachment was achieved in 6/11 eyes (55%). Rebubbling was required in 9/11 eyes (median 2, range 1–5). Median best-corrected distance visual acuity remained unchanged (2.6 logMAR). Median central corneal thickness decreased significantly from 917.5µm to 540µm (p<0.01). Prior penetrating keratoplasty was associated with lower attachment rates (0/3 vs 6/8, p<0.06). Complications included one endophthalmitis and chronic detachment in three eyes. Postoperative utilisation was high (median 8 visits, 2 theatre episodes). EndoART was associated with higher total costs per eye (surgery and post-operative follow-up) than DSAEK (£2,950 versus £2,700).",
        "Conclusions": "In eyes at high risk of failure and unsuitable for further tissue-based keratoplasty, EndoART demonstrated acceptable early anatomical outcomes with significant corneal deturgescence but was associated with substantial postoperative intervention and healthcare utilisation. Visual acuity remained stable in this complex cohort. Previous penetrating keratoplasty may adversely affect EndoART attachment. Larger studies are required to further define prognostic factors and optimise patient selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "FP22.13",
      "abstract_number": "FP22.13",
      "title": "Long Term Outcomes Of A Novel Artificial Endothelial Replacement Membrane",
      "authors": "Prof. Arie Marcovich",
      "presenter": "Prof. Arie Marcovich",
      "normalized_authors": [
        "Arie Marcovich"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arie Marcovich",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To report long-term safety and efficacy outcomes of an artificial lamellar implantation (EndoArt®) on the posterior surface of the cornea of adult patients suffering from chronic corneal edema.",
        "Setting": "Eleven of the 24 reported patients were enrolled in a first-in-human (FIH) study, with implantations conducted across multiple centers: Rambam Hospital and Sourasky Hospital in Israel; UMC in the Netherlands; Universitäts-Augenklinik in Germany; and LV Prasad Eye Institute in India. Additionally, 2 compassionate cases were performed at Universitäts-Augenklinik in Germany, and 11 post-market approval cases were conducted at Soroka, Israel and at Alma Mater Studiorum University of Bologna, Italy.",
        "Methods": "The EndoArt® (EyeYon Medical, Ness Ziona, Israel) is designed as a water-impermeable layer that adheres to the recipient's posterior cornea. This barrier prevents aqueous humour from entering the stroma, thereby reducing corneal edema. Long-term efficacy and safety data from a 24–36-month follow-up of 24 patients is presented. Changes in central corneal thickness (CCT) and best corrected visual acuity (BCVA) are detailed over the follow-up period. Additionally, safety outcomes are thoroughly discussed.",
        "Results": "A significant improvement in CCT was observed after a month and remained stable. At the last follow-up, 88% of patients had at least 15% improvement in CCT. Mean preoperative CCT of 793±104µm improved to 579±84µm and 583±106µm after 24 and 36 months, respectively (n=24/10, respectively, p.value<<0.05). Among 21 patients with visual potential, in 17 vision improved: 10 patients regained at least 8 ETDRS lines at last visit. Three patients reverted to baseline BCVA due to consistent partial detachment. In 1 case the implant was removed and replaced with tissue due to lack of efficacy. No long-term complications, infections or inflammation related to EndoArt® implantation were observed. Implants remained transparent throughout the follow-up.",
        "Conclusions": "The EndoArt® implant was found safe and effective, demonstrating an improvement in corneal thickness as well as in visual acuity. Outcomes of 24 early cases, from the beginning of the learning curve reveal that when fully attached, EndoArt® can alleviate corneal edema and maintain a clear and viable cornea over a long-term period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The EndoArt® implant was found safe and effective, demonstrating an improvement in corneal thickness as well as in visual acuity. Outcomes of 24 early cases, from the beginning of the learning curve reveal that when fully attached, EndoArt® can alleviate corneal edema and maintain a clear and viable cornea over a long-term period.",
      "session_type": "Free Paper",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 328,
      "source_fields": {
        "Abstract Final Identifier": "FP22.13",
        "Title": "Long Term Outcomes Of A Novel Artificial Endothelial Replacement Membrane",
        "Presenting Author(s)": "Prof. Arie Marcovich",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Arie",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marcovich",
        "Country Name": "Israel",
        "Purpose": "To report long-term safety and efficacy outcomes of an artificial lamellar implantation (EndoArt®) on the posterior surface of the cornea of adult patients suffering from chronic corneal edema.",
        "Setting": "Eleven of the 24 reported patients were enrolled in a first-in-human (FIH) study, with implantations conducted across multiple centers: Rambam Hospital and Sourasky Hospital in Israel; UMC in the Netherlands; Universitäts-Augenklinik in Germany; and LV Prasad Eye Institute in India. Additionally, 2 compassionate cases were performed at Universitäts-Augenklinik in Germany, and 11 post-market approval cases were conducted at Soroka, Israel and at Alma Mater Studiorum University of Bologna, Italy.",
        "Methods": "The EndoArt® (EyeYon Medical, Ness Ziona, Israel) is designed as a water-impermeable layer that adheres to the recipient's posterior cornea. This barrier prevents aqueous humour from entering the stroma, thereby reducing corneal edema. Long-term efficacy and safety data from a 24–36-month follow-up of 24 patients is presented. Changes in central corneal thickness (CCT) and best corrected visual acuity (BCVA) are detailed over the follow-up period. Additionally, safety outcomes are thoroughly discussed.",
        "Results": "A significant improvement in CCT was observed after a month and remained stable. At the last follow-up, 88% of patients had at least 15% improvement in CCT. Mean preoperative CCT of 793±104µm improved to 579±84µm and 583±106µm after 24 and 36 months, respectively (n=24/10, respectively, p.value<<0.05). Among 21 patients with visual potential, in 17 vision improved: 10 patients regained at least 8 ETDRS lines at last visit. Three patients reverted to baseline BCVA due to consistent partial detachment. In 1 case the implant was removed and replaced with tissue due to lack of efficacy. No long-term complications, infections or inflammation related to EndoArt® implantation were observed. Implants remained transparent throughout the follow-up.",
        "Conclusions": "The EndoArt® implant was found safe and effective, demonstrating an improvement in corneal thickness as well as in visual acuity. Outcomes of 24 early cases, from the beginning of the learning curve reveal that when fully attached, EndoArt® can alleviate corneal edema and maintain a clear and viable cornea over a long-term period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "FP22.14",
      "abstract_number": "FP22.14",
      "title": "Clinical Outcomes After Boston Type I/Lucia Keratoprosthesis Implantation: Visual Acuity And Postoperative Complications",
      "authors": "Prof. Dr Luis Izquierdo Jr",
      "presenter": "Prof. Dr Luis Izquierdo Jr",
      "normalized_authors": [
        "Luis Izquierdo Jr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Izquierdo Jr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate visual outcomes and postoperative complications after Boston Type I and/or Lucia keratoprosthesis (Kpro) implantation.",
        "Setting": "Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Retrospective cohort including 44 eyes (44 patients) undergoing Boston Type I and/or Lucia keratoprosthesis implantation between 2023 and 2025 (Boston Type I n=38, Lucia n=6). Demographics, ocular surface status (wet/dry), indication/etiology, prior corneal grafting, and ocular comorbidities were collected. CDVA (logMAR) was recorded preoperatively, at last follow-up (final CDVA), and as best postoperative CDVA during follow-up; conventional logMAR assignments were used for non-quantifiable vision when applicable. Postoperative adverse events were classified as anterior segment/ocular surface, inflammatory–infectious, vitreoretinal/posterior segment, prosthesis/optical-related, and glaucoma-related.",
        "Results": "Forty-four eyes were included; 61.36% were male; mean age was 52.48±20.59 years; mean follow-up was 11.02±7.24 months. Prior corneal grafting was present in 70.45%. Ocular surface status was wet in 72.73% and dry in 27.27%. Indications were graft failure/rejection (50.00%), infectious keratopathy (15.91%), chemical injury (11.36%), trauma (9.09%), and autoimmune disease (9.09%). Preoperative CDVA was 2.04±0.56 logMAR (0.70–2.70). Final CDVA was 1.44±0.97 logMAR (0.00–3.00), and best postoperative CDVA was 1.03±0.94 logMAR (0.00–3.00). At last follow-up, 72.73% achieved CDVA ≥20/200 and 20.45% achieved ≥20/60. The most common complication was RPM (optical-related; 35%), with posterior segment and glaucoma-related events each (17.39%).",
        "Conclusions": "Most eyes achieved functional vision at last follow-up (73% ≥20/200) in this high-complexity Kpro cohort with frequent prior grafting. Best postoperative CDVA exceeded final CDVA, consistent with visual fluctuation over time and the impact of postoperative adverse events. Prosthesis/optical-related events were most frequent, with RPM as the most common specific complication, supporting careful patient selection and close multidisciplinary follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Most eyes achieved functional vision at last follow-up (73% ≥20/200) in this high-complexity Kpro cohort with frequent prior grafting. Best postoperative CDVA exceeded final CDVA, consistent with visual fluctuation over time and the impact of postoperative adverse events. Prosthesis/optical-related events were most frequent, with RPM as the most common specific complication, supporting careful patient selection and…",
      "session_type": "Free Paper",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 329,
      "source_fields": {
        "Abstract Final Identifier": "FP22.14",
        "Title": "Clinical Outcomes After Boston Type I/Lucia Keratoprosthesis Implantation: Visual Acuity And Postoperative Complications",
        "Presenting Author(s)": "Prof. Dr Luis Izquierdo Jr",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Izquierdo Jr",
        "Country Name": "Peru",
        "Purpose": "To evaluate visual outcomes and postoperative complications after Boston Type I and/or Lucia keratoprosthesis (Kpro) implantation.",
        "Setting": "Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Retrospective cohort including 44 eyes (44 patients) undergoing Boston Type I and/or Lucia keratoprosthesis implantation between 2023 and 2025 (Boston Type I n=38, Lucia n=6). Demographics, ocular surface status (wet/dry), indication/etiology, prior corneal grafting, and ocular comorbidities were collected. CDVA (logMAR) was recorded preoperatively, at last follow-up (final CDVA), and as best postoperative CDVA during follow-up; conventional logMAR assignments were used for non-quantifiable vision when applicable. Postoperative adverse events were classified as anterior segment/ocular surface, inflammatory–infectious, vitreoretinal/posterior segment, prosthesis/optical-related, and glaucoma-related.",
        "Results": "Forty-four eyes were included; 61.36% were male; mean age was 52.48±20.59 years; mean follow-up was 11.02±7.24 months. Prior corneal grafting was present in 70.45%. Ocular surface status was wet in 72.73% and dry in 27.27%. Indications were graft failure/rejection (50.00%), infectious keratopathy (15.91%), chemical injury (11.36%), trauma (9.09%), and autoimmune disease (9.09%). Preoperative CDVA was 2.04±0.56 logMAR (0.70–2.70). Final CDVA was 1.44±0.97 logMAR (0.00–3.00), and best postoperative CDVA was 1.03±0.94 logMAR (0.00–3.00). At last follow-up, 72.73% achieved CDVA ≥20/200 and 20.45% achieved ≥20/60. The most common complication was RPM (optical-related; 35%), with posterior segment and glaucoma-related events each (17.39%).",
        "Conclusions": "Most eyes achieved functional vision at last follow-up (73% ≥20/200) in this high-complexity Kpro cohort with frequent prior grafting. Best postoperative CDVA exceeded final CDVA, consistent with visual fluctuation over time and the impact of postoperative adverse events. Prosthesis/optical-related events were most frequent, with RPM as the most common specific complication, supporting careful patient selection and close multidisciplinary follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "FP22.15",
      "abstract_number": "FP22.15",
      "title": "Long-Term Outcomes Of Boston Type 1 Keratoprosthesis",
      "authors": "Dr Raul E. Ruiz-Lozano",
      "presenter": "Dr Raul E. Ruiz-Lozano",
      "normalized_authors": [
        "Raul E. Ruiz-Lozano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raul E. Ruiz-Lozano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Analyze the influence of risk factors at presentation in the long-term outcomes of Boston keratoprosthesis (KPro) type 1",
        "Setting": "Retrospective single-center study including 206 eyes (192 patients) who underwent KPro surgery at the Illinois Eye & Ear Infirmary between June 2006 and December 2025.",
        "Methods": "Data at presentation on demographics, ocular history, and KPro surgery were analyzed with multivariable analysis using the Cox proportional hazard model (adjusted hazard ratio [aHR] and 95% confidence intervals [CIs]) to identify factors associated with (1) KPro retention failure, defined as device replacement with a standard keratoplasty or enucleation; (2) vision loss, defined as loss of >3 Snellen lines from the best-ever acuity achieved after surgery; and (3) postoperative complications. A sub-analysis of 127 eyes in whom KPro was implanted > 10 years ago (between June 2006 and November 2015) was also performed.",
        "Results": "165/206 eyes (80%) retained their KPro (6.28 years/Kpro) and 41/206 (20%) did not. Age < 16 years (aHR 3.7; 95% CI: 1.5–9.4) and autoimmune disease (aHR 2.6; 95% CI: 1.2–5.6) were associated with KPro failure. Vision improved in 175/202 (87%) eyes. Of those, 97 (55%) maintained visual improvement. Autoimmune disease (aHR 1.9; 95% CI: 1.0–3.4) and concomitant tarsorrhaphy (aHR 2.6; 95% CI: 1.0–6.5) were associated with vision loss. Major complications included RPM (50%), glaucoma progression (30%), and corneal melt (19%). Of 127 eyes with a KPro implanted > 10 years ago, 80% and 51% retained their KPro and vision, respectively. White Hispanics and tarsorrhaphy were associated with KPro failure (both p<.05), and no variables with vision loss.",
        "Conclusions": "The Boston type 1 KPro remains a viable alternative for eyes in which conventional keratoplasty does not offer a reasonable expectation of success. Eyes with an ocular surface disease secondary to an autoimmune cause that underwent KPro surgery are at an increased risk of retention failure and vision loss. Pediatric KPro was associated with an increased risk of device failure. Interestingly, there appears to be racial differences in White Hispanics who had worse retention outcomes. Studies are necessary to understand better and address these disparities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Boston type 1 KPro remains a viable alternative for eyes in which conventional keratoplasty does not offer a reasonable expectation of success. Eyes with an ocular surface disease secondary to an autoimmune cause that underwent KPro surgery are at an increased risk of retention failure and vision loss. Pediatric KPro was associated with an increased risk of device failure. Interestingly, there appears to be…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 330,
      "source_fields": {
        "Abstract Final Identifier": "FP22.15",
        "Title": "Long-Term Outcomes Of Boston Type 1 Keratoprosthesis",
        "Presenting Author(s)": "Dr Raul E. Ruiz-Lozano",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Raul",
        "Submitter Middle Name": "E.",
        "Submitter Last Name": "Ruiz-Lozano",
        "Country Name": "United States",
        "Purpose": "Analyze the influence of risk factors at presentation in the long-term outcomes of Boston keratoprosthesis (KPro) type 1",
        "Setting": "Retrospective single-center study including 206 eyes (192 patients) who underwent KPro surgery at the Illinois Eye & Ear Infirmary between June 2006 and December 2025.",
        "Methods": "Data at presentation on demographics, ocular history, and KPro surgery were analyzed with multivariable analysis using the Cox proportional hazard model (adjusted hazard ratio [aHR] and 95% confidence intervals [CIs]) to identify factors associated with (1) KPro retention failure, defined as device replacement with a standard keratoplasty or enucleation; (2) vision loss, defined as loss of >3 Snellen lines from the best-ever acuity achieved after surgery; and (3) postoperative complications. A sub-analysis of 127 eyes in whom KPro was implanted > 10 years ago (between June 2006 and November 2015) was also performed.",
        "Results": "165/206 eyes (80%) retained their KPro (6.28 years/Kpro) and 41/206 (20%) did not. Age < 16 years (aHR 3.7; 95% CI: 1.5–9.4) and autoimmune disease (aHR 2.6; 95% CI: 1.2–5.6) were associated with KPro failure. Vision improved in 175/202 (87%) eyes. Of those, 97 (55%) maintained visual improvement. Autoimmune disease (aHR 1.9; 95% CI: 1.0–3.4) and concomitant tarsorrhaphy (aHR 2.6; 95% CI: 1.0–6.5) were associated with vision loss. Major complications included RPM (50%), glaucoma progression (30%), and corneal melt (19%). Of 127 eyes with a KPro implanted > 10 years ago, 80% and 51% retained their KPro and vision, respectively. White Hispanics and tarsorrhaphy were associated with KPro failure (both p<.05), and no variables with vision loss.",
        "Conclusions": "The Boston type 1 KPro remains a viable alternative for eyes in which conventional keratoplasty does not offer a reasonable expectation of success. Eyes with an ocular surface disease secondary to an autoimmune cause that underwent KPro surgery are at an increased risk of retention failure and vision loss. Pediatric KPro was associated with an increased risk of device failure. Interestingly, there appears to be racial differences in White Hispanics who had worse retention outcomes. Studies are necessary to understand better and address these disparities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "FP23.01",
      "abstract_number": "FP23.01",
      "title": "Study On Interlamellar Implantation Of Excimer Laser-Reshaped Human Klex-Derived Corneal Stromal Concave Lenticules In Rabbit Corneas",
      "authors": "Bo Mei",
      "presenter": "Bo Mei",
      "normalized_authors": [
        "Bo Mei"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bo Mei",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the feasibility of reshaping stromal lenticules derived from human myopic KLEx into concave lenticules using the excimer laser, and to assess the morphologic and histopathologic changes after interlamellar implantation in rabbit corneas.",
        "Setting": "Excimer-Reshaped Corneal Lenticule Implant",
        "Methods": "Myopic stromal lenticules obtained from KLEx were reshaped into concave profiles with the excimer laser and then implanted into intrastromal pockets in rabbit corneas (with the contralateral eye serving as a control). Postoperative corneal morphology was monitored by slit-lamp microscopy, anterior segment optical coherence tomography (AS-OCT), and corneal topography. Histological and ultra-structural analyses were conducted using hematoxylin and eosin (HE) staining and transmission electron microscopy (TEM).",
        "Results": "All surgeries were successful. Slit-lamp microscopy revealed mild corneal edema within the first postoperative week, while the cornea remained transparent throughout the entire follow-up period. AS-OCT showed a clear hyperreflective interface postoperatively on day 7, which integrated into the host stroma by month 1. Corneal topography demonstrated a reduction in anterior corneal refractive power at the 0 mm and 0.5 mm zones ( P < 0.05), with an increase observed at the 2 mm and 2.5 mm zones ( P < 0.05). This pattern resulted in a \"doughnut-shaped\" anterior surface morphology. HE staining and TEM further confirmed regularly arranged collagen fibers in the corneal stroma without any signs of inflammatory cell infiltration.",
        "Conclusions": "Excimer laser reshaping of myopic KLEx lenticules into concave lenses is feasible and effective for reducing central corneal refractive power."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Excimer laser reshaping of myopic KLEx lenticules into concave lenses is feasible and effective for reducing central corneal refractive power.",
      "session_type": "Free Paper",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 331,
      "source_fields": {
        "Abstract Final Identifier": "FP23.01",
        "Title": "Study On Interlamellar Implantation Of Excimer Laser-Reshaped Human Klex-Derived Corneal Stromal Concave Lenticules In Rabbit Corneas",
        "Presenting Author(s)": "Bo Mei",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Bo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mei",
        "Country Name": "China",
        "Purpose": "To evaluate the feasibility of reshaping stromal lenticules derived from human myopic KLEx into concave lenticules using the excimer laser, and to assess the morphologic and histopathologic changes after interlamellar implantation in rabbit corneas.",
        "Setting": "Excimer-Reshaped Corneal Lenticule Implant",
        "Methods": "Myopic stromal lenticules obtained from KLEx were reshaped into concave profiles with the excimer laser and then implanted into intrastromal pockets in rabbit corneas (with the contralateral eye serving as a control). Postoperative corneal morphology was monitored by slit-lamp microscopy, anterior segment optical coherence tomography (AS-OCT), and corneal topography. Histological and ultra-structural analyses were conducted using hematoxylin and eosin (HE) staining and transmission electron microscopy (TEM).",
        "Results": "All surgeries were successful. Slit-lamp microscopy revealed mild corneal edema within the first postoperative week, while the cornea remained transparent throughout the entire follow-up period. AS-OCT showed a clear hyperreflective interface postoperatively on day 7, which integrated into the host stroma by month 1. Corneal topography demonstrated a reduction in anterior corneal refractive power at the 0 mm and 0.5 mm zones ( P < 0.05), with an increase observed at the 2 mm and 2.5 mm zones ( P < 0.05). This pattern resulted in a \"doughnut-shaped\" anterior surface morphology. HE staining and TEM further confirmed regularly arranged collagen fibers in the corneal stroma without any signs of inflammatory cell infiltration.",
        "Conclusions": "Excimer laser reshaping of myopic KLEx lenticules into concave lenses is feasible and effective for reducing central corneal refractive power."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "FP23.02",
      "abstract_number": "FP23.02",
      "title": "Long-Term Results Of Presbyopic Allogeneic Corneal Inlay Implantation: Comparison Between The Implanted Eye, Fellow Eye, And Changes In Binocular Visual Acuity",
      "authors": "Dr Göksu Gürsoy",
      "presenter": "Dr Göksu Gürsoy",
      "normalized_authors": [
        "Göksu Gürsoy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Göksu Gürsoy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the visual acuity of patients who have had a presbyopic allogeneic corneal inlay (ACI) implanted in their non-dominant eye with the other eye, and to evaluate its effect on binocular visual acuity.",
        "Setting": "Department of Ophthalmology, Istanbul Medipol University Hospital, Istanbul, Türkiye",
        "Methods": "This study included 26 patients who underwent ACI implantation for presbyopia in their non-dominant eye and had a follow-up period of more than 4 years. Unoperated dominant eyes were considered as a control group. Long-term changes in distance, near, intermediate, and binocular visual acuity of both eyes were examined.",
        "Results": "The average age of the 26 patients included in the study was found to be 56.3 ± 0.6 years. Uncorrected near and intermediate visual acuity (UCNVA, UCIVA) values ​​were significantly better in the operated eyes (P<0.05), while corrected distance visual acuity (CDVA) values ​​were better in the control group (P<0.05).When we compared the operated eyes with preoperative values, uncorrected distance visual acuity (UCDVA), CDVA and corrected near visual acuity (CNVA) remained unchanged (P>0.05), while a significant increase was found in UCNVA and UCIVA values ​​(P<0.05). While binocular visual acuity remained unchanged in UCDVA, CDVA, and CNVA compared to preoperative values ​​(P>0.05), an increase was found in UCNVA and UCIVA values ​​(P<0.05).",
        "Conclusions": "In the long term, while there was a slight decrease in CDVA was observed in presbyopic eyes implanted with ACI, this did not significantly affect binocular visual acuity. Intermediate and near vision improvements in presbyopic eyes implanted with ACI remained effective even after 4 years."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the long term, while there was a slight decrease in CDVA was observed in presbyopic eyes implanted with ACI, this did not significantly affect binocular visual acuity. Intermediate and near vision improvements in presbyopic eyes implanted with ACI remained effective even after 4 years.",
      "session_type": "Free Paper",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 332,
      "source_fields": {
        "Abstract Final Identifier": "FP23.02",
        "Title": "Long-Term Results Of Presbyopic Allogeneic Corneal Inlay Implantation: Comparison Between The Implanted Eye, Fellow Eye, And Changes In Binocular Visual Acuity",
        "Presenting Author(s)": "Dr Göksu Gürsoy",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Göksu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gürsoy",
        "Country Name": "Türkiye",
        "Purpose": "To compare the visual acuity of patients who have had a presbyopic allogeneic corneal inlay (ACI) implanted in their non-dominant eye with the other eye, and to evaluate its effect on binocular visual acuity.",
        "Setting": "Department of Ophthalmology, Istanbul Medipol University Hospital, Istanbul, Türkiye",
        "Methods": "This study included 26 patients who underwent ACI implantation for presbyopia in their non-dominant eye and had a follow-up period of more than 4 years. Unoperated dominant eyes were considered as a control group. Long-term changes in distance, near, intermediate, and binocular visual acuity of both eyes were examined.",
        "Results": "The average age of the 26 patients included in the study was found to be 56.3 ± 0.6 years. Uncorrected near and intermediate visual acuity (UCNVA, UCIVA) values ​​were significantly better in the operated eyes (P<0.05), while corrected distance visual acuity (CDVA) values ​​were better in the control group (P<0.05).When we compared the operated eyes with preoperative values, uncorrected distance visual acuity (UCDVA), CDVA and corrected near visual acuity (CNVA) remained unchanged (P>0.05), while a significant increase was found in UCNVA and UCIVA values ​​(P<0.05). While binocular visual acuity remained unchanged in UCDVA, CDVA, and CNVA compared to preoperative values ​​(P>0.05), an increase was found in UCNVA and UCIVA values ​​(P<0.05).",
        "Conclusions": "In the long term, while there was a slight decrease in CDVA was observed in presbyopic eyes implanted with ACI, this did not significantly affect binocular visual acuity. Intermediate and near vision improvements in presbyopic eyes implanted with ACI remained effective even after 4 years."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP23.03",
      "abstract_number": "FP23.03",
      "title": "Management Of Hyperopic Residual Refraction After Trifocal Iol Implantation With Positive Meniscus–Shaped Lenticule Transplantation",
      "authors": "Ms Ceren Ece Semiz",
      "presenter": "Ms Ceren Ece Semiz",
      "normalized_authors": [
        "Ceren Ece Semiz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ceren Ece Semiz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kosovo",
      "sections": {
        "Purpose": "To evaluate the safety and efficacy of positive meniscus–shaped lenticule transplantation for the correction of residual hyperopia and presbyopia in pseudophakic patients following trifocal intraocular lens (IOL) implantation",
        "Setting": "Eye Hospital, Prishtina, Kosovo",
        "Methods": "32 pseudophakic patients (64 eyes; mean age 54.8 ± 5.8 years) with residual hyperopia (+0.75 to +1.75 D) and astigmatism (+0.50 to +1.25 D) after trifocal IOL implantation underwent allogeneic positive meniscus–shaped lenticule transplantation. Donor lenticules (mean thickness 43.52 ± 7.22 µm), obtained from SMILE procedures, were selected at +0.50 D above the residual spherical error. A femtosecond laser–created 130-µm stromal pocket was used for implantation. The primary outcome was change in uncorrected distance visual acuity (UDVA); secondary outcomes included UNVA, manifest refraction, keratometry, Q-value, central corneal thickness (CCT), higher-order aberrations (RMS), and complication rates. Minimum follow-up was 12 months.",
        "Results": "UDVA improved from 0.35 ± 0.20 to 0.003 ± 0.01 logMAR (p < 0.001). Sphere decreased from +1.20 ± 0.28 to −0.33 ± 0.30 D and cylinder from +0.92 ± 0.32 to 0.37 ± 0.13 D (p < 0.001). UNVA improved from J6 to J2 (40 cm) and J6 to J3 (80 cm). CCT increased from 500.39 ± 18.88 to 543.66 ± 19.37 µm (p < 0.001). Keratometry increased (K1: 41.02 → 43.52 D; K2: 41.98 → 43.88 D), and Q-value shifted toward greater prolateness (−0.41 → −0.59). RMS increased (0.84 ± 0.14 → 1.88 ± 0.36 µm), while CDVA remained stable without ≥1-line loss. No intra- or postoperative complications occurred, and ≥80% achieved spectacle independence.",
        "Conclusions": "Positive meniscus–shaped lenticule transplantation provides a safe, tissue-preserving, and reversible corneal enhancement strategy for managing residual hyperopia and presbyopia after trifocal IOL implantation. Controlled modulation of corneal asphericity contributes to improved functional vision across distances while maintaining safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Positive meniscus–shaped lenticule transplantation provides a safe, tissue-preserving, and reversible corneal enhancement strategy for managing residual hyperopia and presbyopia after trifocal IOL implantation. Controlled modulation of corneal asphericity contributes to improved functional vision across distances while maintaining safety.",
      "session_type": "Free Paper",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 333,
      "source_fields": {
        "Abstract Final Identifier": "FP23.03",
        "Title": "Management Of Hyperopic Residual Refraction After Trifocal Iol Implantation With Positive Meniscus–Shaped Lenticule Transplantation",
        "Presenting Author(s)": "Ms Ceren Ece Semiz",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Ceren",
        "Submitter Middle Name": "Ece",
        "Submitter Last Name": "Semiz",
        "Country Name": "Kosovo",
        "Purpose": "To evaluate the safety and efficacy of positive meniscus–shaped lenticule transplantation for the correction of residual hyperopia and presbyopia in pseudophakic patients following trifocal intraocular lens (IOL) implantation",
        "Setting": "Eye Hospital, Prishtina, Kosovo",
        "Methods": "32 pseudophakic patients (64 eyes; mean age 54.8 ± 5.8 years) with residual hyperopia (+0.75 to +1.75 D) and astigmatism (+0.50 to +1.25 D) after trifocal IOL implantation underwent allogeneic positive meniscus–shaped lenticule transplantation. Donor lenticules (mean thickness 43.52 ± 7.22 µm), obtained from SMILE procedures, were selected at +0.50 D above the residual spherical error. A femtosecond laser–created 130-µm stromal pocket was used for implantation. The primary outcome was change in uncorrected distance visual acuity (UDVA); secondary outcomes included UNVA, manifest refraction, keratometry, Q-value, central corneal thickness (CCT), higher-order aberrations (RMS), and complication rates. Minimum follow-up was 12 months.",
        "Results": "UDVA improved from 0.35 ± 0.20 to 0.003 ± 0.01 logMAR (p < 0.001). Sphere decreased from +1.20 ± 0.28 to −0.33 ± 0.30 D and cylinder from +0.92 ± 0.32 to 0.37 ± 0.13 D (p < 0.001). UNVA improved from J6 to J2 (40 cm) and J6 to J3 (80 cm). CCT increased from 500.39 ± 18.88 to 543.66 ± 19.37 µm (p < 0.001). Keratometry increased (K1: 41.02 → 43.52 D; K2: 41.98 → 43.88 D), and Q-value shifted toward greater prolateness (−0.41 → −0.59). RMS increased (0.84 ± 0.14 → 1.88 ± 0.36 µm), while CDVA remained stable without ≥1-line loss. No intra- or postoperative complications occurred, and ≥80% achieved spectacle independence.",
        "Conclusions": "Positive meniscus–shaped lenticule transplantation provides a safe, tissue-preserving, and reversible corneal enhancement strategy for managing residual hyperopia and presbyopia after trifocal IOL implantation. Controlled modulation of corneal asphericity contributes to improved functional vision across distances while maintaining safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "FP23.04",
      "abstract_number": "FP23.04",
      "title": "Effects Of Corneal Inlay Explantation On Keratometry And Visual Outcomes: Long Term Results",
      "authors": "Dr Selim Ayata",
      "presenter": "Dr Selim Ayata",
      "normalized_authors": [
        "Selim Ayata"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Selim Ayata",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aims to evaluate the clinical and visual outcomes of corneal inlay explantation and its impact on keratometry and corneal thickness.",
        "Setting": "Beyoglu Eye Training and Research Hospital",
        "Methods": "Patients who underwent corneal inlay (KAMRA, AcuFocus Inc., Irvine, CA, USA) explantation between May 2014 and December 2024 in a single-center tertiary referral hospital were retrospectively analyzed. Twenty three eyes of 23 patients were included in the study. Patient demographics, post-operative results and complications were collected. Pre-operative and post-operative corrected distance visual acuity (CDVA), manifest refraction and Scheimpflug corneal topography (Sirius, CSO, Florence, Italy) were analyzed to evaluate outcomes. CDVA were measured using Snellen Chart and converted to logMAR.",
        "Results": "The mean age was 69.55±4.78 years and the mean interval between implantation and explantation was 9.67±3.75 years.The mean follow-up was 24.07±7.14 months after the explantation.Significant differences were observed between preop and postop mean CDVA(0.39±0.20, 0.20±0.14 logMAR respectively;p<0.01).The mean flat(K1) and steep axis(K2) were 45.43±2.08, 46.24±2.09diopters(D) preoperatively and 44.68±2.10, 45.76±2.14D postoperatively (p=0.01).Although a slight hyperopic shift was observed after explantation, it wasn’t significant(-0.37±3.18D, 0.06±1.58 D respectively;p=0.37).22 patients(95.65%) had postoperative residual donut-shaped corneal haze.6 patients developed cataract and underwent phacoemulsification with intraocular lens implantation",
        "Conclusions": "Corneal inlay removal is a safe option for patients with visual complaints. However, patients should be informed about the potential risks of postoperative hyperopic shift and donut haze."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal inlay removal is a safe option for patients with visual complaints. However, patients should be informed about the potential risks of postoperative hyperopic shift and donut haze.",
      "session_type": "Free Paper",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 334,
      "source_fields": {
        "Abstract Final Identifier": "FP23.04",
        "Title": "Effects Of Corneal Inlay Explantation On Keratometry And Visual Outcomes: Long Term Results",
        "Presenting Author(s)": "Dr Selim Ayata",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Selim",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ayata",
        "Country Name": "Türkiye",
        "Purpose": "This study aims to evaluate the clinical and visual outcomes of corneal inlay explantation and its impact on keratometry and corneal thickness.",
        "Setting": "Beyoglu Eye Training and Research Hospital",
        "Methods": "Patients who underwent corneal inlay (KAMRA, AcuFocus Inc., Irvine, CA, USA) explantation between May 2014 and December 2024 in a single-center tertiary referral hospital were retrospectively analyzed. Twenty three eyes of 23 patients were included in the study. Patient demographics, post-operative results and complications were collected. Pre-operative and post-operative corrected distance visual acuity (CDVA), manifest refraction and Scheimpflug corneal topography (Sirius, CSO, Florence, Italy) were analyzed to evaluate outcomes. CDVA were measured using Snellen Chart and converted to logMAR.",
        "Results": "The mean age was 69.55±4.78 years and the mean interval between implantation and explantation was 9.67±3.75 years.The mean follow-up was 24.07±7.14 months after the explantation.Significant differences were observed between preop and postop mean CDVA(0.39±0.20, 0.20±0.14 logMAR respectively;p<0.01).The mean flat(K1) and steep axis(K2) were 45.43±2.08, 46.24±2.09diopters(D) preoperatively and 44.68±2.10, 45.76±2.14D postoperatively (p=0.01).Although a slight hyperopic shift was observed after explantation, it wasn’t significant(-0.37±3.18D, 0.06±1.58 D respectively;p=0.37).22 patients(95.65%) had postoperative residual donut-shaped corneal haze.6 patients developed cataract and underwent phacoemulsification with intraocular lens implantation",
        "Conclusions": "Corneal inlay removal is a safe option for patients with visual complaints. However, patients should be informed about the potential risks of postoperative hyperopic shift and donut haze."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "FP23.05",
      "abstract_number": "FP23.05",
      "title": "Five-Year Results Of Lenticule Transplantation For Hyperopic Residual Refraction After Laser In Situ Keratomileusis",
      "authors": "Fetih Furkan Arslan",
      "presenter": "Fetih Furkan Arslan",
      "normalized_authors": [
        "Fetih Furkan Arslan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ceren Ece Semiz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kosovo",
      "sections": {
        "Purpose": "To evaluate the long-term efficacy, safety, and morphological changes of lenticule transplantation for hyperopic residual refraction following LASIK (Laser in Situ Keratomileusis).",
        "Setting": "Eye Hospital, Prishtina, Kosovo",
        "Methods": "This study included 84 eyes of 42 patients (32.9 ± 7.5 years; 22–44 years) with post-LASIK hyperopic residual refraction (+1.00 to +6.00 D) and astigmatism (+0.75 to +2.50 D). Donor lenticules were obtained from 20–29-year-old myopic SMILE patients (thickness 88.4 ± 28.1 µm; −4.42 ± 1.40 D; optical zone 6.60 ± 0.15 mm). A 140-µm intrastromal pocket was created without lifting the original LASIK flap, and lenticules were transplanted targeting −0.50 D. Postoperative assessments included UDVA, CDVA, slit-lamp examination, corneal topography, pachymetry, and anterior segment OCT. All patients completed 5-year follow-up.",
        "Results": "No cases of rejection, intraoperative or postoperative complications, or surgical revision were observed.\n\nAt 5 years, UDVA improved from 0.63 ± 0.21 logMAR to 0.03 ± 0.03 logMAR. UNVA improved from J7 to J2 at 40 cm and from J6 to J3 at 80 cm.\n\nCentral corneal thickness increased from 490.0 ± 33.8 µm to 572.3 ± 27.1 µm. The spherical equivalent decreased from +3.95 ± 1.40 D to −0.40 ± 0.13 D. Keratometric values increased from 41.52 D to 44.27 D for K1 and from 42.87 D to 44.98 D for K2. The Q-value shifted from −0.43 to −0.79.\n\nAll changes were statistically significant (p < 0.001).",
        "Conclusions": "In post-LASIK hyperopic residual refraction, lenticule transplantation demonstrates long-term safety and efficacy, enabling controlled modulation of corneal asphericity with sustained enhancement of distance and near vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In post-LASIK hyperopic residual refraction, lenticule transplantation demonstrates long-term safety and efficacy, enabling controlled modulation of corneal asphericity with sustained enhancement of distance and near vision.",
      "session_type": "Free Paper",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 335,
      "source_fields": {
        "Abstract Final Identifier": "FP23.05",
        "Title": "Five-Year Results Of Lenticule Transplantation For Hyperopic Residual Refraction After Laser In Situ Keratomileusis",
        "Presenting Author(s)": "Fetih Furkan Arslan",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Ceren",
        "Submitter Middle Name": "Ece",
        "Submitter Last Name": "Semiz",
        "Country Name": "Kosovo",
        "Purpose": "To evaluate the long-term efficacy, safety, and morphological changes of lenticule transplantation for hyperopic residual refraction following LASIK (Laser in Situ Keratomileusis).",
        "Setting": "Eye Hospital, Prishtina, Kosovo",
        "Methods": "This study included 84 eyes of 42 patients (32.9 ± 7.5 years; 22–44 years) with post-LASIK hyperopic residual refraction (+1.00 to +6.00 D) and astigmatism (+0.75 to +2.50 D). Donor lenticules were obtained from 20–29-year-old myopic SMILE patients (thickness 88.4 ± 28.1 µm; −4.42 ± 1.40 D; optical zone 6.60 ± 0.15 mm). A 140-µm intrastromal pocket was created without lifting the original LASIK flap, and lenticules were transplanted targeting −0.50 D. Postoperative assessments included UDVA, CDVA, slit-lamp examination, corneal topography, pachymetry, and anterior segment OCT. All patients completed 5-year follow-up.",
        "Results": "No cases of rejection, intraoperative or postoperative complications, or surgical revision were observed.\n\nAt 5 years, UDVA improved from 0.63 ± 0.21 logMAR to 0.03 ± 0.03 logMAR. UNVA improved from J7 to J2 at 40 cm and from J6 to J3 at 80 cm.\n\nCentral corneal thickness increased from 490.0 ± 33.8 µm to 572.3 ± 27.1 µm. The spherical equivalent decreased from +3.95 ± 1.40 D to −0.40 ± 0.13 D. Keratometric values increased from 41.52 D to 44.27 D for K1 and from 42.87 D to 44.98 D for K2. The Q-value shifted from −0.43 to −0.79.\n\nAll changes were statistically significant (p < 0.001).",
        "Conclusions": "In post-LASIK hyperopic residual refraction, lenticule transplantation demonstrates long-term safety and efficacy, enabling controlled modulation of corneal asphericity with sustained enhancement of distance and near vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "FP23.06",
      "abstract_number": "FP23.06",
      "title": "Reversibility Of Stromal Allograft Corneal Inlays: Long-Term Outcomes After Explantation",
      "authors": "Prof. Dr Aylin Kilic",
      "presenter": "Prof. Dr Aylin Kilic",
      "normalized_authors": [
        "Aylin Kilic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Michael Mrochen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate the reversibility and long-term corneal safety of stromal allograft corneal inlays following explantation in emmetropic presbyopic patients.",
        "Setting": "Prospective, multicenter clinical study.at 5 sites in Europe",
        "Methods": "In a cohort of 101 eyes treated with sterile human stromal allograft corneal inlays for presbyopia correction, three eyes (2.97%) required explantation due to patient dissatisfaction associated with refractive shift and visual symptoms. Pre- and postoperative evaluation included uncorrected and corrected distance visual acuity (UCDVA, BCDVA), manifest refraction spherical equivalent (MRSE), corneal topography, and epithelial thickness mapping. Patients were followed for up to 4 years after removal.",
        "Results": "All explanted eyes demonstrated recovery of distance visual acuity to preoperative levels or better. Final MRSE returned to within ±0.25 D of baseline in all cases. No persistent loss of ≥1 lines of BCDVA occurred. Corneal imaging showed normalization of epithelial thickness profiles after explantation. No long-term stromal haze, scarring, thinning, or structural abnormalities were observed throughout follow-up.",
        "Conclusions": "Stromal allograft corneal inlays demonstrated a low explantation rate with complete refractive and structural recovery following removal. These findings support the biological reversibility and long-term safety of this tissue addition approach in presbyopia management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Stromal allograft corneal inlays demonstrated a low explantation rate with complete refractive and structural recovery following removal. These findings support the biological reversibility and long-term safety of this tissue addition approach in presbyopia management.",
      "session_type": "Free Paper",
      "track": "Refractive corneal inlays",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 336,
      "source_fields": {
        "Abstract Final Identifier": "FP23.06",
        "Title": "Reversibility Of Stromal Allograft Corneal Inlays: Long-Term Outcomes After Explantation",
        "Presenting Author(s)": "Prof. Dr Aylin Kilic",
        "Abstract Topic Name": "Refractive corneal inlays",
        "Submitter First Name": "Michael",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mrochen",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate the reversibility and long-term corneal safety of stromal allograft corneal inlays following explantation in emmetropic presbyopic patients.",
        "Setting": "Prospective, multicenter clinical study.at 5 sites in Europe",
        "Methods": "In a cohort of 101 eyes treated with sterile human stromal allograft corneal inlays for presbyopia correction, three eyes (2.97%) required explantation due to patient dissatisfaction associated with refractive shift and visual symptoms. Pre- and postoperative evaluation included uncorrected and corrected distance visual acuity (UCDVA, BCDVA), manifest refraction spherical equivalent (MRSE), corneal topography, and epithelial thickness mapping. Patients were followed for up to 4 years after removal.",
        "Results": "All explanted eyes demonstrated recovery of distance visual acuity to preoperative levels or better. Final MRSE returned to within ±0.25 D of baseline in all cases. No persistent loss of ≥1 lines of BCDVA occurred. Corneal imaging showed normalization of epithelial thickness profiles after explantation. No long-term stromal haze, scarring, thinning, or structural abnormalities were observed throughout follow-up.",
        "Conclusions": "Stromal allograft corneal inlays demonstrated a low explantation rate with complete refractive and structural recovery following removal. These findings support the biological reversibility and long-term safety of this tissue addition approach in presbyopia management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 189
    },
    {
      "uid": "FP23.07",
      "abstract_number": "FP23.07",
      "title": "Biomechanical Changes After Flap-Based Vs Lenticule-Based Refractive Procedures: Implications For Refractive Outcomes And Ectasia Risk",
      "authors": "Dr Abby Wilson",
      "presenter": "Dr Abby Wilson",
      "normalized_authors": [
        "Abby Wilson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abby Wilson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Several surgical options exist for refractive correction including PRK, LASIK and SMILE. Controversies remain regarding which is the best and safest procedure for a given patient, in addition to the optimal settings to be used for each of the different procedures (treatment depth, incision angle) with decisions relying on the preferences and experience of the surgeon, guided by available patient data. Here we assess the micro-structural changes that occur to corneal collagen after LASIK and SMILE, and evaluate effects on corneal biomechanical response to intra-ocular pressure (IOP) changes; with the aims of providing a basis for surgical optimisation in terms of refractive outcomes; and safety through maintenance of biomechanical integrity.",
        "Setting": "Imaging and data analysis was conducted by Abby Wilson and Maryame Boutkhil at UCL Mechanical Engineering and UCL Institute of Child Health (ICH), London, UK. All surgeries were performed by Dan Reinstein at the London Vision Clinic, London, UK",
        "Methods": "Second harmonic generation (SHG) microscopy was used to image fresh intact porcine corneas (n = 8), mounted in a custom artificial anterior chamber, pre and post-surgery whilst subjected to IOP variations from 10mmHg to 30mmHg (10mmHg intervals). Forward-SHG images were acquired, using the Zeiss LSM980 microscope with a 20x objective, over the full corneal depth. Depth-dependent structure and structural features were confirmed consistent across all corneas prior to surgery. Corneas underwent the following procedures standardised at - 3.00D: LASIK (depth = 110µm (n = 2), 220µm (n = 2)), SMILE (depth = 110µm (n = 2), 220µm (n = 2)). Collagen crimp was defined via waviness ratio (wr = length of crimped fibre / straight line distance).",
        "Results": "In all corneas, pre-treatment, stromal collagen showed crimp from a depth of 110µm, with crimp period decreasing with depth, and extending under IOP increases (wr = 1.24 ± 0.04 (10mmHg) vs 1.10 ± 0.03 at (30mmHg), p < 0.05). Post-treatment, in LASIK corneas, collagen in the flap became highly crimped, but straight in the 240µm region under the flap, with only deeper lamellae maintaining crimp. On IOP increase, extension of the crimp period was observed only in the deeper residual stromal bed (RSB), not in the flap. In SMILE, distribution of crimp was consistent with that of native corneas, with the crimp period extending on pressure increase in both the cap and RSB (wr = 1.132 ± 0.01 (10mmHg) vs 1.048 ± 0.02 (30mmHg), p < 0.05).",
        "Conclusions": "Surgical procedures alter the stress-strain distribution in the cornea. Post-LASIK, strain is concentrated in the RSB only, leading to increased tension in the collagen fibres in this region contributing to topographic flattening. In SMILE, normal collagen architecture is better preserved with strain distributed across both the cap and RSB under IOP variations. These differences may explain the increased prevalence of ectasia after LASIK, and should be considered during procedure selection, and may assist in the optimisation of SMILE treatment algorithms. Further, the biomechanical advantages of keyhole methods should be considered for lenticule addition procedures for the treatment of Keratoconus and presbyopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Surgical procedures alter the stress-strain distribution in the cornea. Post-LASIK, strain is concentrated in the RSB only, leading to increased tension in the collagen fibres in this region contributing to topographic flattening. In SMILE, normal collagen architecture is better preserved with strain distributed across both the cap and RSB under IOP variations. These differences may explain the increased prevalence…",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 337,
      "source_fields": {
        "Abstract Final Identifier": "FP23.07",
        "Title": "Biomechanical Changes After Flap-Based Vs Lenticule-Based Refractive Procedures: Implications For Refractive Outcomes And Ectasia Risk",
        "Presenting Author(s)": "Dr Abby Wilson",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Abby",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wilson",
        "Country Name": "United Kingdom",
        "Purpose": "Several surgical options exist for refractive correction including PRK, LASIK and SMILE. Controversies remain regarding which is the best and safest procedure for a given patient, in addition to the optimal settings to be used for each of the different procedures (treatment depth, incision angle) with decisions relying on the preferences and experience of the surgeon, guided by available patient data. Here we assess the micro-structural changes that occur to corneal collagen after LASIK and SMILE, and evaluate effects on corneal biomechanical response to intra-ocular pressure (IOP) changes; with the aims of providing a basis for surgical optimisation in terms of refractive outcomes; and safety through maintenance of biomechanical integrity.",
        "Setting": "Imaging and data analysis was conducted by Abby Wilson and Maryame Boutkhil at UCL Mechanical Engineering and UCL Institute of Child Health (ICH), London, UK. All surgeries were performed by Dan Reinstein at the London Vision Clinic, London, UK",
        "Methods": "Second harmonic generation (SHG) microscopy was used to image fresh intact porcine corneas (n = 8), mounted in a custom artificial anterior chamber, pre and post-surgery whilst subjected to IOP variations from 10mmHg to 30mmHg (10mmHg intervals). Forward-SHG images were acquired, using the Zeiss LSM980 microscope with a 20x objective, over the full corneal depth. Depth-dependent structure and structural features were confirmed consistent across all corneas prior to surgery. Corneas underwent the following procedures standardised at - 3.00D: LASIK (depth = 110µm (n = 2), 220µm (n = 2)), SMILE (depth = 110µm (n = 2), 220µm (n = 2)). Collagen crimp was defined via waviness ratio (wr = length of crimped fibre / straight line distance).",
        "Results": "In all corneas, pre-treatment, stromal collagen showed crimp from a depth of 110µm, with crimp period decreasing with depth, and extending under IOP increases (wr = 1.24 ± 0.04 (10mmHg) vs 1.10 ± 0.03 at (30mmHg), p < 0.05). Post-treatment, in LASIK corneas, collagen in the flap became highly crimped, but straight in the 240µm region under the flap, with only deeper lamellae maintaining crimp. On IOP increase, extension of the crimp period was observed only in the deeper residual stromal bed (RSB), not in the flap. In SMILE, distribution of crimp was consistent with that of native corneas, with the crimp period extending on pressure increase in both the cap and RSB (wr = 1.132 ± 0.01 (10mmHg) vs 1.048 ± 0.02 (30mmHg), p < 0.05).",
        "Conclusions": "Surgical procedures alter the stress-strain distribution in the cornea. Post-LASIK, strain is concentrated in the RSB only, leading to increased tension in the collagen fibres in this region contributing to topographic flattening. In SMILE, normal collagen architecture is better preserved with strain distributed across both the cap and RSB under IOP variations. These differences may explain the increased prevalence of ectasia after LASIK, and should be considered during procedure selection, and may assist in the optimisation of SMILE treatment algorithms. Further, the biomechanical advantages of keyhole methods should be considered for lenticule addition procedures for the treatment of Keratoconus and presbyopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 487
    },
    {
      "uid": "FP23.08",
      "abstract_number": "FP23.08",
      "title": "Motion-Tracking Brillouin Microscopy For Keratoconus Suspect Identification: Comparison With Multimodal Corneal Imaging",
      "authors": "Prof. J Bradley Randleman",
      "presenter": "Prof. J Bradley Randleman",
      "normalized_authors": [
        "J Bradley Randleman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "J Bradley Randleman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare the diagnostic efficacy of motion-tracking (MT) Brillouin microscopy with multimodal corneal imaging for keratoconus suspect (KCS) identification.",
        "Setting": "Academic Institution",
        "Methods": "Prospective cross-sectional study. There were 56 eyes from 56 patients evaluated, including 28 eyes from 28 bilaterally normal control patients and 28 eyes from 28 keratoconus suspect patients. All patients underwent MT Brillouin microscopy using a custom-built device, Scheimpflug tomography, anterior segment optical coherence tomography (AS-OCT), and Corneal Visualization Scheimpflug Technology (Corvis ST). MT Brillouin microscopy data included mean (MTB-mean) and focal minimum (MTB-min) values within the anterior plateau region. The sensitivity, specificity, and area under the receiver operating characteristic curves (AUROC) were calculated for variables from all modalities.",
        "Results": "No significant demographic differences were found between groups except thinnest corneal thickness (556 mm Control vs. 526 mm KCS ; P < 0.001). MT Brillouin metrics MTB-min (AUC = 0.999, Sensitivity 100%, Specificity 96%) and MTB-mean (AUC 0.981, Sensitivity 93%, Specificity 100%) outperformed all other multimodal imaging metrics in KCS identification and group differentiation. MTB-min significantly outperformed all multimodal metrics, including the Corvis ST TBI (AUC 0.906, p=0.018), PRFI (AUC 0.870, p=0.005), Keratoconus Index (KI) (AUC 0.873, p=0.005), and Index of Height Decentration (IHD) (AUC 0.859, p=0.005). The best epithelial metric, Epi 5mm ST-IN, performed poorly in group differentiation (AUC = 0.641).",
        "Conclusions": "Motion-tracking Brillouin microscopy metrics effectively identified focal corneal weakening in keratoconus suspects and significantly outperformed all multimodal imaging metrics in differentiating keratoconus suspect eyes from normal controls. This demonstrates the early focal nature of mechanical alteration in keratoconus and provides a novel strategy for patient evalaution."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Motion-tracking Brillouin microscopy metrics effectively identified focal corneal weakening in keratoconus suspects and significantly outperformed all multimodal imaging metrics in differentiating keratoconus suspect eyes from normal controls. This demonstrates the early focal nature of mechanical alteration in keratoconus and provides a novel strategy for patient evalaution.",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 338,
      "source_fields": {
        "Abstract Final Identifier": "FP23.08",
        "Title": "Motion-Tracking Brillouin Microscopy For Keratoconus Suspect Identification: Comparison With Multimodal Corneal Imaging",
        "Presenting Author(s)": "Prof. J Bradley Randleman",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "J Bradley",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Randleman",
        "Country Name": "United States",
        "Purpose": "To compare the diagnostic efficacy of motion-tracking (MT) Brillouin microscopy with multimodal corneal imaging for keratoconus suspect (KCS) identification.",
        "Setting": "Academic Institution",
        "Methods": "Prospective cross-sectional study. There were 56 eyes from 56 patients evaluated, including 28 eyes from 28 bilaterally normal control patients and 28 eyes from 28 keratoconus suspect patients. All patients underwent MT Brillouin microscopy using a custom-built device, Scheimpflug tomography, anterior segment optical coherence tomography (AS-OCT), and Corneal Visualization Scheimpflug Technology (Corvis ST). MT Brillouin microscopy data included mean (MTB-mean) and focal minimum (MTB-min) values within the anterior plateau region. The sensitivity, specificity, and area under the receiver operating characteristic curves (AUROC) were calculated for variables from all modalities.",
        "Results": "No significant demographic differences were found between groups except thinnest corneal thickness (556 mm Control vs. 526 mm KCS ; P < 0.001). MT Brillouin metrics MTB-min (AUC = 0.999, Sensitivity 100%, Specificity 96%) and MTB-mean (AUC 0.981, Sensitivity 93%, Specificity 100%) outperformed all other multimodal imaging metrics in KCS identification and group differentiation. MTB-min significantly outperformed all multimodal metrics, including the Corvis ST TBI (AUC 0.906, p=0.018), PRFI (AUC 0.870, p=0.005), Keratoconus Index (KI) (AUC 0.873, p=0.005), and Index of Height Decentration (IHD) (AUC 0.859, p=0.005). The best epithelial metric, Epi 5mm ST-IN, performed poorly in group differentiation (AUC = 0.641).",
        "Conclusions": "Motion-tracking Brillouin microscopy metrics effectively identified focal corneal weakening in keratoconus suspects and significantly outperformed all multimodal imaging metrics in differentiating keratoconus suspect eyes from normal controls. This demonstrates the early focal nature of mechanical alteration in keratoconus and provides a novel strategy for patient evalaution."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "FP23.09",
      "abstract_number": "FP23.09",
      "title": "Cycloplegic Autorefraction Versus Subjective Non-Cycloplegic Refraction In Adult Refractive Candidates",
      "authors": "Dr Stefan Kassumeh",
      "presenter": "Dr Stefan Kassumeh",
      "normalized_authors": [
        "Stefan Kassumeh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stefan Kassumeh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To explore the difference between cycloplegic autorefraction and subjective non-cycloplegic refraction as well as their influencing demographic factors in adult Caucasian refractive candidates.",
        "Setting": "Department of Ophthalmology, LMU University Hospital, Munich, Germany and Auge Laser Chirurgie, Linz, Austria.",
        "Methods": "All patients examined at the LMU University Hospital and the Auge Laser Chirurgie Eye Clinic, who underwent non-cycloplegic and cycloplegic automatic as well as noncycloplegic subjective refraction, were enrolled. All participants were at least 18 years old with a minimum visual acuity of 20/25 (0.10 logMAR).",
        "Results": "In total, 4395 eyes of 2221 individuals with a mean age of 38.1 ± 12.4 years (range 18 - 76 years) were included. Based on cycloplegic autorefraction and subjective refraction (SR), the mean spherical equivalent (SE) was -3.00 ± 3.52 D and -3.36 ± 3.52 D, respectively (mean difference: 0.37 ± 0.48; p < 0.0001). The most pronounced difference with 0.75 ± 0.88 D was found in young (≤ 35 years), hyperopic (≥ 2 D spherical equivalent) eyes (p < 0.0001) as well as in eyes with an astigmatism of ≥ 2 D (mean difference: 0.46 ± 0.43 D; p < 0.0001). The lowest difference was observed in individuals older than 50 years (0.22 ± 0.32; p < 0.0001) and eyes with an astigmatism ≤ 0.25 D (0.30 ± 0.54; p < 0.0001).",
        "Conclusions": "Non-cycloplegic refraction results in a more myopic refractive error, which is more pronounced in young, hyperopic individuals as well as in eyes with higher astigmatism. Thus, those individuals should be evaluated more precise before clearing them for refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Non-cycloplegic refraction results in a more myopic refractive error, which is more pronounced in young, hyperopic individuals as well as in eyes with higher astigmatism. Thus, those individuals should be evaluated more precise before clearing them for refractive surgery.",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 339,
      "source_fields": {
        "Abstract Final Identifier": "FP23.09",
        "Title": "Cycloplegic Autorefraction Versus Subjective Non-Cycloplegic Refraction In Adult Refractive Candidates",
        "Presenting Author(s)": "Dr Stefan Kassumeh",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Stefan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kassumeh",
        "Country Name": "Germany",
        "Purpose": "To explore the difference between cycloplegic autorefraction and subjective non-cycloplegic refraction as well as their influencing demographic factors in adult Caucasian refractive candidates.",
        "Setting": "Department of Ophthalmology, LMU University Hospital, Munich, Germany and Auge Laser Chirurgie, Linz, Austria.",
        "Methods": "All patients examined at the LMU University Hospital and the Auge Laser Chirurgie Eye Clinic, who underwent non-cycloplegic and cycloplegic automatic as well as noncycloplegic subjective refraction, were enrolled. All participants were at least 18 years old with a minimum visual acuity of 20/25 (0.10 logMAR).",
        "Results": "In total, 4395 eyes of 2221 individuals with a mean age of 38.1 ± 12.4 years (range 18 - 76 years) were included. Based on cycloplegic autorefraction and subjective refraction (SR), the mean spherical equivalent (SE) was -3.00 ± 3.52 D and -3.36 ± 3.52 D, respectively (mean difference: 0.37 ± 0.48; p < 0.0001). The most pronounced difference with 0.75 ± 0.88 D was found in young (≤ 35 years), hyperopic (≥ 2 D spherical equivalent) eyes (p < 0.0001) as well as in eyes with an astigmatism of ≥ 2 D (mean difference: 0.46 ± 0.43 D; p < 0.0001). The lowest difference was observed in individuals older than 50 years (0.22 ± 0.32; p < 0.0001) and eyes with an astigmatism ≤ 0.25 D (0.30 ± 0.54; p < 0.0001).",
        "Conclusions": "Non-cycloplegic refraction results in a more myopic refractive error, which is more pronounced in young, hyperopic individuals as well as in eyes with higher astigmatism. Thus, those individuals should be evaluated more precise before clearing them for refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "FP23.10",
      "abstract_number": "FP23.10",
      "title": "Machine Learning–Based Prediction Of Lasik Console Inputs\nFor Aspheric Planning (Q-Factor, Defocus, Astigmatism):\nA Translational Methods Study",
      "authors": "Dr Steven Garnier",
      "presenter": "Dr Steven Garnier",
      "normalized_authors": [
        "Steven Garnier"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Steven Garnier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To develop an artificial intelligence (AI)-based framework to determine optimal clinical console settings for aspheric excimer laser surgery. This addresses the noisy, nonlinear, high-dimensional mapping between programmed inputs and delivered corneal shape.\n\nGiven the weak, context-dependent cross-coupling between programmed Q-factor and delivered asphericity or induced defocus, we benchmark machine-learning regressors against traditional linear model to predict console-ready Q-factor, defocus, and astigmatism. We quantify out-of-sample accuracy and calibration while characterizing residual behavior (bias, dispersion, tail risk) to establish the analytic validity required prior to prospective clinical evaluation.",
        "Setting": "Retrospective translational analysis of anonymized LASIK treatments from a single center and a single surgeon in France. Derivation cohort (July 2017–Sept 2023): TENEO 317 excimer aspheric ablations with FEMTO LDV Z2 femtosecond flap creation. External validation cohort (Sept 2023–Aug 2024): temporal/device shift using a second TENEO 317 unit under matched protocols. Supracor and aberrometry-guided treatments were excluded.",
        "Methods": "Treatment planning was cast as an inverse-identification multi-output regression . To bypass quantization-induced error floors , targets were resolved at 0.01 D/1° . Z-standardized features underwent dimensionality reduction ( L1-Lasso , Pillai’s trace ), optimized via hyperparameter-tuned forward nested cross-validation to constrain degrees of freedom . An orthonormal 2 × 2 Hadamard rotation was applied to 4D Zernike-basis power-vector aberrometric states to attenuate common-mode noise . Benchmarks included Bayesian , Gradient Boosted Bagging , V anilla MultiLayer Perceptron , and Linear model . Analytic validity was interrogated through standardized heteroscedastic tail-risk diagnostics and higher-order residual moments (skewness, kurtosis).",
        "Results": "Derivation included 2,448 eyes; external validation 147 eyes (temporal/device shift). Aberrometer noise floor for defocus was S w ​ = 0.15 D. Programmed defocus linearly predicted outcome ( R 2 = 0.97 ), but Q-factor explained only 51% of spherical aberration change and weakly predicted defocus cross-coupling ( R 2 = 0.12 ).\n\nThe Bayesian Dynamic Multi-head (BDMH) network, integrating latent-variable representations and heteroscedastic noise modeling, performed best; on external validation, the Mean Absolute Error (MAE) is 0.22 D for defocus ( R 2 = 0.98 ) and 0.21 for Q-factor ( R 2 = 0.81 ). The framework yielded consistent accuracy on a separate hardware unit, with predictive mean error (0.22 D) remaining near the instrument’s noise floor (0.15 D).",
        "Conclusions": "This proof-of-concept establishes the analytic validity of AI for refractive planning, suggesting a potential framework to model the nonlinear reciprocity between asphericity and defocus. Continuous targets mitigate quantization-induced information deficits (0.25 D, 5° step). Despite retrospective limits, joint optimization in a structured latent space captures complex optical couplings inaccessible to nomograms.\n\nFuture scaling should leverage federated learning (privacy) and foundation models (generalization), pivoting evaluation from point-performance toward epistemic robustness via conformal prediction. This ensures safety through human-in-the-loop evaluation and structural causal modeling to formalize the actuator-response map."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This proof-of-concept establishes the analytic validity of AI for refractive planning, suggesting a potential framework to model the nonlinear reciprocity between asphericity and defocus. Continuous targets mitigate quantization-induced information deficits (0.25 D, 5° step). Despite retrospective limits, joint optimization in a structured latent space captures complex optical couplings inaccessible to nomograms.…",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 340,
      "source_fields": {
        "Abstract Final Identifier": "FP23.10",
        "Title": "Machine Learning–Based Prediction Of Lasik Console Inputs\nFor Aspheric Planning (Q-Factor, Defocus, Astigmatism):\nA Translational Methods Study",
        "Presenting Author(s)": "Dr Steven Garnier",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Steven",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garnier",
        "Country Name": "France",
        "Purpose": "To develop an artificial intelligence (AI)-based framework to determine optimal clinical console settings for aspheric excimer laser surgery. This addresses the noisy, nonlinear, high-dimensional mapping between programmed inputs and delivered corneal shape.\n\nGiven the weak, context-dependent cross-coupling between programmed Q-factor and delivered asphericity or induced defocus, we benchmark machine-learning regressors against traditional linear model to predict console-ready Q-factor, defocus, and astigmatism. We quantify out-of-sample accuracy and calibration while characterizing residual behavior (bias, dispersion, tail risk) to establish the analytic validity required prior to prospective clinical evaluation.",
        "Setting": "Retrospective translational analysis of anonymized LASIK treatments from a single center and a single surgeon in France. Derivation cohort (July 2017–Sept 2023): TENEO 317 excimer aspheric ablations with FEMTO LDV Z2 femtosecond flap creation. External validation cohort (Sept 2023–Aug 2024): temporal/device shift using a second TENEO 317 unit under matched protocols. Supracor and aberrometry-guided treatments were excluded.",
        "Methods": "Treatment planning was cast as an inverse-identification multi-output regression . To bypass quantization-induced error floors , targets were resolved at 0.01 D/1° . Z-standardized features underwent dimensionality reduction ( L1-Lasso , Pillai’s trace ), optimized via hyperparameter-tuned forward nested cross-validation to constrain degrees of freedom . An orthonormal 2 × 2 Hadamard rotation was applied to 4D Zernike-basis power-vector aberrometric states to attenuate common-mode noise . Benchmarks included Bayesian , Gradient Boosted Bagging , V anilla MultiLayer Perceptron , and Linear model . Analytic validity was interrogated through standardized heteroscedastic tail-risk diagnostics and higher-order residual moments (skewness, kurtosis).",
        "Results": "Derivation included 2,448 eyes; external validation 147 eyes (temporal/device shift). Aberrometer noise floor for defocus was S w ​ = 0.15 D. Programmed defocus linearly predicted outcome ( R 2 = 0.97 ), but Q-factor explained only 51% of spherical aberration change and weakly predicted defocus cross-coupling ( R 2 = 0.12 ).\n\nThe Bayesian Dynamic Multi-head (BDMH) network, integrating latent-variable representations and heteroscedastic noise modeling, performed best; on external validation, the Mean Absolute Error (MAE) is 0.22 D for defocus ( R 2 = 0.98 ) and 0.21 for Q-factor ( R 2 = 0.81 ). The framework yielded consistent accuracy on a separate hardware unit, with predictive mean error (0.22 D) remaining near the instrument’s noise floor (0.15 D).",
        "Conclusions": "This proof-of-concept establishes the analytic validity of AI for refractive planning, suggesting a potential framework to model the nonlinear reciprocity between asphericity and defocus. Continuous targets mitigate quantization-induced information deficits (0.25 D, 5° step). Despite retrospective limits, joint optimization in a structured latent space captures complex optical couplings inaccessible to nomograms.\n\nFuture scaling should leverage federated learning (privacy) and foundation models (generalization), pivoting evaluation from point-performance toward epistemic robustness via conformal prediction. This ensures safety through human-in-the-loop evaluation and structural causal modeling to formalize the actuator-response map."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 440
    },
    {
      "uid": "FP23.11",
      "abstract_number": "FP23.11",
      "title": "Retrospective Analysis Of The Impact Of Dry Eye Disease And Its Treatment On The Tomographic Biomechanical Index Optimized For East Asian Populations (Ctbi) In Filipino Laser Vision Correction Candidates",
      "authors": "Dr Maureen Anne Naguit Reyes",
      "presenter": "Dr Maureen Anne Naguit Reyes",
      "normalized_authors": [
        "Maureen Anne Naguit Reyes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maureen Anne Naguit Reyes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To evaluate the association between dry eye disease (DED) and the corneal tomographic biomechanical index optimized for East Asian Populations (cTBI) in Filipino adults undergoing laser vision correction screening and to determine whether DED or its treatment alters corneal tomographic biomechanical measurements that may confound ectasia risk stratification.",
        "Setting": "Laser Refractive Center, The Medical City, Philippines",
        "Methods": "Retrospective observational study of 298 eyes (149 adults) screened for laser vision correction. Clinicodemographic data, tear breakup time (TBUT), tear breakup pattern, corneal staining, and cTBI measurements from the Pentacam® AXL Wave (Oculus Optikgeräte GmbH; Wetzlar, Germany) and OCULUS Corvis® ST (Wetzlar, Germany) were collected before and after DED treatment. Eyes were stratified by DED status. Each eye was analyzed separately.",
        "Results": "DED prevalence was 84.6% (n=126 patients). Patients with DED showed worse tear film stability and staining but similar refractive profiles. Baseline and post-treatment cTBI values did not differ between DED and non-DED groups (p>0.05). Post-treatment of DED, 98.64% (n=217 eyes) remained normal, 14.29% (n=2 eyes) improved from suspicious to normal, and 40% (n=2 eyes) improved from abnormal to normal. Nonetheless, within-group changes were minimal and nonsignificant. Absolute, relative, and difference-in-differences analyses showed no effect of DED on cTBI. Subgroup analyses by TBUT, tear breakup pattern, and corneal staining demonstrated consistent stability of tomographic biomechanical measures, with minimal risk category transitions.",
        "Conclusions": "Despite a high prevalence of ocular surface disease, DED and short-term treatment did not meaningfully influence cTBI. Corneal tomographic biomechanical assessment remained stable across groups, supporting the reliability of cTBI for laser vision correction screening even in patients with tear film instability. While this study shows that DED is unlikely to be a major confounder in tomographic biomechanical risk evaluation, larger prospective investigations are recommended for risk category transitions among eyes with DED."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite a high prevalence of ocular surface disease, DED and short-term treatment did not meaningfully influence cTBI. Corneal tomographic biomechanical assessment remained stable across groups, supporting the reliability of cTBI for laser vision correction screening even in patients with tear film instability. While this study shows that DED is unlikely to be a major confounder in tomographic biomechanical risk…",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 341,
      "source_fields": {
        "Abstract Final Identifier": "FP23.11",
        "Title": "Retrospective Analysis Of The Impact Of Dry Eye Disease And Its Treatment On The Tomographic Biomechanical Index Optimized For East Asian Populations (Ctbi) In Filipino Laser Vision Correction Candidates",
        "Presenting Author(s)": "Dr Maureen Anne Naguit Reyes",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Maureen Anne",
        "Submitter Middle Name": "Naguit",
        "Submitter Last Name": "Reyes",
        "Country Name": "Philippines",
        "Purpose": "To evaluate the association between dry eye disease (DED) and the corneal tomographic biomechanical index optimized for East Asian Populations (cTBI) in Filipino adults undergoing laser vision correction screening and to determine whether DED or its treatment alters corneal tomographic biomechanical measurements that may confound ectasia risk stratification.",
        "Setting": "Laser Refractive Center, The Medical City, Philippines",
        "Methods": "Retrospective observational study of 298 eyes (149 adults) screened for laser vision correction. Clinicodemographic data, tear breakup time (TBUT), tear breakup pattern, corneal staining, and cTBI measurements from the Pentacam® AXL Wave (Oculus Optikgeräte GmbH; Wetzlar, Germany) and OCULUS Corvis® ST (Wetzlar, Germany) were collected before and after DED treatment. Eyes were stratified by DED status. Each eye was analyzed separately.",
        "Results": "DED prevalence was 84.6% (n=126 patients). Patients with DED showed worse tear film stability and staining but similar refractive profiles. Baseline and post-treatment cTBI values did not differ between DED and non-DED groups (p>0.05). Post-treatment of DED, 98.64% (n=217 eyes) remained normal, 14.29% (n=2 eyes) improved from suspicious to normal, and 40% (n=2 eyes) improved from abnormal to normal. Nonetheless, within-group changes were minimal and nonsignificant. Absolute, relative, and difference-in-differences analyses showed no effect of DED on cTBI. Subgroup analyses by TBUT, tear breakup pattern, and corneal staining demonstrated consistent stability of tomographic biomechanical measures, with minimal risk category transitions.",
        "Conclusions": "Despite a high prevalence of ocular surface disease, DED and short-term treatment did not meaningfully influence cTBI. Corneal tomographic biomechanical assessment remained stable across groups, supporting the reliability of cTBI for laser vision correction screening even in patients with tear film instability. While this study shows that DED is unlikely to be a major confounder in tomographic biomechanical risk evaluation, larger prospective investigations are recommended for risk category transitions among eyes with DED."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "FP23.12",
      "abstract_number": "FP23.12",
      "title": "Retinal Safety Assessment Of A Repeated Low-Level Red-Light Laser Device For Myopia Management: Laboratory Measurement And Injury-Threshold Modelling",
      "authors": "Prof. John Marshall",
      "presenter": "Prof. John Marshall",
      "normalized_authors": [
        "John Marshall"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanil Joseph",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "Repeated low-level red-light (RLRL) therapy is increasingly used for myopia control in children; however, recent reports have raised retinal safety concerns. This study evaluated retinal safety of the Eyerising Myopia Management Device (EMMD) by measuring emission parameters under worst-case conditions and comparing exposures with established thermal and photochemical injury thresholds and human volunteer data.",
        "Setting": "Laboratory-based device safety evaluation conducted in an accredited optical radiation testing facility (Seibersdorf Labor GmbH, Austria), with analytical comparison to published retinal injury threshold datasets and human exposure studies.",
        "Methods": "Two EMMD devices were assessed under worst-case conditions. Wavelength, power output, and retinal image characteristics were measured using spectrometry, integrating sphere power measurements, and CCD beam profiling with an artificial eye model. Exposure levels were compared with IEC laser classification limits, maximum permissible exposure (MPE) values, and experimentally derived thermal injury thresholds using validated computational modelling. Photochemical hazard additivity and repair kinetics were analysed for repeated daily exposures.",
        "Results": "EMMD emitted radiation at 654–655 nm with intraocular power ≈1 mW through a 7 mm pupil, placing the device in laser Class 3R but marginally above Class 2 limits. Corneal irradiance (~26 W m⁻²) remained well below conservative photochemical MPE limits. Thermal injury modelling predicted retinal damage thresholds substantially above device exposure levels, even under stationary worst-case assumptions. Comparison with human volunteer data involving higher power exposures revealed no objective or subjective retinal injury, providing an additional empirical safety margin.",
        "Conclusions": "Measured emission parameters, injury-threshold modelling, and empirical exposure data demonstrate that EMMD operates within conservative retinal safety margins under prescribed treatment protocols. These findings support the safe clinical application of RLRL therapy when delivered using controlled exposure regimens while emphasising continued monitoring in photosensitive individuals."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Measured emission parameters, injury-threshold modelling, and empirical exposure data demonstrate that EMMD operates within conservative retinal safety margins under prescribed treatment protocols. These findings support the safe clinical application of RLRL therapy when delivered using controlled exposure regimens while emphasising continued monitoring in photosensitive individuals.",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 342,
      "source_fields": {
        "Abstract Final Identifier": "FP23.12",
        "Title": "Retinal Safety Assessment Of A Repeated Low-Level Red-Light Laser Device For Myopia Management: Laboratory Measurement And Injury-Threshold Modelling",
        "Presenting Author(s)": "Prof. John Marshall",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Sanil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Joseph",
        "Country Name": "Australia",
        "Purpose": "Repeated low-level red-light (RLRL) therapy is increasingly used for myopia control in children; however, recent reports have raised retinal safety concerns. This study evaluated retinal safety of the Eyerising Myopia Management Device (EMMD) by measuring emission parameters under worst-case conditions and comparing exposures with established thermal and photochemical injury thresholds and human volunteer data.",
        "Setting": "Laboratory-based device safety evaluation conducted in an accredited optical radiation testing facility (Seibersdorf Labor GmbH, Austria), with analytical comparison to published retinal injury threshold datasets and human exposure studies.",
        "Methods": "Two EMMD devices were assessed under worst-case conditions. Wavelength, power output, and retinal image characteristics were measured using spectrometry, integrating sphere power measurements, and CCD beam profiling with an artificial eye model. Exposure levels were compared with IEC laser classification limits, maximum permissible exposure (MPE) values, and experimentally derived thermal injury thresholds using validated computational modelling. Photochemical hazard additivity and repair kinetics were analysed for repeated daily exposures.",
        "Results": "EMMD emitted radiation at 654–655 nm with intraocular power ≈1 mW through a 7 mm pupil, placing the device in laser Class 3R but marginally above Class 2 limits. Corneal irradiance (~26 W m⁻²) remained well below conservative photochemical MPE limits. Thermal injury modelling predicted retinal damage thresholds substantially above device exposure levels, even under stationary worst-case assumptions. Comparison with human volunteer data involving higher power exposures revealed no objective or subjective retinal injury, providing an additional empirical safety margin.",
        "Conclusions": "Measured emission parameters, injury-threshold modelling, and empirical exposure data demonstrate that EMMD operates within conservative retinal safety margins under prescribed treatment protocols. These findings support the safe clinical application of RLRL therapy when delivered using controlled exposure regimens while emphasising continued monitoring in photosensitive individuals."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "FP23.13",
      "abstract_number": "FP23.13",
      "title": "Arcscan Insight 100-Derived Measurements Of Ciliary Body Inner Diameter In Myopic Chinese Adults: Distribution, Determinants, And Implications For Icl Sizing",
      "authors": "Dr Yimeng Fan",
      "presenter": "Dr Yimeng Fan",
      "normalized_authors": [
        "Yimeng Fan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yimeng Fan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the distribution and determinants of ciliary body inner diameter (CBID) in Chinese myopic adults using ArcScan Insight® 100 and evaluate its implication for Implantable Collamer Lens (ICL) sizing.",
        "Setting": "This study was conducted at the Department of Ophthalmology in The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China",
        "Methods": "In this cross-sectional study, 107 myopic eyes (58 subjects) were enrolled. Anterior segment parameters, including CBID, were measured using ArcScan Insight 100. Regression analyses were performed to identify predictors of CBID. ICL sizes calculated via the Reinstein formula (incorporating CBID) were compared with those from the STAAR OCOS formula (based on white-to-white diameter).",
        "Results": "Mean CBID was 10.80 ± 0.48 (range 9.76 to 11.97) mm. Multivariate analysis revealed CBID was independently associated with younger age (P=0.020), lower crystalline lens rise (CLR, P=0.004), wider sulcus-to-sulcus diameter (STS, P<0.001), and smaller STS lens rise (STSL, P=0.013). Stepwise regression identified STS (partial R²=0.602) and CLR (partial R²=0.019) as primary contributors, explaining 62.1% of CBID variability. Reinstein formula-recommended ICL sizes differed significantly from OCOS-based sizes (χ²=9.232, P=0.010), with 28% of eyes requiring a 1-size reduction.",
        "Conclusions": "This is the first study characterizing CBID in Chinese myopes. CBID is an important post chamber parameter influenced by multiple ocular anatomical parameters, among which the STS is the largest independent predictor. The Reinstein formula, which incorporates CBID, resulted in different ICL size recommendations for half of the eyes compared to the traditional WTW-based method. These findings highlight the potential of CBID to refine ICL sizing, though its direct impact on vault prediction accuracy requires future surgical validation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is the first study characterizing CBID in Chinese myopes. CBID is an important post chamber parameter influenced by multiple ocular anatomical parameters, among which the STS is the largest independent predictor. The Reinstein formula, which incorporates CBID, resulted in different ICL size recommendations for half of the eyes compared to the traditional WTW-based method. These findings highlight the potential…",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 343,
      "source_fields": {
        "Abstract Final Identifier": "FP23.13",
        "Title": "Arcscan Insight 100-Derived Measurements Of Ciliary Body Inner Diameter In Myopic Chinese Adults: Distribution, Determinants, And Implications For Icl Sizing",
        "Presenting Author(s)": "Dr Yimeng Fan",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Yimeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fan",
        "Country Name": "China",
        "Purpose": "To investigate the distribution and determinants of ciliary body inner diameter (CBID) in Chinese myopic adults using ArcScan Insight® 100 and evaluate its implication for Implantable Collamer Lens (ICL) sizing.",
        "Setting": "This study was conducted at the Department of Ophthalmology in The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China",
        "Methods": "In this cross-sectional study, 107 myopic eyes (58 subjects) were enrolled. Anterior segment parameters, including CBID, were measured using ArcScan Insight 100. Regression analyses were performed to identify predictors of CBID. ICL sizes calculated via the Reinstein formula (incorporating CBID) were compared with those from the STAAR OCOS formula (based on white-to-white diameter).",
        "Results": "Mean CBID was 10.80 ± 0.48 (range 9.76 to 11.97) mm. Multivariate analysis revealed CBID was independently associated with younger age (P=0.020), lower crystalline lens rise (CLR, P=0.004), wider sulcus-to-sulcus diameter (STS, P<0.001), and smaller STS lens rise (STSL, P=0.013). Stepwise regression identified STS (partial R²=0.602) and CLR (partial R²=0.019) as primary contributors, explaining 62.1% of CBID variability. Reinstein formula-recommended ICL sizes differed significantly from OCOS-based sizes (χ²=9.232, P=0.010), with 28% of eyes requiring a 1-size reduction.",
        "Conclusions": "This is the first study characterizing CBID in Chinese myopes. CBID is an important post chamber parameter influenced by multiple ocular anatomical parameters, among which the STS is the largest independent predictor. The Reinstein formula, which incorporates CBID, resulted in different ICL size recommendations for half of the eyes compared to the traditional WTW-based method. These findings highlight the potential of CBID to refine ICL sizing, though its direct impact on vault prediction accuracy requires future surgical validation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "FP23.14",
      "abstract_number": "FP23.14",
      "title": "Structural Diversity In High Myopia: Three Anatomical Phenotypes Identified By Anatomical Equivalent Refraction With Different Risks Of Visual Impairment And Implications For Refractive Surgery",
      "authors": "Mr Clement Kangombe",
      "presenter": "Mr Clement Kangombe",
      "normalized_authors": [
        "Clement Kangombe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clement Kangombe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ireland",
      "sections": {
        "Purpose": "To characterise structural determinants of refractive error and visual function in high myopia using Anatomical Equivalent Refraction (AER), the expected refraction based solely on ocular anatomy, and to identify distinct anatomical subtypes with differing risks of visual impairment. A secondary aim was to explore how these phenotypes might inform risk stratification and counselling in refractive surgery candidates.",
        "Setting": "This study utilised data from the UK Biobank, a large population-based cohort study comprising multimodal ophthalmic imaging and biometric measurements. The analysis included eyes with highly myopic refractive errors (subset SER ≤ −6.0 D, n = 460; SER = spherical equivalent refraction) that had available fundus imaging, OCT-derived choroidal thickness (CHT; derived from OCT using a novel, objective AI algorithm) measurements, axial length (AXL) measurements, and visual function assessments.",
        "Methods": "Following AI model training for AER on 40,068 eyes from the UK Biobank, we analysed an independent cohort of 460 highly myopic eyes in adults in the typical refractive-surgery age range (range, 29–72). Structural and functional parameters included fundus AER, AXL, CHT, SER, fundus deviation (fundus AER − SER), and visual acuity (logMAR). Multivariable linear regression was used to identify the structural determinants of SER (AXL, CHT, fundus AER, fundus deviation, age, and sex) and to assess the associations between structural metrics and visual acuity, adjusted for age and sex. Unsupervised k-means clustering on structural features (AXL, CHT, fundus AER and fundus deviation) was used to identify anatomical subtypes.",
        "Results": "In 460 eyes (mean age 41.0 ± 6.3 years, mean SER −7.81D), unsupervised clustering identified three distinct structural phenotypes:\n\n• Cluster 1 – “Advanced structural” high myopia: marked axial elongation (mean AXL 30.4mm), very high myopia (SER~ −17.4D) and poorest visual acuity.\n\n• Cluster 2 – “Disproportionately elongated” phenotype: longer AXL, thinner choroid, fundal appearance worse than expected for SER, and reduced visual acuity compared with Cluster 3.\n\n• Cluster 3 – “Structurally mild” high myopia: relatively shorter AXL, thicker choroid, less negative SER (mean~ -7.4D) and preserved visual function.\n\nVisual acuity differed across clusters (p < 0.001). Fundus AER and AXL were independently associated with SER (β=0.40 and −0.51; both p<0.001).",
        "Conclusions": "High myopia in adults can be partitioned into three reproducible anatomical phenotypes with distinct visual prognoses. For refractive surgeons, AER-based phenotyping may provide a practical framework to:\n\n• distinguish “structurally mild” from high-risk high myopia,\n\n• identify eyes in which refractive error underestimates structural damage, and\n\n• refine patient selection, choice of procedure, and visual prognosis counselling in high myopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High myopia in adults can be partitioned into three reproducible anatomical phenotypes with distinct visual prognoses. For refractive surgeons, AER-based phenotyping may provide a practical framework to: • distinguish “structurally mild” from high-risk high myopia, • identify eyes in which refractive error underestimates structural damage, and • refine patient selection, choice of procedure, and visual prognosis…",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 344,
      "source_fields": {
        "Abstract Final Identifier": "FP23.14",
        "Title": "Structural Diversity In High Myopia: Three Anatomical Phenotypes Identified By Anatomical Equivalent Refraction With Different Risks Of Visual Impairment And Implications For Refractive Surgery",
        "Presenting Author(s)": "Mr Clement Kangombe",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Clement",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kangombe",
        "Country Name": "Ireland",
        "Purpose": "To characterise structural determinants of refractive error and visual function in high myopia using Anatomical Equivalent Refraction (AER), the expected refraction based solely on ocular anatomy, and to identify distinct anatomical subtypes with differing risks of visual impairment. A secondary aim was to explore how these phenotypes might inform risk stratification and counselling in refractive surgery candidates.",
        "Setting": "This study utilised data from the UK Biobank, a large population-based cohort study comprising multimodal ophthalmic imaging and biometric measurements. The analysis included eyes with highly myopic refractive errors (subset SER ≤ −6.0 D, n = 460; SER = spherical equivalent refraction) that had available fundus imaging, OCT-derived choroidal thickness (CHT; derived from OCT using a novel, objective AI algorithm) measurements, axial length (AXL) measurements, and visual function assessments.",
        "Methods": "Following AI model training for AER on 40,068 eyes from the UK Biobank, we analysed an independent cohort of 460 highly myopic eyes in adults in the typical refractive-surgery age range (range, 29–72). Structural and functional parameters included fundus AER, AXL, CHT, SER, fundus deviation (fundus AER − SER), and visual acuity (logMAR). Multivariable linear regression was used to identify the structural determinants of SER (AXL, CHT, fundus AER, fundus deviation, age, and sex) and to assess the associations between structural metrics and visual acuity, adjusted for age and sex. Unsupervised k-means clustering on structural features (AXL, CHT, fundus AER and fundus deviation) was used to identify anatomical subtypes.",
        "Results": "In 460 eyes (mean age 41.0 ± 6.3 years, mean SER −7.81D), unsupervised clustering identified three distinct structural phenotypes:\n\n• Cluster 1 – “Advanced structural” high myopia: marked axial elongation (mean AXL 30.4mm), very high myopia (SER~ −17.4D) and poorest visual acuity.\n\n• Cluster 2 – “Disproportionately elongated” phenotype: longer AXL, thinner choroid, fundal appearance worse than expected for SER, and reduced visual acuity compared with Cluster 3.\n\n• Cluster 3 – “Structurally mild” high myopia: relatively shorter AXL, thicker choroid, less negative SER (mean~ -7.4D) and preserved visual function.\n\nVisual acuity differed across clusters (p < 0.001). Fundus AER and AXL were independently associated with SER (β=0.40 and −0.51; both p<0.001).",
        "Conclusions": "High myopia in adults can be partitioned into three reproducible anatomical phenotypes with distinct visual prognoses. For refractive surgeons, AER-based phenotyping may provide a practical framework to:\n\n• distinguish “structurally mild” from high-risk high myopia,\n\n• identify eyes in which refractive error underestimates structural damage, and\n\n• refine patient selection, choice of procedure, and visual prognosis counselling in high myopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 407
    },
    {
      "uid": "FP23.15",
      "abstract_number": "FP23.15",
      "title": "Large Language Model–Assisted Training And Objective Assessment For Smile Pro With The Visumax 800",
      "authors": "Prof. Kangjun Li",
      "presenter": "Prof. Kangjun Li",
      "normalized_authors": [
        "Kangjun Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kangjun Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the effect of a large language model (LLM)–based interactive training system (ChatGPT-5.1 Thinking; OpenAI, San Francisco, California) on surgical performance in Keratorefractive Lenticule Extraction (KLEx) platform (SMILE Pro, VisuMax 800; Carl Zeiss Meditec, Jena, Germany) compared with conventional training alone in novice surgeons.",
        "Setting": "Prospective, randomized, controlled, parallel-group clinical trial.",
        "Methods": "Eligible surgeons were randomly assigned (1:1) to receive either standard SMILE Pro training (didactic lectures, instructional videos, and at least one proctored wet-lab session) or the same program supplemented with access to an LLM-based tutor (ChatGPT-5.1 Thinking). The tutor provided step-by-step explanations of the SMILE Pro workflow, interactive question-and-answer sessions, case-based scenarios, checklists for preoperative planning, and brief formative quizzes with immediate feedback. Before and after the training period, all surgeons completed a standardized theoretical examination and a structured assessment of SMILE Pro technique using wet-lab or model-eye procedures.",
        "Results": "A total of 24 surgeons were randomized (12 to the LLM group, 12 to the control group); baseline demographic characteristics, prior refractive surgery exposure, and theoretical scores were similar between groups (all P > 0.05). After training, mean step-based performance scores were higher in the LLM group than in the control group (92.58 ± 8.9 vs 88.68 ± 9.8; P < 0.05), and a greater proportion of surgeons in the LLM met the predefined competency threshold 83.3% vs 75%; P < 0.05). Improvement in theoretical knowledge from baseline was greater in the LLM group (Δscore 92.58 ± 8.9 vs 88.68 ± 9.8; P < 0.05).",
        "Conclusions": "In novice SMILE Pro surgeons, an interactive training program based on a large language model (ChatGPT-5.1 Thinking) resulted in superior step-based surgical performance and greater gains in theoretical knowledge compared with conventional training alone, without compromising early patient outcomes. Integration of an LLM-driven tutor into a standardized procedural framework may offer a scalable, data-informed approach to refractive surgery education that complements emerging AI-based methods for surgical supervision and assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In novice SMILE Pro surgeons, an interactive training program based on a large language model (ChatGPT-5.1 Thinking) resulted in superior step-based surgical performance and greater gains in theoretical knowledge compared with conventional training alone, without compromising early patient outcomes. Integration of an LLM-driven tutor into a standardized procedural framework may offer a scalable, data-informed…",
      "session_type": "Free Paper",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 345,
      "source_fields": {
        "Abstract Final Identifier": "FP23.15",
        "Title": "Large Language Model–Assisted Training And Objective Assessment For Smile Pro With The Visumax 800",
        "Presenting Author(s)": "Prof. Kangjun Li",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Kangjun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To evaluate the effect of a large language model (LLM)–based interactive training system (ChatGPT-5.1 Thinking; OpenAI, San Francisco, California) on surgical performance in Keratorefractive Lenticule Extraction (KLEx) platform (SMILE Pro, VisuMax 800; Carl Zeiss Meditec, Jena, Germany) compared with conventional training alone in novice surgeons.",
        "Setting": "Prospective, randomized, controlled, parallel-group clinical trial.",
        "Methods": "Eligible surgeons were randomly assigned (1:1) to receive either standard SMILE Pro training (didactic lectures, instructional videos, and at least one proctored wet-lab session) or the same program supplemented with access to an LLM-based tutor (ChatGPT-5.1 Thinking). The tutor provided step-by-step explanations of the SMILE Pro workflow, interactive question-and-answer sessions, case-based scenarios, checklists for preoperative planning, and brief formative quizzes with immediate feedback. Before and after the training period, all surgeons completed a standardized theoretical examination and a structured assessment of SMILE Pro technique using wet-lab or model-eye procedures.",
        "Results": "A total of 24 surgeons were randomized (12 to the LLM group, 12 to the control group); baseline demographic characteristics, prior refractive surgery exposure, and theoretical scores were similar between groups (all P > 0.05). After training, mean step-based performance scores were higher in the LLM group than in the control group (92.58 ± 8.9 vs 88.68 ± 9.8; P < 0.05), and a greater proportion of surgeons in the LLM met the predefined competency threshold 83.3% vs 75%; P < 0.05). Improvement in theoretical knowledge from baseline was greater in the LLM group (Δscore 92.58 ± 8.9 vs 88.68 ± 9.8; P < 0.05).",
        "Conclusions": "In novice SMILE Pro surgeons, an interactive training program based on a large language model (ChatGPT-5.1 Thinking) resulted in superior step-based surgical performance and greater gains in theoretical knowledge compared with conventional training alone, without compromising early patient outcomes. Integration of an LLM-driven tutor into a standardized procedural framework may offer a scalable, data-informed approach to refractive surgery education that complements emerging AI-based methods for surgical supervision and assessment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "FP24.01",
      "abstract_number": "FP24.01",
      "title": "Comparative Analysis Of Astigmatism, Visual Outcomes, And Complications Between Canabrava And Yamane Sfiol Techniques.",
      "authors": "Dr Sohee Jeon",
      "presenter": "Dr Sohee Jeon",
      "normalized_authors": [
        "Sohee Jeon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sohee Jeon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "The purpose of this study was to compare the clinical outcomes of two scleral-fixated intraocular lens (SFIOL) techniques, specifically evaluating postoperative astigmatism, visual acuity, and complication rates between the Canabrava and Yamane methods.",
        "Setting": "A single university hospital.",
        "Methods": "A retrospective analysis was conducted on patients who underwent SFIOL at Inje University Busan Paik Hospital between February 2020 and March 2025. Patients with a follow-up duration of at least one month were included. Exclusion criteria consisted of cases with penetrating trauma, corneal surgery within three months of the SFIOL procedure, or a lack of postoperative refraction and keratometry data. The primary outcome was IOL-related astigmatism (LA), calculated using a vector analysis formula. Secondary outcomes included total astigmatism and postoperative complications.",
        "Results": "Among a total of 294 eyes, 83 in the Canabrava group and 143 in the Yamane group were enrolled. The Canabrava group showed significantly lower LA at all time points (1, 3 months, and last follow-up). At the last follow-up, mean LA was 0.62±0.38 D for Canabrava vs 1.06±0.90 D for Yamane (p<0.001). Final LA ≥1 D was more frequent in the Yamane group (39.7%) than the Canabrava group (16.2%, p<0.001). Complication-free survival showed no significant difference for most complications. However, optic capture occurred only in the Yamane group (7.7%, p=0.008), while flange dislodgement was more common in the Canabrava group (7.2%, p=0.011). Mean operating time was longer for Canabrava (18.1±4.62 min) than Yamane (12.0±3.77 min, p<0.001).",
        "Conclusions": "Although the Canabrava technique requires longer surgical time, it provides superior refractive stability by significantly reducing LA compared to the Yamane technique. While the Canabrava method was associated with a lower incidence of optic capture, a higher rate of flange dislodgement was observed. Further large-scale studies with long-term follow-up are warranted to fully evaluate the clinical safety and durability of these two techniques."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although the Canabrava technique requires longer surgical time, it provides superior refractive stability by significantly reducing LA compared to the Yamane technique. While the Canabrava method was associated with a lower incidence of optic capture, a higher rate of flange dislodgement was observed. Further large-scale studies with long-term follow-up are warranted to fully evaluate the clinical safety and…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 346,
      "source_fields": {
        "Abstract Final Identifier": "FP24.01",
        "Title": "Comparative Analysis Of Astigmatism, Visual Outcomes, And Complications Between Canabrava And Yamane Sfiol Techniques.",
        "Presenting Author(s)": "Dr Sohee Jeon",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sohee",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "The purpose of this study was to compare the clinical outcomes of two scleral-fixated intraocular lens (SFIOL) techniques, specifically evaluating postoperative astigmatism, visual acuity, and complication rates between the Canabrava and Yamane methods.",
        "Setting": "A single university hospital.",
        "Methods": "A retrospective analysis was conducted on patients who underwent SFIOL at Inje University Busan Paik Hospital between February 2020 and March 2025. Patients with a follow-up duration of at least one month were included. Exclusion criteria consisted of cases with penetrating trauma, corneal surgery within three months of the SFIOL procedure, or a lack of postoperative refraction and keratometry data. The primary outcome was IOL-related astigmatism (LA), calculated using a vector analysis formula. Secondary outcomes included total astigmatism and postoperative complications.",
        "Results": "Among a total of 294 eyes, 83 in the Canabrava group and 143 in the Yamane group were enrolled. The Canabrava group showed significantly lower LA at all time points (1, 3 months, and last follow-up). At the last follow-up, mean LA was 0.62±0.38 D for Canabrava vs 1.06±0.90 D for Yamane (p<0.001). Final LA ≥1 D was more frequent in the Yamane group (39.7%) than the Canabrava group (16.2%, p<0.001). Complication-free survival showed no significant difference for most complications. However, optic capture occurred only in the Yamane group (7.7%, p=0.008), while flange dislodgement was more common in the Canabrava group (7.2%, p=0.011). Mean operating time was longer for Canabrava (18.1±4.62 min) than Yamane (12.0±3.77 min, p<0.001).",
        "Conclusions": "Although the Canabrava technique requires longer surgical time, it provides superior refractive stability by significantly reducing LA compared to the Yamane technique. While the Canabrava method was associated with a lower incidence of optic capture, a higher rate of flange dislodgement was observed. Further large-scale studies with long-term follow-up are warranted to fully evaluate the clinical safety and durability of these two techniques."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "FP24.02",
      "abstract_number": "FP24.02",
      "title": "Comparison Of Horizontal And Vertical Intraocular Lens Fixation In The Flanged Intrascleral Haptic Fixation Technique",
      "authors": "Dr Ahmet Sefa Duman",
      "presenter": "Dr Ahmet Sefa Duman",
      "normalized_authors": [
        "Ahmet Sefa Duman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Sefa Duman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the effect of fixation of the intraocular lens (IOL) in horizontal (H) and vertical (V) planes on visual outcomes in the flanged intrascleral haptic fixation technique.",
        "Setting": "Yozgat City Hospital, Türkiye.",
        "Methods": "This retrospective study was conducted on 64 eyes of 64 patients (Group H: 38, Group V: 26). Surgical indications were aphakia and single- or three-piece IOL subluxation. The reference points for fixation were the 3 and 9 o'clock quadrants for Group H and the 6 and 12 o'clock quadrants for Group V. Preoperative, intraoperative, and six-month postoperative data of all participants were analyzed.",
        "Results": "Both groups had significantly increased visual acuity at postoperative 6 months (p<0.05); however, no significant differences were found regarding postoperative 6-month visual acuity, refraction values, or lenticular astigmatism (p>0.05). The groups also did not significantly differ in mean keratometry, anterior chamber depth, horizontal corneal radius, axial length, and intraocular pressure measurements (p>0.05). Although there were no intraoperative or late postoperative (>3 months) complications (p>0.05), a significant difference was noted for early postoperative (<1 month) complications, with conjunctival hyperemia occurring in 4 patients in Group V but no patients in Group H (p=0.004).",
        "Conclusions": "Intrascleral haptic fixation in horizontal and vertical planes had similar efficacy and safety in terms of visual acuity, refractive outcomes, anterior segment parameters, and IOL centralization. Although conjunctival effects were more common in Group V, there were no significant differences in other complications. Therefore, both planes may be preferred as alternative quadrants in this technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intrascleral haptic fixation in horizontal and vertical planes had similar efficacy and safety in terms of visual acuity, refractive outcomes, anterior segment parameters, and IOL centralization. Although conjunctival effects were more common in Group V, there were no significant differences in other complications. Therefore, both planes may be preferred as alternative quadrants in this technique.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 347,
      "source_fields": {
        "Abstract Final Identifier": "FP24.02",
        "Title": "Comparison Of Horizontal And Vertical Intraocular Lens Fixation In The Flanged Intrascleral Haptic Fixation Technique",
        "Presenting Author(s)": "Dr Ahmet Sefa Duman",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "Sefa",
        "Submitter Last Name": "Duman",
        "Country Name": "Türkiye",
        "Purpose": "To compare the effect of fixation of the intraocular lens (IOL) in horizontal (H) and vertical (V) planes on visual outcomes in the flanged intrascleral haptic fixation technique.",
        "Setting": "Yozgat City Hospital, Türkiye.",
        "Methods": "This retrospective study was conducted on 64 eyes of 64 patients (Group H: 38, Group V: 26). Surgical indications were aphakia and single- or three-piece IOL subluxation. The reference points for fixation were the 3 and 9 o'clock quadrants for Group H and the 6 and 12 o'clock quadrants for Group V. Preoperative, intraoperative, and six-month postoperative data of all participants were analyzed.",
        "Results": "Both groups had significantly increased visual acuity at postoperative 6 months (p<0.05); however, no significant differences were found regarding postoperative 6-month visual acuity, refraction values, or lenticular astigmatism (p>0.05). The groups also did not significantly differ in mean keratometry, anterior chamber depth, horizontal corneal radius, axial length, and intraocular pressure measurements (p>0.05). Although there were no intraoperative or late postoperative (>3 months) complications (p>0.05), a significant difference was noted for early postoperative (<1 month) complications, with conjunctival hyperemia occurring in 4 patients in Group V but no patients in Group H (p=0.004).",
        "Conclusions": "Intrascleral haptic fixation in horizontal and vertical planes had similar efficacy and safety in terms of visual acuity, refractive outcomes, anterior segment parameters, and IOL centralization. Although conjunctival effects were more common in Group V, there were no significant differences in other complications. Therefore, both planes may be preferred as alternative quadrants in this technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "FP24.03",
      "abstract_number": "FP24.03",
      "title": "Genetic Evaluation Of Patients With The Dead Bag Syndrome: Identifying Risk Factors For The Disease",
      "authors": "Dr Shail Vasavada",
      "presenter": "Dr Shail Vasavada",
      "normalized_authors": [
        "Shail Vasavada"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shail Vasavada",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To investigate potential genetic variants associated with spontaneous Posterior Capsule Rupture (sPCR) in patients diagnosed with Dead Bag Syndrome (DBS).",
        "Setting": "Iladevi Cataract and Intraocular lens (IOL) Research Centre",
        "Methods": "We collected blood samples from 30 DBS patients and 37 controls. Whole-exome sequencing (WES) was performed. Genetic variants in genes encoding extracellular matrix (ECM) components of the lens capsule were screened. The association of selected variants with DBS was analysed using the Optimal Unified Sequence Kernel Association Test (SKAT-O) in R and Logistic Regression. Genes showing significant associations were further analysed using in silico predictions via the Ensembl Variant Effect Predictor (eVEP) to assess their potential impact on protein function.",
        "Results": "Three genes— FBN2 (P=.027, OR=4.9, 95% CI=0.56–42.72), LAMB1 (P=.005, OR=11.0, 95% CI=1.56–77.31), and LAMB2 (P=.091, OR=8.2, 95% CI=1.03–65.57)—were found to be positively associated with DBS. A total of 15 distinct, functionally deleterious genetic variants, including 6 in FBN2 , 3 in LAMB1 , and 6 in LAMB2 genes were identified across 17 (56.7%) patients with DBS. Of the 17 patients, 5 (29.4%) carried a common genetic variant (p.Ile1547Thr; rs35915664, MAF=0.016) in the LAMB1 gene, which was absent in controls.",
        "Conclusions": "The genetic variants found in FBN2 , LAMB1 , and LAMB2 genes may compromise the strength and stability of the lens capsule over time, predisposing individuals to DBS and sPCR later in life. The study shows for the first time that the DBS has a genetic predisposition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The genetic variants found in FBN2 , LAMB1 , and LAMB2 genes may compromise the strength and stability of the lens capsule over time, predisposing individuals to DBS and sPCR later in life. The study shows for the first time that the DBS has a genetic predisposition.",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 348,
      "source_fields": {
        "Abstract Final Identifier": "FP24.03",
        "Title": "Genetic Evaluation Of Patients With The Dead Bag Syndrome: Identifying Risk Factors For The Disease",
        "Presenting Author(s)": "Dr Shail Vasavada",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Shail",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vasavada",
        "Country Name": "India",
        "Purpose": "To investigate potential genetic variants associated with spontaneous Posterior Capsule Rupture (sPCR) in patients diagnosed with Dead Bag Syndrome (DBS).",
        "Setting": "Iladevi Cataract and Intraocular lens (IOL) Research Centre",
        "Methods": "We collected blood samples from 30 DBS patients and 37 controls. Whole-exome sequencing (WES) was performed. Genetic variants in genes encoding extracellular matrix (ECM) components of the lens capsule were screened. The association of selected variants with DBS was analysed using the Optimal Unified Sequence Kernel Association Test (SKAT-O) in R and Logistic Regression. Genes showing significant associations were further analysed using in silico predictions via the Ensembl Variant Effect Predictor (eVEP) to assess their potential impact on protein function.",
        "Results": "Three genes— FBN2 (P=.027, OR=4.9, 95% CI=0.56–42.72), LAMB1 (P=.005, OR=11.0, 95% CI=1.56–77.31), and LAMB2 (P=.091, OR=8.2, 95% CI=1.03–65.57)—were found to be positively associated with DBS. A total of 15 distinct, functionally deleterious genetic variants, including 6 in FBN2 , 3 in LAMB1 , and 6 in LAMB2 genes were identified across 17 (56.7%) patients with DBS. Of the 17 patients, 5 (29.4%) carried a common genetic variant (p.Ile1547Thr; rs35915664, MAF=0.016) in the LAMB1 gene, which was absent in controls.",
        "Conclusions": "The genetic variants found in FBN2 , LAMB1 , and LAMB2 genes may compromise the strength and stability of the lens capsule over time, predisposing individuals to DBS and sPCR later in life. The study shows for the first time that the DBS has a genetic predisposition."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "FP24.04",
      "abstract_number": "FP24.04",
      "title": "Impact Of Capsular Tension Ring (Ctr) Implantation On Intraocular Lens (Iol) Stability And Posterior Capsule Apposition: An Ioct And As-Oct Study",
      "authors": "Dr Vaibhav Vishal",
      "presenter": "Dr Vaibhav Vishal",
      "normalized_authors": [
        "Vaibhav Vishal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaibhav Vishal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Impact of Capsular Tension Ring (CTR) Implantation on Intraocular Lens (IOL) Stability and Posterior Capsule Apposition: An iOCT and AS-OCT Study",
        "Setting": "Narayana Nethralaya Superspecialty Eye Hospital, Bangalore, India.",
        "Methods": "This prospective study included 251 eyes undergoing phacoemulsification. Intraoperative spectral-domain OCT (Rescan 700) was performed in 51 eyes to measure the vertical distance between the posterior capsule and IOL before and after CTR implantation using 11, 12, and 13 mm CTR sizes. Postoperative AS-OCT was performed in 200 eyes, divided into two groups (100 with CTR; 100 without CTR), to assess horizontal and vertical IOL tilt and decentration.",
        "Results": "CTR implantation significantly reduced the IOL–posterior capsule distance intraoperatively (p < 0.001), with the most substantial reduction observed with 13 mm CTRs. Postoperatively, AS-OCT analysis revealed no statistically significant differences in horizontal or vertical IOL tilt or decentration between the group with CTR and the group without CTR.",
        "Conclusions": "CTR implantation significantly enhances immediate intraoperative IOL–posterior capsule apposition, with larger ring sizes providing the most effective contact. Postoperatively, AS-OCT demonstrated that eyes with CTRs achieved excellent IOL stability, with tilt and decentration profiles that were equivalent to those of standard surgeries. These findings suggest that CTR implantation successfully facilitates a stable capsular environment and anatomical outcomes comparable to routine cases. The use of iOCT and AS-OCT provides a robust, objective method for monitoring these critical parameters throughout the perioperative period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CTR implantation significantly enhances immediate intraoperative IOL–posterior capsule apposition, with larger ring sizes providing the most effective contact. Postoperatively, AS-OCT demonstrated that eyes with CTRs achieved excellent IOL stability, with tilt and decentration profiles that were equivalent to those of standard surgeries. These findings suggest that CTR implantation successfully facilitates a stable…",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 349,
      "source_fields": {
        "Abstract Final Identifier": "FP24.04",
        "Title": "Impact Of Capsular Tension Ring (Ctr) Implantation On Intraocular Lens (Iol) Stability And Posterior Capsule Apposition: An Ioct And As-Oct Study",
        "Presenting Author(s)": "Dr Vaibhav Vishal",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Vaibhav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vishal",
        "Country Name": "India",
        "Purpose": "Impact of Capsular Tension Ring (CTR) Implantation on Intraocular Lens (IOL) Stability and Posterior Capsule Apposition: An iOCT and AS-OCT Study",
        "Setting": "Narayana Nethralaya Superspecialty Eye Hospital, Bangalore, India.",
        "Methods": "This prospective study included 251 eyes undergoing phacoemulsification. Intraoperative spectral-domain OCT (Rescan 700) was performed in 51 eyes to measure the vertical distance between the posterior capsule and IOL before and after CTR implantation using 11, 12, and 13 mm CTR sizes. Postoperative AS-OCT was performed in 200 eyes, divided into two groups (100 with CTR; 100 without CTR), to assess horizontal and vertical IOL tilt and decentration.",
        "Results": "CTR implantation significantly reduced the IOL–posterior capsule distance intraoperatively (p < 0.001), with the most substantial reduction observed with 13 mm CTRs. Postoperatively, AS-OCT analysis revealed no statistically significant differences in horizontal or vertical IOL tilt or decentration between the group with CTR and the group without CTR.",
        "Conclusions": "CTR implantation significantly enhances immediate intraoperative IOL–posterior capsule apposition, with larger ring sizes providing the most effective contact. Postoperatively, AS-OCT demonstrated that eyes with CTRs achieved excellent IOL stability, with tilt and decentration profiles that were equivalent to those of standard surgeries. These findings suggest that CTR implantation successfully facilitates a stable capsular environment and anatomical outcomes comparable to routine cases. The use of iOCT and AS-OCT provides a robust, objective method for monitoring these critical parameters throughout the perioperative period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "FP24.05",
      "abstract_number": "FP24.05",
      "title": "Preoperative Risk Factors For Uncontrolled Intraocular Pressure After Vitrectomy Combined With Intrascleral Fixation Of Intraocular Lens",
      "authors": "A/Prof. Susumu Sakimoto",
      "presenter": "A/Prof. Susumu Sakimoto",
      "normalized_authors": [
        "Susumu Sakimoto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Susumu Sakimoto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To evaluate the factors affecting uncontrolled intraocular pressure (IOP) in eyes with crystalline lens, intraocular lens (IOL) dislocation or aphakia after pars plana vitrectomy (PPV) combined with the flanged intrascleral IOL fixation technique (ISF) (PPV-ISF), and examined the risk of high IOP or glaucoma surgery after PPV-ISF.",
        "Setting": "Retrospective observational cohort study. This study investigated 100 eyes (97 patients) who underwent PPV-ISF at The University of Osaka Hospital between July 2020 and June 2022.",
        "Methods": "We evaluated the association of the outcomes of postoperative IOP control with preoperative and postoperative factors. Uncontrolled IOP was defined as an increase in glaucoma eye drop use or necessity for glaucoma surgery.",
        "Results": "Mean age of the patient was 67.9±16.1 years. Among 100 eyes, 13 (13%) were diagnosed with exfoliation syndrome (XFS). Age and XFS were associated with preoperative ocular hypertension ( P =0.03, P =0.005). After PPV-ISF, the use of eye drops were increased in 20 patients, and 10 eyes (10%) underwent glaucoma surgery. In the multiple logistic regression analysis, the odds ratios for uncontrolled IOP in XFS, previous glaucoma surgery, and previous vitrectomy surgery were 5.67 ( P =0.001), 8.98 ( P =0.004), and 1.43 ( P =0.508), respectively.",
        "Conclusions": "XFS and a history of glaucoma surgery are associated with poor IOP control after PPV-ISF surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "XFS and a history of glaucoma surgery are associated with poor IOP control after PPV-ISF surgery.",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 350,
      "source_fields": {
        "Abstract Final Identifier": "FP24.05",
        "Title": "Preoperative Risk Factors For Uncontrolled Intraocular Pressure After Vitrectomy Combined With Intrascleral Fixation Of Intraocular Lens",
        "Presenting Author(s)": "A/Prof. Susumu Sakimoto",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Susumu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sakimoto",
        "Country Name": "Japan",
        "Purpose": "To evaluate the factors affecting uncontrolled intraocular pressure (IOP) in eyes with crystalline lens, intraocular lens (IOL) dislocation or aphakia after pars plana vitrectomy (PPV) combined with the flanged intrascleral IOL fixation technique (ISF) (PPV-ISF), and examined the risk of high IOP or glaucoma surgery after PPV-ISF.",
        "Setting": "Retrospective observational cohort study. This study investigated 100 eyes (97 patients) who underwent PPV-ISF at The University of Osaka Hospital between July 2020 and June 2022.",
        "Methods": "We evaluated the association of the outcomes of postoperative IOP control with preoperative and postoperative factors. Uncontrolled IOP was defined as an increase in glaucoma eye drop use or necessity for glaucoma surgery.",
        "Results": "Mean age of the patient was 67.9±16.1 years. Among 100 eyes, 13 (13%) were diagnosed with exfoliation syndrome (XFS). Age and XFS were associated with preoperative ocular hypertension ( P =0.03, P =0.005). After PPV-ISF, the use of eye drops were increased in 20 patients, and 10 eyes (10%) underwent glaucoma surgery. In the multiple logistic regression analysis, the odds ratios for uncontrolled IOP in XFS, previous glaucoma surgery, and previous vitrectomy surgery were 5.67 ( P =0.001), 8.98 ( P =0.004), and 1.43 ( P =0.508), respectively.",
        "Conclusions": "XFS and a history of glaucoma surgery are associated with poor IOP control after PPV-ISF surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "FP24.06",
      "abstract_number": "FP24.06",
      "title": "Optical Quality Comparison Between Yamane Scleral-Fixated And In-The-Bag Intraocular Lenses Using Ray-Tracing Aberrometry: A Paired-Eye Study",
      "authors": "Dr Ali Ceylan",
      "presenter": "Dr Ali Ceylan",
      "normalized_authors": [
        "Ali Ceylan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Ceylan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare visual and optical quality between eyes with Yamane scleral-fixated intraocular lenses (IOLs) and fellow eyes with in-the-bag IOL implantation using objective ray-tracing aberrometry.",
        "Setting": "Akdeniz University Hospital, Turkey.",
        "Methods": "This comparative paired-eye study included 56 eyes of 28 patients operated between 2023 and 2025. Each patient had Yamane scleral-fixated IOL implantation in one eye (Group 1) and uneventful phacoemulsification with in-the-bag IOL implantation in the fellow eye (Group 2).\n\nMeasurements were obtained using the iTrace Visual Function Analyzer. Evaluated parameters included best-corrected visual acuity (BCVA), spherical equivalent (SE), total higher-order aberrations (HOA), coma, internal HOA, and quality of vision index (QVI).",
        "Results": "The mean age was 69.7 ± 8.3 years.BCVA was significantly worse in Group1 compared to Group2 (0.75 ±0.84 vs 0.15 ±0.14 logMAR; p = 0.033). Spherical equivalent was comparable between the groups (–1.0 ±1.1 vs –0.49 ±0.82 D; p = 0.109).\n\nTotal HOA values were higher in Group 1, although the difference did not reach statistical significance (0.30 ± 0.35 vs 0.13 ± 0.06; p = 0.190). Coma aberration was significantly greater in Group 1 (0.19 ±0.24 vs 0.05 ±0.03; p = 0.013). Internal HOA values were also higher in Group 1, but the difference was not statistically significant (0.34 ±0.51 vs 0.11 ±0.06; p = 0.115). Quality of vision index was significantly lower in the Yamane group compared to the in-the-bag group (3.7 ±3.2 vs 6.6 ±1.9; p = 0.041).",
        "Conclusions": "Although refractive outcomes were comparable, Yamane scleral-fixated IOLs were associated with reduced visual quality and increased coma aberration compared to in-the-bag IOLs. Increased internal optical irregularities may contribute to decreased visual performance in scleral-fixated lenses"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although refractive outcomes were comparable, Yamane scleral-fixated IOLs were associated with reduced visual quality and increased coma aberration compared to in-the-bag IOLs. Increased internal optical irregularities may contribute to decreased visual performance in scleral-fixated lenses",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 351,
      "source_fields": {
        "Abstract Final Identifier": "FP24.06",
        "Title": "Optical Quality Comparison Between Yamane Scleral-Fixated And In-The-Bag Intraocular Lenses Using Ray-Tracing Aberrometry: A Paired-Eye Study",
        "Presenting Author(s)": "Dr Ali Ceylan",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ceylan",
        "Country Name": "Türkiye",
        "Purpose": "To compare visual and optical quality between eyes with Yamane scleral-fixated intraocular lenses (IOLs) and fellow eyes with in-the-bag IOL implantation using objective ray-tracing aberrometry.",
        "Setting": "Akdeniz University Hospital, Turkey.",
        "Methods": "This comparative paired-eye study included 56 eyes of 28 patients operated between 2023 and 2025. Each patient had Yamane scleral-fixated IOL implantation in one eye (Group 1) and uneventful phacoemulsification with in-the-bag IOL implantation in the fellow eye (Group 2).\n\nMeasurements were obtained using the iTrace Visual Function Analyzer. Evaluated parameters included best-corrected visual acuity (BCVA), spherical equivalent (SE), total higher-order aberrations (HOA), coma, internal HOA, and quality of vision index (QVI).",
        "Results": "The mean age was 69.7 ± 8.3 years.BCVA was significantly worse in Group1 compared to Group2 (0.75 ±0.84 vs 0.15 ±0.14 logMAR; p = 0.033). Spherical equivalent was comparable between the groups (–1.0 ±1.1 vs –0.49 ±0.82 D; p = 0.109).\n\nTotal HOA values were higher in Group 1, although the difference did not reach statistical significance (0.30 ± 0.35 vs 0.13 ± 0.06; p = 0.190). Coma aberration was significantly greater in Group 1 (0.19 ±0.24 vs 0.05 ±0.03; p = 0.013). Internal HOA values were also higher in Group 1, but the difference was not statistically significant (0.34 ±0.51 vs 0.11 ±0.06; p = 0.115). Quality of vision index was significantly lower in the Yamane group compared to the in-the-bag group (3.7 ±3.2 vs 6.6 ±1.9; p = 0.041).",
        "Conclusions": "Although refractive outcomes were comparable, Yamane scleral-fixated IOLs were associated with reduced visual quality and increased coma aberration compared to in-the-bag IOLs. Increased internal optical irregularities may contribute to decreased visual performance in scleral-fixated lenses"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "FP24.07",
      "abstract_number": "FP24.07",
      "title": "Opacification Of Intraocular Lenses Following Combined Or Secondary Intraocular Procedures - A Systematic Review",
      "authors": "Ms Lu Jing Tan",
      "presenter": "Ms Lu Jing Tan",
      "normalized_authors": [
        "Lu Jing Tan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lu Jing Tan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The aim of this review is to analyse the incidence, risk factors and the pathology following secondary opacification of all types of IOL following endothelial keratoplasty or other intraocular procedures",
        "Setting": "University Hospital Ayr, Ayr, Scotland",
        "Methods": "A systematic literature search of peer-reviewed publications was undertaken following PRISMA guidelines on Medline and Embase databases from 2000 up to September 2025. We used the search terms (“opacification” OR “calcification” OR “discolouration”) AND (“intraocular lenses”) AND (“eye surgery” OR “intraocular surgery” OR “intraocular procedure” OR “intraocular treatment” OR “keratoplasty” OR “vitrectomy”). Reference lists were screened for additional and relevant articles. A total of 63 articles were identified in Medline and Embase searches, After removing 12 duplicates and excluding 35 based on abstract and full-text review, 25 studies were included in the final analysis",
        "Results": "A total of 171 eyes were included. The mean age at IOL opacification was 72 ± 6 years. 35% of the cohort were female. Out of 172 IOLs included, 116 IOLs were explanted and analysed. The IOLs were from 24 different brands of manufacturers. The most common opacified IOL’s were from Rayner followed by Bausch and Lomb and Zeiss. 87% were hydrophilic acrylic, 11% were hydrophilic acrylic with hydrophobic surface and 2% were hydrophobic acrylic. 80% of opacification localized to only the anterior surface where 76% of this was within the pupillary area while 4 % was outside the pupillary area. Histopathological analysis showed deposition of calcium and phosphate.",
        "Conclusions": "Opacification of IOLs occur predominantly after secondary intraocular procedures rather than in cases where cataract surgery was combined with another procedure. Second, endothelial keratoplasty (EK) and pars plana vitrectomy (PPV) were the most associated procedures with secondary IOL opacification. Hydrophilic IOLs have the highes risk of developing opacification following secondary intraocular procedures and this risk increasing with increasing water content of the hydrophilic lenses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Opacification of IOLs occur predominantly after secondary intraocular procedures rather than in cases where cataract surgery was combined with another procedure. Second, endothelial keratoplasty (EK) and pars plana vitrectomy (PPV) were the most associated procedures with secondary IOL opacification. Hydrophilic IOLs have the highes risk of developing opacification following secondary intraocular procedures and…",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 352,
      "source_fields": {
        "Abstract Final Identifier": "FP24.07",
        "Title": "Opacification Of Intraocular Lenses Following Combined Or Secondary Intraocular Procedures - A Systematic Review",
        "Presenting Author(s)": "Ms Lu Jing Tan",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Lu Jing",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tan",
        "Country Name": "United Kingdom",
        "Purpose": "The aim of this review is to analyse the incidence, risk factors and the pathology following secondary opacification of all types of IOL following endothelial keratoplasty or other intraocular procedures",
        "Setting": "University Hospital Ayr, Ayr, Scotland",
        "Methods": "A systematic literature search of peer-reviewed publications was undertaken following PRISMA guidelines on Medline and Embase databases from 2000 up to September 2025. We used the search terms (“opacification” OR “calcification” OR “discolouration”) AND (“intraocular lenses”) AND (“eye surgery” OR “intraocular surgery” OR “intraocular procedure” OR “intraocular treatment” OR “keratoplasty” OR “vitrectomy”). Reference lists were screened for additional and relevant articles. A total of 63 articles were identified in Medline and Embase searches, After removing 12 duplicates and excluding 35 based on abstract and full-text review, 25 studies were included in the final analysis",
        "Results": "A total of 171 eyes were included. The mean age at IOL opacification was 72 ± 6 years. 35% of the cohort were female. Out of 172 IOLs included, 116 IOLs were explanted and analysed. The IOLs were from 24 different brands of manufacturers. The most common opacified IOL’s were from Rayner followed by Bausch and Lomb and Zeiss. 87% were hydrophilic acrylic, 11% were hydrophilic acrylic with hydrophobic surface and 2% were hydrophobic acrylic. 80% of opacification localized to only the anterior surface where 76% of this was within the pupillary area while 4 % was outside the pupillary area. Histopathological analysis showed deposition of calcium and phosphate.",
        "Conclusions": "Opacification of IOLs occur predominantly after secondary intraocular procedures rather than in cases where cataract surgery was combined with another procedure. Second, endothelial keratoplasty (EK) and pars plana vitrectomy (PPV) were the most associated procedures with secondary IOL opacification. Hydrophilic IOLs have the highes risk of developing opacification following secondary intraocular procedures and this risk increasing with increasing water content of the hydrophilic lenses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "FP24.08",
      "abstract_number": "FP24.08",
      "title": "Complications Of Foldable Intraocular Lenses Requiring Explantation Or Secondary Intervention - 2025 Survey With Update Of Long-Term Trends",
      "authors": "Prof. Dr Nick Mamalis",
      "presenter": "Prof. Dr Nick Mamalis",
      "normalized_authors": [
        "Nick Mamalis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nick Mamalis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To assess the complications that resulted in the explantation or secondary intervention with foldable intraocular lenses (IOLs)",
        "Setting": "Moran Eye Center/Univ of Utah",
        "Methods": "For the 29th consecutive year, surgeons were surveyed regarding complications associated with foldable IOLs requiring explantation or secondary intervention over the 2025 calendar year. These forms were made available online using the American and European Societies of Cataract and Refractive Surgery websites and a fax-on-demand service. Surgeons completed one survey for each foldable IOL requiring explantation or secondary intervention. Further analysis determined complication trends related to specific IOL styles, materials, and types over the past 19 years (2007 - 2025)",
        "Results": "Completed surveys were returned in 2025. In the 2025 survey, dislocation/decentration continued to be the most common complication overall. Intolerance to refractive outcome was the second most common complication. Glare/optical aberrations was a common complication associated with multifocal IOLs continuing a 19-year trend. Additionally, lritis/UGH Syndrome was seen infrequently. Hydrophilic acrylic IOLs as well as some silicone lenses in eyes with asteroid hyalosis demonstrated calcification.",
        "Conclusions": "Dislocation/decentration remains the leading cause of explantation in most IOL types. Intolerance to refractive outcome is a continuing problem. Glare/optical aberrations continue to be a complication of multifocal IOLs suggesting this ongoing issue has yet to be resolved with this type of IOL"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dislocation/decentration remains the leading cause of explantation in most IOL types. Intolerance to refractive outcome is a continuing problem. Glare/optical aberrations continue to be a complication of multifocal IOLs suggesting this ongoing issue has yet to be resolved with this type of IOL",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 353,
      "source_fields": {
        "Abstract Final Identifier": "FP24.08",
        "Title": "Complications Of Foldable Intraocular Lenses Requiring Explantation Or Secondary Intervention - 2025 Survey With Update Of Long-Term Trends",
        "Presenting Author(s)": "Prof. Dr Nick Mamalis",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Nick",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mamalis",
        "Country Name": "United States",
        "Purpose": "To assess the complications that resulted in the explantation or secondary intervention with foldable intraocular lenses (IOLs)",
        "Setting": "Moran Eye Center/Univ of Utah",
        "Methods": "For the 29th consecutive year, surgeons were surveyed regarding complications associated with foldable IOLs requiring explantation or secondary intervention over the 2025 calendar year. These forms were made available online using the American and European Societies of Cataract and Refractive Surgery websites and a fax-on-demand service. Surgeons completed one survey for each foldable IOL requiring explantation or secondary intervention. Further analysis determined complication trends related to specific IOL styles, materials, and types over the past 19 years (2007 - 2025)",
        "Results": "Completed surveys were returned in 2025. In the 2025 survey, dislocation/decentration continued to be the most common complication overall. Intolerance to refractive outcome was the second most common complication. Glare/optical aberrations was a common complication associated with multifocal IOLs continuing a 19-year trend. Additionally, lritis/UGH Syndrome was seen infrequently. Hydrophilic acrylic IOLs as well as some silicone lenses in eyes with asteroid hyalosis demonstrated calcification.",
        "Conclusions": "Dislocation/decentration remains the leading cause of explantation in most IOL types. Intolerance to refractive outcome is a continuing problem. Glare/optical aberrations continue to be a complication of multifocal IOLs suggesting this ongoing issue has yet to be resolved with this type of IOL"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 215
    },
    {
      "uid": "FP24.09",
      "abstract_number": "FP24.09",
      "title": "Incidence Of Negative Dysphotopsia In Eyes With Scleral Fixated Iols",
      "authors": "Prof. Samuel Masket",
      "presenter": "Prof. Samuel Masket",
      "normalized_authors": [
        "Samuel Masket"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Samuel Masket",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "There appears to be a disconnect between clinical manifestation and optical laboratory modeling of Negative Dysphotopsia (ND); the latter describes the \"Illumination Gap Theory\" as causal of ND. In an attempt to gain further insight regarding the etiology of ND, patients with scleral fixated IOLs (SFIOLs) in the absence of the lens capsule remnant were surveyed for the incidence of ND in that cohort.",
        "Setting": "Private Practice and Surgery Center in Los Angeles, California",
        "Methods": "A retrospective chart review of cases in a single practice with either scleral sutured or intrascleral haptic fixated posterior chamber IOLs was performed.Subsequently, a live telephone interview of qualified patients who were supplied wuth a clinical example of ND was completed. Rigerous exclusion criteria were applied in order to avoid including false negative and false positive case examples.",
        "Results": "203 cases of scleral fixated IOLs were discovered on chart review; 118 were exclded with optic neuropathy, history of retinal detachment, CVA, BCVA less than 20/50, iris or pupil abnormalities, etc. Of the remaining cases 47 met the rigid inclusuin criteria and were available for telephone interview. None of the 47 cases had evidence for chronic ND (persisting beyond 3 months) athough one case may have had transient ND symptoms. Assuming a 3% incidnece of ND after surgery, 45 eyes were requird to properly power the investigation.",
        "Conclusions": "Although SFIOLs sit in an anatomic similar position to standard \"in the bag\" IOLs, the incidence of ND appears to be far less common in the SFIOL group. This suggests that curent \"Illumination Gap Theory\" of optical modeling for ND might not be universally correct, perhaps because it fails to image the lens capsule."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although SFIOLs sit in an anatomic similar position to standard \"in the bag\" IOLs, the incidence of ND appears to be far less common in the SFIOL group. This suggests that curent \"Illumination Gap Theory\" of optical modeling for ND might not be universally correct, perhaps because it fails to image the lens capsule.",
      "session_type": "Free Paper",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 354,
      "source_fields": {
        "Abstract Final Identifier": "FP24.09",
        "Title": "Incidence Of Negative Dysphotopsia In Eyes With Scleral Fixated Iols",
        "Presenting Author(s)": "Prof. Samuel Masket",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Samuel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Masket",
        "Country Name": "United States",
        "Purpose": "There appears to be a disconnect between clinical manifestation and optical laboratory modeling of Negative Dysphotopsia (ND); the latter describes the \"Illumination Gap Theory\" as causal of ND. In an attempt to gain further insight regarding the etiology of ND, patients with scleral fixated IOLs (SFIOLs) in the absence of the lens capsule remnant were surveyed for the incidence of ND in that cohort.",
        "Setting": "Private Practice and Surgery Center in Los Angeles, California",
        "Methods": "A retrospective chart review of cases in a single practice with either scleral sutured or intrascleral haptic fixated posterior chamber IOLs was performed.Subsequently, a live telephone interview of qualified patients who were supplied wuth a clinical example of ND was completed. Rigerous exclusion criteria were applied in order to avoid including false negative and false positive case examples.",
        "Results": "203 cases of scleral fixated IOLs were discovered on chart review; 118 were exclded with optic neuropathy, history of retinal detachment, CVA, BCVA less than 20/50, iris or pupil abnormalities, etc. Of the remaining cases 47 met the rigid inclusuin criteria and were available for telephone interview. None of the 47 cases had evidence for chronic ND (persisting beyond 3 months) athough one case may have had transient ND symptoms. Assuming a 3% incidnece of ND after surgery, 45 eyes were requird to properly power the investigation.",
        "Conclusions": "Although SFIOLs sit in an anatomic similar position to standard \"in the bag\" IOLs, the incidence of ND appears to be far less common in the SFIOL group. This suggests that curent \"Illumination Gap Theory\" of optical modeling for ND might not be universally correct, perhaps because it fails to image the lens capsule."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "FP24.10",
      "abstract_number": "FP24.10",
      "title": "Influence Of Capsular Tension Ring Implantation On Dynamic In Vivo Capsular Adhesion And Intraocular Lens Behavior In Highly Myopic Eyes",
      "authors": "Hongzhe Li",
      "presenter": "Hongzhe Li",
      "normalized_authors": [
        "Hongzhe Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hongzhe Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the dynamic in vivo capsular adhesion to the intraocular lens (IOL) in highly myopic eyes following capsular tension ring (CTR) implantation using swept-source optical coherence tomography (SS-OCT), and to investigate its correlation with in-the-bag IOL behavior.",
        "Setting": "Eye Hospital of Wenzhou Medical University, Hangzhou, Zhejiang Province, China.",
        "Methods": "Highly myopic patients undergoing cataract surgery were randomized to receive CTR implantation or not. SS-OCT was performed at 1 day, 1 week, 1 month, 3 months, and 6 months to assess capsular adhesion. Postoperative aqueous depth (PAD), IOL rotation, and anterior and posterior capsular opacification (ACO/PCO) were evaluated at each follow-up visit.",
        "Results": "A total of 29 eyes with CTR implantation and 30 eyes without CTR were included. The CTR group exhibited accelerated anterior capsular adhesion, demonstrated by a smaller lens-anterior capsule distance (LCD) at 1 day and a higher proportion of anterior capsular adhesion at 1 week. From 1 month onward, posterior capsular adhesion occurred more frequently in the CTR group. At 1 day, the average LCD positively correlated with both PAD and IOL rotation. During subsequent follow-up period, the mean capsular bend index exhibited negative correlations with the absolute changes in PAD and IOL rotational speed. The CTR group developed less severe ACO, Eyes with incomplete posterior capsular adhesion had a higher risk of PCO.",
        "Conclusions": "CTR implantation facilitates accelerated anterior and more complete posterior capsular adhesion to the IOL in highly myopic eyes, which may contribute to improved postoperative IOL stability and a reduced incidence of capsular opacification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CTR implantation facilitates accelerated anterior and more complete posterior capsular adhesion to the IOL in highly myopic eyes, which may contribute to improved postoperative IOL stability and a reduced incidence of capsular opacification.",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 355,
      "source_fields": {
        "Abstract Final Identifier": "FP24.10",
        "Title": "Influence Of Capsular Tension Ring Implantation On Dynamic In Vivo Capsular Adhesion And Intraocular Lens Behavior In Highly Myopic Eyes",
        "Presenting Author(s)": "Hongzhe Li",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Hongzhe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "To evaluate the dynamic in vivo capsular adhesion to the intraocular lens (IOL) in highly myopic eyes following capsular tension ring (CTR) implantation using swept-source optical coherence tomography (SS-OCT), and to investigate its correlation with in-the-bag IOL behavior.",
        "Setting": "Eye Hospital of Wenzhou Medical University, Hangzhou, Zhejiang Province, China.",
        "Methods": "Highly myopic patients undergoing cataract surgery were randomized to receive CTR implantation or not. SS-OCT was performed at 1 day, 1 week, 1 month, 3 months, and 6 months to assess capsular adhesion. Postoperative aqueous depth (PAD), IOL rotation, and anterior and posterior capsular opacification (ACO/PCO) were evaluated at each follow-up visit.",
        "Results": "A total of 29 eyes with CTR implantation and 30 eyes without CTR were included. The CTR group exhibited accelerated anterior capsular adhesion, demonstrated by a smaller lens-anterior capsule distance (LCD) at 1 day and a higher proportion of anterior capsular adhesion at 1 week. From 1 month onward, posterior capsular adhesion occurred more frequently in the CTR group. At 1 day, the average LCD positively correlated with both PAD and IOL rotation. During subsequent follow-up period, the mean capsular bend index exhibited negative correlations with the absolute changes in PAD and IOL rotational speed. The CTR group developed less severe ACO, Eyes with incomplete posterior capsular adhesion had a higher risk of PCO.",
        "Conclusions": "CTR implantation facilitates accelerated anterior and more complete posterior capsular adhesion to the IOL in highly myopic eyes, which may contribute to improved postoperative IOL stability and a reduced incidence of capsular opacification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "FP24.11",
      "abstract_number": "FP24.11",
      "title": "Long-Term Outcomes Of In-The-Bag Single-Piece Versus Optic Capture Three-Piece Intraocular Lenses Following Capsular Tension Ring Implantation In Zonular Weakness",
      "authors": "Dr Ipek Tanyolac",
      "presenter": "Dr Ipek Tanyolac",
      "normalized_authors": [
        "Ipek Tanyolac"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ipek Tanyolac",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare the clinical outcomes, intraocular lens (IOL) stability, and complication profiles between in-the-bag single-piece IOL implantation and optic capture three-piece IOL implantation following capsular tension ring (CTR).",
        "Setting": "This retrospective comparative study was conducted at a tertiary eye care center in 70 eyes of 70 patients who underwent phacoemulsification cataract surgery with CTR implantation due to zonular weakness between January 2015 and December 2020.",
        "Methods": "Patients were divided into two groups: those who received three-piece IOL implantation with the optic capture technique (Group 1) and those who received in-the-bag single-piece IOL implantation (Group 2). Preoperative and final postoperative evaluations included uncorrected (UCVA) and best-corrected visual acuity (BCVA), intraocular pressure (IOP), refractive outcomes, endothelial cell density (ECD), and corneal thickness (CT). Early and late postoperative complications were also recorded. Corneal, lenticular and total ocular aberrations, dysfunctional lens index, modulation transfer function, and Strehl ratio were assessed using the iTrace wavefront aberrometer at the final postoperative visit.",
        "Results": "Mean follow-up time was 81.8 ± 18.3 months. Postoperative UCVA and BCVA were comparable between groups (p=0.418 and p=0.210, respectively) and improved significantly in each group (all p<0.001). IOP remained stable (Group 1 p=0.726; Group 2 p=0.266). Refractive outcomes were similar between groups (all p>0.05). ECD showed a significant decrease in both groups (all p<0.001), whereas CT decreased only in Group 1 (p=0.019). IOL dislocation occurred in 8.8% in Group 1 and 11.1% in Group 2, with longer time to dislocation in Group 1 (71.3 ± 24.8 months) compared to Group 2 (52 ± 30.8 months). Wavefront analysis revealed no intergroup differences (all p>0.05); however, lenticular spherical aberration was significantly higher in Group 2 (p=0.049).",
        "Conclusions": "Both surgical techniques appear safe and provide comparable long-term visual and refractive outcomes in eyes with zonular weakness. The longer time to IOL dislocation observed with the optic capture technique may indicate a potential advantage in long-term stability. Surgical decision-making should be individualized based on zonular status, patient characteristics, and the feasibility of long-term follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both surgical techniques appear safe and provide comparable long-term visual and refractive outcomes in eyes with zonular weakness. The longer time to IOL dislocation observed with the optic capture technique may indicate a potential advantage in long-term stability. Surgical decision-making should be individualized based on zonular status, patient characteristics, and the feasibility of long-term follow-up.",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 356,
      "source_fields": {
        "Abstract Final Identifier": "FP24.11",
        "Title": "Long-Term Outcomes Of In-The-Bag Single-Piece Versus Optic Capture Three-Piece Intraocular Lenses Following Capsular Tension Ring Implantation In Zonular Weakness",
        "Presenting Author(s)": "Dr Ipek Tanyolac",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Ipek",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tanyolac",
        "Country Name": "Türkiye",
        "Purpose": "To compare the clinical outcomes, intraocular lens (IOL) stability, and complication profiles between in-the-bag single-piece IOL implantation and optic capture three-piece IOL implantation following capsular tension ring (CTR).",
        "Setting": "This retrospective comparative study was conducted at a tertiary eye care center in 70 eyes of 70 patients who underwent phacoemulsification cataract surgery with CTR implantation due to zonular weakness between January 2015 and December 2020.",
        "Methods": "Patients were divided into two groups: those who received three-piece IOL implantation with the optic capture technique (Group 1) and those who received in-the-bag single-piece IOL implantation (Group 2). Preoperative and final postoperative evaluations included uncorrected (UCVA) and best-corrected visual acuity (BCVA), intraocular pressure (IOP), refractive outcomes, endothelial cell density (ECD), and corneal thickness (CT). Early and late postoperative complications were also recorded. Corneal, lenticular and total ocular aberrations, dysfunctional lens index, modulation transfer function, and Strehl ratio were assessed using the iTrace wavefront aberrometer at the final postoperative visit.",
        "Results": "Mean follow-up time was 81.8 ± 18.3 months. Postoperative UCVA and BCVA were comparable between groups (p=0.418 and p=0.210, respectively) and improved significantly in each group (all p<0.001). IOP remained stable (Group 1 p=0.726; Group 2 p=0.266). Refractive outcomes were similar between groups (all p>0.05). ECD showed a significant decrease in both groups (all p<0.001), whereas CT decreased only in Group 1 (p=0.019). IOL dislocation occurred in 8.8% in Group 1 and 11.1% in Group 2, with longer time to dislocation in Group 1 (71.3 ± 24.8 months) compared to Group 2 (52 ± 30.8 months). Wavefront analysis revealed no intergroup differences (all p>0.05); however, lenticular spherical aberration was significantly higher in Group 2 (p=0.049).",
        "Conclusions": "Both surgical techniques appear safe and provide comparable long-term visual and refractive outcomes in eyes with zonular weakness. The longer time to IOL dislocation observed with the optic capture technique may indicate a potential advantage in long-term stability. Surgical decision-making should be individualized based on zonular status, patient characteristics, and the feasibility of long-term follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "FP24.12",
      "abstract_number": "FP24.12",
      "title": "The Effect Of Horizontal Visible Iris Diameter On Refractive And Optical Outcomes After Scleral Fixation Intraocular Lens Implantation With Yamane Technique",
      "authors": "Dr Kubra Caglar",
      "presenter": "Dr Kubra Caglar",
      "normalized_authors": [
        "Kubra Caglar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kubra Caglar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate whether horizontal visible iris diameter (HVID) affects refractive predictability and internal optical quality after scleral fixation performed with a standardized 2.5 mm scleral distance using the Yamane technique.",
        "Setting": "Retrospective comparative study conducted at a tertiary eye care center in Istanbul, Turkey.",
        "Methods": "54 eyes undergoing Yamane scleral-fixated intraocular lens (IOL) implantation were included, and all procedures were performed by a single experienced surgeon.In all cases, haptics were brought out 2.5 mm posterior to the limbus. HVID was measured using a Scheimpflug imaging system (Sirius, CSO, Florence, Italy), and eyes were divided into group 1 (<11.30 mm, n=24) and group 2 (≥11.30 mm, n=30). The values of uncorrected visual acuity ( UCVA) and best corrected visual acuity(BCVA) were obtained from patients medical records. Refractive error, internal astigmatism, and internal higher-order aberrations(HOAs) (coma, trefoil, and spherical aberration) were measured using a ray-tracing aberrometer (iTrace, Tracey Technologies, Houston, TX, USA).",
        "Results": "Postoperative spherical and cylindrical values were higher in group1 than group2 (1.58 ±1.19 D vs 0.93 ± 0.96 D, p=0.030; 2.70 ±1.44 D vs 1.41 ± 0.79 D, p<0.001, respectively). UCVA was better in group2 (0.38 ± 0.35 vs 0.41 ± 0.25 LogMAR, p =0.013), whereas BCVA was similar in two groups (0.18 ± 0.19 vs 0.41 ± 1.66 LogMAR, p=0.152).\n\nInternal astigmatism was higher in group1 (0.44 ± 0.33 µm vs 0.30 ± 0.22 µm, p=0.047).Total internal HOAs and trefoil were also higher in group1 (p= 0.011 and p=0.025), while coma and spherical aberration were similar in two groups (p=0.361 and p=0.787).\n\nHVID demonstrated negative correlations with cylindrical values (r=−0.484, p< 0.001), total internal HOAs (r= −0.353, p=0.009), and trefoil (r= −0.297, p=0.029).",
        "Conclusions": "Smaller HVID (<11.30 mm) seems to be associated with larger postoperative refractive error, higher residual astigmatism, and increased HOAs after Yamane scleral fixation IOL implantation. Therefore, preoperative HVID measurement can help improve refractive predictability and surgical planning in these cases ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Smaller HVID (<11.30 mm) seems to be associated with larger postoperative refractive error, higher residual astigmatism, and increased HOAs after Yamane scleral fixation IOL implantation. Therefore, preoperative HVID measurement can help improve refractive predictability and surgical planning in these cases .",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 357,
      "source_fields": {
        "Abstract Final Identifier": "FP24.12",
        "Title": "The Effect Of Horizontal Visible Iris Diameter On Refractive And Optical Outcomes After Scleral Fixation Intraocular Lens Implantation With Yamane Technique",
        "Presenting Author(s)": "Dr Kubra Caglar",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Kubra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Caglar",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate whether horizontal visible iris diameter (HVID) affects refractive predictability and internal optical quality after scleral fixation performed with a standardized 2.5 mm scleral distance using the Yamane technique.",
        "Setting": "Retrospective comparative study conducted at a tertiary eye care center in Istanbul, Turkey.",
        "Methods": "54 eyes undergoing Yamane scleral-fixated intraocular lens (IOL) implantation were included, and all procedures were performed by a single experienced surgeon.In all cases, haptics were brought out 2.5 mm posterior to the limbus. HVID was measured using a Scheimpflug imaging system (Sirius, CSO, Florence, Italy), and eyes were divided into group 1 (<11.30 mm, n=24) and group 2 (≥11.30 mm, n=30). The values of uncorrected visual acuity ( UCVA) and best corrected visual acuity(BCVA) were obtained from patients medical records. Refractive error, internal astigmatism, and internal higher-order aberrations(HOAs) (coma, trefoil, and spherical aberration) were measured using a ray-tracing aberrometer (iTrace, Tracey Technologies, Houston, TX, USA).",
        "Results": "Postoperative spherical and cylindrical values were higher in group1 than group2 (1.58 ±1.19 D vs 0.93 ± 0.96 D, p=0.030; 2.70 ±1.44 D vs 1.41 ± 0.79 D, p<0.001, respectively). UCVA was better in group2 (0.38 ± 0.35 vs 0.41 ± 0.25 LogMAR, p =0.013), whereas BCVA was similar in two groups (0.18 ± 0.19 vs 0.41 ± 1.66 LogMAR, p=0.152).\n\nInternal astigmatism was higher in group1 (0.44 ± 0.33 µm vs 0.30 ± 0.22 µm, p=0.047).Total internal HOAs and trefoil were also higher in group1 (p= 0.011 and p=0.025), while coma and spherical aberration were similar in two groups (p=0.361 and p=0.787).\n\nHVID demonstrated negative correlations with cylindrical values (r=−0.484, p< 0.001), total internal HOAs (r= −0.353, p=0.009), and trefoil (r= −0.297, p=0.029).",
        "Conclusions": "Smaller HVID (<11.30 mm) seems to be associated with larger postoperative refractive error, higher residual astigmatism, and increased HOAs after Yamane scleral fixation IOL implantation. Therefore, preoperative HVID measurement can help improve refractive predictability and surgical planning in these cases ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "FP24.13",
      "abstract_number": "FP24.13",
      "title": "Prospective Comparative Study (Ssis Pi-20-074) Of Scleral-Fixated Three-Piece Versus Carlevale® Secondary Iol Implantation In Eyes Without Capsular Support",
      "authors": "Mr Kevin Andrés Castaño Castillo",
      "presenter": "Mr Kevin Andrés Castaño Castillo",
      "normalized_authors": [
        "Kevin Andrés Castaño Castillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kevin Andrés Castaño Castillo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare visual outcomes, surgically induced astigmatism (SIA), endothelial cell density (ECD) loss, and postoperative complications between scleral-fixated three-piece intraocular lenses (3p) and Carlevale® secondary intraocular lenses in eyes without capsular support following cataract surgery.",
        "Setting": "Prospective four-year clinical study conducted in a tertiary referral university hospital managing complex anterior and posterior segment cases.",
        "Methods": "Prospective comparative study including 198 eyes undergoing secondary intraocular lens implantation associated with 23-gauge pars plana vitrectomy. Eyes were divided into scleral-fixated three-piece intraocular lenses (3p, n=102) and Carlevale® lenses (C, n=96). Best-corrected visual acuity (BCVA), SIA, ECD loss, and postoperative complications were analyzed. Statistical analysis was performed according to data distribution using appropriate parametric or non-parametric tests.",
        "Results": "Final BCVA (decimal scale) was comparable between groups: 3p: 0.74 ± 0.27; C: 0.68 ± 0.24 (p=0.905).\n\nSurgically induced astigmatism (diopters) showed no significant differences: 3p: 0.73 ± 0.54 D; C: 0.76 ± 0.45 D (p=0.597).\n\nMean endothelial cell loss was 9.24 ± 12.77% (3p) and 13.43 ± 17.23% (C) (p=0.603).\n\nRefixation of an existing three-piece lens without anterior chamber passage resulted in significantly lower endothelial loss (3.95 ± 7.81%) compared with 3p explantation (p=0.002) and C (p=0.001).\n\nHaptic subluxation occurred in 1 eye (1.79%) in 3p and none in C.\n\nMacular edema developed in 2 eyes (2.63%) in 3p and 6 eyes (10.3%) in C. One retinal detachment (3.2%) occurred in C.",
        "Conclusions": "Both scleral-fixated three-piece and Carlevale® techniques provided comparable visual and refractive outcomes in eyes without capsular support.\n\nOverall endothelial cell loss did not differ significantly between groups.\n\nRefixation of an existing three-piece lens significantly reduced endothelial damage by avoiding anterior chamber manipulation.\n\nCarlevale® implantation showed a higher incidence of postoperative macular edema.\n\nTechnique selection should be individualized according to ocular characteristics and surgical considerations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both scleral-fixated three-piece and Carlevale® techniques provided comparable visual and refractive outcomes in eyes without capsular support. Overall endothelial cell loss did not differ significantly between groups. Refixation of an existing three-piece lens significantly reduced endothelial damage by avoiding anterior chamber manipulation. Carlevale® implantation showed a higher incidence of postoperative…",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 358,
      "source_fields": {
        "Abstract Final Identifier": "FP24.13",
        "Title": "Prospective Comparative Study (Ssis Pi-20-074) Of Scleral-Fixated Three-Piece Versus Carlevale® Secondary Iol Implantation In Eyes Without Capsular Support",
        "Presenting Author(s)": "Mr Kevin Andrés Castaño Castillo",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Kevin",
        "Submitter Middle Name": "Andrés",
        "Submitter Last Name": "Castaño Castillo",
        "Country Name": "Spain",
        "Purpose": "To compare visual outcomes, surgically induced astigmatism (SIA), endothelial cell density (ECD) loss, and postoperative complications between scleral-fixated three-piece intraocular lenses (3p) and Carlevale® secondary intraocular lenses in eyes without capsular support following cataract surgery.",
        "Setting": "Prospective four-year clinical study conducted in a tertiary referral university hospital managing complex anterior and posterior segment cases.",
        "Methods": "Prospective comparative study including 198 eyes undergoing secondary intraocular lens implantation associated with 23-gauge pars plana vitrectomy. Eyes were divided into scleral-fixated three-piece intraocular lenses (3p, n=102) and Carlevale® lenses (C, n=96). Best-corrected visual acuity (BCVA), SIA, ECD loss, and postoperative complications were analyzed. Statistical analysis was performed according to data distribution using appropriate parametric or non-parametric tests.",
        "Results": "Final BCVA (decimal scale) was comparable between groups: 3p: 0.74 ± 0.27; C: 0.68 ± 0.24 (p=0.905).\n\nSurgically induced astigmatism (diopters) showed no significant differences: 3p: 0.73 ± 0.54 D; C: 0.76 ± 0.45 D (p=0.597).\n\nMean endothelial cell loss was 9.24 ± 12.77% (3p) and 13.43 ± 17.23% (C) (p=0.603).\n\nRefixation of an existing three-piece lens without anterior chamber passage resulted in significantly lower endothelial loss (3.95 ± 7.81%) compared with 3p explantation (p=0.002) and C (p=0.001).\n\nHaptic subluxation occurred in 1 eye (1.79%) in 3p and none in C.\n\nMacular edema developed in 2 eyes (2.63%) in 3p and 6 eyes (10.3%) in C. One retinal detachment (3.2%) occurred in C.",
        "Conclusions": "Both scleral-fixated three-piece and Carlevale® techniques provided comparable visual and refractive outcomes in eyes without capsular support.\n\nOverall endothelial cell loss did not differ significantly between groups.\n\nRefixation of an existing three-piece lens significantly reduced endothelial damage by avoiding anterior chamber manipulation.\n\nCarlevale® implantation showed a higher incidence of postoperative macular edema.\n\nTechnique selection should be individualized according to ocular characteristics and surgical considerations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "FP24.14",
      "abstract_number": "FP24.14",
      "title": "Effect Of Capsular Tension Ring On Rotational Stability Of Loop-Haptic Intraocular Lens In Highly Myopic Patients",
      "authors": "Dr Pingjun Chang",
      "presenter": "Dr Pingjun Chang",
      "normalized_authors": [
        "Pingjun Chang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pingjun Chang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the rotational stability, tilt and decentration of loop-haptic intraocular lenses (IOLs) in highly myopic patients with and without capsular tension ring (CTR) implantation.",
        "Setting": "Eye Hospital of Wenzhou Medical University, Hangzhou, China",
        "Methods": "Consecutive highly myopic patients (axial length ≥ 26.00 mm) scheduled to undergo phacoemulsification with loop-haptic IOL implantation were randomly assigned to receive either CTR implantation or no CTR. The axial orientation of the IOL was measured at the end of surgery (EOS), and at 1 day, 1 week, 1 month, and 3 months postoperatively. Swept-source optical coherence tomography was performed at each follow-up visit to evaluate the tilt and decentration of IOL.",
        "Results": "A total of 36 eyes with CTR implantation and 36 eyes without CTR were included. Absolute IOL rotation was significantly lower in the CTR group than in the Non-CTR group from EOS to 1 day ( P = 0.039) and from EOS to 3 months ( P = 0.018). Subgroup analysis demonstrated that CTR implantation significantly reduced IOL rotation in eyes with thick crystalline lenses ( P = 0.041). Although the CTR group consistently exhibited slightly lower values of tilt and decentration at each follow-up visit, the differences were not statistically significant (All P > 0.05).",
        "Conclusions": "CTR implantation improves the postoperative rotational stability of loop-haptic IOLs and mitigates the effect of thick crystalline lenses in highly myopic patients, while having no significant impact on IOL tilt or decentration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CTR implantation improves the postoperative rotational stability of loop-haptic IOLs and mitigates the effect of thick crystalline lenses in highly myopic patients, while having no significant impact on IOL tilt or decentration.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 359,
      "source_fields": {
        "Abstract Final Identifier": "FP24.14",
        "Title": "Effect Of Capsular Tension Ring On Rotational Stability Of Loop-Haptic Intraocular Lens In Highly Myopic Patients",
        "Presenting Author(s)": "Dr Pingjun Chang",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Pingjun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chang",
        "Country Name": "China",
        "Purpose": "To compare the rotational stability, tilt and decentration of loop-haptic intraocular lenses (IOLs) in highly myopic patients with and without capsular tension ring (CTR) implantation.",
        "Setting": "Eye Hospital of Wenzhou Medical University, Hangzhou, China",
        "Methods": "Consecutive highly myopic patients (axial length ≥ 26.00 mm) scheduled to undergo phacoemulsification with loop-haptic IOL implantation were randomly assigned to receive either CTR implantation or no CTR. The axial orientation of the IOL was measured at the end of surgery (EOS), and at 1 day, 1 week, 1 month, and 3 months postoperatively. Swept-source optical coherence tomography was performed at each follow-up visit to evaluate the tilt and decentration of IOL.",
        "Results": "A total of 36 eyes with CTR implantation and 36 eyes without CTR were included. Absolute IOL rotation was significantly lower in the CTR group than in the Non-CTR group from EOS to 1 day ( P = 0.039) and from EOS to 3 months ( P = 0.018). Subgroup analysis demonstrated that CTR implantation significantly reduced IOL rotation in eyes with thick crystalline lenses ( P = 0.041). Although the CTR group consistently exhibited slightly lower values of tilt and decentration at each follow-up visit, the differences were not statistically significant (All P > 0.05).",
        "Conclusions": "CTR implantation improves the postoperative rotational stability of loop-haptic IOLs and mitigates the effect of thick crystalline lenses in highly myopic patients, while having no significant impact on IOL tilt or decentration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 230
    },
    {
      "uid": "FP24.15",
      "abstract_number": "FP24.15",
      "title": "Toric Iol Implantation Using The Four-Flanged Scleral Fixation Technique In The Absence Of Zonular Support: A Retrospective Cohort",
      "authors": "Dr Biana Dubinsky Pertzov",
      "presenter": "Dr Biana Dubinsky Pertzov",
      "normalized_authors": [
        "Biana Dubinsky Pertzov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Biana Dubinsky Pertzov",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Spectacle independence has become a standard expectation following cataract surgery. Achieving this goal is particularly challenging in patients lacking capsular support. To address corneal astigmatism in such cases, we employed a four-flanged scleral fixation technique for toric intraocular lens (IOL) implantation. The purpose of this study was to report the refractive and visual outcomes of toric IOL implantation using the four-flanged scleral fixation technique.",
        "Setting": "Single tertiary medical center in Israel",
        "Methods": "A retrospective cohort study. Patients who underwent toric IOL implantation for corneal astigmatism using the four-flanged scleral fixation technique were included. Medical records were reviewed, and pre- and postoperative data were collected. The Artis T PL toric IOL (Cristalens) with four closed-loop haptics was fixated to the sclera using 7-0 polypropylene sutures. Primary outcome was postoperative IOL alignment. Secondary outcomes included uncorrected and corrected visual acuity, refractive outcomes, and postoperative complications",
        "Results": "Eighteen eyes of 18 patients were included. Mean age was 69 years, and 55% were male. Three eyes underwent secondary IOL implantation following complex ocular trauma, six eyes had IOL implantation after complicated cataract surgery, and nine eyes underwent IOL exchange for subluxated or malpositioned lenses. Mean follow-up duration was 255 days. Mean preoperative corneal astigmatism was 3.5 ± 1.95 D (range, 1.3-9.3 D). No intraoperative complications were documented. Postoperative manifest refractive cylinder averaged 0.87 ± 0.83 D (range, 0-2.5 D). Two patients developed postoperative pseudophakic cystoid macular edema. At final follow-up, all IOLs remained aligned with the intended axis.",
        "Conclusions": "Toric IOL implantation using the four-flanged scleral fixation technique appears to be a safe and effective option in eyes without capsular support, even in complex clinical scenarios. The technique provides stable IOL alignment and favorable refractive outcomes, enabling optimal visual rehabilitation despite challenging surgical conditions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IOL implantation using the four-flanged scleral fixation technique appears to be a safe and effective option in eyes without capsular support, even in complex clinical scenarios. The technique provides stable IOL alignment and favorable refractive outcomes, enabling optimal visual rehabilitation despite challenging surgical conditions.",
      "session_type": "Free Paper",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 360,
      "source_fields": {
        "Abstract Final Identifier": "FP24.15",
        "Title": "Toric Iol Implantation Using The Four-Flanged Scleral Fixation Technique In The Absence Of Zonular Support: A Retrospective Cohort",
        "Presenting Author(s)": "Dr Biana Dubinsky Pertzov",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Biana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dubinsky Pertzov",
        "Country Name": "Israel",
        "Purpose": "Spectacle independence has become a standard expectation following cataract surgery. Achieving this goal is particularly challenging in patients lacking capsular support. To address corneal astigmatism in such cases, we employed a four-flanged scleral fixation technique for toric intraocular lens (IOL) implantation. The purpose of this study was to report the refractive and visual outcomes of toric IOL implantation using the four-flanged scleral fixation technique.",
        "Setting": "Single tertiary medical center in Israel",
        "Methods": "A retrospective cohort study. Patients who underwent toric IOL implantation for corneal astigmatism using the four-flanged scleral fixation technique were included. Medical records were reviewed, and pre- and postoperative data were collected. The Artis T PL toric IOL (Cristalens) with four closed-loop haptics was fixated to the sclera using 7-0 polypropylene sutures. Primary outcome was postoperative IOL alignment. Secondary outcomes included uncorrected and corrected visual acuity, refractive outcomes, and postoperative complications",
        "Results": "Eighteen eyes of 18 patients were included. Mean age was 69 years, and 55% were male. Three eyes underwent secondary IOL implantation following complex ocular trauma, six eyes had IOL implantation after complicated cataract surgery, and nine eyes underwent IOL exchange for subluxated or malpositioned lenses. Mean follow-up duration was 255 days. Mean preoperative corneal astigmatism was 3.5 ± 1.95 D (range, 1.3-9.3 D). No intraoperative complications were documented. Postoperative manifest refractive cylinder averaged 0.87 ± 0.83 D (range, 0-2.5 D). Two patients developed postoperative pseudophakic cystoid macular edema. At final follow-up, all IOLs remained aligned with the intended axis.",
        "Conclusions": "Toric IOL implantation using the four-flanged scleral fixation technique appears to be a safe and effective option in eyes without capsular support, even in complex clinical scenarios. The technique provides stable IOL alignment and favorable refractive outcomes, enabling optimal visual rehabilitation despite challenging surgical conditions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "FP25.02",
      "abstract_number": "FP25.02",
      "title": "Using Artificial Intelligence–Generated Video To Transform Cataract Consent: A Randomised Controlled Trial With Mixed-Methods Evaluation",
      "authors": "Dr Hae Seung Chung",
      "presenter": "Dr Hae Seung Chung",
      "normalized_authors": [
        "Hae Seung Chung"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hae Seung Chung",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cataract surgery is the most commonly performed operation in the NHS, with over 400,000 procedures annually. Despite low complication rates, consent-related complaints remain common. This study evaluated an AI-generated multilingual video consent intervention developed using Synthesia, a platform producing photorealistic avatar-based educational videos to deliver consistent surgical information. The intervention aimed to address communication inequities by comparing outcomes between English- and Bengali-speaking patients. We assessed its impact on understanding, experience, and engagement versus written leaflets, and explored cultural and socioeconomic influences on perceptions of digital consent.",
        "Setting": "Prospective randomised controlled trial conducted within a high-volume NHS cataract service at Moorfields Eye Hospital. A parallel qualitative study was embedded within routine clinical pathways to explore patient perspectives on digital consent technologies.\n\nFinancial Disclosure:\n\nThis study was supported by a grant from the Medical Protection Society (MPS) Foundation. The authors have no financial or proprietary interest in the materials or methods described.",
        "Methods": "Patients undergoing first-time cataract surgery were stratified by language (English/Bengali) and randomised within strata to receive video or written leaflet information. The primary outcome was information retention via quiz score. Secondary outcomes included anxiety change from baseline to day of surgery, satisfaction, engagement time, and 3-month cancellations. Non-parametric comparisons used Mann–Whitney U tests and categorical variables used chi-square tests. A nested qualitative study (n=10) involved 45-minute semi-structured interviews across five domains: material preferences, digital confidence, communication, and cultural influences. Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis.",
        "Results": "Video participants showed greater information retention than leaflet groups (p<0.001). Longer engagement time independently predicted higher quiz scores (p=0.001). Satisfaction was significantly higher with video (p=0.003). Anxiety increased from baseline to the day of surgery in all groups, with no differences by language or format, and cancellation rates were similar.\n\nQualitative interviews found leaflets were often perceived as dense and difficult to retain, while video improved engagement and reassurance, particularly when culturally representative.\n\nDigital literacy, language barriers, environmental pressures, and differing preferences for decision-making (clinician-led versus autonomous) further influenced how consent was experienced.",
        "Conclusions": "AI-generated multilingual video consent improves measurable understanding and patient satisfaction in high-volume cataract services. Engagement time emerged as a modifiable factor associated with comprehension, indicating that digital platforms may allow consent exposure to be monitored and optimised. However, i mproved information retention did not reduce perioperative anxiety, indicating that consent extends beyond information alone.\n\nQualitative findings emphasised the roles of interpersonal communication, cultural context, and decision-making preferences. Nevertheless digital tools can greatly improve understanding and communication, and, through cultural representation, support patient autonomy alongside patient-centred care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI-generated multilingual video consent improves measurable understanding and patient satisfaction in high-volume cataract services. Engagement time emerged as a modifiable factor associated with comprehension, indicating that digital platforms may allow consent exposure to be monitored and optimised. However, i mproved information retention did not reduce perioperative anxiety, indicating that consent extends…",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 361,
      "source_fields": {
        "Abstract Final Identifier": "FP25.02",
        "Title": "Using Artificial Intelligence–Generated Video To Transform Cataract Consent: A Randomised Controlled Trial With Mixed-Methods Evaluation",
        "Presenting Author(s)": "Dr Hae Seung Chung",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Hae Seung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chung",
        "Country Name": "United Kingdom",
        "Purpose": "Cataract surgery is the most commonly performed operation in the NHS, with over 400,000 procedures annually. Despite low complication rates, consent-related complaints remain common. This study evaluated an AI-generated multilingual video consent intervention developed using Synthesia, a platform producing photorealistic avatar-based educational videos to deliver consistent surgical information. The intervention aimed to address communication inequities by comparing outcomes between English- and Bengali-speaking patients. We assessed its impact on understanding, experience, and engagement versus written leaflets, and explored cultural and socioeconomic influences on perceptions of digital consent.",
        "Setting": "Prospective randomised controlled trial conducted within a high-volume NHS cataract service at Moorfields Eye Hospital. A parallel qualitative study was embedded within routine clinical pathways to explore patient perspectives on digital consent technologies.\n\nFinancial Disclosure:\n\nThis study was supported by a grant from the Medical Protection Society (MPS) Foundation. The authors have no financial or proprietary interest in the materials or methods described.",
        "Methods": "Patients undergoing first-time cataract surgery were stratified by language (English/Bengali) and randomised within strata to receive video or written leaflet information. The primary outcome was information retention via quiz score. Secondary outcomes included anxiety change from baseline to day of surgery, satisfaction, engagement time, and 3-month cancellations. Non-parametric comparisons used Mann–Whitney U tests and categorical variables used chi-square tests. A nested qualitative study (n=10) involved 45-minute semi-structured interviews across five domains: material preferences, digital confidence, communication, and cultural influences. Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis.",
        "Results": "Video participants showed greater information retention than leaflet groups (p<0.001). Longer engagement time independently predicted higher quiz scores (p=0.001). Satisfaction was significantly higher with video (p=0.003). Anxiety increased from baseline to the day of surgery in all groups, with no differences by language or format, and cancellation rates were similar.\n\nQualitative interviews found leaflets were often perceived as dense and difficult to retain, while video improved engagement and reassurance, particularly when culturally representative.\n\nDigital literacy, language barriers, environmental pressures, and differing preferences for decision-making (clinician-led versus autonomous) further influenced how consent was experienced.",
        "Conclusions": "AI-generated multilingual video consent improves measurable understanding and patient satisfaction in high-volume cataract services. Engagement time emerged as a modifiable factor associated with comprehension, indicating that digital platforms may allow consent exposure to be monitored and optimised. However, i mproved information retention did not reduce perioperative anxiety, indicating that consent extends beyond information alone.\n\nQualitative findings emphasised the roles of interpersonal communication, cultural context, and decision-making preferences. Nevertheless digital tools can greatly improve understanding and communication, and, through cultural representation, support patient autonomy alongside patient-centred care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 427
    },
    {
      "uid": "FP25.03",
      "abstract_number": "FP25.03",
      "title": "Automated Diagnosis And Cataract Grading In Chinese Patients Presenting With Blurring Of Vision For Three Or More Months Using Deep Learning Techniques Applied To Colour Retina Photographs",
      "authors": "Ms Megan Lee",
      "presenter": "Ms Megan Lee",
      "normalized_authors": [
        "Megan Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Megan Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hong Kong",
      "sections": {
        "Purpose": "The aim of the study was to train, tune and validate a model for a DLS-assisted clinical decision aid for triage of ophthalmic referrals and cataract grading for non-diabetic Chinese patients, aged 50 and over, with a presenting complaint of chronic blurring of vision for three or more months.",
        "Setting": "Deep learning system-generated algorithms have the capacity to support clinical decision making in medical practice, particularly in fields where the process is subjective and conducted with limited information at hand. One such field is in triage of new patient referrals for ophthalmic care at government specialist outpatient clinics in Hong Kong.",
        "Methods": "First phase of study consisted of training, tuning, and internal validation of an automated DLS to triage ophthalmic referrals and grade cataracts. A ResNet-50 convolutional neural network was developed to create a binary classification model using defined clinical criteria to split labelled retinal photographs into ‘early’ and ‘routine’ referrals. Neural networks ResNet-50, DenseNet-121, and Vision Transformer b16 were used to develop three-class models, classifying labelled retinal photos as ‘normal’, ‘early’, or ‘visually significant’ cataracts based on predefined criteria. External validation evaluated performance using the area under the receiver operating characteristic curve, sensitivity, specificity, and Cohen’s kappa statistic.",
        "Results": "The binary classification model achieved an AUC of 0.998 in internal validation, with 100% sensitivity and 98.3% specificity indicating high performance. In comparison to the binary classification model, current triage practice performed relatively poorly, on validation testing, scoring an AUC, sensitivity and specificity of 0.656, 42.1% and 89.1% respectively. Across the different CNNs, the three-class classification model for cataract grading achieved weighted average AUCs between 0.807 and 0.83 and macro average AUCs between 0.837 and 0.868. Agreement level with ophthalmologist assessment was only moderate for the binary classification model but substantial for the three-class classification models.",
        "Conclusions": "Our automated DLS model is an effective and accurate clinical decision aide in triaging non-urgent new case referrals to ophthalmology and in grading of cataracts based on the data from a single macula-centric retina photograph taken without mydriasis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our automated DLS model is an effective and accurate clinical decision aide in triaging non-urgent new case referrals to ophthalmology and in grading of cataracts based on the data from a single macula-centric retina photograph taken without mydriasis.",
      "session_type": "Free Paper",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 362,
      "source_fields": {
        "Abstract Final Identifier": "FP25.03",
        "Title": "Automated Diagnosis And Cataract Grading In Chinese Patients Presenting With Blurring Of Vision For Three Or More Months Using Deep Learning Techniques Applied To Colour Retina Photographs",
        "Presenting Author(s)": "Ms Megan Lee",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Megan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Hong Kong",
        "Purpose": "The aim of the study was to train, tune and validate a model for a DLS-assisted clinical decision aid for triage of ophthalmic referrals and cataract grading for non-diabetic Chinese patients, aged 50 and over, with a presenting complaint of chronic blurring of vision for three or more months.",
        "Setting": "Deep learning system-generated algorithms have the capacity to support clinical decision making in medical practice, particularly in fields where the process is subjective and conducted with limited information at hand. One such field is in triage of new patient referrals for ophthalmic care at government specialist outpatient clinics in Hong Kong.",
        "Methods": "First phase of study consisted of training, tuning, and internal validation of an automated DLS to triage ophthalmic referrals and grade cataracts. A ResNet-50 convolutional neural network was developed to create a binary classification model using defined clinical criteria to split labelled retinal photographs into ‘early’ and ‘routine’ referrals. Neural networks ResNet-50, DenseNet-121, and Vision Transformer b16 were used to develop three-class models, classifying labelled retinal photos as ‘normal’, ‘early’, or ‘visually significant’ cataracts based on predefined criteria. External validation evaluated performance using the area under the receiver operating characteristic curve, sensitivity, specificity, and Cohen’s kappa statistic.",
        "Results": "The binary classification model achieved an AUC of 0.998 in internal validation, with 100% sensitivity and 98.3% specificity indicating high performance. In comparison to the binary classification model, current triage practice performed relatively poorly, on validation testing, scoring an AUC, sensitivity and specificity of 0.656, 42.1% and 89.1% respectively. Across the different CNNs, the three-class classification model for cataract grading achieved weighted average AUCs between 0.807 and 0.83 and macro average AUCs between 0.837 and 0.868. Agreement level with ophthalmologist assessment was only moderate for the binary classification model but substantial for the three-class classification models.",
        "Conclusions": "Our automated DLS model is an effective and accurate clinical decision aide in triaging non-urgent new case referrals to ophthalmology and in grading of cataracts based on the data from a single macula-centric retina photograph taken without mydriasis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "FP25.04",
      "abstract_number": "FP25.04",
      "title": "Feasibility Of A Digital-First Pathway For Postoperative Cataract Outcome Data Collection: Remote Patient Reported Outcome Measures And Visual Acuity Assessment",
      "authors": "Dr Aisling Higham",
      "presenter": "Dr Aisling Higham",
      "normalized_authors": [
        "Aisling Higham"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aisling Higham",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Postoperative outcome data following cataract surgery is essential for quality improvement and audit. UK guidance recommends discharge of uncomplicated cataract patients to community optometrists rather than hospital follow-up. While this improves efficiency, outcome data collected in the community often does not return to hospital records, creating gaps in audit datasets. The most recent UK national audit reported inconsistent capture of visual acuity, refraction, and patient-reported outcome measures. This feasibility evaluation examined whether a digital-first pathway combining automated telephone follow-up (Dora) for PROMs collection and self-testing of postoperative distance visual acuity (DigiVis DVA) could bridge this gap.",
        "Setting": "Three-site mixed methods feasibility evaluation conducted at Royal Berkshire Hospital NHS Foundation Trust (RBFT), UK, over four weeks (December 2024–January 2025). At RBFT, patients with uncomplicated cataract surgery do not routinely return to hospital; they continue with routine community optometrist sight tests. Previously, postoperative contact relied on patient initiation; now Dora proactively contacts patients to identify concerns and VA can be tested at home.",
        "Methods": "All patients scheduled for Dora-based postoperative follow-up during the evaluation period were included. Dora collected Cat-PROM5 questionnaire responses and performed complication screening via automated telephone calls. DigiVis DVA enabled self-testing of VA on patients' own digital devices; patients received SMS invitation to testing without additional training, support or expectation. Primary outcomes were completion rates for each pathway element and patient satisfaction measured using Customer Satisfaction (CSAT) scores. Secondary outcomes examined variation by age and gender. Free-text comments (n=120) underwent thematic analysis.",
        "Results": "Among 218 patients (mean age 75 years, 58% female), 78% completed the post-operative Dora call and 74% completed post-operative PROMs. Of the 14% of patients who started the DigiVis DVA test, 31/32 (97%) completed testing in the operated eye, giving informative post-operative VA results. Overall, 85% had at least one post-operative outcome recorded. Patient satisfaction was high (mean CSAT 4.69/5; 91.9% rated ≥4/5). Completion rates were consistent across age groups: patients aged 70-79 achieved 77% Dora call completion and 73% PROM completion. Thematic analysis identified \"therapeutic reassurance\" as an emergent theme- patients valued that automated follow-up addressed their concerns.",
        "Conclusions": "A digital-first pathway achieved 85% postoperative outcome capture with excellent patient acceptability. Automated telephone follow-up demonstrated high completion rates across all age groups, challenging assumptions about older patients' engagement with digital tools. Home VA testing had lower uptake, yet 97% who opened the link completed their assessment- suggesting barriers relate to initiation rather than technology. This underscores the need for verifying digital access, pre-operative familiarisation, and ensuring patients expect a vision test SMS. Combined, these approaches offer a scalable model for postoperative care. Further work should explore drivers and barriers to inform interventions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A digital-first pathway achieved 85% postoperative outcome capture with excellent patient acceptability. Automated telephone follow-up demonstrated high completion rates across all age groups, challenging assumptions about older patients' engagement with digital tools. Home VA testing had lower uptake, yet 97% who opened the link completed their assessment- suggesting barriers relate to initiation rather than…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 363,
      "source_fields": {
        "Abstract Final Identifier": "FP25.04",
        "Title": "Feasibility Of A Digital-First Pathway For Postoperative Cataract Outcome Data Collection: Remote Patient Reported Outcome Measures And Visual Acuity Assessment",
        "Presenting Author(s)": "Dr Aisling Higham",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Aisling",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Higham",
        "Country Name": "United Kingdom",
        "Purpose": "Postoperative outcome data following cataract surgery is essential for quality improvement and audit. UK guidance recommends discharge of uncomplicated cataract patients to community optometrists rather than hospital follow-up. While this improves efficiency, outcome data collected in the community often does not return to hospital records, creating gaps in audit datasets. The most recent UK national audit reported inconsistent capture of visual acuity, refraction, and patient-reported outcome measures. This feasibility evaluation examined whether a digital-first pathway combining automated telephone follow-up (Dora) for PROMs collection and self-testing of postoperative distance visual acuity (DigiVis DVA) could bridge this gap.",
        "Setting": "Three-site mixed methods feasibility evaluation conducted at Royal Berkshire Hospital NHS Foundation Trust (RBFT), UK, over four weeks (December 2024–January 2025). At RBFT, patients with uncomplicated cataract surgery do not routinely return to hospital; they continue with routine community optometrist sight tests. Previously, postoperative contact relied on patient initiation; now Dora proactively contacts patients to identify concerns and VA can be tested at home.",
        "Methods": "All patients scheduled for Dora-based postoperative follow-up during the evaluation period were included. Dora collected Cat-PROM5 questionnaire responses and performed complication screening via automated telephone calls. DigiVis DVA enabled self-testing of VA on patients' own digital devices; patients received SMS invitation to testing without additional training, support or expectation. Primary outcomes were completion rates for each pathway element and patient satisfaction measured using Customer Satisfaction (CSAT) scores. Secondary outcomes examined variation by age and gender. Free-text comments (n=120) underwent thematic analysis.",
        "Results": "Among 218 patients (mean age 75 years, 58% female), 78% completed the post-operative Dora call and 74% completed post-operative PROMs. Of the 14% of patients who started the DigiVis DVA test, 31/32 (97%) completed testing in the operated eye, giving informative post-operative VA results. Overall, 85% had at least one post-operative outcome recorded. Patient satisfaction was high (mean CSAT 4.69/5; 91.9% rated ≥4/5). Completion rates were consistent across age groups: patients aged 70-79 achieved 77% Dora call completion and 73% PROM completion. Thematic analysis identified \"therapeutic reassurance\" as an emergent theme- patients valued that automated follow-up addressed their concerns.",
        "Conclusions": "A digital-first pathway achieved 85% postoperative outcome capture with excellent patient acceptability. Automated telephone follow-up demonstrated high completion rates across all age groups, challenging assumptions about older patients' engagement with digital tools. Home VA testing had lower uptake, yet 97% who opened the link completed their assessment- suggesting barriers relate to initiation rather than technology. This underscores the need for verifying digital access, pre-operative familiarisation, and ensuring patients expect a vision test SMS. Combined, these approaches offer a scalable model for postoperative care. Further work should explore drivers and barriers to inform interventions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 440
    },
    {
      "uid": "FP25.05",
      "abstract_number": "FP25.05",
      "title": "Attributes Of Effective Cataract Surgical Trainers: Perspectives Of Uk Trainees In Nhs And Independent Settings",
      "authors": "Dr Chanelle Smith",
      "presenter": "Dr Chanelle Smith",
      "normalized_authors": [
        "Chanelle Smith"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chanelle Smith",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Over the past five years, cataract surgery provision has evolved due to COVID-19 recovery and a shift toward high-efficiency, high-turnover procedures. In this new model of training, integrating surgical education into the independent sector is essential to maintain workforce competency. However, the attributes of effective trainers and the training environment in this sector are less understood than in the NHS. This study aims to identify the key characteristics of effective surgical trainers and assess whether the independent sector provides a supportive, trainee-cantered environment that fosters these attributes.",
        "Setting": "An anonymised electronic survey was distributed to UK-based ophthalmic specialist trainees (OST) grades ST1-ST7, who had completed a cataract surgery training placement in an NHS Independent sector provider (ISP) between February 2025-August 2025.",
        "Methods": "A national voluntary survey was developed based on the Faculty of Surgical Trainers (Edinburgh) attributes of excellence and key domains from the Royal College of Ophthalmologists “Teach the Teacher” programme. It was distributed via email in August 2025 to OST trainees on completion of their placement. Responses were fully anonymised prior to analysis. Demographic data collected included trainee grade, gender, training region and number of cataract surgeries performed. Trainees rated desirable and undesirable trainer characteristics using a Likert scale and commented on training environment suitability. Quantitative and qualitative responses were analysed independently.",
        "Results": "Data were analysed from 14 responses (71.4% male, 28.6% female), with surgical experience ranging from 50 to >500 cataract surgeries. Overall satisfaction was high with 85.7% reporting adequate case variety and complexity during independent sector operating. Most valued trainer attributes were being encouraging and positive (31.3%), surgically confident (25%), and a clear communicator (18.8%), with protected time for feedback ranked as the single most desirable trait. The most negative attributes were limiting training opportunities (31.3%), impatience (25%), and providing critical, non-constructive feedback (18.8%). Mean cataract numbers per standard half-day list were higher in the independent sector (5.9) compared with the NHS (4.4).",
        "Conclusions": "Effective cataract surgical training requires both technical expertise and strong interpersonal skills. Trainees valued supportive, confident trainers who communicated clearly, provided constructive feedback, and allowed graduated autonomy, while limiting opportunities and non-constructive criticism negatively impacted learning. Although higher case numbers in the independent sector may increase operative exposure, training quality remains dependent on an enabling environment and engaged trainers. Independent sector providers appear to be non inferior to NHS. Optimising trainer attributes and protected feedback time may enhance trainee progression and ultimately patient care across NHS and independent sector settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Effective cataract surgical training requires both technical expertise and strong interpersonal skills. Trainees valued supportive, confident trainers who communicated clearly, provided constructive feedback, and allowed graduated autonomy, while limiting opportunities and non-constructive criticism negatively impacted learning. Although higher case numbers in the independent sector may increase operative exposure,…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 364,
      "source_fields": {
        "Abstract Final Identifier": "FP25.05",
        "Title": "Attributes Of Effective Cataract Surgical Trainers: Perspectives Of Uk Trainees In Nhs And Independent Settings",
        "Presenting Author(s)": "Dr Chanelle Smith",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Chanelle",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Smith",
        "Country Name": "United Kingdom",
        "Purpose": "Over the past five years, cataract surgery provision has evolved due to COVID-19 recovery and a shift toward high-efficiency, high-turnover procedures. In this new model of training, integrating surgical education into the independent sector is essential to maintain workforce competency. However, the attributes of effective trainers and the training environment in this sector are less understood than in the NHS. This study aims to identify the key characteristics of effective surgical trainers and assess whether the independent sector provides a supportive, trainee-cantered environment that fosters these attributes.",
        "Setting": "An anonymised electronic survey was distributed to UK-based ophthalmic specialist trainees (OST) grades ST1-ST7, who had completed a cataract surgery training placement in an NHS Independent sector provider (ISP) between February 2025-August 2025.",
        "Methods": "A national voluntary survey was developed based on the Faculty of Surgical Trainers (Edinburgh) attributes of excellence and key domains from the Royal College of Ophthalmologists “Teach the Teacher” programme. It was distributed via email in August 2025 to OST trainees on completion of their placement. Responses were fully anonymised prior to analysis. Demographic data collected included trainee grade, gender, training region and number of cataract surgeries performed. Trainees rated desirable and undesirable trainer characteristics using a Likert scale and commented on training environment suitability. Quantitative and qualitative responses were analysed independently.",
        "Results": "Data were analysed from 14 responses (71.4% male, 28.6% female), with surgical experience ranging from 50 to >500 cataract surgeries. Overall satisfaction was high with 85.7% reporting adequate case variety and complexity during independent sector operating. Most valued trainer attributes were being encouraging and positive (31.3%), surgically confident (25%), and a clear communicator (18.8%), with protected time for feedback ranked as the single most desirable trait. The most negative attributes were limiting training opportunities (31.3%), impatience (25%), and providing critical, non-constructive feedback (18.8%). Mean cataract numbers per standard half-day list were higher in the independent sector (5.9) compared with the NHS (4.4).",
        "Conclusions": "Effective cataract surgical training requires both technical expertise and strong interpersonal skills. Trainees valued supportive, confident trainers who communicated clearly, provided constructive feedback, and allowed graduated autonomy, while limiting opportunities and non-constructive criticism negatively impacted learning. Although higher case numbers in the independent sector may increase operative exposure, training quality remains dependent on an enabling environment and engaged trainers. Independent sector providers appear to be non inferior to NHS. Optimising trainer attributes and protected feedback time may enhance trainee progression and ultimately patient care across NHS and independent sector settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 413
    },
    {
      "uid": "FP25.06",
      "abstract_number": "FP25.06",
      "title": "Global Phacoemulsification Practices And Clinical Determinants Of Day-1 Corneal Clarity: An International Surgeon Survey",
      "authors": "Dr Adnan Abdul Majeed",
      "presenter": "Dr Adnan Abdul Majeed",
      "normalized_authors": [
        "Adnan Abdul Majeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adnan Abdul Majeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To evaluate global variations in phacoemulsification practice patterns and identify clinical factors associated with day-1 postoperative corneal clarity. Early corneal clarity is a critical indicator of endothelial preservation, surgical efficiency, and rapid visual recovery. This study aimed to determine modifiable perioperative variables influencing early corneal edema following routine cataract surgery.",
        "Setting": "International, cross-sectional, web-based survey of practicing cataract surgeons across tertiary care institutions and private ophthalmic centers worldwide.",
        "Methods": "A structured online questionnaire collected data on surgeon demographics, surgical experience, annual volume, preoperative case selection patterns, phaco machine platform, energy modulation mode (continuous, pulse, burst, torsional), effective phaco time (EPT), cumulative dissipated energy (CDE), nucleus disassembly technique, incision location, ophthalmic viscosurgical device (OVD) strategy, and postoperative management.\n\nThe primary outcome measure was self-reported day-1 corneal status categorized as: • Completely clear • Mild stromal edema • Significant corneal edema\n\nAssociations between clinical variables and postoperative corneal clarity were analyzed using descriptive and comparative statistical methods.",
        "Results": "A total of 100 surgeons from multiple geographic regions responded. Considerable variability was observed in energy modulation strategies and endothelial protection techniques.\n\nLower effective phaco time, reduced cumulative dissipated energy, use of pulse/burst or torsional modes, and routine dispersive or soft-shell OVD techniques were associated with higher proportions of completely clear corneas on postoperative day 1.\n\nHigher energy usage and prolonged emulsification time were associated with increased rates of early corneal edema.",
        "Conclusions": "Day-1 corneal clarity following phacoemulsification appears strongly influenced by modifiable perioperative clinical factors, particularly energy utilization and endothelial protection strategies. Optimization of surgical parameters may enhance immediate visual recovery and reduce early corneal edema.\n\nThese findings highlight globally variable practices and identify key areas for surgical standardization and training."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Day-1 corneal clarity following phacoemulsification appears strongly influenced by modifiable perioperative clinical factors, particularly energy utilization and endothelial protection strategies. Optimization of surgical parameters may enhance immediate visual recovery and reduce early corneal edema. These findings highlight globally variable practices and identify key areas for surgical standardization and…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 365,
      "source_fields": {
        "Abstract Final Identifier": "FP25.06",
        "Title": "Global Phacoemulsification Practices And Clinical Determinants Of Day-1 Corneal Clarity: An International Surgeon Survey",
        "Presenting Author(s)": "Dr Adnan Abdul Majeed",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Adnan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdul Majeed",
        "Country Name": "Pakistan",
        "Purpose": "To evaluate global variations in phacoemulsification practice patterns and identify clinical factors associated with day-1 postoperative corneal clarity. Early corneal clarity is a critical indicator of endothelial preservation, surgical efficiency, and rapid visual recovery. This study aimed to determine modifiable perioperative variables influencing early corneal edema following routine cataract surgery.",
        "Setting": "International, cross-sectional, web-based survey of practicing cataract surgeons across tertiary care institutions and private ophthalmic centers worldwide.",
        "Methods": "A structured online questionnaire collected data on surgeon demographics, surgical experience, annual volume, preoperative case selection patterns, phaco machine platform, energy modulation mode (continuous, pulse, burst, torsional), effective phaco time (EPT), cumulative dissipated energy (CDE), nucleus disassembly technique, incision location, ophthalmic viscosurgical device (OVD) strategy, and postoperative management.\n\nThe primary outcome measure was self-reported day-1 corneal status categorized as: • Completely clear • Mild stromal edema • Significant corneal edema\n\nAssociations between clinical variables and postoperative corneal clarity were analyzed using descriptive and comparative statistical methods.",
        "Results": "A total of 100 surgeons from multiple geographic regions responded. Considerable variability was observed in energy modulation strategies and endothelial protection techniques.\n\nLower effective phaco time, reduced cumulative dissipated energy, use of pulse/burst or torsional modes, and routine dispersive or soft-shell OVD techniques were associated with higher proportions of completely clear corneas on postoperative day 1.\n\nHigher energy usage and prolonged emulsification time were associated with increased rates of early corneal edema.",
        "Conclusions": "Day-1 corneal clarity following phacoemulsification appears strongly influenced by modifiable perioperative clinical factors, particularly energy utilization and endothelial protection strategies. Optimization of surgical parameters may enhance immediate visual recovery and reduce early corneal edema.\n\nThese findings highlight globally variable practices and identify key areas for surgical standardization and training."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "FP25.07",
      "abstract_number": "FP25.07",
      "title": "Extended Reality Simulation Reduces Posterior Capsular Rupture In Cataract Surgery: A Systematic Review And Meta-Analysis",
      "authors": "Dr Abdullah Al-Ani",
      "presenter": "Dr Abdullah Al-Ani",
      "normalized_authors": [
        "Abdullah Al-Ani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdullah Al-Ani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate the impact of extended reality (XR) simulators, including virtual and augmented reality platforms, on ophthalmic surgical performance and complication rates.",
        "Setting": "Systematic review and meta-analysis of studies assessing XR-based training in ophthalmic surgery.",
        "Methods": "Eight electronic databases were searched (January 2013–April 2023). Studies evaluating XR training for ophthalmic surgical skill acquisition were included. Primary outcome was posterior capsular rupture (PCR) during cataract surgery. Random-effects meta-analysis was performed to estimate pooled odds ratios (OR). Risk of bias was assessed using RoB 2 and ROBINS-I tools.",
        "Results": "Twenty-five studies met inclusion criteria, including 17,623 eyes from seven studies eligible for meta-analysis. XR training was predominantly used for cataract surgery (92%), most commonly with the Eyesi simulator. Meta-analysis demonstrated a significant reduction in PCR among XR-trained surgeons compared with controls (OR 0.71, 95% CI 0.58–0.86; I² = 21%). Across studies, XR training was associated with improved operating scores, enhanced non-dominant hand dexterity, higher self-efficacy, and reduced operative time in selected cohorts. Overall, 88% of included studies reported beneficial effects of XR training.",
        "Conclusions": "XR simulation training is associated with reduced complication rates and improved surgical performance in ophthalmology, particularly in cataract surgery. These findings support integration of XR simulators into structured residency curricula to enhance surgical proficiency and patient safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "XR simulation training is associated with reduced complication rates and improved surgical performance in ophthalmology, particularly in cataract surgery. These findings support integration of XR simulators into structured residency curricula to enhance surgical proficiency and patient safety.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 366,
      "source_fields": {
        "Abstract Final Identifier": "FP25.07",
        "Title": "Extended Reality Simulation Reduces Posterior Capsular Rupture In Cataract Surgery: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Abdullah Al-Ani",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Abdullah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al-Ani",
        "Country Name": "Canada",
        "Purpose": "To evaluate the impact of extended reality (XR) simulators, including virtual and augmented reality platforms, on ophthalmic surgical performance and complication rates.",
        "Setting": "Systematic review and meta-analysis of studies assessing XR-based training in ophthalmic surgery.",
        "Methods": "Eight electronic databases were searched (January 2013–April 2023). Studies evaluating XR training for ophthalmic surgical skill acquisition were included. Primary outcome was posterior capsular rupture (PCR) during cataract surgery. Random-effects meta-analysis was performed to estimate pooled odds ratios (OR). Risk of bias was assessed using RoB 2 and ROBINS-I tools.",
        "Results": "Twenty-five studies met inclusion criteria, including 17,623 eyes from seven studies eligible for meta-analysis. XR training was predominantly used for cataract surgery (92%), most commonly with the Eyesi simulator. Meta-analysis demonstrated a significant reduction in PCR among XR-trained surgeons compared with controls (OR 0.71, 95% CI 0.58–0.86; I² = 21%). Across studies, XR training was associated with improved operating scores, enhanced non-dominant hand dexterity, higher self-efficacy, and reduced operative time in selected cohorts. Overall, 88% of included studies reported beneficial effects of XR training.",
        "Conclusions": "XR simulation training is associated with reduced complication rates and improved surgical performance in ophthalmology, particularly in cataract surgery. These findings support integration of XR simulators into structured residency curricula to enhance surgical proficiency and patient safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 210
    },
    {
      "uid": "FP25.08",
      "abstract_number": "FP25.08",
      "title": "Enhancing Fellowship Training Through Scalable Live Surgical Supervision Using Microscope-Integrated Video And Audio Feedback",
      "authors": "Dr David Beckers",
      "presenter": "Dr David Beckers",
      "normalized_authors": [
        "David Beckers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David Beckers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "A novel educational supervision model was implemented to allow senior surgeons to remotely supervise multiple ophthalmology fellows in real time during surgery.",
        "Setting": "A live video feed from the operating microscope was transmitted within a secure hospital network and accessed remotely via encrypted VPN, ensuring patient data protection and compliance with institutional data security requirements. Senior surgeons were able to observe ongoing procedures continuously while supervising more than one operating fellow simultaneously.",
        "Methods": "Fellows wore a single-ear headset, enabling real-time advisory feedback without disrupting operative workflow or communication within the operating theatre. This setup allowed immediate guidance and correction while preserving surgical autonomy and concentration. Educational outcomes focused on supervisor intervention rates, frequency of complete surgical takeovers, and qualitative assessment of learning curve progression.",
        "Results": "Use of the system was associated with fewer hands-on interventions and a reduced need for senior surgeon takeovers. Fellows were able to adapt intraoperative strategies in real time in response to verbal guidance, resulting in smoother case progression and improved decision-making over time. From a supervisory perspective, the system enabled efficient oversight of multiple trainees without compromising situational awareness or patient safety.",
        "Conclusions": "This secure, scalable live supervision model represents a practical teaching innovation aligned with competency-based surgical education. It optimizes faculty resources while supporting trainee autonomy and maintaining high standards of surgical safety, making it particularly suitable for high-volume training environments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This secure, scalable live supervision model represents a practical teaching innovation aligned with competency-based surgical education. It optimizes faculty resources while supporting trainee autonomy and maintaining high standards of surgical safety, making it particularly suitable for high-volume training environments.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 367,
      "source_fields": {
        "Abstract Final Identifier": "FP25.08",
        "Title": "Enhancing Fellowship Training Through Scalable Live Surgical Supervision Using Microscope-Integrated Video And Audio Feedback",
        "Presenting Author(s)": "Dr David Beckers",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "David",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beckers",
        "Country Name": "Germany",
        "Purpose": "A novel educational supervision model was implemented to allow senior surgeons to remotely supervise multiple ophthalmology fellows in real time during surgery.",
        "Setting": "A live video feed from the operating microscope was transmitted within a secure hospital network and accessed remotely via encrypted VPN, ensuring patient data protection and compliance with institutional data security requirements. Senior surgeons were able to observe ongoing procedures continuously while supervising more than one operating fellow simultaneously.",
        "Methods": "Fellows wore a single-ear headset, enabling real-time advisory feedback without disrupting operative workflow or communication within the operating theatre. This setup allowed immediate guidance and correction while preserving surgical autonomy and concentration. Educational outcomes focused on supervisor intervention rates, frequency of complete surgical takeovers, and qualitative assessment of learning curve progression.",
        "Results": "Use of the system was associated with fewer hands-on interventions and a reduced need for senior surgeon takeovers. Fellows were able to adapt intraoperative strategies in real time in response to verbal guidance, resulting in smoother case progression and improved decision-making over time. From a supervisory perspective, the system enabled efficient oversight of multiple trainees without compromising situational awareness or patient safety.",
        "Conclusions": "This secure, scalable live supervision model represents a practical teaching innovation aligned with competency-based surgical education. It optimizes faculty resources while supporting trainee autonomy and maintaining high standards of surgical safety, making it particularly suitable for high-volume training environments."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 223
    },
    {
      "uid": "FP25.09",
      "abstract_number": "FP25.09",
      "title": "Practice Patterns Of Canadian Ophthalmological Society Members In Cataract Surgery – Survey 2025",
      "authors": "Dr Lindsay Ong-Tone",
      "presenter": "Dr Lindsay Ong-Tone",
      "normalized_authors": [
        "Lindsay Ong-Tone"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lindsay Ong-Tone",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "This was the seventeenth annual survey on the practice patterns of Canadian Ophthalmological Society (COS) members in cataract surgery.",
        "Setting": "Saskatchewan Health Authority, Regina, Saskatchewan, Canada.",
        "Methods": "In January 2025, the COS office sent an email with a link to the survey on Red Cap to its 262 members whose primary focus was cataract surgery. Two reminders were sent at 2 weeks interval. The response rate was 13.7%. All responses were collected anonymously.",
        "Results": "Most respondents (75%) corrected astigmatism at the time of cataract surgery. Most (94.4%) used a Toric IOL. 55.6% of the respondents aimed for monovision. The majority (35%) aimed for a difference of 0.75D between the two eyes following cataract surgery. Presbyopia correcting lenses were used by 83.3% of the respondents. Intracameral antibiotics was used by 77.1% of the respondents in 2025 while only 23.1% did so in 2009. Immediately Sequential Bilateral Cataract Surgery (ISBCS) was performed by 61.1% of the respondents in 2025 while only 9.8% did so in 2009. Also of note, only 8.7% of the respondents performed ISBCS more than 50% of the time in 2015 while 27.3% did so in 2025.",
        "Conclusions": "There was a marked increase in respondents performing ISBCS and using intracameral antibiotics since the beginning of the COVID pandemic. The latter is probably because of the former. The COS leadership had been encouraging its members to perform ISBCS to reduce patient interaction during the pandemic."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "There was a marked increase in respondents performing ISBCS and using intracameral antibiotics since the beginning of the COVID pandemic. The latter is probably because of the former. The COS leadership had been encouraging its members to perform ISBCS to reduce patient interaction during the pandemic.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 368,
      "source_fields": {
        "Abstract Final Identifier": "FP25.09",
        "Title": "Practice Patterns Of Canadian Ophthalmological Society Members In Cataract Surgery – Survey 2025",
        "Presenting Author(s)": "Dr Lindsay Ong-Tone",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Lindsay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ong-Tone",
        "Country Name": "Canada",
        "Purpose": "This was the seventeenth annual survey on the practice patterns of Canadian Ophthalmological Society (COS) members in cataract surgery.",
        "Setting": "Saskatchewan Health Authority, Regina, Saskatchewan, Canada.",
        "Methods": "In January 2025, the COS office sent an email with a link to the survey on Red Cap to its 262 members whose primary focus was cataract surgery. Two reminders were sent at 2 weeks interval. The response rate was 13.7%. All responses were collected anonymously.",
        "Results": "Most respondents (75%) corrected astigmatism at the time of cataract surgery. Most (94.4%) used a Toric IOL. 55.6% of the respondents aimed for monovision. The majority (35%) aimed for a difference of 0.75D between the two eyes following cataract surgery. Presbyopia correcting lenses were used by 83.3% of the respondents. Intracameral antibiotics was used by 77.1% of the respondents in 2025 while only 23.1% did so in 2009. Immediately Sequential Bilateral Cataract Surgery (ISBCS) was performed by 61.1% of the respondents in 2025 while only 9.8% did so in 2009. Also of note, only 8.7% of the respondents performed ISBCS more than 50% of the time in 2015 while 27.3% did so in 2025.",
        "Conclusions": "There was a marked increase in respondents performing ISBCS and using intracameral antibiotics since the beginning of the COVID pandemic. The latter is probably because of the former. The COS leadership had been encouraging its members to perform ISBCS to reduce patient interaction during the pandemic."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "FP25.10",
      "abstract_number": "FP25.10",
      "title": "Understanding Non-Technical Skills (Nts) Training In Uk Ophthalmology",
      "authors": "Dr Shaz Rehan",
      "presenter": "Dr Shaz Rehan",
      "normalized_authors": [
        "Shaz Rehan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shaz Rehan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This study reports findings from a national survey conducted as part of the MSc project titled ‘The Human Factors in Ophthalmic Surgical Education Pilot Study: Assessing, Developing, and Integrating Non-Technical Skills into Training’ . The purpose was to examine awareness, exposure, and perceptions of non-technical skills (NTS) training among UK ophthalmology trainees and consultants. It evaluated familiarity with core NTS domains (communication, leadership, situational awareness, decision-making and stress management), explored how NTS are taught and assessed, and identified key barriers and facilitators. The aim was to inform curriculum-level strategies for embedding human factors within ophthalmic surgical education.",
        "Setting": "Oxford University and Cardiff and Vale NHS Trust, with participation through a UK-wide digital survey distributed to ophthalmology trainees and trainers.",
        "Methods": "A cross-sectional, anonymised national digital survey was developed following literature review and expert input to ensure content validity. Items were mapped to core NTS domains (communication, leadership, situational awareness, decision-making) and piloted for clarity. Responses were collected using Likert-scale and multiple-choice questions. The survey was distributed electronically to UK ophthalmology trainees and trainers via institutional and professional networks. Data were analysed using descriptive statistics.",
        "Results": "Survey responses (n=119) showed 54% were only slightly familiar and 17% not familiar with NTS. Fifty-four percent had received no formal NTS training, and 85% reported teaching was never or rarely delivered. Stress management was identified as the least covered domain (41%). Despite limited provision, 73% agreed or strongly agreed that NTS are as important as technical skills, and 72% had witnessed NTS directly impact patient safety. Key barriers included lack of curriculum inclusion (59%) and faculty expertise (58%), while consultant support (77%) and formal curriculum integration (63%) were leading facilitators.",
        "Conclusions": "Ophthalmology appears to be lagging behind other surgical specialties in the structured integration of non-technical skills (NTS), despite widespread recognition of their importance for patient safety. Limited formal teaching, inconsistent assessment, and reliance on informal feedback highlight a systemic gap. This reflects a broader global challenge described in the literature, not a UK-specific issue. There is a clear mandate for curriculum-level reform, faculty development, and robust assessment frameworks to embed NTS as core components of ophthalmic training. This informed the subsequent phases of my MSc, which focused on assessing and systematically integrating NTS into surgical education."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ophthalmology appears to be lagging behind other surgical specialties in the structured integration of non-technical skills (NTS), despite widespread recognition of their importance for patient safety. Limited formal teaching, inconsistent assessment, and reliance on informal feedback highlight a systemic gap. This reflects a broader global challenge described in the literature, not a UK-specific issue. There is a…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 369,
      "source_fields": {
        "Abstract Final Identifier": "FP25.10",
        "Title": "Understanding Non-Technical Skills (Nts) Training In Uk Ophthalmology",
        "Presenting Author(s)": "Dr Shaz Rehan",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Shaz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rehan",
        "Country Name": "United Kingdom",
        "Purpose": "This study reports findings from a national survey conducted as part of the MSc project titled ‘The Human Factors in Ophthalmic Surgical Education Pilot Study: Assessing, Developing, and Integrating Non-Technical Skills into Training’ . The purpose was to examine awareness, exposure, and perceptions of non-technical skills (NTS) training among UK ophthalmology trainees and consultants. It evaluated familiarity with core NTS domains (communication, leadership, situational awareness, decision-making and stress management), explored how NTS are taught and assessed, and identified key barriers and facilitators. The aim was to inform curriculum-level strategies for embedding human factors within ophthalmic surgical education.",
        "Setting": "Oxford University and Cardiff and Vale NHS Trust, with participation through a UK-wide digital survey distributed to ophthalmology trainees and trainers.",
        "Methods": "A cross-sectional, anonymised national digital survey was developed following literature review and expert input to ensure content validity. Items were mapped to core NTS domains (communication, leadership, situational awareness, decision-making) and piloted for clarity. Responses were collected using Likert-scale and multiple-choice questions. The survey was distributed electronically to UK ophthalmology trainees and trainers via institutional and professional networks. Data were analysed using descriptive statistics.",
        "Results": "Survey responses (n=119) showed 54% were only slightly familiar and 17% not familiar with NTS. Fifty-four percent had received no formal NTS training, and 85% reported teaching was never or rarely delivered. Stress management was identified as the least covered domain (41%). Despite limited provision, 73% agreed or strongly agreed that NTS are as important as technical skills, and 72% had witnessed NTS directly impact patient safety. Key barriers included lack of curriculum inclusion (59%) and faculty expertise (58%), while consultant support (77%) and formal curriculum integration (63%) were leading facilitators.",
        "Conclusions": "Ophthalmology appears to be lagging behind other surgical specialties in the structured integration of non-technical skills (NTS), despite widespread recognition of their importance for patient safety. Limited formal teaching, inconsistent assessment, and reliance on informal feedback highlight a systemic gap. This reflects a broader global challenge described in the literature, not a UK-specific issue. There is a clear mandate for curriculum-level reform, faculty development, and robust assessment frameworks to embed NTS as core components of ophthalmic training. This informed the subsequent phases of my MSc, which focused on assessing and systematically integrating NTS into surgical education."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "FP25.11",
      "abstract_number": "FP25.11",
      "title": "Factors Associated With Independent Completion Of An Ai-Enabled Cataract Assessment Pathway: A Real-World Analysis",
      "authors": "Dr Yeshaswini Nagaraj",
      "presenter": "Dr Yeshaswini Nagaraj",
      "normalized_authors": [
        "Yeshaswini Nagaraj"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate whether language needs and cognitive vulnerability predict the adoption of an AI-enabled cataract pre-operative assessment pathway compared to age and gender.",
        "Setting": "Optegra Eye Health Care",
        "Methods": "A multi-site evaluation was conducted after implementing an AI-supported cataract pre-operative assessment. 14,000 consecutive patients progressing through the pathway between January 2025 & January 2026 were included. Mean patient age was 73.4 years (SD=9.6; range 42–96). 55.8% were female. Independent pathway completion was defined as successful booking after the AI assessment. Patients needing language support were identified if “Translator Required\" was recorded as the final workflow step. Cognitive vulnerability was defined by noting “mental capacity assessment required”. Multivariate logistic regression was used to determine whether language needs, cognitive vulnerability, age, & gender independently predicted AI pathway completion.",
        "Results": "Of the 14,000 patients, 3,633 (25.95%) completed the assessment independently. Language support was needed by 1,182 patients (8.44%), and a cognitive review was triggered for 218 (1.56%). Language needs were linked to lower independent completion (OR 0.21, 95% CI 0.18–0.25, p<0.001). Cognitive vulnerability showed a stronger effect (OR 0.03, 95% CI 0.008–0.12, p<0.001). Increasing age was also associated with lower uptake (OR 0.98 per year, 95% CI 0.976–0.984, p<0.001). Gender was not independently related to completion (OR 1.06, 95% CI 0.98–1.14, p=0.146).",
        "Conclusions": "In real-world cataract pathway use, language and cognitive needs are stronger factors affecting AI uptake than age or gender. Digital pathway design should prioritise translation accessibility and supported assessment models to ensure fair implementation in elective eye care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In real-world cataract pathway use, language and cognitive needs are stronger factors affecting AI uptake than age or gender. Digital pathway design should prioritise translation accessibility and supported assessment models to ensure fair implementation in elective eye care.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 370,
      "source_fields": {
        "Abstract Final Identifier": "FP25.11",
        "Title": "Factors Associated With Independent Completion Of An Ai-Enabled Cataract Assessment Pathway: A Real-World Analysis",
        "Presenting Author(s)": "Dr Yeshaswini Nagaraj",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate whether language needs and cognitive vulnerability predict the adoption of an AI-enabled cataract pre-operative assessment pathway compared to age and gender.",
        "Setting": "Optegra Eye Health Care",
        "Methods": "A multi-site evaluation was conducted after implementing an AI-supported cataract pre-operative assessment. 14,000 consecutive patients progressing through the pathway between January 2025 & January 2026 were included. Mean patient age was 73.4 years (SD=9.6; range 42–96). 55.8% were female. Independent pathway completion was defined as successful booking after the AI assessment. Patients needing language support were identified if “Translator Required\" was recorded as the final workflow step. Cognitive vulnerability was defined by noting “mental capacity assessment required”. Multivariate logistic regression was used to determine whether language needs, cognitive vulnerability, age, & gender independently predicted AI pathway completion.",
        "Results": "Of the 14,000 patients, 3,633 (25.95%) completed the assessment independently. Language support was needed by 1,182 patients (8.44%), and a cognitive review was triggered for 218 (1.56%). Language needs were linked to lower independent completion (OR 0.21, 95% CI 0.18–0.25, p<0.001). Cognitive vulnerability showed a stronger effect (OR 0.03, 95% CI 0.008–0.12, p<0.001). Increasing age was also associated with lower uptake (OR 0.98 per year, 95% CI 0.976–0.984, p<0.001). Gender was not independently related to completion (OR 1.06, 95% CI 0.98–1.14, p=0.146).",
        "Conclusions": "In real-world cataract pathway use, language and cognitive needs are stronger factors affecting AI uptake than age or gender. Digital pathway design should prioritise translation accessibility and supported assessment models to ensure fair implementation in elective eye care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "FP25.12",
      "abstract_number": "FP25.12",
      "title": "Patient Satisfaction With Autonomous Artificial Intelligence–Assisted Telemedicine In Cataract Care: A Cross-Sectional Study Of Preoperative Assessment And Postoperative Follow-Up",
      "authors": "Mr Mohamed Rashad",
      "presenter": "Mr Mohamed Rashad",
      "normalized_authors": [
        "Mohamed Rashad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Rashad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate patient satisfaction with autonomous artificial intelligence (AI)–assisted telemedicine used for preoperative assessment and postoperative follow-up in routine cataract surgery.",
        "Setting": "Ophthalmology Department, Ashford and St Peter’s Hospitals NHS Foundation Trust, London, United Kingdom.",
        "Methods": "Cross-sectional observational study evaluated patient satisfaction following the use of an autonomous AI-assisted telemedicine system (Dora) (Ufonia limited, Oxford, England) for routine cataract surgery pathways. The system conducted preoperative assessment calls 1–2 weeks before face-to-face assessment and postoperative follow-up calls 3 weeks after surgery. Patient satisfaction was anonymously measured using a 5-point Customer Satisfaction CSAT questionnaire at the end of each AI-led call, with both quantitative scores and qualitative feedback obtained from transcribed audio data.",
        "Results": "A total of 2,473 patients were included, with 1,538 receiving postoperative and 935 preoperative AI-assisted telephone calls between August 2024 and January 2026. The median age was 71 years (range 40–100), with 60% female. In the postoperative cohort, 76.0% rated satisfaction as CSAT 5, with a mean CSAT of 4.63 and an overall satisfaction rate of 91.35%. In the preoperative cohort, 65.9% rated CSAT 5, with a mean CSAT of 4.53 and a satisfaction rate of 88.88%. Notably, 27% of patients assigning low CSAT scores (1–2) provided positive qualitative feedback, indicating discordance between numerical scores and narrative responses.",
        "Conclusions": "Autonomous AI-assisted telemedicine achieved high patient satisfaction for both preoperative assessment and postoperative follow-up in routine cataract surgery. These findings support its feasibility and acceptability as part of cataract care pathways, while highlighting the value of combining quantitative satisfaction scores with qualitative patient feedback."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autonomous AI-assisted telemedicine achieved high patient satisfaction for both preoperative assessment and postoperative follow-up in routine cataract surgery. These findings support its feasibility and acceptability as part of cataract care pathways, while highlighting the value of combining quantitative satisfaction scores with qualitative patient feedback.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 371,
      "source_fields": {
        "Abstract Final Identifier": "FP25.12",
        "Title": "Patient Satisfaction With Autonomous Artificial Intelligence–Assisted Telemedicine In Cataract Care: A Cross-Sectional Study Of Preoperative Assessment And Postoperative Follow-Up",
        "Presenting Author(s)": "Mr Mohamed Rashad",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rashad",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate patient satisfaction with autonomous artificial intelligence (AI)–assisted telemedicine used for preoperative assessment and postoperative follow-up in routine cataract surgery.",
        "Setting": "Ophthalmology Department, Ashford and St Peter’s Hospitals NHS Foundation Trust, London, United Kingdom.",
        "Methods": "Cross-sectional observational study evaluated patient satisfaction following the use of an autonomous AI-assisted telemedicine system (Dora) (Ufonia limited, Oxford, England) for routine cataract surgery pathways. The system conducted preoperative assessment calls 1–2 weeks before face-to-face assessment and postoperative follow-up calls 3 weeks after surgery. Patient satisfaction was anonymously measured using a 5-point Customer Satisfaction CSAT questionnaire at the end of each AI-led call, with both quantitative scores and qualitative feedback obtained from transcribed audio data.",
        "Results": "A total of 2,473 patients were included, with 1,538 receiving postoperative and 935 preoperative AI-assisted telephone calls between August 2024 and January 2026. The median age was 71 years (range 40–100), with 60% female. In the postoperative cohort, 76.0% rated satisfaction as CSAT 5, with a mean CSAT of 4.63 and an overall satisfaction rate of 91.35%. In the preoperative cohort, 65.9% rated CSAT 5, with a mean CSAT of 4.53 and a satisfaction rate of 88.88%. Notably, 27% of patients assigning low CSAT scores (1–2) provided positive qualitative feedback, indicating discordance between numerical scores and narrative responses.",
        "Conclusions": "Autonomous AI-assisted telemedicine achieved high patient satisfaction for both preoperative assessment and postoperative follow-up in routine cataract surgery. These findings support its feasibility and acceptability as part of cataract care pathways, while highlighting the value of combining quantitative satisfaction scores with qualitative patient feedback."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "FP25.13",
      "abstract_number": "FP25.13",
      "title": "Escrs Eurequo Cataract Registry: 2024 Annual Report",
      "authors": "Dr Carlo Bellucci",
      "presenter": "Dr Carlo Bellucci",
      "normalized_authors": [
        "Carlo Bellucci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carlo Bellucci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To present the recent data from the ESCRS EUREQUO Cataract Registry evaluating trends in surgical practice, outcomes, and complications in modern cataract surgery.",
        "Setting": "For 2024, clinics from the following 12 countries contributed data to Eurequo: Australia, Austria, Germany, Greece, Ireland, Italy, Lithuania, the Netherlands, Portugal, Sweden, Switzerland, United Kingdom.",
        "Methods": "Data from the EUREQUO cataract database were analyzed for the year 2024. The registry includes data collected from participating clinics across multiple European countries. Included parameters were patient demographics, preoperative visual acuity, ocular comorbidities, type of surgery, intraocular lens (IOL) types, intra and postoperative complications, biometry, and refractive outcomes. Visual and refractive outcomes were assessed in cases with available follow-up data.",
        "Results": "In 2024, 363,039 cataract surgeries from 12 countries were recorded, for a cumulative total to 4.9 million since 2007. Phacoemulsification with posterior chamber IOL implant accounted for 98.9% of procedures. Toric IOL was the most common premium IOL and Small Pupil was the main ocular comorbidity. Posterior capsule rupture was the most common intraoperative complication (0.39%). Follow-up data were available for 54% of cases. Mean BCVA improved from 0.448 preoperatively to 0.939 postoperatively; BCVA ≥0.5 was achieved in 92.6% of eyes and ≥1.0 in 68.6%. The mean absolute biometry prediction error was 0.56D, with 84.95% of eyes within ±1.0D of target. Cystoid macular edema was the most common postoperative complications (1.12%)",
        "Conclusions": "The EUREQUO registry continues to provide large-scale real-world data on cataract surgery across multiple countries. Outcomes remain highly favorable, with low complication rates and excellent visual and refractive results, confirming safety and effectiveness of modern cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The EUREQUO registry continues to provide large-scale real-world data on cataract surgery across multiple countries. Outcomes remain highly favorable, with low complication rates and excellent visual and refractive results, confirming safety and effectiveness of modern cataract surgery.",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 372,
      "source_fields": {
        "Abstract Final Identifier": "FP25.13",
        "Title": "Escrs Eurequo Cataract Registry: 2024 Annual Report",
        "Presenting Author(s)": "Dr Carlo Bellucci",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Carlo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bellucci",
        "Country Name": "Italy",
        "Purpose": "To present the recent data from the ESCRS EUREQUO Cataract Registry evaluating trends in surgical practice, outcomes, and complications in modern cataract surgery.",
        "Setting": "For 2024, clinics from the following 12 countries contributed data to Eurequo: Australia, Austria, Germany, Greece, Ireland, Italy, Lithuania, the Netherlands, Portugal, Sweden, Switzerland, United Kingdom.",
        "Methods": "Data from the EUREQUO cataract database were analyzed for the year 2024. The registry includes data collected from participating clinics across multiple European countries. Included parameters were patient demographics, preoperative visual acuity, ocular comorbidities, type of surgery, intraocular lens (IOL) types, intra and postoperative complications, biometry, and refractive outcomes. Visual and refractive outcomes were assessed in cases with available follow-up data.",
        "Results": "In 2024, 363,039 cataract surgeries from 12 countries were recorded, for a cumulative total to 4.9 million since 2007. Phacoemulsification with posterior chamber IOL implant accounted for 98.9% of procedures. Toric IOL was the most common premium IOL and Small Pupil was the main ocular comorbidity. Posterior capsule rupture was the most common intraoperative complication (0.39%). Follow-up data were available for 54% of cases. Mean BCVA improved from 0.448 preoperatively to 0.939 postoperatively; BCVA ≥0.5 was achieved in 92.6% of eyes and ≥1.0 in 68.6%. The mean absolute biometry prediction error was 0.56D, with 84.95% of eyes within ±1.0D of target. Cystoid macular edema was the most common postoperative complications (1.12%)",
        "Conclusions": "The EUREQUO registry continues to provide large-scale real-world data on cataract surgery across multiple countries. Outcomes remain highly favorable, with low complication rates and excellent visual and refractive results, confirming safety and effectiveness of modern cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "FP25.14",
      "abstract_number": "FP25.14",
      "title": "Immediate Sequential Bilateral Cataract Surgery: Safety, Efficacy, And Patient-Reported Outcomes In A Middle East Prospective Cohort",
      "authors": "A/Prof. Samar Al-Swailem",
      "presenter": "A/Prof. Samar Al-Swailem",
      "normalized_authors": [
        "Samar Al-Swailem"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Samar Al-Swailem",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "This study compares immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS) regarding safety, visual outcomes, refractive results, visual functioning, and patient satisfaction in a Middle Eastern population. Additionally, it evaluates whether ISBCS can deliver equivalent clinical outcomes while enhancing efficiency and patient experience. This is the first regional study to address surgical backlog concerns following COVID-19 and the increasing demand associated with an aging population.",
        "Setting": "A prospective cohort study was conducted at a tertiary referral eye center in accordance with international guidelines for bilateral cataract surgery. To ensure consistency, all procedures were performed by a single experienced cataract surgeon, adhering to the International Society of Bilateral Cataract Surgeons (ISBCS) and Canadian Ophthalmological Society 2020 guidelines.",
        "Methods": "Forty-five patients with bilateral age-related cataracts and no ocular comorbidities were enrolled and assigned to two matched groups: ISBCS (n=24; 48 eyes) and DSBCS (n=21; 42 eyes). All surgeries followed standardized protocols. Comprehensive data were collected at preoperative, intraoperative, and postoperative stages, including uncorrected distant visual acuity (UCDVA), best-corrected distant visual acuity (BCDVA), intraocular pressure, refractive outcomes, complications, and surgery duration. Patient satisfaction was assessed using the validated VF-14 questionnaire and a cataract satisfaction form. Follow-up visits occurred at both early and intermediate postoperative intervals, facilitating accurate outcome assessment.",
        "Results": "Both groups demonstrated comparable baseline characteristics. No intraoperative or postoperative complications were observed in either group. Significant improvement in UCDVA was noted from preoperative to postoperative visits in both groups (p<0.001). UCDVA improved from 0.43±0.35 to 0.13±0.18 (visit1) and 0.11±0.15 (visit2). DSBCS group: UCVA improved from 0.41±0.41 to 0.17±0.18 (visit1) and 0.12±0.15 (visit2). BCDVA and refractive outcomes were similar between groups. VF-14 scores similar between groups (ISBCS 85.1±9.1, DSBCS 83.9±12.1, p=0.807). Patient satisfaction was high in both groups, with ISBCS patients reporting a greater willingness to choose same-day surgery again (91.7% vs 14.3%, p<0.001) and to recommend it to others.",
        "Conclusions": "In carefully selected Saudi patients, ISBCS demonstrated safety and efficacy comparable to DSBCS, with similar visual outcomes, refractive results, visual functioning, and complication rates. High patient satisfaction and preference for same-day surgery support broader adoption. Findings advocate for ISBCS inclusion in training curricula, health policy advocacy, and community education campaigns to address the surgical backlog and improve the efficiency of healthcare delivery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In carefully selected Saudi patients, ISBCS demonstrated safety and efficacy comparable to DSBCS, with similar visual outcomes, refractive results, visual functioning, and complication rates. High patient satisfaction and preference for same-day surgery support broader adoption. Findings advocate for ISBCS inclusion in training curricula, health policy advocacy, and community education campaigns to address the…",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 373,
      "source_fields": {
        "Abstract Final Identifier": "FP25.14",
        "Title": "Immediate Sequential Bilateral Cataract Surgery: Safety, Efficacy, And Patient-Reported Outcomes In A Middle East Prospective Cohort",
        "Presenting Author(s)": "A/Prof. Samar Al-Swailem",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Samar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Al-Swailem",
        "Country Name": "Saudi Arabia",
        "Purpose": "This study compares immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS) regarding safety, visual outcomes, refractive results, visual functioning, and patient satisfaction in a Middle Eastern population. Additionally, it evaluates whether ISBCS can deliver equivalent clinical outcomes while enhancing efficiency and patient experience. This is the first regional study to address surgical backlog concerns following COVID-19 and the increasing demand associated with an aging population.",
        "Setting": "A prospective cohort study was conducted at a tertiary referral eye center in accordance with international guidelines for bilateral cataract surgery. To ensure consistency, all procedures were performed by a single experienced cataract surgeon, adhering to the International Society of Bilateral Cataract Surgeons (ISBCS) and Canadian Ophthalmological Society 2020 guidelines.",
        "Methods": "Forty-five patients with bilateral age-related cataracts and no ocular comorbidities were enrolled and assigned to two matched groups: ISBCS (n=24; 48 eyes) and DSBCS (n=21; 42 eyes). All surgeries followed standardized protocols. Comprehensive data were collected at preoperative, intraoperative, and postoperative stages, including uncorrected distant visual acuity (UCDVA), best-corrected distant visual acuity (BCDVA), intraocular pressure, refractive outcomes, complications, and surgery duration. Patient satisfaction was assessed using the validated VF-14 questionnaire and a cataract satisfaction form. Follow-up visits occurred at both early and intermediate postoperative intervals, facilitating accurate outcome assessment.",
        "Results": "Both groups demonstrated comparable baseline characteristics. No intraoperative or postoperative complications were observed in either group. Significant improvement in UCDVA was noted from preoperative to postoperative visits in both groups (p<0.001). UCDVA improved from 0.43±0.35 to 0.13±0.18 (visit1) and 0.11±0.15 (visit2). DSBCS group: UCVA improved from 0.41±0.41 to 0.17±0.18 (visit1) and 0.12±0.15 (visit2). BCDVA and refractive outcomes were similar between groups. VF-14 scores similar between groups (ISBCS 85.1±9.1, DSBCS 83.9±12.1, p=0.807). Patient satisfaction was high in both groups, with ISBCS patients reporting a greater willingness to choose same-day surgery again (91.7% vs 14.3%, p<0.001) and to recommend it to others.",
        "Conclusions": "In carefully selected Saudi patients, ISBCS demonstrated safety and efficacy comparable to DSBCS, with similar visual outcomes, refractive results, visual functioning, and complication rates. High patient satisfaction and preference for same-day surgery support broader adoption. Findings advocate for ISBCS inclusion in training curricula, health policy advocacy, and community education campaigns to address the surgical backlog and improve the efficiency of healthcare delivery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 405
    },
    {
      "uid": "FP25.15",
      "abstract_number": "FP25.15",
      "title": "Preferred Practice Patterns Survey Of Secondary Intraocular Lens Implantation In Spain",
      "authors": "Dr Victoria De Rojas",
      "presenter": "Dr Victoria De Rojas",
      "normalized_authors": [
        "Victoria De Rojas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victoria De Rojas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To determine preferred practice patterns for secondary intraocular lens (IOL) implantation in the absence of capsular support among Spanish ophthalmologists.",
        "Setting": "Spain. Design: Cross-sectional study based on an anonymous online survey. An online questionnaire (31 items) was distributed to members of the Sociedad Española de Cirugía Ocular Implanto-Refractiva (SECOIR) and the Sociedad Española de Retina y Vítreo (SERV).",
        "Methods": "Design: Cross-sectional study based on an anonymous online survey. An online questionnaire (31 items) was distributed to members of the Sociedad Española de Cirugía Ocular Implanto-Refractiva (SECOIR) and the Sociedad Española de Retina y Vítreo (SERV). Sections covered demographics, preferred surgical techniques for aphakia, techniques abandoned and reasons, and choices in predefined clinical scenarios with comorbidities.",
        "Results": "A total of 210 ophthalmologists completed the survey. Overall, 59% reported no training on this topic during residency. When an intraoperative complication precluded in-the-bag IOL implantation, 69% preferred delaying secondary IOL placement, mainly to obtain specific instruments or IOLs (83.3%). The preferred approach to concomitant vitreous management was complete pars plana vitrectomy in 61% of cases. First-choice techniques for secondary IOL implantation were retropupillary iris-claw IOL (33.3%), scleral-fixated IOL with T-shaped haptics (28.6%), prepupillary iris-claw IOL (15.2%), and Canabrava technique (8.6%). No respondent selected iris-sutured IOL or Scharioth technique; angle-supported anterior chamber IOL was chosen by only 3.3%.",
        "Conclusions": "Retropupillary iris-claw IOL implantation is the preferred option for aphakia without capsular support among Spanish ophthalmologists, followed by the scleral-fixated IOL with T-shaped harpoon haptics and prepupillary iris-claw IOL. The reported lack of training suggests a potential gap in residency and fellowship programs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retropupillary iris-claw IOL implantation is the preferred option for aphakia without capsular support among Spanish ophthalmologists, followed by the scleral-fixated IOL with T-shaped harpoon haptics and prepupillary iris-claw IOL. The reported lack of training suggests a potential gap in residency and fellowship programs.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 374,
      "source_fields": {
        "Abstract Final Identifier": "FP25.15",
        "Title": "Preferred Practice Patterns Survey Of Secondary Intraocular Lens Implantation In Spain",
        "Presenting Author(s)": "Dr Victoria De Rojas",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Victoria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Rojas",
        "Country Name": "Spain",
        "Purpose": "To determine preferred practice patterns for secondary intraocular lens (IOL) implantation in the absence of capsular support among Spanish ophthalmologists.",
        "Setting": "Spain. Design: Cross-sectional study based on an anonymous online survey. An online questionnaire (31 items) was distributed to members of the Sociedad Española de Cirugía Ocular Implanto-Refractiva (SECOIR) and the Sociedad Española de Retina y Vítreo (SERV).",
        "Methods": "Design: Cross-sectional study based on an anonymous online survey. An online questionnaire (31 items) was distributed to members of the Sociedad Española de Cirugía Ocular Implanto-Refractiva (SECOIR) and the Sociedad Española de Retina y Vítreo (SERV). Sections covered demographics, preferred surgical techniques for aphakia, techniques abandoned and reasons, and choices in predefined clinical scenarios with comorbidities.",
        "Results": "A total of 210 ophthalmologists completed the survey. Overall, 59% reported no training on this topic during residency. When an intraoperative complication precluded in-the-bag IOL implantation, 69% preferred delaying secondary IOL placement, mainly to obtain specific instruments or IOLs (83.3%). The preferred approach to concomitant vitreous management was complete pars plana vitrectomy in 61% of cases. First-choice techniques for secondary IOL implantation were retropupillary iris-claw IOL (33.3%), scleral-fixated IOL with T-shaped haptics (28.6%), prepupillary iris-claw IOL (15.2%), and Canabrava technique (8.6%). No respondent selected iris-sutured IOL or Scharioth technique; angle-supported anterior chamber IOL was chosen by only 3.3%.",
        "Conclusions": "Retropupillary iris-claw IOL implantation is the preferred option for aphakia without capsular support among Spanish ophthalmologists, followed by the scleral-fixated IOL with T-shaped harpoon haptics and prepupillary iris-claw IOL. The reported lack of training suggests a potential gap in residency and fellowship programs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "FP26.01",
      "abstract_number": "FP26.01",
      "title": "Ultrastructural Ocular Surface Safety Of A Novel Citrus-Derived Antiseptic Assessed By Scanning Electron Microscopy",
      "authors": "Dr Mario Troisi",
      "presenter": "Dr Mario Troisi",
      "normalized_authors": [
        "Mario Troisi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mario Troisi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the ocular surface safety and ultrastructural effects of Oftasecur®, a Biosecur®-based citrus bioflavonoid antiseptic lubricant with previously demonstrated broad-spectrum antimicrobial activity, using scanning electron microscopy (SEM) of conjunctival impression cytology, with particular focus on conjunctival microvilli as early biomarkers of epithelial integrity.",
        "Setting": "The study was conducted at the Ophthalmology Unit of Salerno University Hospital, Salerno, Italy.",
        "Methods": "In this double-blind, controlled pilot study, 10 patients with mild dry eye disease (6 females, 4 males) were randomized to receive either Oftasecur® (n=5) or balanced saline solution (BSS; n=5) three times daily for 3 weeks.\n\nSuperior bulbar conjunctival impression cytology was performed at baseline (T0) and after treatment (T1). SEM analysis assessed microvilli density and morphology using a standardized grading system (Del Prete et al., 2008).\n\nExclusion criteria included: age <18 years, moderate-to-severe dry eye (NEI ≥2, Schirmer <10 mm, BUT <10 s, OSDI >22), ocular surface infection or inflammation within 3 months, ocular surgery within 6 months, or topical therapy within 4 weeks prior to enrollment.",
        "Results": "At baseline, mean SEM microvilli scores were comparable between groups (2.00 ± 0.71 in the Oftasecur® group vs 2.60 ± 0.89 in BSS; p=0.42).\n\nAfter 3 weeks, the Oftasecur® group demonstrated a significant improvement in microvilli density and integrity (1.40 ± 0.89; p=0.041), whereas no significant change was observed in the control group (2.60 ± 1.14; p=0.89).\n\nAt T1, microvilli integrity was significantly better in the Oftasecur® group compared to controls (p=0.048). Improvement was observed in 3/5 patients in the treatment arm, with stability in the remaining two. In contrast, four control patients remained unchanged and one showed ultrastructural worsening.",
        "Conclusions": "While antiseptic eye drops are essential for infection control, epithelial tolerability remains a critical concern for long-term use. SEM analysis demonstrated that Oftasecur® preserves—and may enhance—conjunctival microvilli without evidence of cytotoxicity.\n\nThese findings support its ocular surface biocompatibility and suggest that this citrus-derived antiseptic may represent a safe option for prolonged topical use. Larger randomized studies are warranted to confirm these preliminary results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While antiseptic eye drops are essential for infection control, epithelial tolerability remains a critical concern for long-term use. SEM analysis demonstrated that Oftasecur® preserves—and may enhance—conjunctival microvilli without evidence of cytotoxicity. These findings support its ocular surface biocompatibility and suggest that this citrus-derived antiseptic may represent a safe option for prolonged topical…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 375,
      "source_fields": {
        "Abstract Final Identifier": "FP26.01",
        "Title": "Ultrastructural Ocular Surface Safety Of A Novel Citrus-Derived Antiseptic Assessed By Scanning Electron Microscopy",
        "Presenting Author(s)": "Dr Mario Troisi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mario",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Troisi",
        "Country Name": "Italy",
        "Purpose": "To evaluate the ocular surface safety and ultrastructural effects of Oftasecur®, a Biosecur®-based citrus bioflavonoid antiseptic lubricant with previously demonstrated broad-spectrum antimicrobial activity, using scanning electron microscopy (SEM) of conjunctival impression cytology, with particular focus on conjunctival microvilli as early biomarkers of epithelial integrity.",
        "Setting": "The study was conducted at the Ophthalmology Unit of Salerno University Hospital, Salerno, Italy.",
        "Methods": "In this double-blind, controlled pilot study, 10 patients with mild dry eye disease (6 females, 4 males) were randomized to receive either Oftasecur® (n=5) or balanced saline solution (BSS; n=5) three times daily for 3 weeks.\n\nSuperior bulbar conjunctival impression cytology was performed at baseline (T0) and after treatment (T1). SEM analysis assessed microvilli density and morphology using a standardized grading system (Del Prete et al., 2008).\n\nExclusion criteria included: age <18 years, moderate-to-severe dry eye (NEI ≥2, Schirmer <10 mm, BUT <10 s, OSDI >22), ocular surface infection or inflammation within 3 months, ocular surgery within 6 months, or topical therapy within 4 weeks prior to enrollment.",
        "Results": "At baseline, mean SEM microvilli scores were comparable between groups (2.00 ± 0.71 in the Oftasecur® group vs 2.60 ± 0.89 in BSS; p=0.42).\n\nAfter 3 weeks, the Oftasecur® group demonstrated a significant improvement in microvilli density and integrity (1.40 ± 0.89; p=0.041), whereas no significant change was observed in the control group (2.60 ± 1.14; p=0.89).\n\nAt T1, microvilli integrity was significantly better in the Oftasecur® group compared to controls (p=0.048). Improvement was observed in 3/5 patients in the treatment arm, with stability in the remaining two. In contrast, four control patients remained unchanged and one showed ultrastructural worsening.",
        "Conclusions": "While antiseptic eye drops are essential for infection control, epithelial tolerability remains a critical concern for long-term use. SEM analysis demonstrated that Oftasecur® preserves—and may enhance—conjunctival microvilli without evidence of cytotoxicity.\n\nThese findings support its ocular surface biocompatibility and suggest that this citrus-derived antiseptic may represent a safe option for prolonged topical use. Larger randomized studies are warranted to confirm these preliminary results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 347
    },
    {
      "uid": "FP26.02",
      "abstract_number": "FP26.02",
      "title": "Comparative Efficacy And Safety Of 0.05% Cyclosporine A And 3% Diquafosol Sodium In Dry Eye Disease: A Systematic Review And Meta-Analysis With Trial Sequential Analysis",
      "authors": "Ahmed Mohammad",
      "presenter": "Ahmed Mohammad",
      "normalized_authors": [
        "Ahmed Mohammad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmad Mohammad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kuwait",
      "sections": {
        "Purpose": "This systematic review and meta-analysis aimed to compare treatment outcomes and efficacy between 0.05% CsA and 3% DQS in patients with moderate to severe DED.",
        "Setting": "Dry Eye Disease (DED) is a multifactorial ocular surface disorder characterized by tear film instability and inflammation. While artificial tears provide symptomatic relief, targeted pharmacotherapy is often necessary. Cyclosporine A (CsA), an immunomodulator, and diquafosol sodium (DQS), a mucin secretagogue, represent two distinct therapeutic pathways. However, current evidence directly comparing their clinical efficacy is inconsistent.",
        "Methods": "In January 2026, we conducted a systematic search of PubMed, Scopus, Web of Science, and the Cochrane Library for randomized controlled trials directly comparing 0.05% CsA to 3% DQS in adult patients with moderate to severe DED. For the meta-analysis, we used R 4.5.0 with R Studio 2024.12.1+563. Using a random-effects model, we evaluated continuous outcomes using standardized mean differences (SMDs) and dichotomous outcomes using risk ratios (RRs), both with 95% confidence intervals (95% CI). Statistical heterogeneity was assessed using I-squared (I²) statistics.",
        "Results": "We included 6 RCTs with 859 patients in total. No significant differences were found between CsA and DQS in Tear Break-Up Time (TBUT) at 4, 8, or 12 weeks. CsA showed a significantly greater improvement in Schirmer test scores at 4 weeks (SMD = 0.35, 95% CI 0.07 to 0.63), but this difference was not sustained at 12 weeks. A small but significant benefit in symptom scores favoring DQS was seen at 12 weeks (SMD = 0.23, 95% CI 0.06 to 0.41). Subgroup analysis indicated this symptomatic benefit was more pronounced in patients with severe disease. There were no significant difference in corneal or conjunctival staining at any time point. The risk of adverse events did not differ significantly between treatments (RR = 1.18, 95% CI 0.74 to 1.88).",
        "Conclusions": "Our results indicate that 0.05% cyclosporine A and 3% diquafosol have comparable efficacy in DED. Early improvement in tear production may favor CsA, while longer-term symptomatic relief may favor DQS, particularly in severe disease. Both agents demonstrated similar safety profiles. Future large-scale, standardized trials with extended follow-up are warranted to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results indicate that 0.05% cyclosporine A and 3% diquafosol have comparable efficacy in DED. Early improvement in tear production may favor CsA, while longer-term symptomatic relief may favor DQS, particularly in severe disease. Both agents demonstrated similar safety profiles. Future large-scale, standardized trials with extended follow-up are warranted to confirm these findings.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 376,
      "source_fields": {
        "Abstract Final Identifier": "FP26.02",
        "Title": "Comparative Efficacy And Safety Of 0.05% Cyclosporine A And 3% Diquafosol Sodium In Dry Eye Disease: A Systematic Review And Meta-Analysis With Trial Sequential Analysis",
        "Presenting Author(s)": "Ahmed Mohammad",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ahmad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mohammad",
        "Country Name": "Kuwait",
        "Purpose": "This systematic review and meta-analysis aimed to compare treatment outcomes and efficacy between 0.05% CsA and 3% DQS in patients with moderate to severe DED.",
        "Setting": "Dry Eye Disease (DED) is a multifactorial ocular surface disorder characterized by tear film instability and inflammation. While artificial tears provide symptomatic relief, targeted pharmacotherapy is often necessary. Cyclosporine A (CsA), an immunomodulator, and diquafosol sodium (DQS), a mucin secretagogue, represent two distinct therapeutic pathways. However, current evidence directly comparing their clinical efficacy is inconsistent.",
        "Methods": "In January 2026, we conducted a systematic search of PubMed, Scopus, Web of Science, and the Cochrane Library for randomized controlled trials directly comparing 0.05% CsA to 3% DQS in adult patients with moderate to severe DED. For the meta-analysis, we used R 4.5.0 with R Studio 2024.12.1+563. Using a random-effects model, we evaluated continuous outcomes using standardized mean differences (SMDs) and dichotomous outcomes using risk ratios (RRs), both with 95% confidence intervals (95% CI). Statistical heterogeneity was assessed using I-squared (I²) statistics.",
        "Results": "We included 6 RCTs with 859 patients in total. No significant differences were found between CsA and DQS in Tear Break-Up Time (TBUT) at 4, 8, or 12 weeks. CsA showed a significantly greater improvement in Schirmer test scores at 4 weeks (SMD = 0.35, 95% CI 0.07 to 0.63), but this difference was not sustained at 12 weeks. A small but significant benefit in symptom scores favoring DQS was seen at 12 weeks (SMD = 0.23, 95% CI 0.06 to 0.41). Subgroup analysis indicated this symptomatic benefit was more pronounced in patients with severe disease. There were no significant difference in corneal or conjunctival staining at any time point. The risk of adverse events did not differ significantly between treatments (RR = 1.18, 95% CI 0.74 to 1.88).",
        "Conclusions": "Our results indicate that 0.05% cyclosporine A and 3% diquafosol have comparable efficacy in DED. Early improvement in tear production may favor CsA, while longer-term symptomatic relief may favor DQS, particularly in severe disease. Both agents demonstrated similar safety profiles. Future large-scale, standardized trials with extended follow-up are warranted to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "FP26.03",
      "abstract_number": "FP26.03",
      "title": "Efficacy And Safety Of Topical Insulin In Patients With Dry Eye Disease: A Randomized Controlled Clinical Trial",
      "authors": "Dr Barbara Burgos Blasco",
      "presenter": "Dr Barbara Burgos Blasco",
      "normalized_authors": [
        "Barbara Burgos Blasco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Barbara Burgos Blasco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the effectiveness and safety of insulin eye drops in controlling dry eye disease (DED) compared with topical cyclosporine and placebo (artificial tears) in a randomized controlled clinical trial.",
        "Setting": "Hospital Clinico San Carlos, Madrid, Spain",
        "Methods": "Adults with a diagnosis of DED, persistent symptoms despite treatment with artificial tears, and corneal staining ≥ Oxford grade II were included. Key exclusion criteria included severe DED, recent ocular surgery, concomitant ocular surface pathology, contact lens use, pregnancy or lactation, and significant systemic disease interfering with study assessments. Treatment groups were: insulin 1 IU/mL four times daily, cyclosporine 0.05% twice daily and artificial tears four times daily. The primary efficacy outcome was change in corneal staining. Secondary outcomes included changes from baseline in Ocular Surface Disease Index (OSDI) score, corneal esthesiometry, non-invasive tear breakup time (NITBUT), and conjunctival hyperemia.",
        "Results": "116 patients were randomized to receive insulin (n = 40), cyclosporine (n = 39), or artificial tears (n = 37). Of these, 33, 33, and 26 completed the 6-month follow-up. Four patients in the artificial tears group discontinued due to adverse events. No statistically significant differences were observed among groups at baseline (all p > 0.05). At 6 months, a difference among groups was observed in corneal staining scores (p = 0.024). The mean change from baseline in corneal staining was −1.05 ± 1.18 in the insulin group, −1.15 ± 1.27 in the cyclosporine group, and −0.31 ± 1.17 in the artificial tears group, indicating greater improvement with insulin and cyclosporine compared with artificial tears. No other differences were found.",
        "Conclusions": "Topical insulin 1 IU/mL administered four times daily was associated with a significant improvement in corneal staining compared with artificial tears after 6 months of treatment, demonstrating efficacy comparable to cyclosporine 0.05%. The treatment was generally well tolerated, with no safety concerns identified beyond those observed with standard therapy. These findings suggest that topical insulin may represent a safe and effective therapeutic alternative for patients with dry eye disease inadequately controlled with artificial tears."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical insulin 1 IU/mL administered four times daily was associated with a significant improvement in corneal staining compared with artificial tears after 6 months of treatment, demonstrating efficacy comparable to cyclosporine 0.05%. The treatment was generally well tolerated, with no safety concerns identified beyond those observed with standard therapy. These findings suggest that topical insulin may represent…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 377,
      "source_fields": {
        "Abstract Final Identifier": "FP26.03",
        "Title": "Efficacy And Safety Of Topical Insulin In Patients With Dry Eye Disease: A Randomized Controlled Clinical Trial",
        "Presenting Author(s)": "Dr Barbara Burgos Blasco",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Barbara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Burgos Blasco",
        "Country Name": "Spain",
        "Purpose": "To evaluate the effectiveness and safety of insulin eye drops in controlling dry eye disease (DED) compared with topical cyclosporine and placebo (artificial tears) in a randomized controlled clinical trial.",
        "Setting": "Hospital Clinico San Carlos, Madrid, Spain",
        "Methods": "Adults with a diagnosis of DED, persistent symptoms despite treatment with artificial tears, and corneal staining ≥ Oxford grade II were included. Key exclusion criteria included severe DED, recent ocular surgery, concomitant ocular surface pathology, contact lens use, pregnancy or lactation, and significant systemic disease interfering with study assessments. Treatment groups were: insulin 1 IU/mL four times daily, cyclosporine 0.05% twice daily and artificial tears four times daily. The primary efficacy outcome was change in corneal staining. Secondary outcomes included changes from baseline in Ocular Surface Disease Index (OSDI) score, corneal esthesiometry, non-invasive tear breakup time (NITBUT), and conjunctival hyperemia.",
        "Results": "116 patients were randomized to receive insulin (n = 40), cyclosporine (n = 39), or artificial tears (n = 37). Of these, 33, 33, and 26 completed the 6-month follow-up. Four patients in the artificial tears group discontinued due to adverse events. No statistically significant differences were observed among groups at baseline (all p > 0.05). At 6 months, a difference among groups was observed in corneal staining scores (p = 0.024). The mean change from baseline in corneal staining was −1.05 ± 1.18 in the insulin group, −1.15 ± 1.27 in the cyclosporine group, and −0.31 ± 1.17 in the artificial tears group, indicating greater improvement with insulin and cyclosporine compared with artificial tears. No other differences were found.",
        "Conclusions": "Topical insulin 1 IU/mL administered four times daily was associated with a significant improvement in corneal staining compared with artificial tears after 6 months of treatment, demonstrating efficacy comparable to cyclosporine 0.05%. The treatment was generally well tolerated, with no safety concerns identified beyond those observed with standard therapy. These findings suggest that topical insulin may represent a safe and effective therapeutic alternative for patients with dry eye disease inadequately controlled with artificial tears."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "FP26.04",
      "abstract_number": "FP26.04",
      "title": "Topical Autologous Platelet-Rich Plasma Versus Insulin Eye Drops In The Treatment Of Neurotrophic Keratopathy",
      "authors": "Dr Dominika Wróbel-Dudzińska",
      "presenter": "Dr Dominika Wróbel-Dudzińska",
      "normalized_authors": [
        "Dominika Wróbel-Dudzińska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dominika Wróbel-Dudzińska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate and compare the efficacy and safety of autologous platelet-rich plasma (PRP) eye drops and topical insulin eye drops in patients with neurotrophic keratopathy presenting with nonhealing corneal ulcers.",
        "Setting": "This prospective study included 90 patients with neurotrophic corneal ulcers treated at the Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Poland. Sixty patients received PRP eye drops and thirty were treated with topical insulin.",
        "Methods": "Ninety patients with neurotrophic keratopathy due to herpes simplex, herpes zoster infection, or facial/trigeminal nerve paralysis following neurosurgery were enrolled. Patients received autologous PRP eye drops five times daily (n=60) or insulin eye drops four times daily (n=30), in addition to preservative-free artificial tears and vitamin A ointment at night and antiviral treatment if necessary. Outcomes included best-corrected visual acuity (BCVA), corneal epithelial healing, subjective symptom improvement, corneal thickness measured by anterior segment optical coherence tomography (AS-OCT), and the need for additional surgical intervention.",
        "Results": "Mean BCVA improved significantly from 0.14 ± 0.19 to 0.37 ± 0.31 in the PRP group and from 0.16 ± 0.18 to 0.44 ± 0.31 in the insulin group (p=0.001). Baseline ulcer size was comparable between groups. Subjective symptoms improved in all patients; fluorescein staining decreased in 82% and conjunctival hyperemia in 93%. Corneal thickness at the thinnest point increased significantly (p=0.01). Complete epithelial healing occurred in 85% of PRP-treated and 90% of insulin-treated patients. Mean treatment duration was approximately five weeks. No adverse effects were observed.",
        "Conclusions": "Both autologous platelet-rich plasma and topical insulin eye drops are safe and effective therapeutic options for neurotrophic keratopathy, promoting corneal epithelial healing, improving visual acuity, and increasing corneal thickness in most patients. These treatments may represent valuable non-surgical alternatives for managing persistent neurotrophic corneal ulcers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both autologous platelet-rich plasma and topical insulin eye drops are safe and effective therapeutic options for neurotrophic keratopathy, promoting corneal epithelial healing, improving visual acuity, and increasing corneal thickness in most patients. These treatments may represent valuable non-surgical alternatives for managing persistent neurotrophic corneal ulcers.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 378,
      "source_fields": {
        "Abstract Final Identifier": "FP26.04",
        "Title": "Topical Autologous Platelet-Rich Plasma Versus Insulin Eye Drops In The Treatment Of Neurotrophic Keratopathy",
        "Presenting Author(s)": "Dr Dominika Wróbel-Dudzińska",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Dominika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wróbel-Dudzińska",
        "Country Name": "Poland",
        "Purpose": "To evaluate and compare the efficacy and safety of autologous platelet-rich plasma (PRP) eye drops and topical insulin eye drops in patients with neurotrophic keratopathy presenting with nonhealing corneal ulcers.",
        "Setting": "This prospective study included 90 patients with neurotrophic corneal ulcers treated at the Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Poland. Sixty patients received PRP eye drops and thirty were treated with topical insulin.",
        "Methods": "Ninety patients with neurotrophic keratopathy due to herpes simplex, herpes zoster infection, or facial/trigeminal nerve paralysis following neurosurgery were enrolled. Patients received autologous PRP eye drops five times daily (n=60) or insulin eye drops four times daily (n=30), in addition to preservative-free artificial tears and vitamin A ointment at night and antiviral treatment if necessary. Outcomes included best-corrected visual acuity (BCVA), corneal epithelial healing, subjective symptom improvement, corneal thickness measured by anterior segment optical coherence tomography (AS-OCT), and the need for additional surgical intervention.",
        "Results": "Mean BCVA improved significantly from 0.14 ± 0.19 to 0.37 ± 0.31 in the PRP group and from 0.16 ± 0.18 to 0.44 ± 0.31 in the insulin group (p=0.001). Baseline ulcer size was comparable between groups. Subjective symptoms improved in all patients; fluorescein staining decreased in 82% and conjunctival hyperemia in 93%. Corneal thickness at the thinnest point increased significantly (p=0.01). Complete epithelial healing occurred in 85% of PRP-treated and 90% of insulin-treated patients. Mean treatment duration was approximately five weeks. No adverse effects were observed.",
        "Conclusions": "Both autologous platelet-rich plasma and topical insulin eye drops are safe and effective therapeutic options for neurotrophic keratopathy, promoting corneal epithelial healing, improving visual acuity, and increasing corneal thickness in most patients. These treatments may represent valuable non-surgical alternatives for managing persistent neurotrophic corneal ulcers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "FP26.05",
      "abstract_number": "FP26.05",
      "title": "Cord Blood Platelet-Poor Plasma In The Treatment Of Severe Dry Eye Disease: Preliminary Results From The Cb3p-Ed Randomized Clinical Trial",
      "authors": "Dr Gaia Leone",
      "presenter": "Dr Gaia Leone",
      "normalized_authors": [
        "Gaia Leone"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gaia Leone",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To present preliminary data from the clinical trial “Cord Blood Platelet-Poor Plasma Eye Drops (CB3P-ED)” for the treatment of severe dry eye disease (DED) associated with autoimmune disorders, including primary or secondary Sjögren’s syndrome and systemic sclerosis.\n\nSevere DED management relies on topical immunomodulatory therapy, such as cyclosporine, and non-transfusional blood-derived products for topical use (autologous or allogeneic serum, platelet lysate). Previous studies have demonstrated the efficacy and superiority of cord blood–derived serum compared with autologous serum; however, no studies have compared these products with artificial tears",
        "Setting": "Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy, Ophthalmology Unit, (Ocular Immunology Clinic), and Transfusion Medicine Unit, for patient randomization, product storage and distribution, and collection of patient diaries.\n\nThe Sicilian Cord Blood Bank (SCBB), member of the Italian Cord Blood Bank Network (ITCBN), for the preparation of the investigational treatment (CB-PPP-ED) and for the packaging of 0.15% hyaluronic acid eye drops.",
        "Methods": "Non-profit,non-pharmacological,interventional,randomized,double-blind,single-center,crossover clinical trial conducted at the Ophthalmology Unit of Fondazione Ca’ Granda Policlinico.Fifty patients(out of 100)with severe autoimmune-related DED were enrolled and randomized 1:1 to receive either CB3P-ED(Group A)or 0.15% hyaluronic acid(Group B)for 2 months.After crossover,patients were treated for an additional month and then returned to their pre-study therapy.Assessments included ophthalmic examination,tear break-up time,fluorescein and lissamine green staining,inflammaDry test,confocal microscopy and pregnancy testing in women of childbearing potential.Symptoms were evaluated using the Ocular Surface Disease Index and visual analog scale",
        "Results": "Preliminary results demonstrate the superiority of CB3P-ED compared with artificial tears in the management of severe DED.\n\nNo adverse events were recorded in patients treated with CB3P-ED. In the control group, two patients discontinued treatment after the first study week due to worsening OSDI scores and corneal epithelial damage graded by the Oxford scale. One patient discontinued the study due to recurrence of anterior uveitis at the month 2 visit; the condition had been present prior to trial enrollment.\n\nThe exit visit of the last patient was completed on February 12, 2026, and full data analysis of the entire study cohort is currently underway.",
        "Conclusions": "Preliminary data indicate a favorable safety profile of CB3P-ED. Complete data analysis at the end of the study will be essential to confirm the clinical efficacy of this treatment and to more robustly compare its benefits with conventional therapies for severe dry eye disease"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary data indicate a favorable safety profile of CB3P-ED. Complete data analysis at the end of the study will be essential to confirm the clinical efficacy of this treatment and to more robustly compare its benefits with conventional therapies for severe dry eye disease",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 379,
      "source_fields": {
        "Abstract Final Identifier": "FP26.05",
        "Title": "Cord Blood Platelet-Poor Plasma In The Treatment Of Severe Dry Eye Disease: Preliminary Results From The Cb3p-Ed Randomized Clinical Trial",
        "Presenting Author(s)": "Dr Gaia Leone",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Gaia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Leone",
        "Country Name": "Italy",
        "Purpose": "To present preliminary data from the clinical trial “Cord Blood Platelet-Poor Plasma Eye Drops (CB3P-ED)” for the treatment of severe dry eye disease (DED) associated with autoimmune disorders, including primary or secondary Sjögren’s syndrome and systemic sclerosis.\n\nSevere DED management relies on topical immunomodulatory therapy, such as cyclosporine, and non-transfusional blood-derived products for topical use (autologous or allogeneic serum, platelet lysate). Previous studies have demonstrated the efficacy and superiority of cord blood–derived serum compared with autologous serum; however, no studies have compared these products with artificial tears",
        "Setting": "Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy, Ophthalmology Unit, (Ocular Immunology Clinic), and Transfusion Medicine Unit, for patient randomization, product storage and distribution, and collection of patient diaries.\n\nThe Sicilian Cord Blood Bank (SCBB), member of the Italian Cord Blood Bank Network (ITCBN), for the preparation of the investigational treatment (CB-PPP-ED) and for the packaging of 0.15% hyaluronic acid eye drops.",
        "Methods": "Non-profit,non-pharmacological,interventional,randomized,double-blind,single-center,crossover clinical trial conducted at the Ophthalmology Unit of Fondazione Ca’ Granda Policlinico.Fifty patients(out of 100)with severe autoimmune-related DED were enrolled and randomized 1:1 to receive either CB3P-ED(Group A)or 0.15% hyaluronic acid(Group B)for 2 months.After crossover,patients were treated for an additional month and then returned to their pre-study therapy.Assessments included ophthalmic examination,tear break-up time,fluorescein and lissamine green staining,inflammaDry test,confocal microscopy and pregnancy testing in women of childbearing potential.Symptoms were evaluated using the Ocular Surface Disease Index and visual analog scale",
        "Results": "Preliminary results demonstrate the superiority of CB3P-ED compared with artificial tears in the management of severe DED.\n\nNo adverse events were recorded in patients treated with CB3P-ED. In the control group, two patients discontinued treatment after the first study week due to worsening OSDI scores and corneal epithelial damage graded by the Oxford scale. One patient discontinued the study due to recurrence of anterior uveitis at the month 2 visit; the condition had been present prior to trial enrollment.\n\nThe exit visit of the last patient was completed on February 12, 2026, and full data analysis of the entire study cohort is currently underway.",
        "Conclusions": "Preliminary data indicate a favorable safety profile of CB3P-ED. Complete data analysis at the end of the study will be essential to confirm the clinical efficacy of this treatment and to more robustly compare its benefits with conventional therapies for severe dry eye disease"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 403
    },
    {
      "uid": "FP26.06",
      "abstract_number": "FP26.06",
      "title": "Cryopreserved Umbilical Cord Tissue For Lid Margin Keratinization In Stevens-Johnson Syndrome And Toxic Epidermal Necrolysis: A Novel Alternative To Mucous Membrane Grafts",
      "authors": "Dr Zahra Alsultan",
      "presenter": "Dr Zahra Alsultan",
      "normalized_authors": [
        "Zahra Alsultan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zahra Alsultan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Lid margin keratinization (LMK) is a significant complication observed in chronic inflammatory ocular surface diseases, particularly in patients with Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). Standard management for LMK includes reconstruction with mucous membrane grafts (MMGs) harvested from the oral cavity. Cryopreserved umbilical cord tissue (UCT) has emerged as a promising alternative in ocular surface reconstruction.\n\nThe purpose of this study was to evaluate the efficacy of umbilical cord tissue as a novel grafting material for lid margin keratinization in SJS and TEN, where conventional mucous membrane grafts are often limited by donor site morbidity and the timing of intervention.",
        "Setting": "The study presents an interventional case report. In each patient, eyelid reconstruction was performed using an UCT graft in one eye and a MMG in the other eye after obtaining surgical consents. Surgical procedure involved excision of the keratinized conjunctiva then placement of a cryopreserved, pre-prepared UCT graft. At the end of the procedures, bandage contact lens applied and postoperative medications given. Patients were reviewed at week 1, 3, and 6, then every three months thereafter.",
        "Methods": "Two patients with severe SJS/TEN–related LMK underwent lid margin reconstruction using UCT grafts as an alternative to the traditional MMG. In the TEN patient, extensive oral mucosal involvement precluded harvesting MMG, necessitating a non-oral, ready-to-use graft. In the SJS patient, four-lid involvement combined with developmental challenges prompted selection of UCT grafts to minimize surgical morbidity and avoid multiple donor sites. Surgical outcomes, graft integration, ocular surface stability, conjunctival inflammation, and symptom improvement were assessed over a 12-month follow-up.",
        "Results": "The umbilical cord tissue grafting achieved good graft integration, rapid epithelialization, restoration of the mucocutaneous barrier, and marked reduction in blink-related microtrauma in both patients. Consequently, UCT grafts led to significant symptomatic relief, with reduction in conjunctival inflammation. In the TEN case, UCT grafts enabled complete stabilization of the ocular surface and deep fornix preservation. In the SJS case, UCT grafting allowed successful simultaneous four-lid reconstruction with reduced operative burden. UCT-treated eyes demonstrated faster early healing and less inflammation compared with MMG, while achieving comparable long-term results without graft rejection, contracture, or recurrence.",
        "Conclusions": "Cryopreserved UCT provides a ready-to-use, biologically active, non-keratinized alternative for LMK management in SJS/TEN, eliminating donor site complications and reducing surgical burden particularly in complex cases where oral mucosa may be unsuitable. Its extracellular matrix richness and immunomodulatory properties offer both structural support and anti-inflammatory benefits, addressing key limitations of MMG. To our knowledge, this is the first report to document UCT grafts specifically for LMK reconstruction, highlighting their potential as a paradigm-shifting option in complex ocular surface disease. Larger controlled studies are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cryopreserved UCT provides a ready-to-use, biologically active, non-keratinized alternative for LMK management in SJS/TEN, eliminating donor site complications and reducing surgical burden particularly in complex cases where oral mucosa may be unsuitable. Its extracellular matrix richness and immunomodulatory properties offer both structural support and anti-inflammatory benefits, addressing key limitations of MMG.…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 380,
      "source_fields": {
        "Abstract Final Identifier": "FP26.06",
        "Title": "Cryopreserved Umbilical Cord Tissue For Lid Margin Keratinization In Stevens-Johnson Syndrome And Toxic Epidermal Necrolysis: A Novel Alternative To Mucous Membrane Grafts",
        "Presenting Author(s)": "Dr Zahra Alsultan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Zahra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alsultan",
        "Country Name": "Saudi Arabia",
        "Purpose": "Lid margin keratinization (LMK) is a significant complication observed in chronic inflammatory ocular surface diseases, particularly in patients with Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). Standard management for LMK includes reconstruction with mucous membrane grafts (MMGs) harvested from the oral cavity. Cryopreserved umbilical cord tissue (UCT) has emerged as a promising alternative in ocular surface reconstruction.\n\nThe purpose of this study was to evaluate the efficacy of umbilical cord tissue as a novel grafting material for lid margin keratinization in SJS and TEN, where conventional mucous membrane grafts are often limited by donor site morbidity and the timing of intervention.",
        "Setting": "The study presents an interventional case report. In each patient, eyelid reconstruction was performed using an UCT graft in one eye and a MMG in the other eye after obtaining surgical consents. Surgical procedure involved excision of the keratinized conjunctiva then placement of a cryopreserved, pre-prepared UCT graft. At the end of the procedures, bandage contact lens applied and postoperative medications given. Patients were reviewed at week 1, 3, and 6, then every three months thereafter.",
        "Methods": "Two patients with severe SJS/TEN–related LMK underwent lid margin reconstruction using UCT grafts as an alternative to the traditional MMG. In the TEN patient, extensive oral mucosal involvement precluded harvesting MMG, necessitating a non-oral, ready-to-use graft. In the SJS patient, four-lid involvement combined with developmental challenges prompted selection of UCT grafts to minimize surgical morbidity and avoid multiple donor sites. Surgical outcomes, graft integration, ocular surface stability, conjunctival inflammation, and symptom improvement were assessed over a 12-month follow-up.",
        "Results": "The umbilical cord tissue grafting achieved good graft integration, rapid epithelialization, restoration of the mucocutaneous barrier, and marked reduction in blink-related microtrauma in both patients. Consequently, UCT grafts led to significant symptomatic relief, with reduction in conjunctival inflammation. In the TEN case, UCT grafts enabled complete stabilization of the ocular surface and deep fornix preservation. In the SJS case, UCT grafting allowed successful simultaneous four-lid reconstruction with reduced operative burden. UCT-treated eyes demonstrated faster early healing and less inflammation compared with MMG, while achieving comparable long-term results without graft rejection, contracture, or recurrence.",
        "Conclusions": "Cryopreserved UCT provides a ready-to-use, biologically active, non-keratinized alternative for LMK management in SJS/TEN, eliminating donor site complications and reducing surgical burden particularly in complex cases where oral mucosa may be unsuitable. Its extracellular matrix richness and immunomodulatory properties offer both structural support and anti-inflammatory benefits, addressing key limitations of MMG. To our knowledge, this is the first report to document UCT grafts specifically for LMK reconstruction, highlighting their potential as a paradigm-shifting option in complex ocular surface disease. Larger controlled studies are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 436
    },
    {
      "uid": "FP26.07",
      "abstract_number": "FP26.07",
      "title": "Effects Of A Tear Substitute Containing Hyaluronic Acid 0.2% With Or Without Hydrocortisone 0.001% On Sign/Symptoms Of Dry Eye Disease And Tear Cortisol Levels: A Prospective, Randomized, Double-Masked, Controlled Clinical Trial",
      "authors": "Prof. Dr Giuseppe Giannaccare",
      "presenter": "Prof. Dr Giuseppe Giannaccare",
      "normalized_authors": [
        "Giuseppe Giannaccare"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giuseppe Giannaccare",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "This study aimed at (i) comparing the effects of HA 0.2% + hydrocortisone 0.001% versus HA 0.2% on DED signs and symptoms in patients with mild-to-moderate dry eye disease (DED), and (ii) quantifying tear cortisol levels before and after the two treatments.",
        "Setting": "Single-center, spontaneous, randomized, double-masked controlled clinical trial conducted at the Complex Ophthalmology Unit, University Hospital of Cagliari (Cagliari, Italy).",
        "Methods": "Patients with mild-to-moderate DED were randomized 1:1 to receive eye drops containing HA 0.2% + hydrocortisone 0.001% (group 1) or HA 0.2% alone (group 2) and were evaluated at baseline, day 15 and day 45. Outcomes included ocular surface disease index (OSDI) score, corneal and conjunctival staining (NEI score), tear breakup time (TBUT), Schirmer test and intraocular pressure. Tear samples were collected at a fixed time (10:00 am) using standard Schirmer strips. Tear cortisol was quantified by HPLC–mass spectrometry. The injected aliquot corresponded to 5 mm of a diluted strip, standardized to 10 μL tear load. Mixed-effects models accounted for inter-eye correlation. Between-group comparisons used ANCOVA mixed models adjusted for baseline.",
        "Results": "Overall, 38 patients (51.2±18.1 years) were included. OSDI score improved in group 1 at day 45 (from 25 [19–31] to 12 [10–22]; p=0.002) but not in group 2. TBUT increased from 4 (4–6) to 7 (5–8) seconds at day 45 (p=0.036) but not in group 2. Corneal/conjunctival staining and Schirmer test showed no between-group differences. Tear cortisol decreased significantly in group 1 (from 1.9 [1.8–2.1] to 1.1 [0.7–1.7] and 1.1 [0.4–1.6] pg/µl, respectively at day 15 and 45 [both p<0.001]), while no changes were detected in group 2. A significant difference was observed for tear cortisol reduction between the two groups after 15 days (p=0.025) and 45 days (p=0.009). Cortisol levels were significantly associated with TBUT changes (β = −1.25, p=0.046).",
        "Conclusions": "HA 0.2% supplemented with low-dose hydrocortisone (0.001%) produced a significant reduction in tear cortisol levels and improved ocular discomfort symptoms as well as tear film stability in patients with mild-to-moderate DED. It is possible to speculate that supplementation with hydrocortisone eye drops could support the restoration of a state of functional para-inflammation that is crucial for the maintenance of ocular surface homeostasis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "HA 0.2% supplemented with low-dose hydrocortisone (0.001%) produced a significant reduction in tear cortisol levels and improved ocular discomfort symptoms as well as tear film stability in patients with mild-to-moderate DED. It is possible to speculate that supplementation with hydrocortisone eye drops could support the restoration of a state of functional para-inflammation that is crucial for the maintenance of…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 381,
      "source_fields": {
        "Abstract Final Identifier": "FP26.07",
        "Title": "Effects Of A Tear Substitute Containing Hyaluronic Acid 0.2% With Or Without Hydrocortisone 0.001% On Sign/Symptoms Of Dry Eye Disease And Tear Cortisol Levels: A Prospective, Randomized, Double-Masked, Controlled Clinical Trial",
        "Presenting Author(s)": "Prof. Dr Giuseppe Giannaccare",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Giuseppe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Giannaccare",
        "Country Name": "Italy",
        "Purpose": "This study aimed at (i) comparing the effects of HA 0.2% + hydrocortisone 0.001% versus HA 0.2% on DED signs and symptoms in patients with mild-to-moderate dry eye disease (DED), and (ii) quantifying tear cortisol levels before and after the two treatments.",
        "Setting": "Single-center, spontaneous, randomized, double-masked controlled clinical trial conducted at the Complex Ophthalmology Unit, University Hospital of Cagliari (Cagliari, Italy).",
        "Methods": "Patients with mild-to-moderate DED were randomized 1:1 to receive eye drops containing HA 0.2% + hydrocortisone 0.001% (group 1) or HA 0.2% alone (group 2) and were evaluated at baseline, day 15 and day 45. Outcomes included ocular surface disease index (OSDI) score, corneal and conjunctival staining (NEI score), tear breakup time (TBUT), Schirmer test and intraocular pressure. Tear samples were collected at a fixed time (10:00 am) using standard Schirmer strips. Tear cortisol was quantified by HPLC–mass spectrometry. The injected aliquot corresponded to 5 mm of a diluted strip, standardized to 10 μL tear load. Mixed-effects models accounted for inter-eye correlation. Between-group comparisons used ANCOVA mixed models adjusted for baseline.",
        "Results": "Overall, 38 patients (51.2±18.1 years) were included. OSDI score improved in group 1 at day 45 (from 25 [19–31] to 12 [10–22]; p=0.002) but not in group 2. TBUT increased from 4 (4–6) to 7 (5–8) seconds at day 45 (p=0.036) but not in group 2. Corneal/conjunctival staining and Schirmer test showed no between-group differences. Tear cortisol decreased significantly in group 1 (from 1.9 [1.8–2.1] to 1.1 [0.7–1.7] and 1.1 [0.4–1.6] pg/µl, respectively at day 15 and 45 [both p<0.001]), while no changes were detected in group 2. A significant difference was observed for tear cortisol reduction between the two groups after 15 days (p=0.025) and 45 days (p=0.009). Cortisol levels were significantly associated with TBUT changes (β = −1.25, p=0.046).",
        "Conclusions": "HA 0.2% supplemented with low-dose hydrocortisone (0.001%) produced a significant reduction in tear cortisol levels and improved ocular discomfort symptoms as well as tear film stability in patients with mild-to-moderate DED. It is possible to speculate that supplementation with hydrocortisone eye drops could support the restoration of a state of functional para-inflammation that is crucial for the maintenance of ocular surface homeostasis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 397
    },
    {
      "uid": "FP26.08",
      "abstract_number": "FP26.08",
      "title": "Semaglutide Alleviates Age-Related Dry Eye Disease By Restoring Lacrimal Gland Structure And Function",
      "authors": "Xin Zuo",
      "presenter": "Xin Zuo",
      "normalized_authors": [
        "Xin Zuo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xin Zuo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "The prevalence of age-related dry eye disease (DED) is increasing with global aging, and progressive lacrimal gland (LG) dysfunction represents a central pathogenic mechanism with limited targeted therapeutic options. Semaglutide (Sema), a glucagon-like peptide-1 receptor agonist widely used for metabolic diseases, has recently been shown to exert anti-aging effects in multiple tissues. However, its role in LG aging and age-related DED remains undefined. This study aimed to investigate the therapeutic effects and underlying mechanisms of Sema in age-related DED.",
        "Setting": "A naturally aged mouse model was used to evaluate age-related LG dysfunction and DED phenotypes, with long-term semaglutide administration as an interventional strategy.",
        "Methods": "Aged mice were treated with semaglutide for two months, followed by comprehensive evaluation of ocular surface integrity, tear secretion, and LG histopathology. High-throughput single-cell RNA sequencing was performed to characterize LG cellular composition and transcriptional programs. Cellular senescence was assessed using SenMayo-based scoring, senescence-associated β-galactosidase staining, p21 expression, and SASP-related markers. In vivo and in vitro assays were used to validate cell-type–specific molecular and functional changes.",
        "Results": "Long-term semaglutide treatment alleviated DED phenotypes, improved tear secretion, and preserved LG structure in aged mice. Single-cell analysis showed that aging was associated with acinar cell loss, expansion of fibroblast and immune populations, and activation of stress- and inflammation-related programs, which were broadly attenuated by semaglutide. SenMayo profiling revealed widespread senescent cell accumulation across epithelial, stromal, and immune compartments, which was markedly reduced by semaglutide. Mechanistically, semaglutide alleviated oxidative stress in acinar cells, suppressed pro-fibrotic programs in fibroblasts, and dampened inflammatory and chemotactic activation in macrophages.",
        "Conclusions": "Semaglutide mitigates age-related LG dysfunction and DED through coordinated attenuation of senescence-associated pathological programs across multiple cellular compartments. These findings support cellular senescence as a pharmacologically tractable mechanism in age-related DED and highlight semaglutide as a potential therapeutic strategy for aging-related ocular surface disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Semaglutide mitigates age-related LG dysfunction and DED through coordinated attenuation of senescence-associated pathological programs across multiple cellular compartments. These findings support cellular senescence as a pharmacologically tractable mechanism in age-related DED and highlight semaglutide as a potential therapeutic strategy for aging-related ocular surface disease.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 382,
      "source_fields": {
        "Abstract Final Identifier": "FP26.08",
        "Title": "Semaglutide Alleviates Age-Related Dry Eye Disease By Restoring Lacrimal Gland Structure And Function",
        "Presenting Author(s)": "Xin Zuo",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Xin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zuo",
        "Country Name": "China",
        "Purpose": "The prevalence of age-related dry eye disease (DED) is increasing with global aging, and progressive lacrimal gland (LG) dysfunction represents a central pathogenic mechanism with limited targeted therapeutic options. Semaglutide (Sema), a glucagon-like peptide-1 receptor agonist widely used for metabolic diseases, has recently been shown to exert anti-aging effects in multiple tissues. However, its role in LG aging and age-related DED remains undefined. This study aimed to investigate the therapeutic effects and underlying mechanisms of Sema in age-related DED.",
        "Setting": "A naturally aged mouse model was used to evaluate age-related LG dysfunction and DED phenotypes, with long-term semaglutide administration as an interventional strategy.",
        "Methods": "Aged mice were treated with semaglutide for two months, followed by comprehensive evaluation of ocular surface integrity, tear secretion, and LG histopathology. High-throughput single-cell RNA sequencing was performed to characterize LG cellular composition and transcriptional programs. Cellular senescence was assessed using SenMayo-based scoring, senescence-associated β-galactosidase staining, p21 expression, and SASP-related markers. In vivo and in vitro assays were used to validate cell-type–specific molecular and functional changes.",
        "Results": "Long-term semaglutide treatment alleviated DED phenotypes, improved tear secretion, and preserved LG structure in aged mice. Single-cell analysis showed that aging was associated with acinar cell loss, expansion of fibroblast and immune populations, and activation of stress- and inflammation-related programs, which were broadly attenuated by semaglutide. SenMayo profiling revealed widespread senescent cell accumulation across epithelial, stromal, and immune compartments, which was markedly reduced by semaglutide. Mechanistically, semaglutide alleviated oxidative stress in acinar cells, suppressed pro-fibrotic programs in fibroblasts, and dampened inflammatory and chemotactic activation in macrophages.",
        "Conclusions": "Semaglutide mitigates age-related LG dysfunction and DED through coordinated attenuation of senescence-associated pathological programs across multiple cellular compartments. These findings support cellular senescence as a pharmacologically tractable mechanism in age-related DED and highlight semaglutide as a potential therapeutic strategy for aging-related ocular surface disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "FP26.09",
      "abstract_number": "FP26.09",
      "title": "Refractive Instability Associated With Mirvetuximab Soravtansine: Implications For Cataract Surgery",
      "authors": "Dr Gloria Rezai",
      "presenter": "Dr Gloria Rezai",
      "normalized_authors": [
        "Gloria Rezai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gloria Rezai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To characterise the refractive and ocular surface changes observed in patients receiving Mirvetuximab soravtansine (MIRV) and to assess the clinical implications for cataract assessment and surgical planning.",
        "Setting": "Tertiary specialist oncology centre- Royal Marsen Hospital, London, UK.",
        "Methods": "Retrospective consecutive case series of ten patients undergoing MIRV therapy for folate receptor alpha (FR α)-positive platinum-resistant ovarian cancer, who were referred with new visual symptoms during active treatment. Clinical assessment included best-corrected visual acuity, subjective refraction, slit-lamp microscopy and corneal topography. Findings were compared with documented pre-treatment visual and refractive baselines. Onset and time course of visual symptoms during MIRV treatment cycles, associated refractive change from documented baseline, management strategy, reversibility, and impact on systemic therapy and cataract surgical planning were evaluated.",
        "Results": "All patients developed bilateral ocular surface toxicity during MIRV therapy, typically within the early treatment cycles. Slit-lamp examination showed corneal epithelial microcysts with punctate staining. Refractive instability occured relative to baseline, with an initial hyperopic shift and fluctuation of up to 5.00 dioptres over two weeks. Corneal topography demonstrated anterior curvature irregularity without stromal thinning or ectasia. Management was conservative with lubrication and topical corticosteroids. Refractive instability improved over time and no patient required permanent discontinuation of MIRV. Cataract surgery was deferred in several patients due to unstable refraction and ocular surface instability.",
        "Conclusions": "MIRV-associated ocular surface toxicity can induce transient but significant refractive instability secondary to epithelial keratopathy. The refractive shifts observed in this case series are consistent with reversible epithelial disruption rather than permanent stromal structural disease. Conservative management is typically sufficient, allowing continuation of systemic therapy, with only temporary dose modification where required. Fluctuating refraction and ocular surface instability may compromise biometry accuracy and influence surgical timing. Recognition of this treatment-related presentation is essential to avoid diagnostic error, guide operative planning and facilitate counselling regarding the reversibility of these changes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MIRV-associated ocular surface toxicity can induce transient but significant refractive instability secondary to epithelial keratopathy. The refractive shifts observed in this case series are consistent with reversible epithelial disruption rather than permanent stromal structural disease. Conservative management is typically sufficient, allowing continuation of systemic therapy, with only temporary dose…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 383,
      "source_fields": {
        "Abstract Final Identifier": "FP26.09",
        "Title": "Refractive Instability Associated With Mirvetuximab Soravtansine: Implications For Cataract Surgery",
        "Presenting Author(s)": "Dr Gloria Rezai",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Gloria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rezai",
        "Country Name": "United Kingdom",
        "Purpose": "To characterise the refractive and ocular surface changes observed in patients receiving Mirvetuximab soravtansine (MIRV) and to assess the clinical implications for cataract assessment and surgical planning.",
        "Setting": "Tertiary specialist oncology centre- Royal Marsen Hospital, London, UK.",
        "Methods": "Retrospective consecutive case series of ten patients undergoing MIRV therapy for folate receptor alpha (FR α)-positive platinum-resistant ovarian cancer, who were referred with new visual symptoms during active treatment. Clinical assessment included best-corrected visual acuity, subjective refraction, slit-lamp microscopy and corneal topography. Findings were compared with documented pre-treatment visual and refractive baselines. Onset and time course of visual symptoms during MIRV treatment cycles, associated refractive change from documented baseline, management strategy, reversibility, and impact on systemic therapy and cataract surgical planning were evaluated.",
        "Results": "All patients developed bilateral ocular surface toxicity during MIRV therapy, typically within the early treatment cycles. Slit-lamp examination showed corneal epithelial microcysts with punctate staining. Refractive instability occured relative to baseline, with an initial hyperopic shift and fluctuation of up to 5.00 dioptres over two weeks. Corneal topography demonstrated anterior curvature irregularity without stromal thinning or ectasia. Management was conservative with lubrication and topical corticosteroids. Refractive instability improved over time and no patient required permanent discontinuation of MIRV. Cataract surgery was deferred in several patients due to unstable refraction and ocular surface instability.",
        "Conclusions": "MIRV-associated ocular surface toxicity can induce transient but significant refractive instability secondary to epithelial keratopathy. The refractive shifts observed in this case series are consistent with reversible epithelial disruption rather than permanent stromal structural disease. Conservative management is typically sufficient, allowing continuation of systemic therapy, with only temporary dose modification where required. Fluctuating refraction and ocular surface instability may compromise biometry accuracy and influence surgical timing. Recognition of this treatment-related presentation is essential to avoid diagnostic error, guide operative planning and facilitate counselling regarding the reversibility of these changes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 303
    },
    {
      "uid": "FP26.10",
      "abstract_number": "FP26.10",
      "title": "Impact Of Topical Cyclosporine A 0.05% On Ocular Surface Microbiota And Clinical Parameters In Patients With Sjögren’S Syndrome With Moderate-To-Severe Dry Eye",
      "authors": "Dr Rabianur Eroglu",
      "presenter": "Dr Rabianur Eroglu",
      "normalized_authors": [
        "Rabianur Eroglu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rabianur Eroglu Ayaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the ocular surface microbiota in patients with primary Sjögren’s syndrome (SS)-associated dry eye disease (DED) and to investigate the potential effects of topical 0.05% cyclosporine A (CsA) on clinical findings and the ocular microbiota.",
        "Setting": "Department of Ophthalmology, Marmara University Faculty of Medicine, Istanbul, Türkiye.",
        "Methods": "This prospective study included 50 eyes of 50 patients (25 early-stage and 25 moderate-to-severe SS-DED). The early-stage group received artificial tears (0.15% sodium hyaluronate), while the moderate-to-severe group received artificial tears plus 0.05% CsA. Conjunctival swabs were obtained at baseline and 6 months. DNA was extracted with the ZymoBIOMICS™ DNA Miniprep Kit, and ocular microbiota was profiled by full-length 16S rRNA sequencing on the Oxford Nanopore MinION. Phylum and genus level relative abundances and alpha/beta diversity were compared within and between groups. Clinical outcomes (DEQ-5, Schirmer I, Oxford staining, TBUT and non-invasive TBUT) were assessed at baseline and 6 months.",
        "Results": "DEQ-5 was higher in moderate-to-severe SS-DED and decreased post-treatment (p<0.05). Schirmer,TBUT and non-invasive TBUT were lower in moderate-to-severe SS-DED (p<0.05); Schirmer was unchanged, TBUT increased only in this group (p<0.05), while non-invasive TBUT decreased in both groups (p<0.05). Bacillota and Pseudomonadota were dominant pre/post-treatment. Actinomycetota appeared post-treatment only in early SS-DED (p=0.015). In early SS-DED, the Observed index decreased at phylum and genus levels (p<0.05). Streptococcus increased in both groups (p<0.05), with genus-level beta diversity differed (p<0.05). LDA identified Gluconacetobacter,Snodgrassella and Bacillus as post-treatment discriminators in the moderate-to-severe group (log10>2)",
        "Conclusions": "CsA therapy significantly improved symptom scores and tear film stability in primary SS-associated DED. Post-treatment increases in Streptococcus and Bacillus, the emergence of Actinomycetota, and genus-level shifts in beta diversity indicate microbiota restructuring. This pattern may reflect suppression of pathogenic taxa with relative enrichment of commensals, contributing to reduced ocular surface inflammation and clinical improvement. The concordance between microbiota shifts and functional tear film outcomes supports a potential immunomodulatory effect of CsA on the ocular surface ecosystem."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CsA therapy significantly improved symptom scores and tear film stability in primary SS-associated DED. Post-treatment increases in Streptococcus and Bacillus, the emergence of Actinomycetota, and genus-level shifts in beta diversity indicate microbiota restructuring. This pattern may reflect suppression of pathogenic taxa with relative enrichment of commensals, contributing to reduced ocular surface inflammation…",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 384,
      "source_fields": {
        "Abstract Final Identifier": "FP26.10",
        "Title": "Impact Of Topical Cyclosporine A 0.05% On Ocular Surface Microbiota And Clinical Parameters In Patients With Sjögren’S Syndrome With Moderate-To-Severe Dry Eye",
        "Presenting Author(s)": "Dr Rabianur Eroglu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Rabianur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eroglu Ayaz",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the ocular surface microbiota in patients with primary Sjögren’s syndrome (SS)-associated dry eye disease (DED) and to investigate the potential effects of topical 0.05% cyclosporine A (CsA) on clinical findings and the ocular microbiota.",
        "Setting": "Department of Ophthalmology, Marmara University Faculty of Medicine, Istanbul, Türkiye.",
        "Methods": "This prospective study included 50 eyes of 50 patients (25 early-stage and 25 moderate-to-severe SS-DED). The early-stage group received artificial tears (0.15% sodium hyaluronate), while the moderate-to-severe group received artificial tears plus 0.05% CsA. Conjunctival swabs were obtained at baseline and 6 months. DNA was extracted with the ZymoBIOMICS™ DNA Miniprep Kit, and ocular microbiota was profiled by full-length 16S rRNA sequencing on the Oxford Nanopore MinION. Phylum and genus level relative abundances and alpha/beta diversity were compared within and between groups. Clinical outcomes (DEQ-5, Schirmer I, Oxford staining, TBUT and non-invasive TBUT) were assessed at baseline and 6 months.",
        "Results": "DEQ-5 was higher in moderate-to-severe SS-DED and decreased post-treatment (p<0.05). Schirmer,TBUT and non-invasive TBUT were lower in moderate-to-severe SS-DED (p<0.05); Schirmer was unchanged, TBUT increased only in this group (p<0.05), while non-invasive TBUT decreased in both groups (p<0.05). Bacillota and Pseudomonadota were dominant pre/post-treatment. Actinomycetota appeared post-treatment only in early SS-DED (p=0.015). In early SS-DED, the Observed index decreased at phylum and genus levels (p<0.05). Streptococcus increased in both groups (p<0.05), with genus-level beta diversity differed (p<0.05). LDA identified Gluconacetobacter,Snodgrassella and Bacillus as post-treatment discriminators in the moderate-to-severe group (log10>2)",
        "Conclusions": "CsA therapy significantly improved symptom scores and tear film stability in primary SS-associated DED. Post-treatment increases in Streptococcus and Bacillus, the emergence of Actinomycetota, and genus-level shifts in beta diversity indicate microbiota restructuring. This pattern may reflect suppression of pathogenic taxa with relative enrichment of commensals, contributing to reduced ocular surface inflammation and clinical improvement. The concordance between microbiota shifts and functional tear film outcomes supports a potential immunomodulatory effect of CsA on the ocular surface ecosystem."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "FP26.11",
      "abstract_number": "FP26.11",
      "title": "First In Human Clinical Investigation Of A Soft, Insoluble, Daily-Use Ocular Insert For Its Potential Use For Treatment Of Dry Eye",
      "authors": "Dr Víctor Charoenrook",
      "presenter": "Dr Víctor Charoenrook",
      "normalized_authors": [
        "Víctor Charoenrook"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thomas Meslier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the safety and comfort of a soft, insoluble, daily-use ocular insert for its potential use for the treatment of dry eye.",
        "Setting": "T ertiary referral ophthalmology center (Centro de Oftalmología Barraquer, Barcelona, Spain) between October 2023 and July 2024.",
        "Methods": "This first in human, open-label, single-arm prospective interventional study, included 20 healthy subjects. The investigational ocular insert is a Class IIa medical device made of biocellulose containing solution of balanced salt solution and ultrapure water. Two devices size were evaluated: large (16 × 4 mm) and medium (8 × 3 mm). After screening, volunteers were instructed to wear the device for 15 minutes, 1 hour, 3 hours, and 6 hours sessions. After removal, examinations were conducted, including NIBUT, slit lamp evaluation to assess hyperemia, corneal and conjunctival punctate staining using lissamine green and fluorescein, and symptom questionnaire completion.",
        "Results": "Twenty subjects completed the study. Seventeen used only the large insert, while 3 switched to the medium insert based on tolerability criteria. Overall, 78 wearing sessions were performed with the large insert and 6 with the medium insert. Dislodgements occurred with the large insert in 10 sessions at different wearing time. No dislodgements occurred with the medium insert. Moderate discomfort was reported in 6% (5/78) of sessions with the large insert, with symptoms decreasing over time, but was not observed with the medium insert. Adverse effects were minimal, with only one instance of slight hyperemia and one case of mild nasal conjunctival staining. No impact on tear film stability was observed.",
        "Conclusions": "This study demonstrates that the device is safe and well tolerated. Comfort and retention improved with user experience. These results support further investigation in patients with dry eye disease as a slow-releasing tears reservoir ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates that the device is safe and well tolerated. Comfort and retention improved with user experience. These results support further investigation in patients with dry eye disease as a slow-releasing tears reservoir .",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 385,
      "source_fields": {
        "Abstract Final Identifier": "FP26.11",
        "Title": "First In Human Clinical Investigation Of A Soft, Insoluble, Daily-Use Ocular Insert For Its Potential Use For Treatment Of Dry Eye",
        "Presenting Author(s)": "Dr Víctor Charoenrook",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Thomas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Meslier",
        "Country Name": "Spain",
        "Purpose": "To evaluate the safety and comfort of a soft, insoluble, daily-use ocular insert for its potential use for the treatment of dry eye.",
        "Setting": "T ertiary referral ophthalmology center (Centro de Oftalmología Barraquer, Barcelona, Spain) between October 2023 and July 2024.",
        "Methods": "This first in human, open-label, single-arm prospective interventional study, included 20 healthy subjects. The investigational ocular insert is a Class IIa medical device made of biocellulose containing solution of balanced salt solution and ultrapure water. Two devices size were evaluated: large (16 × 4 mm) and medium (8 × 3 mm). After screening, volunteers were instructed to wear the device for 15 minutes, 1 hour, 3 hours, and 6 hours sessions. After removal, examinations were conducted, including NIBUT, slit lamp evaluation to assess hyperemia, corneal and conjunctival punctate staining using lissamine green and fluorescein, and symptom questionnaire completion.",
        "Results": "Twenty subjects completed the study. Seventeen used only the large insert, while 3 switched to the medium insert based on tolerability criteria. Overall, 78 wearing sessions were performed with the large insert and 6 with the medium insert. Dislodgements occurred with the large insert in 10 sessions at different wearing time. No dislodgements occurred with the medium insert. Moderate discomfort was reported in 6% (5/78) of sessions with the large insert, with symptoms decreasing over time, but was not observed with the medium insert. Adverse effects were minimal, with only one instance of slight hyperemia and one case of mild nasal conjunctival staining. No impact on tear film stability was observed.",
        "Conclusions": "This study demonstrates that the device is safe and well tolerated. Comfort and retention improved with user experience. These results support further investigation in patients with dry eye disease as a slow-releasing tears reservoir ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "FP26.12",
      "abstract_number": "FP26.12",
      "title": "Integrative Evaluation Of Jue-Ming Granules For Dry Eye Disease: Evidence-Based Preclinical Insights Into Multi-Target Mechanisms",
      "authors": "Prof. Dr Ziming Liu",
      "presenter": "Prof. Dr Ziming Liu",
      "normalized_authors": [
        "Ziming Liu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ziming Liu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Dry eye disease (DED) is a prevalent ocular surface disorder characterized by chronic inflammation and limited long-term therapeutic options. Jue-Ming Granules (JMGs), a modified herbal formulation composed of drug–food homologous and health-grade ingredients, represent a promising integrative intervention with multi-target anti-inflammatory potential. This study aimed to systematically investigate the pharmacological mechanisms and therapeutic efficacy of JMGs in DED treatment using a multilevel preclinical approach.",
        "Setting": "Preclinical experimental study",
        "Methods": "Active compounds and therapeutic targets of JMGs were identified via network pharmacology platforms (TCMSP, HERB, GeneCards, OMIM). GO, KEGG enrichment, and protein–protein interaction (PPI) analyses were conducted to identify key pathways. Molecular docking (AutoDock Vina, PyMOL) evaluated compound–target interactions. In vitro experiments were conducted using benzalkonium chloride–injured human corneal epithelial (HCE) cells, while in vivo efficacy was evaluated in a scopolamine hydrochloride - and desiccation-induced DED mouse model. Western blot analysis was performed in both HCE cells and corneal tissues to assess pathway-related protein expression, and pathway involvement was further examined using a PI3K-specific inhibitor.",
        "Results": "Quercetin, caffeine, and luteolin were identified as major active compounds targeting key inflammation-related proteins (AKT1, TNF, IL - 6). JMGs significantly enhanced HCE cell viability and downregulated proinflammatory cytokine expression. In vivo, JMGs promoted tear secretion, reduced corneal damage, preserved goblet cell density, and suppressed inflammatory markers (TNF-α, IL-6, IFN-γ). Western blot analysis demonstrated that JMGs markedly inhibited the phosphorylation of PI3K, AKT, and NF-κB p65 in both HCE cells and corneal tissues. Pharmacological inhibition of PI3K partially attenuated the protective effects of JMGs, supporting the functional involvement of the PI3K/AKT/NF-κB signaling axis.",
        "Conclusions": "JMGs provide promising integrative therapy for DED, acting through key inflammatory pathways. This supports their translational potential in modern ocular therapeutics combining traditional and evidence-based medicine."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "JMGs provide promising integrative therapy for DED, acting through key inflammatory pathways. This supports their translational potential in modern ocular therapeutics combining traditional and evidence-based medicine.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 386,
      "source_fields": {
        "Abstract Final Identifier": "FP26.12",
        "Title": "Integrative Evaluation Of Jue-Ming Granules For Dry Eye Disease: Evidence-Based Preclinical Insights Into Multi-Target Mechanisms",
        "Presenting Author(s)": "Prof. Dr Ziming Liu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ziming",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Liu",
        "Country Name": "China",
        "Purpose": "Dry eye disease (DED) is a prevalent ocular surface disorder characterized by chronic inflammation and limited long-term therapeutic options. Jue-Ming Granules (JMGs), a modified herbal formulation composed of drug–food homologous and health-grade ingredients, represent a promising integrative intervention with multi-target anti-inflammatory potential. This study aimed to systematically investigate the pharmacological mechanisms and therapeutic efficacy of JMGs in DED treatment using a multilevel preclinical approach.",
        "Setting": "Preclinical experimental study",
        "Methods": "Active compounds and therapeutic targets of JMGs were identified via network pharmacology platforms (TCMSP, HERB, GeneCards, OMIM). GO, KEGG enrichment, and protein–protein interaction (PPI) analyses were conducted to identify key pathways. Molecular docking (AutoDock Vina, PyMOL) evaluated compound–target interactions. In vitro experiments were conducted using benzalkonium chloride–injured human corneal epithelial (HCE) cells, while in vivo efficacy was evaluated in a scopolamine hydrochloride - and desiccation-induced DED mouse model. Western blot analysis was performed in both HCE cells and corneal tissues to assess pathway-related protein expression, and pathway involvement was further examined using a PI3K-specific inhibitor.",
        "Results": "Quercetin, caffeine, and luteolin were identified as major active compounds targeting key inflammation-related proteins (AKT1, TNF, IL - 6). JMGs significantly enhanced HCE cell viability and downregulated proinflammatory cytokine expression. In vivo, JMGs promoted tear secretion, reduced corneal damage, preserved goblet cell density, and suppressed inflammatory markers (TNF-α, IL-6, IFN-γ). Western blot analysis demonstrated that JMGs markedly inhibited the phosphorylation of PI3K, AKT, and NF-κB p65 in both HCE cells and corneal tissues. Pharmacological inhibition of PI3K partially attenuated the protective effects of JMGs, supporting the functional involvement of the PI3K/AKT/NF-κB signaling axis.",
        "Conclusions": "JMGs provide promising integrative therapy for DED, acting through key inflammatory pathways. This supports their translational potential in modern ocular therapeutics combining traditional and evidence-based medicine."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "FP26.13",
      "abstract_number": "FP26.13",
      "title": "Therapeutic Potential Of Reproxalap In Inflammatory Eye Diseases: A Systematic Review And Meta-Analysis",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To assess the clinical efficacy of reproxalap in inflammatory eye diseases.",
        "Setting": "A systematic review and meta-analysis",
        "Methods": "This systematic review is registered with PROSPERO (CRD420251070669). A search of PubMed, Embase, and ClinicalTrials.gov was conducted from January 2000 to June 2025, to identify studies evaluating reproxalap in inflammatory eye diseases. Study quality was assessed using the Cochrane Risk of Bias tool (RoB 2.0). Pooled analyses were performed using RevMan 5.4 with a random-effects model.",
        "Results": "A total of 14 RCTs (n = 2,692) were included: 8 on dry eye disease (DED) (n = 1,888), 4 on conjunctivitis (n = 637), and 2 on anterior uveitis (n = 167). In DED, reproxalap significantly reduced conjunctival redness (SMD: -0.29; 95% CI: -0.45 to -0.12; p = 0.0005), improved Schirmer test scores (SMD: 0.38; 95% CI: 0.25 to 0.50; p < 0.00001), and reduced ocular dryness scores (SMD: -0.20; 95% CI: -0.37 to -0.02; p = 0.03). In allergic conjunctivitis, reproxalap significantly reduced ocular itching (SMD: -0.38; 95% CI: -0.51 to -0.25; p < 0.00001), ocular tearing (SMD: -0.30; 95% CI: -0.51 to -0.10; p = 0.004), and conjunctival redness (SMD: -0.42; 95% CI: -0.64 to -0.20; p = 0.0001).",
        "Conclusions": "Reproxalap effectively reduces key inflammatory symptoms in DED and conjunctivitis and shows potential as a corticosteroid-sparing agent in anterior uveitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Reproxalap effectively reduces key inflammatory symptoms in DED and conjunctivitis and shows potential as a corticosteroid-sparing agent in anterior uveitis.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 387,
      "source_fields": {
        "Abstract Final Identifier": "FP26.13",
        "Title": "Therapeutic Potential Of Reproxalap In Inflammatory Eye Diseases: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "To assess the clinical efficacy of reproxalap in inflammatory eye diseases.",
        "Setting": "A systematic review and meta-analysis",
        "Methods": "This systematic review is registered with PROSPERO (CRD420251070669). A search of PubMed, Embase, and ClinicalTrials.gov was conducted from January 2000 to June 2025, to identify studies evaluating reproxalap in inflammatory eye diseases. Study quality was assessed using the Cochrane Risk of Bias tool (RoB 2.0). Pooled analyses were performed using RevMan 5.4 with a random-effects model.",
        "Results": "A total of 14 RCTs (n = 2,692) were included: 8 on dry eye disease (DED) (n = 1,888), 4 on conjunctivitis (n = 637), and 2 on anterior uveitis (n = 167). In DED, reproxalap significantly reduced conjunctival redness (SMD: -0.29; 95% CI: -0.45 to -0.12; p = 0.0005), improved Schirmer test scores (SMD: 0.38; 95% CI: 0.25 to 0.50; p < 0.00001), and reduced ocular dryness scores (SMD: -0.20; 95% CI: -0.37 to -0.02; p = 0.03). In allergic conjunctivitis, reproxalap significantly reduced ocular itching (SMD: -0.38; 95% CI: -0.51 to -0.25; p < 0.00001), ocular tearing (SMD: -0.30; 95% CI: -0.51 to -0.10; p = 0.004), and conjunctival redness (SMD: -0.42; 95% CI: -0.64 to -0.20; p = 0.0001).",
        "Conclusions": "Reproxalap effectively reduces key inflammatory symptoms in DED and conjunctivitis and shows potential as a corticosteroid-sparing agent in anterior uveitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "FP26.14",
      "abstract_number": "FP26.14",
      "title": "A Trans-Epithelial Nanozyme Of Ultra-Small Polydopamine For Multi-Targeted Therapy Of Corneal Neovascularization",
      "authors": "Dr Yue Wu",
      "presenter": "Dr Yue Wu",
      "normalized_authors": [
        "Yue Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yue Wu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To develop a non-invasive trans-epithelial nanotherapy using ultra-small polydopamine nanoparticles (UPDA NPs) that can simultaneously alleviate oxidative stress, inflammation, and angiogenesis in corneal neovascularization(CoNV).",
        "Setting": "Experimental translational study conducted in a university-affiliated ophthalmic research center.",
        "Methods": "UPDA NPs (~3 nm) were synthesized via alkaline polymerization followed by ultrasonic exfoliation. Their physicochemical properties were characterized by TEM, XPS, XRD, and FTIR. Antioxidant performance was assessed through ABTS, DPPH, and ESR assays. In vitro anti-oxidative, anti-inflammatory, and anti-angiogenic activities were examined in HCECs, RAW 264.7 macrophages, and HUVECs using ROS detection, qPCR, ELISA, and tube-formation assays. Transcriptomic profiling elucidated signaling regulation. An alkali-burn-induced CoNV mouse model was used to\nevaluate therapeutic efficacy, corneal penetration, and long-term biosafety.",
        "Results": "UPDA NPs exhibited strong SOD/CAT-mimicking activity, efficiently scavenging OH· and O2−· radicals, and activated the NRF2 antioxidant pathway. They reduced ROS accumulation, suppressed IL-6, TNF-α, and NO release, and downregulated PI3K-Akt, MAPK, and integrin-ECM angiogenic signaling. Topical UPDA NPs penetrated the corneal epithelium, markedly decreased CoNV area and vessel length, accelerated epithelial healing, and showed no local or systemic toxicity.",
        "Conclusions": "This study presents a first-in-class, carrier-free, trans-epithelial nanotherapy integrating anti-oxidant, anti-inflammatory, and anti-angiogenic effects within one platform. UPDA NPs effectively disrupt the ROS–inflammation–angiogenesis vicious cycle, offering a safe and potent therapeutic strategy for corneal neovascularization and other ocular surface diseases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study presents a first-in-class, carrier-free, trans-epithelial nanotherapy integrating anti-oxidant, anti-inflammatory, and anti-angiogenic effects within one platform. UPDA NPs effectively disrupt the ROS–inflammation–angiogenesis vicious cycle, offering a safe and potent therapeutic strategy for corneal neovascularization and other ocular surface diseases.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 388,
      "source_fields": {
        "Abstract Final Identifier": "FP26.14",
        "Title": "A Trans-Epithelial Nanozyme Of Ultra-Small Polydopamine For Multi-Targeted Therapy Of Corneal Neovascularization",
        "Presenting Author(s)": "Dr Yue Wu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yue",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wu",
        "Country Name": "China",
        "Purpose": "To develop a non-invasive trans-epithelial nanotherapy using ultra-small polydopamine nanoparticles (UPDA NPs) that can simultaneously alleviate oxidative stress, inflammation, and angiogenesis in corneal neovascularization(CoNV).",
        "Setting": "Experimental translational study conducted in a university-affiliated ophthalmic research center.",
        "Methods": "UPDA NPs (~3 nm) were synthesized via alkaline polymerization followed by ultrasonic exfoliation. Their physicochemical properties were characterized by TEM, XPS, XRD, and FTIR. Antioxidant performance was assessed through ABTS, DPPH, and ESR assays. In vitro anti-oxidative, anti-inflammatory, and anti-angiogenic activities were examined in HCECs, RAW 264.7 macrophages, and HUVECs using ROS detection, qPCR, ELISA, and tube-formation assays. Transcriptomic profiling elucidated signaling regulation. An alkali-burn-induced CoNV mouse model was used to\nevaluate therapeutic efficacy, corneal penetration, and long-term biosafety.",
        "Results": "UPDA NPs exhibited strong SOD/CAT-mimicking activity, efficiently scavenging OH· and O2−· radicals, and activated the NRF2 antioxidant pathway. They reduced ROS accumulation, suppressed IL-6, TNF-α, and NO release, and downregulated PI3K-Akt, MAPK, and integrin-ECM angiogenic signaling. Topical UPDA NPs penetrated the corneal epithelium, markedly decreased CoNV area and vessel length, accelerated epithelial healing, and showed no local or systemic toxicity.",
        "Conclusions": "This study presents a first-in-class, carrier-free, trans-epithelial nanotherapy integrating anti-oxidant, anti-inflammatory, and anti-angiogenic effects within one platform. UPDA NPs effectively disrupt the ROS–inflammation–angiogenesis vicious cycle, offering a safe and potent therapeutic strategy for corneal neovascularization and other ocular surface diseases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "FP26.15",
      "abstract_number": "FP26.15",
      "title": "Mitomycin-C Intravascular Chemoembolisation (Mice) And Intrastromal Injection For Corneal Neovascularisation",
      "authors": "Mr Martin Watson",
      "presenter": "Mr Martin Watson",
      "normalized_authors": [
        "Martin Watson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Martin Watson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Corneal neovascularisation (NV) is a significant risk factor for visual impairment and corneal graft failure. The condition is frequently refractory to medical management, and currently available vasodestructive interventions often produce incomplete or transient regression. Mitomycin-C (MMC) intravascular chemoembolisation (MICE) is a novel angio-regressive technique that has demonstrated promising early outcomes; however, evidence remains limited, particularly with respect to real-world application and long-term safety. This study evaluates the long-term efficacy and safety of MICE, and targeted intrastromal MMC injection that has not previously been reported in the treatment of corneal neovascularisation.",
        "Setting": "Moorfields Eye Hospital",
        "Methods": "A retrospective observational study was conducted involving adult patients with corneal NV who underwent treatment with MICE and intrastromal MMC injection. Intravascular MMC delivery was performed where corneal vessel cannulation was feasible; otherwise, targeted intrastromal MMC injection was undertaken. Pre- and postoperative vascularisation was assessed using ImageJ-based quantitative analysis, masked independent grading of slit-lamp photographs, and surgeon-reported outcomes. Best-corrected visual acuity, complications, and subsequent surgical interventions were recorded.",
        "Results": "Thirty-two patients (33 eyes) were included. Cannulation alone was achieved in 13% of procedures, combined cannulation and intrastromal injection in 13%, and intrastromal injection alone in 74%. ImageJ analysis demonstrated NV regression in 72% of assessable cases. Surgeon-reported improvement or marked improvement was observed in 79% of eyes overall, and 78% of intrastromal-only cases (18/23). BCVA improved in six eyes, remained stable in 20, and declined in seven. Two serious complications (6%) occurred in anatomically high-risk eyes due to inadvertent MMC entry into the anterior chamber. Four eyes subsequently underwent keratoplasty without NV recurrence.",
        "Conclusions": "In the largest clinical cohort to date, MICE and not previously evaluated intrastromal MMC injection produced substantial regression of corneal NV. MMC-based angio-regression is the most effective treatment currently available and play an important role in stabilising high-risk corneas and optimising outcomes prior to keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In the largest clinical cohort to date, MICE and not previously evaluated intrastromal MMC injection produced substantial regression of corneal NV. MMC-based angio-regression is the most effective treatment currently available and play an important role in stabilising high-risk corneas and optimising outcomes prior to keratoplasty.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 389,
      "source_fields": {
        "Abstract Final Identifier": "FP26.15",
        "Title": "Mitomycin-C Intravascular Chemoembolisation (Mice) And Intrastromal Injection For Corneal Neovascularisation",
        "Presenting Author(s)": "Mr Martin Watson",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Martin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Watson",
        "Country Name": "United Kingdom",
        "Purpose": "Corneal neovascularisation (NV) is a significant risk factor for visual impairment and corneal graft failure. The condition is frequently refractory to medical management, and currently available vasodestructive interventions often produce incomplete or transient regression. Mitomycin-C (MMC) intravascular chemoembolisation (MICE) is a novel angio-regressive technique that has demonstrated promising early outcomes; however, evidence remains limited, particularly with respect to real-world application and long-term safety. This study evaluates the long-term efficacy and safety of MICE, and targeted intrastromal MMC injection that has not previously been reported in the treatment of corneal neovascularisation.",
        "Setting": "Moorfields Eye Hospital",
        "Methods": "A retrospective observational study was conducted involving adult patients with corneal NV who underwent treatment with MICE and intrastromal MMC injection. Intravascular MMC delivery was performed where corneal vessel cannulation was feasible; otherwise, targeted intrastromal MMC injection was undertaken. Pre- and postoperative vascularisation was assessed using ImageJ-based quantitative analysis, masked independent grading of slit-lamp photographs, and surgeon-reported outcomes. Best-corrected visual acuity, complications, and subsequent surgical interventions were recorded.",
        "Results": "Thirty-two patients (33 eyes) were included. Cannulation alone was achieved in 13% of procedures, combined cannulation and intrastromal injection in 13%, and intrastromal injection alone in 74%. ImageJ analysis demonstrated NV regression in 72% of assessable cases. Surgeon-reported improvement or marked improvement was observed in 79% of eyes overall, and 78% of intrastromal-only cases (18/23). BCVA improved in six eyes, remained stable in 20, and declined in seven. Two serious complications (6%) occurred in anatomically high-risk eyes due to inadvertent MMC entry into the anterior chamber. Four eyes subsequently underwent keratoplasty without NV recurrence.",
        "Conclusions": "In the largest clinical cohort to date, MICE and not previously evaluated intrastromal MMC injection produced substantial regression of corneal NV. MMC-based angio-regression is the most effective treatment currently available and play an important role in stabilising high-risk corneas and optimising outcomes prior to keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "FP26.16",
      "abstract_number": "FP26.16",
      "title": "Targeted Mitomycin C Intravascular Chemoembolization (Mice) For Corneal Neovascularisation: Pilot Clinical Outcomes",
      "authors": "Ms Lin Lu",
      "presenter": "Ms Lin Lu",
      "normalized_authors": [
        "Lin Lu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lin Lu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Corneal neovascularisation is a vision-threatening condition characterised by abnormal vessel ingrowth, leading to stromal scarring, lipid deposition, and increased risk of graft rejection. Current vessel-directed treatments - including fine-needle diathermy, anti-vascular endothelial growth factor agents, and laser photocoagulation - demonstrate variable and often limited efficacy. Mitomycin C (MMC) intravascular chemoembolization (MICE) involves direct intravascular MMC injection to induce endothelial obliteration and vessel regression. This pilot study evaluates the safety and clinical efficacy of MICE for corneal neovascularisation.",
        "Setting": "Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, United Kingdom.",
        "Methods": "A retrospective review was performed of all patients undergoing MICE for corneal neovascularisation between April 2025 and January 2026. Data were extracted from electronic patient records. MMC (0.2 or 0.4 mg/mL) was delivered via 34-gauge needle cannulation of corneal vessels with controlled retrograde injection. Patients were reviewed at 1 week, 1 month, 3 months, and 6 months. Outcomes included visual acuity (VA), clock-hours of neovascularisation, and photographic assessment of vessel regression.",
        "Results": "Seven eyes of seven patients (median age 54.5 years, range 44–71) with mixed-aetiology corneal neovascularisation underwent MICE; one eye required repeat treatment. Median baseline neovascularisation was 3 clock hours (range 1–4). At 1 month, regression was observed in all eyes (100%), with median involvement reduced to 1 clock hour (range 0–2). VA improved in 2 eyes, remained stable in 4 eyes, and reduced in 1 eye due to unrelated retinal detachment. No intraoperative or postoperative complications or adverse events were observed.",
        "Conclusions": "MICE demonstrated favourable safety and consistent early regression of corneal neovascularisation in this pilot cohort. Direct intravascular MMC delivery may provide a targeted alternative for established corneal vessels when conventional therapies are insufficient. Larger prospective studies are required to evaluate durability and long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "MICE demonstrated favourable safety and consistent early regression of corneal neovascularisation in this pilot cohort. Direct intravascular MMC delivery may provide a targeted alternative for established corneal vessels when conventional therapies are insufficient. Larger prospective studies are required to evaluate durability and long-term outcomes.",
      "session_type": "Free Paper",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 390,
      "source_fields": {
        "Abstract Final Identifier": "FP26.16",
        "Title": "Targeted Mitomycin C Intravascular Chemoembolization (Mice) For Corneal Neovascularisation: Pilot Clinical Outcomes",
        "Presenting Author(s)": "Ms Lin Lu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lu",
        "Country Name": "United Kingdom",
        "Purpose": "Corneal neovascularisation is a vision-threatening condition characterised by abnormal vessel ingrowth, leading to stromal scarring, lipid deposition, and increased risk of graft rejection. Current vessel-directed treatments - including fine-needle diathermy, anti-vascular endothelial growth factor agents, and laser photocoagulation - demonstrate variable and often limited efficacy. Mitomycin C (MMC) intravascular chemoembolization (MICE) involves direct intravascular MMC injection to induce endothelial obliteration and vessel regression. This pilot study evaluates the safety and clinical efficacy of MICE for corneal neovascularisation.",
        "Setting": "Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, United Kingdom.",
        "Methods": "A retrospective review was performed of all patients undergoing MICE for corneal neovascularisation between April 2025 and January 2026. Data were extracted from electronic patient records. MMC (0.2 or 0.4 mg/mL) was delivered via 34-gauge needle cannulation of corneal vessels with controlled retrograde injection. Patients were reviewed at 1 week, 1 month, 3 months, and 6 months. Outcomes included visual acuity (VA), clock-hours of neovascularisation, and photographic assessment of vessel regression.",
        "Results": "Seven eyes of seven patients (median age 54.5 years, range 44–71) with mixed-aetiology corneal neovascularisation underwent MICE; one eye required repeat treatment. Median baseline neovascularisation was 3 clock hours (range 1–4). At 1 month, regression was observed in all eyes (100%), with median involvement reduced to 1 clock hour (range 0–2). VA improved in 2 eyes, remained stable in 4 eyes, and reduced in 1 eye due to unrelated retinal detachment. No intraoperative or postoperative complications or adverse events were observed.",
        "Conclusions": "MICE demonstrated favourable safety and consistent early regression of corneal neovascularisation in this pilot cohort. Direct intravascular MMC delivery may provide a targeted alternative for established corneal vessels when conventional therapies are insufficient. Larger prospective studies are required to evaluate durability and long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "FP27.01",
      "abstract_number": "FP27.01",
      "title": "Predictors For Retreatment Following Prk For High Myopia",
      "authors": "Dr Waseem Nasser",
      "presenter": "Dr Waseem Nasser",
      "normalized_authors": [
        "Waseem Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Waseem Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "This study aims to identify risk factors for retreatment following photorefractive keratectomy (PRK) in eyes with high myopia.",
        "Setting": "Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective cohort study included eyes with high myopia (spherical equivalent [SEQ] ≤ −6.0 D) that underwent primary PRK between January 2013 and June 2022 at Care Vision Laser Centers, Israel. All procedures were performed using the EX500 excimer laser. Eyes were categorized as control or retreatment based on whether a subsequent corneal refractive procedure was performed during follow-up. Preoperative and intraoperative parameters were compared using independent t-test, Mann-Whitney U, Chi-square and Fisher’s exact tests, where appropriate. Multivariable logistic regression was used to identify independent predictors of retreatment.",
        "Results": "Overall, 12,995 eyes (7,185 patients) were included in the study, of which 52 eyes (0.4%) underwent retreatment. Preoperatively, age, pachymetry, keratometry, subjective SEQ, and sphere did not differ between groups. The retreatment group had a higher proportion of males (67.3% vs 52.5%, P<0.05) and a higher prevalence of hard contact lens wear (7.7% vs 0.6%, P<0.001). Intraoperatively, treated refraction and ablation depth were similar, while retreatment eyes underwent primary PRK in earlier years (P<0.001). On multivariable regression, hard contact lens use (OR 12.95, 95% CI 4.12–40.72), male sex (OR 1.83, 95% CI 1.01–3.32), and earlier surgical year (OR 0.64 per year, 95% CI 0.56–0.73) were independently associated with retreatment.",
        "Conclusions": "Hard contact lens use is a significant predictor for retreatment after PRK in eyes with high myopia. Male sex was identified as an additional predictor for retreatment. Identifying these risk factors enables tailored preoperative counseling and optimized surgical planning to reduce the likelihood of retreatment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hard contact lens use is a significant predictor for retreatment after PRK in eyes with high myopia. Male sex was identified as an additional predictor for retreatment. Identifying these risk factors enables tailored preoperative counseling and optimized surgical planning to reduce the likelihood of retreatment.",
      "session_type": "Free Paper",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 391,
      "source_fields": {
        "Abstract Final Identifier": "FP27.01",
        "Title": "Predictors For Retreatment Following Prk For High Myopia",
        "Presenting Author(s)": "Dr Waseem Nasser",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Waseem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "Israel",
        "Purpose": "This study aims to identify risk factors for retreatment following photorefractive keratectomy (PRK) in eyes with high myopia.",
        "Setting": "Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective cohort study included eyes with high myopia (spherical equivalent [SEQ] ≤ −6.0 D) that underwent primary PRK between January 2013 and June 2022 at Care Vision Laser Centers, Israel. All procedures were performed using the EX500 excimer laser. Eyes were categorized as control or retreatment based on whether a subsequent corneal refractive procedure was performed during follow-up. Preoperative and intraoperative parameters were compared using independent t-test, Mann-Whitney U, Chi-square and Fisher’s exact tests, where appropriate. Multivariable logistic regression was used to identify independent predictors of retreatment.",
        "Results": "Overall, 12,995 eyes (7,185 patients) were included in the study, of which 52 eyes (0.4%) underwent retreatment. Preoperatively, age, pachymetry, keratometry, subjective SEQ, and sphere did not differ between groups. The retreatment group had a higher proportion of males (67.3% vs 52.5%, P<0.05) and a higher prevalence of hard contact lens wear (7.7% vs 0.6%, P<0.001). Intraoperatively, treated refraction and ablation depth were similar, while retreatment eyes underwent primary PRK in earlier years (P<0.001). On multivariable regression, hard contact lens use (OR 12.95, 95% CI 4.12–40.72), male sex (OR 1.83, 95% CI 1.01–3.32), and earlier surgical year (OR 0.64 per year, 95% CI 0.56–0.73) were independently associated with retreatment.",
        "Conclusions": "Hard contact lens use is a significant predictor for retreatment after PRK in eyes with high myopia. Male sex was identified as an additional predictor for retreatment. Identifying these risk factors enables tailored preoperative counseling and optimized surgical planning to reduce the likelihood of retreatment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "FP27.02",
      "abstract_number": "FP27.02",
      "title": "Outcomes Of Laser Vision Correction With Diabetes Meletus: A Retrospective Real-World Study",
      "authors": "Dr Dror Ben Ephraim Noyman",
      "presenter": "Dr Dror Ben Ephraim Noyman",
      "normalized_authors": [
        "Dror Ben Ephraim Noyman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dror Ben Ephraim Noyman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Diabetes mellitus (DM) is common and can alter corneal wound healing, tear-film stability, and neurosensory function, potentially impacting visual recovery and refractive accuracy after laser vision correction. Evidence guiding procedure choice in DM remains limited and heterogeneous, and many centers treat DM as a relative contraindication or modify perioperative protocols. We aimed to evaluate real-world visual and refractive outcomes of photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK) in adults with controlled DM as compared to the general population for correction of hyperopia and myopia., and to compare the two surgical techniques within DM patients.",
        "Setting": "Retrospective Study, Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective comparative study included consecutive myopic and hyperopic adults with either controlled DM or no known chronic systemic disease, all aimed for emmetropia, without ocular comorbidities or prior ocular surgery, who underwent PRK or LASIK between 2013 and 2024. Baseline characteristics were balanced using propensity score matching. Refractive and visual outcomes were assessed between diabetic and control groups for each modality, and between PRK and LASIK within the diabetic cohort.",
        "Results": "After matching, 794 eyes (DM 161; controls 633) were analyzed for myopic PRK; 186 eyes (DM 97; controls 373) for myopic LASIK; and 113 diabetic myopic eyes (PRK 75; LASIK 38) for within-population modality differences. 557 eyes (DM 29; controls 528) were assessed for hyperopic LASIK correction. For myopia- there were no significant differences between DM and control groups in PRK outcomes. In LASIK, efficacy was lower in DM than controls (0.96 vs 1.00; p=0.048) with non-inferior safety (1.01 vs 1.03; p=0.129) and no other significant differences. Within the diabetic population, PRK demonstrated significantly higher efficacy than LASIK (1.00 vs 0.90; p=0.035). For hyperopia – LASIK demonstrated no significant differences between the groups.",
        "Conclusions": "Safety was comparable in myopic diabetics, however PRK showed superior efficacy to LASIK and achieved efficacy and safety similar to healthy controls. Subject to other clinical considerations, PRK should be considered as the preferred option for myopic DM patients upon counseling on procedure choice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Safety was comparable in myopic diabetics, however PRK showed superior efficacy to LASIK and achieved efficacy and safety similar to healthy controls. Subject to other clinical considerations, PRK should be considered as the preferred option for myopic DM patients upon counseling on procedure choice.",
      "session_type": "Free Paper",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 392,
      "source_fields": {
        "Abstract Final Identifier": "FP27.02",
        "Title": "Outcomes Of Laser Vision Correction With Diabetes Meletus: A Retrospective Real-World Study",
        "Presenting Author(s)": "Dr Dror Ben Ephraim Noyman",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Dror",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Ephraim Noyman",
        "Country Name": "Israel",
        "Purpose": "Diabetes mellitus (DM) is common and can alter corneal wound healing, tear-film stability, and neurosensory function, potentially impacting visual recovery and refractive accuracy after laser vision correction. Evidence guiding procedure choice in DM remains limited and heterogeneous, and many centers treat DM as a relative contraindication or modify perioperative protocols. We aimed to evaluate real-world visual and refractive outcomes of photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK) in adults with controlled DM as compared to the general population for correction of hyperopia and myopia., and to compare the two surgical techniques within DM patients.",
        "Setting": "Retrospective Study, Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective comparative study included consecutive myopic and hyperopic adults with either controlled DM or no known chronic systemic disease, all aimed for emmetropia, without ocular comorbidities or prior ocular surgery, who underwent PRK or LASIK between 2013 and 2024. Baseline characteristics were balanced using propensity score matching. Refractive and visual outcomes were assessed between diabetic and control groups for each modality, and between PRK and LASIK within the diabetic cohort.",
        "Results": "After matching, 794 eyes (DM 161; controls 633) were analyzed for myopic PRK; 186 eyes (DM 97; controls 373) for myopic LASIK; and 113 diabetic myopic eyes (PRK 75; LASIK 38) for within-population modality differences. 557 eyes (DM 29; controls 528) were assessed for hyperopic LASIK correction. For myopia- there were no significant differences between DM and control groups in PRK outcomes. In LASIK, efficacy was lower in DM than controls (0.96 vs 1.00; p=0.048) with non-inferior safety (1.01 vs 1.03; p=0.129) and no other significant differences. Within the diabetic population, PRK demonstrated significantly higher efficacy than LASIK (1.00 vs 0.90; p=0.035). For hyperopia – LASIK demonstrated no significant differences between the groups.",
        "Conclusions": "Safety was comparable in myopic diabetics, however PRK showed superior efficacy to LASIK and achieved efficacy and safety similar to healthy controls. Subject to other clinical considerations, PRK should be considered as the preferred option for myopic DM patients upon counseling on procedure choice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "FP27.03",
      "abstract_number": "FP27.03",
      "title": "Femtotransprk: A Novel Laser Vision Correction Technique Using The Atos Femtosecond Laser With 3-Month Follow-Up",
      "authors": "Dr Maria Clara Arbelaez",
      "presenter": "Dr Maria Clara Arbelaez",
      "normalized_authors": [
        "Maria Clara Arbelaez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Clara Arbelaez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Oman",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and refractive outcomes of a novel FemtoTransPRK technique that creates a superficial lenticule including the epithelium using a femtosecond laser system with integrated eye tracking, precise centration, and cyclotorsion compensation.",
        "Setting": "Maria-Clara Arbelaez, MD, Muscat, Oman",
        "Methods": "A retrospective analysis was performed on 50 eyes of 25 patients (mean age 25.7 ± 6.6 years; range 18–38) treated with FemtoTransPRK using the SCHWIND ATOS femtosecond laser. Cap thickness, corresponding to epithelial thickness, was adjusted from 75 µm to 70 µm and 65 µm. Outcomes were evaluated at 3 months postoperatively, including safety, efficacy, and refractive results, with emphasis on spherical equivalent (SEQ) and cylinder.",
        "Results": "The study comprises 50 eyes. The p reoperative SEQ was -2.91 ± 1.27 D (range -1.51 to -5.91 D) with cylinder ≤3.00D. Mean FemtoTransPRK l enticule thickness was 146±17.6µm [range 123 to 198µm], including the epithelium and refractive volume. The mean optical zone was 6.9±0.3mm [range 6.0 to 7.7mm]. Three months postop the mean SEQ refraction was -0.03±0.38D (range -0.75 to 0.75D) and the mean cylinder was -0.42±0.56D. The uncorrected distance visual acuity (UDVA) was the same as or better than the CDVA in 50% of the cases. The mean efficacy index was 0.96 and the mean safety index was 0.98. The residual astigmatism of ≤0.50D was achieved in 77% all patients.",
        "Conclusions": "The data from the 3-month follow-up of FemtoTransPRK correction reveal a full visual recovery and precise refraction. This novel technique using the ATOS femtosecond laser appears to be a safe and effective option for the correction of myopia and myopic astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The data from the 3-month follow-up of FemtoTransPRK correction reveal a full visual recovery and precise refraction. This novel technique using the ATOS femtosecond laser appears to be a safe and effective option for the correction of myopia and myopic astigmatism.",
      "session_type": "Free Paper",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 393,
      "source_fields": {
        "Abstract Final Identifier": "FP27.03",
        "Title": "Femtotransprk: A Novel Laser Vision Correction Technique Using The Atos Femtosecond Laser With 3-Month Follow-Up",
        "Presenting Author(s)": "Dr Maria Clara Arbelaez",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Clara",
        "Submitter Last Name": "Arbelaez",
        "Country Name": "Oman",
        "Purpose": "To evaluate the safety, efficacy, and refractive outcomes of a novel FemtoTransPRK technique that creates a superficial lenticule including the epithelium using a femtosecond laser system with integrated eye tracking, precise centration, and cyclotorsion compensation.",
        "Setting": "Maria-Clara Arbelaez, MD, Muscat, Oman",
        "Methods": "A retrospective analysis was performed on 50 eyes of 25 patients (mean age 25.7 ± 6.6 years; range 18–38) treated with FemtoTransPRK using the SCHWIND ATOS femtosecond laser. Cap thickness, corresponding to epithelial thickness, was adjusted from 75 µm to 70 µm and 65 µm. Outcomes were evaluated at 3 months postoperatively, including safety, efficacy, and refractive results, with emphasis on spherical equivalent (SEQ) and cylinder.",
        "Results": "The study comprises 50 eyes. The p reoperative SEQ was -2.91 ± 1.27 D (range -1.51 to -5.91 D) with cylinder ≤3.00D. Mean FemtoTransPRK l enticule thickness was 146±17.6µm [range 123 to 198µm], including the epithelium and refractive volume. The mean optical zone was 6.9±0.3mm [range 6.0 to 7.7mm]. Three months postop the mean SEQ refraction was -0.03±0.38D (range -0.75 to 0.75D) and the mean cylinder was -0.42±0.56D. The uncorrected distance visual acuity (UDVA) was the same as or better than the CDVA in 50% of the cases. The mean efficacy index was 0.96 and the mean safety index was 0.98. The residual astigmatism of ≤0.50D was achieved in 77% all patients.",
        "Conclusions": "The data from the 3-month follow-up of FemtoTransPRK correction reveal a full visual recovery and precise refraction. This novel technique using the ATOS femtosecond laser appears to be a safe and effective option for the correction of myopia and myopic astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "FP27.04",
      "abstract_number": "FP27.04",
      "title": "Prk On Lasik Flaps Vs. Primary Prk In Myopic Eyes: A Propensity Score-Matched Comparison Of Outcomes And Safety",
      "authors": "Dr Adir Sommer",
      "presenter": "Dr Adir Sommer",
      "normalized_authors": [
        "Adir Sommer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adir Sommer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To compare the predictability, visual, and refractive outcomes of Photorefractive Keratectomy (PRK) performed on a pre-existing LASIK flap versus primary PRK in myopic eyes using a propensity score-matched design.",
        "Setting": "Retrospective Study, Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective comparative study included 523 myopic eyes of 425 patients (mean age 34.92±9.42). Propensity score matching (1:2 ratio, caliper=0.05) was used to balance baseline characteristics between the PRK on flap (n=178) and primary PRK (n=345) groups, matching on age, sex, eye laterality, pachymetry, keratometry, subjective refraction, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). Multivariate general linear model adjusted for potential confounders, and multivariate logistic regression assessed the association between treatment type and target achievement.",
        "Results": "Mean follow-up was 139.0±54.2 days for primary PRK and 151.8±79.1 days for the PRK on flap group (p=0.15). No significant differences were observed in postoperative UCVA (0.93±0.19 vs. 0.94±0.18, p=0.581), BCVA (0.98±0.12 for both groups, p=0.792), safety index (1.02±0.13 vs. 1.01±0.11, p=0.493), or efficacy index (0.97±0.20 vs. 0.97±0.17, p=0.948). While both groups neared emmetropia, the flap group showed a significant hyperopic tendency. These findings persisted after multivariate adjustment for SEQ (−0.02±0.51 vs. −0.15±0.51D, p=0.016) and sphere (+0.07±0.56 vs. −0.05±0.49D, p=0.022). Refractive predictability was comparable, with 92.1% vs. 92.9% within ±1.0D (p=0.667). Multivariate logistic regression further confirmed these findings.",
        "Conclusions": "PRK performed on pre-existing LASIK flaps achieves visual acuity, safety, and efficacy outcomes that are comparable to those of primary PRK on virgin corneas. Both groups attained postoperative refraction near emmetropia with equivalent predictability. A mild tendency toward a more hyperopic refractive outcome was observed in the PRK on flap group, though the final SEQ remained close to plano. These findings suggest that PRK on LASIK flaps is a safe and effective treatment option, and that larger, prospective studies are warranted to determine whether minor nomogram adjustments should be considered to account for this slight hyperopic tendency in eyes with pre-existing flaps."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRK performed on pre-existing LASIK flaps achieves visual acuity, safety, and efficacy outcomes that are comparable to those of primary PRK on virgin corneas. Both groups attained postoperative refraction near emmetropia with equivalent predictability. A mild tendency toward a more hyperopic refractive outcome was observed in the PRK on flap group, though the final SEQ remained close to plano. These findings…",
      "session_type": "Free Paper",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 394,
      "source_fields": {
        "Abstract Final Identifier": "FP27.04",
        "Title": "Prk On Lasik Flaps Vs. Primary Prk In Myopic Eyes: A Propensity Score-Matched Comparison Of Outcomes And Safety",
        "Presenting Author(s)": "Dr Adir Sommer",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Adir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sommer",
        "Country Name": "Israel",
        "Purpose": "To compare the predictability, visual, and refractive outcomes of Photorefractive Keratectomy (PRK) performed on a pre-existing LASIK flap versus primary PRK in myopic eyes using a propensity score-matched design.",
        "Setting": "Retrospective Study, Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective comparative study included 523 myopic eyes of 425 patients (mean age 34.92±9.42). Propensity score matching (1:2 ratio, caliper=0.05) was used to balance baseline characteristics between the PRK on flap (n=178) and primary PRK (n=345) groups, matching on age, sex, eye laterality, pachymetry, keratometry, subjective refraction, uncorrected visual acuity (UCVA), and best-corrected visual acuity (BCVA). Multivariate general linear model adjusted for potential confounders, and multivariate logistic regression assessed the association between treatment type and target achievement.",
        "Results": "Mean follow-up was 139.0±54.2 days for primary PRK and 151.8±79.1 days for the PRK on flap group (p=0.15). No significant differences were observed in postoperative UCVA (0.93±0.19 vs. 0.94±0.18, p=0.581), BCVA (0.98±0.12 for both groups, p=0.792), safety index (1.02±0.13 vs. 1.01±0.11, p=0.493), or efficacy index (0.97±0.20 vs. 0.97±0.17, p=0.948). While both groups neared emmetropia, the flap group showed a significant hyperopic tendency. These findings persisted after multivariate adjustment for SEQ (−0.02±0.51 vs. −0.15±0.51D, p=0.016) and sphere (+0.07±0.56 vs. −0.05±0.49D, p=0.022). Refractive predictability was comparable, with 92.1% vs. 92.9% within ±1.0D (p=0.667). Multivariate logistic regression further confirmed these findings.",
        "Conclusions": "PRK performed on pre-existing LASIK flaps achieves visual acuity, safety, and efficacy outcomes that are comparable to those of primary PRK on virgin corneas. Both groups attained postoperative refraction near emmetropia with equivalent predictability. A mild tendency toward a more hyperopic refractive outcome was observed in the PRK on flap group, though the final SEQ remained close to plano. These findings suggest that PRK on LASIK flaps is a safe and effective treatment option, and that larger, prospective studies are warranted to determine whether minor nomogram adjustments should be considered to account for this slight hyperopic tendency in eyes with pre-existing flaps."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "FP27.05",
      "abstract_number": "FP27.05",
      "title": "Assessment Of Safety And Efficacy Of Gabapentin For Postoperative Analgesia After Surface Ablation: A Randomized Controlled Trial",
      "authors": "Prof. Dr Mohamed Tarek Tarek Elnaggar",
      "presenter": "Prof. Dr Mohamed Tarek Tarek Elnaggar",
      "normalized_authors": [
        "Mohamed Tarek Tarek Elnaggar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Tarek Tarek Elnaggar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Postoperative pain remains a significant challenge after advanced surface ablation (ASA) and photorefractive keratectomy (PRK). Gabapentin, with its multimodal analgesic properties, has emerged as a promising option for postoperative pain management.\n\nObjective: To assess the efficacy and safety of oral gabapentin compared to oral diclofenac potassium for postoperative analgesia in patients undergoing surface ablation procedures.",
        "Setting": "Refractive surgery Department\n\nResearch Institute of Ophthalmology, Giza, Egypt",
        "Methods": "This prospective, randomized controlled clinical trial included 58 patients (116 eyes) aged 21–37 years (mean 23 ± 4.62 years). Patients were randomized into two groups: Gabapentin group (n=29, receiving 300 mg three times daily) and Diclofenac group (n=29, receiving 50 mg three times daily) for 7 days postoperatively. Pain intensity was assessed daily using the Numeric Rating Scale (NRS) from day 1 to day 7 post-op.",
        "Results": "The Gabapentin group demonstrated significantly lower mean pain scores compared to the Diclofenac group across all postoperative days (Day 1: 6.2 ± 0.9 vs. 7.1 ± 0.8; Day 7: 0.3 ± 0.6 vs. 1.2 ± 0.9; p<0.05). Pain relief was faster and more pronounced in the gabapentin group, with complete pain resolution by day 6–7.",
        "Conclusions": "Oral gabapentin provides superior postoperative analgesia compared to\n\ndiclofenac following surface ablation procedures, with favorable safety profile"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Oral gabapentin provides superior postoperative analgesia compared to diclofenac following surface ablation procedures, with favorable safety profile",
      "session_type": "Free Paper",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 395,
      "source_fields": {
        "Abstract Final Identifier": "FP27.05",
        "Title": "Assessment Of Safety And Efficacy Of Gabapentin For Postoperative Analgesia After Surface Ablation: A Randomized Controlled Trial",
        "Presenting Author(s)": "Prof. Dr Mohamed Tarek Tarek Elnaggar",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Mohamed Tarek",
        "Submitter Middle Name": "Tarek",
        "Submitter Last Name": "Elnaggar",
        "Country Name": "Egypt",
        "Purpose": "Postoperative pain remains a significant challenge after advanced surface ablation (ASA) and photorefractive keratectomy (PRK). Gabapentin, with its multimodal analgesic properties, has emerged as a promising option for postoperative pain management.\n\nObjective: To assess the efficacy and safety of oral gabapentin compared to oral diclofenac potassium for postoperative analgesia in patients undergoing surface ablation procedures.",
        "Setting": "Refractive surgery Department\n\nResearch Institute of Ophthalmology, Giza, Egypt",
        "Methods": "This prospective, randomized controlled clinical trial included 58 patients (116 eyes) aged 21–37 years (mean 23 ± 4.62 years). Patients were randomized into two groups: Gabapentin group (n=29, receiving 300 mg three times daily) and Diclofenac group (n=29, receiving 50 mg three times daily) for 7 days postoperatively. Pain intensity was assessed daily using the Numeric Rating Scale (NRS) from day 1 to day 7 post-op.",
        "Results": "The Gabapentin group demonstrated significantly lower mean pain scores compared to the Diclofenac group across all postoperative days (Day 1: 6.2 ± 0.9 vs. 7.1 ± 0.8; Day 7: 0.3 ± 0.6 vs. 1.2 ± 0.9; p<0.05). Pain relief was faster and more pronounced in the gabapentin group, with complete pain resolution by day 6–7.",
        "Conclusions": "Oral gabapentin provides superior postoperative analgesia compared to\n\ndiclofenac following surface ablation procedures, with favorable safety profile"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 212
    },
    {
      "uid": "FP27.07",
      "abstract_number": "FP27.07",
      "title": "Topical Steroids For Postoperative Haze Prevention After Photorefractive Keratectomy: A Systematic Review And Network Meta Analysis",
      "authors": "Dr Dror Ben Ephraim Noyman",
      "presenter": "Dr Dror Ben Ephraim Noyman",
      "normalized_authors": [
        "Dror Ben Ephraim Noyman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dror Ben Ephraim Noyman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Despite the well-established methodology of the surgery, haze after photorefractive keratectomy (PRK) remains a major concern for both patients and surgeons. While evidence has shown the value of topical steroids in the postoperative regimen, no consensus is established for a preferred regimen. Our goal was to compare the efficacy and safety of the different topical steroid protocols for prevention of postoperative haze to supply surgeons with an evidence-based selection for their toolbox.",
        "Setting": "This was a network meta-analysis of randomized control trials (RCTs) derived from a comprehensive search of PubMed, Scopus, and Embase performed through September 24 th , 2025 for RCTs evaluating topical steroidal treatment after PRK in a 3–12-month follow-up.",
        "Methods": "Treatments were categorized by distinct active ingredients and concentrations, and pooled into groups by protocol length (1-2 months defined as short, 3-4 months as intermediate, and over that as long). Combination regomens were dealt with separately. After systematic seach and filtration - 14 studies reported outcomes for postoperative haze formation, 12 reported on deviation from target refraction, and 11 reported intraocular pressure (IOP) effects. Data extraction followed PRISMA guidelines, and analyses were conducted using a frequentist approach, random-effects, network meta-analysis model. Standardized mean differences (SMDs) were calculated for comparative analyses and P-scores (P) were used to rank treatment efficacy.",
        "Results": "In total, 15 RCTs (1,477 patients; 8 countries) were included. Across the network, a 3-4-month fluorometholone (FML) 0.1% regimen was most studied and ranked best for haze prevention (P=0.837), significantly outperforming the same protocol when started only after bandage contact lens removal (SMD −1.02; 95% CI −2.01 to −0.02). For deviation from target refraction, no between-intervention differences reached significance, however the 3-4-month FML 0.1% regimen ranked second (P=0.683), preceded only by a 5-6-month FML 0.1% protocol (P=0.704). For IOP, FML 0.2% was the only steroid non-inferior to control and ranked best (P=0.975). Dexamethasone 0.1% ranked worst for IOP (P=0.165 for 3-4 months; P=0.256 for 1-2 months).",
        "Conclusions": "FML-based regimens administered for intermediate durations offer the most favorable balance of efficacy and safety for haze prevention after PRK and should not be delayed. Corticosteroids with greater intraocular penetration do not provide additional benefit and may increase safety concerns."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FML-based regimens administered for intermediate durations offer the most favorable balance of efficacy and safety for haze prevention after PRK and should not be delayed. Corticosteroids with greater intraocular penetration do not provide additional benefit and may increase safety concerns.",
      "session_type": "Free Paper",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 396,
      "source_fields": {
        "Abstract Final Identifier": "FP27.07",
        "Title": "Topical Steroids For Postoperative Haze Prevention After Photorefractive Keratectomy: A Systematic Review And Network Meta Analysis",
        "Presenting Author(s)": "Dr Dror Ben Ephraim Noyman",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Dror",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Ephraim Noyman",
        "Country Name": "Israel",
        "Purpose": "Despite the well-established methodology of the surgery, haze after photorefractive keratectomy (PRK) remains a major concern for both patients and surgeons. While evidence has shown the value of topical steroids in the postoperative regimen, no consensus is established for a preferred regimen. Our goal was to compare the efficacy and safety of the different topical steroid protocols for prevention of postoperative haze to supply surgeons with an evidence-based selection for their toolbox.",
        "Setting": "This was a network meta-analysis of randomized control trials (RCTs) derived from a comprehensive search of PubMed, Scopus, and Embase performed through September 24 th , 2025 for RCTs evaluating topical steroidal treatment after PRK in a 3–12-month follow-up.",
        "Methods": "Treatments were categorized by distinct active ingredients and concentrations, and pooled into groups by protocol length (1-2 months defined as short, 3-4 months as intermediate, and over that as long). Combination regomens were dealt with separately. After systematic seach and filtration - 14 studies reported outcomes for postoperative haze formation, 12 reported on deviation from target refraction, and 11 reported intraocular pressure (IOP) effects. Data extraction followed PRISMA guidelines, and analyses were conducted using a frequentist approach, random-effects, network meta-analysis model. Standardized mean differences (SMDs) were calculated for comparative analyses and P-scores (P) were used to rank treatment efficacy.",
        "Results": "In total, 15 RCTs (1,477 patients; 8 countries) were included. Across the network, a 3-4-month fluorometholone (FML) 0.1% regimen was most studied and ranked best for haze prevention (P=0.837), significantly outperforming the same protocol when started only after bandage contact lens removal (SMD −1.02; 95% CI −2.01 to −0.02). For deviation from target refraction, no between-intervention differences reached significance, however the 3-4-month FML 0.1% regimen ranked second (P=0.683), preceded only by a 5-6-month FML 0.1% protocol (P=0.704). For IOP, FML 0.2% was the only steroid non-inferior to control and ranked best (P=0.975). Dexamethasone 0.1% ranked worst for IOP (P=0.165 for 3-4 months; P=0.256 for 1-2 months).",
        "Conclusions": "FML-based regimens administered for intermediate durations offer the most favorable balance of efficacy and safety for haze prevention after PRK and should not be delayed. Corticosteroids with greater intraocular penetration do not provide additional benefit and may increase safety concerns."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 376
    },
    {
      "uid": "FP27.09",
      "abstract_number": "FP27.09",
      "title": "Layer-Specific Corneal Densitometric Remodeling After Lasik, Clear, And Prk For Myopia ≤6.00 D: A Prospective Comparative Scheimpflug Analysis",
      "authors": "Dr Renzo Pomatanta Diaz",
      "presenter": "Dr Renzo Pomatanta Diaz",
      "normalized_authors": [
        "Renzo Pomatanta Diaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Renzo Pomatanta Diaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To quantitatively compare layer-specific corneal densitometric changes after LASIK, CLEAR, and PRK in patients with myopia ≤6.00 D, and to determine whether different surgical mechanisms induce differential transparency alterations within the central optical zone.",
        "Setting": "Research Department at Oftalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "A prospective comparative study including 175 eyes undergoing refractive surgery: LASIK (n=87), CLEAR (n=60), and PRK (n=28). Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent were evaluated preoperatively and at 3 months postoperatively. Corneal densitometry (grayscale units, GSU) was obtained using Scheimpflug tomography (Pentacam HR), analyzing the anterior, central, posterior, and total stromal layers within concentric zones of 0–2, 2–6, 6–10, and 10–12 mm. Intra- and intergroup comparisons were performed using R statistical software, with significance set at p<0.05",
        "Results": "Postoperative spherical equivalent was −0.13±0.44 D (LASIK), −0.12±0.21 D (CLEAR), and −0.17±0.24 D (PRK), without intergroup differences (p=0.553). Anterior densitometry in the 0–6 mm zone differed significantly (global p<0.0001). In the 0–2 mm zone, values increased from 20.47±1.48 to 21.59±4.14 GSU (LASIK), 16.11±1.19 to 18.26±1.47 GSU (CLEAR), and 15.99±1.11 to 18.23±4.20 GSU (PRK). In the 2–6 mm zone, increases were greater after LASIK (14.69±0.78 to 19.15±3.08 GSU) compared with CLEAR (14.89±1.03 to 16.94±1.45) and PRK (14.72±0.89 to 15.61±3.17) (post-hoc p<0.0001). Total densitometry also increased in both zones, with significant intergroup differences (p<0.0001).",
        "Conclusions": "Significant differences were observed in anterior and total corneal densitometry within the central optical zone. LASIK induced the greatest increases in the 0–6 mm region, reflecting more pronounced anterior and overall stromal remodeling, whereas CLEAR showed the lowest densitometric impact."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Significant differences were observed in anterior and total corneal densitometry within the central optical zone. LASIK induced the greatest increases in the 0–6 mm region, reflecting more pronounced anterior and overall stromal remodeling, whereas CLEAR showed the lowest densitometric impact.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 397,
      "source_fields": {
        "Abstract Final Identifier": "FP27.09",
        "Title": "Layer-Specific Corneal Densitometric Remodeling After Lasik, Clear, And Prk For Myopia ≤6.00 D: A Prospective Comparative Scheimpflug Analysis",
        "Presenting Author(s)": "Dr Renzo Pomatanta Diaz",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Renzo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pomatanta Diaz",
        "Country Name": "Peru",
        "Purpose": "To quantitatively compare layer-specific corneal densitometric changes after LASIK, CLEAR, and PRK in patients with myopia ≤6.00 D, and to determine whether different surgical mechanisms induce differential transparency alterations within the central optical zone.",
        "Setting": "Research Department at Oftalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "A prospective comparative study including 175 eyes undergoing refractive surgery: LASIK (n=87), CLEAR (n=60), and PRK (n=28). Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent were evaluated preoperatively and at 3 months postoperatively. Corneal densitometry (grayscale units, GSU) was obtained using Scheimpflug tomography (Pentacam HR), analyzing the anterior, central, posterior, and total stromal layers within concentric zones of 0–2, 2–6, 6–10, and 10–12 mm. Intra- and intergroup comparisons were performed using R statistical software, with significance set at p<0.05",
        "Results": "Postoperative spherical equivalent was −0.13±0.44 D (LASIK), −0.12±0.21 D (CLEAR), and −0.17±0.24 D (PRK), without intergroup differences (p=0.553). Anterior densitometry in the 0–6 mm zone differed significantly (global p<0.0001). In the 0–2 mm zone, values increased from 20.47±1.48 to 21.59±4.14 GSU (LASIK), 16.11±1.19 to 18.26±1.47 GSU (CLEAR), and 15.99±1.11 to 18.23±4.20 GSU (PRK). In the 2–6 mm zone, increases were greater after LASIK (14.69±0.78 to 19.15±3.08 GSU) compared with CLEAR (14.89±1.03 to 16.94±1.45) and PRK (14.72±0.89 to 15.61±3.17) (post-hoc p<0.0001). Total densitometry also increased in both zones, with significant intergroup differences (p<0.0001).",
        "Conclusions": "Significant differences were observed in anterior and total corneal densitometry within the central optical zone. LASIK induced the greatest increases in the 0–6 mm region, reflecting more pronounced anterior and overall stromal remodeling, whereas CLEAR showed the lowest densitometric impact."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "FP27.10",
      "abstract_number": "FP27.10",
      "title": "Structural Normalization Of Corneal Astigmatism In Smile Pro — Bidirectional Case Analysis With Vector And Ray-Tracing Correlation",
      "authors": "Dr A. John Kanellopoulos",
      "presenter": "Dr A. John Kanellopoulos",
      "normalized_authors": [
        "A. John Kanellopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "A. John Kanellopoulos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To evaluate the clinical impact of Topography-Modified Refraction (TMR), derived from Scheimpflug total corneal imaging and ray-tracing analysis, in 50 consecutive SMILE Pro procedures and to assess refractive accuracy, visual acuity outcomes, and postoperative higher-order aberration (HOA) behavior",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "Preop spherical equivalent was −2.75 D (median ± SD: −2.75 ± 1.10 D). Cylinder was −1.25 D (median ± SD: −1.25 ± 0.75 D).\n\nTMR was derived from total corneal power distribution (Scheimpflug imaging), central corneal astigmatism, and ray-tracing assessment (including dilated evaluation when indicated). Treatment planning prioritized structural corneal normalization rather than manifest refraction alone.\n\nCylinder magnitude was increased relative to manifest refraction in 36/50 eyes (72%) , reduced in 7/50 eyes (14%) , and unchanged in 7/50 eyes (14%) .\n\nPostoperative evaluation at 1 and 3 months included UDVA, CDVA, residual cylinder, Alpins vector analysis, Scheimpflug tomography, ray-tracing wavefront analysis, and higher-order aberration profiling.",
        "Results": "Preoperative CDVA averaged 20/18; postoperative UDVA improved to 20/14.\n\nOne line of vision was gained in 55% of eyes and two lines in 8%.\n\nNinety-two percent of eyes were within ±0.50 D of intended spherical equivalent, and 96% were within ±0.75 D. Residual refractive cylinder was ≤0.50 D in the majority of cases. Vector analysis demonstrated reduced predicted residual astigmatism compared with theoretical manifest-based planning, with lower difference vectors and improved target-induced astigmatism alignment.\n\nThree-month ray-tracing analysis showed minimal overall HOA induction; however, a mild but consistent increase in vertical coma (Zernike C7) was observed, correlating with centration/cyclorotation variability during SMILE Pro docking.",
        "Conclusions": "SMILE Pro with TMR enhances refractive accuracy and visual function in consecutive cases. Bidirectional cylinder modulation confirms that TMR functions as a structural normalization strategy rather than a magnitude bias. TMR represents a preoperative structural planning approach distinct from vector-based outcome analysis. In contrast to contemporary excimer platforms—where active eye tracking and visual-axis–centered ablation have matured—SMILE technology has yet to establish consistent treatment accuracy relative to the visual axis. The observed postoperative C7 increase suggests centration remains a limiting factor in lenticule extraction. Centration/cyclorotation and integration of HOA customization may further optimize visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE Pro with TMR enhances refractive accuracy and visual function in consecutive cases. Bidirectional cylinder modulation confirms that TMR functions as a structural normalization strategy rather than a magnitude bias. TMR represents a preoperative structural planning approach distinct from vector-based outcome analysis. In contrast to contemporary excimer platforms—where active eye tracking and…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 398,
      "source_fields": {
        "Abstract Final Identifier": "FP27.10",
        "Title": "Structural Normalization Of Corneal Astigmatism In Smile Pro — Bidirectional Case Analysis With Vector And Ray-Tracing Correlation",
        "Presenting Author(s)": "Dr A. John Kanellopoulos",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "A.",
        "Submitter Middle Name": "John",
        "Submitter Last Name": "Kanellopoulos",
        "Country Name": "Greece",
        "Purpose": "To evaluate the clinical impact of Topography-Modified Refraction (TMR), derived from Scheimpflug total corneal imaging and ray-tracing analysis, in 50 consecutive SMILE Pro procedures and to assess refractive accuracy, visual acuity outcomes, and postoperative higher-order aberration (HOA) behavior",
        "Setting": "Laservision Ambulatory Surgical Unit, Athens, Greece and the NYU Grossman School of Medicine, Department of Ophthalmology, New York City, NY",
        "Methods": "Preop spherical equivalent was −2.75 D (median ± SD: −2.75 ± 1.10 D). Cylinder was −1.25 D (median ± SD: −1.25 ± 0.75 D).\n\nTMR was derived from total corneal power distribution (Scheimpflug imaging), central corneal astigmatism, and ray-tracing assessment (including dilated evaluation when indicated). Treatment planning prioritized structural corneal normalization rather than manifest refraction alone.\n\nCylinder magnitude was increased relative to manifest refraction in 36/50 eyes (72%) , reduced in 7/50 eyes (14%) , and unchanged in 7/50 eyes (14%) .\n\nPostoperative evaluation at 1 and 3 months included UDVA, CDVA, residual cylinder, Alpins vector analysis, Scheimpflug tomography, ray-tracing wavefront analysis, and higher-order aberration profiling.",
        "Results": "Preoperative CDVA averaged 20/18; postoperative UDVA improved to 20/14.\n\nOne line of vision was gained in 55% of eyes and two lines in 8%.\n\nNinety-two percent of eyes were within ±0.50 D of intended spherical equivalent, and 96% were within ±0.75 D. Residual refractive cylinder was ≤0.50 D in the majority of cases. Vector analysis demonstrated reduced predicted residual astigmatism compared with theoretical manifest-based planning, with lower difference vectors and improved target-induced astigmatism alignment.\n\nThree-month ray-tracing analysis showed minimal overall HOA induction; however, a mild but consistent increase in vertical coma (Zernike C7) was observed, correlating with centration/cyclorotation variability during SMILE Pro docking.",
        "Conclusions": "SMILE Pro with TMR enhances refractive accuracy and visual function in consecutive cases. Bidirectional cylinder modulation confirms that TMR functions as a structural normalization strategy rather than a magnitude bias. TMR represents a preoperative structural planning approach distinct from vector-based outcome analysis. In contrast to contemporary excimer platforms—where active eye tracking and visual-axis–centered ablation have matured—SMILE technology has yet to establish consistent treatment accuracy relative to the visual axis. The observed postoperative C7 increase suggests centration remains a limiting factor in lenticule extraction. Centration/cyclorotation and integration of HOA customization may further optimize visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 373
    },
    {
      "uid": "FP27.11",
      "abstract_number": "FP27.11",
      "title": "Compare The Three-Month Clinical Outcome Of 5 Different Keratorefractive Lenticule Extraction(Klex) And Laser Assisted In Situ Keratomileusis(Lasik)",
      "authors": "Dr I-Hung Lin",
      "presenter": "Dr I-Hung Lin",
      "normalized_authors": [
        "I-Hung Lin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "I-Hung Lin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To compare the clinical outcomes of 5 different keratorefractive lenticule extraction(KLEx) techniques: SMILE (Zeiss Visumax 500), SMILE Pro (Zeiss Visumax 800), CLEAR (Zeimer Z8), SmartSight(Schwind ATOS) and SILK(Johnson & Johnson Elita) and LASIK in terms of postoperative uncorrected distance visual acuity (UDVA) and residual refractive error, Effective Optical Zone (EOZ), Central Stromal Thickness Reduction(CCSR), Contrast Sensitivity and Higher-order Aberrations (HOAs, including spherical, trefoil, coma, and total HOAs).",
        "Setting": "prospective matched cohort study",
        "Methods": "Data were prospectively collected from Taipei Nobel Eye Clinic (2024/8/1-2025/6/31). Analysis included 55 SMILE (110 eyes), 78 SMILE Pro (156 eyes), 4 CLEAR (8 eyes), 31 SmartSight (62 eyes) and 13 SILK( 26 eyes) and 8 LASIK(16 eyes) patients, focusing on preoperative and postoperative BCVA, UDVA, EOZ, CCSR, Contrast Sensitivity and HOAs(including spherical, trefoil, coma, and total HOAs). LASIK was done by Custom-Q LASIK by EX500(Alcon) with flap made by Visumax 500 (Zeiss). The preoperative baseline characteristics of age, sex, degree of sphere, degree of cylinder, programmed optical zone (POZ) were matched between the 5 KLEx and LASIK.",
        "Results": "Patients' average age ranged from 29–33 years. Preoperative spherical errors were -4.74 to -5.98D and cylindrical errors -0.88 to -1.53D. Three month post-op, UDVA was similar across all groups (SMILE: 0.004; SMILE Pro: 0.006; CLEAR: 0.056; SmartSight: 0.011; SILK: -0.008, LASIK: 0.003 logMAR), with residual errors near 0D. All groups had smaller EOZ compared to POZ, with LASIK showing the largest reduction (1.30±0.14mm) and SILK the least (0.55±0.35mm), and other KLEx had similar reduction around 1 mm (SMILE: 1.05±0.40; SMILE Pro: 0.99±0.34; CLEAR: 0.93±0.19; SmartSight: 1.00±0.31mm). All KLEx overestimated CCSR by 12–26µm, while LASIK underestimated by 0.5µm. Contrast sensitivity and increases in HOAs were comparable among all procedures.",
        "Conclusions": "Three months after operation, the UDVA, Residual Spherical and cylinder Error, Contrast Sensitivity, and HOAs are all good and similar in all 5 KLEx and LASIK. However, all 5 KLEx & LASIK have smaller EOZ compared with POZ, with that LASIK decrease the most and SILK decrease the least. All 5 KLEx overestimate CCSR at the comparable level, while LASIK underestimate CCSR."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Three months after operation, the UDVA, Residual Spherical and cylinder Error, Contrast Sensitivity, and HOAs are all good and similar in all 5 KLEx and LASIK. However, all 5 KLEx & LASIK have smaller EOZ compared with POZ, with that LASIK decrease the most and SILK decrease the least. All 5 KLEx overestimate CCSR at the comparable level, while LASIK underestimate CCSR.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 399,
      "source_fields": {
        "Abstract Final Identifier": "FP27.11",
        "Title": "Compare The Three-Month Clinical Outcome Of 5 Different Keratorefractive Lenticule Extraction(Klex) And Laser Assisted In Situ Keratomileusis(Lasik)",
        "Presenting Author(s)": "Dr I-Hung Lin",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "I-Hung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lin",
        "Country Name": "Taiwan",
        "Purpose": "To compare the clinical outcomes of 5 different keratorefractive lenticule extraction(KLEx) techniques: SMILE (Zeiss Visumax 500), SMILE Pro (Zeiss Visumax 800), CLEAR (Zeimer Z8), SmartSight(Schwind ATOS) and SILK(Johnson & Johnson Elita) and LASIK in terms of postoperative uncorrected distance visual acuity (UDVA) and residual refractive error, Effective Optical Zone (EOZ), Central Stromal Thickness Reduction(CCSR), Contrast Sensitivity and Higher-order Aberrations (HOAs, including spherical, trefoil, coma, and total HOAs).",
        "Setting": "prospective matched cohort study",
        "Methods": "Data were prospectively collected from Taipei Nobel Eye Clinic (2024/8/1-2025/6/31). Analysis included 55 SMILE (110 eyes), 78 SMILE Pro (156 eyes), 4 CLEAR (8 eyes), 31 SmartSight (62 eyes) and 13 SILK( 26 eyes) and 8 LASIK(16 eyes) patients, focusing on preoperative and postoperative BCVA, UDVA, EOZ, CCSR, Contrast Sensitivity and HOAs(including spherical, trefoil, coma, and total HOAs). LASIK was done by Custom-Q LASIK by EX500(Alcon) with flap made by Visumax 500 (Zeiss). The preoperative baseline characteristics of age, sex, degree of sphere, degree of cylinder, programmed optical zone (POZ) were matched between the 5 KLEx and LASIK.",
        "Results": "Patients' average age ranged from 29–33 years. Preoperative spherical errors were -4.74 to -5.98D and cylindrical errors -0.88 to -1.53D. Three month post-op, UDVA was similar across all groups (SMILE: 0.004; SMILE Pro: 0.006; CLEAR: 0.056; SmartSight: 0.011; SILK: -0.008, LASIK: 0.003 logMAR), with residual errors near 0D. All groups had smaller EOZ compared to POZ, with LASIK showing the largest reduction (1.30±0.14mm) and SILK the least (0.55±0.35mm), and other KLEx had similar reduction around 1 mm (SMILE: 1.05±0.40; SMILE Pro: 0.99±0.34; CLEAR: 0.93±0.19; SmartSight: 1.00±0.31mm). All KLEx overestimated CCSR by 12–26µm, while LASIK underestimated by 0.5µm. Contrast sensitivity and increases in HOAs were comparable among all procedures.",
        "Conclusions": "Three months after operation, the UDVA, Residual Spherical and cylinder Error, Contrast Sensitivity, and HOAs are all good and similar in all 5 KLEx and LASIK. However, all 5 KLEx & LASIK have smaller EOZ compared with POZ, with that LASIK decrease the most and SILK decrease the least. All 5 KLEx overestimate CCSR at the comparable level, while LASIK underestimate CCSR."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "FP27.12",
      "abstract_number": "FP27.12",
      "title": "Comparison Of Two Refractive Procedures In Patients With Myopia With Myopic Astigmatism (Fs-Lasik And Smile) With Regard To The Centration Of The Procedure And Its Effect On Postoperative Outcomes",
      "authors": "Dr Magdalena Vokrojová",
      "presenter": "Dr Magdalena Vokrojová",
      "normalized_authors": [
        "Magdalena Vokrojová"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Magdalena Vokrojová",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "The a im of our study was to compare two surgical methods for the treatment of myopia with myopic astigmatism , each based on a different treatment centration strategy . F S- LASIK procedure using Visumax 500 for flap creation and MEL 90 for excimer ablation ( both Carl Zeiss Meditec AG ) uses eye track er and cyclotorsion co mpensation . I n SMILE using Visumax 500 without direct eyetracking and cyclotorsion compensation , the treatment is manually centre d on a corneal vertex , with an adjustment for the Kappa angle . We assessed the relation of the Kappa angle with treatment de centration , and w e focused on the effect of de centration on postoperative outcomes , residual astigmatism, and aberrations .",
        "Setting": "Surgeries were performed between 20 22 and 202 4 at Lexum Eye Clinic s , Prague, Czech Republic.",
        "Methods": "Our study consisted of two groups of patients. Group A included 111 right eyes of patients (70 women/41 men) after FS-LASIK, with a mean age of 32±8 years. Mean preoperative spherical equivalent (SE) was -3.16±1.77 D. Mean angle Kappa was 0.19±0.10 mm. Group B included 127 right eyes of patients (81 women/46 men) after SMILE, with a mean age of 30±7 years. Preoperative SE was -4.05±1.75 D. Mean angle Kappa was 0.17±0.09 mm. Mean follow-up was 3 months. Observed parameters were postoperative uncorrected (UDVA) and corrected (CDVA) distance visual acuity, refraction, astigmatism (vector analysis using Alpins method), decentration of the treatment (based on tangential difference maps in Pentacam, OCULUS), and aberrations (Pentacam, OCULUS).",
        "Results": "Mean postoperative UDVA was 0±0.06 logMAR in Group A, and 0±0.02 logMAR in Group B ( p =0.948). Mean SE was -0.02±0.15 D in Group A, and -0.02±0.08 D in Group B ( p =0.955). Comparison of groups showed significantly lower postoperative RMS HOA, coma vertical, and spherical aberration in Group B compared to Group A, while coma horizontal was lower in Group A. Mean decentration was 0.29±0.15 mm (0.04 to 0.69 mm) in Group A and 0.24±0.12 mm (0.05 to 0.53 mm) in Group B ( p =0.054). No significant correlation was found between decentration and preoperative angle Kappa (lower ≤0.2 mm vs. higher >0.2 mm), and postoperative UDVA and CDVA, refraction, vector analysis parameters, and aberrations in any group.",
        "Conclusions": "Our study indicates that the centration of SMILE procedure on the corneal vertex , with appropriate adjustment for the Kappa angle and manual correction of cyclotorsion , enables the achieve ment of optimal postoperative outcomes. T reatment de centration was comparable in both F S- LASIK and SMILE , and even slightly lo wer in SMILE , although the difference was not statistically significant . Mean decentration was low in both procedures and did not have impact on post o perative visual acuity , refraction, residual astigmatism, and aberrations ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study indicates that the centration of SMILE procedure on the corneal vertex , with appropriate adjustment for the Kappa angle and manual correction of cyclotorsion , enables the achieve ment of optimal postoperative outcomes. T reatment de centration was comparable in both F S- LASIK and SMILE , and even slightly lo wer in SMILE , although the difference was not statistically significant . Mean decentration…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 400,
      "source_fields": {
        "Abstract Final Identifier": "FP27.12",
        "Title": "Comparison Of Two Refractive Procedures In Patients With Myopia With Myopic Astigmatism (Fs-Lasik And Smile) With Regard To The Centration Of The Procedure And Its Effect On Postoperative Outcomes",
        "Presenting Author(s)": "Dr Magdalena Vokrojová",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Magdalena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vokrojová",
        "Country Name": "Czech Republic",
        "Purpose": "The a im of our study was to compare two surgical methods for the treatment of myopia with myopic astigmatism , each based on a different treatment centration strategy . F S- LASIK procedure using Visumax 500 for flap creation and MEL 90 for excimer ablation ( both Carl Zeiss Meditec AG ) uses eye track er and cyclotorsion co mpensation . I n SMILE using Visumax 500 without direct eyetracking and cyclotorsion compensation , the treatment is manually centre d on a corneal vertex , with an adjustment for the Kappa angle . We assessed the relation of the Kappa angle with treatment de centration , and w e focused on the effect of de centration on postoperative outcomes , residual astigmatism, and aberrations .",
        "Setting": "Surgeries were performed between 20 22 and 202 4 at Lexum Eye Clinic s , Prague, Czech Republic.",
        "Methods": "Our study consisted of two groups of patients. Group A included 111 right eyes of patients (70 women/41 men) after FS-LASIK, with a mean age of 32±8 years. Mean preoperative spherical equivalent (SE) was -3.16±1.77 D. Mean angle Kappa was 0.19±0.10 mm. Group B included 127 right eyes of patients (81 women/46 men) after SMILE, with a mean age of 30±7 years. Preoperative SE was -4.05±1.75 D. Mean angle Kappa was 0.17±0.09 mm. Mean follow-up was 3 months. Observed parameters were postoperative uncorrected (UDVA) and corrected (CDVA) distance visual acuity, refraction, astigmatism (vector analysis using Alpins method), decentration of the treatment (based on tangential difference maps in Pentacam, OCULUS), and aberrations (Pentacam, OCULUS).",
        "Results": "Mean postoperative UDVA was 0±0.06 logMAR in Group A, and 0±0.02 logMAR in Group B ( p =0.948). Mean SE was -0.02±0.15 D in Group A, and -0.02±0.08 D in Group B ( p =0.955). Comparison of groups showed significantly lower postoperative RMS HOA, coma vertical, and spherical aberration in Group B compared to Group A, while coma horizontal was lower in Group A. Mean decentration was 0.29±0.15 mm (0.04 to 0.69 mm) in Group A and 0.24±0.12 mm (0.05 to 0.53 mm) in Group B ( p =0.054). No significant correlation was found between decentration and preoperative angle Kappa (lower ≤0.2 mm vs. higher >0.2 mm), and postoperative UDVA and CDVA, refraction, vector analysis parameters, and aberrations in any group.",
        "Conclusions": "Our study indicates that the centration of SMILE procedure on the corneal vertex , with appropriate adjustment for the Kappa angle and manual correction of cyclotorsion , enables the achieve ment of optimal postoperative outcomes. T reatment de centration was comparable in both F S- LASIK and SMILE , and even slightly lo wer in SMILE , although the difference was not statistically significant . Mean decentration was low in both procedures and did not have impact on post o perative visual acuity , refraction, residual astigmatism, and aberrations ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 487
    },
    {
      "uid": "FP27.13",
      "abstract_number": "FP27.13",
      "title": "Clinical Outcomes Of Q-Value Customized Lenticule Extraction Surgery In Moderate Myopia",
      "authors": "Dr Sung Min Kim",
      "presenter": "Dr Sung Min Kim",
      "normalized_authors": [
        "Sung Min Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sung Min Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare short-term visual and refractive outcomes, higher-order aberrations (HOAs) including spherical aberration (SA), Q value, and effective optical zone (EOZ) changes after CLEAR with FlowSuite (FEMTO LDV Z8) with those after SMILE (VisuMax 500) and SMILE Pro (VisuMax 800).",
        "Setting": "Nunemiso Eye Center, Seoul, Korea",
        "Methods": "Retrospective review of moderate myopic patients who underwent KLEX in Nunemiso Eye Center were included. Patients were devided into three subgroups and analyzed: CLEAR (Z8), SMILE (VisuMax 500) and SMILE Pro (VisuMax 800). For CLEAR group automated centration and cyclotorsion compensation was assisted with FlowSuite software program based on pre-operative Galilei exam. Uncorrected distance visual acuity (UDVA) was evaluated at postoperative day 1, week 1, month 1, and month 3. Manifest refraction (MR) was assessed at months 1 and 3. Corneal HOAs and Q value were measured using the Galilei G4 and Pentacam HR systems at months 1 and 3. EOZ change was analyzed at months 1 and 3 with Pentacam HR.",
        "Results": "At 3 months, 74–86 eyes per group remained for analysis. At 3 months, no statistically significant differences in visual acuity were observed among the three groups, and refractive accuracy was within ±0.5 D in more than 95% of eyes in all groups. Spherical aberration (SA) at 3 months was significantly lower in the Q-value customized CLEAR group (ΔSA +0.05 ± 0.05 µm) compared with the other platforms (+0.11 to +0.13 µm; p < 0.01). EOZ reduction was also smaller in the CLEAR group but did not reach statistical significance (−0.60 ± 0.36 mm vs −0.68 to −0.69 mm; p > 0.05). Q value demonstrated a smaller shift in the CLEAR group, consistent with the lower induction of SA.",
        "Conclusions": "Q-value customized lenticule extraction surgery by FEMTO LDV Z8 demonstrated lower induction of SA and potential of preserving EOZ in moderate myopic patients with comparable visual and refractive outcomes with VisuMax systems. Q-value customization may contribute to improved postoperative optical quality, potentially enhanced by the FlowSuite upgrade, which provides fully automated centration and cyclotorsion compensation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Q-value customized lenticule extraction surgery by FEMTO LDV Z8 demonstrated lower induction of SA and potential of preserving EOZ in moderate myopic patients with comparable visual and refractive outcomes with VisuMax systems. Q-value customization may contribute to improved postoperative optical quality, potentially enhanced by the FlowSuite upgrade, which provides fully automated centration and cyclotorsion…",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 401,
      "source_fields": {
        "Abstract Final Identifier": "FP27.13",
        "Title": "Clinical Outcomes Of Q-Value Customized Lenticule Extraction Surgery In Moderate Myopia",
        "Presenting Author(s)": "Dr Sung Min Kim",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Sung Min",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare short-term visual and refractive outcomes, higher-order aberrations (HOAs) including spherical aberration (SA), Q value, and effective optical zone (EOZ) changes after CLEAR with FlowSuite (FEMTO LDV Z8) with those after SMILE (VisuMax 500) and SMILE Pro (VisuMax 800).",
        "Setting": "Nunemiso Eye Center, Seoul, Korea",
        "Methods": "Retrospective review of moderate myopic patients who underwent KLEX in Nunemiso Eye Center were included. Patients were devided into three subgroups and analyzed: CLEAR (Z8), SMILE (VisuMax 500) and SMILE Pro (VisuMax 800). For CLEAR group automated centration and cyclotorsion compensation was assisted with FlowSuite software program based on pre-operative Galilei exam. Uncorrected distance visual acuity (UDVA) was evaluated at postoperative day 1, week 1, month 1, and month 3. Manifest refraction (MR) was assessed at months 1 and 3. Corneal HOAs and Q value were measured using the Galilei G4 and Pentacam HR systems at months 1 and 3. EOZ change was analyzed at months 1 and 3 with Pentacam HR.",
        "Results": "At 3 months, 74–86 eyes per group remained for analysis. At 3 months, no statistically significant differences in visual acuity were observed among the three groups, and refractive accuracy was within ±0.5 D in more than 95% of eyes in all groups. Spherical aberration (SA) at 3 months was significantly lower in the Q-value customized CLEAR group (ΔSA +0.05 ± 0.05 µm) compared with the other platforms (+0.11 to +0.13 µm; p < 0.01). EOZ reduction was also smaller in the CLEAR group but did not reach statistical significance (−0.60 ± 0.36 mm vs −0.68 to −0.69 mm; p > 0.05). Q value demonstrated a smaller shift in the CLEAR group, consistent with the lower induction of SA.",
        "Conclusions": "Q-value customized lenticule extraction surgery by FEMTO LDV Z8 demonstrated lower induction of SA and potential of preserving EOZ in moderate myopic patients with comparable visual and refractive outcomes with VisuMax systems. Q-value customization may contribute to improved postoperative optical quality, potentially enhanced by the FlowSuite upgrade, which provides fully automated centration and cyclotorsion compensation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "FP27.14",
      "abstract_number": "FP27.14",
      "title": "Corneal Higher-Order Aberrations And Visual Outcomes 6 Months After Smartsight Lenticule Extraction For Myopic Astigmatism.",
      "authors": "Dr Thi Hong Duong Pham",
      "presenter": "Dr Thi Hong Duong Pham",
      "normalized_authors": [
        "Thi Hong Duong Pham"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thi Phuong Thuy Dinh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To assess 6-month corneal higher-order aberrations (HOAs) and visual outcomes after SmartSight lenticule extraction surgery for high myopic astigmatism with a new femtosecond laser platform.",
        "Setting": "Eye Center, Dong Do Hospital, Vietnam.",
        "Methods": "A total of 120 eyes from 60 patients with high myopic astigmatism (mean spherical equivalent -6.07 ± 2.32 D; mean cylinder 2.45 ± 0.31 D) underwent SmartSight. To optimize high cylinder correction, automated cyclotorsion compensation and a targeted nomogram adjustment for astigmatism > 2.00 D were applied. Preoperative and 6-month postoperative uncorrected and corrected distance visual acuities (UDVA, CDVA) and corneal HOAs (spherical aberration, coma, trefoil) were compared. A comprehensive assessment examined the association between induced HOAs and preoperative refractive severity.",
        "Results": "At 6 months, mean astigmatism was effectively reduced to 0.22 ± 0.19 D. Vector analysis confirmed excellent astigmatism correction (Correction Index 0.97; Angle of Error -0.07 degrees). Mean UDVA was 0.05 ± 0.13 logMAR, and postoperative UDVA was +0.39 ± 0.67 lines better than preoperative CDVA (P < 0.05). Regarding the primary focus on optical quality, postoperative total HOAs, spherical aberration, coma, and trefoil 30° increased significantly compared with preoperative measurements. Pearson analysis indicated a statistically significant positive relationship between the preoperative severity of myopia/astigmatism and most HOAs (P < 0.05).",
        "Conclusions": "The 6-month evaluation confirms that SmartSight is a highly precise and efficient approach for managing high myopic astigmatism. While visual outcomes and astigmatism correction are excellent, the postoperative increase of corneal HOAs is directly related to the baseline severity of myopia and astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The 6-month evaluation confirms that SmartSight is a highly precise and efficient approach for managing high myopic astigmatism. While visual outcomes and astigmatism correction are excellent, the postoperative increase of corneal HOAs is directly related to the baseline severity of myopia and astigmatism.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 402,
      "source_fields": {
        "Abstract Final Identifier": "FP27.14",
        "Title": "Corneal Higher-Order Aberrations And Visual Outcomes 6 Months After Smartsight Lenticule Extraction For Myopic Astigmatism.",
        "Presenting Author(s)": "Dr Thi Hong Duong Pham",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Thi Phuong Thuy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dinh",
        "Country Name": "Viet Nam",
        "Purpose": "To assess 6-month corneal higher-order aberrations (HOAs) and visual outcomes after SmartSight lenticule extraction surgery for high myopic astigmatism with a new femtosecond laser platform.",
        "Setting": "Eye Center, Dong Do Hospital, Vietnam.",
        "Methods": "A total of 120 eyes from 60 patients with high myopic astigmatism (mean spherical equivalent -6.07 ± 2.32 D; mean cylinder 2.45 ± 0.31 D) underwent SmartSight. To optimize high cylinder correction, automated cyclotorsion compensation and a targeted nomogram adjustment for astigmatism > 2.00 D were applied. Preoperative and 6-month postoperative uncorrected and corrected distance visual acuities (UDVA, CDVA) and corneal HOAs (spherical aberration, coma, trefoil) were compared. A comprehensive assessment examined the association between induced HOAs and preoperative refractive severity.",
        "Results": "At 6 months, mean astigmatism was effectively reduced to 0.22 ± 0.19 D. Vector analysis confirmed excellent astigmatism correction (Correction Index 0.97; Angle of Error -0.07 degrees). Mean UDVA was 0.05 ± 0.13 logMAR, and postoperative UDVA was +0.39 ± 0.67 lines better than preoperative CDVA (P < 0.05). Regarding the primary focus on optical quality, postoperative total HOAs, spherical aberration, coma, and trefoil 30° increased significantly compared with preoperative measurements. Pearson analysis indicated a statistically significant positive relationship between the preoperative severity of myopia/astigmatism and most HOAs (P < 0.05).",
        "Conclusions": "The 6-month evaluation confirms that SmartSight is a highly precise and efficient approach for managing high myopic astigmatism. While visual outcomes and astigmatism correction are excellent, the postoperative increase of corneal HOAs is directly related to the baseline severity of myopia and astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "FP27.15",
      "abstract_number": "FP27.15",
      "title": "Predicting Suction-Induced Centration Shift During Hyperopic Smile From Preoperative Vertex-Based Geometry",
      "authors": "Ms Julia Reinstein",
      "presenter": "Ms Julia Reinstein",
      "normalized_authors": [
        "Julia Reinstein"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julia Reinstein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To develop a predictive model for intraoperative shift-on-suction (SOS) during hyperopic SMILE based on preoperative ocular parameters, including angle kappa and vertex-to-limbus distance (VTLD).",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of 86 eyes undergoing hyperopic SMILE. Vertex-to-limbus distance (VTLD), white-to-white (WTW), corneal thickness (CCT), keratometry, and angle kappa (AK) were measured (MS-39). Surgical videos were reviewed to determine X and Y treatment displacement relative to the pupil centre before and after suction using the contact glass diameter as a spatial reference. Shift-on-suction (SOS) was defined as the vector difference between coordinates. Multivariate linear regression model predicted post-suction X and Y positions and were compared with measured displacement. SOS magnitude was calculated from predicted X and Y. Model performance was evaluated using leave-one-out validation with RMSE, MAE, R², and threshold accuracy.",
        "Results": "Angle kappa was the only significant predictor of post-suction displacement (AKx β=0.80, P<0.001; AKy β=0.79, P<0.001). VTLD, WTW, CCT and keratometry were not significant predictors (all P>0.05). For the prediction models, RMSE was 0.145 mm for X, 0.098 mm for Y, and 0.139 mm for SOS. MAE was 0.104 mm for X, 0.077 mm for Y, and 0.096 mm for SOS. R² was 0.81 for X and 0.53 for Y. Prediction accuracy for SOS was within 0.10 mm in 65% of eyes, 0.15 mm in 84%, 0.20 mm in 90%, 0.25 mm in 95%, and 0.30 mm in 97%.",
        "Conclusions": "Shift-on-suction is a measurable, directional centration event during hyperopic SMILE. Preoperative angle kappa predicts post-suction displacement and SOS magnitude, with internally validated accuracy for clinically significant shifts. As SMILE is centred on the corneal vertex, visual-axis offset may provide a practical parameter for anticipating suction-induced centration changes during docking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Shift-on-suction is a measurable, directional centration event during hyperopic SMILE. Preoperative angle kappa predicts post-suction displacement and SOS magnitude, with internally validated accuracy for clinically significant shifts. As SMILE is centred on the corneal vertex, visual-axis offset may provide a practical parameter for anticipating suction-induced centration changes during docking.",
      "session_type": "Free Paper",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 403,
      "source_fields": {
        "Abstract Final Identifier": "FP27.15",
        "Title": "Predicting Suction-Induced Centration Shift During Hyperopic Smile From Preoperative Vertex-Based Geometry",
        "Presenting Author(s)": "Ms Julia Reinstein",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Julia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reinstein",
        "Country Name": "United Kingdom",
        "Purpose": "To develop a predictive model for intraoperative shift-on-suction (SOS) during hyperopic SMILE based on preoperative ocular parameters, including angle kappa and vertex-to-limbus distance (VTLD).",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of 86 eyes undergoing hyperopic SMILE. Vertex-to-limbus distance (VTLD), white-to-white (WTW), corneal thickness (CCT), keratometry, and angle kappa (AK) were measured (MS-39). Surgical videos were reviewed to determine X and Y treatment displacement relative to the pupil centre before and after suction using the contact glass diameter as a spatial reference. Shift-on-suction (SOS) was defined as the vector difference between coordinates. Multivariate linear regression model predicted post-suction X and Y positions and were compared with measured displacement. SOS magnitude was calculated from predicted X and Y. Model performance was evaluated using leave-one-out validation with RMSE, MAE, R², and threshold accuracy.",
        "Results": "Angle kappa was the only significant predictor of post-suction displacement (AKx β=0.80, P<0.001; AKy β=0.79, P<0.001). VTLD, WTW, CCT and keratometry were not significant predictors (all P>0.05). For the prediction models, RMSE was 0.145 mm for X, 0.098 mm for Y, and 0.139 mm for SOS. MAE was 0.104 mm for X, 0.077 mm for Y, and 0.096 mm for SOS. R² was 0.81 for X and 0.53 for Y. Prediction accuracy for SOS was within 0.10 mm in 65% of eyes, 0.15 mm in 84%, 0.20 mm in 90%, 0.25 mm in 95%, and 0.30 mm in 97%.",
        "Conclusions": "Shift-on-suction is a measurable, directional centration event during hyperopic SMILE. Preoperative angle kappa predicts post-suction displacement and SOS magnitude, with internally validated accuracy for clinically significant shifts. As SMILE is centred on the corneal vertex, visual-axis offset may provide a practical parameter for anticipating suction-induced centration changes during docking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "FP28.01",
      "abstract_number": "FP28.01",
      "title": "Effectiveness Of The Excimer Laser Trabeculostomy Procedure In Patients With Primary Open-Angle Glaucoma Undergoing Cataract Surgery",
      "authors": "Dr Cathleen McCabe",
      "presenter": "Dr Cathleen McCabe",
      "normalized_authors": [
        "Cathleen McCabe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cathleen Mccabe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "This study aimed to evaluate the effectiveness and safety of the excimer laser trabecular bypass minimally invasive glaucoma surgery (MIGS) system in reducing the intraocular pressure (IOP) of adults with mild-to-moderate primary open-angle glaucoma (POAG) when used in combination with cataract surgery. The present analysis reports the effectiveness outcomes of the trial at 12-mo.",
        "Setting": "This was a prospective, non-randomised, clinical trial at 20 sites in the USA (NCT04899063), with treatment between June 2021 and July 2023",
        "Methods": "The ELIOS system (Bausch + Lomb) is a clinically-validated excimer laser trabecular bypass MIGS procedure. Key eligibility criteria included age ≥45 years, mild-to-moderate POAG, an operable age-related cataract eligible for PE with best-corrected visual acuity of 20/40 or worse, medicated IOP of ≤24 mmHg and unmedicated diurnal IOP (DIOP) of 22–34 mmHg. Eligible patients underwent the MIGS procedure after uncomplicated cataract surgery. The co-primary effectiveness endpoints were the proportion of patients achieving a decrease in medication-free mean DIOP of ≥20%, and mean change in medication-free DIOP, from baseline to 12 months.",
        "Results": "A total of 318 pts with mean±standard deviation (SD) age of 70.2±7.4 years (54% female) underwent the ELIOS combined procedure. At screening, mean±SD medicated IOP was 17.05±3.01 mmHg; at baseline, unmedicated DIOP was 24.53±2.51 mmHg. 84.2% of patients achieved a ≥20% decrease in unmedicated mean DIOP from baseline at 12-mo, meeting the co‑primary effectiveness endpoints (97.5% CI 79.59, 88.84; p=0.0116 vs performance goal of >79%). Mean DIOP change was −8.17 mmHg (97.5% CI −8.65, −7.69; p<0.0001 vs performance goal of ≤−7.2 mmHg). From screening to Month 11, the mean±SD number of medications decreased from 1.5±0.7 at screening (N=318) to 0.2±0.7 at Month 11 (n=298), accompanied with sustained decrease in IOP throughout the follow‑up.",
        "Conclusions": "In this clinical trial of pts with POAG undergoing cataract surgery in combination with the ELIOS procedure, both co‑primary effectiveness endpoints were met. ELIOS demonstrated clinically meaningful and sustained reduction in unmedicated DIOP. The 34.5% reduction in mean DIOP at Month 12 aligns with recommended target reduction for mild-to-moderate glaucoma (≥25% reduction to below 17 mmHg). These results suggest the ELIOS procedure is an effective minimally invasive treatment option for reducing IOP in POAG patients undergoing cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this clinical trial of pts with POAG undergoing cataract surgery in combination with the ELIOS procedure, both co‑primary effectiveness endpoints were met. ELIOS demonstrated clinically meaningful and sustained reduction in unmedicated DIOP. The 34.5% reduction in mean DIOP at Month 12 aligns with recommended target reduction for mild-to-moderate glaucoma (≥25% reduction to below 17 mmHg). These results suggest…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 404,
      "source_fields": {
        "Abstract Final Identifier": "FP28.01",
        "Title": "Effectiveness Of The Excimer Laser Trabeculostomy Procedure In Patients With Primary Open-Angle Glaucoma Undergoing Cataract Surgery",
        "Presenting Author(s)": "Dr Cathleen McCabe",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Cathleen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mccabe",
        "Country Name": "United States",
        "Purpose": "This study aimed to evaluate the effectiveness and safety of the excimer laser trabecular bypass minimally invasive glaucoma surgery (MIGS) system in reducing the intraocular pressure (IOP) of adults with mild-to-moderate primary open-angle glaucoma (POAG) when used in combination with cataract surgery. The present analysis reports the effectiveness outcomes of the trial at 12-mo.",
        "Setting": "This was a prospective, non-randomised, clinical trial at 20 sites in the USA (NCT04899063), with treatment between June 2021 and July 2023",
        "Methods": "The ELIOS system (Bausch + Lomb) is a clinically-validated excimer laser trabecular bypass MIGS procedure. Key eligibility criteria included age ≥45 years, mild-to-moderate POAG, an operable age-related cataract eligible for PE with best-corrected visual acuity of 20/40 or worse, medicated IOP of ≤24 mmHg and unmedicated diurnal IOP (DIOP) of 22–34 mmHg. Eligible patients underwent the MIGS procedure after uncomplicated cataract surgery. The co-primary effectiveness endpoints were the proportion of patients achieving a decrease in medication-free mean DIOP of ≥20%, and mean change in medication-free DIOP, from baseline to 12 months.",
        "Results": "A total of 318 pts with mean±standard deviation (SD) age of 70.2±7.4 years (54% female) underwent the ELIOS combined procedure. At screening, mean±SD medicated IOP was 17.05±3.01 mmHg; at baseline, unmedicated DIOP was 24.53±2.51 mmHg. 84.2% of patients achieved a ≥20% decrease in unmedicated mean DIOP from baseline at 12-mo, meeting the co‑primary effectiveness endpoints (97.5% CI 79.59, 88.84; p=0.0116 vs performance goal of >79%). Mean DIOP change was −8.17 mmHg (97.5% CI −8.65, −7.69; p<0.0001 vs performance goal of ≤−7.2 mmHg). From screening to Month 11, the mean±SD number of medications decreased from 1.5±0.7 at screening (N=318) to 0.2±0.7 at Month 11 (n=298), accompanied with sustained decrease in IOP throughout the follow‑up.",
        "Conclusions": "In this clinical trial of pts with POAG undergoing cataract surgery in combination with the ELIOS procedure, both co‑primary effectiveness endpoints were met. ELIOS demonstrated clinically meaningful and sustained reduction in unmedicated DIOP. The 34.5% reduction in mean DIOP at Month 12 aligns with recommended target reduction for mild-to-moderate glaucoma (≥25% reduction to below 17 mmHg). These results suggest the ELIOS procedure is an effective minimally invasive treatment option for reducing IOP in POAG patients undergoing cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "FP28.02",
      "abstract_number": "FP28.02",
      "title": "Effectiveness Of Excimer Laser Trabeculostomy Treatment In Patients With Glaucoma Over 18 Months Of Follow-Up",
      "authors": "Dr Vittorio De Grande",
      "presenter": "Dr Vittorio De Grande",
      "normalized_authors": [
        "Vittorio De Grande"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vittorio De Grande",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "The purpose of this study was to assess the effectiveness of excimer laser trabeculostomy (ELT) using the ELIOS device in reducing intraocular pressure (IOP) in patients with glaucoma undergoing cataract surgery. ELIOS uses a precision non-thermal 308 nm XeCL excimer laser system to create 210-µm diameter microchannels in the trabecular meshwork, without the use of a retained device, and with minimal tissue damage at the periphery of the ablation zone. This enables effective IOP lowering while preserving the delicate physiology of this structure. ELIOS is considered an established option for experienced cataract surgeons considering the introduction of glaucoma surgery into their practice. ELIOS has been CE-marked in Europe since 2014.",
        "Setting": "This was a retrospective, non-randomized 18-month clinical trial conducted at one site in Italy. Surgeries were performed by one investigator between 04 October 2023 and 03 December 2024.",
        "Methods": "Eligible patients were aged ≥45, with primary or secondary glaucoma regardless of stage, medicated IOP of ≥20 mmHg, and phakic eyes requiring cataract surgery. All patients underwent cataract surgery followed by ELIOS. Patients with previous glaucoma surgery were excluded. Number of medications, IOP, visual acuity, and cup-to-disc ratio (C/D) were assessed at baseline, 6 months, 12 months, and 18 months.",
        "Results": "A total of 44 patients (50 eyes) underwent the procedure (mean±SD age 74±8 years). At baseline, mean±SD medicated and unmedicated IOP was 16.0±5.0 mmHg and 25.4±7.0 mmHg, respectively, number of medications was 2.9±1.0, BCVA was 0.26±0.20 logMAR, and C/D was 0.70±0.20. Compared with unmedicated baseline, mean±SD IOP at 6 (n=50), 12 (n=39), and 18 months (n=28) was 13.5±3.1 mmHg, 13.3±2.9 mmHg, and 14.6±3.0 mmHg, respectively, corresponding to a 43%, 44%, and 41% reduction, all p<0.001. Mean±SD number of medications was 0.7±1.0, 0.6±1.0, and 0.5±0.9, respectively. At last follow-up, 32 patients (69.6%) were on zero medications, mean±SD BCVA was 0.06±0.15 logMAR, and C/D was 0.68±0.20. One eye had loss of ≥2 Snellen lines.",
        "Conclusions": "These results demonstrate a clinically meaningful reduction in IOP, below the EGS-recommended targets for mild-to-moderate disease (≥25% reduction to below 17 mmHg). The reduction in number of medications overall and the number of patients on zero medications also demonstrates a potential improvement in QoL. As adherence to medication is often poor in patients with glaucoma, reducing the number of required medications represents an important indicator of treatment utility. Further data are required to assess the safety profile of the combined procedure compared with phacoemulsification alone, to further demonstrate the clinical utility of the ELIOS device."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results demonstrate a clinically meaningful reduction in IOP, below the EGS-recommended targets for mild-to-moderate disease (≥25% reduction to below 17 mmHg). The reduction in number of medications overall and the number of patients on zero medications also demonstrates a potential improvement in QoL. As adherence to medication is often poor in patients with glaucoma, reducing the number of required…",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 405,
      "source_fields": {
        "Abstract Final Identifier": "FP28.02",
        "Title": "Effectiveness Of Excimer Laser Trabeculostomy Treatment In Patients With Glaucoma Over 18 Months Of Follow-Up",
        "Presenting Author(s)": "Dr Vittorio De Grande",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Vittorio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Grande",
        "Country Name": "Italy",
        "Purpose": "The purpose of this study was to assess the effectiveness of excimer laser trabeculostomy (ELT) using the ELIOS device in reducing intraocular pressure (IOP) in patients with glaucoma undergoing cataract surgery. ELIOS uses a precision non-thermal 308 nm XeCL excimer laser system to create 210-µm diameter microchannels in the trabecular meshwork, without the use of a retained device, and with minimal tissue damage at the periphery of the ablation zone. This enables effective IOP lowering while preserving the delicate physiology of this structure. ELIOS is considered an established option for experienced cataract surgeons considering the introduction of glaucoma surgery into their practice. ELIOS has been CE-marked in Europe since 2014.",
        "Setting": "This was a retrospective, non-randomized 18-month clinical trial conducted at one site in Italy. Surgeries were performed by one investigator between 04 October 2023 and 03 December 2024.",
        "Methods": "Eligible patients were aged ≥45, with primary or secondary glaucoma regardless of stage, medicated IOP of ≥20 mmHg, and phakic eyes requiring cataract surgery. All patients underwent cataract surgery followed by ELIOS. Patients with previous glaucoma surgery were excluded. Number of medications, IOP, visual acuity, and cup-to-disc ratio (C/D) were assessed at baseline, 6 months, 12 months, and 18 months.",
        "Results": "A total of 44 patients (50 eyes) underwent the procedure (mean±SD age 74±8 years). At baseline, mean±SD medicated and unmedicated IOP was 16.0±5.0 mmHg and 25.4±7.0 mmHg, respectively, number of medications was 2.9±1.0, BCVA was 0.26±0.20 logMAR, and C/D was 0.70±0.20. Compared with unmedicated baseline, mean±SD IOP at 6 (n=50), 12 (n=39), and 18 months (n=28) was 13.5±3.1 mmHg, 13.3±2.9 mmHg, and 14.6±3.0 mmHg, respectively, corresponding to a 43%, 44%, and 41% reduction, all p<0.001. Mean±SD number of medications was 0.7±1.0, 0.6±1.0, and 0.5±0.9, respectively. At last follow-up, 32 patients (69.6%) were on zero medications, mean±SD BCVA was 0.06±0.15 logMAR, and C/D was 0.68±0.20. One eye had loss of ≥2 Snellen lines.",
        "Conclusions": "These results demonstrate a clinically meaningful reduction in IOP, below the EGS-recommended targets for mild-to-moderate disease (≥25% reduction to below 17 mmHg). The reduction in number of medications overall and the number of patients on zero medications also demonstrates a potential improvement in QoL. As adherence to medication is often poor in patients with glaucoma, reducing the number of required medications represents an important indicator of treatment utility. Further data are required to assess the safety profile of the combined procedure compared with phacoemulsification alone, to further demonstrate the clinical utility of the ELIOS device."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 459
    },
    {
      "uid": "FP28.03",
      "abstract_number": "FP28.03",
      "title": "Efficacy And Safety Of Combined Continuous-Wave And Micropulse Transscleral Cyclophotocoagulation In Resistant Glaucoma",
      "authors": "Prof. Dr Ahmed Hassan Aldghaimy",
      "presenter": "Prof. Dr Ahmed Hassan Aldghaimy",
      "normalized_authors": [
        "Ahmed Hassan Aldghaimy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Hassan Aldghaimy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Background: Glaucoma is a leading cause of irreversible blindness worldwide, with intraocular pressure (IOP) being the only modifiable risk factor. Continuous-wave transscleral cyclophotocoagulation (CW-TSCPC) effectively lowers IOP but is associated with significant complications, whereas micropulse TSCPC offers improved safety through reduced thermal damage. Combining both techniques may enhance efficacy while minimizing adverse effects in resistant glaucoma.\n\nAim: To evaluate the efficacy and safety of combined continuous-wave and micropulse transscleral diode laser cyclophotocoagulation in patients with resistant glaucoma.",
        "Setting": "The study was conducted at Qena University hospital and private ophthalmological center in Egypt from October 2024 to Augest 2025 .",
        "Methods": "This prospective interventional study included 40 eyes of 40 adults with uncontrolled glaucoma unsuitable for conventional surgery. All patients underwent combined 810-nm CW and micropulse TSCPC under retrobulbar anesthesia. Treatment success was defined as ≥20% IOP reduction from baseline or IOP ≤18 mmHg on two consecutive visits. Patients were followed for six months, and postoperative outcomes and complications were recorded.",
        "Results": "The mean age of patients was 53.3 ± 7.5 years. Mean preoperative IOP significantly decreased from 34.5 ± 2.4 mmHg to 18.4 ± 6.2 mmHg at six months (P < 0.0001), representing a 46.5% reduction. Surgical success was achieved in 85% of eyes. Best-corrected visual acuity remained stable (P = 0.24). Reported complications were mild and transient, including mydriasis (12.5%), uveitis (10%), and cataract progression (5%). No cases of persistent hypotony or phthisis bulbi were observed.",
        "Conclusions": "Combined continuous-wave and micropulse TSCPC is a safe and effective treatment option for resistant glaucoma, providing substantial and sustained IOP reduction with a high success rate and minimal complications while preserving visual acuity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined continuous-wave and micropulse TSCPC is a safe and effective treatment option for resistant glaucoma, providing substantial and sustained IOP reduction with a high success rate and minimal complications while preserving visual acuity.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 406,
      "source_fields": {
        "Abstract Final Identifier": "FP28.03",
        "Title": "Efficacy And Safety Of Combined Continuous-Wave And Micropulse Transscleral Cyclophotocoagulation In Resistant Glaucoma",
        "Presenting Author(s)": "Prof. Dr Ahmed Hassan Aldghaimy",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hassan Aldghaimy",
        "Country Name": "Egypt",
        "Purpose": "Background: Glaucoma is a leading cause of irreversible blindness worldwide, with intraocular pressure (IOP) being the only modifiable risk factor. Continuous-wave transscleral cyclophotocoagulation (CW-TSCPC) effectively lowers IOP but is associated with significant complications, whereas micropulse TSCPC offers improved safety through reduced thermal damage. Combining both techniques may enhance efficacy while minimizing adverse effects in resistant glaucoma.\n\nAim: To evaluate the efficacy and safety of combined continuous-wave and micropulse transscleral diode laser cyclophotocoagulation in patients with resistant glaucoma.",
        "Setting": "The study was conducted at Qena University hospital and private ophthalmological center in Egypt from October 2024 to Augest 2025 .",
        "Methods": "This prospective interventional study included 40 eyes of 40 adults with uncontrolled glaucoma unsuitable for conventional surgery. All patients underwent combined 810-nm CW and micropulse TSCPC under retrobulbar anesthesia. Treatment success was defined as ≥20% IOP reduction from baseline or IOP ≤18 mmHg on two consecutive visits. Patients were followed for six months, and postoperative outcomes and complications were recorded.",
        "Results": "The mean age of patients was 53.3 ± 7.5 years. Mean preoperative IOP significantly decreased from 34.5 ± 2.4 mmHg to 18.4 ± 6.2 mmHg at six months (P < 0.0001), representing a 46.5% reduction. Surgical success was achieved in 85% of eyes. Best-corrected visual acuity remained stable (P = 0.24). Reported complications were mild and transient, including mydriasis (12.5%), uveitis (10%), and cataract progression (5%). No cases of persistent hypotony or phthisis bulbi were observed.",
        "Conclusions": "Combined continuous-wave and micropulse TSCPC is a safe and effective treatment option for resistant glaucoma, providing substantial and sustained IOP reduction with a high success rate and minimal complications while preserving visual acuity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "FP28.04",
      "abstract_number": "FP28.04",
      "title": "Staged Slow Coagulation Cyclophotocoagulation Before Phacoemulsification In Phacomorphic Glaucoma: A Pressure-Stabilizing Strategy",
      "authors": "Dr Natalia Palarie",
      "presenter": "Dr Natalia Palarie",
      "normalized_authors": [
        "Natalia Palarie"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Natalia Palarie",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Moldova, Republic of",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of slow coagulation cyclophotocoagulation (SC-CPC) as a pressure-stabilizing bridge in phacomorphic glaucoma with mature cataract and uncontrolled high intraocular pressure (IOP). Severe IOP elevation frequently induces corneal edema that prevents safe phacoemulsification. Rapid IOP reduction through SC-CPC may enable endothelial recovery and corneal clearing, allowing safer staged cataract extraction.",
        "Setting": "The study was performed at the International Clinic in Orhei, Moldova, a private tertiary ophthalmology center with integrated glaucoma and cataract surgery services.",
        "Methods": "Prospective interventional case series of 16 eyes with phacomorphic glaucoma and uncontrolled IOP despite maximal medical therapy. All eyes underwent transscleral SC-CPC using an 810 nm diode laser (FOX IV, ARC Laser, Germany). Laser settings were 1250–1500 mW power and 3500–4000 ms duration per application. Eight to ten applications were delivered over 230–270 degrees, with a total energy of 120 J. Phacoemulsification with intraocular lens implantation was performed after corneal clarity and IOP stabilization. Outcomes included best-corrected visual acuity (BCVA), IOP, medication burden, time to corneal clearing, and complications.",
        "Results": "Mean preoperative IOP was 54 ± 8 mmHg (range 42–68 mmHg). One week after SC-CPC, mean IOP decreased to 21 ± 6 mmHg, representing a 61% reduction (p < 0.001). Mean preoperative BCVA was counting fingers to hand motion. Corneal clarity sufficient for safe surgery was achieved after 5-10 days. Phacoemulsification was performed at 7-12 days. Medication burden decreased significantly, with systemic therapy discontinued in all cases. At final follow-up, IOP remained ≤21 mmHg in the majority of eyes. BCVA improved in all cases, ranging from 0.2 to 0.5 (p < 0.001). Visual outcome was primarily limited by pre-existing glaucomatous optic neuropathy. No hypotony, phthisis, or other complications occurred.",
        "Conclusions": "In phacomorphic glaucoma with extreme IOP elevation and corneal edema, staged SC-CPC provides rapid and controlled pressure reduction, allowing corneal recovery within approximately one week and facilitating safer delayed phacoemulsification. Significant visual improvement can be achieved when irreversible optic nerve damage is limited. SC-CPC represents a controlled, tissue-sparing bridge strategy in complex lens-induced glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In phacomorphic glaucoma with extreme IOP elevation and corneal edema, staged SC-CPC provides rapid and controlled pressure reduction, allowing corneal recovery within approximately one week and facilitating safer delayed phacoemulsification. Significant visual improvement can be achieved when irreversible optic nerve damage is limited. SC-CPC represents a controlled, tissue-sparing bridge strategy in complex…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 407,
      "source_fields": {
        "Abstract Final Identifier": "FP28.04",
        "Title": "Staged Slow Coagulation Cyclophotocoagulation Before Phacoemulsification In Phacomorphic Glaucoma: A Pressure-Stabilizing Strategy",
        "Presenting Author(s)": "Dr Natalia Palarie",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Natalia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Palarie",
        "Country Name": "Moldova, Republic of",
        "Purpose": "To evaluate the efficacy and safety of slow coagulation cyclophotocoagulation (SC-CPC) as a pressure-stabilizing bridge in phacomorphic glaucoma with mature cataract and uncontrolled high intraocular pressure (IOP). Severe IOP elevation frequently induces corneal edema that prevents safe phacoemulsification. Rapid IOP reduction through SC-CPC may enable endothelial recovery and corneal clearing, allowing safer staged cataract extraction.",
        "Setting": "The study was performed at the International Clinic in Orhei, Moldova, a private tertiary ophthalmology center with integrated glaucoma and cataract surgery services.",
        "Methods": "Prospective interventional case series of 16 eyes with phacomorphic glaucoma and uncontrolled IOP despite maximal medical therapy. All eyes underwent transscleral SC-CPC using an 810 nm diode laser (FOX IV, ARC Laser, Germany). Laser settings were 1250–1500 mW power and 3500–4000 ms duration per application. Eight to ten applications were delivered over 230–270 degrees, with a total energy of 120 J. Phacoemulsification with intraocular lens implantation was performed after corneal clarity and IOP stabilization. Outcomes included best-corrected visual acuity (BCVA), IOP, medication burden, time to corneal clearing, and complications.",
        "Results": "Mean preoperative IOP was 54 ± 8 mmHg (range 42–68 mmHg). One week after SC-CPC, mean IOP decreased to 21 ± 6 mmHg, representing a 61% reduction (p < 0.001). Mean preoperative BCVA was counting fingers to hand motion. Corneal clarity sufficient for safe surgery was achieved after 5-10 days. Phacoemulsification was performed at 7-12 days. Medication burden decreased significantly, with systemic therapy discontinued in all cases. At final follow-up, IOP remained ≤21 mmHg in the majority of eyes. BCVA improved in all cases, ranging from 0.2 to 0.5 (p < 0.001). Visual outcome was primarily limited by pre-existing glaucomatous optic neuropathy. No hypotony, phthisis, or other complications occurred.",
        "Conclusions": "In phacomorphic glaucoma with extreme IOP elevation and corneal edema, staged SC-CPC provides rapid and controlled pressure reduction, allowing corneal recovery within approximately one week and facilitating safer delayed phacoemulsification. Significant visual improvement can be achieved when irreversible optic nerve damage is limited. SC-CPC represents a controlled, tissue-sparing bridge strategy in complex lens-induced glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "FP28.05",
      "abstract_number": "FP28.05",
      "title": "A Prospective Study On Direct Selective Laser Trabeculoplasty In Effective Intraocular Pressure Reduction In Patients With Primary Angle Closure Disease From A Tertiary Centre In Singapore",
      "authors": "Dr Joycelin Foong",
      "presenter": "Dr Joycelin Foong",
      "normalized_authors": [
        "Joycelin Foong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joycelin Foong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Trans-limbal direct selective laser trabeculoplasty (DSLT) (Alcon, Fort Worth, Texas, USA) is a novel laser delivery method that targets the trabecular meshwork outflow pathway through the perilimbal sclera, thereby overcoming some limitations of SLT, including the need for a goniolens, and anatomical obstacles such as narrow angles. This study aims to measure the 6-month efficacy of DSLT in reducing intraocular pressure (IOP) in eyes with primary angle closure (PAC) or primary angle closure glaucoma (PACG).",
        "Setting": "All patients were recruited from Singapore National Eye Centre, a tertiary care hospital in Singapore.",
        "Methods": "Patients with a baseline diagnosis of PAC and PACG who had received prior laser iridotomy or cataract surgery were recruited in this prospective single-arm pilot trial. Post-washout, they had to achieve an IOP ≥ 22mmHg but ≤ 35mmHg. One eye per subject received DSLT: 120 shots delivered over 2 seconds at an energy setting of 2.2mJ, circumferentially over 360 degrees. Patients were followed up at regular intervals of 1 week, 2 months, 4 months and 6 months. All patients were prescribed nepafenac four times a day for a week after laser treatment.",
        "Results": "The mean age was 63.7±9.3 years. 9 eyes had PAC, 12 had PACG. 19 eyes were on eye drops prior to DSLT treatment. 2 were treatment naïve whilst the rest were on either 1 or 2 eye drops. 4 eyes had prior cataract surgery.\n\nMean baseline IOP was 24.0±2.7mmHg. Post-treatment mean IOP was 18.1±3.4mmHg (-24.6%, p<0.001), 17.1±3.3mmHg (-28.8%; p<0.001) and 15.3±2.5mmHg (-36.3%, p<0.001) at two, four and six months respectively.\n\nAt month 6, 16 patients (76%) achieved complete success (no medications required) with an average IOP lowering of 8.3mmHg from baseline. 8 patients (38%) required re-treatment with DSLT by month 4, of which 4 did not require further treatment or medications; 4 were re-started on 1 eye drop. No adverse events were observed.",
        "Conclusions": "Automated DSLT is an effective and safe non-contact modality for reducing IOP in patients with PAC and PACG, with a significant proportion of eyes achieving good medication-free IOP at 6 months with no reported adverse events."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Automated DSLT is an effective and safe non-contact modality for reducing IOP in patients with PAC and PACG, with a significant proportion of eyes achieving good medication-free IOP at 6 months with no reported adverse events.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 408,
      "source_fields": {
        "Abstract Final Identifier": "FP28.05",
        "Title": "A Prospective Study On Direct Selective Laser Trabeculoplasty In Effective Intraocular Pressure Reduction In Patients With Primary Angle Closure Disease From A Tertiary Centre In Singapore",
        "Presenting Author(s)": "Dr Joycelin Foong",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Joycelin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Foong",
        "Country Name": "Singapore",
        "Purpose": "Trans-limbal direct selective laser trabeculoplasty (DSLT) (Alcon, Fort Worth, Texas, USA) is a novel laser delivery method that targets the trabecular meshwork outflow pathway through the perilimbal sclera, thereby overcoming some limitations of SLT, including the need for a goniolens, and anatomical obstacles such as narrow angles. This study aims to measure the 6-month efficacy of DSLT in reducing intraocular pressure (IOP) in eyes with primary angle closure (PAC) or primary angle closure glaucoma (PACG).",
        "Setting": "All patients were recruited from Singapore National Eye Centre, a tertiary care hospital in Singapore.",
        "Methods": "Patients with a baseline diagnosis of PAC and PACG who had received prior laser iridotomy or cataract surgery were recruited in this prospective single-arm pilot trial. Post-washout, they had to achieve an IOP ≥ 22mmHg but ≤ 35mmHg. One eye per subject received DSLT: 120 shots delivered over 2 seconds at an energy setting of 2.2mJ, circumferentially over 360 degrees. Patients were followed up at regular intervals of 1 week, 2 months, 4 months and 6 months. All patients were prescribed nepafenac four times a day for a week after laser treatment.",
        "Results": "The mean age was 63.7±9.3 years. 9 eyes had PAC, 12 had PACG. 19 eyes were on eye drops prior to DSLT treatment. 2 were treatment naïve whilst the rest were on either 1 or 2 eye drops. 4 eyes had prior cataract surgery.\n\nMean baseline IOP was 24.0±2.7mmHg. Post-treatment mean IOP was 18.1±3.4mmHg (-24.6%, p<0.001), 17.1±3.3mmHg (-28.8%; p<0.001) and 15.3±2.5mmHg (-36.3%, p<0.001) at two, four and six months respectively.\n\nAt month 6, 16 patients (76%) achieved complete success (no medications required) with an average IOP lowering of 8.3mmHg from baseline. 8 patients (38%) required re-treatment with DSLT by month 4, of which 4 did not require further treatment or medications; 4 were re-started on 1 eye drop. No adverse events were observed.",
        "Conclusions": "Automated DSLT is an effective and safe non-contact modality for reducing IOP in patients with PAC and PACG, with a significant proportion of eyes achieving good medication-free IOP at 6 months with no reported adverse events."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "FP28.06",
      "abstract_number": "FP28.06",
      "title": "Changes In Visual Field And Peripapillary Retinal Nerve Fibre Layer Thickness After Combined Excimer Laser\nTrabeculostomy And Phacoemulsification: Five Years Of Follow-Up",
      "authors": "Dr Antonio Moreno Valladares",
      "presenter": "Dr Antonio Moreno Valladares",
      "normalized_authors": [
        "Antonio Moreno Valladares"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonio Moreno Valladares",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Glaucoma treatment focuses on intraocular pressure (IOP) reduction to prevent the progressive visual damage characteristic of glaucoma. Excimer laser trabeculostomy is a minimally invasive glaucoma surgery (MIGS) that allows precise removal of tissue with\na minimal wound-healing response. The ELIOS device (Bausch+Lomb) creates ten 210-µm diameter\nmicrochannels in the trabecular meshwork to lower IOP and reduce the risk of progressive visual field\nloss. The purpose of this study was to evaluate the progression of glaucoma after combined ELIOS and\nphacoemulsification (phaco) in patients with open-angle glaucoma (OAG) over a five-year follow-up in a\nreal-world setting.",
        "Setting": "This was a retrospective, single-centre study of patients with mild-to-moderate OAG with visually\nsignificant cataracts requiring surgery. Combined phaco-Elios procedures were performed between\nOctober 2019 and December 2020.",
        "Methods": "The ELIOS procedure uses a 308-nm XeCL excimer laser to create ten 210-µm diameter microchannels in\nthe TM within a 90–110° treatment area to optimise aqueous outflow. Outcomes included visual field\ndamage mean deviation in dB as measured by Humphrey Field Analyzer 3 and mean peripapillary retinal\nnerve fibre layer thickness (PRNFLT) as measured by Heidelberg Spectralis OCT each year from baseline\nthrough 5 years of follow-up. A total of 73 eyes of 59 patients were included in the analysis, with a\nmean±standard deviation (SD) age of 74±9.2 years, and 45% were male.",
        "Results": "At baseline, glaucoma severity was classified as mild (65%), moderate (20%), or severe (15%). Mean±SD\nvisual field deviation was −5.38±5 dB. Overall mean±SD PRNFLT was 82.5±17.2 µm (84.6 for mild, 75.8\nfor moderate, and 70.5 µm for severe glaucoma). At 5 years of follow-up, the mean±SD field deviation was\n−4.81±6 dB, corresponding to an overall 11% improvement (p=0.73). The change for mild, moderate, and severe\nglaucoma was −0.9, +2.4, and +3.0 dB, respectively. Mean±SD PRNFLT was 82.9±17.6 µm at 1 year, then\ndecreased by 0.58 µm each year to 79.6±18.6 µm at 5 years (p<0.001). The change for mild, moderate,\nand severe glaucoma was −2.3, +2.9, and −6.2µm, respectively. No major adverse events were recorded\nduring follow-up.",
        "Conclusions": "In this study of patients with OAG undergoing phaco-Elios, there was an improvement in mean field\ndeviation and a significant improvement in the rate of PRNFLT decrease compared with the expected\ndecrease for patients with glaucoma. The decrease in PRNFLT values and field deviation were close to\nphysiological normal (up to 0.5 µm/year and −0.2 dB/year, respectively), demonstrating the\neffectiveness of phaco-Elios in reaching the primary goal of glaucoma treatment, which is to prevent\nvision loss beyond that of normal ageing. The follow-up at 5 years demonstrates this effect is durable\nwithout further intervention. Additional data with more eyes is needed to validate these\n\nfindings further."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this study of patients with OAG undergoing phaco-Elios, there was an improvement in mean field deviation and a significant improvement in the rate of PRNFLT decrease compared with the expected decrease for patients with glaucoma. The decrease in PRNFLT values and field deviation were close to physiological normal (up to 0.5 µm/year and −0.2 dB/year, respectively), demonstrating the effectiveness of phaco-Elios…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 409,
      "source_fields": {
        "Abstract Final Identifier": "FP28.06",
        "Title": "Changes In Visual Field And Peripapillary Retinal Nerve Fibre Layer Thickness After Combined Excimer Laser\nTrabeculostomy And Phacoemulsification: Five Years Of Follow-Up",
        "Presenting Author(s)": "Dr Antonio Moreno Valladares",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Antonio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moreno Valladares",
        "Country Name": "Spain",
        "Purpose": "Glaucoma treatment focuses on intraocular pressure (IOP) reduction to prevent the progressive visual damage characteristic of glaucoma. Excimer laser trabeculostomy is a minimally invasive glaucoma surgery (MIGS) that allows precise removal of tissue with\na minimal wound-healing response. The ELIOS device (Bausch+Lomb) creates ten 210-µm diameter\nmicrochannels in the trabecular meshwork to lower IOP and reduce the risk of progressive visual field\nloss. The purpose of this study was to evaluate the progression of glaucoma after combined ELIOS and\nphacoemulsification (phaco) in patients with open-angle glaucoma (OAG) over a five-year follow-up in a\nreal-world setting.",
        "Setting": "This was a retrospective, single-centre study of patients with mild-to-moderate OAG with visually\nsignificant cataracts requiring surgery. Combined phaco-Elios procedures were performed between\nOctober 2019 and December 2020.",
        "Methods": "The ELIOS procedure uses a 308-nm XeCL excimer laser to create ten 210-µm diameter microchannels in\nthe TM within a 90–110° treatment area to optimise aqueous outflow. Outcomes included visual field\ndamage mean deviation in dB as measured by Humphrey Field Analyzer 3 and mean peripapillary retinal\nnerve fibre layer thickness (PRNFLT) as measured by Heidelberg Spectralis OCT each year from baseline\nthrough 5 years of follow-up. A total of 73 eyes of 59 patients were included in the analysis, with a\nmean±standard deviation (SD) age of 74±9.2 years, and 45% were male.",
        "Results": "At baseline, glaucoma severity was classified as mild (65%), moderate (20%), or severe (15%). Mean±SD\nvisual field deviation was −5.38±5 dB. Overall mean±SD PRNFLT was 82.5±17.2 µm (84.6 for mild, 75.8\nfor moderate, and 70.5 µm for severe glaucoma). At 5 years of follow-up, the mean±SD field deviation was\n−4.81±6 dB, corresponding to an overall 11% improvement (p=0.73). The change for mild, moderate, and severe\nglaucoma was −0.9, +2.4, and +3.0 dB, respectively. Mean±SD PRNFLT was 82.9±17.6 µm at 1 year, then\ndecreased by 0.58 µm each year to 79.6±18.6 µm at 5 years (p<0.001). The change for mild, moderate,\nand severe glaucoma was −2.3, +2.9, and −6.2µm, respectively. No major adverse events were recorded\nduring follow-up.",
        "Conclusions": "In this study of patients with OAG undergoing phaco-Elios, there was an improvement in mean field\ndeviation and a significant improvement in the rate of PRNFLT decrease compared with the expected\ndecrease for patients with glaucoma. The decrease in PRNFLT values and field deviation were close to\nphysiological normal (up to 0.5 µm/year and −0.2 dB/year, respectively), demonstrating the\neffectiveness of phaco-Elios in reaching the primary goal of glaucoma treatment, which is to prevent\nvision loss beyond that of normal ageing. The follow-up at 5 years demonstrates this effect is durable\nwithout further intervention. Additional data with more eyes is needed to validate these\n\nfindings further."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 479
    },
    {
      "uid": "FP28.07",
      "abstract_number": "FP28.07",
      "title": "Effect Of Intraocular Pressure Control On Visual Field Progression In The Horizon Trial",
      "authors": "Dr Giovanni Montesano",
      "presenter": "Dr Giovanni Montesano",
      "normalized_authors": [
        "Giovanni Montesano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Giovanni Montesano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To analyze the effect of intraocular pressure (IOP) characteristics on the 5-year rate of visual field (VF) Mean Deviation (MD) progression in the HORIZON trial.",
        "Setting": "Post-hoc analysis of data from a randomized clinical trial, recruiting patients with glaucoma and visually significant cataract randomized to cataract surgery (CS) with or without the implant of the Hydrus Microstent (HMS).",
        "Methods": "One eye of each participant with at least 3 reliable VFs (false positive errors < 15%) over at least 1 year was included. We used a published Bayesian hierarchical model, designed to minimize the effect of perimetric noise and learning. We compared the mean rate of MD progression between the two arms and measured the effect of post-operative mean IOP (MIOP), peak washed-out and mean washed-out IOP (WO-PIOP and WO-MIOP) and day-1 IOP. These IOP metrics were mean-centered and standardized (divided by their standard deviation, SD), to allow a direct comparison of their effect.",
        "Results": "Data from 517 eyes (352 in the CS-HMS arm) were analyzed. The MD rate was -0.55 [-0.72,-0.39] dB/year (Mean [95%-Credible Intervals]) for CS only and -0.30 [-0.38, -0.22] for CS-HMS (44.6 [18.0,64.2]% reduction, p=0.004). Increase in all IOP metrics was significantly associated with a faster MD rate. MIOP, WO-MIOP and WO-PIOP had similar effects. Day-1 IOP had a much smaller effect. The difference in rate between the two arms remained significant after adjusting for MIOP (p=0.002), but was largely eliminated after adjusting for WO-MIOP and WO-PIOP (p=0.455). The MD rate in the CS arm remained significantly faster than CS-HMS (p=0.001) after removing eyes with a day-1 IOP spike (IOP>40 mmHg or 10 mmHg above the WO baseline IOP).",
        "Conclusions": "The MD rate was significantly slower in the CS-HMS arm in the HORIZON trial, compared to CS alone. This difference was not explained by day-1 IOP spikes or MIOP, but was largely accounted for by WO-IOP metrics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The MD rate was significantly slower in the CS-HMS arm in the HORIZON trial, compared to CS alone. This difference was not explained by day-1 IOP spikes or MIOP, but was largely accounted for by WO-IOP metrics.",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 410,
      "source_fields": {
        "Abstract Final Identifier": "FP28.07",
        "Title": "Effect Of Intraocular Pressure Control On Visual Field Progression In The Horizon Trial",
        "Presenting Author(s)": "Dr Giovanni Montesano",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Giovanni",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Montesano",
        "Country Name": "United Kingdom",
        "Purpose": "To analyze the effect of intraocular pressure (IOP) characteristics on the 5-year rate of visual field (VF) Mean Deviation (MD) progression in the HORIZON trial.",
        "Setting": "Post-hoc analysis of data from a randomized clinical trial, recruiting patients with glaucoma and visually significant cataract randomized to cataract surgery (CS) with or without the implant of the Hydrus Microstent (HMS).",
        "Methods": "One eye of each participant with at least 3 reliable VFs (false positive errors < 15%) over at least 1 year was included. We used a published Bayesian hierarchical model, designed to minimize the effect of perimetric noise and learning. We compared the mean rate of MD progression between the two arms and measured the effect of post-operative mean IOP (MIOP), peak washed-out and mean washed-out IOP (WO-PIOP and WO-MIOP) and day-1 IOP. These IOP metrics were mean-centered and standardized (divided by their standard deviation, SD), to allow a direct comparison of their effect.",
        "Results": "Data from 517 eyes (352 in the CS-HMS arm) were analyzed. The MD rate was -0.55 [-0.72,-0.39] dB/year (Mean [95%-Credible Intervals]) for CS only and -0.30 [-0.38, -0.22] for CS-HMS (44.6 [18.0,64.2]% reduction, p=0.004). Increase in all IOP metrics was significantly associated with a faster MD rate. MIOP, WO-MIOP and WO-PIOP had similar effects. Day-1 IOP had a much smaller effect. The difference in rate between the two arms remained significant after adjusting for MIOP (p=0.002), but was largely eliminated after adjusting for WO-MIOP and WO-PIOP (p=0.455). The MD rate in the CS arm remained significantly faster than CS-HMS (p=0.001) after removing eyes with a day-1 IOP spike (IOP>40 mmHg or 10 mmHg above the WO baseline IOP).",
        "Conclusions": "The MD rate was significantly slower in the CS-HMS arm in the HORIZON trial, compared to CS alone. This difference was not explained by day-1 IOP spikes or MIOP, but was largely accounted for by WO-IOP metrics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "FP28.08",
      "abstract_number": "FP28.08",
      "title": "Comparison Of Three-Year Outcoms Following Trabeculectomy In Primary Open-Angle And Pseudoexfoliation Glaucoma",
      "authors": "Serdar Bilici",
      "presenter": "Serdar Bilici",
      "normalized_authors": [
        "Serdar Bilici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dilan Kalan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate and compare the three-year surgical outcomes of trabeculectomy in patients with primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PEXG), specifically analyzing intraocular pressure (IOP) control, reduction in antiglaucomatous medication use, and overall surgical success.",
        "Setting": "Zonguldak, Bülent Ecevit University, Zonguldak Türkiye",
        "Methods": "This retrospective, single-center study included 150 eyes (95 POAG and 55 PEXG) that underwent trabeculectomy and were followed for up to three years. IOP measurements and the number of IOP-lowering medications were recorded preoperatively and at 1 month, 6 months, 1 year, 2 years, and 3 years postoperatively. Surgical success was defined as achieving an IOP between 7–18 mmHg without requiring additional glaucoma surgery. Complete success referred to achieving target IOP without medications, while qualified success allowed the use of topical therapy.",
        "Results": "Both groups demonstrated significant and sustained IOP reduction throughout the follow-up period (P < 0.01). Mean preoperative IOP was 34.6 mmHg in the POAG group and 30.8 mmHg in the PEXG group. Postoperatively, IOP stabilized around 14–16 mmHg in both groups across three years. Medication burden decreased significantly in both groups, from 3.6 medications preoperatively to 0.6 in POAG and 0.9 in PEXG at three years (P < 0.01). Surgical outcomes were comparable between groups, with qualified success achieved in 74% of eyes in both groups and complete success in 64% (POAG) and 62% (PEXG), without statistically significant differences.",
        "Conclusions": "Trabeculectomy achieves significant and sustained intraocular pressure reduction over a three-year follow-up period in both primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PEXG). Although baseline IOP values differed between groups, long-term surgical outcomes were comparable. Both glaucoma types demonstrated similar success rates and a substantial decrease in postoperative medication requirements, indicating that trabeculectomy is equally effective in maintaining IOP control in POAG and PEXG patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trabeculectomy achieves significant and sustained intraocular pressure reduction over a three-year follow-up period in both primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PEXG). Although baseline IOP values differed between groups, long-term surgical outcomes were comparable. Both glaucoma types demonstrated similar success rates and a substantial decrease in postoperative medication…",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 411,
      "source_fields": {
        "Abstract Final Identifier": "FP28.08",
        "Title": "Comparison Of Three-Year Outcoms Following Trabeculectomy In Primary Open-Angle And Pseudoexfoliation Glaucoma",
        "Presenting Author(s)": "Serdar Bilici",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Dilan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kalan",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate and compare the three-year surgical outcomes of trabeculectomy in patients with primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PEXG), specifically analyzing intraocular pressure (IOP) control, reduction in antiglaucomatous medication use, and overall surgical success.",
        "Setting": "Zonguldak, Bülent Ecevit University, Zonguldak Türkiye",
        "Methods": "This retrospective, single-center study included 150 eyes (95 POAG and 55 PEXG) that underwent trabeculectomy and were followed for up to three years. IOP measurements and the number of IOP-lowering medications were recorded preoperatively and at 1 month, 6 months, 1 year, 2 years, and 3 years postoperatively. Surgical success was defined as achieving an IOP between 7–18 mmHg without requiring additional glaucoma surgery. Complete success referred to achieving target IOP without medications, while qualified success allowed the use of topical therapy.",
        "Results": "Both groups demonstrated significant and sustained IOP reduction throughout the follow-up period (P < 0.01). Mean preoperative IOP was 34.6 mmHg in the POAG group and 30.8 mmHg in the PEXG group. Postoperatively, IOP stabilized around 14–16 mmHg in both groups across three years. Medication burden decreased significantly in both groups, from 3.6 medications preoperatively to 0.6 in POAG and 0.9 in PEXG at three years (P < 0.01). Surgical outcomes were comparable between groups, with qualified success achieved in 74% of eyes in both groups and complete success in 64% (POAG) and 62% (PEXG), without statistically significant differences.",
        "Conclusions": "Trabeculectomy achieves significant and sustained intraocular pressure reduction over a three-year follow-up period in both primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PEXG). Although baseline IOP values differed between groups, long-term surgical outcomes were comparable. Both glaucoma types demonstrated similar success rates and a substantial decrease in postoperative medication requirements, indicating that trabeculectomy is equally effective in maintaining IOP control in POAG and PEXG patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "FP28.09",
      "abstract_number": "FP28.09",
      "title": "Long-Term Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt) In Uveitic Glaucoma",
      "authors": "Dr Liron Naftali Ben Haim",
      "presenter": "Dr Liron Naftali Ben Haim",
      "normalized_authors": [
        "Liron Naftali Ben Haim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Liron Naftali Ben Haim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate long-term intraocular pressure (IOP), inflammatory control, visual outcomes, and success rates following gonioscopy-assisted transluminal trabeculotomy (GATT) in patients with uveitic glaucoma.",
        "Setting": "Tertiary referral academic medical center.",
        "Methods": "This retrospective single-center study included 35 eyes of 30 patients with uveitic glaucoma who underwent GATT. Collected outcomes included IOP, glaucoma medications, surgical success, uveitic flare-ups, corticosteroid and immunomodulatory therapy use, central macular thickness (CMT), visual acuity, retinal nerve fiber layer (RNFL) thickness, and visual field mean deviation (MD), through postoperative year (POY) 4.",
        "Results": "Mean age was 44.2±20.4 years with 33.0±13.6 months follow-up. Preoperative IOP was 25.4±7.2 mmHg on 4.4±0.8 medications. IOP decreased to 11.1±3.4 mmHg at POY1 and remained stable through POY4 (12.8±5.6), with medications reduced to ≤0.5 beyond year 1. Surgical success was 90% at POY1 and 68% at POY4; 14.2% required additional surgery. Visual acuity improved and remained stable. RNFL and VF were preserved. CMT remained stable, flare-ups decreased, topical steroid use declined, systemic steroids were stable, and immunomodulatory therapy increased consistent with steroid-sparing management.",
        "Conclusions": "GATT achieved sustained IOP reduction and significant medication sparing without increased uveitic activity or macular edema over long-term follow-up, supporting its role as an effective, inflammation-compatible surgical option in uveitic glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "GATT achieved sustained IOP reduction and significant medication sparing without increased uveitic activity or macular edema over long-term follow-up, supporting its role as an effective, inflammation-compatible surgical option in uveitic glaucoma.",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 412,
      "source_fields": {
        "Abstract Final Identifier": "FP28.09",
        "Title": "Long-Term Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt) In Uveitic Glaucoma",
        "Presenting Author(s)": "Dr Liron Naftali Ben Haim",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Liron",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naftali Ben Haim",
        "Country Name": "Israel",
        "Purpose": "To evaluate long-term intraocular pressure (IOP), inflammatory control, visual outcomes, and success rates following gonioscopy-assisted transluminal trabeculotomy (GATT) in patients with uveitic glaucoma.",
        "Setting": "Tertiary referral academic medical center.",
        "Methods": "This retrospective single-center study included 35 eyes of 30 patients with uveitic glaucoma who underwent GATT. Collected outcomes included IOP, glaucoma medications, surgical success, uveitic flare-ups, corticosteroid and immunomodulatory therapy use, central macular thickness (CMT), visual acuity, retinal nerve fiber layer (RNFL) thickness, and visual field mean deviation (MD), through postoperative year (POY) 4.",
        "Results": "Mean age was 44.2±20.4 years with 33.0±13.6 months follow-up. Preoperative IOP was 25.4±7.2 mmHg on 4.4±0.8 medications. IOP decreased to 11.1±3.4 mmHg at POY1 and remained stable through POY4 (12.8±5.6), with medications reduced to ≤0.5 beyond year 1. Surgical success was 90% at POY1 and 68% at POY4; 14.2% required additional surgery. Visual acuity improved and remained stable. RNFL and VF were preserved. CMT remained stable, flare-ups decreased, topical steroid use declined, systemic steroids were stable, and immunomodulatory therapy increased consistent with steroid-sparing management.",
        "Conclusions": "GATT achieved sustained IOP reduction and significant medication sparing without increased uveitic activity or macular edema over long-term follow-up, supporting its role as an effective, inflammation-compatible surgical option in uveitic glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "FP28.10",
      "abstract_number": "FP28.10",
      "title": "Growth Failure In Children With Primary Congenital Glaucoma – A Retrospective Cross-\nSectional Study",
      "authors": "Dr Dhabiah Alqahtani",
      "presenter": "Dr Dhabiah Alqahtani",
      "normalized_authors": [
        "Dhabiah Alqahtani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dhabiah Alqahtani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Primary congenital glaucoma is a common form of pediatric glaucoma. In our practice,\n\nin a tertiary eye care hospital, we have observed that many children with primary\n\ncongenital glaucoma (PCG) seem to have short stature. This preliminary study\n\nexplored whether children with PCG have evidence of growth failure.",
        "Setting": "A retrospective chart review",
        "Methods": "A retrospective chart review of children with PCG was performed in children (mean age\n\n41.1 ± 18.9 months) who presented to our tertiary eye care center from January 2014\n\nto December 2020 was performed. We extracted their baseline characteristics, heights\n\nand weights of children. These metrics were plotted on standard height / weight charts.\n\nZ-scores for height and weight were also calculated. Using Z-scores, children were\n\nclassified as ‘moderately’ or ‘severely’ growth stunted (for height) and ‘moderately’ and\n\n‘severely’ underweight",
        "Results": "This pilot study included 93 patients with PCG, 43 (46.2%) males and 50 (53.8%)\n\nfemales. Forty-three (46.2%) children had evidence of moderate or severe stunting (Z-\n\nscore <-2), with a roughly equal distribution by sex. Twenty-seven children (29.03%)\n\nhad evidence of severe stunting (Z-score <-3). Despite growth stunting, children\n\ntended not to be underweight: only six children (6.4%) were moderately or severely\n\nunderweight.",
        "Conclusions": "Our study suggests that children with PCG may be of shorter stature, but of normal\n\nweight for age. These findings warrant further evaluation in a larger detailed\n\nprospective study."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study suggests that children with PCG may be of shorter stature, but of normal weight for age. These findings warrant further evaluation in a larger detailed prospective study.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 413,
      "source_fields": {
        "Abstract Final Identifier": "FP28.10",
        "Title": "Growth Failure In Children With Primary Congenital Glaucoma – A Retrospective Cross-\nSectional Study",
        "Presenting Author(s)": "Dr Dhabiah Alqahtani",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Dhabiah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alqahtani",
        "Country Name": "Saudi Arabia",
        "Purpose": "Primary congenital glaucoma is a common form of pediatric glaucoma. In our practice,\n\nin a tertiary eye care hospital, we have observed that many children with primary\n\ncongenital glaucoma (PCG) seem to have short stature. This preliminary study\n\nexplored whether children with PCG have evidence of growth failure.",
        "Setting": "A retrospective chart review",
        "Methods": "A retrospective chart review of children with PCG was performed in children (mean age\n\n41.1 ± 18.9 months) who presented to our tertiary eye care center from January 2014\n\nto December 2020 was performed. We extracted their baseline characteristics, heights\n\nand weights of children. These metrics were plotted on standard height / weight charts.\n\nZ-scores for height and weight were also calculated. Using Z-scores, children were\n\nclassified as ‘moderately’ or ‘severely’ growth stunted (for height) and ‘moderately’ and\n\n‘severely’ underweight",
        "Results": "This pilot study included 93 patients with PCG, 43 (46.2%) males and 50 (53.8%)\n\nfemales. Forty-three (46.2%) children had evidence of moderate or severe stunting (Z-\n\nscore <-2), with a roughly equal distribution by sex. Twenty-seven children (29.03%)\n\nhad evidence of severe stunting (Z-score <-3). Despite growth stunting, children\n\ntended not to be underweight: only six children (6.4%) were moderately or severely\n\nunderweight.",
        "Conclusions": "Our study suggests that children with PCG may be of shorter stature, but of normal\n\nweight for age. These findings warrant further evaluation in a larger detailed\n\nprospective study."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 229
    },
    {
      "uid": "FP28.11",
      "abstract_number": "FP28.11",
      "title": "Comparison Of The Icare Rebound Tonometer And The Applanation Tonometry In Cohort Of 546 Eyes Of Healthy Eyes And Eyes Following Prk, Lasik, Cxl, And Pciol Surgery",
      "authors": "Dr Orwa Nasser",
      "presenter": "Dr Orwa Nasser",
      "normalized_authors": [
        "Orwa Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Orwa Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate agreement, correlation, and proportional bias between applanation tonometry (AT) and rebound tonometry (iCare) across healthy eyes and eyes following PRK, LASIK, CXL, and PCIOL surgery, with adjustment for age.",
        "Setting": "Private tertiary refractive clinic",
        "Methods": "Methods\nIn this cross-sectional study, 546 eyes were analyzed (Healthy n=160, PRK n=134, LASIK n=80, CXL n=40, PCIOL n=132). Intraocular pressure (IOP) was measured using AT and iCare. Descriptive statistics and paired comparisons were calculated per group. Agreement was assessed using intraclass correlation coefficients (ICC, two-way random, absolute agreement) and Bland–Altman analysis. Age-adjusted differences between groups were evaluated using ANCOVA. Pairwise comparisons were Holm-corrected. Proportional bias was tested using linear regression of measurement difference (AT − iCare) on mean IOP.",
        "Results": "Across all groups, iCare measured significantly higher IOP than AT (all p<0.001). Mean differences (AT − iCare) ranged from −1.51 mmHg (LASIK) to −2.65 mmHg (PRK). Correlation was moderate to strong (r=0.47–0.74), and ICC ranged from 0.46 (Healthy) to 0.71 (PRK). Bland–Altman analysis demonstrated wide limits of agreement in all groups. Age-adjusted ANCOVA confirmed significant group effects for AT (p=1.7×10⁻⁸), iCare (p=9.1×10⁻¹⁰), and measurement difference (p=7.1×10⁻⁵). Proportional bias was significant overall (slope −0.17 mmHg/mmHg, p=7.2×10⁻⁶) and was most pronounced in CXL and PRK groups. Interaction testing demonstrated that proportional bias differed significantly between groups (p=0.004).",
        "Conclusions": "iCare tonometry systematically overestimates IOP compared with AT across healthy and post-surgical eyes. Agreement varies by surgical status, and proportional bias—particularly after PRK and CXL—suggests increasing divergence at higher IOP levels. These devices should not be considered interchangeable, especially in post-refractive populations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "iCare tonometry systematically overestimates IOP compared with AT across healthy and post-surgical eyes. Agreement varies by surgical status, and proportional bias—particularly after PRK and CXL—suggests increasing divergence at higher IOP levels. These devices should not be considered interchangeable, especially in post-refractive populations.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 414,
      "source_fields": {
        "Abstract Final Identifier": "FP28.11",
        "Title": "Comparison Of The Icare Rebound Tonometer And The Applanation Tonometry In Cohort Of 546 Eyes Of Healthy Eyes And Eyes Following Prk, Lasik, Cxl, And Pciol Surgery",
        "Presenting Author(s)": "Dr Orwa Nasser",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Orwa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "United States",
        "Purpose": "To evaluate agreement, correlation, and proportional bias between applanation tonometry (AT) and rebound tonometry (iCare) across healthy eyes and eyes following PRK, LASIK, CXL, and PCIOL surgery, with adjustment for age.",
        "Setting": "Private tertiary refractive clinic",
        "Methods": "Methods\nIn this cross-sectional study, 546 eyes were analyzed (Healthy n=160, PRK n=134, LASIK n=80, CXL n=40, PCIOL n=132). Intraocular pressure (IOP) was measured using AT and iCare. Descriptive statistics and paired comparisons were calculated per group. Agreement was assessed using intraclass correlation coefficients (ICC, two-way random, absolute agreement) and Bland–Altman analysis. Age-adjusted differences between groups were evaluated using ANCOVA. Pairwise comparisons were Holm-corrected. Proportional bias was tested using linear regression of measurement difference (AT − iCare) on mean IOP.",
        "Results": "Across all groups, iCare measured significantly higher IOP than AT (all p<0.001). Mean differences (AT − iCare) ranged from −1.51 mmHg (LASIK) to −2.65 mmHg (PRK). Correlation was moderate to strong (r=0.47–0.74), and ICC ranged from 0.46 (Healthy) to 0.71 (PRK). Bland–Altman analysis demonstrated wide limits of agreement in all groups. Age-adjusted ANCOVA confirmed significant group effects for AT (p=1.7×10⁻⁸), iCare (p=9.1×10⁻¹⁰), and measurement difference (p=7.1×10⁻⁵). Proportional bias was significant overall (slope −0.17 mmHg/mmHg, p=7.2×10⁻⁶) and was most pronounced in CXL and PRK groups. Interaction testing demonstrated that proportional bias differed significantly between groups (p=0.004).",
        "Conclusions": "iCare tonometry systematically overestimates IOP compared with AT across healthy and post-surgical eyes. Agreement varies by surgical status, and proportional bias—particularly after PRK and CXL—suggests increasing divergence at higher IOP levels. These devices should not be considered interchangeable, especially in post-refractive populations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP28.12",
      "abstract_number": "FP28.12",
      "title": "Advancing Glaucoma Care Through Virtual Reality: Comparative Performance Of Virtual Reality-Visual Field Testing And Humphrey Perimetry",
      "authors": "Mr Abiram Chandiramohan",
      "presenter": "Mr Abiram Chandiramohan",
      "normalized_authors": [
        "Abiram Chandiramohan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abiram Chandiramohan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Glaucoma is a leading cause of irreversible blindness, and its effective management depends on timely, reliable visual field (VF) assessment. The Humphrey Visual Field (HVFA) analyzer remains the clinical standard but is limited by cost, accessibility, and patient discomfort. Virtual reality–based perimetry offers a portable, patient-friendly alternative. This study evaluates the accuracy, reliability, feasibility, and user experience of the Canadian-developed RetinaLogik VR Visual Field (VR-VF) compared with HVF across varying stages of glaucoma.",
        "Setting": "This study was conducted at the Ivey Eye Institute, London Ontario, Canada.",
        "Methods": "This single-center study was conducted at the Ivy Eye Institute London Ontario. Participants ranging from healthy controls to advanced glaucoma did 25-2C Fast on both the HFA and the RVF200 (Retinalogik Inc, Canada). The primary outcomes were Mean Deviation (MD), Pattern Standard Deviation (PSD), Visual Field Index (VFI), and numerical sensitivity plots. Statistical analyses included Pearson correlations, paired comparisons, and Bland–Altman plots. Test duration and operational metrics were recorded.",
        "Results": "Thirty-nine participants with various stages of glaucoma (mean age 68 years; 21 female) contributed 68 eyes (35 OD, 33 OS). Mean deviation (MD) values were comparable between devices (VR-VF: –4.89 dB; HVF: –3.8 dB). VR-VF demonstrated strong correlation with HVF for MD (r=0.96), PSD (r=0.93), and mean sensitivity (r=0.96). Bland–Altman analysis for mean sensitivity showed a bias of 1.35 dB with 95% limits of agreement of –1.96 to +1.96 dB. Average test durations were similar (VR-VF 3.35 min vs HVF 3.32 min).",
        "Conclusions": "Preliminary findings demonstrate excellent concordance between VR-VF and HVF, with comparable test times and strong patient acceptance. VR-based perimetry shows promise as a reliable, accessible alternative for glaucoma monitoring, supporting its integration into clinical and remote care settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary findings demonstrate excellent concordance between VR-VF and HVF, with comparable test times and strong patient acceptance. VR-based perimetry shows promise as a reliable, accessible alternative for glaucoma monitoring, supporting its integration into clinical and remote care settings.",
      "session_type": "Free Paper",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 415,
      "source_fields": {
        "Abstract Final Identifier": "FP28.12",
        "Title": "Advancing Glaucoma Care Through Virtual Reality: Comparative Performance Of Virtual Reality-Visual Field Testing And Humphrey Perimetry",
        "Presenting Author(s)": "Mr Abiram Chandiramohan",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Abiram",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chandiramohan",
        "Country Name": "Canada",
        "Purpose": "Glaucoma is a leading cause of irreversible blindness, and its effective management depends on timely, reliable visual field (VF) assessment. The Humphrey Visual Field (HVFA) analyzer remains the clinical standard but is limited by cost, accessibility, and patient discomfort. Virtual reality–based perimetry offers a portable, patient-friendly alternative. This study evaluates the accuracy, reliability, feasibility, and user experience of the Canadian-developed RetinaLogik VR Visual Field (VR-VF) compared with HVF across varying stages of glaucoma.",
        "Setting": "This study was conducted at the Ivey Eye Institute, London Ontario, Canada.",
        "Methods": "This single-center study was conducted at the Ivy Eye Institute London Ontario. Participants ranging from healthy controls to advanced glaucoma did 25-2C Fast on both the HFA and the RVF200 (Retinalogik Inc, Canada). The primary outcomes were Mean Deviation (MD), Pattern Standard Deviation (PSD), Visual Field Index (VFI), and numerical sensitivity plots. Statistical analyses included Pearson correlations, paired comparisons, and Bland–Altman plots. Test duration and operational metrics were recorded.",
        "Results": "Thirty-nine participants with various stages of glaucoma (mean age 68 years; 21 female) contributed 68 eyes (35 OD, 33 OS). Mean deviation (MD) values were comparable between devices (VR-VF: –4.89 dB; HVF: –3.8 dB). VR-VF demonstrated strong correlation with HVF for MD (r=0.96), PSD (r=0.93), and mean sensitivity (r=0.96). Bland–Altman analysis for mean sensitivity showed a bias of 1.35 dB with 95% limits of agreement of –1.96 to +1.96 dB. Average test durations were similar (VR-VF 3.35 min vs HVF 3.32 min).",
        "Conclusions": "Preliminary findings demonstrate excellent concordance between VR-VF and HVF, with comparable test times and strong patient acceptance. VR-based perimetry shows promise as a reliable, accessible alternative for glaucoma monitoring, supporting its integration into clinical and remote care settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "FP28.13",
      "abstract_number": "FP28.13",
      "title": "In Silico Comparison Of Hydrus® And Istent Inject® Microstents Across Patterns Of Schlemm’S Canal Collapse",
      "authors": "Dr Nathan M Radcliffe",
      "presenter": "Dr Nathan M Radcliffe",
      "normalized_authors": [
        "Nathan M Radcliffe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nathan M Radcliffe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To use a physiologically realistic in‑silico aqueous outflow model to compare the predicted intraocular pressure (IOP)–lowering performance of the Hydrus® and iStent inject® microstents across varying patterns of Schlemm’s canal (SC) collapse, with particular focus on differences in canal scaffolding, access to collector channels, and sensitivity to implantation location and orientation.",
        "Setting": "Computational (in‑silico) modeling study relevant to glaucoma and anterior segment evaluation, simulating glaucomatous eyes with heterogeneous and regionally collapsed Schlemm’s canal.",
        "Methods": "A previously described in‑silico framework for aqueous humor outflow was used to simulate eyes with no SC collapse, narrowing, and extensive collapse involving the implantation region. The Hydrus® microstent was modeled as a canal‑scaffolding device that enlarges a collapsed SC segment and spans multiple potential collector channel openings. The iStent inject® was modeled as a focal trans‑trabecular stent that pierces into SC at a single location without enlarging the canal. For iStent inject®, ideal placement near patent SC regions and adjacent collector channels was compared with representative placement deviations, including off‑axis orientation and lateral offset, reflecting limited intraoperative visualization of distal outflow.",
        "Results": "Increasing SC collapse led to higher predicted IOP in the absence of a microstent. Hydrus® consistently produced robust IOP reduction across collapse patterns, maintaining efficacy even when the implantation region was severely collapsed. In contrast, iStent inject® demonstrated greater variability: strong IOP reduction was observed only when the device was well aligned with an open SC region near a collector channel, whereas modest deviations in location or orientation substantially reduced predicted efficacy, particularly in extensively collapsed canals.",
        "Conclusions": "In‑silico modeling suggests that Hydrus® functions not only as a bypass but also as a canal‑scaffolding device, reopening collapsed Schlemm’s canal segments and providing access to multiple collector channel openings without requiring precise focal placement. By contrast, iStent inject® does not enlarge the canal and relies on accurate placement at a favorable, and often poorly visualized, outflow location. These mechanistic differences may help explain variable clinical outcomes and support the use of anatomy‑aware modeling to inform device selection and surgical strategy in MIGS procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In‑silico modeling suggests that Hydrus® functions not only as a bypass but also as a canal‑scaffolding device, reopening collapsed Schlemm’s canal segments and providing access to multiple collector channel openings without requiring precise focal placement. By contrast, iStent inject® does not enlarge the canal and relies on accurate placement at a favorable, and often poorly visualized, outflow location. These…",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 416,
      "source_fields": {
        "Abstract Final Identifier": "FP28.13",
        "Title": "In Silico Comparison Of Hydrus® And Istent Inject® Microstents Across Patterns Of Schlemm’S Canal Collapse",
        "Presenting Author(s)": "Dr Nathan M Radcliffe",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Nathan",
        "Submitter Middle Name": "M",
        "Submitter Last Name": "Radcliffe",
        "Country Name": "United States",
        "Purpose": "To use a physiologically realistic in‑silico aqueous outflow model to compare the predicted intraocular pressure (IOP)–lowering performance of the Hydrus® and iStent inject® microstents across varying patterns of Schlemm’s canal (SC) collapse, with particular focus on differences in canal scaffolding, access to collector channels, and sensitivity to implantation location and orientation.",
        "Setting": "Computational (in‑silico) modeling study relevant to glaucoma and anterior segment evaluation, simulating glaucomatous eyes with heterogeneous and regionally collapsed Schlemm’s canal.",
        "Methods": "A previously described in‑silico framework for aqueous humor outflow was used to simulate eyes with no SC collapse, narrowing, and extensive collapse involving the implantation region. The Hydrus® microstent was modeled as a canal‑scaffolding device that enlarges a collapsed SC segment and spans multiple potential collector channel openings. The iStent inject® was modeled as a focal trans‑trabecular stent that pierces into SC at a single location without enlarging the canal. For iStent inject®, ideal placement near patent SC regions and adjacent collector channels was compared with representative placement deviations, including off‑axis orientation and lateral offset, reflecting limited intraoperative visualization of distal outflow.",
        "Results": "Increasing SC collapse led to higher predicted IOP in the absence of a microstent. Hydrus® consistently produced robust IOP reduction across collapse patterns, maintaining efficacy even when the implantation region was severely collapsed. In contrast, iStent inject® demonstrated greater variability: strong IOP reduction was observed only when the device was well aligned with an open SC region near a collector channel, whereas modest deviations in location or orientation substantially reduced predicted efficacy, particularly in extensively collapsed canals.",
        "Conclusions": "In‑silico modeling suggests that Hydrus® functions not only as a bypass but also as a canal‑scaffolding device, reopening collapsed Schlemm’s canal segments and providing access to multiple collector channel openings without requiring precise focal placement. By contrast, iStent inject® does not enlarge the canal and relies on accurate placement at a favorable, and often poorly visualized, outflow location. These mechanistic differences may help explain variable clinical outcomes and support the use of anatomy‑aware modeling to inform device selection and surgical strategy in MIGS procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 345
    },
    {
      "uid": "FP28.14",
      "abstract_number": "FP28.14",
      "title": "Novel Ripcord Suture Technique To Reduce Postoperative Hypotony In Xen63 Gel Stent Implantation For Refractory Glaucoma: A Retrospective Cohort Study",
      "authors": "Dr Jobanpreet Dhillon",
      "presenter": "Dr Jobanpreet Dhillon",
      "normalized_authors": [
        "Jobanpreet Dhillon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jobanpreet Dhillon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Although minimally invasive bleb surgery (MIBS) devices such as the XEN63 Gel Stent implant are regarded as having a lower risk profile than traditional surgical glaucoma procedures, post-operative hypotony (IOP <5 mmHg) is a common complication with incidence reported as high as 37% in the literature. To prevent post-operative hypotony, this study investigates a novel ripcord technique involving cannulation of the XEN63 lumen with a 10-0 nylon suture at the time of surgery, with the non-cannulated end of the suture incarcerated in a clear corneal incision. Later, this suture can be safely removed at slit lamp as needed to modulate patient’s intraocular pressure (IOP).",
        "Setting": "This single centre, retrospective cohort study was conducted at The Ottawa Hospital - Eye Institute, Department of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada.",
        "Methods": "Retrospective chart review was conducted to include glaucoma patients who underwent ‘non-ripcord’ (NRC) and ‘ripcord’ (RC)-modified XEN63 implantation surgery by a single surgeon between October 2022 and October 2025. In addition to patient demographics, data collection included pre- and post-operative slit lamp findings, visual acuity, IOP measurements, post-surgical complications, and additional interventions required. Primary outcomes compared post-operative IOP (day 1, day 7, month 3), rate of hypotony (IOP <5 mmHg), and hypotony-associated complications (e.g., decreased visual acuity, Descemet’s folds, choroidal folds, etc.) between RC and NRC groups, and the safety of ripcord removal. Data is presented as mean ± standard deviation.",
        "Results": "Fifty-seven eyes (27 RC; 30 NRC) were included. At post-operative day 1, mean IOP was significantly lower (p<0.0001) in the NRC group (4.5 ± 2.4 mmHg ) as compared to RC group (12.5 ± 4.7 mmHg) . Proportion of patients with hypotony (<5 mmHg) were significantly higher (p<0.0001) in the NRC (51.7%) versus RC (3.7%) group. The rate of hypotony-associated post-operative complications was significantly higher (p=0.0288) in the NRC group (26.7%) versus RC group (3.7%). Ripcord was removed in 74.1% of the patients in RC group without complication within 3 months, with mean IOP reduction of 7.1 ± 4.9 mmHg post-removal . Mean IOP was not statistically different between the NRC (8.8 ± 4.3 mmHg ) and RC group (9.8 ± 4.3 mmHg) at post-operative month 3.",
        "Conclusions": "This study demonstrates a novel ripcord cannulation technique for the XEN63 Gel Stent implant to prevent post-operative hypotony. Despite the small sample size, current findings demonstrate marked reduction in immediate post-operative hypotony and hypotony-associated complications with the ripcord technique, highlighting its efficacy. Removal of ripcord at the slit lamp without complications in nearly 75% of RC eyes further demonstrates its safety and utility in providing additional IOP lowering post-operatively. While limited by its retrospective nature, the current work highlights that XEN63 ripcord cannulation may offer a promising modification to improve IOP outcomes in a highly prevalent surgical glaucoma procedure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates a novel ripcord cannulation technique for the XEN63 Gel Stent implant to prevent post-operative hypotony. Despite the small sample size, current findings demonstrate marked reduction in immediate post-operative hypotony and hypotony-associated complications with the ripcord technique, highlighting its efficacy. Removal of ripcord at the slit lamp without complications in nearly 75% of RC…",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 417,
      "source_fields": {
        "Abstract Final Identifier": "FP28.14",
        "Title": "Novel Ripcord Suture Technique To Reduce Postoperative Hypotony In Xen63 Gel Stent Implantation For Refractory Glaucoma: A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Jobanpreet Dhillon",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Jobanpreet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dhillon",
        "Country Name": "Canada",
        "Purpose": "Although minimally invasive bleb surgery (MIBS) devices such as the XEN63 Gel Stent implant are regarded as having a lower risk profile than traditional surgical glaucoma procedures, post-operative hypotony (IOP <5 mmHg) is a common complication with incidence reported as high as 37% in the literature. To prevent post-operative hypotony, this study investigates a novel ripcord technique involving cannulation of the XEN63 lumen with a 10-0 nylon suture at the time of surgery, with the non-cannulated end of the suture incarcerated in a clear corneal incision. Later, this suture can be safely removed at slit lamp as needed to modulate patient’s intraocular pressure (IOP).",
        "Setting": "This single centre, retrospective cohort study was conducted at The Ottawa Hospital - Eye Institute, Department of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada.",
        "Methods": "Retrospective chart review was conducted to include glaucoma patients who underwent ‘non-ripcord’ (NRC) and ‘ripcord’ (RC)-modified XEN63 implantation surgery by a single surgeon between October 2022 and October 2025. In addition to patient demographics, data collection included pre- and post-operative slit lamp findings, visual acuity, IOP measurements, post-surgical complications, and additional interventions required. Primary outcomes compared post-operative IOP (day 1, day 7, month 3), rate of hypotony (IOP <5 mmHg), and hypotony-associated complications (e.g., decreased visual acuity, Descemet’s folds, choroidal folds, etc.) between RC and NRC groups, and the safety of ripcord removal. Data is presented as mean ± standard deviation.",
        "Results": "Fifty-seven eyes (27 RC; 30 NRC) were included. At post-operative day 1, mean IOP was significantly lower (p<0.0001) in the NRC group (4.5 ± 2.4 mmHg ) as compared to RC group (12.5 ± 4.7 mmHg) . Proportion of patients with hypotony (<5 mmHg) were significantly higher (p<0.0001) in the NRC (51.7%) versus RC (3.7%) group. The rate of hypotony-associated post-operative complications was significantly higher (p=0.0288) in the NRC group (26.7%) versus RC group (3.7%). Ripcord was removed in 74.1% of the patients in RC group without complication within 3 months, with mean IOP reduction of 7.1 ± 4.9 mmHg post-removal . Mean IOP was not statistically different between the NRC (8.8 ± 4.3 mmHg ) and RC group (9.8 ± 4.3 mmHg) at post-operative month 3.",
        "Conclusions": "This study demonstrates a novel ripcord cannulation technique for the XEN63 Gel Stent implant to prevent post-operative hypotony. Despite the small sample size, current findings demonstrate marked reduction in immediate post-operative hypotony and hypotony-associated complications with the ripcord technique, highlighting its efficacy. Removal of ripcord at the slit lamp without complications in nearly 75% of RC eyes further demonstrates its safety and utility in providing additional IOP lowering post-operatively. While limited by its retrospective nature, the current work highlights that XEN63 ripcord cannulation may offer a promising modification to improve IOP outcomes in a highly prevalent surgical glaucoma procedure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 467
    },
    {
      "uid": "FP28.15",
      "abstract_number": "FP28.15",
      "title": "Serious Postoperative Complications Of Cataract Phacoemulsification Combined With Ab Interno Goniotomy",
      "authors": "Prof. Bartlomiej Kaluzny",
      "presenter": "Prof. Bartlomiej Kaluzny",
      "normalized_authors": [
        "Bartlomiej Kaluzny"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bartlomiej Kaluzny",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To analyze the incidence and clinical management of serious complications following cataract phacoemulsification with in-the-bag IOL implantation combined with ab interno goniotomy using the Kahook Dual Blade.",
        "Setting": "Department of Ophthalmology, Collegium Medicum, Nicolaus Copernicus University, ul. Ujejskiego 75, 85-168 Bydgoszcz, Poland",
        "Methods": "This retrospective study included 834 eyes that underwent the combined procedure between 2018 and 2025, performed by two experienced surgeons. All cataract surgeries were uneventful, and the Schlemm’s canal was opened over 100–120°. The follow-up period was 6 months.",
        "Results": "During the initial postoperative days, an IOP spike exceeding 40 mmHg with a poor response to topical treatment was observed in 10 eyes (1.2%). Among these cases, six eyes (0.72%) required laser cyclodestruction, while four eyes (0.48%) underwent trabeculectomy. Postoperative hypotony caused by a cyclodialysis cleft was noted in 4 eyes (0.48%), and in all such instances, cyclopexy was performed, achieving successful anatomical restoration and an increase in aqueous humor production. Regarding hemorrhagic complications, massive hemorrhage into the anterior chamber exceeding half of its volume occurred in 2 cases (0.24%), with one instance (0.12%) extending into the vitreous chamber and necessitating a posterior vitrectomy.",
        "Conclusions": "Ab interno goniotomy performed concurrently with cataract phacoemulsification is associated with serious complications in only a small percentage of patients. Although the majority of these complications require secondary surgical interventions, the overall prognosis remains favorable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ab interno goniotomy performed concurrently with cataract phacoemulsification is associated with serious complications in only a small percentage of patients. Although the majority of these complications require secondary surgical interventions, the overall prognosis remains favorable.",
      "session_type": "Free Paper",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 418,
      "source_fields": {
        "Abstract Final Identifier": "FP28.15",
        "Title": "Serious Postoperative Complications Of Cataract Phacoemulsification Combined With Ab Interno Goniotomy",
        "Presenting Author(s)": "Prof. Bartlomiej Kaluzny",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Bartlomiej",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaluzny",
        "Country Name": "Poland",
        "Purpose": "To analyze the incidence and clinical management of serious complications following cataract phacoemulsification with in-the-bag IOL implantation combined with ab interno goniotomy using the Kahook Dual Blade.",
        "Setting": "Department of Ophthalmology, Collegium Medicum, Nicolaus Copernicus University, ul. Ujejskiego 75, 85-168 Bydgoszcz, Poland",
        "Methods": "This retrospective study included 834 eyes that underwent the combined procedure between 2018 and 2025, performed by two experienced surgeons. All cataract surgeries were uneventful, and the Schlemm’s canal was opened over 100–120°. The follow-up period was 6 months.",
        "Results": "During the initial postoperative days, an IOP spike exceeding 40 mmHg with a poor response to topical treatment was observed in 10 eyes (1.2%). Among these cases, six eyes (0.72%) required laser cyclodestruction, while four eyes (0.48%) underwent trabeculectomy. Postoperative hypotony caused by a cyclodialysis cleft was noted in 4 eyes (0.48%), and in all such instances, cyclopexy was performed, achieving successful anatomical restoration and an increase in aqueous humor production. Regarding hemorrhagic complications, massive hemorrhage into the anterior chamber exceeding half of its volume occurred in 2 cases (0.24%), with one instance (0.12%) extending into the vitreous chamber and necessitating a posterior vitrectomy.",
        "Conclusions": "Ab interno goniotomy performed concurrently with cataract phacoemulsification is associated with serious complications in only a small percentage of patients. Although the majority of these complications require secondary surgical interventions, the overall prognosis remains favorable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "FP29.01",
      "abstract_number": "FP29.01",
      "title": "The Use Of Digital Integrated Manifest\nRefraction In Pseudophakic Eyes",
      "authors": "Dr Pablo Barragán-Castillo",
      "presenter": "Dr Pablo Barragán-Castillo",
      "normalized_authors": [
        "Pablo Barragán-Castillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Alan Barragán-Castillo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To evaluate the accuracy and efficiency of a digital integrated manifest refraction system compared with standard manifest refraction in pseudophakic eyes.",
        "Setting": "From Anterior Segment Service CODET Vision Institute, Tijuana, Mexico and Universidad\nAutónoma de Baja California, Baja California, Mexico",
        "Methods": "Prospective, double-blind study analyzed 100 eyes from 100 pseudophakic patients, 35 eyes received mono-\n\nfocal intraocular lenses (MA60AC, Alcon Labs, Inc]; MX60, Bausch & Lomb, Inc; CNA00, Alcon Labs, Inc; SN60AT, Alcon Labs, Inc) and 65 eyes received trifocal IOLs (TFNT00, Alcon Labs, Inc; ZFR00V, Johnson & Johnson Surgical Vision, Inc). All patients underwent objective refraction with the Nidek ARK-530A autorefractor, followed by manifest refraction performed with either the Topcon VT-100\n\n(Std-MR group) or the digital integrated manifest refraction unit TS-610 (Nidek Co, Ltd) (DI-MR group). Outcomes assessed\n\nincluded manifest spherical equivalent, refractive cylinder, time, correlation, and agreement between methods.",
        "Results": "The mean manifest spherical equivalent was –0.15 ± 0.38 diopters (D) with the TS-610 and –0.14 ± 0.38 D with standard refraction (P = .31). Linear regression demonstrated a strong correlation between methods (R = 0.914, R2 = 0.835, P < .001). The mean cylinder was –0.66 ± 0.52 D (TS-610) versus –0.62 ± 0.57 D (Std-MR), with a mean difference of –0.11 ± 0.17 D and a centroid of 0.01 ± 0.20 D in vector analysis. DI-MR significantly reduced testing time (3.1 ± 1.8 minutes) compared with Std-MR (7.1 ± 7.4 min-\n\nutes, P = .001).",
        "Conclusions": "The automated TS-610 manifest refraction system demonstrated excellent agreement with Std-\n\nMR refraction in pseudophakic eyes, while significantly reducing testing time. DI-MR provides a reliable and ef-\n\nficient alternative for postoperative evaluation and may enhance workflow efficiency in cataract and refractive\n\npractices."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The automated TS-610 manifest refraction system demonstrated excellent agreement with Std- MR refraction in pseudophakic eyes, while significantly reducing testing time. DI-MR provides a reliable and ef- ficient alternative for postoperative evaluation and may enhance workflow efficiency in cataract and refractive practices.",
      "session_type": "Free Paper",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 419,
      "source_fields": {
        "Abstract Final Identifier": "FP29.01",
        "Title": "The Use Of Digital Integrated Manifest\nRefraction In Pseudophakic Eyes",
        "Presenting Author(s)": "Dr Pablo Barragán-Castillo",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Pablo Alan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barragán-Castillo",
        "Country Name": "Mexico",
        "Purpose": "To evaluate the accuracy and efficiency of a digital integrated manifest refraction system compared with standard manifest refraction in pseudophakic eyes.",
        "Setting": "From Anterior Segment Service CODET Vision Institute, Tijuana, Mexico and Universidad\nAutónoma de Baja California, Baja California, Mexico",
        "Methods": "Prospective, double-blind study analyzed 100 eyes from 100 pseudophakic patients, 35 eyes received mono-\n\nfocal intraocular lenses (MA60AC, Alcon Labs, Inc]; MX60, Bausch & Lomb, Inc; CNA00, Alcon Labs, Inc; SN60AT, Alcon Labs, Inc) and 65 eyes received trifocal IOLs (TFNT00, Alcon Labs, Inc; ZFR00V, Johnson & Johnson Surgical Vision, Inc). All patients underwent objective refraction with the Nidek ARK-530A autorefractor, followed by manifest refraction performed with either the Topcon VT-100\n\n(Std-MR group) or the digital integrated manifest refraction unit TS-610 (Nidek Co, Ltd) (DI-MR group). Outcomes assessed\n\nincluded manifest spherical equivalent, refractive cylinder, time, correlation, and agreement between methods.",
        "Results": "The mean manifest spherical equivalent was –0.15 ± 0.38 diopters (D) with the TS-610 and –0.14 ± 0.38 D with standard refraction (P = .31). Linear regression demonstrated a strong correlation between methods (R = 0.914, R2 = 0.835, P < .001). The mean cylinder was –0.66 ± 0.52 D (TS-610) versus –0.62 ± 0.57 D (Std-MR), with a mean difference of –0.11 ± 0.17 D and a centroid of 0.01 ± 0.20 D in vector analysis. DI-MR significantly reduced testing time (3.1 ± 1.8 minutes) compared with Std-MR (7.1 ± 7.4 min-\n\nutes, P = .001).",
        "Conclusions": "The automated TS-610 manifest refraction system demonstrated excellent agreement with Std-\n\nMR refraction in pseudophakic eyes, while significantly reducing testing time. DI-MR provides a reliable and ef-\n\nficient alternative for postoperative evaluation and may enhance workflow efficiency in cataract and refractive\n\npractices."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "FP29.02",
      "abstract_number": "FP29.02",
      "title": "Impact Of Programmable Refractive Correction On The Predictive Accuracy And Overestimation Profile Of The Katsim Vision Simulator In Cataract Surgery",
      "authors": "Dr Rustu Emre Akcan",
      "presenter": "Dr Rustu Emre Akcan",
      "normalized_authors": [
        "Rustu Emre Akcan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rustu Emre Akcan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Cataract surgery outcomes rely on accurate preoperative assessment; however, predicting postoperative visual acuity remains challenging, as conventional methods lack precision in estimating true visual potential. The KATSIM project has developed a novel vision simulator using varifocal lens technology to project stimuli through relatively clear lens regions to estimate postoperative best-corrected visual acuity (BCVA). The addition of programmable refractive correction may further enhance predictive performance. This study aimed to evaluate whether refractive correction improves predictive accuracy while assessing its potential impact on visual acuity overestimation compared with standard KATSIM assessment and conventional pinhole testing.",
        "Setting": "This single-blind observational study was conducted at the Ophthalmology Departments of Koç University Hospital (Istanbul, Turkey), Sistina Eye Hospital (Skopje, North Macedonia), Şişli Hamidiye Etfal Research and Training Hospital (Istanbul, Turkey), and Grupcheva Vision Center (Varna, Bulgaria) as part of the KATSIM project.",
        "Methods": "A total of 210 eyes from 145 cataract patients scheduled for surgery were evaluated. Preoperatively, postoperative BCVA was predicted using the KATSIM vision simulator (with and without programmable refractive correction) and conventional pinhole testing. The simulator employs varifocal lens technology to project stimuli through clearer lens regions. Postoperative BCVA at 1 month served as reference. Visual acuity was measured using Snellen charts and converted to logMAR. Predictive accuracy was assessed using mean absolute error (MAE). Linear mixed-effects models with patient-level clustering and Bonferroni-adjusted pairwise comparisons were performed using STATA 17.0.",
        "Results": "A total of 210 eyes from 145 patients (53 male, 92 female; 39–88 years) were analyzed. Mean preoperative visual acuity was 0.68 ± 0.27 logMAR, improving to 0.07 ± 0.09 logMAR at 1 month postoperatively. Pinhole predicted 0.43 ± 0.20 logMAR, whereas KATSIM predicted 0.22 ± 0.13 logMAR, improving to 0.19 ± 0.13 logMAR with programmable refractive correction. Overestimation occurred in 5 eyes (2.4%) with KATSIM and 6 eyes (2.8%) with programmable refractive correction (p=0.312), but none with pinhole; 2 of them were associated with Irvine Gass Syndrome. Prediction error was higher with pinhole (MAE: 0.36 ± 0.19 logMAR) than KATSIM (MAE: 0.16 ± 0.11 logMAR; p<0.001). Refractive correction further reduced MAE to 0.14 ± 0.10 logMAR (p=0.049).",
        "Conclusions": "The KATSIM vision simulator demonstrated significantly greater predictive accuracy than conventional pinhole testing for estimating postoperative BCVA in cataract patients. The addition of programmable refractive correction further improved precision with similar overestimation rate. These findings suggest that incorporating refractive correction may enhance the simulator’s ability to predict postoperative visual acuity without increasing the risk of overestimation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The KATSIM vision simulator demonstrated significantly greater predictive accuracy than conventional pinhole testing for estimating postoperative BCVA in cataract patients. The addition of programmable refractive correction further improved precision with similar overestimation rate. These findings suggest that incorporating refractive correction may enhance the simulator’s ability to predict postoperative visual…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 420,
      "source_fields": {
        "Abstract Final Identifier": "FP29.02",
        "Title": "Impact Of Programmable Refractive Correction On The Predictive Accuracy And Overestimation Profile Of The Katsim Vision Simulator In Cataract Surgery",
        "Presenting Author(s)": "Dr Rustu Emre Akcan",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Rustu Emre",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Akcan",
        "Country Name": "Türkiye",
        "Purpose": "Cataract surgery outcomes rely on accurate preoperative assessment; however, predicting postoperative visual acuity remains challenging, as conventional methods lack precision in estimating true visual potential. The KATSIM project has developed a novel vision simulator using varifocal lens technology to project stimuli through relatively clear lens regions to estimate postoperative best-corrected visual acuity (BCVA). The addition of programmable refractive correction may further enhance predictive performance. This study aimed to evaluate whether refractive correction improves predictive accuracy while assessing its potential impact on visual acuity overestimation compared with standard KATSIM assessment and conventional pinhole testing.",
        "Setting": "This single-blind observational study was conducted at the Ophthalmology Departments of Koç University Hospital (Istanbul, Turkey), Sistina Eye Hospital (Skopje, North Macedonia), Şişli Hamidiye Etfal Research and Training Hospital (Istanbul, Turkey), and Grupcheva Vision Center (Varna, Bulgaria) as part of the KATSIM project.",
        "Methods": "A total of 210 eyes from 145 cataract patients scheduled for surgery were evaluated. Preoperatively, postoperative BCVA was predicted using the KATSIM vision simulator (with and without programmable refractive correction) and conventional pinhole testing. The simulator employs varifocal lens technology to project stimuli through clearer lens regions. Postoperative BCVA at 1 month served as reference. Visual acuity was measured using Snellen charts and converted to logMAR. Predictive accuracy was assessed using mean absolute error (MAE). Linear mixed-effects models with patient-level clustering and Bonferroni-adjusted pairwise comparisons were performed using STATA 17.0.",
        "Results": "A total of 210 eyes from 145 patients (53 male, 92 female; 39–88 years) were analyzed. Mean preoperative visual acuity was 0.68 ± 0.27 logMAR, improving to 0.07 ± 0.09 logMAR at 1 month postoperatively. Pinhole predicted 0.43 ± 0.20 logMAR, whereas KATSIM predicted 0.22 ± 0.13 logMAR, improving to 0.19 ± 0.13 logMAR with programmable refractive correction. Overestimation occurred in 5 eyes (2.4%) with KATSIM and 6 eyes (2.8%) with programmable refractive correction (p=0.312), but none with pinhole; 2 of them were associated with Irvine Gass Syndrome. Prediction error was higher with pinhole (MAE: 0.36 ± 0.19 logMAR) than KATSIM (MAE: 0.16 ± 0.11 logMAR; p<0.001). Refractive correction further reduced MAE to 0.14 ± 0.10 logMAR (p=0.049).",
        "Conclusions": "The KATSIM vision simulator demonstrated significantly greater predictive accuracy than conventional pinhole testing for estimating postoperative BCVA in cataract patients. The addition of programmable refractive correction further improved precision with similar overestimation rate. These findings suggest that incorporating refractive correction may enhance the simulator’s ability to predict postoperative visual acuity without increasing the risk of overestimation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 418
    },
    {
      "uid": "FP29.03",
      "abstract_number": "FP29.03",
      "title": "Mathematical Construction Of An Optimal Objective Defocus Curve Using Pyramidal Wavefront Aberrometry",
      "authors": "Dr Andrea Russo",
      "presenter": "Dr Andrea Russo",
      "normalized_authors": [
        "Andrea Russo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrea Russo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To mathematically define and construct an optimal objective defocus curve using pyramidal wavefront aberrometry and to establish a physiologically meaningful mapping between subjective and objective through-focus responses.",
        "Setting": "This prospective, multicenter, nonrandomized case series enrolled consecutive patients undergoing implantation of the RayOne Galaxy RAO605G and RayOne Galaxy Toric RAO615X IOLs. Surgical procedures were performed by three surgeons at three centers located in Brescia, Italy; Bristol, United Kingdom; and Genoa, Italy between October 2024 and November 2025.",
        "Methods": "A retrospective dataset of paired subjective and objective defocus curves was analyzed. Each curve consisted of 11 vergence steps from −4.0 D to +1.0 D (0.5 D increments). Fifty paired curves were used for model training and 30 independent curves for validation. Objective metrics were derived from wavefront aberrometry under standardized photopic pupil conditions. The relationship between subjective (x) and objective (y) measurements was modeled using monotonic nonlinear mapping functions. Parameters were estimated using nonlinear least squares (Levenberg–Marquardt). Model performance was assessed by RMSE, correlation analysis, area under the curve (AUC), and curve smoothness metrics.",
        "Results": "The rational saturating model demonstrated superior fitting accuracy (lower RMSE) and numerical stability compared to the logarithmic formulation. Strong correlation was observed between predicted and measured objective metrics (r≈0.80–0.85 in validation). Mathematical optimization enabled definition of an objective defocus profile maximizing AUC while minimizing curvature oscillation. Sensitivity simulations revealed that 0.50 D of residual cylinder reduced AUC by approximately 15% and increased curve irregularity.",
        "Conclusions": "Objective defocus curves can be mathematically modeled to define an optimal through-focus optical profile. This framework provides a reproducible and computationally efficient method for standardized evaluation of presbyopia-correcting IOL performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Objective defocus curves can be mathematically modeled to define an optimal through-focus optical profile. This framework provides a reproducible and computationally efficient method for standardized evaluation of presbyopia-correcting IOL performance.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 421,
      "source_fields": {
        "Abstract Final Identifier": "FP29.03",
        "Title": "Mathematical Construction Of An Optimal Objective Defocus Curve Using Pyramidal Wavefront Aberrometry",
        "Presenting Author(s)": "Dr Andrea Russo",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Andrea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Russo",
        "Country Name": "Italy",
        "Purpose": "To mathematically define and construct an optimal objective defocus curve using pyramidal wavefront aberrometry and to establish a physiologically meaningful mapping between subjective and objective through-focus responses.",
        "Setting": "This prospective, multicenter, nonrandomized case series enrolled consecutive patients undergoing implantation of the RayOne Galaxy RAO605G and RayOne Galaxy Toric RAO615X IOLs. Surgical procedures were performed by three surgeons at three centers located in Brescia, Italy; Bristol, United Kingdom; and Genoa, Italy between October 2024 and November 2025.",
        "Methods": "A retrospective dataset of paired subjective and objective defocus curves was analyzed. Each curve consisted of 11 vergence steps from −4.0 D to +1.0 D (0.5 D increments). Fifty paired curves were used for model training and 30 independent curves for validation. Objective metrics were derived from wavefront aberrometry under standardized photopic pupil conditions. The relationship between subjective (x) and objective (y) measurements was modeled using monotonic nonlinear mapping functions. Parameters were estimated using nonlinear least squares (Levenberg–Marquardt). Model performance was assessed by RMSE, correlation analysis, area under the curve (AUC), and curve smoothness metrics.",
        "Results": "The rational saturating model demonstrated superior fitting accuracy (lower RMSE) and numerical stability compared to the logarithmic formulation. Strong correlation was observed between predicted and measured objective metrics (r≈0.80–0.85 in validation). Mathematical optimization enabled definition of an objective defocus profile maximizing AUC while minimizing curvature oscillation. Sensitivity simulations revealed that 0.50 D of residual cylinder reduced AUC by approximately 15% and increased curve irregularity.",
        "Conclusions": "Objective defocus curves can be mathematically modeled to define an optimal through-focus optical profile. This framework provides a reproducible and computationally efficient method for standardized evaluation of presbyopia-correcting IOL performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "FP29.04",
      "abstract_number": "FP29.04",
      "title": "Cloq – Questionnaire: Revalidated Data And New Tools For Automatic Data Extraction And Analysis Of The Paper-Based And E-Based Prom.",
      "authors": "Dr Ekkehard Fabian",
      "presenter": "Dr Ekkehard Fabian",
      "normalized_authors": [
        "Ekkehard Fabian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ekkehard Fabian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "• Re-validation of the CLOQ questionnaire.\n\n• New automatic paper- and e-based data extraction and analysis of the CLOQ-PROM to save time and reduce errors during data transfer.",
        "Setting": "Augenklinik, Rosenheim",
        "Methods": "• Monocentric real-world study of 600 patients with pre and post cataract extraction and implantation of monofocal IOL binocular , IRT re-validation of the CLOQ.\n\n• we developed the automatic data-transfer from the paper-based version of the CLOQ for patients without digital access. This QoL and QoV combining questionnaire also evaluated spectacle dependency and overall satisfaction after surgery. Parallel to this we developed the e-CLOQ for patients with digital access. The extracted data of both versions of the questionnaire are pooled to the same target file for calculation of SCORE-values. Thus, we got results of SCORES in an automatic way.\n\n• Mean of patients age, car driving, PC-, smartphones- and eMail using was also evaluated.",
        "Results": "• The questionnaire confirmed the validation with IRT analysis in respect to ordinality, model fit, reliability, person-parameter and infit-outfit data.\n\n• The automatic scanning transfer from the paper-based questionnaire showed a 98 % correct recognition. These data and the data of the e-CLOQ were sampled in a hybrid way in the same aiming file for further calculations of the SCORE-Values.\n\n• Demographic data: Patients mean age was 75,6 years, 65 % are car-drivers, 40 % used PC, 55 % used smartphones and only 35 % had excess to eMail.",
        "Conclusions": "We reconfirmed the validation of the CLOQ successfully (n= 600 patients and 1200 questionnaires) in respect of Qol, QoV, spectacle dependency and patients’ satisfaction. Both groups of patients – paper-based and e-based – used there tools successfully. The correct recognition within in paper-based version was very high and is now applicable. All Data were automatically processed in our questionnaire collector to get SCORE-values. Thus, we reduced the burden of time-consuming data transfer and also of data transmission error. After finalization of this eCLOQ Tools it can be used from others"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We reconfirmed the validation of the CLOQ successfully (n= 600 patients and 1200 questionnaires) in respect of Qol, QoV, spectacle dependency and patients’ satisfaction. Both groups of patients – paper-based and e-based – used there tools successfully. The correct recognition within in paper-based version was very high and is now applicable. All Data were automatically processed in our questionnaire collector to…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 422,
      "source_fields": {
        "Abstract Final Identifier": "FP29.04",
        "Title": "Cloq – Questionnaire: Revalidated Data And New Tools For Automatic Data Extraction And Analysis Of The Paper-Based And E-Based Prom.",
        "Presenting Author(s)": "Dr Ekkehard Fabian",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Ekkehard",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fabian",
        "Country Name": "Germany",
        "Purpose": "• Re-validation of the CLOQ questionnaire.\n\n• New automatic paper- and e-based data extraction and analysis of the CLOQ-PROM to save time and reduce errors during data transfer.",
        "Setting": "Augenklinik, Rosenheim",
        "Methods": "• Monocentric real-world study of 600 patients with pre and post cataract extraction and implantation of monofocal IOL binocular , IRT re-validation of the CLOQ.\n\n• we developed the automatic data-transfer from the paper-based version of the CLOQ for patients without digital access. This QoL and QoV combining questionnaire also evaluated spectacle dependency and overall satisfaction after surgery. Parallel to this we developed the e-CLOQ for patients with digital access. The extracted data of both versions of the questionnaire are pooled to the same target file for calculation of SCORE-values. Thus, we got results of SCORES in an automatic way.\n\n• Mean of patients age, car driving, PC-, smartphones- and eMail using was also evaluated.",
        "Results": "• The questionnaire confirmed the validation with IRT analysis in respect to ordinality, model fit, reliability, person-parameter and infit-outfit data.\n\n• The automatic scanning transfer from the paper-based questionnaire showed a 98 % correct recognition. These data and the data of the e-CLOQ were sampled in a hybrid way in the same aiming file for further calculations of the SCORE-Values.\n\n• Demographic data: Patients mean age was 75,6 years, 65 % are car-drivers, 40 % used PC, 55 % used smartphones and only 35 % had excess to eMail.",
        "Conclusions": "We reconfirmed the validation of the CLOQ successfully (n= 600 patients and 1200 questionnaires) in respect of Qol, QoV, spectacle dependency and patients’ satisfaction. Both groups of patients – paper-based and e-based – used there tools successfully. The correct recognition within in paper-based version was very high and is now applicable. All Data were automatically processed in our questionnaire collector to get SCORE-values. Thus, we reduced the burden of time-consuming data transfer and also of data transmission error. After finalization of this eCLOQ Tools it can be used from others"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "FP29.05",
      "abstract_number": "FP29.05",
      "title": "The Diagnostic Utility Of Ultrasound Bio-Microscopy For Identifying Clinical Aqueous Misdirection",
      "authors": "Dr Khaled Abdulaziz Alabduljabbar",
      "presenter": "Dr Khaled Abdulaziz Alabduljabbar",
      "normalized_authors": [
        "Khaled Abdulaziz Alabduljabbar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khaled Abdulaziz Alabduljabbar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "The diagnosis of aqueous misdirection (AqM) often poses a diagnostic dilemma. Although Ultrasound biomicroscopy (UBM) is often to confirm the diagnosis, there are no studies to evaluate the utility of UBM for this purpose. The aim of this study was to estimate the diagnostic sensitivity of UBM for identifying AqM from UBM images of patients with clinical AqM.",
        "Setting": "We conducted a case-control study using previously acquired UBM images.",
        "Methods": "We conducted a case-control study using previously acquired UBM images. These (30 images for patients with AqM and 58 control images) were evaluated by 2 masked observers without clinical details. Observers classified each image as ‘misdirection, ‘not misdirection’ or ‘unsure’ for images where the diagnosis was in doubt. Cohen’s kappa (ĸ) agreement between observers was assessed. Receiver operator characteristic curves were plotted for both observers and sensitivity at 90% and partial areas under the ROC curve computed after classifying ‘unsure’ images as ‘AqM present’ or ‘AqM absent’.",
        "Results": "Eyes in the AqM group were older, with a median age of 76 years (interquartile range [IQR], 65–84), compared with a median age of 58 years (IQR, 28–70) in the control group. Across observers, sensitivity ranged from 60.0% to 80.0%, whereas specificity ranged from 77.6% to 98.3%. The overall observed agreement was 71.6%. Agreement beyond chance was moderate (Cohen’s κ = 0.442; 95% CI, 0.275–0.609; p < .001). Sensitivity ranged from 60.0% to 80.0% across reviewers and classification strategies, whereas specificity ranged from 77.6% to 98.3%. Positive predictive value ranged from 61.8% to 95.7%, and negative predictive value ranged from 81.3% to 89.8%. Overall accuracy ranged from 75.0% to 89.8%.",
        "Conclusions": "The diagnostic sensitivity of UBM for identifying eyes with clinical AqM is moderate to good, but not perfect. The main value of this investigation may be in excluding other causes of AC shallowing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The diagnostic sensitivity of UBM for identifying eyes with clinical AqM is moderate to good, but not perfect. The main value of this investigation may be in excluding other causes of AC shallowing.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 423,
      "source_fields": {
        "Abstract Final Identifier": "FP29.05",
        "Title": "The Diagnostic Utility Of Ultrasound Bio-Microscopy For Identifying Clinical Aqueous Misdirection",
        "Presenting Author(s)": "Dr Khaled Abdulaziz Alabduljabbar",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Khaled",
        "Submitter Middle Name": "Abdulaziz",
        "Submitter Last Name": "Alabduljabbar",
        "Country Name": "Saudi Arabia",
        "Purpose": "The diagnosis of aqueous misdirection (AqM) often poses a diagnostic dilemma. Although Ultrasound biomicroscopy (UBM) is often to confirm the diagnosis, there are no studies to evaluate the utility of UBM for this purpose. The aim of this study was to estimate the diagnostic sensitivity of UBM for identifying AqM from UBM images of patients with clinical AqM.",
        "Setting": "We conducted a case-control study using previously acquired UBM images.",
        "Methods": "We conducted a case-control study using previously acquired UBM images. These (30 images for patients with AqM and 58 control images) were evaluated by 2 masked observers without clinical details. Observers classified each image as ‘misdirection, ‘not misdirection’ or ‘unsure’ for images where the diagnosis was in doubt. Cohen’s kappa (ĸ) agreement between observers was assessed. Receiver operator characteristic curves were plotted for both observers and sensitivity at 90% and partial areas under the ROC curve computed after classifying ‘unsure’ images as ‘AqM present’ or ‘AqM absent’.",
        "Results": "Eyes in the AqM group were older, with a median age of 76 years (interquartile range [IQR], 65–84), compared with a median age of 58 years (IQR, 28–70) in the control group. Across observers, sensitivity ranged from 60.0% to 80.0%, whereas specificity ranged from 77.6% to 98.3%. The overall observed agreement was 71.6%. Agreement beyond chance was moderate (Cohen’s κ = 0.442; 95% CI, 0.275–0.609; p < .001). Sensitivity ranged from 60.0% to 80.0% across reviewers and classification strategies, whereas specificity ranged from 77.6% to 98.3%. Positive predictive value ranged from 61.8% to 95.7%, and negative predictive value ranged from 81.3% to 89.8%. Overall accuracy ranged from 75.0% to 89.8%.",
        "Conclusions": "The diagnostic sensitivity of UBM for identifying eyes with clinical AqM is moderate to good, but not perfect. The main value of this investigation may be in excluding other causes of AC shallowing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "FP29.06",
      "abstract_number": "FP29.06",
      "title": "Smart Phone Based Specular Imaging And App Based Analysis Of Corneal Endothelium",
      "authors": "Prof. Madhu Uddaraju",
      "presenter": "Prof. Madhu Uddaraju",
      "normalized_authors": [
        "Madhu Uddaraju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Madhu Uddaraju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Specular microscopes are important tools to monitor the health of the corneal endothelium, but their high costs significantly limit accessibility in\n\nlow-resource environments. We developed and validated a low-cost, fully automated method to quantitatively evaluate the corneal endothelium(CE) using smartphone-based specular microscopy",
        "Setting": "Slit lamp assited smart phone camera based image capturing with in built app based image analysis and reporting",
        "Methods": "A OnePlus 7 Pro smartphone attached to a Topcon SL-D701 slit-lamp was used to image the central corneal endothelium of 30 eyes using the specular reflection technique.A novel on-device imageprocessing algorithm automatically computed endothelial cell density (ECD), percentage of hexagonal cells (HEX), and coefficient of variation (CV) values. These values were compared with the ECD, HEX, and CV generated by a TomeyEM-4000 specular microscope used to image the same set of eyes.",
        "Results": "No significant differences were found in ECD (2799 ± 156 cells/mm 2 vs.2779 ± 166 cells/mm 2 ; P= 0.28) and HEX (52 ± 6% vs. 53 ± 6%; P= 0.50) computed by smartphone-based specular imaging and specular microscope,respectively.A statistically significant difference in CV(34±3%vs.30±3%;P < 0.01) was found between the two methods.The concordance achieved between the smartphone-based method and theTomey specular microscope is very similar to the concordance between two specular microscopes reported in the literature.",
        "Conclusions": "Smartphone-based specular imaging and automated analysis is a low-cost method to quantitatively evaluate the CE witha ccuracyc omparable to the clinical standard."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Smartphone-based specular imaging and automated analysis is a low-cost method to quantitatively evaluate the CE witha ccuracyc omparable to the clinical standard.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 424,
      "source_fields": {
        "Abstract Final Identifier": "FP29.06",
        "Title": "Smart Phone Based Specular Imaging And App Based Analysis Of Corneal Endothelium",
        "Presenting Author(s)": "Prof. Madhu Uddaraju",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Madhu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Uddaraju",
        "Country Name": "India",
        "Purpose": "Specular microscopes are important tools to monitor the health of the corneal endothelium, but their high costs significantly limit accessibility in\n\nlow-resource environments. We developed and validated a low-cost, fully automated method to quantitatively evaluate the corneal endothelium(CE) using smartphone-based specular microscopy",
        "Setting": "Slit lamp assited smart phone camera based image capturing with in built app based image analysis and reporting",
        "Methods": "A OnePlus 7 Pro smartphone attached to a Topcon SL-D701 slit-lamp was used to image the central corneal endothelium of 30 eyes using the specular reflection technique.A novel on-device imageprocessing algorithm automatically computed endothelial cell density (ECD), percentage of hexagonal cells (HEX), and coefficient of variation (CV) values. These values were compared with the ECD, HEX, and CV generated by a TomeyEM-4000 specular microscope used to image the same set of eyes.",
        "Results": "No significant differences were found in ECD (2799 ± 156 cells/mm 2 vs.2779 ± 166 cells/mm 2 ; P= 0.28) and HEX (52 ± 6% vs. 53 ± 6%; P= 0.50) computed by smartphone-based specular imaging and specular microscope,respectively.A statistically significant difference in CV(34±3%vs.30±3%;P < 0.01) was found between the two methods.The concordance achieved between the smartphone-based method and theTomey specular microscope is very similar to the concordance between two specular microscopes reported in the literature.",
        "Conclusions": "Smartphone-based specular imaging and automated analysis is a low-cost method to quantitatively evaluate the CE witha ccuracyc omparable to the clinical standard."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "FP29.07",
      "abstract_number": "FP29.07",
      "title": "Anterior Chamber Stability Of A Novel Phacoemulsification Machine Via Intraoperative Oct And Surgical Microscope Videos",
      "authors": "Dr Hisaharu Suzuki",
      "presenter": "Dr Hisaharu Suzuki",
      "normalized_authors": [
        "Hisaharu Suzuki"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hisaharu Suzuki",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Previous work evaluated anterior chamber (AC) stability of UNITY VCS (UVCS) and CENTURION ACTIVE SENTRY (CAS) during simulated occlusion break via the slit side view (SSV) slit lamp method. This study aims to quantify AC stability in an operative room (OR) setting using intraoperative OCT (iOCT) and iris movement via surgical microscope.",
        "Setting": "Experimental bench-top, surgical simulation and porcine eye study; Alcon Research LLC, Fort Worth, Texas, USA.",
        "Methods": "12 porcine eyes were tested at intraocular pressure (IOP) 20, 30, 40 mmHg, vacuum limits 550, 600, 650 mmHg, and aspiration rate 40 cc/min. Each eye was pinned on a fixture and a 2.4mm incision was created under a surgical microscope. The phaco handpiece was secured to minimize leakage and movement throughout the procedure. UVCS and CAS were tested in each eye and choice of first machine was alternated. Continuous irrigation was used to stabilize IOP before an occlusion break was simulated by pinching the aspiration line with pliers for 3 seconds then released. The AC depth (ACD) and pupil diameter change ratio using iOCT and the pupil area change ratio using a surgical microscope were recorded.",
        "Results": "The percent change in ACD was statistically significantly less with UVCS compared to CAS across all tested settings (p<0.0001). Similarly, pupil area and pupil diameter changes during surge events with UVCS were less across all settings (both p<0.0001). As IOP decreased, there was more AC stability and less iris movement observed with UVCS. There is a statistically significant relationship between iOCT ACD, microscope pupil area, and iOCT pupil diameter change (all p<0.0001). These results follow a similar trend to the previous SSV method, which demonstrate more AC stability with UVCS vs. CAS during occlusion break surge events.",
        "Conclusions": "AC stability can be objectively measured in the OR using iOCT. UVCS demonstrated better stability than CAS during simulated occlusion break, especially at lower IOP corroborating prior SSV method findings. Iris movement observed via surgical microscope may be a viable alternative to objectively and quantitatively assess the stability of the AC."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AC stability can be objectively measured in the OR using iOCT. UVCS demonstrated better stability than CAS during simulated occlusion break, especially at lower IOP corroborating prior SSV method findings. Iris movement observed via surgical microscope may be a viable alternative to objectively and quantitatively assess the stability of the AC.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 425,
      "source_fields": {
        "Abstract Final Identifier": "FP29.07",
        "Title": "Anterior Chamber Stability Of A Novel Phacoemulsification Machine Via Intraoperative Oct And Surgical Microscope Videos",
        "Presenting Author(s)": "Dr Hisaharu Suzuki",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Hisaharu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suzuki",
        "Country Name": "Japan",
        "Purpose": "Previous work evaluated anterior chamber (AC) stability of UNITY VCS (UVCS) and CENTURION ACTIVE SENTRY (CAS) during simulated occlusion break via the slit side view (SSV) slit lamp method. This study aims to quantify AC stability in an operative room (OR) setting using intraoperative OCT (iOCT) and iris movement via surgical microscope.",
        "Setting": "Experimental bench-top, surgical simulation and porcine eye study; Alcon Research LLC, Fort Worth, Texas, USA.",
        "Methods": "12 porcine eyes were tested at intraocular pressure (IOP) 20, 30, 40 mmHg, vacuum limits 550, 600, 650 mmHg, and aspiration rate 40 cc/min. Each eye was pinned on a fixture and a 2.4mm incision was created under a surgical microscope. The phaco handpiece was secured to minimize leakage and movement throughout the procedure. UVCS and CAS were tested in each eye and choice of first machine was alternated. Continuous irrigation was used to stabilize IOP before an occlusion break was simulated by pinching the aspiration line with pliers for 3 seconds then released. The AC depth (ACD) and pupil diameter change ratio using iOCT and the pupil area change ratio using a surgical microscope were recorded.",
        "Results": "The percent change in ACD was statistically significantly less with UVCS compared to CAS across all tested settings (p<0.0001). Similarly, pupil area and pupil diameter changes during surge events with UVCS were less across all settings (both p<0.0001). As IOP decreased, there was more AC stability and less iris movement observed with UVCS. There is a statistically significant relationship between iOCT ACD, microscope pupil area, and iOCT pupil diameter change (all p<0.0001). These results follow a similar trend to the previous SSV method, which demonstrate more AC stability with UVCS vs. CAS during occlusion break surge events.",
        "Conclusions": "AC stability can be objectively measured in the OR using iOCT. UVCS demonstrated better stability than CAS during simulated occlusion break, especially at lower IOP corroborating prior SSV method findings. Iris movement observed via surgical microscope may be a viable alternative to objectively and quantitatively assess the stability of the AC."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "FP29.08",
      "abstract_number": "FP29.08",
      "title": "Real-World Interobserver Reproducibility Of Autokeratometry: Does Operator Attention Matter?",
      "authors": "Dr Aj Tunsiri",
      "presenter": "Dr Aj Tunsiri",
      "normalized_authors": [
        "Aj Tunsiri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aj Tunsiri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "To evaluate whether operator attention influences autokeratometry measurements in a busy academic cataract surgery center.",
        "Setting": "Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.",
        "Methods": "In this prospective study, 48 patients (98 eyes) scheduled for cataract surgery underwent autokeratometry performed by two groups of operators: routine medical personnel conducting measurements as part of standard clinical workflow, and ophthalmic staff who were aware of the study and optimized patient positioning, encouraged stable fixation and instructed blinking prior to measurement. Interobserver agreement was assessed using Bland–Altman analysis.",
        "Results": "For flat keratometry, the mean bias was –0.099 D with (95% limits of agreement (LoA)–0.777, 0.578 D). Steep keratometry showed a mean bias of 0.005 D with (95% LoA –0.907, 0.917 D). For mean keratometry, the mean bias was –0.041 D, with (95% LoA –0.747, 0.665 D). For astigmatic parameters, the magnitude of deviation demonstrated a mean bias of –0.105 D with (95% LoA –1.245, 1.036 D). Astigmatic axis showed a mean bias of 2.143°, with (95% LoA –71.225°, 75.510°). No proportional bias was observed.",
        "Conclusions": "Autokeratometry demonstrated strong interobserver agreement despite differences in operator attention under real-world, busy routine clinical conditions. Mean interobserver biases were minimal across all keratometric parameters, although wider limits of agreement were observed for astigmatic axis measurements. Overall, these findings support autokeratometry as a reliable and operator-friendly tool. It may serve as an additional modality for cross-checking corneal power measurements alongside optical biometers, thereby increasing confidence in intraocular lens power calculation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Autokeratometry demonstrated strong interobserver agreement despite differences in operator attention under real-world, busy routine clinical conditions. Mean interobserver biases were minimal across all keratometric parameters, although wider limits of agreement were observed for astigmatic axis measurements. Overall, these findings support autokeratometry as a reliable and operator-friendly tool. It may serve as…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 426,
      "source_fields": {
        "Abstract Final Identifier": "FP29.08",
        "Title": "Real-World Interobserver Reproducibility Of Autokeratometry: Does Operator Attention Matter?",
        "Presenting Author(s)": "Dr Aj Tunsiri",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Aj",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tunsiri",
        "Country Name": "Thailand",
        "Purpose": "To evaluate whether operator attention influences autokeratometry measurements in a busy academic cataract surgery center.",
        "Setting": "Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.",
        "Methods": "In this prospective study, 48 patients (98 eyes) scheduled for cataract surgery underwent autokeratometry performed by two groups of operators: routine medical personnel conducting measurements as part of standard clinical workflow, and ophthalmic staff who were aware of the study and optimized patient positioning, encouraged stable fixation and instructed blinking prior to measurement. Interobserver agreement was assessed using Bland–Altman analysis.",
        "Results": "For flat keratometry, the mean bias was –0.099 D with (95% limits of agreement (LoA)–0.777, 0.578 D). Steep keratometry showed a mean bias of 0.005 D with (95% LoA –0.907, 0.917 D). For mean keratometry, the mean bias was –0.041 D, with (95% LoA –0.747, 0.665 D). For astigmatic parameters, the magnitude of deviation demonstrated a mean bias of –0.105 D with (95% LoA –1.245, 1.036 D). Astigmatic axis showed a mean bias of 2.143°, with (95% LoA –71.225°, 75.510°). No proportional bias was observed.",
        "Conclusions": "Autokeratometry demonstrated strong interobserver agreement despite differences in operator attention under real-world, busy routine clinical conditions. Mean interobserver biases were minimal across all keratometric parameters, although wider limits of agreement were observed for astigmatic axis measurements. Overall, these findings support autokeratometry as a reliable and operator-friendly tool. It may serve as an additional modality for cross-checking corneal power measurements alongside optical biometers, thereby increasing confidence in intraocular lens power calculation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "FP29.09",
      "abstract_number": "FP29.09",
      "title": "Biometric Parameters Of The Italian Population:A Restrospective Multicentric Study",
      "authors": "Dr Antonella Galotta",
      "presenter": "Dr Antonella Galotta",
      "normalized_authors": [
        "Antonella Galotta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonella Galotta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To investigate the biometric characteristics – axial length (AL), anterior chamber depth (ACD), and astigmatism (AST) – and the influence of demographic factors on them in a large sample of Italian patients undergoing cataract surgery.",
        "Setting": "Multicentric retrospective study including 53 Italian centers. Records of patients examined between January 1, 2015, and January 1, 2025, were reviewed.",
        "Methods": "Data collected included laterality (both eyes analyzed if available), AL, ACD, AST, age, sex, and geographic area (Northern, Central, and Southern Italy). Age reported as median and interquartile range (IQR), sex and geographic area as percentages. Distributions of AL, ACD, and AST (expressed in diopters [D]) accounting for inter-eye correlation estimated using linear mixed models with random intercept for patient. Multivariable linear mixed models with random intercept for patient used to assess the association of AL, ACD, and AST with age, sex, and geographic area (reference: Central Italy). Results reported as estimates (beta coefficient) and 95% confidence interval (CI).",
        "Results": "Preliminary results from 26 centers included 130,721 eyes of 74,880 patients with median age 71.7 years (IQR 60.5-80.1), 53.7% female, and 54.6% examined in Northern Italy. Parameter distributions as follows: AL 23.58 mm (22.95-24.39), ACD 3.24 mm (3.08–3.43), AST 0.83 D (0.65–1.07). AST >1 D present in 50.3% of patients, >2 D in 15.3%, and >3 D in 5.8%. Male sex associated with longer AL (beta 0.44, 95%CI 0.42; 0.47, p<0.001) and deeper ACD (beta 0.15, 95%CI 0.14; 0.16, p<0.001); Southern Italy with shorter AL (beta −0.36, 95%CI −0.41; −0.31, p<0.001) and higher AST (beta 0.16, 95% CI 0.13; 0.19, p<0.001); Northern Italy with shorter AL (beta −0.19, 95%CI −0.24; −0.14, p<0.001) and smaller ACD (beta −0.08, 95%CI −0.10; −0.07, p<0.001).",
        "Conclusions": "More than half of patients had at least 1 D of AST. Southern Italy was independently associated with higher AST. Considering the impact of AST on quality of life, a cost-effectiveness analysis of AST-correcting intraocular lenses during cataract surgery within national health systems is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "More than half of patients had at least 1 D of AST. Southern Italy was independently associated with higher AST. Considering the impact of AST on quality of life, a cost-effectiveness analysis of AST-correcting intraocular lenses during cataract surgery within national health systems is warranted.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 427,
      "source_fields": {
        "Abstract Final Identifier": "FP29.09",
        "Title": "Biometric Parameters Of The Italian Population:A Restrospective Multicentric Study",
        "Presenting Author(s)": "Dr Antonella Galotta",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Antonella",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Galotta",
        "Country Name": "Italy",
        "Purpose": "To investigate the biometric characteristics – axial length (AL), anterior chamber depth (ACD), and astigmatism (AST) – and the influence of demographic factors on them in a large sample of Italian patients undergoing cataract surgery.",
        "Setting": "Multicentric retrospective study including 53 Italian centers. Records of patients examined between January 1, 2015, and January 1, 2025, were reviewed.",
        "Methods": "Data collected included laterality (both eyes analyzed if available), AL, ACD, AST, age, sex, and geographic area (Northern, Central, and Southern Italy). Age reported as median and interquartile range (IQR), sex and geographic area as percentages. Distributions of AL, ACD, and AST (expressed in diopters [D]) accounting for inter-eye correlation estimated using linear mixed models with random intercept for patient. Multivariable linear mixed models with random intercept for patient used to assess the association of AL, ACD, and AST with age, sex, and geographic area (reference: Central Italy). Results reported as estimates (beta coefficient) and 95% confidence interval (CI).",
        "Results": "Preliminary results from 26 centers included 130,721 eyes of 74,880 patients with median age 71.7 years (IQR 60.5-80.1), 53.7% female, and 54.6% examined in Northern Italy. Parameter distributions as follows: AL 23.58 mm (22.95-24.39), ACD 3.24 mm (3.08–3.43), AST 0.83 D (0.65–1.07). AST >1 D present in 50.3% of patients, >2 D in 15.3%, and >3 D in 5.8%. Male sex associated with longer AL (beta 0.44, 95%CI 0.42; 0.47, p<0.001) and deeper ACD (beta 0.15, 95%CI 0.14; 0.16, p<0.001); Southern Italy with shorter AL (beta −0.36, 95%CI −0.41; −0.31, p<0.001) and higher AST (beta 0.16, 95% CI 0.13; 0.19, p<0.001); Northern Italy with shorter AL (beta −0.19, 95%CI −0.24; −0.14, p<0.001) and smaller ACD (beta −0.08, 95%CI −0.10; −0.07, p<0.001).",
        "Conclusions": "More than half of patients had at least 1 D of AST. Southern Italy was independently associated with higher AST. Considering the impact of AST on quality of life, a cost-effectiveness analysis of AST-correcting intraocular lenses during cataract surgery within national health systems is warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 375
    },
    {
      "uid": "FP29.10",
      "abstract_number": "FP29.10",
      "title": "Aspiration Time As A Procedure-Specific Marker Of Technical Skill Acquisition In Resident Phacoemulsification",
      "authors": "Dr Efe Koşer",
      "presenter": "Dr Efe Koşer",
      "normalized_authors": [
        "Efe Koşer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sevgi Tongal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the learning curve of resident-performed phacoemulsification surgery and to determine whether aspiration time reflects technical skill acquisition more specifically than total surgical time and other intraoperative parameters.",
        "Setting": "Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey",
        "Methods": "This single-center retrospective study reviewed 167 uncomplicated phacoemulsification surgeries performed by residents between August 2025 and January 2026 under attending supervision using the same phacoemulsification system (Centurion®, Alcon). The residency program consists of five 2-month rotations. The first rotation was excluded due to minimal surgical case volume (approximately five cases per resident). Cases were analyzed across four rotations (R2–R5; n=38, 36, 35, and 58, respectively). Device-recorded parameters (total surgical time, aspiration time, ultrasound time, fluid usage, and CDE) were extracted. Kruskal–Wallis, Spearman, and multivariable regression were used.",
        "Results": "Progressive improvement was observed across rotations. Total surgical time decreased from 27.9 ± 8.1 to 15.2 ± 4.3 min, aspiration time from 9.16 ± 2.32 to 5.78 ± 1.39 min, ultrasound time from 118 ± 52 to 75 ± 36 s, and fluid usage from 172 ± 52 to 102 ± 26 mL (all p<0.01). CDE remained stable (p=0.09). Aspiration time correlated negatively with rotation level (ρ=–0.51, p<0.001), with a plateau between the 3rd and 4th rotations (p=0.968). Effect size analysis showed a large impact of rotation level on aspiration time (η²=0.26). In multivariable regression (rotation + CDE), rotation independently predicted aspiration time (p<0.001), whereas CDE was not associated (p=0.28). The model explained 36% of the variance (R²=0.36).",
        "Conclusions": "The present study demonstrates a clear learning curve in resident phacoemulsification. Both total surgical time and aspiration time decreased significantly with increasing rotation level. While total surgical time showed the strongest correlation, reflecting improved procedural efficiency, aspiration time captured the active vacuum-control phase of surgery and remained independently associated with experience. In contrast, CDE showed no independent relationship. These findings suggest that aspiration time may represent technical skill acquisition more specifically than overall operative speed in cataract surgery training."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The present study demonstrates a clear learning curve in resident phacoemulsification. Both total surgical time and aspiration time decreased significantly with increasing rotation level. While total surgical time showed the strongest correlation, reflecting improved procedural efficiency, aspiration time captured the active vacuum-control phase of surgery and remained independently associated with experience. In…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 428,
      "source_fields": {
        "Abstract Final Identifier": "FP29.10",
        "Title": "Aspiration Time As A Procedure-Specific Marker Of Technical Skill Acquisition In Resident Phacoemulsification",
        "Presenting Author(s)": "Dr Efe Koşer",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Sevgi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tongal",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the learning curve of resident-performed phacoemulsification surgery and to determine whether aspiration time reflects technical skill acquisition more specifically than total surgical time and other intraoperative parameters.",
        "Setting": "Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey",
        "Methods": "This single-center retrospective study reviewed 167 uncomplicated phacoemulsification surgeries performed by residents between August 2025 and January 2026 under attending supervision using the same phacoemulsification system (Centurion®, Alcon). The residency program consists of five 2-month rotations. The first rotation was excluded due to minimal surgical case volume (approximately five cases per resident). Cases were analyzed across four rotations (R2–R5; n=38, 36, 35, and 58, respectively). Device-recorded parameters (total surgical time, aspiration time, ultrasound time, fluid usage, and CDE) were extracted. Kruskal–Wallis, Spearman, and multivariable regression were used.",
        "Results": "Progressive improvement was observed across rotations. Total surgical time decreased from 27.9 ± 8.1 to 15.2 ± 4.3 min, aspiration time from 9.16 ± 2.32 to 5.78 ± 1.39 min, ultrasound time from 118 ± 52 to 75 ± 36 s, and fluid usage from 172 ± 52 to 102 ± 26 mL (all p<0.01). CDE remained stable (p=0.09). Aspiration time correlated negatively with rotation level (ρ=–0.51, p<0.001), with a plateau between the 3rd and 4th rotations (p=0.968). Effect size analysis showed a large impact of rotation level on aspiration time (η²=0.26). In multivariable regression (rotation + CDE), rotation independently predicted aspiration time (p<0.001), whereas CDE was not associated (p=0.28). The model explained 36% of the variance (R²=0.36).",
        "Conclusions": "The present study demonstrates a clear learning curve in resident phacoemulsification. Both total surgical time and aspiration time decreased significantly with increasing rotation level. While total surgical time showed the strongest correlation, reflecting improved procedural efficiency, aspiration time captured the active vacuum-control phase of surgery and remained independently associated with experience. In contrast, CDE showed no independent relationship. These findings suggest that aspiration time may represent technical skill acquisition more specifically than overall operative speed in cataract surgery training."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "FP29.11",
      "abstract_number": "FP29.11",
      "title": "Hatvit-Caf: A Hierarchical Attention–Based Hybrid Vision Transformer For Multi-Class Ocular Disease Classification",
      "authors": "Dr Mehmet Kaan Kaya",
      "presenter": "Dr Mehmet Kaan Kaya",
      "normalized_authors": [
        "Mehmet Kaan Kaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sermal Arslan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Accurate automated classification of ocular diseases is essential for early diagnosis, appropriate clinical management, and prevention of vision loss. However, image-based decision support systems remain challenged by subtle inter-class similarities, heterogeneous disease presentations, and class imbalance, particularly in inflammatory ocular conditions.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "HATViT-CAF is proposed as an attention-driven hybrid deep learning framework for multi-class ocular disease classification. The model integrates hierarchical attention, cross-modal fusion, and disease-specific gating atop a pretrained EfficientNet-B0 backbone, yielding a 290-layer architecture with approximately 5.3 million parameters. Trained on 1,838 retinal images across five classes—cataract, conjunctivitis, eyelid disorders, uveitis, and healthy controls—and evaluated on 460 held-out images, the framework demonstrates competitive diagnostic performance as assessed by accuracy, precision, recall, and F1-score.",
        "Results": "HATViT-CAF achieved 96.96% accuracy and a mean F1-score of 96.22% on the test set. Class-wise F1-scores reached 97.7% for cataract, 94.8% for conjunctivitis, 96.8% for eyelid disorders, 99.2% for normal eyes, and 92.6% for uveitis. Despite being the least represented class, uveitis yielded a recall of 97.8%, reflecting strong sensitivity for clinically challenging inflammatory cases. Confusion matrix analysis confirmed minimal misclassification across visually similar disease categories.",
        "Conclusions": "The proposed HATViT-CAF model provides robust and reliable multi-class ocular disease classification despite class imbalance. Its attention-driven, disease-aware design and moderate model complexity support its potential use as a computer-aided decision support tool for ophthalmic screening and clinical triage in real-world settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The proposed HATViT-CAF model provides robust and reliable multi-class ocular disease classification despite class imbalance. Its attention-driven, disease-aware design and moderate model complexity support its potential use as a computer-aided decision support tool for ophthalmic screening and clinical triage in real-world settings.",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 429,
      "source_fields": {
        "Abstract Final Identifier": "FP29.11",
        "Title": "Hatvit-Caf: A Hierarchical Attention–Based Hybrid Vision Transformer For Multi-Class Ocular Disease Classification",
        "Presenting Author(s)": "Dr Mehmet Kaan Kaya",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Sermal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arslan",
        "Country Name": "Türkiye",
        "Purpose": "Accurate automated classification of ocular diseases is essential for early diagnosis, appropriate clinical management, and prevention of vision loss. However, image-based decision support systems remain challenged by subtle inter-class similarities, heterogeneous disease presentations, and class imbalance, particularly in inflammatory ocular conditions.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "HATViT-CAF is proposed as an attention-driven hybrid deep learning framework for multi-class ocular disease classification. The model integrates hierarchical attention, cross-modal fusion, and disease-specific gating atop a pretrained EfficientNet-B0 backbone, yielding a 290-layer architecture with approximately 5.3 million parameters. Trained on 1,838 retinal images across five classes—cataract, conjunctivitis, eyelid disorders, uveitis, and healthy controls—and evaluated on 460 held-out images, the framework demonstrates competitive diagnostic performance as assessed by accuracy, precision, recall, and F1-score.",
        "Results": "HATViT-CAF achieved 96.96% accuracy and a mean F1-score of 96.22% on the test set. Class-wise F1-scores reached 97.7% for cataract, 94.8% for conjunctivitis, 96.8% for eyelid disorders, 99.2% for normal eyes, and 92.6% for uveitis. Despite being the least represented class, uveitis yielded a recall of 97.8%, reflecting strong sensitivity for clinically challenging inflammatory cases. Confusion matrix analysis confirmed minimal misclassification across visually similar disease categories.",
        "Conclusions": "The proposed HATViT-CAF model provides robust and reliable multi-class ocular disease classification despite class imbalance. Its attention-driven, disease-aware design and moderate model complexity support its potential use as a computer-aided decision support tool for ophthalmic screening and clinical triage in real-world settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "FP29.12",
      "abstract_number": "FP29.12",
      "title": "Can Pre Operative Epithelial Maps & Tear Biomarkers Predict Post Operative Outcomes & Satisfaction?",
      "authors": "Dr Sunayana Narasimha Murthy",
      "presenter": "Dr Sunayana Narasimha Murthy",
      "normalized_authors": [
        "Sunayana Narasimha Murthy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sunayana Narasimha Murthy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate how preoperative corneal epithelial mapping impacts postoperative visual quality and patient-reported quality of life (QoL) in cataract surgery patients, using Artificial Intelligence (AI) to identify predictive markers.",
        "Setting": "hopsital based sampling done at the cataract refractive department. prospective cross sectional study between May 2025 - September 2025",
        "Methods": "Two hundred fifty patients underwent pre- and postoperative evaluation, including epithelial mapping (Placido–OCT and ray-tracing–based system) and tear biomarker analysis using the BioM Pathfinder kit. Based on epithelial status, Group 1 (n=169) had regular epithelium and Group 2 (n=81) had irregular epithelium. Postoperative assessments included UCVA, PROWL scores, OQAS, and epithelial/corneal HOAs. AI algorithms were applied to identify predictors of visual and QoL outcomes.",
        "Results": "UCVA gains were comparable across groups. However, Group 1 had significantly better visual quality and QoL scores (PROWL>80 in 162/169 patients), while Group 2 had poorer outcomes (PROWL<80 in 48/81). Corneal HOAs and inflammatory biomarkers were markedly elevated in Group 2 (p<0.05). AI identified epithelial irregularity as a key predictor of both reduced visual quality and lower QoL.",
        "Conclusions": "Corneal epithelial mapping and tear biomarkers serve as effective surrogate markers for predicting both visual outcomes and postoperative quality of life following cataract surgery"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal epithelial mapping and tear biomarkers serve as effective surrogate markers for predicting both visual outcomes and postoperative quality of life following cataract surgery",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 430,
      "source_fields": {
        "Abstract Final Identifier": "FP29.12",
        "Title": "Can Pre Operative Epithelial Maps & Tear Biomarkers Predict Post Operative Outcomes & Satisfaction?",
        "Presenting Author(s)": "Dr Sunayana Narasimha Murthy",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Sunayana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Narasimha Murthy",
        "Country Name": "India",
        "Purpose": "To evaluate how preoperative corneal epithelial mapping impacts postoperative visual quality and patient-reported quality of life (QoL) in cataract surgery patients, using Artificial Intelligence (AI) to identify predictive markers.",
        "Setting": "hopsital based sampling done at the cataract refractive department. prospective cross sectional study between May 2025 - September 2025",
        "Methods": "Two hundred fifty patients underwent pre- and postoperative evaluation, including epithelial mapping (Placido–OCT and ray-tracing–based system) and tear biomarker analysis using the BioM Pathfinder kit. Based on epithelial status, Group 1 (n=169) had regular epithelium and Group 2 (n=81) had irregular epithelium. Postoperative assessments included UCVA, PROWL scores, OQAS, and epithelial/corneal HOAs. AI algorithms were applied to identify predictors of visual and QoL outcomes.",
        "Results": "UCVA gains were comparable across groups. However, Group 1 had significantly better visual quality and QoL scores (PROWL>80 in 162/169 patients), while Group 2 had poorer outcomes (PROWL<80 in 48/81). Corneal HOAs and inflammatory biomarkers were markedly elevated in Group 2 (p<0.05). AI identified epithelial irregularity as a key predictor of both reduced visual quality and lower QoL.",
        "Conclusions": "Corneal epithelial mapping and tear biomarkers serve as effective surrogate markers for predicting both visual outcomes and postoperative quality of life following cataract surgery"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 204
    },
    {
      "uid": "FP29.13",
      "abstract_number": "FP29.13",
      "title": "Internal Aberrometry And Dysfunctional Lens Index As Objective Metrics For Posterior Capsular Opacification: A Comprehensive Pre- And Post-Nd:Yag Laser Capsulotomy Study",
      "authors": "Dr Dilan Colak Arici",
      "presenter": "Dr Dilan Colak Arici",
      "normalized_authors": [
        "Dilan Colak Arici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dilan Colak Arici",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Posterior capsular opacification (PCO) is the most common long-term complication of cataract surgery and currently lacks an objective grading standard. This study aimed to evaluate DLI, wavefront HOA, and MTF — obtained via internal aberrometry — as objective, quantifiable metrics for PCO assessment and post-capsulotomy treatment response monitoring.",
        "Setting": "Study was conducted at Anterior Segment Clinic of Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey.",
        "Methods": "This prospective study included 47 eyes of 39 patients (25 female, 14 male; mean age 64.0±14.6 years, range 18–92) with visually significant PCO confirmed by slit-lamp biomicroscopy. Eyes with macular/retinal pathology, glaucoma, or corneal opacities were excluded. BCVA (LogMAR), DLI, total and internal HOA (RMS, µm), Zernike aberration components (coma, trefoil, spherical aberration, 5th-order), and MTF at 5–30 cycles/degree were recorded with the iTrace® ray-tracing aberrometer (Tracey Technologies, USA) before and 4 weeks after Nd:YAG laser capsulotomy. The Shapiro–Wilk test assessed normality; Wilcoxon signed-rank test and Spearman's correlation were applied as appropriate (IBM SPSS v27, p<0.05).",
        "Results": "All optical quality metrics improved significantly following Nd:YAG capsulotomy (all p<0.001). BCVA improved from 0.52 to 0.10 LogMAR, DLI from 3.10 to 7.25 (0–10 scale), total HOA by 64.5% (0.375±0.269 to 0.133±0.069 µm RMS), and internal HOA by 66.9%. Internal coma, spherical aberrations were significantly reduced (all p<0.001), whereas trefoil remained unchanged (p=0.49), consistent with a lens-specific origin of PCO-induced aberrations. MTF improved across multiple spatial frequencies (p<0.05). Pre-operatively, DLI correlated strongly with internal HOA (r=−0.946) and total HOA (r=−0.937; both p<0.001), but not with BCVA or MTF. Post-operatively, DLI correlated with both MTF (r=+0.715) and internal HOA (r=−0.769; both p<0.001).",
        "Conclusions": "PCO grading remains one of the few areas in ophthalmology still reliant on subjective assessment — at a time when objective classification systems are becoming standard across medicine. DLI correlated strongly with internal HOA pre- and post-capsulotomy (r=−0.946, r=−0.769), converged with MTF post-operatively, and outperformed BCVA in reflecting the true optical burden of PCO. The lens-specific Zernike profile confirms DLI captures a biologically meaningful signal unique to PCO. These findings position DLI as an objective, standardizable biomarker for PCO grading — bringing the same rigor to PCO classification that wavefront analysis brought to refractive surgery. Validation in larger multicenter studies is the necessary next step."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PCO grading remains one of the few areas in ophthalmology still reliant on subjective assessment — at a time when objective classification systems are becoming standard across medicine. DLI correlated strongly with internal HOA pre- and post-capsulotomy (r=−0.946, r=−0.769), converged with MTF post-operatively, and outperformed BCVA in reflecting the true optical burden of PCO. The lens-specific Zernike profile…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 431,
      "source_fields": {
        "Abstract Final Identifier": "FP29.13",
        "Title": "Internal Aberrometry And Dysfunctional Lens Index As Objective Metrics For Posterior Capsular Opacification: A Comprehensive Pre- And Post-Nd:Yag Laser Capsulotomy Study",
        "Presenting Author(s)": "Dr Dilan Colak Arici",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Dilan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Colak Arici",
        "Country Name": "Türkiye",
        "Purpose": "Posterior capsular opacification (PCO) is the most common long-term complication of cataract surgery and currently lacks an objective grading standard. This study aimed to evaluate DLI, wavefront HOA, and MTF — obtained via internal aberrometry — as objective, quantifiable metrics for PCO assessment and post-capsulotomy treatment response monitoring.",
        "Setting": "Study was conducted at Anterior Segment Clinic of Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey.",
        "Methods": "This prospective study included 47 eyes of 39 patients (25 female, 14 male; mean age 64.0±14.6 years, range 18–92) with visually significant PCO confirmed by slit-lamp biomicroscopy. Eyes with macular/retinal pathology, glaucoma, or corneal opacities were excluded. BCVA (LogMAR), DLI, total and internal HOA (RMS, µm), Zernike aberration components (coma, trefoil, spherical aberration, 5th-order), and MTF at 5–30 cycles/degree were recorded with the iTrace® ray-tracing aberrometer (Tracey Technologies, USA) before and 4 weeks after Nd:YAG laser capsulotomy. The Shapiro–Wilk test assessed normality; Wilcoxon signed-rank test and Spearman's correlation were applied as appropriate (IBM SPSS v27, p<0.05).",
        "Results": "All optical quality metrics improved significantly following Nd:YAG capsulotomy (all p<0.001). BCVA improved from 0.52 to 0.10 LogMAR, DLI from 3.10 to 7.25 (0–10 scale), total HOA by 64.5% (0.375±0.269 to 0.133±0.069 µm RMS), and internal HOA by 66.9%. Internal coma, spherical aberrations were significantly reduced (all p<0.001), whereas trefoil remained unchanged (p=0.49), consistent with a lens-specific origin of PCO-induced aberrations. MTF improved across multiple spatial frequencies (p<0.05). Pre-operatively, DLI correlated strongly with internal HOA (r=−0.946) and total HOA (r=−0.937; both p<0.001), but not with BCVA or MTF. Post-operatively, DLI correlated with both MTF (r=+0.715) and internal HOA (r=−0.769; both p<0.001).",
        "Conclusions": "PCO grading remains one of the few areas in ophthalmology still reliant on subjective assessment — at a time when objective classification systems are becoming standard across medicine. DLI correlated strongly with internal HOA pre- and post-capsulotomy (r=−0.946, r=−0.769), converged with MTF post-operatively, and outperformed BCVA in reflecting the true optical burden of PCO. The lens-specific Zernike profile confirms DLI captures a biologically meaningful signal unique to PCO. These findings position DLI as an objective, standardizable biomarker for PCO grading — bringing the same rigor to PCO classification that wavefront analysis brought to refractive surgery. Validation in larger multicenter studies is the necessary next step."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 411
    },
    {
      "uid": "FP29.14",
      "abstract_number": "FP29.14",
      "title": "Vision Together: Access Pathway (Accessible Community Eyecare Specialist Support) For Care Home Residents Requiring Cataract Surgery",
      "authors": "Dr Sancy Low",
      "presenter": "Dr Sancy Low",
      "normalized_authors": [
        "Sancy Low"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sancy Low",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Sight loss affects 64% of older people living in care homes, negatively impacting their quality of life with increased falls and reduced mobility. Frailty, cognitive impairment and functional dependency create significant barriers to accessing eye care at ophthalmology outpatient clinics. High did-not-attend (DNA) rates in this population with low discharge rates from ophthalmology outpatient clinics highlight the need for alternative care models. This study was performed to determine the extent of perioperative support and prehospital optimisation required for access to cataract surgery. An observational plan do study act cycle was initiated to develop dementia friendly cataract surgery pathways fully supported by community services.",
        "Setting": "Pilot care model across seven care homes in London with referrals to a public sector teaching hospital. Integrated partnership working between domiciliary providers, minor eye condition scheme (MECS) optometrists, geriatricians, general practitioners, anaesthetists and ophthalmologists to bring specialist multi-disciplinary support to the community. Each of these parts were publicly funded (National Health Service) so costings and logistics for the services were evaluated for maximum efficiency.",
        "Methods": "The Vision Together AcCESS Pathway (Accessible Community Eyecare Specialist Support) was piloted over 12 months (October 2023- September 2024). Existing domiciliary optometrists were upskilled to deliver enhanced assessments through the NHS Minor Eye Condition Service (MECS). The pathway embedded multidisciplinary working with general practitioners (GP), care homes, residents and families, supported by virtual advice and guidance from secondary care ophthalmology and geriatrics. Feasibility, clinical utility, patient experience and system outcomes were evaluated. Peri-operative assessments, cataract surgery outcomes, complications, and recommendations for elderly, frail and dementia patients involved in this pilot study collated.",
        "Results": "40 MECS consults were delivered for 37 residents. Cataract assessment accounted for 70% of reviews. GPs and next of kin (NOK) discussions were required in 70%, 55% needed secondary care MDT. This reduced referrals by 48% where surgery did not align with patients’ best interests. Optimisation of glaucoma treatment and minor acute conditions took place concurrently with cataract workups. Our pilot model was highly efficient at integrating 15- 30min MECS assessments with <5minute secondary MDT support for all residents. One patient with a dense cataract required a second procedure to remove a retained small lens fragment. All care (apart from surgery) was provided in the community with no cases of worsening of vision after intervention.",
        "Conclusions": "Our study showed the need for integrated support to deliver safe cataract sugery in elderly, frail, patients who often suffer from dementia. Standardised peri-operative assessments and joined up support with NOK and clinicians with prior knowledge of care home residents allowed best practice in complex decision making such as type of anaesthesia, ability to co-operate in early dementia under local anaesthesia, NOK power of attorney, treatment preferences and post-operative care delivered at home with upskilled domiciliary optometrists. Standardised frailty assessments, glaucoma and MECS treatment algorithms made it time efficient as well as cost effective in managing cataract, glaucoma and minor acute eye conditions in care homes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study showed the need for integrated support to deliver safe cataract sugery in elderly, frail, patients who often suffer from dementia. Standardised peri-operative assessments and joined up support with NOK and clinicians with prior knowledge of care home residents allowed best practice in complex decision making such as type of anaesthesia, ability to co-operate in early dementia under local anaesthesia, NOK…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 432,
      "source_fields": {
        "Abstract Final Identifier": "FP29.14",
        "Title": "Vision Together: Access Pathway (Accessible Community Eyecare Specialist Support) For Care Home Residents Requiring Cataract Surgery",
        "Presenting Author(s)": "Dr Sancy Low",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Sancy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Low",
        "Country Name": "United Kingdom",
        "Purpose": "Sight loss affects 64% of older people living in care homes, negatively impacting their quality of life with increased falls and reduced mobility. Frailty, cognitive impairment and functional dependency create significant barriers to accessing eye care at ophthalmology outpatient clinics. High did-not-attend (DNA) rates in this population with low discharge rates from ophthalmology outpatient clinics highlight the need for alternative care models. This study was performed to determine the extent of perioperative support and prehospital optimisation required for access to cataract surgery. An observational plan do study act cycle was initiated to develop dementia friendly cataract surgery pathways fully supported by community services.",
        "Setting": "Pilot care model across seven care homes in London with referrals to a public sector teaching hospital. Integrated partnership working between domiciliary providers, minor eye condition scheme (MECS) optometrists, geriatricians, general practitioners, anaesthetists and ophthalmologists to bring specialist multi-disciplinary support to the community. Each of these parts were publicly funded (National Health Service) so costings and logistics for the services were evaluated for maximum efficiency.",
        "Methods": "The Vision Together AcCESS Pathway (Accessible Community Eyecare Specialist Support) was piloted over 12 months (October 2023- September 2024). Existing domiciliary optometrists were upskilled to deliver enhanced assessments through the NHS Minor Eye Condition Service (MECS). The pathway embedded multidisciplinary working with general practitioners (GP), care homes, residents and families, supported by virtual advice and guidance from secondary care ophthalmology and geriatrics. Feasibility, clinical utility, patient experience and system outcomes were evaluated. Peri-operative assessments, cataract surgery outcomes, complications, and recommendations for elderly, frail and dementia patients involved in this pilot study collated.",
        "Results": "40 MECS consults were delivered for 37 residents. Cataract assessment accounted for 70% of reviews. GPs and next of kin (NOK) discussions were required in 70%, 55% needed secondary care MDT. This reduced referrals by 48% where surgery did not align with patients’ best interests. Optimisation of glaucoma treatment and minor acute conditions took place concurrently with cataract workups. Our pilot model was highly efficient at integrating 15- 30min MECS assessments with <5minute secondary MDT support for all residents. One patient with a dense cataract required a second procedure to remove a retained small lens fragment. All care (apart from surgery) was provided in the community with no cases of worsening of vision after intervention.",
        "Conclusions": "Our study showed the need for integrated support to deliver safe cataract sugery in elderly, frail, patients who often suffer from dementia. Standardised peri-operative assessments and joined up support with NOK and clinicians with prior knowledge of care home residents allowed best practice in complex decision making such as type of anaesthesia, ability to co-operate in early dementia under local anaesthesia, NOK power of attorney, treatment preferences and post-operative care delivered at home with upskilled domiciliary optometrists. Standardised frailty assessments, glaucoma and MECS treatment algorithms made it time efficient as well as cost effective in managing cataract, glaucoma and minor acute eye conditions in care homes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 481
    },
    {
      "uid": "FP29.15",
      "abstract_number": "FP29.15",
      "title": "Evaluation Of Microvascular Changes In The Macula After Uneventful Phacoemulsification Surgery Using Optical Coherence Tomography",
      "authors": "Dr Tanie Natung",
      "presenter": "Dr Tanie Natung",
      "normalized_authors": [
        "Tanie Natung"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tanie Natung",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate whether there are microvascular changes in the macula after uneventful phacoemulsification surgery under topical anaesthesia using optical coherence tomography angiography (OCTA).",
        "Setting": "Tertiary care centre.",
        "Methods": "In this longitudinal, observational study, OCTA scans of 3 mm × 3 mm macula were obtained in 53 eyes to measure the superficial capillary perfusion (SCP) vessel density, perfusion density and foveal avascular zone (FAZ) area, perimeter and circularity, and central subfield thickness (CST). Measurements were recorded at the pre-operative visit and at 1-week and 1-month follow ups following phacoemulsification surgery under topical anaesthesia.",
        "Results": "There was a statistically significant increase in vessel density (mm/mm 2 ) in the SCP at post-operative 1-week (17.604 ± 3.3340) and post-operative 1-month (18.725 ± 2.8280) follow ups compared with the pre-operative visit (16.017 ± 3.6574) [ P < 0.001]. Similarly, a statistically significant increase was observed in perfusion density (mm/mm 2 ) in the SCP at post-operative 1-week (33.079 ± 4.8540) and post-operative 1-month (34.585 ± 4.1916) follow ups as compared with the pre-operative visit (30.285 ± 5.6133) [ P < 0.001]. However, no significant changes were found in the FAZ and CST parameters post-operatively.",
        "Conclusions": "A statistically significant increase in vessel density and perfusion density in the SCP of the macula was observed after uneventful phacoemulsification surgery under topical anaesthesia at post-operative 1-week and 1-month follow-up visits. However, there were no statistically significant changes in the FAZ and CST parameters following phacoemulsification. These findings improve our understanding of the impact of phacoemulsification surgery on retinal microvasculature and contribute to the existing body of knowledge on the subject."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A statistically significant increase in vessel density and perfusion density in the SCP of the macula was observed after uneventful phacoemulsification surgery under topical anaesthesia at post-operative 1-week and 1-month follow-up visits. However, there were no statistically significant changes in the FAZ and CST parameters following phacoemulsification. These findings improve our understanding of the impact of…",
      "session_type": "Free Paper",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 433,
      "source_fields": {
        "Abstract Final Identifier": "FP29.15",
        "Title": "Evaluation Of Microvascular Changes In The Macula After Uneventful Phacoemulsification Surgery Using Optical Coherence Tomography",
        "Presenting Author(s)": "Dr Tanie Natung",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Tanie",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Natung",
        "Country Name": "India",
        "Purpose": "To evaluate whether there are microvascular changes in the macula after uneventful phacoemulsification surgery under topical anaesthesia using optical coherence tomography angiography (OCTA).",
        "Setting": "Tertiary care centre.",
        "Methods": "In this longitudinal, observational study, OCTA scans of 3 mm × 3 mm macula were obtained in 53 eyes to measure the superficial capillary perfusion (SCP) vessel density, perfusion density and foveal avascular zone (FAZ) area, perimeter and circularity, and central subfield thickness (CST). Measurements were recorded at the pre-operative visit and at 1-week and 1-month follow ups following phacoemulsification surgery under topical anaesthesia.",
        "Results": "There was a statistically significant increase in vessel density (mm/mm 2 ) in the SCP at post-operative 1-week (17.604 ± 3.3340) and post-operative 1-month (18.725 ± 2.8280) follow ups compared with the pre-operative visit (16.017 ± 3.6574) [ P < 0.001]. Similarly, a statistically significant increase was observed in perfusion density (mm/mm 2 ) in the SCP at post-operative 1-week (33.079 ± 4.8540) and post-operative 1-month (34.585 ± 4.1916) follow ups as compared with the pre-operative visit (30.285 ± 5.6133) [ P < 0.001]. However, no significant changes were found in the FAZ and CST parameters post-operatively.",
        "Conclusions": "A statistically significant increase in vessel density and perfusion density in the SCP of the macula was observed after uneventful phacoemulsification surgery under topical anaesthesia at post-operative 1-week and 1-month follow-up visits. However, there were no statistically significant changes in the FAZ and CST parameters following phacoemulsification. These findings improve our understanding of the impact of phacoemulsification surgery on retinal microvasculature and contribute to the existing body of knowledge on the subject."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP30.01",
      "abstract_number": "FP30.01",
      "title": "A 10-Year Survival Analysis Of Failure Rates After Initial Conventional, Accelerated Or Iontophoresis Cxl For Keratoconus",
      "authors": "A/Prof. Thibaud Garcin",
      "presenter": "A/Prof. Thibaud Garcin",
      "normalized_authors": [
        "Thibaud Garcin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thibaud Garcin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Keratoconus progression following primary collagen crosslinking (CXL) with different protocols at long term (more than 3-5 years) is not yet well documented in the literature.\n\nTo define risk factors for initial CXL failure with different protocols in keratoconic (KCN) eyes.",
        "Setting": "French tertiary ophthalmology department, National Hospital 15-20, GRC32, TITC, Sorbonne University, Paris",
        "Methods": "571 eyes from 415 patients who underwent initial CXL for progressive KCN between 2010 and 2024 and minimum 12-month follow-up after CXL were included: 177 (31%) conventional, 261 (46%) accelerated or 133 eyes (23%) iontophoresis CXL. Baseline visit was 0-6 months following initial CXL. The primary outcome was the Kaplan–Meier estimated rate of CXL failure within 1, 3, 5 and 10 years, defined as undergoing repeat CXL, or corneal keratoplasty (PK or deep anterior lamellar DALK) after initial CXL. The secondary outcomes were comparisons between the Kaplan–Meier estimated rate of conventional, accelerated or iontophoresis CXL failure, and risk factors of initial CXL failure.",
        "Results": "A total of 21 eyes (3.68%) from 18 patients (4.33%) experienced CXL failure, of which 11 eyes (9 patients) underwent (n=1) PK or (n=10) DALK. Overall, the estimated 1, 3, 5-year and 10-year CXL failure rates were 0.95%, 3.55%, 4.20%, and 5.72% respectively, without difference between repeat CXL and corneal keratoplasty (P=0.084). The estimated CXL failure rates were different between the 3 protocols (P=0.004). Multivariable Cox regression demonstrated that age >18 years (HR: 0.98; P = 0.047), accelerated or conventional CXL (respectively HR: 0.035 and 0.051; P < 0.001) were associated with lower CXL failure rates.",
        "Conclusions": "Approximately 1 in 25 eyes and 1 in 18 eyes with KCN that underwent CXL had repeat treatment or keratoplasty within 5 and 10 years respectively, and mainly required among younger patients and after iontophoresis CXL. No failure was observed after conventional CXL in this monocentic series."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Approximately 1 in 25 eyes and 1 in 18 eyes with KCN that underwent CXL had repeat treatment or keratoplasty within 5 and 10 years respectively, and mainly required among younger patients and after iontophoresis CXL. No failure was observed after conventional CXL in this monocentic series.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 434,
      "source_fields": {
        "Abstract Final Identifier": "FP30.01",
        "Title": "A 10-Year Survival Analysis Of Failure Rates After Initial Conventional, Accelerated Or Iontophoresis Cxl For Keratoconus",
        "Presenting Author(s)": "A/Prof. Thibaud Garcin",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Thibaud",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garcin",
        "Country Name": "France",
        "Purpose": "Keratoconus progression following primary collagen crosslinking (CXL) with different protocols at long term (more than 3-5 years) is not yet well documented in the literature.\n\nTo define risk factors for initial CXL failure with different protocols in keratoconic (KCN) eyes.",
        "Setting": "French tertiary ophthalmology department, National Hospital 15-20, GRC32, TITC, Sorbonne University, Paris",
        "Methods": "571 eyes from 415 patients who underwent initial CXL for progressive KCN between 2010 and 2024 and minimum 12-month follow-up after CXL were included: 177 (31%) conventional, 261 (46%) accelerated or 133 eyes (23%) iontophoresis CXL. Baseline visit was 0-6 months following initial CXL. The primary outcome was the Kaplan–Meier estimated rate of CXL failure within 1, 3, 5 and 10 years, defined as undergoing repeat CXL, or corneal keratoplasty (PK or deep anterior lamellar DALK) after initial CXL. The secondary outcomes were comparisons between the Kaplan–Meier estimated rate of conventional, accelerated or iontophoresis CXL failure, and risk factors of initial CXL failure.",
        "Results": "A total of 21 eyes (3.68%) from 18 patients (4.33%) experienced CXL failure, of which 11 eyes (9 patients) underwent (n=1) PK or (n=10) DALK. Overall, the estimated 1, 3, 5-year and 10-year CXL failure rates were 0.95%, 3.55%, 4.20%, and 5.72% respectively, without difference between repeat CXL and corneal keratoplasty (P=0.084). The estimated CXL failure rates were different between the 3 protocols (P=0.004). Multivariable Cox regression demonstrated that age >18 years (HR: 0.98; P = 0.047), accelerated or conventional CXL (respectively HR: 0.035 and 0.051; P < 0.001) were associated with lower CXL failure rates.",
        "Conclusions": "Approximately 1 in 25 eyes and 1 in 18 eyes with KCN that underwent CXL had repeat treatment or keratoplasty within 5 and 10 years respectively, and mainly required among younger patients and after iontophoresis CXL. No failure was observed after conventional CXL in this monocentic series."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "FP30.02",
      "abstract_number": "FP30.02",
      "title": "Patient-Specific Finite Element Modeling Of Keratoconic Corneas For Predictive Simulation Of The Grosso® Reshaper Implantation",
      "authors": "Mrs Graziana Maria Ragonese",
      "presenter": "Mrs Graziana Maria Ragonese",
      "normalized_authors": [
        "Graziana Maria Ragonese"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Graziana Maria Ragonese",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To develop an accurate framework for the patient-specific digital reconstruction of keratoconic corneas from in vivo data, incorporating stress-free configuration and anisotropic collagen fiber orientation. This method is currently integrated into an implantation simulation framework designed to provide a predictive tool for quantifying corneal remodeling and predict surgical outcomes of a novel dome-shaped nitinol intracorneal device, The GROSSO ® Reshaper, developed to provide predictable corneal reshaping in patients with keratoconus. Device safety was previously assessed in rabbits. Clinical safety and efficacy are currently under evaluation in keratoconic patients.",
        "Setting": "PoliToBIOMed Lab, Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Torino, Italy.\n\nUniversidad de Zaragoza, Zaragoza, Spain.\n\nInstituto de Microcirugía Ocular (IMO), Miranza Group, Barcelona, Spain.\n\nRecornea srl, Trieste, Italy.",
        "Methods": "A patient-specific 3D keratoconic cornea was reconstructed by fitting experimental point cloud data acquired with a Pentacam, using a combination of Zernike polynomials for the optical zone and a quadratic surface for the peripheral region of the cornea. Corneal tissue was described using a fiber-reinforced hyperelastic Holzapfel–Gasser–Ogden (HGO) formulation with material parameters identified from air-puff–derived stress–strain curves. A zero-pressure algorithm was implemented to estimate the stress-free configuration before repressurization to physiological loading. Sagittal curvature maps and keratometric parameters were generated to validate reconstruction accuracy based on in vivo data.",
        "Results": "Keratometric parameters calculated from the reconstructed digital cornea showed strong agreement with experimental Pentacam data. Experimental keratometric values indicated Kflat = 55 D and Ksteep = 56 D, whereas the reconstructed digital model predicted Kflat = 56 D and Ksteep = 57 D. These values correspond to relative deviations of 1.8% for Kflat and 1.7% for Ksteep. Sagittal curvature maps derived from the reconstructed model qualitatively reproduced the experimental ectatic pattern, demonstrating similar cone location and steepening distribution. These findings confirm the geometric accuracy of the patient-specific reconstruction framework.",
        "Conclusions": "The reliability of the corneal reconstruction approach and the consistency of the adopted constitutive formulation were confirmed. A robust patient-specific framework was therefore established for reconstructing digital keratoconic corneas from in vivo data, explicitly incorporating the stress-free configuration and the anisotropic contribution of collagen fiber orientation. This validated computational method is currently integrated into an implantation simulation framework, previously validated in rabbit corneal models, aimed at providing a predictive tool for quantifying corneal remodeling and forecast surgical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The reliability of the corneal reconstruction approach and the consistency of the adopted constitutive formulation were confirmed. A robust patient-specific framework was therefore established for reconstructing digital keratoconic corneas from in vivo data, explicitly incorporating the stress-free configuration and the anisotropic contribution of collagen fiber orientation. This validated computational method is…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 435,
      "source_fields": {
        "Abstract Final Identifier": "FP30.02",
        "Title": "Patient-Specific Finite Element Modeling Of Keratoconic Corneas For Predictive Simulation Of The Grosso® Reshaper Implantation",
        "Presenting Author(s)": "Mrs Graziana Maria Ragonese",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Graziana",
        "Submitter Middle Name": "Maria",
        "Submitter Last Name": "Ragonese",
        "Country Name": "Italy",
        "Purpose": "To develop an accurate framework for the patient-specific digital reconstruction of keratoconic corneas from in vivo data, incorporating stress-free configuration and anisotropic collagen fiber orientation. This method is currently integrated into an implantation simulation framework designed to provide a predictive tool for quantifying corneal remodeling and predict surgical outcomes of a novel dome-shaped nitinol intracorneal device, The GROSSO ® Reshaper, developed to provide predictable corneal reshaping in patients with keratoconus. Device safety was previously assessed in rabbits. Clinical safety and efficacy are currently under evaluation in keratoconic patients.",
        "Setting": "PoliToBIOMed Lab, Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Torino, Italy.\n\nUniversidad de Zaragoza, Zaragoza, Spain.\n\nInstituto de Microcirugía Ocular (IMO), Miranza Group, Barcelona, Spain.\n\nRecornea srl, Trieste, Italy.",
        "Methods": "A patient-specific 3D keratoconic cornea was reconstructed by fitting experimental point cloud data acquired with a Pentacam, using a combination of Zernike polynomials for the optical zone and a quadratic surface for the peripheral region of the cornea. Corneal tissue was described using a fiber-reinforced hyperelastic Holzapfel–Gasser–Ogden (HGO) formulation with material parameters identified from air-puff–derived stress–strain curves. A zero-pressure algorithm was implemented to estimate the stress-free configuration before repressurization to physiological loading. Sagittal curvature maps and keratometric parameters were generated to validate reconstruction accuracy based on in vivo data.",
        "Results": "Keratometric parameters calculated from the reconstructed digital cornea showed strong agreement with experimental Pentacam data. Experimental keratometric values indicated Kflat = 55 D and Ksteep = 56 D, whereas the reconstructed digital model predicted Kflat = 56 D and Ksteep = 57 D. These values correspond to relative deviations of 1.8% for Kflat and 1.7% for Ksteep. Sagittal curvature maps derived from the reconstructed model qualitatively reproduced the experimental ectatic pattern, demonstrating similar cone location and steepening distribution. These findings confirm the geometric accuracy of the patient-specific reconstruction framework.",
        "Conclusions": "The reliability of the corneal reconstruction approach and the consistency of the adopted constitutive formulation were confirmed. A robust patient-specific framework was therefore established for reconstructing digital keratoconic corneas from in vivo data, explicitly incorporating the stress-free configuration and the anisotropic contribution of collagen fiber orientation. This validated computational method is currently integrated into an implantation simulation framework, previously validated in rabbit corneal models, aimed at providing a predictive tool for quantifying corneal remodeling and forecast surgical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 376
    },
    {
      "uid": "FP30.03",
      "abstract_number": "FP30.03",
      "title": "Interim Results Of The First In Human Study For The First Nitinol Grosso® Reshaper For Treatment Of Advanced Keratoconus",
      "authors": "Dr Edoardo Grosso",
      "presenter": "Dr Edoardo Grosso",
      "normalized_authors": [
        "Edoardo Grosso"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Moses Kakanga",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To assess the safety profile and the anatomical and functional efficacy in humans of the GROSSO ® Reshaper, a newly conceived implantable nitinol device, for the treatment of stage 3 and 4 keratoconus through a first in human clinical trial currently ongoing in the two approved sites in Spain and in Italy.",
        "Setting": "Instituto de Microcirugía Ocular (IMO), Miranza Group, Barcelona, Spain.\n\nFondazione Policlinico Universitario Agostino Gemelli IRCCS-Eye Clinic-Cornea and Refractive Service, Rome, Italy .\n\nRecornea Srl, Trieste, Italy.",
        "Methods": "12 subjects fulfilling a comprehensive set inclusion and exclusion criteria are planned in the ongoing FIH study for the GROSSO ® Reshaper in Spain and Italy. The subjects have follow-up visits on postoperative days 1, 7, 21, 60, 180 and 365 to evalute corneal reshaping, biomechanical reinforcement and vision rehabilitation in advanced keratoconus. Examinations include slit-lamp examination to evaluate safety, corneal imaging to quantitatively measure efficacy and patient-reported symptom questionnaire. In 6 months from now, we will have completed all surgeries with 6 month follow-up for 3 patients and up to the 2 month follow-up for the remaining 8 patients, plus the one patient already followed up to 1 year completing the study.",
        "Results": "No severe device-related AEs are reported showing excellent safety and integrity in the cornea. IOP has physiological values and the endothelial cell count has no significant changes. BDSCVA improvements are from 2 to 4 lines for all patients showing functional efficacy. Topographic and refractive analyses show a marked improvement in corneal regularity and visual performance. Anterior corneal astigmatism decreases from 6.5 to 1.7 D at 1 year. The keratometric profile decreases from 53.5 D to 49.6 D at 1 year, proving effective anterior corneal flattening. Anterior curvature gaussian maps show clear improvement of vertical symmetry of the topographical pattern as well as evidence of corneal regularization effect where the device is present.",
        "Conclusions": "Our findings suggest that the GROSSO ® Reshaper represents a promising new therapeutic paradigm in patients with advanced keratoconus, given drawbacks of current therapeutic approaches and the global shortage of donor corneal tissue. The proposed minimally invasive approach preserves the patient’s own corneal tissue while strengthening it. Vision improvement in advanced cases of keratoconus demonstrates the potential of the reshaping effect of the GROSSO ® Reshaper coupled with an excellent safety profile and integration in the corneal tissues ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings suggest that the GROSSO ® Reshaper represents a promising new therapeutic paradigm in patients with advanced keratoconus, given drawbacks of current therapeutic approaches and the global shortage of donor corneal tissue. The proposed minimally invasive approach preserves the patient’s own corneal tissue while strengthening it. Vision improvement in advanced cases of keratoconus demonstrates the…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 436,
      "source_fields": {
        "Abstract Final Identifier": "FP30.03",
        "Title": "Interim Results Of The First In Human Study For The First Nitinol Grosso® Reshaper For Treatment Of Advanced Keratoconus",
        "Presenting Author(s)": "Dr Edoardo Grosso",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Moses",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kakanga",
        "Country Name": "Italy",
        "Purpose": "To assess the safety profile and the anatomical and functional efficacy in humans of the GROSSO ® Reshaper, a newly conceived implantable nitinol device, for the treatment of stage 3 and 4 keratoconus through a first in human clinical trial currently ongoing in the two approved sites in Spain and in Italy.",
        "Setting": "Instituto de Microcirugía Ocular (IMO), Miranza Group, Barcelona, Spain.\n\nFondazione Policlinico Universitario Agostino Gemelli IRCCS-Eye Clinic-Cornea and Refractive Service, Rome, Italy .\n\nRecornea Srl, Trieste, Italy.",
        "Methods": "12 subjects fulfilling a comprehensive set inclusion and exclusion criteria are planned in the ongoing FIH study for the GROSSO ® Reshaper in Spain and Italy. The subjects have follow-up visits on postoperative days 1, 7, 21, 60, 180 and 365 to evalute corneal reshaping, biomechanical reinforcement and vision rehabilitation in advanced keratoconus. Examinations include slit-lamp examination to evaluate safety, corneal imaging to quantitatively measure efficacy and patient-reported symptom questionnaire. In 6 months from now, we will have completed all surgeries with 6 month follow-up for 3 patients and up to the 2 month follow-up for the remaining 8 patients, plus the one patient already followed up to 1 year completing the study.",
        "Results": "No severe device-related AEs are reported showing excellent safety and integrity in the cornea. IOP has physiological values and the endothelial cell count has no significant changes. BDSCVA improvements are from 2 to 4 lines for all patients showing functional efficacy. Topographic and refractive analyses show a marked improvement in corneal regularity and visual performance. Anterior corneal astigmatism decreases from 6.5 to 1.7 D at 1 year. The keratometric profile decreases from 53.5 D to 49.6 D at 1 year, proving effective anterior corneal flattening. Anterior curvature gaussian maps show clear improvement of vertical symmetry of the topographical pattern as well as evidence of corneal regularization effect where the device is present.",
        "Conclusions": "Our findings suggest that the GROSSO ® Reshaper represents a promising new therapeutic paradigm in patients with advanced keratoconus, given drawbacks of current therapeutic approaches and the global shortage of donor corneal tissue. The proposed minimally invasive approach preserves the patient’s own corneal tissue while strengthening it. Vision improvement in advanced cases of keratoconus demonstrates the potential of the reshaping effect of the GROSSO ® Reshaper coupled with an excellent safety profile and integration in the corneal tissues ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 380
    },
    {
      "uid": "FP30.04",
      "abstract_number": "FP30.04",
      "title": "The 320° Challenge: Tunnel Depth Predictability In Long-Arc Intracorneal Ring Segments — Manual Versus Femtosecond Laser",
      "authors": "Dr Maria Vitória Vicente Vitória Vicente Cardoso",
      "presenter": "Dr Maria Vitória Vicente Vitória Vicente Cardoso",
      "normalized_authors": [
        "Maria Vitória Vicente Vitória Vicente Cardoso"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Vitória Vicente Cardoso",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate the predictability of intrastromal tunnel depth for implantation of long-arc intracorneal ring segments (320°), comparing manual dissection and femtosecond laser-assisted techniques in patients with keratoconus.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "This prospective study included 89 eyes of patients with keratoconus who underwent implantation of intracorneal ring segments with a 320° arc length. Tunnel creation was performed by manual dissection (45 eyes) or with femtosecond laser assistance (44 eyes). Planned tunnel depth was defined preoperatively as a fixed percentage of corneal thickness (80% for the manual technique and 70% for the laser-assisted technique) and was considered constant along the entire arc of the segment. Tunnel depth was assessed six months postoperatively using swept-source anterior segment optical coherence tomography, with measurements at nasal, temporal, and inferior points. Relative and absolute deltas between planned and achieved depths were calculated.",
        "Results": "The femtosecond group demonstrated a smaller difference between planned and achieved tunnel depth, as well as lower variability of measurements, consistently across all evaluated points along the 320° intracorneal ring segment arc.",
        "Conclusions": "The femtosecond laser-assisted approach showed superior tunnel depth predictability, indicating enhanced surgical control and reproducibility in long-arc intracorneal ring implantation relative to manual dissection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The femtosecond laser-assisted approach showed superior tunnel depth predictability, indicating enhanced surgical control and reproducibility in long-arc intracorneal ring implantation relative to manual dissection.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 437,
      "source_fields": {
        "Abstract Final Identifier": "FP30.04",
        "Title": "The 320° Challenge: Tunnel Depth Predictability In Long-Arc Intracorneal Ring Segments — Manual Versus Femtosecond Laser",
        "Presenting Author(s)": "Dr Maria Vitória Vicente Vitória Vicente Cardoso",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Vitória Vicente",
        "Submitter Last Name": "Cardoso",
        "Country Name": "Brazil",
        "Purpose": "To evaluate the predictability of intrastromal tunnel depth for implantation of long-arc intracorneal ring segments (320°), comparing manual dissection and femtosecond laser-assisted techniques in patients with keratoconus.",
        "Setting": "Tertiary referral ophthalmology center.",
        "Methods": "This prospective study included 89 eyes of patients with keratoconus who underwent implantation of intracorneal ring segments with a 320° arc length. Tunnel creation was performed by manual dissection (45 eyes) or with femtosecond laser assistance (44 eyes). Planned tunnel depth was defined preoperatively as a fixed percentage of corneal thickness (80% for the manual technique and 70% for the laser-assisted technique) and was considered constant along the entire arc of the segment. Tunnel depth was assessed six months postoperatively using swept-source anterior segment optical coherence tomography, with measurements at nasal, temporal, and inferior points. Relative and absolute deltas between planned and achieved depths were calculated.",
        "Results": "The femtosecond group demonstrated a smaller difference between planned and achieved tunnel depth, as well as lower variability of measurements, consistently across all evaluated points along the 320° intracorneal ring segment arc.",
        "Conclusions": "The femtosecond laser-assisted approach showed superior tunnel depth predictability, indicating enhanced surgical control and reproducibility in long-arc intracorneal ring implantation relative to manual dissection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    },
    {
      "uid": "FP30.05",
      "abstract_number": "FP30.05",
      "title": "Corneal Bniomechanical Response To Long Arc-Length Intrastromal Corneal Ring Segments Implantation In Keratoconus: 3 Year Follow-Up",
      "authors": "Dr Luis Fernandez-Vega Cueto",
      "presenter": "Dr Luis Fernandez-Vega Cueto",
      "normalized_authors": [
        "Luis Fernandez-Vega Cueto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Fernandez-Vega Cueto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Intrastromal corneal ring segments (ICRS) have been shown to be safe and effective for inducing corneal regularisation in patients with keratoconus. However, given the pathogenesis of keratoconus, it is expected that if the ICRS implantation does not provide additional support to the corneal structure, the disease will continue its natural progression after surgery, diminishing the long-term effectiveness of ICRS. Thus, given the potential time-course corneal weakness induced by the disease, longitudinal studies are needed to evaluate whether ICRS provides additional support to the corneal structure. This is the first study that longitudinally assesses the biomechanical corneal response to ICRS implantation over a 3-year follow-up.",
        "Setting": "Fernandez-Vega University Institute",
        "Methods": "Twenty-nine eyes with central keratoconus that underwent a 300° arc-length ICRS implantation were enrolled. The clinical measurements included uncorrected (UDVA) and corrected distance (CDVA) visual acuities and corneal tomographic analysis. The dynamic corneal response (DCR) parameters of the Corvis ST analyzed were: The peak distance, the Deformation amplitude ratio (DA ratio), the inverse integrated radius (IIR), the Deflection amplitude (DefA), the stiffness parameter at first applanation (SP-A1), and stress–strain index (SSI). All parameters were studied preoperatively and at 1 and 3 years postoperatively.",
        "Results": "The mean UDVA improved from 0.79±0.36 (LogMAR) preoperatively to 0.40±0.22 postoperatively (P<0.0001). The mean CDVA changed from 0.20±0.12 (LogMAR) to 0.11±0.07 (P<0.0001). UDVA and CDVA remained stable over follow-up (P>0.06). The mean K-flat reading dipped from 46.79±2.55D preoperatively to 43.00±1.89D and 43.24±1.71D at 1- and 3-year postoperatively, respectively (P<0.0001). The mean K-steep reading declined from a pre-implant 53.21±3.49D to 46.74±2.37D and 46.92±2.19D 1- and 3-year post-implant, respectively (P<0.0001). All analysed DCR parameters showed a statistically significant change after ICRS implantation compared with preoperatively and remained unchanged between 1 and 3 years postoperatively.",
        "Conclusions": "The 300º arc-length ICRS implantation induced a substantial corneal flattening and visual acuity improvement over a 3-year period. The ICRS induced a stiffer corneal response that persisted over the 3-year follow-up, likely due to an enhanced biomechanical environment as evidenced by sustained changes in DCR parameter."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The 300º arc-length ICRS implantation induced a substantial corneal flattening and visual acuity improvement over a 3-year period. The ICRS induced a stiffer corneal response that persisted over the 3-year follow-up, likely due to an enhanced biomechanical environment as evidenced by sustained changes in DCR parameter.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 438,
      "source_fields": {
        "Abstract Final Identifier": "FP30.05",
        "Title": "Corneal Bniomechanical Response To Long Arc-Length Intrastromal Corneal Ring Segments Implantation In Keratoconus: 3 Year Follow-Up",
        "Presenting Author(s)": "Dr Luis Fernandez-Vega Cueto",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fernandez-Vega Cueto",
        "Country Name": "Spain",
        "Purpose": "Intrastromal corneal ring segments (ICRS) have been shown to be safe and effective for inducing corneal regularisation in patients with keratoconus. However, given the pathogenesis of keratoconus, it is expected that if the ICRS implantation does not provide additional support to the corneal structure, the disease will continue its natural progression after surgery, diminishing the long-term effectiveness of ICRS. Thus, given the potential time-course corneal weakness induced by the disease, longitudinal studies are needed to evaluate whether ICRS provides additional support to the corneal structure. This is the first study that longitudinally assesses the biomechanical corneal response to ICRS implantation over a 3-year follow-up.",
        "Setting": "Fernandez-Vega University Institute",
        "Methods": "Twenty-nine eyes with central keratoconus that underwent a 300° arc-length ICRS implantation were enrolled. The clinical measurements included uncorrected (UDVA) and corrected distance (CDVA) visual acuities and corneal tomographic analysis. The dynamic corneal response (DCR) parameters of the Corvis ST analyzed were: The peak distance, the Deformation amplitude ratio (DA ratio), the inverse integrated radius (IIR), the Deflection amplitude (DefA), the stiffness parameter at first applanation (SP-A1), and stress–strain index (SSI). All parameters were studied preoperatively and at 1 and 3 years postoperatively.",
        "Results": "The mean UDVA improved from 0.79±0.36 (LogMAR) preoperatively to 0.40±0.22 postoperatively (P<0.0001). The mean CDVA changed from 0.20±0.12 (LogMAR) to 0.11±0.07 (P<0.0001). UDVA and CDVA remained stable over follow-up (P>0.06). The mean K-flat reading dipped from 46.79±2.55D preoperatively to 43.00±1.89D and 43.24±1.71D at 1- and 3-year postoperatively, respectively (P<0.0001). The mean K-steep reading declined from a pre-implant 53.21±3.49D to 46.74±2.37D and 46.92±2.19D 1- and 3-year post-implant, respectively (P<0.0001). All analysed DCR parameters showed a statistically significant change after ICRS implantation compared with preoperatively and remained unchanged between 1 and 3 years postoperatively.",
        "Conclusions": "The 300º arc-length ICRS implantation induced a substantial corneal flattening and visual acuity improvement over a 3-year period. The ICRS induced a stiffer corneal response that persisted over the 3-year follow-up, likely due to an enhanced biomechanical environment as evidenced by sustained changes in DCR parameter."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "FP30.06",
      "abstract_number": "FP30.06",
      "title": "Comparative Effectiveness Of Cairs Versus Icrs In Keratoconus: A Systematic Review And Meta-Regression Analysis",
      "authors": "A/Prof. Jorge L. Alió del Barrio",
      "presenter": "A/Prof. Jorge L. Alió del Barrio",
      "normalized_authors": [
        "Jorge L. Alió del Barrio"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hao Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the clinical and topographic outcomes of corneal allogenic intrastromal ring segments (CAIRS) and polymethylmethacrylate intrastromal corneal ring segments (ICRS) in keratoconus without concomitant cross-linking.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "A systematic review and meta-analysis were conducted including comparative and single-arm studies reporting pre–post outcomes after CAIRS or ICRS implantation. Random-effects models were applied to calculate pooled mean changes. Mixed-effects meta-regression was performed using surgical technique as a moderator (ICRS relative to CAIRS). Primary outcomes included UDVA, CDVA, refractive parameters, keratometry, central corneal thickness (CCT), and higher-order aberrations. Sensitivity analyses were performed under alternative correlation assumptions. Small-study effects were assessed using Egger’s regression.",
        "Results": "Twenty-three studies (1,004 eyes: 428 CAIRS; 576 ICRS) were included. Both techniques significantly improved visual acuity and reduced refractive and keratometric parameters. Meta-regression favored CAIRS for CDVA (β=0.19 logMAR, p<0.001), sphere (β=−2.85 D, p<0.001), SE (β=−2.02 D, p=0.003), and flat K (β=2.12 D, p<0.001). ICRS achieved greater astigmatic reduction (β=0.99 D, p=0.007). No differences were observed for UDVA, steep K, mean K, Kmax, CCT, spherical aberration, coma, or total HOAs. Heterogeneity was lower with CAIRS, particularly for keratometric outcomes (I²=0% across multiple outcomes), whereas ICRS showed greater variability in visual and selected topographic endpoints. Sensitivity and influence analyses confirmed robustness",
        "Conclusions": "Both CAIRS and ICRS are effective in keratoconus management. However, CAIRS demonstrates superior improvement in corrected visual acuity, spherical refractive error, and corneal flattening, with greater effect homogeneity. ICRS provides stronger cylindrical correction. These findings suggest differential biomechanical and refractive profiles that may inform individualized surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both CAIRS and ICRS are effective in keratoconus management. However, CAIRS demonstrates superior improvement in corrected visual acuity, spherical refractive error, and corneal flattening, with greater effect homogeneity. ICRS provides stronger cylindrical correction. These findings suggest differential biomechanical and refractive profiles that may inform individualized surgical planning.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 439,
      "source_fields": {
        "Abstract Final Identifier": "FP30.06",
        "Title": "Comparative Effectiveness Of Cairs Versus Icrs In Keratoconus: A Systematic Review And Meta-Regression Analysis",
        "Presenting Author(s)": "A/Prof. Jorge L. Alió del Barrio",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To compare the clinical and topographic outcomes of corneal allogenic intrastromal ring segments (CAIRS) and polymethylmethacrylate intrastromal corneal ring segments (ICRS) in keratoconus without concomitant cross-linking.",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "A systematic review and meta-analysis were conducted including comparative and single-arm studies reporting pre–post outcomes after CAIRS or ICRS implantation. Random-effects models were applied to calculate pooled mean changes. Mixed-effects meta-regression was performed using surgical technique as a moderator (ICRS relative to CAIRS). Primary outcomes included UDVA, CDVA, refractive parameters, keratometry, central corneal thickness (CCT), and higher-order aberrations. Sensitivity analyses were performed under alternative correlation assumptions. Small-study effects were assessed using Egger’s regression.",
        "Results": "Twenty-three studies (1,004 eyes: 428 CAIRS; 576 ICRS) were included. Both techniques significantly improved visual acuity and reduced refractive and keratometric parameters. Meta-regression favored CAIRS for CDVA (β=0.19 logMAR, p<0.001), sphere (β=−2.85 D, p<0.001), SE (β=−2.02 D, p=0.003), and flat K (β=2.12 D, p<0.001). ICRS achieved greater astigmatic reduction (β=0.99 D, p=0.007). No differences were observed for UDVA, steep K, mean K, Kmax, CCT, spherical aberration, coma, or total HOAs. Heterogeneity was lower with CAIRS, particularly for keratometric outcomes (I²=0% across multiple outcomes), whereas ICRS showed greater variability in visual and selected topographic endpoints. Sensitivity and influence analyses confirmed robustness",
        "Conclusions": "Both CAIRS and ICRS are effective in keratoconus management. However, CAIRS demonstrates superior improvement in corrected visual acuity, spherical refractive error, and corneal flattening, with greater effect homogeneity. ICRS provides stronger cylindrical correction. These findings suggest differential biomechanical and refractive profiles that may inform individualized surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 273
    },
    {
      "uid": "FP30.07",
      "abstract_number": "FP30.07",
      "title": "Enhancing Corneal Allogenic Intrastromal Ring Segments Using Ultra-High-Fluence\nCorneal Cross-Linking (Eco-Cairs)",
      "authors": "Prof. Dr Farhad Hafezi*",
      "presenter": "Prof. Dr Farhad Hafezi*",
      "normalized_authors": [
        "Farhad Hafezi*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farhad Hafezi*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To introduce a novel surgical modification designed to improve clinical predictability and long-term outcomes of femtosecond laser–shaped corneal allogenic intrastromal ring segments (CAIRS). By applying extracorporeal ultra–high-fluence corneal cross-linking prior to stromal implantation, the technique aims to enhance biomechanical stability, increase resistance to rehydration and enzymatic degradation, and reduce the risk of postoperative complications, thereby improving structural integrity and refractive stability (ECO-CAIRS).",
        "Setting": "Single-center retrospective analysis at the ELZA Institute, Zurich, Switzerland",
        "Methods": "20 eyes of 20 patients with stable keratoconus (maximum K 58.00–69.80 D) and corneal thickness ≥400 µm at 5 mm from the pupil center were included. Corneal allogenic intrastromal ring segments (CAIRS) were prepared from donor corneas using a femtosecond laser. Segments underwent extracorporeal ultra–high-fluence cross-linking (30 or 60 J/cm² UV) prior to implantation and were inserted without air-drying or prolonged dehydration.",
        "Results": "Insertion was uneventful in all cases. Ultra–high-fluence cross-linked CAIRS maintained marked stiffness throughout implantation, without intraoperative softening. Segment thickness decreased by approximately 50% immediately after high-fluence CXL compared to baseline, with partial re-expansion observed within days following stromal insertion.\n\nExtracorporeal ultra–high-fluence CXL increases CAIRS stiffness and structural stability, improving implantation dynamics and potentially strengthening refractive impact.",
        "Conclusions": "This modification offers clear surgical and biomechanical advantages over unmodified or air-dried CAIRS. Increased segment stiffness improves intraoperative control and reduces re-swelling during implantation. Ultra–high-fluence UV treatment renders the segment acellular, creating a stable collagen scaffold. The transient thickness reduction allows implantation of larger-volume segments, potentially enhancing the topographic effect. Further clinical studies are needed to define the relative contributions of segment volume and intrinsic stiffness to refractive and biomechanical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This modification offers clear surgical and biomechanical advantages over unmodified or air-dried CAIRS. Increased segment stiffness improves intraoperative control and reduces re-swelling during implantation. Ultra–high-fluence UV treatment renders the segment acellular, creating a stable collagen scaffold. The transient thickness reduction allows implantation of larger-volume segments, potentially enhancing the…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 440,
      "source_fields": {
        "Abstract Final Identifier": "FP30.07",
        "Title": "Enhancing Corneal Allogenic Intrastromal Ring Segments Using Ultra-High-Fluence\nCorneal Cross-Linking (Eco-Cairs)",
        "Presenting Author(s)": "Prof. Dr Farhad Hafezi*",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Farhad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hafezi*",
        "Country Name": "Switzerland",
        "Purpose": "To introduce a novel surgical modification designed to improve clinical predictability and long-term outcomes of femtosecond laser–shaped corneal allogenic intrastromal ring segments (CAIRS). By applying extracorporeal ultra–high-fluence corneal cross-linking prior to stromal implantation, the technique aims to enhance biomechanical stability, increase resistance to rehydration and enzymatic degradation, and reduce the risk of postoperative complications, thereby improving structural integrity and refractive stability (ECO-CAIRS).",
        "Setting": "Single-center retrospective analysis at the ELZA Institute, Zurich, Switzerland",
        "Methods": "20 eyes of 20 patients with stable keratoconus (maximum K 58.00–69.80 D) and corneal thickness ≥400 µm at 5 mm from the pupil center were included. Corneal allogenic intrastromal ring segments (CAIRS) were prepared from donor corneas using a femtosecond laser. Segments underwent extracorporeal ultra–high-fluence cross-linking (30 or 60 J/cm² UV) prior to implantation and were inserted without air-drying or prolonged dehydration.",
        "Results": "Insertion was uneventful in all cases. Ultra–high-fluence cross-linked CAIRS maintained marked stiffness throughout implantation, without intraoperative softening. Segment thickness decreased by approximately 50% immediately after high-fluence CXL compared to baseline, with partial re-expansion observed within days following stromal insertion.\n\nExtracorporeal ultra–high-fluence CXL increases CAIRS stiffness and structural stability, improving implantation dynamics and potentially strengthening refractive impact.",
        "Conclusions": "This modification offers clear surgical and biomechanical advantages over unmodified or air-dried CAIRS. Increased segment stiffness improves intraoperative control and reduces re-swelling during implantation. Ultra–high-fluence UV treatment renders the segment acellular, creating a stable collagen scaffold. The transient thickness reduction allows implantation of larger-volume segments, potentially enhancing the topographic effect. Further clinical studies are needed to define the relative contributions of segment volume and intrinsic stiffness to refractive and biomechanical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "FP30.08",
      "abstract_number": "FP30.08",
      "title": "Visual And Keratometric Optimization With Corneal Allogenic Intrastromal Ring Segments (Cairs)In Previously Cross-Linked Keratoconus: A Stage-Based Analysis",
      "authors": "Dr Sepideh Lotfi Sadigh",
      "presenter": "Dr Sepideh Lotfi Sadigh",
      "normalized_authors": [
        "Sepideh Lotfi Sadigh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sepideh Lotfi Sadigh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate stage-dependent visual and keratometric outcomes of Keranatural treatment in keratoconus eyes previously stabilized with corneal collagen cross-linking (CXL), according to the Amsler–Krumeich classification.",
        "Setting": "The study conducted at Swiss Vision Eye Clinic.",
        "Methods": "This retrospective study included 122 keratoconus eyes with prior CXL that subsequently underwent Keranatural treatment and had a minimum postoperative follow-up of 6 months. Eyes were classified as Grade 1 (38), Grade 2 (42), Grade 3 (16), or Grade 4 (26) based on the Amsler–Krumeich system. Postoperative gains in uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), maximum keratometry (Kmax), and mean keratometry (Kmean) were compared between disease stages to assess stage-dependent treatment response.",
        "Results": "UCVA gain did not differ significantly across disease stages (all p > 0.05). In contrast, CDVA gain showed a significant stage-dependent pattern, with Grade 1 eyes demonstrating lower improvement compared with Grades 2 (p = 0.043), 3 (p = 0.017), and 4 (p = 0.001), while no differences were observed among Grades 2–4. Kmax gain showed limited and inconsistent stage-related differences, reaching significance only between selected stages (Grade 2 vs Grade 3, p = 0.005; Grade 3 vs Grade 4, p = 0.034). Kmean gain demonstrated a clear stage-dependent response, with significantly greater reduction in Grades 3 and 4 compared with Grade 1 (p = 0.026 and p = 0.002, respectively), and greater improvement in Grade 4 compared with Grade 2 (p = 0.010).",
        "Conclusions": "In keratoconus eyes previously stabilized with CXL, Keranatural demonstrates a distinct stage-dependent effect. While UCVA improvement is comparable across all stages, CDVA and Kmean gains are greater in moderate-to-advanced keratoconus, indicating increased functional and topographic benefit in later disease stages. These findings support Keranatural as a visual and keratometric optimization strategy following biomechanical stabilization, highlighting the importance of stage-based patient selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In keratoconus eyes previously stabilized with CXL, Keranatural demonstrates a distinct stage-dependent effect. While UCVA improvement is comparable across all stages, CDVA and Kmean gains are greater in moderate-to-advanced keratoconus, indicating increased functional and topographic benefit in later disease stages. These findings support Keranatural as a visual and keratometric optimization strategy following…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 441,
      "source_fields": {
        "Abstract Final Identifier": "FP30.08",
        "Title": "Visual And Keratometric Optimization With Corneal Allogenic Intrastromal Ring Segments (Cairs)In Previously Cross-Linked Keratoconus: A Stage-Based Analysis",
        "Presenting Author(s)": "Dr Sepideh Lotfi Sadigh",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sepideh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lotfi Sadigh",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate stage-dependent visual and keratometric outcomes of Keranatural treatment in keratoconus eyes previously stabilized with corneal collagen cross-linking (CXL), according to the Amsler–Krumeich classification.",
        "Setting": "The study conducted at Swiss Vision Eye Clinic.",
        "Methods": "This retrospective study included 122 keratoconus eyes with prior CXL that subsequently underwent Keranatural treatment and had a minimum postoperative follow-up of 6 months. Eyes were classified as Grade 1 (38), Grade 2 (42), Grade 3 (16), or Grade 4 (26) based on the Amsler–Krumeich system. Postoperative gains in uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), maximum keratometry (Kmax), and mean keratometry (Kmean) were compared between disease stages to assess stage-dependent treatment response.",
        "Results": "UCVA gain did not differ significantly across disease stages (all p > 0.05). In contrast, CDVA gain showed a significant stage-dependent pattern, with Grade 1 eyes demonstrating lower improvement compared with Grades 2 (p = 0.043), 3 (p = 0.017), and 4 (p = 0.001), while no differences were observed among Grades 2–4. Kmax gain showed limited and inconsistent stage-related differences, reaching significance only between selected stages (Grade 2 vs Grade 3, p = 0.005; Grade 3 vs Grade 4, p = 0.034). Kmean gain demonstrated a clear stage-dependent response, with significantly greater reduction in Grades 3 and 4 compared with Grade 1 (p = 0.026 and p = 0.002, respectively), and greater improvement in Grade 4 compared with Grade 2 (p = 0.010).",
        "Conclusions": "In keratoconus eyes previously stabilized with CXL, Keranatural demonstrates a distinct stage-dependent effect. While UCVA improvement is comparable across all stages, CDVA and Kmean gains are greater in moderate-to-advanced keratoconus, indicating increased functional and topographic benefit in later disease stages. These findings support Keranatural as a visual and keratometric optimization strategy following biomechanical stabilization, highlighting the importance of stage-based patient selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "FP30.09",
      "abstract_number": "FP30.09",
      "title": "Stage-Specific Response To Corneal Allogenic Intrastromal Ring Segments (Cairs) Treatment In Keratoconus Eyes With And Without Prior Corneal Cross-Linking",
      "authors": "Dr Matin Suleymanzade",
      "presenter": "Dr Matin Suleymanzade",
      "normalized_authors": [
        "Matin Suleymanzade"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sepideh Lotfi Sadigh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To assess stage-specific visual and keratometric response patterns following Keranatural treatment in keratoconus eyes with and without prior corneal collagen cross-linking (CXL) using a large real-world cohort.",
        "Setting": "This study conducted at Swiss Vision Eye Clinic.",
        "Methods": "This retrospective study included 260 keratoconus eyes treated with Keranatural, comprising 122 eyes with prior CXL (CXL-positive) and 138 eyes without CXL (CXL-negative). Eyes were classified according to the Amsler–Krumeich system (Grades 1–4). Stage distribution in the CXL-positive group was 38 Grade 1, 42 Grade 2, 16 Grade 3, and 26 Grade 4 eyes; corresponding numbers in the CXL-negative group were 61, 46, 16, and 15, respectively. Pre- and postoperative uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), maximum keratometry (Kmax), and mean keratometry (Kmean) were recorded, and treatment-related gains were compared in a stage-based manner within and between cohorts.",
        "Results": "In the CXL+ group: UCVA gain was similar across stages (p>0.05), whereas CDVA gain was stage-dependent, with Grade 1 eyes showing less improvement than Grades 2–4 (p≤0.043). Kmax reduction showed limited stage-related differences, while Kmean reduction was greater in Grades 3–4 vs Grade 1 (p≤0.026) and in Grade 4 vs Grade 2 (p=0.010), indicating a stronger structural response in advanced disease. CXL− group: Keranatural produced significant visual and keratometric improvement across all stages; early-stage eyes achieved smaller CDVA and Kmean gains than moderate–advanced stages (all p<0.01), likely due to better baseline visual and corneal status.",
        "Conclusions": "Keranatural treatment provides meaningful visual and keratometric improvement across all stages of keratoconus, regardless of prior CXL status. Treatment response demonstrates a consistent stage-dependent pattern, with greater functional and corneal flattening gains in moderate-to-advanced disease, while early-stage eyes show smaller improvements due to favorable baseline status. These findings indicate that disease stage is the primary determinant of outcome magnitude, with prior cross-linking acting as a modifier rather than a prerequisite. Keranatural represents a stage-adaptive and broadly applicable optimization strategy in keratoconus management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keranatural treatment provides meaningful visual and keratometric improvement across all stages of keratoconus, regardless of prior CXL status. Treatment response demonstrates a consistent stage-dependent pattern, with greater functional and corneal flattening gains in moderate-to-advanced disease, while early-stage eyes show smaller improvements due to favorable baseline status. These findings indicate that…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 442,
      "source_fields": {
        "Abstract Final Identifier": "FP30.09",
        "Title": "Stage-Specific Response To Corneal Allogenic Intrastromal Ring Segments (Cairs) Treatment In Keratoconus Eyes With And Without Prior Corneal Cross-Linking",
        "Presenting Author(s)": "Dr Matin Suleymanzade",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Sepideh",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lotfi Sadigh",
        "Country Name": "Türkiye",
        "Purpose": "To assess stage-specific visual and keratometric response patterns following Keranatural treatment in keratoconus eyes with and without prior corneal collagen cross-linking (CXL) using a large real-world cohort.",
        "Setting": "This study conducted at Swiss Vision Eye Clinic.",
        "Methods": "This retrospective study included 260 keratoconus eyes treated with Keranatural, comprising 122 eyes with prior CXL (CXL-positive) and 138 eyes without CXL (CXL-negative). Eyes were classified according to the Amsler–Krumeich system (Grades 1–4). Stage distribution in the CXL-positive group was 38 Grade 1, 42 Grade 2, 16 Grade 3, and 26 Grade 4 eyes; corresponding numbers in the CXL-negative group were 61, 46, 16, and 15, respectively. Pre- and postoperative uncorrected visual acuity (UCVA), corrected distance visual acuity (CDVA), maximum keratometry (Kmax), and mean keratometry (Kmean) were recorded, and treatment-related gains were compared in a stage-based manner within and between cohorts.",
        "Results": "In the CXL+ group: UCVA gain was similar across stages (p>0.05), whereas CDVA gain was stage-dependent, with Grade 1 eyes showing less improvement than Grades 2–4 (p≤0.043). Kmax reduction showed limited stage-related differences, while Kmean reduction was greater in Grades 3–4 vs Grade 1 (p≤0.026) and in Grade 4 vs Grade 2 (p=0.010), indicating a stronger structural response in advanced disease. CXL− group: Keranatural produced significant visual and keratometric improvement across all stages; early-stage eyes achieved smaller CDVA and Kmean gains than moderate–advanced stages (all p<0.01), likely due to better baseline visual and corneal status.",
        "Conclusions": "Keranatural treatment provides meaningful visual and keratometric improvement across all stages of keratoconus, regardless of prior CXL status. Treatment response demonstrates a consistent stage-dependent pattern, with greater functional and corneal flattening gains in moderate-to-advanced disease, while early-stage eyes show smaller improvements due to favorable baseline status. These findings indicate that disease stage is the primary determinant of outcome magnitude, with prior cross-linking acting as a modifier rather than a prerequisite. Keranatural represents a stage-adaptive and broadly applicable optimization strategy in keratoconus management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "FP30.10",
      "abstract_number": "FP30.10",
      "title": "Experimental Modeling Of Corneal Ectasia Phenotypes On Human Donor Corneas And Evaluation Of The Flattening Effect Of Implanted Corneal Allogenic Intrastromal Ring Segments (Cairs)",
      "authors": "Dr Eric Abdullayev",
      "presenter": "Dr Eric Abdullayev",
      "normalized_authors": [
        "Eric Abdullayev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eric Abdullayev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To develop a reproducible experimental platform for modeling corneal ectasia phenotypes on human donor corneas and to quantitatively evaluate the corneal flattening effect of implanted dehydrated corneal allogenic intrastromal ring segments (CAIRS)",
        "Setting": "Experimental study performed at the Lions World Vision Institute, Tampa, Florida, USA",
        "Methods": "Two complementary experimental approaches were developed to induce ectatic changes in human donor corneas: (1) controlled enzymatic stromal weakening and (2) a novel mechanical deformation technique designed to reproduce clinically relevant keratoconus phenotypes. Corneal tomography was performed using Scheimpflug imaging (Pentacam HR, Oculus) to confirm the presence and morphology of induced ectasia. Dehydrated CAIRS segments of two widths (0.75 mm and 1.50 mm) were implanted into single intrastromal tunnels with inner diameters of 1.25 mm and 2.00 mm, respectively. Maximum keratometry (Kmax) was measured before ectasia induction and 2 hours after CAIRS implantation",
        "Results": "The enzymatic model reliably generated ectatic corneal changes, with mean Kmax increasing from 45.7 D to 49.8 D. The novel mechanical method successfully reproduced distinct keratoconus phenotypes, including “nipple cone” and “snowman” configurations, with mean Kmax increasing from 45.7 D to 53.6 D. Scheimpflug tomography demonstrated substantial corneal flattening following CAIRS implantation. Mean Kmax decreased by 9.0 D with 0.75-mm segments and by 11.2 D with 1.50-mm segments",
        "Conclusions": "A reproducible ex vivo platform for modeling keratoconus phenotypes on human donor corneas was successfully established. Implantation of dehydrated CAIRS produced marked corneal flattening, with a greater effect observed with larger segment widths. This experimental model may provide a valuable translational framework for evaluating intrastromal corneal implants and optimizing surgical parameters for the treatment of corneal ectasia"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A reproducible ex vivo platform for modeling keratoconus phenotypes on human donor corneas was successfully established. Implantation of dehydrated CAIRS produced marked corneal flattening, with a greater effect observed with larger segment widths. This experimental model may provide a valuable translational framework for evaluating intrastromal corneal implants and optimizing surgical parameters for the treatment…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 443,
      "source_fields": {
        "Abstract Final Identifier": "FP30.10",
        "Title": "Experimental Modeling Of Corneal Ectasia Phenotypes On Human Donor Corneas And Evaluation Of The Flattening Effect Of Implanted Corneal Allogenic Intrastromal Ring Segments (Cairs)",
        "Presenting Author(s)": "Dr Eric Abdullayev",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Eric",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdullayev",
        "Country Name": "United States",
        "Purpose": "To develop a reproducible experimental platform for modeling corneal ectasia phenotypes on human donor corneas and to quantitatively evaluate the corneal flattening effect of implanted dehydrated corneal allogenic intrastromal ring segments (CAIRS)",
        "Setting": "Experimental study performed at the Lions World Vision Institute, Tampa, Florida, USA",
        "Methods": "Two complementary experimental approaches were developed to induce ectatic changes in human donor corneas: (1) controlled enzymatic stromal weakening and (2) a novel mechanical deformation technique designed to reproduce clinically relevant keratoconus phenotypes. Corneal tomography was performed using Scheimpflug imaging (Pentacam HR, Oculus) to confirm the presence and morphology of induced ectasia. Dehydrated CAIRS segments of two widths (0.75 mm and 1.50 mm) were implanted into single intrastromal tunnels with inner diameters of 1.25 mm and 2.00 mm, respectively. Maximum keratometry (Kmax) was measured before ectasia induction and 2 hours after CAIRS implantation",
        "Results": "The enzymatic model reliably generated ectatic corneal changes, with mean Kmax increasing from 45.7 D to 49.8 D. The novel mechanical method successfully reproduced distinct keratoconus phenotypes, including “nipple cone” and “snowman” configurations, with mean Kmax increasing from 45.7 D to 53.6 D. Scheimpflug tomography demonstrated substantial corneal flattening following CAIRS implantation. Mean Kmax decreased by 9.0 D with 0.75-mm segments and by 11.2 D with 1.50-mm segments",
        "Conclusions": "A reproducible ex vivo platform for modeling keratoconus phenotypes on human donor corneas was successfully established. Implantation of dehydrated CAIRS produced marked corneal flattening, with a greater effect observed with larger segment widths. This experimental model may provide a valuable translational framework for evaluating intrastromal corneal implants and optimizing surgical parameters for the treatment of corneal ectasia"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "FP30.11",
      "abstract_number": "FP30.11",
      "title": "How Do Cairs Segment Length And Thickness Influence Optical And Keratometric Outcomes In Keratoconus?",
      "authors": "Dilan Colak Arici",
      "presenter": "Dilan Colak Arici",
      "normalized_authors": [
        "Dilan Colak Arici"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dilan Colak Arici",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the impact of corneal allogenic intrastromal ring segment (CAIRS) geometric characteristics—specifically segment length and thickness—on postoperative visual, refractive, keratometric outcomes in keratoconus.",
        "Setting": "The study conducted at Swiss Vision Eye Clinic.",
        "Methods": "This retrospective study included 40 eyes of 40 patients with keratoconus who underwent CAIRS implantation. Segment arc length, width, and height were recorded, and implant volume was calculated. Postoperative changes were analyzed for visual acuity (UCVA and CDVA; expressed as post–pre logMAR differences), refractive parameters (spherical equivalent, sphere, cylinder), keratometric values (K1, K2, Kmean, Kmax). Correlations between geometric parameters and clinical changes were assessed using Spearman’s rank analysis.",
        "Results": "Mean postoperative change was −0.59±0.43 logMAR for UCVA and −0.42±0.41 logMAR for CDVA. Greater arc length was significantly associated with spherical reduction (r=0.354, p<0.05), SE change (r=0.364, p<0.05), and Kmean change (r=0.441, p<0.01). Segment thickness demonstrated significant correlation with CDVA improvement (r=0.433, p<0.01) and K2 change (r=0.341, p<0.05), but did not directly correlate with refractive cylinder change (p>0.05). Implant volume showed strong correlations with K1 change (r=0.513, p<0.01), K2 change (r=0.584, p<0.01), and Kmean change (r=0.513, p<0.01). Kmax and refractive cylinder changes did not demonstrate significant correlation with segment geometry (p>0.05).",
        "Conclusions": "CAIRS geometry exerts distinct biomechanical effects on postoperative outcomes. Segment length predominantly determines spherical refractive change, whereas segment thickness and implant volume primarily drive keratometric remodeling. Although refractive astigmatism does not directly correlate with geometric parameters, the significant association between segment thickness and CDVA improvement suggests enhanced corneal regularization rather than a purely refractive cylinder effect. These objective findings support geometry-based customization of CAIRS and may guide the development of a more precise, individualized nomogram for keratoconus management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAIRS geometry exerts distinct biomechanical effects on postoperative outcomes. Segment length predominantly determines spherical refractive change, whereas segment thickness and implant volume primarily drive keratometric remodeling. Although refractive astigmatism does not directly correlate with geometric parameters, the significant association between segment thickness and CDVA improvement suggests enhanced…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 444,
      "source_fields": {
        "Abstract Final Identifier": "FP30.11",
        "Title": "How Do Cairs Segment Length And Thickness Influence Optical And Keratometric Outcomes In Keratoconus?",
        "Presenting Author(s)": "Dilan Colak Arici",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Dilan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Colak Arici",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the impact of corneal allogenic intrastromal ring segment (CAIRS) geometric characteristics—specifically segment length and thickness—on postoperative visual, refractive, keratometric outcomes in keratoconus.",
        "Setting": "The study conducted at Swiss Vision Eye Clinic.",
        "Methods": "This retrospective study included 40 eyes of 40 patients with keratoconus who underwent CAIRS implantation. Segment arc length, width, and height were recorded, and implant volume was calculated. Postoperative changes were analyzed for visual acuity (UCVA and CDVA; expressed as post–pre logMAR differences), refractive parameters (spherical equivalent, sphere, cylinder), keratometric values (K1, K2, Kmean, Kmax). Correlations between geometric parameters and clinical changes were assessed using Spearman’s rank analysis.",
        "Results": "Mean postoperative change was −0.59±0.43 logMAR for UCVA and −0.42±0.41 logMAR for CDVA. Greater arc length was significantly associated with spherical reduction (r=0.354, p<0.05), SE change (r=0.364, p<0.05), and Kmean change (r=0.441, p<0.01). Segment thickness demonstrated significant correlation with CDVA improvement (r=0.433, p<0.01) and K2 change (r=0.341, p<0.05), but did not directly correlate with refractive cylinder change (p>0.05). Implant volume showed strong correlations with K1 change (r=0.513, p<0.01), K2 change (r=0.584, p<0.01), and Kmean change (r=0.513, p<0.01). Kmax and refractive cylinder changes did not demonstrate significant correlation with segment geometry (p>0.05).",
        "Conclusions": "CAIRS geometry exerts distinct biomechanical effects on postoperative outcomes. Segment length predominantly determines spherical refractive change, whereas segment thickness and implant volume primarily drive keratometric remodeling. Although refractive astigmatism does not directly correlate with geometric parameters, the significant association between segment thickness and CDVA improvement suggests enhanced corneal regularization rather than a purely refractive cylinder effect. These objective findings support geometry-based customization of CAIRS and may guide the development of a more precise, individualized nomogram for keratoconus management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "FP30.12",
      "abstract_number": "FP30.12",
      "title": "Doughnut Refractive Lenticule Transplantation (Drlt) For Advanced Keratoconus: Visual And Topographic Outcomes Of A Prospective Study",
      "authors": "Dr Zaman Shah",
      "presenter": "Dr Zaman Shah",
      "normalized_authors": [
        "Zaman Shah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zaman Shah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy, safety, and tomographic biomechanical effects of Doughnut Refractive Lenticule Transplantation (DRLT) in eyes with advanced keratoconus over a 16 month follow up period.",
        "Setting": "Health Net Hospital, Peshawar, Pakistan.",
        "Methods": "This prospective interventional study included 41 eyes of 40 patients (age 11–32 years) with advanced keratoconus with or without VKC, after ethical approval (IRB No: HNH/IRB/2024/07). Allogeneic stromal lenticules from SMILE donors (–6.00 to –10.00 D) were fashioned into a doughnut configuration and implanted into femtosecond laser created intrastromal pockets, centered on the ectatic region while preserving the central optical zone. Patients were followed for 16 months with assessment of distance corrected visual acuity, Scheimpflug tomography, anterior segment OCT, keratometric indices, pachymetry,PPI, and Ambrosio relational thickness (ARTmax). Paired t-tests or Wilcoxon signed-rank tests were used, with p < 0.05 considered significant.",
        "Results": "Mean DCVA improved significantly from logMAR 1.00 ± 0.20 preoperatively to 0.30 ± 0.15 at 16 months (mean gain 0.70 logMAR; p < 0.001), with 30% of eyes achieving logMAR 0.18 or better. Mean K2 decreased from 60.46 ± 6.27 D to 55.29 ± 6.19 D (p = 0.002), and Kmax from 70.07 ± 9.72 D to 62.90 ± 7.76 D (p < 0.001). Topographic astigmatism reduced from 8.27 ± 3.50 D to 4.81 ± 2.55 D (p < 0.001). Thinnest corneal thickness increased by 33 µm. Posterior corneal curvature parameters showed significant flattening. Final D value improved from 31.00 ± 4.51 to 14.52 ± 2.05 (p < 0.0001). PPI values increased significantly, while ARTmax decreased, reflecting redistribution of corneal thickness and biomechanical reinforcement in the paracentral cornea.",
        "Conclusions": "DRLT resulted in significant improvements in visual acuity, corneal regularity, and tomographic–biomechanical parameters in advanced keratoconus over 16 months. As a minimally invasive, sutureless, and endothelial-sparing procedure, DRLT may represent a viable alternative for selected patients unsuitable for conventional surgical options. Larger controlled studies with longer follow-up are warranted to confirm long-term stability and progression control."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DRLT resulted in significant improvements in visual acuity, corneal regularity, and tomographic–biomechanical parameters in advanced keratoconus over 16 months. As a minimally invasive, sutureless, and endothelial-sparing procedure, DRLT may represent a viable alternative for selected patients unsuitable for conventional surgical options. Larger controlled studies with longer follow-up are warranted to confirm…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 445,
      "source_fields": {
        "Abstract Final Identifier": "FP30.12",
        "Title": "Doughnut Refractive Lenticule Transplantation (Drlt) For Advanced Keratoconus: Visual And Topographic Outcomes Of A Prospective Study",
        "Presenting Author(s)": "Dr Zaman Shah",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zaman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shah",
        "Country Name": "Pakistan",
        "Purpose": "To evaluate the clinical efficacy, safety, and tomographic biomechanical effects of Doughnut Refractive Lenticule Transplantation (DRLT) in eyes with advanced keratoconus over a 16 month follow up period.",
        "Setting": "Health Net Hospital, Peshawar, Pakistan.",
        "Methods": "This prospective interventional study included 41 eyes of 40 patients (age 11–32 years) with advanced keratoconus with or without VKC, after ethical approval (IRB No: HNH/IRB/2024/07). Allogeneic stromal lenticules from SMILE donors (–6.00 to –10.00 D) were fashioned into a doughnut configuration and implanted into femtosecond laser created intrastromal pockets, centered on the ectatic region while preserving the central optical zone. Patients were followed for 16 months with assessment of distance corrected visual acuity, Scheimpflug tomography, anterior segment OCT, keratometric indices, pachymetry,PPI, and Ambrosio relational thickness (ARTmax). Paired t-tests or Wilcoxon signed-rank tests were used, with p < 0.05 considered significant.",
        "Results": "Mean DCVA improved significantly from logMAR 1.00 ± 0.20 preoperatively to 0.30 ± 0.15 at 16 months (mean gain 0.70 logMAR; p < 0.001), with 30% of eyes achieving logMAR 0.18 or better. Mean K2 decreased from 60.46 ± 6.27 D to 55.29 ± 6.19 D (p = 0.002), and Kmax from 70.07 ± 9.72 D to 62.90 ± 7.76 D (p < 0.001). Topographic astigmatism reduced from 8.27 ± 3.50 D to 4.81 ± 2.55 D (p < 0.001). Thinnest corneal thickness increased by 33 µm. Posterior corneal curvature parameters showed significant flattening. Final D value improved from 31.00 ± 4.51 to 14.52 ± 2.05 (p < 0.0001). PPI values increased significantly, while ARTmax decreased, reflecting redistribution of corneal thickness and biomechanical reinforcement in the paracentral cornea.",
        "Conclusions": "DRLT resulted in significant improvements in visual acuity, corneal regularity, and tomographic–biomechanical parameters in advanced keratoconus over 16 months. As a minimally invasive, sutureless, and endothelial-sparing procedure, DRLT may represent a viable alternative for selected patients unsuitable for conventional surgical options. Larger controlled studies with longer follow-up are warranted to confirm long-term stability and progression control."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "FP30.13",
      "abstract_number": "FP30.13",
      "title": "Ultrastructural Basis Of Ectasia Stabilisation In Corneal Cross-Linking And Implications For The Optimisation Of Lenticule Insertion Methods.",
      "authors": "Dr Maryame Boutkhil",
      "presenter": "Dr Maryame Boutkhil",
      "normalized_authors": [
        "Maryame Boutkhil"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maryame Boutkhil",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The clinical management of keratoconus is increasingly broadening, from collagen cross- linking ( CXL) to new lenticule-based additive procedures. While CXL is proven to halt disease progression, it remains unclear whether lenticule addition alone provides equivalent biomechanical stabilisation due to insufficient long-term data. However, it has proven to be effective in the visual rehabilitation of patients, even in cases of high refractive errors, unlike CXL. Here we characterise structural determinants of corneal biomechanics - specifically pressure-dependent recruitment of collagen ‘crimp’ (waviness) - to evaluate how these therapies can be optimised to halt disease progression while ensuring optimised refractive outcomes.",
        "Setting": "Crosslinking, imaging , and analysis was conducted by Maryame Boutkhil, Dale M oulding , Abby W ilson and John Marshall at UCL Mechanical Engineering and the UCL Institute of Child Health (ICH) facilities. All lenticule addition surgeries were performed by Marwan Ghabra at The Harley Street Eye Centre in London.",
        "Methods": "Corneas were imaged in the native state and after collagen CXL (n=10) . CXL was performed using a high energy ( 14.4J/cm²) to account for the increased corneal porcine thickness. Additional corneas were imaged following delamination(n=2),pocket-based(n=2), and flap-based(n=2) procedures. All samples were imaged at increasing intraocular pressures from 5 to 45mm Hg ( 5 mm Hg increments).SHG imaging was performed using a Zeiss LSM980(820nm femtosecond laser,20×water-immer sion obje ctive , NA1.0) with forward si gnal acquisit ion.A custom designed cha mber maint ained corneal curvature, hydration and controlled IOP via PBS infusion and real-time pressure-sensing. Collagen recruitment was quantified by calculating the straightening rate across pressures.",
        "Results": "Collagen structure in native corneas varies with depth: ~78% of the stroma shows collagen crimp, with a period of crimp ranging ~17-24 µm, and the final 2% of the stroma is highly tortuous (period of the crimp~9 µm). With increasing IOP, mid-stromal straightening of collagen crimp occurred non-linearly, increasing by 2.38% per mmHg at 5-10 mmHg vs 0.11% per mmHg at 20-25 mmHg(p < 0.05), corresponding to a 21-fold higher straightening rate at low pressures. CXL corneas showed minimal change, with only a 7.5-fold fiber recruitment from low to high pressures. Pocket and delamination insertions preserved host fibre recruitment, whereas flap procedures disrupted it by releasing flap tension and over-straightening the residual stromal bed.",
        "Conclusions": "A lthough CXL does not visibly change the cornea’s static structure, it changes tissue response to load. CXL works by creating covalent bonds between collagen fibre s , which suppresses fibr e straightening under load. These findings provide a structural basis for optimisin g different keratoconus treatments. Contrary to flap-based insertion techniques, pocket-based and delamination-based lenticule insertio n procedures better preserve the native stromal architecture and biomechanical integrity. However, alone it may not sufficiently reduce collagen fibr e recruitment to stop disease progression. Crosslinking the corneas after lenticule surgeries suppresses recruitment and contributes to better mechanical stabilisatio n ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A lthough CXL does not visibly change the cornea’s static structure, it changes tissue response to load. CXL works by creating covalent bonds between collagen fibre s , which suppresses fibr e straightening under load. These findings provide a structural basis for optimisin g different keratoconus treatments. Contrary to flap-based insertion techniques, pocket-based and delamination-based lenticule insertio n…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 446,
      "source_fields": {
        "Abstract Final Identifier": "FP30.13",
        "Title": "Ultrastructural Basis Of Ectasia Stabilisation In Corneal Cross-Linking And Implications For The Optimisation Of Lenticule Insertion Methods.",
        "Presenting Author(s)": "Dr Maryame Boutkhil",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maryame",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Boutkhil",
        "Country Name": "United Kingdom",
        "Purpose": "The clinical management of keratoconus is increasingly broadening, from collagen cross- linking ( CXL) to new lenticule-based additive procedures. While CXL is proven to halt disease progression, it remains unclear whether lenticule addition alone provides equivalent biomechanical stabilisation due to insufficient long-term data. However, it has proven to be effective in the visual rehabilitation of patients, even in cases of high refractive errors, unlike CXL. Here we characterise structural determinants of corneal biomechanics - specifically pressure-dependent recruitment of collagen ‘crimp’ (waviness) - to evaluate how these therapies can be optimised to halt disease progression while ensuring optimised refractive outcomes.",
        "Setting": "Crosslinking, imaging , and analysis was conducted by Maryame Boutkhil, Dale M oulding , Abby W ilson and John Marshall at UCL Mechanical Engineering and the UCL Institute of Child Health (ICH) facilities. All lenticule addition surgeries were performed by Marwan Ghabra at The Harley Street Eye Centre in London.",
        "Methods": "Corneas were imaged in the native state and after collagen CXL (n=10) . CXL was performed using a high energy ( 14.4J/cm²) to account for the increased corneal porcine thickness. Additional corneas were imaged following delamination(n=2),pocket-based(n=2), and flap-based(n=2) procedures. All samples were imaged at increasing intraocular pressures from 5 to 45mm Hg ( 5 mm Hg increments).SHG imaging was performed using a Zeiss LSM980(820nm femtosecond laser,20×water-immer sion obje ctive , NA1.0) with forward si gnal acquisit ion.A custom designed cha mber maint ained corneal curvature, hydration and controlled IOP via PBS infusion and real-time pressure-sensing. Collagen recruitment was quantified by calculating the straightening rate across pressures.",
        "Results": "Collagen structure in native corneas varies with depth: ~78% of the stroma shows collagen crimp, with a period of crimp ranging ~17-24 µm, and the final 2% of the stroma is highly tortuous (period of the crimp~9 µm). With increasing IOP, mid-stromal straightening of collagen crimp occurred non-linearly, increasing by 2.38% per mmHg at 5-10 mmHg vs 0.11% per mmHg at 20-25 mmHg(p < 0.05), corresponding to a 21-fold higher straightening rate at low pressures. CXL corneas showed minimal change, with only a 7.5-fold fiber recruitment from low to high pressures. Pocket and delamination insertions preserved host fibre recruitment, whereas flap procedures disrupted it by releasing flap tension and over-straightening the residual stromal bed.",
        "Conclusions": "A lthough CXL does not visibly change the cornea’s static structure, it changes tissue response to load. CXL works by creating covalent bonds between collagen fibre s , which suppresses fibr e straightening under load. These findings provide a structural basis for optimisin g different keratoconus treatments. Contrary to flap-based insertion techniques, pocket-based and delamination-based lenticule insertio n procedures better preserve the native stromal architecture and biomechanical integrity. However, alone it may not sufficiently reduce collagen fibr e recruitment to stop disease progression. Crosslinking the corneas after lenticule surgeries suppresses recruitment and contributes to better mechanical stabilisatio n ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 478
    },
    {
      "uid": "FP30.14",
      "abstract_number": "FP30.14",
      "title": "Corneal Tissue Addition Keratoplasty In Keratoconus: A Retrospective Multi-Center Analysis",
      "authors": "Dr Brandon Ayres",
      "presenter": "Dr Brandon Ayres",
      "normalized_authors": [
        "Brandon Ayres"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Suzanne Kirk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the visual and refractive outcomes following Corneal Tissue Addition Keratoplasty (CTAK) in patients with corneal ectatic disorders, using data collected from four high volume surgical centers.",
        "Setting": "This retrospective, multicenter study included 63 eyes that underwent CTAK between March 2023 and December 2025. Data from four high volume surgical centers were analyzed at postoperative months 1, 3, and 6.",
        "Methods": "Data was pooled from 4 clinical sites (Cleveland Eye Clinic, Willis Eye Hospital, Vance Thompson Vision, Advanced Vision Care). Preoperative and 1-month post-operative (POM1) evaluations included uncorrected (scVA) and best-corrected visual acuity (bcVA) in logMAR, anterior corneal cylinder on Scheimpflug tomography (Pentacam), keratometric mean (Kmean), and manifest refraction spherical equivalent (MRSE). Primary endpoints were changes from baseline to POM1 in scVA, bcVA, and Kmean; secondary endpoints included changes in anterior corneal cylinder and MRSE. Continuous variables are reported as mean±SD; paired comparisons used two-sided paired t-tests with α=0.05.",
        "Results": "• scVA (logMAR) at POM1 improved from 1.04±0.52 to 0.49±0.31 (Δ=-0.55, 95% CI -0.73 to -0.37, p=0.00; n=30).\n\n• bcVA (logMAR) at POM1 changed from 0.40±0.29 to 0.16±0.16 (Δ=-0.23, 95% CI -0.31 to -0.16, p=0.00; n=53).\n\n• Kmean (D) flattened from 51.94±8.43 to 49.90±9.01 (Δ=-2.04 D, 95% CI -3.12 to -0.96, p=0.00; n=50).\n\n• Anterior corneal cylinder (Pentacam, D) changed from 4.53±2.64 to 4.40±3.23 (Δ=-0.13 D, 95% CI -0.88 to 0.62, p=0.73; n=48).\n\n• Manifest spherical equivalent (D) shifted from -4.66±4.80 to -2.10±4.02 (Δ=2.56 D, 95% CI 1.36 to 3.76, p=0.00; n=43).",
        "Conclusions": "CTAK demonstrated promising short‑term outcomes across multiple centers, contributing to improved visual acuity and corneal regularization in ectatic patients. At 6 months, preliminary analysis showed significant improvement in mean UCVA and BCVA compared to baseline, with concurrent flattening in mean keratometry values. The majority of eyes demonstrated stable refractive and topographic outcomes across visits. Early postoperative complications were limited and self-resolving, without requiring additional surgical intervention. No cases of graft rejection or visually significant haze were reported within the follow-up period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CTAK demonstrated promising short‑term outcomes across multiple centers, contributing to improved visual acuity and corneal regularization in ectatic patients. At 6 months, preliminary analysis showed significant improvement in mean UCVA and BCVA compared to baseline, with concurrent flattening in mean keratometry values. The majority of eyes demonstrated stable refractive and topographic outcomes across visits.…",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 447,
      "source_fields": {
        "Abstract Final Identifier": "FP30.14",
        "Title": "Corneal Tissue Addition Keratoplasty In Keratoconus: A Retrospective Multi-Center Analysis",
        "Presenting Author(s)": "Dr Brandon Ayres",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Suzanne",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kirk",
        "Country Name": "United States",
        "Purpose": "To evaluate the visual and refractive outcomes following Corneal Tissue Addition Keratoplasty (CTAK) in patients with corneal ectatic disorders, using data collected from four high volume surgical centers.",
        "Setting": "This retrospective, multicenter study included 63 eyes that underwent CTAK between March 2023 and December 2025. Data from four high volume surgical centers were analyzed at postoperative months 1, 3, and 6.",
        "Methods": "Data was pooled from 4 clinical sites (Cleveland Eye Clinic, Willis Eye Hospital, Vance Thompson Vision, Advanced Vision Care). Preoperative and 1-month post-operative (POM1) evaluations included uncorrected (scVA) and best-corrected visual acuity (bcVA) in logMAR, anterior corneal cylinder on Scheimpflug tomography (Pentacam), keratometric mean (Kmean), and manifest refraction spherical equivalent (MRSE). Primary endpoints were changes from baseline to POM1 in scVA, bcVA, and Kmean; secondary endpoints included changes in anterior corneal cylinder and MRSE. Continuous variables are reported as mean±SD; paired comparisons used two-sided paired t-tests with α=0.05.",
        "Results": "• scVA (logMAR) at POM1 improved from 1.04±0.52 to 0.49±0.31 (Δ=-0.55, 95% CI -0.73 to -0.37, p=0.00; n=30).\n\n• bcVA (logMAR) at POM1 changed from 0.40±0.29 to 0.16±0.16 (Δ=-0.23, 95% CI -0.31 to -0.16, p=0.00; n=53).\n\n• Kmean (D) flattened from 51.94±8.43 to 49.90±9.01 (Δ=-2.04 D, 95% CI -3.12 to -0.96, p=0.00; n=50).\n\n• Anterior corneal cylinder (Pentacam, D) changed from 4.53±2.64 to 4.40±3.23 (Δ=-0.13 D, 95% CI -0.88 to 0.62, p=0.73; n=48).\n\n• Manifest spherical equivalent (D) shifted from -4.66±4.80 to -2.10±4.02 (Δ=2.56 D, 95% CI 1.36 to 3.76, p=0.00; n=43).",
        "Conclusions": "CTAK demonstrated promising short‑term outcomes across multiple centers, contributing to improved visual acuity and corneal regularization in ectatic patients. At 6 months, preliminary analysis showed significant improvement in mean UCVA and BCVA compared to baseline, with concurrent flattening in mean keratometry values. The majority of eyes demonstrated stable refractive and topographic outcomes across visits. Early postoperative complications were limited and self-resolving, without requiring additional surgical intervention. No cases of graft rejection or visually significant haze were reported within the follow-up period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "FP30.15",
      "abstract_number": "FP30.15",
      "title": "Double Lenticule Transplantation In Advanced Keratoconus With Chronic Corneal Hydrops",
      "authors": "Ms Ceren Ece Semiz",
      "presenter": "Ms Ceren Ece Semiz",
      "normalized_authors": [
        "Ceren Ece Semiz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ceren Ece Semiz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kosovo",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy and safety of double lenticule transplantation in keratoconus patients with chronic corneal hydrops.",
        "Setting": "Eye Hospital, Kosovo",
        "Methods": "This study included 24 keratoconus eyes with chronic corneal hydrops following prior corneal crosslinking, all of which were indicated for penetrating keratoplasty. The cohort consisted of 24 patients (mean age 21.2 ± 2.5 years; 13 males, 11 females). All underwent double lenticule transplantation with one full lenticule (134.2 ± 18.0 µm, −6.70 ± 0.91 D) and one semi-moon lenticule (149.4 ± 14.6 µm), customized to astigmatism. Lenticules were transplanted through an intrastromal pocket with 130 µm cap thickness. The target minimum postoperative central corneal thickness was 460 µm. All patients were followed for at least 12 months.",
        "Results": "At 1 year, UDVA and CDVA improved markedly (1.73 ± 0.24 to 0.76 ± 0.17 and 0.42 ± 0.07 logMAR). Q value improved (–0.75 ± 0.05 to –0.62 ± 0.04), keratometry decreased (K1/K2: 71.7/61.0 D to 66.8/61.0 D), and CCT increased (348.0 ± 20.3 to 482.5 ± 8.7 µm). No complications or rejection occurred.",
        "Conclusions": "Double lenticule transplantation using one full and one semi-moon lenticule is a safe and effective alternative to penetrating keratoplasty, providing stromal thickening, maintaining corneal clarity, and improving visual acuity in keratoconus eyes with chronic hydrops."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Double lenticule transplantation using one full and one semi-moon lenticule is a safe and effective alternative to penetrating keratoplasty, providing stromal thickening, maintaining corneal clarity, and improving visual acuity in keratoconus eyes with chronic hydrops.",
      "session_type": "Free Paper",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 448,
      "source_fields": {
        "Abstract Final Identifier": "FP30.15",
        "Title": "Double Lenticule Transplantation In Advanced Keratoconus With Chronic Corneal Hydrops",
        "Presenting Author(s)": "Ms Ceren Ece Semiz",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ceren",
        "Submitter Middle Name": "Ece",
        "Submitter Last Name": "Semiz",
        "Country Name": "Kosovo",
        "Purpose": "To evaluate the clinical efficacy and safety of double lenticule transplantation in keratoconus patients with chronic corneal hydrops.",
        "Setting": "Eye Hospital, Kosovo",
        "Methods": "This study included 24 keratoconus eyes with chronic corneal hydrops following prior corneal crosslinking, all of which were indicated for penetrating keratoplasty. The cohort consisted of 24 patients (mean age 21.2 ± 2.5 years; 13 males, 11 females). All underwent double lenticule transplantation with one full lenticule (134.2 ± 18.0 µm, −6.70 ± 0.91 D) and one semi-moon lenticule (149.4 ± 14.6 µm), customized to astigmatism. Lenticules were transplanted through an intrastromal pocket with 130 µm cap thickness. The target minimum postoperative central corneal thickness was 460 µm. All patients were followed for at least 12 months.",
        "Results": "At 1 year, UDVA and CDVA improved markedly (1.73 ± 0.24 to 0.76 ± 0.17 and 0.42 ± 0.07 logMAR). Q value improved (–0.75 ± 0.05 to –0.62 ± 0.04), keratometry decreased (K1/K2: 71.7/61.0 D to 66.8/61.0 D), and CCT increased (348.0 ± 20.3 to 482.5 ± 8.7 µm). No complications or rejection occurred.",
        "Conclusions": "Double lenticule transplantation using one full and one semi-moon lenticule is a safe and effective alternative to penetrating keratoplasty, providing stromal thickening, maintaining corneal clarity, and improving visual acuity in keratoconus eyes with chronic hydrops."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 225
    },
    {
      "uid": "FP31.01",
      "abstract_number": "FP31.01",
      "title": "Perioperative Low-Level Light Therapy For Ocular Surface Protection In Patients Undergoing Femto-Lasik: A Prospective Double-Masked, Randomized Controlled Study",
      "authors": "Dr Sergio Manuel Solarino",
      "presenter": "Dr Sergio Manuel Solarino",
      "normalized_authors": [
        "Sergio Manuel Solarino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sergio Manuel Solarino",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Dry eye disease (DED) is among the most common complications experienced after femtosecond laser-assisted in situ keratomileusis (Femto-LASIK), often affecting visual recovery, as and patient satisfaction. Low-level light therapy (LLLT) has shown benefits in various ocular surface diseases, but its role in refractive surgery remains underexplored.\n\nSergio Manuel Solarino, 1 Claudia Cannas, 2 Valerio Calabresi, 2 Filippo Lixi, 2 Mario Troisi, 3 Giorgia Deiana, 1 Roberta Schirru , 1 Assem Namazbayeva, 4 Giulia Coco, 5 Mihaela-Madalina Timofte-Zorila, 6,7 Daniel Constantin Branisteanu, 6,7 Giuseppe Giannaccare. 2",
        "Setting": "This study aimed at evaluating the efficacy of perioperative LLLT in preserving tear film parameters and reducing ocular discomfort symptoms after Femto-LASIK.",
        "Methods": "In this prospective multicentric, randomized, double-masked, sham-controlled clinical study, adult patients undergoing Femto-LASIK were randomized (1:1) to receive periocular LLLT (633±10 nm, 15 min/session) or sham treatment 7 ± 2 days before and after surgery. Ocular surface evaluation was performed at baseline (T0), and 1 week (T1), 1 month (T2), and 3 months (T3) postoperatively. Outcomes were tear meniscus height (TMH), Schirmer test values, Dry Eye Questionnaire-5 (DEQ-5) scores. non-invasive tear break-up time (NIBUT) and interferometry.",
        "Results": "Eighty eyes of 40 patients (mean age: 34.58±5.67 years) were analyzed. Unlike controls who showed a significant decline, patients receiving LLLT maintained approximately unchanged from T0 to T1 and T3 both TMH (from 0.25±0.07 mm to 0.24±0.07 mm and 0.25±0.06 mm) and Schirmer values (from 19.50±10.88 mm/5’ vs. 18.63±9.87 mm/5’ and 20.02±9.25 mm/5’). Similarly, DEQ-5 scores remained stable in the LLLT group (from 3.83±3.34 to 4.15±2.93 and 3.85±2.57) while worsened significantly in controls. NIBUT and interferometry values showed no significant within or between-group differences. No treatment-related adverse events occurred.",
        "Conclusions": "Perioperative LLLT is a safe, well-tolerated treatment that preserves tear volume and guarantees patient comfort after Femto-LASIK. These findings support its integration into perioperative care for refractive surgery patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Perioperative LLLT is a safe, well-tolerated treatment that preserves tear volume and guarantees patient comfort after Femto-LASIK. These findings support its integration into perioperative care for refractive surgery patients.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 449,
      "source_fields": {
        "Abstract Final Identifier": "FP31.01",
        "Title": "Perioperative Low-Level Light Therapy For Ocular Surface Protection In Patients Undergoing Femto-Lasik: A Prospective Double-Masked, Randomized Controlled Study",
        "Presenting Author(s)": "Dr Sergio Manuel Solarino",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Sergio",
        "Submitter Middle Name": "Manuel",
        "Submitter Last Name": "Solarino",
        "Country Name": "Italy",
        "Purpose": "Dry eye disease (DED) is among the most common complications experienced after femtosecond laser-assisted in situ keratomileusis (Femto-LASIK), often affecting visual recovery, as and patient satisfaction. Low-level light therapy (LLLT) has shown benefits in various ocular surface diseases, but its role in refractive surgery remains underexplored.\n\nSergio Manuel Solarino, 1 Claudia Cannas, 2 Valerio Calabresi, 2 Filippo Lixi, 2 Mario Troisi, 3 Giorgia Deiana, 1 Roberta Schirru , 1 Assem Namazbayeva, 4 Giulia Coco, 5 Mihaela-Madalina Timofte-Zorila, 6,7 Daniel Constantin Branisteanu, 6,7 Giuseppe Giannaccare. 2",
        "Setting": "This study aimed at evaluating the efficacy of perioperative LLLT in preserving tear film parameters and reducing ocular discomfort symptoms after Femto-LASIK.",
        "Methods": "In this prospective multicentric, randomized, double-masked, sham-controlled clinical study, adult patients undergoing Femto-LASIK were randomized (1:1) to receive periocular LLLT (633±10 nm, 15 min/session) or sham treatment 7 ± 2 days before and after surgery. Ocular surface evaluation was performed at baseline (T0), and 1 week (T1), 1 month (T2), and 3 months (T3) postoperatively. Outcomes were tear meniscus height (TMH), Schirmer test values, Dry Eye Questionnaire-5 (DEQ-5) scores. non-invasive tear break-up time (NIBUT) and interferometry.",
        "Results": "Eighty eyes of 40 patients (mean age: 34.58±5.67 years) were analyzed. Unlike controls who showed a significant decline, patients receiving LLLT maintained approximately unchanged from T0 to T1 and T3 both TMH (from 0.25±0.07 mm to 0.24±0.07 mm and 0.25±0.06 mm) and Schirmer values (from 19.50±10.88 mm/5’ vs. 18.63±9.87 mm/5’ and 20.02±9.25 mm/5’). Similarly, DEQ-5 scores remained stable in the LLLT group (from 3.83±3.34 to 4.15±2.93 and 3.85±2.57) while worsened significantly in controls. NIBUT and interferometry values showed no significant within or between-group differences. No treatment-related adverse events occurred.",
        "Conclusions": "Perioperative LLLT is a safe, well-tolerated treatment that preserves tear volume and guarantees patient comfort after Femto-LASIK. These findings support its integration into perioperative care for refractive surgery patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "FP31.02",
      "abstract_number": "FP31.02",
      "title": "Clinical Outcomes Of Ray Tracing-Guided Lasik For Myopic Astigmatism Correction",
      "authors": "Ms Yue Wang",
      "presenter": "Ms Yue Wang",
      "normalized_authors": [
        "Yue Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yue Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate real world clinical outcomes of Ray Tracing-Guided LASIK for the correction of various degrees of myopic astigmatism.",
        "Setting": "A retrospective analysis",
        "Methods": "A retrospective analysis of patients who underwent Ray Tracing-Guided LASIK. The safety, efficacy, stability, and predictability of the surgery were also analyzed. Vector analysis was used to assess astigmatism outcomes at 3 months postoperatively. Subgroup analysis was performed for different degrees of astigmatism to explore the ablation designs for each group.",
        "Results": "309 patients (586 eyes) were included in this study. At 3 months postoperatively, 586 eyes (100.0%) achieved uncorrected distance visual acuity (UDVA) of 20/25 or better, and 579 eyes (98.81%) achieved a UDVA of 20/20 or better. No eye lost 2 or more lines of UDVA compared to preoperatively. Refractive outcomes showed manifest refraction spherical equivalent within ±0.5D in 466 eyes (79.52%) and within ±1.0D in 578 eyes (98.63%). For eyes with astigmatism <1.0D, the correction index was 1.33±0.61 and index of success was 0.85±0.75, indicating overcorrection. The Angle of Error was within ±15° in 74.89% of eyes with <1.0D cylinder, 99.23% with 1.0–2.0D, and 100% with ≥2.0D. As the astigmatism cylinder increased, CI and IOS values decreased",
        "Conclusions": "Ray Tracing-Guided LASIK demonstrated safety, efficacy, predictability and stability for correcting myopic astigmatism. Ablation profile and treatment should be adjusted for patients with low and high astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ray Tracing-Guided LASIK demonstrated safety, efficacy, predictability and stability for correcting myopic astigmatism. Ablation profile and treatment should be adjusted for patients with low and high astigmatism.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 450,
      "source_fields": {
        "Abstract Final Identifier": "FP31.02",
        "Title": "Clinical Outcomes Of Ray Tracing-Guided Lasik For Myopic Astigmatism Correction",
        "Presenting Author(s)": "Ms Yue Wang",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Yue",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "To evaluate real world clinical outcomes of Ray Tracing-Guided LASIK for the correction of various degrees of myopic astigmatism.",
        "Setting": "A retrospective analysis",
        "Methods": "A retrospective analysis of patients who underwent Ray Tracing-Guided LASIK. The safety, efficacy, stability, and predictability of the surgery were also analyzed. Vector analysis was used to assess astigmatism outcomes at 3 months postoperatively. Subgroup analysis was performed for different degrees of astigmatism to explore the ablation designs for each group.",
        "Results": "309 patients (586 eyes) were included in this study. At 3 months postoperatively, 586 eyes (100.0%) achieved uncorrected distance visual acuity (UDVA) of 20/25 or better, and 579 eyes (98.81%) achieved a UDVA of 20/20 or better. No eye lost 2 or more lines of UDVA compared to preoperatively. Refractive outcomes showed manifest refraction spherical equivalent within ±0.5D in 466 eyes (79.52%) and within ±1.0D in 578 eyes (98.63%). For eyes with astigmatism <1.0D, the correction index was 1.33±0.61 and index of success was 0.85±0.75, indicating overcorrection. The Angle of Error was within ±15° in 74.89% of eyes with <1.0D cylinder, 99.23% with 1.0–2.0D, and 100% with ≥2.0D. As the astigmatism cylinder increased, CI and IOS values decreased",
        "Conclusions": "Ray Tracing-Guided LASIK demonstrated safety, efficacy, predictability and stability for correcting myopic astigmatism. Ablation profile and treatment should be adjusted for patients with low and high astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "FP31.03",
      "abstract_number": "FP31.03",
      "title": "Predicting Outcomes In Lasik Treatment: An Explainable Machine Learning Approach With Uncertainty Quantification",
      "authors": "Dr Anthony Man",
      "presenter": "Dr Anthony Man",
      "normalized_authors": [
        "Anthony Man"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clare Odonnell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To develop a machine learning model that predicts post-operative uncorrected distance visual acuity (UDVA). This predictive tool will assist surgeons in identifying suitable LASIK candidates and in making informed clinical decisions through individualised outcome predictions.",
        "Setting": "Optegra Eye Health Care, UK",
        "Methods": "Retrospective clinical data from 6416 eyes of 3945 patients were used as input features to train a machine learning model for predicting postoperative UDVA. The eyes underwent LASIK vision correction surgery aiming for emmetropia. The preoperative input measures included patient demographics, preoperative refraction, planned correction, and planned surgical parameters. XGBoost was chosen as the model type due to its popular and proven effective usage in tabular regression, such as the present work. Shapley Additive Explanations (SHAP) were used to assess the impact of each input feature on model predictions. A calibration process was undertaken to embed uncertainty quantification into the predictions to provide confidence intervals.",
        "Results": "The model was able to predict postoperative UDVA with an average error of 0.09 logMAR superseding state-of-the-art performance reported in the literature of 0.10 logMAR. SHAP analysis revealed that preoperative corrected distance visual acuity (CDVA), planned cylinder correction, and planned central ablation depth are the most consequential features in determining postoperative UDVA. Based on the retrospective data, the uncertainty quantification functionality was able to calculate the probability of a patient receiving a suboptimal outcome. The probability of achieving 0.2 logMAR or higher for a model prediction of -0.2 logMAR was 0.001% while for a model prediction of 0.1 logMAR, the probability was approximately 20%.",
        "Conclusions": "The machine learning model was able to predict postoperative UDVA to state-of-the-art accuracy, with supporting explainability and uncertainty quantification functionalities. Predictions from this model provide an additional offering to inform patients of their risk and suitability for laser vision correction procedures. Future research will focus on generalising this model architecture to other refractive surgery modalities to enhance preoperative decision support across multiple treatment options."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The machine learning model was able to predict postoperative UDVA to state-of-the-art accuracy, with supporting explainability and uncertainty quantification functionalities. Predictions from this model provide an additional offering to inform patients of their risk and suitability for laser vision correction procedures. Future research will focus on generalising this model architecture to other refractive surgery…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 451,
      "source_fields": {
        "Abstract Final Identifier": "FP31.03",
        "Title": "Predicting Outcomes In Lasik Treatment: An Explainable Machine Learning Approach With Uncertainty Quantification",
        "Presenting Author(s)": "Dr Anthony Man",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Clare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Odonnell",
        "Country Name": "United Kingdom",
        "Purpose": "To develop a machine learning model that predicts post-operative uncorrected distance visual acuity (UDVA). This predictive tool will assist surgeons in identifying suitable LASIK candidates and in making informed clinical decisions through individualised outcome predictions.",
        "Setting": "Optegra Eye Health Care, UK",
        "Methods": "Retrospective clinical data from 6416 eyes of 3945 patients were used as input features to train a machine learning model for predicting postoperative UDVA. The eyes underwent LASIK vision correction surgery aiming for emmetropia. The preoperative input measures included patient demographics, preoperative refraction, planned correction, and planned surgical parameters. XGBoost was chosen as the model type due to its popular and proven effective usage in tabular regression, such as the present work. Shapley Additive Explanations (SHAP) were used to assess the impact of each input feature on model predictions. A calibration process was undertaken to embed uncertainty quantification into the predictions to provide confidence intervals.",
        "Results": "The model was able to predict postoperative UDVA with an average error of 0.09 logMAR superseding state-of-the-art performance reported in the literature of 0.10 logMAR. SHAP analysis revealed that preoperative corrected distance visual acuity (CDVA), planned cylinder correction, and planned central ablation depth are the most consequential features in determining postoperative UDVA. Based on the retrospective data, the uncertainty quantification functionality was able to calculate the probability of a patient receiving a suboptimal outcome. The probability of achieving 0.2 logMAR or higher for a model prediction of -0.2 logMAR was 0.001% while for a model prediction of 0.1 logMAR, the probability was approximately 20%.",
        "Conclusions": "The machine learning model was able to predict postoperative UDVA to state-of-the-art accuracy, with supporting explainability and uncertainty quantification functionalities. Predictions from this model provide an additional offering to inform patients of their risk and suitability for laser vision correction procedures. Future research will focus on generalising this model architecture to other refractive surgery modalities to enhance preoperative decision support across multiple treatment options."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "FP31.04",
      "abstract_number": "FP31.04",
      "title": "Ray Tracing-Guided Lasik Surgery: 1-Year Clinical Observation",
      "authors": "Ms Yue Wang",
      "presenter": "Ms Yue Wang",
      "normalized_authors": [
        "Yue Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yue Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "This study systematically evaluated the clinical efficacy of ray tracing-guided LASIK surgery in correcting refractive errors through 1-year follow-up, analyzing its safety, efficacy, predictability, and long-term stability.",
        "Setting": "Retrospective Study",
        "Methods": "Patients who underwent ray tracing-guided LASIK at our hospital from October 2023 to October 2024 were enrolled. All patients underwent routine preoperative examinations, with biometric parameters detected and measured using the InnovEyes Sightmap diagnostic device. Ablation profiles were calculated using the InnovEyes algorithm. Postoperative refractive outcomes were assessed at 1 year.",
        "Results": "A total of 67 patients (134 eyes) were enrolled. Postoperative UDVA achieved 20/20, 20/16, and 20/12.5 in 100%, 81.34%, and 34.32% of patients, respectively. All patients attained preoperative CDVA, with 78% surpassing preoperative levels. CDVA improved by 1 line in 48% and 2 lines in 30%, with no patient losing vision. No over/under-correction occurred. SEQ was within ±1.00D in 100% and ±0.5D in 90%. Astigmatism was within ±1.00D in 98% and ±0.5D in 88%, with 87% having error angles within ±15°. SEQ stabilized by 3 months (+0.38 to +0.15), changing only 5% from 3 months to 1 year (+0.15 to -0.02). Total HOA at 1 year showed no significant difference from baseline (P>0.05).",
        "Conclusions": "Ray tracing-guided LASIK surgery is safe and effective, with significant visual improvement and excellent predictability. Refractive stability was achieved by 3 months postoperatively, confirmed by good long-term stability at 1-year follow-up. Astigmatism correction demonstrated high precision with ideal error control on vector analysis, making it suitable for patients requiring high-precision refractive correction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ray tracing-guided LASIK surgery is safe and effective, with significant visual improvement and excellent predictability. Refractive stability was achieved by 3 months postoperatively, confirmed by good long-term stability at 1-year follow-up. Astigmatism correction demonstrated high precision with ideal error control on vector analysis, making it suitable for patients requiring high-precision refractive correction.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 452,
      "source_fields": {
        "Abstract Final Identifier": "FP31.04",
        "Title": "Ray Tracing-Guided Lasik Surgery: 1-Year Clinical Observation",
        "Presenting Author(s)": "Ms Yue Wang",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Yue",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "This study systematically evaluated the clinical efficacy of ray tracing-guided LASIK surgery in correcting refractive errors through 1-year follow-up, analyzing its safety, efficacy, predictability, and long-term stability.",
        "Setting": "Retrospective Study",
        "Methods": "Patients who underwent ray tracing-guided LASIK at our hospital from October 2023 to October 2024 were enrolled. All patients underwent routine preoperative examinations, with biometric parameters detected and measured using the InnovEyes Sightmap diagnostic device. Ablation profiles were calculated using the InnovEyes algorithm. Postoperative refractive outcomes were assessed at 1 year.",
        "Results": "A total of 67 patients (134 eyes) were enrolled. Postoperative UDVA achieved 20/20, 20/16, and 20/12.5 in 100%, 81.34%, and 34.32% of patients, respectively. All patients attained preoperative CDVA, with 78% surpassing preoperative levels. CDVA improved by 1 line in 48% and 2 lines in 30%, with no patient losing vision. No over/under-correction occurred. SEQ was within ±1.00D in 100% and ±0.5D in 90%. Astigmatism was within ±1.00D in 98% and ±0.5D in 88%, with 87% having error angles within ±15°. SEQ stabilized by 3 months (+0.38 to +0.15), changing only 5% from 3 months to 1 year (+0.15 to -0.02). Total HOA at 1 year showed no significant difference from baseline (P>0.05).",
        "Conclusions": "Ray tracing-guided LASIK surgery is safe and effective, with significant visual improvement and excellent predictability. Refractive stability was achieved by 3 months postoperatively, confirmed by good long-term stability at 1-year follow-up. Astigmatism correction demonstrated high precision with ideal error control on vector analysis, making it suitable for patients requiring high-precision refractive correction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "FP31.05",
      "abstract_number": "FP31.05",
      "title": "Vector Analysis Comparing Cylinder Adjustment In Ray-Tracing Guided Vs Q-Value Adjusted Fs-Lasik For Correcting Mid-High Astigmatism (≥ 1.50D).\nAbstract",
      "authors": "Dr Jihong Zhou",
      "presenter": "Dr Jihong Zhou",
      "normalized_authors": [
        "Jihong Zhou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jihong Zhou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Vector analysis was used to compare the outcomes of femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for correcting moderate-to-high astigmatism (≥1.50D) between the ray-tracing-guided (RT) and Q-value-adjusted (QV) approaches.",
        "Setting": "Beijing AierIntecth Eye Hospital. The study was designed as a r etrospective cohort study.",
        "Methods": "Patients with myopia and myopic astigmatism of ≥1.5D who underwent ray-tracing- or Q-value-guided FS-LASIK were included in the study. The cylinder correction was carefully adjusted in the two groups. Alpins' vector analysis was employed to evaluate astigmatism correction, and a linear mixed model (LMM) was used to compare the results, accounting for both binocular correlation and its variation. The study included 104 eyes in the RT group (48 right, 56 left) and 148 eyes in the QV group (70 right, 78 left). The baseline of the two groups was as follows: age (RT group: 22.70 ± 6.61 ys; QV group: 26.95 ± 6.77ys), spherical equivalent (RT group: -5.17 ± 1.85D; QV group: -5.18 ± 1.96D), astigmatism (RT: -2.17 ± 0.59D; QV: -2.17 ± 0.63D).",
        "Results": "Aside from age (P<0.001), UDVA (P=0.011), and CDVA (P=0.028), no significant baseline differences existed between groups. 3 months postoperatively, there were no statistically significant differences in SEQ, UDVA, and CDVA between the RT and QV groups after adjustment for covariates (P=0.301, 0.709, 0.173). Astigmatism in RT group: ≤0.25D 55%, ≤0.50D 87%, ≤1.00D 100%; in QV group: ≤0.25D 46%, ≤0.50D 78%, ≤1.00D 99%, with P values 0.166, 0.076, 0.513. Angle of error (AE): -5º to +5º: RT 48.1%, QV 47.3% (P=0.903); <-15º and >+15º: RT 3.85%, 3.85%; QV 5.41%, 4.05%; P=0.567, 0.934 respectively; Vector analysis found no significant interaction between eye and group (P≥0.05).",
        "Conclusions": "TIA, SIA, CI, AE, AbsAE, ME, FE, FI, and IOS showed no significant differences (P=0.765, 0.625, 0.293, 0.925, 0.228, 0.168, 0.492, 0.163, 0.260), whereas DV showed a significant difference (P=0.038), favoring the RT group. Both ray-tracing-guided and Q-value-adjusted FS-LASIK are safe and effective in correcting myopia and moderate-to-high astigmatism (≥1.5D), with the ray-tracing-guided method exhibiting superior accuracy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TIA, SIA, CI, AE, AbsAE, ME, FE, FI, and IOS showed no significant differences (P=0.765, 0.625, 0.293, 0.925, 0.228, 0.168, 0.492, 0.163, 0.260), whereas DV showed a significant difference (P=0.038), favoring the RT group. Both ray-tracing-guided and Q-value-adjusted FS-LASIK are safe and effective in correcting myopia and moderate-to-high astigmatism (≥1.5D), with the ray-tracing-guided method exhibiting superior…",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 453,
      "source_fields": {
        "Abstract Final Identifier": "FP31.05",
        "Title": "Vector Analysis Comparing Cylinder Adjustment In Ray-Tracing Guided Vs Q-Value Adjusted Fs-Lasik For Correcting Mid-High Astigmatism (≥ 1.50D).\nAbstract",
        "Presenting Author(s)": "Dr Jihong Zhou",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Jihong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhou",
        "Country Name": "China",
        "Purpose": "Vector analysis was used to compare the outcomes of femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for correcting moderate-to-high astigmatism (≥1.50D) between the ray-tracing-guided (RT) and Q-value-adjusted (QV) approaches.",
        "Setting": "Beijing AierIntecth Eye Hospital. The study was designed as a r etrospective cohort study.",
        "Methods": "Patients with myopia and myopic astigmatism of ≥1.5D who underwent ray-tracing- or Q-value-guided FS-LASIK were included in the study. The cylinder correction was carefully adjusted in the two groups. Alpins' vector analysis was employed to evaluate astigmatism correction, and a linear mixed model (LMM) was used to compare the results, accounting for both binocular correlation and its variation. The study included 104 eyes in the RT group (48 right, 56 left) and 148 eyes in the QV group (70 right, 78 left). The baseline of the two groups was as follows: age (RT group: 22.70 ± 6.61 ys; QV group: 26.95 ± 6.77ys), spherical equivalent (RT group: -5.17 ± 1.85D; QV group: -5.18 ± 1.96D), astigmatism (RT: -2.17 ± 0.59D; QV: -2.17 ± 0.63D).",
        "Results": "Aside from age (P<0.001), UDVA (P=0.011), and CDVA (P=0.028), no significant baseline differences existed between groups. 3 months postoperatively, there were no statistically significant differences in SEQ, UDVA, and CDVA between the RT and QV groups after adjustment for covariates (P=0.301, 0.709, 0.173). Astigmatism in RT group: ≤0.25D 55%, ≤0.50D 87%, ≤1.00D 100%; in QV group: ≤0.25D 46%, ≤0.50D 78%, ≤1.00D 99%, with P values 0.166, 0.076, 0.513. Angle of error (AE): -5º to +5º: RT 48.1%, QV 47.3% (P=0.903); <-15º and >+15º: RT 3.85%, 3.85%; QV 5.41%, 4.05%; P=0.567, 0.934 respectively; Vector analysis found no significant interaction between eye and group (P≥0.05).",
        "Conclusions": "TIA, SIA, CI, AE, AbsAE, ME, FE, FI, and IOS showed no significant differences (P=0.765, 0.625, 0.293, 0.925, 0.228, 0.168, 0.492, 0.163, 0.260), whereas DV showed a significant difference (P=0.038), favoring the RT group. Both ray-tracing-guided and Q-value-adjusted FS-LASIK are safe and effective in correcting myopia and moderate-to-high astigmatism (≥1.5D), with the ray-tracing-guided method exhibiting superior accuracy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 379
    },
    {
      "uid": "FP31.06",
      "abstract_number": "FP31.06",
      "title": "Neuroprotective And Anti-Inflammatory Strategies For Corneal Nerve Regeneration And Ocular Surface Stability After Corneal Refractive Surgeries: A Systematic Review",
      "authors": "Dr Anas Alamoudi",
      "presenter": "Dr Anas Alamoudi",
      "normalized_authors": [
        "Anas Alamoudi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anas Alamoudi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "This study aimed to systematically synthesize and critically appraise all controlled trials evaluating neuroprotective and anti-inflammatory pharmacotherapies for enhancing corneal nerve regeneration and ocular surface stability following corneal keratorefractive surgeries.",
        "Setting": "A systematic review.",
        "Methods": "We registered a PROSPERO-guided protocol (CRD42024610462) and systematically searched PubMed, Embase, Scopus, and Web of Science from inception to March 2024 for randomized controlled trials (RCTs) evaluating neuroprotective or anti-inflammatory pharmacotherapies after LASIK, PRK, LASEK, or femto-LASIK. Two independent reviewers screened records, extracted data, and assessed risk of bias using the RoB 2 tool.",
        "Results": "Seven trials (n=484 participants/eyes, six countries) met eligibility. (Evidence certainty limited by small, heterogeneous RCTs.) Topical cyclosporine 0.05% (two RCTs) consistently hastened flap sensitivity recovery (Δ+4 cm at 3 months) and improved 6-month ocular surface metrics (OSDI −5 points; TBUT +4 s; Schirmer +5.5 mm; p<0.001). Topical diclofenac 0.1% reduced PRK pain by ~50% within 24 hours without delaying epithelial closure. Topical citicoline 1% accelerated sensory normalization by 2 weeks and transiently enhanced Schirmer/TBUT. Oral pregabalin (150 mg BID) and oral gabapentin (300 mg perioperatively) reduced first-week pain after surface ablation yet had no measurable impact on nerve metrics or dry eye indices through 6 months.",
        "Conclusions": "Among tested strategies, topical cyclosporine provides the strongest evidence for enhancing corneal nerve function and long-term tear film stability after keratorefractive surgery. However, overall evidence remains limited. Larger, double-masked trials with extended follow-up are needed to further elucidate the roles of these interventions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Among tested strategies, topical cyclosporine provides the strongest evidence for enhancing corneal nerve function and long-term tear film stability after keratorefractive surgery. However, overall evidence remains limited. Larger, double-masked trials with extended follow-up are needed to further elucidate the roles of these interventions.",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 454,
      "source_fields": {
        "Abstract Final Identifier": "FP31.06",
        "Title": "Neuroprotective And Anti-Inflammatory Strategies For Corneal Nerve Regeneration And Ocular Surface Stability After Corneal Refractive Surgeries: A Systematic Review",
        "Presenting Author(s)": "Dr Anas Alamoudi",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Anas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alamoudi",
        "Country Name": "Saudi Arabia",
        "Purpose": "This study aimed to systematically synthesize and critically appraise all controlled trials evaluating neuroprotective and anti-inflammatory pharmacotherapies for enhancing corneal nerve regeneration and ocular surface stability following corneal keratorefractive surgeries.",
        "Setting": "A systematic review.",
        "Methods": "We registered a PROSPERO-guided protocol (CRD42024610462) and systematically searched PubMed, Embase, Scopus, and Web of Science from inception to March 2024 for randomized controlled trials (RCTs) evaluating neuroprotective or anti-inflammatory pharmacotherapies after LASIK, PRK, LASEK, or femto-LASIK. Two independent reviewers screened records, extracted data, and assessed risk of bias using the RoB 2 tool.",
        "Results": "Seven trials (n=484 participants/eyes, six countries) met eligibility. (Evidence certainty limited by small, heterogeneous RCTs.) Topical cyclosporine 0.05% (two RCTs) consistently hastened flap sensitivity recovery (Δ+4 cm at 3 months) and improved 6-month ocular surface metrics (OSDI −5 points; TBUT +4 s; Schirmer +5.5 mm; p<0.001). Topical diclofenac 0.1% reduced PRK pain by ~50% within 24 hours without delaying epithelial closure. Topical citicoline 1% accelerated sensory normalization by 2 weeks and transiently enhanced Schirmer/TBUT. Oral pregabalin (150 mg BID) and oral gabapentin (300 mg perioperatively) reduced first-week pain after surface ablation yet had no measurable impact on nerve metrics or dry eye indices through 6 months.",
        "Conclusions": "Among tested strategies, topical cyclosporine provides the strongest evidence for enhancing corneal nerve function and long-term tear film stability after keratorefractive surgery. However, overall evidence remains limited. Larger, double-masked trials with extended follow-up are needed to further elucidate the roles of these interventions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "FP31.07",
      "abstract_number": "FP31.07",
      "title": "Comparing Elliptical Vs Circular Flaps For High Astigmatic Ablation In Lasik",
      "authors": "Dr Hagay Hayat",
      "presenter": "Dr Hagay Hayat",
      "normalized_authors": [
        "Hagay Hayat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hagay Hayat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate whether elliptical flaps are more suited for astigmatic ablation in eyes with high astigmatism undergoing Femto-LASIK",
        "Setting": "A retrospective, single-centered cross-sectional analytic study investigating ablation location within flap boundaries in high astigmatic myopic eyes undergoing LASIK with elliptical versus circular flaps. The comparison was conducted between two different refractive surgeons, with one surgeon routinely performing circular flaps of 9.0 mm diameter and the other routinely performing elliptical flaps measuring 9.2×8.5 mm, which were intentionally rotated to align with the astigmatic ablation axis",
        "Methods": "For each included case, archived surgical video recordings were reviewed, and the ablation location was analyzed using computerized image-processing software to identify flap margins and quantify the percentage of excimer ablation occurring within the flap boundaries.",
        "Results": "A total of 117 eyes of 59 patients were included: 60 eyes underwent elliptical flap LASIK, and 57 eyes circular flap LASIK. Mean age was 28.93 ± 7.9 years in the elliptical group and 27.33 ± 7.4 years in the circular group. Mean treatment ablation optical zone was 6.92 mm in the elliptical group and 6.5 mm in the circular group (p<0.01). Despite a larger treatment zone, the elliptical flap group had 98% of ablation within flap boundaries versus 96% in the circular group (p<0.01). Additionally, 11.6% of elliptical eyes had ≥5% of ablation outside flap boundaries, compared with 22.8% in the circular group. Final uncorrected visual acuity (UCVA) was 0.98 in the elliptical group versus 0.94 in the circular flap group (p<0.05).",
        "Conclusions": "In eyes with high astigmatism, elliptical LASIK flaps accommodate more accurately the astigmatic ablation within flap borders than circular flaps, with a lower incidence of ablation extending beyond the flap margins and better final UCVA"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with high astigmatism, elliptical LASIK flaps accommodate more accurately the astigmatic ablation within flap borders than circular flaps, with a lower incidence of ablation extending beyond the flap margins and better final UCVA",
      "session_type": "Free Paper",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 455,
      "source_fields": {
        "Abstract Final Identifier": "FP31.07",
        "Title": "Comparing Elliptical Vs Circular Flaps For High Astigmatic Ablation In Lasik",
        "Presenting Author(s)": "Dr Hagay Hayat",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Hagay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hayat",
        "Country Name": "Israel",
        "Purpose": "To evaluate whether elliptical flaps are more suited for astigmatic ablation in eyes with high astigmatism undergoing Femto-LASIK",
        "Setting": "A retrospective, single-centered cross-sectional analytic study investigating ablation location within flap boundaries in high astigmatic myopic eyes undergoing LASIK with elliptical versus circular flaps. The comparison was conducted between two different refractive surgeons, with one surgeon routinely performing circular flaps of 9.0 mm diameter and the other routinely performing elliptical flaps measuring 9.2×8.5 mm, which were intentionally rotated to align with the astigmatic ablation axis",
        "Methods": "For each included case, archived surgical video recordings were reviewed, and the ablation location was analyzed using computerized image-processing software to identify flap margins and quantify the percentage of excimer ablation occurring within the flap boundaries.",
        "Results": "A total of 117 eyes of 59 patients were included: 60 eyes underwent elliptical flap LASIK, and 57 eyes circular flap LASIK. Mean age was 28.93 ± 7.9 years in the elliptical group and 27.33 ± 7.4 years in the circular group. Mean treatment ablation optical zone was 6.92 mm in the elliptical group and 6.5 mm in the circular group (p<0.01). Despite a larger treatment zone, the elliptical flap group had 98% of ablation within flap boundaries versus 96% in the circular group (p<0.01). Additionally, 11.6% of elliptical eyes had ≥5% of ablation outside flap boundaries, compared with 22.8% in the circular group. Final uncorrected visual acuity (UCVA) was 0.98 in the elliptical group versus 0.94 in the circular flap group (p<0.05).",
        "Conclusions": "In eyes with high astigmatism, elliptical LASIK flaps accommodate more accurately the astigmatic ablation within flap borders than circular flaps, with a lower incidence of ablation extending beyond the flap margins and better final UCVA"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "FP31.08",
      "abstract_number": "FP31.08",
      "title": "Beyond Visual Acuity: Dynamic Wavefront Assessment Of Visual Quality In Lens-Based, Biomechanical, And Pharmacologic Presbyopia Treatment",
      "authors": "Dr Annmarie Hipsley",
      "presenter": "Dr Annmarie Hipsley",
      "normalized_authors": [
        "Annmarie Hipsley"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Annmarie Hipsley",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare treatment outcomes of intraocular lens (IOL) and non-IOL presbyopia interventions using Modulation Transfer Function (MTF) and Visual Strehl Optical Transfer Function (VSOTF) as measures of visual quality.",
        "Setting": "Retrospective comparative analysis of pooled patient-level data derived from multiple previously conducted clinical studies evaluating intraocular lens implantation, Laser Scleral Microporation , and pharmacologic miotic therapy. Data were collected from refractive and cataract surgery centers with dynamic wavefront aberrometry performed under standardized protocols.",
        "Methods": "Dynamic Shack–Hartmann wavefront aberrometry was quantified for four visual quality components contributing to Dynamic Range of Focus (DRoF): objective accommodation (AoA), extended depth of focus (EDoF), pseudoaccommodation (DoF), and diaphragmatic pupil (pinhole) response. Both the Modulation Transfer Function (MTF) and the VSOTF were calculated from the wavefront data. DRoF, MTF, and VSOTF results were compared with those from monofocal, bifocal, trifocal, and EDoF IOLs.",
        "Results": "Dynamic wavefront aberrometry differentiated presbyopia treatments across DRoF . Monofocal IOLs showed high peak contrast with limited depth of focus ( DoF ≈1.3–1. 6D ) and no stimulus-dependent shift. Multifocal / trifocal IOLs increased DoF (up to ≈2. 4D) with reduced peak MTF and VSOTF, reflecting contrast trade-offs , while EDOF lenses produced broadened static profiles. LSM demonstrated stimulus-dependent peak shift consistent with true optical power change , expanding DRoF from −2D to +2D while preserving peak VSOTF amplitude. Miotic simulation increased DoF proportionally to pupil reduction ( 2mm ≈1.2D vs 4.9mm ≈0.5D), with flattening of the VSOTF curve indicating reduced image quality. NAVQ scores correlated with objective DRoF findings.",
        "Conclusions": "Dynamic wavefront aberrometry enable s objective differentiation between static optical extension and true dynamic restoration of visual function. Lens-based and expand-depth-of-focus interventions achieve depth-of-focus expansion through optical compromise, whereas biomechanical scleral-based pharmacological interventions demonstrate stimulus-driven optical power changes consistent with the natural elements of physiologic accommodation. Dynamic Wavefront Aberrometry offers a new opportunity to comprehensively understand real-world vision, bridging the divide between subjective and objective vision quality and opening a new frontier for precision medicine."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dynamic wavefront aberrometry enable s objective differentiation between static optical extension and true dynamic restoration of visual function. Lens-based and expand-depth-of-focus interventions achieve depth-of-focus expansion through optical compromise, whereas biomechanical scleral-based pharmacological interventions demonstrate stimulus-driven optical power changes consistent with the natural elements of…",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 456,
      "source_fields": {
        "Abstract Final Identifier": "FP31.08",
        "Title": "Beyond Visual Acuity: Dynamic Wavefront Assessment Of Visual Quality In Lens-Based, Biomechanical, And Pharmacologic Presbyopia Treatment",
        "Presenting Author(s)": "Dr Annmarie Hipsley",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Annmarie",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hipsley",
        "Country Name": "United States",
        "Purpose": "To compare treatment outcomes of intraocular lens (IOL) and non-IOL presbyopia interventions using Modulation Transfer Function (MTF) and Visual Strehl Optical Transfer Function (VSOTF) as measures of visual quality.",
        "Setting": "Retrospective comparative analysis of pooled patient-level data derived from multiple previously conducted clinical studies evaluating intraocular lens implantation, Laser Scleral Microporation , and pharmacologic miotic therapy. Data were collected from refractive and cataract surgery centers with dynamic wavefront aberrometry performed under standardized protocols.",
        "Methods": "Dynamic Shack–Hartmann wavefront aberrometry was quantified for four visual quality components contributing to Dynamic Range of Focus (DRoF): objective accommodation (AoA), extended depth of focus (EDoF), pseudoaccommodation (DoF), and diaphragmatic pupil (pinhole) response. Both the Modulation Transfer Function (MTF) and the VSOTF were calculated from the wavefront data. DRoF, MTF, and VSOTF results were compared with those from monofocal, bifocal, trifocal, and EDoF IOLs.",
        "Results": "Dynamic wavefront aberrometry differentiated presbyopia treatments across DRoF . Monofocal IOLs showed high peak contrast with limited depth of focus ( DoF ≈1.3–1. 6D ) and no stimulus-dependent shift. Multifocal / trifocal IOLs increased DoF (up to ≈2. 4D) with reduced peak MTF and VSOTF, reflecting contrast trade-offs , while EDOF lenses produced broadened static profiles. LSM demonstrated stimulus-dependent peak shift consistent with true optical power change , expanding DRoF from −2D to +2D while preserving peak VSOTF amplitude. Miotic simulation increased DoF proportionally to pupil reduction ( 2mm ≈1.2D vs 4.9mm ≈0.5D), with flattening of the VSOTF curve indicating reduced image quality. NAVQ scores correlated with objective DRoF findings.",
        "Conclusions": "Dynamic wavefront aberrometry enable s objective differentiation between static optical extension and true dynamic restoration of visual function. Lens-based and expand-depth-of-focus interventions achieve depth-of-focus expansion through optical compromise, whereas biomechanical scleral-based pharmacological interventions demonstrate stimulus-driven optical power changes consistent with the natural elements of physiologic accommodation. Dynamic Wavefront Aberrometry offers a new opportunity to comprehensively understand real-world vision, bridging the divide between subjective and objective vision quality and opening a new frontier for precision medicine."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "FP31.09",
      "abstract_number": "FP31.09",
      "title": "Enhanced Uncorrected Distance Visual Function Of The Near Eye In Monovision Refractive Surgery: A Large-Scale Retrospective Analysis",
      "authors": "Dr Avinoam Shye Shahar",
      "presenter": "Dr Avinoam Shye Shahar",
      "normalized_authors": [
        "Avinoam Shye Shahar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Avinoam Shye Shahar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To quantify the enhanced myopia effect, where Uncorrected Distance Visual Acuity (UDVA) exceeds optical predictions for residual myopia in monovision refractive surgery. We aimed to determine if eyes treated with LASIK or PRK for myopia and aimed to mopia (the \"near eye\"), achieve better distance vision than naturally myopic eyes for the same magnitude of refractive error, and to isolate the optical and neural mechanisms driving this dissociation.",
        "Setting": "A large scale retrospective comparative study of patients treated at a high-volume refractive surgery clinic between 2014 and 2024.",
        "Methods": "We evaluated 43,879 eyes, categorizing them into three cohorts: PRK Monovision, LASIK Monovision (post-operative residual myopia -0.50 to -3.00 D), and a Natural Control group (virgin eyes with matched natural myopia). Originally hyperopic eyes were excluded. Defocus curves plotting UDVA against Spherical Equivalent (SEQ) were generated. \"Visual Gain\" (Observed UDVA minus Expected UDVA based on controls) was calculated. Subgroup analyses evaluated the impact of various parameters on visual gain.",
        "Results": "Treated eyes demonstrated significantly better UDVA than controls across the myopic range. At the critical -1.50 D monovision target, PRK eyes achieved a mean UDVA of 0.52 decimal (approx. 20/40), outperforming LASIK (0.40 decimal) and natural controls (0.24 decimal, approx. 20/80) (p<0.001). While control eyes exhibited a classic pinhole effect (smaller pupils improved vision), both PRK and LASIK eyes in the refractive sweet spot (-1.25 to -1.75 D) showed a positive correlation (PRK +0.064; LASIK +0.021 lines/mm), indicating larger pupils beneficially recruit induced peripheral aberrations. Neural adaptation contributed significantly, with visual gain peaking at 3 months post-operatively.",
        "Conclusions": "Post-refractive surgery eyes exhibit a robust enhanced myopia capability, possibly driven by an extended depth of focus from induced aberrations and neural adaptation. PRK induces a more potent effect than LASIK. Surgeons can leverage this phenomenon to safely target higher degrees of myopia (e.g., -1.50 to -1.75 D) in the near eye, maximizing reading durability without compromising binocular distance orientation. Trial lenses over virgin eyes significantly underestimate the true visual outcome of monovision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-refractive surgery eyes exhibit a robust enhanced myopia capability, possibly driven by an extended depth of focus from induced aberrations and neural adaptation. PRK induces a more potent effect than LASIK. Surgeons can leverage this phenomenon to safely target higher degrees of myopia (e.g., -1.50 to -1.75 D) in the near eye, maximizing reading durability without compromising binocular distance orientation.…",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 457,
      "source_fields": {
        "Abstract Final Identifier": "FP31.09",
        "Title": "Enhanced Uncorrected Distance Visual Function Of The Near Eye In Monovision Refractive Surgery: A Large-Scale Retrospective Analysis",
        "Presenting Author(s)": "Dr Avinoam Shye Shahar",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Avinoam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shye Shahar",
        "Country Name": "Israel",
        "Purpose": "To quantify the enhanced myopia effect, where Uncorrected Distance Visual Acuity (UDVA) exceeds optical predictions for residual myopia in monovision refractive surgery. We aimed to determine if eyes treated with LASIK or PRK for myopia and aimed to mopia (the \"near eye\"), achieve better distance vision than naturally myopic eyes for the same magnitude of refractive error, and to isolate the optical and neural mechanisms driving this dissociation.",
        "Setting": "A large scale retrospective comparative study of patients treated at a high-volume refractive surgery clinic between 2014 and 2024.",
        "Methods": "We evaluated 43,879 eyes, categorizing them into three cohorts: PRK Monovision, LASIK Monovision (post-operative residual myopia -0.50 to -3.00 D), and a Natural Control group (virgin eyes with matched natural myopia). Originally hyperopic eyes were excluded. Defocus curves plotting UDVA against Spherical Equivalent (SEQ) were generated. \"Visual Gain\" (Observed UDVA minus Expected UDVA based on controls) was calculated. Subgroup analyses evaluated the impact of various parameters on visual gain.",
        "Results": "Treated eyes demonstrated significantly better UDVA than controls across the myopic range. At the critical -1.50 D monovision target, PRK eyes achieved a mean UDVA of 0.52 decimal (approx. 20/40), outperforming LASIK (0.40 decimal) and natural controls (0.24 decimal, approx. 20/80) (p<0.001). While control eyes exhibited a classic pinhole effect (smaller pupils improved vision), both PRK and LASIK eyes in the refractive sweet spot (-1.25 to -1.75 D) showed a positive correlation (PRK +0.064; LASIK +0.021 lines/mm), indicating larger pupils beneficially recruit induced peripheral aberrations. Neural adaptation contributed significantly, with visual gain peaking at 3 months post-operatively.",
        "Conclusions": "Post-refractive surgery eyes exhibit a robust enhanced myopia capability, possibly driven by an extended depth of focus from induced aberrations and neural adaptation. PRK induces a more potent effect than LASIK. Surgeons can leverage this phenomenon to safely target higher degrees of myopia (e.g., -1.50 to -1.75 D) in the near eye, maximizing reading durability without compromising binocular distance orientation. Trial lenses over virgin eyes significantly underestimate the true visual outcome of monovision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 345
    },
    {
      "uid": "FP31.10",
      "abstract_number": "FP31.10",
      "title": "Objective Depth Of Focus Analysis In Presbyond® Laser Blended Vision: Visual And Refractive Outcomes",
      "authors": "Dr Aadithreya Varman",
      "presenter": "Dr Aadithreya Varman",
      "normalized_authors": [
        "Aadithreya Varman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aadithreya Varman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To objectively quantify the depth of field gained by patients undergoing PRESBYOND® Laser Blended Vision. Conventional outcome reporting relies on visual acuity and subjective defocus curves, which are inherently prone to variability and patient bias. In this study, we report objective depth of focus measurements derived from ray-tracing wavefront analysis to determine the true magnitude of functional range expansion achieved. Secondary objectives included assessing refractive predictability and correlating refractive accuracy with objectively measured depth of field",
        "Setting": "Single-centre, tertiary referral eye care institution specializing in cataract and refractive surgery, Uma Eye Clinic, Chennai, India.",
        "Methods": "Prospective interventional study including 110 eyes of 55 presbyopic patients (60 eyes/30 hyperopes; 50 eyes/25 myopes) aged ≥42 years undergoing PRESBYOND® Laser Blended Vision. Inclusion criteria were presbyopia with clear crystalline lens, stable refraction, normal corneal topography, and ocular health suitable for laser vision correction. Follow-up was performed at day 1, 1 week, 1, 3, and 6 months; six-month outcomes are reported. Standard visual and refractive outcomes (nine standard graphs) and objective depth of focus analysis using ray-tracing aberrometry were evaluated.",
        "Results": "At 6 months, in the myopic cohort, 100% achieved binocular 20/20 distance and J5 near vision, with 61.5% achieving 20/20 and J2. In the hyperopic cohort, 100% achieved 20/25 and J5, while 81% achieved 20/20 and J2. Refractive outcomes demonstrated high predictability across both groups with minimal residual spherical equivalent. Monocular objective depth of focus increased by 0.5 D following treatment. Binocular depth of focus demonstrated a continuous, usable functional range between 3.16 D and 4.02 D in both cohorts, confirming meaningful expansion of depth of field without compromise of distance visual acuity.",
        "Conclusions": "PRESBYOND® Laser Blended Vision provides predictable refractive outcomes with excellent binocular distance and near visual performance in both myopic and hyperopic presbyopes. Objective analysis demonstrated a measurable increase in monocular depth of focus and a broad, continuous binocular functional range exceeding 3 D. Unlike subjective defocus curves, objective depth of focus assessment offers reproducible quantification of functional range expansion. These findings provide optical validation of the blended vision concept and support its effectiveness in achieving extended functional vision without compromising distance acuity"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRESBYOND® Laser Blended Vision provides predictable refractive outcomes with excellent binocular distance and near visual performance in both myopic and hyperopic presbyopes. Objective analysis demonstrated a measurable increase in monocular depth of focus and a broad, continuous binocular functional range exceeding 3 D. Unlike subjective defocus curves, objective depth of focus assessment offers reproducible…",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 458,
      "source_fields": {
        "Abstract Final Identifier": "FP31.10",
        "Title": "Objective Depth Of Focus Analysis In Presbyond® Laser Blended Vision: Visual And Refractive Outcomes",
        "Presenting Author(s)": "Dr Aadithreya Varman",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Aadithreya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Varman",
        "Country Name": "India",
        "Purpose": "To objectively quantify the depth of field gained by patients undergoing PRESBYOND® Laser Blended Vision. Conventional outcome reporting relies on visual acuity and subjective defocus curves, which are inherently prone to variability and patient bias. In this study, we report objective depth of focus measurements derived from ray-tracing wavefront analysis to determine the true magnitude of functional range expansion achieved. Secondary objectives included assessing refractive predictability and correlating refractive accuracy with objectively measured depth of field",
        "Setting": "Single-centre, tertiary referral eye care institution specializing in cataract and refractive surgery, Uma Eye Clinic, Chennai, India.",
        "Methods": "Prospective interventional study including 110 eyes of 55 presbyopic patients (60 eyes/30 hyperopes; 50 eyes/25 myopes) aged ≥42 years undergoing PRESBYOND® Laser Blended Vision. Inclusion criteria were presbyopia with clear crystalline lens, stable refraction, normal corneal topography, and ocular health suitable for laser vision correction. Follow-up was performed at day 1, 1 week, 1, 3, and 6 months; six-month outcomes are reported. Standard visual and refractive outcomes (nine standard graphs) and objective depth of focus analysis using ray-tracing aberrometry were evaluated.",
        "Results": "At 6 months, in the myopic cohort, 100% achieved binocular 20/20 distance and J5 near vision, with 61.5% achieving 20/20 and J2. In the hyperopic cohort, 100% achieved 20/25 and J5, while 81% achieved 20/20 and J2. Refractive outcomes demonstrated high predictability across both groups with minimal residual spherical equivalent. Monocular objective depth of focus increased by 0.5 D following treatment. Binocular depth of focus demonstrated a continuous, usable functional range between 3.16 D and 4.02 D in both cohorts, confirming meaningful expansion of depth of field without compromise of distance visual acuity.",
        "Conclusions": "PRESBYOND® Laser Blended Vision provides predictable refractive outcomes with excellent binocular distance and near visual performance in both myopic and hyperopic presbyopes. Objective analysis demonstrated a measurable increase in monocular depth of focus and a broad, continuous binocular functional range exceeding 3 D. Unlike subjective defocus curves, objective depth of focus assessment offers reproducible quantification of functional range expansion. These findings provide optical validation of the blended vision concept and support its effectiveness in achieving extended functional vision without compromising distance acuity"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "FP31.11",
      "abstract_number": "FP31.11",
      "title": "Ai-Driven Predictions Vs. Clinical Reality In Multifocal Corneal Profiles For Myopic And Hyperopic Presbyopia",
      "authors": "Dr Victor Derhartunian",
      "presenter": "Dr Victor Derhartunian",
      "normalized_authors": [
        "Victor Derhartunian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Derhartunian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the predictive accuracy of AI-driven topography modeling (Schwind Foresight) in achieving the negative spherical aberration (SA) targets required for effective depth-of-focus. In PresbyMAX treatments(femto-lasik), near-vision performance is the primary driver of patient satisfaction. This study compares the AI-simulated postoperative wavefront with actual clinical outcomes in both myopic and hyperopic cohorts to determine if a systematic \"SA Deficit\" exists, thereby providing a data-driven framework for optimizing future multifocal laser vision correction nomograms.",
        "Setting": "EyeLaser Clinic Vienna, SwissLaser Clinic Warsaw & Krakow",
        "Methods": "Nineteen eyes of six nineteen patients (10 hyperopes, mean SE +1.87D; 9 myopes, mean SE -3.78D) underwent monocular PresbyMAX (Schwind Amaris) in the non-dominant eye with a addition betwee 1.6-1.9D. Preoperative corneal topography (MS39) was processed through the Foresight AI-software to generate a predicted postoperative wavefront profile (6.0mm pupil). One month postoperatively, actual corneal wavefront measurements (MS39) were compared to these AI estimates. Key metrics included the induction of negative SA ( Z4,0 ), Coma ( Z3,-1}, (Z3,1 ), and total higher-order aberration (HOA) RMS.",
        "Results": "While the AI-model targeted a mean negative SA shift of -0.55 µ m, the actual achieved postoperative SA was significantly lower at -0.34 µ ( p < 0.05 ), a 38% under-induction. This \"SA Deficit\" was most prominent in hyperopic eyes (42%) compared to myopic eyes. Conversely, whereas the AI predicted stable or reduced asymmetric aberrations, actual postoperative Coma tripled from 0.21 µ m to 0.43 µ m. Total HOA RMS was 18% higher than the AI-predicted value (Actual: 1.05 µm vs. AI: 0.89 µ m), suggesting a more irregular multifocal surface than modeled.",
        "Conclusions": "There is a systematic discrepancy between AI-simulated corneal profiles and actual clinical outcomes in PresbyMAX treatments. The 38% under-induction of negative spherical aberration suggests that the intended depth-of-focus is frequently \"undershot,\" potentially limiting near-vision range. This gap likely reflects the influence of corneal biomechanics and epithelial remodeling—factors not yet fully integrated into current AI algorithms. To optimize patient satisfaction, surgeons should consider \"over-planning\" the target negative SA in the Foresight software. These findings serve as a vital benchmark for refining AI-driven presbyopic planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "There is a systematic discrepancy between AI-simulated corneal profiles and actual clinical outcomes in PresbyMAX treatments. The 38% under-induction of negative spherical aberration suggests that the intended depth-of-focus is frequently \"undershot,\" potentially limiting near-vision range. This gap likely reflects the influence of corneal biomechanics and epithelial remodeling—factors not yet fully integrated into…",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 459,
      "source_fields": {
        "Abstract Final Identifier": "FP31.11",
        "Title": "Ai-Driven Predictions Vs. Clinical Reality In Multifocal Corneal Profiles For Myopic And Hyperopic Presbyopia",
        "Presenting Author(s)": "Dr Victor Derhartunian",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Derhartunian",
        "Country Name": "Austria",
        "Purpose": "To evaluate the predictive accuracy of AI-driven topography modeling (Schwind Foresight) in achieving the negative spherical aberration (SA) targets required for effective depth-of-focus. In PresbyMAX treatments(femto-lasik), near-vision performance is the primary driver of patient satisfaction. This study compares the AI-simulated postoperative wavefront with actual clinical outcomes in both myopic and hyperopic cohorts to determine if a systematic \"SA Deficit\" exists, thereby providing a data-driven framework for optimizing future multifocal laser vision correction nomograms.",
        "Setting": "EyeLaser Clinic Vienna, SwissLaser Clinic Warsaw & Krakow",
        "Methods": "Nineteen eyes of six nineteen patients (10 hyperopes, mean SE +1.87D; 9 myopes, mean SE -3.78D) underwent monocular PresbyMAX (Schwind Amaris) in the non-dominant eye with a addition betwee 1.6-1.9D. Preoperative corneal topography (MS39) was processed through the Foresight AI-software to generate a predicted postoperative wavefront profile (6.0mm pupil). One month postoperatively, actual corneal wavefront measurements (MS39) were compared to these AI estimates. Key metrics included the induction of negative SA ( Z4,0 ), Coma ( Z3,-1}, (Z3,1 ), and total higher-order aberration (HOA) RMS.",
        "Results": "While the AI-model targeted a mean negative SA shift of -0.55 µ m, the actual achieved postoperative SA was significantly lower at -0.34 µ ( p < 0.05 ), a 38% under-induction. This \"SA Deficit\" was most prominent in hyperopic eyes (42%) compared to myopic eyes. Conversely, whereas the AI predicted stable or reduced asymmetric aberrations, actual postoperative Coma tripled from 0.21 µ m to 0.43 µ m. Total HOA RMS was 18% higher than the AI-predicted value (Actual: 1.05 µm vs. AI: 0.89 µ m), suggesting a more irregular multifocal surface than modeled.",
        "Conclusions": "There is a systematic discrepancy between AI-simulated corneal profiles and actual clinical outcomes in PresbyMAX treatments. The 38% under-induction of negative spherical aberration suggests that the intended depth-of-focus is frequently \"undershot,\" potentially limiting near-vision range. This gap likely reflects the influence of corneal biomechanics and epithelial remodeling—factors not yet fully integrated into current AI algorithms. To optimize patient satisfaction, surgeons should consider \"over-planning\" the target negative SA in the Foresight software. These findings serve as a vital benchmark for refining AI-driven presbyopic planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "FP31.12",
      "abstract_number": "FP31.12",
      "title": "Pass–Fail Rates Of The Presbyond +1.50 D Acceptance Test, Incidence And Age Distribution Of Add Titration, And Postoperative Reversal In 7,635 Presbyopic Lasik Patients",
      "authors": "Prof. Dan Reinstein",
      "presenter": "Prof. Dan Reinstein",
      "normalized_authors": [
        "Dan Reinstein"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dan Reinstein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To determine the pass–fail rate of the PRESBYOND +1.50 D acceptance test, evaluate the incidence and age distribution of near-eye add titration, and quantify the frequency and nature of postoperative retreatments that modified the intended binocular target.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "This retrospective, non-comparative case series included 7,635 consecutive presbyopic patients (42–75 years) between Mar 2007 to Dec 2024. All patients underwent the PRESBYOND +1.50 D acceptance test. Patients who passed proceeded to PRESBYOND LASIK with near-eye add determined by titration from 1.50 D; those who failed underwent full distance correction. Binocular targets were categorised as Full Distance (Plano OU), Mini-blend (−0.25 to −1.25 D), or Standard Blend (≤−1.26 D). Targeting strategies were analysed across age groups. In PRESBYOND-treated patients, the incidence of target-modifying retreatments was calculated, categorised as (1) reversal of dominance, (2) reduction of add, or (3) conversion to full distance.",
        "Results": "Seventy-three patients (0.96%) failed the +1.50 D test and were targeted for full distance correction. Of the patients that passed, 969 (12.69%) were targeted for mini-blend, and 6,593 (86.35%) for standard blend. Full distance targeting was largely confined to patients aged 42–44 years (8.6%) and was ≤0.5% in older groups. Mini-blend incidence declined with age, with standard blend predominating from age 45 onward. Among PRESBYOND-treated patients (n=7,562), target-modifying retreatments were uncommon: reversal of dominance in 0.04%, reduction of add in 1.23% (mean reduction 0.28 ± 0.20 D), and conversion to full distance in 0.08%.",
        "Conclusions": "Full distance targeting was uncommon and primarily observed in younger presbyopic patients, whereas blended vision strategies predominated with increasing age. Postoperative modification of the intended binocular target was infrequent, with full reversal to distance correction occurring in a small proportion of cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Full distance targeting was uncommon and primarily observed in younger presbyopic patients, whereas blended vision strategies predominated with increasing age. Postoperative modification of the intended binocular target was infrequent, with full reversal to distance correction occurring in a small proportion of cases.",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 460,
      "source_fields": {
        "Abstract Final Identifier": "FP31.12",
        "Title": "Pass–Fail Rates Of The Presbyond +1.50 D Acceptance Test, Incidence And Age Distribution Of Add Titration, And Postoperative Reversal In 7,635 Presbyopic Lasik Patients",
        "Presenting Author(s)": "Prof. Dan Reinstein",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Dan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reinstein",
        "Country Name": "United Kingdom",
        "Purpose": "To determine the pass–fail rate of the PRESBYOND +1.50 D acceptance test, evaluate the incidence and age distribution of near-eye add titration, and quantify the frequency and nature of postoperative retreatments that modified the intended binocular target.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "This retrospective, non-comparative case series included 7,635 consecutive presbyopic patients (42–75 years) between Mar 2007 to Dec 2024. All patients underwent the PRESBYOND +1.50 D acceptance test. Patients who passed proceeded to PRESBYOND LASIK with near-eye add determined by titration from 1.50 D; those who failed underwent full distance correction. Binocular targets were categorised as Full Distance (Plano OU), Mini-blend (−0.25 to −1.25 D), or Standard Blend (≤−1.26 D). Targeting strategies were analysed across age groups. In PRESBYOND-treated patients, the incidence of target-modifying retreatments was calculated, categorised as (1) reversal of dominance, (2) reduction of add, or (3) conversion to full distance.",
        "Results": "Seventy-three patients (0.96%) failed the +1.50 D test and were targeted for full distance correction. Of the patients that passed, 969 (12.69%) were targeted for mini-blend, and 6,593 (86.35%) for standard blend. Full distance targeting was largely confined to patients aged 42–44 years (8.6%) and was ≤0.5% in older groups. Mini-blend incidence declined with age, with standard blend predominating from age 45 onward. Among PRESBYOND-treated patients (n=7,562), target-modifying retreatments were uncommon: reversal of dominance in 0.04%, reduction of add in 1.23% (mean reduction 0.28 ± 0.20 D), and conversion to full distance in 0.08%.",
        "Conclusions": "Full distance targeting was uncommon and primarily observed in younger presbyopic patients, whereas blended vision strategies predominated with increasing age. Postoperative modification of the intended binocular target was infrequent, with full reversal to distance correction occurring in a small proportion of cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "FP31.13",
      "abstract_number": "FP31.13",
      "title": "Acuity, Wavefront, Stereo And Satisfaction Outcomes Of Supracor Transepithelial Phototherapeutic Keratectomy (Transprk) In Myopic Presbyopes",
      "authors": "Dr Julian Matius Tagal",
      "presenter": "Dr Julian Matius Tagal",
      "normalized_authors": [
        "Julian Matius Tagal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Julian Matius Tagal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Malaysia",
      "sections": {
        "Purpose": "SUPRACOR is Bausch and Lomb’s proprietary presbyopic laser algorithm, licensed for use with the Teneo Model 2 excimer laser. Unlike laser algorithms that depend on the addition of spherical aberration and significant under-correction of the reading eye, SUPRACOR produces a central 3mm corneal zone of variable curvature, resulting in an extended depth of focus. Three modes are available: Mild, Regular, and Strong, providing near-addition values of +1.25 to +2.75. With a mini-monovision target, it is possible to retain good distance vision while preserving reading acuity and stereo vision. The purpose of this study was to determine the outcomes of SUPRACOR with TransPRK in myopic presbyopes.",
        "Setting": "This was a prospective, single-blind, single-centre study conducted at OasisEye Specialists, Malaysia. Twenty-seven presbyopic patients with myopia and/or astigmatism without prior surgery received bilateral TransPRK.",
        "Methods": "Twenty-seven consecutive patients (female, male) received TransPRK with PROSCAN aspheric profile (PP) in the dominant eye and SUPRACOR STRONG (SS) in the non-dominant eye. At baseline, mean ±standard deviation (SD) age was 43.6±5.3 years. Mean ±SD refractive error (S/C) was -3.79±2.52/-0.89±0.58. Dominant eyes received PROSCAN aspheric ablation (6.5mm optical zone) targeting plano, and the non-dominant eye received SUPRACOR STRONG targeting -0.50 centred on the pupil. Primary outcomes included binocular uncorrected distance(UDVA), intermediate(UIVA), and near(UNVA) visual acuity. Secondary outcomes included induced wavefront aberrations, distance and near stereopsis, spectacle independence and patient satisfaction.",
        "Results": "At an average of 4.7 months postoperative, patients had mean binocular UDVA, UIVA (60cm), and UNVA (40cm) of -0.01±0.08, 0.01±0.10, and 0.06±0.16 logMAR, respectively. Mean monocular UDVA / UNVA for PROSCAN and SUPRACOR eyes were 0.04±0.12 and 0.16±0.15, respectively.\n\nSUPRACOR induced less spherical aberration (0.11±0.49 µm) compared to PROSCAN (0.22±0.41 µm). 67% of patients achieved distance stereo outcomes of ≤120 arc-sec, and 77% of patients achieved near stereo outcomes of ≤63 arc-sec. There was no subjective loss of stereopsis.\n\n87% of respondents were completely spectacle-independent for driving and intermediate tasks, with 80% reporting complete independence for small print. 80% reported ‘complete’ satisfaction with SUPRACOR.",
        "Conclusions": "The results of this study demonstrate that TransPRK with SUPRACOR in myopic presbyopes provides excellent continuous vision from distance to near.\n\nMini-mono vision provides a near add of +3.25 to +3.5 while retaining useful distance vision in SUPRACOR eyes. SUPRACOR induces minimal spherical aberration, consistent with refractive multifocality, as opposed to the extended depth-of-focus provided by induction of spherical aberration.\n\nSurprisingly, results indicate that distance stereopsis was inferior to near stereopsis. This could be caused by the limited number of distance test plates compared to near test plates. Nevertheless, patients reported high satisfaction and spectacle independence, with no subjective impact on stereopsis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of this study demonstrate that TransPRK with SUPRACOR in myopic presbyopes provides excellent continuous vision from distance to near. Mini-mono vision provides a near add of +3.25 to +3.5 while retaining useful distance vision in SUPRACOR eyes. SUPRACOR induces minimal spherical aberration, consistent with refractive multifocality, as opposed to the extended depth-of-focus provided by induction of…",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 461,
      "source_fields": {
        "Abstract Final Identifier": "FP31.13",
        "Title": "Acuity, Wavefront, Stereo And Satisfaction Outcomes Of Supracor Transepithelial Phototherapeutic Keratectomy (Transprk) In Myopic Presbyopes",
        "Presenting Author(s)": "Dr Julian Matius Tagal",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Julian",
        "Submitter Middle Name": "Matius",
        "Submitter Last Name": "Tagal",
        "Country Name": "Malaysia",
        "Purpose": "SUPRACOR is Bausch and Lomb’s proprietary presbyopic laser algorithm, licensed for use with the Teneo Model 2 excimer laser. Unlike laser algorithms that depend on the addition of spherical aberration and significant under-correction of the reading eye, SUPRACOR produces a central 3mm corneal zone of variable curvature, resulting in an extended depth of focus. Three modes are available: Mild, Regular, and Strong, providing near-addition values of +1.25 to +2.75. With a mini-monovision target, it is possible to retain good distance vision while preserving reading acuity and stereo vision. The purpose of this study was to determine the outcomes of SUPRACOR with TransPRK in myopic presbyopes.",
        "Setting": "This was a prospective, single-blind, single-centre study conducted at OasisEye Specialists, Malaysia. Twenty-seven presbyopic patients with myopia and/or astigmatism without prior surgery received bilateral TransPRK.",
        "Methods": "Twenty-seven consecutive patients (female, male) received TransPRK with PROSCAN aspheric profile (PP) in the dominant eye and SUPRACOR STRONG (SS) in the non-dominant eye. At baseline, mean ±standard deviation (SD) age was 43.6±5.3 years. Mean ±SD refractive error (S/C) was -3.79±2.52/-0.89±0.58. Dominant eyes received PROSCAN aspheric ablation (6.5mm optical zone) targeting plano, and the non-dominant eye received SUPRACOR STRONG targeting -0.50 centred on the pupil. Primary outcomes included binocular uncorrected distance(UDVA), intermediate(UIVA), and near(UNVA) visual acuity. Secondary outcomes included induced wavefront aberrations, distance and near stereopsis, spectacle independence and patient satisfaction.",
        "Results": "At an average of 4.7 months postoperative, patients had mean binocular UDVA, UIVA (60cm), and UNVA (40cm) of -0.01±0.08, 0.01±0.10, and 0.06±0.16 logMAR, respectively. Mean monocular UDVA / UNVA for PROSCAN and SUPRACOR eyes were 0.04±0.12 and 0.16±0.15, respectively.\n\nSUPRACOR induced less spherical aberration (0.11±0.49 µm) compared to PROSCAN (0.22±0.41 µm). 67% of patients achieved distance stereo outcomes of ≤120 arc-sec, and 77% of patients achieved near stereo outcomes of ≤63 arc-sec. There was no subjective loss of stereopsis.\n\n87% of respondents were completely spectacle-independent for driving and intermediate tasks, with 80% reporting complete independence for small print. 80% reported ‘complete’ satisfaction with SUPRACOR.",
        "Conclusions": "The results of this study demonstrate that TransPRK with SUPRACOR in myopic presbyopes provides excellent continuous vision from distance to near.\n\nMini-mono vision provides a near add of +3.25 to +3.5 while retaining useful distance vision in SUPRACOR eyes. SUPRACOR induces minimal spherical aberration, consistent with refractive multifocality, as opposed to the extended depth-of-focus provided by induction of spherical aberration.\n\nSurprisingly, results indicate that distance stereopsis was inferior to near stereopsis. This could be caused by the limited number of distance test plates compared to near test plates. Nevertheless, patients reported high satisfaction and spectacle independence, with no subjective impact on stereopsis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 469
    },
    {
      "uid": "FP31.14",
      "abstract_number": "FP31.14",
      "title": "Outcomes Of Presbyond In A Population Of 1,703 Hyperopic Patients",
      "authors": "Mr Glenn Carp",
      "presenter": "Mr Glenn Carp",
      "normalized_authors": [
        "Glenn Carp"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Glenn Carp",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the refractive and visual outcomes of PRESBYOND Laser Blended Vision in a large population of hyperopic presbyopes.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Inclusion: hyperopic manifest refraction, preop CDVA ≥20/20 both eyes, suitable for LASIK. Consecutive PRESBYOND treatments with MEL 80/90 excimer and VisuMax femtosecond (Carl Zeiss Meditec) Dec 2012-Aug 2023. Targets: plano distance eye; -0.50 to -1.75 D near eye as per the PRESBYOND +1.50 D Acceptance Test. Outcomes analysed at 12 months or last visit if earlier retreatment; those without 12-month data excluded as lost to follow-up.",
        "Results": "1703 patients (3309 eyes). Mean age 56±6 (41-81). Mean attempted SEQ +1.83±1.01 D (0.00 to +5.75); mean cylinder -0.55±0.40 D (0.00 to -4.50). Preop CDVA ≥20/20 in 100%. With 9.7% enhancement rate, binocular UDVA ≥20/20 in 94% and ≥20/25 in 99%; UNVA J2 or better in 92% and J5 or better in 99%. Postop SEQ vs target 0.00±0.45 D (-2.00 to +2.63), within ±0.50 D in 87% and ±1.00 D in 98%. One-line CDVA loss in 19%, two-line loss in 0.36%. Contrast sensitivity improved at 3, 6, 12 and 18 cpd.",
        "Conclusions": "PRESBYOND Laser Blended Vision LASIK provided excellent binocular distance and near vision in hyperopic presbyopes. Safety was demonstrated by maintained CDVA and improved contrast sensitivity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRESBYOND Laser Blended Vision LASIK provided excellent binocular distance and near vision in hyperopic presbyopes. Safety was demonstrated by maintained CDVA and improved contrast sensitivity.",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 462,
      "source_fields": {
        "Abstract Final Identifier": "FP31.14",
        "Title": "Outcomes Of Presbyond In A Population Of 1,703 Hyperopic Patients",
        "Presenting Author(s)": "Mr Glenn Carp",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Glenn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Carp",
        "Country Name": "United Kingdom",
        "Purpose": "To report the refractive and visual outcomes of PRESBYOND Laser Blended Vision in a large population of hyperopic presbyopes.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Inclusion: hyperopic manifest refraction, preop CDVA ≥20/20 both eyes, suitable for LASIK. Consecutive PRESBYOND treatments with MEL 80/90 excimer and VisuMax femtosecond (Carl Zeiss Meditec) Dec 2012-Aug 2023. Targets: plano distance eye; -0.50 to -1.75 D near eye as per the PRESBYOND +1.50 D Acceptance Test. Outcomes analysed at 12 months or last visit if earlier retreatment; those without 12-month data excluded as lost to follow-up.",
        "Results": "1703 patients (3309 eyes). Mean age 56±6 (41-81). Mean attempted SEQ +1.83±1.01 D (0.00 to +5.75); mean cylinder -0.55±0.40 D (0.00 to -4.50). Preop CDVA ≥20/20 in 100%. With 9.7% enhancement rate, binocular UDVA ≥20/20 in 94% and ≥20/25 in 99%; UNVA J2 or better in 92% and J5 or better in 99%. Postop SEQ vs target 0.00±0.45 D (-2.00 to +2.63), within ±0.50 D in 87% and ±1.00 D in 98%. One-line CDVA loss in 19%, two-line loss in 0.36%. Contrast sensitivity improved at 3, 6, 12 and 18 cpd.",
        "Conclusions": "PRESBYOND Laser Blended Vision LASIK provided excellent binocular distance and near vision in hyperopic presbyopes. Safety was demonstrated by maintained CDVA and improved contrast sensitivity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "FP31.15",
      "abstract_number": "FP31.15",
      "title": "Presbyond In Bilateral Emmetropia: Outcomes In 167 Consecutive Patients",
      "authors": "Mr Darshak Patel",
      "presenter": "Mr Darshak Patel",
      "normalized_authors": [
        "Darshak Patel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Darshak Patel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report the refractive and visual outcomes of PRESBYOND Laser Blended Vision in a large population of bilaterally emmetropic patients with presbyopia.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Inclusion: bilateral emmetropic manifest refraction (sphere ±0.50 D; cylinder ≤0.75 D), preop CDVA ≥20/20 both eyes, suitable for LASIK. Consecutive PRESBYOND treatments with MEL 80/90 excimer laser and VisuMax femtosecond laser (Carl Zeiss Meditec) from Dec 2012-Aug 2023. Targets: plano in distance eye and -0.50 to -1.75 D in near eye per PRESBYOND +1.50 D Acceptance Test. Outcomes analysed at 12 months or last visit if retreatment earlier; those without 12-month data were excluded as lost to follow-up.",
        "Results": "Of 2901 patients screened, 167 patients (334 eyes) met criteria. Mean age 54±5 years (44-66). Mean attempted SEQ +0.81±0.80 D (-0.50 to +2.25); mean cylinder treated −0.27±0.27 D (−0.75 to +0.75). Preop CDVA ≥20/20 in 100%. With 11.08% enhancement rate, binocular UDVA was ≥20/20 in 96% and ≥20/25 in 99%; binocular UNVA was J2 or better in 93% and J5 or better in 99%. Postop SEQ vs target -0.02±0.33 D (-1.13 to +1.00), within ±0.50 D in 92% and ±1.00 D in 99% of eyes. One-line CDVA loss occurred in 15%; one eye (0.3%) was 20/25 +2 (CDVA <20/20); no eye lost 2 lines. Contrast sensitivity improved at 3, 6, 12 and 18 cpd.",
        "Conclusions": "PRESBYOND Laser Blended Vision LASIK produced excellent binocular distance and near vision in emmetropic presbyopes. Safety was demonstrated by maintained CDVA and improved contrast sensitivity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PRESBYOND Laser Blended Vision LASIK produced excellent binocular distance and near vision in emmetropic presbyopes. Safety was demonstrated by maintained CDVA and improved contrast sensitivity.",
      "session_type": "Free Paper",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 463,
      "source_fields": {
        "Abstract Final Identifier": "FP31.15",
        "Title": "Presbyond In Bilateral Emmetropia: Outcomes In 167 Consecutive Patients",
        "Presenting Author(s)": "Mr Darshak Patel",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Darshak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Patel",
        "Country Name": "United Kingdom",
        "Purpose": "To report the refractive and visual outcomes of PRESBYOND Laser Blended Vision in a large population of bilaterally emmetropic patients with presbyopia.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Inclusion: bilateral emmetropic manifest refraction (sphere ±0.50 D; cylinder ≤0.75 D), preop CDVA ≥20/20 both eyes, suitable for LASIK. Consecutive PRESBYOND treatments with MEL 80/90 excimer laser and VisuMax femtosecond laser (Carl Zeiss Meditec) from Dec 2012-Aug 2023. Targets: plano in distance eye and -0.50 to -1.75 D in near eye per PRESBYOND +1.50 D Acceptance Test. Outcomes analysed at 12 months or last visit if retreatment earlier; those without 12-month data were excluded as lost to follow-up.",
        "Results": "Of 2901 patients screened, 167 patients (334 eyes) met criteria. Mean age 54±5 years (44-66). Mean attempted SEQ +0.81±0.80 D (-0.50 to +2.25); mean cylinder treated −0.27±0.27 D (−0.75 to +0.75). Preop CDVA ≥20/20 in 100%. With 11.08% enhancement rate, binocular UDVA was ≥20/20 in 96% and ≥20/25 in 99%; binocular UNVA was J2 or better in 93% and J5 or better in 99%. Postop SEQ vs target -0.02±0.33 D (-1.13 to +1.00), within ±0.50 D in 92% and ±1.00 D in 99% of eyes. One-line CDVA loss occurred in 15%; one eye (0.3%) was 20/25 +2 (CDVA <20/20); no eye lost 2 lines. Contrast sensitivity improved at 3, 6, 12 and 18 cpd.",
        "Conclusions": "PRESBYOND Laser Blended Vision LASIK produced excellent binocular distance and near vision in emmetropic presbyopes. Safety was demonstrated by maintained CDVA and improved contrast sensitivity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 283
    },
    {
      "uid": "FP32.01",
      "abstract_number": "FP32.01",
      "title": "To Assess The Impact Of Spiral And Diffractive Optical Designs On Dysphotopsia And Visual Range / Outcome",
      "authors": "Dr Kieren Darcy",
      "presenter": "Dr Kieren Darcy",
      "normalized_authors": [
        "Kieren Darcy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kieren Darcy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate whether optical design influences refractive precision, visual range performance, vision quality and to identify clinically meaningful differentiators to guide lens selection.",
        "Setting": "Single surgeon, single UK clinic.",
        "Methods": "In this prospective comparative clinical study, eyes implanted with a refractive spiral IOL (RayOne Galaxy, Rayner; n=98) or a diffractive multifocal IOL (FineVision, BVI; n=22) were assessed at 3 months. Outcomes included refractive accuracy, monocular and binocular visual acuity (distance, intermediate 66 cm, near 40 cm), and defocus curves. Contrast sensitivity (SCV-1000) was measured under photopic and mesopic conditions. Dysphotopsia was evaluated using halo/glare simulation and Aston halometry.",
        "Results": "At 3 months, the spiral IOL demonstrated tighter SEQ clustering (91% within ±0.50 D vs 82%) and lower residual astigmatism ≤0.50 D (90% vs 59%). Both IOLs maintained binocular visual acuity within 0.20 logMAR supporting effective full-range functional vision. Contrast sensitivity was similar photopic ally; mesopic performance showed a trend favoring the spiral design at higher spatial frequencies.Dysphotopsia profiles differed meaningfully. Halo size and intensity were lower with Galaxy (27 vs 42; 42 vs 66), confirmed by reduced halometry area (4.66% vs 7.65%).",
        "Conclusions": "Optical design influenced the relationship between visual range performance and dysphotopsia profile. Although both IOLs provided effective functional vision, distinct photic-phenomena patterns were observed, with potential clinical relevance for patients sensitive to halos or with higher night-driving demands. Ongoing research is evaluating the impact of individual dysphotopsia tolerance, night-vision requirements, and patient-related factors on optimized lens selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Optical design influenced the relationship between visual range performance and dysphotopsia profile. Although both IOLs provided effective functional vision, distinct photic-phenomena patterns were observed, with potential clinical relevance for patients sensitive to halos or with higher night-driving demands. Ongoing research is evaluating the impact of individual dysphotopsia tolerance, night-vision…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 464,
      "source_fields": {
        "Abstract Final Identifier": "FP32.01",
        "Title": "To Assess The Impact Of Spiral And Diffractive Optical Designs On Dysphotopsia And Visual Range / Outcome",
        "Presenting Author(s)": "Dr Kieren Darcy",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Kieren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Darcy",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate whether optical design influences refractive precision, visual range performance, vision quality and to identify clinically meaningful differentiators to guide lens selection.",
        "Setting": "Single surgeon, single UK clinic.",
        "Methods": "In this prospective comparative clinical study, eyes implanted with a refractive spiral IOL (RayOne Galaxy, Rayner; n=98) or a diffractive multifocal IOL (FineVision, BVI; n=22) were assessed at 3 months. Outcomes included refractive accuracy, monocular and binocular visual acuity (distance, intermediate 66 cm, near 40 cm), and defocus curves. Contrast sensitivity (SCV-1000) was measured under photopic and mesopic conditions. Dysphotopsia was evaluated using halo/glare simulation and Aston halometry.",
        "Results": "At 3 months, the spiral IOL demonstrated tighter SEQ clustering (91% within ±0.50 D vs 82%) and lower residual astigmatism ≤0.50 D (90% vs 59%). Both IOLs maintained binocular visual acuity within 0.20 logMAR supporting effective full-range functional vision. Contrast sensitivity was similar photopic ally; mesopic performance showed a trend favoring the spiral design at higher spatial frequencies.Dysphotopsia profiles differed meaningfully. Halo size and intensity were lower with Galaxy (27 vs 42; 42 vs 66), confirmed by reduced halometry area (4.66% vs 7.65%).",
        "Conclusions": "Optical design influenced the relationship between visual range performance and dysphotopsia profile. Although both IOLs provided effective functional vision, distinct photic-phenomena patterns were observed, with potential clinical relevance for patients sensitive to halos or with higher night-driving demands. Ongoing research is evaluating the impact of individual dysphotopsia tolerance, night-vision requirements, and patient-related factors on optimized lens selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "FP32.02",
      "abstract_number": "FP32.02",
      "title": "Defining Corneal Selection Criteria For Optimal Outcomes With A Spiral Intraocular Lens",
      "authors": "Dr Ruddy Aarón Ortiz Lopez",
      "presenter": "Dr Ruddy Aarón Ortiz Lopez",
      "normalized_authors": [
        "Ruddy Aarón Ortiz Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruddy Aarón Ortiz Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To identify preoperative corneal parameters associated with visual performance following implantation of a spiral intraocular lens (Galaxy RayOne, Rayner) to refine patient selection.",
        "Setting": "Single center real-world study conducted at Guatemala City, in patients undergoing cataract surgery with implantation of presbyopia-correcting spiral intraocular lenses. Procedures were performed by a single surgeon using the phacoemulsification technique. No intraoperative or postoperative complications were reported. A single optometrist assessed visual acuity one month and six months after surgery.",
        "Methods": "Forty eyes undergoing cataract surgery with spiral IOL implantation were retrospectively analyzed. Preoperative corneal parameters (total HOAs (tHOA), coma, trefoil, spherical aberration, angle kappa/alpha, pupil size; 4-mm zone) were assessed using Scheimpflug tomography. Monocular UDVA (4 m), UIVA (66 cm), and UNVA (40 cm) were measured at 6 months using ETDRS charts. Sphere (SPH) and the cylinder (CYL) spherical equivalent (SE) were measured before and after.Correlations between corneal metrics and visual acuity (VA) outcomes were evaluated using Pearson’s r, Spearman’s rho and multivariate regression.",
        "Results": "At 6 months, mean monocular VA were: UDVA 0.05 ±0.06 logMAR, UIVA and UNVA were 0.04 ±0.06 logMAR and -0.007 ±0.07 logMAR, respectively. Post SPH and CYL (SE): 0.37 ±0.25D and 0.36 ±0.25D respectively. Mean UVA was 0.15 logMAR across all distances. Mean tHOAs were 0.20 ±0.08µm. Eyes with tHOAs <0.2µm and Kappa/Alpha <0.4mm showed UDVA 0.038±0.07 logMAR and 75% of eyes achieving ≤0.00 logMAR. Eyes with tHOAs ≥0.5 µm and Kappa/Alpha ≥0.5 mm showed UDVA 0.08 ±0.07 logMAR and 42% of eyes achieving ≤0.00 logMAR. tHOAs and Kappa/alpha angle correlated with UDVA (r = 0.54 and r = 0.51, respectively, P<0.05), while no significant associations were observed for intermediate or near acuity. Coma/Trefoil didn't have a significant association with VA.",
        "Conclusions": "The spiral IOL demonstrated stable visual performance across the spectrum of corneal characteristics represented in this cohort. Although total HOAs and angle kappa/alpha showed associations with distance visual acuity, overall visual outcomes remained consistently favorable across the corneal profiles evaluated, suggesting that typical variations in corneal characteristics do not meaningfully compromise clinical outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The spiral IOL demonstrated stable visual performance across the spectrum of corneal characteristics represented in this cohort. Although total HOAs and angle kappa/alpha showed associations with distance visual acuity, overall visual outcomes remained consistently favorable across the corneal profiles evaluated, suggesting that typical variations in corneal characteristics do not meaningfully compromise clinical…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 465,
      "source_fields": {
        "Abstract Final Identifier": "FP32.02",
        "Title": "Defining Corneal Selection Criteria For Optimal Outcomes With A Spiral Intraocular Lens",
        "Presenting Author(s)": "Dr Ruddy Aarón Ortiz Lopez",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ruddy",
        "Submitter Middle Name": "Aarón",
        "Submitter Last Name": "Ortiz Lopez",
        "Country Name": "Guatemala",
        "Purpose": "To identify preoperative corneal parameters associated with visual performance following implantation of a spiral intraocular lens (Galaxy RayOne, Rayner) to refine patient selection.",
        "Setting": "Single center real-world study conducted at Guatemala City, in patients undergoing cataract surgery with implantation of presbyopia-correcting spiral intraocular lenses. Procedures were performed by a single surgeon using the phacoemulsification technique. No intraoperative or postoperative complications were reported. A single optometrist assessed visual acuity one month and six months after surgery.",
        "Methods": "Forty eyes undergoing cataract surgery with spiral IOL implantation were retrospectively analyzed. Preoperative corneal parameters (total HOAs (tHOA), coma, trefoil, spherical aberration, angle kappa/alpha, pupil size; 4-mm zone) were assessed using Scheimpflug tomography. Monocular UDVA (4 m), UIVA (66 cm), and UNVA (40 cm) were measured at 6 months using ETDRS charts. Sphere (SPH) and the cylinder (CYL) spherical equivalent (SE) were measured before and after.Correlations between corneal metrics and visual acuity (VA) outcomes were evaluated using Pearson’s r, Spearman’s rho and multivariate regression.",
        "Results": "At 6 months, mean monocular VA were: UDVA 0.05 ±0.06 logMAR, UIVA and UNVA were 0.04 ±0.06 logMAR and -0.007 ±0.07 logMAR, respectively. Post SPH and CYL (SE): 0.37 ±0.25D and 0.36 ±0.25D respectively. Mean UVA was 0.15 logMAR across all distances. Mean tHOAs were 0.20 ±0.08µm. Eyes with tHOAs <0.2µm and Kappa/Alpha <0.4mm showed UDVA 0.038±0.07 logMAR and 75% of eyes achieving ≤0.00 logMAR. Eyes with tHOAs ≥0.5 µm and Kappa/Alpha ≥0.5 mm showed UDVA 0.08 ±0.07 logMAR and 42% of eyes achieving ≤0.00 logMAR. tHOAs and Kappa/alpha angle correlated with UDVA (r = 0.54 and r = 0.51, respectively, P<0.05), while no significant associations were observed for intermediate or near acuity. Coma/Trefoil didn't have a significant association with VA.",
        "Conclusions": "The spiral IOL demonstrated stable visual performance across the spectrum of corneal characteristics represented in this cohort. Although total HOAs and angle kappa/alpha showed associations with distance visual acuity, overall visual outcomes remained consistently favorable across the corneal profiles evaluated, suggesting that typical variations in corneal characteristics do not meaningfully compromise clinical outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "FP32.03",
      "abstract_number": "FP32.03",
      "title": "Objective Optical Quality Comparison Of A Sinusoidal Trifocal Iol And Two Aspheric Monofocal Iols: A 1-Year Ray-Tracing Wavefront Analysis With I-Trace",
      "authors": "Dr Zelal Beşaltı Ekinci",
      "presenter": "Dr Zelal Beşaltı Ekinci",
      "normalized_authors": [
        "Zelal Beşaltı Ekinci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zelal Beşaltı Ekinci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To objectively compare internal optical quality, higher-order aberrations (HOAs), and contrast sensitivity between a sinusoidal-optic trifocal intraocular lens (IOL) and two different aspheric monofocal IOLs, and to assess whether the sinusoidal optic design maintains optical performance comparable to monofocal IOLs at 1-year follow-up.",
        "Setting": "Beyoglu Eye Training and Research Hospital, Istanbul, Turkiye.",
        "Methods": "This comparative study included 66 eyes of 66 patients implanted with a sinusoidal-optic trifocal IOL (Enova; n = 25) or one of two aspheric monofocal IOLs (Alcon AcrySof IQ, n = 27; Acriva, n = 14). All patients achieved a 1-year postoperative best-corrected visual acuity (BCVA) between 0.8 and 1.0 (Snellen). Demographic characteristics and postoperative refractive outcomes were also evaluated. Objective optical quality was assessed 1 year postoperatively using i-Trace ray-tracing wavefront aberrometry at a standardized 3.0 mm scan diameter, with analysis of the Dysfunctional Lens Index (DLI), higher-order aberrations (HOAs), Strehl ratio (SR), and modulation transfer function (MTF).",
        "Results": "At 1-year, Enova showed higher median DLI (9.90) vs Alcon (8.30; P=.014) and Acriva (6.60; P=.019). Internal HOAs were lower in Enova (0.071) vs Alcon (0.103; P=.004) and Acriva (0.114; P=.002). Internal Coma was lower in Enova (0.041) vs Alcon (0.063; P=.016). Spherical aberrations were similar (P>.05). MTF values at spatial frequencies of 5, 10, 15, 20, 25, and 30 cpd were significantly higher in the Enova group compared with both monofocal IOL groups (all P < 0.05), whereas no significant differences were observed between the Alcon and Acriva groups (P > 0.05). Internal SR was higher in the Enova group (median: 0.147) than in the Acriva group (median: 0.063; P = 0.006) and was comparable to the Alcon group (median: 0.113; P = 0.145).",
        "Conclusions": "At 1-year follow-up, the sinusoidal-optic trifocal IOL demonstrated optical quality parameters and contrast sensitivity outcomes that were comparable to aspheric monofocal IOLs, with lower internal higher-order aberrations and coma as assessed by ray-tracing wavefront analysis. These findings suggest that a sinusoidal optic design can preserve high internal optical quality while providing multifocality, challenging the traditional assumption of an inevitable trade-off between multifocality and optical image quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 1-year follow-up, the sinusoidal-optic trifocal IOL demonstrated optical quality parameters and contrast sensitivity outcomes that were comparable to aspheric monofocal IOLs, with lower internal higher-order aberrations and coma as assessed by ray-tracing wavefront analysis. These findings suggest that a sinusoidal optic design can preserve high internal optical quality while providing multifocality, challenging…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 466,
      "source_fields": {
        "Abstract Final Identifier": "FP32.03",
        "Title": "Objective Optical Quality Comparison Of A Sinusoidal Trifocal Iol And Two Aspheric Monofocal Iols: A 1-Year Ray-Tracing Wavefront Analysis With I-Trace",
        "Presenting Author(s)": "Dr Zelal Beşaltı Ekinci",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Zelal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beşaltı Ekinci",
        "Country Name": "Türkiye",
        "Purpose": "To objectively compare internal optical quality, higher-order aberrations (HOAs), and contrast sensitivity between a sinusoidal-optic trifocal intraocular lens (IOL) and two different aspheric monofocal IOLs, and to assess whether the sinusoidal optic design maintains optical performance comparable to monofocal IOLs at 1-year follow-up.",
        "Setting": "Beyoglu Eye Training and Research Hospital, Istanbul, Turkiye.",
        "Methods": "This comparative study included 66 eyes of 66 patients implanted with a sinusoidal-optic trifocal IOL (Enova; n = 25) or one of two aspheric monofocal IOLs (Alcon AcrySof IQ, n = 27; Acriva, n = 14). All patients achieved a 1-year postoperative best-corrected visual acuity (BCVA) between 0.8 and 1.0 (Snellen). Demographic characteristics and postoperative refractive outcomes were also evaluated. Objective optical quality was assessed 1 year postoperatively using i-Trace ray-tracing wavefront aberrometry at a standardized 3.0 mm scan diameter, with analysis of the Dysfunctional Lens Index (DLI), higher-order aberrations (HOAs), Strehl ratio (SR), and modulation transfer function (MTF).",
        "Results": "At 1-year, Enova showed higher median DLI (9.90) vs Alcon (8.30; P=.014) and Acriva (6.60; P=.019). Internal HOAs were lower in Enova (0.071) vs Alcon (0.103; P=.004) and Acriva (0.114; P=.002). Internal Coma was lower in Enova (0.041) vs Alcon (0.063; P=.016). Spherical aberrations were similar (P>.05). MTF values at spatial frequencies of 5, 10, 15, 20, 25, and 30 cpd were significantly higher in the Enova group compared with both monofocal IOL groups (all P < 0.05), whereas no significant differences were observed between the Alcon and Acriva groups (P > 0.05). Internal SR was higher in the Enova group (median: 0.147) than in the Acriva group (median: 0.063; P = 0.006) and was comparable to the Alcon group (median: 0.113; P = 0.145).",
        "Conclusions": "At 1-year follow-up, the sinusoidal-optic trifocal IOL demonstrated optical quality parameters and contrast sensitivity outcomes that were comparable to aspheric monofocal IOLs, with lower internal higher-order aberrations and coma as assessed by ray-tracing wavefront analysis. These findings suggest that a sinusoidal optic design can preserve high internal optical quality while providing multifocality, challenging the traditional assumption of an inevitable trade-off between multifocality and optical image quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 358
    },
    {
      "uid": "FP32.04",
      "abstract_number": "FP32.04",
      "title": "First Year Outcomes Of A New Full Range Of Vision Implant With Spiral Optics - The Mauritian Experience",
      "authors": "Dr Zia Carrim",
      "presenter": "Dr Zia Carrim",
      "normalized_authors": [
        "Zia Carrim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zia Carrim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mauritius",
      "sections": {
        "Purpose": "To describe the demographics, clinical characteristics and visual outcomes of patients in Mauritius undergoing lens replacement with a full-range intraocular lens (IOL) incorporating spiral optics.",
        "Setting": "Single-centre, single surgeon, retrospective consecutive case series in Mauritius.",
        "Methods": "All patients undergoing lens replacement with the full-range spiral optic IOL (Galaxy, Rayner UK) between November 2024 and January 2026 were included. Demographics, pre- and postoperative visual acuity (VA), refraction, and higher-order aberrations (HOA) were recorded. Preoperative and postoperative unaided distance visual acuity (UDVA) were compared using paired analysis. Postoperative unaided intermediate (UIVA, 100cm) and near visual acuity (UNVA, 30cm) were analysed. Refractive accuracy was assessed by deviation from intended refraction. Association between baseline HOA (<0.30 vs ≥0.30 µm) and achievement of UDVA ≤0.20 logMAR was evaluated using chi-squared testing.",
        "Results": "Over 15 months, 109 eyes of 60 patients underwent surgery. This was bilateral in 49 patients (82%), of whom 48 underwent immediate sequential surgery. Mean age was 64.5 ± 10.8 years (range 44–88); the female-to-male ratio was 3:2. Mean preoperative HOA was 0.24 ± 0.09 µm. Mean UDVA improved from LogMAR 0.41 ± 0.54 to LogMAR 0.05 ± 0.11 at 2 weeks (paired p < 0.001). Postoperative mean UIVA was LogMAR –0.10 ± 0.09 and mean UNVA was LogMAR 0.23 ± 0.08. UDVA ≤ LogMAR 0.0 was achieved by 62% and 88% achieved LogMAR ≤0.20. Eighty-four percent were within ±0.50 D of intended refraction. Achievement of UDVA ≤ LogMAR 0.20 was not associated with baseline HOA status (χ², p = 0.55). All but one patient reported spectacle independence postoperatively.",
        "Conclusions": "Lens replacement with the Galaxy spiral full-range IOL resulted in a statistically significant improvement in distance visual acuity with high refractive accuracy. Strong postoperative distance and intermediate performance with functional near vision were observed. Visual outcomes appear independent of baseline higher-order aberration levels over the range in our cohort (0.10-0.53µm). Immediate sequential bilateral surgery appears well suited to this platform, with high reported rates of spectacle independence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lens replacement with the Galaxy spiral full-range IOL resulted in a statistically significant improvement in distance visual acuity with high refractive accuracy. Strong postoperative distance and intermediate performance with functional near vision were observed. Visual outcomes appear independent of baseline higher-order aberration levels over the range in our cohort (0.10-0.53µm). Immediate sequential bilateral…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 467,
      "source_fields": {
        "Abstract Final Identifier": "FP32.04",
        "Title": "First Year Outcomes Of A New Full Range Of Vision Implant With Spiral Optics - The Mauritian Experience",
        "Presenting Author(s)": "Dr Zia Carrim",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Zia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Carrim",
        "Country Name": "Mauritius",
        "Purpose": "To describe the demographics, clinical characteristics and visual outcomes of patients in Mauritius undergoing lens replacement with a full-range intraocular lens (IOL) incorporating spiral optics.",
        "Setting": "Single-centre, single surgeon, retrospective consecutive case series in Mauritius.",
        "Methods": "All patients undergoing lens replacement with the full-range spiral optic IOL (Galaxy, Rayner UK) between November 2024 and January 2026 were included. Demographics, pre- and postoperative visual acuity (VA), refraction, and higher-order aberrations (HOA) were recorded. Preoperative and postoperative unaided distance visual acuity (UDVA) were compared using paired analysis. Postoperative unaided intermediate (UIVA, 100cm) and near visual acuity (UNVA, 30cm) were analysed. Refractive accuracy was assessed by deviation from intended refraction. Association between baseline HOA (<0.30 vs ≥0.30 µm) and achievement of UDVA ≤0.20 logMAR was evaluated using chi-squared testing.",
        "Results": "Over 15 months, 109 eyes of 60 patients underwent surgery. This was bilateral in 49 patients (82%), of whom 48 underwent immediate sequential surgery. Mean age was 64.5 ± 10.8 years (range 44–88); the female-to-male ratio was 3:2. Mean preoperative HOA was 0.24 ± 0.09 µm. Mean UDVA improved from LogMAR 0.41 ± 0.54 to LogMAR 0.05 ± 0.11 at 2 weeks (paired p < 0.001). Postoperative mean UIVA was LogMAR –0.10 ± 0.09 and mean UNVA was LogMAR 0.23 ± 0.08. UDVA ≤ LogMAR 0.0 was achieved by 62% and 88% achieved LogMAR ≤0.20. Eighty-four percent were within ±0.50 D of intended refraction. Achievement of UDVA ≤ LogMAR 0.20 was not associated with baseline HOA status (χ², p = 0.55). All but one patient reported spectacle independence postoperatively.",
        "Conclusions": "Lens replacement with the Galaxy spiral full-range IOL resulted in a statistically significant improvement in distance visual acuity with high refractive accuracy. Strong postoperative distance and intermediate performance with functional near vision were observed. Visual outcomes appear independent of baseline higher-order aberration levels over the range in our cohort (0.10-0.53µm). Immediate sequential bilateral surgery appears well suited to this platform, with high reported rates of spectacle independence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "FP32.05",
      "abstract_number": "FP32.05",
      "title": "Two Eyes, One Functional Visual Unit: Refractive And Visual Outcomes Of A Complementary Hybrid Multifocal–Edof Concept",
      "authors": "Jairo Hoyos Chacon",
      "presenter": "Jairo Hoyos Chacon",
      "normalized_authors": [
        "Jairo Hoyos Chacon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jairo Hoyos Chacon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate a complementary hybrid multifocal–EDOF strategy (Artis Symbiose IOL - Cristalens, France) designed to function as a single binocular visual unit, reporting refractive accuracy, a range of uncorrected vision, and patient-reported photic phenomena at 6 months.",
        "Setting": "Instituto Oftalmológico Hoyos, Sabadell, Barcelona (Spain)",
        "Methods": "Prospective single-centre case series including 50 patients (100 eyes) undergoing crystalline lens surgery. The Artis Symbiose complementary multifocal IOL platform was implanted (MID in the dominant eye, PLUS in the non-dominant eye) to extend binocular range through a complementary hybrid multifocal–EDOF design. Exclusion criteria were maculopathy, dry eye, scotopic pupil >6.0 mm, and corneal HOAs >0.300 µm. Six-month outcomes included spherical equivalent accuracy (±0.50 D), monocular and binocular UDVA and UNVA (logMAR). Binocular defocus curves were obtained under photopic conditions in 7 randomly selected patients. Photic phenomena were recorded spontaneously and with directed questioning.",
        "Results": "One hundred IOLs were implanted (mean power +21.0 D; 50% toric). At 6 months, mean postoperative SE was −0.01 D (range −0.75 to +0.50 D), with 94% of eyes within ±0.50 D. Mean UDVA improved from 0.52 (range 2.00 to 0.05) to 0.02(range 0.40 to −0.08 logMAR. For near vision, 96% achieved uncorrected 20/20. Binocular defocus curves demonstrated a continuous functional range from distance to near without significant troughs, supporting effective complementary binocular integration. Photic phenomena were not reported spontaneously; 10% reported mild halos/glare on direct questioning, decreasing after 4–6 weeks, and none reported interference with daily activities.",
        "Conclusions": "Our results suggest that the Artis Symbiose complementary IOL system provides accurate refractive outcomes with high predictability. The combination of the two different IOL models function as one unit, creating a full range of high-quality vision and with a minimal level of visual disturbance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results suggest that the Artis Symbiose complementary IOL system provides accurate refractive outcomes with high predictability. The combination of the two different IOL models function as one unit, creating a full range of high-quality vision and with a minimal level of visual disturbance.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 468,
      "source_fields": {
        "Abstract Final Identifier": "FP32.05",
        "Title": "Two Eyes, One Functional Visual Unit: Refractive And Visual Outcomes Of A Complementary Hybrid Multifocal–Edof Concept",
        "Presenting Author(s)": "Jairo Hoyos Chacon",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Jairo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hoyos Chacon",
        "Country Name": "Spain",
        "Purpose": "To evaluate a complementary hybrid multifocal–EDOF strategy (Artis Symbiose IOL - Cristalens, France) designed to function as a single binocular visual unit, reporting refractive accuracy, a range of uncorrected vision, and patient-reported photic phenomena at 6 months.",
        "Setting": "Instituto Oftalmológico Hoyos, Sabadell, Barcelona (Spain)",
        "Methods": "Prospective single-centre case series including 50 patients (100 eyes) undergoing crystalline lens surgery. The Artis Symbiose complementary multifocal IOL platform was implanted (MID in the dominant eye, PLUS in the non-dominant eye) to extend binocular range through a complementary hybrid multifocal–EDOF design. Exclusion criteria were maculopathy, dry eye, scotopic pupil >6.0 mm, and corneal HOAs >0.300 µm. Six-month outcomes included spherical equivalent accuracy (±0.50 D), monocular and binocular UDVA and UNVA (logMAR). Binocular defocus curves were obtained under photopic conditions in 7 randomly selected patients. Photic phenomena were recorded spontaneously and with directed questioning.",
        "Results": "One hundred IOLs were implanted (mean power +21.0 D; 50% toric). At 6 months, mean postoperative SE was −0.01 D (range −0.75 to +0.50 D), with 94% of eyes within ±0.50 D. Mean UDVA improved from 0.52 (range 2.00 to 0.05) to 0.02(range 0.40 to −0.08 logMAR. For near vision, 96% achieved uncorrected 20/20. Binocular defocus curves demonstrated a continuous functional range from distance to near without significant troughs, supporting effective complementary binocular integration. Photic phenomena were not reported spontaneously; 10% reported mild halos/glare on direct questioning, decreasing after 4–6 weeks, and none reported interference with daily activities.",
        "Conclusions": "Our results suggest that the Artis Symbiose complementary IOL system provides accurate refractive outcomes with high predictability. The combination of the two different IOL models function as one unit, creating a full range of high-quality vision and with a minimal level of visual disturbance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "FP32.06",
      "abstract_number": "FP32.06",
      "title": "A 12-Month Performance Report Of 100 Eyes Implanted With A Continuous Full Range Of Field Intraocular Lens.",
      "authors": "Ms Tanvi Mantry",
      "presenter": "Ms Tanvi Mantry",
      "normalized_authors": [
        "Tanvi Mantry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tanvi Mantry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This paper presents refractive and visual experience outcomes of the first 100 eyes implanted a continuous full range of field (c-FRoFi) intraocular lens.",
        "Setting": "Rayner introduced the Galaxy c-FROFi IOL as a novel design based on spiral dioptre optics, adapted using artificial intelligence. Clinical outcomes were evaluated at Vision Scotland and reported to inform practice as these IOLs are offered as a multifocal vision solution for patients with cataract and refractive error.",
        "Methods": "100 eyes were implanted with the c-FRoFi IOL. Subjects attended at 6 and 12 months post-operatively. Assessments included distance, intermediate and near visual acuities, subjective refraction, measurement of haloes and glare (size and intensity), contrast sensitivity, slit-lamp biomicroscopy and defocus curve measurement. Subjects also completed a lifestyle questionnaire to assess quality of life.",
        "Results": "UDVA improved to -0.09 LogMAR at distance, 0.13 LogMAR at intermediate and 0.11 LogMAR at near viewing chart. Furthermore, few patients were experiencing small residual and insignificant refractive errors and maintaining good visual quality (MARS contrast sensitivity score: 1.50 ± 0.06). Defocus curve data also supports a good visual experience, through mild to moderate levels of optical blur. The c-FRoFi spiral IOL shows a monocular performance above 0.20LogMAR between +0.5 to -2.75, showing a continuous full range of focus.",
        "Conclusions": "Refractive outcomes demonstrate good visual function at 6 and 12 months post operatively. Monocular defocus curves demonstrate stable defocus patterns at both 6 and 12 months. Binocular defocus curves showed a continuous range of field. After analysis of initial data, the Galaxy IOL provides a continuous full range of focus from the far distance to near. Anecdotally, there is a noticeable reduction in the dysphotopsia experienced by subjects when viewing through the Galaxy lens compared to traditional multifocal style IOLs, and a considerably faster adaptation to the spiral lens optics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Refractive outcomes demonstrate good visual function at 6 and 12 months post operatively. Monocular defocus curves demonstrate stable defocus patterns at both 6 and 12 months. Binocular defocus curves showed a continuous range of field. After analysis of initial data, the Galaxy IOL provides a continuous full range of focus from the far distance to near. Anecdotally, there is a noticeable reduction in the…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 469,
      "source_fields": {
        "Abstract Final Identifier": "FP32.06",
        "Title": "A 12-Month Performance Report Of 100 Eyes Implanted With A Continuous Full Range Of Field Intraocular Lens.",
        "Presenting Author(s)": "Ms Tanvi Mantry",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Tanvi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mantry",
        "Country Name": "United Kingdom",
        "Purpose": "This paper presents refractive and visual experience outcomes of the first 100 eyes implanted a continuous full range of field (c-FRoFi) intraocular lens.",
        "Setting": "Rayner introduced the Galaxy c-FROFi IOL as a novel design based on spiral dioptre optics, adapted using artificial intelligence. Clinical outcomes were evaluated at Vision Scotland and reported to inform practice as these IOLs are offered as a multifocal vision solution for patients with cataract and refractive error.",
        "Methods": "100 eyes were implanted with the c-FRoFi IOL. Subjects attended at 6 and 12 months post-operatively. Assessments included distance, intermediate and near visual acuities, subjective refraction, measurement of haloes and glare (size and intensity), contrast sensitivity, slit-lamp biomicroscopy and defocus curve measurement. Subjects also completed a lifestyle questionnaire to assess quality of life.",
        "Results": "UDVA improved to -0.09 LogMAR at distance, 0.13 LogMAR at intermediate and 0.11 LogMAR at near viewing chart. Furthermore, few patients were experiencing small residual and insignificant refractive errors and maintaining good visual quality (MARS contrast sensitivity score: 1.50 ± 0.06). Defocus curve data also supports a good visual experience, through mild to moderate levels of optical blur. The c-FRoFi spiral IOL shows a monocular performance above 0.20LogMAR between +0.5 to -2.75, showing a continuous full range of focus.",
        "Conclusions": "Refractive outcomes demonstrate good visual function at 6 and 12 months post operatively. Monocular defocus curves demonstrate stable defocus patterns at both 6 and 12 months. Binocular defocus curves showed a continuous range of field. After analysis of initial data, the Galaxy IOL provides a continuous full range of focus from the far distance to near. Anecdotally, there is a noticeable reduction in the dysphotopsia experienced by subjects when viewing through the Galaxy lens compared to traditional multifocal style IOLs, and a considerably faster adaptation to the spiral lens optics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "FP32.07",
      "abstract_number": "FP32.07",
      "title": "Visual Rehabilitation Using Gabor Patches Improves Functional Ability In Neuro-Adaptation Failures After Multifocal Implants: A Randomized Controlled Trial",
      "authors": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "presenter": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "normalized_authors": [
        "Lional Raj Daniel Raj Ponniah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lional Raj Daniel Raj Ponniah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Photic phenomena and neuro-adaptation failures are major concerns after MFIOLs. This study evaluated patient-specific, perceptual visual therapy(VPL) regime using Gabor patches (grey level gratings, specific for receptive visual fields) in improving vision & contrast sensitivity function(CSF) in patients not satisfied after MF-IOL implantations",
        "Setting": "A Prospective, controlled-randomized study.",
        "Methods": "A Prospective, controlled-randomized study. Adults (50-70 yrs) with uneventful MF IOLs, over 24 weeks post-surgery, BCVA worse than 20/40 with sub-optimal Contrast(CSF), complaining about vision quality, were randomized in a 2:1 ratio into Treatment(G1), in which computer-based perceptual therapy using Gabor patches amidst co-linear flankers was employed & Control(G2) arms. The study had 2 phases (screening + therapy). Mid-training (Post 20 sessions), 40 training sessions, and post-therapy follow-up at 6 months were evaluated for improvements in BCVA distance & near (ETDRS) & CSF at spatial frequencies of 3, 6, 12, & 18 CPD with FACT sine-wave gratings, using Friedman tests for repeated measures",
        "Results": "30 cases were randomized into the treatment and control arms in a 2:1 ratio. Subgroup consisted of 16 Trifocals (PanOptix) and 14 Bifocals (Tecnis). The average improvement after VPL therapy is 2.5 lines in LogMar in the Treatment arm (p<0.0001), whereas no significant improvements were observed among the controls. Tests for repeated measures showed 83% improvement in Contrast Sensitivity (CSF at spatial freq. of 3,6,12 & 18 CPD) in the Treatment Group(G1, all p<0.0001), whereas no significant improvements were observed amongst the controls. The improved functional vision and CSF remained stable 6 months post-training with perceptual therapy.",
        "Conclusions": "Sequential, post-operative, patient-specific, visual perceptual training employing Gabor patches improved vision & CSF in patients with dissatisfied Multi Focal-IOL subjects & acts as proof of concept of improving neural connections at cortical levels.\n\nThe key to optimizing vision following MF-IOLs lies in training the brain to improve neuroadaptation processes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sequential, post-operative, patient-specific, visual perceptual training employing Gabor patches improved vision & CSF in patients with dissatisfied Multi Focal-IOL subjects & acts as proof of concept of improving neural connections at cortical levels. The key to optimizing vision following MF-IOLs lies in training the brain to improve neuroadaptation processes.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 470,
      "source_fields": {
        "Abstract Final Identifier": "FP32.07",
        "Title": "Visual Rehabilitation Using Gabor Patches Improves Functional Ability In Neuro-Adaptation Failures After Multifocal Implants: A Randomized Controlled Trial",
        "Presenting Author(s)": "Prof. Dr Lional Raj Daniel Raj Ponniah",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Lional Raj",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Daniel Raj Ponniah",
        "Country Name": "India",
        "Purpose": "Photic phenomena and neuro-adaptation failures are major concerns after MFIOLs. This study evaluated patient-specific, perceptual visual therapy(VPL) regime using Gabor patches (grey level gratings, specific for receptive visual fields) in improving vision & contrast sensitivity function(CSF) in patients not satisfied after MF-IOL implantations",
        "Setting": "A Prospective, controlled-randomized study.",
        "Methods": "A Prospective, controlled-randomized study. Adults (50-70 yrs) with uneventful MF IOLs, over 24 weeks post-surgery, BCVA worse than 20/40 with sub-optimal Contrast(CSF), complaining about vision quality, were randomized in a 2:1 ratio into Treatment(G1), in which computer-based perceptual therapy using Gabor patches amidst co-linear flankers was employed & Control(G2) arms. The study had 2 phases (screening + therapy). Mid-training (Post 20 sessions), 40 training sessions, and post-therapy follow-up at 6 months were evaluated for improvements in BCVA distance & near (ETDRS) & CSF at spatial frequencies of 3, 6, 12, & 18 CPD with FACT sine-wave gratings, using Friedman tests for repeated measures",
        "Results": "30 cases were randomized into the treatment and control arms in a 2:1 ratio. Subgroup consisted of 16 Trifocals (PanOptix) and 14 Bifocals (Tecnis). The average improvement after VPL therapy is 2.5 lines in LogMar in the Treatment arm (p<0.0001), whereas no significant improvements were observed among the controls. Tests for repeated measures showed 83% improvement in Contrast Sensitivity (CSF at spatial freq. of 3,6,12 & 18 CPD) in the Treatment Group(G1, all p<0.0001), whereas no significant improvements were observed amongst the controls. The improved functional vision and CSF remained stable 6 months post-training with perceptual therapy.",
        "Conclusions": "Sequential, post-operative, patient-specific, visual perceptual training employing Gabor patches improved vision & CSF in patients with dissatisfied Multi Focal-IOL subjects & acts as proof of concept of improving neural connections at cortical levels.\n\nThe key to optimizing vision following MF-IOLs lies in training the brain to improve neuroadaptation processes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 303
    },
    {
      "uid": "FP32.08",
      "abstract_number": "FP32.08",
      "title": "Rotational Stability, Visual Performance, And Reading Speed Outcomes Of Bilateral Implantation Of Biaspheric Trifocal Toric Intraocular Lens",
      "authors": "Prof. Dr Tobias Brockmann",
      "presenter": "Prof. Dr Tobias Brockmann",
      "normalized_authors": [
        "Tobias Brockmann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tobias Brockmann",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate rotational stability, visual performance, and reading speed outcomes three months after bilateral implantation of the Asqelio™ Trifocal Toric intraocular lens (IOL).",
        "Setting": "Department of Ophthalmology, University Medical Center Rostock.",
        "Methods": "This prospective, observational post-marketing study included cataract patients undergoing bilateral implantation of the Asqelio™ Trifocal Toric IOL. Only patients completing the 3-month follow-up according to protocol were analyzed, and also included visits 1 week and 1 month postop. Analysis included uncorrected and corrected distance (UDVA, CDVA), intermediate (60 cm) and near (40 cm) visual acuities (UIVA, UNVA), binocular defocus curve, rotational stability assessed by slit-lamp examination, and binocular reading speed measured using the Radner Reading Chart (words per minute, wpm). Outcomes were compared across postoperative visits when available.",
        "Results": "Thirteen patients completed the 3-month follow-up. Mean binocular UDVA was 0.08±0.11 logMAR and CDVA 0.03±0.06 logMAR. Mean binocular UIVA and UNVA were 0.15±0.12 and 0.19±0.14 logMAR, respectively. The binocular defocus curve showed visual acuity ≤0.2 logMAR from 0.00 D to approximately -3.0 D. Mean binocular reading speeds were 146±23 wpm (0.9/1.0), 139±22 wpm (0.8/0.9) and 131±24 wpm (0.7/0.8) at three months. Mean absolute IOL rotation was 1.4±1.1°, with 100% of lenses ≤5° and no repositioning required.",
        "Conclusions": "Three months after surgery, the Asqelio™ Trifocal Toric IOL demonstrated excellent rotational stability, good binocular visual acuity at distance, intermediate and near, a continuous binocular defocus curve and fluent binocular reading performance. Improvements between visits suggest neuroadaptation and visual stabilization over time. These results support the safety and clinical effectiveness of this IOL in cataract patients requiring correction of astigmatism and presbyopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Three months after surgery, the Asqelio™ Trifocal Toric IOL demonstrated excellent rotational stability, good binocular visual acuity at distance, intermediate and near, a continuous binocular defocus curve and fluent binocular reading performance. Improvements between visits suggest neuroadaptation and visual stabilization over time. These results support the safety and clinical effectiveness of this IOL in…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 471,
      "source_fields": {
        "Abstract Final Identifier": "FP32.08",
        "Title": "Rotational Stability, Visual Performance, And Reading Speed Outcomes Of Bilateral Implantation Of Biaspheric Trifocal Toric Intraocular Lens",
        "Presenting Author(s)": "Prof. Dr Tobias Brockmann",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Tobias",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brockmann",
        "Country Name": "Germany",
        "Purpose": "To evaluate rotational stability, visual performance, and reading speed outcomes three months after bilateral implantation of the Asqelio™ Trifocal Toric intraocular lens (IOL).",
        "Setting": "Department of Ophthalmology, University Medical Center Rostock.",
        "Methods": "This prospective, observational post-marketing study included cataract patients undergoing bilateral implantation of the Asqelio™ Trifocal Toric IOL. Only patients completing the 3-month follow-up according to protocol were analyzed, and also included visits 1 week and 1 month postop. Analysis included uncorrected and corrected distance (UDVA, CDVA), intermediate (60 cm) and near (40 cm) visual acuities (UIVA, UNVA), binocular defocus curve, rotational stability assessed by slit-lamp examination, and binocular reading speed measured using the Radner Reading Chart (words per minute, wpm). Outcomes were compared across postoperative visits when available.",
        "Results": "Thirteen patients completed the 3-month follow-up. Mean binocular UDVA was 0.08±0.11 logMAR and CDVA 0.03±0.06 logMAR. Mean binocular UIVA and UNVA were 0.15±0.12 and 0.19±0.14 logMAR, respectively. The binocular defocus curve showed visual acuity ≤0.2 logMAR from 0.00 D to approximately -3.0 D. Mean binocular reading speeds were 146±23 wpm (0.9/1.0), 139±22 wpm (0.8/0.9) and 131±24 wpm (0.7/0.8) at three months. Mean absolute IOL rotation was 1.4±1.1°, with 100% of lenses ≤5° and no repositioning required.",
        "Conclusions": "Three months after surgery, the Asqelio™ Trifocal Toric IOL demonstrated excellent rotational stability, good binocular visual acuity at distance, intermediate and near, a continuous binocular defocus curve and fluent binocular reading performance. Improvements between visits suggest neuroadaptation and visual stabilization over time. These results support the safety and clinical effectiveness of this IOL in cataract patients requiring correction of astigmatism and presbyopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "FP32.09",
      "abstract_number": "FP32.09",
      "title": "Patient Reported Outcomes Following Implantation Of The Hoya Gemetric (Xy1-G And Xy1-Gt) Multifocal Intraocular Lens",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate patient-reported visual outcomes, dysphotopsia, spectacle independence, and satisfaction following implantation of the HOYA Gemetric multifocal intraocular lens.",
        "Setting": "Retrospective clinical evaluation of consecutive cataract and lens exchange patients implanted with the HOYA Gemetric multifocal IOL in a single surgeon practice in South Wales, UK.",
        "Methods": "243 patients undergoing cataract and lens exchange surgery with implantation of the HOYA Gemetric multifocal intraocular lens were retrospectively reviewed. Patient-reported outcomes were collected at follow-up using a standard set of questions and responses entered into the CLEARlog software. Questions included dysphotopsia symptoms (halos, glare, starbursts), need for spectacles at different distances, and overall satisfaction including willingness to repeat surgery and alignment of results with surgical expectations. Results were analysed using the Reporting function within CLEARlog and from downloaded datasets.",
        "Results": "Of 241 patients, outcomes matched expectations in 95.5% and 99.6% would undergo the surgery again.\nSpectacle independence was high: 97.1% never requiring distance glasses, 97.9% never requiring intermediate glasses and 88.8% never requiring reading glasses, while 10.7% required them sometimes – for very small print or reading in dim light. Therefore, 99.5% needed reading glasses either Never or only Sometimes.\nDysphotopsias were uncommon: halos were reported as sometimes in 30.9% and always in 6.9% - mostly being only mild or moderate in intensity. Glare occurred sometimes in 6% with most being of mild or moderate intensity. Starbursts occurred in 8.6% of patients with most being of mild or moderate intensity.",
        "Conclusions": "The HOYA Gemetric multifocal intraocular lens implantation demonstrated very high patient satisfaction, strong spectacle independence for distance, intermediate and near vision. Dysphotopsia symptoms were low in terms of frequency and intensity. Satisfaction was very high and the vast majority would have the surgery again or recommend it to friends and family.\n\nThe HOYA Gemetric multifocal intraocular lens is an excellent option for patients seeking to minimise their need for glasses after cataract or lens exchange surgery, yielding very high levels of glasses independence and patient satisfaction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The HOYA Gemetric multifocal intraocular lens implantation demonstrated very high patient satisfaction, strong spectacle independence for distance, intermediate and near vision. Dysphotopsia symptoms were low in terms of frequency and intensity. Satisfaction was very high and the vast majority would have the surgery again or recommend it to friends and family. The HOYA Gemetric multifocal intraocular lens is an…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 472,
      "source_fields": {
        "Abstract Final Identifier": "FP32.09",
        "Title": "Patient Reported Outcomes Following Implantation Of The Hoya Gemetric (Xy1-G And Xy1-Gt) Multifocal Intraocular Lens",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate patient-reported visual outcomes, dysphotopsia, spectacle independence, and satisfaction following implantation of the HOYA Gemetric multifocal intraocular lens.",
        "Setting": "Retrospective clinical evaluation of consecutive cataract and lens exchange patients implanted with the HOYA Gemetric multifocal IOL in a single surgeon practice in South Wales, UK.",
        "Methods": "243 patients undergoing cataract and lens exchange surgery with implantation of the HOYA Gemetric multifocal intraocular lens were retrospectively reviewed. Patient-reported outcomes were collected at follow-up using a standard set of questions and responses entered into the CLEARlog software. Questions included dysphotopsia symptoms (halos, glare, starbursts), need for spectacles at different distances, and overall satisfaction including willingness to repeat surgery and alignment of results with surgical expectations. Results were analysed using the Reporting function within CLEARlog and from downloaded datasets.",
        "Results": "Of 241 patients, outcomes matched expectations in 95.5% and 99.6% would undergo the surgery again.\nSpectacle independence was high: 97.1% never requiring distance glasses, 97.9% never requiring intermediate glasses and 88.8% never requiring reading glasses, while 10.7% required them sometimes – for very small print or reading in dim light. Therefore, 99.5% needed reading glasses either Never or only Sometimes.\nDysphotopsias were uncommon: halos were reported as sometimes in 30.9% and always in 6.9% - mostly being only mild or moderate in intensity. Glare occurred sometimes in 6% with most being of mild or moderate intensity. Starbursts occurred in 8.6% of patients with most being of mild or moderate intensity.",
        "Conclusions": "The HOYA Gemetric multifocal intraocular lens implantation demonstrated very high patient satisfaction, strong spectacle independence for distance, intermediate and near vision. Dysphotopsia symptoms were low in terms of frequency and intensity. Satisfaction was very high and the vast majority would have the surgery again or recommend it to friends and family.\n\nThe HOYA Gemetric multifocal intraocular lens is an excellent option for patients seeking to minimise their need for glasses after cataract or lens exchange surgery, yielding very high levels of glasses independence and patient satisfaction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "FP32.10",
      "abstract_number": "FP32.10",
      "title": "Light Scattering Comparison Between Toric And Non-Toric Trifocal And Monofocal Intraocular Lenses",
      "authors": "Ramin Khoramnia",
      "presenter": "Ramin Khoramnia",
      "normalized_authors": [
        "Ramin Khoramnia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ramin Khoramnia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Trifocal intraocular lenses (IOLs) enhance postoperative spectacle independence but may induce photic phenomena due to diffractive light splitting. This study objectively quantified light scattering of the Hoya Vivinex Gemetric and Gemetric Plus trifocal toric and non-toric IOLs compared with a monofocal Vivinex XY1 control, assessing the influence of toric correction and optical power.",
        "Setting": "The David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany",
        "Methods": "Thirty-six IOLs (+10 D, +20 D, +30 D; toric and non-toric) were examined in vitro using a modified C-Quant straylight meter at scattering angles of 7°, 3.5°, and 2.5°.",
        "Results": "Both trifocal models demonstrated low straylight values across all angular ranges, with no statistically significant differences compared to monofocal controls (p>0.05). Toric versus non-toric designs and power variations showed no effect on light scattering, except for a minor, clinically negligible difference between +10D and +20D lenses at 7°. Median straylight values for Gemetric and Gemetric Plus IOLs (0.9–1.4 deg²sr⁻¹) were comparable to monofocal optics and markedly lower than reported for other commercial trifocal designs.",
        "Conclusions": "These results indicate that Gemetric and Gemetric Plus IOLs produce minimal light scattering and negligible glare potential. Their diffractive architecture, featuring a compact 3.2-mm central zone, may contribute to reduced photic phenomena and favorable visual quality, supporting their clinical suitability as low-scatter trifocal IOL options."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results indicate that Gemetric and Gemetric Plus IOLs produce minimal light scattering and negligible glare potential. Their diffractive architecture, featuring a compact 3.2-mm central zone, may contribute to reduced photic phenomena and favorable visual quality, supporting their clinical suitability as low-scatter trifocal IOL options.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 473,
      "source_fields": {
        "Abstract Final Identifier": "FP32.10",
        "Title": "Light Scattering Comparison Between Toric And Non-Toric Trifocal And Monofocal Intraocular Lenses",
        "Presenting Author(s)": "Ramin Khoramnia",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ramin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khoramnia",
        "Country Name": "Germany",
        "Purpose": "Trifocal intraocular lenses (IOLs) enhance postoperative spectacle independence but may induce photic phenomena due to diffractive light splitting. This study objectively quantified light scattering of the Hoya Vivinex Gemetric and Gemetric Plus trifocal toric and non-toric IOLs compared with a monofocal Vivinex XY1 control, assessing the influence of toric correction and optical power.",
        "Setting": "The David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany",
        "Methods": "Thirty-six IOLs (+10 D, +20 D, +30 D; toric and non-toric) were examined in vitro using a modified C-Quant straylight meter at scattering angles of 7°, 3.5°, and 2.5°.",
        "Results": "Both trifocal models demonstrated low straylight values across all angular ranges, with no statistically significant differences compared to monofocal controls (p>0.05). Toric versus non-toric designs and power variations showed no effect on light scattering, except for a minor, clinically negligible difference between +10D and +20D lenses at 7°. Median straylight values for Gemetric and Gemetric Plus IOLs (0.9–1.4 deg²sr⁻¹) were comparable to monofocal optics and markedly lower than reported for other commercial trifocal designs.",
        "Conclusions": "These results indicate that Gemetric and Gemetric Plus IOLs produce minimal light scattering and negligible glare potential. Their diffractive architecture, featuring a compact 3.2-mm central zone, may contribute to reduced photic phenomena and favorable visual quality, supporting their clinical suitability as low-scatter trifocal IOL options."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "FP32.11",
      "abstract_number": "FP32.11",
      "title": "Full-Range Visual Performance And Dysphotopsia Across Three Optical Designs",
      "authors": "Dr Roger Zaldivar",
      "presenter": "Dr Roger Zaldivar",
      "normalized_authors": [
        "Roger Zaldivar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Roger Zaldivar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To compare visual range outcomes, dysphotopsia perception, and patient satisfaction among three IOL designs: refractive spiral (Galaxy, n=88), diffractive (POD F, n=106), and segmented refractive (Vivity, n=110).",
        "Setting": "Departamento de Catarata y Refractiva, Instituto Zaldivar, Mendoza Argentina",
        "Methods": "Monocular and binocular visual acuity (UDVA, CDVA, DCIVA, DCNVA), cumulative visual distributions, refractive cylinder, efficacy and safety indices were assessed at 1 and 3 months. Patient-reported outcomes included overall satisfaction (0–10 scale), evening visual disturbances, and daytime and nighttime driving disturbance scores",
        "Results": "At 3 months, mean monocular UDVA was approximately 0.00 logMAR across groups. Mean monocular DCNVA was 0.18 logMAR (Galaxy), 0.07 logMAR (POD F), and 0.30 logMAR (Vivity). Cumulative monocular UDVA ≤0.10 logMAR was achieved in 91% (Galaxy), 88% (POD F), and 83% (Vivity). Binocular CDVA ≤0.10 logMAR was achieved in >95% of eyes across groups. DCIVA ≤0.20 logMAR was achieved in 92% (Galaxy), 90% (POD F), and 85% (Vivity), while DCNVA ≤0.20 logMAR was observed in 72%, 92%, and 26%, respectively.Mean satisfaction scores at 3 months were 9.38 (Galaxy), 9.32 (POD F), and 8.95 (Vivity). Night-driving disturbance scores at 3 months were 2.14 (Galaxy), 3.17 (POD F), and 1.98 (Vivity).",
        "Conclusions": "All three IOLs achieved functional full-range vision. However, dysphotopsia perception differed, with higher night-driving disturbance in the diffractive group and reduced near performance in the segmented refractive group. Optical design influences visual comfort despite comparable distance outcomes, supporting individualized lens selection.Top of Form\n\nBottom of Form"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All three IOLs achieved functional full-range vision. However, dysphotopsia perception differed, with higher night-driving disturbance in the diffractive group and reduced near performance in the segmented refractive group. Optical design influences visual comfort despite comparable distance outcomes, supporting individualized lens selection.Top of Form Bottom of Form",
      "session_type": "Free Paper",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 474,
      "source_fields": {
        "Abstract Final Identifier": "FP32.11",
        "Title": "Full-Range Visual Performance And Dysphotopsia Across Three Optical Designs",
        "Presenting Author(s)": "Dr Roger Zaldivar",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Roger",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zaldivar",
        "Country Name": "Argentina",
        "Purpose": "To compare visual range outcomes, dysphotopsia perception, and patient satisfaction among three IOL designs: refractive spiral (Galaxy, n=88), diffractive (POD F, n=106), and segmented refractive (Vivity, n=110).",
        "Setting": "Departamento de Catarata y Refractiva, Instituto Zaldivar, Mendoza Argentina",
        "Methods": "Monocular and binocular visual acuity (UDVA, CDVA, DCIVA, DCNVA), cumulative visual distributions, refractive cylinder, efficacy and safety indices were assessed at 1 and 3 months. Patient-reported outcomes included overall satisfaction (0–10 scale), evening visual disturbances, and daytime and nighttime driving disturbance scores",
        "Results": "At 3 months, mean monocular UDVA was approximately 0.00 logMAR across groups. Mean monocular DCNVA was 0.18 logMAR (Galaxy), 0.07 logMAR (POD F), and 0.30 logMAR (Vivity). Cumulative monocular UDVA ≤0.10 logMAR was achieved in 91% (Galaxy), 88% (POD F), and 83% (Vivity). Binocular CDVA ≤0.10 logMAR was achieved in >95% of eyes across groups. DCIVA ≤0.20 logMAR was achieved in 92% (Galaxy), 90% (POD F), and 85% (Vivity), while DCNVA ≤0.20 logMAR was observed in 72%, 92%, and 26%, respectively.Mean satisfaction scores at 3 months were 9.38 (Galaxy), 9.32 (POD F), and 8.95 (Vivity). Night-driving disturbance scores at 3 months were 2.14 (Galaxy), 3.17 (POD F), and 1.98 (Vivity).",
        "Conclusions": "All three IOLs achieved functional full-range vision. However, dysphotopsia perception differed, with higher night-driving disturbance in the diffractive group and reduced near performance in the segmented refractive group. Optical design influences visual comfort despite comparable distance outcomes, supporting individualized lens selection.Top of Form\n\nBottom of Form"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "FP32.12",
      "abstract_number": "FP32.12",
      "title": "Comparison Of Visual Outcomes And Patient Satisfaction Following Bilateral Implantation Of Two Full Range Of Vision Intraocular Lenses",
      "authors": "Dr Dagny Zhu",
      "presenter": "Dr Dagny Zhu",
      "normalized_authors": [
        "Dagny Zhu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dagny Zhu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate visual outcomes and patient satisfaction following bilateral implantation of the Clareon PanOptix versus Tecnis Odyssey IOL in patients undergoing cataract surgery.",
        "Setting": "Multi-center, private practice (4 sites)",
        "Methods": "This was a prospective, randomized, double masked, multicenter study of post-cataract surgery patients with bilateral implantation of Clareon Panoptix or Tecnis Odyssey IOLs. A total of 246 patients (123 each group) were targeted. Patients were evaluated at 3 months postoperatively for uncorrected and distance corrected visual acuities at distance (UDVA, CDVA), intermediate (UIVA, DCIVA; 60cm), and near (UNVA, DCNVA; 40cm and 33cm). Contrast sensitivity was also measured under mesopic and photopic conditions. Patient reported satisfaction and dysphotopsias were assessed with QUVID and IOLSAT questionnaires, and defocus curves were also measured.",
        "Results": "Preliminary results showed in the Odyssey group (n=27), mean binocular photopic distance-corrected visual acuities (logMAR) at 3 months were -0.08 ± 0.11 (CDVA), 0.12 ± 0.19 (DCIVA), 0.15 ± 0.16 (DCNVA 40cm), and 0.24 ± 0.11 (DCNVA 33cm), compared with -0.07 ± 0.09 (CDVA), 0.03 ± 0.17 (DCIVA), 0.08 ± 0.18 (DCNVA 40cm), and 0.20 ± 0.12 (DCNVA 33cm) in the PanOptix group (n=17). The percentage reporting starburst, halo, or glare as “Never” or “Rarely” was 38%, 35%, and 62% in Odyssey vs 54%, 38%, and 63% in PanOptix. Spectacle independence at intermediate and near was 94% and 82% in Odyssey and 100% and 96% in PanOptix. Additional data collection is ongoing.",
        "Conclusions": "Interim results suggest that implantation with Odyssey and PanOptix IOLs results in excellent visual acuities at distance, intermediate, near, and extreme near. There was a trend toward better intermediate and near visual acuity with PanOptix vs Odyssey. Both groups experienced visual disturbances. Additional data collection is ongoing."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Interim results suggest that implantation with Odyssey and PanOptix IOLs results in excellent visual acuities at distance, intermediate, near, and extreme near. There was a trend toward better intermediate and near visual acuity with PanOptix vs Odyssey. Both groups experienced visual disturbances. Additional data collection is ongoing.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 475,
      "source_fields": {
        "Abstract Final Identifier": "FP32.12",
        "Title": "Comparison Of Visual Outcomes And Patient Satisfaction Following Bilateral Implantation Of Two Full Range Of Vision Intraocular Lenses",
        "Presenting Author(s)": "Dr Dagny Zhu",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Dagny",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhu",
        "Country Name": "United States",
        "Purpose": "To evaluate visual outcomes and patient satisfaction following bilateral implantation of the Clareon PanOptix versus Tecnis Odyssey IOL in patients undergoing cataract surgery.",
        "Setting": "Multi-center, private practice (4 sites)",
        "Methods": "This was a prospective, randomized, double masked, multicenter study of post-cataract surgery patients with bilateral implantation of Clareon Panoptix or Tecnis Odyssey IOLs. A total of 246 patients (123 each group) were targeted. Patients were evaluated at 3 months postoperatively for uncorrected and distance corrected visual acuities at distance (UDVA, CDVA), intermediate (UIVA, DCIVA; 60cm), and near (UNVA, DCNVA; 40cm and 33cm). Contrast sensitivity was also measured under mesopic and photopic conditions. Patient reported satisfaction and dysphotopsias were assessed with QUVID and IOLSAT questionnaires, and defocus curves were also measured.",
        "Results": "Preliminary results showed in the Odyssey group (n=27), mean binocular photopic distance-corrected visual acuities (logMAR) at 3 months were -0.08 ± 0.11 (CDVA), 0.12 ± 0.19 (DCIVA), 0.15 ± 0.16 (DCNVA 40cm), and 0.24 ± 0.11 (DCNVA 33cm), compared with -0.07 ± 0.09 (CDVA), 0.03 ± 0.17 (DCIVA), 0.08 ± 0.18 (DCNVA 40cm), and 0.20 ± 0.12 (DCNVA 33cm) in the PanOptix group (n=17). The percentage reporting starburst, halo, or glare as “Never” or “Rarely” was 38%, 35%, and 62% in Odyssey vs 54%, 38%, and 63% in PanOptix. Spectacle independence at intermediate and near was 94% and 82% in Odyssey and 100% and 96% in PanOptix. Additional data collection is ongoing.",
        "Conclusions": "Interim results suggest that implantation with Odyssey and PanOptix IOLs results in excellent visual acuities at distance, intermediate, near, and extreme near. There was a trend toward better intermediate and near visual acuity with PanOptix vs Odyssey. Both groups experienced visual disturbances. Additional data collection is ongoing."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "FP32.13",
      "abstract_number": "FP32.13",
      "title": "Comparison Of Visual And Refractive Outcomes Between Hydrophilic And Hydrophobic Low-Add Segmental Refractive Multifocal Intraocular Lenses",
      "authors": "Dr Hao Zhang",
      "presenter": "Dr Hao Zhang",
      "normalized_authors": [
        "Hao Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hao Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To directly compare visual performance, refractive predictability, and optical quality after implantation of a hydrophobic segmental refractive IOL (ACUNEX Vario) versus a hydrophilic-based segmental refractive IOL (LENTIS Comfort LS-313 MF15).",
        "Setting": "A single-center observational comparative cohort study",
        "Methods": "This single-center, observational comparative cohort study included two cohorts: Group 1 (G-1), prospectively enrolled eyes implanted with ACUNEX Vario; and Group 2 (G-2), a historical cohort implanted with LS-313 MF15. Examinations were standardized with a nominal 6-month endpoint. Outcomes included monocular and binocular visual acuity (distance, intermediate, and near), refractive accuracy, monocular defocus curves, mesopic contrast sensitivity, and retinal image quality at 3 months measured by pyramidal aberrometry.",
        "Results": "A total of 163 eyes (111 patients) were analyzed (G-1: 66 eyes/35 patients; G-2: 97 eyes/76 patients). Monocular UDVA, UIVA, CDVA, refraction, DCIVA and DCNVA were comparable between groups (P>0.05). Near vision favored G-1 (UNVA/CNVA, P<0.05), and binocular acuity (uncorrected and distance-corrected) was better in G-1 at all distances (P<0.05). Defocus curves and mesopic contrast sensitivity were similar. Refractive accuracy within ±0.50 D and ±1.00 D was higher in G-1 than G-2 (74%/97% vs 60%/88%). In the optical-quality subset, pyramidal aberrometry (RMS/HOA, PSF Strehl) did not differ (P>0.05). PCO and enhancement rates were low in both cohorts.",
        "Conclusions": "ACUNEX Vario and LS-313 MF15 provided comparable, design-consistent distance-to-intermediate functional vision. ACUNEX Vario showed advantages in strict refractive predictability and near vision, with more favorable binocular performance overall."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ACUNEX Vario and LS-313 MF15 provided comparable, design-consistent distance-to-intermediate functional vision. ACUNEX Vario showed advantages in strict refractive predictability and near vision, with more favorable binocular performance overall.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 476,
      "source_fields": {
        "Abstract Final Identifier": "FP32.13",
        "Title": "Comparison Of Visual And Refractive Outcomes Between Hydrophilic And Hydrophobic Low-Add Segmental Refractive Multifocal Intraocular Lenses",
        "Presenting Author(s)": "Dr Hao Zhang",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Hao",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To directly compare visual performance, refractive predictability, and optical quality after implantation of a hydrophobic segmental refractive IOL (ACUNEX Vario) versus a hydrophilic-based segmental refractive IOL (LENTIS Comfort LS-313 MF15).",
        "Setting": "A single-center observational comparative cohort study",
        "Methods": "This single-center, observational comparative cohort study included two cohorts: Group 1 (G-1), prospectively enrolled eyes implanted with ACUNEX Vario; and Group 2 (G-2), a historical cohort implanted with LS-313 MF15. Examinations were standardized with a nominal 6-month endpoint. Outcomes included monocular and binocular visual acuity (distance, intermediate, and near), refractive accuracy, monocular defocus curves, mesopic contrast sensitivity, and retinal image quality at 3 months measured by pyramidal aberrometry.",
        "Results": "A total of 163 eyes (111 patients) were analyzed (G-1: 66 eyes/35 patients; G-2: 97 eyes/76 patients). Monocular UDVA, UIVA, CDVA, refraction, DCIVA and DCNVA were comparable between groups (P>0.05). Near vision favored G-1 (UNVA/CNVA, P<0.05), and binocular acuity (uncorrected and distance-corrected) was better in G-1 at all distances (P<0.05). Defocus curves and mesopic contrast sensitivity were similar. Refractive accuracy within ±0.50 D and ±1.00 D was higher in G-1 than G-2 (74%/97% vs 60%/88%). In the optical-quality subset, pyramidal aberrometry (RMS/HOA, PSF Strehl) did not differ (P>0.05). PCO and enhancement rates were low in both cohorts.",
        "Conclusions": "ACUNEX Vario and LS-313 MF15 provided comparable, design-consistent distance-to-intermediate functional vision. ACUNEX Vario showed advantages in strict refractive predictability and near vision, with more favorable binocular performance overall."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "FP32.14",
      "abstract_number": "FP32.14",
      "title": "Visual Outcomes After Trifocal Iol Implantation: An Age-Based Comparative Study",
      "authors": "Dr Javier H. Humberto Gonzalez-Lugo",
      "presenter": "Dr Javier H. Humberto Gonzalez-Lugo",
      "normalized_authors": [
        "Javier H. Humberto Gonzalez-Lugo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Javier Humberto Gonzalez Lugo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To determine whether advancing age independently affects functional visual outcomes after diffractive trifocal IOL implantation, specifically distance-corrected near visual acuity (DCNVA), while maintaining comparable refractive outcomes across age groups.",
        "Setting": "Retrospective observational cohort study conducted at a tertiary referral center (Vissum, Miranza Group), Alicante, Spain.",
        "Methods": "A total of 455 eyes from 249 patients undergoing uncomplicated phacoemulsification with diffractive trifocal IOL implantation (November 2019–February 2025) were included. All patients were candidates for trifocal IOL based on a strictly normal preoperative ophthalmic examination, except for cataract, with normal macular OCT in all cases. Eyes were stratified into three age groups: <60, 60–69, and ≥70 years. The primary endpoint was postoperative DCNVA (logMAR). Secondary outcomes included UDVA, CDVA, UNVA, refractive parameters, axial length, and anterior chamber depth. Linear mixed-effects models accounted for inter-eye correlation.",
        "Results": "Postoperative refractive outcomes were comparable across age groups, with mean spherical equivalent near emmetropia (−0.10 ± 0.33 D) and no significant differences in sphere or near addition (p > 0.05). In contrast, near visual performance declined with age. Mean DCNVA worsened from 0.074 logMAR (<60 years) to 0.162 logMAR (≥70 years) (p < 0.001). Patients ≥70 years showed significantly worse DCNVA than younger groups. Other visual acuity metrics showed a similar trend, with modest but significant reductions in both distance and near performance with advancing age.",
        "Conclusions": "Diffractive trifocal IOL implantation provided consistently high refractive accuracy across all age groups. Nonetheless, visual performance; particularly at near; declined significantly with advancing age, with a more pronounced effect beyond the seventh decade. These findings suggest that age-related optical and neurovisual changes may modulate functional outcomes independently of refractive precision. Careful preoperative counseling and individualized IOL selection should therefore be considered when managing older candidates for trifocal implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Diffractive trifocal IOL implantation provided consistently high refractive accuracy across all age groups. Nonetheless, visual performance; particularly at near; declined significantly with advancing age, with a more pronounced effect beyond the seventh decade. These findings suggest that age-related optical and neurovisual changes may modulate functional outcomes independently of refractive precision. Careful…",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 477,
      "source_fields": {
        "Abstract Final Identifier": "FP32.14",
        "Title": "Visual Outcomes After Trifocal Iol Implantation: An Age-Based Comparative Study",
        "Presenting Author(s)": "Dr Javier H. Humberto Gonzalez-Lugo",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Javier",
        "Submitter Middle Name": "Humberto",
        "Submitter Last Name": "Gonzalez Lugo",
        "Country Name": "Spain",
        "Purpose": "To determine whether advancing age independently affects functional visual outcomes after diffractive trifocal IOL implantation, specifically distance-corrected near visual acuity (DCNVA), while maintaining comparable refractive outcomes across age groups.",
        "Setting": "Retrospective observational cohort study conducted at a tertiary referral center (Vissum, Miranza Group), Alicante, Spain.",
        "Methods": "A total of 455 eyes from 249 patients undergoing uncomplicated phacoemulsification with diffractive trifocal IOL implantation (November 2019–February 2025) were included. All patients were candidates for trifocal IOL based on a strictly normal preoperative ophthalmic examination, except for cataract, with normal macular OCT in all cases. Eyes were stratified into three age groups: <60, 60–69, and ≥70 years. The primary endpoint was postoperative DCNVA (logMAR). Secondary outcomes included UDVA, CDVA, UNVA, refractive parameters, axial length, and anterior chamber depth. Linear mixed-effects models accounted for inter-eye correlation.",
        "Results": "Postoperative refractive outcomes were comparable across age groups, with mean spherical equivalent near emmetropia (−0.10 ± 0.33 D) and no significant differences in sphere or near addition (p > 0.05). In contrast, near visual performance declined with age. Mean DCNVA worsened from 0.074 logMAR (<60 years) to 0.162 logMAR (≥70 years) (p < 0.001). Patients ≥70 years showed significantly worse DCNVA than younger groups. Other visual acuity metrics showed a similar trend, with modest but significant reductions in both distance and near performance with advancing age.",
        "Conclusions": "Diffractive trifocal IOL implantation provided consistently high refractive accuracy across all age groups. Nonetheless, visual performance; particularly at near; declined significantly with advancing age, with a more pronounced effect beyond the seventh decade. These findings suggest that age-related optical and neurovisual changes may modulate functional outcomes independently of refractive precision. Careful preoperative counseling and individualized IOL selection should therefore be considered when managing older candidates for trifocal implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "FP32.15",
      "abstract_number": "FP32.15",
      "title": "Functional Outcomes Of Two Diffractive Trifocal Intraocular Lenses: A Comparative Study",
      "authors": "Mr Oliver Hassel",
      "presenter": "Mr Oliver Hassel",
      "normalized_authors": [
        "Oliver Hassel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oliver Hassel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The ARTIS Symbiose intraocular lens (IOL) system (Cristalens Industrie, France) introduces a complementary approach to multifocality: one IOL extends depth of focus to enhance intermediate vision (ARTIS Symbiose MID), while the fellow eye is optimized for near vision (ARTIS Symbiose PLUS), in addition to distance. This monocentric clinical study aimed to comprehensively evaluate visual acuity across distances with the ARTIS Symbiose system and to compare its performance with a conventional diffractive multifocal IOL, the AcrySof IQ PanOptix (Alcon, TX, USA).",
        "Setting": "Single-center university ophthalmology clinic Heidelberg; propective, blinded study",
        "Methods": "In total, 101 eyes of 51 patients were randomized to bilateral implantation with either AcrySof IQ PanOptix or the ARTIS Symbiose IOL system. Distance, intermediate, and near visual acuity as well as defocus curves were compared between ARTIS MID, ARTIS PLUS, and AcrySof IQ PanOptix. Postoperative follow-up was performed at 1, 6, and 12 months, including uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance-corrected intermediate visual acuity at 80 cm (UIVA, DCIVA), and near outcomes (UNVA, DCNVA). At 1 month, distance-corrected defocus curves and monocular and binocular contrast sensitivity were additionally assessed.",
        "Results": "At 1 month, binocular outcomes for the ARTIS Symbiose system were UDVA/CDVA 0.03/−0.05 logMAR and UIVA/CIVA 0.02/0.04 logMAR. AcrySof IQ PanOptix achieved UDVA/CDVA −0.04/−0.09 logMAR and UIVA/CIVA 0.01/0.01 logMAR. At 6 months, ARTIS Symbiose showed UDVA/CDVA 0.00/−0.08, UIVA/CIVA −0.01/0.00, and UNVA/DCNVA 0.08/0.09 logMAR, while PanOptix demonstrated UDVA/CDVA −0.09/−0.11, UIVA/DCIVA −0.02/−0.02, and UNVA/DCNVA 0.01/0.00 logMAR. Distance-corrected defocus curves showed ranges from +0.50 to −2.75 D for ARTIS and +0.50 to −3.00 D for PanOptix at 12 months.",
        "Conclusions": "Both the complementary diffractive IOL system and the conventional diffractive multifocal IOL provided favorable functional vision across distance, intermediate, and near ranges. The progressive improvement in binocular visual acuity supports the effectiveness of the ARTIS Symbiose concept. Ongoing detailed analyses will further characterize visual acuity and defocus curve performance over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both the complementary diffractive IOL system and the conventional diffractive multifocal IOL provided favorable functional vision across distance, intermediate, and near ranges. The progressive improvement in binocular visual acuity supports the effectiveness of the ARTIS Symbiose concept. Ongoing detailed analyses will further characterize visual acuity and defocus curve performance over time.",
      "session_type": "Free Paper",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 478,
      "source_fields": {
        "Abstract Final Identifier": "FP32.15",
        "Title": "Functional Outcomes Of Two Diffractive Trifocal Intraocular Lenses: A Comparative Study",
        "Presenting Author(s)": "Mr Oliver Hassel",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Oliver",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hassel",
        "Country Name": "Germany",
        "Purpose": "The ARTIS Symbiose intraocular lens (IOL) system (Cristalens Industrie, France) introduces a complementary approach to multifocality: one IOL extends depth of focus to enhance intermediate vision (ARTIS Symbiose MID), while the fellow eye is optimized for near vision (ARTIS Symbiose PLUS), in addition to distance. This monocentric clinical study aimed to comprehensively evaluate visual acuity across distances with the ARTIS Symbiose system and to compare its performance with a conventional diffractive multifocal IOL, the AcrySof IQ PanOptix (Alcon, TX, USA).",
        "Setting": "Single-center university ophthalmology clinic Heidelberg; propective, blinded study",
        "Methods": "In total, 101 eyes of 51 patients were randomized to bilateral implantation with either AcrySof IQ PanOptix or the ARTIS Symbiose IOL system. Distance, intermediate, and near visual acuity as well as defocus curves were compared between ARTIS MID, ARTIS PLUS, and AcrySof IQ PanOptix. Postoperative follow-up was performed at 1, 6, and 12 months, including uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance-corrected intermediate visual acuity at 80 cm (UIVA, DCIVA), and near outcomes (UNVA, DCNVA). At 1 month, distance-corrected defocus curves and monocular and binocular contrast sensitivity were additionally assessed.",
        "Results": "At 1 month, binocular outcomes for the ARTIS Symbiose system were UDVA/CDVA 0.03/−0.05 logMAR and UIVA/CIVA 0.02/0.04 logMAR. AcrySof IQ PanOptix achieved UDVA/CDVA −0.04/−0.09 logMAR and UIVA/CIVA 0.01/0.01 logMAR. At 6 months, ARTIS Symbiose showed UDVA/CDVA 0.00/−0.08, UIVA/CIVA −0.01/0.00, and UNVA/DCNVA 0.08/0.09 logMAR, while PanOptix demonstrated UDVA/CDVA −0.09/−0.11, UIVA/DCIVA −0.02/−0.02, and UNVA/DCNVA 0.01/0.00 logMAR. Distance-corrected defocus curves showed ranges from +0.50 to −2.75 D for ARTIS and +0.50 to −3.00 D for PanOptix at 12 months.",
        "Conclusions": "Both the complementary diffractive IOL system and the conventional diffractive multifocal IOL provided favorable functional vision across distance, intermediate, and near ranges. The progressive improvement in binocular visual acuity supports the effectiveness of the ARTIS Symbiose concept. Ongoing detailed analyses will further characterize visual acuity and defocus curve performance over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 354
    },
    {
      "uid": "POORB002",
      "abstract_number": "POORB002",
      "title": "Eye Injuries In War: Clinical, Surgical, And Humanitarian Perspectives",
      "authors": "Dr Sibylle Katharina Scholtz",
      "presenter": "Dr Sibylle Katharina Scholtz",
      "normalized_authors": [
        "Sibylle Katharina Scholtz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sibylle Katharina Scholtz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Armed conflicts continue to generate a high incidence of complex ocular trauma, posing unique challenges to ophthalmologists worldwide. This book, Eye Injuries in War (Springer, 2026), consolidates expertise from international specialists to provide a comprehensive overview of the pathophysiology, diagnostics, surgical strategies, and rehabilitation of eye injuries caused by modern warfare.",
        "Setting": "Cooperation of several international clinics and institutes locared in Ukraine and Germany.",
        "Methods": "The volume integrates historical perspectives, frontline surgical experience, and contemporary clinical research. Contributors include ophthalmic surgeons, trauma specialists, and historians, each addressing a specific aspect of war-related eye injuries. Chapters span from historical accounts of battlefield ophthalmology to state-of-the-art management of blast injuries, ballistic trauma, mine-explosive damage, and combined craniofacial wounds. Additional chapters cover vision assessment without standard equipment, multidisciplinary rehabilitation, and psychosocial dimensions of visual loss.",
        "Results": "The book highlights advances in emergency surgical strategies under resource-limited conditions, long-term reconstructive approaches, and preventive strategies, including ballistic eye protection. It also presents case series from recent conflicts, offering pragmatic solutions to surgeons faced with mass casualty scenarios. A distinctive feature is the integration of historical lessons with modern clinical practice, providing context for how ophthalmology has adapted to the changing nature of warfare.",
        "Conclusions": "Eye Injuries in War serves as both a reference and a teaching resource for ophthalmologists, military surgeons, and allied professionals. By bridging history, science, and field experience, it addresses the urgent need for structured knowledge on ocular war trauma and its management. The book underlines the responsibility of ophthalmology not only to restore vision but also to mitigate the long-term consequences of war-related blindness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eye Injuries in War serves as both a reference and a teaching resource for ophthalmologists, military surgeons, and allied professionals. By bridging history, science, and field experience, it addresses the urgent need for structured knowledge on ocular war trauma and its management. The book underlines the responsibility of ophthalmology not only to restore vision but also to mitigate the long-term consequences of…",
      "session_type": "Free Paper",
      "track": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 479,
      "source_fields": {
        "Abstract Final Identifier": "POORB002",
        "Title": "Eye Injuries In War: Clinical, Surgical, And Humanitarian Perspectives",
        "Presenting Author(s)": "Dr Sibylle Katharina Scholtz",
        "Abstract Topic Name": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
        "Submitter First Name": "Sibylle",
        "Submitter Middle Name": "Katharina",
        "Submitter Last Name": "Scholtz",
        "Country Name": "Germany",
        "Purpose": "Armed conflicts continue to generate a high incidence of complex ocular trauma, posing unique challenges to ophthalmologists worldwide. This book, Eye Injuries in War (Springer, 2026), consolidates expertise from international specialists to provide a comprehensive overview of the pathophysiology, diagnostics, surgical strategies, and rehabilitation of eye injuries caused by modern warfare.",
        "Setting": "Cooperation of several international clinics and institutes locared in Ukraine and Germany.",
        "Methods": "The volume integrates historical perspectives, frontline surgical experience, and contemporary clinical research. Contributors include ophthalmic surgeons, trauma specialists, and historians, each addressing a specific aspect of war-related eye injuries. Chapters span from historical accounts of battlefield ophthalmology to state-of-the-art management of blast injuries, ballistic trauma, mine-explosive damage, and combined craniofacial wounds. Additional chapters cover vision assessment without standard equipment, multidisciplinary rehabilitation, and psychosocial dimensions of visual loss.",
        "Results": "The book highlights advances in emergency surgical strategies under resource-limited conditions, long-term reconstructive approaches, and preventive strategies, including ballistic eye protection. It also presents case series from recent conflicts, offering pragmatic solutions to surgeons faced with mass casualty scenarios. A distinctive feature is the integration of historical lessons with modern clinical practice, providing context for how ophthalmology has adapted to the changing nature of warfare.",
        "Conclusions": "Eye Injuries in War serves as both a reference and a teaching resource for ophthalmologists, military surgeons, and allied professionals. By bridging history, science, and field experience, it addresses the urgent need for structured knowledge on ocular war trauma and its management. The book underlines the responsibility of ophthalmology not only to restore vision but also to mitigate the long-term consequences of war-related blindness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "OB01.01",
      "abstract_number": "OB01.01",
      "title": "Deploying Artificial Intelligence For Assessing Burden Of Corneal Blindness And Population Need For Donor Cornea",
      "authors": "Prof. Noopur Gupta",
      "presenter": "Prof. Noopur Gupta",
      "normalized_authors": [
        "Noopur Gupta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Noopur Gupta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To create an Artificial Intelligence (AI) based smartphone platform that can detect corneal opacities from smartphone images and identify patients requiring corneal transplantation, and to validate it in a community setting. This would help in filling the lacunae in countries with developing economies where Corneal Blindness is a major public health concern and there is limited community-based data on its burden and the need for keratoplasty at the population level.",
        "Setting": "This was a cross-sectional observational study to create an AI based application followed by a population based cross sectional survey to validate it. 2000 images of the cornea (1000 corneal opacities and 1000 normal eyes) were used for the training dataset. 4954 participants were enumerated through the population-based survey for validation of the AI platform.",
        "Methods": "2000 smartphone clicked images of cornea were pre-processed and used to train an AI model using 80% of the dataset, whereas 20% was used to internally validate the model. Once trained, the model was integrated into Android application along with a questionnaire and tested in a population-based survey to evaluate the applicability of the platform. The sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and accuracy were calculated in the internal validation of the model. On field testing in the real world, the accuracy of the AI model in identifying corneal opacities and predicting the need for keratoplasty was calculated and Cohen’s Kappa was determined for agreement with the ophthalmologist diagnosis.",
        "Results": "The trained model achieved an accuracy of 92.25% with sensitivity, specificity, PPV and NPV above 90%. In the field, the model demonstrated an accuracy of 94.59% in identifying corneal opacities, with a sensitivity and PPV of 72.4% (95% CI 52.8% to 87.3%) and specificity and NPV of 97% (95% CI 94.2% to 98.7%). Cohen’s Kappa was determined to be 0.6942 which indicated a significant agreement of the AI model diagnosis with that of the ophthalmologist. The need for keratoplasty was determined to be 0.07%, 7 donor corneas per 10000 population, with a 100% correlation between the model and the ophthalmologist.",
        "Conclusions": "Smartphone image-based AI systems demonstrated have a high diagnostic accuracy to estimate the burden of corneal opacities and determining the unmet need for donor corneas. It can be used by healthcare workers at the community level with ease. Such widely accessible and scalable Smartphone image-based AI systems can be used to improve screening accessibility and connect marginalized groups to sight-restoring interventions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Smartphone image-based AI systems demonstrated have a high diagnostic accuracy to estimate the burden of corneal opacities and determining the unmet need for donor corneas. It can be used by healthcare workers at the community level with ease. Such widely accessible and scalable Smartphone image-based AI systems can be used to improve screening accessibility and connect marginalized groups to sight-restoring…",
      "session_type": "Free Paper",
      "track": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 480,
      "source_fields": {
        "Abstract Final Identifier": "OB01.01",
        "Title": "Deploying Artificial Intelligence For Assessing Burden Of Corneal Blindness And Population Need For Donor Cornea",
        "Presenting Author(s)": "Prof. Noopur Gupta",
        "Abstract Topic Name": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
        "Submitter First Name": "Noopur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gupta",
        "Country Name": "India",
        "Purpose": "To create an Artificial Intelligence (AI) based smartphone platform that can detect corneal opacities from smartphone images and identify patients requiring corneal transplantation, and to validate it in a community setting. This would help in filling the lacunae in countries with developing economies where Corneal Blindness is a major public health concern and there is limited community-based data on its burden and the need for keratoplasty at the population level.",
        "Setting": "This was a cross-sectional observational study to create an AI based application followed by a population based cross sectional survey to validate it. 2000 images of the cornea (1000 corneal opacities and 1000 normal eyes) were used for the training dataset. 4954 participants were enumerated through the population-based survey for validation of the AI platform.",
        "Methods": "2000 smartphone clicked images of cornea were pre-processed and used to train an AI model using 80% of the dataset, whereas 20% was used to internally validate the model. Once trained, the model was integrated into Android application along with a questionnaire and tested in a population-based survey to evaluate the applicability of the platform. The sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and accuracy were calculated in the internal validation of the model. On field testing in the real world, the accuracy of the AI model in identifying corneal opacities and predicting the need for keratoplasty was calculated and Cohen’s Kappa was determined for agreement with the ophthalmologist diagnosis.",
        "Results": "The trained model achieved an accuracy of 92.25% with sensitivity, specificity, PPV and NPV above 90%. In the field, the model demonstrated an accuracy of 94.59% in identifying corneal opacities, with a sensitivity and PPV of 72.4% (95% CI 52.8% to 87.3%) and specificity and NPV of 97% (95% CI 94.2% to 98.7%). Cohen’s Kappa was determined to be 0.6942 which indicated a significant agreement of the AI model diagnosis with that of the ophthalmologist. The need for keratoplasty was determined to be 0.07%, 7 donor corneas per 10000 population, with a 100% correlation between the model and the ophthalmologist.",
        "Conclusions": "Smartphone image-based AI systems demonstrated have a high diagnostic accuracy to estimate the burden of corneal opacities and determining the unmet need for donor corneas. It can be used by healthcare workers at the community level with ease. Such widely accessible and scalable Smartphone image-based AI systems can be used to improve screening accessibility and connect marginalized groups to sight-restoring interventions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 408
    },
    {
      "uid": "OB01.02",
      "abstract_number": "OB01.02",
      "title": "Sex Differences In Early-Onset Cataract: Reproductive Aging, Betel Quid Use, And Socioeconomic Disadvantage In A South Indian Cohort",
      "authors": "Dr Jebinth Brayan",
      "presenter": "Dr Jebinth Brayan",
      "normalized_authors": [
        "Jebinth Brayan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jebinth Brayan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Women experience disproportionate cataract blindness, but whether this reflects earlier disease expression rather than delayed access is unclear. To quantify sex differences in age at cataract surgery and determine whether the age gap persists across preoperative vision‑impairment severity. To identify determinants of presenile cataract in midlife women, focusing on menopausal stage and region‑specific exposures.",
        "Setting": "We retrospectively analyzed 3.3 million adult cataract surgeries performed within a high-volume eye-care network in South India (2010–2023) and conducted a prospective case–control study of women aged 35–50 years.",
        "Methods": "Retrospective analysis of adult cataract surgeries (≥18 years). Age at surgery and preoperative best‑corrected visual acuity (BCVA) were extracted. BCVA was grouped into WHO categories. Age distributions and medians were compared by sex overall and within BCVA strata; female:male surgery ratios were calculated by single year of age. Prospective case–control study of women aged 35–50 years. Cases had any lens opacity on slit‑lamp examination and photography; controls had clear lenses bilaterally. Menopausal stage was classified using the STRAW +10 criteria. Exposures included socioeconomic status , betel quid use, and clinical/lifestyle covariates. Associations were assessed using age‑adjusted logistic regression.",
        "Results": "Among 3,347,285 surgeries, 54.6% were in women. Women were younger at surgery than men (median 60 vs 64 years; mean 60.6 vs 62.9). Female: male surgery ratios exceeded 1.0 from ages 30–59 and peaked at 1.69 in ages 40–49. Of 340 participants, 86 were cases and 254 controls. Cases were older (median 45 vs 40 years; p<0.0001) and more often natural postmenopausal (25.6% vs 3.5%). After age adjustment, natural postmenopause was strongly associated with cataract vs premenopause (OR 5.92, 95%CI 2.27–15.46). Regular betel quid use increased odds (OR 2.55, 95%CI 1.01–6.48). Lower socioeconomic class showed a graded association (class IV OR 2.44, 95%CI 1.34–4.44; class V OR 7.15, 95%CI 1.18–43.24; ref class III).",
        "Conclusions": "In a high‑volume low‑ and middle‑income country (LMIC) surgical network, women reach cataract surgery at younger ages than men, with a pronounced midlife shift that is not explained by worse presenting vision. In women ≤50 years, presenile cataract is linked to natural postmenopause, regular betel quid use, and socioeconomic disadvantage. Targeted midlife screening and prevention should incorporate reproductive aging and modifiable cultural exposures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a high‑volume low‑ and middle‑income country (LMIC) surgical network, women reach cataract surgery at younger ages than men, with a pronounced midlife shift that is not explained by worse presenting vision. In women ≤50 years, presenile cataract is linked to natural postmenopause, regular betel quid use, and socioeconomic disadvantage. Targeted midlife screening and prevention should incorporate reproductive…",
      "session_type": "Free Paper",
      "track": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Free Paper",
      "source_row": 481,
      "source_fields": {
        "Abstract Final Identifier": "OB01.02",
        "Title": "Sex Differences In Early-Onset Cataract: Reproductive Aging, Betel Quid Use, And Socioeconomic Disadvantage In A South Indian Cohort",
        "Presenting Author(s)": "Dr Jebinth Brayan",
        "Abstract Topic Name": "Orbis: Treatment and Prevention of Blindness in Low- and Middle-Income Countries",
        "Submitter First Name": "Jebinth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brayan",
        "Country Name": "India",
        "Purpose": "Women experience disproportionate cataract blindness, but whether this reflects earlier disease expression rather than delayed access is unclear. To quantify sex differences in age at cataract surgery and determine whether the age gap persists across preoperative vision‑impairment severity. To identify determinants of presenile cataract in midlife women, focusing on menopausal stage and region‑specific exposures.",
        "Setting": "We retrospectively analyzed 3.3 million adult cataract surgeries performed within a high-volume eye-care network in South India (2010–2023) and conducted a prospective case–control study of women aged 35–50 years.",
        "Methods": "Retrospective analysis of adult cataract surgeries (≥18 years). Age at surgery and preoperative best‑corrected visual acuity (BCVA) were extracted. BCVA was grouped into WHO categories. Age distributions and medians were compared by sex overall and within BCVA strata; female:male surgery ratios were calculated by single year of age. Prospective case–control study of women aged 35–50 years. Cases had any lens opacity on slit‑lamp examination and photography; controls had clear lenses bilaterally. Menopausal stage was classified using the STRAW +10 criteria. Exposures included socioeconomic status , betel quid use, and clinical/lifestyle covariates. Associations were assessed using age‑adjusted logistic regression.",
        "Results": "Among 3,347,285 surgeries, 54.6% were in women. Women were younger at surgery than men (median 60 vs 64 years; mean 60.6 vs 62.9). Female: male surgery ratios exceeded 1.0 from ages 30–59 and peaked at 1.69 in ages 40–49. Of 340 participants, 86 were cases and 254 controls. Cases were older (median 45 vs 40 years; p<0.0001) and more often natural postmenopausal (25.6% vs 3.5%). After age adjustment, natural postmenopause was strongly associated with cataract vs premenopause (OR 5.92, 95%CI 2.27–15.46). Regular betel quid use increased odds (OR 2.55, 95%CI 1.01–6.48). Lower socioeconomic class showed a graded association (class IV OR 2.44, 95%CI 1.34–4.44; class V OR 7.15, 95%CI 1.18–43.24; ref class III).",
        "Conclusions": "In a high‑volume low‑ and middle‑income country (LMIC) surgical network, women reach cataract surgery at younger ages than men, with a pronounced midlife shift that is not explained by worse presenting vision. In women ≤50 years, presenile cataract is linked to natural postmenopause, regular betel quid use, and socioeconomic disadvantage. Targeted midlife screening and prevention should incorporate reproductive aging and modifiable cultural exposures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 404
    },
    {
      "uid": "PP01.01",
      "abstract_number": "PP01.01",
      "title": "Differential Effects Of Diquafosol And Rebamipide On Tear Film Stability And Meibomian Gland Function After Cataract Surgery",
      "authors": "A/Prof. Jae Hyun Kim",
      "presenter": "A/Prof. Jae Hyun Kim",
      "normalized_authors": [
        "Jae Hyun Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Myung Ho Cho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the clinical efficacy of diquafosol and rebamipide on ocular surface parameters following cataract surgery in patients with dry eye disease.",
        "Setting": "This prospective, randomized study included 75 eyes of patients with pre-existing dry eye disease (DED) who were scheduled to undergo cataract surgery. The study population was randomly assigned to one of three treatment groups: the control group receiving carboxymethylcellulose (n = 25), the diquafosol group receiving 3% diquafosol sodium (n = 25), and the rebamipide group receiving 2% rebamipide ophthalmic suspension (n = 25).",
        "Methods": "Ocular surface assessments were performed preoperatively and at 4 weeks postoperatively. Outcome measures included tear break-up time (TBUT), Schirmer test, corneal staining score, meibomian gland secretion grade, eyelid margin telangiectasia, and Ocular Surface Disease Index (OSDI). Statistical analyses were conducted for intergroup comparisons and changes from baseline.",
        "Results": "Baseline parameters showed no significant differences among groups. Compared with controls, the diquafosol group demonstrated significant improvements in TBUT (p = 0.001), corneal staining (p = 0.015), and OSDI (p < 0.001). The rebamipide group showed significant improvements in meibomian gland secretion, telangiectasia, Schirmer test values, and OSDI (all p < 0.05). Direct comparison revealed greater TBUT improvement in the diquafosol group (p = 0.017), whereas telangiectasia and Schirmer test improvements were greater in the rebamipide group (p = 0.002 and p = 0.036).",
        "Conclusions": "Both agents improved postoperative ocular surface status. Diquafosol was more effective in enhancing tear film stability, while rebamipide showed favorable effects on meibomian gland function, suggesting complementary therapeutic roles in managing post-cataract dry eye."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both agents improved postoperative ocular surface status. Diquafosol was more effective in enhancing tear film stability, while rebamipide showed favorable effects on meibomian gland function, suggesting complementary therapeutic roles in managing post-cataract dry eye.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 2,
      "source_fields": {
        "Abstract Final Identifier": "PP01.01",
        "Title": "Differential Effects Of Diquafosol And Rebamipide On Tear Film Stability And Meibomian Gland Function After Cataract Surgery",
        "Presenting Author(s)": "A/Prof. Jae Hyun Kim",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Myung Ho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cho",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the clinical efficacy of diquafosol and rebamipide on ocular surface parameters following cataract surgery in patients with dry eye disease.",
        "Setting": "This prospective, randomized study included 75 eyes of patients with pre-existing dry eye disease (DED) who were scheduled to undergo cataract surgery. The study population was randomly assigned to one of three treatment groups: the control group receiving carboxymethylcellulose (n = 25), the diquafosol group receiving 3% diquafosol sodium (n = 25), and the rebamipide group receiving 2% rebamipide ophthalmic suspension (n = 25).",
        "Methods": "Ocular surface assessments were performed preoperatively and at 4 weeks postoperatively. Outcome measures included tear break-up time (TBUT), Schirmer test, corneal staining score, meibomian gland secretion grade, eyelid margin telangiectasia, and Ocular Surface Disease Index (OSDI). Statistical analyses were conducted for intergroup comparisons and changes from baseline.",
        "Results": "Baseline parameters showed no significant differences among groups. Compared with controls, the diquafosol group demonstrated significant improvements in TBUT (p = 0.001), corneal staining (p = 0.015), and OSDI (p < 0.001). The rebamipide group showed significant improvements in meibomian gland secretion, telangiectasia, Schirmer test values, and OSDI (all p < 0.05). Direct comparison revealed greater TBUT improvement in the diquafosol group (p = 0.017), whereas telangiectasia and Schirmer test improvements were greater in the rebamipide group (p = 0.002 and p = 0.036).",
        "Conclusions": "Both agents improved postoperative ocular surface status. Diquafosol was more effective in enhancing tear film stability, while rebamipide showed favorable effects on meibomian gland function, suggesting complementary therapeutic roles in managing post-cataract dry eye."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "PP01.16",
      "abstract_number": "PP01.16",
      "title": "Clinical Outcomes Of A Multicenter Study Following The Use Of Losartan For Corneal Fibrosis In A Low-Income Country.",
      "authors": "Dr Ruddy Aarón Ortiz Lopez",
      "presenter": "Dr Ruddy Aarón Ortiz Lopez",
      "normalized_authors": [
        "Ruddy Aarón Ortiz Lopez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ruddy Aarón Ortiz Lopez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To report the visual acuity, QoL, topographic, corneal OCT and epithelial mapping results in patients with corneal fibrosis (leukoma) treated with topical Losartan (0.8mg/mL) 6 times per day for a minimum of 3 months.",
        "Setting": "Real-word study was conducted in Guatemala, across six different states. Ten ophthalmological centers participated. A compounding pharmacy was in charge of production. After signing informed consent, patients received one new dropper each month free of charge. Patients were monitored for any side effects.",
        "Methods": "Ninety-six eyes diagnosed with leukoma due to various pathologies and stages of evolution were included in the study. Topical losartan (0.8mg/mL) prepared in a compounding pharmacy. Dosage: 6 drops a day for a minimum of 3 months. The minimum age was set at 3 years. Ten ophthalmological centers distributed across six departmental regions of Guatemala were included. Visual acuity and QoL were measured before and after treatment. Topographic data (Q-value, SIMK, TCRP, HOAs, corneal densitometry [COD], B/F ratio), corneal OCT images, and epithelial mapping were measured before and after treatment. Pregnant patients, eyes with active epithelial damage and non-stromal corneal opacities were excluded. The maximum treatment duration was 15 months.",
        "Results": "Ninety-six eyes. Mean age was 45.45 ±23.85 y/o (min 4 – max 83). Time of evolution with leukoma 71.35 ±106.7 months (min 1 – max 380). Diagnosis of leukoma: post-herpes keratitis 33%, post-bacterial keratitis 15%, post-surgical 15%, ocular rosacea 10% and other 29%. Mean monocular UCVA and BCVA before treatment were 1.02 ±0.60 logMAR and 0.65 ±0.63 logMAR, resp. Mean UCVA and BCVA after treatment were 0.71 ±0.57 logMAR and 0.39 ±0.53 logMAR, resp. (p<0.01). Mean spherical equivalent pre vs post were 3.05 ±3.11D vs 1.89 ±1.6D resp. (p<0.05). Maximum epithelial thickness pre 67.89 ±13.63µm vs post 89.33 ±16.5µm (p<0.05). Mean COD pre 0.39 ±0.07 vs post 0.15 ±0.03 (p<0.05). Mean Q value pre -0.21 ±0.04 post -0.01±0.03 (p<0.05).",
        "Conclusions": "In low-income countries with difficult access to corneal transplant surgeries for corneal opacities, topical Losartan treatment (0.8mg/mL) showed to be a safe, low-cost, effective and easily accessible alternative. The visual acuity, corneal features and QoL improved statistically significant d espite a long history of leukoma, age and cause of fibrosis. No side effects were reported. Additional studies should be conducted with a larger population and other pathologies involving TGF-beta . We do not recommend the use of powdered tablets."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In low-income countries with difficult access to corneal transplant surgeries for corneal opacities, topical Losartan treatment (0.8mg/mL) showed to be a safe, low-cost, effective and easily accessible alternative. The visual acuity, corneal features and QoL improved statistically significant d espite a long history of leukoma, age and cause of fibrosis. No side effects were reported. Additional studies should be…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 3,
      "source_fields": {
        "Abstract Final Identifier": "PP01.16",
        "Title": "Clinical Outcomes Of A Multicenter Study Following The Use Of Losartan For Corneal Fibrosis In A Low-Income Country.",
        "Presenting Author(s)": "Dr Ruddy Aarón Ortiz Lopez",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ruddy",
        "Submitter Middle Name": "Aarón",
        "Submitter Last Name": "Ortiz Lopez",
        "Country Name": "Guatemala",
        "Purpose": "To report the visual acuity, QoL, topographic, corneal OCT and epithelial mapping results in patients with corneal fibrosis (leukoma) treated with topical Losartan (0.8mg/mL) 6 times per day for a minimum of 3 months.",
        "Setting": "Real-word study was conducted in Guatemala, across six different states. Ten ophthalmological centers participated. A compounding pharmacy was in charge of production. After signing informed consent, patients received one new dropper each month free of charge. Patients were monitored for any side effects.",
        "Methods": "Ninety-six eyes diagnosed with leukoma due to various pathologies and stages of evolution were included in the study. Topical losartan (0.8mg/mL) prepared in a compounding pharmacy. Dosage: 6 drops a day for a minimum of 3 months. The minimum age was set at 3 years. Ten ophthalmological centers distributed across six departmental regions of Guatemala were included. Visual acuity and QoL were measured before and after treatment. Topographic data (Q-value, SIMK, TCRP, HOAs, corneal densitometry [COD], B/F ratio), corneal OCT images, and epithelial mapping were measured before and after treatment. Pregnant patients, eyes with active epithelial damage and non-stromal corneal opacities were excluded. The maximum treatment duration was 15 months.",
        "Results": "Ninety-six eyes. Mean age was 45.45 ±23.85 y/o (min 4 – max 83). Time of evolution with leukoma 71.35 ±106.7 months (min 1 – max 380). Diagnosis of leukoma: post-herpes keratitis 33%, post-bacterial keratitis 15%, post-surgical 15%, ocular rosacea 10% and other 29%. Mean monocular UCVA and BCVA before treatment were 1.02 ±0.60 logMAR and 0.65 ±0.63 logMAR, resp. Mean UCVA and BCVA after treatment were 0.71 ±0.57 logMAR and 0.39 ±0.53 logMAR, resp. (p<0.01). Mean spherical equivalent pre vs post were 3.05 ±3.11D vs 1.89 ±1.6D resp. (p<0.05). Maximum epithelial thickness pre 67.89 ±13.63µm vs post 89.33 ±16.5µm (p<0.05). Mean COD pre 0.39 ±0.07 vs post 0.15 ±0.03 (p<0.05). Mean Q value pre -0.21 ±0.04 post -0.01±0.03 (p<0.05).",
        "Conclusions": "In low-income countries with difficult access to corneal transplant surgeries for corneal opacities, topical Losartan treatment (0.8mg/mL) showed to be a safe, low-cost, effective and easily accessible alternative. The visual acuity, corneal features and QoL improved statistically significant d espite a long history of leukoma, age and cause of fibrosis. No side effects were reported. Additional studies should be conducted with a larger population and other pathologies involving TGF-beta . We do not recommend the use of powdered tablets."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 429
    },
    {
      "uid": "PP01.017",
      "abstract_number": "PP01.017",
      "title": "Thirteen-Year Review Of Microbial Keratitis–Related Endophthalmitis: Incidence, Clinical Course And Evisceration Rate",
      "authors": "Albanderi H. Alhamzah",
      "presenter": "Albanderi H. Alhamzah",
      "normalized_authors": [
        "Albanderi H. Alhamzah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Albanderi H. Alhamzah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the incidence, clinical symptoms, therapeutic interventions, and visual outcomes in cases of endophthalmitis secondary to microbial keratitis.",
        "Setting": "A specialized tertiary eye care setting . Dhahran, Saudi Arabia",
        "Methods": "A retrospective analysis was conducted on 15 patients treated at our ophthalmology department between 2011 and 2024. Data evaluated included clinical findings, pre-existing corneal disease, history of steroid use or ocular trauma, contact lens wear, specialized surgical interventions, identification of causative pathogens, and final visual acuity (VA",
        "Results": "Results: The incidence of microbial keratitis progressing to endophthalmitis was 0.146% (15/10,215)). Key findings\n\n• Comorbidities: 46.7% of patients were diabetic.\n\n• Time to Diagnosis: ranged from 1 to 45 days .\n\n• Time to Specialist Treatment: ranged from 3 days to 3 weeks .\n\n• Clinical Presentation: Common signs included eyelid swelling/tenderness (8/15), hypopyon (7/15), vitritis (8/15), and choroidal thickening (7/15).\n\n• Baseline Vision: 11/15 eyes No light perception, 3/15 eyes had light perception, and 3/15 eyes hand motion vision .\n\n• Microbiology: Pathogens were identified in 63.6% of samples.\n\n•\noutcomes: 7 3 . 3 % of eyes u nderwent evisceration. One-patient treated with vitrectomy and his final vision was 20/20. No patient suffered from sympathetic ophthalmia.",
        "Conclusions": "Endophthalmitis secondary to microbial keratitis carries a grave prognosis , frequently resulting in total eye loss despite aggressive surgical intervention. Significant delays in both initial clinical diagnosis and specialist referral are primary drivers of these devastating outcomes. These findings underscore the critical necessity for immediate diagnosis and streamlined referral pathways to specialized centers to preserve ocular integrity and mitigate the risk of evisceration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Endophthalmitis secondary to microbial keratitis carries a grave prognosis , frequently resulting in total eye loss despite aggressive surgical intervention. Significant delays in both initial clinical diagnosis and specialist referral are primary drivers of these devastating outcomes. These findings underscore the critical necessity for immediate diagnosis and streamlined referral pathways to specialized centers…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 4,
      "source_fields": {
        "Abstract Final Identifier": "PP01.017",
        "Title": "Thirteen-Year Review Of Microbial Keratitis–Related Endophthalmitis: Incidence, Clinical Course And Evisceration Rate",
        "Presenting Author(s)": "Albanderi H. Alhamzah",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Albanderi",
        "Submitter Middle Name": "H.",
        "Submitter Last Name": "Alhamzah",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the incidence, clinical symptoms, therapeutic interventions, and visual outcomes in cases of endophthalmitis secondary to microbial keratitis.",
        "Setting": "A specialized tertiary eye care setting . Dhahran, Saudi Arabia",
        "Methods": "A retrospective analysis was conducted on 15 patients treated at our ophthalmology department between 2011 and 2024. Data evaluated included clinical findings, pre-existing corneal disease, history of steroid use or ocular trauma, contact lens wear, specialized surgical interventions, identification of causative pathogens, and final visual acuity (VA",
        "Results": "Results: The incidence of microbial keratitis progressing to endophthalmitis was 0.146% (15/10,215)). Key findings\n\n• Comorbidities: 46.7% of patients were diabetic.\n\n• Time to Diagnosis: ranged from 1 to 45 days .\n\n• Time to Specialist Treatment: ranged from 3 days to 3 weeks .\n\n• Clinical Presentation: Common signs included eyelid swelling/tenderness (8/15), hypopyon (7/15), vitritis (8/15), and choroidal thickening (7/15).\n\n• Baseline Vision: 11/15 eyes No light perception, 3/15 eyes had light perception, and 3/15 eyes hand motion vision .\n\n• Microbiology: Pathogens were identified in 63.6% of samples.\n\n•\noutcomes: 7 3 . 3 % of eyes u nderwent evisceration. One-patient treated with vitrectomy and his final vision was 20/20. No patient suffered from sympathetic ophthalmia.",
        "Conclusions": "Endophthalmitis secondary to microbial keratitis carries a grave prognosis , frequently resulting in total eye loss despite aggressive surgical intervention. Significant delays in both initial clinical diagnosis and specialist referral are primary drivers of these devastating outcomes. These findings underscore the critical necessity for immediate diagnosis and streamlined referral pathways to specialized centers to preserve ocular integrity and mitigate the risk of evisceration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "PP01.018",
      "abstract_number": "PP01.018",
      "title": "Corneal Sensitivity Before And After Vitrectomy\nA Prospective Study",
      "authors": "Dr Aaron Perlberger",
      "presenter": "Dr Aaron Perlberger",
      "normalized_authors": [
        "Aaron Perlberger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aaron Perlberger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "This study aimed to test whether corneal sensitivity (CS), measured pre- and postoperatively in the same eye using a Cochet-Bonnet aesthesiometer (CBA), is reduced in patients undergoing vitrectomy.",
        "Setting": "CS was measured in patients undergoing vitrectomy with laser photocoagulation at the University Hospital of Antwerp in 2023. Postoperative CS was assessed between 1 and 3 months after surgery.",
        "Methods": "A prospective observational nonrandomized cohort study. CS was measured pre- and postoperatively using a CBA in 20 participants. Inclusion criteria were age over 18 years, vitrectomy for any indication, ability to provide consent, and testing performed within 72 hours preoperatively. Exclusion criteria included previous vitrectomy or refractive laser surgery, history of herpetic keratitis or neurotrophic keratopathy, a preoperative CS ≤ 1.0 cm, and pregnancy. Paired t-tests assessed whether mean postoperative CS was significantly lower than mean preoperative CS, both overall and for each indication. Clinical relevance was evaluated by calculating effect size using Cohen’s d.",
        "Results": "CS after vitrectomy (4.22 ± 1.25 cm) was significantly lower than before surgery (5.58 ± 0.48 cm; p < 0.001), with a large overall effect size (Cohen’s d = 1.06). In subgroup analysis, only patients with retinal detachment had a significant reduction (p = 0.046). Effect size was large for all indications (> 0.8).",
        "Conclusions": "This study confirmed the research hypothesis, showing a significant reduction in CS after vitrectomy. Subgroup analysis revealed that the reduction was statistically significant only for retinal detachment, but the effect size was large for all indications, indicating a substantial clinical reduction overall."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study confirmed the research hypothesis, showing a significant reduction in CS after vitrectomy. Subgroup analysis revealed that the reduction was statistically significant only for retinal detachment, but the effect size was large for all indications, indicating a substantial clinical reduction overall.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 5,
      "source_fields": {
        "Abstract Final Identifier": "PP01.018",
        "Title": "Corneal Sensitivity Before And After Vitrectomy\nA Prospective Study",
        "Presenting Author(s)": "Dr Aaron Perlberger",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Aaron",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Perlberger",
        "Country Name": "Netherlands",
        "Purpose": "This study aimed to test whether corneal sensitivity (CS), measured pre- and postoperatively in the same eye using a Cochet-Bonnet aesthesiometer (CBA), is reduced in patients undergoing vitrectomy.",
        "Setting": "CS was measured in patients undergoing vitrectomy with laser photocoagulation at the University Hospital of Antwerp in 2023. Postoperative CS was assessed between 1 and 3 months after surgery.",
        "Methods": "A prospective observational nonrandomized cohort study. CS was measured pre- and postoperatively using a CBA in 20 participants. Inclusion criteria were age over 18 years, vitrectomy for any indication, ability to provide consent, and testing performed within 72 hours preoperatively. Exclusion criteria included previous vitrectomy or refractive laser surgery, history of herpetic keratitis or neurotrophic keratopathy, a preoperative CS ≤ 1.0 cm, and pregnancy. Paired t-tests assessed whether mean postoperative CS was significantly lower than mean preoperative CS, both overall and for each indication. Clinical relevance was evaluated by calculating effect size using Cohen’s d.",
        "Results": "CS after vitrectomy (4.22 ± 1.25 cm) was significantly lower than before surgery (5.58 ± 0.48 cm; p < 0.001), with a large overall effect size (Cohen’s d = 1.06). In subgroup analysis, only patients with retinal detachment had a significant reduction (p = 0.046). Effect size was large for all indications (> 0.8).",
        "Conclusions": "This study confirmed the research hypothesis, showing a significant reduction in CS after vitrectomy. Subgroup analysis revealed that the reduction was statistically significant only for retinal detachment, but the effect size was large for all indications, indicating a substantial clinical reduction overall."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "PP01.02",
      "abstract_number": "PP01.02",
      "title": "Effect Of Bioptron Light Therapy On Dryness Of Eyes In Postmenopausal Women: A Randomized Controlled Trial",
      "authors": "Dr Ehab Saad",
      "presenter": "Dr Ehab Saad",
      "normalized_authors": [
        "Ehab Saad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ehab Saad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "The aim of this study was to evaluate the short-term effect of BLT, when added to a standardized educational program, on DED in postmenopausal women. The primary objective was to assess improvement in basal tear production using the Schirmer I test. Secondary objectives included evaluating tear film stability (TBUT) and dry-eye–related quality of life (DEQS).",
        "Setting": "This randomized controlled trial was conducted at the outpatient ophthalmology clinic of Benha University Teaching Hospital, Qalyubia, Egypt, between May and July 2023. The study was carried out in a tertiary referral academic eye care setting, where postmenopausal women with dry eye disease were screened, recruited, treated, and followed up under standardized clinical conditions.",
        "Methods": "This single-center, prospective, randomized, single-blind, parallel-group exploratory trial evaluated short-term efficacy and safety of Bioptron light therapy (BLT) plus standardized education in postmenopausal women with dry eye disease. Ethical approval was obtained (Cairo University, P.T.REC/012/004549) and the trial registered at ClinicalTrials.gov (NCT05964673). Conducted May–July 2023, this preliminary study prioritized feasibility and detecting clinically meaningful signals to guide larger trials.",
        "Results": "60 postmenopausal women with DED (BLT 30, Control 30), no dropouts.\n\nSchirmer I: BLT 5.3→14.9 mm vs Control 5.1→6.2 mm; MD +8.7 mm, p=0.001. 53% BLT normalized vs 0% severely dry.\n\nTBUT: BLT 5.0→10.8 s vs 5.2→7.8 s; MD +3.0 s, p=0.001. 67% BLT normalized.\n\nDEQS: BLT 69.6→13.7 vs 69.0→40.8; MD −24.1, p=0.002. QOL very good/excellent: 87% vs 20%.\n\nEffect η²=0.86. No adverse events. BLT rapidly normalized tear function and improved symptoms.",
        "Conclusions": "Bioptron light therapy added to standard care rapidly restores tear production and stability in postmenopausal women with severe dry eye. Objective measures (Schirmer, TBUT) and patient-reported outcomes (DEQS, QOL) showed large improvements within 4 weeks. Treatment was safe, well tolerated, and highly effective, converting severely dry eyes into functionally normal tear films with no adverse events. Published in Laser in Medical Science journal (doi: 10.1007/s10103-026-04807-6.)"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bioptron light therapy added to standard care rapidly restores tear production and stability in postmenopausal women with severe dry eye. Objective measures (Schirmer, TBUT) and patient-reported outcomes (DEQS, QOL) showed large improvements within 4 weeks. Treatment was safe, well tolerated, and highly effective, converting severely dry eyes into functionally normal tear films with no adverse events. Published in…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 6,
      "source_fields": {
        "Abstract Final Identifier": "PP01.02",
        "Title": "Effect Of Bioptron Light Therapy On Dryness Of Eyes In Postmenopausal Women: A Randomized Controlled Trial",
        "Presenting Author(s)": "Dr Ehab Saad",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ehab",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saad",
        "Country Name": "Egypt",
        "Purpose": "The aim of this study was to evaluate the short-term effect of BLT, when added to a standardized educational program, on DED in postmenopausal women. The primary objective was to assess improvement in basal tear production using the Schirmer I test. Secondary objectives included evaluating tear film stability (TBUT) and dry-eye–related quality of life (DEQS).",
        "Setting": "This randomized controlled trial was conducted at the outpatient ophthalmology clinic of Benha University Teaching Hospital, Qalyubia, Egypt, between May and July 2023. The study was carried out in a tertiary referral academic eye care setting, where postmenopausal women with dry eye disease were screened, recruited, treated, and followed up under standardized clinical conditions.",
        "Methods": "This single-center, prospective, randomized, single-blind, parallel-group exploratory trial evaluated short-term efficacy and safety of Bioptron light therapy (BLT) plus standardized education in postmenopausal women with dry eye disease. Ethical approval was obtained (Cairo University, P.T.REC/012/004549) and the trial registered at ClinicalTrials.gov (NCT05964673). Conducted May–July 2023, this preliminary study prioritized feasibility and detecting clinically meaningful signals to guide larger trials.",
        "Results": "60 postmenopausal women with DED (BLT 30, Control 30), no dropouts.\n\nSchirmer I: BLT 5.3→14.9 mm vs Control 5.1→6.2 mm; MD +8.7 mm, p=0.001. 53% BLT normalized vs 0% severely dry.\n\nTBUT: BLT 5.0→10.8 s vs 5.2→7.8 s; MD +3.0 s, p=0.001. 67% BLT normalized.\n\nDEQS: BLT 69.6→13.7 vs 69.0→40.8; MD −24.1, p=0.002. QOL very good/excellent: 87% vs 20%.\n\nEffect η²=0.86. No adverse events. BLT rapidly normalized tear function and improved symptoms.",
        "Conclusions": "Bioptron light therapy added to standard care rapidly restores tear production and stability in postmenopausal women with severe dry eye. Objective measures (Schirmer, TBUT) and patient-reported outcomes (DEQS, QOL) showed large improvements within 4 weeks. Treatment was safe, well tolerated, and highly effective, converting severely dry eyes into functionally normal tear films with no adverse events. Published in Laser in Medical Science journal (doi: 10.1007/s10103-026-04807-6.)"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "PP01.03",
      "abstract_number": "PP01.03",
      "title": "Low-Concentration Povidone-Iodine (≤1%) In Ophthalmology: Antimicrobial Efficacy And Ocular Surface Safety",
      "authors": "Dr Wojciech Luboń",
      "presenter": "Dr Wojciech Luboń",
      "normalized_authors": [
        "Wojciech Luboń"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wojciech Luboń",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Povidone-iodine (PVP-I) is the cornerstone antiseptic agent in ophthalmology, particularly in perioperative prophylaxis. Standard solutions at concentrations of 5–10% demonstrate high antimicrobial efficacy but may induce transient corneal epithelial damage, tear film instability, and ocular discomfort. In recent years, increasing attention has been directed toward low-concentration formulations (≤1%), which may preserve antimicrobial activity while reducing ocular surface toxicity.\n\nTo evaluate the antimicrobial efficacy and ocular surface safety of povidone-iodine at concentrations ≤1% compared with standard 5–10% solutions or other antiseptic agents used in ophthalmic practice.",
        "Setting": "Systematic narrative review of published clinical, ex vivo and in vitro studies",
        "Methods": "A systematic narrative analysis of published clinical, ex vivo, and in vitro studies was performed. Included studies evaluated PVP-I at concentrations ≤1% and reported quantitative data on microbial load reduction (colony-forming units [CFU], proportion of negative cultures, antiviral activity) and/or ocular surface safety parameters (tear break-up time [TBUT], epithelial damage, cytotoxicity, local tolerability). Due to methodological heterogeneity among studies, a qualitative synthesis of the data was conducted.",
        "Results": "Low concentrations of PVP-I (0.25–1%) demonstrated effective reduction of conjunctival bacterial flora and antiviral activity comparable to 5% solutions in direct comparative studies. Clinical analyses did not reveal significant loss of efficacy when 1% PVP-I was compared with the standard 5% formulation. At the same time, concentrations ≤1% were associated with a more favorable safety profile, including reduced epithelial damage, higher cell viability in experimental models, and improved local tolerability. Formulations containing approximately 0.6–0.66% PVP-I may have particular clinical relevance in preoperative regimens, enabling reduction of conjunctival colonization while maintaining good ocular surface tolerance.",
        "Conclusions": "Povidone-iodine at concentrations ≤1% appears to provide a favorable balance between antimicrobial efficacy and ocular surface safety. In selected clinical scenarios, low-concentration formulations may represent a rational alternative or adjunct to standard perioperative antisepsis. Further well-designed prospective clinical studies are required to define the optimal concentration range and treatment protocols."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Povidone-iodine at concentrations ≤1% appears to provide a favorable balance between antimicrobial efficacy and ocular surface safety. In selected clinical scenarios, low-concentration formulations may represent a rational alternative or adjunct to standard perioperative antisepsis. Further well-designed prospective clinical studies are required to define the optimal concentration range and treatment protocols.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 7,
      "source_fields": {
        "Abstract Final Identifier": "PP01.03",
        "Title": "Low-Concentration Povidone-Iodine (≤1%) In Ophthalmology: Antimicrobial Efficacy And Ocular Surface Safety",
        "Presenting Author(s)": "Dr Wojciech Luboń",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Wojciech",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Luboń",
        "Country Name": "Poland",
        "Purpose": "Povidone-iodine (PVP-I) is the cornerstone antiseptic agent in ophthalmology, particularly in perioperative prophylaxis. Standard solutions at concentrations of 5–10% demonstrate high antimicrobial efficacy but may induce transient corneal epithelial damage, tear film instability, and ocular discomfort. In recent years, increasing attention has been directed toward low-concentration formulations (≤1%), which may preserve antimicrobial activity while reducing ocular surface toxicity.\n\nTo evaluate the antimicrobial efficacy and ocular surface safety of povidone-iodine at concentrations ≤1% compared with standard 5–10% solutions or other antiseptic agents used in ophthalmic practice.",
        "Setting": "Systematic narrative review of published clinical, ex vivo and in vitro studies",
        "Methods": "A systematic narrative analysis of published clinical, ex vivo, and in vitro studies was performed. Included studies evaluated PVP-I at concentrations ≤1% and reported quantitative data on microbial load reduction (colony-forming units [CFU], proportion of negative cultures, antiviral activity) and/or ocular surface safety parameters (tear break-up time [TBUT], epithelial damage, cytotoxicity, local tolerability). Due to methodological heterogeneity among studies, a qualitative synthesis of the data was conducted.",
        "Results": "Low concentrations of PVP-I (0.25–1%) demonstrated effective reduction of conjunctival bacterial flora and antiviral activity comparable to 5% solutions in direct comparative studies. Clinical analyses did not reveal significant loss of efficacy when 1% PVP-I was compared with the standard 5% formulation. At the same time, concentrations ≤1% were associated with a more favorable safety profile, including reduced epithelial damage, higher cell viability in experimental models, and improved local tolerability. Formulations containing approximately 0.6–0.66% PVP-I may have particular clinical relevance in preoperative regimens, enabling reduction of conjunctival colonization while maintaining good ocular surface tolerance.",
        "Conclusions": "Povidone-iodine at concentrations ≤1% appears to provide a favorable balance between antimicrobial efficacy and ocular surface safety. In selected clinical scenarios, low-concentration formulations may represent a rational alternative or adjunct to standard perioperative antisepsis. Further well-designed prospective clinical studies are required to define the optimal concentration range and treatment protocols."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "PP01.04",
      "abstract_number": "PP01.04",
      "title": "Eyelash Extensions And Demodex Folliculorum: Influence On Eyelid Microenvironment And Ocular Surface Health",
      "authors": "A/Prof. Tetiana Zhmud",
      "presenter": "A/Prof. Tetiana Zhmud",
      "normalized_authors": [
        "Tetiana Zhmud"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tetiana Zhmud",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "To investigate the presence of\n\nDemodex folliculorum\n\nin girls who undergo eyelash extension procedures and to assess its detection rate in this population.",
        "Setting": "Eyelash extensions are currently one of the most popular cosmetic procedures, providing the effect of long and voluminous lashes without the need for daily mascara use. However, this aesthetic procedure may be associated with adverse effects on the normal functioning of the ocular surface.\n\nThese conditions may promote the proliferation of Demodex folliculorum , a mite that parasitizes the eyelash follicles and can lead to the development of demodicosis.",
        "Methods": "At the preliminary stage of the study, 345 girls aged 16–28 years were surveyed. Among them, 86 (24.9%) had experience with eyelash extensions. In 85% of girls who had undergone the procedure more than 10 times, meibography revealed changes in the meibomian glands.\n\nAt the current stage, microscopic examination of eyelashes from 25 girls who regularly undergo eyelash extension procedures was performed to dete Demodex folliculorum . Four eyelashes were collected from each eyelid for analysis. The specimens were examined using light microscopy at ×100–400 magnification.",
        "Results": "The survey conducted at the preliminary stage showed that 58% of participants undergo eyelash extensions every 3–4 weeks, while 47.6% reported discomfort, redness, tearing, or itching after the procedure. Meibography demonstrated signs of meibomian gland dysfunction in 85% of cases.\n\nMicroscopic examination revealed the presence of Demodex folliculorum in 96% (24) of examined participants with eyelash extensions. Clinical manifestations of demodicosis were observed in 18 girls, including itching and irritation of the eyelid margins, hyperemia, edema, eyelash sticking, scales, and cylindrical dandruff at the base of the lashes.",
        "Conclusions": "Nearly all examined participants who regularly underwent eyelash extension procedures tested positive for Demodex folliculorum (96%). Frequent eyelash extensions may contribute to conditions favorable for mite proliferation due to impaired eyelid hygiene and alterations in the eyelid skin microenvironment. Preventive examinations and recommendations regarding eyelid hygiene before cosmetic procedures, as well as appropriate care for extended eyelashes, are necessary."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Nearly all examined participants who regularly underwent eyelash extension procedures tested positive for Demodex folliculorum (96%). Frequent eyelash extensions may contribute to conditions favorable for mite proliferation due to impaired eyelid hygiene and alterations in the eyelid skin microenvironment. Preventive examinations and recommendations regarding eyelid hygiene before cosmetic procedures, as well as…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 8,
      "source_fields": {
        "Abstract Final Identifier": "PP01.04",
        "Title": "Eyelash Extensions And Demodex Folliculorum: Influence On Eyelid Microenvironment And Ocular Surface Health",
        "Presenting Author(s)": "A/Prof. Tetiana Zhmud",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Tetiana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhmud",
        "Country Name": "Ukraine",
        "Purpose": "To investigate the presence of\n\nDemodex folliculorum\n\nin girls who undergo eyelash extension procedures and to assess its detection rate in this population.",
        "Setting": "Eyelash extensions are currently one of the most popular cosmetic procedures, providing the effect of long and voluminous lashes without the need for daily mascara use. However, this aesthetic procedure may be associated with adverse effects on the normal functioning of the ocular surface.\n\nThese conditions may promote the proliferation of Demodex folliculorum , a mite that parasitizes the eyelash follicles and can lead to the development of demodicosis.",
        "Methods": "At the preliminary stage of the study, 345 girls aged 16–28 years were surveyed. Among them, 86 (24.9%) had experience with eyelash extensions. In 85% of girls who had undergone the procedure more than 10 times, meibography revealed changes in the meibomian glands.\n\nAt the current stage, microscopic examination of eyelashes from 25 girls who regularly undergo eyelash extension procedures was performed to dete Demodex folliculorum . Four eyelashes were collected from each eyelid for analysis. The specimens were examined using light microscopy at ×100–400 magnification.",
        "Results": "The survey conducted at the preliminary stage showed that 58% of participants undergo eyelash extensions every 3–4 weeks, while 47.6% reported discomfort, redness, tearing, or itching after the procedure. Meibography demonstrated signs of meibomian gland dysfunction in 85% of cases.\n\nMicroscopic examination revealed the presence of Demodex folliculorum in 96% (24) of examined participants with eyelash extensions. Clinical manifestations of demodicosis were observed in 18 girls, including itching and irritation of the eyelid margins, hyperemia, edema, eyelash sticking, scales, and cylindrical dandruff at the base of the lashes.",
        "Conclusions": "Nearly all examined participants who regularly underwent eyelash extension procedures tested positive for Demodex folliculorum (96%). Frequent eyelash extensions may contribute to conditions favorable for mite proliferation due to impaired eyelid hygiene and alterations in the eyelid skin microenvironment. Preventive examinations and recommendations regarding eyelid hygiene before cosmetic procedures, as well as appropriate care for extended eyelashes, are necessary."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 328
    },
    {
      "uid": "PP01.05",
      "abstract_number": "PP01.05",
      "title": "Thermoresponsive Metal-Free Carbon-Dot Hydrogel Alleviates Oxidative Stress, Inflammation, And Apoptosis In Dry Eye",
      "authors": "Dr Yue Wu",
      "presenter": "Dr Yue Wu",
      "normalized_authors": [
        "Yue Wu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yue Wu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To develop a thermoresponsive, metal-free carbon nanodot (CD) hydrogel capable of effectively scavenging reactive oxygen species (ROS) and alleviating oxidative-stress–related ocular surface diseases, particularly dry eye disease (DED).",
        "Setting": "This was an experimental translational study conducted in a university-affiliated ophthalmic research center.",
        "Methods": "Carbon nanodots were synthesized via a one-step hydrothermal reaction between citric acid and hydrazine hydrate, followed by incorporation into a Pluronic F127 hydrogel to form a thermoresponsive F-CD hydrogel. The physicochemical properties were characterized by TEM, XPS, and rheology. Antioxidant capacity was evaluated through ESR and ABTS assays. In vitro antioxidative, anti-inflammatory, and antiapoptotic effects were investigated using human corneal epithelial cells under hyperosmotic stress. The therapeutic efficacy and safety of the F-CD hydrogel were further\nassessed in a benzalkonium chloride-induced DED mouse model.",
        "Results": "The F-CD hydrogel exhibited strong scavenging activity toward OH·, O2−·, and DPPH radicals, reduced intracellular ROS, and suppressed NLRP3 inflammasome activation. It stabilized mitochondrial membrane potential, upregulated BCL-2, and downregulated CASP3/9. In DED mice, topical F-CD hydrogel accelerated epithelial repair, increased tear secretion, and restored goblet cell density, outperforming free CDs while maintaining excellent biocompatibility.",
        "Conclusions": "The thermoresponsive F-CD hydrogel provides an efficient, metal-free, antioxidant platform that protects ocular surface tissues by targeting ROS-mediated oxidative stress and inflammation. It represents a promising, safe, and long-acting therapeutic strategy for DED and related ocular surface disorders."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The thermoresponsive F-CD hydrogel provides an efficient, metal-free, antioxidant platform that protects ocular surface tissues by targeting ROS-mediated oxidative stress and inflammation. It represents a promising, safe, and long-acting therapeutic strategy for DED and related ocular surface disorders.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 9,
      "source_fields": {
        "Abstract Final Identifier": "PP01.05",
        "Title": "Thermoresponsive Metal-Free Carbon-Dot Hydrogel Alleviates Oxidative Stress, Inflammation, And Apoptosis In Dry Eye",
        "Presenting Author(s)": "Dr Yue Wu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yue",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wu",
        "Country Name": "China",
        "Purpose": "To develop a thermoresponsive, metal-free carbon nanodot (CD) hydrogel capable of effectively scavenging reactive oxygen species (ROS) and alleviating oxidative-stress–related ocular surface diseases, particularly dry eye disease (DED).",
        "Setting": "This was an experimental translational study conducted in a university-affiliated ophthalmic research center.",
        "Methods": "Carbon nanodots were synthesized via a one-step hydrothermal reaction between citric acid and hydrazine hydrate, followed by incorporation into a Pluronic F127 hydrogel to form a thermoresponsive F-CD hydrogel. The physicochemical properties were characterized by TEM, XPS, and rheology. Antioxidant capacity was evaluated through ESR and ABTS assays. In vitro antioxidative, anti-inflammatory, and antiapoptotic effects were investigated using human corneal epithelial cells under hyperosmotic stress. The therapeutic efficacy and safety of the F-CD hydrogel were further\nassessed in a benzalkonium chloride-induced DED mouse model.",
        "Results": "The F-CD hydrogel exhibited strong scavenging activity toward OH·, O2−·, and DPPH radicals, reduced intracellular ROS, and suppressed NLRP3 inflammasome activation. It stabilized mitochondrial membrane potential, upregulated BCL-2, and downregulated CASP3/9. In DED mice, topical F-CD hydrogel accelerated epithelial repair, increased tear secretion, and restored goblet cell density, outperforming free CDs while maintaining excellent biocompatibility.",
        "Conclusions": "The thermoresponsive F-CD hydrogel provides an efficient, metal-free, antioxidant platform that protects ocular surface tissues by targeting ROS-mediated oxidative stress and inflammation. It represents a promising, safe, and long-acting therapeutic strategy for DED and related ocular surface disorders."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "PP01.06",
      "abstract_number": "PP01.06",
      "title": "Agreement And Clinical Alignment Of Osdi And Speed In A Large Dry Eye Specialty Clinic Cohort",
      "authors": "Mr Ahmed Abdel-Sayyed",
      "presenter": "Mr Ahmed Abdel-Sayyed",
      "normalized_authors": [
        "Ahmed Abdel-Sayyed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Abdel-Sayyed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To evaluate whether the Ocular Surface Disease Index (OSDI) and Standard Patient Evaluation of Eye Dryness (SPEED) are clinically interchangeable in a tertiary dry eye specialty clinic, informing cohort comparisons and longitudinal symptom monitoring, by quantifying correlation, individual-level agreement, and differential symptom-sign alignment with objective dry eye markers; we hypothesized that moderate correlation would mask clinically meaningful discordance after linear rescaling.",
        "Setting": "This retrospective, cross-sectional chart review evaluated patient encounters from a dry eye specialty clinic using de-identified data extracted from routine clinical care between January 2019 through December 2025. Data were extracted from electronic medical record (EMR) reports identifying patients with recorded OSDI and/or SPEED questionnaire data and were supplemented with targeted manual chart review quality checks.",
        "Methods": "Retrospective analysis of baseline encounters of adults (≥18 years) seen 2019–2025 (N = 3,337). Paired OSDI (0 – 100) and SPEED (0 – 28) totals (N = 3,268) were evaluated with Spearman correlation, Bland–Altman agreement after scaling SPEED to 0–100 (SPEEDx100/28), and Lin’s concordance correlation coefficient (CCC). In the item-level subset (OSDI N = 841; SPEED N = 835), internal consistency (Cronbach’s α) and exported-total versus item-derived discrepancies were assessed. Symptom-sign associations were evaluated using Spearman correlations with false discovery rate adjustment. A tear film homeostasis-loss composite (≥2 abnormal among osmolarity, NITBUT, fluorescein staining) was modeled using modified Poisson regression (N = 1,933).",
        "Results": "Mean age was 58.6 ± 16.4 years and 66.8% were female. OSDI and SPEED were moderately correlated (ρ = 0.53; p < 0.001) but showed poor agreement after rescaling (mean bias 19.6 points; 95% limits of agreement −21.3 to 60.5; CCC = 0.38). Internal consistency was high (OSDI α = 0.89; SPEED α = 0.87), and large scoring discrepancies were uncommon (OSDI >5 points 1.1%; SPEED >5 points 0.4%). Correlations with objective signs were weak (|ρ| ≤ 0.18). Higher OSDI was associated with homeostasis loss (adjusted prevalence ratio [PR] 1.03 per 10 points; p = 0.001), whereas SPEED was not (adjusted PR 1.00 per 5 points; p = 0.86).",
        "Conclusions": "In this specialty dry eye clinic moderate correlation between OSDI and SPEED masked clinically relevant individual-level discordance. After linear rescaling, Bland–Altman analysis demonstrated ~20-point positive bias with limits of agreement and low concordance, indicating limited interchangeability; switching instruments may mimic clinically meaningful change. Symptom–sign correlations were small; only OSDI showed modest association with a tear film homeostasis-loss composite. High internal consistency and item-derived sensitivity analyses indicated that EMR scoring differences did not explain discordance. OSDI and SPEED should be treated as complementary, not directly substitutable, supporting a multi-domain assessment in dry eye disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this specialty dry eye clinic moderate correlation between OSDI and SPEED masked clinically relevant individual-level discordance. After linear rescaling, Bland–Altman analysis demonstrated ~20-point positive bias with limits of agreement and low concordance, indicating limited interchangeability; switching instruments may mimic clinically meaningful change. Symptom–sign correlations were small; only OSDI showed…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 10,
      "source_fields": {
        "Abstract Final Identifier": "PP01.06",
        "Title": "Agreement And Clinical Alignment Of Osdi And Speed In A Large Dry Eye Specialty Clinic Cohort",
        "Presenting Author(s)": "Mr Ahmed Abdel-Sayyed",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdel-Sayyed",
        "Country Name": "Canada",
        "Purpose": "To evaluate whether the Ocular Surface Disease Index (OSDI) and Standard Patient Evaluation of Eye Dryness (SPEED) are clinically interchangeable in a tertiary dry eye specialty clinic, informing cohort comparisons and longitudinal symptom monitoring, by quantifying correlation, individual-level agreement, and differential symptom-sign alignment with objective dry eye markers; we hypothesized that moderate correlation would mask clinically meaningful discordance after linear rescaling.",
        "Setting": "This retrospective, cross-sectional chart review evaluated patient encounters from a dry eye specialty clinic using de-identified data extracted from routine clinical care between January 2019 through December 2025. Data were extracted from electronic medical record (EMR) reports identifying patients with recorded OSDI and/or SPEED questionnaire data and were supplemented with targeted manual chart review quality checks.",
        "Methods": "Retrospective analysis of baseline encounters of adults (≥18 years) seen 2019–2025 (N = 3,337). Paired OSDI (0 – 100) and SPEED (0 – 28) totals (N = 3,268) were evaluated with Spearman correlation, Bland–Altman agreement after scaling SPEED to 0–100 (SPEEDx100/28), and Lin’s concordance correlation coefficient (CCC). In the item-level subset (OSDI N = 841; SPEED N = 835), internal consistency (Cronbach’s α) and exported-total versus item-derived discrepancies were assessed. Symptom-sign associations were evaluated using Spearman correlations with false discovery rate adjustment. A tear film homeostasis-loss composite (≥2 abnormal among osmolarity, NITBUT, fluorescein staining) was modeled using modified Poisson regression (N = 1,933).",
        "Results": "Mean age was 58.6 ± 16.4 years and 66.8% were female. OSDI and SPEED were moderately correlated (ρ = 0.53; p < 0.001) but showed poor agreement after rescaling (mean bias 19.6 points; 95% limits of agreement −21.3 to 60.5; CCC = 0.38). Internal consistency was high (OSDI α = 0.89; SPEED α = 0.87), and large scoring discrepancies were uncommon (OSDI >5 points 1.1%; SPEED >5 points 0.4%). Correlations with objective signs were weak (|ρ| ≤ 0.18). Higher OSDI was associated with homeostasis loss (adjusted prevalence ratio [PR] 1.03 per 10 points; p = 0.001), whereas SPEED was not (adjusted PR 1.00 per 5 points; p = 0.86).",
        "Conclusions": "In this specialty dry eye clinic moderate correlation between OSDI and SPEED masked clinically relevant individual-level discordance. After linear rescaling, Bland–Altman analysis demonstrated ~20-point positive bias with limits of agreement and low concordance, indicating limited interchangeability; switching instruments may mimic clinically meaningful change. Symptom–sign correlations were small; only OSDI showed modest association with a tear film homeostasis-loss composite. High internal consistency and item-derived sensitivity analyses indicated that EMR scoring differences did not explain discordance. OSDI and SPEED should be treated as complementary, not directly substitutable, supporting a multi-domain assessment in dry eye disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 434
    },
    {
      "uid": "PP01.07",
      "abstract_number": "PP01.07",
      "title": "Corneal Tomographic, Aberrometric, And Endothelial Findings In Clinically Inactive Pediatric Ocular Rosacea: A Multimodal Imaging Study",
      "authors": "A/Prof. Sevgi Subasi",
      "presenter": "A/Prof. Sevgi Subasi",
      "normalized_authors": [
        "Sevgi Subasi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sevgi Subasi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Pediatric ocular rosacea (POR) is a chronic inflammatory disorder affecting the eyelids and ocular surface, characterized by a broad clinical spectrum ranging from meibomian gland dysfunction and blepharoconjunctivitis to keratoconjunctivitis and corneal neovascularization. The purpose of our study is to evaluate corneal tomographic, higher-order aberration (HOA), and endothelial characteristics in POR during the clinically inactive phase and compare them with age-matched controls.",
        "Setting": "This retrospective study was conducted at the Department of Ophthalmology, Kocaeli University, between January 2020 and January 2025.",
        "Methods": "This retrospective study included 40 eyes of 40 children (20 POR, 20 controls) examined during clinical inactivity (≥3 months after the last acute episode). All participants underwent Scheimpflug–Placido corneal tomography and non-contact specular microscopy. Keratometric, pachymetric, keratoconus screening indices, and HOAs over a 4-mm pupil were analyzed for anterior, posterior, and total corneal surfaces. Endothelial cell density (ECD), coefficient of variation (CV), and hexagonality were recorded.",
        "Results": "SimK1, SimK2, Kmean, and CCT were similar between groups. Kmax was higher in POR (p=0.008), while keratoconus indices remained normal. Anterior corneal trefoil, spherical aberration, quadrafoil, and total HOA showed significantly greater magnitudes, whereas coma and Strehl ratio were comparable. Kmax was confined to eyes with corneal scarring/neovascularization, whereas anterior trefoil increased regardless of scarring/neovascularization. In multivariate analysis, anterior corneal trefoil remained independently associated with POR (p=0.013), whereas Kmax was not. ROC analysis demonstrated good discrimination for anterior corneal trefoil (AUC=0.855, 95%CI:0.733–0.977). ECD and CV were similar, but hexagonality was reduced (p=0.046).",
        "Conclusions": "Despite clinical inactivity, POR shows localized anterior steepening, asymmetric HOAs, and reduced endothelial hexagonality. Anterior corneal trefoil may serve as an adjunct parameter of inflammation-related micro-irregularity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite clinical inactivity, POR shows localized anterior steepening, asymmetric HOAs, and reduced endothelial hexagonality. Anterior corneal trefoil may serve as an adjunct parameter of inflammation-related micro-irregularity.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 11,
      "source_fields": {
        "Abstract Final Identifier": "PP01.07",
        "Title": "Corneal Tomographic, Aberrometric, And Endothelial Findings In Clinically Inactive Pediatric Ocular Rosacea: A Multimodal Imaging Study",
        "Presenting Author(s)": "A/Prof. Sevgi Subasi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Sevgi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Subasi",
        "Country Name": "Türkiye",
        "Purpose": "Pediatric ocular rosacea (POR) is a chronic inflammatory disorder affecting the eyelids and ocular surface, characterized by a broad clinical spectrum ranging from meibomian gland dysfunction and blepharoconjunctivitis to keratoconjunctivitis and corneal neovascularization. The purpose of our study is to evaluate corneal tomographic, higher-order aberration (HOA), and endothelial characteristics in POR during the clinically inactive phase and compare them with age-matched controls.",
        "Setting": "This retrospective study was conducted at the Department of Ophthalmology, Kocaeli University, between January 2020 and January 2025.",
        "Methods": "This retrospective study included 40 eyes of 40 children (20 POR, 20 controls) examined during clinical inactivity (≥3 months after the last acute episode). All participants underwent Scheimpflug–Placido corneal tomography and non-contact specular microscopy. Keratometric, pachymetric, keratoconus screening indices, and HOAs over a 4-mm pupil were analyzed for anterior, posterior, and total corneal surfaces. Endothelial cell density (ECD), coefficient of variation (CV), and hexagonality were recorded.",
        "Results": "SimK1, SimK2, Kmean, and CCT were similar between groups. Kmax was higher in POR (p=0.008), while keratoconus indices remained normal. Anterior corneal trefoil, spherical aberration, quadrafoil, and total HOA showed significantly greater magnitudes, whereas coma and Strehl ratio were comparable. Kmax was confined to eyes with corneal scarring/neovascularization, whereas anterior trefoil increased regardless of scarring/neovascularization. In multivariate analysis, anterior corneal trefoil remained independently associated with POR (p=0.013), whereas Kmax was not. ROC analysis demonstrated good discrimination for anterior corneal trefoil (AUC=0.855, 95%CI:0.733–0.977). ECD and CV were similar, but hexagonality was reduced (p=0.046).",
        "Conclusions": "Despite clinical inactivity, POR shows localized anterior steepening, asymmetric HOAs, and reduced endothelial hexagonality. Anterior corneal trefoil may serve as an adjunct parameter of inflammation-related micro-irregularity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "PP01.08",
      "abstract_number": "PP01.08",
      "title": "Dry Eye Disease In Healed Keratitis: A Paired Eye Comparative Study",
      "authors": "Chandradevi Shanmugam",
      "presenter": "Chandradevi Shanmugam",
      "normalized_authors": [
        "Chandradevi Shanmugam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chandradevi Shanmugam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Purpose: To evaluate long-term ocular surface and NEI staining changes in eyes with healed keratitis compared to their contralateral fellow eyes.",
        "Setting": "Institutional study conducted at a tertiary care centre in india. (Dr. R.P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India)",
        "Methods": "This prospective, observational paired-eye study included 50 patients with unilateral healed keratitis. Both affected and fellow eyes were assessed using Ocular Surface Disease Index (OSDI), Schirmer test, tear film breakup time (TBUT), meibography, ocular surface analyzer (OSA), LipiView interferometry, and NEI staining scores. Paired statistical analyses were performed. Subgroup analyses were also conducted based on gender, systemic disease, type of infection, scar characteristics, and treatment.",
        "Results": "Mean age was 39.67 years. Abnormal OSDI scores were observed in 30 patients (61.2%). Healed eyes had significantly worse visual acuity (logMAR 1.84 vs 0.14; p<0.001), lower Schirmer values (14.1 vs 16.8 mm; p=0.028), reduced TBUT (8.17 vs 9.91 s; p=0.030), increased meibomian gland dropout (p<0.001), and higher NEI corneal (10.96 vs 5.67), conjunctival (7.02 vs 4.89), and total scores (17.94 vs 10.73; all p<0.001). Comparison of LLT measured by OSA and LipiView showed significant differences (p=0.057).",
        "Conclusions": "Patients with healed keratitis demonstrate persistent ocular surface abnormalities, including tear film instability, gland dropouts, and epithelial staining. Thus, patients of healed keratitis require continued ocular surface monitoring, and dry eye management during follow up even after clinical resolution of healed keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with healed keratitis demonstrate persistent ocular surface abnormalities, including tear film instability, gland dropouts, and epithelial staining. Thus, patients of healed keratitis require continued ocular surface monitoring, and dry eye management during follow up even after clinical resolution of healed keratitis.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 12,
      "source_fields": {
        "Abstract Final Identifier": "PP01.08",
        "Title": "Dry Eye Disease In Healed Keratitis: A Paired Eye Comparative Study",
        "Presenting Author(s)": "Chandradevi Shanmugam",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Chandradevi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shanmugam",
        "Country Name": "India",
        "Purpose": "Purpose: To evaluate long-term ocular surface and NEI staining changes in eyes with healed keratitis compared to their contralateral fellow eyes.",
        "Setting": "Institutional study conducted at a tertiary care centre in india. (Dr. R.P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India)",
        "Methods": "This prospective, observational paired-eye study included 50 patients with unilateral healed keratitis. Both affected and fellow eyes were assessed using Ocular Surface Disease Index (OSDI), Schirmer test, tear film breakup time (TBUT), meibography, ocular surface analyzer (OSA), LipiView interferometry, and NEI staining scores. Paired statistical analyses were performed. Subgroup analyses were also conducted based on gender, systemic disease, type of infection, scar characteristics, and treatment.",
        "Results": "Mean age was 39.67 years. Abnormal OSDI scores were observed in 30 patients (61.2%). Healed eyes had significantly worse visual acuity (logMAR 1.84 vs 0.14; p<0.001), lower Schirmer values (14.1 vs 16.8 mm; p=0.028), reduced TBUT (8.17 vs 9.91 s; p=0.030), increased meibomian gland dropout (p<0.001), and higher NEI corneal (10.96 vs 5.67), conjunctival (7.02 vs 4.89), and total scores (17.94 vs 10.73; all p<0.001). Comparison of LLT measured by OSA and LipiView showed significant differences (p=0.057).",
        "Conclusions": "Patients with healed keratitis demonstrate persistent ocular surface abnormalities, including tear film instability, gland dropouts, and epithelial staining. Thus, patients of healed keratitis require continued ocular surface monitoring, and dry eye management during follow up even after clinical resolution of healed keratitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "PP01.09",
      "abstract_number": "PP01.09",
      "title": "Electronic Device Exposure And Dry Eye Symptoms Among Medical And Nonmedical Palestinian University Students: A Multicenter Cross-Sectional Study Of Associated Factors",
      "authors": "Dr Abdul-Raheem Abu Shanab",
      "presenter": "Dr Abdul-Raheem Abu Shanab",
      "normalized_authors": [
        "Abdul-Raheem Abu Shanab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdul-Raheem Abu Shanab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Palestinian, State of",
      "sections": {
        "Purpose": "Dry eye disease (DED) is a prevalent ophthalmological health condition affecting university students. This study was conducted to assess the prevalence of DED among medical and nonmedical university students. In addition, another objective was to assess the impact of electronic device exposure on DED symptoms among medical and nonmedical Palestinian university students.",
        "Setting": "A total of 426 students completed the questionnaire (response rate = 93.4%). Of the university students, 259 (60.8) were medical and 167 (39.2) were nonmedical students. The majority of the students (n = 355, 83.3%) used electronic devices. Of the students, 184 (43.2%) used more than one electronic device.",
        "Methods": "This was a large multicenter cross-sectional study that was conducted among medical and nonmedical students in the largest five major universities across the West Bank of Palestine. The study was conducted in the period between May 2024 and October 2024. DED symptoms were assessed using the Arabic version of the ocular surface disease index.",
        "Results": "The mean number of hours spent using electronic devices per day was 7.7 ± 2.7 h. The mean ocular surface disease index score was 28.9 ± 19.8. Of the students, 334 (78.4%) had DED symptoms of any severity, 77 (18.1%) had mild, 85 (20.0%) had moderate, and 172 (40.4%) had severe DED symptoms. Higher ocular surface disease index scores can be predicted by female sex (p-value = 0.001), consumption of alcohol (p-value = 0.001), having inadequate sleep (p-value < 0.001), using artificial tears (p-value < 0.001), and number of hours spent using electronic devices per day (p-value = 0.007).",
        "Conclusions": "Increased exposure time was associated with higher prevalence and severe DED symptoms, indicating a need for preventive measures such as screen breaks and ergonomic solutions. Factors related to contact lens use, inadequate sleep, and family history underscore the multifactorial nature of this condition. Interventions targeting these factors, including educational awareness and accessible eye care, are crucial given the potential negative impact on academic performance and quality of life."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Increased exposure time was associated with higher prevalence and severe DED symptoms, indicating a need for preventive measures such as screen breaks and ergonomic solutions. Factors related to contact lens use, inadequate sleep, and family history underscore the multifactorial nature of this condition. Interventions targeting these factors, including educational awareness and accessible eye care, are crucial…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 13,
      "source_fields": {
        "Abstract Final Identifier": "PP01.09",
        "Title": "Electronic Device Exposure And Dry Eye Symptoms Among Medical And Nonmedical Palestinian University Students: A Multicenter Cross-Sectional Study Of Associated Factors",
        "Presenting Author(s)": "Dr Abdul-Raheem Abu Shanab",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Abdul-Raheem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Shanab",
        "Country Name": "Palestinian, State of",
        "Purpose": "Dry eye disease (DED) is a prevalent ophthalmological health condition affecting university students. This study was conducted to assess the prevalence of DED among medical and nonmedical university students. In addition, another objective was to assess the impact of electronic device exposure on DED symptoms among medical and nonmedical Palestinian university students.",
        "Setting": "A total of 426 students completed the questionnaire (response rate = 93.4%). Of the university students, 259 (60.8) were medical and 167 (39.2) were nonmedical students. The majority of the students (n = 355, 83.3%) used electronic devices. Of the students, 184 (43.2%) used more than one electronic device.",
        "Methods": "This was a large multicenter cross-sectional study that was conducted among medical and nonmedical students in the largest five major universities across the West Bank of Palestine. The study was conducted in the period between May 2024 and October 2024. DED symptoms were assessed using the Arabic version of the ocular surface disease index.",
        "Results": "The mean number of hours spent using electronic devices per day was 7.7 ± 2.7 h. The mean ocular surface disease index score was 28.9 ± 19.8. Of the students, 334 (78.4%) had DED symptoms of any severity, 77 (18.1%) had mild, 85 (20.0%) had moderate, and 172 (40.4%) had severe DED symptoms. Higher ocular surface disease index scores can be predicted by female sex (p-value = 0.001), consumption of alcohol (p-value = 0.001), having inadequate sleep (p-value < 0.001), using artificial tears (p-value < 0.001), and number of hours spent using electronic devices per day (p-value = 0.007).",
        "Conclusions": "Increased exposure time was associated with higher prevalence and severe DED symptoms, indicating a need for preventive measures such as screen breaks and ergonomic solutions. Factors related to contact lens use, inadequate sleep, and family history underscore the multifactorial nature of this condition. Interventions targeting these factors, including educational awareness and accessible eye care, are crucial given the potential negative impact on academic performance and quality of life."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "PP01.10",
      "abstract_number": "PP01.10",
      "title": "Incidence And Progression Of Glaucoma Following Boston Type 1 Keratoprosthesis: A Systematic Review And Meta-Analysis",
      "authors": "Abdelrahman Abu Osba",
      "presenter": "Abdelrahman Abu Osba",
      "normalized_authors": [
        "Abdelrahman Abu Osba"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdelrahman Abu Osba",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Boston Type 1 Keratoprosthesis (KPro) implantation is an established surgery for severe corneal blindness when traditional keratoplasty is not feasible. Despite advances in device design and postoperative management, glaucoma remains a sight-threatening complication. Accurate estimates of glaucoma incidence and progression can inform treatment decisions and enhance long-term visual outcomes in this high-risk population. This systematic review and meta-analysis aimed to quantify the incidence and progression of glaucoma following KPro implantation.",
        "Setting": "Systematic review and meta-analysis of published clinical studies reporting glaucoma-related outcomes following Boston Type 1 keratoprosthesis implantation.",
        "Methods": "MEDLINE, Embase, and CENTRAL were systematically searched from inception to June 2025. Two independent reviewers performed title/abstract screening, full-text screening, data extraction, and risk-of-bias assessment, with discrepancies resolved through discussion with a third reviewer. Studies reporting glaucoma-related outcomes following KPro implantation were included. Random-effects meta-analyses were performed to estimate pooled incidences of postoperative glaucoma. Risk of bias was assessed using Joanna Briggs Institute tools, and certainty of evidence was evaluated using GRADE. This review was prospectively registered on PROSPERO (ID: CRD420251036643).",
        "Results": "Forty-five studies met inclusion criteria, encompassing 2,357 eyes with a mean follow-up of 34.9 months ( ± 14.3). The mean patient age was 51.9 years (±12.9). Pre-existing glaucoma affected 45.4% of eyes. Overall, the pooled incidence of any form of postoperative glaucoma events was 25.9% (95% CI 20.6–32.3%, I² = 85.1%) and an incidence rate of 0.10 events per eye-year (95% CI 0.07 – 0.13; I² = 89.3% ) . Among studies explicitly reporting de novo glaucoma, the pooled incidence was 37.0% (95% CI 25.7–49.9%, I² = 80.2%), while progression of pre-existing glaucoma occurred in 38.2% of eyes (95% CI 26.3–51.6%, I² = 76.6%). Ocular hypertension without diagnostic confirmation of glaucoma was observed in 30.4% of eyes (95% CI 21.2–41.5%, I² = 83.4%).",
        "Conclusions": "Glaucoma represents a clinically important complication following KPro implantation, affecting approximately one-quarter to one-third of eyes postoperatively. Although the certainty of evidence is low due to heterogeneity and variability in diagnostic definitions, the results underscore the need for vigilant perioperative monitoring and standardized diagnostic approaches."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Glaucoma represents a clinically important complication following KPro implantation, affecting approximately one-quarter to one-third of eyes postoperatively. Although the certainty of evidence is low due to heterogeneity and variability in diagnostic definitions, the results underscore the need for vigilant perioperative monitoring and standardized diagnostic approaches.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 14,
      "source_fields": {
        "Abstract Final Identifier": "PP01.10",
        "Title": "Incidence And Progression Of Glaucoma Following Boston Type 1 Keratoprosthesis: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Abdelrahman Abu Osba",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Abdelrahman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Osba",
        "Country Name": "Canada",
        "Purpose": "Boston Type 1 Keratoprosthesis (KPro) implantation is an established surgery for severe corneal blindness when traditional keratoplasty is not feasible. Despite advances in device design and postoperative management, glaucoma remains a sight-threatening complication. Accurate estimates of glaucoma incidence and progression can inform treatment decisions and enhance long-term visual outcomes in this high-risk population. This systematic review and meta-analysis aimed to quantify the incidence and progression of glaucoma following KPro implantation.",
        "Setting": "Systematic review and meta-analysis of published clinical studies reporting glaucoma-related outcomes following Boston Type 1 keratoprosthesis implantation.",
        "Methods": "MEDLINE, Embase, and CENTRAL were systematically searched from inception to June 2025. Two independent reviewers performed title/abstract screening, full-text screening, data extraction, and risk-of-bias assessment, with discrepancies resolved through discussion with a third reviewer. Studies reporting glaucoma-related outcomes following KPro implantation were included. Random-effects meta-analyses were performed to estimate pooled incidences of postoperative glaucoma. Risk of bias was assessed using Joanna Briggs Institute tools, and certainty of evidence was evaluated using GRADE. This review was prospectively registered on PROSPERO (ID: CRD420251036643).",
        "Results": "Forty-five studies met inclusion criteria, encompassing 2,357 eyes with a mean follow-up of 34.9 months ( ± 14.3). The mean patient age was 51.9 years (±12.9). Pre-existing glaucoma affected 45.4% of eyes. Overall, the pooled incidence of any form of postoperative glaucoma events was 25.9% (95% CI 20.6–32.3%, I² = 85.1%) and an incidence rate of 0.10 events per eye-year (95% CI 0.07 – 0.13; I² = 89.3% ) . Among studies explicitly reporting de novo glaucoma, the pooled incidence was 37.0% (95% CI 25.7–49.9%, I² = 80.2%), while progression of pre-existing glaucoma occurred in 38.2% of eyes (95% CI 26.3–51.6%, I² = 76.6%). Ocular hypertension without diagnostic confirmation of glaucoma was observed in 30.4% of eyes (95% CI 21.2–41.5%, I² = 83.4%).",
        "Conclusions": "Glaucoma represents a clinically important complication following KPro implantation, affecting approximately one-quarter to one-third of eyes postoperatively. Although the certainty of evidence is low due to heterogeneity and variability in diagnostic definitions, the results underscore the need for vigilant perioperative monitoring and standardized diagnostic approaches."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "PP01.11",
      "abstract_number": "PP01.11",
      "title": "Efficacy Of Oral Azathioprine In Refractory Severe Mixed Vernal Keratoconjunctivitis",
      "authors": "Dr Shivam Garg",
      "presenter": "Dr Shivam Garg",
      "normalized_authors": [
        "Shivam Garg"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shivam Garg",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate clinical efficacy and disease-modifying potential of oral azathioprine in patients with severe mixed vernal keratoconjunctivitis (VKC) refractory to conventional maximal topical therapy.",
        "Setting": "Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India",
        "Methods": "We present a retrospective case series of five patients, aged 10 to 18 years presenting with severe mixed VKC, unresponsive to topical antihistamines and topical immunosuppressants (steroids, cyclosporine and tacrolimus). The patients with persistent symptoms and development of intractable steroid induced glaucoma were initiated on oral azathioprine at an initial dose of 1-2mg/kg/day. The primary outcome measures were clinical resolution of disease activity, adverse effects and relapse during the follow-up period.",
        "Results": "The mean age of patients at presentation was 14.8 years and the mean total follow-up duration was 18.5 months (8 to 63 months). All patients demonstrated marked clinical improvement and complete settling of active disease within three months of initiating azathioprine therapy. The mean duration of follow-up (post oral azathioprine) was 13.6 months (ongoing) with stable intraocular pressure post glaucoma surgery and zero relapses, allowing for successful steroid-sparing management. Adverse effects were minimal, with three patients experiencing mild gastrointestinal discomfort, which was managed with supportive treatment.",
        "Conclusions": "Oral azathioprine offers satisfactory clinical resolution and sustained disease remission without relapses in challenging cases. It is an affordable and effective steroid-sparing systemic therapeutic option for severe, refractory mixed VKC cases, unresponsive to maximum topical medical therapy. It is also reasonably safe without significant topical or systemic side effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Oral azathioprine offers satisfactory clinical resolution and sustained disease remission without relapses in challenging cases. It is an affordable and effective steroid-sparing systemic therapeutic option for severe, refractory mixed VKC cases, unresponsive to maximum topical medical therapy. It is also reasonably safe without significant topical or systemic side effects.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 15,
      "source_fields": {
        "Abstract Final Identifier": "PP01.11",
        "Title": "Efficacy Of Oral Azathioprine In Refractory Severe Mixed Vernal Keratoconjunctivitis",
        "Presenting Author(s)": "Dr Shivam Garg",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Shivam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Garg",
        "Country Name": "India",
        "Purpose": "To evaluate clinical efficacy and disease-modifying potential of oral azathioprine in patients with severe mixed vernal keratoconjunctivitis (VKC) refractory to conventional maximal topical therapy.",
        "Setting": "Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India",
        "Methods": "We present a retrospective case series of five patients, aged 10 to 18 years presenting with severe mixed VKC, unresponsive to topical antihistamines and topical immunosuppressants (steroids, cyclosporine and tacrolimus). The patients with persistent symptoms and development of intractable steroid induced glaucoma were initiated on oral azathioprine at an initial dose of 1-2mg/kg/day. The primary outcome measures were clinical resolution of disease activity, adverse effects and relapse during the follow-up period.",
        "Results": "The mean age of patients at presentation was 14.8 years and the mean total follow-up duration was 18.5 months (8 to 63 months). All patients demonstrated marked clinical improvement and complete settling of active disease within three months of initiating azathioprine therapy. The mean duration of follow-up (post oral azathioprine) was 13.6 months (ongoing) with stable intraocular pressure post glaucoma surgery and zero relapses, allowing for successful steroid-sparing management. Adverse effects were minimal, with three patients experiencing mild gastrointestinal discomfort, which was managed with supportive treatment.",
        "Conclusions": "Oral azathioprine offers satisfactory clinical resolution and sustained disease remission without relapses in challenging cases. It is an affordable and effective steroid-sparing systemic therapeutic option for severe, refractory mixed VKC cases, unresponsive to maximum topical medical therapy. It is also reasonably safe without significant topical or systemic side effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "PP01.12",
      "abstract_number": "PP01.12",
      "title": "Bilateral Persistent Corneal Epithelial Defects With Sterile Hypopyon: Clinical Insights And Diagnostic Challenges From A Rare Case Report",
      "authors": "Dr Thamol Kongnakorn",
      "presenter": "Dr Thamol Kongnakorn",
      "normalized_authors": [
        "Thamol Kongnakorn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thamol Kongnakorn",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "To evaluate atypical clinical presentation of bilateral neurotrophic keratopathy (NK) complicated by concurrent anterior chamber inflammation. This report aims to illustrate the diagnostic complexity of identifying \"sterile\" intraocular inflammation in the presence of severe ocular surface failure.",
        "Setting": "Departments of Ophthalmology and Internal Medicine at Thammasat University Hospital. The patient initially presented to the Ophthalmology Department for evaluation of progressive visual impairment. Following the ophthalmic assessment lab results showed the first diagnosis of diabetes mellitus with nutritional impairment.",
        "Methods": "A 29 years old male with unknown underlying disease presented with a three-week history of progressive, painless vision loss with visual acuity of finger counting at 1 foot both eyes. Slit-lamp biomicroscopy demonstrated generalized punctate epithelial erosions in both eyes and a 0.7x0.2 mm central epithelial defect in the left. Initial treatment included 1.5% levofloxacin, oral doxycycline, and 0.3% sodium hyaluronate. Following clinical deterioration marked by enlarged epithelial defect (2x4 mm), cell 4+ and a 1 mm hypopyon corneal scrapings were collected for Gram stain, KOH and aerobic/anaerobic/fungal cultures to rule out infectious etiologies. Lab works were also ordered to identify associated systemic causes.",
        "Results": "Despite the 1 mm hypopyon and significant anterior chamber reaction, all corneal cultures remained negative, indicating a sterile inflammatory response. Laboratory studies revealed a HbA1C of 15.9%, resulting in a new diagnosis of diabetes mellitus thus, explains one of the possible causes of neurotrophic keratitis. The administration of 20% autologous serum successfully achieved definitive resolution of the epithelial defects. Final VA improved from finger counting at 1 foot to 20/50 in the right eye and 20/70 with pinhole in the left. Residual findings were limited to faint stromal opacification in both eyes, with no further recurrence of the corneal defects at the final evaluation.",
        "Conclusions": "The notable clinical implication of this report is the recognition that neurotrophic keratitis may manifest with a sterile hypopyon. Although a hypopyon is an exceptionally rare and atypical finding in Stage 2 neurotrophic disease, it represents a profound sterile intraocular inflammatory response secondary to severe ocular surface failure . This rare presentation underscores the diagnostic challenge of differentiating neurogenic inflammation from primary infectious keratitis or HLA-B27-associated anterior uveitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The notable clinical implication of this report is the recognition that neurotrophic keratitis may manifest with a sterile hypopyon. Although a hypopyon is an exceptionally rare and atypical finding in Stage 2 neurotrophic disease, it represents a profound sterile intraocular inflammatory response secondary to severe ocular surface failure . This rare presentation underscores the diagnostic challenge of…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 16,
      "source_fields": {
        "Abstract Final Identifier": "PP01.12",
        "Title": "Bilateral Persistent Corneal Epithelial Defects With Sterile Hypopyon: Clinical Insights And Diagnostic Challenges From A Rare Case Report",
        "Presenting Author(s)": "Dr Thamol Kongnakorn",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Thamol",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kongnakorn",
        "Country Name": "Thailand",
        "Purpose": "To evaluate atypical clinical presentation of bilateral neurotrophic keratopathy (NK) complicated by concurrent anterior chamber inflammation. This report aims to illustrate the diagnostic complexity of identifying \"sterile\" intraocular inflammation in the presence of severe ocular surface failure.",
        "Setting": "Departments of Ophthalmology and Internal Medicine at Thammasat University Hospital. The patient initially presented to the Ophthalmology Department for evaluation of progressive visual impairment. Following the ophthalmic assessment lab results showed the first diagnosis of diabetes mellitus with nutritional impairment.",
        "Methods": "A 29 years old male with unknown underlying disease presented with a three-week history of progressive, painless vision loss with visual acuity of finger counting at 1 foot both eyes. Slit-lamp biomicroscopy demonstrated generalized punctate epithelial erosions in both eyes and a 0.7x0.2 mm central epithelial defect in the left. Initial treatment included 1.5% levofloxacin, oral doxycycline, and 0.3% sodium hyaluronate. Following clinical deterioration marked by enlarged epithelial defect (2x4 mm), cell 4+ and a 1 mm hypopyon corneal scrapings were collected for Gram stain, KOH and aerobic/anaerobic/fungal cultures to rule out infectious etiologies. Lab works were also ordered to identify associated systemic causes.",
        "Results": "Despite the 1 mm hypopyon and significant anterior chamber reaction, all corneal cultures remained negative, indicating a sterile inflammatory response. Laboratory studies revealed a HbA1C of 15.9%, resulting in a new diagnosis of diabetes mellitus thus, explains one of the possible causes of neurotrophic keratitis. The administration of 20% autologous serum successfully achieved definitive resolution of the epithelial defects. Final VA improved from finger counting at 1 foot to 20/50 in the right eye and 20/70 with pinhole in the left. Residual findings were limited to faint stromal opacification in both eyes, with no further recurrence of the corneal defects at the final evaluation.",
        "Conclusions": "The notable clinical implication of this report is the recognition that neurotrophic keratitis may manifest with a sterile hypopyon. Although a hypopyon is an exceptionally rare and atypical finding in Stage 2 neurotrophic disease, it represents a profound sterile intraocular inflammatory response secondary to severe ocular surface failure . This rare presentation underscores the diagnostic challenge of differentiating neurogenic inflammation from primary infectious keratitis or HLA-B27-associated anterior uveitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "PP01.13",
      "abstract_number": "PP01.13",
      "title": "Tectonic Scleral Reconstruction For Scleromalacia: Long-Term Clinical Outcomes",
      "authors": "Dr Woo Chan Park",
      "presenter": "Dr Woo Chan Park",
      "normalized_authors": [
        "Woo Chan Park"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Woo Chan Park",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Scleromalacia refers to progressive thinning and weakening of the sclera caused by autoimmune disease, infection, trauma, or surgery, most commonly as surgically induced scleral necrosis after pterygium excision related to ischemia and mitomycin C toxicity. Progression may lead to choroidal exposure, calcification, perforation, and infection. Treatment therefore aims to restore tectonic integrity. Various graft materials provide temporary support, but epithelial failure and ischemia may result in recurrence. We evaluated long-term outcomes of reconstruction using tailored grafts with amniotic membrane and conjunctival flap coverage.",
        "Setting": "This retrospective study reviewed medical records of patients diagnosed with scleromalacia at a tertiary referral hospital between July 2011 and February 2024. All 93 eyes of 88 patients underwent scleral defect reinforcement combined with amniotic membrane transplantation and an inferior rotational conjunctival flap. Surgery was performed in eyes with symptomatic calcified lesions or progressive scleral thinning considered at risk of impending perforation.",
        "Methods": "Suspected infection prompted preoperative culture and surgery was performed after infection control. Graft material was selected according to defect size and choroidal exposure: acellular sclera for ≥6 mm exposed defects, collagen matrix (Ologen) for <6 mm exposed defects, autologous Tenon tissue for non-exposed defects, and amniotic membrane for localized thinning. After debridement and removal of calcified plaques, the graft was sutured with 10-0 nylon, covered by amniotic membrane and an inferior rotational conjunctival flap. Postoperative outcomes included recurrence, complications, visual acuity, and cosmetic restoration at 6 months. Statistical analysis used paired t-test (p<0.05).",
        "Results": "A total of 93 eyes of 88 patients were included. Mean age was 66.4±9.8 years and mean follow-up was 29.2±17.2 months. The most common cause was prior pterygium surgery (85 eyes, 91.3%). Calcium plaque was present in 79.5% of eyes. Grafts used were amniotic membrane (45.1%), acellular sclera (37.6%), collagen matrix (13.9%), and autologous Tenon tissue (3.2%). All grafts remained stable with complete re-epithelialization and no recurrence. Uncorrected visual acuity showed no significant change (0.25±0.36 vs 0.23±0.35 logMAR, p=0.30). Complications occurred in 12 eyes (12.9%), including conjunctival cysts, wound dehiscence, and dellen, all resolving without structural damage.",
        "Conclusions": "A multilayer reconstruction strategy combining tailored graft reinforcement, amniotic membrane coverage, and a rotational conjunctival flap provided both mechanical support and vascularized surface coverage. In this study, no recurrence, perforation, or vision-threatening complications were observed during follow-up, and stable epithelialization was achieved. Although limited by its retrospective design, this approach may represent a practical surgical option for restoring tectonic integrity and preserving the globe in selected patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A multilayer reconstruction strategy combining tailored graft reinforcement, amniotic membrane coverage, and a rotational conjunctival flap provided both mechanical support and vascularized surface coverage. In this study, no recurrence, perforation, or vision-threatening complications were observed during follow-up, and stable epithelialization was achieved. Although limited by its retrospective design, this…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 17,
      "source_fields": {
        "Abstract Final Identifier": "PP01.13",
        "Title": "Tectonic Scleral Reconstruction For Scleromalacia: Long-Term Clinical Outcomes",
        "Presenting Author(s)": "Dr Woo Chan Park",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Woo Chan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Park",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Scleromalacia refers to progressive thinning and weakening of the sclera caused by autoimmune disease, infection, trauma, or surgery, most commonly as surgically induced scleral necrosis after pterygium excision related to ischemia and mitomycin C toxicity. Progression may lead to choroidal exposure, calcification, perforation, and infection. Treatment therefore aims to restore tectonic integrity. Various graft materials provide temporary support, but epithelial failure and ischemia may result in recurrence. We evaluated long-term outcomes of reconstruction using tailored grafts with amniotic membrane and conjunctival flap coverage.",
        "Setting": "This retrospective study reviewed medical records of patients diagnosed with scleromalacia at a tertiary referral hospital between July 2011 and February 2024. All 93 eyes of 88 patients underwent scleral defect reinforcement combined with amniotic membrane transplantation and an inferior rotational conjunctival flap. Surgery was performed in eyes with symptomatic calcified lesions or progressive scleral thinning considered at risk of impending perforation.",
        "Methods": "Suspected infection prompted preoperative culture and surgery was performed after infection control. Graft material was selected according to defect size and choroidal exposure: acellular sclera for ≥6 mm exposed defects, collagen matrix (Ologen) for <6 mm exposed defects, autologous Tenon tissue for non-exposed defects, and amniotic membrane for localized thinning. After debridement and removal of calcified plaques, the graft was sutured with 10-0 nylon, covered by amniotic membrane and an inferior rotational conjunctival flap. Postoperative outcomes included recurrence, complications, visual acuity, and cosmetic restoration at 6 months. Statistical analysis used paired t-test (p<0.05).",
        "Results": "A total of 93 eyes of 88 patients were included. Mean age was 66.4±9.8 years and mean follow-up was 29.2±17.2 months. The most common cause was prior pterygium surgery (85 eyes, 91.3%). Calcium plaque was present in 79.5% of eyes. Grafts used were amniotic membrane (45.1%), acellular sclera (37.6%), collagen matrix (13.9%), and autologous Tenon tissue (3.2%). All grafts remained stable with complete re-epithelialization and no recurrence. Uncorrected visual acuity showed no significant change (0.25±0.36 vs 0.23±0.35 logMAR, p=0.30). Complications occurred in 12 eyes (12.9%), including conjunctival cysts, wound dehiscence, and dellen, all resolving without structural damage.",
        "Conclusions": "A multilayer reconstruction strategy combining tailored graft reinforcement, amniotic membrane coverage, and a rotational conjunctival flap provided both mechanical support and vascularized surface coverage. In this study, no recurrence, perforation, or vision-threatening complications were observed during follow-up, and stable epithelialization was achieved. Although limited by its retrospective design, this approach may represent a practical surgical option for restoring tectonic integrity and preserving the globe in selected patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 425
    },
    {
      "uid": "PP01.14",
      "abstract_number": "PP01.14",
      "title": "Management Of Diabetic Corneal Melt And Perforation With Split Anterior And Posterior Lamellar Tectonic Grafts From A Single Donor Cornea",
      "authors": "Dr Yijun Cai",
      "presenter": "Dr Yijun Cai",
      "normalized_authors": [
        "Yijun Cai"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yijun Cai",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report a case of diabetic corneal melt and perforation managed with split anterior and posterior lamellar tectonic grafts from a single donor cornea",
        "Setting": "Tertiary referral centre at King's College Hospital NHS Foundation Trust, London",
        "Methods": "The 73 year old male presented with bilateral peripheral corneal ulcers with a hypopyon in the left eye. The initial corneal scrape was positive for Corynebacterium propinquum and he was managed initially with oral doxycycline, prednisolone and topical moxifloxacin. However, he developed a perforation in the left eye 2 weeks later which was glued and was found to have uncontrolled diabetes with HbA1c of 134mmol/mol. His autoimmune screening bloods were negative. He was then referred to a diabetic consultant for urgent optimisation of his diabetic control and to facilitate general anaesthesia for a planned tectonic graft.",
        "Results": "Intraoperatively, a pre-cut DSAEK donor with the anterior lamellar cap was used. The posterior lamellar graft was first divided into 2 halves to treat the inferior nasal perforation and add tissue to the inferior temporal quadrant with significant peripheral corneal melt. The anterior lamellar cap was then positioned centrally and inferior nasally to cover the areas of corneal thinning and sutured in place with interrupted nylon sutures. The split tectonic grafts in the left eye remain viable 9 months postoperatively with a visual acuity of 6/48 unaided and 6/18 pinhole.",
        "Conclusions": "Our case demonstrates effective management of corneal perforation using a novel technique with split anterior and posterior lamellar grafts from a single donor cornea. Our technique can be adopted in patients with multiple areas of perforation or melts requiring tissue addition with the benefit of fully utilising donor cornea tissue and avoiding the need for multiple donor corneas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our case demonstrates effective management of corneal perforation using a novel technique with split anterior and posterior lamellar grafts from a single donor cornea. Our technique can be adopted in patients with multiple areas of perforation or melts requiring tissue addition with the benefit of fully utilising donor cornea tissue and avoiding the need for multiple donor corneas.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 18,
      "source_fields": {
        "Abstract Final Identifier": "PP01.14",
        "Title": "Management Of Diabetic Corneal Melt And Perforation With Split Anterior And Posterior Lamellar Tectonic Grafts From A Single Donor Cornea",
        "Presenting Author(s)": "Dr Yijun Cai",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Yijun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cai",
        "Country Name": "United Kingdom",
        "Purpose": "To report a case of diabetic corneal melt and perforation managed with split anterior and posterior lamellar tectonic grafts from a single donor cornea",
        "Setting": "Tertiary referral centre at King's College Hospital NHS Foundation Trust, London",
        "Methods": "The 73 year old male presented with bilateral peripheral corneal ulcers with a hypopyon in the left eye. The initial corneal scrape was positive for Corynebacterium propinquum and he was managed initially with oral doxycycline, prednisolone and topical moxifloxacin. However, he developed a perforation in the left eye 2 weeks later which was glued and was found to have uncontrolled diabetes with HbA1c of 134mmol/mol. His autoimmune screening bloods were negative. He was then referred to a diabetic consultant for urgent optimisation of his diabetic control and to facilitate general anaesthesia for a planned tectonic graft.",
        "Results": "Intraoperatively, a pre-cut DSAEK donor with the anterior lamellar cap was used. The posterior lamellar graft was first divided into 2 halves to treat the inferior nasal perforation and add tissue to the inferior temporal quadrant with significant peripheral corneal melt. The anterior lamellar cap was then positioned centrally and inferior nasally to cover the areas of corneal thinning and sutured in place with interrupted nylon sutures. The split tectonic grafts in the left eye remain viable 9 months postoperatively with a visual acuity of 6/48 unaided and 6/18 pinhole.",
        "Conclusions": "Our case demonstrates effective management of corneal perforation using a novel technique with split anterior and posterior lamellar grafts from a single donor cornea. Our technique can be adopted in patients with multiple areas of perforation or melts requiring tissue addition with the benefit of fully utilising donor cornea tissue and avoiding the need for multiple donor corneas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "PP01.15",
      "abstract_number": "PP01.15",
      "title": "Comprehensive Analysis Of Correlation Between Tear And Blood Glucose Level Using Wireless Smart Contact Lens",
      "authors": "A/Prof. Hong Kyun Kim",
      "presenter": "A/Prof. Hong Kyun Kim",
      "normalized_authors": [
        "Hong Kyun Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Che Gyem Yae",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "This study aimed to elucidate the correlation between tear glucose (TG) and blood glucose (BG) levels through continuous monitoring with a Near-Field Communication (NFC)-enabled smart contact lens (SCL) in humans and animal models. Based on these findings, we evaluate TG as a noninvasive biomarker for BG.",
        "Setting": "This study involved diabetic and non-diabetic human participants from two medical centers and complementary validation using animal models (rabbits and beagles).",
        "Methods": "A soft contact lens embedded with an NFC chip and a flexible electrochemical glucose biosensor was developed for real-time TG monitoring and wireless data transmission. In vitro cytotoxicity testing was performed to evaluate the biocompatibility. In vivo analysis was conducted in normal and diabetic male white rabbits (n=4 per group) and male beagles (n=4 per group), in which TG and BG were simultaneously measured and transmitted in real time during oral and intravenous glucose tolerance tests. A pilot human study was performed in 10 healthy participants and 10 patients with diabetes, with simultaneous real-time TG and BG measurements for 120 minutes following glucose intake.",
        "Results": "The accuracy of TG measurements within the physiological tear range was demonstrated using the SCL, with minimal cytotoxicity confirmed in vitro. Transient fluctuations due to reflex tearing resolved within 4–5 minutes after lens application. In vivo studies in animal models demonstrated similar temporal trends between TG and BG, with individualized lag times identified. Application of personalized lag times resulted in strong correlations between TG and BG (r > 0.9). In a human pilot study, lag-time–adjusted analysis likewise demonstrated high correlations and clinically acceptable accuracy.",
        "Conclusions": "Continuous tear glucose monitoring using an NFC-enabled smart contact lens, combined with personalized lag-time correction, enables accurate and clinically feasible estimation of blood glucose across animal models and humans. Further validation in larger clinical cohorts is warranted to support future clinical application."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Continuous tear glucose monitoring using an NFC-enabled smart contact lens, combined with personalized lag-time correction, enables accurate and clinically feasible estimation of blood glucose across animal models and humans. Further validation in larger clinical cohorts is warranted to support future clinical application.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 19,
      "source_fields": {
        "Abstract Final Identifier": "PP01.15",
        "Title": "Comprehensive Analysis Of Correlation Between Tear And Blood Glucose Level Using Wireless Smart Contact Lens",
        "Presenting Author(s)": "A/Prof. Hong Kyun Kim",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Che Gyem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yae",
        "Country Name": "Korea, Republic Of",
        "Purpose": "This study aimed to elucidate the correlation between tear glucose (TG) and blood glucose (BG) levels through continuous monitoring with a Near-Field Communication (NFC)-enabled smart contact lens (SCL) in humans and animal models. Based on these findings, we evaluate TG as a noninvasive biomarker for BG.",
        "Setting": "This study involved diabetic and non-diabetic human participants from two medical centers and complementary validation using animal models (rabbits and beagles).",
        "Methods": "A soft contact lens embedded with an NFC chip and a flexible electrochemical glucose biosensor was developed for real-time TG monitoring and wireless data transmission. In vitro cytotoxicity testing was performed to evaluate the biocompatibility. In vivo analysis was conducted in normal and diabetic male white rabbits (n=4 per group) and male beagles (n=4 per group), in which TG and BG were simultaneously measured and transmitted in real time during oral and intravenous glucose tolerance tests. A pilot human study was performed in 10 healthy participants and 10 patients with diabetes, with simultaneous real-time TG and BG measurements for 120 minutes following glucose intake.",
        "Results": "The accuracy of TG measurements within the physiological tear range was demonstrated using the SCL, with minimal cytotoxicity confirmed in vitro. Transient fluctuations due to reflex tearing resolved within 4–5 minutes after lens application. In vivo studies in animal models demonstrated similar temporal trends between TG and BG, with individualized lag times identified. Application of personalized lag times resulted in strong correlations between TG and BG (r > 0.9). In a human pilot study, lag-time–adjusted analysis likewise demonstrated high correlations and clinically acceptable accuracy.",
        "Conclusions": "Continuous tear glucose monitoring using an NFC-enabled smart contact lens, combined with personalized lag-time correction, enables accurate and clinically feasible estimation of blood glucose across animal models and humans. Further validation in larger clinical cohorts is warranted to support future clinical application."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "PP02.01",
      "abstract_number": "PP02.01",
      "title": "Effect Of Capsular Tension Ring On Early Anterior Capsular Contraction After Cataract Surgery: A\nProspective Paired-Eye Study",
      "authors": "Dr Diogo Sousa Marques",
      "presenter": "Dr Diogo Sousa Marques",
      "normalized_authors": [
        "Diogo Sousa Marques"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Diogo Sousa Marques",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare the occurrence and magnitude of early anterior capsular contraction between eyes implanted with a capsular tension ring and contralateral eyes without a ring after cataract surgery, using quantitative measurements of horizontal and vertical capsulorhexis diameters.",
        "Setting": "Single-centre prospective study conducted at a tertiary referral ophthalmology department.",
        "Methods": "A prospective paired-eye study included 13 patients undergoing bilateral cataract surgery, with one eye receiving a capsular tension ring (CTR; JETRING®11ACB, Medicontur Medical Engineering) and the fellow eye serving as control. Standard phacoemulsification with in-the-bag IOL implantation was performed. Horizontal and vertical capsulorhexis diameters were measured on postoperative day 1 and at 1 month using anterior segment OCT (ANTERION®, Heidelberg Engineering). Absolute and percentage changes were calculated. Paired comparisons were performed using the Wilcoxon signed-rank test (SPSS v30.0). A p -value < 0.05 was considered statistically significant.",
        "Results": "For horizontal capsulorhexis diameter, the median absolute change was −0.28 mm (IQR 0.38) in control eyes and −0.14 mm (IQR 0.52) in CTR eyes ( p = 0.278). The corresponding percentage change was −6.28% (IQR 8.67) in controls versus −3.02% (IQR 13.24) in CTR eyes ( p = 0.249). For vertical diameter, the median change was −0.14 mm (IQR 0.43) in controls and −0.20 mm (IQR 0.50) in CTR eyes ( p = 0.552), with percentage variations of −3.04% (IQR 8.65) and −4.62% (IQR 13.69), respectively ( p = 0.650).",
        "Conclusions": "In this prospective paired-eye study, CTR implantation was not associated with reduced early anterior capsular contraction. Further investigations including larger sample sizes and longer follow-up periods are needed to confirm these findings and assess long-term effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this prospective paired-eye study, CTR implantation was not associated with reduced early anterior capsular contraction. Further investigations including larger sample sizes and longer follow-up periods are needed to confirm these findings and assess long-term effects.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 20,
      "source_fields": {
        "Abstract Final Identifier": "PP02.01",
        "Title": "Effect Of Capsular Tension Ring On Early Anterior Capsular Contraction After Cataract Surgery: A\nProspective Paired-Eye Study",
        "Presenting Author(s)": "Dr Diogo Sousa Marques",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Diogo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sousa Marques",
        "Country Name": "Portugal",
        "Purpose": "To compare the occurrence and magnitude of early anterior capsular contraction between eyes implanted with a capsular tension ring and contralateral eyes without a ring after cataract surgery, using quantitative measurements of horizontal and vertical capsulorhexis diameters.",
        "Setting": "Single-centre prospective study conducted at a tertiary referral ophthalmology department.",
        "Methods": "A prospective paired-eye study included 13 patients undergoing bilateral cataract surgery, with one eye receiving a capsular tension ring (CTR; JETRING®11ACB, Medicontur Medical Engineering) and the fellow eye serving as control. Standard phacoemulsification with in-the-bag IOL implantation was performed. Horizontal and vertical capsulorhexis diameters were measured on postoperative day 1 and at 1 month using anterior segment OCT (ANTERION®, Heidelberg Engineering). Absolute and percentage changes were calculated. Paired comparisons were performed using the Wilcoxon signed-rank test (SPSS v30.0). A p -value < 0.05 was considered statistically significant.",
        "Results": "For horizontal capsulorhexis diameter, the median absolute change was −0.28 mm (IQR 0.38) in control eyes and −0.14 mm (IQR 0.52) in CTR eyes ( p = 0.278). The corresponding percentage change was −6.28% (IQR 8.67) in controls versus −3.02% (IQR 13.24) in CTR eyes ( p = 0.249). For vertical diameter, the median change was −0.14 mm (IQR 0.43) in controls and −0.20 mm (IQR 0.50) in CTR eyes ( p = 0.552), with percentage variations of −3.04% (IQR 8.65) and −4.62% (IQR 13.69), respectively ( p = 0.650).",
        "Conclusions": "In this prospective paired-eye study, CTR implantation was not associated with reduced early anterior capsular contraction. Further investigations including larger sample sizes and longer follow-up periods are needed to confirm these findings and assess long-term effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "PP02.16",
      "abstract_number": "PP02.16",
      "title": "Adverse Events And Complications Of Ophthalmic Surgery – Risk Insight From A Single‑Centre Registry In Nowy Sącz, Poland",
      "authors": "Dr Agnieszka Julia Kudasiewicz-Kardaszewska",
      "presenter": "Dr Agnieszka Julia Kudasiewicz-Kardaszewska",
      "normalized_authors": [
        "Agnieszka Julia Kudasiewicz-Kardaszewska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Agnieszka Julia Kudasiewicz-Kardaszewska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Aim of this work is to quantify the incidence and spectrum of adverse events and complications related to cataract surgery, vitrectomy and intravitreal injections in a single regional centre, using data from a structured institutional registry, and to identify key targets for quality improvement",
        "Setting": "Prof. Zagórski Eye Surgery Centre in Nowy Sącz - a membre of a multi‑site ophthalmic network (OCHO Medical Group) performing high‑volume cataract, vitreoretinal surgery and intravitreal injections.",
        "Methods": "All adverse events recorded prospectively in the centre’s registry between 2023 and 2025 were reviewed. Events were assigned to cataract surgery, vitrectomy or intravitreal injection cohorts and categorised as: infectious or sterile intraocular inflammation, capsule rupture/capsule compromise, clinically significant intraocular lens (IOL) malposition, refractive surprise, pressure‑related events, and general or organisational incidents (systemic, logistical or staff‑exposure). Annual procedural volumes (≈1 300 cataract surgeries, 50–80 vitrectomies, 4 000 intravitreal injections) were used to estimate incidence per 1 000 procedures.",
        "Results": "In ≈3 900 cataract surgeries, post‑operative infectious endophthalmitis occurred once (0.26/1 000), capsule rupture/capsule compromise in ≈2–3/1 000, and IOL malposition needing re‑operation in ≈1–2/1 000. In ≈12 000 intravitreal injections, infectious endophthalmitis occurred twice (0.17/1 000) and sterile post‑bevacizumab inflammation five times (0.42/1 000); no proven infections followed vitrectomy. General/organisational events were rare (<1/1 000 procedures).",
        "Conclusions": "In this high‑volume regional centre, serious infectious complications after cataract surgery and intravitreal injections were rare, while capsule‑related complications and IOL malposition, although infrequent, represent meaningful and partly preventable events. A structured local registry that also captures systemic and organisational incidents provides a practical tool for risk assessment, benchmarking and targeted quality‑improvement interventions.\n\nRegistry‑driven surveillance that also includes systemic and organisational events supports targeted quality‑improvement strategies in biometry and IOL logistics, perioperative management of hi‑risk eyes, infection prevention, and team communication."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this high‑volume regional centre, serious infectious complications after cataract surgery and intravitreal injections were rare, while capsule‑related complications and IOL malposition, although infrequent, represent meaningful and partly preventable events. A structured local registry that also captures systemic and organisational incidents provides a practical tool for risk assessment, benchmarking and…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 21,
      "source_fields": {
        "Abstract Final Identifier": "PP02.16",
        "Title": "Adverse Events And Complications Of Ophthalmic Surgery – Risk Insight From A Single‑Centre Registry In Nowy Sącz, Poland",
        "Presenting Author(s)": "Dr Agnieszka Julia Kudasiewicz-Kardaszewska",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Agnieszka",
        "Submitter Middle Name": "Julia",
        "Submitter Last Name": "Kudasiewicz-Kardaszewska",
        "Country Name": "Poland",
        "Purpose": "Aim of this work is to quantify the incidence and spectrum of adverse events and complications related to cataract surgery, vitrectomy and intravitreal injections in a single regional centre, using data from a structured institutional registry, and to identify key targets for quality improvement",
        "Setting": "Prof. Zagórski Eye Surgery Centre in Nowy Sącz - a membre of a multi‑site ophthalmic network (OCHO Medical Group) performing high‑volume cataract, vitreoretinal surgery and intravitreal injections.",
        "Methods": "All adverse events recorded prospectively in the centre’s registry between 2023 and 2025 were reviewed. Events were assigned to cataract surgery, vitrectomy or intravitreal injection cohorts and categorised as: infectious or sterile intraocular inflammation, capsule rupture/capsule compromise, clinically significant intraocular lens (IOL) malposition, refractive surprise, pressure‑related events, and general or organisational incidents (systemic, logistical or staff‑exposure). Annual procedural volumes (≈1 300 cataract surgeries, 50–80 vitrectomies, 4 000 intravitreal injections) were used to estimate incidence per 1 000 procedures.",
        "Results": "In ≈3 900 cataract surgeries, post‑operative infectious endophthalmitis occurred once (0.26/1 000), capsule rupture/capsule compromise in ≈2–3/1 000, and IOL malposition needing re‑operation in ≈1–2/1 000. In ≈12 000 intravitreal injections, infectious endophthalmitis occurred twice (0.17/1 000) and sterile post‑bevacizumab inflammation five times (0.42/1 000); no proven infections followed vitrectomy. General/organisational events were rare (<1/1 000 procedures).",
        "Conclusions": "In this high‑volume regional centre, serious infectious complications after cataract surgery and intravitreal injections were rare, while capsule‑related complications and IOL malposition, although infrequent, represent meaningful and partly preventable events. A structured local registry that also captures systemic and organisational incidents provides a practical tool for risk assessment, benchmarking and targeted quality‑improvement interventions.\n\nRegistry‑driven surveillance that also includes systemic and organisational events supports targeted quality‑improvement strategies in biometry and IOL logistics, perioperative management of hi‑risk eyes, infection prevention, and team communication."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "PP02.017",
      "abstract_number": "PP02.017",
      "title": "Management And Outcome Of Cataract Surgery After Suspected Or Confirmed Lens Touch Following Intravitreal Injections",
      "authors": "Mr Pok Hei Chim",
      "presenter": "Mr Pok Hei Chim",
      "normalized_authors": [
        "Pok Hei Chim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pok Hei Chim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Intravitreal injections (IVIs) have been associated with increased risk of posterior capsular rupture (PCR) during subsequent cataract surgery, yet surgical outcomes in eyes with suspected or confirmed injection-related lens touch remained poorly described and largely limited to case reports and small case series. Our study aims to evaluate the surgical management and outcomes of cataract surgery in eyes with suspected or confirmed lens touch following IVIs.",
        "Setting": "Retrospective case series conducted at London North West University Healthcare NHS Trust, United Kingdom, between 2021 and 2025.",
        "Methods": "Medical records were retrospectively reviewed for 22 eyes of 22 patients who underwent cataract surgery between 2021 and 2025 following suspected or confirmed lens touch during IVI. Lens touch was classified as confirmed when needle–lens/capsule injury or definite capsular defect was documented, and as suspected when there was a sudden significant decline in vision following IVI in the absence of other complications defined as ≥0.3 logMAR decrease. Outcomes assessed included surgical approach, intraoperative events, intraocular lens (IOL) position, postoperative complications, mean change in visual acuity, and best-corrected visual acuity (BCVA, logMAR) at 2–6 weeks, 3 months and 6 months.",
        "Results": "Twenty-two eyes (11 confirmed, 11 suspected lens touch) were included in the analysis. IVI indications were age-related macular degeneration (AMD) 40.9%, diabetic maculopathy 40.9% and retinal vein occlusion (RVO) 13.6%. Phacoemulsification alone was performed in 63.6%, while 36.4% required combined surgery (anterior vitrectomy 18.2%, pars plana vitrectomy 18.2%). Posterior capsule rupture occurred in 13.6%. IOL placement was in-the-bag in 72.7%, ciliary sulcus in 22.7%, anterior chamber IOL in 4.5%. Mean BCVA improved from 1.55 to 0.33 (2–6 weeks) and 0.36 (6 months). Post-operative macular oedema was documented in 45.5%, and IOL repositioning in 4.5%.",
        "Conclusions": "Cataract surgery following suspected or confirmed IVI-associated lens touch achieved meaningful visual recovery and in most cases was managed with phacoemulsification alone. A third of cases required vitrectomy and/or non-bag IOL fixation, highlighting the importance of pre-operative counselling and preparedness for potential capsular compromise with vitreoretinal support available. Post-operative macular oedema was predominantly seen in diabetic eye disease and retinal vein occlusion, underscoring the need for coordinated retinal follow-up in these patients. FINANCIAL DISCLOSURE: None"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery following suspected or confirmed IVI-associated lens touch achieved meaningful visual recovery and in most cases was managed with phacoemulsification alone. A third of cases required vitrectomy and/or non-bag IOL fixation, highlighting the importance of pre-operative counselling and preparedness for potential capsular compromise with vitreoretinal support available. Post-operative macular oedema…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 22,
      "source_fields": {
        "Abstract Final Identifier": "PP02.017",
        "Title": "Management And Outcome Of Cataract Surgery After Suspected Or Confirmed Lens Touch Following Intravitreal Injections",
        "Presenting Author(s)": "Mr Pok Hei Chim",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Pok Hei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chim",
        "Country Name": "United Kingdom",
        "Purpose": "Intravitreal injections (IVIs) have been associated with increased risk of posterior capsular rupture (PCR) during subsequent cataract surgery, yet surgical outcomes in eyes with suspected or confirmed injection-related lens touch remained poorly described and largely limited to case reports and small case series. Our study aims to evaluate the surgical management and outcomes of cataract surgery in eyes with suspected or confirmed lens touch following IVIs.",
        "Setting": "Retrospective case series conducted at London North West University Healthcare NHS Trust, United Kingdom, between 2021 and 2025.",
        "Methods": "Medical records were retrospectively reviewed for 22 eyes of 22 patients who underwent cataract surgery between 2021 and 2025 following suspected or confirmed lens touch during IVI. Lens touch was classified as confirmed when needle–lens/capsule injury or definite capsular defect was documented, and as suspected when there was a sudden significant decline in vision following IVI in the absence of other complications defined as ≥0.3 logMAR decrease. Outcomes assessed included surgical approach, intraoperative events, intraocular lens (IOL) position, postoperative complications, mean change in visual acuity, and best-corrected visual acuity (BCVA, logMAR) at 2–6 weeks, 3 months and 6 months.",
        "Results": "Twenty-two eyes (11 confirmed, 11 suspected lens touch) were included in the analysis. IVI indications were age-related macular degeneration (AMD) 40.9%, diabetic maculopathy 40.9% and retinal vein occlusion (RVO) 13.6%. Phacoemulsification alone was performed in 63.6%, while 36.4% required combined surgery (anterior vitrectomy 18.2%, pars plana vitrectomy 18.2%). Posterior capsule rupture occurred in 13.6%. IOL placement was in-the-bag in 72.7%, ciliary sulcus in 22.7%, anterior chamber IOL in 4.5%. Mean BCVA improved from 1.55 to 0.33 (2–6 weeks) and 0.36 (6 months). Post-operative macular oedema was documented in 45.5%, and IOL repositioning in 4.5%.",
        "Conclusions": "Cataract surgery following suspected or confirmed IVI-associated lens touch achieved meaningful visual recovery and in most cases was managed with phacoemulsification alone. A third of cases required vitrectomy and/or non-bag IOL fixation, highlighting the importance of pre-operative counselling and preparedness for potential capsular compromise with vitreoretinal support available. Post-operative macular oedema was predominantly seen in diabetic eye disease and retinal vein occlusion, underscoring the need for coordinated retinal follow-up in these patients. FINANCIAL DISCLOSURE: None"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "PP02.018",
      "abstract_number": "PP02.018",
      "title": "Visual Outcomes Following Cataract Surgery In Eyes With Uveitis",
      "authors": "Rhea Suribhatla",
      "presenter": "Rhea Suribhatla",
      "normalized_authors": [
        "Rhea Suribhatla"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rhea Suribhatla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cataract is a common complication of uveitis, driven by chronic inflammation and corticosteroid therapy. Surgery aims to restore visual function and facilitate assessment of posterior segment disease. However, perioperative inflammation, uveitic structural sequelae, and pre-existing macular or optic nerve pathology can limit achievable visual outcomes and increase complication risk. This systematic review evaluates visual outcomes following cataract surgery in uveitic eyes, the factors that determine them, and areas where evidence remains limited or conflicting.",
        "Setting": "Systematic review conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.",
        "Methods": "A systematic literature search of CENTRAL, MEDLINE, PubMed, EMBASE, and ClinicalTrials.gov was conducted on 01 April 2025. Two independent reviewers performed title, abstract, and full-text screening. Eligible studies included adult patients with uveitis undergoing cataract surgery, reported outcomes for at least 100 eyes, and included visual acuity as an outcome measure. Randomised controlled trials, prospective cohort studies, and retrospective cohort studies were included. Data were synthesised qualitatively.",
        "Results": "26 papers were included, comprising 8,902 eyes (87.7% phacoemulsification). Pre- and postoperative visual acuity (VA) were worse in uveitic compared to non-uveitic eyes (n=2,822). Preoperative VA in uveitic eyes was poor (0.6–1.7 logMAR, n=5,365), but postoperative outcomes were good (0.15–0.4 logMAR, n=3,629; 30–90% ≤0.30 logMAR, n=5,293).\n\nPoor baseline VA predicted poorer outcomes (n=2,506), principally due to macular and optic nerve disease (n=557). Anterior uveitis was associated with the best visual outcomes and the lowest rates of postoperative recurrence (n=2,681 and n=347, respectively). Behçet’s disease was associated with the least visual gain (n=462), likely reflecting higher relapse rates rather than worse baseline VA (n=236).",
        "Conclusions": "Cataract surgery in uveitis reliably delivers meaningful visual improvement, frequently to functional levels. Although poor baseline VA is associated with worse outcomes, macular and optic nerve comorbidity represent the principal constraints on visual recovery. Where poor baseline VA reflects dense cataract rather than structural disease, meaningful improvement remains achievable provided inflammation is appropriately managed perioperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in uveitis reliably delivers meaningful visual improvement, frequently to functional levels. Although poor baseline VA is associated with worse outcomes, macular and optic nerve comorbidity represent the principal constraints on visual recovery. Where poor baseline VA reflects dense cataract rather than structural disease, meaningful improvement remains achievable provided inflammation is…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 23,
      "source_fields": {
        "Abstract Final Identifier": "PP02.018",
        "Title": "Visual Outcomes Following Cataract Surgery In Eyes With Uveitis",
        "Presenting Author(s)": "Rhea Suribhatla",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Rhea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suribhatla",
        "Country Name": "United Kingdom",
        "Purpose": "Cataract is a common complication of uveitis, driven by chronic inflammation and corticosteroid therapy. Surgery aims to restore visual function and facilitate assessment of posterior segment disease. However, perioperative inflammation, uveitic structural sequelae, and pre-existing macular or optic nerve pathology can limit achievable visual outcomes and increase complication risk. This systematic review evaluates visual outcomes following cataract surgery in uveitic eyes, the factors that determine them, and areas where evidence remains limited or conflicting.",
        "Setting": "Systematic review conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.",
        "Methods": "A systematic literature search of CENTRAL, MEDLINE, PubMed, EMBASE, and ClinicalTrials.gov was conducted on 01 April 2025. Two independent reviewers performed title, abstract, and full-text screening. Eligible studies included adult patients with uveitis undergoing cataract surgery, reported outcomes for at least 100 eyes, and included visual acuity as an outcome measure. Randomised controlled trials, prospective cohort studies, and retrospective cohort studies were included. Data were synthesised qualitatively.",
        "Results": "26 papers were included, comprising 8,902 eyes (87.7% phacoemulsification). Pre- and postoperative visual acuity (VA) were worse in uveitic compared to non-uveitic eyes (n=2,822). Preoperative VA in uveitic eyes was poor (0.6–1.7 logMAR, n=5,365), but postoperative outcomes were good (0.15–0.4 logMAR, n=3,629; 30–90% ≤0.30 logMAR, n=5,293).\n\nPoor baseline VA predicted poorer outcomes (n=2,506), principally due to macular and optic nerve disease (n=557). Anterior uveitis was associated with the best visual outcomes and the lowest rates of postoperative recurrence (n=2,681 and n=347, respectively). Behçet’s disease was associated with the least visual gain (n=462), likely reflecting higher relapse rates rather than worse baseline VA (n=236).",
        "Conclusions": "Cataract surgery in uveitis reliably delivers meaningful visual improvement, frequently to functional levels. Although poor baseline VA is associated with worse outcomes, macular and optic nerve comorbidity represent the principal constraints on visual recovery. Where poor baseline VA reflects dense cataract rather than structural disease, meaningful improvement remains achievable provided inflammation is appropriately managed perioperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 342
    },
    {
      "uid": "PP02.02",
      "abstract_number": "PP02.02",
      "title": "“Scleral Tuck And Iris Tie: A Cionni-Free Fixation In Grossly Subluxated Cataracts”",
      "authors": "Dr Dr.Navaneeth Saggam",
      "presenter": "Dr Dr.Navaneeth Saggam",
      "normalized_authors": [
        "Dr.Navaneeth Saggam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.Navaneeth Saggam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe a novel Cionni-free technique using combined scleral tuck and iris tie for stable intraocular lens (IOL) fixation in eyes with grossly subluxated cataracts.",
        "Setting": "Interventional case series conducted at a tertiary eye care centre, where all surgeries were performed using a standardized technique combining partial-thickness scleral haptic tuck and iris tie for IOL stabilization in grossly subluxated cataracts.",
        "Methods": "This interventional case series included 20 eyes with gross lens subluxation. Following capsulorhexis and phacoemulsification, the IOL haptic was tucked into a partial-thickness scleral groove without externalization or flange creation. An iris suture was passed through the adjacent optic-haptic junction and iris root to enhance IOL centration and reduce pseudophakodonesis.",
        "Results": "All eyes achieved stable, well-centred IOLs with minimal tilt. No cases of IOL dislocation, chronic inflammation, or significant postoperative complications were observed. Visual outcomes were satisfactory, and pseudophakodonesis was minimal.",
        "Conclusions": "The scleral tuck and iris tie technique provides a safe, cost-effective, and minimally invasive alternative to Cionni ring–based fixation in grossly subluxated cataracts, ensuring stable IOL centration while reducing surgical complexity and long-term complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The scleral tuck and iris tie technique provides a safe, cost-effective, and minimally invasive alternative to Cionni ring–based fixation in grossly subluxated cataracts, ensuring stable IOL centration while reducing surgical complexity and long-term complications.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 24,
      "source_fields": {
        "Abstract Final Identifier": "PP02.02",
        "Title": "“Scleral Tuck And Iris Tie: A Cionni-Free Fixation In Grossly Subluxated Cataracts”",
        "Presenting Author(s)": "Dr Dr.Navaneeth Saggam",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Dr.Navaneeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saggam",
        "Country Name": "India",
        "Purpose": "To describe a novel Cionni-free technique using combined scleral tuck and iris tie for stable intraocular lens (IOL) fixation in eyes with grossly subluxated cataracts.",
        "Setting": "Interventional case series conducted at a tertiary eye care centre, where all surgeries were performed using a standardized technique combining partial-thickness scleral haptic tuck and iris tie for IOL stabilization in grossly subluxated cataracts.",
        "Methods": "This interventional case series included 20 eyes with gross lens subluxation. Following capsulorhexis and phacoemulsification, the IOL haptic was tucked into a partial-thickness scleral groove without externalization or flange creation. An iris suture was passed through the adjacent optic-haptic junction and iris root to enhance IOL centration and reduce pseudophakodonesis.",
        "Results": "All eyes achieved stable, well-centred IOLs with minimal tilt. No cases of IOL dislocation, chronic inflammation, or significant postoperative complications were observed. Visual outcomes were satisfactory, and pseudophakodonesis was minimal.",
        "Conclusions": "The scleral tuck and iris tie technique provides a safe, cost-effective, and minimally invasive alternative to Cionni ring–based fixation in grossly subluxated cataracts, ensuring stable IOL centration while reducing surgical complexity and long-term complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 174
    },
    {
      "uid": "PP02.03",
      "abstract_number": "PP02.03",
      "title": "Posterior Vitreous Detachment Following Phacoemulsification Underlow Intraocular Pressure: A Population-Based Oct Study",
      "authors": "Dr hugo scarfone",
      "presenter": "Dr hugo scarfone",
      "normalized_authors": [
        "hugo scarfone"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emilia carolina Rodriguez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To determine the prevalence and progression of posterior vitreous detachment (PVD) after phacoemulsification performed under standardized low-intraocular pressure (IOP) active fluidics with real-time surge mitigation, and to characterize age- and sex-specific PVD prevalence in the general population.",
        "Setting": ".",
        "Methods": "An observational, retrospective, longitudinal cohort study was developed in a private ophthalmic clinic of Tandil city, Argentina. Records of patients aged ≥40 years with axial length 22–25 mm were reviewed. A single surgeon used the Centurion system (Alcon) with Active Fluidics and Active Sentry (30 mmHg infusion, 35 cc/min flow, 350 mmHg vacuum). Posterior vitreous status was staged with widefield spectral domain optical coherence tomography (SD-OCT) using Johnson’s classification. Eyes with prior ocular surgery, ocular disease, or intraoperative complications were excluded. Minimum follow-up was 12 months.",
        "Results": "We analyzed 1984 eyes: 432 operated and 1552 controls. Complete PVD (stage 4) increased with age and was more frequent in women ≥60 years. After ≥12 months, most eyes remained stable. Progression to stage 4 occurred in 6.9% of eyes starting at stage 0, 19.7% at stage 1, 47.8% at stage 2, and 25.0% at stage 3. In men, no differences were found between operated and control eyes; in women, excess stage 4 appeared at ages 70–79 years (73.6% vs 62.3%, p<0.01).",
        "Conclusions": "Under low-IOP active fluidics with surge mitigation, PVD progression follows biological factors (age, sex, baseline stage) rather than universal surgical acceleration. Widefield SD-OCT improves staging accuracy, and a pressure– time impulse model links fluidics dynamics to vitreoretinal traction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Under low-IOP active fluidics with surge mitigation, PVD progression follows biological factors (age, sex, baseline stage) rather than universal surgical acceleration. Widefield SD-OCT improves staging accuracy, and a pressure– time impulse model links fluidics dynamics to vitreoretinal traction.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 25,
      "source_fields": {
        "Abstract Final Identifier": "PP02.03",
        "Title": "Posterior Vitreous Detachment Following Phacoemulsification Underlow Intraocular Pressure: A Population-Based Oct Study",
        "Presenting Author(s)": "Dr hugo scarfone",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Emilia",
        "Submitter Middle Name": "carolina",
        "Submitter Last Name": "Rodriguez",
        "Country Name": "Argentina",
        "Purpose": "To determine the prevalence and progression of posterior vitreous detachment (PVD) after phacoemulsification performed under standardized low-intraocular pressure (IOP) active fluidics with real-time surge mitigation, and to characterize age- and sex-specific PVD prevalence in the general population.",
        "Setting": ".",
        "Methods": "An observational, retrospective, longitudinal cohort study was developed in a private ophthalmic clinic of Tandil city, Argentina. Records of patients aged ≥40 years with axial length 22–25 mm were reviewed. A single surgeon used the Centurion system (Alcon) with Active Fluidics and Active Sentry (30 mmHg infusion, 35 cc/min flow, 350 mmHg vacuum). Posterior vitreous status was staged with widefield spectral domain optical coherence tomography (SD-OCT) using Johnson’s classification. Eyes with prior ocular surgery, ocular disease, or intraoperative complications were excluded. Minimum follow-up was 12 months.",
        "Results": "We analyzed 1984 eyes: 432 operated and 1552 controls. Complete PVD (stage 4) increased with age and was more frequent in women ≥60 years. After ≥12 months, most eyes remained stable. Progression to stage 4 occurred in 6.9% of eyes starting at stage 0, 19.7% at stage 1, 47.8% at stage 2, and 25.0% at stage 3. In men, no differences were found between operated and control eyes; in women, excess stage 4 appeared at ages 70–79 years (73.6% vs 62.3%, p<0.01).",
        "Conclusions": "Under low-IOP active fluidics with surge mitigation, PVD progression follows biological factors (age, sex, baseline stage) rather than universal surgical acceleration. Widefield SD-OCT improves staging accuracy, and a pressure– time impulse model links fluidics dynamics to vitreoretinal traction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 254
    },
    {
      "uid": "PP02.04",
      "abstract_number": "PP02.04",
      "title": "Dual Iris Fixation And Pupilloplasty For Traumatic Mydriasis With Lens\nSubluxation: 50 Cases",
      "authors": "Dr Dr.Navaneeth Saggam",
      "presenter": "Dr Dr.Navaneeth Saggam",
      "normalized_authors": [
        "Dr.Navaneeth Saggam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.Navaneeth Saggam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To describe and evaluate a novel single-step surgical technique combining dual iris fixation of an intraocular lens (IOL) with pupilloplasty for the management of traumatic mydriasis associated with gross lens subluxation.",
        "Setting": "Prospective interventional case series performed at a tertiary eye care centre, where all surgeries were carried out by a single experienced surgeon using a standardized single-step technique combining sulcus IOL implantation, dual iris fixation, and pupilloplasty.",
        "Methods": "This prospective interventional case series included 50 eyes with traumatic mydriasis and significant lens or IOL subluxation. Following explantation of the crystalline lens or displaced IOL where required, a multipiece IOL was implanted in the sulcus. Each haptic was anchored to the mid-peripheral iris using a 4-throw pupilloplasty technique , passing 9-0 prolene through the iris and the IOL haptic using a Siepser knot approach. The same suture throws were continued to approximate the iris sphincter, simultaneously reconstructing a round, physiologic pupil. No scleral fixation, externalized sutures, or additional incisions were used.",
        "Results": "All eyes achieved stable and well-centred IOLs with satisfactory reconstruction of pupil size and shape. The combined technique provided effective correction of both lens subluxation and traumatic mydriasis in a single procedure. No intraoperative complications related to iris fixation or pupilloplasty were observed. Postoperatively, patients demonstrated good visual rehabilitation with excellent cosmetic outcomes. The procedure was reproducible, efficient, and avoided complications associated with scleral-sutured fixation.",
        "Conclusions": "Dual iris fixation combined with pupilloplasty offers a safe, effective, and single-stage solution for traumatic mydriasis with lens subluxation. This technique restores pupil function and cosmesis while ensuring stable IOL fixation without scleral sutures, reducing surgical complexity, operative time, and potential postoperative complications."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dual iris fixation combined with pupilloplasty offers a safe, effective, and single-stage solution for traumatic mydriasis with lens subluxation. This technique restores pupil function and cosmesis while ensuring stable IOL fixation without scleral sutures, reducing surgical complexity, operative time, and potential postoperative complications.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 26,
      "source_fields": {
        "Abstract Final Identifier": "PP02.04",
        "Title": "Dual Iris Fixation And Pupilloplasty For Traumatic Mydriasis With Lens\nSubluxation: 50 Cases",
        "Presenting Author(s)": "Dr Dr.Navaneeth Saggam",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Dr.Navaneeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saggam",
        "Country Name": "India",
        "Purpose": "To describe and evaluate a novel single-step surgical technique combining dual iris fixation of an intraocular lens (IOL) with pupilloplasty for the management of traumatic mydriasis associated with gross lens subluxation.",
        "Setting": "Prospective interventional case series performed at a tertiary eye care centre, where all surgeries were carried out by a single experienced surgeon using a standardized single-step technique combining sulcus IOL implantation, dual iris fixation, and pupilloplasty.",
        "Methods": "This prospective interventional case series included 50 eyes with traumatic mydriasis and significant lens or IOL subluxation. Following explantation of the crystalline lens or displaced IOL where required, a multipiece IOL was implanted in the sulcus. Each haptic was anchored to the mid-peripheral iris using a 4-throw pupilloplasty technique , passing 9-0 prolene through the iris and the IOL haptic using a Siepser knot approach. The same suture throws were continued to approximate the iris sphincter, simultaneously reconstructing a round, physiologic pupil. No scleral fixation, externalized sutures, or additional incisions were used.",
        "Results": "All eyes achieved stable and well-centred IOLs with satisfactory reconstruction of pupil size and shape. The combined technique provided effective correction of both lens subluxation and traumatic mydriasis in a single procedure. No intraoperative complications related to iris fixation or pupilloplasty were observed. Postoperatively, patients demonstrated good visual rehabilitation with excellent cosmetic outcomes. The procedure was reproducible, efficient, and avoided complications associated with scleral-sutured fixation.",
        "Conclusions": "Dual iris fixation combined with pupilloplasty offers a safe, effective, and single-stage solution for traumatic mydriasis with lens subluxation. This technique restores pupil function and cosmesis while ensuring stable IOL fixation without scleral sutures, reducing surgical complexity, operative time, and potential postoperative complications."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "PP02.05",
      "abstract_number": "PP02.05",
      "title": "The Role Of Phacoemulsification In Reducing Intraocular Pressure In Angle-Closure Glaucoma: A Prospective Cohort Study",
      "authors": "Dr Melita Adilovic",
      "presenter": "Dr Melita Adilovic",
      "normalized_authors": [
        "Melita Adilovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melita Adilovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bosnia and Herzegovina",
      "sections": {
        "Purpose": "The role of the crystalline lens in the etiology of primary angle-closure glaucoma (PACG) is well established, as the lens may cause narrowing of the anterior chamber angle by displacing the peripheral iris anteriorly. This effect is more pronounced when the lens is opacified, making phacoemulsification cataract surgery a promising therapeutic option for reducing intraocular pressure (IOP).\n\nThe purpose of this poster is to investigate whether phacoemulsification in acute primary angle-closure glaucoma (APCAG) and chronic primary angle-closure glaucoma (CPCAG) reduces intraocular pressure (IOP).",
        "Setting": "All preoperative evaluations, phacoemulsification procedures, and postoperative follow-ups were conducted at Eye Clinic Royal Ophthalmology, Doboj, Bosnia and Herzegovina.",
        "Methods": "Prospective study included a total of 36 eyes,15 with APCAG and 21 with CPCAG.All eyes underwent PHACO surgery regardless of the degree of lens opacity,presence of peripheral anterior synechiae,or prior Nd:YAG laser iridotomy.Data collected included IOP, best-corrected visual acuity (BCVA), and number of topical antiglaucoma medications.Follow-up examinations were performed at 1, 3 and 6 months postoperatively.Data distribution was assessed using Kolmogorov–Smirnov and Shapiro–Wilk tests.Mann–Whitney U test was used for comparisons between groups,while the Wilcoxon signed-rank test was applied for paired comparisons before and after surgery.Data are presented as median ± IQR, and statistical analysis was performed using R software (v4.4.2).",
        "Results": "Preoperative IOP was higher in APCAG(31.08 ± 3.13 mmHg) than in CPCAG(22.81 ± 0.80 mmHg). Postoperatively, IOP decreased to 15.07 ± 0.82 mmHg in APCAG(−51.5%) and 15.23 ± 1.81 mmHg in CPCAG(−33.06%), reaching the recommended target range of 15–16 mmHg. BCVA improved in Snellen decimal from 0.29 to 0.65 (+4 lines) in APCAG and from 0.53 to 0.67 (+2 lines) in CPCAG. The number of topical antiglaucoma medication decreased from 2.87 to 1.6 in APCAG and from 1.67 to 0.57 in CPCAG. IOP, BCVA, and medication reductions were maintained at 1,3 and 6-month follow-ups, statistically significant (p<0.05), comparable between groups, and well tolerated, with no additional glaucoma surgery required and no serious postoperative complications was observed.",
        "Conclusions": "The optimal treatment algorithm for angle-closure glaucoma is still evolving. Both APCAG and CPCAG patients benefited from phacoemulsification, achieving significant IOP reduction and a decrease in the number of topical antiglaucoma medication. BCVA improved significantly in both groups. Although IOP reduction was more pronounced in APCAG, both groups showed statistically significant improvements in intraocular pressure control and medication burden. Phacoemulsification, regardless of lens opacity, represents an effective and safe surgical procedure in primary angle-closure glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The optimal treatment algorithm for angle-closure glaucoma is still evolving. Both APCAG and CPCAG patients benefited from phacoemulsification, achieving significant IOP reduction and a decrease in the number of topical antiglaucoma medication. BCVA improved significantly in both groups. Although IOP reduction was more pronounced in APCAG, both groups showed statistically significant improvements in intraocular…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 27,
      "source_fields": {
        "Abstract Final Identifier": "PP02.05",
        "Title": "The Role Of Phacoemulsification In Reducing Intraocular Pressure In Angle-Closure Glaucoma: A Prospective Cohort Study",
        "Presenting Author(s)": "Dr Melita Adilovic",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Melita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Adilovic",
        "Country Name": "Bosnia and Herzegovina",
        "Purpose": "The role of the crystalline lens in the etiology of primary angle-closure glaucoma (PACG) is well established, as the lens may cause narrowing of the anterior chamber angle by displacing the peripheral iris anteriorly. This effect is more pronounced when the lens is opacified, making phacoemulsification cataract surgery a promising therapeutic option for reducing intraocular pressure (IOP).\n\nThe purpose of this poster is to investigate whether phacoemulsification in acute primary angle-closure glaucoma (APCAG) and chronic primary angle-closure glaucoma (CPCAG) reduces intraocular pressure (IOP).",
        "Setting": "All preoperative evaluations, phacoemulsification procedures, and postoperative follow-ups were conducted at Eye Clinic Royal Ophthalmology, Doboj, Bosnia and Herzegovina.",
        "Methods": "Prospective study included a total of 36 eyes,15 with APCAG and 21 with CPCAG.All eyes underwent PHACO surgery regardless of the degree of lens opacity,presence of peripheral anterior synechiae,or prior Nd:YAG laser iridotomy.Data collected included IOP, best-corrected visual acuity (BCVA), and number of topical antiglaucoma medications.Follow-up examinations were performed at 1, 3 and 6 months postoperatively.Data distribution was assessed using Kolmogorov–Smirnov and Shapiro–Wilk tests.Mann–Whitney U test was used for comparisons between groups,while the Wilcoxon signed-rank test was applied for paired comparisons before and after surgery.Data are presented as median ± IQR, and statistical analysis was performed using R software (v4.4.2).",
        "Results": "Preoperative IOP was higher in APCAG(31.08 ± 3.13 mmHg) than in CPCAG(22.81 ± 0.80 mmHg). Postoperatively, IOP decreased to 15.07 ± 0.82 mmHg in APCAG(−51.5%) and 15.23 ± 1.81 mmHg in CPCAG(−33.06%), reaching the recommended target range of 15–16 mmHg. BCVA improved in Snellen decimal from 0.29 to 0.65 (+4 lines) in APCAG and from 0.53 to 0.67 (+2 lines) in CPCAG. The number of topical antiglaucoma medication decreased from 2.87 to 1.6 in APCAG and from 1.67 to 0.57 in CPCAG. IOP, BCVA, and medication reductions were maintained at 1,3 and 6-month follow-ups, statistically significant (p<0.05), comparable between groups, and well tolerated, with no additional glaucoma surgery required and no serious postoperative complications was observed.",
        "Conclusions": "The optimal treatment algorithm for angle-closure glaucoma is still evolving. Both APCAG and CPCAG patients benefited from phacoemulsification, achieving significant IOP reduction and a decrease in the number of topical antiglaucoma medication. BCVA improved significantly in both groups. Although IOP reduction was more pronounced in APCAG, both groups showed statistically significant improvements in intraocular pressure control and medication burden. Phacoemulsification, regardless of lens opacity, represents an effective and safe surgical procedure in primary angle-closure glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 430
    },
    {
      "uid": "PP02.06",
      "abstract_number": "PP02.06",
      "title": "Neuroprotective Effect Of Citicoline Eye Drops On Corneal Sensitivity After Cataract Surgery",
      "authors": "Prof. Dr Suzana Konjevoda",
      "presenter": "Prof. Dr Suzana Konjevoda",
      "normalized_authors": [
        "Suzana Konjevoda"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marjan Kulaš",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To investigate the potential neuroprotective role of topical citicoline in promoting corneal nerve regeneration and accelerating recovery of corneal sensitivity following uncomplicated cataract surgery, and to evaluate its effects on postoperative ocular surface symptoms and tear film stability.",
        "Setting": "All patients underwent standard phacoemulsification with intraocular lens implantation performed by experienced anterior segment surgeons using a standardized surgical technique. Postoperative follow-up examinations, including corneal sensitivity measurements with a Cochet–Bonnet esthesiometer and comprehensive ocular surface assessments, were performed at the same institution under uniform clinical conditions. The institutional ethics committee approved the study.",
        "Methods": "This prospective, randomized study included patients undergoing standard phacoemulsification with\nintraocular lens implantation. Participants were divided into two groups: the study group received\nciticoline eye drops postoperatively, while the control group received standard postoperative\ntherapy alone. Corneal sensitivity was measured using a Cochet–Bonnet esthesiometer\npreoperatively and at 1 week, 3 weeks, and 6 weeks after surgery. Secondary outcomes included\nsubjective ocular surface symptoms and tear film parameters. Statistical analysis was performed to\ncompare changes in corneal sensitivity between the groups.",
        "Results": "Both groups showed a postoperative reduction in corneal sensitivity at 1 week. However, the\nciticoline-treated group demonstrated a significantly faster recovery of corneal sensitivity at 3 and 6\nweeks compared to the control group (p < 0.05). Patients receiving citicoline also reported fewer\nsymptoms of ocular discomfort and dryness. No adverse effects related to citicoline eye drops were\nobserved.",
        "Conclusions": "Topical citicoline eye drops appear to have a beneficial neuroprotective effect on corneal nerves,\npromoting faster recovery of corneal sensitivity after cataract surgery. Their use may improve\npostoperative corneal nerve healing and patient comfort following phacoemulsification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical citicoline eye drops appear to have a beneficial neuroprotective effect on corneal nerves, promoting faster recovery of corneal sensitivity after cataract surgery. Their use may improve postoperative corneal nerve healing and patient comfort following phacoemulsification.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 28,
      "source_fields": {
        "Abstract Final Identifier": "PP02.06",
        "Title": "Neuroprotective Effect Of Citicoline Eye Drops On Corneal Sensitivity After Cataract Surgery",
        "Presenting Author(s)": "Prof. Dr Suzana Konjevoda",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Marjan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kulaš",
        "Country Name": "Croatia",
        "Purpose": "To investigate the potential neuroprotective role of topical citicoline in promoting corneal nerve regeneration and accelerating recovery of corneal sensitivity following uncomplicated cataract surgery, and to evaluate its effects on postoperative ocular surface symptoms and tear film stability.",
        "Setting": "All patients underwent standard phacoemulsification with intraocular lens implantation performed by experienced anterior segment surgeons using a standardized surgical technique. Postoperative follow-up examinations, including corneal sensitivity measurements with a Cochet–Bonnet esthesiometer and comprehensive ocular surface assessments, were performed at the same institution under uniform clinical conditions. The institutional ethics committee approved the study.",
        "Methods": "This prospective, randomized study included patients undergoing standard phacoemulsification with\nintraocular lens implantation. Participants were divided into two groups: the study group received\nciticoline eye drops postoperatively, while the control group received standard postoperative\ntherapy alone. Corneal sensitivity was measured using a Cochet–Bonnet esthesiometer\npreoperatively and at 1 week, 3 weeks, and 6 weeks after surgery. Secondary outcomes included\nsubjective ocular surface symptoms and tear film parameters. Statistical analysis was performed to\ncompare changes in corneal sensitivity between the groups.",
        "Results": "Both groups showed a postoperative reduction in corneal sensitivity at 1 week. However, the\nciticoline-treated group demonstrated a significantly faster recovery of corneal sensitivity at 3 and 6\nweeks compared to the control group (p < 0.05). Patients receiving citicoline also reported fewer\nsymptoms of ocular discomfort and dryness. No adverse effects related to citicoline eye drops were\nobserved.",
        "Conclusions": "Topical citicoline eye drops appear to have a beneficial neuroprotective effect on corneal nerves,\npromoting faster recovery of corneal sensitivity after cataract surgery. Their use may improve\npostoperative corneal nerve healing and patient comfort following phacoemulsification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "PP02.07",
      "abstract_number": "PP02.07",
      "title": "Intravitreal Acetazolamide Implant For Pseudophakic Cystoid Macular Edema",
      "authors": "A/Prof. Andre Messias",
      "presenter": "A/Prof. Andre Messias",
      "normalized_authors": [
        "Andre Messias"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andre Messias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To investigate the safety of a slow-delivery intravitreal acetazolamide implant (260 µg) for the treatment of cystoid macular edema (CME) in patients who are refractory, relapsing, or intolerant to conventional therapy",
        "Setting": "Terciary University Ophthalmology Hospital",
        "Methods": "After informed consent, patients received a single intravitreal injection of a 260 µg acetazolamide implant via pars plana, using a 25-gauge trocar-cannula (Alcon, Fort Worth, Texas). Follow-up included comprehensive ophthalmologic examination, spectral-domain optical coherence tomography (OCT), full-field or multifocal electroretinography (ERG), and laboratory testing.",
        "Results": "Significant anatomical improvement was observed in all cases, with marked reductions in central macular thickness on OCT. Visual acuity either improved or remained stable. Notably, full-field and multifocal ERG showed no changes in amplitude, latency, or waveform morphology in any patient—providing no indication of retinal toxicity whatsoever. Intraocular pressure remained stable or decreased, including in patients with pre-existing glaucoma.",
        "Conclusions": "These preliminary findings suggest that intravitreal delivery of acetazolamide via implant may be a safe and effective option for managing refractory CME. The absence of any detectable ERG abnormalities supports the retinal safety of this novel therapeutic approach. Further studies are needed to validate these early results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These preliminary findings suggest that intravitreal delivery of acetazolamide via implant may be a safe and effective option for managing refractory CME. The absence of any detectable ERG abnormalities supports the retinal safety of this novel therapeutic approach. Further studies are needed to validate these early results.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 29,
      "source_fields": {
        "Abstract Final Identifier": "PP02.07",
        "Title": "Intravitreal Acetazolamide Implant For Pseudophakic Cystoid Macular Edema",
        "Presenting Author(s)": "A/Prof. Andre Messias",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Andre",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messias",
        "Country Name": "Brazil",
        "Purpose": "To investigate the safety of a slow-delivery intravitreal acetazolamide implant (260 µg) for the treatment of cystoid macular edema (CME) in patients who are refractory, relapsing, or intolerant to conventional therapy",
        "Setting": "Terciary University Ophthalmology Hospital",
        "Methods": "After informed consent, patients received a single intravitreal injection of a 260 µg acetazolamide implant via pars plana, using a 25-gauge trocar-cannula (Alcon, Fort Worth, Texas). Follow-up included comprehensive ophthalmologic examination, spectral-domain optical coherence tomography (OCT), full-field or multifocal electroretinography (ERG), and laboratory testing.",
        "Results": "Significant anatomical improvement was observed in all cases, with marked reductions in central macular thickness on OCT. Visual acuity either improved or remained stable. Notably, full-field and multifocal ERG showed no changes in amplitude, latency, or waveform morphology in any patient—providing no indication of retinal toxicity whatsoever. Intraocular pressure remained stable or decreased, including in patients with pre-existing glaucoma.",
        "Conclusions": "These preliminary findings suggest that intravitreal delivery of acetazolamide via implant may be a safe and effective option for managing refractory CME. The absence of any detectable ERG abnormalities supports the retinal safety of this novel therapeutic approach. Further studies are needed to validate these early results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "PP02.08",
      "abstract_number": "PP02.08",
      "title": "Preoperative Aberrometry And Straylight Measurement As Predictors Of Patient-Reported Outcomes After Cataract Surgery",
      "authors": "Dr Nic Johannes Reus",
      "presenter": "Dr Nic Johannes Reus",
      "normalized_authors": [
        "Nic Johannes Reus"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nic Johannes Reus",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "The current indication for cataract surgery relies on patient-reported complaints, visual acuity (VA), and slit-lamp assessment. However, preoperative VA has been shown to be a poor predictor of surgical outcome, and no tool reliably predicts which patients will experience meaningful functional improvement with surgery. Objective optical quality metrics, such as aberrometry and straylight measurement, may provide a more direct measure of lens-induced optical degradation, independent of subjective reporting. This study investigates whether preoperative aberrometry and straylight predict postoperative patient-reported visual function as measured with the Catquest-9SF.",
        "Setting": "Prospective observational cohort study at the Department of Ophthalmology, Amphia hospital, Breda, the Netherlands. Patients with bilateral cataract scheduled for phacoemulsification with bilateral implantation of a (toric) monofocal or extended-depth-of focus intraocular lens (IOL) were enrolled.",
        "Methods": "Fifty-three patients (73 ± 7 years) underwent preoperative and one-month postoperative aberrometry (iTrace) and straylight measurement (C-Quant) in both eyes. Aberrometry was expressed as the log of Visual Strehl ratio, an optical metric that incorporates an age-related neural contrast sensitivity function at 900 trolands. Straylight was expressed as log[s]. Visual function was assessed with the Catquest-9SF questionnaire before and after surgery. Uncorrected (UDVA), corrected (CDVA), and spectacle-corrected distance VA (SCDVA) were also measured. A linear mixed-effects model (random intercept for patient) assessed whether preoperative log[VSX], log[s], baseline Catquest-9SF score, and age predicted postoperative Catquest-9SF Rasch score.",
        "Results": "Cataract surgery significantly improved VA (right, left eyes): SCDVA preop 0.32±0.18, 0.29±0.18; UDVA postop 0.16±0.26, 0.16±0.23; CDVA postop 0.01±0.11, 0.00±0.07. Aberrations (log[VSX]) (right, left eyes) improved from -1.39±0.72 to -0.74±0.41, from -1.44±0.72 to -0.76±0.38, and straylight (log[s]) from 1.51±0.23 to 1.19±0.25, from 1.49±0.21 to 1.24±0.23 (all p<0.0001). Patient-reported visual function also improved significantly: Catquest-9SF Rasch score changed from -1.10±1.25 to -2.86±0.70 (p<0.0001). In a linear mixed model adjusted for preoperative Catquest-9SF, log[VSX], log[s], and age, only age independently predicted postoperative patient-reported outcome (β=-0.03, p=0.01).",
        "Conclusions": "Despite marked improvements in objective optical quality and patient-reported visual function following cataract surgery, preoperative log[VSX] and log[s] were not associated with postoperative Catquest-9SF outcomes. These findings indicate that the relationship between measured optical degradation and postoperative patient-reported visual function is not straightforward. Further research is needed to better understand how objective optical metrics relate to patient-reported outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite marked improvements in objective optical quality and patient-reported visual function following cataract surgery, preoperative log[VSX] and log[s] were not associated with postoperative Catquest-9SF outcomes. These findings indicate that the relationship between measured optical degradation and postoperative patient-reported visual function is not straightforward. Further research is needed to better…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 30,
      "source_fields": {
        "Abstract Final Identifier": "PP02.08",
        "Title": "Preoperative Aberrometry And Straylight Measurement As Predictors Of Patient-Reported Outcomes After Cataract Surgery",
        "Presenting Author(s)": "Dr Nic Johannes Reus",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Nic",
        "Submitter Middle Name": "Johannes",
        "Submitter Last Name": "Reus",
        "Country Name": "Netherlands",
        "Purpose": "The current indication for cataract surgery relies on patient-reported complaints, visual acuity (VA), and slit-lamp assessment. However, preoperative VA has been shown to be a poor predictor of surgical outcome, and no tool reliably predicts which patients will experience meaningful functional improvement with surgery. Objective optical quality metrics, such as aberrometry and straylight measurement, may provide a more direct measure of lens-induced optical degradation, independent of subjective reporting. This study investigates whether preoperative aberrometry and straylight predict postoperative patient-reported visual function as measured with the Catquest-9SF.",
        "Setting": "Prospective observational cohort study at the Department of Ophthalmology, Amphia hospital, Breda, the Netherlands. Patients with bilateral cataract scheduled for phacoemulsification with bilateral implantation of a (toric) monofocal or extended-depth-of focus intraocular lens (IOL) were enrolled.",
        "Methods": "Fifty-three patients (73 ± 7 years) underwent preoperative and one-month postoperative aberrometry (iTrace) and straylight measurement (C-Quant) in both eyes. Aberrometry was expressed as the log of Visual Strehl ratio, an optical metric that incorporates an age-related neural contrast sensitivity function at 900 trolands. Straylight was expressed as log[s]. Visual function was assessed with the Catquest-9SF questionnaire before and after surgery. Uncorrected (UDVA), corrected (CDVA), and spectacle-corrected distance VA (SCDVA) were also measured. A linear mixed-effects model (random intercept for patient) assessed whether preoperative log[VSX], log[s], baseline Catquest-9SF score, and age predicted postoperative Catquest-9SF Rasch score.",
        "Results": "Cataract surgery significantly improved VA (right, left eyes): SCDVA preop 0.32±0.18, 0.29±0.18; UDVA postop 0.16±0.26, 0.16±0.23; CDVA postop 0.01±0.11, 0.00±0.07. Aberrations (log[VSX]) (right, left eyes) improved from -1.39±0.72 to -0.74±0.41, from -1.44±0.72 to -0.76±0.38, and straylight (log[s]) from 1.51±0.23 to 1.19±0.25, from 1.49±0.21 to 1.24±0.23 (all p<0.0001). Patient-reported visual function also improved significantly: Catquest-9SF Rasch score changed from -1.10±1.25 to -2.86±0.70 (p<0.0001). In a linear mixed model adjusted for preoperative Catquest-9SF, log[VSX], log[s], and age, only age independently predicted postoperative patient-reported outcome (β=-0.03, p=0.01).",
        "Conclusions": "Despite marked improvements in objective optical quality and patient-reported visual function following cataract surgery, preoperative log[VSX] and log[s] were not associated with postoperative Catquest-9SF outcomes. These findings indicate that the relationship between measured optical degradation and postoperative patient-reported visual function is not straightforward. Further research is needed to better understand how objective optical metrics relate to patient-reported outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 424
    },
    {
      "uid": "PP02.09",
      "abstract_number": "PP02.09",
      "title": "Posterior Capsule Rupture By Surgeon Grade After Case Difficulty Stratification In A High-Volume Setup",
      "authors": "Dr Sujay Sanjay Jaju",
      "presenter": "Dr Sujay Sanjay Jaju",
      "normalized_authors": [
        "Sujay Sanjay Jaju"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sujay Sanjay Jaju",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the association between surgeon training grade and posterior capsule rupture (PCR) in cataract surgery, stratified by cataract difficulty grade (G1–G3)",
        "Setting": "Multisite high-volume cataract program (2025) with routine capture of surgeon category and cataract difficulty grading.",
        "Methods": "Retrospective cohort analysis of cataract surgeries with surgeon category recorded as Medical Officers, Fellows, PostGraduates or Trainees. Difficulty grading used the recorded Group 1/2/3 field mapped to G1/G2/G3. Primary endpoint was PCR (with/without vitreous disturbance), reported overall and within each difficulty grade.",
        "Results": "Surgeon category was available for 465,699 cases (most performed by Medical Officers, followed by Fellows and PostGraduates; Trainees comprised a small fraction). Medical Officers managed a higher share of difficult cataracts (G3 8.1%) than Fellows (3.4%) and PostGraduates (1.3%). Overall PCR increased with decreasing experience (Medical Officers 1.12%, Fellows 1.69%, PostGraduates 1.86%, Trainees 3.84%). Within each surgeon category, PCR rose stepwise with difficulty grade (G1 < G2 < G3), with the highest rates observed in G3 cases.",
        "Conclusions": "PCR increased with cataract difficulty and was higher in less-experienced surgeon categories, with a training effect persisting within G1 and G2. Difficulty-graded audit helps separate case-mix from performance and may support graded case allocation, supervision and targeted feedback to reduce PCR."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PCR increased with cataract difficulty and was higher in less-experienced surgeon categories, with a training effect persisting within G1 and G2. Difficulty-graded audit helps separate case-mix from performance and may support graded case allocation, supervision and targeted feedback to reduce PCR.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 31,
      "source_fields": {
        "Abstract Final Identifier": "PP02.09",
        "Title": "Posterior Capsule Rupture By Surgeon Grade After Case Difficulty Stratification In A High-Volume Setup",
        "Presenting Author(s)": "Dr Sujay Sanjay Jaju",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sujay",
        "Submitter Middle Name": "Sanjay",
        "Submitter Last Name": "Jaju",
        "Country Name": "India",
        "Purpose": "To evaluate the association between surgeon training grade and posterior capsule rupture (PCR) in cataract surgery, stratified by cataract difficulty grade (G1–G3)",
        "Setting": "Multisite high-volume cataract program (2025) with routine capture of surgeon category and cataract difficulty grading.",
        "Methods": "Retrospective cohort analysis of cataract surgeries with surgeon category recorded as Medical Officers, Fellows, PostGraduates or Trainees. Difficulty grading used the recorded Group 1/2/3 field mapped to G1/G2/G3. Primary endpoint was PCR (with/without vitreous disturbance), reported overall and within each difficulty grade.",
        "Results": "Surgeon category was available for 465,699 cases (most performed by Medical Officers, followed by Fellows and PostGraduates; Trainees comprised a small fraction). Medical Officers managed a higher share of difficult cataracts (G3 8.1%) than Fellows (3.4%) and PostGraduates (1.3%). Overall PCR increased with decreasing experience (Medical Officers 1.12%, Fellows 1.69%, PostGraduates 1.86%, Trainees 3.84%). Within each surgeon category, PCR rose stepwise with difficulty grade (G1 < G2 < G3), with the highest rates observed in G3 cases.",
        "Conclusions": "PCR increased with cataract difficulty and was higher in less-experienced surgeon categories, with a training effect persisting within G1 and G2. Difficulty-graded audit helps separate case-mix from performance and may support graded case allocation, supervision and targeted feedback to reduce PCR."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 209
    },
    {
      "uid": "PP02.10",
      "abstract_number": "PP02.10",
      "title": "To Shield Or Not To Shield: A Review Of Routine Cataract Cases With And Without Post-Operative Cartella Shields In A Tertiary Uk Eye Centre",
      "authors": "Dr Zuwase Mwale",
      "presenter": "Dr Zuwase Mwale",
      "normalized_authors": [
        "Zuwase Mwale"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zuwase Mwale",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the impact of omitting a post-operative protective eye shield following routine phacoemulsification cataract surgery compared with standard shield use.",
        "Setting": "A prospective comparative audit was conducted of consecutive patients undergoing routine cataract surgery at a tertiary UK eye centre. Patients who had cataracts surgery between 17/02/25 - 26/02/25 were analysed",
        "Methods": "Two cohorts of patients who had cataracts surgery between 17/02/25 - 26/02/25 were analysed : patients discharged with a post-operative eye shield (shield group) and those discharged without a shield (shieldless group). The primary outcome measure was unplanned reattendance to eye services. Data collected included laterality, surgeon grade, time to reattendance, post-operative complications, and need for additional treatment. Secondary outcomes assessed patient experience using post-operative Google Forms surveys administered via tele-consultation by two investigators (MTM, ZM).",
        "Results": "164 eyes were analysed: 52 shielded and 112 shieldless. In the shield group, 17% reattended (33% unplanned); one CMO, one post-op uveitis needing ongoing treatment, and one normal exam requiring no treatment. In the shieldless group, 16% reattended (11% unplanned): one rebound uveitis and one CMO, both treated with drops. No endophthalmitis, trauma, lens issues or iris prolapse occurred. Of shieldless patients, 64% responded; 85.9% rated care excellent (97.2% excellent/good), 84.5% were comfortable overnight, though most would have worn and believed in a shield.",
        "Conclusions": "Omission of a post-operative shield was associated with a reduction in unplanned early reattendance. Although, whilst the shieldless cohort demonstrated a lower rate of unplanned reattendance (1.8% vs 5.8%), this difference did not reach statistical significance. While most presentations were non-sight-threatening and patient-reported comfort without a shield was high, the majority of patients still perceived shields as necessary. We have demonstrated a non-inferiority of shieldless cataract surgery in appropriate routine cases, although patients reported a shield as necessary, and therefore further data and qualitative discussion with patients would be required to adopt this approach for routine cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Omission of a post-operative shield was associated with a reduction in unplanned early reattendance. Although, whilst the shieldless cohort demonstrated a lower rate of unplanned reattendance (1.8% vs 5.8%), this difference did not reach statistical significance. While most presentations were non-sight-threatening and patient-reported comfort without a shield was high, the majority of patients still perceived…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 32,
      "source_fields": {
        "Abstract Final Identifier": "PP02.10",
        "Title": "To Shield Or Not To Shield: A Review Of Routine Cataract Cases With And Without Post-Operative Cartella Shields In A Tertiary Uk Eye Centre",
        "Presenting Author(s)": "Dr Zuwase Mwale",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Zuwase",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mwale",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the impact of omitting a post-operative protective eye shield following routine phacoemulsification cataract surgery compared with standard shield use.",
        "Setting": "A prospective comparative audit was conducted of consecutive patients undergoing routine cataract surgery at a tertiary UK eye centre. Patients who had cataracts surgery between 17/02/25 - 26/02/25 were analysed",
        "Methods": "Two cohorts of patients who had cataracts surgery between 17/02/25 - 26/02/25 were analysed : patients discharged with a post-operative eye shield (shield group) and those discharged without a shield (shieldless group). The primary outcome measure was unplanned reattendance to eye services. Data collected included laterality, surgeon grade, time to reattendance, post-operative complications, and need for additional treatment. Secondary outcomes assessed patient experience using post-operative Google Forms surveys administered via tele-consultation by two investigators (MTM, ZM).",
        "Results": "164 eyes were analysed: 52 shielded and 112 shieldless. In the shield group, 17% reattended (33% unplanned); one CMO, one post-op uveitis needing ongoing treatment, and one normal exam requiring no treatment. In the shieldless group, 16% reattended (11% unplanned): one rebound uveitis and one CMO, both treated with drops. No endophthalmitis, trauma, lens issues or iris prolapse occurred. Of shieldless patients, 64% responded; 85.9% rated care excellent (97.2% excellent/good), 84.5% were comfortable overnight, though most would have worn and believed in a shield.",
        "Conclusions": "Omission of a post-operative shield was associated with a reduction in unplanned early reattendance. Although, whilst the shieldless cohort demonstrated a lower rate of unplanned reattendance (1.8% vs 5.8%), this difference did not reach statistical significance. While most presentations were non-sight-threatening and patient-reported comfort without a shield was high, the majority of patients still perceived shields as necessary. We have demonstrated a non-inferiority of shieldless cataract surgery in appropriate routine cases, although patients reported a shield as necessary, and therefore further data and qualitative discussion with patients would be required to adopt this approach for routine cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "PP02.12",
      "abstract_number": "PP02.12",
      "title": "Doing 2-Step Cataract Surgery By Choice If Complication Arises",
      "authors": "Dr SHISHIR AGRAWAL",
      "presenter": "Dr SHISHIR AGRAWAL",
      "normalized_authors": [
        "SHISHIR AGRAWAL"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shishir Agrawal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "At times, Cataract surgery could be complicated by unforeseen problems & the surgeon panics. We propose the technique whereby the surgeon, if not able to handle the complication, postpones the surgery of his own choice after carefully closing the eye, & operates again at a second stage.",
        "Setting": "Dr T P Agrawal Eye Hospital & Institute, Meerut & New Delhi, India.",
        "Methods": "We present 20 case scenarios of Cataract surgery that had unforeseen problems, where the first surgery could not be completed. The surgeon abandoned surgery & closed the eye neatly without panicking, when he felt the case to be non-manageable. 1-2 weeks later, the surgery was completed at a second stage.",
        "Results": "The various problems encountered included imminent posterior capsular rupture (PCR), inadvertent PCR, patient problem, surgeon problem & some unforeseen circumstances like malfunctiong of phacoemulsification unit. All surgeries could be successfully conducted at the second step. The results were comparable to a routine single step Cataract surgery.",
        "Conclusions": "At times there are unforeseen problems while doing a Cataract surgery. Instead of blotching the surgery, if the surgeon is unable to manage the problem at that instant, instead of panicking & doing harmful manoeuvres, he can abandon the surgery of his own choice (he should have it in the back of his mind) and plan a staged surgery. Later, once the eye is stable & one has time to plan, the surgery can be completed in a more successful way. Results in such cases are comparable to normal surgeries."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At times there are unforeseen problems while doing a Cataract surgery. Instead of blotching the surgery, if the surgeon is unable to manage the problem at that instant, instead of panicking & doing harmful manoeuvres, he can abandon the surgery of his own choice (he should have it in the back of his mind) and plan a staged surgery. Later, once the eye is stable & one has time to plan, the surgery can be completed…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 33,
      "source_fields": {
        "Abstract Final Identifier": "PP02.12",
        "Title": "Doing 2-Step Cataract Surgery By Choice If Complication Arises",
        "Presenting Author(s)": "Dr SHISHIR AGRAWAL",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Shishir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agrawal",
        "Country Name": "India",
        "Purpose": "At times, Cataract surgery could be complicated by unforeseen problems & the surgeon panics. We propose the technique whereby the surgeon, if not able to handle the complication, postpones the surgery of his own choice after carefully closing the eye, & operates again at a second stage.",
        "Setting": "Dr T P Agrawal Eye Hospital & Institute, Meerut & New Delhi, India.",
        "Methods": "We present 20 case scenarios of Cataract surgery that had unforeseen problems, where the first surgery could not be completed. The surgeon abandoned surgery & closed the eye neatly without panicking, when he felt the case to be non-manageable. 1-2 weeks later, the surgery was completed at a second stage.",
        "Results": "The various problems encountered included imminent posterior capsular rupture (PCR), inadvertent PCR, patient problem, surgeon problem & some unforeseen circumstances like malfunctiong of phacoemulsification unit. All surgeries could be successfully conducted at the second step. The results were comparable to a routine single step Cataract surgery.",
        "Conclusions": "At times there are unforeseen problems while doing a Cataract surgery. Instead of blotching the surgery, if the surgeon is unable to manage the problem at that instant, instead of panicking & doing harmful manoeuvres, he can abandon the surgery of his own choice (he should have it in the back of his mind) and plan a staged surgery. Later, once the eye is stable & one has time to plan, the surgery can be completed in a more successful way. Results in such cases are comparable to normal surgeries."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "PP02.13",
      "abstract_number": "PP02.13",
      "title": "Cataract Surgery In Patients After Radiotherapy For Intraocular Tumors – Challenges And Solutions.",
      "authors": "A/Prof. Anna Markiewicz",
      "presenter": "A/Prof. Anna Markiewicz",
      "normalized_authors": [
        "Anna Markiewicz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anna Markiewicz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To present the potential intraoperative and postoperative complications associated with postirradiation cataract surgery in adult patients with intraocular tumors treated with irradiation (brachytherapy or proton therapy) and to discuss the measures used to avoid them.",
        "Setting": "Radiation cataract phacoemulsification is a procedure with an increased risk of intra- and postoperative complications. It is much more often related with the need to use of iris retractors in eyes with narrow, areactive pupils, scissors for incising post-inflammatory membranes and fibrotic anterior lens capsules, lens capsule tension rings, and the proper combination of OVD. Moreover it is recommended to perform supplementary multimodal imaging, including: USG, UBM, and anterior OCT.",
        "Methods": "Based on the qualification procedure, preoperative treatment, course of the surgery and follow-ups, we would like to present our experience associated with postirradiation cataract surgery outcomes. The study (observation) included patients treated with ruthenium 106 (Ru-106), iodine 125 (I-125) plaques, or with proton radiotherapy for malignant intraocular tumors (choroidal melanoma or metastatic tumors), who developed complicated postirradiation cataract. In our tertiary referral center , approximately 500 patients per year are treated with radiotherapy for intraocular tumors.",
        "Results": "Removal of cataracts, which occur more frequently and more rapidly in eyes treated with radiotherapy is a procedure with an increased risk of complications. Adequate preoperative examination including additional tests (USG, UBM, and anterior segment OCT), and prior anti-VEGF injections in cases with neovascular glaucoma may facilitate the procedure and reduce the risk of serious complications. The presence of posterior synechiae, problems with narrow pupils, and the presence of inflammatory membranes necessitates the use of iris retractors and scissors. Irradiation of tumors in the anterior part of the uvea can be complicated with lens subluxation. For this reason, the implantation of capsule tension ring is recommended in these cases.",
        "Conclusions": "Postirradiation cataract surgery is a major challenge. However, performing additional diagnostic tests and treatment with anti-VEGF injections when indicated prior to surgery, as well as use additional instruments not applied as standard may significantly improve the early and late outcomes of postirradiation cataract surgery .\n\nNOTE: Radiation cataract removal surgery should only be performed when we are certain that the intraocular tumor has been rendered inactive as a result of treatment and that there is no local recurrence!"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Postirradiation cataract surgery is a major challenge. However, performing additional diagnostic tests and treatment with anti-VEGF injections when indicated prior to surgery, as well as use additional instruments not applied as standard may significantly improve the early and late outcomes of postirradiation cataract surgery . NOTE: Radiation cataract removal surgery should only be performed when we are certain…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 34,
      "source_fields": {
        "Abstract Final Identifier": "PP02.13",
        "Title": "Cataract Surgery In Patients After Radiotherapy For Intraocular Tumors – Challenges And Solutions.",
        "Presenting Author(s)": "A/Prof. Anna Markiewicz",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Anna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Markiewicz",
        "Country Name": "Poland",
        "Purpose": "To present the potential intraoperative and postoperative complications associated with postirradiation cataract surgery in adult patients with intraocular tumors treated with irradiation (brachytherapy or proton therapy) and to discuss the measures used to avoid them.",
        "Setting": "Radiation cataract phacoemulsification is a procedure with an increased risk of intra- and postoperative complications. It is much more often related with the need to use of iris retractors in eyes with narrow, areactive pupils, scissors for incising post-inflammatory membranes and fibrotic anterior lens capsules, lens capsule tension rings, and the proper combination of OVD. Moreover it is recommended to perform supplementary multimodal imaging, including: USG, UBM, and anterior OCT.",
        "Methods": "Based on the qualification procedure, preoperative treatment, course of the surgery and follow-ups, we would like to present our experience associated with postirradiation cataract surgery outcomes. The study (observation) included patients treated with ruthenium 106 (Ru-106), iodine 125 (I-125) plaques, or with proton radiotherapy for malignant intraocular tumors (choroidal melanoma or metastatic tumors), who developed complicated postirradiation cataract. In our tertiary referral center , approximately 500 patients per year are treated with radiotherapy for intraocular tumors.",
        "Results": "Removal of cataracts, which occur more frequently and more rapidly in eyes treated with radiotherapy is a procedure with an increased risk of complications. Adequate preoperative examination including additional tests (USG, UBM, and anterior segment OCT), and prior anti-VEGF injections in cases with neovascular glaucoma may facilitate the procedure and reduce the risk of serious complications. The presence of posterior synechiae, problems with narrow pupils, and the presence of inflammatory membranes necessitates the use of iris retractors and scissors. Irradiation of tumors in the anterior part of the uvea can be complicated with lens subluxation. For this reason, the implantation of capsule tension ring is recommended in these cases.",
        "Conclusions": "Postirradiation cataract surgery is a major challenge. However, performing additional diagnostic tests and treatment with anti-VEGF injections when indicated prior to surgery, as well as use additional instruments not applied as standard may significantly improve the early and late outcomes of postirradiation cataract surgery .\n\nNOTE: Radiation cataract removal surgery should only be performed when we are certain that the intraocular tumor has been rendered inactive as a result of treatment and that there is no local recurrence!"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 366
    },
    {
      "uid": "PP02.14",
      "abstract_number": "PP02.14",
      "title": "Ten Years Of Tass: A Retrospective Look At The Ascrs Toxic\nAnterior Segment Syndrome Task Force Questionnaire (2012-22)",
      "authors": "A/Prof. Nick Mamalis",
      "presenter": "A/Prof. Nick Mamalis",
      "normalized_authors": [
        "Nick Mamalis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nick Mamalis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To identify trends in toxic anterior segment syndrome (TASS)",
        "Setting": "Moran Eye Center/ Univ of Utah",
        "Methods": "TASS questionnaires on instrument cleaning and reprocessing and products used during\ncataract surgery between 2012, and 2022 were retrospectively analyzed to identify common\npractices that could cause TASS. Comparisons were drawn with previous analysis on data from\n2007-2012.",
        "Results": "Data from 77 questionnaires submitted by surgery centers were analyzed. During this\ntimeframe there was a mean of 53 cases of TASS per year, in comparison to a mean of 473 TASS\ncases per year from 2007-2012. There was a 52% decrease in improper handpiece flushing\ntechnique, 33% decrease in the intraoperative incidence of occluded irrigation/aspiration tips, 37%\ndecrease in the reuse of phaco tubing, 23% decrease in the use of enzymatic cleaners, 96%\nincrease in the use of intracameral antibiotics after surgery.",
        "Conclusions": "The number of TASS outbreaks have decreased substantially over the last decade and\nis most likely due to widespread adoption of proper cleaning practices for surgical instruments, in\naddition to the adoption of appropriate practices in the use of intracamerally injected products"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The number of TASS outbreaks have decreased substantially over the last decade and is most likely due to widespread adoption of proper cleaning practices for surgical instruments, in addition to the adoption of appropriate practices in the use of intracamerally injected products",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 35,
      "source_fields": {
        "Abstract Final Identifier": "PP02.14",
        "Title": "Ten Years Of Tass: A Retrospective Look At The Ascrs Toxic\nAnterior Segment Syndrome Task Force Questionnaire (2012-22)",
        "Presenting Author(s)": "A/Prof. Nick Mamalis",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Nick",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mamalis",
        "Country Name": "United States",
        "Purpose": "To identify trends in toxic anterior segment syndrome (TASS)",
        "Setting": "Moran Eye Center/ Univ of Utah",
        "Methods": "TASS questionnaires on instrument cleaning and reprocessing and products used during\ncataract surgery between 2012, and 2022 were retrospectively analyzed to identify common\npractices that could cause TASS. Comparisons were drawn with previous analysis on data from\n2007-2012.",
        "Results": "Data from 77 questionnaires submitted by surgery centers were analyzed. During this\ntimeframe there was a mean of 53 cases of TASS per year, in comparison to a mean of 473 TASS\ncases per year from 2007-2012. There was a 52% decrease in improper handpiece flushing\ntechnique, 33% decrease in the intraoperative incidence of occluded irrigation/aspiration tips, 37%\ndecrease in the reuse of phaco tubing, 23% decrease in the use of enzymatic cleaners, 96%\nincrease in the use of intracameral antibiotics after surgery.",
        "Conclusions": "The number of TASS outbreaks have decreased substantially over the last decade and\nis most likely due to widespread adoption of proper cleaning practices for surgical instruments, in\naddition to the adoption of appropriate practices in the use of intracamerally injected products"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 179
    },
    {
      "uid": "PP02.15",
      "abstract_number": "PP02.15",
      "title": "Lens Opacity As A Predictor Of Retinal Vasculature Change Following Cataract Surgery",
      "authors": "An Ting Xu",
      "presenter": "An Ting Xu",
      "normalized_authors": [
        "An Ting Xu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lars Mackenbrock",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Cataract surgery has been shown to induce retinal remodeling, but the underlying mechanisms remain poorly understood. This study investigates the relationship between preoperative lens opacity and postoperative changes in retinal vascularity following phacoemulsification.",
        "Setting": "Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "This prospective study included 46 eyes from 46 patients undergoing routine cataract surgery. Retinal vascularity was assessed using optical coherence tomography angiography (OCTA) before surgery and at 1, 4, and 12 weeks postoperatively. Multiple objective metrics were calculated automatically from the OCTA scans using a custom written computer script. Preoperative lens opacity was quantified using anterior segment optical coherence tomography (AS-OCT). Correlations between the changes in vascular metrics and various surgical and anatomical parameters were analyzed.",
        "Results": "The analysis revealed statistically significant increases in vessel density, diameter, and complexity across the superficial, intermediate, and deep retinal vascular plexuses, with the most pronounced changes occurring within the first postoperative week. A strong correlation was observed between preoperative nuclear lens opacity and the increase in macular perfusion, suggesting that reduced light transmission through dense cataracts may drive postoperative functional hyperemia. In contrast, surgical parameters such as phacoemulsification energy showed no significant association, and intraocular pressure reduction correlated only with subtle vascular perimeter changes.",
        "Conclusions": "These findings indicate that enhanced light exposure following cataract removal—rather than just inflammation or mechanical factors—likely stimulates adaptive retinal metabolic responses."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings indicate that enhanced light exposure following cataract removal—rather than just inflammation or mechanical factors—likely stimulates adaptive retinal metabolic responses.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 36,
      "source_fields": {
        "Abstract Final Identifier": "PP02.15",
        "Title": "Lens Opacity As A Predictor Of Retinal Vasculature Change Following Cataract Surgery",
        "Presenting Author(s)": "An Ting Xu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Lars",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mackenbrock",
        "Country Name": "Germany",
        "Purpose": "Cataract surgery has been shown to induce retinal remodeling, but the underlying mechanisms remain poorly understood. This study investigates the relationship between preoperative lens opacity and postoperative changes in retinal vascularity following phacoemulsification.",
        "Setting": "Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "This prospective study included 46 eyes from 46 patients undergoing routine cataract surgery. Retinal vascularity was assessed using optical coherence tomography angiography (OCTA) before surgery and at 1, 4, and 12 weeks postoperatively. Multiple objective metrics were calculated automatically from the OCTA scans using a custom written computer script. Preoperative lens opacity was quantified using anterior segment optical coherence tomography (AS-OCT). Correlations between the changes in vascular metrics and various surgical and anatomical parameters were analyzed.",
        "Results": "The analysis revealed statistically significant increases in vessel density, diameter, and complexity across the superficial, intermediate, and deep retinal vascular plexuses, with the most pronounced changes occurring within the first postoperative week. A strong correlation was observed between preoperative nuclear lens opacity and the increase in macular perfusion, suggesting that reduced light transmission through dense cataracts may drive postoperative functional hyperemia. In contrast, surgical parameters such as phacoemulsification energy showed no significant association, and intraocular pressure reduction correlated only with subtle vascular perimeter changes.",
        "Conclusions": "These findings indicate that enhanced light exposure following cataract removal—rather than just inflammation or mechanical factors—likely stimulates adaptive retinal metabolic responses."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 224
    },
    {
      "uid": "PP03.01",
      "abstract_number": "PP03.01",
      "title": "Comparison Of Iol Power Calculation Formulas In Short Eyes: Influence Of Anterior Segment Biometry Using The Escrs Calculator And Eyetemis",
      "authors": "Prof. Dr Chang Ho Yoon",
      "presenter": "Prof. Dr Chang Ho Yoon",
      "normalized_authors": [
        "Chang Ho Yoon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chang Ho Yoon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the refractive prediction accuracy of seven contemporary intraocular lens (IOL) power calculation formulas in eyes with short axial length and to evaluate the influence of anterior chamber depth (ACD) and lens thickness (LT) on prediction error (PE).",
        "Setting": "Department of Ophthalmology, Seoul National University Hospital, Seoul, Republic of Korea.",
        "Methods": "This retrospective case series included 127 eyes with axial length ≤22.0 mm that underwent uneventful phacoemulsification with in-the-bag implantation of a Tecnis ® ZCB00 IOL. Postoperative refractions were predicted using the ESCRS calculator with Barrett Universal II (BUII), Cooke K6, EVO 2.0, Hill RBF 3.0, Hoffer QST, Kane, and Pearl DGS formulas. PE, mean prediction error (MPE), mean absolute error (MAE), trimmed mean analysis, and proportions within ±0.50 D and ±1.00 D were analyzed using Eyetemis. Correlations between ACD, LT, and PE were assessed .",
        "Results": "Mean axial length was 21.67 ± 0.31 mm. Kane (MAE 0.40 ± 0.32 D) and EVO 2.0 (0.41 ± 0.32 D) showed the lowest absolute error, while Hoffer QST showed the highest (0.47 ± 0.37 D). Trimmed mean analysis demonstrated no significant systematic bias for BUII, EVO 2.0, and Hill RBF 3.0 (p > 0.05). Kane achieved the highest precision. The proportion within ±0.50 D ranged from 57–67% and within ±1.00 D from 89–95%, with no significant inter-formula differences. Shallower ACD was associated with increased error in Cooke K6 (r = –0.18, p = 0.047), and thinner LT correlated with increased error in Hoffer QST (r = 0.24, p = 0.007).",
        "Conclusions": "In short eyes, Kane and EVO 2.0 demonstrated favorable refractive predictability and precision. Although overall performance differences among modern formulas were modest, anterior segment biometric parameters influenced PE in selected formulas. Consideration of ACD and LT may enhance formula selection in short axial length eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In short eyes, Kane and EVO 2.0 demonstrated favorable refractive predictability and precision. Although overall performance differences among modern formulas were modest, anterior segment biometric parameters influenced PE in selected formulas. Consideration of ACD and LT may enhance formula selection in short axial length eyes.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 37,
      "source_fields": {
        "Abstract Final Identifier": "PP03.01",
        "Title": "Comparison Of Iol Power Calculation Formulas In Short Eyes: Influence Of Anterior Segment Biometry Using The Escrs Calculator And Eyetemis",
        "Presenting Author(s)": "Prof. Dr Chang Ho Yoon",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Chang Ho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yoon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the refractive prediction accuracy of seven contemporary intraocular lens (IOL) power calculation formulas in eyes with short axial length and to evaluate the influence of anterior chamber depth (ACD) and lens thickness (LT) on prediction error (PE).",
        "Setting": "Department of Ophthalmology, Seoul National University Hospital, Seoul, Republic of Korea.",
        "Methods": "This retrospective case series included 127 eyes with axial length ≤22.0 mm that underwent uneventful phacoemulsification with in-the-bag implantation of a Tecnis ® ZCB00 IOL. Postoperative refractions were predicted using the ESCRS calculator with Barrett Universal II (BUII), Cooke K6, EVO 2.0, Hill RBF 3.0, Hoffer QST, Kane, and Pearl DGS formulas. PE, mean prediction error (MPE), mean absolute error (MAE), trimmed mean analysis, and proportions within ±0.50 D and ±1.00 D were analyzed using Eyetemis. Correlations between ACD, LT, and PE were assessed .",
        "Results": "Mean axial length was 21.67 ± 0.31 mm. Kane (MAE 0.40 ± 0.32 D) and EVO 2.0 (0.41 ± 0.32 D) showed the lowest absolute error, while Hoffer QST showed the highest (0.47 ± 0.37 D). Trimmed mean analysis demonstrated no significant systematic bias for BUII, EVO 2.0, and Hill RBF 3.0 (p > 0.05). Kane achieved the highest precision. The proportion within ±0.50 D ranged from 57–67% and within ±1.00 D from 89–95%, with no significant inter-formula differences. Shallower ACD was associated with increased error in Cooke K6 (r = –0.18, p = 0.047), and thinner LT correlated with increased error in Hoffer QST (r = 0.24, p = 0.007).",
        "Conclusions": "In short eyes, Kane and EVO 2.0 demonstrated favorable refractive predictability and precision. Although overall performance differences among modern formulas were modest, anterior segment biometric parameters influenced PE in selected formulas. Consideration of ACD and LT may enhance formula selection in short axial length eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "PP03.16",
      "abstract_number": "PP03.16",
      "title": "Accuracy Of Ai-Based Formulas In Extremely Long Eyes After Myopic Lvc",
      "authors": "Ms Qian Tan",
      "presenter": "Ms Qian Tan",
      "normalized_authors": [
        "Qian Tan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Qian Tan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the accuracy of AI-based intraocular lens (IOL) power calculation formulas (PEARL‑DGS, EVO 2.0 and Hoffer QST) with commonly used post–laser vision correction (LVC) formulas (Barrett True‑K No History [BTKNH] and Haigis‑L) in extremely long eyes after prior myopic LVC.",
        "Setting": "Changsha Aier Eye Hospital, China",
        "Methods": "This single-center retrospective series included patients with prior M-LVC and high axial length（>30.00 mm）who underwent uneventful phacoemulsification. Preoperative optical biometry was obtained, and IOL power was calculated using the candidate formulas. Manifest refraction was measured 3 months postoperatively. Post hoc refractive prediction errors were calculated for PEARL-DGS, EVO 2.0, BTKNH, Haigis- L and Hoffer QST. Main outcome measures: Root mean square absolute error (RMSAE), median absolute error (MedAE), and the proportions of eyes with absolute prediction error within ±0.50 diopters (D) and ±1.00 D.",
        "Results": "BTKNH achieved the lowest RMSAE (0.74 D), with statistical superiority over Haigis‑L (0.98 D; P<0.05) and Hoffer QST (1.36 D; P<0.05). For MedAE, EVO 2.0 (0.42 D), BTKNH (0.47 D), PEARL‑DGS (0.50 D), and Haigis‑L (0.54 D) were each significantly better than Hoffer QST (1.06 D; all P<0.05); EVO 2.0 was numerically the lowest. The percentage of eyes within ±0.50 D was highest with BTKNH and EVO 2.0 (53.8% each), both significantly higher than Hoffer QST (23.1%; P<0.05). The percentage of eyes ±1.00 D exceeded 80% with BTKNH, EVO 2.0, and PEARL‑DGS (82.1%, 84.6%, and 82.1%, respectively).",
        "Conclusions": "In this highly challenging cohort of post‑LVC eyes with AL >30.00 mm, EVO 2.0 and PEARL‑DGS retained competitive accuracy. BTKNH remained highly accurate and, together with EVO 2.0, achieved the highest proportion within ±0.50 D, whereas Hoffer QST and Haigis‑L underperformed. These findings support preferential use of BTKNH and EVO 2.0—and cautious use of Hoffer QST and Haigis‑L—in post‑LVC eyes with extreme axial lengths."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this highly challenging cohort of post‑LVC eyes with AL >30.00 mm, EVO 2.0 and PEARL‑DGS retained competitive accuracy. BTKNH remained highly accurate and, together with EVO 2.0, achieved the highest proportion within ±0.50 D, whereas Hoffer QST and Haigis‑L underperformed. These findings support preferential use of BTKNH and EVO 2.0—and cautious use of Hoffer QST and Haigis‑L—in post‑LVC eyes with extreme axial…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 38,
      "source_fields": {
        "Abstract Final Identifier": "PP03.16",
        "Title": "Accuracy Of Ai-Based Formulas In Extremely Long Eyes After Myopic Lvc",
        "Presenting Author(s)": "Ms Qian Tan",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Qian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tan",
        "Country Name": "China",
        "Purpose": "To compare the accuracy of AI-based intraocular lens (IOL) power calculation formulas (PEARL‑DGS, EVO 2.0 and Hoffer QST) with commonly used post–laser vision correction (LVC) formulas (Barrett True‑K No History [BTKNH] and Haigis‑L) in extremely long eyes after prior myopic LVC.",
        "Setting": "Changsha Aier Eye Hospital, China",
        "Methods": "This single-center retrospective series included patients with prior M-LVC and high axial length（>30.00 mm）who underwent uneventful phacoemulsification. Preoperative optical biometry was obtained, and IOL power was calculated using the candidate formulas. Manifest refraction was measured 3 months postoperatively. Post hoc refractive prediction errors were calculated for PEARL-DGS, EVO 2.0, BTKNH, Haigis- L and Hoffer QST. Main outcome measures: Root mean square absolute error (RMSAE), median absolute error (MedAE), and the proportions of eyes with absolute prediction error within ±0.50 diopters (D) and ±1.00 D.",
        "Results": "BTKNH achieved the lowest RMSAE (0.74 D), with statistical superiority over Haigis‑L (0.98 D; P<0.05) and Hoffer QST (1.36 D; P<0.05). For MedAE, EVO 2.0 (0.42 D), BTKNH (0.47 D), PEARL‑DGS (0.50 D), and Haigis‑L (0.54 D) were each significantly better than Hoffer QST (1.06 D; all P<0.05); EVO 2.0 was numerically the lowest. The percentage of eyes within ±0.50 D was highest with BTKNH and EVO 2.0 (53.8% each), both significantly higher than Hoffer QST (23.1%; P<0.05). The percentage of eyes ±1.00 D exceeded 80% with BTKNH, EVO 2.0, and PEARL‑DGS (82.1%, 84.6%, and 82.1%, respectively).",
        "Conclusions": "In this highly challenging cohort of post‑LVC eyes with AL >30.00 mm, EVO 2.0 and PEARL‑DGS retained competitive accuracy. BTKNH remained highly accurate and, together with EVO 2.0, achieved the highest proportion within ±0.50 D, whereas Hoffer QST and Haigis‑L underperformed. These findings support preferential use of BTKNH and EVO 2.0—and cautious use of Hoffer QST and Haigis‑L—in post‑LVC eyes with extreme axial lengths."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 345
    },
    {
      "uid": "PP03.017",
      "abstract_number": "PP03.017",
      "title": "Optimizing Incision Placement: Effects On Posterior Corneal Astigmatism",
      "authors": "Dr Dorottya Wiegand",
      "presenter": "Dr Dorottya Wiegand",
      "normalized_authors": [
        "Dorottya Wiegand"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dorottya Wiegand",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Hungary",
      "sections": {
        "Purpose": "To evaluate incision meridian–dependent changes in posterior corneal astigmatism (PCA) after standard phacoemulsification cataract surgery.",
        "Setting": "Department of Ophthalmology, University of Pécs Medical School, Pécs, Hungary",
        "Methods": "In this retrospective analysis, 273 eyes of 225 patients (mean age: 73.23±8.31 years) underwent uncomplicated phacoemulsification using a 2.8 mm clear corneal incision placed at 90° (n=46) , 130° (n=156) , or 150° (n=62) . Corneal tomography was obtained preoperatively and 6 weeks postoperatively with swept-source anterior segment OCT (ANTERION, Heidelberg Engineering Inc.). PCA was evaluated in four concentric zones. Astigmatic changes were quantified using Alpins vector analysis.",
        "Results": "Significant postoperative modifications of PCA were detected in all examined zones (p≤0.001). The magnitude and direction of change varied according to incision meridian, with a statistically significant intergroup difference in the central 0–2 mm zone (p=0.0001). Superior (90°) incisions tended to induce against-the-rule shifts, whereas temporal-oblique incisions (130° and 150°) more frequently resulted in with-the-rule or oblique alterations. Surgically induced astigmatism remained low (0.03–0.09 D), while the target-induced astigmatism was approximately 0.3 D. Among the evaluated locations, the 130° incision demonstrated the most balanced and stable astigmatic profile.",
        "Conclusions": "Phacoemulsification is associated with small but statistically significant, incision-dependent changes in posterior corneal astigmatism. Temporal-oblique 130° clear corneal incisions provided the most predictable refractive behavior. Consideration of posterior corneal geometry and tailored incision placement may enhance refractive accuracy and toric intraocular lens planning in modern cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification is associated with small but statistically significant, incision-dependent changes in posterior corneal astigmatism. Temporal-oblique 130° clear corneal incisions provided the most predictable refractive behavior. Consideration of posterior corneal geometry and tailored incision placement may enhance refractive accuracy and toric intraocular lens planning in modern cataract surgery.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 39,
      "source_fields": {
        "Abstract Final Identifier": "PP03.017",
        "Title": "Optimizing Incision Placement: Effects On Posterior Corneal Astigmatism",
        "Presenting Author(s)": "Dr Dorottya Wiegand",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Dorottya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wiegand",
        "Country Name": "Hungary",
        "Purpose": "To evaluate incision meridian–dependent changes in posterior corneal astigmatism (PCA) after standard phacoemulsification cataract surgery.",
        "Setting": "Department of Ophthalmology, University of Pécs Medical School, Pécs, Hungary",
        "Methods": "In this retrospective analysis, 273 eyes of 225 patients (mean age: 73.23±8.31 years) underwent uncomplicated phacoemulsification using a 2.8 mm clear corneal incision placed at 90° (n=46) , 130° (n=156) , or 150° (n=62) . Corneal tomography was obtained preoperatively and 6 weeks postoperatively with swept-source anterior segment OCT (ANTERION, Heidelberg Engineering Inc.). PCA was evaluated in four concentric zones. Astigmatic changes were quantified using Alpins vector analysis.",
        "Results": "Significant postoperative modifications of PCA were detected in all examined zones (p≤0.001). The magnitude and direction of change varied according to incision meridian, with a statistically significant intergroup difference in the central 0–2 mm zone (p=0.0001). Superior (90°) incisions tended to induce against-the-rule shifts, whereas temporal-oblique incisions (130° and 150°) more frequently resulted in with-the-rule or oblique alterations. Surgically induced astigmatism remained low (0.03–0.09 D), while the target-induced astigmatism was approximately 0.3 D. Among the evaluated locations, the 130° incision demonstrated the most balanced and stable astigmatic profile.",
        "Conclusions": "Phacoemulsification is associated with small but statistically significant, incision-dependent changes in posterior corneal astigmatism. Temporal-oblique 130° clear corneal incisions provided the most predictable refractive behavior. Consideration of posterior corneal geometry and tailored incision placement may enhance refractive accuracy and toric intraocular lens planning in modern cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "PP03.018",
      "abstract_number": "PP03.018",
      "title": "Accuracy Of The Kane Formula Versus Barrett Universal Ii In Extremely Long Eyes (Al ≥29–30 Mm): A Pooled Analysis Of 364 Eyes",
      "authors": "Dr Tiberiu Babin",
      "presenter": "Dr Tiberiu Babin",
      "normalized_authors": [
        "Tiberiu Babin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tiberiu Babin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare refractive prediction accuracy of the AI-based Kane formula with the Barrett Universal II (BUII) formula in extremely long eyes (axial length ≥29–30 mm) undergoing cataract surgery, using pooled data from contemporary published cohorts.",
        "Setting": "Structured review of published retrospective cohorts (2022–2025) reporting intraocular lens (IOL) power calculation outcomes in extremely long eyes with optimized constants.",
        "Methods": "A structured search (2019–2026) screened PubMed and reference lists; the Cochrane Library was screened for relevant records and did not identify additional eligible cohorts. Studies were included if they reported mean absolute error (MAE) for both Kane and Barrett Universal II in eyes with axial length ≥29–30 mm. Study-level MAE values were pooled using fixed-effect N-weighted analysis. Primary outcome was pooled MAE.",
        "Results": "Three eligible cohorts comprising 364 eyes (axial length ≥29–30 mm) were included. Pooled MAE was 0.440 D for Kane and 0.533 D for Barrett Universal II, with a pooled difference of −0.093 D (Kane minus Barrett). In the largest cohort (n=211, AL >30 mm), MAE was 0.43 D (Kane) versus 0.53 D (Barrett). Leave-one-out sensitivity analyses consistently favoured Kane.",
        "Conclusions": "In extremely long eyes, the Kane formula demonstrates comparable refractive accuracy to Barrett Universal II, with a small but consistent reduction in pooled MAE (~0.09 D) across contemporary cohorts. These findings support the use of modern AI-derived formulas in axial length extremes and suggest at least non-inferior performance relative to established theoretical formulas."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In extremely long eyes, the Kane formula demonstrates comparable refractive accuracy to Barrett Universal II, with a small but consistent reduction in pooled MAE (~0.09 D) across contemporary cohorts. These findings support the use of modern AI-derived formulas in axial length extremes and suggest at least non-inferior performance relative to established theoretical formulas.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 40,
      "source_fields": {
        "Abstract Final Identifier": "PP03.018",
        "Title": "Accuracy Of The Kane Formula Versus Barrett Universal Ii In Extremely Long Eyes (Al ≥29–30 Mm): A Pooled Analysis Of 364 Eyes",
        "Presenting Author(s)": "Dr Tiberiu Babin",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Tiberiu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Babin",
        "Country Name": "United Kingdom",
        "Purpose": "To compare refractive prediction accuracy of the AI-based Kane formula with the Barrett Universal II (BUII) formula in extremely long eyes (axial length ≥29–30 mm) undergoing cataract surgery, using pooled data from contemporary published cohorts.",
        "Setting": "Structured review of published retrospective cohorts (2022–2025) reporting intraocular lens (IOL) power calculation outcomes in extremely long eyes with optimized constants.",
        "Methods": "A structured search (2019–2026) screened PubMed and reference lists; the Cochrane Library was screened for relevant records and did not identify additional eligible cohorts. Studies were included if they reported mean absolute error (MAE) for both Kane and Barrett Universal II in eyes with axial length ≥29–30 mm. Study-level MAE values were pooled using fixed-effect N-weighted analysis. Primary outcome was pooled MAE.",
        "Results": "Three eligible cohorts comprising 364 eyes (axial length ≥29–30 mm) were included. Pooled MAE was 0.440 D for Kane and 0.533 D for Barrett Universal II, with a pooled difference of −0.093 D (Kane minus Barrett). In the largest cohort (n=211, AL >30 mm), MAE was 0.43 D (Kane) versus 0.53 D (Barrett). Leave-one-out sensitivity analyses consistently favoured Kane.",
        "Conclusions": "In extremely long eyes, the Kane formula demonstrates comparable refractive accuracy to Barrett Universal II, with a small but consistent reduction in pooled MAE (~0.09 D) across contemporary cohorts. These findings support the use of modern AI-derived formulas in axial length extremes and suggest at least non-inferior performance relative to established theoretical formulas."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "PP03.02",
      "abstract_number": "PP03.02",
      "title": "Refractive Outcomes Of Iol Power Calculation Formulas After Modified Canabrava Scleral Fixation",
      "authors": "Dr Marta Delgado Rodríguez-Vispo",
      "presenter": "Dr Marta Delgado Rodríguez-Vispo",
      "normalized_authors": [
        "Marta Delgado Rodríguez-Vispo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marta Delgado Rodríguez-Vispo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the refractive prediction error (RPE) and the accuracy of different intraocular lens (IOL) power calculation formulas in eyes undergoing scleral fixation using the modified Canabrava technique, and to compare outcomes according to cases performed in combination with limbal anterior vitrectomy versus those performed with posterior pars plana vitrectomy.",
        "Setting": "Tertiary referral public hospital Department of Ophtalmology Complexo Hospitalario Universitario A Coruña, Spain",
        "Methods": "Retrospective study. A total of 116 eyes undergoing scleral fixation with the modified Canabrava technique were analyzed. Eyes were divided according to the strategy used for vitreous management into a pars plana vitrectomy (PPV) group and anterior vitrectomy (AV) group. Four IOL formulas were evaluated: SRK-T, Barrett Universal II, Holladay 1 (with Wang–Koch adjustment for axial length >26 mm), and Hoffer Q. Main parameters included arithmetic mean prediction error (PE), mean absolute prediction error (MAE), median absolute prediction error (MedAE), and the proportion of eyes with PE within −0.50 D to +1.50 D.",
        "Results": "The arithmetic mean PE showed a slight myopic bias for all formulas except Barrett Universal II (0.001 D). No significant differences in PE were observed according to the vitreous management for any formula (SRK-T p = 0.516; Barrett Universal II p = 0.406; Holladay 1 p = 0.502; Hoffer Q p = 0.315). The percentage of eyes with PE < −0.50 D was 77% for SRK-T and Holladay 1 and 72% for Barrett Universal II and Hoffer Q. No statistically significant differences were found among the four formulas.",
        "Conclusions": "In scleral fixation using the modified Canabrava technique, all four IOL power calculation formulas demonstrated similar accuracy, with no significant differences between them or according to vitreous management. All formulas exhibited a slight myopic bias except Barrett Universal II, which was close to emmetropia, and a high proportion of eyes achieved a clinically acceptable refractive error (±0.50 D). Further studies with longer follow up are needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In scleral fixation using the modified Canabrava technique, all four IOL power calculation formulas demonstrated similar accuracy, with no significant differences between them or according to vitreous management. All formulas exhibited a slight myopic bias except Barrett Universal II, which was close to emmetropia, and a high proportion of eyes achieved a clinically acceptable refractive error (±0.50 D). Further…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 41,
      "source_fields": {
        "Abstract Final Identifier": "PP03.02",
        "Title": "Refractive Outcomes Of Iol Power Calculation Formulas After Modified Canabrava Scleral Fixation",
        "Presenting Author(s)": "Dr Marta Delgado Rodríguez-Vispo",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Marta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Delgado Rodríguez-Vispo",
        "Country Name": "Spain",
        "Purpose": "To evaluate the refractive prediction error (RPE) and the accuracy of different intraocular lens (IOL) power calculation formulas in eyes undergoing scleral fixation using the modified Canabrava technique, and to compare outcomes according to cases performed in combination with limbal anterior vitrectomy versus those performed with posterior pars plana vitrectomy.",
        "Setting": "Tertiary referral public hospital Department of Ophtalmology Complexo Hospitalario Universitario A Coruña, Spain",
        "Methods": "Retrospective study. A total of 116 eyes undergoing scleral fixation with the modified Canabrava technique were analyzed. Eyes were divided according to the strategy used for vitreous management into a pars plana vitrectomy (PPV) group and anterior vitrectomy (AV) group. Four IOL formulas were evaluated: SRK-T, Barrett Universal II, Holladay 1 (with Wang–Koch adjustment for axial length >26 mm), and Hoffer Q. Main parameters included arithmetic mean prediction error (PE), mean absolute prediction error (MAE), median absolute prediction error (MedAE), and the proportion of eyes with PE within −0.50 D to +1.50 D.",
        "Results": "The arithmetic mean PE showed a slight myopic bias for all formulas except Barrett Universal II (0.001 D). No significant differences in PE were observed according to the vitreous management for any formula (SRK-T p = 0.516; Barrett Universal II p = 0.406; Holladay 1 p = 0.502; Hoffer Q p = 0.315). The percentage of eyes with PE < −0.50 D was 77% for SRK-T and Holladay 1 and 72% for Barrett Universal II and Hoffer Q. No statistically significant differences were found among the four formulas.",
        "Conclusions": "In scleral fixation using the modified Canabrava technique, all four IOL power calculation formulas demonstrated similar accuracy, with no significant differences between them or according to vitreous management. All formulas exhibited a slight myopic bias except Barrett Universal II, which was close to emmetropia, and a high proportion of eyes achieved a clinically acceptable refractive error (±0.50 D). Further studies with longer follow up are needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 315
    },
    {
      "uid": "PP03.03",
      "abstract_number": "PP03.03",
      "title": "The Moussa Research Suite: Validation And Demonstration Of Statistical Equivalence To The Whwk Framework",
      "authors": "Mr George Moussa",
      "presenter": "Mr George Moussa",
      "normalized_authors": [
        "George Moussa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "George Moussa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To validate the statistical equivalence of the web-based Moussa Research Suite against the established Wilcox-Holladay-Wang-Koch (WHWK) framework for intraocular lens (IOL) power calculation formula evaluation, focusing on Mean Absolute Error (MAE) and Root Mean Squared Error (RMSE) utilising a user-friendly graphical user interface (GUI)",
        "Setting": "Retrospective computational validation utilizing a multi-center dataset of 7,842 eyes from five academic medical centers and two private practices collected between 2011 and 2022.",
        "Methods": "A comparative validation was performed using a multi-center dataset of 7,842 eyes across 16 IOL formulas, generating 120 pairwise comparisons. Both platforms applied heteroscedastic studentized bootstrap methods with Hommel correction for Family-Wise Error Rate (FWER) control. Statistical equivalence was assessed using Cohen's Kappa for categorical agreement and Two One-Sided Tests (TOST) for continuous p-value arrays. The influence of bootstrap iteration number on convergence was examined through sensitivity analysis, with WHWK run at both 1,999 iterations (default) and 100,000 iterations, compared against the Moussa suite at 500,000 iterations.",
        "Results": "At 1,999 iterations, Cohen's Kappa was 0.9833 for MAE and 0.9831 for RMSE, with 97.5% categorical agreement for both metrics at α=0.05. TOST demonstrated equivalence for both MAE (mean difference 0.00120, p<0.001) and RMSE (mean difference 0.00309, p<0.001). Bland-Altman analysis revealed p-value discrepancies up to 0.11 for specific MAE formula pairs at 1,999 iterations. When WHWK iterations were increased to 100,000 for MAE, categorical agreement reached 100% at α=0.05 (Cohen's Kappa=1.0000), with mean p-value difference of −0.00002 and TOST p-value of 4.3×10^-91, confirming complete convergence.",
        "Conclusions": "The Moussa Research Suite produces statistically equivalent results to the WHWK framework for MAE and RMSE analysis with Hommel correction. P-value discrepancies observed at 1,999 iterations reflect inherent bootstrap sampling variability from different random number generators between platforms, with complete convergence demonstrated at higher iteration counts.This is done while through a user-friendly GUI that widens the accessibility across clinicians."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Moussa Research Suite produces statistically equivalent results to the WHWK framework for MAE and RMSE analysis with Hommel correction. P-value discrepancies observed at 1,999 iterations reflect inherent bootstrap sampling variability from different random number generators between platforms, with complete convergence demonstrated at higher iteration counts.This is done while through a user-friendly GUI that…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 42,
      "source_fields": {
        "Abstract Final Identifier": "PP03.03",
        "Title": "The Moussa Research Suite: Validation And Demonstration Of Statistical Equivalence To The Whwk Framework",
        "Presenting Author(s)": "Mr George Moussa",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "George",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moussa",
        "Country Name": "United Kingdom",
        "Purpose": "To validate the statistical equivalence of the web-based Moussa Research Suite against the established Wilcox-Holladay-Wang-Koch (WHWK) framework for intraocular lens (IOL) power calculation formula evaluation, focusing on Mean Absolute Error (MAE) and Root Mean Squared Error (RMSE) utilising a user-friendly graphical user interface (GUI)",
        "Setting": "Retrospective computational validation utilizing a multi-center dataset of 7,842 eyes from five academic medical centers and two private practices collected between 2011 and 2022.",
        "Methods": "A comparative validation was performed using a multi-center dataset of 7,842 eyes across 16 IOL formulas, generating 120 pairwise comparisons. Both platforms applied heteroscedastic studentized bootstrap methods with Hommel correction for Family-Wise Error Rate (FWER) control. Statistical equivalence was assessed using Cohen's Kappa for categorical agreement and Two One-Sided Tests (TOST) for continuous p-value arrays. The influence of bootstrap iteration number on convergence was examined through sensitivity analysis, with WHWK run at both 1,999 iterations (default) and 100,000 iterations, compared against the Moussa suite at 500,000 iterations.",
        "Results": "At 1,999 iterations, Cohen's Kappa was 0.9833 for MAE and 0.9831 for RMSE, with 97.5% categorical agreement for both metrics at α=0.05. TOST demonstrated equivalence for both MAE (mean difference 0.00120, p<0.001) and RMSE (mean difference 0.00309, p<0.001). Bland-Altman analysis revealed p-value discrepancies up to 0.11 for specific MAE formula pairs at 1,999 iterations. When WHWK iterations were increased to 100,000 for MAE, categorical agreement reached 100% at α=0.05 (Cohen's Kappa=1.0000), with mean p-value difference of −0.00002 and TOST p-value of 4.3×10^-91, confirming complete convergence.",
        "Conclusions": "The Moussa Research Suite produces statistically equivalent results to the WHWK framework for MAE and RMSE analysis with Hommel correction. P-value discrepancies observed at 1,999 iterations reflect inherent bootstrap sampling variability from different random number generators between platforms, with complete convergence demonstrated at higher iteration counts.This is done while through a user-friendly GUI that widens the accessibility across clinicians."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "PP03.04",
      "abstract_number": "PP03.04",
      "title": "Solving The Mystery Of Vaulting For Multi-Piece Intraocular Lenses In The Eye",
      "authors": "Dr David L Cooke",
      "presenter": "Dr David L Cooke",
      "normalized_authors": [
        "David L Cooke"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "David L Cooke",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Multi-piece intraocular lenses (IOLs) are mostly designed with PMMA haptics attached to the optic of the lens. Unlike a single-piece, multi-piece IOLs have angulation or vaulting in the inherent design. PMMA haptics have been shown to lose some of their memory. This could possibly affect the vaulting of the haptics as the bag contracts.\n\nA stable A-Constant is assumed when converting across IOL platforms for IOL Power formula predictions. If bag contraction causes the vault of the IOL to change with capsular bag contraction, the A-Constant is no longer constant. The purpose of this study is to compare the amount of change in A-Constant that occurs over time with 3-piece IOLs vs 1-piece IOLs, providing clinically relevant suggestions.",
        "Setting": "This study is based on the schematic ray trace-based eye model at Alcon Research, Fort Worth, Texas, USA. This study also utilizes clinical data from both Great Lakes Eye care Siant Joseph, MI, USA and Alcon Research, Fort Worth, Texas, USA.",
        "Methods": "AcrySof multi-piece MA60AC and MA60BM IOLs (Alcon Vision) have the same 10 degrees of angulation or vaulting. The optical design features are different between these two IOLs. MA60AC is the multi-piece version of the original single-piece SA60AT IOL. A ray trace-based model was set up with a 21 D SA60AT IOL in an average schematic model eye to obtain the best focus on the retina. First MA60BM and then MA60AC were evaluated with planar (no vault), 5°, 7.5° and 10° of vaulting to determine the SRK/T based A-Constant by obtaining the respective best focus on the retina. Both MA60BM clinical data for 6 and 12-months post-op and MA60AC clinical data (Great Lakes Eye Care) were analyzed for determining the clinical A-Constant values.",
        "Results": "Six months post-op (N=153) MA60BM clinical data show an average IOL power of 20.931 D, Corneal mean power of 43.628 D, axial length of 23.711 mm with MRSE of -0.069 D. Based on that the A-Constant is 119.27. The twelve months post-op (N=153) MA60BM clinical data with an MRSE of -0.044 D resulted in A-Constant of 119.3. MA60AC clinical data (Great Lakes Eye Care) were analyzed for the A-Constant for different post-op periods. The average of the optimized A-Constants of Barrett, K6, SRK/T and RBF 3.0 ranges from 118.93 to 119.08. The model eye-based A-Constant values for MA60BM are: 118.8 (no vault), 119.03 (5°), 119.2 (7.5°) and 119.37 (10°). The A-Constant values for MA60AC are: 118.6 (no vault), 118.9 (5°), 119.06 (7.5°) and 119.24 (10°).",
        "Conclusions": "The major challenge is obtaining the right IOL power for the multi-piece IOL because of the angulation or vaulting of the haptic in the eye. Once the angulation is known, it is relatively standard to get the right power in the bag for the normal eye and then lens power can be adjusted for sulcus. Based on our analysis with clinical data and ray trace-based eye model, both the clinical and theoretical A-Constant for MA60AC are in agreement with a vault of about 7.5°."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The major challenge is obtaining the right IOL power for the multi-piece IOL because of the angulation or vaulting of the haptic in the eye. Once the angulation is known, it is relatively standard to get the right power in the bag for the normal eye and then lens power can be adjusted for sulcus. Based on our analysis with clinical data and ray trace-based eye model, both the clinical and theoretical A-Constant for…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 43,
      "source_fields": {
        "Abstract Final Identifier": "PP03.04",
        "Title": "Solving The Mystery Of Vaulting For Multi-Piece Intraocular Lenses In The Eye",
        "Presenting Author(s)": "Dr David L Cooke",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "David L",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cooke",
        "Country Name": "United States",
        "Purpose": "Multi-piece intraocular lenses (IOLs) are mostly designed with PMMA haptics attached to the optic of the lens. Unlike a single-piece, multi-piece IOLs have angulation or vaulting in the inherent design. PMMA haptics have been shown to lose some of their memory. This could possibly affect the vaulting of the haptics as the bag contracts.\n\nA stable A-Constant is assumed when converting across IOL platforms for IOL Power formula predictions. If bag contraction causes the vault of the IOL to change with capsular bag contraction, the A-Constant is no longer constant. The purpose of this study is to compare the amount of change in A-Constant that occurs over time with 3-piece IOLs vs 1-piece IOLs, providing clinically relevant suggestions.",
        "Setting": "This study is based on the schematic ray trace-based eye model at Alcon Research, Fort Worth, Texas, USA. This study also utilizes clinical data from both Great Lakes Eye care Siant Joseph, MI, USA and Alcon Research, Fort Worth, Texas, USA.",
        "Methods": "AcrySof multi-piece MA60AC and MA60BM IOLs (Alcon Vision) have the same 10 degrees of angulation or vaulting. The optical design features are different between these two IOLs. MA60AC is the multi-piece version of the original single-piece SA60AT IOL. A ray trace-based model was set up with a 21 D SA60AT IOL in an average schematic model eye to obtain the best focus on the retina. First MA60BM and then MA60AC were evaluated with planar (no vault), 5°, 7.5° and 10° of vaulting to determine the SRK/T based A-Constant by obtaining the respective best focus on the retina. Both MA60BM clinical data for 6 and 12-months post-op and MA60AC clinical data (Great Lakes Eye Care) were analyzed for determining the clinical A-Constant values.",
        "Results": "Six months post-op (N=153) MA60BM clinical data show an average IOL power of 20.931 D, Corneal mean power of 43.628 D, axial length of 23.711 mm with MRSE of -0.069 D. Based on that the A-Constant is 119.27. The twelve months post-op (N=153) MA60BM clinical data with an MRSE of -0.044 D resulted in A-Constant of 119.3. MA60AC clinical data (Great Lakes Eye Care) were analyzed for the A-Constant for different post-op periods. The average of the optimized A-Constants of Barrett, K6, SRK/T and RBF 3.0 ranges from 118.93 to 119.08. The model eye-based A-Constant values for MA60BM are: 118.8 (no vault), 119.03 (5°), 119.2 (7.5°) and 119.37 (10°). The A-Constant values for MA60AC are: 118.6 (no vault), 118.9 (5°), 119.06 (7.5°) and 119.24 (10°).",
        "Conclusions": "The major challenge is obtaining the right IOL power for the multi-piece IOL because of the angulation or vaulting of the haptic in the eye. Once the angulation is known, it is relatively standard to get the right power in the bag for the normal eye and then lens power can be adjusted for sulcus. Based on our analysis with clinical data and ray trace-based eye model, both the clinical and theoretical A-Constant for MA60AC are in agreement with a vault of about 7.5°."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 516
    },
    {
      "uid": "PP03.05",
      "abstract_number": "PP03.05",
      "title": "Partial Blink Rate As A Biomarker For Refractive Prediction Error After Cataract Surgery",
      "authors": "Dr Hyeonwoo Jeon",
      "presenter": "Dr Hyeonwoo Jeon",
      "normalized_authors": [
        "Hyeonwoo Jeon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yoo Young Jeon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the impact of partial blink behavior on prediction error (PE) after cataract surgery and determine whether partial blink rate (PBR) serves as a biomarker for refractive outcomes.",
        "Setting": "Single-center retrospective study, Chungnam National University Hospital, Daejeon, Korea",
        "Methods": "23 eyes that underwent cataract surgery with monofocal intraocular lenses were retrospectively evaluated. Preoperative tear film interferometry was assessed using LipiView. PE was quantified as mean absolute error (MAE1–MAE4) using the absolute difference between PE and achieved spherical equivalent. MAE1–4 were calculated using the Barrett Universal II, SRK/T, Hoffer Q, and Haigis formulas, respectively. Logistic regression, Correlation between Partial blink rate (PBR, %) and MAE were analyzed statistically.",
        "Results": "Partial blink rate was significantly correlated with refractive prediction error for all MAE metrics (MAE1: r=0.55, p=0.006; MAE2: r=0.61, p=0.002; MAE3: r=0.50, p=0.015; MAE4: r=0.50, p=0.014). Logistic regression demonstrated that higher PBR increased the odds of MAE >0.50D (MAE1 OR 1.05, p=0.008; MAE2 OR 1.03, p=0.023; MAE3 OR 1.03, p=0.035; MAE4 OR 1.03, p=0.046). These results showed that elevated PBR served as a predictor of postoperative refractive prediction error, with higher PBR increasing the likelihood of MAE >0.50D.",
        "Conclusions": "Partial blink behavior is significantly associated with prediction error after cataract surgery. Elevated PBR may increase the risk of refractive prediction error by inducing tear film instability and keratometric variability. Incorporating blink metrics into preoperative evaluation may help optimize refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Partial blink behavior is significantly associated with prediction error after cataract surgery. Elevated PBR may increase the risk of refractive prediction error by inducing tear film instability and keratometric variability. Incorporating blink metrics into preoperative evaluation may help optimize refractive outcomes.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 44,
      "source_fields": {
        "Abstract Final Identifier": "PP03.05",
        "Title": "Partial Blink Rate As A Biomarker For Refractive Prediction Error After Cataract Surgery",
        "Presenting Author(s)": "Dr Hyeonwoo Jeon",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Yoo Young",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the impact of partial blink behavior on prediction error (PE) after cataract surgery and determine whether partial blink rate (PBR) serves as a biomarker for refractive outcomes.",
        "Setting": "Single-center retrospective study, Chungnam National University Hospital, Daejeon, Korea",
        "Methods": "23 eyes that underwent cataract surgery with monofocal intraocular lenses were retrospectively evaluated. Preoperative tear film interferometry was assessed using LipiView. PE was quantified as mean absolute error (MAE1–MAE4) using the absolute difference between PE and achieved spherical equivalent. MAE1–4 were calculated using the Barrett Universal II, SRK/T, Hoffer Q, and Haigis formulas, respectively. Logistic regression, Correlation between Partial blink rate (PBR, %) and MAE were analyzed statistically.",
        "Results": "Partial blink rate was significantly correlated with refractive prediction error for all MAE metrics (MAE1: r=0.55, p=0.006; MAE2: r=0.61, p=0.002; MAE3: r=0.50, p=0.015; MAE4: r=0.50, p=0.014). Logistic regression demonstrated that higher PBR increased the odds of MAE >0.50D (MAE1 OR 1.05, p=0.008; MAE2 OR 1.03, p=0.023; MAE3 OR 1.03, p=0.035; MAE4 OR 1.03, p=0.046). These results showed that elevated PBR served as a predictor of postoperative refractive prediction error, with higher PBR increasing the likelihood of MAE >0.50D.",
        "Conclusions": "Partial blink behavior is significantly associated with prediction error after cataract surgery. Elevated PBR may increase the risk of refractive prediction error by inducing tear film instability and keratometric variability. Incorporating blink metrics into preoperative evaluation may help optimize refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "PP03.06",
      "abstract_number": "PP03.06",
      "title": "Intraocular Lens Power Calculation In Anatomically Narrow Angle Eyes: A Large Multicenter Real-World Comparative Study Of Twelve Formulas",
      "authors": "Dr Colya N. Englisch",
      "presenter": "Dr Colya N. Englisch",
      "normalized_authors": [
        "Colya N. Englisch"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Colya N. Englisch",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Eyes with primary angle closure suspect (PACS), primary angle closure (PAC), and primary angle closure glaucoma (PACG) frequently undergo phacoemulsification. However, intraocular lens (IOL) power calculation in these eyes is uncertain because eyes with anatomically narrow angles (ANAs) may have unexpected biometric relationships. The aim of this study was to understand how IOL power formulas treat this group of unusual eyes. Should modifications be undertaken to improve results? We evaluated the refractive predictive accuracy of twelve modern and legacy IOL power calculation formulas in mostly non-Asian eyes with ANAs.",
        "Setting": "This retrospective cohort study included 1,220 eyes from 1,220 patients who underwent cataract surgery at multiple centers across the USA between 01/01/2023 and 12/27/2024. Data were extracted from a de-identified database (Veracity, Carl Zeiss). ANA is an accepted indication for cataract surgery in the USA. If this code was submitted with surgery, we considered it an ANA eye. Gonioscopy and intraocular pressure findings were not recorded. We presume “ANA” included PACS, PAC, or PACG eyes.",
        "Methods": "SRK/T, Holladay 1 and 2, Haigis, Barrett Universal II (BUII)*, Hoffer Q, Hoffer QST*, RBF 3.0*, EVO 2.0*, Pearl DGS*, Kane*, and K6* formulas were evaluated with IOLcon lens constants (* = available at ESCRS.org). Subanalyses included short eyes (axial length [AL] < 22 mm) and deep eyes (anterior chamber depth [ACD] > 2.5 mm). Metrics included mean absolute error (MAE), mean refractive error (MRE), and proportions of eyes within ±0.50 D. MAE was used to compare formulas with a two-sided Wilcoxon–Holladay–Wang–Koch. Constant optimization was not possible because 44 IOL models were used, 23 models had less than 10 eyes. If MRE was ≤ 1/8th D, it was considered „on target.“",
        "Results": "Overall, 9 of 12 formulas were on target. The worst MRE was only 0.15 D. Optimization would thus have changed results minimally. Formulas had from 69% to 76% of eyes within 0.5 D of predicted refraction (3 formulas > 75%). Melles et al . formulas had from 72% to 84% within 0.5 D (7 of 9 > 75%) in normal eyes (PMID: 30980854). In 180 short eyes, Kane was best (MAE 0.46 D). Holladay 1 was 2 nd (MAE 0.46) and BUII was 11 th (MAE 0.52). 6 formulas were on target and all but the worst formula had between 60% and 68% of eyes within 0.5 D; only about 6% or 7% lower than Kenny et al . where 67% and 73% of short eyes without ANAs were within 0.5 D (PMID: 36940190). ESCRS formulas ranked 1 to 7 in 948 deep eyes, with 75% to 78% within 0.5 D.",
        "Conclusions": "I n eyes with ANAs, optimizing lens constants would offer minimal improvement over using IOLcon.org constants. Formulas performed fairly well in all eyes, about 5% fewer eyes within 0.5 D than normal eyes. Short ANA eyes had about 6% fewer eyes within 0.5 D than other short eyes. Results were almost normal for deep eyes. Generally the 7 formulas available on the ESCRS website performed well, except for BUII in short eyes. In such situation, either Kane or Holladay 1 was the best choice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "I n eyes with ANAs, optimizing lens constants would offer minimal improvement over using IOLcon.org constants. Formulas performed fairly well in all eyes, about 5% fewer eyes within 0.5 D than normal eyes. Short ANA eyes had about 6% fewer eyes within 0.5 D than other short eyes. Results were almost normal for deep eyes. Generally the 7 formulas available on the ESCRS website performed well, except for BUII in…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 45,
      "source_fields": {
        "Abstract Final Identifier": "PP03.06",
        "Title": "Intraocular Lens Power Calculation In Anatomically Narrow Angle Eyes: A Large Multicenter Real-World Comparative Study Of Twelve Formulas",
        "Presenting Author(s)": "Dr Colya N. Englisch",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Colya",
        "Submitter Middle Name": "N.",
        "Submitter Last Name": "Englisch",
        "Country Name": "Germany",
        "Purpose": "Eyes with primary angle closure suspect (PACS), primary angle closure (PAC), and primary angle closure glaucoma (PACG) frequently undergo phacoemulsification. However, intraocular lens (IOL) power calculation in these eyes is uncertain because eyes with anatomically narrow angles (ANAs) may have unexpected biometric relationships. The aim of this study was to understand how IOL power formulas treat this group of unusual eyes. Should modifications be undertaken to improve results? We evaluated the refractive predictive accuracy of twelve modern and legacy IOL power calculation formulas in mostly non-Asian eyes with ANAs.",
        "Setting": "This retrospective cohort study included 1,220 eyes from 1,220 patients who underwent cataract surgery at multiple centers across the USA between 01/01/2023 and 12/27/2024. Data were extracted from a de-identified database (Veracity, Carl Zeiss). ANA is an accepted indication for cataract surgery in the USA. If this code was submitted with surgery, we considered it an ANA eye. Gonioscopy and intraocular pressure findings were not recorded. We presume “ANA” included PACS, PAC, or PACG eyes.",
        "Methods": "SRK/T, Holladay 1 and 2, Haigis, Barrett Universal II (BUII)*, Hoffer Q, Hoffer QST*, RBF 3.0*, EVO 2.0*, Pearl DGS*, Kane*, and K6* formulas were evaluated with IOLcon lens constants (* = available at ESCRS.org). Subanalyses included short eyes (axial length [AL] < 22 mm) and deep eyes (anterior chamber depth [ACD] > 2.5 mm). Metrics included mean absolute error (MAE), mean refractive error (MRE), and proportions of eyes within ±0.50 D. MAE was used to compare formulas with a two-sided Wilcoxon–Holladay–Wang–Koch. Constant optimization was not possible because 44 IOL models were used, 23 models had less than 10 eyes. If MRE was ≤ 1/8th D, it was considered „on target.“",
        "Results": "Overall, 9 of 12 formulas were on target. The worst MRE was only 0.15 D. Optimization would thus have changed results minimally. Formulas had from 69% to 76% of eyes within 0.5 D of predicted refraction (3 formulas > 75%). Melles et al . formulas had from 72% to 84% within 0.5 D (7 of 9 > 75%) in normal eyes (PMID: 30980854). In 180 short eyes, Kane was best (MAE 0.46 D). Holladay 1 was 2 nd (MAE 0.46) and BUII was 11 th (MAE 0.52). 6 formulas were on target and all but the worst formula had between 60% and 68% of eyes within 0.5 D; only about 6% or 7% lower than Kenny et al . where 67% and 73% of short eyes without ANAs were within 0.5 D (PMID: 36940190). ESCRS formulas ranked 1 to 7 in 948 deep eyes, with 75% to 78% within 0.5 D.",
        "Conclusions": "I n eyes with ANAs, optimizing lens constants would offer minimal improvement over using IOLcon.org constants. Formulas performed fairly well in all eyes, about 5% fewer eyes within 0.5 D than normal eyes. Short ANA eyes had about 6% fewer eyes within 0.5 D than other short eyes. Results were almost normal for deep eyes. Generally the 7 formulas available on the ESCRS website performed well, except for BUII in short eyes. In such situation, either Kane or Holladay 1 was the best choice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 529
    },
    {
      "uid": "PP03.07",
      "abstract_number": "PP03.07",
      "title": "Adjusting Intraocular Lens Power In Short Eyes Using Anterion Optical Coherence Tomography",
      "authors": "Dr Peter Fedor",
      "presenter": "Dr Peter Fedor",
      "normalized_authors": [
        "Peter Fedor"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Peter Fedor",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "The purpose of our study is to determine if our algorithm using Anterion AS-OCT (Heidelberg Engineering) of recommending using one step higher or lower power IOL of 0.5 D compared to currently used formulas in select group of short eyes will achieve a better refractive outcome.",
        "Setting": "Great Lakes Eye Consultants is a private anterior segment practice with three office locations in Michigan and MUS is a consulting company in Slovakia",
        "Methods": "Anterion AS-OCT (Heidelberg Engineering), Aviso AS-UBM ultrasound biomicroscopy (Quantel) and Aladdin optical biometry (Topcon) was obtained before cataract surgery in a group of 20 short eyes. We have analyzed 36 different parameters of the anterior segment including commonly used parameters and parameters involving scleral spur, iris and ciliary body. The algorithm using scleral spur depth, lens thickness and spur-iris distance was developed for Anterion AS-OCT to predict refractive prediction errors of >0.25 D and with recommendation to change the power of the IOL calculated with currently used formulas in clinical practice. This algorithm was tested on a another group of 35 short eys using Anterion AS-OCT measurements.",
        "Results": "The change of one step of IOL power of 0.5 D compared to currently used IOL power calculation formulas was recommended in 8 out of 35 short eyes with AL of <22.75 mm using the algorithm using scleral spur depth, lens thickness and spur-iris distance developed for Anterion AS-OCT. The refractive prediction error of these 8 eyes compared to BarretU2 formula was 0.4 diopter +/- 0.22 D (min 0.08 D and max 0.75 D) and most other currently used formulas showed similar prediction errors. The recommendation to change the IOL power by 0.5 D was correct in 7 out of 8 eyes and in one eye was not associated with prediction error.",
        "Conclusions": "Our study suggests that Anterion AS-OCT (Heidelberg Engineering) could be clinically used in short eyes with AL< 22.75 mm using our current algorithm with parameters of scleral spur depth, lens thickness and spur-iris distance to improve refraction prediction error of currently used formulas and change the IOL power by one step of 0.5 D in approximatelly 20-25% of patients with short eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study suggests that Anterion AS-OCT (Heidelberg Engineering) could be clinically used in short eyes with AL< 22.75 mm using our current algorithm with parameters of scleral spur depth, lens thickness and spur-iris distance to improve refraction prediction error of currently used formulas and change the IOL power by one step of 0.5 D in approximatelly 20-25% of patients with short eyes.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 46,
      "source_fields": {
        "Abstract Final Identifier": "PP03.07",
        "Title": "Adjusting Intraocular Lens Power In Short Eyes Using Anterion Optical Coherence Tomography",
        "Presenting Author(s)": "Dr Peter Fedor",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Peter",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fedor",
        "Country Name": "United States",
        "Purpose": "The purpose of our study is to determine if our algorithm using Anterion AS-OCT (Heidelberg Engineering) of recommending using one step higher or lower power IOL of 0.5 D compared to currently used formulas in select group of short eyes will achieve a better refractive outcome.",
        "Setting": "Great Lakes Eye Consultants is a private anterior segment practice with three office locations in Michigan and MUS is a consulting company in Slovakia",
        "Methods": "Anterion AS-OCT (Heidelberg Engineering), Aviso AS-UBM ultrasound biomicroscopy (Quantel) and Aladdin optical biometry (Topcon) was obtained before cataract surgery in a group of 20 short eyes. We have analyzed 36 different parameters of the anterior segment including commonly used parameters and parameters involving scleral spur, iris and ciliary body. The algorithm using scleral spur depth, lens thickness and spur-iris distance was developed for Anterion AS-OCT to predict refractive prediction errors of >0.25 D and with recommendation to change the power of the IOL calculated with currently used formulas in clinical practice. This algorithm was tested on a another group of 35 short eys using Anterion AS-OCT measurements.",
        "Results": "The change of one step of IOL power of 0.5 D compared to currently used IOL power calculation formulas was recommended in 8 out of 35 short eyes with AL of <22.75 mm using the algorithm using scleral spur depth, lens thickness and spur-iris distance developed for Anterion AS-OCT. The refractive prediction error of these 8 eyes compared to BarretU2 formula was 0.4 diopter +/- 0.22 D (min 0.08 D and max 0.75 D) and most other currently used formulas showed similar prediction errors. The recommendation to change the IOL power by 0.5 D was correct in 7 out of 8 eyes and in one eye was not associated with prediction error.",
        "Conclusions": "Our study suggests that Anterion AS-OCT (Heidelberg Engineering) could be clinically used in short eyes with AL< 22.75 mm using our current algorithm with parameters of scleral spur depth, lens thickness and spur-iris distance to improve refraction prediction error of currently used formulas and change the IOL power by one step of 0.5 D in approximatelly 20-25% of patients with short eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "PP03.08",
      "abstract_number": "PP03.08",
      "title": "Iol-Agent: An Ai-Driven Multi-Agent System For Intelligent Iol Formula Selection — Conceptual Framework And Preliminary Retrospective Validation",
      "authors": "Dr Labib Alshaweesh",
      "presenter": "Dr Labib Alshaweesh",
      "normalized_authors": [
        "Labib Alshaweesh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Labib Alshaweesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Intraocular lens (IOL) power calculation is a critical determinant of refractive outcomes after cataract surgery. No single formula consistently demonstrates superior accuracy across all biometric profiles. We developed IOL-Agent, a multi-agent AI system built on large language model (LLM) architecture that autonomously selects the optimal IOL formula per eye. Specialized agents handle biometric classification, literature-based formula ranking, and final arbitration, each equipped with domain-specific tools and evidence-based decision logic derived from peer-reviewed literature. This study presents the system architecture and preliminary retrospective proof-of-concept results.",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Consecutive eyes undergoing uncomplicated phacoemulsification with monofocal IOL implantation were included. Postoperative refraction was recorded at 4 weeks. Seven formulae (Barrett Universal II, PEARL-DGS, Kane, Hill-RBF 3.0, Cooke K6, EVO 2.0, Hoffer QST) were computed via the ESCRS IOL Calculator. IOL-Agent was implemented using a multi-agent LLM architecture with specialized agents for biometric classification, formula ranking, and arbitration. Only non-personal de-identified biometric parameters were processed. The orchestrating agent stratified eyes by axial length, keratometry, and anterior segment depth. Outcomes included SD of PE, MAE, MedAE, and percentage within ±0.25, ±0.50, and ±1.00 D.",
        "Results": "A total of 146 eyes of 94 patients (55.3% male; mean age 67.76 ± 6.86 years) were analyzed. The AI-Agent selection achieved a SD of PE of ±0.387 D, MAE of 0.29 D, and MedAE of 0.24 D, with 54.1% of eyes within ±0.25 D, 84.9% within ±0.50 D, and 97.9% within ±1.00 D. Among individual formulae, the best-performing were Barrett Universal II (79.5% within ±0.50 D, SD ±0.426 D), Kane (78.8% within ±0.50 D, SD ±0.423 D), and Hill-RBF 3.0 (78.1% within ±0.50 D, SD ±0.456 D). The AI-Agent improved the percentage within ±0.50 D by 5.4 percentage points over Barrett, by 6.1 points over Kane and by 6.8 points over Hill-RBF, while achieving the lowest MAE (0.29 D) and MedAE (0.24 D) across all evaluated methods.",
        "Conclusions": "In this retrospective proof-of-concept study of 146 eyes, an LLM-based multi-agent AI system for individualized formula selection demonstrated superior refractive predictability compared with any single IOL power calculation formula. These findings support the feasibility and potential clinical utility of autonomous AI-driven formula selection in cataract surgery. Prospective multi-center validation with a larger cohort, predefined selection algorithms is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this retrospective proof-of-concept study of 146 eyes, an LLM-based multi-agent AI system for individualized formula selection demonstrated superior refractive predictability compared with any single IOL power calculation formula. These findings support the feasibility and potential clinical utility of autonomous AI-driven formula selection in cataract surgery. Prospective multi-center validation with a larger…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 47,
      "source_fields": {
        "Abstract Final Identifier": "PP03.08",
        "Title": "Iol-Agent: An Ai-Driven Multi-Agent System For Intelligent Iol Formula Selection — Conceptual Framework And Preliminary Retrospective Validation",
        "Presenting Author(s)": "Dr Labib Alshaweesh",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Labib",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alshaweesh",
        "Country Name": "Germany",
        "Purpose": "Intraocular lens (IOL) power calculation is a critical determinant of refractive outcomes after cataract surgery. No single formula consistently demonstrates superior accuracy across all biometric profiles. We developed IOL-Agent, a multi-agent AI system built on large language model (LLM) architecture that autonomously selects the optimal IOL formula per eye. Specialized agents handle biometric classification, literature-based formula ranking, and final arbitration, each equipped with domain-specific tools and evidence-based decision logic derived from peer-reviewed literature. This study presents the system architecture and preliminary retrospective proof-of-concept results.",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Consecutive eyes undergoing uncomplicated phacoemulsification with monofocal IOL implantation were included. Postoperative refraction was recorded at 4 weeks. Seven formulae (Barrett Universal II, PEARL-DGS, Kane, Hill-RBF 3.0, Cooke K6, EVO 2.0, Hoffer QST) were computed via the ESCRS IOL Calculator. IOL-Agent was implemented using a multi-agent LLM architecture with specialized agents for biometric classification, formula ranking, and arbitration. Only non-personal de-identified biometric parameters were processed. The orchestrating agent stratified eyes by axial length, keratometry, and anterior segment depth. Outcomes included SD of PE, MAE, MedAE, and percentage within ±0.25, ±0.50, and ±1.00 D.",
        "Results": "A total of 146 eyes of 94 patients (55.3% male; mean age 67.76 ± 6.86 years) were analyzed. The AI-Agent selection achieved a SD of PE of ±0.387 D, MAE of 0.29 D, and MedAE of 0.24 D, with 54.1% of eyes within ±0.25 D, 84.9% within ±0.50 D, and 97.9% within ±1.00 D. Among individual formulae, the best-performing were Barrett Universal II (79.5% within ±0.50 D, SD ±0.426 D), Kane (78.8% within ±0.50 D, SD ±0.423 D), and Hill-RBF 3.0 (78.1% within ±0.50 D, SD ±0.456 D). The AI-Agent improved the percentage within ±0.50 D by 5.4 percentage points over Barrett, by 6.1 points over Kane and by 6.8 points over Hill-RBF, while achieving the lowest MAE (0.29 D) and MedAE (0.24 D) across all evaluated methods.",
        "Conclusions": "In this retrospective proof-of-concept study of 146 eyes, an LLM-based multi-agent AI system for individualized formula selection demonstrated superior refractive predictability compared with any single IOL power calculation formula. These findings support the feasibility and potential clinical utility of autonomous AI-driven formula selection in cataract surgery. Prospective multi-center validation with a larger cohort, predefined selection algorithms is warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "PP03.09",
      "abstract_number": "PP03.09",
      "title": "Influence Of Capsular Tension Ring Insertion On The Refractive Outcomes After Phacoemulsification In Pseudoexfoliation Syndrome",
      "authors": "Dr Georgios Chondrozoumakis",
      "presenter": "Dr Georgios Chondrozoumakis",
      "normalized_authors": [
        "Georgios Chondrozoumakis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Georgios CHONDROZOUMAKIS",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To evaluate the influence of capsular tension ring (CTR) implantation on the refractive outcomes after uneventful cataract surgery in eyes with pseudoexfoliation syndrome (PEX).",
        "Setting": "Ophthalmology Department of the General Hospital of Rethymnon, Greece.",
        "Methods": "In this retrospective study, eyes with age-related cataract and PEX underwent standard phacoemulsification by a single experienced surgeon with in-the-bag implantation of an intraocular lens (IOL; CT LUCIA 621P or AcrySof SN60WF) and CTR implantation when indicated. Eyes were grouped as IOL only (Group A) or IOL with CTR (Group B). CTR insertion was decided intraoperatively in cases with evidence of loose zonules during capsulorhexis. IOL power was calculated using the Barrett Universal II formula. The primary outcome was refractive prediction error (PE); the secondary outcome was mean absolute error (MAE). Crude comparisons and adjusted analyses were performed, accounting for IOL model, axial length (AL) and anterior chamber depth (ACD).",
        "Results": "A total of 47 eyes of 43 patients were included, with 24 eyes receiving an IOL only (Group A) and 23 an IOL with CTR (Group B). PE was 0.14 ± 0.52 D in Group A and significantly higher in Group B at 0.67 ± 0.41 D, with a mean difference of 0.54 D (95% CI, 0.26–0.84, p < 0.001). In the adjusted analysis, CTR remained an independent predictor of hyperopic PE (p < 0.001), whereas the IOL model factor and the covariates AL and ACD were not significant (all p > 0.10). No significant interaction between CTR use and IOL model was detected (p = 0.995). Similarly, MAE was 0.44 ± 0.30 D in Group A and 0.68 ± 0.41 D in Group B (p = 0.027).",
        "Conclusions": "CTR implantation seems to induce a mild hyperopic shift of about a half diopter, which should be taken into consideration when calculating the IOL power in patients with PEX and intraoperative zonular laxity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CTR implantation seems to induce a mild hyperopic shift of about a half diopter, which should be taken into consideration when calculating the IOL power in patients with PEX and intraoperative zonular laxity.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 48,
      "source_fields": {
        "Abstract Final Identifier": "PP03.09",
        "Title": "Influence Of Capsular Tension Ring Insertion On The Refractive Outcomes After Phacoemulsification In Pseudoexfoliation Syndrome",
        "Presenting Author(s)": "Dr Georgios Chondrozoumakis",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Georgios",
        "Submitter Middle Name": "",
        "Submitter Last Name": "CHONDROZOUMAKIS",
        "Country Name": "Greece",
        "Purpose": "To evaluate the influence of capsular tension ring (CTR) implantation on the refractive outcomes after uneventful cataract surgery in eyes with pseudoexfoliation syndrome (PEX).",
        "Setting": "Ophthalmology Department of the General Hospital of Rethymnon, Greece.",
        "Methods": "In this retrospective study, eyes with age-related cataract and PEX underwent standard phacoemulsification by a single experienced surgeon with in-the-bag implantation of an intraocular lens (IOL; CT LUCIA 621P or AcrySof SN60WF) and CTR implantation when indicated. Eyes were grouped as IOL only (Group A) or IOL with CTR (Group B). CTR insertion was decided intraoperatively in cases with evidence of loose zonules during capsulorhexis. IOL power was calculated using the Barrett Universal II formula. The primary outcome was refractive prediction error (PE); the secondary outcome was mean absolute error (MAE). Crude comparisons and adjusted analyses were performed, accounting for IOL model, axial length (AL) and anterior chamber depth (ACD).",
        "Results": "A total of 47 eyes of 43 patients were included, with 24 eyes receiving an IOL only (Group A) and 23 an IOL with CTR (Group B). PE was 0.14 ± 0.52 D in Group A and significantly higher in Group B at 0.67 ± 0.41 D, with a mean difference of 0.54 D (95% CI, 0.26–0.84, p < 0.001). In the adjusted analysis, CTR remained an independent predictor of hyperopic PE (p < 0.001), whereas the IOL model factor and the covariates AL and ACD were not significant (all p > 0.10). No significant interaction between CTR use and IOL model was detected (p = 0.995). Similarly, MAE was 0.44 ± 0.30 D in Group A and 0.68 ± 0.41 D in Group B (p = 0.027).",
        "Conclusions": "CTR implantation seems to induce a mild hyperopic shift of about a half diopter, which should be taken into consideration when calculating the IOL power in patients with PEX and intraoperative zonular laxity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "PP03.10",
      "abstract_number": "PP03.10",
      "title": "Axial Length Dependency And Performance Of Iol Power Calculation Formulas In Yamane Intrascleral Haptic Fixation",
      "authors": "Dr Gyoung Nyun Kim",
      "presenter": "Dr Gyoung Nyun Kim",
      "normalized_authors": [
        "Gyoung Nyun Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gyoung Nyun Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the predictive accuracy of various intraocular lens (IOL) power calculation formulas in eyes undergoing Yamane intrascleral haptic fixation and to investigate axial length (AL)–related refractive behavior. In particular, we aimed to determine whether Wang–Koch (WK) axial length adjustment reduces AL dependency and improves refractive outcomes in long eyes, as previously validated in standard in-the-bag cataract surgery.",
        "Setting": "Department of Ophthalmology, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Retrospective single-center study including consecutive cases undergoing Yamane intrascleral haptic fixation between December 2018 and July 2025.",
        "Methods": "This retrospective chart review included 205 eyes of 184 patients undergoing Yamane scleral fixation with a single IOL model (AR40e). Prediction error (PE) was defined as target refraction minus postoperative manifest refraction at 3 months. Mean error (ME), mean absolute error (MAE), median absolute error (MedAE), and percentages within ±0.25, ±0.50, ±1.00, and ±2.00 D were calculated. Formulas included Hoffer Q, Holladay 1, SRK/T (with and without WK adjustment), Barrett Universal II, EVO 2.0, and T2. Friedman test compared MAE among formulas. Linear regression assessed associations between PE and AL, horizontal corneal diameter (WTW), and mean keratometry.",
        "Results": "Overall, statistically significant differences in MAE were observed among formulas (Friedman test, p=0.035), although absolute differences were small and no formula demonstrated consistent clinical superiority. Horizontal corneal diameter was not associated with PE in any formula. In contrast, AL showed significant associations with PE in several formulas, particularly in WK-adjusted models. In long eyes (AL ≥25 mm), WK adjustment did not improve MAE and was associated with increased myopic shift and stronger AL dependency. In eyes with AL <25 mm, differences among formulas were minimal.",
        "Conclusions": "In Yamane intrascleral haptic fixation, no single IOL formula showed clear clinical superiority. Axial length remained a significant determinant of refractive error, whereas horizontal corneal diameter had limited influence. Notably, Wang–Koch axial length adjustment did not eliminate AL dependency in long eyes and may induce overcorrection. These findings suggest that AL-related refractive behavior in Yamane fixation differs from standard in-the-bag cataract surgery, and caution is warranted when applying WK adjustment in scleral-fixated IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In Yamane intrascleral haptic fixation, no single IOL formula showed clear clinical superiority. Axial length remained a significant determinant of refractive error, whereas horizontal corneal diameter had limited influence. Notably, Wang–Koch axial length adjustment did not eliminate AL dependency in long eyes and may induce overcorrection. These findings suggest that AL-related refractive behavior in Yamane…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 49,
      "source_fields": {
        "Abstract Final Identifier": "PP03.10",
        "Title": "Axial Length Dependency And Performance Of Iol Power Calculation Formulas In Yamane Intrascleral Haptic Fixation",
        "Presenting Author(s)": "Dr Gyoung Nyun Kim",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Gyoung Nyun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the predictive accuracy of various intraocular lens (IOL) power calculation formulas in eyes undergoing Yamane intrascleral haptic fixation and to investigate axial length (AL)–related refractive behavior. In particular, we aimed to determine whether Wang–Koch (WK) axial length adjustment reduces AL dependency and improves refractive outcomes in long eyes, as previously validated in standard in-the-bag cataract surgery.",
        "Setting": "Department of Ophthalmology, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Retrospective single-center study including consecutive cases undergoing Yamane intrascleral haptic fixation between December 2018 and July 2025.",
        "Methods": "This retrospective chart review included 205 eyes of 184 patients undergoing Yamane scleral fixation with a single IOL model (AR40e). Prediction error (PE) was defined as target refraction minus postoperative manifest refraction at 3 months. Mean error (ME), mean absolute error (MAE), median absolute error (MedAE), and percentages within ±0.25, ±0.50, ±1.00, and ±2.00 D were calculated. Formulas included Hoffer Q, Holladay 1, SRK/T (with and without WK adjustment), Barrett Universal II, EVO 2.0, and T2. Friedman test compared MAE among formulas. Linear regression assessed associations between PE and AL, horizontal corneal diameter (WTW), and mean keratometry.",
        "Results": "Overall, statistically significant differences in MAE were observed among formulas (Friedman test, p=0.035), although absolute differences were small and no formula demonstrated consistent clinical superiority. Horizontal corneal diameter was not associated with PE in any formula. In contrast, AL showed significant associations with PE in several formulas, particularly in WK-adjusted models. In long eyes (AL ≥25 mm), WK adjustment did not improve MAE and was associated with increased myopic shift and stronger AL dependency. In eyes with AL <25 mm, differences among formulas were minimal.",
        "Conclusions": "In Yamane intrascleral haptic fixation, no single IOL formula showed clear clinical superiority. Axial length remained a significant determinant of refractive error, whereas horizontal corneal diameter had limited influence. Notably, Wang–Koch axial length adjustment did not eliminate AL dependency in long eyes and may induce overcorrection. These findings suggest that AL-related refractive behavior in Yamane fixation differs from standard in-the-bag cataract surgery, and caution is warranted when applying WK adjustment in scleral-fixated IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "PP03.11",
      "abstract_number": "PP03.11",
      "title": "Evaluation Of Iol Power Calculation Accuracy In 120 Eyes With Prior Corneal Refractive Surgery: Impact Of Total Keratometry (Tk)",
      "authors": "Dr Oumayma Elmansouri",
      "presenter": "Dr Oumayma Elmansouri",
      "normalized_authors": [
        "Oumayma Elmansouri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oumayma Elmansouri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate the refractive predictability of IOL power calculation using Total Keratometry (TK) compared to standard keratometry (K) in patients with various types of prior corneal refractive surgery (CRS).",
        "Setting": "UM6P hospitals, Department of Ophthalmology.",
        "Methods": "This prospective study included 120 eyes of 60 patients with a history of CRS undergoing cataract surgery. The cohort was divided into three subgroups based on the initial CRS: post-myopic LASIK/PRK (n=84), post-hyperopic LASIK/PRK (n=20), and radial keratotomy (RK) (n=16). All preoperative biometry measurements were performed using the IOLMaster 700 (Carl Zeiss Meditec AG). IOL power was calculated using the integrated Barrett True-K TK formula (utilizing measured posterior corneal surface) and compared to the standard Barrett True-K (No History) and Haigis-L formulas. The primary outcome measures were the Mean Absolute Error (MAE) and the percentage of eyes +/- 0.50 D of the target refraction at 3 months postoperatively.",
        "Results": "The overall MAE was significantly lower with the Barrett True-K TK ( +/-0.38 D) compared to the standard Barrett True-K ( +/-0.49 D, p < 0.01 ) and Haigis-L ( +/-0.52 D). In the post-myopic laser group (n=84), the TK-based calculation achieved the highest predictability, with 78% of eyes within +/- 0.50 D. For the most challenging subgroup, post-RK eyes (n=16), the use of Total Keratometry significantly reduced the hyperopic shift, with 67% of eyes achieving the +/- 0.50 D target compared to only 40% using standard K-based formulas. No significant refractive surprises were observed in the post-hyperopic group (n=20) when using TK.",
        "Conclusions": "The integration of direct posterior corneal measurements through Total Keratometry (TK) on the IOLMaster 700 significantly improves IOL power prediction across all types of prior corneal refractive surgery. While \"no-history\" formulas using TK currently offer a superior and reliable clinical workflow, the integration of Artificial Intelligence (AI) and Ray-Tracing software (such as Okulix) holds potential to further refine these outcomes, especially in cases with highly irregular corneas where traditional vergence-based models reach their limits."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The integration of direct posterior corneal measurements through Total Keratometry (TK) on the IOLMaster 700 significantly improves IOL power prediction across all types of prior corneal refractive surgery. While \"no-history\" formulas using TK currently offer a superior and reliable clinical workflow, the integration of Artificial Intelligence (AI) and Ray-Tracing software (such as Okulix) holds potential to…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 50,
      "source_fields": {
        "Abstract Final Identifier": "PP03.11",
        "Title": "Evaluation Of Iol Power Calculation Accuracy In 120 Eyes With Prior Corneal Refractive Surgery: Impact Of Total Keratometry (Tk)",
        "Presenting Author(s)": "Dr Oumayma Elmansouri",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Oumayma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elmansouri",
        "Country Name": "Morocco",
        "Purpose": "To evaluate the refractive predictability of IOL power calculation using Total Keratometry (TK) compared to standard keratometry (K) in patients with various types of prior corneal refractive surgery (CRS).",
        "Setting": "UM6P hospitals, Department of Ophthalmology.",
        "Methods": "This prospective study included 120 eyes of 60 patients with a history of CRS undergoing cataract surgery. The cohort was divided into three subgroups based on the initial CRS: post-myopic LASIK/PRK (n=84), post-hyperopic LASIK/PRK (n=20), and radial keratotomy (RK) (n=16). All preoperative biometry measurements were performed using the IOLMaster 700 (Carl Zeiss Meditec AG). IOL power was calculated using the integrated Barrett True-K TK formula (utilizing measured posterior corneal surface) and compared to the standard Barrett True-K (No History) and Haigis-L formulas. The primary outcome measures were the Mean Absolute Error (MAE) and the percentage of eyes +/- 0.50 D of the target refraction at 3 months postoperatively.",
        "Results": "The overall MAE was significantly lower with the Barrett True-K TK ( +/-0.38 D) compared to the standard Barrett True-K ( +/-0.49 D, p < 0.01 ) and Haigis-L ( +/-0.52 D). In the post-myopic laser group (n=84), the TK-based calculation achieved the highest predictability, with 78% of eyes within +/- 0.50 D. For the most challenging subgroup, post-RK eyes (n=16), the use of Total Keratometry significantly reduced the hyperopic shift, with 67% of eyes achieving the +/- 0.50 D target compared to only 40% using standard K-based formulas. No significant refractive surprises were observed in the post-hyperopic group (n=20) when using TK.",
        "Conclusions": "The integration of direct posterior corneal measurements through Total Keratometry (TK) on the IOLMaster 700 significantly improves IOL power prediction across all types of prior corneal refractive surgery. While \"no-history\" formulas using TK currently offer a superior and reliable clinical workflow, the integration of Artificial Intelligence (AI) and Ray-Tracing software (such as Okulix) holds potential to further refine these outcomes, especially in cases with highly irregular corneas where traditional vergence-based models reach their limits."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "PP03.12",
      "abstract_number": "PP03.12",
      "title": "Accuracy Of Refractive Correction Using Iol Exchange For Post-Cataract Refractive Surprise",
      "authors": "Dr Wonseok Choi",
      "presenter": "Dr Wonseok Choi",
      "normalized_authors": [
        "Wonseok Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wonseok Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Refractive precision has become a critical determinant of success in modern cataract surgery, particularly with the increasing use of premium intraocular lenses (IOLs). Even after an uneventful procedure, postoperative refractive error may significantly compromise visual outcomes and patient satisfaction. While corneal refractive surgery is frequently considered, it may induce higher-order aberrations and optical side effects. This study aimed to evaluate the predictability and accuracy of refractive correction using IOL exchange for postoperative refractive surprise.",
        "Setting": "Single-surgeon retrospective clinical study conducted at a private ophthalmology clinic",
        "Methods": "This retrospective study included patients who underwent IOL exchange for refractive correction within three years after primary cataract surgery. Only cases involving exchange of the same IOL model for power adjustment were included. Thirty eyes were analyzed, including 15 eyes with previous corneal refractive surgery and 15 eyes without prior ocular surgery. IOL power selection was determined using IOLMaster 700 with the Barrett True-K formula. Refractive prediction error was calculated as the difference between predicted and postoperative spherical equivalent (SE) and incorporated into recalculation.",
        "Results": "Thirty eyes were analyzed. The mean refractive prediction error after primary surgery was 0.77 ± 0.51 D. Following IOL exchange, the mean absolute error was 0.23 ± 0.14 D, with 93.3% of eyes within ±0.50 D of target refraction. High refractive accuracy was achieved regardless of prior corneal refractive surgery. MAE was 0.29 ± 0.17 D in post-refractive surgery eyes and 0.18 ± 0.10 D in controls.",
        "Conclusions": "Incorporating the initial refractive prediction error into IOL power selection resulted in highly predictable refractive outcomes. IOL exchange provided accurate refractive correction irrespective of prior corneal refractive surgery. As refractive precision becomes increasingly critical in modern cataract surgery, IOL exchange represents a reliable and physiologically favorable strategy for managing postoperative refractive error."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Incorporating the initial refractive prediction error into IOL power selection resulted in highly predictable refractive outcomes. IOL exchange provided accurate refractive correction irrespective of prior corneal refractive surgery. As refractive precision becomes increasingly critical in modern cataract surgery, IOL exchange represents a reliable and physiologically favorable strategy for managing postoperative…",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 51,
      "source_fields": {
        "Abstract Final Identifier": "PP03.12",
        "Title": "Accuracy Of Refractive Correction Using Iol Exchange For Post-Cataract Refractive Surprise",
        "Presenting Author(s)": "Dr Wonseok Choi",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Wonseok",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Refractive precision has become a critical determinant of success in modern cataract surgery, particularly with the increasing use of premium intraocular lenses (IOLs). Even after an uneventful procedure, postoperative refractive error may significantly compromise visual outcomes and patient satisfaction. While corneal refractive surgery is frequently considered, it may induce higher-order aberrations and optical side effects. This study aimed to evaluate the predictability and accuracy of refractive correction using IOL exchange for postoperative refractive surprise.",
        "Setting": "Single-surgeon retrospective clinical study conducted at a private ophthalmology clinic",
        "Methods": "This retrospective study included patients who underwent IOL exchange for refractive correction within three years after primary cataract surgery. Only cases involving exchange of the same IOL model for power adjustment were included. Thirty eyes were analyzed, including 15 eyes with previous corneal refractive surgery and 15 eyes without prior ocular surgery. IOL power selection was determined using IOLMaster 700 with the Barrett True-K formula. Refractive prediction error was calculated as the difference between predicted and postoperative spherical equivalent (SE) and incorporated into recalculation.",
        "Results": "Thirty eyes were analyzed. The mean refractive prediction error after primary surgery was 0.77 ± 0.51 D. Following IOL exchange, the mean absolute error was 0.23 ± 0.14 D, with 93.3% of eyes within ±0.50 D of target refraction. High refractive accuracy was achieved regardless of prior corneal refractive surgery. MAE was 0.29 ± 0.17 D in post-refractive surgery eyes and 0.18 ± 0.10 D in controls.",
        "Conclusions": "Incorporating the initial refractive prediction error into IOL power selection resulted in highly predictable refractive outcomes. IOL exchange provided accurate refractive correction irrespective of prior corneal refractive surgery. As refractive precision becomes increasingly critical in modern cataract surgery, IOL exchange represents a reliable and physiologically favorable strategy for managing postoperative refractive error."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "PP03.13",
      "abstract_number": "PP03.13",
      "title": "Comparison Of Refractive Prediction Error After Intrascleral Intraocular Lens Fixation In Eyes With Long Axial Length",
      "authors": "Dr Masaki Suzue",
      "presenter": "Dr Masaki Suzue",
      "normalized_authors": [
        "Masaki Suzue"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Masaki Suzue",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Since its introduction by Yamane et al. in 2017, flanged intrascleral intraocular lens (IOL) fixation using the double-needle technique (SF-IOL) has gained widespread adoption due to its shorter operative time and favorable safety profile. Although standard IOL power calculation formulas are often applied to SF-IOL, their accuracy in myopic eyes remains unclear. The aim of this study was to compare postoperative prediction error (PE) between eyes with long and normal axial length (AL) undergoing SF-IOL.",
        "Setting": "This retrospective, single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. We reviewed the medical records of all consecutive patients who underwent SF-IOL between January 2023 and April 2024. In all cases, surgeries were performed by seven retinal specialists using SF-IOL. All patients underwent Pars Plana Vitrectomy (PPV). A 7-mm diameter IOL was implanted in every patient.",
        "Methods": "Predicted refractive outcomes were calculated using four formulas: the Barrett Universal Ⅱ (BU Ⅱ), Hoffer Q, Holladay 1, and SRK/T formulas. Eyes were categorized into two distinct groups based on preoperative AL: the normal AL group (N group, AL < 26.0 mm) and the long AL group (L group, AL ≥ 26.0 mm). PE was defined as the difference between the postoperative spherical equivalent refraction at 3 months and the predicted refraction calculated by each formula. Refractive prediction accuracy was compared between the N and L groups. The standard deviation (SD), the slope of the simple liner regression between AL and PE, and the Formula Performance Index (FPI) were assessed for each formula.",
        "Results": "A total of 53 eyes from 50 patients were included in this study, 35 eyes in the N group and 18 eyes in the L group. Mean AL was 24.6±0.8 mm in N group and 27.1±1.0 mm in L group. Mean PE (N and L group) was −0.55±0.72 D and −0.64±0.62 D with BU Ⅱ (P=0.52), −0.68±0.77 D and −0.45±0.62 D with Hoffer Q (P=0.60), −0.78±0.74 D and −0.31±0.72 D with Holladay 1 (P=0.043), and −0.74±0.72 D and −0.62±0.72 D with SRK/T (P=0.32). In L group, Holladay 1 showed PE nearest zero; however, demonstrated steep AL–PE regression slope and low FPI. BU II yielded the lowest SD and highest FPI.",
        "Conclusions": "The Barrett Universal Ⅱ formula demonstrated the highest FPI in eyes with long AL undergoing SF-IOL, along with the most favorable values for SD and AL–PE slope. The Holladay 1 formula demonstrated the lowest mean prediction error in long AL eyes, because its hyperopic bias in long eyes offset the myopic shift observed in this study."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Barrett Universal Ⅱ formula demonstrated the highest FPI in eyes with long AL undergoing SF-IOL, along with the most favorable values for SD and AL–PE slope. The Holladay 1 formula demonstrated the lowest mean prediction error in long AL eyes, because its hyperopic bias in long eyes offset the myopic shift observed in this study.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 52,
      "source_fields": {
        "Abstract Final Identifier": "PP03.13",
        "Title": "Comparison Of Refractive Prediction Error After Intrascleral Intraocular Lens Fixation In Eyes With Long Axial Length",
        "Presenting Author(s)": "Dr Masaki Suzue",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Masaki",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suzue",
        "Country Name": "Japan",
        "Purpose": "Since its introduction by Yamane et al. in 2017, flanged intrascleral intraocular lens (IOL) fixation using the double-needle technique (SF-IOL) has gained widespread adoption due to its shorter operative time and favorable safety profile. Although standard IOL power calculation formulas are often applied to SF-IOL, their accuracy in myopic eyes remains unclear. The aim of this study was to compare postoperative prediction error (PE) between eyes with long and normal axial length (AL) undergoing SF-IOL.",
        "Setting": "This retrospective, single-center clinical study was conducted at The University of Osaka Hospital, Osaka, Japan. We reviewed the medical records of all consecutive patients who underwent SF-IOL between January 2023 and April 2024. In all cases, surgeries were performed by seven retinal specialists using SF-IOL. All patients underwent Pars Plana Vitrectomy (PPV). A 7-mm diameter IOL was implanted in every patient.",
        "Methods": "Predicted refractive outcomes were calculated using four formulas: the Barrett Universal Ⅱ (BU Ⅱ), Hoffer Q, Holladay 1, and SRK/T formulas. Eyes were categorized into two distinct groups based on preoperative AL: the normal AL group (N group, AL < 26.0 mm) and the long AL group (L group, AL ≥ 26.0 mm). PE was defined as the difference between the postoperative spherical equivalent refraction at 3 months and the predicted refraction calculated by each formula. Refractive prediction accuracy was compared between the N and L groups. The standard deviation (SD), the slope of the simple liner regression between AL and PE, and the Formula Performance Index (FPI) were assessed for each formula.",
        "Results": "A total of 53 eyes from 50 patients were included in this study, 35 eyes in the N group and 18 eyes in the L group. Mean AL was 24.6±0.8 mm in N group and 27.1±1.0 mm in L group. Mean PE (N and L group) was −0.55±0.72 D and −0.64±0.62 D with BU Ⅱ (P=0.52), −0.68±0.77 D and −0.45±0.62 D with Hoffer Q (P=0.60), −0.78±0.74 D and −0.31±0.72 D with Holladay 1 (P=0.043), and −0.74±0.72 D and −0.62±0.72 D with SRK/T (P=0.32). In L group, Holladay 1 showed PE nearest zero; however, demonstrated steep AL–PE regression slope and low FPI. BU II yielded the lowest SD and highest FPI.",
        "Conclusions": "The Barrett Universal Ⅱ formula demonstrated the highest FPI in eyes with long AL undergoing SF-IOL, along with the most favorable values for SD and AL–PE slope. The Holladay 1 formula demonstrated the lowest mean prediction error in long AL eyes, because its hyperopic bias in long eyes offset the myopic shift observed in this study."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 457
    },
    {
      "uid": "PP03.14",
      "abstract_number": "PP03.14",
      "title": "Avoiding A Mixed Astigmatism Phenotype With Non-Toric Monofocal Intraocular Lenses In Eyes With Corneal Astigmatism: An Ambispective Comparative Study",
      "authors": "Dr Raksheeth Nathan Rajagopal",
      "presenter": "Dr Raksheeth Nathan Rajagopal",
      "normalized_authors": [
        "Raksheeth Nathan Rajagopal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Raksheeth Nathan Rajagopal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate whether selecting a higher-power non-toric monofocal intraocular lens (IOL) to target a myopic spherical equivalent (SE) reduces postoperative mixed astigmatism in eyes with corneal astigmatism undergoing phacoemulsification.",
        "Setting": "This mixed retrospective-prospective (ambispective) comparative cohort study was conducted in a tertiary eye care centre in southern India.",
        "Methods": "Consecutive eyes with keratometric corneal astigmatism implanted with a non-toric monofocal IOL were analyzed. In the correction-factor group (n=70), IOL power was selected to target a postoperative SE approximately equal to half the magnitude of the preoperative corneal cylinder (i.e. a myopic SE) rather than emmetropic SE. The comparator group targeted emmetropic SE (n=50). Postoperative outcomes were assessed at 2 weeks using manifest refraction, logMAR uncorrected distance visual acuity (UDVA), and corrected distance visual acuity (CDVA). Refractions were classified into postoperative refractive phenotypes based on the signs of the 2 principal meridians (emmetropia, myopic astigmatism, or mixed astigmatism)",
        "Results": "The correction-factor group implanted a median IOL power 1 diopter (0.50-1.50) higher than the emmetropic biometry suggestion. Mixed astigmatism occurred in 6/70 eyes (8.6%) versus 26/50 eyes (52.0%) (P<0.001). Myopic astigmatism occurred in 61/70 (87.1%) versus 14/50 (28.0%).\n\nMedian postoperative UDVA was 0.30 (IQR 0.17–0.47) logMAR in the correction-factor group versus 0.17 (0.17–0.39) logMAR in the no-correction group (P=0.178). Median postoperative CDVA was 0.00 (0.00–0.10) logMAR versus 0.10 (0.00–0.10) logMAR (P=0.080).\n\nMedian postoperative manifest SE was −0.56 D (IQR −0.84 to −0.41) in the correction-factor group versus 0 D (−0.38 to +0.13) in the no-correction group ( P<0.001 )",
        "Conclusions": "Selecting a slightly higher-power non-toric monofocal IOL to target a myopic SE substantially reduced postoperative mixed astigmatism without reducing mean CDVA. This strategy may be useful when toric IOLs are not feasible, particularly in eyes with higher corneal astigmatism."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Selecting a slightly higher-power non-toric monofocal IOL to target a myopic SE substantially reduced postoperative mixed astigmatism without reducing mean CDVA. This strategy may be useful when toric IOLs are not feasible, particularly in eyes with higher corneal astigmatism.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 53,
      "source_fields": {
        "Abstract Final Identifier": "PP03.14",
        "Title": "Avoiding A Mixed Astigmatism Phenotype With Non-Toric Monofocal Intraocular Lenses In Eyes With Corneal Astigmatism: An Ambispective Comparative Study",
        "Presenting Author(s)": "Dr Raksheeth Nathan Rajagopal",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Raksheeth Nathan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rajagopal",
        "Country Name": "India",
        "Purpose": "To evaluate whether selecting a higher-power non-toric monofocal intraocular lens (IOL) to target a myopic spherical equivalent (SE) reduces postoperative mixed astigmatism in eyes with corneal astigmatism undergoing phacoemulsification.",
        "Setting": "This mixed retrospective-prospective (ambispective) comparative cohort study was conducted in a tertiary eye care centre in southern India.",
        "Methods": "Consecutive eyes with keratometric corneal astigmatism implanted with a non-toric monofocal IOL were analyzed. In the correction-factor group (n=70), IOL power was selected to target a postoperative SE approximately equal to half the magnitude of the preoperative corneal cylinder (i.e. a myopic SE) rather than emmetropic SE. The comparator group targeted emmetropic SE (n=50). Postoperative outcomes were assessed at 2 weeks using manifest refraction, logMAR uncorrected distance visual acuity (UDVA), and corrected distance visual acuity (CDVA). Refractions were classified into postoperative refractive phenotypes based on the signs of the 2 principal meridians (emmetropia, myopic astigmatism, or mixed astigmatism)",
        "Results": "The correction-factor group implanted a median IOL power 1 diopter (0.50-1.50) higher than the emmetropic biometry suggestion. Mixed astigmatism occurred in 6/70 eyes (8.6%) versus 26/50 eyes (52.0%) (P<0.001). Myopic astigmatism occurred in 61/70 (87.1%) versus 14/50 (28.0%).\n\nMedian postoperative UDVA was 0.30 (IQR 0.17–0.47) logMAR in the correction-factor group versus 0.17 (0.17–0.39) logMAR in the no-correction group (P=0.178). Median postoperative CDVA was 0.00 (0.00–0.10) logMAR versus 0.10 (0.00–0.10) logMAR (P=0.080).\n\nMedian postoperative manifest SE was −0.56 D (IQR −0.84 to −0.41) in the correction-factor group versus 0 D (−0.38 to +0.13) in the no-correction group ( P<0.001 )",
        "Conclusions": "Selecting a slightly higher-power non-toric monofocal IOL to target a myopic SE substantially reduced postoperative mixed astigmatism without reducing mean CDVA. This strategy may be useful when toric IOLs are not feasible, particularly in eyes with higher corneal astigmatism."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "PP03.15",
      "abstract_number": "PP03.15",
      "title": "Precision In Intraocular Lens Calculation For Chinese Cataract Patients With Prior History Of Radial Keratotomy",
      "authors": "Dr Yang Xiang",
      "presenter": "Dr Yang Xiang",
      "normalized_authors": [
        "Yang Xiang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yang Xiang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the predictive accuracy of eight traditional and contemporary intraocular lens (IOL) power calculation formulas in Chinese cataract patients with prior radial keratotomy (RK).",
        "Setting": "Tianjin Eye Institute, Tianjin Eye Hospital, Tianjin, China",
        "Methods": "RK patients who underwent phacoemulsification with IOL implantation were retrospectively recruited. Refractive prediction errors (RPE)were calculated for eight formulas: Haigis-L, Shammas, Barrett True-K, Camellin Calossi Camellin (CCC), Kane, EVO, Pearl-DGS, and Jin-AI. The study compared RPE, mean absolute error (MAE), median absolute error (MedAE), and percentages of eyes achieving prediction errors within ±0.25, ±0.50, ±0.75, ±1.0, and ±2.0 diopters.",
        "Results": "This retrospective study analyzed 34 eyes from 21 patients with prior RK surgery. The superior performing IOL power calculation formulas were Jin-AI (MAE = 0.64 D, MedAE = 0.49 D), Barrett True-K (MAE = 0.58 D, MedAE = 0.535 D), and EVO (MAE=0.59 D, MedAE = 0.538 D). These three formulas demonstrated comparable accuracy, with 47.1%, 44.1%, and 44.1% of eyes achieving prediction errors within ±0.50 D, respectively. The Haigis-L and Pearl-DGS formulas exhibited significantly higher prediction errors in eyes with more than 12 RK incisions.",
        "Conclusions": "The Jin-AI, Barrett True-K, and EVO formulas demonstrated superior accuracy for IOL power calculation in Chinese cataract patients with prior RK. The Jin-AI formula, a novel artificial intelligence-based formula derived from Chinese individuals, presents a promising option for post-RK IOL calculation, while external validation studies across diverse ethnic groups are essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Jin-AI, Barrett True-K, and EVO formulas demonstrated superior accuracy for IOL power calculation in Chinese cataract patients with prior RK. The Jin-AI formula, a novel artificial intelligence-based formula derived from Chinese individuals, presents a promising option for post-RK IOL calculation, while external validation studies across diverse ethnic groups are essential.",
      "session_type": "Presented Poster",
      "track": "IOL power calculation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 54,
      "source_fields": {
        "Abstract Final Identifier": "PP03.15",
        "Title": "Precision In Intraocular Lens Calculation For Chinese Cataract Patients With Prior History Of Radial Keratotomy",
        "Presenting Author(s)": "Dr Yang Xiang",
        "Abstract Topic Name": "IOL power calculation",
        "Submitter First Name": "Yang",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xiang",
        "Country Name": "China",
        "Purpose": "To evaluate the predictive accuracy of eight traditional and contemporary intraocular lens (IOL) power calculation formulas in Chinese cataract patients with prior radial keratotomy (RK).",
        "Setting": "Tianjin Eye Institute, Tianjin Eye Hospital, Tianjin, China",
        "Methods": "RK patients who underwent phacoemulsification with IOL implantation were retrospectively recruited. Refractive prediction errors (RPE)were calculated for eight formulas: Haigis-L, Shammas, Barrett True-K, Camellin Calossi Camellin (CCC), Kane, EVO, Pearl-DGS, and Jin-AI. The study compared RPE, mean absolute error (MAE), median absolute error (MedAE), and percentages of eyes achieving prediction errors within ±0.25, ±0.50, ±0.75, ±1.0, and ±2.0 diopters.",
        "Results": "This retrospective study analyzed 34 eyes from 21 patients with prior RK surgery. The superior performing IOL power calculation formulas were Jin-AI (MAE = 0.64 D, MedAE = 0.49 D), Barrett True-K (MAE = 0.58 D, MedAE = 0.535 D), and EVO (MAE=0.59 D, MedAE = 0.538 D). These three formulas demonstrated comparable accuracy, with 47.1%, 44.1%, and 44.1% of eyes achieving prediction errors within ±0.50 D, respectively. The Haigis-L and Pearl-DGS formulas exhibited significantly higher prediction errors in eyes with more than 12 RK incisions.",
        "Conclusions": "The Jin-AI, Barrett True-K, and EVO formulas demonstrated superior accuracy for IOL power calculation in Chinese cataract patients with prior RK. The Jin-AI formula, a novel artificial intelligence-based formula derived from Chinese individuals, presents a promising option for post-RK IOL calculation, while external validation studies across diverse ethnic groups are essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "PP04.01",
      "abstract_number": "PP04.01",
      "title": "Multicenter Study Comparing Ab-Interno Canaloplasty And Trabecular Micro-Bypass Stent In Primary Open-Angle Glaucoma",
      "authors": "Prof. Keith Barton",
      "presenter": "Prof. Keith Barton",
      "normalized_authors": [
        "Keith Barton"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Keith Barton",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare canaloplasty and trabecular micro-bypass surgery outcomes in primary open-angle glaucoma (POAG).",
        "Setting": "Ambispective study using data from the International Glaucoma Surgery Registry",
        "Methods": "Ambispective study using data from the International Glaucoma Surgery Registry (IGSR) to evaluate mild-to-moderate POAG patients who underwent iTrack ab-interno canaloplasty (Nova Eye Medical, USA) (prospective cohort) or iStent trabecular micro-bypass implantation (Glaukos, USA) (retrospective cohort), with or without concomitant phacoemulsification, and ≥12 months of follow-up. Primary outcomes were intraocular pressure (IOP), medication usage, and surgical success as defined by the American Academy of Ophthalmology (2024).",
        "Results": "The study included 339 eyes (iStent: n=115; iTrack: n=224) of which 94% underwent concomitant phacoemulsification (iStent: n=109, iTrack: n=210).There were nonsignificant differences in baseline IOP (p=0.417) and medications (p=0.741) between groups. At last follow-up, mean IOP (mmHg) and medication usage decreased from 17.3±4.2 and 2.0±1.1 at baseline to 14.2±3.5 and 1.3±1.1 in the iStent group (p<0.001; mean follow-up: 27.2±14.5 months), and from 16.9±5.0 and 2.0±1.1 at baseline to 14.3±3.4 and 1.1±1.3 in the iTrack group (p<0.001; mean follow-up: 20.3±7.7 months). Both groups showed no significant differences in reduction of IOP (p=0.422) and medications (p=0.211).",
        "Conclusions": "In POAG, iTrack canaloplasty and iStent implantation showed no statistically significant differences in effectiveness outcomes. Both procedures had favorable safety profiles with limited additional glaucoma surgeries. More canaloplasty eyes were medication-free compared to stent eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In POAG, iTrack canaloplasty and iStent implantation showed no statistically significant differences in effectiveness outcomes. Both procedures had favorable safety profiles with limited additional glaucoma surgeries. More canaloplasty eyes were medication-free compared to stent eyes.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 55,
      "source_fields": {
        "Abstract Final Identifier": "PP04.01",
        "Title": "Multicenter Study Comparing Ab-Interno Canaloplasty And Trabecular Micro-Bypass Stent In Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "Prof. Keith Barton",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Keith",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Barton",
        "Country Name": "United Kingdom",
        "Purpose": "To compare canaloplasty and trabecular micro-bypass surgery outcomes in primary open-angle glaucoma (POAG).",
        "Setting": "Ambispective study using data from the International Glaucoma Surgery Registry",
        "Methods": "Ambispective study using data from the International Glaucoma Surgery Registry (IGSR) to evaluate mild-to-moderate POAG patients who underwent iTrack ab-interno canaloplasty (Nova Eye Medical, USA) (prospective cohort) or iStent trabecular micro-bypass implantation (Glaukos, USA) (retrospective cohort), with or without concomitant phacoemulsification, and ≥12 months of follow-up. Primary outcomes were intraocular pressure (IOP), medication usage, and surgical success as defined by the American Academy of Ophthalmology (2024).",
        "Results": "The study included 339 eyes (iStent: n=115; iTrack: n=224) of which 94% underwent concomitant phacoemulsification (iStent: n=109, iTrack: n=210).There were nonsignificant differences in baseline IOP (p=0.417) and medications (p=0.741) between groups. At last follow-up, mean IOP (mmHg) and medication usage decreased from 17.3±4.2 and 2.0±1.1 at baseline to 14.2±3.5 and 1.3±1.1 in the iStent group (p<0.001; mean follow-up: 27.2±14.5 months), and from 16.9±5.0 and 2.0±1.1 at baseline to 14.3±3.4 and 1.1±1.3 in the iTrack group (p<0.001; mean follow-up: 20.3±7.7 months). Both groups showed no significant differences in reduction of IOP (p=0.422) and medications (p=0.211).",
        "Conclusions": "In POAG, iTrack canaloplasty and iStent implantation showed no statistically significant differences in effectiveness outcomes. Both procedures had favorable safety profiles with limited additional glaucoma surgeries. More canaloplasty eyes were medication-free compared to stent eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "PP04.16",
      "abstract_number": "PP04.16",
      "title": "Study Of 24-Hour Intraocular Pressure Fluctuations After Trabecular Surgery With Istent Inject® W Implantation Using A Contact Lens Sensor.",
      "authors": "Mrs Elena Brotons Muñoz",
      "presenter": "Mrs Elena Brotons Muñoz",
      "normalized_authors": [
        "Elena Brotons Muñoz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Elena Brotons-Muñoz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the effect of trabecular surgery with iStent inject® W implantation on 24-hour intraocular pressure (IOP) fluctuations in patients with open-angle glaucoma, as measured by a contact lens sensor (CLS). Specifically, the study aimed to quantify changes in circadian IOP fluctuation patterns assessed by cosinor and biphasic amplitudes before and after surgery, and to determine whether iStent implantation reduces the magnitude of IOP variability over a 24-hour period in addition to lowering mean IOP and reducing the need for topical hypotensive medication.",
        "Setting": "Prospective controlled pre-post interventional study conducted at a two tertiary referral Spanish hospitals. The study follows the tenets of the Declaration of Helsinki and complies with European Medical Device Regulation (EU 2017/745).",
        "Methods": "Thirteen adult patients with primary open-angle glaucoma (POAG) requiring cataract surgery and trabecular surgery with implantation of the iStent inject® W were included. All patients underwent twenty-four-hour IOP-related pattern using the SENSIMED Triggerfish® CLS system one month before surgery and three months after surgery. The primary endpoint was the amplitude of the cosine and biphasic curve (mVeq), representing 24-hour IOP-related fluctuation magnitude. Secondary parameters included acrophase timing, nocturnal pattern classification (high nocturnal, low nocturnal, or absence of pattern), number of peaks (>90 mVeq), and sleep-to-wake slopes. Goldmann applanation tonometry (GAT) was performed before and after each CLS session.",
        "Results": "Mean IOP (mmHg) before surgery was 16.3±3.0 mmHg and 14.5±3 after surgery with iStent (p-value 0.1084). The number of preoperative hypotensive medications was 2.38±0.51 and decreased to 0.0 after surgery (p-value 0.0012). Mean preoperative cosinor amplitude was 145.83±42.00 mVeq and decreased to 117.80±63.97 mVeq after surgery (p-value 0.0827). Mean preoperative biphasic amplitude was 163.27±44.23 and decreased to 128.63±60.12 after surgery (p-value 0.0208).",
        "Conclusions": "Glaucoma surgery with iStent inject W showed a reduction in 24-hour IOP fluctuations. Further studies are needed to confirm these results; however, this reduction in IOP fluctuations could be an important factor in controlling glaucoma progression with this trabecular surgery, in addition to lowering IOP."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Glaucoma surgery with iStent inject W showed a reduction in 24-hour IOP fluctuations. Further studies are needed to confirm these results; however, this reduction in IOP fluctuations could be an important factor in controlling glaucoma progression with this trabecular surgery, in addition to lowering IOP.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 56,
      "source_fields": {
        "Abstract Final Identifier": "PP04.16",
        "Title": "Study Of 24-Hour Intraocular Pressure Fluctuations After Trabecular Surgery With Istent Inject® W Implantation Using A Contact Lens Sensor.",
        "Presenting Author(s)": "Mrs Elena Brotons Muñoz",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Elena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Brotons-Muñoz",
        "Country Name": "Spain",
        "Purpose": "To evaluate the effect of trabecular surgery with iStent inject® W implantation on 24-hour intraocular pressure (IOP) fluctuations in patients with open-angle glaucoma, as measured by a contact lens sensor (CLS). Specifically, the study aimed to quantify changes in circadian IOP fluctuation patterns assessed by cosinor and biphasic amplitudes before and after surgery, and to determine whether iStent implantation reduces the magnitude of IOP variability over a 24-hour period in addition to lowering mean IOP and reducing the need for topical hypotensive medication.",
        "Setting": "Prospective controlled pre-post interventional study conducted at a two tertiary referral Spanish hospitals. The study follows the tenets of the Declaration of Helsinki and complies with European Medical Device Regulation (EU 2017/745).",
        "Methods": "Thirteen adult patients with primary open-angle glaucoma (POAG) requiring cataract surgery and trabecular surgery with implantation of the iStent inject® W were included. All patients underwent twenty-four-hour IOP-related pattern using the SENSIMED Triggerfish® CLS system one month before surgery and three months after surgery. The primary endpoint was the amplitude of the cosine and biphasic curve (mVeq), representing 24-hour IOP-related fluctuation magnitude. Secondary parameters included acrophase timing, nocturnal pattern classification (high nocturnal, low nocturnal, or absence of pattern), number of peaks (>90 mVeq), and sleep-to-wake slopes. Goldmann applanation tonometry (GAT) was performed before and after each CLS session.",
        "Results": "Mean IOP (mmHg) before surgery was 16.3±3.0 mmHg and 14.5±3 after surgery with iStent (p-value 0.1084). The number of preoperative hypotensive medications was 2.38±0.51 and decreased to 0.0 after surgery (p-value 0.0012). Mean preoperative cosinor amplitude was 145.83±42.00 mVeq and decreased to 117.80±63.97 mVeq after surgery (p-value 0.0827). Mean preoperative biphasic amplitude was 163.27±44.23 and decreased to 128.63±60.12 after surgery (p-value 0.0208).",
        "Conclusions": "Glaucoma surgery with iStent inject W showed a reduction in 24-hour IOP fluctuations. Further studies are needed to confirm these results; however, this reduction in IOP fluctuations could be an important factor in controlling glaucoma progression with this trabecular surgery, in addition to lowering IOP."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "PP04.017",
      "abstract_number": "PP04.017",
      "title": "Excimer Laser Trabeculostomy Clinical Outcomes And Safety Profile - 6 Month Provisional Outcomes",
      "authors": "Annabel Mach",
      "presenter": "Annabel Mach",
      "normalized_authors": [
        "Annabel Mach"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Annabel Mach",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To review the clinical outcomes and safety profile of excimer laser trabeculostomy (ELT) in open-angle glaucoma.",
        "Setting": "ELT is a form of minimally invasive glaucoma surgery that provides an alternative treatment to traditional surgical methods, lowering intraocular pressure (IOP) with improved recovery times and reducing the need for topical medications.",
        "Methods": "Patients who received ELT were reviewed over 6 months in this retrospective study. The primary outcomes were to measure the changes in IOP, number of topical IOP-lowering medications and visual acuity from baseline.",
        "Results": "18 patients had ELT, with 22 eyes operated on in total. 21 eyes had phacoemulsification in combination with ELT. The mean IOP at baseline was 15.25 mmHg with a standard deviation ( + ) of 3.62 mmHg and decreased to 12.82 ± 3.67 mmHg at 3 months ( P = 0.0293). Average IOP at 6 months was 14.71 ± 2.93 mmHg ( P = 0.7539). The mean number of IOP-lowering eye drops decreased from 1.59 ± 0.73 mmHg to 0.86 ± 0.69 mmHg at 6 months ( P = 0.0279). Visual acuity (logMAR) improved from 0.46 ± 0.50 to 0.27 ± 0.38 ( P = 0.5889). Complications occurred during 9% of the procedures (n = 2). 27% of patients had post-operative complications, including cystoid macular oedema (n = 3), hyphaema (n = 1), uveitis (n = 2) and episcleritis (n = 1).",
        "Conclusions": "ELT combined with phacoemulsification decreased IOP and the number of IOP-lowering eye drops, whilst improving visual acuity. The safety profile and long-term efficacy of this intervention need to be reviewed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ELT combined with phacoemulsification decreased IOP and the number of IOP-lowering eye drops, whilst improving visual acuity. The safety profile and long-term efficacy of this intervention need to be reviewed.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 57,
      "source_fields": {
        "Abstract Final Identifier": "PP04.017",
        "Title": "Excimer Laser Trabeculostomy Clinical Outcomes And Safety Profile - 6 Month Provisional Outcomes",
        "Presenting Author(s)": "Annabel Mach",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Annabel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mach",
        "Country Name": "United Kingdom",
        "Purpose": "To review the clinical outcomes and safety profile of excimer laser trabeculostomy (ELT) in open-angle glaucoma.",
        "Setting": "ELT is a form of minimally invasive glaucoma surgery that provides an alternative treatment to traditional surgical methods, lowering intraocular pressure (IOP) with improved recovery times and reducing the need for topical medications.",
        "Methods": "Patients who received ELT were reviewed over 6 months in this retrospective study. The primary outcomes were to measure the changes in IOP, number of topical IOP-lowering medications and visual acuity from baseline.",
        "Results": "18 patients had ELT, with 22 eyes operated on in total. 21 eyes had phacoemulsification in combination with ELT. The mean IOP at baseline was 15.25 mmHg with a standard deviation ( + ) of 3.62 mmHg and decreased to 12.82 ± 3.67 mmHg at 3 months ( P = 0.0293). Average IOP at 6 months was 14.71 ± 2.93 mmHg ( P = 0.7539). The mean number of IOP-lowering eye drops decreased from 1.59 ± 0.73 mmHg to 0.86 ± 0.69 mmHg at 6 months ( P = 0.0279). Visual acuity (logMAR) improved from 0.46 ± 0.50 to 0.27 ± 0.38 ( P = 0.5889). Complications occurred during 9% of the procedures (n = 2). 27% of patients had post-operative complications, including cystoid macular oedema (n = 3), hyphaema (n = 1), uveitis (n = 2) and episcleritis (n = 1).",
        "Conclusions": "ELT combined with phacoemulsification decreased IOP and the number of IOP-lowering eye drops, whilst improving visual acuity. The safety profile and long-term efficacy of this intervention need to be reviewed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "PP04.018",
      "abstract_number": "PP04.018",
      "title": "Efficacy And Safety Of The Hydrus Implant Combined With Phacoemulsification: A Retrospective Multicenter Study",
      "authors": "Dr Alice Grise-Dulac",
      "presenter": "Dr Alice Grise-Dulac",
      "normalized_authors": [
        "Alice Grise-Dulac"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alice Grise-Dulac",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To report one-year outcomes from a multicenter cohort of patients with primary open-angle glaucoma (POAG) who underwent phacoemulsification combined with Hydrus® microstent implantation.",
        "Setting": "Multicenter study conducted in tertiary referral ophthalmology centers in France.",
        "Methods": "This retrospective study included 158 eyes of 109 patients with POAG who underwent combined Hydrus implantation and phacoemulsification between March 2024 and December 2025 in tertiary referral centers in France. We respected Helsinki’s Ethics principles and obtained an ethics CNIL declaration number ***. The primary outcome measure was intraocular pressure (IOP). Follow-up visits were conducted at day 7, month 1, month 3, month 6, and 12 months postoperatively. The number of antiglaucoma medications and intraoperative and postoperative complications were recorded.",
        "Results": "A total of 159 eyes from 110 patients were included. Mean IOP decreased from 16.2 mmHg preoperatively (N = 158) to 13.8 mmHg at 6 months (N = 48) and 15.3 mmHg at 12 months (N = 20). The mean number of hypotensive medications decreased from 1.9 preoperatively to 1.3 at 6 months (N = 51) and 1.6 at 12 months (N = 20). Reported complications included transient IOP spikes and self-resolving hyphema. No serious intraoperative or postoperative adverse events were reported. Among patients with 12-month follow-up, none required additional glaucoma surgery during the study period.",
        "Conclusions": "These results are the first reported in France and should be considered preliminary. They were obtained in tertiary university referral centers with several surgeons, which may partly explain the outcomes. Longer follow-up will be necessary.\n\nThese preliminary results suggest a favorable safety profile of the Hydrus implant, with no serious adverse events reported, and a trend toward IOP reduction as early as 3 months postoperatively.\n\nThe combination of Hydrus implantation with phacoemulsification resulted in a 9.4% reduction in IOP and a mean decrease of 0.3 antiglaucoma medications at 12 months. These findings support the potential role of this therapeutic option in glaucoma management and provide encouraging perspectives for future use."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These results are the first reported in France and should be considered preliminary. They were obtained in tertiary university referral centers with several surgeons, which may partly explain the outcomes. Longer follow-up will be necessary. These preliminary results suggest a favorable safety profile of the Hydrus implant, with no serious adverse events reported, and a trend toward IOP reduction as early as 3…",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 58,
      "source_fields": {
        "Abstract Final Identifier": "PP04.018",
        "Title": "Efficacy And Safety Of The Hydrus Implant Combined With Phacoemulsification: A Retrospective Multicenter Study",
        "Presenting Author(s)": "Dr Alice Grise-Dulac",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Alice",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Grise-Dulac",
        "Country Name": "France",
        "Purpose": "To report one-year outcomes from a multicenter cohort of patients with primary open-angle glaucoma (POAG) who underwent phacoemulsification combined with Hydrus® microstent implantation.",
        "Setting": "Multicenter study conducted in tertiary referral ophthalmology centers in France.",
        "Methods": "This retrospective study included 158 eyes of 109 patients with POAG who underwent combined Hydrus implantation and phacoemulsification between March 2024 and December 2025 in tertiary referral centers in France. We respected Helsinki’s Ethics principles and obtained an ethics CNIL declaration number ***. The primary outcome measure was intraocular pressure (IOP). Follow-up visits were conducted at day 7, month 1, month 3, month 6, and 12 months postoperatively. The number of antiglaucoma medications and intraoperative and postoperative complications were recorded.",
        "Results": "A total of 159 eyes from 110 patients were included. Mean IOP decreased from 16.2 mmHg preoperatively (N = 158) to 13.8 mmHg at 6 months (N = 48) and 15.3 mmHg at 12 months (N = 20). The mean number of hypotensive medications decreased from 1.9 preoperatively to 1.3 at 6 months (N = 51) and 1.6 at 12 months (N = 20). Reported complications included transient IOP spikes and self-resolving hyphema. No serious intraoperative or postoperative adverse events were reported. Among patients with 12-month follow-up, none required additional glaucoma surgery during the study period.",
        "Conclusions": "These results are the first reported in France and should be considered preliminary. They were obtained in tertiary university referral centers with several surgeons, which may partly explain the outcomes. Longer follow-up will be necessary.\n\nThese preliminary results suggest a favorable safety profile of the Hydrus implant, with no serious adverse events reported, and a trend toward IOP reduction as early as 3 months postoperatively.\n\nThe combination of Hydrus implantation with phacoemulsification resulted in a 9.4% reduction in IOP and a mean decrease of 0.3 antiglaucoma medications at 12 months. These findings support the potential role of this therapeutic option in glaucoma management and provide encouraging perspectives for future use."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "PP04.02",
      "abstract_number": "PP04.02",
      "title": "Long-Term Intraocular Pressure Reduction Using A Nanostructured Intracameral Latanoprost Platform",
      "authors": "Dr Wungrak Choi",
      "presenter": "Dr Wungrak Choi",
      "normalized_authors": [
        "Wungrak Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Wungrak Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To develop and evaluate a nanotechnology-based sustained drug delivery system for long-term intraocular pressure (IOP) control, addressing limitations of topical therapy including poor adherence, ocular surface toxicity, and pressure fluctuation.",
        "Setting": "Experimental animal study conducted at a tertiary academic ophthalmology research center.",
        "Methods": "A latanoprost-immobilized polycaprolactone (PCL) platform incorporating a high–surface-area leaf-stacked structure (LSS), termed LAT-PLSS, was fabricated to optimize drug loading and controlled release. Structural morphology was confirmed using scanning electron microscopy. Intracameral implantation was performed in a rabbit glaucoma model, with the fellow eye serving as untreated control. IOP was monitored for 200 days. IOP fluctuation was calculated as the standard deviation of serial measurements.",
        "Results": "Scanning electron microscopy demonstrated a nanoscale porous architecture enabling sustained diffusion. Mean IOP in treated eyes decreased from 24.3 ± 2.1 mmHg at baseline to 16.3 ± 2.1 mmHg at 200 days (p<0.05), representing a 32.9% reduction. Untreated fellow eyes showed no sustained IOP reduction. No severe intraocular inflammation, device migration, or clinically significant corneal endothelial cell loss was observed.",
        "Conclusions": "The LAT-PLSS platform achieved sustained 200-day IOP reduction in a rabbit glaucoma model. This nanostructured intracameral system may offer a potential long-term therapeutic strategy for glaucoma management and warrants further investigation toward clinical translation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LAT-PLSS platform achieved sustained 200-day IOP reduction in a rabbit glaucoma model. This nanostructured intracameral system may offer a potential long-term therapeutic strategy for glaucoma management and warrants further investigation toward clinical translation.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 59,
      "source_fields": {
        "Abstract Final Identifier": "PP04.02",
        "Title": "Long-Term Intraocular Pressure Reduction Using A Nanostructured Intracameral Latanoprost Platform",
        "Presenting Author(s)": "Dr Wungrak Choi",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Wungrak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To develop and evaluate a nanotechnology-based sustained drug delivery system for long-term intraocular pressure (IOP) control, addressing limitations of topical therapy including poor adherence, ocular surface toxicity, and pressure fluctuation.",
        "Setting": "Experimental animal study conducted at a tertiary academic ophthalmology research center.",
        "Methods": "A latanoprost-immobilized polycaprolactone (PCL) platform incorporating a high–surface-area leaf-stacked structure (LSS), termed LAT-PLSS, was fabricated to optimize drug loading and controlled release. Structural morphology was confirmed using scanning electron microscopy. Intracameral implantation was performed in a rabbit glaucoma model, with the fellow eye serving as untreated control. IOP was monitored for 200 days. IOP fluctuation was calculated as the standard deviation of serial measurements.",
        "Results": "Scanning electron microscopy demonstrated a nanoscale porous architecture enabling sustained diffusion. Mean IOP in treated eyes decreased from 24.3 ± 2.1 mmHg at baseline to 16.3 ± 2.1 mmHg at 200 days (p<0.05), representing a 32.9% reduction. Untreated fellow eyes showed no sustained IOP reduction. No severe intraocular inflammation, device migration, or clinically significant corneal endothelial cell loss was observed.",
        "Conclusions": "The LAT-PLSS platform achieved sustained 200-day IOP reduction in a rabbit glaucoma model. This nanostructured intracameral system may offer a potential long-term therapeutic strategy for glaucoma management and warrants further investigation toward clinical translation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 205
    },
    {
      "uid": "PP04.03",
      "abstract_number": "PP04.03",
      "title": "Comparative 12-Month Outcomes Of Phacoemulsification Combined With Omni Canaloplasty-Trabeculotomy In Angle-Closure Versus Open-Angle Glaucoma At A Large Tertiary Glaucoma Referral Centre",
      "authors": "Ms Tanmayi Amol Chingale",
      "presenter": "Ms Tanmayi Amol Chingale",
      "normalized_authors": [
        "Tanmayi Amol Chingale"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tanmayi Amol Chingale",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare 12-month clinical outcomes of phacoemulsification combined with OMNI canaloplasty-trabeculotomy in patients with angle-closure glaucoma (PAC/PACG/CACG) versus open-angle glaucoma (OAG) in a tertiary UK centre. As OMNI targets the trabecular and canal-based outflow pathways, its effectiveness may differ between subtypes of glaucoma. Furthermore, OMNI has been predominantly studied in open-angle glaucoma, while evidence in angle-closure disease remains limited. We therefore assessed differences in intraocular pressure reduction and change in glaucoma medication burden between groups.",
        "Setting": "Retrospective cohort study conducted at a tertiary UK glaucoma referral centre across two hospital sites.",
        "Methods": "We performed a retrospective cohort study of eyes undergoing phacoemulsification combined with OMNI canaloplasty-trabeculotomy at a tertiary UK centre. Eyes with a minimum of 12 months of follow-up were included and stratified by glaucoma subtype (angle-closure [PAC/PACG/CACG] versus OAG). Baseline demographics, preoperative intraocular pressure and medication use were recorded. The primary outcomes monitored were change in intraocular pressure (IOP) and medication use at 12 months. Comparative analyses were performed between groups.",
        "Results": "Preliminary analysis included 31 eyes with 12 months postoperative follow up (28 OAG and 3 PACG). The mean preoperative IOP was 20.7 mmHg (20.1 mmHg in OAG and 21.7 mmHg in PACG) reducing to 15.2 mmHg at 12 months (26.6% overall reduction). In the OAG subgroup, mean IOP reduced from 20.1 to 15.5 mmHg (p = 0.002). In the PACG group, mean IOP reduced from 21.7 to 12.3 mmHg. Mean glaucoma medication burden decreased from 2.5 preoperatively (2.1 in OAG and 3.3 in PACG) to 1.7 medications at 12 months (1.5 in OAG and 1.7 in PACG). Medication reduction did not reach statistical significance in the OAG subgroup (p = 0.10). Three eyes required further glaucoma surgery during the follow-up period.",
        "Conclusions": "Phacoemulsification combined with OMNI canaloplasty-trabeculotomy demonstrates sustained intraocular pressure and medication reduction at 12 months in this real-world cohort. While reductions were observed in both open-angle and angle-closure subgroups, interpretation of comparative outcomes is limited by the small angle-closure sample size. Ongoing data collection will enable more robust subtype-specific analysis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phacoemulsification combined with OMNI canaloplasty-trabeculotomy demonstrates sustained intraocular pressure and medication reduction at 12 months in this real-world cohort. While reductions were observed in both open-angle and angle-closure subgroups, interpretation of comparative outcomes is limited by the small angle-closure sample size. Ongoing data collection will enable more robust subtype-specific analysis.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 60,
      "source_fields": {
        "Abstract Final Identifier": "PP04.03",
        "Title": "Comparative 12-Month Outcomes Of Phacoemulsification Combined With Omni Canaloplasty-Trabeculotomy In Angle-Closure Versus Open-Angle Glaucoma At A Large Tertiary Glaucoma Referral Centre",
        "Presenting Author(s)": "Ms Tanmayi Amol Chingale",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Tanmayi",
        "Submitter Middle Name": "Amol",
        "Submitter Last Name": "Chingale",
        "Country Name": "United Kingdom",
        "Purpose": "To compare 12-month clinical outcomes of phacoemulsification combined with OMNI canaloplasty-trabeculotomy in patients with angle-closure glaucoma (PAC/PACG/CACG) versus open-angle glaucoma (OAG) in a tertiary UK centre. As OMNI targets the trabecular and canal-based outflow pathways, its effectiveness may differ between subtypes of glaucoma. Furthermore, OMNI has been predominantly studied in open-angle glaucoma, while evidence in angle-closure disease remains limited. We therefore assessed differences in intraocular pressure reduction and change in glaucoma medication burden between groups.",
        "Setting": "Retrospective cohort study conducted at a tertiary UK glaucoma referral centre across two hospital sites.",
        "Methods": "We performed a retrospective cohort study of eyes undergoing phacoemulsification combined with OMNI canaloplasty-trabeculotomy at a tertiary UK centre. Eyes with a minimum of 12 months of follow-up were included and stratified by glaucoma subtype (angle-closure [PAC/PACG/CACG] versus OAG). Baseline demographics, preoperative intraocular pressure and medication use were recorded. The primary outcomes monitored were change in intraocular pressure (IOP) and medication use at 12 months. Comparative analyses were performed between groups.",
        "Results": "Preliminary analysis included 31 eyes with 12 months postoperative follow up (28 OAG and 3 PACG). The mean preoperative IOP was 20.7 mmHg (20.1 mmHg in OAG and 21.7 mmHg in PACG) reducing to 15.2 mmHg at 12 months (26.6% overall reduction). In the OAG subgroup, mean IOP reduced from 20.1 to 15.5 mmHg (p = 0.002). In the PACG group, mean IOP reduced from 21.7 to 12.3 mmHg. Mean glaucoma medication burden decreased from 2.5 preoperatively (2.1 in OAG and 3.3 in PACG) to 1.7 medications at 12 months (1.5 in OAG and 1.7 in PACG). Medication reduction did not reach statistical significance in the OAG subgroup (p = 0.10). Three eyes required further glaucoma surgery during the follow-up period.",
        "Conclusions": "Phacoemulsification combined with OMNI canaloplasty-trabeculotomy demonstrates sustained intraocular pressure and medication reduction at 12 months in this real-world cohort. While reductions were observed in both open-angle and angle-closure subgroups, interpretation of comparative outcomes is limited by the small angle-closure sample size. Ongoing data collection will enable more robust subtype-specific analysis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 351
    },
    {
      "uid": "PP04.04",
      "abstract_number": "PP04.04",
      "title": "Clinical Efficacy And Impact On Ocular Aberrations Of Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt): A Short-Term Analysis",
      "authors": "Dr Basak Saracoglu Yilmaz",
      "presenter": "Dr Basak Saracoglu Yilmaz",
      "normalized_authors": [
        "Basak Saracoglu Yilmaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Basak Saracoglu Yilmaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the changes in intraocular pressure (IOP), visual quality, and ocular/corneal higher-order aberrations (HOAs) following Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) surgery in patients with open-angle glaucoma.",
        "Setting": "Retrospective study at a tertiary referral center in Türkiye.",
        "Methods": "Sixteen eyes of 16 patients who had undergone GATT surgery were included in this retrospective study. IOP, best-corrected visual acuity (BCVA), spherical equivalent (SE), and aberrations were measured and compare preop and postop month1. Ocular, corneal, and internal aberrations (coma, trefoil, spherical, and total HOT) were measured via i-Trace wavefront analyzer.",
        "Results": "The mean IOP was 27.19±10.35 mmHg , and the mean number of glaucoma medications was 2.5 ±0.63 at baseline. They significantly decreased to 14.31±3.47 mmHg and 0.94±1.12 at month1 (p<0.05). The mean SE was -1.59±2.32 D, and the mean BCVA was 0.46±0.54 (Decimal, Snellen) at baseline. At month1, the mean SE was -1.76±2.38 D, and the mean BCVA was 0.62±0.80. There was no significant changes in SE and BCVA at month1. (p > 0.05). There were no significant changes in total, internal and corneal coma, trefoil, spherical and HOT aberrations (p>0.05 for all).",
        "Conclusions": "Our preliminary results suggest that GATT is a promising procedure with a neutral effect on ocular aberrations in the short term. The study demonstrated effective IOP reduction and medication decrease while maintaining optical and refractive stability in this small patient cohort."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our preliminary results suggest that GATT is a promising procedure with a neutral effect on ocular aberrations in the short term. The study demonstrated effective IOP reduction and medication decrease while maintaining optical and refractive stability in this small patient cohort.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 61,
      "source_fields": {
        "Abstract Final Identifier": "PP04.04",
        "Title": "Clinical Efficacy And Impact On Ocular Aberrations Of Gonioscopy-Assisted Transluminal Trabeculotomy (Gatt): A Short-Term Analysis",
        "Presenting Author(s)": "Dr Basak Saracoglu Yilmaz",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Basak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saracoglu Yilmaz",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the changes in intraocular pressure (IOP), visual quality, and ocular/corneal higher-order aberrations (HOAs) following Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) surgery in patients with open-angle glaucoma.",
        "Setting": "Retrospective study at a tertiary referral center in Türkiye.",
        "Methods": "Sixteen eyes of 16 patients who had undergone GATT surgery were included in this retrospective study. IOP, best-corrected visual acuity (BCVA), spherical equivalent (SE), and aberrations were measured and compare preop and postop month1. Ocular, corneal, and internal aberrations (coma, trefoil, spherical, and total HOT) were measured via i-Trace wavefront analyzer.",
        "Results": "The mean IOP was 27.19±10.35 mmHg , and the mean number of glaucoma medications was 2.5 ±0.63 at baseline. They significantly decreased to 14.31±3.47 mmHg and 0.94±1.12 at month1 (p<0.05). The mean SE was -1.59±2.32 D, and the mean BCVA was 0.46±0.54 (Decimal, Snellen) at baseline. At month1, the mean SE was -1.76±2.38 D, and the mean BCVA was 0.62±0.80. There was no significant changes in SE and BCVA at month1. (p > 0.05). There were no significant changes in total, internal and corneal coma, trefoil, spherical and HOT aberrations (p>0.05 for all).",
        "Conclusions": "Our preliminary results suggest that GATT is a promising procedure with a neutral effect on ocular aberrations in the short term. The study demonstrated effective IOP reduction and medication decrease while maintaining optical and refractive stability in this small patient cohort."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "PP04.05",
      "abstract_number": "PP04.05",
      "title": "36-Month Outcomes Of Combined Phacoemulsification And Istent Inject Implantation In Asian Eyes With Normal Tension Glaucoma",
      "authors": "Dr Bryan Ang",
      "presenter": "Dr Bryan Ang",
      "normalized_authors": [
        "Bryan Ang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bryan Ang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To evaluate 36-month outcomes of combined phacoemulsification and iStent inject implantation (\"Phaco-iStent\") in eyes with normal tension glaucoma (NTG).",
        "Setting": "Tertiary ophthalmology centre. A single-centre, multi-surgeon, retrospective study.",
        "Methods": "Data was collected from consecutive eyes of Asian subjects with NTG who underwent Phaco-iStent between 2018 and 2024. Primary outcomes were changes in intraocular pressure (IOP) and medication burden, and cumulative success probabilities from Kaplan-Meier (KM) analyses. KM analyses were performed with qualified success (QS), complete success (CS) and medication success (MS) criteria (decrease in ≥1 medication from baseline without an increase in IOP). Longitudinal changes were analysed using generalized estimating equations.",
        "Results": "Of 134 eyes with NTG which underwent Phaco-iStent surgery , 107 eyes completed 36 months of follow-up. At baseline, mean IOP was 13.6±2.8 mmHg and eyes were on a mean of 1.2±0.5 medications. Reductions in IOP and medications were observed at all timepoints, until 24 months (p≤0.05). At 36 months, medication use decreased by -0.8±0.0 (p<0.001) with no significant IOP reduction, proportion of medication-free eyes increased from 0% (n=0/134) at baseline to 76.6% (n=82/107), and 85.9% (92/107) of eyes had a medication reduction of ≥1 drop. Cumulative success probabilities at I OP thresholds of ≤15 / ≤12 mmHg showed significant increases (A-15[CS]: 86.1% vs 63.0%; A-12[CS]: 86.1% vs 26.9%, both p <0.001) when MS criteria was concurrently applied.",
        "Conclusions": "In Asian eyes with NTG, combined phacoemulsification and iStent inject implantation offers a role in sustained medication reduction and in achieving medication-free status, up to 36 months post-operatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In Asian eyes with NTG, combined phacoemulsification and iStent inject implantation offers a role in sustained medication reduction and in achieving medication-free status, up to 36 months post-operatively.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 62,
      "source_fields": {
        "Abstract Final Identifier": "PP04.05",
        "Title": "36-Month Outcomes Of Combined Phacoemulsification And Istent Inject Implantation In Asian Eyes With Normal Tension Glaucoma",
        "Presenting Author(s)": "Dr Bryan Ang",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Bryan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ang",
        "Country Name": "Singapore",
        "Purpose": "To evaluate 36-month outcomes of combined phacoemulsification and iStent inject implantation (\"Phaco-iStent\") in eyes with normal tension glaucoma (NTG).",
        "Setting": "Tertiary ophthalmology centre. A single-centre, multi-surgeon, retrospective study.",
        "Methods": "Data was collected from consecutive eyes of Asian subjects with NTG who underwent Phaco-iStent between 2018 and 2024. Primary outcomes were changes in intraocular pressure (IOP) and medication burden, and cumulative success probabilities from Kaplan-Meier (KM) analyses. KM analyses were performed with qualified success (QS), complete success (CS) and medication success (MS) criteria (decrease in ≥1 medication from baseline without an increase in IOP). Longitudinal changes were analysed using generalized estimating equations.",
        "Results": "Of 134 eyes with NTG which underwent Phaco-iStent surgery , 107 eyes completed 36 months of follow-up. At baseline, mean IOP was 13.6±2.8 mmHg and eyes were on a mean of 1.2±0.5 medications. Reductions in IOP and medications were observed at all timepoints, until 24 months (p≤0.05). At 36 months, medication use decreased by -0.8±0.0 (p<0.001) with no significant IOP reduction, proportion of medication-free eyes increased from 0% (n=0/134) at baseline to 76.6% (n=82/107), and 85.9% (92/107) of eyes had a medication reduction of ≥1 drop. Cumulative success probabilities at I OP thresholds of ≤15 / ≤12 mmHg showed significant increases (A-15[CS]: 86.1% vs 63.0%; A-12[CS]: 86.1% vs 26.9%, both p <0.001) when MS criteria was concurrently applied.",
        "Conclusions": "In Asian eyes with NTG, combined phacoemulsification and iStent inject implantation offers a role in sustained medication reduction and in achieving medication-free status, up to 36 months post-operatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "PP04.06",
      "abstract_number": "PP04.06",
      "title": "Intermediate-Term Outcomes Of Combined Cataract Extraction With Kahook Dual Blade Goniotomy Through Postoperative Year Three",
      "authors": "Dr Matthew Ryan Claxton",
      "presenter": "Dr Matthew Ryan Claxton",
      "normalized_authors": [
        "Matthew Ryan Claxton"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matthew Ryan Claxton",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Kahook Dual Blade (KDB) goniotomy has been shown to reliably lower IOP and glaucoma medication use in short-term studies with follow up ranging from 6 to 12 months, but there are few reports on outcomes of this procedure beyond postoperative year (POY) 1. Most of the published literature on cataract extraction with KDB goniotomy (phaco-KDB) is in patients with mild to moderate glaucoma, with less known regarding outcomes in those with severe disease. The purpose of the present study is to analyze longer-term outcomes of combined phaco-KDB beyond POY1 and analyze prognostic factors for surgical success.",
        "Setting": "This study was conducted at a single tertiary care academic institution in the United States. Procedures were carried out by four glaucoma specialists in our department. Approval was obtained by our hospital’s Institutional Review Board prior to commencement of the study.",
        "Methods": "Ninety-one eyes undergoing phaco-KDB were retrospectively reviewed. Those who carried a diagnosis of primary open angle glaucoma (POAG), secondary open angle glaucoma, or primary angle closure glaucoma (PACG), and who had at least 6 months of postoperative follow-up were included. The primary outcome was surgical success, defined as a decrease in IOP≥20% from the preoperative baseline or reduced medication use, and IOP≤21 without reoperation. Secondary outcomes included intraocular pressure (IOP) and medication use. Mean postoperative-follow up was 37.7±19.4 months.",
        "Results": "Surgical success at POY1 and 3 was 67.8%±4.9 and 56.3%±5.5, respectively. Success did not differ between mild/moderate (50.8%±8.0) and severe eyes (61.1%±7.6) through POY3 (p=0.65). Eight eyes (8.8%) underwent reoperation for IOP control. Mean preoperative IOP was 17.4 mmHg±5.9, which was reduced through POY 3 (15.3 mmHg±4.0, p=0.021). Pigmentary/pseudoexfoliative eyes had greater IOP reduction than other eyes (POY1: 30.3%±18.6 vs 11.2±22.9, p=0.008). At POY1, eyes with baseline IOP≤15 mmHg had a 1.5%±23.6 IOP reduction compared to 22.6%±18.9 for eyes with a baseline IOP of≥16 mmHg. Drop use was reduced by 0.7 drops±1.3 through POY3 (p=0.004). Postoperative complications occurred in 18.7% (n=17), with IOP spike (7.7%) most common.",
        "Conclusions": "Phaco-KDB offered safe improvement in IOP and medication burden with durable efficacy through POY 3. Success rates were modest with approximately one-half meeting success criteria at POY 3. Surgical success was equivalent regardless of glaucoma severity. Those with pseudoexfoliative or pigmentary glaucoma had greater IOP reduction, while eyes with a preoperative IOP≤15 mmHg had minimal IOP response after phaco-KDB. Longer-term, prospective studies are needed to further characterize the outcomes and prognostic factors for goniotomy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phaco-KDB offered safe improvement in IOP and medication burden with durable efficacy through POY 3. Success rates were modest with approximately one-half meeting success criteria at POY 3. Surgical success was equivalent regardless of glaucoma severity. Those with pseudoexfoliative or pigmentary glaucoma had greater IOP reduction, while eyes with a preoperative IOP≤15 mmHg had minimal IOP response after phaco-KDB.…",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 63,
      "source_fields": {
        "Abstract Final Identifier": "PP04.06",
        "Title": "Intermediate-Term Outcomes Of Combined Cataract Extraction With Kahook Dual Blade Goniotomy Through Postoperative Year Three",
        "Presenting Author(s)": "Dr Matthew Ryan Claxton",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Matthew",
        "Submitter Middle Name": "Ryan",
        "Submitter Last Name": "Claxton",
        "Country Name": "United States",
        "Purpose": "Kahook Dual Blade (KDB) goniotomy has been shown to reliably lower IOP and glaucoma medication use in short-term studies with follow up ranging from 6 to 12 months, but there are few reports on outcomes of this procedure beyond postoperative year (POY) 1. Most of the published literature on cataract extraction with KDB goniotomy (phaco-KDB) is in patients with mild to moderate glaucoma, with less known regarding outcomes in those with severe disease. The purpose of the present study is to analyze longer-term outcomes of combined phaco-KDB beyond POY1 and analyze prognostic factors for surgical success.",
        "Setting": "This study was conducted at a single tertiary care academic institution in the United States. Procedures were carried out by four glaucoma specialists in our department. Approval was obtained by our hospital’s Institutional Review Board prior to commencement of the study.",
        "Methods": "Ninety-one eyes undergoing phaco-KDB were retrospectively reviewed. Those who carried a diagnosis of primary open angle glaucoma (POAG), secondary open angle glaucoma, or primary angle closure glaucoma (PACG), and who had at least 6 months of postoperative follow-up were included. The primary outcome was surgical success, defined as a decrease in IOP≥20% from the preoperative baseline or reduced medication use, and IOP≤21 without reoperation. Secondary outcomes included intraocular pressure (IOP) and medication use. Mean postoperative-follow up was 37.7±19.4 months.",
        "Results": "Surgical success at POY1 and 3 was 67.8%±4.9 and 56.3%±5.5, respectively. Success did not differ between mild/moderate (50.8%±8.0) and severe eyes (61.1%±7.6) through POY3 (p=0.65). Eight eyes (8.8%) underwent reoperation for IOP control. Mean preoperative IOP was 17.4 mmHg±5.9, which was reduced through POY 3 (15.3 mmHg±4.0, p=0.021). Pigmentary/pseudoexfoliative eyes had greater IOP reduction than other eyes (POY1: 30.3%±18.6 vs 11.2±22.9, p=0.008). At POY1, eyes with baseline IOP≤15 mmHg had a 1.5%±23.6 IOP reduction compared to 22.6%±18.9 for eyes with a baseline IOP of≥16 mmHg. Drop use was reduced by 0.7 drops±1.3 through POY3 (p=0.004). Postoperative complications occurred in 18.7% (n=17), with IOP spike (7.7%) most common.",
        "Conclusions": "Phaco-KDB offered safe improvement in IOP and medication burden with durable efficacy through POY 3. Success rates were modest with approximately one-half meeting success criteria at POY 3. Surgical success was equivalent regardless of glaucoma severity. Those with pseudoexfoliative or pigmentary glaucoma had greater IOP reduction, while eyes with a preoperative IOP≤15 mmHg had minimal IOP response after phaco-KDB. Longer-term, prospective studies are needed to further characterize the outcomes and prognostic factors for goniotomy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 452
    },
    {
      "uid": "PP04.07",
      "abstract_number": "PP04.07",
      "title": "Comparison Of Standalone Gatt Versus Omni Surgical System In Primary Open-Angle Glaucoma",
      "authors": "A/Prof. Mehmet Ozgur Cubuk",
      "presenter": "A/Prof. Mehmet Ozgur Cubuk",
      "normalized_authors": [
        "Mehmet Ozgur Cubuk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Ozgur Cubuk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate and compare the 12-month clinical outcomes of standalone gonioscopy-assisted transluminal trabeculotomy (GATT) and the OMNI Surgical System in individuals with primary open-angle glaucoma (POAG).",
        "Setting": "This retrospective comparative analysis included 77 eyes from 77 patients with POAG who underwent either circumferential GATT alone (n = 44) or the OMNI procedure (n = 33).",
        "Methods": "Eligible cases had uncontrolled intraocular pressure (IOP ≥20 mmHg) despite maximal medical therapy or demonstrated intolerance to antiglaucoma medications. Complete success was defined as achieving an IOP ≤16 mmHg with at least a 25% reduction from baseline without medications or additional surgery, whereas qualified success permitted continued medication use. Primary outcome measures were surgical success rates, IOP levels, medication burden, and postoperative complications.",
        "Results": "At 12 months, mean IOP reduction was similar between groups: −7.9 ± 4.7 mmHg (33.6%) in the GATT cohort and −8.1 ± 3.4 mmHg (36.6%) in the OMNI cohort (p = 0.87). Complete success occurred more frequently following GATT (18.1%) than OMNI (9.0%) (p < 0.001). Qualified success rates did not differ significantly (70.5% vs. 63.6%; p = 0.476). Hyphema was the most common postoperative event and was observed more often after GATT (43.1%) compared with OMNI (18.1%) (p = 0.001); all cases resolved spontaneously. Transient postoperative IOP elevations were noted in 2.2% of GATT eyes and 9% of OMNI eyes (p = 0.208), with no lasting consequences.",
        "Conclusions": "Both surgical approaches produced meaningful and sustained reductions in IOP with acceptable safety profiles in POAG patients. GATT demonstrated a higher rate of complete success, whereas OMNI was associated with a lower incidence of hyphema. Thus, GATT may be advantageous when medication-free pressure control is desired, while OMNI may be preferable for individuals with increased bleeding risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both surgical approaches produced meaningful and sustained reductions in IOP with acceptable safety profiles in POAG patients. GATT demonstrated a higher rate of complete success, whereas OMNI was associated with a lower incidence of hyphema. Thus, GATT may be advantageous when medication-free pressure control is desired, while OMNI may be preferable for individuals with increased bleeding risk.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 64,
      "source_fields": {
        "Abstract Final Identifier": "PP04.07",
        "Title": "Comparison Of Standalone Gatt Versus Omni Surgical System In Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "A/Prof. Mehmet Ozgur Cubuk",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Mehmet Ozgur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cubuk",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate and compare the 12-month clinical outcomes of standalone gonioscopy-assisted transluminal trabeculotomy (GATT) and the OMNI Surgical System in individuals with primary open-angle glaucoma (POAG).",
        "Setting": "This retrospective comparative analysis included 77 eyes from 77 patients with POAG who underwent either circumferential GATT alone (n = 44) or the OMNI procedure (n = 33).",
        "Methods": "Eligible cases had uncontrolled intraocular pressure (IOP ≥20 mmHg) despite maximal medical therapy or demonstrated intolerance to antiglaucoma medications. Complete success was defined as achieving an IOP ≤16 mmHg with at least a 25% reduction from baseline without medications or additional surgery, whereas qualified success permitted continued medication use. Primary outcome measures were surgical success rates, IOP levels, medication burden, and postoperative complications.",
        "Results": "At 12 months, mean IOP reduction was similar between groups: −7.9 ± 4.7 mmHg (33.6%) in the GATT cohort and −8.1 ± 3.4 mmHg (36.6%) in the OMNI cohort (p = 0.87). Complete success occurred more frequently following GATT (18.1%) than OMNI (9.0%) (p < 0.001). Qualified success rates did not differ significantly (70.5% vs. 63.6%; p = 0.476). Hyphema was the most common postoperative event and was observed more often after GATT (43.1%) compared with OMNI (18.1%) (p = 0.001); all cases resolved spontaneously. Transient postoperative IOP elevations were noted in 2.2% of GATT eyes and 9% of OMNI eyes (p = 0.208), with no lasting consequences.",
        "Conclusions": "Both surgical approaches produced meaningful and sustained reductions in IOP with acceptable safety profiles in POAG patients. GATT demonstrated a higher rate of complete success, whereas OMNI was associated with a lower incidence of hyphema. Thus, GATT may be advantageous when medication-free pressure control is desired, while OMNI may be preferable for individuals with increased bleeding risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "PP04.08",
      "abstract_number": "PP04.08",
      "title": "The Effect Of Failed Gatt On The Success Of Sequential Subconjunctuval Surgery-\nA Matched Analysis",
      "authors": "Dr Liron Naftali Ben Haim",
      "presenter": "Dr Liron Naftali Ben Haim",
      "normalized_authors": [
        "Liron Naftali Ben Haim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Liron Naftali Ben Haim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To determine whether failure of gonioscopy-assisted transluminal trabeculotomy (GATT) compromises outcomes of subsequent subconjunctival glaucoma surgery (SGS).",
        "Setting": "Tertiary referral academic medical center.",
        "Methods": "This retrospective single-center matched cohort study included eyes that underwent SGS after failed GATT (G-SGS, n=32). These were matched by age, sex, glaucoma type, and SGS procedure (trabeculectomy, Ahmed glaucoma valve, or Preserflo MicroShunt) to eyes undergoing primary SGS (P-SGS, n=32). Primary outcomes were IOP reduction and surgical success after SGS. Secondary outcomes included medication burden, need for additional surgery, and complications.",
        "Results": "At baseline, P-SGS eyes had more advanced disease (worse VF MD −19.8 vs −9.6 dB, thinner RNFL 51.6 vs 66.5 µm, higher C/D 0.87 vs 0.72; all p≤0.02) and more advanced glaucoma (97% vs 56%, p=0.003). Preoperative IOP was similar. Final IOP was comparable (12.4 vs 13.8 mmHg, p=0.4), but IOP reduction was greater in G-SGS (14.2 vs 8.9 mmHg, p=0.02). Medication reduction and success rates were similar (78% vs 84%, p=0.5). Further surgery was required in 22% vs 34% (p=0.2). Complications were not increased after prior GATT.",
        "Conclusions": "Failure of GATT does not compromise the efficacy or safety of subsequent subconjunctival glaucoma surgery. These findings support a stepwise surgical approach in glaucoma management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Failure of GATT does not compromise the efficacy or safety of subsequent subconjunctival glaucoma surgery. These findings support a stepwise surgical approach in glaucoma management.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 65,
      "source_fields": {
        "Abstract Final Identifier": "PP04.08",
        "Title": "The Effect Of Failed Gatt On The Success Of Sequential Subconjunctuval Surgery-\nA Matched Analysis",
        "Presenting Author(s)": "Dr Liron Naftali Ben Haim",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Liron",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naftali Ben Haim",
        "Country Name": "Israel",
        "Purpose": "To determine whether failure of gonioscopy-assisted transluminal trabeculotomy (GATT) compromises outcomes of subsequent subconjunctival glaucoma surgery (SGS).",
        "Setting": "Tertiary referral academic medical center.",
        "Methods": "This retrospective single-center matched cohort study included eyes that underwent SGS after failed GATT (G-SGS, n=32). These were matched by age, sex, glaucoma type, and SGS procedure (trabeculectomy, Ahmed glaucoma valve, or Preserflo MicroShunt) to eyes undergoing primary SGS (P-SGS, n=32). Primary outcomes were IOP reduction and surgical success after SGS. Secondary outcomes included medication burden, need for additional surgery, and complications.",
        "Results": "At baseline, P-SGS eyes had more advanced disease (worse VF MD −19.8 vs −9.6 dB, thinner RNFL 51.6 vs 66.5 µm, higher C/D 0.87 vs 0.72; all p≤0.02) and more advanced glaucoma (97% vs 56%, p=0.003). Preoperative IOP was similar. Final IOP was comparable (12.4 vs 13.8 mmHg, p=0.4), but IOP reduction was greater in G-SGS (14.2 vs 8.9 mmHg, p=0.02). Medication reduction and success rates were similar (78% vs 84%, p=0.5). Further surgery was required in 22% vs 34% (p=0.2). Complications were not increased after prior GATT.",
        "Conclusions": "Failure of GATT does not compromise the efficacy or safety of subsequent subconjunctival glaucoma surgery. These findings support a stepwise surgical approach in glaucoma management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 222
    },
    {
      "uid": "PP04.09",
      "abstract_number": "PP04.09",
      "title": "Real-World Safety And Efficacy Of The Hydrus Microstent: A Single-Centre Uk Experience",
      "authors": "Dr Nafsika Anastasia Voulgari",
      "presenter": "Dr Nafsika Anastasia Voulgari",
      "normalized_authors": [
        "Nafsika Anastasia Voulgari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nafsika Anastasia Voulgari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the mid-term outcomes and safety of the Hydrus Microstent in patients treated at a UK tertiary glaucoma service.",
        "Setting": "University Hospital Southampton NHS Foundation Trust, UK.",
        "Methods": "Retrospective review of electronic records of all patients undergoing Hydrus at our trust from March 2023 to June 2025. Data was collected on demographics, diagnosis, previous glaucoma intervention and ocular co-morbidity, complications, and best-corrected visual acuity (BCVA), IOP, visual field mean deviation (VFMD) and medication use at pre-operative, week 1, months 3 and 6, one year and two years (when available). Included patients with a follow-up period of at least 6 months.",
        "Results": "214 eyes of 171 patients with mean age 77.4±8.1 years and mean follow-up of 14.0±4.8 months were included. Most (64.0%) had primary open-angle glaucoma. 83.6% were combined with cataract surgery and 16.4% were standalone (28 pseudophakic, 4 phakic). IOP decreased significantly in standalone and combined groups, from 19.94 [95% CI 18.36, 21.51] to 15.81 [13.51, 18.12] mmHg and from 17.55 [16.90, 18.21] to 13.23 [12.70, 13.76] mmHg, respectively. Medication use fell significantly in combined cases from 2.25 [2.10, 2.41] to 1.85 [1.69, 2.00]. VFMD stabilised in both groups and BCVA improved in combined. Complications were transient and not visually significant.",
        "Conclusions": "Hydrus was safe and effective in improving IOP control and stabilizing visual fields in a real-world setting, as a standalone and combined procedure, with results persisting over one year."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Hydrus was safe and effective in improving IOP control and stabilizing visual fields in a real-world setting, as a standalone and combined procedure, with results persisting over one year.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 66,
      "source_fields": {
        "Abstract Final Identifier": "PP04.09",
        "Title": "Real-World Safety And Efficacy Of The Hydrus Microstent: A Single-Centre Uk Experience",
        "Presenting Author(s)": "Dr Nafsika Anastasia Voulgari",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Nafsika Anastasia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Voulgari",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the mid-term outcomes and safety of the Hydrus Microstent in patients treated at a UK tertiary glaucoma service.",
        "Setting": "University Hospital Southampton NHS Foundation Trust, UK.",
        "Methods": "Retrospective review of electronic records of all patients undergoing Hydrus at our trust from March 2023 to June 2025. Data was collected on demographics, diagnosis, previous glaucoma intervention and ocular co-morbidity, complications, and best-corrected visual acuity (BCVA), IOP, visual field mean deviation (VFMD) and medication use at pre-operative, week 1, months 3 and 6, one year and two years (when available). Included patients with a follow-up period of at least 6 months.",
        "Results": "214 eyes of 171 patients with mean age 77.4±8.1 years and mean follow-up of 14.0±4.8 months were included. Most (64.0%) had primary open-angle glaucoma. 83.6% were combined with cataract surgery and 16.4% were standalone (28 pseudophakic, 4 phakic). IOP decreased significantly in standalone and combined groups, from 19.94 [95% CI 18.36, 21.51] to 15.81 [13.51, 18.12] mmHg and from 17.55 [16.90, 18.21] to 13.23 [12.70, 13.76] mmHg, respectively. Medication use fell significantly in combined cases from 2.25 [2.10, 2.41] to 1.85 [1.69, 2.00]. VFMD stabilised in both groups and BCVA improved in combined. Complications were transient and not visually significant.",
        "Conclusions": "Hydrus was safe and effective in improving IOP control and stabilizing visual fields in a real-world setting, as a standalone and combined procedure, with results persisting over one year."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "PP04.10",
      "abstract_number": "PP04.10",
      "title": "The Efficacy And Refractive Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy Combined With\nPhacoemulsification In Patients With Open-Angle Glaucoma",
      "authors": "Anılcan Ataç",
      "presenter": "Anılcan Ataç",
      "normalized_authors": [
        "Anılcan Ataç"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anılcan Ataç",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the efficacy and refractive outcomes of gonioscopy-assisted transluminal trabeculotomy combined\nwith phacoemulsification (phaco-GATT) in patients with open angle glaucoma (OAG)",
        "Setting": "Prospective clinical trial",
        "Methods": "This single-centre prospective study included 46 eyes from a total of 46 patients who underwent phaco-GATT\n(n = 20) or phacoemulsification alone (n = 26). Postoperative intraocular pressure (IOP), keratometry, axial length (AL)\nchanges and refractive results were evaluated. Prediction error (PE) in postoperative refraction was calculated by\nsubtracting the expected refractive value of the implanted intraocular lens from the spherical equivalent (SE) at\npostoperative month 3. Refractive surprise (RS) was defined as values outside the ±0.5 diopter (D) range of the PE value.",
        "Results": "IOP decreased significantly in the phaco-GATT group (from 22.25 ± 3.34 to 15.75 ± 2.51, p < 0.001); the\ndecrease in the phacoemulsification group was not significant. A significant decrease in AL was observed in both groups\nduring the postoperative period (p < 0.001). There was no significant difference between the groups in terms of AL\ndecrease (-0.11 ± 0.07 mm vs. -0.12 ± 0.13 mm, p = 0.602). No correlation was observed between the decrease in AL\nand preoperative IOP or IOP change. RS was detected in 18 of the total 46 cases. The incidence of RS was 40% (8/20)\nin the phaco-GATT group and 38.4% (10/26) in the phacoemulsification group. There was no significant difference\nbetween the groups in terms of RS distribution angle (p = 0.916).",
        "Conclusions": "Phaco-GATT appears to be an effective and safe option for OAG cases, providing a meaningful reduction\nin IOP; it offers refractive outcomes comparable to phacoemulsification alone. According to the secondary results of our\nstudy, a decrease in postoperative AL was detected, independent of changes in IOP. Taking into account similar studies\nin the literature, it is thought that the decrease in AL may be more closely related to the final IOP value rather than the\nchange in IOP."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Phaco-GATT appears to be an effective and safe option for OAG cases, providing a meaningful reduction in IOP; it offers refractive outcomes comparable to phacoemulsification alone. According to the secondary results of our study, a decrease in postoperative AL was detected, independent of changes in IOP. Taking into account similar studies in the literature, it is thought that the decrease in AL may be more closely…",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 67,
      "source_fields": {
        "Abstract Final Identifier": "PP04.10",
        "Title": "The Efficacy And Refractive Outcomes Of Gonioscopy-Assisted Transluminal Trabeculotomy Combined With\nPhacoemulsification In Patients With Open-Angle Glaucoma",
        "Presenting Author(s)": "Anılcan Ataç",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Anılcan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ataç",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the efficacy and refractive outcomes of gonioscopy-assisted transluminal trabeculotomy combined\nwith phacoemulsification (phaco-GATT) in patients with open angle glaucoma (OAG)",
        "Setting": "Prospective clinical trial",
        "Methods": "This single-centre prospective study included 46 eyes from a total of 46 patients who underwent phaco-GATT\n(n = 20) or phacoemulsification alone (n = 26). Postoperative intraocular pressure (IOP), keratometry, axial length (AL)\nchanges and refractive results were evaluated. Prediction error (PE) in postoperative refraction was calculated by\nsubtracting the expected refractive value of the implanted intraocular lens from the spherical equivalent (SE) at\npostoperative month 3. Refractive surprise (RS) was defined as values outside the ±0.5 diopter (D) range of the PE value.",
        "Results": "IOP decreased significantly in the phaco-GATT group (from 22.25 ± 3.34 to 15.75 ± 2.51, p < 0.001); the\ndecrease in the phacoemulsification group was not significant. A significant decrease in AL was observed in both groups\nduring the postoperative period (p < 0.001). There was no significant difference between the groups in terms of AL\ndecrease (-0.11 ± 0.07 mm vs. -0.12 ± 0.13 mm, p = 0.602). No correlation was observed between the decrease in AL\nand preoperative IOP or IOP change. RS was detected in 18 of the total 46 cases. The incidence of RS was 40% (8/20)\nin the phaco-GATT group and 38.4% (10/26) in the phacoemulsification group. There was no significant difference\nbetween the groups in terms of RS distribution angle (p = 0.916).",
        "Conclusions": "Phaco-GATT appears to be an effective and safe option for OAG cases, providing a meaningful reduction\nin IOP; it offers refractive outcomes comparable to phacoemulsification alone. According to the secondary results of our\nstudy, a decrease in postoperative AL was detected, independent of changes in IOP. Taking into account similar studies\nin the literature, it is thought that the decrease in AL may be more closely related to the final IOP value rather than the\nchange in IOP."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "PP04.11",
      "abstract_number": "PP04.11",
      "title": "Medication Burden Reduction And Predictors Of Response After Pattern Scanning Laser Trabeculoplasty: 6-Month Real-World Outcomes",
      "authors": "Dr Francisco Fernando Suñe",
      "presenter": "Dr Francisco Fernando Suñe",
      "normalized_authors": [
        "Francisco Fernando Suñe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisco Fernando Suñe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate intraocular pressure (IOP) control, reduction in glaucoma medication burden, and predictive factors influencing response after Patterned Scanning Laser Trabeculoplasty (PSLT) at 6 months, with particular focus on treatment simplification and its potential impact on quality of life and adherence.",
        "Setting": "Single-center real-world study conducted at a tertiary referral hospital in Spain.",
        "Methods": "Twenty-five patients (50 eyes) with open-angle glaucoma underwent PSLT. Baseline assessment included Goldmann applanation tonometry, Cirrus OCT (RNFL and GCL analysis), automated perimetry, and slit-lamp optic nerve evaluation with a 90D lens. Primary outcomes were percentage IOP reduction and change in number of glaucoma medications at 6 months. Descriptive statistics (frequency, percentage, mean, standard deviation) were used to summarize key variables in the study. Changes in IOP and medications were examined using inferential analysis (paired samples t-test and Wilcoxon signed-ranks test respectively). Multivariable linear regression analysis was performed to identify independent predictors of IOP reduction.",
        "Results": "Forty-six eyes completed 6-month follow-up. Mean preoperative IOP was 16.24±3.81 mmHg under 2.02±0.85 medications. IOP remained stable at 6 months with no statistically significant change from baseline (p=0.59); 95.7% maintained IOP <21 mmHg and 69.6% IOP <18 mmHg. Mean number of medications decreased significantly to 0.85±0.89 (p<0.001). At 6 months, 67.4% of patients reduced their medication burden and 47.8% became completely medication-free. Multivariable analysis (R²=0.58, p<0.001) identified higher baseline IOP (p<0.001), male gender (p=0.018), and absence of dry eye/keratitis (p=0.021) as significantly predictors of greater percentage IOP reduction.",
        "Conclusions": "PSLT enabled significant reduction in glaucoma medications while maintaining stable IOP at 6 months. Nearly half of treated patients became medication-free, highlighting the procedure’s potential to simplify therapy, improve adherence, and reduce ocular surface exposure to chronic topical treatment. Baseline IOP was the strongest predictor of response, and ocular surface disease negatively influenced efficacy. PSLT may represent an effective medication-sparing strategy in appropriately selected glaucoma patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PSLT enabled significant reduction in glaucoma medications while maintaining stable IOP at 6 months. Nearly half of treated patients became medication-free, highlighting the procedure’s potential to simplify therapy, improve adherence, and reduce ocular surface exposure to chronic topical treatment. Baseline IOP was the strongest predictor of response, and ocular surface disease negatively influenced efficacy. PSLT…",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 68,
      "source_fields": {
        "Abstract Final Identifier": "PP04.11",
        "Title": "Medication Burden Reduction And Predictors Of Response After Pattern Scanning Laser Trabeculoplasty: 6-Month Real-World Outcomes",
        "Presenting Author(s)": "Dr Francisco Fernando Suñe",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Francisco",
        "Submitter Middle Name": "Fernando",
        "Submitter Last Name": "Suñe",
        "Country Name": "Spain",
        "Purpose": "To evaluate intraocular pressure (IOP) control, reduction in glaucoma medication burden, and predictive factors influencing response after Patterned Scanning Laser Trabeculoplasty (PSLT) at 6 months, with particular focus on treatment simplification and its potential impact on quality of life and adherence.",
        "Setting": "Single-center real-world study conducted at a tertiary referral hospital in Spain.",
        "Methods": "Twenty-five patients (50 eyes) with open-angle glaucoma underwent PSLT. Baseline assessment included Goldmann applanation tonometry, Cirrus OCT (RNFL and GCL analysis), automated perimetry, and slit-lamp optic nerve evaluation with a 90D lens. Primary outcomes were percentage IOP reduction and change in number of glaucoma medications at 6 months. Descriptive statistics (frequency, percentage, mean, standard deviation) were used to summarize key variables in the study. Changes in IOP and medications were examined using inferential analysis (paired samples t-test and Wilcoxon signed-ranks test respectively). Multivariable linear regression analysis was performed to identify independent predictors of IOP reduction.",
        "Results": "Forty-six eyes completed 6-month follow-up. Mean preoperative IOP was 16.24±3.81 mmHg under 2.02±0.85 medications. IOP remained stable at 6 months with no statistically significant change from baseline (p=0.59); 95.7% maintained IOP <21 mmHg and 69.6% IOP <18 mmHg. Mean number of medications decreased significantly to 0.85±0.89 (p<0.001). At 6 months, 67.4% of patients reduced their medication burden and 47.8% became completely medication-free. Multivariable analysis (R²=0.58, p<0.001) identified higher baseline IOP (p<0.001), male gender (p=0.018), and absence of dry eye/keratitis (p=0.021) as significantly predictors of greater percentage IOP reduction.",
        "Conclusions": "PSLT enabled significant reduction in glaucoma medications while maintaining stable IOP at 6 months. Nearly half of treated patients became medication-free, highlighting the procedure’s potential to simplify therapy, improve adherence, and reduce ocular surface exposure to chronic topical treatment. Baseline IOP was the strongest predictor of response, and ocular surface disease negatively influenced efficacy. PSLT may represent an effective medication-sparing strategy in appropriately selected glaucoma patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "PP04.12",
      "abstract_number": "PP04.12",
      "title": "Clinical Outcomes And Efficacy Of The Hydrus® Microstent In Patients With Pseudoexfoliative Glaucoma With A Follow-Up Of 2 Years",
      "authors": "Dr Karsten Klabe",
      "presenter": "Dr Karsten Klabe",
      "normalized_authors": [
        "Karsten Klabe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karsten KLABE",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Pseudoexfoliative glaucoma (PEX) is the most common type of secondary open-angle glaucoma, its prevalence varies considerably across populations. There is only limited data available demonstrating the effectivity of Hydrus®Microstent for the treatment of PEX. We compare in this monocentric, retrospective, noninterventional observation the number of intraocular pressure (IOP)-lowering medications between the time before and up to 2 years after surgery.",
        "Setting": "This is a retrospective, monocentric, noninterventional observation. The surgical procedure was performed exclusively by two surgeons from Breyer Kaymak Klabe Augenchirurgie Düsseldorf, Germany. All evaluated follow-up observations were also performed in our practice.",
        "Methods": "The microstent was implanted in 68 eyes of 45 patients with early to moderate PEX-glaucoma during a combined surgery with a phacoemulsification and implantation of an intraocular lens. We monitored IOP, the number of glaucoma medications, visual acuity, visual field defects, and corneal endothelial cell density (ECD).",
        "Results": "68 eyes were treated, of which 4 had undergone surgical and 7 SLT pretreatment. Preoperatively, IOP without washout was 20.5±5.4 mmHg. 1 and 2 years after surgery, IOP decreased to 14.5±1.7 mmHg 16.6±2.2 mmHg and, respectively. The mean number of IOP-lowering medication was reduced from 1.1±0.9 (72% with medication) to 0.25±0.7 (15%) and 0.1±0.3 (13%). The mean number of IOD-lowering medications in eyes with previous treatment decreased from 1.55±0.6 (100%) to 0.2±0.7 (12%) and 0.1±0.3 (8%), respectively. Visual acuity, visual field and ECD showed no clinically significant changes.",
        "Conclusions": "In patients with PEX, there is a clinically relevant difference in the number of IOP-lowering medications between the time before surgery and up to 2 years after implantation of at least 1 medication with simultaneous moderate pressure reduction. Compared to published data for cataract surgery standalone, combined surgery offers both a pressure-reducing effect and a reduction in medication intake over a longer period of time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with PEX, there is a clinically relevant difference in the number of IOP-lowering medications between the time before surgery and up to 2 years after implantation of at least 1 medication with simultaneous moderate pressure reduction. Compared to published data for cataract surgery standalone, combined surgery offers both a pressure-reducing effect and a reduction in medication intake over a longer…",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 69,
      "source_fields": {
        "Abstract Final Identifier": "PP04.12",
        "Title": "Clinical Outcomes And Efficacy Of The Hydrus® Microstent In Patients With Pseudoexfoliative Glaucoma With A Follow-Up Of 2 Years",
        "Presenting Author(s)": "Dr Karsten Klabe",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Karsten",
        "Submitter Middle Name": "",
        "Submitter Last Name": "KLABE",
        "Country Name": "Germany",
        "Purpose": "Pseudoexfoliative glaucoma (PEX) is the most common type of secondary open-angle glaucoma, its prevalence varies considerably across populations. There is only limited data available demonstrating the effectivity of Hydrus®Microstent for the treatment of PEX. We compare in this monocentric, retrospective, noninterventional observation the number of intraocular pressure (IOP)-lowering medications between the time before and up to 2 years after surgery.",
        "Setting": "This is a retrospective, monocentric, noninterventional observation. The surgical procedure was performed exclusively by two surgeons from Breyer Kaymak Klabe Augenchirurgie Düsseldorf, Germany. All evaluated follow-up observations were also performed in our practice.",
        "Methods": "The microstent was implanted in 68 eyes of 45 patients with early to moderate PEX-glaucoma during a combined surgery with a phacoemulsification and implantation of an intraocular lens. We monitored IOP, the number of glaucoma medications, visual acuity, visual field defects, and corneal endothelial cell density (ECD).",
        "Results": "68 eyes were treated, of which 4 had undergone surgical and 7 SLT pretreatment. Preoperatively, IOP without washout was 20.5±5.4 mmHg. 1 and 2 years after surgery, IOP decreased to 14.5±1.7 mmHg 16.6±2.2 mmHg and, respectively. The mean number of IOP-lowering medication was reduced from 1.1±0.9 (72% with medication) to 0.25±0.7 (15%) and 0.1±0.3 (13%). The mean number of IOD-lowering medications in eyes with previous treatment decreased from 1.55±0.6 (100%) to 0.2±0.7 (12%) and 0.1±0.3 (8%), respectively. Visual acuity, visual field and ECD showed no clinically significant changes.",
        "Conclusions": "In patients with PEX, there is a clinically relevant difference in the number of IOP-lowering medications between the time before surgery and up to 2 years after implantation of at least 1 medication with simultaneous moderate pressure reduction. Compared to published data for cataract surgery standalone, combined surgery offers both a pressure-reducing effect and a reduction in medication intake over a longer period of time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "PP04.13",
      "abstract_number": "PP04.13",
      "title": "Learning Curve For Hydrus Microstent Implantation: A Retrospective Observational Study Using Segmented Regression Analysis",
      "authors": "Dr Satoru Kanda",
      "presenter": "Dr Satoru Kanda",
      "normalized_authors": [
        "Satoru Kanda"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Satoru Kanda",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To evaluate the learning curve and identify the procedural proficiency threshold for Hydrus Microstent (HMS) implantation using segmented regression analysis .",
        "Setting": "Single-center retrospective cohort study at Saitama Red Cross Hospital, Japan .",
        "Methods": "This study included consecutive HMS implantations performed during the introduction phase between April 2025 and December 2025 . Insertion time was recorded for each case . Segmented linear regression was applied with case sequence as the independent variable and insertion time as the dependent variable, adjusting for patient age . The breakpoint indicating procedural proficiency and its 95% confidence interval (CI) were estimated using bootstrap-based inference .",
        "Results": "Segmented regression identified a proficiency breakpoint at the 11th case (95% CI, 4.4–17.6) . Before the breakpoint, the insertion time significantly decreased by approximately 30 seconds per subsequent case (β = −30.17, p = 0.024) . After the breakpoint, insertion time plateaued, indicating stabilization of procedural performance . Age was not significantly associated with insertion time .",
        "Conclusions": "Using segmented regression analysis, this study provides an objective benchmark for the learning curve of HMS implantation, indicating that procedural proficiency is typically achieved after approximately 11 cases . These findings may assist in structuring surgical training, optimizing supervision during early adoption, and enhancing patient safety through improved perioperative planning ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Using segmented regression analysis, this study provides an objective benchmark for the learning curve of HMS implantation, indicating that procedural proficiency is typically achieved after approximately 11 cases . These findings may assist in structuring surgical training, optimizing supervision during early adoption, and enhancing patient safety through improved perioperative planning .",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 70,
      "source_fields": {
        "Abstract Final Identifier": "PP04.13",
        "Title": "Learning Curve For Hydrus Microstent Implantation: A Retrospective Observational Study Using Segmented Regression Analysis",
        "Presenting Author(s)": "Dr Satoru Kanda",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Satoru",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kanda",
        "Country Name": "Japan",
        "Purpose": "To evaluate the learning curve and identify the procedural proficiency threshold for Hydrus Microstent (HMS) implantation using segmented regression analysis .",
        "Setting": "Single-center retrospective cohort study at Saitama Red Cross Hospital, Japan .",
        "Methods": "This study included consecutive HMS implantations performed during the introduction phase between April 2025 and December 2025 . Insertion time was recorded for each case . Segmented linear regression was applied with case sequence as the independent variable and insertion time as the dependent variable, adjusting for patient age . The breakpoint indicating procedural proficiency and its 95% confidence interval (CI) were estimated using bootstrap-based inference .",
        "Results": "Segmented regression identified a proficiency breakpoint at the 11th case (95% CI, 4.4–17.6) . Before the breakpoint, the insertion time significantly decreased by approximately 30 seconds per subsequent case (β = −30.17, p = 0.024) . After the breakpoint, insertion time plateaued, indicating stabilization of procedural performance . Age was not significantly associated with insertion time .",
        "Conclusions": "Using segmented regression analysis, this study provides an objective benchmark for the learning curve of HMS implantation, indicating that procedural proficiency is typically achieved after approximately 11 cases . These findings may assist in structuring surgical training, optimizing supervision during early adoption, and enhancing patient safety through improved perioperative planning ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 198
    },
    {
      "uid": "PP04.14",
      "abstract_number": "PP04.14",
      "title": "Efficacy And Safety Of Ab-Interno Canaloplasty Using Itrack Advance In Open-Angle Glaucoma",
      "authors": "Dr Simon Ondrejka",
      "presenter": "Dr Simon Ondrejka",
      "normalized_authors": [
        "Simon Ondrejka"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simon Ondrejka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To investigate outcomes of interventional glaucoma therapy with canaloplasty in early glaucoma.",
        "Setting": "Retrospective single-center study",
        "Methods": "This retrospective single-center study included patients with mild-to-moderate open-angle glaucoma (OAG) who underwent Ab-interno canaloplasty (ABiC) with iTrack Advance (Nova Eye Medical) with or without combined phacoemulsification. Primary outcomes were intraocular pressure (IOP) and glaucoma medications at 12-, 24-month, and last follow-up (LFU) visits. Secondary outcomes included the proportion of eyes reaching target IOPs, requiring no medications, and achieving success as per American Academy of Ophthalmology (AAO) criteria.",
        "Results": "Ninety-eight eyes (mean age: 71.4±7.0 years) were included, with a mean follow-up of 19.0±5.7 months (LFU). Mean IOP (mm Hg) reduced from 18.3±4.3 at baseline (n = 98) to 14.2±3.1 at 12 months (n = 93), 14.1±3.3 at 24 months (n = 67), and 14.6±3.2 at LFU (p < 0.001). Mean medications decreased from 1.9±0.8 at baseline to 0.1±0.5 at both 12 and 24 months, and 0.1±0.4 at LFU, respectively (p < 0.001). At LFU, 89% of eyes achieved IOP ≤ 18 mm Hg, while 95% were medication-free compared to none at baseline. Success rate of combined canaloplasty and phacoemulsification was 81%. Postoperative complication was a transient IOP spike (≥30 mm Hg) in two eyes. No sight-threatening complications observed, and no additional glaucoma procedures required.",
        "Conclusions": "Interventional treatment with iTrack Advance canaloplasty in early OAG showed high safety and achieved IOP control, with near-elimination of medication dependence sustained over 24 months postoperatively"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Interventional treatment with iTrack Advance canaloplasty in early OAG showed high safety and achieved IOP control, with near-elimination of medication dependence sustained over 24 months postoperatively",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 71,
      "source_fields": {
        "Abstract Final Identifier": "PP04.14",
        "Title": "Efficacy And Safety Of Ab-Interno Canaloplasty Using Itrack Advance In Open-Angle Glaucoma",
        "Presenting Author(s)": "Dr Simon Ondrejka",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Simon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ondrejka",
        "Country Name": "Germany",
        "Purpose": "To investigate outcomes of interventional glaucoma therapy with canaloplasty in early glaucoma.",
        "Setting": "Retrospective single-center study",
        "Methods": "This retrospective single-center study included patients with mild-to-moderate open-angle glaucoma (OAG) who underwent Ab-interno canaloplasty (ABiC) with iTrack Advance (Nova Eye Medical) with or without combined phacoemulsification. Primary outcomes were intraocular pressure (IOP) and glaucoma medications at 12-, 24-month, and last follow-up (LFU) visits. Secondary outcomes included the proportion of eyes reaching target IOPs, requiring no medications, and achieving success as per American Academy of Ophthalmology (AAO) criteria.",
        "Results": "Ninety-eight eyes (mean age: 71.4±7.0 years) were included, with a mean follow-up of 19.0±5.7 months (LFU). Mean IOP (mm Hg) reduced from 18.3±4.3 at baseline (n = 98) to 14.2±3.1 at 12 months (n = 93), 14.1±3.3 at 24 months (n = 67), and 14.6±3.2 at LFU (p < 0.001). Mean medications decreased from 1.9±0.8 at baseline to 0.1±0.5 at both 12 and 24 months, and 0.1±0.4 at LFU, respectively (p < 0.001). At LFU, 89% of eyes achieved IOP ≤ 18 mm Hg, while 95% were medication-free compared to none at baseline. Success rate of combined canaloplasty and phacoemulsification was 81%. Postoperative complication was a transient IOP spike (≥30 mm Hg) in two eyes. No sight-threatening complications observed, and no additional glaucoma procedures required.",
        "Conclusions": "Interventional treatment with iTrack Advance canaloplasty in early OAG showed high safety and achieved IOP control, with near-elimination of medication dependence sustained over 24 months postoperatively"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "PP04.15",
      "abstract_number": "PP04.15",
      "title": "Safety And Effectiveness Outcomes Of Ab-Interno Canaloplasty In Open-Angle Glaucoma: 10-Year Results",
      "authors": "A/Prof. Norbert Koerber",
      "presenter": "A/Prof. Norbert Koerber",
      "normalized_authors": [
        "Norbert Koerber"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Simon Ondrejka",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate long-term outcomes of ab-interno canaloplasty in patients with open-angle glaucoma, focusing on intraocular pressure (IOP) control and medication use over a 10-year period.",
        "Setting": "Retrospective single center case series",
        "Methods": "This retrospective case series evaluated 27 eyes of 22 patients with pseudoexfoliative (PEX) or primary open-angle (POAG) glaucoma who underwent ab-interno canaloplasty using the iTrack microcatheter (Nova Eye Medical, Fremont, USA) between October 2014 and October 2016. The majority of procedures were performed in conjunction with cataract surgery (23 of 27 eyes). Main outcome measures were changes in mean intraocular pressure (IOP) and number of glaucoma medications.",
        "Results": "Over an average follow-up of 78.7±37.0 months (last follow-up: LFU), mean IOP (mmHg) significantly decreased from 19.9±5.2 at baseline to 14.7±3.7 (-26%; p<0.001) at LFU, while the mean medication use reduced from 1.9±1.0 to 1.0±1.1 (-50%; p=0.004). Visual field mean deviation (dB) remained stable (-7.86±6.90 to -7.61±6.63; p=0.498). Among the seven eyes followed for 10 years, IOP decreased from 19.4±3.2 to 14.9±2.3 (-24%, p=0.010), while medication use remained stable (1.7±0.9 to 2.0±1.2, p=0.604) with no serious complications or need for additional glaucoma surgery.",
        "Conclusions": "iTrack ab-interno canaloplasty achieved sustained reductions in IOP and medications, with no safety concerns. Seven eyes were followed up for 10 year showing sustained IOP reduction."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "iTrack ab-interno canaloplasty achieved sustained reductions in IOP and medications, with no safety concerns. Seven eyes were followed up for 10 year showing sustained IOP reduction.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 72,
      "source_fields": {
        "Abstract Final Identifier": "PP04.15",
        "Title": "Safety And Effectiveness Outcomes Of Ab-Interno Canaloplasty In Open-Angle Glaucoma: 10-Year Results",
        "Presenting Author(s)": "A/Prof. Norbert Koerber",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Simon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ondrejka",
        "Country Name": "Germany",
        "Purpose": "To evaluate long-term outcomes of ab-interno canaloplasty in patients with open-angle glaucoma, focusing on intraocular pressure (IOP) control and medication use over a 10-year period.",
        "Setting": "Retrospective single center case series",
        "Methods": "This retrospective case series evaluated 27 eyes of 22 patients with pseudoexfoliative (PEX) or primary open-angle (POAG) glaucoma who underwent ab-interno canaloplasty using the iTrack microcatheter (Nova Eye Medical, Fremont, USA) between October 2014 and October 2016. The majority of procedures were performed in conjunction with cataract surgery (23 of 27 eyes). Main outcome measures were changes in mean intraocular pressure (IOP) and number of glaucoma medications.",
        "Results": "Over an average follow-up of 78.7±37.0 months (last follow-up: LFU), mean IOP (mmHg) significantly decreased from 19.9±5.2 at baseline to 14.7±3.7 (-26%; p<0.001) at LFU, while the mean medication use reduced from 1.9±1.0 to 1.0±1.1 (-50%; p=0.004). Visual field mean deviation (dB) remained stable (-7.86±6.90 to -7.61±6.63; p=0.498). Among the seven eyes followed for 10 years, IOP decreased from 19.4±3.2 to 14.9±2.3 (-24%, p=0.010), while medication use remained stable (1.7±0.9 to 2.0±1.2, p=0.604) with no serious complications or need for additional glaucoma surgery.",
        "Conclusions": "iTrack ab-interno canaloplasty achieved sustained reductions in IOP and medications, with no safety concerns. Seven eyes were followed up for 10 year showing sustained IOP reduction."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "PP05.01",
      "abstract_number": "PP05.01",
      "title": "Unmasking In Vivo Intrinsic Material Weakness In Paediatric Keratoconus: Biomechanical Degradation As An Independent Predictor Of Forme Fruste Disease",
      "authors": "Dr Bernardo Lopes",
      "presenter": "Dr Bernardo Lopes",
      "normalized_authors": [
        "Bernardo Lopes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bernardo Lopes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate whether paediatric corneas exhibit inherently lower intrinsic material stiffness compared to adults across the keratoconus (KC) spectrum, and to determine if in vivo biomechanical variables independently predict subclinical disease (Forme Fruste; FFKC). Paediatric KC is notoriously aggressive. We hypothesize this rapid progression stems from a fundamental lack of biomechanical reserve—meaning a child's cornea is intrinsically softer than an adult's, even when tomographically identical. This study aims to quantify this reserve in vivo and assess if the Stress-Strain Index (SSI) serves as an independent diagnostic predictor of early ectatic transformation (FFKC) in youth.",
        "Setting": "Rio Vision Hospital - Centro de Estudos Dr. Renato Ambrósio (CEDRA), Rio de Janeiro, Brazil.",
        "Methods": "876 eyes (726 adults, 150 paediatrics) were classified into Healthy, FFKC, and KC groups. Propensity score matching (PSM) [1:1] aligned adult and paediatric cohorts based on Kmax, minimal pachymetry (PachyMin), and posterior elevation at the thinnest point to isolate biomechanical differences. Within the paediatric cohort, a sub-analysis matched Healthy and FFKC eyes for morphology. Finally, multivariable logistic regression evaluated SSI as an independent predictor of paediatric FFKC, adjusting for PachyMin and biomechanically corrected IOP (bIOP).",
        "Results": "Morphologically matched paediatric corneas exhibited significantly lower stiffness (SSI) than adults across all groups (p<0.001). Strikingly, healthy paediatric corneas demonstrated lower median stiffness (SSI=0.80) than adult keratoconic eyes (SSI=0.87). In the paediatric sub-analysis (Healthy vs FFKC), only SSI (p=0.011) and Integrated Inverse Radius (p=0.009) showed significant differences. Multivariable logistic regression confirmed SSI as an independent predictor of paediatric FFKC (p=0.048). For every 0.1-unit decrease in SSI, the odds of a paediatric eye having FFKC increased by 109% (Odds Ratio: 2.09).",
        "Conclusions": "Paediatric corneas are intrinsically softer than morphologically identical adult corneas, unmasking a profound lack of \"biomechanical reserve\" that likely drives the aggressive nature of paediatric KC. SSI was shown to be a significant, independent predictor of subclinical FFKC in youth, even when accounting for corneal geometry and IOP. A 0.1 decrease in SSI more than doubles the odds of FFKC. Integrating in vivo biomechanics with standard tomography unveils significant potential for the early detection and management of paediatric ectasia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Paediatric corneas are intrinsically softer than morphologically identical adult corneas, unmasking a profound lack of \"biomechanical reserve\" that likely drives the aggressive nature of paediatric KC. SSI was shown to be a significant, independent predictor of subclinical FFKC in youth, even when accounting for corneal geometry and IOP. A 0.1 decrease in SSI more than doubles the odds of FFKC. Integrating in vivo…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 73,
      "source_fields": {
        "Abstract Final Identifier": "PP05.01",
        "Title": "Unmasking In Vivo Intrinsic Material Weakness In Paediatric Keratoconus: Biomechanical Degradation As An Independent Predictor Of Forme Fruste Disease",
        "Presenting Author(s)": "Dr Bernardo Lopes",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Bernardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lopes",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate whether paediatric corneas exhibit inherently lower intrinsic material stiffness compared to adults across the keratoconus (KC) spectrum, and to determine if in vivo biomechanical variables independently predict subclinical disease (Forme Fruste; FFKC). Paediatric KC is notoriously aggressive. We hypothesize this rapid progression stems from a fundamental lack of biomechanical reserve—meaning a child's cornea is intrinsically softer than an adult's, even when tomographically identical. This study aims to quantify this reserve in vivo and assess if the Stress-Strain Index (SSI) serves as an independent diagnostic predictor of early ectatic transformation (FFKC) in youth.",
        "Setting": "Rio Vision Hospital - Centro de Estudos Dr. Renato Ambrósio (CEDRA), Rio de Janeiro, Brazil.",
        "Methods": "876 eyes (726 adults, 150 paediatrics) were classified into Healthy, FFKC, and KC groups. Propensity score matching (PSM) [1:1] aligned adult and paediatric cohorts based on Kmax, minimal pachymetry (PachyMin), and posterior elevation at the thinnest point to isolate biomechanical differences. Within the paediatric cohort, a sub-analysis matched Healthy and FFKC eyes for morphology. Finally, multivariable logistic regression evaluated SSI as an independent predictor of paediatric FFKC, adjusting for PachyMin and biomechanically corrected IOP (bIOP).",
        "Results": "Morphologically matched paediatric corneas exhibited significantly lower stiffness (SSI) than adults across all groups (p<0.001). Strikingly, healthy paediatric corneas demonstrated lower median stiffness (SSI=0.80) than adult keratoconic eyes (SSI=0.87). In the paediatric sub-analysis (Healthy vs FFKC), only SSI (p=0.011) and Integrated Inverse Radius (p=0.009) showed significant differences. Multivariable logistic regression confirmed SSI as an independent predictor of paediatric FFKC (p=0.048). For every 0.1-unit decrease in SSI, the odds of a paediatric eye having FFKC increased by 109% (Odds Ratio: 2.09).",
        "Conclusions": "Paediatric corneas are intrinsically softer than morphologically identical adult corneas, unmasking a profound lack of \"biomechanical reserve\" that likely drives the aggressive nature of paediatric KC. SSI was shown to be a significant, independent predictor of subclinical FFKC in youth, even when accounting for corneal geometry and IOP. A 0.1 decrease in SSI more than doubles the odds of FFKC. Integrating in vivo biomechanics with standard tomography unveils significant potential for the early detection and management of paediatric ectasia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "PP05.16",
      "abstract_number": "PP05.16",
      "title": "Safety Profile Of Corneal Allograft Intrastromal Ring Segment (Cairs) Implantation In A Large Cohort",
      "authors": "Dr Burcu Yakut",
      "presenter": "Dr Burcu Yakut",
      "normalized_authors": [
        "Burcu Yakut"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Burcu Yakut",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and tomographic outcomes and complication profiles after Keranatural implantation.",
        "Setting": "Swiss Vision Clinic, İstanbul, Türkiye",
        "Methods": "A retrospective analysis was performed on 405 eyes that had undergone Keranatural implantation. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), maximum keratometry (Kmax), mean keratometry (Kmean), and pachymetry were analyzed preoperatively and postoperatively. Paired t-test was used for comparison.\n\nThe mean follow-up was 7.9 months (range: 3-48 months). Perioperative and postoperative complications were recorded.",
        "Results": "CDVA improved from 0.29±0.19 to 0.79±0.26 (p<0.001) and UCVA from 0.17±0.16 to 0.47±0.27 (p<0.001). SE improved from −5.02±4.59 D to −1.30±3.30 D (p<0.001). Kmean decreased significantly from 50.17±4.97 D to 47.07±4.88 D (p=0.0007), whereas Kmax reduction (59.22±7.57 D to 58.11±6.94 D) was not significant (p=0.426). Pachymetry remained stable (436.1±44.7 µm vs 435.3±45.9 µm; p=0.606). Two transient CDVA decreases resolved after revision. One intraoperative flap separation and one stromal melting/exposure after subsequent CXL were observed. No persistent vision loss or rejection occurred. Dry eye was seen in ~60%, but none after preoperative LipiFlow (83 eyes). Yellow deposits were seen in 16% without inflammation or visual compromise.",
        "Conclusions": "CAIRS provides significant visual and refractive improvement. The complication rate was low and manageable. The absence of rejection supports the immunologic safety of electron beam sterilized corneal tissue. Preoperative ocular surface optimization may reduce postoperative dry eye symptoms. Overall, Keranatural appears to be a safe and effective surgical method."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAIRS provides significant visual and refractive improvement. The complication rate was low and manageable. The absence of rejection supports the immunologic safety of electron beam sterilized corneal tissue. Preoperative ocular surface optimization may reduce postoperative dry eye symptoms. Overall, Keranatural appears to be a safe and effective surgical method.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 74,
      "source_fields": {
        "Abstract Final Identifier": "PP05.16",
        "Title": "Safety Profile Of Corneal Allograft Intrastromal Ring Segment (Cairs) Implantation In A Large Cohort",
        "Presenting Author(s)": "Dr Burcu Yakut",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Burcu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yakut",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate visual, refractive, and tomographic outcomes and complication profiles after Keranatural implantation.",
        "Setting": "Swiss Vision Clinic, İstanbul, Türkiye",
        "Methods": "A retrospective analysis was performed on 405 eyes that had undergone Keranatural implantation. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), maximum keratometry (Kmax), mean keratometry (Kmean), and pachymetry were analyzed preoperatively and postoperatively. Paired t-test was used for comparison.\n\nThe mean follow-up was 7.9 months (range: 3-48 months). Perioperative and postoperative complications were recorded.",
        "Results": "CDVA improved from 0.29±0.19 to 0.79±0.26 (p<0.001) and UCVA from 0.17±0.16 to 0.47±0.27 (p<0.001). SE improved from −5.02±4.59 D to −1.30±3.30 D (p<0.001). Kmean decreased significantly from 50.17±4.97 D to 47.07±4.88 D (p=0.0007), whereas Kmax reduction (59.22±7.57 D to 58.11±6.94 D) was not significant (p=0.426). Pachymetry remained stable (436.1±44.7 µm vs 435.3±45.9 µm; p=0.606). Two transient CDVA decreases resolved after revision. One intraoperative flap separation and one stromal melting/exposure after subsequent CXL were observed. No persistent vision loss or rejection occurred. Dry eye was seen in ~60%, but none after preoperative LipiFlow (83 eyes). Yellow deposits were seen in 16% without inflammation or visual compromise.",
        "Conclusions": "CAIRS provides significant visual and refractive improvement. The complication rate was low and manageable. The absence of rejection supports the immunologic safety of electron beam sterilized corneal tissue. Preoperative ocular surface optimization may reduce postoperative dry eye symptoms. Overall, Keranatural appears to be a safe and effective surgical method."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "PP05.017",
      "abstract_number": "PP05.017",
      "title": "Visual Outcomes And Comfort With Scleral Versus Rigid Gas Permeable Lenses In Advanced Keratoconus: A Systematic Review And Meta-Analysis",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To evaluate the efficacy and safety of rigid gas permeable (RGP) versus scleral lenses in patients with advanced keratoconus.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "PubMed, Embase, Cochrane, and ClinicalTrials.gov were searched from inception to April 2025. The primary outcomes included progression of keratoconus measured by changes in Kmax, corneal thickness, and visual acuity. Secondary outcomes included treatment-related adverse events, corneal biomechanics, and quality-of-life measures. Pooled estimates were calculated using random-effects models, reporting mean differences (MD) with 95% confidence intervals (CI). Heterogeneity was evaluated using I² and X² statistics. The methodological quality was assessed using the Cochrane Risk of Bias (ROB) and the Newcastle–Ottawa Scale (NOS). All calculations were performed using RevMan 5.4.",
        "Results": "Three studies with 209 patients (RGP=102; scleral=107) with advanced keratoconus were included. No significant differences were observed in BCVA (MD 0.01, 95% CI: –0.03 to 0.05; P=0.68; I²=0%), contrast sensitivity (MD –0.08, 95% CI: –0.18 to 0.02; P=0.12; I²=0%) and across all spatial frequencies (MD –0.08, 95% CI: –0.24 to 0.08; P=0.31; I²=0%), ease of use (MD –0.44, 95% CI: –1.32 to 0.45; P=0.33; I²=34%), ocular pain (MD 0.46, 95% CI: –3.60 to 4.51; P=0.83; I²=6%), and vision satisfaction (MD –0.48, 95% CI: –1.05 to 0.08; P=0.09; I²=78%). Scleral lenses showed significantly better comfort satisfaction (MD –1.15, 95% CI: –1.48 to –0.82; P<0.001; I²=0%) and subjective comfort (MD –1.29, 95% CI: –2.30 to –0.28; P=0.01; I²=76%).",
        "Conclusions": "RGP and scleral lenses offer comparable visual acuity and contrast sensitivity in advanced keratoconus. However, scleral lenses are associated with superior comfort and user satisfaction, supporting their preferential use when patient tolerance is a key consideration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "RGP and scleral lenses offer comparable visual acuity and contrast sensitivity in advanced keratoconus. However, scleral lenses are associated with superior comfort and user satisfaction, supporting their preferential use when patient tolerance is a key consideration.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 75,
      "source_fields": {
        "Abstract Final Identifier": "PP05.017",
        "Title": "Visual Outcomes And Comfort With Scleral Versus Rigid Gas Permeable Lenses In Advanced Keratoconus: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "To evaluate the efficacy and safety of rigid gas permeable (RGP) versus scleral lenses in patients with advanced keratoconus.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "PubMed, Embase, Cochrane, and ClinicalTrials.gov were searched from inception to April 2025. The primary outcomes included progression of keratoconus measured by changes in Kmax, corneal thickness, and visual acuity. Secondary outcomes included treatment-related adverse events, corneal biomechanics, and quality-of-life measures. Pooled estimates were calculated using random-effects models, reporting mean differences (MD) with 95% confidence intervals (CI). Heterogeneity was evaluated using I² and X² statistics. The methodological quality was assessed using the Cochrane Risk of Bias (ROB) and the Newcastle–Ottawa Scale (NOS). All calculations were performed using RevMan 5.4.",
        "Results": "Three studies with 209 patients (RGP=102; scleral=107) with advanced keratoconus were included. No significant differences were observed in BCVA (MD 0.01, 95% CI: –0.03 to 0.05; P=0.68; I²=0%), contrast sensitivity (MD –0.08, 95% CI: –0.18 to 0.02; P=0.12; I²=0%) and across all spatial frequencies (MD –0.08, 95% CI: –0.24 to 0.08; P=0.31; I²=0%), ease of use (MD –0.44, 95% CI: –1.32 to 0.45; P=0.33; I²=34%), ocular pain (MD 0.46, 95% CI: –3.60 to 4.51; P=0.83; I²=6%), and vision satisfaction (MD –0.48, 95% CI: –1.05 to 0.08; P=0.09; I²=78%). Scleral lenses showed significantly better comfort satisfaction (MD –1.15, 95% CI: –1.48 to –0.82; P<0.001; I²=0%) and subjective comfort (MD –1.29, 95% CI: –2.30 to –0.28; P=0.01; I²=76%).",
        "Conclusions": "RGP and scleral lenses offer comparable visual acuity and contrast sensitivity in advanced keratoconus. However, scleral lenses are associated with superior comfort and user satisfaction, supporting their preferential use when patient tolerance is a key consideration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "PP05.018",
      "abstract_number": "PP05.018",
      "title": "Transforming Irregular Corneas: Real‑World Outcomes Of Customeyes‑Guided Regularisation - A Two‑Stage Regularisation And Refractive Pathway",
      "authors": "Dr Kieren Darcy",
      "presenter": "Dr Kieren Darcy",
      "normalized_authors": [
        "Kieren Darcy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kieren Darcy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the visual and tomographic outcomes of a structured, two‑stage management pathway for irregular corneas— CustomEyes (topography‑ and wavefront‑guided transepithelial PRK using SCHWIND technology) with or without adjunctive corneal crosslinking (CXL)—and to assess its role in visual rehabilitation and refractive optimisation, including subsequent refractive procedures where indicated.",
        "Setting": "Single surgeon - UK clinic",
        "Methods": "A retrospective analysis was performed on 96 eyes (74 patients) treated in a single-centre keratoconus and ectasia service. All eyes underwent a regularisation stage using CustomEyes, with 66 eyes receiving simultaneous or sequential CXL. A subset of 27 eyes proceeded to a refractive stage (ICL implantation or lens replacement). Outcomes included corrected (CDVA) and uncorrected (UDVA) distance visual acuity, higher‑order aberration (HOA) reduction, and keratometric stability over 18–24 months. Real‑world treatment parameters and Foresight‑based planning data were analysed.",
        "Results": "CustomEyes produced consistent improvements in corneal regularity and visual function. 100% of eyes showed HOA reduction , with 73% achieving >50% reduction and ~17% achieving >75% reduction. CDVA improved in 75% of eyes , with ~20% gaining ≥4 lines , and 97.7% maintained or improved safety . UDVA improved in 54–76% of eyes depending on subgroup. Keratometry (K1, K2, Kmax) remained stable across 18 months in CXL-only, CustomEyes-only, and combined groups. In the refractive‑stage cohort (n=27), >89% achieved unaided driving vision , 48% reached 6/6 , and 15% exceeded 6/6 , with 59.3% gaining ≥3 lines relative to preoperative CDVA.",
        "Conclusions": "CustomEyes provides effective corneal regularisation and substantial reduction of higher‑order aberrations in irregular corneas, with a strong safety profile and stable keratometry. When followed by a tailored refractive procedure, the two‑stage pathway delivers high rates of functional unaided vision, offering a powerful alternative to traditional keratoconus rehabilitation strategies. This integrated approach supports improved quality of vision and quality of life in a predominantly young patient population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CustomEyes provides effective corneal regularisation and substantial reduction of higher‑order aberrations in irregular corneas, with a strong safety profile and stable keratometry. When followed by a tailored refractive procedure, the two‑stage pathway delivers high rates of functional unaided vision, offering a powerful alternative to traditional keratoconus rehabilitation strategies. This integrated approach…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 76,
      "source_fields": {
        "Abstract Final Identifier": "PP05.018",
        "Title": "Transforming Irregular Corneas: Real‑World Outcomes Of Customeyes‑Guided Regularisation - A Two‑Stage Regularisation And Refractive Pathway",
        "Presenting Author(s)": "Dr Kieren Darcy",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Kieren",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Darcy",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the visual and tomographic outcomes of a structured, two‑stage management pathway for irregular corneas— CustomEyes (topography‑ and wavefront‑guided transepithelial PRK using SCHWIND technology) with or without adjunctive corneal crosslinking (CXL)—and to assess its role in visual rehabilitation and refractive optimisation, including subsequent refractive procedures where indicated.",
        "Setting": "Single surgeon - UK clinic",
        "Methods": "A retrospective analysis was performed on 96 eyes (74 patients) treated in a single-centre keratoconus and ectasia service. All eyes underwent a regularisation stage using CustomEyes, with 66 eyes receiving simultaneous or sequential CXL. A subset of 27 eyes proceeded to a refractive stage (ICL implantation or lens replacement). Outcomes included corrected (CDVA) and uncorrected (UDVA) distance visual acuity, higher‑order aberration (HOA) reduction, and keratometric stability over 18–24 months. Real‑world treatment parameters and Foresight‑based planning data were analysed.",
        "Results": "CustomEyes produced consistent improvements in corneal regularity and visual function. 100% of eyes showed HOA reduction , with 73% achieving >50% reduction and ~17% achieving >75% reduction. CDVA improved in 75% of eyes , with ~20% gaining ≥4 lines , and 97.7% maintained or improved safety . UDVA improved in 54–76% of eyes depending on subgroup. Keratometry (K1, K2, Kmax) remained stable across 18 months in CXL-only, CustomEyes-only, and combined groups. In the refractive‑stage cohort (n=27), >89% achieved unaided driving vision , 48% reached 6/6 , and 15% exceeded 6/6 , with 59.3% gaining ≥3 lines relative to preoperative CDVA.",
        "Conclusions": "CustomEyes provides effective corneal regularisation and substantial reduction of higher‑order aberrations in irregular corneas, with a strong safety profile and stable keratometry. When followed by a tailored refractive procedure, the two‑stage pathway delivers high rates of functional unaided vision, offering a powerful alternative to traditional keratoconus rehabilitation strategies. This integrated approach supports improved quality of vision and quality of life in a predominantly young patient population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "PP05.02",
      "abstract_number": "PP05.02",
      "title": "Before Keratoconus Begins: Corneal Biomechanical And Tomographical Properties In Children Of Keratoconus Patients",
      "authors": "Prof. Dr Farhad Hafezi*",
      "presenter": "Prof. Dr Farhad Hafezi*",
      "normalized_authors": [
        "Farhad Hafezi*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farhad Hafezi*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To assess the tomographic and biomechanical data in children with a parental history of keratoconus.",
        "Setting": "Retrospective single-center study conducted at the ELZA Institute, Zurich, Switzerland.",
        "Methods": "This retrospective study analyzed 322 eyes of 161 children with at least one parent diagnosed with keratoconus. All underwent Scheimpflug-based corneal tomography (Pentacam HR, Oculus Instruments, Wetzlar, Germany), and 95 children also received biomechanical assessment using high-speed Scheimpflug imaging (Corvis ST, Oculus Instruments). Tomographic abnormalities were defined as BAD-D >1.60 or PRFI >0.125 and pathological values as BAD-D >3.0. Biomechanical abnormalities were defined as CBI >0.50, TBI >0.35, abnormality in either index. Data were analyzed descriptively and stratified by gender and age groups.",
        "Results": "Across the full cohort, 31.7% of children showed tomographic abnormalities (BAD-D >1.60) and 11.2% pathological values (BAD-D >3.0). In the tomography + biomechanics group (n=95), abnormal findings were observed in 40.0% for BAD-D >1.60, 53.7% for PRFI, 12.6% for BAD-D >3.0, 51.6% for CBI, 54.7% for TBI, 65.3% for at least one abnormal biomechanical index. Both tomographic and biomechanical abnormalities increased markedly with age. In addition, expert clinical assessment identified keratoconus in 18.6% of children and keratoconus suspect in a further 13.7%.",
        "Conclusions": "More than 30% of children with a parental history of keratoconus exhibited early tomographic or biomechanical abnormalities, at rates substantially exceeding those of the general pediatric population. These findings underscore a strong genetic influence on corneal structure and biomechanics and support the need for early screening and pediatric-specific normative data to accurately interpret early deviations in this high-risk group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "More than 30% of children with a parental history of keratoconus exhibited early tomographic or biomechanical abnormalities, at rates substantially exceeding those of the general pediatric population. These findings underscore a strong genetic influence on corneal structure and biomechanics and support the need for early screening and pediatric-specific normative data to accurately interpret early deviations in…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 77,
      "source_fields": {
        "Abstract Final Identifier": "PP05.02",
        "Title": "Before Keratoconus Begins: Corneal Biomechanical And Tomographical Properties In Children Of Keratoconus Patients",
        "Presenting Author(s)": "Prof. Dr Farhad Hafezi*",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Farhad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hafezi*",
        "Country Name": "Switzerland",
        "Purpose": "To assess the tomographic and biomechanical data in children with a parental history of keratoconus.",
        "Setting": "Retrospective single-center study conducted at the ELZA Institute, Zurich, Switzerland.",
        "Methods": "This retrospective study analyzed 322 eyes of 161 children with at least one parent diagnosed with keratoconus. All underwent Scheimpflug-based corneal tomography (Pentacam HR, Oculus Instruments, Wetzlar, Germany), and 95 children also received biomechanical assessment using high-speed Scheimpflug imaging (Corvis ST, Oculus Instruments). Tomographic abnormalities were defined as BAD-D >1.60 or PRFI >0.125 and pathological values as BAD-D >3.0. Biomechanical abnormalities were defined as CBI >0.50, TBI >0.35, abnormality in either index. Data were analyzed descriptively and stratified by gender and age groups.",
        "Results": "Across the full cohort, 31.7% of children showed tomographic abnormalities (BAD-D >1.60) and 11.2% pathological values (BAD-D >3.0). In the tomography + biomechanics group (n=95), abnormal findings were observed in 40.0% for BAD-D >1.60, 53.7% for PRFI, 12.6% for BAD-D >3.0, 51.6% for CBI, 54.7% for TBI, 65.3% for at least one abnormal biomechanical index. Both tomographic and biomechanical abnormalities increased markedly with age. In addition, expert clinical assessment identified keratoconus in 18.6% of children and keratoconus suspect in a further 13.7%.",
        "Conclusions": "More than 30% of children with a parental history of keratoconus exhibited early tomographic or biomechanical abnormalities, at rates substantially exceeding those of the general pediatric population. These findings underscore a strong genetic influence on corneal structure and biomechanics and support the need for early screening and pediatric-specific normative data to accurately interpret early deviations in this high-risk group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 268
    },
    {
      "uid": "PP05.03",
      "abstract_number": "PP05.03",
      "title": "Psychiatric Comorbidities In Children With Keratoconus",
      "authors": "Dr Lojain Albathi",
      "presenter": "Dr Lojain Albathi",
      "normalized_authors": [
        "Lojain Albathi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lojain Albathi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate the association of keratoconus with psychiatric comorbidities in children.",
        "Setting": "Keratoconus is less common in the paediatric population compared to adults. It may significantly impact psychosocial development during adolescence, an important stage for emotional and cognitive growth. Studies have shown that keratoconus in adults is linked to psychological conditions such as anxiety, depression, ADHD, and OCD. However, little is known about this relationship in children.",
        "Methods": "The study aimed to assess the prevalence of psychiatric symptoms in children and adolescents with keratoconus and to examine the relationship between disease severity, psychosocial morbidity, and quality of life. It was conducted at the Hospital for Sick Children in Toronto, Canada. Baseline demographic data were collected to ensure comparability between the study and control groups. We assessed psychosocial functioning and health-related quality of life using validated questionnaires in pediatric patients with keratoconus. This was compared to a control group with high myopia or astigmatism. The two questionnaires used were the PSC-17 (Pediatric Symptom Checklist-17) and the PedsQL (Pediatric Quality of Life Inventory).",
        "Results": "A total of 51 participants were recruited, comprising 30 patients diagnosed with keratoconus and 21 age-matched healthy controls who wore glasses. The PSC-17 assessed internalizing, externalizing, attention, and total scores, each reflecting a predisposition to specific psychiatric comorbidities. Among patients with keratoconus, 23% demonstrated abnormal overall scores and 17% had abnormal internalizing scores. The corresponding p-values for abnormal scores were 0.033 for the total score, 0.123 for internalizing symptoms, 0.075 for externalizing symptoms, and 0.105 for attention problems. On the PedsQL, keratoconus was associated with a measurable decline in school functioning and overall quality of life among affected children.",
        "Conclusions": "This study explored the psychosocial and quality-of-life outcomes in children and adolescents with KC. Our findings indicate that overall quality of life and school functioning were significantly affected. These children also demonstrated elevated scores on the internalizing and attention subscales, suggesting a predisposition to anxiety, ADHD, and potentially disruptive or conduct disorders. These findings align with adult studies showing that individuals with keratoconus experience higher rates of anxiety and depression. However, unlike adult populations, our cohort of pediatric KC patients did not exhibit significant differences in externalizing behavior, suggesting that the psychosocial burden in children may manifest differently."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study explored the psychosocial and quality-of-life outcomes in children and adolescents with KC. Our findings indicate that overall quality of life and school functioning were significantly affected. These children also demonstrated elevated scores on the internalizing and attention subscales, suggesting a predisposition to anxiety, ADHD, and potentially disruptive or conduct disorders. These findings align…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 78,
      "source_fields": {
        "Abstract Final Identifier": "PP05.03",
        "Title": "Psychiatric Comorbidities In Children With Keratoconus",
        "Presenting Author(s)": "Dr Lojain Albathi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Lojain",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Albathi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate the association of keratoconus with psychiatric comorbidities in children.",
        "Setting": "Keratoconus is less common in the paediatric population compared to adults. It may significantly impact psychosocial development during adolescence, an important stage for emotional and cognitive growth. Studies have shown that keratoconus in adults is linked to psychological conditions such as anxiety, depression, ADHD, and OCD. However, little is known about this relationship in children.",
        "Methods": "The study aimed to assess the prevalence of psychiatric symptoms in children and adolescents with keratoconus and to examine the relationship between disease severity, psychosocial morbidity, and quality of life. It was conducted at the Hospital for Sick Children in Toronto, Canada. Baseline demographic data were collected to ensure comparability between the study and control groups. We assessed psychosocial functioning and health-related quality of life using validated questionnaires in pediatric patients with keratoconus. This was compared to a control group with high myopia or astigmatism. The two questionnaires used were the PSC-17 (Pediatric Symptom Checklist-17) and the PedsQL (Pediatric Quality of Life Inventory).",
        "Results": "A total of 51 participants were recruited, comprising 30 patients diagnosed with keratoconus and 21 age-matched healthy controls who wore glasses. The PSC-17 assessed internalizing, externalizing, attention, and total scores, each reflecting a predisposition to specific psychiatric comorbidities. Among patients with keratoconus, 23% demonstrated abnormal overall scores and 17% had abnormal internalizing scores. The corresponding p-values for abnormal scores were 0.033 for the total score, 0.123 for internalizing symptoms, 0.075 for externalizing symptoms, and 0.105 for attention problems. On the PedsQL, keratoconus was associated with a measurable decline in school functioning and overall quality of life among affected children.",
        "Conclusions": "This study explored the psychosocial and quality-of-life outcomes in children and adolescents with KC. Our findings indicate that overall quality of life and school functioning were significantly affected. These children also demonstrated elevated scores on the internalizing and attention subscales, suggesting a predisposition to anxiety, ADHD, and potentially disruptive or conduct disorders. These findings align with adult studies showing that individuals with keratoconus experience higher rates of anxiety and depression. However, unlike adult populations, our cohort of pediatric KC patients did not exhibit significant differences in externalizing behavior, suggesting that the psychosocial burden in children may manifest differently."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "PP05.04",
      "abstract_number": "PP05.04",
      "title": "Keratoplasty In Pediatric Keratoconus: 13-Year Review",
      "authors": "Dr Pedro Mota-Moreira",
      "presenter": "Dr Pedro Mota-Moreira",
      "normalized_authors": [
        "Pedro Mota-Moreira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Mota-Moreira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Corneal transplantation in pediatric patients with keratoconus is indicated for advanced disease with significant visual impairment not amenable to other surgical treatments such as corneal cross-linking or intrastromal segments. Given the aggressive course of pediatric keratoconus and the technical and postoperative challenges associated with corneal transplantation in children, this study aims to evaluate the clinical profile, disease severity, indications, and outcomes of pediatric patients with keratoconus undergoing penetrating keratoplasty (PK), with particular emphasis on the factors leading to corneal transplantation during pediatric age.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "Retrospective observational study including all pediatric patients (≤18 years) who underwent PK due to keratoconus at a tertiary referral hospital between 2011 and 2024 with a minimum 12-month follow-up. Demographic data, keratoconus severity stages, keratometric and pachymetric indices (thinnest pachymetry, Kmax, Kmedium, ARC, PRC, anterior astigmatism, BAD-D index), mid-term visual and graft outcomes were analyzed. Pre- and postoperative best-corrected visual acuity (BCVA) and tomographic parameters were compared.",
        "Results": "Seventeen patients (14 male) underwent 21 PKs. Mean age at surgery was 16.3 ± 2.0 years, with a mean follow-up of 88.5 ± 55.7 months. In terms of disease severity, 12 eyes were classified stage IV Amsler-Krumeich and 5 had a history of previous acute corneal hydrops. Mean preoperative thinnest pachymetry was 332.3 ± 88.4 µm and mean Kmax 80.8 ± 7.4 D. BCVA improved significantly from 1.15 ± 0.55 to 0.14 ± 0.10 logMAR (p < 0.001), at last follow-up. All tomographic parameters improved significantly postoperatively (p < 0.001). Only one eye required re-transplantation due to graft–host ectasia.",
        "Conclusions": "In this series, penetrating keratoplasty for pediatric keratoconus was reserved for markedly advanced disease, frequently associated with extreme corneal thinning, very steep curvature, or previous acute hydrops. Despite this unfavorable preoperative profile, keratoplasty provided substantial and sustained visual rehabilitation with low complication rates in the mid-term follow-up. These findings underscore the aggressive nature of pediatric keratoconus and highlight the importance of early detection and timely conservative intervention to reduce the need for corneal transplantation during childhood and adolescence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this series, penetrating keratoplasty for pediatric keratoconus was reserved for markedly advanced disease, frequently associated with extreme corneal thinning, very steep curvature, or previous acute hydrops. Despite this unfavorable preoperative profile, keratoplasty provided substantial and sustained visual rehabilitation with low complication rates in the mid-term follow-up. These findings underscore the…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 79,
      "source_fields": {
        "Abstract Final Identifier": "PP05.04",
        "Title": "Keratoplasty In Pediatric Keratoconus: 13-Year Review",
        "Presenting Author(s)": "Dr Pedro Mota-Moreira",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mota-Moreira",
        "Country Name": "Portugal",
        "Purpose": "Corneal transplantation in pediatric patients with keratoconus is indicated for advanced disease with significant visual impairment not amenable to other surgical treatments such as corneal cross-linking or intrastromal segments. Given the aggressive course of pediatric keratoconus and the technical and postoperative challenges associated with corneal transplantation in children, this study aims to evaluate the clinical profile, disease severity, indications, and outcomes of pediatric patients with keratoconus undergoing penetrating keratoplasty (PK), with particular emphasis on the factors leading to corneal transplantation during pediatric age.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São João, a tertiary ophthalmic referral centre in Porto, Portugal.",
        "Methods": "Retrospective observational study including all pediatric patients (≤18 years) who underwent PK due to keratoconus at a tertiary referral hospital between 2011 and 2024 with a minimum 12-month follow-up. Demographic data, keratoconus severity stages, keratometric and pachymetric indices (thinnest pachymetry, Kmax, Kmedium, ARC, PRC, anterior astigmatism, BAD-D index), mid-term visual and graft outcomes were analyzed. Pre- and postoperative best-corrected visual acuity (BCVA) and tomographic parameters were compared.",
        "Results": "Seventeen patients (14 male) underwent 21 PKs. Mean age at surgery was 16.3 ± 2.0 years, with a mean follow-up of 88.5 ± 55.7 months. In terms of disease severity, 12 eyes were classified stage IV Amsler-Krumeich and 5 had a history of previous acute corneal hydrops. Mean preoperative thinnest pachymetry was 332.3 ± 88.4 µm and mean Kmax 80.8 ± 7.4 D. BCVA improved significantly from 1.15 ± 0.55 to 0.14 ± 0.10 logMAR (p < 0.001), at last follow-up. All tomographic parameters improved significantly postoperatively (p < 0.001). Only one eye required re-transplantation due to graft–host ectasia.",
        "Conclusions": "In this series, penetrating keratoplasty for pediatric keratoconus was reserved for markedly advanced disease, frequently associated with extreme corneal thinning, very steep curvature, or previous acute hydrops. Despite this unfavorable preoperative profile, keratoplasty provided substantial and sustained visual rehabilitation with low complication rates in the mid-term follow-up. These findings underscore the aggressive nature of pediatric keratoconus and highlight the importance of early detection and timely conservative intervention to reduce the need for corneal transplantation during childhood and adolescence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "PP05.05",
      "abstract_number": "PP05.05",
      "title": "Impact Of Bilateral Visual Acuity On Functional And Emotional Quality Of Life In Patients With Keratoconus: A Cross-Sectional Study Using Kepaq",
      "authors": "Dr Maria Fernandez Garcia",
      "presenter": "Dr Maria Fernandez Garcia",
      "normalized_authors": [
        "Maria Fernandez Garcia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Fernandez Garcia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To determine whether quality of life impairment in keratoconus is primarily driven by binocular visual acuity rather than tomographic corneal parameters, and to evaluate functional and emotional impact using a disease-specific validated questionnaire.",
        "Setting": "Anterior Segment Unit, Department of Ophthalmology, Hospital Universitario Central de Asturias, Oviedo, Spain, tertiary referral center for corneal and refractive disorders.",
        "Methods": "Descriptive cross-sectional study including consecutive keratoconus patients. Quality of life was assessed using the Keratoconus End-Points Assessment Questionnaire (KEPAQ), evaluating functional and emotional domains. Clinical variables included best and worst eye visual acuity, corneal thickness, steep keratometry, and comatic aberration. Associations were analyzed using non-parametric tests, Pearson correlation, and multivariate linear regression (R software version 3.5.1.)",
        "Results": "Thirty-nine patients (mean age 36.2 ± 13.2 years) were analyzed. Overall impairment was mild. However, patients with bilateral visual acuity ≤0.4 showed significantly greater functional and emotional limitation. Functional impairment was higher in women (p=0.04). No significant association was found between quality-of-life scores and corneal thickness, keratometry, or comatic aberration. Functional and emotional domains were strongly correlated (r=0.80).",
        "Conclusions": "In keratoconus, patient-perceived burden is primarily determined by binocular visual acuity rather than tomographic severity. Structural corneal parameters alone do not predict quality-of-life impairment. Therefore, clinical management should adopt an integral perspective that considers the patient's subjective perception and visual function to guide effective treatment"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In keratoconus, patient-perceived burden is primarily determined by binocular visual acuity rather than tomographic severity. Structural corneal parameters alone do not predict quality-of-life impairment. Therefore, clinical management should adopt an integral perspective that considers the patient's subjective perception and visual function to guide effective treatment",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 80,
      "source_fields": {
        "Abstract Final Identifier": "PP05.05",
        "Title": "Impact Of Bilateral Visual Acuity On Functional And Emotional Quality Of Life In Patients With Keratoconus: A Cross-Sectional Study Using Kepaq",
        "Presenting Author(s)": "Dr Maria Fernandez Garcia",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fernandez Garcia",
        "Country Name": "Spain",
        "Purpose": "To determine whether quality of life impairment in keratoconus is primarily driven by binocular visual acuity rather than tomographic corneal parameters, and to evaluate functional and emotional impact using a disease-specific validated questionnaire.",
        "Setting": "Anterior Segment Unit, Department of Ophthalmology, Hospital Universitario Central de Asturias, Oviedo, Spain, tertiary referral center for corneal and refractive disorders.",
        "Methods": "Descriptive cross-sectional study including consecutive keratoconus patients. Quality of life was assessed using the Keratoconus End-Points Assessment Questionnaire (KEPAQ), evaluating functional and emotional domains. Clinical variables included best and worst eye visual acuity, corneal thickness, steep keratometry, and comatic aberration. Associations were analyzed using non-parametric tests, Pearson correlation, and multivariate linear regression (R software version 3.5.1.)",
        "Results": "Thirty-nine patients (mean age 36.2 ± 13.2 years) were analyzed. Overall impairment was mild. However, patients with bilateral visual acuity ≤0.4 showed significantly greater functional and emotional limitation. Functional impairment was higher in women (p=0.04). No significant association was found between quality-of-life scores and corneal thickness, keratometry, or comatic aberration. Functional and emotional domains were strongly correlated (r=0.80).",
        "Conclusions": "In keratoconus, patient-perceived burden is primarily determined by binocular visual acuity rather than tomographic severity. Structural corneal parameters alone do not predict quality-of-life impairment. Therefore, clinical management should adopt an integral perspective that considers the patient's subjective perception and visual function to guide effective treatment"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "PP05.06",
      "abstract_number": "PP05.06",
      "title": "Keratoconus In Down Syndrome Patients: A Decade Of Retrospective Follow-Up Across Treatment Modalities",
      "authors": "Dr Denise Wajnsztajn",
      "presenter": "Dr Denise Wajnsztajn",
      "normalized_authors": [
        "Denise Wajnsztajn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Denise Wajnsztajn",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To analyze the outcomes of different treatment modalities — no intervention, corneal cross-linking (CXL), and penetrating keratoplasty (PKP) - in patients with Down syndrome (DS) diagnosed with keratoconus (KC).",
        "Setting": "Hadassah Medical Center - Ophthalmology Department.",
        "Methods": "A retrospective observational study was conducted at Hadassah – Hebrew University Medical Center, covering the period from January 2000 to January 2023. The sample included all patients with confirmed DS and documented KC, with available clinical data such as visual acuity, topography, and ocular examination. Exclusion criteria were missing topography data or other eye diseases affecting vision. Data collected included demographics, comorbidities, clinical findings, treatment type, and follow-up duration. The primary outcome measures were visual acuity (VA in LogMAR) and topographic outcomes (Kmax in Diopters) post-treatment; secondary outcomes included the natural history and progression in untreated eyes.",
        "Results": "We included 34 DS patients with KC (68 eyes), with a mean age of 27.8 years and a mean follow-up of 6 years. 42 eyes (63.2%) had no intervention, 20 eyes (29.4%) had CXL and 6 eyes (8.8%) had PKP. PKP patients were significantly older at presentation (33.5 ± 5.8 years) compared to CXL (21.9 ± 8.4) and no intervention (22.8 ± 9.1) (p = 0.02). No differences were found in gender or ethnicity among groups. Baseline Kmax (p = 0.41) and VA (p = 0.08) differences were not statistically significant. Changes in VA and Kmax between baseline and last follow up visit were not statistically significant between the 3 groups, although CXL eyes showed mean corneal steepening (+7.8D increase in Kmax) and decrease in vision (+0.12 increase in LogMAR).",
        "Conclusions": "Most KC eyes in DS patients remained relatively stable without intervention. CXL offers limited benefit in this population, while PKP can provide significant improvements in advanced cases. Early detection is critical but challenging, emphasizing the need for individualized treatment strategies tailored to patient abilities and needs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Most KC eyes in DS patients remained relatively stable without intervention. CXL offers limited benefit in this population, while PKP can provide significant improvements in advanced cases. Early detection is critical but challenging, emphasizing the need for individualized treatment strategies tailored to patient abilities and needs.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 81,
      "source_fields": {
        "Abstract Final Identifier": "PP05.06",
        "Title": "Keratoconus In Down Syndrome Patients: A Decade Of Retrospective Follow-Up Across Treatment Modalities",
        "Presenting Author(s)": "Dr Denise Wajnsztajn",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Denise",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wajnsztajn",
        "Country Name": "Israel",
        "Purpose": "To analyze the outcomes of different treatment modalities — no intervention, corneal cross-linking (CXL), and penetrating keratoplasty (PKP) - in patients with Down syndrome (DS) diagnosed with keratoconus (KC).",
        "Setting": "Hadassah Medical Center - Ophthalmology Department.",
        "Methods": "A retrospective observational study was conducted at Hadassah – Hebrew University Medical Center, covering the period from January 2000 to January 2023. The sample included all patients with confirmed DS and documented KC, with available clinical data such as visual acuity, topography, and ocular examination. Exclusion criteria were missing topography data or other eye diseases affecting vision. Data collected included demographics, comorbidities, clinical findings, treatment type, and follow-up duration. The primary outcome measures were visual acuity (VA in LogMAR) and topographic outcomes (Kmax in Diopters) post-treatment; secondary outcomes included the natural history and progression in untreated eyes.",
        "Results": "We included 34 DS patients with KC (68 eyes), with a mean age of 27.8 years and a mean follow-up of 6 years. 42 eyes (63.2%) had no intervention, 20 eyes (29.4%) had CXL and 6 eyes (8.8%) had PKP. PKP patients were significantly older at presentation (33.5 ± 5.8 years) compared to CXL (21.9 ± 8.4) and no intervention (22.8 ± 9.1) (p = 0.02). No differences were found in gender or ethnicity among groups. Baseline Kmax (p = 0.41) and VA (p = 0.08) differences were not statistically significant. Changes in VA and Kmax between baseline and last follow up visit were not statistically significant between the 3 groups, although CXL eyes showed mean corneal steepening (+7.8D increase in Kmax) and decrease in vision (+0.12 increase in LogMAR).",
        "Conclusions": "Most KC eyes in DS patients remained relatively stable without intervention. CXL offers limited benefit in this population, while PKP can provide significant improvements in advanced cases. Early detection is critical but challenging, emphasizing the need for individualized treatment strategies tailored to patient abilities and needs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "PP05.07",
      "abstract_number": "PP05.07",
      "title": "The Impact Of Cone Location On Corneal Biomechanical Measurements Using Scheimpflug-Based Air-Puff Device",
      "authors": "Dr Nanji Lu",
      "presenter": "Dr Nanji Lu",
      "normalized_authors": [
        "Nanji Lu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nanji Lu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate whether zone of greatest curvature in normal and cone location in keratoconus (KC) corneas influences corneal biomechanical measurements obtained using a Scheimpflug-based air-puff device.",
        "Setting": "West China Hospital Sichuan University and Eye Hospital of Wenzhou Medical University",
        "Methods": "Pentacam tomography and Corvis ST assessments were performed. The steepest 2 mm zone (Cspot) on axial and tangential maps was identified using the Cone Location and Magnitude Index (CLMI). Center of Cspot located within the central 3 mm of the cornea were classified as central; those outside were classified as eccentric. The distance from the Cspot center to the corneal apex (Cspot R) and the mean curvature within the Cspot (Cspot K) were analyzed for correlations with biomechanical parameters.",
        "Results": "301 normal and 339 KC eyes were included. Tangential tomography identified more central Cspot than axial tomography in normal (66.78% vs. 32.23%) and KC (86.14% vs. 48.97%) eyes. In normal corneas, Cspot location had minimal influence on biomechanical parameters, with only a few weak correlations (R² = 0.02–0.18 for axial, 0.02–0.10 for tangential). In KC eyes, biomechanical parameters were significantly higher in eccentric cones than in central cones on axial and tangential maps. Correlations between Cspot R and biomechanical parameters were also observed (R² = 0.03–0.23 for axial, 0.01–0.16 for tangential) and became stronger with increasing disease severity (up to R² = 0.45).",
        "Conclusions": "Tangential tomography provides a more accurate assessment of cone morphology in KC. In contrast to steep zone in normal corneas, greater cone eccentricity in KC is associated with higher biomechanical values, especially in advanced disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Tangential tomography provides a more accurate assessment of cone morphology in KC. In contrast to steep zone in normal corneas, greater cone eccentricity in KC is associated with higher biomechanical values, especially in advanced disease.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 82,
      "source_fields": {
        "Abstract Final Identifier": "PP05.07",
        "Title": "The Impact Of Cone Location On Corneal Biomechanical Measurements Using Scheimpflug-Based Air-Puff Device",
        "Presenting Author(s)": "Dr Nanji Lu",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Nanji",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lu",
        "Country Name": "China",
        "Purpose": "To investigate whether zone of greatest curvature in normal and cone location in keratoconus (KC) corneas influences corneal biomechanical measurements obtained using a Scheimpflug-based air-puff device.",
        "Setting": "West China Hospital Sichuan University and Eye Hospital of Wenzhou Medical University",
        "Methods": "Pentacam tomography and Corvis ST assessments were performed. The steepest 2 mm zone (Cspot) on axial and tangential maps was identified using the Cone Location and Magnitude Index (CLMI). Center of Cspot located within the central 3 mm of the cornea were classified as central; those outside were classified as eccentric. The distance from the Cspot center to the corneal apex (Cspot R) and the mean curvature within the Cspot (Cspot K) were analyzed for correlations with biomechanical parameters.",
        "Results": "301 normal and 339 KC eyes were included. Tangential tomography identified more central Cspot than axial tomography in normal (66.78% vs. 32.23%) and KC (86.14% vs. 48.97%) eyes. In normal corneas, Cspot location had minimal influence on biomechanical parameters, with only a few weak correlations (R² = 0.02–0.18 for axial, 0.02–0.10 for tangential). In KC eyes, biomechanical parameters were significantly higher in eccentric cones than in central cones on axial and tangential maps. Correlations between Cspot R and biomechanical parameters were also observed (R² = 0.03–0.23 for axial, 0.01–0.16 for tangential) and became stronger with increasing disease severity (up to R² = 0.45).",
        "Conclusions": "Tangential tomography provides a more accurate assessment of cone morphology in KC. In contrast to steep zone in normal corneas, greater cone eccentricity in KC is associated with higher biomechanical values, especially in advanced disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "PP05.08",
      "abstract_number": "PP05.08",
      "title": "Which Pachymetry-Based Intraocular Pressure Correction Formula Best Reflects Biomechanically Corrected Intraocular Pressure In Keratoconus Patients? A Stage-Based Corvis St Analysis",
      "authors": "Dr Idil Çelen Arabacı",
      "presenter": "Dr Idil Çelen Arabacı",
      "normalized_authors": [
        "Idil Çelen Arabacı"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Idil Çelen Arabacı",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Accurate intraocular pressure (IOP) assessment in keratoconus is clinically challenging since conventional applanation-based techniques are highly dependent on corneal thickness and biomechanics, which are both profoundly altered in ectatic corneas. Biomechanically corrected IOP (bIOP) provided by Corvis ST incorporates corneal deformation parameters and may better approximate true IOP in ectatic eyes. This study aimed to compare uncorrected non-contact tonometry (IOPnct), four pachymetry-based correction formulas (Ehlers, Shah, Dresden, Spoerl), and bIOP in keratoconus patients, and to determine which correction method most closely reflects biomechanically adjusted IOP across increasing disease severity.",
        "Setting": "Department of Ophthalmology, Basaksehir Cam and Sakura City Hospital, a tertiary referral center, Istanbul, Turkey.",
        "Methods": "This prospective cross-sectional study included 77 eyes of 77 keratoconus patients classified according to Pentacam-based Topographic Keratoconus Classification (TKC). All IOP measurements were performed with Corvis ST under standardized conditions. IOPnct, bIOP, and pachymetry-based corrected IOP values (Ehlers, Shah, Dresden, and Spoerl) were obtained for each eye. Statistical differences were evaluated using repeated-measures ANOVA with post hoc pairwise testing, and agreement with bIOP was assessed using Bland–Altman analysis.",
        "Results": "The mean age was 26.4±7.3 years, and 59.7% were male. IOP values remained stable among keratoconus stages when assessed by bIOP, whereas clear inter-method differences were observed. IOPnct consistently underestimated IOP relative to bIOP across all stages. In contrast, Ehlers (+2.6mmHg), Shah (+1.4mmHg), and Dresden (+0.7mmHg) corrections significantly overestimated IOP compared to bIOP (all p<0.001). Spoerl correction (−0.9mmHg) showed no significant difference from bIOP (p=0.209). Bland–Altman analysis demonstrated that the Spoerl formula had the smallest mean bias and the narrowest limits of agreement across all keratoconus stages, while overestimation and variability with Ehlers and Shah increased with advancing disease severity.",
        "Conclusions": "In keratoconus, uncorrected non-contact-tonometry underestimates IOP, while pachymetry-based correction formulas (Ehlers, Shah, and Dresden) tend to overestimate, particularly in advanced stages. Among the evaluated methods, the Spoerl formula demonstrated the closest agreement with bIOP across all stages, without significant bias. When biomechanical assessment is unavailable, Spoerl correction may represent the most reliable pachymetric alternative for IOP estimation in keratoconic eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In keratoconus, uncorrected non-contact-tonometry underestimates IOP, while pachymetry-based correction formulas (Ehlers, Shah, and Dresden) tend to overestimate, particularly in advanced stages. Among the evaluated methods, the Spoerl formula demonstrated the closest agreement with bIOP across all stages, without significant bias. When biomechanical assessment is unavailable, Spoerl correction may represent the…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 83,
      "source_fields": {
        "Abstract Final Identifier": "PP05.08",
        "Title": "Which Pachymetry-Based Intraocular Pressure Correction Formula Best Reflects Biomechanically Corrected Intraocular Pressure In Keratoconus Patients? A Stage-Based Corvis St Analysis",
        "Presenting Author(s)": "Dr Idil Çelen Arabacı",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Idil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Çelen Arabacı",
        "Country Name": "Türkiye",
        "Purpose": "Accurate intraocular pressure (IOP) assessment in keratoconus is clinically challenging since conventional applanation-based techniques are highly dependent on corneal thickness and biomechanics, which are both profoundly altered in ectatic corneas. Biomechanically corrected IOP (bIOP) provided by Corvis ST incorporates corneal deformation parameters and may better approximate true IOP in ectatic eyes. This study aimed to compare uncorrected non-contact tonometry (IOPnct), four pachymetry-based correction formulas (Ehlers, Shah, Dresden, Spoerl), and bIOP in keratoconus patients, and to determine which correction method most closely reflects biomechanically adjusted IOP across increasing disease severity.",
        "Setting": "Department of Ophthalmology, Basaksehir Cam and Sakura City Hospital, a tertiary referral center, Istanbul, Turkey.",
        "Methods": "This prospective cross-sectional study included 77 eyes of 77 keratoconus patients classified according to Pentacam-based Topographic Keratoconus Classification (TKC). All IOP measurements were performed with Corvis ST under standardized conditions. IOPnct, bIOP, and pachymetry-based corrected IOP values (Ehlers, Shah, Dresden, and Spoerl) were obtained for each eye. Statistical differences were evaluated using repeated-measures ANOVA with post hoc pairwise testing, and agreement with bIOP was assessed using Bland–Altman analysis.",
        "Results": "The mean age was 26.4±7.3 years, and 59.7% were male. IOP values remained stable among keratoconus stages when assessed by bIOP, whereas clear inter-method differences were observed. IOPnct consistently underestimated IOP relative to bIOP across all stages. In contrast, Ehlers (+2.6mmHg), Shah (+1.4mmHg), and Dresden (+0.7mmHg) corrections significantly overestimated IOP compared to bIOP (all p<0.001). Spoerl correction (−0.9mmHg) showed no significant difference from bIOP (p=0.209). Bland–Altman analysis demonstrated that the Spoerl formula had the smallest mean bias and the narrowest limits of agreement across all keratoconus stages, while overestimation and variability with Ehlers and Shah increased with advancing disease severity.",
        "Conclusions": "In keratoconus, uncorrected non-contact-tonometry underestimates IOP, while pachymetry-based correction formulas (Ehlers, Shah, and Dresden) tend to overestimate, particularly in advanced stages. Among the evaluated methods, the Spoerl formula demonstrated the closest agreement with bIOP across all stages, without significant bias. When biomechanical assessment is unavailable, Spoerl correction may represent the most reliable pachymetric alternative for IOP estimation in keratoconic eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "PP05.10",
      "abstract_number": "PP05.10",
      "title": "Inter-Session Repeatability Of Optical Coherence Tomography-Derived Corneal Parameters In Advanced Keratoconus",
      "authors": "Tadas Naujokaitis",
      "presenter": "Tadas Naujokaitis",
      "normalized_authors": [
        "Tadas Naujokaitis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tadas Naujokaitis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Evaluating progression in advanced keratoconus is particularly challenging as the repeatability of corneal tomographic measurements tends to decrease with increasing keratoconus severity. The repeatability further decreases when examinations are performed on different days. As most studies investigate same-day intersession repeatability in less-advanced eyes only, there is a lack of data on inter-session repeatability in advanced keratoconus. The aim of the study was to evaluate the intersession repeatability of key corneal tomography parameters obtained using anterior segment optical coherence tomography in eyes with advanced keratoconus.",
        "Setting": "Department of Ophthalmology, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany",
        "Methods": "Monocentric longitudinal study of twenty-nine eyes (29 patients) with stable keratoconus and anterior Kmax of >60D, who underwent two consecutive corneal tomography measurements within 14 to 180 days. Disease stability was confirmed by 4 consecutive measurements obtained at different follow-up visits over at least one year. Corneal tomography was obtained using AS-OCT device Anterion (Heidelberg Engineering). The following parameters were analyzed: anterior Kmax, maximum anterior elevation, posterior Kmax, maximum posterior elevation, minimum corneal thickness, and epithelial thickness standard deviation. Repeatability was assessed using Bland-Altman analysis and repeatability coefficients.",
        "Results": "Mean anterior Kmax was 69.4±12.2D and minimum corneal thickness was 398±54µm. None of the parameters changed statistically significantly between the two measurements (p>0.05, Wilcoxon test adjusted for 6 comparisons). Inter-session repeatability coefficients were 2.5 D for anterior Kmax, 0.8 D for posterior Kmax, 9 µm for maximum anterior elevation, 11 µm for maximum posterior elevation, 8 µm for minimum corneal thickness, and 4 µm for the standard deviation of mean epithelial thickness.",
        "Conclusions": "In eyes with advanced keratoconus, significant fluctuations of corneal tomographic parameters can be observed between follow-up visits. Therefore, higher cut-off values should be applied when evaluating keratoconus progression in these patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with advanced keratoconus, significant fluctuations of corneal tomographic parameters can be observed between follow-up visits. Therefore, higher cut-off values should be applied when evaluating keratoconus progression in these patients.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 84,
      "source_fields": {
        "Abstract Final Identifier": "PP05.10",
        "Title": "Inter-Session Repeatability Of Optical Coherence Tomography-Derived Corneal Parameters In Advanced Keratoconus",
        "Presenting Author(s)": "Tadas Naujokaitis",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Tadas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Naujokaitis",
        "Country Name": "Germany",
        "Purpose": "Evaluating progression in advanced keratoconus is particularly challenging as the repeatability of corneal tomographic measurements tends to decrease with increasing keratoconus severity. The repeatability further decreases when examinations are performed on different days. As most studies investigate same-day intersession repeatability in less-advanced eyes only, there is a lack of data on inter-session repeatability in advanced keratoconus. The aim of the study was to evaluate the intersession repeatability of key corneal tomography parameters obtained using anterior segment optical coherence tomography in eyes with advanced keratoconus.",
        "Setting": "Department of Ophthalmology, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany",
        "Methods": "Monocentric longitudinal study of twenty-nine eyes (29 patients) with stable keratoconus and anterior Kmax of >60D, who underwent two consecutive corneal tomography measurements within 14 to 180 days. Disease stability was confirmed by 4 consecutive measurements obtained at different follow-up visits over at least one year. Corneal tomography was obtained using AS-OCT device Anterion (Heidelberg Engineering). The following parameters were analyzed: anterior Kmax, maximum anterior elevation, posterior Kmax, maximum posterior elevation, minimum corneal thickness, and epithelial thickness standard deviation. Repeatability was assessed using Bland-Altman analysis and repeatability coefficients.",
        "Results": "Mean anterior Kmax was 69.4±12.2D and minimum corneal thickness was 398±54µm. None of the parameters changed statistically significantly between the two measurements (p>0.05, Wilcoxon test adjusted for 6 comparisons). Inter-session repeatability coefficients were 2.5 D for anterior Kmax, 0.8 D for posterior Kmax, 9 µm for maximum anterior elevation, 11 µm for maximum posterior elevation, 8 µm for minimum corneal thickness, and 4 µm for the standard deviation of mean epithelial thickness.",
        "Conclusions": "In eyes with advanced keratoconus, significant fluctuations of corneal tomographic parameters can be observed between follow-up visits. Therefore, higher cut-off values should be applied when evaluating keratoconus progression in these patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "PP05.11",
      "abstract_number": "PP05.11",
      "title": "Beyond The Cornea: Quantitative Analysis Of Retinal Neurostructural Changes In Keratoconus",
      "authors": "Dr Ajla Skopljak-Salkica",
      "presenter": "Dr Ajla Skopljak-Salkica",
      "normalized_authors": [
        "Ajla Skopljak-Salkica"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ajla Skopljak-Salkica",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bosnia and Herzegovina",
      "sections": {
        "Purpose": "To evaluate ganglion cell complex (GCX) and peripapillary retinal nerve fiber layer (RNFL) thickness in patients with keratoconus using optical coherence tomography (OCT).",
        "Setting": "This study was conducted at Eye Clinc Svjetlost Sarajevo. Patients diagnosed with keratoconus underwent comprehensive ophthalmic examination, including optical coherence tomography imaging for assessment of the ganglion cell complex and peripapillary retinal nerve fiber layer. Measurements were obtained using standardized imaging protocols, and findings were compared with age-matched healthy controls.",
        "Methods": "This cross-sectional comparative study was conducted on total of 104 participants (52 patients with clinically confirmed keratoconus and 52 age-matched healthy controls). All subjects underwent comprehensive ophthalmic examination and OCT imaging. Measured parameters included GCX thickness (right and left eye), global RNFL thickness (right and left eye), and superior and inferior RNFL quadrants. Keratoconus severity was graded using the KK Gradus classification. A p-value < 0.05 was considered statistically significant.",
        "Results": "GCX thickness was significantly reduced in keratoconus patients compared with controls, with the most pronounced thinning observed in the left eye (p = 0.012, large effect size). Global RNFL thickness was significantly thinner in the left eye (p = 0.027). Sectoral analysis demonstrated significant thinning in the inferior RNFL quadrant of the right eye (p = 0.016). Other RNFL parameters showed a non-significant trend toward thinning. No statistically significant differences were found in age or sex distribution between groups. KK Gradus values were significantly higher in the keratoconus group (p < 0.01).",
        "Conclusions": "Patients with keratoconus demonstrate significant thinning of the GCX and peripapillary RNFL, suggesting that structural alterations extend beyond the cornea. These findings support the concept that keratoconus may involve posterior segment neurostructural changes. OCT may serve as a valuable adjunctive tool in the comprehensive evaluation and monitoring of patients with keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with keratoconus demonstrate significant thinning of the GCX and peripapillary RNFL, suggesting that structural alterations extend beyond the cornea. These findings support the concept that keratoconus may involve posterior segment neurostructural changes. OCT may serve as a valuable adjunctive tool in the comprehensive evaluation and monitoring of patients with keratoconus.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 85,
      "source_fields": {
        "Abstract Final Identifier": "PP05.11",
        "Title": "Beyond The Cornea: Quantitative Analysis Of Retinal Neurostructural Changes In Keratoconus",
        "Presenting Author(s)": "Dr Ajla Skopljak-Salkica",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ajla",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Skopljak-Salkica",
        "Country Name": "Bosnia and Herzegovina",
        "Purpose": "To evaluate ganglion cell complex (GCX) and peripapillary retinal nerve fiber layer (RNFL) thickness in patients with keratoconus using optical coherence tomography (OCT).",
        "Setting": "This study was conducted at Eye Clinc Svjetlost Sarajevo. Patients diagnosed with keratoconus underwent comprehensive ophthalmic examination, including optical coherence tomography imaging for assessment of the ganglion cell complex and peripapillary retinal nerve fiber layer. Measurements were obtained using standardized imaging protocols, and findings were compared with age-matched healthy controls.",
        "Methods": "This cross-sectional comparative study was conducted on total of 104 participants (52 patients with clinically confirmed keratoconus and 52 age-matched healthy controls). All subjects underwent comprehensive ophthalmic examination and OCT imaging. Measured parameters included GCX thickness (right and left eye), global RNFL thickness (right and left eye), and superior and inferior RNFL quadrants. Keratoconus severity was graded using the KK Gradus classification. A p-value < 0.05 was considered statistically significant.",
        "Results": "GCX thickness was significantly reduced in keratoconus patients compared with controls, with the most pronounced thinning observed in the left eye (p = 0.012, large effect size). Global RNFL thickness was significantly thinner in the left eye (p = 0.027). Sectoral analysis demonstrated significant thinning in the inferior RNFL quadrant of the right eye (p = 0.016). Other RNFL parameters showed a non-significant trend toward thinning. No statistically significant differences were found in age or sex distribution between groups. KK Gradus values were significantly higher in the keratoconus group (p < 0.01).",
        "Conclusions": "Patients with keratoconus demonstrate significant thinning of the GCX and peripapillary RNFL, suggesting that structural alterations extend beyond the cornea. These findings support the concept that keratoconus may involve posterior segment neurostructural changes. OCT may serve as a valuable adjunctive tool in the comprehensive evaluation and monitoring of patients with keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "PP05.12",
      "abstract_number": "PP05.12",
      "title": "Clinical And Tomographic Characteristics Of Keratoconus Progression In An East Asian Cohort: A Retrospective Study In Taiwan",
      "authors": "Ms Zhu-Yun Chen",
      "presenter": "Ms Zhu-Yun Chen",
      "normalized_authors": [
        "Zhu-Yun Chen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhu-Yun Chen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To identify clinical and tomographic characteristics of keratoconus (KC) progression in an East Asian cohort and to evaluate the discriminative performance of various corneal parameters in characterizing disease instability.",
        "Setting": "This retrospective multicenter cohort study was conducted across the Chang Gung Memorial Healthcare System, Taiwan. We collected patients diagnosed with keratoconus (KC) who received treatment at Taipei, Linkou, Chiayi, and Kaohsiung Chang Gung Memorial Hospitals between 2005 and 2025.",
        "Methods": "Included patients should have at least two comprehensive eye examinations with corneal imaging and follow-up period of no less than 2 years. Those with history of ocular surgeries such as corneal cross linking were excluded. A total of 204 eyes of 204 patients diagnosed with KC finally entered our study cohort. Patients were categorized into progression and non-progression groups based on tomographic criteria (annual Kmax increase>1.0 D). Baseline clinical characteristics and Pentacam HR parameters were compared. Statistical analyses were performed with IBM SPSS Statistics version 29. Multivariate logistic regression with Benjamini-Hochberg FDR correction was performed to further investigate the association with progression.",
        "Results": "Univariate analysis revealed that the progression group had significantly steeper baseline Kmax (P=0.008), more negative Q-values (P=0.05), and higher asymmetric indices (IS, ISV, IVA and IHD; all P<0.001). Regarding elevation metrics, only anterior elevation showed a marginal trend toward association with progression (P=0.045) in univariate analysis, while neither anterior nor posterior elevation remained its association with progression in multivariate analysis. Instead, IHD (OR=91.55, P=0.003), IVA (OR=3.42, P=0.003) and ISV (OR=1.01, P=0.003) demonstrated strong correlation with progression. Additionally, a shorter distance between the thinnest and steepest point was significantly associated with higher progression risk (P=0.029).",
        "Conclusions": "In this East Asian cohort, single baseline elevation values exhibited no significant association with keratoconus progression. Rather, localized morphological asymmetry and focal apex decentration (notably IHD and IVA) demonstrated robust correlation with keratoconus progression. Clinicians should prioritize monitoring these asymmetric indices and focal apex coincidences to facilitate early identification and timely intervention for progressive keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this East Asian cohort, single baseline elevation values exhibited no significant association with keratoconus progression. Rather, localized morphological asymmetry and focal apex decentration (notably IHD and IVA) demonstrated robust correlation with keratoconus progression. Clinicians should prioritize monitoring these asymmetric indices and focal apex coincidences to facilitate early identification and…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 86,
      "source_fields": {
        "Abstract Final Identifier": "PP05.12",
        "Title": "Clinical And Tomographic Characteristics Of Keratoconus Progression In An East Asian Cohort: A Retrospective Study In Taiwan",
        "Presenting Author(s)": "Ms Zhu-Yun Chen",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Zhu-Yun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chen",
        "Country Name": "Taiwan",
        "Purpose": "To identify clinical and tomographic characteristics of keratoconus (KC) progression in an East Asian cohort and to evaluate the discriminative performance of various corneal parameters in characterizing disease instability.",
        "Setting": "This retrospective multicenter cohort study was conducted across the Chang Gung Memorial Healthcare System, Taiwan. We collected patients diagnosed with keratoconus (KC) who received treatment at Taipei, Linkou, Chiayi, and Kaohsiung Chang Gung Memorial Hospitals between 2005 and 2025.",
        "Methods": "Included patients should have at least two comprehensive eye examinations with corneal imaging and follow-up period of no less than 2 years. Those with history of ocular surgeries such as corneal cross linking were excluded. A total of 204 eyes of 204 patients diagnosed with KC finally entered our study cohort. Patients were categorized into progression and non-progression groups based on tomographic criteria (annual Kmax increase>1.0 D). Baseline clinical characteristics and Pentacam HR parameters were compared. Statistical analyses were performed with IBM SPSS Statistics version 29. Multivariate logistic regression with Benjamini-Hochberg FDR correction was performed to further investigate the association with progression.",
        "Results": "Univariate analysis revealed that the progression group had significantly steeper baseline Kmax (P=0.008), more negative Q-values (P=0.05), and higher asymmetric indices (IS, ISV, IVA and IHD; all P<0.001). Regarding elevation metrics, only anterior elevation showed a marginal trend toward association with progression (P=0.045) in univariate analysis, while neither anterior nor posterior elevation remained its association with progression in multivariate analysis. Instead, IHD (OR=91.55, P=0.003), IVA (OR=3.42, P=0.003) and ISV (OR=1.01, P=0.003) demonstrated strong correlation with progression. Additionally, a shorter distance between the thinnest and steepest point was significantly associated with higher progression risk (P=0.029).",
        "Conclusions": "In this East Asian cohort, single baseline elevation values exhibited no significant association with keratoconus progression. Rather, localized morphological asymmetry and focal apex decentration (notably IHD and IVA) demonstrated robust correlation with keratoconus progression. Clinicians should prioritize monitoring these asymmetric indices and focal apex coincidences to facilitate early identification and timely intervention for progressive keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "PP05.13",
      "abstract_number": "PP05.13",
      "title": "Longitudinal Changes In Anterior And Posterior Corneal Densitometry After Standard And Accelerated Epithelium-Off Corneal Cross-Linking",
      "authors": "Prof. Eray Atalay",
      "presenter": "Prof. Eray Atalay",
      "normalized_authors": [
        "Eray Atalay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eray Atalay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare anterior and posterior corneal densitometry changes over time following standard Dresden and two accelerated epithelium-off corneal cross-linking (CXL) protocols.",
        "Setting": "Cornea Clinics of Eskisehir Osmangazi University Hospital",
        "Methods": "Corneal densitometry was measured from Scheimpflug images using a custom analysis approach that standardized image regions and separately quantified light scatter in the anterior one-third and posterior two-thirds of the cornea across four concentric zones within the central 0–3 mm. Epithelium-off CXL (EMAGine AG, Zug, Switzerland) was performed using the standard Dresden protocol (Dresden) or accelerated protocols at 9 mW/cm² delivering 5.4 J/cm² over 10 minutes (Accel-5.4) or 7.2 J/cm² over 13 minutes and 12 seconds (Accel-7.2). Between-group differences were assessed using Kruskal–Wallis tests with Holm-adjusted Wilcoxon post hoc comparisons, and longitudinal changes were analyzed using linear mixed-effects models.",
        "Results": "A total of 30 eyes (mean age 23.4 ± 5.4 years; 80% male) underwent Dresden (n = 10), Accel-5.4 (n = 11), or Accel-7.2 (n = 9) CXL. No between-group differences were observed in anterior one-third corneal densitometry at any visit (p > 0.05). Posterior densitometry showed significant differences at Month 3 in the 0.0–0.5, 1.0–2.0, and 2.0–3.0 mm rings, with higher values after Dresden compared with Accel-5.4 (adjusted p = 0.037, 0.010, and 0.016), persisting at Month 6 in the 2.0–3.0 mm ring (p = 0.031). Accelerated protocols did not differ. Anterior densitometry returned to baseline by Month 6 only after Accel-5.4, whereas posterior densitometry remained elevated centrally (0–2 mm) for all protocols.",
        "Conclusions": "Lower-energy accelerated epithelium-off CXL was associated with earlier normalization of anterior corneal densitometry, whereas higher-energy accelerated and standard protocols showed more persistent anterior stromal changes. Posterior corneal densitometry exhibited sustained alterations across all protocols, with recovery limited to the peripheral posterior stroma following lower-energy accelerated treatment. These findings indicate that corneal densitometry changes after CXL vary according to treatment protocol, stromal depth, and corneal region."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lower-energy accelerated epithelium-off CXL was associated with earlier normalization of anterior corneal densitometry, whereas higher-energy accelerated and standard protocols showed more persistent anterior stromal changes. Posterior corneal densitometry exhibited sustained alterations across all protocols, with recovery limited to the peripheral posterior stroma following lower-energy accelerated treatment.…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 87,
      "source_fields": {
        "Abstract Final Identifier": "PP05.13",
        "Title": "Longitudinal Changes In Anterior And Posterior Corneal Densitometry After Standard And Accelerated Epithelium-Off Corneal Cross-Linking",
        "Presenting Author(s)": "Prof. Eray Atalay",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Eray",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Atalay",
        "Country Name": "Türkiye",
        "Purpose": "To compare anterior and posterior corneal densitometry changes over time following standard Dresden and two accelerated epithelium-off corneal cross-linking (CXL) protocols.",
        "Setting": "Cornea Clinics of Eskisehir Osmangazi University Hospital",
        "Methods": "Corneal densitometry was measured from Scheimpflug images using a custom analysis approach that standardized image regions and separately quantified light scatter in the anterior one-third and posterior two-thirds of the cornea across four concentric zones within the central 0–3 mm. Epithelium-off CXL (EMAGine AG, Zug, Switzerland) was performed using the standard Dresden protocol (Dresden) or accelerated protocols at 9 mW/cm² delivering 5.4 J/cm² over 10 minutes (Accel-5.4) or 7.2 J/cm² over 13 minutes and 12 seconds (Accel-7.2). Between-group differences were assessed using Kruskal–Wallis tests with Holm-adjusted Wilcoxon post hoc comparisons, and longitudinal changes were analyzed using linear mixed-effects models.",
        "Results": "A total of 30 eyes (mean age 23.4 ± 5.4 years; 80% male) underwent Dresden (n = 10), Accel-5.4 (n = 11), or Accel-7.2 (n = 9) CXL. No between-group differences were observed in anterior one-third corneal densitometry at any visit (p > 0.05). Posterior densitometry showed significant differences at Month 3 in the 0.0–0.5, 1.0–2.0, and 2.0–3.0 mm rings, with higher values after Dresden compared with Accel-5.4 (adjusted p = 0.037, 0.010, and 0.016), persisting at Month 6 in the 2.0–3.0 mm ring (p = 0.031). Accelerated protocols did not differ. Anterior densitometry returned to baseline by Month 6 only after Accel-5.4, whereas posterior densitometry remained elevated centrally (0–2 mm) for all protocols.",
        "Conclusions": "Lower-energy accelerated epithelium-off CXL was associated with earlier normalization of anterior corneal densitometry, whereas higher-energy accelerated and standard protocols showed more persistent anterior stromal changes. Posterior corneal densitometry exhibited sustained alterations across all protocols, with recovery limited to the peripheral posterior stroma following lower-energy accelerated treatment. These findings indicate that corneal densitometry changes after CXL vary according to treatment protocol, stromal depth, and corneal region."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 332
    },
    {
      "uid": "PP05.14",
      "abstract_number": "PP05.14",
      "title": "Comparison Of Microperimetric Parameters And Contrast Sensitivity Between Keratoconus Patients And Healthy Individuals",
      "authors": "Dr Furkan Işık",
      "presenter": "Dr Furkan Işık",
      "normalized_authors": [
        "Furkan Işık"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Elbay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare retinal sensitivity, fixation characteristics, fixation stability, and contrast sensitivity between patients with keratoconus and age-matched healthy individuals using microperimetry. Although keratoconus primarily affects corneal biomechanics and optical quality, its possible influence on macular functional performance remains unclear. This study aimed to investigate whether visual quality deterioration in keratoconus is associated with alterations in retinal sensitivity and fixation behavior independent of age-related differences.",
        "Setting": "This study was conducted at a tertiary referral ophthalmology center specializing in corneal diseases. Patients diagnosed with keratoconus and healthy volunteers underwent standardized ophthalmologic evaluation including microperimetry and contrast sensitivity testing under uniform examination conditions.",
        "Methods": "Thirty-two eyes with keratoconus and twenty-six eyes of age-matched healthy subjects were included. All participants underwent comprehensive ophthalmologic examination. Retinal sensitivity and fixation parameters were evaluated using microperimetry with the MP-1 microperimeter (Nidek Technologies, Padova, Italy). Contrast sensitivity was assessed using the Pelli-Robson chart under standardized photopic conditions. Mean retinal sensitivity at 2°, 6°, and 10° eccentricities, fixation points, and fixation stability indices (BCEA) were analyzed. Intergroup comparisons were performed using independent t-test or Mann–Whitney U test according to data distribution.",
        "Results": "Contrast sensitivity was significantly lower in the keratoconus group compared with controls (p=0.012). Mean retinal sensitivity values at 2°, 6°, and 10° showed no statistically significant differences between groups. However, fixation performance was reduced in keratoconus patients, demonstrated by lower fixation point percentages at 2° and 4° areas (p=0.015 and p=0.050). Fixation stability analysis revealed significantly larger BCEA values at all confidence intervals in the keratoconus group, indicating poorer fixation stability (p<0.05).",
        "Conclusions": "Keratoconus patients exhibit decreased contrast sensitivity and impaired fixation stability despite relatively preserved retinal sensitivity. These findings suggest that visual dysfunction in keratoconus is mainly related to optical degradation affecting fixation control rather than macular sensitivity loss. Microperimetric evaluation may provide additional functional insight beyond conventional visual acuity measurements in patients with keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Keratoconus patients exhibit decreased contrast sensitivity and impaired fixation stability despite relatively preserved retinal sensitivity. These findings suggest that visual dysfunction in keratoconus is mainly related to optical degradation affecting fixation control rather than macular sensitivity loss. Microperimetric evaluation may provide additional functional insight beyond conventional visual acuity…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 88,
      "source_fields": {
        "Abstract Final Identifier": "PP05.14",
        "Title": "Comparison Of Microperimetric Parameters And Contrast Sensitivity Between Keratoconus Patients And Healthy Individuals",
        "Presenting Author(s)": "Dr Furkan Işık",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elbay",
        "Country Name": "Türkiye",
        "Purpose": "To compare retinal sensitivity, fixation characteristics, fixation stability, and contrast sensitivity between patients with keratoconus and age-matched healthy individuals using microperimetry. Although keratoconus primarily affects corneal biomechanics and optical quality, its possible influence on macular functional performance remains unclear. This study aimed to investigate whether visual quality deterioration in keratoconus is associated with alterations in retinal sensitivity and fixation behavior independent of age-related differences.",
        "Setting": "This study was conducted at a tertiary referral ophthalmology center specializing in corneal diseases. Patients diagnosed with keratoconus and healthy volunteers underwent standardized ophthalmologic evaluation including microperimetry and contrast sensitivity testing under uniform examination conditions.",
        "Methods": "Thirty-two eyes with keratoconus and twenty-six eyes of age-matched healthy subjects were included. All participants underwent comprehensive ophthalmologic examination. Retinal sensitivity and fixation parameters were evaluated using microperimetry with the MP-1 microperimeter (Nidek Technologies, Padova, Italy). Contrast sensitivity was assessed using the Pelli-Robson chart under standardized photopic conditions. Mean retinal sensitivity at 2°, 6°, and 10° eccentricities, fixation points, and fixation stability indices (BCEA) were analyzed. Intergroup comparisons were performed using independent t-test or Mann–Whitney U test according to data distribution.",
        "Results": "Contrast sensitivity was significantly lower in the keratoconus group compared with controls (p=0.012). Mean retinal sensitivity values at 2°, 6°, and 10° showed no statistically significant differences between groups. However, fixation performance was reduced in keratoconus patients, demonstrated by lower fixation point percentages at 2° and 4° areas (p=0.015 and p=0.050). Fixation stability analysis revealed significantly larger BCEA values at all confidence intervals in the keratoconus group, indicating poorer fixation stability (p<0.05).",
        "Conclusions": "Keratoconus patients exhibit decreased contrast sensitivity and impaired fixation stability despite relatively preserved retinal sensitivity. These findings suggest that visual dysfunction in keratoconus is mainly related to optical degradation affecting fixation control rather than macular sensitivity loss. Microperimetric evaluation may provide additional functional insight beyond conventional visual acuity measurements in patients with keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "PP05.15",
      "abstract_number": "PP05.15",
      "title": "Ultraviolet Laser Engraving For Thermally Neutral Preparation Of Corneal Allogenic Intrastromal Ring Segments – An Ex Vivo Proof-Of-Concept",
      "authors": "Dr Omar Alabbasi",
      "presenter": "Dr Omar Alabbasi",
      "normalized_authors": [
        "Omar Alabbasi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Omar Alabbasi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Building on our previously published diode engraving laser method for low-cost preparation of corneal allogenic intrastromal ring segments (CAIRS), we introduce a next-generation approach employing an ultraviolet (UV) laser for “cold-light” photoablation of donor corneal tissue applicable not only to CAIRS fabrication but also to lamellar keratoplasty. Unlike continuous-wave visible diode lasers that generate a narrow peripheral thermal rim, short-wavelength UV irradiation enables precise stromal dissection through predominantly photochemical mechanisms with minimal heat diffusion.",
        "Setting": "Preclinical ex vivo laboratory study performed on human donor corneas unsuitable for transplantation, obtained from a certified eye bank. Tissue preparation and UV laser photoablation were conducted under controlled laboratory conditions. No live implantation or clinical intervention was performed.",
        "Methods": "Human donor corneas unsuitable for transplantation were obtained from an eye bank, stored in Optisol-GS, and equilibrated to room temperature. Epithelium and Descemet’s membrane were removed, and controlled dehydration (30–60 min) was performed. A computer-guided 355-nm pulsed UV laser enabled line-by-line cold photoablation below photocoagulation thresholds. Stromal rings (6.0 mm inner, 8.0 mm outer diameter, 1.0 mm width) were created and bisected into CAIRS segments. Lamellar discs (~8.0 mm) were similarly trephined. Gross and histologic evaluation assessed edge quality and thermal effects. No live or clinical implantation was performed in this preliminary stage.",
        "Results": "UV laser engraving successfully generated uniform stromal ring segments from all donor corneas without mechanical tearing or edge irregularities. no evidence of subsurface heat-induced coagulation zones. In contrast to the mild brown discoloration occasionally observed at the margins of blue-diode laser cuts, the UV-engraved segments showed no visible pigmentation or tissue shrinkage. The engraved edges maintained a translucent appearance with sharply preserved lamellar structure. The workflow was comparable to the diode method in setup and duration, yet achieving cleaner tissue margins. Segments were semi-rigid and easily handled following air-drying.",
        "Conclusions": "This technique not only advances CAIRS fabrication but may also be adapted as a low-cost, cold-light platform for lamellar keratoplasty, offering highly controlled stromal layer separation with minimal thermal damage."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This technique not only advances CAIRS fabrication but may also be adapted as a low-cost, cold-light platform for lamellar keratoplasty, offering highly controlled stromal layer separation with minimal thermal damage.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 89,
      "source_fields": {
        "Abstract Final Identifier": "PP05.15",
        "Title": "Ultraviolet Laser Engraving For Thermally Neutral Preparation Of Corneal Allogenic Intrastromal Ring Segments – An Ex Vivo Proof-Of-Concept",
        "Presenting Author(s)": "Dr Omar Alabbasi",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Omar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alabbasi",
        "Country Name": "Saudi Arabia",
        "Purpose": "Building on our previously published diode engraving laser method for low-cost preparation of corneal allogenic intrastromal ring segments (CAIRS), we introduce a next-generation approach employing an ultraviolet (UV) laser for “cold-light” photoablation of donor corneal tissue applicable not only to CAIRS fabrication but also to lamellar keratoplasty. Unlike continuous-wave visible diode lasers that generate a narrow peripheral thermal rim, short-wavelength UV irradiation enables precise stromal dissection through predominantly photochemical mechanisms with minimal heat diffusion.",
        "Setting": "Preclinical ex vivo laboratory study performed on human donor corneas unsuitable for transplantation, obtained from a certified eye bank. Tissue preparation and UV laser photoablation were conducted under controlled laboratory conditions. No live implantation or clinical intervention was performed.",
        "Methods": "Human donor corneas unsuitable for transplantation were obtained from an eye bank, stored in Optisol-GS, and equilibrated to room temperature. Epithelium and Descemet’s membrane were removed, and controlled dehydration (30–60 min) was performed. A computer-guided 355-nm pulsed UV laser enabled line-by-line cold photoablation below photocoagulation thresholds. Stromal rings (6.0 mm inner, 8.0 mm outer diameter, 1.0 mm width) were created and bisected into CAIRS segments. Lamellar discs (~8.0 mm) were similarly trephined. Gross and histologic evaluation assessed edge quality and thermal effects. No live or clinical implantation was performed in this preliminary stage.",
        "Results": "UV laser engraving successfully generated uniform stromal ring segments from all donor corneas without mechanical tearing or edge irregularities. no evidence of subsurface heat-induced coagulation zones. In contrast to the mild brown discoloration occasionally observed at the margins of blue-diode laser cuts, the UV-engraved segments showed no visible pigmentation or tissue shrinkage. The engraved edges maintained a translucent appearance with sharply preserved lamellar structure. The workflow was comparable to the diode method in setup and duration, yet achieving cleaner tissue margins. Segments were semi-rigid and easily handled following air-drying.",
        "Conclusions": "This technique not only advances CAIRS fabrication but may also be adapted as a low-cost, cold-light platform for lamellar keratoplasty, offering highly controlled stromal layer separation with minimal thermal damage."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "PP06.01",
      "abstract_number": "PP06.01",
      "title": "Comparison Of Intraocular Lens Stability According To Haptic Design And Insertion Orientation In Monofocal Intraocular Lenses",
      "authors": "A/Prof. Kookyoung Kim",
      "presenter": "A/Prof. Kookyoung Kim",
      "normalized_authors": [
        "Kookyoung Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kookyoung Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "This study aimed to analyze factors affecting postoperative stability of monofocal intraocular lenses (IOLs) with different haptic designs. We compared IOL stability and clinical outcomes between the four-looped haptic Artis® and the C-loop haptic Clareon® IOLs according to insertion orientation (vertical vs. horizontal).",
        "Setting": "Single-center, retrospective, comparative study.",
        "Methods": "A total of 116 eyes were retrospectively analyzed: 30 eyes with vertical and 29 eyes with horizontal insertion of Clareon®, and 31 eyes with vertical and 26 eyes with horizontal insertion of Artis®. Groups were classified by IOL type (Artis® vs. Clareon®) and insertion orientation (vertical vs. horizontal). IOL stability parameters including decentration, tilt, and anterior chamber depth (ACD) changes were measured using swept-source optical coherence tomography (SS-OCT). Additionally, the associations between clinical and anatomical factors and IOL stability were analyzed.",
        "Results": "IOL decentration was significantly greater with vertical insertion (mean 0.25 mm) compared to horizontal insertion (mean 0.18 mm) (p = 0.00253). Clareon® demonstrated greater decentration than Artis® (p = 0.019). Multivariate regression analysis revealed that the change in IOL decentration was significantly associated with preoperative decentration status (β = 0.59, p = 0.0029) and vertical insertion orientation (β = 0.09, p = 0.0017). Greater tilt change (Q3 = 2.17°) was associated with larger changes in ACD (cut-off: 1.985 mm) and nasal anterior chamber angle (cut-off: 24.25°).",
        "Conclusions": "Vertical insertion of IOLs resulted in greater decentration, which may be attributed to the anatomical characteristics wherein the angle-to-angle (ATA) and spur-to-spur (STS) distances are greater in the vertical meridian than in the horizontal meridian. Furthermore, our findings suggest that in eyes with lower initial crystalline lens positional stability, decentration may be more pronounced depending on specific haptic designs and insertion orientations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vertical insertion of IOLs resulted in greater decentration, which may be attributed to the anatomical characteristics wherein the angle-to-angle (ATA) and spur-to-spur (STS) distances are greater in the vertical meridian than in the horizontal meridian. Furthermore, our findings suggest that in eyes with lower initial crystalline lens positional stability, decentration may be more pronounced depending on specific…",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 90,
      "source_fields": {
        "Abstract Final Identifier": "PP06.01",
        "Title": "Comparison Of Intraocular Lens Stability According To Haptic Design And Insertion Orientation In Monofocal Intraocular Lenses",
        "Presenting Author(s)": "A/Prof. Kookyoung Kim",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Kookyoung",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "This study aimed to analyze factors affecting postoperative stability of monofocal intraocular lenses (IOLs) with different haptic designs. We compared IOL stability and clinical outcomes between the four-looped haptic Artis® and the C-loop haptic Clareon® IOLs according to insertion orientation (vertical vs. horizontal).",
        "Setting": "Single-center, retrospective, comparative study.",
        "Methods": "A total of 116 eyes were retrospectively analyzed: 30 eyes with vertical and 29 eyes with horizontal insertion of Clareon®, and 31 eyes with vertical and 26 eyes with horizontal insertion of Artis®. Groups were classified by IOL type (Artis® vs. Clareon®) and insertion orientation (vertical vs. horizontal). IOL stability parameters including decentration, tilt, and anterior chamber depth (ACD) changes were measured using swept-source optical coherence tomography (SS-OCT). Additionally, the associations between clinical and anatomical factors and IOL stability were analyzed.",
        "Results": "IOL decentration was significantly greater with vertical insertion (mean 0.25 mm) compared to horizontal insertion (mean 0.18 mm) (p = 0.00253). Clareon® demonstrated greater decentration than Artis® (p = 0.019). Multivariate regression analysis revealed that the change in IOL decentration was significantly associated with preoperative decentration status (β = 0.59, p = 0.0029) and vertical insertion orientation (β = 0.09, p = 0.0017). Greater tilt change (Q3 = 2.17°) was associated with larger changes in ACD (cut-off: 1.985 mm) and nasal anterior chamber angle (cut-off: 24.25°).",
        "Conclusions": "Vertical insertion of IOLs resulted in greater decentration, which may be attributed to the anatomical characteristics wherein the angle-to-angle (ATA) and spur-to-spur (STS) distances are greater in the vertical meridian than in the horizontal meridian. Furthermore, our findings suggest that in eyes with lower initial crystalline lens positional stability, decentration may be more pronounced depending on specific haptic designs and insertion orientations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 280
    },
    {
      "uid": "PP06.16",
      "abstract_number": "PP06.16",
      "title": "Rotational Stability Of An Advanced-Optic Toric Iol Implanted Using Cohesive Ovds Versus Balanced Salt Solution: A Prospective Contralateral Study",
      "authors": "Prof. Dr Ahmed Assaf",
      "presenter": "Prof. Dr Ahmed Assaf",
      "normalized_authors": [
        "Ahmed Assaf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Assaf",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To compare the postoperative rotational stability of the Eyhance Toric II intraocular lens when implanted using cohesive ophthalmic viscosurgical devices (OVDs) versus balanced salt solution in a paired-eye design, and to determine whether the implantation medium influences final IOL alignment.",
        "Setting": "Prospective Contralateral Study at Ain Shams University and Watany Eye Hospital, Cairo, Egypt",
        "Methods": "This prospective paired-eye study included patients undergoing bilateral cataract surgery with Eyhance Toric II IOLs. In each patient, one eye was implanted with a cohesive OVD, while the fellow eye was implanted with BSS to achieve a cleaner capsular bag environment. Random assignment of OVD or BSS for implantation was determined via a coin toss. Two groups were identified: OVD and BSS groups. Rotational stability was measured using ray-tracing aberrometry at 1 week, 1 month, and 3 months postoperatively. Additional study parameters included postoperative refractive astigmatism, uncorrected distance visual acuity (UDVA), and corrected distance visual acuity (CDVA) at three months postoperatively.",
        "Results": "Each group consisted of 80 eyes. The mean age of the patients was 67 ± 9.5 years. During surgery, greater difficulty was encountered when manipulating the IOL to the desired axis in the BSS group. One week after surgery, the mean IOL rotation was 1.4 ± 1.6 degrees in the OVD group and 1.7 ± 1.8 degrees in the BSS group, respectively (P>0.05). No statistically significant IOL rotation was observed at subsequent follow-up visits one month and three months. Postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and residual refractive astigmatism were comparable between the two groups without statistically significant differences.",
        "Conclusions": "Rotational Stability of the Tecnis Eyhance Toric II IOL was independent of capsular bag implantation medium. Cohesive OVD improved intraoperative alignment control without affecting postoperative stability or visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Rotational Stability of the Tecnis Eyhance Toric II IOL was independent of capsular bag implantation medium. Cohesive OVD improved intraoperative alignment control without affecting postoperative stability or visual outcomes.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 91,
      "source_fields": {
        "Abstract Final Identifier": "PP06.16",
        "Title": "Rotational Stability Of An Advanced-Optic Toric Iol Implanted Using Cohesive Ovds Versus Balanced Salt Solution: A Prospective Contralateral Study",
        "Presenting Author(s)": "Prof. Dr Ahmed Assaf",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Assaf",
        "Country Name": "Egypt",
        "Purpose": "To compare the postoperative rotational stability of the Eyhance Toric II intraocular lens when implanted using cohesive ophthalmic viscosurgical devices (OVDs) versus balanced salt solution in a paired-eye design, and to determine whether the implantation medium influences final IOL alignment.",
        "Setting": "Prospective Contralateral Study at Ain Shams University and Watany Eye Hospital, Cairo, Egypt",
        "Methods": "This prospective paired-eye study included patients undergoing bilateral cataract surgery with Eyhance Toric II IOLs. In each patient, one eye was implanted with a cohesive OVD, while the fellow eye was implanted with BSS to achieve a cleaner capsular bag environment. Random assignment of OVD or BSS for implantation was determined via a coin toss. Two groups were identified: OVD and BSS groups. Rotational stability was measured using ray-tracing aberrometry at 1 week, 1 month, and 3 months postoperatively. Additional study parameters included postoperative refractive astigmatism, uncorrected distance visual acuity (UDVA), and corrected distance visual acuity (CDVA) at three months postoperatively.",
        "Results": "Each group consisted of 80 eyes. The mean age of the patients was 67 ± 9.5 years. During surgery, greater difficulty was encountered when manipulating the IOL to the desired axis in the BSS group. One week after surgery, the mean IOL rotation was 1.4 ± 1.6 degrees in the OVD group and 1.7 ± 1.8 degrees in the BSS group, respectively (P>0.05). No statistically significant IOL rotation was observed at subsequent follow-up visits one month and three months. Postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and residual refractive astigmatism were comparable between the two groups without statistically significant differences.",
        "Conclusions": "Rotational Stability of the Tecnis Eyhance Toric II IOL was independent of capsular bag implantation medium. Cohesive OVD improved intraoperative alignment control without affecting postoperative stability or visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "PP06.017",
      "abstract_number": "PP06.017",
      "title": "Patient-Specific Eye Modelling By Matching Clinical Topographic Data With Ray-Tracing Simulation And Partial-Range Of Field Intraocular Lens Geometry",
      "authors": "Catarina Praefke Coutinho",
      "presenter": "Catarina Praefke Coutinho",
      "normalized_authors": [
        "Catarina Praefke Coutinho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Martina Vacalebre",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To customize eye models using patient-specific topography and biometry, and to compare clinical visual outcomes with ray-tracing simulations.",
        "Setting": "Institute of Optics, Consejo Superior de Investigaciones Científicas (IO-CSIC), Madrid, Spain; Studio Oculistico d’Azeglio, Bologna, Italy.",
        "Methods": "Pre and post-op corneal elevation maps from 20 patients implanted with partial-range of field EVOLUX (SIFI SpA, Catania, Italy) intraocular lens (IOL) were recorded with Pentacam Wave AXL biometer (Oculus, Germany) and imported into MatLab (MathWorks, USA). A custom algorithm was developed to compute the corneal wavefront of both anterior and posterior corneal surfaces and to export it to Ansys Zemax OpticStudio software (Ansys, USA) for ray tracing analysis. Patient-specific eye models were created on Zemax and the IOL geometry corresponding to the implanted IOL powers was inserted. The optical quality, described in terms of Visual Strehl Optical Transfer Function (VSOTF), was carried out at 2mm, 3mm, 4mm and 5mm pupil sizes.",
        "Results": "Pre-operative corneal astigmatism and spherical aberration averaged −0.51 ± 0.23 D and 0.31 ± 0.17 µm (6-mm pupil), with no significant post-op changes in corneal Zernike coefficients. All patient-specific eye models combined with EVOLUX IOL showed a simulated depth of focus (DoF) ranging between 1.00 D and 1.75 D at 4 mm pupil and between 2.00 D and 3.00 D at 3 mm pupil. This result is validated by the average clinical defocus curve, where the recorded DoF, in terms of range over which the mean visual acuity is 0.2 logMAR or better, was 1.50 D. It can be noted that the best results in terms of larger extension of DoF and higher intensity of VSOTF peak corresponded to eyes with higher positive corneal spherical aberrations.",
        "Conclusions": "EVOLUX IOL proves to be suitable for a broad range of patients, offering them the advantage of a greater depth of field than that of a standard monofocal lens. Ray-tracing simulation is a useful tool to evaluate the interaction between corneal topographic data and IOL design in order to predict the clinical outcome before implantation. The results of this study will be used as baseline to evaluate the possible outcomes with more complicated cases, such as patients who have previously undergone refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "EVOLUX IOL proves to be suitable for a broad range of patients, offering them the advantage of a greater depth of field than that of a standard monofocal lens. Ray-tracing simulation is a useful tool to evaluate the interaction between corneal topographic data and IOL design in order to predict the clinical outcome before implantation. The results of this study will be used as baseline to evaluate the possible…",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 92,
      "source_fields": {
        "Abstract Final Identifier": "PP06.017",
        "Title": "Patient-Specific Eye Modelling By Matching Clinical Topographic Data With Ray-Tracing Simulation And Partial-Range Of Field Intraocular Lens Geometry",
        "Presenting Author(s)": "Catarina Praefke Coutinho",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Martina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vacalebre",
        "Country Name": "Italy",
        "Purpose": "To customize eye models using patient-specific topography and biometry, and to compare clinical visual outcomes with ray-tracing simulations.",
        "Setting": "Institute of Optics, Consejo Superior de Investigaciones Científicas (IO-CSIC), Madrid, Spain; Studio Oculistico d’Azeglio, Bologna, Italy.",
        "Methods": "Pre and post-op corneal elevation maps from 20 patients implanted with partial-range of field EVOLUX (SIFI SpA, Catania, Italy) intraocular lens (IOL) were recorded with Pentacam Wave AXL biometer (Oculus, Germany) and imported into MatLab (MathWorks, USA). A custom algorithm was developed to compute the corneal wavefront of both anterior and posterior corneal surfaces and to export it to Ansys Zemax OpticStudio software (Ansys, USA) for ray tracing analysis. Patient-specific eye models were created on Zemax and the IOL geometry corresponding to the implanted IOL powers was inserted. The optical quality, described in terms of Visual Strehl Optical Transfer Function (VSOTF), was carried out at 2mm, 3mm, 4mm and 5mm pupil sizes.",
        "Results": "Pre-operative corneal astigmatism and spherical aberration averaged −0.51 ± 0.23 D and 0.31 ± 0.17 µm (6-mm pupil), with no significant post-op changes in corneal Zernike coefficients. All patient-specific eye models combined with EVOLUX IOL showed a simulated depth of focus (DoF) ranging between 1.00 D and 1.75 D at 4 mm pupil and between 2.00 D and 3.00 D at 3 mm pupil. This result is validated by the average clinical defocus curve, where the recorded DoF, in terms of range over which the mean visual acuity is 0.2 logMAR or better, was 1.50 D. It can be noted that the best results in terms of larger extension of DoF and higher intensity of VSOTF peak corresponded to eyes with higher positive corneal spherical aberrations.",
        "Conclusions": "EVOLUX IOL proves to be suitable for a broad range of patients, offering them the advantage of a greater depth of field than that of a standard monofocal lens. Ray-tracing simulation is a useful tool to evaluate the interaction between corneal topographic data and IOL design in order to predict the clinical outcome before implantation. The results of this study will be used as baseline to evaluate the possible outcomes with more complicated cases, such as patients who have previously undergone refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 363
    },
    {
      "uid": "PP06.018",
      "abstract_number": "PP06.018",
      "title": "Hope For Cataract Patients With Macular Degeneration",
      "authors": "Prof. Dr Christina Grupcheva*",
      "presenter": "Prof. Dr Christina Grupcheva*",
      "normalized_authors": [
        "Christina Grupcheva*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christina Grupcheva*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Bulgaria",
      "sections": {
        "Purpose": "Purpose: The goal of this case series is to evaluate the effect of parafoveal focusing intraocular lens in patients with macular damage. Forming a surogate macula is a complex issue, depending on structural damage, neuroadaptation, effects of the optical device.",
        "Setting": "Real life clinical setting.",
        "Methods": "Methods: A prospective evaluation of 7 subjects 10 eyes, who were preop evaluated for at least 5 years and/or treated for their macular problem. All subjects were diagnosed with visually significant cataract , that was with documented profression . They were offered cataract surgery with specially designed lens to focus on extended macular area and operated with classical phacoemulsification technique. The postoperative result was planned with 1.5 Dpt of hypeopia to achieve further image enlargement.",
        "Results": "Results: The preoperative visual acuity was from perception of light to 0.04 (maximum 5 ETDRS letters). All surgeries were uneventful and the visual acuity increased with minimum of 4 letters for all subjects. The best result was in one bilateral case where the binocular vison was 0.4. Subjectively all of the patioents reported improvement and increasing independence in their everday lif, one month after surgery.",
        "Conclusions": "Conclusion : Macular deterioration is a more oftenly faced problem in ophthalmic practice today . Optical means like the aforementioned lens are a feasible option to develop a surrogate macula. The practitioners however must be aware that neuroadaptation plays a significant role and they might be patiens with limited benefits from this approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusion : Macular deterioration is a more oftenly faced problem in ophthalmic practice today . Optical means like the aforementioned lens are a feasible option to develop a surrogate macula. The practitioners however must be aware that neuroadaptation plays a significant role and they might be patiens with limited benefits from this approach.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 93,
      "source_fields": {
        "Abstract Final Identifier": "PP06.018",
        "Title": "Hope For Cataract Patients With Macular Degeneration",
        "Presenting Author(s)": "Prof. Dr Christina Grupcheva*",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Christina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Grupcheva*",
        "Country Name": "Bulgaria",
        "Purpose": "Purpose: The goal of this case series is to evaluate the effect of parafoveal focusing intraocular lens in patients with macular damage. Forming a surogate macula is a complex issue, depending on structural damage, neuroadaptation, effects of the optical device.",
        "Setting": "Real life clinical setting.",
        "Methods": "Methods: A prospective evaluation of 7 subjects 10 eyes, who were preop evaluated for at least 5 years and/or treated for their macular problem. All subjects were diagnosed with visually significant cataract , that was with documented profression . They were offered cataract surgery with specially designed lens to focus on extended macular area and operated with classical phacoemulsification technique. The postoperative result was planned with 1.5 Dpt of hypeopia to achieve further image enlargement.",
        "Results": "Results: The preoperative visual acuity was from perception of light to 0.04 (maximum 5 ETDRS letters). All surgeries were uneventful and the visual acuity increased with minimum of 4 letters for all subjects. The best result was in one bilateral case where the binocular vison was 0.4. Subjectively all of the patioents reported improvement and increasing independence in their everday lif, one month after surgery.",
        "Conclusions": "Conclusion : Macular deterioration is a more oftenly faced problem in ophthalmic practice today . Optical means like the aforementioned lens are a feasible option to develop a surrogate macula. The practitioners however must be aware that neuroadaptation plays a significant role and they might be patiens with limited benefits from this approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "PP06.02",
      "abstract_number": "PP06.02",
      "title": "Association Between Pseudoaccommodation Measured With The Salzburg Reading Desk Versus The Reading Chart In Pseudophakic Patients",
      "authors": "Prof. Mayank Nanavaty",
      "presenter": "Prof. Mayank Nanavaty",
      "normalized_authors": [
        "Mayank Nanavaty"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mayank Nanavaty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess pseudoaccommodation incidence and contributing factors in pseudophakic eyes implanted with spherically neutral monofocal intraocular lenses (IOLs) when reading is assessed with printed charts versus backlit screen.",
        "Setting": "Universtiy Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom.",
        "Methods": "Prospective, non-randomized, single-eye cohort study of >50 years undergoing monofocal IOL implantation for cataract surgery. Uncorrected near visual acuity (UCNVA) was measured at 1 and 3–9 months postoperatively using both the Precision Vision Chart and the Salzburg Reading Desk (SRD) screen. Comprehensive assessments included visual acuity, biometry, wavefront aberrometry, pupil size, and macular thickness. Primary outcome: pseudoaccommodation (uncorrected distance visual acuity ≥20/40 and UCNVA ≤0.3 LogMAR). Secondary outcomes assessed factors associated with pseudoaccommodation, including age, visual acuity, preoperative biometry, spherical equivalent, pupil size, total spherical aberration, vertical coma, and macular thickness.",
        "Results": "Of 412 patients, 301 had complete data. Pseudoaccommodation occurred in 21 patients (6.9%) with printed charts versus 29 patients (9.6%) with SRD, with only 9 patients in both groups. Multivariable analysis revealed total spherical aberration as the only significant predictor of chart-based pseudoaccommodation (OR=3.3×10⁻⁶, p=0.02). For SRD-based pseudoaccommodation, significant predictors included spherical equivalent (OR=0.49, p=0.01), preoperative axial length (OR=0.62, p=0.02), spherical aberration (OR=1.0×10⁻⁵, p=0.01), and mesopic pupil size (OR=0.41, p=0.01).",
        "Conclusions": "Pseudoaccommodation is multifactorial, with ambient lighting significantly affecting its incidence and predictive factors. Spherical aberration was the sole predictor for printed chart reading, while multiple factors influenced screen-based reading performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pseudoaccommodation is multifactorial, with ambient lighting significantly affecting its incidence and predictive factors. Spherical aberration was the sole predictor for printed chart reading, while multiple factors influenced screen-based reading performance.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 94,
      "source_fields": {
        "Abstract Final Identifier": "PP06.02",
        "Title": "Association Between Pseudoaccommodation Measured With The Salzburg Reading Desk Versus The Reading Chart In Pseudophakic Patients",
        "Presenting Author(s)": "Prof. Mayank Nanavaty",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Mayank",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nanavaty",
        "Country Name": "United Kingdom",
        "Purpose": "To assess pseudoaccommodation incidence and contributing factors in pseudophakic eyes implanted with spherically neutral monofocal intraocular lenses (IOLs) when reading is assessed with printed charts versus backlit screen.",
        "Setting": "Universtiy Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom.",
        "Methods": "Prospective, non-randomized, single-eye cohort study of >50 years undergoing monofocal IOL implantation for cataract surgery. Uncorrected near visual acuity (UCNVA) was measured at 1 and 3–9 months postoperatively using both the Precision Vision Chart and the Salzburg Reading Desk (SRD) screen. Comprehensive assessments included visual acuity, biometry, wavefront aberrometry, pupil size, and macular thickness. Primary outcome: pseudoaccommodation (uncorrected distance visual acuity ≥20/40 and UCNVA ≤0.3 LogMAR). Secondary outcomes assessed factors associated with pseudoaccommodation, including age, visual acuity, preoperative biometry, spherical equivalent, pupil size, total spherical aberration, vertical coma, and macular thickness.",
        "Results": "Of 412 patients, 301 had complete data. Pseudoaccommodation occurred in 21 patients (6.9%) with printed charts versus 29 patients (9.6%) with SRD, with only 9 patients in both groups. Multivariable analysis revealed total spherical aberration as the only significant predictor of chart-based pseudoaccommodation (OR=3.3×10⁻⁶, p=0.02). For SRD-based pseudoaccommodation, significant predictors included spherical equivalent (OR=0.49, p=0.01), preoperative axial length (OR=0.62, p=0.02), spherical aberration (OR=1.0×10⁻⁵, p=0.01), and mesopic pupil size (OR=0.41, p=0.01).",
        "Conclusions": "Pseudoaccommodation is multifactorial, with ambient lighting significantly affecting its incidence and predictive factors. Spherical aberration was the sole predictor for printed chart reading, while multiple factors influenced screen-based reading performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 257
    },
    {
      "uid": "PP06.03",
      "abstract_number": "PP06.03",
      "title": "Pupil Size As A Predictor Of Visual Outcomes With An Enhanced Monofocal Intraocular Lens",
      "authors": "Prof. Seung Hyeun Lee",
      "presenter": "Prof. Seung Hyeun Lee",
      "normalized_authors": [
        "Seung Hyeun Lee"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seung Hyeun Lee",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the effect of pupil size on patients' visual outcome after cataract surgery with enhanced monofocal intraocular lens",
        "Setting": "Enhanced monofocal aspheric intraocular lenses, such as the Tecnis Eyhance ICB00, are designed to provide improved intermediate vision without compromising distance acuity. However, visual outcomes may vary among patients, and pupil size has been proposed as a contributing factor. Accurate assessment of pupil size using anterior segment swept-source optical coherence tomography (AS SS-OCT) devices may help identify patients who would benefit most from these intraocular lenses.",
        "Methods": "This retrospective study included 64 eyes from 45 patients who underwent uncomplicated cataract surgery with implantation of the Tecnis Eyhance ICB00 intraocular lens. Preoperative pupil size was measured using both the Anterion® and IOLMaster 700 AS SS-OCT devices; postoperative measurements at one month were obtained with Anterion. UCDVA was analysed based on pupil size thresholds of 3.5 mm and 4.0 mm. intraocular lens thickness profiles of Eyhance and a conventional monofocal intraocular lens (Tecnis ZCB00) were compared.",
        "Results": "Postoperative pupil size ≥4.0 mm (Anterion) was associated with significantly better UCDVA (LogMAR 0.08 ± 0.08) compared to <4.0 mm (LogMAR 0.19 ± 0.08; p < 0.001). A similar trend was found for preoperative pupil size measured by Anterion, while IOLMaster 700 measurements did not correlate with visual outcomes. Anterion consistently yielded larger pupil sizes than IOLMaster 700 (mean difference: 0.56 mm, p < 0.001). The Eyhance intraocular lens exhibited a steeper curvature within the central 2.0 mm zone compared to the ZCB00.",
        "Conclusions": "Preoperative and postoperative pupil size ≥4.0 mm, as measured by Anterion, was associated with better UCDVA with enhanced monofocal intraocular lenses. However, further research is needed to confirm if this results from the lens design or physiological confounders like diffraction. Measurement discrepancies between AS SS-OCT devices highlight the need for standardisation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative and postoperative pupil size ≥4.0 mm, as measured by Anterion, was associated with better UCDVA with enhanced monofocal intraocular lenses. However, further research is needed to confirm if this results from the lens design or physiological confounders like diffraction. Measurement discrepancies between AS SS-OCT devices highlight the need for standardisation.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 95,
      "source_fields": {
        "Abstract Final Identifier": "PP06.03",
        "Title": "Pupil Size As A Predictor Of Visual Outcomes With An Enhanced Monofocal Intraocular Lens",
        "Presenting Author(s)": "Prof. Seung Hyeun Lee",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Seung Hyeun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lee",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the effect of pupil size on patients' visual outcome after cataract surgery with enhanced monofocal intraocular lens",
        "Setting": "Enhanced monofocal aspheric intraocular lenses, such as the Tecnis Eyhance ICB00, are designed to provide improved intermediate vision without compromising distance acuity. However, visual outcomes may vary among patients, and pupil size has been proposed as a contributing factor. Accurate assessment of pupil size using anterior segment swept-source optical coherence tomography (AS SS-OCT) devices may help identify patients who would benefit most from these intraocular lenses.",
        "Methods": "This retrospective study included 64 eyes from 45 patients who underwent uncomplicated cataract surgery with implantation of the Tecnis Eyhance ICB00 intraocular lens. Preoperative pupil size was measured using both the Anterion® and IOLMaster 700 AS SS-OCT devices; postoperative measurements at one month were obtained with Anterion. UCDVA was analysed based on pupil size thresholds of 3.5 mm and 4.0 mm. intraocular lens thickness profiles of Eyhance and a conventional monofocal intraocular lens (Tecnis ZCB00) were compared.",
        "Results": "Postoperative pupil size ≥4.0 mm (Anterion) was associated with significantly better UCDVA (LogMAR 0.08 ± 0.08) compared to <4.0 mm (LogMAR 0.19 ± 0.08; p < 0.001). A similar trend was found for preoperative pupil size measured by Anterion, while IOLMaster 700 measurements did not correlate with visual outcomes. Anterion consistently yielded larger pupil sizes than IOLMaster 700 (mean difference: 0.56 mm, p < 0.001). The Eyhance intraocular lens exhibited a steeper curvature within the central 2.0 mm zone compared to the ZCB00.",
        "Conclusions": "Preoperative and postoperative pupil size ≥4.0 mm, as measured by Anterion, was associated with better UCDVA with enhanced monofocal intraocular lenses. However, further research is needed to confirm if this results from the lens design or physiological confounders like diffraction. Measurement discrepancies between AS SS-OCT devices highlight the need for standardisation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "PP06.04",
      "abstract_number": "PP06.04",
      "title": "Prospective Visual Outcomes After Extended Macular Vision Iol Implantation And Structured Rehabilitation In Late-Stage Age-Related Macular Degeneration",
      "authors": "Antonio Baldascino",
      "presenter": "Antonio Baldascino",
      "normalized_authors": [
        "Antonio Baldascino"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paola Sasso",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "To evaluate the visual and functional outcomes of an extended macular vision intraocular lens (EyeMax Mono IOL; Sharpview Ophthalmology) implantation followed by structured visual rehabilitation in patients with central vision loss due to late-stage age-related macular degeneration (AMD).",
        "Setting": "Single-center, prospective case series",
        "Methods": "This case series included eyes with stable late-stage AMD that underwent unilateral phacoemulsification with EyeMax Mono IOL implantation. Postoperatively, patients received 4–6 biweekly visual rehabilitation sessions starting one month after surgery. Functional assessments included logMAR best-corrected distance and near visual acuity (CDVA; CNVA), reading speed (words per minute, WPM), mean retinal sensitivity and fixation stability (bivariate Contour Ellipse Area; BCEA) as measured by MP-3 microperimetry at baseline and 6 months postoperatively. Patients also completed a questionnaire assessing subjective visual function and quality of life at both timepoints.",
        "Results": "Eleven eyes from 11 AMD patients, aged 72.6±9.1 years, with LOCSIII grade 2-3 cataracts were included. At 6 months, CDVA improved significantly from 1.2±0.2 to 0.75±0.26 logMAR (p=0.004), gaining 21±12.5 ETDRS letters. CNVA improved from 0.99±0.3 to 0.6±0.2 (p=0.002). Reading speed increased from 26.3±18.4 to 41.2±20.1 WPM (p=0.004). Fixation stability improved significantly (BCEA: 6.6±8.4°² to 3.4±3.2°²; p=0.019); one patient improved from unstable to stable fixation and no patient deteriorated. Mean retinal sensitivity remained unchanged (p=0.35). No patient lost CDVA lines; one lost 0.04 logMAR CNVA. Patient-reported outcomes showed significant improvements in patient satisfaction and various activities (all p≤0.03).",
        "Conclusions": "The implantation of EyeMax Mono, combined with visual rehabilitation, significantly enhanced functional vision and satisfaction in patients experiencing central vision loss due to late-stage AMD. The observed improvements in visual acuity, reading performance, and fixation stability suggest that the extended macular vision optics of the EyeMax Mono provide functional benefits beyond those achievable with cataract extraction alone."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The implantation of EyeMax Mono, combined with visual rehabilitation, significantly enhanced functional vision and satisfaction in patients experiencing central vision loss due to late-stage AMD. The observed improvements in visual acuity, reading performance, and fixation stability suggest that the extended macular vision optics of the EyeMax Mono provide functional benefits beyond those achievable with cataract…",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 96,
      "source_fields": {
        "Abstract Final Identifier": "PP06.04",
        "Title": "Prospective Visual Outcomes After Extended Macular Vision Iol Implantation And Structured Rehabilitation In Late-Stage Age-Related Macular Degeneration",
        "Presenting Author(s)": "Antonio Baldascino",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Paola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sasso",
        "Country Name": "Afghanistan",
        "Purpose": "To evaluate the visual and functional outcomes of an extended macular vision intraocular lens (EyeMax Mono IOL; Sharpview Ophthalmology) implantation followed by structured visual rehabilitation in patients with central vision loss due to late-stage age-related macular degeneration (AMD).",
        "Setting": "Single-center, prospective case series",
        "Methods": "This case series included eyes with stable late-stage AMD that underwent unilateral phacoemulsification with EyeMax Mono IOL implantation. Postoperatively, patients received 4–6 biweekly visual rehabilitation sessions starting one month after surgery. Functional assessments included logMAR best-corrected distance and near visual acuity (CDVA; CNVA), reading speed (words per minute, WPM), mean retinal sensitivity and fixation stability (bivariate Contour Ellipse Area; BCEA) as measured by MP-3 microperimetry at baseline and 6 months postoperatively. Patients also completed a questionnaire assessing subjective visual function and quality of life at both timepoints.",
        "Results": "Eleven eyes from 11 AMD patients, aged 72.6±9.1 years, with LOCSIII grade 2-3 cataracts were included. At 6 months, CDVA improved significantly from 1.2±0.2 to 0.75±0.26 logMAR (p=0.004), gaining 21±12.5 ETDRS letters. CNVA improved from 0.99±0.3 to 0.6±0.2 (p=0.002). Reading speed increased from 26.3±18.4 to 41.2±20.1 WPM (p=0.004). Fixation stability improved significantly (BCEA: 6.6±8.4°² to 3.4±3.2°²; p=0.019); one patient improved from unstable to stable fixation and no patient deteriorated. Mean retinal sensitivity remained unchanged (p=0.35). No patient lost CDVA lines; one lost 0.04 logMAR CNVA. Patient-reported outcomes showed significant improvements in patient satisfaction and various activities (all p≤0.03).",
        "Conclusions": "The implantation of EyeMax Mono, combined with visual rehabilitation, significantly enhanced functional vision and satisfaction in patients experiencing central vision loss due to late-stage AMD. The observed improvements in visual acuity, reading performance, and fixation stability suggest that the extended macular vision optics of the EyeMax Mono provide functional benefits beyond those achievable with cataract extraction alone."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "PP06.05",
      "abstract_number": "PP06.05",
      "title": "Clinical Performance Of A New-Generation Enhanced Monofocal Iol For Functional Intermediate Vision And Superior Optical Quality",
      "authors": "Dr Do Young Kim",
      "presenter": "Dr Do Young Kim",
      "normalized_authors": [
        "Do Young Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Do Young Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "Our study evaluated the visual outcomes and optical quality of two enhanced monofocal intraocular lenses (IOL) – the Precizon Go Model 580 and the Tecnis Eyhance (Model ICB00) - designed to enhance intermediate vision.",
        "Setting": "This retrospective, comparative study was conducted at a single ophthalmic institusion in Republic of Korea. Medical records of patients who underwent uncomplicated cataract surgery with implantation of either the Precizon Go (n=56) or Eyhance (n=56) between May 2020 and December 2024.",
        "Methods": "Uncorrected distance visual acuity (UDVA), corrected distance VA (CDVA), VA at 40, 60, 80cm were evaluated at 1 and 3 months postoperatively. Contrast sensitivity, Higher-order aberrations (HOAs) and defocus curves were also evaluated at 1 month postoperatively. Generalized estimating equations were used to adjust for inter-eye correlation. A subgroup analysis with bilateral cases was conducted to assess binocular functional vision, including binocular intermediate and near visual acuity, contrast sensitivity and the binocular defocus curve.",
        "Results": "Baseline characteristics were all comparable between the two groups (all p>0.05). At 1 month postoperatively, the Precizon Go group demonstrated significantly superior CDVA (p<0.001) and better VA at 80cm (p=0.006) compared with the Eyhance group. UDVA and near VA at 40, 60cm were comparable between the two groups (all p >0.05). Optical quality estimated with contrast sensitivity and HOAs were both comparable between the two groups (all p>0.05). The Precizon Go group exhibited wider vergence range in the defocus curve. In subgroup analysis with bilateral cases, the Precizon Go group showed a superior trend toward enhanced intermediate vision.",
        "Conclusions": "The Precizon Go IOL features a non-aspheric central zone for distance clarity, combined with a peripheral power shift designed to improve intermediate vision while compensating for corneal spherical aberration and minimizing induced aberrations. While both enhanced monofocal IOLs provide excellent distance vision and functional intermediate range, the Precizon Go IOL demonstrated superior visual outcomes with distance and intermediate visual acuity with an extended defocus range compared to the Eyhance IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Precizon Go IOL features a non-aspheric central zone for distance clarity, combined with a peripheral power shift designed to improve intermediate vision while compensating for corneal spherical aberration and minimizing induced aberrations. While both enhanced monofocal IOLs provide excellent distance vision and functional intermediate range, the Precizon Go IOL demonstrated superior visual outcomes with…",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 97,
      "source_fields": {
        "Abstract Final Identifier": "PP06.05",
        "Title": "Clinical Performance Of A New-Generation Enhanced Monofocal Iol For Functional Intermediate Vision And Superior Optical Quality",
        "Presenting Author(s)": "Dr Do Young Kim",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Do Young",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Afghanistan",
        "Purpose": "Our study evaluated the visual outcomes and optical quality of two enhanced monofocal intraocular lenses (IOL) – the Precizon Go Model 580 and the Tecnis Eyhance (Model ICB00) - designed to enhance intermediate vision.",
        "Setting": "This retrospective, comparative study was conducted at a single ophthalmic institusion in Republic of Korea. Medical records of patients who underwent uncomplicated cataract surgery with implantation of either the Precizon Go (n=56) or Eyhance (n=56) between May 2020 and December 2024.",
        "Methods": "Uncorrected distance visual acuity (UDVA), corrected distance VA (CDVA), VA at 40, 60, 80cm were evaluated at 1 and 3 months postoperatively. Contrast sensitivity, Higher-order aberrations (HOAs) and defocus curves were also evaluated at 1 month postoperatively. Generalized estimating equations were used to adjust for inter-eye correlation. A subgroup analysis with bilateral cases was conducted to assess binocular functional vision, including binocular intermediate and near visual acuity, contrast sensitivity and the binocular defocus curve.",
        "Results": "Baseline characteristics were all comparable between the two groups (all p>0.05). At 1 month postoperatively, the Precizon Go group demonstrated significantly superior CDVA (p<0.001) and better VA at 80cm (p=0.006) compared with the Eyhance group. UDVA and near VA at 40, 60cm were comparable between the two groups (all p >0.05). Optical quality estimated with contrast sensitivity and HOAs were both comparable between the two groups (all p>0.05). The Precizon Go group exhibited wider vergence range in the defocus curve. In subgroup analysis with bilateral cases, the Precizon Go group showed a superior trend toward enhanced intermediate vision.",
        "Conclusions": "The Precizon Go IOL features a non-aspheric central zone for distance clarity, combined with a peripheral power shift designed to improve intermediate vision while compensating for corneal spherical aberration and minimizing induced aberrations. While both enhanced monofocal IOLs provide excellent distance vision and functional intermediate range, the Precizon Go IOL demonstrated superior visual outcomes with distance and intermediate visual acuity with an extended defocus range compared to the Eyhance IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "PP06.06",
      "abstract_number": "PP06.06",
      "title": "Visual Outcomes Following Bilateral Implantation Of Rayone Enhanced Monovision (Emv) Intraocular Lens (Iol) Using A Full-Monovision Approach.",
      "authors": "Dr Ewa Maria Spoz",
      "presenter": "Dr Ewa Maria Spoz",
      "normalized_authors": [
        "Ewa Maria Spoz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ewa Maria Spoz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate spectacle independence, visual performance, and quality of life across distance, intermediate, and near vision following bilateral cataract surgery with implantation of the RayOne Enhanced Monovision (EMV) intraocular lens using a 1.50 D monovision strategy.",
        "Setting": "This prospective, single-center, interventional study was conducted at the First Department of Ophthalmology, Pomeranian Medical University, Szczecin, Poland.",
        "Methods": "Patients underwent bilateral cataract surgery with implantation of the RayOne Enhanced Monovision (EMV) IOL, targeting emmetropia in the dominant eye and -1.50 D in the non-dominant eye. At 3 months, binocular uncorrected distance (UDVA; photopic/mesopic), intermediate (UIVA, 66 cm), and near (UNVA, 40 cm) visual acuity were assessed using a Snellen chart. Spectacle independence was defined as binocular VA ≥0.8 (distance) and ≥0.66 (intermediate/near). Contrast sensitivity was assessed using the Pelli-Robson chart, while dysphotopsia, spectacle independence, visual disturbances, and patient satisfaction were evaluated using a structured questionnaire.",
        "Results": "23 patients underwent uneventful phacoemulsification. Mean UDVA was 0.98 ± 0.16 (photopic) and 1.00 ± 0.19 (mesopic). Mean UIVA was 0.82 ± 0.25 and UNVA was 0.86 ± 0.21. Mean refractive SE was -0.04 ± 0.12 D (dominant) and -1.50 ± 0.17 D (non-dominant), with 95.65% of dominant eyes and 100% of non-dominant eyes within ±0.25 D of the intended refractive target. Spectacle independence was high for distance (91.3% photopic, 95.7% mesopic), as well as for intermediate (78.3%) and near vision (87.0%). Subjective independence rates were 95.5%, 86.4%, and 68.2%, respectively. High postoperative satisfaction was reported by 86.4% of patients. No or mild halo, glare, and starbursts were reported by 86.4%, 90.9%, and 81.8% of patients, respectively.",
        "Conclusions": "Bilateral implantation of RayOne EMV with a 1.50 D monovision strategy is a well-tolerated option for cataract surgery, providing high levels of visual function and spectacle independence , with high patient satisfaction and a low incidence of dysphotopsia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of RayOne EMV with a 1.50 D monovision strategy is a well-tolerated option for cataract surgery, providing high levels of visual function and spectacle independence , with high patient satisfaction and a low incidence of dysphotopsia.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 98,
      "source_fields": {
        "Abstract Final Identifier": "PP06.06",
        "Title": "Visual Outcomes Following Bilateral Implantation Of Rayone Enhanced Monovision (Emv) Intraocular Lens (Iol) Using A Full-Monovision Approach.",
        "Presenting Author(s)": "Dr Ewa Maria Spoz",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Ewa",
        "Submitter Middle Name": "Maria",
        "Submitter Last Name": "Spoz",
        "Country Name": "Poland",
        "Purpose": "To evaluate spectacle independence, visual performance, and quality of life across distance, intermediate, and near vision following bilateral cataract surgery with implantation of the RayOne Enhanced Monovision (EMV) intraocular lens using a 1.50 D monovision strategy.",
        "Setting": "This prospective, single-center, interventional study was conducted at the First Department of Ophthalmology, Pomeranian Medical University, Szczecin, Poland.",
        "Methods": "Patients underwent bilateral cataract surgery with implantation of the RayOne Enhanced Monovision (EMV) IOL, targeting emmetropia in the dominant eye and -1.50 D in the non-dominant eye. At 3 months, binocular uncorrected distance (UDVA; photopic/mesopic), intermediate (UIVA, 66 cm), and near (UNVA, 40 cm) visual acuity were assessed using a Snellen chart. Spectacle independence was defined as binocular VA ≥0.8 (distance) and ≥0.66 (intermediate/near). Contrast sensitivity was assessed using the Pelli-Robson chart, while dysphotopsia, spectacle independence, visual disturbances, and patient satisfaction were evaluated using a structured questionnaire.",
        "Results": "23 patients underwent uneventful phacoemulsification. Mean UDVA was 0.98 ± 0.16 (photopic) and 1.00 ± 0.19 (mesopic). Mean UIVA was 0.82 ± 0.25 and UNVA was 0.86 ± 0.21. Mean refractive SE was -0.04 ± 0.12 D (dominant) and -1.50 ± 0.17 D (non-dominant), with 95.65% of dominant eyes and 100% of non-dominant eyes within ±0.25 D of the intended refractive target. Spectacle independence was high for distance (91.3% photopic, 95.7% mesopic), as well as for intermediate (78.3%) and near vision (87.0%). Subjective independence rates were 95.5%, 86.4%, and 68.2%, respectively. High postoperative satisfaction was reported by 86.4% of patients. No or mild halo, glare, and starbursts were reported by 86.4%, 90.9%, and 81.8% of patients, respectively.",
        "Conclusions": "Bilateral implantation of RayOne EMV with a 1.50 D monovision strategy is a well-tolerated option for cataract surgery, providing high levels of visual function and spectacle independence , with high patient satisfaction and a low incidence of dysphotopsia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "PP06.07",
      "abstract_number": "PP06.07",
      "title": "Iol Power-Stratified Short-Term Efficacy And Optical Performance Of Zeiss Ct Lucia 621P Iol In Cataract Patients",
      "authors": "Dr Jiwon Jeong",
      "presenter": "Dr Jiwon Jeong",
      "normalized_authors": [
        "Jiwon Jeong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jiwon Jeong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the short-term efficacy and optical performance of the ZEISS CT LUCIA 621P IOL in cataract patients, using a diopter-stratified approach to assess whether its non-constant aspheric design mitigates power-dependent aberrations across a wide IOL power spectrum",
        "Setting": "Single center, retrospective , comparative study",
        "Methods": "This study includes 304 eyes from cataract patients with CT LUCIA 621P implantation. IOL power was calculated using the BU II formula. Eyes were grouped by IOL power: Group 1 (<20.0 D, n=49), Group 2 (20.0–21.5 D, n=137), Group 3 (22.0–23.5 D, n=60), and Group 4 (≥24.0 D, n=58). Outcomes included UDVA/CDVA, UIVA and UNVA , cumulative Snellen VA percentages, defocus curves (mono/binocular, photopic/mesopic), internal HOA (spherical and coma), contrast sensitivity at 1 month, and refractive errors, assessed at 1 ,3 months. Multivariable regression adjusted for age, sex, and pupil size. Statistical analyses employed ANOVA for initial comparisons and General Linear Model for inter-group differences and temporal changes (p<0.05).",
        "Results": ": All groups achieved excellent mean UDVA (0.10–0.21 logMAR, p=0.162),with balanced UIVA ( 0.38–0.40 logMAR, p=0.542) and UNVA ( 0.56–0.58 logMAR, p=0.577).Cumulative Snellen VA showed ≥95% of eyes reaching 20/32 or better, with Group 2 and 3 demonstrating superior stability. Defocus curves were comparable across groups,maintaining tolerance under photopic and mesopic conditions. Internal HOAs stayed low and stable (SA RMS ~0 across groups, change <0.02 RMS; coma RMS p=0.465),confirming optical consistency at 3 months.CS at 1 Mo was robust across groups (1.5 cpd: 1.25–1.37 logCS; 18 cpd: 0.40–0.54 logCS, p>0.05),with intermediate powers (Groups 2/3) trending higher. Refractive outcomes stabilized by 3 months (SE: -0.48 to -0.83 D, p=0.452).",
        "Conclusions": "The non-constant asphericity of the CT LUCIA 621P preserves visual quality across diopter ranges, with balanced efficacy and stability by 3 months, particularly in intermediate powers. This diopter-stratified analysis provides novel subgroup evidence for its utility in cataract patients, informing personalized IOL selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The non-constant asphericity of the CT LUCIA 621P preserves visual quality across diopter ranges, with balanced efficacy and stability by 3 months, particularly in intermediate powers. This diopter-stratified analysis provides novel subgroup evidence for its utility in cataract patients, informing personalized IOL selection.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 99,
      "source_fields": {
        "Abstract Final Identifier": "PP06.07",
        "Title": "Iol Power-Stratified Short-Term Efficacy And Optical Performance Of Zeiss Ct Lucia 621P Iol In Cataract Patients",
        "Presenting Author(s)": "Dr Jiwon Jeong",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Jiwon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeong",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the short-term efficacy and optical performance of the ZEISS CT LUCIA 621P IOL in cataract patients, using a diopter-stratified approach to assess whether its non-constant aspheric design mitigates power-dependent aberrations across a wide IOL power spectrum",
        "Setting": "Single center, retrospective , comparative study",
        "Methods": "This study includes 304 eyes from cataract patients with CT LUCIA 621P implantation. IOL power was calculated using the BU II formula. Eyes were grouped by IOL power: Group 1 (<20.0 D, n=49), Group 2 (20.0–21.5 D, n=137), Group 3 (22.0–23.5 D, n=60), and Group 4 (≥24.0 D, n=58). Outcomes included UDVA/CDVA, UIVA and UNVA , cumulative Snellen VA percentages, defocus curves (mono/binocular, photopic/mesopic), internal HOA (spherical and coma), contrast sensitivity at 1 month, and refractive errors, assessed at 1 ,3 months. Multivariable regression adjusted for age, sex, and pupil size. Statistical analyses employed ANOVA for initial comparisons and General Linear Model for inter-group differences and temporal changes (p<0.05).",
        "Results": ": All groups achieved excellent mean UDVA (0.10–0.21 logMAR, p=0.162),with balanced UIVA ( 0.38–0.40 logMAR, p=0.542) and UNVA ( 0.56–0.58 logMAR, p=0.577).Cumulative Snellen VA showed ≥95% of eyes reaching 20/32 or better, with Group 2 and 3 demonstrating superior stability. Defocus curves were comparable across groups,maintaining tolerance under photopic and mesopic conditions. Internal HOAs stayed low and stable (SA RMS ~0 across groups, change <0.02 RMS; coma RMS p=0.465),confirming optical consistency at 3 months.CS at 1 Mo was robust across groups (1.5 cpd: 1.25–1.37 logCS; 18 cpd: 0.40–0.54 logCS, p>0.05),with intermediate powers (Groups 2/3) trending higher. Refractive outcomes stabilized by 3 months (SE: -0.48 to -0.83 D, p=0.452).",
        "Conclusions": "The non-constant asphericity of the CT LUCIA 621P preserves visual quality across diopter ranges, with balanced efficacy and stability by 3 months, particularly in intermediate powers. This diopter-stratified analysis provides novel subgroup evidence for its utility in cataract patients, informing personalized IOL selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 355
    },
    {
      "uid": "PP06.08",
      "abstract_number": "PP06.08",
      "title": "Safety And Efficacy Of An Extended Macular Vision Intraocular Lens (Iol) For Age-Related Macular Degeneration (Amd) In Real-World Settings",
      "authors": "Jairo Hoyos Chacon",
      "presenter": "Jairo Hoyos Chacon",
      "normalized_authors": [
        "Jairo Hoyos Chacon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jairo Hoyos Chacon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To assess the safety and efficacy of the EyeMax Mono (SharpView Ophthalmology) extended macular vision intraocular lens (IOL), in patients with age-related macular degeneration (AMD) undergoing cataract surgery",
        "Setting": "retrospective multicentre European study",
        "Methods": "This retrospective multicentre study analyzed real-world data from 196 AMD eyes (146 patients) across 15 medical centres in Europe. All eyes recieved the single-piece, hydrophobic acrylic, EyeMax Mono IOL. AMD severity was classified by the centre. Outcomes included intraoperative and postoperative complications and changes in corrected distance and near visual acuity (CDVA and CNVA, respectively).",
        "Results": "The postoperative spherical equivalent was +1.25±1.32 D. Postoperative LogMAR CDVA improved significantly from a baseline of 0.57±0.38 to 0.38±0.34 (n=191, p<0.001), while CNVA improved from 0.49±0.32 at baseline to 0.35±0.27 postoperatively (n=141, p<0.001). Sixty-three percent gained >1 line of CDVA and 27.5% gained ≥ 3 lines. For CNVA, 41.5% gained >1 line, and 21.8% gained ≥ 3 lines. The greatest gains occurred in intermediate AMD eyes: CDVA +0.21 logMAR, CNVA +0.12 logMAR. Only 2.1% of eyes lost >1 line of CDVA or CNVA.",
        "Conclusions": "The EyeMax Mono intraocular lens (IOL) safely enhances both distant (CDVA) and near (CNVA) visual acuity in patients with age-related macular degeneration, particularly in eyes with intermediate AMD. These findings are consistent with those in the published scientific literature."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The EyeMax Mono intraocular lens (IOL) safely enhances both distant (CDVA) and near (CNVA) visual acuity in patients with age-related macular degeneration, particularly in eyes with intermediate AMD. These findings are consistent with those in the published scientific literature.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 100,
      "source_fields": {
        "Abstract Final Identifier": "PP06.08",
        "Title": "Safety And Efficacy Of An Extended Macular Vision Intraocular Lens (Iol) For Age-Related Macular Degeneration (Amd) In Real-World Settings",
        "Presenting Author(s)": "Jairo Hoyos Chacon",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Jairo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hoyos Chacon",
        "Country Name": "Spain",
        "Purpose": "To assess the safety and efficacy of the EyeMax Mono (SharpView Ophthalmology) extended macular vision intraocular lens (IOL), in patients with age-related macular degeneration (AMD) undergoing cataract surgery",
        "Setting": "retrospective multicentre European study",
        "Methods": "This retrospective multicentre study analyzed real-world data from 196 AMD eyes (146 patients) across 15 medical centres in Europe. All eyes recieved the single-piece, hydrophobic acrylic, EyeMax Mono IOL. AMD severity was classified by the centre. Outcomes included intraoperative and postoperative complications and changes in corrected distance and near visual acuity (CDVA and CNVA, respectively).",
        "Results": "The postoperative spherical equivalent was +1.25±1.32 D. Postoperative LogMAR CDVA improved significantly from a baseline of 0.57±0.38 to 0.38±0.34 (n=191, p<0.001), while CNVA improved from 0.49±0.32 at baseline to 0.35±0.27 postoperatively (n=141, p<0.001). Sixty-three percent gained >1 line of CDVA and 27.5% gained ≥ 3 lines. For CNVA, 41.5% gained >1 line, and 21.8% gained ≥ 3 lines. The greatest gains occurred in intermediate AMD eyes: CDVA +0.21 logMAR, CNVA +0.12 logMAR. Only 2.1% of eyes lost >1 line of CDVA or CNVA.",
        "Conclusions": "The EyeMax Mono intraocular lens (IOL) safely enhances both distant (CDVA) and near (CNVA) visual acuity in patients with age-related macular degeneration, particularly in eyes with intermediate AMD. These findings are consistent with those in the published scientific literature."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "PP06.09",
      "abstract_number": "PP06.09",
      "title": "Visual Outcomes Of A Monofocal Intraocular Lens With Enhanced Intermediate Function In Posterior Segment Pathologies",
      "authors": "A/Prof. Jeewan Titiyal",
      "presenter": "A/Prof. Jeewan Titiyal",
      "normalized_authors": [
        "Jeewan Titiyal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sridevi Nair",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the visual outcomes of a monofocal intraocular lens (IOL) with enhanced intermediate function in patients with posterior segment pathologies.",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi",
        "Methods": "This prospective interventional study included 68 eyes of 34 patients: 17 patients with moderate NPDR without macular edema and 17 patients with mild to moderate glaucoma who underwent bilateral phacoemulsification with TECNIS Eyhance IOL implantation. Outcomes assessed at 3 months postoperatively included uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuity, Strehl ratio, modulation transfer function (MTF), contrast sensitivity (CS), stereopsis, colour vision, and patient-reported satisfaction.",
        "Results": "The mean age was 65.5 ± 4.6 years. At 3 months, mean UDVA, UIVA, and UNVA (logMAR) were 0.08 ± 0.11, 0.25 ± 0.17, and 0.49 ± 0.15, with 74% achieving UIVA of 20/40 or better. Significant improvements were observed in postoperative stereopsis [Near: 57.2″ (NPDR); 67.6″ (Glaucoma)], CS [CS-Avg: 1.71 ± 0.14 (NPDR); 1.66 ± 0.13 (Glaucoma)], and color vision [TES: 61.6 ± 16.4 (NPDR); 64.5 ± 11.5 (Glaucoma)]. Glaucoma eyes showed marginally lower CS values than NPDR at higher frequencies (CS-C p=0.05; CS-D p=0.02). Strehl ratio and MTF improved significantly in NPDR (p<0.001) but not in glaucoma (p>0.4). Glare (4%) and halos (3%) were minimal, with 60% reporting spectacle independence for near.",
        "Conclusions": "Eyhance IOL provided excellent acuity and functional vision in NPDR and glaucoma. Optical quality gains were more pronounced in NPDR, but glaucoma eyes maintained good contrast sensitivity and colour vision, supporting its role even in eyes with posterior segment disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Eyhance IOL provided excellent acuity and functional vision in NPDR and glaucoma. Optical quality gains were more pronounced in NPDR, but glaucoma eyes maintained good contrast sensitivity and colour vision, supporting its role even in eyes with posterior segment disease.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 101,
      "source_fields": {
        "Abstract Final Identifier": "PP06.09",
        "Title": "Visual Outcomes Of A Monofocal Intraocular Lens With Enhanced Intermediate Function In Posterior Segment Pathologies",
        "Presenting Author(s)": "A/Prof. Jeewan Titiyal",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Sridevi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nair",
        "Country Name": "India",
        "Purpose": "To evaluate the visual outcomes of a monofocal intraocular lens (IOL) with enhanced intermediate function in patients with posterior segment pathologies.",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi",
        "Methods": "This prospective interventional study included 68 eyes of 34 patients: 17 patients with moderate NPDR without macular edema and 17 patients with mild to moderate glaucoma who underwent bilateral phacoemulsification with TECNIS Eyhance IOL implantation. Outcomes assessed at 3 months postoperatively included uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuity, Strehl ratio, modulation transfer function (MTF), contrast sensitivity (CS), stereopsis, colour vision, and patient-reported satisfaction.",
        "Results": "The mean age was 65.5 ± 4.6 years. At 3 months, mean UDVA, UIVA, and UNVA (logMAR) were 0.08 ± 0.11, 0.25 ± 0.17, and 0.49 ± 0.15, with 74% achieving UIVA of 20/40 or better. Significant improvements were observed in postoperative stereopsis [Near: 57.2″ (NPDR); 67.6″ (Glaucoma)], CS [CS-Avg: 1.71 ± 0.14 (NPDR); 1.66 ± 0.13 (Glaucoma)], and color vision [TES: 61.6 ± 16.4 (NPDR); 64.5 ± 11.5 (Glaucoma)]. Glaucoma eyes showed marginally lower CS values than NPDR at higher frequencies (CS-C p=0.05; CS-D p=0.02). Strehl ratio and MTF improved significantly in NPDR (p<0.001) but not in glaucoma (p>0.4). Glare (4%) and halos (3%) were minimal, with 60% reporting spectacle independence for near.",
        "Conclusions": "Eyhance IOL provided excellent acuity and functional vision in NPDR and glaucoma. Optical quality gains were more pronounced in NPDR, but glaucoma eyes maintained good contrast sensitivity and colour vision, supporting its role even in eyes with posterior segment disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "PP06.10",
      "abstract_number": "PP06.10",
      "title": "Dysphotopsia After Monofocal Cataract Surgery: Clinical And Macular Optical Coherence Tomography Predictors",
      "authors": "Dr Carolina Mercado",
      "presenter": "Dr Carolina Mercado",
      "normalized_authors": [
        "Carolina Mercado"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carolina Mercado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Colombia",
      "sections": {
        "Purpose": "Dysphotopsia is a common postoperative visual disturbance following cataract surgery, even in eyes implanted with monofocal intraocular lenses (IOLs). Although symptoms are often attributed to IOL optics, retinal pathology is frequently investigated during evaluation. This study aimed to determine whether structural macular abnormalities on optical coherence tomography (OCT) or clinical ocular comorbidities are associated with dysphotopsia in patients implanted with monofocal and enhanced monofocal IOLs.",
        "Setting": "Retrospective observational study conducted at a tertiary academic ophthalmology referral center. Patients presenting with dysphotopsia after cataract surgery were routinely referred to a retina specialist to exclude macular pathology as part of the standard diagnostic workup.",
        "Methods": "Patients evaluated for dysphotopsia after uncomplicated cataract surgery with monofocal IOL implantation were included. Thirteen patients with dysphotopsia were matched to 13 asymptomatic controls based on IOL type. Demographics, ocular comorbidities (dry eye disease, glaucoma, Fuchs dystrophy), and postoperative outcomes were recorded. Preoperative spectral domain OCT images were re-evaluated by a retina specialist blinded to patient group assignment to assess central macular thickness, foveal contour, ellipsoid zone integrity, outer retinal integrity, epiretinal membrane, vitreomacular traction, and RPE changes. Continuous variables were analyzed using Mann–Whitney U and categorical variables using Fisher exact or chi-square tests.",
        "Results": "Twenty-six eyes were included (13 dysphotopsia and 13 matched controls). All patients had monofocal IOLs, and groups were paired by lens type. Dry eye disease was significantly more prevalent in the dysphotopsia group compared with controls (85% vs 15%, p=0.004). Age, sex, glaucoma, Fuchs endothelial dystrophy, and postoperative refractive outcomes were not significantly different between groups. OCT analysis showed no significant differences in central macular thickness, ellipsoid zone integrity, outer retinal integrity, epiretinal membrane, vitreomacular traction, or other macular structural abnormalities between groups.",
        "Conclusions": "Dysphotopsia following cataract surgery with monofocal intraocular lenses appears to be more strongly associated with ocular surface disease than with macular structural abnormalities. Despite routine retinal evaluation to exclude macular pathology, no consistent OCT biomarkers of dysphotopsia were identified. Matching patients by IOL type suggests that symptoms are unlikely to be primarily related to lens optics. These findings highlight the importance of ocular surface evaluation when assessing dysphotopsia after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dysphotopsia following cataract surgery with monofocal intraocular lenses appears to be more strongly associated with ocular surface disease than with macular structural abnormalities. Despite routine retinal evaluation to exclude macular pathology, no consistent OCT biomarkers of dysphotopsia were identified. Matching patients by IOL type suggests that symptoms are unlikely to be primarily related to lens optics.…",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 102,
      "source_fields": {
        "Abstract Final Identifier": "PP06.10",
        "Title": "Dysphotopsia After Monofocal Cataract Surgery: Clinical And Macular Optical Coherence Tomography Predictors",
        "Presenting Author(s)": "Dr Carolina Mercado",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Carolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mercado",
        "Country Name": "Colombia",
        "Purpose": "Dysphotopsia is a common postoperative visual disturbance following cataract surgery, even in eyes implanted with monofocal intraocular lenses (IOLs). Although symptoms are often attributed to IOL optics, retinal pathology is frequently investigated during evaluation. This study aimed to determine whether structural macular abnormalities on optical coherence tomography (OCT) or clinical ocular comorbidities are associated with dysphotopsia in patients implanted with monofocal and enhanced monofocal IOLs.",
        "Setting": "Retrospective observational study conducted at a tertiary academic ophthalmology referral center. Patients presenting with dysphotopsia after cataract surgery were routinely referred to a retina specialist to exclude macular pathology as part of the standard diagnostic workup.",
        "Methods": "Patients evaluated for dysphotopsia after uncomplicated cataract surgery with monofocal IOL implantation were included. Thirteen patients with dysphotopsia were matched to 13 asymptomatic controls based on IOL type. Demographics, ocular comorbidities (dry eye disease, glaucoma, Fuchs dystrophy), and postoperative outcomes were recorded. Preoperative spectral domain OCT images were re-evaluated by a retina specialist blinded to patient group assignment to assess central macular thickness, foveal contour, ellipsoid zone integrity, outer retinal integrity, epiretinal membrane, vitreomacular traction, and RPE changes. Continuous variables were analyzed using Mann–Whitney U and categorical variables using Fisher exact or chi-square tests.",
        "Results": "Twenty-six eyes were included (13 dysphotopsia and 13 matched controls). All patients had monofocal IOLs, and groups were paired by lens type. Dry eye disease was significantly more prevalent in the dysphotopsia group compared with controls (85% vs 15%, p=0.004). Age, sex, glaucoma, Fuchs endothelial dystrophy, and postoperative refractive outcomes were not significantly different between groups. OCT analysis showed no significant differences in central macular thickness, ellipsoid zone integrity, outer retinal integrity, epiretinal membrane, vitreomacular traction, or other macular structural abnormalities between groups.",
        "Conclusions": "Dysphotopsia following cataract surgery with monofocal intraocular lenses appears to be more strongly associated with ocular surface disease than with macular structural abnormalities. Despite routine retinal evaluation to exclude macular pathology, no consistent OCT biomarkers of dysphotopsia were identified. Matching patients by IOL type suggests that symptoms are unlikely to be primarily related to lens optics. These findings highlight the importance of ocular surface evaluation when assessing dysphotopsia after cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 352
    },
    {
      "uid": "PP06.11",
      "abstract_number": "PP06.11",
      "title": "Optimising Patient Selection For Refractive Procedures In Eyes With Corneal Pathology: An Audit Of Screening Algorithms, Surgical Decision-Making And Intraocular Lens Selection",
      "authors": "Dr Hasan Chichan",
      "presenter": "Dr Hasan Chichan",
      "normalized_authors": [
        "Hasan Chichan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hasan TALIB Chichan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate a practical, evidence-informed pathway for selecting refractive interventions (corneal laser, phakic IOL, or refractive lens exchange/toric IOL at cataract surgery) in patients with pre-existing corneal pathology. The paper compares outcomes and decision concordance when using advanced corneal tomography/biomechanics, endothelial assessment and a decision algorithm that balances ectasia risk, optical regularity and endothelial health to guide whether to treat the cornea, implant a phakic IOL, or proceed with lens-based refractive solutions. Key aims: (1) describe the algorithm; (2) audit how often it changes planned management; (3) report short-term visual and safety outcomes by chosen pathway.",
        "Setting": "Single-centre retrospective audit (tertiary refractive/cataract unit) of consecutive patients assessed for refractive surgery between January 2022 and December 2024 who had documented corneal pathology or topographic irregularity (suspicious tomography, prior keratitis scarring, mild posterior ectasia indicators, or healed superficial scarring).",
        "Methods": "We audited 180 eyes of 120 patients assessed for refractive correction. • Proceed to corneal laser (PRK/advanced surface ablation or limited LASIK) only if BAD-D within normal limits, pachymetry sufficient, and topographic regularity confirmed. • Consider phakic IOL when corneal topography shows irregularity but spectacle-corrected acuity is good, anterior chamber depth and endothelial density meet safety thresholds (ACD ≥3.0 mm; ECD thresholds age-adjusted). • Lens-based solutions when corneal irregularity impairs corneal-based ablation predictability Primary endpoints: change in intended treatment after algorithm application, uncorrected and best-corrected visual acuity at 3 months, refractive predictability (±0.5 D), and adverse events",
        "Results": "Algorithm application altered the originally planned intervention in 42% of cases (e.g., from planned LASIK to phakic IOL or to lens-based management) — primarily due to ectasia risk indices or low endothelial reserves. At 3 months, eyes selected for corneal procedures (n = 52) achieved mean UDVA improvement and refractive predictability comparable to published benchmarks; eyes routed to phakic IOL (n = 68) demonstrated high spectacle independence with preserved endothelial counts at 3 months; lens-based group (n = 60) achieved predictable cylinder correction when toric IOLs were used with topography-informed planning. No cases of postoperative ectasia were observed during the short follow-up.",
        "Conclusions": "A structured selection algorithm that integrates tomography-based ectasia indices (e.g., BAD-D), pachymetry, biomechanical data and endothelial assessment materially alters management in a substantial minority of patients with corneal pathology. Tailoring the intervention to objective corneal and anterior-segment metrics—favoring phakic IOLs or lens-based solutions where corneal laser predictability or safety is reduced—appears to preserve safety and deliver satisfactory refractive outcomes in the short term. Larger prospective and longer-term studies are needed to confirm durability and endothelial safety"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A structured selection algorithm that integrates tomography-based ectasia indices (e.g., BAD-D), pachymetry, biomechanical data and endothelial assessment materially alters management in a substantial minority of patients with corneal pathology. Tailoring the intervention to objective corneal and anterior-segment metrics—favoring phakic IOLs or lens-based solutions where corneal laser predictability or safety is…",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 103,
      "source_fields": {
        "Abstract Final Identifier": "PP06.11",
        "Title": "Optimising Patient Selection For Refractive Procedures In Eyes With Corneal Pathology: An Audit Of Screening Algorithms, Surgical Decision-Making And Intraocular Lens Selection",
        "Presenting Author(s)": "Dr Hasan Chichan",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Hasan",
        "Submitter Middle Name": "TALIB",
        "Submitter Last Name": "Chichan",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate a practical, evidence-informed pathway for selecting refractive interventions (corneal laser, phakic IOL, or refractive lens exchange/toric IOL at cataract surgery) in patients with pre-existing corneal pathology. The paper compares outcomes and decision concordance when using advanced corneal tomography/biomechanics, endothelial assessment and a decision algorithm that balances ectasia risk, optical regularity and endothelial health to guide whether to treat the cornea, implant a phakic IOL, or proceed with lens-based refractive solutions. Key aims: (1) describe the algorithm; (2) audit how often it changes planned management; (3) report short-term visual and safety outcomes by chosen pathway.",
        "Setting": "Single-centre retrospective audit (tertiary refractive/cataract unit) of consecutive patients assessed for refractive surgery between January 2022 and December 2024 who had documented corneal pathology or topographic irregularity (suspicious tomography, prior keratitis scarring, mild posterior ectasia indicators, or healed superficial scarring).",
        "Methods": "We audited 180 eyes of 120 patients assessed for refractive correction. • Proceed to corneal laser (PRK/advanced surface ablation or limited LASIK) only if BAD-D within normal limits, pachymetry sufficient, and topographic regularity confirmed. • Consider phakic IOL when corneal topography shows irregularity but spectacle-corrected acuity is good, anterior chamber depth and endothelial density meet safety thresholds (ACD ≥3.0 mm; ECD thresholds age-adjusted). • Lens-based solutions when corneal irregularity impairs corneal-based ablation predictability Primary endpoints: change in intended treatment after algorithm application, uncorrected and best-corrected visual acuity at 3 months, refractive predictability (±0.5 D), and adverse events",
        "Results": "Algorithm application altered the originally planned intervention in 42% of cases (e.g., from planned LASIK to phakic IOL or to lens-based management) — primarily due to ectasia risk indices or low endothelial reserves. At 3 months, eyes selected for corneal procedures (n = 52) achieved mean UDVA improvement and refractive predictability comparable to published benchmarks; eyes routed to phakic IOL (n = 68) demonstrated high spectacle independence with preserved endothelial counts at 3 months; lens-based group (n = 60) achieved predictable cylinder correction when toric IOLs were used with topography-informed planning. No cases of postoperative ectasia were observed during the short follow-up.",
        "Conclusions": "A structured selection algorithm that integrates tomography-based ectasia indices (e.g., BAD-D), pachymetry, biomechanical data and endothelial assessment materially alters management in a substantial minority of patients with corneal pathology. Tailoring the intervention to objective corneal and anterior-segment metrics—favoring phakic IOLs or lens-based solutions where corneal laser predictability or safety is reduced—appears to preserve safety and deliver satisfactory refractive outcomes in the short term. Larger prospective and longer-term studies are needed to confirm durability and endothelial safety"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 414
    },
    {
      "uid": "PP06.12",
      "abstract_number": "PP06.12",
      "title": "Prediction Of Postoperative Intraocular Lens Tilt, Decentration And Anterior Chamber Depth Using A Machine Learning Algorithm",
      "authors": "Dr Klaus Straßmair",
      "presenter": "Dr Klaus Straßmair",
      "normalized_authors": [
        "Klaus Straßmair"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Klaus Straßmair",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "The aim of this study was to measure and predict postoperative intraocular lens (IOL) tilt, decentration and anterior chamber depth using a machine learning algorithm.",
        "Setting": "Department of Ophthalmology, Kepler University Clinic and Johannes Kepler University, Linz, Austria",
        "Methods": "This prospective single-center study included 170 patients scheduled for bilateral cataract surgery . Assessments were performed preoperatively and 8 weeks postoperatively including optical biometry (IOLMaster 700, Carl Zeiss Meditec AG) and high-definition swept-source OCT (CASIA II, Tomey; ANTERION, Heidelberg Engineering). Additionally, autorefraction, subjective refraction and visual acuity assessments for distance vision were performed at the last follow-up. A machine learning algorithm was developed to predict postoperative IOL tilt, decentration and anterior chamber depth using preoperative data.",
        "Results": "A total of 340 eyes of 170 patients were included in the study. At the time of submission, preliminary analysis included 64 complete datasets. The mean age was 70.16 ± 10.02 years. Axial eye length for right and left eyes was 23.17 ± 0.14 mm and 23.06 ± 0.14 mm, respectively. Mean postoperative tilt and decentration were 4.82 ± 0.81° and 0.26 ± 0.11 mm, respectively. Mean postoperative anterior chamber depth was 4.55 ± 0.21 mm.",
        "Conclusions": "The amount of postoperative tilt and decentration of the investigated IOL was within the physiological range. The final results regarding IOL tilt, decentration and anterior chamber depth and the performance of the machine learning-based prediction model will be presented at the congress."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The amount of postoperative tilt and decentration of the investigated IOL was within the physiological range. The final results regarding IOL tilt, decentration and anterior chamber depth and the performance of the machine learning-based prediction model will be presented at the congress.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 104,
      "source_fields": {
        "Abstract Final Identifier": "PP06.12",
        "Title": "Prediction Of Postoperative Intraocular Lens Tilt, Decentration And Anterior Chamber Depth Using A Machine Learning Algorithm",
        "Presenting Author(s)": "Dr Klaus Straßmair",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Klaus",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Straßmair",
        "Country Name": "Austria",
        "Purpose": "The aim of this study was to measure and predict postoperative intraocular lens (IOL) tilt, decentration and anterior chamber depth using a machine learning algorithm.",
        "Setting": "Department of Ophthalmology, Kepler University Clinic and Johannes Kepler University, Linz, Austria",
        "Methods": "This prospective single-center study included 170 patients scheduled for bilateral cataract surgery . Assessments were performed preoperatively and 8 weeks postoperatively including optical biometry (IOLMaster 700, Carl Zeiss Meditec AG) and high-definition swept-source OCT (CASIA II, Tomey; ANTERION, Heidelberg Engineering). Additionally, autorefraction, subjective refraction and visual acuity assessments for distance vision were performed at the last follow-up. A machine learning algorithm was developed to predict postoperative IOL tilt, decentration and anterior chamber depth using preoperative data.",
        "Results": "A total of 340 eyes of 170 patients were included in the study. At the time of submission, preliminary analysis included 64 complete datasets. The mean age was 70.16 ± 10.02 years. Axial eye length for right and left eyes was 23.17 ± 0.14 mm and 23.06 ± 0.14 mm, respectively. Mean postoperative tilt and decentration were 4.82 ± 0.81° and 0.26 ± 0.11 mm, respectively. Mean postoperative anterior chamber depth was 4.55 ± 0.21 mm.",
        "Conclusions": "The amount of postoperative tilt and decentration of the investigated IOL was within the physiological range. The final results regarding IOL tilt, decentration and anterior chamber depth and the performance of the machine learning-based prediction model will be presented at the congress."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "PP06.13",
      "abstract_number": "PP06.13",
      "title": "Opposite Corneal Aberrations, Same Outcomes? Tecnis Eyhance After Myopic And Hyperopic Lasik",
      "authors": "Dr Rosario Cobo-Soriano",
      "presenter": "Dr Rosario Cobo-Soriano",
      "normalized_authors": [
        "Rosario Cobo-Soriano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rosario COBO Cobo Soriano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate whether the negative spherical aberration profile of the Tecnis Eyhance monofocal plus intraocular lens (IOL) influences visual and refractive outcomes differently in eyes with previous myopic versus hyperopic corneal refractive surgery.",
        "Setting": "Multicenter study (2020–2024).\n\nMyopic and hyperopic corneal ablations induce opposite changes in spherical aberration. The Tecnis platform has a negative Z4⁰ profile, theoretically compensatory in post-myopic corneas but mismatched in post-hyperopic eyes.\n\nAs diffractive trifocal IOLs are often avoided in post-refractive corneas due to aberration concerns, monofocal plus IOLs may represent a safer option. However, comparative clinical data between myopic and hyperopic ablated eyes are limited.",
        "Methods": "Retrospective, multicenter, comparative case series of consecutive patients undergoing cataract surgery or clear lens extraction with Tecnis Eyhance implantation (2020–2024). Eyes had previous LASIK or PRK for myopia or hyperopia and uneventful in-the-bag IOL placement. Eyes with significant corneal irregularity, ocular comorbidities, or surgical complications were excluded.\n\nA total of 218 patients (337 eyes) were included (252 post-myopic; 85 post-hyperopic). Postoperative assessment included CDVA, UDVA, IDVA, NDVA, manifest refraction (sphere, cylinder, spherical equivalent), efficacy and safety indices, and refractive predictability (±0.50 D).",
        "Results": "Overall, visual and refractive outcomes were statistically and clinically similar between groups, with no detectable penalty in post-hyperopic ablated eyes.Both groups showed significant postoperative visual improvement. CDVA, UDVA, IDVA, and NDVA were high and did not differ significantly between post-myopic and post-hyperopic eyes.\n\nRefractive predictability was high and similar between groups, with comparable proportions of eyes within ±0.50 D of target. Safety analysis showed no clinically relevant loss of CDVA lines in either group. The safety index remained ≥1 in both cohorts. Despite theoretical concerns regarding spherical aberration mismatch in hyperopic ablations, outcomes were homogeneous and clinically equivalent",
        "Conclusions": "The negative spherical aberration profile of the Tecnis Eyhance IOL does not appear to induce a clinically relevant optical mismatch in post-hyperopic ablated corneas. These findings challenge the theoretical concern regarding aspheric profile incompatibility and support monofocal plus IOLs as a versatile and reliable option in post-refractive eyes, including those with prior hyperopic ablation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The negative spherical aberration profile of the Tecnis Eyhance IOL does not appear to induce a clinically relevant optical mismatch in post-hyperopic ablated corneas. These findings challenge the theoretical concern regarding aspheric profile incompatibility and support monofocal plus IOLs as a versatile and reliable option in post-refractive eyes, including those with prior hyperopic ablation.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 105,
      "source_fields": {
        "Abstract Final Identifier": "PP06.13",
        "Title": "Opposite Corneal Aberrations, Same Outcomes? Tecnis Eyhance After Myopic And Hyperopic Lasik",
        "Presenting Author(s)": "Dr Rosario Cobo-Soriano",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Rosario",
        "Submitter Middle Name": "COBO",
        "Submitter Last Name": "Cobo Soriano",
        "Country Name": "Spain",
        "Purpose": "To evaluate whether the negative spherical aberration profile of the Tecnis Eyhance monofocal plus intraocular lens (IOL) influences visual and refractive outcomes differently in eyes with previous myopic versus hyperopic corneal refractive surgery.",
        "Setting": "Multicenter study (2020–2024).\n\nMyopic and hyperopic corneal ablations induce opposite changes in spherical aberration. The Tecnis platform has a negative Z4⁰ profile, theoretically compensatory in post-myopic corneas but mismatched in post-hyperopic eyes.\n\nAs diffractive trifocal IOLs are often avoided in post-refractive corneas due to aberration concerns, monofocal plus IOLs may represent a safer option. However, comparative clinical data between myopic and hyperopic ablated eyes are limited.",
        "Methods": "Retrospective, multicenter, comparative case series of consecutive patients undergoing cataract surgery or clear lens extraction with Tecnis Eyhance implantation (2020–2024). Eyes had previous LASIK or PRK for myopia or hyperopia and uneventful in-the-bag IOL placement. Eyes with significant corneal irregularity, ocular comorbidities, or surgical complications were excluded.\n\nA total of 218 patients (337 eyes) were included (252 post-myopic; 85 post-hyperopic). Postoperative assessment included CDVA, UDVA, IDVA, NDVA, manifest refraction (sphere, cylinder, spherical equivalent), efficacy and safety indices, and refractive predictability (±0.50 D).",
        "Results": "Overall, visual and refractive outcomes were statistically and clinically similar between groups, with no detectable penalty in post-hyperopic ablated eyes.Both groups showed significant postoperative visual improvement. CDVA, UDVA, IDVA, and NDVA were high and did not differ significantly between post-myopic and post-hyperopic eyes.\n\nRefractive predictability was high and similar between groups, with comparable proportions of eyes within ±0.50 D of target. Safety analysis showed no clinically relevant loss of CDVA lines in either group. The safety index remained ≥1 in both cohorts. Despite theoretical concerns regarding spherical aberration mismatch in hyperopic ablations, outcomes were homogeneous and clinically equivalent",
        "Conclusions": "The negative spherical aberration profile of the Tecnis Eyhance IOL does not appear to induce a clinically relevant optical mismatch in post-hyperopic ablated corneas. These findings challenge the theoretical concern regarding aspheric profile incompatibility and support monofocal plus IOLs as a versatile and reliable option in post-refractive eyes, including those with prior hyperopic ablation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 338
    },
    {
      "uid": "PP06.14",
      "abstract_number": "PP06.14",
      "title": "Age-Stratified Comparison Of Visual Function Between Eyes With An Enhanced Monofocal Intraocular Lens And Phakic Eyes",
      "authors": "Dr Ryo Hayashi",
      "presenter": "Dr Ryo Hayashi",
      "normalized_authors": [
        "Ryo Hayashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ryo Hayashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare visual function between pseudophakic eyes with enhanced monofocal intraocular lenses (IOLs) and phakic eyes with clear lenses among patients in their 50s, 60s, and 70s.",
        "Setting": "Department of Ophthalmology, Kurume University Faculty of Medicine, Kurume, Japan, and Hayashi Eye Hospital, Fukuoka, Japan.",
        "Methods": "One hundred thirty-eight eyes with enhanced monofocal IOLs (enhanced monofocal group) and 117 phakic eyes with clear lenses (phakic group) among patients in their 50s - 70s were enrolled. Distance-corrected visual acuity (VA) at various distances, and photopic and mesopic contrast VA were evaluated at 2 months postoperatively and compared between groups.",
        "Results": "In all age categories (50s, 60s, and 70s), mean distance-corrected VA at the distances examined did not differ significantly between the enhanced monofocal and phakic groups. Mean contrast VA tended to be better in the enhanced monofocal group than in the phakic group. The difference was significant for photopic low contrast VA at 5% contrast in participants in their 50s ( P =0.002); mesopic contrast VA ( P <0.001) in participants in their 60s; and for photopic contrast VA at 10% and 5% contrasts and as well as mesopic contrast VA at 25% and 10% contrasts in participants in their 70s ( P ≤0.003).",
        "Conclusions": "Among patients in their 50s, 60s, and 70s, the accommodative range did not differ significantly between eyes with enhanced monofocal IOL and phakic eyes with clear lenses. Contrast sensitivity was generally better in eyes with enhanced monofocal IOLs than in phakic eyes, supporting the replacement of clear lenses with enhanced monofocal IOLs in patients of these ages with certain ocular pathologies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Among patients in their 50s, 60s, and 70s, the accommodative range did not differ significantly between eyes with enhanced monofocal IOL and phakic eyes with clear lenses. Contrast sensitivity was generally better in eyes with enhanced monofocal IOLs than in phakic eyes, supporting the replacement of clear lenses with enhanced monofocal IOLs in patients of these ages with certain ocular pathologies.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 106,
      "source_fields": {
        "Abstract Final Identifier": "PP06.14",
        "Title": "Age-Stratified Comparison Of Visual Function Between Eyes With An Enhanced Monofocal Intraocular Lens And Phakic Eyes",
        "Presenting Author(s)": "Dr Ryo Hayashi",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Ryo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hayashi",
        "Country Name": "Japan",
        "Purpose": "To compare visual function between pseudophakic eyes with enhanced monofocal intraocular lenses (IOLs) and phakic eyes with clear lenses among patients in their 50s, 60s, and 70s.",
        "Setting": "Department of Ophthalmology, Kurume University Faculty of Medicine, Kurume, Japan, and Hayashi Eye Hospital, Fukuoka, Japan.",
        "Methods": "One hundred thirty-eight eyes with enhanced monofocal IOLs (enhanced monofocal group) and 117 phakic eyes with clear lenses (phakic group) among patients in their 50s - 70s were enrolled. Distance-corrected visual acuity (VA) at various distances, and photopic and mesopic contrast VA were evaluated at 2 months postoperatively and compared between groups.",
        "Results": "In all age categories (50s, 60s, and 70s), mean distance-corrected VA at the distances examined did not differ significantly between the enhanced monofocal and phakic groups. Mean contrast VA tended to be better in the enhanced monofocal group than in the phakic group. The difference was significant for photopic low contrast VA at 5% contrast in participants in their 50s ( P =0.002); mesopic contrast VA ( P <0.001) in participants in their 60s; and for photopic contrast VA at 10% and 5% contrasts and as well as mesopic contrast VA at 25% and 10% contrasts in participants in their 70s ( P ≤0.003).",
        "Conclusions": "Among patients in their 50s, 60s, and 70s, the accommodative range did not differ significantly between eyes with enhanced monofocal IOL and phakic eyes with clear lenses. Contrast sensitivity was generally better in eyes with enhanced monofocal IOLs than in phakic eyes, supporting the replacement of clear lenses with enhanced monofocal IOLs in patients of these ages with certain ocular pathologies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "PP06.15",
      "abstract_number": "PP06.15",
      "title": "Visual Outcomes Of A Partial-Range Of Field Enhanced Intraocular Lens Using A Mini-Monovision Strategy",
      "authors": "Dr Victor Danzinger",
      "presenter": "Dr Victor Danzinger",
      "normalized_authors": [
        "Victor Danzinger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Danzinger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the visual performance and subjective visual function of a partial-range of field (RoF) enhanced intraocular lens (IOL) using a mini-monovision strategy.",
        "Setting": "This single-center, prospective clinical trial was conducted at the Department of Ophthalmology and Optometry, Medical University of Vienna, Austria.",
        "Methods": "One hundred eyes (50 patients) scheduled for bilateral cataract surgery were included in this prospective clinical trial. The partial-RoF enhanced Vivinex Impress IOL (Hoya Surgical Optics) was implanted bilaterally. The target refraction was set to emmetropia (0D) for the dominant eye and mild myopia (-0.75D) for the non-dominant eye. Two to four months postoperatively, the manifest refractive spherical equivalent (MRSE), binocular uncorrected visual acuity, defocus curve, pupil size, IOL tilt and decentration, Titmus stereopsis, corneal HOAs, and subjective visual function (VF-7) were analyzed.",
        "Results": "The MRSE was -0.14±0.26 D in the dominant eye and -0.84±0.44 D in the non-dominant eye. Mean binocular uncorrected visual acuity (UDVA, UIVA at 80cm, UIVA at 66cm) was ≤0.05 logMAR, while uncorrected near visual acuity (UNVA) was 0.20±0.11 logMAR. The defocus curve demonstrated a broad range of vision with ≤0.2 logMAR from +0.50 D to -2.22 D. Photopic pupil size and corneal spherical aberrations had a significant impact on intermediate vision (p< 0.05). Corneal HOAs, IOL tilt and decentration were overall low. No patient reported bothersome photic phenomena; daily visual function (VF-7) and binocular stereopsis remained within normal limits.",
        "Conclusions": "Bilateral implantation of a partial-RoF enhanced IOL using a mini-monovision approach provided excellent visual performance across various distances. High subjective visual function and the absence of significant photic phenomena underline the clinical utility of this strategy to increase the range of vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of a partial-RoF enhanced IOL using a mini-monovision approach provided excellent visual performance across various distances. High subjective visual function and the absence of significant photic phenomena underline the clinical utility of this strategy to increase the range of vision.",
      "session_type": "Presented Poster",
      "track": "IOLs - monofocal and advanced monofocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 107,
      "source_fields": {
        "Abstract Final Identifier": "PP06.15",
        "Title": "Visual Outcomes Of A Partial-Range Of Field Enhanced Intraocular Lens Using A Mini-Monovision Strategy",
        "Presenting Author(s)": "Dr Victor Danzinger",
        "Abstract Topic Name": "IOLs - monofocal and advanced monofocal",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Danzinger",
        "Country Name": "Austria",
        "Purpose": "To evaluate the visual performance and subjective visual function of a partial-range of field (RoF) enhanced intraocular lens (IOL) using a mini-monovision strategy.",
        "Setting": "This single-center, prospective clinical trial was conducted at the Department of Ophthalmology and Optometry, Medical University of Vienna, Austria.",
        "Methods": "One hundred eyes (50 patients) scheduled for bilateral cataract surgery were included in this prospective clinical trial. The partial-RoF enhanced Vivinex Impress IOL (Hoya Surgical Optics) was implanted bilaterally. The target refraction was set to emmetropia (0D) for the dominant eye and mild myopia (-0.75D) for the non-dominant eye. Two to four months postoperatively, the manifest refractive spherical equivalent (MRSE), binocular uncorrected visual acuity, defocus curve, pupil size, IOL tilt and decentration, Titmus stereopsis, corneal HOAs, and subjective visual function (VF-7) were analyzed.",
        "Results": "The MRSE was -0.14±0.26 D in the dominant eye and -0.84±0.44 D in the non-dominant eye. Mean binocular uncorrected visual acuity (UDVA, UIVA at 80cm, UIVA at 66cm) was ≤0.05 logMAR, while uncorrected near visual acuity (UNVA) was 0.20±0.11 logMAR. The defocus curve demonstrated a broad range of vision with ≤0.2 logMAR from +0.50 D to -2.22 D. Photopic pupil size and corneal spherical aberrations had a significant impact on intermediate vision (p< 0.05). Corneal HOAs, IOL tilt and decentration were overall low. No patient reported bothersome photic phenomena; daily visual function (VF-7) and binocular stereopsis remained within normal limits.",
        "Conclusions": "Bilateral implantation of a partial-RoF enhanced IOL using a mini-monovision approach provided excellent visual performance across various distances. High subjective visual function and the absence of significant photic phenomena underline the clinical utility of this strategy to increase the range of vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "PP07.01",
      "abstract_number": "PP07.01",
      "title": "Vault And Rotational Stability Of Vertical Versus Horizontal Implantation Of The Implantable Collamer Lens: A Systematic Review And Meta-Analysis",
      "authors": "Dr Nuno Rodrigues Alves",
      "presenter": "Dr Nuno Rodrigues Alves",
      "normalized_authors": [
        "Nuno Rodrigues Alves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nuno RODRIGUES ALVES",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To compare postoperative vault, rotational stability, and refractive outcomes between vertical and horizontal Implantable Collamer Lens (ICL) implantation in adults with myopia.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São José, Lisbon, Portugal.\n\nDepartment of Ophthalmology, University Hospital Brussels, Brussels, Belgium.",
        "Methods": "Following PRISMA 2020 guidelines (PROSPERO CRD420251241892), PubMed, Embase, and the Cochrane Library were searched for randomized and non-randomized studies comparing vertical (V-ICL) versus horizontal (H-ICL) ICL implantation. The primary outcome was postoperative vault. Secondary outcomes included absolute rotational angle, spherical equivalent (SE), the proportion of eyes with rotation >5°, adverse events (intraocular pressure [IOP] and endothelial cell density [ECD]), and weighted mean efficacy and safety indices. Data were pooled using random-effects models, and heterogeneity was assessed using the I² statistic. Analyses were performed using R software.",
        "Results": "Eleven studies including 4,603 eyes (V-ICL: 2,446; H-ICL: 2,157) from 3,216 patients were analyzed. V-ICL implantation was associated with a significantly lower postoperative vault compared with H-ICL implantation (MD = −75.17 µm; 95% CI: −130.63 to −19.72; p = 0.001; I² = 84%). Secondary outcomes, including mean absolute rotational angle (MD = −0.65°; p = 0.16), SE (MD = 0.05 D; p = 0.307), the proportion of eyes with rotation >5° (RR = 0.81; p = 0.423), and IOP (MD = 0.25 mmHg; p = 0.106), were not significantly different between groups. ECD was slightly lower in the V-ICL group (MD = −49.34 cells/mm²; 95% CI: −68.41 to −30.26; p = 0.012; I² = 0%). Efficacy and safety indices were comparable (V-ICL: 1.04/1.12 vs H-ICL: 1.04/1.10).",
        "Conclusions": "Vertical ICL implantation results in lower postoperative vault compared with horizontal implantation without compromising rotational stability or refractive outcomes in myopic patients. Although endothelial cell density was modestly lower with vertical placement, both orientations appear equally safe and effective, allowing surgeons flexibility in lens positioning based on anatomical or surgical considerations. Further well-designed, long-term studies are warranted to determine the clinical significance of these subtle differences."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vertical ICL implantation results in lower postoperative vault compared with horizontal implantation without compromising rotational stability or refractive outcomes in myopic patients. Although endothelial cell density was modestly lower with vertical placement, both orientations appear equally safe and effective, allowing surgeons flexibility in lens positioning based on anatomical or surgical considerations.…",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 108,
      "source_fields": {
        "Abstract Final Identifier": "PP07.01",
        "Title": "Vault And Rotational Stability Of Vertical Versus Horizontal Implantation Of The Implantable Collamer Lens: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Nuno Rodrigues Alves",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Nuno",
        "Submitter Middle Name": "",
        "Submitter Last Name": "RODRIGUES ALVES",
        "Country Name": "Portugal",
        "Purpose": "To compare postoperative vault, rotational stability, and refractive outcomes between vertical and horizontal Implantable Collamer Lens (ICL) implantation in adults with myopia.",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São José, Lisbon, Portugal.\n\nDepartment of Ophthalmology, University Hospital Brussels, Brussels, Belgium.",
        "Methods": "Following PRISMA 2020 guidelines (PROSPERO CRD420251241892), PubMed, Embase, and the Cochrane Library were searched for randomized and non-randomized studies comparing vertical (V-ICL) versus horizontal (H-ICL) ICL implantation. The primary outcome was postoperative vault. Secondary outcomes included absolute rotational angle, spherical equivalent (SE), the proportion of eyes with rotation >5°, adverse events (intraocular pressure [IOP] and endothelial cell density [ECD]), and weighted mean efficacy and safety indices. Data were pooled using random-effects models, and heterogeneity was assessed using the I² statistic. Analyses were performed using R software.",
        "Results": "Eleven studies including 4,603 eyes (V-ICL: 2,446; H-ICL: 2,157) from 3,216 patients were analyzed. V-ICL implantation was associated with a significantly lower postoperative vault compared with H-ICL implantation (MD = −75.17 µm; 95% CI: −130.63 to −19.72; p = 0.001; I² = 84%). Secondary outcomes, including mean absolute rotational angle (MD = −0.65°; p = 0.16), SE (MD = 0.05 D; p = 0.307), the proportion of eyes with rotation >5° (RR = 0.81; p = 0.423), and IOP (MD = 0.25 mmHg; p = 0.106), were not significantly different between groups. ECD was slightly lower in the V-ICL group (MD = −49.34 cells/mm²; 95% CI: −68.41 to −30.26; p = 0.012; I² = 0%). Efficacy and safety indices were comparable (V-ICL: 1.04/1.12 vs H-ICL: 1.04/1.10).",
        "Conclusions": "Vertical ICL implantation results in lower postoperative vault compared with horizontal implantation without compromising rotational stability or refractive outcomes in myopic patients. Although endothelial cell density was modestly lower with vertical placement, both orientations appear equally safe and effective, allowing surgeons flexibility in lens positioning based on anatomical or surgical considerations. Further well-designed, long-term studies are warranted to determine the clinical significance of these subtle differences."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "PP07.02",
      "abstract_number": "PP07.02",
      "title": "Phakic Presbyopic Intraocular Lenses: A Systematic Review",
      "authors": "Dr Javier Humberto Gonzalez-Lugo",
      "presenter": "Dr Javier Humberto Gonzalez-Lugo",
      "normalized_authors": [
        "Javier Humberto Gonzalez-Lugo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Javier Humberto Gonzalez Lugo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To provide the first comprehensive systematic review evaluating visual acuity, refractive predictability, patient-reported outcomes, and safety of presbyopia-correcting phakic intraocular lenses (PIOLs), including multifocal refractive, diffractive, and extended depth-of-focus (EDOF) designs. Outcomes across anterior and posterior chamber platforms were critically analyzed to determine their clinical performance and limitations.",
        "Setting": "Systematic review of clinical studies conducted in tertiary refractive surgery centers worldwide. Electronic searches were performed in MEDLINE, EMBASE, and the Cochrane Library through July 2025 according to PRISMA guidelines. The protocol was prospectively registered in PROSPERO (CRD420251138158).",
        "Methods": "Randomized and non-randomized clinical studies reporting outcomes of presbyopia-correcting PIOL implantation with ≥6 months follow-up were included. Primary outcomes were UDVA, CDVA, UIVA, and UNVA. Secondary outcomes included refractive predictability (percentage within ±0.50 D and ±1.00 D), defocus curves, photic phenomena, contrast sensitivity, endothelial safety, and adverse events. Risk of bias was assessed using the Cochrane RoB tool and ROBINS-I. Due to heterogeneity of optical designs and outcome reporting, a narrative synthesis was performed.",
        "Results": "Six studies (354 eyes; mean age 38–62 years; follow-up 6–24 months) met inclusion criteria. Contemporary platforms (EVO Viva ICL, trifocal IPCL, ArtiPlus) achieved ≥75% of eyes within ±0.50 D and ≥95% within ±1.00 D of target refraction. Mean binocular UDVA was ≤0.1 logMAR in most series, with functional near and intermediate vision across designs. Spectacle independence ranged from 80–90%. Glare and halos were frequently reported; 96% reported starbursts with ArtiPlus, although only 2% described them as very bothersome. No sight-threatening complications were reported during short-term follow-up. Evidence certainty was low-to-moderate due to small, predominantly non-randomized, industry-sponsored studies.",
        "Conclusions": "Presbyopia-correcting PIOLs demonstrate promising short-term refractive accuracy, broad-range visual performance, and acceptable safety while preserving the crystalline lens. However, current evidence is limited by heterogeneity, short follow-up, and potential sponsorship bias. Long-term independent prospective trials are required to determine endothelial stability, cataract risk, optical durability, and their definitive role within the presbyopia surgical algorithm."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Presbyopia-correcting PIOLs demonstrate promising short-term refractive accuracy, broad-range visual performance, and acceptable safety while preserving the crystalline lens. However, current evidence is limited by heterogeneity, short follow-up, and potential sponsorship bias. Long-term independent prospective trials are required to determine endothelial stability, cataract risk, optical durability, and their…",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 109,
      "source_fields": {
        "Abstract Final Identifier": "PP07.02",
        "Title": "Phakic Presbyopic Intraocular Lenses: A Systematic Review",
        "Presenting Author(s)": "Dr Javier Humberto Gonzalez-Lugo",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Javier",
        "Submitter Middle Name": "Humberto",
        "Submitter Last Name": "Gonzalez Lugo",
        "Country Name": "Spain",
        "Purpose": "To provide the first comprehensive systematic review evaluating visual acuity, refractive predictability, patient-reported outcomes, and safety of presbyopia-correcting phakic intraocular lenses (PIOLs), including multifocal refractive, diffractive, and extended depth-of-focus (EDOF) designs. Outcomes across anterior and posterior chamber platforms were critically analyzed to determine their clinical performance and limitations.",
        "Setting": "Systematic review of clinical studies conducted in tertiary refractive surgery centers worldwide. Electronic searches were performed in MEDLINE, EMBASE, and the Cochrane Library through July 2025 according to PRISMA guidelines. The protocol was prospectively registered in PROSPERO (CRD420251138158).",
        "Methods": "Randomized and non-randomized clinical studies reporting outcomes of presbyopia-correcting PIOL implantation with ≥6 months follow-up were included. Primary outcomes were UDVA, CDVA, UIVA, and UNVA. Secondary outcomes included refractive predictability (percentage within ±0.50 D and ±1.00 D), defocus curves, photic phenomena, contrast sensitivity, endothelial safety, and adverse events. Risk of bias was assessed using the Cochrane RoB tool and ROBINS-I. Due to heterogeneity of optical designs and outcome reporting, a narrative synthesis was performed.",
        "Results": "Six studies (354 eyes; mean age 38–62 years; follow-up 6–24 months) met inclusion criteria. Contemporary platforms (EVO Viva ICL, trifocal IPCL, ArtiPlus) achieved ≥75% of eyes within ±0.50 D and ≥95% within ±1.00 D of target refraction. Mean binocular UDVA was ≤0.1 logMAR in most series, with functional near and intermediate vision across designs. Spectacle independence ranged from 80–90%. Glare and halos were frequently reported; 96% reported starbursts with ArtiPlus, although only 2% described them as very bothersome. No sight-threatening complications were reported during short-term follow-up. Evidence certainty was low-to-moderate due to small, predominantly non-randomized, industry-sponsored studies.",
        "Conclusions": "Presbyopia-correcting PIOLs demonstrate promising short-term refractive accuracy, broad-range visual performance, and acceptable safety while preserving the crystalline lens. However, current evidence is limited by heterogeneity, short follow-up, and potential sponsorship bias. Long-term independent prospective trials are required to determine endothelial stability, cataract risk, optical durability, and their definitive role within the presbyopia surgical algorithm."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "PP07.03",
      "abstract_number": "PP07.03",
      "title": "Sulcus Positioning Of The Eyecryl Phakic Intraocular Lens Assessed By Ultrasound Biomicroscopy: A Ubm-Based Analysis Of Haptic Placement",
      "authors": "Dr Jose Lamarca Mateu",
      "presenter": "Dr Jose Lamarca Mateu",
      "normalized_authors": [
        "Jose Lamarca Mateu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arturo Corroto Cuadrado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the anatomical positioning of EYECRYL phakic posterior chamber intraocular lens (pIOL) haptics using ultrasound biomicroscopy (UBM), classifying placement into three categories: ideal sulcus, ciliary sulcus (posterior), and sulcus-ciliary body (SC–CB) transition zone.",
        "Setting": "Retrospective observational study conducted at CEO Barraquer, Barcelona, Spain.",
        "Methods": "A retrospective observational study was conducted at Institut Barraquer, Barcelona. A total of 142 haptics from eyes implanted with the EYECRYL phakic IOL were assessed by high-resolution UBM imaging (Quantel Medical). Each haptic was independently classified as: (1) ideal sulcus positioning, (2) ciliary sulcus (posterior displacement), or (3) sulcus–ciliary body transition. Additionally, mixed placement patterns — defined as asymmetric positioning between both haptics of the same lens — were identified and reported. Cases of sulcus cysts were documented and evaluated for their potential impact on lens stability, centration, and rotation.",
        "Results": "Of the 142 haptics evaluated, 91 (64.1%) were located in the ideal sulcus position, 43 (30.3%) showed posterior displacement into the ciliary sulcus, and 8 (5.6%) were positioned at the SC–CB transition zone. Mixed positioning patterns were detected in a subgroup of cases, where one haptic rested in the ideal sulcus while the contralateral haptic was displaced into the ciliary sulcus. Three eyes presented sulcus cysts at the haptic site; none of these cases showed evidence of lens rotation, decentration, or any other clinically relevant complication.",
        "Conclusions": "UBM imaging is a valuable tool for assessing EYECRYL phakic IOL haptic placement. The majority of haptics were found in the ideal sulcus position; however, a significant proportion showed posterior displacement. Mixed positioning patterns and sulcus cysts were occasionally observed, without adverse effects on lens performance. These findings highlight the importance of postoperative anatomical monitoring of phakic IOLs and may have implications for surgical planning and long-term follow-up protocols"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UBM imaging is a valuable tool for assessing EYECRYL phakic IOL haptic placement. The majority of haptics were found in the ideal sulcus position; however, a significant proportion showed posterior displacement. Mixed positioning patterns and sulcus cysts were occasionally observed, without adverse effects on lens performance. These findings highlight the importance of postoperative anatomical monitoring of phakic…",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 110,
      "source_fields": {
        "Abstract Final Identifier": "PP07.03",
        "Title": "Sulcus Positioning Of The Eyecryl Phakic Intraocular Lens Assessed By Ultrasound Biomicroscopy: A Ubm-Based Analysis Of Haptic Placement",
        "Presenting Author(s)": "Dr Jose Lamarca Mateu",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Arturo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Corroto Cuadrado",
        "Country Name": "Spain",
        "Purpose": "To evaluate the anatomical positioning of EYECRYL phakic posterior chamber intraocular lens (pIOL) haptics using ultrasound biomicroscopy (UBM), classifying placement into three categories: ideal sulcus, ciliary sulcus (posterior), and sulcus-ciliary body (SC–CB) transition zone.",
        "Setting": "Retrospective observational study conducted at CEO Barraquer, Barcelona, Spain.",
        "Methods": "A retrospective observational study was conducted at Institut Barraquer, Barcelona. A total of 142 haptics from eyes implanted with the EYECRYL phakic IOL were assessed by high-resolution UBM imaging (Quantel Medical). Each haptic was independently classified as: (1) ideal sulcus positioning, (2) ciliary sulcus (posterior displacement), or (3) sulcus–ciliary body transition. Additionally, mixed placement patterns — defined as asymmetric positioning between both haptics of the same lens — were identified and reported. Cases of sulcus cysts were documented and evaluated for their potential impact on lens stability, centration, and rotation.",
        "Results": "Of the 142 haptics evaluated, 91 (64.1%) were located in the ideal sulcus position, 43 (30.3%) showed posterior displacement into the ciliary sulcus, and 8 (5.6%) were positioned at the SC–CB transition zone. Mixed positioning patterns were detected in a subgroup of cases, where one haptic rested in the ideal sulcus while the contralateral haptic was displaced into the ciliary sulcus. Three eyes presented sulcus cysts at the haptic site; none of these cases showed evidence of lens rotation, decentration, or any other clinically relevant complication.",
        "Conclusions": "UBM imaging is a valuable tool for assessing EYECRYL phakic IOL haptic placement. The majority of haptics were found in the ideal sulcus position; however, a significant proportion showed posterior displacement. Mixed positioning patterns and sulcus cysts were occasionally observed, without adverse effects on lens performance. These findings highlight the importance of postoperative anatomical monitoring of phakic IOLs and may have implications for surgical planning and long-term follow-up protocols"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "PP07.04",
      "abstract_number": "PP07.04",
      "title": "Long-Term Efficacy And Safety Of The Implantable Phakic Contact Lens (Ipcl V2.0) For\nRefractive Correction In Patients With Myopia And Myopic Astigmatism",
      "authors": "Dr Doel Biswas",
      "presenter": "Dr Doel Biswas",
      "normalized_authors": [
        "Doel Biswas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Doel Biswas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Phakic intraocular lenses (IOL) have been used in patients for refractive correction where LVC (LASER vision correction) is not possible. The phakic IOL can be angle-fixated, iris-fixated or sulcus-fixated. The sulcus-fixated phakic IOL has been widely used for refractive surgery in patients who are not suited for LVC. The Implantable Phakic Contact Lens (IPCL V2.0) is a single-piece posterior chamber phakic IOL. It can be inserted through a 2.8 mm sub-incision and is made of Axially Oriented Hydrophilic Acrylic Copolymer material. This study was done to assess the l ong-term efficacy and safety of the Implantable Phakic Contact Lens (IPCL V2.0) for refractive correction in patients with myopia and myopic astigmatism not amenable to LVC.",
        "Setting": "This is a single-center prospective interventional study that was done in a tertiary eye care center in eastern India. The study period was from January 2019 to December 2025. All the surgeries were performed by a single surgeon.",
        "Methods": "This prospective interventional study included patients who presented to our hospital for refractive correction during the study period. Patients were screened for refractive surgeries, and patients not eligible for the LVC but suitable for phakic IOL were enrolled in this study. IPCL V2.0 was implanted in all the patients and were followed up for 6 months. Patient data were collected, including pre-operative and post-operative refractive error and best corrected visual acuity (BCVA), pre-operative anterior chamber depth\n(ACD), white to white diameter (WTW), post-operative intraocular pressure (IOP) at 1-week, post-operative vault at 1 week, 1 month, and 6 months. Statistical analysis was done using appropriate tools.",
        "Results": "A total of 200 eyes of 103 patients were enrolled with the mean age of 29.25±6.13 years (39 males and 64 females). Pre-operative spherical equivalent for OD was -11.0±3.97 D, and -10.93±3.91 D for OS. The range of spherical error was from -0.5 to –20.0 D for OD and -1.0 to -23.0 D for OS and for cylindrical error was from 0 to 4.5 D for OD and 1.75 to 4.5 for OS. The pre-op ACD and WTW were 3.12±0.25 mm and 11.45mm, respectively. The mean post-op IOP was 15.5±2.8 mm of Hg, (range 10-22 mm hg). The post-op vault at 1 week, 1 month and 6 months for OD was 688.29±151.87µ, 721.65±191.15µ and 657±228.21µ respectively and for OS was 692.39 ±184.02µ, 719.27±196.17µ and 656.1±194.67µ respectively and the change was not significant (p >0.05).",
        "Conclusions": "IPCL is an effective and safe method for refractive correction in patients where LVC is not possible for any reason. In our study, the IOL was noted to be stable with no significant change in vault post-implantation. There was no major adverse event during the course of the study.\n\nFinancial Disclosure of all Authors: No financial interests to be disclosed for any authors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IPCL is an effective and safe method for refractive correction in patients where LVC is not possible for any reason. In our study, the IOL was noted to be stable with no significant change in vault post-implantation. There was no major adverse event during the course of the study. Financial Disclosure of all Authors: No financial interests to be disclosed for any authors.",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 111,
      "source_fields": {
        "Abstract Final Identifier": "PP07.04",
        "Title": "Long-Term Efficacy And Safety Of The Implantable Phakic Contact Lens (Ipcl V2.0) For\nRefractive Correction In Patients With Myopia And Myopic Astigmatism",
        "Presenting Author(s)": "Dr Doel Biswas",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Doel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Biswas",
        "Country Name": "India",
        "Purpose": "Phakic intraocular lenses (IOL) have been used in patients for refractive correction where LVC (LASER vision correction) is not possible. The phakic IOL can be angle-fixated, iris-fixated or sulcus-fixated. The sulcus-fixated phakic IOL has been widely used for refractive surgery in patients who are not suited for LVC. The Implantable Phakic Contact Lens (IPCL V2.0) is a single-piece posterior chamber phakic IOL. It can be inserted through a 2.8 mm sub-incision and is made of Axially Oriented Hydrophilic Acrylic Copolymer material. This study was done to assess the l ong-term efficacy and safety of the Implantable Phakic Contact Lens (IPCL V2.0) for refractive correction in patients with myopia and myopic astigmatism not amenable to LVC.",
        "Setting": "This is a single-center prospective interventional study that was done in a tertiary eye care center in eastern India. The study period was from January 2019 to December 2025. All the surgeries were performed by a single surgeon.",
        "Methods": "This prospective interventional study included patients who presented to our hospital for refractive correction during the study period. Patients were screened for refractive surgeries, and patients not eligible for the LVC but suitable for phakic IOL were enrolled in this study. IPCL V2.0 was implanted in all the patients and were followed up for 6 months. Patient data were collected, including pre-operative and post-operative refractive error and best corrected visual acuity (BCVA), pre-operative anterior chamber depth\n(ACD), white to white diameter (WTW), post-operative intraocular pressure (IOP) at 1-week, post-operative vault at 1 week, 1 month, and 6 months. Statistical analysis was done using appropriate tools.",
        "Results": "A total of 200 eyes of 103 patients were enrolled with the mean age of 29.25±6.13 years (39 males and 64 females). Pre-operative spherical equivalent for OD was -11.0±3.97 D, and -10.93±3.91 D for OS. The range of spherical error was from -0.5 to –20.0 D for OD and -1.0 to -23.0 D for OS and for cylindrical error was from 0 to 4.5 D for OD and 1.75 to 4.5 for OS. The pre-op ACD and WTW were 3.12±0.25 mm and 11.45mm, respectively. The mean post-op IOP was 15.5±2.8 mm of Hg, (range 10-22 mm hg). The post-op vault at 1 week, 1 month and 6 months for OD was 688.29±151.87µ, 721.65±191.15µ and 657±228.21µ respectively and for OS was 692.39 ±184.02µ, 719.27±196.17µ and 656.1±194.67µ respectively and the change was not significant (p >0.05).",
        "Conclusions": "IPCL is an effective and safe method for refractive correction in patients where LVC is not possible for any reason. In our study, the IOL was noted to be stable with no significant change in vault post-implantation. There was no major adverse event during the course of the study.\n\nFinancial Disclosure of all Authors: No financial interests to be disclosed for any authors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 499
    },
    {
      "uid": "PP07.05",
      "abstract_number": "PP07.05",
      "title": "Icl Outcomes Across Myopia Severity: Real-World Udva And Vault Using Correlated-Eye Modelling",
      "authors": "Dr Eriks Elksnis",
      "presenter": "Dr Eriks Elksnis",
      "normalized_authors": [
        "Eriks Elksnis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vincenzo Rizzuto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Latvia",
      "sections": {
        "Purpose": "To evaluate visual and safety outcomes of EVO+ Visian ICL implantation for myopia correction in a Latvian cohort, and to identify biometric predictors of postoperative vault.",
        "Setting": "Single-center, single-surgeon retrospective study at a tertiary ophthalmology clinic in Riga, Latvia.",
        "Methods": "Consecutive EVO+ ICL cases for myopia ± astigmatism were retrospectively analysed (105 patients, 207 eyes; spherical and toric lenses; OCOS sizing). Primary endpoint was ΔUDVA (logMAR). Secondary endpoints: UDVA thresholds, vault categories and IOP. Inter-eye correlation was handled with patient-random-intercept mixed models (continuous outcomes) and GEE logistic regression (binary outcomes). Vault predictors were assessed using multivariable mixed models on log(vault).",
        "Results": "Median follow-up was 12 months (IQR 4–24). Mean UDVA improved from 1.29 to −0.04 logMAR (p<0.001); 87.9% achieved UDVA ≥1.0 (95%CI 82.7–92.0%). Efficacy index was 1.05±0.20. Vault was optimal (250–750 µm) in 79.5%; 9.8% <250 µm and 10.7% >750 µm. IOP >21 mmHg in 3.4%. ICL exchange was required in 2 patients (1.9%): one for persistent high vault with elevated IOP, one for toric rotation (both bilateral). No sight-threatening complications were recorded. High myopia (SE≤−10D) reduced odds of UDVA≥1.0 (GEE OR=0.21, p=0.02). Vault was independently predicted by ICL size (p<0.001), WTW (p=0.02), and ACD (p=0.02); larger ICL and deeper ACD increased vault, wider WTW decreased it.",
        "Conclusions": "In this single-center Latvian real-world cohort, EVO+ ICL implantation yielded excellent functional vision, with 87.9% achieving UDVA ≥1.0 and a low rate of secondary surgical intervention (1.9%). High myopia (SE ≤−10 D) was associated with a lower likelihood of reaching UDVA ≥1.0. Postoperative vault was primarily driven by ICL size, with additional contributions from WTW and ACD, underscoring the importance of biometric-based sizing. These results confirm the safety and efficacy of EVO+ ICL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this single-center Latvian real-world cohort, EVO+ ICL implantation yielded excellent functional vision, with 87.9% achieving UDVA ≥1.0 and a low rate of secondary surgical intervention (1.9%). High myopia (SE ≤−10 D) was associated with a lower likelihood of reaching UDVA ≥1.0. Postoperative vault was primarily driven by ICL size, with additional contributions from WTW and ACD, underscoring the importance of…",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 112,
      "source_fields": {
        "Abstract Final Identifier": "PP07.05",
        "Title": "Icl Outcomes Across Myopia Severity: Real-World Udva And Vault Using Correlated-Eye Modelling",
        "Presenting Author(s)": "Dr Eriks Elksnis",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Vincenzo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rizzuto",
        "Country Name": "Latvia",
        "Purpose": "To evaluate visual and safety outcomes of EVO+ Visian ICL implantation for myopia correction in a Latvian cohort, and to identify biometric predictors of postoperative vault.",
        "Setting": "Single-center, single-surgeon retrospective study at a tertiary ophthalmology clinic in Riga, Latvia.",
        "Methods": "Consecutive EVO+ ICL cases for myopia ± astigmatism were retrospectively analysed (105 patients, 207 eyes; spherical and toric lenses; OCOS sizing). Primary endpoint was ΔUDVA (logMAR). Secondary endpoints: UDVA thresholds, vault categories and IOP. Inter-eye correlation was handled with patient-random-intercept mixed models (continuous outcomes) and GEE logistic regression (binary outcomes). Vault predictors were assessed using multivariable mixed models on log(vault).",
        "Results": "Median follow-up was 12 months (IQR 4–24). Mean UDVA improved from 1.29 to −0.04 logMAR (p<0.001); 87.9% achieved UDVA ≥1.0 (95%CI 82.7–92.0%). Efficacy index was 1.05±0.20. Vault was optimal (250–750 µm) in 79.5%; 9.8% <250 µm and 10.7% >750 µm. IOP >21 mmHg in 3.4%. ICL exchange was required in 2 patients (1.9%): one for persistent high vault with elevated IOP, one for toric rotation (both bilateral). No sight-threatening complications were recorded. High myopia (SE≤−10D) reduced odds of UDVA≥1.0 (GEE OR=0.21, p=0.02). Vault was independently predicted by ICL size (p<0.001), WTW (p=0.02), and ACD (p=0.02); larger ICL and deeper ACD increased vault, wider WTW decreased it.",
        "Conclusions": "In this single-center Latvian real-world cohort, EVO+ ICL implantation yielded excellent functional vision, with 87.9% achieving UDVA ≥1.0 and a low rate of secondary surgical intervention (1.9%). High myopia (SE ≤−10 D) was associated with a lower likelihood of reaching UDVA ≥1.0. Postoperative vault was primarily driven by ICL size, with additional contributions from WTW and ACD, underscoring the importance of biometric-based sizing. These results confirm the safety and efficacy of EVO+ ICL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "PP07.06",
      "abstract_number": "PP07.06",
      "title": "The Bermuda Triangle Of Icl Sizing: Low Myopia, Footplate Positioning, And Lens-Anatomy Interactions",
      "authors": "Mr Joseph Potter",
      "presenter": "Mr Joseph Potter",
      "normalized_authors": [
        "Joseph Potter"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joseph Potter",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To quantify three sources of unpredictability in myopic ICL sizing: 1. Low myopia, 2. Postoperative footplate position, and 3. Lens-anatomy interactions and evaluate their contribution to large postoperative vault prediction errors.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of 618 eyes undergoing EVO/EVO+ ICL sized with V3 of the Reinstein formula using VHFDU (Insight 100). (1) Low myopia: Eyes were stratified in 2.00 D bins by maximum meridian (−4.00 to −18.00 D); residual error variability (SD, IQR) calculated per bin. (2) Footplate position: In 481 eyes with postoperative VHFDU imaging, footplates were classified as ciliary body/zonular (CB) or sulcus (S); incidence and prediction error compared. (3) Lens–anatomy interaction: In eyes with known footplate position, lens “flip” (compressive buckling with upward angulation causing hyper-vault) was quantified. Sulcus predictions were adjusted by adding (CBIDLR − STSL); flip defined as achieved vault >200 µm above adjusted expected value.",
        "Results": "(1) Residual variability increased toward lower myopic powers. SD/IQR were 291/318 µm (-2.01 to -4.00 D), 284/339 (-4.01 to -6.00 D), 228/298 (-6.01 to -8.00 D), 178/211 (-8.01 to -10.00 D), 165/177 (-10.01 to -12.00 D), 168/201 (-12.01 to -14.00 D), 154/224 (-14.01 to -16.00 D), and 137/197 µm (-16.01 to -18.00 D). (2) Footplate position was ciliary body (CB) in 81% and sulcus (S) in 19%. Mean ± SD achieved vault was 553 ± 177 µm (CB) versus 831 ± 242 µm (S). Mean prediction bias was -42 ± 156 µm versus +204 ± 209 µm, demonstrating systematic hyper-vaulting with sulcus positioning. (3) Lens “flip” occurred in 3.7% overall (3.6% CB, 4.5% S).",
        "Conclusions": "Low myopic lenses demonstrated greater prediction variability, likely reflecting reduced compressive forces and increased sensitivity to anatomical variation in thinner lens designs. Sulcus footplate positioning occurred in nearly one-fifth of cases and was associated with systematic hyper-vaulting that current sizing formulas do not account for. Lens “flip” represents a further mechanical outlier phenomenon, producing marked hyper-vault beyond expected values. These findings highlight structural biomechanical limitations in contemporary ICL sizing strategies, which cannot anticipate footplate position or haptic buckling, and underscore the need for next-generation ICL sizing approaches which incorporate lens–anatomy interactions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Low myopic lenses demonstrated greater prediction variability, likely reflecting reduced compressive forces and increased sensitivity to anatomical variation in thinner lens designs. Sulcus footplate positioning occurred in nearly one-fifth of cases and was associated with systematic hyper-vaulting that current sizing formulas do not account for. Lens “flip” represents a further mechanical outlier phenomenon,…",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 113,
      "source_fields": {
        "Abstract Final Identifier": "PP07.06",
        "Title": "The Bermuda Triangle Of Icl Sizing: Low Myopia, Footplate Positioning, And Lens-Anatomy Interactions",
        "Presenting Author(s)": "Mr Joseph Potter",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Joseph",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Potter",
        "Country Name": "United Kingdom",
        "Purpose": "To quantify three sources of unpredictability in myopic ICL sizing: 1. Low myopia, 2. Postoperative footplate position, and 3. Lens-anatomy interactions and evaluate their contribution to large postoperative vault prediction errors.",
        "Setting": "Private Practice Academic Unit Reinstein Vision, London Vision Clinic, EuroEyes Group, UK",
        "Methods": "Retrospective analysis of 618 eyes undergoing EVO/EVO+ ICL sized with V3 of the Reinstein formula using VHFDU (Insight 100). (1) Low myopia: Eyes were stratified in 2.00 D bins by maximum meridian (−4.00 to −18.00 D); residual error variability (SD, IQR) calculated per bin. (2) Footplate position: In 481 eyes with postoperative VHFDU imaging, footplates were classified as ciliary body/zonular (CB) or sulcus (S); incidence and prediction error compared. (3) Lens–anatomy interaction: In eyes with known footplate position, lens “flip” (compressive buckling with upward angulation causing hyper-vault) was quantified. Sulcus predictions were adjusted by adding (CBIDLR − STSL); flip defined as achieved vault >200 µm above adjusted expected value.",
        "Results": "(1) Residual variability increased toward lower myopic powers. SD/IQR were 291/318 µm (-2.01 to -4.00 D), 284/339 (-4.01 to -6.00 D), 228/298 (-6.01 to -8.00 D), 178/211 (-8.01 to -10.00 D), 165/177 (-10.01 to -12.00 D), 168/201 (-12.01 to -14.00 D), 154/224 (-14.01 to -16.00 D), and 137/197 µm (-16.01 to -18.00 D). (2) Footplate position was ciliary body (CB) in 81% and sulcus (S) in 19%. Mean ± SD achieved vault was 553 ± 177 µm (CB) versus 831 ± 242 µm (S). Mean prediction bias was -42 ± 156 µm versus +204 ± 209 µm, demonstrating systematic hyper-vaulting with sulcus positioning. (3) Lens “flip” occurred in 3.7% overall (3.6% CB, 4.5% S).",
        "Conclusions": "Low myopic lenses demonstrated greater prediction variability, likely reflecting reduced compressive forces and increased sensitivity to anatomical variation in thinner lens designs. Sulcus footplate positioning occurred in nearly one-fifth of cases and was associated with systematic hyper-vaulting that current sizing formulas do not account for. Lens “flip” represents a further mechanical outlier phenomenon, producing marked hyper-vault beyond expected values. These findings highlight structural biomechanical limitations in contemporary ICL sizing strategies, which cannot anticipate footplate position or haptic buckling, and underscore the need for next-generation ICL sizing approaches which incorporate lens–anatomy interactions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "PP07.07",
      "abstract_number": "PP07.07",
      "title": "Risk Factors For Post-Operative Intraocular Pressure Elevation Following Evo Icl Implantation",
      "authors": "Mr Laurence Cox",
      "presenter": "Mr Laurence Cox",
      "normalized_authors": [
        "Laurence Cox"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laurence Cox",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To identify preoperative risk factors for post-operative intraocular pressure (IOP) elevation following Evo Implantable Collamer Lens (ICL) implantation.",
        "Setting": "This retrospective multicentre study was conducted at OCL vision in London, United Kingdom.",
        "Methods": "Retrospective analysis of 203 eyes (103 patients) undergoing Evo ICL implantation. Univariate and multivariate logistic regression identified predictors of post-operative IOP >21 mmHg and ≥25 mmHg.",
        "Results": "Post-operative IOP>21mmHg occurred in 48 eyes (23.6%) and IOP≥25mmHg in 29 eyes (14.3%). Myopia ≥6D was the strongest predictor at both thresholds (OR=16.90 and OR=8.63, both p<0.05). In multivariate analysis, corneal thickness (OR=1.99 per SD, p=0.005) and axial length (AL) (OR=2.32 per SD, p=0.014) were the strongest predictors at >21mmHg; AL dominated at ≥25 mmHg (OR=2.26, p=0.019). AL≥27mm and corneal thickness ≥540µm carried 37.6% and 40.0% rates of IOP>21mmHg, versus 8.5% and 15.9% below such thresholds. Eyes with all three risk factors showed 55% and 35% elevation rates at respective thresholds, versus 0% with none. IOP elevation was predominantly bilateral (88% concordance, p<0.0001). Model discrimination was excellent (AUC=0.843).",
        "Conclusions": "Axial length ≥27mm and corneal thickness ≥540µm are the strongest independent predictors of post-operative IOP elevation. Bilateral concordance supports anatomical rather than surgical variables as primary drivers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Axial length ≥27mm and corneal thickness ≥540µm are the strongest independent predictors of post-operative IOP elevation. Bilateral concordance supports anatomical rather than surgical variables as primary drivers.",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 114,
      "source_fields": {
        "Abstract Final Identifier": "PP07.07",
        "Title": "Risk Factors For Post-Operative Intraocular Pressure Elevation Following Evo Icl Implantation",
        "Presenting Author(s)": "Mr Laurence Cox",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Laurence",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cox",
        "Country Name": "United Kingdom",
        "Purpose": "To identify preoperative risk factors for post-operative intraocular pressure (IOP) elevation following Evo Implantable Collamer Lens (ICL) implantation.",
        "Setting": "This retrospective multicentre study was conducted at OCL vision in London, United Kingdom.",
        "Methods": "Retrospective analysis of 203 eyes (103 patients) undergoing Evo ICL implantation. Univariate and multivariate logistic regression identified predictors of post-operative IOP >21 mmHg and ≥25 mmHg.",
        "Results": "Post-operative IOP>21mmHg occurred in 48 eyes (23.6%) and IOP≥25mmHg in 29 eyes (14.3%). Myopia ≥6D was the strongest predictor at both thresholds (OR=16.90 and OR=8.63, both p<0.05). In multivariate analysis, corneal thickness (OR=1.99 per SD, p=0.005) and axial length (AL) (OR=2.32 per SD, p=0.014) were the strongest predictors at >21mmHg; AL dominated at ≥25 mmHg (OR=2.26, p=0.019). AL≥27mm and corneal thickness ≥540µm carried 37.6% and 40.0% rates of IOP>21mmHg, versus 8.5% and 15.9% below such thresholds. Eyes with all three risk factors showed 55% and 35% elevation rates at respective thresholds, versus 0% with none. IOP elevation was predominantly bilateral (88% concordance, p<0.0001). Model discrimination was excellent (AUC=0.843).",
        "Conclusions": "Axial length ≥27mm and corneal thickness ≥540µm are the strongest independent predictors of post-operative IOP elevation. Bilateral concordance supports anatomical rather than surgical variables as primary drivers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 224
    },
    {
      "uid": "PP07.08",
      "abstract_number": "PP07.08",
      "title": "Intraoperative Oct-Based Prediction Of 3-Month Icl Lens Separation Vault Using Machine Learning",
      "authors": "Mr Maxwell Reinstein",
      "presenter": "Mr Maxwell Reinstein",
      "normalized_authors": [
        "Maxwell Reinstein"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maxwell Reinstein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To train and validate machine learning models to predict 3-month lens separation vault after Implantable Collamer Lens (ICL) implantation, using iOCT- measured intraoperative vault as the key predictor alongside preoperative biometric parameters.",
        "Setting": "Private Practice Academic Unit, Reinstein Vision, London Vision Clinic, EuroEyes Group, UK.",
        "Methods": "Retrospective analysis of 399 eyes undergoing V4c EVO/EVO+ ICL implantation. Sixteen variables were evaluated, centred on iOCT-measured intraoperative vault (ARTEVO 800), with preoperative anterior segment metrics from VHF digital ultrasound (Insight 100) and AS-OCT (MS-39). Seven models were trained using an 80/20 train–test split and tuned with 10-fold cross-validation: gradient boosting machine, k-nearest neighbours, regularised linear regression (LASSO/elastic net), polynomial regression, random forest, stacking ensemble, and support vector regression. Performance on the test set (n=80) was assessed using mean absolute error (MAE) and R 2 between achieved and predicted 3-month vault, with reporting of eyes within ±100 µm and ±300 µm.",
        "Results": "Mean central vault was 829±330 µm intraoperatively and 594±218 µm at 3 months. The best-performing models were support vector regression (MAE=109 µm, R²=0.54) and stacking ensemble (MAE=111 µm, R²=0.56). Support vector regression and stacking ensemble predicted the 3-month vault within ±100 µm of the achieved vault for 60% and 56% of eyes, and within ±300 µm for 94% and 95% of eyes, respectively.",
        "Conclusions": "Machine learning models incorporating iOCT-measured intraoperative vault achieved clinically useful accuracy for predicting 3-month postoperative vault, supporting intraoperative assessment of lens size suitability and offering a pathway to reduce vault-related risk through informed on-table decision-making."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Machine learning models incorporating iOCT-measured intraoperative vault achieved clinically useful accuracy for predicting 3-month postoperative vault, supporting intraoperative assessment of lens size suitability and offering a pathway to reduce vault-related risk through informed on-table decision-making.",
      "session_type": "Presented Poster",
      "track": "Phakic IOLs",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 115,
      "source_fields": {
        "Abstract Final Identifier": "PP07.08",
        "Title": "Intraoperative Oct-Based Prediction Of 3-Month Icl Lens Separation Vault Using Machine Learning",
        "Presenting Author(s)": "Mr Maxwell Reinstein",
        "Abstract Topic Name": "Phakic IOLs",
        "Submitter First Name": "Maxwell",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Reinstein",
        "Country Name": "United Kingdom",
        "Purpose": "To train and validate machine learning models to predict 3-month lens separation vault after Implantable Collamer Lens (ICL) implantation, using iOCT- measured intraoperative vault as the key predictor alongside preoperative biometric parameters.",
        "Setting": "Private Practice Academic Unit, Reinstein Vision, London Vision Clinic, EuroEyes Group, UK.",
        "Methods": "Retrospective analysis of 399 eyes undergoing V4c EVO/EVO+ ICL implantation. Sixteen variables were evaluated, centred on iOCT-measured intraoperative vault (ARTEVO 800), with preoperative anterior segment metrics from VHF digital ultrasound (Insight 100) and AS-OCT (MS-39). Seven models were trained using an 80/20 train–test split and tuned with 10-fold cross-validation: gradient boosting machine, k-nearest neighbours, regularised linear regression (LASSO/elastic net), polynomial regression, random forest, stacking ensemble, and support vector regression. Performance on the test set (n=80) was assessed using mean absolute error (MAE) and R 2 between achieved and predicted 3-month vault, with reporting of eyes within ±100 µm and ±300 µm.",
        "Results": "Mean central vault was 829±330 µm intraoperatively and 594±218 µm at 3 months. The best-performing models were support vector regression (MAE=109 µm, R²=0.54) and stacking ensemble (MAE=111 µm, R²=0.56). Support vector regression and stacking ensemble predicted the 3-month vault within ±100 µm of the achieved vault for 60% and 56% of eyes, and within ±300 µm for 94% and 95% of eyes, respectively.",
        "Conclusions": "Machine learning models incorporating iOCT-measured intraoperative vault achieved clinically useful accuracy for predicting 3-month postoperative vault, supporting intraoperative assessment of lens size suitability and offering a pathway to reduce vault-related risk through informed on-table decision-making."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "PP07.09",
      "abstract_number": "PP07.09",
      "title": "Impact Of Presbyond® Laser Blended Vision Surgery For Presbyopia Correction On Five Key Patient Reported Outcomes",
      "authors": "A/Prof. Eva Fenwick",
      "presenter": "A/Prof. Eva Fenwick",
      "normalized_authors": [
        "Eva Fenwick"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eva Fenwick",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "PRESBYOND® Laser Blended Vision, a specialized LASIK-based surgical procedure designed to treat presbyopia, has shown promising clinical outcomes and high patient satisfaction. However, the treatment efficacy on quality of life (QoL) outcomes more generally is unclear. We aimed to determine the impact of PRESBYOND® on patients’ vision-related QoL (VRQoL) and patient-reported outcomes specific to refractive interventions using novel, validated, condition-specific computerized adaptive tests (CATs).",
        "Setting": "In a pre-post study, 29 patients aged 40 years and above with a stable refractive error and developing presbyopia underwent bilateral PRESBYOND® surgery for refractive error correction at the Laser Vision Centre, Singapore National Eye Centre (Jan-Nov 2025). Those with active eye conditions (e.g., cataracts, glaucoma or retinal diseases) or corneal abnormalities (e.g., keratoconus, irregular astigmatism or abnormal corneal topography) were excluded.",
        "Methods": "Patients were interviewer-administered the Emotional (EM) and Vision Functioning (VF) domains of the Impact of Vision Impairment CAT (IVI-CAT); and the Comfort (CF), Concerns (CN) and Convenience (CV) domains of the Myopia Refractive Intervention CAT (MyoRI-CAT) in-clinic via a web-based application. Assessments were conducted at baseline and 1-month post-surgery. Sociodemographic and clinical information were collected via an in-house questionnaire. Baseline spherical equivalent (SE) was calculated, and participants were categorized into low myopia (better eye SE ≤-3.0 diopters [D]; n=13) or moderate-high myopia (SE: >-3.0D; n=16). Change in the five QoL outcomes was assessed using a paired t-test in the overall and stratified samples.",
        "Results": "For the 29 patients (mean±SD age 47.5±3.9; 65.5% female) CF, CV, VF and EM scores increased significantly at 1-month post-treatment (e.g., CF: baseline 64.7±29.3 to follow-up 89.9±15.9; 38.9% increase; p<0.001). In stratified analyses, significant improvements in CV scores were only observed in the low myopia group and, while CF scores were significantly higher post-treatment in both groups, the magnitude of the gains was larger in those with low myopia (17.4 vs. 34.9, respectively). In contrast, significant increases for EM and VF were only observed in the moderate-high myopia group. However, in a direct comparison, these between-group differences were not statistically significant.",
        "Conclusions": "Overall, our findings suggest that PRESBYOND® surgery for presbyopia correction has a substantial positive effect on several aspects of patients’ VRQoL, including vision functioning, emotional well-being, comfort and convenience. The magnitude of QoL outcomes may depend on the degree of refractive error at baseline, with substantially lower gains observed in those with more myopic refractive error; however, differences were not statistically significant and larger sample sizes are required to confirm this finding."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Overall, our findings suggest that PRESBYOND® surgery for presbyopia correction has a substantial positive effect on several aspects of patients’ VRQoL, including vision functioning, emotional well-being, comfort and convenience. The magnitude of QoL outcomes may depend on the degree of refractive error at baseline, with substantially lower gains observed in those with more myopic refractive error; however,…",
      "session_type": "Presented Poster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 116,
      "source_fields": {
        "Abstract Final Identifier": "PP07.09",
        "Title": "Impact Of Presbyond® Laser Blended Vision Surgery For Presbyopia Correction On Five Key Patient Reported Outcomes",
        "Presenting Author(s)": "A/Prof. Eva Fenwick",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Eva",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fenwick",
        "Country Name": "Singapore",
        "Purpose": "PRESBYOND® Laser Blended Vision, a specialized LASIK-based surgical procedure designed to treat presbyopia, has shown promising clinical outcomes and high patient satisfaction. However, the treatment efficacy on quality of life (QoL) outcomes more generally is unclear. We aimed to determine the impact of PRESBYOND® on patients’ vision-related QoL (VRQoL) and patient-reported outcomes specific to refractive interventions using novel, validated, condition-specific computerized adaptive tests (CATs).",
        "Setting": "In a pre-post study, 29 patients aged 40 years and above with a stable refractive error and developing presbyopia underwent bilateral PRESBYOND® surgery for refractive error correction at the Laser Vision Centre, Singapore National Eye Centre (Jan-Nov 2025). Those with active eye conditions (e.g., cataracts, glaucoma or retinal diseases) or corneal abnormalities (e.g., keratoconus, irregular astigmatism or abnormal corneal topography) were excluded.",
        "Methods": "Patients were interviewer-administered the Emotional (EM) and Vision Functioning (VF) domains of the Impact of Vision Impairment CAT (IVI-CAT); and the Comfort (CF), Concerns (CN) and Convenience (CV) domains of the Myopia Refractive Intervention CAT (MyoRI-CAT) in-clinic via a web-based application. Assessments were conducted at baseline and 1-month post-surgery. Sociodemographic and clinical information were collected via an in-house questionnaire. Baseline spherical equivalent (SE) was calculated, and participants were categorized into low myopia (better eye SE ≤-3.0 diopters [D]; n=13) or moderate-high myopia (SE: >-3.0D; n=16). Change in the five QoL outcomes was assessed using a paired t-test in the overall and stratified samples.",
        "Results": "For the 29 patients (mean±SD age 47.5±3.9; 65.5% female) CF, CV, VF and EM scores increased significantly at 1-month post-treatment (e.g., CF: baseline 64.7±29.3 to follow-up 89.9±15.9; 38.9% increase; p<0.001). In stratified analyses, significant improvements in CV scores were only observed in the low myopia group and, while CF scores were significantly higher post-treatment in both groups, the magnitude of the gains was larger in those with low myopia (17.4 vs. 34.9, respectively). In contrast, significant increases for EM and VF were only observed in the moderate-high myopia group. However, in a direct comparison, these between-group differences were not statistically significant.",
        "Conclusions": "Overall, our findings suggest that PRESBYOND® surgery for presbyopia correction has a substantial positive effect on several aspects of patients’ VRQoL, including vision functioning, emotional well-being, comfort and convenience. The magnitude of QoL outcomes may depend on the degree of refractive error at baseline, with substantially lower gains observed in those with more myopic refractive error; however, differences were not statistically significant and larger sample sizes are required to confirm this finding."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 425
    },
    {
      "uid": "PP07.10",
      "abstract_number": "PP07.10",
      "title": "Comparative Analysis Of Two Different Surgical Treatments For Hyperopic Presbyopia Patients Below 50 Years Old: Presbyond Laser Blended Vision (Lbv) And Refractive Lens Exchange (Rle）",
      "authors": "Dr Chunchun He",
      "presenter": "Dr Chunchun He",
      "normalized_authors": [
        "Chunchun He"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chunchun He",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the efficacy, safety, predictability, spectacle independence, and quality of life outcomes of Presbyond Laser Blended Vision (LBV) versus Refractive Lens Exchange (RLE) with diffractive trifocal intraocular lens (IOL) in hyperopic presbyopic patients under 50 years of age.",
        "Setting": "This study was retrospective single-center study, conducted at a clinical ophthalmology setting specialized in laser refractive surgery, where the patient received surgical treatment and regular postoperative follow-up.",
        "Methods": "this study was conducted from March 20 23 to March 20 25, 20 hyperopic presbyopic patients included ( mean age 48 + 4 years) . 10 patients underwent Presby ond LBV using Mel 90 excimer laser and Visumax 500 femtosecond laser(Carl Zeiss Meditec ), and 10 patients underwent RLE with bimanual phacoemulsification and implantation of diffractive trifocal intraocular lenses ( Zeiss At Lisa tri 839 ). Outcomes were assessed at 1 week and 6 months follow-up. Primary endpoints: binocular uncorrected distance visual acuity (BUDVA), binocular uncorrected near visual acuity (BUNVA), spectacle independence, patient satisfaction.",
        "Results": "at 6 months, LBV group achieved better BUNVA (LBV: 1.10 + 0.15 vs. RLE: 1.21 + 0.18; p<0.05), while RLE demonstrated marginally better BUDVA (LBV: 1.12 + 0.29 vs. RLE: 1.04 + 0.27; p=0.32). All RLE patients were spectacle-free at all distances, whereas 30% of LBV patients required occasional distance glasses at 3 months for night driving mostly. Satisfaction rate was 80% (LBV) vs. 90% (RLE) at 1week, rising to 90% (LBV) vs. 80%(RLE) at 6 months. Both groups experienced halos until 6 months, but patients reported more halos in RLE group 70% vs. 20% in LBV group, and enhancement rate was lower in RLE group 10% vs. 30% in LBV.",
        "Conclusions": "Both surgeries are safe and effective modalities in the management of hyperopic presbyopi a under 50 . LBV offers better postoperative binocular near vision and less halo, while RLE provides better spectacle independence. Both surgeries can yield high satisfaction at 6 months. Patient-specific factors should guide surgical selection principles."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both surgeries are safe and effective modalities in the management of hyperopic presbyopi a under 50 . LBV offers better postoperative binocular near vision and less halo, while RLE provides better spectacle independence. Both surgeries can yield high satisfaction at 6 months. Patient-specific factors should guide surgical selection principles.",
      "session_type": "Presented Poster",
      "track": "Presbyopic laser",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 117,
      "source_fields": {
        "Abstract Final Identifier": "PP07.10",
        "Title": "Comparative Analysis Of Two Different Surgical Treatments For Hyperopic Presbyopia Patients Below 50 Years Old: Presbyond Laser Blended Vision (Lbv) And Refractive Lens Exchange (Rle）",
        "Presenting Author(s)": "Dr Chunchun He",
        "Abstract Topic Name": "Presbyopic laser",
        "Submitter First Name": "Chunchun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "He",
        "Country Name": "China",
        "Purpose": "To evaluate the efficacy, safety, predictability, spectacle independence, and quality of life outcomes of Presbyond Laser Blended Vision (LBV) versus Refractive Lens Exchange (RLE) with diffractive trifocal intraocular lens (IOL) in hyperopic presbyopic patients under 50 years of age.",
        "Setting": "This study was retrospective single-center study, conducted at a clinical ophthalmology setting specialized in laser refractive surgery, where the patient received surgical treatment and regular postoperative follow-up.",
        "Methods": "this study was conducted from March 20 23 to March 20 25, 20 hyperopic presbyopic patients included ( mean age 48 + 4 years) . 10 patients underwent Presby ond LBV using Mel 90 excimer laser and Visumax 500 femtosecond laser(Carl Zeiss Meditec ), and 10 patients underwent RLE with bimanual phacoemulsification and implantation of diffractive trifocal intraocular lenses ( Zeiss At Lisa tri 839 ). Outcomes were assessed at 1 week and 6 months follow-up. Primary endpoints: binocular uncorrected distance visual acuity (BUDVA), binocular uncorrected near visual acuity (BUNVA), spectacle independence, patient satisfaction.",
        "Results": "at 6 months, LBV group achieved better BUNVA (LBV: 1.10 + 0.15 vs. RLE: 1.21 + 0.18; p<0.05), while RLE demonstrated marginally better BUDVA (LBV: 1.12 + 0.29 vs. RLE: 1.04 + 0.27; p=0.32). All RLE patients were spectacle-free at all distances, whereas 30% of LBV patients required occasional distance glasses at 3 months for night driving mostly. Satisfaction rate was 80% (LBV) vs. 90% (RLE) at 1week, rising to 90% (LBV) vs. 80%(RLE) at 6 months. Both groups experienced halos until 6 months, but patients reported more halos in RLE group 70% vs. 20% in LBV group, and enhancement rate was lower in RLE group 10% vs. 30% in LBV.",
        "Conclusions": "Both surgeries are safe and effective modalities in the management of hyperopic presbyopi a under 50 . LBV offers better postoperative binocular near vision and less halo, while RLE provides better spectacle independence. Both surgeries can yield high satisfaction at 6 months. Patient-specific factors should guide surgical selection principles."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "PP07.11",
      "abstract_number": "PP07.11",
      "title": "Early Post-Prk Dry Eye Is Predominantly Phenotype-Driven Rather Than Ablation-Driven Despite Surface Optimization: A Longitudinal Retrospective Analysis",
      "authors": "Dr Dilara Moran Kunu",
      "presenter": "Dr Dilara Moran Kunu",
      "normalized_authors": [
        "Dilara Moran Kunu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dilara Moran Kunu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate clinical and surgical determinants of early postoperative dry eye following photorefractive keratectomy (PRK), with particular emphasis on preoperative ocular surface phenotype and ablation-related parameters.",
        "Setting": "This single-center study was conducted at the Department of Ophthalmology, Ankara Gazi University Faculty of Medicine Hospital. All procedures were performed by two experienced surgeons using a standardized preoperative surface optimization and surgical protocol.",
        "Methods": "This retrospective longitudinal study included patients who underwent PRK and had documented tear film break-up time (TBUT), punctate epithelial staining score (Oxford 0–5), and dry eye symptoms in their electronic file. Patient data were analyzed preoperatively and at postoperative months 1, 3, and 6. Clinical dry eye was defined as the presence of at least two of the following criteria: TBUT <10 seconds, Oxford staining score >0, and subjective dry eye symptoms. Patients with preoperative dry eye received standardized 6-week lid hygiene, warm compresses and anti-inflammatory therapy. PRK was performed only after tear film stability and epithelial integrity were confirmed.",
        "Results": "Of 1300 screened patients, 764 (1528 eyes) were included. The overall clinical dry eye rate was 27.5% at month 1 and 23.3% at month 6. Preoperative dry eye requiring treatment was present in 20.9%. In this subgroup, postoperative dry eye occurred in 45.24% at month 1 and 32.81% at month 6. The highest risk was seen in eyes with combined low TBUT and punctate staining (n=73/764), with dry eye in 89.9% at month 1 (p<0.000001) and 55.4% at month 6 (p<0.000001). Among preoperatively normal patients, dry eye developed in 22.86% at month 1 and 20.9% at month 6. Early postoperative dry eye was associated with female sex, age >24 years, preoperative punctate staining, contact lens history, and winter surgery.",
        "Conclusions": "Despite successful preoperative surface normalization, patients with baseline tear film instability and epithelial abnormalities remained at significantly increased risk for early post-PRK dry eye. These findings suggest that early postoperative tear film instability is predominantly determined by preoperative ocular surface phenotype rather than by ablation magnitude, as ablation depth and mitomycin-C exposure were not identified as independent predictors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite successful preoperative surface normalization, patients with baseline tear film instability and epithelial abnormalities remained at significantly increased risk for early post-PRK dry eye. These findings suggest that early postoperative tear film instability is predominantly determined by preoperative ocular surface phenotype rather than by ablation magnitude, as ablation depth and mitomycin-C exposure…",
      "session_type": "Presented Poster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 118,
      "source_fields": {
        "Abstract Final Identifier": "PP07.11",
        "Title": "Early Post-Prk Dry Eye Is Predominantly Phenotype-Driven Rather Than Ablation-Driven Despite Surface Optimization: A Longitudinal Retrospective Analysis",
        "Presenting Author(s)": "Dr Dilara Moran Kunu",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Dilara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moran Kunu",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate clinical and surgical determinants of early postoperative dry eye following photorefractive keratectomy (PRK), with particular emphasis on preoperative ocular surface phenotype and ablation-related parameters.",
        "Setting": "This single-center study was conducted at the Department of Ophthalmology, Ankara Gazi University Faculty of Medicine Hospital. All procedures were performed by two experienced surgeons using a standardized preoperative surface optimization and surgical protocol.",
        "Methods": "This retrospective longitudinal study included patients who underwent PRK and had documented tear film break-up time (TBUT), punctate epithelial staining score (Oxford 0–5), and dry eye symptoms in their electronic file. Patient data were analyzed preoperatively and at postoperative months 1, 3, and 6. Clinical dry eye was defined as the presence of at least two of the following criteria: TBUT <10 seconds, Oxford staining score >0, and subjective dry eye symptoms. Patients with preoperative dry eye received standardized 6-week lid hygiene, warm compresses and anti-inflammatory therapy. PRK was performed only after tear film stability and epithelial integrity were confirmed.",
        "Results": "Of 1300 screened patients, 764 (1528 eyes) were included. The overall clinical dry eye rate was 27.5% at month 1 and 23.3% at month 6. Preoperative dry eye requiring treatment was present in 20.9%. In this subgroup, postoperative dry eye occurred in 45.24% at month 1 and 32.81% at month 6. The highest risk was seen in eyes with combined low TBUT and punctate staining (n=73/764), with dry eye in 89.9% at month 1 (p<0.000001) and 55.4% at month 6 (p<0.000001). Among preoperatively normal patients, dry eye developed in 22.86% at month 1 and 20.9% at month 6. Early postoperative dry eye was associated with female sex, age >24 years, preoperative punctate staining, contact lens history, and winter surgery.",
        "Conclusions": "Despite successful preoperative surface normalization, patients with baseline tear film instability and epithelial abnormalities remained at significantly increased risk for early post-PRK dry eye. These findings suggest that early postoperative tear film instability is predominantly determined by preoperative ocular surface phenotype rather than by ablation magnitude, as ablation depth and mitomycin-C exposure were not identified as independent predictors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 353
    },
    {
      "uid": "PP07.12",
      "abstract_number": "PP07.12",
      "title": "Femto-Transprk And Robo-Transprk: Extending The Future Of Transepithelial Laser Vision Correction",
      "authors": "Dr Soheil Adib-Moghaddam",
      "presenter": "Dr Soheil Adib-Moghaddam",
      "normalized_authors": [
        "Soheil Adib-Moghaddam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Soheil Adib-Moghaddam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To introduce and evaluate two forward-looking concepts in transepithelial refractive surgery: Femto-TransPRK and Robo-TransPRK, aiming to enhance precision, biomechanical stability, and procedural automation.",
        "Methods": "This conceptual and technical analysis is based on established principles of transepithelial surface ablation, femtosecond laser photodisruption, and automated surgical workflows. Femto-TransPRK is designed as a surface lentoid created through intact epithelium using near-infrared femtosecond laser energy without flap or cap formation. Robo-TransPRK proposes an integrated automation framework incorporating robotic positioning, AI-assisted workflow management, and multimodal diagnostic data integration.",
        "Results": "Femto-TransPRK enables single-plane refractive lentoid creation with substantially reduced energy deposition compared with excimer-based ablation and conventional lenticule extraction. The virtual-cap design may reduce epithelial trauma, inflammatory response, and postoperative haze while preserving corneal biomechanics. Robo-TransPRK introduces standardized automation of patient alignment, centration, data transfer, and treatment initiation, potentially improving reproducibility, efficiency, and scalability in refractive surgery centers.",
        "Conclusions": "Femto-TransPRK represents a potential evolution toward low-energy, all-femtosecond transepithelial surface ablation, combining advantages of surface ablation and lenticule extraction. Robo-TransPRK extends this trajectory toward fully integrated and standardized refractive surgery workflows. Together, these concepts provide a framework for future innovation in laser vision correction and invite further experimental and clinical validation.\n\nDisclosure;\n\nThis work is currently under review for publication."
      },
      "section_labels": [
        "Purpose",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Femto-TransPRK represents a potential evolution toward low-energy, all-femtosecond transepithelial surface ablation, combining advantages of surface ablation and lenticule extraction. Robo-TransPRK extends this trajectory toward fully integrated and standardized refractive surgery workflows. Together, these concepts provide a framework for future innovation in laser vision correction and invite further experimental…",
      "session_type": "Presented Poster",
      "track": "Surface photoablation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 119,
      "source_fields": {
        "Abstract Final Identifier": "PP07.12",
        "Title": "Femto-Transprk And Robo-Transprk: Extending The Future Of Transepithelial Laser Vision Correction",
        "Presenting Author(s)": "Dr Soheil Adib-Moghaddam",
        "Abstract Topic Name": "Surface photoablation",
        "Submitter First Name": "Soheil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Adib-Moghaddam",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To introduce and evaluate two forward-looking concepts in transepithelial refractive surgery: Femto-TransPRK and Robo-TransPRK, aiming to enhance precision, biomechanical stability, and procedural automation.",
        "Setting": "",
        "Methods": "This conceptual and technical analysis is based on established principles of transepithelial surface ablation, femtosecond laser photodisruption, and automated surgical workflows. Femto-TransPRK is designed as a surface lentoid created through intact epithelium using near-infrared femtosecond laser energy without flap or cap formation. Robo-TransPRK proposes an integrated automation framework incorporating robotic positioning, AI-assisted workflow management, and multimodal diagnostic data integration.",
        "Results": "Femto-TransPRK enables single-plane refractive lentoid creation with substantially reduced energy deposition compared with excimer-based ablation and conventional lenticule extraction. The virtual-cap design may reduce epithelial trauma, inflammatory response, and postoperative haze while preserving corneal biomechanics. Robo-TransPRK introduces standardized automation of patient alignment, centration, data transfer, and treatment initiation, potentially improving reproducibility, efficiency, and scalability in refractive surgery centers.",
        "Conclusions": "Femto-TransPRK represents a potential evolution toward low-energy, all-femtosecond transepithelial surface ablation, combining advantages of surface ablation and lenticule extraction. Robo-TransPRK extends this trajectory toward fully integrated and standardized refractive surgery workflows. Together, these concepts provide a framework for future innovation in laser vision correction and invite further experimental and clinical validation.\n\nDisclosure;\n\nThis work is currently under review for publication."
      },
      "is_structured": false,
      "has_body_text": true,
      "word_count": 200
    },
    {
      "uid": "PP08.01",
      "abstract_number": "PP08.01",
      "title": "Automating The Detection Of Tomographic Edema In Fuchs Endothelial Corneal Dystrophy By Using Convolutional Neural Networks",
      "authors": "Dr Sanjay V Patel",
      "presenter": "Dr Sanjay V Patel",
      "normalized_authors": [
        "Sanjay V Patel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sanjay V Patel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Subclinical edema in Fuchs endothelial corneal dystrophy (FECD) can be detected from corneal tomography posterior elevation and pachymetry maps. Determination of this tomographic edema is based on subjective interpretation and is important for determining if endothelial keratoplasty should is indicated. Automating tomography map interpretation could simplify assessing for subclinical edema in FECD. The purpose of this study was to develop convolutional neural networks (CNNs) for detecting tomographic edema in FECD.",
        "Setting": "Subjects with a range of severity of FECD underwent Scheimpflug tomography at Mayo Clinic, Rochester, MN, as part of routine clinical care.",
        "Methods": "Posterior elevation and pachymetry maps were exported and interpreted by a masked, experienced observer for the presence of tomographic edema. Color tomography maps of the same eyes, devoid of any numeric markings, were used to train and assess CNNs. Images were randomly divided into derivation (80%), validation (during the training phase, 10%), and test sets (10%). CNNs were derived for the unbalanced original cohort of images, and for an artificially balanced dataset augmented by random image shifts. Receiver operator characteristic curves were generated and the area under the curve (AUC) was determined for each class.",
        "Results": "The entire dataset consisted of 522 images without edema (combination of normal corneas and corneas with FECD), 554 images with edema, and 117 images that were deemd equivocal for edema. The CNN trained on the unbalanced cohort yielded AUCs of 0.92, 0.94, and 0.77 for the no edema, edema, and equivocal classes, respectively. The CNN trained on the artificially balanced cohort with 554 images in each class yielded AUCs of 0.98, 0.99, and 0.94 for the no edema, edema, and equivocal classes, respectively.",
        "Conclusions": "CNNs reliably detected the presence of tomographic edema in FECD, with the model trained on the artificially balanced cohort reliably interpreting all classes of edema. The CNNs require further validation and optimization with more heterogenous data collected from different clinical sites."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CNNs reliably detected the presence of tomographic edema in FECD, with the model trained on the artificially balanced cohort reliably interpreting all classes of edema. The CNNs require further validation and optimization with more heterogenous data collected from different clinical sites.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 120,
      "source_fields": {
        "Abstract Final Identifier": "PP08.01",
        "Title": "Automating The Detection Of Tomographic Edema In Fuchs Endothelial Corneal Dystrophy By Using Convolutional Neural Networks",
        "Presenting Author(s)": "Dr Sanjay V Patel",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Sanjay",
        "Submitter Middle Name": "V",
        "Submitter Last Name": "Patel",
        "Country Name": "United States",
        "Purpose": "Subclinical edema in Fuchs endothelial corneal dystrophy (FECD) can be detected from corneal tomography posterior elevation and pachymetry maps. Determination of this tomographic edema is based on subjective interpretation and is important for determining if endothelial keratoplasty should is indicated. Automating tomography map interpretation could simplify assessing for subclinical edema in FECD. The purpose of this study was to develop convolutional neural networks (CNNs) for detecting tomographic edema in FECD.",
        "Setting": "Subjects with a range of severity of FECD underwent Scheimpflug tomography at Mayo Clinic, Rochester, MN, as part of routine clinical care.",
        "Methods": "Posterior elevation and pachymetry maps were exported and interpreted by a masked, experienced observer for the presence of tomographic edema. Color tomography maps of the same eyes, devoid of any numeric markings, were used to train and assess CNNs. Images were randomly divided into derivation (80%), validation (during the training phase, 10%), and test sets (10%). CNNs were derived for the unbalanced original cohort of images, and for an artificially balanced dataset augmented by random image shifts. Receiver operator characteristic curves were generated and the area under the curve (AUC) was determined for each class.",
        "Results": "The entire dataset consisted of 522 images without edema (combination of normal corneas and corneas with FECD), 554 images with edema, and 117 images that were deemd equivocal for edema. The CNN trained on the unbalanced cohort yielded AUCs of 0.92, 0.94, and 0.77 for the no edema, edema, and equivocal classes, respectively. The CNN trained on the artificially balanced cohort with 554 images in each class yielded AUCs of 0.98, 0.99, and 0.94 for the no edema, edema, and equivocal classes, respectively.",
        "Conclusions": "CNNs reliably detected the presence of tomographic edema in FECD, with the model trained on the artificially balanced cohort reliably interpreting all classes of edema. The CNNs require further validation and optimization with more heterogenous data collected from different clinical sites."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "PP08.02",
      "abstract_number": "PP08.02",
      "title": "Impact Of Corneal Edema On Astigmatic Change After Descemet Membrane Endothelial Keratoplasty",
      "authors": "Dr Chung Young Kim",
      "presenter": "Dr Chung Young Kim",
      "normalized_authors": [
        "Chung Young Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chung Young Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate changes in anterior, posterior, and total corneal astigmatism after Descemet membrane endothelial keratoplasty (DMEK) and to determine whether preoperative central corneal thickness (CCT), as a marker of corneal edema, predicts clinically significant postoperative astigmatic change.",
        "Setting": "Single-center retrospective interventional case series conducted at the Department of Ophthalmology, Seoul National University Hospital, Republic of Korea.",
        "Methods": "Fifty-five eyes of 51 patients with Fuchs’ endothelial dystrophy (FED) or pseudophakic bullous keratopathy (PBK) undergoing DMEK were analyzed. Anterior keratometry was measured using auto kerato-refractometry (ARKRT) and anterior-segment OCT (AS-OCT); posterior and total corneal parameters were obtained with AS-OCT. Vector analysis evaluated astigmatic magnitude and axis changes. Correlations between preoperative CCT and postoperative astigmatic change were assessed, and ROC analysis determined the optimal CCT threshold for predicting >3.0 D change.",
        "Results": "Mean CCT decreased significantly after DMEK (738.7±99.7 µm to 517.5±37.3 µm, P<0.001). Anterior and total corneal astigmatism significantly decreased, whereas posterior astigmatism remained stable. Greater preoperative CCT was associated with larger postoperative astigmatic change on ARKRT. ROC analysis identified 790 µm as the optimal cutoff for predicting >3.0 D astigmatic change (AUC=0.749; sensitivity 67%; specificity 81%). PBK eyes showed greater anterior flattening and larger reductions in absolute astigmatism than FED eyes.",
        "Conclusions": "Preoperative CCT is a useful predictor of postoperative astigmatic change after DMEK. Eyes with CCT >790 µm are at risk for clinically significant astigmatic shifts as corneal edema resolves. In markedly edematous corneas, staged astigmatic correction rather than simultaneous toric planning may improve refractive outcomes, particularly in triple DMEK procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative CCT is a useful predictor of postoperative astigmatic change after DMEK. Eyes with CCT >790 µm are at risk for clinically significant astigmatic shifts as corneal edema resolves. In markedly edematous corneas, staged astigmatic correction rather than simultaneous toric planning may improve refractive outcomes, particularly in triple DMEK procedures.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 121,
      "source_fields": {
        "Abstract Final Identifier": "PP08.02",
        "Title": "Impact Of Corneal Edema On Astigmatic Change After Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Chung Young Kim",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Chung Young",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate changes in anterior, posterior, and total corneal astigmatism after Descemet membrane endothelial keratoplasty (DMEK) and to determine whether preoperative central corneal thickness (CCT), as a marker of corneal edema, predicts clinically significant postoperative astigmatic change.",
        "Setting": "Single-center retrospective interventional case series conducted at the Department of Ophthalmology, Seoul National University Hospital, Republic of Korea.",
        "Methods": "Fifty-five eyes of 51 patients with Fuchs’ endothelial dystrophy (FED) or pseudophakic bullous keratopathy (PBK) undergoing DMEK were analyzed. Anterior keratometry was measured using auto kerato-refractometry (ARKRT) and anterior-segment OCT (AS-OCT); posterior and total corneal parameters were obtained with AS-OCT. Vector analysis evaluated astigmatic magnitude and axis changes. Correlations between preoperative CCT and postoperative astigmatic change were assessed, and ROC analysis determined the optimal CCT threshold for predicting >3.0 D change.",
        "Results": "Mean CCT decreased significantly after DMEK (738.7±99.7 µm to 517.5±37.3 µm, P<0.001). Anterior and total corneal astigmatism significantly decreased, whereas posterior astigmatism remained stable. Greater preoperative CCT was associated with larger postoperative astigmatic change on ARKRT. ROC analysis identified 790 µm as the optimal cutoff for predicting >3.0 D astigmatic change (AUC=0.749; sensitivity 67%; specificity 81%). PBK eyes showed greater anterior flattening and larger reductions in absolute astigmatism than FED eyes.",
        "Conclusions": "Preoperative CCT is a useful predictor of postoperative astigmatic change after DMEK. Eyes with CCT >790 µm are at risk for clinically significant astigmatic shifts as corneal edema resolves. In markedly edematous corneas, staged astigmatic correction rather than simultaneous toric planning may improve refractive outcomes, particularly in triple DMEK procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "PP08.03",
      "abstract_number": "PP08.03",
      "title": "Comparative Study Of Dmek And Ultrathin Dsaek Combined With Cataract Surgery",
      "authors": "Dr Ji-Yun Song",
      "presenter": "Dr Ji-Yun Song",
      "normalized_authors": [
        "Ji-Yun Song"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ji-Yun Song",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare the refractive and visual outcomes following Descemet Membrane Endothelial Keratoplasty (DMEK) and Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) triple procedures, and to investigate the influence of preoperative diagnoses, including Fuchs' dystrophy and other conditions such as ACG, uveitis, ICE syndrome, phakic IOL, and GBK, on postoperative results.",
        "Setting": "Retrospective study based on medical records, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.",
        "Methods": "This retrospective, single-center study included 59 eyes of 59 patients who underwent DMEK or DSAEK triple procedures combining endothelial keratoplasty, phacoemulsification, and IOL implantation at Seoul St. Mary’s Hospital between August 2013 and May 2024. Pre- and postoperative data were collected at 1, 3, 6, and 12 months. Primary outcomes were prediction error (ME), mean absolute error (MAE), and best-corrected visual acuity (BCVA). Secondary outcomes included endothelial cell density (ECD), central corneal thickness (CCT), keratometry (Kavg), and postoperative complications. Subgroup analysis compared Fuchs’ dystrophy and non-Fuchs’ cases. Statistical analyses used t-tests and Mann-Whitney U tests with p < 0.05 considered significant.",
        "Results": "The DMEK group consistently demonstrated a myopic refractive prediction error, whereas the DSAEK group showed a hyperopic trend across all postoperative timepoints. Although the mean absolute error did not differ significantly between groups, this directional shift was consistent regardless of IOL calculation formula. Subgroup analysis revealed that in the DMEK group, eyes with non-Fuchs diagnoses—such as ACG and uveitis—exhibited significantly greater myopic shift and steeper postoperative anterior keratometry compared to Fuchs eyes. Postoperative visual acuity improved in both groups, but was significantly better in the DMEK group through 6 months, with comparable outcomes at 12 months.",
        "Conclusions": "DMEK and DSAEK triple procedures showed different refractive outcomes: DMEK eyes demonstrated a consistent myopic shift, whereas DSAEK eyes showed a relative hyperopic shift. This pattern was more pronounced in non-Fuchs cases, especially in the DMEK group, which exhibited steeper postoperative keratometry and lower refractive predictability. Multivariable analysis identified anterior keratometric change as a significant predictor of refractive error in DMEK but not in DSAEK. These results indicate that preoperative diagnosis affects refractive outcomes after endothelial keratoplasty, and adjusting the IOL target according to diagnosis may help optimize postoperative visual results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DMEK and DSAEK triple procedures showed different refractive outcomes: DMEK eyes demonstrated a consistent myopic shift, whereas DSAEK eyes showed a relative hyperopic shift. This pattern was more pronounced in non-Fuchs cases, especially in the DMEK group, which exhibited steeper postoperative keratometry and lower refractive predictability. Multivariable analysis identified anterior keratometric change as a…",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 122,
      "source_fields": {
        "Abstract Final Identifier": "PP08.03",
        "Title": "Comparative Study Of Dmek And Ultrathin Dsaek Combined With Cataract Surgery",
        "Presenting Author(s)": "Dr Ji-Yun Song",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Ji-Yun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Song",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare the refractive and visual outcomes following Descemet Membrane Endothelial Keratoplasty (DMEK) and Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) triple procedures, and to investigate the influence of preoperative diagnoses, including Fuchs' dystrophy and other conditions such as ACG, uveitis, ICE syndrome, phakic IOL, and GBK, on postoperative results.",
        "Setting": "Retrospective study based on medical records, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.",
        "Methods": "This retrospective, single-center study included 59 eyes of 59 patients who underwent DMEK or DSAEK triple procedures combining endothelial keratoplasty, phacoemulsification, and IOL implantation at Seoul St. Mary’s Hospital between August 2013 and May 2024. Pre- and postoperative data were collected at 1, 3, 6, and 12 months. Primary outcomes were prediction error (ME), mean absolute error (MAE), and best-corrected visual acuity (BCVA). Secondary outcomes included endothelial cell density (ECD), central corneal thickness (CCT), keratometry (Kavg), and postoperative complications. Subgroup analysis compared Fuchs’ dystrophy and non-Fuchs’ cases. Statistical analyses used t-tests and Mann-Whitney U tests with p < 0.05 considered significant.",
        "Results": "The DMEK group consistently demonstrated a myopic refractive prediction error, whereas the DSAEK group showed a hyperopic trend across all postoperative timepoints. Although the mean absolute error did not differ significantly between groups, this directional shift was consistent regardless of IOL calculation formula. Subgroup analysis revealed that in the DMEK group, eyes with non-Fuchs diagnoses—such as ACG and uveitis—exhibited significantly greater myopic shift and steeper postoperative anterior keratometry compared to Fuchs eyes. Postoperative visual acuity improved in both groups, but was significantly better in the DMEK group through 6 months, with comparable outcomes at 12 months.",
        "Conclusions": "DMEK and DSAEK triple procedures showed different refractive outcomes: DMEK eyes demonstrated a consistent myopic shift, whereas DSAEK eyes showed a relative hyperopic shift. This pattern was more pronounced in non-Fuchs cases, especially in the DMEK group, which exhibited steeper postoperative keratometry and lower refractive predictability. Multivariable analysis identified anterior keratometric change as a significant predictor of refractive error in DMEK but not in DSAEK. These results indicate that preoperative diagnosis affects refractive outcomes after endothelial keratoplasty, and adjusting the IOL target according to diagnosis may help optimize postoperative visual results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 361
    },
    {
      "uid": "PP08.04",
      "abstract_number": "PP08.04",
      "title": "Phaco-Descemet Stripping Endothelial Keratoplasty: Evaluating The Accuracy Of Intraocular Lens Power Formulas",
      "authors": "Dr Ricardo Costa-Gertrudes",
      "presenter": "Dr Ricardo Costa-Gertrudes",
      "normalized_authors": [
        "Ricardo Costa-Gertrudes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ricardo Costa-Gertrudes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To assess and compare the accuracy of six modern intraocular lens (IOL) power calculation formulas in patients submitted to combined phaco-Descemet Stripping Endothelial Keratoplasty (DSAEK)(triple-DSAEK).",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São José, Lisbon, Portugal",
        "Methods": "Retrospective study including patients submitted to uneventful triple-DSAEK with the implantation of hydrophobic monofocal IOL in-the-bag (Alcon Acrysof®️ AU00T0). All patients underwent optical biometry (Haag-Streit Lenstar LS-900). Refraction prediction error (PE) of each formula was calculated as the difference between the subjective refraction spherical equivalent (SE) and the targeted SE of each formula from the ESCRS IOL Calculator (Barrett Universal II, EVO 2.0, Hill-RBF, Hoffer QST, Kane and PEARL‐DGS). Outcome measures included the mean prediction error (ME), mean (MAE) and median (MedAE) absolute errors, and the percentage of eyes within ± 0.25D, ± 0.50D and ± 1.00D.",
        "Results": "Twenty-five eyes with a mean axial-length of 23.01 ± 1.41 mm (mean [SD] age, 76.21 [9.9] years; 62.5% females) were included. Kane Formula had the lowest MAE (0.618) and MedAE (0.450), followed by EVO 2.0 (MAE 0.628) and Hoffer QST (MAE 0.631). The difference in formulas absolute error was not significative (p = 0.931). In all formulas, a slight hypermetropic shift of 0.2-0.3D was observed, but it was not significantly different from zero (p > 0.05). The Kane formula yielded a prediction error within ± 0.25D, ± 0.50D, and ± 1.00D in 20.8%, 58.3%, and 79.2% of cases, respectively.",
        "Conclusions": "In patients undergoing combined phaco-DSAEK, our investigation revealed a non-significant hypermetropic shift of 0.2-0.3D across all studied formulas. The Kane Formula exhibited superior predictive accuracy, evident through its lowest mean absolute error (MAE), lowest median absolute error (MedAE), and the highest percentage of eyes with a PE within ± 0.50D. These results substantiate the effectiveness of advanced IOL calculation formulas, particularly the Kane Formula, in enhancing precision and optimizing outcomes for combined phaco-DSAEK procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients undergoing combined phaco-DSAEK, our investigation revealed a non-significant hypermetropic shift of 0.2-0.3D across all studied formulas. The Kane Formula exhibited superior predictive accuracy, evident through its lowest mean absolute error (MAE), lowest median absolute error (MedAE), and the highest percentage of eyes with a PE within ± 0.50D. These results substantiate the effectiveness of advanced…",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 123,
      "source_fields": {
        "Abstract Final Identifier": "PP08.04",
        "Title": "Phaco-Descemet Stripping Endothelial Keratoplasty: Evaluating The Accuracy Of Intraocular Lens Power Formulas",
        "Presenting Author(s)": "Dr Ricardo Costa-Gertrudes",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Ricardo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Costa-Gertrudes",
        "Country Name": "Portugal",
        "Purpose": "To assess and compare the accuracy of six modern intraocular lens (IOL) power calculation formulas in patients submitted to combined phaco-Descemet Stripping Endothelial Keratoplasty (DSAEK)(triple-DSAEK).",
        "Setting": "Department of Ophthalmology, Unidade Local de Saúde de São José, Lisbon, Portugal",
        "Methods": "Retrospective study including patients submitted to uneventful triple-DSAEK with the implantation of hydrophobic monofocal IOL in-the-bag (Alcon Acrysof®️ AU00T0). All patients underwent optical biometry (Haag-Streit Lenstar LS-900). Refraction prediction error (PE) of each formula was calculated as the difference between the subjective refraction spherical equivalent (SE) and the targeted SE of each formula from the ESCRS IOL Calculator (Barrett Universal II, EVO 2.0, Hill-RBF, Hoffer QST, Kane and PEARL‐DGS). Outcome measures included the mean prediction error (ME), mean (MAE) and median (MedAE) absolute errors, and the percentage of eyes within ± 0.25D, ± 0.50D and ± 1.00D.",
        "Results": "Twenty-five eyes with a mean axial-length of 23.01 ± 1.41 mm (mean [SD] age, 76.21 [9.9] years; 62.5% females) were included. Kane Formula had the lowest MAE (0.618) and MedAE (0.450), followed by EVO 2.0 (MAE 0.628) and Hoffer QST (MAE 0.631). The difference in formulas absolute error was not significative (p = 0.931). In all formulas, a slight hypermetropic shift of 0.2-0.3D was observed, but it was not significantly different from zero (p > 0.05). The Kane formula yielded a prediction error within ± 0.25D, ± 0.50D, and ± 1.00D in 20.8%, 58.3%, and 79.2% of cases, respectively.",
        "Conclusions": "In patients undergoing combined phaco-DSAEK, our investigation revealed a non-significant hypermetropic shift of 0.2-0.3D across all studied formulas. The Kane Formula exhibited superior predictive accuracy, evident through its lowest mean absolute error (MAE), lowest median absolute error (MedAE), and the highest percentage of eyes with a PE within ± 0.50D. These results substantiate the effectiveness of advanced IOL calculation formulas, particularly the Kane Formula, in enhancing precision and optimizing outcomes for combined phaco-DSAEK procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "PP08.05",
      "abstract_number": "PP08.05",
      "title": "Descemet Stripping Endothelial Keratoplasty Versus Penetrating Keratoplasty In Patients With Fuchs Endothelial Dystrophy In A Tertiary Eye Hospital In Riyadh, Saudi Arabia",
      "authors": "Dr Abdulmajeed Alhaidari",
      "presenter": "Dr Abdulmajeed Alhaidari",
      "normalized_authors": [
        "Abdulmajeed Alhaidari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulmajeed Alhaidari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare the visual outcomes and the success of two surgical procedures, Descemet stripping endothelial keratoplasty (DSEK) and penetrating keratoplasty (PK), in patients diagnosed with Fuchs endothelial dystrophy (FED) in a tertiary eye hospital in Riyadh, Saudi Arabia.",
        "Setting": "The study was conducted at King Khaled Eye Specialist Hospital and Research Center, a high-volume tertiary eye hospital in Riyadh, Saudi Arabia. It is a national referral center for corneal and anterior segment diseases. Patients with FED are regularly seen and treated in a special cornea service. Comprehensive long-term follow-up and consistent documentation of visual outcomes, graft survival, and postoperative complications were carried out.",
        "Methods": "This is a retrospective analysis of patients diagnosed with Fuchs endothelial dystrophy who underwent DSEK or PK from 2010 to 2025 at a tertiary eye hospital in Saudi Arabia.\nOutcomes, including Best corrected visual acuity (BCVA), graft survival, and complications, were evaluated.",
        "Results": "A total of 114 eyes of 90 patients underwent either PK (38 eyes) or DSEK (76 eyes) with a median follow-up of 38.0 months (IQR 18.5-61.4). During follow-up, graft failure occurred in 28 eyes (36.8%) in the DSEK group compared with 4 (10.5%) in the PK group (p=0.004), with graft detachment in 14 DSEK eyes. Re-grafting was required in 16 DSEK eyes (21.1%) versus one PK eye (2.6%; p=0.010). Persistent epithelial defect was more common in PK (10/38, 26.3% vs 3/76, 3.9%; p=0.001). Post-graft glaucoma, synechia, and rejection occurred at similar rates in both groups. BCVA at the last follow-up was available for 77 eyes (64 DSEK, 13 PK); 38 (59.4%) of the DSEK eyes achieved 20/60 or better compared with 4 (30.8%) of the PK eyes (p=0.073).",
        "Conclusions": "While PK was historically the main approach, modern evidence shows that for FED, DSEK provides superior visual outcomes and quicker recovery. Moreover, DSEK produced better post-operative BCVA compared to PK. Post-operative complications can cause a higher risk of graft failure. The rate of graft failure was greater in the DSEK group than in the PK group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "While PK was historically the main approach, modern evidence shows that for FED, DSEK provides superior visual outcomes and quicker recovery. Moreover, DSEK produced better post-operative BCVA compared to PK. Post-operative complications can cause a higher risk of graft failure. The rate of graft failure was greater in the DSEK group than in the PK group.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 124,
      "source_fields": {
        "Abstract Final Identifier": "PP08.05",
        "Title": "Descemet Stripping Endothelial Keratoplasty Versus Penetrating Keratoplasty In Patients With Fuchs Endothelial Dystrophy In A Tertiary Eye Hospital In Riyadh, Saudi Arabia",
        "Presenting Author(s)": "Dr Abdulmajeed Alhaidari",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Abdulmajeed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alhaidari",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare the visual outcomes and the success of two surgical procedures, Descemet stripping endothelial keratoplasty (DSEK) and penetrating keratoplasty (PK), in patients diagnosed with Fuchs endothelial dystrophy (FED) in a tertiary eye hospital in Riyadh, Saudi Arabia.",
        "Setting": "The study was conducted at King Khaled Eye Specialist Hospital and Research Center, a high-volume tertiary eye hospital in Riyadh, Saudi Arabia. It is a national referral center for corneal and anterior segment diseases. Patients with FED are regularly seen and treated in a special cornea service. Comprehensive long-term follow-up and consistent documentation of visual outcomes, graft survival, and postoperative complications were carried out.",
        "Methods": "This is a retrospective analysis of patients diagnosed with Fuchs endothelial dystrophy who underwent DSEK or PK from 2010 to 2025 at a tertiary eye hospital in Saudi Arabia.\nOutcomes, including Best corrected visual acuity (BCVA), graft survival, and complications, were evaluated.",
        "Results": "A total of 114 eyes of 90 patients underwent either PK (38 eyes) or DSEK (76 eyes) with a median follow-up of 38.0 months (IQR 18.5-61.4). During follow-up, graft failure occurred in 28 eyes (36.8%) in the DSEK group compared with 4 (10.5%) in the PK group (p=0.004), with graft detachment in 14 DSEK eyes. Re-grafting was required in 16 DSEK eyes (21.1%) versus one PK eye (2.6%; p=0.010). Persistent epithelial defect was more common in PK (10/38, 26.3% vs 3/76, 3.9%; p=0.001). Post-graft glaucoma, synechia, and rejection occurred at similar rates in both groups. BCVA at the last follow-up was available for 77 eyes (64 DSEK, 13 PK); 38 (59.4%) of the DSEK eyes achieved 20/60 or better compared with 4 (30.8%) of the PK eyes (p=0.073).",
        "Conclusions": "While PK was historically the main approach, modern evidence shows that for FED, DSEK provides superior visual outcomes and quicker recovery. Moreover, DSEK produced better post-operative BCVA compared to PK. Post-operative complications can cause a higher risk of graft failure. The rate of graft failure was greater in the DSEK group than in the PK group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "PP08.06",
      "abstract_number": "PP08.06",
      "title": "Refractive Outcomes Following Combined Phacoemulsification And Descemet Membrane Endothelial Keratoplasty",
      "authors": "Dr Adele Mazzoleni",
      "presenter": "Dr Adele Mazzoleni",
      "normalized_authors": [
        "Adele Mazzoleni"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adele Mazzoleni",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The purpose of the audit was to evaluate refractive accuracy, visual outcomes and complications following combined phacoemulsification and DMEK.",
        "Setting": "A single-centre, retrospective audit was performed at a district general hospital ophthalmology department.",
        "Methods": "Data was collected across eyes undergoing phaco-DMEK between August 2020 and October 2025, inclusive of patient demographics, indication for surgery, biometry target refraction, postoperative refraction, best-corrected visual acuity (BCVA), central corneal thickness (CCT), endothelial cell density (ECD), and postoperative complications. Refractive prediction error was calculated as the difference between postoperative spherical equivalent and intended target refraction. Missing data were not imputed.",
        "Results": "A total of thirty-three eyes were included with a mean patient age of 71.2 years. The indication was Fuchs endothelial corneal dystrophy for all cases. 51.5% of patients had other ocular comorbidities at the time of surgery. The mean preoperative BCVA was 0.38, improving to 0.15 postoperatively (p = p < 0.001). The mean target refraction was −0.43 D. In eyes with postoperative refraction available (n=10), the mean postoperative spherical equivalent was +0.03 D, corresponding to a mean hyperopic prediction error of +0.46 D.\n\nThere was no correlation between preoperative CCT and final BCVA (Spearman correlation ρ = 0.15-0.25; p = 0.3–0.5).\n\nRebubbling was required in 5 of 27 eyes (18.5%) with documented follow-up. Two failures were recorded.",
        "Conclusions": "Combined phaco-DMEK resulted in significant improvement in visual acuity with good overall refractive outcomes. A small hyperopic shift was observed postoperatively, suggesting that targeting slight myopia may help optimise refractive accuracy in these cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined phaco-DMEK resulted in significant improvement in visual acuity with good overall refractive outcomes. A small hyperopic shift was observed postoperatively, suggesting that targeting slight myopia may help optimise refractive accuracy in these cases.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 125,
      "source_fields": {
        "Abstract Final Identifier": "PP08.06",
        "Title": "Refractive Outcomes Following Combined Phacoemulsification And Descemet Membrane Endothelial Keratoplasty",
        "Presenting Author(s)": "Dr Adele Mazzoleni",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Adele",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mazzoleni",
        "Country Name": "United Kingdom",
        "Purpose": "The purpose of the audit was to evaluate refractive accuracy, visual outcomes and complications following combined phacoemulsification and DMEK.",
        "Setting": "A single-centre, retrospective audit was performed at a district general hospital ophthalmology department.",
        "Methods": "Data was collected across eyes undergoing phaco-DMEK between August 2020 and October 2025, inclusive of patient demographics, indication for surgery, biometry target refraction, postoperative refraction, best-corrected visual acuity (BCVA), central corneal thickness (CCT), endothelial cell density (ECD), and postoperative complications. Refractive prediction error was calculated as the difference between postoperative spherical equivalent and intended target refraction. Missing data were not imputed.",
        "Results": "A total of thirty-three eyes were included with a mean patient age of 71.2 years. The indication was Fuchs endothelial corneal dystrophy for all cases. 51.5% of patients had other ocular comorbidities at the time of surgery. The mean preoperative BCVA was 0.38, improving to 0.15 postoperatively (p = p < 0.001). The mean target refraction was −0.43 D. In eyes with postoperative refraction available (n=10), the mean postoperative spherical equivalent was +0.03 D, corresponding to a mean hyperopic prediction error of +0.46 D.\n\nThere was no correlation between preoperative CCT and final BCVA (Spearman correlation ρ = 0.15-0.25; p = 0.3–0.5).\n\nRebubbling was required in 5 of 27 eyes (18.5%) with documented follow-up. Two failures were recorded.",
        "Conclusions": "Combined phaco-DMEK resulted in significant improvement in visual acuity with good overall refractive outcomes. A small hyperopic shift was observed postoperatively, suggesting that targeting slight myopia may help optimise refractive accuracy in these cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "PP08.07",
      "abstract_number": "PP08.07",
      "title": "Risk Of Return To The Operating Room Following Same-Day Vs Staged Cataract And Endothelial Keratoplasty: A Trinetx Database Study",
      "authors": "Dr Devon Askins Hughes",
      "presenter": "Dr Devon Askins Hughes",
      "normalized_authors": [
        "Devon Askins Hughes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Devon Askins Hughes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To investigate whether the timing of cataract surgery and endothelial keratoplasty (EK: DMEK or DSAEK)—same-day versus staged—impacts the risk of return to the operating room for rebubbling, using data from the TriNetX database.",
        "Setting": "Retrospective analysis of the TriNetX multicenter database of de-identified electronic health records.",
        "Methods": "Adults undergoing cataract surgery and endothelial keratoplasty were identified using CPT codes 66984 or 66982 (cataract surgery) and 65756 (endothelial keratoplasty) and grouped by procedure timing (same-day vs staged). The primary outcome was rebubbling within 30 days of endothelial keratoplasty, defined by CPT code 66020 (anterior chamber injection of air or liquid). After propensity score matching and exclusion of patients with events prior to the index procedure, the final cohorts included 551 same-day and 541 staged patients.",
        "Results": "Rebubbling within 30 days occurred in 18 patients (3.3%) in the same-day cohort and 44 patients (8.0%) in the staged cohort. The absolute risk difference was −4.8% (95% CI, −7.5% to −2.1%; p=0.001). The risk ratio was 0.41 (95% CI, 0.24–0.69) and the odds ratio was 0.39 (95% CI, 0.22–0.68). Kaplan–Meier analysis demonstrated a significant difference in time to rebubbling (log-rank p=0.001), with a hazard ratio of 0.40 (95% CI, 0.23–0.70). Survival probability at 30 days was 96.6% in the same-day cohort and 91.8% in the staged cohort. Among patients requiring rebubbling, the mean number of rebubbling events was similar between groups (1.22 vs 1.23).",
        "Conclusions": "This TriNetX database analysis demonstrated that same-day cataract and EK were associated with a significantly lower risk of return to the OR for rebubbling compared to staged procedures. These findings support the safety of same-day surgery in appropriately selected patients and suggest a potential reduction in early postoperative reintervention compared to staged procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This TriNetX database analysis demonstrated that same-day cataract and EK were associated with a significantly lower risk of return to the OR for rebubbling compared to staged procedures. These findings support the safety of same-day surgery in appropriately selected patients and suggest a potential reduction in early postoperative reintervention compared to staged procedures.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 126,
      "source_fields": {
        "Abstract Final Identifier": "PP08.07",
        "Title": "Risk Of Return To The Operating Room Following Same-Day Vs Staged Cataract And Endothelial Keratoplasty: A Trinetx Database Study",
        "Presenting Author(s)": "Dr Devon Askins Hughes",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Devon",
        "Submitter Middle Name": "Askins",
        "Submitter Last Name": "Hughes",
        "Country Name": "United States",
        "Purpose": "To investigate whether the timing of cataract surgery and endothelial keratoplasty (EK: DMEK or DSAEK)—same-day versus staged—impacts the risk of return to the operating room for rebubbling, using data from the TriNetX database.",
        "Setting": "Retrospective analysis of the TriNetX multicenter database of de-identified electronic health records.",
        "Methods": "Adults undergoing cataract surgery and endothelial keratoplasty were identified using CPT codes 66984 or 66982 (cataract surgery) and 65756 (endothelial keratoplasty) and grouped by procedure timing (same-day vs staged). The primary outcome was rebubbling within 30 days of endothelial keratoplasty, defined by CPT code 66020 (anterior chamber injection of air or liquid). After propensity score matching and exclusion of patients with events prior to the index procedure, the final cohorts included 551 same-day and 541 staged patients.",
        "Results": "Rebubbling within 30 days occurred in 18 patients (3.3%) in the same-day cohort and 44 patients (8.0%) in the staged cohort. The absolute risk difference was −4.8% (95% CI, −7.5% to −2.1%; p=0.001). The risk ratio was 0.41 (95% CI, 0.24–0.69) and the odds ratio was 0.39 (95% CI, 0.22–0.68). Kaplan–Meier analysis demonstrated a significant difference in time to rebubbling (log-rank p=0.001), with a hazard ratio of 0.40 (95% CI, 0.23–0.70). Survival probability at 30 days was 96.6% in the same-day cohort and 91.8% in the staged cohort. Among patients requiring rebubbling, the mean number of rebubbling events was similar between groups (1.22 vs 1.23).",
        "Conclusions": "This TriNetX database analysis demonstrated that same-day cataract and EK were associated with a significantly lower risk of return to the OR for rebubbling compared to staged procedures. These findings support the safety of same-day surgery in appropriately selected patients and suggest a potential reduction in early postoperative reintervention compared to staged procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "PP08.08",
      "abstract_number": "PP08.08",
      "title": "Efficacy And Safety Of Non-Penetrating Deep Sclerectomy In Patients With Previous Keratoplasty: A 5-Year Comparative Analysis",
      "authors": "Dr Alberto Salmoral Lorenzo-Arroyo",
      "presenter": "Dr Alberto Salmoral Lorenzo-Arroyo",
      "normalized_authors": [
        "Alberto Salmoral Lorenzo-Arroyo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sofía Bielsa Alonso",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate for the first time the efficacy and safety of non-penetrating deep sclerectomy (NPDS) in patients with a history of various corneal transplantation techniques—penetrating keratoplasty (PKP), Descemet membrane endothelial keratoplasty (DMEK), and deep anterior lamellar keratoplasty (DALK)—correlating clinical variables with intraocular pressure (IOP) reduction, visual acuity, and postoperative bleb morphology.",
        "Setting": "Instituto de Microcirugía Ocular IMO Barcelona.",
        "Methods": "We conducted a 5-year follow-up study of 50 patients who underwent NPDS after previous keratoplasty. Primary outcomes included IOP reduction and medication dependence. A subgroup analysis compared the NPDS-post-keratoplasty (NPDS-PK) cohort with a standard NPDS control group. Statistical analysis was performed to assess long-term outcomes.",
        "Results": "Mean baseline IOP was 23.20 mm Hg. Postoperative IOP showed a significant reduction: 11.06 mm Hg (SD 4.88) at 1 month, 12.02 mm Hg (SD 3.25) at 3 months, 11.76 mm Hg (SD 2.88) at 6 months, and 11.76 mm Hg (SD 3.01) at 1 year.\n\nRegarding medical therapy, patients shifted from a high requirement (3–4 medications) to near-complete independence at 3 months. Despite the NPDS-PK group presenting with a significantly higher baseline IOP (28.32 vs. 23.20 mm Hg), the procedure achieved a greater absolute reduction (~16 mm Hg), reaching a 5-year IOP (12.40 mm Hg) comparable to the control group (11.76 mm Hg). At 2 years, no statistically significant difference in IOP control was observed (11.79 mm Hg vs. 12.14 mm Hg, p=0.966).",
        "Conclusions": "NPDS is an effective and safe surgical option for glaucoma in eyes with prior corneal transplantation. The procedure successfully compensates for higher baseline pressure, achieving long-term tension control indistinguishable from standard NPDS cases. While long-term follow-up in specific DMEK/DALK subsets remains limited, these findings support NPDS as a robust strategy in complex post-keratoplasty eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "NPDS is an effective and safe surgical option for glaucoma in eyes with prior corneal transplantation. The procedure successfully compensates for higher baseline pressure, achieving long-term tension control indistinguishable from standard NPDS cases. While long-term follow-up in specific DMEK/DALK subsets remains limited, these findings support NPDS as a robust strategy in complex post-keratoplasty eyes.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 127,
      "source_fields": {
        "Abstract Final Identifier": "PP08.08",
        "Title": "Efficacy And Safety Of Non-Penetrating Deep Sclerectomy In Patients With Previous Keratoplasty: A 5-Year Comparative Analysis",
        "Presenting Author(s)": "Dr Alberto Salmoral Lorenzo-Arroyo",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Sofía",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bielsa Alonso",
        "Country Name": "Spain",
        "Purpose": "To evaluate for the first time the efficacy and safety of non-penetrating deep sclerectomy (NPDS) in patients with a history of various corneal transplantation techniques—penetrating keratoplasty (PKP), Descemet membrane endothelial keratoplasty (DMEK), and deep anterior lamellar keratoplasty (DALK)—correlating clinical variables with intraocular pressure (IOP) reduction, visual acuity, and postoperative bleb morphology.",
        "Setting": "Instituto de Microcirugía Ocular IMO Barcelona.",
        "Methods": "We conducted a 5-year follow-up study of 50 patients who underwent NPDS after previous keratoplasty. Primary outcomes included IOP reduction and medication dependence. A subgroup analysis compared the NPDS-post-keratoplasty (NPDS-PK) cohort with a standard NPDS control group. Statistical analysis was performed to assess long-term outcomes.",
        "Results": "Mean baseline IOP was 23.20 mm Hg. Postoperative IOP showed a significant reduction: 11.06 mm Hg (SD 4.88) at 1 month, 12.02 mm Hg (SD 3.25) at 3 months, 11.76 mm Hg (SD 2.88) at 6 months, and 11.76 mm Hg (SD 3.01) at 1 year.\n\nRegarding medical therapy, patients shifted from a high requirement (3–4 medications) to near-complete independence at 3 months. Despite the NPDS-PK group presenting with a significantly higher baseline IOP (28.32 vs. 23.20 mm Hg), the procedure achieved a greater absolute reduction (~16 mm Hg), reaching a 5-year IOP (12.40 mm Hg) comparable to the control group (11.76 mm Hg). At 2 years, no statistically significant difference in IOP control was observed (11.79 mm Hg vs. 12.14 mm Hg, p=0.966).",
        "Conclusions": "NPDS is an effective and safe surgical option for glaucoma in eyes with prior corneal transplantation. The procedure successfully compensates for higher baseline pressure, achieving long-term tension control indistinguishable from standard NPDS cases. While long-term follow-up in specific DMEK/DALK subsets remains limited, these findings support NPDS as a robust strategy in complex post-keratoplasty eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "PP08.09",
      "abstract_number": "PP08.09",
      "title": "Long-Term Outcomes Of Manual Arcuate Keratotomy With Compression Sutures After Penetrating And Anterior Lamellar Keratoplasty",
      "authors": "Dr Matteo Ripa",
      "presenter": "Dr Matteo Ripa",
      "normalized_authors": [
        "Matteo Ripa"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matteo Ripa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate and compare the long-term functional and refractive outcomes, as well as astigmatic magnitude and axis stability, following manual astigmatic keratotomy (AK) with compression sutures in eyes with post-penetrating keratoplasty (PKP) and deep anterior lamellar keratoplasty (DALK) astigmatism.",
        "Setting": "Department of Ophthalmology, Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.",
        "Methods": "The medical records and corneal tomography images of patients who underwent AK with compression sutures following PKP or DALK over the past five years were reviewed and analyzed. Data at three time points (preoperative, 6 months, and last follow-up [≥12 months]), including uncorrected and best-corrected distance visual acuity (UDVA and BCVA), keratometric parameters (flat [K1], steep [K2], and mean keratometry [Km]) derived from the anterior central 3-mm zone, topographic astigmatism magnitude, and astigmatic axis were evaluated. Outcomes were compared between post-PKP and post-DALK eyes undergoing AK. Axis stability and refractive changes were also analyzed.",
        "Results": "24 eyes of 22 patients were included. Median logMAR UDVA improved significantly in both groups: PKP group improved from 1.00 preoperatively to 0.70 at last follow-up (p=0.02), and DALK group from 1.00 to 0.72 (p=0.02). At 6 months, the DALK group had significantly better UDVA than PKP (p = 0.02). In the PKP group, median K2 decreased significantly over time (p=0.02), with a significant reduction between preoperative and last follow-up values (p=0.02), while K1 remained stable. In the DALK group, K2 did not change significantly, whereas K1 increased significantly over time (p=0.03). Topographic astigmatism decreased significantly in both groups, from 13.75 D to 8.20 D in the PKP group (p=0.04) and from 9.15 D to 3.10 D in the DALK group.",
        "Conclusions": "Manual arcuate keratotomy with compression sutures provides effective and sustained reduction of post-keratoplasty astigmatism after both PKP and DALK, with good axis stability. While both procedures achieved comparable long-term refractive outcomes, visual recovery occurred earlier in DALK eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Manual arcuate keratotomy with compression sutures provides effective and sustained reduction of post-keratoplasty astigmatism after both PKP and DALK, with good axis stability. While both procedures achieved comparable long-term refractive outcomes, visual recovery occurred earlier in DALK eyes.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 128,
      "source_fields": {
        "Abstract Final Identifier": "PP08.09",
        "Title": "Long-Term Outcomes Of Manual Arcuate Keratotomy With Compression Sutures After Penetrating And Anterior Lamellar Keratoplasty",
        "Presenting Author(s)": "Dr Matteo Ripa",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Matteo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ripa",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate and compare the long-term functional and refractive outcomes, as well as astigmatic magnitude and axis stability, following manual astigmatic keratotomy (AK) with compression sutures in eyes with post-penetrating keratoplasty (PKP) and deep anterior lamellar keratoplasty (DALK) astigmatism.",
        "Setting": "Department of Ophthalmology, Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.",
        "Methods": "The medical records and corneal tomography images of patients who underwent AK with compression sutures following PKP or DALK over the past five years were reviewed and analyzed. Data at three time points (preoperative, 6 months, and last follow-up [≥12 months]), including uncorrected and best-corrected distance visual acuity (UDVA and BCVA), keratometric parameters (flat [K1], steep [K2], and mean keratometry [Km]) derived from the anterior central 3-mm zone, topographic astigmatism magnitude, and astigmatic axis were evaluated. Outcomes were compared between post-PKP and post-DALK eyes undergoing AK. Axis stability and refractive changes were also analyzed.",
        "Results": "24 eyes of 22 patients were included. Median logMAR UDVA improved significantly in both groups: PKP group improved from 1.00 preoperatively to 0.70 at last follow-up (p=0.02), and DALK group from 1.00 to 0.72 (p=0.02). At 6 months, the DALK group had significantly better UDVA than PKP (p = 0.02). In the PKP group, median K2 decreased significantly over time (p=0.02), with a significant reduction between preoperative and last follow-up values (p=0.02), while K1 remained stable. In the DALK group, K2 did not change significantly, whereas K1 increased significantly over time (p=0.03). Topographic astigmatism decreased significantly in both groups, from 13.75 D to 8.20 D in the PKP group (p=0.04) and from 9.15 D to 3.10 D in the DALK group.",
        "Conclusions": "Manual arcuate keratotomy with compression sutures provides effective and sustained reduction of post-keratoplasty astigmatism after both PKP and DALK, with good axis stability. While both procedures achieved comparable long-term refractive outcomes, visual recovery occurred earlier in DALK eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "PP08.10",
      "abstract_number": "PP08.10",
      "title": "Long-Term Outcomes Of Type 1 Keratoprosthesis In A Tertiary Care Centre",
      "authors": "Dr Soumya Sharma",
      "presenter": "Dr Soumya Sharma",
      "normalized_authors": [
        "Soumya Sharma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Soumya Sharma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the long-term visual and anatomical outcomes of type 1 keratoprosthesis implantation and to analyze device retention and postoperative complications over extended follow-up in eyes with severe corneal blindness not amenable to conventional keratoplasty.",
        "Setting": "Retrospective observational study conducted at a tertiary eye care referral center with dedicated cornea and anterior segment services.",
        "Methods": "This retrospective study included 23 eyes from 20 patients who underwent type 1 keratoprosthesis implantation with a minimum follow-up of 5 years. Indications included multiple failed corneal grafts, chemical injury, recurrent viral keratitis, blast injury, and ocular cicatricial pemphigoid. Outcome measures assessed were visual acuity in logMAR units, device retention, and incidence of postoperative complications.",
        "Results": "Twenty-three eyes from 20 patients, with a mean age of 46.65 years and a mean follow-up of 8.1 years, were analyzed. Seventy percent were male. Mean preoperative visual acuity was logMAR 2.58. Immediate postoperative mean visual acuity improved to logMAR 1.07, and long-term mean visual acuity was logMAR 1.89. Common complications included infectious keratitis, endophthalmitis, retroprosthetic membrane formation, and carrier graft melts.",
        "Conclusions": "Type 1 keratoprosthesis provides significant short-term visual improvement in eyes with complex corneal pathology; however, long-term visual outcomes may decline due to sight-threatening complications. Careful long-term monitoring is essential to optimize device retention and manage postoperative complications, thereby improving overall prosthesis survival and patient outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Type 1 keratoprosthesis provides significant short-term visual improvement in eyes with complex corneal pathology; however, long-term visual outcomes may decline due to sight-threatening complications. Careful long-term monitoring is essential to optimize device retention and manage postoperative complications, thereby improving overall prosthesis survival and patient outcomes.",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 129,
      "source_fields": {
        "Abstract Final Identifier": "PP08.10",
        "Title": "Long-Term Outcomes Of Type 1 Keratoprosthesis In A Tertiary Care Centre",
        "Presenting Author(s)": "Dr Soumya Sharma",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Soumya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sharma",
        "Country Name": "India",
        "Purpose": "To evaluate the long-term visual and anatomical outcomes of type 1 keratoprosthesis implantation and to analyze device retention and postoperative complications over extended follow-up in eyes with severe corneal blindness not amenable to conventional keratoplasty.",
        "Setting": "Retrospective observational study conducted at a tertiary eye care referral center with dedicated cornea and anterior segment services.",
        "Methods": "This retrospective study included 23 eyes from 20 patients who underwent type 1 keratoprosthesis implantation with a minimum follow-up of 5 years. Indications included multiple failed corneal grafts, chemical injury, recurrent viral keratitis, blast injury, and ocular cicatricial pemphigoid. Outcome measures assessed were visual acuity in logMAR units, device retention, and incidence of postoperative complications.",
        "Results": "Twenty-three eyes from 20 patients, with a mean age of 46.65 years and a mean follow-up of 8.1 years, were analyzed. Seventy percent were male. Mean preoperative visual acuity was logMAR 2.58. Immediate postoperative mean visual acuity improved to logMAR 1.07, and long-term mean visual acuity was logMAR 1.89. Common complications included infectious keratitis, endophthalmitis, retroprosthetic membrane formation, and carrier graft melts.",
        "Conclusions": "Type 1 keratoprosthesis provides significant short-term visual improvement in eyes with complex corneal pathology; however, long-term visual outcomes may decline due to sight-threatening complications. Careful long-term monitoring is essential to optimize device retention and manage postoperative complications, thereby improving overall prosthesis survival and patient outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "PP08.11",
      "abstract_number": "PP08.11",
      "title": "Relex Smile After Penetrating Keratoplasty: Safety, Predictability And Early Clinical Outcomes",
      "authors": "Marat Suleymenov",
      "presenter": "Marat Suleymenov",
      "normalized_authors": [
        "Marat Suleymenov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nargiza Temirova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate the safety, efficacy, and predictability of ReLEx SMILE for the correction of residual myopia and myopic astigmatism in eyes following penetrating keratoplasty (PK).",
        "Setting": "Department of Ophthalmology, Asfendiyarov Kazakh National Medical University, Kazakhstan.",
        "Methods": "This prospective study included 8 eyes of 8 patients with stable refraction at least 18 months after PK. Inclusion criteria required complete suture removal and adequate graft thickness (≥500 µm preoperatively and a predicted residual stromal thickness ≥300 µm). All procedures were performed using the VisuMax femtosecond laser. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, spherical equivalent (SE), and vector parameters of astigmatism were evaluated preoperatively and throughout a 12-month follow-up period.",
        "Results": "Mean spherical equivalent improved from −6.83±1.1 D preoperatively to −1.72±0.95 D postoperatively. The efficacy and safety indices were 0.94 and 1.1, respectively. No intraoperative or postoperative complications were observed, and no eyes lost lines of CDVA. Predictability analysis demonstrated postoperative SE within ±1.5 D in 37.5% of eyes and within ±2.5 D in 62.5%. Vector analysis showed a 76% reduction in astigmatism with a correction index of 0.81. Refractive outcomes remained stable throughout the follow-up period without significant regression (p = 0.92).",
        "Conclusions": "ReLEx SMILE demonstrated a favorable safety profile and provided clinically meaningful refractive improvement in post-keratoplasty eyes while preserving graft integrity through a flapless approach. These findings suggest that SMILE may represent a promising option for refractive correction in this complex patient population. Further studies with larger sample sizes are warranted to optimize treatment parameters and enhance predictability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ReLEx SMILE demonstrated a favorable safety profile and provided clinically meaningful refractive improvement in post-keratoplasty eyes while preserving graft integrity through a flapless approach. These findings suggest that SMILE may represent a promising option for refractive correction in this complex patient population. Further studies with larger sample sizes are warranted to optimize treatment parameters and…",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 130,
      "source_fields": {
        "Abstract Final Identifier": "PP08.11",
        "Title": "Relex Smile After Penetrating Keratoplasty: Safety, Predictability And Early Clinical Outcomes",
        "Presenting Author(s)": "Marat Suleymenov",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Nargiza",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Temirova",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate the safety, efficacy, and predictability of ReLEx SMILE for the correction of residual myopia and myopic astigmatism in eyes following penetrating keratoplasty (PK).",
        "Setting": "Department of Ophthalmology, Asfendiyarov Kazakh National Medical University, Kazakhstan.",
        "Methods": "This prospective study included 8 eyes of 8 patients with stable refraction at least 18 months after PK. Inclusion criteria required complete suture removal and adequate graft thickness (≥500 µm preoperatively and a predicted residual stromal thickness ≥300 µm). All procedures were performed using the VisuMax femtosecond laser. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, spherical equivalent (SE), and vector parameters of astigmatism were evaluated preoperatively and throughout a 12-month follow-up period.",
        "Results": "Mean spherical equivalent improved from −6.83±1.1 D preoperatively to −1.72±0.95 D postoperatively. The efficacy and safety indices were 0.94 and 1.1, respectively. No intraoperative or postoperative complications were observed, and no eyes lost lines of CDVA. Predictability analysis demonstrated postoperative SE within ±1.5 D in 37.5% of eyes and within ±2.5 D in 62.5%. Vector analysis showed a 76% reduction in astigmatism with a correction index of 0.81. Refractive outcomes remained stable throughout the follow-up period without significant regression (p = 0.92).",
        "Conclusions": "ReLEx SMILE demonstrated a favorable safety profile and provided clinically meaningful refractive improvement in post-keratoplasty eyes while preserving graft integrity through a flapless approach. These findings suggest that SMILE may represent a promising option for refractive correction in this complex patient population. Further studies with larger sample sizes are warranted to optimize treatment parameters and enhance predictability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 263
    },
    {
      "uid": "PP08.12",
      "abstract_number": "PP08.12",
      "title": "Pediatric Penetrating Keratoplasty: A Comprehensive Systematic Review Of Indications, Outcomes, And Prognostic Factors",
      "authors": "Dr Abdullah Mohammed Al-Omair",
      "presenter": "Dr Abdullah Mohammed Al-Omair",
      "normalized_authors": [
        "Abdullah Mohammed Al-Omair"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdullah Mohammed Al-Omair",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To systematically evaluate the indications, graft survival, visual outcomes, complications, and prognostic factors of pediatric penetrating keratoplasty (PKP) across published studies.",
        "Setting": "Systematic review of international studies conducted across multiple tertiary ophthalmology centers and academic institutions.",
        "Methods": "A systematic review registered in PROSPERO and conducted according to PRISMA guidelines. Literature searches were performed in PubMed , Ovid , Cochrane CENTRAL , Google Scholar , and ClinicalTrials.gov up to May 2025. Studies including pediatric patients (≤18 years) undergoing PKP with at least 30 participants and ≥1-year follow-up were included. Dual screening and standardized data extraction were performed for indications, surgical characteristics, graft survival, visual outcomes, complications, and prognostic factors. Study quality was assessed using validated risk-of-bias tools.",
        "Results": "Five studies (2007–2022) involving 442 eyes of 335 pediatric patients (mean age 6.5 years) were included. The most common indications were congenital hereditary endothelial dystrophy (34%) and Peters anomaly (26%), followed by congenital glaucoma and keratoconus. Pooled 1-year graft survival was 77%, with final survival of 66%. Approximately 45% of eyes achieved visual acuity ≥20/200. Common complications included glaucoma (30%), graft rejection (19%), and microbial keratitis (16%). Better outcomes were associated with congenital hereditary endothelial dystrophy and non-vascularized corneas, whereas corneal vascularization, abnormal lens status, postoperative infection, and combined glaucoma procedures were linked to poorer outcomes.",
        "Conclusions": "Pediatric penetrating keratoplasty can effectively restore corneal clarity, particularly in selected indications such as congenital hereditary endothelial dystrophy and non-vascularized Peters anomaly. However, functional visual recovery remains moderate, and postoperative complications are frequent. Outcomes are strongly influenced by underlying pathology and ocular risk factors. Careful surgical planning, amblyopia management, and close postoperative follow-up are essential, and further standardized prospective multicenter studies are needed to improve long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pediatric penetrating keratoplasty can effectively restore corneal clarity, particularly in selected indications such as congenital hereditary endothelial dystrophy and non-vascularized Peters anomaly. However, functional visual recovery remains moderate, and postoperative complications are frequent. Outcomes are strongly influenced by underlying pathology and ocular risk factors. Careful surgical planning,…",
      "session_type": "Presented Poster",
      "track": "Combined keratoplasty / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 131,
      "source_fields": {
        "Abstract Final Identifier": "PP08.12",
        "Title": "Pediatric Penetrating Keratoplasty: A Comprehensive Systematic Review Of Indications, Outcomes, And Prognostic Factors",
        "Presenting Author(s)": "Dr Abdullah Mohammed Al-Omair",
        "Abstract Topic Name": "Combined keratoplasty / cataract surgery",
        "Submitter First Name": "Abdullah",
        "Submitter Middle Name": "Mohammed",
        "Submitter Last Name": "Al-Omair",
        "Country Name": "Saudi Arabia",
        "Purpose": "To systematically evaluate the indications, graft survival, visual outcomes, complications, and prognostic factors of pediatric penetrating keratoplasty (PKP) across published studies.",
        "Setting": "Systematic review of international studies conducted across multiple tertiary ophthalmology centers and academic institutions.",
        "Methods": "A systematic review registered in PROSPERO and conducted according to PRISMA guidelines. Literature searches were performed in PubMed , Ovid , Cochrane CENTRAL , Google Scholar , and ClinicalTrials.gov up to May 2025. Studies including pediatric patients (≤18 years) undergoing PKP with at least 30 participants and ≥1-year follow-up were included. Dual screening and standardized data extraction were performed for indications, surgical characteristics, graft survival, visual outcomes, complications, and prognostic factors. Study quality was assessed using validated risk-of-bias tools.",
        "Results": "Five studies (2007–2022) involving 442 eyes of 335 pediatric patients (mean age 6.5 years) were included. The most common indications were congenital hereditary endothelial dystrophy (34%) and Peters anomaly (26%), followed by congenital glaucoma and keratoconus. Pooled 1-year graft survival was 77%, with final survival of 66%. Approximately 45% of eyes achieved visual acuity ≥20/200. Common complications included glaucoma (30%), graft rejection (19%), and microbial keratitis (16%). Better outcomes were associated with congenital hereditary endothelial dystrophy and non-vascularized corneas, whereas corneal vascularization, abnormal lens status, postoperative infection, and combined glaucoma procedures were linked to poorer outcomes.",
        "Conclusions": "Pediatric penetrating keratoplasty can effectively restore corneal clarity, particularly in selected indications such as congenital hereditary endothelial dystrophy and non-vascularized Peters anomaly. However, functional visual recovery remains moderate, and postoperative complications are frequent. Outcomes are strongly influenced by underlying pathology and ocular risk factors. Careful surgical planning, amblyopia management, and close postoperative follow-up are essential, and further standardized prospective multicenter studies are needed to improve long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "PP09.01",
      "abstract_number": "PP09.01",
      "title": "Optimizing Capsulorhexis In Intumescent White Cataracts: A Comparative Evaluation Of Pressure-Control Techniques",
      "authors": "Dr Adnan Abdul Majeed",
      "presenter": "Dr Adnan Abdul Majeed",
      "normalized_authors": [
        "Adnan Abdul Majeed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adnan Abdul Majeed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "To compare established capsulorhexis techniques in intumescent white cataracts and identify strategies that enhance capsular control and prevent radial extension.",
        "Setting": "Sindh Institute of Ophthalmology and visual sciences SIOVS Hyderbabad Pakistan.",
        "Methods": "This prospective interventional study included 120 eyes with intumescent white cataract. Eyes were allocated to six capsulotomy strategies: single-stage continuous curvilinear capsulorhexis (CCC); needle-assisted decompression with two-stage CCC; small central capsulotomy with liquefied cortex aspiration and enlargement; spiral capsulorhexis; can-opener capsulotomy with secondary CCC conversion; and Nd:YAG laser–assisted anterior capsular decompression before surgical rhexis completion. All cases underwent trypan blue staining under air. Primary outcome was intact CCC without radial extension; secondary outcomes included Argentinean flag sign, posterior capsular rupture, complications, and IOL centration at 1 month.",
        "Results": "Decompression-based techniques demonstrated significantly higher intact CCC completion rates (90–96%) compared with single-stage CCC (65%) and can-opener conversion (74%). Spiral capsulorhexis provided improved capsular control in cases with convex anterior capsules but showed variable rhexis sizing. Radial extension occurred most frequently in the single-stage group (30%). Overall PCR rate was 3%, predominantly in cases with uncontrolled capsular tears (p < 0.05).",
        "Conclusions": "Capsular pressure modulation remains the critical determinant of successful capsulorhexis in intumescent white cataracts. Techniques incorporating controlled decompression or spiral vector control significantly reduce radial extension and improve surgical safety. A structured pressure-control approach enhances predictability in these high-risk cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Capsular pressure modulation remains the critical determinant of successful capsulorhexis in intumescent white cataracts. Techniques incorporating controlled decompression or spiral vector control significantly reduce radial extension and improve surgical safety. A structured pressure-control approach enhances predictability in these high-risk cases.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 132,
      "source_fields": {
        "Abstract Final Identifier": "PP09.01",
        "Title": "Optimizing Capsulorhexis In Intumescent White Cataracts: A Comparative Evaluation Of Pressure-Control Techniques",
        "Presenting Author(s)": "Dr Adnan Abdul Majeed",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Adnan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdul Majeed",
        "Country Name": "Pakistan",
        "Purpose": "To compare established capsulorhexis techniques in intumescent white cataracts and identify strategies that enhance capsular control and prevent radial extension.",
        "Setting": "Sindh Institute of Ophthalmology and visual sciences SIOVS Hyderbabad Pakistan.",
        "Methods": "This prospective interventional study included 120 eyes with intumescent white cataract. Eyes were allocated to six capsulotomy strategies: single-stage continuous curvilinear capsulorhexis (CCC); needle-assisted decompression with two-stage CCC; small central capsulotomy with liquefied cortex aspiration and enlargement; spiral capsulorhexis; can-opener capsulotomy with secondary CCC conversion; and Nd:YAG laser–assisted anterior capsular decompression before surgical rhexis completion. All cases underwent trypan blue staining under air. Primary outcome was intact CCC without radial extension; secondary outcomes included Argentinean flag sign, posterior capsular rupture, complications, and IOL centration at 1 month.",
        "Results": "Decompression-based techniques demonstrated significantly higher intact CCC completion rates (90–96%) compared with single-stage CCC (65%) and can-opener conversion (74%). Spiral capsulorhexis provided improved capsular control in cases with convex anterior capsules but showed variable rhexis sizing. Radial extension occurred most frequently in the single-stage group (30%). Overall PCR rate was 3%, predominantly in cases with uncontrolled capsular tears (p < 0.05).",
        "Conclusions": "Capsular pressure modulation remains the critical determinant of successful capsulorhexis in intumescent white cataracts. Techniques incorporating controlled decompression or spiral vector control significantly reduce radial extension and improve surgical safety. A structured pressure-control approach enhances predictability in these high-risk cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 221
    },
    {
      "uid": "PP09.02",
      "abstract_number": "PP09.02",
      "title": "Post-Occlusion Surge Response Of Two Phacoemulsification Systems In A Bicameral Mechanical Eye Model With Adjustable Compliance",
      "authors": "Dr Jaime Zacharias",
      "presenter": "Dr Jaime Zacharias",
      "normalized_authors": [
        "Jaime Zacharias"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jaime Zacharias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Chile",
      "sections": {
        "Purpose": "Post-occlusion surge is a key determinant of anterior chamber stability during phacoemulsification and may contribute to posterior capsule rupture (PCR), particularly in eyes with reduced compliance. Fluidic architecture and surge mitigation strategies may influence post-occlusion volume shifts and capsule displacement. This study quantitatively compares post-occlusion surge and posterior capsule motion between the Centurion Active Sentry and UNITY Vitreoretinal Cataract System (VCS) using a refined bicameral in-vitro eye model with adjustable low, medium, and high compliance.",
        "Setting": "Phaco-Dynamics Laboratory, Pasteur Opthalmic Clinic, Santiago, Chile.",
        "Methods": "A bicameral mechanical eye model with anterior and posterior chambers separated by a semi-elastic membrane simulating the posterior capsule was used. Compliance was adjusted for low, medium, and high human ocular response curves. A Balanced tip was tested at IOP set points of 30, 40, and 50 mmHg, vacuum limits of 350, 500, and 650 mmHg, and a flow rate of 30 cc/min. Each condition was evaluated under SHUNT=OPEN, in which both chambers communicated via a direct fluid bypass, and SHUNT=CLOSED, in which pressure transfer occurred exclusively across the simulated capsule. Primary endpoints were post-occlusion surge volume (µL) and capsule displacement (pixels), measured using pressure sensors and synchronized high-resolution capsule imaging.",
        "Results": "Surge volume and capsule motion increased with decreasing compliance and increasing vacuum in both systems. In the low-compliance model with SHUNT=CLOSED, UNITY VCS reduced surge by approximately 60–65% and capsule displacement by ~10% compared with Centurion. In medium compliance, surge reduction reached 70–75% with ~20% lower capsule motion. In high compliance, absolute values were lower for both systems, with UNITY demonstrating ~45–50% lower surge and ~10–12% less capsule displacement. Opening the shunt reduced surge and capsule motion in both systems, with a larger relative reduction observed in the Centurion arm.",
        "Conclusions": "Post-occlusion surge magnitude and posterior capsule displacement were strongly influenced by ocular compliance and shunt configuration. Under low-compliance conditions, UNITY VCS demonstrated substantial reductions in surge and capsule motion compared with Centurion. By limiting rapid anterior chamber decompression and capsule excursion in this in-vitro model, the fluidics of the UNITY VCS system may reduce posterior capsule displacements and potentially mitigate factors associated with PCR during occlusion break events."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-occlusion surge magnitude and posterior capsule displacement were strongly influenced by ocular compliance and shunt configuration. Under low-compliance conditions, UNITY VCS demonstrated substantial reductions in surge and capsule motion compared with Centurion. By limiting rapid anterior chamber decompression and capsule excursion in this in-vitro model, the fluidics of the UNITY VCS system may reduce…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 133,
      "source_fields": {
        "Abstract Final Identifier": "PP09.02",
        "Title": "Post-Occlusion Surge Response Of Two Phacoemulsification Systems In A Bicameral Mechanical Eye Model With Adjustable Compliance",
        "Presenting Author(s)": "Dr Jaime Zacharias",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Jaime",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zacharias",
        "Country Name": "Chile",
        "Purpose": "Post-occlusion surge is a key determinant of anterior chamber stability during phacoemulsification and may contribute to posterior capsule rupture (PCR), particularly in eyes with reduced compliance. Fluidic architecture and surge mitigation strategies may influence post-occlusion volume shifts and capsule displacement. This study quantitatively compares post-occlusion surge and posterior capsule motion between the Centurion Active Sentry and UNITY Vitreoretinal Cataract System (VCS) using a refined bicameral in-vitro eye model with adjustable low, medium, and high compliance.",
        "Setting": "Phaco-Dynamics Laboratory, Pasteur Opthalmic Clinic, Santiago, Chile.",
        "Methods": "A bicameral mechanical eye model with anterior and posterior chambers separated by a semi-elastic membrane simulating the posterior capsule was used. Compliance was adjusted for low, medium, and high human ocular response curves. A Balanced tip was tested at IOP set points of 30, 40, and 50 mmHg, vacuum limits of 350, 500, and 650 mmHg, and a flow rate of 30 cc/min. Each condition was evaluated under SHUNT=OPEN, in which both chambers communicated via a direct fluid bypass, and SHUNT=CLOSED, in which pressure transfer occurred exclusively across the simulated capsule. Primary endpoints were post-occlusion surge volume (µL) and capsule displacement (pixels), measured using pressure sensors and synchronized high-resolution capsule imaging.",
        "Results": "Surge volume and capsule motion increased with decreasing compliance and increasing vacuum in both systems. In the low-compliance model with SHUNT=CLOSED, UNITY VCS reduced surge by approximately 60–65% and capsule displacement by ~10% compared with Centurion. In medium compliance, surge reduction reached 70–75% with ~20% lower capsule motion. In high compliance, absolute values were lower for both systems, with UNITY demonstrating ~45–50% lower surge and ~10–12% less capsule displacement. Opening the shunt reduced surge and capsule motion in both systems, with a larger relative reduction observed in the Centurion arm.",
        "Conclusions": "Post-occlusion surge magnitude and posterior capsule displacement were strongly influenced by ocular compliance and shunt configuration. Under low-compliance conditions, UNITY VCS demonstrated substantial reductions in surge and capsule motion compared with Centurion. By limiting rapid anterior chamber decompression and capsule excursion in this in-vitro model, the fluidics of the UNITY VCS system may reduce posterior capsule displacements and potentially mitigate factors associated with PCR during occlusion break events."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "PP09.03",
      "abstract_number": "PP09.03",
      "title": "Pinguecula As A Natural Landmark For Temporal Cci Planning: A Verion-Based Angular Reliability Study",
      "authors": "Dr Dora Marinčić",
      "presenter": "Dr Dora Marinčić",
      "normalized_authors": [
        "Dora Marinčić"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dora Marinčić",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate whether pinguecula can serve as a natural anatomical landmark for planning a temporal clear corneal incision (CCI) at the horizontal (0°/180°) meridian by measuring its angular closeness using VERION imaging.",
        "Setting": "University Eye Department, University Hospital \"Sveti Duh\", Zagreb, Croatia",
        "Methods": "Prospective observational study of cataract-surgery candidates (Jan 2023–Jan 2024). Pinguecula (temporal and, when present, nasal) was identified via slit-lamp examination and on VERION™ Image Guided System images. Angular deviation (degrees) between the superior border of the pinguecula and the horizontal meridian (0°/180°) was recorded. Primary endpoint was the proportion of measurements within ±5° (exact binomial 95% confidence interval [CI]). Outcomes were additionally reported separately for temporal and nasal pingueculae.",
        "Results": "Data included 144 patients, 229 eyes, and 250 measurements with recorded deviation. A total of 250 pinguecula measurements with recorded deviation were analysed (temporal n=97; nasal n=153). Overall, pinguecula lay within ±5° of the horizontal meridian in 191/250 measurements (76.4%; 95% CI 70.6–81.5). Among measurements within ±5°, deviation was 2.2±1.8°(mean±SD) and median 2°(IQR 0–3). Temporal pingueculae: 71/97 (73.2%; 95% CI 63.2–81.7) within ±5°; within-±5° deviation median 3° (IQR 1–4). Nasal pingueculae: 120/153 (78.4%; 95% CI 71.1–84.7) within ±5°; within-±5° deviation median 2° (IQR 0–3).",
        "Conclusions": "Pinguecula demonstrated moderate-to-high positional reliability within ±5° of the horizontal meridian overall (76.4%), with comparable performance for temporal and nasal lesions, supporting its utility as a practical natural landmark for temporal CCI planning when digital marking is unavailable. However, while pinguecula may serve as a useful natural cue, achieving a ±5° target may still require adjunctive marking or image-guidance systems when high precision is desired."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pinguecula demonstrated moderate-to-high positional reliability within ±5° of the horizontal meridian overall (76.4%), with comparable performance for temporal and nasal lesions, supporting its utility as a practical natural landmark for temporal CCI planning when digital marking is unavailable. However, while pinguecula may serve as a useful natural cue, achieving a ±5° target may still require adjunctive marking…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 134,
      "source_fields": {
        "Abstract Final Identifier": "PP09.03",
        "Title": "Pinguecula As A Natural Landmark For Temporal Cci Planning: A Verion-Based Angular Reliability Study",
        "Presenting Author(s)": "Dr Dora Marinčić",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Dora",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marinčić",
        "Country Name": "Croatia",
        "Purpose": "To evaluate whether pinguecula can serve as a natural anatomical landmark for planning a temporal clear corneal incision (CCI) at the horizontal (0°/180°) meridian by measuring its angular closeness using VERION imaging.",
        "Setting": "University Eye Department, University Hospital \"Sveti Duh\", Zagreb, Croatia",
        "Methods": "Prospective observational study of cataract-surgery candidates (Jan 2023–Jan 2024). Pinguecula (temporal and, when present, nasal) was identified via slit-lamp examination and on VERION™ Image Guided System images. Angular deviation (degrees) between the superior border of the pinguecula and the horizontal meridian (0°/180°) was recorded. Primary endpoint was the proportion of measurements within ±5° (exact binomial 95% confidence interval [CI]). Outcomes were additionally reported separately for temporal and nasal pingueculae.",
        "Results": "Data included 144 patients, 229 eyes, and 250 measurements with recorded deviation. A total of 250 pinguecula measurements with recorded deviation were analysed (temporal n=97; nasal n=153). Overall, pinguecula lay within ±5° of the horizontal meridian in 191/250 measurements (76.4%; 95% CI 70.6–81.5). Among measurements within ±5°, deviation was 2.2±1.8°(mean±SD) and median 2°(IQR 0–3). Temporal pingueculae: 71/97 (73.2%; 95% CI 63.2–81.7) within ±5°; within-±5° deviation median 3° (IQR 1–4). Nasal pingueculae: 120/153 (78.4%; 95% CI 71.1–84.7) within ±5°; within-±5° deviation median 2° (IQR 0–3).",
        "Conclusions": "Pinguecula demonstrated moderate-to-high positional reliability within ±5° of the horizontal meridian overall (76.4%), with comparable performance for temporal and nasal lesions, supporting its utility as a practical natural landmark for temporal CCI planning when digital marking is unavailable. However, while pinguecula may serve as a useful natural cue, achieving a ±5° target may still require adjunctive marking or image-guidance systems when high precision is desired."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "PP09.04",
      "abstract_number": "PP09.04",
      "title": "Comparative Analysis Of B-Hex Pupil Expander Vs. Iris Hooks In Small Pupil Cataract Surgery: Surgical Efficiency And Safety",
      "authors": "Dr Kavitha Lakshmi Kannappan",
      "presenter": "Dr Kavitha Lakshmi Kannappan",
      "normalized_authors": [
        "Kavitha Lakshmi Kannappan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kavitha Lakshmi Kannappan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the B-Hex pupil expansion ring and iris hooks in phacoemulsification for small pupils (≤4 mm post-dilatation)using special techniques, focusing on insertion/disengagement time, total phacoemulsification time, intraoperative pupil size, best-corrected visual acuity (BCVA), complications (iris trauma, capsular tears), surgeon stress (VAS 1-10), and patient-reported pain (post-op VAS). This retrospective comparative study on 50 eyes (25 per group) evaluates device efficiency and safety for cataract surgeons managing intraoperative miosis.",
        "Setting": "Advanced cataract and refractive surgery centre in Chennai, India. Single-surgeon retrospective comparative study on 50 patients (25 eyes/group) with small pupils undergoing phacoemulsification (all cataract grades including white cataract and all monofocal IOL types including toricIOL). Data was reviewed from surgical records with institution.",
        "Methods": "50 eyes with pupil size ≤4 mm assigned to B-Hex pupil expanders (Group 1) or iris hooks (Group 2). Parameters: device insertion/disengagement time (seconds), total surgical time (minutes from incision to speculum removal), intraoperative pupil diameter (mm via calipers post-insertion), pre/post-op BCVA, complications (iris bleeding, sphincter tear, capsular tear, pigment dispersion, IOP spike), surgeon stress (intra-op VAS 1-10), and patient pain (post-op VAS 1-10). Cataract surgery was performed using phaco machine with active fluidics during phacoemulsification(ZEISS microscope, Centurion active fluidics system); statistics were compared (paired t-test, P<0.05).",
        "Results": "B-Hex showed shorter insertion/disengagement time (mean 240±80s vs. 310±85s hooks, P=0.02), total surgical time (20.5±3.5min vs. 26±7min, P=0.01), and fewer additional incisions (0 vs. 4/group). Pupil size similar (6.2±0.4mm both, P=0.8); BCVA improved to 0.1 LogMAR both (P=0.9). Complications: B-Hex (iris bleed 1, incomplete insert 2); hooks (sphincter tear 2). Surgeon stress lower with B-Hex (3±1 vs. 6±2, P=0.03); patient pain comparable (2±1 both, P=0.7).",
        "Conclusions": "B-Hex pupil expanderoffers superior efficiency with reduced insertion/disengagement and total surgical times versus iris hooks in small pupil phacoemulsification, plus lower surgeon stress—while matching pupil expansion, visual outcomes, and patient comfort. Iris hooks remain cost-effective but add procedural complexity.It is user-friendly and when right tools and techniques are employed, it simplifies small pupil cases without added incisions, making it ideal for every surgeon."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "B-Hex pupil expanderoffers superior efficiency with reduced insertion/disengagement and total surgical times versus iris hooks in small pupil phacoemulsification, plus lower surgeon stress—while matching pupil expansion, visual outcomes, and patient comfort. Iris hooks remain cost-effective but add procedural complexity.It is user-friendly and when right tools and techniques are employed, it simplifies small pupil…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 135,
      "source_fields": {
        "Abstract Final Identifier": "PP09.04",
        "Title": "Comparative Analysis Of B-Hex Pupil Expander Vs. Iris Hooks In Small Pupil Cataract Surgery: Surgical Efficiency And Safety",
        "Presenting Author(s)": "Dr Kavitha Lakshmi Kannappan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Kavitha Lakshmi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kannappan",
        "Country Name": "India",
        "Purpose": "To compare the B-Hex pupil expansion ring and iris hooks in phacoemulsification for small pupils (≤4 mm post-dilatation)using special techniques, focusing on insertion/disengagement time, total phacoemulsification time, intraoperative pupil size, best-corrected visual acuity (BCVA), complications (iris trauma, capsular tears), surgeon stress (VAS 1-10), and patient-reported pain (post-op VAS). This retrospective comparative study on 50 eyes (25 per group) evaluates device efficiency and safety for cataract surgeons managing intraoperative miosis.",
        "Setting": "Advanced cataract and refractive surgery centre in Chennai, India. Single-surgeon retrospective comparative study on 50 patients (25 eyes/group) with small pupils undergoing phacoemulsification (all cataract grades including white cataract and all monofocal IOL types including toricIOL). Data was reviewed from surgical records with institution.",
        "Methods": "50 eyes with pupil size ≤4 mm assigned to B-Hex pupil expanders (Group 1) or iris hooks (Group 2). Parameters: device insertion/disengagement time (seconds), total surgical time (minutes from incision to speculum removal), intraoperative pupil diameter (mm via calipers post-insertion), pre/post-op BCVA, complications (iris bleeding, sphincter tear, capsular tear, pigment dispersion, IOP spike), surgeon stress (intra-op VAS 1-10), and patient pain (post-op VAS 1-10). Cataract surgery was performed using phaco machine with active fluidics during phacoemulsification(ZEISS microscope, Centurion active fluidics system); statistics were compared (paired t-test, P<0.05).",
        "Results": "B-Hex showed shorter insertion/disengagement time (mean 240±80s vs. 310±85s hooks, P=0.02), total surgical time (20.5±3.5min vs. 26±7min, P=0.01), and fewer additional incisions (0 vs. 4/group). Pupil size similar (6.2±0.4mm both, P=0.8); BCVA improved to 0.1 LogMAR both (P=0.9). Complications: B-Hex (iris bleed 1, incomplete insert 2); hooks (sphincter tear 2). Surgeon stress lower with B-Hex (3±1 vs. 6±2, P=0.03); patient pain comparable (2±1 both, P=0.7).",
        "Conclusions": "B-Hex pupil expanderoffers superior efficiency with reduced insertion/disengagement and total surgical times versus iris hooks in small pupil phacoemulsification, plus lower surgeon stress—while matching pupil expansion, visual outcomes, and patient comfort. Iris hooks remain cost-effective but add procedural complexity.It is user-friendly and when right tools and techniques are employed, it simplifies small pupil cases without added incisions, making it ideal for every surgeon."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 366
    },
    {
      "uid": "PP09.05",
      "abstract_number": "PP09.05",
      "title": "Clinical Validation Of A Novel Digital Intraoperative Guidance System For Accurate Toric Iol Alignment",
      "authors": "Dagny Zhu",
      "presenter": "Dagny Zhu",
      "normalized_authors": [
        "Dagny Zhu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Clayton Blehm",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the intraoperative alignment accuracy of a novel digital guidance system for toric intraocular lens (IOL) implantation and to assess1-month postoperative refractive outcomes.",
        "Setting": "Single-surgeon, single-center private practice cataract surgery facility",
        "Methods": "Prospective, observational study of 35 consecutive eyes undergoing toric IOL implantation. The digital guidance system (Cassini Technologies, B.V.) calculated and displayed intraoperative alignment axes. Three independent masked reviewers annotated paired pre- and intraoperative images using six anatomical landmarks to determine a reference axis. Eyes with ≥3° inter-reviewer disagreement were excluded. The primary endpoint was absolute difference between displayed and reference axes. Secondary endpoints included time to guidance initiation and 1-month refractive outcomes.",
        "Results": "Nineteen eyes met agreement criteria for primary analysis. Mean absolute axis difference was 1.51° ± 1.84° (median 0.59°). Mean time to guidance initiation was 17.6 seconds (n=35). At 1 month follow-up, 13 eyes were available for refractive analysis; mean residual refractive cylinder was 0.31 ± 0.34 D. Mean uncorrected distance visual acuity was 0.15 ± 0.12 logMAR (logarithm of the minimum angle of resolution) and corrected distance visual acuity was 0.05 ± 0.09 logMAR.",
        "Conclusions": "The digital guidance system demonstrated strong agreement with an anatomical reference standard for toric IOL axis determination. Postoperative outcomes showed low residual refractive astigmatism and favorable visual acuity, supporting clinically meaningful intraoperative alignment precision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The digital guidance system demonstrated strong agreement with an anatomical reference standard for toric IOL axis determination. Postoperative outcomes showed low residual refractive astigmatism and favorable visual acuity, supporting clinically meaningful intraoperative alignment precision.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 136,
      "source_fields": {
        "Abstract Final Identifier": "PP09.05",
        "Title": "Clinical Validation Of A Novel Digital Intraoperative Guidance System For Accurate Toric Iol Alignment",
        "Presenting Author(s)": "Dagny Zhu",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Clayton",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Blehm",
        "Country Name": "United States",
        "Purpose": "To evaluate the intraoperative alignment accuracy of a novel digital guidance system for toric intraocular lens (IOL) implantation and to assess1-month postoperative refractive outcomes.",
        "Setting": "Single-surgeon, single-center private practice cataract surgery facility",
        "Methods": "Prospective, observational study of 35 consecutive eyes undergoing toric IOL implantation. The digital guidance system (Cassini Technologies, B.V.) calculated and displayed intraoperative alignment axes. Three independent masked reviewers annotated paired pre- and intraoperative images using six anatomical landmarks to determine a reference axis. Eyes with ≥3° inter-reviewer disagreement were excluded. The primary endpoint was absolute difference between displayed and reference axes. Secondary endpoints included time to guidance initiation and 1-month refractive outcomes.",
        "Results": "Nineteen eyes met agreement criteria for primary analysis. Mean absolute axis difference was 1.51° ± 1.84° (median 0.59°). Mean time to guidance initiation was 17.6 seconds (n=35). At 1 month follow-up, 13 eyes were available for refractive analysis; mean residual refractive cylinder was 0.31 ± 0.34 D. Mean uncorrected distance visual acuity was 0.15 ± 0.12 logMAR (logarithm of the minimum angle of resolution) and corrected distance visual acuity was 0.05 ± 0.09 logMAR.",
        "Conclusions": "The digital guidance system demonstrated strong agreement with an anatomical reference standard for toric IOL axis determination. Postoperative outcomes showed low residual refractive astigmatism and favorable visual acuity, supporting clinically meaningful intraoperative alignment precision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 219
    },
    {
      "uid": "PP09.06",
      "abstract_number": "PP09.06",
      "title": "Effect Of Femtosecond Lasers Compared To Manual Incisions Of Clear Corneal Accesses On Corneal Aberrations In Cataract Surgery",
      "authors": "Prof. Dr Bojan Pajic",
      "presenter": "Prof. Dr Bojan Pajic",
      "normalized_authors": [
        "Bojan Pajic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bojan Pajic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "In a prospective study, corneal aberrations and surgically induced astigmatism (SIA) were examined in cataract surgery after clear corneal incision (CCI) using femtosecond laser versus manual access.",
        "Setting": "A prospective study, randomized, single-site at the ORASIS Clinic and Swiss Research Foundation in Reinach, Switzerland.",
        "Methods": "Seventy-eight cataract patients were randomly divided into two groups: 38 eyes underwent femtosecond laser-assisted cataract surgery (FLACS), while 40 eyes underwent conventional manual cataract surgery (CCS). Preoperative and six-week postoperative SIA, HOA, and all topographic and refractive data were analysed for both FLACS and CCS.",
        "Results": "The CCIs generated by FLACS proved to be equivalent to the manual CCIs. The mean SIA was 0.44 ± 0.27 dioptres (D) in the FLACS group and 0.58 ± 0.46 D in the CCS group (p = 0.18), with less variability in the FLACS group. The root mean square (RMS) of corneal HOA after six weeks was 0.69 ± 0.17 µm in the FLACS group and 0.80 ± 0.56 µm in the CCS group (p > 0.05). These results confirm the efficacy, reproducibility and safety of FLACS.",
        "Conclusions": "Although not statistically significant, FLACS resulted in a numerically lower SIA and lower variability than manual CCIs. Both groups were comparable in terms of HOA, although higher mean values and higher variability were observed in the CCS group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although not statistically significant, FLACS resulted in a numerically lower SIA and lower variability than manual CCIs. Both groups were comparable in terms of HOA, although higher mean values and higher variability were observed in the CCS group.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 137,
      "source_fields": {
        "Abstract Final Identifier": "PP09.06",
        "Title": "Effect Of Femtosecond Lasers Compared To Manual Incisions Of Clear Corneal Accesses On Corneal Aberrations In Cataract Surgery",
        "Presenting Author(s)": "Prof. Dr Bojan Pajic",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Bojan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pajic",
        "Country Name": "Switzerland",
        "Purpose": "In a prospective study, corneal aberrations and surgically induced astigmatism (SIA) were examined in cataract surgery after clear corneal incision (CCI) using femtosecond laser versus manual access.",
        "Setting": "A prospective study, randomized, single-site at the ORASIS Clinic and Swiss Research Foundation in Reinach, Switzerland.",
        "Methods": "Seventy-eight cataract patients were randomly divided into two groups: 38 eyes underwent femtosecond laser-assisted cataract surgery (FLACS), while 40 eyes underwent conventional manual cataract surgery (CCS). Preoperative and six-week postoperative SIA, HOA, and all topographic and refractive data were analysed for both FLACS and CCS.",
        "Results": "The CCIs generated by FLACS proved to be equivalent to the manual CCIs. The mean SIA was 0.44 ± 0.27 dioptres (D) in the FLACS group and 0.58 ± 0.46 D in the CCS group (p = 0.18), with less variability in the FLACS group. The root mean square (RMS) of corneal HOA after six weeks was 0.69 ± 0.17 µm in the FLACS group and 0.80 ± 0.56 µm in the CCS group (p > 0.05). These results confirm the efficacy, reproducibility and safety of FLACS.",
        "Conclusions": "Although not statistically significant, FLACS resulted in a numerically lower SIA and lower variability than manual CCIs. Both groups were comparable in terms of HOA, although higher mean values and higher variability were observed in the CCS group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "PP09.07",
      "abstract_number": "PP09.07",
      "title": "Comparison Of ‘Submarine’ And ‘Divide-And-Conquer’ Phacoemulsification Techniques: Effects On Cumulative Dissipated Energy And Corneal Endothelium",
      "authors": "Dr Eda Nur Gönültaş Özkan",
      "presenter": "Dr Eda Nur Gönültaş Özkan",
      "normalized_authors": [
        "Eda Nur Gönültaş Özkan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eda Nur Gönültaş Özkan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare corneal endothelial cell loss and cumulative dissipated energy (CDE) between submarine chop and divide-and-conquer (D&C) cataract surgery techniques.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "In this retrospective comparative case series, seventy-eight eyes of 72 patients with nuclear opacity grade 3 or 4 cataracts according to the Lens Opacities Classification System III were included. Eyes were divided into two groups based on the surgical technique: submarine chop (38 eyes) and D&C (40 eyes). All surgeries were performed by a single experienced surgeon using the same phacoemulsification device under standardized surgical settings. Preoperative and postoperative 1-month best-corrected visual acuity, refraction values and corneal endothelial parameters were recorded. Intraoperative parameters including CDE, total ultrasound (US) time, surgical time, and irrigation volume were obtained from the phacoemulsification system.",
        "Results": "The groups were comparable in terms of age, sex, cataract grade, and preoperative endothelial cell density (p > 0.05). Postoperative endothelial cell loss did not differ significantly between the submarine chop and D&C groups (p = 0.336). However, the submarine chop technique resulted in significantly lower median CDE (6.09 vs 10.32) and total US time (0.36 vs 0.57) compared with the D&C technique (both p < 0.001). Visual and refractive outcomes were similar between the groups.",
        "Conclusions": "The submarine chop technique significantly reduces ultrasound energy and time compared with the D&C technique without resulting in a significant difference in postoperative endothelial cell loss. It represents an effective and energy-efficient alternative for cataract surgery, particularly in cases where minimizing ultrasound exposure is desirable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The submarine chop technique significantly reduces ultrasound energy and time compared with the D&C technique without resulting in a significant difference in postoperative endothelial cell loss. It represents an effective and energy-efficient alternative for cataract surgery, particularly in cases where minimizing ultrasound exposure is desirable.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 138,
      "source_fields": {
        "Abstract Final Identifier": "PP09.07",
        "Title": "Comparison Of ‘Submarine’ And ‘Divide-And-Conquer’ Phacoemulsification Techniques: Effects On Cumulative Dissipated Energy And Corneal Endothelium",
        "Presenting Author(s)": "Dr Eda Nur Gönültaş Özkan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Eda Nur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gönültaş Özkan",
        "Country Name": "Türkiye",
        "Purpose": "To compare corneal endothelial cell loss and cumulative dissipated energy (CDE) between submarine chop and divide-and-conquer (D&C) cataract surgery techniques.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "In this retrospective comparative case series, seventy-eight eyes of 72 patients with nuclear opacity grade 3 or 4 cataracts according to the Lens Opacities Classification System III were included. Eyes were divided into two groups based on the surgical technique: submarine chop (38 eyes) and D&C (40 eyes). All surgeries were performed by a single experienced surgeon using the same phacoemulsification device under standardized surgical settings. Preoperative and postoperative 1-month best-corrected visual acuity, refraction values and corneal endothelial parameters were recorded. Intraoperative parameters including CDE, total ultrasound (US) time, surgical time, and irrigation volume were obtained from the phacoemulsification system.",
        "Results": "The groups were comparable in terms of age, sex, cataract grade, and preoperative endothelial cell density (p > 0.05). Postoperative endothelial cell loss did not differ significantly between the submarine chop and D&C groups (p = 0.336). However, the submarine chop technique resulted in significantly lower median CDE (6.09 vs 10.32) and total US time (0.36 vs 0.57) compared with the D&C technique (both p < 0.001). Visual and refractive outcomes were similar between the groups.",
        "Conclusions": "The submarine chop technique significantly reduces ultrasound energy and time compared with the D&C technique without resulting in a significant difference in postoperative endothelial cell loss. It represents an effective and energy-efficient alternative for cataract surgery, particularly in cases where minimizing ultrasound exposure is desirable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "PP09.08",
      "abstract_number": "PP09.08",
      "title": "One Technique, Different Iol Challenges: Adaptive Flanged Fixation In Zonular Insufficiency",
      "authors": "Dr Fabio Vicente Zavarse Fadul",
      "presenter": "Dr Fabio Vicente Zavarse Fadul",
      "normalized_authors": [
        "Fabio Vicente Zavarse Fadul"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fabio Vicente Vicente Zavarse Fadul",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe technical adaptations of a modified Canabrava fixation technique for stabilizing different intraocular lens (IOL) designs in the setting of zonular insufficiency.",
        "Setting": "Private and Public ophthalmology practice.\n\nHospital universitario de Torrejón (public)\n\nClínica Central Ocular (private)",
        "Methods": "Three eyes with lens instability were managed using tailored modifications of a flange-based scleral fixation approach\n\nIn a 10-year subluxated capsular bag-PMMA IOL complex, fixation was achieved by positioning the flange loop closer to the haptic-optic junction due to the absence of a conventional anchoring zone\n\nIn a previously vitrectomized eye with zonular weakness following retinal detachment surgery, an Akreos Adapt IOL that dropped into the vitreous cavity was repositioned and stabilized\n\nIn an intraoperative zonular dialysis during implantation of a toric FineVision IOL, fixation was adapted to align scleral entry sites with the cylindrical axis and improve centration by adjusting suture tension to compensate for residual zonular force",
        "Results": "Stable centration was achieved in all cases.\n\nIn the PMMA case, the patient had preoperative vision of 0.4 only in upright gaze, with no functional vision in other positions. Postoperatively, uncorrected visual acuity improved to 0.7 at one week and 0.8 with correction.\n\nThe Akreos IOL remained well centered despite limited visual prognosis due to prior retinal pathology.\n\nThe toric FineVision IOL achieved 0.94 distance and 1.0 near visual acuity with maintained axis stability.\n\nNo early tilt, decentration, or fixation-related complications were observed.",
        "Conclusions": "Targeted adaptation of flange positioning and fixation geometry enabled effective stabilization across rigid PMMA, eyelet-based, and toric premium IOL platforms. Compensation of residual zonular forces through tailored suture tension may expand surgical options for managing complex lens instability in diverse clinical scenarios. The versatility of this approach, including its use in acute intraoperative complications, may support favorable outcomes even in demanding premium toric IOLs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Targeted adaptation of flange positioning and fixation geometry enabled effective stabilization across rigid PMMA, eyelet-based, and toric premium IOL platforms. Compensation of residual zonular forces through tailored suture tension may expand surgical options for managing complex lens instability in diverse clinical scenarios. The versatility of this approach, including its use in acute intraoperative…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 139,
      "source_fields": {
        "Abstract Final Identifier": "PP09.08",
        "Title": "One Technique, Different Iol Challenges: Adaptive Flanged Fixation In Zonular Insufficiency",
        "Presenting Author(s)": "Dr Fabio Vicente Zavarse Fadul",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Fabio Vicente",
        "Submitter Middle Name": "Vicente",
        "Submitter Last Name": "Zavarse Fadul",
        "Country Name": "Spain",
        "Purpose": "To describe technical adaptations of a modified Canabrava fixation technique for stabilizing different intraocular lens (IOL) designs in the setting of zonular insufficiency.",
        "Setting": "Private and Public ophthalmology practice.\n\nHospital universitario de Torrejón (public)\n\nClínica Central Ocular (private)",
        "Methods": "Three eyes with lens instability were managed using tailored modifications of a flange-based scleral fixation approach\n\nIn a 10-year subluxated capsular bag-PMMA IOL complex, fixation was achieved by positioning the flange loop closer to the haptic-optic junction due to the absence of a conventional anchoring zone\n\nIn a previously vitrectomized eye with zonular weakness following retinal detachment surgery, an Akreos Adapt IOL that dropped into the vitreous cavity was repositioned and stabilized\n\nIn an intraoperative zonular dialysis during implantation of a toric FineVision IOL, fixation was adapted to align scleral entry sites with the cylindrical axis and improve centration by adjusting suture tension to compensate for residual zonular force",
        "Results": "Stable centration was achieved in all cases.\n\nIn the PMMA case, the patient had preoperative vision of 0.4 only in upright gaze, with no functional vision in other positions. Postoperatively, uncorrected visual acuity improved to 0.7 at one week and 0.8 with correction.\n\nThe Akreos IOL remained well centered despite limited visual prognosis due to prior retinal pathology.\n\nThe toric FineVision IOL achieved 0.94 distance and 1.0 near visual acuity with maintained axis stability.\n\nNo early tilt, decentration, or fixation-related complications were observed.",
        "Conclusions": "Targeted adaptation of flange positioning and fixation geometry enabled effective stabilization across rigid PMMA, eyelet-based, and toric premium IOL platforms. Compensation of residual zonular forces through tailored suture tension may expand surgical options for managing complex lens instability in diverse clinical scenarios. The versatility of this approach, including its use in acute intraoperative complications, may support favorable outcomes even in demanding premium toric IOLs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "PP09.09",
      "abstract_number": "PP09.09",
      "title": "Reducing Intraoperative Discomfort And Medication Use During Cataract Surgery Through Lower Intraocular Pressure Fluidics",
      "authors": "Dr Matthew Rauen",
      "presenter": "Dr Matthew Rauen",
      "normalized_authors": [
        "Matthew Rauen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matthew Rauen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To compare patient comfort and intraoperative medication requirements during cataract surgery performed at lower versus higher intraocular pressure (IOP), using a dual-pump fluidic platform (Unity VCS) and a single-pump system (Centurion Active Sentry, CAS), respectively.",
        "Setting": "Single-center, outpatient cataract surgery practice in the United States (Iowa).",
        "Methods": "This prospective, randomized, paired-eye study included 85 patients (170 eyes) undergoing sequential bilateral cataract surgery. The first eye was randomized to lower IOP using a dual-pump system (Unity VCS, 28   mmHg) or higher IOP using a single-pump system (Centurion Active Sentry, ≥60   mmHg), with the fellow eye receiving the alternate setting. The primary outcome was the need for intervention for breakthrough intraoperative discomfort. Secondary outcomes included VAS-reported discomfort, physiologic pain responses (blood pressure and heart rate), postoperative day-1 experience and preference surveys, time to discharge, and surgeon-rated experience on a 3-point scale (1=poor, 3=best).",
        "Results": "Forty-eight eyes of 24 patients were included in this preliminary analysis. Breakthrough discomfort requiring treatment occurred in two cases in the higher IOP group and in none in the lower IOP group. Mean VAS discomfort scores favored lower IOP. Surgeon rated patient cooperation and overall intraoperative experience were improved with lower IOP. Five patients (2 in lower IOP group, 3 in higher IOP group) experienced a physiologic response to pain. Eleven of the 16 patients reported that the low IOP setting was more comfortable, 8 of whom had the low IOP setting second . Postoperative day1 patient reported outcomes were comparable between groups.",
        "Conclusions": "Early findings suggest that cataract surgery performed at lower IOP using a dual pump fluidic system may enhance intraoperative comfort and reduce the incidence of breakthrough pain. When breakthrough pain occurred, it was limited to fluidics stages in the higher IOP group. Pain scores during fluidics stages favored the lower IOP setting, Physiologic pain responses were infrequent in both groups. The reduced incidence of pupil block at lower IOP may contribute to improved patient experience, supporting the role of fluidics optimization during phacoemulsification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early findings suggest that cataract surgery performed at lower IOP using a dual pump fluidic system may enhance intraoperative comfort and reduce the incidence of breakthrough pain. When breakthrough pain occurred, it was limited to fluidics stages in the higher IOP group. Pain scores during fluidics stages favored the lower IOP setting, Physiologic pain responses were infrequent in both groups. The reduced…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 140,
      "source_fields": {
        "Abstract Final Identifier": "PP09.09",
        "Title": "Reducing Intraoperative Discomfort And Medication Use During Cataract Surgery Through Lower Intraocular Pressure Fluidics",
        "Presenting Author(s)": "Dr Matthew Rauen",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Matthew",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rauen",
        "Country Name": "United States",
        "Purpose": "To compare patient comfort and intraoperative medication requirements during cataract surgery performed at lower versus higher intraocular pressure (IOP), using a dual-pump fluidic platform (Unity VCS) and a single-pump system (Centurion Active Sentry, CAS), respectively.",
        "Setting": "Single-center, outpatient cataract surgery practice in the United States (Iowa).",
        "Methods": "This prospective, randomized, paired-eye study included 85 patients (170 eyes) undergoing sequential bilateral cataract surgery. The first eye was randomized to lower IOP using a dual-pump system (Unity VCS, 28   mmHg) or higher IOP using a single-pump system (Centurion Active Sentry, ≥60   mmHg), with the fellow eye receiving the alternate setting. The primary outcome was the need for intervention for breakthrough intraoperative discomfort. Secondary outcomes included VAS-reported discomfort, physiologic pain responses (blood pressure and heart rate), postoperative day-1 experience and preference surveys, time to discharge, and surgeon-rated experience on a 3-point scale (1=poor, 3=best).",
        "Results": "Forty-eight eyes of 24 patients were included in this preliminary analysis. Breakthrough discomfort requiring treatment occurred in two cases in the higher IOP group and in none in the lower IOP group. Mean VAS discomfort scores favored lower IOP. Surgeon rated patient cooperation and overall intraoperative experience were improved with lower IOP. Five patients (2 in lower IOP group, 3 in higher IOP group) experienced a physiologic response to pain. Eleven of the 16 patients reported that the low IOP setting was more comfortable, 8 of whom had the low IOP setting second . Postoperative day1 patient reported outcomes were comparable between groups.",
        "Conclusions": "Early findings suggest that cataract surgery performed at lower IOP using a dual pump fluidic system may enhance intraoperative comfort and reduce the incidence of breakthrough pain. When breakthrough pain occurred, it was limited to fluidics stages in the higher IOP group. Pain scores during fluidics stages favored the lower IOP setting, Physiologic pain responses were infrequent in both groups. The reduced incidence of pupil block at lower IOP may contribute to improved patient experience, supporting the role of fluidics optimization during phacoemulsification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "PP09.10",
      "abstract_number": "PP09.10",
      "title": "Does Fluidics Matter In Pseudoexfoliation? Lessons From Low And High Fluidics Phacoemulsification",
      "authors": "Emine Esra Karaca",
      "presenter": "Emine Esra Karaca",
      "normalized_authors": [
        "Emine Esra Karaca"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emine Esra Karaca",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the impact of high versus low fluidics settings during phacoemulsification on intraoperative fluid usage, corneal thickness, and endothelial cell density (ECD) in eyes with pseudoexfoliation syndrome (PEX), where surgery is often challenging.",
        "Setting": "Ankara Bilkent City Hospital, Department of Ophthalmology",
        "Methods": "Eighty eyes of 80 patients with PEX undergoing uneventful phacoemulsification using an active fluidics system were analyzed. Eyes were divided into high fluidics (H, n = 40) and low fluidics (L, n = 40) groups according to intraoperative settings. During phacoemulsification and cortical removal, fluidics parameters were maintained according to group assignment. Primary outcome was total intraoperative fluid usage. Secondary outcomes included central corneal thickness (CCT) change and ECD loss at one month postoperatively.",
        "Results": "Mean age was comparable between the high and low fluidics groups (74.4 ± 5.8 vs 72.9 ± 5.7 years; p = 0.66). Baseline endothelial cell density was similar between groups (2352 ± 364 vs 2386 ± 449 cells/mm²; p = 0.71). Despite the higher fluid demands characteristic of PEX eyes, total intraoperative fluid usage was lower with low fluidics settings (78.7 ± 26.3 mL vs 85.9 ± 42.9 mL; p = 0.36).CDE showed a non-significant trend toward lower values in the high fluidics group (11.28 ± 7.93 vs 14.47 ± 9.36; p = 0.10). Corneal thickness changes were minimal and comparable between groups at one week (p = 0.55) and one month (p = 0.92). At one month, endothelial cell loss was lower in the low fluidics group (4.20% vs 6.89%; p = 0.44).",
        "Conclusions": "Low fluidics phacoemulsification in PEX achieved lower intraoperative fluid usage with favorable endothelial outcomes while maintaining corneal stability. Despite the inherent surgical challenges and increased fluid demands of pseudoexfoliation eyes, low fluidics settings provided stable and efficient intraoperative conditions, supporting their use even in challenging cases. These findings position low fluidics as a practical strategy to reduce intraoperative stress and optimize corneal preservation in pseudoexfoliation and other demanding cataract surgeries"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Low fluidics phacoemulsification in PEX achieved lower intraoperative fluid usage with favorable endothelial outcomes while maintaining corneal stability. Despite the inherent surgical challenges and increased fluid demands of pseudoexfoliation eyes, low fluidics settings provided stable and efficient intraoperative conditions, supporting their use even in challenging cases. These findings position low fluidics as…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 141,
      "source_fields": {
        "Abstract Final Identifier": "PP09.10",
        "Title": "Does Fluidics Matter In Pseudoexfoliation? Lessons From Low And High Fluidics Phacoemulsification",
        "Presenting Author(s)": "Emine Esra Karaca",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Emine Esra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karaca",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the impact of high versus low fluidics settings during phacoemulsification on intraoperative fluid usage, corneal thickness, and endothelial cell density (ECD) in eyes with pseudoexfoliation syndrome (PEX), where surgery is often challenging.",
        "Setting": "Ankara Bilkent City Hospital, Department of Ophthalmology",
        "Methods": "Eighty eyes of 80 patients with PEX undergoing uneventful phacoemulsification using an active fluidics system were analyzed. Eyes were divided into high fluidics (H, n = 40) and low fluidics (L, n = 40) groups according to intraoperative settings. During phacoemulsification and cortical removal, fluidics parameters were maintained according to group assignment. Primary outcome was total intraoperative fluid usage. Secondary outcomes included central corneal thickness (CCT) change and ECD loss at one month postoperatively.",
        "Results": "Mean age was comparable between the high and low fluidics groups (74.4 ± 5.8 vs 72.9 ± 5.7 years; p = 0.66). Baseline endothelial cell density was similar between groups (2352 ± 364 vs 2386 ± 449 cells/mm²; p = 0.71). Despite the higher fluid demands characteristic of PEX eyes, total intraoperative fluid usage was lower with low fluidics settings (78.7 ± 26.3 mL vs 85.9 ± 42.9 mL; p = 0.36).CDE showed a non-significant trend toward lower values in the high fluidics group (11.28 ± 7.93 vs 14.47 ± 9.36; p = 0.10). Corneal thickness changes were minimal and comparable between groups at one week (p = 0.55) and one month (p = 0.92). At one month, endothelial cell loss was lower in the low fluidics group (4.20% vs 6.89%; p = 0.44).",
        "Conclusions": "Low fluidics phacoemulsification in PEX achieved lower intraoperative fluid usage with favorable endothelial outcomes while maintaining corneal stability. Despite the inherent surgical challenges and increased fluid demands of pseudoexfoliation eyes, low fluidics settings provided stable and efficient intraoperative conditions, supporting their use even in challenging cases. These findings position low fluidics as a practical strategy to reduce intraoperative stress and optimize corneal preservation in pseudoexfoliation and other demanding cataract surgeries"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 325
    },
    {
      "uid": "PP09.11",
      "abstract_number": "PP09.11",
      "title": "Clinical Outcomes Of Combined Artificial Iris–Iol Complex Implantation In Aniridia And In Vitro Evaluation Of Pigment Stability In Dark-Iris Asian Eyes",
      "authors": "Prof. Dr Kyung-Sun Na",
      "presenter": "Prof. Dr Kyung-Sun Na",
      "normalized_authors": [
        "Kyung-Sun Na"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kyung-Sun Na",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate clinical outcomes of combined artificial iris–intraocular lens (IOL) complex implantation in aniridia and to investigate pigment stability of the prosthesis under simulated intraocular conditions relevant to dark-brown Asian eyes.",
        "Setting": "Tertiary referral center, Republic of Korea.",
        "Methods": "This retrospective case series included 8 eyes of 8 patients with congenital or traumatic aniridia who underwent implantation of a custom-made fiber-containing artificial iris (ArtificialIris®, HumanOptics AG, Erlangen, Germany). The IOL was mounted onto the artificial iris and implanted as a single scleral-fixated complex. Primary outcome measures included corrected distance visual acuity (CDVA, logMAR), subjective photophobia improvement, cosmetic satisfaction, intraocular pressure (IOP), and postoperative complications. Artificial iris samples were immersed in balanced salt solution at 37°C under continuous agitation. The surrounding solution was analyzed using spectrophotometry and light microscopy to detect pigment dispersion.",
        "Results": "Mean CDVA improved from logMAR 1.0 preoperatively to logMAR 0.7 postoperatively. Most patients reported reduction in photophobia and high cosmetic satisfaction. One eye developed corneal endothelial decompensation during follow-up. One patient experienced difficult IOP control requiring intensified medical therapy. No clinically evident pigment dispersion, chronic inflammation, or secondary glaucoma attributable to the prosthesis was observed, including in eyes with dark-brown irides. In vitro analysis demonstrated no detectable pigment release under simulated intraocular conditions.",
        "Conclusions": "Combined artificial iris–IOL implantation provided functional and cosmetic improvement in aniridia patients. Although endothelial and IOP-related complications may occur, no evidence of pigment instability was identified clinically or in vitro, even in darkly pigmented Asian eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined artificial iris–IOL implantation provided functional and cosmetic improvement in aniridia patients. Although endothelial and IOP-related complications may occur, no evidence of pigment instability was identified clinically or in vitro, even in darkly pigmented Asian eyes.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 142,
      "source_fields": {
        "Abstract Final Identifier": "PP09.11",
        "Title": "Clinical Outcomes Of Combined Artificial Iris–Iol Complex Implantation In Aniridia And In Vitro Evaluation Of Pigment Stability In Dark-Iris Asian Eyes",
        "Presenting Author(s)": "Prof. Dr Kyung-Sun Na",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Kyung-Sun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Na",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate clinical outcomes of combined artificial iris–intraocular lens (IOL) complex implantation in aniridia and to investigate pigment stability of the prosthesis under simulated intraocular conditions relevant to dark-brown Asian eyes.",
        "Setting": "Tertiary referral center, Republic of Korea.",
        "Methods": "This retrospective case series included 8 eyes of 8 patients with congenital or traumatic aniridia who underwent implantation of a custom-made fiber-containing artificial iris (ArtificialIris®, HumanOptics AG, Erlangen, Germany). The IOL was mounted onto the artificial iris and implanted as a single scleral-fixated complex. Primary outcome measures included corrected distance visual acuity (CDVA, logMAR), subjective photophobia improvement, cosmetic satisfaction, intraocular pressure (IOP), and postoperative complications. Artificial iris samples were immersed in balanced salt solution at 37°C under continuous agitation. The surrounding solution was analyzed using spectrophotometry and light microscopy to detect pigment dispersion.",
        "Results": "Mean CDVA improved from logMAR 1.0 preoperatively to logMAR 0.7 postoperatively. Most patients reported reduction in photophobia and high cosmetic satisfaction. One eye developed corneal endothelial decompensation during follow-up. One patient experienced difficult IOP control requiring intensified medical therapy. No clinically evident pigment dispersion, chronic inflammation, or secondary glaucoma attributable to the prosthesis was observed, including in eyes with dark-brown irides. In vitro analysis demonstrated no detectable pigment release under simulated intraocular conditions.",
        "Conclusions": "Combined artificial iris–IOL implantation provided functional and cosmetic improvement in aniridia patients. Although endothelial and IOP-related complications may occur, no evidence of pigment instability was identified clinically or in vitro, even in darkly pigmented Asian eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 244
    },
    {
      "uid": "PP09.12",
      "abstract_number": "PP09.12",
      "title": "Long Term Results Of Punchorhexis In White Intumescent Cataract",
      "authors": "Prof. Dr Mohan Rajan",
      "presenter": "Prof. Dr Mohan Rajan",
      "normalized_authors": [
        "Mohan Rajan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohan Rajan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To prevent argentina flag sign in white intumescent cataracts",
        "Setting": "Rajan Eye Care Hospital Pvt Ltd, Chennai",
        "Methods": "510 eyes of 510 patients with white intumescent cataract were taken up for this study. Trephine blue was used to stain the anterior capsule. The punchorhexis was done using a straight 15 degree phaco tip bevel down using 40% phaco power, 350-400mm Hg vacuum on the stellaris phaco machine. Once a punch was made the rhexis was completed either with the phaco needle itself (phaco rhexis) or with uttrata forceps.",
        "Results": "In all eyes except 2 eyes the punchorhexis was successful.",
        "Conclusions": "Punchorhexis is an effective method of achieving good rhexis in white intumescent cataract there by preventing argentina flag sign."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Punchorhexis is an effective method of achieving good rhexis in white intumescent cataract there by preventing argentina flag sign.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery techniques and instrumentation",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 143,
      "source_fields": {
        "Abstract Final Identifier": "PP09.12",
        "Title": "Long Term Results Of Punchorhexis In White Intumescent Cataract",
        "Presenting Author(s)": "Prof. Dr Mohan Rajan",
        "Abstract Topic Name": "Cataract surgery techniques and instrumentation",
        "Submitter First Name": "Mohan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rajan",
        "Country Name": "India",
        "Purpose": "To prevent argentina flag sign in white intumescent cataracts",
        "Setting": "Rajan Eye Care Hospital Pvt Ltd, Chennai",
        "Methods": "510 eyes of 510 patients with white intumescent cataract were taken up for this study. Trephine blue was used to stain the anterior capsule. The punchorhexis was done using a straight 15 degree phaco tip bevel down using 40% phaco power, 350-400mm Hg vacuum on the stellaris phaco machine. Once a punch was made the rhexis was completed either with the phaco needle itself (phaco rhexis) or with uttrata forceps.",
        "Results": "In all eyes except 2 eyes the punchorhexis was successful.",
        "Conclusions": "Punchorhexis is an effective method of achieving good rhexis in white intumescent cataract there by preventing argentina flag sign."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 115
    },
    {
      "uid": "PP10.01",
      "abstract_number": "PP10.01",
      "title": "Randomized Clinical Trial Comparing Smartsight Versus Femtosecond Lasik In Myopia And Myopic Astigmatism",
      "authors": "Dr Nicolás Kahuam-López",
      "presenter": "Dr Nicolás Kahuam-López",
      "normalized_authors": [
        "Nicolás Kahuam-López"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nicolás Kahuam López",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To compare the safety, efficacy, and refractive predictability of SmartSight versus FS-LASIK for the treatment of myopia and myopic astigmatism. This randomized clinical trial is registered at ClinicalTrials.gov (NCT06477081).",
        "Setting": "Cornea and Refractive Surgery Department, Instituto de Oftalmología Conde de Valenciana, Mexico City, Mexico.",
        "Methods": "In this ongoing randomized clinical trial, participants were allocated to SmartSight or FS-LASIK. Postoperative evaluations were performed at day 1, week 1, and months 1, 3, 6, and 12. The primary outcome was uncorrected distance visual acuity (UDVA). Secondary outcomes included spherical equivalent (SE), corrected distance visual acuity (CDVA), loss of ≥2 lines of CDVA, proportion of eyes within ±0.50 D of target refraction, dry eye symptoms, and adverse events.",
        "Results": "A total of 142 eyes were randomized (SmartSight, n=74; FS-LASIK, n=68). Mean age was 28.0 ± 4.8 and 29.4 ± 6.3 years, respectively. Both groups were comparable at baseline, with no significant differences in preoperative UCVA (logMAR 1.04 ± 0.39 vs 0.97 ± 0.38), BCVA, sphere, cylinder, spherical equivalent (–3.81 ± 1.36 vs –3.76 ± 1.66 D), OSDI score, or higher-order aberrations (all p>0.05).\n\nAt postoperative day 1, week 1, and months 1, 3, and 6, no statistically significant differences were observed in visual outcomes between groups (all p>0.05). At 6 months, 93% of eyes in the SmartSight group and 96% in the FS-LASIK group achieved UCVA of 20/20. Additionally, 93% and 96% of eyes, respectively, were within ±0.50 D of the intended SE.",
        "Conclusions": "SmartSight demonstrated visual, refractive, and safety outcomes comparable to FS-LASIK for the correction of myopia and myopic astigmatism. Both techniques showed high efficacy and predictability at 6 months. Further long-term follow-up is warranted to confirm refractive stability and safety over time."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SmartSight demonstrated visual, refractive, and safety outcomes comparable to FS-LASIK for the correction of myopia and myopic astigmatism. Both techniques showed high efficacy and predictability at 6 months. Further long-term follow-up is warranted to confirm refractive stability and safety over time.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 144,
      "source_fields": {
        "Abstract Final Identifier": "PP10.01",
        "Title": "Randomized Clinical Trial Comparing Smartsight Versus Femtosecond Lasik In Myopia And Myopic Astigmatism",
        "Presenting Author(s)": "Dr Nicolás Kahuam-López",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Nicolás",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kahuam López",
        "Country Name": "Mexico",
        "Purpose": "To compare the safety, efficacy, and refractive predictability of SmartSight versus FS-LASIK for the treatment of myopia and myopic astigmatism. This randomized clinical trial is registered at ClinicalTrials.gov (NCT06477081).",
        "Setting": "Cornea and Refractive Surgery Department, Instituto de Oftalmología Conde de Valenciana, Mexico City, Mexico.",
        "Methods": "In this ongoing randomized clinical trial, participants were allocated to SmartSight or FS-LASIK. Postoperative evaluations were performed at day 1, week 1, and months 1, 3, 6, and 12. The primary outcome was uncorrected distance visual acuity (UDVA). Secondary outcomes included spherical equivalent (SE), corrected distance visual acuity (CDVA), loss of ≥2 lines of CDVA, proportion of eyes within ±0.50 D of target refraction, dry eye symptoms, and adverse events.",
        "Results": "A total of 142 eyes were randomized (SmartSight, n=74; FS-LASIK, n=68). Mean age was 28.0 ± 4.8 and 29.4 ± 6.3 years, respectively. Both groups were comparable at baseline, with no significant differences in preoperative UCVA (logMAR 1.04 ± 0.39 vs 0.97 ± 0.38), BCVA, sphere, cylinder, spherical equivalent (–3.81 ± 1.36 vs –3.76 ± 1.66 D), OSDI score, or higher-order aberrations (all p>0.05).\n\nAt postoperative day 1, week 1, and months 1, 3, and 6, no statistically significant differences were observed in visual outcomes between groups (all p>0.05). At 6 months, 93% of eyes in the SmartSight group and 96% in the FS-LASIK group achieved UCVA of 20/20. Additionally, 93% and 96% of eyes, respectively, were within ±0.50 D of the intended SE.",
        "Conclusions": "SmartSight demonstrated visual, refractive, and safety outcomes comparable to FS-LASIK for the correction of myopia and myopic astigmatism. Both techniques showed high efficacy and predictability at 6 months. Further long-term follow-up is warranted to confirm refractive stability and safety over time."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "PP10.017",
      "abstract_number": "PP10.017",
      "title": "Ray-Tracing-Guided Lasik For Moderate-To-High Myopia: Clinical And Patient-Reported Outcomes",
      "authors": "Dr Yimeng Fan",
      "presenter": "Dr Yimeng Fan",
      "normalized_authors": [
        "Yimeng Fan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yimeng Fan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the outcomes of ray-tracing-guided laser-assisted in situ keratomileusis (LASIK) for moderate-to-high myopia with astigmatism, focusing on objective visual quality and subjective patient satisfaction.",
        "Setting": "This study was conducted at the Department of Ophthalmology in the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China",
        "Methods": "A total of 84 patients (165 eyes) with a spherical equivalent (SE) of -3.00 diopters (D) or higher were included. All patients underwent ray-tracing-guided LASIK, which involved creating an individualized 3D eye model based on InnovEyes Sightmap-meaured wavefront, tomography, and biometry data to calculate a customized ablation profile . Evaluations at 3 months postoperatively included uncorrected (UDVA) and corrected (CDVA) distance visual acuity, manifest refraction, higher-order aberrations (HOAs), Optical Quality Analysis System (OQAS) parameters, and the National Eye Institute Refractive Error Quality of Life (NEI-RQL) questionnaire. Patient feedback and satisfaction were also recorded.",
        "Results": "At the 3-month follow-up, 100% of the treated eyes achieved an UDVA of 20/20 or better. The mean refractive spherical equivalent (MRSE) was 0.15 ± 0.20 D, with 96% of eyes within ±0.50 D of the target refraction . While total HOAs showed a slight, statistically significant increase (0.09 ± 0.14 µm, p < 0.001), spherical aberration remained unchanged (p = 0.225). OQAS parameters, including the MTF cutoff, Strehl ratio, and ocular scatter index, demonstrated no significant changes, indicating stable optical quality . Subjectively, 98.7% of patients reported satisfaction with the outcomes, 94.8% stated they would recommend the surgery, and high rates of clear vision at various distances were recorded via the NEI-RQL questionnaire.",
        "Conclusions": "Ray-tracing-guided LASIK is safe, effective, and predictable for correcting moderate-to-high myopia with astigmatism. The personalized ablation profile, based on whole-eye wavefront modeling, effectively controlled the induction of spherical aberration and maintained stable visual quality. Despite the observation of mild overcorrection and vertical coma changes, the objective visual quality metrics remained satisfactory, and patients reported high levels of subjective visual quality and overall satisfaction with the procedure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ray-tracing-guided LASIK is safe, effective, and predictable for correcting moderate-to-high myopia with astigmatism. The personalized ablation profile, based on whole-eye wavefront modeling, effectively controlled the induction of spherical aberration and maintained stable visual quality. Despite the observation of mild overcorrection and vertical coma changes, the objective visual quality metrics remained…",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 145,
      "source_fields": {
        "Abstract Final Identifier": "PP10.017",
        "Title": "Ray-Tracing-Guided Lasik For Moderate-To-High Myopia: Clinical And Patient-Reported Outcomes",
        "Presenting Author(s)": "Dr Yimeng Fan",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Yimeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fan",
        "Country Name": "China",
        "Purpose": "To evaluate the outcomes of ray-tracing-guided laser-assisted in situ keratomileusis (LASIK) for moderate-to-high myopia with astigmatism, focusing on objective visual quality and subjective patient satisfaction.",
        "Setting": "This study was conducted at the Department of Ophthalmology in the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China",
        "Methods": "A total of 84 patients (165 eyes) with a spherical equivalent (SE) of -3.00 diopters (D) or higher were included. All patients underwent ray-tracing-guided LASIK, which involved creating an individualized 3D eye model based on InnovEyes Sightmap-meaured wavefront, tomography, and biometry data to calculate a customized ablation profile . Evaluations at 3 months postoperatively included uncorrected (UDVA) and corrected (CDVA) distance visual acuity, manifest refraction, higher-order aberrations (HOAs), Optical Quality Analysis System (OQAS) parameters, and the National Eye Institute Refractive Error Quality of Life (NEI-RQL) questionnaire. Patient feedback and satisfaction were also recorded.",
        "Results": "At the 3-month follow-up, 100% of the treated eyes achieved an UDVA of 20/20 or better. The mean refractive spherical equivalent (MRSE) was 0.15 ± 0.20 D, with 96% of eyes within ±0.50 D of the target refraction . While total HOAs showed a slight, statistically significant increase (0.09 ± 0.14 µm, p < 0.001), spherical aberration remained unchanged (p = 0.225). OQAS parameters, including the MTF cutoff, Strehl ratio, and ocular scatter index, demonstrated no significant changes, indicating stable optical quality . Subjectively, 98.7% of patients reported satisfaction with the outcomes, 94.8% stated they would recommend the surgery, and high rates of clear vision at various distances were recorded via the NEI-RQL questionnaire.",
        "Conclusions": "Ray-tracing-guided LASIK is safe, effective, and predictable for correcting moderate-to-high myopia with astigmatism. The personalized ablation profile, based on whole-eye wavefront modeling, effectively controlled the induction of spherical aberration and maintained stable visual quality. Despite the observation of mild overcorrection and vertical coma changes, the objective visual quality metrics remained satisfactory, and patients reported high levels of subjective visual quality and overall satisfaction with the procedure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "PP10.018",
      "abstract_number": "PP10.018",
      "title": "Visual Symptoms And Binocular Involvement In Corneal Refractive Surgery",
      "authors": "Mr Antonio Martínez-Abad",
      "presenter": "Mr Antonio Martínez-Abad",
      "normalized_authors": [
        "Antonio Martínez-Abad"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonio Martínez-Abad",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The aim of this study was to evaluate the binocular function and the visual symptomatology before and after corneal refractive surgery.",
        "Setting": "1. Vissum Grupo Miranza, Alicante, Spain; 2. Grupo de Investigación en Optometría (GIOptom), Universidad de Alicante, Alicante, Spain; 3. Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain",
        "Methods": "This is a prospective and longitudinal study involving patients who underwent a bilateral corneal refractive surgery by LASIK and SMILE. It was composed of 54 patients aged 18 to 52 years who undergone the standard ocular examination preoperatively and 1 month postoperatively, as well as the assessment of visual symptomatology using the Symptom Questionnaire for Visual Disfunction (SQVD), and the evaluation of the binocular function by the Alternate Prism Cover Test (APCT), Near Point of Convergence (NPC) and stereopsis in both visits. A comparison between the preoperative and postoperative variables was performed by Wilcoxon signed rank test considering a significance level of 0.05.",
        "Results": "The visual results after the operation were suitable, observing a significative improvement in the binocular uncorrected visual acuity as was expected, but also in the binocular corrected visual acuity (p< 0.001), reaching an efficacy and security indices of 1.06 and 1.07, respectively. Regarding the binocular results a significative decrease in the near heterophoria was observed after the operation (-1.60±2.23 prism diopters (pd) preoperative vs. –2.53±3.15 dp postoperative, p: 0.035), not founding differences in the far heterophoria, NPC and stereopsis (p> 0.05). The visual symptoms improved after the operation presenting a mean score of 23.39 at the preoperative status and of 17.38 at the postoperative status (p: 0.017).",
        "Conclusions": "This study indicates that corneal refractive surgery may produce an improvement of the near heterophoria and the visual symptoms, not affecting the rest of parameters involved in the binocular function. It would require confirming these results by increasing the sample size, dividing the analysis according to the surgical technique and enlarging the follow-up period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study indicates that corneal refractive surgery may produce an improvement of the near heterophoria and the visual symptoms, not affecting the rest of parameters involved in the binocular function. It would require confirming these results by increasing the sample size, dividing the analysis according to the surgical technique and enlarging the follow-up period.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 146,
      "source_fields": {
        "Abstract Final Identifier": "PP10.018",
        "Title": "Visual Symptoms And Binocular Involvement In Corneal Refractive Surgery",
        "Presenting Author(s)": "Mr Antonio Martínez-Abad",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Antonio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Martínez-Abad",
        "Country Name": "Spain",
        "Purpose": "The aim of this study was to evaluate the binocular function and the visual symptomatology before and after corneal refractive surgery.",
        "Setting": "1. Vissum Grupo Miranza, Alicante, Spain; 2. Grupo de Investigación en Optometría (GIOptom), Universidad de Alicante, Alicante, Spain; 3. Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain",
        "Methods": "This is a prospective and longitudinal study involving patients who underwent a bilateral corneal refractive surgery by LASIK and SMILE. It was composed of 54 patients aged 18 to 52 years who undergone the standard ocular examination preoperatively and 1 month postoperatively, as well as the assessment of visual symptomatology using the Symptom Questionnaire for Visual Disfunction (SQVD), and the evaluation of the binocular function by the Alternate Prism Cover Test (APCT), Near Point of Convergence (NPC) and stereopsis in both visits. A comparison between the preoperative and postoperative variables was performed by Wilcoxon signed rank test considering a significance level of 0.05.",
        "Results": "The visual results after the operation were suitable, observing a significative improvement in the binocular uncorrected visual acuity as was expected, but also in the binocular corrected visual acuity (p< 0.001), reaching an efficacy and security indices of 1.06 and 1.07, respectively. Regarding the binocular results a significative decrease in the near heterophoria was observed after the operation (-1.60±2.23 prism diopters (pd) preoperative vs. –2.53±3.15 dp postoperative, p: 0.035), not founding differences in the far heterophoria, NPC and stereopsis (p> 0.05). The visual symptoms improved after the operation presenting a mean score of 23.39 at the preoperative status and of 17.38 at the postoperative status (p: 0.017).",
        "Conclusions": "This study indicates that corneal refractive surgery may produce an improvement of the near heterophoria and the visual symptoms, not affecting the rest of parameters involved in the binocular function. It would require confirming these results by increasing the sample size, dividing the analysis according to the surgical technique and enlarging the follow-up period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "PP10.02",
      "abstract_number": "PP10.02",
      "title": "Hyperopic Lasik: Outcomes Across Low, Intermediate And High Astigmatism",
      "authors": "Dr Waseem Nasser",
      "presenter": "Dr Waseem Nasser",
      "normalized_authors": [
        "Waseem Nasser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Waseem Nasser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To compare visual, refractive, and astigmatic vector outcomes of hyperopic LASIK among eyes with low, intermediate and high preoperative astigmatism.",
        "Setting": "Retrospective matched comparative study, Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective matched comparative study included patients aged 17 to 60 years who underwent hyperopic LASIK between 2013 and 2022 at Care Vision Laser Centers. Eyes were stratified by preoperative subjective cylinder magnitude as low (<1.00 D), intermediate (1.00–<3.00 D), or high (≥3.00 D). A 1:1:1 matching was performed for age, sex, year of surgery and preoperative subjective SEQ, yielding 46 eyes per group. Preoperative, intraoperative, and postoperative visual and refractive parameters were compared between the groups, using one-way ANOVA for continuous variables and chi-square for categorical variables. Astigmatic outcomes were assessed using Alpins vector analysis.",
        "Results": "Postoperative UCVA was 0.04±0.05, 0.06±0.10, and 0.15±0.11 logMAR (P<0.05), BCVA was 0.03±0.05, 0.05±0.09, and 0.11±0.09 (P<0.05) in the low, intermediate and high groups, respectively. SEQ was similar (0.00±0.69, −0.15±0.68, −0.12±0.65 D; P=0.55), residual cylinder increased across groups (−0.38±0.34, −0.61±0.55, and −0.88±0.57 D; P<0.05). Alpins vector analysis showed increasing TIA (0.57±0.19, 1.66±0.53, and 3.62±0.64 D; P<0.05), SIA of 0.70±0.36, 1.59±0.71, and 3.10±0.83 D (P<0.05) and DV of 0.53±0.29, 0.66±0.37, and 0.96±0.55 D (P<0.05). Correction index decreased (1.32±0.93, 0.97±0.31, and 0.85±0.16; P<0.05), and flattening index differed (1.14±0.85, 0.90±0.33, and 0.80±0.30; P<0.05). Safety & efficacy indices remained high (P>0.05).",
        "Conclusions": "Across the low, intermediate, and high astigmatism groups, hyperopic LASIK achieved similar postoperative spherical equivalent, with comparable safety and efficacy indices. Increasing preoperative astigmatism was associated with greater residual postoperative cylinder and higher difference vector, along with a lower correction index."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Across the low, intermediate, and high astigmatism groups, hyperopic LASIK achieved similar postoperative spherical equivalent, with comparable safety and efficacy indices. Increasing preoperative astigmatism was associated with greater residual postoperative cylinder and higher difference vector, along with a lower correction index.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 147,
      "source_fields": {
        "Abstract Final Identifier": "PP10.02",
        "Title": "Hyperopic Lasik: Outcomes Across Low, Intermediate And High Astigmatism",
        "Presenting Author(s)": "Dr Waseem Nasser",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Waseem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nasser",
        "Country Name": "Israel",
        "Purpose": "To compare visual, refractive, and astigmatic vector outcomes of hyperopic LASIK among eyes with low, intermediate and high preoperative astigmatism.",
        "Setting": "Retrospective matched comparative study, Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective matched comparative study included patients aged 17 to 60 years who underwent hyperopic LASIK between 2013 and 2022 at Care Vision Laser Centers. Eyes were stratified by preoperative subjective cylinder magnitude as low (<1.00 D), intermediate (1.00–<3.00 D), or high (≥3.00 D). A 1:1:1 matching was performed for age, sex, year of surgery and preoperative subjective SEQ, yielding 46 eyes per group. Preoperative, intraoperative, and postoperative visual and refractive parameters were compared between the groups, using one-way ANOVA for continuous variables and chi-square for categorical variables. Astigmatic outcomes were assessed using Alpins vector analysis.",
        "Results": "Postoperative UCVA was 0.04±0.05, 0.06±0.10, and 0.15±0.11 logMAR (P<0.05), BCVA was 0.03±0.05, 0.05±0.09, and 0.11±0.09 (P<0.05) in the low, intermediate and high groups, respectively. SEQ was similar (0.00±0.69, −0.15±0.68, −0.12±0.65 D; P=0.55), residual cylinder increased across groups (−0.38±0.34, −0.61±0.55, and −0.88±0.57 D; P<0.05). Alpins vector analysis showed increasing TIA (0.57±0.19, 1.66±0.53, and 3.62±0.64 D; P<0.05), SIA of 0.70±0.36, 1.59±0.71, and 3.10±0.83 D (P<0.05) and DV of 0.53±0.29, 0.66±0.37, and 0.96±0.55 D (P<0.05). Correction index decreased (1.32±0.93, 0.97±0.31, and 0.85±0.16; P<0.05), and flattening index differed (1.14±0.85, 0.90±0.33, and 0.80±0.30; P<0.05). Safety & efficacy indices remained high (P>0.05).",
        "Conclusions": "Across the low, intermediate, and high astigmatism groups, hyperopic LASIK achieved similar postoperative spherical equivalent, with comparable safety and efficacy indices. Increasing preoperative astigmatism was associated with greater residual postoperative cylinder and higher difference vector, along with a lower correction index."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "PP10.03",
      "abstract_number": "PP10.03",
      "title": "A Study Of Corneal Posterior Surface Elevation And Biomechanical Changes After Smile And Fs-Lasik In High Pta Patients: A Long-Term Observation",
      "authors": "Dr Yan Gao",
      "presenter": "Dr Yan Gao",
      "normalized_authors": [
        "Yan Gao"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yan Gao",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare the differences in corneal posterior surface elevation and biomechanical changes two years after surgery between SMILE and FS-LASIK in high myopia patients with PTA ≥ 40%.",
        "Setting": "This prospective cohort study was conducted at the Refractive Surgery Center of Shanxi Eye Hospital, Taiyuan, China, from June to December 2023. Approved by the hospital’s Ethics Committee, all participants signed consent per the Declaration of Helsinki. Eligible patients were high myopes (-6.00 to -9.00 D SE, PTA ≥40%), SMILE and FS-LASIK were performed by experienced surgeons. Preoperative and 2-year postoperative corneal posterior elevation and biomechanical parameters were measured.",
        "Methods": "A prospective cohort study. The right eye data of of 58 patients who underwent refractive surgery were included for statistical analysis. The patients were divided into the SMILE group (29 eyes) and the FS-LASIK group (29 eyes) based on the surgical method. Preoperative SE was -6.00 D to -9.00 D. Using Pentacam and Corvis ST, corneal posterior surface elevation , including posterior central elevation, posterior elevation at the thinnest point , posterior maximum elevation, the mean posterior elevation in the central 2, 4, 6-mm area (MPE-2, 4, 6 mm) and biomechanical parameters (SP-A1, DA, IR, ARTH) were measured preoperatively and two years postoperatively. Change values for each parameter (Δ=postoperative - preoperative) were calculated.",
        "Results": "Baseline data of the two groups were matched preoperatively. Two years postoperatively, UCVA significantly improved in both groups. In the FS-LASIK group, MPE-2 mm decreased, while MPE-4,6 mm increased. PCE, PME and PTE all decreased. SP-A and ARTH decreased, DA and IR increased, all with statistical significance. In the SMILE group, except for MPE-2 mm and PCE, which had no statistically significant changes, the changing trends of the other values were the same as those in the FS-LASIK group. There were no statistical differences in ΔSP-A1, ΔDA, ΔIR, ΔARTH, ΔMPE-4, ΔMPE-6, ΔPTE, ΔPCE, ΔPME between the two groups (all P > 0.05). There were statistical differences in cutting depth, ΔMPE-2, and ΔPCE between the SMILE and FS-LASIK ( P < 0.05).",
        "Conclusions": "Two years postoperatively, the uncorrected visual acuity of both groups showed significant improvement. For correcting high myopia with PTA ≥ 40%, SMILE and FS-LASIK show similar changes (Δ values) in the main corneal biomechanical parameters (SP-A1, DA, IR, ARTH) and most corneal posterior surface elevation parameters (except for MPE-2, PCE) two years after surgery. However, the SMILE technique demonstrates smaller changes in the corneal posterior surface elevation under deeper cutting, suggesting a potential advantage in maintaining the morphological stability of the corneal central area."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Two years postoperatively, the uncorrected visual acuity of both groups showed significant improvement. For correcting high myopia with PTA ≥ 40%, SMILE and FS-LASIK show similar changes (Δ values) in the main corneal biomechanical parameters (SP-A1, DA, IR, ARTH) and most corneal posterior surface elevation parameters (except for MPE-2, PCE) two years after surgery. However, the SMILE technique demonstrates…",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 148,
      "source_fields": {
        "Abstract Final Identifier": "PP10.03",
        "Title": "A Study Of Corneal Posterior Surface Elevation And Biomechanical Changes After Smile And Fs-Lasik In High Pta Patients: A Long-Term Observation",
        "Presenting Author(s)": "Dr Yan Gao",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Yan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gao",
        "Country Name": "China",
        "Purpose": "To compare the differences in corneal posterior surface elevation and biomechanical changes two years after surgery between SMILE and FS-LASIK in high myopia patients with PTA ≥ 40%.",
        "Setting": "This prospective cohort study was conducted at the Refractive Surgery Center of Shanxi Eye Hospital, Taiyuan, China, from June to December 2023. Approved by the hospital’s Ethics Committee, all participants signed consent per the Declaration of Helsinki. Eligible patients were high myopes (-6.00 to -9.00 D SE, PTA ≥40%), SMILE and FS-LASIK were performed by experienced surgeons. Preoperative and 2-year postoperative corneal posterior elevation and biomechanical parameters were measured.",
        "Methods": "A prospective cohort study. The right eye data of of 58 patients who underwent refractive surgery were included for statistical analysis. The patients were divided into the SMILE group (29 eyes) and the FS-LASIK group (29 eyes) based on the surgical method. Preoperative SE was -6.00 D to -9.00 D. Using Pentacam and Corvis ST, corneal posterior surface elevation , including posterior central elevation, posterior elevation at the thinnest point , posterior maximum elevation, the mean posterior elevation in the central 2, 4, 6-mm area (MPE-2, 4, 6 mm) and biomechanical parameters (SP-A1, DA, IR, ARTH) were measured preoperatively and two years postoperatively. Change values for each parameter (Δ=postoperative - preoperative) were calculated.",
        "Results": "Baseline data of the two groups were matched preoperatively. Two years postoperatively, UCVA significantly improved in both groups. In the FS-LASIK group, MPE-2 mm decreased, while MPE-4,6 mm increased. PCE, PME and PTE all decreased. SP-A and ARTH decreased, DA and IR increased, all with statistical significance. In the SMILE group, except for MPE-2 mm and PCE, which had no statistically significant changes, the changing trends of the other values were the same as those in the FS-LASIK group. There were no statistical differences in ΔSP-A1, ΔDA, ΔIR, ΔARTH, ΔMPE-4, ΔMPE-6, ΔPTE, ΔPCE, ΔPME between the two groups (all P > 0.05). There were statistical differences in cutting depth, ΔMPE-2, and ΔPCE between the SMILE and FS-LASIK ( P < 0.05).",
        "Conclusions": "Two years postoperatively, the uncorrected visual acuity of both groups showed significant improvement. For correcting high myopia with PTA ≥ 40%, SMILE and FS-LASIK show similar changes (Δ values) in the main corneal biomechanical parameters (SP-A1, DA, IR, ARTH) and most corneal posterior surface elevation parameters (except for MPE-2, PCE) two years after surgery. However, the SMILE technique demonstrates smaller changes in the corneal posterior surface elevation under deeper cutting, suggesting a potential advantage in maintaining the morphological stability of the corneal central area."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 415
    },
    {
      "uid": "PP10.04",
      "abstract_number": "PP10.04",
      "title": "A Primary Clinical Observation Of Ray Tracing-Guided Fs-Lasik For Myopia And Astigmatism In Patients Aged Over 40 Versus Laser Blended Vision",
      "authors": "Prof. Fengju Zhang",
      "presenter": "Prof. Fengju Zhang",
      "normalized_authors": [
        "Fengju Zhang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fengju Zhang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate the early efficacy, safety, predictability, subjective and objective visual quality in patients aged over 40 undergoing ray tracing-guided femtosecond laser-assisted in situ keratomileusis (RG FS-LASIK) for myopia and astigmatism, and to compare with those receiving laser blended vision (LBV) surgery.",
        "Setting": "This prospective observational case series included 26 patients (52 eyes; 9 males, 17 females) with a mean age of 44.23±3.88 (40 to 53) years receiving RG FS-LASIK for myopia and astigmatism at Beijing Aier-Intech Eye Hospital between January 2025 and January 2026. Preoperative mean spherical equivalent (SE) and cylinder were –4.58±2.03D and –1.01±1.02D, respectively. For comparison, data from 26 patients matched by age, gender, and refraction who received LBV were retrospectively collected.",
        "Methods": "All patients underwent preoperative examinations, including repeated confirmation of the dominant eye and tolerance test. Postoperative assessments at 1 week, 1 month, and 3 months were analyzed. Monocular and binocular uncorrected distance and near visual acuity (UDVA and UNVA), corrected distance visual acuity (CDVA), and manifest refraction were measured. Defocus curves from –3.50 to +1.00D (0.50D increments) were obtained under photopic conditions. Whole-eye aberrations including primary spherical aberration (SA, Z 4 0 ), root mean square of total higher-order aberrations, coma, and trefoil were measured using OPD-SCAN III (Nidek Inc, Tokyo, Japan) with a 6-mm pupil. Patients were inquired about satisfaction with visual outcomes.",
        "Results": "At 3 months after RG FS-LASIK, all patients achieved a binocular UDVA of 20/20, with 84% reaching 20/16, and 63% reached binocular UNVA of J1. None of the eyes lost lines of CDVA. Predictability was high (SE attempted vs achieved: R²=0.9896). Non-dominant-eye UNVA improved from 1 week to 3 months ( P =0.012). 3-month defocus curve showed binocular vision better than 20/25 from –2.00 to 0.00D. All patients were satisfied with their visual performance. In comparison, both binocular UDVA >20/20 and UNVA J1 were achieved by 56.0% (RG FS-LASIK) and 54.3% (LBV); UNVA J4 was achieved by 100% in both groups. Primary SA and trefoil decreased after RG FS-LASIK, but increased after LBV, yet a statistical difference was only shown for trefoil ( P =0.002).",
        "Conclusions": "This clinical attempt of RG FS-LASIK in patients aged over 40 demonstrated favorable efficacy, safety, and predictability compared to LBV. The enhanced distance and intermediate vision, along with a reduced primary SA indicated its advantages, particularly in patients with high myopia and astigmatism. In the future, long-term clinical observations can be conducted to verify its application value."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This clinical attempt of RG FS-LASIK in patients aged over 40 demonstrated favorable efficacy, safety, and predictability compared to LBV. The enhanced distance and intermediate vision, along with a reduced primary SA indicated its advantages, particularly in patients with high myopia and astigmatism. In the future, long-term clinical observations can be conducted to verify its application value.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 149,
      "source_fields": {
        "Abstract Final Identifier": "PP10.04",
        "Title": "A Primary Clinical Observation Of Ray Tracing-Guided Fs-Lasik For Myopia And Astigmatism In Patients Aged Over 40 Versus Laser Blended Vision",
        "Presenting Author(s)": "Prof. Fengju Zhang",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Fengju",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zhang",
        "Country Name": "China",
        "Purpose": "To evaluate the early efficacy, safety, predictability, subjective and objective visual quality in patients aged over 40 undergoing ray tracing-guided femtosecond laser-assisted in situ keratomileusis (RG FS-LASIK) for myopia and astigmatism, and to compare with those receiving laser blended vision (LBV) surgery.",
        "Setting": "This prospective observational case series included 26 patients (52 eyes; 9 males, 17 females) with a mean age of 44.23±3.88 (40 to 53) years receiving RG FS-LASIK for myopia and astigmatism at Beijing Aier-Intech Eye Hospital between January 2025 and January 2026. Preoperative mean spherical equivalent (SE) and cylinder were –4.58±2.03D and –1.01±1.02D, respectively. For comparison, data from 26 patients matched by age, gender, and refraction who received LBV were retrospectively collected.",
        "Methods": "All patients underwent preoperative examinations, including repeated confirmation of the dominant eye and tolerance test. Postoperative assessments at 1 week, 1 month, and 3 months were analyzed. Monocular and binocular uncorrected distance and near visual acuity (UDVA and UNVA), corrected distance visual acuity (CDVA), and manifest refraction were measured. Defocus curves from –3.50 to +1.00D (0.50D increments) were obtained under photopic conditions. Whole-eye aberrations including primary spherical aberration (SA, Z 4 0 ), root mean square of total higher-order aberrations, coma, and trefoil were measured using OPD-SCAN III (Nidek Inc, Tokyo, Japan) with a 6-mm pupil. Patients were inquired about satisfaction with visual outcomes.",
        "Results": "At 3 months after RG FS-LASIK, all patients achieved a binocular UDVA of 20/20, with 84% reaching 20/16, and 63% reached binocular UNVA of J1. None of the eyes lost lines of CDVA. Predictability was high (SE attempted vs achieved: R²=0.9896). Non-dominant-eye UNVA improved from 1 week to 3 months ( P =0.012). 3-month defocus curve showed binocular vision better than 20/25 from –2.00 to 0.00D. All patients were satisfied with their visual performance. In comparison, both binocular UDVA >20/20 and UNVA J1 were achieved by 56.0% (RG FS-LASIK) and 54.3% (LBV); UNVA J4 was achieved by 100% in both groups. Primary SA and trefoil decreased after RG FS-LASIK, but increased after LBV, yet a statistical difference was only shown for trefoil ( P =0.002).",
        "Conclusions": "This clinical attempt of RG FS-LASIK in patients aged over 40 demonstrated favorable efficacy, safety, and predictability compared to LBV. The enhanced distance and intermediate vision, along with a reduced primary SA indicated its advantages, particularly in patients with high myopia and astigmatism. In the future, long-term clinical observations can be conducted to verify its application value."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 421
    },
    {
      "uid": "PP10.05",
      "abstract_number": "PP10.05",
      "title": "Enhancement Strategies And Refractive Outcomes After Smile Versus Femtosecond Lasik: A Single-Center\nRetrospective Experience (2023–2026)",
      "authors": "A/Prof. Gonul Karatas Durusoy",
      "presenter": "A/Prof. Gonul Karatas Durusoy",
      "normalized_authors": [
        "Gonul Karatas Durusoy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gonul Karatas Durusoy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To describe enhancement patterns and refractive outcomes in eyes requiring reoperation for residual refractive error after SMILE and femtosecond LASIK in a high-volume refractive surgery center.",
        "Setting": "Single-center, high-volume refractive surgery clinic at Aritmi Osmangazi Eye Hospital (Bursa, Türkiye).",
        "Methods": "We retrospectively reviewed all refractive laser procedures performed at Aritmi Osmangazi Eye Hospital between 2023 and 2026. Cases with incomplete records or insufficient follow-up were excluded. In the enhancement cohort, primary procedure type (SMILE or femtosecond LASIK), enhancement technique (LASIK, PRK, Circle LASIK), timing to enhancement, and refractive outcomes were analyzed. Spherical equivalent (SE) was assessed preenhancement and at the first and final post-enhancement visits. Group differences in enhancement technique by primary procedure were evaluated using chi-square testing, and paired changes in SE were assessed with Wilcoxon signed-rank tests.",
        "Results": "Among 1,693 SMILE-treated eyes, 5 (0.29%) required enhancement; among 600 femtosecond LASIK-treated eyes, 17 (2.83%) required enhancement. In enhanced eyes (n=22), retreatment was LASIK in 19 (86.4%), PRK in 2 (9.1%) and Circle LASIK in 1 (4.5%); technique differed by primary procedure (p=0.0027). Median time to enhancement was 7 months (3–18; n=21). Mean SE improved from −3.40±2.02 D pre-enhancement to −0.10±0.30 D at final follow-up (p<0.001). No complications occurred.",
        "Conclusions": "In this single-center experience, enhancement after SMILE required a more heterogeneous approach (LASIK, PRK, or Circle LASIK), whereas enhancements after femtosecond LASIK were consistently managed with reLASIK. Across techniques, enhancement effectively reduced residual refractive error and achieved near-emmetropic outcomes at final follow-up without observed complications. Larger analyses including non-enhanced eyes are warranted to quantify enhancement rates and identify predictors of retreatment after SMILE versus femtosecond LASIK"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this single-center experience, enhancement after SMILE required a more heterogeneous approach (LASIK, PRK, or Circle LASIK), whereas enhancements after femtosecond LASIK were consistently managed with reLASIK. Across techniques, enhancement effectively reduced residual refractive error and achieved near-emmetropic outcomes at final follow-up without observed complications. Larger analyses including non-enhanced…",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 150,
      "source_fields": {
        "Abstract Final Identifier": "PP10.05",
        "Title": "Enhancement Strategies And Refractive Outcomes After Smile Versus Femtosecond Lasik: A Single-Center\nRetrospective Experience (2023–2026)",
        "Presenting Author(s)": "A/Prof. Gonul Karatas Durusoy",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Gonul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karatas Durusoy",
        "Country Name": "Türkiye",
        "Purpose": "To describe enhancement patterns and refractive outcomes in eyes requiring reoperation for residual refractive error after SMILE and femtosecond LASIK in a high-volume refractive surgery center.",
        "Setting": "Single-center, high-volume refractive surgery clinic at Aritmi Osmangazi Eye Hospital (Bursa, Türkiye).",
        "Methods": "We retrospectively reviewed all refractive laser procedures performed at Aritmi Osmangazi Eye Hospital between 2023 and 2026. Cases with incomplete records or insufficient follow-up were excluded. In the enhancement cohort, primary procedure type (SMILE or femtosecond LASIK), enhancement technique (LASIK, PRK, Circle LASIK), timing to enhancement, and refractive outcomes were analyzed. Spherical equivalent (SE) was assessed preenhancement and at the first and final post-enhancement visits. Group differences in enhancement technique by primary procedure were evaluated using chi-square testing, and paired changes in SE were assessed with Wilcoxon signed-rank tests.",
        "Results": "Among 1,693 SMILE-treated eyes, 5 (0.29%) required enhancement; among 600 femtosecond LASIK-treated eyes, 17 (2.83%) required enhancement. In enhanced eyes (n=22), retreatment was LASIK in 19 (86.4%), PRK in 2 (9.1%) and Circle LASIK in 1 (4.5%); technique differed by primary procedure (p=0.0027). Median time to enhancement was 7 months (3–18; n=21). Mean SE improved from −3.40±2.02 D pre-enhancement to −0.10±0.30 D at final follow-up (p<0.001). No complications occurred.",
        "Conclusions": "In this single-center experience, enhancement after SMILE required a more heterogeneous approach (LASIK, PRK, or Circle LASIK), whereas enhancements after femtosecond LASIK were consistently managed with reLASIK. Across techniques, enhancement effectively reduced residual refractive error and achieved near-emmetropic outcomes at final follow-up without observed complications. Larger analyses including non-enhanced eyes are warranted to quantify enhancement rates and identify predictors of retreatment after SMILE versus femtosecond LASIK"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 281
    },
    {
      "uid": "PP10.06",
      "abstract_number": "PP10.06",
      "title": "Quality Of Life In Myopia: Lasik Vs. Contact Lenses",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To compare the quality of life of myopic people who use contact lens with people who had a laser‐assisted in situ keratomileusis (LASIK) surgery.",
        "Setting": "This systematic review aims to bridge these knowledge gaps by evaluating the effects of LASIK versus contact lenses on vision-related quality of life, patient satisfaction, and dry eye disease.",
        "Methods": "Our protocol was registered prospectively on PROSPERO (CRD42025636623). A comprehensive literature search was conducted across four electronic databases [Web of Science, Scopus, PubMed, and the Cochrane Library] to find eligible articles. The primary outcome assessed was quality of life, while the secondary outcomes included the prevalence of dry eyes and patient satisfaction. A meta-analysis was conducted using R statistical software (version 2024.04.2 Build 764) and the ‘meta' package (version 7.0-0). The quality of the included studies was assessed using the Newcastle-Ottawa Scale.",
        "Results": "Of 1,806 initial records, four studies met inclusion criteria, enrolling 2,141 participants were included in our meta-analysis. Meta-analysis revealed moderate improvement in quality of life for LASIK users (SMD = 0.45; p < 0.0001), while patient satisfaction was notably higher in the LASIK group (88% vs. 54% for contact lenses). Complication rates were lower in LASIK patients (6.7% vs. 19.9% for contact lenses), although LASIK was associated with a higher incidence of acute dry eye symptoms.",
        "Conclusions": "In conclusion, this meta-analysis demonstrated that LASIK significantly enhances quality of life compared to contact lens use and yields markedly higher patient satisfaction. Moreover, LASIK was associated with lower overall complication rates, though it carried a greater risk of acute dry eye symptoms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In conclusion, this meta-analysis demonstrated that LASIK significantly enhances quality of life compared to contact lens use and yields markedly higher patient satisfaction. Moreover, LASIK was associated with lower overall complication rates, though it carried a greater risk of acute dry eye symptoms.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 151,
      "source_fields": {
        "Abstract Final Identifier": "PP10.06",
        "Title": "Quality Of Life In Myopia: Lasik Vs. Contact Lenses",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "To compare the quality of life of myopic people who use contact lens with people who had a laser‐assisted in situ keratomileusis (LASIK) surgery.",
        "Setting": "This systematic review aims to bridge these knowledge gaps by evaluating the effects of LASIK versus contact lenses on vision-related quality of life, patient satisfaction, and dry eye disease.",
        "Methods": "Our protocol was registered prospectively on PROSPERO (CRD42025636623). A comprehensive literature search was conducted across four electronic databases [Web of Science, Scopus, PubMed, and the Cochrane Library] to find eligible articles. The primary outcome assessed was quality of life, while the secondary outcomes included the prevalence of dry eyes and patient satisfaction. A meta-analysis was conducted using R statistical software (version 2024.04.2 Build 764) and the ‘meta' package (version 7.0-0). The quality of the included studies was assessed using the Newcastle-Ottawa Scale.",
        "Results": "Of 1,806 initial records, four studies met inclusion criteria, enrolling 2,141 participants were included in our meta-analysis. Meta-analysis revealed moderate improvement in quality of life for LASIK users (SMD = 0.45; p < 0.0001), while patient satisfaction was notably higher in the LASIK group (88% vs. 54% for contact lenses). Complication rates were lower in LASIK patients (6.7% vs. 19.9% for contact lenses), although LASIK was associated with a higher incidence of acute dry eye symptoms.",
        "Conclusions": "In conclusion, this meta-analysis demonstrated that LASIK significantly enhances quality of life compared to contact lens use and yields markedly higher patient satisfaction. Moreover, LASIK was associated with lower overall complication rates, though it carried a greater risk of acute dry eye symptoms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "PP10.07",
      "abstract_number": "PP10.07",
      "title": "Visual Outcomes And Safety Of Ray-Tracing-Guided Laser-Assisted In Situ Keratomileusis: A Systematic Review And Meta-Analysis",
      "authors": "Dr Maximilian Friedrich",
      "presenter": "Dr Maximilian Friedrich",
      "normalized_authors": [
        "Maximilian Friedrich"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maximilian Friedrich",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "RTG-LASIK is one of the most modern approaches in refractive surgery using only objective and automated measurements promising to improve visual outcomes. The aim of this analysis was to evaluate the visual outcome and safety profile after ray-tracing-guided laser-assisted in situ keratomileusis (RTG-LASIK) for myopia with or without astigmatism.",
        "Setting": "Systematic literature review and meta-analysis at a tertiary eye hospital.",
        "Methods": "In this systematic review and meta-analysis original peer-reviewed clinical studies on the visual outcomes of RTG-LASIK in eyes with myopia +/- astigmatism were included. The risk of bias was assessed using ROBINS-I. Primary effect measures were the proportions of eyes achieving 20/20 uncorrected distance visual acuity (UDVA) and losing ≥1 line of corrected distance visual acuity (CDVA) after RTG-LASIK. Secondary outcomes included changes in Snellen lines for CDVA and UDVA relative to preoperative CDVA, postoperative manifest refraction spherical equivalent (MRSE), higher-order aberrations (HOAs) as well as other refractive parameters, synthesized using a random-effects model. In addition, postoperative complications were documented.",
        "Results": "In total, 14 clinical studies with a total of 1577 eyes were included. The pooled percentage of eyes with postoperative UDVA ≥20/20 was 99.17% (95%CI: 95.75%,99.84%; I ²=47.4%). Loss of ≥1 line in CDVA after RTG-LASIK occurred in 2.21% (95%CI: 1.07%,4.52%; I ²=38.5%). CDVA showed an improvement in nearly half of all cases. In addition, postoperative UDVA tended to improve compared to preoperative CDVA. MRSE was within 0.5D of target refraction in 95.21% but showed a slight trend towards overcorrection. Total HOAs increased slightly by 0.087µm (95%CI: 0.027,0.148; I ²=97.5%), while spherical aberration and trefoil tended to decrease after RTG-LASIK. The studies reported nine refractive retreatments and a generally favorable complication profile.",
        "Conclusions": "This meta-analysis suggests that RTG-LASIK may be a safe and effective procedure for improving UDVA and CDVA in selected myopic eyes in the short term, with relatively low reported complication rates. However, larger prospective studies with longer follow-up are needed to confirm these findings and better define long-term safety and efficacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This meta-analysis suggests that RTG-LASIK may be a safe and effective procedure for improving UDVA and CDVA in selected myopic eyes in the short term, with relatively low reported complication rates. However, larger prospective studies with longer follow-up are needed to confirm these findings and better define long-term safety and efficacy.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 152,
      "source_fields": {
        "Abstract Final Identifier": "PP10.07",
        "Title": "Visual Outcomes And Safety Of Ray-Tracing-Guided Laser-Assisted In Situ Keratomileusis: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Maximilian Friedrich",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Maximilian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Friedrich",
        "Country Name": "Germany",
        "Purpose": "RTG-LASIK is one of the most modern approaches in refractive surgery using only objective and automated measurements promising to improve visual outcomes. The aim of this analysis was to evaluate the visual outcome and safety profile after ray-tracing-guided laser-assisted in situ keratomileusis (RTG-LASIK) for myopia with or without astigmatism.",
        "Setting": "Systematic literature review and meta-analysis at a tertiary eye hospital.",
        "Methods": "In this systematic review and meta-analysis original peer-reviewed clinical studies on the visual outcomes of RTG-LASIK in eyes with myopia +/- astigmatism were included. The risk of bias was assessed using ROBINS-I. Primary effect measures were the proportions of eyes achieving 20/20 uncorrected distance visual acuity (UDVA) and losing ≥1 line of corrected distance visual acuity (CDVA) after RTG-LASIK. Secondary outcomes included changes in Snellen lines for CDVA and UDVA relative to preoperative CDVA, postoperative manifest refraction spherical equivalent (MRSE), higher-order aberrations (HOAs) as well as other refractive parameters, synthesized using a random-effects model. In addition, postoperative complications were documented.",
        "Results": "In total, 14 clinical studies with a total of 1577 eyes were included. The pooled percentage of eyes with postoperative UDVA ≥20/20 was 99.17% (95%CI: 95.75%,99.84%; I ²=47.4%). Loss of ≥1 line in CDVA after RTG-LASIK occurred in 2.21% (95%CI: 1.07%,4.52%; I ²=38.5%). CDVA showed an improvement in nearly half of all cases. In addition, postoperative UDVA tended to improve compared to preoperative CDVA. MRSE was within 0.5D of target refraction in 95.21% but showed a slight trend towards overcorrection. Total HOAs increased slightly by 0.087µm (95%CI: 0.027,0.148; I ²=97.5%), while spherical aberration and trefoil tended to decrease after RTG-LASIK. The studies reported nine refractive retreatments and a generally favorable complication profile.",
        "Conclusions": "This meta-analysis suggests that RTG-LASIK may be a safe and effective procedure for improving UDVA and CDVA in selected myopic eyes in the short term, with relatively low reported complication rates. However, larger prospective studies with longer follow-up are needed to confirm these findings and better define long-term safety and efficacy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "PP10.08",
      "abstract_number": "PP10.08",
      "title": "Ten-Year Comparative Clinical Outcomes Of Femtosecond Laser–Assisted In Situ Keratomileusis (Fs-Lasik) And Keratorefractive Lenticule Extraction (Klex)",
      "authors": "Dr Betul Dumlu",
      "presenter": "Dr Betul Dumlu",
      "normalized_authors": [
        "Betul Dumlu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Betul Dumlu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The objective of this study was to evaluate and compare the long-term clinical outcomes of Femtosecond Laser–Assisted In Situ Keratomileusis (FS-LASIK) and Keratorefractive Lenticule Extraction (KLEx) over a 10-year follow-up period for the correction of myopia and myopic astigmatism.",
        "Setting": "This study was conducted at the Department of Refractive Surgery, Beyoğlu Eye Training and Research Hospital, a tertiary referral center in Istanbul, Turkey.",
        "Methods": "This retrospective study included patients who underwent FS-LASIK or KLEx procedures in or before 2015 and had regular follow-up examinations. A total of 55 eyes of 30 patients in the KLEx group and 51 eyes of 29 patients in the FS-LASIK group were included.\n\nThe following parameters were evaluated preoperatively and at the 1st, 5th, and 10th postoperative years: uncorrected distance visual acuity (UDVA), best-corrected visual acuity (BCVA), manifest refraction and spherical equivalent, corneal astigmatism derived from corneal topography, central corneal thickness (CCT), keratometry (K) values, and corneal aberrations measured within the 4-mm and 6-mm pupillary zones.",
        "Results": "At 10 years postoperatively, both UDVA and BCVA were significantly increased in both groups (p<0.001). However, no significant difference was observed in BCVA change between FS-LASIK and KLEx(p=0.095). Preoperative corneal astigmatism was 1.79±1.10D in FS-LASIK and 0.87±0.52D in KLEx, decreasing to 1.05±0.71D and 0.66±0.40D after 10 years. Mean spherical equivalent improved from −3.40±1.43D and −4.93±1.87D to −0.45±0.88D and −0.59±0.98D, respectively. ANOVA demonstrated a significant improvement in SE over time (p<0.001).Spherical, coma, and trefoil aberrations in the 6-mm pupillary zone increased significantly(p<0.05); spherical and trefoil showed similar increases in both groups, whereas coma increased more in the KLEx group(p<0.001).",
        "Conclusions": "The FS-LASIK group exhibited higher baseline astigmatism and greater astigmatic reduction compared with the KLEx group. Although both procedures resulted in substantial refractive correction, the residual spherical equivalent at the 10-year follow-up was slightly lower in the FS-LASIK group than in the KLEx group. Overall, FS-LASIK and KLEx demonstrated comparable long-term effectiveness and safety, although certain parameters showed relative advantages for one technique over the other."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The FS-LASIK group exhibited higher baseline astigmatism and greater astigmatic reduction compared with the KLEx group. Although both procedures resulted in substantial refractive correction, the residual spherical equivalent at the 10-year follow-up was slightly lower in the FS-LASIK group than in the KLEx group. Overall, FS-LASIK and KLEx demonstrated comparable long-term effectiveness and safety, although…",
      "session_type": "Presented Poster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 153,
      "source_fields": {
        "Abstract Final Identifier": "PP10.08",
        "Title": "Ten-Year Comparative Clinical Outcomes Of Femtosecond Laser–Assisted In Situ Keratomileusis (Fs-Lasik) And Keratorefractive Lenticule Extraction (Klex)",
        "Presenting Author(s)": "Dr Betul Dumlu",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Betul",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dumlu",
        "Country Name": "Türkiye",
        "Purpose": "The objective of this study was to evaluate and compare the long-term clinical outcomes of Femtosecond Laser–Assisted In Situ Keratomileusis (FS-LASIK) and Keratorefractive Lenticule Extraction (KLEx) over a 10-year follow-up period for the correction of myopia and myopic astigmatism.",
        "Setting": "This study was conducted at the Department of Refractive Surgery, Beyoğlu Eye Training and Research Hospital, a tertiary referral center in Istanbul, Turkey.",
        "Methods": "This retrospective study included patients who underwent FS-LASIK or KLEx procedures in or before 2015 and had regular follow-up examinations. A total of 55 eyes of 30 patients in the KLEx group and 51 eyes of 29 patients in the FS-LASIK group were included.\n\nThe following parameters were evaluated preoperatively and at the 1st, 5th, and 10th postoperative years: uncorrected distance visual acuity (UDVA), best-corrected visual acuity (BCVA), manifest refraction and spherical equivalent, corneal astigmatism derived from corneal topography, central corneal thickness (CCT), keratometry (K) values, and corneal aberrations measured within the 4-mm and 6-mm pupillary zones.",
        "Results": "At 10 years postoperatively, both UDVA and BCVA were significantly increased in both groups (p<0.001). However, no significant difference was observed in BCVA change between FS-LASIK and KLEx(p=0.095). Preoperative corneal astigmatism was 1.79±1.10D in FS-LASIK and 0.87±0.52D in KLEx, decreasing to 1.05±0.71D and 0.66±0.40D after 10 years. Mean spherical equivalent improved from −3.40±1.43D and −4.93±1.87D to −0.45±0.88D and −0.59±0.98D, respectively. ANOVA demonstrated a significant improvement in SE over time (p<0.001).Spherical, coma, and trefoil aberrations in the 6-mm pupillary zone increased significantly(p<0.05); spherical and trefoil showed similar increases in both groups, whereas coma increased more in the KLEx group(p<0.001).",
        "Conclusions": "The FS-LASIK group exhibited higher baseline astigmatism and greater astigmatic reduction compared with the KLEx group. Although both procedures resulted in substantial refractive correction, the residual spherical equivalent at the 10-year follow-up was slightly lower in the FS-LASIK group than in the KLEx group. Overall, FS-LASIK and KLEx demonstrated comparable long-term effectiveness and safety, although certain parameters showed relative advantages for one technique over the other."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "PP10.09",
      "abstract_number": "PP10.09",
      "title": "Comparison Of Early Outcomes Of Monovision Surgery With Icl (V4c) Or Clear-Q–Optimized Fs-Lasik In Patients With Presbyopia",
      "authors": "Dr Shen Li",
      "presenter": "Dr Shen Li",
      "normalized_authors": [
        "Shen Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shen Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "A imed to compare the early visual quality outcomes of monovision surgery with implantable Collamer lens (ICL V4c) and Clear-Q (EX500)–optimized femtosecond laser-assisted in situ keratomileusis (FS-LASIK) in myopic patients with presbyopia.",
        "Setting": "This prospective study included a total of 60 presbyopic myopic patients (120 eyes) who underwent either ICL (V4c) implantation or Clear-Q FS-LASIK (30 patients with 60 eyes in each treatment group) at Hospital(Chongqing eye and vision care hospital). between 2024 and 2025. We conducted follow-up evaluations and comparative analyses at 1, 3, and 6 months postoperatively for both patient groups.",
        "Methods": "The analyzed parameters included multiple refractive and visual indices, particularly visual acuity and optical quality of the right eye (OD), left eye (OS), and both eyes (OU) at testing distances of 40 cm, 80 cm, and 5 m. Optical quality was assessed using the Optical Quality Analysis System II (OQAS II) and expressed as the Objective Scatter Index (OSI) value. Patient-reported visual quality questionnaires were collected at 3 and 6 months after surgery. The Mann–Whitney U test was used for intergroup comparisons of continuous variables. Line charts, bar charts, and box plots were used for data visualization. P-values < 0.05 were considered statistically significant.",
        "Results": "both treatment methods showed a general trend of visual improvement during follow-up. At a testing distance of 5 m for OS, the ICL (V4c) group demonstrated significantly better visual acuity than the Clear-Q group at all three follow-up time points (P < 0.001). OQAS II assessments further confirmed that the ICL (V4c) group maintained significantly better optical quality throughout postoperative follow-up (P < 0.001). In addition, results from the subjective visual quality questionnaire indicated higher postoperative satisfaction in the ICL (V4c) group, with only 10% reporting “general” ratings at 3 months and 3.3% at 6 months, whereas 60% of patients in the Clear-Q group reported “general” ratings at both two follow-ups.",
        "Conclusions": "Both ICL (V4c) monovision and Clear-Q FS-LASIK significantly improved visual outcomes in presbyopic patients. However, ICL (V4c) demonstrated significant advantages in early postoperative visual acuity, optical quality, and patient satisfaction, making it a more suitable treatment option for presbyopic patients with high demands for visual quality. Nevertheless, larger studies with long-term follow-up are warranted to validate its sustained efficacy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both ICL (V4c) monovision and Clear-Q FS-LASIK significantly improved visual outcomes in presbyopic patients. However, ICL (V4c) demonstrated significant advantages in early postoperative visual acuity, optical quality, and patient satisfaction, making it a more suitable treatment option for presbyopic patients with high demands for visual quality. Nevertheless, larger studies with long-term follow-up are warranted…",
      "session_type": "Presented Poster",
      "track": "Refractive surgery instrumentation / evaluation devices",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 154,
      "source_fields": {
        "Abstract Final Identifier": "PP10.09",
        "Title": "Comparison Of Early Outcomes Of Monovision Surgery With Icl (V4c) Or Clear-Q–Optimized Fs-Lasik In Patients With Presbyopia",
        "Presenting Author(s)": "Dr Shen Li",
        "Abstract Topic Name": "Refractive surgery instrumentation / evaluation devices",
        "Submitter First Name": "Shen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "A imed to compare the early visual quality outcomes of monovision surgery with implantable Collamer lens (ICL V4c) and Clear-Q (EX500)–optimized femtosecond laser-assisted in situ keratomileusis (FS-LASIK) in myopic patients with presbyopia.",
        "Setting": "This prospective study included a total of 60 presbyopic myopic patients (120 eyes) who underwent either ICL (V4c) implantation or Clear-Q FS-LASIK (30 patients with 60 eyes in each treatment group) at Hospital(Chongqing eye and vision care hospital). between 2024 and 2025. We conducted follow-up evaluations and comparative analyses at 1, 3, and 6 months postoperatively for both patient groups.",
        "Methods": "The analyzed parameters included multiple refractive and visual indices, particularly visual acuity and optical quality of the right eye (OD), left eye (OS), and both eyes (OU) at testing distances of 40 cm, 80 cm, and 5 m. Optical quality was assessed using the Optical Quality Analysis System II (OQAS II) and expressed as the Objective Scatter Index (OSI) value. Patient-reported visual quality questionnaires were collected at 3 and 6 months after surgery. The Mann–Whitney U test was used for intergroup comparisons of continuous variables. Line charts, bar charts, and box plots were used for data visualization. P-values < 0.05 were considered statistically significant.",
        "Results": "both treatment methods showed a general trend of visual improvement during follow-up. At a testing distance of 5 m for OS, the ICL (V4c) group demonstrated significantly better visual acuity than the Clear-Q group at all three follow-up time points (P < 0.001). OQAS II assessments further confirmed that the ICL (V4c) group maintained significantly better optical quality throughout postoperative follow-up (P < 0.001). In addition, results from the subjective visual quality questionnaire indicated higher postoperative satisfaction in the ICL (V4c) group, with only 10% reporting “general” ratings at 3 months and 3.3% at 6 months, whereas 60% of patients in the Clear-Q group reported “general” ratings at both two follow-ups.",
        "Conclusions": "Both ICL (V4c) monovision and Clear-Q FS-LASIK significantly improved visual outcomes in presbyopic patients. However, ICL (V4c) demonstrated significant advantages in early postoperative visual acuity, optical quality, and patient satisfaction, making it a more suitable treatment option for presbyopic patients with high demands for visual quality. Nevertheless, larger studies with long-term follow-up are warranted to validate its sustained efficacy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 370
    },
    {
      "uid": "PP10.10",
      "abstract_number": "PP10.10",
      "title": "Visual And Refractive Predictability Of Automated Ray-Tracing Lasik Using A Modified Cylinder Protocol: A Prospective Study",
      "authors": "Mrs Malena Parmeggiani",
      "presenter": "Mrs Malena Parmeggiani",
      "normalized_authors": [
        "Malena Parmeggiani"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Malena Parmeggiani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate the outcomes of ray-tracing–guided LASIK (WaveLight Plus) in a Latin American population using a modified protocol with a systematic 10% reduction of the algorithm-calculated cylinder.",
        "Setting": "A prospective, interventional study",
        "Methods": "This prospective series included 50 eyes (25 patients) undergoing ray-tracing–guided LASIK (WaveLight Plus). The algorithm-calculated cylinder was manually reduced by 10% to address potential overcorrection. At 3 months, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, and Alpins vector analysis were evaluated. Secondary outcomes included higher-order aberrations (HOAs) and patient satisfaction.",
        "Results": "At 3 months, 100% of eyes achieved a UDVA of 20/20 or better, and 80% achieved 20/16 or better. The manifest refraction spherical equivalent was 0.00 ± 0.14D, with 100% within ± 0.50 D. For astigmatism, 100% of eyes were within ± 0.25 D of intended correction. Alpins analysis yielded a Correction Index (CI) of 1.01 (slope = 1.01; R 2 = 1.00), effectively neutralizing the previously reported overcorrection trend (CI: 1.12). No eyes lost lines of CDVA (safety index: 1.23). Spherical aberration showed a non-significant reduction (P = .323), while total HOAs increased slightly (P = .037). Satisfaction was high.",
        "Conclusions": "Ray-tracing–guided LASIK with a 10% cylinder reduction protocol demonstrated excellent efficacy, safety, and predictability. This systematic adjustment achieved a near-perfect correction index, suggesting that clinical optimization of the automated algorithm is a valuable strategy for refining astigmatic outcomes in individualized laser surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ray-tracing–guided LASIK with a 10% cylinder reduction protocol demonstrated excellent efficacy, safety, and predictability. This systematic adjustment achieved a near-perfect correction index, suggesting that clinical optimization of the automated algorithm is a valuable strategy for refining astigmatic outcomes in individualized laser surgery.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 155,
      "source_fields": {
        "Abstract Final Identifier": "PP10.10",
        "Title": "Visual And Refractive Predictability Of Automated Ray-Tracing Lasik Using A Modified Cylinder Protocol: A Prospective Study",
        "Presenting Author(s)": "Mrs Malena Parmeggiani",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Malena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parmeggiani",
        "Country Name": "Argentina",
        "Purpose": "To evaluate the outcomes of ray-tracing–guided LASIK (WaveLight Plus) in a Latin American population using a modified protocol with a systematic 10% reduction of the algorithm-calculated cylinder.",
        "Setting": "A prospective, interventional study",
        "Methods": "This prospective series included 50 eyes (25 patients) undergoing ray-tracing–guided LASIK (WaveLight Plus). The algorithm-calculated cylinder was manually reduced by 10% to address potential overcorrection. At 3 months, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, and Alpins vector analysis were evaluated. Secondary outcomes included higher-order aberrations (HOAs) and patient satisfaction.",
        "Results": "At 3 months, 100% of eyes achieved a UDVA of 20/20 or better, and 80% achieved 20/16 or better. The manifest refraction spherical equivalent was 0.00 ± 0.14D, with 100% within ± 0.50 D. For astigmatism, 100% of eyes were within ± 0.25 D of intended correction. Alpins analysis yielded a Correction Index (CI) of 1.01 (slope = 1.01; R 2 = 1.00), effectively neutralizing the previously reported overcorrection trend (CI: 1.12). No eyes lost lines of CDVA (safety index: 1.23). Spherical aberration showed a non-significant reduction (P = .323), while total HOAs increased slightly (P = .037). Satisfaction was high.",
        "Conclusions": "Ray-tracing–guided LASIK with a 10% cylinder reduction protocol demonstrated excellent efficacy, safety, and predictability. This systematic adjustment achieved a near-perfect correction index, suggesting that clinical optimization of the automated algorithm is a valuable strategy for refining astigmatic outcomes in individualized laser surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 236
    },
    {
      "uid": "PP10.11",
      "abstract_number": "PP10.11",
      "title": "Outcomes Of Laser Vision Correction With Hypothyroidism: A Retrospective Study",
      "authors": "Dr Dror Ben Ephraim Noyman",
      "presenter": "Dr Dror Ben Ephraim Noyman",
      "normalized_authors": [
        "Dror Ben Ephraim Noyman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dror Ben Ephraim Noyman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Hypothyroidism (HT) is a common condition that may impair corneal wound healing, and tear-film stability, potentially impacting visual recovery and refractive accuracy after laser vision correction. Evidence guiding procedure choice in patients with HT remains limited and heterogeneous, and many centers treat it as a relative contraindication or modify perioperative protocols. We aimed to evaluate real-world visual and refractive outcomes of photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK) in adults with controlled HT as compared to the general population for correction of hyperopia and myopia, and to compare the two surgical techniques within patients with the condition.",
        "Setting": "Retrospective comparative study at Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective comparative study included consecutive myopic and hyperopic adults with either controlled HT or no known chronic systemic disease, all aimed for emmetropia, without ocular comorbidities or prior ocular surgery, who underwent PRK or LASIK between 2013 and 2024. Baseline characteristics were balanced using propensity score matching. Refractive and visual outcomes were assessed between diabetic and control groups for each modality, and between PRK and LASIK within the cohort.",
        "Results": "After matching, 5337 eyes (HT 492; controls 4845) were analyzed for myopic PRK; 2137 eyes (HT 198; controls 1939) for myopic LASIK; and 365 myopic HT eyes (PRK 233; LASIK 142) for within-population modality differences. 247 eyes (HT 24; controls 223) were assessed for hyperopic LASIK. For myopia- there were no significant differences between HT and control groups in PRK outcomes. In LASIK, postoperative cylinder was lower in HT compared to controls (-0.12D vs -0.15D; p=0.03) with no other significant differences. Within the HT population, PRK and LASIK showed no significant differences between the groups. Hyperopic LASIK demonstrated a significantly superior safety index in healthy controls as compared to HT (1.02 vs 1.01; p=0.041).",
        "Conclusions": "Both PRK and LASIK are effective for balanced HT patients. For the treatment of myopia, the two modalities seem comparable between healthy controls and HT patients, with no significant preferable choice among them, implying other, more substantial factors be taken into consideration for surgery selection. However, for hyperopic patients, LASIK achieved greater safety in healthy controls, suggesting careful consultation preoperatively, and perhaps meticulous control of any endocrinological imbalances prior to surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both PRK and LASIK are effective for balanced HT patients. For the treatment of myopia, the two modalities seem comparable between healthy controls and HT patients, with no significant preferable choice among them, implying other, more substantial factors be taken into consideration for surgery selection. However, for hyperopic patients, LASIK achieved greater safety in healthy controls, suggesting careful…",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 156,
      "source_fields": {
        "Abstract Final Identifier": "PP10.11",
        "Title": "Outcomes Of Laser Vision Correction With Hypothyroidism: A Retrospective Study",
        "Presenting Author(s)": "Dr Dror Ben Ephraim Noyman",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Dror",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Ephraim Noyman",
        "Country Name": "Israel",
        "Purpose": "Hypothyroidism (HT) is a common condition that may impair corneal wound healing, and tear-film stability, potentially impacting visual recovery and refractive accuracy after laser vision correction. Evidence guiding procedure choice in patients with HT remains limited and heterogeneous, and many centers treat it as a relative contraindication or modify perioperative protocols. We aimed to evaluate real-world visual and refractive outcomes of photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK) in adults with controlled HT as compared to the general population for correction of hyperopia and myopia, and to compare the two surgical techniques within patients with the condition.",
        "Setting": "Retrospective comparative study at Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "This retrospective comparative study included consecutive myopic and hyperopic adults with either controlled HT or no known chronic systemic disease, all aimed for emmetropia, without ocular comorbidities or prior ocular surgery, who underwent PRK or LASIK between 2013 and 2024. Baseline characteristics were balanced using propensity score matching. Refractive and visual outcomes were assessed between diabetic and control groups for each modality, and between PRK and LASIK within the cohort.",
        "Results": "After matching, 5337 eyes (HT 492; controls 4845) were analyzed for myopic PRK; 2137 eyes (HT 198; controls 1939) for myopic LASIK; and 365 myopic HT eyes (PRK 233; LASIK 142) for within-population modality differences. 247 eyes (HT 24; controls 223) were assessed for hyperopic LASIK. For myopia- there were no significant differences between HT and control groups in PRK outcomes. In LASIK, postoperative cylinder was lower in HT compared to controls (-0.12D vs -0.15D; p=0.03) with no other significant differences. Within the HT population, PRK and LASIK showed no significant differences between the groups. Hyperopic LASIK demonstrated a significantly superior safety index in healthy controls as compared to HT (1.02 vs 1.01; p=0.041).",
        "Conclusions": "Both PRK and LASIK are effective for balanced HT patients. For the treatment of myopia, the two modalities seem comparable between healthy controls and HT patients, with no significant preferable choice among them, implying other, more substantial factors be taken into consideration for surgery selection. However, for hyperopic patients, LASIK achieved greater safety in healthy controls, suggesting careful consultation preoperatively, and perhaps meticulous control of any endocrinological imbalances prior to surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 373
    },
    {
      "uid": "PP10.12",
      "abstract_number": "PP10.12",
      "title": "Prk Vs Lasik For Against-The-Rule Astigmatism: A Retrospective Cohort Study",
      "authors": "Dr Adir Sommer",
      "presenter": "Dr Adir Sommer",
      "normalized_authors": [
        "Adir Sommer"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Adir Sommer",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To compare visual and refractive outcomes, astigmatic vector correction quality, and complications after Photorefractive Keratectomy (PRK) versus Laser-Assisted In Situ Keratomileusis (LASIK) in against-the-rule (ATR) eyes, and to identify predictors of suboptimal outcomes.",
        "Setting": "A retrospective comparative study conducted at Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "The study included consecutive myopic patients over 18 years of age with against-the-rule astigmatism, aimed for emmetropia with no ocular comorbidities or prior surgeries who underwent PRK or LASIK between 2013 and 2024. Baseline characteristics were compared and matched upon using propensity score matching. Refractive and visual outcomes were assessed, and an Alpins vector analysis was performed.",
        "Results": "After matching for baseline characteristics, a total of 1136 eyes from 924 patients were analyzed (age: 33.9±10 years, 42.7% female). Matching was successful with background and intraoperative parameters showing no significant differences. In the timeframe assessed, LASIK showed significant superiority compared to PRK in BCVA (0.99 vs 0.97, p<0.001), Safety Index (1.03 vs 1.00, p<0.001), Magnitude of Error (0.13 vs 0.18, p=0.02), and Correction Index (1.21 vs 1.28, p=0.03).",
        "Conclusions": "This propensity-matched study demonstrates that LASIK outperforms PRK for correcting myopic ATR astigmatism. LASIK achieved statistically superior safety, visual acuity, and vector correction accuracy compared to surface ablation. Consequently, these findings support LASIK as the preferred modality for eligible ATR candidates, providing critical evidence for axis-specific surgical selection."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This propensity-matched study demonstrates that LASIK outperforms PRK for correcting myopic ATR astigmatism. LASIK achieved statistically superior safety, visual acuity, and vector correction accuracy compared to surface ablation. Consequently, these findings support LASIK as the preferred modality for eligible ATR candidates, providing critical evidence for axis-specific surgical selection.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 157,
      "source_fields": {
        "Abstract Final Identifier": "PP10.12",
        "Title": "Prk Vs Lasik For Against-The-Rule Astigmatism: A Retrospective Cohort Study",
        "Presenting Author(s)": "Dr Adir Sommer",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Adir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sommer",
        "Country Name": "Israel",
        "Purpose": "To compare visual and refractive outcomes, astigmatic vector correction quality, and complications after Photorefractive Keratectomy (PRK) versus Laser-Assisted In Situ Keratomileusis (LASIK) in against-the-rule (ATR) eyes, and to identify predictors of suboptimal outcomes.",
        "Setting": "A retrospective comparative study conducted at Care Vision Laser Center, Tel Aviv, Israel.",
        "Methods": "The study included consecutive myopic patients over 18 years of age with against-the-rule astigmatism, aimed for emmetropia with no ocular comorbidities or prior surgeries who underwent PRK or LASIK between 2013 and 2024. Baseline characteristics were compared and matched upon using propensity score matching. Refractive and visual outcomes were assessed, and an Alpins vector analysis was performed.",
        "Results": "After matching for baseline characteristics, a total of 1136 eyes from 924 patients were analyzed (age: 33.9±10 years, 42.7% female). Matching was successful with background and intraoperative parameters showing no significant differences. In the timeframe assessed, LASIK showed significant superiority compared to PRK in BCVA (0.99 vs 0.97, p<0.001), Safety Index (1.03 vs 1.00, p<0.001), Magnitude of Error (0.13 vs 0.18, p=0.02), and Correction Index (1.21 vs 1.28, p=0.03).",
        "Conclusions": "This propensity-matched study demonstrates that LASIK outperforms PRK for correcting myopic ATR astigmatism. LASIK achieved statistically superior safety, visual acuity, and vector correction accuracy compared to surface ablation. Consequently, these findings support LASIK as the preferred modality for eligible ATR candidates, providing critical evidence for axis-specific surgical selection."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "PP10.13",
      "abstract_number": "PP10.13",
      "title": "Visual Outcomes After Ray-Tracing Guided Lasik And Icl (V4c) For High Myopia",
      "authors": "Yanjia Li",
      "presenter": "Yanjia Li",
      "normalized_authors": [
        "Yanjia Li"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanjia Li",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "The aim of this study is to compare visual quality outcomes of implantable collamer lens (ICL) V4c and ray-tracing guided femtosecond laser-assisted in situ keratomileusis (RT-LASIK) in patients with high myopia(-6.00D< SEQ < -10.00D).",
        "Setting": "Implantable collamer lens (ICL) is safe, effective and longitudinally for the correction of high myopia. However, halos and glare were reported early postoperatively.\n\nRay-tracing guided LASIK is based on optical ray-tracing algorithm theory. There is an overall increase in ocular higher-order aberrations post-surgery, while spherical aberration is reduced. However, the current research primarily focuses on mild to moderate myopia, with limited data available on high myopia.",
        "Methods": "In this prospective comparative study, 60 eyes from 32 patients who underwent ICL and 60 eyes from 30 patients who underwent RT-LASIK were included. Preoperative characteristics, including uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BDVA), manifest refractive spherical equivalent (MRSE) and higher-order aberrations (HOAs) for a 4mm pupil (spherical aberration, coma, trefoil), were compared between the two surgical groups. Postoperative assessments at 3 months included measurements of UDVA,MRSE, HOAs, as well as the modulation transfer function (MTF) and point spread function (PSF) under a 4mm optical zone using OPD-Scan Ⅲ.",
        "Results": "The preoperative characteristics indicated no statistically significant differences (p>0.05). At the 3-month postoperative follow-up, there were no statistically significant differences in UDVA, MRSE, MTF, PSF and root mean square (RMS) value of total ocular aberrations between the RT-LASIK and ICL groups (p>0.05). However, analysis of HOAs revealed significant differences between the RT-LASIK and ICL groups (0.184±0.047 vs 0.118±0.038, p<0.05). Specifically, trefoil and vertical coma were significantly different (0.012±0.056 vs -0.045±0.044, p<0.05) (-0.095±0.078 vs -0.002±0.060, p<0.05), while spherical aberration showed no significant difference(0.002±0.054 vs 0.007±0.035, p=0.750).",
        "Conclusions": "In this study, RT-LASIK, a corneal laser procedure, achieved postoperative visual quality comparable to that of ICL. This is likely because RT-LASIK does not introduce spherical aberration. Thus, both RT-LASIK and ICL represent viable and effective surgical options for patients with high myopia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this study, RT-LASIK, a corneal laser procedure, achieved postoperative visual quality comparable to that of ICL. This is likely because RT-LASIK does not introduce spherical aberration. Thus, both RT-LASIK and ICL represent viable and effective surgical options for patients with high myopia.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 158,
      "source_fields": {
        "Abstract Final Identifier": "PP10.13",
        "Title": "Visual Outcomes After Ray-Tracing Guided Lasik And Icl (V4c) For High Myopia",
        "Presenting Author(s)": "Yanjia Li",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Yanjia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Li",
        "Country Name": "China",
        "Purpose": "The aim of this study is to compare visual quality outcomes of implantable collamer lens (ICL) V4c and ray-tracing guided femtosecond laser-assisted in situ keratomileusis (RT-LASIK) in patients with high myopia(-6.00D< SEQ < -10.00D).",
        "Setting": "Implantable collamer lens (ICL) is safe, effective and longitudinally for the correction of high myopia. However, halos and glare were reported early postoperatively.\n\nRay-tracing guided LASIK is based on optical ray-tracing algorithm theory. There is an overall increase in ocular higher-order aberrations post-surgery, while spherical aberration is reduced. However, the current research primarily focuses on mild to moderate myopia, with limited data available on high myopia.",
        "Methods": "In this prospective comparative study, 60 eyes from 32 patients who underwent ICL and 60 eyes from 30 patients who underwent RT-LASIK were included. Preoperative characteristics, including uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BDVA), manifest refractive spherical equivalent (MRSE) and higher-order aberrations (HOAs) for a 4mm pupil (spherical aberration, coma, trefoil), were compared between the two surgical groups. Postoperative assessments at 3 months included measurements of UDVA,MRSE, HOAs, as well as the modulation transfer function (MTF) and point spread function (PSF) under a 4mm optical zone using OPD-Scan Ⅲ.",
        "Results": "The preoperative characteristics indicated no statistically significant differences (p>0.05). At the 3-month postoperative follow-up, there were no statistically significant differences in UDVA, MRSE, MTF, PSF and root mean square (RMS) value of total ocular aberrations between the RT-LASIK and ICL groups (p>0.05). However, analysis of HOAs revealed significant differences between the RT-LASIK and ICL groups (0.184±0.047 vs 0.118±0.038, p<0.05). Specifically, trefoil and vertical coma were significantly different (0.012±0.056 vs -0.045±0.044, p<0.05) (-0.095±0.078 vs -0.002±0.060, p<0.05), while spherical aberration showed no significant difference(0.002±0.054 vs 0.007±0.035, p=0.750).",
        "Conclusions": "In this study, RT-LASIK, a corneal laser procedure, achieved postoperative visual quality comparable to that of ICL. This is likely because RT-LASIK does not introduce spherical aberration. Thus, both RT-LASIK and ICL represent viable and effective surgical options for patients with high myopia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "PP10.14",
      "abstract_number": "PP10.14",
      "title": "Comparison Of Visual Outcomes Following Ray-Tracing-Guided Femtosecond Laser-Assisted In Situ Keratomileusis With Different Optical Zone Sizes",
      "authors": "Dr Lu Xiong",
      "presenter": "Dr Lu Xiong",
      "normalized_authors": [
        "Lu Xiong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lu Xiong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To investigate the influence of different optical zone (OZ) diameters on the clinical outcomes of ray-tracing-guided femtosecond laser-assisted in situ keratomileusis (FS-LASIK).",
        "Setting": "Aier Eye Hospital, GuangZhou，Affiliated to Jinan University",
        "Methods": "In this retrospective analysis, 126 eyes from 63 patients who underwent ray-tracing–guided FS-LASIK were included. Eyes were stratified by the intended OZ diameter into a 6.5- group (6.0-6.5 mm) and a 6.5+ group (6.6-7.0 mm). All patients completed standardized preoperative and 3-month postoperative evaluations, which included measurements of uncorrected (UDVA) and corrected (CDVA) distance visual acuity, manifest refraction, mean keratometry, intended/achieved maximum ablation thickness, central corneal thickness, low-mesopic pupil diameter, 6-mm total ocular wavefront aberrations, and the Quality of Vision (QoV) questionnaire.",
        "Results": "Both groups achieved excellent and comparable refractive accuracy and stability. At 3 m, UDVA of 20/16 or better was attained in 80% (6.5– group) and 76% (6.5+ group; P = .797). CDVA improved by ≥1 line in 65% and 55%, respectively (P = .080). No significant differences were found in spherical equivalent, refractive astigmatism, astigmatism, difference vector, mean keratometry, central corneal thickness, or maximum ablation thickness (all P > .05). The 6.5+ group showed significantly lower total ocular wavefront aberrations over a 6-mm pupil, including higher-order aberrations (P = .005), spherical aberration (P = .016), coma (P = .013), and vertical coma (P = .023). Patient-reported QoV scores did not differ significantly between groups.",
        "Conclusions": "This study indicates that a larger OZ in ray-tracing-guided FS-LASIK achieves comparable visual acuity and refractive precision, yet induces significantly fewer total ocular wavefront aberrations at a 6-mm pupil diameter. Consequently, opting for a larger OZ can be recommended as a strategy to improve postoperative optical quality while maintaining safety and effectiveness in myopic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study indicates that a larger OZ in ray-tracing-guided FS-LASIK achieves comparable visual acuity and refractive precision, yet induces significantly fewer total ocular wavefront aberrations at a 6-mm pupil diameter. Consequently, opting for a larger OZ can be recommended as a strategy to improve postoperative optical quality while maintaining safety and effectiveness in myopic patients.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 159,
      "source_fields": {
        "Abstract Final Identifier": "PP10.14",
        "Title": "Comparison Of Visual Outcomes Following Ray-Tracing-Guided Femtosecond Laser-Assisted In Situ Keratomileusis With Different Optical Zone Sizes",
        "Presenting Author(s)": "Dr Lu Xiong",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Lu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xiong",
        "Country Name": "China",
        "Purpose": "To investigate the influence of different optical zone (OZ) diameters on the clinical outcomes of ray-tracing-guided femtosecond laser-assisted in situ keratomileusis (FS-LASIK).",
        "Setting": "Aier Eye Hospital, GuangZhou，Affiliated to Jinan University",
        "Methods": "In this retrospective analysis, 126 eyes from 63 patients who underwent ray-tracing–guided FS-LASIK were included. Eyes were stratified by the intended OZ diameter into a 6.5- group (6.0-6.5 mm) and a 6.5+ group (6.6-7.0 mm). All patients completed standardized preoperative and 3-month postoperative evaluations, which included measurements of uncorrected (UDVA) and corrected (CDVA) distance visual acuity, manifest refraction, mean keratometry, intended/achieved maximum ablation thickness, central corneal thickness, low-mesopic pupil diameter, 6-mm total ocular wavefront aberrations, and the Quality of Vision (QoV) questionnaire.",
        "Results": "Both groups achieved excellent and comparable refractive accuracy and stability. At 3 m, UDVA of 20/16 or better was attained in 80% (6.5– group) and 76% (6.5+ group; P = .797). CDVA improved by ≥1 line in 65% and 55%, respectively (P = .080). No significant differences were found in spherical equivalent, refractive astigmatism, astigmatism, difference vector, mean keratometry, central corneal thickness, or maximum ablation thickness (all P > .05). The 6.5+ group showed significantly lower total ocular wavefront aberrations over a 6-mm pupil, including higher-order aberrations (P = .005), spherical aberration (P = .016), coma (P = .013), and vertical coma (P = .023). Patient-reported QoV scores did not differ significantly between groups.",
        "Conclusions": "This study indicates that a larger OZ in ray-tracing-guided FS-LASIK achieves comparable visual acuity and refractive precision, yet induces significantly fewer total ocular wavefront aberrations at a 6-mm pupil diameter. Consequently, opting for a larger OZ can be recommended as a strategy to improve postoperative optical quality while maintaining safety and effectiveness in myopic patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "PP10.15",
      "abstract_number": "PP10.15",
      "title": "Laser Vision Correction Outcomes In Patients With Controlled Hyperthyroidism: A Retrospective Comparative Study",
      "authors": "Dr Margarita Safir",
      "presenter": "Dr Margarita Safir",
      "normalized_authors": [
        "Margarita Safir"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dror Ben Ephraim Noyman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "Hyperthyroidism may alter corneal wound healing, tear-film stability, and ocular surface homeostasis, potentially affecting visual recovery and refractive outcomes following laser vision correction. This study evaluated real-world visual and refractive outcomes of photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK) in adults with well-controlled hyperthyroidism compared with healthy controls undergoing myopia or hyperopia correction.",
        "Setting": "This retrospective comparative study at Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective comparative study included consecutive adults with controlled hyperthyroidism (HTx) or no known chronic systemic disease who underwent PRK or LASIK at a single tertiary center between 2013 and 2024. All patients were treated for refractive correction targeting emmetropia and had no ocular comorbidities or prior ocular surgery. Baseline characteristics were balanced using propensity score matching. Visual and refractive outcomes were compared between hyperthyroidism and control groups for each surgical modality and between PRK and LASIK within the hyperthyroidism cohort.",
        "Results": "After matching, 209 eyes (HTx19; controls 190) were analyzed for myopic PRK, 165 eyes (HTx 15; controls 150) for myopic LASIK, and 38 HTx eyes (PRK 23; LASIK 15) for within-cohort comparisons. No significant differences were observed in PRK outcomes. In LASIK, postoperative axis differed (9.5° vs 33.4°, p=0.04), while cylinder magnitude (−0.07 D vs −0.13 D, p=0.36) and other visual and refractive outcomes were comparable. Within the HTx cohort, matching between PRK and LASIK was not feasible due to limited sample size. Baseline differences were noted in pachymetry, spherical equivalent, and best-corrected visual acuity. LASIK demonstrated significantly lower cylinder magnitude and axis; however, visual outcomes did not differ significantly.",
        "Conclusions": "This matched real-world study suggests that PRK and LASIK are safe and effective in patients with well-controlled hyperthyroidism, with outcomes comparable to those of healthy individuals. Although refractive differences between PRK and LASIK were observed within the hyperthyroidism cohort, visual outcomes were similar. Larger prospective studies are needed to confirm these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This matched real-world study suggests that PRK and LASIK are safe and effective in patients with well-controlled hyperthyroidism, with outcomes comparable to those of healthy individuals. Although refractive differences between PRK and LASIK were observed within the hyperthyroidism cohort, visual outcomes were similar. Larger prospective studies are needed to confirm these findings.",
      "session_type": "Presented Poster",
      "track": "LASIK",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 160,
      "source_fields": {
        "Abstract Final Identifier": "PP10.15",
        "Title": "Laser Vision Correction Outcomes In Patients With Controlled Hyperthyroidism: A Retrospective Comparative Study",
        "Presenting Author(s)": "Dr Margarita Safir",
        "Abstract Topic Name": "LASIK",
        "Submitter First Name": "Dror",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ben Ephraim Noyman",
        "Country Name": "Israel",
        "Purpose": "Hyperthyroidism may alter corneal wound healing, tear-film stability, and ocular surface homeostasis, potentially affecting visual recovery and refractive outcomes following laser vision correction. This study evaluated real-world visual and refractive outcomes of photorefractive keratectomy (PRK) and laser-assisted in situ keratomileusis (LASIK) in adults with well-controlled hyperthyroidism compared with healthy controls undergoing myopia or hyperopia correction.",
        "Setting": "This retrospective comparative study at Care-Vision Laser Center, Tel Aviv, Israel",
        "Methods": "This retrospective comparative study included consecutive adults with controlled hyperthyroidism (HTx) or no known chronic systemic disease who underwent PRK or LASIK at a single tertiary center between 2013 and 2024. All patients were treated for refractive correction targeting emmetropia and had no ocular comorbidities or prior ocular surgery. Baseline characteristics were balanced using propensity score matching. Visual and refractive outcomes were compared between hyperthyroidism and control groups for each surgical modality and between PRK and LASIK within the hyperthyroidism cohort.",
        "Results": "After matching, 209 eyes (HTx19; controls 190) were analyzed for myopic PRK, 165 eyes (HTx 15; controls 150) for myopic LASIK, and 38 HTx eyes (PRK 23; LASIK 15) for within-cohort comparisons. No significant differences were observed in PRK outcomes. In LASIK, postoperative axis differed (9.5° vs 33.4°, p=0.04), while cylinder magnitude (−0.07 D vs −0.13 D, p=0.36) and other visual and refractive outcomes were comparable. Within the HTx cohort, matching between PRK and LASIK was not feasible due to limited sample size. Baseline differences were noted in pachymetry, spherical equivalent, and best-corrected visual acuity. LASIK demonstrated significantly lower cylinder magnitude and axis; however, visual outcomes did not differ significantly.",
        "Conclusions": "This matched real-world study suggests that PRK and LASIK are safe and effective in patients with well-controlled hyperthyroidism, with outcomes comparable to those of healthy individuals. Although refractive differences between PRK and LASIK were observed within the hyperthyroidism cohort, visual outcomes were similar. Larger prospective studies are needed to confirm these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 317
    },
    {
      "uid": "PP11.01",
      "abstract_number": "PP11.01",
      "title": "Long-Term Postoperative Follow Up Of Descemet Stripping Only For Fuchs Endothelial Corneal Dystrophy: Visual Acuity, Corneal Tomography, And Central Endothelial Count Outcomes",
      "authors": "Mrs Nina Špegel",
      "presenter": "Mrs Nina Špegel",
      "normalized_authors": [
        "Nina Špegel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nina Špegel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Slovenia",
      "sections": {
        "Purpose": "We aim to present postoperative long-term outcomes of Descemet stripping only\nprocedure in eyes of patients with Fuchs endotelial corneal dystrophy (FECD).",
        "Setting": "Eye Hospital University Medical Centre Ljubljana.",
        "Methods": "Retrospective longitudinal cohort study of 44 eyes from 36 patients with FECD.\nEyes with reduced best-corrected visual acuity (BCVA) and corneal decompensation due to\nincreased central corneal thickness (CCT), having undergone Descemet stripping only\n(DSO) between January 2019 and January 2026 were included. Procedures were performed\nby three surgeons.\nPre- and post-operative BCVA, central endothelial cell count (cECC) by specular\nbiomicroscopy, and corneal central corneal thickness (CCT) by pachymetry were recorded.\nFollow-up examinations were conducted 1, 3, 6, 12, 24, 36, 48, 60 and 72 months, and\navailable data recorded.",
        "Results": "We identified 44 eyes of 36 patients that underwent DSO. Endothelial repopulation\nof central stroma was observed in 32 of 44 eyes (72.7%). Three patients who were treated\nwith netarsudil, and 9 who underwent subsequent endothelial keratoplasty were excluded\nfrom further analysis.\nA total of 32 eyes of 23 patients were analysed. Measurable cECC was detected in 27 of 32\neyes (84%) at a median of 6 months (95% CI 2.3 to 9.7) with mean cell density 846 cells/mm²\n(474-1340). From first detection to last follow-up mean cECC increased by 211 cells/mm²\n(95% CI 21.9 to 400). Improvement in corneal clarity was reflected by an overall mean\nreduction in CCT of 53 µm (95% CI −86 to −21) and improvement in mean BCVA gain of\n0.17 logMAR (95% CI -0.29 to -0.04).",
        "Conclusions": "Descemet stripping only is proving to be a promising approach for managing\ncorneal endothelial diseases, including Fuchs’ endothelial corneal dystrophy. The procedure\nis minimally invasive, avoids reliance on donor tissue, reduces the risk of graft-related\ncomplications, and limits the need for long-term corticosteroid treatment.\nIn our cohort, the majority of eyes achieved measurable central endothelial repopulation,\nwith progressive recovery of central endothelial cell density, improved corneal clarity, and\nsignificant gain in visual acuity. These findings support DSO as a safe and effective\nalternative to conventional corneal keratoplasty."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Descemet stripping only is proving to be a promising approach for managing corneal endothelial diseases, including Fuchs’ endothelial corneal dystrophy. The procedure is minimally invasive, avoids reliance on donor tissue, reduces the risk of graft-related complications, and limits the need for long-term corticosteroid treatment. In our cohort, the majority of eyes achieved measurable central endothelial…",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 161,
      "source_fields": {
        "Abstract Final Identifier": "PP11.01",
        "Title": "Long-Term Postoperative Follow Up Of Descemet Stripping Only For Fuchs Endothelial Corneal Dystrophy: Visual Acuity, Corneal Tomography, And Central Endothelial Count Outcomes",
        "Presenting Author(s)": "Mrs Nina Špegel",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Nina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Špegel",
        "Country Name": "Slovenia",
        "Purpose": "We aim to present postoperative long-term outcomes of Descemet stripping only\nprocedure in eyes of patients with Fuchs endotelial corneal dystrophy (FECD).",
        "Setting": "Eye Hospital University Medical Centre Ljubljana.",
        "Methods": "Retrospective longitudinal cohort study of 44 eyes from 36 patients with FECD.\nEyes with reduced best-corrected visual acuity (BCVA) and corneal decompensation due to\nincreased central corneal thickness (CCT), having undergone Descemet stripping only\n(DSO) between January 2019 and January 2026 were included. Procedures were performed\nby three surgeons.\nPre- and post-operative BCVA, central endothelial cell count (cECC) by specular\nbiomicroscopy, and corneal central corneal thickness (CCT) by pachymetry were recorded.\nFollow-up examinations were conducted 1, 3, 6, 12, 24, 36, 48, 60 and 72 months, and\navailable data recorded.",
        "Results": "We identified 44 eyes of 36 patients that underwent DSO. Endothelial repopulation\nof central stroma was observed in 32 of 44 eyes (72.7%). Three patients who were treated\nwith netarsudil, and 9 who underwent subsequent endothelial keratoplasty were excluded\nfrom further analysis.\nA total of 32 eyes of 23 patients were analysed. Measurable cECC was detected in 27 of 32\neyes (84%) at a median of 6 months (95% CI 2.3 to 9.7) with mean cell density 846 cells/mm²\n(474-1340). From first detection to last follow-up mean cECC increased by 211 cells/mm²\n(95% CI 21.9 to 400). Improvement in corneal clarity was reflected by an overall mean\nreduction in CCT of 53 µm (95% CI −86 to −21) and improvement in mean BCVA gain of\n0.17 logMAR (95% CI -0.29 to -0.04).",
        "Conclusions": "Descemet stripping only is proving to be a promising approach for managing\ncorneal endothelial diseases, including Fuchs’ endothelial corneal dystrophy. The procedure\nis minimally invasive, avoids reliance on donor tissue, reduces the risk of graft-related\ncomplications, and limits the need for long-term corticosteroid treatment.\nIn our cohort, the majority of eyes achieved measurable central endothelial repopulation,\nwith progressive recovery of central endothelial cell density, improved corneal clarity, and\nsignificant gain in visual acuity. These findings support DSO as a safe and effective\nalternative to conventional corneal keratoplasty."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "PP11.16",
      "abstract_number": "PP11.16",
      "title": "Experiences Of Using Imported United States Donor Tissue In A National Health Service (Nhs) Corneal Transplant Department",
      "authors": "Dr Cara Campbell",
      "presenter": "Dr Cara Campbell",
      "normalized_authors": [
        "Cara Campbell"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cara Campbell",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The United Kingdom (UK) faces an annual deficit of approximately 1,500 donor corneas per year. The reasons for this are multifactorial and includes: 1) stricter exclusion criteria in the UK, 2) logistical challenges of retrieval, including shortage of trained staff and suitable facilities, 3) low donor consent, 4) family refusal, and 5) lack of public understanding and awareness.",
        "Setting": "When listing a patient for a corneal graft in the UK, a patient is categorised into one for four groups depending on urgency of the surgery. In practice the urgent groups 1 and 2 have their corneal graft surgery within the intended timeframe, whereas the routine group 4 cases have a waiting time for greater than 52 weeks. The huge backlog and excessive waiting time for corneal grafts may result in deterioration in clinical condition.",
        "Methods": "In our National Health Service (NHS) corneal transplant service, we explored options to reduce our corneal graft waiting times and found a solution in importing corneal grafts from the United States (US). Joint Operations provides imported corneal grafts to multiple NHS units and private hospitals in the UK. In 2025 Joint Operations supplied 1,050 US imported donor corneas to the UK for clinical use, which accounts for approximately one fifth of all corneal grafts preformed in the UK. Our first case using US imported corneal tissue was done on 23 rd January 2025. Over the last 12 months, a total of 64 DMEK and DSAEK cases were preformed using US imported tissue in our hospital.",
        "Results": "Waiting times reduced from 52+ to 28 weeks. Patient benefits include earlier visual rehab, reduced progression and enhanced satisfaction. Service benefits include optimised theatre utilisation, reduced waiting times and increased training opportunity. DMEK rebubble rate is 36% for US tissue versus 33.3% for NHSBT. Challenges encountered with US imported tissue include: 1) donor corneas from eyes with previous cataract/LASIK surgery, requiring DMEK preparation adjustment, 2) donor corneas from patients with multiple comorbidities, friable tissue at higher risk of DMEK preparation failure, 3) oedematous donor tissue requiring adjustment of DSAEK process, and 5) epithelial denudation, with department consensus not to use US tissue for PK/DALK.",
        "Conclusions": "In summary, there is a deficit in corneal donor tissue in the UK. Importing tissues from the US has helped reduced our DMEK and DSAEK waiting times, as well as providing benefits for both patients and the service. Due to differences in the exclusion criteria for US corneal donation we have encountered several challenges and considerations when using US imported tissues in an NHS UK trust."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In summary, there is a deficit in corneal donor tissue in the UK. Importing tissues from the US has helped reduced our DMEK and DSAEK waiting times, as well as providing benefits for both patients and the service. Due to differences in the exclusion criteria for US corneal donation we have encountered several challenges and considerations when using US imported tissues in an NHS UK trust.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 162,
      "source_fields": {
        "Abstract Final Identifier": "PP11.16",
        "Title": "Experiences Of Using Imported United States Donor Tissue In A National Health Service (Nhs) Corneal Transplant Department",
        "Presenting Author(s)": "Dr Cara Campbell",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Cara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Campbell",
        "Country Name": "United Kingdom",
        "Purpose": "The United Kingdom (UK) faces an annual deficit of approximately 1,500 donor corneas per year. The reasons for this are multifactorial and includes: 1) stricter exclusion criteria in the UK, 2) logistical challenges of retrieval, including shortage of trained staff and suitable facilities, 3) low donor consent, 4) family refusal, and 5) lack of public understanding and awareness.",
        "Setting": "When listing a patient for a corneal graft in the UK, a patient is categorised into one for four groups depending on urgency of the surgery. In practice the urgent groups 1 and 2 have their corneal graft surgery within the intended timeframe, whereas the routine group 4 cases have a waiting time for greater than 52 weeks. The huge backlog and excessive waiting time for corneal grafts may result in deterioration in clinical condition.",
        "Methods": "In our National Health Service (NHS) corneal transplant service, we explored options to reduce our corneal graft waiting times and found a solution in importing corneal grafts from the United States (US). Joint Operations provides imported corneal grafts to multiple NHS units and private hospitals in the UK. In 2025 Joint Operations supplied 1,050 US imported donor corneas to the UK for clinical use, which accounts for approximately one fifth of all corneal grafts preformed in the UK. Our first case using US imported corneal tissue was done on 23 rd January 2025. Over the last 12 months, a total of 64 DMEK and DSAEK cases were preformed using US imported tissue in our hospital.",
        "Results": "Waiting times reduced from 52+ to 28 weeks. Patient benefits include earlier visual rehab, reduced progression and enhanced satisfaction. Service benefits include optimised theatre utilisation, reduced waiting times and increased training opportunity. DMEK rebubble rate is 36% for US tissue versus 33.3% for NHSBT. Challenges encountered with US imported tissue include: 1) donor corneas from eyes with previous cataract/LASIK surgery, requiring DMEK preparation adjustment, 2) donor corneas from patients with multiple comorbidities, friable tissue at higher risk of DMEK preparation failure, 3) oedematous donor tissue requiring adjustment of DSAEK process, and 5) epithelial denudation, with department consensus not to use US tissue for PK/DALK.",
        "Conclusions": "In summary, there is a deficit in corneal donor tissue in the UK. Importing tissues from the US has helped reduced our DMEK and DSAEK waiting times, as well as providing benefits for both patients and the service. Due to differences in the exclusion criteria for US corneal donation we have encountered several challenges and considerations when using US imported tissues in an NHS UK trust."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 423
    },
    {
      "uid": "PP11.017",
      "abstract_number": "PP11.017",
      "title": "Cycloastragenol Preserves Telomere Length And Endothelial Cell Density: A Novel Approach For Early-Stage Fecd",
      "authors": "Dr Iskender Alkin Solmaz",
      "presenter": "Dr Iskender Alkin Solmaz",
      "normalized_authors": [
        "Iskender Alkin Solmaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iskender Alkin Solmaz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Corneal endothelial cell (CEC) telomeres are the shortest among ocular tissues. Short telomeres can lead to cell senescence and death. We hypothesized that preventing telomere attrition in Fuchs endothelial corneal dystrophy (FECD) cells will prevent CEC loss.",
        "Setting": "Kirikkale University, Faculty of Veterinary Medicine, Department of Preclinical Sciences, Kirikkale, Turkiye",
        "Methods": "The left eyes of eight 16-month-old New Zealand rabbits were treated with TAED017 (cycloastragenol-based formulation) for six months, while the untreated right eyes served as controls. 0.05 mL of TAED017 was applied twice daily to the left eye. Endothelial cell density was measured using specular microscopy (NIDEK-CEM 530, Japan) and reported as a percentage of baseline values. Corneal tissue cryosections (5 µm) were labeled with telomere peptide nucleic acid fluorescence in situ hybridization (PNA-FISH) probes, and nuclei were counterstained with Hoechst. Telomere length in corneal layers was quantified as the ratio of telomere to nuclear signal intensity normalized to untreated controls.",
        "Results": "CEC density was measured in untreated and treated eyes at baseline and after six months, showing a 9.5% higher density in treated eyes. TAED017 treatment maintained longer CEC telomere lengths compared to untreated eyes after six months.",
        "Conclusions": "TAED017 treatment prevents corneal endothelial cell loss, suggesting it may serve as a potential therapy for FECD, preserving CECs in early-stage patients and reducing the need for invasive procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "TAED017 treatment prevents corneal endothelial cell loss, suggesting it may serve as a potential therapy for FECD, preserving CECs in early-stage patients and reducing the need for invasive procedures.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 163,
      "source_fields": {
        "Abstract Final Identifier": "PP11.017",
        "Title": "Cycloastragenol Preserves Telomere Length And Endothelial Cell Density: A Novel Approach For Early-Stage Fecd",
        "Presenting Author(s)": "Dr Iskender Alkin Solmaz",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Iskender Alkin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Solmaz",
        "Country Name": "Türkiye",
        "Purpose": "Corneal endothelial cell (CEC) telomeres are the shortest among ocular tissues. Short telomeres can lead to cell senescence and death. We hypothesized that preventing telomere attrition in Fuchs endothelial corneal dystrophy (FECD) cells will prevent CEC loss.",
        "Setting": "Kirikkale University, Faculty of Veterinary Medicine, Department of Preclinical Sciences, Kirikkale, Turkiye",
        "Methods": "The left eyes of eight 16-month-old New Zealand rabbits were treated with TAED017 (cycloastragenol-based formulation) for six months, while the untreated right eyes served as controls. 0.05 mL of TAED017 was applied twice daily to the left eye. Endothelial cell density was measured using specular microscopy (NIDEK-CEM 530, Japan) and reported as a percentage of baseline values. Corneal tissue cryosections (5 µm) were labeled with telomere peptide nucleic acid fluorescence in situ hybridization (PNA-FISH) probes, and nuclei were counterstained with Hoechst. Telomere length in corneal layers was quantified as the ratio of telomere to nuclear signal intensity normalized to untreated controls.",
        "Results": "CEC density was measured in untreated and treated eyes at baseline and after six months, showing a 9.5% higher density in treated eyes. TAED017 treatment maintained longer CEC telomere lengths compared to untreated eyes after six months.",
        "Conclusions": "TAED017 treatment prevents corneal endothelial cell loss, suggesting it may serve as a potential therapy for FECD, preserving CECs in early-stage patients and reducing the need for invasive procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 218
    },
    {
      "uid": "PP11.018",
      "abstract_number": "PP11.018",
      "title": "Long Term Outcomes Of Artificial Corneal Endothelial Transplant (Endoart): A Single, Tertiary Centre Cohort",
      "authors": "Prof. Mayank Nanavaty",
      "presenter": "Prof. Mayank Nanavaty",
      "normalized_authors": [
        "Mayank Nanavaty"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mayank Nanavaty",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate longer-term anatomical and functional outcomes of artificial corneal endothelial transplant (EndoArt) in complex endothelial failure, often after multiple grafts and glaucoma surgery, in a tertiary UK centre. We report corneal thickness, visual acuity, and complication profile, including rebubbling, resuturing and intraocular pressure (IOP) changes, to assess the role of EndoArt as a keratoplasty-sparing option in high‑risk eyes.",
        "Setting": "Single-surgeon series at a UK tertiary referral corneal service with a high proportion of graft‑failure and glaucoma‑tube eyes.",
        "Methods": "Retrospective consecutive case series of 15 eyes undergoing EndoArt for endothelial decompensation, including failed penetrating keratoplasty (PK), Descemet membrane endothelial keratoplasty (DMEK), Descemet stripping automated endothelial keratoplasty (DSAEK), and primary or secondary endothelial failure. Demographics, indications, prior grafts, glaucoma surgery, and comorbid retinal or infectious pathology (fungal keratitis, herpes simplex, prior retinal detachment surgery) were recorded. Central corneal thickness (pachymetry) was collected preoperatively and at early (1 week–1 month) and late follow‑up. Best‑corrected distance visual acuity (BCDVA), IOP, and need for resuturing or rebubbling were analysed at the last visit. ​",
        "Results": "Fifteen eyes from 15 patients (mean age 73.9years; range 33–92; 8 males) were included; 8/15 (53%) had at least one previous endothelial graft and 4/15 had combined PK–DSAEK or PK–DMEK. Advanced glaucoma with trabeculectomy or tubes, aniridia, prior retinal detachment surgery or maculopathy were present in 11/15 (73%) eyes. Mean baseline pachymetry was approximately 930µm (range 520–3430µm), improving to a mean of 640µm at the latest measurement. Baseline vision was HM or CF in 12/15 (80%) eyes, improving to 6/24–6/12 in 5/15 (33%) eyes, mainly FED, pseudophakic bullous keratopathy or disciform keratitis cases. One eye (7%) required resuturing, two (13%) required rebubbling, and no eye developed new sustained IOP elevation. ​",
        "Conclusions": "In this 15‑eye high‑risk cohort, EndoArt achieved substantial corneal deturgescence with one‑third of eyes gaining BCDVA of at least 6/24 despite advanced comorbidity. The low rates of rebubbling, resuturing and IOP‑related complications support EndoArt as a promising keratoplasty‑sparing option in endothelial failure after graft or tube surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this 15‑eye high‑risk cohort, EndoArt achieved substantial corneal deturgescence with one‑third of eyes gaining BCDVA of at least 6/24 despite advanced comorbidity. The low rates of rebubbling, resuturing and IOP‑related complications support EndoArt as a promising keratoplasty‑sparing option in endothelial failure after graft or tube surgery.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 164,
      "source_fields": {
        "Abstract Final Identifier": "PP11.018",
        "Title": "Long Term Outcomes Of Artificial Corneal Endothelial Transplant (Endoart): A Single, Tertiary Centre Cohort",
        "Presenting Author(s)": "Prof. Mayank Nanavaty",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Mayank",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nanavaty",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate longer-term anatomical and functional outcomes of artificial corneal endothelial transplant (EndoArt) in complex endothelial failure, often after multiple grafts and glaucoma surgery, in a tertiary UK centre. We report corneal thickness, visual acuity, and complication profile, including rebubbling, resuturing and intraocular pressure (IOP) changes, to assess the role of EndoArt as a keratoplasty-sparing option in high‑risk eyes.",
        "Setting": "Single-surgeon series at a UK tertiary referral corneal service with a high proportion of graft‑failure and glaucoma‑tube eyes.",
        "Methods": "Retrospective consecutive case series of 15 eyes undergoing EndoArt for endothelial decompensation, including failed penetrating keratoplasty (PK), Descemet membrane endothelial keratoplasty (DMEK), Descemet stripping automated endothelial keratoplasty (DSAEK), and primary or secondary endothelial failure. Demographics, indications, prior grafts, glaucoma surgery, and comorbid retinal or infectious pathology (fungal keratitis, herpes simplex, prior retinal detachment surgery) were recorded. Central corneal thickness (pachymetry) was collected preoperatively and at early (1 week–1 month) and late follow‑up. Best‑corrected distance visual acuity (BCDVA), IOP, and need for resuturing or rebubbling were analysed at the last visit. ​",
        "Results": "Fifteen eyes from 15 patients (mean age 73.9years; range 33–92; 8 males) were included; 8/15 (53%) had at least one previous endothelial graft and 4/15 had combined PK–DSAEK or PK–DMEK. Advanced glaucoma with trabeculectomy or tubes, aniridia, prior retinal detachment surgery or maculopathy were present in 11/15 (73%) eyes. Mean baseline pachymetry was approximately 930µm (range 520–3430µm), improving to a mean of 640µm at the latest measurement. Baseline vision was HM or CF in 12/15 (80%) eyes, improving to 6/24–6/12 in 5/15 (33%) eyes, mainly FED, pseudophakic bullous keratopathy or disciform keratitis cases. One eye (7%) required resuturing, two (13%) required rebubbling, and no eye developed new sustained IOP elevation. ​",
        "Conclusions": "In this 15‑eye high‑risk cohort, EndoArt achieved substantial corneal deturgescence with one‑third of eyes gaining BCDVA of at least 6/24 despite advanced comorbidity. The low rates of rebubbling, resuturing and IOP‑related complications support EndoArt as a promising keratoplasty‑sparing option in endothelial failure after graft or tube surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "PP11.02",
      "abstract_number": "PP11.02",
      "title": "Pars-Plana Injection Of Balanced Salt Solution For Anterior Chamber Tamponade Is An Effective Rescue\nTechnique In Eyes With Scleral Fixated Intraocular Lens Undergoing Ultra-Thin Descemet Stripping Automated\nEndothelial Keratoplasty",
      "authors": "Dr Shahnaz Anjum",
      "presenter": "Dr Shahnaz Anjum",
      "normalized_authors": [
        "Shahnaz Anjum"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shahnaz Anjum",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "We evaluated the efficacy of injecting a balanced salt solution (BSS) through the pars-plana route for improving\nair tamponade and preventing Descemet stripping automated endothelial keratoplasty (DSAEK) graft detachment in\npatients with previous Scleral fixated intraocular lens (SF-IOL) implantation.",
        "Setting": "A retrospective analysis of data of twenty eyes that underwent a modified ultrathin DSAEK surgery from December 2020 to December 2024 after a previous surgery of SF-IOL implantation at least 3 months before the current procedure was performed. The study was conducted at Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi.",
        "Methods": "Twenty eyes underwent a modified ultrathin (<100 µm) DSAEK at a tertiary eye care centre after a previous SF-\n\nIOL implantation at least 3 months prior. In the modified technique, after the graft was inserted in the anterior chamber\n\nand the air bubble was injected below it, BSS was injected into the vitreous cavity through the pars plana using a 30G\n\nneedle at 3.5mm from the limbus. The fluid was injected till the globe appeared firm on indentation. The primary outcome\n\nmeasure was the post-operative re-bubbling rate. All patients were followed up for at least 3 months.",
        "Results": "The mean uncorrected distance visual acuity was 0.92 ± 0.17 logMAR and Corrected distance visual acuity\n(CDVA) was 0.56 ± 0.17 logMAR at 3 months. Of 20 eyes, all eyes had good graft attachment on the table with minimal\nmanipulation. Only 1 (5%) eye needed rebubbling in the postoperative period.",
        "Conclusions": "This can be a useful rescue technique in DSAEK cases with SFIOL or aphakic vitrectomized eyes where\ngraft re-detachment is high."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This can be a useful rescue technique in DSAEK cases with SFIOL or aphakic vitrectomized eyes where graft re-detachment is high.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 165,
      "source_fields": {
        "Abstract Final Identifier": "PP11.02",
        "Title": "Pars-Plana Injection Of Balanced Salt Solution For Anterior Chamber Tamponade Is An Effective Rescue\nTechnique In Eyes With Scleral Fixated Intraocular Lens Undergoing Ultra-Thin Descemet Stripping Automated\nEndothelial Keratoplasty",
        "Presenting Author(s)": "Dr Shahnaz Anjum",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Shahnaz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Anjum",
        "Country Name": "India",
        "Purpose": "We evaluated the efficacy of injecting a balanced salt solution (BSS) through the pars-plana route for improving\nair tamponade and preventing Descemet stripping automated endothelial keratoplasty (DSAEK) graft detachment in\npatients with previous Scleral fixated intraocular lens (SF-IOL) implantation.",
        "Setting": "A retrospective analysis of data of twenty eyes that underwent a modified ultrathin DSAEK surgery from December 2020 to December 2024 after a previous surgery of SF-IOL implantation at least 3 months before the current procedure was performed. The study was conducted at Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi.",
        "Methods": "Twenty eyes underwent a modified ultrathin (<100 µm) DSAEK at a tertiary eye care centre after a previous SF-\n\nIOL implantation at least 3 months prior. In the modified technique, after the graft was inserted in the anterior chamber\n\nand the air bubble was injected below it, BSS was injected into the vitreous cavity through the pars plana using a 30G\n\nneedle at 3.5mm from the limbus. The fluid was injected till the globe appeared firm on indentation. The primary outcome\n\nmeasure was the post-operative re-bubbling rate. All patients were followed up for at least 3 months.",
        "Results": "The mean uncorrected distance visual acuity was 0.92 ± 0.17 logMAR and Corrected distance visual acuity\n(CDVA) was 0.56 ± 0.17 logMAR at 3 months. Of 20 eyes, all eyes had good graft attachment on the table with minimal\nmanipulation. Only 1 (5%) eye needed rebubbling in the postoperative period.",
        "Conclusions": "This can be a useful rescue technique in DSAEK cases with SFIOL or aphakic vitrectomized eyes where\ngraft re-detachment is high."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "PP11.03",
      "abstract_number": "PP11.03",
      "title": "Eye-Bank Precut Versus Surgeon-Cut Tissue Graft For Descemet Stripping Automated Endothelial Keratoplasty (Dsaek): A Systematic Review And Meta-Analysis",
      "authors": "Dr Mohammad Karam",
      "presenter": "Dr Mohammad Karam",
      "normalized_authors": [
        "Mohammad Karam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammad Karam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To compare the outcomes of eye-bank precut versus surgeon-cut tissue grafts in patients undergoing Descemet Stripping Automated Endothelial Keratoplasty (DSAEK).",
        "Setting": "Systematic review and meta-analysis.",
        "Methods": "A systematic review and meta-analysis were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Electronic information was searched to identify comparative studies of eye bank precut versus surgeon-cut tissue grafts for DSAEK. Endothelial cell loss, rebubbling rate, and best-corrected visual acuity (BCVA) were the primary outcome measures. Secondary outcome measures included postoperative corneal thickness, complications, and cost. Fixed-effects modelling was used for the analysis.",
        "Results": "Six studies enrolling 548 graft patients who underwent DSAEK were identified. Although endothelial cell loss was not significantly different between the groups at 6 months postoperatively (MD=-0.29,P=0.97), it was significant at 1 year (MD=-4.53,P=0.02), favoring the eye-bank group. Similarly, there was a statistically significant difference in the postoperative BCVA (MD=-0.01,P=0.007), favoring the eye bank precut group. There was no significant difference in terms of the rebubbling rate (OR=1.70,P=0.25) and graft failure rate (OR=1.04,P=0.97). Similarly, no difference was noted in postoperative corneal thickness and complications, including increased intraocular pressure and the development of Irvine-Gass Syndrome.",
        "Conclusions": "The eye bank is an excellent alternative to surgeon-cut grafts for patients undergoing DSAEK, as it yields a similar rebubbling rate and improved endothelial cell loss."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The eye bank is an excellent alternative to surgeon-cut grafts for patients undergoing DSAEK, as it yields a similar rebubbling rate and improved endothelial cell loss.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 166,
      "source_fields": {
        "Abstract Final Identifier": "PP11.03",
        "Title": "Eye-Bank Precut Versus Surgeon-Cut Tissue Graft For Descemet Stripping Automated Endothelial Keratoplasty (Dsaek): A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Mohammad Karam",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Mohammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karam",
        "Country Name": "Canada",
        "Purpose": "To compare the outcomes of eye-bank precut versus surgeon-cut tissue grafts in patients undergoing Descemet Stripping Automated Endothelial Keratoplasty (DSAEK).",
        "Setting": "Systematic review and meta-analysis.",
        "Methods": "A systematic review and meta-analysis were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Electronic information was searched to identify comparative studies of eye bank precut versus surgeon-cut tissue grafts for DSAEK. Endothelial cell loss, rebubbling rate, and best-corrected visual acuity (BCVA) were the primary outcome measures. Secondary outcome measures included postoperative corneal thickness, complications, and cost. Fixed-effects modelling was used for the analysis.",
        "Results": "Six studies enrolling 548 graft patients who underwent DSAEK were identified. Although endothelial cell loss was not significantly different between the groups at 6 months postoperatively (MD=-0.29,P=0.97), it was significant at 1 year (MD=-4.53,P=0.02), favoring the eye-bank group. Similarly, there was a statistically significant difference in the postoperative BCVA (MD=-0.01,P=0.007), favoring the eye bank precut group. There was no significant difference in terms of the rebubbling rate (OR=1.70,P=0.25) and graft failure rate (OR=1.04,P=0.97). Similarly, no difference was noted in postoperative corneal thickness and complications, including increased intraocular pressure and the development of Irvine-Gass Syndrome.",
        "Conclusions": "The eye bank is an excellent alternative to surgeon-cut grafts for patients undergoing DSAEK, as it yields a similar rebubbling rate and improved endothelial cell loss."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 239
    },
    {
      "uid": "PP11.04",
      "abstract_number": "PP11.04",
      "title": "Long-Term Outcomes Of Dsaek At A Tertiary Eye Center In Saudi Arabia: A 15-Year Retrospective Review",
      "authors": "Dr Munirah Zaid Aldofyan",
      "presenter": "Dr Munirah Zaid Aldofyan",
      "normalized_authors": [
        "Munirah Zaid Aldofyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Munirah Zaid Aldofyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "This study aims to evaluate the long-term outcomes of Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) at a tertiary care center in Saudi Arabia over a 15-year period, focusing on the graft survival, visual improvement, complications rates, and graft insertion techniques.",
        "Setting": "Single-center retrospective review conducted at King Abdulaziz University Hospital (tertiary eye center), Riyadh, Saudi Arabia.",
        "Methods": "This is a retrospective study that included all patients who underwent DSAEK at King Abdulaziz University Hospital (KAUH), Riyadh, between 2009 and 2024. Data were collected on demographics, surgical details, visual acuity, graft survival, and complications. Primary and secondary graft failures were clarified, and risk factors were analyzed using univariate and multivariate Cox regression. Kaplan-Meier survival curves were used to represent the grafts survival, and surgical techniques (Lens Glide vs. Busin Glide) were compared.",
        "Results": "A total of 179 eyes were included. The overall graft survival rate was 69.3%,with cumulative survival of 81.0%at 1 year,63.8%at 3 years,and 51.7%at 5 years. Visual acuity improved in 46.9% of patients. Postoperative complications occurred in 38.5% of cases, with endothelial rejection being the leading cause of graft failure.In multivariate analysis, postoperative complications were the only independent risk factor for failure(HR = 2.67,95% CI:1.71–4.18, p <0.001).Although not statistically significant,a trend toward decreasing survival rates was evident with repeated DSAEK. Among surgical techniques, the lens glide group had no primary failures in the single-surgeon subgroup and demonstrated higher success rates than busin glide( p = 0.026).",
        "Conclusions": "DSAEK provides favorable long-term outcomes, though prior surgeries, glaucoma, and postoperative complications, specifically endothelial rejection, can negatively impact graft survival. Surgical technique may influence early failure rates, emphasizing the importance of gentle tissue handling and surgeon expertise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DSAEK provides favorable long-term outcomes, though prior surgeries, glaucoma, and postoperative complications, specifically endothelial rejection, can negatively impact graft survival. Surgical technique may influence early failure rates, emphasizing the importance of gentle tissue handling and surgeon expertise.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 167,
      "source_fields": {
        "Abstract Final Identifier": "PP11.04",
        "Title": "Long-Term Outcomes Of Dsaek At A Tertiary Eye Center In Saudi Arabia: A 15-Year Retrospective Review",
        "Presenting Author(s)": "Dr Munirah Zaid Aldofyan",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Munirah",
        "Submitter Middle Name": "Zaid",
        "Submitter Last Name": "Aldofyan",
        "Country Name": "Saudi Arabia",
        "Purpose": "This study aims to evaluate the long-term outcomes of Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) at a tertiary care center in Saudi Arabia over a 15-year period, focusing on the graft survival, visual improvement, complications rates, and graft insertion techniques.",
        "Setting": "Single-center retrospective review conducted at King Abdulaziz University Hospital (tertiary eye center), Riyadh, Saudi Arabia.",
        "Methods": "This is a retrospective study that included all patients who underwent DSAEK at King Abdulaziz University Hospital (KAUH), Riyadh, between 2009 and 2024. Data were collected on demographics, surgical details, visual acuity, graft survival, and complications. Primary and secondary graft failures were clarified, and risk factors were analyzed using univariate and multivariate Cox regression. Kaplan-Meier survival curves were used to represent the grafts survival, and surgical techniques (Lens Glide vs. Busin Glide) were compared.",
        "Results": "A total of 179 eyes were included. The overall graft survival rate was 69.3%,with cumulative survival of 81.0%at 1 year,63.8%at 3 years,and 51.7%at 5 years. Visual acuity improved in 46.9% of patients. Postoperative complications occurred in 38.5% of cases, with endothelial rejection being the leading cause of graft failure.In multivariate analysis, postoperative complications were the only independent risk factor for failure(HR = 2.67,95% CI:1.71–4.18, p <0.001).Although not statistically significant,a trend toward decreasing survival rates was evident with repeated DSAEK. Among surgical techniques, the lens glide group had no primary failures in the single-surgeon subgroup and demonstrated higher success rates than busin glide( p = 0.026).",
        "Conclusions": "DSAEK provides favorable long-term outcomes, though prior surgeries, glaucoma, and postoperative complications, specifically endothelial rejection, can negatively impact graft survival. Surgical technique may influence early failure rates, emphasizing the importance of gentle tissue handling and surgeon expertise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "PP11.05",
      "abstract_number": "PP11.05",
      "title": "Tectonic Mini-Dsaek For Corneal Perforations: A Two-Centre Case Series",
      "authors": "Ms María Gómez-Tomás",
      "presenter": "Ms María Gómez-Tomás",
      "normalized_authors": [
        "María Gómez-Tomás"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "María Gómez-Tomás",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To report the clinical outcomes of tectonic mini–Descemet’s stripping automated endothelial keratoplasty (mini-DSAEK) for corneal perforation in five eyes, and to describe results with two technical strategies: sutureless versus anchored lenticule fixation.",
        "Setting": "Guy’s and St Thomas’ Hospital (London, United Kingdom) and Hospital Clínico Universitario de Valladolid (Spain).",
        "Methods": "Retrospective two-centre case series of five eyes undergoing tectonic mini-DSAEK. Mini-DSAEK lenticules were <5 mm in diameter and individually tailored to the perforation size, associated corneal thinning, and location. Aetiologies included corneal melting, Stevens–Johnson syndrome (bilateral), post-LASIK neurotrophic ulcer, and active herpetic keratitis (as a temporary measure prior to a definitive keratoplasty). Tectonic success was defined as a sealed globe with a formed anterior chamber and no persistent leak. Surgical technique differed by centre: sutureless mini-DSAEK (United Kingdom) versus anchored mini-DSAEK secured with sutures (Spain).",
        "Results": "In all five eyes , globe integrity was restored after mini-DSAEK, with a stable anterior chamber and no persistent aqueous leak on follow-up visits, resulting in 100% tectonic success . Rebubbling was not required in any case, and complete epithelialisation occurred by post-operative day 14 in all eyes. The procedure was not associated with intraoperative or post-operative complications . Early post-operative stability was similar with sutureless versus anchored lenticule fixation, with no long-term differences observed between techniques. In the case of active herpetic keratitis, the procedure provided temporary stabilisation to enable penetrating keratoplasty once inflammation was controlled.",
        "Conclusions": "Tectonic mini–Descemet’s stripping automated endothelial keratoplasty appears to be a practical globe-preserving option for corneal perforation, particularly when tissue adhesives are unsuitable. In this case series, outcomes were comparable with sutureless and anchored lenticule fixation. The technique may also be considered as a bridge to later keratoplasty in selected eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Tectonic mini–Descemet’s stripping automated endothelial keratoplasty appears to be a practical globe-preserving option for corneal perforation, particularly when tissue adhesives are unsuitable. In this case series, outcomes were comparable with sutureless and anchored lenticule fixation. The technique may also be considered as a bridge to later keratoplasty in selected eyes.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 168,
      "source_fields": {
        "Abstract Final Identifier": "PP11.05",
        "Title": "Tectonic Mini-Dsaek For Corneal Perforations: A Two-Centre Case Series",
        "Presenting Author(s)": "Ms María Gómez-Tomás",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "María",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gómez-Tomás",
        "Country Name": "Spain",
        "Purpose": "To report the clinical outcomes of tectonic mini–Descemet’s stripping automated endothelial keratoplasty (mini-DSAEK) for corneal perforation in five eyes, and to describe results with two technical strategies: sutureless versus anchored lenticule fixation.",
        "Setting": "Guy’s and St Thomas’ Hospital (London, United Kingdom) and Hospital Clínico Universitario de Valladolid (Spain).",
        "Methods": "Retrospective two-centre case series of five eyes undergoing tectonic mini-DSAEK. Mini-DSAEK lenticules were <5 mm in diameter and individually tailored to the perforation size, associated corneal thinning, and location. Aetiologies included corneal melting, Stevens–Johnson syndrome (bilateral), post-LASIK neurotrophic ulcer, and active herpetic keratitis (as a temporary measure prior to a definitive keratoplasty). Tectonic success was defined as a sealed globe with a formed anterior chamber and no persistent leak. Surgical technique differed by centre: sutureless mini-DSAEK (United Kingdom) versus anchored mini-DSAEK secured with sutures (Spain).",
        "Results": "In all five eyes , globe integrity was restored after mini-DSAEK, with a stable anterior chamber and no persistent aqueous leak on follow-up visits, resulting in 100% tectonic success . Rebubbling was not required in any case, and complete epithelialisation occurred by post-operative day 14 in all eyes. The procedure was not associated with intraoperative or post-operative complications . Early post-operative stability was similar with sutureless versus anchored lenticule fixation, with no long-term differences observed between techniques. In the case of active herpetic keratitis, the procedure provided temporary stabilisation to enable penetrating keratoplasty once inflammation was controlled.",
        "Conclusions": "Tectonic mini–Descemet’s stripping automated endothelial keratoplasty appears to be a practical globe-preserving option for corneal perforation, particularly when tissue adhesives are unsuitable. In this case series, outcomes were comparable with sutureless and anchored lenticule fixation. The technique may also be considered as a bridge to later keratoplasty in selected eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "PP11.06",
      "abstract_number": "PP11.06",
      "title": "Glaucoma Surgery-Associated Bullous Keratopathy In The Japanese National Corneal Transplant Registry: A Subanalysis Of Clinical Features And Outcomes By Etiologic Subgroup And Glaucoma Subtype",
      "authors": "Dr Rei Saito",
      "presenter": "Dr Rei Saito",
      "normalized_authors": [
        "Rei Saito"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rei Saito",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To investigate clinical characteristics and one-year outcomes of glaucoma surgery–associated bullous keratopathy (BK), comparing eyes with prior incisional glaucoma surgery (IGS-BK) and laser iridotomy (LI-BK), and to identify predictors of graft failure within IGS-BK.",
        "Setting": "Japanese National Corneal Transplant Registry, a nationwide multicenter database.",
        "Methods": "Among 1,941 registered BK eyes, 404 IGS-BK and 353 LI-BK eyes were analyzed. Baseline characteristics and one-year graft clarity were compared between groups. Within IGS-BK, outcomes were stratified by glaucoma subtype. Univariate logistic regression (n=382, excluding unknown graft clarity) and multivariate logistic regression (n=371, additionally excluding cytomegalovirus and pediatric glaucoma) were performed to identify predictors of graft failure (cloudy graft).",
        "Results": "IGS-BK patients were younger than LI-BK patients (72.8 vs 77.2 years, P<0.001) and predominantly male (64.6% vs 18.4%). Primary open-angle/normal-tension glaucoma (34.7%) and exfoliation glaucoma (XFG) (30.0%) were the most common subtypes. Descemet stripping automated endothelial keratoplasty was the main procedure (>80% in both groups). One-year graft clarity was lower in IGS-BK than in LI-BK (82.2% vs 90.5%, P=0.002), with XFG showing the poorest rate (73.0%). In multivariate analysis, XFG (adjusted OR 3.00, 95% CI 1.50–5.99, P=0.002) and younger age (adjusted OR 0.72 per 10 years, P=0.019) independently predicted graft failure.",
        "Conclusions": "Exfoliation glaucoma independently predicts poorer graft survival in IGS-BK. Stratification by glaucoma subtype may be important when planning endothelial keratoplasty in eyes with prior glaucoma surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Exfoliation glaucoma independently predicts poorer graft survival in IGS-BK. Stratification by glaucoma subtype may be important when planning endothelial keratoplasty in eyes with prior glaucoma surgery.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 169,
      "source_fields": {
        "Abstract Final Identifier": "PP11.06",
        "Title": "Glaucoma Surgery-Associated Bullous Keratopathy In The Japanese National Corneal Transplant Registry: A Subanalysis Of Clinical Features And Outcomes By Etiologic Subgroup And Glaucoma Subtype",
        "Presenting Author(s)": "Dr Rei Saito",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Rei",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saito",
        "Country Name": "Japan",
        "Purpose": "To investigate clinical characteristics and one-year outcomes of glaucoma surgery–associated bullous keratopathy (BK), comparing eyes with prior incisional glaucoma surgery (IGS-BK) and laser iridotomy (LI-BK), and to identify predictors of graft failure within IGS-BK.",
        "Setting": "Japanese National Corneal Transplant Registry, a nationwide multicenter database.",
        "Methods": "Among 1,941 registered BK eyes, 404 IGS-BK and 353 LI-BK eyes were analyzed. Baseline characteristics and one-year graft clarity were compared between groups. Within IGS-BK, outcomes were stratified by glaucoma subtype. Univariate logistic regression (n=382, excluding unknown graft clarity) and multivariate logistic regression (n=371, additionally excluding cytomegalovirus and pediatric glaucoma) were performed to identify predictors of graft failure (cloudy graft).",
        "Results": "IGS-BK patients were younger than LI-BK patients (72.8 vs 77.2 years, P<0.001) and predominantly male (64.6% vs 18.4%). Primary open-angle/normal-tension glaucoma (34.7%) and exfoliation glaucoma (XFG) (30.0%) were the most common subtypes. Descemet stripping automated endothelial keratoplasty was the main procedure (>80% in both groups). One-year graft clarity was lower in IGS-BK than in LI-BK (82.2% vs 90.5%, P=0.002), with XFG showing the poorest rate (73.0%). In multivariate analysis, XFG (adjusted OR 3.00, 95% CI 1.50–5.99, P=0.002) and younger age (adjusted OR 0.72 per 10 years, P=0.019) independently predicted graft failure.",
        "Conclusions": "Exfoliation glaucoma independently predicts poorer graft survival in IGS-BK. Stratification by glaucoma subtype may be important when planning endothelial keratoplasty in eyes with prior glaucoma surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "PP11.07",
      "abstract_number": "PP11.07",
      "title": "Long-Term Results Of Eyes With A Corneal Transplantation And A Glaucoma Drainage Device: A Dutch Retrospective Multicenter Study",
      "authors": "Dr Yexin Ye",
      "presenter": "Dr Yexin Ye",
      "normalized_authors": [
        "Yexin Ye"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yexin Ye",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To evaluate clinical outcomes in eyes with corneal transplantation and glaucoma drainage device (GDD) implantation.",
        "Setting": "Multicenter retrospective case series.",
        "Methods": "This retrospective case series included 137 eyes that underwent both corneal transplantation and GDD implantation at two tertiary centers in the Netherlands between October 2002 and March 2021. Patients were divided into two groups: Prior GDD (GDD before keratoplasty) and Subsequent GDD (GDD after keratoplasty). Medical charts were reviewed for baseline characteristics and clinical outcomes. The primary outcome measure was graft survival. Secondary outcomes included intraocular pressure (IOP), IOP-lowering drug use, best-corrected visual acuity (BCVA), and postoperative complications. Statistical analyses included Kaplan-Meier, Cox regression, and linear mixed models.",
        "Results": "Graft survival was significantly lower in the Prior GDD group compared to the Subsequent GDD group at 2 years (72% vs. 95%) and 5 years (47% vs. 74%) (P<0.001). IOP success at 2 years was 94% in the Prior GDD and 97% in the Subsequent GDD group. Trends in IOP, IOP-lowering drugs, and BCVA differed significantly between groups (all P<0.001). In the Prior GDD group, IOP and drug use remained stable, while BCVA improved significantly from 1.76 to 1.01 logMAR at 3 months (P<0.001). In the Subsequent GDD group, IOP decreased from 28.3 to 13.3 mmHg at 3 months (P<0.001), and drug use dropped from 4 to 2 agents (P<0.001), while BCVA remained stable. Postoperative complications occurred in 25% of eyes, with no significant difference between groups.",
        "Conclusions": "Graft survival was significantly lower in eyes with Prior GDD compared to Subsequent GDD. Nevertheless, favorable long-term IOP control and visual outcomes were achieved regardless of procedural sequence, with a low overall complication rate. These findings underscore the importance of careful surgical sequencing in patients requiring both corneal transplantation and GDD to optimize outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Graft survival was significantly lower in eyes with Prior GDD compared to Subsequent GDD. Nevertheless, favorable long-term IOP control and visual outcomes were achieved regardless of procedural sequence, with a low overall complication rate. These findings underscore the importance of careful surgical sequencing in patients requiring both corneal transplantation and GDD to optimize outcomes.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 170,
      "source_fields": {
        "Abstract Final Identifier": "PP11.07",
        "Title": "Long-Term Results Of Eyes With A Corneal Transplantation And A Glaucoma Drainage Device: A Dutch Retrospective Multicenter Study",
        "Presenting Author(s)": "Dr Yexin Ye",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Yexin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ye",
        "Country Name": "Netherlands",
        "Purpose": "To evaluate clinical outcomes in eyes with corneal transplantation and glaucoma drainage device (GDD) implantation.",
        "Setting": "Multicenter retrospective case series.",
        "Methods": "This retrospective case series included 137 eyes that underwent both corneal transplantation and GDD implantation at two tertiary centers in the Netherlands between October 2002 and March 2021. Patients were divided into two groups: Prior GDD (GDD before keratoplasty) and Subsequent GDD (GDD after keratoplasty). Medical charts were reviewed for baseline characteristics and clinical outcomes. The primary outcome measure was graft survival. Secondary outcomes included intraocular pressure (IOP), IOP-lowering drug use, best-corrected visual acuity (BCVA), and postoperative complications. Statistical analyses included Kaplan-Meier, Cox regression, and linear mixed models.",
        "Results": "Graft survival was significantly lower in the Prior GDD group compared to the Subsequent GDD group at 2 years (72% vs. 95%) and 5 years (47% vs. 74%) (P<0.001). IOP success at 2 years was 94% in the Prior GDD and 97% in the Subsequent GDD group. Trends in IOP, IOP-lowering drugs, and BCVA differed significantly between groups (all P<0.001). In the Prior GDD group, IOP and drug use remained stable, while BCVA improved significantly from 1.76 to 1.01 logMAR at 3 months (P<0.001). In the Subsequent GDD group, IOP decreased from 28.3 to 13.3 mmHg at 3 months (P<0.001), and drug use dropped from 4 to 2 agents (P<0.001), while BCVA remained stable. Postoperative complications occurred in 25% of eyes, with no significant difference between groups.",
        "Conclusions": "Graft survival was significantly lower in eyes with Prior GDD compared to Subsequent GDD. Nevertheless, favorable long-term IOP control and visual outcomes were achieved regardless of procedural sequence, with a low overall complication rate. These findings underscore the importance of careful surgical sequencing in patients requiring both corneal transplantation and GDD to optimize outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "PP11.08",
      "abstract_number": "PP11.08",
      "title": "Risk Factors For Graft Rejection Following Endothelial Keratoplasty: Focus On Cystoid Macular Oedema",
      "authors": "Dr Rossella Spena",
      "presenter": "Dr Rossella Spena",
      "normalized_authors": [
        "Rossella Spena"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rossella Spena",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To investigate risk factors for immunologic graft rejection following endothelial Keratoplasty, with a focus on cystoid macular oedema.\n\nWith a reported incidence of up to 9.4% after Descemet membrane endothelial keratoplasty (DMEK) and 11% after Descemet stripping automated keratoplasty (DSAEK), 7,8 postoperative CMO is known to be a consequence of a breakdown in the blood-retinal barrier and testifies an increased intraocular inflammatory state which might also increase the likelihood of immune rejection following EK.\n\nThis study aimed to identify factors associated with an increased risk of graft rejection following DSAEK and DMEK, and to evaluate the potential role of CMO in the development of rejection.",
        "Setting": "This is a retrospective review of prospectively collected data from patients who underwent either DMEK or DSAEK at the tertiary referral centre Ospedali Privati Forlì “Villa Igea”, Forlì (Italy), between January 2005 and December 2024",
        "Methods": "This is a single-centre retrospective case review study including eyes undergoing either Descemet membrane endothelial keratoplasty (DMEK) or Descemet stripping automated keratoplasty (DSAEK). Univariate and multivariate analyses were conducted to evaluate whether several predetermined risk factors could influence the incidence of graft rejection. Receiver operating characteristic curve analysis was performed to determine ideal cut-off points of continuous variables. The following risk factors were assessed: recipient age, sex, indication for surgery, type of keratoplasty, glaucoma and development of CMO.",
        "Results": "A total of 3546 eyes were included, with 731 undergoing DMEK and 2815 undergoing DSAEK.\n\nMean follow-up duration was 49.5±37.9 months (median=36 months). The incidence of graft rejection was 2.9% for DMEK and 4.0% for DSAEK (P=0.150) and was significantly influenced by the patients’ age (odds ratio [OR]=2.17, 95%CI 1.46-3.24), the presence of glaucoma (OR=2.28, 95%CI 1.50-3.46) and postoperative occurrence of CMO (OR=11.09, 95%CI 6.58-18.70) (all P<0.001). The mean interval between the onset of CMO and the occurrence of rejection was 11.5±14.1 months, with a median of 6 months.",
        "Conclusions": "Occurrence of CMO as well as the presence of glaucoma and a recipient’s age < 71.5 years, seem to play a significant role in the development of endothelial graft rejection following EK. Further studies are indicated to investigate a possible immunologic link between CMO and endothelial graft rejection episodes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Occurrence of CMO as well as the presence of glaucoma and a recipient’s age < 71.5 years, seem to play a significant role in the development of endothelial graft rejection following EK. Further studies are indicated to investigate a possible immunologic link between CMO and endothelial graft rejection episodes.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 171,
      "source_fields": {
        "Abstract Final Identifier": "PP11.08",
        "Title": "Risk Factors For Graft Rejection Following Endothelial Keratoplasty: Focus On Cystoid Macular Oedema",
        "Presenting Author(s)": "Dr Rossella Spena",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Rossella",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Spena",
        "Country Name": "Italy",
        "Purpose": "To investigate risk factors for immunologic graft rejection following endothelial Keratoplasty, with a focus on cystoid macular oedema.\n\nWith a reported incidence of up to 9.4% after Descemet membrane endothelial keratoplasty (DMEK) and 11% after Descemet stripping automated keratoplasty (DSAEK), 7,8 postoperative CMO is known to be a consequence of a breakdown in the blood-retinal barrier and testifies an increased intraocular inflammatory state which might also increase the likelihood of immune rejection following EK.\n\nThis study aimed to identify factors associated with an increased risk of graft rejection following DSAEK and DMEK, and to evaluate the potential role of CMO in the development of rejection.",
        "Setting": "This is a retrospective review of prospectively collected data from patients who underwent either DMEK or DSAEK at the tertiary referral centre Ospedali Privati Forlì “Villa Igea”, Forlì (Italy), between January 2005 and December 2024",
        "Methods": "This is a single-centre retrospective case review study including eyes undergoing either Descemet membrane endothelial keratoplasty (DMEK) or Descemet stripping automated keratoplasty (DSAEK). Univariate and multivariate analyses were conducted to evaluate whether several predetermined risk factors could influence the incidence of graft rejection. Receiver operating characteristic curve analysis was performed to determine ideal cut-off points of continuous variables. The following risk factors were assessed: recipient age, sex, indication for surgery, type of keratoplasty, glaucoma and development of CMO.",
        "Results": "A total of 3546 eyes were included, with 731 undergoing DMEK and 2815 undergoing DSAEK.\n\nMean follow-up duration was 49.5±37.9 months (median=36 months). The incidence of graft rejection was 2.9% for DMEK and 4.0% for DSAEK (P=0.150) and was significantly influenced by the patients’ age (odds ratio [OR]=2.17, 95%CI 1.46-3.24), the presence of glaucoma (OR=2.28, 95%CI 1.50-3.46) and postoperative occurrence of CMO (OR=11.09, 95%CI 6.58-18.70) (all P<0.001). The mean interval between the onset of CMO and the occurrence of rejection was 11.5±14.1 months, with a median of 6 months.",
        "Conclusions": "Occurrence of CMO as well as the presence of glaucoma and a recipient’s age < 71.5 years, seem to play a significant role in the development of endothelial graft rejection following EK. Further studies are indicated to investigate a possible immunologic link between CMO and endothelial graft rejection episodes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "PP11.09",
      "abstract_number": "PP11.09",
      "title": "Correlation Between Descemet's Membrane Endothelial Keratoplasty Transplant Diameter And Intra-Operative Difficulty In Unfolding, Post-Operative Rebubbling Rates, And White-To-White Measurements.",
      "authors": "Dr Ishta Sharma",
      "presenter": "Dr Ishta Sharma",
      "normalized_authors": [
        "Ishta Sharma"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ishta Sharma",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This study evaluates the DMEK transplant diameter or trephine size selected by the surgeon and its impact on intra- and post-operative challenges . We also evaluated whether these challenges are more likely in smaller eyes.",
        "Setting": "Observational, single-centre, retrospective cohort study of patients undergoing DMEK at a tertiary care ophthalmology centre in London.  Medisight  Ophthalmology (Medisoft, Leeds, UK) was used to electronically record clinical data which was retrospectively analysed.",
        "Methods": "This retrospective cohort analysis included a total of 5 2 patients undergoing DMEK , with or without phacoemulsification, over a three-year period. DMEK transplant diameter selected by the surgeon was recorded. Outcomes re viewed included i ntraoperative difficulty with graft unfolding or positioning; number of re - bubbles; post operative graft complication s or redo; and graft failure. WTW measurements were obtained using corneal tomography (Oculus Pentacam ) or optical biometry ( IOLMaster ), with appropriate adjustment for the machine used.",
        "Results": "DMEK indications were Fuchs’ dystrophy (31, 59.6%), bullous keratopathy (26, 50.0%) and transplant failure (4, 7.7%). DMEK sizes were 8mm (31, 59.6%), 7.75mm (5, 9.6%), 7.5mm (11, 21.2%); 5 had no size recorded.\n\nDifficulty unfolding occurred in 10 eyes (19.2%), occurring more frequently in eyes with 8mm grafts (7, 22.6%) than 7.75mm grafts (1, 20.0%) and 7.5mm grafts (2, 18.2%).\n\nRebubbling was performed in 14 eyes (26.9%). Similar to above, rebubbling rate was higher in 8mm grafts (10, 32.3%, OR=2.14) than 7.75mm grafts (1, 20%) and 7.5mm grafts (2, 18.2%)\n\n35 eyes (67.3%) had WTW data. Correlation between DMEK size and WTW was weak (r=-0.19). Notably, 80.0% of eyes with unfolding difficulties had WTW smaller than the median (11.2mm).",
        "Conclusions": "There is a trend of increased intra-operative difficulty in unfolding and post-operative re-bubbling rates in eyes with a larger DMEK size. Difficulty in unfolding is mo re common in smaller eyes. Surgeons should consider choosing a smaller DMEK size when intra- or post-operative challenges are likely and consider using WTW measurements as guidance. A standardised protocol for choosing the trephine size based on WTW measurements could reduce these challenges. Further prospective studies are warranted to validate these findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "There is a trend of increased intra-operative difficulty in unfolding and post-operative re-bubbling rates in eyes with a larger DMEK size. Difficulty in unfolding is mo re common in smaller eyes. Surgeons should consider choosing a smaller DMEK size when intra- or post-operative challenges are likely and consider using WTW measurements as guidance. A standardised protocol for choosing the trephine size based on…",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 172,
      "source_fields": {
        "Abstract Final Identifier": "PP11.09",
        "Title": "Correlation Between Descemet's Membrane Endothelial Keratoplasty Transplant Diameter And Intra-Operative Difficulty In Unfolding, Post-Operative Rebubbling Rates, And White-To-White Measurements.",
        "Presenting Author(s)": "Dr Ishta Sharma",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ishta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sharma",
        "Country Name": "United Kingdom",
        "Purpose": "This study evaluates the DMEK transplant diameter or trephine size selected by the surgeon and its impact on intra- and post-operative challenges . We also evaluated whether these challenges are more likely in smaller eyes.",
        "Setting": "Observational, single-centre, retrospective cohort study of patients undergoing DMEK at a tertiary care ophthalmology centre in London.  Medisight  Ophthalmology (Medisoft, Leeds, UK) was used to electronically record clinical data which was retrospectively analysed.",
        "Methods": "This retrospective cohort analysis included a total of 5 2 patients undergoing DMEK , with or without phacoemulsification, over a three-year period. DMEK transplant diameter selected by the surgeon was recorded. Outcomes re viewed included i ntraoperative difficulty with graft unfolding or positioning; number of re - bubbles; post operative graft complication s or redo; and graft failure. WTW measurements were obtained using corneal tomography (Oculus Pentacam ) or optical biometry ( IOLMaster ), with appropriate adjustment for the machine used.",
        "Results": "DMEK indications were Fuchs’ dystrophy (31, 59.6%), bullous keratopathy (26, 50.0%) and transplant failure (4, 7.7%). DMEK sizes were 8mm (31, 59.6%), 7.75mm (5, 9.6%), 7.5mm (11, 21.2%); 5 had no size recorded.\n\nDifficulty unfolding occurred in 10 eyes (19.2%), occurring more frequently in eyes with 8mm grafts (7, 22.6%) than 7.75mm grafts (1, 20.0%) and 7.5mm grafts (2, 18.2%).\n\nRebubbling was performed in 14 eyes (26.9%). Similar to above, rebubbling rate was higher in 8mm grafts (10, 32.3%, OR=2.14) than 7.75mm grafts (1, 20%) and 7.5mm grafts (2, 18.2%)\n\n35 eyes (67.3%) had WTW data. Correlation between DMEK size and WTW was weak (r=-0.19). Notably, 80.0% of eyes with unfolding difficulties had WTW smaller than the median (11.2mm).",
        "Conclusions": "There is a trend of increased intra-operative difficulty in unfolding and post-operative re-bubbling rates in eyes with a larger DMEK size. Difficulty in unfolding is mo re common in smaller eyes. Surgeons should consider choosing a smaller DMEK size when intra- or post-operative challenges are likely and consider using WTW measurements as guidance. A standardised protocol for choosing the trephine size based on WTW measurements could reduce these challenges. Further prospective studies are warranted to validate these findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 366
    },
    {
      "uid": "PP11.10",
      "abstract_number": "PP11.10",
      "title": "Clinical Outcomes And Complication Rates Of Pi-Less Descemet Membrane Endothelial Keratoplasty: A Systematic Review And Meta-Analysis.",
      "authors": "Dr Nafsika Anastasia Voulgari",
      "presenter": "Dr Nafsika Anastasia Voulgari",
      "normalized_authors": [
        "Nafsika Anastasia Voulgari"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nafsika Anastasia Voulgari",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "This analysis aimed to evaluate safety and clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) performed without prophylactic peripheral iridectomy/iridotomy (PI-less).",
        "Setting": "Systematic review and meta-analysis.",
        "Methods": "PubMed, Embase, Scopus and Google Scholar were systematically searched for studies published up to February 2025. We included clinical studies reporting outcomes of DMEK performed without prophylactic PI prior to or during surgery.Main outcome measures were pupillary block, graft detachment, rebubbling, best-corrected visual acuity (logMAR)(BCVA), endothelial cell density (ECD), endothelial cell loss (ECL), graft failure, postoperative intraocular pressure (IOP) spikes. Random-effects meta-analysis of proportions was conducted for complication rates, and pooled means were calculated for visual acuity and endothelial parameters.",
        "Results": "Ten clinical studies with a total of 489 eyes were included in the meta-analysis. Pupillary block incidence was 3.47% (95% CI 0.35–8.59; I²=78%, N=10). Graft detachment occurred in 34.2% (25.7–43.2; I²=74%, N=10), and rebubbling in 26.7% (20.0–34.0; I²=64%, N=10). Graft failure rate was 3.4% (1.7–5.5; I²=0%, N=10). IOP spikes not related to pupillary block, occurred in 2.8% (1.1–5.0; I²=0%, N=7). Pooled postoperative BCVA was 0.27 logMAR (0.19–0.34, N=6). Mean ECL was 38.3% (31.3–45.9, N=3), with final ECD 1814 cells/mm² (1624–2004, N=4).",
        "Conclusions": "This meta-analysis demonstrates that PI-less DMEK is safe and effective with rates of pupillary block, graft detachment and rebubbling comparable to DMEK with PI, without compromising graft viability and avoiding the risks of PI. Careful postoperative monitoring remains essential. Prospective comparative studies are needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This meta-analysis demonstrates that PI-less DMEK is safe and effective with rates of pupillary block, graft detachment and rebubbling comparable to DMEK with PI, without compromising graft viability and avoiding the risks of PI. Careful postoperative monitoring remains essential. Prospective comparative studies are needed.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 173,
      "source_fields": {
        "Abstract Final Identifier": "PP11.10",
        "Title": "Clinical Outcomes And Complication Rates Of Pi-Less Descemet Membrane Endothelial Keratoplasty: A Systematic Review And Meta-Analysis.",
        "Presenting Author(s)": "Dr Nafsika Anastasia Voulgari",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Nafsika Anastasia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Voulgari",
        "Country Name": "United Kingdom",
        "Purpose": "This analysis aimed to evaluate safety and clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) performed without prophylactic peripheral iridectomy/iridotomy (PI-less).",
        "Setting": "Systematic review and meta-analysis.",
        "Methods": "PubMed, Embase, Scopus and Google Scholar were systematically searched for studies published up to February 2025. We included clinical studies reporting outcomes of DMEK performed without prophylactic PI prior to or during surgery.Main outcome measures were pupillary block, graft detachment, rebubbling, best-corrected visual acuity (logMAR)(BCVA), endothelial cell density (ECD), endothelial cell loss (ECL), graft failure, postoperative intraocular pressure (IOP) spikes. Random-effects meta-analysis of proportions was conducted for complication rates, and pooled means were calculated for visual acuity and endothelial parameters.",
        "Results": "Ten clinical studies with a total of 489 eyes were included in the meta-analysis. Pupillary block incidence was 3.47% (95% CI 0.35–8.59; I²=78%, N=10). Graft detachment occurred in 34.2% (25.7–43.2; I²=74%, N=10), and rebubbling in 26.7% (20.0–34.0; I²=64%, N=10). Graft failure rate was 3.4% (1.7–5.5; I²=0%, N=10). IOP spikes not related to pupillary block, occurred in 2.8% (1.1–5.0; I²=0%, N=7). Pooled postoperative BCVA was 0.27 logMAR (0.19–0.34, N=6). Mean ECL was 38.3% (31.3–45.9, N=3), with final ECD 1814 cells/mm² (1624–2004, N=4).",
        "Conclusions": "This meta-analysis demonstrates that PI-less DMEK is safe and effective with rates of pupillary block, graft detachment and rebubbling comparable to DMEK with PI, without compromising graft viability and avoiding the risks of PI. Careful postoperative monitoring remains essential. Prospective comparative studies are needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "PP11.11",
      "abstract_number": "PP11.11",
      "title": "Long-Term Outcomes Of The Safety-Net Dmek Technique For Aphakia.",
      "authors": "Mr Kirupakaran Arun",
      "presenter": "Mr Kirupakaran Arun",
      "normalized_authors": [
        "Kirupakaran Arun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kirupakaran Arun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Unicameral eyes, including aphakic and aniridic eyes, have traditionally been considered unsuitable for Descemet membrane endothelial keratoplasty (DMEK) due to the risk of posterior graft dislocation. A safety-net suture modification was developed at Moorfields Eye Hospital to enable DMEK in these complex cases. We report long-term outcomes from the largest consecutive case series to date evaluating safety-net DMEK in aphakic and unicameral eyes.",
        "Setting": "Tertiary referral centre, Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "A retrospective consecutive case series was conducted including all safety-net DMEK procedures performed between January 2019 and July 2024. Data collected included demographics, ocular comorbidities, cause of aphakia or aniridia, best-corrected visual acuity (BCVA), tamponade agent, rebubbling rate, graft survival, and complications. Pre- and postoperative BCVA were converted to logMAR for statistical analysis. Paired non-parametric testing was used to compare visual outcomes. Kaplan–Meier survival analysis was performed to estimate graft survival.",
        "Results": "Twenty one eyes underwent safety-net DMEK. Post-op follow up range from 1 year to 5 years. Mean patient age was 65.3 years (range 40–91). Most eyes were aphakic secondary to trauma or complex intraocular surgery, with frequent coexisting pathology including glaucoma and previous retinal detachment.\n\nRebubbling was required in 5/21 eyes (23.8%). Graft failure and/or repeat keratoplasty occurred in 4/21 eyes (19%). Posterior graft dislocation was prevented in all cases. Kaplan–Meier analysis estimated graft survival at 5 years to be 65%.\n\nStatistically significant improvement in BCVA was observed postoperatively despite the high prevalence of pre-existing ocular pathology (p<0.05).",
        "Conclusions": "Safety-net DMEK is a feasible and effective option for aphakic and unicameral eyes traditionally considered unsuitable for DMEK. Significant visual improvement can be achieved despite complex comorbidity, with acceptable rebubbling and graft failure rates. The technique reliably prevents posterior graft dislocation and enables selected complex patients to benefit from the anatomical and visual advantages of DMEK, representing a viable alternative to DSAEK in challenging eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Safety-net DMEK is a feasible and effective option for aphakic and unicameral eyes traditionally considered unsuitable for DMEK. Significant visual improvement can be achieved despite complex comorbidity, with acceptable rebubbling and graft failure rates. The technique reliably prevents posterior graft dislocation and enables selected complex patients to benefit from the anatomical and visual advantages of DMEK,…",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 174,
      "source_fields": {
        "Abstract Final Identifier": "PP11.11",
        "Title": "Long-Term Outcomes Of The Safety-Net Dmek Technique For Aphakia.",
        "Presenting Author(s)": "Mr Kirupakaran Arun",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Kirupakaran",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arun",
        "Country Name": "United Kingdom",
        "Purpose": "Unicameral eyes, including aphakic and aniridic eyes, have traditionally been considered unsuitable for Descemet membrane endothelial keratoplasty (DMEK) due to the risk of posterior graft dislocation. A safety-net suture modification was developed at Moorfields Eye Hospital to enable DMEK in these complex cases. We report long-term outcomes from the largest consecutive case series to date evaluating safety-net DMEK in aphakic and unicameral eyes.",
        "Setting": "Tertiary referral centre, Moorfields Eye Hospital, London, United Kingdom.",
        "Methods": "A retrospective consecutive case series was conducted including all safety-net DMEK procedures performed between January 2019 and July 2024. Data collected included demographics, ocular comorbidities, cause of aphakia or aniridia, best-corrected visual acuity (BCVA), tamponade agent, rebubbling rate, graft survival, and complications. Pre- and postoperative BCVA were converted to logMAR for statistical analysis. Paired non-parametric testing was used to compare visual outcomes. Kaplan–Meier survival analysis was performed to estimate graft survival.",
        "Results": "Twenty one eyes underwent safety-net DMEK. Post-op follow up range from 1 year to 5 years. Mean patient age was 65.3 years (range 40–91). Most eyes were aphakic secondary to trauma or complex intraocular surgery, with frequent coexisting pathology including glaucoma and previous retinal detachment.\n\nRebubbling was required in 5/21 eyes (23.8%). Graft failure and/or repeat keratoplasty occurred in 4/21 eyes (19%). Posterior graft dislocation was prevented in all cases. Kaplan–Meier analysis estimated graft survival at 5 years to be 65%.\n\nStatistically significant improvement in BCVA was observed postoperatively despite the high prevalence of pre-existing ocular pathology (p<0.05).",
        "Conclusions": "Safety-net DMEK is a feasible and effective option for aphakic and unicameral eyes traditionally considered unsuitable for DMEK. Significant visual improvement can be achieved despite complex comorbidity, with acceptable rebubbling and graft failure rates. The technique reliably prevents posterior graft dislocation and enables selected complex patients to benefit from the anatomical and visual advantages of DMEK, representing a viable alternative to DSAEK in challenging eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "PP11.12",
      "abstract_number": "PP11.12",
      "title": "Influence Of Interface Fluid Between Recipient Cornea And Descemet Membrane Endothelial Keratoplasty Graft On The Rebubbling Rate",
      "authors": "Mr Lars Mackenbrock",
      "presenter": "Mr Lars Mackenbrock",
      "normalized_authors": [
        "Lars Mackenbrock"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lars Mackenbrock",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To assess the presence of interface fluid at the end of Descemet membrane endothelial keratoplasty (DMEK) and to analyze the impact of this interface fluid on the postoperative graft detachment rate.",
        "Setting": "Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "At the end of DMEK after clinically satisfactory graft adhesion und complete air tamponade, corneas were imaged intraoperatively using optical coherence tomography (OCT). The number of interface fluid zones was counted using a custom-written computer script. These zones were classified according to their size (small or large) as well as to their location (graft center or periphery). The rebubbling rate for each patient was recorded.",
        "Results": "A total of 69 eyes of 69 patients undergoing DMEK surgery were included in this analysis. There was a considerable difference in the number of graft detachment between the patients, with a mean of 2.19 ± 1.94 for small central, 2.97 ± 3.11 for small peripheral, 0.51 ± 0.90 for large central and 0.81 ± 1.35 for large peripheral interface fluid collection areas per eye. 55 patients required no rebubbling, while 10 patients required 1, 3 patients required 2, and 1 patient required 3 rebubblings. A statistically significant correlation was observed between the number of large peripheral detachments and the rebubbling rate (r=0.368 with p=0.002).",
        "Conclusions": "Patients with incomplete graft attachment at the end of DMEK surgery have a higher risk for postoperative rebubbling. Corneal surgeons might detect these detachments using intraoperative OCT and modify their surgical technique to reduce them. Further, curvature matching between the host and the recipient might decrease the occurrence of interface fluid accumulation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with incomplete graft attachment at the end of DMEK surgery have a higher risk for postoperative rebubbling. Corneal surgeons might detect these detachments using intraoperative OCT and modify their surgical technique to reduce them. Further, curvature matching between the host and the recipient might decrease the occurrence of interface fluid accumulation.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 175,
      "source_fields": {
        "Abstract Final Identifier": "PP11.12",
        "Title": "Influence Of Interface Fluid Between Recipient Cornea And Descemet Membrane Endothelial Keratoplasty Graft On The Rebubbling Rate",
        "Presenting Author(s)": "Mr Lars Mackenbrock",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Lars",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mackenbrock",
        "Country Name": "Germany",
        "Purpose": "To assess the presence of interface fluid at the end of Descemet membrane endothelial keratoplasty (DMEK) and to analyze the impact of this interface fluid on the postoperative graft detachment rate.",
        "Setting": "Department of Ophthalmology, Heidelberg University Hospital, Heidelberg, Germany",
        "Methods": "At the end of DMEK after clinically satisfactory graft adhesion und complete air tamponade, corneas were imaged intraoperatively using optical coherence tomography (OCT). The number of interface fluid zones was counted using a custom-written computer script. These zones were classified according to their size (small or large) as well as to their location (graft center or periphery). The rebubbling rate for each patient was recorded.",
        "Results": "A total of 69 eyes of 69 patients undergoing DMEK surgery were included in this analysis. There was a considerable difference in the number of graft detachment between the patients, with a mean of 2.19 ± 1.94 for small central, 2.97 ± 3.11 for small peripheral, 0.51 ± 0.90 for large central and 0.81 ± 1.35 for large peripheral interface fluid collection areas per eye. 55 patients required no rebubbling, while 10 patients required 1, 3 patients required 2, and 1 patient required 3 rebubblings. A statistically significant correlation was observed between the number of large peripheral detachments and the rebubbling rate (r=0.368 with p=0.002).",
        "Conclusions": "Patients with incomplete graft attachment at the end of DMEK surgery have a higher risk for postoperative rebubbling. Corneal surgeons might detect these detachments using intraoperative OCT and modify their surgical technique to reduce them. Further, curvature matching between the host and the recipient might decrease the occurrence of interface fluid accumulation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 269
    },
    {
      "uid": "PP11.13",
      "abstract_number": "PP11.13",
      "title": "Determinants Of Graft Survival And Reintervention Outcomes After Dmek: A Retrospective Analysis Of 182 Eyes",
      "authors": "Narvin Aslanova",
      "presenter": "Narvin Aslanova",
      "normalized_authors": [
        "Narvin Aslanova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Narvin Aslanova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate graft survival, visual outcomes, and risk factors associated with graft failure after Descemet Membrane Endothelial Keratoplasty (DMEK), and to assess the impact of perioperative variables and re-intervention strategies in a tertiary referral center.",
        "Setting": "Tertiary referral center, Department of Ophthalmology, Haydarpasa Numune Training and Research Hospital, Istanbul, Türkiye.",
        "Methods": "A retrospective analysis of 182 eyes undergoing DMEK was performed. Graft success was defined as a clear and attached cornea at final follow-up without the need for repeat keratoplasty (re-DMEK or penetrating keratoplasty). Demographic, clinical, and intraoperative variables were compared between successful and failed graft groups. Parametric and non-parametric statistical tests were used, and p<0.05 was considered statistically significant.",
        "Results": "Mean follow-up was 30.1±13.5 months. Corrected distance visual acuity improved significantly from 1.30±0.38 to 0.30±0.28 logMAR (p<0.001). Overall graft success was 46.7%. Fuchs endothelial dystrophy showed higher survival, whereas pseudophakic bullous keratopathy and CMV endotheliitis were associated with lower survival (p<0.01). Graft failure was significantly related to sulcus IOL, vitreous in the anterior chamber, anterior synechiae, limbal stem cell deficiency, deeper anterior chamber, increased postoperative central corneal thickness, and prior DMEK procedures. Preoperative iridectomy was positively associated with graft survival.",
        "Conclusions": "Although DMEK provides significant visual improvement, graft survival is strongly influenced by the underlying diagnosis and anterior segment complexity. Structural abnormalities and prior surgeries increase the risk of failure, whereas preoperative iridectomy may have a protective effect. Appropriate case selection and individualized management remain critical determinants of surgical success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although DMEK provides significant visual improvement, graft survival is strongly influenced by the underlying diagnosis and anterior segment complexity. Structural abnormalities and prior surgeries increase the risk of failure, whereas preoperative iridectomy may have a protective effect. Appropriate case selection and individualized management remain critical determinants of surgical success.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 176,
      "source_fields": {
        "Abstract Final Identifier": "PP11.13",
        "Title": "Determinants Of Graft Survival And Reintervention Outcomes After Dmek: A Retrospective Analysis Of 182 Eyes",
        "Presenting Author(s)": "Narvin Aslanova",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Narvin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aslanova",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate graft survival, visual outcomes, and risk factors associated with graft failure after Descemet Membrane Endothelial Keratoplasty (DMEK), and to assess the impact of perioperative variables and re-intervention strategies in a tertiary referral center.",
        "Setting": "Tertiary referral center, Department of Ophthalmology, Haydarpasa Numune Training and Research Hospital, Istanbul, Türkiye.",
        "Methods": "A retrospective analysis of 182 eyes undergoing DMEK was performed. Graft success was defined as a clear and attached cornea at final follow-up without the need for repeat keratoplasty (re-DMEK or penetrating keratoplasty). Demographic, clinical, and intraoperative variables were compared between successful and failed graft groups. Parametric and non-parametric statistical tests were used, and p<0.05 was considered statistically significant.",
        "Results": "Mean follow-up was 30.1±13.5 months. Corrected distance visual acuity improved significantly from 1.30±0.38 to 0.30±0.28 logMAR (p<0.001). Overall graft success was 46.7%. Fuchs endothelial dystrophy showed higher survival, whereas pseudophakic bullous keratopathy and CMV endotheliitis were associated with lower survival (p<0.01). Graft failure was significantly related to sulcus IOL, vitreous in the anterior chamber, anterior synechiae, limbal stem cell deficiency, deeper anterior chamber, increased postoperative central corneal thickness, and prior DMEK procedures. Preoperative iridectomy was positively associated with graft survival.",
        "Conclusions": "Although DMEK provides significant visual improvement, graft survival is strongly influenced by the underlying diagnosis and anterior segment complexity. Structural abnormalities and prior surgeries increase the risk of failure, whereas preoperative iridectomy may have a protective effect. Appropriate case selection and individualized management remain critical determinants of surgical success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "PP11.14",
      "abstract_number": "PP11.14",
      "title": "Eyetemis Analysis Of Spherical Equivalent Prediction After Triple Dmek Using Different Measurements Of Corneal Power",
      "authors": "Prof. Dr Ugo De Sanctis",
      "presenter": "Prof. Dr Ugo De Sanctis",
      "normalized_authors": [
        "Ugo De Sanctis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ugo De Sanctis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "The refractive outcome after phacoemulsification, IOL implantation, and DMEK (triple DMEK) in eyes with Fuchs endothelial corneal dystrophy (FECD) is influenced by errors in corneal power estimation. In this study, different methods for measuring corneal power for IOL calculation were used, and spherical equivalent prediction errors (SEQ-PE) after triple DMEK were compared using the Eyetemis analysis tool.",
        "Setting": "Single academic institution.",
        "Methods": "This retrospective cohort study included consecutive eyes with FECD that underwent triple DMEK with implantation of single model IOL. Manifest refraction was measured 6–12 months after surgery. The predicted SEQ was calculated using the Haigis formula in combination with standard keratometry (SK) from the IOLMaster 500 (Carl Zeiss Meditec), simulated keratometry (SimK), and total corneal refractive power (TCRP) from the Pentacam HR (Oculus). SEQ-PE mean values (difference between postoperative and predicted SEQ) were compared using the Eyetemis analysis tool to assess trueness, precision, and accuracy of IOL power calculation. Additionally, the proportion of eyes within ±0.25D, ±0.50D, ±0.75D, and ±1.00D of the predicted SEQ was evaluated.",
        "Results": "A total of 102 eyes from 77 patients were included. Mean corneal power was 43.67 ± 1.54 D for SK, 43.39 ± 1.49 D for SimK, and 43.24 ± 1.60 D for TCRP (SK vs TCRP, p = 0.05). The arithmetic SEQ-PE was significantly different from zero for each method and significantly different among methods (p < 0.05). It was +0.58 D for SK, +0.29 D for SimK, and +0.15 D for TCRP. In terms of precision, SEQ-PE was significantly better for SK (0.57 D) and SimK (0.61 D) compared with TCRP (0.75 D). The absolute SEQ-PE was significantly lower for SimK (0.63 D; p < 0.01) compared with SK (0.72 D) and TCRP (0.73 D). The proportion of eyes within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D of the predicted SEQ did not differ significantly among methods.",
        "Conclusions": "In eyes with FECD scheduled for triple DMEK, corneal power measured with the TCRP and SimK from Pentacam is lower compared with the SK from IOLMaster. When TCRP or SimK is used for IOL calculation, postoperative hyperopic error may be reduced. Moreover, Eyetemis analysis suggests that corneal power measurement using Pentacam SimK may improve the accuracy of IOL power calculation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with FECD scheduled for triple DMEK, corneal power measured with the TCRP and SimK from Pentacam is lower compared with the SK from IOLMaster. When TCRP or SimK is used for IOL calculation, postoperative hyperopic error may be reduced. Moreover, Eyetemis analysis suggests that corneal power measurement using Pentacam SimK may improve the accuracy of IOL power calculation.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 177,
      "source_fields": {
        "Abstract Final Identifier": "PP11.14",
        "Title": "Eyetemis Analysis Of Spherical Equivalent Prediction After Triple Dmek Using Different Measurements Of Corneal Power",
        "Presenting Author(s)": "Prof. Dr Ugo De Sanctis",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Ugo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "De Sanctis",
        "Country Name": "Italy",
        "Purpose": "The refractive outcome after phacoemulsification, IOL implantation, and DMEK (triple DMEK) in eyes with Fuchs endothelial corneal dystrophy (FECD) is influenced by errors in corneal power estimation. In this study, different methods for measuring corneal power for IOL calculation were used, and spherical equivalent prediction errors (SEQ-PE) after triple DMEK were compared using the Eyetemis analysis tool.",
        "Setting": "Single academic institution.",
        "Methods": "This retrospective cohort study included consecutive eyes with FECD that underwent triple DMEK with implantation of single model IOL. Manifest refraction was measured 6–12 months after surgery. The predicted SEQ was calculated using the Haigis formula in combination with standard keratometry (SK) from the IOLMaster 500 (Carl Zeiss Meditec), simulated keratometry (SimK), and total corneal refractive power (TCRP) from the Pentacam HR (Oculus). SEQ-PE mean values (difference between postoperative and predicted SEQ) were compared using the Eyetemis analysis tool to assess trueness, precision, and accuracy of IOL power calculation. Additionally, the proportion of eyes within ±0.25D, ±0.50D, ±0.75D, and ±1.00D of the predicted SEQ was evaluated.",
        "Results": "A total of 102 eyes from 77 patients were included. Mean corneal power was 43.67 ± 1.54 D for SK, 43.39 ± 1.49 D for SimK, and 43.24 ± 1.60 D for TCRP (SK vs TCRP, p = 0.05). The arithmetic SEQ-PE was significantly different from zero for each method and significantly different among methods (p < 0.05). It was +0.58 D for SK, +0.29 D for SimK, and +0.15 D for TCRP. In terms of precision, SEQ-PE was significantly better for SK (0.57 D) and SimK (0.61 D) compared with TCRP (0.75 D). The absolute SEQ-PE was significantly lower for SimK (0.63 D; p < 0.01) compared with SK (0.72 D) and TCRP (0.73 D). The proportion of eyes within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D of the predicted SEQ did not differ significantly among methods.",
        "Conclusions": "In eyes with FECD scheduled for triple DMEK, corneal power measured with the TCRP and SimK from Pentacam is lower compared with the SK from IOLMaster. When TCRP or SimK is used for IOL calculation, postoperative hyperopic error may be reduced. Moreover, Eyetemis analysis suggests that corneal power measurement using Pentacam SimK may improve the accuracy of IOL power calculation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "PP11.15",
      "abstract_number": "PP11.15",
      "title": "The “Polish Sign”: A Novel Intraoperative Visual Indicator During Descemet’S Membrane Polishing In Cultured Human Corneal Endothelial Cell Injection Therapy",
      "authors": "Dr Akira Kobayashi",
      "presenter": "Dr Akira Kobayashi",
      "normalized_authors": [
        "Akira Kobayashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akira Kobayashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To describe a novel intraoperative visual indicator, the “polish sign,” which facilitates safe and controlled Descemet’s membrane (DM) polishing during cultured human corneal endothelial cell (cHCEC; Vyznova®) injection therapy for bullous keratopathy.",
        "Setting": "Multicenter observational study conducted at three tertiary referral centers in Japan.",
        "Methods": "Thirty-two consecutive eyes with bullous keratopathy underwent cHCEC injection therapy. Following a 1.2-mm limbal incision, the central DM within an approximately 8-mm zone was gently polished using a Kinoshita-type DM polisher with a silicone-covered tip allowing coaxial irrigation. The polish sign, defined as a transient whitish discoloration at the point of silicone–DM contact, was evaluated intraoperatively. Adequacy of endothelial removal was confirmed using trypan blue staining, and absence of DM detachment was verified by anterior segment optical coherence tomography. Ex vivo validation was performed in porcine eyes (n = 3) obtained from a commercial abattoir using identical settings.",
        "Results": "The polish sign was consistently observed in all 32 eyes (100%), either intraoperatively or upon video review. Polishing was completed in all cases without DM rupture or detachment. The sign remained identifiable even in eyes with stromal haze, although reduced visibility required oblique slit illumination. Intraoperative trypan blue staining confirmed adequate endothelial removal in all cases. The phenomenon was reproducible across different microscope platforms and institutions. In porcine experiments, a similar transient whitening was observed in all three eyes, although less pronounced than in human bullous keratopathy cases.",
        "Conclusions": "The polish sign provides a simple, reproducible, real-time indicator of adequate DM polishing while minimizing the risk of membrane injury. Recognition of this intraoperative visual cue may enhance procedural safety and reproducibility in endothelial cell–based therapies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The polish sign provides a simple, reproducible, real-time indicator of adequate DM polishing while minimizing the risk of membrane injury. Recognition of this intraoperative visual cue may enhance procedural safety and reproducibility in endothelial cell–based therapies.",
      "session_type": "Presented Poster",
      "track": "Endothelial keratoplasty",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 178,
      "source_fields": {
        "Abstract Final Identifier": "PP11.15",
        "Title": "The “Polish Sign”: A Novel Intraoperative Visual Indicator During Descemet’S Membrane Polishing In Cultured Human Corneal Endothelial Cell Injection Therapy",
        "Presenting Author(s)": "Dr Akira Kobayashi",
        "Abstract Topic Name": "Endothelial keratoplasty",
        "Submitter First Name": "Akira",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kobayashi",
        "Country Name": "Japan",
        "Purpose": "To describe a novel intraoperative visual indicator, the “polish sign,” which facilitates safe and controlled Descemet’s membrane (DM) polishing during cultured human corneal endothelial cell (cHCEC; Vyznova®) injection therapy for bullous keratopathy.",
        "Setting": "Multicenter observational study conducted at three tertiary referral centers in Japan.",
        "Methods": "Thirty-two consecutive eyes with bullous keratopathy underwent cHCEC injection therapy. Following a 1.2-mm limbal incision, the central DM within an approximately 8-mm zone was gently polished using a Kinoshita-type DM polisher with a silicone-covered tip allowing coaxial irrigation. The polish sign, defined as a transient whitish discoloration at the point of silicone–DM contact, was evaluated intraoperatively. Adequacy of endothelial removal was confirmed using trypan blue staining, and absence of DM detachment was verified by anterior segment optical coherence tomography. Ex vivo validation was performed in porcine eyes (n = 3) obtained from a commercial abattoir using identical settings.",
        "Results": "The polish sign was consistently observed in all 32 eyes (100%), either intraoperatively or upon video review. Polishing was completed in all cases without DM rupture or detachment. The sign remained identifiable even in eyes with stromal haze, although reduced visibility required oblique slit illumination. Intraoperative trypan blue staining confirmed adequate endothelial removal in all cases. The phenomenon was reproducible across different microscope platforms and institutions. In porcine experiments, a similar transient whitening was observed in all three eyes, although less pronounced than in human bullous keratopathy cases.",
        "Conclusions": "The polish sign provides a simple, reproducible, real-time indicator of adequate DM polishing while minimizing the risk of membrane injury. Recognition of this intraoperative visual cue may enhance procedural safety and reproducibility in endothelial cell–based therapies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 267
    },
    {
      "uid": "PP12.01",
      "abstract_number": "PP12.01",
      "title": "Five-Year Refractive Stability And Visual Performance After Diffractive And Non-Diffractive Edof Iol Implantation With A Mini-Monovision Strategy",
      "authors": "A/Prof. Andre Messias",
      "presenter": "A/Prof. Andre Messias",
      "normalized_authors": [
        "Andre Messias"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andre Messias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate refractive stability, spectacle independence, and visual phenomena five years after bilateral implantation of diffractive or non-diffractive extended depth of focus (EDOF) intraocular lenses using a mini-monovision strategy.",
        "Setting": "Tertiary academic center; long-term reassessment of a cohort from a prior prospective bilateral EDOF IOL study.",
        "Methods": "Five-year follow-up of patients who underwent bilateral implantation of a diffractive EDOF IOL (Symfony – SYM) or a non-diffractive EDOF IOL (Vivity – VIV), targeting −0.75 D in one eye and emmetropia in the fellow eye. The PRSIQ and QoV questionnaires were reapplied. Refractive stability was assessed by comparing spherical equivalent at 3 months (3M) and 5 years (5Y). In selected cases, Anterion and OPD-Scan III examinations were repeated to investigate postoperative IOL positioning; these data will be presented in a subsequent analysis.",
        "Results": "Twenty of 126 original patients were re-evaluated (40 eyes). Spherical equivalent remained stable between 3 months and 5 years in both groups, with no significant group effect or time × lens interaction (P>0.05). In the SYM group, distance-targeted eyes shifted from −0.44 to −0.58 D and near-targeted eyes from −1.02 to −0.97 D. In the VIV group, distance eyes changed from −0.50 to −0.45 D and near eyes from −0.90 to −0.64 D. Uncorrected binocular visual acuity remained stable for distance and near (P>0.05). At 5 years, 79% maintained near acuity ≥J2. Most patients reported absent or minimal visual symptoms at both time points (SYM 88%, VIV 94%), with no intra- or intergroup differences.",
        "Conclusions": "Mini-monovision with diffractive or non-diffractive EDOF IOLs demonstrated sustained refractive and functional stability over five years, with high spectacle independence and a low incidence of visual symptoms, without clinically meaningful differences between optical designs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mini-monovision with diffractive or non-diffractive EDOF IOLs demonstrated sustained refractive and functional stability over five years, with high spectacle independence and a low incidence of visual symptoms, without clinically meaningful differences between optical designs.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 179,
      "source_fields": {
        "Abstract Final Identifier": "PP12.01",
        "Title": "Five-Year Refractive Stability And Visual Performance After Diffractive And Non-Diffractive Edof Iol Implantation With A Mini-Monovision Strategy",
        "Presenting Author(s)": "A/Prof. Andre Messias",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Andre",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messias",
        "Country Name": "Brazil",
        "Purpose": "To evaluate refractive stability, spectacle independence, and visual phenomena five years after bilateral implantation of diffractive or non-diffractive extended depth of focus (EDOF) intraocular lenses using a mini-monovision strategy.",
        "Setting": "Tertiary academic center; long-term reassessment of a cohort from a prior prospective bilateral EDOF IOL study.",
        "Methods": "Five-year follow-up of patients who underwent bilateral implantation of a diffractive EDOF IOL (Symfony – SYM) or a non-diffractive EDOF IOL (Vivity – VIV), targeting −0.75 D in one eye and emmetropia in the fellow eye. The PRSIQ and QoV questionnaires were reapplied. Refractive stability was assessed by comparing spherical equivalent at 3 months (3M) and 5 years (5Y). In selected cases, Anterion and OPD-Scan III examinations were repeated to investigate postoperative IOL positioning; these data will be presented in a subsequent analysis.",
        "Results": "Twenty of 126 original patients were re-evaluated (40 eyes). Spherical equivalent remained stable between 3 months and 5 years in both groups, with no significant group effect or time × lens interaction (P>0.05). In the SYM group, distance-targeted eyes shifted from −0.44 to −0.58 D and near-targeted eyes from −1.02 to −0.97 D. In the VIV group, distance eyes changed from −0.50 to −0.45 D and near eyes from −0.90 to −0.64 D. Uncorrected binocular visual acuity remained stable for distance and near (P>0.05). At 5 years, 79% maintained near acuity ≥J2. Most patients reported absent or minimal visual symptoms at both time points (SYM 88%, VIV 94%), with no intra- or intergroup differences.",
        "Conclusions": "Mini-monovision with diffractive or non-diffractive EDOF IOLs demonstrated sustained refractive and functional stability over five years, with high spectacle independence and a low incidence of visual symptoms, without clinically meaningful differences between optical designs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "PP12.16",
      "abstract_number": "PP12.16",
      "title": "Influence Of Pupil Size On Visual Performance In Lucidis Edof Iol Implantation",
      "authors": "Dr Hayat Ahmad Khan",
      "presenter": "Dr Hayat Ahmad Khan",
      "normalized_authors": [
        "Hayat Ahmad Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hayat Ahmad Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Arab Emirates",
      "sections": {
        "Purpose": "To evaluate the impact of mesopic and photopic pupil size on postoperative visual outcomes and subjective quality of vision following Lucidis EDOF IOL implantation.",
        "Setting": "Tertiary cataract surgical center.",
        "Methods": "A consecutive case series of patients receiving Lucidis EDOF toric IOL. Preoperative pupil size was measured under photopic and mesopic conditions. Postoperative assessments included distance, intermediate, and near visual acuity, contrast sensitivity, and patient-reported quality of vision including glare and halos.",
        "Results": "Patients with physiologic pupil sizes (2.5–4.5 mm) demonstrated stable visual performance across lighting conditions. Larger mesopic pupils did not significantly compromise distance or intermediate acuity. No consistent correlation between pupil size and dysphotopsia severity was observed. Functional near vision remained stable across pupil diameter variations.",
        "Conclusions": "Lucidis EDOF lens performance appears relatively pupil-independent within normal physiologic ranges. Preoperative pupil size alone should not be considered a limiting factor in appropriate candidates. This supports broader applicability in premium cataract surgery planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lucidis EDOF lens performance appears relatively pupil-independent within normal physiologic ranges. Preoperative pupil size alone should not be considered a limiting factor in appropriate candidates. This supports broader applicability in premium cataract surgery planning.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 180,
      "source_fields": {
        "Abstract Final Identifier": "PP12.16",
        "Title": "Influence Of Pupil Size On Visual Performance In Lucidis Edof Iol Implantation",
        "Presenting Author(s)": "Dr Hayat Ahmad Khan",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Hayat",
        "Submitter Middle Name": "Ahmad",
        "Submitter Last Name": "Khan",
        "Country Name": "United Arab Emirates",
        "Purpose": "To evaluate the impact of mesopic and photopic pupil size on postoperative visual outcomes and subjective quality of vision following Lucidis EDOF IOL implantation.",
        "Setting": "Tertiary cataract surgical center.",
        "Methods": "A consecutive case series of patients receiving Lucidis EDOF toric IOL. Preoperative pupil size was measured under photopic and mesopic conditions. Postoperative assessments included distance, intermediate, and near visual acuity, contrast sensitivity, and patient-reported quality of vision including glare and halos.",
        "Results": "Patients with physiologic pupil sizes (2.5–4.5 mm) demonstrated stable visual performance across lighting conditions. Larger mesopic pupils did not significantly compromise distance or intermediate acuity. No consistent correlation between pupil size and dysphotopsia severity was observed. Functional near vision remained stable across pupil diameter variations.",
        "Conclusions": "Lucidis EDOF lens performance appears relatively pupil-independent within normal physiologic ranges. Preoperative pupil size alone should not be considered a limiting factor in appropriate candidates. This supports broader applicability in premium cataract surgery planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 151
    },
    {
      "uid": "PP12.017",
      "abstract_number": "PP12.017",
      "title": "Optical Performance Of Rayone Galaxy Spiral Iol Versus Clareon Vivity In A Real Model Eye: Defocus Curve, Contrast Sensitivity, And Night Glare",
      "authors": "Dr Santaro Noguchi",
      "presenter": "Dr Santaro Noguchi",
      "normalized_authors": [
        "Santaro Noguchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Santaro Noguchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To compare through-focus visual acuity, contrast sensitivity, and night glare characteristics of the RayOne Galaxy spiral intraocular lens (IOL) (Rayner) with the Clareon Vivity extended depth-of-focus (EDOF) IOL (Alcon) using a custom real model eye system.",
        "Setting": "ASUCA Eye Clinic Sendai Mark One",
        "Methods": "A real model eye was constructed with a PMMA corneal lens (spherical aberration +0.20 µm; refractive index 1.4938; radii 7.668/7.460 mm) filled with balanced salt solution and a CCD camera (Pentax Q10®, RICOH IMAGING). Both IOLs were evaluated at 20.0 D. Through-focus visual acuity was measured from +2.0 to −4.0 D (0.25 D steps) at aperture diameters of 2, 3, and 4 mm. Contrast was quantified using the Michaelson contrast formula [(Lmax−Lmin)/(Lmax+Lmin)]; mesopic contrast sensitivity and area under the log contrast sensitivity function (AULCSF) were compared between Galaxy and Clareon Vivity. Night glare was photographed at Φ5 mm using a real nocturnal urban scene. Model eye data were correlated with clinical through-focus outcomes.",
        "Results": "At Φ2 mm, Galaxy demonstrated a functional range of 2.5 D at logMAR 0.2. At Φ3 mm, Galaxy produced a bimodal defocus curve with peaks at plano and −1.75 D, yielding a broader extended range compared to Clareon Vivity. At Φ4 mm, Galaxy achieved −0.1 logMAR best-corrected distance visual acuity with sustained performance to −3.5 D; Clareon Vivity declined steeply beyond −2.0 D. Mesopic contrast sensitivity and AULCSF were significantly higher for Galaxy than Clareon Vivity across all spatial frequencies tested (p < 0.05). Night glare photography showed Galaxy produced minimal halos comparable to an EDOF lens, with no diffractive ring artifacts. Model eye findings were concordant with clinical data.",
        "Conclusions": "The RayOne Galaxy spiral IOL delivered a broader defocus range and superior contrast sensitivity compared to Clareon Vivity in a validated real model eye, while maintaining an EDOF-equivalent low-glare profile. The AI-optimised spiral freeform design positions Galaxy functionally between conventional EDOF and diffractive trifocal IOLs, offering meaningful near and intermediate vision gains without diffractive photic penalties."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The RayOne Galaxy spiral IOL delivered a broader defocus range and superior contrast sensitivity compared to Clareon Vivity in a validated real model eye, while maintaining an EDOF-equivalent low-glare profile. The AI-optimised spiral freeform design positions Galaxy functionally between conventional EDOF and diffractive trifocal IOLs, offering meaningful near and intermediate vision gains without diffractive…",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 181,
      "source_fields": {
        "Abstract Final Identifier": "PP12.017",
        "Title": "Optical Performance Of Rayone Galaxy Spiral Iol Versus Clareon Vivity In A Real Model Eye: Defocus Curve, Contrast Sensitivity, And Night Glare",
        "Presenting Author(s)": "Dr Santaro Noguchi",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Santaro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Noguchi",
        "Country Name": "Japan",
        "Purpose": "To compare through-focus visual acuity, contrast sensitivity, and night glare characteristics of the RayOne Galaxy spiral intraocular lens (IOL) (Rayner) with the Clareon Vivity extended depth-of-focus (EDOF) IOL (Alcon) using a custom real model eye system.",
        "Setting": "ASUCA Eye Clinic Sendai Mark One",
        "Methods": "A real model eye was constructed with a PMMA corneal lens (spherical aberration +0.20 µm; refractive index 1.4938; radii 7.668/7.460 mm) filled with balanced salt solution and a CCD camera (Pentax Q10®, RICOH IMAGING). Both IOLs were evaluated at 20.0 D. Through-focus visual acuity was measured from +2.0 to −4.0 D (0.25 D steps) at aperture diameters of 2, 3, and 4 mm. Contrast was quantified using the Michaelson contrast formula [(Lmax−Lmin)/(Lmax+Lmin)]; mesopic contrast sensitivity and area under the log contrast sensitivity function (AULCSF) were compared between Galaxy and Clareon Vivity. Night glare was photographed at Φ5 mm using a real nocturnal urban scene. Model eye data were correlated with clinical through-focus outcomes.",
        "Results": "At Φ2 mm, Galaxy demonstrated a functional range of 2.5 D at logMAR 0.2. At Φ3 mm, Galaxy produced a bimodal defocus curve with peaks at plano and −1.75 D, yielding a broader extended range compared to Clareon Vivity. At Φ4 mm, Galaxy achieved −0.1 logMAR best-corrected distance visual acuity with sustained performance to −3.5 D; Clareon Vivity declined steeply beyond −2.0 D. Mesopic contrast sensitivity and AULCSF were significantly higher for Galaxy than Clareon Vivity across all spatial frequencies tested (p < 0.05). Night glare photography showed Galaxy produced minimal halos comparable to an EDOF lens, with no diffractive ring artifacts. Model eye findings were concordant with clinical data.",
        "Conclusions": "The RayOne Galaxy spiral IOL delivered a broader defocus range and superior contrast sensitivity compared to Clareon Vivity in a validated real model eye, while maintaining an EDOF-equivalent low-glare profile. The AI-optimised spiral freeform design positions Galaxy functionally between conventional EDOF and diffractive trifocal IOLs, offering meaningful near and intermediate vision gains without diffractive photic penalties."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "PP12.018",
      "abstract_number": "PP12.018",
      "title": "Visual Performance Of A Refractive Extended Depth Of Field Intraocular Lens In Monovision And Emmetropic Settings",
      "authors": "Dr Johannes Zeilinger",
      "presenter": "Dr Johannes Zeilinger",
      "normalized_authors": [
        "Johannes Zeilinger"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Johannes Zeilinger",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To compare visual performance, contrast sensitivity, stereopsis, and patient-reported outcomes following implantation of a refractive extended depth-of-field (EDF) intraocular lens using either a mini-monovision or emmetropia target strategy.",
        "Setting": "Prospective, randomized, controlled, patient- and examiner-masked clinical trial.",
        "Methods": "Sixty patients (120 eyes) undergoing bilateral cataract surgery were implanted with a refractive EDF intraocular lens (DEN00V, Tecnis PureSee). Patients were randomized to receive either binocular mini-monovision (target refraction −0.75 D in the non-dominant eye) or bilateral emmetropia. Three months postoperatively, binocular uncorrected and corrected distance visual acuity (UDVA/CDVA), uncorrected intermediate (UIVA) and near visual acuity (UNVA), low-contrast visual acuity, defocus curves, stereopsis, and patient-reported outcomes (PRSIQ, AIOLIS) were assessed.",
        "Results": "Binocular UDVA and CDVA were excellent in both groups, with no statistically significant differences. UIVA and UNVA demonstrated a non-significant trend favoring the mini-monovision group. Binocular defocus curves were largely comparable between groups, with a slight advantage for the emmetropia group at +1.0 D. Stereopsis was preserved in both groups without significant intergroup differences. Patient-reported outcomes indicated high overall satisfaction and low spectacle dependence for distance and intermediate vision in both groups. The mini-monovision group reported slightly lower near spectacle dependence but a marginally higher incidence of glare phenomena.",
        "Conclusions": "Bilateral implantation of the DEN00V refractive EDF intraocular lens provides excellent distance and intermediate visual outcomes with good contrast sensitivity and preserved stereopsis, irrespective of targeting strategy. A mini-monovision approach offers a functional benefit for near vision without clinically meaningful compromise in distance vision or subjective visual quality."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of the DEN00V refractive EDF intraocular lens provides excellent distance and intermediate visual outcomes with good contrast sensitivity and preserved stereopsis, irrespective of targeting strategy. A mini-monovision approach offers a functional benefit for near vision without clinically meaningful compromise in distance vision or subjective visual quality.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 182,
      "source_fields": {
        "Abstract Final Identifier": "PP12.018",
        "Title": "Visual Performance Of A Refractive Extended Depth Of Field Intraocular Lens In Monovision And Emmetropic Settings",
        "Presenting Author(s)": "Dr Johannes Zeilinger",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Johannes",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeilinger",
        "Country Name": "Austria",
        "Purpose": "To compare visual performance, contrast sensitivity, stereopsis, and patient-reported outcomes following implantation of a refractive extended depth-of-field (EDF) intraocular lens using either a mini-monovision or emmetropia target strategy.",
        "Setting": "Prospective, randomized, controlled, patient- and examiner-masked clinical trial.",
        "Methods": "Sixty patients (120 eyes) undergoing bilateral cataract surgery were implanted with a refractive EDF intraocular lens (DEN00V, Tecnis PureSee). Patients were randomized to receive either binocular mini-monovision (target refraction −0.75 D in the non-dominant eye) or bilateral emmetropia. Three months postoperatively, binocular uncorrected and corrected distance visual acuity (UDVA/CDVA), uncorrected intermediate (UIVA) and near visual acuity (UNVA), low-contrast visual acuity, defocus curves, stereopsis, and patient-reported outcomes (PRSIQ, AIOLIS) were assessed.",
        "Results": "Binocular UDVA and CDVA were excellent in both groups, with no statistically significant differences. UIVA and UNVA demonstrated a non-significant trend favoring the mini-monovision group. Binocular defocus curves were largely comparable between groups, with a slight advantage for the emmetropia group at +1.0 D. Stereopsis was preserved in both groups without significant intergroup differences. Patient-reported outcomes indicated high overall satisfaction and low spectacle dependence for distance and intermediate vision in both groups. The mini-monovision group reported slightly lower near spectacle dependence but a marginally higher incidence of glare phenomena.",
        "Conclusions": "Bilateral implantation of the DEN00V refractive EDF intraocular lens provides excellent distance and intermediate visual outcomes with good contrast sensitivity and preserved stereopsis, irrespective of targeting strategy. A mini-monovision approach offers a functional benefit for near vision without clinically meaningful compromise in distance vision or subjective visual quality."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "PP12.02",
      "abstract_number": "PP12.02",
      "title": "Impact Of Preoperative Spherical Aberration On Refractive Outcomes With An Extended Depth-Of-Focus (Edof) Intraocular Lens (Iol)",
      "authors": "Dr Alejandra Beltrán-Castillo",
      "presenter": "Dr Alejandra Beltrán-Castillo",
      "normalized_authors": [
        "Alejandra Beltrán-Castillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alejandra Beltrán",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To determine the correlation between preoperative corneal spherical aberration (SA) and visual performance at different distances after implantation of the AcrySof IQ Vivity ® extended depth-of-focus (EDOF) intraocular lens (IOL).",
        "Setting": "Association for the Prevention of Blindness in Mexico (Asociación Para Evitar la Ceguera en México I.A.P; APEC) Mexico City, Mexico (September 2023-December 2024).",
        "Methods": "Prospective study including 121 eyes undergoing phacoemulsification with implantation of the Vivity® EDOF IOL (Alcon). Pre- and postoperative corneal SA was evaluated using aberrometry (OPD-Scan III, Nidek) and corneal tomography (Pentacam, Oculus). Visual acuity (VA) was assessed with defocus curves for distance, intermediate and near vision. Statistical analyses included Wilcoxon tests, Student's t-test, Spearman correlation, and linear regression.",
        "Results": "No significant differences were found between pre- and postoperative corneal SA (p=0,41). In the overall analysis, SA did not correlate with VA at any distance. Nevertheless, subgroup analysis showed that in patients with SA > 0,27 µm (34%), higher SA was significantly associated with worse intermediate visual performance (r=0,45; p<0,05), explaining 20,2% of its variability. No significant association was found between pupil size and VA at different distances.",
        "Conclusions": "Preoperative corneal SA influences intermediate vision quality with the Vivity ® IOL, particularly in eyes with values > 0,27 µm . Preoperative SA assessment is a useful variable to select candidates and predict outcomes, thereby optimizing patient satisfaction with this EDOF technology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative corneal SA influences intermediate vision quality with the Vivity ® IOL, particularly in eyes with values > 0,27 µm . Preoperative SA assessment is a useful variable to select candidates and predict outcomes, thereby optimizing patient satisfaction with this EDOF technology.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 183,
      "source_fields": {
        "Abstract Final Identifier": "PP12.02",
        "Title": "Impact Of Preoperative Spherical Aberration On Refractive Outcomes With An Extended Depth-Of-Focus (Edof) Intraocular Lens (Iol)",
        "Presenting Author(s)": "Dr Alejandra Beltrán-Castillo",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Alejandra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beltrán",
        "Country Name": "Mexico",
        "Purpose": "To determine the correlation between preoperative corneal spherical aberration (SA) and visual performance at different distances after implantation of the AcrySof IQ Vivity ® extended depth-of-focus (EDOF) intraocular lens (IOL).",
        "Setting": "Association for the Prevention of Blindness in Mexico (Asociación Para Evitar la Ceguera en México I.A.P; APEC) Mexico City, Mexico (September 2023-December 2024).",
        "Methods": "Prospective study including 121 eyes undergoing phacoemulsification with implantation of the Vivity® EDOF IOL (Alcon). Pre- and postoperative corneal SA was evaluated using aberrometry (OPD-Scan III, Nidek) and corneal tomography (Pentacam, Oculus). Visual acuity (VA) was assessed with defocus curves for distance, intermediate and near vision. Statistical analyses included Wilcoxon tests, Student's t-test, Spearman correlation, and linear regression.",
        "Results": "No significant differences were found between pre- and postoperative corneal SA (p=0,41). In the overall analysis, SA did not correlate with VA at any distance. Nevertheless, subgroup analysis showed that in patients with SA > 0,27 µm (34%), higher SA was significantly associated with worse intermediate visual performance (r=0,45; p<0,05), explaining 20,2% of its variability. No significant association was found between pupil size and VA at different distances.",
        "Conclusions": "Preoperative corneal SA influences intermediate vision quality with the Vivity ® IOL, particularly in eyes with values > 0,27 µm . Preoperative SA assessment is a useful variable to select candidates and predict outcomes, thereby optimizing patient satisfaction with this EDOF technology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "PP12.03",
      "abstract_number": "PP12.03",
      "title": "Higher Order Aberrations And Modulation Transfer Function In Eyes With Asymmetric Refractive Edof And Progressive Polyfocal Iol",
      "authors": "Siddharth Sheth",
      "presenter": "Siddharth Sheth",
      "normalized_authors": [
        "Siddharth Sheth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Siddharth Sheth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare higher order aberrations (HOA) and modulation transfer function (MTF) in eyes implanted with asymmetric refractive EDOF and Progressive polyfocal IOL",
        "Setting": "Tertiary private eye hospital, India",
        "Methods": "A retrospective study where subjects implanted with asymmetric refractive EDOF (Lentis Comfort, Teleon Surgical BV ) and Progressive polyfocal IOL (Spirant Autofocus Pro, Lifeline Medical Devices), aged between 40 -75 years, post-operative best corrected visual acuity 0.2logMAR or better, pre operative corneal astigmatism <1.0D and cataract grade NS I-III were included in the study. Subjects with any ocular pathologies, irregular astigmatism, previous refractive surgery, and intra-operative complications were excluded. At 1 month follow up, internal HOA (3 rd , 4 th and 5 th order) and MTF at 5, 10, 15, 20, 25, 30 cycles per degrees were obtained using i-Trace aberrometer for 4mm fixed pupil and compared among two groups.",
        "Results": "24 and 18 eyes were implanted with asymmetric refractive EDOF and progressive polyfocal IOL respectively. The Mean±SD age of the subjects implanted with asymmetric refractive and progressive polyfocal IOL were 59.21±6.86 and 62.10±6.40 year respectively (Two sample, p=0.30). Higher order aberrations were found to be similar with both the IOLs (two sample t test, p>0.05) except secondary coma and penatfoil which were reduced with non diffractive IOL. MTF at all spatial frequencies were similar in both the IOLs (Two sample t test, p>0.05).",
        "Conclusions": "Internal HOAs up to fifth order were similar with both asymmetric refractive EDOF and progressive polyfocal IOL"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Internal HOAs up to fifth order were similar with both asymmetric refractive EDOF and progressive polyfocal IOL",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 184,
      "source_fields": {
        "Abstract Final Identifier": "PP12.03",
        "Title": "Higher Order Aberrations And Modulation Transfer Function In Eyes With Asymmetric Refractive Edof And Progressive Polyfocal Iol",
        "Presenting Author(s)": "Siddharth Sheth",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Siddharth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sheth",
        "Country Name": "India",
        "Purpose": "To compare higher order aberrations (HOA) and modulation transfer function (MTF) in eyes implanted with asymmetric refractive EDOF and Progressive polyfocal IOL",
        "Setting": "Tertiary private eye hospital, India",
        "Methods": "A retrospective study where subjects implanted with asymmetric refractive EDOF (Lentis Comfort, Teleon Surgical BV ) and Progressive polyfocal IOL (Spirant Autofocus Pro, Lifeline Medical Devices), aged between 40 -75 years, post-operative best corrected visual acuity 0.2logMAR or better, pre operative corneal astigmatism <1.0D and cataract grade NS I-III were included in the study. Subjects with any ocular pathologies, irregular astigmatism, previous refractive surgery, and intra-operative complications were excluded. At 1 month follow up, internal HOA (3 rd , 4 th and 5 th order) and MTF at 5, 10, 15, 20, 25, 30 cycles per degrees were obtained using i-Trace aberrometer for 4mm fixed pupil and compared among two groups.",
        "Results": "24 and 18 eyes were implanted with asymmetric refractive EDOF and progressive polyfocal IOL respectively. The Mean±SD age of the subjects implanted with asymmetric refractive and progressive polyfocal IOL were 59.21±6.86 and 62.10±6.40 year respectively (Two sample, p=0.30). Higher order aberrations were found to be similar with both the IOLs (two sample t test, p>0.05) except secondary coma and penatfoil which were reduced with non diffractive IOL. MTF at all spatial frequencies were similar in both the IOLs (Two sample t test, p>0.05).",
        "Conclusions": "Internal HOAs up to fifth order were similar with both asymmetric refractive EDOF and progressive polyfocal IOL"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "PP12.04",
      "abstract_number": "PP12.04",
      "title": "Visual Outcomes After Bilateral Tecnis Puresee Implantation In Refractive Lens Exchange Patients With Ocular Morbidities: A Multicentre Retrospective Cohort Study.",
      "authors": "Dr Frank Kerkhoff",
      "presenter": "Dr Frank Kerkhoff",
      "normalized_authors": [
        "Frank Kerkhoff"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Frank Kerkhoff",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To describe uncorrected visual outcomes after bilateral implantation of partial range of vision IOL, Tecnis PureSee in refractive lens exchange (RLE) patients with ocular comorbidities, and to compare outcomes across predefined subgroups (laser vision correction [LVC] history, amblyopia, corneal pathology, maculopathy, “others,” and general‑health–related ocular involvement). Primary endpoints were binocular UCDVA , UCIVA , and UCNVA evaluated overall and stratified by comorbidity.",
        "Setting": "Retrospective, multicentre cohort at tree specialized surgical FYEO refractive centres. Refractive lens exchange with Tecnis PureSee were bilaterally performed between 1 January 2024 and 31 December 2025 , assessed at 3 ‑months post‑operative follow‑up. Data were extracted from the clinical results database.",
        "Methods": "All bilateral PureSee RLE cases were screened; comorbidity status was captured during the pre‑operative consultation. Unique patients were identified (de‑duplicated by ID), subgroup labels were harmonised and further specified. Characteristics of the subgroups have been analysed. Binocular vision outcomes at distance, intermediate and near were analysed overall and by comorbidity subgroup . Summary measures included n, mean, median, IQR, min–max, and the proportions achieving ≤0.10 and ≤0.20 logMAR for each endpoint ( UCDVA/UCIVA/UCNVA ).",
        "Results": "946 patients underwent bilateral PureSee; 418 had a recorded ocular comorbidity (LVC 105 ; amblyopia 52 ; corneal pathology 101 ; maculopathy 102 ; other ocular morbidity 45 ; general‑health–related ocular involvement 13 ).\n\nOverall outcomes at ~2 months: UCDVA mean −0.002 logMAR (≤0.10: 88.0% , ≤0.20: 95.7% ); UCIVA mean 0.131 (≤0.20: 78.0% ); UCNVA mean 0.224 (≤0.20: 45.5% ).\n\nBy subgroup, near acuity was worst in maculopathy (UCNVA mean 0.273 ), while distance medians clustered around 0.00 across groups (e.g., Cornea UCDVA mean −0.008 ; Others −0.035 )",
        "Conclusions": "Bilateral Tecnis PureSee provided excellent uncorrected distance and good intermediate visual acuity in a real‑world multicentre cohort that included substantial ocular comorbidity; near acuity was most sensitive to macular disease , as expected. These findings support the feasibility of non‑diffractive EDOF IOLs in carefully selected RLE candidates with comorbidity, while highlighting the need to calibrate near‑vision expectations in maculopathy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral Tecnis PureSee provided excellent uncorrected distance and good intermediate visual acuity in a real‑world multicentre cohort that included substantial ocular comorbidity; near acuity was most sensitive to macular disease , as expected. These findings support the feasibility of non‑diffractive EDOF IOLs in carefully selected RLE candidates with comorbidity, while highlighting the need to calibrate…",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 185,
      "source_fields": {
        "Abstract Final Identifier": "PP12.04",
        "Title": "Visual Outcomes After Bilateral Tecnis Puresee Implantation In Refractive Lens Exchange Patients With Ocular Morbidities: A Multicentre Retrospective Cohort Study.",
        "Presenting Author(s)": "Dr Frank Kerkhoff",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Frank",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kerkhoff",
        "Country Name": "Netherlands",
        "Purpose": "To describe uncorrected visual outcomes after bilateral implantation of partial range of vision IOL, Tecnis PureSee in refractive lens exchange (RLE) patients with ocular comorbidities, and to compare outcomes across predefined subgroups (laser vision correction [LVC] history, amblyopia, corneal pathology, maculopathy, “others,” and general‑health–related ocular involvement). Primary endpoints were binocular UCDVA , UCIVA , and UCNVA evaluated overall and stratified by comorbidity.",
        "Setting": "Retrospective, multicentre cohort at tree specialized surgical FYEO refractive centres. Refractive lens exchange with Tecnis PureSee were bilaterally performed between 1 January 2024 and 31 December 2025 , assessed at 3 ‑months post‑operative follow‑up. Data were extracted from the clinical results database.",
        "Methods": "All bilateral PureSee RLE cases were screened; comorbidity status was captured during the pre‑operative consultation. Unique patients were identified (de‑duplicated by ID), subgroup labels were harmonised and further specified. Characteristics of the subgroups have been analysed. Binocular vision outcomes at distance, intermediate and near were analysed overall and by comorbidity subgroup . Summary measures included n, mean, median, IQR, min–max, and the proportions achieving ≤0.10 and ≤0.20 logMAR for each endpoint ( UCDVA/UCIVA/UCNVA ).",
        "Results": "946 patients underwent bilateral PureSee; 418 had a recorded ocular comorbidity (LVC 105 ; amblyopia 52 ; corneal pathology 101 ; maculopathy 102 ; other ocular morbidity 45 ; general‑health–related ocular involvement 13 ).\n\nOverall outcomes at ~2 months: UCDVA mean −0.002 logMAR (≤0.10: 88.0% , ≤0.20: 95.7% ); UCIVA mean 0.131 (≤0.20: 78.0% ); UCNVA mean 0.224 (≤0.20: 45.5% ).\n\nBy subgroup, near acuity was worst in maculopathy (UCNVA mean 0.273 ), while distance medians clustered around 0.00 across groups (e.g., Cornea UCDVA mean −0.008 ; Others −0.035 )",
        "Conclusions": "Bilateral Tecnis PureSee provided excellent uncorrected distance and good intermediate visual acuity in a real‑world multicentre cohort that included substantial ocular comorbidity; near acuity was most sensitive to macular disease , as expected. These findings support the feasibility of non‑diffractive EDOF IOLs in carefully selected RLE candidates with comorbidity, while highlighting the need to calibrate near‑vision expectations in maculopathy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "PP12.05",
      "abstract_number": "PP12.05",
      "title": "Visual Performance Of Clareon® Vivity® And Puresee® Intraocular Lenses In Patients Undergoing Cataract Surgery",
      "authors": "Dr Merce Guarro",
      "presenter": "Dr Merce Guarro",
      "normalized_authors": [
        "Merce Guarro"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Merce Guarro",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Partial-range of field-extended intraocular lenses (PRoF-Ex IOL) are increasingly implanted in developed countries because they provide very good distance and intermediate visual acuities (VA) with induction of minimal dysphotopsia. However, head-to-head comparisons between these IOL are uncommon, limiting the assessment of their relative advantages and limitations. We evaluated the performance of two PRoF-Ex IOL, the Clareon Vivity (Alcon Healthcare, US) and PureSee (Johnson & Johnson, US) lenses.",
        "Setting": "The study was conducted from June 2025 to February 2026 in OMIQ Research facilities, a private ophthalmology research group in Barcelona, Spain.",
        "Methods": "Prospective, randomized, patient and VA examiner-masked, clinical trial comparing the Clareon Vivity and PureSee PRoF-Ex IOL. Patients ≥50 years-old with age-related cataracts and no other ocular comorbidities were randomly assigned to one group in a 1:1 ratio. The main endpoint was the binocular distance-corrected intermediate VA at 66 cm (DCIVA) at month 3. Other endpoints included the spherical equivalent (SE), mono/binocular, distance-corrected and uncorrected VA at far, intermediate and near; defocus curve (DC); and spectacle independence and symptoms of dysphotopsia via the IOLSAT and QUVID questionnaires. Data were compared with independent Student’s-t/Mann-Whitney tests according to their distribution or Fisher’s exact test.",
        "Results": "We included 80 patients (40 per group), with no drop-outs at month 3. There were no imbalances in baseline characteristics except for astigmatism, which was 0.27 larger in the PureSee group (p=0.004). The mean SE was -0.15D (SD 0.25D) for Clareon and 0.00D (SD 0.25D) for PureSee (p=0.0002). The binocular DCIVA was 0.06 logMAR (IQR 0.11, Clareon) vs 0.12 (0.08, PureSee), p=0.06. The monocular DCIVA was 0.12 logMAR (IQR 0.11, Clareon) vs 0.18 (IQR 0.10, PureSee), p=0.0025. The DC at +1D favored the PureSee (0.18 vs 0.22 logMAR, p=0.06), while at -1D and -2D favored the Clareon (0.08 vs 0.11 [p=0.06] and 0.25 vs 0.29 logMAR [p=0.05]). More than 70% of patients reported total absence of dysphotopsia, with no differences between IOL (p≥0.25).",
        "Conclusions": "Clareon Vivity and PureSee IOL provide excellent performance at distance and intermediate distances, with functional vision at near. There was generally high patient satisfaction with few symptoms of dysphotopsia with either IOL. The performance of Clareon Vivity was numerically superior to that of the PureSee IOL at intermediate and near distances, but with borderline statistically significant results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Clareon Vivity and PureSee IOL provide excellent performance at distance and intermediate distances, with functional vision at near. There was generally high patient satisfaction with few symptoms of dysphotopsia with either IOL. The performance of Clareon Vivity was numerically superior to that of the PureSee IOL at intermediate and near distances, but with borderline statistically significant results.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 186,
      "source_fields": {
        "Abstract Final Identifier": "PP12.05",
        "Title": "Visual Performance Of Clareon® Vivity® And Puresee® Intraocular Lenses In Patients Undergoing Cataract Surgery",
        "Presenting Author(s)": "Dr Merce Guarro",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Merce",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Guarro",
        "Country Name": "Spain",
        "Purpose": "Partial-range of field-extended intraocular lenses (PRoF-Ex IOL) are increasingly implanted in developed countries because they provide very good distance and intermediate visual acuities (VA) with induction of minimal dysphotopsia. However, head-to-head comparisons between these IOL are uncommon, limiting the assessment of their relative advantages and limitations. We evaluated the performance of two PRoF-Ex IOL, the Clareon Vivity (Alcon Healthcare, US) and PureSee (Johnson & Johnson, US) lenses.",
        "Setting": "The study was conducted from June 2025 to February 2026 in OMIQ Research facilities, a private ophthalmology research group in Barcelona, Spain.",
        "Methods": "Prospective, randomized, patient and VA examiner-masked, clinical trial comparing the Clareon Vivity and PureSee PRoF-Ex IOL. Patients ≥50 years-old with age-related cataracts and no other ocular comorbidities were randomly assigned to one group in a 1:1 ratio. The main endpoint was the binocular distance-corrected intermediate VA at 66 cm (DCIVA) at month 3. Other endpoints included the spherical equivalent (SE), mono/binocular, distance-corrected and uncorrected VA at far, intermediate and near; defocus curve (DC); and spectacle independence and symptoms of dysphotopsia via the IOLSAT and QUVID questionnaires. Data were compared with independent Student’s-t/Mann-Whitney tests according to their distribution or Fisher’s exact test.",
        "Results": "We included 80 patients (40 per group), with no drop-outs at month 3. There were no imbalances in baseline characteristics except for astigmatism, which was 0.27 larger in the PureSee group (p=0.004). The mean SE was -0.15D (SD 0.25D) for Clareon and 0.00D (SD 0.25D) for PureSee (p=0.0002). The binocular DCIVA was 0.06 logMAR (IQR 0.11, Clareon) vs 0.12 (0.08, PureSee), p=0.06. The monocular DCIVA was 0.12 logMAR (IQR 0.11, Clareon) vs 0.18 (IQR 0.10, PureSee), p=0.0025. The DC at +1D favored the PureSee (0.18 vs 0.22 logMAR, p=0.06), while at -1D and -2D favored the Clareon (0.08 vs 0.11 [p=0.06] and 0.25 vs 0.29 logMAR [p=0.05]). More than 70% of patients reported total absence of dysphotopsia, with no differences between IOL (p≥0.25).",
        "Conclusions": "Clareon Vivity and PureSee IOL provide excellent performance at distance and intermediate distances, with functional vision at near. There was generally high patient satisfaction with few symptoms of dysphotopsia with either IOL. The performance of Clareon Vivity was numerically superior to that of the PureSee IOL at intermediate and near distances, but with borderline statistically significant results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 407
    },
    {
      "uid": "PP12.06",
      "abstract_number": "PP12.06",
      "title": "Comparison Of Visual And Subjective Outcomes Between Two Extended Depth-Of-Focus Intraocular Lenses: Tecnis Puresee™ And Clareon® Vivity®",
      "authors": "Junha Kang",
      "presenter": "Junha Kang",
      "normalized_authors": [
        "Junha Kang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Junha Kang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare postoperative visual performance between two non-diffractive, extended depth-of-focus (EDoF) intraocular lenses (IOLs) — TECNIS PureSee™ and Clareon® Vivity® — by evaluating visual acuity, contrast sensitivity, and patient-reported outcomes.",
        "Setting": "Single center, South Korea",
        "Methods": "In this retrospective comparative study, 102 eyes (51 per group) received either the PureSee or Vivity IOL. Visual acuity at various distances, defocus curves, and contrast sensitivity under photopic and mesopic conditions were assessed at 2 months postoperatively. Patient satisfaction and visual disturbances were also evaluated.",
        "Results": "Both the PureSee and Vivity IOL demonstrated comparable visual acuity at far and near distances, while the Vivity showing significantly better visual acuity at intermediate distances. Contrast sensitivity was significantly higher in the PureSee group at higher spatial frequencies. Patient satisfaction and spectacle independence were high and comparable in both groups. The Vivity group showed a trend toward fewer reports of glare and halo.",
        "Conclusions": "The Vivity IOL performed better at intermediate distances with fewer photic phenomena when compared with the PureSee IOL. The differences between these two EDoF IOLs may help in lens selection based on patient’s visual demands and lifestyle."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Vivity IOL performed better at intermediate distances with fewer photic phenomena when compared with the PureSee IOL. The differences between these two EDoF IOLs may help in lens selection based on patient’s visual demands and lifestyle.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 187,
      "source_fields": {
        "Abstract Final Identifier": "PP12.06",
        "Title": "Comparison Of Visual And Subjective Outcomes Between Two Extended Depth-Of-Focus Intraocular Lenses: Tecnis Puresee™ And Clareon® Vivity®",
        "Presenting Author(s)": "Junha Kang",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Junha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kang",
        "Country Name": "United Kingdom",
        "Purpose": "To compare postoperative visual performance between two non-diffractive, extended depth-of-focus (EDoF) intraocular lenses (IOLs) — TECNIS PureSee™ and Clareon® Vivity® — by evaluating visual acuity, contrast sensitivity, and patient-reported outcomes.",
        "Setting": "Single center, South Korea",
        "Methods": "In this retrospective comparative study, 102 eyes (51 per group) received either the PureSee or Vivity IOL. Visual acuity at various distances, defocus curves, and contrast sensitivity under photopic and mesopic conditions were assessed at 2 months postoperatively. Patient satisfaction and visual disturbances were also evaluated.",
        "Results": "Both the PureSee and Vivity IOL demonstrated comparable visual acuity at far and near distances, while the Vivity showing significantly better visual acuity at intermediate distances. Contrast sensitivity was significantly higher in the PureSee group at higher spatial frequencies. Patient satisfaction and spectacle independence were high and comparable in both groups. The Vivity group showed a trend toward fewer reports of glare and halo.",
        "Conclusions": "The Vivity IOL performed better at intermediate distances with fewer photic phenomena when compared with the PureSee IOL. The differences between these two EDoF IOLs may help in lens selection based on patient’s visual demands and lifestyle."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 179
    },
    {
      "uid": "PP12.07",
      "abstract_number": "PP12.07",
      "title": "Estimating Range Of Vision And Pupil-Size–Related Optical Function In A Spiral Intraocular Lens",
      "authors": "Prof. Dr Dong Hyun Kim",
      "presenter": "Prof. Dr Dong Hyun Kim",
      "normalized_authors": [
        "Dong Hyun Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dong Hyun Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To perform a comprehensive in vitro optical assessment of the RayOne Galaxy intraocular lens (IOL) to characterize its optical quality and functional visual range.",
        "Setting": "In vitro optical bench study",
        "Methods": "Three samples of the +20 D RayOne Galaxy IOL (Rayner) were assessed using the OptiSpheric IOL PRO2 (Trioptics GmbH) bench. All measurements utilized polychromatic light and a model cornea inducing +0.27 µm of spherical aberration. Modulation Transfer Function (MTF), Through-Focus (TF) MTF, area under the MTF (MTFa), and Simulated Visual Acuity (SimVA) were evaluated across pupil diameters of 2.0 to 4.5 mm. Photic phenomena susceptibility was also assessed via Point Spread Function (PSF) imaging.",
        "Results": "The Galaxy demonstrated robust optical quality and an extended functional vision for small pupils (2.0 mm to 3.0 mm). At these apertures, the SimVA remained ≤0.2 logMAR across a wide defocus range (+1 D to −3 D). The Galaxy showed a distinct higher plateau in the 0 to −2 D defocus range on the TF MTF curve at 2.0 mm pupil. PSF analysis also demonstrated a compact central peak and minimal halo rings. However, a significant decline in objective metrics, including SimVA, were observed with increasing defocus for pupils >3.5 mm.",
        "Conclusions": "The Galaxy demonstrated an extended range of vision with good optical quality and a low degree of positive dysphotopsia, particularly at small pupil sizes. Optical performance at intermediate and near distances tends to decline notably as pupil diameter increases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Galaxy demonstrated an extended range of vision with good optical quality and a low degree of positive dysphotopsia, particularly at small pupil sizes. Optical performance at intermediate and near distances tends to decline notably as pupil diameter increases.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 188,
      "source_fields": {
        "Abstract Final Identifier": "PP12.07",
        "Title": "Estimating Range Of Vision And Pupil-Size–Related Optical Function In A Spiral Intraocular Lens",
        "Presenting Author(s)": "Prof. Dr Dong Hyun Kim",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Dong Hyun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To perform a comprehensive in vitro optical assessment of the RayOne Galaxy intraocular lens (IOL) to characterize its optical quality and functional visual range.",
        "Setting": "In vitro optical bench study",
        "Methods": "Three samples of the +20 D RayOne Galaxy IOL (Rayner) were assessed using the OptiSpheric IOL PRO2 (Trioptics GmbH) bench. All measurements utilized polychromatic light and a model cornea inducing +0.27 µm of spherical aberration. Modulation Transfer Function (MTF), Through-Focus (TF) MTF, area under the MTF (MTFa), and Simulated Visual Acuity (SimVA) were evaluated across pupil diameters of 2.0 to 4.5 mm. Photic phenomena susceptibility was also assessed via Point Spread Function (PSF) imaging.",
        "Results": "The Galaxy demonstrated robust optical quality and an extended functional vision for small pupils (2.0 mm to 3.0 mm). At these apertures, the SimVA remained ≤0.2 logMAR across a wide defocus range (+1 D to −3 D). The Galaxy showed a distinct higher plateau in the 0 to −2 D defocus range on the TF MTF curve at 2.0 mm pupil. PSF analysis also demonstrated a compact central peak and minimal halo rings. However, a significant decline in objective metrics, including SimVA, were observed with increasing defocus for pupils >3.5 mm.",
        "Conclusions": "The Galaxy demonstrated an extended range of vision with good optical quality and a low degree of positive dysphotopsia, particularly at small pupil sizes. Optical performance at intermediate and near distances tends to decline notably as pupil diameter increases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "PP12.08",
      "abstract_number": "PP12.08",
      "title": "Objective Visual Acuity Outcomes Following Puresee Intraocular Lens Implantation By Target Refraction",
      "authors": "Prof. Mohammed Muhtaseb",
      "presenter": "Prof. Mohammed Muhtaseb",
      "normalized_authors": [
        "Mohammed Muhtaseb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammed Muhtaseb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess objective unaided visual acuity outcomes following PureSee presbyopia-correcting intraocular lens implantation, stratified by target refraction, and to evaluate the impact of myopic targeting used for functional mini-monovision.",
        "Setting": "The study was conducted retrospectively in a private single-surgeon ophthalmology practice in South Wales, United Kingdom.",
        "Methods": "A retrospective analysis was conducted of 127 patients undergoing cataract surgery with implantation of the PureSee increased range of focus intraocular lens (DEN00V, DETxxx). 44% of the cases had guarded prognosis. Outcomes were stratified by target refraction: emmetropia (−0.30D to +0.30D) and slight myopia (−0.31D to −0.75D). Unaided distance, intermediate, and near visual acuity outcomes were analysed using cumulative threshold distributions.",
        "Results": "78.2% of the emmetropic target group achieved an uncorrected distance visual acuity of 6/9 or better, increasing to 92.1% achieving 6/12 or better. Intermediate visual acuity outcomes showed that 80.2% achieved 0.3 logMAR or better. For near vision, 52.5% achieved N10 or better.\n\nIn eyes targeted for slight myopia, 63.6% achieved an unaided distant visual acuity of 6/9 or better. Intermediate visual acuity outcomes demonstrated that 77.3% achieved 0.3 logMAR or better. Near visual acuity outcomes showed that 72.7% achieved N10 or better.",
        "Conclusions": "PureSee intraocular lens implantation delivers good distance and intermediate visual acuity, with predictable improvements in near vision when slight myopic targets are used. These findings support the use of mild mini-monovision strategies to enhance near performance with functional distant vision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PureSee intraocular lens implantation delivers good distance and intermediate visual acuity, with predictable improvements in near vision when slight myopic targets are used. These findings support the use of mild mini-monovision strategies to enhance near performance with functional distant vision.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 189,
      "source_fields": {
        "Abstract Final Identifier": "PP12.08",
        "Title": "Objective Visual Acuity Outcomes Following Puresee Intraocular Lens Implantation By Target Refraction",
        "Presenting Author(s)": "Prof. Mohammed Muhtaseb",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Mohammed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Muhtaseb",
        "Country Name": "United Kingdom",
        "Purpose": "To assess objective unaided visual acuity outcomes following PureSee presbyopia-correcting intraocular lens implantation, stratified by target refraction, and to evaluate the impact of myopic targeting used for functional mini-monovision.",
        "Setting": "The study was conducted retrospectively in a private single-surgeon ophthalmology practice in South Wales, United Kingdom.",
        "Methods": "A retrospective analysis was conducted of 127 patients undergoing cataract surgery with implantation of the PureSee increased range of focus intraocular lens (DEN00V, DETxxx). 44% of the cases had guarded prognosis. Outcomes were stratified by target refraction: emmetropia (−0.30D to +0.30D) and slight myopia (−0.31D to −0.75D). Unaided distance, intermediate, and near visual acuity outcomes were analysed using cumulative threshold distributions.",
        "Results": "78.2% of the emmetropic target group achieved an uncorrected distance visual acuity of 6/9 or better, increasing to 92.1% achieving 6/12 or better. Intermediate visual acuity outcomes showed that 80.2% achieved 0.3 logMAR or better. For near vision, 52.5% achieved N10 or better.\n\nIn eyes targeted for slight myopia, 63.6% achieved an unaided distant visual acuity of 6/9 or better. Intermediate visual acuity outcomes demonstrated that 77.3% achieved 0.3 logMAR or better. Near visual acuity outcomes showed that 72.7% achieved N10 or better.",
        "Conclusions": "PureSee intraocular lens implantation delivers good distance and intermediate visual acuity, with predictable improvements in near vision when slight myopic targets are used. These findings support the use of mild mini-monovision strategies to enhance near performance with functional distant vision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 245
    },
    {
      "uid": "PP12.09",
      "abstract_number": "PP12.09",
      "title": "Structural Characterization Of Two Presbyopia-Correcting Iols Using Optical Profilometry",
      "authors": "A/Prof. Daniele Tognetto",
      "presenter": "A/Prof. Daniele Tognetto",
      "normalized_authors": [
        "Daniele Tognetto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rosa Giglio",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To characterize and compare the anterior and posterior surface profiles of an extended depth-of-focus (EDOF) IOL and a diffractive multifocal IOL using high-resolution optical profilometry, and to identify design-specific structural features that may help explain their functional optical behavior.",
        "Setting": "Department of Medicine, Surgery and Health Sciences, University of Trieste, Piazza dell'Ospitale 1, Trieste, 34129, Italy.",
        "Methods": "Anterior and posterior surface profiles of the PureSee IOL (EDOF) and the Odyssey IOL (diffractive multifocal) were analyzed using the Sensofar S Neox optical profilometer (Sensofar Tech S.L.). From the raw surface profiles, a best-fit sphere was subtracted to obtain residual profiles, highlighting curvature modifications introduced by the respective optical designs.",
        "Results": "PureSee (EDOF): The posterior residual profile showed a symmetric elevation of approximately 4.6 µm followed by a plateau-like behavior in the central 2 mm zone. The anterior surface exhibited a smooth curvilinear profile compatible with an aspheric design.\n\nOdyssey (diffractive multifocal): The profile was consistent with a customized echelette diffractive structure, characterized by reduced step heights compared with previously described echelette platforms (e.g., Symfony). The design is reported to use free-form technology, i.e., high-precision, computer-controlled manufacturing that allows the diffractive geometry to be customized and the transitions across the optic to be smoother.",
        "Conclusions": "Optical profilometry combined with best-fit sphere subtraction provides a practical approach to visualizing design-specific surface deviations in presbyopia-correcting IOLs. Importantly, understanding the structural characteristics of IOL optics (e.g., asphericity, central plateau geometry, diffractive step architecture) is essential to correctly interpret functional outcomes such as the achieved range of vision, contrast performance, and the likelihood of photic phenomena. These structural insights can support both lens selection and patient counseling, and they form a basis for future correlations with bench optical testing and clinical performance metrics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Optical profilometry combined with best-fit sphere subtraction provides a practical approach to visualizing design-specific surface deviations in presbyopia-correcting IOLs. Importantly, understanding the structural characteristics of IOL optics (e.g., asphericity, central plateau geometry, diffractive step architecture) is essential to correctly interpret functional outcomes such as the achieved range of vision,…",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 190,
      "source_fields": {
        "Abstract Final Identifier": "PP12.09",
        "Title": "Structural Characterization Of Two Presbyopia-Correcting Iols Using Optical Profilometry",
        "Presenting Author(s)": "A/Prof. Daniele Tognetto",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Rosa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Giglio",
        "Country Name": "Italy",
        "Purpose": "To characterize and compare the anterior and posterior surface profiles of an extended depth-of-focus (EDOF) IOL and a diffractive multifocal IOL using high-resolution optical profilometry, and to identify design-specific structural features that may help explain their functional optical behavior.",
        "Setting": "Department of Medicine, Surgery and Health Sciences, University of Trieste, Piazza dell'Ospitale 1, Trieste, 34129, Italy.",
        "Methods": "Anterior and posterior surface profiles of the PureSee IOL (EDOF) and the Odyssey IOL (diffractive multifocal) were analyzed using the Sensofar S Neox optical profilometer (Sensofar Tech S.L.). From the raw surface profiles, a best-fit sphere was subtracted to obtain residual profiles, highlighting curvature modifications introduced by the respective optical designs.",
        "Results": "PureSee (EDOF): The posterior residual profile showed a symmetric elevation of approximately 4.6 µm followed by a plateau-like behavior in the central 2 mm zone. The anterior surface exhibited a smooth curvilinear profile compatible with an aspheric design.\n\nOdyssey (diffractive multifocal): The profile was consistent with a customized echelette diffractive structure, characterized by reduced step heights compared with previously described echelette platforms (e.g., Symfony). The design is reported to use free-form technology, i.e., high-precision, computer-controlled manufacturing that allows the diffractive geometry to be customized and the transitions across the optic to be smoother.",
        "Conclusions": "Optical profilometry combined with best-fit sphere subtraction provides a practical approach to visualizing design-specific surface deviations in presbyopia-correcting IOLs. Importantly, understanding the structural characteristics of IOL optics (e.g., asphericity, central plateau geometry, diffractive step architecture) is essential to correctly interpret functional outcomes such as the achieved range of vision, contrast performance, and the likelihood of photic phenomena. These structural insights can support both lens selection and patient counseling, and they form a basis for future correlations with bench optical testing and clinical performance metrics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 288
    },
    {
      "uid": "PP12.10",
      "abstract_number": "PP12.10",
      "title": "Twelve-Month Clinical Outcomes Of A Refractive Extended Depth Of Focus Intraocular Lens: Visual Performance, Refractive Stability And Corneal Higher-Order Aberrations",
      "authors": "A/Prof. Jacek Szaflik",
      "presenter": "A/Prof. Jacek Szaflik",
      "normalized_authors": [
        "Jacek Szaflik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karolina Pielak-Modrzejewska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate 12-month visual, refractive, and optical outcomes following bilateral implantation of a refractive extended depth of focus (EDOF) intraocular lens (TECNIS PureSee™, Johnson & Johnson Vision). The study assessed distance, intermediate, and near visual acuity, refractive stability, contrast sensitivity, dysphotopsia incidence, and changes in corneal higher-order aberrations (HOAs). Additionally, correlations between specific HOA components and postoperative visual acuity were analyzed to explore potential optical predictors of visual performance.",
        "Setting": "Prospective, interventional, non-randomized clinical study conducted at a tertiary ophthalmic center (SPKSO Ophthalmic University Hospital). All procedures were performed by experienced cataract surgeons.",
        "Methods": "Patients with bilateral cataract underwent sequential phacoemulsification with bilateral implantation of a refractive EDOF IOL using a planned micro-monovision strategy. Visual acuity (ETDRS, logMAR), manifest refraction, binocular contrast sensitivity (Pelli-Robson), dysphotopsia (Halo & Glare Simulator), corneal topography, and corneal HOAs (ANTERION) were assessed preoperatively and postoperatively. Defocus curve analysis was performed from +2.0 D to –4.0 D. Follow-up visits were scheduled at 1, 3, 6, and 12 months. Statistical analysis included paired t-test and Pearson correlation.",
        "Results": "Forty patients (80 eyes) completed 12-month follow-up. Mean UDVA was –0.008 ± 0.07 logMAR, UIVA 0.14 ± 0.11 logMAR, and UNVA 0.08 ± 0.15 logMAR. UNVA was significantly better than UIVA (paired t-test, p = 0.031). Binocular contrast sensitivity was 1.79 ± 0.09 logCS (40 cm) and 1.82 ± 0.08 logCS (100 cm). Mild halo-type dysphotopsia was reported by 8.33% of patients. No significant change in corneal HOAs was observed. Pearson correlations were found between UNVA and oblique trefoil (r = 0.669, p = 0.024), and between UDVA and spherical aberration (r = –0.685, p = 0.021), vertical coma (r = –0.604, p = 0.049), and oblique astigmatism (r = 0.602, p = 0.048).",
        "Conclusions": "At 12 months, implantation of this refractive EDOF IOL was associated with stable refractive outcomes, preserved contrast sensitivity, and low incidence of clinically relevant dysphotopsia. Near visual acuity was superior to intermediate acuity despite the use of micro-monovision, without compromising distance vision. The procedure did not induce measurable changes in corneal HOAs. Correlations between specific HOA components and visual acuity suggest that preoperative corneal optics may influence postoperative performance. These findings support the optical stability and functional predictability of this refractive EDOF platform."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "At 12 months, implantation of this refractive EDOF IOL was associated with stable refractive outcomes, preserved contrast sensitivity, and low incidence of clinically relevant dysphotopsia. Near visual acuity was superior to intermediate acuity despite the use of micro-monovision, without compromising distance vision. The procedure did not induce measurable changes in corneal HOAs. Correlations between specific HOA…",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 191,
      "source_fields": {
        "Abstract Final Identifier": "PP12.10",
        "Title": "Twelve-Month Clinical Outcomes Of A Refractive Extended Depth Of Focus Intraocular Lens: Visual Performance, Refractive Stability And Corneal Higher-Order Aberrations",
        "Presenting Author(s)": "A/Prof. Jacek Szaflik",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Karolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Pielak-Modrzejewska",
        "Country Name": "Poland",
        "Purpose": "To evaluate 12-month visual, refractive, and optical outcomes following bilateral implantation of a refractive extended depth of focus (EDOF) intraocular lens (TECNIS PureSee™, Johnson & Johnson Vision). The study assessed distance, intermediate, and near visual acuity, refractive stability, contrast sensitivity, dysphotopsia incidence, and changes in corneal higher-order aberrations (HOAs). Additionally, correlations between specific HOA components and postoperative visual acuity were analyzed to explore potential optical predictors of visual performance.",
        "Setting": "Prospective, interventional, non-randomized clinical study conducted at a tertiary ophthalmic center (SPKSO Ophthalmic University Hospital). All procedures were performed by experienced cataract surgeons.",
        "Methods": "Patients with bilateral cataract underwent sequential phacoemulsification with bilateral implantation of a refractive EDOF IOL using a planned micro-monovision strategy. Visual acuity (ETDRS, logMAR), manifest refraction, binocular contrast sensitivity (Pelli-Robson), dysphotopsia (Halo & Glare Simulator), corneal topography, and corneal HOAs (ANTERION) were assessed preoperatively and postoperatively. Defocus curve analysis was performed from +2.0 D to –4.0 D. Follow-up visits were scheduled at 1, 3, 6, and 12 months. Statistical analysis included paired t-test and Pearson correlation.",
        "Results": "Forty patients (80 eyes) completed 12-month follow-up. Mean UDVA was –0.008 ± 0.07 logMAR, UIVA 0.14 ± 0.11 logMAR, and UNVA 0.08 ± 0.15 logMAR. UNVA was significantly better than UIVA (paired t-test, p = 0.031). Binocular contrast sensitivity was 1.79 ± 0.09 logCS (40 cm) and 1.82 ± 0.08 logCS (100 cm). Mild halo-type dysphotopsia was reported by 8.33% of patients. No significant change in corneal HOAs was observed. Pearson correlations were found between UNVA and oblique trefoil (r = 0.669, p = 0.024), and between UDVA and spherical aberration (r = –0.685, p = 0.021), vertical coma (r = –0.604, p = 0.049), and oblique astigmatism (r = 0.602, p = 0.048).",
        "Conclusions": "At 12 months, implantation of this refractive EDOF IOL was associated with stable refractive outcomes, preserved contrast sensitivity, and low incidence of clinically relevant dysphotopsia. Near visual acuity was superior to intermediate acuity despite the use of micro-monovision, without compromising distance vision. The procedure did not induce measurable changes in corneal HOAs. Correlations between specific HOA components and visual acuity suggest that preoperative corneal optics may influence postoperative performance. These findings support the optical stability and functional predictability of this refractive EDOF platform."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "PP12.11",
      "abstract_number": "PP12.11",
      "title": "Influence Of Age On Visual And Patient Reported Outcomes In Patients Bilaterally Implanted With A Purely Refractive Extended Depth Of Focus Presbyopia Correcting Iol.",
      "authors": "A/Prof. Oliver Findl",
      "presenter": "A/Prof. Oliver Findl",
      "normalized_authors": [
        "Oliver Findl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oliver Findl",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To compare real-world visual outcomes of the purely refractive Extended Depth of Focus (EDOF) TECNIS PureSee IOL in two age groups.",
        "Setting": "Data from 18 investigational sites in Europe and Asia-Pacific.",
        "Methods": "126 subjects younger than 65 (mean age 57.1 ± 5.54 years) and 163 subjects aged 65 or older (mean age 72.2 ± 4.84 years) were included in this sub-analysis of outcomes of a multicenter, observational, single-arm, single-visit study in patients bilaterally implanted with the EDOF TECNIS PureSee IOL. Binocular uncorrected and distance-corrected visual acuity results are reported for distance (UDVA)/CDVA) and intermediate (UIVA) at 66 cm. Additionally, postoperative manifest refraction spherical equivalent (MRSE), dysphotopsia, and patient reported outcomes were collected using validated questionnaires.",
        "Results": "Younger subjects had a MRSE of -0.06 ± 0.37 D versus 0.01 ± 0.42 D in older subjects. Mean binocular logMAR CDVA (younger/older) was -0.06 ± 0.08 / -0.06 ± 0.07. Binocular UDVA was ≤ 0.0 logMAR in 91% / 89% (mean± SD: 0.02 ± 0.09 / -0.03 ± 0.08). For distance vision, 98% / 94% responded with no need for glasses and 96% / 94% of subjects were completely/mostly satisfied without glasses. Binocular UIVA was 0.10 ± 0.11 / 0.14 ± 0.11, with 91% / 87% achieving ≤ 0.2 logMAR. Satisfaction rates (completely or mostly satisfied) for distance and intermediate vision without glasses were 98%/94% and 94% /91%, respectively. The proportion of subjects who reported being “not at all” or “a little” bothered by glare was 93% / 90% and 88% / 95% by halos.",
        "Conclusions": "This Real-World study confirms that, regardless of their age, patients implanted with the EDOF TECNIS PureSee IOL achieve high patient satisfaction and similar visual outcomes for both distance and intermedia, with low rates of bothersome dysphotopsias."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This Real-World study confirms that, regardless of their age, patients implanted with the EDOF TECNIS PureSee IOL achieve high patient satisfaction and similar visual outcomes for both distance and intermedia, with low rates of bothersome dysphotopsias.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 192,
      "source_fields": {
        "Abstract Final Identifier": "PP12.11",
        "Title": "Influence Of Age On Visual And Patient Reported Outcomes In Patients Bilaterally Implanted With A Purely Refractive Extended Depth Of Focus Presbyopia Correcting Iol.",
        "Presenting Author(s)": "A/Prof. Oliver Findl",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Oliver",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Findl",
        "Country Name": "Austria",
        "Purpose": "To compare real-world visual outcomes of the purely refractive Extended Depth of Focus (EDOF) TECNIS PureSee IOL in two age groups.",
        "Setting": "Data from 18 investigational sites in Europe and Asia-Pacific.",
        "Methods": "126 subjects younger than 65 (mean age 57.1 ± 5.54 years) and 163 subjects aged 65 or older (mean age 72.2 ± 4.84 years) were included in this sub-analysis of outcomes of a multicenter, observational, single-arm, single-visit study in patients bilaterally implanted with the EDOF TECNIS PureSee IOL. Binocular uncorrected and distance-corrected visual acuity results are reported for distance (UDVA)/CDVA) and intermediate (UIVA) at 66 cm. Additionally, postoperative manifest refraction spherical equivalent (MRSE), dysphotopsia, and patient reported outcomes were collected using validated questionnaires.",
        "Results": "Younger subjects had a MRSE of -0.06 ± 0.37 D versus 0.01 ± 0.42 D in older subjects. Mean binocular logMAR CDVA (younger/older) was -0.06 ± 0.08 / -0.06 ± 0.07. Binocular UDVA was ≤ 0.0 logMAR in 91% / 89% (mean± SD: 0.02 ± 0.09 / -0.03 ± 0.08). For distance vision, 98% / 94% responded with no need for glasses and 96% / 94% of subjects were completely/mostly satisfied without glasses. Binocular UIVA was 0.10 ± 0.11 / 0.14 ± 0.11, with 91% / 87% achieving ≤ 0.2 logMAR. Satisfaction rates (completely or mostly satisfied) for distance and intermediate vision without glasses were 98%/94% and 94% /91%, respectively. The proportion of subjects who reported being “not at all” or “a little” bothered by glare was 93% / 90% and 88% / 95% by halos.",
        "Conclusions": "This Real-World study confirms that, regardless of their age, patients implanted with the EDOF TECNIS PureSee IOL achieve high patient satisfaction and similar visual outcomes for both distance and intermedia, with low rates of bothersome dysphotopsias."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 290
    },
    {
      "uid": "PP12.12",
      "abstract_number": "PP12.12",
      "title": "Comparison Of Objective And Subjective Visual Outcomes Between Two Extended Depth Of Focus Intraocular Lenses: Vivity® And Elon®",
      "authors": "Dr Christophe PANTHIER",
      "presenter": "Dr Christophe PANTHIER",
      "normalized_authors": [
        "Christophe PANTHIER"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Christophe Panthier",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "To compare objective and subjective visual outcomes after bilateral implantation of two non-diffractive extended depth of focus (EDOF) intraocular lenses (IOLs): AcrySof® IQ Vivity™ (Alcon) and ELON® (Medicontur).",
        "Setting": "Retrospective, multicenter comparative study at Rotschild Foundation and COSC (Centre Ophtalmologie Saint Cloud), France",
        "Methods": "Thirty-four patients (68 eyes) underwent bilateral phacoemulsification and implantation with either Vivity or Elon EDOF IOLs. Visual acuity (distance, intermediate, near), contrast sensitivity (CSV-1000), defocus curves, aberrometry (OPD-Scan III), photic phenomena (halo & glare simulator), and patient-reported outcomes (Catquest-9SF) were assessed 3 months postoperatively.",
        "Results": "No statistically significant difference was found in uncorrected or corrected visual acuity at any distance (p > 0.05). Defocus curves were comparable, both showing extended performance from 0.00 D to –2D with a CDVA> 0.2 LogMar (Figures 1, 2) but a slightly better intermediate vision with the Vivity. Both are insuffisant for near vision with a total spectacle independance . Vivity provided better monocular contrast sensitivity at low spatial frequencies (3 and 6 cpd, p < 0.05), but not binocularly (Tables 1, 2). Aberrometry profiles (RMS and HOAs) were similar. Both IOLs showed mild photic phenomena; Vivity had slightly more halos, though non-significant. Catquest-9SF responses showed high satisfaction in both groups.",
        "Conclusions": "Vivity and Elon EDOF IOLs deliver equivalent and effective restoration of distance and intermediate vision with minimal photic disturbance and high satisfaction. Both are appropriate choices for patients desiring refractive cataract surgery with reduced spectacle dependence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vivity and Elon EDOF IOLs deliver equivalent and effective restoration of distance and intermediate vision with minimal photic disturbance and high satisfaction. Both are appropriate choices for patients desiring refractive cataract surgery with reduced spectacle dependence.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 193,
      "source_fields": {
        "Abstract Final Identifier": "PP12.12",
        "Title": "Comparison Of Objective And Subjective Visual Outcomes Between Two Extended Depth Of Focus Intraocular Lenses: Vivity® And Elon®",
        "Presenting Author(s)": "Dr Christophe PANTHIER",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Christophe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Panthier",
        "Country Name": "France",
        "Purpose": "To compare objective and subjective visual outcomes after bilateral implantation of two non-diffractive extended depth of focus (EDOF) intraocular lenses (IOLs): AcrySof® IQ Vivity™ (Alcon) and ELON® (Medicontur).",
        "Setting": "Retrospective, multicenter comparative study at Rotschild Foundation and COSC (Centre Ophtalmologie Saint Cloud), France",
        "Methods": "Thirty-four patients (68 eyes) underwent bilateral phacoemulsification and implantation with either Vivity or Elon EDOF IOLs. Visual acuity (distance, intermediate, near), contrast sensitivity (CSV-1000), defocus curves, aberrometry (OPD-Scan III), photic phenomena (halo & glare simulator), and patient-reported outcomes (Catquest-9SF) were assessed 3 months postoperatively.",
        "Results": "No statistically significant difference was found in uncorrected or corrected visual acuity at any distance (p > 0.05). Defocus curves were comparable, both showing extended performance from 0.00 D to –2D with a CDVA> 0.2 LogMar (Figures 1, 2) but a slightly better intermediate vision with the Vivity. Both are insuffisant for near vision with a total spectacle independance . Vivity provided better monocular contrast sensitivity at low spatial frequencies (3 and 6 cpd, p < 0.05), but not binocularly (Tables 1, 2). Aberrometry profiles (RMS and HOAs) were similar. Both IOLs showed mild photic phenomena; Vivity had slightly more halos, though non-significant. Catquest-9SF responses showed high satisfaction in both groups.",
        "Conclusions": "Vivity and Elon EDOF IOLs deliver equivalent and effective restoration of distance and intermediate vision with minimal photic disturbance and high satisfaction. Both are appropriate choices for patients desiring refractive cataract surgery with reduced spectacle dependence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "PP12.13",
      "abstract_number": "PP12.13",
      "title": "Aka Report 3: Three-Month Prospective Comparative Assessment Of Objective And Subjective Visual Performance Following Bilateral Implantation Of Non-Diffractive Intraocular Lenses With Extended Range Of Vision Versus Standard Monofocal Control",
      "authors": "Dr Dominik Leclaire",
      "presenter": "Dr Dominik Leclaire",
      "normalized_authors": [
        "Dominik Leclaire"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Labib Alshaweesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To prospectively compare objective and patient-reported visual outcomes at 3 months following bilateral implantation of two non-diffractive intraocular lenses (IOLs) with extended range of vision (Eyecryl SERT and RayOne EMV) versus a conventional monofocal aspheric control intraocular lens (CT ASPHINA 409M).",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Prospective, single-center, patient-preference trial enrolling consecutive adults (22–85 years) undergoing bilateral phacoemulsification with IOL implantation. Participants independently selected one of three IOLs after standardized counseling. Assessments at postoperative day 1, week 1, month 1, and month 3 included distance-corrected distance (DCDVA 4 m), intermediate (DCIVA; 80 and 60 cm), and near (DCNVA; 40 cm) visual acuity in logMAR; binocular defocus curves (+1.50 to −2.50 D, 0.50-D steps) with depth of focus (DOF) at 0.1 and 0.2 logMAR thresholds; contrast sensitivity under photopic, mesopic, and mesopic-with-glare conditions; and patient-reported outcomes (VF-14, McAlinden Quality of Vision).",
        "Results": "Seventy-seven patients (154 eyes; 42.9% male; mean age 67.0 ± 5.70 years) completed three-month follow-up. CT ASPHINA showed superior DCDVA over Eyecryl SERT (−0.058 logMAR; P = 0.003). At 80 cm, DCIVA was significantly better with Eyecryl SERT (−0.074; P < 0.001) and RayOne EMV (−0.051; P = 0.033) versus CT ASPHINA. Only Eyecryl SERT outperformed CT ASPHINA at 60 cm (DCIVA −0.059; P = 0.006) and 40 cm (DCNVA −0.042; P = 0.028). Negative-side DOF (0.2/0.1 logMAR): Eyecryl SERT −1.61/−1.22 D, RayOne EMV −1.38/−0.97 D, CT ASPHINA −1.17/−0.86 D (P < 0.05). Contrast sensitivity was higher with CT ASPHINA and RayOne EMV. Spectacle independence for intermediate activities was reported 83.3% in Eyecryl SERT group and 94.7% in RayOne EMV group.",
        "Conclusions": "Both Eyecryl SERT and RayOne EMV extended intermediate visual performance beyond the monofocal reference at three months. Eyecryl SERT demonstrated the widest depth of focus with significantly better visual acuity at 80, 60, and 40 cm; however, this extended functional range was associated with a modest reduction in distance acuity and contrast sensitivity relative to CT ASPHINA, reflecting the inherent optical trade-off of greater depth of focus extension. RayOne EMV achieved significant intermediate gains at 80 cm, with the highest self-reported spectacle independence, while providing a better contrast sensitivity compared to Eyecryl SERT."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both Eyecryl SERT and RayOne EMV extended intermediate visual performance beyond the monofocal reference at three months. Eyecryl SERT demonstrated the widest depth of focus with significantly better visual acuity at 80, 60, and 40 cm; however, this extended functional range was associated with a modest reduction in distance acuity and contrast sensitivity relative to CT ASPHINA, reflecting the inherent optical…",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 194,
      "source_fields": {
        "Abstract Final Identifier": "PP12.13",
        "Title": "Aka Report 3: Three-Month Prospective Comparative Assessment Of Objective And Subjective Visual Performance Following Bilateral Implantation Of Non-Diffractive Intraocular Lenses With Extended Range Of Vision Versus Standard Monofocal Control",
        "Presenting Author(s)": "Dr Dominik Leclaire",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Labib",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alshaweesh",
        "Country Name": "Germany",
        "Purpose": "To prospectively compare objective and patient-reported visual outcomes at 3 months following bilateral implantation of two non-diffractive intraocular lenses (IOLs) with extended range of vision (Eyecryl SERT and RayOne EMV) versus a conventional monofocal aspheric control intraocular lens (CT ASPHINA 409M).",
        "Setting": "Augenklinik Ahaus - Fachkrankenhaus, Ahaus, North Rhine-Westphalia, Germany.",
        "Methods": "Prospective, single-center, patient-preference trial enrolling consecutive adults (22–85 years) undergoing bilateral phacoemulsification with IOL implantation. Participants independently selected one of three IOLs after standardized counseling. Assessments at postoperative day 1, week 1, month 1, and month 3 included distance-corrected distance (DCDVA 4 m), intermediate (DCIVA; 80 and 60 cm), and near (DCNVA; 40 cm) visual acuity in logMAR; binocular defocus curves (+1.50 to −2.50 D, 0.50-D steps) with depth of focus (DOF) at 0.1 and 0.2 logMAR thresholds; contrast sensitivity under photopic, mesopic, and mesopic-with-glare conditions; and patient-reported outcomes (VF-14, McAlinden Quality of Vision).",
        "Results": "Seventy-seven patients (154 eyes; 42.9% male; mean age 67.0 ± 5.70 years) completed three-month follow-up. CT ASPHINA showed superior DCDVA over Eyecryl SERT (−0.058 logMAR; P = 0.003). At 80 cm, DCIVA was significantly better with Eyecryl SERT (−0.074; P < 0.001) and RayOne EMV (−0.051; P = 0.033) versus CT ASPHINA. Only Eyecryl SERT outperformed CT ASPHINA at 60 cm (DCIVA −0.059; P = 0.006) and 40 cm (DCNVA −0.042; P = 0.028). Negative-side DOF (0.2/0.1 logMAR): Eyecryl SERT −1.61/−1.22 D, RayOne EMV −1.38/−0.97 D, CT ASPHINA −1.17/−0.86 D (P < 0.05). Contrast sensitivity was higher with CT ASPHINA and RayOne EMV. Spectacle independence for intermediate activities was reported 83.3% in Eyecryl SERT group and 94.7% in RayOne EMV group.",
        "Conclusions": "Both Eyecryl SERT and RayOne EMV extended intermediate visual performance beyond the monofocal reference at three months. Eyecryl SERT demonstrated the widest depth of focus with significantly better visual acuity at 80, 60, and 40 cm; however, this extended functional range was associated with a modest reduction in distance acuity and contrast sensitivity relative to CT ASPHINA, reflecting the inherent optical trade-off of greater depth of focus extension. RayOne EMV achieved significant intermediate gains at 80 cm, with the highest self-reported spectacle independence, while providing a better contrast sensitivity compared to Eyecryl SERT."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 383
    },
    {
      "uid": "PP12.14",
      "abstract_number": "PP12.14",
      "title": "Real World Experience – Distance, Intermediate And Near – With The Tecnis Puresee Iol In Eyes With Mild Ocular Co-Morbidities",
      "authors": "Dr Georgia Cleary",
      "presenter": "Dr Georgia Cleary",
      "normalized_authors": [
        "Georgia Cleary"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Georgia Cleary",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To evaluate early experience at distance, intermediate and near, with the TECNIS PureSee TM , a refractive presbyopia-correcting IOL, in a real world cataract population with a range of mild ocular comorbidities.",
        "Setting": "Refractive cataract surgery private practice, Melbourne, Victoria.",
        "Methods": "Retrospective case series. Consecutive cataract patients with mild ocular comorbidities underwent uncomplicated cataract surgery, single surgeon, with implantation of the TECNIS PureSee TM IOL (toric or spherical). Biometry was performed with the Zeiss IOLMaster700, using the Barrett Universal-II(TK) formula. The post-operative refractive target was -0.20D to -0.30D for sphere, with the lowest refractive astigmatism. Review at 4 weeks post-operatively. Uncorrected visual acuity was assessed at distance, intermediate (66cm) and near (33cm) with the Precision-Vision ‘Near or Intermediate’ chart. Subjective refraction and best distance corrected visual acuity was assessed.",
        "Results": "26 eyes of 16 patients were assessed. Mild ocular comorbidities included ERM, early AMD with small drusen, EBMD, glaucoma suspect and forme-fruste keratoconus. Mean age (±SD) was 69.9(±11.7) years, 87.5% female. Mean refractive prediction error (predicted–actual spherical equivalent) was -0.12D(± 0.39D). Mean UCDVA (logMAR) was 0.02(± 0.08). BCDVA 0.00(± 0.06) with a mean spherical equivalent refractive error of -0.12D(± 0.41D). Mean UCIVA (intermediate) was 0.21(± 0.11) (6/10 equivalent). Mean UCNVA (near) was 0.38(± 0.14) (6/15 equivalent).",
        "Conclusions": "Patients with mild ocular comorbidities undergoing cataract surgery and implantation of the\n\nTECNIS PureSee TM IOL achieved excellent uncorrected distance visual acuity with low refractive error post-operatively. Useful intermediate and near acuity was achieved. This presbyopia-correcting IOL can be considered in eyes with mild ocular disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with mild ocular comorbidities undergoing cataract surgery and implantation of the TECNIS PureSee TM IOL achieved excellent uncorrected distance visual acuity with low refractive error post-operatively. Useful intermediate and near acuity was achieved. This presbyopia-correcting IOL can be considered in eyes with mild ocular disease.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 195,
      "source_fields": {
        "Abstract Final Identifier": "PP12.14",
        "Title": "Real World Experience – Distance, Intermediate And Near – With The Tecnis Puresee Iol In Eyes With Mild Ocular Co-Morbidities",
        "Presenting Author(s)": "Dr Georgia Cleary",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Georgia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cleary",
        "Country Name": "Australia",
        "Purpose": "To evaluate early experience at distance, intermediate and near, with the TECNIS PureSee TM , a refractive presbyopia-correcting IOL, in a real world cataract population with a range of mild ocular comorbidities.",
        "Setting": "Refractive cataract surgery private practice, Melbourne, Victoria.",
        "Methods": "Retrospective case series. Consecutive cataract patients with mild ocular comorbidities underwent uncomplicated cataract surgery, single surgeon, with implantation of the TECNIS PureSee TM IOL (toric or spherical). Biometry was performed with the Zeiss IOLMaster700, using the Barrett Universal-II(TK) formula. The post-operative refractive target was -0.20D to -0.30D for sphere, with the lowest refractive astigmatism. Review at 4 weeks post-operatively. Uncorrected visual acuity was assessed at distance, intermediate (66cm) and near (33cm) with the Precision-Vision ‘Near or Intermediate’ chart. Subjective refraction and best distance corrected visual acuity was assessed.",
        "Results": "26 eyes of 16 patients were assessed. Mild ocular comorbidities included ERM, early AMD with small drusen, EBMD, glaucoma suspect and forme-fruste keratoconus. Mean age (±SD) was 69.9(±11.7) years, 87.5% female. Mean refractive prediction error (predicted–actual spherical equivalent) was -0.12D(± 0.39D). Mean UCDVA (logMAR) was 0.02(± 0.08). BCDVA 0.00(± 0.06) with a mean spherical equivalent refractive error of -0.12D(± 0.41D). Mean UCIVA (intermediate) was 0.21(± 0.11) (6/10 equivalent). Mean UCNVA (near) was 0.38(± 0.14) (6/15 equivalent).",
        "Conclusions": "Patients with mild ocular comorbidities undergoing cataract surgery and implantation of the\n\nTECNIS PureSee TM IOL achieved excellent uncorrected distance visual acuity with low refractive error post-operatively. Useful intermediate and near acuity was achieved. This presbyopia-correcting IOL can be considered in eyes with mild ocular disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "PP12.15",
      "abstract_number": "PP12.15",
      "title": "Long-Term Optical Stability And Patient Satisfaction Three Years After Bilateral Edof Iol Implantation",
      "authors": "Dr Germán Roberto Bianchi",
      "presenter": "Dr Germán Roberto Bianchi",
      "normalized_authors": [
        "Germán Roberto Bianchi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Germán Roberto Bianchi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To evaluate long-term visual performance and patient-reported outcomes three years after bilateral implantation of an extended depth of focus (EDOF) intraocular lens (Extend, Hanita Lenses, Israel).",
        "Setting": "Clínica de Ojos Dr. Nano, Buenos Aires, Argentina,",
        "Methods": "This ambispective, non-randomized, non-comparative, single-center case series included patients who underwent bilateral cataract surgery with implantation of the Extend EDOF IOL at least three years prior to evaluation. All eyes were originally targeted for emmetropia. At follow-up, patients underwent manifest refraction, slit-lamp examination with specific assessment of posterior capsule transparency, fundus evaluation, and binocular defocus curve testing. Patient-reported outcomes were assessed using the VF-14 questionnaire and a structured dysphotopsia and spectacle-independence survey.",
        "Results": "Sixty-one patients (122 eyes) were evaluated ≥3 years postoperatively. Mean spherical equivalent was −0.01 ± 0.29 D, indicating refractive stability. The binocular defocus curve showed 0.0 logMAR at plano and maintained ≤0.2 logMAR from plano to −2.00 D, with a smooth continuous profile and no secondary peak. No posterior capsule opacification or other long-term complications were observed. Mean VF-14 score was 98.7 ± 2.7, with 75% scoring 100. Spectacle independence was 100% for distance, 96.7% for intermediate, and 80.3% for near. Mild halos or glare occurred in <5%, with no moderate or severe dysphotopsia.",
        "Conclusions": "Three years after bilateral implantation, the Extend EDOF IOL showed stable refractive outcomes, sustained functional range of vision, high spectacle independence, and minimal dysphotopsia, supporting its long-term optical stability and consistent patient satisfaction in real-world practice."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Three years after bilateral implantation, the Extend EDOF IOL showed stable refractive outcomes, sustained functional range of vision, high spectacle independence, and minimal dysphotopsia, supporting its long-term optical stability and consistent patient satisfaction in real-world practice.",
      "session_type": "Presented Poster",
      "track": "IOLs - EDOF",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 196,
      "source_fields": {
        "Abstract Final Identifier": "PP12.15",
        "Title": "Long-Term Optical Stability And Patient Satisfaction Three Years After Bilateral Edof Iol Implantation",
        "Presenting Author(s)": "Dr Germán Roberto Bianchi",
        "Abstract Topic Name": "IOLs - EDOF",
        "Submitter First Name": "Germán",
        "Submitter Middle Name": "Roberto",
        "Submitter Last Name": "Bianchi",
        "Country Name": "Argentina",
        "Purpose": "To evaluate long-term visual performance and patient-reported outcomes three years after bilateral implantation of an extended depth of focus (EDOF) intraocular lens (Extend, Hanita Lenses, Israel).",
        "Setting": "Clínica de Ojos Dr. Nano, Buenos Aires, Argentina,",
        "Methods": "This ambispective, non-randomized, non-comparative, single-center case series included patients who underwent bilateral cataract surgery with implantation of the Extend EDOF IOL at least three years prior to evaluation. All eyes were originally targeted for emmetropia. At follow-up, patients underwent manifest refraction, slit-lamp examination with specific assessment of posterior capsule transparency, fundus evaluation, and binocular defocus curve testing. Patient-reported outcomes were assessed using the VF-14 questionnaire and a structured dysphotopsia and spectacle-independence survey.",
        "Results": "Sixty-one patients (122 eyes) were evaluated ≥3 years postoperatively. Mean spherical equivalent was −0.01 ± 0.29 D, indicating refractive stability. The binocular defocus curve showed 0.0 logMAR at plano and maintained ≤0.2 logMAR from plano to −2.00 D, with a smooth continuous profile and no secondary peak. No posterior capsule opacification or other long-term complications were observed. Mean VF-14 score was 98.7 ± 2.7, with 75% scoring 100. Spectacle independence was 100% for distance, 96.7% for intermediate, and 80.3% for near. Mild halos or glare occurred in <5%, with no moderate or severe dysphotopsia.",
        "Conclusions": "Three years after bilateral implantation, the Extend EDOF IOL showed stable refractive outcomes, sustained functional range of vision, high spectacle independence, and minimal dysphotopsia, supporting its long-term optical stability and consistent patient satisfaction in real-world practice."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "PP13.01",
      "abstract_number": "PP13.01",
      "title": "Carbon Footprint Of Cataract Surgery Using The Atom/Zasti Tool: High-Volume Estimates And International Benchmarking",
      "authors": "Dr Enitan Sogbesan",
      "presenter": "Dr Enitan Sogbesan",
      "normalized_authors": [
        "Enitan Sogbesan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Enitan Sogbesan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To estimate the carbon footprint of cataract surgery at St. Joseph’s Healthcare Hamilton (SJHH) using the ATOM/Zasti carbon estimation tool and to compare results with international benchmarks from centers utilizing Eyefficiency, SIDICS, and other sustainable ophthalmology assessment frameworks.",
        "Setting": "St. Joseph’s Healthcare Hamilton (SJHH)",
        "Methods": "Carbon emissions per cataract case were calculated using ATOM/Zasti, which quantifies Scope 1 (direct), Scope 2 (energy-related), and Scope 3 (supply chain and waste) emissions. Annual surgical volume (6,511 cataract procedures) was sourced from institutional records. Comparative data were drawn from published reports using Eyefficiency (UK, Australia), SIDICS (Europe, India), and other international surgical carbon audits.",
        "Results": "The total carbon footprint per cataract procedure at SJHH was 157.7 kg CO₂e, primarily driven by Scope 3 emissions (155.57 kg; 98.6%). Scope 1 (1.2 kg) and Scope 2 (0.94 kg) contributions were minimal due to Ontario’s low-carbon electricity grid and absence of volatile anesthetic gases. Annual emissions for SJHH cataract surgeries were estimated at 1.32 million kg CO₂e. Compared internationally, SJHH per-case footprint was higher than values reported in the UK (80–130 kg CO₂e, Eyefficiency audits), Australia (~120 kg CO₂e), and ultra-low-emission centers such as Aravind Eye Hospital in India (~6–10 kg CO₂e per case, via SIDICS), where multi-use instruments, reduced packaging, lower supply-chain emissions contribute to sustainability gains.",
        "Conclusions": "ATOM/Zasti estimates demonstrate that cataract surgery at SJHH generates substantial carbon footprint, primarily due to Scope 3 supply-chain emissions. International comparisons highlight wide variability in emissions per case, strongly influenced by surgical pack design, sterilization practices, and national supply-chain structures. European SIDICS-enabled pack assessments typically report 5–20 kg CO₂e for the surgical pack alone, indicating that consumables remain the dominant emissions source globally. Findings reinforce the need for targeted sustainability interventions, including optimizing cataract surgical packs and adopting SIDICS-based procurement strategies to align Canadian ophthalmic practice with global best performers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ATOM/Zasti estimates demonstrate that cataract surgery at SJHH generates substantial carbon footprint, primarily due to Scope 3 supply-chain emissions. International comparisons highlight wide variability in emissions per case, strongly influenced by surgical pack design, sterilization practices, and national supply-chain structures. European SIDICS-enabled pack assessments typically report 5–20 kg CO₂e for the…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 197,
      "source_fields": {
        "Abstract Final Identifier": "PP13.01",
        "Title": "Carbon Footprint Of Cataract Surgery Using The Atom/Zasti Tool: High-Volume Estimates And International Benchmarking",
        "Presenting Author(s)": "Dr Enitan Sogbesan",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Enitan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sogbesan",
        "Country Name": "Canada",
        "Purpose": "To estimate the carbon footprint of cataract surgery at St. Joseph’s Healthcare Hamilton (SJHH) using the ATOM/Zasti carbon estimation tool and to compare results with international benchmarks from centers utilizing Eyefficiency, SIDICS, and other sustainable ophthalmology assessment frameworks.",
        "Setting": "St. Joseph’s Healthcare Hamilton (SJHH)",
        "Methods": "Carbon emissions per cataract case were calculated using ATOM/Zasti, which quantifies Scope 1 (direct), Scope 2 (energy-related), and Scope 3 (supply chain and waste) emissions. Annual surgical volume (6,511 cataract procedures) was sourced from institutional records. Comparative data were drawn from published reports using Eyefficiency (UK, Australia), SIDICS (Europe, India), and other international surgical carbon audits.",
        "Results": "The total carbon footprint per cataract procedure at SJHH was 157.7 kg CO₂e, primarily driven by Scope 3 emissions (155.57 kg; 98.6%). Scope 1 (1.2 kg) and Scope 2 (0.94 kg) contributions were minimal due to Ontario’s low-carbon electricity grid and absence of volatile anesthetic gases. Annual emissions for SJHH cataract surgeries were estimated at 1.32 million kg CO₂e. Compared internationally, SJHH per-case footprint was higher than values reported in the UK (80–130 kg CO₂e, Eyefficiency audits), Australia (~120 kg CO₂e), and ultra-low-emission centers such as Aravind Eye Hospital in India (~6–10 kg CO₂e per case, via SIDICS), where multi-use instruments, reduced packaging, lower supply-chain emissions contribute to sustainability gains.",
        "Conclusions": "ATOM/Zasti estimates demonstrate that cataract surgery at SJHH generates substantial carbon footprint, primarily due to Scope 3 supply-chain emissions. International comparisons highlight wide variability in emissions per case, strongly influenced by surgical pack design, sterilization practices, and national supply-chain structures. European SIDICS-enabled pack assessments typically report 5–20 kg CO₂e for the surgical pack alone, indicating that consumables remain the dominant emissions source globally. Findings reinforce the need for targeted sustainability interventions, including optimizing cataract surgical packs and adopting SIDICS-based procurement strategies to align Canadian ophthalmic practice with global best performers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "PP13.16",
      "abstract_number": "PP13.16",
      "title": "The Environmental Impact Of Phacoemulsification In A Private Tertiary Hospital In Metro Manila, Philippines",
      "authors": "Dr Isabella Villarama Bondoc",
      "presenter": "Dr Isabella Villarama Bondoc",
      "normalized_authors": [
        "Isabella Villarama Bondoc"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Isabella Villarama Bondoc",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "Phacoemulsification is one of the most frequently performed surgical procedures worldwide, yet little is known about its environmental impact in developing nations. This study quantified the carbon footprint of phacoemulsification in a Philippine private tertiary hospital to identify opportunities for improving efficiency and sustainability.",
        "Setting": "The Medical City Eye and Vision Surgery Suite, A Philippine Private Tertiary Hospital",
        "Methods": "All phacoemulsification cases performed over 1 month were included. Data collected included (1) operating room energy-use, (2) phacoemulsification and fluid management system energy use, (3) waste generated from single-use disposable waste, (4) waste generated from pharmaceutical waste and (5) procedure duration and device operating time. The life cycle assessment (LCA) methodology was used to estimate greenhouse gas emissions (CO₂ equivalents, CO₂e) per case.",
        "Results": "A total of 150 cases were recorded with a mean surgical time of 26.11 minutes. Waste and consumables converted to CO₂e were:\n\n• Operating room energy-use: 82 kW per case or 33.6 kg CO₂e per case\n\n• Phaco machine Fluid Management System energy use: 0.75 kWh or 0.3075 kg CO₂e per case\n\n• Waste generated from single-use disposables: 1.29 kg CO₂e per case\n\n• Waste generated from pharmaceutical waste: 0.31 kg CO₂e per case\n\nThe average carbon footprint per surgery was ~35.3 kg CO₂e which is equivalent to burning 3–4 liters of fuel. This is lower compared to the global average and well within the recommended carbon footprint levels.",
        "Conclusions": "Given the global volume of cataract surgery, improving the environmental efficiency of phacoemulsification is imperative. This study provides valuable baseline data for operational and financial planning and supports efforts to reduce the carbon footprint of cataract surgery in the local setting. On a broader scale, benchmarking against international best practices can guide strategies to lower costs and minimize emissions in ophthalmic care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Given the global volume of cataract surgery, improving the environmental efficiency of phacoemulsification is imperative. This study provides valuable baseline data for operational and financial planning and supports efforts to reduce the carbon footprint of cataract surgery in the local setting. On a broader scale, benchmarking against international best practices can guide strategies to lower costs and minimize…",
      "session_type": "Presented Poster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 198,
      "source_fields": {
        "Abstract Final Identifier": "PP13.16",
        "Title": "The Environmental Impact Of Phacoemulsification In A Private Tertiary Hospital In Metro Manila, Philippines",
        "Presenting Author(s)": "Dr Isabella Villarama Bondoc",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Isabella",
        "Submitter Middle Name": "Villarama",
        "Submitter Last Name": "Bondoc",
        "Country Name": "Philippines",
        "Purpose": "Phacoemulsification is one of the most frequently performed surgical procedures worldwide, yet little is known about its environmental impact in developing nations. This study quantified the carbon footprint of phacoemulsification in a Philippine private tertiary hospital to identify opportunities for improving efficiency and sustainability.",
        "Setting": "The Medical City Eye and Vision Surgery Suite, A Philippine Private Tertiary Hospital",
        "Methods": "All phacoemulsification cases performed over 1 month were included. Data collected included (1) operating room energy-use, (2) phacoemulsification and fluid management system energy use, (3) waste generated from single-use disposable waste, (4) waste generated from pharmaceutical waste and (5) procedure duration and device operating time. The life cycle assessment (LCA) methodology was used to estimate greenhouse gas emissions (CO₂ equivalents, CO₂e) per case.",
        "Results": "A total of 150 cases were recorded with a mean surgical time of 26.11 minutes. Waste and consumables converted to CO₂e were:\n\n• Operating room energy-use: 82 kW per case or 33.6 kg CO₂e per case\n\n• Phaco machine Fluid Management System energy use: 0.75 kWh or 0.3075 kg CO₂e per case\n\n• Waste generated from single-use disposables: 1.29 kg CO₂e per case\n\n• Waste generated from pharmaceutical waste: 0.31 kg CO₂e per case\n\nThe average carbon footprint per surgery was ~35.3 kg CO₂e which is equivalent to burning 3–4 liters of fuel. This is lower compared to the global average and well within the recommended carbon footprint levels.",
        "Conclusions": "Given the global volume of cataract surgery, improving the environmental efficiency of phacoemulsification is imperative. This study provides valuable baseline data for operational and financial planning and supports efforts to reduce the carbon footprint of cataract surgery in the local setting. On a broader scale, benchmarking against international best practices can guide strategies to lower costs and minimize emissions in ophthalmic care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "PP13.017",
      "abstract_number": "PP13.017",
      "title": "Sustainability In Cataract Surgery: Current Practices And Perceptions From The First Nationwide Moroccan Survey",
      "authors": "Dr Safia Benamar",
      "presenter": "Dr Safia Benamar",
      "normalized_authors": [
        "Safia Benamar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Safia Benamar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Environmental sustainability is increasingly shaping modern cataract surgery, with initiatives led by scientific societies promoting evidence-based strategies to reduce waste and carbon emissions while maintaining patient safety. Studies from lower- and middle-income settings have demonstrated that resource-optimized models can significantly reduce environmental impact without compromising outcomes. Despite this global momentum, no national data were available from Morocco. This study aimed to provide the first nationwide assessment of current practices, perceptions, and potential implementation pathways within the Moroccan context.",
        "Setting": "Nationwide survey including ophthalmologists and ophthalmology residents practicing in public and private sectors across Morocco.",
        "Methods": "A descriptive cross-sectional study was conducted using an anonymous online questionnaire distributed to ophthalmologists and residents practicing in Morocco. The survey explored anesthetic approaches, instrumentation use, consumable management, postoperative care protocols, awareness of environmental impact, perceived barriers to sustainable implementation, and realistic locally adapted solutions. Data were analyzed descriptively, and open-ended responses underwent qualitative synthesis.",
        "Results": "A total of 123 participants completed the survey. Reusable instrumentation was reported by 80.5%, and 74.6% reported reusing phacoemulsification cassettes. More than three postoperative eye drops and follow-up visits were reported by 67.8% and 71.2% of respondents, respectively. Ventilation systems varied, and 37.7% were unaware of their operating room system type. Regarding environmental perception, 30.5% agreed that cataract surgery generates excessive waste. The main barriers identified were lack of training (42.5%) and concerns regarding infection (47.5%). Overall, 93.3% supported the development of national sustainability guidelines.",
        "Conclusions": "This first national survey highlights substantial interest among Moroccan ophthalmologists and trainees in advancing sustainable cataract surgery. These findings suggest opportunities to optimize postoperative regimens as part of future sustainability strategies. Structured education and context-adapted national guidelines, supported by local societies and international sustainability initiatives, are essential to enable a safe and progressive environmental transition.Trainee engagement may serve as a catalyst for embedding context-adapted environmental recommendations within national practice and positioning Morocco as a regional contributor to sustainable ophthalmic surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This first national survey highlights substantial interest among Moroccan ophthalmologists and trainees in advancing sustainable cataract surgery. These findings suggest opportunities to optimize postoperative regimens as part of future sustainability strategies. Structured education and context-adapted national guidelines, supported by local societies and international sustainability initiatives, are essential to…",
      "session_type": "Presented Poster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 199,
      "source_fields": {
        "Abstract Final Identifier": "PP13.017",
        "Title": "Sustainability In Cataract Surgery: Current Practices And Perceptions From The First Nationwide Moroccan Survey",
        "Presenting Author(s)": "Dr Safia Benamar",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Safia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Benamar",
        "Country Name": "Morocco",
        "Purpose": "Environmental sustainability is increasingly shaping modern cataract surgery, with initiatives led by scientific societies promoting evidence-based strategies to reduce waste and carbon emissions while maintaining patient safety. Studies from lower- and middle-income settings have demonstrated that resource-optimized models can significantly reduce environmental impact without compromising outcomes. Despite this global momentum, no national data were available from Morocco. This study aimed to provide the first nationwide assessment of current practices, perceptions, and potential implementation pathways within the Moroccan context.",
        "Setting": "Nationwide survey including ophthalmologists and ophthalmology residents practicing in public and private sectors across Morocco.",
        "Methods": "A descriptive cross-sectional study was conducted using an anonymous online questionnaire distributed to ophthalmologists and residents practicing in Morocco. The survey explored anesthetic approaches, instrumentation use, consumable management, postoperative care protocols, awareness of environmental impact, perceived barriers to sustainable implementation, and realistic locally adapted solutions. Data were analyzed descriptively, and open-ended responses underwent qualitative synthesis.",
        "Results": "A total of 123 participants completed the survey. Reusable instrumentation was reported by 80.5%, and 74.6% reported reusing phacoemulsification cassettes. More than three postoperative eye drops and follow-up visits were reported by 67.8% and 71.2% of respondents, respectively. Ventilation systems varied, and 37.7% were unaware of their operating room system type. Regarding environmental perception, 30.5% agreed that cataract surgery generates excessive waste. The main barriers identified were lack of training (42.5%) and concerns regarding infection (47.5%). Overall, 93.3% supported the development of national sustainability guidelines.",
        "Conclusions": "This first national survey highlights substantial interest among Moroccan ophthalmologists and trainees in advancing sustainable cataract surgery. These findings suggest opportunities to optimize postoperative regimens as part of future sustainability strategies. Structured education and context-adapted national guidelines, supported by local societies and international sustainability initiatives, are essential to enable a safe and progressive environmental transition.Trainee engagement may serve as a catalyst for embedding context-adapted environmental recommendations within national practice and positioning Morocco as a regional contributor to sustainable ophthalmic surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 323
    },
    {
      "uid": "PP13.018",
      "abstract_number": "PP13.018",
      "title": "Sustainable Remote Follow-Up In Refractive Surgery: Reducing Travel And Environmental Impact",
      "authors": "Dr Ghada Mohamed Atta",
      "presenter": "Dr Ghada Mohamed Atta",
      "normalized_authors": [
        "Ghada Mohamed Atta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ghada Mohamed Atta",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the feasibility and environmental impact of remote post-operative follow-up in patients undergoing refractive surgery, aiming to reduce travel-related carbon emissions and promote sustainable ophthalmic practices.",
        "Setting": "Single tertiary eye care center\n\nPatients aged 18 to 40 years undergoing refractive surgery including SmartSurface and ICL\n\nStudy period: January 2025 to December 2025\n\nEthics approval obtained; informed consent from all participants",
        "Methods": "Prospective observational pilot study including 50 patients (100 eyes)\n\nRemote follow-up conducted via phone calls, video consultations, and online questionnaires\n\nOutcomes measured: number of in-person visits avoided, patient-reported satisfaction, post-operative complications detected remotely, estimated CO2 emission reduction based on travel distance\n\nData analyzed as mean plus/minus standard deviation for continuous variables and percentages for categorical variables",
        "Results": "50 patients (100 eyes), mean age 27 plus/minus 5 years, 52 percent male\n\nRemote follow-up avoided 80 in-person visits over 6 months\n\nMean patient travel distance saved: 12 kilometers per visit\n\nEstimated CO2 emission reduction: 640 kilograms CO2 over the study period\n\nPost-operative complications detected remotely in 6 eyes (6 percent), all managed safely without additional in-person visits\n\nPatient satisfaction with remote follow-up: 92 percent reported high satisfaction",
        "Conclusions": "Remote post-operative follow-up in refractive surgery is feasible, safe, and well-accepted by patients. Implementing remote follow-up can substantially reduce patient travel and associated carbon emissions, supporting sustainable ophthalmic practices while maintaining high-quality post-operative care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Remote post-operative follow-up in refractive surgery is feasible, safe, and well-accepted by patients. Implementing remote follow-up can substantially reduce patient travel and associated carbon emissions, supporting sustainable ophthalmic practices while maintaining high-quality post-operative care.",
      "session_type": "Presented Poster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 200,
      "source_fields": {
        "Abstract Final Identifier": "PP13.018",
        "Title": "Sustainable Remote Follow-Up In Refractive Surgery: Reducing Travel And Environmental Impact",
        "Presenting Author(s)": "Dr Ghada Mohamed Atta",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Ghada",
        "Submitter Middle Name": "Mohamed",
        "Submitter Last Name": "Atta",
        "Country Name": "Germany",
        "Purpose": "To evaluate the feasibility and environmental impact of remote post-operative follow-up in patients undergoing refractive surgery, aiming to reduce travel-related carbon emissions and promote sustainable ophthalmic practices.",
        "Setting": "Single tertiary eye care center\n\nPatients aged 18 to 40 years undergoing refractive surgery including SmartSurface and ICL\n\nStudy period: January 2025 to December 2025\n\nEthics approval obtained; informed consent from all participants",
        "Methods": "Prospective observational pilot study including 50 patients (100 eyes)\n\nRemote follow-up conducted via phone calls, video consultations, and online questionnaires\n\nOutcomes measured: number of in-person visits avoided, patient-reported satisfaction, post-operative complications detected remotely, estimated CO2 emission reduction based on travel distance\n\nData analyzed as mean plus/minus standard deviation for continuous variables and percentages for categorical variables",
        "Results": "50 patients (100 eyes), mean age 27 plus/minus 5 years, 52 percent male\n\nRemote follow-up avoided 80 in-person visits over 6 months\n\nMean patient travel distance saved: 12 kilometers per visit\n\nEstimated CO2 emission reduction: 640 kilograms CO2 over the study period\n\nPost-operative complications detected remotely in 6 eyes (6 percent), all managed safely without additional in-person visits\n\nPatient satisfaction with remote follow-up: 92 percent reported high satisfaction",
        "Conclusions": "Remote post-operative follow-up in refractive surgery is feasible, safe, and well-accepted by patients. Implementing remote follow-up can substantially reduce patient travel and associated carbon emissions, supporting sustainable ophthalmic practices while maintaining high-quality post-operative care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 220
    },
    {
      "uid": "PP13.03",
      "abstract_number": "PP13.03",
      "title": "Clinical Experience With Phacoemulsification Combined With Intraocular Lens Implantation And Pupilloplasty In Patients Following An Acute Primary Angle-Closure Attack",
      "authors": "Altynay Sadykova",
      "presenter": "Altynay Sadykova",
      "normalized_authors": [
        "Altynay Sadykova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Altynay Sadykova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Kazakhstan",
      "sections": {
        "Purpose": "To evaluate the clinical and functional outcomes of a combined surgical approach (phacoemulsification, intraocular lens [IOL] implantation, and pupilloplasty) in the rehabilitation of patients after an acute primary angle-closure attack (APAC).\n\nThe study focused on restoring intraocular pressure (IOP) stability, improving visual acuity, and correcting ischemic mydriasis and pupillary deformities, which are major sources of disabling higher-order optical aberrations.",
        "Setting": "The study was conducted at the Kazakh Research Institute of Eye Diseases (Almaty, Kazakhstan). All surgeries and examinations were performed by a single surgical team in an inpatient clinical setting in 2025.",
        "Methods": "A retrospective analysis of 24 cases (24 eyes) of primary angle-closure glaucoma (PACG) following an acute attack was performed. Biometric profile: axial length (AL) 22.34 ± 1.17 mm; lens thickness (LT) 4.88 ± 0.43 mm; anterior chamber depth (ACD) 2.11 ± 0.15 mm. To predict the functional outcome of pupilloplasty, best corrected visual acuity (BCVA) was assessed using a 3.0 mm pinhole diaphragm. Surgical protocol: microinvasive phacoemulsification with IOL implantation. PanOptix and Vivity IOLs were mainly used in stage I glaucoma, and Clareon in stages II–III. The reconstructive stage included creation of a centered pupil (3.0–3.5 mm) using 10-0 Prolene interrupted sutures to restore diaphragmatic function and eliminate optical aberrations.",
        "Results": "Baseline BCVA was 0.27 ± 0.12, and improved to 0.46 ± 0.08 with pinhole testing. Postoperatively, BCVA significantly increased to 0.72 ± 0.10. A pronounced hypotensive effect was observed, with IOP reduction from 24.2 ± 4.5 mmHg (on maximal therapy) to 14.4 ± 1.4 mmHg under minimal treatment. Lens extraction resulted in deepening of the anterior chamber to 3.65 ± 0.22 mm. Pupilloplasty completely resolved photophobia and peripheral glare. The highest postoperative visual acuity was achieved in stage I glaucoma (0.85 ± 0.06). In stages II–III, a fourfold functional improvement was observed (from 0.15 to 0.60 ± 0.11), confirming that pupilloplasty represents a critical step in achieving optimal functional outcomes in patients following APAC.",
        "Conclusions": "Combined phacoemulsification and pupilloplasty provides comprehensive rehabilitation following an APAC episode, achieving stable IOP control ( 14.4 ± 1.4 mmHg) and significant improvement in best-corrected visual acuity (BCVA) to 0.72 ± 0.10 . Preoperative pinhole testing serves as a reliable predictor of surgical success, enabling clinicians to differentiate the specific contribution of irido-pupillary aberrations. In patients with an axial length < 23 mm and lens thickness > 4.6 mm, crystalline lens extraction is a pathogenetically justified intervention that eliminates the morphological substrate of the pupillary block. Furthermore, pupilloplasty restores the irido lenticular diaphragm and minimizes higher-order spherical aberrations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined phacoemulsification and pupilloplasty provides comprehensive rehabilitation following an APAC episode, achieving stable IOP control ( 14.4 ± 1.4 mmHg) and significant improvement in best-corrected visual acuity (BCVA) to 0.72 ± 0.10 . Preoperative pinhole testing serves as a reliable predictor of surgical success, enabling clinicians to differentiate the specific contribution of irido-pupillary…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 201,
      "source_fields": {
        "Abstract Final Identifier": "PP13.03",
        "Title": "Clinical Experience With Phacoemulsification Combined With Intraocular Lens Implantation And Pupilloplasty In Patients Following An Acute Primary Angle-Closure Attack",
        "Presenting Author(s)": "Altynay Sadykova",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Altynay",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sadykova",
        "Country Name": "Kazakhstan",
        "Purpose": "To evaluate the clinical and functional outcomes of a combined surgical approach (phacoemulsification, intraocular lens [IOL] implantation, and pupilloplasty) in the rehabilitation of patients after an acute primary angle-closure attack (APAC).\n\nThe study focused on restoring intraocular pressure (IOP) stability, improving visual acuity, and correcting ischemic mydriasis and pupillary deformities, which are major sources of disabling higher-order optical aberrations.",
        "Setting": "The study was conducted at the Kazakh Research Institute of Eye Diseases (Almaty, Kazakhstan). All surgeries and examinations were performed by a single surgical team in an inpatient clinical setting in 2025.",
        "Methods": "A retrospective analysis of 24 cases (24 eyes) of primary angle-closure glaucoma (PACG) following an acute attack was performed. Biometric profile: axial length (AL) 22.34 ± 1.17 mm; lens thickness (LT) 4.88 ± 0.43 mm; anterior chamber depth (ACD) 2.11 ± 0.15 mm. To predict the functional outcome of pupilloplasty, best corrected visual acuity (BCVA) was assessed using a 3.0 mm pinhole diaphragm. Surgical protocol: microinvasive phacoemulsification with IOL implantation. PanOptix and Vivity IOLs were mainly used in stage I glaucoma, and Clareon in stages II–III. The reconstructive stage included creation of a centered pupil (3.0–3.5 mm) using 10-0 Prolene interrupted sutures to restore diaphragmatic function and eliminate optical aberrations.",
        "Results": "Baseline BCVA was 0.27 ± 0.12, and improved to 0.46 ± 0.08 with pinhole testing. Postoperatively, BCVA significantly increased to 0.72 ± 0.10. A pronounced hypotensive effect was observed, with IOP reduction from 24.2 ± 4.5 mmHg (on maximal therapy) to 14.4 ± 1.4 mmHg under minimal treatment. Lens extraction resulted in deepening of the anterior chamber to 3.65 ± 0.22 mm. Pupilloplasty completely resolved photophobia and peripheral glare. The highest postoperative visual acuity was achieved in stage I glaucoma (0.85 ± 0.06). In stages II–III, a fourfold functional improvement was observed (from 0.15 to 0.60 ± 0.11), confirming that pupilloplasty represents a critical step in achieving optimal functional outcomes in patients following APAC.",
        "Conclusions": "Combined phacoemulsification and pupilloplasty provides comprehensive rehabilitation following an APAC episode, achieving stable IOP control ( 14.4 ± 1.4 mmHg) and significant improvement in best-corrected visual acuity (BCVA) to 0.72 ± 0.10 . Preoperative pinhole testing serves as a reliable predictor of surgical success, enabling clinicians to differentiate the specific contribution of irido-pupillary aberrations. In patients with an axial length < 23 mm and lens thickness > 4.6 mm, crystalline lens extraction is a pathogenetically justified intervention that eliminates the morphological substrate of the pupillary block. Furthermore, pupilloplasty restores the irido lenticular diaphragm and minimizes higher-order spherical aberrations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 430
    },
    {
      "uid": "PP13.04",
      "abstract_number": "PP13.04",
      "title": "Spectacle Lenses With Highly Aspherical Lenslets Versus Single-Vision Lenses For Slowing Myopia Progression: A Systematic Review And Meta-Analysis",
      "authors": "Dr Mohammad Karam",
      "presenter": "Dr Mohammad Karam",
      "normalized_authors": [
        "Mohammad Karam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohammad Karam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "To compare the effectiveness of Highly Aspherical Lenslets (HAL) versus Single Vision Lenslets (SVL) for myopia control in children.",
        "Setting": "Systematic review and meta-analysis,",
        "Methods": "This systematic review and meta-analysis was conducted following PRISMA guidelines. All randomized controlled trials and observational studies comparing spectacle lenses incorporating HAL versus SVL for myopia control were included. Eligible studies enrolled children with established myopia, as well as those at risk of developing myopia (e.g., low hyperopia or anisometropia). Primary outcomes were the 1-year change in cycloplegic spherical equivalent refraction (SER) and axial length (AL). Secondary outcomes included annual SER progression rate, axial elongation rate, discontinuation rate, and adverse events. Random-effects models were applied for outcomes with high heterogeneity.",
        "Results": "Out of the 80 studies initially identified, 16 studies met inclusion criteria, comprising 5382 participants. HAL produced a significantly greater improvement in SER (MD = 0.59 D, 95% CI: 0.36–0.82, P <0.00001) and a significantly smaller 1-year axial elongation (MD = –0.22 mm, 95% CI: –0.29 to –0.16, P <0.00001). Annual SER progression was slower with HAL (MD = 0.54 D/year, 95% CI: 0.25–0.84, P = 0.0003), and the annual axial elongation rate was reduced (MD = –0.22 mm/year, 95% CI: –0.31 to –0.13, P = 0.0002). Discontinuation was less frequent with HAL (OR 0.43, 95% CI: 0.21–0.86, P = 0.02), while adverse events did not differ significantly between lens types (OR 0.32, 95% CI: 0.01–8.06, P = 0.49).",
        "Conclusions": "Highly Aspherical Lenslets demonstrate superior myopia-control efficacy compared with SVL, with greater refractive and axial benefits and comparable safety. These findings support HAL as an effective optical intervention for slowing myopic progression in children."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Highly Aspherical Lenslets demonstrate superior myopia-control efficacy compared with SVL, with greater refractive and axial benefits and comparable safety. These findings support HAL as an effective optical intervention for slowing myopic progression in children.",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 202,
      "source_fields": {
        "Abstract Final Identifier": "PP13.04",
        "Title": "Spectacle Lenses With Highly Aspherical Lenslets Versus Single-Vision Lenses For Slowing Myopia Progression: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Mohammad Karam",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Mohammad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Karam",
        "Country Name": "Canada",
        "Purpose": "To compare the effectiveness of Highly Aspherical Lenslets (HAL) versus Single Vision Lenslets (SVL) for myopia control in children.",
        "Setting": "Systematic review and meta-analysis,",
        "Methods": "This systematic review and meta-analysis was conducted following PRISMA guidelines. All randomized controlled trials and observational studies comparing spectacle lenses incorporating HAL versus SVL for myopia control were included. Eligible studies enrolled children with established myopia, as well as those at risk of developing myopia (e.g., low hyperopia or anisometropia). Primary outcomes were the 1-year change in cycloplegic spherical equivalent refraction (SER) and axial length (AL). Secondary outcomes included annual SER progression rate, axial elongation rate, discontinuation rate, and adverse events. Random-effects models were applied for outcomes with high heterogeneity.",
        "Results": "Out of the 80 studies initially identified, 16 studies met inclusion criteria, comprising 5382 participants. HAL produced a significantly greater improvement in SER (MD = 0.59 D, 95% CI: 0.36–0.82, P <0.00001) and a significantly smaller 1-year axial elongation (MD = –0.22 mm, 95% CI: –0.29 to –0.16, P <0.00001). Annual SER progression was slower with HAL (MD = 0.54 D/year, 95% CI: 0.25–0.84, P = 0.0003), and the annual axial elongation rate was reduced (MD = –0.22 mm/year, 95% CI: –0.31 to –0.13, P = 0.0002). Discontinuation was less frequent with HAL (OR 0.43, 95% CI: 0.21–0.86, P = 0.02), while adverse events did not differ significantly between lens types (OR 0.32, 95% CI: 0.01–8.06, P = 0.49).",
        "Conclusions": "Highly Aspherical Lenslets demonstrate superior myopia-control efficacy compared with SVL, with greater refractive and axial benefits and comparable safety. These findings support HAL as an effective optical intervention for slowing myopic progression in children."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "PP13.05",
      "abstract_number": "PP13.05",
      "title": "Corneal Asphericity And Ocular Aberrations In Adult Untreated Eyes: Age-Related Changes And Association With Objective Optical Quality Indices - A Retrospective Study",
      "authors": "Mrs Efthalia Xanthopoulou",
      "presenter": "Mrs Efthalia Xanthopoulou",
      "normalized_authors": [
        "Efthalia Xanthopoulou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Efthalia Xanthopoulou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To characterize corneal asphericity and ocular aberrations and their age-related changes using a modern device and identify possible predictors of objective optical quality. As secondary aims, we explored possible sex and intralateral differences.",
        "Setting": "private outpatient center, Thessaloniki, Greece",
        "Methods": "400 untreated eyes of patients (18-90 years) who underwent routine refractive evaluation using the Combi Wavefront Analyzer (Schwind eye-tec-solutions GmbH) were included. Spherical aberration (SA), higher order aberrations (HOAs) and corrected total Strehl ratio were analyzed at a 4.5 mm pupil. Age effects were assessed using Pearson correlations and comparisons between ≤ 40 and > 40 years of age subgroups. Associations with corrected Strehl ratio were explored using multivariable penalized regression and Pearson correlation. The significance level was set at p < 0.05.",
        "Results": "Anterior corneal Q value became less negative with age (p < 0.001). All aberration metrics increased with age (p < 0.001): RMS of total HOAs (RMS of tHOAs), RMS of corneal HOAs (RMS of cHOAs), ocular SA, corneal SA, internal SA and longitudinal spherical aberration (LSA) while corrected total Strehl ratio decreased (p < 0.001). Corneal SA showed a a weak negative correlation with corrected total Strehl ratio (p = 0.001). RMS of tHOAs was identified as the main determinant of corrected total Strehl ratio. No clinically relevant laterality differences or differences between sexes were observed.",
        "Conclusions": "Increasing age was associated with a progressive shift towards a less prolate cornea, higher corneal and total SA, increased HOAs and reduced objective optical quality. Corneal rather than internal SA was the main spherical component linked to Strehl ratio, while RMS of tHOAs emerged as the strongest single predictor of optical quality. These findings support an age-aware and highly individualized approach to refractive procedures, with particular attention to corneal asphericity, corneal SA and overall HOAs at clinically relevant pupil sizes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Increasing age was associated with a progressive shift towards a less prolate cornea, higher corneal and total SA, increased HOAs and reduced objective optical quality. Corneal rather than internal SA was the main spherical component linked to Strehl ratio, while RMS of tHOAs emerged as the strongest single predictor of optical quality. These findings support an age-aware and highly individualized approach to…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 203,
      "source_fields": {
        "Abstract Final Identifier": "PP13.05",
        "Title": "Corneal Asphericity And Ocular Aberrations In Adult Untreated Eyes: Age-Related Changes And Association With Objective Optical Quality Indices - A Retrospective Study",
        "Presenting Author(s)": "Mrs Efthalia Xanthopoulou",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Efthalia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xanthopoulou",
        "Country Name": "Germany",
        "Purpose": "To characterize corneal asphericity and ocular aberrations and their age-related changes using a modern device and identify possible predictors of objective optical quality. As secondary aims, we explored possible sex and intralateral differences.",
        "Setting": "private outpatient center, Thessaloniki, Greece",
        "Methods": "400 untreated eyes of patients (18-90 years) who underwent routine refractive evaluation using the Combi Wavefront Analyzer (Schwind eye-tec-solutions GmbH) were included. Spherical aberration (SA), higher order aberrations (HOAs) and corrected total Strehl ratio were analyzed at a 4.5 mm pupil. Age effects were assessed using Pearson correlations and comparisons between ≤ 40 and > 40 years of age subgroups. Associations with corrected Strehl ratio were explored using multivariable penalized regression and Pearson correlation. The significance level was set at p < 0.05.",
        "Results": "Anterior corneal Q value became less negative with age (p < 0.001). All aberration metrics increased with age (p < 0.001): RMS of total HOAs (RMS of tHOAs), RMS of corneal HOAs (RMS of cHOAs), ocular SA, corneal SA, internal SA and longitudinal spherical aberration (LSA) while corrected total Strehl ratio decreased (p < 0.001). Corneal SA showed a a weak negative correlation with corrected total Strehl ratio (p = 0.001). RMS of tHOAs was identified as the main determinant of corrected total Strehl ratio. No clinically relevant laterality differences or differences between sexes were observed.",
        "Conclusions": "Increasing age was associated with a progressive shift towards a less prolate cornea, higher corneal and total SA, increased HOAs and reduced objective optical quality. Corneal rather than internal SA was the main spherical component linked to Strehl ratio, while RMS of tHOAs emerged as the strongest single predictor of optical quality. These findings support an age-aware and highly individualized approach to refractive procedures, with particular attention to corneal asphericity, corneal SA and overall HOAs at clinically relevant pupil sizes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "PP13.06",
      "abstract_number": "PP13.06",
      "title": "Presenile Cataract As A Distinct Clinical Entity: A Case Control Study Of Risk Factors And Morphological Patterns",
      "authors": "Dr Prabhu Krishna Ravilla",
      "presenter": "Dr Prabhu Krishna Ravilla",
      "normalized_authors": [
        "Prabhu Krishna Ravilla"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Prabhu Krishna Ravilla",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Cataract remains the leading cause of blindness worldwide and is traditionally considered an age-related disease. However, increasing incidence of cataract in young adults presents significant clinical and socioeconomic implications, particularly in developing countries. Presenile cataract in the working-age population may have modifiable systemic and lifestyle risk factors, however data for this population is limited. This study aimed to identify risk factors, systemic associations and clinical patterns of presenile cataract in the 18-40 years age group.",
        "Setting": "This study was conducted at a high-volume tertiary eye care center in South India serving a large urban and rural population with standardized cataract evaluation and surgical services.",
        "Methods": "A hospital-based case–control study was performed including 266 participants aged 18–40 years. The study enrolled 133 patients diagnosed with cataract and 133 age and gender-matched controls without cataract. Detailed demographic, systemic, ocular, and lifestyle histories were obtained using a structured questionnaire. Socioeconomic status was assessed using the Modified Kuppuswamy scale. All participants underwent comprehensive examination including visual acuity assessment, slit-lamp biomicroscopy, intraocular pressure measurement, axial length evaluation, and cataract grading using the LOCS III system. Statistical analysis compared risk factors and clinical characteristics between groups to identify significant associations.",
        "Results": "The mean age of participants was 34.5 years with a female predominance (56%). Lower socioeconomic status demonstrated a very strong association with presenile cataract (p<0.001). Systemic factors with significant association include diabetes mellitus (p=0.008), asthma (p=0.01), and history of systemic corticosteroid use (p=0.02). Lifestyle factors such as cigarette smoking (p=0.02) and reduced physical activity (p=0.03) were also significant contributors.\n\nPosterior subcapsular cataract was the predominant morphology, (81.4% of eyes), followed by nuclear opalescence (31.6%). Most cataracts were bilateral (65.4%) and immature (80.5%), although nearly one-fifth (19.5%) presented as mature cataracts despite the young age group.",
        "Conclusions": "The findings of this study show the multifactorial nature of presenile cataract. Lower socioeconomic status was found to be a significant risk factor. Lifestyle risk factors such as cigarette smoking, physical inactivity were found to be significant along with systemic associations such as Diabetes Mellitus, asthma and corticosteroid use. The predominance of posterior subcapsular cataract and high rates of bilateral involvement emphasize the need for early detection and surgical intervention. Recognizing these early can guide targeted screening programs, timely intervention and prevention strategies"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The findings of this study show the multifactorial nature of presenile cataract. Lower socioeconomic status was found to be a significant risk factor. Lifestyle risk factors such as cigarette smoking, physical inactivity were found to be significant along with systemic associations such as Diabetes Mellitus, asthma and corticosteroid use. The predominance of posterior subcapsular cataract and high rates of…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 204,
      "source_fields": {
        "Abstract Final Identifier": "PP13.06",
        "Title": "Presenile Cataract As A Distinct Clinical Entity: A Case Control Study Of Risk Factors And Morphological Patterns",
        "Presenting Author(s)": "Dr Prabhu Krishna Ravilla",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Prabhu Krishna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ravilla",
        "Country Name": "India",
        "Purpose": "Cataract remains the leading cause of blindness worldwide and is traditionally considered an age-related disease. However, increasing incidence of cataract in young adults presents significant clinical and socioeconomic implications, particularly in developing countries. Presenile cataract in the working-age population may have modifiable systemic and lifestyle risk factors, however data for this population is limited. This study aimed to identify risk factors, systemic associations and clinical patterns of presenile cataract in the 18-40 years age group.",
        "Setting": "This study was conducted at a high-volume tertiary eye care center in South India serving a large urban and rural population with standardized cataract evaluation and surgical services.",
        "Methods": "A hospital-based case–control study was performed including 266 participants aged 18–40 years. The study enrolled 133 patients diagnosed with cataract and 133 age and gender-matched controls without cataract. Detailed demographic, systemic, ocular, and lifestyle histories were obtained using a structured questionnaire. Socioeconomic status was assessed using the Modified Kuppuswamy scale. All participants underwent comprehensive examination including visual acuity assessment, slit-lamp biomicroscopy, intraocular pressure measurement, axial length evaluation, and cataract grading using the LOCS III system. Statistical analysis compared risk factors and clinical characteristics between groups to identify significant associations.",
        "Results": "The mean age of participants was 34.5 years with a female predominance (56%). Lower socioeconomic status demonstrated a very strong association with presenile cataract (p<0.001). Systemic factors with significant association include diabetes mellitus (p=0.008), asthma (p=0.01), and history of systemic corticosteroid use (p=0.02). Lifestyle factors such as cigarette smoking (p=0.02) and reduced physical activity (p=0.03) were also significant contributors.\n\nPosterior subcapsular cataract was the predominant morphology, (81.4% of eyes), followed by nuclear opalescence (31.6%). Most cataracts were bilateral (65.4%) and immature (80.5%), although nearly one-fifth (19.5%) presented as mature cataracts despite the young age group.",
        "Conclusions": "The findings of this study show the multifactorial nature of presenile cataract. Lower socioeconomic status was found to be a significant risk factor. Lifestyle risk factors such as cigarette smoking, physical inactivity were found to be significant along with systemic associations such as Diabetes Mellitus, asthma and corticosteroid use. The predominance of posterior subcapsular cataract and high rates of bilateral involvement emphasize the need for early detection and surgical intervention. Recognizing these early can guide targeted screening programs, timely intervention and prevention strategies"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "PP13.07",
      "abstract_number": "PP13.07",
      "title": "In Silico Identification Of Novel Small Molecules Similar To Ripasudil Targeting Rock2 Enzyme For Corneal Endothelial Recovery Following Cataract Surgery",
      "authors": "Dr Deepak Choudhury",
      "presenter": "Dr Deepak Choudhury",
      "normalized_authors": [
        "Deepak Choudhury"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Deepak Choudhury",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Corneal endothelial cell loss after cataract surgery can lead to postoperative corneal edema and delayed visual recovery. ROCK2 signaling plays a key role in endothelial cytoskeletal regulation, migration, and contact inhibition. Ripasudil, a ROCK inhibitor, has demonstrated endothelial protective and regenerative effects. This study aimed to identify novel small molecules structurally similar to ripasudil with potential ROCK2 inhibitory activity using a computer-aided drug discovery (CADD) framework.",
        "Setting": "This computational drug discovery study conducted at a tertiary academic center of coastal Odisha in India. The workflow integrated ligand-based and structure-based approaches.",
        "Methods": "Ripasudil was retrieved from PubChem and used as a reference for similarity screening in PubChem chemical library. Molecular fingerprints and Tanimoto similarity coefficients (90%) were applied to identify candidate analogs. Pharmacophore modeling was employed to highlight essential functional groups. Molecular docking studies were performed against high-resolution ROCK2 crystal structures obtained from the Protein Data Bank, followed by docking to evaluate binding affinity. In silico ADMET and drug-likeness predictions were conducted to evaluate pharmacokinetic and toxicity profiles of top-ranking 20 hits.Top molecule amongst them with good safety profile underwent molecular dynamics (MD) simulations to assess complex stability.",
        "Results": "633 similar molecules were found. 178 ripasudil analogs demonstrated favorable docking scores and stable interactions with the ATP-binding site of ROCK2, comparable or superior to the reference ligand. ADMET predictions of best 20 molecules suggested acceptable oral bioavailability and low toxicity risks. MD simulations confirmed consistent binding stability of 6-[[(2R)-2-methyl-1,4-diazecan-1-yl]sulfonyl]isoquinoline.",
        "Conclusions": "This study highlights the potential of CADD methodologies to accelerate the discovery of novel ROCK2 inhibitors for glaucoma management. The identified ripasudil-derived analogs represent promising leads for further optimization and experimental validation toward next-generation endothelial regeneration therapeutics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study highlights the potential of CADD methodologies to accelerate the discovery of novel ROCK2 inhibitors for glaucoma management. The identified ripasudil-derived analogs represent promising leads for further optimization and experimental validation toward next-generation endothelial regeneration therapeutics.",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 205,
      "source_fields": {
        "Abstract Final Identifier": "PP13.07",
        "Title": "In Silico Identification Of Novel Small Molecules Similar To Ripasudil Targeting Rock2 Enzyme For Corneal Endothelial Recovery Following Cataract Surgery",
        "Presenting Author(s)": "Dr Deepak Choudhury",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Deepak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choudhury",
        "Country Name": "India",
        "Purpose": "Corneal endothelial cell loss after cataract surgery can lead to postoperative corneal edema and delayed visual recovery. ROCK2 signaling plays a key role in endothelial cytoskeletal regulation, migration, and contact inhibition. Ripasudil, a ROCK inhibitor, has demonstrated endothelial protective and regenerative effects. This study aimed to identify novel small molecules structurally similar to ripasudil with potential ROCK2 inhibitory activity using a computer-aided drug discovery (CADD) framework.",
        "Setting": "This computational drug discovery study conducted at a tertiary academic center of coastal Odisha in India. The workflow integrated ligand-based and structure-based approaches.",
        "Methods": "Ripasudil was retrieved from PubChem and used as a reference for similarity screening in PubChem chemical library. Molecular fingerprints and Tanimoto similarity coefficients (90%) were applied to identify candidate analogs. Pharmacophore modeling was employed to highlight essential functional groups. Molecular docking studies were performed against high-resolution ROCK2 crystal structures obtained from the Protein Data Bank, followed by docking to evaluate binding affinity. In silico ADMET and drug-likeness predictions were conducted to evaluate pharmacokinetic and toxicity profiles of top-ranking 20 hits.Top molecule amongst them with good safety profile underwent molecular dynamics (MD) simulations to assess complex stability.",
        "Results": "633 similar molecules were found. 178 ripasudil analogs demonstrated favorable docking scores and stable interactions with the ATP-binding site of ROCK2, comparable or superior to the reference ligand. ADMET predictions of best 20 molecules suggested acceptable oral bioavailability and low toxicity risks. MD simulations confirmed consistent binding stability of 6-[[(2R)-2-methyl-1,4-diazecan-1-yl]sulfonyl]isoquinoline.",
        "Conclusions": "This study highlights the potential of CADD methodologies to accelerate the discovery of novel ROCK2 inhibitors for glaucoma management. The identified ripasudil-derived analogs represent promising leads for further optimization and experimental validation toward next-generation endothelial regeneration therapeutics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 278
    },
    {
      "uid": "PP13.08",
      "abstract_number": "PP13.08",
      "title": "Oral Anthocyanin- And Iridoid-Rich Formulation Improves Near Visual Acuity And Tear Film Parameters In Presbyopic Patients: A Randomized Double-Blind Cross-Over Study",
      "authors": "Barbara Khaidakov",
      "presenter": "Barbara Khaidakov",
      "normalized_authors": [
        "Barbara Khaidakov"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karolina Niska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "Presbyopia is an age-related decline in accommodative function leading to reduced near visual performance and frequently accompanied by tear film instability. Oxidative stress, microvascular dysfunction and low-grade inflammation are considered important contributors to functional visual deterioration in aging eyes. This study evaluated the antioxidant and anti-inflammatory activity of a standardized anthocyanin- and iridoid-rich oral formulation in vitro and assessed its clinical effects on near visual acuity and ocular surface parameters in presbyopic patients.",
        "Setting": "In vitro experiments evaluating the antioxidant and anti-inflammatory properties of the standardized formulation were performed at the R&D department of AronPharma. The clinical study was conducted at the Department of Ophthalmology of the University Clinical Hospital in Wroclaw, Poland.",
        "Methods": "In vitro studies were performed on human retinal pigment epithelial cells (ARPE-19) to evaluate oxidative stress and inflammatory pathways involved in age-related ocular dysfunction, using Western blot and ELISA. Data were analyzed by one-way ANOVA (p<0.05). In a randomized, double-blind, placebo-controlled cross-over study, 23 presbyopic subjects aged >50 years received the standardized formulation or placebo for 6 weeks, followed by a 5-week wash-out and treatment switch. Clinical assessment included near visual acuity, contrast sensitivity, intraocular pressure, visual field and dry eye evaluation (Schirmer test, TBUT, LIPCOF). Data were analyzed using paired statistical methods appropriate for cross-over design (p<0.05).",
        "Results": "The in vitro study showed that the formulation reduced oxidative stress markers by decreasing iNOS protein levels and increasing catalase expression in H₂O₂-treated ARPE-19 cells. Reduced inflammatory responses were observed in LPS-stimulated cells, including decreased NF- κ B phosphorylation and IL-6 production. In the second phase of the clinical study, 92.3% of subjects receiving the formulation improved in near visual acuity, compared with 50% receiving placebo (p = 0.022). Tear secretion, measured by the Schirmer test, improved in 80% of patients by the start of week 6 of supplementation. A slight improvement was also observed in tear film parameters assessed by the LIPCOF and TBUT tests. No significant safety concerns were reported .",
        "Conclusions": "Oral supplementation with a standardized anthocyanin- and iridoid-rich formulation was associated with improved near visual acuity and tear film parameters in presbyopic patients. The observed antioxidant and anti-inflammatory effects suggest that modulation of oxidative stress pathways may contribute to functional visual support in the aging eye. This non-invasive approach may represent a potential adjunctive strategy for improving quality of vision and maintaining ocular surface homeostasis in presbyopic patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Oral supplementation with a standardized anthocyanin- and iridoid-rich formulation was associated with improved near visual acuity and tear film parameters in presbyopic patients. The observed antioxidant and anti-inflammatory effects suggest that modulation of oxidative stress pathways may contribute to functional visual support in the aging eye. This non-invasive approach may represent a potential adjunctive…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 206,
      "source_fields": {
        "Abstract Final Identifier": "PP13.08",
        "Title": "Oral Anthocyanin- And Iridoid-Rich Formulation Improves Near Visual Acuity And Tear Film Parameters In Presbyopic Patients: A Randomized Double-Blind Cross-Over Study",
        "Presenting Author(s)": "Barbara Khaidakov",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Karolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Niska",
        "Country Name": "Poland",
        "Purpose": "Presbyopia is an age-related decline in accommodative function leading to reduced near visual performance and frequently accompanied by tear film instability. Oxidative stress, microvascular dysfunction and low-grade inflammation are considered important contributors to functional visual deterioration in aging eyes. This study evaluated the antioxidant and anti-inflammatory activity of a standardized anthocyanin- and iridoid-rich oral formulation in vitro and assessed its clinical effects on near visual acuity and ocular surface parameters in presbyopic patients.",
        "Setting": "In vitro experiments evaluating the antioxidant and anti-inflammatory properties of the standardized formulation were performed at the R&D department of AronPharma. The clinical study was conducted at the Department of Ophthalmology of the University Clinical Hospital in Wroclaw, Poland.",
        "Methods": "In vitro studies were performed on human retinal pigment epithelial cells (ARPE-19) to evaluate oxidative stress and inflammatory pathways involved in age-related ocular dysfunction, using Western blot and ELISA. Data were analyzed by one-way ANOVA (p<0.05). In a randomized, double-blind, placebo-controlled cross-over study, 23 presbyopic subjects aged >50 years received the standardized formulation or placebo for 6 weeks, followed by a 5-week wash-out and treatment switch. Clinical assessment included near visual acuity, contrast sensitivity, intraocular pressure, visual field and dry eye evaluation (Schirmer test, TBUT, LIPCOF). Data were analyzed using paired statistical methods appropriate for cross-over design (p<0.05).",
        "Results": "The in vitro study showed that the formulation reduced oxidative stress markers by decreasing iNOS protein levels and increasing catalase expression in H₂O₂-treated ARPE-19 cells. Reduced inflammatory responses were observed in LPS-stimulated cells, including decreased NF- κ B phosphorylation and IL-6 production. In the second phase of the clinical study, 92.3% of subjects receiving the formulation improved in near visual acuity, compared with 50% receiving placebo (p = 0.022). Tear secretion, measured by the Schirmer test, improved in 80% of patients by the start of week 6 of supplementation. A slight improvement was also observed in tear film parameters assessed by the LIPCOF and TBUT tests. No significant safety concerns were reported .",
        "Conclusions": "Oral supplementation with a standardized anthocyanin- and iridoid-rich formulation was associated with improved near visual acuity and tear film parameters in presbyopic patients. The observed antioxidant and anti-inflammatory effects suggest that modulation of oxidative stress pathways may contribute to functional visual support in the aging eye. This non-invasive approach may represent a potential adjunctive strategy for improving quality of vision and maintaining ocular surface homeostasis in presbyopic patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 396
    },
    {
      "uid": "PP13.09",
      "abstract_number": "PP13.09",
      "title": "A Real World Outcomes Study For Aceclidine 1.44 % Eye Drops To Manage Presbyopia",
      "authors": "Dr Maria S Romero",
      "presenter": "Dr Maria S Romero",
      "normalized_authors": [
        "Maria S Romero"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria S Romero",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate the real-world outcomes of aceclidine 1.44 to manage presbyopia focus on patients reported outcomes, effectiveness and patient's adherence",
        "Setting": "Private practice",
        "Methods": "Prospective cohort study\n\nInclusion criteria included patients with presbyopia that were wearing glasses to correct their near vision and were interested in glasses independence and used aceclidine 1.44 % eye drops.\n\nExclusion criteria were patients with any ocular comorbidity that affects the central vision, moderate or advanced stage glaucoma and/or ocular misaligned ocular motility.\n\nPrimary endpoints measured were Visual Function Outcomes (VA at distance and near) , Patient Reported Outcomes through the Presbyopia Functional Performance Questionnaire\n\nSecondary endpoints measure were Safety and Tolerability Outcomes and Patient Adherence Outcomes",
        "Results": "Mean age of the participants 54 yo. Number of patients 34.\n\nVisual Function Ouctomes were evaluated pre and post treatment using near VA measure at 14 inch /35 cm, mean Binocular UNVA J4, Binocular CNVA J1 and Binocular UNVA after aceclidine 1.44% J1.\n\nMean time effects 25 min , average lasting effect 7 hours.\n\nPatient Subjective Visual Function was assesed through a questionnaire with a difficulty scale 0-4 with highest satisfaction on the tasks of reading small print and smartphone use.\n\nMost common side effects were red eyes >95 %, headaches/brow ache 62%, follow by eye strain and dim vision.\n\nSafety no adverse events reported.\n\nAdherence only 28 % of the patients requested a refill of the drops.",
        "Conclusions": "Aceclidine is a very effective pupil modulator to manage presbyopia through the selective cholinergic receptors in the iris sphincter and ciliary muscle effect. No adverse effectes reported and great inital receptivity when introduce to the patients . Although with low adherence to the treatment"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Aceclidine is a very effective pupil modulator to manage presbyopia through the selective cholinergic receptors in the iris sphincter and ciliary muscle effect. No adverse effectes reported and great inital receptivity when introduce to the patients . Although with low adherence to the treatment",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 207,
      "source_fields": {
        "Abstract Final Identifier": "PP13.09",
        "Title": "A Real World Outcomes Study For Aceclidine 1.44 % Eye Drops To Manage Presbyopia",
        "Presenting Author(s)": "Dr Maria S Romero",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "S",
        "Submitter Last Name": "Romero",
        "Country Name": "United States",
        "Purpose": "To evaluate the real-world outcomes of aceclidine 1.44 to manage presbyopia focus on patients reported outcomes, effectiveness and patient's adherence",
        "Setting": "Private practice",
        "Methods": "Prospective cohort study\n\nInclusion criteria included patients with presbyopia that were wearing glasses to correct their near vision and were interested in glasses independence and used aceclidine 1.44 % eye drops.\n\nExclusion criteria were patients with any ocular comorbidity that affects the central vision, moderate or advanced stage glaucoma and/or ocular misaligned ocular motility.\n\nPrimary endpoints measured were Visual Function Outcomes (VA at distance and near) , Patient Reported Outcomes through the Presbyopia Functional Performance Questionnaire\n\nSecondary endpoints measure were Safety and Tolerability Outcomes and Patient Adherence Outcomes",
        "Results": "Mean age of the participants 54 yo. Number of patients 34.\n\nVisual Function Ouctomes were evaluated pre and post treatment using near VA measure at 14 inch /35 cm, mean Binocular UNVA J4, Binocular CNVA J1 and Binocular UNVA after aceclidine 1.44% J1.\n\nMean time effects 25 min , average lasting effect 7 hours.\n\nPatient Subjective Visual Function was assesed through a questionnaire with a difficulty scale 0-4 with highest satisfaction on the tasks of reading small print and smartphone use.\n\nMost common side effects were red eyes >95 %, headaches/brow ache 62%, follow by eye strain and dim vision.\n\nSafety no adverse events reported.\n\nAdherence only 28 % of the patients requested a refill of the drops.",
        "Conclusions": "Aceclidine is a very effective pupil modulator to manage presbyopia through the selective cholinergic receptors in the iris sphincter and ciliary muscle effect. No adverse effectes reported and great inital receptivity when introduce to the patients . Although with low adherence to the treatment"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 271
    },
    {
      "uid": "PP13.10",
      "abstract_number": "PP13.10",
      "title": "Identifying Key Parameters Affecting The Surgical Confidence Of Early-Career Ophthalmologists",
      "authors": "Dr Oumayma Elmansouri",
      "presenter": "Dr Oumayma Elmansouri",
      "normalized_authors": [
        "Oumayma Elmansouri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Oumayma Elmansouri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To identify and quantify the clinical, educational, and psychological factors that influence the self-confidence of young surgeons during their learning curve in cataract surgery, and to evaluate the prevalence of the \"Second Victim Syndrome.\"",
        "Setting": "Multi-center prospective study across 15 Moroccan and French teaching hospitals",
        "Methods": "This study followed 180 young surgeons (residents and fellows, <200 independent phacoemulsification cases) over a 12-month period. Surgical confidence was assessed monthly using the Surgical Self-Efficacy (SSE) scale and a Visual Analogue Scale (VAS). Key parameters tracked included: weekly surgical volume, cumulative case count, frequency of intraoperative complications (e.g., PCR, vitreous loss), and the quality of senior supervision (measured by the Surgical Mentorship Tool). The impact of complications was specifically analyzed through the Second Victim Experience and Support (SVEST) survey.",
        "Results": "Analysis of the 180 participants revealed that surgical confidence does not grow linearly but follows a \"U-shaped\" trajectory, with a significant \"confidence crash\" occurring after the first major complication. The three most critical predictors of low surgical confidence were:\n\nSupervision Quality (p < 0.001 ): Non-constructive verbal feedback from seniors was the primary driver of persistent anxiety.Surgical Frequency: Surgeons performing fewer than 4 cases per week exhibited 45% higher stress levels.Second Victim Prevalence: 28% of the 180 surgeons met the criteria for \"Second Victim Syndrome\" following a complication.Prior high-fidelity simulation (Eyesi) was associated with a significantly faster recovery op = 0.02 ).",
        "Conclusions": "Surgical confidence in early-career ophthalmologists is highly volatile and deeply influenced by the intraoperative educational environment. With nearly one-third of trainees experiencing \"Second Victim\" symptoms, it is imperative for surgical programs to transition from a \"blame culture\" to a \"safety culture.\" Implementing structured peer-support and \"Emotional First Aid\" protocols is essential to preserve the mental well-being of the next generation of surgeons and ensure long-term patient safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Surgical confidence in early-career ophthalmologists is highly volatile and deeply influenced by the intraoperative educational environment. With nearly one-third of trainees experiencing \"Second Victim\" symptoms, it is imperative for surgical programs to transition from a \"blame culture\" to a \"safety culture.\" Implementing structured peer-support and \"Emotional First Aid\" protocols is essential to preserve the…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 208,
      "source_fields": {
        "Abstract Final Identifier": "PP13.10",
        "Title": "Identifying Key Parameters Affecting The Surgical Confidence Of Early-Career Ophthalmologists",
        "Presenting Author(s)": "Dr Oumayma Elmansouri",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Oumayma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elmansouri",
        "Country Name": "Morocco",
        "Purpose": "To identify and quantify the clinical, educational, and psychological factors that influence the self-confidence of young surgeons during their learning curve in cataract surgery, and to evaluate the prevalence of the \"Second Victim Syndrome.\"",
        "Setting": "Multi-center prospective study across 15 Moroccan and French teaching hospitals",
        "Methods": "This study followed 180 young surgeons (residents and fellows, <200 independent phacoemulsification cases) over a 12-month period. Surgical confidence was assessed monthly using the Surgical Self-Efficacy (SSE) scale and a Visual Analogue Scale (VAS). Key parameters tracked included: weekly surgical volume, cumulative case count, frequency of intraoperative complications (e.g., PCR, vitreous loss), and the quality of senior supervision (measured by the Surgical Mentorship Tool). The impact of complications was specifically analyzed through the Second Victim Experience and Support (SVEST) survey.",
        "Results": "Analysis of the 180 participants revealed that surgical confidence does not grow linearly but follows a \"U-shaped\" trajectory, with a significant \"confidence crash\" occurring after the first major complication. The three most critical predictors of low surgical confidence were:\n\nSupervision Quality (p < 0.001 ): Non-constructive verbal feedback from seniors was the primary driver of persistent anxiety.Surgical Frequency: Surgeons performing fewer than 4 cases per week exhibited 45% higher stress levels.Second Victim Prevalence: 28% of the 180 surgeons met the criteria for \"Second Victim Syndrome\" following a complication.Prior high-fidelity simulation (Eyesi) was associated with a significantly faster recovery op = 0.02 ).",
        "Conclusions": "Surgical confidence in early-career ophthalmologists is highly volatile and deeply influenced by the intraoperative educational environment. With nearly one-third of trainees experiencing \"Second Victim\" symptoms, it is imperative for surgical programs to transition from a \"blame culture\" to a \"safety culture.\" Implementing structured peer-support and \"Emotional First Aid\" protocols is essential to preserve the mental well-being of the next generation of surgeons and ensure long-term patient safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 295
    },
    {
      "uid": "PP13.11",
      "abstract_number": "PP13.11",
      "title": "Perceived Difficulty Of Cataract Surgery Steps, Surgical Stress, And Complication Management Confidence During Ophthalmology Residency",
      "authors": "Dr Safak Torun",
      "presenter": "Dr Safak Torun",
      "normalized_authors": [
        "Safak Torun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Safak Torun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the perceived difficulty of individual cataract surgery steps among ophthalmology residents and to explore how these perceptions change with training level. The study also aims to assess surgical stress and residents’ confidence in managing intraoperative complications, and to compare these parameters between junior and senior residents in order to better understand the learning curve in cataract surgery training.",
        "Setting": "This cross-sectional survey study was conducted among ophthalmology residents through an anonymous online questionnaire distributed via professional communication networks and messaging platforms.",
        "Methods": "A cross-sectional survey was conducted among ophthalmology residents using an anonymous online questionnaire. Participants reported their training year (0–1, 1–2, 2–3, and 3–4 years) and were subsequently categorized into junior (0–3 years) and senior (3–4 years) groups for analysis. The questionnaire assessed perceived difficulty across different steps of cataract surgery, surgical stress, and confidence in managing intraoperative complications using Likert-scale responses. Group comparisons were performed to evaluate differences related to training level and surgical experience.",
        "Results": "A total of 50 ophthalmology residents participated (26 junior, 24 senior). Junior residents reported significantly greater difficulty in capsulorhexis and nucleus manipulation compared with senior residents (p<0.01). Senior residents demonstrated significantly higher confidence in managing intraoperative complications, including posterior capsule rupture, vitreous loss, zonular dialysis, and nucleus drop (p<0.01). Junior residents also reported more intraoperative hand tremor (p<0.01), while perceived supervisor pressure tended to be higher among senior residents. Within-group analysis showed significant variation across surgical steps, with phaco machine parameter adjustment remaining the most challenging step for senior residents.",
        "Conclusions": "Perceived difficulty in cataract surgery varies across training stages. Junior residents experience greater technical difficulty, particularly in capsulorhexis and nucleus management, whereas senior residents show higher confidence in managing intraoperative complications. Surgical stress and hand tremor appear more pronounced in earlier training years. Despite overall improvement with experience, understanding phaco machine parameters remains challenging even for senior residents. These findings highlight key areas in cataract surgery training that may benefit from targeted educational support."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Perceived difficulty in cataract surgery varies across training stages. Junior residents experience greater technical difficulty, particularly in capsulorhexis and nucleus management, whereas senior residents show higher confidence in managing intraoperative complications. Surgical stress and hand tremor appear more pronounced in earlier training years. Despite overall improvement with experience, understanding…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 209,
      "source_fields": {
        "Abstract Final Identifier": "PP13.11",
        "Title": "Perceived Difficulty Of Cataract Surgery Steps, Surgical Stress, And Complication Management Confidence During Ophthalmology Residency",
        "Presenting Author(s)": "Dr Safak Torun",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Safak",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Torun",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the perceived difficulty of individual cataract surgery steps among ophthalmology residents and to explore how these perceptions change with training level. The study also aims to assess surgical stress and residents’ confidence in managing intraoperative complications, and to compare these parameters between junior and senior residents in order to better understand the learning curve in cataract surgery training.",
        "Setting": "This cross-sectional survey study was conducted among ophthalmology residents through an anonymous online questionnaire distributed via professional communication networks and messaging platforms.",
        "Methods": "A cross-sectional survey was conducted among ophthalmology residents using an anonymous online questionnaire. Participants reported their training year (0–1, 1–2, 2–3, and 3–4 years) and were subsequently categorized into junior (0–3 years) and senior (3–4 years) groups for analysis. The questionnaire assessed perceived difficulty across different steps of cataract surgery, surgical stress, and confidence in managing intraoperative complications using Likert-scale responses. Group comparisons were performed to evaluate differences related to training level and surgical experience.",
        "Results": "A total of 50 ophthalmology residents participated (26 junior, 24 senior). Junior residents reported significantly greater difficulty in capsulorhexis and nucleus manipulation compared with senior residents (p<0.01). Senior residents demonstrated significantly higher confidence in managing intraoperative complications, including posterior capsule rupture, vitreous loss, zonular dialysis, and nucleus drop (p<0.01). Junior residents also reported more intraoperative hand tremor (p<0.01), while perceived supervisor pressure tended to be higher among senior residents. Within-group analysis showed significant variation across surgical steps, with phaco machine parameter adjustment remaining the most challenging step for senior residents.",
        "Conclusions": "Perceived difficulty in cataract surgery varies across training stages. Junior residents experience greater technical difficulty, particularly in capsulorhexis and nucleus management, whereas senior residents show higher confidence in managing intraoperative complications. Surgical stress and hand tremor appear more pronounced in earlier training years. Despite overall improvement with experience, understanding phaco machine parameters remains challenging even for senior residents. These findings highlight key areas in cataract surgery training that may benefit from targeted educational support."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 333
    },
    {
      "uid": "PP13.12",
      "abstract_number": "PP13.12",
      "title": "Carbon Emissions Associated With Artificial Intelligence Use Among Ophthalmology Professionals: A Cross‑Sectional Survey Study",
      "authors": "Dr Sarah Tajran",
      "presenter": "Dr Sarah Tajran",
      "normalized_authors": [
        "Sarah Tajran"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sarah Tajran",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Artificial intelligence (AI) tools are increasingly incorporated into ophthalmic clinical care, education, and research. While AI may improve workflow efficiency, its environmental cost, particularly energy consumption and associated carbon emissions, remains understudied in ophthalmology. We hypothesized that AI use among ophthalmology professionals would be widespread, that awareness of its environmental impact would be limited, and that most users would support greater transparency regarding AI related carbon emissions.",
        "Setting": "Bascom Palmer Eye Institute, a tertiary academic ophthalmology center.",
        "Methods": "A 10‑item electronic survey was distributed to ophthalmology faculty, trainees, imagers/technicians, researchers, and administrative staff. Items assessed frequency and purpose of AI use, session duration, weekly interaction volume, and awareness of AI‑related energy consumption. Carbon emissions were estimated using published benchmarks of 0.00052 kWh per AI query and 0.85 kg CO₂/kWh.",
        "Results": "Ninety‑eight respondents completed the survey. Most participants (94%) reported using AI tools within the past 30 days . The most commonly used tools were ChatGPT (87%), Google Gemini (56%), and Microsoft Copilot (36%). AI was primarily used for writing tasks (76%), studying/learning (68%), clerical/administrative work (45%), research support (39%), and patient education (20%). Interaction frequency varied: 49% reported <10 weekly interactions, 33% reported 10–50, 9% reported 50–100, and 8% reported >100. Estimated average weekly energy use was 1.35 kWh, corresponding to 1.15 kg CO₂ emissions. Only 34% of respondents were aware that AI queries produce carbon emissions, yet 80% believed environmental impact should be more transparent.",
        "Conclusions": "AI use among ophthalmology professionals is widespread, whereas awareness of its associated carbon emissions remains limited. Consistent with our hypothesis, most respondents also favored greater transparency regarding environmental impact. These findings suggest that integrating carbon-impact reporting and sustainability education into clinical and academic AI tools may help promote more environmentally responsible digital practices in ophthalmology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AI use among ophthalmology professionals is widespread, whereas awareness of its associated carbon emissions remains limited. Consistent with our hypothesis, most respondents also favored greater transparency regarding environmental impact. These findings suggest that integrating carbon-impact reporting and sustainability education into clinical and academic AI tools may help promote more environmentally…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 210,
      "source_fields": {
        "Abstract Final Identifier": "PP13.12",
        "Title": "Carbon Emissions Associated With Artificial Intelligence Use Among Ophthalmology Professionals: A Cross‑Sectional Survey Study",
        "Presenting Author(s)": "Dr Sarah Tajran",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Sarah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tajran",
        "Country Name": "United States",
        "Purpose": "Artificial intelligence (AI) tools are increasingly incorporated into ophthalmic clinical care, education, and research. While AI may improve workflow efficiency, its environmental cost, particularly energy consumption and associated carbon emissions, remains understudied in ophthalmology. We hypothesized that AI use among ophthalmology professionals would be widespread, that awareness of its environmental impact would be limited, and that most users would support greater transparency regarding AI related carbon emissions.",
        "Setting": "Bascom Palmer Eye Institute, a tertiary academic ophthalmology center.",
        "Methods": "A 10‑item electronic survey was distributed to ophthalmology faculty, trainees, imagers/technicians, researchers, and administrative staff. Items assessed frequency and purpose of AI use, session duration, weekly interaction volume, and awareness of AI‑related energy consumption. Carbon emissions were estimated using published benchmarks of 0.00052 kWh per AI query and 0.85 kg CO₂/kWh.",
        "Results": "Ninety‑eight respondents completed the survey. Most participants (94%) reported using AI tools within the past 30 days . The most commonly used tools were ChatGPT (87%), Google Gemini (56%), and Microsoft Copilot (36%). AI was primarily used for writing tasks (76%), studying/learning (68%), clerical/administrative work (45%), research support (39%), and patient education (20%). Interaction frequency varied: 49% reported <10 weekly interactions, 33% reported 10–50, 9% reported 50–100, and 8% reported >100. Estimated average weekly energy use was 1.35 kWh, corresponding to 1.15 kg CO₂ emissions. Only 34% of respondents were aware that AI queries produce carbon emissions, yet 80% believed environmental impact should be more transparent.",
        "Conclusions": "AI use among ophthalmology professionals is widespread, whereas awareness of its associated carbon emissions remains limited. Consistent with our hypothesis, most respondents also favored greater transparency regarding environmental impact. These findings suggest that integrating carbon-impact reporting and sustainability education into clinical and academic AI tools may help promote more environmentally responsible digital practices in ophthalmology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 300
    },
    {
      "uid": "PP13.13",
      "abstract_number": "PP13.13",
      "title": "Physiological Stress In Cataract Surgery: A Scoping Study Using Heart-Rate Monitoring",
      "authors": "Dr Shaun Chew",
      "presenter": "Dr Shaun Chew",
      "normalized_authors": [
        "Shaun Chew"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shaun Chew",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To evaluate physiological stress responses in ophthalmologists during cataract surgery using heart‑rate monitoring, identify key stressors, and propose strategies to mitigate intraoperative stress.",
        "Setting": "Ophthalmologists at varying training levels were recruited from a single UK hospital, and heart rate recordings were collected over a period of 6 months in 2023.",
        "Methods": "Heart rate was recorded using a Polar H10 chest strap during cataract surgery and compared with each surgeon’s resting baseline obtained during a two‑hour out‑of‑hours period. Case complexity was graded using pre-defined patient and cataract factors. Heart‑rate changes were analysed with respect to role (operating vs. supervising) and surgeon seniority.",
        "Results": "All surgeons demonstrated increased average heart rate during cataract surgery compared with baseline, with rises up to 40%. Maximal heart‑rate increases were smaller and varied by seniority: consultants exhibited the greatest rise, fellows the least, and trainees intermediate. Consultants also displayed higher heart rates when operating than supervising. Patient‑related factors—such as communication barriers, co-morbidity, or behavioural unpredictability—appeared to induce stress more strongly than cataract‑related anatomical factors.",
        "Conclusions": "Cataract surgery induces measurable physiological stress in ophthalmologists, particularly in cases involving complex patient factors. Scheduling these cases earlier in the day, distributing demanding cases more evenly across the surgical team, and simple environmental modifications such as theatre music may help reduce stress. This is important not only for preserving surgeon well-being but also for sustaining surgical performance, maintaining patient safety, and supporting long-term workforce resilience. Larger studies incorporating heart-rate variability are warranted to further characterise intraoperative stress and inform workforce wellbeing strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery induces measurable physiological stress in ophthalmologists, particularly in cases involving complex patient factors. Scheduling these cases earlier in the day, distributing demanding cases more evenly across the surgical team, and simple environmental modifications such as theatre music may help reduce stress. This is important not only for preserving surgeon well-being but also for sustaining…",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 211,
      "source_fields": {
        "Abstract Final Identifier": "PP13.13",
        "Title": "Physiological Stress In Cataract Surgery: A Scoping Study Using Heart-Rate Monitoring",
        "Presenting Author(s)": "Dr Shaun Chew",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Shaun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chew",
        "Country Name": "Australia",
        "Purpose": "To evaluate physiological stress responses in ophthalmologists during cataract surgery using heart‑rate monitoring, identify key stressors, and propose strategies to mitigate intraoperative stress.",
        "Setting": "Ophthalmologists at varying training levels were recruited from a single UK hospital, and heart rate recordings were collected over a period of 6 months in 2023.",
        "Methods": "Heart rate was recorded using a Polar H10 chest strap during cataract surgery and compared with each surgeon’s resting baseline obtained during a two‑hour out‑of‑hours period. Case complexity was graded using pre-defined patient and cataract factors. Heart‑rate changes were analysed with respect to role (operating vs. supervising) and surgeon seniority.",
        "Results": "All surgeons demonstrated increased average heart rate during cataract surgery compared with baseline, with rises up to 40%. Maximal heart‑rate increases were smaller and varied by seniority: consultants exhibited the greatest rise, fellows the least, and trainees intermediate. Consultants also displayed higher heart rates when operating than supervising. Patient‑related factors—such as communication barriers, co-morbidity, or behavioural unpredictability—appeared to induce stress more strongly than cataract‑related anatomical factors.",
        "Conclusions": "Cataract surgery induces measurable physiological stress in ophthalmologists, particularly in cases involving complex patient factors. Scheduling these cases earlier in the day, distributing demanding cases more evenly across the surgical team, and simple environmental modifications such as theatre music may help reduce stress. This is important not only for preserving surgeon well-being but also for sustaining surgical performance, maintaining patient safety, and supporting long-term workforce resilience. Larger studies incorporating heart-rate variability are warranted to further characterise intraoperative stress and inform workforce wellbeing strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "PP13.14",
      "abstract_number": "PP13.14",
      "title": "Shaping The Future Of Ophthalmic Services: Evaluating A Complex Anterior Segment Service (Cass) Model For Nationwide Integration",
      "authors": "Dr Zhu Li Yap",
      "presenter": "Dr Zhu Li Yap",
      "normalized_authors": [
        "Zhu Li Yap"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zhu Li Yap",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Evaluation of a newly developed complex anterior segment service within a tertiary hospital to determine feasibility for broader adoption and implementation nationally and regionally",
        "Setting": "Tertiary Referral Eye Centre",
        "Methods": "Quantitative: A retrospective review of all secondary intraocular lens procedures performed by the complex anterior segment service from July 2022–June 2024 which included the variable visual acuity, intraocular pressure, postoperative refraction and endothelial cell count, all at baseline and at postoperative intervals as well as return to surgery data. Quarterly clinic and surgical wait times, and patient complaint data from July 2021–June 2025, was also analysed. Qualitative : Logs of educational outputs and operational challenges were reviewed",
        "Results": "Clinical outcomes were non-inferior or better than the majority of studies currently published. Of 178 patients, visual acuity improved in 98% of patients. Best Corrected Visual acuity was 6/12 or better in 91% of patients. 4 patients required return to surgery for complications i.e. repeat dislocation or retinal detachment. The clinic and surgical wait times were significantly reduced compared to before the service was established, from a 6 – 9 month wait time down to 14 weeks for non-urgent cases and a formalized pathway for the referral of emergency cases. As a result, patient complaints related to complex cataracts and complications post surgery dropped significantly. Operational challenges included accurate tracking of cases.",
        "Conclusions": "Results are promising - beyond improving clinical outcomes, the project fosters leadership in service innovation, supports training and education, and contributes to strengthening health systems. Ultimately, this work aims to shape a future-ready framework for complex anterior segment care that can be integrated across diverse healthcare settings"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Results are promising - beyond improving clinical outcomes, the project fosters leadership in service innovation, supports training and education, and contributes to strengthening health systems. Ultimately, this work aims to shape a future-ready framework for complex anterior segment care that can be integrated across diverse healthcare settings",
      "session_type": "Presented Poster",
      "track": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 212,
      "source_fields": {
        "Abstract Final Identifier": "PP13.14",
        "Title": "Shaping The Future Of Ophthalmic Services: Evaluating A Complex Anterior Segment Service (Cass) Model For Nationwide Integration",
        "Presenting Author(s)": "Dr Zhu Li Yap",
        "Abstract Topic Name": "OTHER IN THE FIELD OF CATARACT AND REFRACTIVE SURGERY",
        "Submitter First Name": "Zhu Li",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yap",
        "Country Name": "Singapore",
        "Purpose": "Evaluation of a newly developed complex anterior segment service within a tertiary hospital to determine feasibility for broader adoption and implementation nationally and regionally",
        "Setting": "Tertiary Referral Eye Centre",
        "Methods": "Quantitative: A retrospective review of all secondary intraocular lens procedures performed by the complex anterior segment service from July 2022–June 2024 which included the variable visual acuity, intraocular pressure, postoperative refraction and endothelial cell count, all at baseline and at postoperative intervals as well as return to surgery data. Quarterly clinic and surgical wait times, and patient complaint data from July 2021–June 2025, was also analysed. Qualitative : Logs of educational outputs and operational challenges were reviewed",
        "Results": "Clinical outcomes were non-inferior or better than the majority of studies currently published. Of 178 patients, visual acuity improved in 98% of patients. Best Corrected Visual acuity was 6/12 or better in 91% of patients. 4 patients required return to surgery for complications i.e. repeat dislocation or retinal detachment. The clinic and surgical wait times were significantly reduced compared to before the service was established, from a 6 – 9 month wait time down to 14 weeks for non-urgent cases and a formalized pathway for the referral of emergency cases. As a result, patient complaints related to complex cataracts and complications post surgery dropped significantly. Operational challenges included accurate tracking of cases.",
        "Conclusions": "Results are promising - beyond improving clinical outcomes, the project fosters leadership in service innovation, supports training and education, and contributes to strengthening health systems. Ultimately, this work aims to shape a future-ready framework for complex anterior segment care that can be integrated across diverse healthcare settings"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "PP13.15",
      "abstract_number": "PP13.15",
      "title": "Scoping Review Of Cataract Surgery Sterility: Data Gaps Linking Sustainability And Clinical Impact",
      "authors": "Dr Zorana Lynton",
      "presenter": "Dr Zorana Lynton",
      "normalized_authors": [
        "Zorana Lynton"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zorana Lynton",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "The clinical benefit of operating room (OR) sterility practices in preventing post-cataract infectious and inflammatory complications remains uncertain. Amid growing concerns about the environmental impact of surgical waste, this scoping review evaluates the clinical evidence on OR sterility practices in cataract surgery to identify potentially unnecessary practices that could be targeted for waste reduction.",
        "Setting": "PRISMA Scoping Review.",
        "Methods": "A comprehensive search following PRISMA guidelines was conducted across Embase, MEDLINE, Scopus, Web of Science, Cochrane, CINAHL, and ProQuest. Two independent reviewers screened studies for inclusion based on practice patterns, clinical efficacy related to infection or inflammation, or environmental impacts of antiseptic solutions, drapes, gloves, masks, and gowns in adult cataract surgery. Reports were included if they were in the English language and no time restrictions were applied. One investigator extracted data using a pilot-tested form.",
        "Results": "Of 3,360 records screened, 148 articles met the inclusion criteria. There were 83 (56%) experimental studies, 10 (7%) case reports/series, 24 (16%) surveys, 25 (17%) opinion-based articles or guidelines, and 6 (4%) economic/environmental evaluations. A meta-analysis of 1,608 eyes revealed that conjunctival povidone-iodine significantly reduced bacterial load on the ocular surface, potentially lowering the risk of endophthalmitis. Mask use was associated with a possible protective effect against infectious complications. In contrast, draping, gloving, and gowning were primarily discussed in opinion-based literature, comprising 40%, 38%, and 46% of reports on each practice, respectively.",
        "Conclusions": "Many OR sterility practices may not meaningfully impact clinical outcomes, yet contribute substantially to surgical waste. Conjunctival povidone-iodine and masks are supported by relatively more substantial evidence in cataract surgery. In contrast, drapes, gloves, and gowns lack robust clinical data and may contribute to avoidable environmental burden."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Many OR sterility practices may not meaningfully impact clinical outcomes, yet contribute substantially to surgical waste. Conjunctival povidone-iodine and masks are supported by relatively more substantial evidence in cataract surgery. In contrast, drapes, gloves, and gowns lack robust clinical data and may contribute to avoidable environmental burden.",
      "session_type": "Presented Poster",
      "track": "SUSTAINABILITY",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 213,
      "source_fields": {
        "Abstract Final Identifier": "PP13.15",
        "Title": "Scoping Review Of Cataract Surgery Sterility: Data Gaps Linking Sustainability And Clinical Impact",
        "Presenting Author(s)": "Dr Zorana Lynton",
        "Abstract Topic Name": "SUSTAINABILITY",
        "Submitter First Name": "Zorana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lynton",
        "Country Name": "Canada",
        "Purpose": "The clinical benefit of operating room (OR) sterility practices in preventing post-cataract infectious and inflammatory complications remains uncertain. Amid growing concerns about the environmental impact of surgical waste, this scoping review evaluates the clinical evidence on OR sterility practices in cataract surgery to identify potentially unnecessary practices that could be targeted for waste reduction.",
        "Setting": "PRISMA Scoping Review.",
        "Methods": "A comprehensive search following PRISMA guidelines was conducted across Embase, MEDLINE, Scopus, Web of Science, Cochrane, CINAHL, and ProQuest. Two independent reviewers screened studies for inclusion based on practice patterns, clinical efficacy related to infection or inflammation, or environmental impacts of antiseptic solutions, drapes, gloves, masks, and gowns in adult cataract surgery. Reports were included if they were in the English language and no time restrictions were applied. One investigator extracted data using a pilot-tested form.",
        "Results": "Of 3,360 records screened, 148 articles met the inclusion criteria. There were 83 (56%) experimental studies, 10 (7%) case reports/series, 24 (16%) surveys, 25 (17%) opinion-based articles or guidelines, and 6 (4%) economic/environmental evaluations. A meta-analysis of 1,608 eyes revealed that conjunctival povidone-iodine significantly reduced bacterial load on the ocular surface, potentially lowering the risk of endophthalmitis. Mask use was associated with a possible protective effect against infectious complications. In contrast, draping, gloving, and gowning were primarily discussed in opinion-based literature, comprising 40%, 38%, and 46% of reports on each practice, respectively.",
        "Conclusions": "Many OR sterility practices may not meaningfully impact clinical outcomes, yet contribute substantially to surgical waste. Conjunctival povidone-iodine and masks are supported by relatively more substantial evidence in cataract surgery. In contrast, drapes, gloves, and gowns lack robust clinical data and may contribute to avoidable environmental burden."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "PP14.01",
      "abstract_number": "PP14.01",
      "title": "Clinical Outcomes And Graft Survival Of Keratoplasty Pkp And Lkp For Patients With Down Syndrome At King Khaled Eye Specialist Hospital",
      "authors": "Dr Thamer Abdullah Alanazy",
      "presenter": "Dr Thamer Abdullah Alanazy",
      "normalized_authors": [
        "Thamer Abdullah Alanazy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Thamer Abdullah Alanazy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Down syndrome is one of the most prevalent genetic disorders in the world, An estimated One in 400 to 1500 live births affected by Down syndrome.\n\nThe incidence of keratoconus was observed to range from 0 to 32% in the studies that particularly looked at children with Down syndrome (10). The incidence is as high as 71.3% in Adult with Down syndrome (11). It is commonly known that keratoplasty is a very effective treatment for keratoconus in the general population.\n\npurpose : To determine the short term and long term graft survival rate, penetrating keratoplasty (PKP) and lamellar Keratoplasty (LKP ) in patients with keratoconus and Down Syndrome",
        "Setting": "Tertiary Eye centre -King Khaled eye specialist hospital , Riyadh, saudi Arabia .",
        "Methods": "Retrospective study\n\nThe medical records of patient with down syndrome and keratoconus and underwent Keratoplasty has been reviewed .Clincial data including patients demographics ,surgical procedure and post operative course has been collected .\n\n- Patients with Down syndrome (clinically and genetically confirmed ) keratoconus ( based on clinical exam and Topography/ tomography parameters ) who underwent keratoplasty at KKESH\n\n- Inclusion Criteria : All age group of Patient with Down syndrome and severe keratoconus who underwent keratoplasty for keratoconus at KKESH between November 1983 -January 2025",
        "Results": "The study included 29 patients (30 eyes, one patient with bilateral keratoplasty) . Postoperative complications included suture-related microbial keratitis in 5 eyes (16.7%), graft rejection in 4 eyes (13.3%), glaucoma in 2 eyes (6.6%), neovascularization in 20 eyes (66.7%), and graft dehiscence in one patient . Seven patients (23.3%) required two or more examinations under anesthesia. At final follow-up, 26 grafts (86.7%) remained clear, while 4 (13.3%) failed, with a mean postoperative VA of 0.98 ± 0.70 LogMAR .There were no serious ocular or systemic adverse events.Graft failure was slightly higher common in PKP compared to LKP, but the difference was not statistical significance (p = 0.079).",
        "Conclusions": "Primary keratoplasty in patients with Down syndrome provides favorable outcomes with improved visual acuity and manageable complications Both LKP and PKP were safely performed under general anesthesia, indicating that timely surgical intervention provides significant visual rehabilitation in this population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Primary keratoplasty in patients with Down syndrome provides favorable outcomes with improved visual acuity and manageable complications Both LKP and PKP were safely performed under general anesthesia, indicating that timely surgical intervention provides significant visual rehabilitation in this population.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 214,
      "source_fields": {
        "Abstract Final Identifier": "PP14.01",
        "Title": "Clinical Outcomes And Graft Survival Of Keratoplasty Pkp And Lkp For Patients With Down Syndrome At King Khaled Eye Specialist Hospital",
        "Presenting Author(s)": "Dr Thamer Abdullah Alanazy",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Thamer",
        "Submitter Middle Name": "Abdullah",
        "Submitter Last Name": "Alanazy",
        "Country Name": "Saudi Arabia",
        "Purpose": "Down syndrome is one of the most prevalent genetic disorders in the world, An estimated One in 400 to 1500 live births affected by Down syndrome.\n\nThe incidence of keratoconus was observed to range from 0 to 32% in the studies that particularly looked at children with Down syndrome (10). The incidence is as high as 71.3% in Adult with Down syndrome (11). It is commonly known that keratoplasty is a very effective treatment for keratoconus in the general population.\n\npurpose : To determine the short term and long term graft survival rate, penetrating keratoplasty (PKP) and lamellar Keratoplasty (LKP ) in patients with keratoconus and Down Syndrome",
        "Setting": "Tertiary Eye centre -King Khaled eye specialist hospital , Riyadh, saudi Arabia .",
        "Methods": "Retrospective study\n\nThe medical records of patient with down syndrome and keratoconus and underwent Keratoplasty has been reviewed .Clincial data including patients demographics ,surgical procedure and post operative course has been collected .\n\n- Patients with Down syndrome (clinically and genetically confirmed ) keratoconus ( based on clinical exam and Topography/ tomography parameters ) who underwent keratoplasty at KKESH\n\n- Inclusion Criteria : All age group of Patient with Down syndrome and severe keratoconus who underwent keratoplasty for keratoconus at KKESH between November 1983 -January 2025",
        "Results": "The study included 29 patients (30 eyes, one patient with bilateral keratoplasty) . Postoperative complications included suture-related microbial keratitis in 5 eyes (16.7%), graft rejection in 4 eyes (13.3%), glaucoma in 2 eyes (6.6%), neovascularization in 20 eyes (66.7%), and graft dehiscence in one patient . Seven patients (23.3%) required two or more examinations under anesthesia. At final follow-up, 26 grafts (86.7%) remained clear, while 4 (13.3%) failed, with a mean postoperative VA of 0.98 ± 0.70 LogMAR .There were no serious ocular or systemic adverse events.Graft failure was slightly higher common in PKP compared to LKP, but the difference was not statistical significance (p = 0.079).",
        "Conclusions": "Primary keratoplasty in patients with Down syndrome provides favorable outcomes with improved visual acuity and manageable complications Both LKP and PKP were safely performed under general anesthesia, indicating that timely surgical intervention provides significant visual rehabilitation in this population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "PP14.16",
      "abstract_number": "PP14.16",
      "title": "Visual, Refractive, And Corneal Densitometry Outcomes In Keratoconus Eyes With Extreme Corneal Flattening After Crosslinking.",
      "authors": "Dr Maria A. Henriquez",
      "presenter": "Dr Maria A. Henriquez",
      "normalized_authors": [
        "Maria A. Henriquez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria A. Henriquez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and corneal densitometry changes in eyes exhibiting extreme corneal flattening after corneal crosslinking (CXL) for progressive keratoconus (KC).",
        "Setting": "Research Department at Ofttalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective case-series study included eyes that underwent epithelium-off (epi-off) CXL between June 2015 and January 2022 in Lima, Peru. Inclusion criteria were extreme keratometric flattening (defined as >5.00 Diopters [D]) and a minimum follow-up of 1 year. Visual, refractive, tomographic, and pachymetric parameters, along with corneal densitometry, were analyzed pre- and postoperatively using Scheimpflug tomography (Pentacam, Oculus Optikgeräte GmbH).",
        "Results": "Fourteen eyes were included with a mean follow-up of 4.64 ± 1.95 years. Mean maximum keratometric (Kmax) flattening was −6.57 ± 3.31 D (range: -10.80 to -1.40; p < .001 ) and mean steeper K flattening was −4.91 ± 7.28 D (range: -23.20 to 13.20). Mean corneal densitometry increased significantly at the anterior, central, and posterior stromal levels, with the most pronounced changes observed within the 0–2 mm zones. The highest increase occurred at the 0 mm diameter in the anterior layer ( 12.22 ± 10.18 ), followed by the central ( 5.68 ± 6.34 ) and posterior ( 3.56 ± 2.03 ) depths (all p < .001 ).",
        "Conclusions": "Progressive extreme corneal flattening after CXL is associated with a significant increase in corneal densitometry across all corneal depths, predominantly in the central zone. This increased densitometry (haze/scarring) may be a contributing factor to the reduced visual acuity observed in some of these patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Progressive extreme corneal flattening after CXL is associated with a significant increase in corneal densitometry across all corneal depths, predominantly in the central zone. This increased densitometry (haze/scarring) may be a contributing factor to the reduced visual acuity observed in some of these patients.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 215,
      "source_fields": {
        "Abstract Final Identifier": "PP14.16",
        "Title": "Visual, Refractive, And Corneal Densitometry Outcomes In Keratoconus Eyes With Extreme Corneal Flattening After Crosslinking.",
        "Presenting Author(s)": "Dr Maria A. Henriquez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Maria A.",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Henriquez",
        "Country Name": "Peru",
        "Purpose": "To evaluate visual, refractive, and corneal densitometry changes in eyes exhibiting extreme corneal flattening after corneal crosslinking (CXL) for progressive keratoconus (KC).",
        "Setting": "Research Department at Ofttalmosalud, Instituto de Ojos, Lima, Peru.",
        "Methods": "This prospective case-series study included eyes that underwent epithelium-off (epi-off) CXL between June 2015 and January 2022 in Lima, Peru. Inclusion criteria were extreme keratometric flattening (defined as >5.00 Diopters [D]) and a minimum follow-up of 1 year. Visual, refractive, tomographic, and pachymetric parameters, along with corneal densitometry, were analyzed pre- and postoperatively using Scheimpflug tomography (Pentacam, Oculus Optikgeräte GmbH).",
        "Results": "Fourteen eyes were included with a mean follow-up of 4.64 ± 1.95 years. Mean maximum keratometric (Kmax) flattening was −6.57 ± 3.31 D (range: -10.80 to -1.40; p < .001 ) and mean steeper K flattening was −4.91 ± 7.28 D (range: -23.20 to 13.20). Mean corneal densitometry increased significantly at the anterior, central, and posterior stromal levels, with the most pronounced changes observed within the 0–2 mm zones. The highest increase occurred at the 0 mm diameter in the anterior layer ( 12.22 ± 10.18 ), followed by the central ( 5.68 ± 6.34 ) and posterior ( 3.56 ± 2.03 ) depths (all p < .001 ).",
        "Conclusions": "Progressive extreme corneal flattening after CXL is associated with a significant increase in corneal densitometry across all corneal depths, predominantly in the central zone. This increased densitometry (haze/scarring) may be a contributing factor to the reduced visual acuity observed in some of these patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "PP14.017",
      "abstract_number": "PP14.017",
      "title": "Enhanced Detection Of Subclinical Keratoconus In Vernal Keratoconjunctivitis Using A Novel Biomarker Multimodal Epithelial–Stromal Dissociation Index (Esdi)",
      "authors": "Dr Chethan N Murthy",
      "presenter": "Dr Chethan N Murthy",
      "normalized_authors": [
        "Chethan N Murthy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chethan N Murthy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To investigate epithelial–stromal remodelling in vernal keratoconjunctivitis (VKC) and validate a novel composite structural biomarker (ESDI) for the early detection of subclinical keratoconus, addressing the \"masking effect\" of epithelial compensation in inflammatory eyes. This study hypothesizes that the early signatures of ectasia in VKC are defined not by a single layer’s measurements, but by the specific \"dissociation\" between the epithelium and the stroma where epithelial thinning occurs in direct spatial correlation with underlying stromal protrusion. We aimed to evaluate the diagnostic efficacy of a novel biomarker (ESDI) by integrating epithelial asymmetry and stromal thickness deviation into a single multimodal metric",
        "Setting": "Prospective cross-sectional study at a tertiary ophthalmic hospital",
        "Methods": "Total of 184 eyes were enrolled, comprising a normal control group (n=72),VKC cohort (n=112). VKC eyes were classified into three groups:\nVKC-only (n=77), subclinical KC (n=23), and definite KC (n=12) .Pentacam was used to map corneal topography and MS39 were used to map epithelial and stromal layers. A composite Epithelial–Stromal Dissociation Index (ESDI) was derived using multivariable logistic regression coefficients. Group comparisons were performed using one-way ANOVA with Bonferroni correction. Diagnostic performance was evaluated using ROC analysis, with AUC comparisons performed via the DeLong test (p < 0.05 considered significant).",
        "Results": "One-way ANOVA showed significant differences (p < 0.001) across all groups. Minimum epithelial thickness was 53.4 ± 1.8 µm in normals (n=72), and progressively decreased in VKC-only (50.2 ± 2.1 µm), subclinical KC (44.6 ± 3.4 µm), and definite KC (39.8 ± 4.2 µm). The ESDI followed a similar progressive trend (0.12 ± 0.08 vs 0.48 ± 0.21 vs 1.18 ± 0.37 vs 2.31 ± 0.64; p < 0.001). For subclinical KC detection, the combined model achieved an AUC of 0.92 (95% CI: 0.83–0.99), statistically superior to tomography alone (AUC: 0.81, 95% CI: 0.67–0.94; p = 0.03). Independent predictors were epithelial asymmetry (OR: 3.6; 95% CI: 1.4–9.1) and stromal deviation (OR: 2.9; 95% CI: 1.2–7.0)",
        "Conclusions": "In vernal keratoconjunctivitis, measurable epithelial–stromal dissociation occurs significantly before overt tomographic progression. The novel ESDI, by integrating epithelial asymmetry and stromal deviation, effectively overcomes the biological \"masking effect\" that often obscures early ectasia signatures in inflammatory eyes. This study validates that a multimodal approach (combined AUC: 0.92) is statistically superior (p = 0.03) to standard tomography for subclinical detection. Given the high regional burden of keratoconus, implementing these biomarkers into routine screening protocols aligns with the 2025 Global Consensus and facilitates timely collagen cross-linking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In vernal keratoconjunctivitis, measurable epithelial–stromal dissociation occurs significantly before overt tomographic progression. The novel ESDI, by integrating epithelial asymmetry and stromal deviation, effectively overcomes the biological \"masking effect\" that often obscures early ectasia signatures in inflammatory eyes. This study validates that a multimodal approach (combined AUC: 0.92) is statistically…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 216,
      "source_fields": {
        "Abstract Final Identifier": "PP14.017",
        "Title": "Enhanced Detection Of Subclinical Keratoconus In Vernal Keratoconjunctivitis Using A Novel Biomarker Multimodal Epithelial–Stromal Dissociation Index (Esdi)",
        "Presenting Author(s)": "Dr Chethan N Murthy",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Chethan",
        "Submitter Middle Name": "N",
        "Submitter Last Name": "Murthy",
        "Country Name": "India",
        "Purpose": "To investigate epithelial–stromal remodelling in vernal keratoconjunctivitis (VKC) and validate a novel composite structural biomarker (ESDI) for the early detection of subclinical keratoconus, addressing the \"masking effect\" of epithelial compensation in inflammatory eyes. This study hypothesizes that the early signatures of ectasia in VKC are defined not by a single layer’s measurements, but by the specific \"dissociation\" between the epithelium and the stroma where epithelial thinning occurs in direct spatial correlation with underlying stromal protrusion. We aimed to evaluate the diagnostic efficacy of a novel biomarker (ESDI) by integrating epithelial asymmetry and stromal thickness deviation into a single multimodal metric",
        "Setting": "Prospective cross-sectional study at a tertiary ophthalmic hospital",
        "Methods": "Total of 184 eyes were enrolled, comprising a normal control group (n=72),VKC cohort (n=112). VKC eyes were classified into three groups:\nVKC-only (n=77), subclinical KC (n=23), and definite KC (n=12) .Pentacam was used to map corneal topography and MS39 were used to map epithelial and stromal layers. A composite Epithelial–Stromal Dissociation Index (ESDI) was derived using multivariable logistic regression coefficients. Group comparisons were performed using one-way ANOVA with Bonferroni correction. Diagnostic performance was evaluated using ROC analysis, with AUC comparisons performed via the DeLong test (p < 0.05 considered significant).",
        "Results": "One-way ANOVA showed significant differences (p < 0.001) across all groups. Minimum epithelial thickness was 53.4 ± 1.8 µm in normals (n=72), and progressively decreased in VKC-only (50.2 ± 2.1 µm), subclinical KC (44.6 ± 3.4 µm), and definite KC (39.8 ± 4.2 µm). The ESDI followed a similar progressive trend (0.12 ± 0.08 vs 0.48 ± 0.21 vs 1.18 ± 0.37 vs 2.31 ± 0.64; p < 0.001). For subclinical KC detection, the combined model achieved an AUC of 0.92 (95% CI: 0.83–0.99), statistically superior to tomography alone (AUC: 0.81, 95% CI: 0.67–0.94; p = 0.03). Independent predictors were epithelial asymmetry (OR: 3.6; 95% CI: 1.4–9.1) and stromal deviation (OR: 2.9; 95% CI: 1.2–7.0)",
        "Conclusions": "In vernal keratoconjunctivitis, measurable epithelial–stromal dissociation occurs significantly before overt tomographic progression. The novel ESDI, by integrating epithelial asymmetry and stromal deviation, effectively overcomes the biological \"masking effect\" that often obscures early ectasia signatures in inflammatory eyes. This study validates that a multimodal approach (combined AUC: 0.92) is statistically superior (p = 0.03) to standard tomography for subclinical detection. Given the high regional burden of keratoconus, implementing these biomarkers into routine screening protocols aligns with the 2025 Global Consensus and facilitates timely collagen cross-linking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 432
    },
    {
      "uid": "PP14.018",
      "abstract_number": "PP14.018",
      "title": "Diagnostic Value Of 3/6-Mm Corneal Curvature Ratios And Layer-Specific Indices (Asr, Spr, Apr) In Keratoconus",
      "authors": "Dr Jascha Wendelstein",
      "presenter": "Dr Jascha Wendelstein",
      "normalized_authors": [
        "Jascha Wendelstein"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jascha Wendelstein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To determine whether the 3/6-mm corneal curvature ratios correlate with the severity of keratoconus (KCN) according to the Belin’s ABC(D) classification and to evaluate their potential as robust geometric markers for staging and disease progression.",
        "Setting": "This is a retrospective observational study included eyes of patients diagnosed with KCN who were examined at the Department of Ophthalmology, Ludwig-Maximilians-University (LMU) Munich, Germany, and the IRCCS Fondazione Bietti, Rome, Italy",
        "Methods": "This study included high-resolution anterior segment optical coherence tomography -based corneal tomography (MS-39, CSO) from 944 KCN eyes (519 patients; 67.6% male) graded using the ABC classification. For each eye, 3/6-mm ratios of epithelial, stromal, and posterior radii, as well as surface curvature ratios (anterior-stromal ratio [ASR], anterior-posterior ratio [APR], stromal-posterior ratio [SPR]), were computed. Associations with ABC stages were analyzed using linear mixed-effects models, Spearman rank correlations, and ordinal logistic regression.",
        "Results": "All analyses demonstrated that 3/6-mm curvature ratios increased systematically with keratoconus severity. Mixed-effects models identified the posterior (endothelial) 3/6-mm radius ratio as the strongest predictor across A, B, and C components (all p<0.001). Spearman correlations showed high monotonic associations, particularly for the posterior ratio (Spearman’s rho up to 0.92, p<0.001). Ordinal regression confirmed the posterior radius ratio as the most consistent predictor of higher grades A, B, and C. ASR, APR, and SPR contributed significantly to A- and C-stage prediction.",
        "Conclusions": "Central 3-mm to paracentral 6-mm corneal curvature ratios, especially the posterior 3/6-mm radius ratio and the ASR/APR/SPR metrics, provide strong, consistent indicators of keratoconus severity across all ABC stages. These ratios represent robust geometric markers with potential value for staging and progression assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Central 3-mm to paracentral 6-mm corneal curvature ratios, especially the posterior 3/6-mm radius ratio and the ASR/APR/SPR metrics, provide strong, consistent indicators of keratoconus severity across all ABC stages. These ratios represent robust geometric markers with potential value for staging and progression assessment.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 217,
      "source_fields": {
        "Abstract Final Identifier": "PP14.018",
        "Title": "Diagnostic Value Of 3/6-Mm Corneal Curvature Ratios And Layer-Specific Indices (Asr, Spr, Apr) In Keratoconus",
        "Presenting Author(s)": "Dr Jascha Wendelstein",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Jascha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wendelstein",
        "Country Name": "Switzerland",
        "Purpose": "To determine whether the 3/6-mm corneal curvature ratios correlate with the severity of keratoconus (KCN) according to the Belin’s ABC(D) classification and to evaluate their potential as robust geometric markers for staging and disease progression.",
        "Setting": "This is a retrospective observational study included eyes of patients diagnosed with KCN who were examined at the Department of Ophthalmology, Ludwig-Maximilians-University (LMU) Munich, Germany, and the IRCCS Fondazione Bietti, Rome, Italy",
        "Methods": "This study included high-resolution anterior segment optical coherence tomography -based corneal tomography (MS-39, CSO) from 944 KCN eyes (519 patients; 67.6% male) graded using the ABC classification. For each eye, 3/6-mm ratios of epithelial, stromal, and posterior radii, as well as surface curvature ratios (anterior-stromal ratio [ASR], anterior-posterior ratio [APR], stromal-posterior ratio [SPR]), were computed. Associations with ABC stages were analyzed using linear mixed-effects models, Spearman rank correlations, and ordinal logistic regression.",
        "Results": "All analyses demonstrated that 3/6-mm curvature ratios increased systematically with keratoconus severity. Mixed-effects models identified the posterior (endothelial) 3/6-mm radius ratio as the strongest predictor across A, B, and C components (all p<0.001). Spearman correlations showed high monotonic associations, particularly for the posterior ratio (Spearman’s rho up to 0.92, p<0.001). Ordinal regression confirmed the posterior radius ratio as the most consistent predictor of higher grades A, B, and C. ASR, APR, and SPR contributed significantly to A- and C-stage prediction.",
        "Conclusions": "Central 3-mm to paracentral 6-mm corneal curvature ratios, especially the posterior 3/6-mm radius ratio and the ASR/APR/SPR metrics, provide strong, consistent indicators of keratoconus severity across all ABC stages. These ratios represent robust geometric markers with potential value for staging and progression assessment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 276
    },
    {
      "uid": "PP14.02",
      "abstract_number": "PP14.02",
      "title": "Clinical Outcomes Of Novel House-Shaped Deep Anterior Lamellar Keratoplasty For Keratoconus",
      "authors": "Dr Seiichiro Sugita",
      "presenter": "Dr Seiichiro Sugita",
      "normalized_authors": [
        "Seiichiro Sugita"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seiichiro Sugita",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Although various femtosecond laser incision profiles (mushroom, zigzag, etc.) have been proposed for corneal transplantation, none has demonstrated superior visual or refractive outcomes. Based on reports that angled graft fitting in femtosecond laser-assisted ALK reduces induced astigmatism, we developed a novel \"house-shaped profile\" for DALK. This study evaluates the clinical outcomes of this profile in patients with keratoconus.",
        "Setting": "Single-center, Sugita Eye Hospital, Nagoya, Japan. This was a retrospective case series.",
        "Methods": "A retrospective analysis was conducted on 21 consecutive DALK procedures performed at our institution between November 2019 and December 2024. In all cases, incisions were made in advance using the house shape profile via FSL (iFS, AMO). We analyzed 18 eyes that completed DALK, excluding 2 eyes converted to PKP due to intraoperative perforation and 1 eye requiring additional suturing due to postoperative traumatic globe rupture. We evaluated best-corrected spectacle visual acuity (BSCVA), best-corrected contact lens visual acuity (CLVA), maximum corneal curvature (Kmax), and corneal astigmatism (CYL) at baseline, 3 months postoperatively, and 3 months after suture removal (9–27 months, median 12 months).",
        "Results": "The characteristics included an average age of 49.6 ± 15.0 years, 13 male eyes/5 female eyes, Kmax of 68.8 ± 12.4 D, Amsler-Krumeich classification Stage IV in 11 eyes (61.1%), and a history of acute edema in 9 eyes (50.0%).\n\nBSCVA and CLVA significantly improved from preoperative 0.62±0.38 to 0.16±0.27 (p<0.001) and 0.076±0.18 (p<0.001), respectively, at 3 months post-suture removal (median 12 months). Kmax decreased from 68.8±12.4D preoperatively to 47.8±2.9D at 3 months post-suture removal (median 12 months) (p<0.001).\n\nAt 3 months post-suture removal (median 12 months), corneal astigmatism (CYL) was 3.84 ± 2.58 D (median 3.43 D). CYL < 4 D was present in 13 eyes (72.2%), and CYL ≥ 7 D in 2 eyes (11%).",
        "Conclusions": "The novel house-shaped DALK demonstrated favorable visual acuity improvement and astigmatism control in keratoconus cases, including difficult ones, and was considered a useful surgical technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The novel house-shaped DALK demonstrated favorable visual acuity improvement and astigmatism control in keratoconus cases, including difficult ones, and was considered a useful surgical technique.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 218,
      "source_fields": {
        "Abstract Final Identifier": "PP14.02",
        "Title": "Clinical Outcomes Of Novel House-Shaped Deep Anterior Lamellar Keratoplasty For Keratoconus",
        "Presenting Author(s)": "Dr Seiichiro Sugita",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Seiichiro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sugita",
        "Country Name": "Japan",
        "Purpose": "Although various femtosecond laser incision profiles (mushroom, zigzag, etc.) have been proposed for corneal transplantation, none has demonstrated superior visual or refractive outcomes. Based on reports that angled graft fitting in femtosecond laser-assisted ALK reduces induced astigmatism, we developed a novel \"house-shaped profile\" for DALK. This study evaluates the clinical outcomes of this profile in patients with keratoconus.",
        "Setting": "Single-center, Sugita Eye Hospital, Nagoya, Japan. This was a retrospective case series.",
        "Methods": "A retrospective analysis was conducted on 21 consecutive DALK procedures performed at our institution between November 2019 and December 2024. In all cases, incisions were made in advance using the house shape profile via FSL (iFS, AMO). We analyzed 18 eyes that completed DALK, excluding 2 eyes converted to PKP due to intraoperative perforation and 1 eye requiring additional suturing due to postoperative traumatic globe rupture. We evaluated best-corrected spectacle visual acuity (BSCVA), best-corrected contact lens visual acuity (CLVA), maximum corneal curvature (Kmax), and corneal astigmatism (CYL) at baseline, 3 months postoperatively, and 3 months after suture removal (9–27 months, median 12 months).",
        "Results": "The characteristics included an average age of 49.6 ± 15.0 years, 13 male eyes/5 female eyes, Kmax of 68.8 ± 12.4 D, Amsler-Krumeich classification Stage IV in 11 eyes (61.1%), and a history of acute edema in 9 eyes (50.0%).\n\nBSCVA and CLVA significantly improved from preoperative 0.62±0.38 to 0.16±0.27 (p<0.001) and 0.076±0.18 (p<0.001), respectively, at 3 months post-suture removal (median 12 months). Kmax decreased from 68.8±12.4D preoperatively to 47.8±2.9D at 3 months post-suture removal (median 12 months) (p<0.001).\n\nAt 3 months post-suture removal (median 12 months), corneal astigmatism (CYL) was 3.84 ± 2.58 D (median 3.43 D). CYL < 4 D was present in 13 eyes (72.2%), and CYL ≥ 7 D in 2 eyes (11%).",
        "Conclusions": "The novel house-shaped DALK demonstrated favorable visual acuity improvement and astigmatism control in keratoconus cases, including difficult ones, and was considered a useful surgical technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "PP14.03",
      "abstract_number": "PP14.03",
      "title": "Deep Anterior Lamellar Keratoplasty After Healed Corneal Hydrops In Keratoconus: Visual Outcomes And Factors Associated With Surgical Complexity",
      "authors": "Dr Rafah Fairaq",
      "presenter": "Dr Rafah Fairaq",
      "normalized_authors": [
        "Rafah Fairaq"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rafah Fairaq",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "Corneal hydrops is a severe complication of advanced keratoconus, often leading to penetrating keratoplasty (PKP). This study evaluates visual, refractive, and anatomical outcomes of Deep Anterior Lamellar Keratoplasty (DALK) after healed hydrops and identifies preoperative factors associated with surgical complexity and graft clarity.",
        "Setting": "Tertiary referral eye center, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia",
        "Methods": "Retrospective interventional case series of keratoconic eyes with documented healed hydrops undergoing DALK. Sixteen eyes met inclusion criteria. Preoperative variables included scar location, scar density, and interval from hydrops resolution to surgery. Primary outcomes were intraoperative Descemet’s membrane perforation and conversion to PKP. Secondary outcomes included best-corrected visual acuity (BCVA), graft clarity, rejection, graft failure, and refractive parameters. Associations between scar characteristics and surgical outcomes were analyzed.",
        "Results": "Sixteen eyes were included. Preoperative Kmax was 75.9 D and Kmean 63.2 D; postoperative Kmean improved to 53.7 D. Mean BCVA improved from 0.74 ± 0.30 LogMAR preoperatively to 0.38 ± 0.17 LogMAR postoperatively (gain 0.36 LogMAR). Mean interval from hydrops resolution to surgery was 39.8 months. Intraoperative microperforation occurred in 2 eyes (12.5%), both with dense central scars; none required PKP conversion. Rebubbling was needed in 1 eye (6.3%). At final follow-up, 10 grafts (62.5%) were clear; 6 (37.5%) showed mild interface haze, predominantly in central scars. Graft rejection occurred in 2 eyes (12.5%). Mean postoperative cylinder was −4.08 D; mean final spherical equivalent was −3.3 D.",
        "Conclusions": "DALK after healed corneal hydrops provides significant visual improvement while preserving host endothelium and avoiding PKP. Dense central scarring increases intraoperative complexity and risk of residual interface haze. In a tertiary referral setting, DALK is an effective endothelial-sparing alternative to traditional full-thickness keratoplasty in post-hydrops keratoconus, with low complication rates and no PKP conversions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "DALK after healed corneal hydrops provides significant visual improvement while preserving host endothelium and avoiding PKP. Dense central scarring increases intraoperative complexity and risk of residual interface haze. In a tertiary referral setting, DALK is an effective endothelial-sparing alternative to traditional full-thickness keratoplasty in post-hydrops keratoconus, with low complication rates and no PKP…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 219,
      "source_fields": {
        "Abstract Final Identifier": "PP14.03",
        "Title": "Deep Anterior Lamellar Keratoplasty After Healed Corneal Hydrops In Keratoconus: Visual Outcomes And Factors Associated With Surgical Complexity",
        "Presenting Author(s)": "Dr Rafah Fairaq",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Rafah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fairaq",
        "Country Name": "Saudi Arabia",
        "Purpose": "Corneal hydrops is a severe complication of advanced keratoconus, often leading to penetrating keratoplasty (PKP). This study evaluates visual, refractive, and anatomical outcomes of Deep Anterior Lamellar Keratoplasty (DALK) after healed hydrops and identifies preoperative factors associated with surgical complexity and graft clarity.",
        "Setting": "Tertiary referral eye center, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia",
        "Methods": "Retrospective interventional case series of keratoconic eyes with documented healed hydrops undergoing DALK. Sixteen eyes met inclusion criteria. Preoperative variables included scar location, scar density, and interval from hydrops resolution to surgery. Primary outcomes were intraoperative Descemet’s membrane perforation and conversion to PKP. Secondary outcomes included best-corrected visual acuity (BCVA), graft clarity, rejection, graft failure, and refractive parameters. Associations between scar characteristics and surgical outcomes were analyzed.",
        "Results": "Sixteen eyes were included. Preoperative Kmax was 75.9 D and Kmean 63.2 D; postoperative Kmean improved to 53.7 D. Mean BCVA improved from 0.74 ± 0.30 LogMAR preoperatively to 0.38 ± 0.17 LogMAR postoperatively (gain 0.36 LogMAR). Mean interval from hydrops resolution to surgery was 39.8 months. Intraoperative microperforation occurred in 2 eyes (12.5%), both with dense central scars; none required PKP conversion. Rebubbling was needed in 1 eye (6.3%). At final follow-up, 10 grafts (62.5%) were clear; 6 (37.5%) showed mild interface haze, predominantly in central scars. Graft rejection occurred in 2 eyes (12.5%). Mean postoperative cylinder was −4.08 D; mean final spherical equivalent was −3.3 D.",
        "Conclusions": "DALK after healed corneal hydrops provides significant visual improvement while preserving host endothelium and avoiding PKP. Dense central scarring increases intraoperative complexity and risk of residual interface haze. In a tertiary referral setting, DALK is an effective endothelial-sparing alternative to traditional full-thickness keratoplasty in post-hydrops keratoconus, with low complication rates and no PKP conversions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "PP14.04",
      "abstract_number": "PP14.04",
      "title": "Changes In Corneal Biomechanics Following Corneal Allogenic Ring Segment Implantation",
      "authors": "Mr Lars Mackenbrock",
      "presenter": "Mr Lars Mackenbrock",
      "normalized_authors": [
        "Lars Mackenbrock"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lars Mackenbrock",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To assess the impact of corneal allogenic ring segment (CAIRS) implantation in patients with keratoconus on corneal biomechanical parameters over a two-year long follow-up period.",
        "Setting": "Department of Ophthalmology, Dresden University Hospital, Dresden, Germany",
        "Methods": "This ongoing prospective observational clinical study included 23 eyes from 21 patients who underwent CAIRS implantation. Corneal biomechanics were quantified using the Corvis ST (Oculus, Wetzlar, Germany). Corneal biomechanic indices included in the analysis were the deformation amplitude ratio at 2 mm (DA-ratio), the integrated radius (IR), the stiffness parameter at first applanation (SP-A1), the stress-strain-index (SSI), and the Ambrósio relational thickness to the horizontal profile (ARTh). Patients were examined preoperatively as well as 3 months, 6 months, 1 year, and 2 years post-operatively. Wilcoxon paired sample signed-rank test was used to assess the difference between the preoperative values and the follow-ups.",
        "Results": "Compared to the preoperative values, the IR increased from 13.6 mm -1 to 16.6 mm -1 (p = 0.024) and the ARTh decreased from 92.8 to 56.2 (p = 0.045) at the 6-month follow-up (preliminary results, n = 14). DA-ratio showed a tendency to increase, while SSI and SP-A1 to decrease, but these changes did not reach statistical significance. Although 2-year data are not yet available from all patients in this ongoing study, trends continued to be observed throughout the 2-year follow-up period.",
        "Conclusions": "Preliminary results indicate that CAIRS implantation in keratoconus eyes induces statistically significant and lasting changes in corneal biomechanical parameters measured by Corvis ST. Further studies are necessary to determine the viability of the Corvis ST in reliably assessing corneal biomechanics following CAIRS implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary results indicate that CAIRS implantation in keratoconus eyes induces statistically significant and lasting changes in corneal biomechanical parameters measured by Corvis ST. Further studies are necessary to determine the viability of the Corvis ST in reliably assessing corneal biomechanics following CAIRS implantation.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 220,
      "source_fields": {
        "Abstract Final Identifier": "PP14.04",
        "Title": "Changes In Corneal Biomechanics Following Corneal Allogenic Ring Segment Implantation",
        "Presenting Author(s)": "Mr Lars Mackenbrock",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Lars",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mackenbrock",
        "Country Name": "Germany",
        "Purpose": "To assess the impact of corneal allogenic ring segment (CAIRS) implantation in patients with keratoconus on corneal biomechanical parameters over a two-year long follow-up period.",
        "Setting": "Department of Ophthalmology, Dresden University Hospital, Dresden, Germany",
        "Methods": "This ongoing prospective observational clinical study included 23 eyes from 21 patients who underwent CAIRS implantation. Corneal biomechanics were quantified using the Corvis ST (Oculus, Wetzlar, Germany). Corneal biomechanic indices included in the analysis were the deformation amplitude ratio at 2 mm (DA-ratio), the integrated radius (IR), the stiffness parameter at first applanation (SP-A1), the stress-strain-index (SSI), and the Ambrósio relational thickness to the horizontal profile (ARTh). Patients were examined preoperatively as well as 3 months, 6 months, 1 year, and 2 years post-operatively. Wilcoxon paired sample signed-rank test was used to assess the difference between the preoperative values and the follow-ups.",
        "Results": "Compared to the preoperative values, the IR increased from 13.6 mm -1 to 16.6 mm -1 (p = 0.024) and the ARTh decreased from 92.8 to 56.2 (p = 0.045) at the 6-month follow-up (preliminary results, n = 14). DA-ratio showed a tendency to increase, while SSI and SP-A1 to decrease, but these changes did not reach statistical significance. Although 2-year data are not yet available from all patients in this ongoing study, trends continued to be observed throughout the 2-year follow-up period.",
        "Conclusions": "Preliminary results indicate that CAIRS implantation in keratoconus eyes induces statistically significant and lasting changes in corneal biomechanical parameters measured by Corvis ST. Further studies are necessary to determine the viability of the Corvis ST in reliably assessing corneal biomechanics following CAIRS implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "PP14.06",
      "abstract_number": "PP14.06",
      "title": "The \"Half-Kappa\" Strategy: Optimizing Wavefront Outcomes And Ocular Axis Stability In Femtosecond-Laser Assisted Cairs For Keratoconus",
      "authors": "Dr Jagoda Miszczyk",
      "presenter": "Dr Jagoda Miszczyk",
      "normalized_authors": [
        "Jagoda Miszczyk"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Victor Derhartunian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the clinical efficacy of a customized centration strategy—positioned at 50% of the preoperative Kappa distance—on high-order aberrations (HOAs) and the longitudinal stability of the pupillary-visual axis relationship following Corneal Allogenic Intrastromal Ring Segment (CAIRS) implantation.",
        "Setting": "Private Specialized Ophthalmic Center and Surgical Unit SwissLaser Clinics (Warsaw, Krakow/Poland) utilizing the Schwind ATOS Femtosecond Laser platform.",
        "Methods": "This prospective study analyzed eyes with progressive keratoconus undergoing CAIRS implantation. All intrastromal tunnels were created using the Schwind ATOS femtosecond laser . A specific centration protocol was applied: the treatment was offset to half the distance between the pupillary center and the corneal vertex (50% Kappa) .\n\nComprehensive corneal wavefront analysis (MS39, CSO) was performed preoperatively and at 1-month postoperatively. Key metrics included:\n\nHigh-Order Aberrations (HOAs): Total RMS, Coma ( Z3,-1), Z3,1 )\nSpherical Aberration (SA) at 3mm, 4mm, 5mm, and 6mm zones\n\nAxis Stability: Quantitative shifts in Angle Kappa (X, Y coordinates).",
        "Results": "Analysis of the 1-month postoperative data revealed a significant improvement in central optical quality. At the 3mm pupil zone , there was a consistent reduction in both Total RMS and Coma.\n\nMean Wavefront Changes (3mm)- Mean\n\nPreoperative | 1-Month Post-Op | % Change\n\nTotal RMS 1.04 µ m | 0.88 µ m ( -15.4%)\n\nComa ( 3,-1 ) -0.11 µ m | -0.08 µ m ( -27.3%)\n\nComa ( 3,1 ) |0.08 µ m | 0.13 µ m | Redistribution\n\nAngle Kappa Stability:\n\nThe Kappa distance remained remarkably stable postoperatively. The mean coordinate shift was only 0.03 to 0.02 mm (X-axis) and 0.04 to 0.03 mm (Y-axis). Despite significant corneal flattening (evidenced by shifts toward negative Spherical Aberration at 6mm), the relationship between the visual axis and the pupillary center did not deviate.",
        "Conclusions": "Centering CAIRS at \"Half-Kappa\" using the Schwind ATOS laser provides an ideal \"optical compromise\" for corneal remodeling in keratoconus. This approach effectively reduces asymmetric aberrations (Coma) while maintaining the eye's natural visual axis alignment. The high stability of Angle Kappa suggests that this centration strategy avoids \"axis-tilt\" and provides more predictable refractive outcomes than standard pupillary centration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Centering CAIRS at \"Half-Kappa\" using the Schwind ATOS laser provides an ideal \"optical compromise\" for corneal remodeling in keratoconus. This approach effectively reduces asymmetric aberrations (Coma) while maintaining the eye's natural visual axis alignment. The high stability of Angle Kappa suggests that this centration strategy avoids \"axis-tilt\" and provides more predictable refractive outcomes than standard…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 221,
      "source_fields": {
        "Abstract Final Identifier": "PP14.06",
        "Title": "The \"Half-Kappa\" Strategy: Optimizing Wavefront Outcomes And Ocular Axis Stability In Femtosecond-Laser Assisted Cairs For Keratoconus",
        "Presenting Author(s)": "Dr Jagoda Miszczyk",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Victor",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Derhartunian",
        "Country Name": "Austria",
        "Purpose": "To evaluate the clinical efficacy of a customized centration strategy—positioned at 50% of the preoperative Kappa distance—on high-order aberrations (HOAs) and the longitudinal stability of the pupillary-visual axis relationship following Corneal Allogenic Intrastromal Ring Segment (CAIRS) implantation.",
        "Setting": "Private Specialized Ophthalmic Center and Surgical Unit SwissLaser Clinics (Warsaw, Krakow/Poland) utilizing the Schwind ATOS Femtosecond Laser platform.",
        "Methods": "This prospective study analyzed eyes with progressive keratoconus undergoing CAIRS implantation. All intrastromal tunnels were created using the Schwind ATOS femtosecond laser . A specific centration protocol was applied: the treatment was offset to half the distance between the pupillary center and the corneal vertex (50% Kappa) .\n\nComprehensive corneal wavefront analysis (MS39, CSO) was performed preoperatively and at 1-month postoperatively. Key metrics included:\n\nHigh-Order Aberrations (HOAs): Total RMS, Coma ( Z3,-1), Z3,1 )\nSpherical Aberration (SA) at 3mm, 4mm, 5mm, and 6mm zones\n\nAxis Stability: Quantitative shifts in Angle Kappa (X, Y coordinates).",
        "Results": "Analysis of the 1-month postoperative data revealed a significant improvement in central optical quality. At the 3mm pupil zone , there was a consistent reduction in both Total RMS and Coma.\n\nMean Wavefront Changes (3mm)- Mean\n\nPreoperative | 1-Month Post-Op | % Change\n\nTotal RMS 1.04 µ m | 0.88 µ m ( -15.4%)\n\nComa ( 3,-1 ) -0.11 µ m | -0.08 µ m ( -27.3%)\n\nComa ( 3,1 ) |0.08 µ m | 0.13 µ m | Redistribution\n\nAngle Kappa Stability:\n\nThe Kappa distance remained remarkably stable postoperatively. The mean coordinate shift was only 0.03 to 0.02 mm (X-axis) and 0.04 to 0.03 mm (Y-axis). Despite significant corneal flattening (evidenced by shifts toward negative Spherical Aberration at 6mm), the relationship between the visual axis and the pupillary center did not deviate.",
        "Conclusions": "Centering CAIRS at \"Half-Kappa\" using the Schwind ATOS laser provides an ideal \"optical compromise\" for corneal remodeling in keratoconus. This approach effectively reduces asymmetric aberrations (Coma) while maintaining the eye's natural visual axis alignment. The high stability of Angle Kappa suggests that this centration strategy avoids \"axis-tilt\" and provides more predictable refractive outcomes than standard pupillary centration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "PP14.07",
      "abstract_number": "PP14.07",
      "title": "Sustained 7–9-Year Stability After Sequential Icrs Implantation Combined With Corneal Cross-Linking In Progressive Keratoconus",
      "authors": "A/Prof. Iveta Nemcova",
      "presenter": "A/Prof. Iveta Nemcova",
      "normalized_authors": [
        "Iveta Nemcova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iveta Nemcova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "To evaluate long-term functional and structural stability following sequential intrastromal corneal ring segment (ICRS) implantation combined with corneal cross-linking (CXL) in progressive keratoconus over 7–9 years.",
        "Setting": "Retrospective single-centre study conducted at the Department of Ophthalmology, First Faculty of Medicine, Charles University and Central Military Hospital – Military University Hospital Prague, Czech Republic.",
        "Methods": "Twenty-nine eyes with progressive keratoconus (mean age 31.2 ± 10.2 years; baseline Amsler–Krumeich stage 2.75; Kmax 58.6 ± 5,28 D; minimal pachymetry 452 ± 29 µm) underwent Ferrara ICRS implantation followed by standard accelerated transepithelial CXL. Baseline UCDVA was 0.33 ± 0.24 logMAR, BCDVA 0.49 ± 0.23 logMAR, , sphere −4.80 ± 3.29 D, and cylinder −4.34 ± 3.98 D. Outcomes were assessed at baseline, 1 year, and 7–9 years using paired t-tests (p<0.05 considered significant).",
        "Results": "At 1 year after ICRS implantation cylinder decreased from −4.34 ± 3.98 D to −2.65 ± 1.36 D (p=0.031). Kmax decreased from 58.6 ± 5.3 D to 57.0 ± 4.7 D (p=0.19). UCDVA (logMAR) changed from 0.33 ± 0.24 to 0.40 ± 0.18 (p=0.11), while BCDVA remained stable (0.56 ± 0.16 logMAR, p=0.10). Pachymetry remained unchanged (p=0.99). At 7–9 years after surgery, Kmax further decreased to 56.3 ± 4.3 D (p=0.031). UCDVA showed no significant long-term change (0.39 ± 0.23 logMAR, p=0.24). BCDVA remained stable (0.51 ± 0.22 logMAR, p=0.61). Pachymetry decreased to 443 ± 26 µm (p=0.011). Mean keratoconus stage decreased from 2.75 ± 0.45 to 2.37 ± 0.60.",
        "Conclusions": "Sequential ICRS implantation combined with CXL provides early refractive modification and durable long-term stabilization in progressive keratoconus. Visual function remains preserved up to 9 years, supporting this combined reshaping and biomechanical strengthening strategy as an effective long-term treatment option."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sequential ICRS implantation combined with CXL provides early refractive modification and durable long-term stabilization in progressive keratoconus. Visual function remains preserved up to 9 years, supporting this combined reshaping and biomechanical strengthening strategy as an effective long-term treatment option.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 222,
      "source_fields": {
        "Abstract Final Identifier": "PP14.07",
        "Title": "Sustained 7–9-Year Stability After Sequential Icrs Implantation Combined With Corneal Cross-Linking In Progressive Keratoconus",
        "Presenting Author(s)": "A/Prof. Iveta Nemcova",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Iveta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nemcova",
        "Country Name": "Czech Republic",
        "Purpose": "To evaluate long-term functional and structural stability following sequential intrastromal corneal ring segment (ICRS) implantation combined with corneal cross-linking (CXL) in progressive keratoconus over 7–9 years.",
        "Setting": "Retrospective single-centre study conducted at the Department of Ophthalmology, First Faculty of Medicine, Charles University and Central Military Hospital – Military University Hospital Prague, Czech Republic.",
        "Methods": "Twenty-nine eyes with progressive keratoconus (mean age 31.2 ± 10.2 years; baseline Amsler–Krumeich stage 2.75; Kmax 58.6 ± 5,28 D; minimal pachymetry 452 ± 29 µm) underwent Ferrara ICRS implantation followed by standard accelerated transepithelial CXL. Baseline UCDVA was 0.33 ± 0.24 logMAR, BCDVA 0.49 ± 0.23 logMAR, , sphere −4.80 ± 3.29 D, and cylinder −4.34 ± 3.98 D. Outcomes were assessed at baseline, 1 year, and 7–9 years using paired t-tests (p<0.05 considered significant).",
        "Results": "At 1 year after ICRS implantation cylinder decreased from −4.34 ± 3.98 D to −2.65 ± 1.36 D (p=0.031). Kmax decreased from 58.6 ± 5.3 D to 57.0 ± 4.7 D (p=0.19). UCDVA (logMAR) changed from 0.33 ± 0.24 to 0.40 ± 0.18 (p=0.11), while BCDVA remained stable (0.56 ± 0.16 logMAR, p=0.10). Pachymetry remained unchanged (p=0.99). At 7–9 years after surgery, Kmax further decreased to 56.3 ± 4.3 D (p=0.031). UCDVA showed no significant long-term change (0.39 ± 0.23 logMAR, p=0.24). BCDVA remained stable (0.51 ± 0.22 logMAR, p=0.61). Pachymetry decreased to 443 ± 26 µm (p=0.011). Mean keratoconus stage decreased from 2.75 ± 0.45 to 2.37 ± 0.60.",
        "Conclusions": "Sequential ICRS implantation combined with CXL provides early refractive modification and durable long-term stabilization in progressive keratoconus. Visual function remains preserved up to 9 years, supporting this combined reshaping and biomechanical strengthening strategy as an effective long-term treatment option."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "PP14.08",
      "abstract_number": "PP14.08",
      "title": "Refractive Versus Tomographic Nomogram Strategies For Intracorneal Ring Implantation In Enantiomorphic Keratoconus",
      "authors": "Dr Pablo Rodrigues",
      "presenter": "Dr Pablo Rodrigues",
      "normalized_authors": [
        "Pablo Rodrigues"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pablo Rodrigues",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To compare the visual, refractive, keratometric, and aberrometric outcomes of intrastromal corneal ring segment (ICRS) implantation using refractive- versus tomography-based nomograms in the contralateral eyes of keratoconus patients.",
        "Setting": "Surgical Optics Sector, Department of Ophthalmology and Visual Sciences, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.",
        "Methods": "Thirty patients (60 eyes) with bilateral enantiomorphic keratoconus underwent femtosecond-laser-assisted ICRS implantation in a randomized, intraindividual contralateral-eye design. In each patient, one eye was planned with a refractive-based nomogram guided by manifest refraction and the flat topographic axis. In contrast, the fellow eye was treated using a tomography-based phenotypic nomogram. Examinations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refraction, keratometry, higher-order aberrations (HOAs), topometric indices, corneal volume, and patient satisfaction at baseline and 6 months; outcomes were compared using paired analyses.",
        "Results": "Baseline values were similar between the groups (all p > 0.05). At 6 months, both nomograms showed significant improvements in UDVA, CDVA, spherical equivalent, and refractive cylinder (all p < 0.05). Tomography-based planning achieved a greater reduction in maximum keratometry (−3.2 ± 1.8 D vs −2.1 ± 1.7 D; p = 0.03) and vertical coma (−0.85 ± 0.43 µm vs −0.54 ± 0.37 µm; p = 0.04). No differences were found in the efficacy and safety indices, spherical equivalent correction, or satisfaction. The ratio of implant to corneal volume was similar (p = 0.39), suggesting that differences were due to design and axis rather than volume. No sight-threatening complications were noted.",
        "Conclusions": "Both strategies were effective and safe, with significant functional improvement in both groups. Tomography-based planning achieved greater keratometric flattening and coma reduction than refractive-based planning, while maintaining equivalent safety. Tomography-guided nomograms provide a comprehensive, broadly applicable framework for ICRS implantation"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both strategies were effective and safe, with significant functional improvement in both groups. Tomography-based planning achieved greater keratometric flattening and coma reduction than refractive-based planning, while maintaining equivalent safety. Tomography-guided nomograms provide a comprehensive, broadly applicable framework for ICRS implantation",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 223,
      "source_fields": {
        "Abstract Final Identifier": "PP14.08",
        "Title": "Refractive Versus Tomographic Nomogram Strategies For Intracorneal Ring Implantation In Enantiomorphic Keratoconus",
        "Presenting Author(s)": "Dr Pablo Rodrigues",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodrigues",
        "Country Name": "Brazil",
        "Purpose": "To compare the visual, refractive, keratometric, and aberrometric outcomes of intrastromal corneal ring segment (ICRS) implantation using refractive- versus tomography-based nomograms in the contralateral eyes of keratoconus patients.",
        "Setting": "Surgical Optics Sector, Department of Ophthalmology and Visual Sciences, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.",
        "Methods": "Thirty patients (60 eyes) with bilateral enantiomorphic keratoconus underwent femtosecond-laser-assisted ICRS implantation in a randomized, intraindividual contralateral-eye design. In each patient, one eye was planned with a refractive-based nomogram guided by manifest refraction and the flat topographic axis. In contrast, the fellow eye was treated using a tomography-based phenotypic nomogram. Examinations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refraction, keratometry, higher-order aberrations (HOAs), topometric indices, corneal volume, and patient satisfaction at baseline and 6 months; outcomes were compared using paired analyses.",
        "Results": "Baseline values were similar between the groups (all p > 0.05). At 6 months, both nomograms showed significant improvements in UDVA, CDVA, spherical equivalent, and refractive cylinder (all p < 0.05). Tomography-based planning achieved a greater reduction in maximum keratometry (−3.2 ± 1.8 D vs −2.1 ± 1.7 D; p = 0.03) and vertical coma (−0.85 ± 0.43 µm vs −0.54 ± 0.37 µm; p = 0.04). No differences were found in the efficacy and safety indices, spherical equivalent correction, or satisfaction. The ratio of implant to corneal volume was similar (p = 0.39), suggesting that differences were due to design and axis rather than volume. No sight-threatening complications were noted.",
        "Conclusions": "Both strategies were effective and safe, with significant functional improvement in both groups. Tomography-based planning achieved greater keratometric flattening and coma reduction than refractive-based planning, while maintaining equivalent safety. Tomography-guided nomograms provide a comprehensive, broadly applicable framework for ICRS implantation"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "PP14.09",
      "abstract_number": "PP14.09",
      "title": "Predictability Of Double-Asymmetric Pmma Intrastromal Ring Segments In Keratoconus",
      "authors": "Dr Carlos H. Gordillo",
      "presenter": "Dr Carlos H. Gordillo",
      "normalized_authors": [
        "Carlos H. Gordillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carlos H. Gordillo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Argentina",
      "sections": {
        "Purpose": "To assess the 12-month refractive, tomographic, and pachymetric predictability of double-asymmetric PMMA intrastromal ring segments in keratoconus treated with simultaneous accelerated corneal cross-linking.",
        "Setting": "Cornea & Ocular surface Department, Zaldivar Institute, Mendoza, Argentina",
        "Methods": "Retrospective study of keratoconus eyes undergoing femtosecond laser–assisted implantation of double-asymmetric PMMA intrastromal ring segments (160° arc, 250 µm thickness, 6 mm optical zone) combined with simultaneous accelerated corneal cross-linking. Selection followed Alfonso’s classification, including duck-type phenotypes with ≥30° disparity between comatic, topographic, and refractive axes. Tunnels were created with femtosecond laser, with depth and centration individualized according to corneal thickness and tomographic features. Outcomes at 12 months included CDVA, cylinder, Km, K2, and pachymetry. Predictability was assessed by the consistency of K2 reduction and coma improvement across cases. Safety was recorded",
        "Results": "Twenty-four eyes completed 12-month follow-up. Mean keratometry decreased from 46.97 D to 45.95 D (−1.12 D), with a steeper meridian reduction of −1.99 D in K2. Visual acuity improved in parallel with refractive stabilization. Coma decreased significantly from 1.62 ± 0.81 µm to 0.99 ± 0.59 µm (p < 0.001). Improvement in visual performance was supported by postoperative visual quality analysis. Pachymetric values remained stable without evidence of progressive thinning. No intra- or postoperative complications or segment explantations were observed.",
        "Conclusions": "Double-asymmetric PMMA intrastromal ring segments combined with accelerated corneal cross-linking produced consistent steep keratometry reduction and significant coma improvement, with stable pachymetric profiles at 12 months. These findings demonstrate reproducible refractive and tomographic outcomes in selected asymmetric keratoconus phenotypes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Double-asymmetric PMMA intrastromal ring segments combined with accelerated corneal cross-linking produced consistent steep keratometry reduction and significant coma improvement, with stable pachymetric profiles at 12 months. These findings demonstrate reproducible refractive and tomographic outcomes in selected asymmetric keratoconus phenotypes.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 224,
      "source_fields": {
        "Abstract Final Identifier": "PP14.09",
        "Title": "Predictability Of Double-Asymmetric Pmma Intrastromal Ring Segments In Keratoconus",
        "Presenting Author(s)": "Dr Carlos H. Gordillo",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Carlos",
        "Submitter Middle Name": "H.",
        "Submitter Last Name": "Gordillo",
        "Country Name": "Argentina",
        "Purpose": "To assess the 12-month refractive, tomographic, and pachymetric predictability of double-asymmetric PMMA intrastromal ring segments in keratoconus treated with simultaneous accelerated corneal cross-linking.",
        "Setting": "Cornea & Ocular surface Department, Zaldivar Institute, Mendoza, Argentina",
        "Methods": "Retrospective study of keratoconus eyes undergoing femtosecond laser–assisted implantation of double-asymmetric PMMA intrastromal ring segments (160° arc, 250 µm thickness, 6 mm optical zone) combined with simultaneous accelerated corneal cross-linking. Selection followed Alfonso’s classification, including duck-type phenotypes with ≥30° disparity between comatic, topographic, and refractive axes. Tunnels were created with femtosecond laser, with depth and centration individualized according to corneal thickness and tomographic features. Outcomes at 12 months included CDVA, cylinder, Km, K2, and pachymetry. Predictability was assessed by the consistency of K2 reduction and coma improvement across cases. Safety was recorded",
        "Results": "Twenty-four eyes completed 12-month follow-up. Mean keratometry decreased from 46.97 D to 45.95 D (−1.12 D), with a steeper meridian reduction of −1.99 D in K2. Visual acuity improved in parallel with refractive stabilization. Coma decreased significantly from 1.62 ± 0.81 µm to 0.99 ± 0.59 µm (p < 0.001). Improvement in visual performance was supported by postoperative visual quality analysis. Pachymetric values remained stable without evidence of progressive thinning. No intra- or postoperative complications or segment explantations were observed.",
        "Conclusions": "Double-asymmetric PMMA intrastromal ring segments combined with accelerated corneal cross-linking produced consistent steep keratometry reduction and significant coma improvement, with stable pachymetric profiles at 12 months. These findings demonstrate reproducible refractive and tomographic outcomes in selected asymmetric keratoconus phenotypes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "PP14.10",
      "abstract_number": "PP14.10",
      "title": "Implantation Of Intracorneal Ring Segments Using Manual Technique In The Management Of Keratoconus: Long-Term Results",
      "authors": "Dr Francisca Teixeira da Costa Maia",
      "presenter": "Dr Francisca Teixeira da Costa Maia",
      "normalized_authors": [
        "Francisca Teixeira da Costa Maia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Francisca Teixeira da Costa Maia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "The implantation of intracorneal ring segments (ICRS) has proven to be an effective approach for managing keratoconus (KC). However, long-term outcomes and its effect on the natural progression of the disease are not yet fully understood. This study aims to evaluate the efficacy, safety, and long-term stability (10 years) of Ferrara-type ICRS by manual surgery implantation.",
        "Setting": "A tertiary referral hospital in Braga, Portugal",
        "Methods": "A longitudinal retrospective single-center study was conducted, evaluating a cohort of patients who underwent Ferrara-type ICRS implantation surgery using the manual technique at Braga Hospital between 2010 and 2014. The parameters assessed included visual parameters (uncorrected visual acuity - UCVA and best-corrected visual acuity - BCVA), refractive parameters (sphere, cylinder, and spherical equivalent), and topographic variables (keratometry, asphericity, coma, and pachymetry). Evaluations were performed preoperatively, at 6 months, 12 months, 5 years, 8 years, and 10 years after surgery.",
        "Results": "Of 130 eyes treated, 124 were followed for 5 years, 81 for 8 years, and 61 for 10 years. Mean age was 29±11 years, 60% male, and 75% had KC stage 1–2 (Amsler-Krumeich). At 10 years, UCVA was 0.49±0.32 logMAR (pre: 0.95±0.39; p<0.001) and BCVA 0.23±0.22 logMAR (pre: 0.41±0.29; p<0.001); 80% maintained or improved UCVA. Safety and efficacy indices were 2.05 and 1.10. Sphere, cylinder, and spherical equivalent improved and remained stable. K1, K2, and Kmax decreased and remained stable; asphericity changed from -0.88±0.40 to 1.75±1.38 (p<0.01); coma did not change significantly. ICRS explantation for refractive rehabilitation was required in 5 patients (8%). Ring extrusion and intraoperative tunnel perforation occurred in 1 case each (1.6%).",
        "Conclusions": "The implantation of ICRS significantly improved visual, refractive, and topographic parameters and the results remained stable during a long-term follow-up. This study highlights the advantages of ICRS as a surgical treatment of keratoconus; having demonstrated that the procedure is safe and effective, minimally invasive, and reversible, with very good and stable long-term results ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The implantation of ICRS significantly improved visual, refractive, and topographic parameters and the results remained stable during a long-term follow-up. This study highlights the advantages of ICRS as a surgical treatment of keratoconus; having demonstrated that the procedure is safe and effective, minimally invasive, and reversible, with very good and stable long-term results .",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 225,
      "source_fields": {
        "Abstract Final Identifier": "PP14.10",
        "Title": "Implantation Of Intracorneal Ring Segments Using Manual Technique In The Management Of Keratoconus: Long-Term Results",
        "Presenting Author(s)": "Dr Francisca Teixeira da Costa Maia",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Francisca",
        "Submitter Middle Name": "Teixeira da Costa",
        "Submitter Last Name": "Maia",
        "Country Name": "Portugal",
        "Purpose": "The implantation of intracorneal ring segments (ICRS) has proven to be an effective approach for managing keratoconus (KC). However, long-term outcomes and its effect on the natural progression of the disease are not yet fully understood. This study aims to evaluate the efficacy, safety, and long-term stability (10 years) of Ferrara-type ICRS by manual surgery implantation.",
        "Setting": "A tertiary referral hospital in Braga, Portugal",
        "Methods": "A longitudinal retrospective single-center study was conducted, evaluating a cohort of patients who underwent Ferrara-type ICRS implantation surgery using the manual technique at Braga Hospital between 2010 and 2014. The parameters assessed included visual parameters (uncorrected visual acuity - UCVA and best-corrected visual acuity - BCVA), refractive parameters (sphere, cylinder, and spherical equivalent), and topographic variables (keratometry, asphericity, coma, and pachymetry). Evaluations were performed preoperatively, at 6 months, 12 months, 5 years, 8 years, and 10 years after surgery.",
        "Results": "Of 130 eyes treated, 124 were followed for 5 years, 81 for 8 years, and 61 for 10 years. Mean age was 29±11 years, 60% male, and 75% had KC stage 1–2 (Amsler-Krumeich). At 10 years, UCVA was 0.49±0.32 logMAR (pre: 0.95±0.39; p<0.001) and BCVA 0.23±0.22 logMAR (pre: 0.41±0.29; p<0.001); 80% maintained or improved UCVA. Safety and efficacy indices were 2.05 and 1.10. Sphere, cylinder, and spherical equivalent improved and remained stable. K1, K2, and Kmax decreased and remained stable; asphericity changed from -0.88±0.40 to 1.75±1.38 (p<0.01); coma did not change significantly. ICRS explantation for refractive rehabilitation was required in 5 patients (8%). Ring extrusion and intraoperative tunnel perforation occurred in 1 case each (1.6%).",
        "Conclusions": "The implantation of ICRS significantly improved visual, refractive, and topographic parameters and the results remained stable during a long-term follow-up. This study highlights the advantages of ICRS as a surgical treatment of keratoconus; having demonstrated that the procedure is safe and effective, minimally invasive, and reversible, with very good and stable long-term results ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 337
    },
    {
      "uid": "PP14.12",
      "abstract_number": "PP14.12",
      "title": "Sex Hormone Profiles And Their Association With Corneal Tomographic And Biomechanical Parameters In Keratoconus",
      "authors": "Maria Evanthia Sotirianakou",
      "presenter": "Maria Evanthia Sotirianakou",
      "normalized_authors": [
        "Maria Evanthia Sotirianakou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iasonas Makrypoulias",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "Keratoconus (KC) is a progressive ectatic corneal disorder with multifactorial pathogenesis. Increasing evidence suggests that systemic hormonal factors may contribute to disease development and progression. This study aimed to investigate the association between circulating sex hormones and gonadotropins with keratoconus, and to explore their potential relationship with corneal tomographic and biomechanical parameters in a Greek population.",
        "Setting": "Cornea Service, 1st Department of Ophthalmology, General Hospital of Athens “Georgios Gennimatas”, National and Kapodistrian University of Athens, Greece.",
        "Methods": "In this cross-sectional study, 104 patients with KC and 71 healthy controls underwent comprehensive ophthalmologic evaluation including slit-lamp examination, Pentacam HR tomography, and Ocular Response Analyzer assessment. Serum levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol (E2), prolactin (PRL), testosterone (TES), dehydroepiandrosterone sulfate (DHEA-S), and progesterone (PRG) were also measured. Hormone levels were analyzed in relation to disease presence, age, sex, treatment modality, and corneal tomographic and biomechanical parameters. Non-parametric statistical analyses and regression models were applied.",
        "Results": "LH showed positive correlations with corneal biomechanical parameters. KC patients who underwent penetrating keratoplasty exhibited higher FSH levels and a reduced LH/FSH ratio compared with those treated with corneal cross-linking. E2 levels were increased in women with KC over 45 years of age, while PRL correlated with Kmax and Q-value. Men with KC demonstrated reduced TES associated with corneal morphology and biomechanics, increased PRG levels, and reduced DHEA-S in keratoplasty-treated patients.",
        "Conclusions": "Sex hormones and gonadotropins appear to be associated with corneal morphology and biomechanics in keratoconus, supporting a possible systemic hormonal component in disease pathophysiology. Sex-specific hormonal alterations may influence corneal structure and disease severity."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sex hormones and gonadotropins appear to be associated with corneal morphology and biomechanics in keratoconus, supporting a possible systemic hormonal component in disease pathophysiology. Sex-specific hormonal alterations may influence corneal structure and disease severity.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 226,
      "source_fields": {
        "Abstract Final Identifier": "PP14.12",
        "Title": "Sex Hormone Profiles And Their Association With Corneal Tomographic And Biomechanical Parameters In Keratoconus",
        "Presenting Author(s)": "Maria Evanthia Sotirianakou",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Iasonas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Makrypoulias",
        "Country Name": "Greece",
        "Purpose": "Keratoconus (KC) is a progressive ectatic corneal disorder with multifactorial pathogenesis. Increasing evidence suggests that systemic hormonal factors may contribute to disease development and progression. This study aimed to investigate the association between circulating sex hormones and gonadotropins with keratoconus, and to explore their potential relationship with corneal tomographic and biomechanical parameters in a Greek population.",
        "Setting": "Cornea Service, 1st Department of Ophthalmology, General Hospital of Athens “Georgios Gennimatas”, National and Kapodistrian University of Athens, Greece.",
        "Methods": "In this cross-sectional study, 104 patients with KC and 71 healthy controls underwent comprehensive ophthalmologic evaluation including slit-lamp examination, Pentacam HR tomography, and Ocular Response Analyzer assessment. Serum levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol (E2), prolactin (PRL), testosterone (TES), dehydroepiandrosterone sulfate (DHEA-S), and progesterone (PRG) were also measured. Hormone levels were analyzed in relation to disease presence, age, sex, treatment modality, and corneal tomographic and biomechanical parameters. Non-parametric statistical analyses and regression models were applied.",
        "Results": "LH showed positive correlations with corneal biomechanical parameters. KC patients who underwent penetrating keratoplasty exhibited higher FSH levels and a reduced LH/FSH ratio compared with those treated with corneal cross-linking. E2 levels were increased in women with KC over 45 years of age, while PRL correlated with Kmax and Q-value. Men with KC demonstrated reduced TES associated with corneal morphology and biomechanics, increased PRG levels, and reduced DHEA-S in keratoplasty-treated patients.",
        "Conclusions": "Sex hormones and gonadotropins appear to be associated with corneal morphology and biomechanics in keratoconus, supporting a possible systemic hormonal component in disease pathophysiology. Sex-specific hormonal alterations may influence corneal structure and disease severity."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 259
    },
    {
      "uid": "PP14.13",
      "abstract_number": "PP14.13",
      "title": "Impact Of Pharmacological Mydriasis On Morpho-Biomechanical Profiling And Diagnostic Stability In Keratoconus Via Combined Static And Dynamic Scheimpflug Imaging",
      "authors": "Dr Jinhai Huang",
      "presenter": "Dr Jinhai Huang",
      "normalized_authors": [
        "Jinhai Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jinhai Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "As a progressive corneal ectatic disease, the early precision diagnosis and monitoring of keratoconus (KC) rely heavily on corneal topography and biomechanical assessments. Changes in pupil status may influence the accuracy of these parameters. This study aimed to systematically evaluate the impact of 0.5% tropicamide-induced mydriasis on the corneal morphological and biomechanical characteristics of KC patients, providing evidence-based support for clinical decision-making.",
        "Setting": "Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "This prospective study enrolled 83 eyes of 83 KC patients. Following mydriasis induced by 0.5% tropicamide (three 10-min intervals) , Pentacam and Corvis ST assessments were repeated after 30 minutes. Evaluated metrics included morphological (curvature, elevation, pachymetry, BAD-D) and biomechanical indices (DCR parameters, CBI, TBI). Data were analyzed using paired t-tests and visualized via violin plots.",
        "Results": "Following mydriasis, Pentacam analysis revealed significant decreases in Front Km, Kmax, Back Km, index of surface variance (ISV), KI, CKI, and BAD-D (P < 0.05). Conversely, central corneal thickness (CCT), apex corneal thickness (ACT), thinnest corneal thickness (TCT), and minimum sagittal curvature showed significant increases. Corvis ST biomechanical analysis demonstrated significant reductions in A2 time, highest concavity deformation amplitude (HCDA), and the CBI (P < 0.05). While these shifts were statistically significant, they did not alter the diagnostic classification of KC.",
        "Conclusions": "Pharmacological mydriasis significantly alters corneal topographic and biomechanical parameters in KC patients. Clinicians should remain cognizant of the systematic impact of pupil dilation on quantitative corneal metrics to ensure the accuracy of disease assessment and the reliability of therapeutic decision-making."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pharmacological mydriasis significantly alters corneal topographic and biomechanical parameters in KC patients. Clinicians should remain cognizant of the systematic impact of pupil dilation on quantitative corneal metrics to ensure the accuracy of disease assessment and the reliability of therapeutic decision-making.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 227,
      "source_fields": {
        "Abstract Final Identifier": "PP14.13",
        "Title": "Impact Of Pharmacological Mydriasis On Morpho-Biomechanical Profiling And Diagnostic Stability In Keratoconus Via Combined Static And Dynamic Scheimpflug Imaging",
        "Presenting Author(s)": "Dr Jinhai Huang",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Jinhai",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "China",
        "Purpose": "As a progressive corneal ectatic disease, the early precision diagnosis and monitoring of keratoconus (KC) rely heavily on corneal topography and biomechanical assessments. Changes in pupil status may influence the accuracy of these parameters. This study aimed to systematically evaluate the impact of 0.5% tropicamide-induced mydriasis on the corneal morphological and biomechanical characteristics of KC patients, providing evidence-based support for clinical decision-making.",
        "Setting": "Eye & ENT Hospital of Fudan University, Shanghai, China.",
        "Methods": "This prospective study enrolled 83 eyes of 83 KC patients. Following mydriasis induced by 0.5% tropicamide (three 10-min intervals) , Pentacam and Corvis ST assessments were repeated after 30 minutes. Evaluated metrics included morphological (curvature, elevation, pachymetry, BAD-D) and biomechanical indices (DCR parameters, CBI, TBI). Data were analyzed using paired t-tests and visualized via violin plots.",
        "Results": "Following mydriasis, Pentacam analysis revealed significant decreases in Front Km, Kmax, Back Km, index of surface variance (ISV), KI, CKI, and BAD-D (P < 0.05). Conversely, central corneal thickness (CCT), apex corneal thickness (ACT), thinnest corneal thickness (TCT), and minimum sagittal curvature showed significant increases. Corvis ST biomechanical analysis demonstrated significant reductions in A2 time, highest concavity deformation amplitude (HCDA), and the CBI (P < 0.05). While these shifts were statistically significant, they did not alter the diagnostic classification of KC.",
        "Conclusions": "Pharmacological mydriasis significantly alters corneal topographic and biomechanical parameters in KC patients. Clinicians should remain cognizant of the systematic impact of pupil dilation on quantitative corneal metrics to ensure the accuracy of disease assessment and the reliability of therapeutic decision-making."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 248
    },
    {
      "uid": "PP14.14",
      "abstract_number": "PP14.14",
      "title": "Intraoperative Oct-Guided Pneumodescemetopexy And Corneal Compression Sutures For Extensive Acute Corneal Hydrops",
      "authors": "Dr Ahmed Oreaba",
      "presenter": "Dr Ahmed Oreaba",
      "normalized_authors": [
        "Ahmed Oreaba"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Oreaba",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To highlight the roles of intraoperative optical coherence tomography (iOCT) in managing acute corneal hydrops (ACH) and outcomes of iOCT-guided pneumodescemetopexy and corneal compression sutures.",
        "Setting": "This study was conducted in Birmingham and Midland Eye Centre, UK, between Aug 2023 and May 2025.",
        "Methods": "This was a retrospective, consecutive, interventional case series of patients with keratoconus who presented with significant ACH and underwent iOCT-guided pneumodescemetopexy (with 18% sulfur hexafluoride gas) and compression sutures",
        "Results": "Five patients were included; mean age was 32.3±6.6 years old. The mean follow-up duration was 16.3±5.6 months. At presentation, the mean corrected-distance-visual-acuity (CDVA) was 1.90±0.67 logMAR, central corneal thickness (CCT) was 1187.6±372.6µm. The surgery successfully achieved complete PDL/DM attachment in all cases, with a mean time from surgery to Acute Hydrops resolution of 17.8±8.0 days. iOCT successfully visualized the area of PDL/DM break/detachment, revealed the involvement of PDL (evidenced by a persistent taut type 1 DM detachment after gas tamponade), and guided the placement of compression sutures. Compared to preoperative, there was a significant improvement in the mean CDVA (0.52±0.32 logMAR; p=0.014) at last follow-up.",
        "Conclusions": "This study demonstrated a favorable outcome of iOCT-guided pneumodescemetopexy and corneal compression sutures. iOCT revealed the involvement of PDL in ACH and provided plausible explanations why pneumodescemetopexy alone is not adequate for managing significant ACH in certain cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrated a favorable outcome of iOCT-guided pneumodescemetopexy and corneal compression sutures. iOCT revealed the involvement of PDL in ACH and provided plausible explanations why pneumodescemetopexy alone is not adequate for managing significant ACH in certain cases.",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 228,
      "source_fields": {
        "Abstract Final Identifier": "PP14.14",
        "Title": "Intraoperative Oct-Guided Pneumodescemetopexy And Corneal Compression Sutures For Extensive Acute Corneal Hydrops",
        "Presenting Author(s)": "Dr Ahmed Oreaba",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Oreaba",
        "Country Name": "United Kingdom",
        "Purpose": "To highlight the roles of intraoperative optical coherence tomography (iOCT) in managing acute corneal hydrops (ACH) and outcomes of iOCT-guided pneumodescemetopexy and corneal compression sutures.",
        "Setting": "This study was conducted in Birmingham and Midland Eye Centre, UK, between Aug 2023 and May 2025.",
        "Methods": "This was a retrospective, consecutive, interventional case series of patients with keratoconus who presented with significant ACH and underwent iOCT-guided pneumodescemetopexy (with 18% sulfur hexafluoride gas) and compression sutures",
        "Results": "Five patients were included; mean age was 32.3±6.6 years old. The mean follow-up duration was 16.3±5.6 months. At presentation, the mean corrected-distance-visual-acuity (CDVA) was 1.90±0.67 logMAR, central corneal thickness (CCT) was 1187.6±372.6µm. The surgery successfully achieved complete PDL/DM attachment in all cases, with a mean time from surgery to Acute Hydrops resolution of 17.8±8.0 days. iOCT successfully visualized the area of PDL/DM break/detachment, revealed the involvement of PDL (evidenced by a persistent taut type 1 DM detachment after gas tamponade), and guided the placement of compression sutures. Compared to preoperative, there was a significant improvement in the mean CDVA (0.52±0.32 logMAR; p=0.014) at last follow-up.",
        "Conclusions": "This study demonstrated a favorable outcome of iOCT-guided pneumodescemetopexy and corneal compression sutures. iOCT revealed the involvement of PDL in ACH and provided plausible explanations why pneumodescemetopexy alone is not adequate for managing significant ACH in certain cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "PP14.15",
      "abstract_number": "PP14.15",
      "title": "Clinical, Topographic And Progression Outcomes After Crosslinking In Pediatric Patients",
      "authors": "Dr Alvaro Juan Pablo Tovar Gomez",
      "presenter": "Dr Alvaro Juan Pablo Tovar Gomez",
      "normalized_authors": [
        "Alvaro Juan Pablo Tovar Gomez"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alvaro Juan Pablo Tovar Gomez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Guatemala",
      "sections": {
        "Purpose": "To describe clinical and topographic outcomes following crosslinking in a cohort of pediatric patients in a national reference center in Guatemala.",
        "Setting": "Cornea, Cataract and Refractive Surgery Clinic, Unidad Nacional de Oftalmología, Guatemala City",
        "Methods": "Retrospective study analyzed patients ≤18yo, who underwent accelerated corneal crosslinking (CXL) with VarioCXL® (Peschke, Switzerland) for keratoconus during 2024-2025. Clinical and topographic characteristics were evaluated before and 6mo after the procedure. Best-corrected visual acuity and history of ocular atopy were measured also the Pentacam AXL® (Oculus, Germany) was used to evaluate curved and flat keratometry (K1, K2), maximum keratometry (Kmax), central corneal thickness (PACHY), and keratometric astigmatism, and the ABCD Belin progression index. The type of procedure (CXL epi on/off), associated complications, and progression rates were calculated. Reduced logistic regression analysis was performed for progression prediction.",
        "Results": "83 eyes from 44 patients were analyzed, mean age of 14.8 yo, 46% male. 87% had a history of atopy; Epi-Off CXL performed in 75.3% of patients. No statistically significant changes were observed in visual acuity (p=0.89), KMAX(p=0.36), or PACHY(p=0.699) 6 months after the procedure. Progression rates varied according to the definition: 1D change in KMAX 14%; 10 µm decrease in PACHY 11%; and change in the ABCD index 14%. Logistic regression analysis did not identify age, sex, history of atopy, or CXL type, as factors that significantly influenced progression. Although a trend toward greater progression was observed in eyes with high preoperative KMAX values, this did not reach statistical significance. No complications were reported.",
        "Conclusions": "Significant clinical and topographic stabilization was observed at 6 months. Progression rates were low according to the various criteria assessed. In logistic regression models, none of the demographic, baseline clinical, or procedural variables were independently associated with progression. Our results suggest that crosslinking, whether epi-off or epi-on, is a safe and effective treatment to arrest progression, with clinical risk factors not significantly affecting the probability of success. Future studies with larger samples and long-term follow-up are needed to confirm these findings and the decision to perform crosslinking when diagnosing keratoconus in children. A consensus on the definition of progression is still needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Significant clinical and topographic stabilization was observed at 6 months. Progression rates were low according to the various criteria assessed. In logistic regression models, none of the demographic, baseline clinical, or procedural variables were independently associated with progression. Our results suggest that crosslinking, whether epi-off or epi-on, is a safe and effective treatment to arrest progression,…",
      "session_type": "Presented Poster",
      "track": "Keratoconus and secondary ectasia",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 229,
      "source_fields": {
        "Abstract Final Identifier": "PP14.15",
        "Title": "Clinical, Topographic And Progression Outcomes After Crosslinking In Pediatric Patients",
        "Presenting Author(s)": "Dr Alvaro Juan Pablo Tovar Gomez",
        "Abstract Topic Name": "Keratoconus and secondary ectasia",
        "Submitter First Name": "Alvaro Juan Pablo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tovar Gomez",
        "Country Name": "Guatemala",
        "Purpose": "To describe clinical and topographic outcomes following crosslinking in a cohort of pediatric patients in a national reference center in Guatemala.",
        "Setting": "Cornea, Cataract and Refractive Surgery Clinic, Unidad Nacional de Oftalmología, Guatemala City",
        "Methods": "Retrospective study analyzed patients ≤18yo, who underwent accelerated corneal crosslinking (CXL) with VarioCXL® (Peschke, Switzerland) for keratoconus during 2024-2025. Clinical and topographic characteristics were evaluated before and 6mo after the procedure. Best-corrected visual acuity and history of ocular atopy were measured also the Pentacam AXL® (Oculus, Germany) was used to evaluate curved and flat keratometry (K1, K2), maximum keratometry (Kmax), central corneal thickness (PACHY), and keratometric astigmatism, and the ABCD Belin progression index. The type of procedure (CXL epi on/off), associated complications, and progression rates were calculated. Reduced logistic regression analysis was performed for progression prediction.",
        "Results": "83 eyes from 44 patients were analyzed, mean age of 14.8 yo, 46% male. 87% had a history of atopy; Epi-Off CXL performed in 75.3% of patients. No statistically significant changes were observed in visual acuity (p=0.89), KMAX(p=0.36), or PACHY(p=0.699) 6 months after the procedure. Progression rates varied according to the definition: 1D change in KMAX 14%; 10 µm decrease in PACHY 11%; and change in the ABCD index 14%. Logistic regression analysis did not identify age, sex, history of atopy, or CXL type, as factors that significantly influenced progression. Although a trend toward greater progression was observed in eyes with high preoperative KMAX values, this did not reach statistical significance. No complications were reported.",
        "Conclusions": "Significant clinical and topographic stabilization was observed at 6 months. Progression rates were low according to the various criteria assessed. In logistic regression models, none of the demographic, baseline clinical, or procedural variables were independently associated with progression. Our results suggest that crosslinking, whether epi-off or epi-on, is a safe and effective treatment to arrest progression, with clinical risk factors not significantly affecting the probability of success. Future studies with larger samples and long-term follow-up are needed to confirm these findings and the decision to perform crosslinking when diagnosing keratoconus in children. A consensus on the definition of progression is still needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "PP15.01",
      "abstract_number": "PP15.01",
      "title": "Enhancing Functional Vision And Quality-Of-Life In Advanced Amd: Six-Month Outcomes Of The Smaller-Incision New-Generation Implantable Miniature Telescope (Sing Imt™)",
      "authors": "Dr Efe Koser",
      "presenter": "Dr Efe Koser",
      "normalized_authors": [
        "Efe Koser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Efe Koser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the short- and mid-term anatomical and functional outcomes of Smaller-Incision New-Generation Implantable Miniature Telescope (SING IMT™) implantation in patients with advanced age-related macular degeneration [AMD, geographic atrophy or macular neovascularization (MNV) scar], involving bilateral foveal damage and visually significant cataract.",
        "Setting": "Single-center, retrospective, observational study conducted in a tertiary ophthalmology referral center.",
        "Methods": "16 patients with bilateral advanced AMD and cataract who underwent SING IMT™ implantation with a minimum follow-up of 6 months were included. Device implantation followed standard phacoemulsification via limbal or scleral tunnel approach. Preoperative and postoperative assessments (day 1; week 1; months 1, 3, and 6) included slit-lamp and dilated fundus examination,macular lesion subtype,corrected distance and near visual acuity (CDVA, CNVA), LVQoL (Low Vision Quality of Life) scores, manifest refraction, anterior chamber depth,keratometry,endothelial cell parameters,intra- and postoperative complications. A structured 6-month postoperative visual rehabilitation program was implemented to enhance binocular integration and functional vision.",
        "Results": "Mean age was 71.2±6.1 years (n=16). Mean CDVA improved from 1.07±0.18 logMAR preoperatively to 0.79±0.15 at 6 months (p=0.001). A ≥0.1 logMAR (≥5 ETDRS letters) gain was achieved in 81.3% (13/16). Near vision improved markedly: no patient achieved ≥1.0 logMAR preoperatively, compared with 100% at 3 and 6 months. Mean CNVA at 6 months was 0.58±0.12 logMAR. LVQoL scores improved significantly (p<0.001), with ≥10-point gain in 81.3%. Endothelial cell density decreased by 11.0%±7.6% (p<0.001). Transient IOP rise (25%) and corneal edema (18.8%) were the most common early complications; late complications included iris atrophy (18.8%) and device dislocation (6.2%). No MNV reactivation was observed and, no patient required SING IMT™ explantation.",
        "Conclusions": "SING IMT™ implantation in advanced AMD provided clinically meaningful improvement in distance and near visual acuity, with significant enhancement in vision-related quality of life. Functional improvement became more pronounced after 3 months, consistent with the expected visual rehabilitation and neuroadaptation process, and remained stable through 6 months. Despite a measurable endothelial cell decrease, adverse events were manageable under close postoperative follow-up. The procedure appears to be an effective rehabilitative option in carefully selected patients with advanced AMD and coexisting cataract."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SING IMT™ implantation in advanced AMD provided clinically meaningful improvement in distance and near visual acuity, with significant enhancement in vision-related quality of life. Functional improvement became more pronounced after 3 months, consistent with the expected visual rehabilitation and neuroadaptation process, and remained stable through 6 months. Despite a measurable endothelial cell decrease, adverse…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 230,
      "source_fields": {
        "Abstract Final Identifier": "PP15.01",
        "Title": "Enhancing Functional Vision And Quality-Of-Life In Advanced Amd: Six-Month Outcomes Of The Smaller-Incision New-Generation Implantable Miniature Telescope (Sing Imt™)",
        "Presenting Author(s)": "Dr Efe Koser",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Efe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Koser",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the short- and mid-term anatomical and functional outcomes of Smaller-Incision New-Generation Implantable Miniature Telescope (SING IMT™) implantation in patients with advanced age-related macular degeneration [AMD, geographic atrophy or macular neovascularization (MNV) scar], involving bilateral foveal damage and visually significant cataract.",
        "Setting": "Single-center, retrospective, observational study conducted in a tertiary ophthalmology referral center.",
        "Methods": "16 patients with bilateral advanced AMD and cataract who underwent SING IMT™ implantation with a minimum follow-up of 6 months were included. Device implantation followed standard phacoemulsification via limbal or scleral tunnel approach. Preoperative and postoperative assessments (day 1; week 1; months 1, 3, and 6) included slit-lamp and dilated fundus examination,macular lesion subtype,corrected distance and near visual acuity (CDVA, CNVA), LVQoL (Low Vision Quality of Life) scores, manifest refraction, anterior chamber depth,keratometry,endothelial cell parameters,intra- and postoperative complications. A structured 6-month postoperative visual rehabilitation program was implemented to enhance binocular integration and functional vision.",
        "Results": "Mean age was 71.2±6.1 years (n=16). Mean CDVA improved from 1.07±0.18 logMAR preoperatively to 0.79±0.15 at 6 months (p=0.001). A ≥0.1 logMAR (≥5 ETDRS letters) gain was achieved in 81.3% (13/16). Near vision improved markedly: no patient achieved ≥1.0 logMAR preoperatively, compared with 100% at 3 and 6 months. Mean CNVA at 6 months was 0.58±0.12 logMAR. LVQoL scores improved significantly (p<0.001), with ≥10-point gain in 81.3%. Endothelial cell density decreased by 11.0%±7.6% (p<0.001). Transient IOP rise (25%) and corneal edema (18.8%) were the most common early complications; late complications included iris atrophy (18.8%) and device dislocation (6.2%). No MNV reactivation was observed and, no patient required SING IMT™ explantation.",
        "Conclusions": "SING IMT™ implantation in advanced AMD provided clinically meaningful improvement in distance and near visual acuity, with significant enhancement in vision-related quality of life. Functional improvement became more pronounced after 3 months, consistent with the expected visual rehabilitation and neuroadaptation process, and remained stable through 6 months. Despite a measurable endothelial cell decrease, adverse events were manageable under close postoperative follow-up. The procedure appears to be an effective rehabilitative option in carefully selected patients with advanced AMD and coexisting cataract."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "PP15.16",
      "abstract_number": "PP15.16",
      "title": "Visual Performance After Unilateral Implantation Of Non-Diffractive Spiral Optic Iol Implantation Intraocular Lens In Patients With Unilateral Cataract.",
      "authors": "Dr Ali Nowrouzi",
      "presenter": "Dr Ali Nowrouzi",
      "normalized_authors": [
        "Ali Nowrouzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Nowrouzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To investigate the visual performances after unilateral implantation of a non-diffractive spiral optic intraocular lens IOL in patients with unilateral cataract s.",
        "Setting": "Cornea and refractive surgery department of Quironsalud Hospital Marbella.",
        "Methods": "In this prospective study, uneventful phacoemulsification with Galaxy (Rayner) IOL implantation w as performed in 25 eyes of 25 patients with unilateral cataracts . At postoperative 1, 4, 12 , and 24 weeks, the logarithm of the minimal angle of resolution of uncorrected and corrected visual acuity at far, intermediate, and near distances and the spherical equivalent in manifest refraction were measured. A PROMS questionnaire was used to investigate glare, spectacle dependency, and satisfaction at 24 weeks in the operated eye. All of these patients were spectacle-dependent for near and intermediate vision before cataract surgery.",
        "Results": "At 6 months, uncorrected distance visual acuity achieved 0. 0 LogMAR in 96% of cases , d istance corrected intermediate visual acuity (DCIVA) achieved 0.0 LogMAR in all cases (60cm) , and distance corrected near visual acuity (DCNVA) achieved 0. 1 LogMAR in 92 % of cases ( 40 cm). The p atient’ s satisfaction score was 100 % based on PROMS questionnaire for far, intermediate, and 92% for near distance, respectively. No patients complained of the permanent photic phenomenon .\n\nNo patients reported bilateral imbalance due to unilateral surgery.\n\nAll of the patients became spectacle-independent for most of their intermediate activities at 60 cm, such as screen tasks, and 92% spectacle-independent for most of their near activities after cataract surgery.",
        "Conclusions": "The unilateral implantation of this non-diffractive spiral optic seems to be tolerated and effective in improving the visual function of patients with unilateral cataract with limited optical side effects such as haloes or glare, providing spectacle - independent vision from far to intermediate object distances ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The unilateral implantation of this non-diffractive spiral optic seems to be tolerated and effective in improving the visual function of patients with unilateral cataract with limited optical side effects such as haloes or glare, providing spectacle - independent vision from far to intermediate object distances .",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 231,
      "source_fields": {
        "Abstract Final Identifier": "PP15.16",
        "Title": "Visual Performance After Unilateral Implantation Of Non-Diffractive Spiral Optic Iol Implantation Intraocular Lens In Patients With Unilateral Cataract.",
        "Presenting Author(s)": "Dr Ali Nowrouzi",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nowrouzi",
        "Country Name": "Spain",
        "Purpose": "To investigate the visual performances after unilateral implantation of a non-diffractive spiral optic intraocular lens IOL in patients with unilateral cataract s.",
        "Setting": "Cornea and refractive surgery department of Quironsalud Hospital Marbella.",
        "Methods": "In this prospective study, uneventful phacoemulsification with Galaxy (Rayner) IOL implantation w as performed in 25 eyes of 25 patients with unilateral cataracts . At postoperative 1, 4, 12 , and 24 weeks, the logarithm of the minimal angle of resolution of uncorrected and corrected visual acuity at far, intermediate, and near distances and the spherical equivalent in manifest refraction were measured. A PROMS questionnaire was used to investigate glare, spectacle dependency, and satisfaction at 24 weeks in the operated eye. All of these patients were spectacle-dependent for near and intermediate vision before cataract surgery.",
        "Results": "At 6 months, uncorrected distance visual acuity achieved 0. 0 LogMAR in 96% of cases , d istance corrected intermediate visual acuity (DCIVA) achieved 0.0 LogMAR in all cases (60cm) , and distance corrected near visual acuity (DCNVA) achieved 0. 1 LogMAR in 92 % of cases ( 40 cm). The p atient’ s satisfaction score was 100 % based on PROMS questionnaire for far, intermediate, and 92% for near distance, respectively. No patients complained of the permanent photic phenomenon .\n\nNo patients reported bilateral imbalance due to unilateral surgery.\n\nAll of the patients became spectacle-independent for most of their intermediate activities at 60 cm, such as screen tasks, and 92% spectacle-independent for most of their near activities after cataract surgery.",
        "Conclusions": "The unilateral implantation of this non-diffractive spiral optic seems to be tolerated and effective in improving the visual function of patients with unilateral cataract with limited optical side effects such as haloes or glare, providing spectacle - independent vision from far to intermediate object distances ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "PP15.017",
      "abstract_number": "PP15.017",
      "title": "Intraocular Lens Stability And Refractive Outcomes After Modified Yamane Intrascleral Fixation, With Or Without Endothelial Keratoplasty.",
      "authors": "Dr Kouichi Igarashi",
      "presenter": "Dr Kouichi Igarashi",
      "normalized_authors": [
        "Kouichi Igarashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kouichi Igarashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "To evaluate intraocular lens stability, and to identify factors affecting post-operative refractive errors following modified Yamane suture-less intrascleral fixation, with or without combined endothelial keratoplasty (EK) .",
        "Setting": "This retrospective study was conducted with the approval of the Clinical Research Ethics Committee of Nihon University Itabashi Hospital (approval number RK-250311-3),and in accordance with the principles of the Declaration of Helsinki.",
        "Methods": "Patients undergoing intraocular lens (IOL) intrascleral fixation for aphakia, lens subluxation, or IOL dislocation were included, with or without endothelial keratoplasty (EK), including Descemet’s stripping automated endothelial keratoplasty or Descemet membrane endothelial keratoplasty.\n\nCollected data included age, sex, axial length, refraction, corneal endothelial cell density, best-corrected visual acuity, intraocular pressure, and aqueous depth (AQD), tilt, and decentration measured by anterior segment optical coherence tomography (ASOCT; CASIA2). IOL power was calculated using the Barrett Universal II formula with the IOLMaster.\n\nAQD was defined as the distance between the posterior corneal surface and anterior IOL surface (Figure 1A).",
        "Results": "Forty-one eyes were included: 21 in the endothelial keratoplasty(EK) group and 20 control group (mean age 70.9±14.2 years).\n\nPreoperatively, significant differences were found in age (higher in EK group; p=0.006), IOL power (p=0.025), axial length (shorter in EK group; p=0.049), additional procedures (p=0.016), and logMAR BCVA (worse in EK group; p<0.001). Postoperatively, BCVA remained worse in EK group (p<0.001).\n\nNo significant differences were observed in spherical equivalent (p=0.321), refractive error (p=0.540), tilt (p=0.067), decentration (p=0.284), or AQD (p=0.088). Refractive error showed mild hyperopic shift in EK group (0.45±2.08 D vs −0.13±1.41 D; p=0.540). Greater IOL tilt tended in EK group(9.03±6.77° vs 5.57±3.35°; p=0.067).",
        "Conclusions": "Combined endothelial keratoplasty (EK) did not significantly compromise IOL centration or refractive stability after modified Yamane fixation. However, careful surgical planning may be required in complex cases requiring EK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined endothelial keratoplasty (EK) did not significantly compromise IOL centration or refractive stability after modified Yamane fixation. However, careful surgical planning may be required in complex cases requiring EK.",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 232,
      "source_fields": {
        "Abstract Final Identifier": "PP15.017",
        "Title": "Intraocular Lens Stability And Refractive Outcomes After Modified Yamane Intrascleral Fixation, With Or Without Endothelial Keratoplasty.",
        "Presenting Author(s)": "Dr Kouichi Igarashi",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Kouichi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Igarashi",
        "Country Name": "Japan",
        "Purpose": "To evaluate intraocular lens stability, and to identify factors affecting post-operative refractive errors following modified Yamane suture-less intrascleral fixation, with or without combined endothelial keratoplasty (EK) .",
        "Setting": "This retrospective study was conducted with the approval of the Clinical Research Ethics Committee of Nihon University Itabashi Hospital (approval number RK-250311-3),and in accordance with the principles of the Declaration of Helsinki.",
        "Methods": "Patients undergoing intraocular lens (IOL) intrascleral fixation for aphakia, lens subluxation, or IOL dislocation were included, with or without endothelial keratoplasty (EK), including Descemet’s stripping automated endothelial keratoplasty or Descemet membrane endothelial keratoplasty.\n\nCollected data included age, sex, axial length, refraction, corneal endothelial cell density, best-corrected visual acuity, intraocular pressure, and aqueous depth (AQD), tilt, and decentration measured by anterior segment optical coherence tomography (ASOCT; CASIA2). IOL power was calculated using the Barrett Universal II formula with the IOLMaster.\n\nAQD was defined as the distance between the posterior corneal surface and anterior IOL surface (Figure 1A).",
        "Results": "Forty-one eyes were included: 21 in the endothelial keratoplasty(EK) group and 20 control group (mean age 70.9±14.2 years).\n\nPreoperatively, significant differences were found in age (higher in EK group; p=0.006), IOL power (p=0.025), axial length (shorter in EK group; p=0.049), additional procedures (p=0.016), and logMAR BCVA (worse in EK group; p<0.001). Postoperatively, BCVA remained worse in EK group (p<0.001).\n\nNo significant differences were observed in spherical equivalent (p=0.321), refractive error (p=0.540), tilt (p=0.067), decentration (p=0.284), or AQD (p=0.088). Refractive error showed mild hyperopic shift in EK group (0.45±2.08 D vs −0.13±1.41 D; p=0.540). Greater IOL tilt tended in EK group(9.03±6.77° vs 5.57±3.35°; p=0.067).",
        "Conclusions": "Combined endothelial keratoplasty (EK) did not significantly compromise IOL centration or refractive stability after modified Yamane fixation. However, careful surgical planning may be required in complex cases requiring EK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 330
    },
    {
      "uid": "PP15.018",
      "abstract_number": "PP15.018",
      "title": "Corneal Topography And Aberrometric Outcomes After Early Lensectomy With Retropupillary Iris-Claw Iol Implantation In Marfan Syndrome",
      "authors": "Prof. Dr Luis Izquierdo Jr",
      "presenter": "Prof. Dr Luis Izquierdo Jr",
      "normalized_authors": [
        "Luis Izquierdo Jr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Izquierdo Jr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate visual, refractive, and aberrometric outcomes after early lensectomy with retropupillary iris-claw intraocular lens (IOL) implantation in patients with Marfan syndrome (MFS) and ectopia lentis.",
        "Setting": "Instituto de Ojos, OftalmoSalud, Lima, Perú.",
        "Methods": "A retrospective interventional case series included 58 eyes from 34 patients with MFS, diagnosed according to the revised Ghent-2 criteria. All eyes underwent pars plana lensectomy with anterior vitrectomy followed by retropupillary iris-claw IOL implantation. Visual acuity, refractive outcomes, and corneal, internal, and total ocular aberrations were analyzed preoperatively and postoperatively using Scheimpflug tomography (Pentacam HR). Complete aberrometric measurements were available in 16 eyes. Pre- and postoperative outcomes were compared using paired statistical analysis",
        "Results": "Mean uncorrected distance visual acuity improved from 1.24 ± 0.51 logMAR to 0.50 ± 0.29 logMAR ( p < 0.001), and corrected distance visual acuity improved from 0.66 ± 0.38 logMAR to 0.23 ± 0.14 logMAR ( p < 0.001). Spherical refraction and spherical equivalent were significantly reduced ( p = 0.017 and p = 0.019, respectively), while cylindrical refraction showed no significant change. Corneal aberrations showed selective postoperative improvement, with significant reductions in tilt, coma, and trefoil. Internal and total ocular aberrations demonstrated marked and highly significant postoperative reductions across all parameters, including RMS, higher-order aberrations, tilt, coma, trefoil, and spherical aberration (all p < 0.001).",
        "Conclusions": "Early lensectomy with retropupillary iris-claw IOL implantation in MFS results in significant visual and refractive improvement and produces a profound reduction in internal and total ocular aberrations. These findings suggest that early surgical intervention restores optical quality and may optimize long-term visual prognosis in patients with ectopia lentis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early lensectomy with retropupillary iris-claw IOL implantation in MFS results in significant visual and refractive improvement and produces a profound reduction in internal and total ocular aberrations. These findings suggest that early surgical intervention restores optical quality and may optimize long-term visual prognosis in patients with ectopia lentis.",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 233,
      "source_fields": {
        "Abstract Final Identifier": "PP15.018",
        "Title": "Corneal Topography And Aberrometric Outcomes After Early Lensectomy With Retropupillary Iris-Claw Iol Implantation In Marfan Syndrome",
        "Presenting Author(s)": "Prof. Dr Luis Izquierdo Jr",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Izquierdo Jr",
        "Country Name": "Peru",
        "Purpose": "To evaluate visual, refractive, and aberrometric outcomes after early lensectomy with retropupillary iris-claw intraocular lens (IOL) implantation in patients with Marfan syndrome (MFS) and ectopia lentis.",
        "Setting": "Instituto de Ojos, OftalmoSalud, Lima, Perú.",
        "Methods": "A retrospective interventional case series included 58 eyes from 34 patients with MFS, diagnosed according to the revised Ghent-2 criteria. All eyes underwent pars plana lensectomy with anterior vitrectomy followed by retropupillary iris-claw IOL implantation. Visual acuity, refractive outcomes, and corneal, internal, and total ocular aberrations were analyzed preoperatively and postoperatively using Scheimpflug tomography (Pentacam HR). Complete aberrometric measurements were available in 16 eyes. Pre- and postoperative outcomes were compared using paired statistical analysis",
        "Results": "Mean uncorrected distance visual acuity improved from 1.24 ± 0.51 logMAR to 0.50 ± 0.29 logMAR ( p < 0.001), and corrected distance visual acuity improved from 0.66 ± 0.38 logMAR to 0.23 ± 0.14 logMAR ( p < 0.001). Spherical refraction and spherical equivalent were significantly reduced ( p = 0.017 and p = 0.019, respectively), while cylindrical refraction showed no significant change. Corneal aberrations showed selective postoperative improvement, with significant reductions in tilt, coma, and trefoil. Internal and total ocular aberrations demonstrated marked and highly significant postoperative reductions across all parameters, including RMS, higher-order aberrations, tilt, coma, trefoil, and spherical aberration (all p < 0.001).",
        "Conclusions": "Early lensectomy with retropupillary iris-claw IOL implantation in MFS results in significant visual and refractive improvement and produces a profound reduction in internal and total ocular aberrations. These findings suggest that early surgical intervention restores optical quality and may optimize long-term visual prognosis in patients with ectopia lentis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 262
    },
    {
      "uid": "PP15.02",
      "abstract_number": "PP15.02",
      "title": "Flapless Trocar-Assisted Carlevale Iol Implantation Without Conjunctival Opening",
      "authors": "Dr Emmanouil Gkogkos",
      "presenter": "Dr Emmanouil Gkogkos",
      "normalized_authors": [
        "Emmanouil Gkogkos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emmanouil Gkogkos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "The original technique for Carlevale intraocular lens implantation requires conjunctival\nopening and scleral flap creation. Several modifications have been described, including\nscleral grooves, pockets, or subconjunctival haptic placement. The purpose of this study is to\npresent the long-term results of a novel flapless, trocar-assisted technique for Carlevale IOL\nimplantation with intact conjunctiva and scleral-buried haptics.",
        "Setting": "Setting\nFirst University Department of Ophthalmology, G. Gennimatas General Hospital of Athens,\nGreece.",
        "Methods": "Methods\nRetrospective, non-comparative study of consecutive patients undergoing the described\ntechnique. Patients older than 18 years with a minimum postoperative follow-up of two\nyears were included. Exclusion criteria were previous ocular surgery for retinal detachment\nor glaucoma.\nThe technique consists of a flapless, trocar-assisted approach during pars plana vitrectomy.\nThe existing trocar-created scleral tunnels are used for externalization and intrascleral burial\nof the Carlevale IOL haptics, without conjunctival opening or additional scleral flap\nconstruction.",
        "Results": "Results\nSixty-one eyes of 61 consecutive patients were included. The cohort consisted of 55.74%\nmale patients with a median age of 76 years. The mean follow-up was 48.9.\nA statistically significant improvement was observed between median preoperative visual\nacuity (1.8 LogMAR, IQR: 1.0–1.8) and median postoperative visual acuity (0.05 LogMAR,\nIQR: 0.0–0.1).\nNo intraoperative complications occurred. The Carlevale IOL was well centered in all cases.\nNo cases of haptic exposure were observed throughout the follow-up period.",
        "Conclusions": "The described flapless, trocar-assisted technique is a simplified, safe, and effective surgical\napproach for Carlevale IOL implantation. Avoidance of additional scleral manipulation may\nreduce surgical trauma while providing excellent long-term anatomical and functional\noutcomes. Further prospective studies are warranted to validate these findings and assess\nlonger-term results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The described flapless, trocar-assisted technique is a simplified, safe, and effective surgical approach for Carlevale IOL implantation. Avoidance of additional scleral manipulation may reduce surgical trauma while providing excellent long-term anatomical and functional outcomes. Further prospective studies are warranted to validate these findings and assess longer-term results.",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 234,
      "source_fields": {
        "Abstract Final Identifier": "PP15.02",
        "Title": "Flapless Trocar-Assisted Carlevale Iol Implantation Without Conjunctival Opening",
        "Presenting Author(s)": "Dr Emmanouil Gkogkos",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Emmanouil",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gkogkos",
        "Country Name": "Greece",
        "Purpose": "The original technique for Carlevale intraocular lens implantation requires conjunctival\nopening and scleral flap creation. Several modifications have been described, including\nscleral grooves, pockets, or subconjunctival haptic placement. The purpose of this study is to\npresent the long-term results of a novel flapless, trocar-assisted technique for Carlevale IOL\nimplantation with intact conjunctiva and scleral-buried haptics.",
        "Setting": "Setting\nFirst University Department of Ophthalmology, G. Gennimatas General Hospital of Athens,\nGreece.",
        "Methods": "Methods\nRetrospective, non-comparative study of consecutive patients undergoing the described\ntechnique. Patients older than 18 years with a minimum postoperative follow-up of two\nyears were included. Exclusion criteria were previous ocular surgery for retinal detachment\nor glaucoma.\nThe technique consists of a flapless, trocar-assisted approach during pars plana vitrectomy.\nThe existing trocar-created scleral tunnels are used for externalization and intrascleral burial\nof the Carlevale IOL haptics, without conjunctival opening or additional scleral flap\nconstruction.",
        "Results": "Results\nSixty-one eyes of 61 consecutive patients were included. The cohort consisted of 55.74%\nmale patients with a median age of 76 years. The mean follow-up was 48.9.\nA statistically significant improvement was observed between median preoperative visual\nacuity (1.8 LogMAR, IQR: 1.0–1.8) and median postoperative visual acuity (0.05 LogMAR,\nIQR: 0.0–0.1).\nNo intraoperative complications occurred. The Carlevale IOL was well centered in all cases.\nNo cases of haptic exposure were observed throughout the follow-up period.",
        "Conclusions": "The described flapless, trocar-assisted technique is a simplified, safe, and effective surgical\napproach for Carlevale IOL implantation. Avoidance of additional scleral manipulation may\nreduce surgical trauma while providing excellent long-term anatomical and functional\noutcomes. Further prospective studies are warranted to validate these findings and assess\nlonger-term results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 275
    },
    {
      "uid": "PP15.03",
      "abstract_number": "PP15.03",
      "title": "Trends Of Cataract Treatment In Italy: A Population Study On Estimated Demand And Allocation Between Private Sector And National Health System Over 23 Years",
      "authors": "Dr Enea Chisci",
      "presenter": "Dr Enea Chisci",
      "normalized_authors": [
        "Enea Chisci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Enea Chisci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Cataract is one of the main causes of visual impairment worldwide, and even blindness in many countries, severely impacting quality of life. Nevertheless, cataract surgery coverage rates vary significantly by countries with different income levels, reflecting disparities in access to eye care services. The aim of the study is to explore the figures and possible changes in the approach to treat the cataract in Italy between 2001 and 2023 and to provide an estimate of the overall national demand and the quota covered by the public National Healthcare System (NHS).",
        "Setting": "Italy has a universal, free, public NHS, but many routinely performed, not expansive clinical practices have been progressively shifted to the private sector, in the last two decades. Every access to the public Italian NHS is associated to an hospital discharge record (HDR) reporting administrative, clinical and demographic information. Records of interest were extracted from the HDR database, comprehensive of 239,560,403 hospitalizations occurred between 2001 and 2023 in the public NHS.",
        "Methods": "Records of interest between 2001 and 2023 were labeled as phacoemulsification, phacofragmentation, extracapsular extraction, intracapsular extraction and other treatment with IOL, according to the ICD9-CM codes in the HDR. Trends of counts and incidence rates (IR) were explored. Means were reported with 95% Confidence Intervals (CI) and counts with percentages. A Bayesian hierarchical model was used to estimate the national demand of cataract treatment, assuming the IR of 2002 (with 10% error and 95% level of credibility) as baseline to compute the risk of treatment in population over 40, with equal risk over the years. Trends were evaluated by Cox-Stuart test. Significance was fixed at 0.05 for p-values.",
        "Results": "4,234,851 records were extracted. The average age was 72.9 (CI: 72.8, 72.9) and 2,408,312 (56.9%) record involved females. The most performed procedure was p hacoemulsification (3,958,627 cases, 93.5%), while 4,107,134 (97%) records reported IOL implantation. The number of hospitalizations significantly decreased (p < 0.01) by 90.7% between 2001 and 2023, with maximum value of 461,371 cases in 2001 and a minimum of 36,043 in 2020. Patients’ average age significantly (p < 0.05) decreased between 2001 (73.7, CI: 73.6, 73.7) and 2023 (70.4, CI: 70.3, 70.5). Approximately, between 450,000 and 550,000 cataract surgeries were estimated to be performed yearly, with the public NHS attracting only roughly 10% of the toral estimated caseload.",
        "Conclusions": "HDR-based analysis of 2001–2023 shows a marked decline in cataract-surgery hospital admissions in the Italian public NHS. Care progressively shifted to less intensive settings, with same-day models becoming predominant, consistent with appropriateness policies and technological advances enabling safe ambulatory or private surgery. Practice consolidated toward phacoemulsification with near-universal IOL implantation, while ECCE/ICCE became rare; mean age at surgery decreased and women predominated. These findings suggest redistribution and pathway reorganization rather than reduced clinical need, and support integrated national monitoring, including private activity, ideally through a dedicated IOL implant registry."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "HDR-based analysis of 2001–2023 shows a marked decline in cataract-surgery hospital admissions in the Italian public NHS. Care progressively shifted to less intensive settings, with same-day models becoming predominant, consistent with appropriateness policies and technological advances enabling safe ambulatory or private surgery. Practice consolidated toward phacoemulsification with near-universal IOL…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 235,
      "source_fields": {
        "Abstract Final Identifier": "PP15.03",
        "Title": "Trends Of Cataract Treatment In Italy: A Population Study On Estimated Demand And Allocation Between Private Sector And National Health System Over 23 Years",
        "Presenting Author(s)": "Dr Enea Chisci",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Enea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chisci",
        "Country Name": "Italy",
        "Purpose": "Cataract is one of the main causes of visual impairment worldwide, and even blindness in many countries, severely impacting quality of life. Nevertheless, cataract surgery coverage rates vary significantly by countries with different income levels, reflecting disparities in access to eye care services. The aim of the study is to explore the figures and possible changes in the approach to treat the cataract in Italy between 2001 and 2023 and to provide an estimate of the overall national demand and the quota covered by the public National Healthcare System (NHS).",
        "Setting": "Italy has a universal, free, public NHS, but many routinely performed, not expansive clinical practices have been progressively shifted to the private sector, in the last two decades. Every access to the public Italian NHS is associated to an hospital discharge record (HDR) reporting administrative, clinical and demographic information. Records of interest were extracted from the HDR database, comprehensive of 239,560,403 hospitalizations occurred between 2001 and 2023 in the public NHS.",
        "Methods": "Records of interest between 2001 and 2023 were labeled as phacoemulsification, phacofragmentation, extracapsular extraction, intracapsular extraction and other treatment with IOL, according to the ICD9-CM codes in the HDR. Trends of counts and incidence rates (IR) were explored. Means were reported with 95% Confidence Intervals (CI) and counts with percentages. A Bayesian hierarchical model was used to estimate the national demand of cataract treatment, assuming the IR of 2002 (with 10% error and 95% level of credibility) as baseline to compute the risk of treatment in population over 40, with equal risk over the years. Trends were evaluated by Cox-Stuart test. Significance was fixed at 0.05 for p-values.",
        "Results": "4,234,851 records were extracted. The average age was 72.9 (CI: 72.8, 72.9) and 2,408,312 (56.9%) record involved females. The most performed procedure was p hacoemulsification (3,958,627 cases, 93.5%), while 4,107,134 (97%) records reported IOL implantation. The number of hospitalizations significantly decreased (p < 0.01) by 90.7% between 2001 and 2023, with maximum value of 461,371 cases in 2001 and a minimum of 36,043 in 2020. Patients’ average age significantly (p < 0.05) decreased between 2001 (73.7, CI: 73.6, 73.7) and 2023 (70.4, CI: 70.3, 70.5). Approximately, between 450,000 and 550,000 cataract surgeries were estimated to be performed yearly, with the public NHS attracting only roughly 10% of the toral estimated caseload.",
        "Conclusions": "HDR-based analysis of 2001–2023 shows a marked decline in cataract-surgery hospital admissions in the Italian public NHS. Care progressively shifted to less intensive settings, with same-day models becoming predominant, consistent with appropriateness policies and technological advances enabling safe ambulatory or private surgery. Practice consolidated toward phacoemulsification with near-universal IOL implantation, while ECCE/ICCE became rare; mean age at surgery decreased and women predominated. These findings suggest redistribution and pathway reorganization rather than reduced clinical need, and support integrated national monitoring, including private activity, ideally through a dedicated IOL implant registry."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 498
    },
    {
      "uid": "PP15.04",
      "abstract_number": "PP15.04",
      "title": "The Joint Assessment Of Material Exposure In Space (James): Laboratory Analyses Of Intraocular Lenses (Iols) After Low-Earth-Orbit Exposure On The Exterior Of The International Space Station (Iss)",
      "authors": "Dr J. Morgan Micheletti, Md",
      "presenter": "Dr J. Morgan Micheletti, Md",
      "normalized_authors": [
        "J. Morgan Micheletti, Md"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "J. Morgan Micheletti, Md",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To determine whether exposure on the exterior of the International Space Station (ISS) alters intraocular lens (IOL) optical or material properties and to identify differential vulnerability to atomic oxygen (AO), ultraviolet (UV) radiation, and thermal cycling, informing packaging/shielding strategies for low-mass IOL transport and stockpiling for off-Earth cataract care without reliance on climate-controlled crew-cabin storage, as evaluated in the Joint Assessment of Material Exposure in Space (JAMES) project.",
        "Setting": "International Space Station (ISS) exterior exposure on the Materials International Space Station Experiment (MISSE-20) platform; Berkeley Eye Center (Houston, Texas, USA) & Space Center Houston for IOL-MISSE integration/de-integration; post-flight laboratory analysis at the Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah (Salt Lake City, USA).",
        "Methods": "JAMES flew 135 unpackaged intraocular lenses (IOLs) on the Materials International Space Station Experiment (MISSE-20) in three carriers mounted on the International Space Station (ISS) exterior (5 trays/carrier; tray 1 closest to exposure): Ram-facing (high atomic oxygen [AO]), Zenith-facing (high ultraviolet [UV]), and underdeck (partially shielded). Forty-five ground controls were loaded identically on Earth. After ~6 months, 61 flown IOLs were compared with 20 position-matched controls. Lenses underwent gross/light microscopy; abnormal surfaces underwent low-vacuum scanning electron microscopy with energy-dispersive spectroscopy (SEM/EDS); yellowed optics underwent ultraviolet/visible (UV/Vis) transmission spectroscopy (300–850 nm).",
        "Results": "Most remained clear (42/61). Dust/salt deposits were common; SEM/EDS showed Na/Cl-rich dried salts on some hydrophilic and collamer lenses, with haze improving after rinse/dry. Findings clustered in tray 1. Ram-facing: 8 lenses (5 hydrophobic acrylic, 2 hydrophilic acrylic, 1 collamer) showed cracks/opacification and surface roughening on SEM; the tray-1 silicone lens did not. Zenith-facing: 4 tray-1 lenses (2 hydrophobic acrylic, 2 silicone) and 1 tray-1 Ram silicone lens yellowed with reduced 400–500 nm transmission. Underdeck: no major changes. All flown light-adjustable lenses (n=6) developed diffuse cobblestone (“bubble-wrap”) microtexture on optic surfaces/edge, even in trays 4–5.",
        "Conclusions": "Direct exterior ISS exposure produced direction- and material-specific effects that define IOL failure modes for space logistics. AO-facing exposure was associated with cracking/roughening in acrylic/collamer lenses; UV-facing exposure with yellowing and reduced blue-light transmission in some silicone and hydrophobic acrylic lenses; underdeck placement showed no major changes over 6 months. Light-adjustable lenses demonstrated a unique surface transformation across orientations, suggesting a distinct vulnerability. Findings support targeted shielding/packaging (vs climate-controlled crew cabin storage) to enable low-mass IOL stockpiling for exploration missions and guide higher-resolution materials characterization."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Direct exterior ISS exposure produced direction- and material-specific effects that define IOL failure modes for space logistics. AO-facing exposure was associated with cracking/roughening in acrylic/collamer lenses; UV-facing exposure with yellowing and reduced blue-light transmission in some silicone and hydrophobic acrylic lenses; underdeck placement showed no major changes over 6 months. Light-adjustable lenses…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 236,
      "source_fields": {
        "Abstract Final Identifier": "PP15.04",
        "Title": "The Joint Assessment Of Material Exposure In Space (James): Laboratory Analyses Of Intraocular Lenses (Iols) After Low-Earth-Orbit Exposure On The Exterior Of The International Space Station (Iss)",
        "Presenting Author(s)": "Dr J. Morgan Micheletti, Md",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "J. Morgan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Micheletti, Md",
        "Country Name": "United States",
        "Purpose": "To determine whether exposure on the exterior of the International Space Station (ISS) alters intraocular lens (IOL) optical or material properties and to identify differential vulnerability to atomic oxygen (AO), ultraviolet (UV) radiation, and thermal cycling, informing packaging/shielding strategies for low-mass IOL transport and stockpiling for off-Earth cataract care without reliance on climate-controlled crew-cabin storage, as evaluated in the Joint Assessment of Material Exposure in Space (JAMES) project.",
        "Setting": "International Space Station (ISS) exterior exposure on the Materials International Space Station Experiment (MISSE-20) platform; Berkeley Eye Center (Houston, Texas, USA) & Space Center Houston for IOL-MISSE integration/de-integration; post-flight laboratory analysis at the Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah (Salt Lake City, USA).",
        "Methods": "JAMES flew 135 unpackaged intraocular lenses (IOLs) on the Materials International Space Station Experiment (MISSE-20) in three carriers mounted on the International Space Station (ISS) exterior (5 trays/carrier; tray 1 closest to exposure): Ram-facing (high atomic oxygen [AO]), Zenith-facing (high ultraviolet [UV]), and underdeck (partially shielded). Forty-five ground controls were loaded identically on Earth. After ~6 months, 61 flown IOLs were compared with 20 position-matched controls. Lenses underwent gross/light microscopy; abnormal surfaces underwent low-vacuum scanning electron microscopy with energy-dispersive spectroscopy (SEM/EDS); yellowed optics underwent ultraviolet/visible (UV/Vis) transmission spectroscopy (300–850 nm).",
        "Results": "Most remained clear (42/61). Dust/salt deposits were common; SEM/EDS showed Na/Cl-rich dried salts on some hydrophilic and collamer lenses, with haze improving after rinse/dry. Findings clustered in tray 1. Ram-facing: 8 lenses (5 hydrophobic acrylic, 2 hydrophilic acrylic, 1 collamer) showed cracks/opacification and surface roughening on SEM; the tray-1 silicone lens did not. Zenith-facing: 4 tray-1 lenses (2 hydrophobic acrylic, 2 silicone) and 1 tray-1 Ram silicone lens yellowed with reduced 400–500 nm transmission. Underdeck: no major changes. All flown light-adjustable lenses (n=6) developed diffuse cobblestone (“bubble-wrap”) microtexture on optic surfaces/edge, even in trays 4–5.",
        "Conclusions": "Direct exterior ISS exposure produced direction- and material-specific effects that define IOL failure modes for space logistics. AO-facing exposure was associated with cracking/roughening in acrylic/collamer lenses; UV-facing exposure with yellowing and reduced blue-light transmission in some silicone and hydrophobic acrylic lenses; underdeck placement showed no major changes over 6 months. Light-adjustable lenses demonstrated a unique surface transformation across orientations, suggesting a distinct vulnerability. Findings support targeted shielding/packaging (vs climate-controlled crew cabin storage) to enable low-mass IOL stockpiling for exploration missions and guide higher-resolution materials characterization."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 407
    },
    {
      "uid": "PP15.05",
      "abstract_number": "PP15.05",
      "title": "Accommodative Changes After Implantation Of A Foldable Iris-Fixated Phakic Intraocular Lens For The Correction Of Myopic Astigmatism.",
      "authors": "Dr Mariano Royo Sans",
      "presenter": "Dr Mariano Royo Sans",
      "normalized_authors": [
        "Mariano Royo Sans"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mariano Royo Sans",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To analyze the amplitude of accommodation and its changes at a 6-month follow-up in healthy subjects implanted with an anterior chamber pIOL, assessing whether accommodative function is affected. Additionally, changes in visual performance and other ocular parameters were evaluated.",
        "Setting": "This prospective study was conducted at the Madrid Ophthalmological Institute (Madrid, Spain) in accordance with the Declaration of Helsinki. The study protocol received approval from the institutional ethics committee. Patients aged >18 years who underwent phakic Artiflex IOL implantation were included. Eligible subjects had central anterior chamber depth ≥2.7 mm (endothelial measurement) , e ndothelial cell density ≥2200 cells/mm² , s table refraction >1 year, and mesopic pupil diameter ≤6.0 mm .",
        "Methods": "Prospective study including 5 7 subjects (age range, 18-45 years) implanted with the Artiflex pIOL (Ophtec) were evaluated at one week and six months postoperatively. Changes in manifest refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and other clinical variables were analyzed. Amplitude of accommodation (AA) was measured under photopic conditions using the Sheard method. One randomly selected eye per subject was included for analysis.",
        "Results": "A statistically significant reduction in refraction was observed (p<0.001), remaining stable throughout follow-up visits. Accordingly, both the 1-week and 6-month visits demonstrated significant improvements in UDVA compared to baseline (p<0.001). Longitudinal analysis revealed no clinically or statistically significant changes in AA from baseline to 1-week (p=0.096) or 6-month postoperative visits (p=0.317) (Table 2). Mean change in AA in the whole sample was close to 0.10 ± 0.86 D. No significant differences were found in the accommodative changes found with spherical and toric models (p≥0.092). Changes in AA at 1-week (r=0.378, p=0.004) and 6 months (r=0.336, p=0.011) were significantly correlated with age.",
        "Conclusions": "The implantation of Artiflex anterior chamber pIOL did not significantly affect the amplitude of accommodation in healthy subjects during the six-month follow-up period. Future comparative studies with posterior chamber pIOLs are needed."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The implantation of Artiflex anterior chamber pIOL did not significantly affect the amplitude of accommodation in healthy subjects during the six-month follow-up period. Future comparative studies with posterior chamber pIOLs are needed.",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 237,
      "source_fields": {
        "Abstract Final Identifier": "PP15.05",
        "Title": "Accommodative Changes After Implantation Of A Foldable Iris-Fixated Phakic Intraocular Lens For The Correction Of Myopic Astigmatism.",
        "Presenting Author(s)": "Dr Mariano Royo Sans",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Mariano",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Royo Sans",
        "Country Name": "Spain",
        "Purpose": "To analyze the amplitude of accommodation and its changes at a 6-month follow-up in healthy subjects implanted with an anterior chamber pIOL, assessing whether accommodative function is affected. Additionally, changes in visual performance and other ocular parameters were evaluated.",
        "Setting": "This prospective study was conducted at the Madrid Ophthalmological Institute (Madrid, Spain) in accordance with the Declaration of Helsinki. The study protocol received approval from the institutional ethics committee. Patients aged >18 years who underwent phakic Artiflex IOL implantation were included. Eligible subjects had central anterior chamber depth ≥2.7 mm (endothelial measurement) , e ndothelial cell density ≥2200 cells/mm² , s table refraction >1 year, and mesopic pupil diameter ≤6.0 mm .",
        "Methods": "Prospective study including 5 7 subjects (age range, 18-45 years) implanted with the Artiflex pIOL (Ophtec) were evaluated at one week and six months postoperatively. Changes in manifest refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and other clinical variables were analyzed. Amplitude of accommodation (AA) was measured under photopic conditions using the Sheard method. One randomly selected eye per subject was included for analysis.",
        "Results": "A statistically significant reduction in refraction was observed (p<0.001), remaining stable throughout follow-up visits. Accordingly, both the 1-week and 6-month visits demonstrated significant improvements in UDVA compared to baseline (p<0.001). Longitudinal analysis revealed no clinically or statistically significant changes in AA from baseline to 1-week (p=0.096) or 6-month postoperative visits (p=0.317) (Table 2). Mean change in AA in the whole sample was close to 0.10 ± 0.86 D. No significant differences were found in the accommodative changes found with spherical and toric models (p≥0.092). Changes in AA at 1-week (r=0.378, p=0.004) and 6 months (r=0.336, p=0.011) were significantly correlated with age.",
        "Conclusions": "The implantation of Artiflex anterior chamber pIOL did not significantly affect the amplitude of accommodation in healthy subjects during the six-month follow-up period. Future comparative studies with posterior chamber pIOLs are needed."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "PP15.06",
      "abstract_number": "PP15.06",
      "title": "Functional Outcomes After Visual Simulation In Refractive Cataract Surgery: A Patient-Reported Analysis",
      "authors": "Mrs Alicia Sanchez Garcia",
      "presenter": "Mrs Alicia Sanchez Garcia",
      "normalized_authors": [
        "Alicia Sanchez Garcia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alicia Sanchez Garcia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the impact of preoperative visual simulation on intraocular lens (IOL) selection, postoperative visual acuity (VA), satisfaction and decision regret score. To assess the perceived clinical value of the simulation and exploring its relationship with patient-reported satisfaction and regret.",
        "Setting": "Single-center ambispective study conducted at Vista Gutiérrez Amorós, a private ophthalmology clinic in La Coruña, Spain.",
        "Methods": "This ambispective comparative study included 42 patients, identified retrospectively, undergoing cataract surgery or refractive lens exchange with premium IOLs (EDOF, trifocal and Mix&Match). A Simulation Group (SG; n=25), which underwent preoperative IOL visual simulation with SimVis Gekko2, and a Control Group (CG; n=17) without preoperative simulation were established. Patients in the CG prospectively completed 2 postoperative questionnaires evaluating patient satisfaction and decision regret. Patients in the SG also completed a value perception questionnaire about SimVis Gekko2. Non-parametric analyses and Spearman correlations were applied to compare outcomes between groups and evaluate correlations among patient-reported measures.",
        "Results": "Preoperative VA was comparable between groups at distance (CG 0.02±0.03, SG 0.05±0.06; p=0.20) and near (CG 0.00±0.04, SG 0.01±0.03; p=0.867). Halos were reported in both groups (CG 28.6% vs SG 31.7%; p=0.656); however, functional limitation due to halos was observed only in the control group (57.1% vs 0% in SG; p=0.01). No significant differences were observed in total postoperative satisfaction (p=0.650) or total Decision Regret Scale scores (DRS; p=0.23). The perceived value of SG was high (mean total score 20.4 ± 3.3) and consistent across subjects. Higher SimVis ratings were associated with greater postoperative satisfaction (p = 0.07). Patient feedback was associated with adoption of Mix&Match strategies (SG 41.7% vs CG 0%; p=0.053).",
        "Conclusions": "Preoperative visual simulation did not significantly modify overall satisfaction (high in both groups) or regret (low in both groups) but was associated with a drastic reduction in the reported functional limitation from halos despite a similar probability of perceiving them, likely due to a better expectation management. The perceived value of the simulation was high and associated with a greater postoperative satisfaction. The possibility of retrieving the feedback of the patient on different lens combinations, and the confidence of the surgeon, enabled an increase in mix-and-match strategies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative visual simulation did not significantly modify overall satisfaction (high in both groups) or regret (low in both groups) but was associated with a drastic reduction in the reported functional limitation from halos despite a similar probability of perceiving them, likely due to a better expectation management. The perceived value of the simulation was high and associated with a greater postoperative…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 238,
      "source_fields": {
        "Abstract Final Identifier": "PP15.06",
        "Title": "Functional Outcomes After Visual Simulation In Refractive Cataract Surgery: A Patient-Reported Analysis",
        "Presenting Author(s)": "Mrs Alicia Sanchez Garcia",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Alicia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sanchez Garcia",
        "Country Name": "Spain",
        "Purpose": "To evaluate the impact of preoperative visual simulation on intraocular lens (IOL) selection, postoperative visual acuity (VA), satisfaction and decision regret score. To assess the perceived clinical value of the simulation and exploring its relationship with patient-reported satisfaction and regret.",
        "Setting": "Single-center ambispective study conducted at Vista Gutiérrez Amorós, a private ophthalmology clinic in La Coruña, Spain.",
        "Methods": "This ambispective comparative study included 42 patients, identified retrospectively, undergoing cataract surgery or refractive lens exchange with premium IOLs (EDOF, trifocal and Mix&Match). A Simulation Group (SG; n=25), which underwent preoperative IOL visual simulation with SimVis Gekko2, and a Control Group (CG; n=17) without preoperative simulation were established. Patients in the CG prospectively completed 2 postoperative questionnaires evaluating patient satisfaction and decision regret. Patients in the SG also completed a value perception questionnaire about SimVis Gekko2. Non-parametric analyses and Spearman correlations were applied to compare outcomes between groups and evaluate correlations among patient-reported measures.",
        "Results": "Preoperative VA was comparable between groups at distance (CG 0.02±0.03, SG 0.05±0.06; p=0.20) and near (CG 0.00±0.04, SG 0.01±0.03; p=0.867). Halos were reported in both groups (CG 28.6% vs SG 31.7%; p=0.656); however, functional limitation due to halos was observed only in the control group (57.1% vs 0% in SG; p=0.01). No significant differences were observed in total postoperative satisfaction (p=0.650) or total Decision Regret Scale scores (DRS; p=0.23). The perceived value of SG was high (mean total score 20.4 ± 3.3) and consistent across subjects. Higher SimVis ratings were associated with greater postoperative satisfaction (p = 0.07). Patient feedback was associated with adoption of Mix&Match strategies (SG 41.7% vs CG 0%; p=0.053).",
        "Conclusions": "Preoperative visual simulation did not significantly modify overall satisfaction (high in both groups) or regret (low in both groups) but was associated with a drastic reduction in the reported functional limitation from halos despite a similar probability of perceiving them, likely due to a better expectation management. The perceived value of the simulation was high and associated with a greater postoperative satisfaction. The possibility of retrieving the feedback of the patient on different lens combinations, and the confidence of the surgeon, enabled an increase in mix-and-match strategies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 385
    },
    {
      "uid": "PP15.07",
      "abstract_number": "PP15.07",
      "title": "Development Of Smart Intraocular Lens Integrated With Biosensors For Early Diagnosis Of Alzheimer’S Disease",
      "authors": "Prof. Dr In Hee Moon",
      "presenter": "Prof. Dr In Hee Moon",
      "normalized_authors": [
        "In Hee Moon"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "In Hee Moon",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "The integration of biochip technology with ocular biomarkers represents a promising direction in translational biomedical engineering for neurodegenerative disease detection. Alzheimer’s disease (AD) is often diagnosed after significant cognitive decline due to reliance on invasive and costly diagnostic tools. Because the eye shares structural and vascular connections with the brain, aqueous humor may reflect molecular changes associated with neurodegeneration. We aimed to develop a smart intraocular lens (IOL), implanted during routine cataract surgery, integrating biosensing technology for real-time detection of AD-related biomarkers in aqueous humor.",
        "Setting": "This translational ophthalmic and biomedical engineering study was conducted at a tertiary academic medical center in collaboration with proteomics and bioengineering laboratories. The project integrated aqueous humor biomarker discovery, biochip-based sensor design, and preclinical validation using a rabbit cataract surgery model with intraocular lens implantation.",
        "Methods": "Aqueous humor samples underwent liquid chromatography–tandem mass spectrometry proteomic profiling to identify candidate AD biomarkers, followed by parallel reaction monitoring validation. A protein-responsive hydrogel biosensor incorporating biochip technology was integrated into an IOL platform. Moiré pattern–based optical signal amplification enhanced detection sensitivity. Smart IOLs were implanted in rabbit cataract models. Defined concentrations of candidate biomarkers were injected into the anterior chamber, and signal responses were quantified using custom moiré microscopy with frequency-domain signal analysis",
        "Results": "Proteomic analysis demonstrated distinct clustering of AD aqueous humor protein profiles compared with controls and other neurological diseases. Validation confirmed increased acetylcholinesterase (AChE) and secreted phosphoprotein-1 (SPP1) levels in AD samples. In vivo testing showed that injection of candidate biomarkers induced hydrogel contraction within the sensor micrograting, generating measurable moiré pitch shifts. Following SPP1 (100 nM, 200 µL) 2nd injection, signal intensity increased from 68.83µm to 99.70µm, representing a 44.8% increase within 20 minutes. Sequential injections demonstrated reproducible and dose-responsive signal amplification. No inflammation, infection, or anterior segment complications were observed.",
        "Conclusions": "This smart IOL functions beyond traditional visual correction by integrating biochip-based biosensors that analyze ocular biofluids for disease-specific biomarkers. By leveraging liquid biopsy principles within aqueous humor, the device enables minimally invasive, continuous monitoring directly inside the eye. In this preclinical model, real-time biomarker detection and maintained biocompatibility were demonstrated. This approach highlights the convergence of nanoengineering and biotechnology in ocular diagnostics and may contribute to earlier detection and proactive management of Alzheimer’s disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This smart IOL functions beyond traditional visual correction by integrating biochip-based biosensors that analyze ocular biofluids for disease-specific biomarkers. By leveraging liquid biopsy principles within aqueous humor, the device enables minimally invasive, continuous monitoring directly inside the eye. In this preclinical model, real-time biomarker detection and maintained biocompatibility were…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 239,
      "source_fields": {
        "Abstract Final Identifier": "PP15.07",
        "Title": "Development Of Smart Intraocular Lens Integrated With Biosensors For Early Diagnosis Of Alzheimer’S Disease",
        "Presenting Author(s)": "Prof. Dr In Hee Moon",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "In Hee",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moon",
        "Country Name": "Korea, Republic Of",
        "Purpose": "The integration of biochip technology with ocular biomarkers represents a promising direction in translational biomedical engineering for neurodegenerative disease detection. Alzheimer’s disease (AD) is often diagnosed after significant cognitive decline due to reliance on invasive and costly diagnostic tools. Because the eye shares structural and vascular connections with the brain, aqueous humor may reflect molecular changes associated with neurodegeneration. We aimed to develop a smart intraocular lens (IOL), implanted during routine cataract surgery, integrating biosensing technology for real-time detection of AD-related biomarkers in aqueous humor.",
        "Setting": "This translational ophthalmic and biomedical engineering study was conducted at a tertiary academic medical center in collaboration with proteomics and bioengineering laboratories. The project integrated aqueous humor biomarker discovery, biochip-based sensor design, and preclinical validation using a rabbit cataract surgery model with intraocular lens implantation.",
        "Methods": "Aqueous humor samples underwent liquid chromatography–tandem mass spectrometry proteomic profiling to identify candidate AD biomarkers, followed by parallel reaction monitoring validation. A protein-responsive hydrogel biosensor incorporating biochip technology was integrated into an IOL platform. Moiré pattern–based optical signal amplification enhanced detection sensitivity. Smart IOLs were implanted in rabbit cataract models. Defined concentrations of candidate biomarkers were injected into the anterior chamber, and signal responses were quantified using custom moiré microscopy with frequency-domain signal analysis",
        "Results": "Proteomic analysis demonstrated distinct clustering of AD aqueous humor protein profiles compared with controls and other neurological diseases. Validation confirmed increased acetylcholinesterase (AChE) and secreted phosphoprotein-1 (SPP1) levels in AD samples. In vivo testing showed that injection of candidate biomarkers induced hydrogel contraction within the sensor micrograting, generating measurable moiré pitch shifts. Following SPP1 (100 nM, 200 µL) 2nd injection, signal intensity increased from 68.83µm to 99.70µm, representing a 44.8% increase within 20 minutes. Sequential injections demonstrated reproducible and dose-responsive signal amplification. No inflammation, infection, or anterior segment complications were observed.",
        "Conclusions": "This smart IOL functions beyond traditional visual correction by integrating biochip-based biosensors that analyze ocular biofluids for disease-specific biomarkers. By leveraging liquid biopsy principles within aqueous humor, the device enables minimally invasive, continuous monitoring directly inside the eye. In this preclinical model, real-time biomarker detection and maintained biocompatibility were demonstrated. This approach highlights the convergence of nanoengineering and biotechnology in ocular diagnostics and may contribute to earlier detection and proactive management of Alzheimer’s disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 374
    },
    {
      "uid": "PP15.08",
      "abstract_number": "PP15.08",
      "title": "Optical Simulation Of Refractive Power Control Of Intraocular Lens Induced By Femtosecond Laser-Induced Gradient Refraction",
      "authors": "Yong Wang",
      "presenter": "Yong Wang",
      "normalized_authors": [
        "Yong Wang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yong Wang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "Feasibility of optical simulation femtosecond laser-induced gradient refractive index technology for controlling the refractive power of hydrophobic acrylic intraocular lenses (IOLs)",
        "Setting": "Optical simulation",
        "Methods": "Based on the Liou Brennan eye model, a simulated eye system containing 21D hydrophobic acrylic ester IOL was constructed in Zemax optical software. Gradient refraction technology was introduced to construct a gradient refractive type plano convex/plano concave lens with a diameter of 5mm in the center of the IOL. The refractive index of the new lens was set to 1.446; Using the damping least squares method to optimize key parameters such as lens curvature radius, with MTF and spherical aberration as core evaluation indicators, the imaging quality of optical systems under different refractive power control is evaluated to verify the effect of femtosecond laser combined with gradient refraction technology on changing IOL refractive power.",
        "Results": "The gradient refractive index lens induced by femtosecond laser can achieve precise control of IOL refractive power. Constructing a plano convex lens can reduce IOL optical power by -0.5~-2.0D, while constructing a plano concave lens can increase optical power by+0.5~+2.0D. Under different control schemes, the optimized lens has an MTF value of ≥ 0.452 at the set spatial frequency, meeting the ISO standard (MTF>0.43), and the spherical aberration coefficient remains low, without significantly affecting imaging quality; The amplitude of refractive power regulation is significantly correlated with the curvature radius and thickness of gradient refractive lenses.",
        "Conclusions": "Under the set optical simulation conditions, femtosecond laser can achieve safe and controllable control of refractive power by constructing gradient refractive convex/concave lenses inside hydrophobic acrylic IOL, and the imaging quality of the optical system is good after control. This technology provides important experimental support and application potential for non-invasive correction of residual refractive errors after cataract surgery in clinical practice"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Under the set optical simulation conditions, femtosecond laser can achieve safe and controllable control of refractive power by constructing gradient refractive convex/concave lenses inside hydrophobic acrylic IOL, and the imaging quality of the optical system is good after control. This technology provides important experimental support and application potential for non-invasive correction of residual refractive…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 240,
      "source_fields": {
        "Abstract Final Identifier": "PP15.08",
        "Title": "Optical Simulation Of Refractive Power Control Of Intraocular Lens Induced By Femtosecond Laser-Induced Gradient Refraction",
        "Presenting Author(s)": "Yong Wang",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Yong",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wang",
        "Country Name": "China",
        "Purpose": "Feasibility of optical simulation femtosecond laser-induced gradient refractive index technology for controlling the refractive power of hydrophobic acrylic intraocular lenses (IOLs)",
        "Setting": "Optical simulation",
        "Methods": "Based on the Liou Brennan eye model, a simulated eye system containing 21D hydrophobic acrylic ester IOL was constructed in Zemax optical software. Gradient refraction technology was introduced to construct a gradient refractive type plano convex/plano concave lens with a diameter of 5mm in the center of the IOL. The refractive index of the new lens was set to 1.446; Using the damping least squares method to optimize key parameters such as lens curvature radius, with MTF and spherical aberration as core evaluation indicators, the imaging quality of optical systems under different refractive power control is evaluated to verify the effect of femtosecond laser combined with gradient refraction technology on changing IOL refractive power.",
        "Results": "The gradient refractive index lens induced by femtosecond laser can achieve precise control of IOL refractive power. Constructing a plano convex lens can reduce IOL optical power by -0.5~-2.0D, while constructing a plano concave lens can increase optical power by+0.5~+2.0D. Under different control schemes, the optimized lens has an MTF value of ≥ 0.452 at the set spatial frequency, meeting the ISO standard (MTF>0.43), and the spherical aberration coefficient remains low, without significantly affecting imaging quality; The amplitude of refractive power regulation is significantly correlated with the curvature radius and thickness of gradient refractive lenses.",
        "Conclusions": "Under the set optical simulation conditions, femtosecond laser can achieve safe and controllable control of refractive power by constructing gradient refractive convex/concave lenses inside hydrophobic acrylic IOL, and the imaging quality of the optical system is good after control. This technology provides important experimental support and application potential for non-invasive correction of residual refractive errors after cataract surgery in clinical practice"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 305
    },
    {
      "uid": "PP15.09",
      "abstract_number": "PP15.09",
      "title": "Clinical And Refractive Outcomes Of The Light Adjustable Lens In A Tertiary Referral Practice",
      "authors": "Dr Nathamon Sasiprapha",
      "presenter": "Dr Nathamon Sasiprapha",
      "normalized_authors": [
        "Nathamon Sasiprapha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nathamon Sasiprapha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "Cataract surgery has evolved into a refractive procedure demanding high postoperative precision. Despite advances in optical biometry and intraocular lens (IOL) calculation formulas, refractive predictability remains challenging, particularly in eyes with prior corneal refractive surgery and extreme axial lengths. The Light Adjustable Lens (LAL; RxSight Inc.) enables postoperative adjustment of spherical and astigmatic power, offering individualized refractive optimization. This study evaluates the real-world refractive accuracy, visual outcomes, and patient satisfaction following LAL implantation in a tertiary referral practice.",
        "Setting": "Single private ophthalmology tertiary referral practice",
        "Methods": "This retrospective, consecutive case series included 145 eyes of 93 patients implanted with the first-generation LAL between November 2023 and January 2026. The study evaluated eyes without prior refractive surgery and those with a history of radial keratotomy (RK), photorefractive keratectomy (PRK), or LASIK. Postoperative light adjustments (up to three treatments and two lock-ins) were initiated following refractive stabilization. Primary outcomes included the proportion of eyes within ±0.50 D and ±1.00 D of the refractive target, uncorrected distance visual acuity (UDVA), and residual cylinder. Outcomes were stratified by prior refractive history and intended target. Patient-reported outcomes were assessed using the PDQ-6 questionnaire.",
        "Results": "Overall, 95.9% (139/145) of eyes achieved a spherical equivalent within ±0.50 D of the target, and 98.6% (143/145) were within ±1.00 D. Refractive accuracy (±0.50 D) was high in both eyes without prior refractive surgery (97.2%; 70/72) and post-laser refractive surgery eyes (96.9%; 62/64), but was lower in eyes with prior RK (77.8%; 7/9). Among eyes targeted for emmetropia (n=68), 93.0% achieved a UDVA of ≥20/25, and 66.3% achieved ≥20/20. Postoperative residual cylinder of ≤0.50 D was observed in 91.0% (132/145) of eyes. The mean number of adjustments was 1.89 ± 1.0 per eye, with no loss of corrected distance visual acuity (CDVA) reported. PDQ-6 scores indicated minimal dysphotopsia and high overall satisfaction (mean score: 8.9/10).",
        "Conclusions": "In this real-world clinical series, the LAL demonstrated reliable refractive predictability and a favorable safety profile across diverse cataract populations, including eyes with prior laser refractive surgery. Although clinical outcomes were acceptable in post-RK eyes, refractive predictability was lower compared to other groups. The substantial proportion of eyes achieving their refractive target, combined with low residual astigmatism, corresponded with good uncorrected visual acuity and positive patient satisfaction, with minimal dysphotopic symptoms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this real-world clinical series, the LAL demonstrated reliable refractive predictability and a favorable safety profile across diverse cataract populations, including eyes with prior laser refractive surgery. Although clinical outcomes were acceptable in post-RK eyes, refractive predictability was lower compared to other groups. The substantial proportion of eyes achieving their refractive target, combined with…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 241,
      "source_fields": {
        "Abstract Final Identifier": "PP15.09",
        "Title": "Clinical And Refractive Outcomes Of The Light Adjustable Lens In A Tertiary Referral Practice",
        "Presenting Author(s)": "Dr Nathamon Sasiprapha",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Nathamon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sasiprapha",
        "Country Name": "Thailand",
        "Purpose": "Cataract surgery has evolved into a refractive procedure demanding high postoperative precision. Despite advances in optical biometry and intraocular lens (IOL) calculation formulas, refractive predictability remains challenging, particularly in eyes with prior corneal refractive surgery and extreme axial lengths. The Light Adjustable Lens (LAL; RxSight Inc.) enables postoperative adjustment of spherical and astigmatic power, offering individualized refractive optimization. This study evaluates the real-world refractive accuracy, visual outcomes, and patient satisfaction following LAL implantation in a tertiary referral practice.",
        "Setting": "Single private ophthalmology tertiary referral practice",
        "Methods": "This retrospective, consecutive case series included 145 eyes of 93 patients implanted with the first-generation LAL between November 2023 and January 2026. The study evaluated eyes without prior refractive surgery and those with a history of radial keratotomy (RK), photorefractive keratectomy (PRK), or LASIK. Postoperative light adjustments (up to three treatments and two lock-ins) were initiated following refractive stabilization. Primary outcomes included the proportion of eyes within ±0.50 D and ±1.00 D of the refractive target, uncorrected distance visual acuity (UDVA), and residual cylinder. Outcomes were stratified by prior refractive history and intended target. Patient-reported outcomes were assessed using the PDQ-6 questionnaire.",
        "Results": "Overall, 95.9% (139/145) of eyes achieved a spherical equivalent within ±0.50 D of the target, and 98.6% (143/145) were within ±1.00 D. Refractive accuracy (±0.50 D) was high in both eyes without prior refractive surgery (97.2%; 70/72) and post-laser refractive surgery eyes (96.9%; 62/64), but was lower in eyes with prior RK (77.8%; 7/9). Among eyes targeted for emmetropia (n=68), 93.0% achieved a UDVA of ≥20/25, and 66.3% achieved ≥20/20. Postoperative residual cylinder of ≤0.50 D was observed in 91.0% (132/145) of eyes. The mean number of adjustments was 1.89 ± 1.0 per eye, with no loss of corrected distance visual acuity (CDVA) reported. PDQ-6 scores indicated minimal dysphotopsia and high overall satisfaction (mean score: 8.9/10).",
        "Conclusions": "In this real-world clinical series, the LAL demonstrated reliable refractive predictability and a favorable safety profile across diverse cataract populations, including eyes with prior laser refractive surgery. Although clinical outcomes were acceptable in post-RK eyes, refractive predictability was lower compared to other groups. The substantial proportion of eyes achieving their refractive target, combined with low residual astigmatism, corresponded with good uncorrected visual acuity and positive patient satisfaction, with minimal dysphotopic symptoms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "PP15.10",
      "abstract_number": "PP15.10",
      "title": "Comparison Of Reading And Optical Performance After Contralateral Versus Bilateral Diffractive Iol Implantation Under Different Illumination Conditions",
      "authors": "Dr Vaibhav Vishal",
      "presenter": "Dr Vaibhav Vishal",
      "normalized_authors": [
        "Vaibhav Vishal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaibhav Vishal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare visual and reading performance between a contralateral diffractive intraocular lens implantation and bilateral implantation strategies of an established diffractive intraocular lens.",
        "Setting": "Narayana Nethralaya Superspecialty Eye Hospital, Bangalore, India.",
        "Methods": "This prospective, randomized, interventional, single-center study included 60 patients undergoing cataract surgery, divided into two groups (n = 30 each). Group A received contralateral implantation of Vivinex Gemetric IOL (HOYA Surgical Optics) in the right eye and a Vivinex Gemetric Plus IOL in the left eye (pairing approach), while Group B received bilateral Patients aged 40–70 years with cataracts were included. Reading and overall optical performance were assessed one month postoperatively under varying illumination conditions. Statistical analysis was performed using ANOVA, paired t-tests, and the Friedman test.",
        "Results": "Both groups achieved comparable one‑month uncorrected far, intermediate, and near visual acuities, with median values indicating excellent distance and good intermediate and near vision. Reading performance at 33cm remained stable across all illumination levels, maintaining consistent values from 180 Lux down to 10 Lux for both groups. Group A achieved statistically significant higher internal Modulation Transfer Function (MTF) values compared to Group B (A= 0.6, B= 0.51; p = 0.002). Contrast sensitivity remained comparable between groups, with a slight numerical advantage for the Group A at 6 cpd (A=6.00 vs B=5.90) and 12 cpd (A=5.64 vs. B=5.30) but this was not statistically significant.",
        "Conclusions": "Contralateral implantation of Vivinex Gemetric and Vivinex Gemetric Plus produced visual acuity, reading performance, and contrast sensitivity outcomes comparable to bilateral implantation of an established diffractive intraocular lens. Reading performance remained stable across illumination levels in both groups. Higher internal modulation transfer function values were observed with the contralateral‑implantation strategy of Vivinex Gemetric and Vivinex Gemetric Plus, supporting the pairing approach as an effective diffractive implantation strategy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Contralateral implantation of Vivinex Gemetric and Vivinex Gemetric Plus produced visual acuity, reading performance, and contrast sensitivity outcomes comparable to bilateral implantation of an established diffractive intraocular lens. Reading performance remained stable across illumination levels in both groups. Higher internal modulation transfer function values were observed with the contralateral‑implantation…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 242,
      "source_fields": {
        "Abstract Final Identifier": "PP15.10",
        "Title": "Comparison Of Reading And Optical Performance After Contralateral Versus Bilateral Diffractive Iol Implantation Under Different Illumination Conditions",
        "Presenting Author(s)": "Dr Vaibhav Vishal",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Vaibhav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vishal",
        "Country Name": "India",
        "Purpose": "To compare visual and reading performance between a contralateral diffractive intraocular lens implantation and bilateral implantation strategies of an established diffractive intraocular lens.",
        "Setting": "Narayana Nethralaya Superspecialty Eye Hospital, Bangalore, India.",
        "Methods": "This prospective, randomized, interventional, single-center study included 60 patients undergoing cataract surgery, divided into two groups (n = 30 each). Group A received contralateral implantation of Vivinex Gemetric IOL (HOYA Surgical Optics) in the right eye and a Vivinex Gemetric Plus IOL in the left eye (pairing approach), while Group B received bilateral Patients aged 40–70 years with cataracts were included. Reading and overall optical performance were assessed one month postoperatively under varying illumination conditions. Statistical analysis was performed using ANOVA, paired t-tests, and the Friedman test.",
        "Results": "Both groups achieved comparable one‑month uncorrected far, intermediate, and near visual acuities, with median values indicating excellent distance and good intermediate and near vision. Reading performance at 33cm remained stable across all illumination levels, maintaining consistent values from 180 Lux down to 10 Lux for both groups. Group A achieved statistically significant higher internal Modulation Transfer Function (MTF) values compared to Group B (A= 0.6, B= 0.51; p = 0.002). Contrast sensitivity remained comparable between groups, with a slight numerical advantage for the Group A at 6 cpd (A=6.00 vs B=5.90) and 12 cpd (A=5.64 vs. B=5.30) but this was not statistically significant.",
        "Conclusions": "Contralateral implantation of Vivinex Gemetric and Vivinex Gemetric Plus produced visual acuity, reading performance, and contrast sensitivity outcomes comparable to bilateral implantation of an established diffractive intraocular lens. Reading performance remained stable across illumination levels in both groups. Higher internal modulation transfer function values were observed with the contralateral‑implantation strategy of Vivinex Gemetric and Vivinex Gemetric Plus, supporting the pairing approach as an effective diffractive implantation strategy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "PP15.11",
      "abstract_number": "PP15.11",
      "title": "Evaluating The Impact Of Blue-Filtering Intraocular Lenses On Macular Oxidative Stress: A Comparative Analysis Of 8-Hydroxy-2'-Deoxyguanosine Levels In Donor Retinal Tissue",
      "authors": "Dr Dr.Navaneeth Saggam",
      "presenter": "Dr Dr.Navaneeth Saggam",
      "normalized_authors": [
        "Dr.Navaneeth Saggam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dr.Navaneeth Saggam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the impact of blue-filtering intraocular lenses (BFIOLs) on retinal oxidative stress by comparing 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels in the macular retina and submacular retinal pigment epithelium (RPE) of donor eyes with BFIOLs and non-BFIOLs.",
        "Setting": "Cross-sectional laboratory study using postmortem human donor eyes.",
        "Methods": "Fifty-eight eyes from 39 donors were categorized as BFIOL (n=16), non-BFIOL (n=24), or phakic (n=18). Macular retina and submacular RPE were dissected, genomic DNA extracted, and 8-OHdG quantified using ELISA. 8-OHdG levels were compared across lens groups, and associations with age and sex were examined.",
        "Results": "Submacular RPE had higher 8-OHdG levels than the macular retina (0.95 vs 0.44 ng/mL; p < 0.0001). No significant differences in 8-OHdG were observed between BFIOL and non-BFIOL eyes in either tissue (all p ≥ 0.09). Age was not associated with 8‑OHdG, whereas male donors showed modestly higher RPE 8‑OHdG levels than female donors (p = 0.03).",
        "Conclusions": "Macular retinal and RPE 8-OHdG levels did not differ significantly by IOL type. These biochemical observations, considered alongside existing clinical data, suggest that any retinal protective effect of BFIOLs on oxidative DNA damage is likely to be modest."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Macular retinal and RPE 8-OHdG levels did not differ significantly by IOL type. These biochemical observations, considered alongside existing clinical data, suggest that any retinal protective effect of BFIOLs on oxidative DNA damage is likely to be modest.",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 243,
      "source_fields": {
        "Abstract Final Identifier": "PP15.11",
        "Title": "Evaluating The Impact Of Blue-Filtering Intraocular Lenses On Macular Oxidative Stress: A Comparative Analysis Of 8-Hydroxy-2'-Deoxyguanosine Levels In Donor Retinal Tissue",
        "Presenting Author(s)": "Dr Dr.Navaneeth Saggam",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Dr.Navaneeth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saggam",
        "Country Name": "India",
        "Purpose": "To evaluate the impact of blue-filtering intraocular lenses (BFIOLs) on retinal oxidative stress by comparing 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels in the macular retina and submacular retinal pigment epithelium (RPE) of donor eyes with BFIOLs and non-BFIOLs.",
        "Setting": "Cross-sectional laboratory study using postmortem human donor eyes.",
        "Methods": "Fifty-eight eyes from 39 donors were categorized as BFIOL (n=16), non-BFIOL (n=24), or phakic (n=18). Macular retina and submacular RPE were dissected, genomic DNA extracted, and 8-OHdG quantified using ELISA. 8-OHdG levels were compared across lens groups, and associations with age and sex were examined.",
        "Results": "Submacular RPE had higher 8-OHdG levels than the macular retina (0.95 vs 0.44 ng/mL; p < 0.0001). No significant differences in 8-OHdG were observed between BFIOL and non-BFIOL eyes in either tissue (all p ≥ 0.09). Age was not associated with 8‑OHdG, whereas male donors showed modestly higher RPE 8‑OHdG levels than female donors (p = 0.03).",
        "Conclusions": "Macular retinal and RPE 8-OHdG levels did not differ significantly by IOL type. These biochemical observations, considered alongside existing clinical data, suggest that any retinal protective effect of BFIOLs on oxidative DNA damage is likely to be modest."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 191
    },
    {
      "uid": "PP15.12",
      "abstract_number": "PP15.12",
      "title": "Addon Sulcus Lenses - Review Of 10 Years’ Clinical Experience",
      "authors": "Dr Kjell Gunnar Gundersen",
      "presenter": "Dr Kjell Gunnar Gundersen",
      "normalized_authors": [
        "Kjell Gunnar Gundersen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kjell Gunnar Gundersen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "To evaluate safety and efficacy of IOLS`s placed in the sulcus as a secondary refractive procedure (“ AddOn IOL`s”)",
        "Setting": "Single ophthalmology clinic.",
        "Methods": "We performed a retrospective chart analysis of all AddOn IOL`s implanted between 2015 and 2025 at our clinic and identified 311 eyes of 2 3 6 subjects which had been treated with secondary sulcus IOLS`s . After chart review and analysis, we w ere able to include 2 3 8 eyes of 188 subjects in this retrospective chart review.\n\nMain outcome parameters for efficacy were UCVA, BCVA and manifest refraction after AddOn surgery. Th e safety profile of this type of lens was evaluated by tabulating all intra and postoperative complications after surgery .\n\nThe indication for AddOn implantation was missed refractive target in 85% , secondary presbyopia treatment in 14% and mixed indications in 1% of cases .",
        "Results": "There was overall a statistically significant improvement in UCVA of about 2 lines after surgery ( p <0.01), with no change in BCVA ( p =0.94). Mean UCVA was 0.0 5 ± 0.03 logMAR. Mean BCVA was -0.0 1 ± 0.03 logMAR (20/20+2). After secondary toric IOL implantation , residual refractive astigmatism was significantly reduced (1. 88 ± 0.9 6 to 0.3 8 ± 0.2 8 D). There was no appreciable change in the spherical equivalent refraction among these toric cases. 78% had residual refractive astigmatism ≤0.50D.\n\nWe identified zero case of endopthalmitis and two cases of TASS. We identified 4 cases of IOP > 45mmHg just after surgery. No eye lost more than 2 line s of BCVA. In total, 8 eyes had their AddOn IOL`s explan ted .",
        "Conclusions": "After more than 10 years of clinical experience using secondary sulcus IOL `s ( AddOn IOL ) we observed high efficacy and safety in this study cohort. AddOn IOL`s represent a n effective strategy to treat missed refractive target , but also offering the option of secondary presbyopia correction ."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "After more than 10 years of clinical experience using secondary sulcus IOL `s ( AddOn IOL ) we observed high efficacy and safety in this study cohort. AddOn IOL`s represent a n effective strategy to treat missed refractive target , but also offering the option of secondary presbyopia correction .",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 244,
      "source_fields": {
        "Abstract Final Identifier": "PP15.12",
        "Title": "Addon Sulcus Lenses - Review Of 10 Years’ Clinical Experience",
        "Presenting Author(s)": "Dr Kjell Gunnar Gundersen",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Kjell Gunnar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gundersen",
        "Country Name": "Norway",
        "Purpose": "To evaluate safety and efficacy of IOLS`s placed in the sulcus as a secondary refractive procedure (“ AddOn IOL`s”)",
        "Setting": "Single ophthalmology clinic.",
        "Methods": "We performed a retrospective chart analysis of all AddOn IOL`s implanted between 2015 and 2025 at our clinic and identified 311 eyes of 2 3 6 subjects which had been treated with secondary sulcus IOLS`s . After chart review and analysis, we w ere able to include 2 3 8 eyes of 188 subjects in this retrospective chart review.\n\nMain outcome parameters for efficacy were UCVA, BCVA and manifest refraction after AddOn surgery. Th e safety profile of this type of lens was evaluated by tabulating all intra and postoperative complications after surgery .\n\nThe indication for AddOn implantation was missed refractive target in 85% , secondary presbyopia treatment in 14% and mixed indications in 1% of cases .",
        "Results": "There was overall a statistically significant improvement in UCVA of about 2 lines after surgery ( p <0.01), with no change in BCVA ( p =0.94). Mean UCVA was 0.0 5 ± 0.03 logMAR. Mean BCVA was -0.0 1 ± 0.03 logMAR (20/20+2). After secondary toric IOL implantation , residual refractive astigmatism was significantly reduced (1. 88 ± 0.9 6 to 0.3 8 ± 0.2 8 D). There was no appreciable change in the spherical equivalent refraction among these toric cases. 78% had residual refractive astigmatism ≤0.50D.\n\nWe identified zero case of endopthalmitis and two cases of TASS. We identified 4 cases of IOP > 45mmHg just after surgery. No eye lost more than 2 line s of BCVA. In total, 8 eyes had their AddOn IOL`s explan ted .",
        "Conclusions": "After more than 10 years of clinical experience using secondary sulcus IOL `s ( AddOn IOL ) we observed high efficacy and safety in this study cohort. AddOn IOL`s represent a n effective strategy to treat missed refractive target , but also offering the option of secondary presbyopia correction ."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "PP15.13",
      "abstract_number": "PP15.13",
      "title": "Visual Outcomes With Mix-And-Match Multifocal Iols: Comparing Clareon Panoptix And Clareon Vivity Combinations",
      "authors": "Mrs Purvi Thomson",
      "presenter": "Mrs Purvi Thomson",
      "normalized_authors": [
        "Purvi Thomson"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Purvi Thomson",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report real-world visual outcomes comparing mix-and-match implantation of two multifocal IOLs: the Clareon PanOptix trifocal IOL and the Clareon Vivity extended depth of focus IOL. This study evaluates whether combining different IOL technologies in a bilateral approach can optimise visual outcomes across all distances while maintaining patient satisfaction and minimising dysphotopsias.",
        "Setting": "OCL Vision, London (UK)",
        "Methods": "This prospective case series includes 46 eyes of 23 patients who underwent bilateral cataract surgery with mix-and-match IOL implantation. Eyes received either Clareon PanOptix trifocal or Clareon Vivity EDOF IOLs, with 19 eyes receiving toric versions. Postoperative data were collected at 2 weeks to 3 months. Outcomes include manifest refraction spherical equivalent (MRSE), monocular and binocular corrected and uncorrected visual acuity at distance (CDVA/UDVA), intermediate (UIVA at 65cm), and near (UNVA at 35cm). Patient-reported outcomes regarding satisfaction, spectacle independence, and dysphotopsias were assessed via questionnaires.",
        "Results": "In patients with binocular surgery (n=23),UDVA was -0.009±0.082 logMAR. UIVA (n=5) was N6.0±1.095 (65cm) with 100% achieving at least N8 and UNVA was N5.435±0.97 (40cm) with 91.3% achieving at least N6. For the PanOptix eyes (n=23), mean IOL power was 19.5D, mean manifest SE was -0.071D±0.273 with 91.3% within ±0.5D of target. Monocular UDVA was 0.037±0.093 logMAR, UIVA (n=5) was N78.2±3.124 and UNVA was N5.783±1.284. For the Vivity eyes (n=23), mean IOL power was 19.5D, mean manifest SE was -0.174D±0.319 with 91.3% within ±0.5D of target. Monocular UDVA was 0.055±0.102 logMAR, UIVA (n=5) was N7±1.265 and UNVA was N7.174±1.903. Dysphotopsias were reported by 26% of patients. Surgeon ease of implantation and patient satisfaction were high.",
        "Conclusions": "Mix-and-match implantation of Clareon PanOptix trifocal and Clareon Vivity EDOF IOLs demonstrates excellent real-world outcomes with high refractive predictability and functional vision at all distances. The combination approach achieved outstanding binocular distance vision, good intermediate vision, and functional near vision with relatively low dysphotopsia rates. These results suggest that strategic pairing of different multifocal IOL technologies can provide patients with spectacle independence while optimising the balance between visual performance and optical side effects. Further studies with larger cohorts and standardised bilateral configurations are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Mix-and-match implantation of Clareon PanOptix trifocal and Clareon Vivity EDOF IOLs demonstrates excellent real-world outcomes with high refractive predictability and functional vision at all distances. The combination approach achieved outstanding binocular distance vision, good intermediate vision, and functional near vision with relatively low dysphotopsia rates. These results suggest that strategic pairing of…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 245,
      "source_fields": {
        "Abstract Final Identifier": "PP15.13",
        "Title": "Visual Outcomes With Mix-And-Match Multifocal Iols: Comparing Clareon Panoptix And Clareon Vivity Combinations",
        "Presenting Author(s)": "Mrs Purvi Thomson",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Purvi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Thomson",
        "Country Name": "United Kingdom",
        "Purpose": "To report real-world visual outcomes comparing mix-and-match implantation of two multifocal IOLs: the Clareon PanOptix trifocal IOL and the Clareon Vivity extended depth of focus IOL. This study evaluates whether combining different IOL technologies in a bilateral approach can optimise visual outcomes across all distances while maintaining patient satisfaction and minimising dysphotopsias.",
        "Setting": "OCL Vision, London (UK)",
        "Methods": "This prospective case series includes 46 eyes of 23 patients who underwent bilateral cataract surgery with mix-and-match IOL implantation. Eyes received either Clareon PanOptix trifocal or Clareon Vivity EDOF IOLs, with 19 eyes receiving toric versions. Postoperative data were collected at 2 weeks to 3 months. Outcomes include manifest refraction spherical equivalent (MRSE), monocular and binocular corrected and uncorrected visual acuity at distance (CDVA/UDVA), intermediate (UIVA at 65cm), and near (UNVA at 35cm). Patient-reported outcomes regarding satisfaction, spectacle independence, and dysphotopsias were assessed via questionnaires.",
        "Results": "In patients with binocular surgery (n=23),UDVA was -0.009±0.082 logMAR. UIVA (n=5) was N6.0±1.095 (65cm) with 100% achieving at least N8 and UNVA was N5.435±0.97 (40cm) with 91.3% achieving at least N6. For the PanOptix eyes (n=23), mean IOL power was 19.5D, mean manifest SE was -0.071D±0.273 with 91.3% within ±0.5D of target. Monocular UDVA was 0.037±0.093 logMAR, UIVA (n=5) was N78.2±3.124 and UNVA was N5.783±1.284. For the Vivity eyes (n=23), mean IOL power was 19.5D, mean manifest SE was -0.174D±0.319 with 91.3% within ±0.5D of target. Monocular UDVA was 0.055±0.102 logMAR, UIVA (n=5) was N7±1.265 and UNVA was N7.174±1.903. Dysphotopsias were reported by 26% of patients. Surgeon ease of implantation and patient satisfaction were high.",
        "Conclusions": "Mix-and-match implantation of Clareon PanOptix trifocal and Clareon Vivity EDOF IOLs demonstrates excellent real-world outcomes with high refractive predictability and functional vision at all distances. The combination approach achieved outstanding binocular distance vision, good intermediate vision, and functional near vision with relatively low dysphotopsia rates. These results suggest that strategic pairing of different multifocal IOL technologies can provide patients with spectacle independence while optimising the balance between visual performance and optical side effects. Further studies with larger cohorts and standardised bilateral configurations are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "PP15.14",
      "abstract_number": "PP15.14",
      "title": "Long Term Outcomes After Implantation Of A Dual Optic Accommodative Iol",
      "authors": "Prof. Dr Gerd Uwe Auffarth",
      "presenter": "Prof. Dr Gerd Uwe Auffarth",
      "normalized_authors": [
        "Gerd Uwe Auffarth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gerd Uwe Auffarth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the long-term outcomes including visual performance and patient reported outcomes 15 years after implantation of the accommodative 1-piece dual optic Synchrony IOL (Johnson & Johnson, US, earlier Abbott Medical Optics and Visiogen).",
        "Setting": "Dept. of Ophthalmology, University of Heidelberg",
        "Methods": "32 eyes of 20 patients underwent phacoemulsification with mono- or bilateral Synchrony IOL implantation between 2009 and 2011 (mean age 51 ± 14 years). In this ongoing retrospective study, 11 patients (18 eyes) have completed a 15-year follow-up. Assessments included manifest refraction; uncorrected and corrected distance visual acuity (UDVA, CDVA) at 4 m; uncorrected and distance-corrected intermediate visual acuity (UIVA, DCIVA) at 80 and 66 cm; near visual acuities (UNVA, DCNVA, BCNVA) at 40 cm; defocus curves (+2.0 to -4.0 D); contrast sensitivity; stereopsis; halo/glare simulation; and patient-reported outcomes via the Heidelberg Daily Task Evaluation Questionnaire.",
        "Results": "Mean binocular acuity was UDVA/CDVA (0.08/-0.08), UIVA/DCIVA (-0.04/-0.02 at 80 cm; -0.03/0.01 at 66 cm), UNVA/DCNVA (0.02/0.09), and BCNVA (-0.10). Mean postop spherical equivalent was -0.47 ± 0.80D; residual astigmatism -0.89 ± 0.54D. Defocus curves showed 0.10 logMAR or better from +1.0 to -2.0D binocularly and +0.5 to -1.0D monocularly. 57% of binocularly implanted patients required reading glasses and 1 patient received a toric add-on IOL after 11 years. For 4 monocularly implanted, the partner eye was phakic (n=2), had a monofocal IOL (n=1) or trifocal IOL (n=1). 80% were satisfied and would repeat the procedure.",
        "Conclusions": "Visual acuity, range of vision and halo/glare perception varied considerably among patients. Patients often required a few seconds of accommodation to reach best acuity at tested distances. The majority of patients were satisfied with the result; dissatisfaction was seen in monocularly-implanted patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Visual acuity, range of vision and halo/glare perception varied considerably among patients. Patients often required a few seconds of accommodation to reach best acuity at tested distances. The majority of patients were satisfied with the result; dissatisfaction was seen in monocularly-implanted patients.",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 246,
      "source_fields": {
        "Abstract Final Identifier": "PP15.14",
        "Title": "Long Term Outcomes After Implantation Of A Dual Optic Accommodative Iol",
        "Presenting Author(s)": "Prof. Dr Gerd Uwe Auffarth",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Gerd",
        "Submitter Middle Name": "Uwe",
        "Submitter Last Name": "Auffarth",
        "Country Name": "Germany",
        "Purpose": "To evaluate the long-term outcomes including visual performance and patient reported outcomes 15 years after implantation of the accommodative 1-piece dual optic Synchrony IOL (Johnson & Johnson, US, earlier Abbott Medical Optics and Visiogen).",
        "Setting": "Dept. of Ophthalmology, University of Heidelberg",
        "Methods": "32 eyes of 20 patients underwent phacoemulsification with mono- or bilateral Synchrony IOL implantation between 2009 and 2011 (mean age 51 ± 14 years). In this ongoing retrospective study, 11 patients (18 eyes) have completed a 15-year follow-up. Assessments included manifest refraction; uncorrected and corrected distance visual acuity (UDVA, CDVA) at 4 m; uncorrected and distance-corrected intermediate visual acuity (UIVA, DCIVA) at 80 and 66 cm; near visual acuities (UNVA, DCNVA, BCNVA) at 40 cm; defocus curves (+2.0 to -4.0 D); contrast sensitivity; stereopsis; halo/glare simulation; and patient-reported outcomes via the Heidelberg Daily Task Evaluation Questionnaire.",
        "Results": "Mean binocular acuity was UDVA/CDVA (0.08/-0.08), UIVA/DCIVA (-0.04/-0.02 at 80 cm; -0.03/0.01 at 66 cm), UNVA/DCNVA (0.02/0.09), and BCNVA (-0.10). Mean postop spherical equivalent was -0.47 ± 0.80D; residual astigmatism -0.89 ± 0.54D. Defocus curves showed 0.10 logMAR or better from +1.0 to -2.0D binocularly and +0.5 to -1.0D monocularly. 57% of binocularly implanted patients required reading glasses and 1 patient received a toric add-on IOL after 11 years. For 4 monocularly implanted, the partner eye was phakic (n=2), had a monofocal IOL (n=1) or trifocal IOL (n=1). 80% were satisfied and would repeat the procedure.",
        "Conclusions": "Visual acuity, range of vision and halo/glare perception varied considerably among patients. Patients often required a few seconds of accommodation to reach best acuity at tested distances. The majority of patients were satisfied with the result; dissatisfaction was seen in monocularly-implanted patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "PP15.15",
      "abstract_number": "PP15.15",
      "title": "Modern Iol Selection In Post-Lvc Patients In 2026: Integrating Functional Analysis And Digital Decision-Support Tools",
      "authors": "Dr Gilles Lesieur",
      "presenter": "Dr Gilles Lesieur",
      "normalized_authors": [
        "Gilles Lesieur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gilles Lesieur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Post laser vision correction (LVC) patients represent a growing proportion of candidates for lens surgery. Although intraocular lens (IOL) power calculation has significantly improved, dissatisfaction remains frequent in this population. In 2026 the challenge is no longer limited to biometric accuracy but involves functional visual profiling, corneal asphericity analysis, and an individualised implant strategy. This study presents a structured decision pathway integrating digital tools including IOL MATCH and AIOLsci to optimise IOL selection in post LVC patients.",
        "Setting": "Private refractive and cataract surgery center, Centre IRIDIS, Albi, France.",
        "Methods": "A structured workflow was applied in a single post LVC patient undergoing lens surgery. The protocol included functional visual needs assessment using IOL MATCH, corneal Q value analysis, and optical simulation using AIOLsci. Optical performance was evaluated through modulation transfer function area (MTFa) simulation and depth of focus modelling. The discussion was illustrated by a case of a 64-year-old woman with prior hyperopic LASIK, asymmetric corneas, and high expectations for spectacle independence. Decision making integrated functional objectives, corneal asphericity, pupil size, and tolerance to photic phenomena rather than relying on a simplified extended depth of focus (EDOF) versus multifocal lens classification.",
        "Results": "Corneal analysis revealed asymmetric profiles with Q values of -0.17 in the right eye and -0.70 in the left eye. MTFa simulation demonstrated that an EDOF design alone would not provide an adequate functional range in the eye with lower negative asphericity. A diffractive continuous Full DoFi design (FineVision HP, BVI, Belgium) was therefore selected in the right non-dominant eye to enhance intermediate and near performance. In the left eye with higher negative asphericity, optical modelling predicted improved depth of focus and greater tolerance with a non-diffractive continuous Full DoFi profile (Lucidis 124MT, SAV IOL, Switzerland).",
        "Conclusions": "In post LVC patients, modern IOL selection must extend beyond formula optimisation towards integrated functional and corneal optical analysis. The combination of IOL MATCH and AIOLsci supports safer decision making, improved patient counselling, and reduction of dissatisfaction risk in presbyopia correcting IOL implantation. A corneal asphericity driven functional strategy may represent an evolving clinical standard in 2026."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In post LVC patients, modern IOL selection must extend beyond formula optimisation towards integrated functional and corneal optical analysis. The combination of IOL MATCH and AIOLsci supports safer decision making, improved patient counselling, and reduction of dissatisfaction risk in presbyopia correcting IOL implantation. A corneal asphericity driven functional strategy may represent an evolving clinical…",
      "session_type": "Presented Poster",
      "track": "IOLs - other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 247,
      "source_fields": {
        "Abstract Final Identifier": "PP15.15",
        "Title": "Modern Iol Selection In Post-Lvc Patients In 2026: Integrating Functional Analysis And Digital Decision-Support Tools",
        "Presenting Author(s)": "Dr Gilles Lesieur",
        "Abstract Topic Name": "IOLs - other",
        "Submitter First Name": "Gilles",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lesieur",
        "Country Name": "France",
        "Purpose": "Post laser vision correction (LVC) patients represent a growing proportion of candidates for lens surgery. Although intraocular lens (IOL) power calculation has significantly improved, dissatisfaction remains frequent in this population. In 2026 the challenge is no longer limited to biometric accuracy but involves functional visual profiling, corneal asphericity analysis, and an individualised implant strategy. This study presents a structured decision pathway integrating digital tools including IOL MATCH and AIOLsci to optimise IOL selection in post LVC patients.",
        "Setting": "Private refractive and cataract surgery center, Centre IRIDIS, Albi, France.",
        "Methods": "A structured workflow was applied in a single post LVC patient undergoing lens surgery. The protocol included functional visual needs assessment using IOL MATCH, corneal Q value analysis, and optical simulation using AIOLsci. Optical performance was evaluated through modulation transfer function area (MTFa) simulation and depth of focus modelling. The discussion was illustrated by a case of a 64-year-old woman with prior hyperopic LASIK, asymmetric corneas, and high expectations for spectacle independence. Decision making integrated functional objectives, corneal asphericity, pupil size, and tolerance to photic phenomena rather than relying on a simplified extended depth of focus (EDOF) versus multifocal lens classification.",
        "Results": "Corneal analysis revealed asymmetric profiles with Q values of -0.17 in the right eye and -0.70 in the left eye. MTFa simulation demonstrated that an EDOF design alone would not provide an adequate functional range in the eye with lower negative asphericity. A diffractive continuous Full DoFi design (FineVision HP, BVI, Belgium) was therefore selected in the right non-dominant eye to enhance intermediate and near performance. In the left eye with higher negative asphericity, optical modelling predicted improved depth of focus and greater tolerance with a non-diffractive continuous Full DoFi profile (Lucidis 124MT, SAV IOL, Switzerland).",
        "Conclusions": "In post LVC patients, modern IOL selection must extend beyond formula optimisation towards integrated functional and corneal optical analysis. The combination of IOL MATCH and AIOLsci supports safer decision making, improved patient counselling, and reduction of dissatisfaction risk in presbyopia correcting IOL implantation. A corneal asphericity driven functional strategy may represent an evolving clinical standard in 2026."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 343
    },
    {
      "uid": "PP16.01",
      "abstract_number": "PP16.01",
      "title": "Evaluating The Safety And Efficacy Of Pack-Cxl As An Adjunctive Treatment In Infectious Corneal Ulcers",
      "authors": "Mr Mohamed Hegab",
      "presenter": "Mr Mohamed Hegab",
      "normalized_authors": [
        "Mohamed Hegab"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohamed Hegab",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Infectious keratitis remains a vision-threatening ophthalmic emergency with substantial morbidity despite intensive antimicrobial therapy. Photoactivated Chromophore for Keratitis–Corneal Cross-Linking (PACK-CXL) has emerged as a potential adjunctive therapy for infectious keratitis. However, real-world outcomes vary, and evidence is limited by heterogeneity in ulcer severity, microbiological spectrum, and procedural parameters. This clinical audit aimed to evaluate the safety and efficacy of an accelerated high-fluence PACK-CXL protocol used as adjunctive therapy for infectious corneal ulcers at a UK tertiary centre.",
        "Setting": "James Cook University Hospital, UK, Ophthalmology Directorate (Cornea service). Patients undergoing PACK-CXL for infectious keratitis between January 2016 and December 2024 were included. Cases were identified through the Medisight audit tool, and data were extracted from electronic patient records (Evolve, Medisight, Heidelberg Imaging Platform) and physical case notes.",
        "Methods": "Design: Single-centre clinical audit evaluating outcomes after PACK-CXL performed for infectious keratitis.\n\nEligibility: Patients who underwent corneal cross-linking specifically for management of infectious keratitis/corneal ulceration.\n\nPACK-CXL protocol: All cases received the same accelerated protocol: riboflavin soak for 10 minutes, followed by UVA irradiation at 30 mW/cm² for 4 minutes continuous (total energy 7.2 J/cm²).\n\nOutcome measures: Primary efficiacy endpoints were time to full re-epithelialisation (days from PACK-CXL to intact epithelial surface) and Ulcer resolution (complete stromal quiescence with no active infiltrate). Primary safety endpoints were occurance of complications or surgical escalation.",
        "Results": "Nine patients were included (mean age 63 ± 20 years). Ulcers were predominantly central (56%) with a mean surface area of 17.4 ± 11.5 mm² and mean ulcer size was 3.47 × 5.17 mm (largest diameter 8.3 mm); microbiological confirmation was obtained in 67%, including bacterial and fungal pathogens. Resolution occurred in 6/9 eyes (67%). Mean time to epithelial healing was 59 ± 43 days and mean time to resolution was 88 ± 81 days. Four eyes (44%) had no complications. Surgical escalation was required in three eyes. Two patients developed recurrent microbial infection. All healed eyes demonstrated visual improvement or stability.",
        "Conclusions": "In this cohort of complex infectious keratitis, accelerated PACK CXL achieved a two-thirds resolution rate with an acceptable safety profile, comparable to published refractory series. These findings support PACK CXL as a useful adjunctive therapy in selected cases and suggest benefit from earlier use in the treatment pathway."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this cohort of complex infectious keratitis, accelerated PACK CXL achieved a two-thirds resolution rate with an acceptable safety profile, comparable to published refractory series. These findings support PACK CXL as a useful adjunctive therapy in selected cases and suggest benefit from earlier use in the treatment pathway.",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 248,
      "source_fields": {
        "Abstract Final Identifier": "PP16.01",
        "Title": "Evaluating The Safety And Efficacy Of Pack-Cxl As An Adjunctive Treatment In Infectious Corneal Ulcers",
        "Presenting Author(s)": "Mr Mohamed Hegab",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Mohamed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hegab",
        "Country Name": "United Kingdom",
        "Purpose": "Infectious keratitis remains a vision-threatening ophthalmic emergency with substantial morbidity despite intensive antimicrobial therapy. Photoactivated Chromophore for Keratitis–Corneal Cross-Linking (PACK-CXL) has emerged as a potential adjunctive therapy for infectious keratitis. However, real-world outcomes vary, and evidence is limited by heterogeneity in ulcer severity, microbiological spectrum, and procedural parameters. This clinical audit aimed to evaluate the safety and efficacy of an accelerated high-fluence PACK-CXL protocol used as adjunctive therapy for infectious corneal ulcers at a UK tertiary centre.",
        "Setting": "James Cook University Hospital, UK, Ophthalmology Directorate (Cornea service). Patients undergoing PACK-CXL for infectious keratitis between January 2016 and December 2024 were included. Cases were identified through the Medisight audit tool, and data were extracted from electronic patient records (Evolve, Medisight, Heidelberg Imaging Platform) and physical case notes.",
        "Methods": "Design: Single-centre clinical audit evaluating outcomes after PACK-CXL performed for infectious keratitis.\n\nEligibility: Patients who underwent corneal cross-linking specifically for management of infectious keratitis/corneal ulceration.\n\nPACK-CXL protocol: All cases received the same accelerated protocol: riboflavin soak for 10 minutes, followed by UVA irradiation at 30 mW/cm² for 4 minutes continuous (total energy 7.2 J/cm²).\n\nOutcome measures: Primary efficiacy endpoints were time to full re-epithelialisation (days from PACK-CXL to intact epithelial surface) and Ulcer resolution (complete stromal quiescence with no active infiltrate). Primary safety endpoints were occurance of complications or surgical escalation.",
        "Results": "Nine patients were included (mean age 63 ± 20 years). Ulcers were predominantly central (56%) with a mean surface area of 17.4 ± 11.5 mm² and mean ulcer size was 3.47 × 5.17 mm (largest diameter 8.3 mm); microbiological confirmation was obtained in 67%, including bacterial and fungal pathogens. Resolution occurred in 6/9 eyes (67%). Mean time to epithelial healing was 59 ± 43 days and mean time to resolution was 88 ± 81 days. Four eyes (44%) had no complications. Surgical escalation was required in three eyes. Two patients developed recurrent microbial infection. All healed eyes demonstrated visual improvement or stability.",
        "Conclusions": "In this cohort of complex infectious keratitis, accelerated PACK CXL achieved a two-thirds resolution rate with an acceptable safety profile, comparable to published refractory series. These findings support PACK CXL as a useful adjunctive therapy in selected cases and suggest benefit from earlier use in the treatment pathway."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "PP16.02",
      "abstract_number": "PP16.02",
      "title": "Infectious Keratitis After Accelerated Corneal Collagen Cross-Linking",
      "authors": "Dr Hemant Jhajharia",
      "presenter": "Dr Hemant Jhajharia",
      "normalized_authors": [
        "Hemant Jhajharia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hemant Jhajharia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To analyse the risk factors, clinical features, visual outcomes and in-vivo imaging characteristics in cases of\nkeratoconus developing keratitis following accelerated collagen cross linking (CXL).",
        "Setting": "Dr. Rajendra Prasad Centre for Ophthalmic Sciences, a Tertiary Care Centre in India",
        "Methods": "A retrospective observational case series at a tertiary eye centre in India evaluating eyes that underwent\naccelerated CXL from January 2021 to July 2024.",
        "Results": "Of 723 eyes undergoing CXL, 13 eyes developed infectious keratitis (1.79%). Bandage contact lens use was common to all. The mean duration from onset of symptoms to presentation was 2.7 ± 1.5 days. The most common clinical presentation was multifocal stromal infiltrates seen in 85.7% cases. Average resolution time was 18.4 ± 12.9 days. The most common organism isolated was CoNS, while others included S. aureus, E. coli, Candida sp. and Acanthameba sp. Resistance to fourth generation fluoroquinolones was observed in 60%. Involvement was mostly anterior to the demarcation line. Scheimpflug imaging showed greater flattening and thinning with scar\nformation. In the early post-operative phase, transient steepening was observed in one case.",
        "Conclusions": "Infectious keratitis following accelerated CXL is a rare clinical entity. Early presentation, timely management\nincluding use of topical steroids are associated with good visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Infectious keratitis following accelerated CXL is a rare clinical entity. Early presentation, timely management including use of topical steroids are associated with good visual outcomes.",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 249,
      "source_fields": {
        "Abstract Final Identifier": "PP16.02",
        "Title": "Infectious Keratitis After Accelerated Corneal Collagen Cross-Linking",
        "Presenting Author(s)": "Dr Hemant Jhajharia",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Hemant",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jhajharia",
        "Country Name": "India",
        "Purpose": "To analyse the risk factors, clinical features, visual outcomes and in-vivo imaging characteristics in cases of\nkeratoconus developing keratitis following accelerated collagen cross linking (CXL).",
        "Setting": "Dr. Rajendra Prasad Centre for Ophthalmic Sciences, a Tertiary Care Centre in India",
        "Methods": "A retrospective observational case series at a tertiary eye centre in India evaluating eyes that underwent\naccelerated CXL from January 2021 to July 2024.",
        "Results": "Of 723 eyes undergoing CXL, 13 eyes developed infectious keratitis (1.79%). Bandage contact lens use was common to all. The mean duration from onset of symptoms to presentation was 2.7 ± 1.5 days. The most common clinical presentation was multifocal stromal infiltrates seen in 85.7% cases. Average resolution time was 18.4 ± 12.9 days. The most common organism isolated was CoNS, while others included S. aureus, E. coli, Candida sp. and Acanthameba sp. Resistance to fourth generation fluoroquinolones was observed in 60%. Involvement was mostly anterior to the demarcation line. Scheimpflug imaging showed greater flattening and thinning with scar\nformation. In the early post-operative phase, transient steepening was observed in one case.",
        "Conclusions": "Infectious keratitis following accelerated CXL is a rare clinical entity. Early presentation, timely management\nincluding use of topical steroids are associated with good visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 203
    },
    {
      "uid": "PP16.03",
      "abstract_number": "PP16.03",
      "title": "Pulsed-Light Accelerated Corneal Cross-Linking In Pediatric Keratoconus: Topographic And Refractive Outcomes From A Tertiary Center",
      "authors": "Dr Danya Aldahan",
      "presenter": "Dr Danya Aldahan",
      "normalized_authors": [
        "Danya Aldahan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Danya Aldahan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To evaluate visual and topographic outcomes after corneal collagen cross-linking (CXL) in a pediatric/adolescent keratoconus cohort using eye-level longitudinal clinical data.",
        "Setting": "The patient's chart review was conducted at King Khaled Eye Specialist Hospital (a tertiary eye center in Riyadh, Saudi Arabia) between 2014 and 2021.",
        "Methods": "Retrospective cohort study of 332 eyes from 241 patients undergoing CXL. Outcomes were assessed at last available follow-up and included change in maximum keratometry (Kmax), mean keratometry (Kmean), topographic astigmatism, pachymetry, and uncorrected distance visual acuity (converted to logMAR). Progression was defined a priori as an increase in Kmax of ≥+1.0 D from baseline at last follow-up; improvement was defined as a decrease ≤−1.0 D.",
        "Results": "Mean age at treatment was 14.87±3.45 years. Median follow-up was 3.79 years (IQR 2.61). At last follow-up, mean ΔKmax was −0.23±6.66 D. Based on Kmax response categories, 148 eyes (44.6%) improved, 116 (34.9%) were stable, and 58 (17.5%) progressed. Kmax data were available for all eyes at the last follow-up. Repeat CXL was performed in 3 eyes (0.9%). In multivariable GEE analysis, higher baseline Kmax and thinner baseline pachymetry were independently associated with greater corneal flattening at last follow-up (p<0.01).",
        "Conclusions": "CXL achieved stabilization or improvement in the majority of pediatric/adolescent eyes over nearly four years of follow-up, with a low retreatment rate. Baseline disease severity and corneal thickness influenced the magnitude of topographic response."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CXL achieved stabilization or improvement in the majority of pediatric/adolescent eyes over nearly four years of follow-up, with a low retreatment rate. Baseline disease severity and corneal thickness influenced the magnitude of topographic response.",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 250,
      "source_fields": {
        "Abstract Final Identifier": "PP16.03",
        "Title": "Pulsed-Light Accelerated Corneal Cross-Linking In Pediatric Keratoconus: Topographic And Refractive Outcomes From A Tertiary Center",
        "Presenting Author(s)": "Dr Danya Aldahan",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Danya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aldahan",
        "Country Name": "Saudi Arabia",
        "Purpose": "To evaluate visual and topographic outcomes after corneal collagen cross-linking (CXL) in a pediatric/adolescent keratoconus cohort using eye-level longitudinal clinical data.",
        "Setting": "The patient's chart review was conducted at King Khaled Eye Specialist Hospital (a tertiary eye center in Riyadh, Saudi Arabia) between 2014 and 2021.",
        "Methods": "Retrospective cohort study of 332 eyes from 241 patients undergoing CXL. Outcomes were assessed at last available follow-up and included change in maximum keratometry (Kmax), mean keratometry (Kmean), topographic astigmatism, pachymetry, and uncorrected distance visual acuity (converted to logMAR). Progression was defined a priori as an increase in Kmax of ≥+1.0 D from baseline at last follow-up; improvement was defined as a decrease ≤−1.0 D.",
        "Results": "Mean age at treatment was 14.87±3.45 years. Median follow-up was 3.79 years (IQR 2.61). At last follow-up, mean ΔKmax was −0.23±6.66 D. Based on Kmax response categories, 148 eyes (44.6%) improved, 116 (34.9%) were stable, and 58 (17.5%) progressed. Kmax data were available for all eyes at the last follow-up. Repeat CXL was performed in 3 eyes (0.9%). In multivariable GEE analysis, higher baseline Kmax and thinner baseline pachymetry were independently associated with greater corneal flattening at last follow-up (p<0.01).",
        "Conclusions": "CXL achieved stabilization or improvement in the majority of pediatric/adolescent eyes over nearly four years of follow-up, with a low retreatment rate. Baseline disease severity and corneal thickness influenced the magnitude of topographic response."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "PP16.04",
      "abstract_number": "PP16.04",
      "title": "Accelerated 10 Mw/Cm² Transepithelial Iontophoretic Corneal Cross-Linking For Pediatric Progressive Keratoconus: Up To 11-Year Results",
      "authors": "Dr Mario Troisi",
      "presenter": "Dr Mario Troisi",
      "normalized_authors": [
        "Mario Troisi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mario Troisi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate the long-term efficacy and safety of accelerated transepithelial iontophoretic corneal collagen cross-linking (Accelerated i-CXL-TE) in pediatric and young adult patients with progressive keratoconus (pKC), reporting outcomes up to 11 years of follow-up.",
        "Setting": "This study was conducted at the Cornea Unit of Salerno University Hospital, Salerno, Italy.",
        "Methods": "This retrospective longitudinal study included 69 eyes of 56 patients (12–32 years) with documented progressive keratoconus (≥1.5 D increase in Kmax, ≥20 µm thinning, or ≥0.75 D increase in cylinder within 6 months) treated between November 2014 and June 2015. The protocol included epi-on iontophoresis with 0.1% hypotonic riboflavin for 5 minutes followed by accelerated UV-A irradiation (370 nm, 10 mW/cm²) for 9 minutes (5.4 J/cm²). Follow-up was performed at 1, 3, 6, and 12 months, then every 6 months up to 11 years, assessing Kmax, pachymetry, CDVA, endothelial count, IOP, and OCT.",
        "Results": "Over a mean follow-up of 9.6 ± 1.8 years (up to 11 years), Kmax showed a sustained reduction, reaching −1.48 ± 0.85 D at last follow-up (p<0.001), with significance from month 6 onward. Overall, 84% of eyes demonstrated stabilization or flattening, and 62% achieved ≥1.0 D reduction. CDVA improved or remained stable in 89.8% (mean gain +0.11 ± 0.09 logMAR, p=0.003). Pachymetry, endothelial cell density (<2% loss), and IOP remained stable (p>0.05). Retreatment was required in 4 eyes (5.8%), with subsequent stabilization. No significant complications were observed.",
        "Conclusions": "Accelerated i-CXL-TE demonstrated sustained efficacy in halting progressive keratoconus for up to 11 years in pediatric and young patients, with significant long-term Kmax reduction and visual stability. The absence of endothelial damage or stromal complications confirms its long-term safety. Short procedure time and epithelial preservation make this approach particularly suitable for young and pediatric populations.\n\nFurther prospective comparative studies are warranted to confirm these long-term findings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Accelerated i-CXL-TE demonstrated sustained efficacy in halting progressive keratoconus for up to 11 years in pediatric and young patients, with significant long-term Kmax reduction and visual stability. The absence of endothelial damage or stromal complications confirms its long-term safety. Short procedure time and epithelial preservation make this approach particularly suitable for young and pediatric…",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 251,
      "source_fields": {
        "Abstract Final Identifier": "PP16.04",
        "Title": "Accelerated 10 Mw/Cm² Transepithelial Iontophoretic Corneal Cross-Linking For Pediatric Progressive Keratoconus: Up To 11-Year Results",
        "Presenting Author(s)": "Dr Mario Troisi",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Mario",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Troisi",
        "Country Name": "Italy",
        "Purpose": "To evaluate the long-term efficacy and safety of accelerated transepithelial iontophoretic corneal collagen cross-linking (Accelerated i-CXL-TE) in pediatric and young adult patients with progressive keratoconus (pKC), reporting outcomes up to 11 years of follow-up.",
        "Setting": "This study was conducted at the Cornea Unit of Salerno University Hospital, Salerno, Italy.",
        "Methods": "This retrospective longitudinal study included 69 eyes of 56 patients (12–32 years) with documented progressive keratoconus (≥1.5 D increase in Kmax, ≥20 µm thinning, or ≥0.75 D increase in cylinder within 6 months) treated between November 2014 and June 2015. The protocol included epi-on iontophoresis with 0.1% hypotonic riboflavin for 5 minutes followed by accelerated UV-A irradiation (370 nm, 10 mW/cm²) for 9 minutes (5.4 J/cm²). Follow-up was performed at 1, 3, 6, and 12 months, then every 6 months up to 11 years, assessing Kmax, pachymetry, CDVA, endothelial count, IOP, and OCT.",
        "Results": "Over a mean follow-up of 9.6 ± 1.8 years (up to 11 years), Kmax showed a sustained reduction, reaching −1.48 ± 0.85 D at last follow-up (p<0.001), with significance from month 6 onward. Overall, 84% of eyes demonstrated stabilization or flattening, and 62% achieved ≥1.0 D reduction. CDVA improved or remained stable in 89.8% (mean gain +0.11 ± 0.09 logMAR, p=0.003). Pachymetry, endothelial cell density (<2% loss), and IOP remained stable (p>0.05). Retreatment was required in 4 eyes (5.8%), with subsequent stabilization. No significant complications were observed.",
        "Conclusions": "Accelerated i-CXL-TE demonstrated sustained efficacy in halting progressive keratoconus for up to 11 years in pediatric and young patients, with significant long-term Kmax reduction and visual stability. The absence of endothelial damage or stromal complications confirms its long-term safety. Short procedure time and epithelial preservation make this approach particularly suitable for young and pediatric populations.\n\nFurther prospective comparative studies are warranted to confirm these long-term findings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 313
    },
    {
      "uid": "PP16.05",
      "abstract_number": "PP16.05",
      "title": "Clinical Outcomes And Demarcation Line Depth After Accelerated Corneal Cross-Linking In Pediatric Progressive Keratoconus",
      "authors": "Dr Merve Birge Ergün",
      "presenter": "Dr Merve Birge Ergün",
      "normalized_authors": [
        "Merve Birge Ergün"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Merve Birge Ergün",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study evaluated the efficacy of accelerated corneal collagen cross-linking (ACXL) in pediatric patients with progressive keratoconus and investigated the relationship between treatment efficacy and demarcation line depth (DLD) measured by anterior segment OCT.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Turkey.",
        "Methods": "Medical records of patients under 18 years of age who underwent ACXL for progressive keratoconus between January 2022 and June 2023 were retrospectively reviewed. A total of 49 eyes from 31 pediatric patients were included. Preoperative and postoperative 1st, 6th, and 12th month complete ophthalmological examination findings, best corrected visual acuity (BCVA) and topographic data were recorded. Additionally, the DLD was measured on anterior segment OCT at 1 month postoperatively.",
        "Results": "The mean age was 15.3±1.36 years. At 12 months postoperatively, BCVA improved significantly from 0.489±0.056 to 0.286±0.045 logMAR (p=0.005). Keratometric values (K1, K2, Kmax) changed significantly (p<0.001). Kmax transiently increased at 1 month, then significantly flattened at 6 and 12 months compared with baseline. Central and thinnest corneal thicknesses decreased at 1 month and partially recovered, but remained significantly below baseline values (p<0.001). Mean 1-month DLD was 343.24±63.1 µm. At 6 months, DLD showed weak-to-moderate correlations with changes in cylindrical refraction (r=0.369, p=0.035) and posterior symmetry index (r=0.393, p=0.024).",
        "Conclusions": "Accelerated corneal collagen cross-linking is an effective treatment for stabilizing progressive pediatric keratoconus and improving visual, refractive and keratometric outcomes. Demarcation line depth appears to reflect stromal and posterior corneal responses to treatment but should be considered a supportive marker rather than a primary determinant of clinical success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Accelerated corneal collagen cross-linking is an effective treatment for stabilizing progressive pediatric keratoconus and improving visual, refractive and keratometric outcomes. Demarcation line depth appears to reflect stromal and posterior corneal responses to treatment but should be considered a supportive marker rather than a primary determinant of clinical success.",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 252,
      "source_fields": {
        "Abstract Final Identifier": "PP16.05",
        "Title": "Clinical Outcomes And Demarcation Line Depth After Accelerated Corneal Cross-Linking In Pediatric Progressive Keratoconus",
        "Presenting Author(s)": "Dr Merve Birge Ergün",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Merve",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Birge Ergün",
        "Country Name": "Türkiye",
        "Purpose": "This study evaluated the efficacy of accelerated corneal collagen cross-linking (ACXL) in pediatric patients with progressive keratoconus and investigated the relationship between treatment efficacy and demarcation line depth (DLD) measured by anterior segment OCT.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Turkey.",
        "Methods": "Medical records of patients under 18 years of age who underwent ACXL for progressive keratoconus between January 2022 and June 2023 were retrospectively reviewed. A total of 49 eyes from 31 pediatric patients were included. Preoperative and postoperative 1st, 6th, and 12th month complete ophthalmological examination findings, best corrected visual acuity (BCVA) and topographic data were recorded. Additionally, the DLD was measured on anterior segment OCT at 1 month postoperatively.",
        "Results": "The mean age was 15.3±1.36 years. At 12 months postoperatively, BCVA improved significantly from 0.489±0.056 to 0.286±0.045 logMAR (p=0.005). Keratometric values (K1, K2, Kmax) changed significantly (p<0.001). Kmax transiently increased at 1 month, then significantly flattened at 6 and 12 months compared with baseline. Central and thinnest corneal thicknesses decreased at 1 month and partially recovered, but remained significantly below baseline values (p<0.001). Mean 1-month DLD was 343.24±63.1 µm. At 6 months, DLD showed weak-to-moderate correlations with changes in cylindrical refraction (r=0.369, p=0.035) and posterior symmetry index (r=0.393, p=0.024).",
        "Conclusions": "Accelerated corneal collagen cross-linking is an effective treatment for stabilizing progressive pediatric keratoconus and improving visual, refractive and keratometric outcomes. Demarcation line depth appears to reflect stromal and posterior corneal responses to treatment but should be considered a supportive marker rather than a primary determinant of clinical success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "PP16.06",
      "abstract_number": "PP16.06",
      "title": "Corneal Tomographic Changes After Modified Dresden Protocol Cross-Linking In Pediatric Keratoconus: A Long-Term Pentacam Study",
      "authors": "Dr Nancy Zakaria",
      "presenter": "Dr Nancy Zakaria",
      "normalized_authors": [
        "Nancy Zakaria"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nancy Zakaria",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the long-term corneal tomographic changes after corneal collagen cross-linking (CXL) using a modified Dresden protocol in pediatric patients with progressive keratoconus.",
        "Setting": "Department of Ophthalmology, Alexandria University Hospitals, Faculty of Medicine, University of Alexandria, Egypt.",
        "Methods": "Retrospective, non-randomized interventional study including 30 eyes of 15 patients (<18 years) with keratoconus and minimum corneal thickness ≥400 µm. All eyes underwent epithelium-off CXL using transepithelial PTK-assisted epithelial removal followed by riboflavin 0.1% and UVA irradiation (3 mW/cm² for 30 minutes). Pentacam HR tomography was performed preoperatively and at 3, 6, and 12 months, then annually up to 5 years. Keratometry (K1, K2, Kmax), pachymetry, anterior/posterior elevation, Q value, and topographic indices were analyzed.",
        "Results": "Mean age was 13.33±2.51 years with a mean follow-up of 2.9±1.27 years. Significant reduction in K1 and K2 was observed at 3 and 6 months (p≤0.044), with stabilization thereafter. Kmax showed early flattening (p=0.048) and remained stable long-term. Q value shifted toward less prolate corneas up to 2 years (p<0.001). Anterior elevation decreased significantly up to 3 years. Central and thinnest pachymetry showed significant early reduction at 3 months (p<0.001) without further significant progression. ISV and KI improved significantly early postoperatively.",
        "Conclusions": "Modified Dresden protocol CXL in pediatric keratoconus resulted in significant early corneal flattening and improvement in tomographic indices, followed by long-term stabilization. Despite an initial reduction in corneal thickness, no progressive thinning was observed. These findings support the safety and efficacy of epithelium-off CXL in halting disease progression in pediatric patients, emphasizing the importance of early intervention in this high-risk group."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Modified Dresden protocol CXL in pediatric keratoconus resulted in significant early corneal flattening and improvement in tomographic indices, followed by long-term stabilization. Despite an initial reduction in corneal thickness, no progressive thinning was observed. These findings support the safety and efficacy of epithelium-off CXL in halting disease progression in pediatric patients, emphasizing the…",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 253,
      "source_fields": {
        "Abstract Final Identifier": "PP16.06",
        "Title": "Corneal Tomographic Changes After Modified Dresden Protocol Cross-Linking In Pediatric Keratoconus: A Long-Term Pentacam Study",
        "Presenting Author(s)": "Dr Nancy Zakaria",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Nancy",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zakaria",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the long-term corneal tomographic changes after corneal collagen cross-linking (CXL) using a modified Dresden protocol in pediatric patients with progressive keratoconus.",
        "Setting": "Department of Ophthalmology, Alexandria University Hospitals, Faculty of Medicine, University of Alexandria, Egypt.",
        "Methods": "Retrospective, non-randomized interventional study including 30 eyes of 15 patients (<18 years) with keratoconus and minimum corneal thickness ≥400 µm. All eyes underwent epithelium-off CXL using transepithelial PTK-assisted epithelial removal followed by riboflavin 0.1% and UVA irradiation (3 mW/cm² for 30 minutes). Pentacam HR tomography was performed preoperatively and at 3, 6, and 12 months, then annually up to 5 years. Keratometry (K1, K2, Kmax), pachymetry, anterior/posterior elevation, Q value, and topographic indices were analyzed.",
        "Results": "Mean age was 13.33±2.51 years with a mean follow-up of 2.9±1.27 years. Significant reduction in K1 and K2 was observed at 3 and 6 months (p≤0.044), with stabilization thereafter. Kmax showed early flattening (p=0.048) and remained stable long-term. Q value shifted toward less prolate corneas up to 2 years (p<0.001). Anterior elevation decreased significantly up to 3 years. Central and thinnest pachymetry showed significant early reduction at 3 months (p<0.001) without further significant progression. ISV and KI improved significantly early postoperatively.",
        "Conclusions": "Modified Dresden protocol CXL in pediatric keratoconus resulted in significant early corneal flattening and improvement in tomographic indices, followed by long-term stabilization. Despite an initial reduction in corneal thickness, no progressive thinning was observed. These findings support the safety and efficacy of epithelium-off CXL in halting disease progression in pediatric patients, emphasizing the importance of early intervention in this high-risk group."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "PP16.07",
      "abstract_number": "PP16.07",
      "title": "Determinants Of Postoperative Pain Following Corneal Cross-Linking: A Longitudinal Mixed-Effects Analysis",
      "authors": "Prof. Dr Ahmet Elbay",
      "presenter": "Prof. Dr Ahmet Elbay",
      "normalized_authors": [
        "Ahmet Elbay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmet Elbay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Postoperative pain remains one of the most common and challenging complications following corneal cross-linking despite various anesthesia and analgesia strategies. The aim of this study was to compare different analgesia protocols for postoperative pain control following corneal cross-linking and to evaluate temporal pain profiles as well as clinical and intraoperative factors associated with postoperative pain severity.",
        "Setting": "This retrospective comparative study was conducted at a tertiary referral ophthalmology center. Patients who underwent standard epithelium-off corneal cross-linking for keratoconus were included. Postoperative pain scores were recorded at predefined postoperative time points during the first 24 hours following surgery.",
        "Methods": "All patients received standard postoperative artificial tear and topical antibiotic therapy. Patients were divided into four groups according to analgesic protocol. Group 1 received NSAIDs at the 1st postoperative hour; Group 2 received subtenon lidocaine–bupivacaine at surgery completion followed by NSAIDs at the 3rd hour; Group 3 received intravenous tramadol-based analgesia at the 1st postoperative hour; and Group 4 received both subtenon anesthesia and intravenous tramadol at the 3rd hour. Intergroup comparisons were performed using one-way ANOVA. Longitudinal pain changes were analyzed using linear mixed-effects models, and hour-specific predictors were evaluated with multiple linear regression analysis.",
        "Results": "Baseline demographic and clinical characteristics were comparable among groups (p>0.05). Postoperative pain scores decreased significantly over time in all groups (p<0.001). Patients receiving subtenon anesthesia showed lower pain scores in the early postoperative period compared with NSAID-only treatment. Linear mixed-effects analysis demonstrated significant effects of time, treatment group, and time–group interaction on postoperative pain (p<0.001). Intraoperative pain score was the only independent predictor of postoperative pain severity. Hour-specific regression analyses showed significant analgesic benefit of subtenon anesthesia during the first and second postoperative hours, which diminished by the fourth hour.",
        "Conclusions": "Subtenon anesthesia significantly reduces early postoperative pain following corneal cross-linking; however, this analgesic effect diminishes over time. Systemic tramadol provides additional pain control during later postoperative periods. Intraoperative pain perception was identified as the strongest predictor of postoperative pain severity. These findings suggest that combined perioperative analgesic strategies may provide more effective and sustained postoperative pain control after corneal cross-linking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Subtenon anesthesia significantly reduces early postoperative pain following corneal cross-linking; however, this analgesic effect diminishes over time. Systemic tramadol provides additional pain control during later postoperative periods. Intraoperative pain perception was identified as the strongest predictor of postoperative pain severity. These findings suggest that combined perioperative analgesic strategies…",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 254,
      "source_fields": {
        "Abstract Final Identifier": "PP16.07",
        "Title": "Determinants Of Postoperative Pain Following Corneal Cross-Linking: A Longitudinal Mixed-Effects Analysis",
        "Presenting Author(s)": "Prof. Dr Ahmet Elbay",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Ahmet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elbay",
        "Country Name": "Türkiye",
        "Purpose": "Postoperative pain remains one of the most common and challenging complications following corneal cross-linking despite various anesthesia and analgesia strategies. The aim of this study was to compare different analgesia protocols for postoperative pain control following corneal cross-linking and to evaluate temporal pain profiles as well as clinical and intraoperative factors associated with postoperative pain severity.",
        "Setting": "This retrospective comparative study was conducted at a tertiary referral ophthalmology center. Patients who underwent standard epithelium-off corneal cross-linking for keratoconus were included. Postoperative pain scores were recorded at predefined postoperative time points during the first 24 hours following surgery.",
        "Methods": "All patients received standard postoperative artificial tear and topical antibiotic therapy. Patients were divided into four groups according to analgesic protocol. Group 1 received NSAIDs at the 1st postoperative hour; Group 2 received subtenon lidocaine–bupivacaine at surgery completion followed by NSAIDs at the 3rd hour; Group 3 received intravenous tramadol-based analgesia at the 1st postoperative hour; and Group 4 received both subtenon anesthesia and intravenous tramadol at the 3rd hour. Intergroup comparisons were performed using one-way ANOVA. Longitudinal pain changes were analyzed using linear mixed-effects models, and hour-specific predictors were evaluated with multiple linear regression analysis.",
        "Results": "Baseline demographic and clinical characteristics were comparable among groups (p>0.05). Postoperative pain scores decreased significantly over time in all groups (p<0.001). Patients receiving subtenon anesthesia showed lower pain scores in the early postoperative period compared with NSAID-only treatment. Linear mixed-effects analysis demonstrated significant effects of time, treatment group, and time–group interaction on postoperative pain (p<0.001). Intraoperative pain score was the only independent predictor of postoperative pain severity. Hour-specific regression analyses showed significant analgesic benefit of subtenon anesthesia during the first and second postoperative hours, which diminished by the fourth hour.",
        "Conclusions": "Subtenon anesthesia significantly reduces early postoperative pain following corneal cross-linking; however, this analgesic effect diminishes over time. Systemic tramadol provides additional pain control during later postoperative periods. Intraoperative pain perception was identified as the strongest predictor of postoperative pain severity. These findings suggest that combined perioperative analgesic strategies may provide more effective and sustained postoperative pain control after corneal cross-linking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "PP16.08",
      "abstract_number": "PP16.08",
      "title": "Prospective Evaluation Of Pulsed, Accelerated, Customized Refractive Corneal Cross-Linking (Elza-Pace) To Improve Vision In Progressive Keratoconus",
      "authors": "Prof. Dr Farhad Hafezi*",
      "presenter": "Prof. Dr Farhad Hafezi*",
      "normalized_authors": [
        "Farhad Hafezi*"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farhad Hafezi*",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Switzerland",
      "sections": {
        "Purpose": "To evaluate one-year and two-year structural and functional outcomes of ELZA-PACE, a PTK-assisted, customized epithelium-on epithelium-off refractive corneal cross-linking technique designed to reduce topographic asymmetry and improve visual quality in corneal ectasia without stromal tissue removal.",
        "Setting": "Proespective single-site interventional study, conducted at the ELZA Institute, Zurich, Switzerland.",
        "Methods": "A total of 135 progressive and stable keratoconus eyes underwent ELZA-PACE with up to 14 J/cm 2 . The procedure combines (1) selective PTK-based epithelial removal over the tip of the cone, creating a localized epi-off zone within an otherwise epi-on cornea, (2) cone-centered riboflavin gradient formation, and (3) differentiated ultraviolet fluence delivery with highest energy densities over the ectatic region. Pre- and postoperative evaluation included Scheimpflug tomography (Pentacam HR), anterior segment OCT-based topography (MS-39), corneal biomechanics (Corvis ST), and standardized corrected visual acuity and refraction. Outcomes were assessed up to 24 months.",
        "Results": "ELZA-PACE produced substantial cone-centered flattening, with reductions in maximal keratometry of up to 12 diopters in selected cases in the absence of any signs of endothelial decompensation nor clinically relevant haze. Topographic and tomographic analyses demonstrated consistent reduction of corneal asymmetry and improved surface regularity. Biomechanical parameters indicated a redistribution of corneal stiffness consistent with targeted strengthening. Subgroup analyses revealed that preoperative cone morphology, demographic factors, patient age and ectasia status (stable vs progressive) influenced the magnitude of flattening and regularization. Structural improvements were accompanied by measurable functional gains in visual quality.",
        "Conclusions": "ELZA-PACE combines oxygen, riboflavin, and UV-fluence gradients to achieve individualized biomechanical regularization without stromal tissue ablation. Beyond focal cone flattening, a biomechanically mediated coupling effect contributes to broader corneal regularization. One-year and two-year data support the safety and efficacy of this second-generation customized refractive corneal cross-linking approach in progressive keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ELZA-PACE combines oxygen, riboflavin, and UV-fluence gradients to achieve individualized biomechanical regularization without stromal tissue ablation. Beyond focal cone flattening, a biomechanically mediated coupling effect contributes to broader corneal regularization. One-year and two-year data support the safety and efficacy of this second-generation customized refractive corneal cross-linking approach in…",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 255,
      "source_fields": {
        "Abstract Final Identifier": "PP16.08",
        "Title": "Prospective Evaluation Of Pulsed, Accelerated, Customized Refractive Corneal Cross-Linking (Elza-Pace) To Improve Vision In Progressive Keratoconus",
        "Presenting Author(s)": "Prof. Dr Farhad Hafezi*",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Farhad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hafezi*",
        "Country Name": "Switzerland",
        "Purpose": "To evaluate one-year and two-year structural and functional outcomes of ELZA-PACE, a PTK-assisted, customized epithelium-on epithelium-off refractive corneal cross-linking technique designed to reduce topographic asymmetry and improve visual quality in corneal ectasia without stromal tissue removal.",
        "Setting": "Proespective single-site interventional study, conducted at the ELZA Institute, Zurich, Switzerland.",
        "Methods": "A total of 135 progressive and stable keratoconus eyes underwent ELZA-PACE with up to 14 J/cm 2 . The procedure combines (1) selective PTK-based epithelial removal over the tip of the cone, creating a localized epi-off zone within an otherwise epi-on cornea, (2) cone-centered riboflavin gradient formation, and (3) differentiated ultraviolet fluence delivery with highest energy densities over the ectatic region. Pre- and postoperative evaluation included Scheimpflug tomography (Pentacam HR), anterior segment OCT-based topography (MS-39), corneal biomechanics (Corvis ST), and standardized corrected visual acuity and refraction. Outcomes were assessed up to 24 months.",
        "Results": "ELZA-PACE produced substantial cone-centered flattening, with reductions in maximal keratometry of up to 12 diopters in selected cases in the absence of any signs of endothelial decompensation nor clinically relevant haze. Topographic and tomographic analyses demonstrated consistent reduction of corneal asymmetry and improved surface regularity. Biomechanical parameters indicated a redistribution of corneal stiffness consistent with targeted strengthening. Subgroup analyses revealed that preoperative cone morphology, demographic factors, patient age and ectasia status (stable vs progressive) influenced the magnitude of flattening and regularization. Structural improvements were accompanied by measurable functional gains in visual quality.",
        "Conclusions": "ELZA-PACE combines oxygen, riboflavin, and UV-fluence gradients to achieve individualized biomechanical regularization without stromal tissue ablation. Beyond focal cone flattening, a biomechanically mediated coupling effect contributes to broader corneal regularization. One-year and two-year data support the safety and efficacy of this second-generation customized refractive corneal cross-linking approach in progressive keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "PP16.09",
      "abstract_number": "PP16.09",
      "title": "Outcomes Of High-Fluence (7.2 J/Cm²) Accelerated Collagen Cross-Linking In Advanced Keratoconus",
      "authors": "Dr Abdülcemal Gürpınar",
      "presenter": "Dr Abdülcemal Gürpınar",
      "normalized_authors": [
        "Abdülcemal Gürpınar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdülcemal Gürpınar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the effectiveness and safety of a high-fluence accelerated epithelium-off corneal collagen cross-linking (CXL) protocol (12 mW/cm² for 10 minutes; total fluence 7.2 J/cm²) in eyes with advanced keratoconus (preoperative Kmax ≥58 D) over 12 months, and to describe keratometric, tomographic, visual, refractive, and endothelial outcomes, including rates of stabilization and progression.",
        "Setting": "Tertiary referral university eye clinic.",
        "Methods": "This retrospective cohort study included 109 eyes of 96 patients with advanced keratoconus, defined as a preoperative maximum keratometry (Kmax) value ≥58 diopters. All eyes underwent an epithelium-off accelerated CXL protocol using an irradiance of 12 mW/cm² for 10 minutes (total fluence: 7.2 J/cm²) and completed a minimum follow-up of 12 months. Corneal topography, manifest refraction, visual acuity, and endothelial cell density were evaluated preoperatively and at 1, 6, and 12 months postoperatively.",
        "Results": "The study included 109 eyes from 96 patients (mean age 25.6 ± 4.4 years). Mean Kmax decreased from 63.56 ± 4.97 D preoperatively to 60.31 ± 4.20 D at 12 months (p = 0.001). Central and thinnest corneal thickness showed significant postoperative reductions (both p = 0.001). Kmax progression occurred in 12 eyes (11%), while 82 eyes (75.2%) demonstrated ≥1 D flattening. BCVA improved significantly (0.60 ± 0.28 to 0.52 ± 0.26 logMAR; p = 0.047), whereas UCVA did not change significantly (p = 0.200). No significant endothelial cell loss was observed (p = 0.058). Two cases of transient corneal edema resolved within 3 months, and one eye required keratoplasty.",
        "Conclusions": "High-fluence accelerated corneal collagen cross-linking using 12 mW/cm² for 10 minutes (total fluence 7.2 J/cm²) was effective in stabilising corneal ectasia in eyes with advanced keratoconus over 12 months. Significant reductions in Kmax and improvements in best-corrected visual acuity were achieved, with most eyes demonstrating topographic stabilisation or flattening. The procedure showed an acceptable safety profile, with no statistically significant endothelial cell loss and a low incidence of clinically relevant complications. These findings suggest that high-fluence accelerated CXL may represent a practical treatment option for selected patients with advanced keratoconus."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High-fluence accelerated corneal collagen cross-linking using 12 mW/cm² for 10 minutes (total fluence 7.2 J/cm²) was effective in stabilising corneal ectasia in eyes with advanced keratoconus over 12 months. Significant reductions in Kmax and improvements in best-corrected visual acuity were achieved, with most eyes demonstrating topographic stabilisation or flattening. The procedure showed an acceptable safety…",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 256,
      "source_fields": {
        "Abstract Final Identifier": "PP16.09",
        "Title": "Outcomes Of High-Fluence (7.2 J/Cm²) Accelerated Collagen Cross-Linking In Advanced Keratoconus",
        "Presenting Author(s)": "Dr Abdülcemal Gürpınar",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Abdülcemal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gürpınar",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the effectiveness and safety of a high-fluence accelerated epithelium-off corneal collagen cross-linking (CXL) protocol (12 mW/cm² for 10 minutes; total fluence 7.2 J/cm²) in eyes with advanced keratoconus (preoperative Kmax ≥58 D) over 12 months, and to describe keratometric, tomographic, visual, refractive, and endothelial outcomes, including rates of stabilization and progression.",
        "Setting": "Tertiary referral university eye clinic.",
        "Methods": "This retrospective cohort study included 109 eyes of 96 patients with advanced keratoconus, defined as a preoperative maximum keratometry (Kmax) value ≥58 diopters. All eyes underwent an epithelium-off accelerated CXL protocol using an irradiance of 12 mW/cm² for 10 minutes (total fluence: 7.2 J/cm²) and completed a minimum follow-up of 12 months. Corneal topography, manifest refraction, visual acuity, and endothelial cell density were evaluated preoperatively and at 1, 6, and 12 months postoperatively.",
        "Results": "The study included 109 eyes from 96 patients (mean age 25.6 ± 4.4 years). Mean Kmax decreased from 63.56 ± 4.97 D preoperatively to 60.31 ± 4.20 D at 12 months (p = 0.001). Central and thinnest corneal thickness showed significant postoperative reductions (both p = 0.001). Kmax progression occurred in 12 eyes (11%), while 82 eyes (75.2%) demonstrated ≥1 D flattening. BCVA improved significantly (0.60 ± 0.28 to 0.52 ± 0.26 logMAR; p = 0.047), whereas UCVA did not change significantly (p = 0.200). No significant endothelial cell loss was observed (p = 0.058). Two cases of transient corneal edema resolved within 3 months, and one eye required keratoplasty.",
        "Conclusions": "High-fluence accelerated corneal collagen cross-linking using 12 mW/cm² for 10 minutes (total fluence 7.2 J/cm²) was effective in stabilising corneal ectasia in eyes with advanced keratoconus over 12 months. Significant reductions in Kmax and improvements in best-corrected visual acuity were achieved, with most eyes demonstrating topographic stabilisation or flattening. The procedure showed an acceptable safety profile, with no statistically significant endothelial cell loss and a low incidence of clinically relevant complications. These findings suggest that high-fluence accelerated CXL may represent a practical treatment option for selected patients with advanced keratoconus."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "PP16.10",
      "abstract_number": "PP16.10",
      "title": "Longitudinal Influence Of Cross-Linking In Progressive Keratoconus On Keratometry And Vision - 10 Years Observation.",
      "authors": "Mrs Karolina Deja",
      "presenter": "Mrs Karolina Deja",
      "normalized_authors": [
        "Karolina Deja"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karolina Dejaciepiaszuk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Poland",
      "sections": {
        "Purpose": "To evaluate occurrence of hyperopic shift, keratometry and visual acuity changes in patients with progressive keratoconus (KC) treated with conventional collagen cross-linking (CXL) during 10 years observation.",
        "Setting": "Retrospective longitudinal study in Laser Eye Microsurgery Centre in Warsaw.",
        "Methods": "127 patients diagnosed with progressive keratoconus treated with CXL Dresden protocol before 2014 were evaluated. Best spectacle corrected visual acuity (BCVA), refraction from autorefractometer, spectacle correction, steep and flat simulated keratometry and thinnest corneal thickness (TCT) were assessed in 3 timepoints: preoperative, 1 year and 10 years- postoperatively.",
        "Results": "49 eyes of 36 patients met inclusion criteria. BCVA remained stable during observation (0,65 ±0,04 vs 0,68 ±0,04 vs 0,67 ±0,04 ). Spherical refraction presented myopic shift (-0,85 ±0,32 vs -1,04±0,33 vs -1,25±0,33; p=0,017), but spherical correction presented hyperopic shift (-3,21±0,49 vs -3,05±0,52 vs -2,16±0,53; p<0,001). Simulated steep and flat keratometry were stable at 1-year follow-up and decreased after 10 years (48,38 ±0,59 vs 48,4±0,57 vs 47,05±0,53; p<0,001 and 45,25±0,56 vs 45,34±0,55 vs 43,94±0,51; p<0,001). Thinnest corneal thickness decreased in every time point (480,7±5,33 vs 468,2±5,12 vs 433±7,71; p<0,001). Cylindrical refraction and correction and corneal astigmatism from keratometry did not change.",
        "Conclusions": "Conventional CXL performed for progressive KC stabilized vision and halted corneal steepening in 10 years observation. Corneal remodelling post CXL was a continuous process of corneal flattening and thinning. As a result of corneal thinning and stiffening, autorefractometer refraction shifted towards myopia. However, flattening of the cornea caused a shift towards hyperopia in effective spectacle correction. This observation shows that collagen cross-linking for progressive keratoconus causes dynamic remodeling of the corneal surface that may affect the vision even 10 years postoperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conventional CXL performed for progressive KC stabilized vision and halted corneal steepening in 10 years observation. Corneal remodelling post CXL was a continuous process of corneal flattening and thinning. As a result of corneal thinning and stiffening, autorefractometer refraction shifted towards myopia. However, flattening of the cornea caused a shift towards hyperopia in effective spectacle correction. This…",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 257,
      "source_fields": {
        "Abstract Final Identifier": "PP16.10",
        "Title": "Longitudinal Influence Of Cross-Linking In Progressive Keratoconus On Keratometry And Vision - 10 Years Observation.",
        "Presenting Author(s)": "Mrs Karolina Deja",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Karolina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dejaciepiaszuk",
        "Country Name": "Poland",
        "Purpose": "To evaluate occurrence of hyperopic shift, keratometry and visual acuity changes in patients with progressive keratoconus (KC) treated with conventional collagen cross-linking (CXL) during 10 years observation.",
        "Setting": "Retrospective longitudinal study in Laser Eye Microsurgery Centre in Warsaw.",
        "Methods": "127 patients diagnosed with progressive keratoconus treated with CXL Dresden protocol before 2014 were evaluated. Best spectacle corrected visual acuity (BCVA), refraction from autorefractometer, spectacle correction, steep and flat simulated keratometry and thinnest corneal thickness (TCT) were assessed in 3 timepoints: preoperative, 1 year and 10 years- postoperatively.",
        "Results": "49 eyes of 36 patients met inclusion criteria. BCVA remained stable during observation (0,65 ±0,04 vs 0,68 ±0,04 vs 0,67 ±0,04 ). Spherical refraction presented myopic shift (-0,85 ±0,32 vs -1,04±0,33 vs -1,25±0,33; p=0,017), but spherical correction presented hyperopic shift (-3,21±0,49 vs -3,05±0,52 vs -2,16±0,53; p<0,001). Simulated steep and flat keratometry were stable at 1-year follow-up and decreased after 10 years (48,38 ±0,59 vs 48,4±0,57 vs 47,05±0,53; p<0,001 and 45,25±0,56 vs 45,34±0,55 vs 43,94±0,51; p<0,001). Thinnest corneal thickness decreased in every time point (480,7±5,33 vs 468,2±5,12 vs 433±7,71; p<0,001). Cylindrical refraction and correction and corneal astigmatism from keratometry did not change.",
        "Conclusions": "Conventional CXL performed for progressive KC stabilized vision and halted corneal steepening in 10 years observation. Corneal remodelling post CXL was a continuous process of corneal flattening and thinning. As a result of corneal thinning and stiffening, autorefractometer refraction shifted towards myopia. However, flattening of the cornea caused a shift towards hyperopia in effective spectacle correction. This observation shows that collagen cross-linking for progressive keratoconus causes dynamic remodeling of the corneal surface that may affect the vision even 10 years postoperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "PP16.11",
      "abstract_number": "PP16.11",
      "title": "Uv Laser Riboflavin Corneal Cross-Linking: Dose–Response Biomechanics And Ocular Safety Versus Led Cxl",
      "authors": "Yang Shen",
      "presenter": "Yang Shen",
      "normalized_authors": [
        "Yang Shen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tian Lin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To determine whether riboflavin-assisted ultraviolet laser corneal cross-linking can achieve effective biomechanical strengthening thereby providing a more precise and potentially individualized approach than conventional LED corneal collagen crosslinking (CXL).",
        "Setting": "Experimental study of corneal cross-linking using ex vivo porcine eyes. The study included 16 porcine eyes and each group included four eyes.",
        "Methods": "Ex vivo porcine corneas underwent riboflavin-assisted ultraviolet laser cross-linking at graded irradiances (15mw/cm 2 , 6min, 30mw/cm 2 ,10min, 60mw/cm 2 ,10min) to evaluate the dose–response relationship, with conventional LED CXL (5.4J/cm 2 , 30min), as the reference. Young’s modulus was calculated at prespecified strain level (0%, 2%, 4%, 6%, and 8%), and one-way ANOVA was used to compare biomechanical differences among groups and identify the UV-laser setting with effects closest to LED CXL. This protocol was then applied in vivo rabbits for safety evaluation in the future.",
        "Results": "Ex vivo porcine corneal tensile testing showed that Young’s modulus increased from 0% to 8% strain in all groups. Compared with the LED group, the low-dose UVA group (15mw/cm 2 , 6min) showed no statistically significant difference in instantaneous Young’s modulus across the entire 0–8% strain range. Specifically, at 0% strain, Young’s modulus was 0.24 ± 0.11 MPa in the LED group and 0.34 ± 0.27 MPa in the UVA group (p = 0.531). At 2% strain, the corresponding values were 0.76 ± 0.31 MPa and 0.43 ± 0.14 MPa (p = 0.121). At 4% strain, they were 0.90 ± 0.07 MPa and 0.74 ± 0.11 MPa (p = 0.057). At 6% strain, they were 1.22 ± 0.59 MPa and 0.92 ± 0.35 MPa (p = 0.423). At 8% strain, they were 1.98 ± 1.25 MPa and 1.31 ± 0.63 MPa (p = 0.388).",
        "Conclusions": "UV-laser riboflavin corneal cross-linking provides controllable, dose-dependent biomechanical stiffening. A low-dose protocol produced biomechanics most comparable to standard LED CXL in an ex vivo model. These findings support further development of programmable UV-laser CXL to achieve cross-linking."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "UV-laser riboflavin corneal cross-linking provides controllable, dose-dependent biomechanical stiffening. A low-dose protocol produced biomechanics most comparable to standard LED CXL in an ex vivo model. These findings support further development of programmable UV-laser CXL to achieve cross-linking.",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 258,
      "source_fields": {
        "Abstract Final Identifier": "PP16.11",
        "Title": "Uv Laser Riboflavin Corneal Cross-Linking: Dose–Response Biomechanics And Ocular Safety Versus Led Cxl",
        "Presenting Author(s)": "Yang Shen",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Tian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lin",
        "Country Name": "China",
        "Purpose": "To determine whether riboflavin-assisted ultraviolet laser corneal cross-linking can achieve effective biomechanical strengthening thereby providing a more precise and potentially individualized approach than conventional LED corneal collagen crosslinking (CXL).",
        "Setting": "Experimental study of corneal cross-linking using ex vivo porcine eyes. The study included 16 porcine eyes and each group included four eyes.",
        "Methods": "Ex vivo porcine corneas underwent riboflavin-assisted ultraviolet laser cross-linking at graded irradiances (15mw/cm 2 , 6min, 30mw/cm 2 ,10min, 60mw/cm 2 ,10min) to evaluate the dose–response relationship, with conventional LED CXL (5.4J/cm 2 , 30min), as the reference. Young’s modulus was calculated at prespecified strain level (0%, 2%, 4%, 6%, and 8%), and one-way ANOVA was used to compare biomechanical differences among groups and identify the UV-laser setting with effects closest to LED CXL. This protocol was then applied in vivo rabbits for safety evaluation in the future.",
        "Results": "Ex vivo porcine corneal tensile testing showed that Young’s modulus increased from 0% to 8% strain in all groups. Compared with the LED group, the low-dose UVA group (15mw/cm 2 , 6min) showed no statistically significant difference in instantaneous Young’s modulus across the entire 0–8% strain range. Specifically, at 0% strain, Young’s modulus was 0.24 ± 0.11 MPa in the LED group and 0.34 ± 0.27 MPa in the UVA group (p = 0.531). At 2% strain, the corresponding values were 0.76 ± 0.31 MPa and 0.43 ± 0.14 MPa (p = 0.121). At 4% strain, they were 0.90 ± 0.07 MPa and 0.74 ± 0.11 MPa (p = 0.057). At 6% strain, they were 1.22 ± 0.59 MPa and 0.92 ± 0.35 MPa (p = 0.423). At 8% strain, they were 1.98 ± 1.25 MPa and 1.31 ± 0.63 MPa (p = 0.388).",
        "Conclusions": "UV-laser riboflavin corneal cross-linking provides controllable, dose-dependent biomechanical stiffening. A low-dose protocol produced biomechanics most comparable to standard LED CXL in an ex vivo model. These findings support further development of programmable UV-laser CXL to achieve cross-linking."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 335
    },
    {
      "uid": "PP16.12",
      "abstract_number": "PP16.12",
      "title": "Stromal Demarcation Line Depth As A Predictor Of 12-Month Tomographic Stabilization After Corneal Cross-Linking",
      "authors": "Dr Oussama El Bassim",
      "presenter": "Dr Oussama El Bassim",
      "normalized_authors": [
        "Oussama El Bassim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Salma Hamidi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To evaluate whether stromal demarcation line (DL) depth predicts 12-month tomographic response after corneal cross-linking (CXL) in progressive keratoconus. We aimed to determine whether absolute and relative DL depth correlate with change in maximum keratometry (ΔKmax), and whether DL depth differs between accelerated and sub-400 epithelium-off protocols.",
        "Setting": "Single-center prospective study conducted in a tertiary ophthalmology referral center specializing in corneal diseases and keratoconus management.",
        "Methods": "Eighty-seven eyes with progressive keratoconus underwent accelerated epithelium-off CXL or sub-400 epithelium-off CXL. At 1 month, anterior segment OCT was used to measure absolute DL depth (µm) and relative depth (DL%) based on local pachymetry. Tomographic response was assessed by change in Kmax at 12 months. Intergroup comparisons were performed using the Mann–Whitney test. Correlations were analyzed using Spearman’s coefficient.",
        "Results": "A visible DL was identified in 56 eyes. Mean DL depth was approximately 225 µm (~50% stromal thickness). Accelerated CXL produced significantly deeper DL compared with the sub-400 protocol (p<0.001). At 12 months (n=53), mean ΔKmax was –0.52 D, with an overall stabilization rate of 87%. A significant negative correlation was observed between DL depth and ΔKmax (rho ≈ –0.6; p<0.01). Similar findings were observed for DL%.",
        "Conclusions": "Deeper stromal demarcation line depth, expressed in absolute and relative values, was significantly associated with improved 12-month tomographic outcomes. These findings suggest that DL depth may represent an early surrogate marker of biomechanical efficacy after CXL rather than solely reflecting photochemical penetration. DL assessment could contribute to early postoperative evaluation of treatment effectiveness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Deeper stromal demarcation line depth, expressed in absolute and relative values, was significantly associated with improved 12-month tomographic outcomes. These findings suggest that DL depth may represent an early surrogate marker of biomechanical efficacy after CXL rather than solely reflecting photochemical penetration. DL assessment could contribute to early postoperative evaluation of treatment effectiveness.",
      "session_type": "Presented Poster",
      "track": "Collagen cross linking",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 259,
      "source_fields": {
        "Abstract Final Identifier": "PP16.12",
        "Title": "Stromal Demarcation Line Depth As A Predictor Of 12-Month Tomographic Stabilization After Corneal Cross-Linking",
        "Presenting Author(s)": "Dr Oussama El Bassim",
        "Abstract Topic Name": "Collagen cross linking",
        "Submitter First Name": "Salma",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hamidi",
        "Country Name": "Morocco",
        "Purpose": "To evaluate whether stromal demarcation line (DL) depth predicts 12-month tomographic response after corneal cross-linking (CXL) in progressive keratoconus. We aimed to determine whether absolute and relative DL depth correlate with change in maximum keratometry (ΔKmax), and whether DL depth differs between accelerated and sub-400 epithelium-off protocols.",
        "Setting": "Single-center prospective study conducted in a tertiary ophthalmology referral center specializing in corneal diseases and keratoconus management.",
        "Methods": "Eighty-seven eyes with progressive keratoconus underwent accelerated epithelium-off CXL or sub-400 epithelium-off CXL. At 1 month, anterior segment OCT was used to measure absolute DL depth (µm) and relative depth (DL%) based on local pachymetry. Tomographic response was assessed by change in Kmax at 12 months. Intergroup comparisons were performed using the Mann–Whitney test. Correlations were analyzed using Spearman’s coefficient.",
        "Results": "A visible DL was identified in 56 eyes. Mean DL depth was approximately 225 µm (~50% stromal thickness). Accelerated CXL produced significantly deeper DL compared with the sub-400 protocol (p<0.001). At 12 months (n=53), mean ΔKmax was –0.52 D, with an overall stabilization rate of 87%. A significant negative correlation was observed between DL depth and ΔKmax (rho ≈ –0.6; p<0.01). Similar findings were observed for DL%.",
        "Conclusions": "Deeper stromal demarcation line depth, expressed in absolute and relative values, was significantly associated with improved 12-month tomographic outcomes. These findings suggest that DL depth may represent an early surrogate marker of biomechanical efficacy after CXL rather than solely reflecting photochemical penetration. DL assessment could contribute to early postoperative evaluation of treatment effectiveness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "PP17.01",
      "abstract_number": "PP17.01",
      "title": "Causes Of Dissatisfaction After Presbyopia Correcting Intraocular Lenses: A Structured Clinical Framework For Evaluation And Management",
      "authors": "Dr Tameema Kauser",
      "presenter": "Dr Tameema Kauser",
      "normalized_authors": [
        "Tameema Kauser"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tameema Kauser",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Presbyopia correcting intraocular lenses (IOLs), including trifocal and extended depth-of-focus (EDOF) designs, are widely used to improve functional vision at multiple distances. Although visual acuity outcomes are generally favorable, a subset of patients report postoperative dissatisfaction that is often disproportionate to objective findings. The underlying causes are frequently multifactorial and inconsistently addressed in routine practice, sometimes leading to unnecessary or premature interventions. This study aims to synthesize current evidence on the determinants of dissatisfaction following presbyopia-correcting IOL implantation and to develop a structured, clinically applicable diagnostic and management framework.",
        "Setting": "Literature-based study focused on contemporary refractive cataract surgery practice.",
        "Methods": "A structured literature review was conducted using PubMed and Google Scholar to identify studies published between 2008 and 2024. Search terms included “presbyopia-correcting IOL,” “trifocal,” “EDOF,” “patient satisfaction,” “dysphotopsia,” “residual refractive error,” and “IOL exchange.” Titles and abstracts were screened using Rayyan AI. Prospective and retrospective clinical studies and relevant reviews were included; case reports were excluded. Findings were narratively synthesized into actionable domains, forming a stepwise diagnostic and management algorithm.",
        "Results": "Six principal domains contribute to dissatisfaction after presbyopia-correcting IOLs: ocular surface disease, residual refractive error (including low astigmatism), posterior capsular opacification, IOL-related factors (decentration, tilt, effective lens position variability, pupil interaction, optical design), undetected macular or optic nerve pathology, and neuroadaptation failure. Ocular surface dysfunction and minor refractive error are common and reversible causes. Evaluation should follow a structured pathway prioritizing reversible factors before invasive intervention.",
        "Conclusions": "Dissatisfaction after presbyopia-correcting IOL implantation is multifactorial and frequently attributable to modifiable factors when assessed systematically. A structured diagnostic framework facilitates differentiation between optical, ocular surface, anatomical, and neuroadaptive causes, helping to avoid unnecessary surgical procedures and improving patient counselling. Adoption of a standardized evaluation pathway may enhance postoperative satisfaction and optimize outcomes in modern refractive cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dissatisfaction after presbyopia-correcting IOL implantation is multifactorial and frequently attributable to modifiable factors when assessed systematically. A structured diagnostic framework facilitates differentiation between optical, ocular surface, anatomical, and neuroadaptive causes, helping to avoid unnecessary surgical procedures and improving patient counselling. Adoption of a standardized evaluation…",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 260,
      "source_fields": {
        "Abstract Final Identifier": "PP17.01",
        "Title": "Causes Of Dissatisfaction After Presbyopia Correcting Intraocular Lenses: A Structured Clinical Framework For Evaluation And Management",
        "Presenting Author(s)": "Dr Tameema Kauser",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Tameema",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kauser",
        "Country Name": "India",
        "Purpose": "Presbyopia correcting intraocular lenses (IOLs), including trifocal and extended depth-of-focus (EDOF) designs, are widely used to improve functional vision at multiple distances. Although visual acuity outcomes are generally favorable, a subset of patients report postoperative dissatisfaction that is often disproportionate to objective findings. The underlying causes are frequently multifactorial and inconsistently addressed in routine practice, sometimes leading to unnecessary or premature interventions. This study aims to synthesize current evidence on the determinants of dissatisfaction following presbyopia-correcting IOL implantation and to develop a structured, clinically applicable diagnostic and management framework.",
        "Setting": "Literature-based study focused on contemporary refractive cataract surgery practice.",
        "Methods": "A structured literature review was conducted using PubMed and Google Scholar to identify studies published between 2008 and 2024. Search terms included “presbyopia-correcting IOL,” “trifocal,” “EDOF,” “patient satisfaction,” “dysphotopsia,” “residual refractive error,” and “IOL exchange.” Titles and abstracts were screened using Rayyan AI. Prospective and retrospective clinical studies and relevant reviews were included; case reports were excluded. Findings were narratively synthesized into actionable domains, forming a stepwise diagnostic and management algorithm.",
        "Results": "Six principal domains contribute to dissatisfaction after presbyopia-correcting IOLs: ocular surface disease, residual refractive error (including low astigmatism), posterior capsular opacification, IOL-related factors (decentration, tilt, effective lens position variability, pupil interaction, optical design), undetected macular or optic nerve pathology, and neuroadaptation failure. Ocular surface dysfunction and minor refractive error are common and reversible causes. Evaluation should follow a structured pathway prioritizing reversible factors before invasive intervention.",
        "Conclusions": "Dissatisfaction after presbyopia-correcting IOL implantation is multifactorial and frequently attributable to modifiable factors when assessed systematically. A structured diagnostic framework facilitates differentiation between optical, ocular surface, anatomical, and neuroadaptive causes, helping to avoid unnecessary surgical procedures and improving patient counselling. Adoption of a standardized evaluation pathway may enhance postoperative satisfaction and optimize outcomes in modern refractive cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "PP17.02",
      "abstract_number": "PP17.02",
      "title": "Quantitative Assessment Of Straylight From Laser Pits In Explanted Intraocular Lenses",
      "authors": "Ms Siyi Gu",
      "presenter": "Ms Siyi Gu",
      "normalized_authors": [
        "Siyi Gu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Siyi Gu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "Nd:YAG laser capsulotomy is widely used for the treatment of posterior capsule opacification (PCO). However, misfocused laser pulses may produce pits on intraocular lenses (IOLs). The optical consequences of these defects, particularly their contribution to straylight, and thus glare phenomena, has been debatable. This study aimed to quantify straylight generated by laser pits and to evaluate structural factors associated with its increase.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "9 explanted monofocal IOLs (n=9) with laser pits were analyzed using a goniometer-based optical setup. For each lens, two representative pits were selected for quantitative and morphological evaluation (n=18). To assess factors contributing to straylight generation, edge-related scattering from individual pits was qualitatively evaluated, and quantitative analyses were performed to determine the association between pit scatter depth, pit area, and measured straylight. Linear regression analysis was used to evaluate correlations between structural parameters and straylight.",
        "Results": "Our investigation revealed that scattering predominantly originated from pit edges and exhibited angular asymmetry, with straylight from pit regions consistently exceeded that from adjacent control areas. Mean straylight ranged from 0.14 to 0.78 logs across samples. Correlation analysis revealed a statistically significant negative association between depth ratio and straylight (r=−0.497, R²=0.247, p=0.036, n=18) and a significant positive association between pit area and straylight (r =0.510, R²=0.260, p=0.031, n=18). The combined weighted parameter showed no statistically significant relationship with straylight (r=0.299, R²=0.089, p=0.23, n=18).",
        "Conclusions": "Laser-induced pits increase straylight, primarily in association with edge-related structures, pit depth and defect area. However, the moderate explanatory power and inter-sample variability indicate that straylight generation is multifactorial and not solely determined by pit geometry. These findings provide quantitative insight into the optical impact of laser pits."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Laser-induced pits increase straylight, primarily in association with edge-related structures, pit depth and defect area. However, the moderate explanatory power and inter-sample variability indicate that straylight generation is multifactorial and not solely determined by pit geometry. These findings provide quantitative insight into the optical impact of laser pits.",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 261,
      "source_fields": {
        "Abstract Final Identifier": "PP17.02",
        "Title": "Quantitative Assessment Of Straylight From Laser Pits In Explanted Intraocular Lenses",
        "Presenting Author(s)": "Ms Siyi Gu",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Siyi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gu",
        "Country Name": "Germany",
        "Purpose": "Nd:YAG laser capsulotomy is widely used for the treatment of posterior capsule opacification (PCO). However, misfocused laser pulses may produce pits on intraocular lenses (IOLs). The optical consequences of these defects, particularly their contribution to straylight, and thus glare phenomena, has been debatable. This study aimed to quantify straylight generated by laser pits and to evaluate structural factors associated with its increase.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "9 explanted monofocal IOLs (n=9) with laser pits were analyzed using a goniometer-based optical setup. For each lens, two representative pits were selected for quantitative and morphological evaluation (n=18). To assess factors contributing to straylight generation, edge-related scattering from individual pits was qualitatively evaluated, and quantitative analyses were performed to determine the association between pit scatter depth, pit area, and measured straylight. Linear regression analysis was used to evaluate correlations between structural parameters and straylight.",
        "Results": "Our investigation revealed that scattering predominantly originated from pit edges and exhibited angular asymmetry, with straylight from pit regions consistently exceeded that from adjacent control areas. Mean straylight ranged from 0.14 to 0.78 logs across samples. Correlation analysis revealed a statistically significant negative association between depth ratio and straylight (r=−0.497, R²=0.247, p=0.036, n=18) and a significant positive association between pit area and straylight (r =0.510, R²=0.260, p=0.031, n=18). The combined weighted parameter showed no statistically significant relationship with straylight (r=0.299, R²=0.089, p=0.23, n=18).",
        "Conclusions": "Laser-induced pits increase straylight, primarily in association with edge-related structures, pit depth and defect area. However, the moderate explanatory power and inter-sample variability indicate that straylight generation is multifactorial and not solely determined by pit geometry. These findings provide quantitative insight into the optical impact of laser pits."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 307
    },
    {
      "uid": "PP17.03",
      "abstract_number": "PP17.03",
      "title": "Easi-Iol Technique: Two-Suture Four-Point Fixation Of A Preassembled Artificial Iris–Intraocular Lens Complex",
      "authors": "Dr Yehya Tlaiss",
      "presenter": "Dr Yehya Tlaiss",
      "normalized_authors": [
        "Yehya Tlaiss"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yehya Tlaiss",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Lebanon",
      "sections": {
        "Purpose": "To describe the EASI-IOL (Extraocular Assembled Scleral-sutured Iris-IOL) technique: a two-suture, four-point ePTFE scleral fixation method for implanting a preassembled prosthetic iris–intraocular lens (IOL) complex in aphakic eyes with aniridia.",
        "Setting": "Retrospective case series at tertiary ophthalmology centers in Beirut, Lebanon.",
        "Methods": "Six eyes of five patients underwent pars plana vitrectomy followed by implantation of a preassembled artificial iris–IOL construct. The prosthetic iris was assembled extraocularly to a four-haptic IOL. Two CV-8 ePTFE sutures were passed through opposing haptics (180° apart) to create four-point fixation and were secured to the sclera to achieve stable centration while minimizing intraocular manipulation.",
        "Results": "All eyes achieved stable centration. Photophobia and glare improved in all patients. Best-corrected visual acuity improved in five eyes and was limited in one by ocular comorbidities. No suture erosion, postoperative intraocular pressure elevation, or reoperation occurred during follow-up. Mild posterior tilt occurred in one case but did not compromise the visual axis.",
        "Conclusions": "Extraocular preassembly with two-suture, four-point ePTFE scleral fixation provides a simplified approach for artificial iris–IOL implantation in selected aniridic aphakic eyes, with good centration and early safety in this small series."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Extraocular preassembly with two-suture, four-point ePTFE scleral fixation provides a simplified approach for artificial iris–IOL implantation in selected aniridic aphakic eyes, with good centration and early safety in this small series.",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 262,
      "source_fields": {
        "Abstract Final Identifier": "PP17.03",
        "Title": "Easi-Iol Technique: Two-Suture Four-Point Fixation Of A Preassembled Artificial Iris–Intraocular Lens Complex",
        "Presenting Author(s)": "Dr Yehya Tlaiss",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Yehya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tlaiss",
        "Country Name": "Lebanon",
        "Purpose": "To describe the EASI-IOL (Extraocular Assembled Scleral-sutured Iris-IOL) technique: a two-suture, four-point ePTFE scleral fixation method for implanting a preassembled prosthetic iris–intraocular lens (IOL) complex in aphakic eyes with aniridia.",
        "Setting": "Retrospective case series at tertiary ophthalmology centers in Beirut, Lebanon.",
        "Methods": "Six eyes of five patients underwent pars plana vitrectomy followed by implantation of a preassembled artificial iris–IOL construct. The prosthetic iris was assembled extraocularly to a four-haptic IOL. Two CV-8 ePTFE sutures were passed through opposing haptics (180° apart) to create four-point fixation and were secured to the sclera to achieve stable centration while minimizing intraocular manipulation.",
        "Results": "All eyes achieved stable centration. Photophobia and glare improved in all patients. Best-corrected visual acuity improved in five eyes and was limited in one by ocular comorbidities. No suture erosion, postoperative intraocular pressure elevation, or reoperation occurred during follow-up. Mild posterior tilt occurred in one case but did not compromise the visual axis.",
        "Conclusions": "Extraocular preassembly with two-suture, four-point ePTFE scleral fixation provides a simplified approach for artificial iris–IOL implantation in selected aniridic aphakic eyes, with good centration and early safety in this small series."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 184
    },
    {
      "uid": "PP17.04",
      "abstract_number": "PP17.04",
      "title": "Capsular Tension Ring Use In Pseudoexfoliation Cataract Surgery: 15-Year Real-World Outcomes From A Tertiary Eye Hospital",
      "authors": "Mr Syed Ahmed",
      "presenter": "Mr Syed Ahmed",
      "normalized_authors": [
        "Syed Ahmed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Syed Ahmed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Pseudoexfoliation (PXF) is associated with zonular weakness and increased risk of intraoperative and late capsular bag–IOL complex complications. Capsular tension rings (CTRs) are commonly used to improve intraoperative stability, but evidence for long-term benefit in PXF remains mixed. We evaluated whether CTR insertion during phacoemulsification in eyes with PXF is associated with improved intraoperative safety and postoperative outcomes compared with PXF eyes without CTR implantation.",
        "Setting": "Moorfields Eye Hospital NHS Foundation Trust, London, UK, a tertiary referral eye hospital. Consecutive phacoemulsification with intraocular lens implantation procedures performed between 2010 and 2025 in eyes documented to have pseudoexfoliation.",
        "Methods": "Retrospective cohort study of all phacoemulsification + IOL procedures (2010–2025) in patients with documented pseudoexfoliation. Operative records and clinical notes were reviewed to identify CTR insertion. Eyes were grouped as PXF+CTR versus PXF without CTR. Baseline demographics and ocular risk factors (including markers of zonular weakness where documented) were extracted. Outcomes compared between groups included intraoperative complications (e.g., zonular dialysis, posterior capsule rupture/vitreous loss), early postoperative complications, and longer-term capsular bag/IOL complex events (e.g., pseudophacodonesis, capsular phimosis, IOL decentration/dislocation) plus visual outcomes where available.",
        "Results": "A total of 4,200 PXF eyes underwent phaco+IOL; 256 (6.1%) had a CTR inserted. Follow-up varied from approximately 1 to 15 years. Overall, 37/4,200 (0.88%) underwent vitrectomy during follow-up. Vitrectomy for a subluxed IOL/capsular bag complex occurred in 12/4,200 (0.29%). Of these 12 cases, 7 occurred in the CTR group: 7/256 (2.7%) versus 5/3,944 (0.13%) without CTR.",
        "Conclusions": "In this large real-world PXF cohort, vitrectomy for late IOL/bag complex subluxation was rare overall (0.29%). Events were disproportionately represented among eyes receiving CTRs, most likely reflecting selection of CTR for eyes with greater baseline zonular compromise, rather than a protective effect against clinically significant late instability. These findings reinforce that CTR use alone may not eliminate the risk of late bag–IOL failure in high-risk PXF eyes and highlight the need for risk-adjusted analyses using documented zonular/pupil/complexity markers, alongside consideration of additional capsular support strategies and patient counselling about residual late-dislocation risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large real-world PXF cohort, vitrectomy for late IOL/bag complex subluxation was rare overall (0.29%). Events were disproportionately represented among eyes receiving CTRs, most likely reflecting selection of CTR for eyes with greater baseline zonular compromise, rather than a protective effect against clinically significant late instability. These findings reinforce that CTR use alone may not eliminate the…",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 263,
      "source_fields": {
        "Abstract Final Identifier": "PP17.04",
        "Title": "Capsular Tension Ring Use In Pseudoexfoliation Cataract Surgery: 15-Year Real-World Outcomes From A Tertiary Eye Hospital",
        "Presenting Author(s)": "Mr Syed Ahmed",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Syed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ahmed",
        "Country Name": "United Kingdom",
        "Purpose": "Pseudoexfoliation (PXF) is associated with zonular weakness and increased risk of intraoperative and late capsular bag–IOL complex complications. Capsular tension rings (CTRs) are commonly used to improve intraoperative stability, but evidence for long-term benefit in PXF remains mixed. We evaluated whether CTR insertion during phacoemulsification in eyes with PXF is associated with improved intraoperative safety and postoperative outcomes compared with PXF eyes without CTR implantation.",
        "Setting": "Moorfields Eye Hospital NHS Foundation Trust, London, UK, a tertiary referral eye hospital. Consecutive phacoemulsification with intraocular lens implantation procedures performed between 2010 and 2025 in eyes documented to have pseudoexfoliation.",
        "Methods": "Retrospective cohort study of all phacoemulsification + IOL procedures (2010–2025) in patients with documented pseudoexfoliation. Operative records and clinical notes were reviewed to identify CTR insertion. Eyes were grouped as PXF+CTR versus PXF without CTR. Baseline demographics and ocular risk factors (including markers of zonular weakness where documented) were extracted. Outcomes compared between groups included intraoperative complications (e.g., zonular dialysis, posterior capsule rupture/vitreous loss), early postoperative complications, and longer-term capsular bag/IOL complex events (e.g., pseudophacodonesis, capsular phimosis, IOL decentration/dislocation) plus visual outcomes where available.",
        "Results": "A total of 4,200 PXF eyes underwent phaco+IOL; 256 (6.1%) had a CTR inserted. Follow-up varied from approximately 1 to 15 years. Overall, 37/4,200 (0.88%) underwent vitrectomy during follow-up. Vitrectomy for a subluxed IOL/capsular bag complex occurred in 12/4,200 (0.29%). Of these 12 cases, 7 occurred in the CTR group: 7/256 (2.7%) versus 5/3,944 (0.13%) without CTR.",
        "Conclusions": "In this large real-world PXF cohort, vitrectomy for late IOL/bag complex subluxation was rare overall (0.29%). Events were disproportionately represented among eyes receiving CTRs, most likely reflecting selection of CTR for eyes with greater baseline zonular compromise, rather than a protective effect against clinically significant late instability. These findings reinforce that CTR use alone may not eliminate the risk of late bag–IOL failure in high-risk PXF eyes and highlight the need for risk-adjusted analyses using documented zonular/pupil/complexity markers, alongside consideration of additional capsular support strategies and patient counselling about residual late-dislocation risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 356
    },
    {
      "uid": "PP17.05",
      "abstract_number": "PP17.05",
      "title": "Five-Year Nd:Yag Capsulotomy Rate After Asqelio Intraocular Lens Implantation: A Multicenter Retrospective Study",
      "authors": "Dr Pedro Tañá-Sanz",
      "presenter": "Dr Pedro Tañá-Sanz",
      "normalized_authors": [
        "Pedro Tañá-Sanz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pedro Tañá-Sanz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate the long-term safety of the Asqelio intraocular lens (IOL) by assessing the incidence of Nd:YAG capsulotomy within five years after cataract surgery.",
        "Setting": "Oftalvist clinics in Alicante, Madrid, Valencia, and Granada, Spain.",
        "Methods": "This multicenter retrospective observational study included patients reviewed during 2025 at participating centers. Eyes that underwent phacoemulsification with Asqelio IOL implantation were analyzed. Surgery dates for right and left eyes were recorded. Nd:YAG capsulotomy was documented as a binary outcome (yes/no), with the corresponding date when applicable. The primary endpoint was the occurrence of Nd:YAG capsulotomy within 5 years postoperatively. Time-to-event analysis was performed using Kaplan-Meier survival estimates. Eyes without Nd:YAG capsulotomy were censored at 5 years after surgery. Administrative censoring was applied at December 31, 2025. Follow-up duration was summarized with censoring at 5 years.",
        "Results": "A total of 148 patients (256 eyes) were included. Mean age at surgery was 74.7±8.4 years. During the follow-up period, 20 eyes (7.8%) required Nd:YAG capsulotomy, while 236 eyes (92.2%) were censored without experiencing the event. Kaplan-Meier analysis demonstrated a cumulative Nd:YAG capsulotomy rate of approximately 8% at five years. The mean time free from Nd:YAG capsulotomy was 4.82 years (95% CI: 4.74–4.91). The median time to Nd:YAG could not be estimated because fewer than 50% of eyes experienced the event during follow-up.",
        "Conclusions": "In this multicenter cohort, implantation of the Asqelio intraocular lens was associated with a low five-year Nd:YAG capsulotomy rate, with more than 90% of eyes remaining free from laser treatment at the end of follow-up. These findings support a favorable long-term safety profile of the Asqelio IOL regarding posterior capsule opacification requiring Nd:YAG capsulotomy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this multicenter cohort, implantation of the Asqelio intraocular lens was associated with a low five-year Nd:YAG capsulotomy rate, with more than 90% of eyes remaining free from laser treatment at the end of follow-up. These findings support a favorable long-term safety profile of the Asqelio IOL regarding posterior capsule opacification requiring Nd:YAG capsulotomy.",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 264,
      "source_fields": {
        "Abstract Final Identifier": "PP17.05",
        "Title": "Five-Year Nd:Yag Capsulotomy Rate After Asqelio Intraocular Lens Implantation: A Multicenter Retrospective Study",
        "Presenting Author(s)": "Dr Pedro Tañá-Sanz",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Pedro",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Tañá-Sanz",
        "Country Name": "Spain",
        "Purpose": "To evaluate the long-term safety of the Asqelio intraocular lens (IOL) by assessing the incidence of Nd:YAG capsulotomy within five years after cataract surgery.",
        "Setting": "Oftalvist clinics in Alicante, Madrid, Valencia, and Granada, Spain.",
        "Methods": "This multicenter retrospective observational study included patients reviewed during 2025 at participating centers. Eyes that underwent phacoemulsification with Asqelio IOL implantation were analyzed. Surgery dates for right and left eyes were recorded. Nd:YAG capsulotomy was documented as a binary outcome (yes/no), with the corresponding date when applicable. The primary endpoint was the occurrence of Nd:YAG capsulotomy within 5 years postoperatively. Time-to-event analysis was performed using Kaplan-Meier survival estimates. Eyes without Nd:YAG capsulotomy were censored at 5 years after surgery. Administrative censoring was applied at December 31, 2025. Follow-up duration was summarized with censoring at 5 years.",
        "Results": "A total of 148 patients (256 eyes) were included. Mean age at surgery was 74.7±8.4 years. During the follow-up period, 20 eyes (7.8%) required Nd:YAG capsulotomy, while 236 eyes (92.2%) were censored without experiencing the event. Kaplan-Meier analysis demonstrated a cumulative Nd:YAG capsulotomy rate of approximately 8% at five years. The mean time free from Nd:YAG capsulotomy was 4.82 years (95% CI: 4.74–4.91). The median time to Nd:YAG could not be estimated because fewer than 50% of eyes experienced the event during follow-up.",
        "Conclusions": "In this multicenter cohort, implantation of the Asqelio intraocular lens was associated with a low five-year Nd:YAG capsulotomy rate, with more than 90% of eyes remaining free from laser treatment at the end of follow-up. These findings support a favorable long-term safety profile of the Asqelio IOL regarding posterior capsule opacification requiring Nd:YAG capsulotomy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 286
    },
    {
      "uid": "PP17.06",
      "abstract_number": "PP17.06",
      "title": "Optical Determinants Of Patient Dissatisfaction Following Implantation Of Presbyopia-Correcting Intraocular Lenses",
      "authors": "Dr Seth Michel Pantanelli",
      "presenter": "Dr Seth Michel Pantanelli",
      "normalized_authors": [
        "Seth Michel Pantanelli"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seth Michel Pantanelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To investigate causes of dissatisfaction and identify associated optical factors in eyes implanted with presbyopia-correcting intraocular lenses (IOLs).",
        "Setting": "One private and one university based practice",
        "Methods": "This retrospective non-consecutive case series reviewed medical records of 70 eyes implanted with presbyopia-correcting IOLs that required subsequent IOL exchange due to patient dissatisfaction. IOL categories included bifocal, trifocal, and extended depth-of-focus (EDoF) designs. The prevalence and type of dissatisfaction related to visual quality and photic phenomena were compared among IOL groups. Optical assessments included postoperative visual acuity, refractive outcomes, biometric parameters, and higher-order corneal aberrations. Additionally, optical simulations were performed to explore potential relationships between measured optical metrics and subjective symptoms.",
        "Results": "Overall, patient dissatisfaction stemmed from blurred vision in 39/70 (56%) and photic phenomena in 31/70 (44%) eyes. Bifocal IOLs demonstrated a higher incidence of photic phenomena (4/6 = 67%), whereas trifocal and EDoF IOLs were more commonly associated with blurred vision (37/64 = 58%). Although residual refractive error contributed to dissatisfaction, increased corneal spherical aberration and coma emerged as the principal optical factor across IOL types. Optical simulations showed partial discordance between predicted and observed visual outcomes, suggesting that other factors such as angle-kappa, IOL tilt/decentration, and failed neuroadaptation may influence perceived visual quality beyond conventional topography measurements.",
        "Conclusions": "Patient dissatisfaction following presbyopia-correcting IOL implantation is multifactorial and influenced by both IOL design and individual optical characteristics. Photic disturbances were generally associated with point spread function alterations, whereas blurred vision correlated with contrast reduction reflected by modulation transfer function metrics. However, incomplete agreement between simulated and clinical outcomes highlights the additional roles of ocular surface status, intraocular scatter, and neural adaptation. Comprehensive optical evaluation—including assessment of higher-order aberrations and ocular surface quality—may improve preoperative counseling and postoperative management of dissatisfied patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patient dissatisfaction following presbyopia-correcting IOL implantation is multifactorial and influenced by both IOL design and individual optical characteristics. Photic disturbances were generally associated with point spread function alterations, whereas blurred vision correlated with contrast reduction reflected by modulation transfer function metrics. However, incomplete agreement between simulated and…",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 265,
      "source_fields": {
        "Abstract Final Identifier": "PP17.06",
        "Title": "Optical Determinants Of Patient Dissatisfaction Following Implantation Of Presbyopia-Correcting Intraocular Lenses",
        "Presenting Author(s)": "Dr Seth Michel Pantanelli",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Seth",
        "Submitter Middle Name": "Michel",
        "Submitter Last Name": "Pantanelli",
        "Country Name": "United States",
        "Purpose": "To investigate causes of dissatisfaction and identify associated optical factors in eyes implanted with presbyopia-correcting intraocular lenses (IOLs).",
        "Setting": "One private and one university based practice",
        "Methods": "This retrospective non-consecutive case series reviewed medical records of 70 eyes implanted with presbyopia-correcting IOLs that required subsequent IOL exchange due to patient dissatisfaction. IOL categories included bifocal, trifocal, and extended depth-of-focus (EDoF) designs. The prevalence and type of dissatisfaction related to visual quality and photic phenomena were compared among IOL groups. Optical assessments included postoperative visual acuity, refractive outcomes, biometric parameters, and higher-order corneal aberrations. Additionally, optical simulations were performed to explore potential relationships between measured optical metrics and subjective symptoms.",
        "Results": "Overall, patient dissatisfaction stemmed from blurred vision in 39/70 (56%) and photic phenomena in 31/70 (44%) eyes. Bifocal IOLs demonstrated a higher incidence of photic phenomena (4/6 = 67%), whereas trifocal and EDoF IOLs were more commonly associated with blurred vision (37/64 = 58%). Although residual refractive error contributed to dissatisfaction, increased corneal spherical aberration and coma emerged as the principal optical factor across IOL types. Optical simulations showed partial discordance between predicted and observed visual outcomes, suggesting that other factors such as angle-kappa, IOL tilt/decentration, and failed neuroadaptation may influence perceived visual quality beyond conventional topography measurements.",
        "Conclusions": "Patient dissatisfaction following presbyopia-correcting IOL implantation is multifactorial and influenced by both IOL design and individual optical characteristics. Photic disturbances were generally associated with point spread function alterations, whereas blurred vision correlated with contrast reduction reflected by modulation transfer function metrics. However, incomplete agreement between simulated and clinical outcomes highlights the additional roles of ocular surface status, intraocular scatter, and neural adaptation. Comprehensive optical evaluation—including assessment of higher-order aberrations and ocular surface quality—may improve preoperative counseling and postoperative management of dissatisfied patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "PP17.07",
      "abstract_number": "PP17.07",
      "title": "Dislocated Lens And Aphakia Management Via Pars Plana Vitrectomy",
      "authors": "Miha Marzidovšek",
      "presenter": "Miha Marzidovšek",
      "normalized_authors": [
        "Miha Marzidovšek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Miha Marzidovšek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Slovenia",
      "sections": {
        "Purpose": "To evaluate outcomes of IOL exchange or repositioning for dislocated lenses, and secondary IOL implantation in aphakic eyes, using a pars plana vitrectomy approach.",
        "Setting": "Eye Hospital, University Medical Center Ljubljana, Ljubljana, Slovenia",
        "Methods": "This retrospective, consecutive, single-center case series included 51 eyes of 51 patients, all operated by a single surgeon. All eyes underwent pars plana vitrectomy. Of these, 30 eyes had scleral-fixated IOL exchange, 5 had sulcus implantation due to adequate capsular support, 5 had lensectomy with scleral-fixated IOL, and 11 aphakic eyes underwent secondary scleral-fixated IOL implantation. Pre- and postoperative best corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), intraocular pressure (IOP), postoperative IOL centration, and intra- and postoperative complications were assessed.",
        "Results": "Fifty-one eyes of 51 patients (36 male, 15 female; median age 68, range 43–90) were analyzed. Forty had lens dislocation (35 IOLs) and 11 were aphakic. Comorbidities included glaucoma (15), ocular trauma (15), and prior pars plana vitrectomy (14). Mean UCVA improved significantly from 0.067±0.02 (logMAR 1.16) to 0.4±0.03 (logMAR 0.4) at final follow-up (P<0.001). Mean postoperative BCVA was 0.6±0.04 (logMAR 0.22). IOP remained stable and IOL centration was satisfactory in nearly all eyes. Complications were infrequent and manageable: optic capture (2), anterior nodular scleritis (1), hemophthalmos with hypotony (1), and corneal endothelial decompensation (1). Overall outcomes were favorable.",
        "Conclusions": "Management of dislocated lenses and aphakia using pars plana vitrectomy combined with scleral fixation or sulcus implantation is safe and effective, achieving good postoperative IOL centration, improved visual acuity, and favorable refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Management of dislocated lenses and aphakia using pars plana vitrectomy combined with scleral fixation or sulcus implantation is safe and effective, achieving good postoperative IOL centration, improved visual acuity, and favorable refractive outcomes.",
      "session_type": "Presented Poster",
      "track": "IOLs - complications",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 266,
      "source_fields": {
        "Abstract Final Identifier": "PP17.07",
        "Title": "Dislocated Lens And Aphakia Management Via Pars Plana Vitrectomy",
        "Presenting Author(s)": "Miha Marzidovšek",
        "Abstract Topic Name": "IOLs - complications",
        "Submitter First Name": "Miha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Marzidovšek",
        "Country Name": "Slovenia",
        "Purpose": "To evaluate outcomes of IOL exchange or repositioning for dislocated lenses, and secondary IOL implantation in aphakic eyes, using a pars plana vitrectomy approach.",
        "Setting": "Eye Hospital, University Medical Center Ljubljana, Ljubljana, Slovenia",
        "Methods": "This retrospective, consecutive, single-center case series included 51 eyes of 51 patients, all operated by a single surgeon. All eyes underwent pars plana vitrectomy. Of these, 30 eyes had scleral-fixated IOL exchange, 5 had sulcus implantation due to adequate capsular support, 5 had lensectomy with scleral-fixated IOL, and 11 aphakic eyes underwent secondary scleral-fixated IOL implantation. Pre- and postoperative best corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), intraocular pressure (IOP), postoperative IOL centration, and intra- and postoperative complications were assessed.",
        "Results": "Fifty-one eyes of 51 patients (36 male, 15 female; median age 68, range 43–90) were analyzed. Forty had lens dislocation (35 IOLs) and 11 were aphakic. Comorbidities included glaucoma (15), ocular trauma (15), and prior pars plana vitrectomy (14). Mean UCVA improved significantly from 0.067±0.02 (logMAR 1.16) to 0.4±0.03 (logMAR 0.4) at final follow-up (P<0.001). Mean postoperative BCVA was 0.6±0.04 (logMAR 0.22). IOP remained stable and IOL centration was satisfactory in nearly all eyes. Complications were infrequent and manageable: optic capture (2), anterior nodular scleritis (1), hemophthalmos with hypotony (1), and corneal endothelial decompensation (1). Overall outcomes were favorable.",
        "Conclusions": "Management of dislocated lenses and aphakia using pars plana vitrectomy combined with scleral fixation or sulcus implantation is safe and effective, achieving good postoperative IOL centration, improved visual acuity, and favorable refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "PP17.08",
      "abstract_number": "PP17.08",
      "title": "Using Corneal Wavefront For Astigmatism Prediction In Cataract Surgery",
      "authors": "Dr Bjørn Gjerdrum",
      "presenter": "Dr Bjørn Gjerdrum",
      "normalized_authors": [
        "Bjørn Gjerdrum"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Bjørn Gjerdrum",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "To evaluate astigmatism prediction error using preoperative total corneal wavefront measurements.",
        "Setting": "The study included results from two private eye clinics situated in Haugesund and Stavanger in Norway",
        "Methods": "This was a retrospective study of successful cataract or refractive lens exchange surgery with toric and non-toric IOLS. Preoperative biometry was performed with an OCT based biometer (Anterion, Heidelberg Engineering. The astigmatism prediction error (APE) was calculated as the magnitude of the vector differences between the achieved and the predicted refractive astigmatism using thre methods: Built-in Barrett toric calclulator (measured posterior astigmatism) (APE-Barrett), total cornea power (APE-TCP) and total wavefront astigmatism (APE-WF) . Wavefront astigmatism was converted from Zernike coefficients (microns) of oblique and with-the-rule/against-the-rule astigmatism to diopters of cylinder and axis)",
        "Results": "The study included 146 eyes of 146 patients. The mean age was 60 years and 40% were female. Toric IOL´s were implanted in 44% of the eyes. Mean Follow-up time was 100 days (63 - 154). The mean uncorrected VA was -0,01 on the logMAR scale. The mean postoperative refractive spherical equivalent and astigmatism was -0,06 and -0,31, respectively. The mean APE and SD was 0.33±0,20, 0.43±0.25 D and 0.39± 0.24 for\n\nAPE-Barrett, APE-TCP, and APE-WF, respectively. APE-Barret was statistically significantly lower than APE-TCP and APE-WF ( p <0,01).\n\nThe percentages of eyes with APE within 0.5 D was statistically significantly higher for APE-Barrett ( 83%) compared to APE-TCP (64%) ( p <0,001) but not compared to APE-WF (72 %) ( p=0,06 ).",
        "Conclusions": "Astigmatism prediction using OCT based total corneal wavefront could not improve astigmatism prediction in this study. The lowest astigmatism prediction error was found with the Barrett toric calculator for measured posterior astigmatism"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Astigmatism prediction using OCT based total corneal wavefront could not improve astigmatism prediction in this study. The lowest astigmatism prediction error was found with the Barrett toric calculator for measured posterior astigmatism",
      "session_type": "Presented Poster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 267,
      "source_fields": {
        "Abstract Final Identifier": "PP17.08",
        "Title": "Using Corneal Wavefront For Astigmatism Prediction In Cataract Surgery",
        "Presenting Author(s)": "Dr Bjørn Gjerdrum",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Bjørn",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gjerdrum",
        "Country Name": "Norway",
        "Purpose": "To evaluate astigmatism prediction error using preoperative total corneal wavefront measurements.",
        "Setting": "The study included results from two private eye clinics situated in Haugesund and Stavanger in Norway",
        "Methods": "This was a retrospective study of successful cataract or refractive lens exchange surgery with toric and non-toric IOLS. Preoperative biometry was performed with an OCT based biometer (Anterion, Heidelberg Engineering. The astigmatism prediction error (APE) was calculated as the magnitude of the vector differences between the achieved and the predicted refractive astigmatism using thre methods: Built-in Barrett toric calclulator (measured posterior astigmatism) (APE-Barrett), total cornea power (APE-TCP) and total wavefront astigmatism (APE-WF) . Wavefront astigmatism was converted from Zernike coefficients (microns) of oblique and with-the-rule/against-the-rule astigmatism to diopters of cylinder and axis)",
        "Results": "The study included 146 eyes of 146 patients. The mean age was 60 years and 40% were female. Toric IOL´s were implanted in 44% of the eyes. Mean Follow-up time was 100 days (63 - 154). The mean uncorrected VA was -0,01 on the logMAR scale. The mean postoperative refractive spherical equivalent and astigmatism was -0,06 and -0,31, respectively. The mean APE and SD was 0.33±0,20, 0.43±0.25 D and 0.39± 0.24 for\n\nAPE-Barrett, APE-TCP, and APE-WF, respectively. APE-Barret was statistically significantly lower than APE-TCP and APE-WF ( p <0,01).\n\nThe percentages of eyes with APE within 0.5 D was statistically significantly higher for APE-Barrett ( 83%) compared to APE-TCP (64%) ( p <0,001) but not compared to APE-WF (72 %) ( p=0,06 ).",
        "Conclusions": "Astigmatism prediction using OCT based total corneal wavefront could not improve astigmatism prediction in this study. The lowest astigmatism prediction error was found with the Barrett toric calculator for measured posterior astigmatism"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "PP17.09",
      "abstract_number": "PP17.09",
      "title": "Aberrometric And Visual Outcomes Following Toric Intraocular Lens Implantation With Astigmatic Axis Flip",
      "authors": "Dr EVA XOCHITL XOCHITL FLORES ORTIZ",
      "presenter": "Dr EVA XOCHITL XOCHITL FLORES ORTIZ",
      "normalized_authors": [
        "EVA XOCHITL XOCHITL FLORES ORTIZ"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eva XOCHITL Flores Ortiz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "To compare postoperative aberrometric and visual outcomes between eyes with and without an astigmatic axis flip after toric intraocular lens (IOL) implantation.",
        "Setting": "Tertiary referral ophthalmology center, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico.",
        "Methods": "This comparative cross-sectional study included patients who underwent uneventful cataract surgery with toric IOL implantation. Eyes were classified into undercorrection without an axis flip and overcorrection with an axis flip. Postoperative evaluation included uncorrected and best-corrected visual acuity, spherical equivalent refraction, and aberrometry using the Pentacam AXL Wave. Aberrometric parameters included total higher-order aberrations (HOA), coma, spherical aberration, and trefoil. Intergroup comparisons were performed using independent-samples t tests. A p value < 0.05 was considered statistically significant.",
        "Results": "Eighty eyes of 80 patients (mean age 67.16 ± 11.49 years) were analyzed. No significant differences were found between axis flip and no-axis flip groups in postoperative uncorrected visual acuity (p = 0.628), best-corrected visual acuity (p = 0.685), or spherical equivalent refraction (p = 0.455). Total HOA, coma, and spherical aberration were comparable between groups (all p > 0.05). The axis flip group demonstrated higher trefoil aberration than the no-axis flip group (0.15 ± 0.06 µm vs 0.08 ± 0.09 µm; p < 0.001).",
        "Conclusions": "Astigmatic axis flip during toric IOL implantation was not associated with differences in postoperative visual outcomes despite a significant increase in trefoil aberration. When carefully planned preoperatively, axis flip may represent a viable refractive strategy to minimize residual astigmatism without compromising visual performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Astigmatic axis flip during toric IOL implantation was not associated with differences in postoperative visual outcomes despite a significant increase in trefoil aberration. When carefully planned preoperatively, axis flip may represent a viable refractive strategy to minimize residual astigmatism without compromising visual performance.",
      "session_type": "Presented Poster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 268,
      "source_fields": {
        "Abstract Final Identifier": "PP17.09",
        "Title": "Aberrometric And Visual Outcomes Following Toric Intraocular Lens Implantation With Astigmatic Axis Flip",
        "Presenting Author(s)": "Dr EVA XOCHITL XOCHITL FLORES ORTIZ",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Eva",
        "Submitter Middle Name": "XOCHITL",
        "Submitter Last Name": "Flores Ortiz",
        "Country Name": "Mexico",
        "Purpose": "To compare postoperative aberrometric and visual outcomes between eyes with and without an astigmatic axis flip after toric intraocular lens (IOL) implantation.",
        "Setting": "Tertiary referral ophthalmology center, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico.",
        "Methods": "This comparative cross-sectional study included patients who underwent uneventful cataract surgery with toric IOL implantation. Eyes were classified into undercorrection without an axis flip and overcorrection with an axis flip. Postoperative evaluation included uncorrected and best-corrected visual acuity, spherical equivalent refraction, and aberrometry using the Pentacam AXL Wave. Aberrometric parameters included total higher-order aberrations (HOA), coma, spherical aberration, and trefoil. Intergroup comparisons were performed using independent-samples t tests. A p value < 0.05 was considered statistically significant.",
        "Results": "Eighty eyes of 80 patients (mean age 67.16 ± 11.49 years) were analyzed. No significant differences were found between axis flip and no-axis flip groups in postoperative uncorrected visual acuity (p = 0.628), best-corrected visual acuity (p = 0.685), or spherical equivalent refraction (p = 0.455). Total HOA, coma, and spherical aberration were comparable between groups (all p > 0.05). The axis flip group demonstrated higher trefoil aberration than the no-axis flip group (0.15 ± 0.06 µm vs 0.08 ± 0.09 µm; p < 0.001).",
        "Conclusions": "Astigmatic axis flip during toric IOL implantation was not associated with differences in postoperative visual outcomes despite a significant increase in trefoil aberration. When carefully planned preoperatively, axis flip may represent a viable refractive strategy to minimize residual astigmatism without compromising visual performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "PP17.10",
      "abstract_number": "PP17.10",
      "title": "Results Of Toric Intraocular Lens Implantation In Patients With High Corneal Astigmatism",
      "authors": "Prof. Guy Kleinmann",
      "presenter": "Prof. Guy Kleinmann",
      "normalized_authors": [
        "Guy Kleinmann"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ori Stern",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To evaluate the efficacy and predictability of toric intraocular lens (IOL) implantation in patients with a high regular and irregular corneal astigmatism during cataract surgery and compare the results to patients that were implanted with toric IOLs for lower corneal astigmatism.",
        "Setting": "Multicenter study performed at two medical centers",
        "Methods": "Retrospective cohort study of toric IOL implantation in three groups defined by corneal astigmatism. Group 1 included eyes with corneal astigmatism greater than 4.0 diopters (D) and corneal pathology (keratoconus, pellucid marginal degeneration, corneal scar, or post-penetrating keratoplasty). Group 2 had corneal astigmatism greater than 4.0 D with normal corneas. Group 3 had corneal astigmatism greater than 1.5 and less than 4.0 D with normal corneas. All eyes underwent preoperative biometry and corneal tomography and a 1-month postoperative visit with a complete ophthalmic examination, refraction and toric IOL axis measurement.",
        "Results": "A total of 175 eyes were included (group 1=38, group 2=33, group 3=104). Residual astigmatism (RA) ≤1.0 D was achieved in 68.4%, 87.9%, and 90.4%, and RA ≤0.5 D in 39.5%, 51.5%, and 66.3% (overall p=0.004 and p=0.012, groups 1-3, respectively); pairwise differences were significant only for group 1 vs. 3. Within-group mean astigmatism decreased from 6.38±2.4 D to 0.89±1.03 D, 5.17±0.9 D to 0.59±0.49 D, and 2.7±0.73 D to 0.50±0.47 D in groups 1-3, respectively (all p<0.001). In eyes targeted for distance, postoperative uncorrected-distance visual acuity (logMAR) was 0.21±0.14, 0.17±0.12, and 0.12±0.12 (overall p<0.001; Holm-adjusted: group 1 vs 3, p=0.001; group 2 vs 3, p=0.027).",
        "Conclusions": "Toric IOL implantation was highly effective with respect to residual astigmatism and uncorrected distance visual acuity. These benefits extended to eyes with very high astigmatism, and selected eyes with irregular corneas may also derive meaningful improvement."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Toric IOL implantation was highly effective with respect to residual astigmatism and uncorrected distance visual acuity. These benefits extended to eyes with very high astigmatism, and selected eyes with irregular corneas may also derive meaningful improvement.",
      "session_type": "Presented Poster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 269,
      "source_fields": {
        "Abstract Final Identifier": "PP17.10",
        "Title": "Results Of Toric Intraocular Lens Implantation In Patients With High Corneal Astigmatism",
        "Presenting Author(s)": "Prof. Guy Kleinmann",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Ori",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Stern",
        "Country Name": "Israel",
        "Purpose": "To evaluate the efficacy and predictability of toric intraocular lens (IOL) implantation in patients with a high regular and irregular corneal astigmatism during cataract surgery and compare the results to patients that were implanted with toric IOLs for lower corneal astigmatism.",
        "Setting": "Multicenter study performed at two medical centers",
        "Methods": "Retrospective cohort study of toric IOL implantation in three groups defined by corneal astigmatism. Group 1 included eyes with corneal astigmatism greater than 4.0 diopters (D) and corneal pathology (keratoconus, pellucid marginal degeneration, corneal scar, or post-penetrating keratoplasty). Group 2 had corneal astigmatism greater than 4.0 D with normal corneas. Group 3 had corneal astigmatism greater than 1.5 and less than 4.0 D with normal corneas. All eyes underwent preoperative biometry and corneal tomography and a 1-month postoperative visit with a complete ophthalmic examination, refraction and toric IOL axis measurement.",
        "Results": "A total of 175 eyes were included (group 1=38, group 2=33, group 3=104). Residual astigmatism (RA) ≤1.0 D was achieved in 68.4%, 87.9%, and 90.4%, and RA ≤0.5 D in 39.5%, 51.5%, and 66.3% (overall p=0.004 and p=0.012, groups 1-3, respectively); pairwise differences were significant only for group 1 vs. 3. Within-group mean astigmatism decreased from 6.38±2.4 D to 0.89±1.03 D, 5.17±0.9 D to 0.59±0.49 D, and 2.7±0.73 D to 0.50±0.47 D in groups 1-3, respectively (all p<0.001). In eyes targeted for distance, postoperative uncorrected-distance visual acuity (logMAR) was 0.21±0.14, 0.17±0.12, and 0.12±0.12 (overall p<0.001; Holm-adjusted: group 1 vs 3, p=0.001; group 2 vs 3, p=0.027).",
        "Conclusions": "Toric IOL implantation was highly effective with respect to residual astigmatism and uncorrected distance visual acuity. These benefits extended to eyes with very high astigmatism, and selected eyes with irregular corneas may also derive meaningful improvement."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "PP17.11",
      "abstract_number": "PP17.11",
      "title": "Predicted Versus Measured Posterior Corneal Astigmatism In Toric Iol Calculations: A Comparative Study Of Barrett And Evo Formulas",
      "authors": "Dr Dohyeon An",
      "presenter": "Dr Dohyeon An",
      "normalized_authors": [
        "Dohyeon An"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dohyeon An",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare toric intraocular lens (IOL) calculation performance using predicted versus measured posterior corneal astigmatism (PCA) with Barrett and EVO toric formulas.",
        "Setting": "This retrospective study included 146 eyes undergoing toric IOL implantation.",
        "Methods": "Toric calculations were performed using Barrett Toric v2.0 and EVO Toric v2.0 with predicted PCA (PPCA) and measured PCA from IOL Master 700 Total Keratometry (MPCA-IOLM) and Pentacam posterior keratometry (MPCA-Pentacam). Refractive astigmatism prediction error (RA-PE) was evaluated using vector analysis. Accuracy, trueness, and precision were compared, along with proportions of eyes within ±0.50 D of RA-PE.",
        "Results": "Absolute RA-PE was similar across all methods (median ~0.30–0.35 D). EVO PPCA showed higher precision with the narrowest error distribution, while measured PCA—particularly MPCA-IOLM—demonstrated superior trueness with centroids not significantly different from zero. The percentage of eyes within ±0.50 D of RA-PE ranged from 69% to 77%, with no significant intergroup differences.",
        "Conclusions": "Measured PCA primarily reduces systematic bias rather than improving absolute accuracy. EVO toric calculations with measured PCA, especially using IOL Master 700, provide optimal trueness, whereas EVO PPCA offers high precision when measured PCA is unavailable."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Measured PCA primarily reduces systematic bias rather than improving absolute accuracy. EVO toric calculations with measured PCA, especially using IOL Master 700, provide optimal trueness, whereas EVO PPCA offers high precision when measured PCA is unavailable.",
      "session_type": "Presented Poster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 270,
      "source_fields": {
        "Abstract Final Identifier": "PP17.11",
        "Title": "Predicted Versus Measured Posterior Corneal Astigmatism In Toric Iol Calculations: A Comparative Study Of Barrett And Evo Formulas",
        "Presenting Author(s)": "Dr Dohyeon An",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Dohyeon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "An",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare toric intraocular lens (IOL) calculation performance using predicted versus measured posterior corneal astigmatism (PCA) with Barrett and EVO toric formulas.",
        "Setting": "This retrospective study included 146 eyes undergoing toric IOL implantation.",
        "Methods": "Toric calculations were performed using Barrett Toric v2.0 and EVO Toric v2.0 with predicted PCA (PPCA) and measured PCA from IOL Master 700 Total Keratometry (MPCA-IOLM) and Pentacam posterior keratometry (MPCA-Pentacam). Refractive astigmatism prediction error (RA-PE) was evaluated using vector analysis. Accuracy, trueness, and precision were compared, along with proportions of eyes within ±0.50 D of RA-PE.",
        "Results": "Absolute RA-PE was similar across all methods (median ~0.30–0.35 D). EVO PPCA showed higher precision with the narrowest error distribution, while measured PCA—particularly MPCA-IOLM—demonstrated superior trueness with centroids not significantly different from zero. The percentage of eyes within ±0.50 D of RA-PE ranged from 69% to 77%, with no significant intergroup differences.",
        "Conclusions": "Measured PCA primarily reduces systematic bias rather than improving absolute accuracy. EVO toric calculations with measured PCA, especially using IOL Master 700, provide optimal trueness, whereas EVO PPCA offers high precision when measured PCA is unavailable."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 186
    },
    {
      "uid": "PP17.12",
      "abstract_number": "PP17.12",
      "title": "Vector Analysis Comparison Of Barrett T K, Kane And Zcalc Toric Calculators In Toric Intraocular Lenses",
      "authors": "Dr Chau Ngoc Bao Dinh",
      "presenter": "Dr Chau Ngoc Bao Dinh",
      "normalized_authors": [
        "Chau Ngoc Bao Dinh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chau Ngoc Bao Dinh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Viet Nam",
      "sections": {
        "Purpose": "To compare prediction accuracy and directional bias of Barrett TK, Kane Toric and Z CALC calculators using vector analysis in toric intraocular lenses.",
        "Setting": "This study was conducted at Vietnam-Russia International Eye Hospital at Hochiminh City, Vietnam. We investigated eyes of patients who had undergone cataract surgery with toric lenses from July 2025 to November 2025. We eliminated patients who had other ocular surgeries before, post-op visual acuity <20/30 or had no refractive data 3 weeks postoperatively.",
        "Methods": "This retrospective study included 56 eyes implanted with AT TORBI 709M or AT Lisa Tri toric 939M. Biometry was perfomed using the IOL Master 700. Predicted residual astigmatism was calculated using Barrett TK, Kane, and Z CALC calculators. Prediction error was analyzed using vector analysis. Accuracy was assessed using mean absolute error (MAE), centroid prediction error and the proportion of eyes within ±0.5D and ±0.75D. Subgroup analyses were performed for astigmatism type and IOL model.",
        "Results": "MAE differed significantly among forrmulas (Barrett TK 0.47±0.31 D, Kane 0.59±0.29, Z CALC 0.34±0.20; p<0.05), with ZCALC showing the lowest error.The proportion of eyes within ±0.5 D of prediction error was highest with Z CALC (85.7%), followed by Barrett TK (60.7%) and Kane (42.9%). Within ±0.75 D, Z CALC also showed the highest percentage (96.4%), compared with Kane (76.8%) and Barrett TK (67.9%). Overall centroid prediction errors was small for Barrett TK (0.09D @ 165 o ) and Kane (0.09D @ 159 o ), while Z CALC showed 0.14D @ 167 o and was the only calculator with a statistically significant overall centroid deviation from zero (p<0.05), indicating systematic ATR-directed bias. Subgroup analysis also showed significant centroid deviation.",
        "Conclusions": "Z CALC demonstrated superior toric prediction accuracy compared with Barrett TK and Kane, with substantially more eyes within ±0.5D and ±0.75D. Despite this improved accuracy, systemic ATR-directed bias was identified, highlighting the importance of understanding calculator-specific tendencies to further optimize toric IOL selection and refractive precision."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Z CALC demonstrated superior toric prediction accuracy compared with Barrett TK and Kane, with substantially more eyes within ±0.5D and ±0.75D. Despite this improved accuracy, systemic ATR-directed bias was identified, highlighting the importance of understanding calculator-specific tendencies to further optimize toric IOL selection and refractive precision.",
      "session_type": "Presented Poster",
      "track": "IOLs - toric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 271,
      "source_fields": {
        "Abstract Final Identifier": "PP17.12",
        "Title": "Vector Analysis Comparison Of Barrett T K, Kane And Zcalc Toric Calculators In Toric Intraocular Lenses",
        "Presenting Author(s)": "Dr Chau Ngoc Bao Dinh",
        "Abstract Topic Name": "IOLs - toric",
        "Submitter First Name": "Chau",
        "Submitter Middle Name": "Ngoc Bao",
        "Submitter Last Name": "Dinh",
        "Country Name": "Viet Nam",
        "Purpose": "To compare prediction accuracy and directional bias of Barrett TK, Kane Toric and Z CALC calculators using vector analysis in toric intraocular lenses.",
        "Setting": "This study was conducted at Vietnam-Russia International Eye Hospital at Hochiminh City, Vietnam. We investigated eyes of patients who had undergone cataract surgery with toric lenses from July 2025 to November 2025. We eliminated patients who had other ocular surgeries before, post-op visual acuity <20/30 or had no refractive data 3 weeks postoperatively.",
        "Methods": "This retrospective study included 56 eyes implanted with AT TORBI 709M or AT Lisa Tri toric 939M. Biometry was perfomed using the IOL Master 700. Predicted residual astigmatism was calculated using Barrett TK, Kane, and Z CALC calculators. Prediction error was analyzed using vector analysis. Accuracy was assessed using mean absolute error (MAE), centroid prediction error and the proportion of eyes within ±0.5D and ±0.75D. Subgroup analyses were performed for astigmatism type and IOL model.",
        "Results": "MAE differed significantly among forrmulas (Barrett TK 0.47±0.31 D, Kane 0.59±0.29, Z CALC 0.34±0.20; p<0.05), with ZCALC showing the lowest error.The proportion of eyes within ±0.5 D of prediction error was highest with Z CALC (85.7%), followed by Barrett TK (60.7%) and Kane (42.9%). Within ±0.75 D, Z CALC also showed the highest percentage (96.4%), compared with Kane (76.8%) and Barrett TK (67.9%). Overall centroid prediction errors was small for Barrett TK (0.09D @ 165 o ) and Kane (0.09D @ 159 o ), while Z CALC showed 0.14D @ 167 o and was the only calculator with a statistically significant overall centroid deviation from zero (p<0.05), indicating systematic ATR-directed bias. Subgroup analysis also showed significant centroid deviation.",
        "Conclusions": "Z CALC demonstrated superior toric prediction accuracy compared with Barrett TK and Kane, with substantially more eyes within ±0.5D and ±0.75D. Despite this improved accuracy, systemic ATR-directed bias was identified, highlighting the importance of understanding calculator-specific tendencies to further optimize toric IOL selection and refractive precision."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "PP18.01",
      "abstract_number": "PP18.01",
      "title": "Genetic Variants In Patients With Bilateral Congenital Cataracts In A Large Cohort From North India",
      "authors": "Dr Savleen Kaur",
      "presenter": "Dr Savleen Kaur",
      "normalized_authors": [
        "Savleen Kaur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Savleen Kaur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Congenital cataracts can result from systemic etiologies or genetic disorders. Literature studying the genotype-phenotype relations in pediatric cataracts from our population is scanty. Determining the precise genetic cause in a child will facilitate genetic counseling by identifying genetic conditions with the risk of recurrence in families, ensuring early screening and treatment for cataracts",
        "Setting": "Advanced Eye Centre, PGIMER, Chandigarh, India (Tertiary care referel Institute)",
        "Methods": "This was a prospective observational study, where we analyzed peripheral blood samples of pediatric patients with bilateral congenital cataracts via next-generation sequencing to identify cataract-causing genetic variants.",
        "Results": "We enrolled 60 pediatric patients, with a mean age of 26.6 months, out of which there was a predominance of males (n=37; 61.6%). Variants were identified in 40 probands (66.6%). We identified pathogenic or likely pathogenic variants in 20 patients (33.3%) and 70% of these had no family history of cataract. Of the variants, we observed 18 single nucleotide variants (SNV) in 13 genes. SNVs in crystallin genes were most common, (4 out of 20) followed by SNVs in gap junction genes along with three novel variants. Two copy number variants (CNV) of varying size and genomic location were also reported.",
        "Conclusions": "The variants in our cohort of pediatric cataract patients were very heterogeneous. Exome sequencing demonstrated a high diagnostic yield for a genetic variant in cases of bilateral congenital cataracts, even in the absence of family history."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The variants in our cohort of pediatric cataract patients were very heterogeneous. Exome sequencing demonstrated a high diagnostic yield for a genetic variant in cases of bilateral congenital cataracts, even in the absence of family history.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 272,
      "source_fields": {
        "Abstract Final Identifier": "PP18.01",
        "Title": "Genetic Variants In Patients With Bilateral Congenital Cataracts In A Large Cohort From North India",
        "Presenting Author(s)": "Dr Savleen Kaur",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Savleen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaur",
        "Country Name": "India",
        "Purpose": "Congenital cataracts can result from systemic etiologies or genetic disorders. Literature studying the genotype-phenotype relations in pediatric cataracts from our population is scanty. Determining the precise genetic cause in a child will facilitate genetic counseling by identifying genetic conditions with the risk of recurrence in families, ensuring early screening and treatment for cataracts",
        "Setting": "Advanced Eye Centre, PGIMER, Chandigarh, India (Tertiary care referel Institute)",
        "Methods": "This was a prospective observational study, where we analyzed peripheral blood samples of pediatric patients with bilateral congenital cataracts via next-generation sequencing to identify cataract-causing genetic variants.",
        "Results": "We enrolled 60 pediatric patients, with a mean age of 26.6 months, out of which there was a predominance of males (n=37; 61.6%). Variants were identified in 40 probands (66.6%). We identified pathogenic or likely pathogenic variants in 20 patients (33.3%) and 70% of these had no family history of cataract. Of the variants, we observed 18 single nucleotide variants (SNV) in 13 genes. SNVs in crystallin genes were most common, (4 out of 20) followed by SNVs in gap junction genes along with three novel variants. Two copy number variants (CNV) of varying size and genomic location were also reported.",
        "Conclusions": "The variants in our cohort of pediatric cataract patients were very heterogeneous. Exome sequencing demonstrated a high diagnostic yield for a genetic variant in cases of bilateral congenital cataracts, even in the absence of family history."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "PP18.02",
      "abstract_number": "PP18.02",
      "title": "Paediatric Cataract Surgery As Refractive Surgery: Accuracy Of Srk/T Formula And Postoperative Refractive Error Prediction In Paediatric Cataract Surgery",
      "authors": "Dr Ambreen Yousaf",
      "presenter": "Dr Ambreen Yousaf",
      "normalized_authors": [
        "Ambreen Yousaf"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ambreen Yousaf",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Pakistan",
      "sections": {
        "Purpose": "Paediatric cataract is commonest avoidable cause of childhood visual disability but even with successful cataract surgery, desired optical outcome may not be achieved. Only 66% of paediatric eyes attain 1.00 D of SE of target refraction vs 97.8% in adults. Paediatric eyes undergo myopic shift, have shorter Axial Length , steeper corneal curvature , higher K value and shallower ACD a nd ELP may be affected by the need for an anterior vitrectomy. To avoid anisometropic amblyopia and myopic shift, acc urate prediction of postoperative refraction is imperative. We investigated the accuracy of IOL power calculation using SRK/T formula and postoperative refractive error prediction in paediatric population.",
        "Setting": "This is prospective consecutive case-series conducted at Children Eye Hospital (ASTEH), Rawalpindi ( the only Children eye-hospital in Pakistan ). All patients aged 6 months to 8 years who underwent uneventful cataract surgery and in-the-bag IOL implantation with biometry using SRK/T formula between Mar,2025 to Oct,2025 were included. Patients with aphakia, secondary IOL Implantation, other ocular disorders like PHPV, glaucoma, uveitis, microcornea or having previous ocular surgery were excluded.",
        "Methods": "All patients underwent Visual Acuity examination using Snellen chart, Cardiff cards, toys. Autokeratorefractometry, biomicroscopy and indirect fundoscopy exam, contact A-scan and biometry was performed with or without sedation. Demographic data included age, sex, and laterality. Biometry data included, AL, K and A constant and IOL power. For analysis eyes were divided into subgroups based on AL; very short <20.00mm short 20.00 - 22.00mm, moderate 22.01mm – 24.49 and long 24.5- 26.00mm, very long >26.00mm. Hyperopia was aimed by implanted IOL power to be 80% of calculated IOL power for ages < 2 years and 90% for ages 2-8 years. Refractive error was measured by streak retinoscopy and converted to SE. Prediction error was then calculated.",
        "Results": "A total of 351 eyes were included, with 138 Female and 213 Male, age ranged from 6months to 8 years and axial length ranged from 17.20 to 31.44mm. The mean predicted refractive error was 3.54 ± 1.87 D . Accuracy improved with increasing axial length . A paired t-test showed a statistically significant difference between predicted and actual refractive error (t(350)=16.24, p<0.001). Similarly, the Wilcoxon signed-rank test confirmed a significant difference (p<0.001). Regarding accuracy, 31.3% of eyes were within ±0.5 D , 44.4% within ±1.0 D , and 67.5% within ±2.0 D of the predicted refractive outcome.",
        "Conclusions": "In paediatric population the main factor decreasing the likelihood of amblyopia and better visual outcome is the accuracy of predicted postoperative refractive error, The formula’s performance is not uniform across ages and axial lengths.Age is clearly an important covariate. Axial length also plays a role. Longer axial length is associated with more myopic refractive error. In very short eyes, prediction error increased by approximately 0.62 D per 1 mm increase in axial length suggesting a trend toward relatively less myopic (more hyperopic) outcomes. Further studies are required for Paediatric IOL Calculation formula and development of standard model for aiming hyperopia and adjustment for higher myopic shift in asian eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In paediatric population the main factor decreasing the likelihood of amblyopia and better visual outcome is the accuracy of predicted postoperative refractive error, The formula’s performance is not uniform across ages and axial lengths.Age is clearly an important covariate. Axial length also plays a role. Longer axial length is associated with more myopic refractive error. In very short eyes, prediction error…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 273,
      "source_fields": {
        "Abstract Final Identifier": "PP18.02",
        "Title": "Paediatric Cataract Surgery As Refractive Surgery: Accuracy Of Srk/T Formula And Postoperative Refractive Error Prediction In Paediatric Cataract Surgery",
        "Presenting Author(s)": "Dr Ambreen Yousaf",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Ambreen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yousaf",
        "Country Name": "Pakistan",
        "Purpose": "Paediatric cataract is commonest avoidable cause of childhood visual disability but even with successful cataract surgery, desired optical outcome may not be achieved. Only 66% of paediatric eyes attain 1.00 D of SE of target refraction vs 97.8% in adults. Paediatric eyes undergo myopic shift, have shorter Axial Length , steeper corneal curvature , higher K value and shallower ACD a nd ELP may be affected by the need for an anterior vitrectomy. To avoid anisometropic amblyopia and myopic shift, acc urate prediction of postoperative refraction is imperative. We investigated the accuracy of IOL power calculation using SRK/T formula and postoperative refractive error prediction in paediatric population.",
        "Setting": "This is prospective consecutive case-series conducted at Children Eye Hospital (ASTEH), Rawalpindi ( the only Children eye-hospital in Pakistan ). All patients aged 6 months to 8 years who underwent uneventful cataract surgery and in-the-bag IOL implantation with biometry using SRK/T formula between Mar,2025 to Oct,2025 were included. Patients with aphakia, secondary IOL Implantation, other ocular disorders like PHPV, glaucoma, uveitis, microcornea or having previous ocular surgery were excluded.",
        "Methods": "All patients underwent Visual Acuity examination using Snellen chart, Cardiff cards, toys. Autokeratorefractometry, biomicroscopy and indirect fundoscopy exam, contact A-scan and biometry was performed with or without sedation. Demographic data included age, sex, and laterality. Biometry data included, AL, K and A constant and IOL power. For analysis eyes were divided into subgroups based on AL; very short <20.00mm short 20.00 - 22.00mm, moderate 22.01mm – 24.49 and long 24.5- 26.00mm, very long >26.00mm. Hyperopia was aimed by implanted IOL power to be 80% of calculated IOL power for ages < 2 years and 90% for ages 2-8 years. Refractive error was measured by streak retinoscopy and converted to SE. Prediction error was then calculated.",
        "Results": "A total of 351 eyes were included, with 138 Female and 213 Male, age ranged from 6months to 8 years and axial length ranged from 17.20 to 31.44mm. The mean predicted refractive error was 3.54 ± 1.87 D . Accuracy improved with increasing axial length . A paired t-test showed a statistically significant difference between predicted and actual refractive error (t(350)=16.24, p<0.001). Similarly, the Wilcoxon signed-rank test confirmed a significant difference (p<0.001). Regarding accuracy, 31.3% of eyes were within ±0.5 D , 44.4% within ±1.0 D , and 67.5% within ±2.0 D of the predicted refractive outcome.",
        "Conclusions": "In paediatric population the main factor decreasing the likelihood of amblyopia and better visual outcome is the accuracy of predicted postoperative refractive error, The formula’s performance is not uniform across ages and axial lengths.Age is clearly an important covariate. Axial length also plays a role. Longer axial length is associated with more myopic refractive error. In very short eyes, prediction error increased by approximately 0.62 D per 1 mm increase in axial length suggesting a trend toward relatively less myopic (more hyperopic) outcomes. Further studies are required for Paediatric IOL Calculation formula and development of standard model for aiming hyperopia and adjustment for higher myopic shift in asian eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 518
    },
    {
      "uid": "PP18.04",
      "abstract_number": "PP18.04",
      "title": "Cataract Surgery In Children With Uveitis",
      "authors": "Mrs Nina Zelenayova",
      "presenter": "Mrs Nina Zelenayova",
      "normalized_authors": [
        "Nina Zelenayova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nina Zelenayova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "The aim of this study is to present the issue of cataract surgery in pediatric patients with uveitis based on a group of patients operated on at the Ophthalmology Department of Motol and Homolka University Hospital.",
        "Setting": "Department of Ophthalmology, Motol and Homolka University Hospital, Prague, Czech Republic",
        "Methods": "A retrospective analysis was conducted of 35 eyes in 23 patients treated for uveitis who underwent cataract surgery before the age of 18 between January 2015 and March 2025. Postoperative visual acuity and the incidence and types of complications were evaluated.",
        "Results": "Children with congenital uveitis were assessed separately because of the specific character of disease. In patients with non-congenital uveitis (25 eyes, 17 patients), visual function was moderately impaired in five eyes and normal in 20 eyes. Secondary glaucoma occurred in 18 eyes, most diagnosed before surgery. Retinal detachment was found in one eye prior to surgery. No other complications were recorded.\n\nIn the congenital uveitis group (10 eyes, 6 patients), preoperative visual acuity could not be assessed due to age. Postoperatively, visual function corresponded to practical blindness in 4 eyes, moderate to severe impairment in 3 eyes, and mild impairment in 3 eyes. Secondary glaucoma developed in 8 eyes, mostly diagnosed before surgery.",
        "Conclusions": "Cataract surgery in children with uveitis is specific both in its intraoperative course and in the higher incidence of postoperative complications. Careful preoperative preparation, precise surgical technique, and thorough postoperative follow-up are essential."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in children with uveitis is specific both in its intraoperative course and in the higher incidence of postoperative complications. Careful preoperative preparation, precise surgical technique, and thorough postoperative follow-up are essential.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery pediatric",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 274,
      "source_fields": {
        "Abstract Final Identifier": "PP18.04",
        "Title": "Cataract Surgery In Children With Uveitis",
        "Presenting Author(s)": "Mrs Nina Zelenayova",
        "Abstract Topic Name": "Cataract surgery pediatric",
        "Submitter First Name": "Nina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zelenayova",
        "Country Name": "Czech Republic",
        "Purpose": "The aim of this study is to present the issue of cataract surgery in pediatric patients with uveitis based on a group of patients operated on at the Ophthalmology Department of Motol and Homolka University Hospital.",
        "Setting": "Department of Ophthalmology, Motol and Homolka University Hospital, Prague, Czech Republic",
        "Methods": "A retrospective analysis was conducted of 35 eyes in 23 patients treated for uveitis who underwent cataract surgery before the age of 18 between January 2015 and March 2025. Postoperative visual acuity and the incidence and types of complications were evaluated.",
        "Results": "Children with congenital uveitis were assessed separately because of the specific character of disease. In patients with non-congenital uveitis (25 eyes, 17 patients), visual function was moderately impaired in five eyes and normal in 20 eyes. Secondary glaucoma occurred in 18 eyes, most diagnosed before surgery. Retinal detachment was found in one eye prior to surgery. No other complications were recorded.\n\nIn the congenital uveitis group (10 eyes, 6 patients), preoperative visual acuity could not be assessed due to age. Postoperatively, visual function corresponded to practical blindness in 4 eyes, moderate to severe impairment in 3 eyes, and mild impairment in 3 eyes. Secondary glaucoma developed in 8 eyes, mostly diagnosed before surgery.",
        "Conclusions": "Cataract surgery in children with uveitis is specific both in its intraoperative course and in the higher incidence of postoperative complications. Careful preoperative preparation, precise surgical technique, and thorough postoperative follow-up are essential."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "PP18.05",
      "abstract_number": "PP18.05",
      "title": "“Aqueous Humor Complement C3 And C4 As Predictive Biomarkers For Risk Of Rebound Inflammation In Uveitic Cataract Surgery”",
      "authors": "Dr Lusine Kambulyan",
      "presenter": "Dr Lusine Kambulyan",
      "normalized_authors": [
        "Lusine Kambulyan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lusine AO0298059 Kambulyan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Armenia",
      "sections": {
        "Purpose": "To evaluate whether intraocular complement fractions C3 and C4 in aqueous humor can serve as predictive biomarkers of inflammatory activity and perioperative risk in patients with uveitic cataract undergoing surgery.",
        "Setting": "Cornea-Uveitis Department, S.V. Malayan Eye Center, Yerevan, Armenia",
        "Methods": "This prospective case–control study included 118 patients examined between March 2022 and November 2023. Fifty-eight patients had uveitis classified according to SUN criteria (idiopathic anterior, herpetic anterior, HLA-B27–associated, Behçet-related, and Fuchs uveitis). Sixty control patients undergoing routine cataract or pterygium surgery without inflammatory disease were included for comparison. Complement C3 and C4 levels were measured in serum and aqueous humor samples obtained at the time of surgery. Associations between complement levels, uveitis subtype, and clinical inflammatory severity were analyzed. Receiver operating characteristic (ROC) analysis was performed to determine predictive thresholds.",
        "Results": "Serum C3 and C4 levels did not differ between groups (p>0.05). In contrast, aqueous humor C3 and C4 were detected only in uveitis patients and were significantly higher than in controls (p<0.05). Intraocular complement levels were highest in HLA-B27–associated and Behçet uveitis, subtypes linked to aggressive inflammation and increased postoperative risk. Fuchs uveitis showed absent C3 but elevated C4, suggesting differential pathway activation and a distinct surgical inflammatory profile. Aqueous complement levels correlated with clinical inflammation severity. ROC analysis showed C3 ≥0.005 g/L predicted active inflammation with 76% sensitivity and 100% specificity, while C4 ≥0.000825 g/L showed 82.8% sensitivity and 100% specificity.",
        "Conclusions": "Complement activation in uveitis appears to be a localized intraocular process not reflected by serum testing. Elevated aqueous C3 and C4 levels may serve as objective biomarkers of subclinical inflammatory activity and could help identify patients at higher risk of postoperative inflammatory complications in uveitic cataract surgery. Incorporation of aqueous complement analysis may assist in surgical timing decisions, perioperative anti-inflammatory optimization, and individualized risk stratification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Complement activation in uveitis appears to be a localized intraocular process not reflected by serum testing. Elevated aqueous C3 and C4 levels may serve as objective biomarkers of subclinical inflammatory activity and could help identify patients at higher risk of postoperative inflammatory complications in uveitic cataract surgery. Incorporation of aqueous complement analysis may assist in surgical timing…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 275,
      "source_fields": {
        "Abstract Final Identifier": "PP18.05",
        "Title": "“Aqueous Humor Complement C3 And C4 As Predictive Biomarkers For Risk Of Rebound Inflammation In Uveitic Cataract Surgery”",
        "Presenting Author(s)": "Dr Lusine Kambulyan",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Lusine",
        "Submitter Middle Name": "AO0298059",
        "Submitter Last Name": "Kambulyan",
        "Country Name": "Armenia",
        "Purpose": "To evaluate whether intraocular complement fractions C3 and C4 in aqueous humor can serve as predictive biomarkers of inflammatory activity and perioperative risk in patients with uveitic cataract undergoing surgery.",
        "Setting": "Cornea-Uveitis Department, S.V. Malayan Eye Center, Yerevan, Armenia",
        "Methods": "This prospective case–control study included 118 patients examined between March 2022 and November 2023. Fifty-eight patients had uveitis classified according to SUN criteria (idiopathic anterior, herpetic anterior, HLA-B27–associated, Behçet-related, and Fuchs uveitis). Sixty control patients undergoing routine cataract or pterygium surgery without inflammatory disease were included for comparison. Complement C3 and C4 levels were measured in serum and aqueous humor samples obtained at the time of surgery. Associations between complement levels, uveitis subtype, and clinical inflammatory severity were analyzed. Receiver operating characteristic (ROC) analysis was performed to determine predictive thresholds.",
        "Results": "Serum C3 and C4 levels did not differ between groups (p>0.05). In contrast, aqueous humor C3 and C4 were detected only in uveitis patients and were significantly higher than in controls (p<0.05). Intraocular complement levels were highest in HLA-B27–associated and Behçet uveitis, subtypes linked to aggressive inflammation and increased postoperative risk. Fuchs uveitis showed absent C3 but elevated C4, suggesting differential pathway activation and a distinct surgical inflammatory profile. Aqueous complement levels correlated with clinical inflammation severity. ROC analysis showed C3 ≥0.005 g/L predicted active inflammation with 76% sensitivity and 100% specificity, while C4 ≥0.000825 g/L showed 82.8% sensitivity and 100% specificity.",
        "Conclusions": "Complement activation in uveitis appears to be a localized intraocular process not reflected by serum testing. Elevated aqueous C3 and C4 levels may serve as objective biomarkers of subclinical inflammatory activity and could help identify patients at higher risk of postoperative inflammatory complications in uveitic cataract surgery. Incorporation of aqueous complement analysis may assist in surgical timing decisions, perioperative anti-inflammatory optimization, and individualized risk stratification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "PP18.06",
      "abstract_number": "PP18.06",
      "title": "Evaluation Of Endothelial Cell Density After Phacoemulsification In Various Grades Of Cataract Consuming Varied Volumes Of Balanced Salt Solution",
      "authors": "Dr Anurag Mishra",
      "presenter": "Dr Anurag Mishra",
      "normalized_authors": [
        "Anurag Mishra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anurag Mishra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To estimate the endothelial cell density and endothelial cell loss percentage after Phacoemulsification, in which the volume of BSS used for the procedure was divided into three sub groups. A total of 1168 eyes were included in the study from July to December 2025.",
        "Setting": "The study was conducted at Radha Raman Hospital, Odisha, India. All surgeries was performed by the presenting author using the same Phacoemulsification machine ( Centurion Vision System, Alcon Laboratories, Fort Knox ). The Fluidics settings were kept constant in all procedures included in the study(IOP-20,AFR-23, vaccuum-450 in panel mode, Irrigation Factor-1.6, Vaccuum rise-0, IOP ramp-fast). The Phaco power settings Torsional energy 40-60 threhold 20 for both Chop and Quadrant removal steps.",
        "Methods": "This was a prospective randomized study. In the pateints included in the study,the total volume of fluid aspirated during Phacoemulsification procedure was recorded and based on that they were subdivided into three groups ; - Group 1 (30-35CC) , Group 2 (35-40CC) , Group 3 (40-45CC). The Endothelial cell density and the percentage of Endothelial cell loss were compared between the three groups at the end of 15 days, 1 month and 3 months post operative. Each subgroup of patients required varying amount of energy based on the grade of nucleus sclerosis and the corleation of the endothelial cell loss for a fixed volume of fluid aspirated but bearing different CDE values were also analysed.",
        "Results": "Percentage of endothelial cell loss was low for low volumes of total fluid aspirated during the procedure. The least cell loss was found in Group 1 (30-35 CC) on the 15th post operative day, and little change was observed in the cell density on subsequent follow ups at 1 month and 3 months. Both the other groups showed more cell loss on the firts visit which was statistically significant. Group 3 (40-45CC) showed the cell loss to continue at 1 month. No group showed significant Endothelial cell loss between 1month and 3 months follow up visits. Patients in whom the CDE count was higher showed higher percentage of cell loss and it corelated well with the fluid aspirated in all three groups.",
        "Conclusions": "Low volumes of total fluid aspirated during Phacoemulsification leads to low percentage of endothelial cell loss. Surgery under physiological IOP and low fluidics lead to low volumes of fluid consumed during the procedure and therefore are very friendly towards Corneal Endothelial cells."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Low volumes of total fluid aspirated during Phacoemulsification leads to low percentage of endothelial cell loss. Surgery under physiological IOP and low fluidics lead to low volumes of fluid consumed during the procedure and therefore are very friendly towards Corneal Endothelial cells.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 276,
      "source_fields": {
        "Abstract Final Identifier": "PP18.06",
        "Title": "Evaluation Of Endothelial Cell Density After Phacoemulsification In Various Grades Of Cataract Consuming Varied Volumes Of Balanced Salt Solution",
        "Presenting Author(s)": "Dr Anurag Mishra",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Anurag",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mishra",
        "Country Name": "India",
        "Purpose": "To estimate the endothelial cell density and endothelial cell loss percentage after Phacoemulsification, in which the volume of BSS used for the procedure was divided into three sub groups. A total of 1168 eyes were included in the study from July to December 2025.",
        "Setting": "The study was conducted at Radha Raman Hospital, Odisha, India. All surgeries was performed by the presenting author using the same Phacoemulsification machine ( Centurion Vision System, Alcon Laboratories, Fort Knox ). The Fluidics settings were kept constant in all procedures included in the study(IOP-20,AFR-23, vaccuum-450 in panel mode, Irrigation Factor-1.6, Vaccuum rise-0, IOP ramp-fast). The Phaco power settings Torsional energy 40-60 threhold 20 for both Chop and Quadrant removal steps.",
        "Methods": "This was a prospective randomized study. In the pateints included in the study,the total volume of fluid aspirated during Phacoemulsification procedure was recorded and based on that they were subdivided into three groups ; - Group 1 (30-35CC) , Group 2 (35-40CC) , Group 3 (40-45CC). The Endothelial cell density and the percentage of Endothelial cell loss were compared between the three groups at the end of 15 days, 1 month and 3 months post operative. Each subgroup of patients required varying amount of energy based on the grade of nucleus sclerosis and the corleation of the endothelial cell loss for a fixed volume of fluid aspirated but bearing different CDE values were also analysed.",
        "Results": "Percentage of endothelial cell loss was low for low volumes of total fluid aspirated during the procedure. The least cell loss was found in Group 1 (30-35 CC) on the 15th post operative day, and little change was observed in the cell density on subsequent follow ups at 1 month and 3 months. Both the other groups showed more cell loss on the firts visit which was statistically significant. Group 3 (40-45CC) showed the cell loss to continue at 1 month. No group showed significant Endothelial cell loss between 1month and 3 months follow up visits. Patients in whom the CDE count was higher showed higher percentage of cell loss and it corelated well with the fluid aspirated in all three groups.",
        "Conclusions": "Low volumes of total fluid aspirated during Phacoemulsification leads to low percentage of endothelial cell loss. Surgery under physiological IOP and low fluidics lead to low volumes of fluid consumed during the procedure and therefore are very friendly towards Corneal Endothelial cells."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 392
    },
    {
      "uid": "PP18.07",
      "abstract_number": "PP18.07",
      "title": "Observation Of Visual Quality After Monocular Refractive Cataract Surgery",
      "authors": "Dr Yanfeng Zeng",
      "presenter": "Dr Yanfeng Zeng",
      "normalized_authors": [
        "Yanfeng Zeng"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yanfeng Zeng",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To evaluate visual quality in patients undergoing monocular or bilateral cataract surgery with trifocal intraocular lens (IOL) implantation.",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "We conducted a single-center, prospective, observational research. This study included 62 eyes of 31 patients who received trifocal IOL implantation in one eye only (observation group), and 62 eyes of 31 patients who received bilateral trifocal IOL implantation (control group).Three months postoperatively, monocular and binocular distance, intermediate, and near visual acuity, modulation transfer function (MTF), Strehl ratio (SR), total ocular higher order aberrations, and three-level visual function were assessed. A questionnaire was used to evaluate spectacle independence, light disturbance, overall satisfaction, and quality of life.",
        "Results": "Both groups improved in monocular UDVA postoperatively (P<0.05). No intergroup differences existed in UDVA, binocular acuity, MTF, SR, aberrations, VF-14-CN, or satisfaction (P>0.05). Three-level visual function was better in controls (P<0.05). Simultaneous vision correlated with higher-order aberration differences; fusion vision correlated with UIVA difference (r=0.410, P=0.027). Stereopsis correlated with binocular UIVA (r=0.545, P=0.002) and UNVA differences (r=0.474, P=0.009). Regression showed bilateral UIVA difference >0.439 indicated abnormal fusion; >0.472 indicated absent stereopsis.",
        "Conclusions": "Patients with either monocular or bilateral trifocal IOL implantation achieved good postoperative visual quality. However, those in the control group exhibited superior three-level visual function. A bilateral UIVA difference\n\ngreater than 0.439 impaired binocular fusion, and a difference greater than 0.472 eliminated stereopsis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with either monocular or bilateral trifocal IOL implantation achieved good postoperative visual quality. However, those in the control group exhibited superior three-level visual function. A bilateral UIVA difference greater than 0.439 impaired binocular fusion, and a difference greater than 0.472 eliminated stereopsis.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 277,
      "source_fields": {
        "Abstract Final Identifier": "PP18.07",
        "Title": "Observation Of Visual Quality After Monocular Refractive Cataract Surgery",
        "Presenting Author(s)": "Dr Yanfeng Zeng",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Yanfeng",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Zeng",
        "Country Name": "China",
        "Purpose": "To evaluate visual quality in patients undergoing monocular or bilateral cataract surgery with trifocal intraocular lens (IOL) implantation.",
        "Setting": "Lixiang Eye Hospital of Soochow University",
        "Methods": "We conducted a single-center, prospective, observational research. This study included 62 eyes of 31 patients who received trifocal IOL implantation in one eye only (observation group), and 62 eyes of 31 patients who received bilateral trifocal IOL implantation (control group).Three months postoperatively, monocular and binocular distance, intermediate, and near visual acuity, modulation transfer function (MTF), Strehl ratio (SR), total ocular higher order aberrations, and three-level visual function were assessed. A questionnaire was used to evaluate spectacle independence, light disturbance, overall satisfaction, and quality of life.",
        "Results": "Both groups improved in monocular UDVA postoperatively (P<0.05). No intergroup differences existed in UDVA, binocular acuity, MTF, SR, aberrations, VF-14-CN, or satisfaction (P>0.05). Three-level visual function was better in controls (P<0.05). Simultaneous vision correlated with higher-order aberration differences; fusion vision correlated with UIVA difference (r=0.410, P=0.027). Stereopsis correlated with binocular UIVA (r=0.545, P=0.002) and UNVA differences (r=0.474, P=0.009). Regression showed bilateral UIVA difference >0.439 indicated abnormal fusion; >0.472 indicated absent stereopsis.",
        "Conclusions": "Patients with either monocular or bilateral trifocal IOL implantation achieved good postoperative visual quality. However, those in the control group exhibited superior three-level visual function. A bilateral UIVA difference\n\ngreater than 0.439 impaired binocular fusion, and a difference greater than 0.472 eliminated stereopsis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "PP18.08",
      "abstract_number": "PP18.08",
      "title": "Evaluation Of Structural And Vascular Changes In The Choroid After Uneventful Phacoemulsification Surgery",
      "authors": "Mehmet Icoz",
      "presenter": "Mehmet Icoz",
      "normalized_authors": [
        "Mehmet Icoz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mehmet Icoz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The aim of this study was to evaluate structural and vascular changes in the choroid after phacoemulsification surgery.",
        "Setting": "Yozgat City Hospital, Türkiye.",
        "Methods": "This research comprised 50 eyes of 50 individuals who received uneventful surgical treatment for cataracts. Intraocular pressure, axial length, subfoveal choroidal thickness, and choroidal thickness in the nasal and temporal areas at 1,500-micron distance from the fovea were measured before surgery and at one and three months after surgery. At the same evaluation times, the choroidal luminal area and choroidal stromal area were calculated with the binarization method using image J software, and the choroidal vascular index (CVI) was calculated by dividing the luminal area by the total area. In addition, total surgery time and effective phacoemulsification time were recorded.",
        "Results": "Although there was a decrease in the intraocular pressure after surgery, no significant difference was found (p>0.05 for all). A significant increase was detected in the subfoveal, nasal, and temporal choroidal thicknesses at the first postoperative month compared to the preoperative values (p<0.05), but no significant difference was found at the third month postoperatively (p>0.05). The mean CVI was 61.6 ± 3.5% preoperatively, 65.2 ± 4.2% at the first postoperative month, and 65.9 ± 3.9% at the third postoperative month. The increase at the first and third postoperative months was significant when compared to the evaluation made preoperatively (p=0.004 and p<0.001, respectively).",
        "Conclusions": "Structural and vascular choroidal changes in the after-cataract surgery are important. In this study, it was observed that after uneventful phacoemulsification, the choroidal thickness increased at the first postoperative month and reached the preoperative values at the third month. It was also determined that CVI increased at the first and third postoperative months. CVI can offer an idea about whether cataract surgery is a predisposing factor in diseases involving the choroid."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Structural and vascular choroidal changes in the after-cataract surgery are important. In this study, it was observed that after uneventful phacoemulsification, the choroidal thickness increased at the first postoperative month and reached the preoperative values at the third month. It was also determined that CVI increased at the first and third postoperative months. CVI can offer an idea about whether cataract…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 278,
      "source_fields": {
        "Abstract Final Identifier": "PP18.08",
        "Title": "Evaluation Of Structural And Vascular Changes In The Choroid After Uneventful Phacoemulsification Surgery",
        "Presenting Author(s)": "Mehmet Icoz",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Mehmet",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Icoz",
        "Country Name": "Türkiye",
        "Purpose": "The aim of this study was to evaluate structural and vascular changes in the choroid after phacoemulsification surgery.",
        "Setting": "Yozgat City Hospital, Türkiye.",
        "Methods": "This research comprised 50 eyes of 50 individuals who received uneventful surgical treatment for cataracts. Intraocular pressure, axial length, subfoveal choroidal thickness, and choroidal thickness in the nasal and temporal areas at 1,500-micron distance from the fovea were measured before surgery and at one and three months after surgery. At the same evaluation times, the choroidal luminal area and choroidal stromal area were calculated with the binarization method using image J software, and the choroidal vascular index (CVI) was calculated by dividing the luminal area by the total area. In addition, total surgery time and effective phacoemulsification time were recorded.",
        "Results": "Although there was a decrease in the intraocular pressure after surgery, no significant difference was found (p>0.05 for all). A significant increase was detected in the subfoveal, nasal, and temporal choroidal thicknesses at the first postoperative month compared to the preoperative values (p<0.05), but no significant difference was found at the third month postoperatively (p>0.05). The mean CVI was 61.6 ± 3.5% preoperatively, 65.2 ± 4.2% at the first postoperative month, and 65.9 ± 3.9% at the third postoperative month. The increase at the first and third postoperative months was significant when compared to the evaluation made preoperatively (p=0.004 and p<0.001, respectively).",
        "Conclusions": "Structural and vascular choroidal changes in the after-cataract surgery are important. In this study, it was observed that after uneventful phacoemulsification, the choroidal thickness increased at the first postoperative month and reached the preoperative values at the third month. It was also determined that CVI increased at the first and third postoperative months. CVI can offer an idea about whether cataract surgery is a predisposing factor in diseases involving the choroid."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "PP18.09",
      "abstract_number": "PP18.09",
      "title": "Comparison Of Anterior Capsulotomy Edge Characteristics In Manual Continuous Curvilinear Capsulorhexis And Femtosecond Laser-Assisted Capsulotomy: A Systematic Review And Meta-Analysis",
      "authors": "Dr Abdulmalik Omar Alsaif",
      "presenter": "Dr Abdulmalik Omar Alsaif",
      "normalized_authors": [
        "Abdulmalik Omar Alsaif"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulmalik Omar Alsaif",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To systematically compare anterior capsulotomy edge created by manual continuous curvilinear capsulorhexis (CCC) versus femtosecond laser-assisted capsulotomy (FLACS), integrating ultrastructural (SEM/histology) findings with biomechanical and clinical safety signals.",
        "Setting": "Systematic review and meta-analysis framework of published comparative studies (manual CCC vs FLACS). Primary outcomes included capsulotomy edge microstructure (SEM/histology-derived irregularity descriptors), capsular rim biomechanics (tear strength/rim stability) and clinical anterior capsule tear events.",
        "Methods": "Databases were searched for comparative studies of CCC versus FLACS assessing capsulotomy edge morphology by SEM/histology and/or rim biomechanics and/or anterior capsule tear outcomes. Studies reporting SEM-based edge irregularity and biomechanical rim behaviour were synthesised qualitatively due to heterogeneity of measurement methods.",
        "Results": "Across the studies, manual CCC consistently demonstrated smoother capsule edges, whereas FLACS produced microgrooves/irregularities; irregularity increased with higher energy settings in reported cohorts. Biomechanical evidence indicates differences in methods, with manual capsulotomy demonstrating superior rim stability in a dedicated biophysical comparison. Published meta-analysis evidence shows FLACS improves capsulotomy precision/circularity, while anterior capsule tear rates are not consistently different from manual CCC.",
        "Conclusions": "The evidence consistently supports a central, clinically relevant paradox: FLACS improves capsulotomy geometry, yet produces a more micro-irregular capsulotomy edge compared with manual CCC on histology. These edge microfeatures may contribute to capsular rim behaviour seen in biomechanical studies, even when clinical tear rates appear similar in meta-analyses. Future trials should standardise edge-quality metrics and link them to rim stability and real-world tear events across platforms and energy/interface settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The evidence consistently supports a central, clinically relevant paradox: FLACS improves capsulotomy geometry, yet produces a more micro-irregular capsulotomy edge compared with manual CCC on histology. These edge microfeatures may contribute to capsular rim behaviour seen in biomechanical studies, even when clinical tear rates appear similar in meta-analyses. Future trials should standardise edge-quality metrics…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 279,
      "source_fields": {
        "Abstract Final Identifier": "PP18.09",
        "Title": "Comparison Of Anterior Capsulotomy Edge Characteristics In Manual Continuous Curvilinear Capsulorhexis And Femtosecond Laser-Assisted Capsulotomy: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Abdulmalik Omar Alsaif",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Abdulmalik",
        "Submitter Middle Name": "Omar",
        "Submitter Last Name": "Alsaif",
        "Country Name": "United Kingdom",
        "Purpose": "To systematically compare anterior capsulotomy edge created by manual continuous curvilinear capsulorhexis (CCC) versus femtosecond laser-assisted capsulotomy (FLACS), integrating ultrastructural (SEM/histology) findings with biomechanical and clinical safety signals.",
        "Setting": "Systematic review and meta-analysis framework of published comparative studies (manual CCC vs FLACS). Primary outcomes included capsulotomy edge microstructure (SEM/histology-derived irregularity descriptors), capsular rim biomechanics (tear strength/rim stability) and clinical anterior capsule tear events.",
        "Methods": "Databases were searched for comparative studies of CCC versus FLACS assessing capsulotomy edge morphology by SEM/histology and/or rim biomechanics and/or anterior capsule tear outcomes. Studies reporting SEM-based edge irregularity and biomechanical rim behaviour were synthesised qualitatively due to heterogeneity of measurement methods.",
        "Results": "Across the studies, manual CCC consistently demonstrated smoother capsule edges, whereas FLACS produced microgrooves/irregularities; irregularity increased with higher energy settings in reported cohorts. Biomechanical evidence indicates differences in methods, with manual capsulotomy demonstrating superior rim stability in a dedicated biophysical comparison. Published meta-analysis evidence shows FLACS improves capsulotomy precision/circularity, while anterior capsule tear rates are not consistently different from manual CCC.",
        "Conclusions": "The evidence consistently supports a central, clinically relevant paradox: FLACS improves capsulotomy geometry, yet produces a more micro-irregular capsulotomy edge compared with manual CCC on histology. These edge microfeatures may contribute to capsular rim behaviour seen in biomechanical studies, even when clinical tear rates appear similar in meta-analyses. Future trials should standardise edge-quality metrics and link them to rim stability and real-world tear events across platforms and energy/interface settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "PP18.10",
      "abstract_number": "PP18.10",
      "title": "Bilateral Cataract Surgery In Tropical Country : Visual Outcomes And Complications",
      "authors": "Dr Hardik Parikh",
      "presenter": "Dr Hardik Parikh",
      "normalized_authors": [
        "Hardik Parikh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hardik Parikh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate the visual outcome, post-operative complications and safety of Simultaneous Bilateral Cataract Extraction in Tropical Country.",
        "Setting": "Single surgeon series in a private practice setting in Mumbai, India",
        "Methods": "This retrospective case review comprised 250 random patients (500 eyes ) who had simultaneous bilateral\ncataract surgery.\n\nSurgeries included bilateral simultaneous Microincision phacoemulsification with foldable monofocal /monofocal EDOF/\nmultifocal intraocular lens implantation.\n\nOutcome measures were postoperative best spectacle-corrected visual acuity (BSCVA), intraoperative and\npostoperative complication rates",
        "Results": "91.89 percent of patients achieved an UCVA acuity of 6/9 or better on post-operative day one.\n\nThe remaining 8.1 percent of patients had BCVA 6/12 on post-operative day one.\nAll eyes had BCVA of 6/9 or better by end of 1 month.\n\nOne eye of one patient had mild iritis when post-operative steroids were tapered and stopped, same eye responded well\non second three week cycle of low dose steroid.\n\nIntraoperative complication rates were similar to those in previous reports of unilateral cataract surgery and simultaneous\nbilateral cataract surgery.\n\nNo cases of Endophthalmitis or toxic anterior segment syndrome occurred in all 148 eyes.\nThere were no bilateral complications that resulted in visual loss.",
        "Conclusions": "Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or\npostoperative complications, and visual acuity results were good.\n\nConfidence in the results of bilateral simultaneous cataract surgery has gradually increased over the years with encouraging results, as evidenced by higher numbers every subsequent year.\n\nUse of intracameral moxifloxacin is perhaps advisable when doing bilateral simultaneous cataract surgery to reduce the risk of endophthalmitis, though we did not see any cases in our limited experience."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or postoperative complications, and visual acuity results were good. Confidence in the results of bilateral simultaneous cataract surgery has gradually increased over the years with encouraging results, as evidenced by higher numbers every subsequent year. Use of intracameral moxifloxacin is perhaps advisable…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 280,
      "source_fields": {
        "Abstract Final Identifier": "PP18.10",
        "Title": "Bilateral Cataract Surgery In Tropical Country : Visual Outcomes And Complications",
        "Presenting Author(s)": "Dr Hardik Parikh",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Hardik",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Parikh",
        "Country Name": "India",
        "Purpose": "To evaluate the visual outcome, post-operative complications and safety of Simultaneous Bilateral Cataract Extraction in Tropical Country.",
        "Setting": "Single surgeon series in a private practice setting in Mumbai, India",
        "Methods": "This retrospective case review comprised 250 random patients (500 eyes ) who had simultaneous bilateral\ncataract surgery.\n\nSurgeries included bilateral simultaneous Microincision phacoemulsification with foldable monofocal /monofocal EDOF/\nmultifocal intraocular lens implantation.\n\nOutcome measures were postoperative best spectacle-corrected visual acuity (BSCVA), intraoperative and\npostoperative complication rates",
        "Results": "91.89 percent of patients achieved an UCVA acuity of 6/9 or better on post-operative day one.\n\nThe remaining 8.1 percent of patients had BCVA 6/12 on post-operative day one.\nAll eyes had BCVA of 6/9 or better by end of 1 month.\n\nOne eye of one patient had mild iritis when post-operative steroids were tapered and stopped, same eye responded well\non second three week cycle of low dose steroid.\n\nIntraoperative complication rates were similar to those in previous reports of unilateral cataract surgery and simultaneous\nbilateral cataract surgery.\n\nNo cases of Endophthalmitis or toxic anterior segment syndrome occurred in all 148 eyes.\nThere were no bilateral complications that resulted in visual loss.",
        "Conclusions": "Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or\npostoperative complications, and visual acuity results were good.\n\nConfidence in the results of bilateral simultaneous cataract surgery has gradually increased over the years with encouraging results, as evidenced by higher numbers every subsequent year.\n\nUse of intracameral moxifloxacin is perhaps advisable when doing bilateral simultaneous cataract surgery to reduce the risk of endophthalmitis, though we did not see any cases in our limited experience."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "PP18.11",
      "abstract_number": "PP18.11",
      "title": "Vision Restoration Enhances Appearance-Related Self-Care In Elderly Women After Cataract Surgery: A Prospective Questionnaire Study",
      "authors": "Dr Hidenaga Kobashi",
      "presenter": "Dr Hidenaga Kobashi",
      "normalized_authors": [
        "Hidenaga Kobashi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hidenaga Kobashi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Japan",
      "sections": {
        "Purpose": "Cataract surgery is known to improve visual function and quality of life in older adults. However, its impact on appearance-related self-care behaviors has rarely been investigated. This study aimed to evaluate changes in grooming behaviors and appearance awareness in elderly women undergoing cataract surgery.",
        "Setting": "Depertment of Ophthalmology, Tokushukai Medical Corporation Shonan Oiso Hospital, Kanagawa, Japan.",
        "Methods": "This prospective single-center study enrolled women aged ≥65 years who underwent cataract surgery. Assessments were performed preoperatively and at 1 month postoperatively. Self-reported outcomes included motivation to dress up, desire to maintain neat appearance, perceived limitations in grooming, social motivation related to appearance, loneliness, and monthly frequency of social or cosmetic activities. These variables were evaluated using 5-point Likert scales and count-based questions. Clinician-observed appearance was evaluated using a standardized five-item checklist assessing hair grooming, makeup, clothing neatness, accessory use, and nail care (total score range 0–5).",
        "Results": "A total of 86 patients with paired pre- and postoperative data were analyzed. Patient-reported grooming scores significantly improved from 4.19 ± 0.76 preoperatively to 4.42 ± 0.76 postoperatively (p = 0.007). Outdoor activity scores increased from 3.19 ± 1.06 to 3.62 ± 1.10, and beauty-related behavior scores improved from 0.67 ± 0.83 to 0.93 ± 1.15 (p = 0.002 and p = 0.004, respectively). Multivariable analysis showed a significant negative association between improvement in grooming scores and target refractive power (coefficient = −0.191, robust SE = 0.061, p = 0.002), indicating greater improvement with more myopic targets.",
        "Conclusions": "Cataract surgery was associated with significant improvements in objectively observed appearance-related self-care behaviors among elderly women. Behavioral changes were more pronounced than changes in subjective motivation, suggesting that restoration of visual function may facilitate grooming behaviors independently of conscious intention. These findings highlight a previously underrecognized psychosocial benefit of cataract surgery and suggest that vision restoration may promote self-care and social engagement in older adults."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery was associated with significant improvements in objectively observed appearance-related self-care behaviors among elderly women. Behavioral changes were more pronounced than changes in subjective motivation, suggesting that restoration of visual function may facilitate grooming behaviors independently of conscious intention. These findings highlight a previously underrecognized psychosocial benefit…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 281,
      "source_fields": {
        "Abstract Final Identifier": "PP18.11",
        "Title": "Vision Restoration Enhances Appearance-Related Self-Care In Elderly Women After Cataract Surgery: A Prospective Questionnaire Study",
        "Presenting Author(s)": "Dr Hidenaga Kobashi",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Hidenaga",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kobashi",
        "Country Name": "Japan",
        "Purpose": "Cataract surgery is known to improve visual function and quality of life in older adults. However, its impact on appearance-related self-care behaviors has rarely been investigated. This study aimed to evaluate changes in grooming behaviors and appearance awareness in elderly women undergoing cataract surgery.",
        "Setting": "Depertment of Ophthalmology, Tokushukai Medical Corporation Shonan Oiso Hospital, Kanagawa, Japan.",
        "Methods": "This prospective single-center study enrolled women aged ≥65 years who underwent cataract surgery. Assessments were performed preoperatively and at 1 month postoperatively. Self-reported outcomes included motivation to dress up, desire to maintain neat appearance, perceived limitations in grooming, social motivation related to appearance, loneliness, and monthly frequency of social or cosmetic activities. These variables were evaluated using 5-point Likert scales and count-based questions. Clinician-observed appearance was evaluated using a standardized five-item checklist assessing hair grooming, makeup, clothing neatness, accessory use, and nail care (total score range 0–5).",
        "Results": "A total of 86 patients with paired pre- and postoperative data were analyzed. Patient-reported grooming scores significantly improved from 4.19 ± 0.76 preoperatively to 4.42 ± 0.76 postoperatively (p = 0.007). Outdoor activity scores increased from 3.19 ± 1.06 to 3.62 ± 1.10, and beauty-related behavior scores improved from 0.67 ± 0.83 to 0.93 ± 1.15 (p = 0.002 and p = 0.004, respectively). Multivariable analysis showed a significant negative association between improvement in grooming scores and target refractive power (coefficient = −0.191, robust SE = 0.061, p = 0.002), indicating greater improvement with more myopic targets.",
        "Conclusions": "Cataract surgery was associated with significant improvements in objectively observed appearance-related self-care behaviors among elderly women. Behavioral changes were more pronounced than changes in subjective motivation, suggesting that restoration of visual function may facilitate grooming behaviors independently of conscious intention. These findings highlight a previously underrecognized psychosocial benefit of cataract surgery and suggest that vision restoration may promote self-care and social engagement in older adults."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "PP18.12",
      "abstract_number": "PP18.12",
      "title": "Global Perspectives On Intraocular Lens Power Calculation And Preoperative Assessment In Cataract Surgery",
      "authors": "Dr Kamran Riaz",
      "presenter": "Dr Kamran Riaz",
      "normalized_authors": [
        "Kamran Riaz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Karanpreet Singh Multani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To characterize global decision-making patterns in intraocular lens (IOL) power calculation among cataract surgeons, including formula selection and diagnostic technologies used in routine and complex eyes.",
        "Setting": "Cross-sectional observational study.",
        "Methods": "Cross-sectional observational study of a 29-item survey conducted between October 2023 and October 2024. Survey items assessed demographics, biometry and imaging use, IOL calculation strategies for routine and complex eyes (e.g., long or short axial length [AL], post–myopic laser vision correction [M-LVC]), intraoperative aberrometry (IOA), and adoption of online planning tools. Analyses were limited to respondents for each item. Subgroup comparisons were performed by gender, geographic region, practice setting, fellowship training, and years in practice.",
        "Results": "228 responses were included (response rate 22.8%), with 67.1% from North America. In routine cases, most surgeons prioritized biometer-integrated multivariable formulas, with Barrett Universal II most often ranked first (72.9%). In long and short AL eyes, multivariable formulas were preferred by 73.9% and 68.6% of respondents. After M-LVC, 93.8% used online post-refractive calculators, and 32.1% used IOA. The ESCRS formula repository was used by 60.4%, while 23.4% used commercial planning software. Practice patterns varied by region and career stage, with early-career surgeons favoring multivariable formulas and online tools and later-career surgeons relying more on third-generation formulas.",
        "Conclusions": "IOL power planning remains heterogeneous and is influenced by formula familiarity, technology access, workflow considerations, and training era. These findings highlight a disconnect between new formulas and technologies and real-world adoption, underscoring opportunities for education, standardization, and improved decision support in refractive cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IOL power planning remains heterogeneous and is influenced by formula familiarity, technology access, workflow considerations, and training era. These findings highlight a disconnect between new formulas and technologies and real-world adoption, underscoring opportunities for education, standardization, and improved decision support in refractive cataract surgery.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery practice styles",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 282,
      "source_fields": {
        "Abstract Final Identifier": "PP18.12",
        "Title": "Global Perspectives On Intraocular Lens Power Calculation And Preoperative Assessment In Cataract Surgery",
        "Presenting Author(s)": "Dr Kamran Riaz",
        "Abstract Topic Name": "Cataract surgery practice styles",
        "Submitter First Name": "Karanpreet",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Multani",
        "Country Name": "United States",
        "Purpose": "To characterize global decision-making patterns in intraocular lens (IOL) power calculation among cataract surgeons, including formula selection and diagnostic technologies used in routine and complex eyes.",
        "Setting": "Cross-sectional observational study.",
        "Methods": "Cross-sectional observational study of a 29-item survey conducted between October 2023 and October 2024. Survey items assessed demographics, biometry and imaging use, IOL calculation strategies for routine and complex eyes (e.g., long or short axial length [AL], post–myopic laser vision correction [M-LVC]), intraoperative aberrometry (IOA), and adoption of online planning tools. Analyses were limited to respondents for each item. Subgroup comparisons were performed by gender, geographic region, practice setting, fellowship training, and years in practice.",
        "Results": "228 responses were included (response rate 22.8%), with 67.1% from North America. In routine cases, most surgeons prioritized biometer-integrated multivariable formulas, with Barrett Universal II most often ranked first (72.9%). In long and short AL eyes, multivariable formulas were preferred by 73.9% and 68.6% of respondents. After M-LVC, 93.8% used online post-refractive calculators, and 32.1% used IOA. The ESCRS formula repository was used by 60.4%, while 23.4% used commercial planning software. Practice patterns varied by region and career stage, with early-career surgeons favoring multivariable formulas and online tools and later-career surgeons relying more on third-generation formulas.",
        "Conclusions": "IOL power planning remains heterogeneous and is influenced by formula familiarity, technology access, workflow considerations, and training era. These findings highlight a disconnect between new formulas and technologies and real-world adoption, underscoring opportunities for education, standardization, and improved decision support in refractive cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 255
    },
    {
      "uid": "PP19.01",
      "abstract_number": "PP19.01",
      "title": "Quantifying Corneal Crystal Deposition Patterns In Ocular Cystinosis Using Densitometry",
      "authors": "Dr Alexander George Wallace",
      "presenter": "Dr Alexander George Wallace",
      "normalized_authors": [
        "Alexander George Wallace"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexander George Wallace",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Cystinosis is a genetic, multisystem metabolic disease presenting in infancy, characterised by the accumulation of cystine crystals in the corneal stroma, causing severe, persistent photophobia. Topical cysteamine remains the only treatment for reducing corneal crystals, but its administration, up to 10 times daily, poses compliance issues. Monitoring corneal crystals is therefore essential, yet currently only possible with subjective scoring systems. Corneal densitometry is an objective, well-tolerated imaging modality quantifying corneal transparency. T his study evaluates the utility of corneal densitometry for measuring corneal cystinosis progression, focusing on age-related changes across different corneal regions compared to controls.",
        "Setting": "Royal Manchester Eye Hospital, United Kingdom. This is a tertiary eye hospital with a specialist cystinosis service.",
        "Methods": "This retrospective cohort-control study analysed corneal densitometry readings obtained using the Pentacam device. Densitometry values were recorded for the anterior, central, and posterior layers and for the 0-2mm (central), 2-6mm (mid-peripheral), and 6-10mm (peripheral) zones in all cystinosis patients, as well as from age-matched controls. Statistics were performed using IBM SPSS Statistics (Version 31.0.1.0), with a significance level set at p<0.05. A linear mixed model (LMM), accounting for repeated measures, included a three-way interaction of disease status (patient or control), age, and corneal region.",
        "Results": "252 scans from 52 patients (age range: 5–48), and 146 scans from 73 controls (age range: 10-50) were included. LMM revealed that patients exhibited a significantly higher increase in corneal densitometry compared to controls (0.335 vs 0.072 GSU/year; p<0.01). A significant three-way interaction was observed (p<0.05), indicating that age-related changes in densitometry differed by anatomical zone between groups. While patients demonstrated a higher baseline densitometry in the periphery, this region did not significantly diverge further over time (p=0.7). In contrast, the most pronounced age-related divergence occurred in the anterior (p=0.01) and central 0–2mm (p=0.03) zones, whereas the posterior zone remained statistically stable (p=0.8).",
        "Conclusions": "This is the largest cohort of cystinosis adult and paediatric patients in whom corneal densitometry has been performed. D ensitometry reflects established regional patterns of corneal crystal deposition in ocular cystinosis, with greater involvement of the peripheral, anterior and central cornea, with relatively sparing of the posterior region. Age-related changes in densitometry significantly differ between patients and controls in a region-specific manner, emphasising the importance of anatomical localisation when interpreting disease burden. Limited studies have evaluated corneal densitometry in cystinosis; this study offers further validation of this objective tool for monitoring ocular cystinosis progression and treatment adherence."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This is the largest cohort of cystinosis adult and paediatric patients in whom corneal densitometry has been performed. D ensitometry reflects established regional patterns of corneal crystal deposition in ocular cystinosis, with greater involvement of the peripheral, anterior and central cornea, with relatively sparing of the posterior region. Age-related changes in densitometry significantly differ between…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 283,
      "source_fields": {
        "Abstract Final Identifier": "PP19.01",
        "Title": "Quantifying Corneal Crystal Deposition Patterns In Ocular Cystinosis Using Densitometry",
        "Presenting Author(s)": "Dr Alexander George Wallace",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Alexander",
        "Submitter Middle Name": "George",
        "Submitter Last Name": "Wallace",
        "Country Name": "United Kingdom",
        "Purpose": "Cystinosis is a genetic, multisystem metabolic disease presenting in infancy, characterised by the accumulation of cystine crystals in the corneal stroma, causing severe, persistent photophobia. Topical cysteamine remains the only treatment for reducing corneal crystals, but its administration, up to 10 times daily, poses compliance issues. Monitoring corneal crystals is therefore essential, yet currently only possible with subjective scoring systems. Corneal densitometry is an objective, well-tolerated imaging modality quantifying corneal transparency. T his study evaluates the utility of corneal densitometry for measuring corneal cystinosis progression, focusing on age-related changes across different corneal regions compared to controls.",
        "Setting": "Royal Manchester Eye Hospital, United Kingdom. This is a tertiary eye hospital with a specialist cystinosis service.",
        "Methods": "This retrospective cohort-control study analysed corneal densitometry readings obtained using the Pentacam device. Densitometry values were recorded for the anterior, central, and posterior layers and for the 0-2mm (central), 2-6mm (mid-peripheral), and 6-10mm (peripheral) zones in all cystinosis patients, as well as from age-matched controls. Statistics were performed using IBM SPSS Statistics (Version 31.0.1.0), with a significance level set at p<0.05. A linear mixed model (LMM), accounting for repeated measures, included a three-way interaction of disease status (patient or control), age, and corneal region.",
        "Results": "252 scans from 52 patients (age range: 5–48), and 146 scans from 73 controls (age range: 10-50) were included. LMM revealed that patients exhibited a significantly higher increase in corneal densitometry compared to controls (0.335 vs 0.072 GSU/year; p<0.01). A significant three-way interaction was observed (p<0.05), indicating that age-related changes in densitometry differed by anatomical zone between groups. While patients demonstrated a higher baseline densitometry in the periphery, this region did not significantly diverge further over time (p=0.7). In contrast, the most pronounced age-related divergence occurred in the anterior (p=0.01) and central 0–2mm (p=0.03) zones, whereas the posterior zone remained statistically stable (p=0.8).",
        "Conclusions": "This is the largest cohort of cystinosis adult and paediatric patients in whom corneal densitometry has been performed. D ensitometry reflects established regional patterns of corneal crystal deposition in ocular cystinosis, with greater involvement of the peripheral, anterior and central cornea, with relatively sparing of the posterior region. Age-related changes in densitometry significantly differ between patients and controls in a region-specific manner, emphasising the importance of anatomical localisation when interpreting disease burden. Limited studies have evaluated corneal densitometry in cystinosis; this study offers further validation of this objective tool for monitoring ocular cystinosis progression and treatment adherence."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 419
    },
    {
      "uid": "PP19.16",
      "abstract_number": "PP19.16",
      "title": "Reframing Anterior Segment Depth: A Scoping Review Of Virtual Acd And Related Biometric Parameters For Elp Prediction.",
      "authors": "Mr Jose Galvez-Olortegui",
      "presenter": "Mr Jose Galvez-Olortegui",
      "normalized_authors": [
        "Jose Galvez-Olortegui"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jose Galvez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To map and standardize the terminology used to describe anterior segment biometric parameters related to postoperative anterior chamber depth (ACD)/ effective lens position (ELP) prediction and intraocular lens (IOL) position.",
        "Setting": "Clinical and imaging-based research in anterior segment biometry and cataract surgery.",
        "Methods": "A scoping review was conducted following PRISMA-ScR guidelines. Studies reporting definitions, preoperative and postoperative changes, or estimation models of anterior segment biometric parameters related to postoperative ACD or IOL position were included. Parameters were classified according to their anatomical reference into axial, horizontal and combined measurements. Changes from pre to postoperative measures were entered into a standardized evidence table. A qualitative comparative synthesis was used to identify standardized terminology, highlighting consistent findings across definitions.",
        "Results": "114 records were full text reviewed, and 42 selected for definitions(22) and definition(20). Definitions were classified in axial measurements(Table 1), horizontal measures (Table 2) and combined axial/horizontal measures(Table 3).\n\nSubstantial heterogeneity in terminology was identified: multiple definitions describing the same anatomical construct and different measurements sharing identical definitions. Conventional ACD showed marked postoperative deepening, whereas deep anterior segment parameters demonstrated minimal postoperative change. A proposed standardization of anterior segment biometric terminology is presented in Table 4, grouping heterogeneous terms under unified anatomical concepts, according to their reference landmarks.",
        "Conclusions": "Anterior segment biometric terminology related to postoperative ACD estimation is highly heterogeneous.\n\nThe concept of virtual anterior chamber depth provides a unifying and anatomically grounded framework to standardize existing measurements without introducing additional terminology."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Anterior segment biometric terminology related to postoperative ACD estimation is highly heterogeneous. The concept of virtual anterior chamber depth provides a unifying and anatomically grounded framework to standardize existing measurements without introducing additional terminology.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 284,
      "source_fields": {
        "Abstract Final Identifier": "PP19.16",
        "Title": "Reframing Anterior Segment Depth: A Scoping Review Of Virtual Acd And Related Biometric Parameters For Elp Prediction.",
        "Presenting Author(s)": "Mr Jose Galvez-Olortegui",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Jose",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Galvez",
        "Country Name": "Spain",
        "Purpose": "To map and standardize the terminology used to describe anterior segment biometric parameters related to postoperative anterior chamber depth (ACD)/ effective lens position (ELP) prediction and intraocular lens (IOL) position.",
        "Setting": "Clinical and imaging-based research in anterior segment biometry and cataract surgery.",
        "Methods": "A scoping review was conducted following PRISMA-ScR guidelines. Studies reporting definitions, preoperative and postoperative changes, or estimation models of anterior segment biometric parameters related to postoperative ACD or IOL position were included. Parameters were classified according to their anatomical reference into axial, horizontal and combined measurements. Changes from pre to postoperative measures were entered into a standardized evidence table. A qualitative comparative synthesis was used to identify standardized terminology, highlighting consistent findings across definitions.",
        "Results": "114 records were full text reviewed, and 42 selected for definitions(22) and definition(20). Definitions were classified in axial measurements(Table 1), horizontal measures (Table 2) and combined axial/horizontal measures(Table 3).\n\nSubstantial heterogeneity in terminology was identified: multiple definitions describing the same anatomical construct and different measurements sharing identical definitions. Conventional ACD showed marked postoperative deepening, whereas deep anterior segment parameters demonstrated minimal postoperative change. A proposed standardization of anterior segment biometric terminology is presented in Table 4, grouping heterogeneous terms under unified anatomical concepts, according to their reference landmarks.",
        "Conclusions": "Anterior segment biometric terminology related to postoperative ACD estimation is highly heterogeneous.\n\nThe concept of virtual anterior chamber depth provides a unifying and anatomically grounded framework to standardize existing measurements without introducing additional terminology."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 242
    },
    {
      "uid": "PP19.017",
      "abstract_number": "PP19.017",
      "title": "Pulsatile Red Reflex: A New Phenomenon In Ophthalmic Hemodynamic Imaging",
      "authors": "Dr Abdulkadir Oduncu",
      "presenter": "Dr Abdulkadir Oduncu",
      "normalized_authors": [
        "Abdulkadir Oduncu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulkadir Oduncu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The aim is to identify and characterize a previously undetected, heartbeat-synchronized signal (Pulsatile Red Reflex - PRR) within the fundus reflex using a smartphone-based contactless imaging method.",
        "Setting": "Single-center, prospective study conducted at an outpatient ophthalmology clinic.",
        "Methods": "In this prospective observational study, 50 eyes of subjects with pharmacologically dilated pupils were recorded at 4K resolution and 60 fps via a smartphone mounted on a biomicroscope. Simultaneous finger photoplethysmography (PPG) was used as a physiological reference. A stable region of interest (ROI) within the pupillary aperture was segmented, and intensity-based signals were extracted primarily from the red channel. Data were processed using band-pass filtering (0.5–4.0 Hz) and Fast Fourier Transform (FFT) to isolate cardiac frequency and analyze synchronization with systemic pulse waveforms.",
        "Results": "A strong periodic signal was successfully obtained in 92% of cases. Spectral analysis revealed a dominant power peak that perfectly matched the heart rate frequency (Mean Error < 0.02 Hz). PRR showed high synchronization with the reference PPG (r=0.89, p<0.001). Extrapupillary region and ambient light controls confirmed that the signal was a biological phenomenon, not an optical artifact.",
        "Conclusions": "Although the red reflex has traditionally been considered a static optical signal, our findings demonstrate that this reflex involves a dynamic hemodynamic component. PRR, which has not been previously reported at this level in the current literature, is likely an optical manifestation of ocular pulse amplitude (OPA) and choroidal volumetric changes. This study presents PRR as a novel and contactless biomarker for monitoring ocular perfusion, particularly in telemedicine and clinical settings with limited resources."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although the red reflex has traditionally been considered a static optical signal, our findings demonstrate that this reflex involves a dynamic hemodynamic component. PRR, which has not been previously reported at this level in the current literature, is likely an optical manifestation of ocular pulse amplitude (OPA) and choroidal volumetric changes. This study presents PRR as a novel and contactless biomarker for…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 285,
      "source_fields": {
        "Abstract Final Identifier": "PP19.017",
        "Title": "Pulsatile Red Reflex: A New Phenomenon In Ophthalmic Hemodynamic Imaging",
        "Presenting Author(s)": "Dr Abdulkadir Oduncu",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Abdulkadir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Oduncu",
        "Country Name": "Türkiye",
        "Purpose": "The aim is to identify and characterize a previously undetected, heartbeat-synchronized signal (Pulsatile Red Reflex - PRR) within the fundus reflex using a smartphone-based contactless imaging method.",
        "Setting": "Single-center, prospective study conducted at an outpatient ophthalmology clinic.",
        "Methods": "In this prospective observational study, 50 eyes of subjects with pharmacologically dilated pupils were recorded at 4K resolution and 60 fps via a smartphone mounted on a biomicroscope. Simultaneous finger photoplethysmography (PPG) was used as a physiological reference. A stable region of interest (ROI) within the pupillary aperture was segmented, and intensity-based signals were extracted primarily from the red channel. Data were processed using band-pass filtering (0.5–4.0 Hz) and Fast Fourier Transform (FFT) to isolate cardiac frequency and analyze synchronization with systemic pulse waveforms.",
        "Results": "A strong periodic signal was successfully obtained in 92% of cases. Spectral analysis revealed a dominant power peak that perfectly matched the heart rate frequency (Mean Error < 0.02 Hz). PRR showed high synchronization with the reference PPG (r=0.89, p<0.001). Extrapupillary region and ambient light controls confirmed that the signal was a biological phenomenon, not an optical artifact.",
        "Conclusions": "Although the red reflex has traditionally been considered a static optical signal, our findings demonstrate that this reflex involves a dynamic hemodynamic component. PRR, which has not been previously reported at this level in the current literature, is likely an optical manifestation of ocular pulse amplitude (OPA) and choroidal volumetric changes. This study presents PRR as a novel and contactless biomarker for monitoring ocular perfusion, particularly in telemedicine and clinical settings with limited resources."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 258
    },
    {
      "uid": "PP19.018",
      "abstract_number": "PP19.018",
      "title": "Comparison Of Central Corneal Thickness Measurements Using Optical Coherence Tomography And Scheimpflug Tomography In Eyes With Corneal Scars",
      "authors": "Dr Caglar Bektas",
      "presenter": "Dr Caglar Bektas",
      "normalized_authors": [
        "Caglar Bektas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Caglar Bektas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate central corneal thickness (CCT) agreement between optical coherence tomography (OCT) and Scheimpflug tomography in scarred corneas, and identify predictors of inter-device discrepancy.",
        "Setting": "A single-center, tertiary care university hospital.",
        "Methods": "This retrospective study included 38 eyes with central corneal scars and 35 healthy controls. CCT was measured via OCT and Scheimpflug tomography. A >20 µm inter-device difference (OCT minus Scheimpflug ) was defined as clinically significant. We analyzed best corrected visual acuity (BCVA), OCT CCT, Scheimpflug CCT, thinnest corneal thickness (TCT), and relative pachymetry. Central 1-mm/3-mm corneal transparency and scar depth-to-thickness ratio were objectively quantified from Scheimpflug images using MATLAB (MathWorks).",
        "Results": "Mean age was comparable between scar (60.5 ± 17.5 years) and control (58.7 ± 18.5) groups (p>0.05). Mean inter-device difference was significantly higher in scarred eyes (22.26 ± 52.11 µm) than in controls (-2.14 ± 15.24 µm) (p=0.001). In the scar group, objective corneal transparency and scar ratio did not correlate with the measurement discrepancy. Between eyes with ≤20 µm (n=17) and >20 µm (n=21) discrepancy, no significant difference existed in BCVA (p=0.095) and OCT CCT (p=0.130). However, Scheimpflug CCT (p=0.007), TCT (p=0.010), and relative pachymetry (p=0.007) differed significantly, indicating that thinner corneas according to Scheimpflug are associated with greater inter-device mismatch.",
        "Conclusions": "Corneal scars significantly disrupt the agreement between OCT and Scheimpflug CCT measurements. This discrepancy is primarily driven by Scheimpflug-measured corneal thinning rather than the objective corneal transparency. Therefore, caution is advised when using these devices interchangeably in scarred corneas, particularly in cases with thin CCT according to Scheimpflug tomography."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal scars significantly disrupt the agreement between OCT and Scheimpflug CCT measurements. This discrepancy is primarily driven by Scheimpflug-measured corneal thinning rather than the objective corneal transparency. Therefore, caution is advised when using these devices interchangeably in scarred corneas, particularly in cases with thin CCT according to Scheimpflug tomography.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 286,
      "source_fields": {
        "Abstract Final Identifier": "PP19.018",
        "Title": "Comparison Of Central Corneal Thickness Measurements Using Optical Coherence Tomography And Scheimpflug Tomography In Eyes With Corneal Scars",
        "Presenting Author(s)": "Dr Caglar Bektas",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Caglar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bektas",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate central corneal thickness (CCT) agreement between optical coherence tomography (OCT) and Scheimpflug tomography in scarred corneas, and identify predictors of inter-device discrepancy.",
        "Setting": "A single-center, tertiary care university hospital.",
        "Methods": "This retrospective study included 38 eyes with central corneal scars and 35 healthy controls. CCT was measured via OCT and Scheimpflug tomography. A >20 µm inter-device difference (OCT minus Scheimpflug ) was defined as clinically significant. We analyzed best corrected visual acuity (BCVA), OCT CCT, Scheimpflug CCT, thinnest corneal thickness (TCT), and relative pachymetry. Central 1-mm/3-mm corneal transparency and scar depth-to-thickness ratio were objectively quantified from Scheimpflug images using MATLAB (MathWorks).",
        "Results": "Mean age was comparable between scar (60.5 ± 17.5 years) and control (58.7 ± 18.5) groups (p>0.05). Mean inter-device difference was significantly higher in scarred eyes (22.26 ± 52.11 µm) than in controls (-2.14 ± 15.24 µm) (p=0.001). In the scar group, objective corneal transparency and scar ratio did not correlate with the measurement discrepancy. Between eyes with ≤20 µm (n=17) and >20 µm (n=21) discrepancy, no significant difference existed in BCVA (p=0.095) and OCT CCT (p=0.130). However, Scheimpflug CCT (p=0.007), TCT (p=0.010), and relative pachymetry (p=0.007) differed significantly, indicating that thinner corneas according to Scheimpflug are associated with greater inter-device mismatch.",
        "Conclusions": "Corneal scars significantly disrupt the agreement between OCT and Scheimpflug CCT measurements. This discrepancy is primarily driven by Scheimpflug-measured corneal thinning rather than the objective corneal transparency. Therefore, caution is advised when using these devices interchangeably in scarred corneas, particularly in cases with thin CCT according to Scheimpflug tomography."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 272
    },
    {
      "uid": "PP19.02",
      "abstract_number": "PP19.02",
      "title": "Anterior Segment Microvascular Metrics On Oct Angiography In Fuchs Endothelial Dystrophy: Impact Of Phaco-Dmek",
      "authors": "Dr Emrullah Simsek",
      "presenter": "Dr Emrullah Simsek",
      "normalized_authors": [
        "Emrullah Simsek"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Emrullah Simsek",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To compare anterior segment OCT angiogra phy (AS- OCTA) vessel density among (1) eyes that underwent combined phacoemulsification + Descemet membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy, (2) the non-operated fellow eyes of Fuchs patients, and (3) age-matched healthy controls.",
        "Setting": "Basaksehir Cam and Sakura City Hospital",
        "Methods": "This cross-sectional study included 73 eyes of 55 participants: 24 operated Fuchs eyes 15 unoperated fellow Fuchs eyes and 34 control eyes. AS-OCTA vessel density was recorded in four quadrants (superonasal, superotemporal, inferonasal, inferotemporal) and as the global mean (OCTA mean). Group comparisons were performed using Gaussian generalized estimating equations (GEE) with an exchangeable working correlation structure (clustered by participant) and adjusted for age and sex.",
        "Results": "Mean age was similar across groups (61.8±10.2, 61.3±10.4, and 64.7±10.4 years for operated, fellow, and controls; p=0.286), while sex distribution differed (female 70.8%, 60.0%, and 32.4%; p=0.011). OCTA mean was 43.5±8.9 (operated), 42.5±8.7 (fellow), and 40.7±5.2 (controls). In adjusted GEE analysis, overall group differences were significant (p=0.043); operated eyes had higher OCTA mean than controls (p=0.031),while operated and fellow eyes were similar (p=0.557). For quadrants, group differences were observed in the superotemporal (41.1±9.6 vs 36.6±5.3 for operated vs controls; p=0.008) and superonasal regions (39.1±9.9 vs 35.5±6.5 for operated vs controls; p=0.034),whereas inferonasal and inferotemporal values were comparable (p > 0.05).",
        "Conclusions": "AS-OCTA vessel density showed modest between-group differences, with operated Fuchs eyes demonstrating higher global mean and higher superior-quadrant metrics compared with healthy controls, while operated and fellow Fuchs eyes did not significantly differ. Longitudinal studies are needed to clarify whether these changes reflect postoperative vascular remodeling or other perioperative factors."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AS-OCTA vessel density showed modest between-group differences, with operated Fuchs eyes demonstrating higher global mean and higher superior-quadrant metrics compared with healthy controls, while operated and fellow Fuchs eyes did not significantly differ. Longitudinal studies are needed to clarify whether these changes reflect postoperative vascular remodeling or other perioperative factors.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 287,
      "source_fields": {
        "Abstract Final Identifier": "PP19.02",
        "Title": "Anterior Segment Microvascular Metrics On Oct Angiography In Fuchs Endothelial Dystrophy: Impact Of Phaco-Dmek",
        "Presenting Author(s)": "Dr Emrullah Simsek",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Emrullah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Simsek",
        "Country Name": "Türkiye",
        "Purpose": "To compare anterior segment OCT angiogra phy (AS- OCTA) vessel density among (1) eyes that underwent combined phacoemulsification + Descemet membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy, (2) the non-operated fellow eyes of Fuchs patients, and (3) age-matched healthy controls.",
        "Setting": "Basaksehir Cam and Sakura City Hospital",
        "Methods": "This cross-sectional study included 73 eyes of 55 participants: 24 operated Fuchs eyes 15 unoperated fellow Fuchs eyes and 34 control eyes. AS-OCTA vessel density was recorded in four quadrants (superonasal, superotemporal, inferonasal, inferotemporal) and as the global mean (OCTA mean). Group comparisons were performed using Gaussian generalized estimating equations (GEE) with an exchangeable working correlation structure (clustered by participant) and adjusted for age and sex.",
        "Results": "Mean age was similar across groups (61.8±10.2, 61.3±10.4, and 64.7±10.4 years for operated, fellow, and controls; p=0.286), while sex distribution differed (female 70.8%, 60.0%, and 32.4%; p=0.011). OCTA mean was 43.5±8.9 (operated), 42.5±8.7 (fellow), and 40.7±5.2 (controls). In adjusted GEE analysis, overall group differences were significant (p=0.043); operated eyes had higher OCTA mean than controls (p=0.031),while operated and fellow eyes were similar (p=0.557). For quadrants, group differences were observed in the superotemporal (41.1±9.6 vs 36.6±5.3 for operated vs controls; p=0.008) and superonasal regions (39.1±9.9 vs 35.5±6.5 for operated vs controls; p=0.034),whereas inferonasal and inferotemporal values were comparable (p > 0.05).",
        "Conclusions": "AS-OCTA vessel density showed modest between-group differences, with operated Fuchs eyes demonstrating higher global mean and higher superior-quadrant metrics compared with healthy controls, while operated and fellow Fuchs eyes did not significantly differ. Longitudinal studies are needed to clarify whether these changes reflect postoperative vascular remodeling or other perioperative factors."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 311
    },
    {
      "uid": "PP19.03",
      "abstract_number": "PP19.03",
      "title": "Evaluation Of Axial Length Measurement And Other Biometric Parameters Using Three Different Generations Of Biometers",
      "authors": "Dr Ferdinando Cione",
      "presenter": "Dr Ferdinando Cione",
      "normalized_authors": [
        "Ferdinando Cione"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ferdinando Cione",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To compare biometric measurements obtained with partial coherence interferometry (IOLMaster 500, IOLM), optical low-coherence reflectometry (Lenstar 900, LS900), and swept-source optical coherence tomography (Eyestar 900, ES900).",
        "Setting": "University Eye Clinic, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Italy.",
        "Methods": "In this prospective, observational study, axial length (AL), anterior chamber depth (ACD), aqueous depth (AD), lens thickness (LT), and central corneal thickness (CCT) were measured with the three devices. Exclusion criteria were ocular disease, previous ocular surgery, and contact lens use within 72 hours. Normality was assessed using the exact Kolmogorov–Smirnov test. Comparisons were performed with paired T-tests and repeated-measures ANOVA with Bonferroni correction. Agreement was evaluated using Bland–Altman plots, Pearson correlation ( r ), and intraclass correlation coefficients (ICC). Subgroup analysis by eye side was conducted.",
        "Results": "Two-hundred-six eyes of 103 healthy subjects (38 females) were included. All devices showed excellent correlation for AL and ACD ( r ≥0.947, ICC≥0.939; p<0.001). AL and ACD were comparable between LS900 and IOLM (ΔAL=+0.00±0.09mm; ΔACD=+0.01±0.10mm; p>0.050). ES900 measured longer AL and deeper ACD than LS900 (ΔAL=+0.03±0.10mm; ΔACD=+0.04±0.11mm; p≤0.031) and IOLM (ΔAL=+0.03±0.08mm; ΔACD=+0.04±0.11mm; p≤0.013). Strong correlation was observed between ES900 and LS900 for CCT, AD, and LT ( r ≥0.979, ICC≥0.961; p<0.001). ES900 measured thicker CCT, deeper AD, and thinner LT (p<0.017).",
        "Conclusions": "Despite excellent correlation, ES900 provided systematically higher AL and ACD values and different anterior segment measurements. These devices should not be used interchangeably; device-specific interpretation is recommended to optimize refractive outcomes in cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite excellent correlation, ES900 provided systematically higher AL and ACD values and different anterior segment measurements. These devices should not be used interchangeably; device-specific interpretation is recommended to optimize refractive outcomes in cataract surgery.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 288,
      "source_fields": {
        "Abstract Final Identifier": "PP19.03",
        "Title": "Evaluation Of Axial Length Measurement And Other Biometric Parameters Using Three Different Generations Of Biometers",
        "Presenting Author(s)": "Dr Ferdinando Cione",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ferdinando",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cione",
        "Country Name": "Italy",
        "Purpose": "To compare biometric measurements obtained with partial coherence interferometry (IOLMaster 500, IOLM), optical low-coherence reflectometry (Lenstar 900, LS900), and swept-source optical coherence tomography (Eyestar 900, ES900).",
        "Setting": "University Eye Clinic, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Italy.",
        "Methods": "In this prospective, observational study, axial length (AL), anterior chamber depth (ACD), aqueous depth (AD), lens thickness (LT), and central corneal thickness (CCT) were measured with the three devices. Exclusion criteria were ocular disease, previous ocular surgery, and contact lens use within 72 hours. Normality was assessed using the exact Kolmogorov–Smirnov test. Comparisons were performed with paired T-tests and repeated-measures ANOVA with Bonferroni correction. Agreement was evaluated using Bland–Altman plots, Pearson correlation ( r ), and intraclass correlation coefficients (ICC). Subgroup analysis by eye side was conducted.",
        "Results": "Two-hundred-six eyes of 103 healthy subjects (38 females) were included. All devices showed excellent correlation for AL and ACD ( r ≥0.947, ICC≥0.939; p<0.001). AL and ACD were comparable between LS900 and IOLM (ΔAL=+0.00±0.09mm; ΔACD=+0.01±0.10mm; p>0.050). ES900 measured longer AL and deeper ACD than LS900 (ΔAL=+0.03±0.10mm; ΔACD=+0.04±0.11mm; p≤0.031) and IOLM (ΔAL=+0.03±0.08mm; ΔACD=+0.04±0.11mm; p≤0.013). Strong correlation was observed between ES900 and LS900 for CCT, AD, and LT ( r ≥0.979, ICC≥0.961; p<0.001). ES900 measured thicker CCT, deeper AD, and thinner LT (p<0.017).",
        "Conclusions": "Despite excellent correlation, ES900 provided systematically higher AL and ACD values and different anterior segment measurements. These devices should not be used interchangeably; device-specific interpretation is recommended to optimize refractive outcomes in cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "PP19.04",
      "abstract_number": "PP19.04",
      "title": "Reproducibility And Repeatability Of Corneal Topography Measured By Two Placido-Based Corneal Topographers With And Without Swivel-Out Configuration (Atlas 500, Atlas 9000)",
      "authors": "Dr Paz Paz Orts-Vila",
      "presenter": "Dr Paz Paz Orts-Vila",
      "normalized_authors": [
        "Paz Paz Orts-Vila"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Paz Paz Orts-Vila",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To compare repeatability, reproducibility, and agreement of the Placido-based ATLAS 500 topographer (using straight and swivel-out configurations) with its predecessor, ATLAS 9000 in normal eyes",
        "Setting": "Oftalvist Alicante, Spain",
        "Methods": "This prospective study included 100 healthy eyes of 100 patients without ocular comorbidities. Block-randomized consecutive measurements were obtained using two Placido-based corneal topographers (ATLAS 500, ATLAS 9000, Carl Zeiss Meditec, Jena, Germany) by two experienced operators. ATLAS 500 measurements were acquired in straight and swivel-out configuration to evaluate difference in corneal coverage. Each patient underwent 18 scans (2 operators × 3 scans x 3 configurations). Corneal power, astigmatism magnitude, WTW distance, corneal aberration, and Placido coverage area were recorded. Repeatability, reproducibility, inter-device agreement, and inter-rater reliability were analyzed using random-effects ANOVA and Bland Altman analysis.",
        "Results": "ATLAS 500 demonstrated lower repeatability standard deviations than ATLAS 9000 for K1 (0.025 vs. 0.062), K2 (0.023 vs. 0.058), astigmatism (0.015 vs 0.018). ATLAS 500 exhibited substantially lower coefficient of variation than ATLAS 9000 for K1 (0.06% vs. 0.15%), K2 (0.05% vs. 0.13%) and astigmatism (1.53% vs. 1.84%). Bland–Altman analysis revealed no significant difference between devices for K1/K2. ATLAS 500 showed smaller within-patient variations and greater inter-operator consistency than ATLAS 9000. Both configurations of ATLAS 500 demonstrated comparable, moderate agreement with ATLAS 9000 for keratoconus classification, with the swivel-out configuration providing marginally higher consistency.",
        "Conclusions": "ATLAS 500 showed measurement precision comparable to or better than ATLAS 9000, with strong intra-device repeatability and broader corneal coverage in the swivel-out configuration, supporting its use for placido-based corneal topography in routine cornea refractive assessment."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ATLAS 500 showed measurement precision comparable to or better than ATLAS 9000, with strong intra-device repeatability and broader corneal coverage in the swivel-out configuration, supporting its use for placido-based corneal topography in routine cornea refractive assessment.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 289,
      "source_fields": {
        "Abstract Final Identifier": "PP19.04",
        "Title": "Reproducibility And Repeatability Of Corneal Topography Measured By Two Placido-Based Corneal Topographers With And Without Swivel-Out Configuration (Atlas 500, Atlas 9000)",
        "Presenting Author(s)": "Dr Paz Paz Orts-Vila",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Paz",
        "Submitter Middle Name": "Paz",
        "Submitter Last Name": "Orts-Vila",
        "Country Name": "Spain",
        "Purpose": "To compare repeatability, reproducibility, and agreement of the Placido-based ATLAS 500 topographer (using straight and swivel-out configurations) with its predecessor, ATLAS 9000 in normal eyes",
        "Setting": "Oftalvist Alicante, Spain",
        "Methods": "This prospective study included 100 healthy eyes of 100 patients without ocular comorbidities. Block-randomized consecutive measurements were obtained using two Placido-based corneal topographers (ATLAS 500, ATLAS 9000, Carl Zeiss Meditec, Jena, Germany) by two experienced operators. ATLAS 500 measurements were acquired in straight and swivel-out configuration to evaluate difference in corneal coverage. Each patient underwent 18 scans (2 operators × 3 scans x 3 configurations). Corneal power, astigmatism magnitude, WTW distance, corneal aberration, and Placido coverage area were recorded. Repeatability, reproducibility, inter-device agreement, and inter-rater reliability were analyzed using random-effects ANOVA and Bland Altman analysis.",
        "Results": "ATLAS 500 demonstrated lower repeatability standard deviations than ATLAS 9000 for K1 (0.025 vs. 0.062), K2 (0.023 vs. 0.058), astigmatism (0.015 vs 0.018). ATLAS 500 exhibited substantially lower coefficient of variation than ATLAS 9000 for K1 (0.06% vs. 0.15%), K2 (0.05% vs. 0.13%) and astigmatism (1.53% vs. 1.84%). Bland–Altman analysis revealed no significant difference between devices for K1/K2. ATLAS 500 showed smaller within-patient variations and greater inter-operator consistency than ATLAS 9000. Both configurations of ATLAS 500 demonstrated comparable, moderate agreement with ATLAS 9000 for keratoconus classification, with the swivel-out configuration providing marginally higher consistency.",
        "Conclusions": "ATLAS 500 showed measurement precision comparable to or better than ATLAS 9000, with strong intra-device repeatability and broader corneal coverage in the swivel-out configuration, supporting its use for placido-based corneal topography in routine cornea refractive assessment."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "PP19.05",
      "abstract_number": "PP19.05",
      "title": "Multimodal Imaging In Different Types Of Fuchs Endothelial Dystrophy",
      "authors": "ALINA GABRIELA GHEORGHE",
      "presenter": "ALINA GABRIELA GHEORGHE",
      "normalized_authors": [
        "ALINA GABRIELA GHEORGHE"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ana Maria Arghirescu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Romania",
      "sections": {
        "Purpose": "Based on multimodal imaging of patients with Fuchs endothelial dystrophy, we propose a new classification, underlining 5 different types of FECD with distinctive imagistic findings, advocating specific corneal behaviour, optical quality and visual improvement after DMEK. A pathological classification has identified distinct phenotypes of Fuchs Endothelial Corneal Dystrophy (FECD), underscoring the biological heterogeneity. However, that classification is currently based on ex vivo Descemet membrane analysis. The ability to identify characteristics of these pathological types in vivo through multimodal non-invasive imaging such as AS-OCT and IVCM could provide a critical link between histopathology, disease behavior, and surgical timing.",
        "Setting": "Clinical Institute of Ophthalmological Emergencies \" Prof. Dr. Mircea Olteanu\"",
        "Methods": "Patients diagnosed with FECD who underwent DMEK between January 2023 and December 2025 were included. All patients underwent comprehensive ophthalmological evaluation, AS-OCT, and IVCM preoperatively and at 12 months postoperatively. When available, excised Descemet membranes were preserved for histopathological analysis. Qualitative and quantitative AS-OCT and IVCM parameters including pachymetry, optical quality metrics, Descemet membrane morphology, and corneal nerve features were analyzed.",
        "Results": "Several distinctive patterns have been identified using AS-OCT and IVCM parameters across the FECD patient cohort. Certain patterns seem to be associated with more advanced or rapidly progressive disease, while others were associated with structurally and functionally more stable corneas. These imaging-defined phenotypes appeared to correspond to the recently proposed pathological FECD classification, suggesting that specific histological patterns may have recognizable in vivo correlates.",
        "Conclusions": "If validated, this integrated approach could support earlier risk stratification and a more personalized timing for endothelial keratoplasty. Further prospective studies integrating imaging, pathology, and functional outcomes are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "If validated, this integrated approach could support earlier risk stratification and a more personalized timing for endothelial keratoplasty. Further prospective studies integrating imaging, pathology, and functional outcomes are warranted.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 290,
      "source_fields": {
        "Abstract Final Identifier": "PP19.05",
        "Title": "Multimodal Imaging In Different Types Of Fuchs Endothelial Dystrophy",
        "Presenting Author(s)": "ALINA GABRIELA GHEORGHE",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ana Maria",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arghirescu",
        "Country Name": "Romania",
        "Purpose": "Based on multimodal imaging of patients with Fuchs endothelial dystrophy, we propose a new classification, underlining 5 different types of FECD with distinctive imagistic findings, advocating specific corneal behaviour, optical quality and visual improvement after DMEK. A pathological classification has identified distinct phenotypes of Fuchs Endothelial Corneal Dystrophy (FECD), underscoring the biological heterogeneity. However, that classification is currently based on ex vivo Descemet membrane analysis. The ability to identify characteristics of these pathological types in vivo through multimodal non-invasive imaging such as AS-OCT and IVCM could provide a critical link between histopathology, disease behavior, and surgical timing.",
        "Setting": "Clinical Institute of Ophthalmological Emergencies \" Prof. Dr. Mircea Olteanu\"",
        "Methods": "Patients diagnosed with FECD who underwent DMEK between January 2023 and December 2025 were included. All patients underwent comprehensive ophthalmological evaluation, AS-OCT, and IVCM preoperatively and at 12 months postoperatively. When available, excised Descemet membranes were preserved for histopathological analysis. Qualitative and quantitative AS-OCT and IVCM parameters including pachymetry, optical quality metrics, Descemet membrane morphology, and corneal nerve features were analyzed.",
        "Results": "Several distinctive patterns have been identified using AS-OCT and IVCM parameters across the FECD patient cohort. Certain patterns seem to be associated with more advanced or rapidly progressive disease, while others were associated with structurally and functionally more stable corneas. These imaging-defined phenotypes appeared to correspond to the recently proposed pathological FECD classification, suggesting that specific histological patterns may have recognizable in vivo correlates.",
        "Conclusions": "If validated, this integrated approach could support earlier risk stratification and a more personalized timing for endothelial keratoplasty. Further prospective studies integrating imaging, pathology, and functional outcomes are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "PP19.06",
      "abstract_number": "PP19.06",
      "title": "Short-Term Corneal Endothelial Safety Of Intravitreal Anti-Vegf Therapy In Diabetic Macular Edema: A Prospective Randomized Comparative Study Of Bevacizumab Versus Sequential Bevacizumab-Aflibercept Treatment",
      "authors": "Dr Abdulfettah Suveys",
      "presenter": "Dr Abdulfettah Suveys",
      "normalized_authors": [
        "Abdulfettah Suveys"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulfettah Suveys",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To prospectively compare the effects of continuous intravitreal bevacizumab monotherapy versus sequential bevacizumab-aflibercept treatment on corneal endothelial cell density, morphology, and central corneal thickness in treatment-naïve diabetic macular edema (DME) patients, a population with inherently increased susceptibility to endothelial dysfunction due to diabetic keratopathy.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective, randomized, parallel-group comparative study.",
        "Methods": "Seventy treatment-naïve DME eyes from 70 type 2 diabetic patients (age ≥40, were randomized 1:1. Group 1 (n=35): monthly intravitreal bevacizumab 1.25 mg for 6 consecutive months. Group 2 (n=35): monthly bevacizumab1.25 mg for months 1-3, then monthly aflibercept 2.0 mg for months 4-6. DME confirmed by OCT(CST ≥300 µm). Exclusion criteria: prior anti-VEGF or laser treatment, intraocular surgery within 6 months, corneal dystrophy, proliferative DR requiring PRP, contact lens use, glaucoma, baseline ECD <2000 cells/mm². Non-contact specular microscopy performed by a single masked examiner at baseline, 3 and 6 months assessed: endothelial cell density(ECD), coefficient of variation(CV), hexagonality(HEX%), and central corneal thickness(CCT).",
        "Results": "Seventy eyes completed 6-month follow-up (mean age 61.4±8.2 years; mean diabetes duration 12.8±5.6 years; mean HbA1c 7.9±1.4%). Baseline endothelial cell density (ECD) was lower than age-matched non-diabetic values (2489±140 vs ~2650 cells/mm²), indicating subclinical diabetic keratopathy. Group 1 showed a non-significant ECD reduction from 2487±142 to 2468±148 cells/mm² at 6 months (0.8% loss; p=0.24), while Group 2 decreased from 2491±138 to 2477±144 cells/mm² (0.6% loss; p=0.41), with no between-group difference (p=0.38). HEX, CV and CCT Remained stable in both groups. Patients with HbA1c ≥8% showed a trend toward greater ECD loss compared to those with better glycemic control .",
        "Conclusions": "Seventy eyes completed 6-month follow-up. Baseline endothelial cell density (ECD) in diabetic patients was lower than age-matched non-diabetic values (2489±140 vs ~2650 cells/mm²), indicating subclinical diabetic keratopathy. Both groups showed minimal, non-significant ECD reduction at 6 months (Group 1: 0.8% loss, p=0.24; Group 2: 0.6% loss, p=0.41), with no between-group difference (p=0.38). Hexagonality, coefficient of variation, and central corneal thickness remained stable. Patients with HbA1c ≥8% showed a trend toward greater ECD loss (p=0.07). Diabetes duration correlated negatively with baseline ECD (r=-0.28; p=0.019)."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Seventy eyes completed 6-month follow-up. Baseline endothelial cell density (ECD) in diabetic patients was lower than age-matched non-diabetic values (2489±140 vs ~2650 cells/mm²), indicating subclinical diabetic keratopathy. Both groups showed minimal, non-significant ECD reduction at 6 months (Group 1: 0.8% loss, p=0.24; Group 2: 0.6% loss, p=0.41), with no between-group difference (p=0.38). Hexagonality,…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 291,
      "source_fields": {
        "Abstract Final Identifier": "PP19.06",
        "Title": "Short-Term Corneal Endothelial Safety Of Intravitreal Anti-Vegf Therapy In Diabetic Macular Edema: A Prospective Randomized Comparative Study Of Bevacizumab Versus Sequential Bevacizumab-Aflibercept Treatment",
        "Presenting Author(s)": "Dr Abdulfettah Suveys",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Abdulfettah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suveys",
        "Country Name": "Türkiye",
        "Purpose": "To prospectively compare the effects of continuous intravitreal bevacizumab monotherapy versus sequential bevacizumab-aflibercept treatment on corneal endothelial cell density, morphology, and central corneal thickness in treatment-naïve diabetic macular edema (DME) patients, a population with inherently increased susceptibility to endothelial dysfunction due to diabetic keratopathy.",
        "Setting": "Department of Ophthalmology, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey. Prospective, randomized, parallel-group comparative study.",
        "Methods": "Seventy treatment-naïve DME eyes from 70 type 2 diabetic patients (age ≥40, were randomized 1:1. Group 1 (n=35): monthly intravitreal bevacizumab 1.25 mg for 6 consecutive months. Group 2 (n=35): monthly bevacizumab1.25 mg for months 1-3, then monthly aflibercept 2.0 mg for months 4-6. DME confirmed by OCT(CST ≥300 µm). Exclusion criteria: prior anti-VEGF or laser treatment, intraocular surgery within 6 months, corneal dystrophy, proliferative DR requiring PRP, contact lens use, glaucoma, baseline ECD <2000 cells/mm². Non-contact specular microscopy performed by a single masked examiner at baseline, 3 and 6 months assessed: endothelial cell density(ECD), coefficient of variation(CV), hexagonality(HEX%), and central corneal thickness(CCT).",
        "Results": "Seventy eyes completed 6-month follow-up (mean age 61.4±8.2 years; mean diabetes duration 12.8±5.6 years; mean HbA1c 7.9±1.4%). Baseline endothelial cell density (ECD) was lower than age-matched non-diabetic values (2489±140 vs ~2650 cells/mm²), indicating subclinical diabetic keratopathy. Group 1 showed a non-significant ECD reduction from 2487±142 to 2468±148 cells/mm² at 6 months (0.8% loss; p=0.24), while Group 2 decreased from 2491±138 to 2477±144 cells/mm² (0.6% loss; p=0.41), with no between-group difference (p=0.38). HEX, CV and CCT Remained stable in both groups. Patients with HbA1c ≥8% showed a trend toward greater ECD loss compared to those with better glycemic control .",
        "Conclusions": "Seventy eyes completed 6-month follow-up. Baseline endothelial cell density (ECD) in diabetic patients was lower than age-matched non-diabetic values (2489±140 vs ~2650 cells/mm²), indicating subclinical diabetic keratopathy. Both groups showed minimal, non-significant ECD reduction at 6 months (Group 1: 0.8% loss, p=0.24; Group 2: 0.6% loss, p=0.41), with no between-group difference (p=0.38). Hexagonality, coefficient of variation, and central corneal thickness remained stable. Patients with HbA1c ≥8% showed a trend toward greater ECD loss (p=0.07). Diabetes duration correlated negatively with baseline ECD (r=-0.28; p=0.019)."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 399
    },
    {
      "uid": "PP19.07",
      "abstract_number": "PP19.07",
      "title": "Transient Alterations Of Schlemm’S Canal And Anterior Chamber Angle During Scleral Contact Lens Wear In Keratoconus Eyes",
      "authors": "Dr Ayşegül Penbe",
      "presenter": "Dr Ayşegül Penbe",
      "normalized_authors": [
        "Ayşegül Penbe"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ayşegül Penbe",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate the short-term effects of scleral contact lens (SCL) wear on anterior chamber angle configuration and Schlemm’s canal cross-sectional area in eyes with keratoconus (KC), and to compare intraocular pressure (IOP) measurements obtained before lens wear and one hour after lens removal",
        "Setting": "Observational repeated-measures study",
        "Methods": "19 eyes of 19 patients diagnosed with KC were evaluated. Anterior segment measurements were obtained at three predefined time points: at baseline without lens wear, during SCL at 16.50 mm diameter wear following at least 4 hours of continuous use, and 1 hour after lens removal.\n\nIOP was measured using applanation tonometry at baseline and one hour after lens removal. Anterior segment optical coherence tomography (AS-OCT) was performed to assess anterior chamber angles (ACA), as well as Schlemm’s canal cross-sectional area in four quadrants (nasal, temporal, superior, and inferior). Paired statistical comparisons were conducted, and a p value < 0.05 was considered statistically significant.",
        "Results": "During SCL wear, significant narrowing of the nasal (32.30 ± 2.90 vs 25.76 ± 3.75; p < 0.001) and superior (35.21 ± 4.13 vs 21.34 ± 5.63; p < 0.001) anterior chamber angle (ACA) was observed, with no significant change in the temporal or inferior quadrants (p > 0.05). Schlemm’s canal cross-sectional area decreased significantly in the nasal (8399 ± 1300 vs 6891 ± 1319 µm²; p < 0.001), superior (8452 ± 1271 vs 6899 ± 1051 µm²; p < 0.001), and inferior quadrants (8429 ± 1264 vs 6806 ± 1229 µm²; p < 0.001), while remaining unchanged temporally (p = 0.388). Following lens removal, both ACA and Schlemm’s canal measurements returned to baseline in all quadrants (all p > 0.05), and IOP showed no significant difference from baseline (p > 0.05).",
        "Conclusions": "Short-term SCL wear in KC eyes results in transient narrowing of the anterior chamber angle, sparing the temporal quadrant, along with a reduction in Schlemm’s canal area. The regional pattern of these changes supports a localized mechanical effect of the scleral contact lens landing zone on aqueous outflow structures. Notably, all structural alterations were reversible after lens removal and were not associated with sustained IOP elevation. Further longitudinal studies are warranted, particularly in eyes with potential susceptibility to glaucoma."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Short-term SCL wear in KC eyes results in transient narrowing of the anterior chamber angle, sparing the temporal quadrant, along with a reduction in Schlemm’s canal area. The regional pattern of these changes supports a localized mechanical effect of the scleral contact lens landing zone on aqueous outflow structures. Notably, all structural alterations were reversible after lens removal and were not associated…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 292,
      "source_fields": {
        "Abstract Final Identifier": "PP19.07",
        "Title": "Transient Alterations Of Schlemm’S Canal And Anterior Chamber Angle During Scleral Contact Lens Wear In Keratoconus Eyes",
        "Presenting Author(s)": "Dr Ayşegül Penbe",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Ayşegül",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Penbe",
        "Country Name": "Türkiye",
        "Purpose": "To investigate the short-term effects of scleral contact lens (SCL) wear on anterior chamber angle configuration and Schlemm’s canal cross-sectional area in eyes with keratoconus (KC), and to compare intraocular pressure (IOP) measurements obtained before lens wear and one hour after lens removal",
        "Setting": "Observational repeated-measures study",
        "Methods": "19 eyes of 19 patients diagnosed with KC were evaluated. Anterior segment measurements were obtained at three predefined time points: at baseline without lens wear, during SCL at 16.50 mm diameter wear following at least 4 hours of continuous use, and 1 hour after lens removal.\n\nIOP was measured using applanation tonometry at baseline and one hour after lens removal. Anterior segment optical coherence tomography (AS-OCT) was performed to assess anterior chamber angles (ACA), as well as Schlemm’s canal cross-sectional area in four quadrants (nasal, temporal, superior, and inferior). Paired statistical comparisons were conducted, and a p value < 0.05 was considered statistically significant.",
        "Results": "During SCL wear, significant narrowing of the nasal (32.30 ± 2.90 vs 25.76 ± 3.75; p < 0.001) and superior (35.21 ± 4.13 vs 21.34 ± 5.63; p < 0.001) anterior chamber angle (ACA) was observed, with no significant change in the temporal or inferior quadrants (p > 0.05). Schlemm’s canal cross-sectional area decreased significantly in the nasal (8399 ± 1300 vs 6891 ± 1319 µm²; p < 0.001), superior (8452 ± 1271 vs 6899 ± 1051 µm²; p < 0.001), and inferior quadrants (8429 ± 1264 vs 6806 ± 1229 µm²; p < 0.001), while remaining unchanged temporally (p = 0.388). Following lens removal, both ACA and Schlemm’s canal measurements returned to baseline in all quadrants (all p > 0.05), and IOP showed no significant difference from baseline (p > 0.05).",
        "Conclusions": "Short-term SCL wear in KC eyes results in transient narrowing of the anterior chamber angle, sparing the temporal quadrant, along with a reduction in Schlemm’s canal area. The regional pattern of these changes supports a localized mechanical effect of the scleral contact lens landing zone on aqueous outflow structures. Notably, all structural alterations were reversible after lens removal and were not associated with sustained IOP elevation. Further longitudinal studies are warranted, particularly in eyes with potential susceptibility to glaucoma."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "PP19.08",
      "abstract_number": "PP19.08",
      "title": "Agreement And Interchangeability Of Corneal Topography And Anterior Segment Optical Coherence Tomography In Primary Open-Angle Glaucoma",
      "authors": "Dr Büşra Kaya Adaş",
      "presenter": "Dr Büşra Kaya Adaş",
      "normalized_authors": [
        "Büşra Kaya Adaş"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Büşra Kaya Adaş",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the agreement and interchangeability between corneal topography and anterior segment optical coherence tomography (AS-OCT) in measuring iridocorneal angle parameters in primary open-angle glaucoma (POAG) eyes and to determine whether the two modalities can be used interchangeably at the individual patient level.",
        "Setting": "Glaucoma Unit, Department of Ophthalmology, Kartal Dr. Lütfi Kırdar City Hospital, a tertiary referral center, Istanbul, Turkey.",
        "Methods": "This cross-sectional study included 58 POAG eyes. Eyes with incomplete measurements (n = 7) were excluded, and 51 eyes were analyzed. Iridocorneal angle (ICA) measurements were obtained using corneal topography in nasal and temporal sectors. AS-OCT provided angle measurements in degrees and angle opening distance at 500 µm (AOD500). Pearson correlation analysis assessed inter-device relationships. Multivariable linear regression evaluated the independent effect of anterior chamber depth (ACD) on AOD measurements. Agreement was further analyzed using Bland–Altman plots.",
        "Results": "Strong correlations were observed between topographic ICA and AS-OCT angle measurements both nasally (r = 0.71, p < 0.001) and temporally (r = 0.77, p < 0.001). Moderate correlations were found between ICA and AOD500 (nasal: r = 0.46, p = 0.0007; temporal: r = 0.52, p < 0.001). In multivariable analysis, ICA remained independently associated with temporal AOD500 (p = 0.01), whereas ACD was not a significant independent predictor. Bland–Altman analysis showed minimal mean bias but wide limits of agreement.",
        "Conclusions": "Corneal topography and AS-OCT demonstrate strong correlation in angular degree measurements in POAG eyes. However, wide limits of agreement indicate that the two modalities are not interchangeable at the individual patient level. AS-OCT remains superior for precise anatomical quantification of angle opening."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Corneal topography and AS-OCT demonstrate strong correlation in angular degree measurements in POAG eyes. However, wide limits of agreement indicate that the two modalities are not interchangeable at the individual patient level. AS-OCT remains superior for precise anatomical quantification of angle opening.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 293,
      "source_fields": {
        "Abstract Final Identifier": "PP19.08",
        "Title": "Agreement And Interchangeability Of Corneal Topography And Anterior Segment Optical Coherence Tomography In Primary Open-Angle Glaucoma",
        "Presenting Author(s)": "Dr Büşra Kaya Adaş",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Büşra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kaya Adaş",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the agreement and interchangeability between corneal topography and anterior segment optical coherence tomography (AS-OCT) in measuring iridocorneal angle parameters in primary open-angle glaucoma (POAG) eyes and to determine whether the two modalities can be used interchangeably at the individual patient level.",
        "Setting": "Glaucoma Unit, Department of Ophthalmology, Kartal Dr. Lütfi Kırdar City Hospital, a tertiary referral center, Istanbul, Turkey.",
        "Methods": "This cross-sectional study included 58 POAG eyes. Eyes with incomplete measurements (n = 7) were excluded, and 51 eyes were analyzed. Iridocorneal angle (ICA) measurements were obtained using corneal topography in nasal and temporal sectors. AS-OCT provided angle measurements in degrees and angle opening distance at 500 µm (AOD500). Pearson correlation analysis assessed inter-device relationships. Multivariable linear regression evaluated the independent effect of anterior chamber depth (ACD) on AOD measurements. Agreement was further analyzed using Bland–Altman plots.",
        "Results": "Strong correlations were observed between topographic ICA and AS-OCT angle measurements both nasally (r = 0.71, p < 0.001) and temporally (r = 0.77, p < 0.001). Moderate correlations were found between ICA and AOD500 (nasal: r = 0.46, p = 0.0007; temporal: r = 0.52, p < 0.001). In multivariable analysis, ICA remained independently associated with temporal AOD500 (p = 0.01), whereas ACD was not a significant independent predictor. Bland–Altman analysis showed minimal mean bias but wide limits of agreement.",
        "Conclusions": "Corneal topography and AS-OCT demonstrate strong correlation in angular degree measurements in POAG eyes. However, wide limits of agreement indicate that the two modalities are not interchangeable at the individual patient level. AS-OCT remains superior for precise anatomical quantification of angle opening."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "PP19.09",
      "abstract_number": "PP19.09",
      "title": "Anterior Segment Imaging With Optical Coherence Tomography In Strabismus Surgery: How Does The Eye Actually Heal?",
      "authors": "Dr Dunja Bajtl",
      "presenter": "Dr Dunja Bajtl",
      "normalized_authors": [
        "Dunja Bajtl"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dunja Bajtl",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "We sought to present results of our study including anterior segment optical coherence tomography (AS-OCT) and axial length (AX, mm) in uncomplicated resection (Res) and recession (Rec) strabismus surgery for esotropia (ET) and exotropia (XT).\n\nThe application of optical coherence tomography (OCT) in ophthalmology is wide, however, AS-OCT is seldom used in planning strabismus surgery. A thinned sclera at the site of intraoperative muscle adhesion after Rec and a thickened sclera after Res 3-5 months after the procedure was earlier reported. However, the exact anterior segment structures' healing process has not been showed using AS-OCT in patients who have undergone surgery for strabismus.",
        "Setting": ": A single-center study was conducted in the Department of Ophthalmology of University Hospital Center Osijek in a city in Osijek, Croatia between November 2024 and June 2025. All patients were admitted for a two-day hospital stay because of strabismus surgery. Other visits were in outpatient settings.",
        "Methods": "AS-OCT is used for preoperative visualization and follow-up of ocular structures at one week; one, two and three months postoperatively. Scleral thickness at the tendon insertion (STI, µm) was measured for medial and lateral rectus muscle (MR and LR; respectively). Full thickness slice was measured at the MR insertion point (FTPM, µm) and LR insertion point (FTPL, µm) preoperatively and 3 months postoperatively. AX was measured using optical biometry.",
        "Results": "29 patients were included in the study. The mean age of the participants was 15.9±11.3 years (6–59 yrs). XT was present in 21 patients, while 8 patients had ET. A linear mixed-effects model showed a significant increase in FTPM from baseline to 3 months (F(1,26.14)=34.82,p<.001), with a significant time×surgery interaction (F(1,26.14)=14.83,p<.001). Estimated marginal means indicated a large increase after Res (853→1084 µm;+231 µm) and a smaller increase after Rec (911→960 µm;+49 µm). A linear mixed-effects model showed a significant increase in FTPL from baseline to 3 months (F(1,25.53)=20.25,p<.001). Overall, FTPL increased by approximately 111 µm from baseline to 3 months. STI remained stable in Res and in Rec patients.",
        "Conclusions": "Increased slice thickness is probably caused by an increase in stromal thickness, especially on the medial side. There is a tendency of scleral thinning, prominent in one month postoperatively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Increased slice thickness is probably caused by an increase in stromal thickness, especially on the medial side. There is a tendency of scleral thinning, prominent in one month postoperatively.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 294,
      "source_fields": {
        "Abstract Final Identifier": "PP19.09",
        "Title": "Anterior Segment Imaging With Optical Coherence Tomography In Strabismus Surgery: How Does The Eye Actually Heal?",
        "Presenting Author(s)": "Dr Dunja Bajtl",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Dunja",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bajtl",
        "Country Name": "Croatia",
        "Purpose": "We sought to present results of our study including anterior segment optical coherence tomography (AS-OCT) and axial length (AX, mm) in uncomplicated resection (Res) and recession (Rec) strabismus surgery for esotropia (ET) and exotropia (XT).\n\nThe application of optical coherence tomography (OCT) in ophthalmology is wide, however, AS-OCT is seldom used in planning strabismus surgery. A thinned sclera at the site of intraoperative muscle adhesion after Rec and a thickened sclera after Res 3-5 months after the procedure was earlier reported. However, the exact anterior segment structures' healing process has not been showed using AS-OCT in patients who have undergone surgery for strabismus.",
        "Setting": ": A single-center study was conducted in the Department of Ophthalmology of University Hospital Center Osijek in a city in Osijek, Croatia between November 2024 and June 2025. All patients were admitted for a two-day hospital stay because of strabismus surgery. Other visits were in outpatient settings.",
        "Methods": "AS-OCT is used for preoperative visualization and follow-up of ocular structures at one week; one, two and three months postoperatively. Scleral thickness at the tendon insertion (STI, µm) was measured for medial and lateral rectus muscle (MR and LR; respectively). Full thickness slice was measured at the MR insertion point (FTPM, µm) and LR insertion point (FTPL, µm) preoperatively and 3 months postoperatively. AX was measured using optical biometry.",
        "Results": "29 patients were included in the study. The mean age of the participants was 15.9±11.3 years (6–59 yrs). XT was present in 21 patients, while 8 patients had ET. A linear mixed-effects model showed a significant increase in FTPM from baseline to 3 months (F(1,26.14)=34.82,p<.001), with a significant time×surgery interaction (F(1,26.14)=14.83,p<.001). Estimated marginal means indicated a large increase after Res (853→1084 µm;+231 µm) and a smaller increase after Rec (911→960 µm;+49 µm). A linear mixed-effects model showed a significant increase in FTPL from baseline to 3 months (F(1,25.53)=20.25,p<.001). Overall, FTPL increased by approximately 111 µm from baseline to 3 months. STI remained stable in Res and in Rec patients.",
        "Conclusions": "Increased slice thickness is probably caused by an increase in stromal thickness, especially on the medial side. There is a tendency of scleral thinning, prominent in one month postoperatively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 386
    },
    {
      "uid": "PP19.10",
      "abstract_number": "PP19.10",
      "title": "Tomographic, Topographic And Biomechanical Evaluation Of The Cornea In Fuchs Endothelial Dystrophy",
      "authors": "Dr Eda Nur Gönültaş Özkan",
      "presenter": "Dr Eda Nur Gönültaş Özkan",
      "normalized_authors": [
        "Eda Nur Gönültaş Özkan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eda Nur Gönültaş Özkan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "The aim of this study was to comprehensively evaluate the corneal topographic, tomographic, biomechanical and densitometric characteristics in patients with Fuchs endothelial dystrophy (FECD), to identify stage-dependent changes and to compare them with healthy controls.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "A total of 119 eyes from 69 patients diagnosed with FECD and 81 eyes from 43 healthy individuals, followed between January 2024 and March 2025, were retrospectively evaluated. Patients were classified according to the modified Krachmer grading system: grades 1–2 as Group 1, grades 3–4 as Group 2, and grades 5–6 as Group 3. Demographic data, best-corrected visual acuity, intraocular pressure were recorded. Topographic and tomographic measurements obtained with the Pentacam AXL Wave, as well as corneal optical densitometry (COD) and higher order aberrations (HOA) were analyzed. Corneal biomechanical parameters were assessed using the Corvis ST. Subclinical edema was assessed using tomographic pachymetric and posterior elevation parameters.",
        "Results": "No statistically significant differences in pachymetry values were observed between Groups 1 and 2 and the control group. COD revealed significant increases across all layers in the central (0–2 mm) and paracentral (2–6 mm) zones with advancing disease stage (p<0.001). In FECD patients with subclinical edema, COD values and HOA were significantly higher in the central and paracentral zones compared with those without edema (both p<0.001). A1T and A2T were significantly shorter (p=0.043 and p=0.013, respectively) in FECD patients, while DAR and IR values were significantly decreased in advanced stages (p<0.001). A significant negative correlation was also observed between CCT and A2T in the FECD group (r = -0.282, p=0.003).",
        "Conclusions": "With disease progression in FECD, increases in CCT, HOA, COD values and weakening of biomechanical parameters were observed. Notably, the combined evaluation of COD and HOA values may be valuable for the objective assessment of subclinical edema. Changes in biomechanical parameters indicate disruption of the viscoelastic properties of the cornea and biomechanical weakening."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "With disease progression in FECD, increases in CCT, HOA, COD values and weakening of biomechanical parameters were observed. Notably, the combined evaluation of COD and HOA values may be valuable for the objective assessment of subclinical edema. Changes in biomechanical parameters indicate disruption of the viscoelastic properties of the cornea and biomechanical weakening.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 295,
      "source_fields": {
        "Abstract Final Identifier": "PP19.10",
        "Title": "Tomographic, Topographic And Biomechanical Evaluation Of The Cornea In Fuchs Endothelial Dystrophy",
        "Presenting Author(s)": "Dr Eda Nur Gönültaş Özkan",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Eda Nur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gönültaş Özkan",
        "Country Name": "Türkiye",
        "Purpose": "The aim of this study was to comprehensively evaluate the corneal topographic, tomographic, biomechanical and densitometric characteristics in patients with Fuchs endothelial dystrophy (FECD), to identify stage-dependent changes and to compare them with healthy controls.",
        "Setting": "Department of Ophthalmology, Bursa City Hospital, University of Health Sciences, Bursa, Türkiye.",
        "Methods": "A total of 119 eyes from 69 patients diagnosed with FECD and 81 eyes from 43 healthy individuals, followed between January 2024 and March 2025, were retrospectively evaluated. Patients were classified according to the modified Krachmer grading system: grades 1–2 as Group 1, grades 3–4 as Group 2, and grades 5–6 as Group 3. Demographic data, best-corrected visual acuity, intraocular pressure were recorded. Topographic and tomographic measurements obtained with the Pentacam AXL Wave, as well as corneal optical densitometry (COD) and higher order aberrations (HOA) were analyzed. Corneal biomechanical parameters were assessed using the Corvis ST. Subclinical edema was assessed using tomographic pachymetric and posterior elevation parameters.",
        "Results": "No statistically significant differences in pachymetry values were observed between Groups 1 and 2 and the control group. COD revealed significant increases across all layers in the central (0–2 mm) and paracentral (2–6 mm) zones with advancing disease stage (p<0.001). In FECD patients with subclinical edema, COD values and HOA were significantly higher in the central and paracentral zones compared with those without edema (both p<0.001). A1T and A2T were significantly shorter (p=0.043 and p=0.013, respectively) in FECD patients, while DAR and IR values were significantly decreased in advanced stages (p<0.001). A significant negative correlation was also observed between CCT and A2T in the FECD group (r = -0.282, p=0.003).",
        "Conclusions": "With disease progression in FECD, increases in CCT, HOA, COD values and weakening of biomechanical parameters were observed. Notably, the combined evaluation of COD and HOA values may be valuable for the objective assessment of subclinical edema. Changes in biomechanical parameters indicate disruption of the viscoelastic properties of the cornea and biomechanical weakening."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 334
    },
    {
      "uid": "PP19.11",
      "abstract_number": "PP19.11",
      "title": "Comparison Of A New Scheimpflug Camera And Swept- Source Optical Coherence Tomographer For Measurements Of Anterior Segment Parameters",
      "authors": "Dr Xiaomin Huang",
      "presenter": "Dr Xiaomin Huang",
      "normalized_authors": [
        "Xiaomin Huang"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Xiaomin Huang",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "To systematically evaluate the biometric precision and clinical interchangeability of a novel Scheimpflug-based system (Scansys) and a swept-source optical coherence tomography (SS-OCT, CASIA 2) platform in characterizing anterior segment morphology .",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "This prospective study included 84 eyes from 84 normal adult subjects who underwent three consecutive measurements with the Scansys and the CASIA 2 in random order. The mean keratometry (Km), astigmatism magnitude (AST), J 0 , and J 45 vectors for both anterior and posterior corneal surfaces, central corneal thickness (CCT), thinnest corneal thickness (TCT), and anterior chamber depth (ACD) were obtained by both devices. The difference between these two devices was assessed using paired t test and violin plots. Bland–Altman plots and 95% limits of agreement (LoAs) were used to evaluate agreement.",
        "Results": "No statistically significant differences between the two devices were found for the anterior AST, anterior J 45 , and posterior J 45 (P>0.05). The remaining parameters were statistically significant (P≤0.05), but the differences not clinically significant. The violin plots showed that the distribution and probability density of the measured parameters were similar for both devices. Bland–Altman plots revealed high agreement for the measured parameters between the Scansys and CASIA 2, with narrow 95% LoAs.",
        "Conclusions": "In terms of assessing parameters for the anterior segment, our study indicated that Scansys and CASIA 2 generally showed significant agreement. The two devices used in this study’s assessment of all the parameters can be used interchangeably in refractive analysis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In terms of assessing parameters for the anterior segment, our study indicated that Scansys and CASIA 2 generally showed significant agreement. The two devices used in this study’s assessment of all the parameters can be used interchangeably in refractive analysis.",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 296,
      "source_fields": {
        "Abstract Final Identifier": "PP19.11",
        "Title": "Comparison Of A New Scheimpflug Camera And Swept- Source Optical Coherence Tomographer For Measurements Of Anterior Segment Parameters",
        "Presenting Author(s)": "Dr Xiaomin Huang",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Xiaomin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Huang",
        "Country Name": "Afghanistan",
        "Purpose": "To systematically evaluate the biometric precision and clinical interchangeability of a novel Scheimpflug-based system (Scansys) and a swept-source optical coherence tomography (SS-OCT, CASIA 2) platform in characterizing anterior segment morphology .",
        "Setting": "Eye & ENT Hospital, Fudan University",
        "Methods": "This prospective study included 84 eyes from 84 normal adult subjects who underwent three consecutive measurements with the Scansys and the CASIA 2 in random order. The mean keratometry (Km), astigmatism magnitude (AST), J 0 , and J 45 vectors for both anterior and posterior corneal surfaces, central corneal thickness (CCT), thinnest corneal thickness (TCT), and anterior chamber depth (ACD) were obtained by both devices. The difference between these two devices was assessed using paired t test and violin plots. Bland–Altman plots and 95% limits of agreement (LoAs) were used to evaluate agreement.",
        "Results": "No statistically significant differences between the two devices were found for the anterior AST, anterior J 45 , and posterior J 45 (P>0.05). The remaining parameters were statistically significant (P≤0.05), but the differences not clinically significant. The violin plots showed that the distribution and probability density of the measured parameters were similar for both devices. Bland–Altman plots revealed high agreement for the measured parameters between the Scansys and CASIA 2, with narrow 95% LoAs.",
        "Conclusions": "In terms of assessing parameters for the anterior segment, our study indicated that Scansys and CASIA 2 generally showed significant agreement. The two devices used in this study’s assessment of all the parameters can be used interchangeably in refractive analysis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 246
    },
    {
      "uid": "PP19.12",
      "abstract_number": "PP19.12",
      "title": "Quadrant-Based Evaluation Of The Lens Thickness-To-Anterior Chamber Depth Ratio As A Determinant Of Anterior Chamber Angle Width In Cataract Candidates",
      "authors": "Dr Zeynep Gizem Bayram",
      "presenter": "Dr Zeynep Gizem Bayram",
      "normalized_authors": [
        "Zeynep Gizem Bayram"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zeynep Gizem Bayram",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate the relationship between the lens thickness to anterior chamber depth ratio (LT/ACD) and anterior chamber angle width (ACAW) across four quadrants; nasal, temporal, superior, and inferior in cataract surgery candidates. To determine whether LT/ACD represents an independent biometric parameter for identifying angle narrowing after accounting for axial length and corneal characteristics.",
        "Setting": "Single-center retrospective study conducted at the Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University,( Istanbul, Türkiye) a tertiary referral center, evaluating preoperative cataract candidates using optical biometry (IOLMaster 700, Carl Zeiss Meditec) and Scheimpflug tomography (Pentacam AXL, Oculus, Germany).",
        "Methods": "A total of 88 eyes with available preoperative measurements were included in the study. Lens thickness (LT), anterior chamber depth (ACD), axial length (AL), white-to-white (WTW), central corneal thickness (CCT), and total keratometry (TK1, TK2) values were recorded. Anterior chamber angle width was measured in four quadrants: nasal, temporal, superior, and inferior. The LT/ACD ratio was calculated. The effects of LT/ACD, AL, age, sex, WTW, CCT, TK1, and TK2 on anterior chamber angle width (ACAW) were evaluated using regression analysis.",
        "Results": "The mean age of the patients was 68.14 ± 10.23 years,with 43 females (48.9%) and 45 males (51.1%). The LT/ACD ratio showed a significant negative correlation with anterior chamber angles in the nasal (r = -0.693,p = 0.000), temporal (r = -0.647,p = 0.000), inferior (r = -0.472,p = 0.000), and superior (r = -0.377,p = 0.000) quadrants. A 1-unit increase in LT/ACD corresponded to an approximate narrowing of 17°, 16°, 12°, and 11° in the nasal, temporal, inferior, and superior angles, respectively. LT/ACD showed a weak but significant association with central corneal thickness (p = 0.049) and a negative correlation with axial length (p < 0.001), while no significant association was found with keratometry values (TK1: p = 0.252; TK2:p = 0.077).",
        "Conclusions": "The LT/ACD ratio may represent a clinically relevant determinant of anterior chamber angle width in cataract surgery candidates. Quadrant-based analysis indicated that LT/ACD could be associated with a consistent segmental influence on angle configuration, with relatively greater narrowing observed in the nasal and temporal quadrants. These findings may suggest that LT/ACD has the potential to function as a practical biometric parameter for identifying eyes with a higher tendency toward angle narrowing, independent of corneal curvature characteristics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The LT/ACD ratio may represent a clinically relevant determinant of anterior chamber angle width in cataract surgery candidates. Quadrant-based analysis indicated that LT/ACD could be associated with a consistent segmental influence on angle configuration, with relatively greater narrowing observed in the nasal and temporal quadrants. These findings may suggest that LT/ACD has the potential to function as a…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 297,
      "source_fields": {
        "Abstract Final Identifier": "PP19.12",
        "Title": "Quadrant-Based Evaluation Of The Lens Thickness-To-Anterior Chamber Depth Ratio As A Determinant Of Anterior Chamber Angle Width In Cataract Candidates",
        "Presenting Author(s)": "Dr Zeynep Gizem Bayram",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Zeynep",
        "Submitter Middle Name": "Gizem",
        "Submitter Last Name": "Bayram",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate the relationship between the lens thickness to anterior chamber depth ratio (LT/ACD) and anterior chamber angle width (ACAW) across four quadrants; nasal, temporal, superior, and inferior in cataract surgery candidates. To determine whether LT/ACD represents an independent biometric parameter for identifying angle narrowing after accounting for axial length and corneal characteristics.",
        "Setting": "Single-center retrospective study conducted at the Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University,( Istanbul, Türkiye) a tertiary referral center, evaluating preoperative cataract candidates using optical biometry (IOLMaster 700, Carl Zeiss Meditec) and Scheimpflug tomography (Pentacam AXL, Oculus, Germany).",
        "Methods": "A total of 88 eyes with available preoperative measurements were included in the study. Lens thickness (LT), anterior chamber depth (ACD), axial length (AL), white-to-white (WTW), central corneal thickness (CCT), and total keratometry (TK1, TK2) values were recorded. Anterior chamber angle width was measured in four quadrants: nasal, temporal, superior, and inferior. The LT/ACD ratio was calculated. The effects of LT/ACD, AL, age, sex, WTW, CCT, TK1, and TK2 on anterior chamber angle width (ACAW) were evaluated using regression analysis.",
        "Results": "The mean age of the patients was 68.14 ± 10.23 years,with 43 females (48.9%) and 45 males (51.1%). The LT/ACD ratio showed a significant negative correlation with anterior chamber angles in the nasal (r = -0.693,p = 0.000), temporal (r = -0.647,p = 0.000), inferior (r = -0.472,p = 0.000), and superior (r = -0.377,p = 0.000) quadrants. A 1-unit increase in LT/ACD corresponded to an approximate narrowing of 17°, 16°, 12°, and 11° in the nasal, temporal, inferior, and superior angles, respectively. LT/ACD showed a weak but significant association with central corneal thickness (p = 0.049) and a negative correlation with axial length (p < 0.001), while no significant association was found with keratometry values (TK1: p = 0.252; TK2:p = 0.077).",
        "Conclusions": "The LT/ACD ratio may represent a clinically relevant determinant of anterior chamber angle width in cataract surgery candidates. Quadrant-based analysis indicated that LT/ACD could be associated with a consistent segmental influence on angle configuration, with relatively greater narrowing observed in the nasal and temporal quadrants. These findings may suggest that LT/ACD has the potential to function as a practical biometric parameter for identifying eyes with a higher tendency toward angle narrowing, independent of corneal curvature characteristics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 391
    },
    {
      "uid": "PP19.13",
      "abstract_number": "PP19.13",
      "title": "Longitudinal Corneal Densitometric Changes After Topical 0.8% Losartan In Traumatic And Postinfectious Corneal Scars: A 6-Month Follow-Up Study",
      "authors": "Dr Onur Ozalp",
      "presenter": "Dr Onur Ozalp",
      "normalized_authors": [
        "Onur Ozalp"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Onur Ozalp",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Losartan is known to inhibit stromal myofibroblast differentiation and thereby reduce corneal fibrosis and haze formation after injury. Based on this antifibrotic mechanism, we aimed to quantitatively evaluate the effect of 0.8% topical losartan on scar density as well as keratometric and pachymetric parameters in patients with a history of penetrating corneal injury, microbial keratitis, or foreign body–related corneal opacities.",
        "Setting": "Eskişehir Osmangazi University, Eskişehir, Türkiye.",
        "Methods": "In this retrospective study, patients aged ≥18 years with penetrating corneal injury repair, prior microbial keratitis, or corneal foreign body injury treated with topical 0.8% losartan were included. Topical losartan initiation (4×1) timepoint was defined as baseline; follow-up was at 30±5, 60±10, 90±10, and 180±20 days. On Scheimpflug imaging, the axial section with the largest baseline scar and two adjacent sections. Raw pixel values were used to calculate anterior, mid, posterior one-third and whole-cornea densitometry using a custom Python script. Longitudinal changes in densitometric, pachymetric and keratometric (Kmax) variables were analyzed with linear mixed-effects models with opacity duration as covariate.",
        "Results": "Thirty-five patients aged 18–70 years were included, comprising 14 with penetrating injuries, 14 with microbial keratitis, and 7 with corneal foreign body injuries. In the overall cohort, anterior one-third corneal densitometry showed a decreasing trend across visits, approaching significance (p = 0.055), mainly between baseline and 6 months. Subgroup analyses demonstrated a nonsignificant progressive decrease in penetrating injury and microbial keratitis, whereas foreign body injuries remained stable. Mid and posterior layers were stable across groups. Opacity duration was not associated with densitometric change. Pachymetry showed a nonsignificant reduction trend only in foreign body injuries while no trend was observed in Kmax.",
        "Conclusions": "Topical 0.8% losartan was associated with a reduction in anterior corneal densitometry, indicating a predominantly anterior stromal effect. Mid and posterior layers remained stable. The response was limited in post–foreign body scars, suggesting etiology-dependent variability. Keratometric parameters showed no meaningful change, and pachymetry remained largely stable, except for a mild reduction trend in foreign body–related scars. Overall, losartan appears to exert a modest, layer-specific effect primarily confined to the anterior cornea."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical 0.8% losartan was associated with a reduction in anterior corneal densitometry, indicating a predominantly anterior stromal effect. Mid and posterior layers remained stable. The response was limited in post–foreign body scars, suggesting etiology-dependent variability. Keratometric parameters showed no meaningful change, and pachymetry remained largely stable, except for a mild reduction trend in foreign…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 298,
      "source_fields": {
        "Abstract Final Identifier": "PP19.13",
        "Title": "Longitudinal Corneal Densitometric Changes After Topical 0.8% Losartan In Traumatic And Postinfectious Corneal Scars: A 6-Month Follow-Up Study",
        "Presenting Author(s)": "Dr Onur Ozalp",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Onur",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ozalp",
        "Country Name": "Türkiye",
        "Purpose": "Losartan is known to inhibit stromal myofibroblast differentiation and thereby reduce corneal fibrosis and haze formation after injury. Based on this antifibrotic mechanism, we aimed to quantitatively evaluate the effect of 0.8% topical losartan on scar density as well as keratometric and pachymetric parameters in patients with a history of penetrating corneal injury, microbial keratitis, or foreign body–related corneal opacities.",
        "Setting": "Eskişehir Osmangazi University, Eskişehir, Türkiye.",
        "Methods": "In this retrospective study, patients aged ≥18 years with penetrating corneal injury repair, prior microbial keratitis, or corneal foreign body injury treated with topical 0.8% losartan were included. Topical losartan initiation (4×1) timepoint was defined as baseline; follow-up was at 30±5, 60±10, 90±10, and 180±20 days. On Scheimpflug imaging, the axial section with the largest baseline scar and two adjacent sections. Raw pixel values were used to calculate anterior, mid, posterior one-third and whole-cornea densitometry using a custom Python script. Longitudinal changes in densitometric, pachymetric and keratometric (Kmax) variables were analyzed with linear mixed-effects models with opacity duration as covariate.",
        "Results": "Thirty-five patients aged 18–70 years were included, comprising 14 with penetrating injuries, 14 with microbial keratitis, and 7 with corneal foreign body injuries. In the overall cohort, anterior one-third corneal densitometry showed a decreasing trend across visits, approaching significance (p = 0.055), mainly between baseline and 6 months. Subgroup analyses demonstrated a nonsignificant progressive decrease in penetrating injury and microbial keratitis, whereas foreign body injuries remained stable. Mid and posterior layers were stable across groups. Opacity duration was not associated with densitometric change. Pachymetry showed a nonsignificant reduction trend only in foreign body injuries while no trend was observed in Kmax.",
        "Conclusions": "Topical 0.8% losartan was associated with a reduction in anterior corneal densitometry, indicating a predominantly anterior stromal effect. Mid and posterior layers remained stable. The response was limited in post–foreign body scars, suggesting etiology-dependent variability. Keratometric parameters showed no meaningful change, and pachymetry remained largely stable, except for a mild reduction trend in foreign body–related scars. Overall, losartan appears to exert a modest, layer-specific effect primarily confined to the anterior cornea."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "PP19.14",
      "abstract_number": "PP19.14",
      "title": "Ergonomic Innovation In Slit Lamp Microscopy: A Proof Of Value Study",
      "authors": "Dr Rookaya Mather",
      "presenter": "Dr Rookaya Mather",
      "normalized_authors": [
        "Rookaya Mather"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rookaya Mather",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Performing slit lamp examinations is associated with cervical spine discomfort in ophthalmologists. In a survey of 1,807 ophthalmologists, 81% reported work-related musculoskeletal symptoms associated with slit lamp use. The purpose of our study was t o determine:\n\n1) the efficacy of adjustable slit lamp oculars versus fixed oculars in reducing musculoskeletal neck strain in ophthalmologists. This was achieved by measuring joint angles in the c-spine of ophthalmologists during slit lamp examinations using a slit lamp with conventional fixed oculars vs a slit lamp with adjustable oculars\n\n2) to determine potential gains in work productivity associated with improved working posture, comfort and reduced fatigue",
        "Setting": "Participants were staff ophthalmologists and trainees at the Ivey Eye Institute, Department of Ophthalmology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. Written, informed consent was obtained from all participants. Eighteen participants, including 8 females and 10 males, were enrolled in this study.",
        "Methods": "The study involved three sessions for each participant, conducted in three examination lanes. Participants were randomized to complete each simulated slit lamp examination session on non-consecutive days to minimize carryover effects. Before each assessment participants completed a validated worker discomfort survey .\n\nEach session involved the use of one of the three slit lamp configurations:\n\n1. Conventional fixed oculars\n\n2. 20 degree fixed inclined oculars\n\n3. Adjustable oculars\n\nDuring each session, high-resolution photographs were taken of participants in profile to capture postural data to estimate joint angles, positions and biomechanical demands. Va lidated usability surveys were used to assess p erceived comfort of participants.",
        "Results": "Mean discomfort rating : 2. 33 for conventional slit lamp configuration; 2.17 for inclined oculars; 0 .15 for adjustable oculars .\n\nCervical Flexion: adjustable oculars vs. i nclined oculars ( 7.82° ± 6.59° vs. 16.69° ± 6.03°, p < 0.0001 ), vs. standard configuration ( 17.34° ± 7.26° , p < 0.0001 ). No statistical improvement with inclined oculars vs. standard configuration ( p = 0.67 ) .\n\nHead Tilt Position: mean upper head angle was -9.56° ± 6.06° with conventional oculars vs inclined oculars -0.63° ± 4.89° (p < 0.001) vs a djustable oculars 1.02° ± 4.86° ( p < 0.0001).\n\nBiomechanical demand: adjustable oculars reduced demand ( 1.25 Nm ± 1.10 Nm, p < 0.0001 ) vs. conventional oculars (2.57 Nm ± 1.25 Nm) vs. inclined oculars (2.45 Nm ± 1.15 Nm)",
        "Conclusions": "Our results indicate significant differences in the ergonomic s of the three slit lamp configurations. T he adjustable oculars promote better working postures , reduced neck strain and improved user comfort. The biomechanical data demonstrates that the adjustable oculars produce almost half the muscular demand compared to the conventional oculars, which has a calculated increase in work productivity of 24%. The postural improvements measured with the adjustable oculars highlight the potential to decrease physical strain, reduce fatigue and increase work productivity. This proof of value study is the first study in the ophthalmology literature to demonstrate the potential gains associated with improving equipment ergonomics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our results indicate significant differences in the ergonomic s of the three slit lamp configurations. T he adjustable oculars promote better working postures , reduced neck strain and improved user comfort. The biomechanical data demonstrates that the adjustable oculars produce almost half the muscular demand compared to the conventional oculars, which has a calculated increase in work productivity of 24%. The…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 299,
      "source_fields": {
        "Abstract Final Identifier": "PP19.14",
        "Title": "Ergonomic Innovation In Slit Lamp Microscopy: A Proof Of Value Study",
        "Presenting Author(s)": "Dr Rookaya Mather",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Rookaya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mather",
        "Country Name": "Canada",
        "Purpose": "Performing slit lamp examinations is associated with cervical spine discomfort in ophthalmologists. In a survey of 1,807 ophthalmologists, 81% reported work-related musculoskeletal symptoms associated with slit lamp use. The purpose of our study was t o determine:\n\n1) the efficacy of adjustable slit lamp oculars versus fixed oculars in reducing musculoskeletal neck strain in ophthalmologists. This was achieved by measuring joint angles in the c-spine of ophthalmologists during slit lamp examinations using a slit lamp with conventional fixed oculars vs a slit lamp with adjustable oculars\n\n2) to determine potential gains in work productivity associated with improved working posture, comfort and reduced fatigue",
        "Setting": "Participants were staff ophthalmologists and trainees at the Ivey Eye Institute, Department of Ophthalmology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. Written, informed consent was obtained from all participants. Eighteen participants, including 8 females and 10 males, were enrolled in this study.",
        "Methods": "The study involved three sessions for each participant, conducted in three examination lanes. Participants were randomized to complete each simulated slit lamp examination session on non-consecutive days to minimize carryover effects. Before each assessment participants completed a validated worker discomfort survey .\n\nEach session involved the use of one of the three slit lamp configurations:\n\n1. Conventional fixed oculars\n\n2. 20 degree fixed inclined oculars\n\n3. Adjustable oculars\n\nDuring each session, high-resolution photographs were taken of participants in profile to capture postural data to estimate joint angles, positions and biomechanical demands. Va lidated usability surveys were used to assess p erceived comfort of participants.",
        "Results": "Mean discomfort rating : 2. 33 for conventional slit lamp configuration; 2.17 for inclined oculars; 0 .15 for adjustable oculars .\n\nCervical Flexion: adjustable oculars vs. i nclined oculars ( 7.82° ± 6.59° vs. 16.69° ± 6.03°, p < 0.0001 ), vs. standard configuration ( 17.34° ± 7.26° , p < 0.0001 ). No statistical improvement with inclined oculars vs. standard configuration ( p = 0.67 ) .\n\nHead Tilt Position: mean upper head angle was -9.56° ± 6.06° with conventional oculars vs inclined oculars -0.63° ± 4.89° (p < 0.001) vs a djustable oculars 1.02° ± 4.86° ( p < 0.0001).\n\nBiomechanical demand: adjustable oculars reduced demand ( 1.25 Nm ± 1.10 Nm, p < 0.0001 ) vs. conventional oculars (2.57 Nm ± 1.25 Nm) vs. inclined oculars (2.45 Nm ± 1.15 Nm)",
        "Conclusions": "Our results indicate significant differences in the ergonomic s of the three slit lamp configurations. T he adjustable oculars promote better working postures , reduced neck strain and improved user comfort. The biomechanical data demonstrates that the adjustable oculars produce almost half the muscular demand compared to the conventional oculars, which has a calculated increase in work productivity of 24%. The postural improvements measured with the adjustable oculars highlight the potential to decrease physical strain, reduce fatigue and increase work productivity. This proof of value study is the first study in the ophthalmology literature to demonstrate the potential gains associated with improving equipment ergonomics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 487
    },
    {
      "uid": "PP19.15",
      "abstract_number": "PP19.15",
      "title": "Corneal Epithelial Thickness Patterns In Obstructive Sleep Apnea Syndrome Evaluated By Swept-Source As-Oct",
      "authors": "Dr Azad Güçlü",
      "presenter": "Dr Azad Güçlü",
      "normalized_authors": [
        "Azad Güçlü"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Azad Güçlü",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate corneal epithelial thickness patterns in patients with obstructive sleep apnea syndrome (OSAS) using swept-source anterior segment optical coherence tomography (AS-OCT), and to compare inferior–superior (I–S) epithelial thickness difference and maximum–minimum (max–min) epithelial thickness difference among control, mild, moderate, and severe OSAS groups.",
        "Setting": "This study was conducted at the Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkiye, involving patients diagnosed with OSAS and healthy control subjects.",
        "Methods": "This cross-sectional case–control study included 154 eyes of 77 patients. Patients were classified into mild, moderate, and severe OSAS groups based on the apnea–hypopnea index, while healthy individuals served as controls. All participants underwent ocular surface evaluation. Corneal epithelial thickness maps were obtained using swept-source AS-OCT (Anterion, Heidelberg Engineering). Mean central epithelial thickness, inferior–superior (I–S), and maximum–minimum (max–min) epithelial thickness differences were analyzed. Group comparisons were performed using the Kruskal–Wallis test with post-hoc analyses.",
        "Results": "Mean corneal epithelial thickness differed significantly among the groups (control: 47.75 ± 2.42 µm; mild OSAS: 49.50 ± 1.99 µm; moderate OSAS: 48.70 ± 2.95 µm; severe OSAS: 48.28 ± 2.84 µm; p=0.033). No significant difference was observed in I–S epithelial thickness difference (p=0.18). In contrast, the max–min epithelial thickness difference showed a significant variation among the groups (control: 15.35 ± 3.84 µm; mild: 18.32 ± 5.23 µm; moderate: 19.13 ± 5.75 µm; severe: 20.78 ± 4.69 µm; p=0.000014). Post-hoc analyses demonstrated significant differences between the control and moderate and severe OSAS groups.",
        "Conclusions": "Although mean corneal epithelial thickness is largely preserved in OSAS, epithelial thickness distribution demonstrates increased heterogeneity with disease severity. The maximum–minimum epithelial thickness difference appears to be a sensitive parameter reflecting OSAS-related epithelial irregularity. Swept-source AS-OCT–based epithelial thickness pattern analysis may provide clinically relevant information beyond mean thickness measurements in the assessment of corneal involvement in OSAS."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although mean corneal epithelial thickness is largely preserved in OSAS, epithelial thickness distribution demonstrates increased heterogeneity with disease severity. The maximum–minimum epithelial thickness difference appears to be a sensitive parameter reflecting OSAS-related epithelial irregularity. Swept-source AS-OCT–based epithelial thickness pattern analysis may provide clinically relevant information beyond…",
      "session_type": "Presented Poster",
      "track": "ANTERIOR SEGMENT IMAGING",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 300,
      "source_fields": {
        "Abstract Final Identifier": "PP19.15",
        "Title": "Corneal Epithelial Thickness Patterns In Obstructive Sleep Apnea Syndrome Evaluated By Swept-Source As-Oct",
        "Presenting Author(s)": "Dr Azad Güçlü",
        "Abstract Topic Name": "ANTERIOR SEGMENT IMAGING",
        "Submitter First Name": "Azad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Güçlü",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate corneal epithelial thickness patterns in patients with obstructive sleep apnea syndrome (OSAS) using swept-source anterior segment optical coherence tomography (AS-OCT), and to compare inferior–superior (I–S) epithelial thickness difference and maximum–minimum (max–min) epithelial thickness difference among control, mild, moderate, and severe OSAS groups.",
        "Setting": "This study was conducted at the Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkiye, involving patients diagnosed with OSAS and healthy control subjects.",
        "Methods": "This cross-sectional case–control study included 154 eyes of 77 patients. Patients were classified into mild, moderate, and severe OSAS groups based on the apnea–hypopnea index, while healthy individuals served as controls. All participants underwent ocular surface evaluation. Corneal epithelial thickness maps were obtained using swept-source AS-OCT (Anterion, Heidelberg Engineering). Mean central epithelial thickness, inferior–superior (I–S), and maximum–minimum (max–min) epithelial thickness differences were analyzed. Group comparisons were performed using the Kruskal–Wallis test with post-hoc analyses.",
        "Results": "Mean corneal epithelial thickness differed significantly among the groups (control: 47.75 ± 2.42 µm; mild OSAS: 49.50 ± 1.99 µm; moderate OSAS: 48.70 ± 2.95 µm; severe OSAS: 48.28 ± 2.84 µm; p=0.033). No significant difference was observed in I–S epithelial thickness difference (p=0.18). In contrast, the max–min epithelial thickness difference showed a significant variation among the groups (control: 15.35 ± 3.84 µm; mild: 18.32 ± 5.23 µm; moderate: 19.13 ± 5.75 µm; severe: 20.78 ± 4.69 µm; p=0.000014). Post-hoc analyses demonstrated significant differences between the control and moderate and severe OSAS groups.",
        "Conclusions": "Although mean corneal epithelial thickness is largely preserved in OSAS, epithelial thickness distribution demonstrates increased heterogeneity with disease severity. The maximum–minimum epithelial thickness difference appears to be a sensitive parameter reflecting OSAS-related epithelial irregularity. Swept-source AS-OCT–based epithelial thickness pattern analysis may provide clinically relevant information beyond mean thickness measurements in the assessment of corneal involvement in OSAS."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "PP20.01",
      "abstract_number": "PP20.01",
      "title": "Epidemiology, Microbiology, And Outcomes Of Culture-Positive Bacterial Keratitis: The Kent Microbial Keratitis Study",
      "authors": "Mr Imran Karim Janmohamed",
      "presenter": "Mr Imran Karim Janmohamed",
      "normalized_authors": [
        "Imran Karim Janmohamed"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Imran Karim Janmohamed",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Bacterial keratitis (BK) is a significant cause of corneal blindness worldwide. This study presents the first comprehensive analysis of culture-positive BK in Kent.",
        "Setting": "Cornea Department, Maidstone and Tunbridge Wells NHS Trust",
        "Methods": "This retrospective observational study analysed culture-positive BK presenting to Maidstone and Tunbridge Wells NHS Trust and East Kent Hospitals University NHS Foundation Trust between January 2020 and December 2024. Clinical data were collected including risk factors, microbiological results, treatment regimens, and outcomes. Poor visual outcome was defined as best-corrected visual acuity < 6/24. Statistical analysis employed univariable and multivariable logistic regression to identify predictors of adverse outcomes.",
        "Results": "198 patients with culture-positive BK were identified with culture positivity rate of 40.1%. Predisposing factors were identified, with contact lens (CL)-wear predominating (51.0%. Gram-negative bacteria predominated (63.6%), with P aeruginosa representing 40.2% of isolates. CL-wear was significantly associated with P aeruginosa (84.2% of CL cases, p=0.001), whilst OSD, immunosuppression, topical steroid use, and prior corneal surgery were associated with gram-positive infections. Therapeutic keratoplasty was required in 15.2% of patients, with 48.1% achieving poor visual outcomes. Multivariable analysis identified epithelial defect size >3mm as the only independent predictor of poor visual outcomes (OR 3.87, 95% CI 1.68-9.26, p=0.002).",
        "Conclusions": "This study demonstrates evolving epidemiological patterns of BK in Kent, with gram-negative predominance, and CL-wear as the primary modifiable risk factor. Epithelial defect size emerged as the strongest predictor of poor visual outcome."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates evolving epidemiological patterns of BK in Kent, with gram-negative predominance, and CL-wear as the primary modifiable risk factor. Epithelial defect size emerged as the strongest predictor of poor visual outcome.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 301,
      "source_fields": {
        "Abstract Final Identifier": "PP20.01",
        "Title": "Epidemiology, Microbiology, And Outcomes Of Culture-Positive Bacterial Keratitis: The Kent Microbial Keratitis Study",
        "Presenting Author(s)": "Mr Imran Karim Janmohamed",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Imran",
        "Submitter Middle Name": "Karim",
        "Submitter Last Name": "Janmohamed",
        "Country Name": "United Kingdom",
        "Purpose": "Bacterial keratitis (BK) is a significant cause of corneal blindness worldwide. This study presents the first comprehensive analysis of culture-positive BK in Kent.",
        "Setting": "Cornea Department, Maidstone and Tunbridge Wells NHS Trust",
        "Methods": "This retrospective observational study analysed culture-positive BK presenting to Maidstone and Tunbridge Wells NHS Trust and East Kent Hospitals University NHS Foundation Trust between January 2020 and December 2024. Clinical data were collected including risk factors, microbiological results, treatment regimens, and outcomes. Poor visual outcome was defined as best-corrected visual acuity < 6/24. Statistical analysis employed univariable and multivariable logistic regression to identify predictors of adverse outcomes.",
        "Results": "198 patients with culture-positive BK were identified with culture positivity rate of 40.1%. Predisposing factors were identified, with contact lens (CL)-wear predominating (51.0%. Gram-negative bacteria predominated (63.6%), with P aeruginosa representing 40.2% of isolates. CL-wear was significantly associated with P aeruginosa (84.2% of CL cases, p=0.001), whilst OSD, immunosuppression, topical steroid use, and prior corneal surgery were associated with gram-positive infections. Therapeutic keratoplasty was required in 15.2% of patients, with 48.1% achieving poor visual outcomes. Multivariable analysis identified epithelial defect size >3mm as the only independent predictor of poor visual outcomes (OR 3.87, 95% CI 1.68-9.26, p=0.002).",
        "Conclusions": "This study demonstrates evolving epidemiological patterns of BK in Kent, with gram-negative predominance, and CL-wear as the primary modifiable risk factor. Epithelial defect size emerged as the strongest predictor of poor visual outcome."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "PP20.16",
      "abstract_number": "PP20.16",
      "title": "Steroids And Cross-Linking For Ulcer Treatment Trial Ii (Scut Ii): Secondary 12 Month Clinical Outcomes Of A Randomized Controlled Trial",
      "authors": "Dr Filippos Vingopoulos",
      "presenter": "Dr Filippos Vingopoulos",
      "normalized_authors": [
        "Filippos Vingopoulos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Filippos Vingopoulosdr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To determine whether adjunctive topical corticosteroids and/or CXL improve long-term clinical outcomes in bacterial keratitis.",
        "Setting": "Patients in cornea clinics at the Aravind Eye Hospitals in India or to the Bascom Palmer Eye Institute at the University of Miami",
        "Methods": "NIH-funded randomized, double-masked, sham and placebo-controlled trial. Eligible participants were randomized 1:1:1 to of of three treatment arms: (1) topical 0.5% moxifloxacin plus topical placebo plus sham CXL, (2) topical 0.5% moxifloxacin plus difluprednate 0.05% plus sham CXL, (3) topical 0.5% moxifloxacin plus difluprednate 0.05% plus CXL. All participants had smear and/or culture positive bacterial corneal ulcers with Snellen visual acuity of 20/40 or worse. Main outcomes included LogMAR best spectacle-corrected visual acuity (BSCVA) and infiltrate and/or scar size as 12 month secondary outcomes of the Steroids and Cross-linking for Ulcer Treatment Trial II (SCUT II).",
        "Results": "Of 280 participants that were enrolled in SCUT II, 200 (71%) had 12 month BSCVA outcomes and 192 (69%) had 12 month infiltrate and/or scar size outcomes. Controlling for baseline BSCVA, there was no difference in 12 month BSCVA with adjunctive topical steroid versus placebo (-0.07; CI -0.22 to 0.07; P=0.33) or with adjunctive crosslinking and topical steroid versus adjunctive topical steroid alone (0.05; CI -0.10 to 0.19; P=0.51). Correcting for baseline infiltrate/scar size, there was no difference in 12 month infiltrate/scar size with adjunctive topical steroid versus placebo (-0.15; CI -0.54 to 0.24; P=0.451) or with adjunctive crosslinking and topical steroid versus adjunctive topical steroid alone (0.47; CI -0.001 to 0.95; P=0.055).",
        "Conclusions": "We were unable to find additional clinical benefit or harm of adjunctive topical steroids for bacterial keratitis in terms of visual acuity or scar size at 12 months."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "We were unable to find additional clinical benefit or harm of adjunctive topical steroids for bacterial keratitis in terms of visual acuity or scar size at 12 months.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 302,
      "source_fields": {
        "Abstract Final Identifier": "PP20.16",
        "Title": "Steroids And Cross-Linking For Ulcer Treatment Trial Ii (Scut Ii): Secondary 12 Month Clinical Outcomes Of A Randomized Controlled Trial",
        "Presenting Author(s)": "Dr Filippos Vingopoulos",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Filippos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vingopoulosdr",
        "Country Name": "United States",
        "Purpose": "To determine whether adjunctive topical corticosteroids and/or CXL improve long-term clinical outcomes in bacterial keratitis.",
        "Setting": "Patients in cornea clinics at the Aravind Eye Hospitals in India or to the Bascom Palmer Eye Institute at the University of Miami",
        "Methods": "NIH-funded randomized, double-masked, sham and placebo-controlled trial. Eligible participants were randomized 1:1:1 to of of three treatment arms: (1) topical 0.5% moxifloxacin plus topical placebo plus sham CXL, (2) topical 0.5% moxifloxacin plus difluprednate 0.05% plus sham CXL, (3) topical 0.5% moxifloxacin plus difluprednate 0.05% plus CXL. All participants had smear and/or culture positive bacterial corneal ulcers with Snellen visual acuity of 20/40 or worse. Main outcomes included LogMAR best spectacle-corrected visual acuity (BSCVA) and infiltrate and/or scar size as 12 month secondary outcomes of the Steroids and Cross-linking for Ulcer Treatment Trial II (SCUT II).",
        "Results": "Of 280 participants that were enrolled in SCUT II, 200 (71%) had 12 month BSCVA outcomes and 192 (69%) had 12 month infiltrate and/or scar size outcomes. Controlling for baseline BSCVA, there was no difference in 12 month BSCVA with adjunctive topical steroid versus placebo (-0.07; CI -0.22 to 0.07; P=0.33) or with adjunctive crosslinking and topical steroid versus adjunctive topical steroid alone (0.05; CI -0.10 to 0.19; P=0.51). Correcting for baseline infiltrate/scar size, there was no difference in 12 month infiltrate/scar size with adjunctive topical steroid versus placebo (-0.15; CI -0.54 to 0.24; P=0.451) or with adjunctive crosslinking and topical steroid versus adjunctive topical steroid alone (0.47; CI -0.001 to 0.95; P=0.055).",
        "Conclusions": "We were unable to find additional clinical benefit or harm of adjunctive topical steroids for bacterial keratitis in terms of visual acuity or scar size at 12 months."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 309
    },
    {
      "uid": "PP20.017",
      "abstract_number": "PP20.017",
      "title": "Neuro-Symbolic Agentic Ai For Slit-Lamp Diagnosis Of Infectious Keratitis: A Comparative Validation Study",
      "authors": "Dr Hatem Ali Elsersawy",
      "presenter": "Dr Hatem Ali Elsersawy",
      "normalized_authors": [
        "Hatem Ali Elsersawy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hatem Ali Elsersawy",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Infectious keratitis (IK) demands rapid aetiological differentiation between bacterial, fungal, viral, and Acanthamoeba causes — yet microbiological culture is frequently unavailable, forcing empirical management. Standard image-based AI classifiers address pattern recognition but cannot replicate the iterative,guideline-based clinical reasoning of a corneal specialist. This study evaluates the diagnostic performance of a hybrid neuro-symbolic agentic AI system in classifying IK from slit-lamp photographs and generating structured, guideline-based management recommendations.",
        "Setting": "Single-centre retrospective diagnostic accuracy study. Hazem Yassin Eye Clinics. Fifty eyes with clinically confirmed infectious keratitis across four aetiological categories: bacterial, fungal, viral, and Acanthamoeba keratitis.",
        "Methods": "Fifty IK cases (bacterial, fungal, viral, Acanthamoeba) were retrospectively analysed across serial visits, yielding 500+ slit-lamp images. Ground truth combined masked diagnosis by a consultant corneal and refractive surgery specialist with response to targeted therapy.\nA neuro-symbolic agentic framework was deployed using Gemini 1.5 Flash Agentic Vision: a neural layer extracted deep image features while a symbolic reasoning layer grounded diagnostic logic in AAO Keratitis PPP 2023, BCSC Section 8, and AAO HSV Keratitis Statement.\nThe agent iteratively zoomed and cropped images to verify aetiological red flags before generating a classification and triage output.\nPerformance will be compared against a CNN and corneal consultant.",
        "Results": "Data collection and AI pipeline validation are ongoing across 50 eyes. Full diagnostic performance metrics — including multi-class classification accuracy, per-aetiology sensitivity and specificity, AUC comparisons between the neuro-symbolic agent, standalone CNN, and corneal consultant, and high-risk surgical triage identification rate — will be reported at the time of presentation.",
        "Conclusions": "Infectious keratitis remains a leading cause of corneal blindness, yet existing AI diagnostic models have plateaued at approximately 78% accuracy — insufficient for safe clinical deployment in a condition where a missed fungal or Acanthamoeba diagnosis can result in irreversible stromal loss. This study proposes that combining the perceptual power of a modern agentic vision-language model with the clinical logic of guideline-anchored symbolic reasoning may overcome this diagnostic ceiling. By moving from static image labelling toward iterative, goal-directed corneal inspection, this neuro-symbolic framework aspires to deliver transparent, specialist-level decision support. Data collection is ongoing; conclusions are to be determined."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Infectious keratitis remains a leading cause of corneal blindness, yet existing AI diagnostic models have plateaued at approximately 78% accuracy — insufficient for safe clinical deployment in a condition where a missed fungal or Acanthamoeba diagnosis can result in irreversible stromal loss. This study proposes that combining the perceptual power of a modern agentic vision-language model with the clinical logic of…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 303,
      "source_fields": {
        "Abstract Final Identifier": "PP20.017",
        "Title": "Neuro-Symbolic Agentic Ai For Slit-Lamp Diagnosis Of Infectious Keratitis: A Comparative Validation Study",
        "Presenting Author(s)": "Dr Hatem Ali Elsersawy",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Hatem",
        "Submitter Middle Name": "Ali",
        "Submitter Last Name": "Elsersawy",
        "Country Name": "Egypt",
        "Purpose": "Infectious keratitis (IK) demands rapid aetiological differentiation between bacterial, fungal, viral, and Acanthamoeba causes — yet microbiological culture is frequently unavailable, forcing empirical management. Standard image-based AI classifiers address pattern recognition but cannot replicate the iterative,guideline-based clinical reasoning of a corneal specialist. This study evaluates the diagnostic performance of a hybrid neuro-symbolic agentic AI system in classifying IK from slit-lamp photographs and generating structured, guideline-based management recommendations.",
        "Setting": "Single-centre retrospective diagnostic accuracy study. Hazem Yassin Eye Clinics. Fifty eyes with clinically confirmed infectious keratitis across four aetiological categories: bacterial, fungal, viral, and Acanthamoeba keratitis.",
        "Methods": "Fifty IK cases (bacterial, fungal, viral, Acanthamoeba) were retrospectively analysed across serial visits, yielding 500+ slit-lamp images. Ground truth combined masked diagnosis by a consultant corneal and refractive surgery specialist with response to targeted therapy.\nA neuro-symbolic agentic framework was deployed using Gemini 1.5 Flash Agentic Vision: a neural layer extracted deep image features while a symbolic reasoning layer grounded diagnostic logic in AAO Keratitis PPP 2023, BCSC Section 8, and AAO HSV Keratitis Statement.\nThe agent iteratively zoomed and cropped images to verify aetiological red flags before generating a classification and triage output.\nPerformance will be compared against a CNN and corneal consultant.",
        "Results": "Data collection and AI pipeline validation are ongoing across 50 eyes. Full diagnostic performance metrics — including multi-class classification accuracy, per-aetiology sensitivity and specificity, AUC comparisons between the neuro-symbolic agent, standalone CNN, and corneal consultant, and high-risk surgical triage identification rate — will be reported at the time of presentation.",
        "Conclusions": "Infectious keratitis remains a leading cause of corneal blindness, yet existing AI diagnostic models have plateaued at approximately 78% accuracy — insufficient for safe clinical deployment in a condition where a missed fungal or Acanthamoeba diagnosis can result in irreversible stromal loss. This study proposes that combining the perceptual power of a modern agentic vision-language model with the clinical logic of guideline-anchored symbolic reasoning may overcome this diagnostic ceiling. By moving from static image labelling toward iterative, goal-directed corneal inspection, this neuro-symbolic framework aspires to deliver transparent, specialist-level decision support. Data collection is ongoing; conclusions are to be determined."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 344
    },
    {
      "uid": "PP20.018",
      "abstract_number": "PP20.018",
      "title": "Efficacy And Safety Of Topical Losartan Drops For Corneal Scars: A Systematic Review Of In Vivo And In Vitro Studies",
      "authors": "Dr Hashem Abu Serhan",
      "presenter": "Dr Hashem Abu Serhan",
      "normalized_authors": [
        "Hashem Abu Serhan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hashem Abu Serhan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Qatar",
      "sections": {
        "Purpose": "To evaluated the efficacy and safety of topical losartan drops for corneal scars.",
        "Setting": "A systematic review.",
        "Methods": "Our protocol was registered on PROSPERO (CRD420251035857). We conducted a systematic review following the PRISMA guidelines. Eligible studies included in vivo and in vitro models reporting improved corneal opacity, fibrosis, or related markers. We searched PubMed, Scopus, Web of Science, Embase, Cochrane Library, ClinicalTrials.gov, WHO ICTRP, and Google Scholar for articles published through April 2025. Risk of bias was assessed using the Joanna Briggs Institute checklist for in vitro and clinical studies, and the SYRCLE tool for animal experiments.",
        "Results": "We included 14 studies in our systematic review, divided into seven high quality in-vivo studies (15 patients, ages 15–72) with diverse corneal scars treated with topical losartan 0.8 mg/mL for 4–9 months and seven in vitro studies on New Zealand white rabbits tested topical losartan (0.1–40 mg/mL) for corneal fibrosis in varied injury models over 4–6 weeks. Losartan reduced corneal myofibroblasts and fibrosis dose-dependently, improving transparency without impairing healing or causing significant toxicity. In vivo studies showed that both objective assessments and subjective measures consistently demonstrated reduction in corneal scarring and variable improvement in visual outcomes, with a well-tolerated adverse events profile.",
        "Conclusions": "Topical losartan demonstrates promising antifibrotic effects in both in vivo animal models and in vitro human corneal fibroblast cultures, with minimal reported toxicity or adverse effects."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical losartan demonstrates promising antifibrotic effects in both in vivo animal models and in vitro human corneal fibroblast cultures, with minimal reported toxicity or adverse effects.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 304,
      "source_fields": {
        "Abstract Final Identifier": "PP20.018",
        "Title": "Efficacy And Safety Of Topical Losartan Drops For Corneal Scars: A Systematic Review Of In Vivo And In Vitro Studies",
        "Presenting Author(s)": "Dr Hashem Abu Serhan",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Hashem",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abu Serhan",
        "Country Name": "Qatar",
        "Purpose": "To evaluated the efficacy and safety of topical losartan drops for corneal scars.",
        "Setting": "A systematic review.",
        "Methods": "Our protocol was registered on PROSPERO (CRD420251035857). We conducted a systematic review following the PRISMA guidelines. Eligible studies included in vivo and in vitro models reporting improved corneal opacity, fibrosis, or related markers. We searched PubMed, Scopus, Web of Science, Embase, Cochrane Library, ClinicalTrials.gov, WHO ICTRP, and Google Scholar for articles published through April 2025. Risk of bias was assessed using the Joanna Briggs Institute checklist for in vitro and clinical studies, and the SYRCLE tool for animal experiments.",
        "Results": "We included 14 studies in our systematic review, divided into seven high quality in-vivo studies (15 patients, ages 15–72) with diverse corneal scars treated with topical losartan 0.8 mg/mL for 4–9 months and seven in vitro studies on New Zealand white rabbits tested topical losartan (0.1–40 mg/mL) for corneal fibrosis in varied injury models over 4–6 weeks. Losartan reduced corneal myofibroblasts and fibrosis dose-dependently, improving transparency without impairing healing or causing significant toxicity. In vivo studies showed that both objective assessments and subjective measures consistently demonstrated reduction in corneal scarring and variable improvement in visual outcomes, with a well-tolerated adverse events profile.",
        "Conclusions": "Topical losartan demonstrates promising antifibrotic effects in both in vivo animal models and in vitro human corneal fibroblast cultures, with minimal reported toxicity or adverse effects."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 232
    },
    {
      "uid": "PP20.02",
      "abstract_number": "PP20.02",
      "title": "Rose Bengal Photodynamic Therapy (Rb-Pdt) As A Potential Adjuvant Management For Severe Infectious Keratitis",
      "authors": "Ms Maria Crstina Nordmann Gomes",
      "presenter": "Ms Maria Crstina Nordmann Gomes",
      "normalized_authors": [
        "Maria Crstina Nordmann Gomes"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maria Crstina Nordmann Gomes",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Mexico",
      "sections": {
        "Purpose": "Infectious keratitis (IK) is a leading cause of global blindness and a medical emergency that can result in corneal perforation and endophthalmitis. With rising antimicrobial resistance and limited access to donor tissue for therapeutic keratoplasty (T-PKP) in developing countries, alternative treatments are vital. The primary objective of this study was to evaluate the clinical outcomes, microbiological profile, and efficacy of Rose Bengal Photodynamic Therapy (RB-PDT) as an adjunctive therapy in patients presenting with severe, recalcitrant infectious keratitis.",
        "Setting": "Prospective, noncontrolled, interventional study at the Instituto de Oftalmologia Fundacion Conde de Valenciana IAP in Mexico City, Mexico, from March 2023 to December 2025. All patients enrolled in the study participated voluntarily after reading and signing a written informed consent, previously reviewed and approved by our institution's committees of ethics, research, and biohazards, following the tenets of the Declaration of Helsinki.",
        "Methods": "Patients > 18 y/o with severe IK (bacterial, fungal, or protozoan) were enrolled. Severity was defined by: central ulcer, large infiltrate (>3mm), melting, hypopyon. clinical deterioration despite two weeks of conventional medical therapy. Cultures were identified via VITEK and Kirby-Bauer. The RB-PDT procedure involved 8mm de-epithelialization, 0.1% Rose Bengal application for 30 min, and green LED irradiation (525nm, 6mW/cm²) for 15 min (5.4 J/cm² dose). Follow-up lasted up to 15 months. Success was defined as clinical resolution without therapeutic keratoplasty (T-PKP); failure was defined as progression to perforation or evisceration.",
        "Results": "46 eyes were included, with a success rate of 65.2% (mean follow-up 8 months). Mean time to resolution in successful cases: 53.6 ± 20.4 days.Fusarium spp. (23.9%) and Pseudomonas spp. (15.2%) were the most common isolates. Fungal infections accounted for 32.6% of cases.The microorganism with the highest failure rate was Fusarium spp. (40%). Clinical failure was significantly associated with the presence of a fungal ball in the anterior chamber (OR: 9.0), a delay in RB-PDT application exceeding 30 days from symptom onset (OR: 5.14), and specific bacterial etiologies. Additional interventions: 16 eyes (34.8%) required T-PKP due to treatment failure. After resolution, 7 successful cases underwent elective optical PKP for visual rehabilitation.",
        "Conclusions": "Our findings suggest that RB-PDT is a potential adjuvant in the treatment of severe infectious keratitis. It could help shorten clinical resolution time and reduce the need for T-PKP."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings suggest that RB-PDT is a potential adjuvant in the treatment of severe infectious keratitis. It could help shorten clinical resolution time and reduce the need for T-PKP.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 305,
      "source_fields": {
        "Abstract Final Identifier": "PP20.02",
        "Title": "Rose Bengal Photodynamic Therapy (Rb-Pdt) As A Potential Adjuvant Management For Severe Infectious Keratitis",
        "Presenting Author(s)": "Ms Maria Crstina Nordmann Gomes",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Maria",
        "Submitter Middle Name": "Crstina",
        "Submitter Last Name": "Nordmann Gomes",
        "Country Name": "Mexico",
        "Purpose": "Infectious keratitis (IK) is a leading cause of global blindness and a medical emergency that can result in corneal perforation and endophthalmitis. With rising antimicrobial resistance and limited access to donor tissue for therapeutic keratoplasty (T-PKP) in developing countries, alternative treatments are vital. The primary objective of this study was to evaluate the clinical outcomes, microbiological profile, and efficacy of Rose Bengal Photodynamic Therapy (RB-PDT) as an adjunctive therapy in patients presenting with severe, recalcitrant infectious keratitis.",
        "Setting": "Prospective, noncontrolled, interventional study at the Instituto de Oftalmologia Fundacion Conde de Valenciana IAP in Mexico City, Mexico, from March 2023 to December 2025. All patients enrolled in the study participated voluntarily after reading and signing a written informed consent, previously reviewed and approved by our institution's committees of ethics, research, and biohazards, following the tenets of the Declaration of Helsinki.",
        "Methods": "Patients > 18 y/o with severe IK (bacterial, fungal, or protozoan) were enrolled. Severity was defined by: central ulcer, large infiltrate (>3mm), melting, hypopyon. clinical deterioration despite two weeks of conventional medical therapy. Cultures were identified via VITEK and Kirby-Bauer. The RB-PDT procedure involved 8mm de-epithelialization, 0.1% Rose Bengal application for 30 min, and green LED irradiation (525nm, 6mW/cm²) for 15 min (5.4 J/cm² dose). Follow-up lasted up to 15 months. Success was defined as clinical resolution without therapeutic keratoplasty (T-PKP); failure was defined as progression to perforation or evisceration.",
        "Results": "46 eyes were included, with a success rate of 65.2% (mean follow-up 8 months). Mean time to resolution in successful cases: 53.6 ± 20.4 days.Fusarium spp. (23.9%) and Pseudomonas spp. (15.2%) were the most common isolates. Fungal infections accounted for 32.6% of cases.The microorganism with the highest failure rate was Fusarium spp. (40%). Clinical failure was significantly associated with the presence of a fungal ball in the anterior chamber (OR: 9.0), a delay in RB-PDT application exceeding 30 days from symptom onset (OR: 5.14), and specific bacterial etiologies. Additional interventions: 16 eyes (34.8%) required T-PKP due to treatment failure. After resolution, 7 successful cases underwent elective optical PKP for visual rehabilitation.",
        "Conclusions": "Our findings suggest that RB-PDT is a potential adjuvant in the treatment of severe infectious keratitis. It could help shorten clinical resolution time and reduce the need for T-PKP."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 382
    },
    {
      "uid": "PP20.03",
      "abstract_number": "PP20.03",
      "title": "Evolution Of Incidence, Microbiological Profile And Antibiotic Resistance In Bacterial Keratitis Before, During And After The Covid-19 Pandemic In A Tertiary Referral Centre",
      "authors": "Nerea Saenz Madrazo",
      "presenter": "Nerea Saenz Madrazo",
      "normalized_authors": [
        "Nerea Saenz Madrazo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nerea Saenz Madrazo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate changes in incidence, microbiological profile and antimicrobial resistance patterns\n\nof bacterial keratitis across three periods: pre-COVID (2018–2019), COVID (2020–2021) and\n\npost-COVID (2022–2024). We hypothesized that the pandemic and associated clinical changes\n\nsignificantly modified both microbial distribution and antimicrobial resistance patterns in the\n\ngeneral population.",
        "Setting": "Retrospective study conducted at Hospital General Universitario Gregorio Marañón, a tertiary\n\nreferral centre in Madrid, Spain.",
        "Methods": "Methods: Observational, retrospective study of patients with suspected infectious corneal ulcer\n\nand corneal scraping between 2018–2024. Only microbiologically confirmed bacterial keratitis\n\ncases with available antibiogram were included. Patients were divided into: pre-COVID (n=41),\n\nCOVID (n=32) and post-COVID (n=51). Microorganism identification and susceptibility were\n\nperformed according to CLSI/EUCAST criteria. Categorical variables were expressed as\n\nfrequencies and percentages. Comparisons used chi-square or Fisher’s exact test. P<0.05 was\n\nsignificant. Contact lens wear was recorded.",
        "Results": "A total of 124 patients were included. A significant shift in microbiological profile was observed\n\nacross periods. Gram-positive bacteria predominated in pre-COVID (87.8%) and COVID\n\n(81.2%) periods, but decreased to 54.9% post-COVID. Conversely, Gram-negative bacilli\n\nshowed a significant increase in the post-COVID period (45.1% vs 12.2% pre-COVID;\n\np=0.00079 ).\n\nPseudomonas aeruginosa emerged as the most frequent pathogen post-COVID ( 37.2% ),\n\ncompared to pre-pandemic dominance of Staphylococcus spp. and Streptococcus pneumoniae .\n\nA significant increase in resistance to fluoroquinolones (Ciprofloxacin) was observed in the\n\npost-COVID period compared with pre-COVID ( 19.6% vs 7.3%, p<0.05 ).",
        "Conclusions": "In this tertiary-centre cohort, the COVID-19 pandemic was associated with a significant shift in\n\nthe microbiological distribution of bacterial keratitis, characterized by a critical increase in\n\nGram-negative bacilli , particularly Pseudomonas aeruginosa . Furthermore, a significant\n\nincrease in resistance to fluoroquinolones was observed in the post-COVID period.\n\nThese findings suggest a relevant change in the epidemiology of corneal infections, therefore\n\nthe need for continuous microbiological surveillance and reassessment of empirical therapy\n\nprotocols in the post-pandemic era."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this tertiary-centre cohort, the COVID-19 pandemic was associated with a significant shift in the microbiological distribution of bacterial keratitis, characterized by a critical increase in Gram-negative bacilli , particularly Pseudomonas aeruginosa . Furthermore, a significant increase in resistance to fluoroquinolones was observed in the post-COVID period. These findings suggest a relevant change in the…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 306,
      "source_fields": {
        "Abstract Final Identifier": "PP20.03",
        "Title": "Evolution Of Incidence, Microbiological Profile And Antibiotic Resistance In Bacterial Keratitis Before, During And After The Covid-19 Pandemic In A Tertiary Referral Centre",
        "Presenting Author(s)": "Nerea Saenz Madrazo",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Nerea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Saenz Madrazo",
        "Country Name": "Spain",
        "Purpose": "To evaluate changes in incidence, microbiological profile and antimicrobial resistance patterns\n\nof bacterial keratitis across three periods: pre-COVID (2018–2019), COVID (2020–2021) and\n\npost-COVID (2022–2024). We hypothesized that the pandemic and associated clinical changes\n\nsignificantly modified both microbial distribution and antimicrobial resistance patterns in the\n\ngeneral population.",
        "Setting": "Retrospective study conducted at Hospital General Universitario Gregorio Marañón, a tertiary\n\nreferral centre in Madrid, Spain.",
        "Methods": "Methods: Observational, retrospective study of patients with suspected infectious corneal ulcer\n\nand corneal scraping between 2018–2024. Only microbiologically confirmed bacterial keratitis\n\ncases with available antibiogram were included. Patients were divided into: pre-COVID (n=41),\n\nCOVID (n=32) and post-COVID (n=51). Microorganism identification and susceptibility were\n\nperformed according to CLSI/EUCAST criteria. Categorical variables were expressed as\n\nfrequencies and percentages. Comparisons used chi-square or Fisher’s exact test. P<0.05 was\n\nsignificant. Contact lens wear was recorded.",
        "Results": "A total of 124 patients were included. A significant shift in microbiological profile was observed\n\nacross periods. Gram-positive bacteria predominated in pre-COVID (87.8%) and COVID\n\n(81.2%) periods, but decreased to 54.9% post-COVID. Conversely, Gram-negative bacilli\n\nshowed a significant increase in the post-COVID period (45.1% vs 12.2% pre-COVID;\n\np=0.00079 ).\n\nPseudomonas aeruginosa emerged as the most frequent pathogen post-COVID ( 37.2% ),\n\ncompared to pre-pandemic dominance of Staphylococcus spp. and Streptococcus pneumoniae .\n\nA significant increase in resistance to fluoroquinolones (Ciprofloxacin) was observed in the\n\npost-COVID period compared with pre-COVID ( 19.6% vs 7.3%, p<0.05 ).",
        "Conclusions": "In this tertiary-centre cohort, the COVID-19 pandemic was associated with a significant shift in\n\nthe microbiological distribution of bacterial keratitis, characterized by a critical increase in\n\nGram-negative bacilli , particularly Pseudomonas aeruginosa . Furthermore, a significant\n\nincrease in resistance to fluoroquinolones was observed in the post-COVID period.\n\nThese findings suggest a relevant change in the epidemiology of corneal infections, therefore\n\nthe need for continuous microbiological surveillance and reassessment of empirical therapy\n\nprotocols in the post-pandemic era."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 318
    },
    {
      "uid": "PP20.04",
      "abstract_number": "PP20.04",
      "title": "Development Of A Scoring System Using A Nomogram To Predict The Poor Visual Outcome In Culture-Proven Bacterial Keratitis: A 14-Year Retrospective Data Analysis",
      "authors": "Prof. Dr Chan-Ho Cho",
      "presenter": "Prof. Dr Chan-Ho Cho",
      "normalized_authors": [
        "Chan-Ho Cho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chan-Ho Cho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "This study aimed to develop a score system that can predict the poor visual outcome in culture-proven bacterial keratitis using nomogram.",
        "Setting": "Retrospective, consecutive study. All of study cases were taken by Department of Ophthalmology, Yeungnam University Hospital, Daegu, South Korea. Study subjects included patients with microbiologically-proven bacterial keratitis who were hospitalized from 2007 to 2020. Totally 228 eyes were enrolled in this study.",
        "Methods": "The epidemiology factors, predisposing factors and initial clinical characteristics were analyzed. Poor visual outcome (PVO) was defined as final BCVA <0.1. The entire group was divided into training and testing data subgroups at a ratio of 8:2. The training data were used to develop the nomogram and the testing data to validate the nomogram. Multivariate logistic regression analysis was performed on the training data to select significant factors for the PVO group. The score was calculated using the coefficient values of the finally selected significant factors, and the nomogram was created using the sum of these scores for each patient. The created nomogram was validated through receiver operating characteristics (ROC) curve.",
        "Results": "Totally 59 eyes (25.9%) belonged to the PVO group. In training cohort, the scores for each selected variable for PVO were epithelial defect size (>16 mm 2 : 100 pts, <4 and ≤16 mm 2 : 68.32 pts, ≤4 mm 2 : 0 pt), initial VA <0.1 (94.95 pts), diabetes mellitus (88.73 pts), previous ocular surgery (66.14 pts), hypopyon (54.84 pts), previous ocular surface disease (50.78 pts), and contact lens wear (-115.58 pts). In the constructed nomogram, the area under the ROC curve was 0.898 in training data and 0.895 in testing data. Based on the training data, optimal cut-off point for predicting PVO was set at 291.51 points. At this point, the accuracy, sensitivity, and specificity were 84.6%, 66.0%, and 91.1%, respectively.",
        "Conclusions": "The model using the nomogram prediction for poor visual outcome of culture-proven bacterial keratitis showed good predictive power and high accuracy. In clinical practice, this scoring system can help predict the poor visual outcome in bacterial keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The model using the nomogram prediction for poor visual outcome of culture-proven bacterial keratitis showed good predictive power and high accuracy. In clinical practice, this scoring system can help predict the poor visual outcome in bacterial keratitis.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 307,
      "source_fields": {
        "Abstract Final Identifier": "PP20.04",
        "Title": "Development Of A Scoring System Using A Nomogram To Predict The Poor Visual Outcome In Culture-Proven Bacterial Keratitis: A 14-Year Retrospective Data Analysis",
        "Presenting Author(s)": "Prof. Dr Chan-Ho Cho",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Chan-Ho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cho",
        "Country Name": "Korea, Republic Of",
        "Purpose": "This study aimed to develop a score system that can predict the poor visual outcome in culture-proven bacterial keratitis using nomogram.",
        "Setting": "Retrospective, consecutive study. All of study cases were taken by Department of Ophthalmology, Yeungnam University Hospital, Daegu, South Korea. Study subjects included patients with microbiologically-proven bacterial keratitis who were hospitalized from 2007 to 2020. Totally 228 eyes were enrolled in this study.",
        "Methods": "The epidemiology factors, predisposing factors and initial clinical characteristics were analyzed. Poor visual outcome (PVO) was defined as final BCVA <0.1. The entire group was divided into training and testing data subgroups at a ratio of 8:2. The training data were used to develop the nomogram and the testing data to validate the nomogram. Multivariate logistic regression analysis was performed on the training data to select significant factors for the PVO group. The score was calculated using the coefficient values of the finally selected significant factors, and the nomogram was created using the sum of these scores for each patient. The created nomogram was validated through receiver operating characteristics (ROC) curve.",
        "Results": "Totally 59 eyes (25.9%) belonged to the PVO group. In training cohort, the scores for each selected variable for PVO were epithelial defect size (>16 mm 2 : 100 pts, <4 and ≤16 mm 2 : 68.32 pts, ≤4 mm 2 : 0 pt), initial VA <0.1 (94.95 pts), diabetes mellitus (88.73 pts), previous ocular surgery (66.14 pts), hypopyon (54.84 pts), previous ocular surface disease (50.78 pts), and contact lens wear (-115.58 pts). In the constructed nomogram, the area under the ROC curve was 0.898 in training data and 0.895 in testing data. Based on the training data, optimal cut-off point for predicting PVO was set at 291.51 points. At this point, the accuracy, sensitivity, and specificity were 84.6%, 66.0%, and 91.1%, respectively.",
        "Conclusions": "The model using the nomogram prediction for poor visual outcome of culture-proven bacterial keratitis showed good predictive power and high accuracy. In clinical practice, this scoring system can help predict the poor visual outcome in bacterial keratitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 348
    },
    {
      "uid": "PP20.05",
      "abstract_number": "PP20.05",
      "title": "Is Corynebacterium An Emerging And Underestimated Pathogen In Infectious Keratitis? A 22-Year Epidemiological Analysis",
      "authors": "Dr Ariana Fuentes Zamora",
      "presenter": "Dr Ariana Fuentes Zamora",
      "normalized_authors": [
        "Ariana Fuentes Zamora"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ariana Fuentes Zamora",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To investigate long-term trends in Corynebacterium spp. isolated from corneal scrapings and to evaluate whether its increasing detection challenges the traditional perception of this organism as merely commensal ocular flora.",
        "Setting": "Retrospective single-center microbiological cohort study conducted at a tertiary referral hospital between January 2003 and June 2025.",
        "Methods": "All corneal scrapings positive for Corynebacterium spp. were extracted from the institutional microbiology database. Annual incidence, referral source, contamination labeling, and colony growth intensity were analyzed. Subperiod comparison (2003–2012 vs 2013–2025) and linear regression were used to assess temporal trends. Seasonal distribution was evaluated using chi-square testing.",
        "Results": "A total of 195 positive corneal scrapings were identified over 22 years. Most cases originated from the Emergency Department (63.1%), and only 1.5% were classified as probable contamination. A significant linear increase in annual isolation was observed (β=0.37 cases/year; p=0.017). Cases from 2013–2025 accounted for 71.3% of the cohort compared with 28.7% during 2003–2012 (p<0.0001). Multi-colony growth (≥2 isolates) was present in 35% of cases. Seasonal analysis showed a non-significant predominance in autumn and spring (p=0.088), suggesting a pattern distinct from typical summer-associated keratitis pathogens.",
        "Conclusions": "Over the past two decades, Corynebacterium isolation in corneal scrapings has significantly increased. The sustained temporal rise, low contamination labeling rate, and substantial proportion of multi-colony growth collectively challenge the assumption that Corynebacterium represents incidental flora. These findings support reconsideration of its potential role as an emerging and underestimated pathogen in infectious keratitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Over the past two decades, Corynebacterium isolation in corneal scrapings has significantly increased. The sustained temporal rise, low contamination labeling rate, and substantial proportion of multi-colony growth collectively challenge the assumption that Corynebacterium represents incidental flora. These findings support reconsideration of its potential role as an emerging and underestimated pathogen in…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 308,
      "source_fields": {
        "Abstract Final Identifier": "PP20.05",
        "Title": "Is Corynebacterium An Emerging And Underestimated Pathogen In Infectious Keratitis? A 22-Year Epidemiological Analysis",
        "Presenting Author(s)": "Dr Ariana Fuentes Zamora",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ariana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fuentes Zamora",
        "Country Name": "Spain",
        "Purpose": "To investigate long-term trends in Corynebacterium spp. isolated from corneal scrapings and to evaluate whether its increasing detection challenges the traditional perception of this organism as merely commensal ocular flora.",
        "Setting": "Retrospective single-center microbiological cohort study conducted at a tertiary referral hospital between January 2003 and June 2025.",
        "Methods": "All corneal scrapings positive for Corynebacterium spp. were extracted from the institutional microbiology database. Annual incidence, referral source, contamination labeling, and colony growth intensity were analyzed. Subperiod comparison (2003–2012 vs 2013–2025) and linear regression were used to assess temporal trends. Seasonal distribution was evaluated using chi-square testing.",
        "Results": "A total of 195 positive corneal scrapings were identified over 22 years. Most cases originated from the Emergency Department (63.1%), and only 1.5% were classified as probable contamination. A significant linear increase in annual isolation was observed (β=0.37 cases/year; p=0.017). Cases from 2013–2025 accounted for 71.3% of the cohort compared with 28.7% during 2003–2012 (p<0.0001). Multi-colony growth (≥2 isolates) was present in 35% of cases. Seasonal analysis showed a non-significant predominance in autumn and spring (p=0.088), suggesting a pattern distinct from typical summer-associated keratitis pathogens.",
        "Conclusions": "Over the past two decades, Corynebacterium isolation in corneal scrapings has significantly increased. The sustained temporal rise, low contamination labeling rate, and substantial proportion of multi-colony growth collectively challenge the assumption that Corynebacterium represents incidental flora. These findings support reconsideration of its potential role as an emerging and underestimated pathogen in infectious keratitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "PP20.06",
      "abstract_number": "PP20.06",
      "title": "Changing Trend In The First Contact Management Profile Of Infective Keratitis",
      "authors": "Chandradevi Shanmugam",
      "presenter": "Chandradevi Shanmugam",
      "normalized_authors": [
        "Chandradevi Shanmugam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chandradevi Shanmugam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To re-evaluate the management pattern followed in the first contact management of infectious keratitis and to compare it with our previous study. To evaluate the change in generation of causative agents and their antibiotic sensitivity and resistance patterns.",
        "Setting": "An institutional study conducted at a tertiary care centre in India. (Dr. R.P.Centre for ophthalmic sciences, AIIMS New Delhi, India)",
        "Methods": "A retrospective analysis of the demographic, clinical, and microbiological data was performed in 100 consecutive patients with infectious keratitis. The main parameters evaluated were the nature of first contact with the health care services, investigations undertaken, treatment initiated, and the time interval between presentation to the first medical contact and to our centre. Finally, the reports of culture and antibiotic sensitivity testing undertaken at our centre were evaluated. These results were compared with the similar study, which was conducted in our centre 25 years ago.",
        "Results": "In 70% of cases, ophthalmologists in independent practice were the first medical contact. 46% of the patients were prescribed 4th-generation fluoroquinolone eyedrops in an inadequate dosage. Positive cultures were obtained in 73.86% of cases, and the common organisms are Staphylococcus (33.84%), followed by Pseudomonas aeruginosa (15.38%). A large number of the isolates demonstrated resistance to the recommended antibiotic therapy. On comparing with the previous study, certain patterns remained unchanged: delayed presentation, low rates of microbiological testing, and empirical broad-spectrum antibiotic use. There is an increase in antimicrobial resistance, particularly among Gram-positive organisms, reflecting evolving microbial ecology.",
        "Conclusions": "Our study underscores the persistent challenges in the management of infective keratitis, including delayed presentations, inadequate early diagnostics, and rising antimicrobial resistance. Addressing these issues requires a multifaceted approach encompassing public health education, capacity building at the primary care level, and the integration of novel diagnostic technologies. By fostering a more proactive and informed approach to keratitis management, we can improve patient outcomes and mitigate the burden of corneal blindness."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our study underscores the persistent challenges in the management of infective keratitis, including delayed presentations, inadequate early diagnostics, and rising antimicrobial resistance. Addressing these issues requires a multifaceted approach encompassing public health education, capacity building at the primary care level, and the integration of novel diagnostic technologies. By fostering a more proactive and…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 309,
      "source_fields": {
        "Abstract Final Identifier": "PP20.06",
        "Title": "Changing Trend In The First Contact Management Profile Of Infective Keratitis",
        "Presenting Author(s)": "Chandradevi Shanmugam",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Chandradevi",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shanmugam",
        "Country Name": "India",
        "Purpose": "To re-evaluate the management pattern followed in the first contact management of infectious keratitis and to compare it with our previous study. To evaluate the change in generation of causative agents and their antibiotic sensitivity and resistance patterns.",
        "Setting": "An institutional study conducted at a tertiary care centre in India. (Dr. R.P.Centre for ophthalmic sciences, AIIMS New Delhi, India)",
        "Methods": "A retrospective analysis of the demographic, clinical, and microbiological data was performed in 100 consecutive patients with infectious keratitis. The main parameters evaluated were the nature of first contact with the health care services, investigations undertaken, treatment initiated, and the time interval between presentation to the first medical contact and to our centre. Finally, the reports of culture and antibiotic sensitivity testing undertaken at our centre were evaluated. These results were compared with the similar study, which was conducted in our centre 25 years ago.",
        "Results": "In 70% of cases, ophthalmologists in independent practice were the first medical contact. 46% of the patients were prescribed 4th-generation fluoroquinolone eyedrops in an inadequate dosage. Positive cultures were obtained in 73.86% of cases, and the common organisms are Staphylococcus (33.84%), followed by Pseudomonas aeruginosa (15.38%). A large number of the isolates demonstrated resistance to the recommended antibiotic therapy. On comparing with the previous study, certain patterns remained unchanged: delayed presentation, low rates of microbiological testing, and empirical broad-spectrum antibiotic use. There is an increase in antimicrobial resistance, particularly among Gram-positive organisms, reflecting evolving microbial ecology.",
        "Conclusions": "Our study underscores the persistent challenges in the management of infective keratitis, including delayed presentations, inadequate early diagnostics, and rising antimicrobial resistance. Addressing these issues requires a multifaceted approach encompassing public health education, capacity building at the primary care level, and the integration of novel diagnostic technologies. By fostering a more proactive and informed approach to keratitis management, we can improve patient outcomes and mitigate the burden of corneal blindness."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 314
    },
    {
      "uid": "PP20.08",
      "abstract_number": "PP20.08",
      "title": "Lasiodiplodia Keratitis: A Case Series Of 27 Patients",
      "authors": "Dr Himabindu Alluri",
      "presenter": "Dr Himabindu Alluri",
      "normalized_authors": [
        "Himabindu Alluri"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Himabindu Alluri",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To review 27 cases of microbial keratitis caused by Lasiodiplodia theobromae presenting to a tertiary eye care center in eastern India over seven‑year period and analyze the risk factors, clinical profile, microbiological characteristics, treatment, and outcome of patients.",
        "Setting": "We conducted a retrospective review of the medical records of patients with microbiologically proven Lasiodiplodia keratitis, between November 2015 and October 2022. The project was initiated after approval by the Institutional Ethics Committee (2022‑151‑BHR‑49) of L V Prasad Eye Institute, Bhubaneswar, India.",
        "Methods": "This is a retrospective review of 27 cases of microbial keratitis diagnosed with Lasiodiplodia theobromae between November 2015 and October 2022. Data were retrieved using the electronic medical record system. Additional outcomes such as average time of resolution, frequency, type, and outcome of surgical interventions, wherever performed, were also analyzed. Descriptive statistics were used to interpret the demographic data",
        "Results": "The mean age of patients was 56.8 ± 18.7 years (range: 23–86), the male: female ratio was 2.4:1, and the average follow‑up was 90.2 days. Eleven (40.7%) patients had a history of trauma, and 16 (59.3%) presented with a large infiltrate (>6 mm). Samples from all the patients were culture‑positive for Lasiodiplodia theobromae, of which 26 (96.3%) were corneal scrapings and one (4%) was a half‑corneal button. Eight (29.6%) patients had coexisting bacterial infections. Successful management was achieved in 12 eyes (66.7%) with medical treatment alone (topical natamycin, n = 7; topical natamycin + oral ketoconazole, n = 3; and topical natamycin + topical gatifloxacin, n = 2). However, surgical intervention was required for nine (33.3%) eyes.",
        "Conclusions": "Lasiodiplodia theobromae is an uncommon cause of FK in humans, with no definite treatment reported in the literature. However, medical management can be initiated with topical natamycin (5%) eyedrops. Severity at presentation and response to the treatment can guide toward the need for any further surgical interventions or change in topical regimen. Multiple intravitreal amphotericin B injections can be considered in cases of intraocular spread into the vitreous cavity. Medical management with natamycin was effective in treating patients with Lasiodiplodia keratitis. However, advanced cases necessitated surgical intervention for complete resolution."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lasiodiplodia theobromae is an uncommon cause of FK in humans, with no definite treatment reported in the literature. However, medical management can be initiated with topical natamycin (5%) eyedrops. Severity at presentation and response to the treatment can guide toward the need for any further surgical interventions or change in topical regimen. Multiple intravitreal amphotericin B injections can be considered…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 310,
      "source_fields": {
        "Abstract Final Identifier": "PP20.08",
        "Title": "Lasiodiplodia Keratitis: A Case Series Of 27 Patients",
        "Presenting Author(s)": "Dr Himabindu Alluri",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Himabindu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alluri",
        "Country Name": "India",
        "Purpose": "To review 27 cases of microbial keratitis caused by Lasiodiplodia theobromae presenting to a tertiary eye care center in eastern India over seven‑year period and analyze the risk factors, clinical profile, microbiological characteristics, treatment, and outcome of patients.",
        "Setting": "We conducted a retrospective review of the medical records of patients with microbiologically proven Lasiodiplodia keratitis, between November 2015 and October 2022. The project was initiated after approval by the Institutional Ethics Committee (2022‑151‑BHR‑49) of L V Prasad Eye Institute, Bhubaneswar, India.",
        "Methods": "This is a retrospective review of 27 cases of microbial keratitis diagnosed with Lasiodiplodia theobromae between November 2015 and October 2022. Data were retrieved using the electronic medical record system. Additional outcomes such as average time of resolution, frequency, type, and outcome of surgical interventions, wherever performed, were also analyzed. Descriptive statistics were used to interpret the demographic data",
        "Results": "The mean age of patients was 56.8 ± 18.7 years (range: 23–86), the male: female ratio was 2.4:1, and the average follow‑up was 90.2 days. Eleven (40.7%) patients had a history of trauma, and 16 (59.3%) presented with a large infiltrate (>6 mm). Samples from all the patients were culture‑positive for Lasiodiplodia theobromae, of which 26 (96.3%) were corneal scrapings and one (4%) was a half‑corneal button. Eight (29.6%) patients had coexisting bacterial infections. Successful management was achieved in 12 eyes (66.7%) with medical treatment alone (topical natamycin, n = 7; topical natamycin + oral ketoconazole, n = 3; and topical natamycin + topical gatifloxacin, n = 2). However, surgical intervention was required for nine (33.3%) eyes.",
        "Conclusions": "Lasiodiplodia theobromae is an uncommon cause of FK in humans, with no definite treatment reported in the literature. However, medical management can be initiated with topical natamycin (5%) eyedrops. Severity at presentation and response to the treatment can guide toward the need for any further surgical interventions or change in topical regimen. Multiple intravitreal amphotericin B injections can be considered in cases of intraocular spread into the vitreous cavity. Medical management with natamycin was effective in treating patients with Lasiodiplodia keratitis. However, advanced cases necessitated surgical intervention for complete resolution."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "PP20.09",
      "abstract_number": "PP20.09",
      "title": "High-Fluence Photoactivated Chromophore For Keratitis Corneal Cross-Linking (P A C K - C X L) In Refractory Filamentous Fungal Keratitis With Infection Control And Staged Visual Rehabilitation",
      "authors": "Dr Tina Yu Ting Shen",
      "presenter": "Dr Tina Yu Ting Shen",
      "normalized_authors": [
        "Tina Yu Ting Shen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tina Yu Ting Shen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "To describe the clinical course and outcomes following high-fluence photoactivated chromophore for keratitis corneal cross-linking (PACK-CXL) as an adjunctive therapy in treatment of refractory filamentous fungal keratitis with deep stromal involvement unresponsive to intensive antifungal therapy.",
        "Setting": "Department of Ophthalmology, National University Hospital, Singapore.",
        "Methods": "A 44-year-old contact lens wearer presented with severe culture-proven filamentous fungal keratitis caused by Aspergillus and Fusarium species. Despite four weeks of intensive topical natamycin and fortified antibiotics, progressive deep stromal infiltration with abscess formation persisted. High-fluence photoactivated chromophore for keratitis corneal cross-linking (PACK-CXL) was performed six weeks after presentation using an accelerated protocol delivering 7.2 J/cm² ultraviolet-A fluence. Topical antimicrobial therapy was continued post-procedure. The clinical course, epithelial healing, and visual outcomes were evaluated over two years.",
        "Results": "Following PACK-CXL, gradual clinical improvement was observed with complete re-epithelialisation at six weeks post-procedure. Infection resolved without corneal perforation or requirement for emergency therapeutic keratoplasty. Best corrected visual acuity improved from counting fingers at presentation to 6/60 after infection resolution. Subsequent deep anterior lamellar keratoplasty (DALK) and cataract surgery were performed and resulted in stable best corrected visual acuity of 6/9 at two years since the initial presentation.",
        "Conclusions": "High-fluence PACK-CXL may serve as an effective adjunct in the management of refractory filamentous fungal keratitis with deep stromal involvement. In this case, infection control was achieved after failure of intensive antifungal therapy, avoiding emergency therapeutic keratoplasty and permitting staged visual rehabilitation. Optimisation of fluence parameters, timing of intervention, and fungal species responsiveness in resistant fungal infections warrant further investigation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "High-fluence PACK-CXL may serve as an effective adjunct in the management of refractory filamentous fungal keratitis with deep stromal involvement. In this case, infection control was achieved after failure of intensive antifungal therapy, avoiding emergency therapeutic keratoplasty and permitting staged visual rehabilitation. Optimisation of fluence parameters, timing of intervention, and fungal species…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 311,
      "source_fields": {
        "Abstract Final Identifier": "PP20.09",
        "Title": "High-Fluence Photoactivated Chromophore For Keratitis Corneal Cross-Linking (P A C K - C X L) In Refractory Filamentous Fungal Keratitis With Infection Control And Staged Visual Rehabilitation",
        "Presenting Author(s)": "Dr Tina Yu Ting Shen",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Tina",
        "Submitter Middle Name": "Yu Ting",
        "Submitter Last Name": "Shen",
        "Country Name": "Singapore",
        "Purpose": "To describe the clinical course and outcomes following high-fluence photoactivated chromophore for keratitis corneal cross-linking (PACK-CXL) as an adjunctive therapy in treatment of refractory filamentous fungal keratitis with deep stromal involvement unresponsive to intensive antifungal therapy.",
        "Setting": "Department of Ophthalmology, National University Hospital, Singapore.",
        "Methods": "A 44-year-old contact lens wearer presented with severe culture-proven filamentous fungal keratitis caused by Aspergillus and Fusarium species. Despite four weeks of intensive topical natamycin and fortified antibiotics, progressive deep stromal infiltration with abscess formation persisted. High-fluence photoactivated chromophore for keratitis corneal cross-linking (PACK-CXL) was performed six weeks after presentation using an accelerated protocol delivering 7.2 J/cm² ultraviolet-A fluence. Topical antimicrobial therapy was continued post-procedure. The clinical course, epithelial healing, and visual outcomes were evaluated over two years.",
        "Results": "Following PACK-CXL, gradual clinical improvement was observed with complete re-epithelialisation at six weeks post-procedure. Infection resolved without corneal perforation or requirement for emergency therapeutic keratoplasty. Best corrected visual acuity improved from counting fingers at presentation to 6/60 after infection resolution. Subsequent deep anterior lamellar keratoplasty (DALK) and cataract surgery were performed and resulted in stable best corrected visual acuity of 6/9 at two years since the initial presentation.",
        "Conclusions": "High-fluence PACK-CXL may serve as an effective adjunct in the management of refractory filamentous fungal keratitis with deep stromal involvement. In this case, infection control was achieved after failure of intensive antifungal therapy, avoiding emergency therapeutic keratoplasty and permitting staged visual rehabilitation. Optimisation of fluence parameters, timing of intervention, and fungal species responsiveness in resistant fungal infections warrant further investigation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 253
    },
    {
      "uid": "PP20.10",
      "abstract_number": "PP20.10",
      "title": "Evaluation Of Methylene Blue–Mediated Photodynamic Therapy In A Rabbit Model Of Candida Keratitis",
      "authors": "Dr Yavuz Kemal Aribas",
      "presenter": "Dr Yavuz Kemal Aribas",
      "normalized_authors": [
        "Yavuz Kemal Aribas"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Yavuz Kemal Aribas",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate the clinical and microbiological effects of methylene blue–mediated photodynamic therapy (PDT) relative to topical voriconazole, methylene blue (MB) staining alone, and no treatment in an experimental Candida auris fungal keratitis model.",
        "Setting": "Experimental animal study using a rabbit eye Candida auris keratitis model.",
        "Methods": "A Candida auris fungal keratitis model was induced in rabbit eyes and allowed to develop for 3 days after inoculation. Twenty-four eyes were allocated into four groups (n=6 each): topical voriconazole, methylene blue (MB) staining alone, untreated control, and photodynamic therapy (PDT) consisting of MB staining followed by red-light irradiation (630–680 nm, 20 mW/cm²) for 15 minutes. Voriconazole was administered from day 3 until the endpoint only in its group, while PDT was applied once on day 3; no antifungal therapy was given to the other groups. Clinical and staining scores were assessed at baseline and endpoint. Changes were analyzed using the Kruskal–Wallis test with Dunn–Bonferroni post hoc analysis and Spearman’s rank correlation.",
        "Results": "Baseline clinical and corneal staining scores were comparable among groups (all p>0.05). Significant intergroup differences were observed in changes in both clinical and staining scores (both p<0.001). Mean change in clinical score was −3.17±1.84 in the PDT group and −2.17±1.17 in the voriconazole group, compared with worsening in the MB-only (4.83±2.04) and control groups (4.83±2.48). Mean change in staining score was −2.33±1.03 (PDT) and −1.83±0.98 (voriconazole) versus 0.33±0.52 (MB-only) and 0.50±1.23 (control). PDT and voriconazole differed from MB-only and control (adjusted p<0.05) and were similar to each other. Clinical and staining score changes were strongly correlated (ρ=0.779, p<0.001).",
        "Conclusions": "This experimental study suggests that methylene blue–mediated photodynamic therapy may represent a promising adjunctive approach in fungal keratitis. The observed findings support further investigation to better define its potential therapeutic role and to clarify optimal treatment parameters in future experimental and clinical studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This experimental study suggests that methylene blue–mediated photodynamic therapy may represent a promising adjunctive approach in fungal keratitis. The observed findings support further investigation to better define its potential therapeutic role and to clarify optimal treatment parameters in future experimental and clinical studies.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 312,
      "source_fields": {
        "Abstract Final Identifier": "PP20.10",
        "Title": "Evaluation Of Methylene Blue–Mediated Photodynamic Therapy In A Rabbit Model Of Candida Keratitis",
        "Presenting Author(s)": "Dr Yavuz Kemal Aribas",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Yavuz",
        "Submitter Middle Name": "Kemal",
        "Submitter Last Name": "Aribas",
        "Country Name": "Türkiye",
        "Purpose": "To investigate the clinical and microbiological effects of methylene blue–mediated photodynamic therapy (PDT) relative to topical voriconazole, methylene blue (MB) staining alone, and no treatment in an experimental Candida auris fungal keratitis model.",
        "Setting": "Experimental animal study using a rabbit eye Candida auris keratitis model.",
        "Methods": "A Candida auris fungal keratitis model was induced in rabbit eyes and allowed to develop for 3 days after inoculation. Twenty-four eyes were allocated into four groups (n=6 each): topical voriconazole, methylene blue (MB) staining alone, untreated control, and photodynamic therapy (PDT) consisting of MB staining followed by red-light irradiation (630–680 nm, 20 mW/cm²) for 15 minutes. Voriconazole was administered from day 3 until the endpoint only in its group, while PDT was applied once on day 3; no antifungal therapy was given to the other groups. Clinical and staining scores were assessed at baseline and endpoint. Changes were analyzed using the Kruskal–Wallis test with Dunn–Bonferroni post hoc analysis and Spearman’s rank correlation.",
        "Results": "Baseline clinical and corneal staining scores were comparable among groups (all p>0.05). Significant intergroup differences were observed in changes in both clinical and staining scores (both p<0.001). Mean change in clinical score was −3.17±1.84 in the PDT group and −2.17±1.17 in the voriconazole group, compared with worsening in the MB-only (4.83±2.04) and control groups (4.83±2.48). Mean change in staining score was −2.33±1.03 (PDT) and −1.83±0.98 (voriconazole) versus 0.33±0.52 (MB-only) and 0.50±1.23 (control). PDT and voriconazole differed from MB-only and control (adjusted p<0.05) and were similar to each other. Clinical and staining score changes were strongly correlated (ρ=0.779, p<0.001).",
        "Conclusions": "This experimental study suggests that methylene blue–mediated photodynamic therapy may represent a promising adjunctive approach in fungal keratitis. The observed findings support further investigation to better define its potential therapeutic role and to clarify optimal treatment parameters in future experimental and clinical studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "PP20.11",
      "abstract_number": "PP20.11",
      "title": "Anterior Segment Optical Coherence Tomography (Asoct) Evaluation Of Cryo-\nPreserved And Vacum Dried Amniotic Membrane Used In The Management Of Persistent\nCorneal Epithelial Defects (Ped).",
      "authors": "Dr Farida Omar Elzawahry",
      "presenter": "Dr Farida Omar Elzawahry",
      "normalized_authors": [
        "Farida Omar Elzawahry"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Farida Omar Elzawahry",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To compare the effectiveness of cryopreserved and vacuum-dried amniotic membrane transplantation in the treatment of persistent epithelial defects, and to assess corneal and membrane thickness changes during healing using anterior segment optical coherence tomography (ASOCT).",
        "Setting": "A clinical setting involving consecutive patients diagnosed with persistent epithelial defects, managed with amniotic membrane transplantation and followed using ASOCT imaging.",
        "Methods": "ASOCT scans were obtained from 29 consecutive patients with PED. Fourteen eyes underwent cryopreserved amniotic membrane transplantation (CAMT) and 15 eyes underwent Omnigen transplantation. ASOCT imaging was performed preoperatively, at 1 week, and at 3–4 weeks postoperatively. Thickness of the corneal epithelium, amniotic membrane, stromal bed, and total cornea was measured using the Heidelberg calliper. Healing was monitored by fluorescein staining and slit-lamp examination. Success was defined as complete epithelialization of the PED; unsuccessful cases were excluded from analysis. Statistical analysis was performed using GraphPad Prism 8.2.1, with a p value <0.05 considered significant.",
        "Results": "Healing of PED was achieved in 75.86% (n = 22) of eyes. Both CAMT- and Omnigen-treated eyes demonstrated a significant reduction in stromal bed thickness between initial presentation and the healed stage (p = 0.025 and p = 0.017, respectively), with no significant difference between the two membrane types. No significant differences were observed between groups in epithelial thickness, amniotic membrane thickness, or total corneal thickness.",
        "Conclusions": "Both cryopreserved amniotic membrane and Omnigen provide comparable outcomes in the healing of persistent epithelial defects. Similar thickness measurements of the epithelium, amnion, residual stroma, and total cornea suggest that both membranes are equally effective in the management of PED. ASOCT is a valuable tool for quantitatively assessing corneal healing following amniotic membrane transplantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both cryopreserved amniotic membrane and Omnigen provide comparable outcomes in the healing of persistent epithelial defects. Similar thickness measurements of the epithelium, amnion, residual stroma, and total cornea suggest that both membranes are equally effective in the management of PED. ASOCT is a valuable tool for quantitatively assessing corneal healing following amniotic membrane transplantation.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 313,
      "source_fields": {
        "Abstract Final Identifier": "PP20.11",
        "Title": "Anterior Segment Optical Coherence Tomography (Asoct) Evaluation Of Cryo-\nPreserved And Vacum Dried Amniotic Membrane Used In The Management Of Persistent\nCorneal Epithelial Defects (Ped).",
        "Presenting Author(s)": "Dr Farida Omar Elzawahry",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Farida",
        "Submitter Middle Name": "Omar",
        "Submitter Last Name": "Elzawahry",
        "Country Name": "United Kingdom",
        "Purpose": "To compare the effectiveness of cryopreserved and vacuum-dried amniotic membrane transplantation in the treatment of persistent epithelial defects, and to assess corneal and membrane thickness changes during healing using anterior segment optical coherence tomography (ASOCT).",
        "Setting": "A clinical setting involving consecutive patients diagnosed with persistent epithelial defects, managed with amniotic membrane transplantation and followed using ASOCT imaging.",
        "Methods": "ASOCT scans were obtained from 29 consecutive patients with PED. Fourteen eyes underwent cryopreserved amniotic membrane transplantation (CAMT) and 15 eyes underwent Omnigen transplantation. ASOCT imaging was performed preoperatively, at 1 week, and at 3–4 weeks postoperatively. Thickness of the corneal epithelium, amniotic membrane, stromal bed, and total cornea was measured using the Heidelberg calliper. Healing was monitored by fluorescein staining and slit-lamp examination. Success was defined as complete epithelialization of the PED; unsuccessful cases were excluded from analysis. Statistical analysis was performed using GraphPad Prism 8.2.1, with a p value <0.05 considered significant.",
        "Results": "Healing of PED was achieved in 75.86% (n = 22) of eyes. Both CAMT- and Omnigen-treated eyes demonstrated a significant reduction in stromal bed thickness between initial presentation and the healed stage (p = 0.025 and p = 0.017, respectively), with no significant difference between the two membrane types. No significant differences were observed between groups in epithelial thickness, amniotic membrane thickness, or total corneal thickness.",
        "Conclusions": "Both cryopreserved amniotic membrane and Omnigen provide comparable outcomes in the healing of persistent epithelial defects. Similar thickness measurements of the epithelium, amnion, residual stroma, and total cornea suggest that both membranes are equally effective in the management of PED. ASOCT is a valuable tool for quantitatively assessing corneal healing following amniotic membrane transplantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 274
    },
    {
      "uid": "PP20.12",
      "abstract_number": "PP20.12",
      "title": "Unusual Pediatric Keratitis: Trichophyton Rubrum And The Road To Therapeutic Keratoplasty",
      "authors": "Dr Boutaina Bousellam",
      "presenter": "Dr Boutaina Bousellam",
      "normalized_authors": [
        "Boutaina Bousellam"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Boutaina Bousellam",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To report a rare case of severe fungal keratitis in an immunocompetent child, secondary to Trichophyton rubrum onychomycosis, with rapid progression despite maximal medical therapy and requiring urgent therapeutic keratoplasty.",
        "Setting": "A 10-year-old girl presented with a one-month history of painful red eye and profound visual loss in the left eye.",
        "Methods": "Visual acuity was counting fingers at 1 meter ; IOP was normal.\n\nSlit-lamp findings showed a round paracentral corneal abscess, diffuse stromal edema, and a hypopyon, without conjunctival invasion or peripheral corneal neovascularization.\n\nCorneal scraping was negative, but fungal culture from a concurrent fingernail onychomycosis identified Trichophyton rubrum , suggesting probable self-inoculation.\n\nThe patient was hospitalized and received intensive antifungal therapy: fortified topical voriconazole and amphotericin B, along with topical levofloxacin and antiseptics. Systemic treatment included IV voriconazole and amoxicillin–clavulanic acid.\n\nMetronidazole and oral terbinafine were added on day 3, and natamycin was introduced on day 9.",
        "Results": "Despite full medical therapy (natamycin, amphotericin B, and voriconazole), the abscess enlarged with persistent ocular pain. An urgent therapeutic penetrating keratoplasty was performed, combined with anterior chamber washout using amphotericin B and microbiological corneal sampling.\n\nAt 1-year follow-up, visual acuity improved to 2/10, with a clear graft and sutures in place.",
        "Conclusions": "Fungal keratitis caused by Trichophyton rubrum is extremely rare in children. This case highlights the importance of early suspicion, aggressive antifungal therapy, and timely surgical intervention when medical treatment fails."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Fungal keratitis caused by Trichophyton rubrum is extremely rare in children. This case highlights the importance of early suspicion, aggressive antifungal therapy, and timely surgical intervention when medical treatment fails.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 314,
      "source_fields": {
        "Abstract Final Identifier": "PP20.12",
        "Title": "Unusual Pediatric Keratitis: Trichophyton Rubrum And The Road To Therapeutic Keratoplasty",
        "Presenting Author(s)": "Dr Boutaina Bousellam",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Boutaina",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bousellam",
        "Country Name": "Morocco",
        "Purpose": "To report a rare case of severe fungal keratitis in an immunocompetent child, secondary to Trichophyton rubrum onychomycosis, with rapid progression despite maximal medical therapy and requiring urgent therapeutic keratoplasty.",
        "Setting": "A 10-year-old girl presented with a one-month history of painful red eye and profound visual loss in the left eye.",
        "Methods": "Visual acuity was counting fingers at 1 meter ; IOP was normal.\n\nSlit-lamp findings showed a round paracentral corneal abscess, diffuse stromal edema, and a hypopyon, without conjunctival invasion or peripheral corneal neovascularization.\n\nCorneal scraping was negative, but fungal culture from a concurrent fingernail onychomycosis identified Trichophyton rubrum , suggesting probable self-inoculation.\n\nThe patient was hospitalized and received intensive antifungal therapy: fortified topical voriconazole and amphotericin B, along with topical levofloxacin and antiseptics. Systemic treatment included IV voriconazole and amoxicillin–clavulanic acid.\n\nMetronidazole and oral terbinafine were added on day 3, and natamycin was introduced on day 9.",
        "Results": "Despite full medical therapy (natamycin, amphotericin B, and voriconazole), the abscess enlarged with persistent ocular pain. An urgent therapeutic penetrating keratoplasty was performed, combined with anterior chamber washout using amphotericin B and microbiological corneal sampling.\n\nAt 1-year follow-up, visual acuity improved to 2/10, with a clear graft and sutures in place.",
        "Conclusions": "Fungal keratitis caused by Trichophyton rubrum is extremely rare in children. This case highlights the importance of early suspicion, aggressive antifungal therapy, and timely surgical intervention when medical treatment fails."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 228
    },
    {
      "uid": "PP20.13",
      "abstract_number": "PP20.13",
      "title": "Outcomes Of Contact Lens Fitting For Visual Rehabilitation After Healed Corneal Ulcers: A Retrospective Study",
      "authors": "Dr Ivanka Van Der Meulen",
      "presenter": "Dr Ivanka Van Der Meulen",
      "normalized_authors": [
        "Ivanka Van Der Meulen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivanka Van Der Meulen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To establish the place of contact lenses in the management of patients with corneal scars after keratitis, this study evaluated visual outcomes and patient-reported tolerance of contact lens (CL) wear in individuals with complete healing following a corneal ulcer.",
        "Setting": "Department of Ophthalmology, Amsterdam University Medical Center (AUMC), Amsterdam, the Netherlands\n\nThis retrospective descriptive study included patients between January 2006 and January 2025 with a diagnosed corneal ulcer who, after complete healing, were referred for contact lens (CL) fitting to improve visual acuity (VA). Electronic medical records from Amsterdam UMC and Oculenti Contactlenzen were retrospectively reviewed to extract relevant clinical data.",
        "Methods": "Included patients were fitted with either corneal RGP or scleral lenses, primarily based on corneal irregularity, which was assessed via topography and slit-lamp examination, as well as the location of corneal scarring and the presence of evident keratitis sicca.\n\nThe key study variables are VA prior to CL fitting, VA with the CL, patient-reported complaints related to CL, and whether CL use was discontinued. VA was documented in logMAR and reported as median [IQR]. Data were tested for normality using the Shapiro–Wilk test and visual inspection of histograms and Q–Q plots.",
        "Results": "19 patients were included: 15 were fitted with a corneal rigid gas permeable (RGP) lens and 4 with a scleral lens. Median VA improved from 0.40 [0.78] to 0.10 [0.12] logMAR with corneal RGP lenses and from 0.50 [1.00] to 0.31 [0.59] logMAR with scleral lenses. VA improved after CL fitting regardless of whether the ulcer was centrally or paracentrally located. 7 patients reported complaints during CL wear, and 3 eventually discontinued use.",
        "Conclusions": "Both corneal RGP and scleral lenses provide clinically relevant improvement in VA after complete healing of a corneal ulcer. Only a minority of patients discontinued CL wear, indicating good tolerance. These findings support the use of CL as an effective option for visual rehabilitation following corneal ulceration."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both corneal RGP and scleral lenses provide clinically relevant improvement in VA after complete healing of a corneal ulcer. Only a minority of patients discontinued CL wear, indicating good tolerance. These findings support the use of CL as an effective option for visual rehabilitation following corneal ulceration.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 315,
      "source_fields": {
        "Abstract Final Identifier": "PP20.13",
        "Title": "Outcomes Of Contact Lens Fitting For Visual Rehabilitation After Healed Corneal Ulcers: A Retrospective Study",
        "Presenting Author(s)": "Dr Ivanka Van Der Meulen",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Ivanka",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Van Der Meulen",
        "Country Name": "Netherlands",
        "Purpose": "To establish the place of contact lenses in the management of patients with corneal scars after keratitis, this study evaluated visual outcomes and patient-reported tolerance of contact lens (CL) wear in individuals with complete healing following a corneal ulcer.",
        "Setting": "Department of Ophthalmology, Amsterdam University Medical Center (AUMC), Amsterdam, the Netherlands\n\nThis retrospective descriptive study included patients between January 2006 and January 2025 with a diagnosed corneal ulcer who, after complete healing, were referred for contact lens (CL) fitting to improve visual acuity (VA). Electronic medical records from Amsterdam UMC and Oculenti Contactlenzen were retrospectively reviewed to extract relevant clinical data.",
        "Methods": "Included patients were fitted with either corneal RGP or scleral lenses, primarily based on corneal irregularity, which was assessed via topography and slit-lamp examination, as well as the location of corneal scarring and the presence of evident keratitis sicca.\n\nThe key study variables are VA prior to CL fitting, VA with the CL, patient-reported complaints related to CL, and whether CL use was discontinued. VA was documented in logMAR and reported as median [IQR]. Data were tested for normality using the Shapiro–Wilk test and visual inspection of histograms and Q–Q plots.",
        "Results": "19 patients were included: 15 were fitted with a corneal rigid gas permeable (RGP) lens and 4 with a scleral lens. Median VA improved from 0.40 [0.78] to 0.10 [0.12] logMAR with corneal RGP lenses and from 0.50 [1.00] to 0.31 [0.59] logMAR with scleral lenses. VA improved after CL fitting regardless of whether the ulcer was centrally or paracentrally located. 7 patients reported complaints during CL wear, and 3 eventually discontinued use.",
        "Conclusions": "Both corneal RGP and scleral lenses provide clinically relevant improvement in VA after complete healing of a corneal ulcer. Only a minority of patients discontinued CL wear, indicating good tolerance. These findings support the use of CL as an effective option for visual rehabilitation following corneal ulceration."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 321
    },
    {
      "uid": "PP20.14",
      "abstract_number": "PP20.14",
      "title": "A Comparative Analysis Of Corneal Surgical Outcomes Across Different Populations Of Neurotrophic Keratitis Patients",
      "authors": "Dr Margarita Labkovich",
      "presenter": "Dr Margarita Labkovich",
      "normalized_authors": [
        "Margarita Labkovich"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Margarita Labkovich",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "Neurotrophic keratitis (NK) is a degenerative corneal disorder resulting from damage to the ophthalmic division of the trigeminal nerve, which can lead to non-healing epithelial defects and neurotrophic corneal ulcers. While Herpes Simplex Virus (HSV), Herpes Zoster Ophthalmicus (HZO), prior refractive surgery, and Diabetes Mellitus (DM) are among the most common causes of NK, few studies compare treatment approaches and surgical outcomes across these distinct etiologies. This is an epidemiologic study examining the rates of amniotic transplants, tarsorrhaphy, and penetrating keratoplasty (PK) among patients with HSV, HZO, post-refractive surgery, and DM.",
        "Setting": "This study uses data from the TriNetX Global Collaborative Network procured according to the associated ICD-10 codes for HSV, HZO, prior refractive surgery, and DM diagnoses, as well as CPT codes for procedures, including amniotic transplants, tarsorrhaphy, and penetrating keratoplasty (PK).",
        "Methods": "Using data from the TriNetX Global Collaborative Network procured according to the associated CPT and ICD-10 codes, we conducted a retrospective cohort study of NK patients (n=9,700) stratified by HSV (n=1,755), HZO (n=1,118), refractive surgery (n=1,432), and diabetes (n=2,785). The populations were propensity score-matched for age, gender, race, and ethnicity. The primary outcome assessed was the prevalence of amniotic membrane grafts for epithelial defects in NK patients in each cohort, relative to the HSV subset, with secondary outcomes examining patients with corneal ulcers who underwent more escalated measures, such as tarsorrhaphy and penetrating keratoplasty.",
        "Results": "Kaplan-Meier analysis did not show significant hazard ratios for amniotic membrane transplant across all four cohorts: HSV vs. HZO, HSV vs. refractive, and HSV vs. DM, with p-values >0.05. Secondary outcomes showed a significant difference in the prevalence of corneal ulcers only in the HSV vs. refractive groups (n HSV =107, n refract =90; p=0.0073). Tarsorrhaphy results were not significant across all groups: HSV vs. HZO, HSV vs. refractive, and HSV vs. DM, with p-values >0.05. However, the prevalence of PK was significantly lower in post-refractive (n HSV =109, n refract =52, p=0.002) and DM patients compared to HSV patients with NK (n HSV =126, n DM =127; p=0.003), with no significant difference between HSV and HZO patients (n HSV =77, n HZO =69).",
        "Conclusions": "Patients with HSV, VZV, and post-refractive surgery-associated neurotrophic keratitis hold similar rates across amniotic membrane graft and tarsorrhaphy interventions to encourage corneal healing. Refractive patients had significantly fewer corneal ulcer complications. However, the decreased risk of penetrating keratoplasty among post-refractive and DM cohorts suggests an increased burden of neutrophilic corneal disease in HSV- and VZV-associated NK. As treatments such as corneal neurotization become more available, it is important to understand the current interventions for different populations of NK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with HSV, VZV, and post-refractive surgery-associated neurotrophic keratitis hold similar rates across amniotic membrane graft and tarsorrhaphy interventions to encourage corneal healing. Refractive patients had significantly fewer corneal ulcer complications. However, the decreased risk of penetrating keratoplasty among post-refractive and DM cohorts suggests an increased burden of neutrophilic corneal…",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 316,
      "source_fields": {
        "Abstract Final Identifier": "PP20.14",
        "Title": "A Comparative Analysis Of Corneal Surgical Outcomes Across Different Populations Of Neurotrophic Keratitis Patients",
        "Presenting Author(s)": "Dr Margarita Labkovich",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Margarita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Labkovich",
        "Country Name": "United States",
        "Purpose": "Neurotrophic keratitis (NK) is a degenerative corneal disorder resulting from damage to the ophthalmic division of the trigeminal nerve, which can lead to non-healing epithelial defects and neurotrophic corneal ulcers. While Herpes Simplex Virus (HSV), Herpes Zoster Ophthalmicus (HZO), prior refractive surgery, and Diabetes Mellitus (DM) are among the most common causes of NK, few studies compare treatment approaches and surgical outcomes across these distinct etiologies. This is an epidemiologic study examining the rates of amniotic transplants, tarsorrhaphy, and penetrating keratoplasty (PK) among patients with HSV, HZO, post-refractive surgery, and DM.",
        "Setting": "This study uses data from the TriNetX Global Collaborative Network procured according to the associated ICD-10 codes for HSV, HZO, prior refractive surgery, and DM diagnoses, as well as CPT codes for procedures, including amniotic transplants, tarsorrhaphy, and penetrating keratoplasty (PK).",
        "Methods": "Using data from the TriNetX Global Collaborative Network procured according to the associated CPT and ICD-10 codes, we conducted a retrospective cohort study of NK patients (n=9,700) stratified by HSV (n=1,755), HZO (n=1,118), refractive surgery (n=1,432), and diabetes (n=2,785). The populations were propensity score-matched for age, gender, race, and ethnicity. The primary outcome assessed was the prevalence of amniotic membrane grafts for epithelial defects in NK patients in each cohort, relative to the HSV subset, with secondary outcomes examining patients with corneal ulcers who underwent more escalated measures, such as tarsorrhaphy and penetrating keratoplasty.",
        "Results": "Kaplan-Meier analysis did not show significant hazard ratios for amniotic membrane transplant across all four cohorts: HSV vs. HZO, HSV vs. refractive, and HSV vs. DM, with p-values >0.05. Secondary outcomes showed a significant difference in the prevalence of corneal ulcers only in the HSV vs. refractive groups (n HSV =107, n refract =90; p=0.0073). Tarsorrhaphy results were not significant across all groups: HSV vs. HZO, HSV vs. refractive, and HSV vs. DM, with p-values >0.05. However, the prevalence of PK was significantly lower in post-refractive (n HSV =109, n refract =52, p=0.002) and DM patients compared to HSV patients with NK (n HSV =126, n DM =127; p=0.003), with no significant difference between HSV and HZO patients (n HSV =77, n HZO =69).",
        "Conclusions": "Patients with HSV, VZV, and post-refractive surgery-associated neurotrophic keratitis hold similar rates across amniotic membrane graft and tarsorrhaphy interventions to encourage corneal healing. Refractive patients had significantly fewer corneal ulcer complications. However, the decreased risk of penetrating keratoplasty among post-refractive and DM cohorts suggests an increased burden of neutrophilic corneal disease in HSV- and VZV-associated NK. As treatments such as corneal neurotization become more available, it is important to understand the current interventions for different populations of NK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 446
    },
    {
      "uid": "PP20.15",
      "abstract_number": "PP20.15",
      "title": "Anterior Segment Optical Coherence Tomography Guided Assessment Of Wound Healing After Cyanoacrylate Glue Patch For Corneal Perforations",
      "authors": "Mr Vaibhav Namdev",
      "presenter": "Mr Vaibhav Namdev",
      "normalized_authors": [
        "Vaibhav Namdev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaibhav Namdev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To evaluate wound healing after cyanoacrylate glue patch (CGP) application in corneal perforations using anterior segment optical coherence tomography (ASOCT).",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi",
        "Methods": "28 patients with corneal perforations (<4 mm) undergoing CGP application. Primary outcome measure was wound healing pattern on ASOCT after CGP application. Secondary outcomes were time to removal of CGP, and anatomical success. Follow up was performed on POD 1 and every 2 weeks till CGP removal.",
        "Results": "Three distinct wound healing patterns were observed- Type 1 with corrugated hyper-reflective mass with underlying shadowing ,Type 2 pattern with ongoing stromal regeneration without continuity with surrounding healthy cornea and Type 3 with complete stromal regeneration continuous with surrounding cornea. On POD 1, 100% cases had type 1 pattern. At 4 weeks, 35.7% cases had type 3 and 64.3% had type 2 pattern. Five cases underwent early glue removal at 31.8 ± 2.5 days because of CGP intolerance; of these, 40% developed a leak and required re-application of CGP. Total 82.1% cases achieved type 3 pattern by 8 weeks. CGP was removed after documentation of type 3 pattern in 82.1% cases at 41.7 ± 9.2 days; no case developed wound leak.",
        "Conclusions": "ASOCT is a useful adjunct to objectively monitor wound healing after CGP and guide regarding optimal timing for its removal, with type 3 pattern correlating with higher anatomical success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "ASOCT is a useful adjunct to objectively monitor wound healing after CGP and guide regarding optimal timing for its removal, with type 3 pattern correlating with higher anatomical success.",
      "session_type": "Presented Poster",
      "track": "Cornea infectious disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 317,
      "source_fields": {
        "Abstract Final Identifier": "PP20.15",
        "Title": "Anterior Segment Optical Coherence Tomography Guided Assessment Of Wound Healing After Cyanoacrylate Glue Patch For Corneal Perforations",
        "Presenting Author(s)": "Mr Vaibhav Namdev",
        "Abstract Topic Name": "Cornea infectious disease",
        "Submitter First Name": "Vaibhav",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Namdev",
        "Country Name": "India",
        "Purpose": "To evaluate wound healing after cyanoacrylate glue patch (CGP) application in corneal perforations using anterior segment optical coherence tomography (ASOCT).",
        "Setting": "Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi",
        "Methods": "28 patients with corneal perforations (<4 mm) undergoing CGP application. Primary outcome measure was wound healing pattern on ASOCT after CGP application. Secondary outcomes were time to removal of CGP, and anatomical success. Follow up was performed on POD 1 and every 2 weeks till CGP removal.",
        "Results": "Three distinct wound healing patterns were observed- Type 1 with corrugated hyper-reflective mass with underlying shadowing ,Type 2 pattern with ongoing stromal regeneration without continuity with surrounding healthy cornea and Type 3 with complete stromal regeneration continuous with surrounding cornea. On POD 1, 100% cases had type 1 pattern. At 4 weeks, 35.7% cases had type 3 and 64.3% had type 2 pattern. Five cases underwent early glue removal at 31.8 ± 2.5 days because of CGP intolerance; of these, 40% developed a leak and required re-application of CGP. Total 82.1% cases achieved type 3 pattern by 8 weeks. CGP was removed after documentation of type 3 pattern in 82.1% cases at 41.7 ± 9.2 days; no case developed wound leak.",
        "Conclusions": "ASOCT is a useful adjunct to objectively monitor wound healing after CGP and guide regarding optimal timing for its removal, with type 3 pattern correlating with higher anatomical success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 233
    },
    {
      "uid": "PP21.01",
      "abstract_number": "PP21.01",
      "title": "Incidence And Progression Of Diabetic Retinopathy After Cataract Surgery: A 10-Year Hospital-Based Cohort Study",
      "authors": "Dr Cheng-Jen Chiu",
      "presenter": "Dr Cheng-Jen Chiu",
      "normalized_authors": [
        "Cheng-Jen Chiu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Cheng-Jen Chiu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To evaluate the incidence and progression of diabetic retinopathy (DR) after cataract surgery in patients with diabetes and to identify systemic and ocular risk factors associated with postoperative retinal outcomes.",
        "Setting": "Department of Ophthalmology, Hualien Tzu Chi Hospital, a tertiary referral center in Taiwan.",
        "Methods": "This retrospective cohort study included patients with type 2 diabetes who underwent phacoemulsification between 2011 and 2024. A fellow-eye design compared surgical eyes with contralateral nonsurgical eyes (n=1,273). In addition, a matched cohort analysis compared 535 surgical eyes with 1,070 age- and sex-matched nonsurgical diabetic controls. DR severity was graded using the International Clinical Diabetic Retinopathy (ICDR) scale. DR progression was defined as at least one-step worsening or development of proliferative complications. Multivariable logistic regression identified risk factors for DR progression at 6 months and 1 year.",
        "Results": "In the fellow-eye analysis, DR progression was more frequent in surgical eyes than in nonsurgical eyes (6.0% vs 1.8% at 1 year, p<0.001). Among eyes without baseline DR, the incidence of DR was also higher in surgical eyes (4.4% vs 1.5%). In the matched cohort analysis, cataract surgery remained associated with increased DR progression (adjusted OR 2.73, 95% CI 1.45–5.15). Higher preoperative HbA1c levels were significantly associated with DR progression.",
        "Conclusions": "Cataract surgery in patients with diabetes is associated with an increased risk of both incident DR and DR progression within one year. Poor glycemic control is the most consistent modifiable predictor of postoperative retinal deterioration. Optimization of systemic metabolic status and close postoperative retinal monitoring are essential in diabetic patients undergoing cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in patients with diabetes is associated with an increased risk of both incident DR and DR progression within one year. Poor glycemic control is the most consistent modifiable predictor of postoperative retinal deterioration. Optimization of systemic metabolic status and close postoperative retinal monitoring are essential in diabetic patients undergoing cataract surgery.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 318,
      "source_fields": {
        "Abstract Final Identifier": "PP21.01",
        "Title": "Incidence And Progression Of Diabetic Retinopathy After Cataract Surgery: A 10-Year Hospital-Based Cohort Study",
        "Presenting Author(s)": "Dr Cheng-Jen Chiu",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Cheng-Jen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chiu",
        "Country Name": "Taiwan",
        "Purpose": "To evaluate the incidence and progression of diabetic retinopathy (DR) after cataract surgery in patients with diabetes and to identify systemic and ocular risk factors associated with postoperative retinal outcomes.",
        "Setting": "Department of Ophthalmology, Hualien Tzu Chi Hospital, a tertiary referral center in Taiwan.",
        "Methods": "This retrospective cohort study included patients with type 2 diabetes who underwent phacoemulsification between 2011 and 2024. A fellow-eye design compared surgical eyes with contralateral nonsurgical eyes (n=1,273). In addition, a matched cohort analysis compared 535 surgical eyes with 1,070 age- and sex-matched nonsurgical diabetic controls. DR severity was graded using the International Clinical Diabetic Retinopathy (ICDR) scale. DR progression was defined as at least one-step worsening or development of proliferative complications. Multivariable logistic regression identified risk factors for DR progression at 6 months and 1 year.",
        "Results": "In the fellow-eye analysis, DR progression was more frequent in surgical eyes than in nonsurgical eyes (6.0% vs 1.8% at 1 year, p<0.001). Among eyes without baseline DR, the incidence of DR was also higher in surgical eyes (4.4% vs 1.5%). In the matched cohort analysis, cataract surgery remained associated with increased DR progression (adjusted OR 2.73, 95% CI 1.45–5.15). Higher preoperative HbA1c levels were significantly associated with DR progression.",
        "Conclusions": "Cataract surgery in patients with diabetes is associated with an increased risk of both incident DR and DR progression within one year. Poor glycemic control is the most consistent modifiable predictor of postoperative retinal deterioration. Optimization of systemic metabolic status and close postoperative retinal monitoring are essential in diabetic patients undergoing cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "PP21.16",
      "abstract_number": "PP21.16",
      "title": "Incidence And Clinical Patterns Of De Novo Herpetic Corneal Disease After Phacoemulsification",
      "authors": "Dr Paula Alonso Barreiros",
      "presenter": "Dr Paula Alonso Barreiros",
      "normalized_authors": [
        "Paula Alonso Barreiros"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Esther Mata",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe new-onset of herpetic keratitis and/or endotheliitis after cataract surgery in patients without previous herpetic disease, and to report the incidence, related perioperative factors, clinical characteristics of this complication in a one-year surgical cohort, highlighting diagnostic challenges and implications for perioperative management.",
        "Setting": "Ophthalmology centre in Spain. Retrospective observational case series of patients that had treatment with oral antiviral therapy in the postoperative period of uneventful cataract surgery. We documented: prior herpetic disease, time before the appearance of keratitis, location of the lesion, layer of cornea of the lesion, location of the incision, accompanying diseases, perioperative medication and clinical presentation and manifestations",
        "Methods": "During 2025, 34 of 2,324 patients (1.46%) required oral antiviral therapy for presumed herpetic corneal disease after cataract surgery. Seventeen patients with previous herpetic disease were excluded, leaving 17 patients without prior herpetic history (0,73%).Corneal disease developed within 30 days postoperatively (mean onset 29 ± 5 days).Twelve eyes initially presented an epithelial defect adjacent to the corneal incision, progressing to typical dendritic keratitis within 2 to 3 days of onset. Six of these developed linear endotheliitis, with minimal anterior chamber reaction and low intraocular pressure. Five eyes presented primary horizontal linear endotheliitis with epithelial changes initially misdiagnosed as toxic keratopathy.",
        "Results": "All patients received empirical oral valaciclovir 500mg twice daily; topical steroids were added only in cases with endothelial involvement. Complete corneal healing and recovery of visual acuity occurred within one month. In combined epithelial and endothelial involvement, epithelial debridement shortened the clinical course. Despite antiviral prophylaxis, two patients developed epithelial keratitis after fellow-eye surgery. The association with the corneal incision suggests that surgical trauma to corneal nerves, together with postoperative topical steroids use, may contribute to viral reactivation. No correlation was found with systemic comorbidities or preoperative medication.",
        "Conclusions": "The prevalence of herpetic corneal diseases after cataract surgery was 0.7 % in patients without herpetic history. Three clinical patterns were identified: epithelial keratitis, horizontal linear endotheliitis and combined epithelial and endothelial involvement. Awareness of this entity is essential to avoid delayed diagnosis, as early epithelial changes may mimic toxic keratopathy. Close follow-up is mandatory and empirical oral antiviral therapy should be considered in cases of delayed epithelial recovery. Antiviral prophylaxis and minimum three-month interval before fellow-eye surgery may reduce recurrence risk."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The prevalence of herpetic corneal diseases after cataract surgery was 0.7 % in patients without herpetic history. Three clinical patterns were identified: epithelial keratitis, horizontal linear endotheliitis and combined epithelial and endothelial involvement. Awareness of this entity is essential to avoid delayed diagnosis, as early epithelial changes may mimic toxic keratopathy. Close follow-up is mandatory and…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 319,
      "source_fields": {
        "Abstract Final Identifier": "PP21.16",
        "Title": "Incidence And Clinical Patterns Of De Novo Herpetic Corneal Disease After Phacoemulsification",
        "Presenting Author(s)": "Dr Paula Alonso Barreiros",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Esther",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mata",
        "Country Name": "Spain",
        "Purpose": "To describe new-onset of herpetic keratitis and/or endotheliitis after cataract surgery in patients without previous herpetic disease, and to report the incidence, related perioperative factors, clinical characteristics of this complication in a one-year surgical cohort, highlighting diagnostic challenges and implications for perioperative management.",
        "Setting": "Ophthalmology centre in Spain. Retrospective observational case series of patients that had treatment with oral antiviral therapy in the postoperative period of uneventful cataract surgery. We documented: prior herpetic disease, time before the appearance of keratitis, location of the lesion, layer of cornea of the lesion, location of the incision, accompanying diseases, perioperative medication and clinical presentation and manifestations",
        "Methods": "During 2025, 34 of 2,324 patients (1.46%) required oral antiviral therapy for presumed herpetic corneal disease after cataract surgery. Seventeen patients with previous herpetic disease were excluded, leaving 17 patients without prior herpetic history (0,73%).Corneal disease developed within 30 days postoperatively (mean onset 29 ± 5 days).Twelve eyes initially presented an epithelial defect adjacent to the corneal incision, progressing to typical dendritic keratitis within 2 to 3 days of onset. Six of these developed linear endotheliitis, with minimal anterior chamber reaction and low intraocular pressure. Five eyes presented primary horizontal linear endotheliitis with epithelial changes initially misdiagnosed as toxic keratopathy.",
        "Results": "All patients received empirical oral valaciclovir 500mg twice daily; topical steroids were added only in cases with endothelial involvement. Complete corneal healing and recovery of visual acuity occurred within one month. In combined epithelial and endothelial involvement, epithelial debridement shortened the clinical course. Despite antiviral prophylaxis, two patients developed epithelial keratitis after fellow-eye surgery. The association with the corneal incision suggests that surgical trauma to corneal nerves, together with postoperative topical steroids use, may contribute to viral reactivation. No correlation was found with systemic comorbidities or preoperative medication.",
        "Conclusions": "The prevalence of herpetic corneal diseases after cataract surgery was 0.7 % in patients without herpetic history. Three clinical patterns were identified: epithelial keratitis, horizontal linear endotheliitis and combined epithelial and endothelial involvement. Awareness of this entity is essential to avoid delayed diagnosis, as early epithelial changes may mimic toxic keratopathy. Close follow-up is mandatory and empirical oral antiviral therapy should be considered in cases of delayed epithelial recovery. Antiviral prophylaxis and minimum three-month interval before fellow-eye surgery may reduce recurrence risk."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "PP21.017",
      "abstract_number": "PP21.017",
      "title": "Rethinking Postoperative Follow-Up After Cataract Surgery: A Comparative Analysis Of Clinically Relevant Complications At 24 Versus 72 Hours",
      "authors": "Dr Arianna Serraiotto",
      "presenter": "Dr Arianna Serraiotto",
      "normalized_authors": [
        "Arianna Serraiotto"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arianna Serraiotto",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "To evaluate whether scheduling the first postoperative visit at 72 hours after uncomplicated phacoemulsification allows for more clinically meaningful detection of complications compared with the standard 24-hour assessment.",
        "Setting": "Ophthalmic Unit of the University Hospital of Verona, Italy.",
        "Methods": "This retrospective, single-center comparative study included 1,372 eyes operated between July 2023 and November 2025, divided into two cohorts of 686 eyes: a 24-hour and a 72-hour follow-up group. All patients were re-evaluated at 30 ± 10 days (T2). The primary endpoint was the proportion of clinically relevant persistent complications, defined as findings detected at the first visit (T1), treated, and confirmed at T2. Included events were infectious endophthalmitis, persistent corneal edema, persistent ocular hypertension, and significant uveitis. Secondary endpoints included the positive predictive value of T1 findings, frequency of transient findings, emergency department visits within 30 days, and final UDVA, CDVA, and IOP at 30 days.",
        "Results": "At T1, corneal edema was more frequent in the 24-hour group than in the 72-hour group (17.2% vs 10.4%; χ², p = 0.00044). Ocular hypertension was also higher at 24 hours (9.8% vs 2.2%; χ², p < 0.001). However, clinically relevant persistent complications at T2 did not differ between groups. Emergency visits within 30 days were rare (1.2% vs 0.7%). No cases of endophthalmitis or significant uveitis occurred. At 30 ± 10 days, final IOP (13.7 ± 2.7 vs 14.5 ± 2.1 mmHg), UDVA, and CDVA were comparable between groups.",
        "Conclusions": "Although early postoperative findings were more frequently detected at 24 hours, final visual and pressure outcomes were equivalent between groups. A 72-hour postoperative visit may allow a more clinically meaningful assessment of complications while limiting detection of transient findings, without compromising patient safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although early postoperative findings were more frequently detected at 24 hours, final visual and pressure outcomes were equivalent between groups. A 72-hour postoperative visit may allow a more clinically meaningful assessment of complications while limiting detection of transient findings, without compromising patient safety.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 320,
      "source_fields": {
        "Abstract Final Identifier": "PP21.017",
        "Title": "Rethinking Postoperative Follow-Up After Cataract Surgery: A Comparative Analysis Of Clinically Relevant Complications At 24 Versus 72 Hours",
        "Presenting Author(s)": "Dr Arianna Serraiotto",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Arianna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Serraiotto",
        "Country Name": "Italy",
        "Purpose": "To evaluate whether scheduling the first postoperative visit at 72 hours after uncomplicated phacoemulsification allows for more clinically meaningful detection of complications compared with the standard 24-hour assessment.",
        "Setting": "Ophthalmic Unit of the University Hospital of Verona, Italy.",
        "Methods": "This retrospective, single-center comparative study included 1,372 eyes operated between July 2023 and November 2025, divided into two cohorts of 686 eyes: a 24-hour and a 72-hour follow-up group. All patients were re-evaluated at 30 ± 10 days (T2). The primary endpoint was the proportion of clinically relevant persistent complications, defined as findings detected at the first visit (T1), treated, and confirmed at T2. Included events were infectious endophthalmitis, persistent corneal edema, persistent ocular hypertension, and significant uveitis. Secondary endpoints included the positive predictive value of T1 findings, frequency of transient findings, emergency department visits within 30 days, and final UDVA, CDVA, and IOP at 30 days.",
        "Results": "At T1, corneal edema was more frequent in the 24-hour group than in the 72-hour group (17.2% vs 10.4%; χ², p = 0.00044). Ocular hypertension was also higher at 24 hours (9.8% vs 2.2%; χ², p < 0.001). However, clinically relevant persistent complications at T2 did not differ between groups. Emergency visits within 30 days were rare (1.2% vs 0.7%). No cases of endophthalmitis or significant uveitis occurred. At 30 ± 10 days, final IOP (13.7 ± 2.7 vs 14.5 ± 2.1 mmHg), UDVA, and CDVA were comparable between groups.",
        "Conclusions": "Although early postoperative findings were more frequently detected at 24 hours, final visual and pressure outcomes were equivalent between groups. A 72-hour postoperative visit may allow a more clinically meaningful assessment of complications while limiting detection of transient findings, without compromising patient safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "PP21.018",
      "abstract_number": "PP21.018",
      "title": "The Utility Of Surgical Simulation In Developing Ophthalmology Resident Competency In Managing Zonular Dialysis During Cataract Surgery",
      "authors": "Mr Jasdeep Singh Gill",
      "presenter": "Mr Jasdeep Singh Gill",
      "normalized_authors": [
        "Jasdeep Singh Gill"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jasdeep Singh Gill",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the effectiveness of a structured simulation course in enhancing ophthalmology residents’ competency in managing zonular dialysis of varying severity during cataract surgery. While existing cataract complication courses primarily focus on posterior capsule rupture management, there is a lack of training specifically tailored to managing zonular instability during ophthalmology residency in the United Kingdom, which this course aims to address.",
        "Setting": "This prospective educational study was conducted in December 2024 at King’s College Hospital, a tertiary referral centre and teaching hospital in London. All ophthalmology residents training within King’s College Hospital NHS Foundation Trust during the 2024-2025 academic year were invited to participate.",
        "Methods": "Ophthalmology residents participated in a simulation-based course featuring focused instruction, procedural demonstrations, and hands-on training with faculty-led feedback. Simulation stations covered the use of capsular retractor hooks, capsular tension rings, and capsular tension segments, using SimulEYE aphakia and capsule support model eyes (InsEYEt, Westlake Village, CA). Participants self-assessed their competence in managing intraoperative zonular dialysis before and after the course using a 10-point scale (1 = not competent, 10 = highly competent).",
        "Results": "Nine residents, ranging from ST1 to ST7, participated in the course. Mean self-assessed competence scores significantly improved from 4.0 before the course, to 7.0 after the course (p = 0.0041). Participants rated the overall utility of the course highly, with a mean score of 9.0 out of 10. Qualitative feedback indicated high satisfaction, with residents appreciating the course’s educational value. However, some participants suggested that capsular tension segments may be more appropriate for advanced cataract surgeons rather than general ophthalmology residents.",
        "Conclusions": "A simulation-based course significantly improves ophthalmology residents’ self-perceived competency in managing zonular dialysis during cataract surgery. This approach provides a realistic, safe, and effective training method for addressing a rare but critical complication, the mismanagement of which can lead to further complications such as vitreous loss and aphakia. These findings support the integration of zonular dialysis workshops into cataract complication training during surgical ophthalmology residency."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "A simulation-based course significantly improves ophthalmology residents’ self-perceived competency in managing zonular dialysis during cataract surgery. This approach provides a realistic, safe, and effective training method for addressing a rare but critical complication, the mismanagement of which can lead to further complications such as vitreous loss and aphakia. These findings support the integration of…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 321,
      "source_fields": {
        "Abstract Final Identifier": "PP21.018",
        "Title": "The Utility Of Surgical Simulation In Developing Ophthalmology Resident Competency In Managing Zonular Dialysis During Cataract Surgery",
        "Presenting Author(s)": "Mr Jasdeep Singh Gill",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Jasdeep",
        "Submitter Middle Name": "Singh",
        "Submitter Last Name": "Gill",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the effectiveness of a structured simulation course in enhancing ophthalmology residents’ competency in managing zonular dialysis of varying severity during cataract surgery. While existing cataract complication courses primarily focus on posterior capsule rupture management, there is a lack of training specifically tailored to managing zonular instability during ophthalmology residency in the United Kingdom, which this course aims to address.",
        "Setting": "This prospective educational study was conducted in December 2024 at King’s College Hospital, a tertiary referral centre and teaching hospital in London. All ophthalmology residents training within King’s College Hospital NHS Foundation Trust during the 2024-2025 academic year were invited to participate.",
        "Methods": "Ophthalmology residents participated in a simulation-based course featuring focused instruction, procedural demonstrations, and hands-on training with faculty-led feedback. Simulation stations covered the use of capsular retractor hooks, capsular tension rings, and capsular tension segments, using SimulEYE aphakia and capsule support model eyes (InsEYEt, Westlake Village, CA). Participants self-assessed their competence in managing intraoperative zonular dialysis before and after the course using a 10-point scale (1 = not competent, 10 = highly competent).",
        "Results": "Nine residents, ranging from ST1 to ST7, participated in the course. Mean self-assessed competence scores significantly improved from 4.0 before the course, to 7.0 after the course (p = 0.0041). Participants rated the overall utility of the course highly, with a mean score of 9.0 out of 10. Qualitative feedback indicated high satisfaction, with residents appreciating the course’s educational value. However, some participants suggested that capsular tension segments may be more appropriate for advanced cataract surgeons rather than general ophthalmology residents.",
        "Conclusions": "A simulation-based course significantly improves ophthalmology residents’ self-perceived competency in managing zonular dialysis during cataract surgery. This approach provides a realistic, safe, and effective training method for addressing a rare but critical complication, the mismanagement of which can lead to further complications such as vitreous loss and aphakia. These findings support the integration of zonular dialysis workshops into cataract complication training during surgical ophthalmology residency."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 322
    },
    {
      "uid": "PP21.02",
      "abstract_number": "PP21.02",
      "title": "Long-Term Outcomes Of Combined Phacoemulsification And Intravitreal Dexamethasone Implant In Diabetic Macular Edema",
      "authors": "Dr Maaz Khan",
      "presenter": "Dr Maaz Khan",
      "normalized_authors": [
        "Maaz Khan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Maaz Khan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate long-term visual, anatomical, and safety outcomes following combined phacoemulsification with intravitreal dexamethasone implant in a cohort of patients with diabetic macular edema (DME).",
        "Setting": "Single-center retrospective interventional case series.\n\n162 eyes of 126 patients with DME and visually significant cataract who underwent combined phacoemulsification and dexamethasone implant between January 2019 and December 2024. 68 eyes were treatment-naïve, while 94 had received previous treatment with anti-vascular endothelial growth factor (anti-VEGF) or macular laser photocoagulation.",
        "Methods": "All patients underwent uncomplicated phacoemulsification with intraocular lens implantation followed by immediate intravitreal dexamethasone implant insertion. Outcome measures were assessed at baseline and multiple postoperative timepoints through 5 years. Retreatment with intravitreal dexamethasone or anti-VEGF agents was administered at physician discretion. Linear mixed-effects models evaluated longitudinal changes, and Kaplan-Meier analysis assessed retreatment-free survival.",
        "Results": "Mean follow-up was 30.8 + 16.9 months. Significant early visual improvements were observed, with adjusted mean gains of 6.6 letters at 1 month (p<0.001), 4.3 letters at 3 months (p=0.007), and 3.1 letters at 6 months (p=0.047). At final follow-up, 35 eyes (21.6%) achieved ≥15-letter gain. CMT showed maximal reduction at 1 month (adjusted mean -60.1 µm, p<0.001), with statistically significant reductions persisting through 3 years. 84 eyes (51.9%) required at least one retreatment, with a median of 1 retreatment (interquartile range 0-2) per eye. Median time to retreatment was 9.1 months. Retreatment-free survival was 29.2 months. Topical therapy was required to manage raised IOP in 20 eyes (12.3%); no eyes required surgical intervention.",
        "Conclusions": "Combined phacoemulsification with intravitreal dexamethasone implant provides significant early functional improvements and sustained anatomical benefits through 3 years in patients with diabetic macular edema, with acceptable safety profile and approximately half of eyes remaining retreatment-free beyond 2 years."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Combined phacoemulsification with intravitreal dexamethasone implant provides significant early functional improvements and sustained anatomical benefits through 3 years in patients with diabetic macular edema, with acceptable safety profile and approximately half of eyes remaining retreatment-free beyond 2 years.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 322,
      "source_fields": {
        "Abstract Final Identifier": "PP21.02",
        "Title": "Long-Term Outcomes Of Combined Phacoemulsification And Intravitreal Dexamethasone Implant In Diabetic Macular Edema",
        "Presenting Author(s)": "Dr Maaz Khan",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Maaz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Khan",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate long-term visual, anatomical, and safety outcomes following combined phacoemulsification with intravitreal dexamethasone implant in a cohort of patients with diabetic macular edema (DME).",
        "Setting": "Single-center retrospective interventional case series.\n\n162 eyes of 126 patients with DME and visually significant cataract who underwent combined phacoemulsification and dexamethasone implant between January 2019 and December 2024. 68 eyes were treatment-naïve, while 94 had received previous treatment with anti-vascular endothelial growth factor (anti-VEGF) or macular laser photocoagulation.",
        "Methods": "All patients underwent uncomplicated phacoemulsification with intraocular lens implantation followed by immediate intravitreal dexamethasone implant insertion. Outcome measures were assessed at baseline and multiple postoperative timepoints through 5 years. Retreatment with intravitreal dexamethasone or anti-VEGF agents was administered at physician discretion. Linear mixed-effects models evaluated longitudinal changes, and Kaplan-Meier analysis assessed retreatment-free survival.",
        "Results": "Mean follow-up was 30.8 + 16.9 months. Significant early visual improvements were observed, with adjusted mean gains of 6.6 letters at 1 month (p<0.001), 4.3 letters at 3 months (p=0.007), and 3.1 letters at 6 months (p=0.047). At final follow-up, 35 eyes (21.6%) achieved ≥15-letter gain. CMT showed maximal reduction at 1 month (adjusted mean -60.1 µm, p<0.001), with statistically significant reductions persisting through 3 years. 84 eyes (51.9%) required at least one retreatment, with a median of 1 retreatment (interquartile range 0-2) per eye. Median time to retreatment was 9.1 months. Retreatment-free survival was 29.2 months. Topical therapy was required to manage raised IOP in 20 eyes (12.3%); no eyes required surgical intervention.",
        "Conclusions": "Combined phacoemulsification with intravitreal dexamethasone implant provides significant early functional improvements and sustained anatomical benefits through 3 years in patients with diabetic macular edema, with acceptable safety profile and approximately half of eyes remaining retreatment-free beyond 2 years."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 297
    },
    {
      "uid": "PP21.03",
      "abstract_number": "PP21.03",
      "title": "Using Artificial Intelligence To Evaluate The Results Of Cataract Surgery According To The Ichom Guidelines",
      "authors": "Dr Marc Biarnés",
      "presenter": "Dr Marc Biarnés",
      "normalized_authors": [
        "Marc Biarnés"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Marc Biarnes Perez",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The International Consortium for Health Outcomes Measurement (ICHOM) is an international organization that aims to standardize the collection of patient-centered health-related outcomes. In ophthalmology, it recommends a group of tests or “standard sets” to be performed as related to cataract surgery. Our sites have been collecting these data in all patients undergoing cataract surgery since 2022. This study presents the results of patient satisfaction reports analyzed with artificial intelligence (AI) methods.",
        "Setting": "The study was conducted from 2022 to 2025 in OMIQ clinic, a group of private ophthalmology sites in the area of Barcelona, Spain.",
        "Methods": "Prospective, longitudinal, multicentric study. Data from all cataract surgeries (demographic, refractive, functional, as well as complications and patient reported outcome measurements/PROM) were collected according to the ICHOM guidelines up to 3 months after surgery. We used a gradient boosting machine (GBM) to determine the features associated with a Net Promoter Score of 10 (the NPS is a 1 to 10 scale that measures patient satisfaction and loyalty). The model was trained to optimize the area under the curve (AUCPR) in the training set (80% of the sample) and evaluated in the test set (the other 20%). Given the large number of variables in relation to the number of cases, conventional biostatistical approaches were not applicable.",
        "Results": "We included 2.282 eyes of 1.375 patients; 57.0% were female, and mean age was 71.6 years (standard deviation 10.3). Two-thirds reported an NPS of 10 and one third of 9 or less. The optimal GBM obtained an AUCPR of 0.803 in the test set, with minimal overfitting. According to the analysis of variable importance, the surgeon and the response to certain PROM questions (for example, question 2 in the Catquest-9SF, “Are you satisfied or dissatisfied with your sight at present?”) were the most important factors related to the NPS.",
        "Conclusions": "The systematic measurement of the data related to cataract surgery allows establishing the performance of each surgeon and site, foster transparency and ease the transition towards value-based medicine. The application of AI complements conventional biostatistical analyses and may enrich the interpretation of the results."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The systematic measurement of the data related to cataract surgery allows establishing the performance of each surgeon and site, foster transparency and ease the transition towards value-based medicine. The application of AI complements conventional biostatistical analyses and may enrich the interpretation of the results.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 323,
      "source_fields": {
        "Abstract Final Identifier": "PP21.03",
        "Title": "Using Artificial Intelligence To Evaluate The Results Of Cataract Surgery According To The Ichom Guidelines",
        "Presenting Author(s)": "Dr Marc Biarnés",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Marc",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Biarnes Perez",
        "Country Name": "Spain",
        "Purpose": "The International Consortium for Health Outcomes Measurement (ICHOM) is an international organization that aims to standardize the collection of patient-centered health-related outcomes. In ophthalmology, it recommends a group of tests or “standard sets” to be performed as related to cataract surgery. Our sites have been collecting these data in all patients undergoing cataract surgery since 2022. This study presents the results of patient satisfaction reports analyzed with artificial intelligence (AI) methods.",
        "Setting": "The study was conducted from 2022 to 2025 in OMIQ clinic, a group of private ophthalmology sites in the area of Barcelona, Spain.",
        "Methods": "Prospective, longitudinal, multicentric study. Data from all cataract surgeries (demographic, refractive, functional, as well as complications and patient reported outcome measurements/PROM) were collected according to the ICHOM guidelines up to 3 months after surgery. We used a gradient boosting machine (GBM) to determine the features associated with a Net Promoter Score of 10 (the NPS is a 1 to 10 scale that measures patient satisfaction and loyalty). The model was trained to optimize the area under the curve (AUCPR) in the training set (80% of the sample) and evaluated in the test set (the other 20%). Given the large number of variables in relation to the number of cases, conventional biostatistical approaches were not applicable.",
        "Results": "We included 2.282 eyes of 1.375 patients; 57.0% were female, and mean age was 71.6 years (standard deviation 10.3). Two-thirds reported an NPS of 10 and one third of 9 or less. The optimal GBM obtained an AUCPR of 0.803 in the test set, with minimal overfitting. According to the analysis of variable importance, the surgeon and the response to certain PROM questions (for example, question 2 in the Catquest-9SF, “Are you satisfied or dissatisfied with your sight at present?”) were the most important factors related to the NPS.",
        "Conclusions": "The systematic measurement of the data related to cataract surgery allows establishing the performance of each surgeon and site, foster transparency and ease the transition towards value-based medicine. The application of AI complements conventional biostatistical analyses and may enrich the interpretation of the results."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 349
    },
    {
      "uid": "PP21.04",
      "abstract_number": "PP21.04",
      "title": "The Cataract Surgeons Of Tomorrow – How Are They Doing? An Audit Of The Last Decade Of Early Training",
      "authors": "Dr Evelyn J Qian",
      "presenter": "Dr Evelyn J Qian",
      "normalized_authors": [
        "Evelyn J Qian"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Evelyn J Qian",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Changes enacted throughout the NHS aiming to reduce the strain of healthcare demands has changed the scope of NHS workload. For instance, the increased utilisation of independent sector cataract clinics concentrated complex cases to hospital settings and reduced training opportunities. As cataract surgery requires sufficient case volume to achieve optimal surgical outcomes, these shifts may affect surgeon development especially in the early stages. We retrospectively audited cataract surgeries from 2015–2026, comparing case‑mix and outcomes for residents in their first 3 years to consultants. The aim was to assess how early cataract surgical exposure has changed over time.",
        "Setting": "This study is set within a UK secondary care ophthalmology outpatient department within a multi-hospital training programme, composing of 3 other hospital trusts. Changes affecting this unit over the past decade are likely to be comparable to other UK district general hospitals. Anecdotally, independent sector expansion appears to have increasingly diverted routine cataract surgery and postoperative review to the community. As a result, the NHS now manages a greater proportion of complex cases.",
        "Methods": "Cataract surgeries recorded in the ophthalmologic electronic patient record database MediSIGHT (Medisoft Ltd, UK) from August 2015 to February 2026 were retrospectively audited. Data extracted included surgeon grade, patient demographics, comorbidities, complexity markers, and complication outcomes.\n\nComplexity was defined as any ocular co-pathology which may contribute to surgical complexity, or intraoperative data that represented extra steps taken; such as the use of heavy or dispersive viscoelastic, or vision blue.\n\nChi-squared tests (or Fischer exact tests where data groups were <10) were used for analysis where data were discrete, and Wilcoxon rank-sum tests were used for continuous variables.",
        "Results": "Twenty-four residents in their first three years of training completed 4,350 cases (13,915 departmental total). Resident cases fell from 2,194 in 2015-2020, to 1,303 in 2020-2026.\n\nAverage cases per six month block decreased from 67.0 to 43.1, number of theatre lists from 23.1 to 15.1, and cases-per-list from 2.77 to 2.64.\n\nComplex cases increased overall from 9.65% to 21.7%, rising from 6.71% to 12.1% for residents, and 11.8% to 24.8% for consultants.\n\nDespite more complexity in cases, secondary-care postoperative reviews declined in both groups; 71.1% of resident and 72.5% of consultant cases were reviewed initially, which fell to 59% and 65.6%, respectively.\n\nPosterior capsular rupture (PCR) rates remained stable (2.10% to 2.38%; p=0.674).",
        "Conclusions": "Over the past decade, system‑level changes, particularly the expansion of independent sector cataract activity, have reduced early resident surgical volume while increasing the proportion of complex cases undertaken in NHS settings. Greater complexity may limit consultant capacity for supervised training, and the shift of postoperative care into the community may reduce feedback opportunities for surgeons in their early training. Stable PCR rates are reassuring, but a department with a high throughput of training surgeons may need to review their theatre activity to protect early operative experience and improve case volume for the surgeons of tomorrow."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Over the past decade, system‑level changes, particularly the expansion of independent sector cataract activity, have reduced early resident surgical volume while increasing the proportion of complex cases undertaken in NHS settings. Greater complexity may limit consultant capacity for supervised training, and the shift of postoperative care into the community may reduce feedback opportunities for surgeons in their…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 324,
      "source_fields": {
        "Abstract Final Identifier": "PP21.04",
        "Title": "The Cataract Surgeons Of Tomorrow – How Are They Doing? An Audit Of The Last Decade Of Early Training",
        "Presenting Author(s)": "Dr Evelyn J Qian",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Evelyn",
        "Submitter Middle Name": "J",
        "Submitter Last Name": "Qian",
        "Country Name": "United Kingdom",
        "Purpose": "Changes enacted throughout the NHS aiming to reduce the strain of healthcare demands has changed the scope of NHS workload. For instance, the increased utilisation of independent sector cataract clinics concentrated complex cases to hospital settings and reduced training opportunities. As cataract surgery requires sufficient case volume to achieve optimal surgical outcomes, these shifts may affect surgeon development especially in the early stages. We retrospectively audited cataract surgeries from 2015–2026, comparing case‑mix and outcomes for residents in their first 3 years to consultants. The aim was to assess how early cataract surgical exposure has changed over time.",
        "Setting": "This study is set within a UK secondary care ophthalmology outpatient department within a multi-hospital training programme, composing of 3 other hospital trusts. Changes affecting this unit over the past decade are likely to be comparable to other UK district general hospitals. Anecdotally, independent sector expansion appears to have increasingly diverted routine cataract surgery and postoperative review to the community. As a result, the NHS now manages a greater proportion of complex cases.",
        "Methods": "Cataract surgeries recorded in the ophthalmologic electronic patient record database MediSIGHT (Medisoft Ltd, UK) from August 2015 to February 2026 were retrospectively audited. Data extracted included surgeon grade, patient demographics, comorbidities, complexity markers, and complication outcomes.\n\nComplexity was defined as any ocular co-pathology which may contribute to surgical complexity, or intraoperative data that represented extra steps taken; such as the use of heavy or dispersive viscoelastic, or vision blue.\n\nChi-squared tests (or Fischer exact tests where data groups were <10) were used for analysis where data were discrete, and Wilcoxon rank-sum tests were used for continuous variables.",
        "Results": "Twenty-four residents in their first three years of training completed 4,350 cases (13,915 departmental total). Resident cases fell from 2,194 in 2015-2020, to 1,303 in 2020-2026.\n\nAverage cases per six month block decreased from 67.0 to 43.1, number of theatre lists from 23.1 to 15.1, and cases-per-list from 2.77 to 2.64.\n\nComplex cases increased overall from 9.65% to 21.7%, rising from 6.71% to 12.1% for residents, and 11.8% to 24.8% for consultants.\n\nDespite more complexity in cases, secondary-care postoperative reviews declined in both groups; 71.1% of resident and 72.5% of consultant cases were reviewed initially, which fell to 59% and 65.6%, respectively.\n\nPosterior capsular rupture (PCR) rates remained stable (2.10% to 2.38%; p=0.674).",
        "Conclusions": "Over the past decade, system‑level changes, particularly the expansion of independent sector cataract activity, have reduced early resident surgical volume while increasing the proportion of complex cases undertaken in NHS settings. Greater complexity may limit consultant capacity for supervised training, and the shift of postoperative care into the community may reduce feedback opportunities for surgeons in their early training. Stable PCR rates are reassuring, but a department with a high throughput of training surgeons may need to review their theatre activity to protect early operative experience and improve case volume for the surgeons of tomorrow."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 501
    },
    {
      "uid": "PP21.05",
      "abstract_number": "PP21.05",
      "title": "Rasch Analysis Of Eq-5D-5L And Ivi Instruments In Cataract-Related Quality Of Life Assessment",
      "authors": "Dr Mantapond Ittarat",
      "presenter": "Dr Mantapond Ittarat",
      "normalized_authors": [
        "Mantapond Ittarat"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mantapond Ittarat",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Thailand",
      "sections": {
        "Purpose": "Cataract impairs visual function and quality of life (QoL). Both generic and vision-specific instruments are used to assess patient-reported outcomes, but their comparative performance in primary care settings is unclear. This study examined the correlation between the EQ-5D-5L and the Impact of Vision Impairment (IVI) questionnaire and compared their measurement performance among cataract patients.",
        "Setting": "Primary care settings",
        "Methods": "A cross-sectional study was conducted among cataract patients attending a primary healthcare facility. Presenting visual acuity (VA) was measured, and QoL data were collected through interviewer-administered EQ-5D-5L and IVI questionnaires. Spearman’s rho (ρ) assessed correlations between instruments and with VA. Rasch analysis evaluated measurement precision and targeting. Analyses included total scores and IVI subscales: mobility (M), reading (R), and emotional well-being (E).",
        "Results": "Ninety-eight patients were included. Mean presenting VA was 0.85 ± 0.68 logMAR (better eye) and 1.92 ± 0.58 logMAR (worse eye). Moderate positive correlations were observed between EQ-5D-5L and IVI total scores (ρ = 0.572, p < 0.001) and across all subscales. A significant correlation with better-eye VA was found only for the reading (R) subscale of both instruments. Rasch analysis showed high precision for the IVI (person separation reliability > 0.70), whereas the EQ-5D-5L demonstrated poor precision (0.08). The IVI reading subscale showed the best targeting.",
        "Conclusions": "Both instruments captured cataract-related QoL, with moderate correlation. The IVI demonstrated superior precision and targeting, especially for reading. Using both tools may provide a comprehensive assessment of vision-specific and general QoL in cataract patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both instruments captured cataract-related QoL, with moderate correlation. The IVI demonstrated superior precision and targeting, especially for reading. Using both tools may provide a comprehensive assessment of vision-specific and general QoL in cataract patients.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 325,
      "source_fields": {
        "Abstract Final Identifier": "PP21.05",
        "Title": "Rasch Analysis Of Eq-5D-5L And Ivi Instruments In Cataract-Related Quality Of Life Assessment",
        "Presenting Author(s)": "Dr Mantapond Ittarat",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Mantapond",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ittarat",
        "Country Name": "Thailand",
        "Purpose": "Cataract impairs visual function and quality of life (QoL). Both generic and vision-specific instruments are used to assess patient-reported outcomes, but their comparative performance in primary care settings is unclear. This study examined the correlation between the EQ-5D-5L and the Impact of Vision Impairment (IVI) questionnaire and compared their measurement performance among cataract patients.",
        "Setting": "Primary care settings",
        "Methods": "A cross-sectional study was conducted among cataract patients attending a primary healthcare facility. Presenting visual acuity (VA) was measured, and QoL data were collected through interviewer-administered EQ-5D-5L and IVI questionnaires. Spearman’s rho (ρ) assessed correlations between instruments and with VA. Rasch analysis evaluated measurement precision and targeting. Analyses included total scores and IVI subscales: mobility (M), reading (R), and emotional well-being (E).",
        "Results": "Ninety-eight patients were included. Mean presenting VA was 0.85 ± 0.68 logMAR (better eye) and 1.92 ± 0.58 logMAR (worse eye). Moderate positive correlations were observed between EQ-5D-5L and IVI total scores (ρ = 0.572, p < 0.001) and across all subscales. A significant correlation with better-eye VA was found only for the reading (R) subscale of both instruments. Rasch analysis showed high precision for the IVI (person separation reliability > 0.70), whereas the EQ-5D-5L demonstrated poor precision (0.08). The IVI reading subscale showed the best targeting.",
        "Conclusions": "Both instruments captured cataract-related QoL, with moderate correlation. The IVI demonstrated superior precision and targeting, especially for reading. Using both tools may provide a comprehensive assessment of vision-specific and general QoL in cataract patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 243
    },
    {
      "uid": "PP21.06",
      "abstract_number": "PP21.06",
      "title": "Smog And Sight: An Epidemiological Evidence On The Link Between Air Pollution And Ocular Aging: A Comprehensive Systematic Review And Meta-Analysis",
      "authors": "Dr Ahmed Alnabihi",
      "presenter": "Dr Ahmed Alnabihi",
      "normalized_authors": [
        "Ahmed Alnabihi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ahmed Alnabihi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To assess associations between major ambient air pollutants and age-related ocular diseases.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "We systematically searched MEDLINE, Embase, Scopus, and Web of Science up to 15 May 2025. Eligible studies were observational, included adults, and reported quantitative estimates for glaucoma, cataract, or age-related macular degeneration (AMD) in relation to particulate matter (PM₂.₅, PM₁₀), nitrogen dioxide (NO₂), sulfur dioxide (SO₂), ozone (O₃), or carbon monoxide (CO). Two reviewers independently screened and extracted data. Risk of bias was assessed, and random-effects meta-analyses pooled odds ratios (ORs) or hazard ratios (HRs). Certainty of evidence was graded using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. The review was prospectively registered in PROSPERO (CRD420251051872).",
        "Results": "Forty-one studies met eligibility criteria. PM₂.₅ showed the strongest and most consistent associations. The pooled OR for glaucoma per interquartile range (IQR; standardized to 10 µg/m³ where applicable) increase in PM₂.₅ was 1.08 (95% CI, 1.04–1.12; I² = 19%), with high-certainty evidence. PM₂.₅ was also associated with cataract (HR = 1.04; 95% CI, 1.02–1.05; I² = 25%). Glaucoma risk was higher in the highest vs lowest exposure quartiles (OR = 1.70; 95% CI, 1.22–2.37; I² = 0%). O₃ exposure increased AMD risk (HR = 1.14; 95% CI, 1.06–1.23), supported by high-certainty evidence. Associations for PM₁₀, NO₂, and SO₂ were not statistically significant.",
        "Conclusions": "Ambient PM₂.₅ exposure is consistently linked with elevated glaucoma and cataract risk, while evidence for AMD remains less consistent. These findings highlight the potential ocular benefits of reducing fine particulate air pollution."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ambient PM₂.₅ exposure is consistently linked with elevated glaucoma and cataract risk, while evidence for AMD remains less consistent. These findings highlight the potential ocular benefits of reducing fine particulate air pollution.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 326,
      "source_fields": {
        "Abstract Final Identifier": "PP21.06",
        "Title": "Smog And Sight: An Epidemiological Evidence On The Link Between Air Pollution And Ocular Aging: A Comprehensive Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Ahmed Alnabihi",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Ahmed",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Alnabihi",
        "Country Name": "Saudi Arabia",
        "Purpose": "To assess associations between major ambient air pollutants and age-related ocular diseases.",
        "Setting": "A systematic review and meta-analysis.",
        "Methods": "We systematically searched MEDLINE, Embase, Scopus, and Web of Science up to 15 May 2025. Eligible studies were observational, included adults, and reported quantitative estimates for glaucoma, cataract, or age-related macular degeneration (AMD) in relation to particulate matter (PM₂.₅, PM₁₀), nitrogen dioxide (NO₂), sulfur dioxide (SO₂), ozone (O₃), or carbon monoxide (CO). Two reviewers independently screened and extracted data. Risk of bias was assessed, and random-effects meta-analyses pooled odds ratios (ORs) or hazard ratios (HRs). Certainty of evidence was graded using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. The review was prospectively registered in PROSPERO (CRD420251051872).",
        "Results": "Forty-one studies met eligibility criteria. PM₂.₅ showed the strongest and most consistent associations. The pooled OR for glaucoma per interquartile range (IQR; standardized to 10 µg/m³ where applicable) increase in PM₂.₅ was 1.08 (95% CI, 1.04–1.12; I² = 19%), with high-certainty evidence. PM₂.₅ was also associated with cataract (HR = 1.04; 95% CI, 1.02–1.05; I² = 25%). Glaucoma risk was higher in the highest vs lowest exposure quartiles (OR = 1.70; 95% CI, 1.22–2.37; I² = 0%). O₃ exposure increased AMD risk (HR = 1.14; 95% CI, 1.06–1.23), supported by high-certainty evidence. Associations for PM₁₀, NO₂, and SO₂ were not statistically significant.",
        "Conclusions": "Ambient PM₂.₅ exposure is consistently linked with elevated glaucoma and cataract risk, while evidence for AMD remains less consistent. These findings highlight the potential ocular benefits of reducing fine particulate air pollution."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "PP21.07",
      "abstract_number": "PP21.07",
      "title": "Post-Operative Complications After Manual Small Incision Cataract Surgery: A Systematic Review And Meta-Analysis",
      "authors": "Dr Andreas Arnold-Vangsted",
      "presenter": "Dr Andreas Arnold-Vangsted",
      "normalized_authors": [
        "Andreas Arnold-Vangsted"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andreas Arnold-Vangsted",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Denmark",
      "sections": {
        "Purpose": "To estimate pooled rates of post-operative complications following manual small incision cataract surgery (MSICS).",
        "Setting": "Systemic review and meta-analysis",
        "Methods": "We systematically reviewed the literature and performed a meta-analysis on post-operative complications following MSICS. We searched 12 databases on 27 February 2026, adhering to PRISMA guidelines. Studies were included if they reported post-operative complications in MSICS patients. Eligible studies were primarily clinic-based case-control or cohort studies. Data extraction and risk-of-bias assessment were independently performed by two authors. A random-effects meta-analysis was used to estimate complication rates for common outcomes, including corneal edema, anterior uveitis, endophthalmitis, cystoid macular edema, posterior capsular opacification, and intraocular lens malposition.",
        "Results": "A total of 27 studies comprising 1,497,000 eyes undergoing MSICS were included. Study sizes ranged from 22 to 725,324 eyes. Early post-operative complications, particularly transient corneal edema and anterior segment inflammation, were reported more frequently than late complications. Sight-threatening complications such as endophthalmitis were consistently rare across studies. Reported complication rates varied substantially depending on surgical setting, surgeon experience, and duration of follow-up.",
        "Conclusions": "Post-operative complication rates following MSICS are low overall, with most complications occurring in the early post-operative period and resolving without long-term sequelae. These findings provide contemporary benchmark estimates and underscore the need for standardized definitions and follow-up reporting in MSICS outcome studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Post-operative complication rates following MSICS are low overall, with most complications occurring in the early post-operative period and resolving without long-term sequelae. These findings provide contemporary benchmark estimates and underscore the need for standardized definitions and follow-up reporting in MSICS outcome studies.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 327,
      "source_fields": {
        "Abstract Final Identifier": "PP21.07",
        "Title": "Post-Operative Complications After Manual Small Incision Cataract Surgery: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Andreas Arnold-Vangsted",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Andreas",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arnold-Vangsted",
        "Country Name": "Denmark",
        "Purpose": "To estimate pooled rates of post-operative complications following manual small incision cataract surgery (MSICS).",
        "Setting": "Systemic review and meta-analysis",
        "Methods": "We systematically reviewed the literature and performed a meta-analysis on post-operative complications following MSICS. We searched 12 databases on 27 February 2026, adhering to PRISMA guidelines. Studies were included if they reported post-operative complications in MSICS patients. Eligible studies were primarily clinic-based case-control or cohort studies. Data extraction and risk-of-bias assessment were independently performed by two authors. A random-effects meta-analysis was used to estimate complication rates for common outcomes, including corneal edema, anterior uveitis, endophthalmitis, cystoid macular edema, posterior capsular opacification, and intraocular lens malposition.",
        "Results": "A total of 27 studies comprising 1,497,000 eyes undergoing MSICS were included. Study sizes ranged from 22 to 725,324 eyes. Early post-operative complications, particularly transient corneal edema and anterior segment inflammation, were reported more frequently than late complications. Sight-threatening complications such as endophthalmitis were consistently rare across studies. Reported complication rates varied substantially depending on surgical setting, surgeon experience, and duration of follow-up.",
        "Conclusions": "Post-operative complication rates following MSICS are low overall, with most complications occurring in the early post-operative period and resolving without long-term sequelae. These findings provide contemporary benchmark estimates and underscore the need for standardized definitions and follow-up reporting in MSICS outcome studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 211
    },
    {
      "uid": "PP21.08",
      "abstract_number": "PP21.08",
      "title": "Intraoperative Complications In Manual Small-Incision Cataract Surgery: A Systematic Review And Meta-Analysis",
      "authors": "Dr Lars Christian Boberg-Ans",
      "presenter": "Dr Lars Christian Boberg-Ans",
      "normalized_authors": [
        "Lars Christian Boberg-Ans"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lars Christian Boberg-Ans",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Denmark",
      "sections": {
        "Purpose": "To estimate pooled rates of intraoperative complications associated with manual small incision cataract surgery (MSICS).",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "We conducted a systematic review and meta-analysis in accordance with the PRISMA guidelines. Scientific literature databases were searched on 27 February 2026 for studies reporting intraoperative complications following manual small incision cataract surgery (MSICS). Eligible studies underwent qualitative synthesis and single-arm random-effects meta-analyses of complication proportions. Pre-specified outcomes included wound-related complications, capsular complications, posterior capsule rupture, vitreous loss, and nucleus-delivery related events. Study selection, data extraction, and risk of bias assessment were performed independently by two authors and adjudicated by a senior author.",
        "Results": "A total of 32 studies comprising 1.479.033 eyes undergoing MSICS were included. Reported intraoperative complication rates varied across studies and surgical settings. Pooled estimates demonstrated low overall rates of major intraoperative complications, including posterior capsule rupture and vitreous loss. Heterogeneity was moderate to high for most outcomes, reflecting differences in case mix, surgeon experience, and study design.",
        "Conclusions": "Intraoperative complication rates following MSICS are generally low but vary across settings. This systematic review and single-arm meta-analysis provides pooled baseline estimates that may serve as benchmarks for quality assurance, surgical training, and future comparative studies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraoperative complication rates following MSICS are generally low but vary across settings. This systematic review and single-arm meta-analysis provides pooled baseline estimates that may serve as benchmarks for quality assurance, surgical training, and future comparative studies.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 328,
      "source_fields": {
        "Abstract Final Identifier": "PP21.08",
        "Title": "Intraoperative Complications In Manual Small-Incision Cataract Surgery: A Systematic Review And Meta-Analysis",
        "Presenting Author(s)": "Dr Lars Christian Boberg-Ans",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Lars Christian",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Boberg-Ans",
        "Country Name": "Denmark",
        "Purpose": "To estimate pooled rates of intraoperative complications associated with manual small incision cataract surgery (MSICS).",
        "Setting": "Systematic review and meta-analysis",
        "Methods": "We conducted a systematic review and meta-analysis in accordance with the PRISMA guidelines. Scientific literature databases were searched on 27 February 2026 for studies reporting intraoperative complications following manual small incision cataract surgery (MSICS). Eligible studies underwent qualitative synthesis and single-arm random-effects meta-analyses of complication proportions. Pre-specified outcomes included wound-related complications, capsular complications, posterior capsule rupture, vitreous loss, and nucleus-delivery related events. Study selection, data extraction, and risk of bias assessment were performed independently by two authors and adjudicated by a senior author.",
        "Results": "A total of 32 studies comprising 1.479.033 eyes undergoing MSICS were included. Reported intraoperative complication rates varied across studies and surgical settings. Pooled estimates demonstrated low overall rates of major intraoperative complications, including posterior capsule rupture and vitreous loss. Heterogeneity was moderate to high for most outcomes, reflecting differences in case mix, surgeon experience, and study design.",
        "Conclusions": "Intraoperative complication rates following MSICS are generally low but vary across settings. This systematic review and single-arm meta-analysis provides pooled baseline estimates that may serve as benchmarks for quality assurance, surgical training, and future comparative studies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 197
    },
    {
      "uid": "PP21.09",
      "abstract_number": "PP21.09",
      "title": "Electrostatic Failure At The Posterior Capsule - Intraocular Lens Interface: An Underrecognized Mechanism In Posterior Capsular Opacification",
      "authors": "Mr Panos Gartaganis",
      "presenter": "Mr Panos Gartaganis",
      "normalized_authors": [
        "Panos Gartaganis"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Panos Gartaganis",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "The purpose of this study is to evaluate how electrostatic surface charge interactions between the posterior lens capsule and intraocular lens (IOL) biomaterials contribute to the development of Posterior Capsular Opacification (PCO).",
        "Setting": "This study was conducted at the Laboratory of Inorganic and Analytical Chemistry, Department of Chemical Engineering, University of Patras, and at FORTH-ICEHT (Foundation for Research and Technology–Hellas, Institute of Chemical Engineering Sciences), Patras, Greece.",
        "Methods": "A mechanistic model of capsule-IOL interaction was developed based on the biochemical composition of the posterior capsule and the physicochemical surface characteristics of contemporary acrylic IOLs. The posterior capsule contains type IV collagen, laminin, and proteoglycans which give it a net negative charge in the aqueous environment. Similarly, most acrylic IOLs have a negative surface charge; however, the degree of the surface charge depends upon the composition of the polymer and its water content. A basic principle of electrostatics was applied in combination with the previously described mechanisms of capsular bend formation and lens epithelial cell (LEC) migration.",
        "Results": "Like-charge electrostatic repulsion between the posterior capsule and negatively charged IOL surfaces may reduce capsule - IOL adhesion, promoting formation of a micro-interface space at the optic - capsule junction. This space facilitates residual lens epithelial cell migration, proliferation, and extracellular matrix deposition, which are central mechanisms in PCO pathogenesis. Hydrophilic IOLs, characterized by higher water content, may exhibit stronger electrostatic effects and weaker capsular adhesion. Hydrophobic IOLs partially compensate through sharper posterior optic edges and enhanced capsular bend formation, creating a mechanical barrier to limit cellular migration and proliferation.",
        "Conclusions": "Electrostatic repulsion is an unappreciated biological factor that contributes to the development of PCO. Thus, optimizing the surface charge characteristics of IOLs may provide a novel approach to improving capsule-IOL adhesion and subsequently reducing the incidence of PCO over time after cataract surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Electrostatic repulsion is an unappreciated biological factor that contributes to the development of PCO. Thus, optimizing the surface charge characteristics of IOLs may provide a novel approach to improving capsule-IOL adhesion and subsequently reducing the incidence of PCO over time after cataract surgery.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 329,
      "source_fields": {
        "Abstract Final Identifier": "PP21.09",
        "Title": "Electrostatic Failure At The Posterior Capsule - Intraocular Lens Interface: An Underrecognized Mechanism In Posterior Capsular Opacification",
        "Presenting Author(s)": "Mr Panos Gartaganis",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Panos",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gartaganis",
        "Country Name": "Greece",
        "Purpose": "The purpose of this study is to evaluate how electrostatic surface charge interactions between the posterior lens capsule and intraocular lens (IOL) biomaterials contribute to the development of Posterior Capsular Opacification (PCO).",
        "Setting": "This study was conducted at the Laboratory of Inorganic and Analytical Chemistry, Department of Chemical Engineering, University of Patras, and at FORTH-ICEHT (Foundation for Research and Technology–Hellas, Institute of Chemical Engineering Sciences), Patras, Greece.",
        "Methods": "A mechanistic model of capsule-IOL interaction was developed based on the biochemical composition of the posterior capsule and the physicochemical surface characteristics of contemporary acrylic IOLs. The posterior capsule contains type IV collagen, laminin, and proteoglycans which give it a net negative charge in the aqueous environment. Similarly, most acrylic IOLs have a negative surface charge; however, the degree of the surface charge depends upon the composition of the polymer and its water content. A basic principle of electrostatics was applied in combination with the previously described mechanisms of capsular bend formation and lens epithelial cell (LEC) migration.",
        "Results": "Like-charge electrostatic repulsion between the posterior capsule and negatively charged IOL surfaces may reduce capsule - IOL adhesion, promoting formation of a micro-interface space at the optic - capsule junction. This space facilitates residual lens epithelial cell migration, proliferation, and extracellular matrix deposition, which are central mechanisms in PCO pathogenesis. Hydrophilic IOLs, characterized by higher water content, may exhibit stronger electrostatic effects and weaker capsular adhesion. Hydrophobic IOLs partially compensate through sharper posterior optic edges and enhanced capsular bend formation, creating a mechanical barrier to limit cellular migration and proliferation.",
        "Conclusions": "Electrostatic repulsion is an unappreciated biological factor that contributes to the development of PCO. Thus, optimizing the surface charge characteristics of IOLs may provide a novel approach to improving capsule-IOL adhesion and subsequently reducing the incidence of PCO over time after cataract surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "PP21.10",
      "abstract_number": "PP21.10",
      "title": "Steroid Iontophoresis In The Treatment Of Cystoid Macular Edema After Cataract Surgery In Uveitis",
      "authors": "Dr Sabina Romel Majidova",
      "presenter": "Dr Sabina Romel Majidova",
      "normalized_authors": [
        "Sabina Romel Majidova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sabina Romel Majidova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Azerbaijan",
      "sections": {
        "Purpose": "Cataract in uveitis can develop as a result of a direct inflammatory process of the uvea. Cystoid macular edema (CME) after cataract surgery in patients with uveitis is one of the most common and sight threatening postoperative inflammatory complications. Intravitreal injection of corticosteroids and anti-VEGF are routine options for treatment. However, reinjection often be required of the limited potency and duration of the positive effects of intravitreal injection. Endonasal iontophoresis of dexamethasone (EID) is one of the effective methods treatment inflammatory pathology of the eye.\nPurpose: evaluation of the effectiveness of EID in the complex treatment of patients with CME after cataract surgery in patients with uveitis.",
        "Setting": "In a randomized clinical trial 51 eyes of 47 patients with uveitis and CME after uncomplicated cataract surgery were enrolled in the study. Patients were divided into three groups with randomized digits table. In the first group 16 patients (16 eyes) received intravitreal injection of corticosteroid (IIC); in the second group, 16 patients (17 eyes) received intravitreal injection of anti-VEGF (IIA); in the third group, 15 patients (18 eyes) received IIA with a 10-day course of EID (IIA+EID).",
        "Methods": "Two main outcome measures were changes in best corrected visual acuity (BCVA), measured with logarithm of minimal angle of resolution and cental macular thickness (CMT), measured with optical coherence tomography (OCT). Other metods of ophthalmological survey were also used: refractometry, tonometry, biomicroscopy of the anterior segment, ophthalmoscopy of the fundus, ultrasound examination of the eye, specular microscopy. Laboratory methods were used: general blood analysis, determination of blood glucose, C-reactive protein, rheumatoid factor, antistreptolysin, coagulogram, serological reactions to various infections and viruses. The mean follow-up was 24.5 weeks. The results obtained were processed by the method of variation statistics.",
        "Results": "The mean value of CMT in all three groups before treatment was 526.7±11,2 µm and the difference between groups did not reach statistical signifance (p=0.125). The best improvement in BCVA and reduction in CMT was achieved at 6 weeks in all groups. BCVA improved from baseline by 0.23, 0.20 and 0.26 and CMT decreased from baseline by 246.7 µm, 213.5 µm and 287.2 µm respectively in the groups IIC, IIA, IIA+EID (p<0.001). The results in the group IIA+EID were better than those in the other groups, although the difference did not reach statistical signifance (p=0.153). The median period of effect of therapy was 20.2±2.1 weeks, 18.4±1.9 weeks and 22.4±1.7 weeks respectively in the groups IIC, IIA, IIA+EID.",
        "Conclusions": "This study shows that IIC and IIA are both effective in improving in BCVA and reduction in CMT in CME. But the best results were obtained in the third group. IIA in combination with EID is an effective treatment with the longest lasting effect in CME after cataract surgery in patients with uveitis. The use of electrophoresis allows you to painlessly simultaneously combine the effects of anti-VEGF with corticosteroid. The advantages of the electrophoretic method of application of corticosteroids (possibility of use of an outpatient basis, prolonged effect of the treatment, painlessness, atraumatic) allow us to recommend it for more extensive use in ophthalmological practice in the therapy CME after cataract surgery in patients with uveitis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study shows that IIC and IIA are both effective in improving in BCVA and reduction in CMT in CME. But the best results were obtained in the third group. IIA in combination with EID is an effective treatment with the longest lasting effect in CME after cataract surgery in patients with uveitis. The use of electrophoresis allows you to painlessly simultaneously combine the effects of anti-VEGF with…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 330,
      "source_fields": {
        "Abstract Final Identifier": "PP21.10",
        "Title": "Steroid Iontophoresis In The Treatment Of Cystoid Macular Edema After Cataract Surgery In Uveitis",
        "Presenting Author(s)": "Dr Sabina Romel Majidova",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Sabina",
        "Submitter Middle Name": "Romel",
        "Submitter Last Name": "Majidova",
        "Country Name": "Azerbaijan",
        "Purpose": "Cataract in uveitis can develop as a result of a direct inflammatory process of the uvea. Cystoid macular edema (CME) after cataract surgery in patients with uveitis is one of the most common and sight threatening postoperative inflammatory complications. Intravitreal injection of corticosteroids and anti-VEGF are routine options for treatment. However, reinjection often be required of the limited potency and duration of the positive effects of intravitreal injection. Endonasal iontophoresis of dexamethasone (EID) is one of the effective methods treatment inflammatory pathology of the eye.\nPurpose: evaluation of the effectiveness of EID in the complex treatment of patients with CME after cataract surgery in patients with uveitis.",
        "Setting": "In a randomized clinical trial 51 eyes of 47 patients with uveitis and CME after uncomplicated cataract surgery were enrolled in the study. Patients were divided into three groups with randomized digits table. In the first group 16 patients (16 eyes) received intravitreal injection of corticosteroid (IIC); in the second group, 16 patients (17 eyes) received intravitreal injection of anti-VEGF (IIA); in the third group, 15 patients (18 eyes) received IIA with a 10-day course of EID (IIA+EID).",
        "Methods": "Two main outcome measures were changes in best corrected visual acuity (BCVA), measured with logarithm of minimal angle of resolution and cental macular thickness (CMT), measured with optical coherence tomography (OCT). Other metods of ophthalmological survey were also used: refractometry, tonometry, biomicroscopy of the anterior segment, ophthalmoscopy of the fundus, ultrasound examination of the eye, specular microscopy. Laboratory methods were used: general blood analysis, determination of blood glucose, C-reactive protein, rheumatoid factor, antistreptolysin, coagulogram, serological reactions to various infections and viruses. The mean follow-up was 24.5 weeks. The results obtained were processed by the method of variation statistics.",
        "Results": "The mean value of CMT in all three groups before treatment was 526.7±11,2 µm and the difference between groups did not reach statistical signifance (p=0.125). The best improvement in BCVA and reduction in CMT was achieved at 6 weeks in all groups. BCVA improved from baseline by 0.23, 0.20 and 0.26 and CMT decreased from baseline by 246.7 µm, 213.5 µm and 287.2 µm respectively in the groups IIC, IIA, IIA+EID (p<0.001). The results in the group IIA+EID were better than those in the other groups, although the difference did not reach statistical signifance (p=0.153). The median period of effect of therapy was 20.2±2.1 weeks, 18.4±1.9 weeks and 22.4±1.7 weeks respectively in the groups IIC, IIA, IIA+EID.",
        "Conclusions": "This study shows that IIC and IIA are both effective in improving in BCVA and reduction in CMT in CME. But the best results were obtained in the third group. IIA in combination with EID is an effective treatment with the longest lasting effect in CME after cataract surgery in patients with uveitis. The use of electrophoresis allows you to painlessly simultaneously combine the effects of anti-VEGF with corticosteroid. The advantages of the electrophoretic method of application of corticosteroids (possibility of use of an outpatient basis, prolonged effect of the treatment, painlessness, atraumatic) allow us to recommend it for more extensive use in ophthalmological practice in the therapy CME after cataract surgery in patients with uveitis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 545
    },
    {
      "uid": "PP21.11",
      "abstract_number": "PP21.11",
      "title": "Late In-The-Bag Spontaneous Intraocular Lens Dislocation",
      "authors": "A/Prof. Miroslav Radivoje Stamenkovic",
      "presenter": "A/Prof. Miroslav Radivoje Stamenkovic",
      "normalized_authors": [
        "Miroslav Radivoje Stamenkovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Miroslav Radivoje Stamenkovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "We compare and evaluate the visual outcome and complication rate of two different techniques of surgical management of in-the-bag intraocular lens (IOL) dislocation or aphakia correction. in accordance with the improvement of surgical techniques, we compared sutureless and double flange technique for IOL bag complex repositioning in IOL dislocation..",
        "Setting": "Eye Clinic University Medical Center “Zvezdara” Belgrade, Serbia.",
        "Methods": "We retrospectively reviewed the records of seven patients who had undergone phacoemulsification, followed by implantation of a posterior chamber IOL in the capsular bag during the years 2016 through 2023 and who showed IOL dislocation during follow-up. We aimed to evaluate the patient characteristics, expected visual outcomes, surgically induced astigmatism, and complications. For surgical treatments, we focused on the comparison of the 2 main operation methods: IOL repositioning suturelles intrascleral fixation and IOL repositioning double flange fixation",
        "Results": "The median age of eight patients was 62 years (range 47–84 years) and they were 3 women and 5 males. The median implantation duration of the dislocated IOLs was 9.7 years (range 6–21 years). Axial length of the diseased eye was measured as 24.46 mm (range 23.12-25.57 mm).\n\n• 8 eyes (8 patients )\n\n• Mean postoperative follow-up : 3 + 2 .8 weeks\n\n• Mean postoperative refraction : − 1 , 33 ± 1 , 47 diopter sphere\n\n• Postoperati ve astigma tism : -1 .32 median ( for -0,75 t o 1.92)\n\n• IOL was well centered and stable in all the patients\n\nThis analysis method has the advantage of being able to exclude the influence of various IOL materials or designs on IOL dislocation, but it also has the disadvantage of having a relatively small number of cases.",
        "Conclusions": "Late in-the-bag spontaneous intraocular lens dislocation occurs on average almost 10 years after cataract surgery with a cumulative incidence of 0.6% to 3.2%. None of the operation methods seem superior to the others in all aspects and thus the best choice for all patients with late in-the-bag IOL dislocation. With the advancement of surgical techniques, therapeutic approaches are also changing in accordance with the functional effectiveness of surgical methods. However, increased knowledge is required before specific recommendations can be given."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Late in-the-bag spontaneous intraocular lens dislocation occurs on average almost 10 years after cataract surgery with a cumulative incidence of 0.6% to 3.2%. None of the operation methods seem superior to the others in all aspects and thus the best choice for all patients with late in-the-bag IOL dislocation. With the advancement of surgical techniques, therapeutic approaches are also changing in accordance with…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 331,
      "source_fields": {
        "Abstract Final Identifier": "PP21.11",
        "Title": "Late In-The-Bag Spontaneous Intraocular Lens Dislocation",
        "Presenting Author(s)": "A/Prof. Miroslav Radivoje Stamenkovic",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Miroslav",
        "Submitter Middle Name": "Radivoje",
        "Submitter Last Name": "Stamenkovic",
        "Country Name": "Serbia",
        "Purpose": "We compare and evaluate the visual outcome and complication rate of two different techniques of surgical management of in-the-bag intraocular lens (IOL) dislocation or aphakia correction. in accordance with the improvement of surgical techniques, we compared sutureless and double flange technique for IOL bag complex repositioning in IOL dislocation..",
        "Setting": "Eye Clinic University Medical Center “Zvezdara” Belgrade, Serbia.",
        "Methods": "We retrospectively reviewed the records of seven patients who had undergone phacoemulsification, followed by implantation of a posterior chamber IOL in the capsular bag during the years 2016 through 2023 and who showed IOL dislocation during follow-up. We aimed to evaluate the patient characteristics, expected visual outcomes, surgically induced astigmatism, and complications. For surgical treatments, we focused on the comparison of the 2 main operation methods: IOL repositioning suturelles intrascleral fixation and IOL repositioning double flange fixation",
        "Results": "The median age of eight patients was 62 years (range 47–84 years) and they were 3 women and 5 males. The median implantation duration of the dislocated IOLs was 9.7 years (range 6–21 years). Axial length of the diseased eye was measured as 24.46 mm (range 23.12-25.57 mm).\n\n• 8 eyes (8 patients )\n\n• Mean postoperative follow-up : 3 + 2 .8 weeks\n\n• Mean postoperative refraction : − 1 , 33 ± 1 , 47 diopter sphere\n\n• Postoperati ve astigma tism : -1 .32 median ( for -0,75 t o 1.92)\n\n• IOL was well centered and stable in all the patients\n\nThis analysis method has the advantage of being able to exclude the influence of various IOL materials or designs on IOL dislocation, but it also has the disadvantage of having a relatively small number of cases.",
        "Conclusions": "Late in-the-bag spontaneous intraocular lens dislocation occurs on average almost 10 years after cataract surgery with a cumulative incidence of 0.6% to 3.2%. None of the operation methods seem superior to the others in all aspects and thus the best choice for all patients with late in-the-bag IOL dislocation. With the advancement of surgical techniques, therapeutic approaches are also changing in accordance with the functional effectiveness of surgical methods. However, increased knowledge is required before specific recommendations can be given."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "PP21.12",
      "abstract_number": "PP21.12",
      "title": "The Effect Of Topical Nepafenac And Oral Acetazolamide For Postoperative Macular Edema After Uncomplicated Phacoemulsification",
      "authors": "A/Prof. Tatjana Sarenac Vulovic",
      "presenter": "A/Prof. Tatjana Sarenac Vulovic",
      "normalized_authors": [
        "Tatjana Sarenac Vulovic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tatjana Sarenac Vulovic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "To estimate the effect of nepafenac combined with oral acetazolamide for postoperative macular edema (PME) after uncomplicated phacoemulsification (PE) and identify predictors of non-response.",
        "Setting": "Clinic of ophthalmology, University Clinical Centre Kragujevac, Serbia, from the January 1 st 2025. Till December 31 st 2025",
        "Methods": "We included and analyzed 1000 patients, who had uncomplicated phaco surgery in Clinic of ophthalmology, University Clinical Centre Kragujevac, Serbia, from the January 1 st 2025. Till December 31 st 2025. All the surgeries were done by one experienced phaco surgeon. Every examiners passed the five checking points of CFT (central macular thicknes) and BCVA (best corrected visual acuity): preoperative, the day after surgery, after 6, 12, and 18 weeks. If the PME was estimated, the first line therapy was topical nepafenac combined with oral acetazolamide. In the case of non-response, triamcinolone was administered subtenonally or, at the end, intravitreal.",
        "Results": "92 eyes out of 1000 uncomplicated PE developed PME, of which 15 eyes were included. Follow-ups occurred 6.8 ± 1.2, 12.1 ± 4.7 and 18.2 ± 4.8 weeks after diagnosis. BCVA and CMT improved significantly in all follow-ups. Good therapy response were recorded after first line therapy in 11 eyes at the first follow-up. The remaining 4 eyes showed no response and required subtenon triamcinolone of which 3 eye showed complete regression at the third follow-up. Only one patient required required intravitreal injection after third follow up . Using recorded data, the main risk comorbidity was Diabetes mellitus (DM). High cumulative dissipated energy (CDE) is also in statistically significant correlation with therapeutic non-response.",
        "Conclusions": "Topical applicated nepafenac in combination with oral administred acetazolamide resolved PME completely in 73.3% of all cases. Non resopnder patients were those with DM and with high cumulative dissipated energy during surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical applicated nepafenac in combination with oral administred acetazolamide resolved PME completely in 73.3% of all cases. Non resopnder patients were those with DM and with high cumulative dissipated energy during surgery.",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 332,
      "source_fields": {
        "Abstract Final Identifier": "PP21.12",
        "Title": "The Effect Of Topical Nepafenac And Oral Acetazolamide For Postoperative Macular Edema After Uncomplicated Phacoemulsification",
        "Presenting Author(s)": "A/Prof. Tatjana Sarenac Vulovic",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Tatjana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sarenac Vulovic",
        "Country Name": "Serbia",
        "Purpose": "To estimate the effect of nepafenac combined with oral acetazolamide for postoperative macular edema (PME) after uncomplicated phacoemulsification (PE) and identify predictors of non-response.",
        "Setting": "Clinic of ophthalmology, University Clinical Centre Kragujevac, Serbia, from the January 1 st 2025. Till December 31 st 2025",
        "Methods": "We included and analyzed 1000 patients, who had uncomplicated phaco surgery in Clinic of ophthalmology, University Clinical Centre Kragujevac, Serbia, from the January 1 st 2025. Till December 31 st 2025. All the surgeries were done by one experienced phaco surgeon. Every examiners passed the five checking points of CFT (central macular thicknes) and BCVA (best corrected visual acuity): preoperative, the day after surgery, after 6, 12, and 18 weeks. If the PME was estimated, the first line therapy was topical nepafenac combined with oral acetazolamide. In the case of non-response, triamcinolone was administered subtenonally or, at the end, intravitreal.",
        "Results": "92 eyes out of 1000 uncomplicated PE developed PME, of which 15 eyes were included. Follow-ups occurred 6.8 ± 1.2, 12.1 ± 4.7 and 18.2 ± 4.8 weeks after diagnosis. BCVA and CMT improved significantly in all follow-ups. Good therapy response were recorded after first line therapy in 11 eyes at the first follow-up. The remaining 4 eyes showed no response and required subtenon triamcinolone of which 3 eye showed complete regression at the third follow-up. Only one patient required required intravitreal injection after third follow up . Using recorded data, the main risk comorbidity was Diabetes mellitus (DM). High cumulative dissipated energy (CDE) is also in statistically significant correlation with therapeutic non-response.",
        "Conclusions": "Topical applicated nepafenac in combination with oral administred acetazolamide resolved PME completely in 73.3% of all cases. Non resopnder patients were those with DM and with high cumulative dissipated energy during surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 291
    },
    {
      "uid": "PP21.13",
      "abstract_number": "PP21.13",
      "title": "Inflammation Control Without Endothelial Cost: Evaluating Intracameral Triamcinolone In Cataract Surgery",
      "authors": "Dr Akram Fekry Elgazzar",
      "presenter": "Dr Akram Fekry Elgazzar",
      "normalized_authors": [
        "Akram Fekry Elgazzar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Akram Fekry Elgazzar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "Phacoemulsification is the gold standard for cataract surgery, offering significant improvements in visual acuity and quality of life. However, corneal endothelial damage during surgery may lead to edema or, in severe cases, corneal decompensation. While intracameral triamcinolone acetonide (TA) has demonstrated anti-inflammatory efficacy, its impact on corneal endothelial cells during cataract surgery is not fully understood. This study aimed to assess the safety and efficacy of intracameral TA on corneal endothelial parameters during phacoemulsification cataract surgery.",
        "Setting": "Al-Azhar University Hospital - Damietta",
        "Methods": "This prospective interventional study included 40 eyes of 40 patients undergoing cataract surgery at Al-Azhar University Hospital. Patients were divided into two groups: Group 1 underwent phacoemulsification with intracameral TA, and Group 2 underwent phacoemulsification alone. Corneal endothelial parameters, including cell density (CD), central corneal thickness (CCT), coefficient of variation (CV), and hexagonality (HEX), were measured preoperatively and postoperatively (1 and 3 months). Data analysis included visual acuity, corneal edema, intraocular pressure (IOP), and complications",
        "Results": "Both groups showed significant postoperative improvement in BCVA (p<0.001). Preoperative mean CD was 2823 ± 420.4 cells/mm² in Group 1 and 2736 ± 444.9 cells/mm² in Group 2 (p = 0.5). At 1 month, CD decreased to 2535 ± 467.4 in Group 1 and 2507 ± 440.8 in Group 2 (p = 0.8), and at 3 months, to 2519 ± 481.2 and 2476 ± 432 cells/mm², respectively (p = 0.7). There were no significant changes in HEX or CV between groups. Complications were observed in three cases in Group 1, including transient IOP elevation, Descemet membrane detachment, and IOL opacification. TA precipitations resolved without adverse effects",
        "Conclusions": "Intracameral TA is a safe and effective adjunct to cataract surgery, offering anti-inflammatory benefits without significantly impacting corneal endothelial parameters. Its use may reduce postoperative corneal edema and improve surgical outcomes"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intracameral TA is a safe and effective adjunct to cataract surgery, offering anti-inflammatory benefits without significantly impacting corneal endothelial parameters. Its use may reduce postoperative corneal edema and improve surgical outcomes",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 333,
      "source_fields": {
        "Abstract Final Identifier": "PP21.13",
        "Title": "Inflammation Control Without Endothelial Cost: Evaluating Intracameral Triamcinolone In Cataract Surgery",
        "Presenting Author(s)": "Dr Akram Fekry Elgazzar",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Akram",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Fekry Elgazzar",
        "Country Name": "Egypt",
        "Purpose": "Phacoemulsification is the gold standard for cataract surgery, offering significant improvements in visual acuity and quality of life. However, corneal endothelial damage during surgery may lead to edema or, in severe cases, corneal decompensation. While intracameral triamcinolone acetonide (TA) has demonstrated anti-inflammatory efficacy, its impact on corneal endothelial cells during cataract surgery is not fully understood. This study aimed to assess the safety and efficacy of intracameral TA on corneal endothelial parameters during phacoemulsification cataract surgery.",
        "Setting": "Al-Azhar University Hospital - Damietta",
        "Methods": "This prospective interventional study included 40 eyes of 40 patients undergoing cataract surgery at Al-Azhar University Hospital. Patients were divided into two groups: Group 1 underwent phacoemulsification with intracameral TA, and Group 2 underwent phacoemulsification alone. Corneal endothelial parameters, including cell density (CD), central corneal thickness (CCT), coefficient of variation (CV), and hexagonality (HEX), were measured preoperatively and postoperatively (1 and 3 months). Data analysis included visual acuity, corneal edema, intraocular pressure (IOP), and complications",
        "Results": "Both groups showed significant postoperative improvement in BCVA (p<0.001). Preoperative mean CD was 2823 ± 420.4 cells/mm² in Group 1 and 2736 ± 444.9 cells/mm² in Group 2 (p = 0.5). At 1 month, CD decreased to 2535 ± 467.4 in Group 1 and 2507 ± 440.8 in Group 2 (p = 0.8), and at 3 months, to 2519 ± 481.2 and 2476 ± 432 cells/mm², respectively (p = 0.7). There were no significant changes in HEX or CV between groups. Complications were observed in three cases in Group 1, including transient IOP elevation, Descemet membrane detachment, and IOL opacification. TA precipitations resolved without adverse effects",
        "Conclusions": "Intracameral TA is a safe and effective adjunct to cataract surgery, offering anti-inflammatory benefits without significantly impacting corneal endothelial parameters. Its use may reduce postoperative corneal edema and improve surgical outcomes"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "PP21.14",
      "abstract_number": "PP21.14",
      "title": "A 3-Year Monitoring Of Postoperative Infectious Incidence After Cataract Surgery And Intravitreal Injections With Adjunctive Liposomal Ozonated Oil: Results From The Pro.Prio Multicenter Study",
      "authors": "Dr Andrea Mercanti",
      "presenter": "Dr Andrea Mercanti",
      "normalized_authors": [
        "Andrea Mercanti"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrea Mercanti",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Postoperative endophthalmitis (POE) remains a rare but potentially vision-threatening complication of cataract surgery and intravitreal injections (IVI), with reported incidence rates of 0.02–0.05%. POE generally occurs within 1-2 weeks, often 3-5 days after surgery or IVI (acute endophthalmitis). Despite standardized antiseptic protocols and advances in surgical techniques, POE continues to represent a measurable adverse outcome in routine practice. The PRO.PRIO study was designed to assess the incidence of postoperative infectious complications and local tolerability in a large real-world cohort receiving adjunctive liposomal ozonated oil ophthalmic support in addition to standard prophylaxis.",
        "Setting": "This prospective, multicenter, real-world observational study (PRO.PRIO) was conducted across 25 Italian ophthalmology centers between 2023 and 2025.",
        "Methods": "Consecutive adult patients undergoing cataract surgery or IVI were included. All procedures followed standard perioperative prophylaxis, including 5% povidone-iodine antisepsis and intracameral cefuroxime for cataract surgery. As adjunctive support, a liposomal ozonated oil ophthalmic solution was administered for 3 days preoperatively (1–2 drops, four times daily). Patients were followed for 30 days to detect suspected or confirmed postoperative infectious complications. Local tolerability was assessed preoperatively using standardized grading scales for ocular signs and symptoms. Absolute frequencies and percentages were calculated using the PROC FREQ procedure in SAS v. 9.4.",
        "Results": "A total of 63,429 intraocular procedures (39,164 cataract; 24,265 IVI) were followed for 30 days. Two postoperative infections occurred corresponding to an incidence of 0.003% (3/100,000), markedly lower than contemporary epidemiological benchmarks (0.02–0.05%). Complications were graded on a five-level severity scale (0–4). Grade 0 findings exceeded 85% in both groups. Absence of signs and symptoms (cataract vs IVI) was: conjunctival hyperemia (85.1% vs 86.4%); secretion (97.1% vs 99.0%); papillae (97.0% vs 99.7%); conjunctival alterations (99.2% vs 99.2%); burning (86.0% vs 86.0%); foreign body sensation (88.9% vs 91.5%). The Visual Analogue Scale (VAS) showed excellent tolerability of liposomal ozonated oil (96.8% cataract; 95.6% IVI).",
        "Conclusions": "In this large national multicenter real-world cohort, adjunctive peri-procedural use of liposomal ozonated oil ophthalmic solution was associated with a low incidence of postoperative infectious complications and good local tolerability. Although causal inference cannot be established in the absence of a control group, these findings support further controlled investigations to better define the role of ocular surface optimization strategies in reducing infectious risk after intraocular procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large national multicenter real-world cohort, adjunctive peri-procedural use of liposomal ozonated oil ophthalmic solution was associated with a low incidence of postoperative infectious complications and good local tolerability. Although causal inference cannot be established in the absence of a control group, these findings support further controlled investigations to better define the role of ocular…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 334,
      "source_fields": {
        "Abstract Final Identifier": "PP21.14",
        "Title": "A 3-Year Monitoring Of Postoperative Infectious Incidence After Cataract Surgery And Intravitreal Injections With Adjunctive Liposomal Ozonated Oil: Results From The Pro.Prio Multicenter Study",
        "Presenting Author(s)": "Dr Andrea Mercanti",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Andrea",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mercanti",
        "Country Name": "Italy",
        "Purpose": "Postoperative endophthalmitis (POE) remains a rare but potentially vision-threatening complication of cataract surgery and intravitreal injections (IVI), with reported incidence rates of 0.02–0.05%. POE generally occurs within 1-2 weeks, often 3-5 days after surgery or IVI (acute endophthalmitis). Despite standardized antiseptic protocols and advances in surgical techniques, POE continues to represent a measurable adverse outcome in routine practice. The PRO.PRIO study was designed to assess the incidence of postoperative infectious complications and local tolerability in a large real-world cohort receiving adjunctive liposomal ozonated oil ophthalmic support in addition to standard prophylaxis.",
        "Setting": "This prospective, multicenter, real-world observational study (PRO.PRIO) was conducted across 25 Italian ophthalmology centers between 2023 and 2025.",
        "Methods": "Consecutive adult patients undergoing cataract surgery or IVI were included. All procedures followed standard perioperative prophylaxis, including 5% povidone-iodine antisepsis and intracameral cefuroxime for cataract surgery. As adjunctive support, a liposomal ozonated oil ophthalmic solution was administered for 3 days preoperatively (1–2 drops, four times daily). Patients were followed for 30 days to detect suspected or confirmed postoperative infectious complications. Local tolerability was assessed preoperatively using standardized grading scales for ocular signs and symptoms. Absolute frequencies and percentages were calculated using the PROC FREQ procedure in SAS v. 9.4.",
        "Results": "A total of 63,429 intraocular procedures (39,164 cataract; 24,265 IVI) were followed for 30 days. Two postoperative infections occurred corresponding to an incidence of 0.003% (3/100,000), markedly lower than contemporary epidemiological benchmarks (0.02–0.05%). Complications were graded on a five-level severity scale (0–4). Grade 0 findings exceeded 85% in both groups. Absence of signs and symptoms (cataract vs IVI) was: conjunctival hyperemia (85.1% vs 86.4%); secretion (97.1% vs 99.0%); papillae (97.0% vs 99.7%); conjunctival alterations (99.2% vs 99.2%); burning (86.0% vs 86.0%); foreign body sensation (88.9% vs 91.5%). The Visual Analogue Scale (VAS) showed excellent tolerability of liposomal ozonated oil (96.8% cataract; 95.6% IVI).",
        "Conclusions": "In this large national multicenter real-world cohort, adjunctive peri-procedural use of liposomal ozonated oil ophthalmic solution was associated with a low incidence of postoperative infectious complications and good local tolerability. Although causal inference cannot be established in the absence of a control group, these findings support further controlled investigations to better define the role of ocular surface optimization strategies in reducing infectious risk after intraocular procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 398
    },
    {
      "uid": "PP21.15",
      "abstract_number": "PP21.15",
      "title": "Diagnosis Of Retained Lens Matter Following Phacoemulsification Surgery",
      "authors": "Dr Ayushi Gupta",
      "presenter": "Dr Ayushi Gupta",
      "normalized_authors": [
        "Ayushi Gupta"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shaman Dolly",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "T his study examine s the incidence, clinical presentation, timing of diagnosis, and visual outcomes of retained lens matter (RLM) following phacoemulsification ( phaco ) surgery at a tertiary centre.\n\nPrimary outcomes were to identify the time to diagnosis and washout in cases of RLM, and to report on the incidence of anterior uveitis, corneal oedema and cystoid macular oedema (CMO) at diagnosis and after anterior chamber washout. The secondary objective was to assess the prevalence of retained lens matter in uncomplicated cases versus those with posterior capsule rupture (PCR).",
        "Setting": "This was a retrospective analysis conducted at Moorfields Eye Hospital , London.",
        "Methods": "All cases of non-combined phacoemulsification surgery with subsequent irrigation of anterior chamber between 1st October 2015 and 17th October 2025 were retrieved. Data collected from electronic medical records included : date of cataract surgery, diagnosis of retained lens matter and washout ; VA at baseline, diagnosis of retained lens matter and following washout; location of lens matter; ocular histo ry , presence of anterior uveitis, corneal oedema and CMO after phacoemulsification, and refractory anterior uveitis or CMO after washout; and comp lications during phacoemulsification surgery and need for further vitrectomy.",
        "Results": "Of 173,639 eligible phaco procedures, 258 cases of RLM were identified (0.148%). Of all RLM cases, 24 (9.30%) followed a PCR. RLM occurred in 1.6% of PCR cases vs 0.13% of uncomplicated cases . RLM location was most commonly anterior chamber (82.2%, n=212), angle (6.59%, n=17) and in the bag (4.26%, n=11). Median time from phaco to RLM diagnosis was 27 .5 days (range 0-1299) and ton AC w ashou t 37 days (range 1-1326) . Anterior uveitis occurr ed in 55.8% (n=144), corneal oedema in 30.6% (n=79), CMO in 8.91% (n=23), and 22.5% (n=58) were asymptomatic . Median time to RLM diagnosis was 37.5 days with uveitis , 52.5 days in CMO, 23 days in corneal oedema and 25 if asymptomatic. Post-washout uveitis persisted in 13.6% (n=35), and CMO in 9.30% (n=24).",
        "Conclusions": "Retained lens matter was an uncommon complication of phacoemulsification. Most cases occurred without PCR, although the presence of a PCR was associated with a markedly higher risk. Clinical presentation was variable, and many patients were asymptomatic at diagnosis. Time to RLM diagnosis differed between examination findings , possibly representing different indexes of suspicion for RLM in differing circumstances . These findings highlight the importance of careful postoperative assessment in all patients after cataract surgery, symptomatic or not."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retained lens matter was an uncommon complication of phacoemulsification. Most cases occurred without PCR, although the presence of a PCR was associated with a markedly higher risk. Clinical presentation was variable, and many patients were asymptomatic at diagnosis. Time to RLM diagnosis differed between examination findings , possibly representing different indexes of suspicion for RLM in differing circumstances…",
      "session_type": "Presented Poster",
      "track": "Cataract surgery complications / management / prevention",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 335,
      "source_fields": {
        "Abstract Final Identifier": "PP21.15",
        "Title": "Diagnosis Of Retained Lens Matter Following Phacoemulsification Surgery",
        "Presenting Author(s)": "Dr Ayushi Gupta",
        "Abstract Topic Name": "Cataract surgery complications / management / prevention",
        "Submitter First Name": "Shaman",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dolly",
        "Country Name": "United Kingdom",
        "Purpose": "T his study examine s the incidence, clinical presentation, timing of diagnosis, and visual outcomes of retained lens matter (RLM) following phacoemulsification ( phaco ) surgery at a tertiary centre.\n\nPrimary outcomes were to identify the time to diagnosis and washout in cases of RLM, and to report on the incidence of anterior uveitis, corneal oedema and cystoid macular oedema (CMO) at diagnosis and after anterior chamber washout. The secondary objective was to assess the prevalence of retained lens matter in uncomplicated cases versus those with posterior capsule rupture (PCR).",
        "Setting": "This was a retrospective analysis conducted at Moorfields Eye Hospital , London.",
        "Methods": "All cases of non-combined phacoemulsification surgery with subsequent irrigation of anterior chamber between 1st October 2015 and 17th October 2025 were retrieved. Data collected from electronic medical records included : date of cataract surgery, diagnosis of retained lens matter and washout ; VA at baseline, diagnosis of retained lens matter and following washout; location of lens matter; ocular histo ry , presence of anterior uveitis, corneal oedema and CMO after phacoemulsification, and refractory anterior uveitis or CMO after washout; and comp lications during phacoemulsification surgery and need for further vitrectomy.",
        "Results": "Of 173,639 eligible phaco procedures, 258 cases of RLM were identified (0.148%). Of all RLM cases, 24 (9.30%) followed a PCR. RLM occurred in 1.6% of PCR cases vs 0.13% of uncomplicated cases . RLM location was most commonly anterior chamber (82.2%, n=212), angle (6.59%, n=17) and in the bag (4.26%, n=11). Median time from phaco to RLM diagnosis was 27 .5 days (range 0-1299) and ton AC w ashou t 37 days (range 1-1326) . Anterior uveitis occurr ed in 55.8% (n=144), corneal oedema in 30.6% (n=79), CMO in 8.91% (n=23), and 22.5% (n=58) were asymptomatic . Median time to RLM diagnosis was 37.5 days with uveitis , 52.5 days in CMO, 23 days in corneal oedema and 25 if asymptomatic. Post-washout uveitis persisted in 13.6% (n=35), and CMO in 9.30% (n=24).",
        "Conclusions": "Retained lens matter was an uncommon complication of phacoemulsification. Most cases occurred without PCR, although the presence of a PCR was associated with a markedly higher risk. Clinical presentation was variable, and many patients were asymptomatic at diagnosis. Time to RLM diagnosis differed between examination findings , possibly representing different indexes of suspicion for RLM in differing circumstances . These findings highlight the importance of careful postoperative assessment in all patients after cataract surgery, symptomatic or not."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 415
    },
    {
      "uid": "PP22.01",
      "abstract_number": "PP22.01",
      "title": "Effective Optical Zone And Its Impact On Astigmatism And Higher-Order Aberrations In Silk And Lasik",
      "authors": "Dr Rushad Shroff",
      "presenter": "Dr Rushad Shroff",
      "normalized_authors": [
        "Rushad Shroff"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rushad Shroff",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To determine the association between effective optical zone centration as well as its impact on visual outcomes, quality of vision and higher order aberrations (HOA’s) in Smooth Incision Lenticular Keratomileusis (SILK) and laser in situ keratomileusis (LASIK)",
        "Setting": "Tertiary eye care hospital in North India",
        "Methods": "Two hundred eyes of 100 patients treated with SILK (100 eyes) and LASIK (100 eyes) were included. The centration of the optical zone was evaluated on the tangential curvature difference map between the preoperative and 3-month postoperative scans using a superimposed set of concentric circles. The correlation between optical zone decentration and anterior keratometry values was evaluated. The effect of optical zone decentration on vector components of astigmatic correction and induction of higher-order aberrations (HOA) was assessed. Visual outcomes were also assessed",
        "Results": "The mean decentration distance was 0.21 ± 0.11 mm for SILK and 0.20 ± 0.09 mm for LASIK (p = 0.808). There was a significant correlation between anterior keratometric astigmatism and decentration distance (r = 0.7, p = 0.05) for SILK. Mean effective Optical zone was significantly larger(p=0.001) in the SILK group (5.35 + 0.22) than the LASIK group (4.88 + 0.25). The total HOA’s and spherical aberration was lower in the SILK group though it did not show statistical significance. Significant correlation was demonstrated between the decentration distance and the induced total coma (SILK: r = 0.56, p = 0.04; LASIK: r = 0.59, p = 0.02). 95 % eyes attained a UDVA of 20/25 or better on day one. 90 % eyes were within 1 D of targeted correction",
        "Conclusions": "For the same planned optical zone, the effective optical zone after treatment was larger in SILK than in LASIK. There was lower induction of HOA’s and spherical aberration in the SILK group. Subclinical decentration was associated with the induction of total coma but it did not affect the lower-order astigmatic correction. Both procedures were found to be safe, accurate and effective for refractive correction"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "For the same planned optical zone, the effective optical zone after treatment was larger in SILK than in LASIK. There was lower induction of HOA’s and spherical aberration in the SILK group. Subclinical decentration was associated with the induction of total coma but it did not affect the lower-order astigmatic correction. Both procedures were found to be safe, accurate and effective for refractive correction",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 336,
      "source_fields": {
        "Abstract Final Identifier": "PP22.01",
        "Title": "Effective Optical Zone And Its Impact On Astigmatism And Higher-Order Aberrations In Silk And Lasik",
        "Presenting Author(s)": "Dr Rushad Shroff",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Rushad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shroff",
        "Country Name": "India",
        "Purpose": "To determine the association between effective optical zone centration as well as its impact on visual outcomes, quality of vision and higher order aberrations (HOA’s) in Smooth Incision Lenticular Keratomileusis (SILK) and laser in situ keratomileusis (LASIK)",
        "Setting": "Tertiary eye care hospital in North India",
        "Methods": "Two hundred eyes of 100 patients treated with SILK (100 eyes) and LASIK (100 eyes) were included. The centration of the optical zone was evaluated on the tangential curvature difference map between the preoperative and 3-month postoperative scans using a superimposed set of concentric circles. The correlation between optical zone decentration and anterior keratometry values was evaluated. The effect of optical zone decentration on vector components of astigmatic correction and induction of higher-order aberrations (HOA) was assessed. Visual outcomes were also assessed",
        "Results": "The mean decentration distance was 0.21 ± 0.11 mm for SILK and 0.20 ± 0.09 mm for LASIK (p = 0.808). There was a significant correlation between anterior keratometric astigmatism and decentration distance (r = 0.7, p = 0.05) for SILK. Mean effective Optical zone was significantly larger(p=0.001) in the SILK group (5.35 + 0.22) than the LASIK group (4.88 + 0.25). The total HOA’s and spherical aberration was lower in the SILK group though it did not show statistical significance. Significant correlation was demonstrated between the decentration distance and the induced total coma (SILK: r = 0.56, p = 0.04; LASIK: r = 0.59, p = 0.02). 95 % eyes attained a UDVA of 20/25 or better on day one. 90 % eyes were within 1 D of targeted correction",
        "Conclusions": "For the same planned optical zone, the effective optical zone after treatment was larger in SILK than in LASIK. There was lower induction of HOA’s and spherical aberration in the SILK group. Subclinical decentration was associated with the induction of total coma but it did not affect the lower-order astigmatic correction. Both procedures were found to be safe, accurate and effective for refractive correction"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 327
    },
    {
      "uid": "PP22.16",
      "abstract_number": "PP22.16",
      "title": "Optical Zone Customisation In Smile For Large Scotopic Pupils: A Three-Group Comparative Study Of Quality Of Vision And Dysphotopsia At Three Months",
      "authors": "Mr Mark Lane",
      "presenter": "Mr Mark Lane",
      "normalized_authors": [
        "Mark Lane"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mark Lane",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate postoperative quality of vision (QoV) and dysphotopsia following SMILE in patients with large scotopic pupils, and to determine whether optical zone (OZ) enlargement mitigates potential pupil-related visual disturbances. Outcomes were compared across three cohorts: large pupils treated with enlarged OZ, large pupils treated with standard OZ, and normal pupils treated with standard OZ.",
        "Setting": "Retrospective comparative cohort study conducted at Cathedral Eye Hospital, Belfast, United Kingdom, between December 2024 and November 2025. Patients undergoing bilateral SMILE using the VisuMax (Carl Zeiss Meditec) platform were included.",
        "Methods": "Preoperative scotopic pupil diameter was measured using the Schwind Peramis. Sixty age-matched patients were analysed (20 per group): (1) large pupils treated with enlarged OZ of 6.9 mm and a 7.9 mm cap, (2) large pupils treated with standard OZ of 6.5 mm and a 7.5 mm cap, and (3) normal pupils treated with standard OZ of 6.5 mm and a 7.5 mm cap. Three-month outcomes included visual acuity and a modified McAlinden Quality of Vision questionnaire with global daytime and nighttime scores (0–10). Between-group comparisons used Kruskal–Wallis testing with Dunn’s post-hoc analysis. Within-group changes were assessed using two-tailed Wilcoxon signed-rank tests. Categorical outcomes were analysed using chi-square tests.",
        "Results": "Daytime QoV differed significantly between groups (Kruskal–Wallis p=0.011), with higher scores in large pupils treated with enlarged OZ compared with large pupils treated with standard OZ (Dunn-adjusted p=0.015). In contrast, nighttime QoV did not differ significantly between groups (p=0.335). Significant pre to postoperative improvement in both daytime and nighttime QoV were observed in the enlarged-OZ and normal pupil cohort (p<0.05), no significant improvement was detected in large pupils treated with standard OZ. Post-op Haloes were more frequently reported in large pupils treated with standard OZ (χ² p=0.044), however symptom severity did not differ significantly. Post-op glare and starburst were similar across groups.",
        "Conclusions": "In eyes with large pupils where corneal thickness precluded OZ enlargement, a standard treatment zone was applied. In this subgroup, postoperative QoV was not inferior to baseline. However, when compared directly with large-pupil eyes treated with an enlarged OZ, the standard-zone group demonstrated lower postoperative daytime QoV and a higher prevalence of haloes.\n\nEnlargement of OZ and cap parameters in large scotopic pupils was associated with improved daytime visual quality and dysphotopsia rates comparable to normal-pupil eyes. These findings support a tailored OZ enlargement in large-pupil eyes, where corneal thickness allows, to optimise visual quality without compromising refractive safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In eyes with large pupils where corneal thickness precluded OZ enlargement, a standard treatment zone was applied. In this subgroup, postoperative QoV was not inferior to baseline. However, when compared directly with large-pupil eyes treated with an enlarged OZ, the standard-zone group demonstrated lower postoperative daytime QoV and a higher prevalence of haloes. Enlargement of OZ and cap parameters in large…",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 337,
      "source_fields": {
        "Abstract Final Identifier": "PP22.16",
        "Title": "Optical Zone Customisation In Smile For Large Scotopic Pupils: A Three-Group Comparative Study Of Quality Of Vision And Dysphotopsia At Three Months",
        "Presenting Author(s)": "Mr Mark Lane",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Mark",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lane",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate postoperative quality of vision (QoV) and dysphotopsia following SMILE in patients with large scotopic pupils, and to determine whether optical zone (OZ) enlargement mitigates potential pupil-related visual disturbances. Outcomes were compared across three cohorts: large pupils treated with enlarged OZ, large pupils treated with standard OZ, and normal pupils treated with standard OZ.",
        "Setting": "Retrospective comparative cohort study conducted at Cathedral Eye Hospital, Belfast, United Kingdom, between December 2024 and November 2025. Patients undergoing bilateral SMILE using the VisuMax (Carl Zeiss Meditec) platform were included.",
        "Methods": "Preoperative scotopic pupil diameter was measured using the Schwind Peramis. Sixty age-matched patients were analysed (20 per group): (1) large pupils treated with enlarged OZ of 6.9 mm and a 7.9 mm cap, (2) large pupils treated with standard OZ of 6.5 mm and a 7.5 mm cap, and (3) normal pupils treated with standard OZ of 6.5 mm and a 7.5 mm cap. Three-month outcomes included visual acuity and a modified McAlinden Quality of Vision questionnaire with global daytime and nighttime scores (0–10). Between-group comparisons used Kruskal–Wallis testing with Dunn’s post-hoc analysis. Within-group changes were assessed using two-tailed Wilcoxon signed-rank tests. Categorical outcomes were analysed using chi-square tests.",
        "Results": "Daytime QoV differed significantly between groups (Kruskal–Wallis p=0.011), with higher scores in large pupils treated with enlarged OZ compared with large pupils treated with standard OZ (Dunn-adjusted p=0.015). In contrast, nighttime QoV did not differ significantly between groups (p=0.335). Significant pre to postoperative improvement in both daytime and nighttime QoV were observed in the enlarged-OZ and normal pupil cohort (p<0.05), no significant improvement was detected in large pupils treated with standard OZ. Post-op Haloes were more frequently reported in large pupils treated with standard OZ (χ² p=0.044), however symptom severity did not differ significantly. Post-op glare and starburst were similar across groups.",
        "Conclusions": "In eyes with large pupils where corneal thickness precluded OZ enlargement, a standard treatment zone was applied. In this subgroup, postoperative QoV was not inferior to baseline. However, when compared directly with large-pupil eyes treated with an enlarged OZ, the standard-zone group demonstrated lower postoperative daytime QoV and a higher prevalence of haloes.\n\nEnlargement of OZ and cap parameters in large scotopic pupils was associated with improved daytime visual quality and dysphotopsia rates comparable to normal-pupil eyes. These findings support a tailored OZ enlargement in large-pupil eyes, where corneal thickness allows, to optimise visual quality without compromising refractive safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 415
    },
    {
      "uid": "PP22.017",
      "abstract_number": "PP22.017",
      "title": "The Effect Of Tear Production Impairment On The Severity Of Dry Eye Like Symptoms After Refractive Lenticule Extraction",
      "authors": "Prof. Dr Erika Eskina",
      "presenter": "Prof. Dr Erika Eskina",
      "normalized_authors": [
        "Erika Eskina"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Erika Eskina",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare the postoperative course of dry eye like symptoms after KLEx in patients with different preoperative ocular surface conditions and to evaluate whether mild pre-existing tear film alterations (dry eye) influence postoperative tear film stability and clinical outcomes.",
        "Setting": "Patients were operated at “Sphere” Eye Clinic, Moscow, Russia. The data was analyzed in Experimental Eye Research Institute, Ruhr-University Bochum, Germany",
        "Methods": "This retrospective study included 358 eyes (179 patients; 76 men, 103 women; mean age 28.9 ± 6.6 years) that underwent ReLex SMILE procedure. Patients were divided into two groups based on preoperative tear break-up time (TBUT): group 1 (174 eyes) with TBUT ≥13 seconds and group 2 (184 eyes) with TBUT <13 seconds. We compared uncorrected (UCVA) and corrected distance visual acuity (CDVA), refraction, pachymetry, Schirmer 2 test, tear meniscus height (TMH), and first as well as average TBUT preoperatively and at 1 day, 1 month, and 6 months postoperatively. All patients have had standard medication postoperatively.",
        "Results": "Preoperatively, groups differed significantly in regard to first and average TBUT. Group 1 had a mean first TBUT of 16.8 s and a mean average of 16,9 s, in group they were 2.7 s and 8.6 s (both p<0.01). At 1 month postop, the TMH differed significantly: It increased in group 1 up to 194 µm vs. 169 µm in group 2 (p<0.05). First and average TBUT decreased in group 1 up to 11.8 s and 13.01 s and increased in group 2 up to 9.5 s and 11.05 s respectively (both p<0.01). No significant differences between both groups were found in regard to VA, Schirmer test, or refractive target achievement. At 6 months postop the difference between groups kept stable without any statistically significant change of TBUT within the groups.",
        "Conclusions": "The results suggest divergent clinical patterns between classical dry eye disease and postoperative DED-like syndrome. While TBUT increased in the dry eye patients (group 2), it decreased in healthy patients (group 1), implying different underlying pathophysiological mechanisms. Further investigation is required.\n\nFinancial Disclosure. Stephanie Joachim is a consultant and speaker for Bausch + Lomb. The remaining authors declare no financial or proprietary interest in any material or method mentioned."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results suggest divergent clinical patterns between classical dry eye disease and postoperative DED-like syndrome. While TBUT increased in the dry eye patients (group 2), it decreased in healthy patients (group 1), implying different underlying pathophysiological mechanisms. Further investigation is required. Financial Disclosure. Stephanie Joachim is a consultant and speaker for Bausch + Lomb. The remaining…",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 338,
      "source_fields": {
        "Abstract Final Identifier": "PP22.017",
        "Title": "The Effect Of Tear Production Impairment On The Severity Of Dry Eye Like Symptoms After Refractive Lenticule Extraction",
        "Presenting Author(s)": "Prof. Dr Erika Eskina",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Erika",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eskina",
        "Country Name": "Germany",
        "Purpose": "To compare the postoperative course of dry eye like symptoms after KLEx in patients with different preoperative ocular surface conditions and to evaluate whether mild pre-existing tear film alterations (dry eye) influence postoperative tear film stability and clinical outcomes.",
        "Setting": "Patients were operated at “Sphere” Eye Clinic, Moscow, Russia. The data was analyzed in Experimental Eye Research Institute, Ruhr-University Bochum, Germany",
        "Methods": "This retrospective study included 358 eyes (179 patients; 76 men, 103 women; mean age 28.9 ± 6.6 years) that underwent ReLex SMILE procedure. Patients were divided into two groups based on preoperative tear break-up time (TBUT): group 1 (174 eyes) with TBUT ≥13 seconds and group 2 (184 eyes) with TBUT <13 seconds. We compared uncorrected (UCVA) and corrected distance visual acuity (CDVA), refraction, pachymetry, Schirmer 2 test, tear meniscus height (TMH), and first as well as average TBUT preoperatively and at 1 day, 1 month, and 6 months postoperatively. All patients have had standard medication postoperatively.",
        "Results": "Preoperatively, groups differed significantly in regard to first and average TBUT. Group 1 had a mean first TBUT of 16.8 s and a mean average of 16,9 s, in group they were 2.7 s and 8.6 s (both p<0.01). At 1 month postop, the TMH differed significantly: It increased in group 1 up to 194 µm vs. 169 µm in group 2 (p<0.05). First and average TBUT decreased in group 1 up to 11.8 s and 13.01 s and increased in group 2 up to 9.5 s and 11.05 s respectively (both p<0.01). No significant differences between both groups were found in regard to VA, Schirmer test, or refractive target achievement. At 6 months postop the difference between groups kept stable without any statistically significant change of TBUT within the groups.",
        "Conclusions": "The results suggest divergent clinical patterns between classical dry eye disease and postoperative DED-like syndrome. While TBUT increased in the dry eye patients (group 2), it decreased in healthy patients (group 1), implying different underlying pathophysiological mechanisms. Further investigation is required.\n\nFinancial Disclosure. Stephanie Joachim is a consultant and speaker for Bausch + Lomb. The remaining authors declare no financial or proprietary interest in any material or method mentioned."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 371
    },
    {
      "uid": "PP22.02",
      "abstract_number": "PP22.02",
      "title": "Long-Term Clinical Comparison Of Five Klex Platforms: Visual, Refractive Outcomes, Higher-Order Aberrations, And Cap Thickness Accuracy",
      "authors": "Dr Sung Min Kim",
      "presenter": "Dr Sung Min Kim",
      "normalized_authors": [
        "Sung Min Kim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sung Min Kim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To compare 6-month clinical outcomes of keratorefractive lenticule extraction (KLEX) performed using five different femtosecond laser platforms (Zeiss VisuMax 500, Zeiss VisuMax 800, Johnson & Johnson ELITA, Schwind ATOS, and Ziemer Z8), focusing on visual recovery, refractive stability, higher-order aberrations (HoAs), and cap thickness accuracy and reproducibility.",
        "Setting": "NuneMiso Eye Center, Seoul, Republic of Korea",
        "Methods": "Patients who underwent KLEX using one of five different platforms were included and retrospectively analyzed. Postoperative uncorrected distance visual acuity (UDVA) was evaluated at 1 day, 1 week, 1 month, and 6 months. Manifest refraction (MR) was assessed at 1 and 6 months postoperatively. Corneal HoAs were analyzed using the Pentacam HR and Galilei G4 at 1 and 6 months. For cap thickness analysis, 30 eyes per platform were randomly selected. Planned cap thickness was compared with measured cap thickness obtained from anterior segment imaging. Cap accuracy was defined as the mean difference between planned and measured thickness, and reproducibility was assessed using the standard deviation and coefficient of variation.",
        "Results": "Visual recovery on postoperative day 1 was significantly faster in the VisuMax 800 group; however, at 1 and 6 months, all groups demonstrated comparable outcomes. More than 95% of eyes in all groups were within ±0.50 diopters of the intended refractive target. Vertical coma was significantly higher in the VisuMax 500 group compared with the other platforms. Spherical aberration (SA) was lowest in the ATOS group, whereas total HoAs were lowest in the ELITA group. Cap thickness analysis demonstrated submicron-level precision in the Z8 and ELITA groups, both of which utilize flat applanation docking. The VisuMax system created deeper-than-intended caps, whereas the ATOS platform showed shallower cap formation relative to the planned thickness.",
        "Conclusions": "Long-term visual and refractive outcomes of newly introduced platforms were comparable to VisuMax systems and demonstrated stable results over 6 months. Differences in lenticule design and centration compensation functions of new platforms appeared to influence the induction of HoAs, potentially contributing to improvements in postoperative optical quality. Overall, cap thickness was formed with good accuracy across all platforms; however, systems utilizing flat docking demonstrated a tendency toward greater precision in cap thickness formation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Long-term visual and refractive outcomes of newly introduced platforms were comparable to VisuMax systems and demonstrated stable results over 6 months. Differences in lenticule design and centration compensation functions of new platforms appeared to influence the induction of HoAs, potentially contributing to improvements in postoperative optical quality. Overall, cap thickness was formed with good accuracy…",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 339,
      "source_fields": {
        "Abstract Final Identifier": "PP22.02",
        "Title": "Long-Term Clinical Comparison Of Five Klex Platforms: Visual, Refractive Outcomes, Higher-Order Aberrations, And Cap Thickness Accuracy",
        "Presenting Author(s)": "Dr Sung Min Kim",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Sung Min",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To compare 6-month clinical outcomes of keratorefractive lenticule extraction (KLEX) performed using five different femtosecond laser platforms (Zeiss VisuMax 500, Zeiss VisuMax 800, Johnson & Johnson ELITA, Schwind ATOS, and Ziemer Z8), focusing on visual recovery, refractive stability, higher-order aberrations (HoAs), and cap thickness accuracy and reproducibility.",
        "Setting": "NuneMiso Eye Center, Seoul, Republic of Korea",
        "Methods": "Patients who underwent KLEX using one of five different platforms were included and retrospectively analyzed. Postoperative uncorrected distance visual acuity (UDVA) was evaluated at 1 day, 1 week, 1 month, and 6 months. Manifest refraction (MR) was assessed at 1 and 6 months postoperatively. Corneal HoAs were analyzed using the Pentacam HR and Galilei G4 at 1 and 6 months. For cap thickness analysis, 30 eyes per platform were randomly selected. Planned cap thickness was compared with measured cap thickness obtained from anterior segment imaging. Cap accuracy was defined as the mean difference between planned and measured thickness, and reproducibility was assessed using the standard deviation and coefficient of variation.",
        "Results": "Visual recovery on postoperative day 1 was significantly faster in the VisuMax 800 group; however, at 1 and 6 months, all groups demonstrated comparable outcomes. More than 95% of eyes in all groups were within ±0.50 diopters of the intended refractive target. Vertical coma was significantly higher in the VisuMax 500 group compared with the other platforms. Spherical aberration (SA) was lowest in the ATOS group, whereas total HoAs were lowest in the ELITA group. Cap thickness analysis demonstrated submicron-level precision in the Z8 and ELITA groups, both of which utilize flat applanation docking. The VisuMax system created deeper-than-intended caps, whereas the ATOS platform showed shallower cap formation relative to the planned thickness.",
        "Conclusions": "Long-term visual and refractive outcomes of newly introduced platforms were comparable to VisuMax systems and demonstrated stable results over 6 months. Differences in lenticule design and centration compensation functions of new platforms appeared to influence the induction of HoAs, potentially contributing to improvements in postoperative optical quality. Overall, cap thickness was formed with good accuracy across all platforms; however, systems utilizing flat docking demonstrated a tendency toward greater precision in cap thickness formation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 350
    },
    {
      "uid": "PP22.03",
      "abstract_number": "PP22.03",
      "title": "Comparative Analysis Of Outcomes Of Lenticule Extraction Using Smile Pro Under General Anesthesia",
      "authors": "Dr Tatiana Shilova",
      "presenter": "Dr Tatiana Shilova",
      "normalized_authors": [
        "Tatiana Shilova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Tatiana Shilova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To evaluate the feasibility of performing SMILE Pro laser vision correction in patients for whom correction under topical/local anesthesia was not possible; to refine technical approaches for safe and comfortable surgery; to compare refractive outcomes with a control group; and to assess the effect of exclusive surgeon control of positioning throughout the procedure.",
        "Setting": "Russia, Moscow, Doctor’s Shilova Clinic",
        "Methods": "Group 1 included 52 eyes after bilateral SMILE Pro under general anesthesia. Surgery with topical anesthesia was impossible. Myopia ranged from −1.00 to −8.5 D, mean astigmatism 1.45 D. Procedures were performed using fractionated administration of propofol 200-400 ml with monitoring of blood pressure,heart rate,oxygen saturation,humidified oxygen delivery (3–4 L/min).\nThe control Group 2 consisted of 60 eyes was comparable by age and mean ametropia parameters.\n\nDuring docking, laser stages, and lenticule dissection, proprietary instruments and positioning-control techniques were used. At 1 and 3 months postoperatively, statistical analysis was performed for uncorrected distance visual acuity, manifest refraction, and higher-order aberrations.",
        "Results": "Mean visual acuity on postoperative day 1 in Group 1 was 0.95 versus 1.15 in Group 2. Subjectively, patients in Group 1 were satisfied with the result.\nAt 1 and 3 months, no statistically significant differences were found in outcomes, including the percentage of eyes achieving uncorrected distance visual acuity of 1.0 (20/20) or better and the mean spherical equivalent refraction. Higher-order aberrations, spherical aberration were comparable in both groups.\nComparative assessment of corneal topography after SMILE under general anesthesia versus SMILE under topical/local anesthesia revealed no substantial differences.",
        "Conclusions": "SMILE Pro under general anesthesia makes it possible to achieve high refractive outcomes in patients who cannot undergo the procedure under topical/local anesthesia. However, it requires appropriate anesthesia management and a high level of manual surgical skills."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE Pro under general anesthesia makes it possible to achieve high refractive outcomes in patients who cannot undergo the procedure under topical/local anesthesia. However, it requires appropriate anesthesia management and a high level of manual surgical skills.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 340,
      "source_fields": {
        "Abstract Final Identifier": "PP22.03",
        "Title": "Comparative Analysis Of Outcomes Of Lenticule Extraction Using Smile Pro Under General Anesthesia",
        "Presenting Author(s)": "Dr Tatiana Shilova",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Tatiana",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shilova",
        "Country Name": "Russian Federation",
        "Purpose": "To evaluate the feasibility of performing SMILE Pro laser vision correction in patients for whom correction under topical/local anesthesia was not possible; to refine technical approaches for safe and comfortable surgery; to compare refractive outcomes with a control group; and to assess the effect of exclusive surgeon control of positioning throughout the procedure.",
        "Setting": "Russia, Moscow, Doctor’s Shilova Clinic",
        "Methods": "Group 1 included 52 eyes after bilateral SMILE Pro under general anesthesia. Surgery with topical anesthesia was impossible. Myopia ranged from −1.00 to −8.5 D, mean astigmatism 1.45 D. Procedures were performed using fractionated administration of propofol 200-400 ml with monitoring of blood pressure,heart rate,oxygen saturation,humidified oxygen delivery (3–4 L/min).\nThe control Group 2 consisted of 60 eyes was comparable by age and mean ametropia parameters.\n\nDuring docking, laser stages, and lenticule dissection, proprietary instruments and positioning-control techniques were used. At 1 and 3 months postoperatively, statistical analysis was performed for uncorrected distance visual acuity, manifest refraction, and higher-order aberrations.",
        "Results": "Mean visual acuity on postoperative day 1 in Group 1 was 0.95 versus 1.15 in Group 2. Subjectively, patients in Group 1 were satisfied with the result.\nAt 1 and 3 months, no statistically significant differences were found in outcomes, including the percentage of eyes achieving uncorrected distance visual acuity of 1.0 (20/20) or better and the mean spherical equivalent refraction. Higher-order aberrations, spherical aberration were comparable in both groups.\nComparative assessment of corneal topography after SMILE under general anesthesia versus SMILE under topical/local anesthesia revealed no substantial differences.",
        "Conclusions": "SMILE Pro under general anesthesia makes it possible to achieve high refractive outcomes in patients who cannot undergo the procedure under topical/local anesthesia. However, it requires appropriate anesthesia management and a high level of manual surgical skills."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "PP22.04",
      "abstract_number": "PP22.04",
      "title": "Comparison Of Visual And Refractive Outcomes After Smile For Low To Moderate Myopic Astigmatism Using Visumax500 And Visumax800 Laser Platforms",
      "authors": "A/Prof. Smita Agarwal",
      "presenter": "A/Prof. Smita Agarwal",
      "normalized_authors": [
        "Smita Agarwal"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Smita Agarwal",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Australia",
      "sections": {
        "Purpose": "To compare visual and refractive outcomes after small incision lenticule extraction (SMILE) for low to moderate myopic astigmatism using the VisuMAX500 and VisuMAX800 femtosecond laser platforms.",
        "Setting": "The study was conducted at Wollongong Eye Specialists ophthalmology clinic. Patients were treated with VisuMAX500 or VisuMAX800, based on clinical standard of care at the time of surgery. This real-world study setting ensured that outcomes reflected everyday clinical practice and standard of care postoperative assessment up to 6 weeks.",
        "Methods": "A retrospective review was conducted on 60 eyes from 41 patients treated for myopic astigmatism (preoperative cylinder ≥0.75 D) with SMILE, utilising either the VisuMAX500 (30 eyes, 21 patients) or VisuMAX800 (30 eyes, 20 patients) laser systems. Postoperative evaluations at 6 weeks included uncorrected distance visual acuity (UDVA), manifest refraction, and best-corrected distance visual acuity (BCVA). Vector analysis assessed accuracy of astigmatic correction in low (0.75–1.0 D) and moderate (1.25–2.0 D) subgroups.",
        "Results": "Mean postoperative spherical equivalent (SE) was similar between groups (P=0.174) with 97% of eyes achieving ±1.0 D of target SE. While mean postoperative UDVA was similar between groups (P=0.121), the VisuMAX500 group achieved statistically better postoperative BCVA than VisuMAX800 (LogMAR-0.07±0.05 vs -0.02±0.04 respectively; P<0.001). However, this difference was not clinically significant and was within the pre-determined equivalence margin of logMAR±0.1 or ±5 letters. Astigmatic correction was more accurate in eyes treated with VisuMAX800, with a greater rate of undercorrection for low astigmatic corrections (CI=0.75 for VisuMAX500 vs CI=0.86 for VisuMAX800) compared to moderate (CI=0.84 for VisuMAX500 vs CI=1.09 for VisuMAX800).",
        "Conclusions": "The VisuMAX800 laser platform achieved excellent visual outcomes that was equivalent to VisuMAX500. Furthermore, while both platforms achieved excellent astigmatic correction, VisuMAX800 showed a slight advantage. Although the VisuMAX800 incorporates the latest software and technological advancements (Centralign and Oculign), the VisuMAX500 remains a clinically effective alternative in regions where the 800 is not widely available in patients with low to moderate myopic astigmatism. This ensures that patients can still achieve reliable outcomes with the VisuMAX500 platform despite potential accessibility barriers."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The VisuMAX800 laser platform achieved excellent visual outcomes that was equivalent to VisuMAX500. Furthermore, while both platforms achieved excellent astigmatic correction, VisuMAX800 showed a slight advantage. Although the VisuMAX800 incorporates the latest software and technological advancements (Centralign and Oculign), the VisuMAX500 remains a clinically effective alternative in regions where the 800 is not…",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 341,
      "source_fields": {
        "Abstract Final Identifier": "PP22.04",
        "Title": "Comparison Of Visual And Refractive Outcomes After Smile For Low To Moderate Myopic Astigmatism Using Visumax500 And Visumax800 Laser Platforms",
        "Presenting Author(s)": "A/Prof. Smita Agarwal",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Smita",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Agarwal",
        "Country Name": "Australia",
        "Purpose": "To compare visual and refractive outcomes after small incision lenticule extraction (SMILE) for low to moderate myopic astigmatism using the VisuMAX500 and VisuMAX800 femtosecond laser platforms.",
        "Setting": "The study was conducted at Wollongong Eye Specialists ophthalmology clinic. Patients were treated with VisuMAX500 or VisuMAX800, based on clinical standard of care at the time of surgery. This real-world study setting ensured that outcomes reflected everyday clinical practice and standard of care postoperative assessment up to 6 weeks.",
        "Methods": "A retrospective review was conducted on 60 eyes from 41 patients treated for myopic astigmatism (preoperative cylinder ≥0.75 D) with SMILE, utilising either the VisuMAX500 (30 eyes, 21 patients) or VisuMAX800 (30 eyes, 20 patients) laser systems. Postoperative evaluations at 6 weeks included uncorrected distance visual acuity (UDVA), manifest refraction, and best-corrected distance visual acuity (BCVA). Vector analysis assessed accuracy of astigmatic correction in low (0.75–1.0 D) and moderate (1.25–2.0 D) subgroups.",
        "Results": "Mean postoperative spherical equivalent (SE) was similar between groups (P=0.174) with 97% of eyes achieving ±1.0 D of target SE. While mean postoperative UDVA was similar between groups (P=0.121), the VisuMAX500 group achieved statistically better postoperative BCVA than VisuMAX800 (LogMAR-0.07±0.05 vs -0.02±0.04 respectively; P<0.001). However, this difference was not clinically significant and was within the pre-determined equivalence margin of logMAR±0.1 or ±5 letters. Astigmatic correction was more accurate in eyes treated with VisuMAX800, with a greater rate of undercorrection for low astigmatic corrections (CI=0.75 for VisuMAX500 vs CI=0.86 for VisuMAX800) compared to moderate (CI=0.84 for VisuMAX500 vs CI=1.09 for VisuMAX800).",
        "Conclusions": "The VisuMAX800 laser platform achieved excellent visual outcomes that was equivalent to VisuMAX500. Furthermore, while both platforms achieved excellent astigmatic correction, VisuMAX800 showed a slight advantage. Although the VisuMAX800 incorporates the latest software and technological advancements (Centralign and Oculign), the VisuMAX500 remains a clinically effective alternative in regions where the 800 is not widely available in patients with low to moderate myopic astigmatism. This ensures that patients can still achieve reliable outcomes with the VisuMAX500 platform despite potential accessibility barriers."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 357
    },
    {
      "uid": "PP22.06",
      "abstract_number": "PP22.06",
      "title": "A Comparison Of Femtosecond Assisted Lasik With Two Variants Of Keratolenticule Extraction For Correcting Of Myopia.",
      "authors": "Dr Alaa Mohamed Eldanasoury",
      "presenter": "Dr Alaa Mohamed Eldanasoury",
      "normalized_authors": [
        "Alaa Mohamed Eldanasoury"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alaa Mohamed Eldanasoury",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To compare femtosecond assisted LASIK (F-LASIK) with two methods of KLEx (SMILE and Smart Sight) in correcting myopia below 8.0 D.",
        "Setting": "Magrabi Eye Center, Jeddah, Saudi Arabia",
        "Methods": "This retrospective comparative study included 134 eyes treated with F-LASIK, 132 with SMILE, and 126 with Smart Sight. All eyes had myopia less than 8.0 D, corrected distance visual acuity of 0.0 logMAR or better, and astigmatism less than 2 D. Visual and refractive outcomes were assessed. F F-LASIK was performed using the SCHWIND ATOS femtosecond laser for flap creation and the AMARIS 500 excimer laser for ablation. SMILE procedures were performed with the VisuMax 500 (Carl Zeiss Meditec), while Smart Sight was performed using the SCHWIND ATOS femtosecond laser system.",
        "Results": "On the first postoperative day, uncorrected visual acuity (UDVA) of 0.1 logMAR was achieved in 90% of F-LASIK, 69% of SMILE, and 67% of Smart Sight eyes. F-LASIK provided significantly better UDVA on day one and at one week (p <0.01). By one month, there was no statistically significant difference in UDVA among the groups: mean UDVA was –0.03 (F-LASIK), –0.01 (SMILE), and –0.02 logMAR (Smart Sight) (P > 0.05). At 1 month, mean manifest refraction spherical equivalent was –0.05 ± 0.31 D (F-LASIK), –0.19 ± 0.21 D (SMILE), and –0.17 ± 0.38 D (Smart Sight) (P > 0.05). No visually threatening complications were encountered in the three groups.",
        "Conclusions": "F-LASIK, SMILE, and Smart Sight are effective and predictable for correcting myopia below 8.0 D. Visual recovery is faster with F-LASIK and slower with KLEx. At one month, visual and refractive outcomes are similar for all three procedures."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "F-LASIK, SMILE, and Smart Sight are effective and predictable for correcting myopia below 8.0 D. Visual recovery is faster with F-LASIK and slower with KLEx. At one month, visual and refractive outcomes are similar for all three procedures.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 342,
      "source_fields": {
        "Abstract Final Identifier": "PP22.06",
        "Title": "A Comparison Of Femtosecond Assisted Lasik With Two Variants Of Keratolenticule Extraction For Correcting Of Myopia.",
        "Presenting Author(s)": "Dr Alaa Mohamed Eldanasoury",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Alaa",
        "Submitter Middle Name": "Mohamed",
        "Submitter Last Name": "Eldanasoury",
        "Country Name": "Saudi Arabia",
        "Purpose": "To compare femtosecond assisted LASIK (F-LASIK) with two methods of KLEx (SMILE and Smart Sight) in correcting myopia below 8.0 D.",
        "Setting": "Magrabi Eye Center, Jeddah, Saudi Arabia",
        "Methods": "This retrospective comparative study included 134 eyes treated with F-LASIK, 132 with SMILE, and 126 with Smart Sight. All eyes had myopia less than 8.0 D, corrected distance visual acuity of 0.0 logMAR or better, and astigmatism less than 2 D. Visual and refractive outcomes were assessed. F F-LASIK was performed using the SCHWIND ATOS femtosecond laser for flap creation and the AMARIS 500 excimer laser for ablation. SMILE procedures were performed with the VisuMax 500 (Carl Zeiss Meditec), while Smart Sight was performed using the SCHWIND ATOS femtosecond laser system.",
        "Results": "On the first postoperative day, uncorrected visual acuity (UDVA) of 0.1 logMAR was achieved in 90% of F-LASIK, 69% of SMILE, and 67% of Smart Sight eyes. F-LASIK provided significantly better UDVA on day one and at one week (p <0.01). By one month, there was no statistically significant difference in UDVA among the groups: mean UDVA was –0.03 (F-LASIK), –0.01 (SMILE), and –0.02 logMAR (Smart Sight) (P > 0.05). At 1 month, mean manifest refraction spherical equivalent was –0.05 ± 0.31 D (F-LASIK), –0.19 ± 0.21 D (SMILE), and –0.17 ± 0.38 D (Smart Sight) (P > 0.05). No visually threatening complications were encountered in the three groups.",
        "Conclusions": "F-LASIK, SMILE, and Smart Sight are effective and predictable for correcting myopia below 8.0 D. Visual recovery is faster with F-LASIK and slower with KLEx. At one month, visual and refractive outcomes are similar for all three procedures."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 277
    },
    {
      "uid": "PP22.07",
      "abstract_number": "PP22.07",
      "title": "Intraoperative And Postoperative Complications Of Smile Pro (Visumax 800): Early And Late\nOutcomes",
      "authors": "Dr Lena Beckers",
      "presenter": "Dr Lena Beckers",
      "normalized_authors": [
        "Lena Beckers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lena Beckers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To report intraoperative safety and postoperative complications after small-incision\nlenticule extraction (SMILE) using the 2-MHz femtosecond platform (SMILE Pro; VisuMax 800) in routine\npractice.",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and\nPremium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research\nCenter (IVCRC.net) by one single surgeon (Breyer). Baseline age was 32.9 ± 6.9 years; average preoperative refraction was −3.60 ± 1.90/−0.87 ±0.76 D (sphere/cylinder) with best corrected visual acuity of −0.08 ± 0.07 logMAR.",
        "Methods": "Retrospective consecutive case series at a single center. All planned SMILE Pro procedures\nwere analyzed (916 eyes from 482 patients). Outcomes included completion rate, intraoperative\nevents, postoperative complications stratified as <3 and >3 months, and retreatment rate.",
        "Results": "Procedures were completed in 911/916 eyes (99.45%). Suction loss occurred in 6 eyes (0.66%); one was completed\nafter redocking, four were converted (two ICL, two femtosecond LASIK) and one did not receive a\nsecond procedure. No failed lenticule separations occurred. Retreatment was performed in 14 eyes\n(1.54%): 11 re-LASIK, two ICL, and one cataract extraction. Early postoperative events (<3 months)\nwere mainly superficial punctate keratitis (3.51%) and mild dry eye (1.32%); beyond 3 months, events\nremained uncommon (mild dry eye 1.65%, photopsia/halo/glare (0.88%) not leading to inability to\ndrive a car at night time). No severe or sight-threatening complications were observed.",
        "Conclusions": "SMILE Pro on the VisuMax 800 showed a high completion rate, rare intraoperative\ndisruption, low retreatment, and infrequent, mostly mild postoperative events. Dry Eye or photopsia\nequal the normal population and did not show a higher incidence. These findings support a favorable\nsafety profile in routine practice; longer-term follow-up is warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SMILE Pro on the VisuMax 800 showed a high completion rate, rare intraoperative disruption, low retreatment, and infrequent, mostly mild postoperative events. Dry Eye or photopsia equal the normal population and did not show a higher incidence. These findings support a favorable safety profile in routine practice; longer-term follow-up is warranted.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 343,
      "source_fields": {
        "Abstract Final Identifier": "PP22.07",
        "Title": "Intraoperative And Postoperative Complications Of Smile Pro (Visumax 800): Early And Late\nOutcomes",
        "Presenting Author(s)": "Dr Lena Beckers",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Lena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beckers",
        "Country Name": "Germany",
        "Purpose": "To report intraoperative safety and postoperative complications after small-incision\nlenticule extraction (SMILE) using the 2-MHz femtosecond platform (SMILE Pro; VisuMax 800) in routine\npractice.",
        "Setting": "All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and\nPremium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research\nCenter (IVCRC.net) by one single surgeon (Breyer). Baseline age was 32.9 ± 6.9 years; average preoperative refraction was −3.60 ± 1.90/−0.87 ±0.76 D (sphere/cylinder) with best corrected visual acuity of −0.08 ± 0.07 logMAR.",
        "Methods": "Retrospective consecutive case series at a single center. All planned SMILE Pro procedures\nwere analyzed (916 eyes from 482 patients). Outcomes included completion rate, intraoperative\nevents, postoperative complications stratified as <3 and >3 months, and retreatment rate.",
        "Results": "Procedures were completed in 911/916 eyes (99.45%). Suction loss occurred in 6 eyes (0.66%); one was completed\nafter redocking, four were converted (two ICL, two femtosecond LASIK) and one did not receive a\nsecond procedure. No failed lenticule separations occurred. Retreatment was performed in 14 eyes\n(1.54%): 11 re-LASIK, two ICL, and one cataract extraction. Early postoperative events (<3 months)\nwere mainly superficial punctate keratitis (3.51%) and mild dry eye (1.32%); beyond 3 months, events\nremained uncommon (mild dry eye 1.65%, photopsia/halo/glare (0.88%) not leading to inability to\ndrive a car at night time). No severe or sight-threatening complications were observed.",
        "Conclusions": "SMILE Pro on the VisuMax 800 showed a high completion rate, rare intraoperative\ndisruption, low retreatment, and infrequent, mostly mild postoperative events. Dry Eye or photopsia\nequal the normal population and did not show a higher incidence. These findings support a favorable\nsafety profile in routine practice; longer-term follow-up is warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 289
    },
    {
      "uid": "PP22.08",
      "abstract_number": "PP22.08",
      "title": "Corneal Lenticule Extraction For Advanced Refractive Correction (Clear) In Patients With High Myopia.",
      "authors": "Dr MATTEO POSARELLI",
      "presenter": "Dr MATTEO POSARELLI",
      "normalized_authors": [
        "MATTEO POSARELLI"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Matteo Posarelli",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "to assess CLEAR safety and efficacy in patients with more than -5 dioptres (D) of myopia.",
        "Setting": "Centre for Research in Refractive Surgery (Poggibonsi, Italy).\nSiena Eye Laser Refractive and Cataract Surgery Clinic (Poggibonsi, Italy).",
        "Methods": "retrospective study of CLEAR procedures performed at Siena Eye Laser (Poggibonsi, Italy) with Ziemer FEMTO LDV femtosecond laser. Inclusion criteria were corrected distance visual acuity (CDVA) ≥ than 0.2 logMAR, age ≥18 years or older, myopia > -5D, and suitable for CLEAR. Patients were evaluated at baseline, post-operative day 1 (POD1) ,6 and 18 months.",
        "Results": "we included 250 eyes of 183 patients.At baseline, mean spherical equivalent refractive error (SER) was -8.5±1.6 D,with a mean cylinder of -1.0±0.8 D.CDVA was 0.0 logMAR in all eyes.Mean corneal thickness was 508.9±25.0 microns.Expected residual stroma thickness (RST) calculated by Ziemer platform was 245.1±15.1 microns.At POD1 uncorrected distance visual acuity (UDVA) was 0.11±0.1logMAR,and mean SER was -0.4±0.6 D.RST was 266.3±29.3µ and significantly higher than the predicted value (p<0.001).At 6 months,mean UDVA was 0.0±0.1 logMAR (p<0.001),RST was 262±15.2 microns (p>0.05) and mean SER was -0.2±0.3D (p>0.05) as compared to POD1.At 18 months,residual SER was +0.1±0.5D and mean UCDVA was 0.0±0.1 logMAR compared to 6 months FU (all p>0.05).",
        "Conclusions": "In patients with high myopia, CLEAR showed good predictability and efficacy, with excellent correction of the refractive defect and stability at 18 months follow-up. Interestingly, post-operative residual stromal thickness was significantly higher than the predicted value by the laser software."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In patients with high myopia, CLEAR showed good predictability and efficacy, with excellent correction of the refractive defect and stability at 18 months follow-up. Interestingly, post-operative residual stromal thickness was significantly higher than the predicted value by the laser software.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 344,
      "source_fields": {
        "Abstract Final Identifier": "PP22.08",
        "Title": "Corneal Lenticule Extraction For Advanced Refractive Correction (Clear) In Patients With High Myopia.",
        "Presenting Author(s)": "Dr MATTEO POSARELLI",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Matteo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Posarelli",
        "Country Name": "Italy",
        "Purpose": "to assess CLEAR safety and efficacy in patients with more than -5 dioptres (D) of myopia.",
        "Setting": "Centre for Research in Refractive Surgery (Poggibonsi, Italy).\nSiena Eye Laser Refractive and Cataract Surgery Clinic (Poggibonsi, Italy).",
        "Methods": "retrospective study of CLEAR procedures performed at Siena Eye Laser (Poggibonsi, Italy) with Ziemer FEMTO LDV femtosecond laser. Inclusion criteria were corrected distance visual acuity (CDVA) ≥ than 0.2 logMAR, age ≥18 years or older, myopia > -5D, and suitable for CLEAR. Patients were evaluated at baseline, post-operative day 1 (POD1) ,6 and 18 months.",
        "Results": "we included 250 eyes of 183 patients.At baseline, mean spherical equivalent refractive error (SER) was -8.5±1.6 D,with a mean cylinder of -1.0±0.8 D.CDVA was 0.0 logMAR in all eyes.Mean corneal thickness was 508.9±25.0 microns.Expected residual stroma thickness (RST) calculated by Ziemer platform was 245.1±15.1 microns.At POD1 uncorrected distance visual acuity (UDVA) was 0.11±0.1logMAR,and mean SER was -0.4±0.6 D.RST was 266.3±29.3µ and significantly higher than the predicted value (p<0.001).At 6 months,mean UDVA was 0.0±0.1 logMAR (p<0.001),RST was 262±15.2 microns (p>0.05) and mean SER was -0.2±0.3D (p>0.05) as compared to POD1.At 18 months,residual SER was +0.1±0.5D and mean UCDVA was 0.0±0.1 logMAR compared to 6 months FU (all p>0.05).",
        "Conclusions": "In patients with high myopia, CLEAR showed good predictability and efficacy, with excellent correction of the refractive defect and stability at 18 months follow-up. Interestingly, post-operative residual stromal thickness was significantly higher than the predicted value by the laser software."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "PP22.09",
      "abstract_number": "PP22.09",
      "title": "Early Visual Acuity And Contrast Sensitivity Recovery Following Smartsight Lenticule Extraction",
      "authors": "Dr Vladimir Suvajac",
      "presenter": "Dr Vladimir Suvajac",
      "normalized_authors": [
        "Vladimir Suvajac"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vladimir Suvajac",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Serbia",
      "sections": {
        "Purpose": "To evaluate early postoperative uncorrected distance visual acuity (UDVA) and photopic contrast sensitivity recovery following SmartSight keratorefractive lenticule extraction for myopia and myopic astigmatism.",
        "Setting": "Private Eye Clinic Profesional, Belgrade, Serbia",
        "Methods": "This retrospective study included 100 eyes of 50 patients who underwent SmartSight keratorefractive lenticule extraction for the correction of myopia and myopic astigmatism. Postoperative examinations were performed at 1 day, 5 days, and 1 month after surgery. UDVA was assessed at all visits. Binocular photopic contrast sensitivity was assessed with the Metrovision Vision Monitor (MON2018F) five days and one month postoperatively, expressed in decibels (dB), evaluated as a contrast sensitivity function across spatial frequencies, and analyzed descriptively relative to normative values.",
        "Results": "Preoperatively 88% of eyes had best corrected distance visual acuity (BCVA) of 20/20 or better and all eyes had 20/25 or better. Mean cumulative dose used during lenticule creation was 533±24 mJ/cm 2 (range 487 to 590), with spot energy ranging from 75 to 80 nJ. On postoperative day 1, 73% of eyes had UDVA of 20/20 or better, and 95% achieved 20/25 or better. On postoperative day 5, 92% of eyes had UDVA of 20/20 or better and 100% of 20/25 or better. At 1 month, 95% of eyes had UDVA of 20/20 or better, and 37% gained one or more lines of vision. At 5 days post op, 84% of patients demonstrated photopic contrast sensitivity within physiological normative limits. After one month that percentage increased to 98% of patients (49 of 50 patients).",
        "Conclusions": "SmartSight lenticule extraction provided rapid visual rehabilitation, with the most pronounced improvement occurring within the first five postoperative days. Photopic contrast sensitivity recovered quickly, reaching physiological levels in great majority of patients within the first five days and nearly all patients by one month."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SmartSight lenticule extraction provided rapid visual rehabilitation, with the most pronounced improvement occurring within the first five postoperative days. Photopic contrast sensitivity recovered quickly, reaching physiological levels in great majority of patients within the first five days and nearly all patients by one month.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 345,
      "source_fields": {
        "Abstract Final Identifier": "PP22.09",
        "Title": "Early Visual Acuity And Contrast Sensitivity Recovery Following Smartsight Lenticule Extraction",
        "Presenting Author(s)": "Dr Vladimir Suvajac",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Vladimir",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suvajac",
        "Country Name": "Serbia",
        "Purpose": "To evaluate early postoperative uncorrected distance visual acuity (UDVA) and photopic contrast sensitivity recovery following SmartSight keratorefractive lenticule extraction for myopia and myopic astigmatism.",
        "Setting": "Private Eye Clinic Profesional, Belgrade, Serbia",
        "Methods": "This retrospective study included 100 eyes of 50 patients who underwent SmartSight keratorefractive lenticule extraction for the correction of myopia and myopic astigmatism. Postoperative examinations were performed at 1 day, 5 days, and 1 month after surgery. UDVA was assessed at all visits. Binocular photopic contrast sensitivity was assessed with the Metrovision Vision Monitor (MON2018F) five days and one month postoperatively, expressed in decibels (dB), evaluated as a contrast sensitivity function across spatial frequencies, and analyzed descriptively relative to normative values.",
        "Results": "Preoperatively 88% of eyes had best corrected distance visual acuity (BCVA) of 20/20 or better and all eyes had 20/25 or better. Mean cumulative dose used during lenticule creation was 533±24 mJ/cm 2 (range 487 to 590), with spot energy ranging from 75 to 80 nJ. On postoperative day 1, 73% of eyes had UDVA of 20/20 or better, and 95% achieved 20/25 or better. On postoperative day 5, 92% of eyes had UDVA of 20/20 or better and 100% of 20/25 or better. At 1 month, 95% of eyes had UDVA of 20/20 or better, and 37% gained one or more lines of vision. At 5 days post op, 84% of patients demonstrated photopic contrast sensitivity within physiological normative limits. After one month that percentage increased to 98% of patients (49 of 50 patients).",
        "Conclusions": "SmartSight lenticule extraction provided rapid visual rehabilitation, with the most pronounced improvement occurring within the first five postoperative days. Photopic contrast sensitivity recovered quickly, reaching physiological levels in great majority of patients within the first five days and nearly all patients by one month."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 299
    },
    {
      "uid": "PP22.10",
      "abstract_number": "PP22.10",
      "title": "Effect Of Total Laser Fluence On Early And Mid-Term Visual And Optical Quality\nOutcomes After Lenticule Extraction With The Schwind Atos: A Single-Centre Study",
      "authors": "Mr Ivan Gabric",
      "presenter": "Mr Ivan Gabric",
      "normalized_authors": [
        "Ivan Gabric"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivan Gabric",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "To evaluate the effect of total laser fluence on early and mid-term visual outcomes after\n\nkeratorefractive lenticule extraction (KLEx) performed with a femtosecond laser.",
        "Setting": "Single-surgeon, single-centre refractive surgery clinic.\n\nRetrospective comparative cohort analysis of prospectively collected data.",
        "Methods": "This retrospective comparative case series included 112 eyes of 112 patients. Eyes were stratified\n\ninto four quartiles (Q1–Q4, n=28 each) based on total fluence (range 290–767 mJ/cm²). Outcomes\n\nincluded uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest\n\nspherical equivalent (SEQ), and higher-order aberrations (HOAs) measured by corneal and ocular\n\nwavefront at 4- and 6-mm. Assessments were performed at postoperative day 1 (POD1) and month 6\n\n(POM6). Statistical analyses used Kruskal–Wallis and Mann–Whitney U tests with Holm step-down\n\ncorrection.",
        "Results": "At POD1, lower fluence groups showed faster UDVA recovery (Q1 −0.11 ± 0.07 vs Q4 −0.01 ± 0.10\n\nlogMAR), but these differences were not significant after Holm correction. By POM6, UDVA was\n\nexcellent across all quartiles. CDVA line gains were significantly more frequent in Q1 and Q2 (79%\n\nand 54% gained ≥1 line) compared with Q3 and Q4 (7% each, Holm-adjusted p<0.005). Predictability\n\nremained high, with 82–93% of eyes within ±0.50 D at 6 months. HOA induction was slightly greater\n\nwith higher fluence at POD1 but converged by POM6, except spherical aberration at 6 mm, differed\n\nsignificantly (p=0.006)",
        "Conclusions": "Lower total fluence was associated with non-significant trends toward faster recovery and greater\n\nmid-term CDVA gains, while refractive accuracy and safety were not compromised. Fluence\n\noptimization may enhance early visual quality without sacrificing predictability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lower total fluence was associated with non-significant trends toward faster recovery and greater mid-term CDVA gains, while refractive accuracy and safety were not compromised. Fluence optimization may enhance early visual quality without sacrificing predictability.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 346,
      "source_fields": {
        "Abstract Final Identifier": "PP22.10",
        "Title": "Effect Of Total Laser Fluence On Early And Mid-Term Visual And Optical Quality\nOutcomes After Lenticule Extraction With The Schwind Atos: A Single-Centre Study",
        "Presenting Author(s)": "Mr Ivan Gabric",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Ivan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gabric",
        "Country Name": "Croatia",
        "Purpose": "To evaluate the effect of total laser fluence on early and mid-term visual outcomes after\n\nkeratorefractive lenticule extraction (KLEx) performed with a femtosecond laser.",
        "Setting": "Single-surgeon, single-centre refractive surgery clinic.\n\nRetrospective comparative cohort analysis of prospectively collected data.",
        "Methods": "This retrospective comparative case series included 112 eyes of 112 patients. Eyes were stratified\n\ninto four quartiles (Q1–Q4, n=28 each) based on total fluence (range 290–767 mJ/cm²). Outcomes\n\nincluded uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest\n\nspherical equivalent (SEQ), and higher-order aberrations (HOAs) measured by corneal and ocular\n\nwavefront at 4- and 6-mm. Assessments were performed at postoperative day 1 (POD1) and month 6\n\n(POM6). Statistical analyses used Kruskal–Wallis and Mann–Whitney U tests with Holm step-down\n\ncorrection.",
        "Results": "At POD1, lower fluence groups showed faster UDVA recovery (Q1 −0.11 ± 0.07 vs Q4 −0.01 ± 0.10\n\nlogMAR), but these differences were not significant after Holm correction. By POM6, UDVA was\n\nexcellent across all quartiles. CDVA line gains were significantly more frequent in Q1 and Q2 (79%\n\nand 54% gained ≥1 line) compared with Q3 and Q4 (7% each, Holm-adjusted p<0.005). Predictability\n\nremained high, with 82–93% of eyes within ±0.50 D at 6 months. HOA induction was slightly greater\n\nwith higher fluence at POD1 but converged by POM6, except spherical aberration at 6 mm, differed\n\nsignificantly (p=0.006)",
        "Conclusions": "Lower total fluence was associated with non-significant trends toward faster recovery and greater\n\nmid-term CDVA gains, while refractive accuracy and safety were not compromised. Fluence\n\noptimization may enhance early visual quality without sacrificing predictability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "PP22.11",
      "abstract_number": "PP22.11",
      "title": "Early Clinical Outcomes Of The First Consecutive Clear Keratorefractive Lenticule Extraction (Klex) Cases Using The Femto Ldv Z8 Platform For Myopia And Myopic Astigmatism",
      "authors": "A/Prof. Mohamed Hosny",
      "presenter": "A/Prof. Mohamed Hosny",
      "normalized_authors": [
        "Mohamed Hosny"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rawan Hosny",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Egypt",
      "sections": {
        "Purpose": "To evaluate the early safety, efficacy, refractive predictability, and higher-order aberrations (HOAs) induction of the first consecutive CLEAR Keratorefractive Lenticule Extraction (KLEx) cases performed with the low energy FEMTO LDV Z8 platform (Ziemer Ophthalmic Systems) for the correction of myopia and myopic astigmatism.",
        "Setting": "A single-center, retrospective, consecutive case series conducted at Dar al Oyoun hospital, Cairo, Egypt.",
        "Methods": "This retrospective consecutive case series included 50 eyes of 26 patients (mean age 29.7 ± 6.7 years) undergoing KLEx CLEAR for myopia or compound myopic astigmatism. Primary outcomes included Uncorrected Distance Visual Acuity (UDVA), Corrected Distance Visual Acuity (CDVA), Spherical Equivalent Refraction (SEQ), refractive predictability, and residual astigmatism at 1 week, 1 month, and 3 months postoperatively. Total HOAs including spherical aberration (SA) was assessed preoperatively and at 1 month postoperatively.",
        "Results": "Preoperatively, the mean sphere was -1.72 ± 1.40 diopters (D) (range: -0.50 to -7.00 D), the mean cylinder was -1.29 ± 0.95 D (range: 0.00 to -3.25 D), and the Spherical Equivalent Refraction (SEQ) was -2.36 ± 1.23 D (range: -1.13 to -7.00 D).\n\nAt 1 week postoperatively, the mean SEQ was 0.02 ± 0.52 D, and at 1 month 0.05 ± 0.32 D. At 3 months, 89.3% of eyes were within ±0.50 D of the intended correction, and 100% of eyes were within ±1.00 D. Residual astigmatism was 0.15 ± 0.14 D of cylinder, with 100% of eyes within ±0.50 D. UDVA was 20/20 or better for 93.9% of eyes. The safety index was 1.07 at 3 months, and no eye had lost any line of CDVA.Total HOAs increased from 0.08 ± 0.03 µm to 0.12 ± 0.03 µm.",
        "Conclusions": "In this initial surgical experience, KLEx using the low energy FEMTO LDV Z8 CLEAR platform demonstrated favorable early safety, efficacy, and predictability for the correction of myopia and myopic astigmatism while inducing only minimal HOAs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this initial surgical experience, KLEx using the low energy FEMTO LDV Z8 CLEAR platform demonstrated favorable early safety, efficacy, and predictability for the correction of myopia and myopic astigmatism while inducing only minimal HOAs.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 347,
      "source_fields": {
        "Abstract Final Identifier": "PP22.11",
        "Title": "Early Clinical Outcomes Of The First Consecutive Clear Keratorefractive Lenticule Extraction (Klex) Cases Using The Femto Ldv Z8 Platform For Myopia And Myopic Astigmatism",
        "Presenting Author(s)": "A/Prof. Mohamed Hosny",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Rawan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Hosny",
        "Country Name": "Egypt",
        "Purpose": "To evaluate the early safety, efficacy, refractive predictability, and higher-order aberrations (HOAs) induction of the first consecutive CLEAR Keratorefractive Lenticule Extraction (KLEx) cases performed with the low energy FEMTO LDV Z8 platform (Ziemer Ophthalmic Systems) for the correction of myopia and myopic astigmatism.",
        "Setting": "A single-center, retrospective, consecutive case series conducted at Dar al Oyoun hospital, Cairo, Egypt.",
        "Methods": "This retrospective consecutive case series included 50 eyes of 26 patients (mean age 29.7 ± 6.7 years) undergoing KLEx CLEAR for myopia or compound myopic astigmatism. Primary outcomes included Uncorrected Distance Visual Acuity (UDVA), Corrected Distance Visual Acuity (CDVA), Spherical Equivalent Refraction (SEQ), refractive predictability, and residual astigmatism at 1 week, 1 month, and 3 months postoperatively. Total HOAs including spherical aberration (SA) was assessed preoperatively and at 1 month postoperatively.",
        "Results": "Preoperatively, the mean sphere was -1.72 ± 1.40 diopters (D) (range: -0.50 to -7.00 D), the mean cylinder was -1.29 ± 0.95 D (range: 0.00 to -3.25 D), and the Spherical Equivalent Refraction (SEQ) was -2.36 ± 1.23 D (range: -1.13 to -7.00 D).\n\nAt 1 week postoperatively, the mean SEQ was 0.02 ± 0.52 D, and at 1 month 0.05 ± 0.32 D. At 3 months, 89.3% of eyes were within ±0.50 D of the intended correction, and 100% of eyes were within ±1.00 D. Residual astigmatism was 0.15 ± 0.14 D of cylinder, with 100% of eyes within ±0.50 D. UDVA was 20/20 or better for 93.9% of eyes. The safety index was 1.07 at 3 months, and no eye had lost any line of CDVA.Total HOAs increased from 0.08 ± 0.03 µm to 0.12 ± 0.03 µm.",
        "Conclusions": "In this initial surgical experience, KLEx using the low energy FEMTO LDV Z8 CLEAR platform demonstrated favorable early safety, efficacy, and predictability for the correction of myopia and myopic astigmatism while inducing only minimal HOAs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 326
    },
    {
      "uid": "PP22.12",
      "abstract_number": "PP22.12",
      "title": "Refractive And Clinical Results Of Myopic Klex In Patients With An Inactive Atopic Dermatitis: A Cross-Sectional Study",
      "authors": "A/Prof. Walter Sekundo",
      "presenter": "A/Prof. Walter Sekundo",
      "normalized_authors": [
        "Walter Sekundo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anke Messerschmidt-Roth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate whether a history of inactive atopic dermatitis represents a justified relative contraindication for KLEx SMILE in myopic patients over short- to mid-term follow-up.",
        "Setting": "Department of Ophthalmology, Philipps University of Marburg, Germany.",
        "Methods": "This retrospective cross-sectional study included patients with a history of inactive atopic dermatitis who underwent bilateral myopic KLEx SMILE between 2017 and 2022. Patients were invited for clinical follow-up 3 – 60 months postoperatively. Outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SEQ), refractive stability and predictability, corneal tomography, corneal biomechanics, dry eye parameters, and patient-reported satisfaction.",
        "Results": "We evaluated 76 eyes of 38 patients at 3 months. 29 patients replied to the questionnaire sent by mail. Of those a subgroup of thirteen patients (26 eyes) came for a new examination at a mean follow-up of 38 ± 14 months. Mean preoperative SEQ was −4.81 ± 2.22 D. Mean SEQ at final follow-up was −0.26 ± 0.31 D. UDVA of 20/20 or better was achieved in 73.1% of eyes. Eighty-one percent of eyes were within ±0.50 D of target refraction, and 100% within ±1.00 D. No eye showed tomographic signs of corneal ectasia. Dry eye parameters remained largely within normal limits.",
        "Conclusions": "Inactive atopic dermatitis was not associated with adverse visual, refractive, or tomographic outcomes after myopic SMILE. However, the refractive outcome was slightly inferior to the reported results in patients with no comorbidity in this cohort of patients"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Inactive atopic dermatitis was not associated with adverse visual, refractive, or tomographic outcomes after myopic SMILE. However, the refractive outcome was slightly inferior to the reported results in patients with no comorbidity in this cohort of patients",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 348,
      "source_fields": {
        "Abstract Final Identifier": "PP22.12",
        "Title": "Refractive And Clinical Results Of Myopic Klex In Patients With An Inactive Atopic Dermatitis: A Cross-Sectional Study",
        "Presenting Author(s)": "A/Prof. Walter Sekundo",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Anke",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Messerschmidt-Roth",
        "Country Name": "Germany",
        "Purpose": "To evaluate whether a history of inactive atopic dermatitis represents a justified relative contraindication for KLEx SMILE in myopic patients over short- to mid-term follow-up.",
        "Setting": "Department of Ophthalmology, Philipps University of Marburg, Germany.",
        "Methods": "This retrospective cross-sectional study included patients with a history of inactive atopic dermatitis who underwent bilateral myopic KLEx SMILE between 2017 and 2022. Patients were invited for clinical follow-up 3 – 60 months postoperatively. Outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SEQ), refractive stability and predictability, corneal tomography, corneal biomechanics, dry eye parameters, and patient-reported satisfaction.",
        "Results": "We evaluated 76 eyes of 38 patients at 3 months. 29 patients replied to the questionnaire sent by mail. Of those a subgroup of thirteen patients (26 eyes) came for a new examination at a mean follow-up of 38 ± 14 months. Mean preoperative SEQ was −4.81 ± 2.22 D. Mean SEQ at final follow-up was −0.26 ± 0.31 D. UDVA of 20/20 or better was achieved in 73.1% of eyes. Eighty-one percent of eyes were within ±0.50 D of target refraction, and 100% within ±1.00 D. No eye showed tomographic signs of corneal ectasia. Dry eye parameters remained largely within normal limits.",
        "Conclusions": "Inactive atopic dermatitis was not associated with adverse visual, refractive, or tomographic outcomes after myopic SMILE. However, the refractive outcome was slightly inferior to the reported results in patients with no comorbidity in this cohort of patients"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "PP22.13",
      "abstract_number": "PP22.13",
      "title": "Comparison Of Early Visual Quality After Keratorefractive Lenticule Extraction (Klex) Using Visumax 500 And Visumax 800",
      "authors": "Dr Guoli He",
      "presenter": "Dr Guoli He",
      "normalized_authors": [
        "Guoli He"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Guoli He",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "China",
      "sections": {
        "Purpose": "To compare o bjective and subjective visual quality between VisuMax 500 and VisuMax 800 in patients undergoing ke ra torefractive lenticule extraction (KLEx) surgery.",
        "Setting": "Single-center retrospective comparative study conducted at Beijing Aier Intech Eye Hospital refractive surgery center.",
        "Methods": "This retrospective study analyzed 332 eyes ( 167 patients ) treated with VisuMax 500 and 414 eyes (219 patients ) treated with VisuMax 800 at Beijing Aier Intech Eye Hospital from May 2025 to September 2025 . All surgeries were performed by the same surgeon. Preoperative baseline data and 3-month postoperative parameters were collected, including uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), r esidual astigmatism, higher-order aberrations( HOAs ), and subjective visual quality questionnaire . Statistical comparisons were performed using independent t-tests and paired analyses where appropriate.",
        "Results": "For the baseline , there was no difference between the two groups except for preoperative larger astigmatism and HOAs in VisuMax 8 00 group. 3 months after surgery,t here was no statistically difference between VisuMax 500 and VisuMax 8 00 in efficacy ( p=0. 86 ) and safety ( p=0.79) ; VisuMax 8 00 demonstrates superior predictability within±0.50 D ( 86.5% vs 81 .3%) ; t he difference in UDVA ( p =0.50 4 ), SE( p=0. 12 ) and r esidual astigmatism ( p=0 .25 ) was not significant ; there was no difference between the two groups in HOAs . S ubjective questionnaires indicated comparable proportions in severe glare, halos, and starburst of two groups,but VisuMax 8 00 showed slight foggy and blurry symptoms. No sight-threatening complications were observed in either group.",
        "Conclusions": "The VisuMax 500 and VisuMax 800 systems have similar efficacy and safety ;VisuMax 800 may offer advantages in predictability , large a stigmatism correction , reducing postoperative HOAs and less visual interference;Furth er studies over longer follow-up period are required to verify the advantage.of VisuMax 800."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The VisuMax 500 and VisuMax 800 systems have similar efficacy and safety ;VisuMax 800 may offer advantages in predictability , large a stigmatism correction , reducing postoperative HOAs and less visual interference;Furth er studies over longer follow-up period are required to verify the advantage.of VisuMax 800.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 349,
      "source_fields": {
        "Abstract Final Identifier": "PP22.13",
        "Title": "Comparison Of Early Visual Quality After Keratorefractive Lenticule Extraction (Klex) Using Visumax 500 And Visumax 800",
        "Presenting Author(s)": "Dr Guoli He",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Guoli",
        "Submitter Middle Name": "",
        "Submitter Last Name": "He",
        "Country Name": "China",
        "Purpose": "To compare o bjective and subjective visual quality between VisuMax 500 and VisuMax 800 in patients undergoing ke ra torefractive lenticule extraction (KLEx) surgery.",
        "Setting": "Single-center retrospective comparative study conducted at Beijing Aier Intech Eye Hospital refractive surgery center.",
        "Methods": "This retrospective study analyzed 332 eyes ( 167 patients ) treated with VisuMax 500 and 414 eyes (219 patients ) treated with VisuMax 800 at Beijing Aier Intech Eye Hospital from May 2025 to September 2025 . All surgeries were performed by the same surgeon. Preoperative baseline data and 3-month postoperative parameters were collected, including uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical equivalent (SE), r esidual astigmatism, higher-order aberrations( HOAs ), and subjective visual quality questionnaire . Statistical comparisons were performed using independent t-tests and paired analyses where appropriate.",
        "Results": "For the baseline , there was no difference between the two groups except for preoperative larger astigmatism and HOAs in VisuMax 8 00 group. 3 months after surgery,t here was no statistically difference between VisuMax 500 and VisuMax 8 00 in efficacy ( p=0. 86 ) and safety ( p=0.79) ; VisuMax 8 00 demonstrates superior predictability within±0.50 D ( 86.5% vs 81 .3%) ; t he difference in UDVA ( p =0.50 4 ), SE( p=0. 12 ) and r esidual astigmatism ( p=0 .25 ) was not significant ; there was no difference between the two groups in HOAs . S ubjective questionnaires indicated comparable proportions in severe glare, halos, and starburst of two groups,but VisuMax 8 00 showed slight foggy and blurry symptoms. No sight-threatening complications were observed in either group.",
        "Conclusions": "The VisuMax 500 and VisuMax 800 systems have similar efficacy and safety ;VisuMax 800 may offer advantages in predictability , large a stigmatism correction , reducing postoperative HOAs and less visual interference;Furth er studies over longer follow-up period are required to verify the advantage.of VisuMax 800."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 302
    },
    {
      "uid": "PP22.14",
      "abstract_number": "PP22.14",
      "title": "Enhancing Visual Quality In Smile Pro Surgery: Impact Of Pulse Energy And Spot Distance On Postoperative Outcomes",
      "authors": "Dr Jiwon Jeong",
      "presenter": "Dr Jiwon Jeong",
      "normalized_authors": [
        "Jiwon Jeong"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jiwon Jeong",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the effects of femtosecond laser pulse energy and spot distance on postoperative visual quality, aberration, and refractive stability in Small Incision Lenticule Extraction (SMILE) Pro surgery.",
        "Setting": "Single center, Retrospective, Comparative study",
        "Methods": "Study included 805 eyes of 413 patients undergoing refractive surgery with VisuMax 800.Track distance was fixed at 3.0 µm with spot distance stratified as 3.7 µm (n=243), 4.0 µm (n=286) and 4.3 µm (n=276). Pulse energy were 85 nJ (n=182), 100 nJ (n=205), 115 nJ (n=223), and 130 nJ (n=195), forming 12 subgroups. Outcomes included objective scatter index, spherical aberration, coma (horizontal/vertical),UDVA, in logMAR, and refractive parameters (spherical/cylindrical powers), assessed at 1 and 3 months postoperatively. Statistical analyses employed one-way ANOVA for initial comparisons, general linear model for inter-group differences, and linear mixed-effects models for temporal changes and interactions (energy-spot distance or time-energy)",
        "Results": "OSI increased with higher pulse energy across all spot distances and timepoints, with the lowest values at 85 nJ (OSI: 0.611±0.249) compared to higher energies(1.008±0.698).OSI decreased over time, but no consistent energy-spot distance interaction was observed. SA also showed energy-dependent increases, with values at 3 months ranging from 0.168±0.150 to 0.270±0.238 µm, and spot distance effects varied by energy without significance.Coma aberration exhibited no significant differences by energy or spot distance. UDVA was excellent and stable (>1.1 decimal equivalent on average at 3 months; p>0.05 across groups). Refractive outcomes were stable through 3 months follow period in all groups.",
        "Conclusions": "Lower pulse energy (85 nJ) is associated with reduced postoperative OSI and SA in SMILE Pro, with spot distance showing variable but non-significant modulating effects. These findings suggest potential benefits of low-energy settings for visual quality, though further studies are needed to confirm optimal spacing and long-term outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lower pulse energy (85 nJ) is associated with reduced postoperative OSI and SA in SMILE Pro, with spot distance showing variable but non-significant modulating effects. These findings suggest potential benefits of low-energy settings for visual quality, though further studies are needed to confirm optimal spacing and long-term outcomes.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 350,
      "source_fields": {
        "Abstract Final Identifier": "PP22.14",
        "Title": "Enhancing Visual Quality In Smile Pro Surgery: Impact Of Pulse Energy And Spot Distance On Postoperative Outcomes",
        "Presenting Author(s)": "Dr Jiwon Jeong",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Jiwon",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeong",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the effects of femtosecond laser pulse energy and spot distance on postoperative visual quality, aberration, and refractive stability in Small Incision Lenticule Extraction (SMILE) Pro surgery.",
        "Setting": "Single center, Retrospective, Comparative study",
        "Methods": "Study included 805 eyes of 413 patients undergoing refractive surgery with VisuMax 800.Track distance was fixed at 3.0 µm with spot distance stratified as 3.7 µm (n=243), 4.0 µm (n=286) and 4.3 µm (n=276). Pulse energy were 85 nJ (n=182), 100 nJ (n=205), 115 nJ (n=223), and 130 nJ (n=195), forming 12 subgroups. Outcomes included objective scatter index, spherical aberration, coma (horizontal/vertical),UDVA, in logMAR, and refractive parameters (spherical/cylindrical powers), assessed at 1 and 3 months postoperatively. Statistical analyses employed one-way ANOVA for initial comparisons, general linear model for inter-group differences, and linear mixed-effects models for temporal changes and interactions (energy-spot distance or time-energy)",
        "Results": "OSI increased with higher pulse energy across all spot distances and timepoints, with the lowest values at 85 nJ (OSI: 0.611±0.249) compared to higher energies(1.008±0.698).OSI decreased over time, but no consistent energy-spot distance interaction was observed. SA also showed energy-dependent increases, with values at 3 months ranging from 0.168±0.150 to 0.270±0.238 µm, and spot distance effects varied by energy without significance.Coma aberration exhibited no significant differences by energy or spot distance. UDVA was excellent and stable (>1.1 decimal equivalent on average at 3 months; p>0.05 across groups). Refractive outcomes were stable through 3 months follow period in all groups.",
        "Conclusions": "Lower pulse energy (85 nJ) is associated with reduced postoperative OSI and SA in SMILE Pro, with spot distance showing variable but non-significant modulating effects. These findings suggest potential benefits of low-energy settings for visual quality, though further studies are needed to confirm optimal spacing and long-term outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 316
    },
    {
      "uid": "PP22.15",
      "abstract_number": "PP22.15",
      "title": "Zonal Analysis Of Corneal Irregular Astigmatism Reveals Distinct Corneal Optical Profiles After Clear And Wfo Lasik",
      "authors": "Dr Sungho Choi",
      "presenter": "Dr Sungho Choi",
      "normalized_authors": [
        "Sungho Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sungho Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "Although an increase in spherical aberration within the 6-mm zone after refractive surgery has been reported, data on central corneal changes that directly influence visual quality remain limited. This study aimed to analyze pre- and postoperative visual acuity, refractive outcomes, and regional corneal higher-order aberrations following corneal lenticule extraction for advanced refractive correction (CLEAR) and WFO LASIK (WFO).",
        "Setting": "First Samsung Eye Clinic, Seoul, Republic of Korea.",
        "Methods": "This retrospective study included 142 eyes (WFO: 42 eyes; CLEAR: 100 eyes). Generalized Estimating Equations (GEE) were used to compare postoperative outcomes at 3 months, adjusting for preoperative spherical equivalent (SE), keratometry, and astigmatism. Parameters evaluated included uncorrected distance visual acuity (UDVA), Alpins vector analysis, corneal Q-value, and area-specific corneal higher-order aberrations across 2.0 to 7.0 mm zones.",
        "Results": "At 3 months, postoperative SE was −0.44 ± 0.10 D in the WFO group and −0.25 ± 0.02 D in the CLEAR group. No significant differences between two groups were found in the astigmatic Correction Index or in induced coma and trefoil within the 6-mm zone. For anterior corneal spherical aberration, there was no difference within the 6-mm zone. Beyond 6 mm, spherical aberration increased significantly in the WFO group compared with the CLEAR group (p < .05). Within the central area, the WFO group demonstrated a significant decrease in all zones except the 2-mm zone (p < .05). Postoperative Q-values at 6mm were significantly lower (more prolate) in the CLEAR group (0.22 ± 0.03) than in the WFO group (0.46 ± 0.02, p = .025).",
        "Conclusions": "Both WFO and CLEAR provide excellent visual and refractive results. However, CLEAR demonstrates superior preservation of preoperative corneal asphericity and spherical aberration in most areas. This advantage suggests that CLEAR may offer better quality of vision under mesopic conditions compared to WFO LASIK."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both WFO and CLEAR provide excellent visual and refractive results. However, CLEAR demonstrates superior preservation of preoperative corneal asphericity and spherical aberration in most areas. This advantage suggests that CLEAR may offer better quality of vision under mesopic conditions compared to WFO LASIK.",
      "session_type": "Presented Poster",
      "track": "Lenticular intrastomal surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 351,
      "source_fields": {
        "Abstract Final Identifier": "PP22.15",
        "Title": "Zonal Analysis Of Corneal Irregular Astigmatism Reveals Distinct Corneal Optical Profiles After Clear And Wfo Lasik",
        "Presenting Author(s)": "Dr Sungho Choi",
        "Abstract Topic Name": "Lenticular intrastomal surgery",
        "Submitter First Name": "Sungho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "Although an increase in spherical aberration within the 6-mm zone after refractive surgery has been reported, data on central corneal changes that directly influence visual quality remain limited. This study aimed to analyze pre- and postoperative visual acuity, refractive outcomes, and regional corneal higher-order aberrations following corneal lenticule extraction for advanced refractive correction (CLEAR) and WFO LASIK (WFO).",
        "Setting": "First Samsung Eye Clinic, Seoul, Republic of Korea.",
        "Methods": "This retrospective study included 142 eyes (WFO: 42 eyes; CLEAR: 100 eyes). Generalized Estimating Equations (GEE) were used to compare postoperative outcomes at 3 months, adjusting for preoperative spherical equivalent (SE), keratometry, and astigmatism. Parameters evaluated included uncorrected distance visual acuity (UDVA), Alpins vector analysis, corneal Q-value, and area-specific corneal higher-order aberrations across 2.0 to 7.0 mm zones.",
        "Results": "At 3 months, postoperative SE was −0.44 ± 0.10 D in the WFO group and −0.25 ± 0.02 D in the CLEAR group. No significant differences between two groups were found in the astigmatic Correction Index or in induced coma and trefoil within the 6-mm zone. For anterior corneal spherical aberration, there was no difference within the 6-mm zone. Beyond 6 mm, spherical aberration increased significantly in the WFO group compared with the CLEAR group (p < .05). Within the central area, the WFO group demonstrated a significant decrease in all zones except the 2-mm zone (p < .05). Postoperative Q-values at 6mm were significantly lower (more prolate) in the CLEAR group (0.22 ± 0.03) than in the WFO group (0.46 ± 0.02, p = .025).",
        "Conclusions": "Both WFO and CLEAR provide excellent visual and refractive results. However, CLEAR demonstrates superior preservation of preoperative corneal asphericity and spherical aberration in most areas. This advantage suggests that CLEAR may offer better quality of vision under mesopic conditions compared to WFO LASIK."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "PP23.01",
      "abstract_number": "PP23.01",
      "title": "Longitudinal Layer-Specific Revascularization Patterns Of Amniotic Membrane Transplantation Following Pterygium Surgery: An Octa Study",
      "authors": "Dr Ahmad Masoomi",
      "presenter": "Dr Ahmad Masoomi",
      "normalized_authors": [
        "Ahmad Masoomi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ghazal Ghochani",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Iran, Islamic Republic Of",
      "sections": {
        "Purpose": "To quantitatively evaluate the timeline and morphological patterns of amniotic membrane transplantation (AMT) revascularization using optical coherence tomography angiography (OCTA).",
        "Setting": "Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.",
        "Methods": "This prospective observational case series included 43 eyes undergoing primary pterygium excision with AMT. OCTA (AngioVue) was performed at 1, 4, and 12 weeks postoperatively. Images were segmented into superficial (0–200 µm) and deep (>200 µm) layers. Quantitative analysis of Vessel Density (VD), Vessel Length Density (VLD), and Vessel Diameter Index (VDI) was conducted using Adaptive Otsu binarization and skeletonization. Linear mixed models were used for longitudinal comparisons.",
        "Results": "Thirty-eight eyes completed the 12-week follow-up. Deep VD returned to baseline by Week 4 (0.365±0.140 vs 0.350±0.069 baseline, p>0.05) and remained stable at Week 12. Superficial recovery was incomplete; VD dropped significantly at Week 1 (0.230±0.071 vs 0.453±0.074 baseline, p<0.001) and remained below preoperative levels at Week 12 (0.321±0.061,p<0.05). VLD followed similar layer-specific trends, while VDI showed no significant changes (p=0.545), indicating stable vessel caliber. Qualitatively, fine anastomoses and segmental large-caliber vessels connected the graft to the episcleral bed by Week 4. However, persistent flow voids and irregular perfusion were still evident at Week 12.",
        "Conclusions": "AMT revascularization is a layer-specific process. Deep-layer integration through the episcleral bed occurs significantly faster than superficial conjunctival recovery. OCTA serves as a sensitive, non-invasive tool for monitoring subclinical graft integration and identifying persistent perfusion deficits that may impact long-term surgical success."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "AMT revascularization is a layer-specific process. Deep-layer integration through the episcleral bed occurs significantly faster than superficial conjunctival recovery. OCTA serves as a sensitive, non-invasive tool for monitoring subclinical graft integration and identifying persistent perfusion deficits that may impact long-term surgical success.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 352,
      "source_fields": {
        "Abstract Final Identifier": "PP23.01",
        "Title": "Longitudinal Layer-Specific Revascularization Patterns Of Amniotic Membrane Transplantation Following Pterygium Surgery: An Octa Study",
        "Presenting Author(s)": "Dr Ahmad Masoomi",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ghazal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Ghochani",
        "Country Name": "Iran, Islamic Republic Of",
        "Purpose": "To quantitatively evaluate the timeline and morphological patterns of amniotic membrane transplantation (AMT) revascularization using optical coherence tomography angiography (OCTA).",
        "Setting": "Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.",
        "Methods": "This prospective observational case series included 43 eyes undergoing primary pterygium excision with AMT. OCTA (AngioVue) was performed at 1, 4, and 12 weeks postoperatively. Images were segmented into superficial (0–200 µm) and deep (>200 µm) layers. Quantitative analysis of Vessel Density (VD), Vessel Length Density (VLD), and Vessel Diameter Index (VDI) was conducted using Adaptive Otsu binarization and skeletonization. Linear mixed models were used for longitudinal comparisons.",
        "Results": "Thirty-eight eyes completed the 12-week follow-up. Deep VD returned to baseline by Week 4 (0.365±0.140 vs 0.350±0.069 baseline, p>0.05) and remained stable at Week 12. Superficial recovery was incomplete; VD dropped significantly at Week 1 (0.230±0.071 vs 0.453±0.074 baseline, p<0.001) and remained below preoperative levels at Week 12 (0.321±0.061,p<0.05). VLD followed similar layer-specific trends, while VDI showed no significant changes (p=0.545), indicating stable vessel caliber. Qualitatively, fine anastomoses and segmental large-caliber vessels connected the graft to the episcleral bed by Week 4. However, persistent flow voids and irregular perfusion were still evident at Week 12.",
        "Conclusions": "AMT revascularization is a layer-specific process. Deep-layer integration through the episcleral bed occurs significantly faster than superficial conjunctival recovery. OCTA serves as a sensitive, non-invasive tool for monitoring subclinical graft integration and identifying persistent perfusion deficits that may impact long-term surgical success."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "PP23.16",
      "abstract_number": "PP23.16",
      "title": "Femtosecond Laser-Assisted Hemi-Automated Lamellar Keratoplasty: A Hybrid Technique",
      "authors": "Dr Alvin Wei Jun Teo",
      "presenter": "Dr Alvin Wei Jun Teo",
      "normalized_authors": [
        "Alvin Wei Jun Teo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alvin Wei Jun Teo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Singapore",
      "sections": {
        "Purpose": "Hemi-automated assisted lamellar keratoplasty (HALK) is a procedure for corneas with anterior to mid-stromal pathology, preserving the healthy endothelium. The manual trephination step and subsequent manual dissection in conventional HALK can affect stromal depth and accuracy. We evaluated the use of the femtosecond laser in hemi-automated anterior lamellar keratoplasty (FSL-HALK), for managing corneal stromal opacities and dystrophies.",
        "Setting": "This is a retrospective case series performed in a Singapore tertiary eye hospital.",
        "Methods": "11 eyes with corneal scarring, post-infectious keratitis, or stromal dystrophy underwent FSL-HALK. Preoperative and postoperative best-corrected visual acuity (BCVA), refractive cylinder were analyzed at 1, 6, 12 months, and final follow-up. Surgical complications and graft failure rates were assessed.\n\nA \"donut\" ablation profile was undertaken with the FSL, with subsequent manual dissection of the remaining recipient bed.",
        "Results": "At last follow up, mean LogMAR BCVA improved significantly from 0.58 ± 0.25 preoperatively to 0.38 ± 0.24 postoperatively (p = 0.029). Mean postoperative refractive cylinder was 3.45 ± 1.65 D. The long-term graft survival rate was 90.9% (one failure). One intraoperative microperforation of Descemet's membrane occurred without aborting the procedure. One eye developed significant interface haze, attributed to the use of an electron-beam–irradiated donor graft, and later underwent deep anterior lamellar keratoplasty (DALK). No femtosecond laser-specific complications (e.g., opaque bubble layer, vertical gas breakthrough) were observed.",
        "Conclusions": "FSL-HALK is a safe and effective hybrid technique, demonstrating significant visual improvement, a high rate of graft survival, and a favourable complication profile. It offers an alternative to conventional HALK and DALK for midstromal corneal pathologies."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "FSL-HALK is a safe and effective hybrid technique, demonstrating significant visual improvement, a high rate of graft survival, and a favourable complication profile. It offers an alternative to conventional HALK and DALK for midstromal corneal pathologies.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 353,
      "source_fields": {
        "Abstract Final Identifier": "PP23.16",
        "Title": "Femtosecond Laser-Assisted Hemi-Automated Lamellar Keratoplasty: A Hybrid Technique",
        "Presenting Author(s)": "Dr Alvin Wei Jun Teo",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alvin Wei Jun",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Teo",
        "Country Name": "Singapore",
        "Purpose": "Hemi-automated assisted lamellar keratoplasty (HALK) is a procedure for corneas with anterior to mid-stromal pathology, preserving the healthy endothelium. The manual trephination step and subsequent manual dissection in conventional HALK can affect stromal depth and accuracy. We evaluated the use of the femtosecond laser in hemi-automated anterior lamellar keratoplasty (FSL-HALK), for managing corneal stromal opacities and dystrophies.",
        "Setting": "This is a retrospective case series performed in a Singapore tertiary eye hospital.",
        "Methods": "11 eyes with corneal scarring, post-infectious keratitis, or stromal dystrophy underwent FSL-HALK. Preoperative and postoperative best-corrected visual acuity (BCVA), refractive cylinder were analyzed at 1, 6, 12 months, and final follow-up. Surgical complications and graft failure rates were assessed.\n\nA \"donut\" ablation profile was undertaken with the FSL, with subsequent manual dissection of the remaining recipient bed.",
        "Results": "At last follow up, mean LogMAR BCVA improved significantly from 0.58 ± 0.25 preoperatively to 0.38 ± 0.24 postoperatively (p = 0.029). Mean postoperative refractive cylinder was 3.45 ± 1.65 D. The long-term graft survival rate was 90.9% (one failure). One intraoperative microperforation of Descemet's membrane occurred without aborting the procedure. One eye developed significant interface haze, attributed to the use of an electron-beam–irradiated donor graft, and later underwent deep anterior lamellar keratoplasty (DALK). No femtosecond laser-specific complications (e.g., opaque bubble layer, vertical gas breakthrough) were observed.",
        "Conclusions": "FSL-HALK is a safe and effective hybrid technique, demonstrating significant visual improvement, a high rate of graft survival, and a favourable complication profile. It offers an alternative to conventional HALK and DALK for midstromal corneal pathologies."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 256
    },
    {
      "uid": "PP23.017",
      "abstract_number": "PP23.017",
      "title": "Clinical And Functional Outcomes Of New Intrastromal Keratoprosthesis Implantation",
      "authors": "Dr Andrey Golovin",
      "presenter": "Dr Andrey Golovin",
      "normalized_authors": [
        "Andrey Golovin"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Andrey Golovin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "To analyze the clinical and functional outcomes of the surgical treatment in patients with corneal vascular leucoma using the new intrastromal keratoprosthesis (Reper-NN).",
        "Setting": "The study enrolled 98 patients (98 eyes) with burn injuries and terminal dystrophic corneal opacities who underwent the surgical treatment . The average age of the patients was 53.0±17.7 years (from 19 to 86 years), including 71 men and 27 women.",
        "Methods": "All patients underwent keratoprosthesis implantation of the new Reper-NN intrastromal keratoprosthesis (group 1) or the standard Fyodorov-Zuev keratoprosthesis (group 2).",
        "Results": "After 12 months, the BCVA data in the group of patients with the Reper-NN keratoprosthesis were significantly higher than in the group with the Fyodorov-Zuev keratoprosthesis (p<0.05, Mann-Whitney test). Also the BCVA data in both study groups at all follow-up periods were statistically significantly higher than the preoperative data (p<0.001, Wilcoxon test). The total number of complications (in percentage terms) in the Reper-NN keratoprosthesis group was clinically significantly lower than in the group with the standard model. Retroprosthetic membrane formation occurred significantly less frequently in the group of patients with the Reper-NN keratoprosthesis (p<0.05, Fisher's exact test).",
        "Conclusions": "The search for an optimal keratoprosthesis design remains a relevant research objective. In the study, both keratoprosthesis models (the Reper-NN model and the standard Fyodorov-Zuev model) demonstrated high efficacy. The new Reper-NN keratoprosthesis provided good clinical and functional outcomes and significantly reduced the risk of potential complications. However, further observations are required to confirm the outcomes and improve the technique."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The search for an optimal keratoprosthesis design remains a relevant research objective. In the study, both keratoprosthesis models (the Reper-NN model and the standard Fyodorov-Zuev model) demonstrated high efficacy. The new Reper-NN keratoprosthesis provided good clinical and functional outcomes and significantly reduced the risk of potential complications. However, further observations are required to confirm…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 354,
      "source_fields": {
        "Abstract Final Identifier": "PP23.017",
        "Title": "Clinical And Functional Outcomes Of New Intrastromal Keratoprosthesis Implantation",
        "Presenting Author(s)": "Dr Andrey Golovin",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Andrey",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Golovin",
        "Country Name": "Russian Federation",
        "Purpose": "To analyze the clinical and functional outcomes of the surgical treatment in patients with corneal vascular leucoma using the new intrastromal keratoprosthesis (Reper-NN).",
        "Setting": "The study enrolled 98 patients (98 eyes) with burn injuries and terminal dystrophic corneal opacities who underwent the surgical treatment . The average age of the patients was 53.0±17.7 years (from 19 to 86 years), including 71 men and 27 women.",
        "Methods": "All patients underwent keratoprosthesis implantation of the new Reper-NN intrastromal keratoprosthesis (group 1) or the standard Fyodorov-Zuev keratoprosthesis (group 2).",
        "Results": "After 12 months, the BCVA data in the group of patients with the Reper-NN keratoprosthesis were significantly higher than in the group with the Fyodorov-Zuev keratoprosthesis (p<0.05, Mann-Whitney test). Also the BCVA data in both study groups at all follow-up periods were statistically significantly higher than the preoperative data (p<0.001, Wilcoxon test). The total number of complications (in percentage terms) in the Reper-NN keratoprosthesis group was clinically significantly lower than in the group with the standard model. Retroprosthetic membrane formation occurred significantly less frequently in the group of patients with the Reper-NN keratoprosthesis (p<0.05, Fisher's exact test).",
        "Conclusions": "The search for an optimal keratoprosthesis design remains a relevant research objective. In the study, both keratoprosthesis models (the Reper-NN model and the standard Fyodorov-Zuev model) demonstrated high efficacy. The new Reper-NN keratoprosthesis provided good clinical and functional outcomes and significantly reduced the risk of potential complications. However, further observations are required to confirm the outcomes and improve the technique."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 249
    },
    {
      "uid": "PP23.018",
      "abstract_number": "PP23.018",
      "title": "Proteomic Analysis Of Tear Samples And Identification Of Novel Biomarkers In Acute Adenoviral Conjunctivitis",
      "authors": "Dr Arta Shukriu",
      "presenter": "Dr Arta Shukriu",
      "normalized_authors": [
        "Arta Shukriu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Arta Shukriu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To identify disease-specific biomarkers and treatment-related proteins by comparing tear samples collected from healthy individuals and patients.",
        "Setting": "Department of Ophthalmology, Kocaeli University Faculty of Medicine, Türkiye",
        "Methods": "Tear samples collected on day 1 and day 30 from 19 patients diagnosed with acute adenoviral conjunctivitis, along with samples from 19 healthy individuals, were included in this study. Tear samples were collected using Schirmer strips and analyzed by mass spectrometry using a nHPLC LC-MS/MS system. Bioinformatics analysis to elucidate protein-protein interactions using direct (physical) and indirect (functional) associations were carried out using the STRING database.",
        "Results": "A total of 1,023 proteins were identified across tear samples from patients with adenoviral conjunctivitis and healthy control s. Among them, 10 proteins demonstrated a novel increase in abundance. Fibulin-1 (FBLN1), Fetuin-B, Cathelicidin antimicrobial peptide (CAMP), Interferon-induced GTP-binding protein (Mx1), Guanylate-binding protein 1 (GBP1), Signal transducer and activator of transcription (STAT1), Ubiquitin-like protein (ISG15), Vimentin (VIM), Moesin (MSN), Filamin-A (FLNA). The newly upregulated proteins were predominantly associated with interferon signaling, innate immune response, antiviral defense mechanisms, and cytoskeletal and extracellular matrix organization.",
        "Conclusions": "Our findings provide a comprehensive overview of tear proteome alterations in adenoviral conjunctivitis,highlighting dynamic immune activation,oxidative stress and tissue remodeling processes.The acute upregulation of complement components and interferon-related proteins reflected a robust innate immune response.In contrast,the sustained elevation of oxidative stress markers and matrix remodeling proteins suggested prolonged epithelial stress and delayed recovery.In addition,the downregulation of protective tear proteins suggested compromised mucosal defense,epithelial barrier dysfunction and tear film instability.These molecular changes may underline common clinical symptoms such as photophobia,hyperemia and chronic ocular surface damage."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Our findings provide a comprehensive overview of tear proteome alterations in adenoviral conjunctivitis,highlighting dynamic immune activation,oxidative stress and tissue remodeling processes.The acute upregulation of complement components and interferon-related proteins reflected a robust innate immune response.In contrast,the sustained elevation of oxidative stress markers and matrix remodeling proteins suggested…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 355,
      "source_fields": {
        "Abstract Final Identifier": "PP23.018",
        "Title": "Proteomic Analysis Of Tear Samples And Identification Of Novel Biomarkers In Acute Adenoviral Conjunctivitis",
        "Presenting Author(s)": "Dr Arta Shukriu",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Arta",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Shukriu",
        "Country Name": "Türkiye",
        "Purpose": "To identify disease-specific biomarkers and treatment-related proteins by comparing tear samples collected from healthy individuals and patients.",
        "Setting": "Department of Ophthalmology, Kocaeli University Faculty of Medicine, Türkiye",
        "Methods": "Tear samples collected on day 1 and day 30 from 19 patients diagnosed with acute adenoviral conjunctivitis, along with samples from 19 healthy individuals, were included in this study. Tear samples were collected using Schirmer strips and analyzed by mass spectrometry using a nHPLC LC-MS/MS system. Bioinformatics analysis to elucidate protein-protein interactions using direct (physical) and indirect (functional) associations were carried out using the STRING database.",
        "Results": "A total of 1,023 proteins were identified across tear samples from patients with adenoviral conjunctivitis and healthy control s. Among them, 10 proteins demonstrated a novel increase in abundance. Fibulin-1 (FBLN1), Fetuin-B, Cathelicidin antimicrobial peptide (CAMP), Interferon-induced GTP-binding protein (Mx1), Guanylate-binding protein 1 (GBP1), Signal transducer and activator of transcription (STAT1), Ubiquitin-like protein (ISG15), Vimentin (VIM), Moesin (MSN), Filamin-A (FLNA). The newly upregulated proteins were predominantly associated with interferon signaling, innate immune response, antiviral defense mechanisms, and cytoskeletal and extracellular matrix organization.",
        "Conclusions": "Our findings provide a comprehensive overview of tear proteome alterations in adenoviral conjunctivitis,highlighting dynamic immune activation,oxidative stress and tissue remodeling processes.The acute upregulation of complement components and interferon-related proteins reflected a robust innate immune response.In contrast,the sustained elevation of oxidative stress markers and matrix remodeling proteins suggested prolonged epithelial stress and delayed recovery.In addition,the downregulation of protective tear proteins suggested compromised mucosal defense,epithelial barrier dysfunction and tear film instability.These molecular changes may underline common clinical symptoms such as photophobia,hyperemia and chronic ocular surface damage."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 270
    },
    {
      "uid": "PP23.02",
      "abstract_number": "PP23.02",
      "title": "The Diagnostic Value Of Systemic Inflammatory Markers Including Halp Score In Differentiating Pterygium And Conjunctival Intraepithelial Neoplasia",
      "authors": "Dr Gozde Sahin Vural",
      "presenter": "Dr Gozde Sahin Vural",
      "normalized_authors": [
        "Gozde Sahin Vural"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gozde Sahin Vural",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To investigate whether systemic inflammatory markers, including the hemoglobin–albumin–lymphocyte–platelet (HALP) score, can differentiate benign pterygium from conjunctival intraepithelial neoplasia (CIN) and to evaluate their potential role as adjunctive biomarkers in the benign–premalignant spectrum of ocular surface lesions.",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary ophthalmology clinic.",
        "Methods": "Patients were divided into three groups: control, pterygium, and CIN. Hematologic and biochemical parameters were retrieved from medical records. The neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), lymphocyte-to-monocyte ratio (LMR), C-reactive protein (CRP), albumin, hemoglobin–albumin–lymphocyte–platelet (HALP) score, and CRP-based Glasgow Prognostic Score (GPS and modified GPS) were calculated. Group comparisons were performed using one-way ANOVA.",
        "Results": "Mean NLR values were 3.40±4.02 in controls, 2.12±0.94 in pterygium, and 3.33±2.04 in CIN (p=0.164). Mean PLR was 136.36±59.04, 123.62±52.29, and 124.72±72.53 (p=0.672), while mean SII was 973.86±1463.89, 571.72±332.89, and 748.83±459.47 (p=0.284). LMR, CRP, albumin, GPS, and mGPS showed no significant differences (all p>0.05). Mean HALP scores were 0.523±0.220, 0.567±0.267, and 0.626±0.290 in the three groups, respectively, with no statistically significant intergroup difference (p=0.464).",
        "Conclusions": "Systemic inflammatory markers, including NLR, PLR, SII, LMR, CRP, albumin, HALP score, GPS, and mGPS, did not demonstrate significant differences between pterygium and CIN. The addition of HALP did not improve diagnostic discrimination. Hematologic parameters alone do not appear to be reliable tools for differentiating benign from premalignant ocular surface lesions. In clinically suspicious cases, biopsy remains the gold standard for definitive diagnosis."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Systemic inflammatory markers, including NLR, PLR, SII, LMR, CRP, albumin, HALP score, GPS, and mGPS, did not demonstrate significant differences between pterygium and CIN. The addition of HALP did not improve diagnostic discrimination. Hematologic parameters alone do not appear to be reliable tools for differentiating benign from premalignant ocular surface lesions. In clinically suspicious cases, biopsy remains…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 356,
      "source_fields": {
        "Abstract Final Identifier": "PP23.02",
        "Title": "The Diagnostic Value Of Systemic Inflammatory Markers Including Halp Score In Differentiating Pterygium And Conjunctival Intraepithelial Neoplasia",
        "Presenting Author(s)": "Dr Gozde Sahin Vural",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Gozde",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sahin Vural",
        "Country Name": "Türkiye",
        "Purpose": "To investigate whether systemic inflammatory markers, including the hemoglobin–albumin–lymphocyte–platelet (HALP) score, can differentiate benign pterygium from conjunctival intraepithelial neoplasia (CIN) and to evaluate their potential role as adjunctive biomarkers in the benign–premalignant spectrum of ocular surface lesions.",
        "Setting": "Single-center retrospective comparative study conducted at a tertiary ophthalmology clinic.",
        "Methods": "Patients were divided into three groups: control, pterygium, and CIN. Hematologic and biochemical parameters were retrieved from medical records. The neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), lymphocyte-to-monocyte ratio (LMR), C-reactive protein (CRP), albumin, hemoglobin–albumin–lymphocyte–platelet (HALP) score, and CRP-based Glasgow Prognostic Score (GPS and modified GPS) were calculated. Group comparisons were performed using one-way ANOVA.",
        "Results": "Mean NLR values were 3.40±4.02 in controls, 2.12±0.94 in pterygium, and 3.33±2.04 in CIN (p=0.164). Mean PLR was 136.36±59.04, 123.62±52.29, and 124.72±72.53 (p=0.672), while mean SII was 973.86±1463.89, 571.72±332.89, and 748.83±459.47 (p=0.284). LMR, CRP, albumin, GPS, and mGPS showed no significant differences (all p>0.05). Mean HALP scores were 0.523±0.220, 0.567±0.267, and 0.626±0.290 in the three groups, respectively, with no statistically significant intergroup difference (p=0.464).",
        "Conclusions": "Systemic inflammatory markers, including NLR, PLR, SII, LMR, CRP, albumin, HALP score, GPS, and mGPS, did not demonstrate significant differences between pterygium and CIN. The addition of HALP did not improve diagnostic discrimination. Hematologic parameters alone do not appear to be reliable tools for differentiating benign from premalignant ocular surface lesions. In clinically suspicious cases, biopsy remains the gold standard for definitive diagnosis."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 285
    },
    {
      "uid": "PP23.03",
      "abstract_number": "PP23.03",
      "title": "The Prediction Of Change In Corneal Refractive Power After Pterygium Excision With Conjunctival Autograft",
      "authors": "Dr Gyeongsoo Lim",
      "presenter": "Dr Gyeongsoo Lim",
      "normalized_authors": [
        "Gyeongsoo Lim"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gyeongsoo Lim",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To assess the relationship between the size of pterygium and change in corneal refractive power (ΔK) after pterygium surgery. The time to postoperative stabilization of corneal refractive power was also evaluated.",
        "Setting": "Department of Ophthalmology, Chungbuk National University Hospital,Chungbuk National University College of Medicine, Cheongju, Republic of Korea.",
        "Methods": "Seventy two eyes underwent primary pterygium excision with conjunctival autograft. Corneal refractive power was measured using auto-keratometer (AR7100, Topcon, Japan) and corneal topography (Pentacam, Oculus, Germany) preoperatively and at 1 and 3 months postoperatively. Parameters of pterygium size including extension, width and area ratio were measured from anterior segment photographs using FIJI software (ImageJ distribution; NIH, USA) after calibration to a 12.00 mm horizontal white-to-white diameter preoperatively. Correlation between parameters and ΔK were analyzed. Linear regression analysis was performed to derive the formula to predict changes of mean keratometry.",
        "Results": "Mean keratometry (Km) measured preoperatively and at 1 and 3 months postoperatively were as follows: with auto-keratometer, 42.85±1.66 diopter (D), 43.60±1.47D and 43.58±1.69D with corneal topography, 42.02± 1.93D, 43.97±1.65D and 43.93±1.66D. The Km was significantly increased at each 1 and 3 months after surgery (p<0.001), but there were no difference between 1 and 3 months after surgery. Among parameters of pterygium size, the area ratio of pterygium showed the best correlation with mean ΔK (Pearson correlation coefficient r =0.70, p<0.01). We could predict mean ΔK with the area ratio of pterygium by formula “Mean ΔK = 0.171 x area ratio(%) – 0.402” (linear regression, R 2 =0.49, p<0.01).",
        "Conclusions": "The corneal refractive power stabilized 1 month after pterygium excision. The area ratio of pterygium is a useful predictor of postoperative ΔK and may assist intraocular lens power selection in combined cataract and pterygium surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The corneal refractive power stabilized 1 month after pterygium excision. The area ratio of pterygium is a useful predictor of postoperative ΔK and may assist intraocular lens power selection in combined cataract and pterygium surgery.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 357,
      "source_fields": {
        "Abstract Final Identifier": "PP23.03",
        "Title": "The Prediction Of Change In Corneal Refractive Power After Pterygium Excision With Conjunctival Autograft",
        "Presenting Author(s)": "Dr Gyeongsoo Lim",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Gyeongsoo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lim",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To assess the relationship between the size of pterygium and change in corneal refractive power (ΔK) after pterygium surgery. The time to postoperative stabilization of corneal refractive power was also evaluated.",
        "Setting": "Department of Ophthalmology, Chungbuk National University Hospital,Chungbuk National University College of Medicine, Cheongju, Republic of Korea.",
        "Methods": "Seventy two eyes underwent primary pterygium excision with conjunctival autograft. Corneal refractive power was measured using auto-keratometer (AR7100, Topcon, Japan) and corneal topography (Pentacam, Oculus, Germany) preoperatively and at 1 and 3 months postoperatively. Parameters of pterygium size including extension, width and area ratio were measured from anterior segment photographs using FIJI software (ImageJ distribution; NIH, USA) after calibration to a 12.00 mm horizontal white-to-white diameter preoperatively. Correlation between parameters and ΔK were analyzed. Linear regression analysis was performed to derive the formula to predict changes of mean keratometry.",
        "Results": "Mean keratometry (Km) measured preoperatively and at 1 and 3 months postoperatively were as follows: with auto-keratometer, 42.85±1.66 diopter (D), 43.60±1.47D and 43.58±1.69D with corneal topography, 42.02± 1.93D, 43.97±1.65D and 43.93±1.66D. The Km was significantly increased at each 1 and 3 months after surgery (p<0.001), but there were no difference between 1 and 3 months after surgery. Among parameters of pterygium size, the area ratio of pterygium showed the best correlation with mean ΔK (Pearson correlation coefficient r =0.70, p<0.01). We could predict mean ΔK with the area ratio of pterygium by formula “Mean ΔK = 0.171 x area ratio(%) – 0.402” (linear regression, R 2 =0.49, p<0.01).",
        "Conclusions": "The corneal refractive power stabilized 1 month after pterygium excision. The area ratio of pterygium is a useful predictor of postoperative ΔK and may assist intraocular lens power selection in combined cataract and pterygium surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 306
    },
    {
      "uid": "PP23.04",
      "abstract_number": "PP23.04",
      "title": "Neurosensory Ocular Surface Symptom–Sign Mismatch After Cataract Surgery: Associations With Dissatisfaction, Photophobia And Confocal Nerve Alterations",
      "authors": "Dr Alessandra Curci",
      "presenter": "Dr Alessandra Curci",
      "normalized_authors": [
        "Alessandra Curci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alessandra Curci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Persistent ocular surface symptoms (OSS) after uncomplicated cataract surgery often occur despite minimal clinical findings, suggesting neurosensory phenotype rather than tear-film dysfunction. This study aimed to investigate associations between satisfaction, symptom–sign mismatch and neuropathic markers at 3, 6 and 12 months.",
        "Setting": "Multicenter cross-sectional observational study at the Eye Clinic of San Giuseppe Hospital (Milan) and University Hospital of Cagliari (Cagliari).",
        "Methods": "One hundred twenty patients (60 dissatisfied, 60 satisfied; age- and sex-matched) were evaluated after uneventful phacoemulsification using CATquest-9SF, OSDI, DEQ-5, SANDE, best corrected visual acuity (BCVA), ocular surface assessment, light-discomfort testing (Lumiz 100™), and topical anesthetic challenge. Central sub-basal nerve plexus (SNP) was imaged by in vivo confocal microscopy (HRT3/RCM; ACCMetrics). Mismatch was defined as moderate-to-severe symptoms (OSDI ≥23, DEQ-5 ≥12, and SANDE ≥30) with normal-to-mild signs (NIKBUT >5 s, FBUT >5 s, Schirmer >5 mm, and staining <2). Outcomes were compared between groups using parametric or non-parametric tests; effects are reported as OR (95%CI).",
        "Results": "Symptoms were higher in dissatisfied than satisfied patients (OSDI 32±18 vs 12±10; DEQ-5 11±6 vs 5±4; SANDE 40±27 vs 18±22; all p<0.0001), with similar BCVA and ocular signs (all p>0.10). Mismatch was more frequent in dissatisfied (64% vs 21%; OR 6.7, 95% CI 3.2-14.0, p<0.0001) and showed higher NPSI-eye (median 6 vs 0, p=0.002), higher OPAS (p=0.01), greater residual pain after anesthetic (18±23 vs 5±14 mm, p=0.004) and lower light-discomfort thresholds (variable-light 3,900±2,400 vs 7,200±3,800 units, p=0.001). At 12 months, mismatch had higher CNFL/CNFD/CNBD (13.1/25.4/24.5 vs 9.4/17.2/11.8; p≤0.006), more neuroma (68% vs 24%; OR 6.4; p=0.001), microneuroma (72% vs 27%; p<0.001) and dendritic-cell density (42±30 vs 18±13 n/mm², p=0.003).",
        "Conclusions": "Dissatisfaction after cataract surgery appears driven less by classic tear-film abnormalities than by severe OSS with a symptom–sign mismatch and a neurosensory signature combining neuropathic pain features, photophobia and SNP remodeling. Identifying this post-cataract neurosensory ocular surface phenotype may refine counselling, patient stratification and mechanism-based interventions."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Dissatisfaction after cataract surgery appears driven less by classic tear-film abnormalities than by severe OSS with a symptom–sign mismatch and a neurosensory signature combining neuropathic pain features, photophobia and SNP remodeling. Identifying this post-cataract neurosensory ocular surface phenotype may refine counselling, patient stratification and mechanism-based interventions.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 358,
      "source_fields": {
        "Abstract Final Identifier": "PP23.04",
        "Title": "Neurosensory Ocular Surface Symptom–Sign Mismatch After Cataract Surgery: Associations With Dissatisfaction, Photophobia And Confocal Nerve Alterations",
        "Presenting Author(s)": "Dr Alessandra Curci",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alessandra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Curci",
        "Country Name": "Italy",
        "Purpose": "Persistent ocular surface symptoms (OSS) after uncomplicated cataract surgery often occur despite minimal clinical findings, suggesting neurosensory phenotype rather than tear-film dysfunction. This study aimed to investigate associations between satisfaction, symptom–sign mismatch and neuropathic markers at 3, 6 and 12 months.",
        "Setting": "Multicenter cross-sectional observational study at the Eye Clinic of San Giuseppe Hospital (Milan) and University Hospital of Cagliari (Cagliari).",
        "Methods": "One hundred twenty patients (60 dissatisfied, 60 satisfied; age- and sex-matched) were evaluated after uneventful phacoemulsification using CATquest-9SF, OSDI, DEQ-5, SANDE, best corrected visual acuity (BCVA), ocular surface assessment, light-discomfort testing (Lumiz 100™), and topical anesthetic challenge. Central sub-basal nerve plexus (SNP) was imaged by in vivo confocal microscopy (HRT3/RCM; ACCMetrics). Mismatch was defined as moderate-to-severe symptoms (OSDI ≥23, DEQ-5 ≥12, and SANDE ≥30) with normal-to-mild signs (NIKBUT >5 s, FBUT >5 s, Schirmer >5 mm, and staining <2). Outcomes were compared between groups using parametric or non-parametric tests; effects are reported as OR (95%CI).",
        "Results": "Symptoms were higher in dissatisfied than satisfied patients (OSDI 32±18 vs 12±10; DEQ-5 11±6 vs 5±4; SANDE 40±27 vs 18±22; all p<0.0001), with similar BCVA and ocular signs (all p>0.10). Mismatch was more frequent in dissatisfied (64% vs 21%; OR 6.7, 95% CI 3.2-14.0, p<0.0001) and showed higher NPSI-eye (median 6 vs 0, p=0.002), higher OPAS (p=0.01), greater residual pain after anesthetic (18±23 vs 5±14 mm, p=0.004) and lower light-discomfort thresholds (variable-light 3,900±2,400 vs 7,200±3,800 units, p=0.001). At 12 months, mismatch had higher CNFL/CNFD/CNBD (13.1/25.4/24.5 vs 9.4/17.2/11.8; p≤0.006), more neuroma (68% vs 24%; OR 6.4; p=0.001), microneuroma (72% vs 27%; p<0.001) and dendritic-cell density (42±30 vs 18±13 n/mm², p=0.003).",
        "Conclusions": "Dissatisfaction after cataract surgery appears driven less by classic tear-film abnormalities than by severe OSS with a symptom–sign mismatch and a neurosensory signature combining neuropathic pain features, photophobia and SNP remodeling. Identifying this post-cataract neurosensory ocular surface phenotype may refine counselling, patient stratification and mechanism-based interventions."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "PP23.05",
      "abstract_number": "PP23.05",
      "title": "Severe Corneal Involvement Revealing Pediatric Ocular Rosacea: A Prospective Study Of 14 Cases",
      "authors": "Dr Ali Rami",
      "presenter": "Dr Ali Rami",
      "normalized_authors": [
        "Ali Rami"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Rami",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "To analyze severe corneal manifestations revealing pediatric ocular rosacea and to assess anatomical and functional outcomes following standardized medical and surgical management.",
        "Setting": "Prospective study conducted at a tertiary referral ophthalmology center, Casablanca, Morocco.",
        "Methods": "Fourteen consecutive children presenting with severe corneal involvement secondary to ocular rosacea were prospectively included. Diagnosis was established clinically after exclusion of infectious and allergic causes. Comprehensive slit-lamp examination with photographic and video documentation was performed. All patients received a standardized therapeutic protocol including intensive eyelid hygiene, cyclic topical azithromycin, lipid-based tear supplementation, adapted topical corticosteroids, systemic antibiotics in severe forms and cycloplegic optical correction. Surgical management was performed when required.",
        "Results": "Corneal involvement was the initial presentation in all cases, predominantly affecting the inferior cornea. Catarrhal infiltrates and corneal neovascularization were observed in 75% of patients. Severe complications occurred in three children, including pre-perforative ulcer (n=1), and corneal perforations (n=2). The pre-perforative ulcer was managed with a therapeutic contact lens, while perforations required either an anterior Lamellar Keratoplasty or biological tissue adhesive. All patients had associated blepharitis with meibomian gland dysfunction and no cutaneous rosacea. Treatment led to regression of inflammation and a mean visual acuity gain of four lines.",
        "Conclusions": "Pediatric ocular rosacea may present as severe corneal disease in the absence of dermatologic signs, leading to delayed diagnosis and significant visual risk. Early recognition combined with standardized medical and, when necessary, surgical intervention is essential to preserve corneal integrity and visual function."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pediatric ocular rosacea may present as severe corneal disease in the absence of dermatologic signs, leading to delayed diagnosis and significant visual risk. Early recognition combined with standardized medical and, when necessary, surgical intervention is essential to preserve corneal integrity and visual function.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 359,
      "source_fields": {
        "Abstract Final Identifier": "PP23.05",
        "Title": "Severe Corneal Involvement Revealing Pediatric Ocular Rosacea: A Prospective Study Of 14 Cases",
        "Presenting Author(s)": "Dr Ali Rami",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rami",
        "Country Name": "Morocco",
        "Purpose": "To analyze severe corneal manifestations revealing pediatric ocular rosacea and to assess anatomical and functional outcomes following standardized medical and surgical management.",
        "Setting": "Prospective study conducted at a tertiary referral ophthalmology center, Casablanca, Morocco.",
        "Methods": "Fourteen consecutive children presenting with severe corneal involvement secondary to ocular rosacea were prospectively included. Diagnosis was established clinically after exclusion of infectious and allergic causes. Comprehensive slit-lamp examination with photographic and video documentation was performed. All patients received a standardized therapeutic protocol including intensive eyelid hygiene, cyclic topical azithromycin, lipid-based tear supplementation, adapted topical corticosteroids, systemic antibiotics in severe forms and cycloplegic optical correction. Surgical management was performed when required.",
        "Results": "Corneal involvement was the initial presentation in all cases, predominantly affecting the inferior cornea. Catarrhal infiltrates and corneal neovascularization were observed in 75% of patients. Severe complications occurred in three children, including pre-perforative ulcer (n=1), and corneal perforations (n=2). The pre-perforative ulcer was managed with a therapeutic contact lens, while perforations required either an anterior Lamellar Keratoplasty or biological tissue adhesive. All patients had associated blepharitis with meibomian gland dysfunction and no cutaneous rosacea. Treatment led to regression of inflammation and a mean visual acuity gain of four lines.",
        "Conclusions": "Pediatric ocular rosacea may present as severe corneal disease in the absence of dermatologic signs, leading to delayed diagnosis and significant visual risk. Early recognition combined with standardized medical and, when necessary, surgical intervention is essential to preserve corneal integrity and visual function."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 238
    },
    {
      "uid": "PP23.06",
      "abstract_number": "PP23.06",
      "title": "Corneal Debridement In Vitreoretinal Surgery: A Double-Edged Sword",
      "authors": "Dr Aya Mouhcine",
      "presenter": "Dr Aya Mouhcine",
      "normalized_authors": [
        "Aya Mouhcine"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aya Mouhcine",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Corneal epithelial defects occurring after vitreoretinal surgery may arise spontaneously or be secondary to intraoperative debridement. In the present study, we focused specifically on iatrogenic epithelial lesions. Our objective was to evaluate the impact of corneal transparency on surgical performance, to analyze the clinical course of epithelial defects under treatment, and to identify the challenges encountered by the vitreoretinal surgeon during postoperative follow-up.",
        "Setting": "This study was conducted in a tertiary ophthalmology center specializing in vitreoretinal surgery and advanced ocular care. It included 84 patients who underwent pars plana vitreoretinal surgery for various posterior segment conditions. Intraoperative corneal epithelial debridement was performed when necessary to improve surgical visualization due to corneal surface irregularities or edema. All procedures followed standardized surgical protocols performed by experienced surgeons.",
        "Methods": "Following surgery, all patients received a standardized postoperative regimen that included topical healing eye drops aimed at promoting corneal epithelial regeneration and restoring ocular surface integrity. The treatment protocol was maintained according to institutional guidelines and adjusted when clinically indicated. Patients were prospectively followed for a period of six months after surgery, with scheduled postoperative visits to assess corneal epithelial healing, visual recovery, and the occurrence of any complications related to epithelial debridement or ocular surface impairment. Clinical outcomes were systematically recorded and analyzed.",
        "Results": "Complete epithelial healing was achieved in a mean of four days. However, delayed epithelialization occurred in 12 patients, and 5 patients presented persistent epithelial defects at day 10, necessitating therapeutic escalation. These cases required additional consultations and intensified management, including autologous serum eye drops and amniotic membrane transplantation in refractory situations. Corneal surface disruption generated significant postoperative discomfort and complicated follow-up by limiting fundus visualization, thereby challenging posterior segment assessment and surgical evaluation.",
        "Conclusions": "Intraoperative corneal debridement may lead to chronic epithelial defects and, in some cases, corneal opacity. The cornea thus becomes a major concern for the vitreoretinal surgeon, as its integrity directly determines access to the fundus and the quality of postoperative assessment. These findings underscore the importance of effective prevention and early management in order to preserve corneal transparency.\n\nIn the postoperative setting, the cornea therefore represents both a functional issue for the patient and a technical challenge for the vitreoretinal surgeon."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Intraoperative corneal debridement may lead to chronic epithelial defects and, in some cases, corneal opacity. The cornea thus becomes a major concern for the vitreoretinal surgeon, as its integrity directly determines access to the fundus and the quality of postoperative assessment. These findings underscore the importance of effective prevention and early management in order to preserve corneal transparency. In…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 360,
      "source_fields": {
        "Abstract Final Identifier": "PP23.06",
        "Title": "Corneal Debridement In Vitreoretinal Surgery: A Double-Edged Sword",
        "Presenting Author(s)": "Dr Aya Mouhcine",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Aya",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mouhcine",
        "Country Name": "Morocco",
        "Purpose": "Corneal epithelial defects occurring after vitreoretinal surgery may arise spontaneously or be secondary to intraoperative debridement. In the present study, we focused specifically on iatrogenic epithelial lesions. Our objective was to evaluate the impact of corneal transparency on surgical performance, to analyze the clinical course of epithelial defects under treatment, and to identify the challenges encountered by the vitreoretinal surgeon during postoperative follow-up.",
        "Setting": "This study was conducted in a tertiary ophthalmology center specializing in vitreoretinal surgery and advanced ocular care. It included 84 patients who underwent pars plana vitreoretinal surgery for various posterior segment conditions. Intraoperative corneal epithelial debridement was performed when necessary to improve surgical visualization due to corneal surface irregularities or edema. All procedures followed standardized surgical protocols performed by experienced surgeons.",
        "Methods": "Following surgery, all patients received a standardized postoperative regimen that included topical healing eye drops aimed at promoting corneal epithelial regeneration and restoring ocular surface integrity. The treatment protocol was maintained according to institutional guidelines and adjusted when clinically indicated. Patients were prospectively followed for a period of six months after surgery, with scheduled postoperative visits to assess corneal epithelial healing, visual recovery, and the occurrence of any complications related to epithelial debridement or ocular surface impairment. Clinical outcomes were systematically recorded and analyzed.",
        "Results": "Complete epithelial healing was achieved in a mean of four days. However, delayed epithelialization occurred in 12 patients, and 5 patients presented persistent epithelial defects at day 10, necessitating therapeutic escalation. These cases required additional consultations and intensified management, including autologous serum eye drops and amniotic membrane transplantation in refractory situations. Corneal surface disruption generated significant postoperative discomfort and complicated follow-up by limiting fundus visualization, thereby challenging posterior segment assessment and surgical evaluation.",
        "Conclusions": "Intraoperative corneal debridement may lead to chronic epithelial defects and, in some cases, corneal opacity. The cornea thus becomes a major concern for the vitreoretinal surgeon, as its integrity directly determines access to the fundus and the quality of postoperative assessment. These findings underscore the importance of effective prevention and early management in order to preserve corneal transparency.\n\nIn the postoperative setting, the cornea therefore represents both a functional issue for the patient and a technical challenge for the vitreoretinal surgeon."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "PP23.07",
      "abstract_number": "PP23.07",
      "title": "Beyond Digital Strain: Sleep Quality And Lipid Layer Patterns On Vistalipid In Symptomatic Dry Eye",
      "authors": "Dr Carelys Suescum Coelho",
      "presenter": "Dr Carelys Suescum Coelho",
      "normalized_authors": [
        "Carelys Suescum Coelho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carelys Suescum Coelho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Venezuela, Bolivarian Republic Of",
      "sections": {
        "Purpose": "To characterise objective tear film instability and VistaLipid lipid layer patterns in symptomatic dry eye disease (DED) and evaluate whether sleep quality shows a stronger association with lipid layer pattern distribution than screen exposure.",
        "Setting": "Private ophthalmology practice, specialized glaucoma and ocular surface unit.",
        "Methods": "Cross-sectional study of 34 patients (68 eyes; mean age 42.03±8.07 years). Symptoms were graded with the Ocular Surface Disease Index (OSDI). Sleep quality was screened using a short adapted Pittsburgh Sleep Quality Index (PSQI) plus nocturnal habits and screen-time category. Objective testing included VistaLipid interferometry (Types I–IV), tear break-up time (TBUT; <5 s, 5–10 s, >10 s) and tear meniscus height. Eye-level findings were summarised descriptively. To avoid inter-eye dependence for patient-level variables, associations were explored at patient level using the best-eye VistaLipid grade per patient (Spearman correlation; Mann–Whitney U).",
        "Results": "Female sex predominated (32/34, 94.1%). Screen use was reported by 33/34 (97.1%); 12/34 (35.3%) reported >8 h/day. OSDI was severe in 26/34 (76.5%) and moderate in 7/34 (20.6%); poor PSQI occurred in 19/34 (55.9%). TBUT was <5 s in 54/68 eyes (79.4%) and 5–10 s in 14/68 (20.6%); no eye exceeded 10 s. VistaLipid types were: IV 19/68 (27.9%), III 23/68 (33.8%), II 23/68 (33.8%), I 3/68 (4.4%). Poor PSQI correlated with a lower (more Type IV) best-eye VistaLipid grade (rho=−0.424, p=0.012), whereas screen-time category was not significant (rho=0.269, p=0.123). Type IV eyes frequently still had TBUT <5 s (18/19, 94.7%).",
        "Conclusions": "In this symptomatic cohort, objective tear film instability was near-universal and VistaLipid patterns clustered mainly in Types II–IV. Sleep quality showed a significant association with lipid layer pattern distribution beyond screen exposure, highlighting a behavioural axis relevant to DED phenotyping. The frequent coexistence of a Type IV pattern with very short TBUT suggests lipid morphology alone may not predict functional tear stability, supporting combined assessment (sleep screening plus objective tear metrics) to stratify risk and guide personalised ocular surface optimisation. Larger prospective studies are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this symptomatic cohort, objective tear film instability was near-universal and VistaLipid patterns clustered mainly in Types II–IV. Sleep quality showed a significant association with lipid layer pattern distribution beyond screen exposure, highlighting a behavioural axis relevant to DED phenotyping. The frequent coexistence of a Type IV pattern with very short TBUT suggests lipid morphology alone may not…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 361,
      "source_fields": {
        "Abstract Final Identifier": "PP23.07",
        "Title": "Beyond Digital Strain: Sleep Quality And Lipid Layer Patterns On Vistalipid In Symptomatic Dry Eye",
        "Presenting Author(s)": "Dr Carelys Suescum Coelho",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Carelys",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Suescum Coelho",
        "Country Name": "Venezuela, Bolivarian Republic Of",
        "Purpose": "To characterise objective tear film instability and VistaLipid lipid layer patterns in symptomatic dry eye disease (DED) and evaluate whether sleep quality shows a stronger association with lipid layer pattern distribution than screen exposure.",
        "Setting": "Private ophthalmology practice, specialized glaucoma and ocular surface unit.",
        "Methods": "Cross-sectional study of 34 patients (68 eyes; mean age 42.03±8.07 years). Symptoms were graded with the Ocular Surface Disease Index (OSDI). Sleep quality was screened using a short adapted Pittsburgh Sleep Quality Index (PSQI) plus nocturnal habits and screen-time category. Objective testing included VistaLipid interferometry (Types I–IV), tear break-up time (TBUT; <5 s, 5–10 s, >10 s) and tear meniscus height. Eye-level findings were summarised descriptively. To avoid inter-eye dependence for patient-level variables, associations were explored at patient level using the best-eye VistaLipid grade per patient (Spearman correlation; Mann–Whitney U).",
        "Results": "Female sex predominated (32/34, 94.1%). Screen use was reported by 33/34 (97.1%); 12/34 (35.3%) reported >8 h/day. OSDI was severe in 26/34 (76.5%) and moderate in 7/34 (20.6%); poor PSQI occurred in 19/34 (55.9%). TBUT was <5 s in 54/68 eyes (79.4%) and 5–10 s in 14/68 (20.6%); no eye exceeded 10 s. VistaLipid types were: IV 19/68 (27.9%), III 23/68 (33.8%), II 23/68 (33.8%), I 3/68 (4.4%). Poor PSQI correlated with a lower (more Type IV) best-eye VistaLipid grade (rho=−0.424, p=0.012), whereas screen-time category was not significant (rho=0.269, p=0.123). Type IV eyes frequently still had TBUT <5 s (18/19, 94.7%).",
        "Conclusions": "In this symptomatic cohort, objective tear film instability was near-universal and VistaLipid patterns clustered mainly in Types II–IV. Sleep quality showed a significant association with lipid layer pattern distribution beyond screen exposure, highlighting a behavioural axis relevant to DED phenotyping. The frequent coexistence of a Type IV pattern with very short TBUT suggests lipid morphology alone may not predict functional tear stability, supporting combined assessment (sleep screening plus objective tear metrics) to stratify risk and guide personalised ocular surface optimisation. Larger prospective studies are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 362
    },
    {
      "uid": "PP23.08",
      "abstract_number": "PP23.08",
      "title": "Quality, Reliability, And Readability Of Online Information On Blepharitis: A Cross-Sectional Assessment Using Jama, Discern, And Honcode Criteria",
      "authors": "Dr Dalia Abdulhussein",
      "presenter": "Dr Dalia Abdulhussein",
      "normalized_authors": [
        "Dalia Abdulhussein"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Dalia Abdulhussein",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To evaluate the quality, reliability, and readability of patient-directed websites providing information on blepharitis. Blepharitis is a highly prevalent chronic eyelid condition, and patients increasingly seek online health information before or after clinical consultations. However, the accuracy, completeness, and accessibility of web-based content remains poorly characterized. This study aims to assess whether online blepharitis information meets recommended standards for quality, reliability, and health literacy, and to compare performance across different source types.",
        "Setting": "Cross-sectional analysis of English-language websites retrieved using the search term \"blepharitis\" conducted in February 2026. Websites were evaluated by two independent reviewers using validated quality and readability assessment instruments.",
        "Methods": "The first 50 patient-directed English-language websites on blepharitis were identified and categorized by source type (institutional 60%, information portal 24%, commercial 16%). Quality was assessed using JAMA benchmarks (0-4), DISCERN instrument (16-80), and HONcode principles (0-8). Readability was evaluated using five validated indices: Flesch-Kincaid Reading Ease and Grade Level, Gunning Fog, SMOG, and Coleman-Liau. Content analysis documented discussion of pathogenesis, management options, and red flag symptoms. Inter-rater reliability was calculated and mean scores between reviewers were used for analysis.",
        "Results": "Fifty websites were analyzed with median word count 1290 (IQR 704-2736). Mean quality scores were: JAMA 1.38±0.98/4, DISCERN 44.88±8.50/80, and HONcode 3.78±0.99/8. Mean Flesch-Kincaid Reading Ease was 41.7±17.4 (difficult reading level), with only 6% of websites achieving ≥60 (fairly easy threshold). Mean Flesch-Kincaid Grade Level was 11.7±2.6, with only 4% at recommended ≤8th grade level. Other readability indices confirmed high complexity: Gunning Fog 13.6±2.6, SMOG 10.3±1.8, Coleman-Liau 14.9±3.0. Content analysis showed 88% discussed pathogenesis, 92% mentioned management, but only 24% included red flag warnings and 24% mentioned Demodex.",
        "Conclusions": "Online information on blepharitis demonstrates moderate quality and reliability but poor readability, with 96% of websites written above the recommended 8th-grade reading level. This exceeds health literacy capabilities of most patients and may limit comprehension and treatment adherence. Quality scores across all three validated instruments indicate substantial room for improvement in authorship transparency, evidence attribution, and complete treatment information. The paucity of red flag symptoms and limited Demodex discussion represents significant educational gaps. Clinicians should direct patients toward high-quality, readable institutional sources and consider these literacy barriers when counseling patients who use online resources."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Online information on blepharitis demonstrates moderate quality and reliability but poor readability, with 96% of websites written above the recommended 8th-grade reading level. This exceeds health literacy capabilities of most patients and may limit comprehension and treatment adherence. Quality scores across all three validated instruments indicate substantial room for improvement in authorship transparency,…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 362,
      "source_fields": {
        "Abstract Final Identifier": "PP23.08",
        "Title": "Quality, Reliability, And Readability Of Online Information On Blepharitis: A Cross-Sectional Assessment Using Jama, Discern, And Honcode Criteria",
        "Presenting Author(s)": "Dr Dalia Abdulhussein",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Dalia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abdulhussein",
        "Country Name": "United Kingdom",
        "Purpose": "To evaluate the quality, reliability, and readability of patient-directed websites providing information on blepharitis. Blepharitis is a highly prevalent chronic eyelid condition, and patients increasingly seek online health information before or after clinical consultations. However, the accuracy, completeness, and accessibility of web-based content remains poorly characterized. This study aims to assess whether online blepharitis information meets recommended standards for quality, reliability, and health literacy, and to compare performance across different source types.",
        "Setting": "Cross-sectional analysis of English-language websites retrieved using the search term \"blepharitis\" conducted in February 2026. Websites were evaluated by two independent reviewers using validated quality and readability assessment instruments.",
        "Methods": "The first 50 patient-directed English-language websites on blepharitis were identified and categorized by source type (institutional 60%, information portal 24%, commercial 16%). Quality was assessed using JAMA benchmarks (0-4), DISCERN instrument (16-80), and HONcode principles (0-8). Readability was evaluated using five validated indices: Flesch-Kincaid Reading Ease and Grade Level, Gunning Fog, SMOG, and Coleman-Liau. Content analysis documented discussion of pathogenesis, management options, and red flag symptoms. Inter-rater reliability was calculated and mean scores between reviewers were used for analysis.",
        "Results": "Fifty websites were analyzed with median word count 1290 (IQR 704-2736). Mean quality scores were: JAMA 1.38±0.98/4, DISCERN 44.88±8.50/80, and HONcode 3.78±0.99/8. Mean Flesch-Kincaid Reading Ease was 41.7±17.4 (difficult reading level), with only 6% of websites achieving ≥60 (fairly easy threshold). Mean Flesch-Kincaid Grade Level was 11.7±2.6, with only 4% at recommended ≤8th grade level. Other readability indices confirmed high complexity: Gunning Fog 13.6±2.6, SMOG 10.3±1.8, Coleman-Liau 14.9±3.0. Content analysis showed 88% discussed pathogenesis, 92% mentioned management, but only 24% included red flag warnings and 24% mentioned Demodex.",
        "Conclusions": "Online information on blepharitis demonstrates moderate quality and reliability but poor readability, with 96% of websites written above the recommended 8th-grade reading level. This exceeds health literacy capabilities of most patients and may limit comprehension and treatment adherence. Quality scores across all three validated instruments indicate substantial room for improvement in authorship transparency, evidence attribution, and complete treatment information. The paucity of red flag symptoms and limited Demodex discussion represents significant educational gaps. Clinicians should direct patients toward high-quality, readable institutional sources and consider these literacy barriers when counseling patients who use online resources."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 389
    },
    {
      "uid": "PP23.09",
      "abstract_number": "PP23.09",
      "title": "Effectivity Of Intense Pulsed Light Therapy Combined With Meibomian Gland\nExpression For Patients With Dry Eye Disease Secondary To Meibomian Gland\nDysfunction: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials",
      "authors": "Dr Damara Andalia",
      "presenter": "Dr Damara Andalia",
      "normalized_authors": [
        "Damara Andalia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Damara Andalia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Indonesia",
      "sections": {
        "Purpose": "Meibomian gland dysfunction (MGD) is a leading cause of dry eye disease (DED), a prevalent ocular surface disorder. Intense pulsed light (IPL) combined with meibomian gland expression (MGX) has emerged as a therapeutic option, however its comparative effectiveness remains uncertain. This study aimed to evaluate the effectiveness of combined IPL therapy and MGX in the management of DED secondary to MGD.",
        "Setting": "This study was conducted as a systematic review and meta-analysis of randomized controlled trials performed in ophthalmology clinical settings. Literature searches were performed in Cochrane, PubMed, ScienceDirect, EBSCO, and ProQuest databases.",
        "Methods": "A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted using Cochrane, PubMed, ScienceDirect, EBSCO, and ProQuest. Eligible studies compared IPL combined with MGX versus control interventions in patients with DED secondary to MGD. Risk of bias was assessed using standardized criteria, and certainty of evidence was evaluated. Outcomes were pooled using standardized mean differences (SMDs) with 95% confidence intervals (CIs). Statistical heterogeneity was quantified using the I² statistic.",
        "Results": "Nine RCTs involving 581 patients (1,162 eyes) met inclusion criteria. Compared with control treatments, IPL combined with MGX significantly improved tear break-up time (TBUT) (SMD 0.68; 95% CI 0.27–1.10; I² = 87%) and meibomian gland yielding secretion score (MGYSS) (SMD 0.90; 95% CI 0.12–1.68; I² = 86%). Corneal fluorescein staining (CFS) showed no statistically significant difference (SMD 0.33; 95% CI −0.39 to 1.05). Symptom scores demonstrated variable results, SPEED showed a non-significant trend toward improvement (SMD 0.65; 95% CI −0.07 to 1.36), while OSDI revealed no significant difference (SMD 0.00; 95% CI −0.43 to 0.43; I² = 36%). Substantial heterogeneity was observed across several outcomes.",
        "Conclusions": "IPL combined with MGX improves objective clinical parameters of tear film stability and meibomian gland function in DED secondary to MGD. However, improvements in patient reported symptoms are inconsistent and heterogeneity among studies is considerable. The therapy appears safe, with predominantly mild and transient adverse events."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "IPL combined with MGX improves objective clinical parameters of tear film stability and meibomian gland function in DED secondary to MGD. However, improvements in patient reported symptoms are inconsistent and heterogeneity among studies is considerable. The therapy appears safe, with predominantly mild and transient adverse events.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 363,
      "source_fields": {
        "Abstract Final Identifier": "PP23.09",
        "Title": "Effectivity Of Intense Pulsed Light Therapy Combined With Meibomian Gland\nExpression For Patients With Dry Eye Disease Secondary To Meibomian Gland\nDysfunction: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials",
        "Presenting Author(s)": "Dr Damara Andalia",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Damara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Andalia",
        "Country Name": "Indonesia",
        "Purpose": "Meibomian gland dysfunction (MGD) is a leading cause of dry eye disease (DED), a prevalent ocular surface disorder. Intense pulsed light (IPL) combined with meibomian gland expression (MGX) has emerged as a therapeutic option, however its comparative effectiveness remains uncertain. This study aimed to evaluate the effectiveness of combined IPL therapy and MGX in the management of DED secondary to MGD.",
        "Setting": "This study was conducted as a systematic review and meta-analysis of randomized controlled trials performed in ophthalmology clinical settings. Literature searches were performed in Cochrane, PubMed, ScienceDirect, EBSCO, and ProQuest databases.",
        "Methods": "A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted using Cochrane, PubMed, ScienceDirect, EBSCO, and ProQuest. Eligible studies compared IPL combined with MGX versus control interventions in patients with DED secondary to MGD. Risk of bias was assessed using standardized criteria, and certainty of evidence was evaluated. Outcomes were pooled using standardized mean differences (SMDs) with 95% confidence intervals (CIs). Statistical heterogeneity was quantified using the I² statistic.",
        "Results": "Nine RCTs involving 581 patients (1,162 eyes) met inclusion criteria. Compared with control treatments, IPL combined with MGX significantly improved tear break-up time (TBUT) (SMD 0.68; 95% CI 0.27–1.10; I² = 87%) and meibomian gland yielding secretion score (MGYSS) (SMD 0.90; 95% CI 0.12–1.68; I² = 86%). Corneal fluorescein staining (CFS) showed no statistically significant difference (SMD 0.33; 95% CI −0.39 to 1.05). Symptom scores demonstrated variable results, SPEED showed a non-significant trend toward improvement (SMD 0.65; 95% CI −0.07 to 1.36), while OSDI revealed no significant difference (SMD 0.00; 95% CI −0.43 to 0.43; I² = 36%). Substantial heterogeneity was observed across several outcomes.",
        "Conclusions": "IPL combined with MGX improves objective clinical parameters of tear film stability and meibomian gland function in DED secondary to MGD. However, improvements in patient reported symptoms are inconsistent and heterogeneity among studies is considerable. The therapy appears safe, with predominantly mild and transient adverse events."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 329
    },
    {
      "uid": "PP23.10",
      "abstract_number": "PP23.10",
      "title": "3-Year Re-Audit Of 10-Year Retrospective Review Of Ocular Involvement In Toxic Epidermal Necrolysis At A Tertiary Hospital",
      "authors": "Dr Alexa Korb",
      "presenter": "Dr Alexa Korb",
      "normalized_authors": [
        "Alexa Korb"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Alexa Korb",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are potentially life-threatening diseases of skin and mucosae. Acute ocular involvement is common, presenting in over 50% of TEN cases. Medical management may include lubricating, topical steroid, immunomodulatory and antibiotic eye drops. Amniotic membrane graft (AMG) transplantation may be recommended in severe cases. In spite of its high burden of morbidity and mortality, the evidence base for management of SJS and TEN is currently limited by disease rarity, occurring in 1 to 2 cases per million people. We present the ocular outcomes of ten cases of SJS occurring at a tertiary hospital between 2023-2026 as a re-audit of practice following a 10-year case review.",
        "Setting": "Ophthalmology department, Chelsea and Westminster Hospital, London, United Kingdom.",
        "Methods": "A retrospective case review was conducted of all patients (10 cases) referred with SJS to the ophthalmology service at Chelsea and Westminster Hospital (CWH), a tertiary centre with multidisciplinary expertise including a burns unit, between 2023-2026. 8 cases had progressed to TEN. This was compared to the outcomes of 24 cases audited between 2013-2023. Data collected included ocular involvement, severity (Severity-of-Illness Score for Toxic Epidermal Necrolysis (SCORTEN)), ophthalmology input frequency, medical/surgical management, days to amniotic membrane transplantation and ocular outcomes at follow-up after discharge. Data was compared with the CWH TEN management protocol as a standard.",
        "Results": "Of 10 cases in the current audit, all but one (90%) had ocular involvement. Of those applicable (9 cases), ocular disease severity varied (moderate-to-severe (1 case), severe (6 cases), extremely severe (2 cases)). A moderate positive correlation (Correlation Coefficient=0.46) was observed between ocular severity and SCORTEN score. 7 patients underwent AMG transplantation; minimal ocular complications were noted at final outpatient follow-up. 2 patients passed away during their inpatient stay.\n\nIn the previous sample, 2/3 had worsening vision post-TEN. At final follow-up of the current sample, all surviving patients achieved a mean visual acuity (VA) across all eyes of logMAR -0.01 (±0.08); mean VA in the TEN group was -0.02 (±0.10).",
        "Conclusions": "Early and frequent ophthalmic input in SJS/TEN is paramount to optimise management of these rare but life-threatening conditions. The outstanding visual security achieved at final follow-up can be attributed to several changes in practice: earlier amniotic membrane grafting- often before epithelial defect onset, the addition of corneal expertise, earlier infection identification and reduced topical corticosteroid intensity . Management also benefitted from a single-centre multidisciplinary team presence. Mortality was greater in the current audit (20% in currently : 4% previously) although sample size reduced (10 cases vs. 24 cases). Ongoing service evaluation and adherence to a strict protocol aligns with future improvement of outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Early and frequent ophthalmic input in SJS/TEN is paramount to optimise management of these rare but life-threatening conditions. The outstanding visual security achieved at final follow-up can be attributed to several changes in practice: earlier amniotic membrane grafting- often before epithelial defect onset, the addition of corneal expertise, earlier infection identification and reduced topical corticosteroid…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 364,
      "source_fields": {
        "Abstract Final Identifier": "PP23.10",
        "Title": "3-Year Re-Audit Of 10-Year Retrospective Review Of Ocular Involvement In Toxic Epidermal Necrolysis At A Tertiary Hospital",
        "Presenting Author(s)": "Dr Alexa Korb",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Alexa",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Korb",
        "Country Name": "United Kingdom",
        "Purpose": "Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are potentially life-threatening diseases of skin and mucosae. Acute ocular involvement is common, presenting in over 50% of TEN cases. Medical management may include lubricating, topical steroid, immunomodulatory and antibiotic eye drops. Amniotic membrane graft (AMG) transplantation may be recommended in severe cases. In spite of its high burden of morbidity and mortality, the evidence base for management of SJS and TEN is currently limited by disease rarity, occurring in 1 to 2 cases per million people. We present the ocular outcomes of ten cases of SJS occurring at a tertiary hospital between 2023-2026 as a re-audit of practice following a 10-year case review.",
        "Setting": "Ophthalmology department, Chelsea and Westminster Hospital, London, United Kingdom.",
        "Methods": "A retrospective case review was conducted of all patients (10 cases) referred with SJS to the ophthalmology service at Chelsea and Westminster Hospital (CWH), a tertiary centre with multidisciplinary expertise including a burns unit, between 2023-2026. 8 cases had progressed to TEN. This was compared to the outcomes of 24 cases audited between 2013-2023. Data collected included ocular involvement, severity (Severity-of-Illness Score for Toxic Epidermal Necrolysis (SCORTEN)), ophthalmology input frequency, medical/surgical management, days to amniotic membrane transplantation and ocular outcomes at follow-up after discharge. Data was compared with the CWH TEN management protocol as a standard.",
        "Results": "Of 10 cases in the current audit, all but one (90%) had ocular involvement. Of those applicable (9 cases), ocular disease severity varied (moderate-to-severe (1 case), severe (6 cases), extremely severe (2 cases)). A moderate positive correlation (Correlation Coefficient=0.46) was observed between ocular severity and SCORTEN score. 7 patients underwent AMG transplantation; minimal ocular complications were noted at final outpatient follow-up. 2 patients passed away during their inpatient stay.\n\nIn the previous sample, 2/3 had worsening vision post-TEN. At final follow-up of the current sample, all surviving patients achieved a mean visual acuity (VA) across all eyes of logMAR -0.01 (±0.08); mean VA in the TEN group was -0.02 (±0.10).",
        "Conclusions": "Early and frequent ophthalmic input in SJS/TEN is paramount to optimise management of these rare but life-threatening conditions. The outstanding visual security achieved at final follow-up can be attributed to several changes in practice: earlier amniotic membrane grafting- often before epithelial defect onset, the addition of corneal expertise, earlier infection identification and reduced topical corticosteroid intensity . Management also benefitted from a single-centre multidisciplinary team presence. Mortality was greater in the current audit (20% in currently : 4% previously) although sample size reduced (10 cases vs. 24 cases). Ongoing service evaluation and adherence to a strict protocol aligns with future improvement of outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 437
    },
    {
      "uid": "PP23.11",
      "abstract_number": "PP23.11",
      "title": "Comparative Clinical And In Vivo Confocal Microscopy Outcomes Of Medical And Surgical Regenerative Strategies For Neurotrophic Keratopathy",
      "authors": "Dr Chiara Bonzano",
      "presenter": "Dr Chiara Bonzano",
      "normalized_authors": [
        "Chiara Bonzano"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chiara Bonzano",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Neurotrophic keratopathy (NK) is a rare degenerative corneal disease characterized by reduced corneal sensitivity, epithelial breakdown, and risk of ulceration due to trigeminal nerve impairment. Regenerative approaches have recently emerged to restore ocular surface homeostasis and corneal innervation. This study evaluates the clinical response to different medical and surgical regenerative strategies in moderate-to-advanced NK, focusing on corneal sensory recovery and structural nerve regeneration assessed through multimodal imaging.",
        "Setting": "University Eye Clinic, IRCCS Ospedale Policlinico San Martino, AOM, University of Genoa, Italy",
        "Methods": "Twenty-seven eyes with moderate-to-advanced NK were retrospectively analyzed. Patients were treated with different regenerative strategies including recombinant human nerve growth factor (cenegermin), thymosin β4, or minimally invasive indirect corneal neurotization. Clinical evaluation included corneal sensitivity measured with the Cochet-Bonnet esthesiometer, Schirmer I test, tear film break-up time (BUT), Ocular Surface Disease Index (OSDI), anterior segment optical coherence tomography (AS-OCT), and in vivo confocal microscopy to assess corneal nerve regeneration. Outcomes during the first six months after treatment were analyzed.",
        "Results": "All treatment groups showed epithelial healing. Treatment with recombinant human nerve growth factor resulted in rapid improvement of corneal sensitivity, exceeding 10 mm on Cochet-Bonnet esthesiometry within two months, with a reduction of Ocular Surface Disease Index scores. Thymosin β4 produced gradual symptomatic improvement and stabilization of tear film parameters, although recurrence occurred in one eye after treatment discontinuation. In surgically treated eyes, recovery of corneal sensitivity exceeding 15 mm was observed within two months. In vivo confocal microscopy demonstrated subepithelial nerve regeneration, while AS-OCT confirmed epithelial restoration and surface stabilization.",
        "Conclusions": "Different regenerative strategies may effectively restore ocular surface integrity in neurotrophic keratopathy but show distinct response profiles depending on the severity of trigeminal nerve impairment. Medical therapies can promote epithelial healing and support corneal nerve recovery, particularly when some degree of innervation persists, whereas corneal neurotization may provide structural restoration in cases of severe trigeminal damage. Multimodal imaging with anterior segment optical coherence tomography and in vivo confocal microscopy may help document structural recovery and support personalized management of neurotrophic keratopathy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Different regenerative strategies may effectively restore ocular surface integrity in neurotrophic keratopathy but show distinct response profiles depending on the severity of trigeminal nerve impairment. Medical therapies can promote epithelial healing and support corneal nerve recovery, particularly when some degree of innervation persists, whereas corneal neurotization may provide structural restoration in cases…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 365,
      "source_fields": {
        "Abstract Final Identifier": "PP23.11",
        "Title": "Comparative Clinical And In Vivo Confocal Microscopy Outcomes Of Medical And Surgical Regenerative Strategies For Neurotrophic Keratopathy",
        "Presenting Author(s)": "Dr Chiara Bonzano",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Chiara",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bonzano",
        "Country Name": "Italy",
        "Purpose": "Neurotrophic keratopathy (NK) is a rare degenerative corneal disease characterized by reduced corneal sensitivity, epithelial breakdown, and risk of ulceration due to trigeminal nerve impairment. Regenerative approaches have recently emerged to restore ocular surface homeostasis and corneal innervation. This study evaluates the clinical response to different medical and surgical regenerative strategies in moderate-to-advanced NK, focusing on corneal sensory recovery and structural nerve regeneration assessed through multimodal imaging.",
        "Setting": "University Eye Clinic, IRCCS Ospedale Policlinico San Martino, AOM, University of Genoa, Italy",
        "Methods": "Twenty-seven eyes with moderate-to-advanced NK were retrospectively analyzed. Patients were treated with different regenerative strategies including recombinant human nerve growth factor (cenegermin), thymosin β4, or minimally invasive indirect corneal neurotization. Clinical evaluation included corneal sensitivity measured with the Cochet-Bonnet esthesiometer, Schirmer I test, tear film break-up time (BUT), Ocular Surface Disease Index (OSDI), anterior segment optical coherence tomography (AS-OCT), and in vivo confocal microscopy to assess corneal nerve regeneration. Outcomes during the first six months after treatment were analyzed.",
        "Results": "All treatment groups showed epithelial healing. Treatment with recombinant human nerve growth factor resulted in rapid improvement of corneal sensitivity, exceeding 10 mm on Cochet-Bonnet esthesiometry within two months, with a reduction of Ocular Surface Disease Index scores. Thymosin β4 produced gradual symptomatic improvement and stabilization of tear film parameters, although recurrence occurred in one eye after treatment discontinuation. In surgically treated eyes, recovery of corneal sensitivity exceeding 15 mm was observed within two months. In vivo confocal microscopy demonstrated subepithelial nerve regeneration, while AS-OCT confirmed epithelial restoration and surface stabilization.",
        "Conclusions": "Different regenerative strategies may effectively restore ocular surface integrity in neurotrophic keratopathy but show distinct response profiles depending on the severity of trigeminal nerve impairment. Medical therapies can promote epithelial healing and support corneal nerve recovery, particularly when some degree of innervation persists, whereas corneal neurotization may provide structural restoration in cases of severe trigeminal damage. Multimodal imaging with anterior segment optical coherence tomography and in vivo confocal microscopy may help document structural recovery and support personalized management of neurotrophic keratopathy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 331
    },
    {
      "uid": "PP23.12",
      "abstract_number": "PP23.12",
      "title": "Efficacy And Safety Of Dual Polymer Hyaluronic Acid/Hydroxypropyl Guar Artificial Tears In Rheumatoid Arthritis–Associated Dry Eye Disease: A 12 Week Prospective Interventional Study",
      "authors": "Dr Chi-Chin Sun",
      "presenter": "Dr Chi-Chin Sun",
      "normalized_authors": [
        "Chi-Chin Sun"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Chi-Chin Sun",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Taiwan",
      "sections": {
        "Purpose": "To evaluate the adjunctive efficacy and safety of dual‑polymer hyaluronic acid (HA)/hydroxypropyl‑guar (HPG) artificial tears in rheumatoid arthritis–associated dry eye disease (RA‑DED) among patients who remained symptomatic despite a stable 0.1% fluorometholone regimen. The primary objective was the Month‑1 change in symptoms by the Ocular Surface Disease Index (OSDI). Secondary objectives assessed non‑invasive tear break‑up time (NITBUT), corneal fluorescein staining (CFS; NEI scale), Schirmer’s test (without anesthesia), and tear meniscus height (TMH) over 12 weeks, with prospectively defined safety evaluations.",
        "Setting": "Single‑centre, prospective, open‑label, interventional study conducted at Chang Gung Memorial Hospital, Keelung, Taiwan; approved by the Chang Gung Medical Foundation IRB (No. 202301617B0A3) and registered on ClinicalTrials.gov (NCT06209879). Study flow: 2‑week screening, 2‑week wash‑out, baseline (Day 0), and 12‑week treatment with monthly visits (Days 28/56/84).",
        "Methods": "Adults with stable RA (ACR/EULAR 2010) and DED (TFOS DEWS II) symptomatic on a steroid‑based regimen entered a 2‑week wash‑out, then received 0.15% HA with HPG artificial tears (1–2 drops QID, both eyes) plus 0.1% fluorometholone (TID; ≥5‑min interval) for 12 weeks; no other topical therapies were allowed. Efficacy: OSDI (primary at Day 28), NITBUT by LipiView® II, CFS (NEI scale), Schirmer’s (no anesthesia), TMH; safety included slit‑lamp biomicroscopy, visual acuity, and adverse events. Statistics: Shapiro-Wilk, paired t‑/Wilcoxon tests with Bonferroni as needed, and linear mixed models (time + baseline fixed; subject random). Of 39 screened, 37 enrolled; 36 completed (per‑protocol).",
        "Results": "OSDI improved from 26.5 ± 10.78 to 22.1 ± 11.20 at Day 28 (mean change −4.4 ± 10.28; 95% CI −7.89 to −0.94; p=0.014); reductions persisted through Day 84 (Day 56: −4.0 ± 14.66; p=0.111; Day 84: −3.3 ± 10.80; p=0.078). CFS decreased significantly on Day 56 (−0.8 ± 2.15; p=0.034) and on Day 84 (−1.3 ± 2.25; p=0.001). NITBUT showed small, non‑significant increases (largest on Day 84), while Schirmer’s test and TMH showed no significant change. No adverse events occurred; slit‑lamp and visual acuity remained clinically stable throughout.",
        "Conclusions": "Adjunctive dual‑polymer HPG/HA artificial tears added to a stable corticosteroid regimen were well tolerated and produced clinically meaningful improvements in symptoms (OSDI) by one month and progressive reductions in corneal staining by three months in RA‑DED. While tear stability and aqueous metrics did not change significantly, the symptomatic and epithelial benefits support this regimen as a useful option for RA‑DED management. Larger controlled trials are warranted."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Adjunctive dual‑polymer HPG/HA artificial tears added to a stable corticosteroid regimen were well tolerated and produced clinically meaningful improvements in symptoms (OSDI) by one month and progressive reductions in corneal staining by three months in RA‑DED. While tear stability and aqueous metrics did not change significantly, the symptomatic and epithelial benefits support this regimen as a useful option for…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 366,
      "source_fields": {
        "Abstract Final Identifier": "PP23.12",
        "Title": "Efficacy And Safety Of Dual Polymer Hyaluronic Acid/Hydroxypropyl Guar Artificial Tears In Rheumatoid Arthritis–Associated Dry Eye Disease: A 12 Week Prospective Interventional Study",
        "Presenting Author(s)": "Dr Chi-Chin Sun",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Chi-Chin",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sun",
        "Country Name": "Taiwan",
        "Purpose": "To evaluate the adjunctive efficacy and safety of dual‑polymer hyaluronic acid (HA)/hydroxypropyl‑guar (HPG) artificial tears in rheumatoid arthritis–associated dry eye disease (RA‑DED) among patients who remained symptomatic despite a stable 0.1% fluorometholone regimen. The primary objective was the Month‑1 change in symptoms by the Ocular Surface Disease Index (OSDI). Secondary objectives assessed non‑invasive tear break‑up time (NITBUT), corneal fluorescein staining (CFS; NEI scale), Schirmer’s test (without anesthesia), and tear meniscus height (TMH) over 12 weeks, with prospectively defined safety evaluations.",
        "Setting": "Single‑centre, prospective, open‑label, interventional study conducted at Chang Gung Memorial Hospital, Keelung, Taiwan; approved by the Chang Gung Medical Foundation IRB (No. 202301617B0A3) and registered on ClinicalTrials.gov (NCT06209879). Study flow: 2‑week screening, 2‑week wash‑out, baseline (Day 0), and 12‑week treatment with monthly visits (Days 28/56/84).",
        "Methods": "Adults with stable RA (ACR/EULAR 2010) and DED (TFOS DEWS II) symptomatic on a steroid‑based regimen entered a 2‑week wash‑out, then received 0.15% HA with HPG artificial tears (1–2 drops QID, both eyes) plus 0.1% fluorometholone (TID; ≥5‑min interval) for 12 weeks; no other topical therapies were allowed. Efficacy: OSDI (primary at Day 28), NITBUT by LipiView® II, CFS (NEI scale), Schirmer’s (no anesthesia), TMH; safety included slit‑lamp biomicroscopy, visual acuity, and adverse events. Statistics: Shapiro-Wilk, paired t‑/Wilcoxon tests with Bonferroni as needed, and linear mixed models (time + baseline fixed; subject random). Of 39 screened, 37 enrolled; 36 completed (per‑protocol).",
        "Results": "OSDI improved from 26.5 ± 10.78 to 22.1 ± 11.20 at Day 28 (mean change −4.4 ± 10.28; 95% CI −7.89 to −0.94; p=0.014); reductions persisted through Day 84 (Day 56: −4.0 ± 14.66; p=0.111; Day 84: −3.3 ± 10.80; p=0.078). CFS decreased significantly on Day 56 (−0.8 ± 2.15; p=0.034) and on Day 84 (−1.3 ± 2.25; p=0.001). NITBUT showed small, non‑significant increases (largest on Day 84), while Schirmer’s test and TMH showed no significant change. No adverse events occurred; slit‑lamp and visual acuity remained clinically stable throughout.",
        "Conclusions": "Adjunctive dual‑polymer HPG/HA artificial tears added to a stable corticosteroid regimen were well tolerated and produced clinically meaningful improvements in symptoms (OSDI) by one month and progressive reductions in corneal staining by three months in RA‑DED. While tear stability and aqueous metrics did not change significantly, the symptomatic and epithelial benefits support this regimen as a useful option for RA‑DED management. Larger controlled trials are warranted."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 434
    },
    {
      "uid": "PP23.13",
      "abstract_number": "PP23.13",
      "title": "Dupilumab In Patients With Vernal Keratoconjunctivitis And Concomitant Atopic Dermatitis: A Case Series And Literature Review",
      "authors": "Dr Denise Wajnsztajn",
      "presenter": "Dr Denise Wajnsztajn",
      "normalized_authors": [
        "Denise Wajnsztajn"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Denise Wajnsztajn",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Israel",
      "sections": {
        "Purpose": "To present our clinical experience with systemic Dupilumab in patients diagnosed with vernal keratoconjunctivitis (VKC) and concomitant atopic dermatitis (AD) and to review the literature on other potential immunobiologic therapies for VKC.",
        "Setting": "Hadassah Medical Center - Hebrew University Hospital.",
        "Methods": "A retrospective chart review was conducted on three pediatric patients who initiated Dupilumab therapy for AD following a diagnosis of VKC. Additionally, a literature review was performed to evaluate other emerging immunobiologic treatments for VKC.",
        "Results": "Two males (8 and 10 years) presented with a shield ulcer in 1 eye and underwent keratectomy. One of them had CXL for progressive KC in the contralateral eye which was complicated by shield ulcer formation. The third patient (9 years) presented to the emergency with bilateral confluent PEEs. All patients had been treated with topical tacrolimus following VKC diagnosis, with frequent flare-ups needing topical steroids. All 3 patients were initiated on systemic Dupilumab for AD. The first 2 patients experienced significant improvement in both VKC and AD, while the 3 rd patient continued to require rescue steroid drops and skin creams. No Dupilumab-adverse events were observed. We reviewed the literature for other immunobiologic VKC therapies.",
        "Conclusions": "Despite potential ocular surface side effects such as conjunctivitis, systemic Dupilumab may serve as an effective adjunctive therapy for VKC in patients with concomitant AD, particularly in those with refractory disease. Emerging immunobiologic therapies hold promise for refractory VKC management, warranting further investigation into their efficacy and safety."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Despite potential ocular surface side effects such as conjunctivitis, systemic Dupilumab may serve as an effective adjunctive therapy for VKC in patients with concomitant AD, particularly in those with refractory disease. Emerging immunobiologic therapies hold promise for refractory VKC management, warranting further investigation into their efficacy and safety.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 367,
      "source_fields": {
        "Abstract Final Identifier": "PP23.13",
        "Title": "Dupilumab In Patients With Vernal Keratoconjunctivitis And Concomitant Atopic Dermatitis: A Case Series And Literature Review",
        "Presenting Author(s)": "Dr Denise Wajnsztajn",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Denise",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Wajnsztajn",
        "Country Name": "Israel",
        "Purpose": "To present our clinical experience with systemic Dupilumab in patients diagnosed with vernal keratoconjunctivitis (VKC) and concomitant atopic dermatitis (AD) and to review the literature on other potential immunobiologic therapies for VKC.",
        "Setting": "Hadassah Medical Center - Hebrew University Hospital.",
        "Methods": "A retrospective chart review was conducted on three pediatric patients who initiated Dupilumab therapy for AD following a diagnosis of VKC. Additionally, a literature review was performed to evaluate other emerging immunobiologic treatments for VKC.",
        "Results": "Two males (8 and 10 years) presented with a shield ulcer in 1 eye and underwent keratectomy. One of them had CXL for progressive KC in the contralateral eye which was complicated by shield ulcer formation. The third patient (9 years) presented to the emergency with bilateral confluent PEEs. All patients had been treated with topical tacrolimus following VKC diagnosis, with frequent flare-ups needing topical steroids. All 3 patients were initiated on systemic Dupilumab for AD. The first 2 patients experienced significant improvement in both VKC and AD, while the 3 rd patient continued to require rescue steroid drops and skin creams. No Dupilumab-adverse events were observed. We reviewed the literature for other immunobiologic VKC therapies.",
        "Conclusions": "Despite potential ocular surface side effects such as conjunctivitis, systemic Dupilumab may serve as an effective adjunctive therapy for VKC in patients with concomitant AD, particularly in those with refractory disease. Emerging immunobiologic therapies hold promise for refractory VKC management, warranting further investigation into their efficacy and safety."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "PP23.14",
      "abstract_number": "PP23.14",
      "title": "Peripheral Ulcerative Keratitis And Rheumatoid Arthritis: The Devastating Impact Of Medication Non-Adherence On Corneal Integrity",
      "authors": "Dr Doğukan Yaman",
      "presenter": "Dr Doğukan Yaman",
      "normalized_authors": [
        "Doğukan Yaman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Doğukan Yaman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Peripheral ulcerative keratitis (PUK) is a rare but vision-threatening disorder characterized by crescentic stromal thinning and ulceration of the peripheral cornea. It is often associated with systemic autoimmune diseases particularly rheumatoid arthritis(RA), where immune-mediated inflammation causes stromal destruction. However, PUK may occur without previously diagnosed systemic disease, making diagnosis difficult. Due to rapid progression and risk of corneal melting or perforation, PUK is an ophthalmic emergency. We present a case of RA-associated PUK with severe peripheral corneal thinning requiring urgent surgical management and highlight the importance of early multidisciplinary treatment to prevent vision-threatening complications.",
        "Setting": "This case was managed in a tertiary ophthalmology referral center with slit-lamp biomicroscopy and anterior segment OCT (AS-OCT). Due to the high risk of corneal perforation, the patient was assessed urgently and carefully. A multidisciplinary approach involving Ophthalmology and Rheumatology teams was promptly established. Surgical treatment was performed in the operating room and postoperative follow-up included close anterior segment monitoring and detailed systemic inflammatory evaluation.",
        "Methods": "An 88-year-old male presented with a 10-day history of ocular pain, foreign body sensation, tearing, and redness in the left eye. Ophthalmic evaluation included best-corrected visual acuity (BCVA), intraocular pressure (IOP), slit-lamp and fundus exam and AS-OCT. Previous records were reviewed. Medical history showed long-standing RA with irregular follow-up and poor adherence. He used methotrexate, prednisolone, hydroxychloroquine, and leflunomide. The patient reported persistent joint pain and morning stiffness. Rheumatologic consultation and exam revealed pain, swelling, redness, and warmth in the right foot with rheumatoid hand deformities. Laboratory tests, including inflammatory markers and rheumatologic tests, were assessed.",
        "Results": "At presentation, BCVA was counting fingers at 1 m in the right eye and hand motion in the left eye. IOP was 14/15 mmHg. Slit-lamp exam showed peripheral corneal thinning with epithelial defect and stromal infiltration consistent with peripheral ulcerative keratitis, conjunctival hyperemia, without perforation. Fundus exam showed a pale optic disc in the right eye and normal left fundus. AS-OCT showed stromal thinning to ~90 µm with central corneal thickness 570 µm, indicating perforation risk. RF and anti-CCP were positive. Multilayer amniotic membrane transplantation was performed. Postoperatively the ocular surface stabilized and corneal integrity remained intact. Rheumatology considered seropositive refractory RA and planned treatment.",
        "Conclusions": "Rheumatoid arthritis–related peripheral ulcerative keratitis is a vision-threatening manifestation of systemic vasculitis. Progressive stromal destruction reflects increased MMP activity and pro-inflammatory cytokines, particularly TNF-α. Early recognition by the ophthalmologist and prompt treatment are essential to prevent corneal melting and perforation. Amniotic membrane transplantation provides tectonic support, promotes epithelial healing, reduces inflammation, and stabilizes the ocular surface during the acute phase. Careful ophthalmic follow-up can be vision-saving for these patients. Close collaboration with rheumatology and early systemic therapy are key to controlling the disease and preventing irreversible visual loss."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Rheumatoid arthritis–related peripheral ulcerative keratitis is a vision-threatening manifestation of systemic vasculitis. Progressive stromal destruction reflects increased MMP activity and pro-inflammatory cytokines, particularly TNF-α. Early recognition by the ophthalmologist and prompt treatment are essential to prevent corneal melting and perforation. Amniotic membrane transplantation provides tectonic…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 368,
      "source_fields": {
        "Abstract Final Identifier": "PP23.14",
        "Title": "Peripheral Ulcerative Keratitis And Rheumatoid Arthritis: The Devastating Impact Of Medication Non-Adherence On Corneal Integrity",
        "Presenting Author(s)": "Dr Doğukan Yaman",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Doğukan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yaman",
        "Country Name": "Türkiye",
        "Purpose": "Peripheral ulcerative keratitis (PUK) is a rare but vision-threatening disorder characterized by crescentic stromal thinning and ulceration of the peripheral cornea. It is often associated with systemic autoimmune diseases particularly rheumatoid arthritis(RA), where immune-mediated inflammation causes stromal destruction. However, PUK may occur without previously diagnosed systemic disease, making diagnosis difficult. Due to rapid progression and risk of corneal melting or perforation, PUK is an ophthalmic emergency. We present a case of RA-associated PUK with severe peripheral corneal thinning requiring urgent surgical management and highlight the importance of early multidisciplinary treatment to prevent vision-threatening complications.",
        "Setting": "This case was managed in a tertiary ophthalmology referral center with slit-lamp biomicroscopy and anterior segment OCT (AS-OCT). Due to the high risk of corneal perforation, the patient was assessed urgently and carefully. A multidisciplinary approach involving Ophthalmology and Rheumatology teams was promptly established. Surgical treatment was performed in the operating room and postoperative follow-up included close anterior segment monitoring and detailed systemic inflammatory evaluation.",
        "Methods": "An 88-year-old male presented with a 10-day history of ocular pain, foreign body sensation, tearing, and redness in the left eye. Ophthalmic evaluation included best-corrected visual acuity (BCVA), intraocular pressure (IOP), slit-lamp and fundus exam and AS-OCT. Previous records were reviewed. Medical history showed long-standing RA with irregular follow-up and poor adherence. He used methotrexate, prednisolone, hydroxychloroquine, and leflunomide. The patient reported persistent joint pain and morning stiffness. Rheumatologic consultation and exam revealed pain, swelling, redness, and warmth in the right foot with rheumatoid hand deformities. Laboratory tests, including inflammatory markers and rheumatologic tests, were assessed.",
        "Results": "At presentation, BCVA was counting fingers at 1 m in the right eye and hand motion in the left eye. IOP was 14/15 mmHg. Slit-lamp exam showed peripheral corneal thinning with epithelial defect and stromal infiltration consistent with peripheral ulcerative keratitis, conjunctival hyperemia, without perforation. Fundus exam showed a pale optic disc in the right eye and normal left fundus. AS-OCT showed stromal thinning to ~90 µm with central corneal thickness 570 µm, indicating perforation risk. RF and anti-CCP were positive. Multilayer amniotic membrane transplantation was performed. Postoperatively the ocular surface stabilized and corneal integrity remained intact. Rheumatology considered seropositive refractory RA and planned treatment.",
        "Conclusions": "Rheumatoid arthritis–related peripheral ulcerative keratitis is a vision-threatening manifestation of systemic vasculitis. Progressive stromal destruction reflects increased MMP activity and pro-inflammatory cytokines, particularly TNF-α. Early recognition by the ophthalmologist and prompt treatment are essential to prevent corneal melting and perforation. Amniotic membrane transplantation provides tectonic support, promotes epithelial healing, reduces inflammation, and stabilizes the ocular surface during the acute phase. Careful ophthalmic follow-up can be vision-saving for these patients. Close collaboration with rheumatology and early systemic therapy are key to controlling the disease and preventing irreversible visual loss."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 451
    },
    {
      "uid": "PP23.15",
      "abstract_number": "PP23.15",
      "title": "Multilayer Amniotic Membrane Transplantation: An Effective Globe-Preserving Approach In Perforated Corneal Disease",
      "authors": "Dr Fadila Lachkar",
      "presenter": "Dr Fadila Lachkar",
      "normalized_authors": [
        "Fadila Lachkar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fadila Lachkar",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Severe corneal ulcers refractory to medical treatment or complicated by perforation represent an ophthalmological emergency threatening both anatomical integrity and visual function of the eye. Prompt management is essential to prevent severe complications. Owing to its anti-inflammatory and pro-healing properties, the amniotic membrane represents an effective therapeutic option, particularly when used as a multilayer graft for deep stromal defects.The aim of this study was to describe our sutured multilayer amniotic membrane transplantation technique and to evaluate its outcomes in a series of ten cases of perforated corneal ulcers and abscesses.",
        "Setting": "This prospective study included ten patients managed at the Ophthalmology Department of Hassan II University Hospital in Fez. All patients underwent multilayer amniotic membrane transplantation. The amniotic membrane used was a cryopreserved lyophilized graft measuring 2 × 3 cm.",
        "Methods": "The surgical technique consisted of dividing the amniotic membrane into four to five fragments. Each layer was secured using two cardinal sutures with 10-0 monofilament. With each additional layer, sutures were anchored to the previously fixed layers to enhance graft stability. Postoperative follow-up included spectral-domain optical coherence tomography (SD-OCT) performed in all patients at day 1, day 7, day 15, month 1, and month 3.",
        "Results": "Ten patients were included, comprising six men and four women.The mean age was 53.3 years . Etiologies included two exposure ulcers, four immune-mediated ulcers, three refractory infected ulcers, and one perforated corneal abscess, predominantly located in the central or paracentral cornea The mean perforation size was 3.2 mm. Mean preoperative stromal thickness was 200 µm, ranging from complete stromal loss to 320 µm. Favorable anatomical outcomes were achieved in nine patients, with complete perforation closure and ulcer healing. The mean epithelial healing time was 13 days (range: 8–18 days). Mean amniotic membrane resorption time was 8 days (range: 5–13 days). Functionally, a mean visual improvement of 3.5 lines was observed.",
        "Conclusions": "Amniotic membrane transplantation represents an effective therapeutic alternative for small- to medium-sized corneal perforations. The five-layer technique (four inlay layers and one overlay) offers several advantages, including progressive stromal filling and improved mechanical resistance with enhanced sealing achieved through fixation to previously sutured layers. The use of two cardinal sutures per layer provides adequate stabilization while minimizing tissue trauma. Compared with emergency penetrating keratoplasty, this approach represents a conservative strategy particularly suitable in active infectious or inflammatory settings."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Amniotic membrane transplantation represents an effective therapeutic alternative for small- to medium-sized corneal perforations. The five-layer technique (four inlay layers and one overlay) offers several advantages, including progressive stromal filling and improved mechanical resistance with enhanced sealing achieved through fixation to previously sutured layers. The use of two cardinal sutures per layer…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 369,
      "source_fields": {
        "Abstract Final Identifier": "PP23.15",
        "Title": "Multilayer Amniotic Membrane Transplantation: An Effective Globe-Preserving Approach In Perforated Corneal Disease",
        "Presenting Author(s)": "Dr Fadila Lachkar",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Fadila",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Lachkar",
        "Country Name": "Morocco",
        "Purpose": "Severe corneal ulcers refractory to medical treatment or complicated by perforation represent an ophthalmological emergency threatening both anatomical integrity and visual function of the eye. Prompt management is essential to prevent severe complications. Owing to its anti-inflammatory and pro-healing properties, the amniotic membrane represents an effective therapeutic option, particularly when used as a multilayer graft for deep stromal defects.The aim of this study was to describe our sutured multilayer amniotic membrane transplantation technique and to evaluate its outcomes in a series of ten cases of perforated corneal ulcers and abscesses.",
        "Setting": "This prospective study included ten patients managed at the Ophthalmology Department of Hassan II University Hospital in Fez. All patients underwent multilayer amniotic membrane transplantation. The amniotic membrane used was a cryopreserved lyophilized graft measuring 2 × 3 cm.",
        "Methods": "The surgical technique consisted of dividing the amniotic membrane into four to five fragments. Each layer was secured using two cardinal sutures with 10-0 monofilament. With each additional layer, sutures were anchored to the previously fixed layers to enhance graft stability. Postoperative follow-up included spectral-domain optical coherence tomography (SD-OCT) performed in all patients at day 1, day 7, day 15, month 1, and month 3.",
        "Results": "Ten patients were included, comprising six men and four women.The mean age was 53.3 years . Etiologies included two exposure ulcers, four immune-mediated ulcers, three refractory infected ulcers, and one perforated corneal abscess, predominantly located in the central or paracentral cornea The mean perforation size was 3.2 mm. Mean preoperative stromal thickness was 200 µm, ranging from complete stromal loss to 320 µm. Favorable anatomical outcomes were achieved in nine patients, with complete perforation closure and ulcer healing. The mean epithelial healing time was 13 days (range: 8–18 days). Mean amniotic membrane resorption time was 8 days (range: 5–13 days). Functionally, a mean visual improvement of 3.5 lines was observed.",
        "Conclusions": "Amniotic membrane transplantation represents an effective therapeutic alternative for small- to medium-sized corneal perforations. The five-layer technique (four inlay layers and one overlay) offers several advantages, including progressive stromal filling and improved mechanical resistance with enhanced sealing achieved through fixation to previously sutured layers. The use of two cardinal sutures per layer provides adequate stabilization while minimizing tissue trauma. Compared with emergency penetrating keratoplasty, this approach represents a conservative strategy particularly suitable in active infectious or inflammatory settings."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 387
    },
    {
      "uid": "PP24.01",
      "abstract_number": "PP24.01",
      "title": "Comparative Visual Outcomes, Spectacle Independence, And Patient Satisfaction With A Diffractive Trifocal Or A Novel Non-Diffractive Presbyopia-Correcting Intraocular Lens: A Preliminary Analysis",
      "authors": "Mrs Laura Mariñas García",
      "presenter": "Mrs Laura Mariñas García",
      "normalized_authors": [
        "Laura Mariñas García"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura Mariñas García",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "The objective of this study was to evaluate and compare the visual performance, spectacle independence and subjective patients’ satisfaction in patients who underwent bilateral implantation of either a diffractive trifocal intraocular lens (IOL) or a novel non-diffractive presbyopia correcting IOL.",
        "Setting": "Rementeria Clinic",
        "Methods": "Patients bilaterally implanted with either the diffractive trifocal Clareon® PanOptix® or the novel non-diffractive RayOne® Galaxy® IOL were included. At 3 months postoperatively, monocular corrected VA at 100%, 50%, and 10% of contrast, and binocular defocus curves were evaluated. The need for additional glasses, subjective satisfaction with vision in general and disturbances due to visual artifacts after the surgery were measured using a five-point Likert-scale questionnaire.",
        "Results": "This preliminary analysis included 52 eyes of 26 patients (28 PanOptix, 24 Galaxy). Both groups showed reduced monocular acuity under lower contrast, without significant differences (p > 0.05). Binocular defocus curves were comparable up to 2.5D and 3.0D; at these vergences, the diffractive lens showed better outcomes (p=0.01 and p=0.03, respectively). Postoperatively, 92%, 100% and 93% (diffractive) vs 75%, 83% and 100% (non-diffractive) “almost never/never” needed glasses at near, intermediate and far distances. General satisfaction was 93% (diffractive) vs 91% (non-diffractive), and glasses independence 100% vs 83%, respectively. Visual artifacts were “Slightly/Not bothered” in 50% of diffractive and 92% of non-diffractive patients.",
        "Conclusions": "Both IOLs provided comparable overall VA outcomes at different distances. However, patients with diffractive trifocal IOL seem to show greater spectacle independence for near and intermediate vision and higher satisfaction with glasses independence. Despite this, patients implanted with the non-diffractive IOL reported fewer bothersome visual artifacts. Although preliminary and based on a small sample, these findings suggest a trade-off between enhanced near performance and photic phenomena, which should be considered in patient selection and counseling."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both IOLs provided comparable overall VA outcomes at different distances. However, patients with diffractive trifocal IOL seem to show greater spectacle independence for near and intermediate vision and higher satisfaction with glasses independence. Despite this, patients implanted with the non-diffractive IOL reported fewer bothersome visual artifacts. Although preliminary and based on a small sample, these…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 370,
      "source_fields": {
        "Abstract Final Identifier": "PP24.01",
        "Title": "Comparative Visual Outcomes, Spectacle Independence, And Patient Satisfaction With A Diffractive Trifocal Or A Novel Non-Diffractive Presbyopia-Correcting Intraocular Lens: A Preliminary Analysis",
        "Presenting Author(s)": "Mrs Laura Mariñas García",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mariñas García",
        "Country Name": "Spain",
        "Purpose": "The objective of this study was to evaluate and compare the visual performance, spectacle independence and subjective patients’ satisfaction in patients who underwent bilateral implantation of either a diffractive trifocal intraocular lens (IOL) or a novel non-diffractive presbyopia correcting IOL.",
        "Setting": "Rementeria Clinic",
        "Methods": "Patients bilaterally implanted with either the diffractive trifocal Clareon® PanOptix® or the novel non-diffractive RayOne® Galaxy® IOL were included. At 3 months postoperatively, monocular corrected VA at 100%, 50%, and 10% of contrast, and binocular defocus curves were evaluated. The need for additional glasses, subjective satisfaction with vision in general and disturbances due to visual artifacts after the surgery were measured using a five-point Likert-scale questionnaire.",
        "Results": "This preliminary analysis included 52 eyes of 26 patients (28 PanOptix, 24 Galaxy). Both groups showed reduced monocular acuity under lower contrast, without significant differences (p > 0.05). Binocular defocus curves were comparable up to 2.5D and 3.0D; at these vergences, the diffractive lens showed better outcomes (p=0.01 and p=0.03, respectively). Postoperatively, 92%, 100% and 93% (diffractive) vs 75%, 83% and 100% (non-diffractive) “almost never/never” needed glasses at near, intermediate and far distances. General satisfaction was 93% (diffractive) vs 91% (non-diffractive), and glasses independence 100% vs 83%, respectively. Visual artifacts were “Slightly/Not bothered” in 50% of diffractive and 92% of non-diffractive patients.",
        "Conclusions": "Both IOLs provided comparable overall VA outcomes at different distances. However, patients with diffractive trifocal IOL seem to show greater spectacle independence for near and intermediate vision and higher satisfaction with glasses independence. Despite this, patients implanted with the non-diffractive IOL reported fewer bothersome visual artifacts. Although preliminary and based on a small sample, these findings suggest a trade-off between enhanced near performance and photic phenomena, which should be considered in patient selection and counseling."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 293
    },
    {
      "uid": "PP24.16",
      "abstract_number": "PP24.16",
      "title": "Visual Performance After Bilateral Implantation Of A New Diffractive Intraocular Lens In Post–Myopic Laser Patients With Bilateral Cataract.",
      "authors": "Dr Ali Nowrouzi",
      "presenter": "Dr Ali Nowrouzi",
      "normalized_authors": [
        "Ali Nowrouzi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ali Nowrouzi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To evaluate visual outcomes, refractive predictability, contrast sensitivity, and patient-reported visual performance after bilateral implantation of a new diffractive intraocular lens (IOL) (Elana, Carl Zeiss Meditec) in patients with bilateral cataract who previously underwent myopic corneal laser refractive surgery.",
        "Setting": "Cornea and Refractive Surgery Department of Hospital Quiron salud Marbella",
        "Methods": "This prospective study included 46 eyes of 23 consecutive patients with bilateral cataract and prior myopic laser refractive surgery who underwent uneventful phacoemulsification with bilateral implantation of diffractive presbyopia-correcting IOLs.\n\nPostoperative examinations were performed at 1, 4, 12, and 24 weeks. Outcomes included uncorrected and corrected distance visual acuity (UDVA, CDVA), distance-corrected intermediate visual acuity (DCIVA at 60 cm), distance-corrected near visual acuity (DCNVA at 40 cm), and manifest refraction spherical equivalent (MRSE). Visual acuity was recorded in logMAR units.\n\nAt 24 weeks, patient-reported outcomes were evaluated using a standardized PROM questionnaire.",
        "Results": "At 6 months postoperatively, monocular UDVA of 0.0 logMAR or better was achieved in 96% of eyes. Distance-corrected intermediate visual acuity (60 cm) of 0.0 logMAR was achieved in 100% of eyes, and distance-corrected near visual acuity (40 cm) of 0.0 logMAR was achieved in 92% of eyes.\n\nRefractive predictability was high, with the majority of eyes within ±0.50 D of emmetropia (add exact percentage if available).\n\nContrast sensitivity values were within normal limits in 92% of patients at 6 months.\n\nPROM analysis showed that 100% of patients reported satisfaction with distance and intermediate vision, and 92% reported satisfaction with near vision.",
        "Conclusions": "Bilateral implantation of this new diffractive IOL in post–myopic laser patients with cataract provided excellent visual acuity across distance, intermediate, and near ranges with high levels of spectacle independence and patient satisfaction. Visual quality, including contrast sensitivity, was maintained, and photic phenomena were minimal. This lens appears to be a safe and effective option for presbyopia correction in patients with previous corneal refractive surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral implantation of this new diffractive IOL in post–myopic laser patients with cataract provided excellent visual acuity across distance, intermediate, and near ranges with high levels of spectacle independence and patient satisfaction. Visual quality, including contrast sensitivity, was maintained, and photic phenomena were minimal. This lens appears to be a safe and effective option for presbyopia…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 371,
      "source_fields": {
        "Abstract Final Identifier": "PP24.16",
        "Title": "Visual Performance After Bilateral Implantation Of A New Diffractive Intraocular Lens In Post–Myopic Laser Patients With Bilateral Cataract.",
        "Presenting Author(s)": "Dr Ali Nowrouzi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ali",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Nowrouzi",
        "Country Name": "Spain",
        "Purpose": "To evaluate visual outcomes, refractive predictability, contrast sensitivity, and patient-reported visual performance after bilateral implantation of a new diffractive intraocular lens (IOL) (Elana, Carl Zeiss Meditec) in patients with bilateral cataract who previously underwent myopic corneal laser refractive surgery.",
        "Setting": "Cornea and Refractive Surgery Department of Hospital Quiron salud Marbella",
        "Methods": "This prospective study included 46 eyes of 23 consecutive patients with bilateral cataract and prior myopic laser refractive surgery who underwent uneventful phacoemulsification with bilateral implantation of diffractive presbyopia-correcting IOLs.\n\nPostoperative examinations were performed at 1, 4, 12, and 24 weeks. Outcomes included uncorrected and corrected distance visual acuity (UDVA, CDVA), distance-corrected intermediate visual acuity (DCIVA at 60 cm), distance-corrected near visual acuity (DCNVA at 40 cm), and manifest refraction spherical equivalent (MRSE). Visual acuity was recorded in logMAR units.\n\nAt 24 weeks, patient-reported outcomes were evaluated using a standardized PROM questionnaire.",
        "Results": "At 6 months postoperatively, monocular UDVA of 0.0 logMAR or better was achieved in 96% of eyes. Distance-corrected intermediate visual acuity (60 cm) of 0.0 logMAR was achieved in 100% of eyes, and distance-corrected near visual acuity (40 cm) of 0.0 logMAR was achieved in 92% of eyes.\n\nRefractive predictability was high, with the majority of eyes within ±0.50 D of emmetropia (add exact percentage if available).\n\nContrast sensitivity values were within normal limits in 92% of patients at 6 months.\n\nPROM analysis showed that 100% of patients reported satisfaction with distance and intermediate vision, and 92% reported satisfaction with near vision.",
        "Conclusions": "Bilateral implantation of this new diffractive IOL in post–myopic laser patients with cataract provided excellent visual acuity across distance, intermediate, and near ranges with high levels of spectacle independence and patient satisfaction. Visual quality, including contrast sensitivity, was maintained, and photic phenomena were minimal. This lens appears to be a safe and effective option for presbyopia correction in patients with previous corneal refractive surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "PP24.017",
      "abstract_number": "PP24.017",
      "title": "Comparison Of 3 Simultaneous Vision Iols",
      "authors": "Dr Deli Krizova",
      "presenter": "Dr Deli Krizova",
      "normalized_authors": [
        "Deli Krizova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Deli Krizova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Czech Republic",
      "sections": {
        "Purpose": "The authors present a comparison of clinical outcomes in patients after implantation of three intraocular lenses – Vivity (Alcon), RayOne Galaxy (Rayner) and RayOne Trifocal (Rayner).",
        "Setting": "Lensi Eye clinic, private ophthalmology center, Prague, Czech Republic",
        "Methods": "A retrospective comparison of patients who underwent bilateral cataract surgery with implantation of either the Vivity, the RayOne Galaxy or RayOner Trifocal IOL. The minimum follow-up period in both groups was 1 year postoperatively. Evaluated parameters included corrected and uncorrected distance, intermediate, and near visual acuity, manifest spherical equivalent for distance and near, and the incidence of complications. Subjective patient satisfaction was assessed using VFQ questionnaires.",
        "Results": "The Vivity group included 74 patients (148 eyes) the Galaxy group 67 patients (134 eyes) and the Trifocal group 22 patients (44 eyes). The mean UCDVA was 1.21 (±0.25) in the Vivity group, 1.20 (±0.2) in the Galaxy group and 1.12 (±0.3) in the Trifocal group. The mean UCIVA was 0.57 (±0.1) in the Vivity group, 0.7 (±0.05) in the Galaxy group and 0.65 (±0.2) in the Trifocal group. The mean UCNVA was 0.7 (±0.17) in the Vivity group, 0.9 (±0.07) in the Galaxy group and 0.93 (±0.25) in the Trifocal group. Overall satisfaction was comparable in all groups – 8.5 (±1.72), 8.7 (±1.9) and 8.2 (±2.2). Perception of optical side effects was higher in the Galaxy group, 2.13 (±1.41) and the Trifocal group 2.41 (±1.9) vs. 1.64 (±0.96) in the Vivity group.",
        "Conclusions": "Implantation of all three lenses shows a high level of patient satisfaction. Distance and intermediate vision were comparable with all groups. The Galaxy and the Trifocal lenses demonstrated statistically significantly better near performance with almost no need for spectacle correction. The perception of optical side effects was statistically significantly higher with the Galaxy and the Trifocal group. Although in the Galaxy group it remained at the level of only mild difficulties when directly assessed in the VFQ questionnaire."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Implantation of all three lenses shows a high level of patient satisfaction. Distance and intermediate vision were comparable with all groups. The Galaxy and the Trifocal lenses demonstrated statistically significantly better near performance with almost no need for spectacle correction. The perception of optical side effects was statistically significantly higher with the Galaxy and the Trifocal group. Although in…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 372,
      "source_fields": {
        "Abstract Final Identifier": "PP24.017",
        "Title": "Comparison Of 3 Simultaneous Vision Iols",
        "Presenting Author(s)": "Dr Deli Krizova",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Deli",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Krizova",
        "Country Name": "Czech Republic",
        "Purpose": "The authors present a comparison of clinical outcomes in patients after implantation of three intraocular lenses – Vivity (Alcon), RayOne Galaxy (Rayner) and RayOne Trifocal (Rayner).",
        "Setting": "Lensi Eye clinic, private ophthalmology center, Prague, Czech Republic",
        "Methods": "A retrospective comparison of patients who underwent bilateral cataract surgery with implantation of either the Vivity, the RayOne Galaxy or RayOner Trifocal IOL. The minimum follow-up period in both groups was 1 year postoperatively. Evaluated parameters included corrected and uncorrected distance, intermediate, and near visual acuity, manifest spherical equivalent for distance and near, and the incidence of complications. Subjective patient satisfaction was assessed using VFQ questionnaires.",
        "Results": "The Vivity group included 74 patients (148 eyes) the Galaxy group 67 patients (134 eyes) and the Trifocal group 22 patients (44 eyes). The mean UCDVA was 1.21 (±0.25) in the Vivity group, 1.20 (±0.2) in the Galaxy group and 1.12 (±0.3) in the Trifocal group. The mean UCIVA was 0.57 (±0.1) in the Vivity group, 0.7 (±0.05) in the Galaxy group and 0.65 (±0.2) in the Trifocal group. The mean UCNVA was 0.7 (±0.17) in the Vivity group, 0.9 (±0.07) in the Galaxy group and 0.93 (±0.25) in the Trifocal group. Overall satisfaction was comparable in all groups – 8.5 (±1.72), 8.7 (±1.9) and 8.2 (±2.2). Perception of optical side effects was higher in the Galaxy group, 2.13 (±1.41) and the Trifocal group 2.41 (±1.9) vs. 1.64 (±0.96) in the Vivity group.",
        "Conclusions": "Implantation of all three lenses shows a high level of patient satisfaction. Distance and intermediate vision were comparable with all groups. The Galaxy and the Trifocal lenses demonstrated statistically significantly better near performance with almost no need for spectacle correction. The perception of optical side effects was statistically significantly higher with the Galaxy and the Trifocal group. Although in the Galaxy group it remained at the level of only mild difficulties when directly assessed in the VFQ questionnaire."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 340
    },
    {
      "uid": "PP24.018",
      "abstract_number": "PP24.018",
      "title": "Postoperative Visual Performance With Two Models Of Trifocal Diffractive Intraocular Lenses",
      "authors": "Dr Ertan Sunay",
      "presenter": "Dr Ertan Sunay",
      "normalized_authors": [
        "Ertan Sunay"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ertan Sunay",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate and compare the clinical outcomes with two models of diffractive trifocal intraocular lens (IOL) during a 3-month follow-up.",
        "Setting": "Veni-Vidi Eye Center, Istanbul, Turkey",
        "Methods": "Prospective comparative study including 40 eyes of 20 patients (46-78y) undergoing uneventful cataract surgery. Each patient was randomly assigned to one type of IOL, trifocal A-Clareon PanOptix, (20 eyes) or trifocal B-TECNIS Odyssey (20 eyes). Visual, refractive changes and a questionnaire about patients’ satisfaction and visual symptoms were evaluated in a 3-month follow-up. The binocular defocus curve was also measured at 3 months postoperatively.",
        "Results": "No statistically significant differences between groups were found in postoperative uncorrected and corrected distance visual acuities (P=0.386). Postoperative 3 month uncorrected near (40 cm), intermediate (60 cm) and distant visual acuities were 0,12, 0,16, 0,03 logMAR in trifocal A and 0,09, 0,12, 0,05 in trifocal B groups respectively (p1=0.952 , p2=0.082, p3=0.406). Similar uncorrected near and intermediate and visual acuity were found during all follow-up in the trifocal group, which was consistent with differences among groups in binocular defocus curve. Spectacle independence was achieved in most of the patients in both groups. Very few patients had complaints of halo and glare in both groups.",
        "Conclusions": "Both of the trifocal diffractive IOLs are able to provide an effective visual restoration which is maintained during a 3-month follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Both of the trifocal diffractive IOLs are able to provide an effective visual restoration which is maintained during a 3-month follow-up.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 373,
      "source_fields": {
        "Abstract Final Identifier": "PP24.018",
        "Title": "Postoperative Visual Performance With Two Models Of Trifocal Diffractive Intraocular Lenses",
        "Presenting Author(s)": "Dr Ertan Sunay",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Ertan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Sunay",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate and compare the clinical outcomes with two models of diffractive trifocal intraocular lens (IOL) during a 3-month follow-up.",
        "Setting": "Veni-Vidi Eye Center, Istanbul, Turkey",
        "Methods": "Prospective comparative study including 40 eyes of 20 patients (46-78y) undergoing uneventful cataract surgery. Each patient was randomly assigned to one type of IOL, trifocal A-Clareon PanOptix, (20 eyes) or trifocal B-TECNIS Odyssey (20 eyes). Visual, refractive changes and a questionnaire about patients’ satisfaction and visual symptoms were evaluated in a 3-month follow-up. The binocular defocus curve was also measured at 3 months postoperatively.",
        "Results": "No statistically significant differences between groups were found in postoperative uncorrected and corrected distance visual acuities (P=0.386). Postoperative 3 month uncorrected near (40 cm), intermediate (60 cm) and distant visual acuities were 0,12, 0,16, 0,03 logMAR in trifocal A and 0,09, 0,12, 0,05 in trifocal B groups respectively (p1=0.952 , p2=0.082, p3=0.406). Similar uncorrected near and intermediate and visual acuity were found during all follow-up in the trifocal group, which was consistent with differences among groups in binocular defocus curve. Spectacle independence was achieved in most of the patients in both groups. Very few patients had complaints of halo and glare in both groups.",
        "Conclusions": "Both of the trifocal diffractive IOLs are able to provide an effective visual restoration which is maintained during a 3-month follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 227
    },
    {
      "uid": "PP24.02",
      "abstract_number": "PP24.02",
      "title": "Cortical Stimulation Using Gabor Patches Improves Vision & Contrast In Dissatisfied Patients With Mf-Iols: A Randomized Controlled Trial",
      "authors": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "presenter": "Prof. Dr Lional Raj Daniel Raj Ponniah",
      "normalized_authors": [
        "Lional Raj Daniel Raj Ponniah"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lional Raj Daniel Raj Ponniah",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "Photic phenomena and neuro-adaptation failures are reasons for dissatisfaction after MF-IOLs.\n\nThis study evaluates a patient-specific, computer-based perceptual visual therapy (VPL) regime using Gabor patches (grey level gratings, specific for cortical neuron-specific receptive visual fields) for improving vision & contrast sensitivity function(CSF) in patients not satisfied after multifocal IOL (MF-IOL) implantations.",
        "Setting": "A tertiary hospital. A Prospective controlled-randomised study.",
        "Methods": "A prospective, controlled-randomized study. Adults (50-70 yrs) with uneventful MF-IOLs, over 24 weeks post-surgery, BCVA worse than 20/40 with sub-optimal Contrast (CSF), complaining about vision quality, were randomized in a 2:1 ratio into Treatment(G1), in which computer-based perceptual therapy using Gabor patches amidst co-linear flankers was employed & Control(G2) arms. The study had 2 phases (screening + therapy). Mid-training (Post 20 sessions), 40 training sessions, post-therapy follow-up by 6 months were evaluated for improvements in BCVA distance & near (ETDRS) & CSF at spatial frequencies of 3, 6,12,18 cycles per degree (CPD).",
        "Results": "30 cases were randomized into a 2:1 ratio into treatment and control arms. 16 Trifocals(PanOptix), 14 Bifocals(Tecnis). The average improvement after VPL therapy is 2.5 lines in Log Mar in the Treatment arm (p<0.0001), whereas no significant improvements were observed among the controls.\n\n83% of subjects who underwent perceptual training showed improvement in Contrast Sensitivity (CSF at 3,6,12 & 18 CPD), (G1, all p<0.0001), whereas no significant improvements were observed amongst the controls.\n\nThe improved functional vision and CSF remained stable 6 months post-training with perceptual therapy.",
        "Conclusions": "Sequential, post-operative, patient-specific, visual perceptual training employing Gabor patches improved vision & CSF in patients with dissatisfied MF-IOL subjects & acts as proof of concept of improving neural connections at cortical levels.\nThe key to optimizing vision following MF-IOLs lies in training the brain to improve neuroadaptation processes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Sequential, post-operative, patient-specific, visual perceptual training employing Gabor patches improved vision & CSF in patients with dissatisfied MF-IOL subjects & acts as proof of concept of improving neural connections at cortical levels. The key to optimizing vision following MF-IOLs lies in training the brain to improve neuroadaptation processes.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 374,
      "source_fields": {
        "Abstract Final Identifier": "PP24.02",
        "Title": "Cortical Stimulation Using Gabor Patches Improves Vision & Contrast In Dissatisfied Patients With Mf-Iols: A Randomized Controlled Trial",
        "Presenting Author(s)": "Prof. Dr Lional Raj Daniel Raj Ponniah",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Lional Raj",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Daniel Raj Ponniah",
        "Country Name": "India",
        "Purpose": "Photic phenomena and neuro-adaptation failures are reasons for dissatisfaction after MF-IOLs.\n\nThis study evaluates a patient-specific, computer-based perceptual visual therapy (VPL) regime using Gabor patches (grey level gratings, specific for cortical neuron-specific receptive visual fields) for improving vision & contrast sensitivity function(CSF) in patients not satisfied after multifocal IOL (MF-IOL) implantations.",
        "Setting": "A tertiary hospital. A Prospective controlled-randomised study.",
        "Methods": "A prospective, controlled-randomized study. Adults (50-70 yrs) with uneventful MF-IOLs, over 24 weeks post-surgery, BCVA worse than 20/40 with sub-optimal Contrast (CSF), complaining about vision quality, were randomized in a 2:1 ratio into Treatment(G1), in which computer-based perceptual therapy using Gabor patches amidst co-linear flankers was employed & Control(G2) arms. The study had 2 phases (screening + therapy). Mid-training (Post 20 sessions), 40 training sessions, post-therapy follow-up by 6 months were evaluated for improvements in BCVA distance & near (ETDRS) & CSF at spatial frequencies of 3, 6,12,18 cycles per degree (CPD).",
        "Results": "30 cases were randomized into a 2:1 ratio into treatment and control arms. 16 Trifocals(PanOptix), 14 Bifocals(Tecnis). The average improvement after VPL therapy is 2.5 lines in Log Mar in the Treatment arm (p<0.0001), whereas no significant improvements were observed among the controls.\n\n83% of subjects who underwent perceptual training showed improvement in Contrast Sensitivity (CSF at 3,6,12 & 18 CPD), (G1, all p<0.0001), whereas no significant improvements were observed amongst the controls.\n\nThe improved functional vision and CSF remained stable 6 months post-training with perceptual therapy.",
        "Conclusions": "Sequential, post-operative, patient-specific, visual perceptual training employing Gabor patches improved vision & CSF in patients with dissatisfied MF-IOL subjects & acts as proof of concept of improving neural connections at cortical levels.\nThe key to optimizing vision following MF-IOLs lies in training the brain to improve neuroadaptation processes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "PP24.03",
      "abstract_number": "PP24.03",
      "title": "Prevalence And Management Of Presbyopia-Correcting Intraocular Lens Dissatisfaction",
      "authors": "Claudia Perez-Straziota",
      "presenter": "Claudia Perez-Straziota",
      "normalized_authors": [
        "Claudia Perez-Straziota"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Claudia Perez-Straziota",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To evaluate patient satisfaction, dissatisfaction, and intolerance following implantation of presbyopia-correcting intraocular lenses (PrC-IOLs) in eyes with and without prior laser vision correction (LVC) and propose a management decision tree to maximize patient satisfaction.",
        "Setting": "US Academic Institution",
        "Methods": "Retrospective cross-sectional study including consecutive patients who had PrC-IOL implantation with bifocal, trifocal, diffractive extended depth-of-focus, or non-diffractive EDOF IOLs at the Cleveland Clinic Cole Eye Institute. There were 493 patients (970 eyes) with no prior surgery and 59 eyes from 32 patients with prior LASIK or PRK. Evaluated variables included refractive outcomes, patient-reported satisfaction/dissatisfaction or intolerance, primary drivers of dissatisfaction, management strategies, spontaneous resolution of photic phenomena, and IOL exchange rates.",
        "Results": "In patients without prior LVC, 87.2% reported satisfaction postoperatively, 12.8% of patients were dissatisfied, and 7.7% were ultimately intolerant to symptoms. In patients with prior LVC dissatisfaction increased to 46.8%, with 31.3% being intolerant . Blurry corrected vision and photic phenomena were the most common causes of dissatisfaction in both groups. Dissatisfied patients had significantly worse UDVA and refractice error. Most effective i nterventions were IOL exchange (94%), laser vision correction (LVC) (72%), while ND:YAG laser capsulotomy (18.3%), spectacle correction (15.1%) and dry-eye treatment (5.2%) were ineffexctive. Ultimately, 2.5% of eyes without prior surgery and 12.5% of eyes with prior LVC underwent IOL exchange.",
        "Conclusions": "Most patients were satisfied with presbyopia-correcting IOLs; however, a significant portion of patients were dissatisfied postoperatively. Blurred corrected vision and photic phenomena were the leading causes of dissatisfaction. Symptoms and satisfaction were worse in eyes with prior LVC. Postoperatively, ND:YAG capsulotomy, and dry eye treatment alone were not effective, while LVC frequently improved satisfaction. IOL exchange may be necessary to alleviate symptoms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Most patients were satisfied with presbyopia-correcting IOLs; however, a significant portion of patients were dissatisfied postoperatively. Blurred corrected vision and photic phenomena were the leading causes of dissatisfaction. Symptoms and satisfaction were worse in eyes with prior LVC. Postoperatively, ND:YAG capsulotomy, and dry eye treatment alone were not effective, while LVC frequently improved…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 375,
      "source_fields": {
        "Abstract Final Identifier": "PP24.03",
        "Title": "Prevalence And Management Of Presbyopia-Correcting Intraocular Lens Dissatisfaction",
        "Presenting Author(s)": "Claudia Perez-Straziota",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Claudia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Perez-Straziota",
        "Country Name": "United States",
        "Purpose": "To evaluate patient satisfaction, dissatisfaction, and intolerance following implantation of presbyopia-correcting intraocular lenses (PrC-IOLs) in eyes with and without prior laser vision correction (LVC) and propose a management decision tree to maximize patient satisfaction.",
        "Setting": "US Academic Institution",
        "Methods": "Retrospective cross-sectional study including consecutive patients who had PrC-IOL implantation with bifocal, trifocal, diffractive extended depth-of-focus, or non-diffractive EDOF IOLs at the Cleveland Clinic Cole Eye Institute. There were 493 patients (970 eyes) with no prior surgery and 59 eyes from 32 patients with prior LASIK or PRK. Evaluated variables included refractive outcomes, patient-reported satisfaction/dissatisfaction or intolerance, primary drivers of dissatisfaction, management strategies, spontaneous resolution of photic phenomena, and IOL exchange rates.",
        "Results": "In patients without prior LVC, 87.2% reported satisfaction postoperatively, 12.8% of patients were dissatisfied, and 7.7% were ultimately intolerant to symptoms. In patients with prior LVC dissatisfaction increased to 46.8%, with 31.3% being intolerant . Blurry corrected vision and photic phenomena were the most common causes of dissatisfaction in both groups. Dissatisfied patients had significantly worse UDVA and refractice error. Most effective i nterventions were IOL exchange (94%), laser vision correction (LVC) (72%), while ND:YAG laser capsulotomy (18.3%), spectacle correction (15.1%) and dry-eye treatment (5.2%) were ineffexctive. Ultimately, 2.5% of eyes without prior surgery and 12.5% of eyes with prior LVC underwent IOL exchange.",
        "Conclusions": "Most patients were satisfied with presbyopia-correcting IOLs; however, a significant portion of patients were dissatisfied postoperatively. Blurred corrected vision and photic phenomena were the leading causes of dissatisfaction. Symptoms and satisfaction were worse in eyes with prior LVC. Postoperatively, ND:YAG capsulotomy, and dry eye treatment alone were not effective, while LVC frequently improved satisfaction. IOL exchange may be necessary to alleviate symptoms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "PP24.04",
      "abstract_number": "PP24.04",
      "title": "Optical Performance And Refractive Predictability Of An Ai-Designed Spiral Optic Vs. A Diffractive Trifocal Iol: Short-Term Comparative Outcomes In Georgian Patients",
      "authors": "Nino Kobakhidze",
      "presenter": "Nino Kobakhidze",
      "normalized_authors": [
        "Nino Kobakhidze"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Nino Kobakhidze",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Georgia",
      "sections": {
        "Purpose": "To evaluate the refractive predictability and optical quality of the Rayner RayOne Galaxy, an AI-designed spiral non-diffractive Full Range of Focus (FROF) IOL, in comparison to the Alcon Acrysof IQ PanOptix diffractive trifocal in Georgian patients undergoing cataract surgery or refractive lens exchange.",
        "Setting": "Tertiary refractive surgical centers in Georgia.",
        "Methods": "This study analyzed 146 eyes. Group A (n=32) received the RayOne Galaxy IOL (81% toric), including two postLASIK eyes and one case of sulcus fixation following posterior capsule rupture. Group B (n=114) received the Acrysof IQ PanOptix (87% toric). All patients underwent coneal imaging and only suitable candidates were implanted with FROF IOLs. All Galaxy calculations were performed using the Raytrace platform. All PanOptix calculations were done using Barett Universal II formula and Acrysof Toric Calculator platform. Outcomes were assessed at 1 month postoperatively, focusing on uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuity, mean spherical equivalent (MSE) and patient-reported outcomes for dysphotopsia.",
        "Results": "In Group A - 96% and in group B - 89% of eyes achieved MSE within +/- 0.25 D, with mean UDVA of 0.9 Decimal and higher and J2 for near. The difference between refractive outcomes, UDVA, UIVA and UNVA was not statistically significant. In gorup B, 6% required keratorefractive enhancements.The sulcus-fixated IOL exhibited 10° of rotation.\n\nNo halos were reported in Group A; one patient reported transient \"rainbow-like\" haloes which resolved within 30 days. Notably, both postLasik eyes achieved 1.0 decimal of UDVA with J2 UNVA with no photic phenomena.\n\nGroup B exhibited a higher incidence (27%) of dysphotopsia (though none needed IOL explantation) and a significant requirement for precise focal distance adjustment for near tasks.",
        "Conclusions": "In this short-term study, both lenses demonstrated excellent refractive and visual outcomes in eyes suitable for trifocal lenses. Both IOL platforms also demonstrated excellent rotational stability. The non-diffractive nature and the spiral design of RayOne Galaxy effectively eliminated the light loss through halo-inducing rings inherent in trifocal technology, providing a continuous range of focus even in complex cases like post-LASIK eyes. These data suggest that spiral optics represents a significant advancement in presbyopia correction, offering the visual range of a multifocal with the safety and contrast profile of a monofocal IOL."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this short-term study, both lenses demonstrated excellent refractive and visual outcomes in eyes suitable for trifocal lenses. Both IOL platforms also demonstrated excellent rotational stability. The non-diffractive nature and the spiral design of RayOne Galaxy effectively eliminated the light loss through halo-inducing rings inherent in trifocal technology, providing a continuous range of focus even in complex…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 376,
      "source_fields": {
        "Abstract Final Identifier": "PP24.04",
        "Title": "Optical Performance And Refractive Predictability Of An Ai-Designed Spiral Optic Vs. A Diffractive Trifocal Iol: Short-Term Comparative Outcomes In Georgian Patients",
        "Presenting Author(s)": "Nino Kobakhidze",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Nino",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kobakhidze",
        "Country Name": "Georgia",
        "Purpose": "To evaluate the refractive predictability and optical quality of the Rayner RayOne Galaxy, an AI-designed spiral non-diffractive Full Range of Focus (FROF) IOL, in comparison to the Alcon Acrysof IQ PanOptix diffractive trifocal in Georgian patients undergoing cataract surgery or refractive lens exchange.",
        "Setting": "Tertiary refractive surgical centers in Georgia.",
        "Methods": "This study analyzed 146 eyes. Group A (n=32) received the RayOne Galaxy IOL (81% toric), including two postLASIK eyes and one case of sulcus fixation following posterior capsule rupture. Group B (n=114) received the Acrysof IQ PanOptix (87% toric). All patients underwent coneal imaging and only suitable candidates were implanted with FROF IOLs. All Galaxy calculations were performed using the Raytrace platform. All PanOptix calculations were done using Barett Universal II formula and Acrysof Toric Calculator platform. Outcomes were assessed at 1 month postoperatively, focusing on uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuity, mean spherical equivalent (MSE) and patient-reported outcomes for dysphotopsia.",
        "Results": "In Group A - 96% and in group B - 89% of eyes achieved MSE within +/- 0.25 D, with mean UDVA of 0.9 Decimal and higher and J2 for near. The difference between refractive outcomes, UDVA, UIVA and UNVA was not statistically significant. In gorup B, 6% required keratorefractive enhancements.The sulcus-fixated IOL exhibited 10° of rotation.\n\nNo halos were reported in Group A; one patient reported transient \"rainbow-like\" haloes which resolved within 30 days. Notably, both postLasik eyes achieved 1.0 decimal of UDVA with J2 UNVA with no photic phenomena.\n\nGroup B exhibited a higher incidence (27%) of dysphotopsia (though none needed IOL explantation) and a significant requirement for precise focal distance adjustment for near tasks.",
        "Conclusions": "In this short-term study, both lenses demonstrated excellent refractive and visual outcomes in eyes suitable for trifocal lenses. Both IOL platforms also demonstrated excellent rotational stability. The non-diffractive nature and the spiral design of RayOne Galaxy effectively eliminated the light loss through halo-inducing rings inherent in trifocal technology, providing a continuous range of focus even in complex cases like post-LASIK eyes. These data suggest that spiral optics represents a significant advancement in presbyopia correction, offering the visual range of a multifocal with the safety and contrast profile of a monofocal IOL."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 365
    },
    {
      "uid": "PP24.05",
      "abstract_number": "PP24.05",
      "title": "Hydrophobic Acrylic Trifocal Iol In Post-Laser Refractive Surgery Eyes: Visual Performance, Predictability, And Patient-Reported Outcomes",
      "authors": "Dr Sungho Choi",
      "presenter": "Dr Sungho Choi",
      "normalized_authors": [
        "Sungho Choi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sungho Choi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Korea, Republic Of",
      "sections": {
        "Purpose": "To evaluate the clinical and patient-reported outcomes of the Clareon PanOptix (CP) hydrophobic acrylic trifocal IOL in eyes with a history of myopic laser refractive surgery (LRS).",
        "Setting": "Single-center",
        "Methods": "This study included 96 eyes (48 patients) with prior myopic LRS who received the CP. At postop 6 mo, monocular visual acuity (VA), manifest refraction, and prediction error were assessed. Prediction error was evaluated with total (TK) and conventional keratometry (CK). Patient-reported outcomes on satisfaction, and visual disturbances were collected. The correlation between preoperative corneal higher-order aberrations (HOAs) and postoperative outcomes was analyzed.",
        "Results": "At postop 6 mo, the uncorrected VAs were 0.028±0.087 logMAR for distance, 0.175±0.129 for intermediate, and 0.093±0.136 for near. The mean postoperative SE was −0.142±0.375 D, with 81% of eyes within ±0.50 D. The IOLMaster 700 using the Barrett True-K formula with TK yielded the lowest mean absolute error (0.338±0.282 D) and the highest percentage of eyes within ±0.50 D (79.2%). Preoperative corneal primary spherical aberration was significantly and negatively correlated with overall patient satisfaction (p=0.022), whereas HOAs including peripheral cornea were associated with photic phenomena. Patients reported high satisfaction (mean score, 3.06±0.63 out of 4) and complete spectacle independence for distance and intermediate vision.",
        "Conclusions": "The CP is an effective option for presbyopia correction in post-LRS eyes. Optimal outcomes appear to be related to using modern IOL power calculation formulas that incorporate directly measured TK and performing a comprehensive, zone-specific analysis of corneal HOAs to guide patient selection and manage expectations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The CP is an effective option for presbyopia correction in post-LRS eyes. Optimal outcomes appear to be related to using modern IOL power calculation formulas that incorporate directly measured TK and performing a comprehensive, zone-specific analysis of corneal HOAs to guide patient selection and manage expectations.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 377,
      "source_fields": {
        "Abstract Final Identifier": "PP24.05",
        "Title": "Hydrophobic Acrylic Trifocal Iol In Post-Laser Refractive Surgery Eyes: Visual Performance, Predictability, And Patient-Reported Outcomes",
        "Presenting Author(s)": "Dr Sungho Choi",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Sungho",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Choi",
        "Country Name": "Korea, Republic Of",
        "Purpose": "To evaluate the clinical and patient-reported outcomes of the Clareon PanOptix (CP) hydrophobic acrylic trifocal IOL in eyes with a history of myopic laser refractive surgery (LRS).",
        "Setting": "Single-center",
        "Methods": "This study included 96 eyes (48 patients) with prior myopic LRS who received the CP. At postop 6 mo, monocular visual acuity (VA), manifest refraction, and prediction error were assessed. Prediction error was evaluated with total (TK) and conventional keratometry (CK). Patient-reported outcomes on satisfaction, and visual disturbances were collected. The correlation between preoperative corneal higher-order aberrations (HOAs) and postoperative outcomes was analyzed.",
        "Results": "At postop 6 mo, the uncorrected VAs were 0.028±0.087 logMAR for distance, 0.175±0.129 for intermediate, and 0.093±0.136 for near. The mean postoperative SE was −0.142±0.375 D, with 81% of eyes within ±0.50 D. The IOLMaster 700 using the Barrett True-K formula with TK yielded the lowest mean absolute error (0.338±0.282 D) and the highest percentage of eyes within ±0.50 D (79.2%). Preoperative corneal primary spherical aberration was significantly and negatively correlated with overall patient satisfaction (p=0.022), whereas HOAs including peripheral cornea were associated with photic phenomena. Patients reported high satisfaction (mean score, 3.06±0.63 out of 4) and complete spectacle independence for distance and intermediate vision.",
        "Conclusions": "The CP is an effective option for presbyopia correction in post-LRS eyes. Optimal outcomes appear to be related to using modern IOL power calculation formulas that incorporate directly measured TK and performing a comprehensive, zone-specific analysis of corneal HOAs to guide patient selection and manage expectations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 265
    },
    {
      "uid": "PP24.06",
      "abstract_number": "PP24.06",
      "title": "Optical Simulation Versus Photonic Bench Validation Of Through-Focus Point Spread Functions In Spiral And Enhanced Monofocal Intraocular Lenses",
      "authors": "Prof. Dr Joao Marcelo Lyra",
      "presenter": "Prof. Dr Joao Marcelo Lyra",
      "normalized_authors": [
        "Joao Marcelo Lyra"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Joao Marcelo Lyra",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To compare optical simulation derived point spread functions (PSF) with high dynamic range (HDR) photonic bench PSF measurements and to quantify through-focus PSF structuring thresholds for a spiral-design intraocular lens (IOL) versus an enhanced monofocal IOL.",
        "Setting": "Optical bench laboratory with an ISO-based model eye and a custom HDR imaging path.",
        "Methods": "Optical simulation software was used to compute polychromatic PSF stacks along the defocus axis and to estimate functional depth of focus. Experimentally, a continuous-wave 532 nm laser illuminated a 200 µm pinhole and the beam was relayed and collimated through an achromatic corneal element in a model eye. The IOL was immersed in 0.9% sodium chloride solution with a 3.0 mm pupil. Longitudinal PSF images were captured by translating an HDR CMOS camera across focus and compared with the corresponding ‘Galaxy’ simulation outputs.",
        "Results": "At best focus, the spiral IOL and the enhanced monofocal IOL produced comparable central PSF cores. Across defocus, the spiral IOL maintained a compact core and began to form a structured PSF pattern at −2.8 D, whereas the enhanced monofocal showed earlier PSF structuring at −1.25 D. This shift indicates a broader, more continuous corridor of vision for the spiral design. Optical simulations demonstrated consistent qualitative agreement with the measured through-focus HDR PSF stacks.",
        "Conclusions": "Optical simulation provides a reliable predictor of through-focus PSF behavior when validated against photonic bench HDR measurements. The spiral IOL exhibited delayed PSF structuring versus the enhanced monofocal, supporting a wider functional depth of focus with a continuous through-focus PSF"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Optical simulation provides a reliable predictor of through-focus PSF behavior when validated against photonic bench HDR measurements. The spiral IOL exhibited delayed PSF structuring versus the enhanced monofocal, supporting a wider functional depth of focus with a continuous through-focus PSF",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 378,
      "source_fields": {
        "Abstract Final Identifier": "PP24.06",
        "Title": "Optical Simulation Versus Photonic Bench Validation Of Through-Focus Point Spread Functions In Spiral And Enhanced Monofocal Intraocular Lenses",
        "Presenting Author(s)": "Prof. Dr Joao Marcelo Lyra",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Joao",
        "Submitter Middle Name": "Marcelo",
        "Submitter Last Name": "Lyra",
        "Country Name": "Brazil",
        "Purpose": "To compare optical simulation derived point spread functions (PSF) with high dynamic range (HDR) photonic bench PSF measurements and to quantify through-focus PSF structuring thresholds for a spiral-design intraocular lens (IOL) versus an enhanced monofocal IOL.",
        "Setting": "Optical bench laboratory with an ISO-based model eye and a custom HDR imaging path.",
        "Methods": "Optical simulation software was used to compute polychromatic PSF stacks along the defocus axis and to estimate functional depth of focus. Experimentally, a continuous-wave 532 nm laser illuminated a 200 µm pinhole and the beam was relayed and collimated through an achromatic corneal element in a model eye. The IOL was immersed in 0.9% sodium chloride solution with a 3.0 mm pupil. Longitudinal PSF images were captured by translating an HDR CMOS camera across focus and compared with the corresponding ‘Galaxy’ simulation outputs.",
        "Results": "At best focus, the spiral IOL and the enhanced monofocal IOL produced comparable central PSF cores. Across defocus, the spiral IOL maintained a compact core and began to form a structured PSF pattern at −2.8 D, whereas the enhanced monofocal showed earlier PSF structuring at −1.25 D. This shift indicates a broader, more continuous corridor of vision for the spiral design. Optical simulations demonstrated consistent qualitative agreement with the measured through-focus HDR PSF stacks.",
        "Conclusions": "Optical simulation provides a reliable predictor of through-focus PSF behavior when validated against photonic bench HDR measurements. The spiral IOL exhibited delayed PSF structuring versus the enhanced monofocal, supporting a wider functional depth of focus with a continuous through-focus PSF"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "PP24.07",
      "abstract_number": "PP24.07",
      "title": "Enhancement Rates Across Full Range Of Focus Iol Platforms",
      "authors": "Dr Frank Kerkhoff",
      "presenter": "Dr Frank Kerkhoff",
      "normalized_authors": [
        "Frank Kerkhoff"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Frank Kerkhoff",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To compare the incidence and type of complementary treatments following implantation of four full-range-of-focus intraocular lenses (IOLs): Tecnis Synergy™, Tecnis Odyssey™, AT LISA, and AcrySof PanOptix.\n\nThe primary outcome was the enhancement rate related to residual refractive error.\n\nSecondary analyses evaluated the influence of IOL combinations (bilateral, unilateral, Mix & Match), prior laser vision correction (LVC), toric versus spherical IOLs, and residual spherical equivalent (SEQ)",
        "Setting": "Retrospective multicentre cohort study conducted at three specialized FYEO refractive surgical centers. All refractive lens exchange (RLE) procedures were performed between November 1, 2024, and November 1, 2025, by 21 experienced refractive surgeons, using standardized protocols, identical surgical equipment, and IOL calculations based on Barrett True-K.\n\nFollow-up was 3 months postoperatively.\n\nComplementary treatments were included within the RLE treatment package.",
        "Methods": "A total of 5,966 clients (10,299 eyes) aged >40 years undergoing RLE with full range-of-focus IOLs were included. Enhancement was defined as any additional intervention (e.g., LVC, IOL exchange, add-on lens) performed due to clinically relevant residual refractive error or visual dissatisfaction.\n\nEnhancement rates were compared between IOL platforms and subgroups (SEQ ≥0.50 D vs <0.50 D, prior LVC, bilateral vs Mix & Match, toric vs non-toric).\n\nStatistical comparisons tested differences between lens models (H₀: no difference).",
        "Results": "Overall enhancement rates differed significantly across IOLs (p < 0.001). Tecnis Synergy™ showed the highest rate (8.12%), followed by PanOptix (5.71%) and AT LISA (4.19%), while Tecnis Odyssey™ demonstrated the lowest rate (1.78%).\n\nPrior LVC markedly increased the enhancement risk for all IOLs.\n\nResidual SEQ ≥0.50 D was associated with higher enhancement rates. Despite a higher proportion of post-LVC eyes, Odyssey™ maintained the lowest enhancement incidence.",
        "Conclusions": "Enhancement rates after RLE with full range-of-focus IOLs vary significantly between lens platforms. Tecnis Odyssey™ demonstrated a consistently lower need for complementary treatment, even in a more complex population with previous LVC. Tecnis Synergy™ showed the highest enhancement rate, confirming greater sensitivity to residual refractive error. These findings may guide IOL selection and patient counselling to minimize postoperative interventions and optimize refractive outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Enhancement rates after RLE with full range-of-focus IOLs vary significantly between lens platforms. Tecnis Odyssey™ demonstrated a consistently lower need for complementary treatment, even in a more complex population with previous LVC. Tecnis Synergy™ showed the highest enhancement rate, confirming greater sensitivity to residual refractive error. These findings may guide IOL selection and patient counselling to…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 379,
      "source_fields": {
        "Abstract Final Identifier": "PP24.07",
        "Title": "Enhancement Rates Across Full Range Of Focus Iol Platforms",
        "Presenting Author(s)": "Dr Frank Kerkhoff",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Frank",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kerkhoff",
        "Country Name": "Netherlands",
        "Purpose": "To compare the incidence and type of complementary treatments following implantation of four full-range-of-focus intraocular lenses (IOLs): Tecnis Synergy™, Tecnis Odyssey™, AT LISA, and AcrySof PanOptix.\n\nThe primary outcome was the enhancement rate related to residual refractive error.\n\nSecondary analyses evaluated the influence of IOL combinations (bilateral, unilateral, Mix & Match), prior laser vision correction (LVC), toric versus spherical IOLs, and residual spherical equivalent (SEQ)",
        "Setting": "Retrospective multicentre cohort study conducted at three specialized FYEO refractive surgical centers. All refractive lens exchange (RLE) procedures were performed between November 1, 2024, and November 1, 2025, by 21 experienced refractive surgeons, using standardized protocols, identical surgical equipment, and IOL calculations based on Barrett True-K.\n\nFollow-up was 3 months postoperatively.\n\nComplementary treatments were included within the RLE treatment package.",
        "Methods": "A total of 5,966 clients (10,299 eyes) aged >40 years undergoing RLE with full range-of-focus IOLs were included. Enhancement was defined as any additional intervention (e.g., LVC, IOL exchange, add-on lens) performed due to clinically relevant residual refractive error or visual dissatisfaction.\n\nEnhancement rates were compared between IOL platforms and subgroups (SEQ ≥0.50 D vs <0.50 D, prior LVC, bilateral vs Mix & Match, toric vs non-toric).\n\nStatistical comparisons tested differences between lens models (H₀: no difference).",
        "Results": "Overall enhancement rates differed significantly across IOLs (p < 0.001). Tecnis Synergy™ showed the highest rate (8.12%), followed by PanOptix (5.71%) and AT LISA (4.19%), while Tecnis Odyssey™ demonstrated the lowest rate (1.78%).\n\nPrior LVC markedly increased the enhancement risk for all IOLs.\n\nResidual SEQ ≥0.50 D was associated with higher enhancement rates. Despite a higher proportion of post-LVC eyes, Odyssey™ maintained the lowest enhancement incidence.",
        "Conclusions": "Enhancement rates after RLE with full range-of-focus IOLs vary significantly between lens platforms. Tecnis Odyssey™ demonstrated a consistently lower need for complementary treatment, even in a more complex population with previous LVC. Tecnis Synergy™ showed the highest enhancement rate, confirming greater sensitivity to residual refractive error. These findings may guide IOL selection and patient counselling to minimize postoperative interventions and optimize refractive outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 339
    },
    {
      "uid": "PP24.08",
      "abstract_number": "PP24.08",
      "title": "A Single-Center Prospective Study Comparing Clinical Outcomes For Three Advanced Techology Presbyopia-Correcting Iols",
      "authors": "Dr Gaspare Monaco",
      "presenter": "Dr Gaspare Monaco",
      "normalized_authors": [
        "Gaspare Monaco"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gaspare Monaco",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Italy",
      "sections": {
        "Purpose": "Comparing visual acuity, defocus curve and patient-reported outcome measures (PROMs) including spectacle independence and patient satisfaction with two partial range of depth of field IOLs Vivity (Alcon), PureSee (Johnson and Johnson Vision) and a full range of depth of field IOL with a spiral optic RayOne Galaxy (Rayner) in cataract or refractive lens exchange eyes.",
        "Setting": "Single site prospective study - IRCCS Policlinico San Donato Hospital, Milan Italy",
        "Methods": "Before surgery slit lamp examination, keratometry and biometry, as well as subjective refraction were performed. The follow-up visit at 1 month after surgery included subjective refraction and monocular UDVA and CDVA (4m), UIVA and DCIVA (66cm) and UNVA and DCNVA (40cm) with ETDRS charts, defocus curve analysis and PROMs for patient satisfaction and spectacle independence were assessed using the VF-14 questionnaire.",
        "Results": "For RayOne Galaxy (n = 57), PureSee (n = 30) and Vivity (n = 57). Mean UDVA and CDVA were 0.01, 0.02, 0.05 and 0.00, 0.01, 0.00 logMAR, respectively. UIVA and DCIVA were 0.06, 0.16 and 0.12 and 0.07, 0.14, 0.13 logMAR respectively. UNVA and DCNVA were 0.17, 0.31, 0.29 and 0.20, 0.29, 0.34 logMAR respectively. In the defocus curve, mean VA at 0.0 D were -0.04, -0.01 and -0.01, respectively. At -1.5 D mean VA were 0.05, 0.11 and 0.08 logMAR respectively. At -3.0 D mean VA were 0.24, 0.40 and 0.41, respectively. 94% of patients reported to be mostly or fully satisfied with Galaxy, vs. 58% in the PureSee and 70% in the Vivity group. 81% of patients reported spectacle independence for near with Galaxy, vs. 25% for PureSee and 40% for Vivity.",
        "Conclusions": "All IOLs demonstrated a good visual performance for distance and intermediate. Better uncorrected and corrected near visual acuities were observed in the Galaxy group. A higher rate of spectacle independence at near visual acuity was achieved in the Galaxy group. Subjective visual disturbance was comparable in all three groups, whereas spectacle independence and patient satisfaction achieved higher scores in the Galaxy group. Our findings in the ongoing trial indicate that the spiral IOL provides high levels of spectacle independence while maintaining a high visual quality and patient satisfaction rates."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "All IOLs demonstrated a good visual performance for distance and intermediate. Better uncorrected and corrected near visual acuities were observed in the Galaxy group. A higher rate of spectacle independence at near visual acuity was achieved in the Galaxy group. Subjective visual disturbance was comparable in all three groups, whereas spectacle independence and patient satisfaction achieved higher scores in the…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 380,
      "source_fields": {
        "Abstract Final Identifier": "PP24.08",
        "Title": "A Single-Center Prospective Study Comparing Clinical Outcomes For Three Advanced Techology Presbyopia-Correcting Iols",
        "Presenting Author(s)": "Dr Gaspare Monaco",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Gaspare",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Monaco",
        "Country Name": "Italy",
        "Purpose": "Comparing visual acuity, defocus curve and patient-reported outcome measures (PROMs) including spectacle independence and patient satisfaction with two partial range of depth of field IOLs Vivity (Alcon), PureSee (Johnson and Johnson Vision) and a full range of depth of field IOL with a spiral optic RayOne Galaxy (Rayner) in cataract or refractive lens exchange eyes.",
        "Setting": "Single site prospective study - IRCCS Policlinico San Donato Hospital, Milan Italy",
        "Methods": "Before surgery slit lamp examination, keratometry and biometry, as well as subjective refraction were performed. The follow-up visit at 1 month after surgery included subjective refraction and monocular UDVA and CDVA (4m), UIVA and DCIVA (66cm) and UNVA and DCNVA (40cm) with ETDRS charts, defocus curve analysis and PROMs for patient satisfaction and spectacle independence were assessed using the VF-14 questionnaire.",
        "Results": "For RayOne Galaxy (n = 57), PureSee (n = 30) and Vivity (n = 57). Mean UDVA and CDVA were 0.01, 0.02, 0.05 and 0.00, 0.01, 0.00 logMAR, respectively. UIVA and DCIVA were 0.06, 0.16 and 0.12 and 0.07, 0.14, 0.13 logMAR respectively. UNVA and DCNVA were 0.17, 0.31, 0.29 and 0.20, 0.29, 0.34 logMAR respectively. In the defocus curve, mean VA at 0.0 D were -0.04, -0.01 and -0.01, respectively. At -1.5 D mean VA were 0.05, 0.11 and 0.08 logMAR respectively. At -3.0 D mean VA were 0.24, 0.40 and 0.41, respectively. 94% of patients reported to be mostly or fully satisfied with Galaxy, vs. 58% in the PureSee and 70% in the Vivity group. 81% of patients reported spectacle independence for near with Galaxy, vs. 25% for PureSee and 40% for Vivity.",
        "Conclusions": "All IOLs demonstrated a good visual performance for distance and intermediate. Better uncorrected and corrected near visual acuities were observed in the Galaxy group. A higher rate of spectacle independence at near visual acuity was achieved in the Galaxy group. Subjective visual disturbance was comparable in all three groups, whereas spectacle independence and patient satisfaction achieved higher scores in the Galaxy group. Our findings in the ongoing trial indicate that the spiral IOL provides high levels of spectacle independence while maintaining a high visual quality and patient satisfaction rates."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 378
    },
    {
      "uid": "PP24.09",
      "abstract_number": "PP24.09",
      "title": "Pco And Yag Capsulotomy Rates In Patients Implanted With Trifocal Iols",
      "authors": "Dr Jan-Willem Hubert Verstraaten",
      "presenter": "Dr Jan-Willem Hubert Verstraaten",
      "normalized_authors": [
        "Jan-Willem Hubert Verstraaten"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jan-Willem Hubert Verstraaten",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To evaluate the incidence of posterior capsule opacification (PCO) and the prevalence of Nd:YAG laser capsulotomy following implantation of a trifocal AT LISA intraocular lens.",
        "Setting": "Retina Total Eye Care, Driebergen, The Netherlands.",
        "Methods": "A total of 704 eyes of 352 patients who underwent bilateral implantation of a trifocal intraocular lens (AT LISA tri 839/939) were included in this study. Patients underwent surgery from May 2020 until October 2024. PCO incidence, time to onset and Nd:YAG laser capsulotomy rates were evaluated. Patient satisfaction and occurence of dysphotopsias were also analyzed.",
        "Results": "Of the implanted intraocular lenses, 52.1% were toric. Nd:YAG laser capsulotomy for PCO was performed in 18.3% of eyes after a mean of 19.9 months (SD ± 12.2). The study population was 56% female, with a mean age of 57.3 years (SD ± 5.6). Subgroup analysis with the Chi-Square test showed no significant difference in PCO risk between males and females (p = 0.54). Patient satisfaction was high, with a mean score 8.14 (SD ± 1.4), and 34.1% of patients reported halos.",
        "Conclusions": "Trifocal AT LISA intraocular lens implantation was associated with an average rate of posterior capsule opacification, high patient satisfaction, and a relatively low incidence of dysphotopsia."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Trifocal AT LISA intraocular lens implantation was associated with an average rate of posterior capsule opacification, high patient satisfaction, and a relatively low incidence of dysphotopsia.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 381,
      "source_fields": {
        "Abstract Final Identifier": "PP24.09",
        "Title": "Pco And Yag Capsulotomy Rates In Patients Implanted With Trifocal Iols",
        "Presenting Author(s)": "Dr Jan-Willem Hubert Verstraaten",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Jan-Willem",
        "Submitter Middle Name": "Hubert",
        "Submitter Last Name": "Verstraaten",
        "Country Name": "Netherlands",
        "Purpose": "To evaluate the incidence of posterior capsule opacification (PCO) and the prevalence of Nd:YAG laser capsulotomy following implantation of a trifocal AT LISA intraocular lens.",
        "Setting": "Retina Total Eye Care, Driebergen, The Netherlands.",
        "Methods": "A total of 704 eyes of 352 patients who underwent bilateral implantation of a trifocal intraocular lens (AT LISA tri 839/939) were included in this study. Patients underwent surgery from May 2020 until October 2024. PCO incidence, time to onset and Nd:YAG laser capsulotomy rates were evaluated. Patient satisfaction and occurence of dysphotopsias were also analyzed.",
        "Results": "Of the implanted intraocular lenses, 52.1% were toric. Nd:YAG laser capsulotomy for PCO was performed in 18.3% of eyes after a mean of 19.9 months (SD ± 12.2). The study population was 56% female, with a mean age of 57.3 years (SD ± 5.6). Subgroup analysis with the Chi-Square test showed no significant difference in PCO risk between males and females (p = 0.54). Patient satisfaction was high, with a mean score 8.14 (SD ± 1.4), and 34.1% of patients reported halos.",
        "Conclusions": "Trifocal AT LISA intraocular lens implantation was associated with an average rate of posterior capsule opacification, high patient satisfaction, and a relatively low incidence of dysphotopsia."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 206
    },
    {
      "uid": "PP24.10",
      "abstract_number": "PP24.10",
      "title": "Impact Of Diffractive Intraocular Lenses On The Natural Balance Of Ocular Chromatic-Monochromatic Aberrations",
      "authors": "Dr Laura Clavé Cerezo",
      "presenter": "Dr Laura Clavé Cerezo",
      "normalized_authors": [
        "Laura Clavé Cerezo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Laura Clavé Cerezo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Although optical aberrations typically degrade the retinal image quality, the existence of positive interactions between chromatic and monochromatic aberrations have proved to benefit visual acuity (VA). This study investigates whether diffractive presbyopia-correcting multifocal intraocular lenses (IOLs) disrupt the beneficial interaction between chromatic and monochromatic aberrations in the eye. Specifically, it evaluates the visual performance of lenses using the zero-diffraction order for far vision and the first diffraction order for near vision (i.e., 0F/+1N design) under different light conditions.",
        "Setting": "Applied Optics and Image Processing Research Group. Universitat Politècnica de Catalunya – BarcelonaTech, Spain\n\nHospital de Mataró, Consorci Sanitari del Maresme, Spain.\n\nPresbit clinic. Sabadell, Spain\n\nCreu Groga clinic. Calella, Spain\n\nEurolaser clinic. Mataró, Spain",
        "Methods": "Monocular VA of pseudophakic subjects was assessed under white (W) (White LED, CCT=6500K) and green (G) (Green LED, 530 ± 16 nm) light conditions with constant luminance (25.3 ± 0.10 cd/m²) using standard methods, procedures, and materials employed in routine clinical examinations. Diffractive trifocal IOLs (Finevision Micro F12, PhysIOL, n= 20; AT LISA tri 839MP, Zeiss, n= 20) were compared with monofocal IOLs (Y601075, AJL Ophthalmic, n=30).",
        "Results": "Far visual acuity (VA) was superior to near VA in all groups under both W and G light conditions. Despite being close to the lens design wavelength and the maximum efficiency of human vision in photopic conditions, G light consistently resulted in lower mean VA compared to W light across all groups and for both far and near distances. This trend likely stems from defocus caused by residual refractive errors.\n\nThe decrease in VA with G light was minimal for the monofocal pseudophakic subjects. For subjects implanted with diffractive trifocal IOLs, the decrease in VA with G light was subtle in far vision but became relatively more pronounced in near vision.",
        "Conclusions": "Within the limitations of clinical VA examination, our results prove that diffractive multifocal IOLs with 0F/+1N design preserve the beneficial interaction between chromatic and monochromatic aberrations at both far and near vision. These findings are specific to the 0F/+1N design and cannot be extrapolated to other diffractive lens types."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Within the limitations of clinical VA examination, our results prove that diffractive multifocal IOLs with 0F/+1N design preserve the beneficial interaction between chromatic and monochromatic aberrations at both far and near vision. These findings are specific to the 0F/+1N design and cannot be extrapolated to other diffractive lens types.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 382,
      "source_fields": {
        "Abstract Final Identifier": "PP24.10",
        "Title": "Impact Of Diffractive Intraocular Lenses On The Natural Balance Of Ocular Chromatic-Monochromatic Aberrations",
        "Presenting Author(s)": "Dr Laura Clavé Cerezo",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Laura",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Clavé Cerezo",
        "Country Name": "Spain",
        "Purpose": "Although optical aberrations typically degrade the retinal image quality, the existence of positive interactions between chromatic and monochromatic aberrations have proved to benefit visual acuity (VA). This study investigates whether diffractive presbyopia-correcting multifocal intraocular lenses (IOLs) disrupt the beneficial interaction between chromatic and monochromatic aberrations in the eye. Specifically, it evaluates the visual performance of lenses using the zero-diffraction order for far vision and the first diffraction order for near vision (i.e., 0F/+1N design) under different light conditions.",
        "Setting": "Applied Optics and Image Processing Research Group. Universitat Politècnica de Catalunya – BarcelonaTech, Spain\n\nHospital de Mataró, Consorci Sanitari del Maresme, Spain.\n\nPresbit clinic. Sabadell, Spain\n\nCreu Groga clinic. Calella, Spain\n\nEurolaser clinic. Mataró, Spain",
        "Methods": "Monocular VA of pseudophakic subjects was assessed under white (W) (White LED, CCT=6500K) and green (G) (Green LED, 530 ± 16 nm) light conditions with constant luminance (25.3 ± 0.10 cd/m²) using standard methods, procedures, and materials employed in routine clinical examinations. Diffractive trifocal IOLs (Finevision Micro F12, PhysIOL, n= 20; AT LISA tri 839MP, Zeiss, n= 20) were compared with monofocal IOLs (Y601075, AJL Ophthalmic, n=30).",
        "Results": "Far visual acuity (VA) was superior to near VA in all groups under both W and G light conditions. Despite being close to the lens design wavelength and the maximum efficiency of human vision in photopic conditions, G light consistently resulted in lower mean VA compared to W light across all groups and for both far and near distances. This trend likely stems from defocus caused by residual refractive errors.\n\nThe decrease in VA with G light was minimal for the monofocal pseudophakic subjects. For subjects implanted with diffractive trifocal IOLs, the decrease in VA with G light was subtle in far vision but became relatively more pronounced in near vision.",
        "Conclusions": "Within the limitations of clinical VA examination, our results prove that diffractive multifocal IOLs with 0F/+1N design preserve the beneficial interaction between chromatic and monochromatic aberrations at both far and near vision. These findings are specific to the 0F/+1N design and cannot be extrapolated to other diffractive lens types."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 346
    },
    {
      "uid": "PP24.11",
      "abstract_number": "PP24.11",
      "title": "Patient-Reported Visual Outcomes Following Cataract Surgery With Rayone Galaxy And Rayone Emv Intraocular Lenses",
      "authors": "Ms Selin Dogramaci",
      "presenter": "Ms Selin Dogramaci",
      "normalized_authors": [
        "Selin Dogramaci"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mahmut Dogramaci",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Afghanistan",
      "sections": {
        "Purpose": "To evaluate patient-reported visual outcomes following cataract surgery with RayOne Galaxy and RayOne EMV intraocular lenses using a structured postoperative patient feedback questionnaire.",
        "Setting": "Freedom Vision and Spamedica hospitals, UK",
        "Methods": "Patient-reported outcomes were collected using the RayPRO postoperative questionnaire distributed to patients undergoing cataract surgery with Rayner intraocular lenses. The questionnaire evaluates satisfaction with surgical outcomes, spectacle independence for distance, intermediate and near activities, and visual disturbances such as glare, halos and starbursts.\n\nA total of 4877 eyes implanted with RayOne Galaxy (n = 2354) and RayOne EMV (n = 2523) intraocular lenses were included in the clinical dataset. Patient feedback responses were analysed for patients completing the questionnaire. As not all patients responded, analysis was performed using completed responses only.",
        "Results": "A total of 1752 patient responses were analysed, including 1315 responses from patients with RayOne EMV and 437 responses from patients with RayOne Galaxy. Overall satisfaction was 83% for RayOne EMV and 84% for RayOne Galaxy groups. Patients implanted with RayOne Galaxy reported higher overall spectacle independence (92%) compared with RayOne EMV (71%). Distance spectacle independence was reported by 94% of RayOne Galaxy patients and 83% of RayOne EMV patients. Intermediate spectacle independence was reported by 93% and 75%, respectively, while near spectacle independence was reported by 91% and 54%, respectively. Patient-reported dysphotopsia symptoms were reported in 30% of RayOne Galaxy patients and 28% of RayOne EMV patients.",
        "Conclusions": "In this large real-world cohort of cataract surgery patients, high levels of postoperative satisfaction were reported following implantation of RayOne intraocular lenses. RayOne Galaxy lenses were associated with higher levels of spectacle independence across distance, intermediate and near visual tasks compared with RayOne EMV lenses, while overall satisfaction and dysphotopsia rates were similar between groups. These findings highlight the value of incorporating patient-reported outcomes alongside clinical measures when evaluating intraocular lens performance."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this large real-world cohort of cataract surgery patients, high levels of postoperative satisfaction were reported following implantation of RayOne intraocular lenses. RayOne Galaxy lenses were associated with higher levels of spectacle independence across distance, intermediate and near visual tasks compared with RayOne EMV lenses, while overall satisfaction and dysphotopsia rates were similar between groups.…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 383,
      "source_fields": {
        "Abstract Final Identifier": "PP24.11",
        "Title": "Patient-Reported Visual Outcomes Following Cataract Surgery With Rayone Galaxy And Rayone Emv Intraocular Lenses",
        "Presenting Author(s)": "Ms Selin Dogramaci",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Mahmut",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dogramaci",
        "Country Name": "Afghanistan",
        "Purpose": "To evaluate patient-reported visual outcomes following cataract surgery with RayOne Galaxy and RayOne EMV intraocular lenses using a structured postoperative patient feedback questionnaire.",
        "Setting": "Freedom Vision and Spamedica hospitals, UK",
        "Methods": "Patient-reported outcomes were collected using the RayPRO postoperative questionnaire distributed to patients undergoing cataract surgery with Rayner intraocular lenses. The questionnaire evaluates satisfaction with surgical outcomes, spectacle independence for distance, intermediate and near activities, and visual disturbances such as glare, halos and starbursts.\n\nA total of 4877 eyes implanted with RayOne Galaxy (n = 2354) and RayOne EMV (n = 2523) intraocular lenses were included in the clinical dataset. Patient feedback responses were analysed for patients completing the questionnaire. As not all patients responded, analysis was performed using completed responses only.",
        "Results": "A total of 1752 patient responses were analysed, including 1315 responses from patients with RayOne EMV and 437 responses from patients with RayOne Galaxy. Overall satisfaction was 83% for RayOne EMV and 84% for RayOne Galaxy groups. Patients implanted with RayOne Galaxy reported higher overall spectacle independence (92%) compared with RayOne EMV (71%). Distance spectacle independence was reported by 94% of RayOne Galaxy patients and 83% of RayOne EMV patients. Intermediate spectacle independence was reported by 93% and 75%, respectively, while near spectacle independence was reported by 91% and 54%, respectively. Patient-reported dysphotopsia symptoms were reported in 30% of RayOne Galaxy patients and 28% of RayOne EMV patients.",
        "Conclusions": "In this large real-world cohort of cataract surgery patients, high levels of postoperative satisfaction were reported following implantation of RayOne intraocular lenses. RayOne Galaxy lenses were associated with higher levels of spectacle independence across distance, intermediate and near visual tasks compared with RayOne EMV lenses, while overall satisfaction and dysphotopsia rates were similar between groups. These findings highlight the value of incorporating patient-reported outcomes alongside clinical measures when evaluating intraocular lens performance."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 298
    },
    {
      "uid": "PP24.12",
      "abstract_number": "PP24.12",
      "title": "Visual Performance And Patient Satisfaction After Implantation Of A Hydrophobic Trifocal Intraocular Lens",
      "authors": "Prof. Dr Gerd Uwe Auffarth",
      "presenter": "Prof. Dr Gerd Uwe Auffarth",
      "normalized_authors": [
        "Gerd Uwe Auffarth"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Gerd Uwe Auffarth",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "The purpose of this multicentric prospective study is to determine the postoperative visual performance and patient-reported outcomes of patients undergoing bilateral implantation of the ZEISS AT ELANA 841P (Carl Zeiss Meditec AG, Jena, Germany), a hydrophobic trifocal intraocular lens (IOL).",
        "Setting": "Dept. of Ophthalmology, University of Heidelberg, Germany; Precise Vision Augenärzte, Rheine, Germany; Oftalvist Alicante, Spain",
        "Methods": "The prospective, multicentric clinical trial includes a total of 120 eyes of 60 patients, aged 64.6 ± 7.9 years and bilaterally implanted with the AT ELANA 841P IOL following cataract or refractive lens exchange surgery. Subjects were followed up to 12-months, and examinations included: monocular and binocular uncorrected and distance-corrected visual acuities (VA) for far (UDVA, CDVA @4m), intermediate (UIVA, DCIVA @66cm), and near (UNVA, DCNVA @40cm), subjective refraction reported as manifest refraction spherical equivalent (MRSE), monocular and binocular defocus curve, photopic and mesopic contrast sensitivity, patient satisfaction in terms of visual disturbance and spectacle independence.",
        "Results": "At 12 months postoperatively, mean binocular uncorrected logMAR VAs were -0.05±0.08 (UDVA), 0.05±0.10 (UIVA), and 0.12±0.13 (UNVA). Mean MRSE was 0.23±0.47 D, with 82% of eyes within ±0.50 D, and 93% within ±1.0 D. Respective binocular distance-corrected logMAR VAs were -0.09±0.07 (CDVA), 0.04±0.09 (DCIVA), and 0.09±0.12 (DCNVA). For all patients, the binocular photopic defocus curve showed a wide range of functional vision (CDVA of 0.2 logMAR or better) from distance to 33 cm. No need for glasses for far, intermediate, and near vision was reported by 100%, 98% and 67% of patients. 89% of subjects rated their vision as good to excellent and 89% reported being satisfied. 82% reported not being bothered by halo and glare.",
        "Conclusions": "The results of this study show that the AT ELANA 841P IOL, the next generation trifocal IOL from ZEISS, allows full restoration of uncorrected vision over a wide range of distances and is a safe, predictable, and effective treatment option in the course of cataract or refractive lens exchange surgery. These conclusions can be drawn based on visual acuity outcomes and supported by patient reported outcomes regarding rates of spectacle independence, photic phenomena and overall satisfaction 1 year after implantation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results of this study show that the AT ELANA 841P IOL, the next generation trifocal IOL from ZEISS, allows full restoration of uncorrected vision over a wide range of distances and is a safe, predictable, and effective treatment option in the course of cataract or refractive lens exchange surgery. These conclusions can be drawn based on visual acuity outcomes and supported by patient reported outcomes regarding…",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 384,
      "source_fields": {
        "Abstract Final Identifier": "PP24.12",
        "Title": "Visual Performance And Patient Satisfaction After Implantation Of A Hydrophobic Trifocal Intraocular Lens",
        "Presenting Author(s)": "Prof. Dr Gerd Uwe Auffarth",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Gerd",
        "Submitter Middle Name": "Uwe",
        "Submitter Last Name": "Auffarth",
        "Country Name": "Germany",
        "Purpose": "The purpose of this multicentric prospective study is to determine the postoperative visual performance and patient-reported outcomes of patients undergoing bilateral implantation of the ZEISS AT ELANA 841P (Carl Zeiss Meditec AG, Jena, Germany), a hydrophobic trifocal intraocular lens (IOL).",
        "Setting": "Dept. of Ophthalmology, University of Heidelberg, Germany; Precise Vision Augenärzte, Rheine, Germany; Oftalvist Alicante, Spain",
        "Methods": "The prospective, multicentric clinical trial includes a total of 120 eyes of 60 patients, aged 64.6 ± 7.9 years and bilaterally implanted with the AT ELANA 841P IOL following cataract or refractive lens exchange surgery. Subjects were followed up to 12-months, and examinations included: monocular and binocular uncorrected and distance-corrected visual acuities (VA) for far (UDVA, CDVA @4m), intermediate (UIVA, DCIVA @66cm), and near (UNVA, DCNVA @40cm), subjective refraction reported as manifest refraction spherical equivalent (MRSE), monocular and binocular defocus curve, photopic and mesopic contrast sensitivity, patient satisfaction in terms of visual disturbance and spectacle independence.",
        "Results": "At 12 months postoperatively, mean binocular uncorrected logMAR VAs were -0.05±0.08 (UDVA), 0.05±0.10 (UIVA), and 0.12±0.13 (UNVA). Mean MRSE was 0.23±0.47 D, with 82% of eyes within ±0.50 D, and 93% within ±1.0 D. Respective binocular distance-corrected logMAR VAs were -0.09±0.07 (CDVA), 0.04±0.09 (DCIVA), and 0.09±0.12 (DCNVA). For all patients, the binocular photopic defocus curve showed a wide range of functional vision (CDVA of 0.2 logMAR or better) from distance to 33 cm. No need for glasses for far, intermediate, and near vision was reported by 100%, 98% and 67% of patients. 89% of subjects rated their vision as good to excellent and 89% reported being satisfied. 82% reported not being bothered by halo and glare.",
        "Conclusions": "The results of this study show that the AT ELANA 841P IOL, the next generation trifocal IOL from ZEISS, allows full restoration of uncorrected vision over a wide range of distances and is a safe, predictable, and effective treatment option in the course of cataract or refractive lens exchange surgery. These conclusions can be drawn based on visual acuity outcomes and supported by patient reported outcomes regarding rates of spectacle independence, photic phenomena and overall satisfaction 1 year after implantation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 372
    },
    {
      "uid": "PP24.13",
      "abstract_number": "PP24.13",
      "title": "Factors Affecting Visual And Refractive Outcomes Following Bilateral Rayner Galaxy Iol Implantation",
      "authors": "Prof. Dr Renato Neves",
      "presenter": "Prof. Dr Renato Neves",
      "normalized_authors": [
        "Renato Neves"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Renato Neves",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Brazil",
      "sections": {
        "Purpose": "To evaluate binocular visual performance, refractive predictability, spectacle independence, and to identify clinical factors affecting outcomes following bilateral implantation of the Rayner Galaxy intraocular lens (IOL).",
        "Setting": "Single-center prospective study conducted at a private tertiary ophthalmology center. All surgeries were performed by the same experienced surgeon using a standardized femtosecond laser–assisted cataract surgery protocol.",
        "Methods": "Fifty consecutive patients underwent bilateral cataract surgery with implantation of the Rayner Galaxy IOL. Mean age was 62 ± 9 years; 68% were female. All eyes had preoperative regular corneal astigmatism less than 1.00 diopter (D). Patients were evaluated three months after second-eye surgery. Primary endpoints included binocular uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), refractive accuracy measured by spherical equivalent (SE), spectacle independence, and patient satisfaction using a 0–80 score. Secondary analysis assessed factors associated with suboptimal outcomes, including residual refractive error, posterior capsule opacification (PCO), and pre-existing ocular conditions.",
        "Results": "At three months, 88% (44/50) of patients achieved binocular UDVA of 20/20, and 81% achieved J2 or better UNVA. Total spectacle independence was reported by 88% of patients. Refractive accuracy showed 48% of eyes within ±0.50 D and 94% within ±1.00 D of target spherical equivalent. Mean patient satisfaction was 72/80. Factors affecting outcomes included residual refractive error requiring excimer laser enhancement (8%), posterior capsule opacification treated with neodymium-doped yttrium aluminum garnet (Nd:YAG) capsulotomy (4%), and previously undiagnosed amblyopia (2%). No intraoperative complications or intraocular lens exchanges occurred.",
        "Conclusions": "Bilateral Rayner Galaxy IOL implantation provided high levels of binocular visual acuity, refractive accuracy, and spectacle independence at three months. Residual refractive error and ocular comorbidities were the primary factors affecting performance. Optimized refractive targeting and careful patient selection are essential to maximize outcomes with advanced intraocular lens platforms."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Bilateral Rayner Galaxy IOL implantation provided high levels of binocular visual acuity, refractive accuracy, and spectacle independence at three months. Residual refractive error and ocular comorbidities were the primary factors affecting performance. Optimized refractive targeting and careful patient selection are essential to maximize outcomes with advanced intraocular lens platforms.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 385,
      "source_fields": {
        "Abstract Final Identifier": "PP24.13",
        "Title": "Factors Affecting Visual And Refractive Outcomes Following Bilateral Rayner Galaxy Iol Implantation",
        "Presenting Author(s)": "Prof. Dr Renato Neves",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Renato",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Neves",
        "Country Name": "Brazil",
        "Purpose": "To evaluate binocular visual performance, refractive predictability, spectacle independence, and to identify clinical factors affecting outcomes following bilateral implantation of the Rayner Galaxy intraocular lens (IOL).",
        "Setting": "Single-center prospective study conducted at a private tertiary ophthalmology center. All surgeries were performed by the same experienced surgeon using a standardized femtosecond laser–assisted cataract surgery protocol.",
        "Methods": "Fifty consecutive patients underwent bilateral cataract surgery with implantation of the Rayner Galaxy IOL. Mean age was 62 ± 9 years; 68% were female. All eyes had preoperative regular corneal astigmatism less than 1.00 diopter (D). Patients were evaluated three months after second-eye surgery. Primary endpoints included binocular uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), refractive accuracy measured by spherical equivalent (SE), spectacle independence, and patient satisfaction using a 0–80 score. Secondary analysis assessed factors associated with suboptimal outcomes, including residual refractive error, posterior capsule opacification (PCO), and pre-existing ocular conditions.",
        "Results": "At three months, 88% (44/50) of patients achieved binocular UDVA of 20/20, and 81% achieved J2 or better UNVA. Total spectacle independence was reported by 88% of patients. Refractive accuracy showed 48% of eyes within ±0.50 D and 94% within ±1.00 D of target spherical equivalent. Mean patient satisfaction was 72/80. Factors affecting outcomes included residual refractive error requiring excimer laser enhancement (8%), posterior capsule opacification treated with neodymium-doped yttrium aluminum garnet (Nd:YAG) capsulotomy (4%), and previously undiagnosed amblyopia (2%). No intraoperative complications or intraocular lens exchanges occurred.",
        "Conclusions": "Bilateral Rayner Galaxy IOL implantation provided high levels of binocular visual acuity, refractive accuracy, and spectacle independence at three months. Residual refractive error and ocular comorbidities were the primary factors affecting performance. Optimized refractive targeting and careful patient selection are essential to maximize outcomes with advanced intraocular lens platforms."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 292
    },
    {
      "uid": "PP24.14",
      "abstract_number": "PP24.14",
      "title": "Optimisation Of A Sectoral Refractive Multifocal Intraocular Lens: Optical Modelling And Bench Evaluation Using Modified Near Segment Geometry",
      "authors": "Prof. Phillip Buckhurst",
      "presenter": "Prof. Phillip Buckhurst",
      "normalized_authors": [
        "Phillip Buckhurst"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Phillip Buckhurst",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To investigate the optical impact of reducing the near-sector size of a sectoral refractive multifocal intraocular lens (MIOL) from 170° to 120°, with particular emphasis on distance optical quality, decentration tolerance, and robustness to corneal spherical aberration.",
        "Setting": "University of Plymouth, Cataract and Refractive Surgery Laboratory",
        "Methods": "Modified sectoral MIOL designs of different angles were first implemented in MATLAB for conceptual design purposes. The finalised 120° design was transferred into OpticStudio for modelling. Corneal spherical aberration (SA) values of 0.00,0.10,0.20,0.28&0.40µm were simulated and performance was evaluated for pupil diameters of 3.0mm & 4.5mm. Decentration was modelled up to ±1.0 mm, into the near and distance segment. Performance metrics included modulation transfer function (MTF), through-focus MTF, point-spread function, and simulated retinal images. Wavelengths of 480nm,546nm&644nm, as well as photopic weighted illumination were used. Optical bench testing was conducted using a Optispherical R&D under matched conditions.",
        "Results": "The modified 120° design demonstrated superior distance MTF compared with the 170° design across pupil sizes and corneal SA values, indicating a more distance-dominant optical behaviour. Through-focus analysis demonstrated this distance dominant profile which varied according to levels of decentration: improved distance MTF stability when decentered into the distance segment, with reduced degradation compared to the 170° design, while decentration into the near segment produced predictable and controlled shifts in through-focus performance. Bench testing showed good agreement with computational predictions.",
        "Conclusions": "Reducing the near-sector size from 170° to 120° produces a more distance-dominant sectoral multifocal IOL with improved tolerance to decentration and corneal spherical aberration, while maintaining functional near performance. Combined computational modelling and optical bench testing provide a robust framework for optimising asymmetric multifocal IOL designs."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Reducing the near-sector size from 170° to 120° produces a more distance-dominant sectoral multifocal IOL with improved tolerance to decentration and corneal spherical aberration, while maintaining functional near performance. Combined computational modelling and optical bench testing provide a robust framework for optimising asymmetric multifocal IOL designs.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 386,
      "source_fields": {
        "Abstract Final Identifier": "PP24.14",
        "Title": "Optimisation Of A Sectoral Refractive Multifocal Intraocular Lens: Optical Modelling And Bench Evaluation Using Modified Near Segment Geometry",
        "Presenting Author(s)": "Prof. Phillip Buckhurst",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "Phillip",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Buckhurst",
        "Country Name": "United Kingdom",
        "Purpose": "To investigate the optical impact of reducing the near-sector size of a sectoral refractive multifocal intraocular lens (MIOL) from 170° to 120°, with particular emphasis on distance optical quality, decentration tolerance, and robustness to corneal spherical aberration.",
        "Setting": "University of Plymouth, Cataract and Refractive Surgery Laboratory",
        "Methods": "Modified sectoral MIOL designs of different angles were first implemented in MATLAB for conceptual design purposes. The finalised 120° design was transferred into OpticStudio for modelling. Corneal spherical aberration (SA) values of 0.00,0.10,0.20,0.28&0.40µm were simulated and performance was evaluated for pupil diameters of 3.0mm & 4.5mm. Decentration was modelled up to ±1.0 mm, into the near and distance segment. Performance metrics included modulation transfer function (MTF), through-focus MTF, point-spread function, and simulated retinal images. Wavelengths of 480nm,546nm&644nm, as well as photopic weighted illumination were used. Optical bench testing was conducted using a Optispherical R&D under matched conditions.",
        "Results": "The modified 120° design demonstrated superior distance MTF compared with the 170° design across pupil sizes and corneal SA values, indicating a more distance-dominant optical behaviour. Through-focus analysis demonstrated this distance dominant profile which varied according to levels of decentration: improved distance MTF stability when decentered into the distance segment, with reduced degradation compared to the 170° design, while decentration into the near segment produced predictable and controlled shifts in through-focus performance. Bench testing showed good agreement with computational predictions.",
        "Conclusions": "Reducing the near-sector size from 170° to 120° produces a more distance-dominant sectoral multifocal IOL with improved tolerance to decentration and corneal spherical aberration, while maintaining functional near performance. Combined computational modelling and optical bench testing provide a robust framework for optimising asymmetric multifocal IOL designs."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "PP24.15",
      "abstract_number": "PP24.15",
      "title": "Assessment Of Optical Performance And Comparison Of Virtual Clinical Implant For Two Full Vision Range Intraocular Lenses",
      "authors": "Dr William Xu",
      "presenter": "Dr William Xu",
      "normalized_authors": [
        "William Xu"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "William Xu",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "The Clareon PanOptix (CPO) Pro (Alcon Vision) and Tecnis Odyssey (JnJ Vision) are two Presbyopia Correcting Intraocular Lenses (PC IOLs). Both these IOLs are designed to provide simultaneous distance, intermediate, and near vision for cataract patients. The purpose of this study is to evaluate the optical performance and the subjective responses after monocular virtual implant of each IOL using a vision simulator.",
        "Setting": "Optical performance study is based on Modulation Transfer Function (MTF) system at Alcon Research, LLC, Fort Worth, Texas, USA. The subjective assessment with virtual implantation was done at JENVIS Research, Jena, Germany.",
        "Methods": "Optical performance was compared using an IOL Research bench system for the CPO Pro and Odyssey IOLs. A VirtIOL system was used to virtually implant IOLs in 63 phakic, cyclopleged subjects. Pupil size was fixed at 3.5mm for photopic and 4.5mm for mesopic testing. Monocular subjective blurriness ratings were collected at distance, -1.5D and -2.5D of defocus distances when viewing a photopic high contrast 0.2logMAR line. Subjects used an adjustable ring to indicate the perceived size of halo and starburst with each IOL while viewing an LED source in mesopic conditions. Preference for each IOL on intermediate vision quality and halo/starbursts was also collected.",
        "Results": "MTF data from the optical bench revealed a negligible difference in distance image contrast between these two PC IOLs. The CPO Pro, however, achieved 36% higher image contrast in the intermediate-to-near vision range (-1.5D to -2.5D) as compared to the Odyssey IOL.\n\nWith virtual implant, subjective blurriness rating differences at distance and near were within 1.5 units. The blurriness scores at intermediate were larger than 2.5 units for Odyssey compared to PanOptix Pro. 89% of subjects preferred CPO Pro for intermediate vision quality. The response to a question on the tolerance to halo, 70% of the subject prefer CPO Pro. Likewise, 89% preferred CPO Pro over Odyssey for the tolerance of starburst.",
        "Conclusions": "The in vitro optics bench data demonstrated higher image contrast in the intermediate range and less halo for CPO Pro as compared to Odyssey. 89% of subjects reported a preference for PanOptix® Pro over Odyssey® for simulated intermediate vision. 70% and ~90% of subjects preferred PanOptix® Pro over Odyssey® with respect to tolerating halo and starburst, respectively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The in vitro optics bench data demonstrated higher image contrast in the intermediate range and less halo for CPO Pro as compared to Odyssey. 89% of subjects reported a preference for PanOptix® Pro over Odyssey® for simulated intermediate vision. 70% and ~90% of subjects preferred PanOptix® Pro over Odyssey® with respect to tolerating halo and starburst, respectively.",
      "session_type": "Presented Poster",
      "track": "IOLs - multifocal",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 387,
      "source_fields": {
        "Abstract Final Identifier": "PP24.15",
        "Title": "Assessment Of Optical Performance And Comparison Of Virtual Clinical Implant For Two Full Vision Range Intraocular Lenses",
        "Presenting Author(s)": "Dr William Xu",
        "Abstract Topic Name": "IOLs - multifocal",
        "Submitter First Name": "William",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Xu",
        "Country Name": "United States",
        "Purpose": "The Clareon PanOptix (CPO) Pro (Alcon Vision) and Tecnis Odyssey (JnJ Vision) are two Presbyopia Correcting Intraocular Lenses (PC IOLs). Both these IOLs are designed to provide simultaneous distance, intermediate, and near vision for cataract patients. The purpose of this study is to evaluate the optical performance and the subjective responses after monocular virtual implant of each IOL using a vision simulator.",
        "Setting": "Optical performance study is based on Modulation Transfer Function (MTF) system at Alcon Research, LLC, Fort Worth, Texas, USA. The subjective assessment with virtual implantation was done at JENVIS Research, Jena, Germany.",
        "Methods": "Optical performance was compared using an IOL Research bench system for the CPO Pro and Odyssey IOLs. A VirtIOL system was used to virtually implant IOLs in 63 phakic, cyclopleged subjects. Pupil size was fixed at 3.5mm for photopic and 4.5mm for mesopic testing. Monocular subjective blurriness ratings were collected at distance, -1.5D and -2.5D of defocus distances when viewing a photopic high contrast 0.2logMAR line. Subjects used an adjustable ring to indicate the perceived size of halo and starburst with each IOL while viewing an LED source in mesopic conditions. Preference for each IOL on intermediate vision quality and halo/starbursts was also collected.",
        "Results": "MTF data from the optical bench revealed a negligible difference in distance image contrast between these two PC IOLs. The CPO Pro, however, achieved 36% higher image contrast in the intermediate-to-near vision range (-1.5D to -2.5D) as compared to the Odyssey IOL.\n\nWith virtual implant, subjective blurriness rating differences at distance and near were within 1.5 units. The blurriness scores at intermediate were larger than 2.5 units for Odyssey compared to PanOptix Pro. 89% of subjects preferred CPO Pro for intermediate vision quality. The response to a question on the tolerance to halo, 70% of the subject prefer CPO Pro. Likewise, 89% preferred CPO Pro over Odyssey for the tolerance of starburst.",
        "Conclusions": "The in vitro optics bench data demonstrated higher image contrast in the intermediate range and less halo for CPO Pro as compared to Odyssey. 89% of subjects reported a preference for PanOptix® Pro over Odyssey® for simulated intermediate vision. 70% and ~90% of subjects preferred PanOptix® Pro over Odyssey® with respect to tolerating halo and starburst, respectively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 377
    },
    {
      "uid": "PP25.01",
      "abstract_number": "PP25.01",
      "title": "Ocular Surface Rehabilitation In Chronic Post-Herpetic Keratitis: Efficacy Of A Triple-Step Surgical Approach",
      "authors": "Dr Iatissam El Belhadji",
      "presenter": "Dr Iatissam El Belhadji",
      "normalized_authors": [
        "Iatissam El Belhadji"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Iatissam El Belhadji",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Viral keratitis sequelae can lead to localized limbal insufficiency and chronic epithelial instability. We report a combined surgical approach designed to restore ocular surface integrity and halt active, deep corneal neovascularization.",
        "Setting": "A 68-year-old patient presented with photophobia and sequelae of suspected superinfected viral keratitis, progressing for two months. Initial visual acuity was a weak 7/10. Slit-lamp examination revealed a large axial corneal opacity with irregular, loose epithelium poorly adherent to Bowman’s membrane. Central fluorescein pooling and deep corneal neovascularization were observed. Corneal AS-OCT confirmed major surface irregularity and lack of epithelial adhesion",
        "Methods": "Following the failure of conservative medical management, a three-step procedure was performed:\n\n-Mechanical epithelial debridement to remove the pathological tissue.\n\n-Fine Needle Cautery (FNC) targeted at deep limbal vessels to reduce inflammatory influx.\n\n-Sutured multilayer Amniotic Membrane Grafting (AMG) .\n\nPostoperative care included autologous serum, topical Lotemax, and systemic antiviral prophylaxis. Concurrent management of Meibomian Gland Dysfunction was initiated, including gland expression and Demodex treatment.",
        "Results": "The postoperative course was characterized by significant clinical improvement and complete resolution of functional symptoms, including photophobia and foreign body sensation as well as successful membrane integration and a smoother epithelial profile.",
        "Conclusions": "This combined therapeutic approach simultaneously addresses surface instability and deep neovascularization. Multilayer AMG acts as a biological scaffold for healthy re-epithelialization while providing essential anti-inflammatory and anti-fibrotic properties."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This combined therapeutic approach simultaneously addresses surface instability and deep neovascularization. Multilayer AMG acts as a biological scaffold for healthy re-epithelialization while providing essential anti-inflammatory and anti-fibrotic properties.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 388,
      "source_fields": {
        "Abstract Final Identifier": "PP25.01",
        "Title": "Ocular Surface Rehabilitation In Chronic Post-Herpetic Keratitis: Efficacy Of A Triple-Step Surgical Approach",
        "Presenting Author(s)": "Dr Iatissam El Belhadji",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Iatissam",
        "Submitter Middle Name": "",
        "Submitter Last Name": "El Belhadji",
        "Country Name": "Morocco",
        "Purpose": "Viral keratitis sequelae can lead to localized limbal insufficiency and chronic epithelial instability. We report a combined surgical approach designed to restore ocular surface integrity and halt active, deep corneal neovascularization.",
        "Setting": "A 68-year-old patient presented with photophobia and sequelae of suspected superinfected viral keratitis, progressing for two months. Initial visual acuity was a weak 7/10. Slit-lamp examination revealed a large axial corneal opacity with irregular, loose epithelium poorly adherent to Bowman’s membrane. Central fluorescein pooling and deep corneal neovascularization were observed. Corneal AS-OCT confirmed major surface irregularity and lack of epithelial adhesion",
        "Methods": "Following the failure of conservative medical management, a three-step procedure was performed:\n\n-Mechanical epithelial debridement to remove the pathological tissue.\n\n-Fine Needle Cautery (FNC) targeted at deep limbal vessels to reduce inflammatory influx.\n\n-Sutured multilayer Amniotic Membrane Grafting (AMG) .\n\nPostoperative care included autologous serum, topical Lotemax, and systemic antiviral prophylaxis. Concurrent management of Meibomian Gland Dysfunction was initiated, including gland expression and Demodex treatment.",
        "Results": "The postoperative course was characterized by significant clinical improvement and complete resolution of functional symptoms, including photophobia and foreign body sensation as well as successful membrane integration and a smoother epithelial profile.",
        "Conclusions": "This combined therapeutic approach simultaneously addresses surface instability and deep neovascularization. Multilayer AMG acts as a biological scaffold for healthy re-epithelialization while providing essential anti-inflammatory and anti-fibrotic properties."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 217
    },
    {
      "uid": "PP25.02",
      "abstract_number": "PP25.02",
      "title": "Ocular Surface And Tear Film Changes Following Repeated Povidone-Iodine Exposure During Intravitreal Injections: A Prospective Cohort Study",
      "authors": "Dr Ivanka Maduna",
      "presenter": "Dr Ivanka Maduna",
      "normalized_authors": [
        "Ivanka Maduna"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Ivanka Maduna",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Croatia",
      "sections": {
        "Purpose": "Povidone-iodine antisepsis is essential for preventing endophthalmitis in intraocular procedures; however, repeated exposure may affect ocular surface integrity. This study aimed to evaluate short-term subjective and objective ocular surface changes over a 30-day period following repeated povidone-iodine exposure.",
        "Setting": "This observational prospective case-control study was conducted at the Department of Ophthalmology, University Hospital Center Osijek.",
        "Methods": "Thirty patients undergoing unilateral repeated intravitreal anti-VEGF injections were prospectively enrolled. A comprehensive ophthalmological examination was performed before injection and on days 1, 7, and 30 post-procedure. Evaluations included the Schirmer test, tear film break-up time (TBUT), corneal fluorescein staining, grading of conjunctival injection, and Ocular Surface Disease Index (OSDI) questionnaire. The untreated fellow eye served as a control. Changes over time and inter-eye differences were analyzed.",
        "Results": "Thirty patients were included, 47% were male. Baseline Schirmer, TBUT and OSDI showed no inter-eye differences and no corneal staining or conjunctival injection was present. TBUT values in treated eyes were significantly lower than in control eyes on days 1 and 7 after the procedure, with no difference at day 30 (P=0.04; P=0.02; P=0.23, respectively). OSDI scores significantly increased from baseline on days 1 and 7 (P<0.001; P=0.002, respectively) and returned to baseline levels by day 30 (P=0.35). Fluorescein staining and conjunctival injection significantly increased in treated eyes on days 1 and 7 compared with baseline and control eyes (P<0.001), with no significant differences between eyes or versus baseline at day 30 (P=0.08).",
        "Conclusions": "Repeated povidone-iodine exposure during intravitreal anti-VEGF injections induces transient ocular surface disturbance characterized by increased dry eye symptoms, reduced TBUT, corneal epithelial damage, and conjunctival hyperemia. Changes peak within the first week and resolve by one month. Although recovery occurs within one month, cumulative long-term exposure may affect patient comfort. Awareness of post-injection ocular surface alterations is important, and prophylactic ocular surface management may improve patient comfort and potentially support adherence to long-term therapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Repeated povidone-iodine exposure during intravitreal anti-VEGF injections induces transient ocular surface disturbance characterized by increased dry eye symptoms, reduced TBUT, corneal epithelial damage, and conjunctival hyperemia. Changes peak within the first week and resolve by one month. Although recovery occurs within one month, cumulative long-term exposure may affect patient comfort. Awareness of…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 389,
      "source_fields": {
        "Abstract Final Identifier": "PP25.02",
        "Title": "Ocular Surface And Tear Film Changes Following Repeated Povidone-Iodine Exposure During Intravitreal Injections: A Prospective Cohort Study",
        "Presenting Author(s)": "Dr Ivanka Maduna",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Ivanka",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Maduna",
        "Country Name": "Croatia",
        "Purpose": "Povidone-iodine antisepsis is essential for preventing endophthalmitis in intraocular procedures; however, repeated exposure may affect ocular surface integrity. This study aimed to evaluate short-term subjective and objective ocular surface changes over a 30-day period following repeated povidone-iodine exposure.",
        "Setting": "This observational prospective case-control study was conducted at the Department of Ophthalmology, University Hospital Center Osijek.",
        "Methods": "Thirty patients undergoing unilateral repeated intravitreal anti-VEGF injections were prospectively enrolled. A comprehensive ophthalmological examination was performed before injection and on days 1, 7, and 30 post-procedure. Evaluations included the Schirmer test, tear film break-up time (TBUT), corneal fluorescein staining, grading of conjunctival injection, and Ocular Surface Disease Index (OSDI) questionnaire. The untreated fellow eye served as a control. Changes over time and inter-eye differences were analyzed.",
        "Results": "Thirty patients were included, 47% were male. Baseline Schirmer, TBUT and OSDI showed no inter-eye differences and no corneal staining or conjunctival injection was present. TBUT values in treated eyes were significantly lower than in control eyes on days 1 and 7 after the procedure, with no difference at day 30 (P=0.04; P=0.02; P=0.23, respectively). OSDI scores significantly increased from baseline on days 1 and 7 (P<0.001; P=0.002, respectively) and returned to baseline levels by day 30 (P=0.35). Fluorescein staining and conjunctival injection significantly increased in treated eyes on days 1 and 7 compared with baseline and control eyes (P<0.001), with no significant differences between eyes or versus baseline at day 30 (P=0.08).",
        "Conclusions": "Repeated povidone-iodine exposure during intravitreal anti-VEGF injections induces transient ocular surface disturbance characterized by increased dry eye symptoms, reduced TBUT, corneal epithelial damage, and conjunctival hyperemia. Changes peak within the first week and resolve by one month. Although recovery occurs within one month, cumulative long-term exposure may affect patient comfort. Awareness of post-injection ocular surface alterations is important, and prophylactic ocular surface management may improve patient comfort and potentially support adherence to long-term therapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 324
    },
    {
      "uid": "PP25.04",
      "abstract_number": "PP25.04",
      "title": "Ocular Surface Improvement After Migs Surgery",
      "authors": "Dr Kjell Gunnar Gundersen",
      "presenter": "Dr Kjell Gunnar Gundersen",
      "normalized_authors": [
        "Kjell Gunnar Gundersen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kjell Gunnar Gundersen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "To compare ocular surface outcomes between interventional glaucoma treatment with trabecular micro-bypass stent implantation and continued topical intraocular pressure-lowering therapy.",
        "Setting": "Single surgeon clinic",
        "Methods": "A prospective, single-center, contralateral-eye study of patients with bilateral, mild-to-moderate open-angle glaucoma undergoing implantation of the iStent inject in the study eye, while the fellow eye (control eye) continued topical medications. Just over half the eyes in both groups underwent phacoemulsification. Ocular surface parameters were evaluated using objective tests and validated symptom questionnaires at baseline and at 1, 3, and 6 months.",
        "Results": "Fifty-six eyes were included, 28 in each group. At 6 months, medication use reduced significantly in study eyes (from 1.9± 1.0 preoperatively to 0.4± 0.6; p< 0.001), but not in control eyes (from 1.5± 0.9 to 1.4± 0.8; p=0.168). Study eyes demonstrated significant improvements in keratograph bulbar redness score (2.4± 0.6 to 2.0± 0.4; p=0.003), and Oxford ocular surface staining (OSS) score (1.6± 1.2 to 0.7± 1.0; p< 0.001) while control eyes did not; improvements in bulbar redness and OSS scores were significantly greater in study eyes (p=0.005 and p=0.045, respectively). OSDI scores decreased from 18.4 ± 16.4 to 9.3 ± 8.9 (p=0.007) and SPEED II scores decreased from 8.0 ± 7.8 to 4.5 ± 4.1 (p=0.005).",
        "Conclusions": "Interventional glaucoma treatment with trabecular micro-bypass stent implantation significantly reduced medication burden, which was associated with improved signs and symptoms of ocular surface disease at 6 months. Compared to fellow eyes on topical therapy, stent-treated eyes showed better outcomes in selected ocular surface parameters, supporting the benefits of an interventional approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Interventional glaucoma treatment with trabecular micro-bypass stent implantation significantly reduced medication burden, which was associated with improved signs and symptoms of ocular surface disease at 6 months. Compared to fellow eyes on topical therapy, stent-treated eyes showed better outcomes in selected ocular surface parameters, supporting the benefits of an interventional approach.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 390,
      "source_fields": {
        "Abstract Final Identifier": "PP25.04",
        "Title": "Ocular Surface Improvement After Migs Surgery",
        "Presenting Author(s)": "Dr Kjell Gunnar Gundersen",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Kjell Gunnar",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gundersen",
        "Country Name": "Norway",
        "Purpose": "To compare ocular surface outcomes between interventional glaucoma treatment with trabecular micro-bypass stent implantation and continued topical intraocular pressure-lowering therapy.",
        "Setting": "Single surgeon clinic",
        "Methods": "A prospective, single-center, contralateral-eye study of patients with bilateral, mild-to-moderate open-angle glaucoma undergoing implantation of the iStent inject in the study eye, while the fellow eye (control eye) continued topical medications. Just over half the eyes in both groups underwent phacoemulsification. Ocular surface parameters were evaluated using objective tests and validated symptom questionnaires at baseline and at 1, 3, and 6 months.",
        "Results": "Fifty-six eyes were included, 28 in each group. At 6 months, medication use reduced significantly in study eyes (from 1.9± 1.0 preoperatively to 0.4± 0.6; p< 0.001), but not in control eyes (from 1.5± 0.9 to 1.4± 0.8; p=0.168). Study eyes demonstrated significant improvements in keratograph bulbar redness score (2.4± 0.6 to 2.0± 0.4; p=0.003), and Oxford ocular surface staining (OSS) score (1.6± 1.2 to 0.7± 1.0; p< 0.001) while control eyes did not; improvements in bulbar redness and OSS scores were significantly greater in study eyes (p=0.005 and p=0.045, respectively). OSDI scores decreased from 18.4 ± 16.4 to 9.3 ± 8.9 (p=0.007) and SPEED II scores decreased from 8.0 ± 7.8 to 4.5 ± 4.1 (p=0.005).",
        "Conclusions": "Interventional glaucoma treatment with trabecular micro-bypass stent implantation significantly reduced medication burden, which was associated with improved signs and symptoms of ocular surface disease at 6 months. Compared to fellow eyes on topical therapy, stent-treated eyes showed better outcomes in selected ocular surface parameters, supporting the benefits of an interventional approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 287
    },
    {
      "uid": "PP25.05",
      "abstract_number": "PP25.05",
      "title": "Ocular Rosacea Keratitis Presenting With Granulomatous Keratic Precipitates: An Immune-Mediated Masquerader Of Granulomatous Anterior Uveitis",
      "authors": "Dr Lekha Chandel",
      "presenter": "Dr Lekha Chandel",
      "normalized_authors": [
        "Lekha Chandel"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lekha Chandel",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To report an uncommon inflammatory presentation of ocular rosacea manifesting as stromal keratitis associated with granulomatous (mutton-fat) keratic precipitates (KPs), which may clinically simulate infective or immune-mediated keratouveitis and lead to delay in appropriate anti-inflammatory therapy.",
        "Setting": "Tertiary Eye Care Centre, Chandigarh, India",
        "Methods": "A 30-year-old male presented with redness, photophobia, watering, and progressive vision loss in the right eye for 1 month. Slit-lamp examination showed localized anterior stromal infiltrate, epithelial irregularity, surrounding stromal haze, and large granulomatous mutton-fat keratic precipitates with mild anterior chamber reaction. Corneal sensation was intact. Ocular surface findings included meibomian gland dysfunction and telangiectatic lid margins. Dermatological examination indicated rosacea with centrofacial erythema, papulopustular lesions, and telangiectasia. Systemic evaluations, including chest imaging and serum tests, ruled out other causes. A diagnosis of ocular rosacea–associated granulomatous keratitis was made.",
        "Results": "The patient was initiated on oral doxycycline 100 mg once daily along with topical predacetate 1% in tapering dosage, preservative-free lubricants, and adjunctive lid hygiene measures including warm compresses and lid margin cleansing.Progressive resolution of stromal inflammation was observed over a period of three weeks, accompanied by marked reduction in endothelial keratic precipitates and anterior chamber activity.Cutaneous facial erythema and papulopustular lesions also showed improvement with systemic tetracycline therapy. No recurrence of keratitis or intraocular inflammation was noted over a follow-up period of two months.",
        "Conclusions": "Ocular rosacea may rarely present with granulomatous keratitis characterized by mutton-fat keratic precipitates, thereby mimicking infective keratouveitis or immune-mediated anterior uveitis. Recognition of associated lid margin disease and concurrent facial cutaneous rosacea is essential for accurate diagnosis. Early initiation of systemic tetracycline therapy combined with topical corticosteroids results in favorable clinical outcomes. A high index of suspicion is necessary in cases of stromal keratitis with negative microbiological work-up to prevent misdiagnosis and unnecessary antimicrobial therapy."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Ocular rosacea may rarely present with granulomatous keratitis characterized by mutton-fat keratic precipitates, thereby mimicking infective keratouveitis or immune-mediated anterior uveitis. Recognition of associated lid margin disease and concurrent facial cutaneous rosacea is essential for accurate diagnosis. Early initiation of systemic tetracycline therapy combined with topical corticosteroids results in…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 391,
      "source_fields": {
        "Abstract Final Identifier": "PP25.05",
        "Title": "Ocular Rosacea Keratitis Presenting With Granulomatous Keratic Precipitates: An Immune-Mediated Masquerader Of Granulomatous Anterior Uveitis",
        "Presenting Author(s)": "Dr Lekha Chandel",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Lekha",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Chandel",
        "Country Name": "India",
        "Purpose": "To report an uncommon inflammatory presentation of ocular rosacea manifesting as stromal keratitis associated with granulomatous (mutton-fat) keratic precipitates (KPs), which may clinically simulate infective or immune-mediated keratouveitis and lead to delay in appropriate anti-inflammatory therapy.",
        "Setting": "Tertiary Eye Care Centre, Chandigarh, India",
        "Methods": "A 30-year-old male presented with redness, photophobia, watering, and progressive vision loss in the right eye for 1 month. Slit-lamp examination showed localized anterior stromal infiltrate, epithelial irregularity, surrounding stromal haze, and large granulomatous mutton-fat keratic precipitates with mild anterior chamber reaction. Corneal sensation was intact. Ocular surface findings included meibomian gland dysfunction and telangiectatic lid margins. Dermatological examination indicated rosacea with centrofacial erythema, papulopustular lesions, and telangiectasia. Systemic evaluations, including chest imaging and serum tests, ruled out other causes. A diagnosis of ocular rosacea–associated granulomatous keratitis was made.",
        "Results": "The patient was initiated on oral doxycycline 100 mg once daily along with topical predacetate 1% in tapering dosage, preservative-free lubricants, and adjunctive lid hygiene measures including warm compresses and lid margin cleansing.Progressive resolution of stromal inflammation was observed over a period of three weeks, accompanied by marked reduction in endothelial keratic precipitates and anterior chamber activity.Cutaneous facial erythema and papulopustular lesions also showed improvement with systemic tetracycline therapy. No recurrence of keratitis or intraocular inflammation was noted over a follow-up period of two months.",
        "Conclusions": "Ocular rosacea may rarely present with granulomatous keratitis characterized by mutton-fat keratic precipitates, thereby mimicking infective keratouveitis or immune-mediated anterior uveitis. Recognition of associated lid margin disease and concurrent facial cutaneous rosacea is essential for accurate diagnosis. Early initiation of systemic tetracycline therapy combined with topical corticosteroids results in favorable clinical outcomes. A high index of suspicion is necessary in cases of stromal keratitis with negative microbiological work-up to prevent misdiagnosis and unnecessary antimicrobial therapy."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 294
    },
    {
      "uid": "PP25.06",
      "abstract_number": "PP25.06",
      "title": "Efficacy Of Topical Insulin Eye Drops In Persistent Epithelial Defects: A Cost-Effectiveness Analysis In A Refractory Cohort",
      "authors": "Dr Lewis Larkman",
      "presenter": "Dr Lewis Larkman",
      "normalized_authors": [
        "Lewis Larkman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mohanad Moustafa",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Persistent epithelial defects (PEDs) are sight-threatening conditions refractory to conventional treatment, often necessitating progression to costly and invasive surgical management, such as Amniotic Membrane Transplantation (AMT) or Tarsorraphy. Topical insulin has been proposed as a non-invasive, low-cost therapeutic alternative that promotes corneal epithelial cell proliferation and wound healing. This study evaluates the clinical efficacy and cost-effectiveness of topical insulin therapy in a cohort of patients suffering from refractory PEDs.",
        "Setting": "9 patients with Persistent epithelial defect (PED) were included in this study. The mean patient age was 74.8 years ( ± 8.6 years, range 65 to 93 years). Patients had failed standard management for a mean of 40.11 days (± 23.77 days, range 13 to 72 days) before insulin initiation, with a mean baseline PED area of 5.54 mm² ( ± 5.19 mm², range 1.5 to 17.39 mm²) .",
        "Methods": "A retrospective case series reviewing the charts of 9 consecutive patients treated with topical insulin eye drops (Humulin S 1 IU/ml in Systane, four times daily). Outcomes included epithelization rate, time until closure, visual acuity (VA) gain, and metrics for healthcare resource consumption, specifically reductions in required NHS visits and avoidance of surgical intervention.",
        "Results": "Epithelization was achieved in 7 out of 9 patients (77.8%) . For successful cases, the mean time to complete reepithelization was 79.43 days ( ± 83.42 days, range 15 to 254 days) , with a mean gain in VA of 0. 40 LogMAR ( ± 0. 47 , range 0 to 1. 4 LogMAR ) . Of the 7 successes, 5 required Tarsorraphy and 2 required AMT (prior or concomitant to insulin); only 1 patient achieved complete epithelisation without needing either surgical intervention. The mean reduction in required clinical visits per patient was 1.89 visits (± 1.97 visits, range -1 to 5 visits) , reflecting a total reduction of 17 clinical visits across the cohort.",
        "Conclusions": "Topical insulin eye drops demonstrated high clinical efficacy in achieving epithelial healing even in highly complicated PEDs where prior surgical interventions had failed or were required concomitantly. The observed reduction in monitoring visits confirms that insulin therapy offers a valuable, cost-saving step by promoting healing and improving resource efficiency in these critically refractory cases."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical insulin eye drops demonstrated high clinical efficacy in achieving epithelial healing even in highly complicated PEDs where prior surgical interventions had failed or were required concomitantly. The observed reduction in monitoring visits confirms that insulin therapy offers a valuable, cost-saving step by promoting healing and improving resource efficiency in these critically refractory cases.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 392,
      "source_fields": {
        "Abstract Final Identifier": "PP25.06",
        "Title": "Efficacy Of Topical Insulin Eye Drops In Persistent Epithelial Defects: A Cost-Effectiveness Analysis In A Refractory Cohort",
        "Presenting Author(s)": "Dr Lewis Larkman",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Mohanad",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moustafa",
        "Country Name": "United Kingdom",
        "Purpose": "Persistent epithelial defects (PEDs) are sight-threatening conditions refractory to conventional treatment, often necessitating progression to costly and invasive surgical management, such as Amniotic Membrane Transplantation (AMT) or Tarsorraphy. Topical insulin has been proposed as a non-invasive, low-cost therapeutic alternative that promotes corneal epithelial cell proliferation and wound healing. This study evaluates the clinical efficacy and cost-effectiveness of topical insulin therapy in a cohort of patients suffering from refractory PEDs.",
        "Setting": "9 patients with Persistent epithelial defect (PED) were included in this study. The mean patient age was 74.8 years ( ± 8.6 years, range 65 to 93 years). Patients had failed standard management for a mean of 40.11 days (± 23.77 days, range 13 to 72 days) before insulin initiation, with a mean baseline PED area of 5.54 mm² ( ± 5.19 mm², range 1.5 to 17.39 mm²) .",
        "Methods": "A retrospective case series reviewing the charts of 9 consecutive patients treated with topical insulin eye drops (Humulin S 1 IU/ml in Systane, four times daily). Outcomes included epithelization rate, time until closure, visual acuity (VA) gain, and metrics for healthcare resource consumption, specifically reductions in required NHS visits and avoidance of surgical intervention.",
        "Results": "Epithelization was achieved in 7 out of 9 patients (77.8%) . For successful cases, the mean time to complete reepithelization was 79.43 days ( ± 83.42 days, range 15 to 254 days) , with a mean gain in VA of 0. 40 LogMAR ( ± 0. 47 , range 0 to 1. 4 LogMAR ) . Of the 7 successes, 5 required Tarsorraphy and 2 required AMT (prior or concomitant to insulin); only 1 patient achieved complete epithelisation without needing either surgical intervention. The mean reduction in required clinical visits per patient was 1.89 visits (± 1.97 visits, range -1 to 5 visits) , reflecting a total reduction of 17 clinical visits across the cohort.",
        "Conclusions": "Topical insulin eye drops demonstrated high clinical efficacy in achieving epithelial healing even in highly complicated PEDs where prior surgical interventions had failed or were required concomitantly. The observed reduction in monitoring visits confirms that insulin therapy offers a valuable, cost-saving step by promoting healing and improving resource efficiency in these critically refractory cases."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 358
    },
    {
      "uid": "PP25.07",
      "abstract_number": "PP25.07",
      "title": "Bilateral Corneal Necrosis Associated With Long-Term Use Of Skin Whitening Products: A Surgical Challenge",
      "authors": "Dr Hibat Allah Eddaoui",
      "presenter": "Dr Hibat Allah Eddaoui",
      "normalized_authors": [
        "Hibat Allah Eddaoui"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Hibat Allah Eddaoui",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "Corneal necrosis is a severe and rare condition that can lead to profound visual loss. Toxic exposure related to chronic use of cosmetic or skin whitening products has been reported as a potential risk factor for ocular surface toxicity. We report a case of bilateral corneal necrosis managed surgically with therapeutic keratoplasty.",
        "Setting": "We present the case of a 44-year-old female with no significant medical history except long-term use of skin whitening products. The patient developed bilateral corneal ulcers several months before presentation, which failed to improve despite medical treatment, leading to emergency referral.\n\nInitial ophthalmic examination revealed bilateral light perception-only visual acuity.",
        "Methods": "Slit-lamp examination showed total corneal opacification with iris and ciliary body prolapse in both eyes, preventing further ocular assessment. Systemic examination revealed facial vitiligo. B-scan ultrasonography confirmed an attached retina with a preserved posterior segment. The etiological workup was negative.\n\nAfter multidisciplinary discussion, two therapeutic strategies were considered: evisceration or globe-preserving reconstructive surgery",
        "Results": "The decision was made to attempt therapeutic keratoplasty combined with anterior vitrectomy and cataract management.\n\nSurgery of the left eye was technically challenging and included removal of a dense pre-iris membrane with iridoplasty, intracapsular extraction of a luxated total cataract, wide anterior vitrectomy, and limbus-to-limbus corneal grafting.\n\nPostoperative follow-up showed significant pain relief and visual improvement from light perception to counting fingers at close distance with optical correction (+10 diopters at 2 meters). The patient was satisfied with the functional outcome but was informed about potential long-term complications",
        "Conclusions": "Therapeutic penetrating keratoplasty combined with anterior segment reconstruction may represent a viable globe-preserving strategy in severe corneal necrosis. Early diagnosis, cessation of toxic exposure, and timely surgical intervention are essential to improve anatomical and functional outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Therapeutic penetrating keratoplasty combined with anterior segment reconstruction may represent a viable globe-preserving strategy in severe corneal necrosis. Early diagnosis, cessation of toxic exposure, and timely surgical intervention are essential to improve anatomical and functional outcomes.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 393,
      "source_fields": {
        "Abstract Final Identifier": "PP25.07",
        "Title": "Bilateral Corneal Necrosis Associated With Long-Term Use Of Skin Whitening Products: A Surgical Challenge",
        "Presenting Author(s)": "Dr Hibat Allah Eddaoui",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Hibat Allah",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Eddaoui",
        "Country Name": "Morocco",
        "Purpose": "Corneal necrosis is a severe and rare condition that can lead to profound visual loss. Toxic exposure related to chronic use of cosmetic or skin whitening products has been reported as a potential risk factor for ocular surface toxicity. We report a case of bilateral corneal necrosis managed surgically with therapeutic keratoplasty.",
        "Setting": "We present the case of a 44-year-old female with no significant medical history except long-term use of skin whitening products. The patient developed bilateral corneal ulcers several months before presentation, which failed to improve despite medical treatment, leading to emergency referral.\n\nInitial ophthalmic examination revealed bilateral light perception-only visual acuity.",
        "Methods": "Slit-lamp examination showed total corneal opacification with iris and ciliary body prolapse in both eyes, preventing further ocular assessment. Systemic examination revealed facial vitiligo. B-scan ultrasonography confirmed an attached retina with a preserved posterior segment. The etiological workup was negative.\n\nAfter multidisciplinary discussion, two therapeutic strategies were considered: evisceration or globe-preserving reconstructive surgery",
        "Results": "The decision was made to attempt therapeutic keratoplasty combined with anterior vitrectomy and cataract management.\n\nSurgery of the left eye was technically challenging and included removal of a dense pre-iris membrane with iridoplasty, intracapsular extraction of a luxated total cataract, wide anterior vitrectomy, and limbus-to-limbus corneal grafting.\n\nPostoperative follow-up showed significant pain relief and visual improvement from light perception to counting fingers at close distance with optical correction (+10 diopters at 2 meters). The patient was satisfied with the functional outcome but was informed about potential long-term complications",
        "Conclusions": "Therapeutic penetrating keratoplasty combined with anterior segment reconstruction may represent a viable globe-preserving strategy in severe corneal necrosis. Early diagnosis, cessation of toxic exposure, and timely surgical intervention are essential to improve anatomical and functional outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "PP25.08",
      "abstract_number": "PP25.08",
      "title": "Beyond The Skin: Ocular Sequelae Of Toxic Epidermal Necrolysis (Lyell Syndrome): Clinical Outcomes And Management Challenges",
      "authors": "Dr Imane Jeddou",
      "presenter": "Dr Imane Jeddou",
      "normalized_authors": [
        "Imane Jeddou"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Imane Jeddou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Morocco",
      "sections": {
        "Purpose": "The purpose of our study is to describe the spectrum of long-term complications of Toxic Epidermal Necrolysis, to evaluate the efficacy of multidisciplinary management in preserving visual function during the chronic phase, and to assess the repercussions of the disease on the personal and professional life of the patient.",
        "Setting": "Ophthalmology Department within the Military Training Hospital in Rabat Morocco",
        "Methods": "A prospective observation on a case diagnosed with Toxic Epidermal Necrolysis. Clinical assessment included Best corrected visual acuity, Ocular Surface Disease Index (OSDI) scoring, and detailed slit-lamp examination focused on Schirmer's testing, lid malposition, symblepharon formation, and corneal limbal stem cell deficiency (LSCD). Socio-professional impact was also evaluated through semi-structured interviews focusing on employment status, driving ability, and social reintegration.",
        "Results": "Patient aged 52 presented with bilateral cicatricial ocular surface disease 12 months after the acute phase of Toxic Epidermal Necrolysis. Clinical findings included limbal stem cell deficiency, Stage II Symblepharon, and cicatricial entropion. Mean OSDI score was > 75, indicating severe disability. The socio-professional and psychological consequences were significant. The chronic ocular pain and irreversible visual impairment, coupled with the traumatic memory of the acute systemic crisis, led to clinical depression characterized by social withdrawal and a profound sense of isolation. Professionally, due to chronic photophobia, visual instability, and psychological distress, the patient was declared unfit, resulting in medical discharge.",
        "Conclusions": "The morbidity of Lyell Syndrome extends far beyond the acute dermatological crisis. The visual morbidity leads to profound socio-professional exclusion that persists long after skin healing. Our observation demonstrates that even with access to specialized care, the ''visual handicap\" remains a barrier to professional reintegration. Early aggressive ocular surface management and long-term vocational support are essential to minimize the life-altering impact of this condition."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The morbidity of Lyell Syndrome extends far beyond the acute dermatological crisis. The visual morbidity leads to profound socio-professional exclusion that persists long after skin healing. Our observation demonstrates that even with access to specialized care, the ''visual handicap\" remains a barrier to professional reintegration. Early aggressive ocular surface management and long-term vocational support are…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 394,
      "source_fields": {
        "Abstract Final Identifier": "PP25.08",
        "Title": "Beyond The Skin: Ocular Sequelae Of Toxic Epidermal Necrolysis (Lyell Syndrome): Clinical Outcomes And Management Challenges",
        "Presenting Author(s)": "Dr Imane Jeddou",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Imane",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Jeddou",
        "Country Name": "Morocco",
        "Purpose": "The purpose of our study is to describe the spectrum of long-term complications of Toxic Epidermal Necrolysis, to evaluate the efficacy of multidisciplinary management in preserving visual function during the chronic phase, and to assess the repercussions of the disease on the personal and professional life of the patient.",
        "Setting": "Ophthalmology Department within the Military Training Hospital in Rabat Morocco",
        "Methods": "A prospective observation on a case diagnosed with Toxic Epidermal Necrolysis. Clinical assessment included Best corrected visual acuity, Ocular Surface Disease Index (OSDI) scoring, and detailed slit-lamp examination focused on Schirmer's testing, lid malposition, symblepharon formation, and corneal limbal stem cell deficiency (LSCD). Socio-professional impact was also evaluated through semi-structured interviews focusing on employment status, driving ability, and social reintegration.",
        "Results": "Patient aged 52 presented with bilateral cicatricial ocular surface disease 12 months after the acute phase of Toxic Epidermal Necrolysis. Clinical findings included limbal stem cell deficiency, Stage II Symblepharon, and cicatricial entropion. Mean OSDI score was > 75, indicating severe disability. The socio-professional and psychological consequences were significant. The chronic ocular pain and irreversible visual impairment, coupled with the traumatic memory of the acute systemic crisis, led to clinical depression characterized by social withdrawal and a profound sense of isolation. Professionally, due to chronic photophobia, visual instability, and psychological distress, the patient was declared unfit, resulting in medical discharge.",
        "Conclusions": "The morbidity of Lyell Syndrome extends far beyond the acute dermatological crisis. The visual morbidity leads to profound socio-professional exclusion that persists long after skin healing. Our observation demonstrates that even with access to specialized care, the ''visual handicap\" remains a barrier to professional reintegration. Early aggressive ocular surface management and long-term vocational support are essential to minimize the life-altering impact of this condition."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 282
    },
    {
      "uid": "PP25.09",
      "abstract_number": "PP25.09",
      "title": "Recurrent Symblepharon In Stage 3–4 Ocular Cicatricial Pemphigoid Managed With Amniotic Membrane Grafting And Frost Sutures",
      "authors": "Dr Jethro Chua Kho",
      "presenter": "Dr Jethro Chua Kho",
      "normalized_authors": [
        "Jethro Chua Kho"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Jethro Chua Kho",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Philippines",
      "sections": {
        "Purpose": "To present the management of recurrent symblepharon with restrictive strabismus in a 69-year-old male with Stage 3–4 Ocular Cicatricial Pemphigoid (OCP) who previously underwent ocular surface reconstruction and entropion repair of the left eye.",
        "Setting": "The Medical City Eye and Vision Institute, a private tertiary care hospital in Metro Manila, Philippines",
        "Methods": "A 69-year-old male with advanced OCP of the left eye and prior ocular surface reconstruction with amniotic membrane transplantation, symblepharon release, and entropion repair (tarsal fracture procedure and anterior lamellar lid strip), done 5 years prior, presented with recurrent symblepharon and limitation of adduction. Surgical management included repeat symblepharon release, fornix reconstruction with placement of an amniotic membrane graft, and frost sutures with a soft tube bolster to maintain eyelid eversion and prevent re-adhesion. Postoperatively, topical tobramycin-dexamethasone, cyclosporine, and preservative-free lubricants were given to reduce inflammation and stabilize the ocular surface.",
        "Results": "Postoperatively, the fornix depth was restored and ocular motility improved with reduction in adduction restriction. The amniotic membrane graft remained well positioned, and the frost suture with bolster effectively maintained eyelid eversion during the immediate healing period. No intraoperative complications were noted. Early postoperative follow-up demonstrated satisfactory ocular surface stability with no immediate recurrence of symblepharon.",
        "Conclusions": "Recurrent symblepharon remains a significant challenge in advanced OCP due to chronic cicatrizing inflammation. Repeat symblepharon release combined with amniotic membrane transplantation and temporary frost sutures with bolsters may effectively restore fornix anatomy, improve ocular motility, and reduce early recurrence. Meticulous surgical technique and close postoperative monitoring are essential in managing progressive cicatricial disease."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Recurrent symblepharon remains a significant challenge in advanced OCP due to chronic cicatrizing inflammation. Repeat symblepharon release combined with amniotic membrane transplantation and temporary frost sutures with bolsters may effectively restore fornix anatomy, improve ocular motility, and reduce early recurrence. Meticulous surgical technique and close postoperative monitoring are essential in managing…",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 395,
      "source_fields": {
        "Abstract Final Identifier": "PP25.09",
        "Title": "Recurrent Symblepharon In Stage 3–4 Ocular Cicatricial Pemphigoid Managed With Amniotic Membrane Grafting And Frost Sutures",
        "Presenting Author(s)": "Dr Jethro Chua Kho",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Jethro",
        "Submitter Middle Name": "Chua",
        "Submitter Last Name": "Kho",
        "Country Name": "Philippines",
        "Purpose": "To present the management of recurrent symblepharon with restrictive strabismus in a 69-year-old male with Stage 3–4 Ocular Cicatricial Pemphigoid (OCP) who previously underwent ocular surface reconstruction and entropion repair of the left eye.",
        "Setting": "The Medical City Eye and Vision Institute, a private tertiary care hospital in Metro Manila, Philippines",
        "Methods": "A 69-year-old male with advanced OCP of the left eye and prior ocular surface reconstruction with amniotic membrane transplantation, symblepharon release, and entropion repair (tarsal fracture procedure and anterior lamellar lid strip), done 5 years prior, presented with recurrent symblepharon and limitation of adduction. Surgical management included repeat symblepharon release, fornix reconstruction with placement of an amniotic membrane graft, and frost sutures with a soft tube bolster to maintain eyelid eversion and prevent re-adhesion. Postoperatively, topical tobramycin-dexamethasone, cyclosporine, and preservative-free lubricants were given to reduce inflammation and stabilize the ocular surface.",
        "Results": "Postoperatively, the fornix depth was restored and ocular motility improved with reduction in adduction restriction. The amniotic membrane graft remained well positioned, and the frost suture with bolster effectively maintained eyelid eversion during the immediate healing period. No intraoperative complications were noted. Early postoperative follow-up demonstrated satisfactory ocular surface stability with no immediate recurrence of symblepharon.",
        "Conclusions": "Recurrent symblepharon remains a significant challenge in advanced OCP due to chronic cicatrizing inflammation. Repeat symblepharon release combined with amniotic membrane transplantation and temporary frost sutures with bolsters may effectively restore fornix anatomy, improve ocular motility, and reduce early recurrence. Meticulous surgical technique and close postoperative monitoring are essential in managing progressive cicatricial disease."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 252
    },
    {
      "uid": "PP25.10",
      "abstract_number": "PP25.10",
      "title": "Topical Deleted Hepatocyte Growth Factor Improves Visual Acuity And Corneal Conjunctivalization In Limbal Stem Cell Deficiency",
      "authors": "Dr John Affeldt",
      "presenter": "Dr John Affeldt",
      "normalized_authors": [
        "John Affeldt"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "John Affeldt",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United States",
      "sections": {
        "Purpose": "To report interim efficacy outcomes from CSB-C23-001, an open-label study evaluating topical CSB-001 (deleted hepatocyte growth factor (dHGF)) compared with control eyes in subjects with limbal stem cell deficiency (LSCD) and Baseline visual acuity (VA) ≤65 EDTRS letters.",
        "Setting": "Prospective multi-center open-label controlled study ongoing at six private and academic clinics in the United States in eyes diagnosed with chronic LSCD and corneal conjunctivalization (CJTV) within 2 mm of the corneal apex.",
        "Methods": "Forty-six LSCD eyes of 37 subjects were enrolled and followed for 20 weeks. Twenty nine eyes of 23 subjects received topical CSB-001 four times daily for two 8-week periods separated by a 4-week Dosing Holiday. Seventeen eyes of 14 subjects served as untreated controls and were observed for 20 weeks. VA was measured in ETDRS letter scores. The area of conjunctivalization (CJTV) was quantified from slit lamp images with fluorescein staining using MATLAB based image analysis.",
        "Results": "At Week 20, mean VA change from baseline was +10.9 letters (n=29) in CSB-001 eyes and -4.7 letters in control eyes (n=17). In the CSB-001 group, 41.4% of CSB-001 eyes gained ≥15 letters and 55.2% gained ≥10 letters. No control eye gained ≥15 letters and one eye gained ≥10 letters (5.9%). Mean CJTV change within the central corneal area (7.1 mm 2 ) was -46.7% in CSB-001 eyes gaining ≥ 15 letters and -22.8% in eyes gaining ≥10 letters, and -1.4% in control eyes. During the 4-week Dosing Holiday, mean VA change in CSB-001 eyes was -1.7 letters with VA improvement resuming upon CSB-001 dosing restart.",
        "Conclusions": "Topical CSB-001 demonstrated improvements in visual acuity and reductions in corneal onjunctivalization in eyes with LSCD compared with untreated controls. These findings suggest that dHGF may represent a novel pharmacologic approach for LSCD and support further clinical evaluation."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Topical CSB-001 demonstrated improvements in visual acuity and reductions in corneal onjunctivalization in eyes with LSCD compared with untreated controls. These findings suggest that dHGF may represent a novel pharmacologic approach for LSCD and support further clinical evaluation.",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 396,
      "source_fields": {
        "Abstract Final Identifier": "PP25.10",
        "Title": "Topical Deleted Hepatocyte Growth Factor Improves Visual Acuity And Corneal Conjunctivalization In Limbal Stem Cell Deficiency",
        "Presenting Author(s)": "Dr John Affeldt",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "John",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Affeldt",
        "Country Name": "United States",
        "Purpose": "To report interim efficacy outcomes from CSB-C23-001, an open-label study evaluating topical CSB-001 (deleted hepatocyte growth factor (dHGF)) compared with control eyes in subjects with limbal stem cell deficiency (LSCD) and Baseline visual acuity (VA) ≤65 EDTRS letters.",
        "Setting": "Prospective multi-center open-label controlled study ongoing at six private and academic clinics in the United States in eyes diagnosed with chronic LSCD and corneal conjunctivalization (CJTV) within 2 mm of the corneal apex.",
        "Methods": "Forty-six LSCD eyes of 37 subjects were enrolled and followed for 20 weeks. Twenty nine eyes of 23 subjects received topical CSB-001 four times daily for two 8-week periods separated by a 4-week Dosing Holiday. Seventeen eyes of 14 subjects served as untreated controls and were observed for 20 weeks. VA was measured in ETDRS letter scores. The area of conjunctivalization (CJTV) was quantified from slit lamp images with fluorescein staining using MATLAB based image analysis.",
        "Results": "At Week 20, mean VA change from baseline was +10.9 letters (n=29) in CSB-001 eyes and -4.7 letters in control eyes (n=17). In the CSB-001 group, 41.4% of CSB-001 eyes gained ≥15 letters and 55.2% gained ≥10 letters. No control eye gained ≥15 letters and one eye gained ≥10 letters (5.9%). Mean CJTV change within the central corneal area (7.1 mm 2 ) was -46.7% in CSB-001 eyes gaining ≥ 15 letters and -22.8% in eyes gaining ≥10 letters, and -1.4% in control eyes. During the 4-week Dosing Holiday, mean VA change in CSB-001 eyes was -1.7 letters with VA improvement resuming upon CSB-001 dosing restart.",
        "Conclusions": "Topical CSB-001 demonstrated improvements in visual acuity and reductions in corneal onjunctivalization in eyes with LSCD compared with untreated controls. These findings suggest that dHGF may represent a novel pharmacologic approach for LSCD and support further clinical evaluation."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 301
    },
    {
      "uid": "PP25.11",
      "abstract_number": "PP25.11",
      "title": "Corneal Topographic And Aberrometric Differences After Primary Ptergium Excision: 10-Year Comperati̇ve Outcomes",
      "authors": "Dr Kübra Tuğçe Arabaci Tur",
      "presenter": "Dr Kübra Tuğçe Arabaci Tur",
      "normalized_authors": [
        "Kübra Tuğçe Arabaci Tur"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Kübra Tuğçe Arabaci Tur",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "To evaluate long-term changes in corneal topography and optical quality following pterygium excision in patients without recurrence.",
        "Setting": "Evaluation of patients who underwent primary pterygium excision at a tertiary referral university hospital with assessment of 10th-year outcomes",
        "Methods": "26 eyes of 18 patients who underwent pterygium excision with conjunctival autograft were included. Patients with prior ocular surgery, trauma, contact lens use, ocular surface disease, corneal pathology or recurrent pterygium were excluded. All patients underwent comprehensive ophthalmic examination including BCVA, slit-lamp biomicroscopy, fundus examination, and Schirmer testing. Ocular surface status and corneal optical quality were assessed using OSDI, tear breakup time (BUT), and Pentacam-based corneal topography including aberrometric analysis",
        "Results": "Mean age was 62.9±9.4 years.Mean preoperative visual acuity was 0.78±0.21(Snellen).Significant long-term improvements were observed in corneal topographic and aberrometric parameters following surgery.ISV decreased markedly from 80.4±64.3 preoperatively to 31.1±22 postoperatively (p<0.001), indicating substantial reduction in corneal surface irregularity.Central corneal thickness decreased from 553±55 µm to 531±31 µm (p=0.002).Corneal astigmatism significantly improved from 4.1±4.7D to 1.6±1.9D(p<0.001),while K1 increased from 40.8±4.4D to 42.9±2.1D (p=0.01).Additionally, significant reductions were observed in total trefoil,low-order aberrations, high-order aberrations, RMS total and RMS coma (p<0.05), reflecting improved optical quality.",
        "Conclusions": "Pterygium excision provides sustained long-term improvement in corneal surface regularity and optical quality. These findings suggest that surgical benefits extend beyond anatomical restoration and contribute to long-term stabilization of corneal optics"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Pterygium excision provides sustained long-term improvement in corneal surface regularity and optical quality. These findings suggest that surgical benefits extend beyond anatomical restoration and contribute to long-term stabilization of corneal optics",
      "session_type": "Presented Poster",
      "track": "Ocular surface disease",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 397,
      "source_fields": {
        "Abstract Final Identifier": "PP25.11",
        "Title": "Corneal Topographic And Aberrometric Differences After Primary Ptergium Excision: 10-Year Comperati̇ve Outcomes",
        "Presenting Author(s)": "Dr Kübra Tuğçe Arabaci Tur",
        "Abstract Topic Name": "Ocular surface disease",
        "Submitter First Name": "Kübra Tuğçe",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arabaci Tur",
        "Country Name": "Türkiye",
        "Purpose": "To evaluate long-term changes in corneal topography and optical quality following pterygium excision in patients without recurrence.",
        "Setting": "Evaluation of patients who underwent primary pterygium excision at a tertiary referral university hospital with assessment of 10th-year outcomes",
        "Methods": "26 eyes of 18 patients who underwent pterygium excision with conjunctival autograft were included. Patients with prior ocular surgery, trauma, contact lens use, ocular surface disease, corneal pathology or recurrent pterygium were excluded. All patients underwent comprehensive ophthalmic examination including BCVA, slit-lamp biomicroscopy, fundus examination, and Schirmer testing. Ocular surface status and corneal optical quality were assessed using OSDI, tear breakup time (BUT), and Pentacam-based corneal topography including aberrometric analysis",
        "Results": "Mean age was 62.9±9.4 years.Mean preoperative visual acuity was 0.78±0.21(Snellen).Significant long-term improvements were observed in corneal topographic and aberrometric parameters following surgery.ISV decreased markedly from 80.4±64.3 preoperatively to 31.1±22 postoperatively (p<0.001), indicating substantial reduction in corneal surface irregularity.Central corneal thickness decreased from 553±55 µm to 531±31 µm (p=0.002).Corneal astigmatism significantly improved from 4.1±4.7D to 1.6±1.9D(p<0.001),while K1 increased from 40.8±4.4D to 42.9±2.1D (p=0.01).Additionally, significant reductions were observed in total trefoil,low-order aberrations, high-order aberrations, RMS total and RMS coma (p<0.05), reflecting improved optical quality.",
        "Conclusions": "Pterygium excision provides sustained long-term improvement in corneal surface regularity and optical quality. These findings suggest that surgical benefits extend beyond anatomical restoration and contribute to long-term stabilization of corneal optics"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 264
    },
    {
      "uid": "PP26.01",
      "abstract_number": "PP26.01",
      "title": "Visual Acuity Prediction In Eyes Implanted With Pupil-Dependent Intraocular Lenses",
      "authors": "Dr Fidel Vega",
      "presenter": "Dr Fidel Vega",
      "normalized_authors": [
        "Fidel Vega"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fidel Vega",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "New refractive extended depth of focus intraocular lenses (EDoF IOLs) intend to overcome the drawbacks associated with both monofocal and multifocal designs. However, optical bench studies have shown that refractive EDoF IOLs may deal with a significant dependence of their optical performance on pupil size. The American National Standards Institute (ANSI Z80.35-2018) requires with EDoF IOLs, to provide the expected visual acuity (VA) from preclinical on-bench measurements. The purpose of this study is to improve the pre-clinical prediction of the monocular VA in pseudophakic eyes implanted with a representative pupil-dependent EDoF IOL, by incorporating the pupil size into the prediction model.",
        "Setting": "Group of Applied Optics and Image Processing, Faculty of Optics and Optometry, Universitat Politècnica de Catalunya, Barcelona Tech, Spain.",
        "Methods": "The through-focus area under the modulation transfer function (TF-MTFa) of the refractive EDoF AcrySof IQ Vivity (Alcon Laboratories, Inc) was obtained in a model eye with 2-, 3-, and 4.5-mm pupils ([MTFa 2mm ], [MTFa 3mm ], [MTFa 4.5mm ] respectively. The TF-MTFa curve with a 3-mm pupil was correlated with the clinical VA defocus curve (R 2 = 0.95) of a large sample of pseudophakic patients (n = 107). This group also was split into three cohorts according to pupil size: small (< 3 mm; n = 6), medium (3 to 4 mm; n = 52), and large (> 4 mm; n = 49). Each pupil group showed a differentiated clinical VA defocus curve that was respectively highly correlated with the TF-[MTFa 2mm ] (R 2 =0.97), TF-[MTFa 3mm ] (R 2 = 0.97), and TF-[MTFa 4.5mm ] (R 2 = 0.96).",
        "Results": "The formula proposed by the American National Standards Institute (VA [logMAR] = a [MTFa pupil ] -1 + c), was used to derive for each pupil a new set of fitting coefficients (a and c) to transform MTFa into expected VA accordingly. Four new predictive functions of the expected VA were obtained for the pupil-dependent refractive EDOF IOL: one for the whole sample of patients (VA [logMAR] = 0.092 [MTFa 3mm ] -1 – 0.15), which averages out pupillary differences between patients, and three functions that incorporate the influence of the pupil size: Small Pupil (VA [logMAR] = 0.123 [MTFa 2mm ] -1 – 0.21), Medium Pupil (VA [logMAR] = 0.086 [MTFa 3mm ] -1 – 0.16) and Large Pupil (VA [logMAR] = 0.072 [MTFa 4.5mm ] -1 – 0.14).",
        "Conclusions": "The correlation between on-bench MTFa and clinical VA has been evaluated for a representative refractive EDoF IOL (AcrySof IQ Vivity) incorporating the effect of pupil size. Three new predictive functions of the expected monocular VA defocus curve of pseudophakic patients according to their pupil size: small (< 3 mm), medium (3 to 4 mm), and large (> 4 mm) have been obtained with high correlation values. This segregation allows for a more accurate determination of the scenarios in which the EDoF IOL will offer its best and worst performance (small and large pupil groups, respectively)."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The correlation between on-bench MTFa and clinical VA has been evaluated for a representative refractive EDoF IOL (AcrySof IQ Vivity) incorporating the effect of pupil size. Three new predictive functions of the expected monocular VA defocus curve of pseudophakic patients according to their pupil size: small (< 3 mm), medium (3 to 4 mm), and large (> 4 mm) have been obtained with high correlation values. This…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 398,
      "source_fields": {
        "Abstract Final Identifier": "PP26.01",
        "Title": "Visual Acuity Prediction In Eyes Implanted With Pupil-Dependent Intraocular Lenses",
        "Presenting Author(s)": "Dr Fidel Vega",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Fidel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Vega",
        "Country Name": "Spain",
        "Purpose": "New refractive extended depth of focus intraocular lenses (EDoF IOLs) intend to overcome the drawbacks associated with both monofocal and multifocal designs. However, optical bench studies have shown that refractive EDoF IOLs may deal with a significant dependence of their optical performance on pupil size. The American National Standards Institute (ANSI Z80.35-2018) requires with EDoF IOLs, to provide the expected visual acuity (VA) from preclinical on-bench measurements. The purpose of this study is to improve the pre-clinical prediction of the monocular VA in pseudophakic eyes implanted with a representative pupil-dependent EDoF IOL, by incorporating the pupil size into the prediction model.",
        "Setting": "Group of Applied Optics and Image Processing, Faculty of Optics and Optometry, Universitat Politècnica de Catalunya, Barcelona Tech, Spain.",
        "Methods": "The through-focus area under the modulation transfer function (TF-MTFa) of the refractive EDoF AcrySof IQ Vivity (Alcon Laboratories, Inc) was obtained in a model eye with 2-, 3-, and 4.5-mm pupils ([MTFa 2mm ], [MTFa 3mm ], [MTFa 4.5mm ] respectively. The TF-MTFa curve with a 3-mm pupil was correlated with the clinical VA defocus curve (R 2 = 0.95) of a large sample of pseudophakic patients (n = 107). This group also was split into three cohorts according to pupil size: small (< 3 mm; n = 6), medium (3 to 4 mm; n = 52), and large (> 4 mm; n = 49). Each pupil group showed a differentiated clinical VA defocus curve that was respectively highly correlated with the TF-[MTFa 2mm ] (R 2 =0.97), TF-[MTFa 3mm ] (R 2 = 0.97), and TF-[MTFa 4.5mm ] (R 2 = 0.96).",
        "Results": "The formula proposed by the American National Standards Institute (VA [logMAR] = a [MTFa pupil ] -1 + c), was used to derive for each pupil a new set of fitting coefficients (a and c) to transform MTFa into expected VA accordingly. Four new predictive functions of the expected VA were obtained for the pupil-dependent refractive EDOF IOL: one for the whole sample of patients (VA [logMAR] = 0.092 [MTFa 3mm ] -1 – 0.15), which averages out pupillary differences between patients, and three functions that incorporate the influence of the pupil size: Small Pupil (VA [logMAR] = 0.123 [MTFa 2mm ] -1 – 0.21), Medium Pupil (VA [logMAR] = 0.086 [MTFa 3mm ] -1 – 0.16) and Large Pupil (VA [logMAR] = 0.072 [MTFa 4.5mm ] -1 – 0.14).",
        "Conclusions": "The correlation between on-bench MTFa and clinical VA has been evaluated for a representative refractive EDoF IOL (AcrySof IQ Vivity) incorporating the effect of pupil size. Three new predictive functions of the expected monocular VA defocus curve of pseudophakic patients according to their pupil size: small (< 3 mm), medium (3 to 4 mm), and large (> 4 mm) have been obtained with high correlation values. This segregation allows for a more accurate determination of the scenarios in which the EDoF IOL will offer its best and worst performance (small and large pupil groups, respectively)."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 476
    },
    {
      "uid": "PP26.02",
      "abstract_number": "PP26.02",
      "title": "Mini-Monovision Evaluation With Enhanced Monofocal Iols Using A Visual Simulatore",
      "authors": "Dr Fatima Cuellar",
      "presenter": "Dr Fatima Cuellar",
      "normalized_authors": [
        "Fatima Cuellar"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fatima Cuellar Santiago",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To assess the binocular visual performance of two enhanced monofocal intraocular lenses (EM-IOL) (RayOne EMV and Acunex Quantum) under mini-monovision using a visual simulator.",
        "Setting": "Group of Applied Optics and Image Processing, Department of Optics and Optometry, Universitat Politècnica de Catalunya, Barcelona Tech, Spain.\n\nThe David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany.",
        "Methods": "The subjective visual quality of two enhanced monofocal intraocular lenses (EM-IOL) was evaluated with the SimVis Gekko visual simulator under mini monovision conditions. This methodology allows patients to experience simulated postoperative vision, providing a preoperative tool for personalized IOL design selection. Six healthy subjects participated in a pilot experiment. Ocular dominance was determined using the \"hole in the hand\" test. Mini-monovision was induced by applying -0.5 D and -1.0 D of myopia to the non-dominant eye. Monocular and binocular defocus curves were measured from +0.5 D to -2.5 D in 0.5 D steps under photopic conditions. Binocular visual acuity (VA) was assessed using standard logMAR charts.",
        "Results": "The preliminary results show than under emmetropic conditions, both EM-IOLs mini-monovision performance was very similar for both EM-IOLs. Inducing a myopic deviation of -0.5 D in the non-dominant eye produced no perceptible effect at intermediate/near distances. However, a -1.0 D myopic target in the non-dominant eye extended the functional binocular visual range by approximately 1.0 D. Specifically, the near limit improved from -1.5 D (67 cm) to -2.5 D (40cm) with both EM-IOLs. Both lenses benefited from mini-monovision without significantly compromising distance VA. These results support the mini-monovision strategy as a means of extending the functional visual range while preserving good distance VA in the dominant eye.",
        "Conclusions": "Simulated mini-monovision with EM-IOLs expands the functional range of vision, improving intermediate and near VA while maintaining good distance vision. A -1.0 D myopic target in the non-dominant eye can provide good visual quality at all distances, improving spectacle independence in pseudophakic patients, with a small but noticeable difference between both eyes. However, a myopic deviation of -0.5 D in the non-dominant eye did not prove to be advantageous.\nThe use of mini-monovision combined with EM-IOLs can be strategy for presbyopia correction. The use of SimVis Gekko enabled preoperative simulation, allowing patients to better understand their postoperative vision.These results support further research with a larger patient sample."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Simulated mini-monovision with EM-IOLs expands the functional range of vision, improving intermediate and near VA while maintaining good distance vision. A -1.0 D myopic target in the non-dominant eye can provide good visual quality at all distances, improving spectacle independence in pseudophakic patients, with a small but noticeable difference between both eyes. However, a myopic deviation of -0.5 D in the…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 399,
      "source_fields": {
        "Abstract Final Identifier": "PP26.02",
        "Title": "Mini-Monovision Evaluation With Enhanced Monofocal Iols Using A Visual Simulatore",
        "Presenting Author(s)": "Dr Fatima Cuellar",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Fatima",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Cuellar Santiago",
        "Country Name": "Spain",
        "Purpose": "To assess the binocular visual performance of two enhanced monofocal intraocular lenses (EM-IOL) (RayOne EMV and Acunex Quantum) under mini-monovision using a visual simulator.",
        "Setting": "Group of Applied Optics and Image Processing, Department of Optics and Optometry, Universitat Politècnica de Catalunya, Barcelona Tech, Spain.\n\nThe David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany.",
        "Methods": "The subjective visual quality of two enhanced monofocal intraocular lenses (EM-IOL) was evaluated with the SimVis Gekko visual simulator under mini monovision conditions. This methodology allows patients to experience simulated postoperative vision, providing a preoperative tool for personalized IOL design selection. Six healthy subjects participated in a pilot experiment. Ocular dominance was determined using the \"hole in the hand\" test. Mini-monovision was induced by applying -0.5 D and -1.0 D of myopia to the non-dominant eye. Monocular and binocular defocus curves were measured from +0.5 D to -2.5 D in 0.5 D steps under photopic conditions. Binocular visual acuity (VA) was assessed using standard logMAR charts.",
        "Results": "The preliminary results show than under emmetropic conditions, both EM-IOLs mini-monovision performance was very similar for both EM-IOLs. Inducing a myopic deviation of -0.5 D in the non-dominant eye produced no perceptible effect at intermediate/near distances. However, a -1.0 D myopic target in the non-dominant eye extended the functional binocular visual range by approximately 1.0 D. Specifically, the near limit improved from -1.5 D (67 cm) to -2.5 D (40cm) with both EM-IOLs. Both lenses benefited from mini-monovision without significantly compromising distance VA. These results support the mini-monovision strategy as a means of extending the functional visual range while preserving good distance VA in the dominant eye.",
        "Conclusions": "Simulated mini-monovision with EM-IOLs expands the functional range of vision, improving intermediate and near VA while maintaining good distance vision. A -1.0 D myopic target in the non-dominant eye can provide good visual quality at all distances, improving spectacle independence in pseudophakic patients, with a small but noticeable difference between both eyes. However, a myopic deviation of -0.5 D in the non-dominant eye did not prove to be advantageous.\nThe use of mini-monovision combined with EM-IOLs can be strategy for presbyopia correction. The use of SimVis Gekko enabled preoperative simulation, allowing patients to better understand their postoperative vision.These results support further research with a larger patient sample."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 393
    },
    {
      "uid": "PP26.03",
      "abstract_number": "PP26.03",
      "title": "Comparative Patient Study: Lentis Quantum Vs. Acunex Quantum – Is There A Difference In Visual Performance And Subjective Quality Of Vision",
      "authors": "Dr Lena Beckers",
      "presenter": "Dr Lena Beckers",
      "normalized_authors": [
        "Lena Beckers"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lena Beckers",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To compare the clinical and subjective visual performance of the Lentis Quantum (hydrophilic, clear) and the Acunex Quantum (hydrophobic, blue-light filtering) intraocular lenses (IOLs) in a paired-eye patient study.",
        "Setting": "Prospective, single-center, paired-eye comparative study performed at a high-volume refractive cataract surgery center.",
        "Methods": "Ten patients (20 eyes) undergoing bilateral cataract surgery received the Lentis Quantum in one eye and the Acunex Quantum in the fellow eye. At 3 months postoperatively, patients were evaluated monocularly and binocularly. Objective assessments included corrected distance visual acuity (CDVA), corrected intermediate visual acuity (CIVA), corrected near visual acuity (CNVA), defocus curves (mono- and binocular), and contrast sensitivity testing. Subjective evaluation addressed perceived differences in visual quality, specifically color perception and contrast, when comparing the two eyes.",
        "Results": "Both IOLs provided similar visual acuity across all tested distances. Defocus curves revealed comparable depth of focus in both groups. Contrast sensitivity was slightly increased in the eye with the blue-light filtering IOL in some patients. Subjectively, patients did not report any differences in color and contrast perception between the two eyes. The differences were minimal under binocular conditions and did not affect overall satisfaction.",
        "Conclusions": "This intraindividual comparison highlights the clinical equivalence of the Lentis Quantum and Acunex Quantum in terms of visual acuity and contrast sensitivity. However, differences in material and chromophore design may lead to slight variations in color and contrast perception. These findings underscore the value of tailored IOL selection based on patient-specific visual preferences and sensitivities."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This intraindividual comparison highlights the clinical equivalence of the Lentis Quantum and Acunex Quantum in terms of visual acuity and contrast sensitivity. However, differences in material and chromophore design may lead to slight variations in color and contrast perception. These findings underscore the value of tailored IOL selection based on patient-specific visual preferences and sensitivities.",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 400,
      "source_fields": {
        "Abstract Final Identifier": "PP26.03",
        "Title": "Comparative Patient Study: Lentis Quantum Vs. Acunex Quantum – Is There A Difference In Visual Performance And Subjective Quality Of Vision",
        "Presenting Author(s)": "Dr Lena Beckers",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Lena",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Beckers",
        "Country Name": "Germany",
        "Purpose": "To compare the clinical and subjective visual performance of the Lentis Quantum (hydrophilic, clear) and the Acunex Quantum (hydrophobic, blue-light filtering) intraocular lenses (IOLs) in a paired-eye patient study.",
        "Setting": "Prospective, single-center, paired-eye comparative study performed at a high-volume refractive cataract surgery center.",
        "Methods": "Ten patients (20 eyes) undergoing bilateral cataract surgery received the Lentis Quantum in one eye and the Acunex Quantum in the fellow eye. At 3 months postoperatively, patients were evaluated monocularly and binocularly. Objective assessments included corrected distance visual acuity (CDVA), corrected intermediate visual acuity (CIVA), corrected near visual acuity (CNVA), defocus curves (mono- and binocular), and contrast sensitivity testing. Subjective evaluation addressed perceived differences in visual quality, specifically color perception and contrast, when comparing the two eyes.",
        "Results": "Both IOLs provided similar visual acuity across all tested distances. Defocus curves revealed comparable depth of focus in both groups. Contrast sensitivity was slightly increased in the eye with the blue-light filtering IOL in some patients. Subjectively, patients did not report any differences in color and contrast perception between the two eyes. The differences were minimal under binocular conditions and did not affect overall satisfaction.",
        "Conclusions": "This intraindividual comparison highlights the clinical equivalence of the Lentis Quantum and Acunex Quantum in terms of visual acuity and contrast sensitivity. However, differences in material and chromophore design may lead to slight variations in color and contrast perception. These findings underscore the value of tailored IOL selection based on patient-specific visual preferences and sensitivities."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 240
    },
    {
      "uid": "PP26.04",
      "abstract_number": "PP26.04",
      "title": "Improving The Generalisability Of Chatbot Responses To Cataract Surgery Patient Questions Using Structured Prompt Design: A Comparative Multi-Model Evaluation Of Understandability And Readability",
      "authors": "Mr Pranine Mankongcharoen",
      "presenter": "Mr Pranine Mankongcharoen",
      "normalized_authors": [
        "Pranine Mankongcharoen"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Pranine Mankongcharoen",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To assess whether large language model (LLM) responses to real patient questions regarding cataract surgery are presented in language understandable to the general population, and whether understandability, actionability, and readability can be improved through the application of a structured prompt compared with the standard, unprompted approach.",
        "Setting": "Comparative evaluation study of publicly available LLMs (ChatGPT 5.2, Google Gemini 3, Claude Sonnet 4.5, and Microsoft Copilot) using patient-derived cataract surgery questions sourced from online forums of the American Academy of Ophthalmology, Patient.info, and Reddit/AskDocs.",
        "Methods": "Thirty patient questions regarding cataract surgery were entered verbatim into four publicly available and free-to-use LLMs (ChatGPT 5.2, Google Gemini 3, Claude Sonnet 4.5, and Microsoft Copilot). Responses were assessed using the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) for understandability and actionability, alongside Flesch-Kincaid Reading Ease scores. The process was repeated after applying a predefined structured prompt before question entry. Mean scores before and after prompt application were compared. Statistical significance was determined using paired t-tests and a repeated-measures ANOVA to assess inter-model differences. A p-value <0.05 was considered statistically significant.",
        "Results": "Baseline PEMAT understandability scores were 69.73 (GPT), 74.07 (Gemini), 69.93 (Copilot), and 70.20 (Claude); p<0.001. Following structured prompting, scores increased to 81.00, 78.87, 76.93, and 79.20, respectively (p<0.0001). Actionability improved from 26.67-36.00 to 60.00-61.63 (p<0.0001). Flesch-Kincaid Reading Ease scores increased from 50.87-56.80 to 63.23-71.83 (p<0.0001), reflecting a shift from high school senior/college student level toward 8th-9th grade readability. Improvements were consistent in all LLMs, demonstrating the robustness of structured prompting in improving patient comprehensibility. Although all models improved significantly, Claude demonstrated comparatively greater gains across domains relative to other LLMs.",
        "Conclusions": "The application of a structured prompt significantly improves the communicative quality of LLM responses to cataract surgery queries, particularly regarding actionability. Because post-prompt performance was comparable across all tested models, the structured prompt acts as a model-agnostic tool that helps bridge the gap between technical surgical information and patient understanding. This suggests that rather than relying on inherent model architecture, clinical utilisation can be improved by standardised, validated prompting strategies to ensure AI-generated patient education is accessible and actionable for the target population."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The application of a structured prompt significantly improves the communicative quality of LLM responses to cataract surgery queries, particularly regarding actionability. Because post-prompt performance was comparable across all tested models, the structured prompt acts as a model-agnostic tool that helps bridge the gap between technical surgical information and patient understanding. This suggests that rather…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 401,
      "source_fields": {
        "Abstract Final Identifier": "PP26.04",
        "Title": "Improving The Generalisability Of Chatbot Responses To Cataract Surgery Patient Questions Using Structured Prompt Design: A Comparative Multi-Model Evaluation Of Understandability And Readability",
        "Presenting Author(s)": "Mr Pranine Mankongcharoen",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Pranine",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Mankongcharoen",
        "Country Name": "United Kingdom",
        "Purpose": "To assess whether large language model (LLM) responses to real patient questions regarding cataract surgery are presented in language understandable to the general population, and whether understandability, actionability, and readability can be improved through the application of a structured prompt compared with the standard, unprompted approach.",
        "Setting": "Comparative evaluation study of publicly available LLMs (ChatGPT 5.2, Google Gemini 3, Claude Sonnet 4.5, and Microsoft Copilot) using patient-derived cataract surgery questions sourced from online forums of the American Academy of Ophthalmology, Patient.info, and Reddit/AskDocs.",
        "Methods": "Thirty patient questions regarding cataract surgery were entered verbatim into four publicly available and free-to-use LLMs (ChatGPT 5.2, Google Gemini 3, Claude Sonnet 4.5, and Microsoft Copilot). Responses were assessed using the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) for understandability and actionability, alongside Flesch-Kincaid Reading Ease scores. The process was repeated after applying a predefined structured prompt before question entry. Mean scores before and after prompt application were compared. Statistical significance was determined using paired t-tests and a repeated-measures ANOVA to assess inter-model differences. A p-value <0.05 was considered statistically significant.",
        "Results": "Baseline PEMAT understandability scores were 69.73 (GPT), 74.07 (Gemini), 69.93 (Copilot), and 70.20 (Claude); p<0.001. Following structured prompting, scores increased to 81.00, 78.87, 76.93, and 79.20, respectively (p<0.0001). Actionability improved from 26.67-36.00 to 60.00-61.63 (p<0.0001). Flesch-Kincaid Reading Ease scores increased from 50.87-56.80 to 63.23-71.83 (p<0.0001), reflecting a shift from high school senior/college student level toward 8th-9th grade readability. Improvements were consistent in all LLMs, demonstrating the robustness of structured prompting in improving patient comprehensibility. Although all models improved significantly, Claude demonstrated comparatively greater gains across domains relative to other LLMs.",
        "Conclusions": "The application of a structured prompt significantly improves the communicative quality of LLM responses to cataract surgery queries, particularly regarding actionability. Because post-prompt performance was comparable across all tested models, the structured prompt acts as a model-agnostic tool that helps bridge the gap between technical surgical information and patient understanding. This suggests that rather than relying on inherent model architecture, clinical utilisation can be improved by standardised, validated prompting strategies to ensure AI-generated patient education is accessible and actionable for the target population."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 381
    },
    {
      "uid": "PP26.05",
      "abstract_number": "PP26.05",
      "title": "Deep Learning-Based Automated Pupil Segmentation In Cataract Surgery Images Using U-Net Architecture",
      "authors": "Dr Mehmet Kaan Kaya",
      "presenter": "Dr Mehmet Kaan Kaya",
      "normalized_authors": [
        "Mehmet Kaan Kaya"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sermal Arslan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Accurate pupil segmentation during cataract surgery is a critical prerequisite for computer-assisted surgical guidance and intraoperative analytics. Manual delineation of pupil boundaries is time-consuming, subjective, and impractical for real-time applications. Here we present an end-to-end deep learning framework for fully automated pupil segmentation from intraoperative cataract surgery images.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "We implemented a U-Net architecture with a four-level encoder (64–128–256–512 channels), 1,024-channel bottleneck, and symmetric decoder with skip connections (31,043,521 parameters). The Cataract-1K dataset (2,256 annotated images) was partitioned into training (70%; n=1,579), validation (15%; n=338), and test (15%; n=339) sets. Images were resized to 512×512 pixels and normalised using ImageNet statistics. Data augmentation comprised random horizontal flipping (p=0.5). The model was optimised using AdamW (learning rate=1×10⁻⁴) with combined Dice–binary cross-entropy loss. A ReduceLROnPlateau scheduler (patience=5) adjusted learning rates. Training proceeded for 15 epochs with early stopping (patience=15).",
        "Results": "On the held-out test set of 339 images, the model achieved a mean Dice coefficient of 0.9805 ± 0.0553 and a mean IoU of 0.9648 ± 0.0586, with a precision of 0.9825 ± 0.0550 and a recall of 0.9788 ± 0.0587. Pixel-level evaluation yielded an ROC-AUC of 0.9995 and a PR-AUC of 0.9979, while overall pixel accuracy reached 0.9973 ± 0.0030. The best validation Dice score (0.9800) was obtained at epoch 14, with validation performance exceeding 0.97 by epoch 5, indicating rapid convergence and stable generalization.",
        "Conclusions": "These findings indicate that a standard U-Net architecture, without pre-trained encoders or complex augmentation strategies, can achieve highly accurate pupil segmentation in cataract surgery images. The consistently high Dice and IoU scores, together with near-unity ROC-AUC, demonstrate robust boundary delineation across diverse surgical conditions. Minor performance degradation was observed in cases with severe instrument occlusion or atypical illumination. Future work will focus on incorporating attention mechanisms, transfer learning, and multi-class segmentation of additional ocular structures to further enhance clinical applicability."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "These findings indicate that a standard U-Net architecture, without pre-trained encoders or complex augmentation strategies, can achieve highly accurate pupil segmentation in cataract surgery images. The consistently high Dice and IoU scores, together with near-unity ROC-AUC, demonstrate robust boundary delineation across diverse surgical conditions. Minor performance degradation was observed in cases with severe…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 402,
      "source_fields": {
        "Abstract Final Identifier": "PP26.05",
        "Title": "Deep Learning-Based Automated Pupil Segmentation In Cataract Surgery Images Using U-Net Architecture",
        "Presenting Author(s)": "Dr Mehmet Kaan Kaya",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Sermal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Arslan",
        "Country Name": "Türkiye",
        "Purpose": "Accurate pupil segmentation during cataract surgery is a critical prerequisite for computer-assisted surgical guidance and intraoperative analytics. Manual delineation of pupil boundaries is time-consuming, subjective, and impractical for real-time applications. Here we present an end-to-end deep learning framework for fully automated pupil segmentation from intraoperative cataract surgery images.",
        "Setting": "Single tertiary referral eye centre",
        "Methods": "We implemented a U-Net architecture with a four-level encoder (64–128–256–512 channels), 1,024-channel bottleneck, and symmetric decoder with skip connections (31,043,521 parameters). The Cataract-1K dataset (2,256 annotated images) was partitioned into training (70%; n=1,579), validation (15%; n=338), and test (15%; n=339) sets. Images were resized to 512×512 pixels and normalised using ImageNet statistics. Data augmentation comprised random horizontal flipping (p=0.5). The model was optimised using AdamW (learning rate=1×10⁻⁴) with combined Dice–binary cross-entropy loss. A ReduceLROnPlateau scheduler (patience=5) adjusted learning rates. Training proceeded for 15 epochs with early stopping (patience=15).",
        "Results": "On the held-out test set of 339 images, the model achieved a mean Dice coefficient of 0.9805 ± 0.0553 and a mean IoU of 0.9648 ± 0.0586, with a precision of 0.9825 ± 0.0550 and a recall of 0.9788 ± 0.0587. Pixel-level evaluation yielded an ROC-AUC of 0.9995 and a PR-AUC of 0.9979, while overall pixel accuracy reached 0.9973 ± 0.0030. The best validation Dice score (0.9800) was obtained at epoch 14, with validation performance exceeding 0.97 by epoch 5, indicating rapid convergence and stable generalization.",
        "Conclusions": "These findings indicate that a standard U-Net architecture, without pre-trained encoders or complex augmentation strategies, can achieve highly accurate pupil segmentation in cataract surgery images. The consistently high Dice and IoU scores, together with near-unity ROC-AUC, demonstrate robust boundary delineation across diverse surgical conditions. Minor performance degradation was observed in cases with severe instrument occlusion or atypical illumination. Future work will focus on incorporating attention mechanisms, transfer learning, and multi-class segmentation of additional ocular structures to further enhance clinical applicability."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 336
    },
    {
      "uid": "PP26.06",
      "abstract_number": "PP26.06",
      "title": "Preoperative Binocular Visual Simulation Enables Personalized Intraocular Lens Selection Among Refractive Lens Exchange Patients",
      "authors": "Dr Camille Bosc",
      "presenter": "Dr Camille Bosc",
      "normalized_authors": [
        "Camille Bosc"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Camille Bosc",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "France",
      "sections": {
        "Purpose": "Purpose: To evaluate the impact of introducing binocular visual simulation, a decision-support tool for the prescription of IOLs considering the visual experience of the patient, in the clinical workflow of a private ophthalmology clinic.\n\nThe study aims to assess the impact on IOL confirmation or modification rate, distribution of prescribed IOLs types, visual performance, patient satisfaction, and chair time.",
        "Setting": "Clinique Jules Verne Nantes France",
        "Methods": "A retrospective analysis was conducted on 73 consecutive patients who underwent RLE following preoperative binocular visual simulation (SimVis Gekko). In 65% of patients, the surgeon proposed to use SimVis to confirm the perceptual acceptance of one IOL, while in 35% two or more potential IOL options were initially suggested. The final IOL prescribed after checking with SimVis the perceptual acceptance of different IOLs, between 1 and 4 per patient, was also recorded and analyzed. Finally, the feedback from the SimVis Gekko users about their experience (in all patients, cataract and RLE) was collected using a questionnaire specifically designed to assess the impact of SimVis in clinical consultation.",
        "Results": "Simulations led to confirmation of the initial IOL recommended in 78% of the patients, and to the prescription of a better accepted lens in 22% of them. The final prescription distribution was 87% FRoF (3 different models) and 13% PRoF (10% Enhance/Extend, 3% Narrow). 4% were used in monovision or mix-and-match approaches. Postoperative uncorrected distance visual acuity was 0±0.1logMAR with a refractive error of 0.2±0.3D. In the survey, the users reported weekly use of SimVis, a higher number of surgeries, and a 100% increase in the number of FRoF lenses implanted, with a clear reduction in the number of unsatisfied patients. The highest value is perceived in demanding patients by managing expectations without increasing consultation time.",
        "Conclusions": "Preoperative simulation changed the initial recommendation, to provide a better accepted lens combination, in 22% of the RLE patients. In cases of preoperative decisional uncertainty, simulation facilitated definitive IOL selection through patient’s feedback, reducing postoperative dissatisfaction. Given the high visual demands and expectations of RLE patients, SimVis Gekko represents a valuable decision aid, supporting surgeon confidence and patient satisfaction, and contributing to more individualized surgical planning."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preoperative simulation changed the initial recommendation, to provide a better accepted lens combination, in 22% of the RLE patients. In cases of preoperative decisional uncertainty, simulation facilitated definitive IOL selection through patient’s feedback, reducing postoperative dissatisfaction. Given the high visual demands and expectations of RLE patients, SimVis Gekko represents a valuable decision aid,…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 403,
      "source_fields": {
        "Abstract Final Identifier": "PP26.06",
        "Title": "Preoperative Binocular Visual Simulation Enables Personalized Intraocular Lens Selection Among Refractive Lens Exchange Patients",
        "Presenting Author(s)": "Dr Camille Bosc",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Camille",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Bosc",
        "Country Name": "France",
        "Purpose": "Purpose: To evaluate the impact of introducing binocular visual simulation, a decision-support tool for the prescription of IOLs considering the visual experience of the patient, in the clinical workflow of a private ophthalmology clinic.\n\nThe study aims to assess the impact on IOL confirmation or modification rate, distribution of prescribed IOLs types, visual performance, patient satisfaction, and chair time.",
        "Setting": "Clinique Jules Verne Nantes France",
        "Methods": "A retrospective analysis was conducted on 73 consecutive patients who underwent RLE following preoperative binocular visual simulation (SimVis Gekko). In 65% of patients, the surgeon proposed to use SimVis to confirm the perceptual acceptance of one IOL, while in 35% two or more potential IOL options were initially suggested. The final IOL prescribed after checking with SimVis the perceptual acceptance of different IOLs, between 1 and 4 per patient, was also recorded and analyzed. Finally, the feedback from the SimVis Gekko users about their experience (in all patients, cataract and RLE) was collected using a questionnaire specifically designed to assess the impact of SimVis in clinical consultation.",
        "Results": "Simulations led to confirmation of the initial IOL recommended in 78% of the patients, and to the prescription of a better accepted lens in 22% of them. The final prescription distribution was 87% FRoF (3 different models) and 13% PRoF (10% Enhance/Extend, 3% Narrow). 4% were used in monovision or mix-and-match approaches. Postoperative uncorrected distance visual acuity was 0±0.1logMAR with a refractive error of 0.2±0.3D. In the survey, the users reported weekly use of SimVis, a higher number of surgeries, and a 100% increase in the number of FRoF lenses implanted, with a clear reduction in the number of unsatisfied patients. The highest value is perceived in demanding patients by managing expectations without increasing consultation time.",
        "Conclusions": "Preoperative simulation changed the initial recommendation, to provide a better accepted lens combination, in 22% of the RLE patients. In cases of preoperative decisional uncertainty, simulation facilitated definitive IOL selection through patient’s feedback, reducing postoperative dissatisfaction. Given the high visual demands and expectations of RLE patients, SimVis Gekko represents a valuable decision aid, supporting surgeon confidence and patient satisfaction, and contributing to more individualized surgical planning."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 359
    },
    {
      "uid": "PP26.07",
      "abstract_number": "PP26.07",
      "title": "Eyeris: Eye Surgery Refinement Through Intelligent Simulation",
      "authors": "Dr Guillermo Rocha",
      "presenter": "Dr Guillermo Rocha",
      "normalized_authors": [
        "Guillermo Rocha"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Guillermo Rocha",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Objective and reproducible assessment of cataract surgical performance remains a major challenge in ophthalmic education. Current training models rely heavily on expert observation and subjective scoring, which limits standardization, scalability, and timely feedback. We recently developed eyeRIS (Eye Surgery Refinement through Intelligent Simulation), an AI-driven platform designed to provide automated, phase-aware assessment of cataract surgery using simulation-based video data. In this study, we investigated whether vision-transformer–based video embeddings capture clinically meaningful information by examining their association with defined phases of cataract surgery.",
        "Setting": "Simulated cataract surgery videos were recorded in a controlled laboratory environment (MUHC Ophthalmology Simulation Laboratory) using artificial eye models and standard phacoemulsification equipment and instrumentation. Temporal surgical phase annotations were performed in collaboration with experienced cataract surgeons to ensure clinical relevance.",
        "Methods": "Fifteen fully annotated simulated cataract surgery videos were segmented into short temporal clips. Frame-level visual features were extracted using an EfficientNet-B0 backbone. Dimensionality reduction with principal component analysis (PCA) preserved 95% of variance prior to unsupervised clustering, allowing exploration of latent visual structure without predefined phase labels. In parallel, supervised phase classification was performed using clip-level embeddings and logistic regression. Model performance was evaluated using held-out validation and leave-one-video-out cross-validation. Phase-specific performance was interpreted in relation to ICO-OSCAR surgical domains.",
        "Results": "Across 15 fully annotated simulation videos, supervised models demonstrated reliable automated recognition of cataract surgery workflow and phase-level characterization. In the unsupervised analysis, clustering of PCA-reduced embeddings (K = 19, selected by silhouette score) revealed a strong association between specific clusters and the phacoemulsification phase, suggesting that this technically demanding portion of surgery is robustly encoded by the learned visual representations. Beyond phase correspondence, observed cluster transitions and inter-trial variability suggest that embedding-based features capture differences in surgical execution that may be relevant for objective skill differentiation.",
        "Conclusions": "Vision-transformer–based video embeddings capture clinically meaningful information related to cataract surgery phases in a simulated setting. Combining supervised phase recognition with self-supervised clustering reveals latent structure associated with both surgical workflow and technique, without requiring exhaustive expert annotation. This approach addresses a key limitation of many AI-based assessment systems and provides a scalable foundation for objective, competency-based feedback in cataract surgery training. Future work will focus on dataset expansion, external validation, and translation to real-world surgical training environments."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Vision-transformer–based video embeddings capture clinically meaningful information related to cataract surgery phases in a simulated setting. Combining supervised phase recognition with self-supervised clustering reveals latent structure associated with both surgical workflow and technique, without requiring exhaustive expert annotation. This approach addresses a key limitation of many AI-based assessment systems…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 404,
      "source_fields": {
        "Abstract Final Identifier": "PP26.07",
        "Title": "Eyeris: Eye Surgery Refinement Through Intelligent Simulation",
        "Presenting Author(s)": "Dr Guillermo Rocha",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Guillermo",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rocha",
        "Country Name": "Canada",
        "Purpose": "Objective and reproducible assessment of cataract surgical performance remains a major challenge in ophthalmic education. Current training models rely heavily on expert observation and subjective scoring, which limits standardization, scalability, and timely feedback. We recently developed eyeRIS (Eye Surgery Refinement through Intelligent Simulation), an AI-driven platform designed to provide automated, phase-aware assessment of cataract surgery using simulation-based video data. In this study, we investigated whether vision-transformer–based video embeddings capture clinically meaningful information by examining their association with defined phases of cataract surgery.",
        "Setting": "Simulated cataract surgery videos were recorded in a controlled laboratory environment (MUHC Ophthalmology Simulation Laboratory) using artificial eye models and standard phacoemulsification equipment and instrumentation. Temporal surgical phase annotations were performed in collaboration with experienced cataract surgeons to ensure clinical relevance.",
        "Methods": "Fifteen fully annotated simulated cataract surgery videos were segmented into short temporal clips. Frame-level visual features were extracted using an EfficientNet-B0 backbone. Dimensionality reduction with principal component analysis (PCA) preserved 95% of variance prior to unsupervised clustering, allowing exploration of latent visual structure without predefined phase labels. In parallel, supervised phase classification was performed using clip-level embeddings and logistic regression. Model performance was evaluated using held-out validation and leave-one-video-out cross-validation. Phase-specific performance was interpreted in relation to ICO-OSCAR surgical domains.",
        "Results": "Across 15 fully annotated simulation videos, supervised models demonstrated reliable automated recognition of cataract surgery workflow and phase-level characterization. In the unsupervised analysis, clustering of PCA-reduced embeddings (K = 19, selected by silhouette score) revealed a strong association between specific clusters and the phacoemulsification phase, suggesting that this technically demanding portion of surgery is robustly encoded by the learned visual representations. Beyond phase correspondence, observed cluster transitions and inter-trial variability suggest that embedding-based features capture differences in surgical execution that may be relevant for objective skill differentiation.",
        "Conclusions": "Vision-transformer–based video embeddings capture clinically meaningful information related to cataract surgery phases in a simulated setting. Combining supervised phase recognition with self-supervised clustering reveals latent structure associated with both surgical workflow and technique, without requiring exhaustive expert annotation. This approach addresses a key limitation of many AI-based assessment systems and provides a scalable foundation for objective, competency-based feedback in cataract surgery training. Future work will focus on dataset expansion, external validation, and translation to real-world surgical training environments."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 369
    },
    {
      "uid": "PP26.08",
      "abstract_number": "PP26.08",
      "title": "Subjective And Objective Refraction Using Autorefraction And Two Wavefront-\nBased Aberrometers In Edof And Simultaneous Vision Intraocular Lenses",
      "authors": "Dr Petra Davidova",
      "presenter": "Dr Petra Davidova",
      "normalized_authors": [
        "Petra Davidova"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Petra Davidova",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "To evaluate the agreement between subjective (SR) and objective refraction (OR) obtained by an autorefractor (AR), Hartmann-Shack aberrometer and ray-tracing aberrometer after implantation of a wavefront-shaping extended-depth-of-focus (EDOF) or diffractive, simultaneous vision intraocular lens (SVIOL), and to assess potential influences of biometric parameters.",
        "Setting": "Department of Ophthalmology, Goethe-University Frankfurt, Theodor Stern Kai 7, 60590 Frankfurt am Main",
        "Methods": "Design: Prospective, observational, cross-sectional study.\n\nSubjects: Patients with healthy eyes, without previous surgeries, implanted with an EDOF (Group A) or SVIOL (Group B).\n\nMethods: SR performed by experienced opticians and OR with the three devices were compared for spherical and cylindrical refractive error, spherical equivalent (SE) and vector components (VC). Axial length, pupil size, IOL power and torus were analyzed as influential factors.\n\nMain Outcome Measures: Agreement of SE, spherical and cylindrical refractive error including vector analysis obtained by SR and OR with different devices.",
        "Results": "Group A comprised 42 and group B 56 eyes. Mean SE was –0.11D(SR), –0.42D(AR), –0.40D(Hartmann–Shack) and –0.29D(Ray-tracing) for group A, and +0.18D, +0.08D, –0.03D, and +0.23D for group B. Significant differences between SR and OR were found for most parameters, none were found between VC. Intraclass correlation coefficients between SR and OR were mostly poor -maximal moderate, and poor for VC. The highest proportion of eyes with an absolute difference ≤0.50D between SR and OR was achieved with Ray-Tracing aberrometry in group A(79.5%); with AR in group B(96.4%). Pupil size significantly affected SE differences between SR and Hartmann-Shack aberrometry in groups A and B, with the latter also being influenced by IOL toricity.",
        "Conclusions": "OR with modern devices is not interchangeable with SR after implantation of the studied IOLs; agreement was greater for group B. Pupil size and partially IOL toricity had impact on SE difference between SR and OR obtained by Hartmann-Shack aberrometry."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "OR with modern devices is not interchangeable with SR after implantation of the studied IOLs; agreement was greater for group B. Pupil size and partially IOL toricity had impact on SE difference between SR and OR obtained by Hartmann-Shack aberrometry.",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 405,
      "source_fields": {
        "Abstract Final Identifier": "PP26.08",
        "Title": "Subjective And Objective Refraction Using Autorefraction And Two Wavefront-\nBased Aberrometers In Edof And Simultaneous Vision Intraocular Lenses",
        "Presenting Author(s)": "Dr Petra Davidova",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Petra",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Davidova",
        "Country Name": "Germany",
        "Purpose": "To evaluate the agreement between subjective (SR) and objective refraction (OR) obtained by an autorefractor (AR), Hartmann-Shack aberrometer and ray-tracing aberrometer after implantation of a wavefront-shaping extended-depth-of-focus (EDOF) or diffractive, simultaneous vision intraocular lens (SVIOL), and to assess potential influences of biometric parameters.",
        "Setting": "Department of Ophthalmology, Goethe-University Frankfurt, Theodor Stern Kai 7, 60590 Frankfurt am Main",
        "Methods": "Design: Prospective, observational, cross-sectional study.\n\nSubjects: Patients with healthy eyes, without previous surgeries, implanted with an EDOF (Group A) or SVIOL (Group B).\n\nMethods: SR performed by experienced opticians and OR with the three devices were compared for spherical and cylindrical refractive error, spherical equivalent (SE) and vector components (VC). Axial length, pupil size, IOL power and torus were analyzed as influential factors.\n\nMain Outcome Measures: Agreement of SE, spherical and cylindrical refractive error including vector analysis obtained by SR and OR with different devices.",
        "Results": "Group A comprised 42 and group B 56 eyes. Mean SE was –0.11D(SR), –0.42D(AR), –0.40D(Hartmann–Shack) and –0.29D(Ray-tracing) for group A, and +0.18D, +0.08D, –0.03D, and +0.23D for group B. Significant differences between SR and OR were found for most parameters, none were found between VC. Intraclass correlation coefficients between SR and OR were mostly poor -maximal moderate, and poor for VC. The highest proportion of eyes with an absolute difference ≤0.50D between SR and OR was achieved with Ray-Tracing aberrometry in group A(79.5%); with AR in group B(96.4%). Pupil size significantly affected SE differences between SR and Hartmann-Shack aberrometry in groups A and B, with the latter also being influenced by IOL toricity.",
        "Conclusions": "OR with modern devices is not interchangeable with SR after implantation of the studied IOLs; agreement was greater for group B. Pupil size and partially IOL toricity had impact on SE difference between SR and OR obtained by Hartmann-Shack aberrometry."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 312
    },
    {
      "uid": "PP26.09",
      "abstract_number": "PP26.09",
      "title": "Reliability Of Lenticular Biomechanics Assessment Using In Vivo Brillouin Microscopy In Eyes With Nuclear Cataract",
      "authors": "Dr Stefan Georgiev",
      "presenter": "Dr Stefan Georgiev",
      "normalized_authors": [
        "Stefan Georgiev"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stefan Georgiev",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "To evaluate the repeatability of Brillouin-derived biomechanical measurements in cataractous lenses using the Brillouin Optical Scanning System (BOSS; Intelon Optics) and to investigate whether measurement precision is influenced by objective cataract density assessed with swept-source optical coherence tomography (SS-OCT).",
        "Setting": "Hanusch Hospital, Department of Ophthalmology, Vienna, Austria",
        "Methods": "Fifty eyes from 50 patients with nuclear cataract scheduled for cataract surgery were included in this prospective, single-center preliminary pilot study. Lenticular biomechanics were assessed preoperatively using the BOSS device. Each eye underwent three consecutive measurements. Extracted parameters included mean Brillouin frequency shift across the crystalline lens. Objective cataract density was quantified using swept-source anterior segment optical coherence tomography. Repeatability was assessed using within-subject standard deviation (Sw), test–retest repeatability (2.77 × Sw), and coefficient of variation (CoV). Associations between Brillouin-derived stiffness metrics and SS-OCT lens density parameters were analyzed.",
        "Results": "Brillouin measurements demonstrated high repeatability in cataractous lenses, with a test–retest repeatability (2.77 × Sw) of 0.08 GHz and a coefficient of variation of 0.08 (<1%). Measurement precision of Brillouin-derived stiffness metrics did not deteriorate with increasing SS-OCT–derived objective cataract density parameters (all P > .05).",
        "Conclusions": "Preliminary results indicate that Brillouin microscopy-derived lenticular stiffness assessment appears feasible despite cataract-related light scattering and provides repeatable in vivo measurements of lens biomechanics."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Preliminary results indicate that Brillouin microscopy-derived lenticular stiffness assessment appears feasible despite cataract-related light scattering and provides repeatable in vivo measurements of lens biomechanics.",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 406,
      "source_fields": {
        "Abstract Final Identifier": "PP26.09",
        "Title": "Reliability Of Lenticular Biomechanics Assessment Using In Vivo Brillouin Microscopy In Eyes With Nuclear Cataract",
        "Presenting Author(s)": "Dr Stefan Georgiev",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Stefan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Georgiev",
        "Country Name": "Austria",
        "Purpose": "To evaluate the repeatability of Brillouin-derived biomechanical measurements in cataractous lenses using the Brillouin Optical Scanning System (BOSS; Intelon Optics) and to investigate whether measurement precision is influenced by objective cataract density assessed with swept-source optical coherence tomography (SS-OCT).",
        "Setting": "Hanusch Hospital, Department of Ophthalmology, Vienna, Austria",
        "Methods": "Fifty eyes from 50 patients with nuclear cataract scheduled for cataract surgery were included in this prospective, single-center preliminary pilot study. Lenticular biomechanics were assessed preoperatively using the BOSS device. Each eye underwent three consecutive measurements. Extracted parameters included mean Brillouin frequency shift across the crystalline lens. Objective cataract density was quantified using swept-source anterior segment optical coherence tomography. Repeatability was assessed using within-subject standard deviation (Sw), test–retest repeatability (2.77 × Sw), and coefficient of variation (CoV). Associations between Brillouin-derived stiffness metrics and SS-OCT lens density parameters were analyzed.",
        "Results": "Brillouin measurements demonstrated high repeatability in cataractous lenses, with a test–retest repeatability (2.77 × Sw) of 0.08 GHz and a coefficient of variation of 0.08 (<1%). Measurement precision of Brillouin-derived stiffness metrics did not deteriorate with increasing SS-OCT–derived objective cataract density parameters (all P > .05).",
        "Conclusions": "Preliminary results indicate that Brillouin microscopy-derived lenticular stiffness assessment appears feasible despite cataract-related light scattering and provides repeatable in vivo measurements of lens biomechanics."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 209
    },
    {
      "uid": "PP26.10",
      "abstract_number": "PP26.10",
      "title": "Lenticular Higher Order Aberrations In Different Types Of Cataract",
      "authors": "Dr Vaishal Kenia",
      "presenter": "Dr Vaishal Kenia",
      "normalized_authors": [
        "Vaishal Kenia"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vaishal Kenia",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To compare the higher order of aberrations in different types of cataract",
        "Setting": "Tertiary private eye hospital, Mumbai, India",
        "Methods": "It’s a retrospective study where subjects diagnosed with cataract were included. Subjects who underwent cataract workup, including ocular biometry, higher-order aberration measurement, and objective grading of cataract using pentacam were included. Subjects with nuclear sclerosis (NS) grade II with and without cortical (CO) and/or posterior subcapsular (PSC) cataract were included. Subjects with NS III-IV, hypermature cataract or missing data were excluded. We chose NS grade II cataract as it is commonly presented in clinic. Subjects were divided into 4 different groups: only NS, NS+CO, NS+PSC and NS+CO+PSC. One-way ANOVA and post HOC Tukey test were used to compare the lenticular HOA at 4mm pupil size among different types of cataract.",
        "Results": "A total of 58 eyes were considered for analysis, where 25 eyes had NS, 14 had NS+CO, 10 had NS+PSC, and 8 had NS+CO+PSC. Coma (F=4.60, p=0.006), quadrafoil (F=2.86, p=0.04) and secondary trefoil (F=3.31, p=0.027) statistically significant different. Post hoc tukey revealed coma, quadrafoil, and secondary trefoil were higher in NS+PSC, NS+CO+PSC, and NS+CO group, respectively. Other HOAs were found to be comparable among different groups.",
        "Conclusions": "Lenticular Coma, quadrafoil, and secondary trefoil were found to be significantly higher in eyes with NS plus PSC, NS plus PSC plus Cortical opacity, and NS plus cortical opacity eyes, respectively."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Lenticular Coma, quadrafoil, and secondary trefoil were found to be significantly higher in eyes with NS plus PSC, NS plus PSC plus Cortical opacity, and NS plus cortical opacity eyes, respectively.",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 407,
      "source_fields": {
        "Abstract Final Identifier": "PP26.10",
        "Title": "Lenticular Higher Order Aberrations In Different Types Of Cataract",
        "Presenting Author(s)": "Dr Vaishal Kenia",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Vaishal",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Kenia",
        "Country Name": "India",
        "Purpose": "To compare the higher order of aberrations in different types of cataract",
        "Setting": "Tertiary private eye hospital, Mumbai, India",
        "Methods": "It’s a retrospective study where subjects diagnosed with cataract were included. Subjects who underwent cataract workup, including ocular biometry, higher-order aberration measurement, and objective grading of cataract using pentacam were included. Subjects with nuclear sclerosis (NS) grade II with and without cortical (CO) and/or posterior subcapsular (PSC) cataract were included. Subjects with NS III-IV, hypermature cataract or missing data were excluded. We chose NS grade II cataract as it is commonly presented in clinic. Subjects were divided into 4 different groups: only NS, NS+CO, NS+PSC and NS+CO+PSC. One-way ANOVA and post HOC Tukey test were used to compare the lenticular HOA at 4mm pupil size among different types of cataract.",
        "Results": "A total of 58 eyes were considered for analysis, where 25 eyes had NS, 14 had NS+CO, 10 had NS+PSC, and 8 had NS+CO+PSC. Coma (F=4.60, p=0.006), quadrafoil (F=2.86, p=0.04) and secondary trefoil (F=3.31, p=0.027) statistically significant different. Post hoc tukey revealed coma, quadrafoil, and secondary trefoil were higher in NS+PSC, NS+CO+PSC, and NS+CO group, respectively. Other HOAs were found to be comparable among different groups.",
        "Conclusions": "Lenticular Coma, quadrafoil, and secondary trefoil were found to be significantly higher in eyes with NS plus PSC, NS plus PSC plus Cortical opacity, and NS plus cortical opacity eyes, respectively."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 250
    },
    {
      "uid": "PP26.11",
      "abstract_number": "PP26.11",
      "title": "Epithelial Thickness Mapping And Higher-Order Aberrations In Fuchs Dystrophy",
      "authors": "Prof. Dr Luis Izquierdo Jr",
      "presenter": "Prof. Dr Luis Izquierdo Jr",
      "normalized_authors": [
        "Luis Izquierdo Jr"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Luis Izquierdo Jr",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Peru",
      "sections": {
        "Purpose": "To evaluate the relationship between epithelial minimum thickness and corneal higher-order aberrations (HOAs) in Fuchs endothelial corneal dystrophy (FECD), and to determine whether epithelial remodeling is more strongly associated with optical degradation than global corneal thickness.",
        "Setting": "Research Department, Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Twenty-nine FECD eyes underwent AS-OCT epithelial thickness mapping, Scheimpflug tomography, corneal biomechanics assessment, and wavefront analysis. Mean±SD values were recorded. Spearman correlations (ρ) assessed associations between central corneal thickness (CCT), minimum corneal thickness (Thickmin), epithelial minimum thickness (Epithickmin), posterior elevation, biomechanical indices (available in 24–27 eyes), and HOAs. Statistical significance was set at p<0.05.",
        "Results": "Mean CCT was 560.76±40.08 µm and Thickmin 550.07±33.92 µm; neither correlated with biomechanical indices or total HOA (all p>0.05). Mean Epithickmin was 42.34±6.69 µm. Lower Epithickmin was associated with higher epithelial RMS HOA (1.00±0.55 µm; ρ=−0.535, p=0.003), epithelial trefoil (0.31±0.24 µm; ρ=−0.494, p=0.007), anterior RMS HOA (0.91±0.51 µm; ρ=−0.412, p=0.027), and anterior coma (0.54±0.30 µm; ρ=−0.392, p=0.036).",
        "Conclusions": "In FECD, global corneal thickness was not associated with optical degradation. Localized epithelial thinning was significantly correlated with increased epithelial and anterior HOAs, suggesting that epithelial remodeling may be a key contributor to reduced optical quality in FECD."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In FECD, global corneal thickness was not associated with optical degradation. Localized epithelial thinning was significantly correlated with increased epithelial and anterior HOAs, suggesting that epithelial remodeling may be a key contributor to reduced optical quality in FECD.",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 408,
      "source_fields": {
        "Abstract Final Identifier": "PP26.11",
        "Title": "Epithelial Thickness Mapping And Higher-Order Aberrations In Fuchs Dystrophy",
        "Presenting Author(s)": "Prof. Dr Luis Izquierdo Jr",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Luis",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Izquierdo Jr",
        "Country Name": "Peru",
        "Purpose": "To evaluate the relationship between epithelial minimum thickness and corneal higher-order aberrations (HOAs) in Fuchs endothelial corneal dystrophy (FECD), and to determine whether epithelial remodeling is more strongly associated with optical degradation than global corneal thickness.",
        "Setting": "Research Department, Oftalmosalud Institute, Lima, Peru.",
        "Methods": "Twenty-nine FECD eyes underwent AS-OCT epithelial thickness mapping, Scheimpflug tomography, corneal biomechanics assessment, and wavefront analysis. Mean±SD values were recorded. Spearman correlations (ρ) assessed associations between central corneal thickness (CCT), minimum corneal thickness (Thickmin), epithelial minimum thickness (Epithickmin), posterior elevation, biomechanical indices (available in 24–27 eyes), and HOAs. Statistical significance was set at p<0.05.",
        "Results": "Mean CCT was 560.76±40.08 µm and Thickmin 550.07±33.92 µm; neither correlated with biomechanical indices or total HOA (all p>0.05). Mean Epithickmin was 42.34±6.69 µm. Lower Epithickmin was associated with higher epithelial RMS HOA (1.00±0.55 µm; ρ=−0.535, p=0.003), epithelial trefoil (0.31±0.24 µm; ρ=−0.494, p=0.007), anterior RMS HOA (0.91±0.51 µm; ρ=−0.412, p=0.027), and anterior coma (0.54±0.30 µm; ρ=−0.392, p=0.036).",
        "Conclusions": "In FECD, global corneal thickness was not associated with optical degradation. Localized epithelial thinning was significantly correlated with increased epithelial and anterior HOAs, suggesting that epithelial remodeling may be a key contributor to reduced optical quality in FECD."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 234
    },
    {
      "uid": "PP26.12",
      "abstract_number": "PP26.12",
      "title": "Lens- And Distance-Specific Repeatability Of Visual Acuity Outcomes Using An Intraocular Lens Simulator",
      "authors": "Dr Grzegorz Labuz",
      "presenter": "Dr Grzegorz Labuz",
      "normalized_authors": [
        "Grzegorz Labuz"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Grzegorz Labuz",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "SimVis Gekko (2EyesVision) is an intraocular lens (IOL) simulator that enables patients to experience various IOL designs by reproducing their optical properties. While the agreement between SimVis Gekko simulations and postoperative outcomes has been investigated, data on the repeatability of its IOL simulations and their consistency across lenses and viewing distances are scarce. This study aimed to assess the repeatability of visual acuity outcomes obtained with SimVis Gekko across three consecutive visits.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "Thirteen phakic subjects were evaluated under cycloplegia using the SimVis Gekko device. At each visit, six IOLs were simulated in randomized order. The following models were included: RayOne EMV (Rayner), Tecnis Eyhance, Tecnis Symfony, and Tecnis Synergy (all from J&J Vision), as well as Vivity and PanOptix (both from Alcon). To assess reproducibility, subjects were examined on three separate visits. Binocular logMAR visual acuity was measured at far, 100 cm, 67 cm, and 40 cm. Statistical analysis included intraclass correlation coefficients (ICC) to compare repeatability between IOLs and test distances.",
        "Results": "ICCs for logMAR repeatability varied by IOL and distance. At 40 cm, ICCs ranged from moderate (0.62; Eyhance) to excellent (0.91; PanOptix). At 67 cm, ICCs were consistently moderate (0.62–0.73; Vivity–Symfony). At 100 cm, repeatability was lowest overall, ranging from poor (0.44; RayOne EMV) to good (0.76; Vivity). At far, all IOLs showed good-to-excellent repeatability (0.70–0.88; Symfony–RayOne EMV). Across positions, PanOptix showed the highest and most consistent repeatability (0.72–0.91), followed by Vivity and Synergy (0.62–0.80 and 0.70–0.76, respectively).",
        "Conclusions": "SimVis Gekko demonstrated overall moderate-to-excellent repeatability of simulated visual acuity across lenses and viewing distances, supporting its use for preoperative counseling and IOL selection. Repeatability was highest at near and far and lowest at 100 cm. Among the tested designs, IOLs providing an extended range of vision showed less variable simulated outcomes than enhanced monofocal IOLs, which exhibited lower repeatability at intermediate and near distances."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "SimVis Gekko demonstrated overall moderate-to-excellent repeatability of simulated visual acuity across lenses and viewing distances, supporting its use for preoperative counseling and IOL selection. Repeatability was highest at near and far and lowest at 100 cm. Among the tested designs, IOLs providing an extended range of vision showed less variable simulated outcomes than enhanced monofocal IOLs, which exhibited…",
      "session_type": "Presented Poster",
      "track": "Evaluation testing",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 409,
      "source_fields": {
        "Abstract Final Identifier": "PP26.12",
        "Title": "Lens- And Distance-Specific Repeatability Of Visual Acuity Outcomes Using An Intraocular Lens Simulator",
        "Presenting Author(s)": "Dr Grzegorz Labuz",
        "Abstract Topic Name": "Evaluation testing",
        "Submitter First Name": "Grzegorz",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Labuz",
        "Country Name": "Germany",
        "Purpose": "SimVis Gekko (2EyesVision) is an intraocular lens (IOL) simulator that enables patients to experience various IOL designs by reproducing their optical properties. While the agreement between SimVis Gekko simulations and postoperative outcomes has been investigated, data on the repeatability of its IOL simulations and their consistency across lenses and viewing distances are scarce. This study aimed to assess the repeatability of visual acuity outcomes obtained with SimVis Gekko across three consecutive visits.",
        "Setting": "David J. Apple Center for Vision Research, Department of Ophthalmology, University of Heidelberg, Germany.",
        "Methods": "Thirteen phakic subjects were evaluated under cycloplegia using the SimVis Gekko device. At each visit, six IOLs were simulated in randomized order. The following models were included: RayOne EMV (Rayner), Tecnis Eyhance, Tecnis Symfony, and Tecnis Synergy (all from J&J Vision), as well as Vivity and PanOptix (both from Alcon). To assess reproducibility, subjects were examined on three separate visits. Binocular logMAR visual acuity was measured at far, 100 cm, 67 cm, and 40 cm. Statistical analysis included intraclass correlation coefficients (ICC) to compare repeatability between IOLs and test distances.",
        "Results": "ICCs for logMAR repeatability varied by IOL and distance. At 40 cm, ICCs ranged from moderate (0.62; Eyhance) to excellent (0.91; PanOptix). At 67 cm, ICCs were consistently moderate (0.62–0.73; Vivity–Symfony). At 100 cm, repeatability was lowest overall, ranging from poor (0.44; RayOne EMV) to good (0.76; Vivity). At far, all IOLs showed good-to-excellent repeatability (0.70–0.88; Symfony–RayOne EMV). Across positions, PanOptix showed the highest and most consistent repeatability (0.72–0.91), followed by Vivity and Synergy (0.62–0.80 and 0.70–0.76, respectively).",
        "Conclusions": "SimVis Gekko demonstrated overall moderate-to-excellent repeatability of simulated visual acuity across lenses and viewing distances, supporting its use for preoperative counseling and IOL selection. Repeatability was highest at near and far and lowest at 100 cm. Among the tested designs, IOLs providing an extended range of vision showed less variable simulated outcomes than enhanced monofocal IOLs, which exhibited lower repeatability at intermediate and near distances."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 341
    },
    {
      "uid": "PP27.01",
      "abstract_number": "PP27.01",
      "title": "Real World Data Of Iop Reduction With Combined Excimer Laser Trabeculostomy And Phacoemulsification\nAt Five Years Of Follow-Up",
      "authors": "Dr Antonio Moreno Valladares",
      "presenter": "Dr Antonio Moreno Valladares",
      "normalized_authors": [
        "Antonio Moreno Valladares"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Antonio Moreno Valladares",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "Excimer laser trabeculostomy is a minimally invasive glaucoma surgery (MIGS) that enables\nprecision removal of trabecular meshwork (TM) to facilitate aqueous outflow without collateral damage. The ELIOS device (Bausch+Lomb) creates microchannels in the TM, with clinical trial data showing sustained reduction in intraocular pressure (IOP) and IOP-lowering\nmedications (meds); both are important treatment goals in glaucoma. The purpose of this study was to\nevaluate the long-term effectiveness of ELIOS combined with phacoemulsification (phaco) in patients\nwith elevated IOP over a five-year follow-up in a real-world setting.",
        "Setting": "This was a retrospective, single-centre study of patients with mild-to-moderate open-angle glaucoma\n(OAG) or ocular hypertension (OHT) with visually significant cataracts requiring surgery. Combined\nPhaco-Elios procedures were performed between October 2017 and December 2021.",
        "Methods": "The ELIOS procedure uses a 308-nm XeCL excimer laser to create ten 210-µm diameter microchannels in\nthe TM within a 90–110° treatment area to optimise aqueous outflow. Outcomes included mean IOP,\nmean meds, distribution of meds, and best-corrected visual acuity (BCVA) through 5 years of follow-up.\nSuccess was defined by three criteria: A. IOP reduction ≥20% without further surgery; B. IOP ≤18 mmHg\nwithout meds; C. IOP ≤ preoperative IOP without meds. Safety was also assessed. A total of 129 eyes of\n96 patients were included in the analysis, with a mean±standard deviation (SD) age of 73.02±23 years,\nand 72% were female.",
        "Results": "At baseline, mean±SD meds was 1.74±0.75, BCVA was 0.4±0.15 (decimal), non-medicated IOP was\n25.44±4.15 mmHg (n=129 eyes), and medicated IOP was 20.8±0.32 mmHg. At 5 years of follow-up,\nmean±SD medicated IOP was 17.5±0.37 mmHg, corresponding to a 16% reduction (p<0.001). Mean±SD\nmeds was 0.50±0.68, corresponding to a 71% reduction (p<0.001), with 62% of patients requiring 0\nmeds and 0% requiring ≥3 meds. Mean BCVA was 0.8 decimal (p<0.001). The cumulative success rate was\n47.1%, 57.5%, and 65.0%, at 1 year, and 41.4%, 38.0% and 41.4% at 5 years, for the A, B, and C criteria,\nrespectively. Nine cases (7%) required additional surgery by 5 years of follow-up. No major adverse\nevents were recorded. Three patients were lost to follow-up by study end.",
        "Conclusions": "In this study of patients with OAG and OHT undergoing phaco-ELT, the mean IOP was reduced to below the\nEuropean Glaucoma Society suggested target range for early glaucoma (<20 mmHg and ≥20% reduction)\nand approaching that for mild-to-moderate glaucoma (<17 mmHg and ≥30% reduction), demonstrating\na clinically meaningful outcome. The sustained reduction in meds decreases reliance on medication adherence\nto sustain outcomes and is associated with improved patient quality of life, which is an important\ntreatment goal. These outcomes are reflected in the three predefined success criteria being met and\nmaintained through 5 years. BCVA was also improved at 5 years."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In this study of patients with OAG and OHT undergoing phaco-ELT, the mean IOP was reduced to below the European Glaucoma Society suggested target range for early glaucoma (<20 mmHg and ≥20% reduction) and approaching that for mild-to-moderate glaucoma (<17 mmHg and ≥30% reduction), demonstrating a clinically meaningful outcome. The sustained reduction in meds decreases reliance on medication adherence to sustain…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 410,
      "source_fields": {
        "Abstract Final Identifier": "PP27.01",
        "Title": "Real World Data Of Iop Reduction With Combined Excimer Laser Trabeculostomy And Phacoemulsification\nAt Five Years Of Follow-Up",
        "Presenting Author(s)": "Dr Antonio Moreno Valladares",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Antonio",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Moreno Valladares",
        "Country Name": "Spain",
        "Purpose": "Excimer laser trabeculostomy is a minimally invasive glaucoma surgery (MIGS) that enables\nprecision removal of trabecular meshwork (TM) to facilitate aqueous outflow without collateral damage. The ELIOS device (Bausch+Lomb) creates microchannels in the TM, with clinical trial data showing sustained reduction in intraocular pressure (IOP) and IOP-lowering\nmedications (meds); both are important treatment goals in glaucoma. The purpose of this study was to\nevaluate the long-term effectiveness of ELIOS combined with phacoemulsification (phaco) in patients\nwith elevated IOP over a five-year follow-up in a real-world setting.",
        "Setting": "This was a retrospective, single-centre study of patients with mild-to-moderate open-angle glaucoma\n(OAG) or ocular hypertension (OHT) with visually significant cataracts requiring surgery. Combined\nPhaco-Elios procedures were performed between October 2017 and December 2021.",
        "Methods": "The ELIOS procedure uses a 308-nm XeCL excimer laser to create ten 210-µm diameter microchannels in\nthe TM within a 90–110° treatment area to optimise aqueous outflow. Outcomes included mean IOP,\nmean meds, distribution of meds, and best-corrected visual acuity (BCVA) through 5 years of follow-up.\nSuccess was defined by three criteria: A. IOP reduction ≥20% without further surgery; B. IOP ≤18 mmHg\nwithout meds; C. IOP ≤ preoperative IOP without meds. Safety was also assessed. A total of 129 eyes of\n96 patients were included in the analysis, with a mean±standard deviation (SD) age of 73.02±23 years,\nand 72% were female.",
        "Results": "At baseline, mean±SD meds was 1.74±0.75, BCVA was 0.4±0.15 (decimal), non-medicated IOP was\n25.44±4.15 mmHg (n=129 eyes), and medicated IOP was 20.8±0.32 mmHg. At 5 years of follow-up,\nmean±SD medicated IOP was 17.5±0.37 mmHg, corresponding to a 16% reduction (p<0.001). Mean±SD\nmeds was 0.50±0.68, corresponding to a 71% reduction (p<0.001), with 62% of patients requiring 0\nmeds and 0% requiring ≥3 meds. Mean BCVA was 0.8 decimal (p<0.001). The cumulative success rate was\n47.1%, 57.5%, and 65.0%, at 1 year, and 41.4%, 38.0% and 41.4% at 5 years, for the A, B, and C criteria,\nrespectively. Nine cases (7%) required additional surgery by 5 years of follow-up. No major adverse\nevents were recorded. Three patients were lost to follow-up by study end.",
        "Conclusions": "In this study of patients with OAG and OHT undergoing phaco-ELT, the mean IOP was reduced to below the\nEuropean Glaucoma Society suggested target range for early glaucoma (<20 mmHg and ≥20% reduction)\nand approaching that for mild-to-moderate glaucoma (<17 mmHg and ≥30% reduction), demonstrating\na clinically meaningful outcome. The sustained reduction in meds decreases reliance on medication adherence\nto sustain outcomes and is associated with improved patient quality of life, which is an important\ntreatment goal. These outcomes are reflected in the three predefined success criteria being met and\nmaintained through 5 years. BCVA was also improved at 5 years."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 484
    },
    {
      "uid": "PP27.02",
      "abstract_number": "PP27.02",
      "title": "External Validation And Artificial Intelligence Assisted Population- Specific Recalibration Of The Ohts- Egps 5-Year Glaucoma Risk Model In A Western Black Sea Cohort",
      "authors": "Dr Melih Elverdi",
      "presenter": "Dr Melih Elverdi",
      "normalized_authors": [
        "Melih Elverdi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Melih Elverdi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "Glaucoma risk prediction models derived from clinical trials may preserve discriminative ability across populations; however, absolute risk estimation can vary due to geographic and demographic differences, leading to reduced calibration accuracy. This study aimed to externally validate the OHTS-EGPS 5-year primary open-angle glaucoma (POAG) risk model in a Western Black Sea ocular hypertension cohort and to optimize absolute risk estimation through AI-assisted population-specific recalibration, thereby developing a regionally adapted risk calculator.",
        "Setting": "This retrospective cohort study was conducted at the Department of Ophthalmology, Zonguldak Bülent Ecevit University , a tertiary referral center in the Western Black Sea region of Türkiye. Clinical records of patients diagnosed with ocular hypertension and followed regularly for at least five years were reviewed, reflecting a real-world clinical practice setting.",
        "Methods": "This retrospective cohort study included 212 eyes from 106 patients with ocular hypertension diagnosed between 2010 and 2022 and followed for at least five years. Each eye was analyzed separately. The OHTS-EGPS 5-year POAG risk calculator was applied to generate predicted risk probabilities using age, intraocular pressure, central corneal thickness, vertical cup-to-disc ratio, and pattern standard deviation. The primary outcome was POAG development within five years. Model performance was evaluated using AUC for discrimination and calibration slope, intercept, and Brier score for calibration. Predicted probabilities were subsequently updated using logit-based machine learning logistic regression for population-specific recalibration.",
        "Results": "A total of 106 patients (212 eyes) were included, and POAG developed in 30 patients (28.3%) within five years. The original OHTS-EGPS model demonstrated good discriminative performance (AUC=0.770; 95% CI: 0.660–0.872), confirming preserved risk stratification in this independent cohort. Calibration analysis revealed moderate overestimation of absolute risk (calibration slope=0.845; intercept=0.409; Brier score=0.165). After AI-assisted population-specific recalibration, discrimination remained unchanged (AUC=0.770), while calibration improved markedly (slope≈0.98; intercept≈−0.02), and overall prediction error decreased (Brier=0.157), reflecting closer agreement between predicted probabilities and observed clinical outcomes.",
        "Conclusions": "The OHTS-EGPS 5-year POAG risk model demonstrated good discriminative performance in a Western Black Sea ocular hypertension cohort. AI-assisted population-specific recalibration improved absolute risk estimation while preserving discrimination, thereby enhancing the model’s clinical applicability. This study demonstrates that established glaucoma risk calculators can be regionally optimized using local data and machine learning–based calibration approaches, enabling more reliable, precise, and personalized clinical decision support across diverse populations. These findings support a scalable framework for adapting validated risk models to different geographic and demographic settings without redeveloping the original predictive structure."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The OHTS-EGPS 5-year POAG risk model demonstrated good discriminative performance in a Western Black Sea ocular hypertension cohort. AI-assisted population-specific recalibration improved absolute risk estimation while preserving discrimination, thereby enhancing the model’s clinical applicability. This study demonstrates that established glaucoma risk calculators can be regionally optimized using local data and…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 411,
      "source_fields": {
        "Abstract Final Identifier": "PP27.02",
        "Title": "External Validation And Artificial Intelligence Assisted Population- Specific Recalibration Of The Ohts- Egps 5-Year Glaucoma Risk Model In A Western Black Sea Cohort",
        "Presenting Author(s)": "Dr Melih Elverdi",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Melih",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Elverdi",
        "Country Name": "Türkiye",
        "Purpose": "Glaucoma risk prediction models derived from clinical trials may preserve discriminative ability across populations; however, absolute risk estimation can vary due to geographic and demographic differences, leading to reduced calibration accuracy. This study aimed to externally validate the OHTS-EGPS 5-year primary open-angle glaucoma (POAG) risk model in a Western Black Sea ocular hypertension cohort and to optimize absolute risk estimation through AI-assisted population-specific recalibration, thereby developing a regionally adapted risk calculator.",
        "Setting": "This retrospective cohort study was conducted at the Department of Ophthalmology, Zonguldak Bülent Ecevit University , a tertiary referral center in the Western Black Sea region of Türkiye. Clinical records of patients diagnosed with ocular hypertension and followed regularly for at least five years were reviewed, reflecting a real-world clinical practice setting.",
        "Methods": "This retrospective cohort study included 212 eyes from 106 patients with ocular hypertension diagnosed between 2010 and 2022 and followed for at least five years. Each eye was analyzed separately. The OHTS-EGPS 5-year POAG risk calculator was applied to generate predicted risk probabilities using age, intraocular pressure, central corneal thickness, vertical cup-to-disc ratio, and pattern standard deviation. The primary outcome was POAG development within five years. Model performance was evaluated using AUC for discrimination and calibration slope, intercept, and Brier score for calibration. Predicted probabilities were subsequently updated using logit-based machine learning logistic regression for population-specific recalibration.",
        "Results": "A total of 106 patients (212 eyes) were included, and POAG developed in 30 patients (28.3%) within five years. The original OHTS-EGPS model demonstrated good discriminative performance (AUC=0.770; 95% CI: 0.660–0.872), confirming preserved risk stratification in this independent cohort. Calibration analysis revealed moderate overestimation of absolute risk (calibration slope=0.845; intercept=0.409; Brier score=0.165). After AI-assisted population-specific recalibration, discrimination remained unchanged (AUC=0.770), while calibration improved markedly (slope≈0.98; intercept≈−0.02), and overall prediction error decreased (Brier=0.157), reflecting closer agreement between predicted probabilities and observed clinical outcomes.",
        "Conclusions": "The OHTS-EGPS 5-year POAG risk model demonstrated good discriminative performance in a Western Black Sea ocular hypertension cohort. AI-assisted population-specific recalibration improved absolute risk estimation while preserving discrimination, thereby enhancing the model’s clinical applicability. This study demonstrates that established glaucoma risk calculators can be regionally optimized using local data and machine learning–based calibration approaches, enabling more reliable, precise, and personalized clinical decision support across diverse populations. These findings support a scalable framework for adapting validated risk models to different geographic and demographic settings without redeveloping the original predictive structure."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 411
    },
    {
      "uid": "PP27.03",
      "abstract_number": "PP27.03",
      "title": "Safety Outcomes Of Excimer Laser Trabeculostomy Performed In Conjunction With Cataract Surgery In Primary Open-Angle Glaucoma Patients",
      "authors": "Dr Paul Singh",
      "presenter": "Dr Paul Singh",
      "normalized_authors": [
        "Paul Singh"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Rebeca Gonzalez Bragado",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "This study aimed to evaluate the safety and effectiveness of the excimer laser trabecular bypass minimally invasive glaucoma surgery (MIGS) system in reducing the intraocular pressure (IOP) of adults with mild-to-moderate primary open-angle glaucoma (POAG) when used in combination with cataract surgery. The present analysis reports on the safety outcomes of the trial.",
        "Setting": "This was a prospective, non-randomised, trial at 20 sites in the USA (NCT04899063), with treatment between June 2021 and July 2023",
        "Methods": "The ELIOS system is a clinically validated excimer laser trabecular bypass MIGS procedure. Key eligibility criteria included age ≥45 years, mild-to-moderate POAG, an operable age-related cataract eligible for PE with best-corrected visual acuity of 20/40 or worse, medicated IOP of ≤24 mmHg and unmedicated diurnal IOP (DIOP) of 22–34 mmHg. Eligible patients underwent the MIGS procedure after uncomplicated cataract surgery. Safety assessments included ocular adverse events (AEs), endothelial cell density (ECD) loss from baseline, and postoperative BCVA through the follow-up period. These results correspond to the evaluations conducted at the 12‑month follow‑up.",
        "Results": "A total of 318 pts underwent the procedure. Mean±SD age was 70.2±7.4 years (54% female). 5 AEs were reported during cataract extraction/IOL implantation, and no intraoperative complications or AEs were reported during the ELIOS procedure. 144 ocular AEs were documented in 107 pts (33.6%) through 12-mo follow up. Most events occurred within the first postoperative month (68%) and were mild to moderate without clinically significant sequelae. While early postoperative IOP elevations ≥10 mmHg were predominantly transient, the incidence of sustained or later-onset IOP elevation (≥1 month) was low at 1.5%. ECD loss demonstrated early postoperative reduction with stabilization by Month 3. BCVA ≥20/40 was achieved in all patients at 12-mo",
        "Conclusions": "The ELIOS excimer laser trabeculostomy procedure demonstrated a favourable long-term safety profile when combined with cataract surgery in patients with POAG. The low rate of serious ocular adverse events, absence of intraoperative complications, and stable endothelial cell outcomes support its use as a minimally invasive option for enhancing aqueous outflow during cataract surgery. These findings align with reported safety outcomes for standalone phacoemulsification and reinforce the clinical relevance of this combined approach."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The ELIOS excimer laser trabeculostomy procedure demonstrated a favourable long-term safety profile when combined with cataract surgery in patients with POAG. The low rate of serious ocular adverse events, absence of intraoperative complications, and stable endothelial cell outcomes support its use as a minimally invasive option for enhancing aqueous outflow during cataract surgery. These findings align with…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 412,
      "source_fields": {
        "Abstract Final Identifier": "PP27.03",
        "Title": "Safety Outcomes Of Excimer Laser Trabeculostomy Performed In Conjunction With Cataract Surgery In Primary Open-Angle Glaucoma Patients",
        "Presenting Author(s)": "Dr Paul Singh",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Rebeca",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gonzalez Bragado",
        "Country Name": "Spain",
        "Purpose": "This study aimed to evaluate the safety and effectiveness of the excimer laser trabecular bypass minimally invasive glaucoma surgery (MIGS) system in reducing the intraocular pressure (IOP) of adults with mild-to-moderate primary open-angle glaucoma (POAG) when used in combination with cataract surgery. The present analysis reports on the safety outcomes of the trial.",
        "Setting": "This was a prospective, non-randomised, trial at 20 sites in the USA (NCT04899063), with treatment between June 2021 and July 2023",
        "Methods": "The ELIOS system is a clinically validated excimer laser trabecular bypass MIGS procedure. Key eligibility criteria included age ≥45 years, mild-to-moderate POAG, an operable age-related cataract eligible for PE with best-corrected visual acuity of 20/40 or worse, medicated IOP of ≤24 mmHg and unmedicated diurnal IOP (DIOP) of 22–34 mmHg. Eligible patients underwent the MIGS procedure after uncomplicated cataract surgery. Safety assessments included ocular adverse events (AEs), endothelial cell density (ECD) loss from baseline, and postoperative BCVA through the follow-up period. These results correspond to the evaluations conducted at the 12‑month follow‑up.",
        "Results": "A total of 318 pts underwent the procedure. Mean±SD age was 70.2±7.4 years (54% female). 5 AEs were reported during cataract extraction/IOL implantation, and no intraoperative complications or AEs were reported during the ELIOS procedure. 144 ocular AEs were documented in 107 pts (33.6%) through 12-mo follow up. Most events occurred within the first postoperative month (68%) and were mild to moderate without clinically significant sequelae. While early postoperative IOP elevations ≥10 mmHg were predominantly transient, the incidence of sustained or later-onset IOP elevation (≥1 month) was low at 1.5%. ECD loss demonstrated early postoperative reduction with stabilization by Month 3. BCVA ≥20/40 was achieved in all patients at 12-mo",
        "Conclusions": "The ELIOS excimer laser trabeculostomy procedure demonstrated a favourable long-term safety profile when combined with cataract surgery in patients with POAG. The low rate of serious ocular adverse events, absence of intraoperative complications, and stable endothelial cell outcomes support its use as a minimally invasive option for enhancing aqueous outflow during cataract surgery. These findings align with reported safety outcomes for standalone phacoemulsification and reinforce the clinical relevance of this combined approach."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 360
    },
    {
      "uid": "PP27.04",
      "abstract_number": "PP27.04",
      "title": "Glaucoma In Knobloch Syndrome: Clinical Association And Incidence Of Joag And Pcg",
      "authors": "Dr Khalid Abdulaziz Aldihan",
      "presenter": "Dr Khalid Abdulaziz Aldihan",
      "normalized_authors": [
        "Khalid Abdulaziz Aldihan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khalid Abdulaziz Aldihan",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To assess the association between Knobloch Syndrome (KS) and the risk of developing congenital glaucoma, specifically Juvenile Open-Angle Glaucoma (JOAG) and Primary Congenital Glaucoma (PCG).",
        "Setting": "King Khaled Eye Specialist Hospital & Research Center, Riyadh, Saudi Arabia.",
        "Methods": "This retrospective study included 98 eyes from 49 patients diagnosed with Knobloch Syndrome at King Khaled Eye Specialist Hospital (KKESH), Riyadh, Saudi Arabia, from 1990 to 2024. Demographic data, baseline intraocular pressure (IOP), consanguinity status, glaucoma development, type of glaucoma, incidence of retinal detachment (RD), and glaucoma relation to RD were collected and analyzed. Statistical analyses included descriptive statistics, Chi-square tests, and T-tests to evaluate the significance of associations.",
        "Results": "The mean age was 64.20 months (± 60.60), and the mean baseline intraocular pressure (IOP) was 16.07 mmHg (± 4.98). The majority were male (57.14%) with a high incidence of consanguinity (83.67%). Glaucoma developed in 21 eyes (21.43%), predominantly Juvenile Open-Angle Glaucoma (JOAG; 6.12%) and Primary Congenital Glaucoma (PCG; 4%). Retinal detachment (RD) occurred in nearly half of the eyes (48.98%), glaucoma developed after RD repair seen in 5.10% of cases. Statistical analyses demonstrated significant associations between KS and glaucoma subtypes JOAG (p<0.001), PCG (p=0.041), and combined JOAG/PCG cases (p<0.001), highlighting an increased glaucoma risk in KS patients.",
        "Conclusions": "Patients with Knobloch Syndrome have a significantly increased risk of developing congenital glaucoma, particularly JOAG and PCG. Regular and thorough ophthalmologic evaluations are recommended for early glaucoma detection and management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Patients with Knobloch Syndrome have a significantly increased risk of developing congenital glaucoma, particularly JOAG and PCG. Regular and thorough ophthalmologic evaluations are recommended for early glaucoma detection and management.",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 413,
      "source_fields": {
        "Abstract Final Identifier": "PP27.04",
        "Title": "Glaucoma In Knobloch Syndrome: Clinical Association And Incidence Of Joag And Pcg",
        "Presenting Author(s)": "Dr Khalid Abdulaziz Aldihan",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Khalid",
        "Submitter Middle Name": "Abdulaziz",
        "Submitter Last Name": "Aldihan",
        "Country Name": "Saudi Arabia",
        "Purpose": "To assess the association between Knobloch Syndrome (KS) and the risk of developing congenital glaucoma, specifically Juvenile Open-Angle Glaucoma (JOAG) and Primary Congenital Glaucoma (PCG).",
        "Setting": "King Khaled Eye Specialist Hospital & Research Center, Riyadh, Saudi Arabia.",
        "Methods": "This retrospective study included 98 eyes from 49 patients diagnosed with Knobloch Syndrome at King Khaled Eye Specialist Hospital (KKESH), Riyadh, Saudi Arabia, from 1990 to 2024. Demographic data, baseline intraocular pressure (IOP), consanguinity status, glaucoma development, type of glaucoma, incidence of retinal detachment (RD), and glaucoma relation to RD were collected and analyzed. Statistical analyses included descriptive statistics, Chi-square tests, and T-tests to evaluate the significance of associations.",
        "Results": "The mean age was 64.20 months (± 60.60), and the mean baseline intraocular pressure (IOP) was 16.07 mmHg (± 4.98). The majority were male (57.14%) with a high incidence of consanguinity (83.67%). Glaucoma developed in 21 eyes (21.43%), predominantly Juvenile Open-Angle Glaucoma (JOAG; 6.12%) and Primary Congenital Glaucoma (PCG; 4%). Retinal detachment (RD) occurred in nearly half of the eyes (48.98%), glaucoma developed after RD repair seen in 5.10% of cases. Statistical analyses demonstrated significant associations between KS and glaucoma subtypes JOAG (p<0.001), PCG (p=0.041), and combined JOAG/PCG cases (p<0.001), highlighting an increased glaucoma risk in KS patients.",
        "Conclusions": "Patients with Knobloch Syndrome have a significantly increased risk of developing congenital glaucoma, particularly JOAG and PCG. Regular and thorough ophthalmologic evaluations are recommended for early glaucoma detection and management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 247
    },
    {
      "uid": "PP27.05",
      "abstract_number": "PP27.05",
      "title": "To Describe The Clinical And Biometric Profile Of Nanophthalmos Patients And Characterise The Spectrum Of Glaucoma Presentations, Surgical Interventions, And Visual Outcomes In A Tertiary Referral Centre.",
      "authors": "Dr Abdulrahman MORAD Alkaff",
      "presenter": "Dr Abdulrahman MORAD Alkaff",
      "normalized_authors": [
        "Abdulrahman MORAD Alkaff"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Abdulrahman MORAD Alkaff",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Saudi Arabia",
      "sections": {
        "Purpose": "To describe the clinical and biometric profile of nanophthalmos patients and characterise the spectrum of glaucoma presentations, surgical interventions, and visual outcomes in a tertiary referral centre.",
        "Setting": "King Khaled Eye Specialist Hospital, a tertiary referral eye hospital in Riyadh, Saudi Arabia.",
        "Methods": "This retrospective case series included all nanophthalmic eyes (axial length approximately ≤20.5 mm with high hyperopia and a normal‑sized lens–cornea complex) with documented to have angle closure glaucoma.\n\nDemographic, biometric, and clinical data were extracted from electronic medical records. Outcomes included intraocular pressure (IOP) control, cup-to-disc ratio (CDR), and best-corrected visual acuity (BCVA) at baseline and at 1 week, 3 months, 6 months, and 1 year postoperatively.",
        "Results": "All 31 eyes presented with angle-closure glaucoma. Mean axial length was 16.43 ± 1.42 mm. Mean IOP at diagnosis was 25.7 mmHg (range 11–45 mmHg). Uveal effusion was documented in 82% of eyes. Laser peripheral iridotomy (LPI) was performed in 94% of eyes; 87% of eyes subsequently required surgical intervention, most commonly cataract extraction with posterior chamber IOL implantation (44%) or cyclodestructive procedures (19%). Mean high-plus IOL power was +41.6 D (range +30 to +55 D). Significant postoperative complications occured in (56%), including aqueous misdirection, choroidal detachment, retinal detachment, and phthisis bulbi. A second surgical procedure was required in 11 eyes (35%).",
        "Conclusions": "Nanophthalmos is universally associated with angle-closure glaucoma and carries a high surgical complication rate. The anatomical characteristics of extremely short axial length, shallow anterior chamber, and increased scleral thickness predispose to aqueous misdirection and choroidal effusion, demanding meticulous preoperative planning and a staged surgical approach. The high rate of secondary surgical intervention underscores the challenging nature of glaucoma management in these eyes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Nanophthalmos is universally associated with angle-closure glaucoma and carries a high surgical complication rate. The anatomical characteristics of extremely short axial length, shallow anterior chamber, and increased scleral thickness predispose to aqueous misdirection and choroidal effusion, demanding meticulous preoperative planning and a staged surgical approach. The high rate of secondary surgical…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 414,
      "source_fields": {
        "Abstract Final Identifier": "PP27.05",
        "Title": "To Describe The Clinical And Biometric Profile Of Nanophthalmos Patients And Characterise The Spectrum Of Glaucoma Presentations, Surgical Interventions, And Visual Outcomes In A Tertiary Referral Centre.",
        "Presenting Author(s)": "Dr Abdulrahman MORAD Alkaff",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Abdulrahman",
        "Submitter Middle Name": "MORAD",
        "Submitter Last Name": "Alkaff",
        "Country Name": "Saudi Arabia",
        "Purpose": "To describe the clinical and biometric profile of nanophthalmos patients and characterise the spectrum of glaucoma presentations, surgical interventions, and visual outcomes in a tertiary referral centre.",
        "Setting": "King Khaled Eye Specialist Hospital, a tertiary referral eye hospital in Riyadh, Saudi Arabia.",
        "Methods": "This retrospective case series included all nanophthalmic eyes (axial length approximately ≤20.5 mm with high hyperopia and a normal‑sized lens–cornea complex) with documented to have angle closure glaucoma.\n\nDemographic, biometric, and clinical data were extracted from electronic medical records. Outcomes included intraocular pressure (IOP) control, cup-to-disc ratio (CDR), and best-corrected visual acuity (BCVA) at baseline and at 1 week, 3 months, 6 months, and 1 year postoperatively.",
        "Results": "All 31 eyes presented with angle-closure glaucoma. Mean axial length was 16.43 ± 1.42 mm. Mean IOP at diagnosis was 25.7 mmHg (range 11–45 mmHg). Uveal effusion was documented in 82% of eyes. Laser peripheral iridotomy (LPI) was performed in 94% of eyes; 87% of eyes subsequently required surgical intervention, most commonly cataract extraction with posterior chamber IOL implantation (44%) or cyclodestructive procedures (19%). Mean high-plus IOL power was +41.6 D (range +30 to +55 D). Significant postoperative complications occured in (56%), including aqueous misdirection, choroidal detachment, retinal detachment, and phthisis bulbi. A second surgical procedure was required in 11 eyes (35%).",
        "Conclusions": "Nanophthalmos is universally associated with angle-closure glaucoma and carries a high surgical complication rate. The anatomical characteristics of extremely short axial length, shallow anterior chamber, and increased scleral thickness predispose to aqueous misdirection and choroidal effusion, demanding meticulous preoperative planning and a staged surgical approach. The high rate of secondary surgical intervention underscores the challenging nature of glaucoma management in these eyes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 279
    },
    {
      "uid": "PP27.06",
      "abstract_number": "PP27.06",
      "title": "Real Life One-Year Data After Combined Cataract Surgery With Excimer Laser Trabeculostomy Versus Cataract Surgery Alone In Open-Angle Glaucoma In A Community-Based Outpatient Setting",
      "authors": "Dr Fidan Aghayeva",
      "presenter": "Dr Fidan Aghayeva",
      "normalized_authors": [
        "Fidan Aghayeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Fidan Aghayeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Germany",
      "sections": {
        "Purpose": "This study aims to evaluate and compare intraocular pressure (IOP) change and number of topical IOP-lowering medications after combined cataract surgery with excimer laser trabeculostomy (ELT/ELIOS TM ) versus cataract surgery alone in patients with open-angle glaucoma.",
        "Setting": "Prospective comparative chart evaluation",
        "Methods": "Prospective data of 42 patients (80 eyes) with different types of open-angle glaucoma, who were naïve to any previous intraocular procedure and underwent either combined cataract surgery with ELT (phaco-ELT group - 40 eyes) or cataract surgery alone (control group - 40 eyes), was performed. Study outcomes were median IOP change in the operated eye and mean number of topical IOP-lowering medications at 1, 3, 6, 9, and 12 months after surgery.",
        "Results": "The median pre- and postoperative IOP in phaco-ELT group at 1, 3, 6, 9, and 12 months were 14 (12-17.75) mmHg, 14 (11-15.5) mmHg, 11.5 (10-14) mmHg, 10.5 (9-13.75) mmHg, 12 (10-14) mmHg, and 12.5 (11-14) mmHg, respectively. The median IOP reduction at 6- and 12 months follow-up resulted in -3 (-5 to 0.5) mmHg and -2 (-5 to 0.75) mmHg, respectively. The postoperative IOP was statistically significantly lower than the preoperative level in both groups at last follow-up (p<0.001). We found a statistically significant difference between the mean number of topical IOP-lowering medications before and after combined surgery (p<0.001) with 80% of eyes medication-free, while the control group showed no reduction of preoperative medications.",
        "Conclusions": "This study shows a statistically significant reduction of IOP and topical IOP-lowering medications at 12 months after combined cataract surgery with ELT."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study shows a statistically significant reduction of IOP and topical IOP-lowering medications at 12 months after combined cataract surgery with ELT.",
      "session_type": "Presented Poster",
      "track": "Minimally Invasive Glaucoma Surgery (MIGS)",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 415,
      "source_fields": {
        "Abstract Final Identifier": "PP27.06",
        "Title": "Real Life One-Year Data After Combined Cataract Surgery With Excimer Laser Trabeculostomy Versus Cataract Surgery Alone In Open-Angle Glaucoma In A Community-Based Outpatient Setting",
        "Presenting Author(s)": "Dr Fidan Aghayeva",
        "Abstract Topic Name": "Minimally Invasive Glaucoma Surgery (MIGS)",
        "Submitter First Name": "Fidan",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Aghayeva",
        "Country Name": "Germany",
        "Purpose": "This study aims to evaluate and compare intraocular pressure (IOP) change and number of topical IOP-lowering medications after combined cataract surgery with excimer laser trabeculostomy (ELT/ELIOS TM ) versus cataract surgery alone in patients with open-angle glaucoma.",
        "Setting": "Prospective comparative chart evaluation",
        "Methods": "Prospective data of 42 patients (80 eyes) with different types of open-angle glaucoma, who were naïve to any previous intraocular procedure and underwent either combined cataract surgery with ELT (phaco-ELT group - 40 eyes) or cataract surgery alone (control group - 40 eyes), was performed. Study outcomes were median IOP change in the operated eye and mean number of topical IOP-lowering medications at 1, 3, 6, 9, and 12 months after surgery.",
        "Results": "The median pre- and postoperative IOP in phaco-ELT group at 1, 3, 6, 9, and 12 months were 14 (12-17.75) mmHg, 14 (11-15.5) mmHg, 11.5 (10-14) mmHg, 10.5 (9-13.75) mmHg, 12 (10-14) mmHg, and 12.5 (11-14) mmHg, respectively. The median IOP reduction at 6- and 12 months follow-up resulted in -3 (-5 to 0.5) mmHg and -2 (-5 to 0.75) mmHg, respectively. The postoperative IOP was statistically significantly lower than the preoperative level in both groups at last follow-up (p<0.001). We found a statistically significant difference between the mean number of topical IOP-lowering medications before and after combined surgery (p<0.001) with 80% of eyes medication-free, while the control group showed no reduction of preoperative medications.",
        "Conclusions": "This study shows a statistically significant reduction of IOP and topical IOP-lowering medications at 12 months after combined cataract surgery with ELT."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 260
    },
    {
      "uid": "PP27.07",
      "abstract_number": "PP27.07",
      "title": "Real-Life Safety And Efficacy Results Of A Supraciliary Drainage Device At 24 Months Post-Implantation (Star-Life)",
      "authors": "Mr Vincent Dubois",
      "presenter": "Mr Vincent Dubois",
      "normalized_authors": [
        "Vincent Dubois"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Vincent Dubois",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "The safety and efficacy of a novel, minimally-invasive glaucoma surgery (MIGS) device (MINIject ® ; iSTAR Medical, Belgium) implanted ab interno into the supraciliary space is described in a real-life setting.",
        "Setting": "STAR-LIFE is a real-life, observational, multi-centre registry with follow-up until two years in up to 320 adult patients diagnosed with open-angle glaucoma. A preliminary, interim analysis of the first 140 patients with 24-month follow-up in 13 sites in the UK, Switzerland, Germany and Austria was performed. Patients were treated in either a standalone procedure (phakic or pseudophakic) or combined with cataract surgery and followed according to the surgeon’s standard of care.",
        "Methods": "The primary endpoint was the reporting of unexpected incidents and/or serious reportable incidents. Secondary endpoints included intraocular pressure (IOP) measurements and ocular hypotensive medication ingredient (meds) use compared with baseline. Patients were 55% female with mean age of 72.6±9.7. There were 71.6% treated in a standalone procedure and 57% were pseudophakic. The majority of patients were diagnosed with primary open-angle glaucoma (73%) or pseudoexfoliative glaucoma (17%). 42% had prior surgery in the study eye (other than cataract surgery/ SLT). Mild-to-moderate glaucoma was reported in 66% patients and mean visual field mean deviation was -9.5±7.6dB. Carbonic anhydrase inhibitors were used by 49% patients at baseline.",
        "Results": "Mean pre-operative and 24-month IOPs were 21.3±7.3mmHg on 2.8±1.7 meds and 14.5±4.6mmHg (-6.2mmHg, -23.8%; p<0.0001) on 1.9±1.9 meds (-1.0; p<0.0001) respectively. Furthermore, 56.4% patients had >/=20% IOP reduction, 80.7% had IOP </=18mmHg, and 81.4% were on the same or fewer medications at 24 months. At 24 months, there was no difference in IOP and medication reduction after standalone vs combined-cataract surgery. There were no unexpected nor serious reportable incidents. Serious incidents (n>1) included: IOP increase (6.9%), hypotony (2.3%), device migration or mispositioning (2.3%) and hyphaema (1.4%).",
        "Conclusions": "In a real-life, diverse population in the STAR-LIFE study, a significant mean IOP reduction of 6.2mmHg was achieved 24 months after treatment with MINIject, in addition to a mean 1.0 medication reduction. This supraciliary MIGS procedure offers a valuable bleb-free treatment option for patients with glaucoma, either as a standalone procedure or in combination with cataract surgery, with low rates of serious incidents."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "In a real-life, diverse population in the STAR-LIFE study, a significant mean IOP reduction of 6.2mmHg was achieved 24 months after treatment with MINIject, in addition to a mean 1.0 medication reduction. This supraciliary MIGS procedure offers a valuable bleb-free treatment option for patients with glaucoma, either as a standalone procedure or in combination with cataract surgery, with low rates of serious…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 416,
      "source_fields": {
        "Abstract Final Identifier": "PP27.07",
        "Title": "Real-Life Safety And Efficacy Results Of A Supraciliary Drainage Device At 24 Months Post-Implantation (Star-Life)",
        "Presenting Author(s)": "Mr Vincent Dubois",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Vincent",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Dubois",
        "Country Name": "United Kingdom",
        "Purpose": "The safety and efficacy of a novel, minimally-invasive glaucoma surgery (MIGS) device (MINIject ® ; iSTAR Medical, Belgium) implanted ab interno into the supraciliary space is described in a real-life setting.",
        "Setting": "STAR-LIFE is a real-life, observational, multi-centre registry with follow-up until two years in up to 320 adult patients diagnosed with open-angle glaucoma. A preliminary, interim analysis of the first 140 patients with 24-month follow-up in 13 sites in the UK, Switzerland, Germany and Austria was performed. Patients were treated in either a standalone procedure (phakic or pseudophakic) or combined with cataract surgery and followed according to the surgeon’s standard of care.",
        "Methods": "The primary endpoint was the reporting of unexpected incidents and/or serious reportable incidents. Secondary endpoints included intraocular pressure (IOP) measurements and ocular hypotensive medication ingredient (meds) use compared with baseline. Patients were 55% female with mean age of 72.6±9.7. There were 71.6% treated in a standalone procedure and 57% were pseudophakic. The majority of patients were diagnosed with primary open-angle glaucoma (73%) or pseudoexfoliative glaucoma (17%). 42% had prior surgery in the study eye (other than cataract surgery/ SLT). Mild-to-moderate glaucoma was reported in 66% patients and mean visual field mean deviation was -9.5±7.6dB. Carbonic anhydrase inhibitors were used by 49% patients at baseline.",
        "Results": "Mean pre-operative and 24-month IOPs were 21.3±7.3mmHg on 2.8±1.7 meds and 14.5±4.6mmHg (-6.2mmHg, -23.8%; p<0.0001) on 1.9±1.9 meds (-1.0; p<0.0001) respectively. Furthermore, 56.4% patients had >/=20% IOP reduction, 80.7% had IOP </=18mmHg, and 81.4% were on the same or fewer medications at 24 months. At 24 months, there was no difference in IOP and medication reduction after standalone vs combined-cataract surgery. There were no unexpected nor serious reportable incidents. Serious incidents (n>1) included: IOP increase (6.9%), hypotony (2.3%), device migration or mispositioning (2.3%) and hyphaema (1.4%).",
        "Conclusions": "In a real-life, diverse population in the STAR-LIFE study, a significant mean IOP reduction of 6.2mmHg was achieved 24 months after treatment with MINIject, in addition to a mean 1.0 medication reduction. This supraciliary MIGS procedure offers a valuable bleb-free treatment option for patients with glaucoma, either as a standalone procedure or in combination with cataract surgery, with low rates of serious incidents."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 390
    },
    {
      "uid": "PP27.08",
      "abstract_number": "PP27.08",
      "title": "Two-Year Real-World Outcomes Of Preserflo™ Microshunt Implantation: World Glaucoma Association-Defined Success Rates And Comparative Analysis Of Standalone Versus Combined Phacoemulsification Procedures",
      "authors": "Dr Daniel Abilheira",
      "presenter": "Dr Daniel Abilheira",
      "normalized_authors": [
        "Daniel Abilheira"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Daniel Abilheira",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "To evaluate the two-year effectiveness and safety of PreserFlo™ MicroShunt implantation in a real-world glaucoma cohort, defining surgical success according to World Glaucoma Association (WGA) criteria and comparing outcomes between standalone procedures and those combined with phacoemulsification.",
        "Setting": "Single-center retrospective cohort study.",
        "Methods": "Thirty-nine consecutive eyes undergoing PreserFlo™ MicroShunt implantation (21 standalone, 18 combined with phacoemulsification) were analyzed. Primary outcomes at 24 months included intraocular pressure (IOP), antiglaucoma medication burden, and surgical success per WGA criteria (IOP 6–21 mmHg, ≥20% reduction from baseline, no glaucoma reoperation). Complete success required no medications; qualified success allowed topical therapy. Secondary outcomes included complications, reinterventions, and Kaplan–Meier survival analysis.",
        "Results": "Mean IOP decreased from 23.1 ± 6.5 to 14.3 ± 3.6 mmHg at 24 months (37.9% reduction; p0.001), with medication classes reducing from 3.6 ± 1.3 to 0.5 ± 0.8 (86.1% reduction; p0.001). Overall surgical success was 64.5% (complete: 54.8%; qualified: 9.7%).\n\nStandalone surgery achieved lower IOP than combined procedures (12.9 ± 2.8 vs 16.6 ± 3.9 mmHg; p=0.004) and higher complete success rates (76.2% vs 40.0%; p=0.106). Complications occurred in 53.8% of eyes (transient hypotony 15.4%, hyphema 10.3%). Needling was required in 12.8% and additional glaucoma surgery in 15.4%.",
        "Conclusions": "PreserFlo™ MicroShunt implantation achieves sustained and clinically meaningful IOP reduction with substantial decrease in medication burden at two years in real-world clinical practice. WGA-defined surgical success rates are consistent with published evidence from controlled studies. Standalone procedures demonstrated superior IOP control compared with combined phacoemulsification surgery, suggesting potential benefits of staged approaches in selected patients. The safety profile aligns with conventional filtering surgery, supporting PreserFlo™ MicroShunt as an effective minimally invasive surgical option for long-term glaucoma management."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PreserFlo™ MicroShunt implantation achieves sustained and clinically meaningful IOP reduction with substantial decrease in medication burden at two years in real-world clinical practice. WGA-defined surgical success rates are consistent with published evidence from controlled studies. Standalone procedures demonstrated superior IOP control compared with combined phacoemulsification surgery, suggesting potential…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 417,
      "source_fields": {
        "Abstract Final Identifier": "PP27.08",
        "Title": "Two-Year Real-World Outcomes Of Preserflo™ Microshunt Implantation: World Glaucoma Association-Defined Success Rates And Comparative Analysis Of Standalone Versus Combined Phacoemulsification Procedures",
        "Presenting Author(s)": "Dr Daniel Abilheira",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Daniel",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Abilheira",
        "Country Name": "Portugal",
        "Purpose": "To evaluate the two-year effectiveness and safety of PreserFlo™ MicroShunt implantation in a real-world glaucoma cohort, defining surgical success according to World Glaucoma Association (WGA) criteria and comparing outcomes between standalone procedures and those combined with phacoemulsification.",
        "Setting": "Single-center retrospective cohort study.",
        "Methods": "Thirty-nine consecutive eyes undergoing PreserFlo™ MicroShunt implantation (21 standalone, 18 combined with phacoemulsification) were analyzed. Primary outcomes at 24 months included intraocular pressure (IOP), antiglaucoma medication burden, and surgical success per WGA criteria (IOP 6–21 mmHg, ≥20% reduction from baseline, no glaucoma reoperation). Complete success required no medications; qualified success allowed topical therapy. Secondary outcomes included complications, reinterventions, and Kaplan–Meier survival analysis.",
        "Results": "Mean IOP decreased from 23.1 ± 6.5 to 14.3 ± 3.6 mmHg at 24 months (37.9% reduction; p0.001), with medication classes reducing from 3.6 ± 1.3 to 0.5 ± 0.8 (86.1% reduction; p0.001). Overall surgical success was 64.5% (complete: 54.8%; qualified: 9.7%).\n\nStandalone surgery achieved lower IOP than combined procedures (12.9 ± 2.8 vs 16.6 ± 3.9 mmHg; p=0.004) and higher complete success rates (76.2% vs 40.0%; p=0.106). Complications occurred in 53.8% of eyes (transient hypotony 15.4%, hyphema 10.3%). Needling was required in 12.8% and additional glaucoma surgery in 15.4%.",
        "Conclusions": "PreserFlo™ MicroShunt implantation achieves sustained and clinically meaningful IOP reduction with substantial decrease in medication burden at two years in real-world clinical practice. WGA-defined surgical success rates are consistent with published evidence from controlled studies. Standalone procedures demonstrated superior IOP control compared with combined phacoemulsification surgery, suggesting potential benefits of staged approaches in selected patients. The safety profile aligns with conventional filtering surgery, supporting PreserFlo™ MicroShunt as an effective minimally invasive surgical option for long-term glaucoma management."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 296
    },
    {
      "uid": "PP27.09",
      "abstract_number": "PP27.09",
      "title": "Three- And Six-Month Intraocular Pressure Outcomes After Combined Cataract Surgery And Preserflo Microshunt Implantation Versus Standalone Microshunt Implantation",
      "authors": "Dr Carmen Gruzei",
      "presenter": "Dr Carmen Gruzei",
      "normalized_authors": [
        "Carmen Gruzei"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Carmen Gruzei",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Austria",
      "sections": {
        "Purpose": "While the efficacy of PreserFlo MicroShunt implantation as a standalone procedure is well established, evidence regarding its combination with phacoemulsification remains limited. In contrast to trabeculectomy, where combined surgery may result in worse outcomes, it is unclear whether concomitant cataract surgery influences the pressure-lowering effect of the PreserFlo MicroShunt. This question is clinically relevant for surgical planning and patient counseling.",
        "Setting": "Prospective cohort study conducted at a tertiary care center. Patients undergoing either combined surgery (PreserFlo MicroShunt implantation with phacoemulsification) or PreserFlo MicroShunt implantation alone were included.",
        "Methods": "Twenty-nine eyes undergoing combined surgery were compared with 29 eyes receiving PreserFlo implantation alone. Included were patients with PEG, PDG, NTG, or POAG and insufficient medical intraocular pressure (IOP) control without prior glaucoma surgery. All patients in the standalone group were pseudophakic. IOP was measured preoperatively and at 3 and 6 months postoperatively. All 58 eyes completed 3-month follow-up; 20 per group completed 6 months. Postoperative needling rates were also assessed.",
        "Results": "In the combined group (n=29), mean IOP decreased from 21.86 ± 6.03 mmHg to 11.34 ± 5.97 mmHg at 3 months. In the standalone group (n=29), IOP decreased from 21.10 ± 8.01 mmHg to 9.62 ± 3.17 mmHg. Reductions were significant in both groups (p < 0.001) without between-group differences (p > 0.05). At 6 months (n=20 per group), IOP decreased from 26.85 ± 9.83 to 13.60 ± 5.21 mmHg (−41%) in the combined group and from 24.15 ± 8.34 to 10.85 ± 3.91 mmHg (−52%) in the standalone group. No significant between-group difference was observed.",
        "Conclusions": "PreserFlo MicroShunt implantation achieved an IOP reduction greater than 20% in the majority of patients, including those undergoing combined surgery. No statistically significant difference in pressure reduction was detected between groups. However, the lower percentage reduction in the combined group may suggest a trend toward a slightly less pronounced pressure-lowering effect when combined with phacoemulsification."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "PreserFlo MicroShunt implantation achieved an IOP reduction greater than 20% in the majority of patients, including those undergoing combined surgery. No statistically significant difference in pressure reduction was detected between groups. However, the lower percentage reduction in the combined group may suggest a trend toward a slightly less pronounced pressure-lowering effect when combined with…",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 418,
      "source_fields": {
        "Abstract Final Identifier": "PP27.09",
        "Title": "Three- And Six-Month Intraocular Pressure Outcomes After Combined Cataract Surgery And Preserflo Microshunt Implantation Versus Standalone Microshunt Implantation",
        "Presenting Author(s)": "Dr Carmen Gruzei",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Carmen",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gruzei",
        "Country Name": "Austria",
        "Purpose": "While the efficacy of PreserFlo MicroShunt implantation as a standalone procedure is well established, evidence regarding its combination with phacoemulsification remains limited. In contrast to trabeculectomy, where combined surgery may result in worse outcomes, it is unclear whether concomitant cataract surgery influences the pressure-lowering effect of the PreserFlo MicroShunt. This question is clinically relevant for surgical planning and patient counseling.",
        "Setting": "Prospective cohort study conducted at a tertiary care center. Patients undergoing either combined surgery (PreserFlo MicroShunt implantation with phacoemulsification) or PreserFlo MicroShunt implantation alone were included.",
        "Methods": "Twenty-nine eyes undergoing combined surgery were compared with 29 eyes receiving PreserFlo implantation alone. Included were patients with PEG, PDG, NTG, or POAG and insufficient medical intraocular pressure (IOP) control without prior glaucoma surgery. All patients in the standalone group were pseudophakic. IOP was measured preoperatively and at 3 and 6 months postoperatively. All 58 eyes completed 3-month follow-up; 20 per group completed 6 months. Postoperative needling rates were also assessed.",
        "Results": "In the combined group (n=29), mean IOP decreased from 21.86 ± 6.03 mmHg to 11.34 ± 5.97 mmHg at 3 months. In the standalone group (n=29), IOP decreased from 21.10 ± 8.01 mmHg to 9.62 ± 3.17 mmHg. Reductions were significant in both groups (p < 0.001) without between-group differences (p > 0.05). At 6 months (n=20 per group), IOP decreased from 26.85 ± 9.83 to 13.60 ± 5.21 mmHg (−41%) in the combined group and from 24.15 ± 8.34 to 10.85 ± 3.91 mmHg (−52%) in the standalone group. No significant between-group difference was observed.",
        "Conclusions": "PreserFlo MicroShunt implantation achieved an IOP reduction greater than 20% in the majority of patients, including those undergoing combined surgery. No statistically significant difference in pressure reduction was detected between groups. However, the lower percentage reduction in the combined group may suggest a trend toward a slightly less pronounced pressure-lowering effect when combined with phacoemulsification."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 319
    },
    {
      "uid": "PP27.10",
      "abstract_number": "PP27.10",
      "title": "Neovascular Glaucoma Treated With Ahmed Valve Implantation And Ranibizumab",
      "authors": "Dr Aliki Panagiotis Liaska",
      "presenter": "Dr Aliki Panagiotis Liaska",
      "normalized_authors": [
        "Aliki Panagiotis Liaska"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Aliki Panagiotis Liaska",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "to present long term results of ranibizumab treatment in eyes with neovascular glaucoma already treated with combined cataract surgery and Ahmed valve implantation",
        "Setting": "Department of Ophthalmology, General Hospital of Lamia, Lamia, GREECE",
        "Methods": "case series of 2 male patients (3 eyes) with neovascular glaucoma (NVG) and cataract. Patient 1, age 70 , diabetic NVG, Patient 2 , age 65, NVG in both eyes after Branch Retinal Artery Occlusion. Initial IOPs were 38, 50 and 25 mmHg, respectively. All eyes had combined Ahmed valve implantation and cataract surgery (phaco and three pieces intraocular lens (IOL) ) and subsequently Ranibizumab (Lucentis) injections approximately every 3 months. Follow up was 6, 24 and 36 months respectively.",
        "Results": "Intraocular pressure remained below 21mmHg with topical medications during the follow up period and visual acuity was stable. IOL remained well positioned. However, all patients presented temporary IOP rise in case of exacerbation of neovascularization. Treatment with ranibizumab restored hypertonia.",
        "Conclusions": "the combination of Ahmed valve implantation, cataract surgery and antiVEGF injection on a PRN scheme (approximately every 3 months) provides a reliable treatment regimen for neovascular glaucoma. Closed follow up and patient consultation is necessary for the successful treatment of these patients."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "the combination of Ahmed valve implantation, cataract surgery and antiVEGF injection on a PRN scheme (approximately every 3 months) provides a reliable treatment regimen for neovascular glaucoma. Closed follow up and patient consultation is necessary for the successful treatment of these patients.",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 419,
      "source_fields": {
        "Abstract Final Identifier": "PP27.10",
        "Title": "Neovascular Glaucoma Treated With Ahmed Valve Implantation And Ranibizumab",
        "Presenting Author(s)": "Dr Aliki Panagiotis Liaska",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Aliki",
        "Submitter Middle Name": "Panagiotis",
        "Submitter Last Name": "Liaska",
        "Country Name": "Greece",
        "Purpose": "to present long term results of ranibizumab treatment in eyes with neovascular glaucoma already treated with combined cataract surgery and Ahmed valve implantation",
        "Setting": "Department of Ophthalmology, General Hospital of Lamia, Lamia, GREECE",
        "Methods": "case series of 2 male patients (3 eyes) with neovascular glaucoma (NVG) and cataract. Patient 1, age 70 , diabetic NVG, Patient 2 , age 65, NVG in both eyes after Branch Retinal Artery Occlusion. Initial IOPs were 38, 50 and 25 mmHg, respectively. All eyes had combined Ahmed valve implantation and cataract surgery (phaco and three pieces intraocular lens (IOL) ) and subsequently Ranibizumab (Lucentis) injections approximately every 3 months. Follow up was 6, 24 and 36 months respectively.",
        "Results": "Intraocular pressure remained below 21mmHg with topical medications during the follow up period and visual acuity was stable. IOL remained well positioned. However, all patients presented temporary IOP rise in case of exacerbation of neovascularization. Treatment with ranibizumab restored hypertonia.",
        "Conclusions": "the combination of Ahmed valve implantation, cataract surgery and antiVEGF injection on a PRN scheme (approximately every 3 months) provides a reliable treatment regimen for neovascular glaucoma. Closed follow up and patient consultation is necessary for the successful treatment of these patients."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 191
    },
    {
      "uid": "PP27.11",
      "abstract_number": "PP27.11",
      "title": "When Glaucoma Meets Cataract: Where To Draw The Line?",
      "authors": "Dr Khaled Layadi",
      "presenter": "Dr Khaled Layadi",
      "normalized_authors": [
        "Khaled Layadi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Khaled Layadi",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Algeria",
      "sections": {
        "Purpose": "The coexistence of glaucoma and cataract is common and poses a therapeutic dilemma: phacoemulsification alone, combined surgery (phaco + MIGS / filtration), or sequential management. The objective is to synthesize recent data from the PubMed literature and propose practical decision-making criteria.",
        "Setting": "A review (2010–2025) of meta-analyses, randomized trials, and large cohorts identified on PubMed. Comparative reviews and analyses on MIGS and filtering surgeries were prioritized.",
        "Methods": "A review (2010–2025) of meta-analyses, randomized trials, and large cohorts identified on PubMed. Comparative reviews and analyses on MIGS and filtering surgeries were prioritized.",
        "Results": "Phacoemulsification alone significantly reduces IOP (often reported between ~2–4 mmHg) and frequently decreases topical therapy for 1–3 years, with a more pronounced effect in angle-closure and pseudoexfoliative glaucomas. The combination of phaco + MIGS (e.g., iStent, Hydrus) provides additional IOP reduction compared to phaco alone (modest average gain) with a favorable safety profile. Recent comparisons between devices (iStent vs Hydrus) show similar benefits at medium term. Combined phaco + filtration procedures result in the greatest IOP reduction but are associated with a higher rate of postoperative complications (hypotony, bleb fibrosis, refractive changes); the literature therefore suggests cautious patient selection.",
        "Conclusions": "The boundary between cataract and glaucoma surgery is not fixed: it is drawn according to : glaucoma severity and target IOP, angle anatomy, conjunctival status (preservation for future filtration), adherence/medication burden, and patient visual expectations."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The boundary between cataract and glaucoma surgery is not fixed: it is drawn according to : glaucoma severity and target IOP, angle anatomy, conjunctival status (preservation for future filtration), adherence/medication burden, and patient visual expectations.",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 420,
      "source_fields": {
        "Abstract Final Identifier": "PP27.11",
        "Title": "When Glaucoma Meets Cataract: Where To Draw The Line?",
        "Presenting Author(s)": "Dr Khaled Layadi",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Khaled",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Layadi",
        "Country Name": "Algeria",
        "Purpose": "The coexistence of glaucoma and cataract is common and poses a therapeutic dilemma: phacoemulsification alone, combined surgery (phaco + MIGS / filtration), or sequential management. The objective is to synthesize recent data from the PubMed literature and propose practical decision-making criteria.",
        "Setting": "A review (2010–2025) of meta-analyses, randomized trials, and large cohorts identified on PubMed. Comparative reviews and analyses on MIGS and filtering surgeries were prioritized.",
        "Methods": "A review (2010–2025) of meta-analyses, randomized trials, and large cohorts identified on PubMed. Comparative reviews and analyses on MIGS and filtering surgeries were prioritized.",
        "Results": "Phacoemulsification alone significantly reduces IOP (often reported between ~2–4 mmHg) and frequently decreases topical therapy for 1–3 years, with a more pronounced effect in angle-closure and pseudoexfoliative glaucomas. The combination of phaco + MIGS (e.g., iStent, Hydrus) provides additional IOP reduction compared to phaco alone (modest average gain) with a favorable safety profile. Recent comparisons between devices (iStent vs Hydrus) show similar benefits at medium term. Combined phaco + filtration procedures result in the greatest IOP reduction but are associated with a higher rate of postoperative complications (hypotony, bleb fibrosis, refractive changes); the literature therefore suggests cautious patient selection.",
        "Conclusions": "The boundary between cataract and glaucoma surgery is not fixed: it is drawn according to : glaucoma severity and target IOP, angle anatomy, conjunctival status (preservation for future filtration), adherence/medication burden, and patient visual expectations."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 224
    },
    {
      "uid": "PP27.12",
      "abstract_number": "PP27.12",
      "title": "Pseudophacodenesis And Glaucoma With Elevated Intraocular Pressure – Tactics, Surgery And Results",
      "authors": "Mrs Zinaida Valeryevna Kataeva",
      "presenter": "Mrs Zinaida Valeryevna Kataeva",
      "normalized_authors": [
        "Zinaida Valeryevna Kataeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Zinaida Valeryevna Kataeva",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Russian Federation",
      "sections": {
        "Purpose": "Purpose. 1) To define the approach to surgical treatment of pseudophacodonesis associated with decompensated glaucoma on the basis of anatomo-topographic characteristics of the anterior eye segment. For the first time, IOP gradient along the movements of IOL-capsular bag complex was estimated and a dependence on the amplitude and frequency of the complex's oscillations was discovered, based on mathematical calculations. A displacement of more than 0.1 mm is significant; normally it does not exceed hundredths of a millimeter; with pseudophacodonesis, the increase in distance in the supine position can reach 0.6 mm. 2) To analyze the results of combined treatment –suture IOL fixation to the iris and non-penetrating deep sclerectomy (NPDS).",
        "Setting": "Settings – IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russian Federation.",
        "Methods": "Methods. Patients with elevated IOP and pseudophacodonesis underwent optical coherence tomography in a vertical position and ultrasound biomicroscopy in a horizontal position. The distance from the line connecting the scleral spurs to the anterior IOL surface was estimated at the pupil centre. If it was more than 0.1 mm, combined surgery was performed - flange fixation of the IOL-capsular bag complex to the iris (polypropylene 9.0) using 2 haptics and microinvasive NPDS: 40 eyes of 39 patients aged from 65 to 91 years (mean,78.05±5.84). BCVA before surgery was 0.5±0.2 (range, 0.03 to 0.85); mean IOP with hypotensive therapy was 33.05±9.9 mm Hg (range, 19 to 61 mm Hg). In 1 case vitreous prolapse with anterior vitrectomy was marked.",
        "Results": "Results. Post-op follow-up terms was 29.2±11.26 months (range, 12 to 53 months.). In the early post-op period, there were hemorrhagic events in 3 eyes (8%), hypertension in 2 eyes (5%), choroidal effusion – in 1 (3%). BCVA in the late post-op period was 0.49 ±\n\n0.27, IOP was 15.1 ± 6.81 mm Hg. In 30 eyes repeated glaucoma surgery was required in terms from 6 to 44 months (mean, 18.6 ± 12.9 months). Cystoid macular edema was marked in 3 eyes (8%).",
        "Conclusions": "Conclusions. 1) With pseudophacodonesis and excursion of the IOL – capsular bag complex less than 0.1 mm (in vertical and horizontal position) glaucoma surgery without additional IOL fixation is indicated; if the excursion exceeds 0.1 mm, additional IOL fixation is necessary.\n\n2) Functional results of combined surgery showed stable visual functions and low complication rate in the early and remote post-op period."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Conclusions. 1) With pseudophacodonesis and excursion of the IOL – capsular bag complex less than 0.1 mm (in vertical and horizontal position) glaucoma surgery without additional IOL fixation is indicated; if the excursion exceeds 0.1 mm, additional IOL fixation is necessary. 2) Functional results of combined surgery showed stable visual functions and low complication rate in the early and remote post-op period.",
      "session_type": "Presented Poster",
      "track": "Combined glaucoma / cataract surgery",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 421,
      "source_fields": {
        "Abstract Final Identifier": "PP27.12",
        "Title": "Pseudophacodenesis And Glaucoma With Elevated Intraocular Pressure – Tactics, Surgery And Results",
        "Presenting Author(s)": "Mrs Zinaida Valeryevna Kataeva",
        "Abstract Topic Name": "Combined glaucoma / cataract surgery",
        "Submitter First Name": "Zinaida",
        "Submitter Middle Name": "Valeryevna",
        "Submitter Last Name": "Kataeva",
        "Country Name": "Russian Federation",
        "Purpose": "Purpose. 1) To define the approach to surgical treatment of pseudophacodonesis associated with decompensated glaucoma on the basis of anatomo-topographic characteristics of the anterior eye segment. For the first time, IOP gradient along the movements of IOL-capsular bag complex was estimated and a dependence on the amplitude and frequency of the complex's oscillations was discovered, based on mathematical calculations. A displacement of more than 0.1 mm is significant; normally it does not exceed hundredths of a millimeter; with pseudophacodonesis, the increase in distance in the supine position can reach 0.6 mm. 2) To analyze the results of combined treatment –suture IOL fixation to the iris and non-penetrating deep sclerectomy (NPDS).",
        "Setting": "Settings – IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russian Federation.",
        "Methods": "Methods. Patients with elevated IOP and pseudophacodonesis underwent optical coherence tomography in a vertical position and ultrasound biomicroscopy in a horizontal position. The distance from the line connecting the scleral spurs to the anterior IOL surface was estimated at the pupil centre. If it was more than 0.1 mm, combined surgery was performed - flange fixation of the IOL-capsular bag complex to the iris (polypropylene 9.0) using 2 haptics and microinvasive NPDS: 40 eyes of 39 patients aged from 65 to 91 years (mean,78.05±5.84). BCVA before surgery was 0.5±0.2 (range, 0.03 to 0.85); mean IOP with hypotensive therapy was 33.05±9.9 mm Hg (range, 19 to 61 mm Hg). In 1 case vitreous prolapse with anterior vitrectomy was marked.",
        "Results": "Results. Post-op follow-up terms was 29.2±11.26 months (range, 12 to 53 months.). In the early post-op period, there were hemorrhagic events in 3 eyes (8%), hypertension in 2 eyes (5%), choroidal effusion – in 1 (3%). BCVA in the late post-op period was 0.49 ±\n\n0.27, IOP was 15.1 ± 6.81 mm Hg. In 30 eyes repeated glaucoma surgery was required in terms from 6 to 44 months (mean, 18.6 ± 12.9 months). Cystoid macular edema was marked in 3 eyes (8%).",
        "Conclusions": "Conclusions. 1) With pseudophacodonesis and excursion of the IOL – capsular bag complex less than 0.1 mm (in vertical and horizontal position) glaucoma surgery without additional IOL fixation is indicated; if the excursion exceeds 0.1 mm, additional IOL fixation is necessary.\n\n2) Functional results of combined surgery showed stable visual functions and low complication rate in the early and remote post-op period."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 402
    },
    {
      "uid": "PPE1.01",
      "abstract_number": "PPE1.01",
      "title": "Improvement In Or Workflow Efficiency Through Workforce Restructuring",
      "authors": "Ms Shanna Honings",
      "presenter": "Ms Shanna Honings",
      "normalized_authors": [
        "Shanna Honings"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Shanna HONINGS",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Netherlands",
      "sections": {
        "Purpose": "To train medical assistants in the role of Ophthalmic OR assistant, performing tasks to improve OR workflow efficiency in cataract surgery. This will free specialized OR nurses for complex cases, reduce workflow dependency, and provide attractive career perspectives.",
        "Setting": "Academic hospital, Maastricht, the Netherlands; in partnership with Hoge-school Zuyd and a advisory board including regional hospitals.",
        "Methods": "Medical assistants follow a 15-week modular program combining online lessons, hands-on practice and competency assessments. This training program formalizes task redistribution, allowing medical assistants to gradually take over tasks normally done bij specialized OR nurses. The program is currently being implemented, with workflow evaluation quality monitoring, and stakeholder feedback planned.",
        "Results": "Pilot results indicate that trained medical assistants can perform tasks, previously performed bij specialized OR nurses. Expected benefits are a more efficient OR planning and execution and an improved team satisfaction while maintaining patient safety. The program is scalable and our cataract surgery case study can be implemented in other hospitals, preparing medical assistants to take on OR-assistant duties, thereby decreasing OR nurse workforce dependency. Similar case studies will be developed for other subspecialties (retina, cornea, glaucoma) and enhance long-term career perspectives.",
        "Conclusions": "The cataract OR assistant program improves OR workflow efficiency with consistent quality, through reallocation of routine tasks. It provides medical assistants with attractive career perspectives, addresses workforce shortages strategically, and is a case study for implementation in other hospitals."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The cataract OR assistant program improves OR workflow efficiency with consistent quality, through reallocation of routine tasks. It provides medical assistants with attractive career perspectives, addresses workforce shortages strategically, and is a case study for implementation in other hospitals.",
      "session_type": "Presented Poster",
      "track": "Operating Room",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 422,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.01",
        "Title": "Improvement In Or Workflow Efficiency Through Workforce Restructuring",
        "Presenting Author(s)": "Ms Shanna Honings",
        "Abstract Topic Name": "Operating Room",
        "Submitter First Name": "Shanna",
        "Submitter Middle Name": "",
        "Submitter Last Name": "HONINGS",
        "Country Name": "Netherlands",
        "Purpose": "To train medical assistants in the role of Ophthalmic OR assistant, performing tasks to improve OR workflow efficiency in cataract surgery. This will free specialized OR nurses for complex cases, reduce workflow dependency, and provide attractive career perspectives.",
        "Setting": "Academic hospital, Maastricht, the Netherlands; in partnership with Hoge-school Zuyd and a advisory board including regional hospitals.",
        "Methods": "Medical assistants follow a 15-week modular program combining online lessons, hands-on practice and competency assessments. This training program formalizes task redistribution, allowing medical assistants to gradually take over tasks normally done bij specialized OR nurses. The program is currently being implemented, with workflow evaluation quality monitoring, and stakeholder feedback planned.",
        "Results": "Pilot results indicate that trained medical assistants can perform tasks, previously performed bij specialized OR nurses. Expected benefits are a more efficient OR planning and execution and an improved team satisfaction while maintaining patient safety. The program is scalable and our cataract surgery case study can be implemented in other hospitals, preparing medical assistants to take on OR-assistant duties, thereby decreasing OR nurse workforce dependency. Similar case studies will be developed for other subspecialties (retina, cornea, glaucoma) and enhance long-term career perspectives.",
        "Conclusions": "The cataract OR assistant program improves OR workflow efficiency with consistent quality, through reallocation of routine tasks. It provides medical assistants with attractive career perspectives, addresses workforce shortages strategically, and is a case study for implementation in other hospitals."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 226
    },
    {
      "uid": "PPE1.02",
      "abstract_number": "PPE1.02",
      "title": "Endophthalmitis’ Statistical Data In An Ophthalmology Service. What Is The Nurses’ Role In Endophthalmitis Prevention?",
      "authors": "Mrs Neli Leitão Bastos",
      "presenter": "Mrs Neli Leitão Bastos",
      "normalized_authors": [
        "Neli Leitão Bastos"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Neli Leitão Bastos",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Portugal",
      "sections": {
        "Purpose": "Describe the clinical and epidemiological characteristics of inpatients diagnosed with postoperative endophthalmitis and to determine its incidence in the Ophthalmology Department of ULS Coimbra.",
        "Setting": "Surgical site infections represent a serious safety issue, with major impact on population health and substantial economic burden. Postoperative endophthalmitis stands out for its clinical severity and potential for irreversible visual loss, warranting particular attention to prevention. The perioperative nurse plays a pivotal role in implementing evidence-based practices that minimize infection risk and promote health gains.",
        "Methods": "Retrospective, quantitative, descriptive study conducted in the Ophthalmology Department, ULS Coimbra between January 2020 and June 2025. Sample non-probabilistic and purposive, including all inpatients with a confirmed diagnosis of postoperative endophthalmitis. Descriptive statistical analysis performed using IBM SPSS Statistics® software, with a favorable opinion from the Ethics Committee of ULS Coimbra.",
        "Results": "Sample: 116 patients, predominantly male, older than 75 years, with a high prevalence of chronic diseases, particularly hypertension (67%) and diabetes mellitus (45%). The incidence of postoperative endophthalmitis among patients operated in this department was 0.07%, consistent with published data. All participants experienced visual loss after infection; 15% had total loss and 7% underwent enucleation/evisceration. The impact on care delivery resulted in 752 additional hospital days. The most frequently isolated microorganism was Staphylococcus epidermidis.",
        "Conclusions": "The results highlight the need to strengthen nursing practices focused on skin antisepsis, maintenance of a sterile operative field, and education of patients and families regarding the postoperative therapeutic regimen.The data obtained provide support for the implementation of institution-wide, evidence-based protocols and for future prospective studies to further explore risk factors and infection control strategies in ophthalmic surgery."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The results highlight the need to strengthen nursing practices focused on skin antisepsis, maintenance of a sterile operative field, and education of patients and families regarding the postoperative therapeutic regimen.The data obtained provide support for the implementation of institution-wide, evidence-based protocols and for future prospective studies to further explore risk factors and infection control…",
      "session_type": "Presented Poster",
      "track": "Research",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 423,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.02",
        "Title": "Endophthalmitis’ Statistical Data In An Ophthalmology Service. What Is The Nurses’ Role In Endophthalmitis Prevention?",
        "Presenting Author(s)": "Mrs Neli Leitão Bastos",
        "Abstract Topic Name": "Research",
        "Submitter First Name": "Neli",
        "Submitter Middle Name": "Leitão",
        "Submitter Last Name": "Bastos",
        "Country Name": "Portugal",
        "Purpose": "Describe the clinical and epidemiological characteristics of inpatients diagnosed with postoperative endophthalmitis and to determine its incidence in the Ophthalmology Department of ULS Coimbra.",
        "Setting": "Surgical site infections represent a serious safety issue, with major impact on population health and substantial economic burden. Postoperative endophthalmitis stands out for its clinical severity and potential for irreversible visual loss, warranting particular attention to prevention. The perioperative nurse plays a pivotal role in implementing evidence-based practices that minimize infection risk and promote health gains.",
        "Methods": "Retrospective, quantitative, descriptive study conducted in the Ophthalmology Department, ULS Coimbra between January 2020 and June 2025. Sample non-probabilistic and purposive, including all inpatients with a confirmed diagnosis of postoperative endophthalmitis. Descriptive statistical analysis performed using IBM SPSS Statistics® software, with a favorable opinion from the Ethics Committee of ULS Coimbra.",
        "Results": "Sample: 116 patients, predominantly male, older than 75 years, with a high prevalence of chronic diseases, particularly hypertension (67%) and diabetes mellitus (45%). The incidence of postoperative endophthalmitis among patients operated in this department was 0.07%, consistent with published data. All participants experienced visual loss after infection; 15% had total loss and 7% underwent enucleation/evisceration. The impact on care delivery resulted in 752 additional hospital days. The most frequently isolated microorganism was Staphylococcus epidermidis.",
        "Conclusions": "The results highlight the need to strengthen nursing practices focused on skin antisepsis, maintenance of a sterile operative field, and education of patients and families regarding the postoperative therapeutic regimen.The data obtained provide support for the implementation of institution-wide, evidence-based protocols and for future prospective studies to further explore risk factors and infection control strategies in ophthalmic surgery."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 266
    },
    {
      "uid": "PPE1.04",
      "abstract_number": "PPE1.04",
      "title": "Symptomatic Vitreous Opacity Quantification By A Novel Ai-Guided Scanning Laser Ophthalmoscopy (Slo) And Optical Coherence Tomography (Oct) Device",
      "authors": "Dr Nir Katchinskiy",
      "presenter": "Dr Nir Katchinskiy",
      "normalized_authors": [
        "Nir Katchinskiy"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Eric Martin",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Canada",
      "sections": {
        "Purpose": "Symptomatic vitreous opacities (SVOs) are common, yet diagnosis and management remain non-standardized and thus inconsistent across practices. This study aimed to quantitatively evaluate SVO morphology and location in adults using an investigational non-contact AI-guided SLO/OCT imaging platform.",
        "Setting": "Two-centre independent prospective imaging study in Panama City, Panama and Edmonton, Alberta, Canada; data collected at private ophthalmology clinics",
        "Methods": "Adults presenting with symptomatic vitreous opacities (floaters) were prospectively enrolled and imaged using an investigational, non-contact AI-guided SLO/OCT imaging platform. The system simultaneously acquired SLO sequences and volumetric OCT scans. Combined manual and automated analysis localized SVOs within the vitreous and quantified size, opacity, morphology, and position relative to the retina. Participants completed a questionnaire assessing floater-related symptoms.",
        "Results": "Across both centres, 238 eyes from 135 subjects were analyzed. Both male (39.7%) and female (60.3%) participants were enrolled, with most aged 65 years and older. A total of 1045 SLO and 966 OCT images were acquired. SVOs were visible in 943 SLO (90.2%) and 779 OCT (80.6%) scans. System imaging was used to (1) quantify SVO size, morphology, motility, and location relative to the retina; (2) explore associations between floater features and participant-reported symptoms; and (3) establish an in vivo database of floater morphology",
        "Conclusions": "This study demonstrates feasibility of this novel non-contact AI-guided SLO/OCT platform for objective, quantitative assessment of SVOs. Image-derived metrics may advance understanding of floater morphology, support standardized grading, reduce management variability, and enable measurable follow-up."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study demonstrates feasibility of this novel non-contact AI-guided SLO/OCT platform for objective, quantitative assessment of SVOs. Image-derived metrics may advance understanding of floater morphology, support standardized grading, reduce management variability, and enable measurable follow-up.",
      "session_type": "Presented Poster",
      "track": "Research",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 424,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.04",
        "Title": "Symptomatic Vitreous Opacity Quantification By A Novel Ai-Guided Scanning Laser Ophthalmoscopy (Slo) And Optical Coherence Tomography (Oct) Device",
        "Presenting Author(s)": "Dr Nir Katchinskiy",
        "Abstract Topic Name": "Research",
        "Submitter First Name": "Eric",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Martin",
        "Country Name": "Canada",
        "Purpose": "Symptomatic vitreous opacities (SVOs) are common, yet diagnosis and management remain non-standardized and thus inconsistent across practices. This study aimed to quantitatively evaluate SVO morphology and location in adults using an investigational non-contact AI-guided SLO/OCT imaging platform.",
        "Setting": "Two-centre independent prospective imaging study in Panama City, Panama and Edmonton, Alberta, Canada; data collected at private ophthalmology clinics",
        "Methods": "Adults presenting with symptomatic vitreous opacities (floaters) were prospectively enrolled and imaged using an investigational, non-contact AI-guided SLO/OCT imaging platform. The system simultaneously acquired SLO sequences and volumetric OCT scans. Combined manual and automated analysis localized SVOs within the vitreous and quantified size, opacity, morphology, and position relative to the retina. Participants completed a questionnaire assessing floater-related symptoms.",
        "Results": "Across both centres, 238 eyes from 135 subjects were analyzed. Both male (39.7%) and female (60.3%) participants were enrolled, with most aged 65 years and older. A total of 1045 SLO and 966 OCT images were acquired. SVOs were visible in 943 SLO (90.2%) and 779 OCT (80.6%) scans. System imaging was used to (1) quantify SVO size, morphology, motility, and location relative to the retina; (2) explore associations between floater features and participant-reported symptoms; and (3) establish an in vivo database of floater morphology",
        "Conclusions": "This study demonstrates feasibility of this novel non-contact AI-guided SLO/OCT platform for objective, quantitative assessment of SVOs. Image-derived metrics may advance understanding of floater morphology, support standardized grading, reduce management variability, and enable measurable follow-up."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "PPE1.05",
      "abstract_number": "PPE1.05",
      "title": "Visual Impairment Among Inpatients Who Experience Falls: A Retrospective Service Evaluation In A Uk Hospital",
      "authors": "Dr Mitchell Titley",
      "presenter": "Dr Mitchell Titley",
      "normalized_authors": [
        "Mitchell Titley"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mitchell Titley",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "Inpatient falls cause significant morbidity in older adults. Visual impairment is included in the NICE guideline (NG249) for multifactorial falls risk assessment, yet identification in acute care may be inconsistent. This service evaluation aimed to determine the proportion of inpatients who sustained a fall and had recorded visual impairment within Hospital Eye Service (HES) records, as well as desciptions of impairment types and demographic details.",
        "Setting": "Retrospective service evaluation at a UK acute general hospital in the West Midlands. Inpatient falls were identified via the Trust Datix reporting system and cross-referenced with local HES records. The project was classified as a service evaluation as per NHS Health Research Authority guidance.",
        "Methods": "Adult inpatients with documented falls (Nov 2023–Mar 2025) were identified. Duplicate entries were excluded. Cases were cross-referenced with HES records (available from 2019). Visual impairment was defined as binocular BCVA <0.3 LogMAR or BCVA ≥0.3 LogMAR with pathology likely to cause functional visual field loss. Proportions were calculated with 95% CIs. Logistic regression explored associations demographic associations.",
        "Results": "1,215 unique fallers were included. 106 patients had documented visual impairment (8.72%, 95%CI 7.26–10.45%). 46 had BCVA <0.3 LogMAR and 60 had preserved acuity with visual field loss. Glaucoma-related diagnoses predominated among field defects. Visual impairment increased with age (4.05% <65 years vs 16.22% ≥85 years). Increasing age was independently associated with impairment (aOR 1.05 per year, 95%CI 1.03–1.07).",
        "Conclusions": "Documented visual impairment was identified in 8.72% of inpatient fallers, with prevalence rising markedly with age. Over half had preserved acuity but diagnoses attributed to visual field loss, predominantly glaucoma-related. As only patients with available HES records could be identified, these findings likely represent an underestimation of the true burden, suggesting a substantial “iceberg” of unrecognised visual dysfunction and a potential health inequality within inpatient falls pathways."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Documented visual impairment was identified in 8.72% of inpatient fallers, with prevalence rising markedly with age. Over half had preserved acuity but diagnoses attributed to visual field loss, predominantly glaucoma-related. As only patients with available HES records could be identified, these findings likely represent an underestimation of the true burden, suggesting a substantial “iceberg” of unrecognised…",
      "session_type": "Presented Poster",
      "track": "Research",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 425,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.05",
        "Title": "Visual Impairment Among Inpatients Who Experience Falls: A Retrospective Service Evaluation In A Uk Hospital",
        "Presenting Author(s)": "Dr Mitchell Titley",
        "Abstract Topic Name": "Research",
        "Submitter First Name": "Mitchell",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Titley",
        "Country Name": "United Kingdom",
        "Purpose": "Inpatient falls cause significant morbidity in older adults. Visual impairment is included in the NICE guideline (NG249) for multifactorial falls risk assessment, yet identification in acute care may be inconsistent. This service evaluation aimed to determine the proportion of inpatients who sustained a fall and had recorded visual impairment within Hospital Eye Service (HES) records, as well as desciptions of impairment types and demographic details.",
        "Setting": "Retrospective service evaluation at a UK acute general hospital in the West Midlands. Inpatient falls were identified via the Trust Datix reporting system and cross-referenced with local HES records. The project was classified as a service evaluation as per NHS Health Research Authority guidance.",
        "Methods": "Adult inpatients with documented falls (Nov 2023–Mar 2025) were identified. Duplicate entries were excluded. Cases were cross-referenced with HES records (available from 2019). Visual impairment was defined as binocular BCVA <0.3 LogMAR or BCVA ≥0.3 LogMAR with pathology likely to cause functional visual field loss. Proportions were calculated with 95% CIs. Logistic regression explored associations demographic associations.",
        "Results": "1,215 unique fallers were included. 106 patients had documented visual impairment (8.72%, 95%CI 7.26–10.45%). 46 had BCVA <0.3 LogMAR and 60 had preserved acuity with visual field loss. Glaucoma-related diagnoses predominated among field defects. Visual impairment increased with age (4.05% <65 years vs 16.22% ≥85 years). Increasing age was independently associated with impairment (aOR 1.05 per year, 95%CI 1.03–1.07).",
        "Conclusions": "Documented visual impairment was identified in 8.72% of inpatient fallers, with prevalence rising markedly with age. Over half had preserved acuity but diagnoses attributed to visual field loss, predominantly glaucoma-related. As only patients with available HES records could be identified, these findings likely represent an underestimation of the true burden, suggesting a substantial “iceberg” of unrecognised visual dysfunction and a potential health inequality within inpatient falls pathways."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 310
    },
    {
      "uid": "PPE1.06",
      "abstract_number": "PPE1.06",
      "title": "Cataract Surgery In The Nursing Field: A Bibliometric Analysis Of Global Research Trends",
      "authors": "Dr Seda Cansu Yeniğün Akbulut",
      "presenter": "Dr Seda Cansu Yeniğün Akbulut",
      "normalized_authors": [
        "Seda Cansu Yeniğün Akbulut"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Seda Cansu Yeniğün Akbulut",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Türkiye",
      "sections": {
        "Purpose": "This study aims to examine the structure of scientific production in nursing related to cataract surgery and to analyze research trends, collaboration networks, and thematic focus areas through bibliometric analysis.",
        "Setting": "The study was conducted using data retrieved from the Web of Science Core Collection database, which indexes international scientific publications.",
        "Methods": "A descriptive bibliometric study design was employed. A comprehensive search was conducted in the Web of Science Core Collection on March 1, 2026, which initially identified 138 publications. Following the application of predefined inclusion and exclusion criteria and screening procedures, 111 studies were included in the final analysis. Bibliometric analyses were conducted using R Studio program.",
        "Results": "A total of 111 articles published between 1985 and 2025 were included in the bibliometric analysis. The highest number of publications in nursing related to cataract surgery was recorded in 2025. The journal publishing the greatest number of articles on the subject was “Journal of Cataract and Refractive Surgery”.",
        "Conclusions": "This study shows a marked increase in nursing publications related to cataract surgery in recent years, highlighting a growing emphasis not only on clinical outcomes but also on care-oriented and psychosocial dimensions. While cataract and eye health remain dominant themes, topics such as pain, anxiety, and nursing care occupy a central yet evolving position. These findings suggest that although the technical aspects of cataract surgery are well established, patient experience and care-based approaches remain important areas for future research. Mapping the existing knowledge base also supports evidence-based practice and contributes to improving the quality of care."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "This study shows a marked increase in nursing publications related to cataract surgery in recent years, highlighting a growing emphasis not only on clinical outcomes but also on care-oriented and psychosocial dimensions. While cataract and eye health remain dominant themes, topics such as pain, anxiety, and nursing care occupy a central yet evolving position. These findings suggest that although the technical…",
      "session_type": "Presented Poster",
      "track": "Research",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 426,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.06",
        "Title": "Cataract Surgery In The Nursing Field: A Bibliometric Analysis Of Global Research Trends",
        "Presenting Author(s)": "Dr Seda Cansu Yeniğün Akbulut",
        "Abstract Topic Name": "Research",
        "Submitter First Name": "Seda Cansu",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Yeniğün Akbulut",
        "Country Name": "Türkiye",
        "Purpose": "This study aims to examine the structure of scientific production in nursing related to cataract surgery and to analyze research trends, collaboration networks, and thematic focus areas through bibliometric analysis.",
        "Setting": "The study was conducted using data retrieved from the Web of Science Core Collection database, which indexes international scientific publications.",
        "Methods": "A descriptive bibliometric study design was employed. A comprehensive search was conducted in the Web of Science Core Collection on March 1, 2026, which initially identified 138 publications. Following the application of predefined inclusion and exclusion criteria and screening procedures, 111 studies were included in the final analysis. Bibliometric analyses were conducted using R Studio program.",
        "Results": "A total of 111 articles published between 1985 and 2025 were included in the bibliometric analysis. The highest number of publications in nursing related to cataract surgery was recorded in 2025. The journal publishing the greatest number of articles on the subject was “Journal of Cataract and Refractive Surgery”.",
        "Conclusions": "This study shows a marked increase in nursing publications related to cataract surgery in recent years, highlighting a growing emphasis not only on clinical outcomes but also on care-oriented and psychosocial dimensions. While cataract and eye health remain dominant themes, topics such as pain, anxiety, and nursing care occupy a central yet evolving position. These findings suggest that although the technical aspects of cataract surgery are well established, patient experience and care-based approaches remain important areas for future research. Mapping the existing knowledge base also supports evidence-based practice and contributes to improving the quality of care."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 251
    },
    {
      "uid": "PPE1.07",
      "abstract_number": "PPE1.07",
      "title": "Orthoptic Management Of Retinally Mediated Diplopia After Macula-Off Retinal Detachment",
      "authors": "Mr Haris Grozdanic",
      "presenter": "Mr Haris Grozdanic",
      "normalized_authors": [
        "Haris Grozdanic"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Haris Grozdanic",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "Diplopia after macula-off retinal detachment repair may be multifactorial. While ocular motility imbalance is often considered, macular structural alteration and displacement may result in binocular image disparity due to altered corresponding retinal points despite preserved motility. We present a case illustrating structural–functional correlation and targeted orthoptic management.",
        "Setting": "Tertiary university eye department with interdisciplinary postoperative retinal detachment follow-up and orthoptic collaboration.",
        "Methods": "A patient with acute macula-off rhegmatogenous retinal detachment (OD) complicated by proliferative vitreoretinopathy and epiretinal fibrosis underwent phacoemulsification with IOL implantation, pars plana vitrectomy, membrane peeling, endodrainage, cryopexy, intravitreal medication, and gas tamponade. Anatomical reattachment was achieved (VA 0.5). Three months postoperatively, persistent diplopia was reported. Orthoptic assessment showed full motility, small vertical phoria (4–6Δ), reduced stereopsis, alternating suppression on Worth 4-dot, and variable axis-dependent vertical diplopia. OCT demonstrated persistent macular remodeling.",
        "Results": "A segmented vertical Fresnel prism was applied selectively over the symptomatic visual axis for near tasks. The patient reported immediate reduction of diplopia and improved functional visual comfort while maintaining binocular input. Symptoms were disproportionate to the small motor deviation, supporting a retinal sensory correspondence disturbance as the likely mechanism. The intervention remained adjustable and reversible.",
        "Conclusions": "Retinally mediated diplopia should be considered in patients following macula-off retinal detachment repair when symptoms exceed measured motor deviation and ocular motility is preserved. Structural–functional correlation is essential. Segmented Fresnel prism application may provide a practical and reversible rehabilitative option when conventional prism correction or occlusion is not tolerated."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Retinally mediated diplopia should be considered in patients following macula-off retinal detachment repair when symptoms exceed measured motor deviation and ocular motility is preserved. Structural–functional correlation is essential. Segmented Fresnel prism application may provide a practical and reversible rehabilitative option when conventional prism correction or occlusion is not tolerated.",
      "session_type": "Presented Poster",
      "track": "Clinical",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 427,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.07",
        "Title": "Orthoptic Management Of Retinally Mediated Diplopia After Macula-Off Retinal Detachment",
        "Presenting Author(s)": "Mr Haris Grozdanic",
        "Abstract Topic Name": "Clinical",
        "Submitter First Name": "Haris",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Grozdanic",
        "Country Name": "Norway",
        "Purpose": "Diplopia after macula-off retinal detachment repair may be multifactorial. While ocular motility imbalance is often considered, macular structural alteration and displacement may result in binocular image disparity due to altered corresponding retinal points despite preserved motility. We present a case illustrating structural–functional correlation and targeted orthoptic management.",
        "Setting": "Tertiary university eye department with interdisciplinary postoperative retinal detachment follow-up and orthoptic collaboration.",
        "Methods": "A patient with acute macula-off rhegmatogenous retinal detachment (OD) complicated by proliferative vitreoretinopathy and epiretinal fibrosis underwent phacoemulsification with IOL implantation, pars plana vitrectomy, membrane peeling, endodrainage, cryopexy, intravitreal medication, and gas tamponade. Anatomical reattachment was achieved (VA 0.5). Three months postoperatively, persistent diplopia was reported. Orthoptic assessment showed full motility, small vertical phoria (4–6Δ), reduced stereopsis, alternating suppression on Worth 4-dot, and variable axis-dependent vertical diplopia. OCT demonstrated persistent macular remodeling.",
        "Results": "A segmented vertical Fresnel prism was applied selectively over the symptomatic visual axis for near tasks. The patient reported immediate reduction of diplopia and improved functional visual comfort while maintaining binocular input. Symptoms were disproportionate to the small motor deviation, supporting a retinal sensory correspondence disturbance as the likely mechanism. The intervention remained adjustable and reversible.",
        "Conclusions": "Retinally mediated diplopia should be considered in patients following macula-off retinal detachment repair when symptoms exceed measured motor deviation and ocular motility is preserved. Structural–functional correlation is essential. Segmented Fresnel prism application may provide a practical and reversible rehabilitative option when conventional prism correction or occlusion is not tolerated."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 241
    },
    {
      "uid": "PPE1.08",
      "abstract_number": "PPE1.08",
      "title": "Ocular Nocardiosis Mistaken For Fungal Corneal Ulcer",
      "authors": "Dr Sharah Rahman Rahman",
      "presenter": "Dr Sharah Rahman Rahman",
      "normalized_authors": [
        "Sharah Rahman Rahman"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Sharah Rahman Rahman",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "United Kingdom",
      "sections": {
        "Purpose": "To report a case of Nocardia keratitis mimicking fungal infection following agricultural trauma. The report emphasises the importance of microbiological diagnosis in preventing delayed management and irreversible vision loss when empirical antifungal therapy fails.",
        "Setting": "Tertiary care ophthalmic center involving a 47-year-old female patient from a rural farming community.",
        "Methods": "A 47-year-old woman presented with a painful red eye and vision limited to hand movements after one month of failed empirical antifungal treatment (topical natamycin, clotrimazole, and oral ketoconazole). Slit-lamp examination showed a dry, feathery stromal ulcer and a 2mm hypopyon. Corneal scrapings were performed for potassium hydroxide (KOH) wet mount and Gram staining to differentiate between fungal and bacterial etiologies.",
        "Results": "KOH mount was negative for fungal filaments. Gram stain revealed thin, beaded, branching, Gram-positive filaments suggestive of Nocardia species. Antifungals were replaced with topical amikacin 2%, tobramycin ointment, and oral moxifloxacin. Rapid improvement occurred within one week. After one month, the ulcer healed with a faint scar. Best-corrected visual acuity improved to 6/18; residual blurring was attributed to corneal astigmatism.",
        "Conclusions": "Nocardia keratitis is a potent mimic of fungal keratitis. Early laboratory confirmation via Gram stain is essential to initiate targeted antibiotic therapy. This approach prevents prolonged, ineffective treatment and ensures favourable visual outcomes."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Nocardia keratitis is a potent mimic of fungal keratitis. Early laboratory confirmation via Gram stain is essential to initiate targeted antibiotic therapy. This approach prevents prolonged, ineffective treatment and ensures favourable visual outcomes.",
      "session_type": "Presented Poster",
      "track": "Clinical",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 428,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.08",
        "Title": "Ocular Nocardiosis Mistaken For Fungal Corneal Ulcer",
        "Presenting Author(s)": "Dr Sharah Rahman Rahman",
        "Abstract Topic Name": "Clinical",
        "Submitter First Name": "Sharah",
        "Submitter Middle Name": "Rahman",
        "Submitter Last Name": "Rahman",
        "Country Name": "United Kingdom",
        "Purpose": "To report a case of Nocardia keratitis mimicking fungal infection following agricultural trauma. The report emphasises the importance of microbiological diagnosis in preventing delayed management and irreversible vision loss when empirical antifungal therapy fails.",
        "Setting": "Tertiary care ophthalmic center involving a 47-year-old female patient from a rural farming community.",
        "Methods": "A 47-year-old woman presented with a painful red eye and vision limited to hand movements after one month of failed empirical antifungal treatment (topical natamycin, clotrimazole, and oral ketoconazole). Slit-lamp examination showed a dry, feathery stromal ulcer and a 2mm hypopyon. Corneal scrapings were performed for potassium hydroxide (KOH) wet mount and Gram staining to differentiate between fungal and bacterial etiologies.",
        "Results": "KOH mount was negative for fungal filaments. Gram stain revealed thin, beaded, branching, Gram-positive filaments suggestive of Nocardia species. Antifungals were replaced with topical amikacin 2%, tobramycin ointment, and oral moxifloxacin. Rapid improvement occurred within one week. After one month, the ulcer healed with a faint scar. Best-corrected visual acuity improved to 6/18; residual blurring was attributed to corneal astigmatism.",
        "Conclusions": "Nocardia keratitis is a potent mimic of fungal keratitis. Early laboratory confirmation via Gram stain is essential to initiate targeted antibiotic therapy. This approach prevents prolonged, ineffective treatment and ensures favourable visual outcomes."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 203
    },
    {
      "uid": "PPE1.09",
      "abstract_number": "PPE1.09",
      "title": "Delaying Deep Anterior Lamellar Keratoplasty: Visual Rehabilitation With Cairs In Grade Iv Keratoconus.",
      "authors": "Ms Lola Rodriguez Carrillo",
      "presenter": "Ms Lola Rodriguez Carrillo",
      "normalized_authors": [
        "Lola Rodriguez Carrillo"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Lola Rodriguez Carrillo",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Spain",
      "sections": {
        "Purpose": "To describe the surgical technique and early visual and tomographic outcomes of corneal allogenic intrastromal ring segments (CAIRS) implantation in a patient with advanced grade IV keratoconus previously treated with corneal cross-linking. This report aims to highlight CAIRS as a viable therapeutic option in cases traditionally considered beyond the indications for synthetic intracorneal ring segments.",
        "Setting": "Tertiary referral center specialized in cornea and refractive surgery. Hospital Asociación Para Evitar la Ceguera en Mexico.",
        "Methods": "A 25-year-old patient with bilateral grade IV keratoconus and prior corneal cross-linking underwent CAIRS implantation in the right eye. Femtosecond laser-assisted intrastromal tunnel creation was performed, followed by manual preparation of allogenic corneal ring segments from tectonic donor tissue. Based on a snowman topographic phenotype, two segments were implanted centered in the flattest meridian. Preoperative and postoperative assessments included visual acuity, refraction, corneal OCT, slit-lamp examination, and corneal topography.",
        "Results": "Preoperatively, uncorrected visual acuity was counting fingers at 2 meters, improving to 20/400 with pinhole. Corrected distance visual acuity in the treated eye was 20/70, with significant corneal steepening (Km 67.79 D) and marked irregularity. One day postoperatively, uncorrected visual acuity improved to 20/80, reaching 20/40 with pinhole. Tomography demonstrated a substantial reduction in keratometric values (Km 50.49 D) with evident corneal regularization. At one week, uncorrected visual acuity was 20/150, improving to 20/40 with pinhole, while Km remained stable at 51.41 D. These objective improvements were accompanied by high patient-reported visual satisfaction.",
        "Conclusions": "CAIRS use donor corneal tissue instead of synthetic material and achieved significant corneal flattening, regularization, and rapid visual improvement with early stability, supporting their role as an effective option in advanced or irregular keratoconus where conventional ring segments may be contraindicated"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "CAIRS use donor corneal tissue instead of synthetic material and achieved significant corneal flattening, regularization, and rapid visual improvement with early stability, supporting their role as an effective option in advanced or irregular keratoconus where conventional ring segments may be contraindicated",
      "session_type": "Presented Poster",
      "track": "Clinical",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 429,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.09",
        "Title": "Delaying Deep Anterior Lamellar Keratoplasty: Visual Rehabilitation With Cairs In Grade Iv Keratoconus.",
        "Presenting Author(s)": "Ms Lola Rodriguez Carrillo",
        "Abstract Topic Name": "Clinical",
        "Submitter First Name": "Lola",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Rodriguez Carrillo",
        "Country Name": "Spain",
        "Purpose": "To describe the surgical technique and early visual and tomographic outcomes of corneal allogenic intrastromal ring segments (CAIRS) implantation in a patient with advanced grade IV keratoconus previously treated with corneal cross-linking. This report aims to highlight CAIRS as a viable therapeutic option in cases traditionally considered beyond the indications for synthetic intracorneal ring segments.",
        "Setting": "Tertiary referral center specialized in cornea and refractive surgery. Hospital Asociación Para Evitar la Ceguera en Mexico.",
        "Methods": "A 25-year-old patient with bilateral grade IV keratoconus and prior corneal cross-linking underwent CAIRS implantation in the right eye. Femtosecond laser-assisted intrastromal tunnel creation was performed, followed by manual preparation of allogenic corneal ring segments from tectonic donor tissue. Based on a snowman topographic phenotype, two segments were implanted centered in the flattest meridian. Preoperative and postoperative assessments included visual acuity, refraction, corneal OCT, slit-lamp examination, and corneal topography.",
        "Results": "Preoperatively, uncorrected visual acuity was counting fingers at 2 meters, improving to 20/400 with pinhole. Corrected distance visual acuity in the treated eye was 20/70, with significant corneal steepening (Km 67.79 D) and marked irregularity. One day postoperatively, uncorrected visual acuity improved to 20/80, reaching 20/40 with pinhole. Tomography demonstrated a substantial reduction in keratometric values (Km 50.49 D) with evident corneal regularization. At one week, uncorrected visual acuity was 20/150, improving to 20/40 with pinhole, while Km remained stable at 51.41 D. These objective improvements were accompanied by high patient-reported visual satisfaction.",
        "Conclusions": "CAIRS use donor corneal tissue instead of synthetic material and achieved significant corneal flattening, regularization, and rapid visual improvement with early stability, supporting their role as an effective option in advanced or irregular keratoconus where conventional ring segments may be contraindicated"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 284
    },
    {
      "uid": "PPE1.10",
      "abstract_number": "PPE1.10",
      "title": "Cataract Surgery In A Patient With Keratotomies And A History Of Recurrent Herpetic Keratitis",
      "authors": "Yulia Saldan",
      "presenter": "Yulia Saldan",
      "normalized_authors": [
        "Yulia Saldan"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Anastasia Semeniuk",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Ukraine",
      "sections": {
        "Purpose": "The aim is to tell about a patient who had a history of surgery for myopia correction and who had suffered several attacks of herpetic keratitis. He underwent keratotomy, which did not prevent him from undergoing cataract surgery in the future. As a result, visual acuity was 0.9. He was also diagnosed with open-angle glaucoma in both eyes in 2019",
        "Setting": "Patient A. a 62 -year-old man, presented with decreased vision in both eyes. His medical history revealed that at age 20, he underwent surgery to correct high myopia and myopic astigmatism in both eyes. Radial and tangential corneal incisions were made in both eyes. In 2019, he suffered three attacks of recurrent herpetic keratitis in his left eye. He has a hereditary history of glaucoma and, based on perimetry and OCT, was diagnosed with primary open-angle glaucoma in both eyes",
        "Methods": "In 2026, phacoemulsification with intraocular lens implantation was performed on the left eye.\n\nIOL was calculated using the Barrett True K formula with the desired postoperative correction to emmetropia. The operation was performed using a standard technique with scleral incisions on Stellaris PC ( Bausch& Lomb).",
        "Results": "The result of the operation was visual acuity - 0.9 with mild myopic astigmatism in the left eye. Іmplanted lens - 23,50 D Alcon SN60WF. The patient continues to receive drug therapy for glaucoma, further monitoring of the patient is carried out. Phacoemulsification with intraocular lens implantation is planned for the right eye.",
        "Conclusions": "Cataract surgery in patients who have undergone keratotomy is a complex task that requires careful calculation of IOL. Patients with recurrent herpetic keratitis in preoperative preparation for cataract surgery need prevention of this disease. Diagnosis of open-angle glaucoma and subsequent monitoring of its progression requires further standardization of research methods. There is no objective method for measuring IOP in such patients, which complicates further diagnosis and monitoring of them"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Cataract surgery in patients who have undergone keratotomy is a complex task that requires careful calculation of IOL. Patients with recurrent herpetic keratitis in preoperative preparation for cataract surgery need prevention of this disease. Diagnosis of open-angle glaucoma and subsequent monitoring of its progression requires further standardization of research methods. There is no objective method for measuring…",
      "session_type": "Presented Poster",
      "track": "Clinical",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 430,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.10",
        "Title": "Cataract Surgery In A Patient With Keratotomies And A History Of Recurrent Herpetic Keratitis",
        "Presenting Author(s)": "Yulia Saldan",
        "Abstract Topic Name": "Clinical",
        "Submitter First Name": "Anastasia",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Semeniuk",
        "Country Name": "Ukraine",
        "Purpose": "The aim is to tell about a patient who had a history of surgery for myopia correction and who had suffered several attacks of herpetic keratitis. He underwent keratotomy, which did not prevent him from undergoing cataract surgery in the future. As a result, visual acuity was 0.9. He was also diagnosed with open-angle glaucoma in both eyes in 2019",
        "Setting": "Patient A. a 62 -year-old man, presented with decreased vision in both eyes. His medical history revealed that at age 20, he underwent surgery to correct high myopia and myopic astigmatism in both eyes. Radial and tangential corneal incisions were made in both eyes. In 2019, he suffered three attacks of recurrent herpetic keratitis in his left eye. He has a hereditary history of glaucoma and, based on perimetry and OCT, was diagnosed with primary open-angle glaucoma in both eyes",
        "Methods": "In 2026, phacoemulsification with intraocular lens implantation was performed on the left eye.\n\nIOL was calculated using the Barrett True K formula with the desired postoperative correction to emmetropia. The operation was performed using a standard technique with scleral incisions on Stellaris PC ( Bausch& Lomb).",
        "Results": "The result of the operation was visual acuity - 0.9 with mild myopic astigmatism in the left eye. Іmplanted lens - 23,50 D Alcon SN60WF. The patient continues to receive drug therapy for glaucoma, further monitoring of the patient is carried out. Phacoemulsification with intraocular lens implantation is planned for the right eye.",
        "Conclusions": "Cataract surgery in patients who have undergone keratotomy is a complex task that requires careful calculation of IOL. Patients with recurrent herpetic keratitis in preoperative preparation for cataract surgery need prevention of this disease. Diagnosis of open-angle glaucoma and subsequent monitoring of its progression requires further standardization of research methods. There is no objective method for measuring IOP in such patients, which complicates further diagnosis and monitoring of them"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 308
    },
    {
      "uid": "PPE1.11",
      "abstract_number": "PPE1.11",
      "title": "The Eco Eye Express: A Sustainable Community-Based Eye Care Model",
      "authors": "Dr Aygun Nabiyeva",
      "presenter": "Dr Aygun Nabiyeva",
      "normalized_authors": [
        "Aygun Nabiyeva"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Prasanth Gireesh",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "India",
      "sections": {
        "Purpose": "To demonstrate a sustainable, community-based model that delivers comprehensive eye care through a\nmobile, eco-friendly platform, ensuring inclusivity and continuity of care.",
        "Setting": "Community-based mobile eye care services conducted in eight rural villages with limited access to public transport and eye care facilities, using a mobile electric eye clinic (Eco Eye Express) linked to a tertiary eye care hospital for referral and follow-up .",
        "Methods": "The Eco Eye Express, an electric vehicle equipped with portable diagnostic devices, provides services at\ncommunity spaces (schools, offices, local halls) and directly to the homes of those unable to travel. The care package\nincludes refraction, intraocular pressure measurement, fundus imaging, blood sugar testing, and on-site spectacle\ndispensing. Referrals and follow-up (fundus imaging, IOP monitoring) are coordinated with tertiary hospitals.",
        "Results": "A pilot project was conducted in 8 rural villages with a combined population of 25,000, most lacking public\n\ntransport and access to eye care. Within 6 months:\n\n1,300 individuals screened\n\n162 spectacles delivered\n\n60 patients referred for higher specialty care\n\n15 patients referred for cataract surgery\n\nThe model effectively reached populations otherwise excluded from care, provided on-site solutions, and ensured follow-\n\nup through referral linkages",
        "Conclusions": "The Eco Eye Express demonstrates an innovative, scalable approach built on the principles of people,\nplanet, and profit. By bringing technology-enabled eye care directly to communities and homes, it ensures no one is left\nbehind and contributes toward the global goal of eye care for all by 2030"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "The Eco Eye Express demonstrates an innovative, scalable approach built on the principles of people, planet, and profit. By bringing technology-enabled eye care directly to communities and homes, it ensures no one is left behind and contributes toward the global goal of eye care for all by 2030",
      "session_type": "Presented Poster",
      "track": "Other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 431,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.11",
        "Title": "The Eco Eye Express: A Sustainable Community-Based Eye Care Model",
        "Presenting Author(s)": "Dr Aygun Nabiyeva",
        "Abstract Topic Name": "Other",
        "Submitter First Name": "Prasanth",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Gireesh",
        "Country Name": "India",
        "Purpose": "To demonstrate a sustainable, community-based model that delivers comprehensive eye care through a\nmobile, eco-friendly platform, ensuring inclusivity and continuity of care.",
        "Setting": "Community-based mobile eye care services conducted in eight rural villages with limited access to public transport and eye care facilities, using a mobile electric eye clinic (Eco Eye Express) linked to a tertiary eye care hospital for referral and follow-up .",
        "Methods": "The Eco Eye Express, an electric vehicle equipped with portable diagnostic devices, provides services at\ncommunity spaces (schools, offices, local halls) and directly to the homes of those unable to travel. The care package\nincludes refraction, intraocular pressure measurement, fundus imaging, blood sugar testing, and on-site spectacle\ndispensing. Referrals and follow-up (fundus imaging, IOP monitoring) are coordinated with tertiary hospitals.",
        "Results": "A pilot project was conducted in 8 rural villages with a combined population of 25,000, most lacking public\n\ntransport and access to eye care. Within 6 months:\n\n1,300 individuals screened\n\n162 spectacles delivered\n\n60 patients referred for higher specialty care\n\n15 patients referred for cataract surgery\n\nThe model effectively reached populations otherwise excluded from care, provided on-site solutions, and ensured follow-\n\nup through referral linkages",
        "Conclusions": "The Eco Eye Express demonstrates an innovative, scalable approach built on the principles of people,\nplanet, and profit. By bringing technology-enabled eye care directly to communities and homes, it ensures no one is left\nbehind and contributes toward the global goal of eye care for all by 2030"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 237
    },
    {
      "uid": "PPE1.12",
      "abstract_number": "PPE1.12",
      "title": "A National Vision Helpline Answered By Experienced Ophthalmic Nurses",
      "authors": "Ms Mona Benedicte Nordvik",
      "presenter": "Ms Mona Benedicte Nordvik",
      "normalized_authors": [
        "Mona Benedicte Nordvik"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Mona Benedicte Nordvik",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Norway",
      "sections": {
        "Purpose": "Establishing a national helpline offering trusted eye‑care guidance from experienced ophthalmic nurses. Developed in response to unmet needs for an easily accessible service identified by the Norwegian Association of the Blind and Partially sighted.",
        "Setting": "A national helpline operated by the Department of Ophthalmology, Haukeland University hospital Bergen, Norway.",
        "Methods": "The helpline is open one day each week and staffed by experienced ophthalmic nurses who have received additional training in available vision‑rehabilitation services, and the various support programmes offered by the patient organization. Callers remain anonymous, and data are collected solely for statistical purposes and service improvement. Variables recorded include the number of callers, call duration, age group, health region, diagnostic category, and how callers learned about the service.\n\nThe project is a collaboration between the Norwegian Association of the Blind and Partially sighted and the Department of Ophthalmology, Haukeland University hospital, and is funded by the pharmaceutical companies Bayer AS and Roche AS.",
        "Results": "A reliable, anonymous eye‑care helpline was established, offering weekly access for patients, relatives and healthcare professionals. From 08.03.25–31.12.25, callers were 81% patients, 13% relatives and 6% professionals; most were retirees, followed by working‑age adults. Calls ranged from 2–60 minutes, and AMD was the most frequent diagnosis group. Nurses reported that the service was meaningful and allowed time to listen to patients’ concerns.",
        "Conclusions": "Collaboration between the patient organization and ophthalmic professionals has created a valued, anonymous and easily accessible helpline. It is highly appreciated by patients, and nurses find it a meaningful and socially valuable way to share ophthalmic expertise."
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Collaboration between the patient organization and ophthalmic professionals has created a valued, anonymous and easily accessible helpline. It is highly appreciated by patients, and nurses find it a meaningful and socially valuable way to share ophthalmic expertise.",
      "session_type": "Presented Poster",
      "track": "Other",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 432,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.12",
        "Title": "A National Vision Helpline Answered By Experienced Ophthalmic Nurses",
        "Presenting Author(s)": "Ms Mona Benedicte Nordvik",
        "Abstract Topic Name": "Other",
        "Submitter First Name": "Mona",
        "Submitter Middle Name": "Benedicte",
        "Submitter Last Name": "Nordvik",
        "Country Name": "Norway",
        "Purpose": "Establishing a national helpline offering trusted eye‑care guidance from experienced ophthalmic nurses. Developed in response to unmet needs for an easily accessible service identified by the Norwegian Association of the Blind and Partially sighted.",
        "Setting": "A national helpline operated by the Department of Ophthalmology, Haukeland University hospital Bergen, Norway.",
        "Methods": "The helpline is open one day each week and staffed by experienced ophthalmic nurses who have received additional training in available vision‑rehabilitation services, and the various support programmes offered by the patient organization. Callers remain anonymous, and data are collected solely for statistical purposes and service improvement. Variables recorded include the number of callers, call duration, age group, health region, diagnostic category, and how callers learned about the service.\n\nThe project is a collaboration between the Norwegian Association of the Blind and Partially sighted and the Department of Ophthalmology, Haukeland University hospital, and is funded by the pharmaceutical companies Bayer AS and Roche AS.",
        "Results": "A reliable, anonymous eye‑care helpline was established, offering weekly access for patients, relatives and healthcare professionals. From 08.03.25–31.12.25, callers were 81% patients, 13% relatives and 6% professionals; most were retirees, followed by working‑age adults. Calls ranged from 2–60 minutes, and AMD was the most frequent diagnosis group. Nurses reported that the service was meaningful and allowed time to listen to patients’ concerns.",
        "Conclusions": "Collaboration between the patient organization and ophthalmic professionals has created a valued, anonymous and easily accessible helpline. It is highly appreciated by patients, and nurses find it a meaningful and socially valuable way to share ophthalmic expertise."
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 261
    },
    {
      "uid": "PPE1.03",
      "abstract_number": "PPE1.03",
      "title": "Interdevice Agreement Of Corneal Measurements Using Four Imaging Systems",
      "authors": "A/Prof. Athina Plakitsi",
      "presenter": "A/Prof. Athina Plakitsi",
      "normalized_authors": [
        "Athina Plakitsi"
      ],
      "authors_are_presenters_only": true,
      "submitter_name": "Stella Georgiadou",
      "affiliations": [],
      "normalized_institutions": [],
      "country": "Greece",
      "sections": {
        "Purpose": "To compare corneal power, keratometry, pachymetry, astigmatism and corneal irregularity indices obtained from four anterior segment imaging devices and to assess their agreement and interchangeability.",
        "Setting": "University based ophthalmic research center and ambulatory eye care clinics in Greece.",
        "Methods": "In this prospective cross sectional study, 206 eyes of 103 healthy subjects were examined using Pentacam HR (Oculus, Wetzlar, Germany), RTVue 100 AS - OCT(Optovue, Fremont, CA, USA), Cassini ((i-Optics) and VARIO Topolyzer (Alcon Laboratories, Worth, Texas) . Equivalent keratometry, net or total corneal power, pachymetry, astigmatism and corneal irregularity indices were analyzed. Normality testing, paired parametric or non parametric tests with Bonferroni correction, and correlation analysis were performed.",
        "Results": "Strong correlations were observed among devices for most keratometric and pachymetric parameters (r up to 0.99, p<0.001). However, statistically significant inter device differences were detected for corneal power, corneal thickness, astigmatism and irregularity indices (p<0.001 for most comparisons). Agreement varied across parameters, indicating systematic measurement bias despite high correlation.",
        "Conclusions": "Although measurements from Pentacam HR, AS - OCT, Cassini and VARIO show strong correlations, significant inter device differences exist. Corneal parameters derived from different devices should not be considered interchangeable in clinical practice or research"
      },
      "section_labels": [
        "Purpose",
        "Setting",
        "Methods",
        "Results",
        "Conclusions"
      ],
      "summary": "Although measurements from Pentacam HR, AS - OCT, Cassini and VARIO show strong correlations, significant inter device differences exist. Corneal parameters derived from different devices should not be considered interchangeable in clinical practice or research",
      "session_type": "Presented Poster",
      "track": "Research",
      "display_date": "11–15 September 2026",
      "meeting": "44th Congress of the European Society of Cataract and Refractive Surgeons",
      "meeting_short_name": "ESCRS 2026",
      "source_pdf_url": "",
      "source_excel_url": "https://congress.escrs.org/wp-content/uploads/2026/07/Abstract_ESCRS_2026-14-July-2026.xlsx",
      "source_page_url": "https://congress.escrs.org/abstracts/",
      "abstract_repository_url": "https://escrs.org/abstract-repository",
      "url": "https://congress.escrs.org/abstracts/",
      "source_sheet": "Presented Poster",
      "source_row": 433,
      "source_fields": {
        "Abstract Final Identifier": "PPE1.03",
        "Title": "Interdevice Agreement Of Corneal Measurements Using Four Imaging Systems",
        "Presenting Author(s)": "A/Prof. Athina Plakitsi",
        "Abstract Topic Name": "Research",
        "Submitter First Name": "Stella",
        "Submitter Middle Name": "",
        "Submitter Last Name": "Georgiadou",
        "Country Name": "Greece",
        "Purpose": "To compare corneal power, keratometry, pachymetry, astigmatism and corneal irregularity indices obtained from four anterior segment imaging devices and to assess their agreement and interchangeability.",
        "Setting": "University based ophthalmic research center and ambulatory eye care clinics in Greece.",
        "Methods": "In this prospective cross sectional study, 206 eyes of 103 healthy subjects were examined using Pentacam HR (Oculus, Wetzlar, Germany), RTVue 100 AS - OCT(Optovue, Fremont, CA, USA), Cassini ((i-Optics) and VARIO Topolyzer (Alcon Laboratories, Worth, Texas) . Equivalent keratometry, net or total corneal power, pachymetry, astigmatism and corneal irregularity indices were analyzed. Normality testing, paired parametric or non parametric tests with Bonferroni correction, and correlation analysis were performed.",
        "Results": "Strong correlations were observed among devices for most keratometric and pachymetric parameters (r up to 0.99, p<0.001). However, statistically significant inter device differences were detected for corneal power, corneal thickness, astigmatism and irregularity indices (p<0.001 for most comparisons). Agreement varied across parameters, indicating systematic measurement bias despite high correlation.",
        "Conclusions": "Although measurements from Pentacam HR, AS - OCT, Cassini and VARIO show strong correlations, significant inter device differences exist. Corneal parameters derived from different devices should not be considered interchangeable in clinical practice or research"
      },
      "is_structured": true,
      "has_body_text": true,
      "word_count": 193
    }
  ]
}